CT Scan |
CT HEAD/BRAIN W/O DYE | CPT 70450 | 6207182 | Outpatient | $1,092 | $764 | Payer Rates |
CT MAXILLOFACIAL W/O DYE | CPT 70486 | 6207185 | Outpatient | $1,092 | $764 | Payer Rates |
CT MAXILLOFACIAL W/DYE | CPT 70487 | 6207186 | Outpatient | $1,713 | $1,199 | Payer Rates |
CT SOFT TISSUE NECK W/O DYE | CPT 70490 | 6207189 | Outpatient | $1,092 | $764 | Payer Rates |
CT SOFT TISSUE NECK W/DYE | CPT 70491 | 6207188 | Outpatient | $1,713 | $1,199 | Payer Rates |
CT ANGIOGRAPHY HEAD | CPT 70496 | 6207225 | Outpatient | $1,070 | $749 | Payer Rates |
CT ANGIOGRAPHY NECK | CPT 70498 | 6207226 | Outpatient | $3,425 | $2,398 | Payer Rates |
CT THORAX DX C- | CPT 71250 | 6207174 | Outpatient | $1,092 | $764 | Payer Rates |
CT THORAX DX C+ | CPT 71260 | 6207175 | Outpatient | $1,713 | $1,199 | Payer Rates |
CT THORAX DX C-/C+ | CPT 71270 | 6207173 | Outpatient | $1,902 | $1,331 | Payer Rates |
CT ANGIOGRAPHY CHEST | CPT 71275 | 6207228 | Outpatient | $3,400 | $2,380 | Payer Rates |
CT ANGIOGRAPHY CHEST | CPT 71275 | 6207239 | Outpatient | $1,926 | $1,348 | Payer Rates |
CT NECK SPINE W/O DYE | CPT 72125 | 6207198 | Outpatient | $1,092 | $764 | Payer Rates |
CT CHEST SPINE W/O DYE | CPT 72128 | 6207202 | Outpatient | $1,092 | $764 | Payer Rates |
CT LUMBAR SPINE W/O DYE | CPT 72131 | 6207204 | Outpatient | $1,092 | $764 | Payer Rates |
CT PELVIS W/O DYE | CPT 72192 | 6207194 | Outpatient | $1,092 | $764 | Payer Rates |
CT PELVIS W/DYE | CPT 72193 | 6207195 | Outpatient | $1,713 | $1,199 | Payer Rates |
CT UPPER EXTREMITY W/O DYE | CPT 73200 | 6207176 | Outpatient | $1,092 | $764 | Payer Rates |
CT LOWER EXTREMITY W/O DYE | CPT 73700 | 6207179 | Outpatient | $1,092 | $764 | Payer Rates |
CT LOWER EXTREMITY W/DYE | CPT 73701 | 6207180 | Outpatient | $1,713 | $1,199 | Payer Rates |
CT ABDOMEN W/O DYE | CPT 74150 | 6207171 | Outpatient | $1,092 | $764 | Payer Rates |
CT ABDOMEN W/O & W/DYE | CPT 74170 | 6207170 | Outpatient | $1,902 | $1,331 | Payer Rates |
CT ABD & PELV W/CONTRAST | CPT 74177 | 6207235 | Outpatient | $3,977 | $2,784 | Payer Rates |
CT ABD & PELV 1/> REGNS | CPT 74178 | 6207244 | Outpatient | $3,400 | $2,380 | Payer Rates |
3D RENDER W/INTRP POSTPROCES | CPT 76376 | 6207197 | Outpatient | $351 | $246 | Payer Rates |
Clinic |
(Not Offered) NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT ... | CPT 99203 | - | - | - | - | - |
(Not Offered) NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT ... | CPT 99204 | - | - | - | - | - |
(Not Offered) NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT ... | CPT 99205 | - | - | - | - | - |
(Not Offered) PATIENT OFFICE CONSULTATION, 40 MIN | CPT 99243 | - | - | - | - | - |
(Not Offered) PATIENT OFFICE CONSULTATION, 60 MIN | CPT 99244 | - | - | - | - | - |
(Not Offered) INITIAL NEW PATIENT PREVENTATIVE MEDICINE EV ... | CPT 99385 | - | - | - | - | - |
(Not Offered) INITIAL NEW PATIENT PREVENTATIVE MEDICINE EV ... | CPT 99386 | - | - | - | - | - |
EEG |
(Not Offered) SLEEP STUDY | CPT 95810 | - | - | - | - | - |
EKG |
(Not Offered) ELECTROCARDIOGRAM, ROUTINE, WITH INTERPRETAT ... | CPT 93000 | - | - | - | - | - |
ELECTROCARDIOGRAM TRACING | CPT 93005 | 7102007 | Outpatient | $151 | $106 | Payer Rates |
Emergency Room |
DRAINAGE OF SKIN ABSCESS | CPT 10060 | 2900388 | Outpatient | $700 | $490 | Payer Rates |
RPR S/N/AX/GEN/TRNK 2.5CM/< | CPT 12001 | 2900291 | Outpatient | $479 | $335 | Payer Rates |
RPR S/N/AX/GEN/TRNK2.6-7.5CM | CPT 12002 | 2900292 | Outpatient | $452 | $316 | Payer Rates |
RPR F/E/E/N/L/M 2.5 CM/< | CPT 12011 | 2900286 | Outpatient | $479 | $335 | Payer Rates |
RPR F/E/E/N/L/M 2.6-5.0 CM | CPT 12013 | 2900287 | Outpatient | $452 | $316 | Payer Rates |
APPLY LONG ARM SPLINT | CPT 29105 | 2900297 | Outpatient | $528 | $370 | Payer Rates |
APPLY FOREARM SPLINT | CPT 29125 | 2900299 | Outpatient | $528 | $370 | Payer Rates |
APPLICATION OF FINGER SPLINT | CPT 29130 | 2900251 | Outpatient | $301 | $211 | Payer Rates |
APPLICATION LONG LEG SPLINT | CPT 29505 | 2900255 | Outpatient | $528 | $370 | Payer Rates |
