CT Scan |
CT HEAD/BRAIN W/O DYE | CPT 70450 | Outpatient | 821336 | $1,002 | |
CT ANGIOGRAPHY CHEST | CPT 71275 | Outpatient | 885769 | $1,517 | |
CT PELVIS W/DYE | CPT 72193 | Outpatient | 821359 | $1,446 | |
CT ABD & PELV W/CONTRAST | CPT 74177 | Outpatient | 1005109 | $2,177 | |
Cancer Services |
CHEMO HORMON ANTINEOPL SQ/IM | CPT 96402 | Outpatient | 11735335 | $285 | |
Clinic |
OFFICE O/P NEW LOW 30-44 MIN | CPT 99203 | Outpatient | 11517573 | $172 | |
OFFICE O/P NEW MOD 45-59 MIN | CPT 99204 | Outpatient | 11517574 | $276 | |
OFFICE O/P NEW HI 60-74 MIN | CPT 99205 | Outpatient | 11517575 | $300 | |
(N/O) PATIENT OFFICE CONSULTATION, 40 MIN | CPT 99243 | - | - | - | - |
(N/O) PATIENT OFFICE CONSULTATION, 60 MIN | CPT 99244 | - | - | - | - |
PREV VISIT NEW AGE 18-39 | CPT 99385 | Outpatient | - | $199 | |
PREV VISIT NEW AGE 40-64 | CPT 99386 | Outpatient | - | $221 | |
EEG |
POLYSOM 6/> YRS 4/> PARAM | CPT 95810 | Outpatient | 11517582 | $3,213 | |
EKG |
ELECTROCARDIOGRAM COMPLETE | CPT 93000 | Outpatient | - | $114 | |
ELECTROCARDIOGRAM TRACING | CPT 93005 | Outpatient | 2423453 | $340 | |
ECG MONIT/REPRT UP TO 48 HRS | CPT 93225 | Outpatient | 3887159 | $336 | |
Emergency Room |
DRAINAGE OF SKIN ABSCESS | CPT 10060 | Outpatient | 11752613 | $366 | |
DEB SUBQ TISSUE 20 SQ CM/< | CPT 11042 | Outpatient | 11755480 | $700 | |
DEBRIDE NAIL 1-5 | CPT 11720 | Outpatient | 11755457 | $111 | |
DEBRIDE NAIL 6 OR MORE | CPT 11721 | Outpatient | 27141078 | $103 | |
REMOVAL OF NAIL BED | CPT 11750 | Outpatient | 11755387 | $753 | |
REMOVE DRUG IMPLANT DEVICE | CPT 11982 | Outpatient | 2856996 | $660 | |
RPR S/N/AX/GEN/TRNK2.6-7.5CM | CPT 12002 | Outpatient | 11752591 | $387 | |
RPR F/E/E/N/L/M 2.6-5.0 CM | CPT 12013 | Outpatient | 11752599 | $387 | |
INJ TENDON SHEATH/LIGAMENT | CPT 20550 | Outpatient | 11752559 | $397 | |
DRAIN/INJ JOINT/BURSA W/O US | CPT 20600 | Outpatient | 11755184 | $397 | |
DRAIN/INJ JOINT/BURSA W/O US | CPT 20605 | Outpatient | 11755185 | $477 | |
DRAIN/INJ JOINT/BURSA W/O US | CPT 20610 | Outpatient | 11755186 | $365 | |
TREAT SHOULDER DISLOCATION | CPT 23650 | Outpatient | 11755198 | $683 | |
TREAT SHOULDER DISLOCATION | CPT 23655 | Outpatient | 6017158 | $2,433 | |
TREAT FRACTURE RADIUS/ULNA | CPT 25605 | Outpatient | 11755348 | $1,999 | |
APPLICATION OF FOREARM CAST | CPT 29075 | Outpatient | 11752585 | $227 | |
APPLY LONG ARM SPLINT | CPT 29105 | Outpatient | 4287463 | $190 | |
APPLY FOREARM SPLINT | CPT 29125 | Outpatient | 11752567 | $231 | |
APPLICATION OF FINGER SPLINT | CPT 29130 | Outpatient | 11752570 | $231 | |
APPLY SHORT LEG CAST | CPT 29405 | Outpatient | 11752555 | $227 | |
APPLICATION LONG LEG SPLINT | CPT 29505 | Outpatient | 11752572 | $345 | |
APPLICATION LOWER LEG SPLINT | CPT 29515 | Outpatient | 11752573 | $330 | |
APPLICATION OF PASTE BOOT | CPT 29580 | Outpatient | 11752581 | $200 | |
REMOVAL/REVISION OF CAST | CPT 29705 | Outpatient | 11752590 | $227 | |
CONTROL OF NOSEBLEED | CPT 30901 | Outpatient | 11752693 | $212 | |
INSERT EMERGENCY AIRWAY | CPT 31500 | Outpatient | 11752545 | $1,026 | |
INSERT TEMP BLADDER CATH | CPT 51702 | Outpatient | 11755493 | $151 | |
OBSTETRICAL CARE | CPT 59409 | Outpatient | 11752737 | $3,367 | |
NJX AA&/STRD OTHER PN/BRANCH | CPT 64450 | Outpatient | 11755332 | $455 | |
REMOVE IMPACTED EAR WAX UNI | CPT 69209 | Outpatient | 25370222 | $125 | |
EMERGENCY DEPT VISIT | CPT 99281 | Outpatient | 25159328 | $211 | |
EMERGENCY DEPT VISIT | CPT 99282 | Outpatient | 25159330 | $263 | |
EMERGENCY DEPT VISIT | CPT 99283 | Outpatient | 25159331 | $554 | |
EMERGENCY DEPT VISIT | CPT 99284 | Outpatient | 25159335 | $745 | |
