"Billing Code"|"Service Description"|"Revenue Code"|"Gross Charge"|"De-identified Minimum Negotiated Charge"|"De-identified Maximum Negotiated Charge"|"Discounted Cash Price"|"Negotiated Charge: NWR AETNA _587_"|"Negotiated Charge: NWR AETNA IL PREFERRED NEW BUSINESS _581_"|"Negotiated Charge: NWR AETNA NM EMPLOYEES _582_"|"Negotiated Charge: NWR CIGNA _588_"|"Negotiated Charge: NWR CIGNA C5 _584_"|"Negotiated Charge: NWR CIGNA LOCAL PLUS _585_"|"Negotiated Charge: NWR HUMANA HMO _615_"|"Negotiated Charge: NWR HUMANA PPO _614_"|"Negotiated Charge: NWR UHC CORE _565_"|"Negotiated Charge: NWR UHC HMO/PPO _564_"|"Negotiated Charge: Health Alliance"|"Negotiated Charge: BCBS PPO"|"Negotiated Charge: BCBS HMO"|"Negotiated Charge: BCBS Blue Choice"
"MS-DRG V37 (FY 2020) 001"|"Heart Transplant Or Implant Of Heart Assist System With McC"|0.00|$1189002.00|$0.00|$0.00|$832301.00||||||||||||||
"MS-DRG V37 (FY 2020) 003"|"Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures"|0.00|$402163.00|$22827.00|$256379.85|$281514.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$256379.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 004"|"Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. Procedures"|0.00|$291038.00|$22827.00|$350643.88|$203727.00|$337242.71|$266595.03|$151292.68|$333243.79|$282590.73|$222606.85|$350643.88|$350643.88|$309250.23|$332577.30|$160137.00|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 005"|"Liver Transplant With McC Or Intestinal Transplant"|0.00|$405433.00|$0.00|$0.00|$283803.00||||||||||||||
"MS-DRG V37 (FY 2020) 006"|"Liver Transplant Without McC"|0.00|$543331.00|$0.00|$0.00|$380332.00||||||||||||||
"MS-DRG V37 (FY 2020) 007"|"Lung Transplant"|0.00|$711905.00|$0.00|$0.00|$498334.00||||||||||||||
"MS-DRG V37 (FY 2020) 008"|"Simultaneous Pancreas And Kidney Transplant"|0.00|$491431.00|$0.00|$0.00|$344002.00||||||||||||||
"MS-DRG V37 (FY 2020) 011"|"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC"|0.00|$103407.00|$22827.00|$90436.19|$72385.00|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$67721.40|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 012"|"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc"|0.00|$218514.00|$22827.00|$147717.45|$152960.00|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$51730.65|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 013"|"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC"|0.00|$86078.00|$19722.79|$36839.04|$60255.00|$23543.21|$34753.81|$19722.79|$24974.19|$36839.04|$29019.43|$25191.83|$31206.86|$27006.40|$29234.49|$36726.75|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 014"|"Allogeneic Bone Marrow Transplant"|0.00|$293441.00|$15133.30|$172513.80|$205409.00|$66666.50|$26666.60|$15133.30|$66666.50|$28266.60|$22266.61|$66666.50|$66666.50|$66666.50|$66666.50|$172513.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 016"|"Autologous Bone Marrow Transplant With Cc/McC"|0.00|$145334.00|$15730.36|$90803.70|$101734.00|$58208.53|$27718.70|$15730.36|$61746.52|$29381.82|$23145.11|$66150.73|$69296.74|$66770.99|$69296.74|$90803.70|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 020"|"Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC"|0.00|$531421.00|$22827.00|$163094.11|$371995.00|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$139321.35|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 021"|"Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc"|0.00|$301364.00|$0.00|$0.00|$210955.00||||||||||||||
"MS-DRG V37 (FY 2020) 022"|"Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC"|0.00|$351515.00|$0.00|$0.00|$246060.00||||||||||||||
