|
93452
|
CPT
|
Left Hrt Cath W/ventrclgrphy
|
18
|
11
|
$2,500.00
|
$2,500.00
|
$239.84
|
$2,350.00
|
$1,967.00
|
2025-04-10
|
|
99205
|
CPT
|
Office O/p New Hi 60 Min
|
2
|
2
|
$164.08
|
$164.08
|
$552.00
|
$600.00
|
$576.00
|
2025-04-10
|
|
99204
|
CPT
|
Office O/p New Mod 45 Min
|
2
|
2
|
$111.11
|
$111.11
|
$552.00
|
$600.00
|
$576.00
|
2025-04-10
|
|
78452
|
CPT
|
Ht Muscle Image Spect Mult
|
20
|
16
|
$400.00
|
$400.00
|
$137.43
|
$710.00
|
$355.00
|
2025-04-10
|
|
73723
|
CPT
|
MRI Joint Lwr Extr W/ow/dye
|
28
|
21
|
$800.00
|
$800.00
|
$124.11
|
$1,300.00
|
$323.68
|
2025-04-10
|
|
77049
|
CPT
|
MRI Breast C- W/cad Bi
|
22
|
15
|
$975.00
|
$975.00
|
$144.45
|
$750.00
|
$295.04
|
2025-04-10
|
|
73722
|
CPT
|
MRI Joint Of Lwr Extr With Contrast
|
28
|
21
|
$700.00
|
$700.00
|
$100.22
|
$700.00
|
$292.54
|
2025-04-10
|
|
72197
|
CPT
|
MRI Pelvis Without With Contrast
|
29
|
22
|
$800.00
|
$800.00
|
$133.21
|
$1,300.00
|
$287.50
|
2025-04-10
|
|
74183
|
CPT
|
MRI Abd Without Cntr Flwd Cntr
|
29
|
22
|
$800.00
|
$800.00
|
$133.39
|
$1,300.00
|
$287.50
|
2025-04-10
|
|
74182
|
CPT
|
MRI Abdomen W/contrast
|
29
|
22
|
$700.00
|
$700.00
|
$118.50
|
$700.00
|
$277.25
|
2025-04-10
|
|
72157
|
CPT
|
MRI Chest Spine Without With Contrast
|
29
|
22
|
$800.00
|
$800.00
|
$102.13
|
$1,300.00
|
$264.91
|
2025-04-10
|
|
72156
|
CPT
|
MRI Neck Spine Without With Contrast
|
29
|
22
|
$800.00
|
$800.00
|
$101.96
|
$1,300.00
|
$263.83
|
2025-04-10
|
|
72158
|
CPT
|
MRI Lumbar Spine Without With Contrast
|
29
|
22
|
$800.00
|
$800.00
|
$101.78
|
$1,300.00
|
$263.10
|
2025-04-10
|
|
70553
|
CPT
|
MRI Brain Stem Without With Contrast
|
28
|
21
|
$800.00
|
$800.00
|
$101.52
|
$1,300.00
|
$261.29
|
2025-04-10
|
|
72196
|
CPT
|
MRI Pelvis With Contrast
|
29
|
22
|
$700.00
|
$700.00
|
$107.99
|
$700.00
|
$250.72
|
2025-04-10
|
|
73719
|
CPT
|
MRI Lower Extremity With Contrast
|
28
|
21
|
$700.00
|
$700.00
|
$105.78
|
$700.00
|
$249.78
|
2025-04-10
|
|
70544
|
CPT
|
Mr Angiography Head Without Contrast
|
22
|
17
|
$650.00
|
$650.00
|
$86.49
|
$650.00
|
$246.86
|
2025-04-10
|
|
72142
|
CPT
|
MRI Neck Spine With Contrast
|
29
|
22
|
$700.00
|
$700.00
|
$86.66
|
$700.00
|
$242.87
|
2025-04-10
|
|
70552
|
CPT
|
MRI Brain Stem With Contrast
|
28
|
21
|
$700.00
|
$700.00
|
$85.39
|
$700.00
|
$238.93
|
2025-04-10
|
|
72149
|
CPT
|
MRI Lumbar Spine With Contrast
|
29
|
22
|
$700.00
|
$700.00
|
$85.69
|
$700.00
|
$238.52
|
2025-04-10
|
|
73718
|
CPT
|
MRI Lower Extremity Without Contrast
|
28
|
21
|
$650.00
|
$650.00
|
$88.85
|
$650.00
|
$234.30
|
2025-04-10
|
|
72195
|
CPT
|
MRI Pelvis Without Contrast
|
29
|
22
|
$650.00
|
$650.00
|
$90.67
|
$650.00
|
$233.82
|
2025-04-10
|
|
99203
|
CPT
|
Office O/p New Low 30 Min
|
5
|
4
|
$87.29
|
$87.29
|
$225.00
|
$600.00
|
$225.00
|
2025-04-10
|
|
73218
|
CPT
|
MRI Upper Extremity Without Contrast
|
31
|
24
|
$650.00
|
$650.00
|
$75.99
|
$650.00
|
$217.82
|
2025-04-10
|
|
73221
|
CPT
|
MRI Joint Upr Extrem Without Contrast
|
31
|
24
|
$650.00
|
$650.00
|
$75.99
|
$650.00
|
$217.82
|
2025-04-10
|
|
74181
|
CPT
|
MRI Abdomen Without Contrast
|
29
|
22
|
$650.00
|
$650.00
|
$87.66
|
$650.00
|
$214.60
|
2025-04-10
|
|
74178
|
CPT
|
CT Abdplv Wo Cntr Flwd Cntr
|
24
|
17
|
$350.00
|
$350.00
|
$94.49
|
$450.00
|
$213.30
|
2025-04-10
|
|
73721
|
CPT
|
MRI Jnt Of Lwr Extre Without Contrast
|
30
|
23
|
$650.00
|
$650.00
|
$63.22
|
$650.00
|
$209.01
|
2025-04-10
|
|
74177
|
CPT
|
CT Abd Pelvis W/contrast
|
24
|
17
|
$350.00
|
$350.00
|
$83.47
|
$450.00
|
$206.88
|
2025-04-10
|
|
70551
|
CPT
|
MRI Brain Stem Without Contrast
|
28
|
21
|
$650.00
|
$650.00
|
$62.26
|
$650.00
|
$183.64
|
2025-04-10
|
|
78582
|
CPT
|
Lung Ventilatperfus Imaging
