"hospital_name","last_updated_on","version","hospital_location","hospital_address","license_number|CA","To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated.",,,,,,,,,,,,,
"Hospital Authority of Jefferson County and the City of Louisville dba","11/1/2024","2.0.0","Jefferson Hospital","1067 Peachtree Street, Louisville, Georgia 30434","081-310","TRUE",,,,,,,,,,,,,
,,,,,,,,,,,,,,,,,,,
"Description","Code","Code_Type","Setting","Drug_Unit_of Measurement","Drug_Type_of Measurement","Standard Charge | Gross","Standard Charge | Discount Cash","Payer_Name","Plan_Name","Modifiers","Standard Charge | Negotiated_Dollar","Standard Charge | Negotiated_Percentage","Standard Charge | Negotiated_Algorithm","Standard Charge | Estimated_Amount","Standard Charge | Min","Standard Charge | Max","Standard Charge | Methodology","Additional_Payer_Notes","Additional_Generic_Notes"
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Alliant","Health Exchange","",,"62",,"703.7","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"612.9","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Medicare",,"",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Humana","Medicare Advantage","",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","UHC","Medicare Advantage","",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Clover","Medicare Advantage","",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Wellcare","Medicare Advantage","",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Amerigroup","Medicaid Managed Care","",,"37",,"415.41","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Caresource","Medicaid Managed Care","",,"40",,"454","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Wellcare","Medicaid Managed Care","",,"40",,"459.68","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Aetna","Commercial","",,"64",,"724.13","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Blue Cross Blue Shield","Pathways","",,"71",,"801.31","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Blue Cross Blue Shield","HMO","",,"71",,"801.31","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Blue Cross Blue Shield","PPO","",,"71",,"801.31","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Ambetter","Health Exchange","",,"62",,"703.7","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Caresource","Health Exchange","",,"62",,"703.7","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Cigna","Commercial","",,"59",,"665.11","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Humana","Commercial","",,"78",,"879.62","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","UHC","Commercial","",,"75",,"855.79","415.41","879.62","percent of total billed charges",,
"MRI BRAIN W & W/O CONTRAST","70553","HCPCS","Both",,,"1135","567.5","Medicaid",,"",,"37",,"415.41","415.41","879.62","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Alliant","Health Exchange","",,"62",,"923.83","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Pruitt Healthcare","Medicare Advantage","",,"54",,"804.63","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Medicare",,"",,"54",,"807.61","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Humana","Medicare Advantage","",,"54",,"807.61","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","UHC","Medicare Advantage","",,"54",,"807.61","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Clover","Medicare Advantage","",,"54",,"807.61","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Wellcare","Medicare Advantage","",,"54",,"807.61","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Amerigroup","Medicaid Managed Care","",,"37",,"545.36","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Caresource","Medicaid Managed Care","",,"40",,"596.02","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Wellcare","Medicaid Managed Care","",,"40",,"603.47","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Aetna","Commercial","",,"64",,"950.65","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Blue Cross Blue Shield","Pathways","",,"71",,"1051.98","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Blue Cross Blue Shield","HMO","",,"71",,"1051.98","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Blue Cross Blue Shield","PPO","",,"71",,"1051.98","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Ambetter","Health Exchange","",,"62",,"923.83","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Caresource","Health Exchange","",,"62",,"923.83","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Cigna","Commercial","",,"59",,"873.17","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Humana","Commercial","",,"78",,"1154.79","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","UHC","Commercial","",,"75",,"1123.5","545.36","1154.79","percent of total billed charges",,
"MRI SPINE LUMBAR W/O CONTRAST","72148","HCPCS","Both",,,"1490.05","745.025","Medicaid",,"",,"37",,"545.36","545.36","1154.79","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Alliant","Health Exchange","",,"62",,"703.7","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"612.9","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Medicare",,"",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Humana","Medicare Advantage","",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","UHC","Medicare Advantage","",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Clover","Medicare Advantage","",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Wellcare","Medicare Advantage","",,"54",,"615.17","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Amerigroup","Medicaid Managed Care","",,"37",,"415.41","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Caresource","Medicaid Managed Care","",,"40",,"454","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Wellcare","Medicaid Managed Care","",,"40",,"459.68","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Aetna","Commercial","",,"64",,"724.13","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Blue Cross Blue Shield","Pathways","",,"71",,"801.31","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Blue Cross Blue Shield","HMO","",,"71",,"801.31","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Blue Cross Blue Shield","PPO","",,"71",,"801.31","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Ambetter","Health Exchange","",,"62",,"703.7","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Caresource","Health Exchange","",,"62",,"703.7","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Cigna","Commercial","",,"59",,"665.11","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Humana","Commercial","",,"78",,"879.62","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","UHC","Commercial","",,"75",,"855.79","415.41","879.62","percent of total billed charges",,
"MRI LOWER EXTREMITY JOINT W/O","73721","HCPCS","Both",,,"1135","567.5","Medicaid",,"",,"37",,"415.41","415.41","879.62","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Alliant","Health Exchange","",,"62",,"144.63","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Pruitt Healthcare","Medicare Advantage","",,"54",,"125.97","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Medicare",,"",,"54",,"126.44","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Humana","Medicare Advantage","",,"54",,"126.44","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","UHC","Medicare Advantage","",,"54",,"126.44","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Clover","Medicare Advantage","",,"54",,"126.44","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Wellcare","Medicare Advantage","",,"54",,"126.44","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Amerigroup","Medicaid Managed Care","",,"37",,"85.38","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Caresource","Medicaid Managed Care","",,"40",,"93.31","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Wellcare","Medicaid Managed Care","",,"40",,"94.48","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Aetna","Commercial","",,"64",,"148.83","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Blue Cross Blue Shield","Pathways","",,"71",,"164.7","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Blue Cross Blue Shield","HMO","",,"71",,"164.7","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Blue Cross Blue Shield","PPO","",,"71",,"164.7","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Ambetter","Health Exchange","",,"62",,"144.63","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Caresource","Health Exchange","",,"62",,"144.63","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Cigna","Commercial","",,"59",,"136.7","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Humana","Commercial","",,"78",,"180.79","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","UHC","Commercial","",,"75",,"175.89","43.31","188.32","percent of total billed charges",,
"CT HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"233.28","116.64","Medicaid",,"",,"37",,"85.38","43.31","188.32","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"365.31","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Medicare",,"",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","",,"40",,"270.6","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","",,"40",,"273.98","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","",,"64",,"431.61","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","",,"59",,"396.43","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","",,"78",,"524.29","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","",,"75",,"510.08","247.6","524.29","percent of total billed charges",,
"CT PELVIS W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Medicaid",,"",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Alliant","Health Exchange","",,"62",,"499.97","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Pruitt Healthcare","Medicare Advantage","",,"54",,"435.46","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Medicare",,"",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Humana","Medicare Advantage","",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","UHC","Medicare Advantage","",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Clover","Medicare Advantage","",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Wellcare","Medicare Advantage","",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Amerigroup","Medicaid Managed Care","",,"37",,"295.14","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Caresource","Medicaid Managed Care","",,"40",,"322.56","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Wellcare","Medicaid Managed Care","",,"40",,"326.59","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Aetna","Commercial","",,"64",,"514.48","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Blue Cross Blue Shield","Pathways","",,"71",,"569.32","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Blue Cross Blue Shield","HMO","",,"71",,"569.32","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Blue Cross Blue Shield","PPO","",,"71",,"569.32","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Ambetter","Health Exchange","",,"62",,"499.97","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Caresource","Health Exchange","",,"62",,"499.97","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Cigna","Commercial","",,"59",,"472.55","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Humana","Commercial","",,"78",,"624.96","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","UHC","Commercial","",,"75",,"608.03","93.13","651","percent of total billed charges",,
"CT A/P w/ORAL CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Medicaid",,"",,"37",,"295.14","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Alliant","Health Exchange","",,"62",,"499.97","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Pruitt Healthcare","Medicare Advantage","",,"54",,"435.46","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Medicare",,"",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Humana","Medicare Advantage","",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","UHC","Medicare Advantage","",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Clover","Medicare Advantage","",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Wellcare","Medicare Advantage","",,"54",,"437.07","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Amerigroup","Medicaid Managed Care","",,"37",,"295.14","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Caresource","Medicaid Managed Care","",,"40",,"322.56","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Wellcare","Medicaid Managed Care","",,"40",,"326.59","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Aetna","Commercial","",,"64",,"514.48","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Blue Cross Blue Shield","Pathways","",,"71",,"569.32","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Blue Cross Blue Shield","HMO","",,"71",,"569.32","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Blue Cross Blue Shield","PPO","",,"71",,"569.32","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Ambetter","Health Exchange","",,"62",,"499.97","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Caresource","Health Exchange","",,"62",,"499.97","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Cigna","Commercial","",,"59",,"472.55","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Humana","Commercial","",,"78",,"624.96","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","UHC","Commercial","",,"75",,"608.03","93.13","651","percent of total billed charges",,
"CT A/P w/IV CONTRAST","74177","HCPCS","Both",,,"806.4","403.2","Medicaid",,"",,"37",,"295.14","93.13","651","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Alliant","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"9.18","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Medicare",,"",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Humana","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","UHC","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Clover","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Wellcare","Medicare Advantage","",,"54",,"9.21","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Amerigroup","Medicaid Managed Care","",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Caresource","Medicaid Managed Care","",,"40",,"6.8","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Wellcare","Medicaid Managed Care","",,"40",,"6.89","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Aetna","Commercial","",,"64",,"10.85","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","Pathways","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","HMO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Blue Cross Blue Shield","PPO","",,"71",,"12","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Ambetter","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Caresource","Health Exchange","",,"62",,"10.54","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Cigna","Commercial","",,"59",,"9.96","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Humana","Commercial","",,"78",,"13.18","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","UHC","Commercial","",,"75",,"12.82","6.22","13.18","percent of total billed charges",,
"CBC W/AUTO 5 part DIFF & PLT","85025","HCPCS","Both",,,"17","8.5","Medicaid",,"",,"37",,"6.22","6.22","13.18","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Alliant","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.32","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Medicare",,"",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Humana","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","UHC","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Clover","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Wellcare","Medicare Advantage","",,"54",,"4.34","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Amerigroup","Medicaid Managed Care","",,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Caresource","Medicaid Managed Care","",,"40",,"3.2","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Wellcare","Medicaid Managed Care","",,"40",,"3.24","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Aetna","Commercial","",,"64",,"5.1","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","Pathways","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","HMO","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Blue Cross Blue Shield","PPO","",,"71",,"5.65","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Ambetter","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Caresource","Health Exchange","",,"62",,"4.96","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Cigna","Commercial","",,"59",,"4.69","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Humana","Commercial","",,"78",,"6.2","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","UHC","Commercial","",,"75",,"6.03","2.93","6.2","percent of total billed charges",,
"CBC  AUTOMATED W/O DIFF","85027","HCPCS","Both",,,"8","4","Medicaid",,"",,"37",,"2.93","2.93","6.2","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Alliant","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Pruitt Healthcare","Medicare Advantage","",,"54",,"3.24","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Medicare",,"",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Humana","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","UHC","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Clover","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Wellcare","Medicare Advantage","",,"54",,"3.25","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Amerigroup","Medicaid Managed Care","",,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Caresource","Medicaid Managed Care","",,"40",,"2.4","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Wellcare","Medicaid Managed Care","",,"40",,"2.43","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Aetna","Commercial","",,"64",,"3.83","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","Pathways","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","HMO","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Blue Cross Blue Shield","PPO","",,"71",,"4.24","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Ambetter","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Caresource","Health Exchange","",,"62",,"3.72","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Cigna","Commercial","",,"59",,"3.52","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Humana","Commercial","",,"78",,"4.65","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","UHC","Commercial","",,"75",,"4.52","2.2","4.65","percent of total billed charges",,
"PROTHROMBIN TIME","85610","HCPCS","Both",,,"6","3","Medicaid",,"",,"37",,"2.2","2.2","4.65","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Alliant","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.59","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Medicare",,"",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Humana","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","UHC","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Clover","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care","",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care","",,"40",,"3.4","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care","",,"40",,"3.44","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Aetna","Commercial","",,"64",,"5.42","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Ambetter","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Caresource","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Cigna","Commercial","",,"59",,"4.98","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Humana","Commercial","",,"78",,"6.59","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","UHC","Commercial","",,"75",,"6.41","3.11","6.59","percent of total billed charges",,
"PARTIAL THROMBOPLASTIN TIME (PTT)","85730","HCPCS","Both",,,"8.5","4.25","Medicaid",,"",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Alliant","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.05","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Medicare",,"",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Humana","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","UHC","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Clover","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicare Advantage","",,"54",,"4.07","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Amerigroup","Medicaid Managed Care","",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Caresource","Medicaid Managed Care","",,"40",,"3","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Wellcare","Medicaid Managed Care","",,"40",,"3.04","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Aetna","Commercial","",,"64",,"4.78","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","Pathways","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","HMO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Blue Cross Blue Shield","PPO","",,"71",,"5.3","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Ambetter","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Caresource","Health Exchange","",,"62",,"4.65","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Cigna","Commercial","",,"59",,"4.39","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Humana","Commercial","",,"78",,"5.81","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","UHC","Commercial","",,"75",,"5.66","2.74","5.81","percent of total billed charges",,
"URINALYSIS (UA SCREEN) AUTO W/MICRO","81001","HCPCS","Both",,,"7.5","3.75","Medicaid",,"",,"37",,"2.74","2.74","5.81","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Alliant","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"12.42","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Medicare",,"",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Humana","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","UHC","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Clover","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Wellcare","Medicare Advantage","",,"54",,"12.47","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Amerigroup","Medicaid Managed Care","",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Caresource","Medicaid Managed Care","",,"40",,"9.2","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Wellcare","Medicaid Managed Care","",,"40",,"9.32","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Aetna","Commercial","",,"64",,"14.67","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","Pathways","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","HMO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Blue Cross Blue Shield","PPO","",,"71",,"16.24","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Ambetter","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Caresource","Health Exchange","",,"62",,"14.26","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Cigna","Commercial","",,"59",,"13.48","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Humana","Commercial","",,"78",,"17.82","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","UHC","Commercial","",,"75",,"17.34","8.42","17.82","percent of total billed charges",,
"COMPREHENSIVE METABOLIC PANEL","80053","HCPCS","Both",,,"23","11.5","Medicaid",,"",,"37",,"8.42","8.42","17.82","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Alliant","Health Exchange","",,"62",,"15.5","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"13.5","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Medicare",,"",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Humana","Medicare Advantage","",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","UHC","Medicare Advantage","",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Clover","Medicare Advantage","",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Wellcare","Medicare Advantage","",,"54",,"13.55","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.15","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Caresource","Medicaid Managed Care","",,"40",,"10","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Wellcare","Medicaid Managed Care","",,"40",,"10.12","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Aetna","Commercial","",,"64",,"15.95","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Blue Cross Blue Shield","Pathways","",,"71",,"17.65","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Blue Cross Blue Shield","HMO","",,"71",,"17.65","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Blue Cross Blue Shield","PPO","",,"71",,"17.65","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Ambetter","Health Exchange","",,"62",,"15.5","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Caresource","Health Exchange","",,"62",,"15.5","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Cigna","Commercial","",,"59",,"14.65","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Humana","Commercial","",,"78",,"19.38","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","UHC","Commercial","",,"75",,"18.85","9.15","19.38","percent of total billed charges",,
"THYROID STIMULATING HORMONE (TSH)","84443","HCPCS","Both",,,"25","12.5","Medicaid",,"",,"37",,"9.15","9.15","19.38","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Alliant","Health Exchange","",,"62",,"12.09","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Pruitt Healthcare","Medicare Advantage","",,"54",,"10.53","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Medicare",,"",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Humana","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","UHC","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Clover","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Wellcare","Medicare Advantage","",,"54",,"10.57","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Amerigroup","Medicaid Managed Care","",,"37",,"7.14","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Caresource","Medicaid Managed Care","",,"40",,"7.8","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Wellcare","Medicaid Managed Care","",,"40",,"7.9","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Aetna","Commercial","",,"64",,"12.44","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Blue Cross Blue Shield","Pathways","",,"71",,"13.77","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Blue Cross Blue Shield","HMO","",,"71",,"13.77","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Blue Cross Blue Shield","PPO","",,"71",,"13.77","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Ambetter","Health Exchange","",,"62",,"12.09","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Caresource","Health Exchange","",,"62",,"12.09","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Cigna","Commercial","",,"59",,"11.43","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Humana","Commercial","",,"78",,"15.11","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","UHC","Commercial","",,"75",,"14.7","7.14","15.11","percent of total billed charges",,
"LIPID PANEL","80061","HCPCS","Both",,,"19.5","9.75","Medicaid",,"",,"37",,"7.14","7.14","15.11","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Alliant","Health Exchange","",,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Pruitt Healthcare","Medicare Advantage","",,"54",,"6.48","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Medicare",,"",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Humana","Medicare Advantage","",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","UHC","Medicare Advantage","",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Clover","Medicare Advantage","",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Wellcare","Medicare Advantage","",,"54",,"6.5","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Amerigroup","Medicaid Managed Care","",,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Caresource","Medicaid Managed Care","",,"40",,"4.8","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Wellcare","Medicaid Managed Care","",,"40",,"4.86","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Aetna","Commercial","",,"64",,"7.66","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Blue Cross Blue Shield","Pathways","",,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Blue Cross Blue Shield","HMO","",,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Blue Cross Blue Shield","PPO","",,"71",,"8.47","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Ambetter","Health Exchange","",,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Caresource","Health Exchange","",,"62",,"7.44","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Cigna","Commercial","",,"59",,"7.03","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Humana","Commercial","",,"78",,"9.3","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","UHC","Commercial","",,"75",,"9.05","4.39","9.3","percent of total billed charges",,
"HEPATIC FUNCTION PANEL","80076","HCPCS","Both",,,"12","6","Medicaid",,"",,"37",,"4.39","4.39","9.3","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"PSA; TOTAL","84153","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Alliant","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"4.59","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Medicare",,"",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Humana","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","UHC","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Clover","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicare Advantage","",,"54",,"4.61","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Amerigroup","Medicaid Managed Care","",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Caresource","Medicaid Managed Care","",,"40",,"3.4","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Wellcare","Medicaid Managed Care","",,"40",,"3.44","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Aetna","Commercial","",,"64",,"5.42","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","Pathways","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","HMO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Blue Cross Blue Shield","PPO","",,"71",,"6","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Ambetter","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Caresource","Health Exchange","",,"62",,"5.27","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Cigna","Commercial","",,"59",,"4.98","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Humana","Commercial","",,"78",,"6.59","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","UHC","Commercial","",,"75",,"6.41","3.11","6.59","percent of total billed charges",,
