|
90935
|
CPT
|
Tandem Routine Hemodialysis
|
41
|
23
|
$883.06
|
$883.06
|
$95.52
|
$890.67
|
$690.41
|
2025-04-01
|
|
62270
|
CPT
|
Lumber Puncture
|
41
|
23
|
$830.30
|
$830.30
|
$73.67
|
$500.67
|
$466.85
|
2025-04-01
|
|
0636
|
RC
|
—
|
15
|
15
|
$464.40
|
$464.40
|
$464.40
|
$464.40
|
$464.40
|
2025-04-01
|
|
90869
|
CPT
|
Tcran Magn Stim Redetemine
|
15
|
15
|
$479.00
|
$479.00
|
$416.00
|
$416.00
|
$416.00
|
2024-07-01
|
|
87631
|
CPT
|
Influenza Type A And B Rsv RNA
|
30
|
23
|
$427.90
|
$427.90
|
$242.47
|
$427.90
|
$335.19
|
2025-04-01
|
|
96116
|
CPT
|
Neuro Cognitive Testing
|
30
|
23
|
$391.85
|
$391.85
|
$303.20
|
$327.29
|
$315.24
|
2025-04-01
|
|
90868
|
CPT
|
Tcranial Magn Stim Tx Deli
|
15
|
15
|
$342.57
|
$342.57
|
$291.19
|
$291.19
|
$291.19
|
2024-07-01
|
|
20552
|
CPT
|
Trigger Point Injection
|
15
|
15
|
$355.60
|
$355.60
|
$286.09
|
$286.09
|
$286.09
|
2024-07-01
|
|
99306
|
CPT
|
1st Nf Care High Mdm 50
|
15
|
15
|
$450.00
|
$450.00
|
$235.06
|
$235.06
|
$235.06
|
2025-04-01
|
|
99223
|
CPT
|
1st Hosp Ip/obs High 75
|
30
|
23
|
$367.50
|
$367.50
|
$170.42
|
$296.65
|
$233.54
|
2025-04-01
|
|
70150
|
CPT
|
7015050-fac Bones 3views Bilat
|
15
|
15
|
$277.90
|
$277.90
|
$223.55
|
$223.55
|
$223.55
|
2025-04-01
|
|
92523
|
CPT
|
Speech Thpy Sound With Com & Exp
|
30
|
23
|
$272.25
|
$272.25
|
$209.20
|
$209.20
|
$209.20
|
2025-04-01
|
|
99205
|
CPT
|
Office O/p New Hi 60 Min
|
30
|
23
|
$373.38
|
$373.38
|
$113.50
|
$304.02
|
$208.76
|
2025-04-01
|
|
99350
|
CPT
|
Home/res Vst Est High Mdm 60
|
15
|
15
|
$273.00
|
$273.00
|
$203.06
|
$203.06
|
$203.06
|
2025-04-01
|
|
G0439
|
CPT
|
"Ppps"
|
15
|
15
|
$333.00
|
$333.00
|
$202.59
|
$202.59
|
$202.59
|
2025-04-01
|
|
77080
|
CPT
|
Dual Energy X-ray Study
|
30
|
23
|
$135.50
|
$135.50
|
$184.12
|
$186.92
|
$185.52
|
2025-04-01
|
|
99345
|
CPT
|
Home/res Vst New High Mdm 75
|
15
|
15
|
$337.00
|
$337.00
|
$184.39
|
$184.39
|
$184.39
|
2025-04-01
|
|
90867
|
CPT
|
Tcranial Magn Stim Tx Plan
|
15
|
15
|
$572.00
|
$572.00
|
$177.82
|
$177.82
|
$177.82
|
2024-07-01
|
|
99310
|
CPT
|
Sbsq Nf Care High Mdm 45
|
15
|
15
|
$382.00
|
$382.00
|
$170.12
|
$170.12
|
$170.12
|
2025-04-01
|
|
90792
|
CPT
|
Psych Diag Eval W/med Serv
|
41
|
23
|
$209.90
|
$209.90
|
$154.03
|
$237.43
|
$168.87
|
2025-04-01
|
|
74019
|
CPT
|
Abdomen Decubitis/erect Views
|
15
|
15
|
$139.00
|
$139.00
|
$165.81
|
$165.81
|
$165.81
|
2025-04-01
|
|
74240
|
CPT
|
Xray Exam Upper Gi Tract
|
15
|
15
|
$232.60
|
$232.60
|
$163.85
|
$163.85
|
$163.85
|
2025-04-01
|
|
99309
|
CPT
|
Sbsq Nf Care Moderate Mdm 30
|
15
|
15
|
$267.95
|
$267.95
|
$162.78
|
$162.78
|
$162.78
|
2025-04-01
|
|
90847
|
CPT
|
Family Psychotherapy W/pt
|
41
|
23
|
$190.81
|
$190.81
|
$147.91
|
$163.74
|
$162.19
|
2025-04-01
|
|
90837
|
CPT
|
Psytx W Pt 60 Minutes
|
41
|
23
|
$320.00
|
$320.00
|
$84.40
|
$214.18
|
$162.19
|
2025-04-01
|
|
99215
|
CPT
|
Office O/p Est Hi 40 Min
|
30
|
23
|
$285.48
|
$285.48
|
$112.45
|
$206.00
|
$159.23
|
2025-04-01
|
|
90791
|
CPT
|
Neuropsychological Initial
|
41
|
23
|
$209.90
|
$209.90
|
$149.21
|
$168.87
|
$154.03
|
2025-04-01
|
|
90834
|
CPT
|
Psytx Pat&/family 45 Minutes
|
41
|
23
|
$190.81
|
$190.81
|
$145.22
|
$162.19
|
$147.91
|
2025-04-01
|
|
90846
|
CPT
|
Family Psychotherapy Without Pt
|
41
|
23
|
$190.81
|
$190.81
|
$82.16
|
$162.19
|
$147.91
|
2025-04-01
|
|
90832
|
CPT
|
Psytx Pt&/family 30 Minutes
|
41
|
23
|
$174.01
|
$174.01
|
$55.46
|
$162.19
|
$147.91
|
2025-04-01
|
|
99349
|
CPT
|
Home/res Vst Est Mod Mdm 40
|
15
|
15
|
$197.00
|
$197.00
|
$136.81
|
$136.81
|
$136.81
|
2025-04-01
|
|
97163
|
CPT
|
Phy Therapy High Com Eval
|
30
|
23
|
$120.50
|
$120.50
|
$134.10
|
$134.10
|
$134.10
|
2025-04-01
|
|
97161
|
CPT
|
Phy Therapy Low Com Eval
|
30
|
23
|
$120.50
|
$120.50
|
$134.10
|
$134.10
|
$134.10
|
2025-04-01
|
|
97162
|
CPT
|
Phy Therapy Mod Com Eval
|
30
|
23
|
$120.50
|
$120.50
|
$134.10
|
$134.10
|
$134.10
|
2025-04-01
|
|
99305
|
CPT
|
1st Nf Care Moderate Mdm 35
|
15
|
15
|
$330.00
|
$330.00
|
$132.80
|
$132.80
|
$132.80
|
2025-04-01
|
|
99239
|
CPT
|
Hosp Ip/obs Dschrg Mgmt >30
|
30
|
23
|
$223.50
|
$223.50
|
$66.29
