Top 40 services provided by CARO COMMUNITY HOSPITAL
Services CPT Price Est. Cash Price
Fine needle aspiration of first lesion using ultrasound guidance 10005 $904.00 $117.52
Fine needle aspiration of first lesion 10021 $190.00 $24.70
Fine needle aspiration of first lesion 10021 $119.00 $15.47
Fine needle aspiration of first lesion 10021 $466.00 $60.58
Fluid collection drainage by catheter using imaging guidance, accessed through the skin 10030 $858.00 $111.54
Drainage of abscess 10060 $162.00 $21.06
Drainage of abscess 10060 $244.00 $31.72
Drainage of abscess 10060 $431.00 $56.03
Drainage of multiple abscess 10061 $466.00 $60.58
Drainage of multiple abscess 10061 $301.00 $39.13
Drainage of tailbone cyst 10080 $173.00 $22.49
Drainage of tailbone cyst 10080 $229.00 $29.77
Drainage of tailbone cyst 10080 $858.00 $111.54
Removal of foreign body from tissue, accessed beneath the skin 10120 $466.00 $60.58
Removal of foreign body from tissue, accessed beneath the skin 10120 $172.00 $22.36
Removal of foreign body from tissue, accessed beneath the skin 10121 $314.00 $40.82
Removal of foreign body from tissue, accessed beneath the skin 10121 $1,968.00 $255.84
Drainage of blood or fluid accumulation 10140 $2,558.00 $332.54
Drainage of blood or fluid accumulation 10140 $1,968.00 $255.84
Aspiration of abscess, blood accumulation, blister, or cyst 10160 $466.00 $60.58
Aspiration of abscess, blood accumulation, blister, or cyst 10160 $160.00 $20.80
Drainage of wound infection after surgery 10180 $306.00 $39.78
Drainage of wound infection after surgery 10180 $2,525.00 $328.25
Drainage of wound infection after surgery 10180 $4,039.00 $525.07
Removal of inflamed or infected skin, up to 10% of body surface 11000 $48.00 $6.24
Removal of inflamed or infected skin, up to 10% of body surface 11000 $722.00 $93.86
Removal of foreign material from skin and tissue at open fracture and/or dislocation 11010 $491.00 $63.83
Removal of foreign material from skin and tissue at open fracture and/or dislocation 11010 $634.00 $82.42
Removal of foreign material from skin and tissue at open fracture and/or dislocation 11010 $1,368.00 $177.84
Removal of skin and tissue first 20 sq cm or less 11042 $740.00 $96.20
Removal of skin and tissue first 20 sq cm or less 11042 $104.00 $13.52
Removal of skin and/or muscle first 20 sq cm or less 11043 $722.00 $93.86
Removal of skin and/or muscle first 20 sq cm or less 11043 $300.00 $39.00
Removal of skin and bone first 20 sq cm or less 11044 $1,968.00 $255.84
Removal of skin and bone first 20 sq cm or less 11044 $398.00 $51.74
Removal of skin and tissue 11045 $45.00 $5.85
Removal of skin and tissue 11045 $525.00 $68.25
Removal of skin and/or muscle 11046 $525.00 $68.25
Removal of skin and/or muscle 11046 $98.00 $12.74
Removal of skin and bone 11047 $1,461.00 $189.93
Removal of skin and bone 11047 $174.00 $22.62
Removal of single thickened skin growth 11055 $26.00 $3.38
Removal of single thickened skin growth 11055 $244.00 $31.72
Removal of 2 to 4 thickened skin growths 11056 $244.00 $31.72
Removal of 2 to 4 thickened skin growths 11056 $38.00 $4.94
Removal of more than 4 thickened skin growths 11057 $50.00 $6.50
Removal of more than 4 thickened skin growths 11057 $398.00 $51.74
Punch biopsy of single skin lesion 11104 $57.00 $7.41
Punch biopsy of single skin lesion 11104 $459.00 $59.67
Removal of up to and including 15 skin tags 11200 $123.00 $15.99
Removal of up to and including 15 skin tags 11200 $244.00 $31.72
Removal of skin tags 11201 $87.00 $11.31
Removal of skin tags 11201 $29.00 $3.77
Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs 11300 $60.00 $7.80
Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs 11301 $244.00 $31.72
Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs 11301 $93.00 $12.09
Shaving of 0.5 centimeters or less skin growth of scalp, neck, hands, feet, or genitals 11305 $244.00 $31.72
Shaving of 0.5 centimeters or less skin growth of scalp, neck, hands, feet, or genitals 11305 $67.00 $8.71
Shaving of 0.6 centimeters to 1.0 centimeters skin growth of scalp, neck, hands, feet, or genitals 11306 $244.00 $31.72
Shaving of 0.6 centimeters to 1.0 centimeters skin growth of scalp, neck, hands, feet, or genitals 11306 $89.00 $11.57
Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth 11310 $82.00 $10.66
Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth 11310 $244.00 $31.72
Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth 11311 $112.00 $14.56
Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth 11311 $244.00 $31.72
Removal of growth (0.5 centimeters or less) of the trunk, arms or legs 11400 $135.00 $17.55
Removal of growth (0.5 centimeters or less) of the trunk, arms or legs 11400 $858.00 $111.54
Removal of growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs 11401 $466.00 $60.58
Removal of growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs 11401 $175.00 $22.75
Removal of growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs 11401 $1,125.00 $146.25
Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs 11402 $193.00 $25.09
Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs 11402 $858.00 $111.54
Removal of growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs 11403 $858.00 $111.54
Removal of growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs 11403 $251.00 $32.63
Removal of growth (4.0 centimeters) of the trunk, arms, or legs 11406 $1,968.00 $255.84
Removal of growth (0.5 centimeters or less) of the scalp, neck, hands, feet, or genitals 11420 $1,968.00 $255.84
Removal of growth (0.5 centimeters or less) of the scalp, neck, hands, feet, or genitals 11420 $137.00 $17.81
Removal of growth (0.6 to 1.0 centimeters) of the scalp, neck, hands, feet, or genitals 11421 $858.00 $111.54
Removal of growth (0.6 to 1.0 centimeters) of the scalp, neck, hands, feet, or genitals 11421 $1,445.00 $187.85
Removal of growth (0.6 to 1.0 centimeters) of the scalp, neck, hands, feet, or genitals 11421 $186.00 $24.18
Removal of growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals 11422 $228.00 $29.64
Removal of growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals 11422 $1,968.00 $255.84
Removal of growth (2.1 to 3.0 centimeters) of the scalp, neck, hands, feet, or genitals 11423 $1,968.00 $255.84
Removal of growth (2.1 to 3.0 centimeters) of the scalp, neck, hands, feet, or genitals 11423 $265.00 $34.45
Removal of growth (0.5 centimeters or less) of the face, ears, eyelids, nose, lips, or mouth 11440 $858.00 $111.54
Removal of growth (0.5 centimeters or less) of the face, ears, eyelids, nose, lips, or mouth 11440 $171.00 $22.23
Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth 11441 $219.00 $28.47
Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth 11441 $858.00 $111.54
Removal of growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth 11442 $858.00 $111.54
Removal of growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth 11442 $244.00 $31.72
Removal of growth (2.1 to 3.0 centimeters) of face, ears, eyelids, nose, lips, or mouth 11443 $1,968.00 $255.84
Removal of growth (2.1 to 3.0 centimeters) of face, ears, eyelids, nose, lips, or mouth 11443 $302.00 $39.26
Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs 11601 $254.00 $33.02
Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs 11601 $858.00 $111.54
Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs 11602 $278.00 $36.14
Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs 11602 $466.00 $60.58
Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs 11603 $334.00 $43.42
Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs 11603 $858.00 $111.54
Removal of malignant growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals 11622 $293.00 $38.09
Removal of malignant growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals 11622 $858.00 $111.54
Removal of malignant growth (0.5 centimeters or less) of the face, ears, eyelids, nose, or lips 11640 $858.00 $111.54
Removal of malignant growth (0.5 centimeters or less) of the face, ears, eyelids, nose, or lips 11640 $211.00 $27.43
Removal of malignant growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, or lips 11641 $858.00 $111.54
Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips 11642 $858.00 $111.54
Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips 11642 $314.00 $40.82
Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips 11643 $394.00 $51.22
Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips 11643 $1,968.00 $255.84
Trimming of fingernails or toenails 11719 $164.00 $21.32
Trimming of fingernails or toenails 11719 $12.00 $1.56
Removal of tissue from 1 to 5 finger or toe nails 11720 $164.00 $21.32
Removal of tissue from 1 to 5 finger or toe nails 11720 $24.00 $3.12
Removal of tissue from 6 or more finger or toe nails 11721 $42.00 $5.46
Removal of tissue from 6 or more finger or toe nails 11721 $164.00 $21.32
Separation of nail plate from nail bed 11730 $133.00 $17.29
Separation of nail plate from nail bed 11730 $94.00 $12.22
Separation of nail plate from nail bed 11730 $244.00 $31.72
Separation of nail plate from nail bed 11730 $398.00 $51.74
Separation of nail plate from nail bed 11732 $30.00 $3.90
Separation of nail plate from nail bed 11732 $178.00 $23.14
Removal of blood accumulation between nail and nail bed 11740 $54.00 $7.02
Removal of blood accumulation between nail and nail bed 11740 $87.00 $11.31
Removal of blood accumulation between nail and nail bed 11740 $64.00 $8.32
Removal of blood accumulation between nail and nail bed 11740 $107.00 $13.91
Removal of blood accumulation between nail and nail bed 11740 $157.00 $20.41
Removal of nail 11750 $859.00 $111.67
Removal of nail 11750 $229.00 $29.77
Repair of finger or toe nail bed 11760 $722.00 $93.86
Repair of finger or toe nail bed 11760 $264.00 $34.32
Repair of finger or toe nail bed 11760 $192.00 $24.96
Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs 12001 $75.00 $9.75
Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs 12001 $201.00 $26.13
Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs 12001 $244.00 $31.72
Repair of wound (2.6 to 7.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12002 $100.00 $13.00
Repair of wound (2.6 to 7.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12002 $244.00 $31.72
Repair of wound (2.6 to 7.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12002 $217.00 $28.21
Repair of wound (7.6 to 12.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12004 $354.00 $46.02
Repair of wound (7.6 to 12.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12004 $244.00 $31.72
Repair of wound (7.6 to 12.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12004 $125.00 $16.25
Repair of wound (7.6 to 12.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12004 $649.00 $84.37
Repair of wound (12.6 to 20.0 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12005 $466.00 $60.58
Repair of wound (12.6 to 20.0 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12005 $314.00 $40.82
Repair of wound (20.1 to 30.0 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12006 $638.00 $82.94
Repair of wound (20.1 to 30.0 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12006 $390.00 $50.70
Repair of wound (over 30.0 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12007 $441.00 $57.33
Repair of wound (over 30.0 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12007 $573.00 $74.49
Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12011 $244.00 $31.72
Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12011 $216.00 $28.08
Repair of wound (2.6 to 5.0 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12013 $100.00 $13.00
Repair of wound (2.6 to 5.0 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12013 $235.00 $30.55
Repair of wound (2.6 to 5.0 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12013 $244.00 $31.72
Repair of wound (5.1 to 7.5 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12014 $398.00 $51.74
Repair of wound (5.1 to 7.5 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12014 $278.00 $36.14
Repair of wound (5.1 to 7.5 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12014 $244.00 $31.72
Repair of wound (5.1 to 7.5 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12014 $128.00 $16.64
Repair of wound (7.6 to 12.5 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12015 $350.00 $45.50
Repair of wound (7.6 to 12.5 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12015 $468.00 $60.84
Repair of wound (12.6 to 20.0 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12016 $639.00 $83.07
Repair of wound (12.6 to 20.0 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12016 $413.00 $53.69
Repair of separation of wound closure 12020 $363.00 $47.19
Repair of separation of wound closure 12020 $319.00 $41.47
Repair of separation of wound closure 12020 $1,249.00 $162.37
Repair of separation of wound closure 12020 $722.00 $93.86
Repair of separation of wound closure with insertion of packing 12021 $233.00 $30.29
Repair of separation of wound closure with insertion of packing 12021 $466.00 $60.58
Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs 12031 $260.00 $33.80
Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs 12031 $466.00 $60.58
Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12032 $466.00 $60.58
Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12032 $331.00 $43.03
Repair of wound (7.6 to 12.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12034 $466.00 $60.58
Repair of wound (7.6 to 12.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12034 $355.00 $46.15
Repair of wound (12.6 to 20.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12035 $558.00 $72.54
Repair of wound (12.6 to 20.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12035 $411.00 $53.43
Repair of wound (20.1 to 30.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12036 $722.00 $93.86
Repair of wound (20.1 to 30.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12036 $479.00 $62.27
Repair of wound (2.5 centimeters or less) of neck, hands, feet, and/or genitals 12041 $256.00 $33.28
Repair of wound (2.5 centimeters or less) of neck, hands, feet, and/or genitals 12041 $466.00 $60.58
Repair of wound (2.5 centimeters or less) of neck, hands, feet, and/or genitals 12041 $312.00 $40.56
Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals 12042 $466.00 $60.58
Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals 12042 $341.00 $44.33
Repair of wound (7.6 to 12.5 centimeters) of neck, hands, feet, and/or genitals 12044 $366.00 $47.58
Repair of wound (7.6 to 12.5 centimeters) of neck, hands, feet, and/or genitals 12044 $722.00 $93.86
Repair of wound (12.6 to 20.0 centimeters) of neck, hands, feet, and/or genitals 12045 $722.00 $93.86
Repair of wound (12.6 to 20.0 centimeters) of neck, hands, feet, and/or genitals 12045 $460.00 $59.80
Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth 12051 $244.00 $31.72
Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth 12051 $396.00 $51.48
Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth 12051 $292.00 $37.96
Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12052 $348.00 $45.24
Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12052 $466.00 $60.58
Repair of wound (5.1 to 7.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12053 $371.00 $48.23
Repair of wound (5.1 to 7.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12053 $466.00 $60.58
Repair of wound (5.1 to 7.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12053 $564.00 $73.32
Repair of wound (7.6 to 12.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12054 $641.00 $83.33
Repair of wound (7.6 to 12.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12054 $466.00 $60.58
Repair of wound (7.6 to 12.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12054 $381.00 $49.53
Repair of wound (1.1 to 2.5 centimeters) of trunk 13100 $722.00 $93.86
Repair of wound (1.1 to 2.5 centimeters) of trunk 13100 $353.00 $45.89
Repair of wound (2.6 to 7.5 centimeters) of trunk 13101 $432.00 $56.16
Repair of wound (2.6 to 7.5 centimeters) of trunk 13101 $722.00 $93.86
Repair of wound of trunk 13102 $436.00 $56.68
Repair of wound of trunk 13102 $128.00 $16.64
Repair of wound (1.1 to 2.5 centimeters) of scalp, arms, and/or legs 13120 $402.00 $52.26
Repair of wound (1.1 to 2.5 centimeters) of scalp, arms, and/or legs 13120 $722.00 $93.86
Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs 13121 $558.00 $72.54
Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs 13121 $722.00 $93.86
Repair of wound of scalp, arms, and/or legs 13122 $149.00 $19.37
Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 13131 $466.00 $60.58
Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 13131 $427.00 $55.51
Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 13132 $539.00 $70.07
Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 13132 $722.00 $93.86
Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 13132 $729.00 $94.77
Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 13132 $1,035.00 $134.55
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 13133 $396.00 $51.48
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 13133 $227.00 $29.51
Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips 13151 $722.00 $93.86
Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips 13152 $921.00 $119.73
Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips 13152 $723.00 $93.99
Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips 13152 $597.00 $77.61
Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips 13152 $722.00 $93.86
Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) 15240 $2,272.00 $295.36
Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs 15272 $30.00 $3.90
Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs 15272 $215.00 $27.95
Application of skin substitute (wound surface greater or equal to 100 sq cm) to trunk, arms, or legs (first 100 sq cm or 1% body area of infants and children) 15273 $6,703.00 $871.39
Application of skin substitute (wound surface greater or equal to 100 sq cm) to trunk, arms, or legs (first 100 sq cm or 1% body area of infants and children) 15273 $354.00 $46.02
Application of skin substitute (wound surface greater or equal to 100 sq cm) to trunk, arms, or legs 15274 $81.00 $10.53
Application of skin substitute (wound surface greater or equal to 100 sq cm) to trunk, arms, or legs 15274 $629.00 $81.77
Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) 15275 $162.00 $21.06
Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) 15275 $4,098.00 $532.74
Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes 15276 $215.00 $27.95
Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes 15276 $44.00 $5.72
Application of skin substitute (wound surface great than or equal to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) 15277 $394.00 $51.22
Application of skin substitute (wound surface great than or equal to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) 15277 $4,098.00 $532.74
Application of skin substitute (wound surface great than or equal to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes 15278 $101.00 $13.13
Application of skin substitute (wound surface great than or equal to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes 15278 $629.00 $81.77
First degree burn treatment 16000 $99.00 $12.87
First degree burn treatment 16000 $244.00 $31.72
First degree burn treatment 16000 $78.00 $10.14
Dressing change and/or removal of burn tissue (less than 5% total body surface) 16020 $113.00 $14.69
Dressing change and/or removal of burn tissue (less than 5% total body surface) 16020 $92.00 $11.96
Dressing change and/or removal of burn tissue (less than 5% total body surface) 16020 $244.00 $31.72
Dressing change and/or removal of burn tissue (less than 5% total body surface) 16020 $398.00 $51.74
Dressing change and/or removal of burn tissue (5% to 10% total body surface) 16025 $190.00 $24.70
Dressing change and/or removal of burn tissue (5% to 10% total body surface) 16025 $398.00 $51.74
Dressing change and/or removal of burn tissue (greater than 10% total body surface) 16030 $466.00 $60.58
Destruction of skin growth 17000 $244.00 $31.72
Destruction of skin growth 17000 $89.00 $11.57
Destruction of 2-14 skin growths 17003 $4.00 $0.52
Destruction of 2-14 skin growths 17003 $54.00 $7.02
Destruction of 15 or more skin growths 17004 $466.00 $60.58
Destruction of 15 or more skin growths 17004 $168.00 $21.84
Destruction of up to 14 skin growths 17110 $94.00 $12.22
Destruction of up to 14 skin growths 17110 $244.00 $31.72
Destruction of up to 14 skin growths 17110 $407.00 $52.91
Destruction of 15 or more skin growths 17111 $244.00 $31.72
Application of chemical agent to excessive wound tissue 17250 $244.00 $31.72
Application of chemical agent to excessive wound tissue 17250 $398.00 $51.74
Application of chemical agent to excessive wound tissue 17250 $62.00 $8.06
Aspiration of breast cyst 19000 $75.00 $9.75
Aspiration of breast cyst 19000 $858.00 $111.54
Aspiration of breast cyst 19000 $157.00 $20.41
Puncture aspiration of breast cyst 19001 $227.00 $29.51
Puncture aspiration of breast cyst 19001 $37.00 $4.81
Needle biopsy of breast 19100 $1,499.00 $194.87
Removal of one or more growth from the breast; a surgical procedure on a female or male also called a mastectomy 19120 $3,977.00 $3,459.99
Removal of one or more growth from the breast; a surgical procedure on a female or male also called a mastectomy 19120 $3,977.00 $517.01
Exploration of penetrating wound of abdomen, flank, or back 20102 $2,272.00 $295.36
Exploration of penetrating wound of abdomen, flank, or back 20102 $631.00 $82.03
Exploration of penetrating wound of arm or leg 20103 $772.00 $100.36
Exploration of penetrating wound of arm or leg 20103 $858.00 $111.54
Needle biopsy of muscle, accessed through the skin 20206 $1,968.00 $255.84
Biopsy of bone using needle or trocar 20220 $1,968.00 $255.84
Biopsy of bone, open procedure 20240 $2,250.00 $292.50
Biopsy of bone, open procedure 20240 $5,425.00 $705.25
Biopsy of bone, open procedure 20240 $427.00 $55.51
Biopsy of bone, open procedure 20245 $1,095.00 $142.35
Biopsy of bone, open procedure 20245 $3,418.00 $444.34
Removal of foreign body in muscle or tendon 20520 $248.00 $32.24
Removal of foreign body in muscle or tendon 20520 $1,968.00 $255.84
Injections of tendon sheath, ligament, or muscle membrane 20550 $82.00 $10.66
Injections of tendon sheath, ligament, or muscle membrane 20550 $368.00 $47.84
Injections of tendon sheath, ligament, or muscle membrane 20550 $67.00 $8.71
Injections of trigger points in 1 or 2 muscles 20552 $63.00 $8.19
Injections of trigger points in 1 or 2 muscles 20552 $368.00 $47.84
Injections of trigger points in 3 or more muscles 20553 $368.00 $47.84
Injections of trigger points in 3 or more muscles 20553 $73.00 $9.49
Aspiration and/or injection of small joint or joint capsule 20600 $368.00 $47.84
Aspiration and/or injection of small joint or joint capsule 20600 $77.00 $10.01
Aspiration and/or injection of small joint or joint capsule 20600 $60.00 $7.80
Aspiration and/or injection of medium joint or joint capsule 20605 $368.00 $47.84
Aspiration and/or injection of medium joint or joint capsule 20605 $63.00 $8.19
Aspiration and/or injection of medium joint or joint capsule 20605 $82.00 $10.66
Aspiration and/or injection of large joint or joint capsule 20610 $107.00 $13.91
Aspiration and/or injection of large joint or joint capsule 20610 $80.00 $10.40
Aspiration and/or injection of large joint or joint capsule 20610 $368.00 $47.84
Aspiration and/or injection of cysts 20612 $71.00 $9.23
Aspiration and/or injection of cysts 20612 $368.00 $47.84
Removal of bone implant 20670 $601.00 $78.13
Removal of bone implant 20670 $249.00 $32.37
Removal of bone implant 20670 $1,968.00 $255.84
Insertion of device to monitor muscle compartment fluid pressure 20950 $188.00 $24.44
Muscle and bone procedure 20999 $89.00 $11.57
Muscle and bone procedure 20999 $1,836.00 $238.68
