"hospital_Rebound Behavioral Health, LLC"	last_updated_ 2023-12-31	version_1	"hospital_Lancaster, South Carolina"	hospital_address 134 E. Rebound Road		license_  HTL-0912| SC	"To the best of its knowledge and belief, this hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded in this machine-readable file is true, accurate, and complete as of the date indicated in this file"																																																																																																																																																																																																																																				
																																																																																																																																																																																																																																											
description 	code |1	code|1|type	billing_class	setting	drug_unit_of_measurement	drug_type_of_measurement	modifiers	standard_charge | gross	standard_charge|discounted_cash	standard_charge|min	standard_charge | max	standard_charge|[payer_AARP MEDICARE COMPLETE  MANAGED MEDICARE]	standard_charge|[payer_AARP MEDICARE COMPLETE  MANAGED MEDICARE] |percent	standard_charge|[payer_AARP MEDICARE COMPLETE  MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_AARP MEDICARE COMPLETE  MANAGED MEDICARE]	standard_charge|[payer_AETNA|HMO/PPO]	standard_charge|[payer_AETNA|HMO/PPO] |percent	standard_charge|[payer_AETNA|HMO/PPO] |contracting_method	additional_payer_notes |[payer_AETNA|HMO/PPO]	standard_charge|[payer_AETNA MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_AETNA MEDICARE|MANAGED MEDICARE] |percent	standard_charge|[payer_AETNA MEDICARE|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_AETNA MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_AMBETTER|COMMERCIAL]	standard_charge|[payer_AMBETTER|COMMERCIAL] |percent	standard_charge|[payer_AMBETTER|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_AMBETTER|COMMERCIAL]	standard_charge|[payer_BCBS FEDERAL|BLUE CROSS]	standard_charge|[payer_BCBS FEDERAL|BLUE CROSS] |percent	standard_charge|[payer_BCBS FEDERAL|BLUE CROSS] |contracting_method	additional_payer_notes |[payer_BCBS FEDERAL|BLUE CROSS]	standard_charge|[payer_BCBS STATE HEALTH|BLUE CROSS]	standard_charge|[payer_BCBS STATE HEALTH|BLUE CROSS] |percent	standard_charge|[payer_BCBS STATE HEALTH|BLUE CROSS] |contracting_method	additional_payer_notes |[payer_BCBS STATE HEALTH|BLUE CROSS]	standard_charge|[payer_BEACON HEALTH OPTIONS|HMO/PPO]	standard_charge|[payer_BEACON HEALTH OPTIONS|HMO/PPO] |percent	standard_charge|[payer_BEACON HEALTH OPTIONS|HMO/PPO] |contracting_method	additional_payer_notes |[payer_BEACON HEALTH OPTIONS|HMO/PPO]	standard_charge|[payer_BLUE CHOICE HEALTHPLAN SC|MANAGED MEDICAID]	standard_charge|[payer_BLUE CHOICE HEALTHPLAN SC|MANAGED MEDICAID] |percent	standard_charge|[payer_BLUE CHOICE HEALTHPLAN SC|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_BLUE CHOICE HEALTHPLAN SC|MANAGED MEDICAID]	standard_charge|[payer_BLUE CROSS BLUE SHIELD|BLUE CROSS]	standard_charge|[payer_BLUE CROSS BLUE SHIELD|BLUE CROSS] |percent	standard_charge|[payer_BLUE CROSS BLUE SHIELD|BLUE CROSS] |contracting_method	additional_payer_notes |[payer_BLUE CROSS BLUE SHIELD|BLUE CROSS]	standard_charge|[payer_BLUE MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_BLUE MEDICARE|MANAGED MEDICARE] |percent	standard_charge|[payer_BLUE MEDICARE|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_BLUE MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_BRIGHT HEALTHCARE MA|MANAGED MEDICARE]	standard_charge|[payer_BRIGHT HEALTHCARE MA|MANAGED MEDICARE] |percent	standard_charge|[payer_BRIGHT HEALTHCARE MA|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_BRIGHT HEALTHCARE MA|MANAGED MEDICARE]	standard_charge|[payer_CARELON HEALTH|COMMERCIAL]	standard_charge|[payer_CARELON HEALTH|COMMERCIAL] |percent	standard_charge|[payer_CARELON HEALTH|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_CARELON