|
22
|
16
|
$300.00
|
$300.00
|
$71.25
|
$300.86
|
$168.79
|
2025-04-10
|
|
71275
|
CPT
|
CT Angiography Chest
|
19
|
12
|
$350.00
|
$350.00
|
$73.13
|
$247.50
|
$165.00
|
2025-04-10
|
|
70496
|
CPT
|
CT Angiography Head
|
19
|
14
|
$300.00
|
$300.00
|
$68.75
|
$247.50
|
$165.00
|
2025-04-10
|
|
72146
|
CPT
|
MRI Chest Spine Without Contrast
|
29
|
22
|
$650.00
|
$650.00
|
$60.62
|
$650.00
|
$162.50
|
2025-04-10
|
|
72148
|
CPT
|
MRI Lumbar Spine Without Contrast
|
29
|
22
|
$650.00
|
$650.00
|
$60.35
|
$650.00
|
$162.50
|
2025-04-10
|
|
72141
|
CPT
|
MRI Neck Spine Without Contrast
|
29
|
22
|
$650.00
|
$650.00
|
$60.62
|
$650.00
|
$162.50
|
2025-04-10
|
|
70492
|
CPT
|
CT Sft Tsue Nck Without With Contrast
|
31
|
24
|
$350.00
|
$350.00
|
$68.75
|
$325.00
|
$160.00
|
2025-04-10
|
|
74170
|
CPT
|
CT Abd Wo Cntrst Flwd Cntrst
|
30
|
23
|
$350.00
|
$350.00
|
$69.92
|
$650.00
|
$159.09
|
2025-04-10
|
|
72193
|
CPT
|
CT Pelvis With Contrast
|
30
|
23
|
$350.00
|
$350.00
|
$60.07
|
$325.00
|
$156.19
|
2025-04-10
|
|
74160
|
CPT
|
CT Abdomen W/contrast
|
30
|
23
|
$350.00
|
$350.00
|
$61.62
|
$325.00
|
$156.19
|
2025-04-10
|
|
78803
|
CPT
|
Rp Loclzj Tum Spect 1 Area
|
23
|
17
|
$492.00
|
$492.00
|
$88.48
|
$327.51
|
$154.00
|
2025-04-10
|
|
71270
|
CPT
|
CT Thorax Dx C-/c
|
30
|
23
|
$350.00
|
$350.00
|
$73.02
|
$650.00
|
$152.77
|
2025-04-10
|
|
73701
|
CPT
|
CT Lower Extremity With Contrast
|
30
|
23
|
$350.00
|
$350.00
|
$60.07
|
$325.00
|
$150.00
|
2025-04-10
|
|
71260
|
CPT
|
CT Thorax Dx C
|
31
|
24
|
$350.00
|
$350.00
|
$61.16
|
$325.00
|
$137.39
|
2025-04-10
|
|
70491
|
CPT
|
CT Soft Tissue Neck With Contrast
|
31
|
24
|
$350.00
|
$350.00
|
$63.21
|
$325.00
|
$137.02
|
2025-04-10
|
|
70470
|
CPT
|
CT Head/brain Without With Contrast
|
31
|
24
|
$350.00
|
$350.00
|
$51.99
|
$650.00
|
$130.86
|
2025-04-10
|
|
78226
|
CPT
|
Hepatobiliary System Imaging
|
24
|
17
|
$260.00
|
$260.00
|
$80.05
|
$260.91
|
$128.07
|
2025-04-10
|
|
78227
|
CPT
|
Hepatobil Syst Image W/drug
|
24
|
17
|
$260.00
|
$260.00
|
$80.05
|
$260.91
|
$128.07
|
2025-04-10
|
|
73200
|
CPT
|
CT Upper Extremity Without Contrast
|
30
|
23
|
$300.00
|
$300.00
|
$43.71
|
$300.00
|
$127.54
|
2025-04-10
|
|
78708
|
CPT
|
K Flow/funct Image W/drug
|
26
|
19
|
$200.00
|
$200.00
|
$48.67
|
$215.21
|
$124.39
|
2025-04-10
|
|
72125
|
CPT
|
CT Neck Spine Without Contrast
|
30
|
23
|
$300.00
|
$300.00
|
$44.86
|
$300.00
|
$122.82
|
2025-04-10
|
|
73700
|
CPT
|
CT Lower Extremity Without Contrast
|
30
|
23
|
$300.00
|
$300.00
|
$43.71
|
$300.00
|
$122.34
|
2025-04-10
|
|
72131
|
CPT
|
CT Lumbar Spine Without Contrast
|
30
|
23
|
$300.00
|
$300.00
|
$43.71
|
$300.00
|
$122.34
|
2025-04-10
|
|
78472
|
CPT
|
Gated Heart Planar Single
|
28
|
21
|
$405.00
|
$405.00
|
$43.68
|
$250.00
|
$121.88
|
2025-04-10
|
|
71250
|
CPT
|
CT Thorax Dx C-
|
31
|
24
|
$300.00
|
$300.00
|
$44.05
|
$300.00
|
$120.00
|
2025-04-10
|
|
70480
|
CPT
|
CT Orbit/ear/fossa Without Contrast
|
31
|
24
|
$300.00
|
$300.00
|
$48.23
|
$300.00
|
$119.62
|
2025-04-10
|
|
74176
|
CPT
|
CT Abd Pelvis Without Contrast
|
24
|
17
|
$300.00
|
$300.00
|
$55.69
|
$400.00
|
$116.00
|
2025-04-10
|
|
70487
|
CPT
|
CT Maxillofacial With Contrast
|
31
|
24
|
$350.00
|
$350.00
|
$45.70
|
$325.00
|
$113.82
|
2025-04-10
|
|
78802
|
CPT
|
Rp Loclzj Tum Whbdy 1 D Img
|
29
|
22
|
$283.00
|
$283.00
|
$38.14
|
$301.23
|
$112.50
|
2025-04-10
|
|
70450
|
CPT
|
CT Head/brain Without Contrast
|
31
|
24
|
$300.00
|
$300.00
|
$31.72
|
$300.00
|
$110.60
|
2025-04-10
|
|
74150
|
CPT
|
CT Abdomen Without Contrast
|
30
|
23
|
$300.00
|
$300.00
|
$41.18
|
$300.00
|
$109.56
|
2025-04-10
|
|
70460
|
CPT
|
CT Head/brain With Contrast
|
31
|
24
|
$350.00
|