|
$198.33
|
$132.31
|
2025-04-01
|
|
92524
|
CPT
|
Speech Therapy Behav & Qualit
|
30
|
23
|
$129.95
|
$129.95
|
$129.40
|
$129.76
|
$129.58
|
2025-04-01
|
|
99233
|
CPT
|
Sbsq Hosp Ip/obs High 50
|
30
|
23
|
$225.02
|
$225.02
|
$89.81
|
$169.28
|
$129.55
|
2025-04-01
|
|
96136
|
CPT
|
Neuropsychological Test
|
30
|
23
|
$160.90
|
$160.90
|
$123.40
|
$135.48
|
$129.44
|
2025-04-01
|
|
99495
|
CPT
|
Transj Care Mgmt Mod F2f 14d
|
15
|
15
|
$344.00
|
$344.00
|
$128.34
|
$128.34
|
$128.34
|
2025-04-01
|
|
92522
|
CPT
|
Speech Therapy Eval Sound
|
30
|
23
|
$132.25
|
$132.25
|
$127.16
|
$127.44
|
$127.30
|
2025-04-01
|
|
G0463
|
CPT
|
Nb Gm Hospital Op Clinic Vt
|
30
|
23
|
$148.66
|
$148.66
|
$122.64
|
$130.09
|
$126.36
|
2025-04-01
|
|
99222
|
CPT
|
1st Hosp Ip/obs Moderate 55
|
30
|
23
|
$265.00
|
$265.00
|
$80.68
|
$171.70
|
$126.19
|
2025-04-01
|
|
11043
|
CPT
|
Deb Musc/fascia 20 Sq Cm/<
|
30
|
23
|
$371.41
|
$371.41
|
$122.38
|
$125.09
|
$123.74
|
2025-04-01
|
|
S5102
|
CPT
|
Gds Day Basic - Wallingford
|
30
|
23
|
$162.50
|
$162.50
|
$112.50
|
$131.25
|
$121.88
|
2025-04-01
|
|
74230
|
CPT
|
Cine/vid Xray, Throat/esoph
|
15
|
15
|
$232.60
|
$232.60
|
$118.97
|
$118.97
|
$118.97
|
2025-04-01
|
|
97167
|
CPT
|
Occup Therpy Low Com
|
30
|
23
|
$122.85
|
$122.85
|
$114.60
|
$114.60
|
$114.60
|
2025-04-01
|
|
97166
|
CPT
|
Occup Therpy Low Com
|
30
|
23
|
$122.85
|
$122.85
|
$114.60
|
$114.60
|
$114.60
|
2025-04-01
|
|
97165
|
CPT
|
Occup Therpy Low Com
|
30
|
23
|
$122.85
|
$122.85
|
$114.60
|
$114.60
|
$114.60
|
2025-04-01
|
|
99316
|
CPT
|
Nf Dschrg Mgmt >30 Min
|
15
|
15
|
$324.00
|
$324.00
|
$114.09
|
$114.09
|
$114.09
|
2025-04-01
|
|
NA
|
CPT
|
Off Label Tdcs
|
15
|
15
|
$150.00
|
$150.00
|
$112.50
|
$112.50
|
$112.50
|
2024-07-01
|
|
70250
|
CPT
|
70250 - Skull, Less 4 Views
|
15
|
15
|
$139.00
|
$139.00
|
$111.80
|
$111.80
|
$111.80
|
2025-04-01
|
|
71101
|
CPT
|
71101-ribs, Unila & Chst 3view
|
15
|
15
|
$139.00
|
$139.00
|
$111.80
|
$111.80
|
$111.80
|
2025-04-01
|
|
99214
|
CPT
|
Office O/p Est Mod 30 Min
|
30
|
23
|
$199.12
|
$199.12
|
$83.98
|
$136.55
|
$110.27
|
2025-04-01
|
|
92507
|
CPT
|
Trtm Speech Lang Disrdr(untmd)
|
30
|
23
|
$91.30
|
$91.30
|
$110.24
|
$110.24
|
$110.24
|
2025-04-01
|
|
74018
|
CPT
|
Abdomen, 1 Anteposterior View
|
30
|
23
|
$112.10
|
$112.10
|
$103.69
|
$115.30
|
$109.50
|
2025-04-01
|
|
71046
|
CPT
|
Chest,2 Views,frontal&lateral
|
30
|
23
|
$112.10
|
$112.10
|
$103.69
|
$115.30
|
$109.50
|
2025-04-01
|
|
86480
|
CPT
|
Tuberculosis Test Gamma Interf
|
15
|
15
|
$186.00
|
$186.00
|
$105.39
|
$105.39
|
$105.39
|
2024-07-01
|
|
71045
|
CPT
|
Chest, Single View Frontal
|
41
|
23
|
$115.10
|
$115.10
|
$103.69
|
$115.30
|
$103.69
|
2025-04-01
|
|
96125
|
CPT
|
Std Cognitive Perf Test Per Hr
|
30
|
23
|
$121.80
|
$121.80
|
$98.36
|
$106.40
|
$102.38
|
2025-04-01
|
|
G0283
|
CPT
|
Electr Stimul (unatten)(untmd)
|
30
|
23
|
$14.55
|
$14.55
|
$100.10
|
$100.48
|
$100.29
|
2025-04-01
|
|
0510
|
RC
|
—
|
15
|
15
|
$100.00
|
$100.00
|
$100.00
|
$150.00
|
$100.00
|
2025-04-01
|
|
99443
|
CPT
|
Phone E/m Phys/qhp 21-30 Min
|
15
|
15
|
$239.00
|
$239.00
|
$96.05
|
$96.05
|
$96.05
|
2025-04-01
|
|
10060
|
CPT
|
Drainage Of Skin Abscess
|
15
|
15
|
$170.00
|
$170.00
|
$95.89
|
$95.89
|
$95.89
|
2024-07-01
|
|
99221
|
CPT
|
1st Hosp Ip/obs Sf/low 40
|
30
|
23
|
$178.50
|
$178.50
|
$92.47
|
$93.67
|
$93.07
|
2025-04-01
|
|
73000
|
CPT
|
73000lt-clavicle, Complete Lt
|
15
|
15
|
$115.10
|
$115.10
|
$92.56
|
$92.56
|
$92.56
|
2025-04-01
|
|
73552
|
CPT
|
73552lt -femur Lt-min 2 Views
|
15
|
15
|
$115.10
|
$115.10
|
$92.56
|
$92.56
|
$92.56
|
2025-04-01
|
|
73080
|
CPT
|
73080lt -elbow, 3 Views Lt
|
15
|
15
|
$115.10
|
$115.10
|
$92.56
|
$92.56
|
$92.56
|
2025-04-01
|
|
90945
|
CPT
|
Dialysis One Evaluation
|
15
|
15
|
$212.00
|
$212.00
|
$92.15
|
$92.15
|
$92.15
|
2025-04-01
|
|
72070
|
CPT
|
72070-thoracic Spine, 2 Views
|
15
|
15
|
$139.00
|
$139.00
|
$89.72
|
$89.72
|
$89.72
|
2025-04-01
|
|
92610
|
CPT
|
Eval Oral & Pharyngeal (untmd)
|
30
|
23
|
$102.50
|
$102.50
|
$89.00
|
$89.14
|
$89.07
|
2025-04-01
|
|
77081
|
CPT
|
Dual Energy X-ray Study
|
30