APPLICATION LOWER LEG SPLINT | CPT 29515 | 2900256 | Outpatient | $528 | $370 | Payer Rates |
INSERT EMERGENCY AIRWAY | CPT 31500 | 2900394 | Outpatient | $898 | $629 | Payer Rates |
INSERT TEMP BLADDER CATH | CPT 51702 | 2900433 | Outpatient | $278 | $195 | Payer Rates |
CLEAR OUTER EAR CANAL | CPT 69200 | 2901270 | Outpatient | $452 | $316 | Payer Rates |
HEART/LUNG RESUSCITATION CPR | CPT 92950 | 2900442 | Outpatient | $898 | $629 | Payer Rates |
EMERGENCY DEPT VISIT | CPT 99282 | 2900427 | Outpatient | $488 | $342 | Payer Rates |
EMERGENCY DEPT VISIT | CPT 99283 | 2900428 | Outpatient | $768 | $538 | Payer Rates |
EMERGENCY DEPT VISIT | CPT 99284 | 2900429 | Outpatient | $1,234 | $864 | Payer Rates |
EMERGENCY DEPT VISIT | CPT 99285 (25) | 2900430 | Outpatient | $1,822 | $1,275 | Payer Rates |
CRITICAL CARE FIRST HOUR | CPT 99291 | 2900443 | Outpatient | $2,987 | $2,091 | Payer Rates |
Gastro-Intestinal |
EGD DIAGNOSTIC BRUSH WASH | CPT 43235 | 2000016 | Outpatient | $3,441 | $2,409 | Payer Rates |
EGD BIOPSY SINGLE/MULTIPLE | CPT 43239 (59) | 2010017 | Outpatient | $3,441 | $2,409 | Payer Rates |
DIAGNOSTIC COLONOSCOPY | CPT 45378 | 2000006 | Outpatient | $3,855 | $2,699 | Payer Rates |
DIAGNOSTIC COLONOSCOPY | CPT 45378 (59) | 2010006 | Outpatient | $3,855 | $2,699 | Payer Rates |
COLONOSCOPY AND BIOPSY | CPT 45380 (59) | 2010010 | Outpatient | $3,855 | $2,699 | Payer Rates |
COLONOSCOPY W/LESION REMOVAL | CPT 45385 | 2000013 | Outpatient | $3,816 | $2,671 | Payer Rates |
IV Therapy |
D5W INFUSION | HCPCS J7070 | 4104508 | Outpatient | $14 | $10 | Payer Rates |
Imaging |
US EXAM OF HEAD AND NECK | CPT 76536 | 6808385 | Outpatient | $555 | $389 | Payer Rates |
ULTRASOUND BREAST COMPLETE | CPT 76641 | 6808942 | Outpatient | $808 | $566 | Payer Rates |
ULTRASOUND BREAST COMPLETE | CPT 76641 (LT) | 6808943 | Outpatient | $405 | $284 | Payer Rates |
ULTRASOUND BREAST COMPLETE | CPT 76641 (RT) | 6808944 | Outpatient | $405 | $284 | Payer Rates |
US EXAM ABDOM COMPLETE | CPT 76700 | 6808370 | Outpatient | $555 | $389 | Payer Rates |
ECHO EXAM OF ABDOMEN | CPT 76705 | 6808371 | Outpatient | $555 | $389 | Payer Rates |
ECHO EXAM OF ABDOMEN | CPT 76705 | 6808377 | Outpatient | $555 | $389 | Payer Rates |
ECHO EXAM OF ABDOMEN | CPT 76705 | 6808378 | Outpatient | $555 | $389 | Payer Rates |
US EXAM K TRANSPL W/DOPPLER | CPT 76776 | 6808382 | Outpatient | $611 | $428 | Payer Rates |
OB US < 14 WKS SINGLE FETUS | CPT 76801 | 6808406 | Outpatient | $555 | $389 | Payer Rates |
OB US >= 14 WKS SNGL FETUS | CPT 76805 | 6807362 | Outpatient | $555 | $389 | Payer Rates |
OB US >= 14 WKS SNGL FETUS | CPT 76805 | 6808375 | Outpatient | $555 | $389 | Payer Rates |
OB US FOLLOW-UP PER FETUS | CPT 76816 | 6808405 | Outpatient | $361 | $253 | Payer Rates |
TRANSVAGINAL US NON-OB | CPT 76830 | 6808391 | Outpatient | $555 | $389 | Payer Rates |
US EXAM PELVIC COMPLETE | CPT 76856 | 6808380 | Outpatient | $555 | $389 | Payer Rates |
US EXAM SCROTUM | CPT 76870 | 6808384 | Outpatient | $555 | $389 | Payer Rates |
ECHO EXAMINATION PROCEDURE | CPT 76999 | 6808392 | Outpatient | $361 | $253 | 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 | 3508554 | Outpatient | $655 | $458 | Payer Rates |
Laboratory |
ROUTINE VENIPUNCTURE | CPT 36415 | 4409070 | Outpatient | $19 | $13 | Payer Rates |
METABOLIC PANEL TOTAL CA | CPT 80048 | 4406958 | Outpatient | $124 | $87 | Payer Rates |
GENERAL HEALTH PANEL | CPT 80050 | 4403349 | Outpatient | $270 | $189 | Payer Rates |
COMPREHEN METABOLIC PANEL | CPT 80053 | 4406043 | Outpatient | $124 | $87 | Payer Rates |
OBSTETRIC PANEL | CPT 80055 | 4406248 | Outpatient | $89 | $62 | Payer Rates |
LIPID PANEL | CPT 80061 | 4406106 | Outpatient | $109 | $76 | Payer Rates |
RENAL FUNCTION PANEL | CPT 80069 | 4406355 | Outpatient | $112 | $78 | Payer Rates |
HEPATIC FUNCTION PANEL | CPT 80076 | 4406127 | Outpatient | $190 | $133 | Payer Rates |
ASSAY OF DIGOXIN TOTAL | CPT 80162 | 4406067 | Outpatient | $108 | $76 | Payer Rates |
ASSAY DIPROPYLACETIC ACD TOT | CPT 80164 | 4406246 | Outpatient | $110 | $77 | Payer Rates |
