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Jerold Phelps Community Hospital Standard Charges Listing – June 2024

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Description	Minimum price	Maximum price
ROM MEAS&REPRT HAND W/WO COMPARISON NORMAL SID	112	140
HC IV INFUSION, HYDRATION, 31-60 MIN	1349.824	1687.28
HC IV INFUSION, HYDRATION, EA ADD HOUR	135.424	169.28
HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR	623.488	779.36
HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,EA ADD HOUR	458.392	572.99
HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR	146.096	182.62
HC IV INFUSION, THERAP/PROPH/DIAGNOST,CONCURRENT INFUSION	253.464	316.83
HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT	233.4	291.75
HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG	289.8	362.25
HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG	225.128	281.41
HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, SAME DRUG	207.232	259.04
HC BANDAGE- ACE ELASTIC 4"	34.872	43.59
HC BANDAGE- ACE ELASTIC 3"	25.208	31.51
HC BANDAGE- ACE ELASTIC 6"	25.208	31.51
HC DERMABOND	53.272	66.59
HC RIB BELT UNIVERSAL	25.624	32.03
HC DRESS-TRANSPARENT 2X3	21.624	27.03
HC DRESS-NONADHERING 3"X3"	8.416	10.52
HC DRESS-NONADHEARING 3"X8"	13.248	16.56
HC OCULAR IRRIG LENS MORGAN	187.912	234.89
HC BLANKET-BAIR HUGGER	37.352	46.69
HC RIB BELT UNISEX L	37.352	46.69
HC TEGADERM 3.5 X 4.5	20.336	25.42
HC CATH-FOLEY SILICONE COUDE TIP 14FR	77.928	97.41
HC CHP BLOOD DRAW	32.48	40.6
HC KIT DRAW FROM PATIENT	56.808	71.01
HC DOT DRUG TESTING	83.36	104.2
HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE	40.76	50.95
HC CHG COLLECT BLOOD FROM CATHETER VENOUS NOS	38.456	48.07
HC ARTERIAL PUNCTURE WITHDRAWAL OF BLOOD	89.888	112.36
HC F2 GENE ANALYSIS 20210G >A VARIANT - PROTHROMBIN GENE MUTATION	174.896	218.62
HC F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT - FACTOR V LEIDEN	200.928	251.16
HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS	1746.16	2182.7
HC AQUAPORIN-4 ANTB CBA	29.352	36.69
HC TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS	26.496	33.12
HC VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY EACH	62.192	77.74
HC RBC ANTIBODY SCREEN - ANTIBODY SCREEN	24.752	30.94
HC ANTIHUMAN GLOBULIN DIR EA ANTISERUM - DIRECT ANTIGLOBULIN TEST	17.664	22.08
HC ANTIHUMAN GLOBULIN INDIRECT EA ANTIBODY TITER - ANTIBODY TITER	13.8	17.25
HC BLOOD TYPING SEROLOGIC ABO	76.456	95.57
HC BLOOD TYPING SEROLOGIC ABO - ABO/RH TYPE	76.456	95.57
HC BLOOD TYPING SEROLOGIC RH (D)	117.528	146.91
HC BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH - BLOOD TYPING, ANTIGEN	94.672	118.34
HC BLOOD TYPING ANTIGEN SCREEN PATIENT SERUM/UNIT - BLOOD TYPING, PAT	94.672	118.34
HC BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH - BLOOD TYPING, RBC	10.256	12.82
HC CROSSMATCH IMMEDIATE SPIN TECHNIQUE	514.6	643.25
HC COMPATIBILITY TEST ANTIGLOB TECH	361.656	452.07
HC HIV-1 ANTIGENS W/HIV 1 & 2 ANTIBODY	79.12	98.9
HC BODY FLUID CELL COUNT W DIFF - BODY FLUID CELL COUNT W/DIFF	18.168	22.71
HC LEUKOCYTE COUNT,FECAL - FECAL LEUKOCYTES	14.032	17.54
HC EXAM,SYNOVIAL FLUID CRYSTALS - SYNOVIAL FLUID CRYSTAL	23.552	29.44
HC SEMEN ANALYSIS POST VASECTOMY	39.744	49.68
HC LAB HANDLING CHARGE	37.352	46.69
HC RAY'S MARKET DRUG SCREEN	40.64	50.8
HC BASIC METABOLIC PANEL CALCIUM TOTAL	191.544	239.43
HC GENERAL HEALTH PANEL - BUNDLED CHARGE	600	750
HC ELECTROLYTE PANEL	135.424	169.28
HC METABOLIC PANEL,COMPREHENSIVE	227.424	284.28
HC OBSTETRIC PANEL	381.896	477.37
HC LIPID PANEL - BUNDLED CHARGE	247.8	309.75
HC RENAL FUNCTION PANEL - BUNDLED CHARGE	228.664	285.83
HC HEPATITIS PANEL,ACUTE - BUNDLED CHARGE	155.848	194.81
HC HEPATIC FUNCTION PANEL	161.648	202.06
HC OBSTESTRIC PANEL	246.104	307.63
HC DRUG ASSAY - ACETAMINOPHEN	42.872	53.59
HC DRUG ASSAY - ADALIMUMAB	93.104	116.38
HC ASSAY OF CARBAMAZEPINE TOTAL - CARBAMAZEPINE TOTAL	47.936	59.92
HC ASSAY OF CYCLOSPORINE - CYCLOSPORINE	59.344	74.18
HC DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL - DIGOXIN	259.76	324.7
HC DRUG SCREEN QUANT DIPROPYLACETIC ACID TOTAL - VALPROIC ACID TOTAL	44.528	55.66
HC ASSAY EVEROLIMUS	45.176	56.47
HC ASSAY OF GENTAMICIN - GENTAMICIN TROUGH	53.912	67.39
HC ASSAY OF GENTAMICIN - GENTAMICIN PEAK	53.912	67.39
HC DRUG SCREEN QUANT LAMOTRIGINE	43.52	54.4
HC ASSAY OF LEVETIRACETAM	50.512	63.14
HC ASSAY OF LITHIUM - LITHIUM	21.76	27.2
HC ASSAY OF SALICYLATE	42.872	53.59
HC DRUG SCREEN QUANTITATIVE MYCOPHENOLATE MYCOPHENOLIC ACID	59.344	74.18
HC DRUG SCREEN QUANTITATIVE OXCARBAZEPINE	43.608	54.51
HC ASSAY OF PHENOBARBITAL - PHENOBARBITAL	40.76	50.95
HC ASSAY OF PHENYTOIN, TOTAL - PHENYTOIN TOTAL	259.76	324.7
HC ASSAY OF SIROLIMUS - SIROLIMUS/RAPAMUNE	45.176	56.47
HC ASSAY OF TACROLIMUS - TACROLIMUS	45.176	56.47
HC ASSAY OF VANCOMYCIN - VANCOMYCIN TROUGH	80.224	100.28
HC ASSAY OF VANCOMYCIN	80.224	100.28
HC ASSAY OF ZONISAMIDE	43.608	54.51
HC ASSAY OF METHOTREXATE	88.736	110.92
HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED	49.68	62.1
HC DRUG TEST PRSMV DIR OPT OBS - TOXICOLOGY SCREEN URINE	28.984	36.23
HC DRUG TEST PRSMV CHEM ANLYZR - AMPHETAMINE	396.152	495.19
HC DRUG SCREEN	280.048	350.06
HC DRUG TEST PRSMV CHEM ANLYZR - ALCOHOL BLOOD	210.776	263.47
HC DRUG TEST PRSMV CHEM ANLYZR - SALYCILATES	239.336	299.17
HC DRUG SCREEN PRESUMPTIVE OPT INST	81.424	101.78
HC DRUG SCREEN/MULTI DRG CLS	280.048	350.06
HC DRUG SCREEN QUANTITATIVE ALCOHOLS - ETHANOL	26.448	33.06
HC ALKALOIDS NOT OTHERWISE SPECIFIED	31.192	38.99
HC ANTIEPILEPTICS, NOT OTHERWISE SPECIFIED; 1-3	13.248	16.56
HC KETONE BODIES SERUM QUALITATIVE	14.536	18.17
HC KETONE BODIES SERUM QUALITATIVE - KETONES, QUALITATIVE	14.536	18.17
HC ASSAY OF ACTH - ACTH	127.056	158.82
HC ASSAY OF SERUM ALBUMIN - ALBUMIN	91.08	113.85
HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN RANDOM URINE	19.048	23.81
HC MICROALBUMIN, QUANTITATIVE URINE	19.048	23.81
HC ASSAY OF ALDOLASE - ALDOLASE	31.928	39.91
HC ASSAY OF ALDOSTERONE - ALDOSTERONE	134	167.5
HC ALPHA-1-ANTITRYPSIN, TOTAL - ALPHA-1-ANTITRYPSIN, STOOL	43.888	54.86
HC ALPHA-1-ANTITRYPSIN, PHENOTYPE	47.568	59.46
HC ALPHA-FETOPROTEIN, SERUM - ALPHA FETOPROTEIN, MATERNAL	55.2	69
HC ALPHA-FETOPROTEIN, SERUM - ALPHA FETOPROTEIN, MATERNAL	55.2	69
HC ALPHA-FETOPROTEIN, SERUM	55.2	69
HC ALPHA-FETOPROTEIN L3 - ALPHA FETOPROTEIN, L3 PERCENT	155.576	194.47
HC AMINO ACIDS, 6+ QUANT - AMINO ACID QUANT,URINE	55.48	69.35
HC ASSAY OF AMMONIA - AMMONIA	217.904	272.38
HC ASSAY OF AMYLASE - AMYLASE	189.248	236.56
HC ASSAY OF ANDROSTENEDIONE - ANDROSTENEDIONE	106.952	133.69
HC ANGIOTENSIN I ENZYME TEST - ANGIOTENSIN CONVERTING ENZYME	48.024	60.03
HC ASSAY OF APOLIPOPROTEIN - LIPOPROTEIN A (LPA)	56.12	70.15
HC ASSAY OF ARSENIC	62.424	78.03
HC BETA-2 PROTEIN - BETA 2 MICROGLOBULIN	53.176	66.47
HC BILE ACIDS, TOTAL - BILE ACIDS, TOTAL	56.304	70.38
HC BILIRUBIN TOTAL - BILIRUBIN TOTAL AND DIRECT	89.888	112.36
HC BILIRUBIN TOTAL - BILIRUBIN TOTAL	89.888	112.36
HC BILIRUBIN DIRECT - BILIRUBIN DIRECT	92.184	115.23
HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN - OCCULT BLD	83.816	104.77
HC BLOOD OCCULT,BY PEROXID,FECES - OCCULT BLD	39.744	49.68
HC BLOOD OCCULT FECAL IMMUNOASSAY	60.632	75.79
HC ASSAY OF CADMIUM - CADMIUM 24 HR URINE	76.128	95.16
HC ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED - VITAMIN D 25	97.288	121.61
HC ASSAY OF CALCITONIN - CALCITONIN	88.136	110.17
HC ASSAY OF CALCIUM, TOTAL - CALCIUM	69.504	86.88
HC ASSAY OF CALCIUM, IONIZED - CALCIUM IONIZED	44.944	56.18
HC ASSAY OF CALCIUM IN URINE - CALCIUM TIMED URINE	19.872	24.84
HC CALCULUS ASSAY,INFRARED SPECTR - KIDNEY STONE ANALYSIS	42.416	53.02
HC ASSAY BLOOD CARBON DIOXIDE - CO2 TOTAL	16.056	20.07
HC ASSAY BLOOD CARBON MONOXIDE - CARBOXYHEMOGLOBIN	40.48	50.6
HC CARCINOEMBRYONIC ANTIGEN - CEA (CARCINOEMBRYONIC ANTIGEN)	62.328	77.91
HC ASSAY OF CAROTENE - CAROTENE, SERUM	22.264	27.83
HC ASSAY, THREE CATECHOLAMINES - CATECHOLAMINES FRACTIONATED	83.032	103.79
HC ASSAY OF CERULOPLASMIN - CERULOPLASMIN	35.328	44.16
HC CHEMILUMINESCENT ASSAY	46.464	58.08
HC ASSAY OF BLOOD CHLORIDE - CHLORIDE	15.136	18.92
HC ASSAY OF URINE CHLORIDE	16.56	20.7
HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL	47.936	59.92
HC ASSAY OF CHROMIUM - CHROMIUM LEVEL	66.704	83.38
HC ASSAY OF CITRATE - CITRATE 24 HOUR URINE	11.96	14.95
HC ASSAY FOR COLLAGEN CROSS LINKS - N-TELOPEPTIDE, URINE	61.456	76.82
HC ASSAY OF COPPER - COPPER, SERUM	40.76	50.95
HC CORTISOL, FREE - CORTISOL 24HR URINARY FREE	54.968	68.71
HC CORTISOL, FREE - CORTISOL, FREE	54.968	68.71
HC TOTAL CORTISOL - CORTISOL	53.544	66.93
HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC	68.816	86.02
HC ASSAY OF CK (CPK) - CK	153.32	191.65
HC ASSAY OF CK (CPK) ISOENZYMES	163.992	204.99
HC CREATINE, MB FRACTION - CKMB	38	47.5
HC ASSAY OF CREATININE - CREATININE SERUM	100.56	125.7
HC ASSAY OF CREATININE - CREATININE FLUID	100.56	125.7
HC ASSAY OF URINE CREATININE - CREATININE RANDOM URINE	18.952	23.69
HC ASSAY OF URINE CREATININE	18.952	23.69
HC CREATININE CLEARANCE TEST - CREATININE CLEARANCE, URINE, 24 HOUR	31.096	38.87
HC ASSAY OF CRYOFIBRINOGEN - CRYOFIBRINOGEN	37.72	47.15
HC ASSAY OF CRYOGLOBULIN - CRYOGLOBULIN	21.256	26.57
HC VITAMIN B-12 - VITAMIN B12	49.776	62.22
HC ASSAY OF CYSTATIN C	49.312	61.64
HC DEHYDROEPIANDROSTERONE - DHEA	83.08	103.85
HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE	73.144	91.43
HC DEOXYCORTISOL - 11-DEOXYCORTISOL	70.752	88.44
HC ASSAY OF DIHYDROTESTOSTERONE	74.288	92.86
HC ASSAY, DIHYDROXYVITAMIN D W/FRACTIONS, IF PERFORMED - VITAMIN D 1	126.592	158.24
HC PANCREATIC ELASTASE, FECAL, QUAL/SEMI-QUANT - PANCREATIC ELASTASE	38	47.5
HC ENZYME ACTIVITY NONRADIOACTIVE SUBSTRATE	50.968	63.71
HC ASSAY OF ERYTHROPOIETIN - ERYTHROPOIETIN	61.776	77.22
HC ASSAY OF ESTRADIOL - ESTRADIOL	91.816	114.77
HC ASSAY OF ESTROGENS - ESTROGENS, FRACTIONATED	81.928	102.41
HC ASSAY OF ESTROGEN - ESTROGENS, TOTAL	71.304	89.13
HC ASSAY OF ESTRIOL	61.368	76.71
HC ASSAY OF ESTRONE - ESTRONE	82.064	102.58
HC FATS/LIPIDS, FECES, QUALITATIVE - FECAL FAT QUALITATIVE	16.744	20.93
HC ASSAY OF BLOOD FATTY ACIDS - FATTY ACIDS, FREE	47.656	59.57
HC ASSAY OF FERRITIN - FERRITIN	44.808	56.01
HC BLOOD FOLIC ACID SERUM - FOLATE	48.304	60.38
HC ASSAY OF FOLIC ACID, RBC - FOLATE RBC	152.536	190.67
HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IMMUNOGLOBULINS	30.64	38.3
HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGG	30.64	38.3
HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGM	30.64	38.3
HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGA	30.64	38.3
HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGA SERUM	21.392	26.74
HC ASSAY OF GAMMAGLOBULIN IGE - IMMUNOGLOBULIN IGE	54.096	67.62
HC IMMUNOGLOBULIN SUBCLASSES IGG 1, 2, 3 OR 4	20.424	25.53
HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS ARTERIAL	700.072	875.09
HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS VENOUS	700.072	875.09
HC ASSAY OF GASTRIN - GASTRIN	57.96	72.45
HC HC ASSAY GLUCOSE, BODY FLUID - GLUCOSE SYNOVIAL FLUID	12.976	16.22
HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE RANDOM	65.872	82.34
HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GTT FASTING	65.872	82.34
HC GLUCOSE, BLOOD BY REAGENT STRIP	26.496	33.12
HC GLUCOSE TEST - GTT 1 HOUR	69.504	86.88
HC GLUCOSE TOLERANCE TEST (GTT) - GTT 2 HOUR	251.344	314.18
HC GLUCOSE TOLERANCE TEST (GTT) - LACTOSE INTOLERANCE	251.344	314.18
HC GTT-ADDED SAMPLES - GTT 3 HOUR	18.584	23.23
HC ASSAY OF G6PD ENZYME - GLUCOSE 6 PHOSPHATE DEHYDROGENASE	31.784	39.73
HC ASSAY OF GGT - GAMMA GT	23.688	29.61
HC GLYCATED PROTEIN - POCT FRUCTOSAMINE	49.592	61.99
HC GLYCATED PROTEIN - ALBUMIN, GLYCATED	49.592	61.99
HC GLYCATED PROTEIN - ALPHA-1-ACID GLYCOPROTEIN	49.592	61.99
HC GLYCATED PROTEIN - FRUCTOSAMINE	49.592	61.99
HC GONADOTROPIN (FSH) - FSH	61.088	76.36
HC GONADOTROPIN (LH) - LUTEINIZING HORMONE	60.904	76.13
HC ASSAY GROWTH HORMONE (HGH) - GROWTH HORMONE	42.32	52.9
HC ASSAY OF HAPTOGLOBIN, QUANT - HAPTOGLOBIN	41.352	51.69
HC H. PYLORI;BREATH TEST, NON-ISOTOPE - H PYLORI BREATH TEST	221.448	276.81
HC QUANTITATIVE SCREEN, METALS - COBALT	93.52	116.9
HC HEMOGLOBIN ELECTROPHORESIS - HEMOGLOBIN ELECTROPHORESIS	29.576	36.97
HC HEMOGLOBIN CHROMOTOGRAPHY - HEMOGLOBINOPATHY EVAL	59.432	74.29
HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C	187.912	234.89
HC ASSAY OF HISTAMINE - HISTAMINE	97.984	122.48
HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE TOTAL	55.48	69.35
HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE	55.48	69.35
HC ASSAY OF 5-HIAA - 5 HIAA QUANT,24HR URINE	42.416	53.02
HC ASSAY OF PROGESTERONE 17-D - 17-HYDROXYPROGESTERONE	68.912	86.14
HC IMMUNOASSAY NONANTIBODY - TISSUE TRANSGLUTAMINASE, IGA	38	47.5
HC IMMUNOASSAY NONANTIBODY - TISSUE TRANSGLUTAMINASE, IGG	38	47.5
HC IMMUNOASSAY NONANTIBODY - CELIAC DIAGNOSTIC PANEL	38	47.5
HC IMMUNOASSAY NONANTIBODY - GLIADIN ANTIBODY IGG IGA	38	47.5
HC RIA NONANTIBODY	51.104	63.88
HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - TRYPTASE	46	57.5
HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - ANTI-MULLERIAN HORMONE	46	57.5
HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - PANCREATIC ELASTASE FECAL	46	57.5
HC ASSAY OF INSULIN,TOTAL - INSULIN, FASTING	37.584	46.98
HC ASSAY OF IRON - IRON	21.344	26.68
HC IRON BINDING TEST - IRON AND IRON BINDING CAPACITY PANEL - SR OR PL	28.8	36
HC IRON BINDING TEST - IRON + TRANSFERRIN + TIBC	28.8	36
HC ASSAY OF LACTIC ACID - LACTATE	209.528	261.91
HC LACTATE (LD) (LDH) ENZYME - LACTATE DEHYDROGENASE	24.016	30.02
HC ASSAY OF LDH ISOENZYMES - LACTATE DEHYDROGENASE ISOENZMS	42.136	52.67
HC ASSAY LACTOFERRIN FECAL QUANTITATIVE	49.864	62.33
HC ASSAY OF LEAD - LEAD BLOOD	39.84	49.8
HC ASSAY OF LIPASE - LIPASE	135.424	169.28
HC ASSAY OF LIPOPROTEIN (A)	42.6	53.25
HC ASSAY LIPOPROTEIN PLA2 - LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2	123.928	154.91
HC LIPOPROTEIN BLOOD, HIGH RES FRACTION/ QUANT - LIPOPROTEIN SUBCLASS	90.16	112.7
HC LIPOPROTEIN, BLOOD, BY NMR SPECT - LIPOPROTEIN NMR	103.688	129.61
HC ASSAY OF BLOOD LIPOPROTEIN,HDL CHOLEST - HDL CHOLESTEROL	27	33.75
HC ASSAY OF BLOOD LIPOPROTEIN,LDL CHOLEST - LDL CHOLESTEROL DIRECT	181.976	227.47
HC ASSAY OF MAGNESIUM - MAGNESIUM	129.352	161.69
HC ASSAY OF MAGNESIUM - MAGNESIUM URINE	11.96	14.95
HC ASSAY OF MAGNESIUM - MAGNESIUM RBC	129.352	161.69
HC MASS SPECTROMETRY QUAL/QUAN NONDRUG ANALYTE	64.264	80.33
HC ASSAY OF MERCURY - MERCURY 24 HOUR URINE	53.456	66.82
HC ASSAY OF MERCURY - HEAVY METALS, BLOOD	53.456	66.82
HC ASSAY OF MERCURY - MERCURY, BLOOD	53.456	66.82
HC ASSAY OF METANEPHRINES	55.704	69.63
HC ASSAY SYNOVIAL FLUID MUCIN - MUCIN CLOT TEST	19.32	24.15
HC MYELIN BASIC PROTEIN,CSF - MYELIN BASIC PROTEIN CSF	56.624	70.78
HC ASSAY OF MYOGLOBIN - MYOGLOBIN SERUM	32.752	40.94
HC ASSAY MYELOPEROXIDASE	128.984	161.23
HC NATRIURETIC PEPTIDE - B-TYPE NATRIURETIC PEPTIDE (BNP)	664.192	830.24
HC NEPHELOMETRY, NOT SPECIFIED - KAPPA / LAMBDA LIGHT CHAINS, URINE	44.712	55.89
HC OLIGOCLONAL IMMUNOGLOBULIN - OLIGOCLONAL BANDING	72.96	91.2
HC ASSAY SNGL ORGANIC ACID, QUANTITATIVE - METHYLMALONIC ACID, SERUM	56.304	70.38
HC ASSAY OF BLOOD OSMOLALITY - OSMOLALITY	21.76	27.2
HC ASSAY OF URINE OSMOLALITY - OSMOLALITY URINE	22.448	28.06
HC ASSAY OF PARATHORMONE - PTH INTACT	135.744	169.68
HC ASSAY OF PARATHORMONE	135.744	169.68
HC ASSAY OF PARATHORMONE	135.744	169.68
HC PH BODY FLUID NOS - PH BODY FLUID	11.776	14.72
HC ASSAY OF CALPROTECTIN FECAL	167.856	209.82
HC ASSAY ALKAL PHOSPHATASE - ALKALINE PHOSPHATASE	85.008	106.26
HC ASSAY OF INORGANIC PHOSPHORUS - PHOSPHORUS	94.672	118.34
HC ASSAY OF PHOSPHORUS INORGANIC URINE	17.064	21.33
HC ASSAY OF PORPHOBILINOGEN URINE	27.832	34.79
HC PORPHYRINS URINE QUANTITATIVE/FRACTIONATED	48.392	60.49
HC ASSAY OF SERUM POTASSIUM - POTASSIUM	94.672	118.34
HC ASSAY OF URINE POTASSIUM - POTASSIUM BODY FLUID	14.216	17.77
HC ASSAY OF URINE POTASSIUM - POTASSIUM DIALYSATE	14.216	17.77
HC ASSAY OF URINE POTASSIUM - POTASSIUM RANDOM URINE	14.216	17.77
HC ASSAY OF URINE POTASSIUM - POTASSIUM,TIMED URINE	14.216	17.77
HC ASSAY OF URINE POTASSIUM - POTASSIUM 24 HOUR URINE	14.216	17.77
HC ASSAY OF PREALBUMIN - PREALBUMIN	48.024	60.03
HC ASSAY OF PREGNENOLONE - PREGNENOLONE	67.992	84.99
HC ASSAY OF 17-HYDROXYPREGNENOLONE - 17-HYDROXYPREGNENOLONE	74.984	93.73
HC ASSAY OF PROGESTERONE - PROGESTERONE	68.632	85.79
HC ASSAY OF PROCALCITOUIN	88.136	110.17
HC ASSAY OF PROLACTIN - PROLACTIN	63.712	79.64
HC ASSAY OF PROSTAGLANDIN - PROSTAGLANDIN E2, PLASMA	111.872	139.84
HC ASSAY OF PROSTAGLANDIN - PROSTAGLANDIN E2, URINE	111.872	139.84
HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA	233.408	291.76
HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA TOTAL AND FREE	233.408	291.76
HC PSA FREE	60.488	75.61
HC PROTEIN TOT XCPT REFRACTOMETRY SERUM - PROTEIN TOTAL	15.04	18.8
HC PROTEIN TOT XCPT REFRACTOMETRY URINE - PROTEIN 24 HOUR URINE	12.096	15.12
HC PROTEIN TOT XCPT REFRACTOMETRY URINE - PROTEIN / CREATININE RATIO, U	12.096	15.12
HC PROTEIN TOT XCPT REFRACTOMETRY OTH SRC - PROTEIN CSF	12.096	15.12
HC PROTEIN TOT XCPT REFRACTOMETRY OTH SRC - PROTEIN BODY FLUID	12.096	15.12
HC PROTEIN TOT XCPT REFRACTOMETRY OTH SRC - POCT PROTEIN	12.096	15.12
HC PROTEIN E-PHORESIS, SERUM - PROTEIN ELECTROPHORESIS SERUM	35.328	44.16
HC PROTEIN E-PHORESIS/URINE/CSF - PROTEIN ELECTROPHORESIS URINE	58.648	73.31
HC PROTEIN, WESTERN BLOT TEST	56.032	70.04
HC HC PROTEIN, WESTERN BLOT TEST, W BAND ID OTH FLUID	70.568	88.21
HC ASSAY OF VITAMIN B-6 - VITAMIN B6	92.368	115.46
HC ASSAY, NON-ENDOCRINE RECEPTOR - ACETYLCHOLINE RECEPTOR, BINDING	84.136	105.17
HC ASSAY, NON-ENDOCRINE RECEPTOR - ACETYLCHOLINE RECEPTOR, BLOCKING	84.136	105.17
HC ASSAY, NON-ENDOCRINE RECEPTOR - ACETYLCHOLINE RECEPTOR, MODULATING	84.136	105.17
HC ASSAY OF RENIN - RENIN DIRECT ASSAY	72.264	90.33
HC ASSAY OF SELENIUM - SELENIUM SERUM	83.952	104.94
HC ASSAY OF SEX HORMONE BINDING GLOBULIN - SEX HORMONE BINDING GLOBULIN	71.392	89.24
HC ASSAY OF SERUM SODIUM - SODIUM	88.688	110.86
HC ASSAY OF URINE SODIUM - SODIUM 24 HOUR URINE	16.056	20.07
HC ASSAY OF SOMATOMEDIN - INSULIN-LIKE GROWTH FACTOR	69.92	87.4
HC SUGARS SINGLE QUALITATIVE	18.168	22.71
HC SUGARS SINGLE QUANTITATIVE, EACH SPECIMEN - 1,5-ANHYDROGLUCITOL	29.256	36.57
HC ASSAY OF URINE SULFATE - SULFATE, URINE	15.64	19.55
HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE	83.768	104.71
HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE	84.872	106.09
HC ASSAY OF VITAMIN B-1 - VITAMIN B1	69.832	87.29
HC ASSAY OF THYROGLOBULIN - THYROGLOBULIN	52.856	66.07
HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE)	22.632	28.29
HC ASSAY OF FREE THYROXINE - T4 FREE	187.912	234.89
HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	329.176	411.47
HC ASSAY OF THYROID STIM IMMUNOGLOBULINS (TSI) - THYROID STIMULATING IM	167.168	208.96
HC ASSAY OF VITAMIN E - VITAMIN E (TOCOPHEROL)	46.648	58.31
HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT)	40.76	50.95
HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT)	45.544	56.93
HC ASSAY OF TRANSFERRIN - TRANSFERRIN	42.048	52.56
HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES	63.576	79.47
HC THYROID HORM UPTAKE/THYR HORM BINDING RATIO - T3 UPTAKE	21.256	26.57
HC TRIIODOTHYRONINE TOTAL ASSAY, TT-3 - T3 (THYROID HORMONE)	46.648	58.31
HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE	55.704	69.63
HC TRIIODOTHYRONINE T3 REVERSE - T3 REVERSE	51.888	64.86
HC ASSAY OF TROPONIN, QUANT - TROPONIN T	324.76	405.95
HC ASSAY OF TROPONIN, QUANT - TROPONIN I	373.472	466.84
HC ASSAY UREA NITROGEN, QUAN - BLOOD UREA NITROGEN	85.008	106.26
HC ASSAY URINE UREA-N - UREA NITROGEN, URINE	15.64	19.55
HC ASSAY OF URIC ACID, BLOOD - URIC ACID	14.904	18.63
HC ASSAY OF URIC ACID, BLOOD, OTHER SOURCE - URIC ACID, URINE, 24 HOUR	15.64	19.55
HC ASSAY OF URINE VMA - VMA, URINE	50.92	63.65
HC ASSAY OF VASOPRESSIN - ARGININE VASOPRESSIN HORMONE	111.6	139.5
HC ASSAY OF VITAMIN A - VITAMIN A	38.184	47.73
HC ASSAY OF NOS VITAMIN	45.448	56.81
HC ASSAY OF VITAMIN K - VITAMIN K	45.176	56.47
HC ASSAY OF ZINC - ZINC	37.448	46.81
HC ASSAY OF C-PEPTIDE - C-PEPTIDE	68.496	85.62
HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD	55.384	69.23
HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE URINE	147.336	184.17
HC TRICHOMONAS VAGINALIS DNA AMP PROB	108.792	135.99
HC ALLERGEN SPEC IGG QUANT,EACH	20.888	26.11
HC WBC ANTIBODY IDENTIFICATION - ANTI-NEUTROPHIL ANTIBODY	49.496	61.87
HC PLATELET ANTIBODIES - PLATELET ANTIBODIES, INDIRECT	44.344	55.43
HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES)	39.84	49.8
HC ANTINUCLEAR ANTIBODIES TITER - ANA TITER	36.712	45.89
HC ANTISTREPTOLYSIN O TITER - ANTISTREPTOLYSIN O TITER	24.016	30.02
HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN	21.16	26.45
HC C-REACTIVE PROTEIN,HIGH SENSITIVITY - HIGH SENSITIVITY CRP	253.784	317.23
HC BETA 2 GLYCOPROTEIN I ANTIBODY,EA - BETA-2 GLYCOPROTEIN ABS	83.72	104.65
HC CARDIOLIPIN ANTIBODY - CARDIOLIPIN ANTIBODY	83.72	104.65
HC PHOSPHOLIPID ANTIBODY - PHOSPHATIDYLSERINE ANTIBODIES	52.856	66.07
HC COLD AGGLUTININ, TITER - COLD AGGLUTININ TITER	23.368	29.21
HC COMPLEMENT, ANTIGEN - C4 COMPLEMENT	56.904	71.13
HC COMPLEMENT, ANTIGEN - C3 COMPLEMENT	39.472	49.34
HC COMPLEMENT, TOTAL (CH50) - COMPLEMENT TOTAL	66.792	83.49
HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY	42.6	53.25
HC DNA ANTIBODY, NATV/2 STRAND - ANTI DNA, DOUBLE STRANDED	45.176	56.47
HC DNA ANTIBODY, SINGLE STRAND - DNA ANTIBODY, SINGLE STRAND	39.84	49.8
HC NUCLEAR ANTIGEN ANTIBODY - SJOGRENS SYNDROME-A EXT NU AB	58.976	73.72
HC NUCLEAR ANTIGEN ANTIBODY - SJOGRENS SYNDROME-B EXT NUC AB	58.976	73.72
HC EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY - CHROMATIN NUCLEOSOMAL AB	58.976	73.72
HC FLUORESCENT ANTIBODY SCREEN	39.744	49.68
HC FLUORESCENT ANTIBODY; TITER - EHRLICA CANIS AB	39.744	49.68
HC IMMUNOASSAY, TUMOR ANTIGEN, CA 15-3 - CANCER ANTIGEN 15-3	68.496	85.62
HC IMMUNOASSAY, TUMOR ANTIGEN, CA 15-3 - CANCER ANTIGEN 27.29	68.496	85.62
HC IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 - CANCER ANTIGEN 19-9	68.496	85.62
HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 - CA 125	68.496	85.62
HC HUMAN EPIDIDYMIS PROTEIN 4 HE4 /SO	68.496	85.62
HC HETEROPHILE ANTIBODIES,SCREEN - MONONUCLEOSIS SCREEN	101.936	127.42
HC IMMUNOASSAY FOR TUMOR QUANTITATIVE ANTIGEN	68.496	85.62
HC IMMUNOASSAY,INFECT AGENT,QUANT - RUBELLA ANTIBODY IGG	49.592	61.99
HC IMMUNOASSAY,INFECT AGENT,QUANT - STREP PNEUMONIAE ANTIBODY SEROTYPES	49.312	61.64
HC IMMUNOASSAY,INFECT AGENT,QUANT - HERPES CULTURE	49.592	61.99
HC IMMUNOASSAY,INFECT AGENT,QUAL - POCT H. PYLORI ANTIBODIES	49.592	61.99
HC IMMUNOELECTROPHORESIS SERUM	79.72	99.65
HC IMMUNODIFFUSION NES	46.184	57.73
