|
J0897
|
HCPCS
|
Prolia (denosumab) Pre-filled Syringe : 60mg/ml
|
1
|
1
|
$6,752.00
|
$6,752.00
|
$4,736.49
|
$4,736.49
|
$4,736.49
|
2025-11-12
|
|
94002
|
CPT
|
Ventilator
|
6
|
6
|
$5,124.00
|
$5,124.00
|
$3,575.27
|
$4,804.94
|
$3,815.04
|
2025-11-12
|
|
94003
|
CPT
|
Ventilator Sub Day
|
5
|
5
|
$4,103.00
|
$4,103.00
|
$2,862.84
|
$3,847.48
|
$3,023.02
|
2025-11-12
|
|
10140
|
CPT
|
Incision & Drainage Of Hematoma
|
1
|
1
|
$2,341.00
|
$2,341.00
|
$1,992.08
|
$1,992.08
|
$1,992.08
|
2025-11-12
|
|
6
|
CDM
|
Semi-private Room Rate
|
7
|
7
|
$2,800.00
|
$2,800.00
|
$16.67
|
$2,865.58
|
$1,898.82
|
2025-11-12
|
|
74174
|
CPT
|
CTA Abd And Pelvis
|
5
|
5
|
$1,361.00
|
$1,361.00
|
$954.80
|
$2,542.54
|
$1,106.70
|
2025-11-12
|
|
87999
|
CPT
|
Unlisted Microbiology Procedure
|
1
|
1
|
$1,159.00
|
$1,159.00
|
$870.25
|
$870.25
|
$870.25
|
2025-11-12
|
|
74178
|
CPT
|
CT Abd Pelvis Without & W Contrast
|
12
|
12
|
$1,236.00
|
$1,236.00
|
$815.48
|
$1,012.65
|
$866.25
|
2025-11-12
|
|
94060
|
CPT
|
Pft Pre/post Bronchodilator
|
12
|
12
|
$1,169.00
|
$1,169.00
|
$781.55
|
$919.51
|
$860.86
|
2025-11-12
|
|
82397
|
CPT
|
Hbsag Quantitative, Hepatitis B Surface Antigen Quantitative, Monitor (007130)
|
4
|
4
|
$1,116.00
|
$1,116.00
|
$821.59
|
$1,016.00
|
$858.83
|
2025-11-12
|
|
87505
|
CPT
|
Bacterial Stool Pathogens,naa(183170)
|
5
|
5
|
$323.00
|
$323.00
|
$853.93
|
$942.65
|
$853.93
|
2025-11-12
|
|
99291
|
CPT
|
Critical Care Code/ivp 1-15min
|
10
|
10
|
$957.00
|
$957.00
|
$639.87
|
$1,750.21
|
$804.15
|
2025-11-12
|
|
0202U
|
OTHER
|
Respiratory Panel 2.1
|
21
|
21
|
$1,100.00
|
$1,100.00
|
$725.93
|
$1,030.96
|
$770.77
|
2025-11-12
|
|
74177
|
CPT
|
CT Abd Pelvis W Contrast
|
20
|
20
|
$1,074.00
|
$1,074.00
|
$707.77
|
$2,379.25
|
$767.22
|
2025-11-12
|
|
71270
|
CPT
|
CT Chest W/wo Contrast
|
3
|
3
|
$1,006.00
|
$1,006.00
|
$667.95
|
$791.61
|
$750.65
|
2025-11-12
|
|
70496
|
CPT
|
CTA Head
|
7
|
7
|
$1,005.00
|
$1,005.00
|
$700.76
|
$1,437.59
|
$739.97
|
2025-11-12
|
|
70492
|
CPT
|
CT Neck W/wo Contrast
|
1
|
1
|
$1,002.00
|
$1,002.00
|
$737.66
|
$737.66
|
$737.66
|
2025-11-12
|
|
70498
|
CPT
|
CTA Neck
|
8
|
8
|
$1,002.00
|
$1,002.00
|
$691.84
|
$2,106.72
|
$731.76
|
2025-11-12
|
|
70490
|
CPT
|
CT Neck Non-contrast
|
2
|
2
|
$631.00
|
$631.00
|
$526.53
|
$876.26
|
$701.39
|
2025-11-12
|
|
74170
|
CPT
|
CT Abdomen W/wo Contrast
|
7
|
7
|
$939.00
|
$939.00
|
$302.50
|
$734.06
|
$691.46
|
2025-11-12
|
|
99285
|
CPT
|
Emergent ER Care
|
18
|
18
|
$938.00
|
$938.00
|
$601.35
|
$4,926.46
|
$690.69
|
2025-11-12
|
|
93306
|
CPT
|
US Echocardiogram With Spectral And Cd
|
21
|
21
|
$886.00
|
$886.00
|
$592.13
|
$1,851.85
|
$652.19
|
2025-11-12
|
|
71275
|
CPT
|
CTA Pe Chest W Contrast
|
16
|
16
|
$818.00
|
$818.00
|
$542.52
|
$766.36
|
$602.14
|
2025-11-12
|
|
74160
|
CPT
|
CT Abdomen W Contrast
|
10
|
10
|
$818.00
|
$818.00
|
$538.84
|
$642.97
|
$602.14
|
2025-11-12
|
|
70491
|
CPT
|
CT Neck W Contrast
|
11
|
11
|
$810.00
|
$810.00
|
$568.26
|
$1,586.95
|
$596.75
|
2025-11-12
|
|
80145
|
CPT
|
Adalimumab And Anti-adalimumab Antibody
|
1
|
1
|
$714.00
|
$714.00
|
$590.25
|
$590.25
|
$590.25
|
2025-11-12
|
|
93225
|
CPT
|
Holter Monitor
|
7
|
7
|
$780.00
|
$780.00
|
$546.70
|
$634.10
|
$589.71
|
2025-11-12
|
|
93880
|
CPT
|
US Carotid Duplex-comp
|
19
|
19
|
$799.00
|
$799.00
|
$515.88
|
$879.34
|
$588.28
|
2025-11-12
|
|
71260
|
CPT
|
CT Chest W Contrast
|
14
|
14
|
$818.00
|
$818.00
|
$301.07
|
$766.36
|
$587.51
|
2025-11-12
|
|
87150
|
CPT
|
Culture, Typing, Id By RNA Or DNA Probe
|
2
|
2
|
$133.00
|
$133.00
|
$89.61
|
$1,076.58
|
$583.09
|
2025-11-12
|
|
72193
|
CPT
|
CT Pelvis W Contrast
|
2
|
2
|
$822.00
|
$822.00
|
$526.93
|
$616.18
|
$571.55
|
2025-11-12
|
|
81279
|
CPT
|
Jak2 Exon 12-15 Mutation (115101)
|
1
|
1
|
$689.00
|
$689.00
|
$560.15
|
$560.15
|
$560.15
|
2025-11-12
|
|
93970
|
CPT
|
Duplex Scan L/u Extremity- Bil
|
15
|
15
|
$799.00
|
$799.00
|
$469.49
|
$815.15
|
$559.79
|
2025-11-12
|
|
73701
|
CPT
|
CT Ext Lower W Contrast
|
2
|
2
|
$822.00
|
$822.00
|
$549.01
|
$549.01
|
$549.01
|
2025-11-12
|
|
93978
|
CPT
|
US Abdominal Aorta
|
8
|
8
|
$741.00
|
$741.00
|
$519.75
|
$706.62
|
$545.93
|
2025-11-12
|
|
87902
|
CPT
|
Hepatitis C Genotype (550475)
|
7
|
7
|
$711.00
|
$711.00
|
$498.19
|
$666.40
|
$523.60
|
2025-11-12
|
|
70487
|
CPT
|
CT Facial Sinus W Contrast
|
1
|
1
|
$543.00
|
$543.00
|
$519.00
|
$519.00
|
$519.00
|
2025-11-12
|
|
72128
|
CPT
|
CT Thoracic Spine
|
5
|
5
|
$639.00
|
$639.00
|
$447.37
|
$876.26
