CT Scan |
CT HEAD/BRAIN W/O DYE | CPT 70450 | Outpatient | 70035070450 | $1,710 | |
CT HEAD/BRAIN W/O DYE | CPT 70450 | Outpatient | - | $1,950 | |
CT HEAD/BRAIN W/O DYE | CPT 70450 | Outpatient | 70035070450 | $1,710 | |
CT THORAX DX C- | CPT 71250 | Outpatient | 70035071250 | $2,173 | |
CT THORAX DX C- | CPT 71250 | Outpatient | 70035071250 | $2,173 | |
CT ANGIOGRAPHY CHEST | CPT 71275 | Outpatient | 70032071275 | $3,661 | |
CT NECK SPINE W/O DYE | CPT 72125 | Outpatient | 70035072125 | $2,011 | |
CT PELVIS W/DYE | CPT 72193 | Outpatient | 70035072193 | $2,986 | |
CT PELVIS W/DYE | CPT 72193 | Outpatient | - | $2,986 | |
CT PELVIS W/DYE | CPT 72193 | Outpatient | 70035072193 | $2,334 | |
CT ABD & PELVIS W/O CONTRAST | CPT 74176 | Outpatient | 70035074176 | $3,500 | |
CT ABD & PELVIS W/O CONTRAST | CPT 74176 | Outpatient | 70035074176 | $3,500 | |
CT ABD & PELVIS W/O CONTRAST | CPT 74176 | Outpatient | 70035074176 | $3,500 | |
CT ABD & PELV W/CONTRAST | CPT 74177 | Outpatient | - | $3,160 | |
CT ABD & PELV W/CONTRAST | CPT 74177 | Outpatient | 70035074177 | $3,661 | |
CT ABD & PELV W/CONTRAST | CPT 74177 | Outpatient | 70035074177 | $3,661 | |
Cancer Services |
CHEMO IV INFUSION 1 HR | CPT 96413 | Outpatient | 90033596413 | $173 | |
CHEMO IV INFUSION ADDL HR | CPT 96415 | Outpatient | 90033596415 | $112 | |
IRRIG DRUG DELIVERY DEVICE | CPT 96523 | Outpatient | 90033596523 | $22 | |
Cardiology |
TTE W/DOPPLER COMPLETE | CPT 93306 | Outpatient | 70048093306 | $1,547 | |
Clinic |
DRAINAGE OF SKIN ABSCESS | CPT 10060 | Outpatient | 50036010060 | $285 | |
DRAINAGE OF SKIN ABSCESS | CPT 10061 | Outpatient | 50036010061 | $486 | |
DEB SUBQ TISSUE 20 SQ CM/< | CPT 11042 | Outpatient | 50036011042 | $612 | |
TRIM SKIN LESION | CPT 11055 | Outpatient | 20051011055 | $95 | |
TRIM SKIN LESIONS 2 TO 4 | CPT 11056 | Outpatient | 20096011056 | $175 | |
EXC TR-EXT B9+MARG 0.6-1 CM | CPT 11401 | Outpatient | 50036011401 | $327 | |
EXC TR-EXT B9+MARG 1.1-2 CM | CPT 11402 | Outpatient | 50036011402 | $392 | |
EXC TR-EXT B9+MARG 2.1-3CM | CPT 11403 | Outpatient | 50036011403 | $502 | |
EXC TR-EXT B9+MARG >4.0 CM | CPT 11406 | Outpatient | 50036011406 | $1,094 | |
EXC H-F-NK-SP B9+MARG 2.1-3 | CPT 11423 | Outpatient | 50036011423 | $610 | |
EXC FACE-MM B9+MARG 1.1-2 CM | CPT 11442 | Outpatient | 50036011442 | $437 | |
EXC TR-EXT MAL+MARG 3.1-4 CM | CPT 11604 | Outpatient | 50036011604 | $648 | |
EXC TR-EXT MAL+MARG >4 CM | CPT 11606 | Outpatient | 50036011606 | $953 | |
EXC S/N/H/F/G MAL+MRG 3.1-4 | CPT 11624 | Outpatient | 50036011624 | $727 | |
EXC F/E/E/N/L MAL+MRG 1.1-2 | CPT 11642 | Outpatient | 50036011642 | $566 | |
TRIM NAIL(S) ANY NUMBER | CPT 11719 | Outpatient | 20096011719 | $53 | |
DEBRIDE NAIL 1-5 | CPT 11720 | Outpatient | 20096011720 | $198 | |
DEBRIDE NAIL 6 OR MORE | CPT 11721 | Outpatient | 20096011721 | $143 | |
REMOVAL OF NAIL BED | CPT 11750 | Outpatient | 20051011750 | $509 | |
REMOVE PILONIDAL CYST EXTEN | CPT 11771 | Outpatient | 50036011771 | $1,283 | |
RPR S/N/AX/GEN/TRNK 2.5CM/< | CPT 12001 | Outpatient | 30098112001 | $327 | |
RPR S/N/AX/GEN/TRNK2.6-7.5CM | CPT 12002 | Outpatient | 30098112002 | $353 | |
INTMD RPR S/A/T/EXT 2.6-7.5 | CPT 12032 | Outpatient | 50036012032 | $538 | |
DESTRUCT B9 LESION 1-14 | CPT 17110 | Outpatient | 20096017110 | $199 | |
PARTIAL MASTECTOMY | CPT 19301 | Outpatient | 50036019301 | $2,861 | |
MAST SIMPLE COMPLETE | CPT 19303 | Outpatient | 50036019303 | $4,422 | |
INJECT TRIGGER POINTS 3/> | CPT 20553 | Outpatient | 20096020553 | $683 | |
DRAIN/INJ JOINT/BURSA W/O US | CPT 20610 | Outpatient | 20096020610 | $285 | |
EXC SHOULDER TUM DEEP 5 CM/> | CPT 23073 | Outpatient | 50036023073 | $682 | |
INCISION OF FOOT FASCIA | CPT 28008 | Outpatient | 50036028008 | $1,759 | |
PARTIAL REMOVAL FOOT FASCIA | CPT 28060 | Outpatient | 50036028060 | $3,174 | |
PARTIAL REMOVAL OF FOOT BONE | CPT 28122 | Outpatient | 50036028122 | $3,122 | |
REPAIR OF HAMMERTOE | CPT 28285 | Outpatient | 50036028285 | $1,502 | |
CORRJ HALUX RIGDUS W/O IMPLT | CPT 28289 | Outpatient | 50036028289 | $2,525 | |
CORRECTION HALLUX VALGUS | CPT 28296 | Outpatient | 50036028296 | $2,464 | |
FUSION OF BIG TOE JOINT | CPT 28750 | Outpatient | 50036028750 | $4,309 | |
AMPUTATION OF TOE | CPT 28820 | Outpatient | 50036028820 | $1,586 | |
PARTIAL AMPUTATION OF TOE | CPT 28825 | Outpatient | 50036028825 | $1,851 | |
APPLICATION OF PASTE BOOT | CPT 29580 | Outpatient | 20096029580 | $290 | |
INSERT TUNNELED CV CATH | CPT 36561 | Outpatient | 50036036561 | $1,659 | |
REMOVAL TUNNELED CV CATH | CPT 36590 | Outpatient | 50036036590 | $950 | |
BIOPSY/REMOVAL LYMPH NODES | CPT 38500 | Outpatient | 50036038500 | $1,141 | |
LAPAROSCOPY FUNDOPLASTY | CPT 43280 | Outpatient | 50036043280 | $4,238 | |
LAPAROSCOPY APPENDECTOMY | CPT 44970 | Outpatient | 50036044970 | $2,669 | |
COLONOSCOPY W/LESION REMOVAL | CPT 45384 | Outpatient | 20051045384 | $1,155 | |
REMOVE INT/EXT HEM 1 GROUP | CPT 46255 | Outpatient | 50036046255 | $1,564 | |
LAPARO CHOLECYSTECTOMY/GRAPH | CPT 47563 | Outpatient | 50036047563 | $2,808 | |
RPR UMBIL HERN REDUC > 5 YR | CPT 49585 | Outpatient | 50036049585 | $1,970 | |
RPR UMBIL HERN BLOCK > 5 YR | CPT 49587 | Outpatient | 50036049587 | $1,497 | |
LAP ING HERNIA REPAIR INIT | CPT 49650 | Outpatient | 50036049650 | $1,898 | |
LAP ING HERNIA REPAIR RECUR | CPT 49651 | Outpatient | 50036049651 | $2,186 | |
XCAPSL CTRC RMVL CPLX WO ECP | CPT 66982 | Outpatient | 50036066982 | $4,142 | |
REMOVE IMPACTED EAR WAX UNI | CPT 69209 | Outpatient | 20051069209 | $181 | |
ECHO EXAM OF EYE THICKNESS | CPT 76514 | Outpatient | 20096076514 | $28 | |
ECHO EXAM OF EYE | CPT 76519 | Outpatient | 20051076519 | $323 | |
PSYCH DIAGNOSTIC EVALUATION | CPT 90791 | Outpatient | 20096090791 | $337 | |
EYE EXAM NEW PATIENT | CPT 92004 | Outpatient | 20096092004 | $261 | |
EYE EXAM ESTABLISH PATIENT | CPT 92012 | Outpatient | 20096092012 | $146 | |
EYE EXAM&TX ESTAB PT 1/>VST | CPT 92014 | Outpatient | 20096092014 | $234 | |
DETERMINE REFRACTIVE STATE | CPT 92015 | Outpatient | 20096092015 | $62 | |
SPECIAL EYE EVALUATION | CPT 92020 | Outpatient | 20096092020 | $78 | |
VISUAL FIELD EXAMINATION(S) | CPT 92083 | Outpatient | 20096092083 | $170 | |
CMPTR OPHTH IMG OPTIC NERVE | CPT 92133 | Outpatient | 20096092133 | $86 | |
PURE TONE HEARING TEST AIR | CPT 92551 | Outpatient | 20096092551 | $66 | |
DEVELOPMENTAL SCREEN W/SCORE | CPT 96110 | Outpatient | 20096096110 | $27 | |
RMVL DEVITAL TIS 20 CM/< | CPT 97597 | Outpatient | 20051097597 | $437 | |
RMVL DEVITAL TIS 20 CM/< | CPT 97597 | Outpatient | 20051097597 | $437 | |
MEDICAL SERVICES AFTER HRS | CPT 99050 | Outpatient | 20096099050 | $64 | |
VISUAL ACUITY SCREEN | CPT 99173 | Outpatient | 20096099173 | $42 | |
OFFICE O/P NEW SF 15-29 MIN | CPT 99202 | Outpatient | 20096099202 | $156 | |
OFFICE O/P NEW LOW 30-44 MIN | CPT 99203 | Outpatient | 20096099203 | $215 | |
OFFICE O/P NEW MOD 45-59 MIN | CPT 99204 | Outpatient | 20096099204 | $330 | |
OFFICE O/P NEW HI 60-74 MIN | CPT 99205 | Outpatient | 20096099205 | $407 | |
OFFICE O/P EST MINIMAL PROB | CPT 99211 | Outpatient | 20051099211 | $64 | |
OFFICE O/P EST SF 10-19 MIN | CPT 99212 | Outpatient | 20096099212 | $95 | |
OFFICE O/P EST LOW 20-29 MIN | CPT 99213 | Outpatient | 20096099213 | $127 | |
OFFICE O/P EST MOD 30-39 MIN | CPT 99214 | Outpatient | 20096099214 | $200 | |
OFFICE O/P EST HI 40-54 MIN | CPT 99215 | Outpatient | 20096099215 | $305 | |
OBSERVATION CARE DISCHARGE | CPT 99217 | Outpatient | 25051099217 | $216 | |
INITIAL OBSERVATION CARE | CPT 99219 | Outpatient | 20096099219 | $392 | |
INITIAL HOSPITAL CARE | CPT 99221 | Outpatient | 20096099221 | $282 | |
INITIAL HOSPITAL CARE | CPT 99222 | Outpatient | 20096099222 | $388 | |
INITIAL HOSPITAL CARE | CPT 99223 | Outpatient | 20096099223 | $468 | |
SUBSEQUENT HOSPITAL CARE | CPT 99231 | Outpatient | 20096099231 | $142 | |
SUBSEQUENT HOSPITAL CARE | CPT 99232 | Outpatient | 20096099232 | $212 | |
SUBSEQUENT HOSPITAL CARE | CPT 99233 | Outpatient | 20051099233 | $318 | |
HOSPITAL DISCHARGE DAY | CPT 99238 | Outpatient | 20096099238 | $216 | |
HOSPITAL DISCHARGE DAY | CPT 99239 | Outpatient | 20096099239 | $298 | |
OFFICE CONSULTATION | CPT 99242 | Outpatient | 20096099242 | $285 | |
OFFICE CONSULTATION | CPT 99243 | Outpatient | 20096099243 | $358 | |
OFFICE CONSULTATION | CPT 99244 | Outpatient | 20096099244 | $440 | |
NURSING FACILITY CARE INIT | CPT 99304 | Outpatient | 20096099304 | $122 | |
NURSING FACILITY CARE INIT | CPT 99305 | Outpatient | 20096099305 | $162 | |
NURSING FACILITY CARE INIT | CPT 99306 | Outpatient | 20096099306 | $201 | |
NURSING FAC CARE SUBSEQ | CPT 99307 | Outpatient | 20096099307 | $64 | |
NURSING FAC CARE SUBSEQ | CPT 99308 | Outpatient | 20096099308 | $107 | |
NURSING FAC CARE SUBSEQ | CPT 99309 | Outpatient | 20096099309 | $150 | |
NURSING FAC CARE SUBSEQ | CPT 99310 | Outpatient | 20096099310 | $187 | |
NURSING FAC DISCHARGE DAY | CPT 99316 | Outpatient | 20096099316 | $258 | |
INIT PM E/M NEW PAT INFANT | CPT 99381 | Outpatient | 20096099381 | $224 | |
PREV VISIT NEW AGE 18-39 | CPT 99385 | Outpatient | 20096099385 | $277 | |
PREV VISIT NEW AGE 40-64 | CPT 99386 | Outpatient | 20096099386 | $315 | |
PER PM REEVAL EST PAT INFANT | CPT 99391 | Outpatient | 20096099391 | $170 | |
PREV VISIT EST AGE 1-4 | CPT 99392 | Outpatient | 20096099392 | $191 | |
PREV VISIT EST AGE 5-11 | CPT 99393 | Outpatient | 20096099393 | $188 | |
PREV VISIT EST AGE 12-17 | CPT 99394 | Outpatient | 20096099394 | $207 | |
PREV VISIT EST AGE 18-39 | CPT 99395 | Outpatient | 20096099395 | $234 | |
PREV VISIT EST AGE 40-64 | CPT 99396 | Outpatient | 20096099396 | $293 | |
PER PM REEVAL EST PAT 65+ YR | CPT 99397 | Outpatient | 20096099397 | $291 | |
WORK RELATED DISABILITY EXAM | CPT 99455 | Outpatient | 20096099455 | $383 | |