EMERGENCY DEPT VISIT | CPT 99285 | Outpatient | 25159341 | $1,267 | |
CRITICAL CARE FIRST HOUR | CPT 99291 | Outpatient | 25159349 | $2,167 | |
CRITICAL CARE ADDL 30 MIN | CPT 99292 | Outpatient | 25159350 | $1,084 | |
IV Therapy |
HYDRATION IV INFUSION INIT | CPT 96360 | Outpatient | 25159290 | $472 | |
HYDRATE IV INFUSION ADD-ON | CPT 96361 | Outpatient | 25159291 | $93 | |
THER/PROPH/DIAG IV INF INIT | CPT 96365 | Outpatient | 25159292 | $548 | |
THER/PROPH/DIAG IV INF ADDON | CPT 96366 | Outpatient | 25159293 | $120 | |
TX/PROPH/DG ADDL SEQ IV INF | CPT 96367 | Outpatient | 25159297 | $184 | |
THER/DIAG CONCURRENT INF | CPT 96368 | Outpatient | 25159298 | $79 | |
THER/PROPH/DIAG INJ SC/IM | CPT 96372 | Outpatient | 25159299 | $86 | |
THER/PROPH/DIAG INJ IV PUSH | CPT 96374 | Outpatient | 25159306 | $197 | |
TX/PRO/DX INJ NEW DRUG ADDON | CPT 96375 | Outpatient | 25159311 | $120 | |
TX/PRO/DX INJ SAME DRUG ADON | CPT 96376 | Outpatient | 25159312 | $129 | |
Imaging |
ULTRASOUND BREAST COMPLETE | CPT 76641 | Outpatient | 1007730 | $366 | |
US EXAM ABDOM COMPLETE | CPT 76700 | Outpatient | 823404 | $572 | |
US EXAM ABDO BACK WALL LIM | CPT 76775 | Outpatient | 1007763 | $456 | |
OB US >= 14 WKS SNGL FETUS | CPT 76805 | Outpatient | 1525529 | $510 | |
TRANSVAGINAL US NON-OB | CPT 76830 | Outpatient | 3145306 | $491 | |
BREAST TOMOSYNTHESIS BI | CPT 77063 | Outpatient | 25644596 | $140 | |
DX MAMMO INCL CAD UNI | CPT 77065 | Outpatient | 1240707 | $174 | |
DX MAMMO INCL CAD BI | CPT 77066 | Outpatient | 1181457 | $291 | |
SCR MAMMO BI INCL CAD | CPT 77067 | Outpatient | 1181460 | $210 | |
Inpatient Procedures |
(N/O) CARDIAC VALVE OR CARDIOTHORACIC PROCEDURE WITH CARDI ... | DRG 216 | - | - | - | - |
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | DRG 460 | Inpatient | - | $13,271 | |
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXT ... | DRG 470 | Inpatient | - | $24,027 | |
CERVICAL SPINAL FUSION WITHOUT CC OR MCC | DRG 473 | Inpatient | - | $14,575 | |
(N/O) UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WIT ... | DRG 743 | - | - | - | - |
Laboratory |
ROUTINE VENIPUNCTURE | CPT 36415 | Outpatient | 1189774 | $10 | |
CAPILLARY BLOOD DRAW | CPT 36416 | Outpatient | 796177 | $16 | |
WITHDRAWAL OF ARTERIAL BLOOD | CPT 36600 | Outpatient | 10743234 | $155 | |
METABOLIC PANEL TOTAL CA | CPT 80048 | Outpatient | 3675567 | $46 | |
COMPREHEN METABOLIC PANEL | CPT 80053 | Outpatient | 3675566 | $57 | |
OBSTETRIC PANEL | CPT 80055 | Outpatient | 13824201 | $226 | |
LIPID PANEL | CPT 80061 | Outpatient | 25631259 | $43 | |
RENAL FUNCTION PANEL | CPT 80069 | Outpatient | 3675565 | $98 | |
ACUTE HEPATITIS PANEL | CPT 80074 | Outpatient | 2195160 | $138 | |
HEPATIC FUNCTION PANEL | CPT 80076 | Outpatient | 1414277 | $69 | |
ASSAY OF DIGOXIN TOTAL | CPT 80162 | Outpatient | 20267092 | $174 | |
ASSAY DIPROPYLACETIC ACD TOT | CPT 80164 | Outpatient | 3679215 | $151 | |
ASSAY OF PHENYTOIN TOTAL | CPT 80185 | Outpatient | 11287169 | $148 | |
ASSAY OF TACROLIMUS | CPT 80197 | Outpatient | 11612765 | $92 | |
ASSAY OF VANCOMYCIN | CPT 80202 | Outpatient | 2013815 | $151 | |
DRUG TEST PRSMV DIR OPT OBS | CPT 80305 | Outpatient | 11218218 | $138 | |
DRUG TEST PRSMV CHEM ANLYZR | CPT 80307 | Outpatient | 1019620 | $121 | |
DRUG SCREEN QUANTALCOHOLS | CPT 80320 | Outpatient | 25552249 | $57 | |
(N/O) URINALYSIS TEST USING MICROSCOPE | CPT 81000 | - | - | - | - |
URINALYSIS AUTO W/SCOPE | CPT 81001 | Outpatient | 11389839 | $51 | |
(N/O) URINALYSIS TEST | CPT 81002 | - | - | - | - |
URINALYSIS AUTO W/O SCOPE | CPT 81003 | Outpatient | 14085369 | $27 | |
MICROSCOPIC EXAM OF URINE | CPT 81015 | Outpatient | 13855303 | $31 | |
