CT Scan |
CT HEAD/BRAIN W/O DYE | CPT 70450 (TC) | Outpatient | 753044 | $1,892 | |
CT HEAD/BRAIN W/O & W/DYE | CPT 70470 (TC) | Outpatient | 753040 | $2,635 | |
CT MAXILLOFACIAL W/O DYE | CPT 70486 (TC) | Outpatient | 753085 | $1,917 | |
CT MAXILLOFACIAL W/DYE | CPT 70487 (TC) | Outpatient | 753083 | $2,254 | |
CT SOFT TISSUE NECK W/DYE | CPT 70491 (TC) | Outpatient | 753125 | $2,248 | |
CT ANGIOGRAPHY HEAD | CPT 70496 (TC) | Outpatient | 49973480 | $2,772 | |
CT ANGIOGRAPHY NECK | CPT 70498 (TC) | Outpatient | 48577869 | $3,294 | |
CT THORAX DX C- | CPT 71250 (TC) | Outpatient | 753151 | $2,160 | |
CT THORAX DX C+ | CPT 71260 (TC) | Outpatient | 753149 | $2,616 | |
CT THORAX DX C-/C+ | CPT 71270 (TC) | Outpatient | 753147 | $3,115 | |
CT ANGIOGRAPHY CHEST | CPT 71275 (TC) | Outpatient | 1339992 | $3,320 | |
CT NECK SPINE W/O DYE | CPT 72125 (TC) | Outpatient | 753133 | $2,160 | |
CT CHEST SPINE W/O DYE | CPT 72128 (TC) | Outpatient | 753145 | $2,182 | |
CT LUMBAR SPINE W/O DYE | CPT 72131 (TC) | Outpatient | 753139 | $2,160 | |
CT LUMBAR SPINE W/DYE | CPT 72132 (TC) | Outpatient | 753137 | $2,609 | |
CT PELVIS W/O DYE | CPT 72192 (TC) | Outpatient | 753106 | $2,218 | |
CT PELVIS W/DYE | CPT 72193 (TC) | Outpatient | 753104 | $2,454 | |
CT UPPER EXTREMITY W/O DYE | CPT 73200 (LT,TC) | Outpatient | 753167 | $1,941 | |
CT LOWER EXTREMITY W/O DYE | CPT 73700 (LT,TC) | Outpatient | 753077 | $1,939 | |
CT ABDOMEN W/O DYE | CPT 74150 (TC) | Outpatient | 752980 | $2,194 | |
CT ABDOMEN W/DYE | CPT 74160 (TC) | Outpatient | 752052 | $2,519 | |
CT ABDOMEN W/O & W/DYE | CPT 74170 (TC) | Outpatient | 752978 | $2,661 | |
CT ANGIO ABD&PELV W/O&W/DYE | CPT 74174 (TC) | Outpatient | 8284945 | $3,781 | |
CT ABD & PELVIS W/O CONTRAST | CPT 74176 (TC) | Outpatient | 931316 | $3,143 | |
CT ABD & PELV W/CONTRAST | CPT 74177 (TC) | Outpatient | 931313 | $3,781 | |
CT ABD & PELV 1/> REGNS | CPT 74178 (TC) | Outpatient | 931310 | $4,510 | |
CT ANGIO ABDOMINAL ARTERIES | CPT 75635 | Outpatient | 752985 | $2,980 | |
3D RENDER W/INTRP POSTPROCES | CPT 76376 (TC) | Outpatient | 9352946 | $394 | |
Clinic |
TANGNTL BX SKIN SINGLE LES | CPT 11102 | Outpatient | 49949567 | $264 | |
PUNCH BX SKIN SINGLE LESION | CPT 11104 | Outpatient | 49949569 | $331 | |
DESTRUCT B9 LESION 1-14 | CPT 17110 | Outpatient | 47770384 | $433 | |
INJ TENDON SHEATH/LIGAMENT | CPT 20550 | Outpatient | 1353686 | $111 | |
DRAIN/INJ JOINT/BURSA W/O US | CPT 20610 | Outpatient | 49873985 | $306 | |
APPLICATION OF PASTE BOOT | CPT 29580 | Outpatient | 1479872 | $108 | |
REMOVE IMPACTED EAR WAX UNI | CPT 69209 | Outpatient | 5200898 | $38 | |
REMOVE IMPACTED EAR WAX UNI | CPT 69210 | Outpatient | 48439815 | $101 | |
PSYTX W PT W E/M 30 MIN | CPT 90833 | Outpatient | 1489773 | $62 | |
PSYTX W PT W E/M 45 MIN | CPT 90836 | Outpatient | 47796850 | $98 | |
IMMUNOTHERAPY ONE INJECTION | CPT 95115 | Outpatient | 1013348 | $20 | |
DEVELOPMENTAL SCREEN W/SCORE | CPT 96110 | Outpatient | 48162485 | $75 | |
MEDICAL NUTRITION INDIV IN | CPT 97802 | Outpatient | 49984414 | $96 | |
MED NUTRITION INDIV SUBSEQ | CPT 97803 | Outpatient | 49984415 | $96 | |
OFFICE O/P NEW SF 15-29 MIN | CPT 99202 | Outpatient | 47824834 | $136 | |
OFFICE O/P NEW LOW 30-44 MIN | CPT 99203 | Outpatient | 1349644 | $205 | |
OFFICE O/P NEW MOD 45-59 MIN | CPT 99204 | Outpatient | - | $312 | |
OFFICE O/P NEW HI 60-74 MIN | CPT 99205 | Outpatient | - | $387 | |
OFFICE O/P EST MINIMAL PROB | CPT 99211 | Outpatient | 1361634 | $42 | |