COLORECTAL SCRN; HI RISK IND | HCPCS G0105 | Outpatient | 500361G0105 | $983 | |
DIAB MANAGE TRN PER INDIV | HCPCS G0108 | Outpatient | 200983G0108 | $86 | |
COLON CA SCRN NOT HI RSK IND | HCPCS G0121 | Outpatient | 500361G0121 | $983 | |
PPPS, SUBSEQ VISIT | HCPCS G0439 | Outpatient | 200510G0439 | $582 | |
COMP MULTIDISIPLN EVALUATION | HCPCS H2000 | Outpatient | 200510H2000 | $146 | |
EEG |
(N/O) SLEEP STUDY | CPT 95810 | - | - | - | - |
EKG |
ELECTROCARDIOGRAM COMPLETE | CPT 93000 | Outpatient | - | $289 | |
ELECTROCARDIOGRAM TRACING | CPT 93005 | Outpatient | 45073093005 | $290 | |
ELECTROCARDIOGRAM TRACING | CPT 93005 | Outpatient | 45073093005 | $290 | |
ELECTROCARDIOGRAM TRACING | CPT 93005 | Outpatient | 45073093005 | $290 | |
ELECTROCARDIOGRAM TRACING | CPT 93005 | Outpatient | 45073093005 | $290 | |
ECG RECORD/REVIEW | CPT 93268 | Outpatient | 30073293268 | $379 | |
ECG RECORD/REVIEW | CPT 93268 | Outpatient | 30073293268 | $379 | |
Emergency Room |
HYDRATION IV INFUSION INIT | CPT 96360 | Outpatient | 30045096360 | $145 | |
HYDRATE IV INFUSION ADD-ON | CPT 96361 | Outpatient | 30045096361 | $126 | |
HYDRATE IV INFUSION ADD-ON | CPT 96361 | Outpatient | 30045096361 | $126 | |
THER/PROPH/DIAG IV INF INIT | CPT 96365 | Outpatient | 30045096365 | $118 | |
THER/PROPH/DIAG IV INF INIT | CPT 96365 | Outpatient | 30045096365 | $124 | |
THER/PROPH/DIAG IV INF INIT | CPT 96365 | Outpatient | 30045096365 | $118 | |
THER/PROPH/DIAG IV INF ADDON | CPT 96366 | Outpatient | 30045096366 | $124 | |
THER/PROPH/DIAG IV INF ADDON | CPT 96366 | Outpatient | 30045096366 | $124 | |
TX/PROPH/DG ADDL SEQ IV INF | CPT 96367 | Outpatient | 30045096367 | $56 | |
TX/PROPH/DG ADDL SEQ IV INF | CPT 96367 | Outpatient | 30045096367 | $56 | |
THER/PROPH/DIAG INJ SC/IM | CPT 96372 | Outpatient | 20051096372 | $38 | |
THER/PROPH/DIAG INJ IV PUSH | CPT 96374 | Outpatient | 30045096374 | $111 | |
THER/PROPH/DIAG INJ IV PUSH | CPT 96374 | Outpatient | 30045096374 | $111 | |
TX/PRO/DX INJ NEW DRUG ADDON | CPT 96375 | Outpatient | 30045096375 | $56 | |
TX/PRO/DX INJ NEW DRUG ADDON | CPT 96375 | Outpatient | 30045096375 | $56 | |
TX/PRO/DX INJ SAME DRUG ADON | CPT 96376 | Outpatient | 30045096376 | $54 | |
TX/PRO/DX INJ SAME DRUG ADON | CPT 96376 | Outpatient | 30045096376 | $54 | |
EMERGENCY DEPT VISIT | CPT 99281 | Outpatient | 30098199281 | $258 | |
EMERGENCY DEPT VISIT | CPT 99282 | Outpatient | 30098199282 | $287 | |
EMERGENCY DEPT VISIT | CPT 99283 | Outpatient | 30045099283 | $426 | |
EMERGENCY DEPT VISIT | CPT 99284 | Outpatient | 30045099284 | $680 | |
EMERGENCY DEPT VISIT | CPT 99285 | Outpatient | 30045099285 | $1,091 | |
Imaging |
US EXAM OF HEAD AND NECK | CPT 76536 | Outpatient | 70040276536 | $862 | |
ULTRASOUND BREAST LIMITED | CPT 76642 | Outpatient | 70040276642 | $358 | |
ULTRASOUND BREAST LIMITED | CPT 76642 | Outpatient | 70040276642 | $358 | |
US EXAM ABDOM COMPLETE | CPT 76700 | Outpatient | - | $957 | |
US EXAM ABDOM COMPLETE | CPT 76700 | Outpatient | 70040276700 | $957 | |
ECHO EXAM OF ABDOMEN | CPT 76705 | Outpatient | 70040276705 | $740 | |
ECHO EXAM OF ABDOMEN | CPT 76705 | Outpatient | 70040276705 | $740 | |
OB US >= 14 WKS SNGL FETUS | CPT 76805 | Outpatient | - | $1,060 | |
TRANSVAGINAL US NON-OB | CPT 76830 | Outpatient | 70040276830 | $866 | |
TRANSVAGINAL US NON-OB | CPT 76830 | Outpatient | - | $866 | |
TRANSVAGINAL US NON-OB | CPT 76830 | Outpatient | 70040276830 | $866 | |
BREAST TOMOSYNTHESIS UNI | CPT 77061 | Outpatient | 70040177061 | $126 | |
BREAST TOMOSYNTHESIS BI | CPT 77063 | Outpatient | 70040377063 | $126 | |
DX MAMMO INCL CAD UNI | CPT 77065 | Outpatient | - | $537 | |
DX MAMMO INCL CAD UNI | CPT 77065 | Outpatient | 70040177065 | $537 | |
DX MAMMO INCL CAD UNI | CPT 77065 | Outpatient | - | $537 | |
DX MAMMO INCL CAD UNI | CPT 77065 | Outpatient | 70040177065 | $537 | |
DX MAMMO INCL CAD UNI | CPT 77065 | Outpatient | - | $537 | |
DX MAMMO INCL CAD UNI | CPT 77065 | Outpatient | 70040177065 | $537 | |
DX MAMMO INCL CAD UNI | CPT 77065 | Outpatient | - | $537 | |
DX MAMMO INCL CAD UNI | CPT 77065 | Outpatient | 70040177065 | $537 | |
DX MAMMO INCL CAD BI | CPT 77066 | Outpatient | - | $537 | |
DX MAMMO INCL CAD BI | CPT 77066 | Outpatient | 70040177066 | $537 | |
DX MAMMO INCL CAD BI | CPT 77066 | Outpatient | - | $537 | |
DX MAMMO INCL CAD BI | CPT 77066 | Outpatient | 70040177066 | $537 | |
SCR MAMMO BI INCL CAD | CPT 77067 | Outpatient | - | $537 | |
SCR MAMMO BI INCL CAD | CPT 77067 | Outpatient | 70040377067 | $537 | |
SCR MAMMO BI INCL CAD | CPT 77067 | Outpatient | - | $537 | |
SCR MAMMO BI INCL CAD | CPT 77067 | Outpatient | 70040377067 | $537 | |
SCR MAMMO BI INCL CAD | CPT 77067 | Outpatient | - | $537 | |
SCR MAMMO BI INCL CAD | CPT 77067 | Outpatient | 70040377067 | $537 | |
SCR MAMMO BI INCL CAD | CPT 77067 | Outpatient | - | $537 | |
SCR MAMMO BI INCL CAD | CPT 77067 | Outpatient | 70040377067 | $537 | |
SCR MAMMO BI INCL CAD | CPT 77067 | Outpatient | - | $537 | |
SCR MAMMO BI INCL CAD | CPT 77067 | Outpatient | 70040377067 | $537 | |
SCR MAMMO BI INCL CAD | CPT 77067 | Outpatient | - | $537 | |
SCR MAMMO BI INCL CAD | CPT 77067 | Outpatient | 70040377067 | $537 | |
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 | - | - | - | - |
Laboratory |
CONTROLLED SUBSTANCE MONITORING PANEL, URINE MAYO | CPT 18100 (5280307380347480364) | Outpatient | 40030080307 | $346 | |
ROUTINE VENIPUNCTURE | CPT 36415 | Outpatient | 40030036415 | $30 | |
ROUTINE VENIPUNCTURE | CPT 36415 | Outpatient | 40030036415 | $30 | |
ROUTINE VENIPUNCTURE | CPT 36415 | Outpatient | 40030036415 | $30 | |
METABOLIC PANEL TOTAL CA | CPT 80048 | Outpatient | 40030080048 | $126 | |
METABOLIC PANEL TOTAL CA | CPT 80048 | Outpatient | 40030080048 | $126 | |
COMPREHEN METABOLIC PANEL | CPT 80053 | Outpatient | 40030080053 | $147 | |
COMPREHEN METABOLIC PANEL | CPT 80053 | Outpatient | 40030080053 | $147 | |
(N/O) OBSTETRIC BLOOD TEST PANEL | CPT 80055 | - | - | - | - |
LIPID PANEL | CPT 80061 | Outpatient | 40030080061 | $139 | |
RENAL FUNCTION PANEL | CPT 80069 | Outpatient | - | $106 | |
HEPATIC FUNCTION PANEL | CPT 80076 | Outpatient | 40030070076 | $118 | |
DRUG TEST PRSMV DIR OPT OBS | CPT 80305 | Outpatient | 20030080305 | $34 | |
DRUG TEST PRSMV CHEM ANLYZR | CPT 80307 | Outpatient | 40030080307 | $331 | |
DRUG TEST PRSMV CHEM ANLYZR | CPT 80307 | Outpatient | 40030080307 | $331 | |
DRUG TEST PRSMV CHEM ANLYZR | CPT 80307 | Outpatient | 40030080307 | $331 | |
DRUG TEST PRSMV CHEM ANLYZR | CPT 80307 | Outpatient | 40030080307 | $331 | |
(N/O) URINALYSIS TEST USING MICROSCOPE | CPT 81000 | - | - | - | - |
URINALYSIS AUTO W/SCOPE | CPT 81001 | Outpatient | 40030081001 | $46 | |
URINALYSIS AUTO W/SCOPE | CPT 81001 | Outpatient | 40030081001 | $46 | |
URINALYSIS AUTO W/SCOPE | CPT 81001 | Outpatient | 40030081001 | $46 | |
URINALYSIS NONAUTO W/O SCOPE | CPT 81002 | Outpatient | - | $18 | |
URINALYSIS AUTO W/O SCOPE | CPT 81003 | Outpatient | 40030081003 | $37 | |
URINALYSIS AUTO W/O SCOPE | CPT 81003 | Outpatient | 40030081003 | $37 | |
URINALYSIS AUTO W/O SCOPE | CPT 81003 | Outpatient | 40030081003 | $37 | |
URINALYSIS AUTO W/O SCOPE | CPT 81003 | Outpatient | 40030081003 | $37 | |
MICROSCOPIC EXAM OF URINE | CPT 81015 | Outpatient | 40030081015 | $43 | |
MICROSCOPIC EXAM OF URINE | CPT 81015 | Outpatient | 40030081015 | $43 | |
URINE PREGNANCY TEST | CPT 81025 | Outpatient | 40030081025 | $92 | |
HLA II TYPING 1 LOCUS LR | CPT 81376 | Outpatient | 40030081376 | $415 | |
HLA II TYPING 1 LOCUS LR | CPT 81376 | Outpatient | 40030081376 | $415 | |
ACETONE ASSAY | CPT 82010 | Outpatient | 40030082010 | $121 | |
ACETONE ASSAY | CPT 82010 | Outpatient | 40030082010 | $96 | |
UR ALBUMIN QUANTITATIVE | CPT 82043 | Outpatient | 40030082043 | $70 | |
UR ALBUMIN QUANTITATIVE | CPT 82043 | Outpatient | 40030082043 | $70 | |
UR ALBUMIN QUANTITATIVE | CPT 82043 | Outpatient | 40030082043 | $70 | |
ALPHA-FETOPROTEIN SERUM | CPT 82105 | Outpatient | 40030082105 | $211 | |
ALPHA-FETOPROTEIN SERUM | CPT 82105 | Outpatient | 40030082105 | $211 | |
ASSAY TEST FOR BLOOD FECAL | CPT 82274 | Outpatient | 40030082274 | $157 | |
ASSAY TEST FOR BLOOD FECAL | CPT 82274 | Outpatient | 40030082274 | $157 | |
VITAMIN D 25 HYDROXY | CPT 82306 | Outpatient | 40030082306 | $243 | |
VITAMIN D 25 HYDROXY | CPT 82306 | Outpatient | 40030082306 | $243 | |
ASSAY OF CK (CPK) | CPT 82550 | Outpatient | 40030082550 | $94 | |
ASSAY OF CK (CPK) | CPT 82550 | Outpatient | 40030082550 | $98 | |
ASSAY OF CK (CPK) | CPT 82550 | Outpatient | 40030082550 | $98 | |
ASSAY OF CREATININE | CPT 82565 | Outpatient | 40030082565 | $67 | |
ASSAY OF CREATININE | CPT 82565 | Outpatient | 40030082565 | $67 | |
VITAMIN B-12 | CPT 82607 | Outpatient | 40030082607 | $155 | |
VITAMIN B-12 | CPT 82607 | Outpatient | 40030082607 | $155 | |
ASSAY OF FERRITIN | CPT 82728 | Outpatient | 40030082728 | $189 | |
ASSAY OF FERRITIN | CPT 82728 | Outpatient | 40030082728 | $189 | |
ASSAY OF FOLIC ACID SERUM | CPT 82746 | Outpatient | 40030082746 | $202 | |
ASSAY OF FOLIC ACID SERUM | CPT 82746 | Outpatient | 40030082746 | $202 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 40030082784 | $111 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 40030082784 | $111 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 40030082784 | $111 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 40030082784 | $111 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 40030082784 | $111 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 40030082784 | $111 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 40030082784 | $111 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 40030082784 | $111 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 40030082784 | $111 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 40030082784 | $111 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 40030082784 | $111 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 40030082784 | $111 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 40030082784 | $111 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 40030082784 | $111 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 40030082784 | $111 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 40030082784 | $111 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 40030082784 | $111 | |