Closed treatment of broken nasal bone 21310 $318.00 $41.34
Closed treatment of broken nasal bone 21310 $153.00 $19.89
Closed treatment of broken nasal bone 21315 $255.00 $33.15
Closed treatment of broken nasal bone 21315 $1,653.00 $214.89
Closed treatment of broken nasal bone 21315 $347.00 $45.11
Closed treatment of broken nasal bone with stabilization 21320 $3,459.00 $449.67
Closed treatment of broken jaw bone with manipulation 21451 $1,653.00 $214.89
Closed treatment of broken jaw bone with manipulation 21451 $1,134.00 $147.42
Closed treatment of jaw temporomandibular joint (TMJ) dislocation 21480 $128.00 $16.64
Closed treatment of jaw temporomandibular joint (TMJ) dislocation 21480 $55.00 $7.15
Closed treatment of jaw temporomandibular joint (TMJ) dislocation 21480 $318.00 $41.34
Biopsy of tissue of back or flank 21925 $2,146.00 $278.98
Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance 22513 $908.00 $118.04
Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance 22514 $844.00 $109.72
Procedure on abdomen, muscle or bone 22999 $1,074.00 $139.62
Procedure on abdomen, muscle or bone 22999 $1,368.00 $177.84
Procedure on abdomen, muscle or bone 22999 $318.00 $41.34
Closed treatment of collar bone fracture 23500 $370.00 $48.10
Closed treatment of collar bone fracture 23500 $518.00 $67.34
Closed treatment of collar bone broken with manipulation 23505 $1,938.00 $251.94
Closed treatment of collar bone and shoulder joint dislocation 23540 $379.00 $49.27
Closed treatment of collar bone and shoulder joint dislocation 23540 $452.00 $58.76
Closed treatment of shoulder blade fracture 23570 $318.00 $41.34
Closed treatment of shoulder blade fracture 23570 $400.00 $52.00
Closed treatment of upper arm fracture 23600 $318.00 $41.34
Closed treatment of upper arm fracture 23600 $462.00 $60.06
Closed treatment of broken upper arm bone with manipulation 23605 $714.00 $92.82
Closed treatment of broken upper arm bone with manipulation 23605 $1,938.00 $251.94
Closed treatment of shoulder dislocation with manipulation 23650 $318.00 $41.34
Closed treatment of shoulder dislocation with manipulation 23650 $684.00 $88.92
Closed treatment of shoulder dislocation with manipulation under anesthesia 23655 $679.00 $88.27
Closed treatment of shoulder dislocation with manipulation under anesthesia 23655 $1,938.00 $251.94
Closed treatment of shoulder dislocation and broken of upper arm bone with manipulation 23665 $668.00 $86.84
Closed treatment of shoulder dislocation and broken of upper arm bone with manipulation 23665 $1,938.00 $251.94
Drainage of fluid-filled sac (bursa) of upper arm or elbow 23931 $1,968.00 $255.84
Drainage of fluid-filled sac (bursa) of upper arm or elbow 23931 $391.00 $50.83
Drainage of fluid-filled sac (bursa) of upper arm or elbow 23931 $1,435.00 $186.55
Drainage of fluid-filled sac (bursa) of upper arm or elbow 23931 $270.00 $35.10
Drainage of fluid-filled sac (bursa) of upper arm or elbow 23931 $2,640.00 $343.20
Closed treatment of upper arm fracture 24500 $427.00 $55.51
Closed treatment of upper arm fracture 24500 $546.00 $70.98
Closed treatment of upper arm fracture 24500 $318.00 $41.34
Closed treatment of broken upper arm bone with manipulation 24505 $1,938.00 $251.94
Closed treatment of broken upper arm bone with manipulation 24505 $761.00 $98.93
Closed treatment of growth plate or broken upper arm bone at elbow 24530 $578.00 $75.14
Closed treatment of growth plate or broken upper arm bone at elbow 24530 $498.00 $64.74
Closed treatment of growth plate or broken upper arm bone at elbow 24530 $318.00 $41.34
Closed treatment of broken upper arm bone at shoulder 24560 $479.00 $62.27
Closed treatment of broken upper arm bone at shoulder 24560 $390.00 $50.70
Treatment of elbow dislocation 24600 $318.00 $41.34
Treatment of dislocated elbow under anesthesia 24605 $1,938.00 $251.94
Treatment of dislocated elbow under anesthesia 24605 $796.00 $103.48
Closed treatment of broken and dislocated forearm bones at elbow with manipulation 24620 $1,938.00 $251.94
Closed treatment of dislocated forearm bone of elbow, child 24640 $318.00 $41.34
Closed treatment of dislocated forearm bone of elbow, child 24640 $145.00 $18.85
Closed treatment of broken forearm bone at elbow 24650 $400.00 $52.00
Closed treatment of broken forearm bone at elbow 24650 $318.00 $41.34
Closed treatment of broken forearm bone at elbow with manipulation 24655 $667.00 $86.71
Closed treatment of broken forearm bone at elbow with manipulation 24655 $1,938.00 $251.94
Closed treatment of broke forearm bone at elbow 24670 $438.00 $56.94
Closed treatment of broke forearm bone at elbow 24670 $318.00 $41.34
Closed treatment of broken forearm bone at elbow with manipulation 24675 $1,938.00 $251.94
Closed treatment of broken forearm bone at elbow with manipulation 24675 $695.00 $90.35
Repair of tendon or muscle of forearm and/or wrist 25260 $3,880.00 $504.40
Repair of tendon or muscle of forearm and/or wrist 25260 $1,068.00 $138.84
Repair of forearm and/or wrist tendon or muscle 25270 $3,880.00 $504.40
Repair of forearm and/or wrist tendon or muscle 25270 $830.00 $107.90
Closed treatment of broken forearm bone 25500 $545.00 $70.85
Closed treatment of broken forearm bone 25500 $318.00 $41.34
Closed treatment of broken forearm bone 25500 $419.00 $54.47
Closed treatment of broken forearm bone with manipulation 25505 $771.00 $100.23
Closed treatment of broken forearm bones 25560 $318.00 $41.34
Closed treatment of broken forearm bones 25560 $419.00 $54.47
Closed treatment of broken forearm bones with manipulation 25565 $1,938.00 $251.94
Closed treatment of broken forearm bones with manipulation 25565 $788.00 $102.44
Closed treatment of broken forearm bones 25600 $409.00 $53.17
Closed treatment of broken forearm bones 25600 $516.00 $67.08
Closed treatment of broken forearm bones 25600 $379.00 $49.27
Closed treatment of broken forearm bones 25600 $318.00 $41.34
Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation 25605 $1,938.00 $251.94
Closed treatment of broken wrist bone 25622 $463.00 $60.19
Closed treatment of broken wrist bone 25622 $409.00 $53.17
Closed treatment of broken wrist bone 25630 $470.00 $61.10
Closed treatment of broken wrist bone 25630 $522.00 $67.86
Closed treatment of broken forearm at wrist bone 25650 $575.00 $74.75
Closed treatment of broken forearm at wrist bone 25650 $499.00 $64.87
Closed treatment of dislocated wrist with manipulation 25675 $318.00 $41.34
Closed treatment of dislocated wrist with manipulation 25675 $659.00 $85.67
Closed treatment of dislocated wrist with manipulation 25680 $809.00 $105.17
Closed treatment of dislocated wrist with manipulation 25680 $318.00 $41.34
Closed treatment of dislocated wrist bone with manipulation 25690 $798.00 $103.74
Closed treatment of dislocated wrist bone with manipulation 25690 $1,938.00 $251.94
Drainage of finger abscess 26010 $355.00 $46.15
Drainage of finger abscess 26010 $229.00 $29.77
Drainage of finger abscess 26010 $244.00 $31.72
Drainage of finger abscess 26011 $312.00 $40.56
Drainage of finger abscess 26011 $1,968.00 $255.84
Drainage of tendon of finger and/or palm 26020 $3,880.00 $504.40
Drainage of tendon of finger and/or palm 26020 $732.00 $95.16
Exploration, drainage, or removal of foreign body of hand joint 26075 $3,880.00 $504.40
Exploration, drainage, or removal of foreign body of hand joint 26075 $563.00 $73.19
Repair of finger tendon 26350 $1,173.00 $152.49
Repair of finger tendon 26350 $3,880.00 $504.40
Repair of finger tendon 26370 $3,880.00 $504.40
Repair of hand tendon 26410 $3,880.00 $504.40
Repair of finger tendon 26418 $3,880.00 $504.40
Repair of finger tendon using tissue 26426 $850.00 $110.50
Repair of finger tendon using tissue 26426 $3,880.00 $504.40
Closed treatment of fracture hand bone 26600 $460.00 $59.80
Closed treatment of fracture hand bone 26600 $396.00 $51.48
Closed treatment of fracture hand bone 26600 $318.00 $41.34
Closed treatment of fracture of bone of hand with manipulation 26605 $603.00 $78.39
Closed treatment of fracture of bone of hand with manipulation 26605 $489.00 $63.57
Closed treatment of fracture of bone of hand with manipulation 26605 $318.00 $41.34
Closed treatment of thumb dislocation with manipulation 26641 $573.00 $74.49
Closed treatment of thumb dislocation with manipulation 26641 $318.00 $41.34
Closed treatment of dislocated hand bone with manipulation 26670 $318.00 $41.34
Closed treatment of dislocated hand joint with manipulation 26700 $509.00 $66.17
Closed treatment of dislocated hand joint with manipulation 26700 $318.00 $41.34
Closed treatment of dislocated hand joint with manipulation under anesthesia 26705 $635.00 $82.55
Closed treatment of dislocated hand joint with manipulation under anesthesia 26705 $1,938.00 $251.94
Closed treatment of broken finger or thumb 26720 $318.00 $41.34
Closed treatment of broken finger or thumb 26720 $306.00 $39.78
Closed treatment of broken finger or thumb with manipulation 26725 $509.00 $66.17
Closed treatment of broken finger or thumb with manipulation 26725 $318.00 $41.34
Open treatment of broken finger 26735 $1,012.00 $131.56
Open treatment of broken finger 26735 $3,880.00 $504.40
Closed treatment of broken hand or finger with manipulation 26742 $1,938.00 $251.94
Closed treatment of broken hand or finger with manipulation 26742 $563.00 $73.19
Open treatment of broken hand or finger 26746 $3,880.00 $504.40
Open treatment of broken hand or finger 26746 $1,264.00 $164.32
Closed treatment of broken finger or thumb 26750 $306.00 $39.78
Closed treatment of broken finger or thumb with manipulation 26755 $318.00 $41.34
Closed treatment of broken finger or thumb with manipulation 26755 $458.00 $59.54
Open treatment of broken finger or thumb 26765 $3,880.00 $504.40
Open treatment of broken finger or thumb 26765 $846.00 $109.98
Closed treatment of dislocated finger joint with manipulation 26770 $424.00 $55.12
Closed treatment of dislocated finger joint with manipulation 26770 $396.00 $51.48
Closed treatment of dislocated finger joint with manipulation 26770 $318.00 $41.34
Closed treatment of dislocated finger joint with manipulation under anesthesia 26775 $352.00 $45.76
Amputation of hand bone, finger, or thumb 26910 $3,880.00 $504.40
Amputation of hand bone, finger, or thumb 26910 $1,201.00 $156.13
Amputation of finger or thumb 26951 $1,078.00 $140.14
Amputation of finger or thumb 26952 $3,880.00 $504.40
Injection procedure into sacroiliac joint for anesthetic or steroid 27096 $49.00 $6.37
Injection procedure into sacroiliac joint for anesthetic or steroid 27096 $266.00 $34.58
Injection procedure into sacroiliac joint for anesthetic or steroid 27096 $140.00 $18.20
Closed treatment of upper thigh bone fracture 27230 $1,072.00 $139.36
Closed treatment of upper thigh bone fracture 27230 $801.00 $104.13
Treatment of hip dislocation 27250 $657.00 $85.41
Treatment of hip dislocation 27250 $318.00 $41.34
Closed treatment of hip dislocation under anesthesia 27252 $1,303.00 $169.39
Closed treatment of hip dislocation under anesthesia 27252 $1,938.00 $251.94
Closed treatment of dislocated hip prosthesis 27265 $672.00 $87.36
Closed treatment of dislocated hip prosthesis 27265 $318.00 $41.34
Closed treatment of dislocated hip prosthesis under anesthesia 27266 $1,938.00 $251.94
Closed treatment of dislocated hip prosthesis under anesthesia 27266 $1,519.00 $197.47
Suture of tendon below knee 27380 $1,010.00 $131.30
Suture of tendon below knee 27380 $8,309.00 $1,080.17
Closed treatment of thigh bone fracture 27500 $817.00 $106.21
Closed treatment of thigh bone fracture 27500 $318.00 $41.34
Closed treatment of broken thigh bone 27501 $318.00 $41.34
Closed treatment of broken thigh bone 27501 $852.00 $110.76
Closed treatment of broken thigh bone with manipulation 27502 $1,938.00 $251.94
Closed treatment of broken thigh bone with manipulation 27502 $1,304.00 $169.52
Closed treatment of broken thigh bone 27508 $318.00 $41.34
Closed treatment of broken thigh bone 27508 $837.00 $108.81
Closed treatment of broken thigh bone with manipulation 27510 $1,938.00 $251.94
Closed treatment of knee cap fracture 27520 $494.00 $64.22
Closed treatment of knee cap fracture 27520 $501.00 $65.13
Closed treatment of fracture of shin bone 27530 $468.00 $60.84
Closed treatment of fracture of shin bone 27530 $555.00 $72.15
Closed treatment of fracture of shin bone 27530 $318.00 $41.34
Closed treatment of knee dislocation 27550 $318.00 $41.34
Closed treatment of dislocation of knee cap 27560 $645.00 $83.85
Closed treatment of dislocation of knee cap 27560 $557.00 $72.41
Closed treatment of broken shin bone 27750 $318.00 $41.34
Closed treatment of broken shin bone with manipulation 27752 $1,938.00 $251.94
Closed treatment of broken shin bone with manipulation 27752 $2,502.00 $325.26
Closed treatment of broken shin bone with manipulation 27752 $841.00 $109.33
Closed treatment of broken ankle 27760 $508.00 $66.04
Closed treatment of broken ankle 27760 $537.00 $69.81
Closed treatment of broken ankle with manipulation 27762 $1,938.00 $251.94
Closed treatment of broken ankle with manipulation 27762 $723.00 $93.99
Closed treatment of broken ankle 27780 $466.00 $60.58
Closed treatment of broken ankle 27780 $441.00 $57.33
Closed treatment of broken ankle 27780 $318.00 $41.34
Closed treatment of broken ankle 27786 $318.00 $41.34
Closed treatment of broken ankle 27786 $478.00 $62.14
Closed treatment of broken ankle 27786 $498.00 $64.74
Closed treatment of broken ankle with manipulation 27788 $647.00 $84.11
Closed treatment of broken ankle 27808 $501.00 $65.13
Closed treatment of broken ankle 27808 $633.00 $82.29
Closed treatment of broken ankle with manipulation 27810 $712.00 $92.56
Closed treatment of broken ankle with manipulation 27810 $1,938.00 $251.94
Closed treatment of broken ankle 27816 $484.00 $62.92
Closed treatment of broken ankle 27816 $589.00 $76.57
Closed treatment of broken ankle with manipulation 27818 $732.00 $95.16
Closed treatment of broken ankle with manipulation 27818 $1,938.00 $251.94
Closed treatment of fracture of lower weight bearing joint of shin bone 27824 $512.00 $66.56
Closed treatment of fracture of lower weight bearing joint of shin bone 27824 $318.00 $41.34
Closed treatment of fracture of lower weight bearing joint of shin bone with traction and/or manipulation 27825 $571.00 $74.23
Closed treatment of fracture of lower weight bearing joint of shin bone with traction and/or manipulation 27825 $1,936.00 $251.68
Closed treatment of knee joint dislocation 27830 $318.00 $41.34
Closed treatment of ankle dislocation 27840 $619.00 $80.47
Closed treatment of ankle dislocation 27840 $318.00 $41.34
Closed treatment of ankle dislocation under anesthesia 27842 $1,938.00 $251.94
Closed treatment of ankle dislocation under anesthesia 27842 $839.00 $109.07
Incision of tissues of muscle compartment of foot and/or toe 28008 $3,880.00 $504.40
Repair of toe tendon, accessed through the skin 28010 $394.00 $51.22
Repair of toe tendon, accessed through the skin 28010 $4,155.00 $540.15
Partial removal of toe bone 28124 $2,149.00 $279.37
Removal of foreign body of foot tissue, accessed beneath the skin 28190 $858.00 $111.54
Removal of foreign body of foot tissue, accessed beneath the skin 28190 $319.00 $41.47
Removal of foreign body of foot tissue, accessed beneath the skin 28190 $224.00 $29.12
Removal of foreign body of foot tissue, accessed beneath the skin 28190 $1,116.00 $145.08
Removal of foreign body of foot tissue 28192 $526.00 $68.38
Removal of foreign body of foot tissue 28192 $2,472.00 $321.36
Repair of foot tendon 28208 $3,880.00 $504.40
Repair of foot tendon 28208 $528.00 $68.64
Closed treatment of broken heel bone 28400 $379.00 $49.27
Closed treatment of broken heel bone 28400 $318.00 $41.34
Closed treatment of broken heel bone 28400 $523.00 $67.99
Closed treatment of broken ankle joint bone 28430 $352.00 $45.76
Closed treatment of broken ankle joint bone 28430 $534.00 $69.42
Treatment of broken foot bone 28450 $320.00 $41.60
Treatment of broken foot bone 28450 $318.00 $41.34
Treatment of broken foot bone 28450 $497.00 $64.61
Closed treatment of broken foot bone 28470 $454.00 $59.02
Closed treatment of broken foot bone 28470 $318.00 $41.34
Closed treatment of fracture of foot with manipulation 28475 $318.00 $41.34
Closed treatment of broken great toe 28490 $208.00 $27.04
Closed treatment of broken great toe 28490 $318.00 $41.34
Closed treatment of broken great toe with manipulation 28495 $250.00 $32.50
Closed treatment of broken toe 28510 $318.00 $41.34
Closed treatment of broken toe 28510 $200.00 $26.00
Closed treatment of broken toe with manipulation 28515 $237.00 $30.81
Closed treatment of broken toe with manipulation 28515 $318.00 $41.34
Closed treatment of broken toe with manipulation 28515 $390.00 $50.70
Closed treatment of dislocated foot joint under anesthesia 28575 $4,209.00 $547.17
Closed treatment of dislocated foot joint 28600 $248.00 $32.24
Closed treatment of dislocated foot bone 28630 $189.00 $24.57
Closed treatment of dislocated foot bone 28630 $318.00 $41.34
Closed treatment of dislocation of toe joint 28660 $318.00 $41.34
Closed treatment of dislocation of toe joint 28660 $151.00 $19.63
Foot or toe procedure 28899 $15.00 $1.95
Application of cast, shoulder to hand (long arm) 29065 $115.00 $14.95
Application of cast, shoulder to hand (long arm) 29065 $352.00 $45.76
Application of cast, elbow to finger (short arm) 29075 $352.00 $45.76
Application of cast, elbow to finger (short arm) 29075 $106.00 $13.78
Application of cast to hand and lower forearm 29085 $115.00 $14.95
Application of cast to hand and lower forearm 29085 $200.00 $26.00
Application of long arm splint (shoulder to hand) 29105 $101.00 $13.13
Application of long arm splint (shoulder to hand) 29105 $200.00 $26.00
Application of non-moveable, short arm splint (forearm to hand) 29125 $94.00 $12.22
Application of non-moveable, short arm splint (forearm to hand) 29125 $67.00 $8.71
Application of non-moveable, short arm splint (forearm to hand) 29125 $159.00 $20.67
Application of moveable, hinged short arm splint (forearm to hand) 29126 $108.00 $14.04
Application of moveable, hinged short arm splint (forearm to hand) 29126 $82.00 $10.66
Application of moveable, hinged short arm splint (forearm to hand) 29126 $159.00 $20.67
Application of non-moveable, hinged finger splint 29130 $147.00 $19.11
Application of non-moveable, hinged finger splint 29130 $87.00 $11.31
Application of non-moveable, hinged finger splint 29130 $49.00 $6.37
Application of moveable, hinged finger splint 29131 $166.00 $21.58
Application of moveable, hinged finger splint 29131 $56.00 $7.28
Strapping of chest 29200 $74.00 $9.62
Strapping of chest 29200 $31.00 $4.03
Strapping of chest 29200 $200.00 $26.00
Strapping of shoulder 29240 $87.00 $11.31
Strapping of shoulder 29240 $86.00 $11.18
Strapping of shoulder 29240 $31.00 $4.03
Strapping of shoulder 29240 $147.00 $19.11
Strapping of elbow or wrist 29260 $99.00 $12.87
Strapping of elbow or wrist 29260 $33.00 $4.29
Strapping of elbow or wrist 29260 $46.00 $5.98
Strapping of elbow or wrist 29260 $72.00 $9.36
Strapping of hand or finger 29280 $147.00 $19.11
Strapping of hand or finger 29280 $46.00 $5.98
Strapping of hand or finger 29280 $33.00 $4.29
Strapping of hand or finger 29280 $71.00 $9.23
Application of long leg cast (thigh to toes) 29345 $352.00 $45.76
Application of long leg cast (thigh to toes) 29345 $173.00 $22.49
Application of long leg cast (thigh to toes), walker or ambulatory type 29355 $352.00 $45.76
Application of long leg cast (thigh to toes), walker or ambulatory type 29355 $182.00 $23.66
Application of long leg cast brace 29358 $178.00 $23.14
Application of long leg cast brace 29358 $352.00 $45.76
Application of cylinder cast (thigh to ankle) 29365 $352.00 $45.76
Application of cylinder cast (thigh to ankle) 29365 $150.00 $19.50
Application of short leg cast (below knee to toes) 29405 $102.00 $13.26
Application of short leg cast (below knee to toes) 29405 $352.00 $45.76
Application of short leg cast (below knee to toes), walking or ambulatory type 29425 $96.00 $12.48
Application of short leg cast (below knee to toes), walking or ambulatory type 29425 $352.00 $45.76
Application of short leg cast (below knee to toes), walking or ambulatory type 29425 $131.00 $17.03
Adding walker to previously applied cast 29440 $49.00 $6.37
Adding walker to previously applied cast 29440 $200.00 $26.00
Application of rigid total contact leg cast 29445 $176.00 $22.88
Application of long leg splint (thigh to ankle or toes) 29505 $107.00 $13.91
Application of long leg splint (thigh to ankle or toes) 29505 $200.00 $26.00
Application of long leg splint (thigh to ankle or toes) 29505 $84.00 $10.92
Application of short leg splint (calf to foot) 29515 $84.00 $10.92
Application of short leg splint (calf to foot) 29515 $200.00 $26.00
Strapping of hip 29520 $31.00 $4.03
Strapping of hip 29520 $87.00 $11.31
Strapping of knee 29530 $31.00 $4.03
Strapping of knee 29530 $119.00 $15.47
Strapping of knee 29530 $87.00 $11.31
Strapping of ankle and/or foot 29540 $31.00 $4.03
Strapping of ankle and/or foot 29540 $200.00 $26.00
Strapping of toes 29550 $108.00 $14.04
Strapping of toes 29550 $87.00 $11.31
Strapping of toes 29550 $19.00 $2.47
Removal or bivalving of gauntlet, boot, or body cast 29700 $58.00 $7.54
Removal or bivalving of gauntlet, boot, or body cast 29700 $352.00 $45.76
Removal or bivalving of gauntlet, boot, or body cast 29700 $89.00 $11.57
Removal or bivalving of full arm or leg cast 29705 $352.00 $45.76
Removal or bivalving of full arm or leg cast 29705 $82.00 $10.66
Removal or bivalving of shoulder, hip spica, or jacket cast 29710 $145.00 $18.85
Removal or bivalving of shoulder, hip spica, or jacket cast 29710 $352.00 $45.76
Repair of spica, body cast, or jacket 29720 $77.00 $10.01
Repair of spica, body cast, or jacket 29720 $200.00 $26.00
Exposure of skin surface by creation of an opening in cast 29730 $77.00 $10.01
Exposure of skin surface by creation of an opening in cast 29730 $200.00 $26.00
Casting or strapping procedure 29799 $200.00 $26.00
Removal of foreign body in nose 30300 $159.00 $20.67
Removal of foreign body in nose 30300 $305.00 $39.65
Removal of foreign body in nose 30300 $175.00 $22.75
Simple control of nose bleed 30901 $145.00 $18.85
Simple control of nose bleed 30901 $98.00 $12.74
Simple control of nose bleed 30901 $159.00 $20.67
Complex control of nose bleed 30903 $228.00 $29.64
Complex control of nose bleed 30903 $159.00 $20.67
Complex control of nose bleed 30903 $138.00 $17.94
Control of nose bleed and insertion of packing 30905 $159.00 $20.67
Control of nose bleed and insertion of packing 30905 $228.00 $29.64
Control of nose bleed and insertion of packing 30905 $182.00 $23.66
Control of nosebleed and insertion of packing 30906 $282.00 $36.66
Control of nosebleed and insertion of packing 30906 $234.00 $30.42
Diagnostic examination of nasal passages using an endoscope 31231 $232.00 $30.16
Diagnostic examination of nasal passages using an endoscope 31231 $254.00 $33.02
Emergent insertion of breathing tube into windpipe cartilage using an endoscope 31500 $243.00 $31.59
Emergent insertion of breathing tube into windpipe cartilage using an endoscope 31500 $282.00 $36.66
Diagnostic examination of voice box using an endoscope 31505 $114.00 $14.82
Diagnostic examination of voice box using an endoscope 31505 $232.00 $30.16
Diagnostic examination of voice box using an endoscope 31505 $83.00 $10.79
Removal of foreign body from voice box using an endoscope 31511 $232.00 $30.16
Removal of foreign body from voice box using an endoscope 31511 $222.00 $28.86
Removal of foreign body from voice box using an endoscope 31511 $289.00 $37.57
Diagnostic examination of voice box using an endoscope 31525 $347.00 $45.11
Diagnostic examination of voice box using an endoscope 31525 $2,021.00 $262.73
Removal of foreign body from voice box using an endoscope 31530 $2,021.00 $262.73
Diagnostic examination of voice box using flexible endoscope 31575 $232.00 $30.16
