CT Scan |
CT HEAD/BRAIN W/O DYE | CPT 70450 | 440922 | Outpatient | $1,155 | $809 | Payer Rates |
CT MAXILLOFACIAL W/O DYE | CPT 70486 | 440962 | Outpatient | $1,155 | $809 | Payer Rates |
CT THORAX DX C- | CPT 71250 | 440935 | Outpatient | $1,155 | $809 | Payer Rates |
CT THORAX DX C+ | CPT 71260 | 440930 | Outpatient | $1,450 | $1,015 | Payer Rates |
CT NECK SPINE W/O DYE | CPT 72125 | 440949 | Outpatient | $1,155 | $809 | Payer Rates |
CT LUMBAR SPINE W/O DYE | CPT 72131 | 440954 | Outpatient | $1,155 | $809 | Payer Rates |
CT PELVIS W/DYE | CPT 72193 | 440940 | Outpatient | $1,618 | $1,133 | Payer Rates |
CT ABD & PELVIS W/O CONTRAST | CPT 74176 | 441006 | Outpatient | $1,042 | $729 | Payer Rates |
CT ABD & PELV W/CONTRAST | CPT 74177 | 441008 | Outpatient | $1,634 | $1,144 | Payer Rates |
CT ABD & PELV W/CONTRAST | CPT 74177 | 441009 | Outpatient | $1,634 | $1,144 | Payer Rates |
CT ABD & PELV 1/> REGNS | CPT 74178 | 441007 | Outpatient | $2,069 | $1,448 | Payer Rates |
Cardiology |
CARDIOVASCULAR STRESS TEST | CPT 93017 | 540005 | Outpatient | $549 | $384 | Payer Rates |
TTE W/DOPPLER COMPLETE | CPT 93306 | 280136 | Outpatient | $1,289 | $902 | Payer Rates |
Clinic |
OFFICE O/P NEW LOW 30-44 MIN | CPT 99203 | 580021 | Outpatient | $180 | $126 | Payer Rates |
OFFICE O/P NEW MOD 45-59 MIN | CPT 99204 | 580022 | Outpatient | $265 | $186 | Payer Rates |
OFFICE O/P NEW HI 60-74 MIN | CPT 99205 | 580023 | Outpatient | $360 | $252 | Payer Rates |
(Not Offered) PATIENT OFFICE CONSULTATION, 40 MIN | CPT 99243 | - | - | - | - | - |
(Not Offered) PATIENT OFFICE CONSULTATION, 60 MIN | CPT 99244 | - | - | - | - | - |
PREV VISIT NEW AGE 18-39 | CPT 99385 | 580304 | Outpatient | $300 | $210 | Payer Rates |
PREV VISIT NEW AGE 40-64 | CPT 99386 | 580294 | Outpatient | $325 | $227 | Payer Rates |
EKG |
(Not Offered) ELECTROCARDIOGRAM, ROUTINE, WITH INTERPRETAT ... | CPT 93000 | - | - | - | - | - |
ELECTROCARDIOGRAM TRACING | CPT 93005 | 260000 | Outpatient | $290 | $203 | Payer Rates |
ELECTROCARDIOGRAM TRACING | CPT 93005 (76) | 260001 | Outpatient | $290 | $203 | Payer Rates |
RHYTHM ECG TRACING | CPT 93041 | 560329 | Outpatient | $130 | $91 | Payer Rates |
Emergency Room |
RPR S/N/AX/GEN/TRNK 2.5CM/< | CPT 12001 | 130312 | Outpatient | $362 | $253 | Payer Rates |
RPR S/N/AX/GEN/TRNK2.6-7.5CM | CPT 12002 | 130313 | Outpatient | $362 | $253 | Payer Rates |
RPR F/E/E/N/L/M 2.5 CM/< | CPT 12011 | 130317 | Outpatient | $362 | $253 | Payer Rates |
RPR F/E/E/N/L/M 2.6-5.0 CM | CPT 12013 | 130318 | Outpatient | $362 | $253 | Payer Rates |
APPLY FOREARM SPLINT | CPT 29125 (LT) | 130736 | Outpatient | $360 | $252 | Payer Rates |
PLACE NEEDLE IN VEIN | CPT 36000 | 130546 | Outpatient | $123 | $86 | Payer Rates |
INSERT TEMP BLADDER CATH | CPT 51702 | 130397 | Outpatient | $360 | $252 | Payer Rates |
IMMUNIZATION ADMIN | CPT 90471 | 130432 | Outpatient | $146 | $102 | Payer Rates |
EMERGENCY DEPT VISIT | CPT 99281 | 130415 | Outpatient | $166 | $116 | Payer Rates |
EMERGENCY DEPT VISIT | CPT 99282 | 130416 | Outpatient | $308 | $216 | Payer Rates |
EMERGENCY DEPT VISIT | CPT 99283 | 130417 | Outpatient | $542 | $379 | Payer Rates |
EMERGENCY DEPT VISIT | CPT 99283 (25) | 130504 | Outpatient | $542 | $379 | Payer Rates |
EMERGENCY DEPT VISIT | CPT 99284 | 130418 | Outpatient | $912 | $638 | Payer Rates |
EMERGENCY DEPT VISIT | CPT 99284 (25) | 130505 | Outpatient | $912 | $638 | Payer Rates |
EMERGENCY DEPT VISIT | CPT 99285 | 130419 | Outpatient | $1,346 | $942 | Payer Rates |
EMERGENCY DEPT VISIT | CPT 99285 (25) | 130506 | Outpatient | $1,346 | $942 | Payer Rates |
CRITICAL CARE FIRST HOUR | CPT 99291 (25) | 130500 | Outpatient | $1,794 | $1,256 | Payer Rates |
Gastro-Intestinal |
EGD DIAGNOSTIC BRUSH WASH | CPT 43235 | 100839 | Outpatient | $2,036 | $1,425 | Payer Rates |
EGD BIOPSY SINGLE/MULTIPLE | CPT 43239 (59) | 100411 | Outpatient | $2,036 | $1,425 | Payer Rates |
EGD BIOPSY SINGLE/MULTIPLE | CPT 43239 (59) | 100412 | Outpatient | $2,036 | $1,425 | Payer Rates |
EGD BIOPSY SINGLE/MULTIPLE | CPT 43239 | 100840 | Outpatient | $2,036 | $1,425 | Payer Rates |
DIAGNOSTIC COLONOSCOPY | CPT 45378 (73) | 100829 | Outpatient | $2,265 | $1,586 | Payer Rates |