BLOOD GASES ANY COMBINATION | CPT 82803 | Outpatient | 40030082803 | $266 | |
BLOOD GASES ANY COMBINATION | CPT 82803 | Outpatient | 40030082803 | $266 | |
ASSAY GLUCOSE BLOOD QUANT | CPT 82947 | Outpatient | 40030082947 | $53 | |
ASSAY GLUCOSE BLOOD QUANT | CPT 82947 | Outpatient | 40030082947 | $53 | |
ASSAY GLUCOSE BLOOD QUANT | CPT 82947 | Outpatient | 40030082947 | $53 | |
ASSAY GLUCOSE BLOOD QUANT | CPT 82947 | Outpatient | 40030082947 | $53 | |
ASSAY GLUCOSE BLOOD QUANT | CPT 82947 | Outpatient | 40030082947 | $53 | |
ASSAY GLUCOSE BLOOD QUANT | CPT 82947 | Outpatient | 40030082947 | $53 | |
ASSAY GLUCOSE BLOOD QUANT | CPT 82947 | Outpatient | 40030082947 | $53 | |
ASSAY GLUCOSE BLOOD QUANT | CPT 82947 | Outpatient | 40030082947 | $53 | |
ASSAY GLUCOSE BLOOD QUANT | CPT 82947 | Outpatient | 40030082947 | $53 | |
ASSAY GLUCOSE BLOOD QUANT | CPT 82947 | Outpatient | 40030082947 | $46 | |
ASSAY GLUCOSE BLOOD QUANT | CPT 82947 | Outpatient | 40030082947 | $46 | |
ASSAY OF GONADOTROPIN (FSH) | CPT 83001 | Outpatient | 40030083001 | $278 | |
ASSAY OF GONADOTROPIN (FSH) | CPT 83001 | Outpatient | 40030083001 | $278 | |
ASSAY OF GONADOTROPIN (FSH) | CPT 83001 | Outpatient | 40030083001 | $278 | |
GLYCOSYLATED HEMOGLOBIN TEST | CPT 83036 | Outpatient | 40030083036 | $140 | |
GLYCOSYLATED HEMOGLOBIN TEST | CPT 83036 | Outpatient | 40030083036 | $145 | |
GLYCOSYLATED HEMOGLOBIN TEST | CPT 83036 | Outpatient | 40030083036 | $140 | |
IMMUNOASSAY NONANTIBODY | CPT 83516 | Outpatient | 40030083516 | $170 | |
IMMUNOASSAY NONANTIBODY | CPT 83516 | Outpatient | 40030083516 | $170 | |
IMMUNOASSAY NONANTIBODY | CPT 83516 | Outpatient | 40030083516 | $170 | |
IMMUNOASSAY NONANTIBODY | CPT 83516 | Outpatient | 40030083516 | $170 | |
IMMUNOASSAY NONANTIBODY | CPT 83516 | Outpatient | 40030083516 | $170 | |
IMMUNOASSAY NONANTIBODY | CPT 83516 | Outpatient | 40030083516 | $170 | |
IMMUNOASSAY NONANTIBODY | CPT 83516 | Outpatient | 40030083516 | $170 | |
IMMUNOASSAY NONANTIBODY | CPT 83516 | Outpatient | 40030083516 | $170 | |
IMMUNOASSAY NONANTIBODY | CPT 83516 | Outpatient | 40030083516 | $170 | |
IMMUNOASSAY NONANTIBODY | CPT 83516 | Outpatient | 40030083516 | $170 | |
ASSAY OF IRON | CPT 83540 | Outpatient | 40030083540 | $98 | |
ASSAY OF IRON | CPT 83540 | Outpatient | 40030083540 | $98 | |
ASSAY OF IRON | CPT 83540 | Outpatient | 40030083540 | $98 | |
ASSAY OF IRON | CPT 83540 | Outpatient | 40030083540 | $98 | |
ASSAY OF IRON | CPT 83540 | Outpatient | 40030083540 | $98 | |
IRON BINDING TEST | CPT 83550 | Outpatient | 40030083550 | $127 | |
IRON BINDING TEST | CPT 83550 | Outpatient | 40030083550 | $127 | |
IRON BINDING TEST | CPT 83550 | Outpatient | 40030083550 | $127 | |
ASSAY OF LACTIC ACID | CPT 83605 | Outpatient | 40030083605 | $159 | |
ASSAY OF LACTIC ACID | CPT 83605 | Outpatient | 40030083605 | $154 | |
LACTATE (LD) (LDH) ENZYME | CPT 83615 | Outpatient | 40030083615 | $87 | |
LACTATE (LD) (LDH) ENZYME | CPT 83615 | Outpatient | 40030083615 | $89 | |
LACTATE (LD) (LDH) ENZYME | CPT 83615 | Outpatient | 40030083615 | $89 | |
LACTATE (LD) (LDH) ENZYME | CPT 83615 | Outpatient | 40030083615 | $89 | |
LACTATE (LD) (LDH) ENZYME | CPT 83615 | Outpatient | 40030083615 | $70 | |
ASSAY OF LEAD | CPT 83655 | Outpatient | 40030083655 | $180 | |
ASSAY OF LEAD | CPT 83655 | Outpatient | 40030083655 | $180 | |
ASSAY OF LEAD | CPT 83655 | Outpatient | 40030083655 | $180 | |
ASSAY OF LIPASE | CPT 83690 | Outpatient | 40030083690 | $69 | |
ASSAY OF LIPASE | CPT 83690 | Outpatient | 40030083690 | $67 | |
ASSAY OF BLOOD LIPOPROTEIN | CPT 83721 | Outpatient | 40030083721 | $118 | |
ASSAY OF BLOOD LIPOPROTEIN | CPT 83721 | Outpatient | 40030083721 | $118 | |
ASSAY OF MAGNESIUM | CPT 83735 | Outpatient | 40030083735 | $98 | |
ASSAY OF MAGNESIUM | CPT 83735 | Outpatient | 40030083735 | $101 | |
ASSAY OF NATRIURETIC PEPTIDE | CPT 83880 | Outpatient | 40030083880 | $505 | |
ASSAY OF NATRIURETIC PEPTIDE | CPT 83880 | Outpatient | 40030083880 | $489 | |
ORGANIC ACID SINGLE QUANT | CPT 83921 | Outpatient | 40030083921 | $269 | |
ASSAY OF PARATHORMONE | CPT 83970 | Outpatient | 40030083970 | $502 | |
ASSAY OF PARATHORMONE | CPT 83970 | Outpatient | 40030083970 | $502 | |
ASSAY OF PHOSPHORUS | CPT 84100 | Outpatient | 40030084100 | $70 | |
ASSAY OF PHOSPHORUS | CPT 84100 | Outpatient | 40030084100 | $68 | |
ASSAY OF SERUM POTASSIUM | CPT 84132 | Outpatient | 40030084132 | $68 | |
ASSAY OF SERUM POTASSIUM | CPT 84132 | Outpatient | 40030084132 | $66 | |
ASSAY OF PSA TOTAL | CPT 84153 | Outpatient | 40030084153 | $226 | |
ASSAY OF PSA TOTAL | CPT 84153 | Outpatient | 40030084153 | $226 | |
ASSAY OF PSA TOTAL | CPT 84153 | Outpatient | 40030084153 | $226 | |
ASSAY OF PSA TOTAL | CPT 84153 | Outpatient | 40030084153 | $226 | |
ASSAY OF PSA FREE | CPT 84154 | Outpatient | 40030084154 | $273 | |
ASSAY OF PSA FREE | CPT 84154 | Outpatient | 40030084154 | $273 | |
PROTEIN E-PHORESIS SERUM | CPT 84165 | Outpatient | 40030084165 | $137 | |
PROTEIN E-PHORESIS SERUM | CPT 84165 | Outpatient | 40030084165 | $137 | |
PROTEIN E-PHORESIS SERUM | CPT 84165 | Outpatient | 40030084165 | $137 | |
ASSAY OF TOTAL THYROXINE | CPT 84436 | Outpatient | 40030084436 | $80 | |
ASSAY OF FREE THYROXINE | CPT 84439 | Outpatient | 40030084439 | $130 | |
ASSAY OF FREE THYROXINE | CPT 84439 | Outpatient | 40030084439 | $136 | |
ASSAY THYROID STIM HORMONE | CPT 84443 | Outpatient | 40030084443 | $205 | |
ASSAY THYROID STIM HORMONE | CPT 84443 | Outpatient | 40030084443 | $205 | |
ASSAY THYROID STIM HORMONE | CPT 84443 | Outpatient | 40030084443 | $205 | |
ASSAY THYROID STIM HORMONE | CPT 84443 | Outpatient | 40030084443 | $205 | |
FREE ASSAY (FT-3) | CPT 84481 | Outpatient | 40030084481 | $206 | |
FREE ASSAY (FT-3) | CPT 84481 | Outpatient | 40030084481 | $206 | |
ASSAY OF UREA NITROGEN | CPT 84520 | Outpatient | 40030084520 | $51 | |
ASSAY OF UREA NITROGEN | CPT 84520 | Outpatient | 40030084520 | $52 | |
ASSAY OF BLOOD/URIC ACID | CPT 84550 | Outpatient | 40030084550 | $67 | |
ASSAY OF BLOOD/URIC ACID | CPT 84550 | Outpatient | 40030084550 | $66 | |
CHORIONIC GONADOTROPIN TEST | CPT 84702 | Outpatient | 40030084702 | $176 | |
CHORIONIC GONADOTROPIN TEST | CPT 84702 | Outpatient | 40030084702 | $176 | |
CHORIONIC GONADOTROPIN TEST | CPT 84702 | Outpatient | 40030084702 | $206 | |
CHORIONIC GONADOTROPIN ASSAY | CPT 84703 | Outpatient | 40030084703 | $100 | |
HEMATOCRIT | CPT 85014 | Outpatient | 40030085014 | $36 | |
HEMATOCRIT | CPT 85014 | Outpatient | 40030085014 | $36 | |
HEMATOCRIT | CPT 85014 | Outpatient | 40030085014 | $35 | |
HEMATOCRIT | CPT 85014 | Outpatient | 40030085014 | $35 | |
HEMOGLOBIN | CPT 85018 | Outpatient | 40030085018 | $35 | |
HEMOGLOBIN | CPT 85018 | Outpatient | 40030085018 | $36 | |
HEMOGLOBIN | CPT 85018 | Outpatient | 40030085018 | $36 | |
HEMOGLOBIN | CPT 85018 | Outpatient | 40030085018 | $35 | |
COMPLETE CBC W/AUTO DIFF WBC | CPT 85025 | Outpatient | 40030085025 | $102 | |
COMPLETE CBC W/AUTO DIFF WBC | CPT 85025 | Outpatient | 40030085025 | $102 | |
COMPLETE CBC AUTOMATED | CPT 85027 | Outpatient | 40030085027 | $84 | |
RETICYTE/HGB CONCENTRATE | CPT 85046 | Outpatient | 40030085046 | $66 | |
FIBRIN DEGRADATION QUANT | CPT 85379 | Outpatient | 40030085379 | $140 | |
FIBRIN DEGRADATION QUANT | CPT 85379 | Outpatient | 40030085379 | $151 | |
PROTHROMBIN TIME | CPT 85610 | Outpatient | 40030085610 | $59 | |
PROTHROMBIN TIME | CPT 85610 | Outpatient | 40030085610 | $53 | |
PROTHROMBIN TIME | CPT 85610 | Outpatient | 40030085610 | $62 | |
RBC SED RATE NONAUTOMATED | CPT 85651 | Outpatient | 40030085651 | $51 | |
RBC SED RATE NONAUTOMATED | CPT 85651 | Outpatient | 40030085651 | $52 | |
THROMBOPLASTIN TIME PARTIAL | CPT 85730 | Outpatient | 40030085730 | $86 | |
THROMBOPLASTIN TIME PARTIAL | CPT 85730 | Outpatient | 40030085730 | $88 | |
THROMBOPLASTIN TIME PARTIAL | CPT 85730 | Outpatient | 40030085730 | $70 | |
ANTINUCLEAR ANTIBODIES | CPT 86038 | Outpatient | 40030086038 | $167 | |
ANTINUCLEAR ANTIBODIES | CPT 86038 | Outpatient | 40030086038 | $180 | |
ANTINUCLEAR ANTIBODIES | CPT 86038 | Outpatient | 40030086038 | $167 | |
ANTINUCLEAR ANTIBODIES | CPT 86038 | Outpatient | 40030086038 | $161 | |
C-REACTIVE PROTEIN | CPT 86140 | Outpatient | 40030086140 | $51 | |
C-REACTIVE PROTEIN | CPT 86140 | Outpatient | 40030086140 | $51 | |
C-REACTIVE PROTEIN HS | CPT 86141 | Outpatient | 40030086141 | $154 | |
C-REACTIVE PROTEIN HS | CPT 86141 | Outpatient | 40030086141 | $154 | |
CCP ANTIBODY | CPT 86200 | Outpatient | 40030086200 | $178 | |
CCP ANTIBODY | CPT 86200 | Outpatient | 40030086200 | $178 | |
HETEROPHILE ANTIBODY SCREEN | CPT 86308 | Outpatient | 40030086308 | $151 | |
HETEROPHILE ANTIBODY SCREEN | CPT 86308 | Outpatient | 40030086308 | $78 | |
HETEROPHILE ANTIBODY SCREEN | CPT 86308 | Outpatient | 40030086308 | $78 | |
IMMUNOFIX E-PHORESIS SERUM | CPT 86334 | Outpatient | 40030086334 | $322 | |
IMMUNOFIX E-PHORESIS SERUM | CPT 86334 | Outpatient | 40030086334 | $331 | |
PARTICLE AGGLUT ANTBDY SCRN | CPT 86403 | Outpatient | 40030089055 | $118 | |
RHEUMATOID FACTOR QUANT | CPT 86431 | Outpatient | 40030086431 | $85 | |
RHEUMATOID FACTOR QUANT | CPT 86431 | Outpatient | 40030086431 | $85 | |
TB TEST CELL IMMUN MEASURE | CPT 86480 | Outpatient | 40030086480 | $673 | |
TB TEST CELL IMMUN MEASURE | CPT 86480 | Outpatient | 40030086480 | $673 | |