$350.00
|
$44.01
|
$325.00
|
$108.75
|
2025-04-10
|
|
72192
|
CPT
|
CT Pelvis Without Contrast
|
30
|
23
|
$300.00
|
$300.00
|
$39.98
|
$300.00
|
$108.53
|
2025-04-10
|
|
70490
|
CPT
|
CT Soft Tissue Neck Without Contrast
|
31
|
24
|
$300.00
|
$300.00
|
$48.23
|
$300.00
|
$106.21
|
2025-04-10
|
|
78195
|
CPT
|
Lymph System Imaging
|
28
|
21
|
$200.00
|
$200.00
|
$43.75
|
$317.90
|
$100.52
|
2025-04-10
|
|
78315
|
CPT
|
Bone Imaging 3 Phase
|
29
|
22
|
$345.00
|
$345.00
|
$45.70
|
$316.45
|
$100.45
|
2025-04-10
|
|
78278
|
CPT
|
Acute Gi Blood Loss Imaging
|
29
|
22
|
$250.00
|
$250.00
|
$44.38
|
$320.44
|
$100.00
|
2025-04-10
|
|
78306
|
CPT
|
Bone Imaging Whole Body
|
26
|
19
|
$246.00
|
$246.00
|
$64.91
|
$278.76
|
$99.56
|
2025-04-10
|
|
70486
|
CPT
|
CT Maxillofacial Without Contrast
|
31
|
24
|
$300.00
|
$300.00
|
$37.65
|
$300.00
|
$98.60
|
2025-04-10
|
|
78264
|
CPT
|
Gastric Emptying Img Study
|
29
|
22
|
$290.00
|
$290.00
|
$35.99
|
$317.18
|
$95.00
|
2025-04-10
|
|
79005
|
CPT
|
Nuclear Rx Oral Admin
|
23
|
17
|
$250.00
|
$250.00
|
$38.13
|
$465.00
|
$85.49
|
2025-04-10
|
|
77066
|
CPT
|
Dx Mammo Incl Cad Bi
|
20
|
15
|
$100.00
|
$100.00
|
$40.00
|
$123.61
|
$80.72
|
2025-04-10
|
|
78070
|
CPT
|
Parathyroid Planar Imaging
|
29
|
22
|
$260.00
|
$260.00
|
$30.23
|
$278.76
|
$70.00
|
2025-04-10
|
|
77067
|
CPT
|
Scr Mammo Bi Incl Cad
|
19
|
13
|
$100.00
|
$100.00
|
$31.82
|
$102.22
|
$66.39
|
2025-04-10
|
|
82306
|
CPT
|
Vitamin D 25 Hydroxy
|
31
|
24
|
$25.00
|
$25.00
|
$28.23
|
$150.00
|
$65.00
|
2025-04-10
|
|
80055
|
CPT
|
Obstetric Panel
|
29
|
23
|
$75.00
|
$75.00
|
$45.00
|
$175.00
|
$65.00
|
2025-04-10
|
|
77065
|
CPT
|
Dx Mammo Incl Cad Uni
|
17
|
11
|
$100.00
|
$100.00
|
$32.27
|
$96.79
|
$63.75
|
2025-04-10
|
|
82088
|
CPT
|
Aldosterone Suppression Eval
|
31
|
24
|
$61.50
|
$61.50
|
$38.86
|
$146.00
|
$62.00
|
2025-04-10
|
|
87635
|
CPT
|
Sars-cov-2 Covid-19 Amp Prb
|
20
|
13
|
$84.63
|
$84.63
|
$51.00
|
$84.63
|
$59.00
|
2025-04-10
|
|
83970
|
CPT
|
Assay Of Parathormone
|
29
|
22
|
$154.00
|
$154.00
|
$39.36
|
$130.00
|
$57.67
|
2025-04-10
|
|
82652
|
CPT
|
Vit D 1 25-dihydroxy
|
29
|
22
|
$412.00
|
$412.00
|
$36.71
|
$195.00
|
$55.14
|
2025-04-10
|
|
76872
|
CPT
|
US Transrectal
|
30
|
23
|
$100.00
|
$100.00
|
$25.00
|
$125.00
|
$50.00
|
2025-04-10
|
|
76830
|
CPT
|
Transvaginal US Non-OB
|
30
|
23
|
$100.00
|
$100.00
|
$32.87
|
$125.00
|
$50.00
|
2025-04-10
|
|
76700
|
CPT
|
US Exam Abdom Complete
|
30
|
23
|
$100.00
|
$100.00
|
$33.40
|
$100.00
|
$49.50
|
2025-04-10
|
|
76801
|
CPT
|
OB US < 14 Wks Single Fetus
|
25
|
18
|
$45.00
|
$45.00
|
$19.50
|
$100.00
|
$49.17
|
2025-04-10
|
|
76817
|
CPT
|
Transvaginal US Obstetric
|
27
|
21
|
$45.00
|
$45.00
|
$31.09
|
$125.00
|
$48.54
|
2025-04-10
|
|
76770
|
CPT
|
US Exam Abdo Back Wall Comp
|
30
|
23
|
$100.00
|
$100.00
|
$28.00
|
$100.00
|
$48.16
|
2025-04-10
|
|
76641
|
CPT
|
Ultrasound Breast Complete
|
23
|
16
|
$100.00
|
$100.00
|
$26.50
|
$100.00
|
$47.50
|
2025-04-10
|
|
76805
|
CPT
|
OB US < 14 Wks Single Fetus
|
29
|
22
|
$100.00
|
$100.00
|
$35.00
|
$106.00
|
$47.50
|
2025-04-10
|
|
84207
|
CPT
|
Assay Of Vitamin B-6
|
30
|
23
|
$75.00
|
$75.00
|
$26.79
|
$150.00
|
$47.01
|
2025-04-10
|
|
76705
|
CPT
|
Echo Exam Of Abdomen
|
26
|
19
|
$45.00
|
$45.00
|
$21.00
|
$68.00
|
$45.48
|
2025-04-10
|
|
87426
|
CPT
|
Sarscov Coronavirus Ag Ia
|
19
|
12
|
$70.00
|
$70.00
|
$30.00
|
$70.00
|
$45.23
|
2025-04-10
|
|
76856
|
CPT
|
US Exam Pelvic Complete
|
29
|
22
|
$100.00
|
$100.00
|
$29.77
|
$78.30
|
$45.00
|
2025-04-10
|
|
76536
|
CPT
|
US Exam Of Head And Neck
|
31
|
24
|
$96.00
|
$96.00
|
$15.00
|
$91.35
|
$44.54
|
2025-04-10
|
|
82670
|
CPT
|
Assay Of Total Estradiol
|
30