"BASIC METABOLIC PANEL","80048","HCPCS","Both",,,"8.5","4.25","Medicaid",,"",,"37",,"3.11","3.11","6.59","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Alliant","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.04","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Medicare",,"",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Humana","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","UHC","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Clover","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Wellcare","Medicare Advantage","",,"54",,"14.09","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Amerigroup","Medicaid Managed Care","",,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Caresource","Medicaid Managed Care","",,"40",,"10.4","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Wellcare","Medicaid Managed Care","",,"40",,"10.53","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Aetna","Commercial","",,"64",,"16.59","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","Pathways","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","HMO","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Blue Cross Blue Shield","PPO","",,"71",,"18.36","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Ambetter","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Caresource","Health Exchange","",,"62",,"16.12","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Cigna","Commercial","",,"59",,"15.24","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Humana","Commercial","",,"78",,"20.15","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","UHC","Commercial","",,"75",,"19.6","9.52","20.15","percent of total billed charges",,
"RENAL FUNCTION PANEL","80069","HCPCS","Both",,,"26","13","Medicaid",,"",,"37",,"9.52","9.52","20.15","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Alliant","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"29.7","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Medicare",,"",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Humana","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","UHC","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Clover","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Wellcare","Medicare Advantage","",,"54",,"29.81","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Amerigroup","Medicaid Managed Care","",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Caresource","Medicaid Managed Care","",,"40",,"22","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Wellcare","Medicaid Managed Care","",,"40",,"22.28","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Aetna","Commercial","",,"64",,"35.09","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","Pathways","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","HMO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Blue Cross Blue Shield","PPO","",,"71",,"38.83","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Ambetter","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Caresource","Health Exchange","",,"62",,"34.1","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Cigna","Commercial","",,"59",,"32.23","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Humana","Commercial","",,"78",,"42.62","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","UHC","Commercial","",,"75",,"41.47","20.13","42.62","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA);FREE","84154","HCPCS","Both",,,"55","27.5","Medicaid",,"",,"37",,"20.13","20.13","42.62","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Alliant","Health Exchange","",,"62",,"6.82","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"5.94","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Medicare",,"",,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Humana","Medicare Advantage","",,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","UHC","Medicare Advantage","",,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Clover","Medicare Advantage","",,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Wellcare","Medicare Advantage","",,"54",,"5.96","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Amerigroup","Medicaid Managed Care","",,"37",,"4.03","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Caresource","Medicaid Managed Care","",,"40",,"4.4","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Wellcare","Medicaid Managed Care","",,"40",,"4.46","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Aetna","Commercial","",,"64",,"7.02","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Blue Cross Blue Shield","Pathways","",,"71",,"7.77","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Blue Cross Blue Shield","HMO","",,"71",,"7.77","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Blue Cross Blue Shield","PPO","",,"71",,"7.77","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Ambetter","Health Exchange","",,"62",,"6.82","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Caresource","Health Exchange","",,"62",,"6.82","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Cigna","Commercial","",,"59",,"6.45","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Humana","Commercial","",,"78",,"8.52","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","UHC","Commercial","",,"75",,"8.29","4.03","8.52","percent of total billed charges",,
"URINALYSIS, DIP STICK","81003","HCPCS","Both",,,"11","5.5","Medicaid",,"",,"37",,"4.03","4.03","8.52","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Alliant","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"14.58","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Medicare",,"",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Humana","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","UHC","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Clover","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Wellcare","Medicare Advantage","",,"54",,"14.63","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Amerigroup","Medicaid Managed Care","",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Caresource","Medicaid Managed Care","",,"40",,"10.8","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Wellcare","Medicaid Managed Care","",,"40",,"10.94","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Aetna","Commercial","",,"64",,"17.23","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","Pathways","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","HMO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Blue Cross Blue Shield","PPO","",,"71",,"19.06","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Ambetter","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Caresource","Health Exchange","",,"62",,"16.74","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Cigna","Commercial","",,"59",,"15.82","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Humana","Commercial","",,"78",,"20.92","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","UHC","Commercial","",,"75",,"20.36","9.88","20.92","percent of total billed charges",,
"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","84153","HCPCS","Both",,,"27","13.5","Medicaid",,"",,"37",,"9.88","9.88","20.92","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Alliant","Health Exchange","RT",,"62",,"493.83","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Pruitt Healthcare","Medicare Advantage","RT",,"54",,"430.11","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Medicare",,"RT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Humana","Medicare Advantage","RT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","UHC","Medicare Advantage","RT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Clover","Medicare Advantage","RT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Wellcare","Medicare Advantage","RT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Amerigroup","Medicaid Managed Care","RT",,"37",,"291.52","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Caresource","Medicaid Managed Care","RT",,"40",,"318.6","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Wellcare","Medicaid Managed Care","RT",,"40",,"322.58","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Aetna","Commercial","RT",,"64",,"508.17","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Blue Cross Blue Shield","Pathways","RT",,"71",,"562.33","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Blue Cross Blue Shield","HMO","RT",,"71",,"562.33","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Blue Cross Blue Shield","PPO","RT",,"71",,"562.33","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Ambetter","Health Exchange","RT",,"62",,"493.83","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Caresource","Health Exchange","RT",,"62",,"493.83","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Cigna","Commercial","RT",,"59",,"466.75","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Humana","Commercial","RT",,"78",,"617.29","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","UHC","Commercial","RT",,"75",,"600.56","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD R","77065","HCPCS","Both",,,"796.5","398.25","Medicaid",,"RT",,"37",,"291.52","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Alliant","Health Exchange","",,"62",,"658.37","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Pruitt Healthcare","Medicare Advantage","",,"54",,"573.42","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Medicare",,"",,"54",,"575.54","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Humana","Medicare Advantage","",,"54",,"575.54","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","UHC","Medicare Advantage","",,"54",,"575.54","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Clover","Medicare Advantage","",,"54",,"575.54","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Wellcare","Medicare Advantage","",,"54",,"575.54","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Amerigroup","Medicaid Managed Care","",,"37",,"388.65","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Caresource","Medicaid Managed Care","",,"40",,"424.75","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Wellcare","Medicaid Managed Care","",,"40",,"430.06","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Aetna","Commercial","",,"64",,"677.48","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Blue Cross Blue Shield","Pathways","",,"71",,"749.69","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Blue Cross Blue Shield","HMO","",,"71",,"749.69","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Blue Cross Blue Shield","PPO","",,"71",,"749.69","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Ambetter","Health Exchange","",,"62",,"658.37","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Caresource","Health Exchange","",,"62",,"658.37","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Cigna","Commercial","",,"59",,"622.26","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Humana","Commercial","",,"78",,"822.96","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","UHC","Commercial","",,"75",,"800.66","388.65","822.96","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO BILATERAL W/CAD","77066","HCPCS","Both",,,"1061.88","530.94","Medicaid",,"",,"37",,"388.65","388.65","822.96","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Alliant","Health Exchange","",,"62",,"554.08","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Pruitt Healthcare","Medicare Advantage","",,"54",,"482.58","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Medicare",,"",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Humana","Medicare Advantage","",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","UHC","Medicare Advantage","",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Clover","Medicare Advantage","",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Wellcare","Medicare Advantage","",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Amerigroup","Medicaid Managed Care","",,"37",,"327.08","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Caresource","Medicaid Managed Care","",,"40",,"357.47","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Wellcare","Medicaid Managed Care","",,"40",,"361.94","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Aetna","Commercial","",,"64",,"570.16","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Blue Cross Blue Shield","Pathways","",,"71",,"630.93","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Blue Cross Blue Shield","HMO","",,"71",,"630.93","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Blue Cross Blue Shield","PPO","",,"71",,"630.93","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Ambetter","Health Exchange","",,"62",,"554.08","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Caresource","Health Exchange","",,"62",,"554.08","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Cigna","Commercial","",,"59",,"523.69","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Humana","Commercial","",,"78",,"692.59","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","UHC","Commercial","",,"75",,"673.83","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO BILATERAL 2 V W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Medicaid",,"",,"37",,"327.08","327.08","692.59","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Alliant","Health Exchange","GP",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"147.86","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Medicare",,"GP",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Humana","Medicare Advantage","GP",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","UHC","Medicare Advantage","GP",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Clover","Medicare Advantage","GP",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Wellcare","Medicare Advantage","GP",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Amerigroup","Medicaid Managed Care","GP",,"37",,"100.21","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Caresource","Medicaid Managed Care","GP",,"40",,"109.52","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Wellcare","Medicaid Managed Care","GP",,"40",,"110.89","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Aetna","Commercial","GP",,"64",,"174.69","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","Pathways","GP",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","HMO","GP",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","PPO","GP",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Ambetter","Health Exchange","GP",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Caresource","Health Exchange","GP",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Cigna","Commercial","GP",,"59",,"160.45","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Humana","Commercial","GP",,"78",,"212.2","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","UHC","Commercial","GP",,"75",,"206.45","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Medicaid",,"GP",,"37",,"100.21","100.21","212.2","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Medicare",,"GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GP",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GP",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GP",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GP",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Medicare",,"GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GP",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GP",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GP",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GP",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Medicare",,"GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GP",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GP",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GP",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GP",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"PT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Medicare",,"GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GP",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GP",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GP",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GP",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Medicare",,"GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GP",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GP",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GP",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GP",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GP",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GP",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GP",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GP",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GP",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Medicare",,"GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Medicaid",,"GP",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Alliant","Health Exchange","GO",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"147.86","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Medicare",,"GO",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Humana","Medicare Advantage","GO",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","UHC","Medicare Advantage","GO",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Clover","Medicare Advantage","GO",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Wellcare","Medicare Advantage","GO",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Amerigroup","Medicaid Managed Care","GO",,"37",,"100.21","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Caresource","Medicaid Managed Care","GO",,"40",,"109.52","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Wellcare","Medicaid Managed Care","GO",,"40",,"110.89","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Aetna","Commercial","GO",,"64",,"174.69","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","Pathways","GO",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","HMO","GO",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","PPO","GO",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Ambetter","Health Exchange","GO",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Caresource","Health Exchange","GO",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Cigna","Commercial","GO",,"59",,"160.45","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Humana","Commercial","GO",,"78",,"212.2","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","UHC","Commercial","GO",,"75",,"206.45","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Medicaid",,"GO",,"37",,"100.21","100.21","212.2","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","G0",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","G0",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Medicare",,"G0",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","G0",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","G0",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","G0",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","G0",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","G0",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","G0",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","G0",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Aetna","Commercial","G0",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","G0",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","G0",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","G0",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","G0",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","G0",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Cigna","Commercial","G0",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Humana","Commercial","G0",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","UHC","Commercial","G0",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Medicaid",,"G0",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Medicare",,"GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Medicaid",,"GO",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Alliant","Health Exchange","TC",,"62",,"520.8","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"453.6","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Medicare",,"TC",,"54",,"455.28","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Humana","Medicare Advantage","TC",,"54",,"455.28","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","UHC","Medicare Advantage","TC",,"54",,"455.28","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Clover","Medicare Advantage","TC",,"54",,"455.28","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Wellcare","Medicare Advantage","TC",,"54",,"455.28","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Amerigroup","Medicaid Managed Care","TC",,"37",,"307.44","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Caresource","Medicaid Managed Care","TC",,"40",,"336","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Wellcare","Medicaid Managed Care","TC",,"40",,"340.2","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Aetna","Commercial","TC",,"64",,"535.92","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Blue Cross Blue Shield","Pathways","TC",,"71",,"593.04","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Blue Cross Blue Shield","HMO","TC",,"71",,"593.04","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Blue Cross Blue Shield","PPO","TC",,"71",,"593.04","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Ambetter","Health Exchange","TC",,"62",,"520.8","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Caresource","Health Exchange","TC",,"62",,"520.8","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Cigna","Commercial","TC",,"59",,"492.24","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Humana","Commercial","TC",,"78",,"651","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","UHC","Commercial","TC",,"75",,"633.36","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"840","420","Medicaid",,"TC",,"37",,"307.44","93.13","651","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Alliant","Health Exchange","TC",,"62",,"752.99","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"655.83","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Medicare",,"TC",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Humana","Medicare Advantage","TC",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","UHC","Medicare Advantage","TC",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Clover","Medicare Advantage","TC",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Wellcare","Medicare Advantage","TC",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Amerigroup","Medicaid Managed Care","TC",,"37",,"444.51","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Caresource","Medicaid Managed Care","TC",,"40",,"485.8","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Wellcare","Medicaid Managed Care","TC",,"40",,"491.87","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Aetna","Commercial","TC",,"64",,"774.85","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Blue Cross Blue Shield","Pathways","TC",,"71",,"857.44","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Blue Cross Blue Shield","HMO","TC",,"71",,"857.44","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Blue Cross Blue Shield","PPO","TC",,"71",,"857.44","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Ambetter","Health Exchange","TC",,"62",,"752.99","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Caresource","Health Exchange","TC",,"62",,"752.99","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Cigna","Commercial","TC",,"59",,"711.7","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Humana","Commercial","TC",,"78",,"941.24","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","UHC","Commercial","TC",,"75",,"915.73","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Medicaid",,"TC",,"37",,"444.51","13.33","941.24","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Alliant","Health Exchange","TC",,"62",,"148.8","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"129.6","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Medicare",,"TC",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Humana","Medicare Advantage","TC",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","UHC","Medicare Advantage","TC",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Clover","Medicare Advantage","TC",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Wellcare","Medicare Advantage","TC",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Amerigroup","Medicaid Managed Care","TC",,"37",,"87.84","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Caresource","Medicaid Managed Care","TC",,"40",,"96","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Wellcare","Medicaid Managed Care","TC",,"40",,"97.2","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Aetna","Commercial","TC",,"64",,"153.12","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","Pathways","TC",,"71",,"169.44","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","HMO","TC",,"71",,"169.44","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","PPO","TC",,"71",,"169.44","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Ambetter","Health Exchange","TC",,"62",,"148.8","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Caresource","Health Exchange","TC",,"62",,"148.8","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Cigna","Commercial","TC",,"59",,"140.64","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Humana","Commercial","TC",,"78",,"186","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","UHC","Commercial","TC",,"75",,"180.96","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"240","120","Medicaid",,"TC",,"37",,"87.84","41.15","316.2","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"OFFICE VISIT DETAILED","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Alliant","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage","",,"54",,"69.12","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Medicare",,"",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Humana","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","UHC","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Clover","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Wellcare","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Amerigroup","Medicaid Managed Care","",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Caresource","Medicaid Managed Care","",,"40",,"51.2","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Wellcare","Medicaid Managed Care","",,"40",,"51.84","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Aetna","Commercial","",,"64",,"81.66","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","Pathways","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","HMO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","PPO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Ambetter","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Caresource","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Cigna","Commercial","",,"59",,"75.01","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Humana","Commercial","",,"78",,"99.2","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","UHC","Commercial","",,"75",,"96.51","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE MODERATE","99204","HCPCS","Both",,,"128","64","Medicaid",,"",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Alliant","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"90.18","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Medicare",,"",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Humana","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","UHC","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Clover","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Amerigroup","Medicaid Managed Care","",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Caresource","Medicaid Managed Care","",,"40",,"66.8","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicaid Managed Care","",,"40",,"67.64","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Aetna","Commercial","",,"64",,"106.55","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","Pathways","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","HMO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","PPO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Ambetter","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Caresource","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Cigna","Commercial","",,"59",,"97.86","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Humana","Commercial","",,"78",,"129.43","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","UHC","Commercial","",,"75",,"125.92","61.12","129.43","percent of total billed charges",,