LYME DISEASE ANTIBODY | CPT 86617 | Outpatient | 40030086617 | $222 | |
LYME DISEASE ANTIBODY | CPT 86617 | Outpatient | 40030086617 | $214 | |
LYME DISEASE ANTIBODY | CPT 86618 | Outpatient | 40030086618 | $185 | |
LYME DISEASE ANTIBODY | CPT 86618 | Outpatient | 40030086618 | $167 | |
LYME DISEASE ANTIBODY | CPT 86618 | Outpatient | 40030086618 | $185 | |
LYME DISEASE ANTIBODY | CPT 86618 | Outpatient | 40030086618 | $185 | |
LYME DISEASE ANTIBODY | CPT 86618 | Outpatient | 40030086618 | $232 | |
LYME DISEASE ANTIBODY | CPT 86618 | Outpatient | 40030086618 | $232 | |
EPSTEIN-BARR NUCLEAR ANTIGEN | CPT 86664 | Outpatient | 40030086664 | $206 | |
EPSTEIN-BARR NUCLEAR ANTIGEN | CPT 86664 | Outpatient | 40030086664 | $206 | |
HIV-1/HIV-2 1 RESULT ANTBDY | CPT 86703 | Outpatient | 40030086703 | $158 | |
HEP B CORE ANTIBODY TOTAL | CPT 86704 | Outpatient | 40030086704 | $180 | |
HEP B CORE ANTIBODY TOTAL | CPT 86704 | Outpatient | 40030086704 | $180 | |
HEP B CORE ANTIBODY TOTAL | CPT 86704 | Outpatient | 40030086704 | $180 | |
HEP B SURFACE ANTIBODY | CPT 86706 | Outpatient | 40030086706 | $154 | |
HEP B SURFACE ANTIBODY | CPT 86706 | Outpatient | 40030086706 | $154 | |
HEPATITIS A ANTIBODY | CPT 86708 | Outpatient | 40030086708 | $183 | |
HEPATITIS A ANTIBODY | CPT 86708 | Outpatient | 40030086708 | $183 | |
MUMPS ANTIBODY | CPT 86735 | Outpatient | 40060086735 | $189 | |
RUBELLA ANTIBODY | CPT 86762 | Outpatient | 40030086762 | $191 | |
RUBELLA ANTIBODY | CPT 86762 | Outpatient | 40030086762 | $191 | |
RUBELLA ANTIBODY | CPT 86762 | Outpatient | 40030086762 | $215 | |
RUBEOLA ANTIBODY | CPT 86765 | Outpatient | 40030086765 | $184 | |
RUBEOLA ANTIBODY | CPT 86765 | Outpatient | 40030086765 | $191 | |
VARICELLA-ZOSTER ANTIBODY | CPT 86787 | Outpatient | 40030086787 | $191 | |
VARICELLA-ZOSTER ANTIBODY | CPT 86787 | Outpatient | 40030086787 | $191 | |
VARICELLA-ZOSTER ANTIBODY | CPT 86787 | Outpatient | 40030086787 | $184 | |
HEPATITIS C AB TEST | CPT 86803 | Outpatient | 400300868 | $158 | |
RBC ANTIBODY SCREEN | CPT 86850 | Outpatient | 40030086850 | $157 | |
RBC ANTIBODY SCREEN | CPT 86850 | Outpatient | 40030086850 | $130 | |
RBC ANTIBODY SCREEN | CPT 86850 | Outpatient | 40030086850 | $130 | |
RBC ANTIBODY SCREEN | CPT 86850 | Outpatient | 40030086850 | $103 | |
BLOOD CULTURE FOR BACTERIA | CPT 87040 | Outpatient | 40030087040 | $114 | |
BLOOD CULTURE FOR BACTERIA | CPT 87040 | Outpatient | 40030087040 | $114 | |
BLOOD CULTURE FOR BACTERIA | CPT 87040 | Outpatient | 40030087040 | $114 | |
BLOOD CULTURE FOR BACTERIA | CPT 87040 | Outpatient | 40030087040 | $114 | |
FECES CULTURE AEROBIC BACT | CPT 87045 | Outpatient | 40030087045 | $111 | |
STOOL CULTR AEROBIC BACT EA | CPT 87046 | Outpatient | 40030087046 | $118 | |
CULTURE OTHR SPECIMN AEROBIC | CPT 87070 | Outpatient | 40030087101 | $129 | |
CULTURE OTHR SPECIMN AEROBIC | CPT 87070 | Outpatient | 40030087045 | $134 | |
CULTR BACTERIA EXCEPT BLOOD | CPT 87075 | Outpatient | 40030087075 | $137 | |
CULTR BACTERIA EXCEPT BLOOD | CPT 87075 | Outpatient | 40030087075 | $141 | |
CULTURE AEROBIC IDENTIFY | CPT 87077 | Outpatient | 40030087077 | $121 | |
CULTURE AEROBIC IDENTIFY | CPT 87077 | Outpatient | 40030087077 | $118 | |
URINE CULTURE/COLONY COUNT | CPT 87086 | Outpatient | 40030087086 | $68 | |
SKIN FUNGI CULTURE | CPT 87101 | Outpatient | 40030087101 | $102 | |
SKIN FUNGI CULTURE | CPT 87101 | Outpatient | 40030087101 | $104 | |
CULTURE TYPE IMMUNOLOGIC | CPT 87147 | Outpatient | 40030087147 | $78 | |
DNA/RNA AMPLIFIED PROBE | CPT 87150 | Outpatient | 40030087150 | $304 | |
MICROBE SUSCEPTIBLE MIC | CPT 87186 | Outpatient | 40030087186 | $155 | |
SMEAR GRAM STAIN | CPT 87205 | Outpatient | 40030087205 | $65 | |
SMEAR GRAM STAIN | CPT 87205 | Outpatient | 40030087205 | $62 | |
CRYPTOSPORIDIUM AG IA | CPT 87328 | Outpatient | 40030087328 | $165 | |
CRYPTOSPORIDIUM AG IA | CPT 87328 | Outpatient | 40030087328 | $134 | |
CRYPTOSPORIDIUM AG IA | CPT 87328 | Outpatient | 40030087328 | $170 | |
GIARDIA AG IA | CPT 87329 | Outpatient | 40030087329 | $169 | |
GIARDIA AG IA | CPT 87329 | Outpatient | 40030087329 | $134 | |
HEPATITIS B SURFACE AG IA | CPT 87340 | Outpatient | 40030087340 | $154 | |
HEPATITIS B SURFACE AG IA | CPT 87340 | Outpatient | 40030087340 | $150 | |
HEPATITIS B SURFACE AG IA | CPT 87340 | Outpatient | 40030087340 | $154 | |
CHYLMD TRACH DNA AMP PROBE | CPT 87491 | Outpatient | 40030087491 | $304 | |
CHYLMD TRACH DNA AMP PROBE | CPT 87491 | Outpatient | 40030087491 | $304 | |
CHYLMD TRACH DNA AMP PROBE | CPT 87491 | Outpatient | 40030087491 | $304 | |
CHYLMD TRACH DNA AMP PROBE | CPT 87491 | Outpatient | 40030087491 | $304 | |
CHYLMD TRACH DNA AMP PROBE | CPT 87491 | Outpatient | 40030087491 | $304 | |
INFLUENZA DNA AMP PROBE | CPT 87502 | Outpatient | 40030087502 | $657 | |
INFLUENZA DNA AMP PROBE | CPT 87502 | Outpatient | 40030087502 | $657 | |
HEPATITIS C REVRS TRNSCRPJ | CPT 87522 | Outpatient | 40030087522 | $635 | |
HEPATITIS C REVRS TRNSCRPJ | CPT 87522 | Outpatient | 40030087522 | $635 | |
N.GONORRHOEAE DNA AMP PROB | CPT 87591 | Outpatient | 40030087591 | $381 | |
N.GONORRHOEAE DNA AMP PROB | CPT 87591 | Outpatient | 40030087591 | $381 | |
N.GONORRHOEAE DNA AMP PROB | CPT 87591 | Outpatient | 40030087591 | $381 | |
N.GONORRHOEAE DNA AMP PROB | CPT 87591 | Outpatient | 40030087591 | $304 | |
N.GONORRHOEAE DNA AMP PROB | CPT 87591 | Outpatient | 40030087591 | $381 | |
HPV HIGH-RISK TYPES | CPT 87624 | Outpatient | 40030087624 | $237 | |
RESP VIRUS 3-5 TARGETS | CPT 87631 | Outpatient | 40030087631 | $314 | |
STREP A DNA AMP PROBE | CPT 87651 | Outpatient | 40030087651 | $304 | |
DETECT AGENT NOS DNA AMP | CPT 87798 | Outpatient | 40030087798 | $304 | |
DETECT AGENT NOS DNA AMP | CPT 87798 | Outpatient | 40030087798 | $304 | |
DETECT AGENT NOS DNA AMP | CPT 87798 | Outpatient | 40030087798 | $388 | |
DETECT AGENT NOS DNA AMP | CPT 87798 | Outpatient | 40030087798 | $304 | |
DETECT AGENT NOS DNA AMP | CPT 87798 | Outpatient | 40030087798 | $304 | |
DETECT AGENT NOS DNA AMP | CPT 87798 | Outpatient | 40030087798 | $388 | |
DETECT AGENT NOS DNA AMP | CPT 87798 | Outpatient | 40030087798 | $388 | |
DETECT AGENT NOS DNA AMP | CPT 87798 | Outpatient | 40030087798 | $388 | |
DETECT AGENT NOS DNA AMP | CPT 87798 | Outpatient | 40030087798 | $388 | |
DETECT AGENT NOS DNA AMP | CPT 87798 | Outpatient | 40030087798 | $388 | |
DETECT AGENT NOS DNA AMP | CPT 87798 | Outpatient | 40030087798 | $311 | |
DETECT AGENT NOS DNA AMP | CPT 87798 | Outpatient | 40030087798 | $388 | |
DETECT AGENT NOS DNA AMP | CPT 87798 | Outpatient | 40030087798 | $388 | |
AGENT NOS ASSAY W/OPTIC | CPT 87899 | Outpatient | 40030087899 | $288 | |
AGENT NOS ASSAY W/OPTIC | CPT 87899 | Outpatient | 40030087899 | $288 | |
AGENT NOS ASSAY W/OPTIC | CPT 87899 | Outpatient | 40030087899 | $288 | |
AGENT NOS ASSAY W/OPTIC | CPT 87899 | Outpatient | 40030087899 | $288 | |
AGENT NOS ASSAY W/OPTIC | CPT 87899 | Outpatient | 40030087899 | $288 | |
AGENT NOS ASSAY W/OPTIC | CPT 87899 | Outpatient | 40030087899 | $120 | |
CYTOPATH C/V THIN LAYER | CPT 88142 | Outpatient | 40030088142 | $301 | |
TISSUE EXAM BY PATHOLOGIST | CPT 88304 | Outpatient | 40030088304 | $567 | |
TISSUE EXAM BY PATHOLOGIST | CPT 88305 | Outpatient | 40030088305 | $766 | |
IMMUNOHISTO ANTB 1ST STAIN | CPT 88342 | Outpatient | 40030088342 | $690 | |
LEUKOCYTE ASSESSMENT FECAL | CPT 89055 | Outpatient | 40030089055 | $65 | |
RBC LEUKOCYTES REDUCED | HCPCS P9016 | Outpatient | 400300P9016 | $555 | |
MRI |
MRI BRAIN STEM W/O DYE | CPT 70551 | Outpatient | 70061070551 | $3,595 | |
MRI BRAIN STEM W/O DYE | CPT 70551 | Outpatient | 70061070551 | $3,595 | |
MRI BRAIN STEM W/O & W/DYE | CPT 70553 | Outpatient | - | $6,767 | |
MRI BRAIN STEM W/O & W/DYE | CPT 70553 | Outpatient | 70061070553 | $5,103 | |
MRI BRAIN STEM W/O & W/DYE | CPT 70553 | Outpatient | - | $6,767 | |
MRI BRAIN STEM W/O & W/DYE | CPT 70553 | Outpatient | 70061070553 | $5,103 | |
MRI BRAIN STEM W/O & W/DYE | CPT 70553 | Outpatient | - | $6,767 | |
MRI BRAIN STEM W/O & W/DYE | CPT 70553 | Outpatient | 70061070553 | $5,103 | |
MRI LUMBAR SPINE W/O DYE | CPT 72148 | Outpatient | - | $4,378 | |
MRI LUMBAR SPINE W/O DYE | CPT 72148 | Outpatient | 70061072148 | $3,298 | |
MRI JNT OF LWR EXTRE W/O DYE | CPT 73721 | Outpatient | - | $4,775 | |
MRI JNT OF LWR EXTRE W/O DYE | CPT 73721 | Outpatient | 70061073721 | $3,474 | |
MRI JNT OF LWR EXTRE W/O DYE | CPT 73721 | Outpatient | - | $4,775 | |
MRI JNT OF LWR EXTRE W/O DYE | CPT 73721 | Outpatient | 70061073721 | $3,474 | |
MRI JNT OF LWR EXTRE W/O DYE | CPT 73721 | Outpatient | - | $4,775 | |
MRI JNT OF LWR EXTRE W/O DYE | CPT 73721 | Outpatient | 70061073721 | $3,474 | |
MRI JNT OF LWR EXTRE W/O DYE | CPT 73721 | Outpatient | - | $4,775 | |
MRI JNT OF LWR EXTRE W/O DYE | CPT 73721 | Outpatient | 70061073721 | $3,474 | |
MRI JNT OF LWR EXTRE W/O DYE | CPT 73721 | Outpatient | - | $4,775 | |
MRI JNT OF LWR EXTRE W/O DYE | CPT 73721 | Outpatient | 70061073721 | $3,474 | |
MRI JNT OF LWR EXTRE W/O DYE | CPT 73721 | Outpatient | - | $4,775 | |
MRI JNT OF LWR EXTRE W/O DYE | CPT 73721 | Outpatient | 70061073721 | $3,474 | |
Other Diagnostic |
EXTRACRANIAL BILAT STUDY | CPT 93880 | Outpatient | 70040293880 | $731 | |
EXTREMITY STUDY | CPT 93971 | Outpatient | 70092193971 | $588 | |
EXTREMITY STUDY | CPT 93971 | Outpatient | 70092193971 | $588 | |
EXTREMITY STUDY | CPT 93971 | Outpatient | 70092193971 | $588 | |
EXTREMITY STUDY | CPT 93971 | Outpatient | 70092193971 | $588 | |
VASCULAR STUDY | CPT 93976 | Outpatient | 70092193976 | $747 | |
SLP STDY UNATTENDED | CPT 95800 | Outpatient | 80096095800 | $199 | |
MUSC TST DONE W/NERV TST LIM | CPT 95885 | Outpatient | 20096095885 | $522 | |
MUSC TEST DONE W/N TEST COMP | CPT 95886 | Outpatient | 20096095886 | $736 | |