|
23
|
$112.10
|
$112.10
|
$87.44
|
$90.13
|
$88.78
|
2025-04-01
|
|
92526
|
CPT
|
Trtmnt Swallow Disorder(untmd)
|
30
|
23
|
$101.60
|
$101.60
|
$88.69
|
$88.83
|
$88.76
|
2025-04-01
|
|
92611
|
CPT
|
Eval Of Swallowing Function
|
30
|
23
|
$110.00
|
$110.00
|
$87.86
|
$89.12
|
$88.49
|
2025-04-01
|
|
99304
|
CPT
|
1st Nf Care Sf/low Mdm 25
|
15
|
15
|
$198.44
|
$198.44
|
$87.87
|
$87.87
|
$87.87
|
2025-04-01
|
|
97168
|
CPT
|
Occup Therapy Re-eval
|
15
|
15
|
$86.00
|
$86.00
|
$86.67
|
$86.67
|
$86.67
|
2025-04-01
|
|
99232
|
CPT
|
Sbsq Hosp Ip/obs Moderate 35
|
30
|
23
|
$152.05
|
$152.05
|
$61.52
|
$111.08
|
$86.30
|
2025-04-01
|
|
97130
|
CPT
|
Interv Cognitive Function Ad15
|
30
|
23
|
$24.75
|
$24.75
|
$61.81
|
$106.40
|
$84.11
|
2025-04-01
|
|
90853
|
CPT
|
Virtual Support Group
|
41
|
23
|
$97.29
|
$97.29
|
$58.00
|
$93.38
|
$82.69
|
2025-04-01
|
|
99348
|
CPT
|
Home/res Vst Est Low Mdm 30
|
15
|
15
|
$189.00
|
$189.00
|
$82.30
|
$82.30
|
$82.30
|
2025-04-01
|
|
97164
|
CPT
|
Phy Therapy Re-eval
|
30
|
23
|
$84.05
|
$84.05
|
$81.10
|
$81.10
|
$81.10
|
2025-04-01
|
|
96132
|
CPT
|
Nrpsyc Tst Eval Phys/qhp 1st
|
15
|
15
|
$353.45
|
$353.45
|
$81.06
|
$81.06
|
$81.06
|
2024-07-01
|
|
80074
|
CPT
|
Acute Hepatitis Panel
|
15
|
15
|
$142.90
|
$142.90
|
$80.97
|
$80.97
|
$80.97
|
2025-04-01
|
|
73551
|
CPT
|
73551lt -femur Lt-1 View Lt
|
15
|
15
|
$115.10
|
$115.10
|
$80.62
|
$80.62
|
$80.62
|
2025-04-01
|
|
99358
|
CPT
|
Prolong Service Without Contact
|
15
|
15
|
$310.00
|
$310.00
|
$80.55
|
$80.55
|
$80.55
|
2024-07-01
|
|
U0002
|
CPT
|
Sars-cov-2/2019-ncov
|
30
|
23
|
$154.00
|
$154.00
|
$79.56
|
$79.56
|
$79.56
|
2025-04-01
|
|
73502
|
CPT
|
73502lt -hip, 2-3 Views Lt
|
15
|
15
|
$115.10
|
$115.10
|
$78.25
|
$78.25
|
$78.25
|
2025-04-01
|
|
72220
|
CPT
|
72220 - Sacrum/coccyx, 2views
|
15
|
15
|
$115.10
|
$115.10
|
$77.56
|
$77.56
|
$77.56
|
2025-04-01
|
|
72040
|
CPT
|
72040-c-spine,2views
|
26
|
15
|
$115.10
|
$115.10
|
$77.31
|
$77.31
|
$77.31
|
2025-04-01
|
|
99308
|
CPT
|
Sbsq Nf Care Low Mdm 20
|
15
|
15
|
$185.85
|
$185.85
|
$75.23
|
$75.23
|
$75.23
|
2025-04-01
|
|
96133
|
CPT
|
Nrpsyc Tst Eval Phys/qhp Ea
|
15
|
15
|
$281.00
|
$281.00
|
$75.01
|
$75.01
|
$75.01
|
2024-07-01
|
|
97533
|
CPT
|
Sensory Integration (tmd)
|
30
|
23
|
$77.40
|
$77.40
|
$74.52
|
$74.86
|
$74.69
|
2025-04-01
|
|
99238
|
CPT
|
Hosp Ip/obs Dschrg Mgmt 30/<
|
15
|
15
|
$201.00
|
$201.00
|
$74.10
|
$74.10
|
$74.10
|
2025-04-01
|
|
73070
|
CPT
|
73070lt -elbow, 2 Views Lt
|
15
|
15
|
$115.10
|
$115.10
|
$73.12
|
$73.12
|
$73.12
|
2025-04-01
|
|
73620
|
CPT
|
73620lt -foot, 2 Views Lt
|
15
|
15
|
$115.10
|
$115.10
|
$71.92
|
$71.92
|
$71.92
|
2025-04-01
|
|
73600
|
CPT
|
73600lt-ankle, Ante&lat Lt
|
15
|
15
|
$115.10
|
$115.10
|
$71.92
|
$71.92
|
$71.92
|
2025-04-01
|
|
73100
|
CPT
|
73100lt -wrist, 2views Lt
|
15
|
15
|
$115.10
|
$115.10
|
$71.92
|
$71.92
|
$71.92
|
2025-04-01
|
|
90833
|
CPT
|
Psytx W Pt W E/m 30 Min
|
30
|
23
|
$110.62
|
$110.62
|
$30.88
|
$111.85
|
$71.36
|
2025-04-01
|
|
72110
|
CPT
|
72110 - Lumbar Spine, Complete
|
15
|
15
|
$139.00
|
$139.00
|
$71.24
|
$71.24
|
$71.24
|
2025-04-01
|
|
99497
|
CPT
|
Advncd Care Plan 30 Min
|
30
|
23
|
$232.34
|
$232.34
|
$63.52
|
$78.84
|
$71.18
|
2025-04-01
|
|
73501
|
CPT
|
73501lt -hip, 1 View Lt
|
15
|
15
|
$115.10
|
$115.10
|
$71.13
|
$71.13
|
$71.13
|
2025-04-01
|
|
73020
|
CPT
|
73020lt -shoulder, 1 View Lt
|
15
|
15
|
$115.10
|
$115.10
|
$71.13
|
$71.13
|
$71.13
|
2025-04-01
|
|
99498
|
CPT
|
Advncd Care Plan Addl 30 Min
|
30
|
23
|
$195.00
|
$195.00
|
$66.97
|
$73.70
|
$70.34
|
2025-04-01
|
|
99442
|
CPT
|
Phone E/m Phys/qhp 11-20 Min
|
15
|
15
|
$161.00
|
$161.00
|
$70.08
|
$70.08
|
$70.08
|
2025-04-01
|
|
97763
|
CPT
|
C/o For Orth/prost Use 15(tmd)
|
30
|
23
|
$64.10
|
$64.10
|
$69.75
|
$70.31
|
$70.03
|
2025-04-01
|
|
96139
|
CPT
|
Psycl/nrpsyc Tst Tech Ea
|
30
|
23
|
$96.79
|
$96.79
|
$45.53
|
$92.50
|
$69.02
|
2025-04-01
|
|
97760
|
CPT
|
Ortho Mgmt & Trng 15 Min (tmd)
|
30
|
23
|
$58.25
|
$58.25
|
$67.80
|
$68.18
|
$67.99
|
2025-04-01
|
|
72170
|
CPT
|
72170 - Pelvis, 1 View
|
15
|
15
|
$139.00
|
$139.00
|
$67.85
|