HC IMMUNODIFFUSION OUCHTERLONY - HYPER PNEUMO EXTENDED PANEL	30.36	37.95
HC IMMUNODIFFUSION OUCHTERLONY - HYPER PNEUMO SEROLOGY	30.36	37.95
HC IMMUNOFIXATION ELECTROPHORESIS SERUM	73.6	92
HC IMMUNFIX E-PHORSIS/URINE/CSF - MONOCLONAL PROTEIN URINE	96.512	120.64
HC INSULIN ANTIBODIES - INSULIN ANTIBODY	51.752	64.69
HC INTRINSIC FACTOR ANTIBODY - INTRINSIC FACTOR BLOCKING ANTIBODY	49.592	61.99
HC ISLET CELL ANTIBODY - ANTI-ISLET CELL AB	65.048	81.31
HC B CELLS, TOTAL COUNT - B CELLS, TOTAL COUNT	91.08	113.85
HC MONONUCLEAR CELL ANITGEN NOS	61.592	76.99
HC NK CELLS, TOTAL COUNT - NATURAL KILLER CELL COUNT	124.016	155.02
HC T CELLS, TOTAL COUNT - T CELLS, TOTAL COUNT	95.68	119.6
HC T CELL ABSOLUTE COUNT/RATIO - T-HELPER CELLS CD4/CD8 %	119.144	148.93
HC T CELL ABSOLUTE COUNT - T-HELPER CELLS (CD4) COUNT	88.048	110.06
HC TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS	26.496	33.12
HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY	47.84	59.8
HC MITOCHONDRIAL ANTIBODY EACH	58.512	73.14
HC NEUTRALIZATION TEST, VIRAL - RABIES ANTIBODY TITER	55.616	69.52
HC PARTICLE AGGLUTINATION SCREEN	30.728	38.41
HC RHEUMATOID FACTOR TEST - RHEUMATOID FACTOR SCREEN	14.12	17.65
HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR	18.68	23.35
HC TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON - TB TEST	203.784	254.73
HC TUBERCULOSIS INTRADERMAL TEST	98.536	123.17
HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - RAPID PLASMA REAGIN-SYP	14.032	17.54
HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL	10.352	12.94
HC ASPERGILLUS ANTIBODY - ASPERGILLUS ABS	44.528	55.66
HC BACTERIUM, ANTIBODY	38.088	47.61
HC BARTONELLA, ANTIBODY - BARTONELLA AB PANEL	33.536	41.92
HC BLASTOMYCES, ANTIBODY - BLASTOMYCES ANTIBODIES	38.224	47.78
HC BORDETELLA ANTIBODY - BORDETELLA PERTUSSIS ANTIBODY	33.536	41.92
HC LYME DISEASE ANTIBODY, CONFIRMATORY - LYME DISEASE, WESTERN BLOT	50.92	63.65
HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES	56.032	70.04
HC CANDIDA, ANTIBODY - CANDIDA ANTIBODY	39.472	49.34
HC CHLAMYDIA, ANTIBODY - CHLAMYDIA ANTIBODIES	38.92	48.65
HC CHLAMYDIA, IGM, ANTIBODY - CHLAMYDIA ANTIBODY, IGM	20.424	25.53
HC COCCIDIOIDES, ANTIBODY - COCCIDIOIDES ANTIBODIES	34.136	42.67
HC Q FEVER ANTIBODY - COXIELLA BRUNETII Q FEVER ANTIBODY	40.48	50.6
HC CRYPTOCOCCUS ANTIBODY - CRYPTOCOCCUS ANTIBODY	42.6	53.25
HC CMV ANTIBODY - CYTOMEGALOVIRUS IGG	47.288	59.11
HC CMV ANTIBODY, IGM - CYTOMEGALOVIRUS ANTIBODY, IGM	55.384	69.23
HC ENTEROVIRUS ANTIBODY - COXSACKIE AB	42.784	53.48
HC EPSTEIN-BARR ANTIBODY - EPSTEIN-BARR VIRUS EARLY	31.696	39.62
HC EPSTEIN-BARR NUCLEAR ANTIGEN - EPSTEIN-BARR VIRUS NUCLEAR ANTIGEN AB	50.328	62.91
HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA, IGA	59.664	74.58
HC EHRLICHIA ANTIBODY - EHRLICHIA CHAFFEENSIS PANEL	33.536	41.92
HC FUNGUS NES ANTIBODY - ALLERGEN, FUNGI & MOLDS, ALTERNARIA TENUIS IGG	40.296	50.37
HC FUNGUS NES ANTIBODY - ALLERGEN, FUNGI & MOLDS, AUREOBASIDIUM PUL IGG	40.296	50.37
HC FUNGUS NES ANTIBODY - ALLERGEN, FUNGI & MOLDS, CANDIDA ALBICANS IGG	40.296	50.37
HC FUNGUS NES ANTIBODY - ALLERGEN, FUNGI & MOLDS, CLADOSPORIUM IGG	40.296	50.37
HC FUNGUS NES ANTIBODY - ALLERGEN, FUNGI & MOLDS, FUSARIUM PRO/MON IGG	40.296	50.37
HC FUNGUS NES ANTIBODY - ALLERGEN, FUNGI & MOLDS, HEL SET ROS/HAL IGG	40.296	50.37
HC FUNGUS NES ANTIBODY - ALLERGEN, FUNGI & MOLDS, MUCOR RACEMOSUS IGG	40.296	50.37
HC FUNGUS NES ANTIBODY - ALLERGEN, FUNGI & MOLDS, PENICILLIUM CH/NO IGG	40.296	50.37
HC FUNGUS NES ANTIBODY - ALLERGEN, FUNGI & MOLDS, PHOMA BETAE IGG	40.296	50.37
HC FUNGUS NES ANTIBODY - ALLERGEN, FUNGI & MOLDS, RHIZOPUS NIGRICAN IGG	40.296	50.37
HC FUNGUS NES ANTIBODY - ALLERGEN, FUNGI & MOLDS, TRICHOPHYTON RUB IGG	40.296	50.37
HC FUNGUS, ANTIBODY - SACCHAROMYCES CEREVISIAE ANTIBODIES, IGG AND IGA	40.296	50.37
HC FUNGUS, ANTIBODY - SPOROTHRIX ANTIBODY	40.296	50.37
HC SHIGELLA - INFLAMMATORY BOWEL DISEASE PANEL	40.296	50.37
HC GIARDIA LAMBLIA - GIARDIA LAMBLIA ANTIBODY, IFA	48.392	60.49
HC HELICOBACTER PYLORI - HELICOBACTER PYLORI IGA	47.752	59.69
HC HELMINTH, ANTIBODY - CYSTICERCOSIS ANTIBODY, IGG	31.416	39.27
HC HELMINTH, ANTIBODY - ECHINOCOCCUS ANTIBODY, IGG	31.416	39.27
HC HELMINTH, ANTIBODY - FILARIASIS ANTIBODIES, IGG4	31.416	39.27
HC HELMINTH, ANTIBODY - SCHISTOSOMA ANTIBODY, IGG	31.416	39.27
HC HELMINTH, ANTIBODY - TOXACARA ANTIBODY	31.416	39.27
HC HEPATITIS, DELTA AGENT - HEPATITIS DELTA VIRUS	56.4	70.5
HC HERPES SIMPLEX TEST, UNSPECIFIED TYPE - HSV NON-SPECIFIC ANTIBODY	47.288	59.11
HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGG ANTIBODY	43.376	54.22
HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG ANTIBODY	63.664	79.58
HC HISTOPLASMA - HISTOPLASMA ANTIBODIES	36.984	46.23
HC HIV-1/HIV-2, SINGLE ASSAY - RAPID HIV 1 AND 2 SCREEN	45.032	56.29
HC HEP B CORE AB TEST, TOTAL - HEPATITIS B CORE ANTIBODY, TOTAL	39.744	49.68
HC HEP B CORE AB TEST, IGM - HEPATITIS B CORE ANTIBODY, IGM	38.736	48.42
HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY	35.328	44.16
HC HEPATITIS BE AB TEST - HEPATITIS B E ANTIBODY	38.088	47.61
HC HEPATITIS A ANTIBODY HAAB - HEPATITIS A ANTIBODY, TOTAL	40.664	50.83
HC HEPATITIS ANTIBODY HAAB IGM ANTIBODY - HEPATITIS A ANTIBODY, IGM	37.08	46.35
HC LEISHMANIA - LEISHMANIA ANTIBODY	46.648	58.31
HC MUMPS - MUMPS IGG ANTIBODY	42.872	53.59
HC MUMPS - MUMPS IGM ANTIBODY	42.872	53.59
HC MYCOPLASMA - MYCOPLASMA PNEUMONIAE ANTIBODY, IGG	43.52	54.4
HC PROTOZOA, NOT ELSEWHERE - BABESIA MICROTI, IGG	40.664	50.83
HC PROTOZOA, NOT ELSEWHERE - BABESIA MICROTI, IGM	40.664	50.83
HC PROTOZOA, NOT ELSEWHERE - TRYPANOSOMA CRUZI ANTIBODY, IGG	40.664	50.83
HC PROTOZOA, NOT ELSEWHERE - TRYPANOSOMA CRUZI ANTIBODY, IGM	40.664	50.83
HC RICKETTSIA - RICKETTSIA RICKETTSII ANTIBODY	63.944	79.93
HC RICKETTSIA - RICKETTSIA TYPHI (TYPHUS FEVER) ANTIBODY	63.944	79.93
HC RUBELLA - RUBELLA ANTIBODY, IGM	47.288	59.11
HC RUBEOLA - RUBEOLA ANTIBODY	42.368	52.96
HC SARS-COV-2 COVID-19 ANTIBODY - COVID-19 ANTIBODY TITER, IGG AND IGM	86.296	107.87
HC TETANUS - TETANUS TOXOID, IGG	49.408	61.76
HC TOXOPLASMA - TOXOPLASMA GONDII IGG ANTIBODY	47.288	59.11
HC TOXOPLASMA - TOXOPLASMA GONDII ANTIBODY, IGA	47.288	59.11
HC TOXOPLASMA, IGM - TOXOPLASMA GONDII ANTIBODY, IGM	47.384	59.23
HC ANTIBODY TREPONEMA PALLIDUM - T. PALLIDUM CONFIRMATORY	32.016	40.02
HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGG	42.368	52.96
HC VIRUS ANTIBODIES NES	42.368	52.96
HC THYROGLOBULIN ANTIBODY - ANTI-THYROGLOBULIN AB	52.352	65.44
HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY	46.872	58.59
HC HEP C AB TEST, CONFIRM - HEPATITIS C VIRUS, RIBA	50.92	63.65
HC HLA TYPING, A,B,OR C /SINGLE - HLA-B27 ANTIGEN	84.872	106.09
HC BLOOD SMEAR,MICRO EXAM,MANUAL DIFF WBC - MANUAL DIFFERENTIAL	123.416	154.27
HC HEMATOCRIT - HEMATOCRIT	70.752	88.44
HC HEMOGLOBIN - HEMOGLOBIN	80.32	100.4
HC COMPLETE CBC & AUTO DIFF WBC	173.696	217.12
HC COMPLETE CBC - CBC	137.768	172.21
HC RED BLOOD CELL (RBC) COUNT - RED BLOOD CELL COUNT	9.936	12.42
HC RETICULOCYTE COUNT, AUTO - RETICULOCYTES	196.328	245.41
HC PLATELET COUNT - PLATELET COUNT	208.288	260.36
HC BLOOD SMEAR INTERPRETATION - LAB BLOOD SMEAR INTERPRETATION	68.128	85.16
HC CLOT FACTOR VIII AHG 1 STAGE - VON WILLEBRAND PANEL	58.832	73.54
HC CLOT FACTOR VIII VW RISTOCTN - FACTOR VIII RISTOCETIN COFACTR	75.44	94.3
HC CLOT FACTOR VIII VW ANTIGEN - VON WILLEBRAND ANTIGEN	75.44	94.3
HC CLOTTING FACTR VIII VW MULTIMETRIC	75.44	94.3
HC CLOT FACTOR X STUART-POWER - FACTOR 10 ACTIVITY	70.656	88.32
HC ANTITHROMBIN III TEST,ACTIV - ANTITHROMBIN III	38.92	48.65
HC ANTITHROMBIN III TEST,ACTIV - ANTITHROMBIN PANEL	38.92	48.65
HC ANTITHROMBIN III TEST,ANTIGEN - ANTITHROMBIN III AG	35.56	44.45
HC CLOT INHIB PROTEIN C,ANTIGEN - PROTEIN C ANTIGEN TOTAL	51.616	64.52
HC CLOT INHIB PROTEIN C,ACTIV - PROTEIN C ACTIVITY	45.544	56.93
HC CLOT INHIB PROTEIN S,FREE - PROTEIN S ACTIVITY	50.416	63.02
HC FACTOR INHIBITOR TEST - BETHESDA INHIBITOR	32.664	40.83
HC FIBRIN DEGRAD PRODUCTS, AGGLUTINATION - FIBRIN SPLIT PRODUCTS	23.464	29.33
HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - D-DIMER,QUANTITATIVE	326.784	408.48
HC FIBRINOGEN, ANTIGEN - FIBRINOGEN ANTIGEN	38.552	48.19
HC HEPARIN ASSAY - HEPARIN LEVEL	37.08	46.35
HC WBC ALKALINE PHOSPHATASE - LEUKOCYTE ALKALINE PHOSPHATASE	28.336	35.42
HC MURAMIDASE - LYSOZYME, SERUM	45.264	56.58
HC MURAMIDASE - LYSOZYME, URINE	45.264	56.58
HC PROTHROMBIN TIME - PROTIME-INR	183.216	229.02
HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY	183.216	229.02
HC PROTHROMBIN TIME - PROTIME-INR, FINGERSTICK	183.216	229.02
HC PROTHROMBIN TIME - ADDITIONAL CHARGE	183.216	229.02
HC RUSSELL VIPER VENOM, DILUTED - DRVVT (DILUTE RUSSEL VV TIME)	31.512	39.39
HC RBC SED RATE, AUTO - SEDIMENTATION RATE, AUTOMATED	77.928	97.41
HC RBC SICKLE CELL TEST - SICKLE CELL SCREEN	18.168	22.71
HC THROMBOPLAS TIME PARTIAL (APTT) - PLASMA/WHOLE BLOOD	208.288	260.36
HC PTT - LA SCREEN	208.288	260.36
HC BLOOD VISCOSITY EXAMINATION - VISCOSITY, SERUM	38.456	48.07
HC SPECIMEN CONCENTRATION - CRYPTOSPORIDIUM OR INFECTIOUS AGENT	21.992	27.49
HC BLOOD CULTURE FOR BACTERIA	33.952	42.44
HC CULTURE AEROBIC BACTERIA FECES	31.096	38.87
HC HC STOOL CULTURE, ADDL PATHOGENS	31.096	38.87
HC CULTURE BACTERIA EXCPT URINE BLOOD/STOOL AEROBIC ISOL	28.336	35.42
HC CULTURE BACTERIA ANAEROBIC EXCEPT BLOOD	31.192	38.99
HC ORGANISM IDENTIFIED ANAEROBIC	31.096	38.87
HC BACTERIA IDENTIFICATION, AEROBIC ISOLATE - POCT H. PYLORI	31.096	38.87
HC BACTERIA IDENTIFICATION, AEROBIC ISOLATE - ORGANISM ID CULTURE	31.096	38.87
HC BACTERIA IDENTIFICATION, AEROBIC ISOLATE - PERFORM ID V/M	31.096	38.87
HC BACTERIA IDENTIFICATION, AEROBIC ISOLATE - PERFORM ID R/M	31.096	38.87
HC BACTERIA IDENTIFICATION, AEROBIC ISOLATE - PERFORM ID V/M/R	31.096	38.87
HC BACTERIA CULTURE SCREEN	21.848	27.31
HC URINE CULTURE QUANTITATIVE COLONY COUNT	26.592	33.24
HC URINE BACTERIA CULTURE	31.096	38.87
HC CULTURE FUNGI-SKIN HAIR NAILS - FUNGAL CULTURE, CUTANEOUS	25.304	31.63
HC FUNGUS ISOLATION CULTURE	27.648	34.56
HC BLOOD FUNGUS CULTURE	54.464	68.08
HC FUNGUS IDENTIFICATION, MOLD - FUNGAL IDENTIFICATION, MOLD	33.952	42.44
HC MYCOPLASMA CULTURE - MYCOPLASMA / UREAPLASMA CULTURE	39.104	48.88
HC CHLAMYDIA CULTURE ANY SOURCE	64.448	80.56
HC MICOBACTERIA CULTURE TB/AFB	35.56	44.45
HC CULTURE TYPING IMMUNOFLUORESCENT EACH ANTISERUM	18.4	23
HC CULTURE TYPING GLC/HPLC	41.216	51.52
HC CULTURE TYPE IMMUN NOT FLUORES	19.92	24.9
HC MACROSCOPIC EXAM, PARASITE - PARASITE IDENTIFICATION	14.032	17.54
HC PINWORM EXAM - PINWORM PREP	14.032	17.54
HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION	29.256	36.57
HC MICROBE SUSCEPTIBLE DIFFUSE	15.64	19.55
HC ANTIBIOTIC SENS,DISK,EACH - SUSCEPTBILITY DISK	22.632	28.29
HC MICROBE SUSCEPTIBLE ENZYME /SO	18.264	22.83
HC ANTIBIOTIC SENS,MIC,EACH - SUSCEPTIBILITY	33.216	41.52
HC SMEAR GRAM STAIN	14.032	17.54
HC SMEAR,FLUOR STAIN,INTERP - AFB STAIN	17.664	22.08
HC SMEAR,INCLUSION BODIES/PARASITES,INTERP - MALARIA SMEAR	19.688	24.61
HC SMEAR COMPLEX STAIN OVA PARASITES	59.064	73.83
HC SMEAR,STAIN,WET MNT,INTERP - WET PREP GENITAL	55.2	69
HC TISSUE EXAM BY KOH - KOH PREP	45.544	56.93
HC ASSAY, TOXIN OR ANTITOXIN - CLOSTRIDIUM DIFFICILE TOXINS TISSUE CULT	64.864	81.08
HC VIRUS TISSUE CULTURE BY INOCULATION	85.744	107.18
HC VIRUS INOCULATION SHELL VIAL STAIN	64.352	80.44
HC VIRUS ID,NON-IMMUNOLOGIC METHOD - HSV CULTURE	111.32	139.15
HC CRYPTOSPORIDIUM AG IF	39.472	49.34
HC VARICELLA AG, DFA - VARICELLA ZOSTER DFA	39.472	49.34
HC AG DETECTION NOS, IMMUNOFLUORESCENT OR FLUORSCENCE	42.872	53.59
HC IAAD IA QUAL/SEMIQUAN MULTIPLE STEP ASPERGILLUS - ASPERGILLUS GALACT	35.56	44.45
HC IAAD IA CLOSTRIDIUM DIFFICILE TOXIN - C. DIFFICILE TOXINS (BY EIA)	39.472	49.34
HC IAAD IA GIARDIA STOOL - OVA AND PARASITE SCREEN	39.472	49.34
HC IAAD IA GIARDIA - GIARDIA LAMBLIA ANTIGEN	39.472	49.34
HC IAAD IA GIARDIA - GIARDIA LAMBLIA ANTIGEN	39.472	49.34
HC ENTAMOEB HIST GRP AG IA	39.472	49.34
HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL	47.288	59.11
HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN	33.952	42.44
HC IAAD IA HEPATITIS BE ANTIGEN - HEPATITIS B E ANTIGEN	37.904	47.38
HC IAAD IA HISTOPLASM CAPSULATUM - HISTOPLASMA ANTIGEN URINE	35.56	44.45
HC IAAD IA HISTOPLASM CAPSULATUM - HISTOPLASMA ANTIGEN, SERUM	35.56	44.45
HC INFLUENZA A&B AG,EIA	39.472	49.34
HC IAAD IA SHIGA-LIKE TOXIN - SHIGA-LIKE TOXIN ANTIGEN, EIA	39.472	49.34
HC IAAD IA MULT STEP METHOD NOS EACH ORGANISM	39.472	49.34
HC BARTONELLA, DNA, AMP PROBE - BARTONELLA, DNA, AMP PROBE	115.368	144.21
HC CANDIDA, DNA, DIR PROBE - CANDIDA DNA PROBE	65.968	82.46
HC CANDIDA, DNA, AMP PROBE - CANDIDA DNA, PCR	115.368	144.21
HC CHYLMD PNEUM, DNA, AMP PROBE - CHLAMYDIA PNEUMONIAE DNA PROBE, AMP	115.368	144.21
HC CHYLMD TRACH, DNA, AMP PROBE - CHLAMYDIA DNA PCR	115.368	144.21
HC C DIFF AMPLIFIED PROBE	115.368	144.21
HC CYTOMEG, DNA, QUANT - CMV DNA, QUANTITATIVE, PCR	140.808	176.01
HC INFLUENZA DNA AMP PROBE	255.12	318.9
HC GARDNER VAG DNA DIR PROBE - GARDNERELLA VAGINALIS DNA PROBE, DIRECT	65.968	82.46
HC GARDNER VAG DNA QUANT - GARDNERELLA VAGINALIS DNA PROBE, QUANT	137.264	171.58
HC HEPATITIS B , DNA, QUANT - HEPATITIS B DNA, ULTRAQUANTITATIVE, PCR	140.808	176.01
HC IADNA HEPATITIS C AMPLIFIED PROBE&REVRSE TRANSCR - HEPATITIS C GENO	115.368	144.21
HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR	140.808	176.01
HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION	140.808	176.01
HC HSV, DNA, AMP PROBE - HSV PCR	115.368	144.21
HC HSV, DNA, QUANT - HSV DNA, QUANTITATIVE	120.8	151
HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV RNA, QUANTITATIVE, PCR	279.776	349.72
HC M.TUBERCULO, DNA, AMP PROBE - M. TUBERCULOSIS DNA PROBE, AMPLIFIED	115.368	144.21
HC INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); MYCOPLASMA GENITALIUM	84.776	105.97
HC M.PNEUMON, DNA, AMP PROBE - MYCOPLASMA PNEUMONIAE PCR	84.776	105.97
HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR	115.368	144.21
HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE, AMP	115.36	144.2
HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV HIGH RISK PCR	115.36	144.2
HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE, AMP/DIRECT/PCR	115.368	144.21
HC IADNA HUMAN PAPILLOMAVIRUS TYPES 16 & 18 ONLY	115.368	144.21
HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-COV-2 RT PCR	128.8	161
HC MRSA, DNA, AMP PROBE - MR STAPH DNA PROBE, AMPLIFIED	115.368	144.21
HC STREP A, DNA, AMP PROBE - STREP A DNA PROBE, AMPLIFICATION	103.872	129.84
HC TRICHOMONAS VAGIN, DIR PROBE - TRICHOMONAS VAGINALIS DNA PROBE	65.968	82.46
HC INFECTIOUS DETECT AGENT NOS, DNA, AMP	115.368	144.21
HC INFECTIOUS DETECT AGENT NOS, DNA, AMP - RSV BY PCR	115.368	144.21
HC DETECT AGENT NOS, DNA, QUANT	140.808	176.01
HC DETECT AGENT, MULT ORGS, DNA, AMP	207.736	259.67
HC DETECT AGENT, MULT ORGS, DNA, AMP LYME WEST BLOT /SO	230.784	288.48
HC DETECT AGENT,IMMUN,DIR OBS,INFLUENZA	95.776	119.72
HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN	176	220
HC GENOTYPE ANALYSIS HEPATITIS C LIPA	846.312	1057.89
HC HEP B GENOTYPE DNA	846.312	1057.89
HC URINALYSIS, NONAUTO, W/SCOPE	65.872	82.34
HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC	142.552	178.19
HC URINALYSIS NONAUTO W/O SCOPE	28.8	36
HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY	122.224	152.78
HC URINALYSIS, MICROSCOPIC ONLY	45.544	56.93
HC URINE PREGNANCY TEST - PREGNANCY URINE	100.56	125.7
HC ASSAY OF OXALATE - OXALATE URINE	11.96	14.95
HC KIT - URINE COLLECTION	56.808	71.01
HC BRCA1&BRCA2 FULL SEQ ANALYS/FULL DUP/DEL ANALYS	5998.216	7497.77
HC BCR/ABL1 GENE MAJOR BREAKPOINT	415.752	519.69
HC BCR/ABL1 GENE MINOR BREAKPOINT	367.264	459.08
HC CFTR GENE ANALYSIS COMMON VARIANTS	1482.032	1852.54
HC HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS - HEMOCHROMATOSIS MUT	214.824	268.53
HC JAK2 GENE ANAL - JAK 2 MUTATION	307.696	384.62
HC MTHFR METHYLENETRAHYDROFOLATE GENE ANAL - METHYLENETRAHYDROFOLATE	173.976	217.47
HC SNRPN/UBE3A METHYLATION GENE ANALYSIS S/O	136.024	170.03
HC TPMT GENE ANALYSIS COM VARIANTS	443.304	554.13
HC HLA I LOW RESOLUTION ONE ANTIGEN EQUIVALENT EACH	239.152	298.94
HC HLA ONE CLASS II LOCUS LOW RESOLUTION ASSESSMENT	401.768	502.21
HC HLA ONE CLASS II LOCUS HIGH RESOLUTION ASSESSMENT	406.552	508.19
HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 2 - HUNTINGTON'S	364.32	455.4
HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 2 - FSHD1 SOUTHERN BLOT TEST	696.992	871.24
HC ONCO OVARIAN BIOCHEM ASSAY 2 PROTEIN	693.592	866.99
HC LIVER FIBROSIS PANEL	192.28	240.35
HC SURG PATH,LEVEL II - LAB SURG PATH,LEVEL II	84.736	105.92
HC SURG PATH,LEVEL III - LAB SURG PATH,LEVEL III	119.048	148.81
HC SURG PATH,LEVEL V - LAB SURG PATH,LEVEL V	573.624	717.03
HC CYTOPATH FL NONGYN SMEARS - LAB CYTOPATH FLUIDS,SMEAR,INTERP	84.736	105.92
HC CYTOPATH CELL ENHANCE TECH - LAB CYTOPATH, CELL ENHANCE TECH	74.888	93.61
HC CYTOPATH C/V THIN LAYER - LAB CYTOPATH CERV/VAG THIN LAYER	66.608	83.26
HC CYTOPATH C/V AUTO FLUID REDO - LAB CYTOPAT,CER/VAG,THIN LAYER,INTER	87.128	108.91
HC FLOWCYTOMETRY/ TECH COMPONENT, 1 MARKER - LAB FLOWCYTOMETRY/TECH CMP	38.32	47.9
HC FLOWCYTOMETRY/TECH COMPONENT, ADD-ON - LAB FLOWCYTOMETRY/TECH CMP	9.936	12.42
HC FLOWCYTOMETRY INTERPRETATION 16 OR MORE MARKERS	236.808	296.01
HC MOLECULAR CYTOGENETICS DNA PROBE EACH	51.752	64.69
HC MOLECULAR CYTOGENETICS 25-99 CELLS S/O	102.352	127.94
HC CYSTIC FIBROSIS SCREEN	119.784	149.73
HC SURG PATH,GROSS,LEVEL I - LAB SURG PATH,GROSS,LEVEL I	46.552	58.19
HC SURG PATH,LEVEL IV - LAB SURG PATH,LEVEL IV	119.048	148.81
HC SURG PATH,LEVEL VI - LAB SURG PATH,LEVEL VI	1440.352	1800.44
HC X-RAY JAW <4 VW - XR MANDIBLE < 4 VIEWS	143.92	179.9
HC X-RAY JAW <4 VW - XR MANDIBLE < 4 VIEWS LEFT	165.512	206.89
HC X-RAY JAW <4 VW - XR MANDIBLE < 4 VIEWS RIGHT	165.512	206.89
HC X-RAY JAW <4 VW - XR MANDIBLE < 4 VIEWS BILATERAL	330.88	413.6
HC X-RAY FACIAL BONES <3 VW - XR FACIAL BONES 1-2 VIEWS	165.512	206.89
HC X-RAY FACIAL BONES 3+ VW - XR FACIAL BONES 3+ VIEWS	316.208	395.26
HC X-RAY NASAL BONES - XR NASAL BONES	165.512	206.89
HC X-RAY ORBITS - XR ORBITS COMPLETE 4+ VIEWS	316.208	395.26
HC X-RAY SINUSES <3 VW - XR PARANASAL SINUSES 1-2 VIEWS	165.512	206.89
HC X-RAY SINUSES 3+ VW - XR PARANASAL SINUSES 3+ VIEWS	165.512	206.89
HC X-RAY SKULL <4 VW - XR SKULL 1-3 VIEWS	316.208	395.26
HC X-RAY SKULL 4+ VW - XR SKULL COMPLETE 4+ VIEWS	316.208	395.26
HC X-RAY TMJ BILAT - XR TEMPOROMANDIBULAR JOINT OPEN AND CLOSED BIL	165.512	206.89
HC X-RAY NECK SOFT TISSUE - XR NECK SOFT TISSUE	165.512	206.89
HC X-RAY RIBS 2 VW UNILAT - XR RIBS 2 VIEWS LEFT	165.512	206.89
HC X-RAY RIBS 2 VW UNILAT - XR RIBS 2 VIEWS RIGHT	165.512	206.89
HC X-RAY RIBS 3 VW BILAT - XR RIBS 3 VIEWS BILATERAL	316.208	395.26
HC X-RAY STERNUM 2+ VW - XR STERNUM 2+ VIEWS	165.512	206.89
HC X-RAY SPINE ONE VIEW - XR SPINE	165.512	206.89
HC RADEX SPINE CERVICAL 2 OR 3 VIEWS - XR CERVICAL SPINE 1 VIEW	165.512	206.89
HC RADEX SPINE CERVICAL 2 OR 3 VIEWS - XR CERVICAL SPINE 2-3 VIEWS	165.512	206.89
HC RADEX SPINE CERVICAL 4 OR 5 VIEWS - XR CERVICAL SPINE COMP 4-5 VIEWS	316.208	395.26
HC RADEX SPINE CERVICAL 6 OR MORE VIEWS - XR C-SPINE COMPLETE 6+ VIEWS	316.208	395.26
HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2 VIEWS	316.208	395.26
HC X-RAY THORACIC SPINE+SWIM 3 VW - XR THORACIC SPINE 3 VIEWS	316.208	395.26
HC RADEX X-RAY EXAM THORACOLMB 2+ VW - XR THORACOLUMBAR SPINE 2 VIEWS	165.512	206.89
HC RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW - XR ENTIRE SPINE 1 V	165.512	206.89
HC RADEX X-RAY EXAM ENTIRE SPI 4/5 VW - XR ENTIRE SPINE 4 OR 5 VW	255.76	319.7
HC X-RAY LUMBAR SPINE 2/3 VW - XR LUMBAR SPINE 2-3 VIEWS	316.208	395.26
HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	316.208	395.26
HC X-RAY LUMBAR SPINE 6+ VW - XR LUMBAR SPINE 6+ VWS INCLUDING BENDING	316.208	395.26
HC X-RAY LUMBAR SPINE FLEX/EXTEN - XR LUMBAR SPINE 4+ VIEWS W/ FLEX EXT	304.84	381.05
HC X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS	316.208	395.26
HC X-RAY SACROILIAC JTS <3 VW - XR SACROILIAC JOINTS 1-2 VIEWS	316.208	395.26
HC X-RAY SACROILIAC JTS 3+ VW - XR SACROILIAC JOINTS 3+ VIEWS	316.208	395.26
HC X-RAY SACRUM/COCCYX 2+ VW - XR SACRUM COCCYX 2+ VIEWS	165.512	206.89
HC X-RAY CLAVICLE - XR CLAVICLE LEFT	165.512	206.89
HC X-RAY CLAVICLE - XR CLAVICLE RIGHT	165.512	206.89
HC X-RAY SCAPULA - XR SCAPULA LEFT	165.512	206.89
HC X-RAY SCAPULA - XR SCAPULA RIGHT	316.208	395.26
HC X-RAY SHOULDER 1 VW - XR SHOULDER 1 VIEW LEFT	165.512	206.89
HC X-RAY SHOULDER 1 VW - XR SHOULDER 1 VIEW RIGHT	165.512	206.89
HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS BILATERAL	330.88	413.6
HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS LEFT	165.512	206.89
HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS RIGHT	165.512	206.89
HC X-RAY AC JTS - XR ACROMIOCLAVICULAR JOINTS BILATERAL	165.512	206.89
HC X-RAY HUMERUS - XR HUMERUS BILATERAL	331.024	413.78
HC X-RAY HUMERUS - XR HUMERUS LEFT	165.512	206.89
HC X-RAY HUMERUS - XR HUMERUS RIGHT	165.512	206.89
HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS BILATERAL	330.88	413.6
HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS LEFT	165.512	206.89
HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS RIGHT	165.512	206.89
HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS BILATERAL	330.88	413.6
HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS LEFT	165.512	206.89
HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS RIGHT	165.512	206.89
HC X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS LEFT	165.512	206.89
HC X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS RIGHT	165.512	206.89
HC X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS BILATERAL	330.88	413.6
HC X-RAY ARM, INFANT - XR UPPER EXTREMITY 2+ VIEWS INFANT LEFT	316.208	395.26
HC X-RAY ARM, INFANT - XR UPPER EXTREMITY 2+ VIEWS INFANT RIGHT	316.208	395.26
HC X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS LEFT	165.512	206.89
HC X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS RIGHT	165.512	206.89
HC X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS BILATERAL	330.88	413.6
HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS LEFT	165.512	206.89
HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS RIGHT	165.512	206.89
HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS BILATERAL	330.88	413.6
HC X-RAY HAND 2 VW - XR HAND 1-2 VIEWS LEFT	165.512	206.89
HC X-RAY HAND 2 VW - XR HAND 1-2 VIEWS RIGHT	165.512	206.89
HC X-RAY HAND 2 VW - XR HAND 1-2 VIEWS BILATERAL	632.36	790.45
HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS LEFT	165.512	206.89
HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS RIGHT	165.512	206.89
HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS BILATERAL	330.88	413.6
HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS RIGHT	165.512	206.89
HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS LEFT	165.512	206.89
HC X-RAY EXAM HIP UNI 1 VIEW - XR HIP 1 VW LEFT	165.512	206.89
HC X-RAY EXAM HIP UNI 1 VIEW - XR HIP 1 VW RIGHT	165.512	206.89
HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW LEFT	165.512	206.89
HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW RIGHT	165.512	206.89
HC X-RAY EXAM HIPS BI 2 VWS - XR HIPS BILAT 2 VW W/ OR W/O PELVIS	316.208	395.26
HC X-RAY EXAM HIPS BI 3-4 VWS - XR HIPS BILAT 3-4 VW W/ OR W/O PELVIS	316.208	395.26
HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS - XR FEMUR 2+ VW LT	165.512	206.89
HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS - XR FEMUR 2+ VW RT	165.512	206.89
HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS LEFT	165.512	206.89
HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS RIGHT	165.512	206.89
HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS BILAT	330.88	413.6
HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS LEFT	165.512	206.89
HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS RIGHT	165.512	206.89
HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS BILATERAL	330.88	413.6
HC X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS LEFT	316.208	395.26
HC X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS RIGHT	316.208	395.26
HC X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS BILATERAL	632.272	790.34
HC X-RAY KNEE BILAT STANDING - XR KNEES ANTEROPOSTERIOR STANDING BILAT	165.512	206.89
HC X-RAY TIB + FIB, 2VW - XR TIBIA FIBULA 2 VIEWS LEFT	165.512	206.89
HC X-RAY TIB + FIB, 2VW - XR TIBIA FIBULA 2 VIEWS RIGHT	165.512	206.89
HC X-RAY TIB + FIB, 2VW - XR TIBIA FIBULA 2 VIEWS BILATERAL	330.88	413.6
HC X-RAY LEG, INFANT - XR LOWER EXTREMITY 2+ VIEWS INFANT LEFT	165.512	206.89
HC X-RAY LEG, INFANT - XR LOWER EXTREMITY 2+ VIEWS INFANT RIGHT	165.512	206.89
HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS LEFT	165.512	206.89
HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS RIGHT	165.512	206.89
HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS BILATERAL	330.88	413.6
HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS LEFT	165.512	206.89
HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS RIGHT	165.512	206.89
HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS BILATERAL	330.88	413.6
HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS LEFT	165.512	206.89
HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS RIGHT	165.512	206.89
HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS BILATERAL	330.88	413.6
HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS LEFT	165.512	206.89
HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS RIGHT	165.512	206.89
HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS BILATERAL	330.88	413.6
HC X-RAY HEEL - XR CALCANEUS 2 VIEWS LEFT	165.512	206.89
HC X-RAY HEEL - XR CALCANEUS 2 VIEWS RIGHT	165.512	206.89
HC X-RAY HEEL - XR CALCANEUS 2 VIEWS BILATERAL	330.88	413.6
HC X-RAY TOE(S) - XR TOES 2+ VIEWS LEFT	165.512	206.89
HC X-RAY TOE(S) - XR TOES 2+ VIEWS RIGHT	165.512	206.89
HC X-RAY TOE(S) - XR TOES 2+ VIEWS BILATERAL	330.88	413.6
HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW	165.512	206.89
HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS - XR ABDOMEN 2 VW	316.208	395.26
HC RADIOLOGIC EXAM ABDOMEN 3+ VIEWS - XR ABDOMEN 3+ VIEWS	316.208	395.26
HC X-RAY ABDOMEN,COMP ACUTE SERIES - XR ABDOMEN 2 VWS WITH CHEST 1 VIEW	316.208	395.26
HC X-RAY NOSE-RECTUM CHILD F.B. - XR NOSE TO RECTUM FOREIGN BODY PEDS	165.512	206.89
HC X-RAYS FOR BONE AGE - XR BONE AGE EXTENDED	316.208	395.26
HC X-RAYS, BONE SURVEY COMPLETE - XR BONE SURVEY COMPLETE	316.208	395.26
HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW	165.512	206.89
HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS	165.512	206.89
HC RADIOLOGIC EXAM CHEST 3 VIEWS - XR CHEST 3 VIEWS	165.512	206.89
HC RADIOLOGIC EXAM CHEST 4+ VIEWS - XR CHEST 4+ VIEWS	316.208	395.26
HC X-RAY RIBS, CHEST 3+ VW - XR RIBS 2 VWS LT W/ CHEST ANTEROPOSTERIOR	316.208	395.26
HC X-RAY RIBS, CHEST 3+ VW - XR RIBS 2 VWS RT W/ CHEST ANTEROPOSTERIOR	316.208	395.26
HC X-RAY RIBS, CHEST 4+ VW - XR RIBS 3 VWS BIL W/ CHEST POSTEROANTERIOR	316.208	395.26
HC CT CHEST LOW DOSE LUNG CANCER SCREENING	479.32	599.15
HC CT SCAN,LIMITED/LOCALIZED F/U STUDY - CT LIMITED FOLLOW UP	479.32	599.15
HC CT BONE DENSITY PERIPHERAL	479.32	599.15
HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	862.688	1078.36
HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST	1641.048	2051.31
HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST	1641.048	2051.31
HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O - CT ORBITS/SELLA WO IV CONT	862.688	1078.36
HC CT ORBIT/EAR/FOSSA/ WITH CONTRAST	1641.048	2051.31
HC CT SCAN SKULL COMBO - CT ORBITS/SELLA W AND WO IV CONTRAST	1641.048	2051.31
HC CT SCAN,MAXILLOFACIAL W/O CONTRAST - CT SINUS WO CONTRAST	862.688	1078.36
HC CT SCAN,MAXILLOFACIAL W/O CONTRAST - CT SINUS FACIAL BONES WO CONT	862.688	1078.36
HC CT SCAN,MAXILLOFACIAL W/O CONTRAST	862.688	1078.36
HC CT SCAN, FACE/JAW CONTRAST - CT SINUS W CONTRAST	1641.048	2051.31
HC CT SCAN, FACE/JAW CONTRAST - CT SINUS FACIAL BONES W CONTRAST	1641.048	2051.31
HC CT SCAN, FACE/JAW CONTRAST	1641.048	2051.31
HC CT SCANS FACE/JAW COMBO - CT SINUS W WO CONTRAST	1641.048	2051.31
HC CT SCANS FACE/JAW COMBO - CT SINUS FACIAL BONES W WO CONTRAST	1641.048	2051.31
HC CT SCANS FACE/JAW W WO CONTRAST	1641.048	2051.31
HC CT SCAN,SOFT TISSUE NECK,W/O CONTRAST - CT SOFT TISSUE NECK WO CONT	862.688	1078.36
HC CT NECK TISSUE CONTRAST - CT SOFT TISSUE NECK W CONTRAST	1641.048	2051.31
HC CT NECK TISSUE COMBO - CT SOFT TISSUE NECK W WO CONTRAST	1641.048	2051.31
HC CT ANGIO,HEAD COMBO - CT HEAD ANGIO W AND WO IV CONTRAST	1641.048	2051.31
HC CT ANGIO,NECK COMBO - CT NECK ANGIO W AND WO IV CONTRAST	1641.048	2051.31
HC CT SCAN,THORAX,W/O CONTRAST - CT CHEST WO CONTRAST	862.688	1078.36
HC CAT SCAN OF CHEST CONTRAST - CT CHEST W CONTRAST	1641.048	2051.31
HC CAT SCAN OF CHEST COMBO - CT CHEST W WO CONTRAST	1641.048	2051.31
HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT	1641.048	2051.31
HC CT SCAN,CERVICAL SPINE,W/O CONTRAST - CT CERVICAL SPINE WO CONTRAST	862.688	1078.36
HC CT SCAN CERV SPINE CONTRAST - CT CERVICAL SPINE W CONTRAST	1726.24	2157.8
HC CT SCAN CERV SP COMBO - CT CERVICAL SPINE W WO CONTRAST	2791.28	3489.1
HC CT SCAN,THORACIC SPINE,W/O CONTRAST - CT THORACIC SPINE WO CONTRAST	862.688	1078.36
HC CT SCAN DORSAL SP CONTRAST - CT THORACIC SPINE W CONTRAST	1641.048	2051.31
HC CT SCAN DORSAL SP COMBO - CT THORACIC SPINE W WO CONTRAST	1641.048	2051.31
HC CT SCAN,LUMBAR SPINE,W/O CONTRAST - CT LUMBAR SPINE WO CONTRAST	862.688	1078.36
HC CT SCAN LUMBAR SP CONTRAST - CT LUMBAR SPINE W CONTRAST	1641.048	2051.31
HC CT SCAN LUMBAR SP COMBO - CT LUMBAR SPINE W WO CONTRAST	2791.28	3489.1
HC CT SCAN,PELVIS,W/O CONTRAST - CT PELVIS WO CONTRAST	862.688	1078.36
HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	1641.048	2051.31
HC CT SCAN OF PELVIS COMBO - CT PELVIS W WO CONTRAST	1641.048	2051.31
HC CT SCAN UPPER EXTREMITY W/O DYE - CT UPPER EXT LEFT WO IV CONTRAST	862.688	1078.36
HC CT SCAN UPPER EXTREMITY W/O DYE - CT UPPER EXT RIGHT WO IV CONTRAST	862.688	1078.36
HC CT SCAN OF ARM CONTRAST - CT UPPER EXTREMITY LEFT W IV CONTRAST	1641.048	2051.31
HC CT SCAN OF ARM CONTRAST - CT UPPER EXTREMITY RIGHT W IV CONTRAST	1641.048	2051.31
HC CT SCAN OF ARM COMBO - CT UPPER EXTREMITY LEFT W AND WO IV CONTRAST	1641.048	2051.31
HC CT SCAN OF ARM COMBO - CT UPPER EXTREMITY RIGHT W AND WO IV CONTRAST	1641.048	2051.31
HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT HIP LEFT WO IV CONTRAST	862.688	1078.36
HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT KNEE LEFT WO IV CONTRAST	862.688	1078.36
HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT WO IV CONTRAST	862.688	1078.36
HC CT SCAN OF LEG CONTRAST - CT LOWER EXTREMITY W IV CONTRAST	1641.048	2051.31
HC CT SCAN OF LEG COMBO - CT LOWER EXTREMITY RIGHT W AND WO IV CONTRAST	1641.048	2051.31
HC CT SCAN OF LEG COMBO - CT LOWER EXTREMITY LEFT W AND WO IV CONTRAST	1641.048	2051.31
HC CT ABDOMEN W/O DYE - CT ABDOMEN WO CONTRAST	862.688	1078.36
HC CT ABDOMEN W/DYE - CT ABDOMEN W CONTRAST	1641.048	2051.31
HC CT ABDOMEN W/O & W/DYE - CT ABDOMEN W WO CONTRAST	1641.048	2051.31
HC CT ANGIO ABD&PELV W/O&W/DYE - CT ANGIOGRAM ABDOMEN PELVIS W CONTRAST	1641.048	2051.31
HC CT ABD & PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST	1917.048	2396.31
HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	1641.048	2051.31
HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST	2791.28	3489.1
HC CT HRT W/O DYE W/CA TEST - CT HEART CALCIUM SCORING WO CONTRAST	479.32	599.15
HC CT ANGIO ABDOMINAL ARTERIES - CT ANGIO AORTA & BILAT ILIOFEMORAL RUN	1641.048	2051.31
HC ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER	3709.76	4637.2
HC MOD SED SAME PHYS <5 YRS	184.32	230.4
HC MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS	153.32	191.65
HC MOD SED SAME PHYS/QHP EACH ADDL 15 MINS	77.28	96.6
HC INVESTIGATION OF TRANSFSION REACTION /SO	327.616	409.52
HC BLOOD TRANSFUSION SERVICE	2162.184	2702.73
HC BREAST TOMOSYNTHESIS UNI - MAMMO BREAST DIAGNOSTIC TOMOSYNTHESIS LT	0.008	0.01
HC BREAST TOMOSYNTHESIS UNI - MAMMO BREAST DIAGNOSTIC TOMOSYNTHESIS RT	0.008	0.01
HC DX MAMMO INCL CAD UNI - MAMMO ADDITIONAL VIEWS LEFT	305.64	382.05
HC DX MAMMO INCL CAD UNI - MAMMO ADDITIONAL VIEWS RIGHT	305.64	382.05
HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC LEFT	350.68	438.35
HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC RIGHT	350.68	438.35
HC US, HEAD/NECK TISSUES,REAL TIME - US THYROID	255.76	319.7
HC US, HEAD/NECK TISSUES,REAL TIME - US HEAD NECK SOFT TISSUE	255.76	319.7
HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN	255.76	319.7
HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE	255.76	319.7
HC US, ABDOMEN LIMITED - US ABDOMEN LIMITED	255.76	319.7
HC US ABDL AORTA SCREEN AAA - US ABDOMEN AORTIC ANEURYSM SCREENING	255.76	319.7
HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE - US RENAL COMPLETE	255.76	319.7
HC OB US < 14 WKS SINGLE FETUS - US OB < 14 WEEKS SINGLE OR FIRST GEST	255.76	319.7
HC OB US < 14 WKS ADDL FETUS - US OB < 14 WEEKS EACH ADDITIONAL GEST	0.008	0.01
HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	255.76	319.7
HC OB US >/= 14 WKS ADDL FETUS - US OB 14+ WEEKS EACH ADDITIONAL GEST	0.008	0.01
HC OB US DETAILED SNGL FETUS - US OB DETAIL FETAL ANAT SING OR 1ST GEST	540.504	675.63
HC OB US DETAILED ADDL FETUS - US OB DETAIL FETAL ANAT EA ADDL GEST	0.008	0.01
HC US,PREG UTER,NUCHAL MEAS, 1ST TRIMEST, SINGLETON	255.76	319.7
HC NUCHAL TRANSL MULT FETUS	0.008	0.01
HC OB US LIMITED FETUS(S) - US OB LIMITED 1+ FETUSES	255.76	319.7
HC OB US FOLLOW-UP PER FETUS - US OB FOLLOW UP TRANSABDOMINAL APPROACH	255.76	319.7
HC TRANSVAGINAL US OBSTETRIC - US OB TRANSVAGINAL	255.76	319.7
HC FETAL BIOPHYS PROF,W/O NST	255.76	319.7
HC DOPPLER FETAL UMBILICAL ARTERY - US UMBILICAL ARTERY DOPPLER	255.76	319.7
HC DOPPLER FETAL UMBILICAL ARTERY	255.76	319.7
HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINAL	255.76	319.7
HC ECHOGRAPHY,TRANSVAGINAL	255.76	319.7
HC ECHO,PELVIC (NONOBSTETRIC) - US PELVIS	255.76	319.7
HC SONO PELVIS LIMITED - US PELVIS LIMITED BLADDER	255.76	319.7
HC SONO PELVIS LIMITED - US PELVIS LIMITED	255.76	319.7
HC ECHO,SCROTUM & CONTENTS - US SCROTUM	255.76	319.7
HC US EXT NON-VASC LIMITED, REALTIME W/ IMG	255.76	319.7
HC US LMTD JT/NONVASC XTR STRUX - US KNEE RIGHT LIMITED	255.76	319.7
HC US LMTD JT/NONVASC XTR STRUX - US WRIST LEFT LIMITED	255.76	319.7
HC US LMTD JT/NONVASC XTR STRUX - US WRIST RIGHT LIMITED	255.76	319.7
HC US EXT NON-VASC LIMITED, REALTIME W/ IMG	255.76	319.7
HC US AXILLA	255.76	319.7
HC EXTREMITY STUDY - US LOWER EXTREMITY VEINS BILATERAL	540.504	675.63
HC EXTREMITY STUDY - US UPPER EXTREMITY VEINS BILATERAL	540.504	675.63
HC EXTREMITY STUDY - LT US VEINS UNILATERAL	255.76	319.7
HC EXTREMITY STUDY - RT US VEINS UNILATERAL	255.76	319.7
HC VASCULAR STUDY - US ABDOMEN DOPPLER LIMITED	255.76	319.7
HC BREAST TOMOSYNTHESIS BI - MAMMO BREAST SCREENING TOMOSYNTHESIS BILAT	0.008	0.01
HC BREAST TOMOSYNTHESIS BI - MAMMO BREAST SCREENING TOMOSYNTHESIS LEFT	0.008	0.01
HC BREAST TOMOSYNTHESIS BI - MAMMO BREAST SCREENING TOMOSYNTHESIS RIGHT	0.008	0.01
HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL	354.936	443.67
HC RT INHALATION TREATMENT	238.32	297.9
HC RT NONINVASV OXYGEN SATUT,CONTINUOUS	297.6	372
HC INHALATION TREATMENT	348.36	435.45
HC INHALATION TREATMENT SUBSEQUENT (EA)	58.744	73.43
HC PT RANGE MOTION MEASURE,EACH EXTREM	120	150
HC ROM MEAS&REPRT HAND W/WO COMPARISON NORMAL SID	112	140
HC PT MECHANICAL TRACTION THERAPY	128	160
HC PT VASOPNEUMATIC DEVICE THERAPY	120	150
HC PT ELECTRICAL STIMULATION	88.688	110.86
HC PT ULTRASOUND THERAPY	47.936	59.92
HC PT ULTRASOUND 15MIN	92	115
HC PT THERAPEUTIC EXERCISES	112	140
HC PT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN	99.408	124.26
HC PT GAIT TRAINING THERAPY	92	115
HC PT MANUAL THER TECH,1+REGIONS,EA 15 MIN	84.272	105.34
HC PT GROUP THERAPEUTIC PROCEDURES	288	360
HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	124	155
HC PT SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES	69.504	86.88
HC PT PHYSICAL PERFORMANCE TEST	176	220
HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	251.76	314.7
HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	307.696	384.62
HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	440	550
HC PT PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS	156.584	195.73
HC ROM MEAS&REPRT HAND W/WO COMPARISON NORMAL SID	112	140
HC SLP SPEECH/HEARING THERAPY, INDIVIDUAL	239.336	299.17
HC SLP ORAL FUNCTION THERAPY	259.76	324.7
HC SLP THER SRVC(S),NON-SPEECH GEN DEV, W/PROG	215.464	269.33
HC SLP THER SRVC, SPEECH GEN DEV USE, W/PROG	335.112	418.89
HC SLP STANDARDIZED COGNITIVE PERFORMANCE TESTING	355.4	444.25
HC SP COGNITIVE FUNCT THER INTERV, INITIAL 15 MIN	53.36	66.7
HC SLP COGNITIVE FUNCT THER INTERV, EA ADDL 15 MIN	53.36	66.7
HC COGNITIVE SKILLS DEVELOPMENT	80.32	100.4
HC SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION	586.408	733.01
HC SLP BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE	271.68	339.6
HC SLP EVAL VOICE PROSTH DEVICE	217.904	272.38
HC EVAL,NON-SPEECH GEN AUG/ALT COMMUN DEV	269.328	336.66
HC SLP EVAL,SPEECH-GEN AUG/ALT COMM DEV,1ST HR	383	478.75
HC SLP EVAL,SPEECH-GEN AUG/ALT COMM DEV,ADDL 30	158.056	197.57
HC SLP EVAL,ORAL & PHARYNGEAL SWALLOW FUNCTION	221.448	276.81
HC SLP EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN	98.208	122.76
HC PRO ED PLACEHOLDER	606.192	757.74
HC EMERGENCY DEPARTMENT LEVEL 1 VISIT LIMITED/MINOR PROB	374.72	468.4
HC EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY	1177.464	1471.83
HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	2201.656	2752.07
HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	3204.456	4005.57
HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	5802.168	7252.71
HC VITAL CAPACITY TEST - PR VITAL CAPACITY TEST	115	143.75
HC NONINVASV OXYGEN SATUR;SINGLE	57.544	71.93
HC CARDIOVERSION ELECTRIC EXT - CARDIOVERSION EXTERNAL	801.688	1002.11
HC DUPLEX SCAN EXTRACRANIAL,BILAT - CAROTID DUPLEX	540.592	675.74
HC VASC DUPLEX EXTREM VENOUS,BILAT	540.504	675.63
HC DUPLEX EXTREM VENOUS,UNI OR LTD	255.76	319.7
HC DUPLEX ABD/PEL VASC STUDY,LIMITD	255.76	319.7
HC EXC SKIN BENIG <5MM REMAINDR BODY	231.568	289.46
HC REMOVE DRUG IMPLANT DEVICE	184.552	230.69
HC REMOVE W REINSERT DRUG IMPLANT	359.352	449.19
HC REMV IMPACTED CERUMEN IRRIGATION/LVG UNILAT	39.744	49.68
HC ELECTROCARDIOGRAM, TRACING	665.624	832.03
HC ECG-1-3 LEAD TRACING ONLY	93.52	116.9
HC INCISION DRAIN SKIN ABSCESS SIMPLE	348.864	436.08
HC REMOVE FOREIGN BODY SIMPLE	507.384	634.23
HC FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM/<	3925.368	4906.71
HC APP SKN SUB GRFT T/A/L AREA/100SQ CM /<1ST 25	3944.04	4930.05
HC APPLICATION LONG LEG SPLINT	600.4	750.5
HC STRAPPING UNNA BOOT	331.2	414
HC THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING	985.824	1232.28
HC BLOOD TRANSFUSION SERVICE	2162.184	2702.73
HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT	222.272	277.84
HC NEGATIVE PRESSURE WOUND THERAPY DME	443.304	554.13
HC OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP	355.672	444.59
HC OFFICE OUTPATIENT VISIT EST 10-19 MINUTES	257.648	322.06
HC OFFICE OUTPATIENT VISIT EST 20-29 MINUTES	246.288	307.86
HC OFFICE OUTPATIENT VISIT EST 30-39 MINUTES	220.064	275.08
HC IMMUNIZ ADMIN, THRU AGE 18, ANY ROUTE,W COUNSEL, 1ST VACCINE/TOXOID	95.776	119.72
HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID	95.776	119.72
HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID CHILDREN	26.408	33.01
HC IMMUNIZ,ADMIN,EACH ADDL	36.616	45.77
IMM ADMN SARSCOV2 VACCINE SINGLE DOSE	83.04	103.8
HC PSYCHIATRIC DIAGNOSTIC EVALUATION	409.4	511.75
HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES	460	575
HC PSYCHOTHERAPY W/PATIENT 60 MINUTES	346.84	433.55
HC PSYCHOTHERAPY FOR CRISIS INIT 60 MINS	332.12	415.15
HC PSYCHOANALYSIS	223.56	279.45
HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES	299	373.75
HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES	322	402.5
HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES	345	431.25
HC GROUP PSYCHOTHERAPY	271.4	339.25
HC FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	345	431.25
HC FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	345	431.25
HC DEVELOPMENTAL SCREEN W/SCORING & DOC STD INSTRM	54.744	68.43
HC BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT	11.96	14.95
HC PT HEAL FCUS RISK ASSES SCOR/DOC EA INST	6.44	8.05
HC PROV FOCUS HLTH RISK ASSES S/D PER INSTR	6.44	8.05
HC DUPLEX SCAN EXTRACRANIAL,BILAT - CAROTID DUPLEX	421.6	527
HC DUPLEX EXTREM VENOUS,BILAT - CV US DOPPLER VENOUS LEGS BILATERAL	470	587.5
HC DUPLEX EXTREM VENOUS,BILAT - LOWER EXTREMITY DVT	540.504	675.63
HC DUPLEX EXTREM VENOUS,UNI OR LTD	255.76	319.7
HC DUPLEX ABD/PEL VASC STUDY,LIMITD	255.76	319.7
HC PRO X-RAY JAW <4 VW - XR MANDIBLE < 4 VIEWS	32.016	40.02
HC PRO X-RAY JAW <4 VW - XR MANDIBLE < 4 VIEWS RIGHT	32.016	40.02
HC PRO X-RAY JAW <4 VW - XR MANDIBLE < 4 VIEWS BILATERAL	49.864	62.33
HC PRO X-RAY FACIAL BONES <3 VW - XR FACIAL BONES 1-2 VIEWS	32.016	40.02
HC PRO X-RAY FACIAL BONES 3+ VW - XR FACIAL BONES 3+ VIEWS	36.432	45.54
HC PRO X-RAY NASAL BONES - XR NASAL BONES	32.016	40.02
HC PRO X-RAY ORBITS - XR ORBITS COMPLETE 4+ VIEWS	39.328	49.16
HC PRO X-RAY SINUSES <3 VW - XR PARANASAL SINUSES 1-2 VIEWS	32.016	40.02
HC PRO X-RAY SINUSES 3+ VW - XR PARANASAL SINUSES 3+ VIEWS	34.504	43.13
HC PRO X-RAY SKULL <4 VW - XR SKULL 1-3 VIEWS	34.504	43.13
HC PRO X-RAY SKULL 4+ VW - XR SKULL COMPLETE 4+ VIEWS	48.024	60.03
HC PRO X-RAY TMJ BILAT - XR TEMPOROMANDIBULAR JOINT OPEN AND CLOSED BIL	33.624	42.03
HC PRO X-RAY NECK SOFT TISSUE - XR NECK SOFT TISSUE	32.016	40.02
HC PRO CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	296.704	370.88
HC PRO CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST	416.944	521.18
HC PRO CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST	494.504	618.13
HC PRO CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O - CT ORBITS/SELLA WO IV CONT	598.464	748.08
HC PRO CT ORBIT/EAR/FOSSA/ WITH CONTRAST	707.48	884.35
HC PRO CT SCAN SKULL COMBO - CT ORBITS/SELLA W AND WO IV CONTRAST	770.872	963.59
HC PRO CT SCAN,MAXILLOFACIAL W/O CONTRAST	357.608	447.01
HC PRO CT SCAN, FACE/JAW CONTRAST	431.112	538.89
HC PRO CT SCANS FACE/JAW W WO CONTRAST	524.952	656.19
HC PRO CT SCAN,SOFT TISSUE NECK,W/O CONTRAST - CT SOFT TISSUE NECK WO CONT	497.032	621.29
HC PRO CT NECK TISSUE CONTRAST - CT SOFT TISSUE NECK W CONTRAST	606.096	757.62
HC PRO CT NECK TISSUE COMBO - CT SOFT TISSUE NECK W WO CONTRAST	712.584	890.73
HC PRO CT ANGIO,HEAD COMBO - CT HEAD ANGIO W AND WO IV CONTRAST	753.16	941.45
HC PRO CT ANGIO,NECK COMBO - CT NECK ANGIO W AND WO IV CONTRAST	750.632	938.29
HC PRO RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW	32.016	40.02
HC PRO RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS	32.016	40.02
HC PRO RADIOLOGIC EXAM CHEST 3 VIEWS - XR CHEST 3 VIEWS	38.368	47.96
HC PRO RADIOLOGIC EXAM CHEST 4+ VIEWS - XR CHEST 4+ VIEWS	44.16	55.2
HC PRO X-RAY RIBS 2 VW UNILAT - XR RIBS 2 VIEWS	32.016	40.02
HC PRO X-RAY RIBS 2 VW UNILAT - XR RIBS 2 VIEWS RIGHT	32.016	40.02
HC PRO X-RAY RIBS, CHEST 3+ VW - XR RIBS 2 VWS LT W/ CHEST ANTEROPOSTERIOR	37.352	46.69
HC PRO X-RAY RIBS, CHEST 3+ VW - XR RIBS 2 VWS RT W/ CHEST ANTEROPOSTERIOR	37.352	46.69
HC PRO X-RAY RIBS 3 VW BILAT - XR RIBS 3 VIEWS BILATERAL	40.296	50.37
HC PRO X-RAY RIBS, CHEST 4+ VW - XR RIBS 3 VWS BIL W/ CHEST POSTEROANTERIOR	45.032	56.29
HC PRO X-RAY STERNUM 2+ VW - XR STERNUM 2+ VIEWS	32.016	40.02
HC PRO CT SCAN,THORAX,W/O CONTRAST - CT CHEST WO CONTRAST	464.048	580.06
HC PRO CAT SCAN OF CHEST CONTRAST - CT CHEST W CONTRAST	590.872	738.59
HC PRO CAT SCAN OF CHEST COMBO - CT CHEST W WO CONTRAST	707.48	884.35
HC PRO CT CHEST LOW DOSE LUNG CANCER SCREENING	649.152	811.44
HC PRO CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT	770.872	963.59
HC PRO X-RAY SPINE ONE VIEW - XR SPINE	32.016	40.02
HC PRO RADEX SPINE CERVICAL 2 OR 3 VIEWS - XR CERVICAL SPINE 2-3 VIEWS	32.016	40.02
HC PRO RADEX SPINE CERVICAL 4 OR 5 VIEWS - XR CERVICAL SPINE COMP 4-5 VIEWS	43.192	53.99
HC PRO RADEX SPINE CERVICAL 6 OR MORE VIEWS - XR C-SPINE COMPLETE 6+ VIEWS	49.864	62.33
HC PRO X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2 VIEWS	32.016	40.02
HC PRO X-RAY THORACIC SPINE+SWIM 3 VW - XR THORACIC SPINE 3 VIEWS	32.016	40.02
HC PRO RADEX X-RAY EXAM THORACOLMB 2+ VW - XR THORACOLUMBAR SPINE 2 VIEWS	32.016	40.02
HC PRO RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW - XR ENTIRE SPINE 1 V	36.432	45.54
HC PRO X-RAY LUMBAR SPINE 2/3 VW - XR LUMBAR SPINE 2-3 VIEWS	32.016	40.02
HC PRO X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	43.192	53.99
HC PRO X-RAY LUMBAR SPINE 6+ VW - XR LUMBAR SPINE 6+ VWS INCLUDING BENDING	45.032	56.29
HC PRO X-RAY LUMBAR SPINE FLEX/EXTEN - XR LUMBAR SPINE 4+ VIEWS W/ FLEX EXT	110.312	137.89
HC PRO CT SCAN,CERVICAL SPINE,W/O CONTRAST - CT CERVICAL SPINE WO CONTRAST	474.216	592.77
HC PRO CT SCAN CERV SPINE CONTRAST - CT CERVICAL SPINE W CONTRAST	585.904	732.38
HC PRO CT SCAN CERV SP COMBO - CT CERVICAL SPINE W WO CONTRAST	692.304	865.38
HC PRO CT SCAN,THORACIC SPINE,W/O CONTRAST - CT THORACIC SPINE WO CONTRAST	464.048	580.06
HC PRO CT SCAN DORSAL SP CONTRAST - CT THORACIC SPINE W CONTRAST	590.872	738.59
HC PRO CT SCAN DORSAL SP COMBO - CT THORACIC SPINE W WO CONTRAST	697.36	871.7