HEALTH|COMMERCIAL]	standard_charge|[payer_CENPATICO|MANAGED MEDICAID]	standard_charge|[payer_CENPATICO|MANAGED MEDICAID] |percent	standard_charge|[payer_CENPATICO|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_CENPATICO|MANAGED MEDICAID]	standard_charge|[payer_CENPATICO MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_CENPATICO MEDICARE|MANAGED MEDICARE] |percent	standard_charge|[payer_CENPATICO MEDICARE|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_CENPATICO MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_CHAMPVA|VETERANS ADMIN]	standard_charge|[payer_CHAMPVA|VETERANS ADMIN] |percent	standard_charge|[payer_CHAMPVA|VETERANS ADMIN] |contracting_method	additional_payer_notes |[payer_CHAMPVA|VETERANS ADMIN]	standard_charge|[payer_CIGNA|HMO/PPO]	standard_charge|[payer_CIGNA|HMO/PPO] |percent	standard_charge|[payer_CIGNA|HMO/PPO] |contracting_method	additional_payer_notes |[payer_CIGNA|HMO/PPO]	standard_charge|[payer_CIGNA MCARE ADV|MANAGED MEDICARE]	standard_charge|[payer_CIGNA MCARE ADV|MANAGED MEDICARE] |percent	standard_charge|[payer_CIGNA MCARE ADV|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_CIGNA MCARE ADV|MANAGED MEDICARE]	standard_charge|[payer_COVENTRY|HMO/PPO]	standard_charge|[payer_COVENTRY|HMO/PPO] |percent	standard_charge|[payer_COVENTRY|HMO/PPO] |contracting_method	additional_payer_notes |[payer_COVENTRY|HMO/PPO]	standard_charge|[payer_CRISIS FUND|LOCAL GOVT]	standard_charge|[payer_CRISIS FUND|LOCAL GOVT] |percent	standard_charge|[payer_CRISIS FUND|LOCAL GOVT] |contracting_method	additional_payer_notes |[payer_CRISIS FUND|LOCAL GOVT]	standard_charge|[payer_EXCELLUS BCBS|MEDICAID: OUT OF STATE]	standard_charge|[payer_EXCELLUS BCBS|MEDICAID: OUT OF STATE] |percent	standard_charge|[payer_EXCELLUS BCBS|MEDICAID: OUT OF STATE] |contracting_method	additional_payer_notes |[payer_EXCELLUS BCBS|MEDICAID: OUT OF STATE]	standard_charge|[payer_FIRST CHOICE VIP CARE PLU|MANAGED MEDICARE]	standard_charge|[payer_FIRST CHOICE VIP CARE PLU|MANAGED MEDICARE] |percent	standard_charge|[payer_FIRST CHOICE VIP CARE PLU|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_FIRST CHOICE VIP CARE PLU|MANAGED MEDICARE]	standard_charge|[payer_FLORIDA MEDICAID|MEDICAID: OUT OF STATE]	standard_charge|[payer_FLORIDA MEDICAID|MEDICAID: OUT OF STATE] |percent	standard_charge|[payer_FLORIDA MEDICAID|MEDICAID: OUT OF STATE] |contracting_method	additional_payer_notes |[payer_FLORIDA MEDICAID|MEDICAID: OUT OF STATE]	standard_charge|[payer_GEORGIA MEDICAID|MEDICAID: OUT OF STATE]	standard_charge|[payer_GEORGIA MEDICAID|MEDICAID: OUT OF STATE] |percent	standard_charge|[payer_GEORGIA MEDICAID|MEDICAID: OUT OF STATE] |contracting_method	additional_payer_notes |[payer_GEORGIA MEDICAID|MEDICAID: OUT OF STATE]	standard_charge|[payer_HEALTHGRAM|COMMERCIAL]	standard_charge|[payer_HEALTHGRAM|COMMERCIAL] |percent	standard_charge|[payer_HEALTHGRAM|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_HEALTHGRAM|COMMERCIAL]	standard_charge|[payer_HUMANA|HMO/PPO]	standard_charge|[payer_HUMANA|HMO/PPO] |percent	standard_charge|[payer_HUMANA|HMO/PPO] |contracting_method	additional_payer_notes |[payer_HUMANA|HMO/PPO]	standard_charge|[payer_HUMANA MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_HUMANA MEDICARE|MANAGED MEDICARE] |percent	standard_charge|[payer_HUMANA MEDICARE|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_HUMANA MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_HUMANA SC MEDICAID|MANAGED MEDICAID]	standard_charge|[payer_HUMANA SC MEDICAID|MANAGED MEDICAID] |percent	standard_charge|[payer_HUMANA SC MEDICAID|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_HUMANA SC MEDICAID|MANAGED MEDICAID]	standard_charge|[payer_MAGELLAN|HMO/PPO]	standard_charge|[payer_MAGELLAN|HMO/PPO] |percent	standard_charge|[payer_MAGELLAN|HMO/PPO] |contracting_method	additional_payer_notes |[payer_MAGELLAN|HMO/PPO]	standard_charge|[payer_MARTINS POINT HEALTH CARE|COMMERCIAL]	standard_charge|[payer_MARTINS POINT HEALTH