|
23
|
$18.00
|
$18.00
|
$26.64
|
$116.16
|
$44.00
|
2025-04-10
|
|
83498
|
CPT
|
Asy Hydroxyprogesterone 17-d
|
30
|
23
|
$60.00
|
$60.00
|
$25.91
|
$100.00
|
$43.95
|
2025-04-10
|
|
74240
|
CPT
|
X-ray Xm Upr Gi Trc 1cntrst
|
28
|
23
|
$130.00
|
$130.00
|
$32.38
|
$92.08
|
$42.84
|
2025-04-10
|
|
86769
|
CPT
|
Sars-cov-2 Covid-19 Antibody
|
17
|
10
|
$50.00
|
$50.00
|
$10.00
|
$62.00
|
$42.13
|
2025-04-10
|
|
74400
|
CPT
|
Urography IV -kub Tomog
|
26
|
20
|
$169.00
|
$169.00
|
$19.50
|
$120.34
|
$41.81
|
2025-04-10
|
|
76870
|
CPT
|
US Exam Scrotum
|
31
|
24
|
$100.00
|
$100.00
|
$18.98
|
$74.75
|
$41.00
|
2025-04-10
|
|
84402
|
CPT
|
Assay Of Free Testosterone
|
31
|
24
|
$88.00
|
$88.00
|
$25.47
|
$170.00
|
$38.00
|
2025-04-10
|
|
86361
|
CPT
|
T Cell Absolute Count
|
29
|
22
|
$165.00
|
$165.00
|
$25.53
|
$108.00
|
$37.58
|
2025-04-10
|
|
77075
|
CPT
|
Radex Osseous Survey Compl
|
17
|
13
|
$134.00
|
$134.00
|
$17.37
|
$76.39
|
$36.39
|
2025-04-10
|
|
84403
|
CPT
|
Assay Of Total Testosterone
|
32
|
25
|
$53.00
|
$53.00
|
$24.62
|
$100.00
|
$36.17
|
2025-04-10
|
|
85245
|
CPT
|
Clot Factor Viii Vw Ristoctn
|
30
|
23
|
$233.50
|
$233.50
|
$12.53
|
$130.00
|
$35.42
|
2025-04-10
|
|
77080
|
CPT
|
Dxa Bone Density Axial
|
27
|
20
|
$130.00
|
$130.00
|
$18.26
|
$103.00
|
$34.57
|
2025-04-10
|
|
82677
|
CPT
|
Assay Of Estriol
|
30
|
23
|
$37.50
|
$37.50
|
$23.06
|
$65.00
|
$33.89
|
2025-04-10
|
|
74220
|
CPT
|
X-ray Xm Esophagus 1cntrst
|
32
|
25
|
$105.00
|
$105.00
|
$14.35
|
$75.34
|
$31.00
|
2025-04-10
|
|
82672
|
CPT
|
Assay Of Estrogen
|
31
|
24
|
$45.00
|
$45.00
|
$20.69
|
$70.00
|
$30.34
|
2025-04-10
|
|
84425
|
CPT
|
Assay Of Vitamin B-1
|
30
|
23
|
$75.00
|
$75.00
|
$20.24
|
$90.00
|
$30.11
|
2025-04-10
|
|
84144
|
CPT
|
Assay Of Progesterone
|
31
|
24
|
$53.00
|
$53.00
|
$19.89
|
$65.00
|
$29.28
|
2025-04-10
|
|
84146
|
CPT
|
Assay Of Prolactin
|
32
|
25
|
$55.00
|
$55.00
|
$18.48
|
$62.25
|
$29.00
|
2025-04-10
|
|
72082
|
CPT
|
X-ray Exam Entire Spi 2/3 Vw
|
16
|
12
|
$46.00
|
$46.00
|
$10.22
|
$57.55
|
$29.00
|
2025-04-10
|
|
83001
|
CPT
|
Assay Of Gonadotropin (fsh)
|
32
|
25
|
$45.00
|
$45.00
|
$17.71
|
$60.00
|
$26.36
|
2025-04-10
|
|
84153
|
CPT
|
Assay Of Psa Total
|
31
|
24
|
$187.50
|
$187.50
|
$17.54
|
$58.00
|
$25.92
|
2025-04-10
|
|
84154
|
CPT
|
Assay Of Psa Free
|
29
|
22
|
$105.00
|
$105.00
|
$17.54
|
$145.00
|
$25.72
|
2025-04-10
|
|
84152
|
CPT
|
Assay Of Psa Complexed
|
27
|
22
|
$123.75
|
$123.75
|
$17.54
|
$100.00
|
$25.70
|
2025-04-10
|
|
82530
|
CPT
|
Cortisol Free
|
32
|
25
|
$180.00
|
$180.00
|
$15.74
|
$52.50
|
$25.10
|
2025-04-10
|
|
82533
|
CPT
|
Total Cortisol
|
32
|
25
|
$180.00
|
$180.00
|
$15.74
|
$52.50
|
$25.10
|
2025-04-10
|
|
84481
|
CPT
|
Free Assay (ft-3)
|
31
|
24
|
$62.00
|
$62.00
|
$16.15
|
$115.00
|
$25.00
|
2025-04-10
|
|
83002
|
CPT
|
Assay Of Gonadotropin (lh)
|
32
|
25
|
$40.00
|
$40.00
|
$17.65
|
$40.00
|
$25.00
|
2025-04-10
|
|
80061
|
CPT
|
Lipid Panel
|
32
|
25
|
$96.00
|
$96.00
|
$12.77
|
$60.00
|
$25.00
|
2025-04-10
|
|
84166
|
CPT
|
Protein E-phoresis/urine/csf
|
26
|
20
|
$280.50
|
$280.50
|
$17.00
|
$50.00
|
$24.92
|
2025-04-10
|
|
84443
|
CPT
|
Assay Thyroid Stim Hormone
|
32
|
25
|
$13.00
|
$13.00
|
$13.00
|
$50.00
|
$24.53
|
2025-04-10
|
|
85240
|
CPT
|
Clot Factor Viii Ahg 1 Stage
|
31
|
24
|
$148.50
|
$148.50
|
$12.53
|
$125.00
|
$24.39
|
2025-04-10
|
|
72110
|
CPT
|
X-ray Exam L-2 Spine 4/>vws
|
29
|
24
|
$81.00
|
$81.00
|
$14.35
|
$50.60
|
$24.00
|
2025-04-10
|
|
82164
|
CPT
|
Angiotensin I Enzyme Test
|
30
|
23
|
$60.00
|
$60.00
|
$13.92
|
$62.00
|
$23.45
|
2025-04-10
|
|
84432
|
CPT
|
Assay Of Thyroglobulin
|
29
|
22
|
$37.50
|
$37.50
|
$15.31
|
$157.50
|
$22.50
|