OFFICE O/P EST SF 10-19 MIN | CPT 99212 | Outpatient | 1489783 | $85 | |
OFFICE O/P EST LOW 20-29 MIN | CPT 99213 | Outpatient | 1349647 | $137 | |
OBSERVATION CARE DISCHARGE | CPT 99217 | Outpatient | 1349650 | $140 | |
OBSERV/HOSP SAME DATE | CPT 99234 | Outpatient | 1349659 | $261 | |
OFFICE CONSULTATION | CPT 99243 | Outpatient | 1349665 | $235 | |
OFFICE CONSULTATION | CPT 99244 | Outpatient | 1491674 | $346 | |
DOMICIL/R-HOME VISIT EST PAT | CPT 99335 | Outpatient | 4582900 | $191 | |
HOME VISIT EST PATIENT | CPT 99347 | Outpatient | 1353612 | $109 | |
INIT PM E/M NEW PAT INFANT | CPT 99381 | Outpatient | 1353616 | $334 | |
INIT PM E/M NEW PAT 1-4 YRS | CPT 99382 | Outpatient | 1353617 | $361 | |
PREV VISIT NEW AGE 5-11 | CPT 99383 | Outpatient | 1353618 | $364 | |
PREV VISIT NEW AGE 18-39 | CPT 99385 | Outpatient | 1353620 | $381 | |
PREV VISIT NEW AGE 40-64 | CPT 99386 | Outpatient | 1353621 | $450 | |
PER PM REEVAL EST PAT INFANT | CPT 99391 | Outpatient | 1353622 | $255 | |
PREV VISIT EST AGE 1-4 | CPT 99392 | Outpatient | 1353623 | $284 | |
PREV VISIT EST AGE 5-11 | CPT 99393 | Outpatient | 1353624 | $284 | |
PREV VISIT EST AGE 12-17 | CPT 99394 | Outpatient | 1353625 | $309 | |
PREV VISIT EST AGE 18-39 | CPT 99395 | Outpatient | 1353626 | $313 | |
PREV VISIT EST AGE 40-64 | CPT 99396 | Outpatient | 1353627 | $346 | |
PER PM REEVAL EST PAT 65+ YR | CPT 99397 | Outpatient | 48577218 | $381 | |
PREVENTIVE COUNSELING INDIV | CPT 99401 | Outpatient | 50394485 | $174 | |
PREVENTIVE COUNSELING INDIV | CPT 99402 | Outpatient | 50394486 | $348 | |
PREVENTIVE COUNSELING INDIV | CPT 99403 | Outpatient | 50394487 | $485 | |
BEHAV CHNG SMOKING 3-10 MIN | CPT 99406 | Outpatient | 49984418 | $58 | |
PHONE E/M PHYS/QHP 5-10 MIN | CPT 99441 | Outpatient | 8677020 | $118 | |
PHONE E/M PHYS/QHP 21-30 MIN | CPT 99443 | Outpatient | 8677022 | $145 | |
WORK RELATED DISABILITY EXAM | CPT 99455 | Outpatient | 29108786 | $200 | |
TRANS CARE MGMT 14 DAY DISCH | CPT 99495 | Outpatient | 49984420 | $597 | |
TRANS CARE MGMT 7 DAY DISCH | CPT 99496 | Outpatient | 49984421 | $819 | |
ADVNCD CARE PLAN 30 MIN | CPT 99497 | Outpatient | 47994858 | $451 | |
COMM SVCS BY RHC/FQHC 5 MIN | HCPCS G0071 | Outpatient | 50419044 | $39 | |
PPPS, SUBSEQ VISIT | HCPCS G0439 | Outpatient | 5992894 | $749 | |
BEHAVIOR COUNSEL OBESITY 15M | HCPCS G0447 | Outpatient | 49984417 | $89 | |
DIS SITE TELE SVCS RHC/FQHC | HCPCS G2025 | Outpatient | 50454044 | $139 | |
OBTAINING SCREEN PAP SMEAR | HCPCS Q0091 | Outpatient | 1920735 | $152 | |
PROGRAM INTAKE ASSESSMENT | HCPCS T1023 (TM) | Outpatient | 8677045 | $64 | |
EEG |
(N/O) SLEEP STUDY | CPT 95810 | - | - | - | - |
EKG |
ELECTROCARDIOGRAM COMPLETE | CPT 93000 | Outpatient | 1355597 | $284 | |
EXT ECG>48HR<7D REV&INTERPJ | CPT 93244 | Outpatient | 48809237 | $84 | |
Emergency Room |
RPR S/N/AX/GEN/TRNK2.6-7.5CM | CPT 12002 | Outpatient | 9089574 | $570 | |
DRAIN/INJ JOINT/BURSA W/O US | CPT 20605 | Outpatient | 15220869 | $560 | |
THER/DIAG CONCURRENT INF | CPT 96368 | Outpatient | 44474134 | $45 | |
EMERGENCY DEPT VISIT | CPT 99281 | Outpatient | 44474122 | $211 | |
EMERGENCY DEPT VISIT | CPT 99282 | Outpatient | 44474123 | $326 | |
EMERGENCY DEPT VISIT | CPT 99283 | Outpatient | 44474124 | $603 | |
EMERGENCY DEPT VISIT | CPT 99284 | Outpatient | 44474125 | $927 | |
EMERGENCY DEPT VISIT | CPT 99285 | Outpatient | 44474126 | $1,296 | |
CRITICAL CARE FIRST HOUR | CPT 99291 | Outpatient | 44474127 | $1,562 | |
CRITICAL CARE ADDL 30 MIN | CPT 99292 | Outpatient | 44474128 | $611 | |
IV Therapy |