NRV CNDJ TST 5-6 STUDIES | CPT 95909 | Outpatient | 20096095909 | $742 | |
NRV CNDJ TEST 7-8 STUDIES | CPT 95910 | Outpatient | 20096095910 | $885 | |
NRV CNDJ TEST 9-10 STUDIES | CPT 95911 | Outpatient | 20096095911 | $1,194 | |
HOME SLEEP TEST/TYPE 3 PORTA | HCPCS G0399 | Outpatient | 800960G0399 | $520 | |
HOME SLEEP TEST/TYPE 3 PORTA | HCPCS G0399 | Outpatient | 800960G0399 | $520 | |
Other Therapeutic |
BLOOD TRANSFUSION SERVICE | CPT 36430 | Outpatient | 90038036430 | $564 | |
CARDIAC REHAB/MONITOR | CPT 93798 | Outpatient | 90094393798 | $286 | |
PHLEBOTOMY | CPT 99195 | Outpatient | 90094099195 | $146 | |
PULMONARY REHAB W EXER | HCPCS G0424 | Outpatient | 800960G0424 | $175 | |
PULMONARY REHAB W EXER | HCPCS G0424 | Outpatient | 800960G0424 | $185 | |
PULMONARY REHAB W EXER | HCPCS G0424 | Outpatient | 800960G0424 | $185 | |
PULMONARY REHAB W EXER | HCPCS G0424 | Outpatient | 800960G0424 | $185 | |
RBC LEUKOCYTES REDUCED | HCPCS P9016 | Outpatient | 400300P9016 | $555 | |
RBC LEUKOCYTES REDUCED | HCPCS P9016 | Outpatient | 400300P9016 | $555 | |
RBC LEUKOCYTES REDUCED | HCPCS P9016 | Outpatient | 400300P9016 | $555 | |
RBC LEUKOCYTES REDUCED | HCPCS P9016 | Outpatient | 400300P9016 | $555 | |
Psychiatric |
PSYTX W PT 30 MINUTES | CPT 90832 | Outpatient | 20096090832 | $168 | |
PSYTX W PT 45 MINUTES | CPT 90834 | Outpatient | 20096090834 | $222 | |
PSYTX W PT 60 MINUTES | CPT 90837 | Outpatient | 20096090837 | $335 | |
FAMILY PSYTX W/O PT 50 MIN | CPT 90846 | Outpatient | 20096090846 | $270 | |
(N/O) FAMILY PSYCHOTHERAPY, INCLUDING PATIENT, 50 MIN | CPT 90847 | - | - | - | - |
(N/O) GROUP PSYCHOTHERAPY | CPT 90853 | - | - | - | - |
Pulmonary Function |
EVALUATION OF WHEEZING | CPT 94060 | Outpatient | 80046094060 | $618 | |
EVALUATION OF WHEEZING | CPT 94060 | Outpatient | 80046094060 | $618 | |
EVALUATION OF WHEEZING | CPT 94060 | Outpatient | 80046094060 | $318 | |
PULM FUNCT TST PLETHYSMOGRAP | CPT 94726 | Outpatient | 80046094726 | $334 | |
CO/MEMBANE DIFFUSE CAPACITY | CPT 94729 | Outpatient | 80046094729 | $259 | |
CO/MEMBANE DIFFUSE CAPACITY | CPT 94729 | Outpatient | 80046094729 | $504 | |
CO/MEMBANE DIFFUSE CAPACITY | CPT 94729 | Outpatient | 80046094729 | $259 | |
Radiology |
X-RAY EXAM CHEST 1 VIEW | CPT 71045 | Outpatient | 70032071045 | $306 | |
X-RAY EXAM CHEST 1 VIEW | CPT 71045 | Outpatient | 70032071045 | $306 | |
X-RAY EXAM CHEST 2 VIEWS | CPT 71046 | Outpatient | 70032071046 | $393 | |
X-RAY EXAM CHEST 2 VIEWS | CPT 71046 | Outpatient | 70032071046 | $393 | |
X-RAY EXAM CHEST 2 VIEWS | CPT 71046 | Outpatient | 70032071046 | $393 | |
X-RAY EXAM NECK SPINE 4/5VWS | CPT 72050 | Outpatient | 70032072050 | $768 | |
X-RAY EXAM NECK SPINE 4/5VWS | CPT 72050 | Outpatient | 70032072050 | $768 | |
X-RAY EXAM THORAC SPINE 2VWS | CPT 72070 | Outpatient | 70032072070 | $414 | |
X-RAY EXAM L-S SPINE 2/3 VWS | CPT 72100 | Outpatient | 70032072100 | $600 | |
X-RAY EXAM L-2 SPINE 4/>VWS | CPT 72110 | Outpatient | - | $822 | |
X-RAY EXAM L-2 SPINE 4/>VWS | CPT 72110 | Outpatient | 70032072110 | $822 | |
X-RAY EXAM OF SHOULDER | CPT 73030 | Outpatient | 70032073030 | $430 | |
X-RAY EXAM OF SHOULDER | CPT 73030 | Outpatient | 70032073030 | $430 | |
X-RAY EXAM OF HAND | CPT 73130 | Outpatient | 70032073130 | $489 | |
X-RAY EXAM OF HAND | CPT 73130 | Outpatient | 70032073130 | $489 | |
X-RAY EXAM OF HAND | CPT 73130 | Outpatient | 70032073130 | $489 | |
X-RAY EXAM OF HAND | CPT 73130 | Outpatient | 70032073130 | $489 | |
X-RAY EXAM OF HAND | CPT 73130 | Outpatient | 70032073130 | $489 | |
X-RAY EXAM OF FINGER(S) | CPT 73140 | Outpatient | 70032073140 | $507 | |
X-RAY EXAM OF FINGER(S) | CPT 73140 | Outpatient | 70032073140 | $507 | |
X-RAY EXAM HIP UNI 2-3 VIEWS | CPT 73502 | Outpatient | 70032073502 | $882 | |
X-RAY EXAM HIP UNI 2-3 VIEWS | CPT 73502 | Outpatient | 70032073502 | $882 | |
X-RAY EXAM HIP UNI 2-3 VIEWS | CPT 73502 | Outpatient | 70032073502 | $882 | |
X-RAY EXAM HIP UNI 2-3 VIEWS | CPT 73502 | Outpatient | 70032073502 | $935 | |
X-RAY EXAM HIP UNI 2-3 VIEWS | CPT 73502 | Outpatient | 70032073502 | $882 | |
X-RAY EXAM HIP UNI 2-3 VIEWS | CPT 73502 | Outpatient | 70032073502 | $935 | |
X-RAY EXAM HIP UNI 2-3 VIEWS | CPT 73502 | Outpatient | 70032073502 | $620 | |
X-RAY EXAM HIP UNI 2-3 VIEWS | CPT 73502 | Outpatient | 70032073502 | $882 | |
X-RAY EXAM HIP UNI 2-3 VIEWS | CPT 73502 | Outpatient | 70032073502 | $882 | |
X-RAY EXAM OF KNEE 1 OR 2 | CPT 73560 | Outpatient | 70032073560 | $439 | |
X-RAY EXAM OF KNEE 1 OR 2 | CPT 73560 | Outpatient | 70032073560 | $439 | |
X-RAY EXAM OF KNEE 1 OR 2 | CPT 73560 | Outpatient | 70032073560 | $439 | |
X-RAY EXAM OF KNEE 1 OR 2 | CPT 73560 | Outpatient | 70032073560 | $439 | |
X-RAY EXAM OF KNEE 3 | CPT 73562 | Outpatient | 70032073562 | $550 | |
X-RAY EXAM OF KNEE 3 | CPT 73562 | Outpatient | 70032073562 | $550 | |
X-RAY EXAM OF KNEE 3 | CPT 73562 | Outpatient | 70032073562 | $550 | |
X-RAY EXAM OF KNEE 3 | CPT 73562 | Outpatient | 70032073562 | $550 | |
X-RAY EXAM OF ANKLE | CPT 73610 | Outpatient | 70032073610 | $496 | |
X-RAY EXAM OF ANKLE | CPT 73610 | Outpatient | 70032073610 | $496 | |
X-RAY EXAM OF FOOT | CPT 73630 | Outpatient | 70032073630 | $482 | |
X-RAY EXAM OF FOOT | CPT 73630 | Outpatient | 70032073630 | $482 | |
X-RAY EXAM ABDOMEN 1 VIEW | CPT 74018 | Outpatient | 70032074018 | $334 | |
X-RAY EXAM COMPLETE ABDOMEN | CPT 74022 | Outpatient | 70032074022 | $679 | |
X-RAYS AT SURGERY ADD-ON | CPT 74301 | Outpatient | 70032074301 | $479 | |
X-RAYS AT SURGERY ADD-ON | CPT 74301 | Outpatient | 70032074301 | $479 | |
DXA BONE DENSITY AXIAL | CPT 77080 | Outpatient | 70032077080 | $687 | |
Respiratory |
AIRWAY INHALATION TREATMENT | CPT 94640 | Outpatient | 80096094640 | $155 | |
AIRWAY INHALATION TREATMENT | CPT 94640 | Outpatient | 80096094640 | $155 | |
AIRWAY INHALATION TREATMENT | CPT 94640 | Outpatient | 80096094640 | $155 | |
AIRWAY INHALATION TREATMENT | CPT 94640 | Outpatient | 80096094640 | $155 | |
AIRWAY INHALATION TREATMENT | CPT 94640 | Outpatient | 80096094640 | $155 | |
Surgical Procedures |
REMOVAL OF BREAST LESION | CPT 19120 | Outpatient | - | $1,042 | |
(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 | - | - | - | - |
EGD DIAGNOSTIC BRUSH WASH | CPT 43235 | Outpatient | 20096043235 | $3,989 | |
EGD BIOPSY SINGLE/MULTIPLE | CPT 43239 | Outpatient | 20096043239 | $6,934 | |
DIAGNOSTIC COLONOSCOPY | CPT 45378 | Outpatient | 20051045378 | $983 | |
COLONOSCOPY AND BIOPSY | CPT 45380 | Outpatient | 20096045380 | $7,471 | |
COLONOSCOPY W/LESION REMOVAL | CPT 45385 | Outpatient | 20096045385 | $7,100 | |
(N/O) ULTRASOUND EXAMINATION OF LOWER LARGE BOWEL USING AN ... | CPT 45391 | - | - | - | - |
LAPAROSCOPIC CHOLECYSTECTOMY | CPT 47562 | Outpatient | 50036047562 | $25,916 | |
PRP I/HERN INIT REDUC >5 YR | CPT 49505 | Outpatient | 50036049505 | $21,296 | |
BIOPSY OF PROSTATE | CPT 55700 | Outpatient | - | $3,877 | |
(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 | - | - | - | - |
NJX INTERLAMINAR LMBR/SAC | CPT 62323 | Outpatient | 50036162323 | $2,770 | |
NJX AA&/STRD TFRM EPI L/S 1 | CPT 64483 | Outpatient | 50036164483 | $1,561 | |
AFTER CATARACT LASER SURGERY | CPT 66821 | Outpatient | 20096066821 | $4,766 | |
XCAPSL CTRC RMVL W/O ECP | CPT 66984 | Outpatient | 50036066984 | $14,112 | |
(N/O) INSERTION OF CATHETER INTO LEFT HEART FOR DIAGNOSIS | CPT 93452 | - | - | - | - |
Therapy |
ULTRASOUND THERAPY | CPT 97035 | Outpatient | 90042097035 | $64 | |
ULTRASOUND THERAPY | CPT 97035 | Outpatient | 90042097035 | $64 | |
THERAPEUTIC EXERCISES | CPT 97110 | Outpatient | 90042097110 | $160 | |
THERAPEUTIC EXERCISES | CPT 97110 | Outpatient | 90042097110 | $160 | |
NEUROMUSCULAR REEDUCATION | CPT 97112 | Outpatient | 90042097112 | $167 | |
NEUROMUSCULAR REEDUCATION | CPT 97112 | Outpatient | 90042097112 | $167 | |
AQUATIC THERAPY/EXERCISES | CPT 97113 | Outpatient | 90042097113 | $218 | |
AQUATIC THERAPY/EXERCISES | CPT 97113 | Outpatient | 90042097113 | $218 | |
AQUATIC THERAPY/EXERCISES | CPT 97113 | Outpatient | 90042097113 | $204 | |
GAIT TRAINING THERAPY | CPT 97116 | Outpatient | 90042097116 | $142 | |
MANUAL THERAPY 1/> REGIONS | CPT 97140 | Outpatient | 90042097140 | $149 | |
MANUAL THERAPY 1/> REGIONS | CPT 97140 | Outpatient | 90042097140 | $149 | |
PT EVAL LOW COMPLEX 20 MIN | CPT 97161 | Outpatient | 90042097161 | $300 | |
PT EVAL MOD COMPLEX 30 MIN | CPT 97162 | Outpatient | 90042097162 | $364 | |
OT EVAL LOW COMPLEX 30 MIN | CPT 97165 | Outpatient | 90043097165 | $300 | |
OT EVAL MOD COMPLEX 45 MIN | CPT 97166 | Outpatient | 90043097166 | $364 | |
THERAPEUTIC ACTIVITIES | CPT 97530 | Outpatient | 90042097530 | $174 | |
THERAPEUTIC ACTIVITIES | CPT 97530 | Outpatient | 90042097530 | $174 | |
SELF CARE MNGMENT TRAINING | CPT 97535 | Outpatient | 90043097535 | $174 | |
SELF CARE MNGMENT TRAINING | CPT 97535 | Outpatient | 90043097535 | $174 | |
WHEELCHAIR MNGMENT TRAINING | CPT 97542 | Outpatient | 90042097542 | $152 | |
WHEELCHAIR MNGMENT TRAINING | CPT 97542 | Outpatient | 90042097542 | $152 | |
Uncategorized |
AMPUTATION TOE & METATARSAL | CPT 28810 | Outpatient | - | $1,035 | |
X-RAY EYE FOR FOREIGN BODY | CPT 70030 | Outpatient | - | $417 | |
X-RAY EXAM OF JAW 4/> VIEWS | CPT 70110 | Outpatient | - | $566 | |
X-RAY EXAM OF MASTOIDS | CPT 70120 | Outpatient | - | $538 | |
X-RAY EXAM OF FACIAL BONES | CPT 70140 | Outpatient | - | $426 | |
X-RAY EXAM OF FACIAL BONES | CPT 70150 | Outpatient | - | $620 | |
X-RAY EXAM OF NASAL BONES | CPT 70160 | Outpatient | - | $507 | |
X-RAY EXAM OF EYE SOCKETS | CPT 70200 | Outpatient | - | $629 | |
X-RAY EXAM OF SINUSES | CPT 70210 | Outpatient | - | $461 | |
X-RAY EXAM OF SINUSES | CPT 70220 | Outpatient | - | $550 | |
X-RAY EXAM OF SKULL | CPT 70250 | Outpatient | - | $634 | |
X-RAY EXAM OF SKULL | CPT 70260 | Outpatient | - | $518 | |