ASSAY OF GENTAMICIN | CPT 80170 | 4403433 | Outpatient | $134 | $94 | Payer Rates |
ASSAY OF LITHIUM | CPT 80178 | 4406109 | Outpatient | $58 | $41 | Payer Rates |
ASSAY OF PHENYTOIN TOTAL | CPT 80185 | 4406068 | Outpatient | $108 | $76 | Payer Rates |
ASSAY OF TACROLIMUS | CPT 80197 | 4409092 | Outpatient | $278 | $195 | Payer Rates |
ASSAY OF VANCOMYCIN | CPT 80202 | 4409011 | Outpatient | $110 | $77 | Payer Rates |
DRUG TEST PRSMV CHEM ANLYZR | CPT 80307 | 4406069 | Outpatient | $91 | $64 | Payer Rates |
ANALGESICS NON-OPIOID 1 OR 2 | CPT 80329 | 4406151 | Outpatient | $66 | $46 | Payer Rates |
BENZODIAZEPINES1-12 | CPT 80346 | 4403315 | Outpatient | $227 | $159 | Payer Rates |
METHYLENEDIOXYAMPHETAMINES | CPT 80359 | 4403324 | Outpatient | $227 | $159 | Payer Rates |
OPIATES 1 OR MORE | CPT 80361 | 4403322 | Outpatient | $227 | $159 | Payer Rates |
URINALYSIS NONAUTO W/SCOPE | CPT 81000 (91) | 4416169 | Outpatient | $32 | $22 | Payer Rates |
URINALYSIS AUTO W/SCOPE | CPT 81001 | 4403539 | Outpatient | $37 | $26 | Payer Rates |
URINALYSIS AUTO W/SCOPE | CPT 81001 | 4406169 | Outpatient | $37 | $26 | Payer Rates |
URINALYSIS NONAUTO W/O SCOPE | CPT 81002 | 4406202 | Outpatient | $23 | $16 | Payer Rates |
URINALYSIS AUTO W/O SCOPE | CPT 81003 | 4403560 | Outpatient | $19 | $13 | Payer Rates |
TEST FOR ACETONE/KETONES | CPT 82009 | 4406974 | Outpatient | $39 | $27 | Payer Rates |
UR ALBUMIN SEMIQUANTITATIVE | CPT 82044 | 4409098 | Outpatient | $112 | $78 | Payer Rates |
ALPHA-FETOPROTEIN SERUM | CPT 82105 | 4406233 | Outpatient | $137 | $96 | Payer Rates |
ASSAY OF AMMONIA | CPT 82140 | 4406014 | Outpatient | $120 | $84 | Payer Rates |
ASSAY OF AMYLASE | CPT 82150 | 4406015 | Outpatient | $67 | $47 | Payer Rates |
BILIRUBIN TOTAL | CPT 82247 | 4409200 | Outpatient | $57 | $40 | Payer Rates |
BILIRUBIN DIRECT | CPT 82248 | 4409201 | Outpatient | $57 | $40 | Payer Rates |
OCCULT BLOOD FECES | CPT 82270 | 4406116 | Outpatient | $31 | $22 | Payer Rates |
CARCINOEMBRYONIC ANTIGEN | CPT 82378 | 4406038 | Outpatient | $152 | $106 | Payer Rates |
TOTAL CORTISOL | CPT 82533 | 4406300 | Outpatient | $133 | $93 | Payer Rates |
ASSAY OF CK (CPK) | CPT 82550 | 4406059 | Outpatient | $67 | $47 | Payer Rates |
CREATINE MB FRACTION | CPT 82553 | 4406060 | Outpatient | $112 | $78 | Payer Rates |
ASSAY OF CREATININE | CPT 82565 | 4406057 | Outpatient | $56 | $39 | Payer Rates |
ASSAY OF URINE CREATININE | CPT 82570 | 4406061 | Outpatient | $44 | $31 | Payer Rates |
VITAMIN B-12 | CPT 82607 | 4409080 | Outpatient | $124 | $87 | Payer Rates |
ASSAY OF TOTAL ESTRADIOL | CPT 82670 | 4409101 | Outpatient | $227 | $159 | Payer Rates |
ASSAY OF FERRITIN | CPT 82728 | 4406940 | Outpatient | $111 | $78 | Payer Rates |
ASSAY OF FOLIC ACID SERUM | CPT 82746 | 4406917 | Outpatient | $121 | $85 | Payer Rates |
BLOOD GASES ANY COMBINATION | CPT 82803 | 4403444 | Outpatient | $162 | $113 | Payer Rates |
BLOOD GASES ANY COMBINATION | CPT 82803 | 4406312 | Outpatient | $162 | $113 | Payer Rates |
ASSAY GLUCOSE BLOOD QUANT | CPT 82947 | 4406160 | Outpatient | $44 | $31 | Payer Rates |
REAGENT STRIP/BLOOD GLUCOSE | CPT 82948 | 4403725 | Outpatient | $29 | $20 | Payer Rates |
GTT-ADDED SAMPLES | CPT 82952 | 4406255 | Outpatient | $40 | $28 | Payer Rates |
ASSAY OF GGT | CPT 82977 | 4406911 | Outpatient | $61 | $43 | Payer Rates |
ASSAY OF GONADOTROPIN (FSH) | CPT 83001 | 4406825 | Outpatient | $150 | $105 | Payer Rates |
ASSAY OF GONADOTROPIN (LH) | CPT 83002 | 4406984 | Outpatient | $150 | $105 | Payer Rates |
H PYLORI (C-13) BREATH | CPT 83013 | 4403640 | Outpatient | $522 | $365 | Payer Rates |
GLYCOSYLATED HEMOGLOBIN TEST | CPT 83036 | 4406088 | Outpatient | $80 | $56 | Payer Rates |
ASSAY OF INSULIN | CPT 83525 | 4406232 | Outpatient | $94 | $66 | Payer Rates |
ASSAY OF IRON | CPT 83540 | 4406101 | Outpatient | $64 | $45 | Payer Rates |
ASSAY OF IRON | CPT 83540 | 4409030 | Outpatient | $54 | $38 | Payer Rates |
IRON BINDING TEST | CPT 83550 | 4409076 | Outpatient | $73 | $51 | Payer Rates |
ASSAY OF LACTIC ACID | CPT 83605 | 4403722 | Outpatient | $100 | $70 | Payer Rates |