HC PRO CT SCAN,LUMBAR SPINE,W/O CONTRAST - CT LUMBAR SPINE WO CONTRAST	461.568	576.96
HC PRO CT SCAN LUMBAR SP CONTRAST - CT LUMBAR SPINE W CONTRAST	585.768	732.21
HC PRO CT SCAN LUMBAR SP COMBO - CT LUMBAR SPINE W WO CONTRAST	692.304	865.38
HC PRO X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS	32.016	40.02
HC PRO CT SCAN,PELVIS,W/O CONTRAST - CT PELVIS WO CONTRAST	375.312	469.14
HC PRO CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	580.704	725.88
HC PRO CT SCAN OF PELVIS COMBO - CT PELVIS W WO CONTRAST	666.912	833.64
HC PRO X-RAY SACROILIAC JTS <3 VW - XR SACROILIAC JOINTS 1-2 VIEWS	32.016	40.02
HC PRO X-RAY SACROILIAC JTS 3+ VW - XR SACROILIAC JOINTS 3+ VIEWS	32.016	40.02
HC PRO X-RAY SACRUM/COCCYX 2+ VW - XR SACRUM COCCYX 2+ VIEWS	32.016	40.02
HC PRO X-RAY CLAVICLE - XR CLAVICLE LEFT	32.016	40.02
HC PRO X-RAY CLAVICLE - XR CLAVICLE RIGHT	32.016	40.02
HC PRO X-RAY SCAPULA - XR SCAPULA LEFT	32.016	40.02
HC PRO X-RAY SCAPULA - XR SCAPULA RIGHT	32.016	40.02
HC PRO X-RAY SHOULDER 1 VW - XR SHOULDER 1 VIEW	32.016	40.02
HC PRO X-RAY SHOULDER 1 VW - XR SHOULDER 1 VIEW LEFT	32.016	40.02
HC PRO X-RAY SHOULDER 1 VW - XR SHOULDER 1 VIEW RIGHT	32.016	40.02
HC PRO X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS	32.016	40.02
HC PRO X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS	51.8	64.75
HC PRO X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS LEFT	32.016	40.02
HC PRO X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS RIGHT	32.016	40.02
HC PRO X-RAY AC JTS - XR ACROMIOCLAVICULAR JOINTS BILATERAL	32.016	40.02
HC PRO X-RAY HUMERUS - XR HUMERUS	128.064	160.08
HC PRO X-RAY HUMERUS - XR HUMERUS LEFT	32.016	40.02
HC PRO X-RAY HUMERUS - XR HUMERUS RIGHT	32.016	40.02
HC PRO X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS BILATERAL	44.16	55.2
HC PRO X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS LEFT	32.016	40.02
HC PRO X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS RIGHT	32.016	40.02
HC PRO X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS	48.024	60.03
HC PRO X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS LEFT	32.016	40.02
HC PRO X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS RIGHT	32.016	40.02
HC PRO X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS LEFT	32.016	40.02
HC PRO X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS RIGHT	32.016	40.02
HC PRO X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS BILATERAL	46.096	57.62
HC PRO X-RAY ARM, INFANT - XR UPPER EXTREMITY 2+ VIEWS INFANT LEFT	32.016	40.02
HC PRO X-RAY ARM, INFANT - XR UPPER EXTREMITY 2+ VIEWS INFANT RIGHT	32.016	40.02
HC PRO X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS	32.016	40.02
HC PRO X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS RIGHT	32.016	40.02
HC PRO X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS BILATERAL	48.024	60.03
HC PRO X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS	32.016	40.02
HC PRO X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS RIGHT	32.016	40.02
HC PRO X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS BILATERAL	48.024	60.03
HC PRO X-RAY HAND 2 VW - XR HAND 1-2 VIEWS	32.016	40.02
HC PRO X-RAY HAND 2 VW - XR HAND 1-2 VIEWS	46.096	57.62
HC PRO X-RAY HAND 2 VW - XR HAND 1-2 VIEWS RIGHT	32.016	40.02
HC PRO X-RAY HAND 2 VW - XR HAND 1-2 VIEWS BILATERAL	46.096	57.62
HC PRO X-RAY HAND 3+ VW - XR HAND 3+ VIEWS	32.016	40.02
HC PRO X-RAY HAND 3+ VW - XR HAND 3+ VIEWS RIGHT	32.016	40.02
HC PRO X-RAY HAND 3+ VW - XR HAND 3+ VIEWS BILATERAL	48.024	60.03
HC PRO X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS	32.016	40.02
HC PRO X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS LEFT	32.016	40.02
HC PRO CT SCAN UPPER EXTREMITY W/O DYE - CT UPPER EXT WO IV CONTRAST	461.568	576.96
HC PRO CT SCAN OF ARM CONTRAST - CT UPPER EXTREMITY W IV CONTRAST	570.584	713.23
HC PRO CT SCAN OF ARM COMBO - CT UPPER EXTREMITY W AND WO IV CONTRAST	712.584	890.73
HC PRO X-RAY EXAM HIP UNI 1 VIEW - XR HIP 1 VW	32.016	40.02
HC PRO X-RAY EXAM HIP UNI 1 VIEW - XR HIP 1 VW RIGHT	32.016	40.02
HC PRO X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW	32.016	40.02
HC PRO X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW RIGHT	32.016	40.02
HC PRO X-RAY EXAM HIPS BI 2 VWS - XR HIPS BILAT 2 VW W/ OR W/O PELVIS	63.944	79.93
HC PRO X-RAY EXAM HIPS BI 3-4 VWS - XR HIPS BILAT 3-4 VW W/ OR W/O PELVIS	41.264	51.58
HC PRO RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS - XR FEMUR 2+ VW	32.016	40.02
HC PRO RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS - XR FEMUR 2+ VW RT	32.016	40.02
HC PRO X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS LEFT	32.016	40.02
HC PRO X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS RIGHT	32.016	40.02
HC PRO X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS BILAT	92	115
HC PRO X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS	32.016	40.02
HC PRO X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS RIGHT	32.016	40.02
HC PRO X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS BILATERAL	103.592	129.49
HC PRO X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS	32.016	40.02
HC PRO X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS RIGHT	32.016	40.02
HC PRO X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS BILATERAL	63.944	79.93
HC PRO X-RAY KNEE BILAT STANDING - XR KNEES ANTEROPOSTERIOR STANDING BILAT	63.944	79.93
HC PRO X-RAY TIB + FIB, 2VW - XR TIBIA FIBULA 2 VIEWS LEFT	32.016	40.02
HC PRO X-RAY TIB + FIB, 2VW - XR TIBIA FIBULA 2 VIEWS RIGHT	32.016	40.02
HC PRO X-RAY TIB + FIB, 2VW - XR TIBIA FIBULA 2 VIEWS BILATERAL	92	115
HC PRO X-RAY LEG, INFANT - XR LOWER EXTREMITY 2+ VIEWS INFANT LEFT	32.016	40.02
HC PRO X-RAY LEG, INFANT - XR LOWER EXTREMITY 2+ VIEWS INFANT RIGHT	32.016	40.02
HC PRO X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS	32.016	40.02
HC PRO X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS RIGHT	32.016	40.02
HC PRO X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS BILATERAL	63.944	79.93
HC PRO X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS	32.016	40.02
HC PRO X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS RIGHT	32.016	40.02
HC PRO X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS BILATERAL	95.864	119.83
HC PRO X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS	32.016	40.02
HC PRO X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS RIGHT	32.016	40.02
HC PRO X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS BILATERAL	84.456	105.57
HC PRO X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS	32.016	40.02
HC PRO X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS RIGHT	32.016	40.02
HC PRO X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS BILATERAL	92	115
HC PRO X-RAY HEEL - XR CALCANEUS 2 VIEWS LEFT	32.016	40.02
HC PRO X-RAY HEEL - XR CALCANEUS 2 VIEWS RIGHT	32.016	40.02
HC PRO X-RAY HEEL - XR CALCANEUS 2 VIEWS BILATERAL	88.232	110.29
HC PRO X-RAY TOE(S) - XR TOES 2+ VIEWS LEFT	32.016	40.02
HC PRO X-RAY TOE(S) - XR TOES 2+ VIEWS RIGHT	32.016	40.02
HC PRO X-RAY TOE(S) - XR TOES 2+ VIEWS BILATERAL	63.944	79.93
HC PRO CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT WO IV CONTRAST	464.552	580.69
HC PRO CT SCAN OF LEG CONTRAST - CT LOWER EXTREMITY W IV CONTRAST	580.704	725.88
HC PRO CT SCAN OF LEG COMBO - CT LOWER EXTREMITY W AND WO IV CONTRAST	702.424	878.03
HC PRO RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW	32.016	40.02
HC PRO RADIOLOGIC EXAM ABDOMEN 2 VIEWS - XR ABDOMEN 2 VW	32.016	40.02
HC PRO RADIOLOGIC EXAM ABDOMEN 3+ VIEWS - XR ABDOMEN 3+ VIEWS	37.448	46.81
HC PRO X-RAY ABDOMEN,COMP ACUTE SERIES - XR ABDOMEN 2 VWS WITH CHEST 1 VIEW	44.16	55.2
HC PRO CT ABDOMEN W/O DYE - CT ABDOMEN WO CONTRAST	385.48	481.85
HC PRO CT ABDOMEN W/DYE - CT ABDOMEN W CONTRAST	593.4	741.75
HC PRO CT ABDOMEN W/O & W/DYE - CT ABDOMEN W WO CONTRAST	674.544	843.18
HC PRO CT ANGIO ABD&PELV W/O&W/DYE - CT ANGIOGRAM ABDOMEN PELVIS W CONTRAST	999.12	1248.9
HC PRO CT ABD & PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST	517.32	646.65
HC PRO CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	798.792	998.49
HC PRO CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST	907.856	1134.82
HC PRO CT HRT W/O DYE W/CA TEST - CT HEART CALCIUM SCORING WO CONTRAST	258.704	323.38
HC PRO CT ANGIO ABDOMINAL ARTERIES - CT ANGIO AORTA & BILAT ILIOFEMORAL RUN	981.368	1226.71
HC PRO X-RAY NOSE-RECTUM CHILD F.B. - XR NOSE TO RECTUM FOREIGN BODY PEDS	32.016	40.02
HC PRO 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION - CT 3D RECONSTRUCT	60.904	76.13
HC PRO CT SCAN,LIMITED/LOCALIZED F/U STUDY - CT LIMITED FOLLOW UP	375.312	469.14
HC PRO US, HEAD/NECK TISSUES,REAL TIME - US HEAD NECK SOFT TISSUE	280.6	350.75
HC PRO US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN	280.6	350.75
HC PRO US, ABDOMEN LIMITED - US ABDOMEN LIMITED	209.76	262.2
HC PRO US ABDL AORTA SCREEN AAA - US ABDOMEN AORTIC ANEURYSM SCREENING	255.76	319.7
HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE - US RENAL COMPLETE	260.36	325.45
HC PRO OB US < 14 WKS SINGLE FETUS - US OB < 14 WEEKS SINGLE OR FIRST GEST	280.144	350.18
HC PRO OB US < 14 WKS ADDL FETUS - US OB < 14 WEEKS EACH ADDITIONAL GEST	144.44	180.55
HC PRO OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	322	402.5
HC PRO OB US >/= 14 WKS ADDL FETUS - US OB 14+ WEEKS EACH ADDITIONAL GEST	209.304	261.63
HC PRO OB US DETAILED SNGL FETUS - US OB DETAIL FETAL ANAT SING OR 1ST GEST	413.08	516.35
HC PRO OB US DETAILED ADDL FETUS - US OB DETAIL FETAL ANAT EA ADDL GEST	460	575
HC PRO US,PREG UTER,NUCHAL MEAS, 1ST TRIMEST, SINGLETON	280.6	350.75
HC PRO OB US LIMITED FETUS(S) - US OB LIMITED 1+ FETUSES	194.12	242.65
HC PRO OB US FOLLOW-UP PER FETUS - US OB FOLLOW UP TRANSABDOMINAL APPROACH	261.744	327.18
HC PRO TRANSVAGINAL US OBSTETRIC - US OB TRANSVAGINAL	221.72	277.15
HC FETAL BIOPHYS PROFIL W/O NST	198.72	248.4
HC DOPPLER FETAL UMBILICAL ARTERY	107.64	134.55
HC ECHOGRAPHY,TRANSVAGINAL	287.04	358.8
HC US EXAM PELVIC COMPLETE	253.92	317.4
HC PRO SONO PELVIS LIMITED - US PELVIS LIMITED	113.16	141.45
HC ECHO,SCROTUM & CONTENTS - US SCROTUM	260.36	325.45
HC PRO CT GUIDANCE NEEDLE PLACEMENT - CT GUIDANCE FOR NEEDLE PLACEMENT	319.56	399.45
HC PRO BREAST TOMOSYNTHESIS UNI - MAMMO BREAST DIAGNOSTIC TOMOSYNTHESIS	124.2	155.25
HC BREAST TOMOSYNTHESIS BI - MAMMO BREAST SCREENING TOMOSYNTHESIS BILAT	124.2	155.25
HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC	117.208	146.51
HC PRO SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL	124.432	155.54
HC PRO X-RAYS FOR BONE AGE - XR BONE AGE EXTENDED	32.016	40.02
HC PRO X-RAYS, BONE SURVEY COMPLETE - XR BONE SURVEY COMPLETE	73.88	92.35
HC PRO CT BONE DENSITY PERIPHERAL	291.64	364.55
HC DUPLEX EXTREM VENOUS,UNI OR LTD	285.664	357.08
HC PRO CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	253.4	316.75
HC DUPLEX SCAN EXTRACRANIAL,BILAT - CAROTID DUPLEX	458.16	572.7
HC VASC DUPLEX EXTREM VENOUS,BILAT	450.8	563.5
HC DUPLEX ABD/PEL VASC STUDY,LIMITD	378.12	472.65
HC PRO MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS	223.696	279.62
HC PRO OFFICE OUTPATIENT NEW 15-29 MINUTES	196.144	245.18
HC PRO OFFICE OUTPATIENT NEW 30-44 MINUTES	255.304	319.13
HC PRO OFFICE OUTPATIENT NEW 45-59 MINUTES	364.736	455.92
HC PRO OFFICE OUTPATIENT NEW 60-74 MINUTES	492.384	615.48
HC PRO OFFICE OUTPATIENT VISIT EST 10-19 MINUTES	107.184	133.98
HC PRO OFFICE OUTPATIENT VISIT EST 20-29 MINUTES	137.952	172.44
HC PRO OFFICE OUTPATIENT VISIT EST 30-39 MINUTES	199.552	249.44
HC OFFICE OUTPATIENT VISIT EST 40-54 MINUTES	319.152	398.94
HC PRO OBSERVATION CARE DISCHARGE MANAGEMENT	162.888	203.61
HC PRO INITIAL OBSERVATION CARE/DAY 30 MINUTES	203.504	254.38
HC PRO INITIAL OBSERVATION CARE/DAY 50 MINUTES	276.552	345.69
HC PRO INITIAL OBSERVATION CARE/DAY 70 MINUTES	345.92	432.4
HC PRO INITIAL HOSPITAL CARE 30 MINUTES	252.632	315.79
HC PRO INITIAL HOSPITAL CARE 50 MINUTES	339.944	424.93
HC PRO INITIAL HOSPITAL CARE 70 MINUTES	417.68	522.1
HC PRO SBSQ OBSERVATION CARE/DAY 15 MINUTES	111.416	139.27
HC PRO SBSQ OBSERVATION CARE/DAY 25 MINUTES	170.016	212.52
HC PRO SBSQ OBSERVATION CARE/DAY 35 MINUTES	251.344	314.18
HC PRO SBSQ HOSPITAL CARE/DAY 15 MINUTES	127.056	158.82
HC PRO SBSQ HOSPITAL CARE/DAY 25 MINUTES	180.784	225.98
HC PRO SBSQ HOSPITAL CARE/DAY 35 MINUTES	245.368	306.71
HC PRO OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES	356.688	445.86
HC PRO OBSERVATION/INPATIENT HOSPITAL CARE 50 MINUTES	484.752	605.94
HC PRO OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES	543.264	679.08
HC PRO HOSPITAL DISCHARGE DAY,<30 MIN	214.36	267.95
HC PRO HOSPITAL DISCHARGE DAY,>30 MIN	268.088	335.11
HC PRO TEAM CONFERENCE FACE-TO-FACE NON PHYS	109.576	136.97
HC DRESS-HYDROCOLLOID 3X3	38.456	48.07
HC DRESS-HYDROCOLLOID 4X4	20.336	25.42
HC PACKING- IODOFORM 1/4"	51.648	64.56
HC BANDAGE-CONFORM 4" PER YARD	10.856	13.57
HC BANDAGE-CONFORM 3" PER YARD	10.856	13.57
HC BANDAGE-CONFORM 2" PER YARD	10.856	13.57
HC SHLDER SLING OR VEST ADBUCT RESTRAIN W/WO SWATHE CTRL	20.52	25.65
HC TUBE-TRACH PEDIACTRIC 3.0	144.904	181.13
HC COLLAR-CERVICAL SOFT	37.72	47.15
HC COLLAR-HARD ADULT	103.04	128.8
HC COLLAR-HARD INFANT/PEDI	112.24	140.3
HC CERV COLLAR SUPP ADJ CERV BA	40.48	50.6
HC KNEE ORTHO PRE FAB OTS W JOINTS	263.768	329.71
HC KO IMMOB CANVAS LONG PREFAB OFFSHELF	263.768	329.71
HC SANDAL-CAST	103.04	128.8
HC SHOULDER ORTHOSIS LARGE	64.68	80.85
HC SHOULDER ORTHOSIS CHILD	19.184	23.98
HC SPLINT-CLAVICLE	29.856	37.32
HC SPLINT-COLLES	103.04	128.8
HC WHO COCKUP NONMOLDED PREFAB OTS PR1	105.432	131.79
HC SPLINT-ANKLE STIRRUP	207.232	259.04
HC NON-PNEUM WALK BOOT PRE OTS	133.216	166.52
HC CRUTCH UNDERARM PAIR	190.44	238.05
HC PSA SCREENING	233.408	291.76
HC DRUG TEST DEF 1-7 CLASSES	304.704	380.88
HC DRUG TEST DEF 22+ CLASSES	657.48	821.85
HC ALLERGEN SPEC IGE	17.16	21.45
HC RBC LEUKOCYTES REDUCED	548.048	685.06
HC PLATELETS, EACH UNIT	154.4	193
HC PLATELETS, PHERESIS, EA UNIT	1324.712	1655.89
HC RBC LEUKOREDUCED IRRADIATED	848.84	1061.05
HC PT ELEC STIM OTHER THAN WOUND	120	150
HC HOSPITAL OBSERVATION HOURLY PER HR	198.352	247.94
HC PIFIZER-BIONTECH COVID-19 VACCINE, 30MCG/0.3ML, ADMINISTRATION, 1ST DOSE	61.64	77.05
HC PFIZER-BIONTECH COVID-19 VACCINE, 30MCG/0.3ML, ADMINISTRATION, 2ND DOSE	61.64	77.05
HC PFIZER-BIONTECH COVID-19 VACCINE, 30MCG/0.3ML, ADMINISTRATION, 3RD DOSE	61.64	77.05
HC PFIZER-BIONTECH COVID-19 VACCINE, 30MCG/0.3ML, ADMINISTRATION, BOOSTER	61.64	77.05
HC MODERNA COVID-19 VACCINE, 100MCG/0.5ML, ADMINISTRATION - 1ST DOSE	61.64	77.05
HC MODERNA COVID-19 VACCINE, 100MCG/0.5ML, ADMINISTRATION - 2ND DOSE	61.64	77.05
HC MODERNA COVID-19 VACCINE, 50MCG/0.25ML, ADMINISTRATION – BOOSTER DOSE	61.64	77.05
HC PFIZER-BIONTECH COVID-19 VACCINE, 10MCG, TRS-SUCR, ADMINISTRATION, 1ST DOSE	61.64	77.05
HC PFIZER-BIONTECH COVID-19 VACCINE, 10MCG, TRS-SUCR, ADMINISTRATION, 2ND DOSE	61.64	77.05
HC PFIZER-BIONTECH COVID-19 VACCINE, 10MCG, TRS-SUCR, ADMINISTRATION, 3RD DOSE	61.64	77.05
HC ADMIN INFLUENZA VIRUS VAC	83.28	104.1
HC ADMIN PNEUMOCOCCAL VACCINE	83.28	104.1
HC TELEHEALTH ORIGIN SITE FAC FEE	50.736	63.42
HC BEHAVIOR COUNSEL OBESITY EA 15 MIN	54.28	67.85
HC MEDICAL NUTRITION THERAPY REAS SAME YR INDIV EA 15 MN	65.32	81.65
HC MEDICAL NUTRITION THERAPY REAS SAM YR GROUP EA 30 MIN	35.88	44.85
UNLISTED PROCEDURE FOREARM/WRIST	450.4	563
HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT	233.408	291.76
HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN	111.416	139.27
HC URINE PREGNANCY TEST - PREGNANCY URINE	80.32	100.4
HC UNLISTED PROCEDURE FOREARM OR WRIST	450.4	563
HC CTRL NOSEBLEED,ANTER,SIMPLE	275.216	344.02
HC LAYR CLOS WND FACE,FACIAL 20.1-30 CM	532.68	665.85
HC PLACE NEEDLE IN VEIN	210.776	263.47
HC INSERT TUNNELED CV CATH W/O PORT OR PUMP	6896.6	8620.75
HC INJECT NERV BLCK,INTERCOSTAL,ONE	1585.44	1981.8
HC DRAINAGE OF EYELID ABSCESS	721.096	901.37
HC MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS	223.696	279.62
HC MOD SED PHYS/QHP INITIAL 15 MINS 5/> YRS	193.2	241.5
HC MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS	154.56	193.2
HC RT HEART/LUNG RESUSCITATION (CPR)	867.56	1084.45
HC RT CPAP NON-EMERGENT	495.28	619.1
HC CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN	10049.992	12562.49
HC CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN	865.264	1081.58
HC APPLY LONG LEG SPLINT	592.392	740.49
HC OBSTETRICAL CARE,VAG DELIV ONLY	993.048	1241.31
HC DELIVER PLACENTA	6334.384	7917.98
HC GASTRIC INTUBATION/ASPIRATION, THERAPEUTIC	1194.256	1492.82
HC ANOSCOPY,REMOVE FOREIGN BODY - ENDOSCOPY, ANUS	1677.48	2096.85
HC INCISION DRAIN SKIN ABSCESS SIMPLE	390.216	487.77
HC DRAIN SKIN ABSCESS COMPLIC	489.536	611.92
HC DRAIN PILONIDAL CYST SIMPL	726.616	908.27
HC REMOVE FOREIGN BODY COMPLIC	1836.784	2295.98
HC DRAINAGE OF HEMATOMA/FLUID	1564	1955
HC PUNCTURE/ASPIRATE ABSCESS/HEMATOMA/BULLA/CYST	192.744	240.93
HC DEBRIDEMENT, INFECTED SKIN, UP TO 10% BSA	490.64	613.3
HC DEBRIDE ASSOC OPEN FX/DISLO SKIN/MUS/BONE	2497.344	3121.68
HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM	810.152	1012.69
HC TANGENTIAL BIOPSY OF SKIN (EG, SHAVE, SCOOP, SAUCERIZE, CURETTE); SINGLE LESION	469.752	587.19
HC TANGENTIAL BIOPSY OF SKIN (EG, SHAVE, SCOOP, SAUCERIZE, CURETTE); EA ADDL	249.232	311.54
HC PUNCH BIOPSY SKIN SINGLE LESION	469.752	587.19
HC PUNCH BIOPSY SKIN LESION EACH ADDITIONAL	249.232	311.54
HC INCISIONAL BIOPSY SKIN SINGLE LESION	836.096	1045.12
HC INCISIONAL BIOPSY SKIN SINGLE LESION	443.072	553.84
HC REMOVAL OF SKIN TAGS, UP TO 15	328.808	411.01
HC SHAVE SKIN LESION <0.5 CM TRUNK,ARM,LEG	326.6	408.25
HC EXC SKIN BENIG 1.1-2 CM TRUNK,ARM,LEG	1148.112	1435.14
HC EXC SKIN BENIG 3.1-4 CM TRUNK,ARM,LEG	3397.472	4246.84
HC EXC SKIN BENIG <5MM REMAINDR BODY	894.608	1118.26
HC EXC SKIN BENIG 2.1-3 CM REMAINDR BODY	2929.928	3662.41
HC REMOVAL OF NAIL PLATE	330.008	412.51
HC DRAIN BLOOD FROM UNDER NAIL	173.696	217.12
HC REMOVAL OF NAIL BED	682	852.5
HC RECONSTRUC OF NAIL BED	1198.856	1498.57
HC RESUPERF WND BODY <2.5CM	883.2	1104
HC RESUP NPTERF WND BODY 2.6-7.5 CM	978.976	1223.72
HC RESUPERF WND BODY 7.6-12.5 CM	532.68	665.85
HC RESUPERF WND BODY 12.6-20 CM	897.464	1121.83
HC RESUPERF WND BODY 20.1-30 CM	805.184	1006.48
HC RESUPERF WND FACE <2.5 CM	631.952	789.94
HC RESUPERF WND FACE 2.6-5 CM	359.08	448.85
HC RESUPERF WND FACE 5.1-7.5 CM	349.552	436.94
HC RESUPERF WND FACE 7.6-12.5 CM	532.68	665.85
HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM	627.072	783.84
HC LAYR CLOS WND TRUNK,ARM,LEG 2.6-7.5 CM	627.072	783.84
HC LAYR CLOS WND TRUNK,ARM,LEG 7.6-12.5 CM	625.968	782.46
HC LAYR CLOS WND TRUNK,ARM,LEG 12.6-20 CM	585.992	732.49
HC LAYR CLOS WND TRUNK,ARM,LEG 20.1-30 CM	1285.56	1606.95
HC LAYR CLOS WND TRUNK,ARM,LEG >30.0 CM	1285.56	1606.95
HC LAYR CLOS WND REST BODY <2.5 CM	532.68	665.85
HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM	614.744	768.43
HC LAYR CLOS WND FACE,FACIAL <2.5 CM	532.68	665.85
HC LAYR CLOS WND FACE,FACIAL 2.5-5 CM	532.68	665.85
HC LAYR CLOS WND FACE,FACIAL 5.1-7.5 CM	643.176	803.97
HC LAYR CLOS WND FACE,FACIAL 7.6-12.5 CM	410.688	513.36
HC REPAIR COMPLEX WND TRUNK 2.6-7.5 CM	1299.912	1624.89
HC RECMPL WND SCALP,EXTR 2.6-7.5 CM	937.024	1171.28
HC REP,SKIN,SCALP/EXTREM+5 CM/<	919.264	1149.08
HC RECMPL WND HEAD,FAC,HAND 1.1-2.5 CM	661.432	826.79
HC RECMPL WND HEAD,FAC,HAND 2.6-7.5 CM	601.864	752.33
HC REPAIR COMPLEX FAC,HAND,GN EA ADD <5CM	601.864	752.33
HC INITIAL RX BURN(S) 1ST DEGREE	443.44	554.3
HC DRESS/DEBRID SMALL BURN NO ANES	351.904	439.88
HC DRESS/DEBRID MED BURN NO ANESTH	245.368	306.71
HC DRESS/DEBRID LARGE BURN NO ANESTH	661.432	826.79
HC DESTRUCTION BENIGN LESIONS UP TO 14	428.168	535.21
HC EXPL PENETRATING WOUND ABD/BACK	3991.24	4989.05
HC EXPLORE PENETRATING WOUND,EXTREMITY	1205.52	1506.9
HC INJECT TENDON SHEATH/LIGAMENT	606.192	757.74
HC INJECT TRIGGER POINT, 1 OR 2	670.176	837.72
HC INJECT TRIGGER POINTS, > 3	622.976	778.72
HC ARTHROCENTESIS ASPIR INJ INTERM JT/BURS W/O US	625.232	781.54
HC ARTHROCENTESIS ASPIR INJ MAJOR JT/BURSA W/O US	630.616	788.27
HC ARTHROCENTESIS ASPIR INJ MAJOR JT/BURSA W/US	666.544	833.18
HC CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION	2196.96	2746.2
HC REDUCE TEMPOROMANDIBL DISLOC	599.704	749.63
HC CLOSED TX CLAVICLE FX,MANIPULATN	668.84	836.05
HC CLOSED TX SCAPULA FX,MANIPULATN	3495.36	4369.2
HC CLOSED TX PROX HUMERUS FX,MANIP	3271.52	4089.4
HC CLOSED TX SHLDR DISLOCATION	1039.92	1299.9
HC CLOSED TX SHLDR DISLOC,ANESTHESIA	2771.36	3464.2
HC CLOSED TX SHLDR DISLOC,GR TUB FX	2593.112	3241.39
HC CLOSED TX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ	3065.352	3831.69
HC I&D ARM/ELBOW INFECT BURSA	3589.104	4486.38
HC EXCISION OLECRANON BURSA	6983.352	8729.19
HC CLOSED TX HUM SUPRACONDYLR FX,MANIPU	3271.52	4089.4
HC CLOSED TX HUMER CONDYLR FX,MANIP	636.736	795.92
HC CLOSED TX ELBOW DISLOCATION	497.536	621.92
HC CLOSED TX RADIAL HEAD DISLOC,CHILD	688.072	860.09
HC CLOSED RX RADIAL HEAD/NECK FX,MANIP	2869.04	3586.3
HC UNLISTED PROCEDURE HUMERUS/ELBOW	575.184	718.98
HC REMOVE FOREARM/WRIST FOREIGN BODY	3235.552	4044.44
HC CLOSED TX RAD/ULNA SHAFT FX,MANIP	1482.536	1853.17
HC CLOSED TX DIST RAD/ULNA FX	585.304	731.63
HC CLOSED TX DIST RAD/ULNA FX,MANIPUL	538.48	673.1
HC CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ	2592.288	3240.36
HC CLOSED TX ULNA STYLOID FX	558.72	698.4
HC DRAIN FINGER ABSCESS,SIMPLE	775.104	968.88
HC DRAIN FINGER ABSCESS,COMPLICATED	3588.736	4485.92
HC REPAIR EXTEN TENDON,DORSUM FINGR,EA	2871.736	3589.67
HC CLOSED TX METACARPAL FX	598.552	748.19
HC CLOSED TX METACARPAL FX,MANIP	643.176	803.97
HC TREAT THUMB FX/DISLOC,MANIP	3435.096	4293.87
HC CLOSE TX PROX/MID FING SHFT FX,MANIP	1039.92	1299.9
HC CLOSE TX FINGR ARTICULAR FX,MANIP	442.888	553.61
HC CLOSE TX DIST FINGR FX,MANIPULATN	546.76	683.45
HC OPEN TX DISTAL PHALANGEAL FRACTURE EACH	3569.512	4461.89
HC CLOSED TX IP JT DISLOCATION	682	852.5
HC AMPUTATION FINGER/THUMB	2157.312	2696.64
HC CLOSED TX POST HIP ARTHRPLAS DISLOC	559.224	699.03
HC I&D DEEP ABSC BURSA THIGH/KNEE	6331.536	7914.42
HC REMOV FB DEEP THIGH/KNEE	5880.184	7350.23
HC CLOSED TX TIB PLAT FX+MANIP	6940.944	8676.18
HC CLOSED TX KNEECAP DISLOCATN	547.768	684.71
HC CLOSED TX TIBIA SHAFT FX,MANIPULATN	443.536	554.42
HC CLOSED TX PROX FIBULA SHAFT FX W MANIJ PRO FE	3435.464	4294.33
HC CLOSED TX DIST FIBULA FX,MANIP	572.152	715.19
HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W MANIP	3361.68	4202.1
HC CLOSED TX TRIMALLEOLAR FX,MANIP	443.536	554.42
HC CLOSED TX WEIGHT BEAR DIST TIB,MANIP	3065.352	3831.69
HC CLOSED TX ANKLE DISLOCATN	572.152	715.19
HC REMV FOOT FOREIGN BODY,SUBCUTANEOUS	1500.248	1875.31
HC CLOSED TX HEEL FX	572.152	715.19
