CT Scan |
CT HEAD/BRAIN W/O DYE | CPT 70450 | 12435144 | Outpatient | $3,245 | $2,109 | Payer Rates |
CT HEAD/BRAIN W/O DYE | CPT 70450 | 12435164 | Outpatient | $3,245 | $2,109 | Payer Rates |
CT HEAD/BRAIN W/O DYE | CPT 70450 | 40035144 | Outpatient | $3,245 | $2,109 | Payer Rates |
CT HEAD/BRAIN W/O DYE | CPT 70450 | 40035164 | Outpatient | $3,245 | $2,109 | Payer Rates |
CT THORAX DX C- | CPT 71250 | 12435256 | Outpatient | $3,245 | $2,109 | Payer Rates |
CT THORAX DX C+ | CPT 71260 | 12435221 | Outpatient | $3,675 | $2,389 | Payer Rates |
CT ANGIOGRAPHY CHEST | CPT 71275 | 12435276 | Outpatient | $4,725 | $3,071 | Payer Rates |
CT NECK SPINE W/O DYE | CPT 72125 | 12435255 | Outpatient | $3,245 | $2,109 | Payer Rates |
CT PELVIS W/DYE | CPT 72193 | 12435251 | Outpatient | $3,785 | $2,460 | Payer Rates |
CT ABD & PELVIS W/O CONTRAST | CPT 74176 | 12435257 | Outpatient | $3,245 | $2,109 | Payer Rates |
CT ABD & PELV W/CONTRAST | CPT 74177 | 12435258 | Outpatient | $3,785 | $2,460 | Payer Rates |
CT ABD & PELV W/CONTRAST | CPT 74177 | 40035258 | Outpatient | $3,785 | $2,460 | Payer Rates |
CT HRT W/O DYE W/CA TEST | CPT 75571 | 1243528 | Outpatient | $99 | $64 | Payer Rates |
Cancer Services |
CT SCAN FOR THERAPY GUIDE | CPT 77014 | 13533302 | Outpatient | $589 | $383 | Payer Rates |
RADIATION PHYSICS CONSULT | CPT 77336 | 13533318 | Outpatient | $333 | $216 | Payer Rates |
NTSTY MODUL RAD TX DLVR SMPL | CPT 77385 | 13533323 | Outpatient | $1,424 | $926 | Payer Rates |
RADIATION TREATMENT DELIVERY | CPT 77412 | 13533344 | Outpatient | $693 | $450 | Payer Rates |
CHEMO IV INFUSION 1 HR | CPT 96413 | 2043359 | Outpatient | $688 | $447 | Payer Rates |
Cardiology |
TTE W/DOPPLER COMPLETE | CPT 93306 | 12548331 | Outpatient | $2,657 | $1,727 | Payer Rates |
LEFT HRT CATH W/VENTRCLGRPHY | CPT 93452 | 82481106 | Outpatient | $13,087 | $8,507 | Payer Rates |
MOD SED SAME PHYS/QHP EA | CPT 99153 | 82370353 | Outpatient | $157 | $102 | Payer Rates |
Clinic |
HYPERBARIC OXYGEN THERAPY | CPT 99183 | 761510400 | Outpatient | $902 | $586 | Payer Rates |
OFFICE O/P EST LOW 20-29 MIN | CPT 99213 | 76151013 | Outpatient | $356 | $231 | Payer Rates |
Dialysis |
DIALYSIS PROCEDURE | CPT 90999 | 8018512 | Outpatient | $2,602 | $1,691 | Payer Rates |
EEG |
POLYSOM 6/> YRS 4/> PARAM | CPT 95810 (TC) | 8707406 | Outpatient | $5,411 | $3,517 | Payer Rates |
EKG |
ELECTROCARDIOGRAM TRACING | CPT 93005 | 1287301 | Outpatient | $341 | $222 | Payer Rates |
Emergency Room |
INSERT TEMP BLADDER CATH | CPT 51702 | 9145052 | Outpatient | $558 | $363 | Payer Rates |
EMERGENCY DEPT VISIT | CPT 99282 | 9145023 | Outpatient | $827 | $538 | Payer Rates |
EMERGENCY DEPT VISIT | CPT 99283 | 9145022 | Outpatient | $1,622 | $1,054 | Payer Rates |
EMERGENCY DEPT VISIT | CPT 99283 | 40045022 | Outpatient | $1,575 | $1,024 | Payer Rates |
EMERGENCY DEPT VISIT | CPT 99284 | 9145021 | Outpatient | $2,867 | $1,864 | Payer Rates |
EMERGENCY DEPT VISIT | CPT 99284 | 40045021 | Outpatient | $2,730 | $1,775 | Payer Rates |
EMERGENCY DEPT VISIT | CPT 99285 | 9145018 | Outpatient | $3,859 | $2,508 | Payer Rates |
CRITICAL CARE FIRST HOUR | CPT 99291 | 9145026 | Outpatient | $4,725 | $3,071 | Payer Rates |
Hemodialysis |
DIALYSIS PROCEDURE | CPT 90999 (G3) | 80082125 | Outpatient | $2,478 | $1,611 | Payer Rates |
DIALYSIS PROCEDURE | CPT 90999 (G3) | 80082127 | Outpatient | $2,478 | $1,611 | Payer Rates |
DIALYSIS PROCEDURE | CPT 90999 (G3) | 80082128 | Outpatient | $2,602 | $1,691 | Payer Rates |
DIALYSIS PROCEDURE | CPT 90999 (G4) | 80082134 | Outpatient | $2,478 | $1,611 | Payer Rates |
DIALYSIS PROCEDURE | CPT 90999 (G4) | 80082135 | Outpatient | $2,602 | $1,691 | Payer Rates |
DIALYSIS PROCEDURE | CPT 90999 (G4) | 80082136 | Outpatient | $2,602 | $1,691 | Payer Rates |
DIALYSIS PROCEDURE | CPT 90999 (G5) | 80082142 | Outpatient | $2,478 | $1,611 | Payer Rates |
DIALYSIS PROCEDURE | CPT 90999 (G5) | 80082143 | Outpatient | $2,602 | $1,691 | Payer Rates |
DIALYSIS PROCEDURE | CPT 90999 (G5) | 80082144 | Outpatient | $2,602 | $1,691 | Payer Rates |
IV Therapy |
HYDRATION IV INFUSION INIT | CPT 96360 | 9126014 | Outpatient | $482 | $313 | Payer Rates |
HYDRATE IV INFUSION ADD-ON | CPT 96361 | 4126021 | Outpatient | $88 | $57 | Payer Rates |