$67.85
|
$67.85
|
2025-04-01
|
|
73120
|
CPT
|
73120lt -hand, 2 Views Lt
|
15
|
15
|
$139.00
|
$139.00
|
$67.41
|
$67.41
|
$67.41
|
2025-04-01
|
|
83970
|
CPT
|
Assay Of Parathormone
|
30
|
23
|
$123.90
|
$123.90
|
$67.37
|
$67.37
|
$67.37
|
2025-04-01
|
|
99213
|
CPT
|
Office O/p Est Low 20 Min
|
30
|
23
|
$135.16
|
$135.16
|
$44.03
|
$89.98
|
$67.01
|
2025-04-01
|
|
97761
|
CPT
|
Prosthetic Trng (tmd)
|
15
|
15
|
$51.00
|
$51.00
|
$65.45
|
$65.45
|
$65.45
|
2024-07-01
|
|
97530
|
CPT
|
Therapeutic Activities (tmd)
|
30
|
23
|
$44.00
|
$44.00
|
$62.69
|
$66.66
|
$64.67
|
2025-04-01
|
|
97550
|
CPT
|
Caregiver Training Wo Patient
|
15
|
15
|
$62.80
|
$62.80
|
$62.80
|
$62.80
|
$62.80
|
2025-04-01
|
|
97110
|
CPT
|
Therapeutic Exercise (tmd)
|
30
|
23
|
$35.40
|
$35.40
|
$59.99
|
$64.88
|
$62.44
|
2025-04-01
|
|
97129
|
CPT
|
Interv Cognitive Function
|
30
|
23
|
$25.85
|
$25.85
|
$62.20
|
$62.30
|
$62.25
|
2025-04-01
|
|
97112
|
CPT
|
Neuromuscular Reeducat (tmd)
|
30
|
23
|
$40.05
|
$40.05
|
$61.39
|
$61.84
|
$61.62
|
2025-04-01
|
|
97535
|
CPT
|
Self Care/ Home Mgmt (tmd)
|
30
|
23
|
$39.65
|
$39.65
|
$61.46
|
$61.49
|
$61.48
|
2025-04-01
|
|
92002
|
CPT
|
Eye Exam New Patient
|
30
|
23
|
$114.50
|
$114.50
|
$42.37
|
$80.33
|
$61.34
|
2025-04-01
|
|
97537
|
CPT
|
Community/work Reintegr. (tmd)
|
15
|
15
|
$38.20
|
$38.20
|
$60.97
|
$60.97
|
$60.97
|
2024-07-01
|
|
97542
|
CPT
|
Whelchr Mgt/ Propul Train(tmd)
|
30
|
23
|
$38.00
|
$38.00
|
$60.83
|
$60.97
|
$60.90
|
2025-04-01
|
|
51798
|
CPT
|
Bladder Scan
|
30
|
23
|
$75.55
|
$75.55
|
$59.10
|
$62.43
|
$60.77
|
2025-04-01
|
|
92012
|
CPT
|
Eye Exam Establish Patient
|
30
|
23
|
$123.50
|
$123.50
|
$52.23
|
$68.10
|
$60.16
|
2025-04-01
|
|
0999
|
RC
|
—
|
15
|
15
|
$60.00
|
$60.00
|
$60.00
|
$60.00
|
$60.00
|
2025-04-01
|
|
97116
|
CPT
|
Gait Training (tmd)
|
30
|
23
|
$35.40
|
$35.40
|
$59.99
|
$59.99
|
$59.99
|
2025-04-01
|
|
87798
|
CPT
|
Detect Agent Nos DNA Amp
|
15
|
15
|
$105.30
|
$105.30
|
$59.66
|
$59.66
|
$59.66
|
2025-04-01
|
|
90836
|
CPT
|
Psytx W Pt W E/m 45 Min
|
30
|
23
|
$152.03
|
$152.03
|
$32.72
|
$85.75
|
$59.23
|
2025-04-01
|
|
97140
|
CPT
|
Manual Therapy Techniques(tmd)
|
30
|
23
|
$32.90
|
$32.90
|
$58.98
|
$59.26
|
$59.12
|
2025-04-01
|
|
71100
|
CPT
|
71100 Ribs, Unilateral
|
15
|
15
|
$115.10
|
$115.10
|
$57.97
|
$57.97
|
$57.97
|
2025-04-01
|
|
83880
|
CPT
|
Natriuretic Peptide
|
30
|
23
|
$117.80
|
$117.80
|
$57.58
|
$57.58
|
$57.58
|
2025-04-01
|
|
73562
|
CPT
|
73562lt -knee,3views Lt
|
15
|
15
|
$115.10
|
$115.10
|
$57.35
|
$57.35
|
$57.35
|
2025-04-01
|
|
73560
|
CPT
|
73560lt -knee,2views Lt
|
15
|
15
|
$115.10
|
$115.10
|
$57.18
|
$57.18
|
$57.18
|
2025-04-01
|
|
73060
|
CPT
|
73060lt -humerus Lt
|
15
|
15
|
$115.10
|
$115.10
|
$56.72
|
$56.72
|
$56.72
|
2025-04-01
|
|
73610
|
CPT
|
73610lt -ankle, 3 Views Lt
|
15
|
15
|
$115.10
|
$115.10
|
$56.72
|
$56.72
|
$56.72
|
2025-04-01
|
|
73590
|
CPT
|
73590lt -lower Leg Lt
|
15
|
15
|
$115.10
|
$115.10
|
$56.72
|
$56.72
|
$56.72
|
2025-04-01
|
|
73130
|
CPT
|
73130lt -hand, 3views Lt
|
15
|
15
|
$115.10
|
$115.10
|
$56.72
|
$56.72
|
$56.72
|
2025-04-01
|
|
73110
|
CPT
|
73110lt -wrist, 3views Lt
|
15
|
15
|
$115.10
|
$115.10
|
$56.72
|
$56.72
|
$56.72
|
2025-04-01
|
|
73090
|
CPT
|
73090rt -forearm Rt
|
15
|
15
|
$115.10
|
$115.10
|
$56.55
|
$56.55
|
$56.55
|
2025-04-01
|
|
73630
|
CPT
|
73630lt -foot,3views Lt
|
15
|
15
|
$115.10
|
$115.10
|
$56.52
|
$56.52
|
$56.52
|
2025-04-01
|
|
11042
|
CPT
|
Deb Subq Tissue 20 Sq Cm/<
|
30
|
23
|
$126.00
|
$126.00
|
$55.90
|
$57.06
|
$56.48
|
2025-04-01
|
|
G0180
|
CPT
|
Md Certification Hha Patient
|
15
|
15
|
$138.00
|
$138.00
|
$55.17
|
$55.17
|
$55.17
|
2025-04-01
|
|
92015
|
CPT
|
Determine Refractive State
|
15
|
15
|
$55.00
|
$55.00
|
$55.00
|
$55.00
|
$55.00
|
2025-04-01
|
|
97022
|
CPT
|
Fluidotherapy
|
30
|
23
|
$20.20
|
$20.20
|
$54.39
|
$54.95
|
$54.67
|
2025-04-01
|
|
97032
|
CPT
|
Electr Stimul Manual (tmd)
|
30
|
23
|
$17.20
|
$17.20
|
$53.59
|
$53.66
|
$53.62
|
2025-04-01
|
|
97035
|
CPT
|
Ultrasound (tmd)
|
30
|
23
|
$17.00
|
$17.00
|
$53.52
|
$53.59
|
$53.55
|
2025-04-01
|
|
82306
|
CPT