X-RAY EXAM OF JAW JOINTS | CPT 70330 | Outpatient | - | $749 | |
MAGNETIC IMAGE JAW JOINT | CPT 70336 | Outpatient | - | $4,206 | |
X-RAY EXAM OF NECK | CPT 70360 | Outpatient | - | $398 | |
SPEECH EVALUATION COMPLEX | CPT 70371 | Outpatient | - | $1,106 | |
CT HEAD/BRAIN W/DYE | CPT 70460 | Outpatient | - | $2,527 | |
CT HEAD/BRAIN W/O & W/DYE | CPT 70470 | Outpatient | - | $3,116 | |
CT ORBIT/EAR/FOSSA W/O DYE | CPT 70480 | Outpatient | - | $3,172 | |
CT ORBIT/EAR/FOSSA W/O DYE | CPT 70480 | Outpatient | - | $3,172 | |
CT ORBIT/EAR/FOSSA W/DYE | CPT 70481 | Outpatient | - | $3,747 | |
CT ORBIT/EAR/FOSSA W/DYE | CPT 70481 | Outpatient | - | $3,747 | |
CT ORBIT/EAR/FOSSA W/O&W/DYE | CPT 70482 | Outpatient | - | $4,302 | |
CT ORBIT/EAR/FOSSA W/O&W/DYE | CPT 70482 | Outpatient | - | $4,302 | |
CT MAXILLOFACIAL W/O DYE | CPT 70486 | Outpatient | - | $2,597 | |
CT MAXILLOFACIAL W/O DYE | CPT 70486 | Outpatient | - | $2,597 | |
CT MAXILLOFACIAL W/DYE | CPT 70487 | Outpatient | - | $3,174 | |
CT MAXILLOFACIAL W/DYE | CPT 70487 | Outpatient | - | $3,174 | |
CT MAXILLOFACIAL W/O & W/DYE | CPT 70488 | Outpatient | - | $3,961 | |
CT MAXILLOFACIAL W/O & W/DYE | CPT 70488 | Outpatient | - | $3,961 | |
CT SOFT TISSUE NECK W/O DYE | CPT 70490 | Outpatient | - | $2,444 | |
CT SOFT TISSUE NECK W/DYE | CPT 70491 | Outpatient | - | $3,048 | |
CT SFT TSUE NCK W/O & W/DYE | CPT 70492 | Outpatient | - | $3,816 | |
CT ANGIOGRAPHY HEAD | CPT 70496 | Outpatient | - | $10,497 | |
MRI ORBIT/FACE/NECK W/O DYE | CPT 70540 | Outpatient | - | $4,823 | |
MRI ORBIT/FACE/NECK W/DYE | CPT 70542 | Outpatient | - | $5,327 | |
MRI ORBT/FAC/NCK W/O &W/DYE | CPT 70543 | Outpatient | - | $6,949 | |
MR ANGIOGRAPHY HEAD W/O DYE | CPT 70544 | Outpatient | - | $5,425 | |
MR ANGIOGRAPH HEAD W/O&W/DYE | CPT 70546 | Outpatient | - | $8,534 | |
MR ANGIOGRAPHY NECK W/O DYE | CPT 70547 | Outpatient | - | $5,413 | |
MR ANGIOGRAPHY NECK W/DYE | CPT 70548 | Outpatient | - | $3,938 | |
MR ANGIOGRAPH NECK W/O&W/DYE | CPT 70549 | Outpatient | - | $8,540 | |
MRI BRAIN STEM W/O DYE | CPT 70551 | Outpatient | - | $4,944 | |
MRI BRAIN STEM W/O DYE | CPT 70551 | Outpatient | - | $4,944 | |
MRI BRAIN STEM W/DYE | CPT 70552 | Outpatient | - | $5,437 | |
CT ANGIO NECK W/ CONTRAST | CPT 70998 | Outpatient | - | $10,705 | |
XR CHEST 2 VIEWS W/ FLUOROSCOPY | CPT 71023 | Outpatient | - | $1,040 | |
X-RAY EXAM CHEST 1 VIEW | CPT 71045 | Outpatient | - | $306 | |
X-RAY EXAM CHEST 2 VIEWS | CPT 71046 | Outpatient | - | $417 | |
X-RAY EXAM CHEST 2 VIEWS | CPT 71046 | Outpatient | - | $393 | |
X-RAY EXAM CHEST 2 VIEWS | CPT 71046 | Outpatient | - | $393 | |
X-RAY EXAM CHEST 3 VIEWS | CPT 71047 | Outpatient | - | $518 | |
X-RAY EXAM CHEST 3 VIEWS | CPT 71047 | Outpatient | - | $518 | |
X-RAY EXAM CHEST 4+ VIEWS | CPT 71048 | Outpatient | - | $643 | |
X-RAY EXAM CHEST 4+ VIEWS | CPT 71048 | Outpatient | - | $643 | |
X-RAY EXAM CHEST 4+ VIEWS | CPT 71048 | Outpatient | - | $643 | |
X-RAY EXAM CHEST 4+ VIEWS | CPT 71048 | Outpatient | - | $643 | |
X-RAY EXAM RIBS UNI 2 VIEWS | CPT 71100 | Outpatient | - | $447 | |
X-RAY EXAM RIBS UNI 2 VIEWS | CPT 71100 | Outpatient | - | $447 | |
X-RAY EXAM UNILAT RIBS/CHEST | CPT 71101 | Outpatient | - | $545 | |
X-RAY EXAM UNILAT RIBS/CHEST | CPT 71101 | Outpatient | - | $545 | |
X-RAY EXAM RIBS BIL 3 VIEWS | CPT 71110 | Outpatient | - | $573 | |
X-RAY EXAM RIBS/CHEST4/> VWS | CPT 71111 | Outpatient | - | $768 | |
X-RAY EXAM BREASTBONE 2/>VWS | CPT 71120 | Outpatient | - | $461 | |
X-RAY STRENOCLAVIC JT 3/>VWS | CPT 71130 | Outpatient | - | $550 | |
CT THORAX DX C- | CPT 71250 | Outpatient | - | $2,524 | |
CT THORAX DX C- | CPT 71250 | Outpatient | - | $2,524 | |
CT THORAX DX C+ | CPT 71260 | Outpatient | - | $3,146 | |
CT THORAX DX C+ | CPT 71260 | Outpatient | - | $3,146 | |
CT THORAX DX C-/C+ | CPT 71270 | Outpatient | - | $3,958 | |
CT THORAX DX C-/C+ | CPT 71270 | Outpatient | - | $3,958 | |
CT ANGIOGRAPHY CHEST | CPT 71275 | Outpatient | - | $7,860 | |
MRI CHEST W/O DYE | CPT 71550 | Outpatient | - | $5,490 | |
MRI CHEST W/O & W/DYE | CPT 71552 | Outpatient | - | $8,090 | |
X-RAY EXAM OF SPINE 1 VIEW | CPT 72020 | Outpatient | - | $334 | |
X-RAY EXAM OF SPINE 1 VIEW | CPT 72020 | Outpatient | - | $334 | |
X-RAY EXAM OF SPINE 1 VIEW | CPT 72020 | Outpatient | - | $334 | |
X-RAY EXAM NECK SPINE 2-3 VW | CPT 72040 | Outpatient | - | $566 | |
X-RAY EXAM NECK SPINE 4/5VWS | CPT 72050 | Outpatient | - | $768 | |
X-RAY EXAM NECK SPINE 6/>VWS | CPT 72052 | Outpatient | - | $1,013 | |
X-RAY EXAM THORAC SPINE 2VWS | CPT 72070 | Outpatient | - | $474 | |
X-RAY EXAM THORACOLMB 2/> VW | CPT 72080 | Outpatient | - | $518 | |
X-RAY EXAM ENTIRE SPI 2/3 VW | CPT 72082 | Outpatient | - | $1,072 | |
X-RAY EXAM L-S SPINE 2/3 VWS | CPT 72100 | Outpatient | - | $600 | |
X-RAY EXAM L-S SPINE BENDING | CPT 72114 | Outpatient | - | $1,154 | |
CT NECK SPINE W/O DYE | CPT 72125 | Outpatient | - | $2,544 | |
CT NECK SPINE W/DYE | CPT 72126 | Outpatient | - | $3,154 | |
CT CHEST SPINE W/O DYE | CPT 72128 | Outpatient | - | $2,538 | |
CT CHEST SPINE W/DYE | CPT 72129 | Outpatient | - | $3,158 | |
CT CHEST SPINE W/O & W/DYE | CPT 72130 | Outpatient | - | $3,958 | |
CT LUMBAR SPINE W/O DYE | CPT 72131 | Outpatient | - | $2,527 | |
CT LUMBAR SPINE W/DYE | CPT 72132 | Outpatient | - | $3,151 | |
CT LUMBAR SPINE W/O & W/DYE | CPT 72133 | Outpatient | - | $3,954 | |
MRI NECK SPINE W/O DYE | CPT 72141 | Outpatient | - | $4,309 | |
MRI NECK SPINE W/DYE | CPT 72142 | Outpatient | - | $5,441 | |
MRI CHEST SPINE W/O DYE | CPT 72146 | Outpatient | - | $4,386 | |
MRI CHEST SPINE W/DYE | CPT 72147 | Outpatient | - | $4,799 | |
MRI NECK SPINE W/O & W/DYE | CPT 72156 | Outpatient | - | $6,650 | |
MRI CHEST SPINE W/O & W/DYE | CPT 72157 | Outpatient | - | $6,172 | |
MRI LUMBAR SPINE W/O & W/DYE | CPT 72158 | Outpatient | - | $6,635 | |
X-RAY EXAM OF PELVIS | CPT 72170 | Outpatient | - | $346 | |
X-RAY EXAM OF PELVIS | CPT 72190 | Outpatient | - | $634 | |
CT PELVIS W/O DYE | CPT 72192 | Outpatient | - | $2,390 | |
CT PELVIS W/O & W/DYE | CPT 72194 | Outpatient | - | $3,996 | |
MRI PELVIS W/O DYE | CPT 72195 | Outpatient | - | $4,917 | |
MRI PELVIS W/O & W/DYE | CPT 72197 | Outpatient | - | $7,018 | |
X-RAY EXAM SI JOINTS 3/> VWS | CPT 72202 | Outpatient | - | $524 | |
X-RAY EXAM SACRUM TAILBONE | CPT 72220 | Outpatient | - | $430 | |
MYELOGRAPHY THORACIC SPINE | CPT 72255 | Outpatient | - | $1,892 | |
MYELOGRAPHY L-S SPINE | CPT 72265 | Outpatient | - | $2,002 | |
MYELOGPHY 2/> SPINE REGIONS | CPT 72270 | Outpatient | - | $3,085 | |
X-RAY EXAM OF COLLAR BONE | CPT 73000 | Outpatient | - | $426 | |
X-RAY EXAM OF COLLAR BONE | CPT 73000 | Outpatient | - | $426 | |
X-RAY EXAM OF SHOULDER BLADE | CPT 73010 | Outpatient | - | $439 | |
X-RAY EXAM OF SHOULDER BLADE | CPT 73010 | Outpatient | - | $439 | |
X-RAY EXAM OF SHOULDER | CPT 73020 | Outpatient | - | $334 | |
X-RAY EXAM OF SHOULDER | CPT 73020 | Outpatient | - | $334 | |
X-RAY EXAM OF SHOULDER | CPT 73030 | Outpatient | - | $430 | |
X-RAY EXAM OF SHOULDER | CPT 73030 | Outpatient | - | $430 | |
CONTRAST X-RAY OF SHOULDER | CPT 73040 | Outpatient | - | $1,666 | |
CONTRAST X-RAY OF SHOULDER | CPT 73040 | Outpatient | - | $1,666 | |
X-RAY EXAM OF SHOULDERS | CPT 73050 | Outpatient | - | $566 | |
X-RAY EXAM OF HUMERUS | CPT 73060 | Outpatient | - | $426 | |
X-RAY EXAM OF HUMERUS | CPT 73060 | Outpatient | - | $426 | |
X-RAY EXAM OF ELBOW | CPT 73070 | Outpatient | - | $426 | |
X-RAY EXAM OF ELBOW | CPT 73070 | Outpatient | - | $426 | |
X-RAY EXAM OF ELBOW | CPT 73080 | Outpatient | - | $530 | |
X-RAY EXAM OF ELBOW | CPT 73080 | Outpatient | - | $530 | |
CONTRAST X-RAY OF ELBOW | CPT 73085 | Outpatient | - | $1,456 | |
CONTRAST X-RAY OF ELBOW | CPT 73085 | Outpatient | - | $1,456 | |
X-RAY EXAM OF FOREARM | CPT 73090 | Outpatient | - | $411 | |
X-RAY EXAM OF FOREARM | CPT 73090 | Outpatient | - | $411 | |
X-RAY EXAM OF ARM INFANT | CPT 73092 | Outpatient | - | $466 | |
X-RAY EXAM OF ARM INFANT | CPT 73092 | Outpatient | - | $466 | |
X-RAY EXAM OF WRIST | CPT 73100 | Outpatient | - | $454 | |
X-RAY EXAM OF WRIST | CPT 73100 | Outpatient | - | $454 | |
X-RAY EXAM OF WRIST | CPT 73100 | Outpatient | - | $454 | |
X-RAY EXAM OF WRIST | CPT 73100 | Outpatient | - | $454 | |
X-RAY EXAM OF WRIST | CPT 73110 | Outpatient | - | $573 | |
X-RAY EXAM OF WRIST | CPT 73110 | Outpatient | - | $573 | |
CONTRAST X-RAY OF WRIST | CPT 73115 | Outpatient | - | $1,679 | |
CONTRAST X-RAY OF WRIST | CPT 73115 | Outpatient | - | $1,679 | |
X-RAY EXAM OF HAND | CPT 73120 | Outpatient | - | $404 | |
X-RAY EXAM OF HAND | CPT 73120 | Outpatient | - | $404 | |
X-RAY EXAM OF HAND | CPT 73120 | Outpatient | - | $404 | |
X-RAY EXAM OF HAND | CPT 73130 | Outpatient | - | $489 | |
X-RAY EXAM OF HAND | CPT 73130 | Outpatient | - | $489 | |
X-RAY EXAM OF HAND | CPT 73130 | Outpatient | - | $977 | |
X-RAY EXAM OF HAND | CPT 73130 | Outpatient | - | $489 | |
X-RAY EXAM OF FINGER(S) | CPT 73140 | Outpatient | - | $507 | |
X-RAY EXAM OF FINGER(S) | CPT 73140 | Outpatient | - | $507 | |
CT UPPER EXTREMITY W/O DYE | CPT 73200 | Outpatient | - | $2,458 | |
CT UPPER EXTREMITY W/O DYE | CPT 73200 | Outpatient | - | $2,458 | |
CT UPPER EXTREMITY W/O DYE | CPT 73200 | Outpatient | - | $2,458 | |
CT UPPER EXTREMITY W/O DYE | CPT 73200 | Outpatient | - | $2,458 | |
CT UPPER EXTREMITY W/O DYE | CPT 73200 | Outpatient | - | $2,458 | |
CT UPPER EXTREMITY W/O DYE | CPT 73200 | Outpatient | - | $2,458 | |
CT UPPER EXTREMITY W/O DYE | CPT 73200 | Outpatient | - | $2,458 | |
CT UPPER EXTREMITY W/O DYE | CPT 73200 | Outpatient | - | $2,458 | |
CT UPPER EXTREMITY W/O DYE | CPT 73200 | Outpatient | - | $2,458 | |
CT UPPER EXTREMITY W/O DYE | CPT 73200 | Outpatient | - | $2,458 | |
CT UPPER EXTREMITY W/O DYE | CPT 73200 | Outpatient | - | $2,458 | |