DIAGNOSTIC COLONOSCOPY | CPT 45378 | 100835 | Outpatient | $2,158 | $1,511 | Payer Rates |
COLONOSCOPY AND BIOPSY | CPT 45380 (59) | 100427 | Outpatient | $2,158 | $1,511 | Payer Rates |
COLONOSCOPY AND BIOPSY | CPT 45380 | 100837 | Outpatient | $2,324 | $1,627 | Payer Rates |
COLONOSCOPY W/LESION REMOVAL | CPT 45385 | 100420 | Outpatient | $2,324 | $1,627 | Payer Rates |
COLONOSCOPY W/LESION REMOVAL | CPT 45385 (59) | 100425 | Outpatient | $2,158 | $1,511 | Payer Rates |
IV Therapy |
HYDRATION IV INFUSION INIT | CPT 96360 | 130406 | Outpatient | $425 | $298 | Payer Rates |
HYDRATION IV INFUSION INIT | CPT 96360 (59) | 130893 | Outpatient | $425 | $298 | Payer Rates |
HYDRATE IV INFUSION ADD-ON | CPT 96361 | 1003 | Outpatient | $90 | $63 | Payer Rates |
HYDRATE IV INFUSION ADD-ON | CPT 96361 | 130827 | Outpatient | $90 | $63 | Payer Rates |
HYDRATE IV INFUSION ADD-ON | CPT 96361 | 130892 | Outpatient | $90 | $63 | Payer Rates |
THER/PROPH/DIAG IV INF INIT | CPT 96365 | 130426 | Outpatient | $474 | $332 | Payer Rates |
THER/PROPH/DIAG IV INF INIT | CPT 96365 (59) | 130895 | Outpatient | $474 | $332 | Payer Rates |
THER/PROPH/DIAG IV INF ADDON | CPT 96366 | 1008 | Outpatient | $82 | $57 | Payer Rates |
THER/PROPH/DIAG IV INF ADDON | CPT 96366 | 130626 | Outpatient | $89 | $62 | Payer Rates |
TX/PROPH/DG ADDL SEQ IV INF | CPT 96367 | 130625 | Outpatient | $286 | $200 | Payer Rates |
THER/PROPH/DIAG INJ SC/IM | CPT 96372 | 1002 | Outpatient | $162 | $113 | Payer Rates |
THER/PROPH/DIAG INJ SC/IM | CPT 96372 | 130425 | Outpatient | $162 | $113 | Payer Rates |
THER/PROPH/DIAG INJ SC/IM | CPT 96372 | 130890 | Outpatient | $162 | $113 | Payer Rates |
THER/PROPH/DIAG INJ IV PUSH | CPT 96374 | 1009 | Outpatient | $425 | $298 | Payer Rates |
THER/PROPH/DIAG INJ IV PUSH | CPT 96374 | 130427 | Outpatient | $425 | $298 | Payer Rates |
THER/PROPH/DIAG INJ IV PUSH | CPT 96374 | 130475 | Outpatient | $425 | $298 | Payer Rates |
TX/PRO/DX INJ NEW DRUG ADDON | CPT 96375 | 1101 | Outpatient | $257 | $180 | Payer Rates |
TX/PRO/DX INJ NEW DRUG ADDON | CPT 96375 | 130627 | Outpatient | $257 | $180 | Payer Rates |
TX/PRO/DX INJ NEW DRUG ADDON | CPT 96375 | 130891 | Outpatient | $257 | $180 | Payer Rates |
TX/PRO/DX INJ SAME DRUG ADON | CPT 96376 | 1124 | Outpatient | $135 | $95 | Payer Rates |
TX/PRO/DX INJ SAME DRUG ADON | CPT 96376 | 130490 | Outpatient | $135 | $95 | Payer Rates |
Imaging |
US EXAM OF HEAD AND NECK | CPT 76536 | 400080 | Outpatient | $417 | $292 | Payer Rates |
US EXAM ABDOM COMPLETE | CPT 76700 | 400001 | Outpatient | $417 | $292 | Payer Rates |
ECHO EXAM OF ABDOMEN | CPT 76705 | 400030 | Outpatient | $380 | $266 | Payer Rates |
OB US < 14 WKS SINGLE FETUS | CPT 76801 | 400050 | Outpatient | $554 | $388 | Payer Rates |
OB US >= 14 WKS SNGL FETUS | CPT 76805 | 400110 | Outpatient | $554 | $388 | Payer Rates |
OB US LIMITED FETUS(S) | CPT 76815 | 400022 | Outpatient | $380 | $266 | Payer Rates |
TRANSVAGINAL US OBSTETRIC | CPT 76817 | 400098 | Outpatient | $554 | $388 | Payer Rates |
FETAL BIOPHYS PROFIL W/O NST | CPT 76819 | 400113 | Outpatient | $554 | $388 | Payer Rates |
TRANSVAGINAL US NON-OB | CPT 76830 | 400097 | Outpatient | $554 | $388 | Payer Rates |
US EXAM PELVIC COMPLETE | CPT 76856 | 400045 | Outpatient | $554 | $388 | Payer Rates |
US EXAM SCROTUM | CPT 76870 | 400052 | Outpatient | $554 | $388 | Payer Rates |
(Not Offered) MAMMOGRAPHY OF ONE BREAST | CPT 77065 | - | - | - | - | - |
(Not Offered) MAMMOGRAPHY OF BOTH BREASTS | CPT 77066 | - | - | - | - | - |
(Not Offered) MAMMOGRAPHY, SCREENING, BILATERAL | CPT 77067 | - | - | - | - | - |
Inpatient Procedures |
(Not Offered) CARDIAC VALVE OR CARDIOTHORACIC PROCEDURE WI ... | DRG 216 | - | - | - | - | - |
(Not Offered) SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | DRG 460 | - | - | - | - | - |
(Not Offered) MAJOR JOINT REPLACEMENT OR REATTACHMENT OF L ... | DRG 470 | - | - | - | - | - |
(Not Offered) CERVICAL SPINAL FUSION WITHOUT CC OR MCC | DRG 473 | - | - | - | - | - |
(Not Offered) UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGN ... | DRG 743 | - | - | - | - | - |
Labor and Delivery |
FETAL NON-STRESS TEST | CPT 59025 | 40022 | Outpatient | $403 | $282 | Payer Rates |