|
$502.11
|
2025-11-12
|
|
99284
|
CPT
|
Extended ER Care
|
22
|
22
|
$686.00
|
$686.00
|
$451.37
|
$629.76
|
$492.80
|
2025-11-12
|
|
87799
|
CPT
|
Epstein Barr Pcr Quantitative(138230)
|
1
|
1
|
$652.00
|
$652.00
|
$478.17
|
$478.17
|
$478.17
|
2025-11-12
|
|
P9016
|
HCPCS
|
Blood Processing
|
7
|
7
|
$635.00
|
$635.00
|
$424.27
|
$566.44
|
$467.39
|
2025-11-12
|
|
70470
|
CPT
|
CT Brain W/wo Contrast
|
4
|
4
|
$627.00
|
$627.00
|
$437.52
|
$588.00
|
$462.51
|
2025-11-12
|
|
87497
|
CPT
|
Cmv Quant. Urine DNA By Pcr (139144)
|
1
|
1
|
$580.00
|
$580.00
|
$456.30
|
$456.30
|
$456.30
|
2025-11-12
|
|
71250
|
CPT
|
CT Chest Non-contrast
|
18
|
18
|
$633.00
|
$633.00
|
$422.73
|
$863.37
|
$454.69
|
2025-11-12
|
|
P9021
|
HCPCS
|
Red Blood Cells Unit
|
7
|
7
|
$617.00
|
$617.00
|
$411.95
|
$549.78
|
$454.30
|
2025-11-12
|
|
72125
|
CPT
|
CT Cervical Spine
|
18
|
18
|
$641.00
|
$641.00
|
$410.96
|
$600.74
|
$448.91
|
2025-11-12
|
|
73700
|
CPT
|
CT Ext Lower Non-contrast
|
9
|
9
|
$635.00
|
$635.00
|
$406.93
|
$594.86
|
$445.06
|
2025-11-12
|
|
72131
|
CPT
|
CT Lumbar Spine
|
13
|
13
|
$635.00
|
$635.00
|
$424.27
|
$594.86
|
$445.06
|
2025-11-12
|
|
73200
|
CPT
|
CT Ext Upper Non-contrast
|
2
|
2
|
$633.00
|
$633.00
|
$422.73
|
$465.85
|
$444.29
|
2025-11-12
|
|
97607
|
CPT
|
Neg Pressure Wound Tx < 50 Sq Cm Disposable
|
2
|
2
|
$556.00
|
$556.00
|
$409.64
|
$416.54
|
$413.09
|
2025-11-12
|
|
11045
|
CPT
|
Debridement Skin- Sq Tissue, 1st 20sqcm Each Add'l 20 Sq Cm
|
4
|
4
|
$542.00
|
$542.00
|
$398.86
|
$483.14
|
$402.51
|
2025-11-12
|
|
80362
|
CPT
|
Toxassure Flex 23, Urine
|
6
|
6
|
$531.00
|
$531.00
|
$349.60
|
$417.41
|
$397.53
|
2025-11-12
|
|
J2794
|
HCPCS
|
Risperdal(risperidone) Oral Sol : 1mg/ml
|
2
|
2
|
$512.00
|
$512.00
|
$394.24
|
$394.24
|
$394.24
|
2025-11-12
|
|
74176
|
CPT
|
CT Abd&pelvis Non Contrast
|
21
|
21
|
$556.00
|
$556.00
|
$365.65
|
$495.88
|
$389.62
|
2025-11-12
|
|
99292
|
CPT
|
Critical Care ER Add 30 Min
|
7
|
7
|
$494.00
|
$494.00
|
$329.56
|
$1,260.49
|
$381.65
|
2025-11-12
|
|
94010
|
CPT
|
Pft
|
11
|
11
|
$524.00
|
$524.00
|
$344.74
|
$432.06
|
$381.26
|
2025-11-12
|
|
11042
|
CPT
|
Debridement Skin- Sq Tissue, 1st 20sqcm
|
16
|
16
|
$542.00
|
$542.00
|
$347.27
|
$508.54
|
$379.61
|
2025-11-12
|
|
86359
|
CPT
|
T Cell Count
|
1
|
1
|
$182.00
|
$182.00
|
$375.76
|
$375.76
|
$375.76
|
2025-11-12
|
|
87254
|
CPT
|
Herpes Typing (008250)
|
1
|
1
|
$76.00
|
$76.00
|
$368.83
|
$368.83
|
$368.83
|
2025-11-12
|
|
92612
|
CPT
|
Flexible Endoscopic Evaluation Of Swallowing
|
1
|
1
|
$468.00
|
$468.00
|
$366.52
|
$366.52
|
$366.52
|
2025-11-12
|
|
83921
|
CPT
|
Methylmalonic Acid, Ua
|
5
|
5
|
$476.00
|
$476.00
|
$333.41
|
$374.20
|
$364.48
|
2025-11-12
|
|
81241
|
CPT
|
Factor V Leiden Mutuation (511154)
|
4
|
4
|
$471.00
|
$471.00
|
$345.82
|
$388.89
|
$355.15
|
2025-11-12
|
|
93971
|
CPT
|
US Venous Doppler Limited L Or R
|
16
|
16
|
$483.00
|
$483.00
|
$88.00
|
$398.43
|
$352.89
|
2025-11-12
|
|
81401
|
CPT
|
Huntington Disease Mutation (829044)
|
2
|
2
|
$537.00
|
$537.00
|
$349.23
|
$351.73
|
$350.48
|
2025-11-12
|
|
70486
|
CPT
|
CT Facial Sinus Non-contrast
|
11
|
11
|
$472.00
|
$472.00
|
$314.93
|
$420.42
|
$347.27
|
2025-11-12
|
|
84145
|
CPT
|
Procalcitonin (164750)
|
13
|
13
|
$467.00
|
$467.00
|
$307.48
|
$437.08
|
$343.42
|
2025-11-12
|
|
77067
|
CPT
|
Mammo Scr-bilateral
|
21
|
21
|
$489.00
|
$489.00
|
$76.49
|
$426.24
|
$341.88
|
2025-11-12
|
|
77063
|
CPT
|
Screening Digital Breast Tomosynthesis Bilateral
|
11
|
11
|
$146.00
|
$146.00
|
$21.17
|
$403.60
|
$341.88
|
2025-11-12
|
|
92950
|
CPT
|
Cpr
|
3
|
3
|
$439.00
|
$439.00
|
$293.37
|
$375.28
|
$335.28
|
2025-11-12
|
|
94726
|
CPT
|
Body Phlethmography
|
14
|
14
|
$452.00
|
$452.00
|
$297.01
|
$425.84
|
$332.64
|
2025-11-12
|
|
72192
|
CPT
|
CT Pelvis Non-contrast
|
5
|
5
|
$448.00
|
$448.00
|
$308.75
|
$419.44
|
$329.56
|
2025-11-12
|
|
83835
|
CPT
|
Metanephrines 24 Hr Urine (004234)
|
1
|
1
|
$137.00
|
$137.00
|
$328.10
|
$328.10
|
$328.10
|
2025-11-12
|
|
87476
|
CPT
|
Lymes Dis. Pcr(138685)
|
3
|
3
|
$468.00
|
$468.00
|
$311.85
|
$378.93
|
$327.25
|
2025-11-12
|
|
76536
|
CPT
|
US Thyroid
|
17
|
17
|
$438.00
|
$438.00
|
$292.60
|
$355.19
|
$322.63
|
2025-11-12
|
|
81273
|
CPT
|
Kit D816v Digital Pcr In System Mastocytosis
|
1
|
1
|
$433.00
|
$433.00
|
$320.87
|
$320.87
|
$320.87
|
2025-11-12
|
|
76830
|
CPT
|
US Pelvis-transvaginal
|
13
|
13
|
$434.00
|
$434.00
|
$289.52
|
$395.00
|
$319.55
|
2025-11-12
|
|
87536
|
CPT
|
HIV RNA Quant.