Diagnostic examination of voice box using flexible endoscope 31575 $163.00 $21.19
Emergent surgical opening of windpipe for insertion of breathing tube 31605 $321.00 $41.73
Diagnostic examination of lung airways using an endoscope 31622 $2,021.00 $262.73
Diagnostic examination of lung airways using an endoscope 31622 $225.00 $29.25
Examination of lung airways using an endoscope 31623 $227.00 $29.51
Irrigation and suction of lung airways to obtain cells using an endoscope 31624 $230.00 $29.90
Irrigation and suction of lung airways to obtain cells using an endoscope 31624 $2,021.00 $262.73
Biopsy of one lobe of lung using an endoscope 31628 $298.00 $38.74
Insertion of stents into windpipe using an endoscope 31631 $395.00 $51.35
Insertion of stents into windpipe using an endoscope 31631 $6,942.00 $902.46
Removal of foreign body in lung airways using an endoscope 31635 $300.00 $39.00
Needle biopsy of lung or chest tissue, accessed through the skin 32405 $155.00 $20.15
Needle biopsy of lung or chest tissue, accessed through the skin 32405 $1,968.00 $255.84
Removal of fluid from between lung and chest cavity, open procedure 32551 $1,089.00 $141.57
Removal of fluid from between lung and chest cavity, open procedure 32551 $275.00 $35.75
Removal of fluid from chest cavity 32554 $153.00 $19.89
Removal of fluid from chest cavity 32554 $1,089.00 $141.57
Removal of fluid from chest cavity with imaging guidance 32555 $191.00 $24.83
Removal of fluid from chest cavity with imaging guidance 32555 $1,089.00 $141.57
Removal of fluid from chest cavity with insertion of indwelling catheter, accessed through the skin 32556 $2,314.00 $300.82
Lung and lung lining procedure 32999 $1,089.00 $141.57
Aspiration of fluid from sac that covers the heart 33010 $190.00 $24.70
Aspiration of fluid from sac that covers the heart 33010 $1,089.00 $141.57
Aspiration of fluid from sac that covers the heart 33011 $702.00 $91.26
Aspiration of fluid from sac that covers the heart 33011 $192.00 $24.96
Insertion or replacement of permanent pacemaker and upper chamber electrodes 33206 $10,006.00 $1,300.78
Insertion or replacement of permanent pacemaker and upper chamber electrodes 33206 $792.00 $102.96
Insertion or replacement of permanent pacemaker and lower chamber electrodes 33207 $848.00 $110.24
Insertion or replacement of permanent pacemaker and lower chamber electrodes 33207 $10,006.00 $1,300.78
Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes 33208 $11,963.00 $1,555.19
Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes 33208 $919.00 $119.47
Placement of temporary pacemaker leads 33210 $6,177.00 $803.01
Placement of temporary pacemaker leads 33210 $294.00 $38.22
Placement of temporary pacemaker leads 33210 $10,136.00 $1,317.68
Placement of temporary pacemaker leads 33210 $11,101.00 $1,443.13
Insertion of pacemaker pulse generator with existing single lead 33212 $8,263.00 $1,074.19
Insertion of pacemaker pulse generator with existing single lead 33212 $563.00 $73.19
Insertion of pacemaker pulse generator with existing dual leads 33213 $9,103.00 $1,183.39
Insertion of pacemaker pulse generator with existing dual leads 33213 $589.00 $76.57
Conversion to two chamber pacemaker system 33214 $11,963.00 $1,555.19
Conversion to two chamber pacemaker system 33214 $839.00 $109.07
Repositioning of implanted pacemaker or defibrillator device 33215 $2,898.00 $376.74
Repositioning of implanted pacemaker or defibrillator device 33215 $546.00 $70.98
Insertion of electrode for permanent pacemaker or pacing defibrillator device 33216 $648.00 $84.24
Insertion of electrode for permanent pacemaker or pacing defibrillator device 33216 $6,177.00 $803.01
Insertion of electrodes for permanent pacemaker or pacing defibrillator device 33217 $636.00 $82.68
Insertion of electrodes for permanent pacemaker or pacing defibrillator device 33217 $6,177.00 $803.01
Repair of electrode for permanent pacemaker or defibrillator device 33218 $682.00 $88.66
Repair of electrode for permanent pacemaker or defibrillator device 33218 $2,898.00 $376.74
Repair of 2 electrodes for permanent pacemaker or defibrillator device 33220 $2,898.00 $376.74
Repair of 2 electrodes for permanent pacemaker or defibrillator device 33220 $682.00 $88.66
Relocation of pacemaker generator skin pocket 33222 $587.00 $76.31
Relocation of pacemaker generator skin pocket 33222 $2,027.00 $263.51
Relocation of defibrillator device skin pocket 33223 $714.00 $92.82
Relocation of defibrillator device skin pocket 33223 $2,027.00 $263.51
Insertion of left heart electrode with attachment to pacemaker or pacing defibrillator device 33224 $17,179.00 $2,233.27
Insertion of left heart electrode with attachment to pacemaker or pacing defibrillator device 33224 $916.00 $119.08
Insertion of left heart electrode for pacing defibrillator device 33225 $836.00 $108.68
Insertion of left heart electrode for pacing defibrillator device 33225 $17,179.00 $2,233.27
Repositioning of implanted left heart electrode 33226 $2,898.00 $376.74
Repositioning of implanted left heart electrode 33226 $882.00 $114.66
Removal and replacement of single lead permanent pacemaker pulse generator 33227 $11,734.00 $1,525.42
Removal and replacement of single lead permanent pacemaker pulse generator 33227 $593.00 $77.09
Removal and replacement of dual lead permanent pacemaker pulse generator 33228 $12,872.00 $1,673.36
Removal and replacement of dual lead permanent pacemaker pulse generator 33228 $621.00 $80.73
Removal and replacement of multiple lead permanent pacemaker pulse generator 33229 $27,580.00 $3,585.40
Removal of permanent pacemaker pulse generator 33233 $400.00 $52.00
Removal of permanent pacemaker pulse generator 33233 $2,898.00 $376.74
Removal of electrode from right heart 33234 $2,898.00 $376.74
Removal of electrode from right heart 33234 $853.00 $110.89
Removal of electrodes from right heart 33235 $2,898.00 $376.74
Removal of electrodes from right heart 33235 $1,120.00 $145.60
Insertion of pacing defibrillator pulse generator with existing single lead 33240 $642.00 $83.46
Insertion of pacing defibrillator pulse generator with existing single lead 33240 $27,418.00 $3,564.34
Removal of defibrillator pulse generator 33241 $2,898.00 $376.74
Removal of defibrillator pulse generator 33241 $375.00 $48.75
Removal of defibrillator electrodes 33244 $2,898.00 $376.74
Removal of defibrillator electrodes 33244 $1,515.00 $196.95
Insertion or replacement of single or dual chamber pacing defibrillator leads 33249 $34,700.00 $4,511.00
Insertion or replacement of single or dual chamber pacing defibrillator leads 33249 $1,615.00 $209.95
Removal and replacement of defibrillator pulse generator 33263 $35,006.00 $4,550.78
Removal and replacement of defibrillator pulse generator 33264 $39,029.00 $5,073.77
Insertion of heart rhythm monitor under skin 33285 $11,550.00 $1,501.50
Removal of heart rhythm monitor from under skin 33286 $904.00 $117.52
Insertion of assistive heart blood flow device into aorta, accessed through the skin 33967 $939.00 $122.07
Insertion of assistive heart blood flow device into aorta, accessed through the skin 33967 $463.00 $60.19
Removal of blood flow assist device in aorta, accessed through the skin 33968 $59.00 $7.67
Repair of blood vessel of leg 35226 $1,799.00 $233.87
Injection to cause blood clot in a diseased or bulging vessel of arm or leg, accessed through the skin 36002 $184.00 $23.92
Injection for X-ray imaging procedure on veins of arm or leg 36005 $84.00 $10.92
Injection for X-ray imaging procedure on veins of arm or leg 36005 $1,438.00 $186.94
Introduction of catheter into the upper or lower major vein (vena cava) 36010 $1,172.00 $152.36
Introduction of catheter into the upper or lower major vein (vena cava) 36010 $1,438.00 $186.94
Introduction of catheter into the upper or lower major vein (vena cava) 36010 $192.00 $24.96
Insertion of catheter into vein 36011 $1,438.00 $186.94
Insertion of catheter into vein 36011 $275.00 $35.75
Insertion of catheter into vein 36012 $1,438.00 $186.94
Insertion of catheter into vein 36012 $303.00 $39.39
Insertion of catheter into right heart or main pulmonary (lung) artery 36013 $191.00 $24.83
Insertion of catheter into left or right pulmonary (lung) artery 36014 $191.00 $24.83
Insertion of catheter into left or right pulmonary (lung) artery 36014 $262.00 $34.06
Insertion of catheter into left or right pulmonary (lung) artery 36014 $1,438.00 $186.94
Insertion of catheter into an artery of a lobe of the lung 36015 $295.00 $38.35
Insertion of catheter into an artery of a lobe of the lung 36015 $1,438.00 $186.94
Insertion of catheter into an artery of a lobe of the lung 36015 $191.00 $24.83
Insertion of needle or catheter into an artery of arm or leg 36140 $160.00 $20.80
Insertion of catheter into aorta 36200 $251.00 $32.63
Insertion of catheter into aorta 36200 $1,486.00 $193.18
Insertion of catheter into chest or arm artery 36215 $1,409.00 $183.17
Insertion of catheter into chest or arm artery 36215 $409.00 $53.17
Insertion of catheter into chest or arm artery 36216 $1,422.00 $184.86
Insertion of catheter into chest or arm artery 36216 $478.00 $62.14
Insertion of catheter into chest or arm artery 36217 $191.00 $24.83
Insertion of catheter into chest or arm artery 36217 $571.00 $74.23
Insertion of catheter into chest or arm artery 36217 $1,375.00 $178.75
Insertion of catheter into chest or arm artery 36218 $92.00 $11.96
Insertion of catheter into chest or arm artery 36218 $627.00 $81.51
Insertion of catheter into chest or arm artery 36218 $191.00 $24.83
Insertion of catheter into chest aorta for diagnosis or treatment including radiological supervision and interpretation 36221 $5,132.00 $667.16
Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation 36222 $5,132.00 $667.16
Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation 36222 $502.00 $65.26
Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation 36223 $554.00 $72.02
Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation 36223 $5,132.00 $667.16
Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation 36224 $8,392.00 $1,090.96
Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation 36224 $633.00 $82.29
Insertion of catheter into artery on one side of chest for diagnosis or treatment including radiological supervision and interpretation 36225 $553.00 $71.89
Insertion of catheter into artery on one side of chest for diagnosis or treatment including radiological supervision and interpretation 36225 $5,132.00 $667.16
Insertion of catheter into chest artery for diagnosis or treatment including radiological supervision and interpretation 36226 $8,392.00 $1,090.96
Insertion of catheter into chest artery for diagnosis or treatment including radiological supervision and interpretation 36226 $624.00 $81.12
Insertion of catheter into abdominal pelvic or leg artery 36245 $421.00 $54.73
Insertion of catheter into abdominal pelvic or leg artery 36245 $181.00 $23.53
Insertion of catheter into abdominal pelvic or leg artery 36245 $191.00 $24.83
Insertion of catheter into abdominal pelvic or leg artery 36246 $1,375.00 $178.75
Insertion of catheter into abdominal pelvic or leg artery 36246 $191.00 $24.83
Insertion of catheter into abdominal pelvic or leg artery 36246 $454.00 $59.02
Insertion of catheter into abdominal pelvic or leg artery 36247 $537.00 $69.81
Insertion of catheter into abdominal pelvic or leg artery 36247 $191.00 $24.83
Insertion of catheter into abdominal pelvic or leg artery 36247 $181.00 $23.53
Insertion of catheter into each additional abdominal, pelvic or leg artery 36248 $191.00 $24.83
Insertion of catheter into each additional abdominal, pelvic or leg artery 36248 $85.00 $11.05
Insertion of catheter into each additional abdominal, pelvic or leg artery 36248 $181.00 $23.53
Insertion of catheters into main and accessory arteries of one kidney for imaging including radiological supervision and interpretation 36251 $3,703.00 $481.39
Insertion of catheters into main and accessory arteries of one kidney for imaging including radiological supervision and interpretation 36251 $469.00 $60.97
Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation 36252 $645.00 $83.85
Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation 36252 $3,703.00 $481.39
Blood vessel injection procedure 36299 $212.00 $27.56
Insertion of needle into vein for collection of blood sample 36415 $15.00 $1.95
Insertion of needle into vein for collection of blood sample 36415 $31.00 $4.03
Insertion of needle into vein for collection of blood sample 36415 $12.00 $1.56
Puncture of skin for collection of blood sample 36416 $10.00 $1.30
Transfusion of blood or blood products 36430 $56.00 $7.28
Transfusion of blood or blood products 36430 $565.00 $73.45
Destruction of insufficient vein of arm or leg, accessed through the skin 36475 $3,968.00 $515.84
Insertion of catheter into portal vein of liver, accessed through the skin 36481 $578.00 $75.14
Insertion of catheter into vein of navel, newborn 36510 $263.00 $34.19
Insertion of central venous catheter for infusion, patient younger than 5 years 36555 $1,089.00 $141.57
Insertion of central venous catheter for infusion, patient younger than 5 years 36555 $406.00 $52.78
Insertion of central venous catheter for infusion, patient 5 years or older 36556 $1,410.00 $183.30
Insertion of central venous catheter for infusion, patient 5 years or older 36556 $207.00 $26.91
Insertion of central venous catheter for infusion, patient 5 years or older 36556 $1,518.00 $197.34
Insertion of central venous catheter for infusion, patient 5 years or older 36556 $1,089.00 $141.57
Insertion of central venous catheter for infusion, patient 5 years or older 36558 $3,756.00 $488.28
Insertion of central venous catheter for infusion, patient 5 years or older 36558 $1,256.00 $163.28
Insertion of central venous catheter for infusion, patient younger than 5 years 36568 $470.00 $61.10
Insertion of central venous catheter for infusion, patient younger than 5 years 36568 $1,089.00 $141.57
Insertion of central venous catheter for infusion, patient 5 years or older 36569 $1,410.00 $183.30
Insertion of central venous catheter for infusion, patient 5 years or older 36569 $156.00 $20.28
Insertion of central venous catheter for infusion, patient 5 years or older 36569 $1,089.00 $141.57
Insertion of central venous catheter for infusion, patient 5 years or older 36569 $1,518.00 $197.34
Insertion of central venous catheter for infusion, patient 5 years or older 36569 $428.00 $55.64
Insertion of central venous catheter for infusion using imaging guidance, patient 5 years or older 36573 $1,706.00 $221.78
Replacement of catheter in peripheral vein accessed through same vein 36584 $1,409.00 $183.17
Replacement of catheter in peripheral vein accessed through same vein 36584 $1,517.00 $197.21
Removal of central venous catheter for infusion 36589 $235.00 $30.55
Removal of central venous catheter for infusion 36589 $1,089.00 $141.57
Collection of blood specimen from a completely implantable venous access device 36591 $159.00 $20.67
Collection of blood specimen from central or peripheral venous catheter 36592 $159.00 $20.67
Declotting infusion of implanted central venous access device or catheter 36593 $444.00 $57.72
Declotting infusion of implanted central venous access device or catheter 36593 $51.00 $6.63
Arterial puncture withdrawal of blood for diagnosis 36600 $85.00 $11.05
Insertion of arterial catheter for blood sampling or infusion, accessed through the skin 36620 $627.00 $81.51
Insertion of arterial catheter for blood sampling or infusion, accessed through the skin 36620 $220.00 $28.60
Insertion of arterial catheter for blood sampling or infusion, accessed through the skin 36620 $87.00 $11.31
Insertion of arterial catheter for blood sampling or infusion, accessed through the skin 36620 $89.00 $11.57
Insertion of catheter into an artery in navel, newborn 36660 $120.00 $15.60
Insertion of needle for infusion into bone 36680 $419.00 $54.47
Insertion of needle for infusion into bone 36680 $102.00 $13.26
Removal of blood clot and injections to dissolve blood clot from artery or arterial graft using fluoroscopic guidance, accessed through the skin 37184 $800.00 $104.00
Removal of blood clot and injections to dissolve blood clot from artery or arterial graft using fluoroscopic guidance, accessed through the skin 37184 $5,165.00 $671.45
Removal of blood clot and injections to dissolve blood clot from artery or arterial graft using fluoroscopic guidance, accessed through the skin 37185 $5,165.00 $671.45
Removal of blood clot and injections to dissolve blood clot from artery or arterial graft using fluoroscopic guidance, accessed through the skin 37185 $301.00 $39.13
Removal of blood clot and injections to dissolve blood clot from artery or arterial graft using fluoroscopic guidance, accessed beneath the skin 37186 $5,165.00 $671.45
Removal of blood clot and injections to dissolve blood clot from artery or arterial graft using fluoroscopic guidance, accessed beneath the skin 37186 $440.00 $57.20
Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance 37187 $5,165.00 $671.45
Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance 37188 $487.00 $63.31
Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance 37188 $5,165.00 $671.45
Infusion of drug into a vein to dissolve blood clot obstructing blood flow to brain 37195 $444.00 $57.72
Retrieval of foreign body of blood vessels, accessed through the skin including radiological supervision and interpretation 37197 $3,844.00 $499.72
Retrieval of foreign body of blood vessels, accessed through the skin including radiological supervision and interpretation 37197 $530.00 $68.90
Insertion of catheter into artery for drug infusion for blood clot including radiological supervision and interpretation 37211 $1,817.00 $236.21
Insertion of catheter into artery or vein for drug infusion for blood clot including radiological supervision and interpretation 37213 $4,054.00 $527.02
Insertion of catheter into artery or vein for drug infusion for blood clot including radiological supervision and interpretation 37213 $409.00 $53.17
Removal of catheter in artery or vein including radiological supervision and interpretation 37214 $215.00 $27.95
Removal of catheter in artery or vein including radiological supervision and interpretation 37214 $3,042.00 $395.46
Insertion of stents and blood clot protection device in neck artery, open or accessed through the skin 37215 $13,868.00 $1,802.84
Insertion of stents and blood clot protection device in neck artery, open or accessed through the skin 37215 $1,778.00 $231.14
Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure 37220 $8,202.00 $1,066.26
Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure 37220 $721.00 $93.73
Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure 37221 $890.00 $115.70
Balloon dilation of groin artery, endovascular, open, or percutaneous approach 37222 $8,202.00 $1,066.26
Balloon dilation of groin artery, endovascular, open, or percutaneous approach 37222 $336.00 $43.68
Insertion of stents into groin artery, endovascular, accessed through the skin or open procedure 37223 $384.00 $49.92
Insertion of stents into groin artery, endovascular, accessed through the skin or open procedure 37223 $6,856.00 $891.28
Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure 37224 $795.00 $103.35
Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure 37224 $6,856.00 $891.28
Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure 37225 $7,930.00 $1,030.90
Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure 37225 $1,088.00 $141.44
Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure 37226 $939.00 $122.07
Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure 37226 $5,176.00 $672.88
Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure 37227 $1,311.00 $170.43
Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure 37227 $25,204.00 $3,276.52
Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure 37228 $6,857.00 $891.41
Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure 37228 $974.00 $126.62
Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure 37229 $7,930.00 $1,030.90
Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure 37230 $4,185.00 $544.05
Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure 37230 $15,008.00 $1,951.04
Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure 37231 $1,361.00 $176.93
Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure 37231 $26,181.00 $3,403.53
Balloon dilation of artery in one leg, endovascular, accessed through the skin or open procedure 37232 $4,572.00 $594.36
Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure 37233 $590.00 $76.70
Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure 37233 $9,702.00 $1,261.26
Insertion of intravascular stents in artery (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or accessed through the skin, with radiological supervision and interpretation 37236 $783.00 $101.79
Insertion of intravascular stents in artery (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or accessed through the skin, with radiological supervision and interpretation 37236 $15,955.00 $2,074.15
Insertion of intravascular stents in artery (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or accessed through the skin, with radiological supervision and interpretation 37237 $15,955.00 $2,074.15
Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation 37246 $7,675.00 $997.75
Ultrasound evaluation of blood vessel during diagnosis or treatment 37252 $545.00 $70.85
Ultrasound evaluation of blood vessel during diagnosis or treatment 37253 $545.00 $70.85
Blood vessel procedure 37799 $76.00 $9.88
Diagnostic bone marrow aspiration 38220 $1,968.00 $255.84
Diagnostic bone marrow aspiration 38220 $106.00 $13.78
Diagnostic bone marrow aspiration 38220 $233.00 $30.29
Bone marrow biopsy 38221 $1,968.00 $255.84
Bone marrow biopsy 38221 $125.00 $16.25
Bone marrow biopsy 38221 $260.00 $33.80
Biopsy or removal of lymph nodes, open procedure 38500 $443.00 $57.59
Needle biopsy or removal of lymph nodes 38505 $2,144.00 $278.72
Injection of radioactive dye for X-ray identification of lymph node 38792 $340.00 $44.20
Incision of abscess, cyst, or blood accumulation in mouth 40800 $278.00 $36.14
Incision of abscess, cyst, or blood accumulation in mouth 40800 $858.00 $111.54
Removal of embedded foreign body of mouth 40804 $268.00 $34.84
Removal of embedded foreign body of mouth 40804 $193.00 $25.09
Removal of embedded foreign body of mouth 40804 $419.00 $54.47
Removal of growth of mouth 40812 $340.00 $44.20
Removal of growth of mouth 40812 $3,459.00 $449.67
Suture of (2.5 centimeter or less) mouth laceration 40830 $283.00 $36.79
Suture of (2.5 centimeter or less) mouth laceration 40830 $338.00 $43.94
Incision of tissue connecting tongue and floor of mouth 41010 $181.00 $23.53
Incision of tissue connecting tongue and floor of mouth 41010 $261.00 $33.93
Incision of tissue connecting tongue and floor of mouth 41010 $1,653.00 $214.89
Incision of tissue connecting tongue and floor of mouth 41010 $680.00 $88.40
Removal of growth of tongue 41110 $224.00 $29.12
Removal of growth of tongue 41110 $3,459.00 $449.67
Removal of tissue connecting tongue and floor of mouth 41115 $1,653.00 $214.89
Removal of tissue connecting tongue and floor of mouth 41115 $308.00 $40.04
Removal of tissue connecting tongue and floor of mouth 41115 $248.00 $32.24
Removal of growth of floor of mouth 41116 $3,459.00 $449.67
Repair of (2.5 centimeter or less) laceration to floor of mouth and/or tongue 41250 $262.00 $34.06
Repair of (2.5 centimeter or less) laceration to floor of mouth and/or tongue 41250 $419.00 $54.47
Drainage of abscess, cyst, or blood accumulation of dental bone 41800 $250.00 $32.50
Drainage of abscess, cyst, or blood accumulation of dental bone 41800 $159.00 $20.67
Drainage of abscess, cyst, or blood accumulation of dental bone 41800 $237.00 $30.81
Relocation of mouth tissue to gum surface 41899 $1,516.00 $197.08