"MS-DRG V37 (FY 2020) 023"|"Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With McC Or Chemotherapy Implant Or Epilepsy With Neurostimulator"|0.00|$271844.00|$22827.00|$111802.19|$190291.00|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$76441.05|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 024"|"Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC"|0.00|$236071.00|$22827.00|$149917.34|$165250.00|$59073.20|$59073.20|$59073.20|$125050.67|$59073.20|$59073.20|$146523.47|$149917.34|$59073.20|$59073.20|$53088.75|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 025"|"Craniotomy And Endovascular Intracranial Procedures With McC"|0.00|$143729.00|$22827.00|$110961.31|$100610.00|$106740.09|$84379.52|$47885.38|$110125.83|$89442.29|$70456.90|$110961.31|$110961.31|$33780.00|$36565.00|$60637.95|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 026"|"Craniotomy And Endovascular Intracranial Procedures With Cc"|0.00|$91336.00|$22827.00|$88989.73|$63935.00|$83698.15|$66164.54|$37548.38|$88989.73|$70134.42|$55247.39|$88683.51|$88683.51|$30356.77|$32861.27|$41283.00|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 027"|"Craniotomy And Endovascular Intracranial Procedures Without Cc/McC"|0.00|$169882.00|$12391.80|$89811.03|$118917.00|$86846.60|$68653.44|$38960.83|$88861.53|$72772.65|$57325.62|$89811.03|$89811.03|$24934.64|$26991.80|$33909.30|$13978.30|$12391.80|$12391.80
"MS-DRG V37 (FY 2020) 028"|"Spinal Procedures With McC"|0.00|$193108.00|$15649.95|$78570.00|$135176.00|$50366.28|$27577.00|$15649.95|$53427.60|$29231.62|$23026.80|$53893.20|$66761.22|$57775.14|$62541.72|$78570.00|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 029"|"Spinal Procedures With Cc Or Spinal Neurostimulators"|0.00|$152016.00|$22827.00|$104211.38|$106411.00|$101322.64|$80096.95|$45455.02|$100121.19|$84902.77|$66880.95|$104211.38|$104211.38|$32709.47|$35408.07|$44482.50|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 030"|"Spinal Procedures Without Cc/McC"|0.00|$81225.00|$10996.14|$31820.85|$56858.00|$20398.34|$19376.46|$10996.14|$21638.18|$20539.05|$16179.34|$21826.75|$27038.29|$23398.93|$25329.40|$31820.85|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 031"|"Ventricular Shunt Procedures With McC"|0.00|$140072.00|$22827.00|$81862.33|$98050.00|$70876.33|$56028.72|$31796.30|$81862.33|$59390.44|$46783.98|$79231.28|$79231.28|$42140.00|$45612.00|$58942.35|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 032"|"Ventricular Shunt Procedures With Cc"|0.00|$112828.00|$19566.00|$64970.76|$78980.00|$64596.82|$51064.68|$28979.21|$64970.76|$54128.56|$42639.01|$20484.97|$25376.15|$21960.51|$23772.30|$29864.70|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 033"|"Ventricular Shunt Procedures Without Cc/McC"|0.00|$98944.00|$11087.40|$37566.41|$69261.00|$14890.94|$35440.01|$20112.20|$27622.46|$37566.41|$29592.41|$23448.21|$27252.68|$17081.39|$18490.64|$23229.45|$12506.90|$11087.40|$11087.40
"MS-DRG V37 (FY 2020) 034"|"Carotid Artery Stent Procedures With McC"|0.00|$134271.00|$22827.00|$121942.33|$93990.00|$82212.15|$64989.84|$36881.74|$121942.33|$68889.23|$54266.52|$109051.01|$110378.30|$39455.85|$42711.05|$53657.10|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 035"|"Carotid Artery Stent Procedures With Cc"|0.00|$134642.00|$11451.59|$33509.91|$94249.00|$20225.26|$20179.02|$11451.59|$32000.73|$21389.76|$16849.48|$28342.58|$33509.91|$23200.39|$25114.48|$31550.85|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 036"|"Carotid Artery Stent Procedures Without Cc/McC"|0.00|$128939.00|$0.00|$0.00|$90257.00||||||||||||||