Laboratory |
BIOFIRE GI PANEL | CPT 0097U | 201216 | Outpatient | $727 | $509 | Payer Rates |
BIOFIRE RESP PANEL WITH COVID-19 | CPT 0202U | 201249 | Outpatient | $834 | $584 | Payer Rates |
ROUTINE VENIPUNCTURE | CPT 36415 | 200990 | Outpatient | $9 | $6 | Payer Rates |
CAPILLARY BLOOD DRAW | CPT 36416 | 200997 | Outpatient | $9 | $6 | Payer Rates |
WITHDRAWAL OF ARTERIAL BLOOD | CPT 36600 | 520398 | Outpatient | $522 | $365 | Payer Rates |
METABOLIC PANEL IONIZED CA | CPT 80047 | 200124 | Outpatient | $70 | $49 | Payer Rates |
METABOLIC PANEL TOTAL CA | CPT 80048 | 200133 | Outpatient | $70 | $49 | Payer Rates |
COMPREHEN METABOLIC PANEL | CPT 80053 | 200135 | Outpatient | $105 | $74 | Payer Rates |
OBSTETRIC PANEL | CPT 80055 | 202066 | Outpatient | $413 | $289 | Payer Rates |
LIPID PANEL | CPT 80061 | 200300 | Outpatient | $133 | $93 | Payer Rates |
LIPID PANEL | CPT 80061 | 200301 | Outpatient | $133 | $93 | Payer Rates |
RENAL FUNCTION PANEL | CPT 80069 | 200136 | Outpatient | $105 | $74 | Payer Rates |
ACUTE HEPATITIS PANEL | CPT 80074 | 200823 | Outpatient | $147 | $103 | Payer Rates |
HEPATIC FUNCTION PANEL | CPT 80076 | 200132 | Outpatient | $70 | $49 | Payer Rates |
DRUG ASSAY ACETAMINOPHEN | CPT 80143 | 200319 | Outpatient | $140 | $98 | Payer Rates |
ASSAY CARBAMAZEPINE TOTAL | CPT 80156 | 200848 | Outpatient | $45 | $31 | Payer Rates |
ASSAY OF DIGOXIN TOTAL | CPT 80162 | 200154 | Outpatient | $105 | $74 | Payer Rates |
ASSAY DIPROPYLACETIC ACD TOT | CPT 80164 | 200879 | Outpatient | $105 | $74 | Payer Rates |
DRUG SCRN QUAN LEVETIRACETAM | CPT 80177 | 200163 | Outpatient | $41 | $29 | Payer Rates |
DRUG ASSAY SALICYLATE | CPT 80179 | 200311 | Outpatient | $105 | $74 | Payer Rates |
ASSAY OF PHENOBARBITAL | CPT 80184 | 200847 | Outpatient | $77 | $54 | Payer Rates |
ASSAY OF PHENYTOIN TOTAL | CPT 80185 | 200251 | Outpatient | $105 | $74 | Payer Rates |
ASSAY OF TACROLIMUS | CPT 80197 | 201023 | Outpatient | $42 | $29 | Payer Rates |
ASSAY OF VANCOMYCIN | CPT 80202 | 201083 | Outpatient | $119 | $83 | Payer Rates |
ASSAY OF VANCOMYCIN | CPT 80202 | 201084 | Outpatient | $119 | $83 | Payer Rates |
DRUG TEST PRSMV DIR OPT OBS | CPT 80305 | 200721 | Outpatient | $63 | $44 | Payer Rates |
ALCOHOLS BIOMARKERS 1OR 2 | CPT 80321 | 200310 | Outpatient | $91 | $64 | Payer Rates |
(Not Offered) URINALYSIS TEST USING MICROSCOPE | CPT 81000 | - | - | - | - | - |
URINALYSIS AUTO W/SCOPE | CPT 81001 | 200501 | Outpatient | $35 | $25 | Payer Rates |
URINALYSIS NONAUTO W/O SCOPE | CPT 81002 | 200513 | Outpatient | $16 | $11 | Payer Rates |
URINALYSIS AUTO W/O SCOPE | CPT 81003 | 200511 | Outpatient | $14 | $10 | Payer Rates |
URINE PREGNANCY TEST | CPT 81025 | 200503 | Outpatient | $42 | $29 | Payer Rates |
TEST FOR ACETONE/KETONES | CPT 82009 | 200806 | Outpatient | $28 | $20 | Payer Rates |
ASSAY OF SERUM ALBUMIN | CPT 82040 | 200324 | Outpatient | $35 | $25 | Payer Rates |
UR ALBUMIN QUANTITATIVE | CPT 82043 | 200089 | Outpatient | $18 | $13 | Payer Rates |
ALPHA-FETOPROTEIN SERUM | CPT 82105 | 200403 | Outpatient | $96 | $67 | Payer Rates |
ASSAY OF AMMONIA | CPT 82140 | 200829 | Outpatient | $105 | $74 | Payer Rates |
ASSAY OF AMYLASE | CPT 82150 | 200216 | Outpatient | $49 | $34 | Payer Rates |
BILIRUBIN TOTAL | CPT 82247 | 200328 | Outpatient | $41 | $29 | Payer Rates |
BILIRUBIN TOTAL | CPT 82247 | 200329 | Outpatient | $41 | $29 | Payer Rates |
BILIRUBIN DIRECT | CPT 82248 | 200323 | Outpatient | $41 | $29 | Payer Rates |
BILIRUBIN DIRECT | CPT 82248 | 200327 | Outpatient | $41 | $29 | Payer Rates |
VITAMIN D 25 HYDROXY | CPT 82306 | 200074 | Outpatient | $91 | $64 | Payer Rates |
ASSAY OF CK (CPK) | CPT 82550 | 200214 | Outpatient | $37 | $26 | Payer Rates |
CREATINE MB FRACTION | CPT 82553 | 200218 | Outpatient | $49 | $34 | Payer Rates |
ASSAY OF URINE CREATININE | CPT 82570 | 200322 | Outpatient | $16 | $11 | Payer Rates |
VITAMIN B-12 | CPT 82607 | 200160 | Outpatient | $47 | $33 | Payer Rates |
VIT D 1 25-DIHYDROXY | CPT 82652 | 200075 | Outpatient | $119 | $83 | Payer Rates |
ASSAY OF TOTAL ESTRADIOL | CPT 82670 | 200909 | Outpatient | $86 | $60 | Payer Rates |