ASSAY OF LACTIC ACID | CPT 83605 | 4403723 | Outpatient | $100 | $70 | Payer Rates |
ASSAY OF LACTIC ACID | CPT 83605 | 4403724 | Outpatient | $100 | $70 | Payer Rates |
ASSAY OF LACTIC ACID | CPT 83605 | 4406185 | Outpatient | $100 | $70 | Payer Rates |
LACTATE (LD) (LDH) ENZYME | CPT 83615 | 4406103 | Outpatient | $64 | $45 | Payer Rates |
ASSAY OF LIPASE | CPT 83690 | 4406105 | Outpatient | $58 | $41 | Payer Rates |
ASSAY OF MAGNESIUM | CPT 83735 | 4406241 | Outpatient | $57 | $40 | Payer Rates |
ASSAY OF MYOGLOBIN | CPT 83874 | 4409171 | Outpatient | $105 | $74 | Payer Rates |
ASSAY OF NATRIURETIC PEPTIDE | CPT 83880 | 4406506 | Outpatient | $417 | $292 | Payer Rates |
ASSAY NEPHELOMETRY NOT SPEC | CPT 83883 | 4403284 | Outpatient | $114 | $80 | Payer Rates |
ASSAY OF PARATHORMONE | CPT 83970 | 4406228 | Outpatient | $333 | $233 | Payer Rates |
ASSAY OF PHOSPHORUS | CPT 84100 | 4406122 | Outpatient | $46 | $32 | Payer Rates |
ASSAY OF SERUM POTASSIUM | CPT 84132 | 4406130 | Outpatient | $41 | $29 | Payer Rates |
ASSAY OF PREALBUMIN | CPT 84134 | 4403311 | Outpatient | $158 | $111 | Payer Rates |
ASSAY OF PROLACTIN | CPT 84146 | 4406929 | Outpatient | $157 | $110 | Payer Rates |
(Not Offered) TOTAL PROSTATE-SPECIFIC ANTIGEN (PSA) TEST | CPT 84153 | - | - | - | - | - |
(Not Offered) TOTAL PROSTATE-SPECIFIC ANTIGEN (PSA) TEST | CPT 84154 | - | - | - | - | - |
ASSAY OF PROTEIN SERUM | CPT 84155 | 4406137 | Outpatient | $34 | $24 | Payer Rates |
ASSAY OF PROTEIN URINE | CPT 84156 | 4403285 | Outpatient | $53 | $37 | Payer Rates |
ASSAY OF PROTEIN URINE | CPT 84156 | 4406139 | Outpatient | $53 | $37 | Payer Rates |
ASSAY OF PROTEIN URINE | CPT 84156 | 4406163 | Outpatient | $50 | $35 | Payer Rates |
PROTEIN E-PHORESIS SERUM | CPT 84165 | 4406134 | Outpatient | $89 | $62 | Payer Rates |
ASSAY OF SERUM SODIUM | CPT 84295 | 4406158 | Outpatient | $42 | $29 | Payer Rates |
ASSAY OF FREE TESTOSTERONE | CPT 84402 | 4409009 | Outpatient | $261 | $183 | Payer Rates |
ASSAY OF VITAMIN B-1 | CPT 84425 | 4409073 | Outpatient | $222 | $155 | Payer Rates |
ASSAY OF TOTAL THYROXINE | CPT 84436 | 4406209 | Outpatient | $58 | $41 | Payer Rates |
ASSAY OF FREE THYROXINE | CPT 84439 | 4406162 | Outpatient | $128 | $90 | Payer Rates |
ASSAY THYROID STIM HORMONE | CPT 84443 | 4406217 | Outpatient | $137 | $96 | Payer Rates |
ASSAY OF TRIGLYCERIDES | CPT 84478 | 4406166 | Outpatient | $70 | $49 | Payer Rates |
ASSAY OF THYROID (T3 OR T4) | CPT 84479 | 4406227 | Outpatient | $108 | $76 | Payer Rates |
FREE ASSAY (FT-3) | CPT 84481 | 4403297 | Outpatient | $251 | $176 | Payer Rates |
ASSAY OF TROPONIN QUANT | CPT 84484 | 4409173 | Outpatient | $82 | $57 | Payer Rates |
ASSAY OF TROPONIN QUANT | CPT 84484 | 4409179 | Outpatient | $82 | $57 | Payer Rates |
ASSAY OF UREA NITROGEN | CPT 84520 | 4406167 | Outpatient | $43 | $30 | Payer Rates |
ASSAY OF BLOOD/URIC ACID | CPT 84550 | 4406168 | Outpatient | $42 | $29 | Payer Rates |
CHORIONIC GONADOTROPIN TEST | CPT 84702 | 4406928 | Outpatient | $176 | $123 | Payer Rates |
CHORIONIC GONADOTROPIN ASSAY | CPT 84703 | 4406131 | Outpatient | $63 | $44 | Payer Rates |
CHORIONIC GONADOTROPIN ASSAY | CPT 84703 | 4406208 | Outpatient | $63 | $44 | Payer Rates |
HEMATOCRIT | CPT 85014 | 4406093 | Outpatient | $27 | $19 | Payer Rates |
HEMOGLOBIN | CPT 85018 | 4406094 | Outpatient | $27 | $19 | Payer Rates |
COMPLETE CBC W/AUTO DIFF WBC | CPT 85025 | 4406051 | Outpatient | $66 | $46 | Payer Rates |
(Not Offered) COMPLETE BLOOD CELL COUNT (CBC), AUTOMATED | CPT 85027 | - | - | - | - | - |
MANUAL RETICULOCYTE COUNT | CPT 85044 | 4406147 | Outpatient | $39 | $27 | Payer Rates |
BLOOD SMEAR INTERPRETATION | CPT 85060 | 4403415 | Outpatient | $80 | $56 | Payer Rates |
FIBRIN DEGRADATION QUANT | CPT 85379 | 4409192 | Outpatient | $106 | $74 | Payer Rates |
PROTHROMBIN TIME | CPT 85610 | 4406141 | Outpatient | $44 | $31 | Payer Rates |
PROTHROMBIN TIME | CPT 85610 | 4416141 | Outpatient | $43 | $30 | Payer Rates |
RBC SED RATE AUTOMATED | CPT 85652 | 4406152 | Outpatient | $39 | $27 | Payer Rates |