"MS-DRG V37 (FY 2020) 037"|"Extracranial Procedures With McC"|0.00|$182724.00|$0.00|$0.00|$127907.00||||||||||||||
"MS-DRG V37 (FY 2020) 038"|"Extracranial Procedures With Cc"|0.00|$113341.00|$12770.77|$23853.78|$79339.00|$14342.27|$22503.56|$12770.77|$16563.25|$23853.78|$18790.48|$15346.60|$19010.89|$16452.02|$17809.35|$22373.55|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 039"|"Extracranial Procedures Without Cc/McC"|0.00|$54508.00|$7826.40|$30777.02|$38156.00|$9856.91|$29034.92|$16477.32|$13236.64|$30777.02|$24244.16|$12313.95|$14832.28|$11306.85|$12239.69|$15376.50|$8828.40|$7826.40|$7826.40
"MS-DRG V37 (FY 2020) 040"|"Peripheral, Cranial Nerve And Other Nervous System Procedures With McC"|0.00|$162340.00|$22827.00|$62081.65|$113638.00|$62081.65|$49076.40|$27850.86|$61345.51|$52020.99|$40978.80|$36649.23|$46545.63|$39289.08|$42530.52|$53430.30|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 041"|"Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator"|0.00|$98680.00|$19488.78|$36401.95|$69076.00|$20343.82|$34341.46|$19488.78|$21580.34|$36401.95|$28675.12|$21768.41|$26966.03|$23336.39|$25261.70|$31739.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 042"|"Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC"|0.00|$22155.00|$15652.80|$79566.77|$15508.00|$78634.34|$62161.54|$35276.67|$77903.46|$65891.23|$51904.88|$79566.77|$79566.77|$18711.40|$20255.14|$25446.15|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 052"|"Spinal Disorders And Injuries With Cc/McC"|0.00|$44031.00|$15967.50|$31934.83|$30822.00|$15967.50|$30127.20|$17097.18|$16938.02|$31934.83|$25156.21|$17085.63|$22087.10|$18316.31|$19827.44|$24908.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 053"|"Spinal Disorders And Injuries Without Cc/McC"|0.00|$54826.00|$9831.81|$23211.24|$38378.00|$9831.81|$21897.40|$12426.77|$10429.40|$23211.24|$18284.33|$10520.29|$13032.20|$11278.06|$12208.53|$15337.35|$20599.60|$18261.60|$18261.60
"MS-DRG V37 (FY 2020) 054"|"Nervous System Neoplasms With McC"|0.00|$49473.00|$10063.59|$25751.00|$34631.00|$11819.63|$17733.20|$10063.59|$12538.04|$18797.19|$14807.22|$12647.31|$15667.09|$13558.30|$14676.89|$18438.30|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 055"|"Nervous System Neoplasms Without McC"|0.00|$45971.00|$9029.58|$25229.82|$32180.00|$9029.58|$23801.72|$13507.48|$9578.41|$25229.82|$19874.44|$9661.88|$11968.84|$10357.83|$11212.38|$14085.90|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 056"|"Degenerative Nervous System Disorders With McC"|0.00|$58688.00|$9075.46|$29528.55|$41082.00|$18928.89|$15992.00|$9075.46|$20079.41|$16951.52|$13353.32|$20254.40|$25090.52|$21713.33|$23504.73|$29528.55|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 057"|"Degenerative Nervous System Disorders Without McC"|0.00|$45216.00|$9230.61|$25751.00|$31651.00|$10940.39|$16265.40|$9230.61|$11605.36|$17241.32|$13581.61|$11706.49|$14501.64|$12549.71|$13585.09|$17066.70|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 058"|"Multiple Sclerosis And Cerebellar Ataxia With McC"|0.00|$61629.00|$11057.17|$25751.00|$43140.00|$15029.40|$19484.00|$11057.17|$15942.91|$20653.04|$16269.14|$19536.77|$23376.61|$17240.22|$18662.58|$23445.45|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 059"|"Multiple Sclerosis And Cerebellar Ataxia With Cc"|0.00|$46636.00|$8822.87|$25751.00|$32645.00|$9748.73|$15546.90|$8822.87|$10341.27|$16479.71|$12981.66|$10431.39|$12922.08|$11182.77|$12105.37|$15207.75|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 060"|"Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC"|0.00|$38933.00|$6676.52|$22071.00|$27253.00|$7923.60|$11764.80|$6676.52|$8405.21|$12470.69|$9823.61|$8478.46|$10502.85|$9089.16|$9839.04|$12360.60|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 061"|"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC"|0.00|$122675.00|$0.00|$0.00|$85872.00||||||||||||||