Drainage of tonsil abscess 42700 $229.00 $29.77
Drainage of tonsil abscess 42700 $282.00 $36.66
Removal of foreign body from throat 42809 $209.00 $27.17
Removal of foreign body from throat 42809 $419.00 $54.47
Throat, adenoids, or tonsils procedure 42999 $282.00 $36.66
Insertion of stomach tube and aspirations of gastric contents 43753 $369.00 $47.97
Insertion of stomach tube and aspirations of gastric contents 43753 $38.00 $4.94
Repositioning of stomach feeding tube 43761 $879.00 $114.27
Repositioning of stomach feeding tube 43761 $176.00 $22.88
Repositioning of stomach feeding tube 43761 $343.00 $44.59
Replacement of stomach stoma tube accessed through skin 43762 $361.00 $46.93
Drainage of rectal abscess 45005 $1,396.00 $181.48
Drainage of rectal abscess 45005 $340.00 $44.20
Drainage of rectal abscess 45005 $278.00 $36.14
Diagnostic examination of rectum and large bowel using an endoscope 45300 $1,063.00 $138.19
Diagnostic examination of rectum and large bowel using an endoscope 45300 $94.00 $12.22
Drainage of rectal abscess 46040 $2,344.00 $304.72
Drainage of rectal abscess 46040 $1,396.00 $181.48
Drainage of rectal abscess 46040 $3,259.00 $423.67
Drainage of rectal abscess 46040 $711.00 $92.43
Drainage of rectal abscess 46050 $230.00 $29.90
Drainage of rectal abscess 46050 $166.00 $21.58
Drainage of rectal abscess 46050 $1,063.00 $138.19
Incision of engorged external hemorrhoid 46083 $343.00 $44.59
Incision of engorged external hemorrhoid 46083 $219.00 $28.47
Incision of engorged external hemorrhoid 46083 $181.00 $23.53
Removal of hemorrhoid by rubber banding 46221 $322.00 $41.86
Removal of hemorrhoid by rubber banding 46221 $1,063.00 $138.19
Removal of engorged hemorrhoid 46320 $191.00 $24.83
Removal of engorged hemorrhoid 46320 $3,278.00 $426.14
Diagnostic examination of the anus using an endoscope 46600 $70.00 $9.10
Diagnostic examination of the anus using an endoscope 46600 $159.00 $20.67
Insertion of catheter (accessed through the skin) into gallbladder using imaging guidance including radiological supervision and interpretation 47490 $4,555.00 $592.15
Injection of bile duct for X-ray imaging procedure accessed through the skin using imaging guidance including radiological supervision and interpretation 47531 $4,555.00 $592.15
Placement of drainage catheter of biliary duct, accessed through the skin with imaging including radiological supervision and interpretation 47533 $4,555.00 $592.15
Placement of drainage catheter of biliary duct, accessed through the skin with imaging including radiological supervision and interpretation 47534 $4,555.00 $592.15
Placement of stent of biliary duct, accessed through the skin with imaging including radiological supervision and interpretation 47538 $7,463.00 $970.19
Drainage of fluid from abdominal cavity 49082 $127.00 $16.51
Drainage of fluid from abdominal cavity 49082 $1,114.00 $144.82
Drainage of fluid from abdominal cavity using imaging guidance 49083 $330.00 $42.90
Drainage of fluid from abdominal cavity using imaging guidance 49083 $184.00 $23.92
Drainage of fluid from abdominal cavity using imaging guidance 49083 $1,114.00 $144.82
Needle biopsy of abdominal cavity growth, accessed through the skin 49180 $1,968.00 $255.84
Insertion of abdominal catheter through the skin using imaging guidance including radiological supervision and interpretation 49418 $4,555.00 $592.15
Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin 49450 $1,114.00 $144.82
Contrast injections for x-ray imaging through existing tube in stomach, small bowel or large bowel, accessed through the skin 49465 $360.00 $46.80
Abdominal procedure 49999 $1,114.00 $144.82
Abdominal procedure 49999 $289.00 $37.57
Needle biopsy of kidney, accessed through the skin 50200 $1,968.00 $255.84
Incision of bladder with drainage 51040 $490.00 $63.70
Incision of bladder with drainage 51040 $2,617.00 $340.21
Bladder irrigation and/or instillation 51700 $83.00 $10.79
Bladder irrigation and/or instillation 51700 $343.00 $44.59
Insertion of temporary bladder catheter 51701 $159.00 $20.67
Insertion of temporary bladder catheter 51701 $44.00 $5.72
Insertion of temporary bladder catheter 51701 $102.00 $13.26
Insertion of indwelling bladder catheter 51702 $44.00 $5.72
Insertion of indwelling bladder catheter 51702 $129.00 $16.77
Insertion of indwelling bladder catheter 51702 $159.00 $20.67
Insertion of indwelling bladder catheter 51703 $131.00 $17.03
Insertion of indwelling bladder catheter 51703 $220.00 $28.60
Insertion of indwelling bladder catheter 51703 $203.00 $26.39
Removal of skin suture with change of bladder tube 51705 $343.00 $44.59
Removal of skin suture with change of bladder tube 51705 $177.00 $23.01
Removal of suture around skin surface tube with change of bladder tube 51710 $251.00 $32.63
Removal of suture around skin surface tube with change of bladder tube 51710 $874.00 $113.62
Bladder instillation of cancer preventive, inhibiting, or suppressive agent 51720 $413.00 $53.69
Bladder instillation of cancer preventive, inhibiting, or suppressive agent 51720 $108.00 $14.04
Bladder instillation of cancer preventive, inhibiting, or suppressive agent 51720 $343.00 $44.59
Bladder instillation of cancer preventive, inhibiting, or suppressive agent 51720 $180.00 $23.40
Bladder instillation of cancer preventive, inhibiting, or suppressive agent 51720 $433.00 $56.29
Dilation of narrowing of bladder canal (urethra), male 53620 $150.00 $19.50
Dilation of narrowing of bladder canal (urethra), male 53620 $874.00 $113.62
Dilation of narrowing of bladder canal (urethra), male 53620 $1,186.00 $154.18
Dilation of narrowing of bladder canal (urethra), male 53620 $191.00 $24.83
Urinary system procedure 53899 $366.00 $47.58
Urinary system procedure 53899 $80.00 $10.40
Removal of foreskin of using clamp or device 54150 $2,617.00 $340.21
Removal of foreskin, neonate (28 days of age or less) 54160 $2,617.00 $340.21
Injection procedure to induce erection 54235 $124.00 $16.12
Injection procedure to induce erection 54235 $343.00 $44.59
Repositioning of foreskin including scar tissue removal 54450 $343.00 $44.59
Repositioning of foreskin including scar tissue removal 54450 $99.00 $12.87
Incision and drainage of sperm reservoir, testis, and/or scrotal area 54700 $2,617.00 $340.21
Incision and drainage of sperm reservoir, testis, and/or scrotal area 54700 $364.00 $47.32
Incision and drainage of abscess in scrotal sac of testicle 55100 $1,968.00 $255.84
Incision and drainage of abscess in scrotal sac of testicle 55100 $281.00 $36.53
Incision and drainage of female genitals abscess 56405 $181.00 $23.53
Incision and drainage of female genitals abscess 56405 $439.00 $57.07
Incision and drainage of female genital gland abscess 56420 $242.00 $31.46
Incision and drainage of female genital gland abscess 56420 $153.00 $19.89
Incision and drainage of female genital gland abscess 56420 $188.00 $24.44
Insertion of drug agent or packing to control vaginal bleeding 57180 $242.00 $31.46
Insertion of drug agent or packing to control vaginal bleeding 57180 $206.00 $26.78
Suture of non-obstetrical vaginal injury 57200 $510.00 $66.30
Suture of non-obstetrical vaginal injury 57200 $3,319.00 $431.47
Suture of non-obstetrical injury of the vagina and/or skin 57210 $615.00 $79.95
Suture of non-obstetrical injury of the vagina and/or skin 57210 $3,319.00 $431.47
Removal of intra-uterine device (IUD) for pregnancy prevention 58301 $439.00 $57.07
Removal of intra-uterine device (IUD) for pregnancy prevention 58301 $114.00 $14.82
Female genital system (nonobstetric) procedure 58999 $249.00 $32.37
Abdominal aspiration of fluid surrounding fetus for diagnosis 59000 $1,060.00 $137.80
Fetal contraction stress test 59020 $242.00 $31.46
Fetal non-stress test 59025 $242.00 $31.46
Scraping of lining of uterus post-delivery 59160 $3,061.00 $397.93
Insertion dilator device into cervix 59200 $208.00 $27.04
Episiotomy or vaginal repair 59300 $3,319.00 $431.47
Vaginal delivery 59409 $3,650.00 $474.50
Turning of fetus from breech to presenting position 59412 $3,319.00 $431.47
Vaginal delivery of placenta 59414 $3,319.00 $431.47
Vaginal delivery after prior cesarean delivery 59612 $3,319.00 $431.47
Induced abortion by insertion of vaginal suppositories 59855 $1,875.00 $243.75
Maternity care and delivery procedure 59899 $242.00 $31.46
Needle biopsy of thyroid, accessed through the skin 60100 $695.00 $90.35
Aspiration and/or injection of thyroid cyst 60300 $807.00 $104.91
Injection or mechanical removal of spinal canal scar tissue, percutaneous procedure, accessed through the skin, multiple sessions over 2 or more days 62263 $541.00 $70.33
Spinal tap for diagnosis 62270 $134.00 $17.42
Spinal tap for diagnosis 62270 $224.00 $29.12
Spinal tap for diagnosis 62270 $807.00 $104.91
Spinal tap with drainage of spinal fluid 62272 $267.00 $34.71
Spinal tap with drainage of spinal fluid 62272 $807.00 $104.91
Spinal tap with drainage of spinal fluid 62272 $148.00 $19.24
Injection of blood or blood clot into spinal canal 62273 $807.00 $104.91
Injection of blood or blood clot into spinal canal 62273 $191.00 $24.83
Injection of blood or blood clot into spinal canal 62273 $1,201.00 $156.13
Injection of blood or blood clot into spinal canal 62273 $239.00 $31.07
Injection of spinal canal to destroy nerve 62282 $249.00 $32.37
Injection of spinal canal to destroy nerve 62282 $1,016.00 $132.08
Injection of dye for X-ray imaging and/or CT of lower spinal canal 62284 $181.00 $23.53
Injection of dye for X-ray imaging of spine disc 62291 $284.00 $36.92
Injection of substance into spinal canal of upper or middle back using imaging guidance 62321 $188.00 $24.44
Injection of substance into the lower back or lumbar spine 62322 $150.00 $130.50
Injection of substance into the lower back or lumbar spine 62322 $150.00 $19.50
Injection into the lower back with help of imaging of some type 62323 $171.00 $22.23
Injection into the lower back with help of imaging of some type 62323 $171.00 $148.77
Insertion of indwelling catheter and administration of substance into spinal canal of upper or middle back 62324 $160.00 $20.80
Insertion of indwelling catheter and administration of substance into spinal canal of upper or middle back using imaging guidance 62325 $183.00 $23.79
Insertion of indwelling catheter and administration of substance into spinal canal of lower back 62326 $1,016.00 $132.08
Insertion of indwelling catheter and administration of substance into spinal canal of lower back 62326 $156.00 $20.28
Insertion of indwelling catheter and administration of substance into spinal canal of lower back lower back using imaging guidance 62327 $166.00 $21.58
Electronic analysis and reprogramming of spinal canal drug infusion pump 62368 $402.00 $52.26
Electronic analysis and reprogramming of spinal canal drug infusion pump 62368 $59.00 $7.67
Implantation of spinal neurostimulator electrodes, accessed through the skin 63650 $693.00 $90.09
Injection of anesthetic agent, trigeminal nerve 64400 $123.00 $15.99
Injection of anesthetic agent, trigeminal nerve 64400 $155.00 $20.15
Injection of anesthetic agent, trigeminal nerve 64400 $368.00 $47.84
Injection of anesthetic agent, facial nerve 64402 $141.00 $18.33
Injection of anesthetic agent, facial nerve 64402 $419.00 $54.47
Injection of anesthetic agent, greater occipital nerve 64405 $108.00 $14.04
Injection of anesthetic agent, greater occipital nerve 64405 $368.00 $47.84
Injection of anesthetic agent, greater occipital nerve 64405 $596.00 $77.48
Injection of anesthetic agent, neck nerve bundle 64413 $139.00 $18.07
Injection of anesthetic agent, brachial (arm) nerve bundle 64415 $109.00 $14.17
Injection by continuous infusion of anesthetic agent, brachial (arm) nerve bundle 64416 $133.00 $17.29
Injection of anesthetic agent, collar bone nerve 64418 $128.00 $16.64
Injection of anesthetic agent, of rib nerve 64420 $113.00 $14.69
Injection of anesthetic agent of multiple rib nerves 64421 $154.00 $20.02
Injection of anesthetic agent, groin nerves 64425 $158.00 $20.54
Injection of anesthetic agent, pudendal (external genital) nerve 64430 $1,017.00 $132.21
Injection of anesthetic agent, pudendal (external genital) nerve 64430 $137.00 $17.81
Injection of anesthetic agent, sciatic nerve 64445 $807.00 $104.91
Injection of anesthetic agent, sciatic nerve 64445 $122.00 $15.86
Injection of anesthetic agent, other peripheral nerve or branch 64450 $807.00 $104.91
Injection of anesthetic agent, other peripheral nerve or branch 64450 $147.00 $19.11
Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance 64479 $1,016.00 $132.08
Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance 64479 $222.00 $28.86
Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance 64480 $107.00 $13.91
Epidural steroid injections for lower back pain 64483 $909.00 $790.83
Epidural steroid injections for lower back pain 64483 $1,016.00 $883.92
Epidural steroid injections for lower back pain 64483 $1,016.00 $132.08
Epidural steroid injections for lower back pain 64483 $187.00 $24.31
Epidural steroid injections for lower back pain 64483 $187.00 $162.69
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance 64484 $472.00 $61.36
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance 64484 $506.00 $65.78
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance 64484 $87.00 $11.31
Injections of upper or middle spine facet joint using imaging guidance 64490 $1,016.00 $132.08
Injections of upper or middle spine facet joint using imaging guidance 64490 $178.00 $23.14
Injections of upper or middle spine facet joint using imaging guidance 64492 $326.00 $42.38
Injections of lower or sacral spine facet joint using imaging guidance 64493 $1,016.00 $132.08
Injections of lower or sacral spine facet joint using imaging guidance 64493 $950.00 $123.50
Injections of lower or sacral spine facet joint using imaging guidance 64493 $152.00 $19.76
Injections of lower or sacral spine facet joint using imaging guidance 64494 $335.00 $43.55
Injections of lower or sacral spine facet joint using imaging guidance 64494 $326.00 $42.38
Injections of lower or sacral spine facet joint using imaging guidance 64494 $88.00 $11.44
Injections of lower or sacral spine facet joint using imaging guidance 64495 $89.00 $11.57
Injections of lower or sacral spine facet joint using imaging guidance 64495 $335.00 $43.55
Injections of lower or sacral spine facet joint using imaging guidance 64495 $326.00 $42.38
Injection of anesthetic agent, sympathetic nerve bundle 64510 $1,016.00 $132.08
Injection of anesthetic agent, sacral nerve bundle 64517 $208.00 $27.04
Injection of anesthetic agent, middle or lower spine sympathetic nerves 64520 $136.00 $17.68
Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin 64555 $257.00 $33.41
Injection of chemical for destruction of nerve muscles on one side of face 64612 $200.00 $26.00
Injection of chemical for destruction of nerve muscles on one side of face 64612 $368.00 $47.84
Injection of agent to destroy rib nerve 64620 $286.00 $37.18
Destruction of nerve of foot 64632 $114.00 $14.82
Destruction of nerve of foot 64632 $615.00 $79.95
Destruction of upper or middle spinal facet joint nerves using imaging guidance 64633 $378.00 $49.14
Destruction of upper or middle spinal facet joint nerves with imaging guidance 64634 $114.00 $14.82
Destruction of lower or sacral spinal facet joint nerves using imaging guidance 64635 $372.00 $48.36
Destruction of lower or sacral spinal facet joint nerves with imaging guidance 64636 $100.00 $13.00
Destruction of peripheral nerve or branch 64640 $154.00 $20.02
Injection of agent to destroy abdominal sympathetic nerve bundle 64680 $277.00 $36.01
Suture of hand or foot digital nerve 64831 $6,607.00 $858.91
Nervous system procedure 64999 $337.00 $43.81
Removal of foreign body in external eye, conjunctiva 65205 $72.00 $9.36
Removal of foreign body in external eye, conjunctiva 65205 $159.00 $20.67
Removal of foreign body, external eye, cornea 65220 $419.00 $54.47
Removal of foreign body, external eye, cornea 65220 $71.00 $9.23
Removal of foreign body, external eye, cornea with slit lamp examination 65222 $159.00 $20.67
Removal of foreign body, external eye, cornea with slit lamp examination 65222 $340.00 $44.20
Removal of foreign body, external eye, cornea with slit lamp examination 65222 $86.00 $11.18
Laser removal of scar tissue in eye 65860 $748.00 $97.24
Incision and drainage of eyelid abscess 67700 $427.00 $55.51
Incision and drainage of eyelid abscess 67700 $191.00 $24.83
Incision of corner of eye at eyelids 67715 $123.00 $15.99
Incision of corner of eye at eyelids 67715 $2,882.00 $374.66
Removal of embedded foreign body in eyelid 67938 $427.00 $55.51
Removal of foreign body or stone from tear passages 68530 $573.00 $74.49
Incision and drainage of external ear abscess or blood accumulation 69000 $240.00 $31.20
Incision and drainage of external ear abscess or blood accumulation 69000 $858.00 $111.54
Incision and drainage of external ear abscess or blood accumulation 69000 $200.00 $26.00
Incision and drainage of external ear abscess or blood accumulation 69005 $1,968.00 $255.84
Incision and drainage of external ear abscess or blood accumulation 69005 $264.00 $34.32
Incision and drainage of ear canal abscess 69020 $237.00 $30.81
Incision and drainage of ear canal abscess 69020 $858.00 $111.54
Removal of bony growths of ear canal 69140 $1,454.00 $189.02
Removal of bony growths of ear canal 69140 $6,573.00 $854.49
Removal of foreign body from ear canal 69200 $159.00 $20.67
Removal of foreign body from ear canal 69200 $171.00 $22.23
Removal of foreign body from ear canal 69200 $81.00 $10.53
Removal of impacted ear wax by washing 69209 $21.00 $2.73
Removal of impacted ear wax by washing 69209 $87.00 $11.31
Removal of impact ear wax, one ear 69210 $55.00 $7.15
Removal of impact ear wax, one ear 69210 $145.00 $18.85
X-ray of eye 70030 $179.00 $23.27
X-ray of mandible, less than 4 views 70100 $219.00 $28.47
X-ray of mandible, minimum of 4 views 70110 $245.00 $31.85
X-ray of mastoid, minimum of 3 views per side 70130 $245.00 $31.85
X-ray of bones of face, less than 3 views 70140 $164.00 $21.32
X-ray of bones of face, minimum of 3 views 70150 $237.00 $30.81
X-ray of bones of nose, minimum of 3 views 70160 $191.00 $24.83
X-ray of eye bones, minimum of 4 views 70200 $219.00 $28.47
X-ray of paranasal sinus, complete, minimum of 3 views 70220 $245.00 $31.85
X-ray of skull, complete, minimum of 4 views 70260 $245.00 $31.85
X-ray of jaw joints on both sides of the face 70330 $219.00 $28.47
X-ray of soft tissue of neck 70360 $147.00 $19.11
CT scan of the head or brain without contrast or dye 70450 $1,513.00 $1,316.31
CT scan of the head or brain without contrast or dye 70450 $1,513.00 $196.69
CT scan head or brain with contrast 70460 $1,995.00 $259.35
CT scan head or brain before and after contrast 70470 $2,104.00 $273.52
CT scan of cranial cavity 70480 $588.00 $76.44
CT scan of cranial cavity with contrast 70481 $773.00 $100.49
CT scan of cranial cavity before and after contrast 70482 $2,104.00 $273.52
CT scan of face 70486 $813.00 $105.69
CT scan of face with contrast 70487 $1,513.00 $196.69
CT scan of face before and after contrast 70488 $1,995.00 $259.35
CT scan of neck 70490 $812.00 $105.56
CT scan of neck with contrast 70491 $1,995.00 $259.35
CT scan of neck before and after contrast 70492 $1,834.00 $238.42
CT scan of blood vessel of head with contrast 70496 $735.00 $95.55
CT scan of neck blood vessels with contrast 70498 $735.00 $95.55
X-ray of chest, 1 view 71045 $96.00 $12.48
X-ray of the chest, 2 views 71046 $200.00 $174.00
X-ray of the chest, 2 views 71046 $200.00 $26.00
X-ray of the chest, 2 views 71046 $129.00 $16.77
X-ray of the chest, 2 views 71046 $129.00 $112.23
X-ray of chest, minimum of 4 views 71048 $239.00 $31.07
X-ray of both sides of the ribs, 3 views 71110 $225.00 $29.25
X-ray of both sides of the ribs including the chest, minimum of 4 views 71111 $249.00 $32.37
X-ray of breast bone, minimum of 2 views 71120 $191.00 $24.83
X-ray of junction of breast and collar bones, minimum of 2 views 71130 $191.00 $24.83
CT scan chest 71250 $1,513.00 $196.69
CT scan chest with contrast 71260 $1,995.00 $259.35
CT scan chest before and after contrast 71270 $2,104.00 $273.52
CT scan of blood vessels in chest with contrast 71275 $735.00 $95.55
X-ray of spine of neck, 2 or 3 views 72040 $147.00 $19.11
X-ray of upper spine, 4 or 5 views 72050 $179.00 $23.27
X-ray of upper spine, 6 or more views 72052 $230.00 $29.90
X-ray of middle spine, 3 views 72072 $239.00 $31.07
X-ray of middle and lower spine, 2 views 72080 $289.00 $37.57
X-ray of spine, 2 or 3 views 72082 $239.00 $31.07
X-ray of spine, 2 or 3 views 72082 $355.00 $46.15
X-ray of lower and sacral spine, 2 or 3 views 72100 $179.00 $23.27
X-ray of the lower spine with 4 or more views 72110 $298.00 $38.74
X-ray of the lower spine with 4 or more views 72110 $298.00 $259.26
X-ray lower and sacral spine including bending views minimum 6 views 72114 $182.00 $23.66
X-ray lower and sacral spine including bending views 2 or 3 views 72120 $182.00 $23.66
CT scan of upper spine 72125 $1,513.00 $196.69
CT scan of upper spine with contrast 72126 $1,995.00 $259.35
CT scan of upper spine before and after contrast 72127 $2,104.00 $273.52
CT scan of middle spine 72128 $1,513.00 $196.69
CT scan of middle spine with contrast 72129 $1,764.00 $229.32
CT scan of middle spine before and after contrast 72130 $2,104.00 $273.52
CT scan of lower spine 72131 $1,513.00 $196.69
CT scan of lower spine with contrast 72132 $1,995.00 $259.35
CT scan of lower spine before and after contrast 72133 $1,863.00 $242.19
X-ray of pelvis, 1 or 2 views 72170 $179.00 $23.27
CT scan of pelvic blood vessels with contrast 72191 $735.00 $95.55
CT scan pelvis 72192 $1,513.00 $196.69
CT scan of the pelvis with contrast or dye 72193 $1,995.00 $1,735.65
CT scan of the pelvis with contrast or dye 72193 $1,995.00 $259.35
CT scan of pelvis before and after contrast 72194 $2,104.00 $273.52
X-ray of sacroiliac joints, 3 or more views 72202 $179.00 $23.27
X-ray of pelvis, minimum of 2 views 72220 $129.00 $16.77
Radiological supervision and interpretation X-ray of upper spinal canal 72240 $922.00 $119.86
Radiological supervision and interpretation X-ray of middle spinal canal 72255 $922.00 $119.86
Radiological supervision and interpretation X-ray of lower spinal canal 72265 $922.00 $119.86
Radiological supervision and interpretation X-ray of spinal canal, 2 or more spinal regions 72270 $922.00 $119.86
Radiological supervision and interpretation X-ray of disc of vertebra, upper or middle spine 72285 $183.00 $23.79
Radiological supervision and interpretation X-ray of disc of vertebra, lower spine 72295 $159.00 $20.67
Radiological supervision and interpretation X-ray of shoulder joint 73040 $536.00 $69.68
Radiological supervision and interpretation X-ray of elbow 73085 $717.00 $93.21
Radiological supervision and interpretation X-ray of wrist joint 73115 $717.00 $93.21
CT scan of arm 73200 $1,169.00 $151.97
CT scan of arm with contrast 73201 $1,742.00 $226.46
CT scan of arm before and after contrast 73202 $834.00 $108.42
CT scan of arm blood vessels with contrast 73206 $661.00 $85.93
X-ray of both hips with pelvis, 2 views 73521 $243.00 $31.59
Radiological supervision and interpretation X-ray of hip joint 73525 $717.00 $93.21
X-ray of both knees, standing, front to back view 73565 $164.00 $21.32
Radiological supervision and interpretation X-ray of knee joint 73580 $717.00 $93.21
Radiological supervision and interpretation X-ray of ankle joint 73615 $717.00 $93.21
CT scan leg 73700 $515.00 $66.95
CT scan leg with contrast injection 73701 $1,909.00 $248.17
CT scan of leg before and after contrast injection 73702 $2,104.00 $273.52
CT scan of lower leg blood vessels with contrast 73706 $530.00 $68.90
X-ray of abdomen, 1 view 74018 $122.00 $15.86
X-ray of abdomen, 2 views 74019 $164.00 $21.32
Imaging of abdomen and chest 74022 $232.00 $30.16
CT scan abdomen 74150 $1,513.00 $196.69