HYDRATION IV INFUSION INIT | CPT 96360 | Outpatient | 44474129 | $147 | |
HYDRATE IV INFUSION ADD-ON | CPT 96361 | Outpatient | 44474130 | $141 | |
THER/PROPH/DIAG IV INF INIT | CPT 96365 | Outpatient | 44474131 | $240 | |
THER/PROPH/DIAG IV INF ADDON | CPT 96366 | Outpatient | 44474132 | $115 | |
TX/PROPH/DG ADDL SEQ IV INF | CPT 96367 | Outpatient | 44474133 | $131 | |
THER/PROPH/DIAG INJ IV PUSH | CPT 96374 | Outpatient | 44474145 | $98 | |
TX/PRO/DX INJ NEW DRUG ADDON | CPT 96375 | Outpatient | 44474146 | $141 | |
TX/PRO/DX INJ SAME DRUG ADON | CPT 96376 | Outpatient | 44474147 | $141 | |
IRRIG DRUG DELIVERY DEVICE | CPT 96523 | Outpatient | 9089426 | $159 | |
Imaging |
US EXAM OF HEAD AND NECK | CPT 76536 (TC) | Outpatient | 927052 | $787 | |
US EXAM ABDOM COMPLETE | CPT 76700 (TC) | Outpatient | 752050 | $859 | |
ECHO EXAM OF ABDOMEN | CPT 76705 (TC) | Outpatient | 753319 | $646 | |
US ABDL AORTA SCREEN AAA | CPT 76706 (TC) | Outpatient | 2342819 | $653 | |
US EXAM ABDO BACK WALL COMP | CPT 76770 (TC) | Outpatient | 1100639 | $839 | |
US EXAM ABDO BACK WALL LIM | CPT 76775 (TC) | Outpatient | 753456 | $653 | |
(N/O) ABDOMIAL ULTRASOUND OF PREGNANT UTERUS | CPT 76805 | - | - | - | - |
TRANSVAGINAL US NON-OB | CPT 76830 (TC) | Outpatient | 753471 | $858 | |
US EXAM PELVIC COMPLETE | CPT 76856 (TC) | Outpatient | 753436 | $638 | |
US EXAM PELVIC LIMITED | CPT 76857 (TC) | Outpatient | 753438 | $564 | |
US EXAM SCROTUM | CPT 76870 (TC) | Outpatient | 11276933 | $618 | |
US LMTD JT/NONVASC XTR STRUX | CPT 76882 (LT,TC) | Outpatient | 8592961 | $611 | |
(N/O) MAMMOGRAPHY OF ONE BREAST | CPT 77065 | - | - | - | - |
(N/O) MAMMOGRAPHY OF BOTH BREASTS | CPT 77066 | - | - | - | - |
(N/O) MAMMOGRAPHY, SCREENING, BILATERAL | CPT 77067 | - | - | - | - |
EXTREMITY STUDY | CPT 93970 (TC) | Outpatient | 753419 | $1,067 | |
Inpatient Procedures |
(N/O) CARDIAC VALVE OR CARDIOTHORACIC PROCEDURE WITH CARDI ... | DRG 216 | - | - | - | - |
(N/O) SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | DRG 460 | - | - | - | - |
(N/O) MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT ... | DRG 470 | - | - | - | - |
(N/O) CERVICAL SPINAL FUSION WITHOUT CC OR MCC | DRG 473 | - | - | - | - |
(N/O) UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WIT ... | DRG 743 | - | - | - | - |
Laboratory |
ROUTINE VENIPUNCTURE | CPT 36415 | Outpatient | 816059 | $47 | |
METABOLIC PANEL TOTAL CA | CPT 80048 | Outpatient | 633628 | $232 | |
COMPREHEN METABOLIC PANEL | CPT 80053 | Outpatient | 633709 | $135 | |
(N/O) OBSTETRIC BLOOD TEST PANEL | CPT 80055 | - | - | - | - |
LIPID PANEL | CPT 80061 | Outpatient | 633777 | $222 | |
RENAL FUNCTION PANEL | CPT 80069 | Outpatient | 819112 | $264 | |
HEPATIC FUNCTION PANEL | CPT 80076 | Outpatient | 9706947 | $264 | |
ASSAY CARBAMAZEPINE TOTAL | CPT 80156 | Outpatient | 9956979 | $215 | |
ASSAY OF DIGOXIN TOTAL | CPT 80162 | Outpatient | 9957015 | $215 | |
ASSAY DIPROPYLACETIC ACD TOT | CPT 80164 | Outpatient | 9974948 | $215 | |
ASSAY OF LITHIUM | CPT 80178 | Outpatient | 9960945 | $133 | |
ASSAY OF PHENYTOIN TOTAL | CPT 80185 | Outpatient | 9974992 | $215 | |
ASSAY OF VANCOMYCIN | CPT 80202 | Outpatient | 11040879 | $340 | |
DRUG TEST PRSMV DIR OPT OBS | CPT 80305 | Outpatient | 12968924 | $18 | |
URINALYSIS NONAUTO W/SCOPE | CPT 81000 | Outpatient | 9708942 | $117 | |
URINALYSIS AUTO W/SCOPE | CPT 81001 | Outpatient | 8475424 | $117 | |
(N/O) URINALYSIS TEST | CPT 81002 | - | - | - | - |
URINALYSIS AUTO W/O SCOPE | CPT 81003 | Outpatient | 593519 | $31 | |