|
Vitamin D 25 Hydroxy
|
30
|
23
|
$88.80
|
$88.80
|
$48.27
|
$53.81
|
$51.04
|
2025-04-01
|
|
97024
|
CPT
|
Short Wave Diathermy
|
30
|
23
|
$9.05
|
$9.05
|
$50.75
|
$50.78
|
$50.77
|
2025-04-01
|
|
97018
|
CPT
|
Paraffin Bath (untmd)
|
15
|
15
|
$6.90
|
$6.90
|
$50.02
|
$50.02
|
$50.02
|
2024-07-01
|
|
VDOPLEBI
|
LOCAL
|
US Venous Doppl Lim Rt Low Ext
|
15
|
15
|
$50.00
|
$50.00
|
$50.00
|
$50.00
|
$50.00
|
2024-07-01
|
|
0120
|
RC
|
—
|
15
|
15
|
$50.00
|
$50.00
|
$30.00
|
$50.00
|
$50.00
|
2025-04-01
|
|
0402
|
RC
|
—
|
15
|
15
|
$50.00
|
$50.00
|
$50.00
|
$50.00
|
$50.00
|
2025-04-01
|
|
0120D
|
CPT
|
Private Preferred Supp
|
15
|
15
|
$50.00
|
$50.00
|
$50.00
|
$50.00
|
$50.00
|
2025-04-01
|
|
DOPLERT
|
LOCAL
|
US Venous Doppler Le Bi
|
15
|
15
|
$50.00
|
$50.00
|
$50.00
|
$50.00
|
$50.00
|
2024-07-01
|
|
86304
|
CPT
|
Immunoassay Tumor Ca 15-3
|
30
|
23
|
$62.50
|
$62.50
|
$35.41
|
$62.50
|
$48.95
|
2025-04-01
|
|
G0008
|
CPT
|
Admin Influenza Virus Vac
|
41
|
23
|
$57.10
|
$57.10
|
$25.00
|
$57.10
|
$48.50
|
2025-04-01
|
|
G0009
|
CPT
|
Admin Pneumococcal Vaccine
|
30
|
23
|
$58.70
|
$58.70
|
$45.91
|
$48.50
|
$47.20
|
2025-04-01
|
|
84145
|
CPT
|
Procalcitonin Test (pct)
|
30
|
23
|
$81.70
|
$81.70
|
$46.29
|
$46.29
|
$46.29
|
2025-04-01
|
|
G0010
|
CPT
|
Admin Hepatitis B Vaccine
|
15
|
15
|
$57.10
|
$57.10
|
$45.91
|
$45.91
|
$45.91
|
2024-07-01
|
|
0730
|
RC
|
—
|
15
|
15
|
$44.00
|
$44.00
|
$44.00
|
$44.00
|
$44.00
|
2025-04-01
|
|
0540
|
RC
|
—
|
15
|
15
|
$44.00
|
$44.00
|
$44.00
|
$44.00
|
$44.00
|
2025-04-01
|
|
90480
|
CPT
|
Admin Sarscov2 Vacc
|
15
|
15
|
$54.30
|
$54.30
|
$43.66
|
$43.66
|
$43.66
|
2025-04-01
|
|
96138
|
CPT
|
Psycl/nrpsyc Tech 1st
|
15
|
15
|
$99.43
|
$99.43
|
$43.58
|
$43.58
|
$43.58
|
2024-07-01
|
|
84403
|
CPT
|
Assay Of Total Testosterone
|
30
|
23
|
$77.50
|
$77.50
|
$42.13
|
$42.13
|
$42.13
|
2025-04-01
|
|
84425
|
CPT
|
Assay Of Vitamin B-1
|
30
|
23
|
$63.70
|
$63.70
|
$36.09
|
$48.10
|
$42.10
|
2025-04-01
|
|
99231
|
CPT
|
Sbsq Hosp Ip/obs Sf/low 25
|
30
|
23
|
$92.06
|
$92.06
|
$19.36
|
$63.73
|
$41.54
|
2025-04-01
|
|
0801
|
RC
|
—
|
15
|
15
|
$41.00
|
$41.00
|
$41.00
|
$41.00
|
$41.00
|
2025-04-01
|
|
93005
|
CPT
|
EKG
|
30
|
23
|
$75.55
|
$75.55
|
$39.19
|
$41.08
|
$40.13
|
2025-04-01
|
|
92555
|
CPT
|
Speech Threshold Audiometry
|
15
|
15
|
$40.00
|
$40.00
|
$40.00
|
$40.00
|
$40.00
|
2024-07-01
|
|
G0318
|
CPT
|
Prolong Home Eval Add 15m
|
15
|
15
|
$73.00
|
$73.00
|
$39.54
|
$39.54
|
$39.54
|
2025-04-01
|
|
80069
|
CPT
|
US Renal/retroperitoneal
|
15
|
15
|
$50.00
|
$50.00
|
$37.50
|
$37.50
|
$37.50
|
2025-04-01
|
|
86704
|
CPT
|
Hep B Core Antibody Total
|
15
|
15
|
$36.20
|
$36.20
|
$36.20
|
$36.20
|
$36.20
|
2024-07-01
|
|
83921
|
CPT
|
Organic Acid Single Quant
|
30
|
23
|
$63.70
|
$63.70
|
$36.09
|
$36.09
|
$36.09
|
2025-04-01
|
|
97113
|
CPT
|
Aquatic Physical Therapy
|
15
|
15
|
$44.70
|
$44.70
|
$35.94
|
$35.94
|
$35.94
|
2024-07-01
|
|
97802
|
CPT
|
Initial Assess/tx Indiv 15 Min
|
30
|
23
|
$43.95
|
$43.95
|
$35.28
|
$35.37
|
$35.33
|
2025-04-01
|
|
69210
|
CPT
|
Remove Impacted Ear Wax Uni
|
30
|
23
|
$79.00
|
$79.00
|
$25.47
|
$41.40
|
$33.44
|
2025-04-01
|
|
97750
|
CPT
|
Phy Perform Test Or Msmt (tmd)
|
30
|
23
|
$41.35
|
$41.35
|
$33.22
|
$33.29
|
$33.25
|
2025-04-01
|
|
92950
|
CPT
|
Hearing Aid Check - Binaural
|
15
|
15
|
$44.00
|
$44.00
|
$33.00
|
$33.00
|
$33.00
|
2024-07-01
|
|
92650
|
CPT
|
Hearing Aid Check - Monaural
|
15
|
15
|
$44.00
|
$44.00
|
$33.00
|
$33.00
|
$33.00
|
2024-07-01
|
|
G0317
|
CPT
|
Prolong Nursin Fac Eval 15m
|
15
|
15
|
$74.11
|
$74.11
|
$32.29
|
$32.29
|
$32.29
|
2025-04-01
|
|
82378
|
CPT
|
Carcinoembryonic Antigen
|
30
|
23
|
$56.90
|
$56.90
|
$32.24
|
$32.24
|
$32.24
|
2025-04-01
|
|
80299
|
CPT
|
Quantitative Assay Drug
|
30
|
23
|
$56.00
|
$56.00
|
$31.72
|
$31.72
|
$31.72
|
2025-04-01
|
|
G2212
|
CPT
|
Prolong Outpt/office Vis
|
15
|
15
|
$76.93
|
$76.93
|
$31.28
|
$31.28
|
$31.28
|
2025-04-01
|
|
G0270
|
CPT
|
REAsses In Same Yr Indiv 15min
|
15
|
15
|
$38.40
|
$38.40
|
$30.86
|
$30.86
|
$30.86
|
2024-07-01
|
|
97803
|
CPT
|
Reassess/tx Indiv 15min
|
30
|
23
|
$38.40