ASSAY OF ESTRIOL | CPT 82677 | 200401 | Outpatient | $139 | $97 | Payer Rates |
ASSAY OF FERRITIN | CPT 82728 | 200837 | Outpatient | $42 | $29 | Payer Rates |
ASSAY OF FOLIC ACID SERUM | CPT 82746 | 200159 | Outpatient | $45 | $31 | Payer Rates |
BLOOD GASES ANY COMBINATION | CPT 82803 | 520397 | Outpatient | $167 | $117 | Payer Rates |
ASSAY GLUCOSE BLOOD QUANT | CPT 82947 | 200302 | Outpatient | $36 | $25 | Payer Rates |
GLUCOSE TEST | CPT 82950 | 200130 | Outpatient | $38 | $27 | Payer Rates |
GLUCOSE TOLERANCE TEST (GTT) | CPT 82951 | 200333 | Outpatient | $98 | $69 | Payer Rates |
GTT-ADDED SAMPLES | CPT 82952 | 200330 | Outpatient | $23 | $16 | Payer Rates |
GLUCOSE BLOOD TEST | CPT 82962 | 200404 | Outpatient | $36 | $25 | Payer Rates |
ASSAY OF GONADOTROPIN (FSH) | CPT 83001 | 200801 | Outpatient | $57 | $40 | Payer Rates |
ASSAY OF GONADOTROPIN (LH) | CPT 83002 | 200800 | Outpatient | $57 | $40 | Payer Rates |
GLYCOSYLATED HEMOGLOBIN TEST | CPT 83036 | 200838 | Outpatient | $70 | $49 | Payer Rates |
ASSAY OF IRON | CPT 83540 | 200317 | Outpatient | $20 | $14 | Payer Rates |
IRON BINDING TEST | CPT 83550 | 200318 | Outpatient | $27 | $19 | Payer Rates |
ASSAY OF LACTIC ACID | CPT 83605 | 200405 | Outpatient | $70 | $49 | Payer Rates |
LACTATE (LD) (LDH) ENZYME | CPT 83615 | 200213 | Outpatient | $19 | $13 | Payer Rates |
ASSAY OF LEAD | CPT 83655 | 200937 | Outpatient | $69 | $48 | Payer Rates |
ASSAY OF LIPASE | CPT 83690 | 200906 | Outpatient | $56 | $39 | Payer Rates |
ASSAY OF BLOOD LIPOPROTEIN | CPT 83721 | 200024 | Outpatient | $84 | $59 | Payer Rates |
ASSAY OF MAGNESIUM | CPT 83735 | 200107 | Outpatient | $49 | $34 | Payer Rates |
ASSAY OF NATRIURETIC PEPTIDE | CPT 83880 | 201019 | Outpatient | $194 | $136 | Payer Rates |
ASSAY OF PARATHORMONE | CPT 83970 | 200716 | Outpatient | $127 | $89 | Payer Rates |
ASSAY OF PHOSPHORUS | CPT 84100 | 200106 | Outpatient | $35 | $25 | Payer Rates |
ASSAY OF SERUM POTASSIUM | CPT 84132 | 200102 | Outpatient | $36 | $25 | Payer Rates |
ASSAY OF PROGESTERONE | CPT 84144 | 200804 | Outpatient | $64 | $45 | Payer Rates |
PROCALCITONIN (PCT) | CPT 84145 | 201254 | Outpatient | $68 | $48 | Payer Rates |
ASSAY OF PSA TOTAL | CPT 84153 | 200137 | Outpatient | $112 | $78 | Payer Rates |
ASSAY OF PSA TOTAL | CPT 84153 | 200874 | Outpatient | $106 | $74 | Payer Rates |
ASSAY OF PSA FREE | CPT 84154 | 201018 | Outpatient | $112 | $78 | Payer Rates |
ASSAY OF PROTEIN URINE | CPT 84156 | 200731 | Outpatient | $11 | $8 | Payer Rates |
ASSAY OF PROTEIN URINE | CPT 84156 | 200739 | Outpatient | $55 | $39 | Payer Rates |
ASSAY OF FREE TESTOSTERONE | CPT 84402 | 200022 | Outpatient | $147 | $103 | Payer Rates |
ASSAY OF TOTAL TESTOSTERONE | CPT 84403 | 200803 | Outpatient | $80 | $56 | Payer Rates |
ASSAY OF TOTAL THYROXINE | CPT 84436 | 200152 | Outpatient | $49 | $34 | Payer Rates |
ASSAY OF FREE THYROXINE | CPT 84439 | 200165 | Outpatient | $77 | $54 | Payer Rates |
ASSAY THYROID STIM HORMONE | CPT 84443 | 200153 | Outpatient | $105 | $74 | Payer Rates |
TRANSFERASE (AST) (SGOT) | CPT 84450 | 200210 | Outpatient | $35 | $25 | Payer Rates |
ALANINE AMINO (ALT) (SGPT) | CPT 84460 | 200211 | Outpatient | $35 | $25 | Payer Rates |
ASSAY OF TRANSFERRIN | CPT 84466 | 200982 | Outpatient | $91 | $64 | Payer Rates |
FREE ASSAY (FT-3) | CPT 84481 | 200064 | Outpatient | $52 | $36 | Payer Rates |
ASSAY OF TROPONIN QUANT | CPT 84484 | 200109 | Outpatient | $84 | $59 | Payer Rates |
ASSAY OF TROPONIN QUANT | CPT 84484 | 201215 | Outpatient | $38 | $27 | Payer Rates |
ASSAY OF BLOOD/URIC ACID | CPT 84550 | 200305 | Outpatient | $14 | $10 | Payer Rates |
CHORIONIC GONADOTROPIN TEST | CPT 84702 | 200157 | Outpatient | $105 | $74 | Payer Rates |
CHORIONIC GONADOTROPIN TEST | CPT 84702 | 200402 | Outpatient | $101 | $71 | Payer Rates |
CHORIONIC GONADOTROPIN ASSAY | CPT 84703 | 200100 | Outpatient | $56 | $39 | Payer Rates |
HEMATOCRIT | CPT 85014 | 200000 | Outpatient | $25 | $18 | Payer Rates |
HEMOGLOBIN | CPT 85018 | 200008 | Outpatient | $25 | $18 | Payer Rates |
COMPLETE CBC W/AUTO DIFF WBC | CPT 85025 | 200018 | Outpatient | $50 | $35 | Payer Rates |
COMPLETE CBC AUTOMATED | CPT 85027 | 200003 | Outpatient | $50 | $35 | Payer Rates |