|
2
|
2
|
$211.00
|
$211.00
|
$154.77
|
$466.62
|
$310.70
|
2025-11-12
|
|
74150
|
CPT
|
CT Abdomen Non-contrast
|
6
|
6
|
$441.00
|
$441.00
|
$162.47
|
$357.73
|
$309.54
|
2025-11-12
|
|
76700
|
CPT
|
US Abdomen Complete
|
20
|
20
|
$407.00
|
$407.00
|
$267.79
|
$381.22
|
$299.53
|
2025-11-12
|
|
84445
|
CPT
|
Thyroid Stimulating Immunoglob. (140749)
|
6
|
6
|
$407.00
|
$407.00
|
$284.90
|
$314.50
|
$299.53
|
2025-11-12
|
|
83090
|
CPT
|
Homocysteine (706994)
|
6
|
6
|
$404.00
|
$404.00
|
$269.50
|
$361.13
|
$297.36
|
2025-11-12
|
|
99283
|
CPT
|
Intermediate ER Care
|
22
|
22
|
$402.00
|
$402.00
|
$267.96
|
$378.52
|
$293.38
|
2025-11-12
|
|
92523
|
CPT
|
Eval Sound Prod / Lang / (92523)
|
14
|
14
|
$398.00
|
$398.00
|
$264.88
|
$322.13
|
$292.60
|
2025-11-12
|
|
84597
|
CPT
|
Vitamin K (121200)
|
2
|
2
|
$391.00
|
$391.00
|
$274.12
|
$307.66
|
$290.89
|
2025-11-12
|
|
86757
|
CPT
|
Murine Typhus Antibodies Igg
|
2
|
2
|
$84.00
|
$84.00
|
$268.73
|
$295.85
|
$282.29
|
2025-11-12
|
|
29700
|
CPT
|
Removal Or Bivalving Gauntlet, Boot Or Body Cast
|
1
|
1
|
$425.00
|
$425.00
|
$279.68
|
$279.68
|
$279.68
|
2025-11-12
|
|
76856
|
CPT
|
US Bladder
|
13
|
13
|
$376.00
|
$376.00
|
$250.25
|
$553.63
|
$276.43
|
2025-11-12
|
|
99204
|
CPT
|
Level 4 Initial Visit
|
7
|
7
|
$376.00
|
$376.00
|
$20.20
|
$334.18
|
$276.43
|
2025-11-12
|
|
80201
|
CPT
|
Topiramate (topamx) Serum (716285)
|
1
|
1
|
$412.00
|
$412.00
|
$274.89
|
$274.89
|
$274.89
|
2025-11-12
|
|
83013
|
CPT
|
H.pylori Breath Test
|
13
|
13
|
$305.00
|
$305.00
|
$253.55
|
$304.43
|
$271.49
|
2025-11-12
|
|
71047
|
CPT
|
Chest Pa&bialt.obliques Min 3v
|
2
|
2
|
$310.00
|
$310.00
|
$244.83
|
$296.00
|
$270.42
|
2025-11-12
|
|
83993
|
CPT
|
Calprotectin, Fecal
|
9
|
9
|
$363.00
|
$363.00
|
$254.10
|
$330.00
|
$267.19
|
2025-11-12
|
|
31500
|
CPT
|
Intubation
|
4
|
4
|
$359.00
|
$359.00
|
$251.02
|
$336.14
|
$266.38
|
2025-11-12
|
|
87624
|
CPT
|
Hpv DNA Probe(low Volume)507405
|
14
|
14
|
$83.00
|
$83.00
|
$62.37
|
$332.00
|
$266.12
|
2025-11-12
|
|
83018
|
CPT
|
Cobalt, Plasma (071506)
|
1
|
1
|
$157.00
|
$157.00
|
$263.34
|
$263.34
|
$263.34
|
2025-11-12
|
|
76641
|
CPT
|
US Breast L Or R
|
15
|
15
|
$352.00
|
$352.00
|
$117.43
|
$314.88
|
$258.72
|
2025-11-12
|
|
84402
|
CPT
|
Testosterone Free
|
15
|
15
|
$344.00
|
$344.00
|
$229.46
|
$322.42
|
$253.33
|
2025-11-12
|
|
70450
|
CPT
|
CT Brain Non-contrast
|
21
|
21
|
$360.00
|
$360.00
|
$238.45
|
$320.46
|
$251.79
|
2025-11-12
|
|
87338
|
CPT
|
H.pylori-stool (180764)
|
15
|
15
|
$338.00
|
$338.00
|
$216.62
|
$307.00
|
$248.71
|
2025-11-12
|
|
80050
|
CPT
|
Health Panel
|
2
|
2
|
$315.00
|
$315.00
|
$243.95
|
$252.56
|
$248.25
|
2025-11-12
|
|
85250
|
CPT
|
Factor Ix
|
1
|
1
|
$390.00
|
$390.00
|
$247.94
|
$247.94
|
$247.94
|
2025-11-12
|
|
85240
|
CPT
|
Factor 8 Activity (086264)
|
4
|
4
|
$383.00
|
$383.00
|
$224.84
|
$281.82
|
$246.40
|
2025-11-12
|
|
94664
|
CPT
|
02-aresol Per-hour
|
6
|
6
|
$25.00
|
$25.00
|
$73.92
|
$241.01
|
$241.01
|
2025-11-12
|
|
84588
|
CPT
|
Vasopressin Antidiuretic Hormone (adh), Plasma (010447)
|
2
|
2
|
$308.00
|
$308.00
|
$211.29
|
$267.00
|
$239.14
|
2025-11-12
|
|
82652
|
CPT
|
Vit D 1.25 Dihydroxy
|
5
|
5
|
$341.00
|
$341.00
|
$166.91
|
$315.70
|
$238.70
|
2025-11-12
|
|
82610
|
CPT
|
Cystatin C (121251)
|
1
|
1
|
$304.00
|
$304.00
|
$238.52
|
$238.52
|
$238.52
|
2025-11-12
|
|
80346
|
CPT
|
Valium-serum
|
1
|
1
|
$126.00
|
$126.00
|
$237.66
|
$237.66
|
$237.66
|
2025-11-12
|
|
86671
|
CPT
|
.fungus Ab
|
4
|
4
|
$55.00
|
$55.00
|
$35.42
|
$273.09
|
$237.55
|
2025-11-12
|
|
82626
|
CPT
|
Dhea (004100)
|
1
|
1
|
$338.00
|
$338.00
|
$236.39
|
$236.39
|
$236.39
|
2025-11-12
|
|
96374
|
CPT
|
IV Push Initial Drug
|
29
|
20
|
$336.00
|
$336.00
|
$220.75
|
$315.86
|
$234.85
|
2025-11-12
|
|
96365
|
CPT
|
Infusion Therap/diag 1st
|
35
|
20
|
$336.00
|
$336.00
|
$219.59
|
$495.35
|
$234.85
|
2025-11-12
|
|
86658
|
CPT
|
Coxackie Virus Ab
|
3
|
3
|
$194.00
|
$194.00
|
$115.81
|
$234.08
|
$234.08
|
2025-11-12
|
|
83520
|
CPT
|
Anti Gbm
|
10
|
10
|
$171.00
|
$171.00
|
$56.21
|
$463.54
|
$228.79
|
2025-11-12
|
|
76705
|
CPT
|
US Ruq
|
15
|
15
|
$308.00
|
$308.00
|
$205.59
|
$280.00
|
$226.38
|
2025-11-12
|
|
87801
|
CPT
|
Infectious Agent Detection By Nucleic Acid (dna Or Rna), Multiple Organisms; Amp…