URINE PREGNANCY TEST | CPT 81025 | Outpatient | 11389830 | $61 | |
CFTR GENE COM VARIANTS | CPT 81220 | Outpatient | 25552289 | $818 | |
UNLISTED MOLECULAR PATHOLOGY | CPT 81479 | Outpatient | 15256461 | $13 | |
TEST FOR ACETONE/KETONES | CPT 82009 | Outpatient | 1861593 | $50 | |
ASSAY OF SERUM ALBUMIN | CPT 82040 | Outpatient | 633634 | $55 | |
UR ALBUMIN QUANTITATIVE | CPT 82043 | Outpatient | 14046031 | $65 | |
ALPHA-FETOPROTEIN SERUM | CPT 82105 | Outpatient | 1597561 | $29 | |
ASSAY OF AMMONIA | CPT 82140 | Outpatient | 633648 | $162 | |
ASSAY OF AMYLASE | CPT 82150 | Outpatient | 11218220 | $72 | |
BILIRUBIN TOTAL | CPT 82247 | Outpatient | 13763096 | $55 | |
BILIRUBIN DIRECT | CPT 82248 | Outpatient | 633670 | $55 | |
ASSAY OF BIOTINIDASE | CPT 82261 | Outpatient | 14946084 | $31 | |
ASSAY TEST FOR BLOOD FECAL | CPT 82274 | Outpatient | 18356336 | $87 | |
VITAMIN D 25 HYDROXY | CPT 82306 | Outpatient | 24117183 | $221 | |
ASSAY OF CALCIUM | CPT 82310 | Outpatient | 13924901 | $57 | |
ASSAY OF CALCIUM IN URINE | CPT 82340 | Outpatient | 25631267 | $20 | |
CARCINOEMBRYONIC ANTIGEN | CPT 82378 | Outpatient | 1025717 | $93 | |
TOTAL CORTISOL | CPT 82533 | Outpatient | 25631270 | $52 | |
ASSAY OF CK (CPK) | CPT 82550 | Outpatient | 25631271 | $22 | |
ASSAY OF CREATININE | CPT 82565 | Outpatient | 633606 | $43 | |
ASSAY OF URINE CREATININE | CPT 82570 | Outpatient | 25631273 | $16 | |
VITAMIN B-12 | CPT 82607 | Outpatient | 633871 | $75 | |
ASSAY OF TOTAL ESTRADIOL | CPT 82670 | Outpatient | 25631274 | $81 | |
ASSAY OF ESTRIOL | CPT 82677 | Outpatient | 1550004 | $42 | |
ASSAY OF FERRITIN | CPT 82728 | Outpatient | 2215100 | $68 | |
ASSAY OF FOLIC ACID SERUM | CPT 82746 | Outpatient | 7935142 | $71 | |
ASSAY OF FOLIC ACID RBC | CPT 82747 | Outpatient | 2687610 | $64 | |
GALACTOSE TRANSFERASE TEST | CPT 82776 | Outpatient | 14946080 | $18 | |
ASSAY IGA/IGD/IGG/IGM EACH | CPT 82784 | Outpatient | 25631275 | $46 | |
BLOOD GASES ANY COMBINATION | CPT 82803 | Outpatient | 10743237 | $164 | |
ASSAY GLUCOSE BLOOD QUANT | CPT 82947 | Outpatient | 633594 | $44 | |
REAGENT STRIP/BLOOD GLUCOSE | CPT 82948 | Outpatient | 19705216 | $13 | |
GLUCOSE TEST | CPT 82950 | Outpatient | 11538647 | $51 | |
GLUCOSE BLOOD TEST | CPT 82962 | Outpatient | 25140732 | $25 | |
ASSAY OF GGT | CPT 82977 | Outpatient | 633733 | $80 | |
ASSAY OF GONADOTROPIN (FSH) | CPT 83001 | Outpatient | 1025770 | $92 | |
ASSAY OF GONADOTROPIN (LH) | CPT 83002 | Outpatient | 7323141 | $92 | |
H PYLORI (C-13) BREATH | CPT 83013 | Outpatient | 25552304 | $135 | |
HEMOGLOBIN ELECTROPHORESIS | CPT 83020 | Outpatient | 14946082 | $24 | |
GLYCOSYLATED HEMOGLOBIN TEST | CPT 83036 | Outpatient | 3343172 | $110 | |
ASSAY OF HOMOCYSTINE | CPT 83090 | Outpatient | 25631347 | $82 | |
ASSAY OF PROGESTERONE 17-D | CPT 83498 | Outpatient | 14946085 | $49 | |
IMMUNOASSAY NONANTIBODY | CPT 83516 | Outpatient | 13924834 | $83 | |
RIA NONANTIBODY | CPT 83519 | Outpatient | 1763545 | $236 | |
IMMUNOASSAY QUANT NOS NONAB | CPT 83520 | Outpatient | 14946083 | $26 | |
ASSAY OF IRON | CPT 83540 | Outpatient | 1137680 | $72 | |
IRON BINDING TEST | CPT 83550 | Outpatient | 4033177 | $98 | |
ASSAY OF LACTIC ACID | CPT 83605 | Outpatient | 633768 | $16 | |
LACTATE (LD) (LDH) ENZYME | CPT 83615 | Outpatient | 11220729 | $68 | |
ASSAY OF LIPASE | CPT 83690 | Outpatient | 633776 | $78 | |
ASSAY OF MAGNESIUM | CPT 83735 | Outpatient | 25631281 | $22 | |
MASS SPECTROMETRY QUAL/QUAN | CPT 83789 | Outpatient | 14946086 | $35 | |
ASSAY OF NATRIURETIC PEPTIDE | CPT 83880 | Outpatient | 853229 | $199 | |