MANUAL RETICULOCYTE COUNT | CPT 85044 | 200006 | Outpatient | $28 | $20 | Payer Rates |
FIBRIN DEGRADE SEMIQUANT | CPT 85378 | 200023 | Outpatient | $56 | $39 | Payer Rates |
FIBRIN DEGRADATION QUANT | CPT 85379 | 200021 | Outpatient | $25 | $18 | Payer Rates |
PROTHROMBIN TIME | CPT 85610 | 200011 | Outpatient | $61 | $43 | Payer Rates |
RBC SED RATE NONAUTOMATED | CPT 85651 | 200005 | Outpatient | $28 | $20 | Payer Rates |
THROMBOPLASTIN TIME PARTIAL | CPT 85730 | 200012 | Outpatient | $41 | $29 | Payer Rates |
ALLG SPEC IGE CRUDE XTRC EA | CPT 86003 | 200767 | Outpatient | $35 | $25 | Payer Rates |
ALLG SPEC IGE CRUDE XTRC EA | CPT 86003 | 201070 | Outpatient | $27 | $19 | Payer Rates |
ANTINUCLEAR ANTIBODIES | CPT 86038 | 200709 | Outpatient | $37 | $26 | Payer Rates |
C-REACTIVE PROTEIN | CPT 86140 | 200757 | Outpatient | $16 | $11 | Payer Rates |
CCP ANTIBODY | CPT 86200 | 200002 | Outpatient | $40 | $28 | Payer Rates |
HETEROPHILE ANTIBODY SCREEN | CPT 86308 | 200704 | Outpatient | $35 | $25 | Payer Rates |
IMMUNOASSAY INFECTIOUS AGENT | CPT 86317 | 200818 | Outpatient | $91 | $64 | Payer Rates |
IA NFCT AB SARSCOV2 COVID19 | CPT 86328 | 201252 | Outpatient | $130 | $91 | Payer Rates |
INHIBIN A | CPT 86336 | 200406 | Outpatient | $89 | $62 | Payer Rates |
RHEUMATOID FACTOR TEST QUAL | CPT 86430 | 200703 | Outpatient | $56 | $39 | Payer Rates |
SYPHILIS TEST NON-TREP QUAL | CPT 86592 | 200706 | Outpatient | $49 | $34 | Payer Rates |
SYPHILIS TEST NON-TREP QUANT | CPT 86593 | 200975 | Outpatient | $49 | $34 | Payer Rates |
HELICOBACTER PYLORI ANTIBODY | CPT 86677 | 200928 | Outpatient | $154 | $108 | Payer Rates |
HERPES SIMPLEX TYPE 1 TEST | CPT 86695 | 200930 | Outpatient | $133 | $93 | Payer Rates |
HIV-1/HIV-2 1 RESULT ANTBDY | CPT 86703 | 201237 | Outpatient | $38 | $27 | Payer Rates |
MUMPS ANTIBODY | CPT 86735 | 200031 | Outpatient | $40 | $28 | Payer Rates |
RUBELLA ANTIBODY | CPT 86762 | 200719 | Outpatient | $44 | $31 | Payer Rates |
RUBEOLA ANTIBODY | CPT 86765 | 200899 | Outpatient | $40 | $28 | Payer Rates |
TREPONEMA PALLIDUM | CPT 86780 | 200694 | Outpatient | $37 | $26 | Payer Rates |
VARICELLA-ZOSTER ANTIBODY | CPT 86787 | 200972 | Outpatient | $40 | $28 | Payer Rates |
HEPATITIS C AB TEST | CPT 86803 | 200911 | Outpatient | $44 | $31 | Payer Rates |
RBC ANTIBODY SCREEN | CPT 86850 | 240003 | Outpatient | $193 | $135 | Payer Rates |
COOMBS TEST DIRECT | CPT 86880 | 240052 | Outpatient | $36 | $25 | Payer Rates |
BLOOD TYPING SEROLOGIC ABO | CPT 86900 | 240001 | Outpatient | $189 | $132 | Payer Rates |
BLOOD TYPING SEROLOGIC ABO | CPT 86900 | 240050 | Outpatient | $23 | $16 | Payer Rates |
BLOOD TYPING SEROLOGIC RH(D) | CPT 86901 | 240009 | Outpatient | $57 | $40 | Payer Rates |
BLOOD TYPING SEROLOGIC RH(D) | CPT 86901 | 240051 | Outpatient | $23 | $16 | Payer Rates |
BLOOD TYPE ANTIGEN DONOR EA | CPT 86902 | 240053 | Outpatient | $147 | $103 | Payer Rates |
COMPATIBILITY TEST SPIN | CPT 86920 | 240035 | Outpatient | $225 | $158 | Payer Rates |
BLOOD CULTURE FOR BACTERIA | CPT 87040 | 200603 | Outpatient | $32 | $22 | Payer Rates |
CULTURE OTHR SPECIMN AEROBIC | CPT 87070 | 200632 | Outpatient | $27 | $19 | Payer Rates |
CULTURE OTHR SPECIMN AEROBIC | CPT 87070 | 200643 | Outpatient | $27 | $19 | Payer Rates |
CULTR BACTERIA EXCEPT BLOOD | CPT 87075 | 200601 | Outpatient | $29 | $20 | Payer Rates |
CULTURE AEROBIC IDENTIFY | CPT 87077 | 200400 | Outpatient | $70 | $49 | Payer Rates |
CULTURE AEROBIC IDENTIFY | CPT 87077 | 200634 | Outpatient | $77 | $54 | Payer Rates |
URINE CULTURE/COLONY COUNT | CPT 87086 | 200633 | Outpatient | $25 | $18 | Payer Rates |
URINE BACTERIA CULTURE | CPT 87088 | 200637 | Outpatient | $63 | $44 | Payer Rates |
FUNGI IDENTIFICATION YEAST | CPT 87106 | 200056 | Outpatient | $67 | $47 | Payer Rates |
DNA/RNA AMPLIFIED PROBE | CPT 87150 | 200664 | Outpatient | $108 | $76 | Payer Rates |
OVA AND PARASITES SMEARS | CPT 87177 | 200620 | Outpatient | $27 | $19 | Payer Rates |
MICROBE SUSCEPTIBLE MIC | CPT 87186 | 200638 | Outpatient | $50 | $35 | Payer Rates |
SMEAR GRAM STAIN | CPT 87205 | 200610 | Outpatient | $13 | $9 | Payer Rates |
SMEAR GRAM STAIN | CPT 87205 | 200615 | Outpatient | $35 | $25 | Payer Rates |