CT UPPER EXTREMITY W/O DYE | CPT 73200 | Outpatient | - | $2,458 | |
CT UPPER EXTREMITY W/DYE | CPT 73201 | Outpatient | - | $3,051 | |
CT UPPER EXTREMITY W/DYE | CPT 73201 | Outpatient | - | $3,051 | |
CT UPPER EXTREMITY W/DYE | CPT 73201 | Outpatient | - | $3,051 | |
CT UPPER EXTREMITY W/DYE | CPT 73201 | Outpatient | - | $3,051 | |
CT UPPER EXTREMITY W/DYE | CPT 73201 | Outpatient | - | $3,051 | |
CT UPPER EXTREMITY W/DYE | CPT 73201 | Outpatient | - | $3,051 | |
CT UPPER EXTREMITY W/DYE | CPT 73201 | Outpatient | - | $3,051 | |
CT UPPER EXTREMITY W/DYE | CPT 73201 | Outpatient | - | $3,051 | |
CT UPPER EXTREMITY W/DYE | CPT 73201 | Outpatient | - | $3,051 | |
CT UPPER EXTREMITY W/DYE | CPT 73201 | Outpatient | - | $3,051 | |
CT UPPER EXTREMITY W/DYE | CPT 73201 | Outpatient | - | $3,051 | |
CT UPPER EXTREMITY W/DYE | CPT 73201 | Outpatient | - | $3,051 | |
CT UPPR EXTREMITY W/O&W/DYE | CPT 73202 | Outpatient | - | $4,074 | |
CT UPPR EXTREMITY W/O&W/DYE | CPT 73202 | Outpatient | - | $4,074 | |
CT UPPR EXTREMITY W/O&W/DYE | CPT 73202 | Outpatient | - | $4,074 | |
CT UPPR EXTREMITY W/O&W/DYE | CPT 73202 | Outpatient | - | $4,074 | |
CT UPPR EXTREMITY W/O&W/DYE | CPT 73202 | Outpatient | - | $4,074 | |
CT UPPR EXTREMITY W/O&W/DYE | CPT 73202 | Outpatient | - | $4,074 | |
CT UPPR EXTREMITY W/O&W/DYE | CPT 73202 | Outpatient | - | $4,074 | |
CT UPPR EXTREMITY W/O&W/DYE | CPT 73202 | Outpatient | - | $4,074 | |
CT UPPR EXTREMITY W/O&W/DYE | CPT 73202 | Outpatient | - | $4,074 | |
CT UPPR EXTREMITY W/O&W/DYE | CPT 73202 | Outpatient | - | $4,074 | |
CT UPPR EXTREMITY W/O&W/DYE | CPT 73202 | Outpatient | - | $4,074 | |
CT UPPR EXTREMITY W/O&W/DYE | CPT 73202 | Outpatient | - | $4,074 | |
MRI UPPER EXTREMITY W/O DYE | CPT 73218 | Outpatient | - | $5,018 | |
MRI UPPER EXTREMITY W/O DYE | CPT 73218 | Outpatient | - | $5,018 | |
MRI UPPER EXTREMITY W/O DYE | CPT 73218 | Outpatient | - | $5,018 | |
MRI UPPER EXTREMITY W/O DYE | CPT 73218 | Outpatient | - | $5,018 | |
MRI UPPER EXTREMITY W/DYE | CPT 73219 | Outpatient | - | $5,338 | |
MRI UPPER EXTREMITY W/DYE | CPT 73219 | Outpatient | - | $5,338 | |
MRI UPPER EXTREMITY W/DYE | CPT 73219 | Outpatient | - | $5,338 | |
MRI UPPER EXTREMITY W/DYE | CPT 73219 | Outpatient | - | $5,338 | |
MRI UPPR EXTREMITY W/O&W/DYE | CPT 73220 | Outpatient | - | $7,050 | |
MRI UPPR EXTREMITY W/O&W/DYE | CPT 73220 | Outpatient | - | $7,050 | |
MRI UPPR EXTREMITY W/O&W/DYE | CPT 73220 | Outpatient | - | $7,050 | |
MRI UPPR EXTREMITY W/O&W/DYE | CPT 73220 | Outpatient | - | $7,050 | |
MRI JOINT UPR EXTREM W/O DYE | CPT 73221 | Outpatient | - | $4,671 | |
MRI JOINT UPR EXTREM W/O DYE | CPT 73221 | Outpatient | - | $4,671 | |
MRI JOINT UPR EXTREM W/O DYE | CPT 73221 | Outpatient | - | $5,018 | |
MRI JOINT UPR EXTREM W/O DYE | CPT 73221 | Outpatient | - | $5,018 | |
MRI JOINT UPR EXTREM W/O DYE | CPT 73221 | Outpatient | - | $4,671 | |
MRI JOINT UPR EXTREM W/O DYE | CPT 73221 | Outpatient | - | $4,671 | |
MRI JOINT UPR EXTREM W/O DYE | CPT 73221 | Outpatient | - | $4,671 | |
MRI JOINT UPR EXTREM W/O DYE | CPT 73221 | Outpatient | - | $4,671 | |
MRI JOINT UPR EXTREM W/DYE | CPT 73222 | Outpatient | - | $5,018 | |
MRI JOINT UPR EXTREM W/DYE | CPT 73222 | Outpatient | - | $5,018 | |
MRI JOINT UPR EXTREM W/DYE | CPT 73222 | Outpatient | - | $5,338 | |
MRI JOINT UPR EXTREM W/DYE | CPT 73222 | Outpatient | - | $5,338 | |
MRI JOINT UPR EXTREM W/DYE | CPT 73222 | Outpatient | - | $5,018 | |
MRI JOINT UPR EXTREM W/DYE | CPT 73222 | Outpatient | - | $5,018 | |
MRI JOINT UPR EXTREM W/DYE | CPT 73222 | Outpatient | - | $5,018 | |
MRI JOINT UPR EXTREM W/DYE | CPT 73222 | Outpatient | - | $5,018 | |
MRI JOINT UPR EXTR W/O&W/DYE | CPT 73223 | Outpatient | - | $6,635 | |
MRI JOINT UPR EXTR W/O&W/DYE | CPT 73223 | Outpatient | - | $6,635 | |
MRI JOINT UPR EXTR W/O&W/DYE | CPT 73223 | Outpatient | - | $7,050 | |
MRI JOINT UPR EXTR W/O&W/DYE | CPT 73223 | Outpatient | - | $7,050 | |
MRI JOINT UPR EXTR W/O&W/DYE | CPT 73223 | Outpatient | - | $6,635 | |
MRI JOINT UPR EXTR W/O&W/DYE | CPT 73223 | Outpatient | - | $6,635 | |
MRI JOINT UPR EXTR W/O&W/DYE | CPT 73223 | Outpatient | - | $6,635 | |
MRI JOINT UPR EXTR W/O&W/DYE | CPT 73223 | Outpatient | - | $6,635 | |
X-RAY EXAM HIP UNI 1 VIEW | CPT 73501 | Outpatient | - | $339 | |
X-RAY EXAM HIP UNI 1 VIEW | CPT 73501 | Outpatient | - | $339 | |
X-RAY EXAM HIP UNI 2-3 VIEWS | CPT 73502 | Outpatient | - | $620 | |
X-RAY EXAM HIPS BI 5/> VIEWS | CPT 73523 | Outpatient | - | $566 | |
CONTRAST X-RAY OF HIP | CPT 73525 | Outpatient | - | $1,498 | |
CONTRAST X-RAY OF HIP | CPT 73525 | Outpatient | - | $1,498 | |
X-RAY EXAM OF FEMUR 2/> | CPT 73552 | Outpatient | - | $404 | |
X-RAY EXAM OF FEMUR 2/> | CPT 73552 | Outpatient | - | $404 | |
X-RAY EXAM OF KNEE 1 OR 2 | CPT 73560 | Outpatient | - | $878 | |
X-RAY EXAM OF KNEE 1 OR 2 | CPT 73560 | Outpatient | - | $439 | |
X-RAY EXAM OF KNEE 1 OR 2 | CPT 73560 | Outpatient | - | $439 | |
X-RAY EXAM OF KNEE 3 | CPT 73562 | Outpatient | - | $1,102 | |
X-RAY EXAM OF KNEE 3 | CPT 73562 | Outpatient | - | $550 | |
X-RAY EXAM OF KNEE 3 | CPT 73562 | Outpatient | - | $550 | |
X-RAY EXAM KNEE 4 OR MORE | CPT 73564 | Outpatient | - | $629 | |
X-RAY EXAM KNEE 4 OR MORE | CPT 73564 | Outpatient | - | $629 | |
X-RAY EXAM OF KNEES | CPT 73565 | Outpatient | - | $502 | |
CONTRAST X-RAY OF KNEE JOINT | CPT 73580 | Outpatient | - | $2,131 | |
CONTRAST X-RAY OF KNEE JOINT | CPT 73580 | Outpatient | - | $2,131 | |
X-RAY EXAM OF LOWER LEG | CPT 73590 | Outpatient | - | $398 | |
X-RAY EXAM OF LOWER LEG | CPT 73590 | Outpatient | - | $398 | |
X-RAY EXAM OF LEG INFANT | CPT 73592 | Outpatient | - | $474 | |
X-RAY EXAM OF LEG INFANT | CPT 73592 | Outpatient | - | $474 | |
X-RAY EXAM OF ANKLE | CPT 73600 | Outpatient | - | $417 | |
X-RAY EXAM OF ANKLE | CPT 73600 | Outpatient | - | $417 | |
X-RAY EXAM OF ANKLE | CPT 73610 | Outpatient | - | $496 | |
X-RAY EXAM OF ANKLE | CPT 73610 | Outpatient | - | $496 | |
X-RAY EXAM OF FOOT | CPT 73620 | Outpatient | - | $404 | |
X-RAY EXAM OF FOOT | CPT 73620 | Outpatient | - | $404 | |
X-RAY EXAM OF FOOT | CPT 73630 | Outpatient | - | $482 | |
X-RAY EXAM OF FOOT | CPT 73630 | Outpatient | - | $482 | |
X-RAY EXAM OF HEEL | CPT 73650 | Outpatient | - | $411 | |
X-RAY EXAM OF HEEL | CPT 73650 | Outpatient | - | $411 | |
X-RAY EXAM OF TOE(S) | CPT 73660 | Outpatient | - | $474 | |
X-RAY EXAM OF TOE(S) | CPT 73660 | Outpatient | - | $474 | |
CT LOWER EXTREMITY W/O DYE | CPT 73700 | Outpatient | - | $2,390 | |
CT LOWER EXTREMITY W/O DYE | CPT 73700 | Outpatient | - | $2,390 | |
CT LOWER EXTREMITY W/O DYE | CPT 73700 | Outpatient | - | $2,390 | |
CT LOWER EXTREMITY W/O DYE | CPT 73700 | Outpatient | - | $2,390 | |
CT LOWER EXTREMITY W/O DYE | CPT 73700 | Outpatient | - | $2,390 | |
CT LOWER EXTREMITY W/O DYE | CPT 73700 | Outpatient | - | $2,390 | |
CT LOWER EXTREMITY W/O DYE | CPT 73700 | Outpatient | - | $2,390 | |
CT LOWER EXTREMITY W/O DYE | CPT 73700 | Outpatient | - | $2,390 | |
CT LOWER EXTREMITY W/O DYE | CPT 73700 | Outpatient | - | $2,390 | |
CT LOWER EXTREMITY W/O DYE | CPT 73700 | Outpatient | - | $2,390 | |
CT LOWER EXTREMITY W/O DYE | CPT 73700 | Outpatient | - | $2,390 | |
CT LOWER EXTREMITY W/O DYE | CPT 73700 | Outpatient | - | $2,390 | |
CT LOWER EXTREMITY W/DYE | CPT 73701 | Outpatient | - | $3,087 | |
CT LOWER EXTREMITY W/DYE | CPT 73701 | Outpatient | - | $3,087 | |
CT LOWER EXTREMITY W/DYE | CPT 73701 | Outpatient | - | $3,087 | |
CT LOWER EXTREMITY W/DYE | CPT 73701 | Outpatient | - | $3,087 | |
CT LOWER EXTREMITY W/DYE | CPT 73701 | Outpatient | - | $3,087 | |
CT LOWER EXTREMITY W/DYE | CPT 73701 | Outpatient | - | $3,087 | |
CT LOWER EXTREMITY W/DYE | CPT 73701 | Outpatient | - | $3,087 | |
CT LOWER EXTREMITY W/DYE | CPT 73701 | Outpatient | - | $3,087 | |
CT LOWER EXTREMITY W/DYE | CPT 73701 | Outpatient | - | $3,087 | |
CT LOWER EXTREMITY W/DYE | CPT 73701 | Outpatient | - | $3,087 | |
CT LOWER EXTREMITY W/DYE | CPT 73701 | Outpatient | - | $3,087 | |
CT LOWER EXTREMITY W/DYE | CPT 73701 | Outpatient | - | $3,087 | |
CT LWR EXTREMITY W/O&W/DYE | CPT 73702 | Outpatient | - | $4,094 | |
CT LWR EXTREMITY W/O&W/DYE | CPT 73702 | Outpatient | - | $4,094 | |
CT LWR EXTREMITY W/O&W/DYE | CPT 73702 | Outpatient | - | $4,094 | |
CT LWR EXTREMITY W/O&W/DYE | CPT 73702 | Outpatient | - | $4,094 | |
CT LWR EXTREMITY W/O&W/DYE | CPT 73702 | Outpatient | - | $4,094 | |
CT LWR EXTREMITY W/O&W/DYE | CPT 73702 | Outpatient | - | $4,094 | |
CT LWR EXTREMITY W/O&W/DYE | CPT 73702 | Outpatient | - | $4,094 | |
CT LWR EXTREMITY W/O&W/DYE | CPT 73702 | Outpatient | - | $4,094 | |
CT LWR EXTREMITY W/O&W/DYE | CPT 73702 | Outpatient | - | $4,094 | |
CT LWR EXTREMITY W/O&W/DYE | CPT 73702 | Outpatient | - | $4,094 | |
CT LWR EXTREMITY W/O&W/DYE | CPT 73702 | Outpatient | - | $4,094 | |
CT LWR EXTREMITY W/O&W/DYE | CPT 73702 | Outpatient | - | $4,094 | |
CT ANGIO LWR EXTR W/O&W/DYE | CPT 73706 | Outpatient | - | $7,929 | |
CT ANGIO LWR EXTR W/O&W/DYE | CPT 73706 | Outpatient | - | $7,929 | |
MRI LOWER EXTREMITY W/O DYE | CPT 73718 | Outpatient | - | $4,900 | |
MRI LOWER EXTREMITY W/O DYE | CPT 73718 | Outpatient | - | $4,900 | |
MRI LOWER EXTREMITY W/O DYE | CPT 73718 | Outpatient | - | $4,900 | |
MRI LOWER EXTREMITY W/O DYE | CPT 73718 | Outpatient | - | $4,900 | |
MRI LOWER EXTREMITY W/O DYE | CPT 73718 | Outpatient | - | $4,900 | |
MRI LOWER EXTREMITY W/O DYE | CPT 73718 | Outpatient | - | $4,900 | |
MRI LOWER EXTREMITY W/DYE | CPT 73719 | Outpatient | - | $5,322 | |
MRI LOWER EXTREMITY W/DYE | CPT 73719 | Outpatient | - | $5,322 | |
MRI LOWER EXTREMITY W/DYE | CPT 73719 | Outpatient | - | $5,322 | |
MRI LOWER EXTREMITY W/DYE | CPT 73719 | Outpatient | - | $5,322 | |
MRI LOWER EXTREMITY W/DYE | CPT 73719 | Outpatient | - | $5,322 | |
MRI LOWER EXTREMITY W/DYE | CPT 73719 | Outpatient | - | $5,322 | |