ASSAY NEPHELOMETRY NOT SPEC | CPT 83883 | Outpatient | 25631284 | $69 | |
ASSAY OF PARATHORMONE | CPT 83970 | Outpatient | 25631287 | $96 | |
ASSAY FOR CALPROTECTIN FECAL | CPT 83993 | Outpatient | 1549542 | $58 | |
ASSAY OF BLOOD PKU | CPT 84030 | Outpatient | 14946073 | $10 | |
ASSAY OF PHOSPHORUS | CPT 84100 | Outpatient | 633803 | $51 | |
ASSAY OF SERUM POTASSIUM | CPT 84132 | Outpatient | 633616 | $50 | |
ASSAY OF PROGESTERONE | CPT 84144 | Outpatient | 633808 | $115 | |
ASSAY OF PROLACTIN | CPT 84146 | Outpatient | 633809 | $95 | |
ASSAY OF PSA TOTAL | CPT 84153 | Outpatient | 25631292 | $55 | |
ASSAY OF PSA FREE | CPT 84154 | Outpatient | 25631293 | $55 | |
ASSAY OF PROTEIN SERUM | CPT 84155 | Outpatient | 25631363 | $11 | |
ASSAY OF PROTEIN URINE | CPT 84156 | Outpatient | 14607365 | $18 | |
PROTEIN E-PHORESIS SERUM | CPT 84165 | Outpatient | 25631295 | $52 | |
ASSAY OF URINE SODIUM | CPT 84300 | Outpatient | 25631296 | $15 | |
ASSAY OF FREE TESTOSTERONE | CPT 84402 | Outpatient | 25631300 | $83 | |
ASSAY OF TOTAL TESTOSTERONE | CPT 84403 | Outpatient | 25631301 | $83 | |
ASSAY OF VITAMIN B-1 | CPT 84425 | Outpatient | 2781166 | $97 | |
ASSAY OF TOTAL THYROXINE | CPT 84436 | Outpatient | 1281223 | $77 | |
ASSAY OF NEONATAL THYROXINE | CPT 84437 | Outpatient | 14946081 | $11 | |
ASSAY OF FREE THYROXINE | CPT 84439 | Outpatient | 857849 | $92 | |
ASSAY THYROID STIM HORMONE | CPT 84443 | Outpatient | 15256455 | $31 | |
TRANSFERASE (AST) (SGOT) | CPT 84450 | Outpatient | 633633 | $57 | |
ALANINE AMINO (ALT) (SGPT) | CPT 84460 | Outpatient | 633632 | $61 | |
ASSAY OF TRIGLYCERIDES | CPT 84478 | Outpatient | 633852 | $65 | |
ASSAY TRIIODOTHYRONINE (T3) | CPT 84480 | Outpatient | 633833 | $69 | |
FREE ASSAY (FT-3) | CPT 84481 | Outpatient | 633834 | $83 | |
ASSAY OF UREA NITROGEN | CPT 84520 | Outpatient | 633605 | $46 | |
ASSAY OF BLOOD/URIC ACID | CPT 84550 | Outpatient | 633858 | $50 | |
ASSAY OF ZINC | CPT 84630 | Outpatient | 783592 | $49 | |
CHORIONIC GONADOTROPIN TEST | CPT 84702 | Outpatient | 13924892 | $62 | |
CHORIONIC GONADOTROPIN ASSAY | CPT 84703 | Outpatient | 13887475 | $78 | |
BL SMEAR W/DIFF WBC COUNT | CPT 85007 | Outpatient | 11220890 | $39 | |
BL SMEAR W/O DIFF WBC COUNT | CPT 85008 | Outpatient | 17858841 | $28 | |
HEMATOCRIT | CPT 85014 | Outpatient | 25631304 | $28 | |
HEMOGLOBIN | CPT 85018 | Outpatient | 25631305 | $28 | |
COMPLETE CBC W/AUTO DIFF WBC | CPT 85025 | Outpatient | 11220888 | $37 | |
COMPLETE CBC AUTOMATED | CPT 85027 | Outpatient | 3343185 | $31 | |
AUTOMATED RETICULOCYTE COUNT | CPT 85045 | Outpatient | 11287170 | $46 | |
BLOOD SMEAR INTERPRETATION | CPT 85060 | Outpatient | 15332437 | $14 | |
FIBRIN DEGRADATION QUANT | CPT 85379 | Outpatient | 633718 | $90 | |
PROTHROMBIN TIME | CPT 85610 | Outpatient | 11389991 | $27 | |
RBC SED RATE AUTOMATED | CPT 85652 | Outpatient | 633830 | $31 | |
THROMBOPLASTIN TIME PARTIAL | CPT 85730 | Outpatient | 25631308 | $18 | |
ALLG SPEC IGE CRUDE XTRC EA | CPT 86003 | Outpatient | 25631309 | $11 | |
WBC ANTIBODY IDENTIFICATION | CPT 86021 | Outpatient | 25631310 | $48 | |
ANTINUCLEAR ANTIBODIES | CPT 86038 | Outpatient | 25552261 | $61 | |
ANTINUCLEAR ANTIBODIES (ANA) | CPT 86039 | Outpatient | 25631311 | $53 | |
C-REACTIVE PROTEIN | CPT 86140 | Outpatient | 633716 | $57 | |
C-REACTIVE PROTEIN HS | CPT 86141 | Outpatient | 8733141 | $36 | |
COMPLEMENT ANTIGEN | CPT 86160 | Outpatient | 2195002 | $61 | |
CCP ANTIBODY | CPT 86200 | Outpatient | 783619 | $92 | |
NUCLEAR ANTIGEN ANTIBODY | CPT 86235 | Outpatient | 25631315 | $73 | |
IMMUNOASSAY TUMOR CA 15-3 | CPT 86300 | Outpatient | 1025710 | $81 | |
IMMUNOASSAY TUMOR CA 19-9 | CPT 86301 | Outpatient | 1025711 | $102 | |