HYDRATE IV INFUSION ADD-ON | CPT 96361 | 9126015 | Outpatient | $210 | $137 | Payer Rates |
THER/PROPH/DIAG IV INF INIT | CPT 96365 | 9126011 | Outpatient | $526 | $342 | Payer Rates |
THER/PROPH/DIAG IV INF INIT | CPT 96365 | 1322604 | Outpatient | $526 | $342 | Payer Rates |
THER/PROPH/DIAG IV INF ADDON | CPT 96366 | 4126012 | Outpatient | $175 | $114 | Payer Rates |
THER/PROPH/DIAG IV INF ADDON | CPT 96366 | 9126038 | Outpatient | $210 | $137 | Payer Rates |
TX/PROPH/DG ADDL SEQ IV INF | CPT 96367 | 9126050 | Outpatient | $256 | $166 | Payer Rates |
TX/PROPH/DG ADDL SEQ IV INF | CPT 96367 | 20426010 | Outpatient | $107 | $70 | Payer Rates |
THER/PROPH/DIAG INJ SC/IM | CPT 96372 | 412609 | Outpatient | $337 | $219 | Payer Rates |
THER/PROPH/DIAG INJ SC/IM | CPT 96372 | 482604 | Outpatient | $337 | $219 | Payer Rates |
THER/PROPH/DIAG INJ SC/IM | CPT 96372 | 9126033 | Outpatient | $312 | $203 | Payer Rates |
THER/PROPH/DIAG INJ SC/IM | CPT 96372 | 2042607 | Outpatient | $318 | $207 | Payer Rates |
THER/PROPH/DIAG INJ IV PUSH | CPT 96374 | 9126012 | Outpatient | $303 | $197 | Payer Rates |
THER/PROPH/DIAG INJ IV PUSH | CPT 96374 | 40026032 | Outpatient | $297 | $193 | Payer Rates |
TX/PRO/DX INJ NEW DRUG ADDON | CPT 96375 | 4126019 | Outpatient | $596 | $387 | Payer Rates |
TX/PRO/DX INJ NEW DRUG ADDON | CPT 96375 | 9126016 | Outpatient | $318 | $207 | Payer Rates |
TX/PRO/DX INJ NEW DRUG ADDON | CPT 96375 | 40026016 | Outpatient | $303 | $197 | Payer Rates |
TX/PRO/DX INJ SAME DRUG ADON | CPT 96376 | 4126020 | Outpatient | $306 | $199 | Payer Rates |
TX/PRO/DX INJ SAME DRUG ADON | CPT 96376 | 9126047 | Outpatient | $312 | $203 | Payer Rates |
Imaging |
US EXAM ABDOM COMPLETE | CPT 76700 | 12540215 | Outpatient | $1,073 | $697 | Payer Rates |
ECHO EXAM OF ABDOMEN | CPT 76705 | 12540234 | Outpatient | $825 | $536 | Payer Rates |
US EXAM ABDO BACK WALL COMP | CPT 76770 | 12540255 | Outpatient | $1,074 | $698 | Payer Rates |
OB US >= 14 WKS SNGL FETUS | CPT 76805 | 12540277 | Outpatient | $1,476 | $959 | Payer Rates |
OB US >= 14 WKS SNGL FETUS | CPT 76805 | 12540278 | Outpatient | $1,391 | $904 | Payer Rates |
TRANSVAGINAL US NON-OB | CPT 76830 | 12540241 | Outpatient | $833 | $541 | Payer Rates |
TRANSVAGINAL US NON-OB | CPT 76830 | EX12540241 | Outpatient | $809 | $526 | Payer Rates |
TRANSVAGINAL US NON-OB | CPT 76830 | EX40040241 | Outpatient | $809 | $526 | Payer Rates |
ECHO GUIDE FOR BIOPSY | CPT 76942 | 1940213 | Outpatient | $1,383 | $899 | Payer Rates |
BREAST TOMOSYNTHESIS BI | CPT 77063 | 1264038 | Outpatient | $150 | $98 | Payer Rates |
DX MAMMO INCL CAD UNI | CPT 77065 (LT) | 1264015 | Outpatient | $324 | $211 | Payer Rates |
DX MAMMO INCL CAD UNI | CPT 77065 (RT) | 1264016 | Outpatient | $324 | $211 | Payer Rates |
DX MAMMO INCL CAD BI | CPT 77066 | 1264014 | Outpatient | $420 | $273 | Payer Rates |
SCR MAMMO BI INCL CAD | CPT 77067 | 1264033 | Outpatient | $301 | $196 | Payer Rates |
EXTREMITY STUDY | CPT 93970 | 12592111 | Outpatient | $1,706 | $1,109 | Payer Rates |
Inpatient Procedures |
(Not Offered) CARDIAC VALVE OR CARDIOTHORACIC PROCEDURE WI ... | DRG 216 | - | - | - | - | - |
(Not Offered) SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | DRG 460 | - | - | - | - | - |
(Not Offered) MAJOR JOINT REPLACEMENT OR REATTACHMENT OF L ... | DRG 470 | - | - | - | - | - |
(Not Offered) CERVICAL SPINAL FUSION WITHOUT CC OR MCC | DRG 473 | - | - | - | - | - |
(Not Offered) UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGN ... | DRG 743 | - | - | - | - | - |
Laboratory |
COVID FLU COMBO VIR RESP RNA 3 TRGT | CPT 0240U | 1003001339 | Outpatient | $232 | $151 | Payer Rates |
ROUTINE VENIPUNCTURE | CPT 36415 | 100300304 | Outpatient | $31 | $20 | Payer Rates |
ROUTINE VENIPUNCTURE | CPT 36415 | 100300480 | Outpatient | $3 | $2 | Payer Rates |
ROUTINE VENIPUNCTURE | CPT 36415 | 100300485 | Outpatient | $12 | $8 | Payer Rates |
ROUTINE VENIPUNCTURE | CPT 36415 | 1023001304 | Outpatient | $13 | $8 | Payer Rates |
ROUTINE VENIPUNCTURE | CPT 36415 | 1023001310 | Outpatient | $11 | $7 | Payer Rates |
ROUTINE VENIPUNCTURE | CPT 36415 | 110300304 | Outpatient | $32 | $21 | Payer Rates |
ROUTINE VENIPUNCTURE | CPT 36415 | 12330018 | Outpatient | $28 | $18 | Payer Rates |