"OFFICE VISIT COMPREHENSIVE COMPLEX","99205","HCPCS","Both",,,"167","83.5","Medicaid",,"",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Alliant","Health Exchange","",,"62",,"64.48","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Pruitt Healthcare","Medicare Advantage","",,"54",,"56.16","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Medicare",,"",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Humana","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","UHC","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Clover","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Wellcare","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Amerigroup","Medicaid Managed Care","",,"37",,"38.06","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Caresource","Medicaid Managed Care","",,"40",,"41.6","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Wellcare","Medicaid Managed Care","",,"40",,"42.12","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Aetna","Commercial","",,"64",,"66.35","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","Pathways","",,"71",,"73.42","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","HMO","",,"71",,"73.42","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","PPO","",,"71",,"73.42","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Ambetter","Health Exchange","",,"62",,"64.48","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Caresource","Health Exchange","",,"62",,"64.48","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Cigna","Commercial","",,"59",,"60.94","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Humana","Commercial","",,"78",,"80.6","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","UHC","Commercial","",,"75",,"78.42","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT LOW COMPLEXITY","99243","HCPCS","Both",,,"104","52","Medicaid",,"",,"37",,"38.06","38.06","80.68","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Alliant","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"82.35","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Medicare",,"",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Humana","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","UHC","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Clover","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Wellcare","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Amerigroup","Medicaid Managed Care","",,"37",,"55.82","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Caresource","Medicaid Managed Care","",,"40",,"61","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Wellcare","Medicaid Managed Care","",,"40",,"61.76","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Aetna","Commercial","",,"64",,"97.3","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","Pathways","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","HMO","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","PPO","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Ambetter","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Caresource","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Cigna","Commercial","",,"59",,"89.36","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Humana","Commercial","",,"78",,"118.19","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","UHC","Commercial","",,"75",,"114.98","55.82","118.19","percent of total billed charges",,
"CONSULTATION OUTPT MODERATE COMPLEX","99244","HCPCS","Both",,,"152.5","76.25","Medicaid",,"",,"37",,"55.82","55.82","118.19","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Alliant","Health Exchange","",,"62",,"840.72","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Pruitt Healthcare","Medicare Advantage","",,"54",,"732.24","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Medicare",,"",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Humana","Medicare Advantage","",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","UHC","Medicare Advantage","",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Clover","Medicare Advantage","",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Wellcare","Medicare Advantage","",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Amerigroup","Medicaid Managed Care","",,"37",,"496.3","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Caresource","Medicaid Managed Care","",,"40",,"542.4","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Wellcare","Medicaid Managed Care","",,"40",,"549.18","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Aetna","Commercial","",,"64",,"865.13","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Blue Cross Blue Shield","Pathways","",,"71",,"957.34","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Blue Cross Blue Shield","HMO","",,"71",,"957.34","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Blue Cross Blue Shield","PPO","",,"71",,"957.34","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Ambetter","Health Exchange","",,"62",,"840.72","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Caresource","Health Exchange","",,"62",,"840.72","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Cigna","Commercial","",,"59",,"794.62","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Humana","Commercial","",,"78",,"1050.9","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","UHC","Commercial","",,"75",,"1022.42","496.3","1050.9","percent of total billed charges",,
"REPAIR OF INGUINAL HERINA","49505","HCPCS","Both",,,"1356","678","Medicaid",,"",,"37",,"496.3","496.3","1050.9","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Alliant","Health Exchange","",,"62",,"639.84","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Pruitt Healthcare","Medicare Advantage","",,"54",,"557.28","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Medicare",,"",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Humana","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","UHC","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Clover","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Wellcare","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Amerigroup","Medicaid Managed Care","",,"37",,"377.71","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Caresource","Medicaid Managed Care","",,"40",,"412.8","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Wellcare","Medicaid Managed Care","",,"40",,"417.96","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Aetna","Commercial","",,"64",,"658.42","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Blue Cross Blue Shield","Pathways","",,"71",,"728.59","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Blue Cross Blue Shield","HMO","",,"71",,"728.59","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Blue Cross Blue Shield","PPO","",,"71",,"728.59","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Ambetter","Health Exchange","",,"62",,"639.84","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Caresource","Health Exchange","",,"62",,"639.84","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Cigna","Commercial","",,"59",,"604.75","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Humana","Commercial","",,"78",,"799.8","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","UHC","Commercial","",,"75",,"778.13","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Medicaid",,"",,"37",,"377.71","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Alliant","Health Exchange","",,"62",,"639.84","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Pruitt Healthcare","Medicare Advantage","",,"54",,"557.28","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Medicare",,"",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Humana","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","UHC","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Clover","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Wellcare","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Amerigroup","Medicaid Managed Care","",,"37",,"377.71","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Caresource","Medicaid Managed Care","",,"40",,"412.8","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Wellcare","Medicaid Managed Care","",,"40",,"417.96","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Aetna","Commercial","",,"64",,"658.42","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Blue Cross Blue Shield","Pathways","",,"71",,"728.59","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Blue Cross Blue Shield","HMO","",,"71",,"728.59","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Blue Cross Blue Shield","PPO","",,"71",,"728.59","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Ambetter","Health Exchange","",,"62",,"639.84","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Caresource","Health Exchange","",,"62",,"639.84","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Cigna","Commercial","",,"59",,"604.75","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Humana","Commercial","",,"78",,"799.8","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","UHC","Commercial","",,"75",,"778.13","377.71","799.8","percent of total billed charges",,
"ESOPGAGUS ENDOSCOPY","43235","HCPCS","Both",,,"1032","516","Medicaid",,"",,"37",,"377.71","377.71","799.8","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Alliant","Health Exchange","",,"62",,"2449","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Pruitt Healthcare","Medicare Advantage","",,"54",,"2133","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Medicare",,"",,"54",,"2140.9","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Humana","Medicare Advantage","",,"54",,"2140.9","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","UHC","Medicare Advantage","",,"54",,"2140.9","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Clover","Medicare Advantage","",,"54",,"2140.9","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Wellcare","Medicare Advantage","",,"54",,"2140.9","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Amerigroup","Medicaid Managed Care","",,"37",,"1445.7","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Caresource","Medicaid Managed Care","",,"40",,"1580","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Wellcare","Medicaid Managed Care","",,"40",,"1599.75","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Aetna","Commercial","",,"64",,"2520.1","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Blue Cross Blue Shield","Pathways","",,"71",,"2788.7","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Blue Cross Blue Shield","HMO","",,"71",,"2788.7","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Blue Cross Blue Shield","PPO","",,"71",,"2788.7","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Ambetter","Health Exchange","",,"62",,"2449","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Caresource","Health Exchange","",,"62",,"2449","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Cigna","Commercial","",,"59",,"2314.7","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Humana","Commercial","",,"78",,"3061.25","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","UHC","Commercial","",,"75",,"2978.3","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY I/P","45378","HCPCS","Both",,,"3950","1975","Medicaid",,"",,"37",,"1445.7","1445.7","4117.42","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Alliant","Health Exchange","",,"62",,"1094.92","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Pruitt Healthcare","Medicare Advantage","",,"54",,"953.64","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Medicare",,"",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Humana","Medicare Advantage","",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","UHC","Medicare Advantage","",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Clover","Medicare Advantage","",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Wellcare","Medicare Advantage","",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Amerigroup","Medicaid Managed Care","",,"37",,"646.36","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Caresource","Medicaid Managed Care","",,"40",,"706.4","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Wellcare","Medicaid Managed Care","",,"40",,"715.23","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Aetna","Commercial","",,"64",,"1126.71","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Blue Cross Blue Shield","Pathways","",,"71",,"1246.8","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Blue Cross Blue Shield","HMO","",,"71",,"1246.8","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Blue Cross Blue Shield","PPO","",,"71",,"1246.8","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Ambetter","Health Exchange","",,"62",,"1094.92","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Caresource","Health Exchange","",,"62",,"1094.92","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Cigna","Commercial","",,"59",,"1034.88","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Humana","Commercial","",,"78",,"1368.65","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","UHC","Commercial","",,"75",,"1331.56","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Medicaid",,"",,"37",,"646.36","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Alliant","Health Exchange","",,"62",,"1094.92","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Pruitt Healthcare","Medicare Advantage","",,"54",,"953.64","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Medicare",,"",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Humana","Medicare Advantage","",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","UHC","Medicare Advantage","",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Clover","Medicare Advantage","",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Wellcare","Medicare Advantage","",,"54",,"957.17","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Amerigroup","Medicaid Managed Care","",,"37",,"646.36","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Caresource","Medicaid Managed Care","",,"40",,"706.4","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Wellcare","Medicaid Managed Care","",,"40",,"715.23","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Aetna","Commercial","",,"64",,"1126.71","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Blue Cross Blue Shield","Pathways","",,"71",,"1246.8","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Blue Cross Blue Shield","HMO","",,"71",,"1246.8","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Blue Cross Blue Shield","PPO","",,"71",,"1246.8","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Ambetter","Health Exchange","",,"62",,"1094.92","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Caresource","Health Exchange","",,"62",,"1094.92","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Cigna","Commercial","",,"59",,"1034.88","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Humana","Commercial","",,"78",,"1368.65","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","UHC","Commercial","",,"75",,"1331.56","646.36","1368.65","percent of total billed charges",,
"INJECTION SINGLE LUMBAR,SACRAL","62322","HCPCS","Both",,,"1766","883","Medicaid",,"",,"37",,"646.36","646.36","1368.65","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Alliant","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage","",,"54",,"69.12","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Medicare",,"",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Humana","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","UHC","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Clover","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Wellcare","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Amerigroup","Medicaid Managed Care","",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Caresource","Medicaid Managed Care","",,"40",,"51.2","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Wellcare","Medicaid Managed Care","",,"40",,"51.84","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Aetna","Commercial","",,"64",,"81.66","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","Pathways","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","HMO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","PPO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Ambetter","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Caresource","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Cigna","Commercial","",,"59",,"75.01","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Humana","Commercial","",,"78",,"99.2","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","UHC","Commercial","",,"75",,"96.51","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT MODERATE","99204","HCPCS","Both",,,"128","64","Medicaid",,"",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Alliant","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"90.18","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Medicare",,"",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Humana","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","UHC","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Clover","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Amerigroup","Medicaid Managed Care","",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Caresource","Medicaid Managed Care","",,"40",,"66.8","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicaid Managed Care","",,"40",,"67.64","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Aetna","Commercial","",,"64",,"106.55","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","Pathways","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","HMO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","PPO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Ambetter","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Caresource","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Cigna","Commercial","",,"59",,"97.86","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Humana","Commercial","",,"78",,"129.43","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","UHC","Commercial","",,"75",,"125.92","61.12","129.43","percent of total billed charges",,
"CARD CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Medicaid",,"",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Alliant","Health Exchange","",,"62",,"64.48","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Pruitt Healthcare","Medicare Advantage","",,"54",,"56.16","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Medicare",,"",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Humana","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","UHC","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Clover","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Wellcare","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Amerigroup","Medicaid Managed Care","",,"37",,"38.06","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Caresource","Medicaid Managed Care","",,"40",,"41.6","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Wellcare","Medicaid Managed Care","",,"40",,"42.12","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Aetna","Commercial","",,"64",,"66.35","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","Pathways","",,"71",,"73.42","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","HMO","",,"71",,"73.42","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","PPO","",,"71",,"73.42","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Ambetter","Health Exchange","",,"62",,"64.48","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Caresource","Health Exchange","",,"62",,"64.48","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Cigna","Commercial","",,"59",,"60.94","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Humana","Commercial","",,"78",,"80.6","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","UHC","Commercial","",,"75",,"78.42","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT DETAILED","99243","HCPCS","Both",,,"104","52","Medicaid",,"",,"37",,"38.06","38.06","80.68","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Alliant","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"82.35","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Medicare",,"",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Humana","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","UHC","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Clover","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Wellcare","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Amerigroup","Medicaid Managed Care","",,"37",,"55.82","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Caresource","Medicaid Managed Care","",,"40",,"61","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Wellcare","Medicaid Managed Care","",,"40",,"61.76","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Aetna","Commercial","",,"64",,"97.3","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","Pathways","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","HMO","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","PPO","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Ambetter","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Caresource","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Cigna","Commercial","",,"59",,"89.36","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Humana","Commercial","",,"78",,"118.19","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","UHC","Commercial","",,"75",,"114.98","55.82","118.19","percent of total billed charges",,
"CARD CLINIC CONSULT EXTENDED","99244","HCPCS","Both",,,"152.5","76.25","Medicaid",,"",,"37",,"55.82","55.82","118.19","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Alliant","Health Exchange","26",,"62",,"752.99","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"655.83","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Medicare",,"26",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Humana","Medicare Advantage","26",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","UHC","Medicare Advantage","26",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Clover","Medicare Advantage","26",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Wellcare","Medicare Advantage","26",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Amerigroup","Medicaid Managed Care","26",,"37",,"444.51","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Caresource","Medicaid Managed Care","26",,"40",,"485.8","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Wellcare","Medicaid Managed Care","26",,"40",,"491.87","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Aetna","Commercial","26",,"64",,"774.85","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Blue Cross Blue Shield","Pathways","26",,"71",,"857.44","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Blue Cross Blue Shield","HMO","26",,"71",,"857.44","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Blue Cross Blue Shield","PPO","26",,"71",,"857.44","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Ambetter","Health Exchange","26",,"62",,"752.99","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Caresource","Health Exchange","26",,"62",,"752.99","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Cigna","Commercial","26",,"59",,"711.7","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Humana","Commercial","26",,"78",,"941.24","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","UHC","Commercial","26",,"75",,"915.73","13.33","941.24","percent of total billed charges",,
"SPINE, LUMBOSACRAL; 4 VIEWS","72110","HCPCS","Both",,,"1214.5","607.25","Medicaid",,"26",,"37",,"444.51","13.33","941.24","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Alliant","Health Exchange","26",,"62",,"163.06","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"142.02","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Medicare",,"26",,"54",,"142.55","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Humana","Medicare Advantage","26",,"54",,"142.55","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","UHC","Medicare Advantage","26",,"54",,"142.55","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Clover","Medicare Advantage","26",,"54",,"142.55","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Wellcare","Medicare Advantage","26",,"54",,"142.55","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Amerigroup","Medicaid Managed Care","26",,"37",,"96.26","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Caresource","Medicaid Managed Care","26",,"40",,"105.2","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Wellcare","Medicaid Managed Care","26",,"40",,"106.52","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Aetna","Commercial","26",,"64",,"167.79","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Blue Cross Blue Shield","Pathways","26",,"71",,"185.68","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Blue Cross Blue Shield","HMO","26",,"71",,"185.68","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Blue Cross Blue Shield","PPO","26",,"71",,"185.68","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Ambetter","Health Exchange","26",,"62",,"163.06","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Caresource","Health Exchange","26",,"62",,"163.06","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Cigna","Commercial","26",,"59",,"154.12","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Humana","Commercial","26",,"78",,"203.82","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","UHC","Commercial","26",,"75",,"198.3","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, PREGNANT UTERUS","76805","HCPCS","Both",,,"263","131.5","Medicaid",,"26",,"37",,"96.26","92.41","203.82","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Alliant","Health Exchange","26",,"62",,"401.76","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Pruitt Healthcare","Medicare Advantage","26",,"54",,"349.92","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Medicare",,"26",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Humana","Medicare Advantage","26",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","UHC","Medicare Advantage","26",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Clover","Medicare Advantage","26",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Wellcare","Medicare Advantage","26",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Amerigroup","Medicaid Managed Care","26",,"37",,"237.17","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Caresource","Medicaid Managed Care","26",,"40",,"259.2","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Wellcare","Medicaid Managed Care","26",,"40",,"262.44","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Aetna","Commercial","26",,"64",,"413.42","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Blue Cross Blue Shield","Pathways","26",,"71",,"457.49","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Blue Cross Blue Shield","HMO","26",,"71",,"457.49","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Blue Cross Blue Shield","PPO","26",,"71",,"457.49","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Ambetter","Health Exchange","26",,"62",,"401.76","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Caresource","Health Exchange","26",,"62",,"401.76","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Cigna","Commercial","26",,"59",,"379.73","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Humana","Commercial","26",,"78",,"502.2","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","UHC","Commercial","26",,"75",,"488.59","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Medicaid",,"26",,"37",,"237.17","237.17","502.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Alliant","Health Exchange","26",,"62",,"148.8","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Pruitt Healthcare","Medicare Advantage","26",,"54",,"129.6","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Medicare",,"26",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Humana","Medicare Advantage","26",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","UHC","Medicare Advantage","26",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Clover","Medicare Advantage","26",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Wellcare","Medicare Advantage","26",,"54",,"130.08","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Amerigroup","Medicaid Managed Care","26",,"37",,"87.84","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Caresource","Medicaid Managed Care","26",,"40",,"96","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Wellcare","Medicaid Managed Care","26",,"40",,"97.2","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Aetna","Commercial","26",,"64",,"153.12","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","Pathways","26",,"71",,"169.44","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","HMO","26",,"71",,"169.44","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Blue Cross Blue Shield","PPO","26",,"71",,"169.44","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Ambetter","Health Exchange","26",,"62",,"148.8","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Caresource","Health Exchange","26",,"62",,"148.8","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Cigna","Commercial","26",,"59",,"140.64","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Humana","Commercial","26",,"78",,"186","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","UHC","Commercial","26",,"75",,"180.96","41.15","316.2","percent of total billed charges",,