MICROSCOPIC EXAM OF URINE | CPT 81015 | Outpatient | 9709000 | $88 | |
URINE PREGNANCY TEST | CPT 81025 | Outpatient | 742369 | $22 | |
HLA II TYPING 1 LOCUS LR | CPT 81376 | Outpatient | 9563051 | $500 | |
ASSAY OF SERUM ALBUMIN | CPT 82040 | Outpatient | 633634 | $63 | |
UR ALBUMIN QUANTITATIVE | CPT 82043 | Outpatient | 9978334 | $103 | |
ASSAY OF AMMONIA | CPT 82140 | Outpatient | 9941215 | $218 | |
ASSAY OF AMYLASE | CPT 82150 | Outpatient | 631567 | $107 | |
BILIRUBIN DIRECT | CPT 82248 | Outpatient | 633670 | $88 | |
ASSAY TEST FOR BLOOD FECAL | CPT 82274 | Outpatient | 14476906 | $239 | |
VITAMIN D 25 HYDROXY | CPT 82306 | Outpatient | 48657100 | $487 | |
ASSAY OF CALCIUM | CPT 82310 | Outpatient | 633690 | $69 | |
ASSAY OF CALCIUM IN URINE | CPT 82340 | Outpatient | 9956978 | $95 | |
CARCINOEMBRYONIC ANTIGEN | CPT 82378 | Outpatient | 9956982 | $276 | |
ASSAY OF BLOOD CHLORIDE | CPT 82435 | Outpatient | 633621 | $64 | |
TOTAL CORTISOL | CPT 82533 | Outpatient | 9956987 | $260 | |
ASSAY OF CK (CPK) | CPT 82550 | Outpatient | 633712 | $149 | |
ASSAY OF CREATININE | CPT 82565 | Outpatient | 633606 | $64 | |
ASSAY OF URINE CREATININE | CPT 82570 | Outpatient | 9978335 | $98 | |
VITAMIN B-12 | CPT 82607 | Outpatient | 9974944 | $193 | |
ELECTROPHORETIC TEST | CPT 82664 | Outpatient | 9551104 | $500 | |
ASSAY OF TOTAL ESTRADIOL | CPT 82670 | Outpatient | 9957026 | $460 | |
ASSAY OF FERRITIN | CPT 82728 | Outpatient | 9957028 | $176 | |
ASSAY OF FOLIC ACID SERUM | CPT 82746 | Outpatient | 9957029 | $222 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 9563050 | $232 | |
BLOOD GASES ANY COMBINATION | CPT 82803 | Outpatient | 32529798 | $683 | |
ASSAY GLUCOSE BLOOD QUANT | CPT 82947 | Outpatient | 633594 | $64 | |
REAGENT STRIP/BLOOD GLUCOSE | CPT 82948 (QW) | Outpatient | 607617 | $34 | |
ASSAY OF GGT | CPT 82977 | Outpatient | 633733 | $120 | |
ASSAY OF GONADOTROPIN (FSH) | CPT 83001 | Outpatient | 9957034 | $460 | |
ASSAY OF GONADOTROPIN (LH) | CPT 83002 | Outpatient | 9960942 | $262 | |
GLYCOSYLATED HEMOGLOBIN TEST | CPT 83036 | Outpatient | 9957041 | $176 | |
ASSAY OF HOMOCYSTINE | CPT 83090 | Outpatient | 9957053 | $425 | |
IMMUNOASSAY NONANTIBODY | CPT 83516 | Outpatient | 9504994 | $230 | |
ASSAY OF INSULIN | CPT 83525 | Outpatient | 9959021 | $218 | |
ASSAY OF IRON | CPT 83540 | Outpatient | 9959022 | $56 | |
IRON BINDING TEST | CPT 83550 | Outpatient | 9959023 | $130 | |
ASSAY OF LACTIC ACID | CPT 83605 | Outpatient | 12858923 | $215 | |
LACTATE (LD) (LDH) ENZYME | CPT 83615 | Outpatient | 633770 | $135 | |
LACTOFERRIN FECAL (QUAL) | CPT 83630 | Outpatient | 14666854 | $326 | |
ASSAY OF LEAD | CPT 83655 | Outpatient | 9959026 | $190 | |
ASSAY OF LIPASE | CPT 83690 | Outpatient | 633776 | $90 | |
ASSAY OF MAGNESIUM | CPT 83735 | Outpatient | 633781 | $135 | |
ASSAY OF NATRIURETIC PEPTIDE | CPT 83880 | Outpatient | 872048 | $420 | |
ORGANIC ACID SINGLE QUANT | CPT 83921 | Outpatient | 9504220 | $677 | |
ASSAY OF URINE OSMOLALITY | CPT 83935 | Outpatient | 9960971 | $137 | |
ASSAY OF PARATHORMONE | CPT 83970 | Outpatient | 9974974 | $680 | |
ASSAY OF PHOSPHORUS | CPT 84100 | Outpatient | 633803 | $81 | |
ASSAY OF SERUM POTASSIUM | CPT 84132 | Outpatient | 633616 | $63 | |
ASSAY OF PREALBUMIN | CPT 84134 | Outpatient | 9974983 | $253 | |
ASSAY OF PROGESTERONE | CPT 84144 | Outpatient | 9974982 | $303 | |
ASSAY OF PROLACTIN | CPT 84146 | Outpatient | 9974981 | $337 | |
ASSAY OF PSA TOTAL | CPT 84153 | Outpatient | 9974975 | $267 | |