2025-04-10
|
|
86328
|
CPT
|
Ia Nfct Ab Sarscov2 Covid19
|
11
|
9
|
$42.00
|
$42.00
|
$19.00
|
$35.00
|
$22.00
|
2025-04-10
|
|
82274
|
CPT
|
Assay Test For Blood Fecal
|
20
|
14
|
$27.00
|
$27.00
|
$10.00
|
$25.00
|
$21.86
|
2025-04-10
|
|
84702
|
CPT
|
Chorionic Gonadotropin Test
|
32
|
25
|
$45.00
|
$45.00
|
$14.36
|
$60.00
|
$21.17
|
2025-04-10
|
|
70260
|
CPT
|
X-ray Exam Of Skull
|
32
|
25
|
$81.00
|
$81.00
|
$11.75
|
$52.00
|
$21.00
|
2025-04-10
|
|
97110
|
CPT
|
Therapeutic Exercises
|
18
|
16
|
$35.00
|
$35.00
|
$10.73
|
$30.00
|
$20.80
|
2025-04-10
|
|
80162
|
CPT
|
Assay Of Digoxin Total
|
31
|
24
|
$35.00
|
$35.00
|
$12.66
|
$40.80
|
$20.70
|
2025-04-10
|
|
82607
|
CPT
|
Vitamin B-12
|
32
|
25
|
$45.00
|
$45.00
|
$14.38
|
$45.50
|
$20.67
|
2025-04-10
|
|
84480
|
CPT
|
Assay Triiodothyronine (t3)
|
31
|
24
|
$35.00
|
$35.00
|
$13.51
|
$45.00
|
$20.31
|
2025-04-10
|
|
72050
|
CPT
|
X-ray Exam Neck Spine 4/5vws
|
28
|
23
|
$81.00
|
$81.00
|
$14.21
|
$45.10
|
$20.18
|
2025-04-10
|
|
80198
|
CPT
|
Assay Of Theophylline
|
31
|
24
|
$40.00
|
$40.00
|
$13.49
|
$42.00
|
$20.00
|
2025-04-10
|
|
82746
|
CPT
|
Assay Of Folic Acid Serum
|
32
|
25
|
$40.00
|
$40.00
|
$9.00
|
$46.13
|
$20.00
|
2025-04-10
|
|
71111
|
CPT
|
X-ray Exam Ribs/chest4/> Vws
|
31
|
24
|
$48.50
|
$48.50
|
$12.25
|
$51.00
|
$20.00
|
2025-04-10
|
|
71047
|
CPT
|
X-ray Exam Chest 3 Views
|
22
|
15
|
$51.00
|
$51.00
|
$8.45
|
$40.00
|
$19.95
|
2025-04-10
|
|
70200
|
CPT
|
X-ray Exam Of Eye Sockets
|
32
|
25
|
$49.00
|
$49.00
|
$10.25
|
$45.10
|
$19.47
|
2025-04-10
|
|
74021
|
CPT
|
Radex Abdomen 3 Views
|
22
|
15
|
$50.00
|
$50.00
|
$10.12
|
$41.50
|
$19.40
|
2025-04-10
|
|
70150
|
CPT
|
X-ray Exam Of Facial Bones
|
32
|
25
|
$48.00
|
$48.00
|
$10.00
|
$44.00
|
$19.29
|
2025-04-10
|
|
82330
|
CPT
|
Assay Of Calcium
|
31
|
24
|
$45.00
|
$45.00
|
$9.00
|
$52.00
|
$19.09
|
2025-04-10
|
|
71110
|
CPT
|
X-ray Exam Ribs Bil 3 Views
|
32
|
25
|
$44.00
|
$44.00
|
$10.00
|
$44.00
|
$18.75
|
2025-04-10
|
|
70220
|
CPT
|
X-ray Exam Of Sinuses
|
32
|
25
|
$47.00
|
$47.00
|
$10.00
|
$44.00
|
$18.71
|
2025-04-10
|
|
80185
|
CPT
|
Assay Of Phenytoin Total
|
31
|
24
|
$35.00
|
$35.00
|
$12.64
|
$45.00
|
$18.54
|
2025-04-10
|
|
73502
|
CPT
|
X-ray Exam Hip Uni 2-3 Views
|
16
|
13
|
$46.00
|
$46.00
|
$12.50
|
$37.67
|
$18.53
|
2025-04-10
|
|
82728
|
CPT
|
Assay Of Ferritin
|
31
|
24
|
$27.00
|
$27.00
|
$13.00
|
$40.30
|
$18.49
|
2025-04-10
|
|
73521
|
CPT
|
X-ray Exam Hips Bi 2 Views
|
19
|
15
|
$46.00
|
$46.00
|
$8.73
|
$31.74
|
$18.00
|
2025-04-10
|
|
73564
|
CPT
|
X-ray Exam Knee 4 Or More
|
32
|
25
|
$46.00
|
$46.00
|
$6.30
|
$38.50
|
$17.60
|
2025-04-10
|
|
71101
|
CPT
|
X-ray Exam Unilat Ribs/chest
|
31
|
24
|
$44.00
|
$44.00
|
$9.86
|
$38.50
|
$17.50
|
2025-04-10
|
|
80053
|
CPT
|
Comprehen Metabolic Panel
|
32
|
25
|
$45.00
|
$45.00
|
$10.07
|
$55.00
|
$17.38
|
2025-04-10
|
|
72100
|
CPT
|
X-ray Exam L-s Spine 2/3 Vws
|
32
|
25
|
$46.00
|
$46.00
|
$8.50
|
$37.40
|
$17.00
|
2025-04-10
|
|
72072
|
CPT
|
X-ray Exam Thorac Spine 3vws
|
25
|
20
|
$45.00
|
$45.00
|
$10.78
|
$37.40
|
$17.00
|
2025-04-10
|
|
73630
|
CPT
|
X-ray Exam Of Foot
|
32
|
25
|
$46.00
|
$46.00
|
$7.00
|
$32.00
|
$16.99
|
2025-04-10
|
|
85302
|
CPT
|
Clot Inhibit Prot C Antigen
|
29
|
22
|
$30.00
|
$30.00
|
$11.46
|
$77.00
|
$16.87
|
2025-04-10
|
|
72190
|
CPT
|
X-ray Exam Of Pelvis
|
32
|
25
|
$46.00
|
$46.00
|
$6.40
|
$32.00
|
$16.45
|
2025-04-10
|
|
85305
|
CPT
|
Clot Inhibit Prot S Total
|
29
|
22
|
$30.00
|
$30.00
|
$11.06
|
$126.24
|
$16.22
|
2025-04-10
|
|
74019
|
CPT
|
Radex Abdomen 2 Views
|
22
|
15
|
$50.00
|
$50.00
|
$9.21
|
$30.00
|
$16.04
|
2025-04-10
|
|
73110
|
CPT
|
X-ray Exam Of Wrist
|
32
|
25
|
$46.00