"ULTRASOUND, ABDOMINAL, COMPLETE","76700","HCPCS","Both",,,"240","120","Medicaid",,"26",,"37",,"87.84","41.15","316.2","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Alliant","Health Exchange","26",,"62",,"73.36","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Pruitt Healthcare","Medicare Advantage","26",,"54",,"63.89","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Medicare",,"26",,"54",,"64.13","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Humana","Medicare Advantage","26",,"54",,"64.13","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","UHC","Medicare Advantage","26",,"54",,"64.13","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Clover","Medicare Advantage","26",,"54",,"64.13","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Wellcare","Medicare Advantage","26",,"54",,"64.13","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Amerigroup","Medicaid Managed Care","26",,"37",,"43.31","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Caresource","Medicaid Managed Care","26",,"40",,"47.33","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Wellcare","Medicaid Managed Care","26",,"40",,"47.92","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Aetna","Commercial","26",,"64",,"75.49","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Blue Cross Blue Shield","Pathways","26",,"71",,"83.53","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Blue Cross Blue Shield","HMO","26",,"71",,"83.53","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Blue Cross Blue Shield","PPO","26",,"71",,"83.53","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Ambetter","Health Exchange","26",,"62",,"73.36","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Caresource","Health Exchange","26",,"62",,"73.36","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Cigna","Commercial","26",,"59",,"69.34","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Humana","Commercial","26",,"78",,"91.7","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","UHC","Commercial","26",,"75",,"89.21","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN W/O CONTRAST","70450","HCPCS","Both",,,"118.32","59.16","Medicaid",,"26",,"37",,"43.31","43.31","188.32","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Alliant","Health Exchange","26",,"62",,"157.77","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Pruitt Healthcare","Medicare Advantage","26",,"54",,"137.41","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Medicare",,"26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Humana","Medicare Advantage","26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","UHC","Medicare Advantage","26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Clover","Medicare Advantage","26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Wellcare","Medicare Advantage","26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Amerigroup","Medicaid Managed Care","26",,"37",,"93.13","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Caresource","Medicaid Managed Care","26",,"40",,"101.78","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Wellcare","Medicaid Managed Care","26",,"40",,"103.06","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Aetna","Commercial","26",,"64",,"162.35","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Blue Cross Blue Shield","Pathways","26",,"71",,"179.65","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Blue Cross Blue Shield","HMO","26",,"71",,"179.65","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Blue Cross Blue Shield","PPO","26",,"71",,"179.65","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Ambetter","Health Exchange","26",,"62",,"157.77","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Caresource","Health Exchange","26",,"62",,"157.77","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Cigna","Commercial","26",,"59",,"149.11","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Humana","Commercial","26",,"78",,"197.21","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","UHC","Commercial","26",,"75",,"191.86","93.13","651","percent of total billed charges",,
"CT AH A/P W/ORAL CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Medicaid",,"26",,"37",,"93.13","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Alliant","Health Exchange","26",,"62",,"157.77","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Pruitt Healthcare","Medicare Advantage","26",,"54",,"137.41","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Medicare",,"26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Humana","Medicare Advantage","26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","UHC","Medicare Advantage","26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Clover","Medicare Advantage","26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Wellcare","Medicare Advantage","26",,"54",,"137.92","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Amerigroup","Medicaid Managed Care","26",,"37",,"93.13","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Caresource","Medicaid Managed Care","26",,"40",,"101.78","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Wellcare","Medicaid Managed Care","26",,"40",,"103.06","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Aetna","Commercial","26",,"64",,"162.35","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Blue Cross Blue Shield","Pathways","26",,"71",,"179.65","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Blue Cross Blue Shield","HMO","26",,"71",,"179.65","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Blue Cross Blue Shield","PPO","26",,"71",,"179.65","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Ambetter","Health Exchange","26",,"62",,"157.77","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Caresource","Health Exchange","26",,"62",,"157.77","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Cigna","Commercial","26",,"59",,"149.11","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Humana","Commercial","26",,"78",,"197.21","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","UHC","Commercial","26",,"75",,"191.86","93.13","651","percent of total billed charges",,
"CT AH A/P w/IV CONTRAST","74177","HCPCS","Both",,,"254.46","127.23","Medicaid",,"26",,"37",,"93.13","93.13","651","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Alliant","Health Exchange","26",,"62",,"22.58","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Pruitt Healthcare","Medicare Advantage","26",,"54",,"19.67","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Medicare",,"26",,"54",,"19.74","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Humana","Medicare Advantage","26",,"54",,"19.74","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","UHC","Medicare Advantage","26",,"54",,"19.74","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Clover","Medicare Advantage","26",,"54",,"19.74","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Wellcare","Medicare Advantage","26",,"54",,"19.74","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Amerigroup","Medicaid Managed Care","26",,"37",,"13.33","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Caresource","Medicaid Managed Care","26",,"40",,"14.57","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Wellcare","Medicaid Managed Care","26",,"40",,"14.75","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Aetna","Commercial","26",,"64",,"23.24","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Blue Cross Blue Shield","Pathways","26",,"71",,"25.71","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Blue Cross Blue Shield","HMO","26",,"71",,"25.71","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Blue Cross Blue Shield","PPO","26",,"71",,"25.71","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Ambetter","Health Exchange","26",,"62",,"22.58","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Caresource","Health Exchange","26",,"62",,"22.58","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Cigna","Commercial","26",,"59",,"21.34","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Humana","Commercial","26",,"78",,"28.23","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","UHC","Commercial","26",,"75",,"27.46","13.33","941.24","percent of total billed charges",,
"XR AH SPINE LUMBOSACRAL 4 VIEWS MIN","72110","HCPCS","Both",,,"36.42","18.21","Medicaid",,"26",,"37",,"13.33","13.33","941.24","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Alliant","Health Exchange","26",,"62",,"69.71","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Pruitt Healthcare","Medicare Advantage","26",,"54",,"60.72","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Medicare",,"26",,"54",,"60.94","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Humana","Medicare Advantage","26",,"54",,"60.94","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","UHC","Medicare Advantage","26",,"54",,"60.94","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Clover","Medicare Advantage","26",,"54",,"60.94","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Wellcare","Medicare Advantage","26",,"54",,"60.94","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Amerigroup","Medicaid Managed Care","26",,"37",,"41.15","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Caresource","Medicaid Managed Care","26",,"40",,"44.98","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Wellcare","Medicaid Managed Care","26",,"40",,"45.54","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Aetna","Commercial","26",,"64",,"71.74","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Blue Cross Blue Shield","Pathways","26",,"71",,"79.38","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Blue Cross Blue Shield","HMO","26",,"71",,"79.38","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Blue Cross Blue Shield","PPO","26",,"71",,"79.38","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Ambetter","Health Exchange","26",,"62",,"69.71","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Caresource","Health Exchange","26",,"62",,"69.71","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Cigna","Commercial","26",,"59",,"65.89","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Humana","Commercial","26",,"78",,"87.14","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","UHC","Commercial","26",,"75",,"84.78","41.15","316.2","percent of total billed charges",,
"US AH ABD COMPLETE","76700","HCPCS","Both",,,"112.44","56.22","Medicaid",,"26",,"37",,"41.15","41.15","316.2","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Alliant","Health Exchange","26",,"62",,"150.66","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Pruitt Healthcare","Medicare Advantage","26",,"54",,"131.22","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Medicare",,"26",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Humana","Medicare Advantage","26",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","UHC","Medicare Advantage","26",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Clover","Medicare Advantage","26",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Wellcare","Medicare Advantage","26",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Amerigroup","Medicaid Managed Care","26",,"37",,"88.94","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Caresource","Medicaid Managed Care","26",,"40",,"97.2","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Wellcare","Medicaid Managed Care","26",,"40",,"98.42","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Aetna","Commercial","26",,"64",,"155.03","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Blue Cross Blue Shield","Pathways","26",,"71",,"171.56","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Blue Cross Blue Shield","HMO","26",,"71",,"171.56","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Blue Cross Blue Shield","PPO","26",,"71",,"171.56","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Ambetter","Health Exchange","26",,"62",,"150.66","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Caresource","Health Exchange","26",,"62",,"150.66","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Cigna","Commercial","26",,"59",,"142.4","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Humana","Commercial","26",,"78",,"188.32","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","UHC","Commercial","26",,"75",,"183.22","43.31","188.32","percent of total billed charges",,
"CT, HEAD OR BRAIN; W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Medicaid",,"26",,"37",,"88.94","43.31","188.32","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Alliant","Health Exchange","26",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Pruitt Healthcare","Medicare Advantage","26",,"54",,"365.31","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Medicare",,"26",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Humana","Medicare Advantage","26",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","UHC","Medicare Advantage","26",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Clover","Medicare Advantage","26",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicare Advantage","26",,"54",,"366.66","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Amerigroup","Medicaid Managed Care","26",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Caresource","Medicaid Managed Care","26",,"40",,"270.6","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Wellcare","Medicaid Managed Care","26",,"40",,"273.98","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Aetna","Commercial","26",,"64",,"431.61","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","Pathways","26",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","HMO","26",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Blue Cross Blue Shield","PPO","26",,"71",,"477.61","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Ambetter","Health Exchange","26",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Caresource","Health Exchange","26",,"62",,"419.43","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Cigna","Commercial","26",,"59",,"396.43","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Humana","Commercial","26",,"78",,"524.29","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","UHC","Commercial","26",,"75",,"510.08","247.6","524.29","percent of total billed charges",,
"CT, PELVIS; W/CONTRAST","72193","HCPCS","Both",,,"676.5","338.25","Medicaid",,"26",,"37",,"247.6","247.6","524.29","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Alliant","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"90.18","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Medicare",,"",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Humana","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","UHC","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Clover","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Amerigroup","Medicaid Managed Care","",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Caresource","Medicaid Managed Care","",,"40",,"66.8","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicaid Managed Care","",,"40",,"67.64","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Aetna","Commercial","",,"64",,"106.55","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","Pathways","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","HMO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","PPO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Ambetter","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Caresource","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Cigna","Commercial","",,"59",,"97.86","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Humana","Commercial","",,"78",,"129.43","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","UHC","Commercial","",,"75",,"125.92","61.12","129.43","percent of total billed charges",,
"NEW PATIENT FIRST VISIT","99205","HCPCS","Both",,,"167","83.5","Medicaid",,"",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"NEW PATIENT -1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"NEW PATIENT 1st. VISIT MODERATE","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"DERM CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"PODIATRY CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT DETAILED","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Alliant","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage","",,"54",,"69.12","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Medicare",,"",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Humana","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","UHC","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Clover","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Wellcare","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Amerigroup","Medicaid Managed Care","",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Caresource","Medicaid Managed Care","",,"40",,"51.2","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Wellcare","Medicaid Managed Care","",,"40",,"51.84","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Aetna","Commercial","",,"64",,"81.66","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","Pathways","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","HMO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","PPO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Ambetter","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Caresource","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Cigna","Commercial","",,"59",,"75.01","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Humana","Commercial","",,"78",,"99.2","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","UHC","Commercial","",,"75",,"96.51","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99204","HCPCS","Both",,,"128","64","Medicaid",,"",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Alliant","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"90.18","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Medicare",,"",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Humana","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","UHC","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Clover","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Amerigroup","Medicaid Managed Care","",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Caresource","Medicaid Managed Care","",,"40",,"66.8","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicaid Managed Care","",,"40",,"67.64","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Aetna","Commercial","",,"64",,"106.55","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","Pathways","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","HMO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","PPO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Ambetter","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Caresource","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Cigna","Commercial","",,"59",,"97.86","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Humana","Commercial","",,"78",,"129.43","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","UHC","Commercial","",,"75",,"125.92","61.12","129.43","percent of total billed charges",,
"ORTHO CLINIC NEW PT COMPREHENSIVE","99205","HCPCS","Both",,,"167","83.5","Medicaid",,"",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"NEW PATIENT - DETAILED - DERMATOLOGY","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"E/M LEVEL 3, DETAILED, NEW PT","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Alliant","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage","",,"54",,"69.12","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Medicare",,"",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Humana","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","UHC","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Clover","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Wellcare","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Amerigroup","Medicaid Managed Care","",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Caresource","Medicaid Managed Care","",,"40",,"51.2","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Wellcare","Medicaid Managed Care","",,"40",,"51.84","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Aetna","Commercial","",,"64",,"81.66","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","Pathways","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","HMO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","PPO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Ambetter","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Caresource","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Cigna","Commercial","",,"59",,"75.01","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Humana","Commercial","",,"78",,"99.2","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","UHC","Commercial","",,"75",,"96.51","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 4, COMPREHENSIVE, NEW PT","99204","HCPCS","Both",,,"128","64","Medicaid",,"",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Alliant","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"90.18","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Medicare",,"",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Humana","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","UHC","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Clover","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Amerigroup","Medicaid Managed Care","",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Caresource","Medicaid Managed Care","",,"40",,"66.8","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicaid Managed Care","",,"40",,"67.64","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Aetna","Commercial","",,"64",,"106.55","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","Pathways","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","HMO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","PPO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Ambetter","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Caresource","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Cigna","Commercial","",,"59",,"97.86","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Humana","Commercial","",,"78",,"129.43","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","UHC","Commercial","",,"75",,"125.92","61.12","129.43","percent of total billed charges",,
"E/M LEVEL 5, COMPLEX, NEW PT","99205","HCPCS","Both",,,"167","83.5","Medicaid",,"",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Alliant","Health Exchange","",,"62",,"3604.68","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Pruitt Healthcare","Medicare Advantage","",,"54",,"3139.56","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Medicare",,"",,"54",,"3151.19","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Humana","Medicare Advantage","",,"54",,"3151.19","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","UHC","Medicare Advantage","",,"54",,"3151.19","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Clover","Medicare Advantage","",,"54",,"3151.19","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Wellcare","Medicare Advantage","",,"54",,"3151.19","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Amerigroup","Medicaid Managed Care","",,"37",,"2127.92","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Caresource","Medicaid Managed Care","",,"40",,"2325.6","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Wellcare","Medicaid Managed Care","",,"40",,"2354.67","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Aetna","Commercial","",,"64",,"3709.33","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Blue Cross Blue Shield","Pathways","",,"71",,"4104.68","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Blue Cross Blue Shield","HMO","",,"71",,"4104.68","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Blue Cross Blue Shield","PPO","",,"71",,"4104.68","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Ambetter","Health Exchange","",,"62",,"3604.68","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Caresource","Health Exchange","",,"62",,"3604.68","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Cigna","Commercial","",,"59",,"3407","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Humana","Commercial","",,"78",,"4505.85","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","UHC","Commercial","",,"75",,"4383.76","2127.92","4505.85","percent of total billed charges",,
"EXCISION OF CYST,FIBROADENOMA OR BENIGN","19120","HCPCS","Both",,,"5814","2907","Medicaid",,"",,"37",,"2127.92","2127.92","4505.85","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Alliant","Health Exchange","",,"62",,"8409.99","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"7324.83","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Medicare",,"",,"54",,"7351.96","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Humana","Medicare Advantage","",,"54",,"7351.96","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","UHC","Medicare Advantage","",,"54",,"7351.96","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Clover","Medicare Advantage","",,"54",,"7351.96","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Wellcare","Medicare Advantage","",,"54",,"7351.96","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Amerigroup","Medicaid Managed Care","",,"37",,"4964.61","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Caresource","Medicaid Managed Care","",,"40",,"5425.8","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Wellcare","Medicaid Managed Care","",,"40",,"5493.62","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Aetna","Commercial","",,"64",,"8654.15","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Blue Cross Blue Shield","Pathways","",,"71",,"9576.54","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Blue Cross Blue Shield","HMO","",,"71",,"9576.54","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Blue Cross Blue Shield","PPO","",,"71",,"9576.54","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Ambetter","Health Exchange","",,"62",,"8409.99","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Caresource","Health Exchange","",,"62",,"8409.99","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Cigna","Commercial","",,"59",,"7948.8","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Humana","Commercial","",,"78",,"10512.49","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","UHC","Commercial","",,"75",,"10227.63","4964.61","10512.49","percent of total billed charges",,
"CHOLECYSTECTOMY, LAPAROSCOPY","47562","HCPCS","Both",,,"13564.5","6782.25","Medicaid",,"",,"37",,"4964.61","4964.61","10512.49","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Alliant","Health Exchange","",,"62",,"840.72","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Pruitt Healthcare","Medicare Advantage","",,"54",,"732.24","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Medicare",,"",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Humana","Medicare Advantage","",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","UHC","Medicare Advantage","",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Clover","Medicare Advantage","",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Wellcare","Medicare Advantage","",,"54",,"734.95","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Amerigroup","Medicaid Managed Care","",,"37",,"496.3","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Caresource","Medicaid Managed Care","",,"40",,"542.4","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Wellcare","Medicaid Managed Care","",,"40",,"549.18","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Aetna","Commercial","",,"64",,"865.13","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Blue Cross Blue Shield","Pathways","",,"71",,"957.34","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Blue Cross Blue Shield","HMO","",,"71",,"957.34","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Blue Cross Blue Shield","PPO","",,"71",,"957.34","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Ambetter","Health Exchange","",,"62",,"840.72","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Caresource","Health Exchange","",,"62",,"840.72","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Cigna","Commercial","",,"59",,"794.62","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Humana","Commercial","",,"78",,"1050.9","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","UHC","Commercial","",,"75",,"1022.42","496.3","1050.9","percent of total billed charges",,