ASSAY OF PSA FREE | CPT 84154 | Outpatient | 9563231 | $282 | |
ASSAY OF PROTEIN SERUM | CPT 84155 | Outpatient | 10051083 | $81 | |
ASSAY OF PROTEIN URINE | CPT 84156 | Outpatient | 10583000 | $81 | |
PROTEIN E-PHORESIS SERUM | CPT 84165 | Outpatient | 10051202 | $98 | |
PROTEIN E-PHORESIS/URINE/CSF | CPT 84166 | Outpatient | 10583001 | $262 | |
ASSAY OF SERUM SODIUM | CPT 84295 | Outpatient | 633611 | $88 | |
ASSAY OF URINE SODIUM | CPT 84300 | Outpatient | 9974967 | $97 | |
ASSAY OF TOTAL TESTOSTERONE | CPT 84403 | Outpatient | 9974960 | $437 | |
ASSAY OF TOTAL THYROXINE | CPT 84436 | Outpatient | 9974963 | $134 | |
ASSAY OF FREE THYROXINE | CPT 84439 | Outpatient | 9974962 | $173 | |
ASSAY THYROID STIM HORMONE | CPT 84443 | Outpatient | 633844 | $303 | |
TRANSFERASE (AST) (SGOT) | CPT 84450 | Outpatient | 633633 | $70 | |
ALANINE AMINO (ALT) (SGPT) | CPT 84460 | Outpatient | 633632 | $87 | |
ASSAY OF TRANSFERRIN | CPT 84466 | Outpatient | 9974953 | $202 | |
ASSAY TRIIODOTHYRONINE (T3) | CPT 84480 | Outpatient | 9974964 | $252 | |
FREE ASSAY (FT-3) | CPT 84481 | Outpatient | 9974965 | $317 | |
ASSAY OF TROPONIN QUANT | CPT 84484 | Outpatient | 940718 | $228 | |
ASSAY OF UREA NITROGEN | CPT 84520 | Outpatient | 633605 | $63 | |
ASSAY OF BLOOD/URIC ACID | CPT 84550 | Outpatient | 633858 | $80 | |
ASSAY OF VITAMIN A | CPT 84590 | Outpatient | 9505007 | $380 | |
ASSAY OF ZINC | CPT 84630 | Outpatient | 9505026 | $253 | |
ASSAY OF C-PEPTIDE | CPT 84681 | Outpatient | 9503972 | $397 | |
CHORIONIC GONADOTROPIN TEST | CPT 84702 | Outpatient | 9957040 | $428 | |
CHORIONIC GONADOTROPIN ASSAY | CPT 84703 | Outpatient | 10339149 | $173 | |
BL SMEAR W/DIFF WBC COUNT | CPT 85007 | Outpatient | 9202971 | $78 | |
HEMATOCRIT | CPT 85014 | Outpatient | 633742 | $57 | |
HEMOGLOBIN | CPT 85018 | Outpatient | 633741 | $30 | |
COMPLETE CBC W/AUTO DIFF WBC | CPT 85025 | Outpatient | - | $62 | |
COMPLETE CBC AUTOMATED | CPT 85027 | Outpatient | 8475377 | $125 | |
AUTOMATED RETICULOCYTE COUNT | CPT 85045 | Outpatient | 9974972 | $145 | |
FIBRIN DEGRADATION QUANT | CPT 85379 | Outpatient | 633718 | $99 | |
PROTHROMBIN TIME | CPT 85610 | Outpatient | 633793 | $49 | |
RBC SED RATE NONAUTOMATED | CPT 85651 | Outpatient | 904651 | $88 | |
THROMBOPLASTIN TIME PARTIAL | CPT 85730 | Outpatient | 9974973 | $97 | |
ALLG SPEC IGE CRUDE XTRC EA | CPT 86003 | Outpatient | 10734645 | $80 | |
ANTINUCLEAR ANTIBODIES | CPT 86038 | Outpatient | 9956942 | $190 | |
C-REACTIVE PROTEIN | CPT 86140 | Outpatient | 9956993 | $115 | |
C-REACTIVE PROTEIN HS | CPT 86141 | Outpatient | 9957050 | $235 | |
COMPLEMENT ANTIGEN | CPT 86160 | Outpatient | 9956973 | $319 | |
CCP ANTIBODY | CPT 86200 | Outpatient | 9956981 | $288 | |
NUCLEAR ANTIGEN ANTIBODY | CPT 86235 | Outpatient | 9504025 | $77 | |
IMMUNOASSAY TUMOR CA 15-3 | CPT 86300 | Outpatient | 9503929 | $373 | |
IMMUNOASSAY TUMOR CA 19-9 | CPT 86301 | Outpatient | 9503930 | $373 | |
IMMUNOASSAY TUMOR CA 125 | CPT 86304 | Outpatient | 9956975 | $288 | |
HETEROPHILE ANTIBODY SCREEN | CPT 86308 | Outpatient | 10339210 | $102 | |
IMMUNOFIX E-PHORESIS SERUM | CPT 86334 | Outpatient | 10051203 | $307 | |
IMMUNFIX E-PHORSIS/URINE/CSF | CPT 86335 | Outpatient | 10582999 | $417 | |
MICROSOMAL ANTIBODY EACH | CPT 86376 | Outpatient | 10051392 | $237 | |
RHEUMATOID FACTOR QUANT | CPT 86431 | Outpatient | 9974971 | $130 | |
TB TEST CELL IMMUN MEASURE | CPT 86480 | Outpatient | 49984708 | $988 | |
TB INTRADERMAL TEST | CPT 86580 | Outpatient | 1013339 | $41 | |