THROMBOPLASTIN TIME PARTIAL | CPT 85730 | 4406120 | Outpatient | $52 | $36 | Payer Rates |
THROMBOPLASTIN TIME PARTIAL | CPT 85730 | 4416120 | Outpatient | $49 | $34 | Payer Rates |
ANTINUCLEAR ANTIBODIES | CPT 86038 | 4406019 | Outpatient | $99 | $69 | Payer Rates |
C-REACTIVE PROTEIN | CPT 86140 | 4406056 | Outpatient | $49 | $34 | Payer Rates |
COMPLEMENT ANTIGEN | CPT 86160 | 4409060 | Outpatient | $106 | $74 | Payer Rates |
FLUORESCENT ANTIBODY TITER | CPT 86256 | 4409058 | Outpatient | $110 | $77 | Payer Rates |
HETEROPHILE ANTIBODY SCREEN | CPT 86308 | 4406115 | Outpatient | $44 | $31 | Payer Rates |
RHEUMATOID FACTOR TEST QUAL | CPT 86430 | 4406149 | Outpatient | $47 | $33 | Payer Rates |
TB TEST CELL IMMUN MEASURE | CPT 86480 | 4403485 | Outpatient | $502 | $351 | Payer Rates |
SYPHILIS TEST NON-TREP QUAL | CPT 86592 | 4406144 | Outpatient | $39 | $27 | Payer Rates |
HELICOBACTER PYLORI ANTIBODY | CPT 86677 | 4409036 | Outpatient | $184 | $129 | Payer Rates |
HEP B SURFACE ANTIBODY | CPT 86706 | 4409096 | Outpatient | $120 | $84 | Payer Rates |
HEPATITIS A ANTIBODY | CPT 86708 | 4408520 | Outpatient | $127 | $89 | Payer Rates |
MUMPS ANTIBODY | CPT 86735 | 4406998 | Outpatient | $106 | $74 | Payer Rates |
RUBELLA ANTIBODY | CPT 86762 | 4406150 | Outpatient | $119 | $83 | Payer Rates |
SARS-COV-2 COVID-19 ANTIBODY | CPT 86769 | 4403693 | Outpatient | $230 | $161 | Payer Rates |
SARS-COV-2 COVID-19 ANTIBODY | CPT 86769 | 4403694 | Outpatient | $230 | $161 | Payer Rates |
VARICELLA-ZOSTER ANTIBODY | CPT 86787 | 4409067 | Outpatient | $139 | $97 | Payer Rates |
HEPATITIS C AB TEST | CPT 86803 | 4406969 | Outpatient | $124 | $87 | Payer Rates |
COOMBS TEST DIRECT | CPT 86880 | 4406052 | Outpatient | $46 | $32 | Payer Rates |
COOMBS TEST INDIRECT QUAL | CPT 86885 | 4406053 | Outpatient | $57 | $40 | Payer Rates |
COOMBS TEST INDIRECT QUAL | CPT 86885 | 5008027 | Outpatient | $53 | $37 | Payer Rates |
BLOOD TYPING SEROLOGIC ABO | CPT 86900 | 4406031 | Outpatient | $44 | $31 | Payer Rates |
BLOOD TYPING SEROLOGIC RH(D) | CPT 86901 | 4406032 | Outpatient | $30 | $21 | Payer Rates |
COMPATIBILITY TEST SPIN | CPT 86920 | 5008014 | Outpatient | $151 | $106 | Payer Rates |
COMPATIBILITY TEST INCUBATE | CPT 86921 | 5008016 | Outpatient | $148 | $104 | Payer Rates |
COMPATIBILITY TEST ANTIGLOB | CPT 86922 | 5008015 | Outpatient | $257 | $180 | Payer Rates |
BLOOD CULTURE FOR BACTERIA | CPT 87040 | 4406029 | Outpatient | $86 | $60 | Payer Rates |
FECES CULTURE AEROBIC BACT | CPT 87045 | 4409082 | Outpatient | $78 | $55 | Payer Rates |
CULTURE SCREEN ONLY | CPT 87081 | 4403501 | Outpatient | $162 | $113 | Payer Rates |
URINE CULTURE/COLONY COUNT | CPT 87086 | 4406063 | Outpatient | $72 | $50 | Payer Rates |
OVA AND PARASITES SMEARS | CPT 87177 | 4406118 | Outpatient | $73 | $51 | Payer Rates |
MICROBE SUSCEPTIBLE MIC | CPT 87186 | 4409079 | Outpatient | $73 | $51 | Payer Rates |
SMEAR GRAM STAIN | CPT 87205 | 4406922 | Outpatient | $42 | $29 | Payer Rates |
SMEAR WET MOUNT SALINE/INK | CPT 87210 | 4406175 | Outpatient | $39 | $27 | Payer Rates |
CLOSTRIDIUM AG IA | CPT 87324 | 4409150 | Outpatient | $155 | $109 | Payer Rates |
HPYLORI STOOL AG IA | CPT 87338 | 4406078 | Outpatient | $273 | $191 | Payer Rates |
HEPATITIS B SURFACE AG IA | CPT 87340 | 4406970 | Outpatient | $86 | $60 | Payer Rates |
CHYLMD TRACH DNA AMP PROBE | CPT 87491 | 4406111 | Outpatient | $306 | $214 | Payer Rates |
HEPATITIS C REVRS TRNSCRPJ | CPT 87522 | 4409142 | Outpatient | $677 | $474 | Payer Rates |
RESP VIRUS 12-25 TARGETS | CPT 87633 | 4403742 | Outpatient | $1,389 | $972 | Payer Rates |
TRICHOMONAS VAGINALIS AMPLIF | CPT 87661 | 4403404 | Outpatient | $267 | $187 | Payer Rates |
INFLUENZA ASSAY W/OPTIC | CPT 87804 | 4403447 | Outpatient | $94 | $66 | Payer Rates |
INFLUENZA ASSAY W/OPTIC | CPT 87804 | 4403448 | Outpatient | $94 | $66 | Payer Rates |
HIV W/HIV1&2 ANTB W/OPTIC | CPT 87806 | 4406963 | Outpatient | $153 | $107 | Payer Rates |
RSV ASSAY W/OPTIC | CPT 87807 | 4406991 | Outpatient | $99 | $69 | Payer Rates |