IMMUNOASSAY TUMOR CA 125 | CPT 86304 | Outpatient | 1025709 | $102 | |
HETEROPHILE ANTIBODY SCREEN | CPT 86308 | Outpatient | 11287167 | $57 | |
IMMUNOASSAY INFECTIOUS AGENT | CPT 86317 | Outpatient | 2195108 | $51 | |
IMMUNOFIX E-PHORESIS SERUM | CPT 86334 | Outpatient | 1200258 | $69 | |
INHIBIN A | CPT 86336 | Outpatient | 25072744 | $54 | |
MICROSOMAL ANTIBODY EACH | CPT 86376 | Outpatient | 25631355 | $71 | |
RHEUMATOID FACTOR QUANT | CPT 86431 | Outpatient | 11202737 | $15 | |
TB TEST CELL IMMUN MEASURE | CPT 86480 | Outpatient | 26975004 | $237 | |
SYPHILIS TEST NON-TREP QUAL | CPT 86592 | Outpatient | 25631316 | $20 | |
SYPHILIS TEST NON-TREP QUANT | CPT 86593 | Outpatient | 25631317 | $31 | |
HEP B CORE ANTIBODY TOTAL | CPT 86704 | Outpatient | 1025783 | $61 | |
MUMPS ANTIBODY | CPT 86735 | Outpatient | 1549636 | $51 | |
RUBELLA ANTIBODY | CPT 86762 | Outpatient | 25631330 | $47 | |
RUBEOLA ANTIBODY | CPT 86765 | Outpatient | 798811 | $53 | |
VARICELLA-ZOSTER ANTIBODY | CPT 86787 | Outpatient | 25631362 | $63 | |
THYROGLOBULIN ANTIBODY | CPT 86800 | Outpatient | 25631361 | $68 | |
HEPATITIS C AB TEST | CPT 86803 | Outpatient | 1025787 | $69 | |
RBC ANTIBODY SCREEN | CPT 86850 | Outpatient | 12153886 | $80 | |
COOMBS TEST DIRECT | CPT 86880 | Outpatient | 1137992 | $53 | |
BLOOD TYPING SEROLOGIC ABO | CPT 86900 | Outpatient | 10419560 | $155 | |
BLOOD TYPING SEROLOGIC RH(D) | CPT 86901 | Outpatient | 14424296 | $34 | |
COMPATIBILITY TEST SPIN | CPT 86920 | Outpatient | 13853672 | $191 | |
BLOOD CULTURE FOR BACTERIA | CPT 87040 | Outpatient | 850752 | $115 | |
FECES CULTURE AEROBIC BACT | CPT 87045 | Outpatient | 1151516 | $106 | |
STOOL CULTR AEROBIC BACT EA | CPT 87046 | Outpatient | 14122294 | $46 | |
CULTURE OTHR SPECIMN AEROBIC | CPT 87070 | Outpatient | 858005 | $97 | |
CULTURE ANAEROBE IDENT EACH | CPT 87076 | Outpatient | 10636433 | $79 | |
CULTURE AEROBIC IDENTIFY | CPT 87077 | Outpatient | 11519861 | $35 | |
CULTURE SCREEN ONLY | CPT 87081 | Outpatient | 25552301 | $67 | |
URINE BACTERIA CULTURE | CPT 87088 | Outpatient | 850756 | $59 | |
OVA AND PARASITES SMEARS | CPT 87177 | Outpatient | 25631337 | $44 | |
MICROBE SUSCEPTIBLE ENZYME | CPT 87185 | Outpatient | 634025 | $34 | |
MICROBE SUSCEPTIBLE MIC | CPT 87186 | Outpatient | 294946 | $97 | |
SMEAR GRAM STAIN | CPT 87205 | Outpatient | 15704202 | $48 | |
SMEAR COMPLEX STAIN | CPT 87209 | Outpatient | 25631338 | $44 | |
SMEAR WET MOUNT SALINE/INK | CPT 87210 | Outpatient | 11389829 | $47 | |
CLOSTRIDIUM AG IA | CPT 87324 | Outpatient | 26789240 | $164 | |
GIARDIA AG IA | CPT 87329 | Outpatient | 11287161 | $135 | |
HPYLORI STOOL AG IA | CPT 87338 | Outpatient | 2195087 | $135 | |
HEPATITIS B SURFACE AG IA | CPT 87340 | Outpatient | 2195150 | $50 | |
HIV-1 AG W/HIV-1&2 AB AG IA | CPT 87389 | Outpatient | 22489168 | $78 | |
INFLUENZA A/B EACH AG IA | CPT 87400 | Outpatient | 15225548 | $29 | |
RESP SYNCYTIAL VIRUS AG IA | CPT 87420 | Outpatient | 11389876 | $135 | |
CHYLMD TRACH DNA AMP PROBE | CPT 87491 | Outpatient | 25631340 | $50 | |
CYTOMEG DNA QUANT | CPT 87497 | Outpatient | 2687625 | $170 | |
HEPATITIS C REVRS TRNSCRPJ | CPT 87522 | Outpatient | 25737176 | $212 | |
DETECT AGENT NOS DNA QUANT | CPT 87799 | Outpatient | 1549537 | $140 | |
STREP A ASSAY W/OPTIC | CPT 87880 | Outpatient | 11287172 | $63 | |
CYTOPATH CONCENTRATE TECH | CPT 88108 | Outpatient | 3663146 | $111 | |
SURGICAL PATH GROSS | CPT 88300 | Outpatient | 2939440 | $43 | |
TISSUE EXAM BY PATHOLOGIST | CPT 88304 | Outpatient | 2939442 | $187 | |
TISSUE EXAM BY PATHOLOGIST | CPT 88305 | Outpatient | 2939443 | $188 | |