|
3
|
3
|
$308.00
|
$308.00
|
$215.60
|
$249.90
|
$226.38
|
2025-11-12
|
|
86341
|
CPT
|
Antipancreatic Islet Cells (160721)
|
9
|
9
|
$305.00
|
$305.00
|
$209.02
|
$285.18
|
$224.07
|
2025-11-12
|
|
97597
|
CPT
|
Removal Devitalized Tissue < 20 Sq Cm
|
9
|
9
|
$304.00
|
$304.00
|
$149.04
|
$728.63
|
$223.30
|
2025-11-12
|
|
97598
|
CPT
|
Removal Devitalized Tissue , Add'l 20 Sq Cm
|
3
|
3
|
$304.00
|
$304.00
|
$202.51
|
$276.00
|
$223.30
|
2025-11-12
|
|
17250
|
CPT
|
Chemical Cautery Of Tissue
|
4
|
4
|
$304.00
|
$304.00
|
$202.51
|
$493.00
|
$217.38
|
2025-11-12
|
|
88112
|
CPT
|
Cytology Urine (009068)
|
4
|
4
|
$253.00
|
$253.00
|
$177.10
|
$238.13
|
$215.74
|
2025-11-12
|
|
81256
|
CPT
|
Hereditary Hematochromatosis (511345)
|
5
|
5
|
$288.00
|
$288.00
|
$191.73
|
$261.00
|
$211.75
|
2025-11-12
|
|
80349
|
CPT
|
Cannabinoid Confirmation Ua (071316)
|
4
|
4
|
$270.00
|
$270.00
|
$208.25
|
$235.20
|
$211.73
|
2025-11-12
|
|
10060
|
CPT
|
Incision & Drainage- Simple/single
|
1
|
1
|
$296.00
|
$296.00
|
$207.13
|
$207.13
|
$207.13
|
2025-11-12
|
|
97602
|
CPT
|
Non-selective Debrdement (nurse Only)
|
13
|
9
|
$304.00
|
$304.00
|
$72.38
|
$270.48
|
$205.78
|
2025-11-12
|
|
93005
|
CPT
|
EKG
|
23
|
23
|
$294.00
|
$294.00
|
$193.04
|
$269.76
|
$205.59
|
2025-11-12
|
|
85220
|
CPT
|
Factor V
|
1
|
1
|
$383.00
|
$383.00
|
$201.74
|
$201.74
|
$201.74
|
2025-11-12
|
|
80197
|
CPT
|
Tacrolimus (711034)
|
9
|
9
|
$288.00
|
$288.00
|
$191.73
|
$225.56
|
$200.97
|
2025-11-12
|
|
77075
|
CPT
|
Skeletal Survey (complete)min7v
|
1
|
1
|
$296.00
|
$296.00
|
$194.56
|
$194.56
|
$194.56
|
2025-11-12
|
|
76642
|
CPT
|
US Breast Unilateral Limited, Left
|
10
|
10
|
$270.00
|
$270.00
|
$76.24
|
$234.85
|
$193.66
|
2025-11-12
|
|
J1756
|
HCPCS
|
Venofer (iron Sucrose) Vl : 100mg/5ml
|
2
|
2
|
$257.00
|
$257.00
|
$192.50
|
$192.50
|
$192.50
|
2025-11-12
|
|
86922
|
CPT
|
Type & Cross Match X 2 Units
|
9
|
9
|
$260.00
|
$260.00
|
$167.47
|
$231.28
|
$190.96
|
2025-11-12
|
|
86707
|
CPT
|
Hbe Antibody
|
1
|
1
|
$247.00
|
$247.00
|
$190.40
|
$190.40
|
$190.40
|
2025-11-12
|
|
83631
|
CPT
|
Lactoferrin (823513)
|
1
|
1
|
$247.00
|
$247.00
|
$190.40
|
$190.40
|
$190.40
|
2025-11-12
|
|
82024
|
CPT
|
Serum Acth 82024
|
10
|
10
|
$284.00
|
$284.00
|
$172.48
|
$230.30
|
$190.19
|
2025-11-12
|
|
85260
|
CPT
|
Factor X Activity (086306)
|
1
|
1
|
$271.00
|
$271.00
|
$189.42
|
$189.42
|
$189.42
|
2025-11-12
|
|
82383
|
CPT
|
Catecholamine Plasma (084152)
|
1
|
1
|
$208.00
|
$208.00
|
$185.22
|
$185.22
|
$185.22
|
2025-11-12
|
|
86316
|
CPT
|
Chromogranin A (140848)
|
2
|
2
|
$258.00
|
$258.00
|
$178.38
|
$189.42
|
$183.90
|
2025-11-12
|
|
85245
|
CPT
|
.fact Viii,vw,ristocetin Co Factor
|
3
|
3
|
$273.00
|
$273.00
|
$181.72
|
$200.97
|
$181.72
|
2025-11-12
|
|
89220
|
CPT
|
Sputum Collection
|
4
|
4
|
$260.00
|
$260.00
|
$181.72
|
$220.50
|
$181.72
|
2025-11-12
|
|
82088
|
CPT
|
Aldosterone (004374)
|
7
|
7
|
$247.00
|
$247.00
|
$164.01
|
$219.52
|
$181.72
|
2025-11-12
|
|
94667
|
CPT
|
Postural Drainage And Percussion
|
1
|
1
|
$244.00
|
$244.00
|
$181.49
|
$181.49
|
$181.49
|
2025-11-12
|
|
80348
|
CPT
|
Buprenorphine Conf Urine (764400)
|
3
|
3
|
$229.00
|
$229.00
|
$169.84
|
$185.65
|
$176.80
|
2025-11-12
|
|
73010
|
CPT
|
Scapula Lt Min2v
|
5
|
5
|
$218.00
|
$218.00
|
$152.46
|
$181.98
|
$176.33
|
2025-11-12
|
|
94640
|
CPT
|
Mdi Treatment
|
21
|
21
|
$344.00
|
$344.00
|
$159.98
|
$2,425.24
|
$176.33
|
2025-11-12
|
|
72114
|
CPT
|
Lumbosacral Spine W Obliqueswflex/ext
|
2
|
2
|
$224.00
|
$224.00
|
$164.05
|
$187.15
|
$175.60
|
2025-11-12
|
|
80175
|
CPT
|
Lamotrigine Serum (716944)
|
1
|
1
|
$249.00
|
$249.00
|
$174.02
|
$174.02
|
$174.02
|
2025-11-12
|
|
93798
|
CPT
|
Cardiac Rehabilitation
|
7
|
7
|
$234.00
|
$234.00
|
$155.54
|
$192.52
|
$171.71
|
2025-11-12
|
|
11043
|
CPT
|
Debridement Skin- Sq Tis, Muscle,1st 20sqcm
|
1
|
1
|
$850.00
|
$850.00
|
$170.08
|
$170.08
|
$170.08
|
2025-11-12
|
|
85613
|
CPT
|
.dil.russell Venom Viper
|
3
|
3
|
$209.00
|
$209.00
|
$139.37
|
$170.00
|
$169.54
|
2025-11-12
|
|
99282
|
CPT
|
Brief ER Care
|
21
|
21
|
$242.00
|
$242.00
|
$142.82
|
$362.67
|
$169.40
|
2025-11-12
|
|
87185
|
CPT
|
Modified Hodge Test/carbapenem Confirmation
|
5
|
5
|
$228.00
|
$228.00