CT scan of the abdomen with contrast or dye 74160 $1,995.00 $1,735.65
CT scan of the abdomen with contrast or dye 74160 $1,995.00 $259.35
CT scan abdomen before and after contrast 74170 $2,104.00 $273.52
CT scan of abdominal and pelvic blood vessels with contrast 74174 $1,086.00 $141.18
CT scan of abdominal blood vessels with contrast 74175 $735.00 $95.55
CT scan of abdomen and pelvis 74176 $3,024.00 $393.12
CT scan of abdomen and pelvis with contrast 74177 $3,990.00 $518.70
CT scan of abdomen and pelvis before and after contrast 74178 $4,208.00 $547.04
X-ray of esophagus 74220 $214.00 $27.82
Imaging for evaluation of swallowing function 74230 $473.00 $61.49
X-ray of upper digestive tract 74240 $362.00 $47.06
X-ray of upper digestive tract with contrast 74246 $381.00 $49.53
X-ray of upper digestive tract, kidneys, urinary ducts (ureters), and bladder with contrast 74247 $196.00 $25.48
X-ray of upper digestive tract with contrast followed by x-ray of small bowel at later point 74249 $426.00 $55.38
X-ray of small intestine 74250 $287.00 $37.31
X-ray of large bowel with contrast 74280 $472.00 $61.36
Imaging of gallbladder with contrast 74290 $214.00 $27.82
Radiological supervision and interpretation X-ray of bile and/or pancreatic ducts during surgery 74300 $268.00 $34.84
Imaging of urinary tract with injection of contrast into a vein 74400 $472.00 $61.36
Imaging of urinary tract using infusion technique with kidney section filming 74415 $360.00 $46.80
Imaging of urinary tract 74420 $717.00 $93.21
Radiological supervision and interpretation X-ray of urinary tract 74425 $717.00 $93.21
Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views 74430 $360.00 $46.80
Radiological supervision and interpretation X-ray of urinary bladder and urethra 74455 $475.00 $61.75
Radiological supervision and interpretation of dilation of urinary ducts (ureters) or bladder canal (urethra) 74485 $2,617.00 $340.21
Radiological supervision and interpretation X-ray of uterine tubes and ovaries 74740 $709.00 $92.17
Radiological supervision and interpretation X-ray of chest aorta 75600 $3,756.00 $488.28
Radiological supervision and interpretation X-ray of chest aorta 75605 $6,244.00 $811.72
Radiological supervision and interpretation X-ray of abdominal aorta 75625 $3,756.00 $488.28
Radiological supervision and interpretation X-ray of abdominal aorta and both leg arteries 75630 $3,756.00 $488.28
CT scan of abdominal aorta and both leg arteries with contrast 75635 $735.00 $95.55
Radiological supervision and interpretation of imaging of artery of one arm or leg 75710 $3,756.00 $488.28
Radiological supervision and interpretation of imaging of arteries of both arms or legs 75716 $3,756.00 $488.28
Radiological supervision and interpretation of imaging of abdominal artery 75726 $6,244.00 $811.72
Radiological supervision and interpretation of imaging of artery of one adrenal gland 75731 $1,089.00 $141.57
Radiological supervision and interpretation of imaging of artery of pelvis 75736 $6,244.00 $811.72
Radiological supervision and interpretation of imaging of artery of one lung 75741 $3,756.00 $488.28
Radiological supervision and interpretation of imaging of arteries of both lungs 75743 $3,756.00 $488.28
Radiological supervision and interpretation of imaging of lung artery, contrast inserted by catheter or injection into vein 75746 $1,089.00 $141.57
Radiological supervision and interpretation of imaging of artery of breast 75756 $3,756.00 $488.28
Radiological supervision and interpretation of imaging of artery 75774 $126.00 $16.38
Radiological supervision and interpretation of imaging of vein of one arm or leg 75820 $1,401.00 $182.13
Radiological supervision and interpretation of imaging of vein of one arm or leg 75820 $1,089.00 $141.57
Radiological supervision and interpretation of imaging of veins of both arms or legs 75822 $1,089.00 $141.57
Radiological supervision and interpretation of imaging of major abdominal vein 75825 $3,756.00 $488.28
Radiological supervision and interpretation of imaging of major chest vein 75827 $1,089.00 $141.57
Radiological supervision and interpretation of imaging of vein of one kidney 75831 $3,756.00 $488.28
Radiological supervision and interpretation of imaging of vein of both kidneys 75833 $3,756.00 $488.28
Radiological supervision and interpretation of imaging of vein of one adrenal gland 75840 $3,756.00 $488.28
Radiological supervision and interpretation of imaging of veins of both adrenal glands 75842 $6,244.00 $811.72
Radiological supervision and interpretation of imaging of vein system in head or neck vein 75860 $3,756.00 $488.28
Radiological supervision and interpretation of obstruction of blood vessel via catheter 75894 $651.00 $84.63
Imaging of blood vessel 75898 $1,089.00 $141.57
Imaging guidance for procedure, up to 1 hour 76000 $472.00 $61.36
Imaging from nose to rectum, single view, child 76010 $245.00 $31.85
Imaging for abscess or abnormal drainage tract procedure 76080 $717.00 $93.21
Imaging of surgical specimen 76098 $717.00 $93.21
Single plane imaging procedure 76100 $259.00 $33.67
Fluoroscopic procedure 76496 $176.00 $22.88
Imaging procedure 76499 $96.00 $12.48
Ultrasound of head and neck 76536 $451.00 $58.63
Ultrasound of chest 76604 $179.00 $23.27
Ultrasound of one breast 76641 $511.00 $66.43
Ultrasound of one breast 76642 $357.00 $46.41
Ultrasound of the abdomen 76700 $511.00 $66.43
Ultrasound of the abdomen 76700 $511.00 $444.57
Ultrasound of abdomen 76705 $179.00 $23.27
Ultrasound evaluation of abdominal aorta to detect bulging (aneurysm) 76706 $179.00 $23.27
Ultrasound behind abdominal cavity 76770 $511.00 $66.43
Ultrasound behind abdominal cavity, limited 76775 $179.00 $23.27
Abdominal ultrasound of pregnant uterus (less than 14 weeks 0 days) single or first fetus 76801 $179.00 $23.27
Abdominal ultrasound of pregnant uterus single or first fetus 76811 $290.00 $37.70
Abdominal ultrasound of pregnant uterus 76812 $113.00 $14.69
Ultrasound of pregnant uterus (first trimester) single or first fetus 76813 $179.00 $23.27
Ultrasound of pregnant uterus (first trimester), abdominal or vaginal approach 76814 $112.00 $14.56
Ultrasound of pregnant uterus, 1 or more fetus(es) 76815 $179.00 $23.27
Ultrasound re-evaluation of pregnant uterus, per fetus 76816 $179.00 $23.27
Vaginal ultrasound of pregnant uterus 76817 $608.00 $79.04
Ultrasound of fetus 76819 $511.00 $66.43
Ultrasound of fetal umbilical artery flow rate 76820 $179.00 $23.27
Ultrasound pelvis through vagina 76830 $598.00 $77.74
Ultrasound of uterus 76831 $360.00 $46.80
Ultrasound of pelvis 76856 $511.00 $66.43
Ultrasound of pelvis 76857 $410.00 $53.30
Ultrasound of scrotum 76870 $451.00 $58.63
Ultrasound of rectum 76872 $709.00 $92.17
Complete ultrasound of joint of arm or leg 76881 $511.00 $66.43
Partial ultrasound of joint or other non-blood vessel structure of arm or leg 76882 $257.00 $33.41
Ultrasonic guidance for drainage of sac that covers the heart 76930 $627.00 $81.51
Ultrasound guidance for accessing into blood vessel 76937 $142.00 $18.46
Ultrasonic guidance imaging supervision and interpretation for insertion of needle 76942 $473.00 $61.49
Ultrasonic guidance imaging supervision and interpretation for amniocentesis 76946 $658.00 $85.54
Ultrasound procedure 76999 $321.00 $41.73
Fluoroscopic guidance for insertion, replacement or removal of central venous access device 77001 $136.00 $17.68
Fluoroscopic guidance for insertion of needle 77002 $16.00 $2.08
Fluoroscopic guidance for injection into spine or muscle next to spine 77003 $418.00 $54.34
Fluoroscopic guidance for injection into spine or muscle next to spine 77003 $126.00 $16.38
Radiological supervision and interpretation of CT guidance for needle insertion 77012 $1,629.00 $211.77
Radiological supervision and interpretation of CT guidance for needle insertion 77012 $1,426.00 $185.38
Digital tomography of one breast 77061 $37.00 $4.81
Digital tomography of both breasts 77062 $37.00 $4.81
Screening digital tomography of both breasts 77063 $37.00 $4.81
Mammography of both breasts 77066 $216.00 $28.08
Mammogram of both breasts 77067 $70.00 $60.90
Mammogram of both breasts 77067 $216.00 $187.92
Mammogram of both breasts 77067 $70.00 $9.10
Mammogram of both breasts 77067 $216.00 $28.08
Imaging for bone length assessment 77073 $278.00 $36.14
Bone density measurement using dedicated X-ray machine 77080 $80.00 $10.40
Bone density measurement using dedicated X-ray machine 77080 $278.00 $36.14
Nuclear medicine imaging for thyroid uptake measurements 78012 $629.00 $81.77
Nuclear medicine imaging of thyroid 78013 $710.00 $92.30
Nuclear medicine imaging for thyroid uptake measurements 78014 $1,338.00 $173.94
Imaging of parathyroid 78070 $530.00 $68.90
Imaging of bone marrow limited area 78102 $530.00 $68.90
Imaging of lymphatic tissue and lymph node 78195 $683.00 $88.79
Imaging of liver and spleen 78215 $530.00 $68.90
Imaging of liver and bile duct system 78226 $1,691.00 $219.83
Imaging of liver and bile duct system with use of drugs 78227 $1,691.00 $219.83
Stomach emptying study 78264 $530.00 $68.90
Acute digestive tract blood loss imaging 78278 $530.00 $68.90
Intestine imaging 78290 $530.00 $68.90
Bone and/or joint imaging 78300 $831.00 $108.03
Bone and/or joint imaging, multiple areas 78305 $939.00 $122.07
Bone and/or joint imaging, whole body 78306 $1,158.00 $150.54
Bone and/or joint imaging, 3 phase study 78315 $1,280.00 $166.40
Nuclear medicine study of bone and/or joint 78320 $683.00 $88.79
Nuclear medicine study of vessels of heart using drugs or exercise single study 78451 $1,812.00 $235.56
Nuclear medicine study of vessels of heart using drugs or exercise multiple studies 78452 $1,812.00 $235.56
Nuclear medicine study of heart wall motion at rest or stress with evaluation of blood ejection from heart, single study 78472 $620.00 $80.60
Nuclear medicine study of lung ventilation 78579 $843.00 $109.59
Nuclear medicine study of blood circulation in the lungs 78580 $976.00 $126.88
Nuclear medicine study of lung ventilation and blood circulation in the lungs 78582 $1,404.00 $182.52
Imaging of kidney 78700 $1,158.00 $150.54
Nuclear medicine study of kidney with assessment of blood flow and function 78707 $1,376.00 $178.88
Nuclear medicine study of kidney with assessment of blood flow and function 78708 $1,267.00 $164.71
Nuclear medicine study of radioactive material distribution at tumor location 78800 $530.00 $68.90
Nuclear medicine study of radioactive material distribution at tumor locations in whole body, single day imaging 78802 $3,956.00 $514.28
Nuclear medicine study of radioactive material distribution at site of inflammation 78805 $1,812.00 $235.56
Nuclear medicine study of radioactive material distribution at sites of inflammation in whole body 78806 $1,812.00 $235.56
Oral administration of radioactive material therapy agent 79005 $939.00 $122.07
Basic Metabolic Panel 80048 $59.00 $7.67
Basic Metabolic Panel 80048 $51.00 $6.63
Basic Metabolic Panel 80048 $20.00 $17.40
Basic Metabolic Panel 80048 $51.00 $44.37
Basic Metabolic Panel 80048 $59.00 $51.33
Basic Metabolic Panel 80048 $20.00 $2.60
General health panel 80050 $235.00 $30.55
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) 80051 $53.00 $6.89
Comprehensive Metabolic Panel 80053 $29.00 $25.23
Comprehensive Metabolic Panel 80053 $73.00 $63.51
Comprehensive Metabolic Panel 80053 $29.00 $3.77
Comprehensive Metabolic Panel 80053 $21.00 $18.27
Comprehensive Metabolic Panel 80053 $73.00 $9.49
Comprehensive Metabolic Panel 80053 $21.00 $2.73
Lipid Panel 80061 $24.00 $20.88
Lipid Panel 80061 $45.00 $5.85
Lipid Panel 80061 $112.00 $14.56
Lipid Panel 80061 $24.00 $3.12
Lipid Panel 80061 $112.00 $97.44
Lipid Panel 80061 $45.00 $39.15
Kidney function blood test panel 80069 $73.00 $9.49
Acute hepatitis panel 80074 $33.00 $4.29
Acute hepatitis panel 80074 $37.00 $4.81
Liver function blood test panel 80076 $20.00 $2.60
Liver function blood test panel 80076 $75.00 $9.75
Amikacin (antibiotic) level 80150 $30.00 $3.90
Amikacin (antibiotic) level 80150 $54.00 $7.02
Carbamazepine level 80156 $96.00 $12.48
Carbamazepine level 80156 $26.00 $3.38
Carbamazepine level 80157 $36.00 $4.68
Carbamazepine level 80157 $77.00 $10.01
Cyclosporine level 80158 $42.00 $5.46
Cyclosporine level 80158 $31.00 $4.03
Cyclosporine level 80158 $68.00 $8.84
Clozapine level 80159 $143.00 $18.59
Clozapine level 80159 $97.00 $12.61
Clozapine level 80159 $23.00 $2.99
Digoxin level 80162 $77.00 $10.01
Valproic acid level 80164 $25.00 $3.25
Valproic acid level 80164 $78.00 $10.14
Ethosuximide level 80168 $90.00 $11.70
Ethosuximide level 80168 $28.00 $3.64
Everolimus level 80169 $111.00 $14.43
Everolimus level 80169 $80.00 $10.40
Gentamicin (antibiotic) level 80170 $92.00 $11.96
Gentamicin (antibiotic) level 80170 $96.00 $12.48
Gabapentin level 80171 $61.00 $7.93
Gabapentin level 80171 $34.00 $4.42
Gabapentin level 80171 $77.00 $10.01
Lamotrigine level 80175 $32.00 $4.16
Lamotrigine level 80175 $76.00 $9.88
Lamotrigine level 80175 $25.00 $3.25
Lidocaine level 80176 $86.00 $11.18
Levetiracetam level 80177 $32.00 $4.16
Levetiracetam level 80177 $34.00 $4.42
Levetiracetam level 80177 $76.00 $9.88
Lithium level 80178 $53.00 $6.89
Mycophenolate (mycophenolic acid) level 80180 $57.00 $7.41
Mycophenolate (mycophenolic acid) level 80180 $77.00 $10.01
Oxcarbazepine level 80183 $43.00 $5.59
Oxcarbazepine level 80183 $77.00 $10.01
Oxcarbazepine level 80183 $42.00 $5.46
Phenobarbital level 80184 $28.00 $3.64
Phenobarbital level 80184 $22.00 $2.86
Phenobarbital level 80184 $67.00 $8.71
Phenytoin level 80185 $77.00 $10.01
Phenytoin level 80186 $30.00 $3.90
Phenytoin level 80186 $27.00 $3.51
Phenytoin level 80186 $81.00 $10.53
Primidone level 80188 $31.00 $4.03
Primidone level 80188 $38.00 $4.94
Primidone level 80188 $97.00 $12.61
Sirolimus level 80195 $48.00 $6.24
Sirolimus level 80195 $80.00 $10.40
Tacrolimus level 80197 $80.00 $10.40
Tacrolimus level 80197 $36.00 $4.68
Tacrolimus level 80197 $39.00 $5.07
Theophylline level 80198 $67.00 $8.71
Tobramycin (antibiotic) level 80200 $34.00 $4.42
Tobramycin (antibiotic) level 80200 $59.00 $7.67
Topiramate level 80201 $69.00 $8.97
Topiramate level 80201 $35.00 $4.55
Vancomycin (antibiotic) level 80202 $78.00 $10.14
Vancomycin (antibiotic) level 80202 $112.00 $14.56
Zonisamide level 80203 $61.00 $7.93
Zonisamide level 80203 $77.00 $10.01
Zonisamide level 80203 $76.00 $9.88
Quantitation of therapeutic drug 80299 $99.00 $12.87
Quantitation of therapeutic drug 80299 $80.00 $10.40
Quantitation of therapeutic drug 80299 $32.00 $4.16
Quantitation of therapeutic drug 80299 $31.00 $4.03
Quantitation of therapeutic drug 80299 $30.00 $3.90
Quantitation of therapeutic drug 80299 $190.00 $24.70
Quantitation of therapeutic drug 80299 $133.00 $17.29
Quantitation of therapeutic drug 80299 $101.00 $13.13
Quantitation of therapeutic drug 80299 $129.00 $16.77
Quantitation of therapeutic drug 80299 $231.00 $30.03
Quantitation of therapeutic drug 80299 $46.00 $5.98
Testing for presence of drug 80305 $57.00 $7.41
Testing for presence of drug 80305 $37.00 $4.81
Testing for presence of drug 80305 $56.00 $7.28
Testing for presence of drug 80307 $55.00 $7.15
Testing for presence of drug 80307 $206.00 $26.78
Testing for presence of drug 80307 $28.00 $3.64
Testing for presence of drug 80307 $21.00 $2.73
Testing for presence of drug 80307 $61.00 $7.93
Testing for presence of drug 80307 $8.00 $1.04
Alcohols levels 80320 $41.00 $5.33
Alcohols levels 80320 $75.00 $9.75
Alcohols levels 80320 $42.00 $5.46
Alcohols levels 80320 $25.00 $3.25
Alkaloids levels 80323 $47.00 $6.11
Amphetamines levels 80324 $13.00 $1.69
Analgesics levels 80329 $35.00 $4.55
Antidepressants levels 80335 $13.00 $1.69
Barbiturates levels 80345 $13.00 $1.69
Barbiturates levels 80345 $35.00 $4.55
Barbiturates levels 80345 $38.00 $4.94
Benzodiazepines levels 80346 $38.00 $4.94
Benzodiazepines levels 80346 $36.00 $4.68
Benzodiazepines levels 80346 $13.00 $1.69
Buprenorphine level 80348 $13.00 $1.69
Cannabinoids levels 80349 $13.00 $1.69
Cannabinoids levels 80349 $75.00 $9.75
Cannabinoids levels 80349 $42.00 $5.46
Cannabinoids levels 80349 $36.00 $4.68
Cocaine level 80353 $38.00 $4.94
Cocaine level 80353 $13.00 $1.69
Fentanyl level 80354 $13.00 $1.69
Heroin metabolite level 80356 $13.00 $1.69
Methadone level 80358 $13.00 $1.69
Opiates levels 80361 $13.00 $1.69
Opiates levels 80361 $42.00 $5.46
Opiates levels 80361 $35.00 $4.55
Opioids levels 80364 $35.00 $4.55
Oxycodone levels 80365 $13.00 $1.69
Oxycodone levels 80365 $38.00 $4.94
Skeletal muscle relaxants levels 80369 $13.00 $1.69
Skeletal muscle relaxants levels 80369 $42.00 $5.46
Tramadol level 80373 $166.00 $21.58
Tramadol level 80373 $13.00 $1.69
Drugs or substances measurement 80375 $138.00 $17.94
Hormonal panel for adrenal gland assessment (adrenal gland insufficiency) 80400 $95.00 $12.35
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $24.00 $3.12
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $20.00 $2.60
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $20.00 $17.40
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $24.00 $20.88
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $25.00 $21.75
Automated urinalysis test 81003 $12.00 $1.56
Automated urinalysis test 81003 $23.00 $2.99
Automated urinalysis test 81003 $19.00 $2.47
Analysis of urine 81005 $12.00 $1.56
Urinalysis using microscope 81015 $18.00 $2.34
Urine pregnancy test 81025 $54.00 $7.02
Gene analysis (Human Platelet Antigen 1) for common variant 81105 $287.00 $37.31
Translocation analysis (BCR/ABL1) minor breakpoint 81206 $936.00 $121.68
Gene analysis (breast cancer 2) for known familial variant 81217 $679.00 $88.27
Gene analysis (cystic fibrosis transmembrane conductance regular) common variants 81220 $82.00 $10.66
Genome-wide microarray analysis for copy number and single nucleotide polymorphism variants 81229 $4,826.00 $627.38
Gene analysis (prothrombin, coagulation factor II) A variant 81240 $51.00 $6.63
Gene analysis (prothrombin, coagulation factor II) A variant 81240 $57.00 $7.41
Gene analysis (prothrombin, coagulation factor II) A variant 81240 $286.00 $37.18
Gene analysis (coagulation factor V) Leiden variant 81241 $356.00 $46.28
Gene analysis (coagulation factor V) Leiden variant 81241 $48.00 $6.24
Gene analysis (coagulation factor V) Leiden variant 81241 $56.00 $7.28
Gene analysis (fragile X mental retardation) abnormal alleles 81243 $132.00 $17.16
Gene analysis (fragile X mental retardation) abnormal alleles 81243 $141.00 $18.33
Gene analysis (hemochromatosis) common variants 81256 $303.00 $39.39
Gene analysis (hemochromatosis) common variants 81256 $110.00 $14.30
Gene analysis (Janus kinase 2) variant 81270 $216.00 $28.08
Gene analysis (Janus kinase 2) variant 81270 $534.00 $69.42
Gene analysis (Janus kinase 2) variant 81270 $137.00 $17.81
Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants 81291 $91.00 $11.83
Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants 81291 $101.00 $13.13
Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants 81291 $255.00 $33.15
Gene analysis (mutL homolog 1, colon cancer, nonpolyposis type 2) full sequence analysis 81292 $678.00 $88.14
Gene analysis (mutS homolog 2, colon cancer, nonpolyposis type 1) full sequence analysis 81295 $384.00 $49.92
Gene analysis (mutS homolog 6 [E coli]) full sequence analysis 81298 $644.00 $83.72
Gene analysis (postmeiotic segregation increased 2 [S cerevisiae]) duplication or deletion variants 81319 $277.00 $36.01
Gene analysis (peripheral myelin protein 22), known familial variant 81326 $102.00 $13.26
Methylation analysis (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) 81331 $312.00 $40.56
HLA class I typing low resolution 81372 $235.00 $30.55
HLA class II typing low resolution HLA-DRB1/3/4/5 and -DQB1 81375 $175.00 $22.75
HLA class II typing low resolution one locus 81376 $158.00 $20.54
HLA class II typing high resolution one locus 81382 $102.00 $13.26
Molecular pathology procedure level 1 81400 $64.00 $8.32
Molecular pathology procedure level 2 81401 $231.00 $30.03
Molecular pathology procedure level 4 81403 $454.00 $59.02
Molecular pathology procedure level 4 81403 $217.00 $28.21
Test for detecting genes associated with fetal disease 81420 $1,746.00 $226.98
Test for detecting genes associated with fetal disease 81420 $594.00 $77.22
Test for detecting genes causing hearing loss 81430 $188.00 $24.44
Molecular pathology procedure 81479 $55.00 $7.15
Genetic profiling on oncology biopsy of ovarian lesions 81503 $601.00 $78.13
Fetal congenital abnormalities, biochemical assays of four analytes (afp, ue3, hcg [any form], dia) utilizing maternal serum, algorithm reported as a risk score 81511 $651.00 $84.63
Biochemical assays for evaluation of chronic Hepatitis C virus infection 81596 $301.00 $39.13
Multianalyte assay procedure with algorithmic analysis 81599 $774.00 $100.62
Ketone bodies analysis 82009 $24.00 $3.12
Ketone bodies analysis 82010 $74.00 $9.62
Ketone bodies analysis 82010 $21.00 $2.73
Chemical test for genetic disorder 82017 $161.00 $20.93
Adrenocorticotropic hormone (ACTH) level 82024 $225.00 $29.25
Adrenocorticotropic hormone (ACTH) level 82024 $48.00 $6.24
Albumin (protein) level 82040 $12.00 $1.56
Albumin (protein) level 82040 $11.00 $1.43
Albumin (protein) level 82040 $14.00 $1.82
Albumin (protein) level 82040 $29.00 $3.77
Albumin (protein) level 82040 $20.00 $2.60
Cerebrospinal fluid, or amniotic fluid albumin (protein) level 82042 $26.00 $3.38
Cerebrospinal fluid, or amniotic fluid albumin (protein) level 82042 $11.00 $1.43
Cerebrospinal fluid, or amniotic fluid albumin (protein) level 82042 $30.00 $3.90
Cerebrospinal fluid, or amniotic fluid albumin (protein) level 82042 $10.00 $1.30
Cerebrospinal fluid, or amniotic fluid albumin (protein) level 82042 $12.00 $1.56
Urine microalbumin (protein) level 82043 $21.00 $2.73
Breath alcohol level 82075 $42.00 $5.46
Breath alcohol level 82075 $55.00 $7.15
Aldolase (enzyme) level 82085 $56.00 $7.28
Aldolase (enzyme) level 82085 $33.00 $4.29
Aldosterone hormone level 82088 $237.00 $30.81
Aldosterone hormone level 82088 $22.00 $2.86
Aldosterone hormone level 82088 $36.00 $4.68
Aldosterone hormone level 82088 $30.00 $3.90
Aldosterone hormone level 82088 $45.00 $5.85
Aldosterone hormone level 82088 $44.00 $5.72
Alpha-1-antitrypsin (protein) blood test 82103 $86.00 $11.18
Alpha-1-antitrypsin (protein) blood test 82103 $25.00 $3.25
Alpha-1-antitrypsin (protein) blood test 82103 $78.00 $10.14
Alpha-1-antitrypsin (protein) blood test 82103 $42.00 $5.46
Alpha-1-antitrypsin (protein) blood test 82103 $32.00 $4.16
Alpha-1-antitrypsin (protein) blood test 82104 $42.00 $5.46
Alpha-fetoprotein (AFP) level, serum 82105 $22.00 $2.86
Alpha-fetoprotein (AFP) level, serum 82105 $34.00 $4.42
Alpha-fetoprotein (AFP) level, serum 82105 $13.00 $1.69
Alpha-fetoprotein (AFP) level, serum 82105 $26.00 $3.38
Alpha-fetoprotein (AFP) level, serum 82105 $29.00 $3.77
Alpha-fetoprotein (AFP) level, serum 82105 $19.00 $2.47
Alpha-fetoprotein (AFP) level, serum 82105 $98.00 $12.74
Alpha-fetoprotein (AFP) level, serum 82105 $54.00 $7.02
Aluminum level 82108 $56.00 $7.28
Aluminum level 82108 $27.00 $3.51
Amino acid analysis 82131 $99.00 $12.87
Amino acid analysis 82131 $31.00 $4.03
Amino acid analysis 82131 $139.00 $18.07
Amino acid level, multiple amino acids 82139 $116.00 $15.08
Ammonia level 82140 $93.00 $12.09
Ammonia level 82140 $28.00 $3.64
Amylase (enzyme) level 82150 $23.00 $2.99
Amylase (enzyme) level 82150 $21.00 $2.73
Amylase (enzyme) level 82150 $38.00 $4.94
Amylase (enzyme) level 82150 $22.00 $2.86
Androstenedione (hormone) level 82157 $36.00 $4.68
Androstenedione (hormone) level 82157 $32.00 $4.16
Angiotensin l - converting enzyme (ACE) level 82164 $29.00 $3.77
Angiotensin l - converting enzyme (ACE) level 82164 $30.00 $3.90
Angiotensin l - converting enzyme (ACE) level 82164 $68.00 $8.84
Apolipoprotein level 82172 $29.00 $3.77
Apolipoprotein level 82172 $28.00 $3.64
Apolipoprotein level 82172 $45.00 $5.85
Apolipoprotein level 82172 $90.00 $11.70