MRI LWR EXTREMITY W/O&W/DYE | CPT 73720 | Outpatient | - | $7,061 | |
MRI LWR EXTREMITY W/O&W/DYE | CPT 73720 | Outpatient | - | $7,061 | |
MRI LWR EXTREMITY W/O&W/DYE | CPT 73720 | Outpatient | - | $7,061 | |
MRI LWR EXTREMITY W/O&W/DYE | CPT 73720 | Outpatient | - | $7,061 | |
MRI LWR EXTREMITY W/O&W/DYE | CPT 73720 | Outpatient | - | $7,061 | |
MRI LWR EXTREMITY W/O&W/DYE | CPT 73720 | Outpatient | - | $7,061 | |
MRI JOINT OF LWR EXTR W/DYE | CPT 73722 | Outpatient | - | $5,107 | |
MRI JOINT OF LWR EXTR W/DYE | CPT 73722 | Outpatient | - | $5,107 | |
MRI JOINT OF LWR EXTR W/DYE | CPT 73722 | Outpatient | - | $5,107 | |
MRI JOINT OF LWR EXTR W/DYE | CPT 73722 | Outpatient | - | $5,107 | |
MRI JOINT OF LWR EXTR W/DYE | CPT 73722 | Outpatient | - | $5,107 | |
MRI JOINT OF LWR EXTR W/DYE | CPT 73722 | Outpatient | - | $5,107 | |
MRI JOINT LWR EXTR W/O&W/DYE | CPT 73723 | Outpatient | - | $6,620 | |
MRI JOINT LWR EXTR W/O&W/DYE | CPT 73723 | Outpatient | - | $6,620 | |
MRI JOINT LWR EXTR W/O&W/DYE | CPT 73723 | Outpatient | - | $6,620 | |
MRI JOINT LWR EXTR W/O&W/DYE | CPT 73723 | Outpatient | - | $6,620 | |
MRI JOINT LWR EXTR W/O&W/DYE | CPT 73723 | Outpatient | - | $6,620 | |
MRI JOINT LWR EXTR W/O&W/DYE | CPT 73723 | Outpatient | - | $6,620 | |
X-RAY EXAM ABDOMEN 1 VIEW | CPT 74018 | Outpatient | - | $334 | |
X-RAY EXAM ABDOMEN 2 VIEWS | CPT 74019 | Outpatient | - | $559 | |
X-RAY EXAM ABDOMEN 2 VIEWS | CPT 74019 | Outpatient | - | $559 | |
X-RAY EXAM ABDOMEN 3+ VIEWS | CPT 74021 | Outpatient | - | $559 | |
X-RAY EXAM ABDOMEN 3+ VIEWS | CPT 74021 | Outpatient | - | $559 | |
X-RAY EXAM COMPLETE ABDOMEN | CPT 74022 | Outpatient | - | $679 | |
CT ABDOMEN W/O DYE | CPT 74150 | Outpatient | - | $2,370 | |
CT ABDOMEN W/DYE | CPT 74160 | Outpatient | - | $3,418 | |
CT ABDOMEN W/O & W/DYE | CPT 74170 | Outpatient | - | $4,691 | |
CT ABDOMEN W/O & W/DYE | CPT 74170 | Outpatient | - | $4,691 | |
CT ABD & PELVIS W/O CONTRAST | CPT 74176 | Outpatient | - | $1,657 | |
CT ABD & PELVIS W/O CONTRAST | CPT 74176 | Outpatient | - | $1,657 | |
CT ABD & PELV 1/> REGNS | CPT 74178 | Outpatient | - | $4,179 | |
CT ABD & PELV 1/> REGNS | CPT 74178 | Outpatient | - | $4,179 | |
CT ABD & PELV 1/> REGNS | CPT 74178 | Outpatient | - | $446 | |
MRI ABDOMEN W/O DYE | CPT 74181 | Outpatient | - | $4,319 | |
MRI ABDOMEN W/O & W/DYE | CPT 74183 | Outpatient | - | $7,036 | |
MRI ANGIO ABDOM W ORW/O DYE | CPT 74185 | Outpatient | - | $5,147 | |
X-RAY XM ESOPHAGUS 1CNTRST | CPT 74220 | Outpatient | - | $1,393 | |
X-RAY XM UPR GI TRC 1CNTRST | CPT 74240 | Outpatient | - | $1,603 | |
XR UPPER GI + KUB | CPT 74241 | Outpatient | - | $1,757 | |
X-RAY XM UPR GI TRC 2CNTRST | CPT 74246 | Outpatient | - | $1,920 | |
XR UPPER GI W/ AIR CONTRAST + KUB | CPT 74247 | Outpatient | - | $2,213 | |
XR UPPER GI W/ AIR W/ SMALL BOWEL | CPT 74249 | Outpatient | - | $3,020 | |
X-RAY XM SM INT 1CNTRST STD | CPT 74250 | Outpatient | - | $1,722 | |
XR DUODENOGRAPHY HYPOTONIC | CPT 74260 | Outpatient | - | $1,221 | |
X-RAY XM COLON 1CNTRST STD | CPT 74270 | Outpatient | - | $2,460 | |
X-RAY XM COLON 1CNTRST STD | CPT 74270 | Outpatient | - | $2,460 | |
X-RAY XM COLON 2CNTRST STD | CPT 74280 | Outpatient | - | $3,385 | |
X-RAY BILE DUCTS/PANCREAS | CPT 74300 | Outpatient | - | $956 | |
X-RAY BILE/PANC ENDOSCOPY | CPT 74330 | Outpatient | - | $656 | |
UROGRAPHY IV +-KUB TOMOG | CPT 74400 | Outpatient | - | $1,814 | |
UROGRAPHY RTRGR +-KUB | CPT 74420 | Outpatient | - | $1,370 | |
CONTRAST X-RAY BLADDER | CPT 74430 | Outpatient | - | $938 | |
X-RAY URETHRA/BLADDER | CPT 74455 | Outpatient | - | $1,520 | |
X-RAY FEMALE GENITAL TRACT | CPT 74740 | Outpatient | - | $1,251 | |
CT ANGIO ABDOMINAL ARTERIES | CPT 75635 | Outpatient | - | $8,729 | |
ABSCESS DRAINAGE UNDER X-RAY | CPT 75989 | Outpatient | - | $974 | |
ABSCESS DRAINAGE UNDER X-RAY | CPT 75989 | Outpatient | - | $974 | |
ABSCESS DRAINAGE UNDER X-RAY | CPT 75989 | Outpatient | - | $734 | |
ABSCESS DRAINAGE UNDER X-RAY | CPT 75989 | Outpatient | - | $1,698 | |
ABSCESS DRAINAGE UNDER X-RAY | CPT 75989 | Outpatient | - | $1,651 | |
ABSCESS DRAINAGE UNDER X-RAY | CPT 75989 | Outpatient | - | $734 | |
FLUOROSCOPY <1 HR PHYS/QHP | CPT 76000 | Outpatient | - | $1,429 | |
FLUOROSCOPY <1 HR PHYS/QHP | CPT 76000 | Outpatient | - | $1,429 | |
FLUOROSCOPY <1 HR PHYS/QHP | CPT 76000 | Outpatient | - | $1,429 | |
XR C-ARM > 1 HR | CPT 76001 | Outpatient | - | $882 | |
X-RAY NOSE TO RECTUM | CPT 76010 | Outpatient | - | $361 | |
X-RAY EXAM OF FISTULA | CPT 76080 | Outpatient | - | $734 | |
X-RAY EXAM SURGICAL SPECIMEN | CPT 76098 | Outpatient | - | $214 | |
X-RAY EXAM SURGICAL SPECIMEN | CPT 76098 | Outpatient | - | $214 | |
3D RENDER W/INTRP POSTPROCES | CPT 76376 | Outpatient | - | $778 | |
3D RENDER W/INTRP POSTPROCES | CPT 76377 | Outpatient | - | $682 | |
US EXAM OF HEAD AND NECK | CPT 76536 | Outpatient | - | $862 | |
US EXAM CHEST | CPT 76604 | Outpatient | - | $1,261 | |
ULTRASOUND BREAST COMPLETE | CPT 76641 | Outpatient | - | $1,429 | |
ULTRASOUND BREAST COMPLETE | CPT 76641 | Outpatient | - | $1,429 | |
ULTRASOUND BREAST COMPLETE | CPT 76641 | Outpatient | - | $1,429 | |
ECHO EXAM OF ABDOMEN | CPT 76705 | Outpatient | - | $740 | |
US EXAM ABDO BACK WALL COMP | CPT 76770 | Outpatient | - | $922 | |
US EXAM ABDO BACK WALL COMP | CPT 76770 | Outpatient | - | $922 | |
US EXAM ABDO BACK WALL LIM | CPT 76775 | Outpatient | - | $785 | |
US EXAM ABDO BACK WALL LIM | CPT 76775 | Outpatient | - | $785 | |
OB US < 14 WKS SINGLE FETUS | CPT 76801 | Outpatient | - | $1,686 | |
OB US < 14 WKS SINGLE FETUS | CPT 76801 | Outpatient | - | $1,686 | |
OB US < 14 WKS ADDL FETUS | CPT 76802 | Outpatient | - | $600 | |
OB US >= 14 WKS ADDL FETUS | CPT 76810 | Outpatient | - | $1,026 | |
OB US LIMITED FETUS(S) | CPT 76815 | Outpatient | - | $821 | |
TRANSVAGINAL US OBSTETRIC | CPT 76817 | Outpatient | - | $1,378 | |
TRANSVAGINAL US OBSTETRIC | CPT 76817 | Outpatient | - | $1,378 | |
ECHO EXAM UTERUS | CPT 76831 | Outpatient | - | $1,863 | |
US EXAM PELVIC COMPLETE | CPT 76856 | Outpatient | - | $862 | |
US EXAM PELVIC COMPLETE | CPT 76856 | Outpatient | - | $862 | |
US EXAM PELVIC LIMITED | CPT 76857 | Outpatient | - | $1,694 | |
US EXAM SCROTUM | CPT 76870 | Outpatient | - | $873 | |
US COMPL JOINT R-T W/IMG | CPT 76881 | Outpatient | - | $817 | |
US COMPL JOINT R-T W/IMG | CPT 76881 | Outpatient | - | $817 | |
US LMTD JT/NONVASC XTR STRUX | CPT 76882 | Outpatient | - | $426 | |
US LMTD JT/NONVASC XTR STRUX | CPT 76882 | Outpatient | - | $426 | |
ECHO GUIDE FOR BIOPSY | CPT 76942 | Outpatient | - | $1,136 | |
ECHO GUIDE FOR BIOPSY | CPT 76942 | Outpatient | - | $1,136 | |
ECHO GUIDE FOR BIOPSY | CPT 76942 | Outpatient | - | $1,136 | |
ECHO GUIDE FOR BIOPSY | CPT 76942 | Outpatient | - | $1,136 | |
ECHO GUIDE FOR BIOPSY | CPT 76942 | Outpatient | - | $1,136 | |
ECHO GUIDE FOR BIOPSY | CPT 76942 | Outpatient | - | $1,136 | |
ECHO GUIDE FOR BIOPSY | CPT 76942 | Outpatient | - | $1,136 | |
ECHO GUIDE FOR BIOPSY | CPT 76942 | Outpatient | - | $1,136 | |
FLUOROGUIDE FOR VEIN DEVICE | CPT 77001 | Outpatient | - | $1,969 | |
NEEDLE LOCALIZATION BY XRAY | CPT 77002 | Outpatient | - | $993 | |
NEEDLE LOCALIZATION BY XRAY | CPT 77002 | Outpatient | - | $993 | |
NEEDLE LOCALIZATION BY XRAY | CPT 77002 | Outpatient | - | $993 | |
FLUOROGUIDE FOR SPINE INJECT | CPT 77003 | Outpatient | - | $679 | |
FLUOROGUIDE FOR SPINE INJECT | CPT 77003 | Outpatient | - | $679 | |
CT SCAN FOR NEEDLE BIOPSY | CPT 77012 | Outpatient | - | $1,341 | |
CT SCAN FOR NEEDLE BIOPSY | CPT 77012 | Outpatient | - | $1,341 | |
CT SCAN FOR NEEDLE BIOPSY | CPT 77012 | Outpatient | - | $1,341 | |
CT SCAN FOR NEEDLE BIOPSY | CPT 77012 | Outpatient | - | $1,341 | |
CT SCAN FOR NEEDLE BIOPSY | CPT 77012 | Outpatient | - | $1,341 | |
X-RAY STRESS VIEW | CPT 77071 | Outpatient | - | $446 | |
X-RAY STRESS VIEW | CPT 77071 | Outpatient | - | $446 | |
X-RAYS FOR BONE AGE | CPT 77072 | Outpatient | - | $292 | |
X-RAYS BONE LENGTH STUDIES | CPT 77073 | Outpatient | - | $502 | |
X-RAYS BONE SURVEY COMPLETE | CPT 77075 | Outpatient | - | $1,575 | |
X-RAYS BONE SURVEY INFANT | CPT 77076 | Outpatient | - | $1,371 | |
DXA BONE DENSITY AXIAL | CPT 77080 | Outpatient | - | $687 | |
DXA BONE DENSITY/PERIPHERAL | CPT 77081 | Outpatient | - | $388 | |
ASSAY GLUCOSE BLOOD QUANT | CPT 82947 | Outpatient | - | $56 | |
ELECTROCARDIOGRAM TRACING | CPT 93005 | Outpatient | - | $290 | |
RHYTHM ECG TRACING | CPT 93041 | Outpatient | - | $18 | |
ECG MONIT/REPRT UP TO 48 HRS | CPT 93226 | Outpatient | - | $118 | |
TTE W/DOPPLER COMPLETE | CPT 93306 | Outpatient | - | $1,547 | |
EXTRACRANIAL BILAT STUDY | CPT 93880 | Outpatient | - | $731 | |
LOWER EXTREMITY STUDY | CPT 93926 | Outpatient | - | $884 | |
EXTREMITY STUDY | CPT 93970 | Outpatient | - | $607 | |
EXTREMITY STUDY | CPT 93970 | Outpatient | - | $607 | |
EXTREMITY STUDY | CPT 93971 | Outpatient | - | $588 | |
EXTREMITY STUDY | CPT 93971 | Outpatient | - | $588 | |
EXTREMITY STUDY | CPT 93971 | Outpatient | - | $588 | |
EXTREMITY STUDY | CPT 93971 | Outpatient | - | $588 | |
IMMUNOTHERAPY INJECTIONS | CPT 95117 | Outpatient | 20096095117 | $133 | |
ADMIN INFLUENZA VIRUS VAC | HCPCS G0008 | Outpatient | 200771G0008 | $74 | |
ADMIN PNEUMOCOCCAL VACCINE | HCPCS G0009 | Outpatient | 200771G0009 | $37 | |
MA MAMMOGRAM LEFT | HCPCS G0202 | Outpatient | - | $477 | |
MA MAMMOGRAM RIGHT | HCPCS G0202 | Outpatient | - | $477 | |
MA MAMMOGRAM DIGITAL DIAGNOSTIC BILAT. | HCPCS G0204 | Outpatient | - | $477 | |
IR INTRAPERITONEAL CATH INSERT | HCPCS G0206 | Outpatient | - | $477 | |
IR INTRAVASC STENT PLACE W/ EMBOLIC PROTECT | HCPCS G0206 | Outpatient | - | $477 | |
MA MAMMOGRAM DIGITAL DIAGNOSTIC LEFT. | HCPCS G0206 | Outpatient | - | $331 | |
ZZ MA MAMMOGRAM DIGITAL DIAGNOSTIC RIGHT. | HCPCS G0206 | Outpatient | - | $331 | |