"REPAIR INITIAL INGUINAL HERNIA, AGE 5 >","49505","HCPCS","Both",,,"1356","678","Medicaid",,"",,"37",,"496.3","496.3","1050.9","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"SURG CLINIC - DETAILED - NEW","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Alliant","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage","",,"54",,"69.12","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Medicare",,"",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Humana","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","UHC","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Clover","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Wellcare","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Amerigroup","Medicaid Managed Care","",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Caresource","Medicaid Managed Care","",,"40",,"51.2","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Wellcare","Medicaid Managed Care","",,"40",,"51.84","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Aetna","Commercial","",,"64",,"81.66","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","Pathways","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","HMO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","PPO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Ambetter","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Caresource","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Cigna","Commercial","",,"59",,"75.01","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Humana","Commercial","",,"78",,"99.2","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","UHC","Commercial","",,"75",,"96.51","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99204","HCPCS","Both",,,"128","64","Medicaid",,"",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Alliant","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"90.18","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Medicare",,"",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Humana","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","UHC","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Clover","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Amerigroup","Medicaid Managed Care","",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Caresource","Medicaid Managed Care","",,"40",,"66.8","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicaid Managed Care","",,"40",,"67.64","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Aetna","Commercial","",,"64",,"106.55","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","Pathways","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","HMO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","PPO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Ambetter","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Caresource","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Cigna","Commercial","",,"59",,"97.86","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Humana","Commercial","",,"78",,"129.43","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","UHC","Commercial","",,"75",,"125.92","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - COMPREHENSIVE - NEW","99205","HCPCS","Both",,,"167","83.5","Medicaid",,"",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Alliant","Health Exchange","",,"62",,"64.48","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Pruitt Healthcare","Medicare Advantage","",,"54",,"56.16","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Medicare",,"",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Humana","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","UHC","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Clover","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Wellcare","Medicare Advantage","",,"54",,"56.37","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Amerigroup","Medicaid Managed Care","",,"37",,"38.06","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Caresource","Medicaid Managed Care","",,"40",,"41.6","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Wellcare","Medicaid Managed Care","",,"40",,"42.12","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Aetna","Commercial","",,"64",,"66.35","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","Pathways","",,"71",,"73.42","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","HMO","",,"71",,"73.42","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Blue Cross Blue Shield","PPO","",,"71",,"73.42","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Ambetter","Health Exchange","",,"62",,"64.48","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Caresource","Health Exchange","",,"62",,"64.48","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Cigna","Commercial","",,"59",,"60.94","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Humana","Commercial","",,"78",,"80.6","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","UHC","Commercial","",,"75",,"78.42","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - DETAILED","99243","HCPCS","Both",,,"104","52","Medicaid",,"",,"37",,"38.06","38.06","80.68","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Alliant","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"82.35","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Medicare",,"",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Humana","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","UHC","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Clover","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Wellcare","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Amerigroup","Medicaid Managed Care","",,"37",,"55.82","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Caresource","Medicaid Managed Care","",,"40",,"61","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Wellcare","Medicaid Managed Care","",,"40",,"61.76","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Aetna","Commercial","",,"64",,"97.3","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","Pathways","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","HMO","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","PPO","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Ambetter","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Caresource","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Cigna","Commercial","",,"59",,"89.36","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Humana","Commercial","",,"78",,"118.19","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","UHC","Commercial","",,"75",,"114.98","55.82","118.19","percent of total billed charges",,
"SURG CLINIC - CONSULT - COMPREHENSIVE","99244","HCPCS","Both",,,"152.5","76.25","Medicaid",,"",,"37",,"55.82","55.82","118.19","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Alliant","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage","",,"54",,"69.12","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Medicare",,"",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Humana","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","UHC","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Clover","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Wellcare","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Amerigroup","Medicaid Managed Care","",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Caresource","Medicaid Managed Care","",,"40",,"51.2","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Wellcare","Medicaid Managed Care","",,"40",,"51.84","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Aetna","Commercial","",,"64",,"81.66","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","Pathways","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","HMO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","PPO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Ambetter","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Caresource","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Cigna","Commercial","",,"59",,"75.01","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Humana","Commercial","",,"78",,"99.2","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","UHC","Commercial","",,"75",,"96.51","46.85","99.2","percent of total billed charges",,
"NEW PATIENT O/P VISIT","99204","HCPCS","Both",,,"128","64","Medicaid",,"",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","569.62","percent of total billed charges",,
"INSULIN NPH (HUMULIN N) 100UNITS/ML 10ml","0250","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","569.62","percent of total billed charges",,
"INSULIN REG (HUMULIN R) MDV: 100UNITS/ML","0250","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","569.62","percent of total billed charges",,
"HUMULIN 70/30 (NOVOLN 70/30):100UNITS/ML","0250","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-MEPERITAB TAB 50MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-DOCUSATE CALCIUM LIQ CAP 240MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-NITROSTAT SL TAB 0.4MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-CORTENEMA RECTAL ENEMA 100MG/60ML","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X EXTRA STRENGTH CAPSULE 125MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-MULTIVITAMIN TABLET","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-IMODIUM A-D TABLET 2MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-PILOCARPINE HCL OPHTH SOLN 4%","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-CENTRUM SILVER TAB","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-MESTINON TABLET 60MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-DILANTIN CAP ER 100MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL ORAL TABLET 60MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL TAB 30MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","569.62","percent of total billed charges",,
"INSULIN LISPRO (HUMALOG) INJ:100UNITS/ML","0250","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Alliant","Health Exchange",,,"62",,"0.07","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.06","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Medicare",,,,"54",,"0.06","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Humana","Medicare Advantage",,,"54",,"0.06","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","UHC","Medicare Advantage",,,"54",,"0.06","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Clover","Medicare Advantage",,,"54",,"0.06","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Wellcare","Medicare Advantage",,,"54",,"0.06","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Amerigroup","Medicaid Managed Care",,,"37",,"0.04","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Caresource","Medicaid Managed Care",,,"40",,"0.04","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Wellcare","Medicaid Managed Care",,,"40",,"0.04","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Aetna","Commercial",,,"64",,"0.07","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Blue Cross Blue Shield","Pathways",,,"71",,"0.08","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Blue Cross Blue Shield","HMO",,,"71",,"0.08","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Blue Cross Blue Shield","PPO",,,"71",,"0.08","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Ambetter","Health Exchange",,,"62",,"0.07","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Caresource","Health Exchange",,,"62",,"0.07","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Cigna","Commercial",,,"59",,"0.06","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Humana","Commercial",,,"78",,"0.09","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","UHC","Commercial",,,"75",,"0.08","0.04","569.62","percent of total billed charges",,
"NF-VITAMIN B1 TABLET 100MG","0250","RC","Both",,,"0.11","0.055","Medicaid",,,,"37",,"0.04","0.04","569.62","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-CITALOPRAM HBR ORAL TAB 40MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-MECLIZINE HCL ORAL TABLET 12.5MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Alliant","Health Exchange",,,"62",,"0.43","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Medicare",,,,"54",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Humana","Medicare Advantage",,,"54",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","UHC","Medicare Advantage",,,"54",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Clover","Medicare Advantage",,,"54",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Wellcare","Medicare Advantage",,,"54",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Amerigroup","Medicaid Managed Care",,,"37",,"0.25","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Caresource","Medicaid Managed Care",,,"40",,"0.28","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Wellcare","Medicaid Managed Care",,,"40",,"0.28","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Aetna","Commercial",,,"64",,"0.44","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Blue Cross Blue Shield","Pathways",,,"71",,"0.49","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Blue Cross Blue Shield","HMO",,,"71",,"0.49","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Blue Cross Blue Shield","PPO",,,"71",,"0.49","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Ambetter","Health Exchange",,,"62",,"0.43","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Caresource","Health Exchange",,,"62",,"0.43","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Cigna","Commercial",,,"59",,"0.4","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Humana","Commercial",,,"78",,"0.53","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","UHC","Commercial",,,"75",,"0.52","0.04","569.62","percent of total billed charges",,
"NF-BENZTROPINE MESYLATE ORAL TABLET 1MG","0250","RC","Both",,,"0.69","0.345","Medicaid",,,,"37",,"0.25","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 10MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Alliant","Health Exchange",,,"62",,"0.16","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.14","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Medicare",,,,"54",,"0.14","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Humana","Medicare Advantage",,,"54",,"0.14","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","UHC","Medicare Advantage",,,"54",,"0.14","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Clover","Medicare Advantage",,,"54",,"0.14","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Wellcare","Medicare Advantage",,,"54",,"0.14","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Amerigroup","Medicaid Managed Care",,,"37",,"0.1","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Caresource","Medicaid Managed Care",,,"40",,"0.1","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Wellcare","Medicaid Managed Care",,,"40",,"0.11","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Aetna","Commercial",,,"64",,"0.17","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Blue Cross Blue Shield","Pathways",,,"71",,"0.18","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Blue Cross Blue Shield","HMO",,,"71",,"0.18","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Blue Cross Blue Shield","PPO",,,"71",,"0.18","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Ambetter","Health Exchange",,,"62",,"0.16","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Caresource","Health Exchange",,,"62",,"0.16","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Cigna","Commercial",,,"59",,"0.15","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Humana","Commercial",,,"78",,"0.2","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","UHC","Commercial",,,"75",,"0.2","0.04","569.62","percent of total billed charges",,
"NF-METHADONE HCL TAB 5MG","0250","RC","Both",,,"0.26","0.13","Medicaid",,,,"37",,"0.1","0.04","569.62","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-CALTRATE 600+D ORAL TABLET 600MG-200I","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-HCTZ/TRIAMTERENE CAPSULE","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-ARMOUR THYROID TABLET 120MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-BC ORAL POWDER 845MG-65MG/1 PACKET","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Alliant","Health Exchange",,,"62",,"0.32","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.28","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Medicare",,,,"54",,"0.28","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Humana","Medicare Advantage",,,"54",,"0.28","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","UHC","Medicare Advantage",,,"54",,"0.28","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Clover","Medicare Advantage",,,"54",,"0.28","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Wellcare","Medicare Advantage",,,"54",,"0.28","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Amerigroup","Medicaid Managed Care",,,"37",,"0.19","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Wellcare","Medicaid Managed Care",,,"40",,"0.21","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Aetna","Commercial",,,"64",,"0.33","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Blue Cross Blue Shield","Pathways",,,"71",,"0.36","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Blue Cross Blue Shield","HMO",,,"71",,"0.36","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Blue Cross Blue Shield","PPO",,,"71",,"0.36","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Ambetter","Health Exchange",,,"62",,"0.32","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Caresource","Health Exchange",,,"62",,"0.32","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Cigna","Commercial",,,"59",,"0.3","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Humana","Commercial",,,"78",,"0.4","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","UHC","Commercial",,,"75",,"0.38","0.04","569.62","percent of total billed charges",,
"NF-BC POWDER ARTHRITIS","0250","RC","Both",,,"0.51","0.255","Medicaid",,,,"37",,"0.19","0.04","569.62","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH OPTIVE SENSITIVE OPHTH SOLN","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-GAS-X ES ORAL LIQUIDFILLED CAPSULE 12","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Alliant","Health Exchange",,,"62",,"0.55","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.48","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Medicare",,,,"54",,"0.48","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Humana","Medicare Advantage",,,"54",,"0.48","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","UHC","Medicare Advantage",,,"54",,"0.48","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Clover","Medicare Advantage",,,"54",,"0.48","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Wellcare","Medicare Advantage",,,"54",,"0.48","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Amerigroup","Medicaid Managed Care",,,"37",,"0.33","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Caresource","Medicaid Managed Care",,,"40",,"0.36","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Wellcare","Medicaid Managed Care",,,"40",,"0.36","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Aetna","Commercial",,,"64",,"0.57","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Blue Cross Blue Shield","Pathways",,,"71",,"0.63","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Blue Cross Blue Shield","HMO",,,"71",,"0.63","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Blue Cross Blue Shield","PPO",,,"71",,"0.63","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Ambetter","Health Exchange",,,"62",,"0.55","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Caresource","Health Exchange",,,"62",,"0.55","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Cigna","Commercial",,,"59",,"0.52","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Humana","Commercial",,,"78",,"0.69","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","UHC","Commercial",,,"75",,"0.67","0.04","569.62","percent of total billed charges",,
"NF-PHENOBARBITAL 20MG/5ML ORAL ELIXIR","0250","RC","Both",,,"0.89","0.445","Medicaid",,,,"37",,"0.33","0.04","569.62","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-AFRIN NASAL SPRAY 0.05%","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Alliant","Health Exchange",,,"62",,"0.26","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.23","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Medicare",,,,"54",,"0.23","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Humana","Medicare Advantage",,,"54",,"0.23","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","UHC","Medicare Advantage",,,"54",,"0.23","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Clover","Medicare Advantage",,,"54",,"0.23","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Wellcare","Medicare Advantage",,,"54",,"0.23","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Amerigroup","Medicaid Managed Care",,,"37",,"0.15","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Caresource","Medicaid Managed Care",,,"40",,"0.17","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Wellcare","Medicaid Managed Care",,,"40",,"0.17","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Aetna","Commercial",,,"64",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Blue Cross Blue Shield","Pathways",,,"71",,"0.3","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Blue Cross Blue Shield","HMO",,,"71",,"0.3","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Blue Cross Blue Shield","PPO",,,"71",,"0.3","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Ambetter","Health Exchange",,,"62",,"0.26","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Caresource","Health Exchange",,,"62",,"0.26","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Cigna","Commercial",,,"59",,"0.25","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Humana","Commercial",,,"78",,"0.33","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","UHC","Commercial",,,"75",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-CRANBERRY CAPSULE 400MG","0637","RC","Both",,,"0.42","0.21","Medicaid",,,,"37",,"0.15","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-REFRESH PLUS OPHTH SOLUTION","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE 1.25MG ORAL TABLET","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-GAVISCON EXTRA STRENGTH ORAL CHEW TAB","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 50MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE TABLET","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE ORAL TABLET 300MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-OCUVITE ADULT 50+ LIQUID-FILLED CAPSU","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-LITHIUM CARBONATE TAB 300MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-IBUPROFEN ORAL TABLET 200MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-MAGNESIUM OXIDE TABLET 420MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-LUTEIN LIQUID FILLED CAPSULE 20MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-MIRALAX PWD FOR SOLN 17GM/DOSE","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-BETAMETHASONE CRM 0.1%","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-INDAPAMIDE TAB 1.25MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS LIQUID FILLED CAPS","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-DIPHENHYDRAMINE HCL CAP 25MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-MEDROXYPROGESTERONE ACETATE TAB 2.5MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-ESTRADIOL ORAL TABLET 0.5MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN EXTRA STRENGTH TABLET","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-PRENATAL VITAMIN ORAL TABLET","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-IMIPRAMINE HCL ORAL TABLET 50MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-AMANTADINE HCL 100MG ORAL CAPSULE","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-PROPRANOLOL HCL TAB 10MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-CO-Q10 TABLET 60MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-SULFAZINE TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-BENEFIBER FIBER DRINK MIX ORAL PACKET","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-POTASSIUM CHLORIDE ORAL TAB ER 10MEQ","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-PHILLIPS' ORAL TABLET 500MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-LOPERAMIDE HCL ORAL SUSPENSION 1MG/7.","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-ALLERGY RELIEF ORAL TABLET 180MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-Theophylline Oral 12 Hr Tab ER 300MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-Doxepin Oral Capsule 25MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-SENNA CONCENTRATE ORAL TABLET 8.6MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-METHADONE HCL ORAL TABLET 5MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-NORTRIPTYLINE HCL CAP 50MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-DOXEPIN HCL CAP 10MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-Potassium Chloride Oral Tab ER 20MEQ","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-PRESERVISION AREDS 2 ORAL LIQ CAP","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-SIMETHICONE CAPSULE, LIQUID FILLED 12","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.15","5264.58","percent of total billed charges",,
"NF-MELATONIN ORAL TABLET 5MG","0637","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.15","5264.58","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Voltaren Gel Topical 1%","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-TEGretol Oral Suspension 100MG/5ML","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-METHOCARBAMOL  TAB  750MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-GLUCOSAMINE CHONDROITIN 1500 COM CAPS","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-BETADINE SWAB 10%","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Amantadine HCl Oral Capsule 100MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Captopril Tablet 12.5MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Refresh Optive Mega-3 Ophth Soln","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-LOSARTAN POTASSIUM ORAL TABLET 25MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN EXTRA STRENGT TABLET 50","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.04","2502.48","percent of total billed charges",,
"NF-HYDRALAZINE HCL ORAL TAB 50MG","0259","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.04","2502.48","percent of total billed charges",,
"NF-D3-50 CAP 50000IU","0259","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-APAP W/ CODEINE ORAL TABLET 300MG-15M","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Carboxymethylcelull Sod Ophth Soln 0.","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Oral Tablet 500MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Pentoxifylline Tablet 400MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Diclofenac Sodium Topical Gel 1%","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Isosorbide Mononitrate Tablet 10MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Hydrocortisone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Glucosamine & Chondr Cap 500MG-400MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Alliant","Health Exchange",,,"62",,"0.12","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Medicare",,,,"54",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Humana","Medicare Advantage",,,"54",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","UHC","Medicare Advantage",,,"54",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Clover","Medicare Advantage",,,"54",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Wellcare","Medicare Advantage",,,"54",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Amerigroup","Medicaid Managed Care",,,"37",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Caresource","Medicaid Managed Care",,,"40",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Wellcare","Medicaid Managed Care",,,"40",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Aetna","Commercial",,,"64",,"0.13","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Blue Cross Blue Shield","Pathways",,,"71",,"0.14","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Blue Cross Blue Shield","HMO",,,"71",,"0.14","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Blue Cross Blue Shield","PPO",,,"71",,"0.14","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Ambetter","Health Exchange",,,"62",,"0.12","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Caresource","Health Exchange",,,"62",,"0.12","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Cigna","Commercial",,,"59",,"0.12","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Humana","Commercial",,,"78",,"0.16","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","UHC","Commercial",,,"75",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-ACETAMINOPHEN ER ORAL TAB ER 650MG","0259","RC","Both",,,"0.2","0.1","Medicaid",,,,"37",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 2.5MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Doxepin HCl Oral Capsule 10MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.15","5264.58","percent of total billed charges",,
"NF-Loperamide Oral Tablet 2MG","0637","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.15","5264.58","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Nabumetone 750MG Tablet","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 320MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Xyzal Allergy 24HR Oral Tablet 5MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Alliant","Health Exchange",,,"62",,"0.41","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Medicare",,,,"54",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Humana","Medicare Advantage",,,"54",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","UHC","Medicare Advantage",,,"54",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Clover","Medicare Advantage",,,"54",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Wellcare","Medicare Advantage",,,"54",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Amerigroup","Medicaid Managed Care",,,"37",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Caresource","Medicaid Managed Care",,,"40",,"0.26","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Wellcare","Medicaid Managed Care",,,"40",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Aetna","Commercial",,,"64",,"0.42","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Blue Cross Blue Shield","Pathways",,,"71",,"0.47","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Blue Cross Blue Shield","HMO",,,"71",,"0.47","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Blue Cross Blue Shield","PPO",,,"71",,"0.47","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Ambetter","Health Exchange",,,"62",,"0.41","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Caresource","Health Exchange",,,"62",,"0.41","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Cigna","Commercial",,,"59",,"0.39","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Humana","Commercial",,,"78",,"0.51","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","UHC","Commercial",,,"75",,"0.5","0.04","2502.48","percent of total billed charges",,