ASPERGILLUS ANTIBODY | CPT 86606 | Outpatient | 11673530 | $267 | |
LYME DISEASE ANTIBODY | CPT 86618 | Outpatient | 9960947 | $237 | |
CMV ANTIBODY | CPT 86644 | Outpatient | 9551611 | $273 | |
CMV ANTIBODY IGM | CPT 86645 | Outpatient | 9551612 | $273 | |
EPSTEIN-BARR NUCLEAR ANTIGEN | CPT 86664 | Outpatient | 9551624 | $340 | |
EPSTEIN-BARR CAPSID VCA | CPT 86665 | Outpatient | 9551623 | $252 | |
EHRLICHIA ANTIBODY | CPT 86666 | Outpatient | 9551010 | $363 | |
HERPES SIMPLEX TYPE 1 TEST | CPT 86695 | Outpatient | 9551641 | $213 | |
HERPES SIMPLEX TYPE 2 TEST | CPT 86696 | Outpatient | 9551642 | $283 | |
HIV-1/HIV-2 1 RESULT ANTBDY | CPT 86703 | Outpatient | 9957051 | $218 | |
HEP B CORE ANTIBODY IGM | CPT 86705 | Outpatient | 9957045 | $193 | |
HEP B SURFACE ANTIBODY | CPT 86706 | Outpatient | 9957046 | $125 | |
HEPATITIS A ANTIBODY | CPT 86708 | Outpatient | 9957044 | $193 | |
PROTOZOA ANTIBODY NOS | CPT 86753 | Outpatient | 9551011 | $363 | |
RUBELLA ANTIBODY | CPT 86762 | Outpatient | 9974970 | $275 | |
RUBEOLA ANTIBODY | CPT 86765 | Outpatient | 9974969 | $273 | |
TREPONEMA PALLIDUM | CPT 86780 | Outpatient | 9974966 | $193 | |
VARICELLA-ZOSTER ANTIBODY | CPT 86787 | Outpatient | 9974947 | $258 | |
THYROGLOBULIN ANTIBODY | CPT 86800 | Outpatient | 10051391 | $205 | |
HEPATITIS C AB TEST | CPT 86803 | Outpatient | 9957048 | $313 | |
RBC ANTIBODY SCREEN | CPT 86850 | Outpatient | 9004146 | $115 | |
BLOOD TYPING SEROLOGIC ABO | CPT 86900 | Outpatient | 2548611 | $58 | |
BLOOD TYPING SEROLOGIC RH(D) | CPT 86901 | Outpatient | 2200640 | $58 | |
COMPATIBILITY TEST SPIN | CPT 86920 | Outpatient | 9004141 | $84 | |
SPECIMEN INFECT AGNT CONCNTJ | CPT 87015 | Outpatient | 10051116 | $148 | |
BLOOD CULTURE FOR BACTERIA | CPT 87040 | Outpatient | 8463198 | $121 | |
CULTURE OTHR SPECIMN AEROBIC | CPT 87070 | Outpatient | 8463223 | $105 | |
CULTURE AEROBIC IDENTIFY | CPT 87077 | Outpatient | 11222949 | $76 | |
CULTURE SCREEN ONLY | CPT 87081 | Outpatient | 9006955 | $63 | |
URINE CULTURE/COLONY COUNT | CPT 87086 | Outpatient | 8463221 | $65 | |
MICROBE SUSCEPTIBLE DISK | CPT 87184 | Outpatient | 10837037 | $94 | |
SMEAR FLUORESCENT/ACID STAI | CPT 87206 | Outpatient | 10582975 | $107 | |
SMEAR COMPLEX STAIN | CPT 87209 | Outpatient | 10583005 | $293 | |
GIARDIA AG IF | CPT 87269 | Outpatient | 10051120 | $187 | |
CLOSTRIDIUM AG IA | CPT 87324 | Outpatient | 10582596 | $207 | |
HPYLORI STOOL AG IA | CPT 87338 | Outpatient | 9504153 | $430 | |
HEPATITIS B SURFACE AG IA | CPT 87340 | Outpatient | 9957047 | $236 | |
NOS EACH ORGANISM AG IA | CPT 87449 | Outpatient | 10582595 | $207 | |
CHYLMD TRACH DNA AMP PROBE | CPT 87491 | Outpatient | 9978925 | $312 | |
NFCT AGENT DETECTION GI | CPT 87505 | Outpatient | 48334418 | $322 | |
HEPATITIS C REVRS TRNSCRPJ | CPT 87522 | Outpatient | 9504287 | $1,317 | |
HSV DNA AMP PROBE | CPT 87529 | Outpatient | 50031852 | $51 | |
N.GONORRHOEAE DNA AMP PROB | CPT 87591 | Outpatient | 9978926 | $330 | |
HPV HIGH-RISK TYPES | CPT 87624 | Outpatient | 40608134 | $145 | |
DETECT AGENT NOS DNA AMP | CPT 87798 | Outpatient | 21528791 | $1,285 | |
INFLUENZA ASSAY W/OPTIC | CPT 87804 (QW) | Outpatient | 9448061 | $97 | |
TRICHOMONAS ASSAY W/OPTIC | CPT 87808 | Outpatient | 35832719 | $85 | |
STREP A ASSAY W/OPTIC | CPT 87880 (QW) | Outpatient | 1000600 | $89 | |
CYTOPATH C/V AUTO FLUID REDO | CPT 88175 | Outpatient | 40608132 | $158 | |
TISSUE EXAM BY PATHOLOGIST | CPT 88305 | Outpatient | 816035 | $56 | |
BODY FLUID CELL COUNT | CPT 89050 | Outpatient | 17336853 | $128 | |