CARE|COMMERCIAL] |percent	standard_charge|[payer_MARTINS POINT HEALTH CARE|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_MARTINS POINT HEALTH CARE|COMMERCIAL]	standard_charge|[payer_MEDCOST|COMMERCIAL]	standard_charge|[payer_MEDCOST|COMMERCIAL] |percent	standard_charge|[payer_MEDCOST|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_MEDCOST|COMMERCIAL]	standard_charge|[payer_MEDICARE|MEDICARE]	standard_charge|[payer_MEDICARE|MEDICARE] |percent	standard_charge|[payer_MEDICARE|MEDICARE] |contracting_method	additional_payer_notes |[payer_MEDICARE|MEDICARE]	standard_charge|[payer_MERITAIN HEALTH|COMMERCIAL]	standard_charge|[payer_MERITAIN HEALTH|COMMERCIAL] |percent	standard_charge|[payer_MERITAIN HEALTH|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_MERITAIN HEALTH|COMMERCIAL]	standard_charge|[payer_MOLINA COMMERICAL MARKETP|COMMERCIAL]	standard_charge|[payer_MOLINA COMMERICAL MARKETP|COMMERCIAL] |percent	standard_charge|[payer_MOLINA COMMERICAL MARKETP|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_MOLINA COMMERICAL MARKETP|COMMERCIAL]	standard_charge|[payer_MOLINA MEDICAID|MANAGED MEDICAID]	standard_charge|[payer_MOLINA MEDICAID|MANAGED MEDICAID] |percent	standard_charge|[payer_MOLINA MEDICAID|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_MOLINA MEDICAID|MANAGED MEDICAID]	standard_charge|[payer_MOLINA MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_MOLINA MEDICARE|MANAGED MEDICARE] |percent	standard_charge|[payer_MOLINA MEDICARE|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_MOLINA MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_NC MEDICAID|MEDICAID: OUT OF STATE]	standard_charge|[payer_NC MEDICAID|MEDICAID: OUT OF STATE] |percent	standard_charge|[payer_NC MEDICAID|MEDICAID: OUT OF STATE] |contracting_method	additional_payer_notes |[payer_NC MEDICAID|MEDICAID: OUT OF STATE]	standard_charge|[payer_ORANGEBURG MENTAL HEALTH|LOCAL GOVT]	standard_charge|[payer_ORANGEBURG MENTAL HEALTH|LOCAL GOVT] |percent	standard_charge|[payer_ORANGEBURG MENTAL HEALTH|LOCAL GOVT] |contracting_method	additional_payer_notes |[payer_ORANGEBURG MENTAL HEALTH|LOCAL GOVT]	standard_charge|[payer_PAI|BLUE CROSS]	standard_charge|[payer_PAI|BLUE CROSS] |percent	standard_charge|[payer_PAI|BLUE CROSS] |contracting_method	additional_payer_notes |[payer_PAI|BLUE CROSS]	standard_charge|[payer_PARTNERS BH|MANAGED MEDICAID]	standard_charge|[payer_PARTNERS BH|MANAGED MEDICAID] |percent	standard_charge|[payer_PARTNERS BH|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_PARTNERS BH|MANAGED MEDICAID]	standard_charge|[payer_SC DEPT OF MENTAL HEALTH|LOCAL GOVT]	standard_charge|[payer_SC DEPT OF MENTAL HEALTH|LOCAL GOVT] |percent	standard_charge|[payer_SC DEPT OF MENTAL HEALTH|LOCAL GOVT] |contracting_method	additional_payer_notes |[payer_SC DEPT OF MENTAL HEALTH|LOCAL GOVT]	standard_charge|[payer_SC MEDICAID|MEDICAID ]	standard_charge|[payer_SC MEDICAID|MEDICAID ] |percent	standard_charge|[payer_SC MEDICAID|MEDICAID ] |contracting_method	additional_payer_notes |[payer_SC MEDICAID|MEDICAID ]	standard_charge|[payer_SELECT HEALTH OF SC CAID|MANAGED MEDICAID]	standard_charge|[payer_SELECT HEALTH OF SC CAID|MANAGED MEDICAID] |percent	standard_charge|[payer_SELECT HEALTH OF SC CAID|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_SELECT HEALTH OF SC CAID|MANAGED MEDICAID]	standard_charge|[payer_TRICARE EAST|TRICARE]	standard_charge|[payer_TRICARE EAST|TRICARE] |percent	standard_charge|[payer_TRICARE EAST|TRICARE] |contracting_method	additional_payer_notes |[payer_TRICARE EAST|TRICARE]	standard_charge|[payer_TRICARE FOR LIFE|TRICARE]	standard_charge|[payer_TRICARE FOR LIFE|TRICARE] |percent	standard_charge|[payer_TRICARE FOR LIFE|TRICARE] |contracting_method	additional_payer_notes |[payer_TRICARE FOR LIFE|TRICARE]	standard_charge|[payer_TRICARE WEST|TRICARE]	standard_charge|[payer_TRICARE WEST|TRICARE] |percent	standard_charge|[payer_TRICARE WEST|TRICARE] |contracting_method	additional_payer_notes |[payer_TRICARE