|
$46.00
|
$7.00
|
$33.83
|
$16.00
|
2025-04-10
|
|
73610
|
CPT
|
X-ray Exam Of Ankle
|
32
|
25
|
$46.00
|
$46.00
|
$7.00
|
$32.00
|
$16.00
|
2025-04-10
|
|
73080
|
CPT
|
X-ray Exam Of Elbow
|
32
|
25
|
$46.00
|
$46.00
|
$7.00
|
$32.00
|
$16.00
|
2025-04-10
|
|
70250
|
CPT
|
X-ray Exam Of Skull
|
32
|
25
|
$46.00
|
$46.00
|
$7.35
|
$37.40
|
$16.00
|
2025-04-10
|
|
71046
|
CPT
|
X-ray Exam Chest 2 Views
|
23
|
16
|
$46.00
|
$46.00
|
$7.60
|
$46.00
|
$16.00
|
2025-04-10
|
|
71100
|
CPT
|
X-ray Exam Ribs Uni 2 Views
|
32
|
25
|
$46.00
|
$46.00
|
$7.75
|
$34.10
|
$15.61
|
2025-04-10
|
|
72070
|
CPT
|
X-ray Exam Thorac Spine 2vws
|
30
|
23
|
$46.00
|
$46.00
|
$9.11
|
$36.30
|
$15.00
|
2025-04-10
|
|
73565
|
CPT
|
X-ray Exam Of Knees
|
32
|
25
|
$46.00
|
$46.00
|
$6.00
|
$48.00
|
$15.00
|
2025-04-10
|
|
83036
|
CPT
|
Hemoglobin Glycosylated A1c
|
31
|
24
|
$23.00
|
$23.00
|
$9.25
|
$30.00
|
$14.93
|
2025-04-10
|
|
72040
|
CPT
|
X-ray Exam Neck Spine 2-3 Vw
|
23
|
18
|
$46.00
|
$46.00
|
$10.34
|
$35.20
|
$14.83
|
2025-04-10
|
|
73562
|
CPT
|
X-ray Exam Of Knee 3
|
32
|
25
|
$46.00
|
$46.00
|
$7.00
|
$33.13
|
$14.80
|
2025-04-10
|
|
72220
|
CPT
|
X-ray Exam Sacrum Tailbone
|
28
|
23
|
$46.00
|
$46.00
|
$8.75
|
$32.00
|
$14.75
|
2025-04-10
|
|
73130
|
CPT
|
X-ray Exam Of Hand
|
32
|
25
|
$46.00
|
$46.00
|
$7.00
|
$32.00
|
$14.62
|
2025-04-10
|
|
73030
|
CPT
|
X-ray Exam Of Shoulder
|
32
|
25
|
$46.00
|
$46.00
|
$7.25
|
$32.00
|
$14.50
|
2025-04-10
|
|
73552
|
CPT
|
X-ray Exam Of Femur 2/>
|
19
|
14
|
$46.00
|
$46.00
|
$7.60
|
$27.55
|
$14.50
|
2025-04-10
|
|
84165
|
CPT
|
Protein E-phoresis Serum
|
32
|
25
|
$30.00
|
$30.00
|
$10.24
|
$30.75
|
$14.49
|
2025-04-10
|
|
73551
|
CPT
|
X-ray Exam Of Femur 1
|
14
|
12
|
$46.00
|
$46.00
|
$6.52
|
$21.97
|
$14.32
|
2025-04-10
|
|
87045
|
CPT
|
Feces Culture Aerobic Bact
|
32
|
25
|
$25.00
|
$25.00
|
$9.00
|
$28.00
|
$14.25
|
2025-04-10
|
|
73060
|
CPT
|
X-ray Exam Of Humerus
|
32
|
25
|
$46.00
|
$46.00
|
$7.25
|
$31.90
|
$14.03
|
2025-04-10
|
|
70100
|
CPT
|
X-ray Exam Of Jaw <4views
|
31
|
24
|
$46.00
|
$46.00
|
$7.35
|
$31.04
|
$14.00
|
2025-04-10
|
|
73501
|
CPT
|
X-ray Exam Hip Uni 1 View
|
20
|
14
|
$46.00
|
$46.00
|
$7.00
|
$24.41
|
$14.00
|
2025-04-10
|
|
70140
|
CPT
|
X-ray Exam Of Facial Bones
|
32
|
25
|
$46.00
|
$46.00
|
$6.75
|
$34.10
|
$13.74
|
2025-04-10
|
|
73560
|
CPT
|
X-ray Exam Of Knee 1 Or 2
|
32
|
25
|
$46.00
|
$46.00
|
$6.75
|
$30.00
|
$13.60
|
2025-04-10
|
|
73590
|
CPT
|
X-ray Exam Of Lower Leg
|
32
|
25
|
$46.00
|
$46.00
|
$6.75
|
$55.00
|
$13.50
|
2025-04-10
|
|
73090
|
CPT
|
X-ray Exam Of Forearm
|
32
|
25
|
$46.00
|
$46.00
|
$6.75
|
$30.00
|
$13.45
|
2025-04-10
|
|
83721
|
CPT
|
Assay Of Blood Lipoprotein
|
30
|
23
|
$35.00
|
$35.00
|
$9.10
|
$30.00
|
$13.37
|
2025-04-10
|
|
85613
|
CPT
|
Russell Viper Venom Diluted
|
28
|
22
|
$45.00
|
$45.00
|
$5.55
|
$75.00
|
$13.29
|
2025-04-10
|
|
73600
|
CPT
|
X-ray Exam Of Ankle
|
32
|
25
|
$46.00
|
$46.00
|
$6.50
|
$29.00
|
$13.12
|
2025-04-10
|
|
77072
|
CPT
|
Bone Age Studies
|
21
|
15
|
$81.00
|
$81.00
|
$5.82
|
$28.00
|
$13.00
|
2025-04-10
|
|
73070
|
CPT
|
X-ray Exam Of Elbow
|
32
|
25
|
$46.00
|
$46.00
|
$6.50
|
$28.60
|
$13.00
|
2025-04-10
|
|
73100
|
CPT
|
X-ray Exam Of Wrist
|
32
|
25
|
$46.00
|
$46.00
|
$6.50
|
$29.00
|
$13.00
|
2025-04-10
|
|
73120
|
CPT
|
X-ray Exam Of Hand
|
32
|
25
|
$46.00
|
$46.00
|
$6.50
|
$29.00
|
$13.00
|
2025-04-10
|
|
73650
|
CPT
|
X-ray Exam Of Heel
|
32
|
25
|
$46.00
|
$46.00
|
$6.25
|
$27.50
|
$13.00
|
2025-04-10
|
|
72170
|
CPT
|
X-ray Exam Of Pelvis
|
32
|
25
|
$46.00
|
$46.00
|
$5.25
|
$30.00
|
$12.84
|
2025-04-10
|
|
74018
|
CPT
|
Radex Abdomen 1 View
|
22
|
15
|
$46.00
|
$46.00
|
$6.40
|