RESPIRATORY SYNCYTIAL AG IF | CPT 87280 | 200898 | Outpatient | $98 | $69 | Payer Rates |
CLOSTRIDIUM AG IA | CPT 87324 | 200856 | Outpatient | $77 | $54 | Payer Rates |
HEPATITIS B SURFACE AG IA | CPT 87340 | 200853 | Outpatient | $32 | $22 | Payer Rates |
INFLUENZA A/B EACH AG IA | CPT 87400 | 201010 | Outpatient | $66 | $46 | Payer Rates |
INFLUENZA A/B EACH AG IA | CPT 87400 (91) | 201011 | Outpatient | $66 | $46 | Payer Rates |
NOS EACH ORGANISM AG IA | CPT 87449 | 200843 | Outpatient | $77 | $54 | Payer Rates |
CHYLMD PNEUM DNA AMP PROBE | CPT 87486 | 201221 | Outpatient | $108 | $76 | Payer Rates |
CHYLMD TRACH DNA AMP PROBE | CPT 87491 | 201049 | Outpatient | $108 | $76 | Payer Rates |
IADNA-DNA/RNA PROBE TQ 6-11 | CPT 87506 | 201234 | Outpatient | $657 | $460 | Payer Rates |
M.PNEUMON DNA AMP PROBE | CPT 87581 | 201220 | Outpatient | $108 | $76 | Payer Rates |
N.GONORRHOEAE DNA AMP PROB | CPT 87591 | 201050 | Outpatient | $108 | $76 | Payer Rates |
RESP VIRUS 12-25 TARGETS | CPT 87633 | 201218 | Outpatient | $1,286 | $900 | Payer Rates |
SARS-COV-2 COVID-19 AMP PRB | CPT 87635 | 201247 | Outpatient | $85 | $59 | Payer Rates |
SARS-COV-2 COVID-19 AMP PRB | CPT 87635 | 201258 | Outpatient | $128 | $90 | Payer Rates |
DETECT AGENT NOS DNA AMP | CPT 87798 | 201219 | Outpatient | $108 | $76 | Payer Rates |
STREP A ASSAY W/OPTIC | CPT 87880 | 200640 | Outpatient | $70 | $49 | Payer Rates |
SPECIMEN HANDLING PT-LAB | CPT 99001 | 200298 | Outpatient | $38 | $27 | Payer Rates |
SPECIMEN HANDLING PT-LAB | CPT 99001 | 200999 | Outpatient | $41 | $29 | Payer Rates |
SPECIMEN HANDLING PT-LAB | CPT 99001 | 201025 | Outpatient | $26 | $18 | Payer Rates |
MRI |
MRI BRAIN STEM W/O DYE | CPT 70551 | 380004 | Outpatient | $2,049 | $1,434 | Payer Rates |
MRI BRAIN STEM W/O & W/DYE | CPT 70553 | 380006 | Outpatient | $2,974 | $2,082 | Payer Rates |
MRI NECK SPINE W/O DYE | CPT 72141 | 380009 | Outpatient | $2,049 | $1,434 | Payer Rates |
MRI CHEST SPINE W/O DYE | CPT 72146 | 380011 | Outpatient | $2,049 | $1,434 | Payer Rates |
MRI LUMBAR SPINE W/O DYE | CPT 72148 | 380013 | Outpatient | $2,049 | $1,434 | Payer Rates |
MRI JOINT UPR EXTREM W/O DYE | CPT 73221 (RT) | 380022 | Outpatient | $2,049 | $1,434 | Payer Rates |
MRI JOINT UPR EXTREM W/O DYE | CPT 73221 (LT) | 380113 | Outpatient | $2,049 | $1,434 | Payer Rates |
MRI JNT OF LWR EXTRE W/O DYE | CPT 73721 (RT) | 380025 | Outpatient | $2,049 | $1,434 | Payer Rates |
MRI JNT OF LWR EXTRE W/O DYE | CPT 73721 (LT) | 380094 | Outpatient | $2,049 | $1,434 | Payer Rates |
Other Diagnostic |
EXTRACRANIAL BILAT STUDY | CPT 93880 | 280018 | Outpatient | $826 | $578 | Payer Rates |
UPR/L XTREMITY ART 2 LEVELS | CPT 93922 | 280008 | Outpatient | $581 | $407 | Payer Rates |
LOWER EXTREMITY STUDY | CPT 93925 | 280105 | Outpatient | $826 | $578 | Payer Rates |
LOWER EXTREMITY STUDY | CPT 93926 (RT) | 280010 | Outpatient | $554 | $388 | Payer Rates |
EXTREMITY STUDY | CPT 93970 | 280014 | Outpatient | $826 | $578 | Payer Rates |
EXTREMITY STUDY | CPT 93971 (RT) | 280015 | Outpatient | $554 | $388 | Payer Rates |
POLYSOM 6/> YRS 4/> PARAM | CPT 95810 (26) | 9001 | Outpatient | $1,639 | $1,147 | Payer Rates |
Other Therapeutic |
BLOOD TRANSFUSION SERVICE | CPT 36430 | 10039 | Outpatient | $857 | $600 | Payer Rates |
BLOOD TRANSFUSION SERVICE | CPT 36430 | 100871 | Outpatient | $838 | $587 | Payer Rates |
CARDIAC REHAB/MONITOR | CPT 93798 | 540003 | Outpatient | $261 | $183 | Payer Rates |
PULMONARY REHAB W EXER | HCPCS G0424 | 540007 | Outpatient | $288 | $202 | Payer Rates |
RBC LEUKOCYTES REDUCED | HCPCS P9016 | 240017 | Outpatient | $461 | $323 | Payer Rates |
RBC LEUKOCYTES REDUCED | HCPCS P9016 (BL) | 240025 | Outpatient | $537 | $376 | Payer Rates |
Psychiatric |
(Not Offered) PSYCHOTHERAPY, 30 MIN | CPT 90832 | - | - | - | - | - |
(Not Offered) PSYCHOTHERAPY, 45 MIN | CPT 90834 | - | - | - | - | - |
(Not Offered) PSYCHOTHERAPY, 60 MIN | CPT 90837 | - | - | - | - | - |
(Not Offered) FAMILY PSYCHOTHERAPY, NOT INCLUDING PATIENT, ... | CPT 90846 | - | - | - | - | - |
(Not Offered) FAMILY PSYCHOTHERAPY, INCLUDING PATIENT, 50 ... | CPT 90847 | - | - | - | - | - |