ROUTINE VENIPUNCTURE | CPT 36415 | 1323001 | Outpatient | $31 | $20 | Payer Rates |
METABOLIC PANEL IONIZED CA | CPT 80047 | 100301900 | Outpatient | $365 | $237 | Payer Rates |
METABOLIC PANEL TOTAL CA | CPT 80048 | 1003011235 | Outpatient | $11 | $7 | Payer Rates |
METABOLIC PANEL TOTAL CA | CPT 80048 | 1003011306 | Outpatient | $11 | $7 | Payer Rates |
METABOLIC PANEL TOTAL CA | CPT 80048 | 10030120 | Outpatient | $349 | $227 | Payer Rates |
METABOLIC PANEL TOTAL CA | CPT 80048 | 100301642 | Outpatient | $202 | $131 | Payer Rates |
COMPREHEN METABOLIC PANEL | CPT 80053 | 1003011301 | Outpatient | $20 | $13 | Payer Rates |
COMPREHEN METABOLIC PANEL | CPT 80053 | 100301582 | Outpatient | $520 | $338 | Payer Rates |
(Not Offered) OBSTETRIC BLOOD TEST PANEL | CPT 80055 | - | - | - | - | - |
LIPID PANEL | CPT 80061 | 10030191 | Outpatient | $324 | $211 | Payer Rates |
RENAL FUNCTION PANEL | CPT 80069 (QW) | 100301585 | Outpatient | $115 | $75 | Payer Rates |
HEPATIC FUNCTION PANEL | CPT 80076 | 1003011297 | Outpatient | $11 | $7 | Payer Rates |
HEPATIC FUNCTION PANEL | CPT 80076 | 100301790 | Outpatient | $323 | $210 | Payer Rates |
HEPATIC FUNCTION PANEL | CPT 80076 | 100301976 | Outpatient | $219 | $142 | Payer Rates |
DRUG ASSAY SALICYLATE | CPT 80179 | 100301557 | Outpatient | $274 | $178 | Payer Rates |
ASSAY OF VANCOMYCIN | CPT 80202 | 100301758 | Outpatient | $131 | $85 | Payer Rates |
(Not Offered) URINALYSIS TEST USING MICROSCOPE | CPT 81000 | - | - | - | - | - |
URINALYSIS AUTO W/SCOPE | CPT 81001 | 1003071262 | Outpatient | $5 | $3 | Payer Rates |
URINALYSIS AUTO W/SCOPE | CPT 81001 | 100307722 | Outpatient | $166 | $108 | Payer Rates |
URINALYSIS AUTO W/SCOPE | CPT 81001 | EX100307722 | Outpatient | $174 | $113 | Payer Rates |
URINALYSIS AUTO W/O SCOPE | CPT 81003 (QW) | 10030720 | Outpatient | $49 | $32 | Payer Rates |
URINE PREGNANCY TEST | CPT 81025 | 1003071208 | Outpatient | $23 | $15 | Payer Rates |
URINE PREGNANCY TEST | CPT 81025 | 100307514 | Outpatient | $166 | $108 | Payer Rates |
ASSAY OF AMMONIA | CPT 82140 | 100301116 | Outpatient | $98 | $64 | Payer Rates |
ASSAY OF AMYLASE | CPT 82150 (QW) | 100301113 | Outpatient | $225 | $146 | Payer Rates |
ASSAY TEST FOR BLOOD FECAL | CPT 82274 (QW) | 100301472 | Outpatient | $68 | $44 | Payer Rates |
ASSAY CARBOXYHB QUANT | CPT 82375 | 20230189 | Outpatient | $131 | $85 | Payer Rates |
ASSAY OF CK (CPK) | CPT 82550 | 100301318 | Outpatient | $238 | $155 | Payer Rates |
ASSAY OF CREATININE | CPT 82565 (QW) | 100301329 | Outpatient | $166 | $108 | Payer Rates |
ASSAY OF CREATININE | CPT 82565 (QW) | 100301883 | Outpatient | $164 | $107 | Payer Rates |
ASSAY OF URINE CREATININE | CPT 82570 (QW) | 100301163 | Outpatient | $57 | $37 | Payer Rates |
VITAMIN B-12 | CPT 82607 | 100301749 | Outpatient | $83 | $54 | Payer Rates |
ASSAY OF FERRITIN | CPT 82728 | 100301801 | Outpatient | $195 | $127 | Payer Rates |
ASSAY OF FOLIC ACID SERUM | CPT 82746 | 100301377 | Outpatient | $105 | $68 | Payer Rates |
BLOOD GASES W/O2 SATURATION | CPT 82805 | 20230162 | Outpatient | $233 | $151 | Payer Rates |
ASSAY GLUCOSE BLOOD QUANT | CPT 82947 (QW) | 100301395 | Outpatient | $29 | $19 | Payer Rates |
GLUCOSE BLOOD TEST | CPT 82962 | 100301397 | Outpatient | $33 | $21 | Payer Rates |
GLYCOSYLATED HEMOGLOBIN TEST | CPT 83036 (QW) | 100301100 | Outpatient | $253 | $164 | Payer Rates |
BLOOD METHEMOGLOBIN ASSAY | CPT 83050 | 20230190 | Outpatient | $71 | $46 | Payer Rates |
ASSAY OF IRON | CPT 83540 | EX100301457 | Outpatient | $32 | $21 | Payer Rates |
IRON BINDING TEST | CPT 83550 | EX100301456 | Outpatient | $78 | $51 | Payer Rates |
ASSAY OF LACTIC ACID | CPT 83605 (QW) | 100301724 | Outpatient | $242 | $157 | Payer Rates |
LACTATE (LD) (LDH) ENZYME | CPT 83615 | 100301446 | Outpatient | $226 | $147 | Payer Rates |
ASSAY OF LIPASE | CPT 83690 | 100301454 | Outpatient | $210 | $137 | Payer Rates |
ASSAY OF MAGNESIUM | CPT 83735 | 100301461 | Outpatient | $197 | $128 | Payer Rates |
ASSAY OF MYOGLOBIN | CPT 83874 | EX10030124 | Outpatient | $351 | $228 | Payer Rates |
ASSAY OF NATRIURETIC PEPTIDE | CPT 83880 (QW) | 100301715 | Outpatient | $195 | $127 | Payer Rates |
ASSAY OF PARATHORMONE | CPT 83970 | 100301653 | Outpatient | $228 | $148 | Payer Rates |