|
$38.40
|
$30.85
|
$30.86
|
$30.86
|
2025-04-01
|
|
92552
|
CPT
|
Pure Tone Hear Test - Air/bone
|
15
|
15
|
$41.00
|
$41.00
|
$30.75
|
$30.75
|
$30.75
|
2024-07-01
|
|
97551
|
CPT
|
Caregiver Training Wo Patient
|
15
|
15
|
$30.60
|
$30.60
|
$30.60
|
$30.60
|
$30.60
|
2025-04-01
|
|
G0316
|
CPT
|
Prolong Inpt Eval Add15 M
|
30
|
23
|
$44.43
|
$44.43
|
$9.08
|
$52.12
|
$30.60
|
2025-04-01
|
|
84153
|
CPT
|
Assay Of Psa Total
|
30
|
23
|
$55.20
|
$55.20
|
$30.02
|
$30.02
|
$30.02
|
2025-04-01
|
|
99418
|
CPT
|
Prolng Ip/obs E/m Ea 15 Min
|
30
|
23
|
$41.43
|
$41.43
|
$25.20
|
$34.18
|
$29.69
|
2025-04-01
|
|
82140
|
CPT
|
Assay Of Ammonia
|
30
|
23
|
$43.80
|
$43.80
|
$24.80
|
$33.01
|
$28.91
|
2025-04-01
|
|
80156
|
CPT
|
Assay Carbamazepine Total
|
30
|
23
|
$43.80
|
$43.80
|
$24.80
|
$32.98
|
$28.89
|
2025-04-01
|
|
0471
|
RC
|
—
|
30
|
23
|
$35.00
|
$35.00
|
$20.00
|
$37.50
|
$28.75
|
2025-04-01
|
|
99417
|
CPT
|
Prolng Op E/m Ea 15 Min
|
30
|
23
|
$55.00
|
$55.00
|
$18.98
|
$36.66
|
$27.82
|
2025-04-01
|
|
84481
|
CPT
|
Free Assay (ft-3)
|
30
|
23
|
$50.90
|
$50.90
|
$27.66
|
$27.66
|
$27.66
|
2025-04-01
|
|
84443
|
CPT
|
Assay Thyroid Stim Hormone
|
30
|
23
|
$50.40
|
$50.40
|
$27.43
|
$27.43
|
$27.43
|
2025-04-01
|
|
82330
|
CPT
|
Assay Of Calcium
|
30
|
23
|
$41.10
|
$41.10
|
$23.28
|
$30.94
|
$27.11
|
2025-04-01
|
|
Q3014
|
CPT
|
TelehEAlth Facility Fee Oc Psy
|
30
|
23
|
$33.60
|
$33.60
|
$26.53
|
$27.48
|
$27.00
|
2025-04-01
|
|
80202
|
CPT
|
Assay Of Vancomycin
|
30
|
23
|
$40.70
|
$40.70
|
$23.05
|
$30.67
|
$26.86
|
2025-04-01
|
|
82533
|
CPT
|
Total Cortisol
|
30
|
23
|
$48.90
|
$48.90
|
$26.62
|
$26.62
|
$26.62
|
2025-04-01
|
|
80184
|
CPT
|
Assay Of Phenobarbital
|
30
|
23
|
$45.90
|
$45.90
|
$26.01
|
$26.01
|
$26.01
|
2025-04-01
|
|
82607
|
CPT
|
Vitamin B-12
|
30
|
23
|
$45.30
|
$45.30
|
$23.21
|
$25.95
|
$24.58
|
2025-04-01
|
|
87338
|
CPT
|
Hpylori Stool Eia
|
15
|
15
|
$43.20
|
$43.20
|
$24.47
|
$24.47
|
$24.47
|
2025-04-01
|
|
84480
|
CPT
|
Assay Triiodothyronine (t3)
|
30
|
23
|
$42.60
|
$42.60
|
$24.13
|
$24.13
|
$24.13
|
2025-04-01
|
|
80198
|
CPT
|
Assay Of Theophylline
|
15
|
15
|
$42.50
|
$42.50
|
$24.07
|
$24.07
|
$24.07
|
2024-07-01
|
|
85379
|
CPT
|
D-dimer
|
30
|
23
|
$30.60
|
$30.60
|
$17.33
|
$30.60
|
$23.96
|
2025-04-01
|
|
82746
|
CPT
|
Blood Folic Acid Serum
|
30
|
23
|
$44.10
|
$44.10
|
$23.77
|
$23.77
|
$23.77
|
2025-04-01
|
|
80164
|
CPT
|
Assay Dipropylacetic Acid
|
30
|
23
|
$40.70
|
$40.70
|
$22.11
|
$24.65
|
$23.38
|
2025-04-01
|
|
469CPT
|
LOCAL
|
Chest Pt
|
15
|
15
|
$23.20
|
$23.20
|
$23.20
|
$23.20
|
$23.20
|
2024-07-01
|
|
80162
|
CPT
|
Assay Of Digoxin
|
30
|
23
|
$39.90
|
$39.90
|
$21.67
|
$24.16
|
$22.91
|
2025-04-01
|
|
84165
|
CPT
|
Protein Electrophoresis Serum
|
15
|
15
|
$32.30
|
$32.30
|
$22.68
|
$22.68
|
$22.68
|
2024-07-01
|
|
80185
|
CPT
|
Assay Of Phenytoin Total
|
30
|
23
|
$39.80
|
$39.80
|
$22.55
|
$22.55
|
$22.55
|
2025-04-01
|
|
99403
|
CPT
|
Prev Couns/risk Reduc,upto45mi
|
15
|
15
|
$30.00
|
$30.00
|
$22.50
|
$22.50
|
$22.50
|
2024-07-01
|
|
82728
|
CPT
|
Assay Of Ferritin
|
30
|
23
|
$40.90
|
$40.90
|
$22.24
|
$22.24
|
$22.24
|
2025-04-01
|
|
83874
|
CPT
|
Myoglobin (muscle Protein) Lev
|
15
|
15
|
$38.80
|
$38.80
|
$21.98
|
$21.98
|
$21.98
|
2025-04-01
|
|
80061
|
CPT
|
Lipid Panel
|
30
|
23
|
$40.20
|
$40.20
|
$21.86
|
$21.86
|
$21.86
|
2025-04-01
|
|
83010
|
CPT
|
Assay Of Haptoglobin Quant
|
30
|
23
|
$37.80
|
$37.80
|
$21.41
|
$21.41
|
$21.41
|
2025-04-01
|
|
84484
|
CPT
|
Assay Of Troponin Quant
|
30
|
23
|
$37.50
|
$37.50
|
$20.94
|
$20.94
|
$20.94
|
2025-04-01
|
|
86803
|
CPT
|
Hepatitis C Ab Test
|
30
|
23
|
$42.90
|
$42.90
|
$20.84
|
$20.84
|
$20.84
|
2025-04-01
|
|
11721
|
CPT
|
Debride Nail 6 Or More
|
15
|
15
|
$38.00
|
$38.00
|
$20.76
|
$20.76
|
$20.76
|
2024-07-01
|
|
87449
|
CPT
|
Ag Detect Nos Eia Mult
|
30
|
23
|
$36.00
|
$36.00
|
$20.39
|
$20.39
|
$20.39
|
2025-04-01
|
|
84134
|
CPT
|
Assay Of Prealbumin
|
30
|
23
|
$43.80
|
$43.80
|
$20.05
|
$20.05
|
$20.05
|
2025-04-01
|
|
OP510PP
|
CPT
|
Priv Pay 15 Min
|
15
|
15
|
$20.00
|
$20.00
|
$20.00
|
$20.00
|
$20.00
|
2025-04-01
|
|
80197
|