Apolipoprotein level 82172 $50.00 $6.50
Arsenic level 82175 $42.00 $5.46
Arsenic level 82175 $33.00 $4.29
Arsenic level 82175 $108.00 $14.04
Arsenic level 82175 $36.00 $4.68
Ascorbic acid (Vitamin C) level, blood 82180 $23.00 $2.99
Ascorbic acid (Vitamin C) level, blood 82180 $57.00 $7.41
Ascorbic acid (Vitamin C) level, blood 82180 $48.00 $6.24
Beta-2 microglobulin (protein) level 82232 $31.00 $4.03
Beta-2 microglobulin (protein) level 82232 $25.00 $3.25
Beta-2 microglobulin (protein) level 82232 $95.00 $12.35
Bile acids level 82239 $36.00 $4.68
Bile acids level 82239 $27.00 $3.51
Bilirubin level 82247 $63.00 $8.19
Bilirubin level 82247 $50.00 $6.50
Bilirubin level 82247 $30.00 $3.90
Bilirubin level 82248 $30.00 $3.90
Stool analysis for blood to screen for colon tumors 82270 $24.00 $3.12
Specimen analysis for blood 82271 $32.00 $4.16
Specimen analysis for blood 82271 $24.00 $3.12
Stool analysis for blood 82272 $24.00 $3.12
Stool analysis for blood 82274 $93.00 $12.09
Vitamin D-3 level 82306 $173.00 $22.49
Calcitonin (hormone) level 82308 $32.00 $4.16
Calcitonin (hormone) level 82308 $156.00 $20.28
Calcium level 82310 $37.00 $4.81
Calcium level 82330 $99.00 $12.87
Urine calcium level 82340 $31.00 $4.03
Urine calcium level 82340 $21.00 $2.73
Urine calcium level 82340 $23.00 $2.99
Infrared analysis of stone 82365 $75.00 $9.75
Carbohydrate deficient transferrin (protein) level 82373 $56.00 $7.28
Carbon dioxide (bicarbonate) level 82374 $29.00 $3.77
Carboxyhemoglobin (protein) level 82375 $75.00 $9.75
Carcinoembryonic antigen (CEA) protein level 82378 $141.00 $18.33
Carcinoembryonic antigen (CEA) protein level 82378 $31.00 $4.03
Carcinoembryonic antigen (CEA) protein level 82378 $25.00 $3.25
Carcinoembryonic antigen (CEA) protein level 82378 $23.00 $2.99
Carcinoembryonic antigen (CEA) protein level 82378 $110.00 $14.30
Carnitine level 82379 $29.00 $3.77
Carnitine level 82379 $28.00 $3.64
Carnitine level 82379 $146.00 $18.98
Carotene level 82380 $27.00 $3.51
Carotene level 82380 $54.00 $7.02
Catecholamines (organic nitrogen) level 82384 $46.00 $5.98
Catecholamines (organic nitrogen) level 82384 $29.00 $3.77
Catecholamines (organic nitrogen) level 82384 $31.00 $4.03
Catecholamines (organic nitrogen) level 82384 $140.00 $18.20
Ceruloplasmin (protein) level 82390 $23.00 $2.99
Ceruloplasmin (protein) level 82390 $29.00 $3.77
Ceruloplasmin (protein) level 82390 $62.00 $8.06
Analysis using chemiluminescent technique (light and chemical )reaction 82397 $36.00 $4.68
Analysis using chemiluminescent technique (light and chemical )reaction 82397 $55.00 $7.15
Blood chloride level 82435 $25.00 $3.25
Urine chloride level 82436 $9.00 $1.17
Urine chloride level 82436 $18.00 $2.34
Urine chloride level 82436 $19.00 $2.47
Urine chloride level 82436 $8.00 $1.04
Urine chloride level 82436 $20.00 $2.60
Urine chloride level 82436 $24.00 $3.12
Cholinesterase (enzyme) level, to test for exposure to chemical or liver disease 82480 $68.00 $8.84
Cholinesterase (enzyme) level 82482 $29.00 $3.77
Chromium level to test for poisoning or deficiency 82495 $35.00 $4.55
Chromium level to test for poisoning or deficiency 82495 $37.00 $4.81
Citrate level 82507 $128.00 $16.64
Citrate level 82507 $47.00 $6.11
Citrate level 82507 $27.00 $3.51
Citrate level 82507 $129.00 $16.77
Collagen cross links test, (urine test to evaluate bone health) 82523 $39.00 $5.07
Collagen cross links test, (urine test to evaluate bone health) 82523 $65.00 $8.45
Collagen cross links test, (urine test to evaluate bone health) 82523 $109.00 $14.17
Collagen cross links test, (urine test to evaluate bone health) 82523 $21.00 $2.73
Collagen cross links test, (urine test to evaluate bone health) 82523 $96.00 $12.48
Collagen cross links test, (urine test to evaluate bone health) 82523 $80.00 $10.40
Copper level 82525 $72.00 $9.36
Copper level 82525 $24.00 $3.12
Copper level 82525 $25.00 $3.25
Copper level 82525 $26.00 $3.38
Copper level 82525 $15.00 $1.95
Cortisol (hormone) measurement 82530 $32.00 $4.16
Cortisol (hormone) measurement 82530 $98.00 $12.74
Cortisol (hormone) measurement 82530 $74.00 $9.62
Cortisol (hormone) measurement 82530 $67.00 $8.71
Cortisol (hormone) measurement 82530 $120.00 $15.60
Cortisol (hormone) measurement 82533 $14.00 $1.82
Cortisol (hormone) measurement 82533 $95.00 $12.35
Cortisol (hormone) measurement 82533 $25.00 $3.25
Cortisol (hormone) measurement 82533 $26.00 $3.38
Cortisol (hormone) measurement 82533 $15.00 $1.95
Cortisol (hormone) measurement 82533 $83.00 $10.79
Cortisol (hormone) measurement 82533 $24.00 $3.12
Chemical analysis using chromatography technique 82542 $102.00 $13.26
Chemical analysis using chromatography technique 82542 $101.00 $13.13
Chemical analysis using chromatography technique 82542 $65.00 $8.45
Chemical analysis using chromatography technique 82542 $108.00 $14.04
Chemical analysis using chromatography technique 82542 $38.00 $4.94
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $38.00 $33.06
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $38.00 $4.94
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $23.00 $2.99
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $23.00 $20.01
Creatine kinase (cardiac enzyme) level 82552 $23.00 $2.99
Creatine kinase (cardiac enzyme) level 82552 $77.00 $10.01
Creatine kinase (cardiac enzyme) level 82553 $41.00 $5.33
Creatine kinase (cardiac enzyme) level 82553 $24.00 $3.12
Blood creatinine level 82565 $28.00 $3.64
Creatinine level to test for kidney function or muscle injury 82570 $5.00 $0.65
Creatinine level to test for kidney function or muscle injury 82570 $19.00 $2.47
Creatinine level to test for kidney function or muscle injury 82570 $34.00 $4.42
Creatinine level to test for kidney function or muscle injury 82570 $22.00 $2.86
Creatinine level to test for kidney function or muscle injury 82570 $25.00 $3.25
Creatinine level to test for kidney function or muscle injury 82570 $11.00 $1.43
Creatinine level to test for kidney function or muscle injury 82570 $14.00 $1.82
Creatinine level to test for kidney function or muscle injury 82570 $10.00 $1.30
Creatinine clearance measurement to test for kidney function 82575 $59.00 $7.67
Cryofibrinogen (protein) level 82585 $50.00 $6.50
Cryoglobulin (protein) measurement 82595 $34.00 $4.42
Cryoglobulin (protein) measurement 82595 $37.00 $4.81
Cryoglobulin (protein) measurement 82595 $29.00 $3.77
Cyanocobalamin (vitamin B-12) level 82607 $20.00 $2.60
Cyanocobalamin (vitamin B-12) level 82607 $35.00 $4.55
Cyanocobalamin (vitamin B-12) level 82607 $111.00 $14.43
Cystatin C (enzyme inhibitor) level 82610 $85.00 $11.05
Dehydroepiandrosterone (DHEA) hormone level 82626 $32.00 $4.16
Dehydroepiandrosterone (DHEA) hormone level 82626 $148.00 $19.24
Dehydroepiandrosterone (DHEA) hormone level 82626 $37.00 $4.81
Dehydroepiandrosterone (DHEA-S) hormone level 82627 $129.00 $16.77
Dehydroepiandrosterone (DHEA-S) hormone level 82627 $31.00 $4.03
Dehydroepiandrosterone (DHEA-S) hormone level 82627 $25.00 $3.25
Dihydroxyvitamin D, 1, 25 level 82652 $330.00 $42.90
Enzyme activity measurement 82657 $119.00 $15.47
Enzyme activity measurement 82657 $268.00 $34.84
Erythropoietin (protein) level 82668 $109.00 $14.17
Erythropoietin (protein) level 82668 $33.00 $4.29
Estradiol (hormone) level 82670 $33.00 $4.29
Estradiol (hormone) level 82670 $206.00 $26.78
Estradiol (hormone) level 82670 $28.00 $3.64
Estrogen analysis 82671 $59.00 $7.67
Estrogen analysis 82672 $126.00 $16.38
Estrogen analysis 82672 $38.00 $4.94
Estriol (hormone) level 82677 $13.00 $1.69
Estriol (hormone) level 82677 $54.00 $7.02
Estriol (hormone) level 82677 $66.00 $8.58
Estriol (hormone) level 82677 $19.00 $2.47
Estrone (hormone) level 82679 $61.00 $7.93
Estrone (hormone) level 82679 $108.00 $14.04
Ethylene glycol (antifreeze) measurement 82693 $51.00 $6.63
Ethylene glycol (antifreeze) measurement 82693 $87.00 $11.31
Stool fat analysis 82705 $30.00 $3.90
Stool fat analysis 82705 $21.00 $2.73
Stool fat measurement 82710 $43.00 $5.59
Stool fat measurement 82710 $72.00 $9.36
Ferritin (blood protein) level 82728 $24.00 $3.12
Ferritin (blood protein) level 82728 $23.00 $2.99
Ferritin (blood protein) level 82728 $102.00 $13.26
Fetal fibronectin (protein) analysis 82731 $148.00 $19.24
Fetal fibronectin (protein) analysis 82731 $433.00 $56.29
Fluoride level 82735 $126.00 $16.38
Folic acid level 82746 $20.00 $2.60
Folic acid level 82746 $109.00 $14.17
Folic acid level 82747 $21.00 $2.73
Folic acid level 82747 $22.00 $2.86
Folic acid level 82747 $101.00 $13.13
Gammaglobulin (immune system protein) measurement 82784 $12.00 $1.56
Gammaglobulin (immune system protein) measurement 82784 $5.00 $0.65
Gammaglobulin (immune system protein) measurement 82784 $54.00 $7.02
Gammaglobulin (immune system protein) measurement 82784 $22.00 $2.86
Gammaglobulin (immune system protein) measurement 82784 $25.00 $3.25
Gammaglobulin (immune system protein) measurement 82784 $26.00 $3.38
Gammaglobulin (immune system protein) measurement 82784 $11.00 $1.43
Gammaglobulin (immune system protein) measurement 82784 $29.00 $3.77
Gammaglobulin (immune system protein) measurement 82784 $10.00 $1.30
Gammaglobulin (immune system protein) measurement 82784 $21.00 $2.73
Gammaglobulin (immune system protein) measurement 82784 $51.00 $6.63
Gammaglobulin (immune system protein) measurement 82784 $14.00 $1.82
IgE (immune system protein) level 82785 $25.00 $3.25
IgE (immune system protein) level 82785 $96.00 $12.48
IgE (immune system protein) level 82785 $28.00 $3.64
IgE (immune system protein) level 82785 $7.00 $0.91
Gammaglobulin (immune system protein) measurement 82787 $8.00 $1.04
Gammaglobulin (immune system protein) measurement 82787 $30.00 $3.90
Gammaglobulin (immune system protein) measurement 82787 $12.00 $1.56
Blood pH level 82800 $66.00 $8.58
Blood gases measurement 82803 $68.00 $8.84
Blood gases measurement 82803 $83.00 $10.79
Blood test that measures gases in the blood including the acidity, or pH, and the levels of oxygen (O2) and carbon dioxide (CO2) from an artery. 82805 $122.00 $106.14
Blood gas, oxygen saturation measurement 82810 $51.00 $6.63
Gastrin (GI tract hormone) level 82941 $103.00 $13.39
Gastrin (GI tract hormone) level 82941 $29.00 $3.77
Glucose (sugar) level on body fluid 82945 $20.00 $2.60
Glucose (sugar) level on body fluid 82945 $30.00 $3.90
Glucose (sugar) level on body fluid 82945 $44.00 $5.72
Glucose (sugar) level on body fluid 82945 $22.00 $2.86
Glucose (sugar) level on body fluid 82945 $21.00 $2.73
Blood glucose (sugar) level 82947 $22.00 $2.86
Blood glucose (sugar) measurement using reagent strip 82948 $18.00 $2.34
Blood glucose (sugar) level after receiving dose of glucose 82950 $24.00 $3.12
Blood glucose (sugar) tolerance test 82951 $27.00 $3.51
Blood glucose (sugar) tolerance test 82951 $75.00 $9.75
Blood glucose (sugar) tolerance test 82951 $10.00 $1.30
Blood glucose (sugar) tolerance test 82952 $9.00 $1.17
Blood glucose (sugar) tolerance test 82952 $10.00 $1.30
Blood glucose (sugar) tolerance test 82952 $23.00 $2.99
Blood glucose (sugar) tolerance test 82952 $12.00 $1.56
G6PD (enzyme) level 82955 $56.00 $7.28
G6PD (enzyme) level 82955 $36.00 $4.68
Glutamyltransferase (liver enzyme) level 82977 $50.00 $6.50
Glutamyltransferase (liver enzyme) level 82977 $43.00 $5.59
Glycated protein level 82985 $85.00 $11.05
Gonadotropin, follicle stimulating (reproductive hormone) level 83001 $108.00 $14.04
Gonadotropin, follicle stimulating (reproductive hormone) level 83001 $22.00 $2.86
Gonadotropin, follicle stimulating (reproductive hormone) level 83001 $139.00 $18.07
Gonadotropin, luteinizing (reproductive hormone) level 83002 $137.00 $17.81
Human growth hormone level 83003 $98.00 $12.74
Human growth hormone level 83003 $24.00 $3.12
Haptoglobin (serum protein) level 83010 $30.00 $3.90
Haptoglobin (serum protein) level 83010 $25.00 $3.25
Haptoglobin (serum protein) level 83010 $50.00 $6.50
Haptoglobin (serum protein) level 83010 $73.00 $9.49
Breath test analysis for helicobacter pylori 83013 $141.00 $18.33
Breath test analysis for helicobacter pylori 83013 $40.00 $5.20
Breath test analysis for helicobacter pylori 83013 $311.00 $40.43
Administration of drug for helicobacter pylori 83014 $40.00 $5.20
Administration of drug for helicobacter pylori 83014 $46.00 $5.98
Heavy metal level 83018 $111.00 $14.43
Heavy metal level 83018 $128.00 $16.64
Heavy metal level 83018 $48.00 $6.24
Heavy metal level 83018 $22.00 $2.86
Hemoglobin analysis and measurement 83021 $38.00 $4.94
Hemoglobin analysis and measurement 83021 $8.00 $1.04
Fetal hemoglobin analysis 83033 $48.00 $6.24
Hemoglobin A1C level 83036 $97.00 $12.61
Hemoglobin A1C level 83036 $22.00 $2.86
Methemoglobin (hemoglobin) analysis 83050 $43.00 $5.59
Homocysteine (amino acid) level 83090 $35.00 $4.55
Homocysteine (amino acid) level 83090 $21.00 $2.73
Homocysteine (amino acid) level 83090 $99.00 $12.87
Hydroxycorticosteroids, 17 (adrenal gland hormone) level 83491 $64.00 $8.32
Hydroxyindolacetic acid (product of metabolism) level 83497 $40.00 $5.20
Hydroxyindolacetic acid (product of metabolism) level 83497 $25.00 $3.25
Hydroxyindolacetic acid (product of metabolism) level 83497 $68.00 $8.84
Hydroxyprogesterone, 17-D (synthetic hormone) level 83498 $32.00 $4.16
Hydroxyprogesterone, 17-D (synthetic hormone) level 83498 $95.00 $12.35
Hydroxyprogesterone, 17-D (synthetic hormone) level 83498 $46.00 $5.98
Analysis of substance using immunoassay technique 83516 $54.00 $7.02
Analysis of substance using immunoassay technique 83516 $24.00 $3.12
Analysis of substance using immunoassay technique 83516 $246.00 $31.98
Analysis of substance using immunoassay technique 83516 $21.00 $2.73
Analysis of substance using immunoassay technique 83516 $15.00 $1.95
Analysis of substance using immunoassay technique 83516 $23.00 $2.99
Analysis of substance using immunoassay technique 83516 $32.00 $4.16
Analysis of substance using immunoassay technique 83516 $29.00 $3.77
Analysis of substance using immunoassay technique 83516 $34.00 $4.42
Analysis of substance using immunoassay technique 83516 $72.00 $9.36
Analysis of substance using immunoassay technique 83516 $38.00 $4.94
Analysis of substance using immunoassay technique 83516 $56.00 $7.28
Analysis of substance using immunoassay technique 83516 $22.00 $2.86
Analysis of substance using immunoassay technique 83516 $27.00 $3.51
Analysis of substance using immunoassay technique 83516 $67.00 $8.71
Analysis of substance using immunoassay technique 83516 $60.00 $7.80
Analysis of substance using immunoassay technique 83516 $18.00 $2.34
Analysis of substance using immunoassay technique 83516 $33.00 $4.29
Analysis of substance using immunoassay technique 83516 $173.00 $22.49
Analysis of substance using immunoassay technique 83516 $576.00 $74.88
Analysis of substance using immunoassay technique 83516 $26.00 $3.38
Analysis of substance using immunoassay technique 83516 $48.00 $6.24
Measurement of substance using immunoassay technique 83519 $161.00 $20.93
Measurement of substance using immunoassay technique 83519 $37.00 $4.81
Measurement of substance using immunoassay technique 83519 $96.00 $12.48
Measurement of substance using immunoassay technique 83519 $73.00 $9.49
Measurement of substance using immunoassay technique 83519 $90.00 $11.70
Measurement of substance using immunoassay technique 83519 $71.00 $9.23
Measurement of substance using immunoassay technique 83519 $26.00 $3.38
Measurement of substance using immunoassay technique 83519 $66.00 $8.58
Measurement of substance using immunoassay technique 83519 $56.00 $7.28
Measurement of substance using immunoassay technique 83519 $104.00 $13.52
Measurement of substance using immunoassay technique 83519 $1,056.00 $137.28
Measurement of substance using immunoassay technique 83519 $54.00 $7.02
Measurement of substance using immunoassay technique 83519 $47.00 $6.11
Measurement of substance using immunoassay technique 83519 $176.00 $22.88
Measurement of substance using immunoassay technique 83519 $40.00 $5.20
Measurement of substance using immunoassay technique 83519 $38.00 $4.94
Measurement of substance using immunoassay technique 83519 $67.00 $8.71
Measurement of substance using immunoassay technique 83520 $390.00 $50.70
Measurement of substance using immunoassay technique 83520 $67.00 $8.71
Measurement of substance using immunoassay technique 83520 $128.00 $16.64
Measurement of substance using immunoassay technique 83520 $96.00 $12.48
Measurement of substance using immunoassay technique 83520 $76.00 $9.88
Measurement of substance using immunoassay technique 83520 $55.00 $7.15
Measurement of substance using immunoassay technique 83520 $129.00 $16.77
Measurement of substance using immunoassay technique 83520 $138.00 $17.94
Measurement of substance using immunoassay technique 83520 $51.00 $6.63
Measurement of substance using immunoassay technique 83520 $56.00 $7.28
Measurement of substance using immunoassay technique 83520 $258.00 $33.54
Measurement of substance using immunoassay technique 83520 $208.00 $27.04
Measurement of substance using immunoassay technique 83520 $83.00 $10.79
Measurement of substance using immunoassay technique 83520 $132.00 $17.16
Measurement of substance using immunoassay technique 83520 $66.00 $8.58
Measurement of substance using immunoassay technique 83520 $86.00 $11.18
Measurement of substance using immunoassay technique 83520 $63.00 $8.19
Measurement of substance using immunoassay technique 83520 $52.00 $6.76
Measurement of substance using immunoassay technique 83520 $199.00 $25.87
Insulin measurement 83525 $23.00 $2.99
Insulin measurement 83525 $67.00 $8.71
Insulin measurement 83525 $32.00 $4.16
Iron level 83540 $38.00 $4.94
Iron binding capacity 83550 $50.00 $6.50
Ketosteroids, 17 (hormone) measurement 83586 $16.00 $2.08
Lactic acid level 83605 $65.00 $8.45
Lactic acid level 83605 $42.00 $5.46
Lactic acid level 83605 $48.00 $6.24
Lactate dehydrogenase (enzyme) level 83615 $34.00 $4.42
Lactate dehydrogenase (enzyme) level 83615 $35.00 $4.55
Lactate dehydrogenase (enzyme) level 83615 $20.00 $2.60
Lactate dehydrogenase (enzyme) level 83615 $22.00 $2.86
Lactate dehydrogenase (enzyme) level 83615 $55.00 $7.15
Lactate dehydrogenase (enzyme) measurement 83625 $26.00 $3.38
Lactate dehydrogenase (enzyme) measurement 83625 $74.00 $9.62
Stool lactoferrin (immune system protein) analysis 83630 $100.00 $13.00
Lead level 83655 $26.00 $3.38
Lead level 83655 $21.00 $2.73
Lead level 83655 $70.00 $9.10
Fetal lung maturity assessment 83661 $50.00 $6.50
Fetal lung maturity assessment 83664 $80.00 $10.40
Lipase (fat enzyme) level 83690 $20.00 $2.60
Lipase (fat enzyme) level 83690 $21.00 $2.73
Lipase (fat enzyme) level 83690 $22.00 $2.86
Lipase (fat enzyme) level 83690 $51.00 $6.63
Lipoprotein (A) level 83695 $41.00 $5.33
Lipoprotein (A) level 83695 $36.00 $4.68
Lipoprotein level 83700 $74.00 $9.62
Lipoprotein level 83700 $45.00 $5.85
Lipoprotein measurement 83701 $33.00 $4.29
Lipoprotein level 83704 $48.00 $6.24
HDL cholesterol level 83718 $59.00 $7.67
LDL cholesterol level 83721 $25.00 $3.25
LDL cholesterol level 83721 $22.00 $2.86
LDL cholesterol level 83721 $55.00 $7.15
Magnesium level 83735 $26.00 $3.38
Magnesium level 83735 $22.00 $2.86
Magnesium level 83735 $21.00 $2.73
Magnesium level 83735 $40.00 $5.20
Manganese (heavy metal) level 83785 $35.00 $4.55
Mass spectrometry (laboratory testing method) 83789 $79.00 $10.27
Mass spectrometry (laboratory testing method) 83789 $107.00 $13.91
Mass spectrometry (laboratory testing method) 83789 $291.00 $37.83
Mass spectrometry (laboratory testing method) 83789 $150.00 $19.50
Mass spectrometry (laboratory testing method) 83789 $146.00 $18.98
Mass spectrometry (laboratory testing method) 83789 $1,251.00 $162.63
Mass spectrometry (laboratory testing method) 83789 $67.00 $8.71
Mercury level 83825 $30.00 $3.90
Mercury level 83825 $67.00 $8.71
Mercury level 83825 $24.00 $3.12
Metanephrines level 83835 $33.00 $4.29
Metanephrines level 83835 $32.00 $4.16
Metanephrines level 83835 $99.00 $12.87
Myelin basic protein (nerve protein) level, spinal fluid 83873 $28.00 $3.64
Myelin basic protein (nerve protein) level, spinal fluid 83873 $80.00 $10.40
Myoglobin (muscle protein) level 83874 $32.00 $4.16
Myoglobin (muscle protein) level 83874 $26.00 $3.38
Myoglobin (muscle protein) level 83874 $31.00 $4.03
Myoglobin (muscle protein) level 83874 $75.00 $9.75
Natriuretic peptide (heart and blood vessel protein) level 83880 $133.00 $17.29
Natriuretic peptide (heart and blood vessel protein) level 83880 $112.00 $14.56
Natriuretic peptide (heart and blood vessel protein) level 83880 $175.00 $22.75
Nephelometry, test method using light 83883 $138.00 $17.94
Nephelometry, test method using light 83883 $68.00 $8.84
Nephelometry, test method using light 83883 $53.00 $6.89
Nephelometry, test method using light 83883 $50.00 $6.50
Nephelometry, test method using light 83883 $30.00 $3.90
Nephelometry, test method using light 83883 $21.00 $2.73
Nickel level 83885 $58.00 $7.54
Nucleotidase 5' (enzyme) level 83915 $75.00 $9.75
Measurement of immune substance (oligoclonal bands) 83916 $11.00 $1.43
Measurement of immune substance (oligoclonal bands) 83916 $29.00 $3.77
Measurement of immune substance (oligoclonal bands) 83916 $108.00 $14.04
Measurement of immune substance (oligoclonal bands) 83916 $40.00 $5.20
Organic acids level 83918 $152.00 $19.76
Organic acids level 83918 $109.00 $14.17
Organic acid level 83921 $43.00 $5.59
Organic acid level 83921 $31.00 $4.03
Blood osmolality (concentration) measurement 83930 $22.00 $2.86
Blood osmolality (concentration) measurement 83930 $24.00 $3.12
Blood osmolality (concentration) measurement 83930 $38.00 $4.94
Urine osmolality (concentration) measurement 83935 $40.00 $5.20
Urine osmolality (concentration) measurement 83935 $21.00 $2.73
Urine osmolality (concentration) measurement 83935 $24.00 $3.12
Urine osmolality (concentration) measurement 83935 $26.00 $3.38
Oxalate level 83945 $68.00 $8.84
Oxalate level 83945 $81.00 $10.53
Oxalate level 83945 $30.00 $3.90
Oxalate level 83945 $14.00 $1.82
Parathormone (parathyroid hormone) level 83970 $303.00 $39.39
Parathormone (parathyroid hormone) level 83970 $241.00 $31.33
Parathormone (parathyroid hormone) level 83970 $240.00 $31.20
Body fluid pH level 83986 $16.00 $2.08
Body fluid pH level 83986 $13.00 $1.69
Body fluid pH level 83986 $14.00 $1.82
Body fluid pH level 83986 $24.00 $3.12
PCP drug level 83992 $38.00 $4.94
PCP drug level 83992 $86.00 $11.18
PCP drug level 83992 $13.00 $1.69
Stool calprotectin (protein) level 83993 $181.00 $23.53
Stool calprotectin (protein) level 83993 $171.00 $22.23
Phenylalanine, PKU (amino acid) level 84030 $222.00 $28.86
Phosphatase (enzyme) level 84075 $25.00 $3.25
Phosphatase (enzyme) level 84075 $55.00 $7.15
Phosphatase (enzyme) level 84075 $12.00 $1.56
Phosphatase (enzyme) level 84075 $45.00 $5.85
Phosphatase (enzyme) measurement 84080 $13.00 $1.69
Phosphatase (enzyme) measurement 84080 $25.00 $3.25
Phosphatidylglycerol (amniotic fluid organic acid) level 84081 $50.00 $6.50
Phosphate level 84100 $25.00 $3.25
Urine phosphate level 84105 $24.00 $3.12
Urine phosphate level 84105 $21.00 $2.73
Urine porphobilinogen (metabolism substance) level 84110 $42.00 $5.46
Urine porphyrins (metabolism substance) measurement 84120 $46.00 $5.98
Urine porphyrins (metabolism substance) measurement 84120 $33.00 $4.29
Blood potassium level 84132 $36.00 $4.68
Blood potassium level 84132 $26.00 $3.38
Urine potassium level 84133 $25.00 $3.25
Urine potassium level 84133 $8.00 $1.04
Urine potassium level 84133 $21.00 $2.73
Urine potassium level 84133 $18.00 $2.34
Urine potassium level 84133 $9.00 $1.17
Urine potassium level 84133 $19.00 $2.47
Urine potassium level 84133 $20.00 $2.60
Prealbumin (protein) level 84134 $21.00 $2.73
Prealbumin (protein) level 84134 $33.00 $4.29
Prealbumin (protein) level 84134 $22.00 $2.86
Pregnenolone (reproductive hormone) level 84140 $71.00 $9.23
Progesterone (reproductive hormone) level 84144 $155.00 $20.15
Progesterone (reproductive hormone) level 84144 $26.00 $3.38