ASSAY OF BLOOD PKU | CPT 84030 | 100301559 | Outpatient | $168 | $109 | Payer Rates |
ASSAY OF PHOSPHORUS | CPT 84100 | 100301498 | Outpatient | $53 | $34 | Payer Rates |
ASSAY OF SERUM POTASSIUM | CPT 84132 | 100301518 | Outpatient | $63 | $41 | Payer Rates |
PROCALCITONIN (PCT) | CPT 84145 | 100301895 | Outpatient | $412 | $268 | Payer Rates |
ASSAY OF PSA TOTAL | CPT 84153 | 100301522 | Outpatient | $413 | $268 | Payer Rates |
ASSAY OF PSA FREE | CPT 84154 | 100301713 | Outpatient | $104 | $68 | Payer Rates |
ASSAY OF PROTEIN URINE | CPT 84156 | 1003011206 | Outpatient | $32 | $21 | Payer Rates |
ASSAY OF FREE THYROXINE | CPT 84439 | 100301649 | Outpatient | $306 | $199 | Payer Rates |
ASSAY THYROID STIM HORMONE | CPT 84443 (QW) | 100301697 | Outpatient | $364 | $237 | Payer Rates |
ASSAY THYROID STIM HORMONE | CPT 84443 (QW) | EX100301697 | Outpatient | $347 | $226 | Payer Rates |
ASSAY OF TROPONIN QUANT | CPT 84484 | 100301640 | Outpatient | $347 | $226 | Payer Rates |
ASSAY OF TROPONIN QUANT | CPT 84484 | 100301893 | Outpatient | $364 | $237 | Payer Rates |
ASSAY OF TROPONIN QUANT | CPT 84484 | EX10030125 | Outpatient | $253 | $164 | Payer Rates |
ASSAY OF TROPONIN QUANT | CPT 84484 | EX10030126 | Outpatient | $375 | $244 | Payer Rates |
CHORIONIC GONADOTROPIN TEST | CPT 84702 | 100301437 | Outpatient | $320 | $208 | Payer Rates |
CHORIONIC GONADOTROPIN ASSAY | CPT 84703 (QW) | 100301510 | Outpatient | $197 | $128 | Payer Rates |
BL SMEAR W/DIFF WBC COUNT | CPT 85007 | 100305400 | Outpatient | $53 | $34 | Payer Rates |
BL SMEAR W/O DIFF WBC COUNT | CPT 85008 | 100300311 | Outpatient | $67 | $44 | Payer Rates |
HEMATOCRIT | CPT 85014 (QW) | EX100305426 | Outpatient | $28 | $18 | Payer Rates |
HEMOGLOBIN | CPT 85018 (QW) | 100305431 | Outpatient | $27 | $18 | Payer Rates |
HEMOGLOBIN | CPT 85018 (QW) | EX100305431 | Outpatient | $28 | $18 | Payer Rates |
COMPLETE CBC W/AUTO DIFF WBC | CPT 85025 (QW) | 1003051230 | Outpatient | $8 | $5 | Payer Rates |
COMPLETE CBC W/AUTO DIFF WBC | CPT 85025 (QW) | 1003051337 | Outpatient | $11 | $7 | Payer Rates |
COMPLETE CBC W/AUTO DIFF WBC | CPT 85025 (QW) | 10030520 | Outpatient | $154 | $100 | Payer Rates |
COMPLETE CBC W/AUTO DIFF WBC | CPT 85025 (QW) | 100305305 | Outpatient | $151 | $98 | Payer Rates |
COMPLETE CBC AUTOMATED | CPT 85027 | 100305379 | Outpatient | $151 | $98 | Payer Rates |
COAGULATION TIME ACTIVATED | CPT 85347 | 100305404 | Outpatient | $157 | $102 | Payer Rates |
FIBRIN DEGRADATION QUANT | CPT 85379 | 100305337 | Outpatient | $333 | $216 | Payer Rates |
PROTHROMBIN TIME | CPT 85610 (QW) | 100305187 | Outpatient | $123 | $80 | Payer Rates |
PROTHROMBIN TIME | CPT 85610 (QW) | 10030522 | Outpatient | $126 | $82 | Payer Rates |
PROTHROMBIN TIME | CPT 85610 (QW) | 100305538 | Outpatient | $114 | $74 | Payer Rates |
RBC SED RATE AUTOMATED | CPT 85652 | 100305561 | Outpatient | $127 | $83 | Payer Rates |
THROMBOPLASTIN TIME PARTIAL | CPT 85730 | 100305539 | Outpatient | $125 | $81 | Payer Rates |
C-REACTIVE PROTEIN | CPT 86140 | 100302536 | Outpatient | $125 | $81 | Payer Rates |
MYCOPLASMA ANTIBODY | CPT 86738 | 10030264 | Outpatient | $90 | $59 | Payer Rates |
RBC ANTIBODY SCREEN | CPT 86850 | 1003021346 | Outpatient | $197 | $128 | Payer Rates |
BLOOD TYPING SEROLOGIC ABO | CPT 86900 | EX1003021370 | Outpatient | $165 | $107 | Payer Rates |
BLOOD TYPING SEROLOGIC RH(D) | CPT 86901 | EX1003021360 | Outpatient | $112 | $73 | Payer Rates |
COMPATIBILITY TEST ELECTRIC | CPT 86923 | 1003021382 | Outpatient | $382 | $248 | Payer Rates |
BLOOD CULTURE FOR BACTERIA | CPT 87040 | 100306323 | Outpatient | $90 | $59 | Payer Rates |
CULTURE OTHR SPECIMN AEROBIC | CPT 87070 | 100306333 | Outpatient | $428 | $278 | Payer Rates |
CULTURE OTHR SPECIMN AEROBIC | CPT 87070 | 100306633 | Outpatient | $408 | $265 | Payer Rates |
CULTR BACTERIA EXCEPT BLOOD | CPT 87075 | 100306118 | Outpatient | $405 | $263 | Payer Rates |
URINE BACTERIA CULTURE | CPT 87088 | 100306735 | Outpatient | $84 | $55 | Payer Rates |
MICROBE SUSCEPTIBLE MIC | CPT 87186 | 100306146 | Outpatient | $83 | $54 | Payer Rates |
SMEAR GRAM STAIN | CPT 87205 | 1003061354 | Outpatient | $160 | $104 | Payer Rates |
LEGION PNEUMOPHILIA AG IF | CPT 87278 | 100306218 | Outpatient | $50 | $33 | Payer Rates |