CPT
|
Assay Of Tacrolimus
|
30
|
23
|
$41.20
|
$41.20
|
$16.11
|
$23.34
|
$19.73
|
2025-04-01
|
|
83605
|
CPT
|
Assay Of Lactic Acid
|
30
|
23
|
$34.80
|
$34.80
|
$19.70
|
$19.70
|
$19.70
|
2025-04-01
|
|
69209
|
CPT
|
Remove Impacted Ear Wax Uni
|
15
|
15
|
$41.50
|
$41.50
|
$19.50
|
$19.50
|
$19.50
|
2025-04-01
|
|
G2211
|
CPT
|
Complex E/m Visit Add On
|
15
|
15
|
$41.04
|
$41.04
|
$18.49
|
$18.49
|
$18.49
|
2025-04-01
|
|
80053
|
CPT
|
Comprehen Metabolic Panel
|
30
|
23
|
$31.70
|
$31.70
|
$16.97
|
$18.95
|
$17.96
|
2025-04-01
|
|
86706
|
CPT
|
Hep B Surface Antibody
|
30
|
23
|
$32.30
|
$32.30
|
$16.93
|
$16.93
|
$16.93
|
2025-04-01
|
|
96137
|
CPT
|
Psycl/nrpsyc Tst Phy/qhp Ea
|
15
|
15
|
$115.00
|
$115.00
|
$16.82
|
$16.82
|
$16.82
|
2024-07-01
|
|
87340
|
CPT
|
Hepatitis B Surface Ag Eia
|
30
|
23
|
$31.00
|
$31.00
|
$16.58
|
$16.58
|
$16.58
|
2025-04-01
|
|
83036
|
CPT
|
Glycosylated Hemoglobin Test
|
30
|
23
|
$29.20
|
$29.20
|
$16.54
|
$16.54
|
$16.54
|
2025-04-01
|
|
87045
|
CPT
|
Feces Culture Bacteria
|
30
|
23
|
$28.40
|
$28.40
|
$15.40
|
$17.16
|
$16.28
|
2025-04-01
|
|
83935
|
CPT
|
Assay Of Urine Osmolality
|
30
|
23
|
$20.50
|
$20.50
|
$15.44
|
$15.44
|
$15.44
|
2025-04-01
|
|
92504
|
CPT
|
Otoscopy
|
15
|
15
|
$20.00
|
$20.00
|
$15.00
|
$15.00
|
$15.00
|
2024-07-01
|
|
99402
|
CPT
|
Prev Couns/risk Reduc,upto30mi
|
15
|
15
|
$20.00
|
$20.00
|
$15.00
|
$15.00
|
$15.00
|
2024-07-01
|
|
83550
|
CPT
|
Iron Binding Test
|
30
|
23
|
$26.30
|
$26.30
|
$14.89
|
$14.89
|
$14.89
|
2025-04-01
|
|
84439
|
CPT
|
Assay Of Free Thyroxine
|
30
|
23
|
$27.10
|
$27.10
|
$14.72
|
$14.72
|
$14.72
|
2025-04-01
|
|
87070
|
CPT
|
Culture Bacteria Other
|
30
|
23
|
$25.90
|
$25.90
|
$13.42
|
$15.03
|
$14.22
|
2025-04-01
|
|
87086
|
CPT
|
Urine Culture/colony Count
|
30
|
23
|
$24.30
|
$24.30
|
$13.04
|
$14.56
|
$13.80
|
2025-04-01
|
|
80048
|
CPT
|
Metabolic Panel Total Ca
|
30
|
23
|
$25.40
|
$25.40
|
$13.59
|
$13.59
|
$13.59
|
2025-04-01
|
|
85049
|
CPT
|
Automated Platelet Count
|
15
|
15
|
$13.50
|
$13.50
|
$13.50
|
$13.50
|
$13.50
|
2024-07-01
|
|
80076
|
CPT
|
Hepatic Function Panel
|
30
|
23
|
$24.60
|
$24.60
|
$13.12
|
$13.12
|
$13.12
|
2025-04-01
|
|
80178
|
CPT
|
Assay Of Lithium
|
30
|
23
|
$19.90
|
$19.90
|
$11.27
|
$14.96
|
$13.11
|
2025-04-01
|
|
84478
|
CPT
|
Assay Of Triglycerides
|
15
|
15
|
$17.30
|
$17.30
|
$12.96
|
$12.96
|
$12.96
|
2024-07-01
|
|
85025
|
CPT
|
Complete Cbc W/auto Diff
|
30
|
23
|
$23.40
|
$23.40
|
$12.69
|
$12.69
|
$12.69
|
2025-04-01
|
|
86431
|
CPT
|
Rheumatoid Factor Quant
|
30
|
23
|
$17.10
|
$17.10
|
$12.66
|
$12.66
|
$12.66
|
2025-04-01
|
|
0469
|
RC
|
—
|
15
|
15
|
$12.63
|
$12.63
|
$12.63
|
$12.63
|
$12.63
|
2025-04-01
|
|
469O2SHIFT
|
LOCAL
|
Oxygen Per Shift
|
15
|
15
|
$12.63
|
$12.63
|
$12.63
|
$12.63
|
$12.63
|
2024-07-01
|
|
82977
|
CPT
|
Assay Of Ggt
|
30
|
23
|
$21.60
|
$21.60
|
$12.24
|
$12.24
|
$12.24
|
2025-04-01
|
|
83690
|
CPT
|
Assay Of Lipase
|
30
|
23
|
$20.70
|
$20.70
|
$11.72
|
$11.72
|
$11.72
|
2025-04-01
|
|
97016
|
CPT
|
Vasophuematic Devices
|
30
|
23
|
$14.15
|
$14.15
|
$11.26
|
$11.47
|
$11.37
|
2025-04-01
|
|
11055
|
CPT
|
Trim Skin Lesion
|
30
|
23
|
$57.00
|
$57.00
|
$11.21
|
$11.46
|
$11.34
|
2025-04-01
|
|
82550
|
CPT
|
Assay Of Ck (cpk)
|
30
|
23
|
$19.60
|
$19.60
|
$10.68
|
$11.90
|
$11.29
|
2025-04-01
|
|
87081
|
CPT
|
Culture Screen Only
|
30
|
23
|
$19.90
|
$19.90
|
$11.28
|
$11.28
|
$11.28
|
2025-04-01
|
|
83930
|
CPT
|
Assay Of Blood Osmolality
|
15
|
15
|
$19.90
|
$19.90
|
$11.27
|
$11.27
|
$11.27
|
2025-04-01
|
|
80051
|
CPT
|
Electrolyte Panel
|
30
|
23
|
$21.10
|
$21.10
|
$11.26
|
$11.26
|
$11.26
|
2025-04-01
|
|
G0281
|
CPT
|
Electrical Stimulation, Wounds
|
15
|
15
|
$14.00
|
$14.00
|
$11.26
|
$11.26
|
$11.26
|
2024-07-01
|
|
85027
|
CPT
|
Complete Cbc Automated
|
30
|
23
|
$19.50
|
$19.50
|
$10.56
|
$11.78
|
$11.17
|
2025-04-01
|
|
83735
|
CPT
|
Assay Of Magnesium
|
30
|
23
|
$20.10
|
$20.10
|
$10.88
|
$10.88
|
$10.88
|
2025-04-01
|
|
82150
|
CPT
|
Assay Of Amylase
|
30
|
23
|
$19.50
|
$19.50
|
$10.59
|
$10.59
|
$10.59
|
2025-04-01
|
|
83540
|
CPT
|
Assay Of Iron
|
30
|
23
|
$19.50
|
$19.50