SPECIAL STAINS GROUP 2 | CPT 88313 | Outpatient | 4511340 | $125 | |
IMMUNOHISTO ANTB 1ST STAIN | CPT 88342 | Outpatient | 14166355 | $319 | |
BILIRUBIN TOTAL TRANSCUT | CPT 88720 | Outpatient | 2612739 | $13 | |
BODY FLUID CELL COUNT | CPT 89051 | Outpatient | 11218221 | $62 | |
PSA SCREENING | HCPCS G0103 | Outpatient | 1019535 | $127 | |
DRUG TEST DEF 1-7 CLASSES | HCPCS G0480 | Outpatient | 27109390 | $103 | |
Language Pathology |
SPEECH/HEARING THERAPY | CPT 92507 | Outpatient | 1230484 | $126 | |
MOTION FLUOROSCOPY/SWALLOW | CPT 92611 | Outpatient | 1230493 | $141 | |
DEVELOPMENTAL SCREEN W/SCORE | CPT 96110 | Outpatient | 4811572 | $21 | |
MRI |
MRI BRAIN STEM W/O DYE | CPT 70551 | Outpatient | 821402 | $2,272 | |
MRI BRAIN STEM W/O & W/DYE | CPT 70553 | Outpatient | 821398 | $3,150 | |
MRI LUMBAR SPINE W/O DYE | CPT 72148 | Outpatient | 821445 | $1,986 | |
MRI JNT OF LWR EXTRE W/O DYE | CPT 73721 | Outpatient | 821420 | $2,370 | |
Medical and Surgical Supplies |
CATH W/DRAINAGE 2-WAY SILCNE | HCPCS A4315 | Outpatient | 12331701 | $38 | |
3DMAX MESH LEFT LIGHT | HCPCS C1781 | Outpatient | 13745780 | $351 | |
POST CHMBR INTRAOCULAR LENS | HCPCS V2632 | Outpatient | 13745914 | $395 | |
Nuclear Medicine |
TC99M TETROFOSMIN | HCPCS A9502 | Outpatient | 10472999 | $345 | |
TC99M DISOFENIN | HCPCS A9510 | Outpatient | 10472968 | $208 | |
Other Diagnostic |
FETAL NON-STRESS TEST | CPT 59025 | Outpatient | 12196274 | $379 | |
SLEEP STUDY UNATT&RESP EFFT | CPT 95806 | Outpatient | 11517583 | $524 | |
POLYSOM 6/>YRS CPAP 4/> PARM | CPT 95811 | Outpatient | 11517569 | $3,286 | |
Other Procedures and Observation |
DRAW BLOOD OFF VENOUS DEVICE | CPT 36591 | Outpatient | 11735358 | $80 | |
HOSPITAL OBSERVATION PER HR | HCPCS G0378 | Outpatient | 12638889 | $46 | |
Other Therapeutic |
BLOOD TRANSFUSION SERVICE | CPT 36430 | Outpatient | 11755350 | $1,131 | |
IMMUNIZATION ADMIN EACH ADD | CPT 90472 | Outpatient | 11519849 | $78 | |
CARDIAC REHAB/MONITOR | CPT 93798 | Outpatient | 11517611 | $173 | |
IMMUNOTHERAPY ONE INJECTION | CPT 95115 | Outpatient | 11735362 | $31 | |
IMMUNOTHERAPY INJECTIONS | CPT 95117 | Outpatient | 11735363 | $55 | |
IRRIG DRUG DELIVERY DEVICE | CPT 96523 | Outpatient | 11735355 | $122 | |
MEDICAL NUTRITION INDIV IN | CPT 97802 | Outpatient | 12328800 | $35 | |
MED NUTRITION INDIV SUBSEQ | CPT 97803 | Outpatient | 12328801 | $31 | |
PHLEBOTOMY | CPT 99195 | Outpatient | 15134572 | $130 | |
DIAB MANAGE TRN PER INDIV | HCPCS G0108 | Outpatient | 12328807 | $41 | |
RBC LEUKOCYTES REDUCED | HCPCS P9016 | Outpatient | 2874238 | $311 | |
Psychiatric |
(N/O) PSYCHOTHERAPY, 30 MIN | CPT 90832 | - | - | - | - |
(N/O) PSYCHOTHERAPY, 45 MIN | CPT 90834 | - | - | - | - |
(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 | - | - | - | - |
Pulmonary Function |
BREATHING CAPACITY TEST | CPT 94010 | Outpatient | 12770944 | $171 | |
EVALUATION OF WHEEZING | CPT 94060 | Outpatient | 12770952 | $477 | |
PULM FUNCTION TEST BY GAS | CPT 94727 | Outpatient | 12770956 | $285 | |
CO/MEMBANE DIFFUSE CAPACITY | CPT 94729 | Outpatient | 12770951 | $285 | |
Radiology |
X-RAY EXAM CHEST 1 VIEW | CPT 71045 | Outpatient | 823510 | $90 | |
X-RAY EXAM CHEST 2 VIEWS | CPT 71046 | Outpatient | 823512 | $143 | |
X-RAY EXAM RIBS UNI 2 VIEWS | CPT 71100 | Outpatient | 823610 | $143 | |
X-RAY EXAM UNILAT RIBS/CHEST | CPT 71101 | Outpatient | 3619145 | $172 | |
X-RAY EXAM NECK SPINE 2-3 VW | CPT 72040 | Outpatient | 823635 | $155 | |
X-RAY EXAM NECK SPINE 4/5VWS | CPT 72050 | Outpatient | 3125337 | $225 | |
X-RAY EXAM THORAC SPINE 2VWS | CPT 72070 | Outpatient | 823647 | $148 | |