(Not Offered) GROUP PSYCHOTHERAPY | CPT 90853 | - | - | - | - | - |
Pulmonary Function |
CLEARANCE OF AIRWAYS | CPT 31720 | 520018 | Outpatient | $383 | $268 | Payer Rates |
EVALUATION OF WHEEZING | CPT 94060 | 520020 | Outpatient | $553 | $387 | Payer Rates |
LUNG FUNCTION TEST (MBC/MVV) | CPT 94200 | 520225 | Outpatient | $236 | $165 | Payer Rates |
MEASURE BLOOD OXYGEN LEVEL | CPT 94760 | 520399 | Outpatient | $81 | $57 | Payer Rates |
MEASURE BLOOD OXYGEN LEVEL | CPT 94761 | 520001 | Outpatient | $267 | $187 | Payer Rates |
PHYSICIAN STANDBY SERVICES | CPT 99360 | 520017 | Outpatient | $57 | $40 | Payer Rates |
Radiology |
X-RAY EXAM OF SKULL | CPT 70250 | 300147 | Outpatient | $268 | $188 | Payer Rates |
X-RAY EXAM CHEST 1 VIEW | CPT 71045 | 300020 | Outpatient | $167 | $117 | Payer Rates |
X-RAY EXAM CHEST 2 VIEWS | CPT 71046 | 300021 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM RIBS UNI 2 VIEWS | CPT 71100 (RT) | 300131 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM RIBS UNI 2 VIEWS | CPT 71100 (LT) | 301031 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM NECK SPINE 2-3 VW | CPT 72040 | 300151 | Outpatient | $268 | $188 | Payer Rates |
X-RAY EXAM THORAC SPINE 2VWS | CPT 72070 | 300154 | Outpatient | $268 | $188 | Payer Rates |
X-RAY EXAM L-S SPINE 2/3 VWS | CPT 72100 | 300156 | Outpatient | $268 | $188 | Payer Rates |
X-RAY EXAM L-2 SPINE 4/>VWS | CPT 72110 | 300157 | Outpatient | $342 | $239 | Payer Rates |
X-RAY EXAM OF PELVIS | CPT 72170 | 300121 | Outpatient | $268 | $188 | Payer Rates |
X-RAY EXAM OF SHOULDER | CPT 73030 (RT) | 300145 | Outpatient | $268 | $188 | Payer Rates |
X-RAY EXAM OF SHOULDER | CPT 73030 (LT) | 301024 | Outpatient | $268 | $188 | Payer Rates |
X-RAY EXAM OF HUMERUS | CPT 73060 (RT) | 300076 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM OF ELBOW | CPT 73070 (RT) | 301007 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM OF ELBOW | CPT 73070 (LT) | 301013 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM OF FOREARM | CPT 73090 (RT) | 300060 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM OF FOREARM | CPT 73090 (LT) | 301014 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM OF WRIST | CPT 73110 (RT) | 300181 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM OF WRIST | CPT 73110 (LT) | 301030 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM OF HAND | CPT 73130 (RT) | 300070 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM OF HAND | CPT 73130 (LT) | 301016 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM OF FINGER(S) | CPT 73140 (RT) | 300054 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM OF FINGER(S) | CPT 73140 (LT) | 301009 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM HIP UNI 2-3 VIEWS | CPT 73502 | 300073 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM HIP UNI 2-3 VIEWS | CPT 73502 | 301018 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM HIPS BI 2 VIEWS | CPT 73521 | 300074 | Outpatient | $268 | $188 | Payer Rates |
X-RAY EXAM OF FEMUR 2/> | CPT 73552 | 300052 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM OF KNEE 1 OR 2 | CPT 73560 (RT) | 300083 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM OF KNEE 1 OR 2 | CPT 73560 (LT) | 301022 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM OF KNEE 3 | CPT 73562 (RT) | 300996 | Outpatient | $268 | $188 | Payer Rates |
X-RAY EXAM OF LOWER LEG | CPT 73590 (RT) | 300090 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM OF LOWER LEG | CPT 73590 (LT) | 301026 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM OF ANKLE | CPT 73610 (RT) | 300003 | Outpatient | $268 | $188 | Payer Rates |
X-RAY EXAM OF ANKLE | CPT 73610 (LT) | 301006 | Outpatient | $268 | $188 | Payer Rates |
X-RAY EXAM OF FOOT | CPT 73630 (RT) | 300056 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM OF FOOT | CPT 73630 (LT) | 301012 | Outpatient | $197 | $138 | Payer Rates |
X-RAY EXAM ABDOMEN 1 VIEW | CPT 74018 | 300000 | Outpatient | $167 | $117 | Payer Rates |
X-RAY EXAM ABDOMEN 2 VIEWS | CPT 74019 | 300001 | Outpatient | $268 | $188 | Payer Rates |
DXA BONE DENSITY AXIAL | CPT 77080 | 300415 | Outpatient | $325 | $227 | Payer Rates |
Respiratory |