"MS-DRG V37 (FY 2020) 062"|"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc"|0.00|$86529.00|$17197.23|$38493.27|$60570.00|$17197.23|$36314.40|$20608.42|$18242.50|$38493.27|$30322.53|$33914.67|$38308.37|$19726.93|$21354.45|$26827.20|$23542.40|$20870.40|$20870.40
"MS-DRG V37 (FY 2020) 063"|"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC"|0.00|$75505.00|$0.00|$0.00|$52854.00||||||||||||||
"MS-DRG V37 (FY 2020) 064"|"Intracranial Hemorrhage Or Cerebral Infarction With McC"|0.00|$62057.00|$16555.10|$31395.61|$43440.00|$16555.10|$29618.50|$16808.50|$17561.34|$31395.61|$24731.45|$17714.38|$21944.02|$18990.35|$20557.10|$25825.50|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 065"|"Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours"|0.00|$50716.00|$8811.50|$21990.45|$35501.00|$8811.50|$20745.71|$11773.19|$9347.08|$21990.45|$17322.67|$9428.53|$12579.38|$10107.67|$10941.58|$13745.70|$21335.30|$18913.80|$18913.80
"MS-DRG V37 (FY 2020) 066"|"Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC"|0.00|$39752.00|$6152.13|$20454.82|$27826.00|$6152.13|$19297.00|$10951.05|$6526.06|$20454.82|$16113.00|$6582.93|$8154.73|$7057.10|$7639.33|$9597.15|$14714.00|$13044.00|$13044.00
"MS-DRG V37 (FY 2020) 067"|"Nonspecific Cva And Precerebral Occlusion Without Infarction With McC"|0.00|$36603.00|$0.00|$0.00|$25622.00||||||||||||||
"MS-DRG V37 (FY 2020) 068"|"Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC"|0.00|$42960.00|$6017.03|$15449.70|$30072.00|$7689.94|$10602.70|$6017.03|$8157.35|$11238.86|$8853.25|$8228.44|$10193.13|$8821.13|$9548.90|$11996.10|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 069"|"Transient Ischemia Without Thrombolytic"|0.00|$34983.00|$8212.61|$16904.77|$24488.00|$8510.10|$15947.90|$9050.44|$8974.64|$16904.77|$13316.49|$10470.29|$13432.42|$8212.61|$11848.10|$10612.35|$14714.00|$13044.00|$13044.00
"MS-DRG V37 (FY 2020) 070"|"Nonspecific Cerebrovascular Disorders With McC"|0.00|$54468.00|$11686.58|$25751.00|$38128.00|$14507.57|$20593.10|$11686.58|$15389.35|$21828.69|$17195.24|$15523.46|$19229.98|$16641.62|$18014.59|$22631.40|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 071"|"Nonspecific Cerebrovascular Disorders With Cc"|0.00|$24908.00|$7167.24|$24278.10|$17436.00|$7167.24|$14688.00|$8335.44|$7602.88|$15569.28|$12264.48|$7669.13|$9500.28|$8221.54|$8899.84|$13645.80|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 072"|"Nonspecific Cerebrovascular Disorders Without Cc/McC"|0.00|$47956.00|$3111.43|$16921.10|$33569.00|$6673.96|$5482.70|$3111.43|$7079.62|$5811.66|$4578.05|$7141.31|$8846.44|$7655.70|$8287.32|$10411.20|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 073"|"Cranial And Peripheral Nerve Disorders With McC"|0.00|$43984.00|$12543.11|$29446.69|$30789.00|$12543.11|$27779.90|$15765.09|$13305.49|$29446.69|$23196.22|$15397.55|$18602.17|$14388.19|$15575.25|$19566.90|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 074"|"Cranial And Peripheral Nerve Disorders Without McC"|0.00|$44576.00|$7458.82|$21335.30|$31203.00|$8813.23|$13143.30|$7458.82|$9348.91|$13931.89|$10974.65|$9430.38|$11682.07|$10109.66|$10943.73|$13748.40|$21335.30|$18913.80|$18913.80