$25.00
|
$12.80
|
2025-04-10
|
|
84439
|
CPT
|
Assay Of Free Thyroxine
|
31
|
24
|
$111.00
|
$111.00
|
$8.59
|
$37.75
|
$12.66
|
2025-04-10
|
|
73620
|
CPT
|
X-ray Exam Of Foot
|
32
|
25
|
$46.00
|
$46.00
|
$6.50
|
$29.00
|
$12.54
|
2025-04-10
|
|
70210
|
CPT
|
X-ray Exam Of Sinuses
|
32
|
25
|
$46.00
|
$46.00
|
$7.35
|
$33.00
|
$12.50
|
2025-04-10
|
|
70160
|
CPT
|
X-ray Exam Of Nasal Bones
|
32
|
25
|
$46.00
|
$46.00
|
$6.75
|
$31.04
|
$12.50
|
2025-04-10
|
|
80069
|
CPT
|
Renal Function Panel
|
31
|
24
|
$30.00
|
$30.00
|
$8.28
|
$70.00
|
$12.13
|
2025-04-10
|
|
85384
|
CPT
|
Fibrinogen Activity
|
31
|
24
|
$15.00
|
$15.00
|
$8.00
|
$38.49
|
$11.87
|
2025-04-10
|
|
80048
|
CPT
|
Basic Metabolic Pnl Total Ca
|
31
|
24
|
$21.00
|
$21.00
|
$8.00
|
$40.00
|
$11.56
|
2025-04-10
|
|
84478
|
CPT
|
Assay Of Triglycerides
|
32
|
25
|
$18.00
|
$18.00
|
$5.48
|
$15.00
|
$11.12
|
2025-04-10
|
|
73660
|
CPT
|
X-ray Exam Of Toe(s)
|
32
|
25
|
$46.00
|
$46.00
|
$4.90
|
$24.20
|
$11.00
|
2025-04-10
|
|
73140
|
CPT
|
X-ray Exam Of Finger(s)
|
32
|
25
|
$46.00
|
$46.00
|
$4.90
|
$32.08
|
$11.00
|
2025-04-10
|
|
82575
|
CPT
|
Creatinine Clearance Test
|
32
|
25
|
$25.00
|
$25.00
|
$7.00
|
$23.13
|
$11.00
|
2025-04-10
|
|
84703
|
CPT
|
Chorionic Gonadotropin Assay
|
31
|
24
|
$30.00
|
$30.00
|
$7.17
|
$25.00
|
$11.00
|
2025-04-10
|
|
71045
|
CPT
|
X-ray Exam Chest 1 View
|
23
|
16
|
$46.00
|
$46.00
|
$6.13
|
$46.00
|
$10.87
|
2025-04-10
|
|
73000
|
CPT
|
X-ray Exam Of Collar Bone
|
32
|
25
|
$46.00
|
$46.00
|
$4.20
|
$30.00
|
$10.85
|
2025-04-10
|
|
70360
|
CPT
|
X-ray Exam Of Neck
|
32
|
25
|
$46.00
|
$46.00
|
$4.90
|
$26.40
|
$10.11
|
2025-04-10
|
|
73020
|
CPT
|
X-ray Exam Of Shoulder
|
32
|
25
|
$46.00
|
$46.00
|
$4.90
|
$27.50
|
$10.00
|
2025-04-10
|
|
84436
|
CPT
|
Assay Of Total Thyroxine
|
31
|
24
|
$29.00
|
$29.00
|
$6.54
|
$20.00
|
$9.68
|
2025-04-10
|
|
82150
|
CPT
|
Assay Of Amylase
|
32
|
25
|
$35.00
|
$35.00
|
$6.18
|
$14.00
|
$9.63
|
2025-04-10
|
|
84479
|
CPT
|
Assay Of Thyroid (t3 Or T4)
|
32
|
25
|
$29.00
|
$29.00
|
$6.16
|
$15.00
|
$9.50
|
2025-04-10
|
|
83735
|
CPT
|
Assay Of Magnesium
|
32
|
25
|
$41.00
|
$41.00
|
$6.38
|
$15.00
|
$9.38
|
2025-04-10
|
|
85025
|
CPT
|
Complete Cbc W/auto Diff Wbc
|
31
|
24
|
$42.00
|
$42.00
|
$7.41
|
$11.14
|
$9.00
|
2025-04-10
|
|
85027
|
CPT
|
Complete Cbc W/auto Diff Wbc
|
27
|
22
|
$15.00
|
$15.00
|
$5.85
|
$15.00
|
$8.58
|
2025-04-10
|
|
85730
|
CPT
|
Thromboplastin Time Partial
|
32
|
25
|
$12.00
|
$12.00
|
$5.73
|
$14.00
|
$8.52
|
2025-04-10
|
|
83690
|
CPT
|
Assay Of Lipase
|
32
|
25
|
$94.00
|
$94.00
|
$6.00
|
$15.00
|
$8.50
|
2025-04-10
|
|
83615
|
CPT
|
Lactate (ld) (ldh) Enzyme
|
32
|
25
|
$18.00
|
$18.00
|
$5.75
|
$10.60
|
$8.00
|
2025-04-10
|
|
83540
|
CPT
|
Assay Of Iron
|
32
|
25
|
$17.00
|
$17.00
|
$6.17
|
$14.00
|
$8.00
|
2025-04-10
|
|
82340
|
CPT
|
Assay Of Calcium In Urine
|
32
|
25
|
$15.00
|
$15.00
|
$5.75
|
$15.00
|
$7.46
|
2025-04-10
|
|
84460
|
CPT
|
Alanine Amino (alt) (sgpt)
|
32
|
25
|
$12.00
|
$12.00
|
$5.05
|
$11.03
|
$7.40
|
2025-04-10
|
|
82248
|
CPT
|
Bilirubin Direct
|
30
|
23
|
$25.00
|
$25.00
|
$4.78
|
$12.00
|
$7.30
|
2025-04-10
|
|
84450
|
CPT
|
Transferase (ast) (sgot)
|
32
|
25
|
$12.00
|
$12.00
|
$4.94
|
$20.00
|
$7.23
|
2025-04-10
|
|
82565
|
CPT
|
Assay Of Creatinine
|
32
|
25
|
$12.00
|
$12.00
|
$4.00
|
$10.18
|
$7.07
|
2025-04-10
|
|
82247
|
CPT
|
Bilirubin Total
|
30
|
23
|
$12.00
|
$12.00
|
$4.78
|
$24.00
|
$7.04
|
2025-04-10
|
|
84075
|
CPT
|
Assay Alkaline Phosphatase
|
32
|
25
|
$31.00
|
$31.00
|
$4.94
|
$12.00
|
$7.03
|
2025-04-10
|
|
86900
|
CPT
|
Blood Typing Serologic Abo
|
31
|
24
|
$10.00
|
$10.00
|
$2.99
|
$16.81
|
$7.00
|
2025-04-10
|
|
82950
|
CPT