WEST|TRICARE]	standard_charge|[payer_UMR|HMO/PPO]	standard_charge|[payer_UMR|HMO/PPO] |percent	standard_charge|[payer_UMR|HMO/PPO] |contracting_method	additional_payer_notes |[payer_UMR|HMO/PPO]	standard_charge|[payer_UNICARE MULTIPLAN|COMMERCIAL]	standard_charge|[payer_UNICARE MULTIPLAN|COMMERCIAL] |percent	standard_charge|[payer_UNICARE MULTIPLAN|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_UNICARE MULTIPLAN|COMMERCIAL]	standard_charge|[payer_UNITED HEALTHCARE|HMO/PPO]	standard_charge|[payer_UNITED HEALTHCARE|HMO/PPO] |percent	standard_charge|[payer_UNITED HEALTHCARE|HMO/PPO] |contracting_method	additional_payer_notes |[payer_UNITED HEALTHCARE|HMO/PPO]	standard_charge|[payer_UNITED MEDICARE ADVANTAGE|MANAGED MEDICARE]	standard_charge|[payer_UNITED MEDICARE ADVANTAGE|MANAGED MEDICARE] |percent	standard_charge|[payer_UNITED MEDICARE ADVANTAGE|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_UNITED MEDICARE ADVANTAGE|MANAGED MEDICARE]	standard_charge|[payer_VA CCN OPTUM|VETERANS ADMIN]	standard_charge|[payer_VA CCN OPTUM|VETERANS ADMIN] |percent	standard_charge|[payer_VA CCN OPTUM|VETERANS ADMIN] |contracting_method	additional_payer_notes |[payer_VA CCN OPTUM|VETERANS ADMIN]	standard_charge|[payer_VETERANS AFFAIRS|VETERANS ADMIN]	standard_charge|[payer_VETERANS AFFAIRS|VETERANS ADMIN] |percent	standard_charge|[payer_VETERANS AFFAIRS|VETERANS ADMIN] |contracting_method	additional_payer_notes |[payer_VETERANS AFFAIRS|VETERANS ADMIN]	standard_charge|[payer_VIRGINIA MEDICAID|MEDICAID: OUT OF STATE]	standard_charge|[payer_VIRGINIA MEDICAID|MEDICAID: OUT OF STATE] |percent	standard_charge|[payer_VIRGINIA MEDICAID|MEDICAID: OUT OF STATE] |contracting_method	additional_payer_notes |[payer_VIRGINIA MEDICAID|MEDICAID: OUT OF STATE]	standard_charge|[payer_WELLCARE HEALTH PLAN|MANAGED MEDICAID]	standard_charge|[payer_WELLCARE HEALTH PLAN|MANAGED MEDICAID] |percent	standard_charge|[payer_WELLCARE HEALTH PLAN|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_WELLCARE HEALTH PLAN|MANAGED MEDICAID]	standard_charge|[payer_WELLCARE MEDICAID|MANAGED MEDICAID]	standard_charge|[payer_WELLCARE MEDICAID|MANAGED MEDICAID] |percent	standard_charge|[payer_WELLCARE MEDICAID|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_WELLCARE MEDICAID|MANAGED MEDICAID]	standard_charge|[payer_WELLCARE MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_WELLCARE MEDICARE|MANAGED MEDICARE] |percent	standard_charge|[payer_WELLCARE MEDICARE|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_WELLCARE MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_WEST VIRGINIA MEDICAID|MEDICAID: OUT OF STATE]	standard_charge|[payer_WEST VIRGINIA MEDICAID|MEDICAID: OUT OF STATE] |percent	standard_charge|[payer_WEST VIRGINIA MEDICAID|MEDICAID: OUT OF STATE] |contracting_method	additional_payer_notes |[payer_WEST VIRGINIA MEDICAID|MEDICAID: OUT OF STATE]
ROOM AND BOARD ADULT PSYCH	124	RC	facility	Inpatient				4000.00	900.00	463.95	1275.00	870.00		per diem		984.00		per diem		984.00		per diem						920.00		per diem		920.00		per diem		804.00		per diem						920.00		per diem										781.00		per diem														915.00		per diem						900.00		per diem		600.00		per diem		900.00		per diem														915.00		per diem		1166.00		per diem										975.00		per diem						1275.00		per diem										915.00		per diem										463.95		per diem		600.00		per diem		920.00		per diem		547.24		per diem		600.00		per diem										841.50		per diem		841.50		per diem						895.00		per diem						895.00		per diem		861.00		per diem																													
ROOM AND BOARD ADULT DETOX	126	RC	facility	Inpatient				4000.00	900.00	463.95	1275.00	870.00		per diem		984.00		per diem		984.00		per diem						920.00		per diem		920.00		per diem		804.00		per diem						920.00		per diem										781.00		per diem														915.00		per diem						900.00		per diem		600.00		per diem		900.00		per diem														915.00		per diem		1166.00		per diem										975.00		per diem						1275.00		per diem										915.00		per diem										463.95		per diem		600.00		per diem		920.00		per diem		547.24		per diem		600.00		per diem										841.50		per diem		841.50		per diem						895.00		per diem						895.00		per diem		861.00		per diem																													