|
$10.57
|
$10.57
|
$10.57
|
2025-04-01
|
|
0250
|
RC
|
—
|
15
|
15
|
$10.52
|
$10.52
|
$1.60
|
$10.52
|
$10.52
|
2025-04-01
|
|
83615
|
CPT
|
Lactate (ld) (ldh) Enzyme
|
30
|
23
|
$18.20
|
$18.20
|
$9.84
|
$10.96
|
$10.40
|
2025-04-01
|
|
85730
|
CPT
|
Thromboplastin Time Partial
|
30
|
23
|
$18.10
|
$18.10
|
$10.24
|
$10.24
|
$10.24
|
2025-04-01
|
|
84300
|
CPT
|
Assay Of Urine Sodium
|
30
|
23
|
$15.20
|
$15.20
|
$8.61
|
$11.01
|
$9.81
|
2025-04-01
|
|
93010
|
CPT
|
Electrocardiogram Report
|
30
|
23
|
$17.72
|
$17.72
|
$7.17
|
$12.01
|
$9.59
|
2025-04-01
|
|
89051
|
CPT
|
Body Fluid Cell Count
|
30
|
23
|
$16.80
|
$16.80
|
$9.52
|
$9.52
|
$9.52
|
2025-04-01
|
|
36415
|
CPT
|
Routine Venipuncture
|
30
|
23
|
$26.90
|
$26.90
|
$4.90
|
$13.37
|
$9.13
|
2025-04-01
|
|
82043
|
CPT
|
Microalbumin Quantitative
|
30
|
23
|
$17.40
|
$17.40
|
$8.55
|
$9.38
|
$8.97
|
2025-04-01
|
|
86140
|
CPT
|
C-reactive Protein
|
30
|
23
|
$15.60
|
$15.60
|
$8.45
|
$9.41
|
$8.93
|
2025-04-01
|
|
84133
|
CPT
|
Assay Of Urine Potassium
|
30
|
23
|
$14.20
|
$14.20
|
$8.04
|
$9.74
|
$8.89
|
2025-04-01
|
|
82310
|
CPT
|
Assay Of Calcium
|
30
|
23
|
$15.50
|
$15.50
|
$8.78
|
$8.78
|
$8.78
|
2025-04-01
|
|
84460
|
CPT
|
Alanine Amino (alt) (sgpt)
|
30
|
23
|
$15.90
|
$15.90
|
$8.57
|
$8.57
|
$8.57
|
2025-04-01
|
|
82247
|
CPT
|
Bilirubin Total
|
30
|
23
|
$15.10
|
$15.10
|
$8.06
|
$9.00
|
$8.53
|
2025-04-01
|
|
G0127
|
CPT
|
Trim Nail(s)
|
30
|
23
|
$26.00
|
$26.00
|
$5.36
|
$11.69
|
$8.52
|
2025-04-01
|
|
84450
|
CPT
|
Transferase (ast) (sgot)
|
30
|
23
|
$15.60
|
$15.60
|
$8.45
|
$8.45
|
$8.45
|
2025-04-01
|
|
84075
|
CPT
|
Assay Alkaline Phosphatase
|
30
|
23
|
$15.60
|
$15.60
|
$8.45
|
$8.45
|
$8.45
|
2025-04-01
|
|
82570
|
CPT
|
Assay Of Urine Creatinine
|
30
|
23
|
$15.60
|
$15.60
|
$8.45
|
$8.45
|
$8.45
|
2025-04-01
|
|
82565
|
CPT
|
Assay Of Creatinine
|
30
|
23
|
$15.40
|
$15.40
|
$8.35
|
$8.35
|
$8.35
|
2025-04-01
|
|
84295
|
CPT
|
Assay Of Serum Sodium
|
30
|
23
|
$14.50
|
$14.50
|
$8.21
|
$8.21
|
$8.21
|
2025-04-01
|
|
84100
|
CPT
|
Assay Of Phosphorus
|
30
|
23
|
$14.30
|
$14.30
|
$7.73
|
$8.62
|
$8.18
|
2025-04-01
|
|
84132
|
CPT
|
Assay Of Serum Potassium
|
30
|
23
|
$14.30
|
$14.30
|
$8.10
|
$8.10
|
$8.10
|
2025-04-01
|
|
82040
|
CPT
|
Assay Of Serum Albumin
|
30
|
23
|
$14.90
|
$14.90
|
$8.09
|
$8.09
|
$8.09
|
2025-04-01
|
|
82248
|
CPT
|
Bilirubin Direct
|
30
|
23
|
$15.10
|
$15.10
|
$8.06
|
$8.06
|
$8.06
|
2025-04-01
|
|
85045
|
CPT
|
Automated Reticulocyte Count
|
30
|
23
|
$12.00
|
$12.00
|
$6.79
|
$9.06
|
$7.93
|
2025-04-01
|
|
82435
|
CPT
|
Assay Of Blood Chloride
|
15
|
15
|
$13.80
|
$13.80
|
$7.82
|
$7.82
|
$7.82
|
2024-07-01
|
|
99401
|
CPT
|
Prev Couns/risk Reduc,upto15mi
|
15
|
15
|
$10.00
|
$10.00
|
$7.50
|
$7.50
|
$7.50
|
2024-07-01
|
|
86593
|
CPT
|
Syphilis Test Non-trep Quant
|
30
|
23
|
$13.20
|
$13.20
|
$7.48
|
$7.48
|
$7.48
|
2025-04-01
|
|
82270
|
CPT
|
Occult Blood Feces
|
30
|
23
|
$13.20
|
$13.20
|
$7.47
|
$7.47
|
$7.47
|
2025-04-01
|
|
84550
|
CPT
|
Assay Of Blood/uric Acid
|
30
|
23
|
$13.60
|
$13.60
|
$7.38
|
$7.38
|
$7.38
|
2025-04-01
|
|
85610
|
CPT
|
Prothrombin Time
|
30
|
23
|
$12.90
|
$12.90
|
$6.60
|
$7.16
|
$6.88
|
2025-04-01
|
|
84157
|
CPT
|
Assay Of Protein Other
|
30
|
23
|
$12.00
|
$12.00
|
$6.80
|
$6.80
|
$6.80
|
2025-04-01
|
|
82947
|
CPT
|
Assay Glucose Blood Quant
|
30
|
23
|
$11.80
|
$11.80
|
$6.68
|
$6.68
|
$6.68
|
2025-04-01
|
|
82945
|
CPT
|
Glucose Other Fluid
|
30
|
23
|
$11.80
|
$11.80
|
$6.68
|
$6.68
|
$6.68
|
2025-04-01
|
|
84520
|
CPT
|
Assay Of Urea Nitrogen
|
30
|
23
|
$11.90
|
$11.90
|
$6.44
|
$6.44
|
$6.44
|
2025-04-01
|
|
84155
|
CPT
|
Assay Of Protein Serum
|
30
|
23
|
$11.10
|
$11.10
|
$6.28
|
$6.28
|
$6.28
|
2025-04-01
|
|
82962
|
CPT
|
Glucose Test
|
30
|
23
|
$9.90
|
$9.90
|
$5.60
|
$5.60
|
$5.60
|
2025-04-01
|
|
81001
|
CPT
|
Urinalysis Auto W/scope
|
30
|
23
|
$9.60
|
$9.60
|
$5.08
|
$5.67
|
$5.38
|
2025-04-01
|
|
11056
|
CPT
|
Trim Skin Lesions 2 To 4
|
15
|
15
|
$35.00
|
$35.00
|
$4.82
|
$4.82
|
$4.82
|
2024-07-01
|
|
85652
|
CPT
|
Rbc Sed Rate Automated
|
30
|
23
|
$8.10
|
$8.10
|
$4.33
|
$4.84
|
$4.59
|
2025-04-01
|