"NF-HYDROXYZINE PAMOATE CAP 25MG","0259","RC","Both",,,"0.66","0.33","Medicaid",,,,"37",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Alliant","Health Exchange",,,"62",,"0.61","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.53","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Amerigroup","Medicaid Managed Care",,,"37",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Aetna","Commercial",,,"64",,"0.63","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Blue Cross Blue Shield","Pathways",,,"71",,"0.7","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Blue Cross Blue Shield","HMO",,,"71",,"0.7","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Blue Cross Blue Shield","PPO",,,"71",,"0.7","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Ambetter","Health Exchange",,,"62",,"0.61","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Caresource","Health Exchange",,,"62",,"0.61","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Cigna","Commercial",,,"59",,"0.58","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Humana","Commercial",,,"78",,"0.77","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Medicaid",,,,"37",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.04","2502.48","percent of total billed charges",,
"NF-HYDROCHLOROTHIAZIDE ORAL TAB 12.5MG","0259","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Alliant","Health Exchange",,,"62",,"0.17","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Medicare",,,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Humana","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","UHC","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Clover","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Wellcare","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Amerigroup","Medicaid Managed Care",,,"37",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Caresource","Medicaid Managed Care",,,"40",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Wellcare","Medicaid Managed Care",,,"40",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Aetna","Commercial",,,"64",,"0.17","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Blue Cross Blue Shield","Pathways",,,"71",,"0.19","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Blue Cross Blue Shield","HMO",,,"71",,"0.19","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Blue Cross Blue Shield","PPO",,,"71",,"0.19","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Ambetter","Health Exchange",,,"62",,"0.17","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Caresource","Health Exchange",,,"62",,"0.17","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Cigna","Commercial",,,"59",,"0.16","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Humana","Commercial",,,"78",,"0.21","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","UHC","Commercial",,,"75",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-SENNA-PLUS TAB 50MG-8.6MG","0259","RC","Both",,,"0.27","0.135","Medicaid",,,,"37",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Alliant","Health Exchange",,,"62",,"0.17","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Medicare",,,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Humana","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","UHC","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Clover","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Wellcare","Medicare Advantage",,,"54",,"0.15","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Amerigroup","Medicaid Managed Care",,,"37",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Caresource","Medicaid Managed Care",,,"40",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Wellcare","Medicaid Managed Care",,,"40",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Aetna","Commercial",,,"64",,"0.17","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Blue Cross Blue Shield","Pathways",,,"71",,"0.19","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Blue Cross Blue Shield","HMO",,,"71",,"0.19","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Blue Cross Blue Shield","PPO",,,"71",,"0.19","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Ambetter","Health Exchange",,,"62",,"0.17","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Caresource","Health Exchange",,,"62",,"0.17","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Cigna","Commercial",,,"59",,"0.16","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Humana","Commercial",,,"78",,"0.21","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","UHC","Commercial",,,"75",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-THIAMINE HCL TABLET 250MG","0259","RC","Both",,,"0.27","0.135","Medicaid",,,,"37",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Alliant","Health Exchange",,,"62",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.06","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Medicare",,,,"54",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Humana","Medicare Advantage",,,"54",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","UHC","Medicare Advantage",,,"54",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Clover","Medicare Advantage",,,"54",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Wellcare","Medicare Advantage",,,"54",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Amerigroup","Medicaid Managed Care",,,"37",,"0.04","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Caresource","Medicaid Managed Care",,,"40",,"0.05","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Wellcare","Medicaid Managed Care",,,"40",,"0.05","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Aetna","Commercial",,,"64",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Blue Cross Blue Shield","Pathways",,,"71",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Blue Cross Blue Shield","HMO",,,"71",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Blue Cross Blue Shield","PPO",,,"71",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Ambetter","Health Exchange",,,"62",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Caresource","Health Exchange",,,"62",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Cigna","Commercial",,,"59",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Humana","Commercial",,,"78",,"0.09","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","UHC","Commercial",,,"75",,"0.09","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D CAPSULE 400IU","0259","RC","Both",,,"0.12","0.06","Medicaid",,,,"37",,"0.04","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Alliant","Health Exchange",,,"62",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.3","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Medicare",,,,"54",,"0.3","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Humana","Medicare Advantage",,,"54",,"0.3","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","UHC","Medicare Advantage",,,"54",,"0.3","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Clover","Medicare Advantage",,,"54",,"0.3","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Wellcare","Medicare Advantage",,,"54",,"0.3","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Amerigroup","Medicaid Managed Care",,,"37",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Caresource","Medicaid Managed Care",,,"40",,"0.22","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Wellcare","Medicaid Managed Care",,,"40",,"0.23","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Aetna","Commercial",,,"64",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Blue Cross Blue Shield","Pathways",,,"71",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Blue Cross Blue Shield","HMO",,,"71",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Blue Cross Blue Shield","PPO",,,"71",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Ambetter","Health Exchange",,,"62",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Caresource","Health Exchange",,,"62",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Cigna","Commercial",,,"59",,"0.33","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Humana","Commercial",,,"78",,"0.43","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","UHC","Commercial",,,"75",,"0.42","0.04","2502.48","percent of total billed charges",,
"NF-OMEGA 3-6-9 ORAL LIQUID FILLED CAPSUL","0259","RC","Both",,,"0.56","0.28","Medicaid",,,,"37",,"0.2","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Alliant","Health Exchange",,,"62",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.06","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Medicare",,,,"54",,"0.06","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Humana","Medicare Advantage",,,"54",,"0.06","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","UHC","Medicare Advantage",,,"54",,"0.06","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Clover","Medicare Advantage",,,"54",,"0.06","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Wellcare","Medicare Advantage",,,"54",,"0.06","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Amerigroup","Medicaid Managed Care",,,"37",,"0.04","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Caresource","Medicaid Managed Care",,,"40",,"0.04","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Wellcare","Medicaid Managed Care",,,"40",,"0.04","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Aetna","Commercial",,,"64",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Blue Cross Blue Shield","Pathways",,,"71",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Blue Cross Blue Shield","HMO",,,"71",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Blue Cross Blue Shield","PPO",,,"71",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Ambetter","Health Exchange",,,"62",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Caresource","Health Exchange",,,"62",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Cigna","Commercial",,,"59",,"0.06","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Humana","Commercial",,,"78",,"0.09","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","UHC","Commercial",,,"75",,"0.08","0.04","2502.48","percent of total billed charges",,
"NF-CLEARLAX PWDER FOR SOLUTION 17GM/1DOS","0259","RC","Both",,,"0.11","0.055","Medicaid",,,,"37",,"0.04","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0250","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-chlordiazePOXIDE HCl Capsule 10MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 80MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 40MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Alliant","Health Exchange",,,"62",,"0.28","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Medicare",,,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Humana","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","UHC","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Clover","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Wellcare","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Amerigroup","Medicaid Managed Care",,,"37",,"0.16","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Caresource","Medicaid Managed Care",,,"40",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Wellcare","Medicaid Managed Care",,,"40",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Aetna","Commercial",,,"64",,"0.29","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Blue Cross Blue Shield","Pathways",,,"71",,"0.32","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Blue Cross Blue Shield","HMO",,,"71",,"0.32","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Blue Cross Blue Shield","PPO",,,"71",,"0.32","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Ambetter","Health Exchange",,,"62",,"0.28","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Caresource","Health Exchange",,,"62",,"0.28","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Cigna","Commercial",,,"59",,"0.26","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Humana","Commercial",,,"78",,"0.35","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","UHC","Commercial",,,"75",,"0.34","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 DIS TAB 125MCG","0259","RC","Both",,,"0.45","0.225","Medicaid",,,,"37",,"0.16","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-valsartan Oral Tablet 160MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Alliant","Health Exchange",,,"62",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Medicare",,,,"54",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Humana","Medicare Advantage",,,"54",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","UHC","Medicare Advantage",,,"54",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Clover","Medicare Advantage",,,"54",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Wellcare","Medicare Advantage",,,"54",,"0.1","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Amerigroup","Medicaid Managed Care",,,"37",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Caresource","Medicaid Managed Care",,,"40",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Wellcare","Medicaid Managed Care",,,"40",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Aetna","Commercial",,,"64",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Blue Cross Blue Shield","Pathways",,,"71",,"0.13","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Blue Cross Blue Shield","HMO",,,"71",,"0.13","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Blue Cross Blue Shield","PPO",,,"71",,"0.13","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Ambetter","Health Exchange",,,"62",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Caresource","Health Exchange",,,"62",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Cigna","Commercial",,,"59",,"0.11","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Humana","Commercial",,,"78",,"0.14","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","UHC","Commercial",,,"75",,"0.14","0.04","2502.48","percent of total billed charges",,
"NF-VITAMIN D3 ORAL TABLET 5000IU","0259","RC","Both",,,"0.18","0.09","Medicaid",,,,"37",,"0.07","0.04","2502.48","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","569.62","percent of total billed charges",,
"NF-Triamterene/HCTZ Capsule 37.5-25MG","0250","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Alliant","Health Exchange",,,"62",,"0.61","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.53","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Amerigroup","Medicaid Managed Care",,,"37",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Aetna","Commercial",,,"64",,"0.63","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Blue Cross Blue Shield","Pathways",,,"71",,"0.7","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Blue Cross Blue Shield","HMO",,,"71",,"0.7","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Blue Cross Blue Shield","PPO",,,"71",,"0.7","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Ambetter","Health Exchange",,,"62",,"0.61","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Caresource","Health Exchange",,,"62",,"0.61","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Cigna","Commercial",,,"59",,"0.58","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Humana","Commercial",,,"78",,"0.77","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-DICYCLOMINE HCL TAB 20MG","0259","RC","Both",,,"0.99","0.495","Medicaid",,,,"37",,"0.36","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","569.62","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0250","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","569.62","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Alliant","Health Exchange",,,"62",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Medicare",,,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Humana","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","UHC","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Clover","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Wellcare","Medicare Advantage",,,"54",,"0.24","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Amerigroup","Medicaid Managed Care",,,"37",,"0.16","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Caresource","Medicaid Managed Care",,,"40",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Wellcare","Medicaid Managed Care",,,"40",,"0.18","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Aetna","Commercial",,,"64",,"0.28","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Blue Cross Blue Shield","Pathways",,,"71",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Blue Cross Blue Shield","HMO",,,"71",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Blue Cross Blue Shield","PPO",,,"71",,"0.31","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Ambetter","Health Exchange",,,"62",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Caresource","Health Exchange",,,"62",,"0.27","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Cigna","Commercial",,,"59",,"0.26","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Humana","Commercial",,,"78",,"0.34","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","UHC","Commercial",,,"75",,"0.33","0.04","2502.48","percent of total billed charges",,
"NF-POVIDONE-IODINE SWAB 10%","0259","RC","Both",,,"0.44","0.22","Medicaid",,,,"37",,"0.16","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Methadone Oral Tablet 10MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Omeprazole Oral Tablet DR 20MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Ginkgo Extra Strength Capsule 120MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Indapamide Tablet 1.25MG","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.04","2502.48","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","0259","RC","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.04","2502.48","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Alliant","Health Exchange",,,"62",,"0.31","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.27","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Medicare",,,,"54",,"0.27","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Humana","Medicare Advantage",,,"54",,"0.27","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","UHC","Medicare Advantage",,,"54",,"0.27","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Clover","Medicare Advantage",,,"54",,"0.27","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Wellcare","Medicare Advantage",,,"54",,"0.27","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care",,,"37",,"0.18","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care",,,"40",,"0.2","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care",,,"40",,"0.2","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Aetna","Commercial",,,"64",,"0.32","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways",,,"71",,"0.35","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO",,,"71",,"0.35","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO",,,"71",,"0.35","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Ambetter","Health Exchange",,,"62",,"0.31","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Caresource","Health Exchange",,,"62",,"0.31","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Cigna","Commercial",,,"59",,"0.29","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Humana","Commercial",,,"78",,"0.39","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","UHC","Commercial",,,"75",,"0.38","0.18","1007.5","percent of total billed charges",,
"ADULT DIAPERS (SINGLE)","0270","RC","Both",,,"0.5","0.25","Medicaid",,,,"37",,"0.18","0.18","1007.5","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Alliant","Health Exchange",,,"62",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Medicare",,,,"54",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Humana","Medicare Advantage",,,"54",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","UHC","Medicare Advantage",,,"54",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Clover","Medicare Advantage",,,"54",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Wellcare","Medicare Advantage",,,"54",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Amerigroup","Medicaid Managed Care",,,"37",,"0.01","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Caresource","Medicaid Managed Care",,,"40",,"0.01","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Wellcare","Medicaid Managed Care",,,"40",,"0.01","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Aetna","Commercial",,,"64",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Blue Cross Blue Shield","Pathways",,,"71",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Blue Cross Blue Shield","HMO",,,"71",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Blue Cross Blue Shield","PPO",,,"71",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Ambetter","Health Exchange",,,"62",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Caresource","Health Exchange",,,"62",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Cigna","Commercial",,,"59",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Humana","Commercial",,,"78",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","UHC","Commercial",,,"75",,"0.02","0.01","0.02","percent of total billed charges",,
"NF-IRON TABLET 65MG","401829","CDM","Both",,,"0.03","0.015","Medicaid",,,,"37",,"0.01","0.01","0.02","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Alliant","Health Exchange",,,"62",,"0.19","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.16","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Medicare",,,,"54",,"0.16","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Humana","Medicare Advantage",,,"54",,"0.16","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","UHC","Medicare Advantage",,,"54",,"0.16","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Clover","Medicare Advantage",,,"54",,"0.16","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Wellcare","Medicare Advantage",,,"54",,"0.16","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Amerigroup","Medicaid Managed Care",,,"37",,"0.11","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Caresource","Medicaid Managed Care",,,"40",,"0.12","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Wellcare","Medicaid Managed Care",,,"40",,"0.12","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Aetna","Commercial",,,"64",,"0.19","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Blue Cross Blue Shield","Pathways",,,"71",,"0.21","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Blue Cross Blue Shield","HMO",,,"71",,"0.21","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Blue Cross Blue Shield","PPO",,,"71",,"0.21","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Ambetter","Health Exchange",,,"62",,"0.19","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Caresource","Health Exchange",,,"62",,"0.19","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Cigna","Commercial",,,"59",,"0.18","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Humana","Commercial",,,"78",,"0.23","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","UHC","Commercial",,,"75",,"0.23","0.11","0.23","percent of total billed charges",,
"NF-ALEVE TABLET 220MG","402222","CDM","Both",,,"0.3","0.15","Medicaid",,,,"37",,"0.11","0.11","0.23","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Alliant","Health Exchange",,,"62",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Medicare",,,,"54",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Humana","Medicare Advantage",,,"54",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","UHC","Medicare Advantage",,,"54",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Clover","Medicare Advantage",,,"54",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Wellcare","Medicare Advantage",,,"54",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Amerigroup","Medicaid Managed Care",,,"37",,"0","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Caresource","Medicaid Managed Care",,,"40",,"0","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Wellcare","Medicaid Managed Care",,,"40",,"0","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Aetna","Commercial",,,"64",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Blue Cross Blue Shield","Pathways",,,"71",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Blue Cross Blue Shield","HMO",,,"71",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Blue Cross Blue Shield","PPO",,,"71",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Ambetter","Health Exchange",,,"62",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Caresource","Health Exchange",,,"62",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Cigna","Commercial",,,"59",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Humana","Commercial",,,"78",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","UHC","Commercial",,,"75",,"0.01","0.01","0.01","percent of total billed charges",,
"NF-DEXTROSE","402249","CDM","Both",,,"0.01","0.005","Medicaid",,,,"37",,"0","0.01","0.01","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Methadone Hydrochloride Oral Tablet 5","402397","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","402537","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Alliant","Health Exchange",,,"62",,"0.13","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.11","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Medicare",,,,"54",,"0.11","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Humana","Medicare Advantage",,,"54",,"0.11","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","UHC","Medicare Advantage",,,"54",,"0.11","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Clover","Medicare Advantage",,,"54",,"0.11","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Wellcare","Medicare Advantage",,,"54",,"0.11","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Amerigroup","Medicaid Managed Care",,,"37",,"0.08","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Caresource","Medicaid Managed Care",,,"40",,"0.08","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Wellcare","Medicaid Managed Care",,,"40",,"0.09","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Aetna","Commercial",,,"64",,"0.13","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Blue Cross Blue Shield","Pathways",,,"71",,"0.15","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Blue Cross Blue Shield","HMO",,,"71",,"0.15","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Blue Cross Blue Shield","PPO",,,"71",,"0.15","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Ambetter","Health Exchange",,,"62",,"0.13","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Caresource","Health Exchange",,,"62",,"0.13","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Cigna","Commercial",,,"59",,"0.12","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Humana","Commercial",,,"78",,"0.16","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","UHC","Commercial",,,"75",,"0.16","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM CARBONATE ORAL CAPSULE 125M","402547","CDM","Both",,,"0.21","0.105","Medicaid",,,,"37",,"0.08","0.08","0.16","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Alliant","Health Exchange",,,"62",,"0.11","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.09","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Medicare",,,,"54",,"0.09","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Humana","Medicare Advantage",,,"54",,"0.09","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","UHC","Medicare Advantage",,,"54",,"0.09","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Clover","Medicare Advantage",,,"54",,"0.09","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Wellcare","Medicare Advantage",,,"54",,"0.09","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Amerigroup","Medicaid Managed Care",,,"37",,"0.06","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Caresource","Medicaid Managed Care",,,"40",,"0.07","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Wellcare","Medicaid Managed Care",,,"40",,"0.07","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Aetna","Commercial",,,"64",,"0.11","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Blue Cross Blue Shield","Pathways",,,"71",,"0.12","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Blue Cross Blue Shield","HMO",,,"71",,"0.12","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Blue Cross Blue Shield","PPO",,,"71",,"0.12","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Ambetter","Health Exchange",,,"62",,"0.11","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Caresource","Health Exchange",,,"62",,"0.11","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Cigna","Commercial",,,"59",,"0.1","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Humana","Commercial",,,"78",,"0.13","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","UHC","Commercial",,,"75",,"0.13","0.06","0.13","percent of total billed charges",,