HEPATITIS B SURFACE AG IA | CPT 87340 | 100306429 | Outpatient | $296 | $192 | Payer Rates |
INFLUENZA A/B EACH AG IA | CPT 87400 | 100306740 | Outpatient | $261 | $170 | Payer Rates |
RESP SYNCYTIAL VIRUS AG IA | CPT 87420 | 100306549 | Outpatient | $112 | $73 | Payer Rates |
SARSCOV CORONAVIRUS AG IA | CPT 87426 (QW) | 1003021381 | Outpatient | $58 | $38 | Payer Rates |
STAPH A DNA AMP PROBE | CPT 87640 | EX100306944 | Outpatient | $329 | $214 | Payer Rates |
MR-STAPH DNA AMP PROBE | CPT 87641 | EX100306943 | Outpatient | $329 | $214 | Payer Rates |
STREP A DNA AMP PROBE | CPT 87651 (QW) | 1003061357 | Outpatient | $147 | $96 | Payer Rates |
AGENT NOS ASSAY W/OPTIC | CPT 87899 (QW) | 100306214 | Outpatient | $85 | $55 | Payer Rates |
TISSUE EXAM BY PATHOLOGIST | CPT 88304 | 100310657 | Outpatient | $107 | $70 | Payer Rates |
TISSUE EXAM BY PATHOLOGIST | CPT 88305 | 100310658 | Outpatient | $147 | $96 | Payer Rates |
Language Pathology |
SPEECH/HEARING THERAPY | CPT 92507 (GN) | 752440206 | Outpatient | $336 | $218 | Payer Rates |
ORAL FUNCTION THERAPY | CPT 92526 (GN) | 742440212 | Outpatient | $411 | $267 | Payer Rates |
EVALUATE SWALLOWING FUNCTION | CPT 92610 (GN) | 742440200 | Outpatient | $281 | $183 | Payer Rates |
MRI |
MRI BRAIN STEM W/O DYE | CPT 70551 | 12761133 | Outpatient | $3,245 | $2,109 | Payer Rates |
MRI BRAIN STEM W/O & W/DYE | CPT 70553 | 12761135 | Outpatient | $4,326 | $2,812 | Payer Rates |
MRI NECK SPINE W/O DYE | CPT 72141 | 1276123 | Outpatient | $3,245 | $2,109 | Payer Rates |
MRI LUMBAR SPINE W/O DYE | CPT 72148 | 1276129 | Outpatient | $3,245 | $2,109 | Payer Rates |
MRI JNT OF LWR EXTRE W/O DYE | CPT 73721 (RT) | 12761461 | Outpatient | $3,245 | $2,109 | Payer Rates |
MRI JNT OF LWR EXTRE W/O DYE | CPT 73721 (LT) | 12761462 | Outpatient | $3,245 | $2,109 | Payer Rates |
MRI JNT OF LWR EXTRE W/O DYE | CPT 73721 (50) | 12761467 | Outpatient | $4,326 | $2,812 | Payer Rates |
Other Procedures and Observation |
DEB SUBQ TISSUE 20 SQ CM/< | CPT 11042 | 761761137 | Outpatient | $339 | $220 | Payer Rates |
APPLY MULTLAY COMPRS LWR LEG | CPT 29581 | 761761292 | Outpatient | $361 | $235 | Payer Rates |
COLLECT BLOOD FROM PICC | CPT 36592 | 4176113 | Outpatient | $234 | $152 | Payer Rates |
OFFICE O/P NEW LOW 30-44 MIN | CPT 99203 | 761761119 | Outpatient | $345 | $224 | Payer Rates |
OFFICE O/P NEW MOD 45-59 MIN | CPT 99204 | 761761120 | Outpatient | $571 | $371 | Payer Rates |
OFFICE O/P NEW HI 60-74 MIN | CPT 99205 | 761761121 | Outpatient | $820 | $533 | Payer Rates |
OFFICE O/P NEW HI 60-74 MIN | CPT 99205 (25) | 761761126 | Outpatient | $820 | $533 | Payer Rates |
OFFICE O/P EST MOD 30-39 MIN | CPT 99214 | 761761130 | Outpatient | $1,751 | $1,138 | Payer Rates |
OFFICE O/P EST HI 40-54 MIN | CPT 99215 | 761761131 | Outpatient | $2,513 | $1,633 | Payer Rates |
Other Therapeutic |
CARDIAC REHAB/MONITOR | CPT 93798 | 7639432 | Outpatient | $297 | $193 | Payer Rates |
MEDICAL NUTRITION INDIV IN | CPT 97802 | 39423 | Outpatient | $126 | $82 | Payer Rates |
MED NUTRITION INDIV SUBSEQ | CPT 97803 | 39424 | Outpatient | $202 | $131 | Payer Rates |
RBC LEUKOCYTES REDUCED | HCPCS P9016 | 10038114 | Outpatient | $1,054 | $685 | Payer Rates |
Psychiatric |
PSYTX W PT 45 MINUTES | CPT 90834 | 8129143 | Outpatient | $209 | $136 | Payer Rates |
PSYTX W PT 60 MINUTES | CPT 90837 | 8129419 | Outpatient | $525 | $341 | Payer Rates |
FAMILY PSYTX W/PT 50 MIN | CPT 90847 | 8129167 | Outpatient | $749 | $487 | Payer Rates |
GROUP PSYCHOTHERAPY | CPT 90853 | 8129154 | Outpatient | $386 | $251 | Payer Rates |
GROUP PSYCHOTHERAPY | CPT 90853 | 8129155 | Outpatient | $386 | $251 | Payer Rates |
Pulmonary Function |
MEASURE BLOOD OXYGEN LEVEL | CPT 94760 | 20246038 | Outpatient | $94 | $61 | Payer Rates |
MEASURE BLOOD OXYGEN LEVEL | CPT 94761 | 20246039 | Outpatient | $204 | $133 | Payer Rates |
MEASURE BLOOD OXYGEN LEVEL | CPT 94762 | 20246037 | Outpatient | $1,002 | $651 | Payer Rates |
Radiology |
X-RAY EXAM CHEST 1 VIEW | CPT 71045 | 12032433 | Outpatient | $410 | $267 | Payer Rates |
X-RAY EXAM CHEST 1 VIEW | CPT 71045 | 12032434 | Outpatient | $422 | $274 | Payer Rates |
X-RAY EXAM CHEST 2 VIEWS | CPT 71046 | 12032435 | Outpatient | $548 | $356 | Payer Rates |