X-RAY EXAM L-S SPINE 2/3 VWS | CPT 72100 | Outpatient | 823641 | $167 | |
X-RAY EXAM L-2 SPINE 4/>VWS | CPT 72110 | Outpatient | 823643 | $230 | |
X-RAY EXAM L-S SPINE BENDING | CPT 72114 | Outpatient | 1008092 | $299 | |
X-RAY EXAM OF PELVIS | CPT 72170 | Outpatient | 823608 | $117 | |
X-RAY EXAM SACRUM TAILBONE | CPT 72220 | Outpatient | 823617 | $134 | |
X-RAY EXAM OF COLLAR BONE | CPT 73000 | Outpatient | 823516 | $119 | |
X-RAY EXAM OF SHOULDER | CPT 73030 | Outpatient | 1284694 | $134 | |
X-RAY EXAM OF HUMERUS | CPT 73060 | Outpatient | 823588 | $130 | |
X-RAY EXAM OF ELBOW | CPT 73070 | Outpatient | 823520 | $117 | |
X-RAY EXAM OF ELBOW | CPT 73080 | Outpatient | 1007932 | $148 | |
X-RAY EXAM OF FOREARM | CPT 73090 | Outpatient | 823562 | $119 | |
X-RAY EXAM OF WRIST | CPT 73100 | Outpatient | 823685 | $122 | |
X-RAY EXAM OF WRIST | CPT 73110 | Outpatient | 823681 | $143 | |
X-RAY EXAM OF HAND | CPT 73120 | Outpatient | 823568 | $117 | |
X-RAY EXAM OF HAND | CPT 73130 | Outpatient | 823572 | $134 | |
X-RAY EXAM OF FINGER(S) | CPT 73140 | Outpatient | 3125217 | $116 | |
X-RAY EXAM HIP UNI 2-3 VIEWS | CPT 73502 | Outpatient | 823578 | $127 | |
X-RAY EXAM HIP UNI 4/> VIEWS | CPT 73503 | Outpatient | 25059816 | $150 | |
X-RAY EXAM OF FEMUR 2/> | CPT 73552 | Outpatient | 1007940 | $106 | |
X-RAY EXAM OF KNEE 1 OR 2 | CPT 73560 | Outpatient | 823596 | $125 | |
X-RAY EXAM OF KNEE 3 | CPT 73562 | Outpatient | 823592 | $125 | |
X-RAY EXAM KNEE 4 OR MORE | CPT 73564 | Outpatient | 1007996 | $167 | |
X-RAY EXAM OF KNEES | CPT 73565 | Outpatient | 1008002 | $113 | |
X-RAY EXAM OF LOWER LEG | CPT 73590 | Outpatient | 2214290 | $122 | |
X-RAY EXAM OF ANKLE | CPT 73610 | Outpatient | 823492 | $97 | |
X-RAY EXAM OF FOOT | CPT 73620 | Outpatient | 823554 | $80 | |
X-RAY EXAM OF FOOT | CPT 73630 | Outpatient | 823558 | $91 | |
X-RAY EXAM OF TOE(S) | CPT 73660 | Outpatient | 3125343 | $88 | |
X-RAY EXAM ABDOMEN 1 VIEW | CPT 74018 | Outpatient | 823483 | $116 | |
X-RAY EXAM ABDOMEN 2 VIEWS | CPT 74019 | Outpatient | 823486 | $158 | |
X-RAY EXAM COMPLETE ABDOMEN | CPT 74022 | Outpatient | 2214245 | $203 | |
FLUOROSCOPY <1 HR PHYS/QHP | CPT 76000 | Outpatient | 3125259 | $382 | |
NEEDLE LOCALIZATION BY XRAY | CPT 77002 | Outpatient | 25141979 | $261 | |
Respiratory |
AIRWAY INHALATION TREATMENT | CPT 94640 | Outpatient | 11735244 | $276 | |
POS AIRWAY PRESSURE CPAP | CPT 94660 | Outpatient | 2425534 | $326 | |
Surgical Procedures |
REMOVAL OF BREAST LESION | CPT 19120 | Outpatient | - | $860 | |
(N/O) SHAVING OF SHOULDER BONE USING ENDOSCOPE | CPT 29826 | - | - | - | - |
KNEE ARTHROSCOPY/SURGERY | CPT 29881 | Outpatient | - | $6,141 | |
(N/O) REMOVAL OF TONSILS AND ADENOID GLANDS, PATIENT YOUNG ... | CPT 42820 | - | - | - | - |
EGD DIAGNOSTIC BRUSH WASH | CPT 43235 | Outpatient | 3005152 | $868 | |
EGD BIOPSY SINGLE/MULTIPLE | CPT 43239 | Outpatient | 2972988 | $1,959 | |
DIAGNOSTIC COLONOSCOPY | CPT 45378 | Outpatient | - | $1,056 | |
COLONOSCOPY AND BIOPSY | CPT 45380 | Outpatient | 3005157 | $1,547 | |
COLONOSCOPY W/LESION REMOVAL | CPT 45385 | Outpatient | - | $1,418 | |
(N/O) ULTRASOUND EXAMINATION OF LOWER LARGE BOWEL USING AN ... | CPT 45391 | - | - | - | - |
LAPAROSCOPIC CHOLECYSTECTOMY | CPT 47562 | Outpatient | 3005159 | $3,209 | |
PRP I/HERN INIT REDUC >5 YR | CPT 49505 | Outpatient | - | $1,251 | |
CIRCUMCISION W/REGIONL BLOCK | CPT 54150 | Outpatient | 12153990 | $2,512 | |
(N/O) BIOPSY OF PROSTATE GLAND | CPT 55700 | - | - | - | - |
(N/O) SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH N ... | CPT 55866 | - | - | - | - |
OBSTETRICAL CARE | CPT 59400 | Outpatient | - | $2,987 | |