"NF-MAGNESIUM & B6 ORAL TABLET 250MG-125M","402548","CDM","Both",,,"0.17","0.085","Medicaid",,,,"37",,"0.06","0.06","0.13","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Alliant","Health Exchange",,,"62",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Medicare",,,,"54",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Humana","Medicare Advantage",,,"54",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","UHC","Medicare Advantage",,,"54",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Clover","Medicare Advantage",,,"54",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Wellcare","Medicare Advantage",,,"54",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Amerigroup","Medicaid Managed Care",,,"37",,"0.01","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Caresource","Medicaid Managed Care",,,"40",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Wellcare","Medicaid Managed Care",,,"40",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Aetna","Commercial",,,"64",,"0.03","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Blue Cross Blue Shield","Pathways",,,"71",,"0.03","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Blue Cross Blue Shield","HMO",,,"71",,"0.03","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Blue Cross Blue Shield","PPO",,,"71",,"0.03","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Ambetter","Health Exchange",,,"62",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Caresource","Health Exchange",,,"62",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Cigna","Commercial",,,"59",,"0.02","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Humana","Commercial",,,"78",,"0.03","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","UHC","Commercial",,,"75",,"0.03","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN         TAB  81MG","402549","CDM","Both",,,"0.04","0.02","Medicaid",,,,"37",,"0.01","0.01","0.03","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Alliant","Health Exchange",,,"62",,"0.08","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.07","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Medicare",,,,"54",,"0.07","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Humana","Medicare Advantage",,,"54",,"0.07","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","UHC","Medicare Advantage",,,"54",,"0.07","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Clover","Medicare Advantage",,,"54",,"0.07","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Wellcare","Medicare Advantage",,,"54",,"0.07","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Amerigroup","Medicaid Managed Care",,,"37",,"0.05","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Caresource","Medicaid Managed Care",,,"40",,"0.05","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Wellcare","Medicaid Managed Care",,,"40",,"0.05","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Aetna","Commercial",,,"64",,"0.08","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Blue Cross Blue Shield","Pathways",,,"71",,"0.09","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Blue Cross Blue Shield","HMO",,,"71",,"0.09","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Blue Cross Blue Shield","PPO",,,"71",,"0.09","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Ambetter","Health Exchange",,,"62",,"0.08","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Caresource","Health Exchange",,,"62",,"0.08","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Cigna","Commercial",,,"59",,"0.08","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Humana","Commercial",,,"78",,"0.1","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","UHC","Commercial",,,"75",,"0.1","0.05","0.1","percent of total billed charges",,
"NF-ASPIRIN ADULT LOW STRENGTH CHEW TAB 8","402550","CDM","Both",,,"0.13","0.065","Medicaid",,,,"37",,"0.05","0.05","0.1","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Triamterene/HCTZ Oral Cap 37.5MG-25MG","402568","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Folic Acid Oral Tablet 1MG","402694","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Warfarin Sodium Oral Tablet 5MG","402809","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","402857","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403471","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Vitamin B12 Injection 1000mcg/ML","403587","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-oxyCODONE Hydrochloride Oral Tablet 1","403602","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Niva-Fol Oral Tablet 2MG-2.5MG-25MG","403649","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","403767","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403773","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-rOPINIRole Hydrochloride Tablet 0.25M","403796","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Esomeprazole Mag Cap DR 20MG","403801","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Minoxidil Tablet 2.5MG","403839","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-hydroCHLOROthiazide Capsule 12.5MG","403979","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Methocarbamol Tablet 500MG","404167","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Bacitracin Ointment 500U/GM","404275","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Triamcinolone  Oin  0.1%","404287","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Potassium Chloride Tablet 10MEQ","404528","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Alliant","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Medicare",,,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Humana","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","UHC","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Clover","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Wellcare","Medicare Advantage",,,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care",,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Caresource","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Wellcare","Medicaid Managed Care",,,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Aetna","Commercial",,,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","HMO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Blue Cross Blue Shield","PPO",,,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Ambetter","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Caresource","Health Exchange",,,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Cigna","Commercial",,,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Humana","Commercial",,,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","UHC","Commercial",,,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"NF-Cyproheptadine Hydrochloride Tablet 4","404555","CDM","Both",,,"1","0.5","Medicaid",,,,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Alliant","Health Exchange","GP,PN",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"147.86","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Medicare",,"GP,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Humana","Medicare Advantage","GP,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","UHC","Medicare Advantage","GP,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Clover","Medicare Advantage","GP,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Wellcare","Medicare Advantage","GP,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"100.21","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Caresource","Medicaid Managed Care","GP,PN",,"40",,"109.52","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"110.89","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Aetna","Commercial","GP,PN",,"64",,"174.69","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Ambetter","Health Exchange","GP,PN",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Caresource","Health Exchange","GP,PN",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Cigna","Commercial","GP,PN",,"59",,"160.45","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Humana","Commercial","GP,PN",,"78",,"212.2","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","UHC","Commercial","GP,PN",,"75",,"206.45","100.21","212.2","percent of total billed charges",,
"PT THERAPEUTIC EXERCISE EA 15 MINS","97110","HCPCS","Both",,,"273.81","136.905","Medicaid",,"GP,PN",,"37",,"100.21","100.21","212.2","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Medicare",,"GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GP,PN",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GP,PN",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GP,PN",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GP,PN",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"PT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GP,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Medicare",,"GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GP,PN",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GP,PN",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GP,PN",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GP,PN",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"PT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GP,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Medicare",,"GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Medicaid",,"GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Medicare",,"GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Medicaid",,"GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Medicare",,"GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Medicaid",,"GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Medicare",,"GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Medicaid",,"GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Medicare",,"GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Medicaid",,"GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Medicare",,"GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GP,PN",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GP,PN",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GP,PN",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GP,PN",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"PT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GP,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Medicare",,"GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GP,PN",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GP,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GP,PN",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GP,PN",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GP,PN",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"PT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GP,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Medicare",,"GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Medicaid",,"GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Medicare",,"GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Medicaid",,"GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Medicare",,"GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Medicaid",,"GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Medicare",,"GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GP,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GP,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GP,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GP,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GP,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GP,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Humana","Commercial","GP,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","UHC","Commercial","GP,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"PT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Medicaid",,"GP,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Alliant","Health Exchange","GO,PN",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"147.86","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Medicare",,"GO,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Humana","Medicare Advantage","GO,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","UHC","Medicare Advantage","GO,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Clover","Medicare Advantage","GO,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Wellcare","Medicare Advantage","GO,PN",,"54",,"148.41","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"100.21","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Caresource","Medicaid Managed Care","GO,PN",,"40",,"109.52","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"110.89","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Aetna","Commercial","GO,PN",,"64",,"174.69","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"193.31","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Ambetter","Health Exchange","GO,PN",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Caresource","Health Exchange","GO,PN",,"62",,"169.76","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Cigna","Commercial","GO,PN",,"59",,"160.45","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Humana","Commercial","GO,PN",,"78",,"212.2","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","UHC","Commercial","GO,PN",,"75",,"206.45","100.21","212.2","percent of total billed charges",,
"OT THERAPUTIC EXERCISES EA 15 MIN","97110","HCPCS","Both",,,"273.81","136.905","Medicaid",,"GO,PN",,"37",,"100.21","100.21","212.2","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO,PN",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO,PN",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO,PN",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO,PN",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8978 MOBILITY CURRENT STATUS","G8978","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO,PN",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO,PN",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO,PN",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO,PN",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8979 MOBILITY GOAL STATUS","G8979","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8980 MOBILITY D/C STATUS","G8980","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8984 CARRYING CURRENT STATUS","G8984","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8985 CARRYING GOAL STATUS","G8985","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8986 CARRYING D/C STATUS","G8986","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8987 SELF CARE CURRENT STATUS","G8987","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO,PN",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO,PN",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO,PN",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO,PN",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8988 SELF CARE GOAL STATUS","G8988","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8989 SELF CARE D/C STATUS","G8989","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO,PN",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO,PN",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO,PN",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO,PN",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8990 OTHER PT/OT CURRENT STATUS","G8990","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Alliant","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Medicare",,"GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Humana","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","UHC","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Clover","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.27","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.2","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Aetna","Commercial","GO,PN",,"64",,"0.32","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.35","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Ambetter","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Caresource","Health Exchange","GO,PN",,"62",,"0.31","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Cigna","Commercial","GO,PN",,"59",,"0.29","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Humana","Commercial","GO,PN",,"78",,"0.39","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","UHC","Commercial","GO,PN",,"75",,"0.38","0.18","0.39","percent of total billed charges",,
"OT G8991 OTHER PT/OT GOAL STATUS","G8991","HCPCS","Both",,,"0.5","0.25","Medicaid",,"GO,PN",,"37",,"0.18","0.18","0.39","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8992 OTHER PT/OT D/C STATUS","G8992","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8993 SUB PT/OT CURRENT STATUS","G8993","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8994 SUB PT/OT GOAL STATUS","G8994","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8995 SUB PT/OT D/C STATUS","G8995","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9165 ATTEN CURRENT STATUS","G9165","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9166 ATTEN GOAL STATUS","G9166","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9167 ATTEN D/C STATUS","G9167","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9168 MEMORY CURRENT STATUS","G9168","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G9169 MEMORY GOAL STATUS","G9169","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Alliant","Health Exchange","GO,PN",,"62",,"0.06","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.05","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Medicare",,"GO,PN",,"54",,"0.05","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Humana","Medicare Advantage","GO,PN",,"54",,"0.05","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","UHC","Medicare Advantage","GO,PN",,"54",,"0.05","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Clover","Medicare Advantage","GO,PN",,"54",,"0.05","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.05","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.03","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.04","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.04","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Aetna","Commercial","GO,PN",,"64",,"0.06","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.06","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.06","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.06","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Ambetter","Health Exchange","GO,PN",,"62",,"0.06","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Caresource","Health Exchange","GO,PN",,"62",,"0.06","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Cigna","Commercial","GO,PN",,"59",,"0.05","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Humana","Commercial","GO,PN",,"78",,"0.07","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","UHC","Commercial","GO,PN",,"75",,"0.07","0.03","0.07","percent of total billed charges",,
"OT G9170 MEMORY D/C STATUS","G9170","HCPCS","Both",,,"0.09","0.045","Medicaid",,"GO,PN",,"37",,"0.03","0.03","0.07","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8981 BODY POS CURRENT STATUS","G8981","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8982 BODY POS GOAL STATUS","G8982","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Medicare",,"GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GO,PN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GO,PN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GO,PN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GO,PN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GO,PN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GO,PN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Humana","Commercial","GO,PN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","UHC","Commercial","GO,PN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"OT G8983 BODY POS D/C STATUS","G8983","HCPCS","Both",,,"1","0.5","Medicaid",,"GO,PN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Alliant","Health Exchange","LT",,"62",,"493.83","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Pruitt Healthcare","Medicare Advantage","LT",,"54",,"430.11","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Medicare",,"LT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Humana","Medicare Advantage","LT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","UHC","Medicare Advantage","LT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Clover","Medicare Advantage","LT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Wellcare","Medicare Advantage","LT",,"54",,"431.7","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Amerigroup","Medicaid Managed Care","LT",,"37",,"291.52","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Caresource","Medicaid Managed Care","LT",,"40",,"318.6","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Wellcare","Medicaid Managed Care","LT",,"40",,"322.58","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Aetna","Commercial","LT",,"64",,"508.17","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Blue Cross Blue Shield","Pathways","LT",,"71",,"562.33","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Blue Cross Blue Shield","HMO","LT",,"71",,"562.33","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Blue Cross Blue Shield","PPO","LT",,"71",,"562.33","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Ambetter","Health Exchange","LT",,"62",,"493.83","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Caresource","Health Exchange","LT",,"62",,"493.83","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Cigna","Commercial","LT",,"59",,"466.75","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Humana","Commercial","LT",,"78",,"617.29","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","UHC","Commercial","LT",,"75",,"600.56","291.52","617.29","percent of total billed charges",,
"MM DIAGNOSTIC MAMMO UNILATERAL W/CAD L","77065","HCPCS","Both",,,"796.5","398.25","Medicaid",,"LT",,"37",,"291.52","291.52","617.29","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Alliant","Health Exchange","52",,"62",,"554.08","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Pruitt Healthcare","Medicare Advantage","52",,"54",,"482.58","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Medicare",,"52",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Humana","Medicare Advantage","52",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","UHC","Medicare Advantage","52",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Clover","Medicare Advantage","52",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Wellcare","Medicare Advantage","52",,"54",,"484.37","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Amerigroup","Medicaid Managed Care","52",,"37",,"327.08","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Caresource","Medicaid Managed Care","52",,"40",,"357.47","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Wellcare","Medicaid Managed Care","52",,"40",,"361.94","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Aetna","Commercial","52",,"64",,"570.16","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Blue Cross Blue Shield","Pathways","52",,"71",,"630.93","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Blue Cross Blue Shield","HMO","52",,"71",,"630.93","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Blue Cross Blue Shield","PPO","52",,"71",,"630.93","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Ambetter","Health Exchange","52",,"62",,"554.08","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Caresource","Health Exchange","52",,"62",,"554.08","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Cigna","Commercial","52",,"59",,"523.69","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Humana","Commercial","52",,"78",,"692.59","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","UHC","Commercial","52",,"75",,"673.83","327.08","692.59","percent of total billed charges",,
"MM SCREENING MAMMO 1 BREAST 2 VIEW W/CAD","77067","HCPCS","Both",,,"893.67","446.835","Medicaid",,"52",,"37",,"327.08","327.08","692.59","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Alliant","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Pruitt Healthcare","Medicare Advantage","",,"54",,"43.2","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Medicare",,"",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Humana","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","UHC","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Clover","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Wellcare","Medicare Advantage","",,"54",,"43.36","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Amerigroup","Medicaid Managed Care","",,"37",,"29.28","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Caresource","Medicaid Managed Care","",,"40",,"32","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Wellcare","Medicaid Managed Care","",,"40",,"32.4","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Aetna","Commercial","",,"64",,"51.04","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","Pathways","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","HMO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Blue Cross Blue Shield","PPO","",,"71",,"56.48","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Ambetter","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Caresource","Health Exchange","",,"62",,"49.6","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Cigna","Commercial","",,"59",,"46.88","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Humana","Commercial","",,"78",,"62","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","UHC","Commercial","",,"75",,"60.32","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 2 ONCOLOGY","99203","HCPCS","Both",,,"80","40","Medicaid",,"",,"37",,"29.28","29.28","62","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Alliant","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Pruitt Healthcare","Medicare Advantage","",,"54",,"69.12","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Medicare",,"",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Humana","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","UHC","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Clover","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Wellcare","Medicare Advantage","",,"54",,"69.38","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Amerigroup","Medicaid Managed Care","",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Caresource","Medicaid Managed Care","",,"40",,"51.2","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Wellcare","Medicaid Managed Care","",,"40",,"51.84","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Aetna","Commercial","",,"64",,"81.66","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","Pathways","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","HMO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Blue Cross Blue Shield","PPO","",,"71",,"90.37","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Ambetter","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Caresource","Health Exchange","",,"62",,"79.36","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Cigna","Commercial","",,"59",,"75.01","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Humana","Commercial","",,"78",,"99.2","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","UHC","Commercial","",,"75",,"96.51","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 3 ONCOLOGY","99204","HCPCS","Both",,,"128","64","Medicaid",,"",,"37",,"46.85","46.85","99.2","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Alliant","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"90.18","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Medicare",,"",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Humana","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","UHC","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Clover","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicare Advantage","",,"54",,"90.51","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Amerigroup","Medicaid Managed Care","",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Caresource","Medicaid Managed Care","",,"40",,"66.8","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Wellcare","Medicaid Managed Care","",,"40",,"67.64","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Aetna","Commercial","",,"64",,"106.55","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","Pathways","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","HMO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Blue Cross Blue Shield","PPO","",,"71",,"117.9","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Ambetter","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Caresource","Health Exchange","",,"62",,"103.54","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Cigna","Commercial","",,"59",,"97.86","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Humana","Commercial","",,"78",,"129.43","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","UHC","Commercial","",,"75",,"125.92","61.12","129.43","percent of total billed charges",,
"NEW PT LEVEL 4 ONCOLOGY","99205","HCPCS","Both",,,"167","83.5","Medicaid",,"",,"37",,"61.12","61.12","129.43","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Alliant","Health Exchange","",,"62",,"64.54","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Pruitt Healthcare","Medicare Advantage","",,"54",,"56.21","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Medicare",,"",,"54",,"56.42","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Humana","Medicare Advantage","",,"54",,"56.42","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","UHC","Medicare Advantage","",,"54",,"56.42","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Clover","Medicare Advantage","",,"54",,"56.42","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Wellcare","Medicare Advantage","",,"54",,"56.42","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Amerigroup","Medicaid Managed Care","",,"37",,"38.1","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Caresource","Medicaid Managed Care","",,"40",,"41.64","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Wellcare","Medicaid Managed Care","",,"40",,"42.16","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Aetna","Commercial","",,"64",,"66.42","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Blue Cross Blue Shield","Pathways","",,"71",,"73.49","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Blue Cross Blue Shield","HMO","",,"71",,"73.49","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Blue Cross Blue Shield","PPO","",,"71",,"73.49","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Ambetter","Health Exchange","",,"62",,"64.54","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Caresource","Health Exchange","",,"62",,"64.54","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Cigna","Commercial","",,"59",,"61","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Humana","Commercial","",,"78",,"80.68","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","UHC","Commercial","",,"75",,"78.49","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 2 ONCOLOGY","99243","HCPCS","Both",,,"104.1","52.05","Medicaid",,"",,"37",,"38.1","38.06","80.68","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Alliant","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"82.35","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Medicare",,"",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Humana","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","UHC","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Clover","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Wellcare","Medicare Advantage","",,"54",,"82.66","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Amerigroup","Medicaid Managed Care","",,"37",,"55.82","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Caresource","Medicaid Managed Care","",,"40",,"61","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Wellcare","Medicaid Managed Care","",,"40",,"61.76","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Aetna","Commercial","",,"64",,"97.3","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","Pathways","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","HMO","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Blue Cross Blue Shield","PPO","",,"71",,"107.66","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Ambetter","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Caresource","Health Exchange","",,"62",,"94.55","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Cigna","Commercial","",,"59",,"89.36","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Humana","Commercial","",,"78",,"118.19","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","UHC","Commercial","",,"75",,"114.98","55.82","118.19","percent of total billed charges",,