PARTIAL HOSPITAL PROGRAM DAILY PROGRAM-Less Intensive	912	RC	facility	Outpatient				900.00	450.00	0.00	430.00	360.00		per diem		426.00		per diem						259.93		per diem		366.00		per diem		366.00		per diem		328.00		per diem						366.00		per diem		259.93		per diem										270.00		per diem		259.93		per diem						376.00		per diem		259.93		per diem		400.00		per diem										259.93		per diem										376.00		per diem						259.93		per diem						420.00		per diem						430.00		per diem		259.93		per diem																		259.93		per diem						366.00		per diem		194.40		per diem														259.93		per diem		259.93		per diem		259.93		per diem		366.00		per diem						342.00		per diem		342.00		per diem		259.93		per diem		259.93		per diem														259.93		per diem					
MOBILE CRISIS RESPONSE PROCESS GRP 1	915	RC	facility	Outpatient				225.00	225.00	259.93	426.00									426.00		per diem		259.93		per diem																						259.93		per diem														259.93		per diem										259.93		per diem														259.93		per diem																		259.93		per diem																		259.93		per diem														259.93		per diem																														259.93		per diem																										259.93		per diem		259.93		per diem														259.93		per diem					
MOBILE CRISIS RESPONSE PSYCH ED GRP 1	942	RC	facility	Outpatient				225.00	225.00	0.00	270.00									270.00		per diem																																																																																																																																																																																																																					
PARTIAL HOSPITAL PROGRAM DAILY PROGRAM-Intensive	913	RC	facility	Outpatient				225.00	225.00	0.00	270.00									270.00		per diem																																																																																																																																																																																																																					
Initial Eval - No Medical	90791	RC	facility	Profees				434.00	0.00	434.00	434.00	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 
Initial Eval - With Medical	90792	RC	facility	Profees				434.00	0.00	434.00	434.00	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 	434.00		fee schedule	Rates based on patient diagnose 
Initial Hospital Care (30 Min)	99221	RC	facility	Profees				280.00	0.00	280.00	280.00	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 
Initial Hospital Care (50 Min)	99222	RC	facility	Profees				294.00	0.00	294.00	294.00	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 	294.00		fee schedule	Rates based on patient diagnose 
Initial Hospital Care (70 Min)	99223	RC	facility	Profees				350.00	0.00	350.00	350.00	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 	350.00		fee schedule	Rates based on patient diagnose 
Subseq Care (15 Min)	99231	RC	facility	Profees				168.00	0.00	168.00	168.00	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 	168.00		fee schedule	Rates based on patient diagnose 
Subseq Care (25 Min)	99232	RC	facility	Profees				196.00	0.00	196.00	196.00	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 	196.00		fee schedule	Rates based on patient diagnose 
Subseq Care (35 Min)	99233	RC	facility	Profees				280.00	0.00	280.00	280.00	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 	280.00		fee schedule	Rates based on patient diagnose 
Discharge Day Mgmt <30 Min	99238	RC	facility	Profees				224.00	0.00	224.00	224.00	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 
Discharge Day Mgmt >30 Min	99239	RC	facility	Profees				224.00	0.00	224.00	224.00	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	Inclusive		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose 	224.00		fee schedule	Rates based on patient diagnose