PSA SCREENING | HCPCS G0103 | Outpatient | 11223342 | $139 | |
SPECIMEN COLLECT COVID-19 | HCPCS G2023 | Outpatient | 50432984 | $67 | |
COV-19 AMP PRB HGH THRUPUT | HCPCS U0003 | Outpatient | 50433409 | $89 | |
MRI |
(N/O) MRI SCAN | CPT 70553 | - | - | - | - |
(N/O) MRI SCAN OF LOWER SPINAL CANAL | CPT 72148 | - | - | - | - |
(N/O) MRI SCAN OF LEG JOINT | CPT 73721 | - | - | - | - |
Other Diagnostic |
PURE TONE HEARING TEST AIR | CPT 92551 | Outpatient | 1014598 | $54 | |
EXTREMITY STUDY | CPT 93971 (LT,TC) | Outpatient | 753421 | $942 | |
Other Procedures and Observation |
US URINE CAPACITY MEASURE | CPT 51798 | Outpatient | 651591 | $94 | |
HOSPITAL OBSERVATION PER HR | HCPCS G0378 | Outpatient | 990676 | $70 | |
Pharmacy |
METHYLPREDNISOLONE 80 MG INJ | HCPCS J1040 | Outpatient | 15559135 | $47 | |
Psychiatric |
PSYCH DIAG EVAL W/MED SRVCS | CPT 90792 | Outpatient | 1479945 | $307 | |
PSYTX W PT 30 MINUTES | CPT 90832 | Outpatient | 47794427 | $130 | |
PSYTX W PT 45 MINUTES | CPT 90834 | Outpatient | 47794429 | $171 | |
(N/O) PSYCHOTHERAPY, 60 MIN | CPT 90837 | - | - | - | - |
(N/O) FAMILY PSYCHOTHERAPY, NOT INCLUDING PATIENT, 50 MIN | CPT 90846 | - | - | - | - |
(N/O) FAMILY PSYCHOTHERAPY, INCLUDING PATIENT, 50 MIN | CPT 90847 | - | - | - | - |
(N/O) GROUP PSYCHOTHERAPY | CPT 90853 | - | - | - | - |
Radiology |
X-RAY EXAM OF NECK | CPT 70360 (TC) | Outpatient | 753807 | $222 | |
X-RAY EXAM CHEST 1 VIEW | CPT 71045 (TC) | Outpatient | 751376 | $229 | |
X-RAY EXAM CHEST 2 VIEWS | CPT 71046 (TC) | Outpatient | 689607 | $331 | |
X-RAY EXAM RIBS UNI 2 VIEWS | CPT 71100 (LT,TC) | Outpatient | 1457770 | $324 | |
X-RAY EXAM UNILAT RIBS/CHEST | CPT 71101 (LT,TC) | Outpatient | 931894 | $514 | |
X-RAY EXAM NECK SPINE 2-3 VW | CPT 72040 (TC) | Outpatient | 13762860 | $317 | |
X-RAY EXAM NECK SPINE 4/5VWS | CPT 72050 (TC) | Outpatient | 47904619 | $325 | |
X-RAY EXAM THORAC SPINE 2VWS | CPT 72070 (TC) | Outpatient | 753897 | $311 | |
X-RAY EXAM THORAC SPINE 3VWS | CPT 72072 (50,TC) | Outpatient | 1713017 | $407 | |
X-RAY EXAM THORACOLMB 2/> VW | CPT 72080 (TC) | Outpatient | 1405815 | $341 | |
X-RAY EXAM L-S SPINE 2/3 VWS | CPT 72100 (TC) | Outpatient | 1713011 | $350 | |
X-RAY EXAM L-2 SPINE 4/>VWS | CPT 72110 (TC) | Outpatient | 753893 | $508 | |
X-RAY EXAM L-S SPINE BENDING | CPT 72114 (TC) | Outpatient | 753891 | $503 | |
X-RAY EXAM OF PELVIS | CPT 72170 (TC) | Outpatient | 1066971 | $314 | |
X-RAY EXAM OF PELVIS | CPT 72190 (TC) | Outpatient | 1066973 | $408 | |
X-RAY EXAM SI JOINTS 3/> VWS | CPT 72202 (TC) | Outpatient | 753833 | $404 | |
X-RAY EXAM SACRUM TAILBONE | CPT 72220 (TC) | Outpatient | 753835 | $318 | |
X-RAY EXAM OF COLLAR BONE | CPT 73000 (LT,TC) | Outpatient | 753601 | $297 | |
X-RAY EXAM OF SHOULDER | CPT 73030 (RT,TC) | Outpatient | 753853 | $316 | |
X-RAY EXAM OF HUMERUS | CPT 73060 (LT,TC) | Outpatient | 753734 | $318 | |
X-RAY EXAM OF ELBOW | CPT 73070 (RT,TC) | Outpatient | 753625 | $276 | |
X-RAY EXAM OF ELBOW | CPT 73080 (LT,TC) | Outpatient | 753629 | $318 | |
X-RAY EXAM OF FOREARM | CPT 73090 (LT,TC) | Outpatient | 1712965 | $236 | |
X-RAY EXAM OF WRIST | CPT 73100 (LT,TC) | Outpatient | 754005 | $286 | |
X-RAY EXAM OF WRIST | CPT 73110 (LT,TC) | Outpatient | 754011 | $298 | |
X-RAY EXAM OF HAND | CPT 73120 (RT,TC) | Outpatient | 753711 | $308 | |
X-RAY EXAM OF HAND | CPT 73130 (LT,TC) | Outpatient | 753715 | $318 | |
X-RAY EXAM OF FINGER(S) | CPT 73140 (RT,TC) | Outpatient | 753666 | $222 | |
X-RAY EXAM HIP UNI 2-3 VIEWS | CPT 73502 (RT,TC) | Outpatient | 48005097 | $361 | |