"OP CONSULT LEVEL 3 ONCOLOGY","99244","HCPCS","Both",,,"152.5","76.25","Medicaid",,"",,"37",,"55.82","55.82","118.19","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Alliant","Health Exchange","",,"62",,"2645.23","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"2303.91","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Medicare",,"",,"54",,"2312.44","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Humana","Medicare Advantage","",,"54",,"2312.44","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","UHC","Medicare Advantage","",,"54",,"2312.44","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Clover","Medicare Advantage","",,"54",,"2312.44","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Wellcare","Medicare Advantage","",,"54",,"2312.44","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Amerigroup","Medicaid Managed Care","",,"37",,"1561.54","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Caresource","Medicaid Managed Care","",,"40",,"1706.6","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Wellcare","Medicaid Managed Care","",,"40",,"1727.93","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Aetna","Commercial","",,"64",,"2722.03","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Blue Cross Blue Shield","Pathways","",,"71",,"3012.15","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Blue Cross Blue Shield","HMO","",,"71",,"3012.15","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Blue Cross Blue Shield","PPO","",,"71",,"3012.15","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Ambetter","Health Exchange","",,"62",,"2645.23","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Caresource","Health Exchange","",,"62",,"2645.23","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Cigna","Commercial","",,"59",,"2500.17","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Humana","Commercial","",,"78",,"3306.54","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","UHC","Commercial","",,"75",,"3216.94","1561.54","3306.54","percent of total billed charges",,
"SLEEP TEST NPSG","95810","HCPCS","Both",,,"4266.5","2133.25","Medicaid",,"",,"37",,"1561.54","1561.54","3306.54","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Alliant","Health Exchange","",,"62",,"1869.3","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1628.1","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Medicare",,"",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Humana","Medicare Advantage","",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","UHC","Medicare Advantage","",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Clover","Medicare Advantage","",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Wellcare","Medicare Advantage","",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Amerigroup","Medicaid Managed Care","",,"37",,"1103.49","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Caresource","Medicaid Managed Care","",,"40",,"1206","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Wellcare","Medicaid Managed Care","",,"40",,"1221.08","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Aetna","Commercial","",,"64",,"1923.57","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Blue Cross Blue Shield","Pathways","",,"71",,"2128.59","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Blue Cross Blue Shield","HMO","",,"71",,"2128.59","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Blue Cross Blue Shield","PPO","",,"71",,"2128.59","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Ambetter","Health Exchange","",,"62",,"1869.3","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Caresource","Health Exchange","",,"62",,"1869.3","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Cigna","Commercial","",,"59",,"1766.79","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Humana","Commercial","",,"78",,"2336.62","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","UHC","Commercial","",,"75",,"2273.31","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL BY SNARE TECHNIQUE","45385","HCPCS","Both",,,"3015","1507.5","Medicaid",,"",,"37",,"1103.49","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Alliant","Health Exchange","",,"62",,"3293.94","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Pruitt Healthcare","Medicare Advantage","",,"54",,"2868.91","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Medicare",,"",,"54",,"2879.54","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Humana","Medicare Advantage","",,"54",,"2879.54","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","UHC","Medicare Advantage","",,"54",,"2879.54","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Clover","Medicare Advantage","",,"54",,"2879.54","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Wellcare","Medicare Advantage","",,"54",,"2879.54","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Amerigroup","Medicaid Managed Care","",,"37",,"1944.48","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Caresource","Medicaid Managed Care","",,"40",,"2125.12","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Wellcare","Medicaid Managed Care","",,"40",,"2151.68","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Aetna","Commercial","",,"64",,"3389.57","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Blue Cross Blue Shield","Pathways","",,"71",,"3750.84","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Blue Cross Blue Shield","HMO","",,"71",,"3750.84","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Blue Cross Blue Shield","PPO","",,"71",,"3750.84","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Ambetter","Health Exchange","",,"62",,"3293.94","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Caresource","Health Exchange","",,"62",,"3293.94","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Cigna","Commercial","",,"59",,"3113.3","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Humana","Commercial","",,"78",,"4117.42","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","UHC","Commercial","",,"75",,"4005.85","1445.7","4117.42","percent of total billed charges",,
"COLONOSCOPY W OR W/O SPECIMEN WASH/BRUSH","45378","HCPCS","Both",,,"5312.8","2656.4","Medicaid",,"",,"37",,"1944.48","1445.7","4117.42","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Alliant","Health Exchange","",,"62",,"639.84","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Pruitt Healthcare","Medicare Advantage","",,"54",,"557.28","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Medicare",,"",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Humana","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","UHC","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Clover","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Wellcare","Medicare Advantage","",,"54",,"559.34","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Amerigroup","Medicaid Managed Care","",,"37",,"377.71","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Caresource","Medicaid Managed Care","",,"40",,"412.8","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Wellcare","Medicaid Managed Care","",,"40",,"417.96","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Aetna","Commercial","",,"64",,"658.42","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Blue Cross Blue Shield","Pathways","",,"71",,"728.59","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Blue Cross Blue Shield","HMO","",,"71",,"728.59","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Blue Cross Blue Shield","PPO","",,"71",,"728.59","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Ambetter","Health Exchange","",,"62",,"639.84","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Caresource","Health Exchange","",,"62",,"639.84","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Cigna","Commercial","",,"59",,"604.75","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Humana","Commercial","",,"78",,"799.8","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","UHC","Commercial","",,"75",,"778.13","377.71","799.8","percent of total billed charges",,
"UPPER GI ENDO DIAG BRUSH / WASH","43235","HCPCS","Both",,,"1032","516","Medicaid",,"",,"37",,"377.71","377.71","799.8","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Alliant","Health Exchange","",,"62",,"1869.3","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Pruitt Healthcare","Medicare Advantage","",,"54",,"1628.1","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Medicare",,"",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Humana","Medicare Advantage","",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","UHC","Medicare Advantage","",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Clover","Medicare Advantage","",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Wellcare","Medicare Advantage","",,"54",,"1634.13","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Amerigroup","Medicaid Managed Care","",,"37",,"1103.49","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Caresource","Medicaid Managed Care","",,"40",,"1206","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Wellcare","Medicaid Managed Care","",,"40",,"1221.08","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Aetna","Commercial","",,"64",,"1923.57","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Blue Cross Blue Shield","Pathways","",,"71",,"2128.59","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Blue Cross Blue Shield","HMO","",,"71",,"2128.59","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Blue Cross Blue Shield","PPO","",,"71",,"2128.59","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Ambetter","Health Exchange","",,"62",,"1869.3","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Caresource","Health Exchange","",,"62",,"1869.3","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Cigna","Commercial","",,"59",,"1766.79","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Humana","Commercial","",,"78",,"2336.62","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","UHC","Commercial","",,"75",,"2273.31","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/REMOVAL TUM POLYP LESIO","45385","HCPCS","Both",,,"3015","1507.5","Medicaid",,"",,"37",,"1103.49","1103.49","2336.62","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Alliant","Health Exchange","",,"62",,"2456.87","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Pruitt Healthcare","Medicare Advantage","",,"54",,"2139.86","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Medicare",,"",,"54",,"2147.78","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Humana","Medicare Advantage","",,"54",,"2147.78","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","UHC","Medicare Advantage","",,"54",,"2147.78","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Clover","Medicare Advantage","",,"54",,"2147.78","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Wellcare","Medicare Advantage","",,"54",,"2147.78","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Amerigroup","Medicaid Managed Care","",,"37",,"1450.35","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Caresource","Medicaid Managed Care","",,"40",,"1585.08","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Wellcare","Medicaid Managed Care","",,"40",,"1604.89","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Aetna","Commercial","",,"64",,"2528.2","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Blue Cross Blue Shield","Pathways","",,"71",,"2797.67","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Blue Cross Blue Shield","HMO","",,"71",,"2797.67","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Blue Cross Blue Shield","PPO","",,"71",,"2797.67","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Ambetter","Health Exchange","",,"62",,"2456.87","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Caresource","Health Exchange","",,"62",,"2456.87","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Cigna","Commercial","",,"59",,"2322.14","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Humana","Commercial","",,"78",,"3071.09","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","UHC","Commercial","",,"75",,"2987.88","1450.35","3071.09","percent of total billed charges",,
"COLONOSCOPY W/BIOPSY","45380","HCPCS","Both",,,"3962.7","1981.35","Medicaid",,"",,"37",,"1450.35","1450.35","3071.09","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Alliant","Health Exchange","",,"62",,"2155.12","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Pruitt Healthcare","Medicare Advantage","",,"54",,"1877.04","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Medicare",,"",,"54",,"1883.99","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Humana","Medicare Advantage","",,"54",,"1883.99","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","UHC","Medicare Advantage","",,"54",,"1883.99","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Clover","Medicare Advantage","",,"54",,"1883.99","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Wellcare","Medicare Advantage","",,"54",,"1883.99","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Amerigroup","Medicaid Managed Care","",,"37",,"1272.22","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Caresource","Medicaid Managed Care","",,"40",,"1390.4","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Wellcare","Medicaid Managed Care","",,"40",,"1407.78","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Aetna","Commercial","",,"64",,"2217.69","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Blue Cross Blue Shield","Pathways","",,"71",,"2454.06","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Blue Cross Blue Shield","HMO","",,"71",,"2454.06","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Blue Cross Blue Shield","PPO","",,"71",,"2454.06","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Ambetter","Health Exchange","",,"62",,"2155.12","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Caresource","Health Exchange","",,"62",,"2155.12","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Cigna","Commercial","",,"59",,"2036.94","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Humana","Commercial","",,"78",,"2693.9","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","UHC","Commercial","",,"75",,"2620.9","1272.22","2693.9","percent of total billed charges",,
"UPPER GI WITH BIOPSY","43239","HCPCS","Both",,,"3476","1738","Medicaid",,"",,"37",,"1272.22","1272.22","2693.9","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G8996 SWALLOW FUNCT LIMIT CURREN","G8996","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G8997 SWALLOW  FUNCT LIMIT PROJEC","G8997","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G8998 SWALLOW FUNCT LIMIT DISCHA","G8998","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G8999 MOTOR SPEECH FUNCT LIMIT CURRE","G8999","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9158 MOTOR SPEECH FUNCT LIMIT DISCH","G9158","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9159 SPOKE LANG COMP FUNT LIMIT CUR","G9159","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9160 SPOKE LANG COMP FUNT LIMIT PROJ","G9160","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9161 SPOKE LANG COMP FUNT LIMIT DISC","G9161","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9162 SPOKE LAN EXPRES FUNT LIMIT CUR","G9162","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9163 SPOKE LAN EXPRES FUNT LIMIT PRO","G9163","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9164 SPOKE LAN EXPRESS FUN LIMIT DIS","G9164","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9165 ATTENTION FUNCT LIMIT CURRENT","G9165","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9166 ATTENTION FUNCT LIMIT PROJECT","G9166","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9167 ATTENTION FUNCT LIMIT DISCHARG","G9167","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9168 MEMORY FUNCT LIMIT CURR","G9168","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9169 MEMORY FUNCT LIMIT PROJECTED","G9169","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9171 VOICE FUNCT LIMIT CURRENT","G9171","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9172 VOICE FUNCT LIMIT PROJECT","G9172","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9173 VOICE FUNCT LIMIT DISCHARGE","G9173","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9174 OTSPCH LAN PATH FUNC LIMIT CURR","G9174","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9175 OTSPCH LANG PATH FUNC LIM PROJ","G9175","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9176 OT SPCH LNG PAT FUN LIMIT DISCH","G9176","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Alliant","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Pruitt Healthcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Medicare",,"GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Humana","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","UHC","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Clover","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Wellcare","Medicare Advantage","GN",,"54",,"0.54","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Amerigroup","Medicaid Managed Care","GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Caresource","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Wellcare","Medicaid Managed Care","GN",,"40",,"0.4","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Aetna","Commercial","GN",,"64",,"0.64","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","Pathways","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","HMO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Blue Cross Blue Shield","PPO","GN",,"71",,"0.71","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Ambetter","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Caresource","Health Exchange","GN",,"62",,"0.62","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Cigna","Commercial","GN",,"59",,"0.59","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Humana","Commercial","GN",,"78",,"0.78","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","UHC","Commercial","GN",,"75",,"0.75","0.37","0.78","percent of total billed charges",,
"ST G9186 MOTOR SPEECH FUNCT LIMIT PROJ","G9186","HCPCS","Both",,,"1","0.5","Medicaid",,"GN",,"37",,"0.37","0.37","0.78","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Alliant","Health Exchange","",,"62",,"752.99","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Pruitt Healthcare","Medicare Advantage","",,"54",,"655.83","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Medicare",,"",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Humana","Medicare Advantage","",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","UHC","Medicare Advantage","",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Clover","Medicare Advantage","",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Wellcare","Medicare Advantage","",,"54",,"658.26","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Amerigroup","Medicaid Managed Care","",,"37",,"444.51","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Caresource","Medicaid Managed Care","",,"40",,"485.8","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Wellcare","Medicaid Managed Care","",,"40",,"491.87","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Aetna","Commercial","",,"64",,"774.85","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Blue Cross Blue Shield","Pathways","",,"71",,"857.44","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Blue Cross Blue Shield","HMO","",,"71",,"857.44","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Blue Cross Blue Shield","PPO","",,"71",,"857.44","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Ambetter","Health Exchange","",,"62",,"752.99","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Caresource","Health Exchange","",,"62",,"752.99","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Cigna","Commercial","",,"59",,"711.7","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Humana","Commercial","",,"78",,"941.24","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","UHC","Commercial","",,"75",,"915.73","13.33","941.24","percent of total billed charges",,
"XR SPINE LUMBOSACRAL MIN 4 VWS","72110","HCPCS","Both",,,"1214.5","607.25","Medicaid",,"",,"37",,"444.51","13.33","941.24","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Alliant","Health Exchange","",,"62",,"156.54","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Pruitt Healthcare","Medicare Advantage","",,"54",,"136.34","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Medicare",,"",,"54",,"136.84","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Humana","Medicare Advantage","",,"54",,"136.84","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","UHC","Medicare Advantage","",,"54",,"136.84","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Clover","Medicare Advantage","",,"54",,"136.84","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Wellcare","Medicare Advantage","",,"54",,"136.84","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Amerigroup","Medicaid Managed Care","",,"37",,"92.41","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Caresource","Medicaid Managed Care","",,"40",,"100.99","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Wellcare","Medicaid Managed Care","",,"40",,"102.25","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Aetna","Commercial","",,"64",,"161.08","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Blue Cross Blue Shield","Pathways","",,"71",,"178.25","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Blue Cross Blue Shield","HMO","",,"71",,"178.25","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Blue Cross Blue Shield","PPO","",,"71",,"178.25","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Ambetter","Health Exchange","",,"62",,"156.54","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Caresource","Health Exchange","",,"62",,"156.54","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Cigna","Commercial","",,"59",,"147.95","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Humana","Commercial","",,"78",,"195.67","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","UHC","Commercial","",,"75",,"190.37","92.41","203.82","percent of total billed charges",,
"US PREGNANT UTERUS COMPL > 14wks0day","76805","HCPCS","Both",,,"252.48","126.24","Medicaid",,"",,"37",,"92.41","92.41","203.82","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Alliant","Health Exchange","",,"62",,"401.76","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Pruitt Healthcare","Medicare Advantage","",,"54",,"349.92","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Medicare",,"",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Humana","Medicare Advantage","",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","UHC","Medicare Advantage","",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Clover","Medicare Advantage","",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Wellcare","Medicare Advantage","",,"54",,"351.22","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Amerigroup","Medicaid Managed Care","",,"37",,"237.17","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Caresource","Medicaid Managed Care","",,"40",,"259.2","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Wellcare","Medicaid Managed Care","",,"40",,"262.44","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Aetna","Commercial","",,"64",,"413.42","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Blue Cross Blue Shield","Pathways","",,"71",,"457.49","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Blue Cross Blue Shield","HMO","",,"71",,"457.49","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Blue Cross Blue Shield","PPO","",,"71",,"457.49","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Ambetter","Health Exchange","",,"62",,"401.76","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Caresource","Health Exchange","",,"62",,"401.76","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Cigna","Commercial","",,"59",,"379.73","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Humana","Commercial","",,"78",,"502.2","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","UHC","Commercial","",,"75",,"488.59","237.17","502.2","percent of total billed charges",,
"US TRANSVAGINAL","76830","HCPCS","Both",,,"648","324","Medicaid",,"",,"37",,"237.17","237.17","502.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Alliant","Health Exchange","",,"62",,"252.96","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Pruitt Healthcare","Medicare Advantage","",,"54",,"220.32","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Medicare",,"",,"54",,"221.14","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Humana","Medicare Advantage","",,"54",,"221.14","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","UHC","Medicare Advantage","",,"54",,"221.14","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Clover","Medicare Advantage","",,"54",,"221.14","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Wellcare","Medicare Advantage","",,"54",,"221.14","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Amerigroup","Medicaid Managed Care","",,"37",,"149.33","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Caresource","Medicaid Managed Care","",,"40",,"163.2","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Wellcare","Medicaid Managed Care","",,"40",,"165.24","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Aetna","Commercial","",,"64",,"260.3","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Blue Cross Blue Shield","Pathways","",,"71",,"288.05","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Blue Cross Blue Shield","HMO","",,"71",,"288.05","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Blue Cross Blue Shield","PPO","",,"71",,"288.05","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Ambetter","Health Exchange","",,"62",,"252.96","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Caresource","Health Exchange","",,"62",,"252.96","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Cigna","Commercial","",,"59",,"239.09","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Humana","Commercial","",,"78",,"316.2","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","UHC","Commercial","",,"75",,"307.63","41.15","316.2","percent of total billed charges",,
"US ABD COMPLETE","76700","HCPCS","Both",,,"408","204","Medicaid",,"",,"37",,"149.33","41.15","316.2","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Alliant","Health Exchange","TC",,"62",,"150.66","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Pruitt Healthcare","Medicare Advantage","TC",,"54",,"131.22","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Medicare",,"TC",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Humana","Medicare Advantage","TC",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","UHC","Medicare Advantage","TC",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Clover","Medicare Advantage","TC",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Wellcare","Medicare Advantage","TC",,"54",,"131.71","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Amerigroup","Medicaid Managed Care","TC",,"37",,"88.94","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Caresource","Medicaid Managed Care","TC",,"40",,"97.2","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Wellcare","Medicaid Managed Care","TC",,"40",,"98.42","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Aetna","Commercial","TC",,"64",,"155.03","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Blue Cross Blue Shield","Pathways","TC",,"71",,"171.56","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Blue Cross Blue Shield","HMO","TC",,"71",,"171.56","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Blue Cross Blue Shield","PPO","TC",,"71",,"171.56","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Ambetter","Health Exchange","TC",,"62",,"150.66","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Caresource","Health Exchange","TC",,"62",,"150.66","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Cigna","Commercial","TC",,"59",,"142.4","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Humana","Commercial","TC",,"78",,"188.32","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","UHC","Commercial","TC",,"75",,"183.22","43.31","188.32","percent of total billed charges",,
"CT AH HEAD OR BRAIN  W/O CONTRAST","70450","HCPCS","Both",,,"243","121.5","Medicaid",,"TC",,"37",,"88.94","43.31","188.32","percent of total billed charges",,