(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 | - | - | - | - |
NJX AA&/STRD TFRM EPI L/S 1 | CPT 64483 | Outpatient | - | $1,234 | |
(N/O) REMOVAL OF RECURRING CATARACT IN LENS CAPSULE USING ... | CPT 66821 | - | - | - | - |
XCAPSL CTRC RMVL W/O ECP | CPT 66984 | Outpatient | - | $1,181 | |
(N/O) INSERTION OF CATHETER INTO LEFT HEART FOR DIAGNOSIS | CPT 93452 | - | - | - | - |
Therapy |
ULTRASOUND THERAPY | CPT 97035 | Outpatient | 691311 | $21 | |
THERAPEUTIC EXERCISES | CPT 97110 | Outpatient | 691306 | $51 | |
NEUROMUSCULAR REEDUCATION | CPT 97112 | Outpatient | 691316 | $53 | |
GAIT TRAINING THERAPY | CPT 97116 | Outpatient | 692247 | $46 | |
PHYSICAL MEDICINE PROCEDURE | CPT 97139 | Outpatient | 11200076 | $15 | |
MANUAL THERAPY 1/> REGIONS | CPT 97140 | Outpatient | 691319 | $48 | |
GROUP THERAPEUTIC PROCEDURES | CPT 97150 | Outpatient | 1230185 | $28 | |
PT EVAL LOW COMPLEX 20 MIN | CPT 97161 | Outpatient | 25434283 | $120 | |
PT EVAL MOD COMPLEX 30 MIN | CPT 97162 | Outpatient | 25434285 | $120 | |
OT EVAL LOW COMPLEX 30 MIN | CPT 97165 | Outpatient | 25433994 | $137 | |
OT EVAL MOD COMPLEX 45 MIN | CPT 97166 | Outpatient | 25433996 | $137 | |
THERAPEUTIC ACTIVITIES | CPT 97530 | Outpatient | 691304 | $57 | |
SELF CARE MNGMENT TRAINING | CPT 97535 | Outpatient | 691327 | $57 | |
RMVL DEVITAL TIS 20 CM/< | CPT 97597 | Outpatient | 11517510 | $61 | |
WOUND(S) CARE NON-SELECTIVE | CPT 97602 | Outpatient | 11516928 | $26 | |
ELEC STIM OTHER THAN WOUND | HCPCS G0283 | Outpatient | 11517505 | $22 | |
Uncategorized |
TRIM SKIN LESION | CPT 11055 | Outpatient | 11752539 | $304 | |
RPR S/N/AX/GEN/TRNK 2.5CM/< | CPT 12001 | Outpatient | 2856998 | $556 | |
RPR F/E/E/N/L/M 2.5 CM/< | CPT 12011 | Outpatient | 2858686 | $385 | |
INJ TRIGGER POINT 1/2 MUSCL | CPT 20552 | Outpatient | 25373828 | $146 | |
INJECT SACROILIAC JOINT | CPT 27096 | Outpatient | 26037506 | $258 | |
STRAPPING OF SHOULDER | CPT 29240 | Outpatient | 25373946 | $87 | |
NASAL/OROGASTRIC W/TUBE PLMT | CPT 43752 | Outpatient | 607675 | $179 | |
ABD PARACENTESIS W/IMAGING | CPT 49083 | Outpatient | 25374050 | $498 | |
IMMUNIZATION ADMIN | CPT 90471 | Outpatient | 11755514 | $48 | |
OFFICE O/P NEW SF 15-29 MIN | CPT 99202 | Outpatient | 11517572 | $122 | |
OFFICE O/P EST SF 10-19 MIN | CPT 99212 | Outpatient | 11517576 | $70 | |
OFFICE O/P EST LOW 20-29 MIN | CPT 99213 | Outpatient | 11517577 | $93 | |
OFFICE O/P EST MOD 30-39 MIN | CPT 99214 | Outpatient | 11517578 | $135 | |
OFFICE O/P EST HI 40-54 MIN | CPT 99215 | Outpatient | 11517579 | $200 | |
OBSERVATION CARE DISCHARGE | CPT 99217 | Outpatient | 11924319 | $410 | |
INITIAL OBSERVATION CARE | CPT 99219 | Outpatient | 3005181 | $634 | |
INITIAL OBSERVATION CARE | CPT 99220 | Outpatient | 11924308 | $886 | |
INITIAL HOSPITAL CARE | CPT 99221 | Outpatient | 11519883 | $287 | |
INITIAL HOSPITAL CARE | CPT 99222 | Outpatient | 11519884 | $510 | |
INITIAL HOSPITAL CARE | CPT 99223 | Outpatient | 11519886 | $844 | |
SUBSEQUENT OBSERVATION CARE | CPT 99225 | Outpatient | 11924310 | $294 | |
SUBSEQUENT HOSPITAL CARE | CPT 99231 | Outpatient | 11519888 | $234 | |
SUBSEQUENT HOSPITAL CARE | CPT 99232 | Outpatient | 11519890 | $386 | |
SUBSEQUENT HOSPITAL CARE | CPT 99233 | Outpatient | 11519894 | $655 | |
HOSPITAL DISCHARGE DAY | CPT 99238 | Outpatient | 11519895 | $120 | |
HOSPITAL DISCHARGE DAY | CPT 99239 | Outpatient | 11519897 | $431 | |
GROUND MILEAGE | HCPCS A0425 | Outpatient | 6921644 | $28 | |
ALS1-EMERGENCY | HCPCS A0427 | Outpatient | 6921646 | $1,306 | |
BLS-EMERGENCY | HCPCS A0429 | Outpatient | 6921648 | $1,116 | |
TRAUMA RESPONS W/HOSP CRITI | HCPCS G0390 | Outpatient | 14720462 | $2,486 | |