|
$167.86
|
$215.66
|
$167.86
|
2025-11-12
|
|
83498
|
CPT
|
Hydroxyprogesterone
|
1
|
1
|
$183.00
|
$183.00
|
$166.00
|
$166.00
|
$166.00
|
2025-11-12
|
|
72110
|
CPT
|
Lumbosacral Spine W Obliques Min4v
|
18
|
18
|
$224.00
|
$224.00
|
$148.03
|
$386.54
|
$164.78
|
2025-11-12
|
|
36600
|
CPT
|
Arterial Puncture
|
18
|
17
|
$236.00
|
$236.00
|
$60.83
|
$220.50
|
$164.78
|
2025-11-12
|
|
77061
|
CPT
|
Diagnostic Digital Breast Tomosynthesis; Unilateral-left
|
5
|
5
|
$222.00
|
$222.00
|
$154.77
|
$183.22
|
$163.24
|
2025-11-12
|
|
P9017
|
HCPCS
|
Fresh Frozen Plasma
|
3
|
3
|
$216.00
|
$216.00
|
$158.62
|
$192.08
|
$161.61
|
2025-11-12
|
|
72082
|
CPT
|
Spine Scoliosis Standing Min2v
|
9
|
9
|
$229.00
|
$229.00
|
$151.67
|
$185.65
|
$160.16
|
2025-11-12
|
|
83970
|
CPT
|
Pth Intact (015610)
|
16
|
16
|
$216.00
|
$216.00
|
$112.33
|
$183.26
|
$158.62
|
2025-11-12
|
|
87641
|
CPT
|
Mrsa By Naa (182956)
|
1
|
1
|
$216.00
|
$216.00
|
$158.62
|
$158.62
|
$158.62
|
2025-11-12
|
|
90715
|
CPT
|
Adacel (tdap) Syg : 0.5ml
|
2
|
2
|
$206.00
|
$206.00
|
$156.56
|
$158.62
|
$157.59
|
2025-11-12
|
|
87493
|
CPT
|
C-diff Toxin Gene Assay
|
17
|
17
|
$115.00
|
$115.00
|
$146.39
|
$199.92
|
$157.08
|
2025-11-12
|
|
82157
|
CPT
|
Androstenedione
|
1
|
1
|
$194.00
|
$194.00
|
$156.82
|
$156.82
|
$156.82
|
2025-11-12
|
|
76881
|
CPT
|
US Extremity Non Vascular Arm/leg
|
12
|
12
|
$213.00
|
$213.00
|
$136.09
|
$175.07
|
$156.31
|
2025-11-12
|
|
83883
|
CPT
|
Lambda Light Chains-ua
|
12
|
12
|
$218.00
|
$218.00
|
$58.52
|
$411.00
|
$156.31
|
2025-11-12
|
|
97162
|
CPT
|
Physical Therapy Evaluation - Moderate Complexity
|
10
|
10
|
$209.00
|
$209.00
|
$139.37
|
$173.18
|
$154.00
|
2025-11-12
|
|
97165
|
CPT
|
Ot Eval Low Complex 30 Min
|
9
|
9
|
$209.00
|
$209.00
|
$138.55
|
$186.20
|
$154.00
|
2025-11-12
|
|
97167
|
CPT
|
Ot Eval High Complex 60 Min
|
6
|
6
|
$209.00
|
$209.00
|
$130.24
|
$164.20
|
$154.00
|
2025-11-12
|
|
87522
|
CPT
|
Hep C Virus RNA (550080)
|
15
|
15
|
$428.00
|
$428.00
|
$128.59
|
$402.46
|
$153.00
|
2025-11-12
|
|
71046
|
CPT
|
Radiologic Examination, Chest, Two Views, Frontal And Lateral
|
23
|
23
|
$218.00
|
$218.00
|
$142.62
|
$199.68
|
$152.46
|
2025-11-12
|
|
87625
|
CPT
|
.hpv DNA Probe(high Risk)
|
2
|
2
|
$81.00
|
$81.00
|
$53.13
|
$250.53
|
$151.83
|
2025-11-12
|
|
82523
|
CPT
|
N-telopeptide, Urine (141093)
|
1
|
1
|
$136.00
|
$136.00
|
$150.92
|
$150.92
|
$150.92
|
2025-11-12
|
|
70150
|
CPT
|
X-ray Zygomatic Arches
|
9
|
9
|
$204.00
|
$204.00
|
$133.76
|
$165.31
|
$150.15
|
2025-11-12
|
|
70110
|
CPT
|
Mandible Min 4v
|
7
|
7
|
$204.00
|
$204.00
|
$135.52
|
$150.48
|
$150.15
|
2025-11-12
|
|
71111
|
CPT
|
Ribs Bi-lat W/pa Chest Min5v
|
14
|
14
|
$204.00
|
$204.00
|
$135.52
|
$346.50
|
$150.15
|
2025-11-12
|
|
73564
|
CPT
|
Knee Min4v
|
19
|
19
|
$204.00
|
$204.00
|
$135.52
|
$195.00
|
$150.15
|
2025-11-12
|
|
73120
|
CPT
|
Hand Foreign Body Min2v
|
7
|
7
|
$204.00
|
$204.00
|
$119.88
|
$255.64
|
$150.15
|
2025-11-12
|
|
80177
|
CPT
|
Keppra Level (716936)
|
6
|
6
|
$209.00
|
$209.00
|
$139.37
|
$176.00
|
$150.15
|
2025-11-12
|
|
72170
|
CPT
|
Pelvis 1/2 V
|
10
|
10
|
$204.00
|
$204.00
|
$135.52
|
$191.10
|
$150.15
|
2025-11-12
|
|
72050
|
CPT
|
Cervical Spine W Obliques Min4v
|
18
|
18
|
$204.00
|
$204.00
|
$116.87
|
$191.10
|
$149.42
|
2025-11-12
|
|
20611
|
CPT
|
Drain/inj Joint/bursa With US
|
3
|
3
|
$202.00
|
$202.00
|
$148.61
|
$189.14
|
$148.61
|
2025-11-12
|
|
94625
|
CPT
|
Pulmonary Rehabilitation 1 Hour
|
4
|
4
|
$205.00
|
$205.00
|
$134.52
|
$173.66
|
$148.09
|
2025-11-12
|
|
83785
|
CPT
|
Manganese,plasma (071589)
|
1
|
1
|
$222.00
|
$222.00
|
$147.07
|
$147.07
|
$147.07
|
2025-11-12
|
|
51702
|
CPT
|
Insert Temp Bladder Cath
|
1
|
1
|
$188.00
|
$188.00
|
$146.92
|
$146.92
|
$146.92
|
2025-11-12
|
|
97161
|
CPT
|
Physical Therapy Evaluation - Low Complexity
|
22
|
22
|
$209.00
|
$209.00
|
$137.31
|
$186.20
|
$146.30
|
2025-11-12
|
|
72072
|
CPT
|
Thoracic Spine Min 3v
|
18
|
18
|
$204.00
|
$204.00
|
$133.51
|
$246.18
|
$146.30
|
2025-11-12
|
|
97166
|
CPT
|
Ot Eval Mod Complex 45 Min
|
16
|
16
|
$209.00
|
$209.00
|
$137.31
|
$196.00
|
$146.30
|
2025-11-12
|
|
86480
|
CPT
|
TB Gold Quantiferon(182873)
|
12
|
12
|
$198.00
|
$198.00
|
$130.68
|
$185.30
|
$145.53
|
2025-11-12