HC CLOSED TX TALUS FX,MANIPULATN	2592.288	3240.36
HC CLOSED TX METATARSAL FX W/MANI	497.536	621.92
HC OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES	2597.712	3247.14
HC CLOSED TX TOE FX,MANIPULATN	682	852.5
HC CLOSED TX MT-PHAL TOE DISLOCATION	636.736	795.92
HC CLOSED TX I-P JT,TOE DISLOCATION	637.472	796.84
HC APPLY LONG ARM SPLINT	292.104	365.13
HC APPLY FOREARM SPLINT,STATIC	390.216	487.77
HC APPLY FINGER SPLINT,STATIC	191.544	239.43
HC APPLY LOWER LEG SPLINT	390.216	487.77
HC REMOVE NASAL FOREIGN BODY	279.728	349.66
HC CTRL NOSEBLEED,ANTER,SIMPLE	275.216	344.02
HC CTRL NOSEBLEED,ANTER,COMPLEX	386.68	483.35
HC CTRL NOSEBLEED,POST,W/PACKS &/OR CAUT	264.872	331.09
HC INSERT EMERGENCY ENDOTRACH AIRWAY	2240.112	2800.14
HC LARYNGOSCOPY,INDIRECT,DX	396.064	495.08
HC LARYNGOSCOPY,DIRECT,DIAGNOSTIC	2705.168	3381.46
HC TUBE THORACOSTOMY INCLUDES WATER SEAL	967.472	1209.34
HC THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING	1693.216	2116.52
HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	1304.696	1630.87
HC INTRAVENOUS START/SAL LOC	210.776	263.47
HC INSERT NON-TUNNEL CV CATH < 5 Y/O	3209.328	4011.66
HC INSERT NON-TUNNEL CV CATH	2675.64	3344.55
HC INSERT PICC W/O SUB-Q PORT	2092.864	2616.08
HC INSERT NEEDLE,INTRAOSSEOUS INFUSN	1002.8	1253.5
HC DRAIN MOUTH ABSC/CYST/HEMATOMA,SIMPL	682	852.5
HC CLOSER MOUTH LACERATION >2.5CM OR COMPLEX	1235.84	1544.8
HC I&D MOUTH INTRA,SUBMANDIBULAR	5689.6	7112
HC REPAIR TONGUE LACER,<2.6 CM	255.024	318.78
HC REPAIR TONGUE LACER,2.6 CM+/COMPLX	1925.656	2407.07
HC DRAINAGE OF GUM LESION	627.072	783.84
HC DENTAL SURGERY PROCEDURE	511.064	638.83
HC DRAINAGE ABSCESS PALATE, UVULA	517.32	646.65
HC INC/DRAIN PERITONSIL ABSCESS	448.872	561.09
HC REMOVE PHARYNX FOREIGN BODY	878.696	1098.37
HC CONTROL THROAT BLEED,SIMPLE	476.376	595.47
HC THROAT SURGERY PROCEDURE UNSPEC	836.096	1045.12
HC RPLC GASTRO TUBE NO REV/GUID	616.68	770.85
HC I&D PERIANAL ABSCESS,SUPERFICIAL	964.576	1205.72
HC INCISE EXTERNAL HEMORRHOID	576.016	720.02
HC ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD	279.224	349.03
HC ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE	2026.76	2533.45
HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE	1688.848	2111.06
HC ASPIRATION BLADDER NEEDLE	1505.952	1882.44
HC INSERT,NON-INDWELLING BLADDER CATHETER	303.144	378.93
HC INSERT,TEMP INDWELLING BLAD CATH,SIMPLE	668.84	836.05
HC INSERT,TEMP INDWELLING BLAD CATH,COMP	225.312	281.64
HC CHANGE OF BLADDER TUBE,SIMPLE	447.4	559.25
HC DRAINAGE SCROTAL WALL ABSCESS	3302.8	4128.5
HC I&D OF VULVA/PERINEUM ABSCESS	421.728	527.16
HC I&D BARTHOLIN GLAND ABSCESS	418.832	523.54
HC COLPORRHAPHY, SUTURE VAGINAL INJURY, NON-OB	4839.48	6049.35
HC REMOVE INTRAUTERINE DEVICE	686.736	858.42
HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC	1317.352	1646.69
HC INJECT NERV BLCK,TRIGEMINAL	630.616	788.27
HC INJECT NERV BLCK,GREAT OCCIPTL	634.8	793.5
HC INJECT NERV BLCK,OTHR PERIPH NERV	622.976	778.72
HC REMV F.B.,EYE,SUPERF CONJUNC	279.728	349.66
HC REMV F.B.,EYE,CORNEA,NO SLIT	572.056	715.07
HC REMV F.B.,EYE,CORNEA,SLIT LAMP	737.104	921.38
HC DRAIN EXT EAR ABSC/BLOOD,SIMPLE	638.664	798.33
HC DRAIN EXT AUDITORY CANAL ABSCESS	638.664	798.33
HC REMV EXT CANAL FOREIGN BODY	225.904	282.38
HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	163.992	204.99
HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	119.784	149.73
HC UNLISTED PROCEDURE EXTERNAL EAR	496.8	621
HC DEBRIDEMENT OPEN WOUND 20 SQ CM<	1036.336	1295.42
HC NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM	810.52	1013.15
HC NEG PRESSURE WOUND THERAPY NON DME	834.624	1043.28
HC IMMUNIZ,ADMIN,EACH ADDL	61.592	76.99
HC PRO HEART/LUNG RESUSCITATION (CPR)	628.272	785.34
HC PRO EMERGENCY DEPARTMENT LEVEL 1 VISIT LIMITED/MINOR PROB	165.232	206.54
HC PRO EMERGENCY DEPARTMENT LEVEL 1 VISIT LIMITED/MINOR PROB	71.856	89.82
HC PRO EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY	223.792	279.74
HC PRO EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	335.112	418.89
HC PRO EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	501.496	626.87
HC PRO EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	746.768	933.46
HC PRO PHYS/QHP DIRECTION EMERGENCY MEDICAL SYSTEMS	465.616	582.02
HC PRO INCISION DRAIN SKIN ABSCESS SIMPLE	274.16	342.7
HC PRO INCISION DRAIN SKIN ABSCESS COMPLEX	549.376	686.72
HC PRO INCISION DRAIN PILONIDAL CYST SIMPLE	419.248	524.06
HC PRO REMOVE FOREIGN BODY SIMPLE	386.68	483.35
HC PRO REMOVE FOREIGN BODY COMPLEX	837.752	1047.19
HC PRO INCISION DRAINAGE OF HEMATOMA/FLUID	452.368	565.46
HC PRO PUNCTURE/ASPIRATE ABSCESS/HEMATOMA/BULLA/CYST	331.48	414.35
HC PRO DEBRIDEMENT INFECTED SKIN UP TO 10% BSA	111.416	139.27
HC PRO DEBRIDE ASSOC OPEN FX/DISLO SKIN/MUS/BONE	1511.424	1889.28
HC PRO DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM	222.776	278.47
HC PRO TANGENTIAL BIOPSY OF SKIN (EG, SHAVE, SCOOP, SAUCERIZE, CURETTE); SINGLE LESION	109.76	137.2
HC PRO TANGENTIAL BIOPSY OF SKIN (EG, SHAVE, SCOOP, SAUCERIZE, CURETTE); EA ADDL	62.928	78.66
HC PRO PUNCH BIOPSY SKIN SINGLE LESION	137.448	171.81
HC PRO PUNCH BIOPSY SKIN LESION EACH ADDITIONAL	74.616	93.27
HC PRO INCISIONAL BIOPSY SKIN SINGLE LESION	167.256	209.07
HC PRO REMOVAL OF SKIN TAGS, UP TO 15	209.256	261.57
HC PRO SHAVE SKIN LESION <0.5 CM TRUNK,ARM,LEG	100.648	125.81
HC PRO EXC SKIN BENIG 1.1-2 CM TRUNK,ARM,LEG	449.512	561.89
HC PRO EXC SKIN BENIG 3.1-4 CM TRUNK,ARM,LEG	527.712	659.64
HC PRO EXC SKIN BENIG <5MM REMAINDR BODY	228.16	285.2
HC PRO EXC SKIN BENIG 2.1-3 CM REMAINDR BODY	429.92	537.4
HC PRO AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE	187.912	234.89
HC PRO EVACUATION SUBUNGUAL HEMATOMA	86.392	107.99
HC PRO EXCISION NAIL MATRIX PRT/CMPL PERMANENT REMOVAL	478.68	598.35
HC PRO REPAIR OF NAIL BED	348.36	435.45
HC PRO REPAIR SUPERFICAL WND BODY <2.5CM	415.288	519.11
HC PRO REPAIR SUPERFICAL WND BODY 2.6-7.5 CM	501.496	626.87
HC PRO REPAIR SUPERFICIAL WOUND BODY 7.6-12.5 CM	621.184	776.48
HC PRO REPAIR SUPERFICIAL WOUND BODY 12.6-20 CM	655.824	819.78
HC PRO REPAIR SUPERFICAL WOUND BODY 20.1-30 CM	684.432	855.54
HC PRO REPAIR SUPERFICIAL WND FACE <2.5CM	501.496	626.87
HC PRO REPAIR SUPERFICIAL WND FACE 2.6-5 CM	587.608	734.51
HC PRO REPAIR SUPERFICIAL WND FACE 5.1-7.5 CM	545.696	682.12
HC PRO REPAIR SUPERFICIAL WND FACE 7.6-12.5 CM	759.968	949.96
HC PRO LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM	453.656	567.07
HC PRO LAYR CLOS WND TRUNK,ARM,LEG 2.6-7.5 CM	584.064	730.08
HC PRO LAYR CLOS WND TRUNK,ARM,LEG 7.6-12.5 CM	658.168	822.71
HC PRO LAYR CLOS WND TRUNK,ARM,LEG 12.6-20 CM	833.288	1041.61
HC PRO LAYR CLOS WND TRUNK,ARM,LEG 20.1-30 CM	772.248	965.31
HC PRO LAYR CLOS WND REST BODY <2.5 CM	502.6	628.25
HC PRO LAYR CLOS WND REST BODY 2.6-7.5 CM	597.176	746.47
HC PRO LAYR CLOS WND REST BODY 7.6-12.5 CM	665.48	831.85
HC PRO LAYR CLOS WND FACE,FACIAL <2.5 CM	597.176	746.47
HC PRO LAYR CLOS WND FACE,FACIAL 2.6-5 CM	560.096	700.12
HC PRO LAYR CLOS WND FACE,FACIAL 5.1-7.5 CM	659.408	824.26
HC PRO LAYR CLOS WND FACE,FACIAL 7.6-12.5 CM	1051.88	1314.85
HC PRO REPAIR COMPLEX WND TRUNK 2.6-7.5 CM	699.752	874.69
HC PRO REPAIR COMPLEX WND SCALP/EXTREMITY 2.6-7.5 CM	917.792	1147.24
HC PRO REPAIR COMPLEX WND SCALP/EXTREMITY EA ADDL <5 CM	408.024	510.03
HC PRO REPAIR COMPLEX WND HEAD,FAC,HAND 1.1-2.5 CM	698.928	873.66
HC PRO REPAIR COMPLEX WND HEAD,FAC,HAND 2.6-7.5 CM	1084.224	1355.28
HC PRO REPAIR COMPLEX FAC,HAND,GN EA ADD <5CM	354.336	442.92
HC PRO REPAIR COMPLEX WND LID,NOS,EAR 1.1-2.5 CM	879.568	1099.46
HC PRO INITIAL TX BURN(S) 1ST DEGREE LOCAL TX	191.544	239.43
HC PRO DRESS/DEBRID SMALL BURN NO ANES	256.224	320.28
HC PRO DRESS/DEBRID MED BURN NO ANES	484.752	605.94
HC PRO DRESS/DEBRID LARGE BURN NO ANES	447.4	559.25
HC PRO DESTRUCTION BENIGN LESIONS UP TO 14	315.104	393.88
HC PRO EXPL PENETRATING WOUND ABD/BACK	1389.704	1737.13
HC PRO EXPLORE PENETRATING WOUND,EXTREMITY	1005.512	1256.89
HC PRO INJECTION THERAPEUTIC CARPAL TUNNEL	141.312	176.64
HC PRO INJECT TENDON SHEATH/LIGAMENT	266.984	333.73
HC PRO INJECT TRIGGER POINT, 1 OR 2	266.984	333.73
HC PRO INJECT TRIGGER POINTS, > 3	181.192	226.49
HC PRO ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	198.768	248.46
HC PRO ARTHROCENTESIS ASPIR INJ INTERM JT/BURS W/O US	226.32	282.9
HC PRO ARTHROCENTESIS ASPIR INJ MAJOR JT/BURSA W/O US	208.288	260.36
HC PRO ARTHROCENTESIS ASPIR INJ MAJOR JT/BURSA W/US	187.912	234.89
HC PRO CLOSED TX NOSE FRACTURE, W/O STABILIZATION	567.272	709.09
HC PRO CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ	87.312	109.14
HC PRO CLOSED TX CLAVICLE FX W/MANIPULATION	1151.384	1439.23
HC PRO CLOSED TX SCAPULA FX W/MANIPULATION	1037.344	1296.68
HC PRO CLOSED TX PROX HUMERUS FX W/ MANIPULATION	1382.12	1727.65
HC PRO CLOSED TX SHLDR DISLOCATION W/O ANES	763.512	954.39
HC PRO CLOSED TX SHLDR DISLOLOCATION W/MANIPULATION ANES	1235.008	1543.76
HC PRO CLOSED TX SHLDR DISLOC W FX GR HUMERAL TUBEROSITY W MANIP	1078.928	1348.66
HC PRO CLOSED TX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ	1417.032	1771.29
HC PRO I&D ARM/ELBOW INFECT BURSA	439.944	549.93
HC PRO EXCISION OLECRANON BURSA	971.152	1213.94
HC PRO CLOSED TX HUMERUS SHAFT FX W/O MANIPULATION	860.432	1075.54
HC PRO CLOSED TX HUM SUPRACONDYLR FX W/ MANIPULATION	1356.08	1695.1
HC PRO CLOSED TX HUMERAL CONDYLAR FX W/ MANIPULATION	1549.648	1937.06
HC PRO CLOSED TX ELBOW DISLOCATION W/O ANES	1103.36	1379.2
HC PRO CLOSED TX RADIAL HEAD SUBLUXATION W/ MANIPULATION CHILD	355.4	444.25
HC PRO FRACTURE / RADIAL HEAD W MANIP	839.72	1049.65
HC PRO UNLISTED PROCEDURE HUMERUS/ELBOW	362.16	452.7
HC PRO REMOVE FOREARM/WRIST FOREIGN BODY	1126.816	1408.52
HC PRO CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION	1445.504	1806.88
HC PRO CLOSED TX RADIAL & ULNAR SHAFT FRACTURES W/MANIPULATION	1124.704	1405.88
HC PRO CLOSED TX DIST RAD FX/EPIPHYSEAL SEP W/O MANIPULATION	859.28	1074.1
HC PRO CLOSED TX DISTIAL RADIAL FX/EPIPHYSEAL SEP ULNA W/ MANIPULATION	1567.544	1959.43
HC PRO CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ	1296.648	1620.81
HC PRO CLOSED TX ULNAR STYLOID FRACTURE	854.312	1067.89
HC PRO DRAIN FINGER ABSCESS SIMPLE	408.024	510.03
HC PRO DRAINAGE OF FINGER ABSCESS COMPLICATED	461.752	577.19
HC PRO REPAIR EXTEN TENDON,DORSUM FINGR,EA	1435.848	1794.81
HC PRO CLOSED TX METACARPAL FX WO MANIP	761.576	951.97
HC PRO CLOSED TX METACARPAL FX,MANIP	1014.808	1268.51
HC PRO TREAT THUMB FX/DISLOC,MANIP	993.048	1241.31
HC PRO CLOSED TX PROX/MID FING SHFT FX	457.152	571.44
HC PRO CLOSED TX PROX/MID FING SHFT FX,MANIP	1014.808	1268.51
HC PRO CLOSE TX FINGR ARTICULAR FX,MANIP	1301.712	1627.14
HC PRO CLOSE TX DIST FINGER FX W/O MANIP	937.024	1171.28
HC PRO CLOSE TX DIST FINGR FX,MANIPULATN	745.568	931.96
HC PRO OPEN TX DISTAL PHALANGEAL FRACTURE EACH	1152.488	1440.61
HC PRO CLOSED TX IP JT DISLOCATION	732.416	915.52
HC PRO AMPUTATION FINGER/THUMB	1846.168	2307.71
HC PRO CLOSED TX POST HIP ARTHRPLAS DISLOCATION W/O ANESTH	1141.904	1427.38
HC PRO I&D DEEP ABSC BURSA THIGH/KNEE PRO FEE	1390.952	1738.69
HC PRO REMOVAL FB DEEP THIGH/KNEE	1060.672	1325.84
HC PRO CLOSED TX TIBIAL FX W/WO MANI SKEL TRAC PR FE	1521.496	1901.87
HC PRO CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA	962.088	1202.61
HC PRO LEG SURGERY PROCEDURE PRO FEE	372.784	465.98
HC PRO CLOSED TX TIBIA SHAFT FX W/O MANIP	959.744	1199.68
HC PRO CLOSED TX TIBIA SHAFT FX,MANIPULATN	1833.008	2291.26
HC PRO CLOSED TX MED MALLEOLUS FX W/O MANIP	861.584	1076.98
HC PRO CLOSED TX PROX FIBULA SHAFT FX W MANIJ	1048.8	1311
HC PRO CLOSED TX DSTL FIBULAR FX LAT MALLS W/MANJ	1498.176	1872.72
HC PRO CLOSED TX BIMALLEOLAR ANKLE FRACTURE W MANIP	1059.752	1324.69
HC PRO CLOSED TX TRIMALLEOLAR FX,MANIP	1767.32	2209.15
HC PRO TREAT LOWER LEG FRACTURE	1417.032	1771.29
HC PRO CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA	1017.984	1272.48
HC PRO REMOVAL FOOT FOREIGN BODY,SUBCUTANEOUS	326.512	408.14
HC PRO CLOSED TX HEEL FRACTURE PRO FEE	973.824	1217.28
HC PRO CLOSED TX TALUS FX,MANIPULATN	703.528	879.41
HC PRO CLOSED TX METATARSAL FX W/MANI PRO FEE	560.28	700.35
HC PRO OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES	1101.24	1376.55
HC PRO CLOSED TX TOE FX,MANIPULATION	414.136	517.67
HC PRO CLOSED RX MT-PHAL TOE DISLOCATION	335.112	418.89
HC PRO CLOSED TX INTERPHALANGEAL JOINT DISLOCATION W/O ANES	365.792	457.24
HC PRO AMPUTATION TOE INTERPHALANGEAL JOINT	1738.712	2173.39
HC PRO APPLY LONG ARM SPLINT	203.504	254.38
HC PRO APPLY FOREARM SPLINT,STATIC	173.696	217.12
HC PRO APPL SPLINT SHT ARM DYNAM	252.632	315.79
HC PRO APPLY FINGER SPLINT,STATIC	115	143.75
HC PRO APPLICATION SHORT LEG CAST BELOW KNEE-TOE	225.128	281.41
HC PRO APPLICATION LONG LEG SPLINT	259.76	324.7
HC PRO APPLY LOWER LEG SPLINT	168.776	210.97
HC PRO REMOVE NASAL FOREIGN BODY	373.472	466.84
HC PRO CTRL NOSEBLEED,ANTER,SIMPLE	275.216	344.02
HC PRO CTRL NOSEBLEED,ANTER,COMPLEX	399.744	499.68
HC PRO CTRL NOSEBLEED,POST,W/PACKS &/OR CAUT	260.04	325.05
HC PRO INSERT EMERGENCY ENDOTRACH AIRWAY	428.584	535.73
HC PRO LARYNGOSCOPY INDIRECT DIAGN SPX PRO FEE	118.36	147.95
HC PRO LARYNGOSCOPY,DIRECT,DIAGNOSTIC	550.16	687.7
HC PRO TUBE THORACOSTOMY INCLUDES WATER SEAL	671.416	839.27
HC PRO THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING	713.28	891.6
HC PRO THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	308.888	386.11
HC PRO VNPNXR 3 YEARS/> PHYS/QHP SKILL	22.768	28.46
HC PRO INSERT NON-TUNNEL CV CATH < 5 Y/O	236.488	295.61
HC PRO INSERT NON-TUNNEL CV CATH >5 Y/O	717.968	897.46
HC PRO INSERT TUNNELED CV CATH W/O PORT OR PUMP	766.176	957.72
HC PRO INSERT PICC W/O SUB-Q PORT W/O IMAGE GUIDE >5 Y/O	235.888	294.86
HC PRO INSERT CATH ARTERIAL PERCUTANEOUS	156.864	196.08
HC PRO INSERT NEEDLE,INTRAOSSEOUS INFUSN	446.48	558.1
HC PRO DRAIN MOUTH ABSC/CYST/HEMATOMA,SIMPLE	412.992	516.24
HC PRO CLOSER MOUTH LACERATION >2.5CM OR COMPLEX	659.824	824.78
HC PRO I&D MOUTH INTRA,SUBMANDIBULAR	520	650
HC PRO REPAIR TONGUE LACERATION <2.5CM	933.344	1166.68
HC PRO REPAIR TONGUE LACER,2.6 CM+/COMPLX	917.056	1146.32
HC PRO DRAINAGE OF GUM LESION	533.832	667.29
HC PRO UNLISTED PROC DENTOALVEOLAR STRUCTURES	483	603.75
HC PRO DRAINAGE ABSCESS PALATE, UVULA	273.888	342.36
HC PRO I&D ABCESS PERITONSILLAR	521.824	652.28
HC PRO REMOVE PHARYNX FOREIGN BODY	334.512	418.14
HC PRO CONTROL THROAT BLEED,SIMPLE	759.968	949.96
HC PRO THROAT SURGERY PROCEDURE UNSPEC PRO FEE	261.008	326.26
HC PRO GASTRIC INTUBATION/ASPIRATION, THERAPEUTIC	351.904	439.88
HC PRO RPLC GASTRO TUBE NO REV/GUID PRO FEE	106.536	133.17
HC PRO I&D PERIANAL ABSCESS,SUPERFICIAL	501.496	626.87
HC PRO INCISE THROMBOSED HEMORRHOID EXT	305.44	381.8
HC PRO ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD	95.68	119.6
HC PRO ANOSCOPY,REMOVE FOREIGN BODY - ENDOSCOPY, ANUS	234.88	293.6
HC PRO ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE	412.992	516.24
HC PRO ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE	300.336	375.42
HC PRO ASPIRATION BLADDER NEEDLE	107.368	134.21
HC PRO ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER	286	357.5
HC PRO INSERT,TEMP INDWELLING BLAD CATH,SIMPLE	179.584	224.48
HC PRO CHANGE OF BLADDER TUBE,SIMPLE	148.856	186.07
HC PRO DRAINAGE SCROTAL WALL ABSCESS	391	488.75
HC PRO I&D VULVA/PERINEAL ABSCESS	377.016	471.27
HC PRO I&D BARTHOLIN GLAND ABSCESS	277.752	347.19
HC PRO COLPORRHAPHY, SUTURE VAGINAL INJURY, NON-OB	875.472	1094.34
HC PRO REMOVE INTRAUTERINE DEVICE	177.56	221.95
HC PRO OBSTETRICAL CARE,VAG DELIV ONLY	3939.168	4923.96
HC PRO DELIVER PLACENTA	243.432	304.29
HC PRO SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC	800.632	1000.79
HC PRO INJECT NERV BLCK,TRIGEMINAL	219.096	273.87
HC PRO INJECT NERV BLCK,FACIAL NERV	555.264	694.08
HC PRO INJECT NERV BLCK,GREAT OCCIPTL	193.984	242.48
HC PRO INJECT NERV BLCK,INTERCOSTAL,ONE	157.272	196.59
HC PRO INJECT NERV BLCK,OTHR PERIPH NERV	295.6	369.5
HC PRO CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	344.08	430.1
HC PRO REMV F.B.,EYE,SUPERF CONJUNC	247.8	309.75
HC PRO REMOVAL FB EXT EYE CONJUCTIVAL EMBEDDED	268.088	335.11
HC PRO REMOVAL FB CORNEAL W/O SLIT LAMP	288.464	360.58
HC PRO REMOVE FB EYE CORNEA W SLIT LAMP	165.6	207
HC PRO DRAINAGE OF EYELID ABSCESS	315.288	394.11
HC PRO DRAIN EXT EAR ABSC/BLOOD,SIMPLE	570.816	713.52
HC PRO DRAIN EXT AUDITORY CANAL ABSCESS	628.408	785.51
HC PRO REMV FB EXT AUDITORY CANAL W/O ANESTH	331.48	414.35
HC PRO REMV IMPACTED CERUMEN IRRIGATION/LVG UNILAT	39.744	49.68
HC PRO REMV IMPACTED CERUMEN INSTRUMENTATION UNILAT/BILAT	130.552	163.19
HC PRO CARDIOVERSION ELECTRIC EXT - CARDIOVERSION EXTERNAL	478.68	598.35
HC PRO ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY	67.16	83.95
HC PRO DEBRIDEMENT OPEN WOUND 20 SQ CM<	132.944	166.18
HC PRO MODERATE SEDATION < 5 YEARS	184.32	230.4
HC PRO MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS	153.32	191.65
HC PRO MODERATE SEDATION EA ADD 15 MN	77.28	96.6
HC PRO CRITICAL CARE, E/M 30-74 MINUTES	744.376	930.47
HC PRO CRITICAL CARE, ADDL 30 MIN	372.144	465.18
HC PRO ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY	67.16	83.95
HC BEBTELOVIMAB INJECTION	322.464	403.08
HC F2 GENE ANALYSIS 20210G >A VARIANT - PROTHROMBIN GENE MUTATION	174.896	218.62
HC F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT - FACTOR V LEIDEN	200.928	251.16
HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS	1746.16	2182.7
HC AQUAPORIN-4 ANTB CBA	201.648	252.06
HC AQUAPORIN-4 ANTB CBA	201.648	252.06
HC VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY EACH	62.192	77.74
HC RBC ANTIBODY SCREEN - ANTIBODY SCREEN	24.752	30.94
HC ANTIHUMAN GLOBULIN DIR EA ANTISERUM - DIRECT ANTIGLOBULIN TEST	17.664	22.08
HC BLOOD TYPING SEROLOGIC ABO	76.456	95.57
HC BLOOD TYPING SEROLOGIC RH (D)	117.528	146.91
HC COMPATIBILITY TEST ANTIGLOB TECH	314.48	393.1
HC HIV-1 ANTIGENS W/HIV 1 & 2 ANTIBODY	79.12	98.9
HC BODY FLUID CELL COUNT W DIFF - BODY FLUID CELL COUNT W/DIFF	18.168	22.71
HC LEUKOCYTE COUNT,FECAL - FECAL LEUKOCYTES	14.032	17.54
HC EXAM,SYNOVIAL FLUID CRYSTALS - SYNOVIAL FLUID CRYSTAL	23.552	29.44
HC SEMEN ANALYSIS POST VASECTOMY	39.744	49.68
HC METABOLIC PANEL,COMPREHENSIVE	227.424	284.28
HC LIPID PANEL - BUNDLED CHARGE	247.8	309.75
HC HEPATITIS PANEL,ACUTE - BUNDLED CHARGE	155.848	194.81
HC HEPATIC FUNCTION PANEL	161.648	202.06
HC OBSTESTRIC PANEL	246.104	307.63
HC DRUG ASSAY - ADALIMUMAB	93.104	116.38
HC AMIODARONE REF LAB	30.592	38.24
HC DRUG ASSAY, CAFFEINE -- REF LAB	107.992	134.99
HC DRUG ASSAY, CAFFEINE -- REF LAB	107.992	134.99
HC ASSAY OF CARBAMAZEPINE TOTAL - CARBAMAZEPINE TOTAL	47.936	59.92
HC ASSAY OF CYCLOSPORINE - CYCLOSPORINE	59.344	74.18
HC DRUG SCREEN QUANT DIPROPYLACETIC ACID TOTAL - VALPROIC ACID TOTAL	44.528	55.66
HC ASSAY EVEROLIMUS	45.176	56.47
HC ASSAY OF GENTAMICIN - GENTAMICIN TROUGH	53.912	67.39
HC ASSAY OF GENTAMICIN - GENTAMICIN PEAK	53.912	67.39
HC DRUG SCREEN QUANT LAMOTRIGINE	43.52	54.4
HC ASSAY OF LEVETIRACETAM	50.512	63.14
HC ASSAY OF LITHIUM - LITHIUM	21.76	27.2
HC DRUG SCREEN QUANTITATIVE MYCOPHENOLATE MYCOPHENOLIC ACID	59.344	74.18
HC DRUG SCREEN QUANTITATIVE OXCARBAZEPINE	43.608	54.51
HC ASSAY OF PHENOBARBITAL - PHENOBARBITAL	40.76	50.95
HC ASSAY OF SIROLIMUS - SIROLIMUS/RAPAMUNE	45.176	56.47
HC ASSAY OF TACROLIMUS - TACROLIMUS	45.176	56.47
HC ASSAY OF VANCOMYCIN - VANCOMYCIN TROUGH	38.72	48.4
HC ASSAY OF VANCOMYCIN - VANCOMYCIN RANDOM	38.72	48.4
HC ASSAY OF ZONISAMIDE	43.608	54.51
HC ASSAY OF METHOTREXATE	88.736	110.92
HC ASSAY OF INFLIXIMAB	110	137.5
HC ASSAY OF LACOSAMIDE	71.232	89.04
HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED	49.68	62.1
HC DRUG TEST PRSMV DIR OPT OBS - TOXICOLOGY SCREEN URINE	25.2	31.5
HC DRUG SCREEN	280.048	350.06
HC DRUG SCREEN QUANTITATIVE ALCOHOLS - ETHANOL	23	28.75
HC ALKALOIDS NOT OTHERWISE SPECIFIED	31.192	38.99
HC DRUG SCREEN QUANT ANABOLIC STEROID 1 OR 2 - DIHYDROTESTOSTERONE	44.36	55.45
HC ANTIEPILEPTICS, NOT OTHERWISE SPECIFIED; 1-3	13.248	16.56
HC DRUG/SUBSTANCE DEFIN QUAL/QUANT NOS 7+ SULFONYLUREA HYPOGLYCEMIA PANEL	81.6	102
HC KETONE BODIES SERUM QUALITATIVE	14.536	18.17
HC KETONE BODIES SERUM QUALITATIVE - KETONES, QUALITATIVE	14.536	18.17
HC KETONE BODIES SERUM QUANTITATIVE - BETA HYDROXYBUTYRATE	60.264	75.33
HC KETONE BODIES SERUM QUANTITATIVE - BETA HYDROXYBUTYRATE	60.264	75.33
HC KETONE BODIES SERUM QUANTITATIVE - ACETONE SERUM QUANTITATIVE	60.264	75.33
HC ASSAY OF ACTH - ACTH	127.056	158.82
HC MICROALBUMIN, QUANTITATIVE URINE	19.048	23.81
HC ASSAY OF ALDOLASE - ALDOLASE	31.928	39.91
HC ASSAY OF ALDOSTERONE - ALDOSTERONE	134	167.5
HC ALPHA-1-ANTITRYPSIN, TOTAL - ALPHA-1-ANTITRYPSIN	43.888	54.86
HC ALPHA-1-ANTITRYPSIN, PHENOTYPE	47.568	59.46
HC ALPHA-FETOPROTEIN, SERUM - ALPHA-FETOPROTEIN MARKER	55.2	69
HC ALPHA-FETOPROTEIN L3 - ALPHA FETOPROTEIN, L3 PERCENT	155.576	194.47
HC AMINO ACIDS, 6+ QUANT - AMINO ACID QUANT,URINE	55.48	69.35
HC ASSAY OF AMMONIA - AMMONIA	217.904	272.38
HC ASSAY OF AMYLASE - AMYLASE	189.248	236.56
HC ASSAY OF ANDROSTENEDIONE - ANDROSTENEDIONE	106.952	133.69
HC ANGIOTENSIN I ENZYME TEST - ANGIOTENSIN CONVERTING ENZYME	48.024	60.03
HC ASSAY OF APOLIPOPROTEIN - LIPOPROTEIN A (LPA)	56.12	70.15
HC ASSAY OF APOLIPOPROTEIN EACH	56.12	70.15
HC ASSAY OF APOLIPOPROTEIN EACH	56.12	70.15
HC ASSAY OF ARSENIC	62.424	78.03
HC BETA-2 PROTEIN - BETA 2 MICROGLOBULIN	53.176	66.47
HC BILE ACIDS, TOTAL - BILE ACIDS, TOTAL	56.304	70.38
HC BILIRUBIN TOTAL - BILIRUBIN TOTAL AND DIRECT	89.888	112.36
HC BILIRUBIN DIRECT - BILIRUBIN DIRECT	92.184	115.23
HC BLOOD OCCULT FECAL IMMUNOASSAY	60.632	75.79
HC ASSAY OF CADMIUM - CADMIUM 24 HR URINE	76.128	95.16
HC ASSAY OF CALCITONIN - CALCITONIN	88.136	110.17
HC ASSAY OF CALCIUM, TOTAL - CALCIUM	69.504	86.88
HC ASSAY OF CALCIUM, IONIZED - CALCIUM IONIZED	44.944	56.18
HC ASSAY OF CALCIUM IN URINE - CALCIUM TIMED URINE	19.872	24.84
HC CALCULUS ASSAY,INFRARED SPECTR - KIDNEY STONE ANALYSIS	42.416	53.02
HC ASSAY BLOOD CARBON DIOXIDE - CO2 TOTAL	16.056	20.07
HC ASSAY BLOOD CARBON MONOXIDE - CARBOXYHEMOGLOBIN	40.48	50.6
HC CARCINOEMBRYONIC ANTIGEN - CEA (CARCINOEMBRYONIC ANTIGEN)	97.024	121.28
HC ASSAY OF CAROTENE - CAROTENE, SERUM	22.264	27.83
HC ASSAY, THREE CATECHOLAMINES - CATECHOLAMINES FRACTIONATED	83.032	103.79
HC ASSAY OF CERULOPLASMIN - CERULOPLASMIN	35.328	44.16
HC CHEMILUMINESCENT ASSAY	46.464	58.08
HC CHEMILUMINESCENT ASSAY - INFLIXIMAB AB	49.808	62.26
HC ASSAY OF BLOOD CHLORIDE - CHLORIDE	15.136	18.92
HC ASSAY OF URINE CHLORIDE	16.56	20.7
HC ASSAY OF CHROMIUM - CHROMIUM LEVEL	66.704	83.38
HC ASSAY OF CITRATE - CITRATE 24 HOUR URINE	25.624	32.03
HC ASSAY FOR COLLAGEN CROSS LINKS - N-TELOPEPTIDE, URINE	61.456	76.82
HC ASSAY OF COPPER - COPPER, SERUM	40.76	50.95
HC CORTISOL, FREE - CORTISOL 24HR URINARY FREE	54.968	68.71
HC CORTISOL, FREE - CORTISOL, FREE	54.968	68.71
HC TOTAL CORTISOL - CORTISOL	53.544	66.93
HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC	68.816	86.02
HC ASSAY OF CK (CPK) - CK	153.32	191.65
HC ASSAY OF CK (CPK) ISOENZYMES	163.992	204.99
HC CREATINE, MB FRACTION - CKMB	38	47.5
HC ASSAY OF URINE CREATININE - CREATININE, URINE, 24 HOUR	18.952	23.69
HC ASSAY OF URINE CREATININE	18.952	23.69
HC CREATININE CLEARANCE TEST - CREATININE CLEARANCE, URINE, 24 HOUR	31.096	38.87
HC ASSAY OF CRYOFIBRINOGEN - CRYOFIBRINOGEN	37.72	47.15
HC ASSAY OF CRYOGLOBULIN - CRYOGLOBULIN	21.256	26.57
HC ASSAY OF CYSTATIN C	49.312	61.64
HC DEHYDROEPIANDROSTERONE - DHEA	83.08	103.85
HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE	73.144	91.43
HC DEOXYCORTISOL - 11-DEOXYCORTISOL	70.752	88.44
HC ASSAY OF DIHYDROTESTOSTERONE	74.288	92.86
HC ASSAY, DIHYDROXYVITAMIN D W/FRACTIONS, IF PERFORMED - VITAMIN D 1	126.592	158.24
HC PANCREATIC ELASTASE, FECAL, QUAL/SEMI-QUANT - PANCREATIC ELASTASE	38	47.5
HC ENZYME ACTIVITY NONRADIOACTIVE SUBSTRATE	50.968	63.71
HC ASSAY OF ERYTHROPOIETIN - ERYTHROPOIETIN	61.776	77.22
HC ASSAY OF ESTRADIOL - ESTRADIOL	91.816	114.77
HC ASSAY OF ESTRADIOL - ESTRADIOL HIGH SENSITIVE	91.816	114.77
HC ASSAY OF ESTRADIOL - ESTRADIOL HIGH SENSITIVE	91.816	114.77
HC ASSAY OF ESTROGENS - ESTROGENS, FRACTIONATED	81.928	102.41
HC ASSAY OF ESTROGEN - ESTROGENS, TOTAL	71.304	89.13
HC ASSAY OF ESTRIOL	61.368	76.71
HC ASSAY OF ESTRONE - ESTRONE	82.064	102.58
HC FATS/LIPIDS, FECES, QUALITATIVE - FECAL FAT QUALITATIVE	16.744	20.93
HC ASSAY OF BLOOD FATTY ACIDS - FATTY ACIDS, FREE	47.656	59.57
HC ASSAY OF FERRITIN - FERRITIN	44.808	56.01
HC BLOOD FOLIC ACID SERUM - FOLATE	48.304	60.38
HC ASSAY OF FOLIC ACID, RBC - FOLATE RBC	152.536	190.67
HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IMMUNOGLOBULINS	30.64	38.3
HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGG	30.64	38.3
HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGM	30.64	38.3
HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGA	30.64	38.3
HC ASSAY OF GAMMAGLOBULIN IGE - IMMUNOGLOBULIN IGE	54.096	67.62
HC IMMUNOGLOBULIN SUBCLASSES IGG 1, 2, 3 OR 4	20.424	25.53
HC ASSAY OF GASTRIN - GASTRIN	57.96	72.45
HC ASSAY GLUCOSE, BODY FLUID - GLUCOSE BODY FLUID	12.976	16.22
HC ASSAY GLUCOSE, BODY FLUID - GLUCOSE BODY FLUID	12.976	16.22
HC HC ASSAY GLUCOSE, BODY FLUID - GLUCOSE SYNOVIAL FLUID	12.976	16.22
HC GLUCOSE TOLERANCE TEST (GTT) - LACTOSE INTOLERANCE	251.344	314.18
HC ASSAY OF G6PD ENZYME - GLUCOSE 6 PHOSPHATE DEHYDROGENASE	31.784	39.73
HC ASSAY OF GGT - GAMMA GT	23.688	29.61
HC GLYCATED PROTEIN - POCT FRUCTOSAMINE	49.592	61.99
HC GONADOTROPIN (FSH) - FSH	61.088	76.36
HC GONADOTROPIN (LH) - LUTEINIZING HORMONE	60.904	76.13
HC ASSAY GROWTH HORMONE (HGH) - GROWTH HORMONE	42.32	52.9
HC ASSAY OF HAPTOGLOBIN, QUANT - HAPTOGLOBIN	41.352	51.69
HC H. PYLORI;BREATH TEST, NON-ISOTOPE - H PYLORI BREATH TEST	221.448	276.81
HC QUANTITATIVE SCREEN, METALS - COBALT	93.52	116.9
HC HEMOGLOBIN ELECTROPHORESIS - HEMOGLOBIN ELECTROPHORESIS	29.576	36.97
HC HEMOGLOBIN CHROMOTOGRAPHY - HEMOGLOBINOPATHY EVAL	59.432	74.29
HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C	19.424	24.28
HC ASSAY OF HISTAMINE - HISTAMINE	97.984	122.48
HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE TOTAL	55.48	69.35
HC ASSAY OF 5-HIAA - 5 HIAA QUANT,24HR URINE	42.416	53.02
HC ASSAY OF PROGESTERONE 17-D - 17-HYDROXYPROGESTERONE	68.912	86.14
HC IMMUNOASSAY NONANTIBODY - TISSUE TRANSGLUTAMINASE, IGA	38	47.5
HC IMMUNOASSAY NONANTIBODY - SOLUBLE LIVER ANTIGEN IGG	38	47.5
HC IMMUNOASSAY NONANTIBODY - CELIAC DIAGNOSTIC PANEL	38	47.5
HC IMMUNOASSAY NONANTIBODY - GLIADIN ANTIBODY IGG IGA	38	47.5
HC RIA NONANTIBODY - GLUTAMIC ACID DECARBOXYLASE AB	51.104	63.88
HC RIA NONANTIBODY	51.104	63.88
HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - ANTI-MULLERIAN HORMONE	46	57.5
HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS	46	57.5
HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS	46	57.5
HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - ADALIMUMAB NEUTRALIZING AB	198.624	248.28
HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - ADALIMUMAB NEUTRALIZING AB	198.624	248.28
HC TRAB (THYROID AUTOIMMUNE ANTIBODIES) REF	46	57.5
HC TRAB (THYROID AUTOIMMUNE ANTIBODIES) REF	46	57.5
HC ASSAY OF INSULIN,TOTAL - INSULIN, FASTING	37.584	46.98
HC ASSAY OF IRON - IRON	21.344	26.68
HC IRON BINDING TEST - IRON AND IRON BINDING CAPACITY PANEL - SR OR PL	28.8	36
HC LACTATE (LD) (LDH) ENZYME - LACTATE DEHYDROGENASE	24.016	30.02
HC ASSAY OF LDH ISOENZYMES - LACTATE DEHYDROGENASE ISOENZMS	42.136	52.67
HC ASSAY LACTOFERRIN FECAL QUANTITATIVE	49.864	62.33
HC ASSAY OF LEAD - LEAD BLOOD	39.84	49.8
HC ASSAY OF LIPASE - LIPASE	135.424	169.28
HC ASSAY OF LIPOPROTEIN (A)	42.6	53.25
HC ASSAY LIPOPROTEIN PLA2 - LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2	92.624	115.78
HC LIPOPROTEIN BLOOD, HIGH RES FRACTION/ QUANT - LIPOPROTEIN SUBCLASS	90.16	112.7
HC LIPOPROTEIN, BLOOD, BY NMR SPECT - LIPOPROTEIN NMR	103.688	129.61
HC ASSAY OF BLOOD LIPOPROTEIN,HDL CHOLEST - HDL CHOLESTEROL	27	33.75
HC ASSAY OF MAGNESIUM - MAGNESIUM RBC	129.352	161.69
HC MASS SPECTROMETRY QUAL/QUAN NONDRUG ANALYTE	64.264	80.33
HC ASSAY OF MERCURY - MERCURY 24 HOUR URINE	53.456	66.82
HC ASSAY OF METANEPHRINES	55.704	69.63
HC ASSAY SYNOVIAL FLUID MUCIN - MUCIN CLOT TEST	19.32	24.15
HC MYELIN BASIC PROTEIN,CSF - MYELIN BASIC PROTEIN CSF	56.624	70.78
HC ASSAY OF MYOGLOBIN - MYOGLOBIN SERUM	32.752	40.94
HC ASSAY MYELOPEROXIDASE	128.984	161.23
HC NEPHELOMETRY, NOT SPECIFIED - KAPPA / LAMBDA LIGHT CHAINS, URINE	44.712	55.89
HC OLIGOCLONAL IMMUNOGLOBULIN - OLIGOCLONAL BANDING	72.96	91.2
HC ASSAY SNGL ORGANIC ACID, QUANTITATIVE - METHYLMALONIC ACID, SERUM	56.304	70.38
HC ASSAY OF BLOOD OSMOLALITY - OSMOLALITY	21.76	27.2
HC ASSAY OF URINE OSMOLALITY - OSMOLALITY URINE	22.448	28.06
HC ASSAY OF PARATHORMONE - PTH INTACT	118.04	147.55
HC ASSAY OF PARATHORMONE	135.744	169.68
HC ASSAY OF PARATHORMONE	135.744	169.68
HC PH BODY FLUID NOS - PH BODY FLUID	11.776	14.72
HC ASSAY OF CALPROTECTIN FECAL	167.856	209.82
HC ASSAY ALKAL PHOSPHATASE - ALKALINE PHOSPHATASE	85.008	106.26
HC ASSAY ALKAL PHOSPHATASE,ISOENZYMES - ALKALINE PHOSPHATASE,ISOENZYMES	34.04	42.55
HC ASSAY ALKAL PHOSPHATASE,ISOENZYMES - ALKALINE PHOSPHATASE,ISOENZYMES	34.04	42.55
HC ASSAY OF INORGANIC PHOSPHORUS - PHOSPHORUS	94.672	118.34
HC ASSAY OF PHOSPHORUS INORGANIC URINE	17.064	21.33
HC ASSAY OF PORPHOBILINOGEN URINE	27.832	34.79
HC PORPHYRINS URINE QUANTITATIVE/FRACTIONATED	48.392	60.49
HC ASSAY OF URINE POTASSIUM - POTASSIUM BODY FLUID	14.216	17.77
HC ASSAY OF URINE POTASSIUM - POTASSIUM 24 HOUR URINE	14.216	17.77
HC ASSAY OF PREALBUMIN - PREALBUMIN	48.024	60.03
HC ASSAY OF PREGNENOLONE - PREGNENOLONE	67.992	84.99
HC ASSAY OF 17-HYDROXYPREGNENOLONE - 17-HYDROXYPREGNENOLONE	74.984	93.73
HC ASSAY OF PROGESTERONE - PROGESTERONE	68.632	85.79
HC ASSAY OF PROCALCITOUIN	88.136	110.17
HC ASSAY OF PROLACTIN - PROLACTIN	63.712	79.64
HC ASSAY OF PROSTAGLANDIN - PROSTAGLANDIN E2, PLASMA	111.872	139.84
HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA TOTAL AND FREE	233.408	291.76
HC PSA FREE	60.488	75.61
HC PROTEIN TOT XCPT REFRACTOMETRY SERUM - PROTEIN TOTAL	15.04	18.8
HC PROTEIN TOT XCPT REFRACTOMETRY URINE - PROTEIN RANDOM URINE	12.096	15.12
HC PROTEIN TOT XCPT REFRACTOMETRY URINE - PROTEIN 24 HOUR URINE	12.096	15.12
HC PROTEIN TOT XCPT REFRACTOMETRY URINE - PROTEIN / CREATININE RATIO, U	12.096	15.12
HC PROTEIN TOT XCPT REFRACTOMETRY OTH SRC - PROTEIN CSF	12.096	15.12
HC PROTEIN E-PHORESIS, SERUM - PROTEIN ELECTROPHORESIS SERUM	35.328	44.16
HC PROTEIN E-PHORESIS/URINE/CSF - PROTEIN ELECTROPHORESIS URINE	58.648	73.31
HC PROTEIN, WESTERN BLOT TEST	56.032	70.04
HC HC PROTEIN, WESTERN BLOT TEST, W BAND ID OTH FLUID	70.568	88.21
HC ASSAY OF VITAMIN B-6 - VITAMIN B6	92.368	115.46
HC ASSAY, NON-ENDOCRINE RECEPTOR - ACETYLCHOLINE RECEPTOR, BINDING	84.136	105.17
HC ASSAY OF RENIN - RENIN DIRECT ASSAY	72.264	90.33
HC ASSAY OF SELENIUM - SELENIUM SERUM	83.952	104.94
HC ASSAY OF SEX HORMONE BINDING GLOBULIN - SEX HORMONE BINDING GLOBULIN	71.392	89.24
HC ASSAY OF URINE SODIUM - SODIUM 24 HOUR URINE	16.056	20.07
HC ASSAY OF SOMATOMEDIN - INSULIN-LIKE GROWTH FACTOR	69.92	87.4
HC SUGARS SINGLE QUALITATIVE	18.168	22.71
HC SUGARS SINGLE QUANTITATIVE, EACH SPECIMEN - 1,5-ANHYDROGLUCITOL	29.256	36.57
HC ASSAY OF URINE SULFATE - SULFATE, URINE	15.64	19.55
HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE	83.768	104.71
HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE	84.872	106.09
HC ASSAY OF VITAMIN B-1 - VITAMIN B1	69.832	87.29
HC ASSAY OF THYROGLOBULIN - THYROGLOBULIN	52.856	66.07
HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE)	22.632	28.29
HC ASSAY OF FREE THYROXINE - T4 FREE	187.912	234.89
HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	329.176	411.47
HC ASSAY OF THYROID STIM IMMUNOGLOBULINS (TSI) - THYROID STIMULATING IM	167.168	208.96
HC ASSAY OF VITAMIN E - VITAMIN E (TOCOPHEROL)	46.648	58.31
HC ASSAY OF TRANSFERRIN - TRANSFERRIN	42.048	52.56
HC THYROID HORM UPTAKE/THYR HORM BINDING RATIO - T3 UPTAKE	21.256	26.57
HC TRIIODOTHYRONINE TOTAL ASSAY, TT-3 - T3 (THYROID HORMONE)	46.648	58.31
HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE	55.704	69.63
HC TRIIODOTHYRONINE T3 REVERSE - T3 REVERSE	51.888	64.86
HC ASSAY URINE UREA-N - UREA NITROGEN, URINE	15.64	19.55
HC ASSAY OF URIC ACID, BLOOD - URIC ACID	14.904	18.63
HC ASSAY OF URIC ACID, BLOOD, OTHER SOURCE - URIC ACID, URINE, 24 HOUR	15.64	19.55
HC ASSAY OF URINE VMA - VMA, URINE	50.92	63.65
HC ASSAY OF VASOPRESSIN - ARGININE VASOPRESSIN HORMONE	111.6	139.5
HC ASSAY OF VITAMIN A - VITAMIN A	38.184	47.73
HC ASSAY OF NOS VITAMIN	45.448	56.81
HC ASSAY OF VITAMIN K - VITAMIN K	45.176	56.47
HC ASSAY OF ZINC - ZINC	37.448	46.81
HC ASSAY OF C-PEPTIDE - C-PEPTIDE	68.496	85.62
HC TRICHOMONAS VAGINALIS DNA AMP PROB	108.792	135.99
HC ALLERGEN SPEC IGG QUANT,EACH	20.888	26.11
HC ALLERGEN SPEC IGE - ALLERGEN ALMONDS IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN ALMONDS IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN CASHEW IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN CASHEW IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN CODFISH IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN CODFISH IGE	17.16	21.45
HC ACTIN SMOOTH MUSCLE ANTIBODY EACH	26.496	33.12
HC ACTIN SMOOTH MUSCLE ANTIBODY EACH	26.496	33.12
HC WBC ANTIBODY IDENTIFICATION - ANTI-NEUTROPHIL ANTIBODY	49.496	61.87
HC PLATELET ANTIBODIES - PLATELET ANTIBODIES, INDIRECT	44.344	55.43
HC ANTINEUTROPHIL CYTOPLASMIC ANTB SCREEN EA ANTB	58	72.5
HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES)	39.84	49.8
HC ANTINUCLEAR ANTIBODIES TITER - ANA TITER	36.712	45.89
HB ACETYLCHOLINE RECEPTOR BINDING ANTIBODY	51.52	64.4
HC AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA	201.648	252.06
HC AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA	201.648	252.06
HC ANTISTREPTOLYSIN O TITER - ANTISTREPTOLYSIN O TITER	24.016	30.02
HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN	21.16	26.45
HC C-REACTIVE PROTEIN,HIGH SENSITIVITY - HIGH SENSITIVITY CRP	25.904	32.38
HC BETA 2 GLYCOPROTEIN I ANTIBODY,EA - BETA-2 GLYCOPROTEIN ABS	83.72	104.65
HC CARDIOLIPIN ANTIBODY - CARDIOLIPIN ANTIBODY	83.72	104.65
HC CARDIOLIPIN ANTIBODY - CARDIOLIPIN ANTIBODY, IGG	83.72	104.65
HC CARDIOLIPIN ANTIBODY - CARDIOLIPIN ANTIBODY, IGG	83.72	104.65
HC CARDIOLIPIN ANTIBODY - CARDIOLIPIN ANTIBODY, IGM	83.72	104.65
HC CARDIOLIPIN ANTIBODY - CARDIOLIPIN ANTIBODY, IGM	83.72	104.65
HC PHOSPHOLIPID ANTIBODY - PHOSPHATIDYLSERINE ANTIBODIES	52.856	66.07
HC COLD AGGLUTININ, TITER - COLD AGGLUTININ TITER	23.368	29.21
HC COMPLEMENT, ANTIGEN - C4 COMPLEMENT	56.904	71.13
HC COMPLEMENT, ANTIGEN - C3 COMPLEMENT	39.472	49.34
HC COMPLEMENT ANTIGEN EA COMP LUPUS PANEL A	39.472	49.34
HC COMPLEMENT, TOTAL (CH50) - COMPLEMENT TOTAL	66.792	83.49
HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY	42.6	53.25
HC DNA ANTIBODY, NATV/2 STRAND - ANTI DNA, DOUBLE STRANDED	45.176	56.47
HC DNA ANTIBODY, SINGLE STRAND - DNA ANTIBODY, SINGLE STRAND	39.84	49.8
HC ENDOMYSIAL ANTIBODY EACH IMMUNOGLOBULIN CLASS	27.832	34.79
HC NUCLEAR ANTIGEN ANTIBODY - SJOGRENS SYNDROME-A EXT NU AB	58.976	73.72
HC NUCLEAR ANTIGEN ANTIBODY - SJOGRENS SYNDROME-B EXT NUC AB	58.976	73.72
HC NUCLEAR ANTIGEN ANTIBODY - ANTI JO-1 IGG	50.2	62.75
HC NUCLEAR ANTIGEN ANTIBODY - ANTI JO-1 IGG	58.976	73.72
HC NUCLEAR ANTIGEN ANTIBODY - SCLERODERMA (SCL-70) ANTIBODY	58.976	73.72
HC NUCLEAR ANTIGEN ANTIBODY - EXTRACTABLE NUCLEAR ANTIGEN ANTIBODIES	58.976	73.72
HC NUCLEAR ANTIGEN ANTIBODY - RIBONUCLEIC PROTEIN ANTIBODY, IGG	58.976	73.72
HC EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY - SMITH ANTIBODY	58.976	73.72
HC EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY - CHROMATIN NUCLEOSOMAL AB	58.976	73.72
HC EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY	58.976	73.72
HC EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY	58.976	73.72
HC FLUORESCENT ANTIBODY SCREEN	39.744	49.68
HC FLUORESCENT ANTIBODY; TITER - EHRLICA CANIS AB	39.744	49.68
HC GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS	26.496	33.12
HC IMMUNOASSAY, TUMOR ANTIGEN, CA 15-3 - CANCER ANTIGEN 15-3	68.496	85.62
HC IMMUNOASSAY, TUMOR ANTIGEN, CA 15-3 - CANCER ANTIGEN 27.29	68.496	85.62
HC IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 - CANCER ANTIGEN 19-9	68.496	85.62
HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 - CA 125	68.496	85.62
HC HUMAN EPIDIDYMIS PROTEIN 4 HE4 /SO	68.496	85.62
HC IMMUNOASSAY FOR TUMOR QUANTITATIVE ANTIGEN	68.496	85.62
HC IMMUNOASSAY,INFECT AGENT,QUANT - STREP PNEUMONIAE ANTIBODY SEROTYPES	49.312	61.64
HC IMMUNOASSAY,INFECT AGENT,QUANT - HERPES CULTURE	49.592	61.99
HC IMMUNOASSAY,INFECT AGENT,QUAL - POCT H. PYLORI ANTIBODIES	49.592	61.99
HC IMMUNOELECTROPHORESIS SERUM	79.72	99.65
HC IMMUNODIFFUSION NES	46.184	57.73
HC IMMUNODIFFUSION OUCHTERLONY - HYPER PNEUMO EXTENDED PANEL	30.36	37.95
HC IMMUNOFIXATION ELECTROPHORESIS SERUM	73.6	92
HC IMMUNFIX E-PHORSIS/URINE/CSF - MONOCLONAL PROTEIN URINE	96.512	120.64
HC INHIBIN A	43.648	54.56
HC INSULIN ANTIBODIES - INSULIN ANTIBODY	51.752	64.69
HC INTRINSIC FACTOR ANTIBODY - INTRINSIC FACTOR BLOCKING ANTIBODY	49.592	61.99
HC ISLET CELL ANTIBODY - ANTI-ISLET CELL AB	65.048	81.31
HC B CELLS, TOTAL COUNT - B CELLS, TOTAL COUNT	91.08	113.85
HC MONONUCLEAR CELL ANITGEN NOS	61.592	76.99
HC NK CELLS, TOTAL COUNT - NATURAL KILLER CELL COUNT	124.016	155.02
HC T CELLS, TOTAL COUNT - T CELLS, TOTAL COUNT	95.68	119.6
HC T CELL ABSOLUTE COUNT/RATIO - T-HELPER CELLS CD4/CD8 %	119.144	148.93
HC T CELL ABSOLUTE COUNT - T-HELPER CELLS (CD4) COUNT	88.048	110.06
HC MOG-IGG1 ANTIBODY CELL-BASED IMFLUOR ASSAY EACH	230.992	288.74
HC TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS	26.496	33.12
HC MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB	47.84	59.8
HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY	47.84	59.8
HC NEUTRALIZATION TEST, VIRAL - RABIES ANTIBODY TITER	55.616	69.52
HC PARTICLE AGGLUTINATION SCREEN	30.728	38.41
HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR	18.68	23.35
HC TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON - TB TEST	177.2	221.5
HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - RAPID PLASMA REAGIN-SYP	14.032	17.54
HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL	10.352	12.94
HC ASPERGILLUS ANTIBODY - ASPERGILLUS ABS	44.528	55.66
HC BACTERIUM, ANTIBODY	38.088	47.61
HC BARTONELLA, ANTIBODY - BARTONELLA AB PANEL	33.536	41.92
HC BLASTOMYCES, ANTIBODY - BLASTOMYCES ANTIBODIES	38.224	47.78
HC BORDETELLA ANTIBODY - BORDETELLA PERTUSSIS ANTIBODY	33.536	41.92
HC LYME DISEASE ANTIBODY, CONFIRMATORY - LYME DISEASE, WESTERN BLOT	50.92	63.65
HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES	56.032	70.04
HC CANDIDA, ANTIBODY - CANDIDA ANTIBODY	39.472	49.34
HC CHLAMYDIA, ANTIBODY - CHLAMYDIA ANTIBODIES	38.92	48.65
HC CHLAMYDIA, IGM, ANTIBODY - CHLAMYDIA ANTIBODY, IGM	20.424	25.53
HC COCCIDIOIDES, ANTIBODY - COCCIDIOIDES ANTIBODIES	34.136	42.67
HC Q FEVER ANTIBODY - COXIELLA BRUNETII Q FEVER ANTIBODY	40.48	50.6
HC CRYPTOCOCCUS ANTIBODY - CRYPTOCOCCUS ANTIBODY	42.6	53.25
HC CMV ANTIBODY - CYTOMEGALOVIRUS IGG	47.288	59.11
HC CMV ANTIBODY, IGM - CYTOMEGALOVIRUS ANTIBODY, IGM	55.384	69.23
HC ENTEROVIRUS ANTIBODY - COXSACKIE AB	42.784	53.48
HC EPSTEIN-BARR ANTIBODY - EPSTEIN-BARR VIRUS EARLY	31.696	39.62
HC EPSTEIN-BARR NUCLEAR ANTIGEN - EPSTEIN-BARR VIRUS NUCLEAR ANTIGEN AB	50.328	62.91
HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA, IGG	59.664	74.58
HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA, IGM	36.28	45.35
HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA, IGA	59.664	74.58
HC EHRLICHIA ANTIBODY - EHRLICHIA CHAFFEENSIS PANEL	72.456	90.57
HC FUNGUS NES ANTIBODY - ALLERGEN, FUNGI & MOLDS, ALTERNARIA TENUIS IGG	40.296	50.37
HC GIARDIA LAMBLIA - GIARDIA LAMBLIA ANTIBODY, IFA	48.392	60.49
HC HELICOBACTER PYLORI - HELICOBACTER PYLORI IGA	47.752	59.69
HC HELMINTH, ANTIBODY - CYSTICERCOSIS ANTIBODY, IGG	31.416	39.27
HC HEPATITIS, DELTA AGENT - HEPATITIS DELTA VIRUS	56.4	70.5
HC HERPES SIMPLEX TEST, UNSPECIFIED TYPE - HSV NON-SPECIFIC ANTIBODY	47.288	59.11
HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGG ANTIBODY	43.376	54.22
HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG ANTIBODY	63.664	79.58
HC HISTOPLASMA - HISTOPLASMA ANTIBODIES	36.984	46.23
HC HIV-1/HIV-2, SINGLE ASSAY - RAPID HIV 1 AND 2 SCREEN	45.032	56.29
HC HEP B CORE AB TEST, TOTAL - HEPATITIS B CORE ANTIBODY, TOTAL	39.744	49.68
HC HEP B CORE AB TEST, IGM - HEPATITIS B CORE ANTIBODY, IGM	38.736	48.42
HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY	35.328	44.16
HC HEPATITIS BE AB TEST - HEPATITIS B E ANTIBODY	38.088	47.61
HC HEPATITIS A ANTIBODY HAAB - HEPATITIS A ANTIBODY, TOTAL	40.664	50.83
HC HEPATITIS ANTIBODY HAAB IGM ANTIBODY - HEPATITIS A ANTIBODY, IGM	37.08	46.35
HC LEISHMANIA - LEISHMANIA ANTIBODY	46.648	58.31
HC MUMPS - MUMPS IGG ANTIBODY	42.872	53.59
HC MYCOPLASMA - MYCOPLASMA PNEUMONIAE ANTIBODY, IGG	43.52	54.4
HC PARVOVIRUS - PARVOVIRUS B19 ANTIBODY, IGG AND IGM	30.064	37.58
HC PROTOZOA, NOT ELSEWHERE - BABESIA MICROTI, IGG	40.664	50.83
HC RICKETTSIA - RICKETTSIA RICKETTSII ANTIBODY	63.944	79.93
HC RUBELLA - RUBELLA ANTIBODY, IGM	47.288	59.11
HC RUBELLA - RUBELLA ANTIBODY, IGG	47.288	59.11
HC RUBEOLA - RUBEOLA ANTIBODY IGG	42.368	52.96
HC RUBEOLA - RUBEOLA ANTIBODY	42.368	52.96
HC TETANUS - TETANUS TOXOID, IGG	49.408	61.76
HC TOXOPLASMA - TOXOPLASMA GONDII IGG ANTIBODY	47.288	59.11
HC TOXOPLASMA, IGM - TOXOPLASMA GONDII ANTIBODY, IGM	47.384	59.23
HC ANTIBODY TREPONEMA PALLIDUM - T. PALLIDUM CONFIRMATORY	32.016	40.02
HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGG	42.368	52.96
HC WEST NILE VIRUS AB, IGM - WEST NILE VIRUS ANTIBODY, IGM	40.056	50.07
HC WEST NILE VIRUS ANTIBODY - WEST NILE VIRUS ANTIBODY, IGG	33.12	41.4
HC VIRUS ANTIBODIES NES	42.368	52.96
HC THYROGLOBULIN ANTIBODY - ANTI-THYROGLOBULIN AB	52.352	65.44
HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY	46.872	58.59
HC HEP C AB TEST, CONFIRM - HEPATITIS C VIRUS, RIBA	50.92	63.65
HC HLA TYPING, A,B,OR C /SINGLE - HLA-B27 ANTIGEN	84.872	106.09
HC RED BLOOD CELL (RBC) COUNT - RED BLOOD CELL COUNT	9.936	12.42
HC RETICULOCYTE COUNT, AUTO - RETICULOCYTES	196.328	245.41
HC BLOOD SMEAR INTERPRETATION - LAB BLOOD SMEAR INTERPRETATION	68.128	85.16
HC CLOT FACTOR VIII AHG 1 STAGE - VON WILLEBRAND PANEL	58.832	73.54
HC CLOT FACTOR VIII VW RISTOCTN - FACTOR VIII RISTOCETIN COFACTR	75.44	94.3
HC CLOT FACTOR VIII VW ANTIGEN - VON WILLEBRAND ANTIGEN	75.44	94.3
HC CLOTTING FACTR VIII VW MULTIMETRIC	75.44	94.3
HC CLOT FACTOR X STUART-POWER - FACTOR 10 ACTIVITY	70.656	88.32
HC ANTITHROMBIN III TEST,ACTIV - ANTITHROMBIN PANEL	38.92	48.65
HC ANTITHROMBIN III TEST,ANTIGEN - ANTITHROMBIN III AG	35.56	44.45
HC CLOT INHIB PROTEIN C,ANTIGEN - PROTEIN C ANTIGEN TOTAL	51.616	64.52
HC CLOT INHIB PROTEIN C,ACTIV - PROTEIN C ACTIVITY	45.544	56.93
HC CLOT INHIB PROTEIN S,FREE - PROTEIN S ACTIVITY	50.416	63.02
HC FACTOR INHIBITOR TEST - BETHESDA INHIBITOR	32.664	40.83
HC FIBRIN DEGRAD PRODUCTS, AGGLUTINATION - FIBRIN SPLIT PRODUCTS	23.464	29.33
HC FIBRINOGEN, ANTIGEN - FIBRINOGEN ANTIGEN	38.552	48.19
HC WBC ALKALINE PHOSPHATASE - LEUKOCYTE ALKALINE PHOSPHATASE	28.336	35.42
HC MURAMIDASE - LYSOZYME, SERUM	45.264	56.58
HC PROTHROMBIN TIME - PROTIME-INR	183.216	229.02
HC RUSSELL VIPER VENOM, DILUTED - DRVVT (DILUTE RUSSEL VV TIME)	31.512	39.39
HC RBC SICKLE CELL TEST - SICKLE CELL SCREEN	18.168	22.71
HC THROMBOPLAS TIME PARTIAL (APTT) - PLASMA/WHOLE BLOOD	208.288	260.36
HC BLOOD VISCOSITY EXAMINATION - VISCOSITY, SERUM	38.456	48.07
HC SPECIMEN CONCENTRATION - CRYPTOSPORIDIUM OR INFECTIOUS AGENT	21.992	27.49
HC BLOOD CULTURE FOR BACTERIA	33.952	42.44
HC CULTURE AEROBIC BACTERIA FECES	31.096	38.87
HC STOOL CULTURE, ADDL PATHOGENS - CAMPYLOBACTER CULTURE, STOOL	31.096	38.87
HC HC STOOL CULTURE, ADDL PATHOGENS	31.096	38.87
HC CULTURE BACTERIA EXCPT URINE BLOOD/STOOL AEROBIC ISOL	28.336	35.42
HC CULTURE BACTERIA ANAEROBIC EXCEPT BLOOD	31.192	38.99
HC ORGANISM IDENTIFIED ANAEROBIC	31.096	38.87
HC BACTERIA IDENTIFICATION, AEROBIC ISOLATE - POCT H. PYLORI	31.096	38.87
HC BACTERIA CULTURE SCREEN	21.848	27.31
HC URINE CULTURE QUANTITATIVE COLONY COUNT	26.592	33.24
HC URINE BACTERIA CULTURE	31.096	38.87
HC CULTURE FUNGI-SKIN HAIR NAILS - FUNGAL CULTURE, CUTANEOUS	25.304	31.63
HC FUNGUS ISOLATION CULTURE	27.648	34.56
HC BLOOD FUNGUS CULTURE	54.464	68.08
HC FUNGUS IDENTIFICATION, MOLD - FUNGAL IDENTIFICATION, MOLD	33.952	42.44
HC MYCOPLASMA CULTURE - MYCOPLASMA / UREAPLASMA CULTURE	39.104	48.88
HC CHLAMYDIA CULTURE ANY SOURCE	64.448	80.56
HC MICOBACTERIA CULTURE TB/AFB	35.56	44.45
HC CULTURE TYPING IMMUNOFLUORESCENT EACH ANTISERUM	18.4	23
HC CULTURE TYPING GLC/HPLC	41.216	51.52
HC CULTURE TYPE IMMUN NOT FLUORES	19.92	24.9
HC MACROSCOPIC EXAM, PARASITE - PARASITE IDENTIFICATION	14.032	17.54
HC PINWORM EXAM - PINWORM PREP	14.032	17.54
HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION	29.256	36.57
HC MICROBE SUSCEPTIBLE DIFFUSE	15.64	19.55
HC ANTIBIOTIC SENS,DISK,EACH - SUSCEPTBILITY DISK	22.632	28.29
HC MICROBE SUSCEPTIBLE ENZYME /SO	18.264	22.83
HC ANTIBIOTIC SENS,MIC,EACH - SUSCEPTIBILITY	33.216	41.52
HC SMEAR GRAM STAIN	14.032	17.54
HC SMEAR,FLUOR STAIN,INTERP - AFB STAIN	17.664	22.08
HC SMEAR,INCLUSION BODIES/PARASITES,INTERP - MALARIA SMEAR	19.688	24.61
HC SMEAR COMPLEX STAIN OVA PARASITES	59.064	73.83
HC TISSUE EXAM BY KOH - KOH PREP	45.544	56.93
HC ASSAY, TOXIN OR ANTITOXIN - CLOSTRIDIUM DIFFICILE TOXINS TISSUE CULT	64.864	81.08
HC VIRUS TISSUE CULTURE BY INOCULATION	85.744	107.18
HC VIRUS INOCULATION SHELL VIAL STAIN	64.352	80.44