STREP A ASSAY W/OPTIC | CPT 87880 | 4406199 | Outpatient | $62 | $43 | Payer Rates |
CYTOPATH C/V AUTO FLUID REDO | CPT 88175 | 4403641 | Outpatient | $205 | $144 | Payer Rates |
TISSUE EXAM BY PATHOLOGIST | CPT 88302 | 4403450 | Outpatient | $77 | $54 | Payer Rates |
TISSUE EXAM BY PATHOLOGIST | CPT 88305 | 4403409 | Outpatient | $152 | $106 | Payer Rates |
TISSUE EXAM BY PATHOLOGIST | CPT 88307 | 4403410 | Outpatient | $892 | $624 | Payer Rates |
SPECIAL STAINS GROUP 1 | CPT 88312 | 4403571 | Outpatient | $152 | $106 | Payer Rates |
IMMUNOHISTO ANTB ADDL SLIDE | CPT 88341 | 4403625 | Outpatient | $333 | $233 | Payer Rates |
IMMUNOHISTO ANTB 1ST STAIN | CPT 88342 | 4406951 | Outpatient | $457 | $320 | Payer Rates |
COVID-19 SPECIMEN COLLECTION FEE | HCPCS C9803 | 4403698 | Outpatient | $123 | $86 | Payer Rates |
Language Pathology |
SPEECH/HEARING THERAPY | CPT 92507 (GN) | 8909710 | Outpatient | $411 | $288 | Payer Rates |
SPEECH SOUND LANG COMPREHEN | CPT 92523 (GN) | 8907711 | Outpatient | $1,034 | $724 | Payer Rates |
ORAL FUNCTION THERAPY | CPT 92526 (GN) | 8909713 | Outpatient | $452 | $316 | Payer Rates |
EVALUATE SWALLOWING FUNCTION | CPT 92610 (GN) | 8909712 | Outpatient | $372 | $260 | Payer Rates |
MRI |
(Not Offered) MRI SCAN | CPT 70553 | - | - | - | - | - |
(Not Offered) MRI SCAN OF LOWER SPINAL CANAL | CPT 72148 | - | - | - | - | - |
(Not Offered) MRI SCAN OF LEG JOINT | CPT 73721 | - | - | - | - | - |
Other Diagnostic |
EXTRACRANIAL BILAT STUDY | CPT 93880 | 7710009 | Outpatient | $864 | $605 | Payer Rates |
EXTREMITY STUDY | CPT 93970 | 7710010 | Outpatient | $1,130 | $791 | Payer Rates |
EXTREMITY STUDY | CPT 93970 | 7710017 | Outpatient | $1,130 | $791 | Payer Rates |
EXTREMITY STUDY | CPT 93971 | 7710011 | Outpatient | $797 | $558 | Payer Rates |
EXTREMITY STUDY | CPT 93971 | 7710014 | Outpatient | $797 | $558 | Payer Rates |
Other Procedures and Observation |
OFFICE O/P EST MINIMAL PROB | CPT 99211 | 3508452 | Outpatient | $314 | $220 | Payer Rates |
Other Therapeutic |
BLOOD TRANSFUSION SERVICE | CPT 36430 | 2901252 | Outpatient | $1,453 | $1,017 | Payer Rates |
BLOOD TRANSFUSION SERVICE | CPT 36430 | 3508465 | Outpatient | $1,437 | $1,006 | Payer Rates |
RED BLOOD CELLS UNIT | HCPCS P9021 | 5006955 | Outpatient | $847 | $593 | Payer Rates |
RED BLOOD CELLS UNIT | HCPCS P9021 | 5008017 | Outpatient | $847 | $593 | 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 |
MEASURE BLOOD OXYGEN LEVEL | CPT 94760 | 8001569 | Outpatient | $114 | $80 | Payer Rates |
MEASURE BLOOD OXYGEN LEVEL | CPT 94760 | 80000760 | Outpatient | $114 | $80 | Payer Rates |
MEASURE BLOOD OXYGEN LEVEL | CPT 94760 | 80008154 | Outpatient | $114 | $80 | Payer Rates |
Radiology |
X-RAY EXAM CHEST 1 VIEW | CPT 71045 | 5607042 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM CHEST 1 VIEW | CPT 71045 | 5607058 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM CHEST 2 VIEWS | CPT 71046 | 5607059 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM NECK SPINE 2-3 VW | CPT 72040 | 5607100 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM NECK SPINE 4/5VWS | CPT 72050 | 5607101 | Outpatient | $430 | $301 | Payer Rates |
X-RAY EXAM THORAC SPINE 2VWS | CPT 72070 | 5607103 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM L-S SPINE 2/3 VWS | CPT 72100 | 5607105 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM L-2 SPINE 4/>VWS | CPT 72110 | 5607125 | Outpatient | $430 | $301 | Payer Rates |
X-RAY EXAM OF PELVIS | CPT 72170 | 5607088 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM SACRUM TAILBONE | CPT 72220 | 5607066 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM SACRUM TAILBONE | CPT 72220 | 5607159 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF COLLAR BONE | CPT 73000 (LT) | 5617064 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF SHOULDER | CPT 73030 (RT) | 5607095 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF SHOULDER | CPT 73030 (LT) | 5617095 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF HUMERUS | CPT 73060 (RT) | 5607117 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF HUMERUS | CPT 73060 (LT) | 5617117 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF ELBOW | CPT 73070 (RT) | 5607068 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF ELBOW | CPT 73070 (LT) | 5617068 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF ELBOW | CPT 73080 (RT) | 5607146 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF ELBOW | CPT 73080 (LT) | 5617146 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF FOREARM | CPT 73090 (RT) | 5607076 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF FOREARM | CPT 73090 (LT) | 5617076 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF WRIST | CPT 73100 (RT) | 5607112 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF WRIST | CPT 73100 (LT) | 5617151 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF WRIST | CPT 73110 (RT) | 5607149 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF WRIST | CPT 73110 (LT) | 5617149 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF HAND | CPT 73120 (RT) | 5607080 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF HAND | CPT 73120 (LT) | 5617080 | Outpatient | $254 | $178 | Payer Rates |
X-RAY EXAM OF HAND | CPT 73130 (RT) | 5607144 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF HAND | CPT 73130 (LT) | 5617144 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM HIP UNI 2-3 VIEWS | CPT 73502 | 5607083 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM HIP UNI 2-3 VIEWS | CPT 73502 (LT) | 5617083 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM HIPS BI 2 VIEWS | CPT 73521 | 5607043 | Outpatient | $514 | $360 | Payer Rates |
X-RAY EXAM OF FEMUR 2/> | CPT 73552 (RT) | 5607072 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF FEMUR 2/> | CPT 73552 (LT) | 5617072 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF KNEE 1 OR 2 | CPT 73560 (RT) | 5607084 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF KNEE 1 OR 2 | CPT 73560 (LT) | 5617084 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF KNEE 3 | CPT 73562 (RT) | 5607147 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF KNEE 3 | CPT 73562 (LT) | 5617147 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM KNEE 4 OR MORE | CPT 73564 (RT) | 5607163 | Outpatient | $396 | $277 | Payer Rates |
X-RAY EXAM KNEE 4 OR MORE | CPT 73564 (LT) | 5617163 | Outpatient | $396 | $277 | Payer Rates |
X-RAY EXAM OF LOWER LEG | CPT 73590 (RT) | 5607085 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF LOWER LEG | CPT 73590 (LT) | 5617085 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF ANKLE | CPT 73600 (RT) | 5607054 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF ANKLE | CPT 73600 (LT) | 5617054 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF ANKLE | CPT 73610 (RT) | 5607145 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF ANKLE | CPT 73610 (LT) | 5617145 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF FOOT | CPT 73620 (RT) | 5607075 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF FOOT | CPT 73620 (LT) | 5617075 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF FOOT | CPT 73630 (RT) | 5607153 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF FOOT | CPT 73630 (LT) | 5617153 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF TOE(S) | CPT 73660 (RT) | 5607106 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM OF TOE(S) | CPT 73660 (LT) | 5617106 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM ABDOMEN 1 VIEW | CPT 74018 | 5607051 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM ABDOMEN 2 VIEWS | CPT 74019 | 5607053 | Outpatient | $257 | $180 | Payer Rates |
X-RAY EXAM COMPLETE ABDOMEN | CPT 74022 | 5607400 | Outpatient | $430 | $301 | Payer Rates |
Respiratory |
AIRWAY INHALATION TREATMENT | CPT 94640 | 808102 | Outpatient | $94 | $66 | Payer Rates |
Surgical Procedures |
(Not Offered) REMOVAL OF ONE OR MORE BREAST GROWTH, OPEN P ... | CPT 19120 | - | - | - | - | - |
(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 | - | - | - | - | - |
(Not Offered) REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | CPT 47562 | - | - | - | - | - |