|
Glucose Test
|
32
|
25
|
$15.00
|
$15.00
|
$4.53
|
$10.00
|
$7.00
|
2025-04-10
|
|
82310
|
CPT
|
Assay Of Calcium
|
32
|
25
|
$12.00
|
$12.00
|
$4.92
|
$23.10
|
$7.00
|
2025-04-10
|
|
86901
|
CPT
|
Blood Typing Serologic Rh(d)
|
31
|
24
|
$10.00
|
$10.00
|
$2.99
|
$16.81
|
$7.00
|
2025-04-10
|
|
84133
|
CPT
|
Assay Of Urine Potassium
|
32
|
25
|
$15.00
|
$15.00
|
$4.24
|
$10.43
|
$6.94
|
2025-04-10
|
|
84132
|
CPT
|
Assay Of Serum Potassium
|
32
|
25
|
$15.00
|
$15.00
|
$4.24
|
$10.43
|
$6.94
|
2025-04-10
|
|
84295
|
CPT
|
Assay Of Serum Sodium
|
32
|
25
|
$12.00
|
$12.00
|
$4.59
|
$8.00
|
$6.82
|
2025-04-10
|
|
84300
|
CPT
|
Assay Of Urine Sodium
|
32
|
25
|
$15.00
|
$15.00
|
$4.64
|
$8.00
|
$6.71
|
2025-04-10
|
|
85610
|
CPT
|
Prothrombin Time
|
31
|
24
|
$12.00
|
$12.00
|
$3.75
|
$12.00
|
$6.56
|
2025-04-10
|
|
84100
|
CPT
|
Assay Of Phosphorus
|
32
|
25
|
$12.00
|
$12.00
|
$4.52
|
$10.00
|
$6.54
|
2025-04-10
|
|
84560
|
CPT
|
Assay Of Urine/uric Acid
|
32
|
25
|
$15.00
|
$15.00
|
$4.42
|
$10.00
|
$6.48
|
2025-04-10
|
|
84550
|
CPT
|
Assay Of Blood/uric Acid
|
32
|
25
|
$15.00
|
$15.00
|
$4.42
|
$10.00
|
$6.48
|
2025-04-10
|
|
82570
|
CPT
|
Assay Of Urine Creatinine
|
31
|
24
|
$45.00
|
$45.00
|
$4.00
|
$12.10
|
$6.39
|
2025-04-10
|
|
82465
|
CPT
|
Assay Bld/serum Cholesterol
|
32
|
25
|
$12.00
|
$12.00
|
$4.14
|
$10.00
|
$6.12
|
2025-04-10
|
|
85049
|
CPT
|
Automated Platelet Count
|
29
|
22
|
$12.00
|
$12.00
|
$3.00
|
$10.00
|
$6.00
|
2025-04-10
|
|
85660
|
CPT
|
Rbc Sickle Cell Test
|
32
|
25
|
$12.00
|
$12.00
|
$3.00
|
$10.00
|
$6.00
|
2025-04-10
|
|
84520
|
CPT
|
Assay Of Urea Nitrogen
|
32
|
25
|
$12.00
|
$12.00
|
$3.76
|
$10.00
|
$5.68
|
2025-04-10
|
|
84540
|
CPT
|
Assay Of Urine/urea-n
|
32
|
25
|
$15.00
|
$15.00
|
$3.60
|
$12.10
|
$5.61
|
2025-04-10
|
|
85045
|
CPT
|
Automated Reticulocyte Count
|
27
|
22
|
$12.00
|
$12.00
|
$3.81
|
$12.00
|
$5.59
|
2025-04-10
|
|
82947
|
CPT
|
Assay Glucose Blood Quant
|
32
|
25
|
$24.00
|
$24.00
|
$3.74
|
$8.00
|
$5.54
|
2025-04-10
|
|
84155
|
CPT
|
Assay Of Protein Serum
|
32
|
25
|
$16.00
|
$16.00
|
$3.50
|
$10.00
|
$5.47
|
2025-04-10
|
|
84156
|
CPT
|
Assay Of Protein Urine
|
28
|
21
|
$36.00
|
$36.00
|
$3.50
|
$30.00
|
$5.20
|
2025-04-10
|
|
84525
|
CPT
|
Urea Nitrogen Semi-quant
|
28
|
22
|
$16.00
|
$16.00
|
$2.61
|
$10.00
|
$5.16
|
2025-04-10
|
|
85044
|
CPT
|
Automated Reticulocyte Count
|
32
|
25
|
$12.00
|
$12.00
|
$3.00
|
$11.25
|
$5.16
|
2025-04-10
|
|
84157
|
CPT
|
Assay Of Protein Other
|
28
|
21
|
$18.00
|
$18.00
|
$3.50
|
$50.00
|
$5.14
|
2025-04-10
|
|
81001
|
CPT
|
Urinalysis Auto W/scope
|
32
|
25
|
$8.00
|
$8.00
|
$3.00
|
$8.00
|
$5.00
|
2025-04-10
|
|
85002
|
CPT
|
Bleeding Time Test
|
32
|
25
|
$10.00
|
$10.00
|
$2.00
|
$12.00
|
$4.58
|
2025-04-10
|
|
81000
|
CPT
|
Urinalysis Nonauto W/scope
|
22
|
15
|
$16.00
|
$16.00
|
$3.02
|
$8.00
|
$4.50
|
2025-04-10
|
|
85652
|
CPT
|
Rbc Sed Rate Automated
|
32
|
25
|
$18.00
|
$18.00
|
$2.98
|
$9.00
|
$4.49
|
2025-04-10
|
|
85651
|
CPT
|
Rbc Sed Rate Nonautomated
|
32
|
25
|
$18.00
|
$18.00
|
$2.98
|
$9.00
|
$4.49
|
2025-04-10
|
|
82948
|
CPT
|
Reagent Strip/blood Glucose
|
28
|
23
|
$12.00
|
$12.00
|
$1.74
|
$6.55
|
$4.44
|
2025-04-10
|
|
81002
|
CPT
|
Unlisted Urinalysis Px
|
20
|
13
|
$4.00
|
$4.00
|
$2.44
|
$5.00
|
$3.48
|
2025-04-10
|
|
85014
|
CPT
|
Hematocrit
|
32
|
25
|
$4.00
|
$4.00
|
$2.26
|
$6.55
|
$3.31
|
2025-04-10
|
|
85048
|
CPT
|
Smear Gram Stain
|
32
|
25
|
$10.00
|
$10.00
|
$2.00
|
$7.40
|
$3.22
|
2025-04-10
|
|
85018
|
CPT
|
Hemoglobin
|
32
|
25
|
$24.00
|
$24.00
|
$2.00
|
$6.55
|
$3.00
|
2025-04-10
|
|
81003
|
CPT
|
Urinalysis Auto Without Scope
|
20
|
13
|
$5.00
|
$5.00
|
$1.87
|
$7.20
|
$2.47
|
2025-04-10
|