|
|
84425
|
CPT
|
Vitamin B-1 (thiamine) (121186)
|
10
|
10
|
$205.00
|
$205.00
|
$134.52
|
$163.86
|
$144.53
|
2025-11-12
|
|
29581
|
CPT
|
Multi Layer Compression Wrap, Lower Ext
|
5
|
5
|
$196.00
|
$196.00
|
$87.22
|
$411.18
|
$143.99
|
2025-11-12
|
|
86337
|
CPT
|
Insulin Antibodies (141598)
|
7
|
7
|
$195.00
|
$195.00
|
$143.22
|
$182.28
|
$143.22
|
2025-11-12
|
|
74019
|
CPT
|
Abdomen Flat Upright Min2v
|
20
|
20
|
$204.00
|
$204.00
|
$133.51
|
$181.30
|
$142.85
|
2025-11-12
|
|
77080
|
CPT
|
Dxa
|
16
|
16
|
$204.00
|
$204.00
|
$133.76
|
$168.17
|
$142.45
|
2025-11-12
|
|
72100
|
CPT
|
Lumbosacral Spine Min3v
|
20
|
20
|
$204.00
|
$204.00
|
$110.63
|
$193.30
|
$142.45
|
2025-11-12
|
|
76857
|
CPT
|
US Pelvis Limited F/u Single Organ
|
9
|
9
|
$204.00
|
$204.00
|
$135.52
|
$176.00
|
$142.45
|
2025-11-12
|
|
72202
|
CPT
|
Sacro Ilac Jts Bilat.min3v
|
13
|
13
|
$204.00
|
$204.00
|
$120.07
|
$159.88
|
$142.45
|
2025-11-12
|
|
76775
|
CPT
|
US Hepatic
|
19
|
19
|
$204.00
|
$204.00
|
$130.73
|
$191.88
|
$142.45
|
2025-11-12
|
|
74022
|
CPT
|
Acute Abd 3v
|
19
|
19
|
$204.00
|
$204.00
|
$133.51
|
$181.30
|
$142.45
|
2025-11-12
|
|
73522
|
CPT
|
Hip Bilat W/ap Pelvis Min 3v
|
14
|
14
|
$204.00
|
$204.00
|
$133.35
|
$439.68
|
$142.45
|
2025-11-12
|
|
G0439
|
HCPCS
|
Annual Wellness Visit (pps), Subsequent
|
1
|
1
|
$204.00
|
$204.00
|
$142.45
|
$142.45
|
$142.45
|
2025-11-12
|
|
85732
|
CPT
|
Hexagonal Phase Phosholipid
|
3
|
3
|
$174.00
|
$174.00
|
$115.50
|
$141.10
|
$140.72
|
2025-11-12
|
|
87481
|
CPT
|
.candida Albicans Naa
|
7
|
7
|
$201.00
|
$201.00
|
$133.21
|
$162.76
|
$140.14
|
2025-11-12
|
|
0598T
|
OTHER
|
Non Contact Real Time Fluorescence Wound Imaging (lower Extremity)
|
2
|
2
|
$217.00
|
$217.00
|
$138.77
|
$138.77
|
$138.77
|
2025-11-12
|
|
72052
|
CPT
|
Cervical Spine W Obliques W Flex/ext
|
3
|
3
|
$188.00
|
$188.00
|
$137.36
|
$144.50
|
$138.45
|
2025-11-12
|
|
85305
|
CPT
|
Protein S Functional (164525)
|
6
|
6
|
$188.00
|
$188.00
|
$124.74
|
$146.92
|
$137.83
|
2025-11-12
|
|
80354
|
CPT
|
Fentanyl/norfentanyl Confirmation (764220)
|
1
|
1
|
$188.00
|
$188.00
|
$137.70
|
$137.70
|
$137.70
|
2025-11-12
|
|
94618
|
CPT
|
Pulmonary Stress Testing (eg, 6-minute Walk Test), Including Measurement Of Hear…
|
17
|
17
|
$195.00
|
$195.00
|
$84.91
|
$173.46
|
$136.29
|
2025-11-12
|
|
99281
|
CPT
|
Minimal ER Care
|
6
|
6
|
$174.00
|
$174.00
|
$127.82
|
$410.41
|
$135.93
|
2025-11-12
|
|
83519
|
CPT
|
Codeine Level
|
22
|
22
|
$246.00
|
$246.00
|
$126.92
|
$188.65
|
$135.52
|
2025-11-12
|
|
80198
|
CPT
|
Theophylline
|
1
|
1
|
$183.00
|
$183.00
|
$134.75
|
$134.75
|
$134.75
|
2025-11-12
|
|
76870
|
CPT
|
US Scrotum
|
11
|
11
|
$181.00
|
$181.00
|
$126.28
|
$425.19
|
$133.21
|
2025-11-12
|
|
86701
|
CPT
|
Elisa Screening
|
14
|
14
|
$180.00
|
$180.00
|
$119.35
|
$159.74
|
$132.07
|
2025-11-12
|
|
82951
|
CPT
|
Ogtt 3 Hr-gestational
|
6
|
6
|
$183.00
|
$183.00
|
$127.82
|
$148.75
|
$131.28
|
2025-11-12
|
|
99214
|
CPT
|
Level 4 Follow-up Visit
|
14
|
14
|
$338.00
|
$338.00
|
$20.20
|
$250.02
|
$131.07
|
2025-11-12
|
|
99203
|
CPT
|
Level 3 Initial Visit
|
4
|
4
|
$341.00
|
$341.00
|
$20.20
|
$281.14
|
$129.45
|
2025-11-12
|
|
80202
|
CPT
|
Vancomycin Trough
|
8
|
8
|
$174.00
|
$174.00
|
$102.86
|
$161.70
|
$129.10
|
2025-11-12
|
|
83516
|
CPT
|
Anti-parietal Cell Ab (006486)
|
11
|
11
|
$99.00
|
$99.00
|
$93.17
|
$169.54
|
$127.82
|
2025-11-12
|
|
70330
|
CPT
|
Tempro Mandibular Jts Bilat Min4v
|
3
|
3
|
$175.00
|
$175.00
|
$116.27
|
$132.88
|
$126.84
|
2025-11-12
|
|
87389
|
CPT
|
HIV 1/2 Antibody/antigen Test
|
12
|
12
|
$180.00
|
$180.00
|
$119.35
|
$172.00
|
$125.51
|
2025-11-12
|
|
82679
|
CPT
|
Estrone (urine Or Serum) (004564)
|
3
|
3
|
$162.00
|
$162.00
|
$107.80
|
$131.40
|
$124.95
|
2025-11-12
|
|
73030
|
CPT
|
Shoulder Min2v
|
22
|
22
|
$179.00
|
$179.00
|
$114.64
|
$164.16
|
$124.74
|
2025-11-12
|
|
71045
|
CPT
|
Radiologic Examination, Chest, Single View, Frontal
|
23
|
23
|
$181.00
|
$181.00
|
$117.40
|
$163.20
|
$123.97
|
2025-11-12
|
|
80299
|
CPT
|
Trazadone Level
|
6
|
6
|
$136.00
|
$136.00
|
$18.48
|
$152.64
|
$122.48
|
2025-11-12
|
|
82525
|
CPT
|
Copper Serum (001586)
|
5
|
5
|
$175.00
|
$175.00
|
$89.69
|
$137.41
|
$122.43
|
2025-11-12
|
|
80185
|
CPT
|
Dilantin Level
|