PRP I/HERN INIT REDUC >5 YR | CPT 49505 | 2000119 | Outpatient | $9,748 | $6,824 | Payer Rates |
(Not Offered) BIOPSY OF PROSTATE GLAND | CPT 55700 | - | - | - | - | - |
(Not Offered) SURGICAL REMOVAL OF PROSTATE AND SURROUNDING ... | CPT 55866 | - | - | - | - | - |
(Not Offered) OBSTETRIC CARE, PLANNED VAGINAL DELIVERY | CPT 59400 | - | - | - | - | - |
(Not Offered) OBSTETRIC CARE, PLANNED CESAREAN DELIVERY | CPT 59510 | - | - | - | - | - |
(Not Offered) OBSTETRIC CARE, PLANNED VAGINAL DELIVERY (PO ... | CPT 59610 | - | - | - | - | - |
NJX INTERLAMINAR LMBR/SAC | CPT 62322 | 2000096 | Outpatient | $3,154 | $2,208 | 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 (RT) | 2000048 | Outpatient | $2,291 | $1,604 | Payer Rates |
XCAPSL CTRC RMVL W/O ECP | CPT 66984 (RT) | 2000070 | Outpatient | $9,645 | $6,752 | Payer Rates |
XCAPSL CTRC RMVL W/O ECP | CPT 66984 (LT) | 2010070 | Outpatient | $9,645 | $6,752 | Payer Rates |
(Not Offered) INSERTION OF CATHETER INTO LEFT HEART FOR DI ... | CPT 93452 | - | - | - | - | - |
INJECTION, BUPIVICAINE HYDRO | HCPCS S0020 | 3803684 | Outpatient | $23 | $16 | Payer Rates |
Therapy |
HOT OR COLD PACKS THERAPY | CPT 97010 (GP) | 8907708 | Outpatient | $41 | $29 | Payer Rates |
HOT OR COLD PACKS THERAPY | CPT 97010 (GO) | 8908828 | Outpatient | $41 | $29 | Payer Rates |
ELECTRIC STIMULATION THERAPY | CPT 97014 (GO) | 8908802 | Outpatient | $85 | $59 | Payer Rates |
PARAFFIN BATH THERAPY | CPT 97018 (GO) | 8908805 | Outpatient | $60 | $42 | Payer Rates |
ELECTRICAL STIMULATION | CPT 97032 (GO) | 8908804 | Outpatient | $102 | $71 | Payer Rates |
ULTRASOUND THERAPY | CPT 97035 (GO) | 8908808 | Outpatient | $69 | $48 | Payer Rates |
THERAPEUTIC EXERCISES | CPT 97110 (GP) | 8907790 | Outpatient | $171 | $120 | Payer Rates |
THERAPEUTIC EXERCISES | CPT 97110 (95) | 8908760 | Outpatient | $171 | $120 | Payer Rates |
THERAPEUTIC EXERCISES | CPT 97110 (GO) | 8908770 | Outpatient | $171 | $120 | Payer Rates |
NEUROMUSCULAR REEDUCATION | CPT 97112 (GP) | 8907791 | Outpatient | $179 | $125 | Payer Rates |
NEUROMUSCULAR REEDUCATION | CPT 97112 (GO) | 8908771 | Outpatient | $179 | $125 | Payer Rates |
GAIT TRAINING THERAPY | CPT 97116 (GP) | 8907792 | Outpatient | $151 | $106 | Payer Rates |
THER IVNTJ 1ST 15 MIN | CPT 97129 | 8907860 | Outpatient | $25 | $18 | Payer Rates |
THER IVNTJ EA ADDL 15 MIN | CPT 97130 | 8907861 | Outpatient | $24 | $17 | Payer Rates |
MANUAL THERAPY 1/> REGIONS | CPT 97140 (GP) | 8907842 | Outpatient | $160 | $112 | Payer Rates |
MANUAL THERAPY 1/> REGIONS | CPT 97140 (GO) | 8908792 | Outpatient | $160 | $112 | Payer Rates |
PT EVAL LOW COMPLEX 20 MIN | CPT 97161 (GP) | 8907770 | Outpatient | $400 | $280 | Payer Rates |
PT EVAL MOD COMPLEX 30 MIN | CPT 97162 (GP) | 8907771 | Outpatient | $400 | $280 | Payer Rates |
PT EVAL HIGH COMPLEX 45 MIN | CPT 97163 (GP) | 8907772 | Outpatient | $400 | $280 | Payer Rates |
PT RE-EVAL EST PLAN CARE | CPT 97164 (GP) | 8907774 | Outpatient | $226 | $158 | Payer Rates |
OT EVAL LOW COMPLEX 30 MIN | CPT 97165 (95) | 8908811 | Outpatient | $451 | $316 | Payer Rates |
OT EVAL MOD COMPLEX 45 MIN | CPT 97166 (GO) | 8908810 | Outpatient | $451 | $316 | Payer Rates |
OT EVAL HIGH COMPLEX 60 MIN | CPT 97167 (GO) | 8908813 | Outpatient | $451 | $316 | Payer Rates |
OT RE-EVAL EST PLAN CARE | CPT 97168 (GO) | 8908814 | Outpatient | $282 | $197 | Payer Rates |
OT RE-EVAL EST PLAN CARE | CPT 97168 (95) | 8908815 | Outpatient | $282 | $197 | Payer Rates |
THERAPEUTIC ACTIVITIES | CPT 97530 (GP) | 8907812 | Outpatient | $186 | $130 | Payer Rates |
THERAPEUTIC ACTIVITIES | CPT 97530 (GO) | 8908830 | Outpatient | $186 | $130 | Payer Rates |
THERAPEUTIC ACTIVITIES | CPT 97530 (95) | 89008860 | Outpatient | $429 | $300 | Payer Rates |
SELF CARE MNGMENT TRAINING | CPT 97535 (GP) | 8907813 | Outpatient | $185 | $130 | Payer Rates |
SELF CARE MNGMENT TRAINING | CPT 97535 (GO) | 8908773 | Outpatient | $185 | $130 | Payer Rates |
ELEC STIM OTHER THAN WOUND | HCPCS G0283 (GP) | 8907779 | Outpatient | $76 | $53 | Payer Rates |