HC VIRUS ID,NON-IMMUNOLOGIC METHOD - HSV CULTURE	111.32	139.15
HC CRYPTOSPORIDIUM AG IF	39.472	49.34
HC VARICELLA AG, DFA - VARICELLA ZOSTER DFA	39.472	49.34
HC AG DETECTION NOS, IMMUNOFLUORESCENT OR FLUORSCENCE	42.872	53.59
HC IAAD IA QUAL/SEMIQUAN MULTIPLE STEP ASPERGILLUS - ASPERGILLUS GALACT	35.56	44.45
HC IAAD IA CLOSTRIDIUM DIFFICILE TOXIN - C. DIFFICILE TOXINS (BY EIA)	39.472	49.34
HC IAAD IA GIARDIA STOOL - OVA AND PARASITE SCREEN	39.472	49.34
HC ENTAMOEB HIST GRP AG IA	39.472	49.34
HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL	47.288	59.11
HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN	33.952	42.44
HC IAAD IA HEPATITIS BE ANTIGEN - HEPATITIS B E ANTIGEN	37.904	47.38
HC IAAD IA HISTOPLASM CAPSULATUM - HISTOPLASMA ANTIGEN URINE	35.56	44.45
HC INFLUENZA A&B AG,EIA	39.472	49.34
HC IAAD IA SHIGA-LIKE TOXIN - SHIGA-LIKE TOXIN ANTIGEN, EIA	39.472	49.34
HC IAAD IA MULT STEP METHOD NOS EACH ORGANISM	39.472	49.34
HC BARTONELLA, DNA, AMP PROBE - BARTONELLA, DNA, AMP PROBE	115.368	144.21
HC CANDIDA, DNA, DIR PROBE - CANDIDA DNA PROBE	65.968	82.46
HC CANDIDA, DNA, AMP PROBE - CANDIDA DNA, PCR	115.368	144.21
HC CHYLMD PNEUM, DNA, AMP PROBE - CHLAMYDIA PNEUMONIAE DNA PROBE, AMP	115.368	144.21
HC CHYLMD TRACH, DNA, AMP PROBE - CHLAMYDIA DNA PCR	115.368	144.21
HC C DIFF AMPLIFIED PROBE	115.368	144.21
HC CYTOMEG, DNA, QUANT - CMV DNA, QUANTITATIVE, PCR	140.808	176.01
HC IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11	525.96	657.45
HC IADNA-DNA/RNA PROBE TQ 12-25 - GASTROINTESTINAL PANEL	958.592	1198.24
HC GARDNER VAG DNA DIR PROBE - GARDNERELLA VAGINALIS DNA PROBE, DIRECT	65.968	82.46
HC GARDNER VAG DNA QUANT - GARDNERELLA VAGINALIS DNA PROBE, QUANT	137.264	171.58
HC HEPATITIS B , DNA, QUANT - HEPATITIS B DNA, ULTRAQUANTITATIVE, PCR	140.808	176.01
HC IADNA HEPATITIS C AMPLIFIED PROBE&REVRSE TRANSCR - HEPATITIS C GENO	115.368	144.21
HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR	140.808	176.01
HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION	140.808	176.01
HC HSV, DNA, AMP PROBE - HSV PCR	115.368	144.21
HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV RNA, QUANTITATIVE, PCR	279.776	349.72
HC M.TUBERCULO, DNA, AMP PROBE - M. TUBERCULOSIS DNA PROBE, AMPLIFIED	115.368	144.21
HC INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); MYCOPLASMA GENITALIUM	84.776	105.97
HC M.PNEUMON, DNA, AMP PROBE - MYCOPLASMA PNEUMONIAE PCR	84.776	105.97
HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR	115.368	144.21
HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE, AMP/DIRECT/PCR	115.368	144.21
HC IADNA HUMAN PAPILLOMAVIRUS TYPES 16 & 18 ONLY	115.368	144.21
HC IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET	873.6	1092
HC MRSA, DNA, AMP PROBE - MR STAPH DNA PROBE, AMPLIFIED	115.368	144.21
HC TRICHOMONAS VAGIN, DIR PROBE - TRICHOMONAS VAGINALIS DNA PROBE	65.968	82.46
HC INFECTIOUS DETECT AGENT NOS, DNA, AMP	115.368	144.21
HC INFECTIOUS DETECT AGENT NOS, DNA, AMP - BK VIRUS, DNA, URINE, QUANTITATIVE	140.808	176.01
HC DETECT AGENT NOS, DNA, QUANT - BK VIRUS, DNA, SERUM, QUANTITATIVE	140.808	176.01
HC DETECT AGENT NOS, DNA, QUANT - BK VIRUS, DNA, SERUM, QUANTITATIVE	140.808	176.01
HC DETECT AGENT NOS, DNA, QUANT	140.808	176.01
HC DETECT AGENT, MULT ORGS, DNA, AMP LYME WEST BLOT /SO	230.784	288.48
HC GENOTYPE ANALYSIS HEPATITIS C 1 NS5A	212.808	266.01
HC GENOTYPE ANALYSIS HEPATITIS C 1 NS5A	212.808	266.01
HC GENOTYPE ANALYSIS HEPATITIS C 1 NS5B	735.92	919.9
HC GENOTYPE ANALYSIS HEPATITIS C 1 NS5B	735.92	919.9
HC GENOTYPE ANALYSIS HEPATITIS C LIPA	846.312	1057.89
HC GENOTYPE ANALYSIS HEPATITIS C 3 NS5A	212.808	266.01
HC GENOTYPE ANALYSIS HEPATITIS C 3 NS5A	212.808	266.01
HC HEP B GENOTYPE DNA	846.312	1057.89
HC ASSAY OF OXALATE - OXALATE URINE	11.96	14.95
HC BRCA1&BRCA2 FULL SEQ ANALYS/FULL DUP/DEL ANALYS	5998.216	7497.77
HC CFTR GENE ANALYSIS COMMON VARIANTS	1482.032	1852.54
HC HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS - HEMOCHROMATOSIS MUT	214.824	268.53
HC JAK2 GENE ANAL - JAK 2 MUTATION	307.696	384.62
HC MTHFR METHYLENETRAHYDROFOLATE GENE ANAL - METHYLENETRAHYDROFOLATE	173.976	217.47
HC TPMT GENE ANALYSIS COM VARIANTS	443.304	554.13
HC MPL GENE ANALYSIS SEQUENCE ANALYSIS EXON 10	340.4	425.5
HC HLA I LOW RESOLUTION ONE ANTIGEN EQUIVALENT EACH	239.152	298.94
HC HLA ONE CLASS II LOCUS LOW RESOLUTION ASSESSMENT	401.768	502.21
HC HLA ONE CLASS II LOCUS HIGH RESOLUTION ASSESSMENT	406.552	508.19
HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 2 - HUNTINGTON'S	364.32	455.4
HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 2 - FSHD1 SOUTHERN BLOT TEST	696.992	871.24
HC ONCO OVARIAN BIOCHEM ASSAY 2 PROTEIN	693.592	866.99
HC NFCT DS BACTERAL VAGINOSIS RNA VAGINAL-FLUID ALG	285.264	356.58
HC LIVER FIBROSIS PANEL	192.28	240.35
HC SURG PATH,LEVEL II - LAB SURG PATH,LEVEL II	84.736	105.92
HC SURG PATH,LEVEL III - LAB SURG PATH,LEVEL III	119.048	148.81
HC SURG PATH,LEVEL V - LAB SURG PATH,LEVEL V	573.624	717.03
HC CYTOPATH FL NONGYN SMEARS - LAB CYTOPATH FLUIDS,SMEAR,INTERP	84.736	105.92
HC CYTOPATH CELL ENHANCE TECH - LAB CYTOPATH, CELL ENHANCE TECH	74.888	93.61
HC CYTOPATH C/V THIN LAYER - LAB CYTOPATH CERV/VAG THIN LAYER	66.608	83.26
HC CYTOPATH C/V AUTO FLUID REDO - LAB CYTOPAT,CER/VAG,THIN LAYER,INTER	87.128	108.91
HC FLOWCYTOMETRY/ TECH COMPONENT, 1 MARKER - LAB FLOWCYTOMETRY/TECH CMP	38.32	47.9
HC FLOWCYTOMETRY/TECH COMPONENT, ADD-ON - LAB FLOWCYTOMETRY/TECH CMP	9.936	12.42
HC FLOWCYTOMETRY INTERPRETATION 16 OR MORE MARKERS	236.808	296.01
HC MOLECULAR CYTOGENETICS DNA PROBE EACH	51.752	64.69
HC MOLECULAR CYTOGENETICS 25-99 CELLS S/O	102.352	127.94
HC CYSTIC FIBROSIS SCREEN	119.784	149.73
HC SURG PATH,GROSS,LEVEL I - LAB SURG PATH,GROSS,LEVEL I	46.552	58.19
HC SURG PATH,LEVEL IV - LAB SURG PATH,LEVEL IV	119.048	148.81
HC SURG PATH,LEVEL VI - LAB SURG PATH,LEVEL VI	1440.352	1800.44
HC INVESTIGATION OF TRANSFSION REACTION /SO	327.616	409.52
HC DRUG TEST DEF 1-7 CLASSES	304.704	380.88
HC DRUG TEST DEF 22+ CLASSES	657.48	821.85
HC ALLERGEN SPEC IGE - ALLERGEN EGG WHITE IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN EGG WHITE IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN MILK IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN MILK IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN HAZELNUT	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN HAZELNUT	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN PEANUT IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN PEANUT IGE	17.16	21.45
HC ALLERGEN SPEC IGE	17.16	21.45
HC ALLERGEN EA QUEST REF	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN SALMON IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN SALMON IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN TUNA IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN TUNA IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN SCALLOP IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN SCALLOP IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN SESAME SEED IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN SESAME SEED IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN WALNUT IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN WALNUT IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN SHRIMP IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN SHRIMP IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN WHEAT IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN WHEAT IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN SOYBEAN IGE	17.16	21.45
HC ALLERGEN SPEC IGE - ALLERGEN SOYBEAN IGE	17.16	21.45
INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE	263.352	329.19
INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE	475	593.75
INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE	366.344	457.93
PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST	295.32	369.15
DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/<	107.736	134.67
DEBRIDEMENT MUSCLE &/FASCIA 1ST 20 SQ CM/<	607.664	759.58
PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1	64.68	80.85
TANGENTIAL BIOPSY SKIN SINGLE LESION	268.408	335.51
TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION	144.856	181.07
PUNCH BIOPSY SKIN SINGLE LESION	337.688	422.11
PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION	166.152	207.69
INCISIONAL BIOPSY SKIN SINGLE LESION	409.032	511.29
INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION	196.008	245.01
RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15	170.016	212.52
SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM/<	178.944	223.68
SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM	306.728	383.41
SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM	354.2	442.75
SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM	354.2	442.75
SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM	310.136	387.67
SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<	160.448	200.56
EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<	263.352	329.19
EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM	366.344	457.93
EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM	372.144	465.18
EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM	477.664	597.08
EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM	527.712	659.64
EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM	631.952	789.94
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<	231.568	289.46
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM	384.192	480.24
EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<	357.88	447.35
EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<	470.584	588.23
EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM	508.624	635.78
EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/<	506.184	632.73
EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM	557.432	696.79
EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM	641.424	801.78
EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM	789.824	987.28
TRIMMING NONDYSTROPHIC NAILS ANY NUMBER	58.744	73.43
DEBRIDEMENT NAIL ANY METHOD 1-5	51.616	64.52
DEBRIDEMENT NAIL ANY METHOD 6/>	127.608	159.51
AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1	187.912	234.89
EVACUATION SUBUNGUAL HEMATOMA	86.392	107.99
EXCISION NAIL MATRIX PERMANENT REMOVAL	399.744	499.68
WEDGE EXCISION SKIN NAIL FOLD	171.304	214.13
INSERTION DRUG DELIVERY IMPLANT	270.848	338.56
REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT	184.552	230.69
RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT	359.352	449.19
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<	415.288	519.11
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<	416.488	520.61
SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM	464.368	580.46
ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM	1865.392	2331.74
FTH/GF FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM/<	2206.712	2758.39
APP SKN SUB GRFT T/A/L AREA/100SQ CM /<1ST 25	206.728	258.41
DESTRUCTION PREMALIGNANT LESION 1ST	139.016	173.77
DESTRUCTION PREMALIGNANT LESION 2-14 EA	32.384	40.48
DESTRUCTION BENIGN LESIONS UP TO 14	155.76	194.7
DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM/<	243.432	304.29
INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS	266.984	333.73
INJECTION SINGLE TENDON ORIGIN/INSERTION	267.216	334.02
INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES	266.984	333.73
INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES	266.984	333.73
ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	170.016	212.52
ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	176	220
ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	208.288	260.36
ASPIRATION&/INJECTION GANGLION CYST ANY LOCATJ	156.496	195.62
CLTX IPHAL JT DISLC W/MANJ W/O ANES	549.24	686.55
APPLICATION CAST ELBOW FINGER SHORT ARM	246.656	308.32
APPLICATION SHORT LEG SPLINT CALF FOOT	167.44	209.3
UNLISTED PROCEDURE CASTING/STRAPPING	191.544	239.43
CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE	275.216	344.02
CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST	260.04	325.05
INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/>	717.968	897.46
INCISION THROMBOSED HEMORRHOID EXTERNAL	500.984	626.23
ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD	238.328	297.91
INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE	179.584	224.48
CHANGE CYSTOSTOMY TUBE SIMPLE	196.52	245.65
DSTRJ LESION PENIS SIMPLE CRYOSURGERY	352.64	440.8
COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA	501.496	626.87
COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE	716.96	896.2
ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX	474.032	592.54
INSERTION INTRAUTERINE DEVICE IUD	202.4	253
REMOVAL INTRAUTERINE DEVICE IUD	415.288	519.11
CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	344.08	430.1
REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL	119.696	149.62
DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE	570.816	713.52
RMVL FB XTRNL AUDITORY CANAL W/O ANES	283.36	354.2
REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	39.744	49.68
REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	130.552	163.19
RADIOLOGIC EXAMINATION MANDIBLE PRTL <4 VIEWS	32.016	40.02
RADIOLOGIC EXAMINATION MANDIBLE PRTL <4 VIEWS	49.864	62.33
RADEX FACIAL BONES < 3 VIEWS	32.016	40.02
RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS	36.432	45.54
RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS	32.016	40.02
RADEX ORBITS COMPLETE MINIMUM 4 VIEWS	39.328	49.16
RADEX SINUSES PARANASAL <3 VIEWS	32.016	40.02
RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS	34.504	43.13
RADIOLOGIC EXAMINATION SKULL 4< VIEWS	34.504	43.13
RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS	48.024	60.03
RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT	29.24	36.55
RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT	33.624	42.03
RADIOLOGIC EXAMINATION NECK SOFT TISSUE	32.016	40.02
CT HEAD/BRAIN W/O CONTRAST MATERIAL	296.704	370.88
CT HEAD/BRAIN W/CONTRAST MATERIAL	416.944	521.18
CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL	494.504	618.13
CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL	598.464	748.08
CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL	707.48	884.35
CT ORBIT SELLA/POST FOSSA/EAR W/O & W/CONTR MATR	770.872	963.59
CT MAXILLOFACIAL W/O CONTRAST MATERIAL	357.608	447.01
CT MAXILLOFACIAL W/CONTRAST MATERIAL	431.112	538.89
CT MAXILLOFACIAL W/O & W/CONTRAST MATERIAL	524.952	656.19
CT SOFT TISSUE NECK W/O CONTRAST MATERIAL	497.032	621.29
CT SOFT TISSUE NECK W/CONTRAST MATERIAL	606.096	757.62
CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL	712.584	890.73
CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST	753.16	941.45
CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST	750.632	938.29
RADIOLOGIC EXAM CHEST SINGLE VIEW	27.84	34.8
RADIOLOGIC EXAM CHEST SINGLE VIEW	32.016	40.02
RADIOLOGIC EXAM CHEST 2 VIEWS	32.016	40.02
RADIOLOGIC EXAM CHEST 2 VIEWS	32.016	40.02
RADIOLOGIC EXAM CHEST 3 VIEWS	38.368	47.96
RADIOLOGIC EXAM CHEST 4+ VIEWS	44.16	55.2
RADEX RIBS UNILATERAL 2 VIEWS	32.016	40.02
RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS	37.352	46.69
RADEX RIBS BILATERAL 3 VIEWS	40.296	50.37
RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS	45.032	56.29
RADEX STERNUM MINIMUM 2 VIEWS	32.016	40.02
DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST	464.048	580.06
DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST	590.872	738.59
DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C+	707.48	884.35
COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-	649.152	811.44
CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST	770.872	963.59
RADEX SPINE 1 VIEW SPECIFY LEVEL	32.016	40.02
RADEX SPINE CERVICAL 2 OR 3 VIEWS	32.016	40.02
RADEX SPINE CERVICAL 4 OR 5 VIEWS	43.192	53.99
RADEX SPINE CERVICAL 6 OR MORE VIEWS	49.864	62.33
RADEX SPINE THORACIC 2 VIEWS	32.016	40.02
RADEX SPINE THORACIC 3 VIEWS	32.016	40.02
RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS	32.016	40.02
RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW	36.432	45.54
RADEX SPINE LUMBOSACRAL 2/3 VIEWS	32.016	40.02
RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS	43.192	53.99
RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6	45.032	56.29
RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS	110.312	137.89
CT CERVICAL SPINE W/O CONTRAST MATERIAL	474.216	592.77
CT CERVICAL SPINE W/CONTRAST MATERIAL	585.904	732.38
CT CERVICAL SPINE W/O &W/CONTRAST MATERIAL	692.304	865.38
CT THORACIC SPINE W/O CONTRAST MATERIAL	464.048	580.06
CT THORACIC SPINE W/CONTRAST MATERIAL	590.872	738.59
CT THORACIC SPINE W/O & W/CONTRAST MATERIAL	697.36	871.7
CT LUMBAR SPINE W/O CONTRAST MATERIAL	461.568	576.96
CT LUMBAR SPINE W/CONTRAST MATERIAL	585.768	732.21
CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL	692.304	865.38
RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS	32.016	40.02
CT PELVIS W/O CONTRAST MATERIAL	375.312	469.14
CT PELVIS W/CONTRAST MATERIAL	580.704	725.88
CT PELVIS W/O & W/CONTRAST MATERIAL	666.912	833.64
RADIOLOGIC EXAMINATION SACROILIAC JNTS <3 VIEWS	32.016	40.02
RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS	32.016	40.02
RADEX SACRUM & COCCYX MINIMUM 2 VIEWS	32.016	40.02
RADEX CLAVICLE COMPLETE	32.016	40.02
RADEX SCAPULA COMPLETE	32.016	40.02
RADEX SHOULDER 1 VIEW	32.016	40.02
RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS	32.016	40.02
RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS	51.8	64.75
RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ	32.016	40.02
RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ	51.8	64.75
RADEX HUMERUS MINIMUM 2 VIEWS	32.016	40.02
RADEX ELBOW 2 VIEWS	32.016	40.02
RADEX ELBOW 2 VIEWS	44.16	55.2
RADEX ELBOW COMPLETE MINIMUM 3 VIEWS	32.016	40.02
RADEX ELBOW COMPLETE MINIMUM 3 VIEWS	48.024	60.03
RADEX FOREARM 2 VIEWS	32.016	40.02
RADEX FOREARM 2 VIEWS	46.096	57.62
RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS	32.016	40.02
RADEX WRIST 2 VIEWS	32.016	40.02
RADEX WRIST 2 VIEWS	48.024	60.03
RADEX WRIST COMPLETE MINIMUM 3 VIEWS	32.016	40.02
RADEX WRIST COMPLETE MINIMUM 3 VIEWS	48.024	60.03
RADEX HAND 2 VIEWS	40.08	50.1
RADEX HAND 2 VIEWS	32.016	40.02
RADEX HAND 2 VIEWS	46.096	57.62
RADEX HAND MINIMUM 3 VIEWS	32.016	40.02
RADEX HAND MINIMUM 3 VIEWS	48.024	60.03
RADEX FINGR MINIMUM 2 VIEWS	32.016	40.02
CT UPPER EXTREMITY W/O CONTRAST MATERIAL	461.568	576.96
CT UPPER EXTREMITY W/CONTRAST MATERIAL	570.584	713.23
CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL	712.584	890.73
RADEX HIP UNILATERAL WITH PELVIS 1 VIEW	32.016	40.02
RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS	32.016	40.02
RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS	55.6	69.5
RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS	63.944	79.93
RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS	32.016	40.02
RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS	41.264	51.58
RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS	32.016	40.02
RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS	32.016	40.02
RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS	92	115
RADIOLOGIC EXAMINATION KNEE 3 VIEWS	103.592	129.49
RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS	32.016	40.02
RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS	63.944	79.93
RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST	63.944	79.93
RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS	32.016	40.02
RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS	92	115
RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS	32.016	40.02
RADIOLOGIC EXAMINATION ANKLE 2 VIEWS	32.016	40.02
RADIOLOGIC EXAMINATION ANKLE 2 VIEWS	63.944	79.93
RADEX ANKLE COMPLETE MINIMUM 3 VIEWS	32.016	40.02
RADEX ANKLE COMPLETE MINIMUM 3 VIEWS	95.864	119.83
RADIOLOGIC EXAMINATION FOOT 2 VIEWS	32.016	40.02
RADIOLOGIC EXAMINATION FOOT 2 VIEWS	84.456	105.57
RADEX FOOT COMPLETE MINIMUM 3 VIEWS	32.016	40.02
RADEX FOOT COMPLETE MINIMUM 3 VIEWS	92	115
RADEX CALCANEUS MINIMUM 2 VIEWS	32.016	40.02
RADEX CALCANEUS MINIMUM 2 VIEWS	88.232	110.29
RADEX TOE MINIMUM 2 VIEWS	32.016	40.02
RADEX TOE MINIMUM 2 VIEWS	63.944	79.93
CT LOWER EXTREMITY W/O CONTRAST MATERIAL	464.552	580.69
CT LOWER EXTREMITY W/CONTRAST MATERIAL	580.704	725.88
CT LOWER EXTREMITY W/O & W/CONTRAST MATRL	702.424	878.03
RADIOLOGIC EXAM ABDOMEN 1 VIEW	32.016	40.02
RADIOLOGIC EXAM ABDOMEN 2 VIEWS	32.016	40.02
RADIOLOGIC EXAM ABDOMEN 3+ VIEWS	28.248	35.31
RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES	44.16	55.2
CT ABDOMEN W/O CONTRAST MATERIAL	385.48	481.85
CT ABDOMEN W/CONTRAST MATERIAL	593.4	741.75
CT ABDOMEN W/O & W/CONTRAST MATERIAL	674.544	843.18
CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG	999.12	1248.9
CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL	517.32	646.65
CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	798.792	998.49
CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE	907.856	1134.82
CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM	258.704	323.38
CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP	981.368	1226.71
RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD	32.016	40.02
3D RENDERING W/INTERP & POSTPROCESS SUPERVISION	60.904	76.13
CT LIMITED/LOCALIZED FOLLOW UP STUDY	375.312	469.14
US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM	268.184	335.23
US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	280.6	350.75
US ABDOMINAL REAL TIME W/IMAGE LIMITED	209.76	262.2
US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA	255.76	319.7
US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE	260.36	325.45
US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT	280.144	350.18
US PREG UTERUS 14 WK TRANSABDL EACH GESTATION	144.44	180.55
US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	322	402.5
US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO	209.304	261.63
US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION	413.08	516.35
US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT	460	575
US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION	280.6	350.75
US PREGNANT UTERUS LIMITED 1/> FETUSES	194.12	242.65
US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS	261.744	327.18
US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG	199.64	249.55
FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING	198.72	248.4
DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY	107.64	134.55
US TRANSVAGINAL	287.04	358.8
US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE	253.92	317.4
US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U	113.16	141.45
US SCROTUM & CONTENTS	260.36	325.45