X-RAY EXAM L-S SPINE 2/3 VWS | CPT 72100 | 120320133 | Outpatient | $615 | $400 | Payer Rates |
X-RAY EXAM L-2 SPINE 4/>VWS | CPT 72110 | 120320136 | Outpatient | $829 | $539 | Payer Rates |
X-RAY EXAM ABDOMEN 1 VIEW | CPT 74018 | 1203208 | Outpatient | $390 | $254 | Payer Rates |
DXA BONE DENSITY AXIAL | CPT 77080 | 1263201 | Outpatient | $686 | $446 | Payer Rates |
Respiratory |
WITHDRAWAL OF ARTERIAL BLOOD | CPT 36600 | 20241012 | Outpatient | $88 | $57 | Payer Rates |
VENT MGMT INPAT SUBQ DAY | CPT 94003 | 202410102 | Outpatient | $1,338 | $870 | Payer Rates |
VENT MGMT INPAT SUBQ DAY | CPT 94003 | 20241052 | Outpatient | $1,338 | $870 | Payer Rates |
AIRWAY INHALATION TREATMENT | CPT 94640 (76) | 202410109 | Outpatient | $192 | $125 | Payer Rates |
AIRWAY INHALATION TREATMENT | CPT 94640 | 20241059 | Outpatient | $192 | $125 | Payer Rates |
AIRWAY INHALATION TREATMENT | CPT 94640 | 20241092 | Outpatient | $192 | $125 | Payer Rates |
OFFICE O/P NEW LOW 30-44 MIN | CPT 99203 | 7634105 | Outpatient | $345 | $224 | Payer Rates |
BEHAV CHNG SMOKING 3-10 MIN | CPT 99406 | 20241055 | Outpatient | $42 | $27 | Payer Rates |
HBOT, FULL BODY CHAMBER, 30M | HCPCS G0277 | 761413162 | Outpatient | $994 | $646 | Payer Rates |
Surgical Procedures |
NJX INTERLAMINAR LMBR/SAC | CPT 62322 | 1937022 | Outpatient | $1,287 | $837 | Payer Rates |
Therapy |
HOT OR COLD PACKS THERAPY | CPT 97010 (GP) | 7504203 | Outpatient | $99 | $64 | Payer Rates |
HOT OR COLD PACKS THERAPY | CPT 97010 (GP) | 75042035 | Outpatient | $99 | $64 | Payer Rates |
HOT OR COLD PACKS THERAPY | CPT 97010 (GO) | 751430158 | Outpatient | $104 | $68 | Payer Rates |
HOT OR COLD PACKS THERAPY | CPT 97010 (GO) | 751430159 | Outpatient | $104 | $68 | Payer Rates |
MECHANICAL TRACTION THERAPY | CPT 97012 (GP) | 75042036 | Outpatient | $138 | $90 | Payer Rates |
ELECTRIC STIMULATION THERAPY | CPT 97014 (GP) | 75042068 | Outpatient | $115 | $75 | Payer Rates |
VASOPNEUMATIC DEVICE THERAPY | CPT 97016 (GP) | 75042037 | Outpatient | $253 | $164 | Payer Rates |
VASOPNEUMATIC DEVICE THERAPY | CPT 97016 (GO) | 751430197 | Outpatient | $265 | $172 | Payer Rates |
PARAFFIN BATH THERAPY | CPT 97018 (GO) | 751430157 | Outpatient | $102 | $66 | Payer Rates |
ULTRASOUND THERAPY | CPT 97035 (GP) | 75042027 | Outpatient | $138 | $90 | Payer Rates |
ULTRASOUND THERAPY | CPT 97035 (GO) | 751430164 | Outpatient | $142 | $92 | Payer Rates |
THERAPEUTIC EXERCISES | CPT 97110 (GP) | 74042029 | Outpatient | $203 | $132 | Payer Rates |
THERAPEUTIC EXERCISES | CPT 97110 (GO) | 741430154 | Outpatient | $199 | $129 | Payer Rates |
THERAPEUTIC EXERCISES | CPT 97110 (GO) | 741430182 | Outpatient | $209 | $136 | Payer Rates |
THERAPEUTIC EXERCISES | CPT 97110 (GP) | 75042029 | Outpatient | $203 | $132 | Payer Rates |
THERAPEUTIC EXERCISES | CPT 97110 (GO) | 751430154 | Outpatient | $199 | $129 | Payer Rates |
THERAPEUTIC EXERCISES | CPT 97110 (GO) | 751430182 | Outpatient | $199 | $129 | Payer Rates |
NEUROMUSCULAR REEDUCATION | CPT 97112 (GP) | 75042032 | Outpatient | $192 | $125 | Payer Rates |
NEUROMUSCULAR REEDUCATION | CPT 97112 (GO) | 751430174 | Outpatient | $196 | $127 | Payer Rates |
AQUATIC THERAPY/EXERCISES | CPT 97113 (GP) | 75042046 | Outpatient | $232 | $151 | Payer Rates |
GAIT TRAINING THERAPY | CPT 97116 (GP) | 74042033 | Outpatient | $111 | $72 | Payer Rates |
MANUAL THERAPY 1/> REGIONS | CPT 97140 (GP) | 75042022 | Outpatient | $153 | $99 | Payer Rates |
MANUAL THERAPY 1/> REGIONS | CPT 97140 (GO) | 751430167 | Outpatient | $149 | $97 | Payer Rates |
MANUAL THERAPY 1/> REGIONS | CPT 97140 (GO) | 751430169 | Outpatient | $158 | $103 | Payer Rates |
GROUP THERAPEUTIC PROCEDURES | CPT 97150 (GP) | 75042323 | Outpatient | $276 | $179 | Payer Rates |
PT EVAL LOW COMPLEX 20 MIN | CPT 97161 (GP) | 7504241 | Outpatient | $411 | $267 | Payer Rates |
PT EVAL MOD COMPLEX 30 MIN | CPT 97162 (GP) | 7404242 | Outpatient | $493 | $320 | Payer Rates |
PT EVAL MOD COMPLEX 30 MIN | CPT 97162 (GP) | 7504242 | Outpatient | $493 | $320 | Payer Rates |
PT RE-EVAL EST PLAN CARE | CPT 97164 (GP) | 75042434 | Outpatient | $218 | $142 | Payer Rates |
OT EVAL LOW COMPLEX 30 MIN | CPT 97165 (GO) | 74143486 | Outpatient | $391 | $254 | Payer Rates |