X-RAY EXAM HIPS BI 2 VIEWS | CPT 73521 (TC) | Outpatient | 48005106 | $558 | |
X-RAY EXAM HIPS BI 3-4 VIEWS | CPT 73522 (TC) | Outpatient | 48005109 | $590 | |
X-RAY EXAM OF FEMUR 2/> | CPT 73552 (LT,TC) | Outpatient | 753644 | $319 | |
X-RAY EXAM OF KNEE 1 OR 2 | CPT 73560 (RT,TC) | Outpatient | 753749 | $287 | |
X-RAY EXAM KNEE 4 OR MORE | CPT 73564 (RT,TC) | Outpatient | 753761 | $418 | |
X-RAY EXAM OF KNEES | CPT 73565 (TC) | Outpatient | 931878 | $190 | |
X-RAY EXAM OF LOWER LEG | CPT 73590 (RT,TC) | Outpatient | 753920 | $278 | |
X-RAY EXAM OF ANKLE | CPT 73600 (RT,TC) | Outpatient | 753511 | $299 | |
X-RAY EXAM OF ANKLE | CPT 73610 (RT,TC) | Outpatient | 753517 | $316 | |
X-RAY EXAM OF FOOT | CPT 73620 (LT,TC) | Outpatient | 753687 | $314 | |
X-RAY EXAM OF FOOT | CPT 73630 (RT,TC) | Outpatient | 753695 | $316 | |
X-RAY EXAM OF TOE(S) | CPT 73660 (RT,TC) | Outpatient | 753940 | $226 | |
X-RAY EXAM ABDOMEN 1 VIEW | CPT 74018 (TC) | Outpatient | 922935 | $277 | |
X-RAY EXAM ABDOMEN 2 VIEWS | CPT 74019 (TC) | Outpatient | 753493 | $394 | |
X-RAY EXAM COMPLETE ABDOMEN | CPT 74022 (TC) | Outpatient | 753502 | $406 | |
DXA BONE DENSITY AXIAL | CPT 77080 (TC) | Outpatient | 931306 | $542 | |
Surgical Procedures |
(N/O) REMOVAL OF ONE OR MORE BREAST GROWTH, OPEN PROCEDURE | CPT 19120 | - | - | - | - |
(N/O) SHAVING OF SHOULDER BONE USING ENDOSCOPE | CPT 29826 | - | - | - | - |
(N/O) REMOVAL OF ONE KNEE CARTILAGE USING AN ENDOSCOPE | CPT 29881 | - | - | - | - |
(N/O) REMOVAL OF TONSILS AND ADENOID GLANDS, PATIENT YOUNG ... | CPT 42820 | - | - | - | - |
(N/O) DIAGNOSTIC EXAM OF ESOPHAGUS, STOMACH OR SMALL BOWEL ... | CPT 43235 | - | - | - | - |
(N/O) BIOPSY EXAM OF ESOPHAGUS, STOMACH OR SMALL BOWEL USI ... | CPT 43239 | - | - | - | - |
(N/O) DIAGNOSTIC EXAM OF LARGE BOWEL USING AN ENDOSCOPE | CPT 45378 | - | - | - | - |
(N/O) BIOPSY EXAM OF LARGE BOWEL USING AN ENDOSCOPE | CPT 45380 | - | - | - | - |
(N/O) REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ... | CPT 45385 | - | - | - | - |
(N/O) ULTRASOUND EXAMINATION OF LOWER LARGE BOWEL USING AN ... | CPT 45391 | - | - | - | - |
(N/O) REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | CPT 47562 | - | - | - | - |
(N/O) REPAIR OF GROIN HERNIA PATIENT AGE 5 YEARS OR OLDER | CPT 49505 | - | - | - | - |
(N/O) BIOPSY OF PROSTATE GLAND | CPT 55700 | - | - | - | - |
(N/O) SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH N ... | CPT 55866 | - | - | - | - |
(N/O) OBSTETRIC CARE, PLANNED VAGINAL DELIVERY | CPT 59400 | - | - | - | - |
(N/O) OBSTETRIC CARE, PLANNED CESAREAN DELIVERY | CPT 59510 | - | - | - | - |
(N/O) OBSTETRIC CARE, PLANNED VAGINAL DELIVERY (POST DELIV ... | CPT 59610 | - | - | - | - |
(N/O) INJECTION(S) OF THERAPEUTIC SUBSTANCE | CPT 62322 | - | - | - | - |
(N/O) INJECTION(S) OF THERAPEUTIC SUBSTANCE | CPT 62323 | - | - | - | - |
(N/O) INJECTION(S) OF ANESTHETIC INTO LOWER SPINE USING IM ... | CPT 64483 | - | - | - | - |
(N/O) REMOVAL OF RECURRING CATARACT IN LENS CAPSULE USING ... | CPT 66821 | - | - | - | - |
(N/O) REMOVAL OF CATARACT WITH INSERTION OF LENS | CPT 66984 | - | - | - | - |
(N/O) INSERTION OF CATHETER INTO LEFT HEART FOR DIAGNOSIS | CPT 93452 | - | - | - | - |
Therapy |
THERAPEUTIC EXERCISES | CPT 97110 | Outpatient | - | $186 | |
Uncategorized |
REMOVE INTRAUTERINE DEVICE | CPT 58301 | Outpatient | 48377959 | $174 | |
IMMUNIZATION ADMIN | CPT 90471 | Outpatient | 2187003 | $30 | |
IMMUNIZATION ADMIN EACH ADD | CPT 90472 | Outpatient | 2187004 | $30 | |