6
|
6
|
$170.00
|
$170.00
|
$56.28
|
$137.70
|
$121.66
|
2025-11-12
|
|
86886
|
CPT
|
Coombs Indirect
|
14
|
14
|
$165.00
|
$165.00
|
$105.13
|
$146.02
|
$120.64
|
2025-11-12
|
|
92610
|
CPT
|
Eval. Of Oral & Pharyngeal (92610)
|
12
|
12
|
$157.00
|
$157.00
|
$107.15
|
$292.60
|
$119.75
|
2025-11-12
|
|
92526
|
CPT
|
Swallowing Tx
|
9
|
9
|
$211.00
|
$211.00
|
$110.93
|
$131.39
|
$119.35
|
2025-11-12
|
|
88305
|
CPT
|
Tissue Processing-sm 88305
|
11
|
11
|
$307.00
|
$307.00
|
$107.80
|
$206.46
|
$119.35
|
2025-11-12
|
|
20610
|
CPT
|
Drain/inj Joint/bursa Without US
|
18
|
17
|
$168.00
|
$168.00
|
$71.25
|
$156.80
|
$119.14
|
2025-11-12
|
|
88175
|
CPT
|
Pap Smear-liquid Based (193000)
|
15
|
15
|
$84.00
|
$84.00
|
$108.57
|
$152.88
|
$117.72
|
2025-11-12
|
|
20550
|
CPT
|
Inj Tendon Sheath/ligament
|
5
|
5
|
$168.00
|
$168.00
|
$107.26
|
$148.96
|
$116.67
|
2025-11-12
|
|
84255
|
CPT
|
Selenium (716910)
|
2
|
2
|
$166.00
|
$166.00
|
$115.50
|
$117.83
|
$116.66
|
2025-11-12
|
|
82803
|
CPT
|
Blood Gases
|
17
|
17
|
$131.00
|
$131.00
|
$84.70
|
$695.30
|
$116.62
|
2025-11-12
|
|
87491
|
CPT
|
Chlamydia Amplified DNA Probe
|
16
|
16
|
$162.00
|
$162.00
|
$106.72
|
$147.00
|
$115.98
|
2025-11-12
|
|
87591
|
CPT
|
Gc Amplified DNA Probe
|
16
|
16
|
$162.00
|
$162.00
|
$106.72
|
$147.00
|
$115.98
|
2025-11-12
|
|
80074
|
CPT
|
Hepatitis A B C (mc Panel) (322744)
|
16
|
16
|
$298.00
|
$298.00
|
$110.11
|
$326.70
|
$115.50
|
2025-11-12
|
|
80375
|
CPT
|
Drug/substance Nos 1-3
|
2
|
2
|
$142.00
|
$142.00
|
$114.44
|
$114.75
|
$114.59
|
2025-11-12
|
|
85303
|
CPT
|
Protein C
|
5
|
5
|
$154.00
|
$154.00
|
$107.80
|
$249.76
|
$113.19
|
2025-11-12
|
|
87529
|
CPT
|
Hsv Pcr I
|
7
|
7
|
$147.00
|
$147.00
|
$102.41
|
$137.20
|
$113.05
|
2025-11-12
|
|
82306
|
CPT
|
.vitamin D, 25-hydroxy (081950)
|
21
|
21
|
$161.00
|
$161.00
|
$105.88
|
$154.00
|
$112.42
|
2025-11-12
|
|
94621
|
CPT
|
Cardiopulmonary Exercise Testing, Including Measurements Of Minute Ventilation, …
|
10
|
10
|
$160.00
|
$160.00
|
$89.32
|
$142.10
|
$111.65
|
2025-11-12
|
|
29085
|
CPT
|
Apply Hand/wrist Cast
|
1
|
1
|
$168.00
|
$168.00
|
$111.65
|
$111.65
|
$111.65
|
2025-11-12
|
|
86255
|
CPT
|
Anti-smooth Muscle Ab,quant (006643)
|
12
|
12
|
$156.00
|
$156.00
|
$103.18
|
$131.32
|
$111.65
|
2025-11-12
|
|
84443
|
CPT
|
Tsh 84443
|
23
|
23
|
$157.00
|
$157.00
|
$99.96
|
$147.00
|
$109.34
|
2025-11-12
|
|
84432
|
CPT
|
Thyroglobulin, Quant (042846)
|
4
|
4
|
$30.00
|
$30.00
|
$109.34
|
$120.70
|
$109.34
|
2025-11-12
|
|
29580
|
CPT
|
Unna Boot
|
3
|
3
|
$245.00
|
$245.00
|
$84.10
|
$180.18
|
$108.78
|
2025-11-12
|
|
77062
|
CPT
|
Diagnostic Digital Breast Tomosynthesis; Bilateral
|
4
|
4
|
$141.00
|
$141.00
|
$103.18
|
$113.90
|
$108.39
|
2025-11-12
|
|
86162
|
CPT
|
Ch 50 Comp Blood Titer (001941)
|
4
|
4
|
$138.00
|
$138.00
|
$96.25
|
$129.36
|
$107.62
|
2025-11-12
|
|
80162
|
CPT
|
Digoxin Level
|
2
|
2
|
$136.00
|
$136.00
|
$94.71
|
$120.54
|
$107.62
|
2025-11-12
|
|
U0003
|
HCPCS
|
2019 Novel Coronavirus (covid-19)
|
3
|
3
|
$181.00
|
$181.00
|
$85.00
|
$115.87
|
$106.56
|
2025-11-12
|
|
86747
|
CPT
|
Parvovirus B19-igm
|
1
|
1
|
$131.00
|
$131.00
|
$105.96
|
$105.96
|
$105.96
|
2025-11-12
|
|
73502
|
CPT
|
Hip Min2v
|
21
|
21
|
$151.00
|
$151.00
|
$96.54
|
$211.74
|
$105.82
|
2025-11-12
|
|
84207
|
CPT
|
Vitamin B6 (004655)
|
4
|
4
|
$138.00
|
$138.00
|
$96.25
|
$112.20
|
$104.84
|
2025-11-12
|
|
70260
|
CPT
|
Skull Min4v
|
3
|
3
|
$141.00
|
$141.00
|
$96.34
|
$124.46
|
$103.18
|
2025-11-12
|
|
70200
|
CPT
|
Orbits Min4v
|
1
|
1
|
$141.00
|
$141.00
|
$103.18
|
$103.18
|
$103.18
|
2025-11-12
|
|
84238
|
CPT
|
Acetylcholine Recpt. Ab-comp (086007)
|
1
|
1
|
$156.00
|
$156.00
|
$103.18
|
$103.18
|
$103.18
|
2025-11-12
|
|
80184
|
CPT
|
Phenobarbitol 84231
|
3
|
3
|
$156.00
|
$156.00
|
$82.67
|
$117.92
|
$103.18
|
2025-11-12
|
|
84244
|
CPT
|
Renin (plasma) (002006)
|
5
|
5
|
$131.00
|
$131.00
|
$91.63
|
$116.62
|
$102.84
|
2025-11-12
|
|
73565
|
CPT
|
Knee Bilat. Weight Bearing Standing
|
8
|
8
|
$135.00
|
$135.00
|
$93.94
|
$119.56
|
$102.38
|
2025-11-12
|
|
82787
|
CPT
|
Immunglobulin G1
|
2
|
2
|
$138.00
|
$138.00
|
$96.25
|
$108.03
|
$102.14
|
2025-11-12
|
|
86696
|
CPT
|
Herpes Simp Ii (163147)
|
1
|
1
|
$153.00
|
$153.00
|
$101.64
|