OT EVAL LOW COMPLEX 30 MIN | CPT 97165 (GO) | 75143486 | Outpatient | $391 | $254 | Payer Rates |
OT EVAL MOD COMPLEX 45 MIN | CPT 97166 (GO) | 74143487 | Outpatient | $484 | $315 | Payer Rates |
OT EVAL MOD COMPLEX 45 MIN | CPT 97166 (GO) | 75143487 | Outpatient | $484 | $315 | Payer Rates |
THERAPEUTIC ACTIVITIES | CPT 97530 (GP) | 74042024 | Outpatient | $146 | $95 | Payer Rates |
THERAPEUTIC ACTIVITIES | CPT 97530 (GO) | 741430168 | Outpatient | $154 | $100 | Payer Rates |
THERAPEUTIC ACTIVITIES | CPT 97530 (GP) | 75042024 | Outpatient | $146 | $95 | Payer Rates |
THERAPEUTIC ACTIVITIES | CPT 97530 (GO) | 751430168 | Outpatient | $154 | $100 | Payer Rates |
SELF CARE MNGMENT TRAINING | CPT 97535 (GO) | 741430171 | Outpatient | $198 | $129 | Payer Rates |
SELF CARE MNGMENT TRAINING | CPT 97535 (GO) | 751430172 | Outpatient | $198 | $129 | Payer Rates |
Uncategorized |
REMOVAL OF BREAST LESION | CPT 19120 | WSXINT19120 | Outpatient | $1,252 | $814 | Payer Rates |
SHO ARTHRS SRG DECOMPRESSION | CPT 29826 | WSXMSC29826 | Outpatient | $444 | $289 | Payer Rates |
KNEE ARTHROSCOPY/SURGERY | CPT 29881 | WSXMSC29881 | Outpatient | $1,367 | $889 | Payer Rates |
REMOVE TONSILS AND ADENOIDS | CPT 42820 | WSXDIG42820 | Outpatient | $732 | $476 | Payer Rates |
EGD DIAGNOSTIC BRUSH WASH | CPT 43235 | WSXDIG43235 | Outpatient | $674 | $438 | Payer Rates |
EGD BIOPSY SINGLE/MULTIPLE | CPT 43239 | WSXDIG43239 | Outpatient | $903 | $587 | Payer Rates |
DIAGNOSTIC COLONOSCOPY | CPT 45378 | WSXDIG45378 | Outpatient | $812 | $528 | Payer Rates |
COLONOSCOPY AND BIOPSY | CPT 45380 | WSXDIG45380 | Outpatient | $1,044 | $679 | Payer Rates |
COLONOSCOPY W/LESION REMOVAL | CPT 45385 | WSXDIG45385 | Outpatient | $1,095 | $712 | Payer Rates |
COLONOSCOPY W/ENDOSCOPE US | CPT 45391 | WSXDIG45391 | Outpatient | $667 | $434 | Payer Rates |
LAPAROSCOPIC CHOLECYSTECTOMY | CPT 47562 | WSXDIG47562 | Outpatient | $1,661 | $1,080 | Payer Rates |
PRP I/HERN INIT REDUC >5 YR | CPT 49505 | WSXDIG49505 | Outpatient | $1,314 | $854 | Payer Rates |
BIOPSY OF PROSTATE | CPT 55700 | WSXMGN55700 | Outpatient | $631 | $410 | Payer Rates |
LAPARO RADICAL PROSTATECTOMY | CPT 55866 | WSXMGN55866 | Outpatient | $3,699 | $2,404 | Payer Rates |
OBSTETRICAL CARE | CPT 59400 | WSXFGN59400 | Outpatient | $5,264 | $3,422 | Payer Rates |
CESAREAN DELIVERY | CPT 59510 | WSXFGN59510 | Outpatient | $5,824 | $3,786 | Payer Rates |
VBAC DELIVERY | CPT 59610 | WSXFGN59610 | Outpatient | $5,515 | $3,585 | Payer Rates |
NJX INTERLAMINAR LMBR/SAC | CPT 62323 | WSXNRV62323 | Outpatient | $241 | $157 | Payer Rates |
NJX AA&/STRD TFRM EPI L/S 1 | CPT 64483 | WSXNRV64483 | Outpatient | $572 | $372 | Payer Rates |
AFTER CATARACT LASER SURGERY | CPT 66821 | WSXEYE66821 | Outpatient | $854 | $555 | Payer Rates |
XCAPSL CTRC RMVL W/O ECP | CPT 66984 | WSXEYE66984 | Outpatient | $1,616 | $1,050 | Payer Rates |
METABOLIC PANEL TOTAL CA | CPT 80048 (QW) | WLAB80048 | Outpatient | $21 | $14 | Payer Rates |
COMPREHEN METABOLIC PANEL | CPT 80053 (QW) | WLAB80053 | Outpatient | $20 | $13 | Payer Rates |
LIPID PANEL | CPT 80061 (QW) | WLAB80061 | Outpatient | $20 | $13 | Payer Rates |
URINALYSIS AUTO W/SCOPE | CPT 81001 | WLAB81001 | Outpatient | $8 | $5 | Payer Rates |
URINALYSIS NONAUTO W/O SCOPE | CPT 81002 (QW) | WLAB81002 | Outpatient | $9 | $6 | Payer Rates |
URINALYSIS AUTO W/O SCOPE | CPT 81003 (QW) | WLAB81003 | Outpatient | $20 | $13 | Payer Rates |
URINE PREGNANCY TEST | CPT 81025 (QW) | WLAB81025 | Outpatient | $22 | $14 | Payer Rates |
GLYCOSYLATED HEMOGLOBIN TEST | CPT 83036 (QW) | WLAB83036 | Outpatient | $25 | $16 | Payer Rates |
ASSAY OF PSA TOTAL | CPT 84153 | WLAB84153 | Outpatient | $46 | $30 | Payer Rates |
ASSAY THYROID STIM HORMONE | CPT 84443 (QW) | WLAB84443 | Outpatient | $42 | $27 | Payer Rates |
COMPLETE CBC W/AUTO DIFF WBC | CPT 85025 (QW) | WLAB85025 | Outpatient | $22 | $14 | Payer Rates |
COMPLETE CBC AUTOMATED | CPT 85027 | WLAB85027 | Outpatient | $16 | $10 | Payer Rates |
PROTHROMBIN TIME | CPT 85610 | WLAB85610 | Outpatient | $11 | $7 | Payer Rates |
THROMBOPLASTIN TIME PARTIAL | CPT 85730 | WLAB85730 | Outpatient | $15 | $10 | Payer Rates |
SARSCOV CORONAVIRUS AG IA | CPT 87426 (QW) | WLAB87426 | Outpatient | $75 | $49 | Payer Rates |