AIRWAY INHALATION TREATMENT | CPT 94640 | 520115 | Outpatient | $383 | $268 | Payer Rates |
AIRWAY INHALATION TREATMENT | CPT 94640 (76) | 520116 | Outpatient | $383 | $268 | Payer Rates |
AIRWAY INHALATION TREATMENT | CPT 94640 | 520901 | Outpatient | $383 | $268 | Payer Rates |
POS AIRWAY PRESSURE CPAP | CPT 94660 | 521000 | Outpatient | $383 | $268 | Payer Rates |
EVALUATE PT USE OF INHALER | CPT 94664 | 520117 | Outpatient | $383 | $268 | Payer Rates |
CHEST WALL MANIPULATION | CPT 94667 | 520219 | Outpatient | $236 | $165 | Payer Rates |
CHEST WALL MANIPULATION | CPT 94668 | 520226 | Outpatient | $129 | $90 | Payer Rates |
Surgical Procedures |
REMOVAL OF BREAST LESION | CPT 19120 (RT) | 100481 | Outpatient | $5,920 | $4,144 | Payer Rates |
(Not Offered) SHAVING OF SHOULDER BONE USING ENDOSCOPE | CPT 29826 | - | - | - | - | - |
(Not Offered) REMOVAL OF ONE KNEE CARTILAGE USING AN ENDOS ... | CPT 29881 | - | - | - | - | - |
(Not Offered) REMOVAL OF TONSILS AND ADENOID GLANDS, PATIE ... | CPT 42820 | - | - | - | - | - |
(Not Offered) ULTRASOUND EXAMINATION OF LOWER LARGE BOWEL ... | CPT 45391 | - | - | - | - | - |
LAPAROSCOPIC CHOLECYSTECTOMY | CPT 47562 | 100421 | Outpatient | $10,322 | $7,225 | Payer Rates |
LAPAROSCOPIC CHOLECYSTECTOMY | CPT 47562 (73) | 100459 | Outpatient | $9,640 | $6,748 | Payer Rates |
PRP I/HERN INIT REDUC >5 YR | CPT 49505 (LT) | 100423 | Outpatient | $7,307 | $5,115 | Payer Rates |
(Not Offered) BIOPSY OF PROSTATE GLAND | CPT 55700 | - | - | - | - | - |
(Not Offered) SURGICAL REMOVAL OF PROSTATE AND SURROUNDING ... | CPT 55866 | - | - | - | - | - |
HYSTEROSCOPY BIOPSY | CPT 58558 | 101017 | Outpatient | $5,337 | $3,736 | Payer Rates |
(Not Offered) OBSTETRIC CARE, PLANNED VAGINAL DELIVERY | CPT 59400 | - | - | - | - | - |
OBSTETRICAL CARE | CPT 59409 | 100574 | Outpatient | $4,930 | $3,451 | Payer Rates |
(Not Offered) OBSTETRIC CARE, PLANNED CESAREAN DELIVERY | CPT 59510 | - | - | - | - | - |
CESAREAN DELIVERY ONLY | CPT 59514 | 100433 | Outpatient | $2,840 | $1,988 | Payer Rates |
(Not Offered) OBSTETRIC CARE, PLANNED VAGINAL DELIVERY (PO ... | CPT 59610 | - | - | - | - | - |
NJX INTERLAMINAR LMBR/SAC | CPT 62322 | 100476 | Outpatient | $1,835 | $1,285 | Payer Rates |
(Not Offered) INJECTION(S) OF THERAPEUTIC SUBSTANCE | CPT 62323 | - | - | - | - | - |
(Not Offered) INJECTION(S) OF ANESTHETIC INTO LOWER SPINE ... | CPT 64483 | - | - | - | - | - |
AFTER CATARACT LASER SURGERY | CPT 66821 | 100832 | Outpatient | $1,212 | $848 | Payer Rates |
(Not Offered) REMOVAL OF CATARACT WITH INSERTION OF LENS | CPT 66984 | - | - | - | - | - |
ANESTHESIA FOR COLONOSCOPY | INPATIENT 812 | 120002 | Outpatient | $686 | $480 | Payer Rates |
(Not Offered) INSERTION OF CATHETER INTO LEFT HEART FOR DI ... | CPT 93452 | - | - | - | - | - |
Therapy |
THERAPEUTIC EXERCISES | CPT 97110 (GP) | 530300 | Outpatient | $77 | $54 | Payer Rates |
THERAPEUTIC EXERCISES | CPT 97110 (CQ) | 530416 | Outpatient | $77 | $54 | Payer Rates |
NEUROMUSCULAR REEDUCATION | CPT 97112 (GP) | 530220 | Outpatient | $88 | $62 | Payer Rates |
NEUROMUSCULAR REEDUCATION | CPT 97112 (CQ) | 530417 | Outpatient | $88 | $62 | Payer Rates |
GAIT TRAINING THERAPY | CPT 97116 (GP) | 530405 | Outpatient | $76 | $53 | Payer Rates |
GAIT TRAINING THERAPY | CPT 97116 (CQ) | 530418 | Outpatient | $76 | $53 | Payer Rates |
PT EVAL LOW COMPLEX 20 MIN | CPT 97161 (GP) | 530121 | Outpatient | $189 | $132 | Payer Rates |
PT EVAL LOW COMPLEX 20 MIN | CPT 97161 (GP) | 530170 | Outpatient | $211 | $148 | Payer Rates |
PT EVAL MOD COMPLEX 30 MIN | CPT 97162 (GP) | 530115 | Outpatient | $210 | $147 | Payer Rates |
PT EVAL MOD COMPLEX 30 MIN | CPT 97162 (GP) | 530171 | Outpatient | $211 | $148 | Payer Rates |
THERAPEUTIC ACTIVITIES | CPT 97530 (CQ) | 530421 | Outpatient | $101 | $71 | Payer Rates |
THERAPEUTIC ACTIVITIES | CPT 97530 (GP) | 530808 | Outpatient | $101 | $71 | Payer Rates |
WHEELCHAIR MNGMENT TRAINING | CPT 97542 (GP) | 530809 | Outpatient | $84 | $59 | Payer Rates |
Uncategorized |
BASIC SUPPORT ROUTINE SUPPLS | HCPCS A0382 | 480113 | Outpatient | $33 | $23 | Payer Rates |
TRAUMA RESPONS W/HOSP CRITI | HCPCS G0390 | 130901 | Outpatient | $2,429 | $1,700 | Payer Rates |