$101.64
|
$101.64
|
2025-11-12
|
|
84403
|
CPT
|
Testosterone Total
|
15
|
15
|
$138.00
|
$138.00
|
$91.63
|
$122.50
|
$101.64
|
2025-11-12
|
|
93246
|
CPT
|
Ext Ecg>7d<15d Recording
|
4
|
4
|
$25.00
|
$25.00
|
$8.82
|
$114.30
|
$101.64
|
2025-11-12
|
|
93224
|
CPT
|
ECG Monit/reprt Up To 48 Hrs
|
5
|
5
|
$118.00
|
$118.00
|
$101.64
|
$132.00
|
$101.64
|
2025-11-12
|
|
82533
|
CPT
|
Cortisol
|
15
|
15
|
$145.00
|
$145.00
|
$96.25
|
$128.38
|
$100.87
|
2025-11-12
|
|
20600
|
CPT
|
Drain/inj Joint/bursa Without US
|
3
|
3
|
$137.00
|
$137.00
|
$94.33
|
$107.17
|
$100.87
|
2025-11-12
|
|
84154
|
CPT
|
Psa Free/total (480947)
|
10
|
10
|
$137.00
|
$137.00
|
$90.86
|
$121.52
|
$100.87
|
2025-11-12
|
|
82627
|
CPT
|
Dheas (004020)
|
8
|
8
|
$136.00
|
$136.00
|
$94.71
|
$110.21
|
$100.10
|
2025-11-12
|
|
84702
|
CPT
|
Hcg Level (004416)
|
9
|
9
|
$165.00
|
$165.00
|
$90.09
|
$123.20
|
$100.10
|
2025-11-12
|
|
94729
|
CPT
|
Dlco
|
11
|
11
|
$136.00
|
$136.00
|
$90.09
|
$114.66
|
$100.10
|
2025-11-12
|
|
73110
|
CPT
|
Wrist Min3v
|
18
|
18
|
$134.00
|
$134.00
|
$87.24
|
$165.53
|
$98.56
|
2025-11-12
|
|
93308
|
CPT
|
US Transthoracic Echo-ltd
|
1
|
1
|
$489.00
|
$489.00
|
$98.34
|
$98.34
|
$98.34
|
2025-11-12
|
|
84480
|
CPT
|
T 3 Total
|
11
|
11
|
$136.00
|
$136.00
|
$88.29
|
$116.27
|
$98.10
|
2025-11-12
|
|
86790
|
CPT
|
Hhc-gigg Antibodies
|
1
|
1
|
$63.00
|
$63.00
|
$97.79
|
$97.79
|
$97.79
|
2025-11-12
|
|
82670
|
CPT
|
Estradiol (004515)
|
9
|
9
|
$134.00
|
$134.00
|
$56.21
|
$104.57
|
$97.75
|
2025-11-12
|
|
82668
|
CPT
|
Erythropoietin (140277)
|
5
|
5
|
$125.00
|
$125.00
|
$82.39
|
$110.74
|
$97.66
|
2025-11-12
|
|
20605
|
CPT
|
Drain/inj Joint/bursa Without US
|
4
|
4
|
$142.00
|
$142.00
|
$93.94
|
$114.75
|
$97.59
|
2025-11-12
|
|
87798
|
CPT
|
Varicella-zoster Pcr (138313)
|
10
|
10
|
$755.00
|
$755.00
|
$59.29
|
$604.39
|
$97.08
|
2025-11-12
|
|
93242
|
CPT
|
Ext Ecg>48hr<7d Recording
|
17
|
17
|
$25.00
|
$25.00
|
$15.85
|
$116.62
|
$96.25
|
2025-11-12
|
|
87324
|
CPT
|
C Diff Toxin A
|
5
|
5
|
$87.00
|
$87.00
|
$91.63
|
$116.62
|
$96.25
|
2025-11-12
|
|
84305
|
CPT
|
Somatomendin-c (010363)
|
1
|
1
|
$124.00
|
$124.00
|
$95.20
|
$95.20
|
$95.20
|
2025-11-12
|
|
86812
|
CPT
|
Hla-b27 86812
|
3
|
3
|
$174.00
|
$174.00
|
$81.62
|
$96.80
|
$95.20
|
2025-11-12
|
|
84482
|
CPT
|
T3 Reverse (070104)
|
1
|
1
|
$129.00
|
$129.00
|
$94.71
|
$94.71
|
$94.71
|
2025-11-12
|
|
86256
|
CPT
|
Eb Virus Titer
|
8
|
8
|
$288.00
|
$288.00
|
$90.44
|
$122.50
|
$93.94
|
2025-11-12
|
|
71271
|
CPT
|
CT Thorax Lung Cancer Scr
|
13
|
13
|
$128.00
|
$128.00
|
$89.32
|
$105.21
|
$93.94
|
2025-11-12
|
|
84460
|
CPT
|
Sgpt
|
13
|
13
|
$30.00
|
$30.00
|
$19.76
|
$118.58
|
$93.17
|
2025-11-12
|
|
86147
|
CPT
|
Anti-cardiolipin Igm (161802)
|
2
|
2
|
$115.00
|
$115.00
|
$89.88
|
$93.50
|
$91.69
|
2025-11-12
|
|
86665
|
CPT
|
Ebv-vca-igm (096735)
|
10
|
10
|
$125.00
|
$125.00
|
$82.39
|
$105.23
|
$91.63
|
2025-11-12
|
|
83010
|
CPT
|
Haptoglobin (001628)
|
7
|
7
|
$124.00
|
$124.00
|
$81.62
|
$96.80
|
$90.86
|
2025-11-12
|
|
73140
|
CPT
|
Fingers Min3v
|
12
|
12
|
$124.00
|
$124.00
|
$81.62
|
$197.89
|
$90.86
|
2025-11-12
|
|
87040
|
CPT
|
Blood Culture #1
|
14
|
14
|
$124.00
|
$124.00
|
$78.64
|
$115.64
|
$90.86
|
2025-11-12
|
|
80329
|
CPT
|
Salicylate (007849)
|
3
|
3
|
$59.00
|
$59.00
|
$90.74
|
$100.80
|
$90.75
|
2025-11-12
|
|
92507
|
CPT
|
Treatment Of Speech,lang.voice (92507)
|
10
|
10
|
$126.00
|
$126.00
|
$83.16
|
$108.00
|
$89.79
|
2025-11-12
|
|
80280
|
CPT
|
Vedolizumab Ab
|
1
|
1
|
$122.00
|
$122.00
|
$89.58
|
$89.58
|
$89.58
|
2025-11-12
|
|
80159
|
CPT
|
Clozapine, Serum Or Plasma 706440
|
2
|
2
|
$114.00
|
$114.00
|
$83.93
|
$92.40
|
$88.17
|
2025-11-12
|
|
82355
|
CPT
|
Calculi Analysis (120790)
|
1
|
1
|
$119.00
|
$119.00
|
$87.96
|
$87.96
|
$87.96
|
2025-11-12
|
|
80361
|
CPT
|
Opiate Conf.ua (737834)
|
2
|
2
|
$116.00
|
$116.00
|
$86.42
|
$89.25
|
$87.84
|
2025-11-12
|
|
84681
|
CPT
|
C Peptide (010108)
|
14
|
14
|
$120.00
|
$120.00
|
$75.62
|
$243.74
|
$87.78
|
2025-11-12
|
|
86677
|
CPT
|
H. Pylori Igg Quantitative (162289)
|
16
|
16
|
$115.00
|
$115.00
|
$78.32
|
$108.00
|
$87.78
|
2025-11-12
|
|
87502
|
CPT
|
Influenza A/b (id Now
|
12
|
12
|
$119.00
|
$119.00
|
$76.97
|
$104.86
|
$87.01
|
2025-11-12
|