Procalcitonin (hormone) level 84145 $156.00 $20.28
Prolactin (milk producing hormone) level 84146 $144.00 $18.72
Prolactin (milk producing hormone) level 84146 $34.00 $4.42
Prolactin (milk producing hormone) level 84146 $44.00 $5.72
PSA (prostate specific antigen) measurement 84153 $19.00 $2.47
PSA (prostate specific antigen) measurement 84153 $15.00 $1.95
PSA (prostate specific antigen) measurement 84153 $107.00 $13.91
PSA (prostate specific antigen) measurement 84154 $19.00 $2.47
PSA (prostate specific antigen) measurement 84154 $15.00 $1.95
PSA (prostate specific antigen) measurement 84154 $107.00 $13.91
Total protein level, blood 84155 $20.00 $2.60
Total protein level, blood 84155 $12.00 $1.56
Total protein level, blood 84155 $24.00 $3.12
Total protein level, blood 84155 $7.00 $0.91
Total protein level, urine 84156 $8.00 $1.04
Total protein level, urine 84156 $20.00 $2.60
Total protein level, urine 84156 $24.00 $3.12
Total protein level, urine 84156 $11.00 $1.43
Total protein level, body fluid 84157 $50.00 $6.50
Total protein level, body fluid 84157 $8.00 $1.04
Total protein level, body fluid 84157 $19.00 $2.47
Total protein level, body fluid 84157 $21.00 $2.73
Total protein level, body fluid 84157 $22.00 $2.86
Pregnancy-associated plasma protein-A level 84163 $33.00 $4.29
Pregnancy-associated plasma protein-A level 84163 $54.00 $7.02
Pregnancy-associated plasma protein-A level 84163 $59.00 $7.67
Protein measurement, serum 84165 $22.00 $2.86
Protein measurement, serum 84165 $12.00 $1.56
Protein measurement, serum 84165 $62.00 $8.06
Protein measurement, body fluid 84166 $24.00 $3.12
Protein measurement, body fluid 84166 $27.00 $3.51
Protein measurement, body fluid 84166 $35.00 $4.55
Protein measurement, body fluid 84166 $11.00 $1.43
Protein measurement, body fluid 84166 $78.00 $10.14
Protoporphyrin (metabolism substance) level 84202 $29.00 $3.77
Protoporphyrin (metabolism substance) level 84202 $84.00 $10.92
Proinsulin (pancreatic hormone) level 84206 $52.00 $6.76
Vitamin B-6 level 84207 $43.00 $5.59
Vitamin B-6 level 84207 $32.00 $4.16
Vitamin B-6 level 84207 $163.00 $21.19
Pyruvate (organic acid) level 84210 $44.00 $5.72
Pyruvate kinase (enzyme) level 84220 $152.00 $19.76
Renin (kidney enzyme) level 84244 $41.00 $5.33
Renin (kidney enzyme) level 84244 $36.00 $4.68
Renin (kidney enzyme) level 84244 $128.00 $16.64
Renin (kidney enzyme) level 84244 $22.00 $2.86
Renin (kidney enzyme) level 84244 $28.00 $3.64
Vitamin B-2 (riboflavin) level 84252 $40.00 $5.20
Selenium (vitamin) level 84255 $36.00 $4.68
Selenium (vitamin) level 84255 $119.00 $15.47
Serotonin (hormone) level 84260 $87.00 $11.31
Serotonin (hormone) level 84260 $49.00 $6.37
Serotonin (hormone) level 84260 $33.00 $4.29
Sex hormone binding globulin (protein) level 84270 $108.00 $14.04
Sex hormone binding globulin (protein) level 84270 $26.00 $3.38
Sex hormone binding globulin (protein) level 84270 $14.00 $1.82
Sex hormone binding globulin (protein) level 84270 $32.00 $4.16
Blood sodium level 84295 $38.00 $4.94
Blood sodium level 84295 $36.00 $4.68
Urine sodium level 84300 $20.00 $2.60
Urine sodium level 84300 $21.00 $2.73
Urine sodium level 84300 $18.00 $2.34
Urine sodium level 84300 $8.00 $1.04
Urine sodium level 84300 $26.00 $3.38
Urine sodium level 84300 $19.00 $2.47
Urine sodium level 84300 $9.00 $1.17
Sodium level 84302 $26.00 $3.38
Somatomedin (growth factor) level 84305 $34.00 $4.42
Somatomedin (growth factor) level 84305 $37.00 $4.81
Somatomedin (growth factor) level 84305 $90.00 $11.70
Chemical analysis using spectrophotometry (light) 84311 $52.00 $6.76
Chemical analysis using spectrophotometry (light) 84311 $19.00 $2.47
Chemical analysis using spectrophotometry (light) 84311 $156.00 $20.28
Chemical analysis using spectrophotometry (light) 84311 $9.00 $1.17
Chemical analysis using spectrophotometry (light) 84311 $31.00 $4.03
Chemical analysis using spectrophotometry (light) 84311 $34.00 $4.42
Chemical analysis using spectrophotometry (light) 84311 $53.00 $6.89
Specific gravity (liquid weight) measurement 84315 $19.00 $2.47
Testosterone (hormone) level 84402 $43.00 $5.59
Testosterone (hormone) level 84402 $50.00 $6.50
Testosterone (hormone) level 84402 $30.00 $3.90
Testosterone (hormone) level 84402 $149.00 $19.37
Testosterone (hormone) level 84402 $25.00 $3.25
Testosterone (hormone) level 84403 $14.00 $1.82
Testosterone (hormone) level 84403 $43.00 $5.59
Testosterone (hormone) level 84403 $50.00 $6.50
Testosterone (hormone) level 84403 $73.00 $9.49
Testosterone (hormone) level 84403 $191.00 $24.83
Testosterone (hormone) level 84403 $30.00 $3.90
Testosterone (hormone) level 84403 $151.00 $19.63
Testosterone (hormone) level 84403 $26.00 $3.38
Testosterone (hormone) level 84403 $24.00 $3.12
Vitamin B-1 (thiamine) level 84425 $123.00 $15.99
Vitamin B-1 (thiamine) level 84425 $28.00 $3.64
Vitamin B-1 (thiamine) level 84425 $39.00 $5.07
Thyroglobulin (thyroid related hormone) level 84432 $16.00 $2.08
Thyroglobulin (thyroid related hormone) level 84432 $89.00 $11.57
Thyroglobulin (thyroid related hormone) level 84432 $24.00 $3.12
Thyroxine (thyroid chemical) measurement 84436 $22.00 $2.86
Thyroxine (thyroid chemical) measurement 84436 $13.00 $1.69
Thyroxine (thyroid chemical) measurement 84436 $52.00 $6.76
Thyroxine (thyroid chemical) measurement 84436 $19.00 $2.47
Thyroxine (thyroid chemical) measurement 84439 $53.00 $6.89
Thyroxine (thyroid chemical) measurement 84439 $24.00 $3.12
Thyroxine binding globulin (thyroid related protein) level 84442 $32.00 $4.16
Thyroxine binding globulin (thyroid related protein) level 84442 $86.00 $11.18
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $123.00 $15.99
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $27.00 $3.51
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $27.00 $23.49
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $20.00 $17.40
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $20.00 $2.60
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $123.00 $107.01
Thyroid stimulating immune globulins (thyroid related protein) level 84445 $68.00 $8.84
Thyroid stimulating immune globulins (thyroid related protein) level 84445 $245.00 $31.85
Vitamin E level 84446 $83.00 $10.79
Vitamin E level 84446 $41.00 $5.33
Liver enzyme (SGOT), level 84450 $30.00 $3.90
Liver enzyme (SGPT), level 84460 $50.00 $6.50
Liver enzyme (SGPT), level 84460 $31.00 $4.03
Transferrin (iron binding protein) level 84466 $56.00 $7.28
Transferrin (iron binding protein) level 84466 $68.00 $8.84
Transferrin (iron binding protein) level 84466 $23.00 $2.99
Triglycerides level 84478 $19.00 $2.47
Triglycerides level 84478 $51.00 $6.63
Triglycerides level 84478 $20.00 $2.60
Triglycerides level 84478 $33.00 $4.29
Thyroid hormone evaluation 84479 $37.00 $4.81
Thyroid hormone evaluation 84479 $19.00 $2.47
Thyroid hormone evaluation 84479 $13.00 $1.69
Thyroid hormone, T3 measurement 84480 $25.00 $3.25
Thyroid hormone, T3 measurement 84480 $22.00 $2.86
Thyroid hormone, T3 measurement 84480 $83.00 $10.79
Thyroid hormone, T3 measurement 84481 $25.00 $3.25
Thyroid hormone, T3 measurement 84481 $125.00 $16.25
Thyroid hormone, T3 measurement 84481 $21.00 $2.73
Thyroid hormone, T3 measurement 84482 $92.00 $11.96
Thyroid hormone, T3 measurement 84482 $45.00 $5.85
Thyroid hormone, T3 measurement 84482 $29.00 $3.77
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $110.00 $95.70
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $110.00 $14.30
Urea nitrogen level to assess kidney function 84520 $20.00 $2.60
Urea nitrogen level to assess kidney function 84520 $22.00 $2.86
Urea nitrogen level to assess kidney function 84540 $21.00 $2.73
Urea nitrogen level to assess kidney function 84540 $20.00 $2.60
Urea nitrogen level to assess kidney function 84540 $28.00 $3.64
Uric acid level, blood 84550 $38.00 $4.94
Uric acid level 84560 $20.00 $2.60
Uric acid level 84560 $21.00 $2.73
Uric acid level 84560 $26.00 $3.38
Urine vanillylmandelic acid 84585 $90.00 $11.70
Urine vanillylmandelic acid 84585 $27.00 $3.51
Urine vanillylmandelic acid 84585 $32.00 $4.16
Urine vanillylmandelic acid 84585 $14.00 $1.82
Vasoactive intestinal peptide (intestinal hormone) level 84586 $101.00 $13.13
ADH (antidiuretic hormone) level 84588 $59.00 $7.67
ADH (antidiuretic hormone) level 84588 $193.00 $25.09
Vitamin A level 84590 $41.00 $5.33
Vitamin A level 84590 $68.00 $8.84
Vitamin A level 84590 $29.00 $3.77
Vitamin measurement 84591 $60.00 $7.80
Vitamin measurement 84591 $74.00 $9.62
Volatile chemical measurement 84600 $94.00 $12.22
Volatile chemical measurement 84600 $35.00 $4.55
Zinc level 84630 $54.00 $7.02
Zinc level 84630 $26.00 $3.38
Zinc level 84630 $66.00 $8.58
C-peptide (protein) level 84681 $33.00 $4.29
C-peptide (protein) level 84681 $121.00 $15.73
C-peptide (protein) level 84681 $27.00 $3.51
Gonadotropin, chorionic (reproductive hormone) level 84702 $33.00 $4.29
Gonadotropin, chorionic (reproductive hormone) level 84702 $19.00 $2.47
Gonadotropin, chorionic (reproductive hormone) level 84702 $13.00 $1.69
Gonadotropin, chorionic (reproductive hormone) level 84702 $54.00 $7.02
Gonadotropin, chorionic (reproductive hormone) level 84702 $22.00 $2.86
Gonadotropin, chorionic (reproductive hormone) level 84702 $32.00 $4.16
Gonadotropin (reproductive hormone) analysis 84703 $54.00 $7.02
Chemistry procedures 84999 $136.00 $17.68
Bleeding time 85002 $26.00 $3.38
White blood cell count 85004 $46.00 $5.98
Microscopic examination for white blood cells with manual cell count 85007 $22.00 $2.86
Microscopic examination for white blood cells 85008 $18.00 $2.34
Red blood cell concentration measurement 85014 $14.00 $1.82
Red blood cell concentration measurement 85014 $8.00 $1.04
Red blood cell concentration measurement 85014 $15.00 $1.95
Hemoglobin measurement 85018 $8.00 $1.04
Hemoglobin measurement 85018 $14.00 $1.82
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $55.00 $47.85
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $55.00 $7.15
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $73.00 $63.51
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $73.00 $9.49
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $19.00 $2.47
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027 $58.00 $7.54
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027 $19.00 $2.47
Red blood cell count, automated test 85041 $8.00 $1.04
Red blood cell count, automated test 85041 $18.00 $2.34
Red blood count, manual test 85044 $24.00 $3.12
Red blood count, automated test 85045 $23.00 $2.99
Red blood count, automated test 85045 $19.00 $2.47
Red blood count automated, with additional calculations 85046 $19.00 $2.47
Automated white blood cell count 85048 $17.00 $2.21
Platelet count, automated test 85049 $32.00 $4.16
Clotting factor II prothrombin, measurement 85210 $75.00 $9.75
Clotting factor V (AcG or proaccelerin) measurement 85220 $48.00 $6.24
Clotting factor V (AcG or proaccelerin) measurement 85220 $51.00 $6.63
Clotting factor VII (proconvertin, stable factor) 85230 $104.00 $13.52
Clotting factor VII (proconvertin, stable factor) 85230 $48.00 $6.24
Clotting factor VIII (AHG) measurement 85240 $24.00 $3.12
Clotting factor VIII (AHG) measurement 85240 $49.00 $6.37
Clotting factor VIII (AHG) measurement 85240 $35.00 $4.55
Clotting factor VIII (AHG) measurement 85240 $89.00 $11.57
Clotting factor VIII related antigen measurement 85244 $159.00 $20.67
Clotting factor VIII (VW factor) measurement 85245 $55.00 $7.15
Clotting factor VIII (VW factor) measurement 85245 $108.00 $14.04
Clotting factor VIII (VW factor) measurement 85245 $12.00 $1.56
Clotting factor VIII (VW factor) measurement 85245 $73.00 $9.49
Clotting factor VIII (VW factor) measurement 85245 $68.00 $8.84
Clotting factor VIII (VW factor) antigen 85246 $77.00 $10.01
Clotting factor VIII (VW factor) antigen 85246 $63.00 $8.19
Clotting factor VIII (VW factor) antigen 85246 $12.00 $1.56
Clotting factor VIII (von Willebrand factor) measurement 85247 $64.00 $8.32
Clotting factor IX (PTC or Christmas) measurement 85250 $81.00 $10.53
Clotting factor IX (PTC or Christmas) measurement 85250 $72.00 $9.36
Clotting factor IX (PTC or Christmas) measurement 85250 $89.00 $11.57
Clotting factor X (Stuart-Prower) measurement 85260 $89.00 $11.57
Clotting factor XI (PTA) measurement 85270 $77.00 $10.01
Clotting factor XI (PTA) measurement 85270 $89.00 $11.57
Clotting factor XI (PTA) measurement 85270 $42.00 $5.46
Clotting factor XII (Hageman) measurement 85280 $89.00 $11.57
Antithrombin III antigen (clotting inhibitor) activity 85300 $69.00 $8.97
Antithrombin III antigen (clotting inhibitor) activity 85300 $31.00 $4.03
Antithrombin III antigen (clotting inhibitor) activity 85300 $26.00 $3.38
Antithrombin III antigen (clotting inhibitor) level 85301 $62.00 $8.06
Protein C, (clotting inhibitor) activity 85302 $70.00 $9.10
Protein C antigen (clotting inhibitor) measurement 85303 $32.00 $4.16
Protein C antigen (clotting inhibitor) measurement 85303 $61.00 $7.93
Protein C antigen (clotting inhibitor) measurement 85303 $81.00 $10.53
Protein S (clotting inhibitor) level 85305 $68.00 $8.84
Protein S (clotting inhibitor) measurement 85306 $89.00 $11.57
Protein S (clotting inhibitor) measurement 85306 $32.00 $4.16
Protein S (clotting inhibitor) measurement 85306 $72.00 $9.36
Activated protein resistance assay 85307 $26.00 $3.38
Activated protein resistance assay 85307 $51.00 $6.63
Activated protein resistance assay 85307 $89.00 $11.57
Coagulation time measurement 85347 $24.00 $3.12
Coagulation function analysis 85362 $41.00 $5.33
Coagulation function measurement 85378 $59.00 $7.67
Coagulation function measurement 85379 $59.00 $7.67
Fibrinogen (factor 1) activity measurement 85384 $26.00 $3.38
Fibrinogen (factor 1) activity measurement 85384 $23.00 $2.99
Fibrinogen (factor 1) activity measurement 85384 $50.00 $6.50
Measurement of blood coagulation and fibrinolysis (clot dissolving) function 85397 $239.00 $31.07
Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation 85460 $58.00 $7.54
Fetal hemoglobin or red blood cells measurement for assessment of fetal-maternal circulation 85461 $73.00 $9.49
Heparin assay 85520 $76.00 $9.88
Heparin assay 85520 $37.00 $4.81
Heparin assay 85520 $127.00 $16.51
White blood cell enzyme activity measurement 85549 $33.00 $4.29
Platelet function test 85576 $148.00 $19.24
Platelet function test 85576 $40.00 $5.20
Platelet function test 85597 $28.00 $3.64
Phospholipid test 85598 $28.00 $3.64
Phospholipid test 85598 $33.00 $4.29
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $25.00 $3.25
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $20.00 $2.60
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $21.00 $18.27
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $25.00 $21.75
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $23.00 $2.99
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $20.00 $17.40
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $21.00 $2.73
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $23.00 $20.01
Clotting factor X assessment test 85613 $30.00 $3.90
Clotting factor X assessment test 85613 $36.00 $4.68
Clotting factor X assessment test 85613 $24.00 $3.12
Clotting factor X assessment test 85613 $21.00 $2.73
Red blood cell sedimentation rate, to detect inflammation 85651 $53.00 $6.89
Red blood cell sedimentation rate, to detect inflammation 85652 $18.00 $2.34
Red blood cell sedimentation rate, to detect inflammation 85652 $16.00 $2.08
Red blood cell sickling measurement 85660 $32.00 $4.16
Red blood cell sickling measurement 85660 $23.00 $2.99
Thrombin time, fibrinogen screening test 85670 $20.00 $2.60
Coagulation assessment blood test 85730 $6.00 $0.78
Coagulation assessment blood test 85730 $51.00 $6.63
Coagulation assessment blood test 85730 $21.00 $2.73
Blood viscosity measurement 85810 $29.00 $3.77
Hematology and coagulation procedures 85999 $20.00 $2.60
Measurement of antibody (IgG) to allergic substance 86001 $5.00 $0.65
Measurement of antibody (IgG) to allergic substance 86001 $42.00 $5.46
Measurement of antibody (IgG) to allergic substance 86001 $364.00 $47.32
Measurement of antibody (IgG) to allergic substance 86001 $49.00 $6.37
Measurement of antibody (IgG) to allergic substance 86001 $50.00 $6.50
Measurement of antibody (IgG) to allergic substance 86001 $22.00 $2.86
Measurement of antibody (IgG) to allergic substance 86001 $30.00 $3.90
Measurement of antibody (IgG) to allergic substance 86001 $36.00 $4.68
Measurement of antibody (IgG) to allergic substance 86001 $43.00 $5.59
Measurement of antibody (IgE) to allergic substance 86003 $6.00 $0.78
Measurement of antibody (IgE) to allergic substance 86003 $22.00 $2.86
Measurement of antibody (IgE) to allergic substance 86003 $38.00 $4.94
Measurement of antibody (IgE) to allergic substance 86003 $411.00 $53.43
Measurement of antibody (IgE) to allergic substance 86003 $21.00 $2.73
Measurement of antibody (IgE) to allergic substance 86003 $13.00 $1.69
Measurement of antibody (IgE) to allergic substance 86003 $9.00 $1.17
Measurement of antibody (IgE) to allergic substance 86003 $23.00 $2.99
Measurement of antibody (IgE) to allergic substance 86003 $7.00 $0.91
Measurement of antibody (IgE) to allergic substance 86003 $31.00 $4.03
Antibody identification test for white blood cell antibodies 86021 $53.00 $6.89
Antibody identification test for white blood cell antibodies 86021 $77.00 $10.01
Antibody identification test for white blood cell antibodies 86021 $31.00 $4.03
Antibody identification test for platelet antibodies 86022 $19.00 $2.47
Antibody identification test for platelet antibodies 86022 $89.00 $11.57
Antibody identification test for platelet antibodies 86022 $83.00 $10.79
Antibody identification test for platelet antibodies 86022 $31.00 $4.03
Screening test for autoimmune disorder 86038 $81.00 $10.53
Screening test for autoimmune disorder 86038 $26.00 $3.38
Screening test for autoimmune disorder 86038 $19.00 $2.47
Screening test for autoimmune disorder 86038 $70.00 $9.10
Screening test for autoimmune disorder 86038 $34.00 $4.42
Measurement of antibody for assessment of autoimmune disorder 86039 $64.00 $8.32
Measurement of antibody for assessment of autoimmune disorder 86039 $23.00 $2.99
Measurement for Strep antibody (strep throat) 86060 $43.00 $5.59
Measurement for Strep antibody (strep throat) 86060 $20.00 $2.60
Screening test for Strep antibody (strep throat) 86063 $22.00 $2.86
Blood bank physician services for cross match and/or evaluation and written report 86077 $121.00 $15.73
Blood bank physician services for investigation of transfusion reaction with written report 86078 $441.00 $57.33
Measurement C-reactive protein for detection of infection or inflammation 86140 $30.00 $3.90
Measurement C-reactive protein for detection of infection or inflammation 86140 $55.00 $7.15
Measurement C-reactive protein for detection of infection or inflammation 86140 $40.00 $5.20
Measurement C-reactive protein for detection of infection or inflammation 86141 $75.00 $9.75
Beta 2 glycoprotein 1 antibody (autoantibody) measurement 86146 $15.00 $1.95
Beta 2 glycoprotein 1 antibody (autoantibody) measurement 86146 $16.00 $2.08
Cardiolipin antibody (tissue antibody) measurement 86147 $16.00 $2.08
Cardiolipin antibody (tissue antibody) measurement 86147 $26.00 $3.38
Cardiolipin antibody (tissue antibody) measurement 86147 $78.00 $10.14
Phospholipid antibody (autoimmune antibody) measurement 86148 $26.00 $3.38
Phospholipid antibody (autoimmune antibody) measurement 86148 $21.00 $2.73
Measurement of cold agglutinin (protein) to screen for infection or disease 86156 $44.00 $5.72
Measurement of cold agglutinin (protein) to detect infection or disease 86157 $21.00 $2.73
Measurement of complement (immune system proteins) 86160 $30.00 $3.90
Measurement of complement (immune system proteins) 86160 $24.00 $3.12
Measurement of complement (immune system proteins) 86160 $22.00 $2.86
Measurement of complement (immune system proteins) 86160 $67.00 $8.71
Measurement of complement (immune system proteins) 86160 $33.00 $4.29
Measurement of complement (immune system proteins) 86160 $88.00 $11.44
Measurement of complement (immune system proteins) 86160 $137.00 $17.81
Measurement of complement (immune system proteins) 86160 $90.00 $11.70
Measurement of complement (immune system proteins) 86160 $55.00 $7.15
Measurement of complement function (immune system proteins) 86161 $81.00 $10.53
Measurement of complement function (immune system proteins) 86161 $85.00 $11.05
Measurement of complement function (immune system proteins) 86161 $52.00 $6.76
Measurement of complement function (immune system proteins) 86161 $32.00 $4.16
Measurement of complement (immune system proteins) 86162 $33.00 $4.29
Measurement of complement (immune system proteins) 86162 $119.00 $15.47
Measurement of complement (immune system proteins) 86162 $25.00 $3.25
Measurement of antibody for rheumatoid arthritis assessment 86200 $25.00 $3.25
Measurement of antibody for rheumatoid arthritis assessment 86200 $26.00 $3.38
Measurement of antibody for rheumatoid arthritis assessment 86200 $75.00 $9.75
Measurement of DNA antibody 86225 $31.00 $4.03
Measurement of DNA antibody 86225 $68.00 $8.84
Measurement of DNA antibody 86225 $24.00 $3.12
Measurement of DNA antibody 86226 $42.00 $5.46
Measurement of antibody for assessment of autoimmune disorder 86235 $46.00 $5.98
Measurement of antibody for assessment of autoimmune disorder 86235 $17.00 $2.21
Measurement of antibody for assessment of autoimmune disorder 86235 $25.00 $3.25
Measurement of antibody for assessment of autoimmune disorder 86235 $76.00 $9.88
Measurement of antibody for assessment of autoimmune disorder 86235 $85.00 $11.05
Measurement of antibody for assessment of autoimmune disorder 86235 $40.00 $5.20
Measurement of antibody for assessment of autoimmune disorder 86235 $10.00 $1.30
Measurement of antibody for assessment of autoimmune disorder 86235 $66.00 $8.58
Measurement of antibody for assessment of autoimmune disorder 86235 $27.00 $3.51
Measurement of antibody for assessment of autoimmune disorder 86235 $28.00 $3.64
Measurement of antibody for assessment of autoimmune disorder 86235 $36.00 $4.68
Measurement of antibody for assessment of autoimmune disorder 86235 $23.00 $2.99
Screening test for antibody to noninfectious agent 86255 $31.00 $4.03
Screening test for antibody to noninfectious agent 86255 $29.00 $3.77
Screening test for antibody to noninfectious agent 86255 $103.00 $13.39
Screening test for antibody to noninfectious agent 86255 $26.00 $3.38
Screening test for antibody to noninfectious agent 86255 $837.00 $108.81
Screening test for antibody to noninfectious agent 86255 $43.00 $5.59
Screening test for antibody to noninfectious agent 86255 $181.00 $23.53
Screening test for antibody to noninfectious agent 86255 $27.00 $3.51
Screening test for antibody to noninfectious agent 86255 $22.00 $2.86
Screening test for antibody to noninfectious agent 86255 $70.00 $9.10
Measurement of antibody to noninfectious agent 86256 $66.00 $8.58
Measurement of antibody to noninfectious agent 86256 $27.00 $3.51
Measurement of antibody to noninfectious agent 86256 $35.00 $4.55
Measurement of antibody to noninfectious agent 86256 $77.00 $10.01
Immunologic analysis for detection of tumor antigen 86300 $35.00 $4.55
Immunologic analysis for detection of tumor antigen 86300 $121.00 $15.73
Immunologic analysis for detection of tumor antigen 86300 $36.00 $4.68
Immunologic analysis for detection of tumor antigen 86300 $26.00 $3.38
Immunologic analysis for detection of tumor antigen 86300 $27.00 $3.51
Immunologic analysis for detection of tumor antigen 86301 $41.00 $5.33
Immunologic analysis for detection of tumor antigen 86301 $121.00 $15.73
Immunologic analysis for detection of tumor antigen 86301 $33.00 $4.29
Immunologic analysis for detection of tumor antigen 86304 $27.00 $3.51
Immunologic analysis for detection of tumor antigen 86304 $155.00 $20.15
Immunologic analysis for detection of tumor antigen 86304 $121.00 $15.73
Screening test for mononucleosis (mono) 86308 $23.00 $2.99