US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG	132.944	166.18
CT GUIDANCE NEEDLE PLACEMENT	319.56	399.45
DIGITAL BREAST TOMOSYNTHESIS UNILATERAL	124.2	155.25
SCREENING DIGITAL BREAST TOMOSYNTHESIS BI	124.2	155.25
DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	117.208	146.51
SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	124.432	155.54
BONE AGE STUDIES	32.016	40.02
RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL	73.88	92.35
CT BONE MINERL DENSITY STUDY 1/> SITS AXIAL SKE	291.64	364.55
URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP	28.8	36
URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS	100.232	125.29
GLUCOSE BLOOD REAGENT STRIP	26.496	33.12
SKIN TEST TUBERCULOSIS INTRADERMAL	98.536	123.17
IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE	112.928	141.16
IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE	23.944	29.93
IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE	40.024	50.03
IM ADM INTRANSL/ORAL 1 VACCINE	39.008	48.76
IM ADM INTRANSL/ORAL EA VACCINE	29.44	36.8
IMM ADMN SARSCOV2 VACCINE SINGLE DOSE	53.6	67
MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM	314.4	393
HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE	163.2	204
HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE	120	150
HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE	57.6	72
9VHPV VACC 2/3 DOSE SCHED IM USE	424	530
IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE	82.8	103.5
IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE	76	95
IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM	49.44	61.8
PCV13 VACCINE FOR INTRAMUSCULAR USE	346.4	433
RABIES VACCINE INTRAMUSCULAR	583.2	729
PCV20 VACCINE FOR INTRAMUSCULAR USE	387.2	484
RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE	434.4	543
RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE	193.6	242
IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE	14.8	18.5
AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE	165.6	207
DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM	116	145
MEASLES MUMPS RUBELLA VIRUS (MMR II/PRIORIX) VACCINE LIVE SUBQ	188.6	235.75
POLIOVIRUS VACCINE INACTIVATED SUBQ/IM	126.4	158
TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE	111.2	139
TDAP VACCINE 7 YRS/> IM	141.6	177
VAR VACCINE LIVE FOR SUBCUTANEOUS USE	242.88	303.6
DTAP-HEPB-IPV VACCINE INTRAMUSCULAR	186.4	233
PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE	234.4	293
MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE	226.4	283
MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE	224	280
ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE	35.424	44.28
HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM	138.4	173
HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM	114.4	143
HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE	190.96	238.7
HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE	219.608	274.51
HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE	274.4	343
PSYCHIATRIC DIAGNOSTIC EVALUATION	409.4	511.75
PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES	460	575
PSYCHOTHERAPY W/PATIENT 30 MINUTES	179.4	224.25
PSYCHOTHERAPY W/PATIENT 45 MINUTES	236.44	295.55
PSYCHOTHERAPY W/PATIENT 60 MINUTES	346.84	433.55
PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES	332.12	415.15
PSYCHOANALYSIS	223.56	279.45
SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE	230.4	288
SCREENING TEST PURE TONE AIR ONLY	40.76	50.95
PURE TONE AUDIOMETRY AIR ONLY	79.12	98.9
TYMPANOMETRY	62.328	77.91
DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	421.6	527
DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY	372.8	466
DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	285.664	357.08
DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT	378.12	472.65
PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT	238.328	297.91
DEVELOPMENTAL SCREEN W/SCORING & DOC STD INSTRM	54.744	68.43
DEVELOPMENTAL SCREEN W/SCORING & DOC STD INSTRM	54.744	68.43
BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT	11.96	14.95
PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM	6.44	8.05
CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM	6.44	8.05
THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM	65.872	82.34
MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI	75.44	94.3
MEDICAL NUTRITION RE-ASSMT&IVNTJ INDIV EA 15 M	64.4	80.5
MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI	35.88	44.85
PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE	92.184	115.23
OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES	205.992	257.49
OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	268.088	335.11
OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES	383	478.75
OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES	517.04	646.3
OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP	79.12	98.9
OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN	112.56	140.7
OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN	144.856	181.07
OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN	209.528	261.91
OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN	335.112	418.89
1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES	252.52	315.65
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES	339.944	424.93
1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES	490.48	613.1
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES	127.056	158.82
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES	180.784	225.98
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES	233.68	292.1
HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN	356.688	445.86
HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN	484.752	605.94
HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN	543.264	679.08
HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN/<	214.36	267.95
HOSPITAL IP/OBS DISCHARGE DAY MGMT > 30 MIN	268.088	335.11
CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN	744.376	930.47
CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN	372.144	465.18
INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN	148.4	185.5
INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES	208.288	260.36
INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES	252.632	315.79
SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES	82.712	103.39
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES	112.56	140.7
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES	163.992	204.99
SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES	222.776	278.47
NURSING FACILITY DSCHRG MGMT 30 MIN/< TOT TIME	154.472	193.09
NURSING FACILITY DSCHRG MGMT 30 MIN+ TOT TIME	192.744	240.93
HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES	165.232	206.54
HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES	238.328	297.91
HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES	546.944	683.68
HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES	664.192	830.24
HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES	131.656	164.57
HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES	201.112	251.39
HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES	308.752	385.94
HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES	428.584	535.73
INITIAL PREVENTIVE MEDICINE NEW PATIENT <1YEAR	312.16	390.2
INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS	250.24	312.8
INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS	306.456	383.07
INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR	336.352	420.44
INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS	386.68	483.35
INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS	438.104	547.63
INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>	427.248	534.06
PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y	168.776	210.97
PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS	209.528	261.91
PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS	220.248	275.31
PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS	238.328	297.91
PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS	320.712	400.89
PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS	363.864	454.83
PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER	398.68	498.35
TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	23.72	29.65
PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES	76.64	95.8
ADVANCE CARE PLANNING FIRST 30 MINS	225.216	281.52
ADVANCE CARE PLANNING EA ADDL 30 MINS	196.792	245.99
IMM ADMIN PFIZER BIVALENT 30 MCG/.3ML AGE 12+ (1ST/SINGLE DOSE)	53.6	67
ADMIN INFLUENZA VIRUS VAC	83.2	104
ADMIN PNEUMOCOCCAL VACCINE	35.424	44.28
COMM SVCS BY RHC/FQHC 5 MIN	236.392	295.49
MNT SUBS TX FOR CHANGE DX	65.32	81.65
GROUP MNT 2 OR MORE 30 MINS	35.88	44.85
INITIAL PREVENTIVE EXAM	492.016	615.02
PPPS, INITIAL VISIT	398.68	498.35
PPPS, SUBSEQ VISIT	420.536	525.67
BEHAVIOR COUNSEL OBESITY 15M	54.28	67.85
DIS SITE TELE SVCS RHC/FQHC	204.888	256.11
SCRN ND POS ND PROV OF REC	66.24	82.8
SCRNING PERF AND NEGATIVE	66.24	82.8
CEFTRIAXONE SODIUM INJECTION	65.6	82
PR INJ, METHYLPRED ACETATE 1 MG	0.6	0.75
METHYLPREDNISOLONE 40 MG INJ	24	30
PR MEDROXYPROGESTERONE ACETATE	3.52	4.4
PR MEDROXYPROGESTERONE ACETATE	3.52	4.4
KETOROLAC TROMETHAMINE INJ	17.6	22
TRIAMCINOLONE ACET INJ NOS	51.2	64
TRIAMCINOLONE ACET INJ NOS	235.52	294.4
VITAMIN B12 INJECTION	33.168	41.46
ZOLEDRONIC ACID 1MG	513.6	642
MIRENA, 52 MG	1675.384	2094.23
ETONOGESTREL IMPLANT SYSTEM	1674.648	2093.31
ALBUTEROL IPRATROP NON-COMP	6.232	7.79
CERV COLLAR SUPP ADJ CERV BA	40.48	50.6
CLINIC SERVICE	0.008	0.01
ABBREVIATED SPORTS PHYSICAL (SELF-PAY)	17.6	22
DMV EXAM - SHORT	52	65
DMV EXAM - LONG	144	180
EMPLOYEE PHYSICAL	144.856	181.07
PRE-EMPLOYMENT PHYSICAL	152.168	190.21
INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE	274.16	342.7
INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE	549.376	686.72
INCISION & DRAINAGE PILONIDAL CYST SIMPLE	419.248	524.06
INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE	386.68	483.35
INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMP	837.752	1047.19
I&D HEMATOMA SEROMA/FLUID COLLECTION	452.368	565.46
PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST	331.48	414.35
DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10% BDY SURF	111.416	139.27
DBRDMT FX&/DISLC SUBQ T/M/F BONE	1511.424	1889.28
DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/<	222.776	278.47
TANGENTIAL BIOPSY SKIN SINGLE LESION	109.76	137.2
TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION	62.928	78.66
PUNCH BIOPSY SKIN SINGLE LESION	137.448	171.81
PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION	74.616	93.27
INCISIONAL BIOPSY SKIN SINGLE LESION	167.256	209.07
INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION	89.472	111.84
RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15	209.256	261.57
SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM/<	100.648	125.81
EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM	449.512	561.89
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<	228.16	285.2
EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM	429.92	537.4
EXCISION NAIL MATRIX PERMANENT REMOVAL	478.68	598.35
REPAIR NAIL BED	348.36	435.45
SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM	501.496	626.87
SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM	621.184	776.48
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM	655.824	819.78
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM	684.432	855.54
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<	501.496	626.87
SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM	587.608	734.51
SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM	545.696	682.12
SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM	759.968	949.96
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<	453.656	567.07
REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM	584.064	730.08
REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM	658.168	822.71
REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM	833.288	1041.61
REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM	772.248	965.31
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<	502.6	628.25
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM	597.176	746.47
REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM	665.48	831.85
REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 CM/<	597.176	746.47
REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.6-5.0 CM	560.096	700.12
REPAIR INTERMEDIATE F/E/E/N/L&/MUC 5.1-7.5 CM	659.408	824.26
REPAIR INTERMEDIATE F/E/E/N/L&/MUC 7.6-12.5 CM	1051.88	1314.85
REPAIR COMPLEX TRUNK 2.6-7.5 CM	699.752	874.69
REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM	917.792	1147.24
REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/<	408.024	510.03
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM	698.928	873.66
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM	1084.224	1355.28
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/<	354.336	442.92
REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM	879.568	1099.46
INITIAL TX 1ST DEGREE BURN LOCAL TX	191.544	239.43
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL	256.224	320.28
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM	484.752	605.94
DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE	447.4	559.25
DESTRUCTION BENIGN LESIONS UP TO 14	315.104	393.88
EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK	1389.704	1737.13
EXPLORATION PENETRATING WOUND SPX EXTREMITY	1005.512	1256.89
INJECTION THERAPEUTIC CARPAL TUNNEL	141.312	176.64
INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES	181.192	226.49
ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	198.768	248.46
ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	226.32	282.9
ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US	187.912	234.89
CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION	567.272	709.09
CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ	87.312	109.14
CLSD TX CLAVICULAR FRACTURE W/MANIPULATION	1151.384	1439.23
CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION	1037.344	1296.68
CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ	1382.12	1727.65
CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES	763.512	954.39
CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES	1235.008	1543.76
CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ	1078.928	1348.66
CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MNPJ	1417.032	1771.29
INCISION&DRAINAGE UPPER ARM/ELBOW BURSA	439.944	549.93
EXCISION OLECRANON BURSA	971.152	1213.94
CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION	860.432	1075.54
CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ	1356.08	1695.1
CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ	1549.648	1937.06
TREATMENT CLOSED ELBOW DISLOCATION W/O ANES	1103.36	1379.2
CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ	355.4	444.25
UNLISTED PROCEDURE HUMERUS/ELBOW	362.16	452.7
EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST	1126.816	1408.52
CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION	1445.504	1806.88
CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION	929.6	1162
CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ	1124.704	1405.88
CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ	859.28	1074.1
CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF	1567.544	1959.43
CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ	1296.648	1620.81
CLOSED TREATMENT ULNAR STYLOID FRACTURE	854.312	1067.89
UNLISTED PROCEDURE FOREARM/WRIST	929.6	1162
DRAINAGE FINGER ABSCESS SIMPLE	408.024	510.03
DRAINAGE FINGER ABSCESS COMPLICATED	461.752	577.19
REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH	1435.848	1794.81
CLTX METACARPAL FX W/O MANIPULATION EACH BONE	761.576	951.97
CLTX METACARPAL FX W/MANIPULATION EACH BONE	1014.808	1268.51
CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ	993.048	1241.31
CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA	457.152	571.44
CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA	1014.808	1268.51
CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ	1301.712	1627.14
CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA	937.024	1171.28
CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA	745.568	931.96
OPEN TX DISTAL PHALANGEAL FRACTURE EACH	1152.488	1440.61
CLTX IPHAL JT DISLC W/MANJ W/O ANES	732.416	915.52
AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR	1846.168	2307.71
CLTX POST HIP ARTHRP DISLC W/O ANES	1141.904	1427.38
I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION	1390.952	1738.69
REMOVAL FOREIGN BODY DEEP THIGH/KNEE	1060.672	1325.84
CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ	1521.496	1901.87
CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA	962.088	1202.61
UNLISTED PROCEDURE FEMUR/KNEE	372.784	465.98
CLTX TIBIAL SHAFT FX W/O MANIPULATION	959.744	1199.68
CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ	1833.008	2291.26
CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION	861.584	1076.98
CLTX PROX FIBULA/SHFT FX W/MANJ	1048.8	1311
CLTX DSTL FIBULAR FX LAT MALLS W/MANJ	1498.176	1872.72
CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ	1059.752	1324.69
CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION	1767.32	2209.15
CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ	1417.032	1771.29
CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA	1017.984	1272.48
REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS	326.512	408.14
CLOSED TX CALCANEAL FRACTURE W/MANIPULATION	973.824	1217.28
CLOSED TX TALUS FRACTURE W/MANIPULATION	703.528	879.41
CLTX METAR FX W/MANJ	560.28	700.35
OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES	1101.24	1376.55
CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ	414.136	517.67
CLTX METATARSOPHLNGL JT DISLC W/O ANES	335.112	418.89
CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES	365.792	457.24
AMPUTATION TOE INTERPHALANGEAL JOINT	1738.712	2173.39
APPLICATION LONG ARM SPLINT SHOULDER HAND	203.504	254.38
APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC	173.696	217.12
APPLICATION SHORT ARM SPLINT DYNAMIC	252.632	315.79
APPLICATION FINGER SPLINT STATIC	115	143.75
APPLICATION SHORT LEG CAST BELOW KNEE-TOE	225.128	281.41
APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES	259.76	324.7
APPLICATION SHORT LEG SPLINT CALF FOOT	168.776	210.97
REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE	373.472	466.84
CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX	399.744	499.68
INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE	428.584	535.73
LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX	118.36	147.95
LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN	550.16	687.7
TUBE THORACOSTOMY INCLUDES WATER SEAL	671.416	839.27
THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING	713.28	891.6
THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	308.888	386.11
VNPNXR 3 YEARS/> PHYS/QHP SKILL	22.768	28.46
INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y	236.488	295.61
INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/>	766.176	957.72
INSERTION PICC W/O IMG GDN 5 YR/>	235.888	294.86
ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ	156.864	196.08
PLACEMENT NEEDLE INTRAOSSEOUS INFUSION	446.48	558.1
DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL	412.992	516.24
CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL	659.824	824.78
INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE	520	650
RPR LAC 2.5 CM/< MOUTH&/ANT TWO-THIRDS TONG	933.344	1166.68
RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX	917.056	1146.32
DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS	533.832	667.29
UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES	483	603.75
DRAINAGE ABSCESS PALATE UVULA	273.888	342.36
I&D ABSCESS PERITONSILLAR	521.824	652.28
REMOVAL FOREIGN BODY PHARYNX	334.512	418.14
CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE	759.968	949.96
UNLISTED PROCEDURE PHARYNX ADENOIDS/TONSILS	261.008	326.26
GASTRIC INTUBATJ & ASPIRAJ W/PHYS SKILL/LAVAGE	351.904	439.88
PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC	106.536	133.17
I&D PERIANAL ABSCESS SUPERFICIAL	501.496	626.87
INCISION THROMBOSED HEMORRHOID EXTERNAL	305.44	381.8
ANOSCOPY W/RMVL FOREIGN BODY	234.88	293.6
ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE	412.992	516.24
ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE	300.336	375.42
ASPIRATION BLADDER NEEDLE	107.368	134.21
ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER	286	357.5
CHANGE CYSTOSTOMY TUBE SIMPLE	148.856	186.07
DRAINAGE SCROTAL WALL ABSCESS	391	488.75
I&D VULVA/PERINEAL ABSCESS	377.016	471.27
I&D OF BARTHOLINS GLAND ABSCESS	277.752	347.19
COLPORRHAPHY SUTURE INJURY VAGINA	875.472	1094.34
REMOVAL INTRAUTERINE DEVICE IUD	177.56	221.95
VAGINAL DELIVERY ONLY	3939.168	4923.96
DELIVERY PLACENTA SEPARATE PROCEDURE	243.432	304.29
DIAGNOSTIC LUMBAR SPINAL PUNCTURE	800.632	1000.79
INJECTION AA&/STRD TRIGEMINAL NERVE EACH BRANCH	219.096	273.87
INJECTION AA&/STRD GREATER OCCIPITAL NERVE	193.984	242.48
INJECTION AA&/STRD INTERCOSTAL NRV SINGLE LVL	157.272	196.59
INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH	295.6	369.5
REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL	247.8	309.75
RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR	268.088	335.11
RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP	288.464	360.58
RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP	165.6	207
BLEPHAROTOMY DRAINAGE ABSCESS EYELID	315.288	394.11
DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS	628.408	785.51
RMVL FB XTRNL AUDITORY CANAL W/O ANES	331.48	414.35
CARDIOPULMONARY RESUSCITATION	628.272	785.34
CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	478.68	598.35
ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY	67.16	83.95
DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM/<	132.944	166.18
MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS	184.32	230.4
MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS	153.32	191.65
MOD SED SAME PHYS/QHP EACH ADDL 15 MINS	77.28	96.6
1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES	252.632	315.79
1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES	417.68	522.1
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES	245.368	306.71
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP	165.232	206.54
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM	223.792	279.74
EMERGENCY DEPARTMENT VISIT LOW MDM	335.112	418.89
EMERGENCY DEPARTMENT VISIT MODERATE MDM	501.496	626.87
EMERGENCY DEPARTMENT VISIT HIGH MDM	746.768	933.46
PHYS/QHP DIRECTION EMERGENCY MEDICAL SYSTEMS	465.616	582.02