INFLUENZA ASSAY W/OPTIC | CPT 87804 (QW) | WLAB87804 | Outpatient | $52 | $34 | Payer Rates |
STREP A ASSAY W/OPTIC | CPT 87880 (QW) | WLAB87880 | Outpatient | $41 | $27 | Payer Rates |
IM ADMIN 1ST/ONLY COMPONENT | CPT 90460 | WVACA90460 | Outpatient | $42 | $27 | Payer Rates |
IM ADMIN 1ST/ONLY COMPONENT | CPT 90460 | WVACA904601 | Outpatient | $42 | $27 | Payer Rates |
IM ADMIN EACH ADDL COMPONENT | CPT 90461 | WVACA90461 | Outpatient | $32 | $21 | Payer Rates |
IMMUNIZATION ADMIN | CPT 90471 | 9177134 | Outpatient | $112 | $73 | Payer Rates |
PSYCH DIAGNOSTIC EVALUATION | CPT 90791 | WMED90791 | Outpatient | $150 | $98 | Payer Rates |
PSYTX W PT 30 MINUTES | CPT 90832 | WTRT90832 | Outpatient | $75 | $49 | Payer Rates |
PSYTX W PT 30 MINUTES | CPT 90832 (95) | WTRTTH90832 | Outpatient | $75 | $49 | Payer Rates |
PSYTX W PT 45 MINUTES | CPT 90834 | WTRT90834 | Outpatient | $100 | $65 | Payer Rates |
PSYTX W PT 45 MINUTES | CPT 90834 (95) | WTRTTH90834 | Outpatient | $100 | $65 | Payer Rates |
PSYTX W PT 60 MINUTES | CPT 90837 | WTRT90837 | Outpatient | $120 | $78 | Payer Rates |
PSYTX W PT 60 MINUTES | CPT 90837 (95) | WTRTTH90837 | Outpatient | $120 | $78 | Payer Rates |
FAMILY PSYTX W/O PT 50 MIN | CPT 90846 (95) | WMEDTH90846 | Outpatient | $100 | $65 | Payer Rates |
FAMILY PSYTX W/PT 50 MIN | CPT 90847 | WMED90847 | Outpatient | $100 | $65 | Payer Rates |
FAMILY PSYTX W/PT 50 MIN | CPT 90847 (95) | WMEDTH90847 | Outpatient | $100 | $65 | Payer Rates |
GROUP PSYCHOTHERAPY | CPT 90853 | WMED90853 | Outpatient | $68 | $44 | Payer Rates |
ELECTROCARDIOGRAM COMPLETE | CPT 93000 | WMED93000 | Outpatient | $43 | $28 | Payer Rates |
DEVELOPMENTAL SCREEN W/SCORE | CPT 96110 | WMED96110 | Outpatient | $158 | $103 | Payer Rates |
BRIEF EMOTIONAL/BEHAV ASSMT | CPT 96127 | WTRT96127 | Outpatient | $12 | $8 | Payer Rates |
PT-FOCUSED HLTH RISK ASSMT | CPT 96160 | WMED96160 | Outpatient | $8 | $5 | Payer Rates |
THER/PROPH/DIAG INJ SC/IM | CPT 96372 | WMED96372 | Outpatient | $42 | $27 | Payer Rates |
OFFICE O/P NEW LOW 30-44 MIN | CPT 99203 (95) | WEM992031 | Outpatient | $271 | $176 | Payer Rates |
OFFICE O/P NEW LOW 30-44 MIN | CPT 99203 | WEMFP99203 | Outpatient | $271 | $176 | Payer Rates |
OFFICE O/P NEW LOW 30-44 MIN | CPT 99203 | WEMSP99203 | Outpatient | $271 | $176 | Payer Rates |
OFFICE O/P NEW MOD 45-59 MIN | CPT 99204 | 7635103 | Outpatient | $411 | $267 | Payer Rates |
OFFICE O/P NEW MOD 45-59 MIN | CPT 99204 (95) | WEM992041 | Outpatient | $411 | $267 | Payer Rates |
OFFICE O/P NEW MOD 45-59 MIN | CPT 99204 | WEMFP99204 | Outpatient | $411 | $267 | Payer Rates |
OFFICE O/P NEW MOD 45-59 MIN | CPT 99204 | WEMSP99204 | Outpatient | $411 | $267 | Payer Rates |
OFFICE O/P NEW HI 60-74 MIN | CPT 99205 | 7635104 | Outpatient | $517 | $336 | Payer Rates |
OFFICE O/P NEW HI 60-74 MIN | CPT 99205 | WEMFP99205 | Outpatient | $517 | $336 | Payer Rates |
OFFICE O/P NEW HI 60-74 MIN | CPT 99205 | WEMSP99205 | Outpatient | $517 | $336 | Payer Rates |
OFFICE O/P EST SF 10-19 MIN | CPT 99212 | WEMSP99212 | Outpatient | $113 | $73 | Payer Rates |
OFFICE O/P EST LOW 20-29 MIN | CPT 99213 | WEMSP99213 | Outpatient | $186 | $121 | Payer Rates |
OFFICE O/P EST MOD 30-39 MIN | CPT 99214 | WEMFP99214 | Outpatient | $273 | $177 | Payer Rates |
OFFICE O/P EST MOD 30-39 MIN | CPT 99214 | WEMSP99214 | Outpatient | $273 | $177 | Payer Rates |
OFFICE O/P EST HI 40-54 MIN | CPT 99215 | WEMSP99215 | Outpatient | $365 | $237 | Payer Rates |
SUBSEQUENT HOSPITAL CARE | CPT 99232 | WEM99232 | Outpatient | $183 | $119 | Payer Rates |
OFFICE CONSULTATION | CPT 99243 | WEM99243 | Outpatient | $247 | $161 | Payer Rates |
OFFICE CONSULTATION | CPT 99244 | WEM99244 | Outpatient | $272 | $177 | Payer Rates |
PREV VISIT NEW AGE 18-39 | CPT 99385 | WEM99385 | Outpatient | $698 | $454 | Payer Rates |
PREV VISIT NEW AGE 40-64 | CPT 99386 | WEM99386 | Outpatient | $725 | $471 | Payer Rates |
PER PM REEVAL EST PAT INFANT | CPT 99391 | WEM99391 | Outpatient | $407 | $265 | Payer Rates |
PREV VISIT EST AGE 1-4 | CPT 99392 | WEM99392 | Outpatient | $446 | $290 | Payer Rates |
PREV VISIT EST AGE 40-64 | CPT 99396 | WEM99396 | Outpatient | $603 | $392 | Payer Rates |
TELEHEALTH FACILITY FEE | HCPCS Q3014 | 4778025 | Outpatient | $211 | $137 | Payer Rates |