Screening test for mononucleosis (mono) 86308 $52.00 $6.76
Analysis for detection of tumor marker 86316 $47.00 $6.11
Analysis for detection of tumor marker 86316 $116.00 $15.08
Detection of infectious agent antibody 86317 $5.00 $0.65
Detection of infectious agent antibody 86317 $23.00 $2.99
Detection of infectious agent antibody 86317 $78.00 $10.14
Detection of infectious agent antibody 86318 $64.00 $8.32
Detection of infectious agent antibody 86318 $75.00 $9.75
Immunologic analysis technique 86329 $28.00 $3.64
Immunologic analysis for detection of antigen or antibody 86331 $9.00 $1.17
Immunologic analysis for detection of antigen or antibody 86331 $10.00 $1.30
Immunologic analysis technique on serum 86334 $130.00 $16.90
Immunologic analysis technique on serum 86334 $51.00 $6.63
Immunologic analysis technique on serum 86334 $10.00 $1.30
Immunologic analysis technique on serum 86334 $28.00 $3.64
Immunologic analysis technique on serum 86334 $33.00 $4.29
Immunologic analysis technique on body fluid 86335 $41.00 $5.33
Immunologic analysis technique on body fluid 86335 $40.00 $5.20
Immunologic analysis technique on body fluid 86335 $28.00 $3.64
Immunologic analysis technique on body fluid 86335 $160.00 $20.80
Inhibin A (reproductive organ hormone) measurement 86336 $106.00 $13.78
Inhibin A (reproductive organ hormone) measurement 86336 $54.00 $7.02
Inhibin A (reproductive organ hormone) measurement 86336 $13.00 $1.69
Inhibin A (reproductive organ hormone) measurement 86336 $19.00 $2.47
Insulin antibody measurement 86337 $122.00 $15.86
Insulin antibody measurement 86337 $106.00 $13.78
Intrinsic factor (stomach protein) antibody measurement 86340 $29.00 $3.77
Intrinsic factor (stomach protein) antibody measurement 86340 $26.00 $3.38
Intrinsic factor (stomach protein) antibody measurement 86340 $88.00 $11.44
Islet cell (pancreas) antibody measurement 86341 $113.00 $14.69
Islet cell (pancreas) antibody measurement 86341 $200.00 $26.00
Islet cell (pancreas) antibody measurement 86341 $51.00 $6.63
Islet cell (pancreas) antibody measurement 86341 $34.00 $4.42
Total cell count for B cells (white blood cells) 86355 $60.00 $7.80
Total cell count for natural killer cells (white blood cell) 86357 $60.00 $7.80
T cells count, total 86359 $60.00 $7.80
T cell count and ratio 86360 $60.00 $7.80
T cell count and ratio 86360 $274.00 $35.62
T cell count and ratio 86361 $75.00 $9.75
T cell count and ratio 86361 $31.00 $4.03
Microsomal antibodies (autoantibody) measurement 86376 $85.00 $11.05
Microsomal antibodies (autoantibody) measurement 86376 $16.00 $2.08
Microsomal antibodies (autoantibody) measurement 86376 $25.00 $3.25
Microsomal antibodies (autoantibody) measurement 86376 $30.00 $3.90
Microsomal antibodies (autoantibody) measurement 86376 $31.00 $4.03
Screening test for presence of antibody 86403 $26.00 $3.38
Screening test for presence of antibody 86403 $58.00 $7.54
Rheumatoid factor analysis 86430 $48.00 $6.24
Rheumatoid factor level 86431 $59.00 $7.67
Rheumatoid factor level 86431 $36.00 $4.68
Tuberculosis test 86480 $361.00 $46.93
Tuberculosis test 86480 $51.00 $6.63
Tuberculosis test 86480 $66.00 $8.58
Syphilis detection test 86592 $25.00 $3.25
Syphilis detection test 86592 $22.00 $2.86
Syphilis test 86593 $25.00 $3.25
Syphilis test 86593 $31.00 $4.03
Syphilis test 86593 $18.00 $2.34
Analysis for antibody to aspergillus (fungus) 86606 $24.00 $3.12
Analysis for antibody to aspergillus (fungus) 86606 $10.00 $1.30
Analysis for antibody to aspergillus (fungus) 86606 $11.00 $1.43
Analysis for antibody to aspergillus (fungus) 86606 $62.00 $8.06
Analysis for antibody to aspergillus (fungus) 86606 $9.00 $1.17
Analysis for antibody bacteria 86609 $10.00 $1.30
Analysis for antibody to Bartonella (bacteria) 86611 $29.00 $3.77
Analysis for antibody to Bartonella (bacteria) 86611 $33.00 $4.29
Analysis for antibody to blastomyces (fungus) 86612 $26.00 $3.38
Analysis for antibody to blastomyces (fungus) 86612 $24.00 $3.12
Analysis for antibody bordetella (respiratory bacteria) 86615 $22.00 $2.86
Analysis for antibody bordetella (respiratory bacteria) 86615 $76.00 $9.88
Analysis for antibody bordetella (respiratory bacteria) 86615 $29.00 $3.77
Analysis for antibody bordetella (respiratory bacteria) 86615 $28.00 $3.64
Analysis for antibody bordetella (respiratory bacteria) 86615 $54.00 $7.02
Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria) 86617 $90.00 $11.70
Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria) 86617 $29.00 $3.77
Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria) 86617 $31.00 $4.03
Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) 86618 $77.00 $10.01
Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) 86618 $33.00 $4.29
Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) 86618 $18.00 $2.34
Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) 86618 $32.00 $4.16
Analysis for antibody to Brucella (bacteria) 86622 $36.00 $4.68
Analysis for antibody to Candida (yeast) 86628 $40.00 $5.20
Analysis for antibody to Chlamydia (bacteria) 86631 $16.00 $2.08
Analysis for antibody to Chlamydia (bacteria) 86631 $13.00 $1.69
Analysis for antibody (IgM) to Chlamydia (bacteria) 86632 $13.00 $1.69
Analysis for antibody (IgM) to Chlamydia (bacteria) 86632 $16.00 $2.08
Analysis for antibody to Coccidioides (bacteria) 86635 $35.00 $4.55
Analysis for antibody to Coccidioides (bacteria) 86635 $24.00 $3.12
Analysis for antibody to Coccidioides (bacteria) 86635 $23.00 $2.99
Analysis for antibody to Coccidioides (bacteria) 86635 $20.00 $2.60
Analysis for antibody to Cytomegalovirus (CMV) 86644 $81.00 $10.53
Analysis for antibody to Cytomegalovirus (CMV) 86644 $28.00 $3.64
Analysis for antibody to Cytomegalovirus (CMV) 86644 $24.00 $3.12
Analysis for antibody (IgM) to Cytomegalovirus (CMV) 86645 $38.00 $4.94
Analysis for antibody (IgM) to Cytomegalovirus (CMV) 86645 $77.00 $10.01
Analysis for antibody to Enterovirus (gastrointestinal virus) 86658 $48.00 $6.24
Analysis for antibody to Enterovirus (gastrointestinal virus) 86658 $18.00 $2.34
Analysis for antibody to Epstein-Barr virus (mononucleosis virus) 86663 $24.00 $3.12
Analysis for antibody to Epstein-Barr virus (mononucleosis virus) 86663 $25.00 $3.25
Analysis for antibody to Epstein-Barr virus (mononucleosis virus) 86663 $76.00 $9.88
Analysis for antibody to Epstein-Barr virus (mononucleosis virus) 86664 $14.00 $1.82
Analysis for antibody to Epstein-Barr virus (mononucleosis virus) 86664 $26.00 $3.38
Analysis for antibody to Epstein-Barr virus (mononucleosis virus) 86664 $77.00 $10.01
Analysis for antibody to Epstein-Barr virus (mononucleosis virus) 86665 $77.00 $10.01
Analysis for antibody to Epstein-Barr virus (mononucleosis virus) 86665 $25.00 $3.25
Analysis for antibody to Epstein-Barr virus (mononucleosis virus) 86665 $14.00 $1.82
Analysis for antibody to Epstein-Barr virus (mononucleosis virus) 86665 $24.00 $3.12
Analysis for antibody to Ehrlichia (bacteria transmitted by ticks) 86666 $22.00 $2.86
Analysis for antibody to fungus 86671 $100.00 $13.00
Analysis for antibody to fungus 86671 $71.00 $9.23
Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) 86677 $25.00 $3.25
Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) 86677 $77.00 $10.01
Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) 86677 $26.00 $3.38
Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) 86677 $34.00 $4.42
Analysis for antibody to helminth (intestinal worm) 86682 $55.00 $7.15
Confirmation test for antibody to Human T-cell lymphotropic virus (HTLV) or HIV 86689 $52.00 $6.76
Analysis for antibody to Herpes simplex virus 86694 $41.00 $5.33
Analysis for antibody to Herpes simplex virus 86694 $14.00 $1.82
Analysis for antibody to Herpes simplex virus 86694 $12.00 $1.56
Analysis for antibody to Herpes simplex virus 86694 $81.00 $10.53
Analysis for antibody to Herpes simplex virus, type 1 86695 $95.00 $12.35
Analysis for antibody to Herpes simplex virus, type 1 86695 $12.00 $1.56
Analysis for antibody to Herpes simplex virus, type 1 86695 $14.00 $1.82
Analysis for antibody to Herpes simplex virus, type 1 86695 $13.00 $1.69
Analysis for antibody to Herpes simplex virus, type 1 86695 $49.00 $6.37
Analysis for antibody to Herpes simplex virus, type 2 86696 $38.00 $4.94
Analysis for antibody to Herpes simplex virus, type 2 86696 $12.00 $1.56
Analysis for antibody to Herpes simplex virus, type 2 86696 $95.00 $12.35
Analysis for antibody to Herpes simplex virus, type 2 86696 $13.00 $1.69
Analysis for antibody to Herpes simplex virus, type 2 86696 $49.00 $6.37
Analysis for antibody to Herpes simplex virus, type 2 86696 $26.00 $3.38
Analysis for antibody to Herpes simplex virus, type 2 86696 $14.00 $1.82
Analysis for antibody to histoplasma (fungus) 86698 $24.00 $3.12
Analysis for antibody to histoplasma (fungus) 86698 $12.00 $1.56
Analysis for antibody to histoplasma (fungus) 86698 $29.00 $3.77
Analysis for antibody to histoplasma (fungus) 86698 $30.00 $3.90
Analysis for antibody to HIV -1 virus 86701 $52.00 $6.76
Analysis for antibody to HIV-1 and HIV-2 virus 86703 $83.00 $10.79
Hepatitis B core antibody measurement 86704 $25.00 $3.25
Hepatitis B core antibody measurement 86704 $70.00 $9.10
Hepatitis B core antibody measurement 86704 $24.00 $3.12
Hepatitis B core antibody (IgM) measurement 86705 $28.00 $3.64
Hepatitis B core antibody (IgM) measurement 86705 $23.00 $2.99
Hepatitis B core antibody (IgM) measurement 86705 $69.00 $8.97
Hepatitis B surface antibody measurement 86706 $62.00 $8.06
Hepatitis B surface antibody measurement 86706 $60.00 $7.80
Hepatitis Be antibody measurement 86707 $30.00 $3.90
Hepatitis Be antibody measurement 86707 $23.00 $2.99
Hepatitis Be antibody measurement 86707 $67.00 $8.71
Measurement of Hepatitis A antibody 86708 $25.00 $3.25
Measurement of Hepatitis A antibody 86708 $66.00 $8.58
Measurement of Hepatitis A antibody 86708 $24.00 $3.12
Measurement of Hepatitis A antibody (IgM) 86709 $23.00 $2.99
Measurement of Hepatitis A antibody (IgM) 86709 $28.00 $3.64
Measurement of Hepatitis A antibody (IgM) 86709 $66.00 $8.58
Analysis for antibody to john cunningham virus 86711 $1,427.00 $185.51
Analysis for antibody to mumps virus 86735 $23.00 $2.99
Analysis for antibody to mumps virus 86735 $30.00 $3.90
Analysis for antibody to mumps virus 86735 $76.00 $9.88
Analysis for antibody to mumps virus 86735 $34.00 $4.42
Analysis for antibody to Mycoplasma (bacteria) 86738 $27.00 $3.51
Analysis for antibody to Mycoplasma (bacteria) 86738 $77.00 $10.01
Analysis for antibody to Mycoplasma (bacteria) 86738 $25.00 $3.25
Analysis for antibody to parvovirus 86747 $77.00 $10.01
Analysis for antibody to parvovirus 86747 $28.00 $3.64
Analysis for antibody to parvovirus 86747 $29.00 $3.77
Analysis for antibody to protozoa (parasite) 86753 $39.00 $5.07
Analysis for antibody to protozoa (parasite) 86753 $38.00 $4.94
Analysis for antibody to Rubella (German measles virus) 86762 $20.00 $2.60
Analysis for antibody to Rubella (German measles virus) 86762 $102.00 $13.26
Analysis for antibody to Rubeola (measles virus) 86765 $21.00 $2.73
Analysis for antibody to Rubeola (measles virus) 86765 $75.00 $9.75
Analysis for antibody to Rubeola (measles virus) 86765 $30.00 $3.90
Analysis for antibody to Rubeola (measles virus) 86765 $27.00 $3.51
Analysis for antibody to tetanus bacteria (Clostridium tetanus) 86774 $38.00 $4.94
Analysis for antibody to Toxoplasma (parasite) 86777 $29.00 $3.77
Analysis for antibody to Toxoplasma (parasite) 86777 $81.00 $10.53
Analysis for antibody to Toxoplasma (parasite) 86777 $27.00 $3.51
Analysis for antibody (IgM) to Toxoplasma (parasite) 86778 $27.00 $3.51
Analysis for antibody (IgM) to Toxoplasma (parasite) 86778 $77.00 $10.01
Analysis for antibody (IgM) to Toxoplasma (parasite) 86778 $29.00 $3.77
Analysis for antibody, Treponema pallidum 86780 $68.00 $8.84
Analysis for antibody, Treponema pallidum 86780 $44.00 $5.72
Analysis for antibody, Treponema pallidum 86780 $86.00 $11.18
Analysis for antibody, Treponema pallidum 86780 $41.00 $5.33
Analysis for antibody, Treponema pallidum 86780 $23.00 $2.99
Analysis for antibody to varicella-zoster virus (chicken pox) 86787 $29.00 $3.77
Analysis for antibody to varicella-zoster virus (chicken pox) 86787 $23.00 $2.99
Analysis for antibody to varicella-zoster virus (chicken pox) 86787 $26.00 $3.38
Analysis for antibody to varicella-zoster virus (chicken pox) 86787 $22.00 $2.86
Analysis for antibody to varicella-zoster virus (chicken pox) 86787 $75.00 $9.75
Analysis for antibody to virus 86790 $37.00 $4.81
Thyroglobulin (thyroid protein) antibody measurement 86800 $23.00 $2.99
Thyroglobulin (thyroid protein) antibody measurement 86800 $93.00 $12.09
Thyroglobulin (thyroid protein) antibody measurement 86800 $16.00 $2.08
Hepatitis C antibody measurement 86803 $25.00 $3.25
Hepatitis C antibody measurement 86803 $21.00 $2.73
Hepatitis C antibody measurement 86803 $76.00 $9.88
Immunologic analysis for autoimmune disease 86812 $52.00 $6.76
Immunologic analysis for autoimmune disease 86812 $31.00 $4.03
Immunologic analysis for autoimmune disease 86812 $151.00 $19.63
Removal of antibodies from surface of red blood cell 86860 $77.00 $10.01
Identification of red blood cell antibodies 86870 $781.00 $101.53
Red blood cell antibody detection test 86880 $37.00 $4.81
Red blood cell antibody detection test 86880 $41.00 $5.33
Red blood cell antibody detection test 86880 $20.00 $2.60
Red blood cell antibody detection test 86880 $32.00 $4.16
Red blood cell antibody level 86886 $53.00 $6.89
Red blood cell antibody level 86886 $47.00 $6.11
Red blood cell antibody level 86886 $106.00 $13.78
Blood group typing (ABO) 86900 $19.00 $2.47
Blood typing for Rh (D) antigen 86901 $19.00 $2.47
Screening test for compatible blood unit 86902 $75.00 $9.75
Screening test for compatible blood unit 86902 $68.00 $8.84
Screening test for compatible blood unit 86902 $62.00 $8.06
Screening test for compatible blood unit 86904 $40.00 $5.20
Screening test for compatible blood unit 86904 $76.00 $9.88
Blood typing for red blood cell antigens 86905 $48.00 $6.24
Blood typing for Rh (D) antigen 86906 $76.00 $9.88
Blood unit compatibility test 86920 $441.00 $57.33
Blood unit compatibility test 86922 $441.00 $57.33
Blood unit compatibility test 86922 $83.00 $10.79
Irradiation of blood product, each unit 86945 $114.00 $14.82
Pretreatment of red blood cells for use in red blood cells antibody analysis and measurement 86970 $77.00 $10.01
Pretreatment of red blood cells for use in red blood cells antibody analysis and measurement 86971 $25.00 $3.25
Pretreatment of red blood cells for use in red blood cells antibody analysis and measurement 86972 $107.00 $13.91
Pretreatment of serum for use in red blood cell antibody analysis and measurement 86977 $102.00 $13.26
Pretreatment of serum for use in red blood cell antibody analysis and measurement 86977 $30.00 $3.90
Pretreatment of serum for use in red blood cell antibody analysis and measurement 86978 $74.00 $9.62
Concentration of specimen for infectious agents 87015 $16.00 $2.08
Concentration of specimen for infectious agents 87015 $11.00 $1.43
Bacterial blood culture 87040 $23.00 $2.99
Bacterial blood culture 87040 $45.00 $5.85
Stool culture 87045 $14.00 $1.82
Stool culture 87045 $67.00 $8.71
Stool culture 87046 $14.00 $1.82
Stool culture 87046 $55.00 $7.15
Stool culture 87046 $27.00 $3.51
Bacterial culture 87070 $30.00 $3.90
Bacterial culture 87070 $50.00 $6.50
Bacterial culture 87070 $16.00 $2.08
Bacterial culture 87070 $14.00 $1.82
Bacterial culture 87070 $82.00 $10.66
Bacterial culture and colony count 87071 $97.00 $12.61
Bacterial culture 87075 $14.00 $1.82
Bacterial culture 87075 $75.00 $9.75
Bacterial culture for anaerobic isolates 87076 $41.00 $5.33
Bacterial culture for anaerobic isolates 87076 $101.00 $13.13
Bacterial culture for aerobic isolates 87077 $60.00 $7.80
Bacterial culture for aerobic isolates 87077 $195.00 $25.35
Bacterial culture for aerobic isolates 87077 $25.00 $3.25
Bacterial culture for aerobic isolates 87077 $49.00 $6.37
Screening test for pathogenic organisms 87081 $50.00 $6.50
Screening test for pathogenic organisms 87081 $49.00 $6.37
Screening test for pathogenic organisms 87081 $36.00 $4.68
Screening test for pathogenic organisms 87081 $35.00 $4.55
Screening test for pathogenic organisms 87081 $29.00 $3.77
Screening test for pathogenic organisms 87081 $30.00 $3.90
Bacterial colony count, urine 87086 $24.00 $3.12
Bacterial colony count, urine 87086 $22.00 $2.86
Bacterial colony count, urine 87086 $75.00 $9.75
Bacterial urine culture 87088 $49.00 $6.37
Fungal culture (mold or yeast) of skin, hair, or nail 87101 $25.00 $3.25
Fungal culture (mold or yeast) of skin, hair, or nail 87101 $26.00 $3.38
Fungal culture (mold or yeast) 87102 $25.00 $3.25
Fungal culture (mold or yeast) 87102 $34.00 $4.42
Fungal culture (mold or yeast) 87102 $14.00 $1.82
Fungal blood culture (mold or yeast) 87103 $24.00 $3.12
Fungal blood culture (mold or yeast) 87103 $35.00 $4.55
Culture for identification of yeast 87107 $56.00 $7.28
Mycoplasma culture 87109 $31.00 $4.03
Culture for chlamydia 87110 $36.00 $4.68
Culture for chlamydia 87110 $97.00 $12.61
Culture for acid-fast bacilli 87116 $62.00 $8.06
Culture for acid-fast bacilli 87116 $39.00 $5.07
Culture for acid-fast bacilli 87116 $11.00 $1.43
Identification of organisms by immunologic analysis 87140 $17.00 $2.21
Identification of organisms by genetic analysis 87153 $200.00 $26.00
Macroscopic examination (visual inspection) of insect 87168 $33.00 $4.29
Macroscopic examination (visual inspection) of parasite 87169 $24.00 $3.12
Pinworm test 87172 $24.00 $3.12
Pinworm test 87172 $30.00 $3.90
Smear for parasites 87177 $12.00 $1.56
Smear for parasites 87177 $78.00 $10.14
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) 87186 $30.00 $3.90
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) 87186 $96.00 $12.48
Special stain for microorganism 87205 $19.00 $2.47
Special stain for microorganism 87205 $14.00 $1.82
Special stain for microorganism 87205 $15.00 $1.95
Special stain for microorganism 87205 $45.00 $5.85
Special stain for microorganism 87205 $52.00 $6.76
Special stain for microorganism 87206 $14.00 $1.82
Special stain for microorganism 87206 $21.00 $2.73
Special stain for microorganism 87206 $32.00 $4.16
Special stain for microorganism 87206 $10.00 $1.30
Special stain for microorganism 87207 $41.00 $5.33
Special stain for microorganism 87207 $35.00 $4.55
Special stain for parasites 87209 $78.00 $10.14
Special stain for parasites 87209 $12.00 $1.56
Smear for infectious agents 87210 $59.00 $7.67
Tissue fungi or parasites 87220 $24.00 $3.12
Tissue culture inoculation for virus isolation 87252 $19.00 $2.47
Tissue culture inoculation for virus isolation 87252 $27.00 $3.51
Tissue culture inoculation for virus isolation 87252 $123.00 $15.99
Tissue culture inoculation for virus isolation 87252 $84.00 $10.92
Tissue culture for virus isolation 87253 $96.00 $12.48
Tissue culture for virus isolation 87253 $21.00 $2.73
Virus isolation 87254 $23.00 $2.99
Detection test for adenovirus (virus) 87260 $10.00 $1.30
Detection test for bordetella pertussis or parapertussis (respiratory bacteria) 87265 $62.00 $8.06
Detection test for influenza B virus 87275 $10.00 $1.30
Detection test for influenza A virus 87276 $10.00 $1.30
Detection test for legionella pneumophila (water borne bacteria) 87278 $26.00 $3.38
Detection test for parainfluenza virus 87279 $10.00 $1.30
Detection test for respiratory syncytial virus (RSV) 87280 $10.00 $1.30
Detection test for organism 87299 $10.00 $1.30
Detection test for clostridium difficile toxins (stool pathogen) 87324 $55.00 $7.15
Detection test for cryptococcus neoformans (yeast) 87327 $26.00 $3.38
Detection test for cryptosporidium (parasite) 87328 $25.00 $3.25
Detection test for cryptosporidium (parasite) 87328 $76.00 $9.88
Detection test for cryptosporidium (parasite) 87328 $70.00 $9.10
Detection test for giardia (intestinal parasite) 87329 $29.00 $3.77
Detection test for giardia (intestinal parasite) 87329 $70.00 $9.10
Detection test for giardia (intestinal parasite) 87329 $25.00 $3.25
Qualitative or semiquantitative detection test for helicobacter pylori in stool, multiple-step method 87338 $84.00 $10.92
Qualitative or semiquantitative detection test for helicobacter pylori in stool, multiple-step method 87338 $27.00 $3.51
Detection test for Hepatitis B surface antigen 87340 $60.00 $7.80
Detection test for Hepatitis B surface antigen 87340 $24.00 $3.12
Detection test for Hepatitis B surface antigen 87340 $75.00 $9.75
Detection test for Hepatitis B surface antigen 87341 $52.00 $6.76
Detection test for Hepatitis B surface antigen 87341 $45.00 $5.85
Detection test for Hepatitis Be surface antigen 87350 $29.00 $3.77
Detection test for Hepatitis Be surface antigen 87350 $67.00 $8.71
Detection test for Hepatitis Be surface antigen 87350 $24.00 $3.12
Detection test for histoplasma capsulatum (parasite) 87385 $56.00 $7.28
Detection test for histoplasma capsulatum (parasite) 87385 $108.00 $14.04
Detection test for histoplasma capsulatum (parasite) 87385 $99.00 $12.87
Detection test for HIV-1 and HIV-2 87389 $33.00 $4.29
Detection test for HIV-1 and HIV-2 87389 $34.00 $4.42
Detection test for HIV-1 and HIV-2 87389 $107.00 $13.91
Detection test for respiratory syncytial virus (RSV) 87420 $82.00 $10.66
Detection test for Rotavirus 87425 $70.00 $9.10
Detection test for Rotavirus 87425 $27.00 $3.51
Detection test for Rotavirus 87425 $33.00 $4.29
Detection test for bacteria toxin (shiga-like toxin) 87427 $101.00 $13.13
Immunologic analysis for detection of organism 87449 $70.00 $9.10
Immunologic analysis for detection of organism 87449 $147.00 $19.11
Immunologic analysis for detection of organism 87449 $29.00 $3.77
Immunologic analysis for detection of organism 87449 $32.00 $4.16
Detection Bartonella henselae and Bartonella quintana (bacteria) 87471 $225.00 $29.25
Detection test for candida species (yeast) 87480 $20.00 $2.60
Detection test for candida species (yeast) 87480 $28.00 $3.64
Detection test for candida species (yeast) 87480 $116.00 $15.08
Detection test for candida species (yeast) 87481 $67.00 $8.71
Detection test for chlamydia 87491 $205.00 $26.65
Detection test for chlamydia 87491 $30.00 $3.90
Detection test for chlamydia 87491 $21.00 $2.73
Detection test for chlamydia 87491 $22.00 $2.86
Detection test for clostridium difficile 87493 $235.00 $30.55
Detection test for Cytomegalovirus (CMV) 87496 $95.00 $12.35
Detection test for Cytomegalovirus (CMV) 87496 $205.00 $26.65
Detection test for cytomegalovirus, quantification 87497 $250.00 $32.50
Detection test for cytomegalovirus, quantification 87497 $89.00 $11.57
Detection test for enterovirus (intestinal virus) 87498 $205.00 $26.65
Detection test for enterovirus (intestinal virus) 87498 $153.00 $19.89
Detection test for multiple types influenza virus 87502 $116.00 $15.08
Detection test for multiple types influenza virus 87502 $98.00 $12.74
Detection test for multiple types of influenza virus 87503 $62.00 $8.06
Detection test for digestive tract pathogen 87506 $267.00 $34.71
Detection test for gardnerella vaginalis (bacteria) 87510 $116.00 $15.08
Detection test for gardnerella vaginalis (bacteria) 87510 $28.00 $3.64
Detection test for gardnerella vaginalis (bacteria) 87510 $20.00 $2.60
Detection test for gardnerella vaginalis (bacteria) 87512 $62.00 $8.06
Detection test for Hepatitis B virus 87516 $205.00 $26.65
Detection test for Hepatitis B virus 87517 $105.00 $13.65
Detection test for Hepatitis B virus 87517 $86.00 $11.18
Detection test for Hepatitis B virus 87517 $250.00 $32.50
Detection test for Hepatitis C virus 87521 $166.00 $21.58
Detection test for Hepatitis C virus 87521 $91.00 $11.83
Detection test for Hepatitis C virus 87521 $205.00 $26.65
Detection test for Hepatitis C virus 87522 $250.00 $32.50
Detection test for Hepatitis C virus 87522 $87.00 $11.31
Detection test for Hepatitis C virus 87522 $88.00 $11.44
Detection test for herpes simplex virus 87529 $44.00 $5.72