"MS-DRG V37 (FY 2020) 075"|"Viral Meningitis With Cc/McC"|0.00|$45525.00|$14071.40|$28970.55|$31868.00|$14071.40|$27330.71|$15510.18|$14926.68|$28970.55|$22821.14|$15056.76|$19879.51|$16141.30|$17473.00|$21951.00|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 076"|"Viral Meningitis Without Cc/McC"|0.00|$24344.00|$9997.53|$22071.00|$17041.00|$11863.50|$17616.80|$9997.53|$12480.37|$18673.81|$14710.03|$15391.13|$17559.90|$10601.39|$11476.75|$13242.15|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 077"|"Hypertensive Encephalopathy With McC"|0.00|$41875.00|$10665.09|$25751.00|$29312.00|$13257.06|$18793.10|$10665.09|$14062.84|$19920.69|$15692.24|$14185.39|$17572.42|$15207.17|$16461.80|$20680.65|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 078"|"Hypertensive Encephalopathy With Cc"|0.00|$46031.00|$0.00|$0.00|$32222.00||||||||||||||
"MS-DRG V37 (FY 2020) 079"|"Hypertensive Encephalopathy Without Cc/McC"|0.00|$39400.00|$0.00|$0.00|$27580.00||||||||||||||
"MS-DRG V37 (FY 2020) 080"|"Nontraumatic Stupor And Coma With McC"|0.00|$51361.00|$0.00|$0.00|$35953.00||||||||||||||
"MS-DRG V37 (FY 2020) 081"|"Nontraumatic Stupor And Coma Without McC"|0.00|$25668.00|$4214.71|$18392.50|$17968.00|$6680.89|$7426.80|$4214.71|$7086.96|$7872.41|$6201.38|$7148.72|$8855.61|$7663.64|$8295.91|$10422.00|$18392.50|$16305.00|$16305.00
"MS-DRG V37 (FY 2020) 082"|"Traumatic Stupor And Coma >1 Hour With McC"|0.00|$56392.00|$13080.43|$30484.35|$39474.00|$19541.60|$23049.22|$13080.43|$20729.36|$24432.17|$19246.10|$20910.01|$25902.67|$22416.16|$24265.54|$30484.35|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 083"|"Traumatic Stupor And Coma >1 Hour With Cc"|0.00|$52892.00|$7544.00|$24278.10|$37024.00|$11611.07|$13293.40|$7544.00|$12316.81|$14091.00|$11099.99|$12424.14|$15390.64|$13319.06|$14417.91|$18112.95|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 084"|"Traumatic Stupor And Coma >1 Hour Without Cc/McC"|0.00|$30619.00|$6887.41|$15449.70|$21433.00|$7824.95|$12136.41|$6887.41|$8300.56|$12864.60|$10133.90|$8372.89|$10372.08|$8975.99|$9716.53|$12206.70|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 085"|"Traumatic Stupor And Coma <1 Hour With McC"|0.00|$96435.00|$13534.59|$31136.40|$67504.00|$19959.59|$23849.50|$13534.59|$21172.75|$25280.47|$19914.34|$21357.26|$26456.71|$22895.63|$24784.57|$31136.40|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 086"|"Traumatic Stupor And Coma <1 Hour With Cc"|0.00|$41460.00|$11015.68|$34149.91|$29022.00|$11015.68|$32216.90|$18283.09|$11685.22|$34149.91|$26901.11|$11787.05|$14601.44|$12636.08|$13678.58|$17184.15|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 087"|"Traumatic Stupor And Coma <1 Hour Without Cc/McC"|0.00|$40048.00|$7151.24|$14714.00|$28034.00|$7464.94|$12601.31|$7151.24|$7918.67|$13357.39|$10522.09|$7987.68|$9894.88|$8563.03|$9269.50|$11645.10|$14714.00|$13044.00|$13044.00
"MS-DRG V37 (FY 2020) 088"|"Concussion With McC"|0.00|$38547.00|$0.00|$0.00|$26983.00||||||||||||||
"MS-DRG V37 (FY 2020) 089"|"Concussion With Cc"|0.00|$39625.00|$9183.62|$35817.40|$27738.00|$9183.62|$33790.00|$19175.83|$9741.82|$35817.40|$28214.65|$9826.71|$13084.03|$10534.53|$11403.66|$14326.20|$19863.90|$17609.40|$17609.40
"MS-DRG V37 (FY 2020) 090"|"Concussion Without Cc/McC"|0.00|$39367.00|$0.00|$0.00|$27557.00||||||||||||||
"MS-DRG V37 (FY 2020) 091"|"Other Disorders Of Nervous System With McC"|0.00|$128078.00|$15271.34|$33523.00|$89655.00|$21210.00|$21210.00|$21210.00|$15271.34|$33523.00|$33523.00|$15396.67|$19042.39|$22594.00|$22594.00|$22260.15|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 092"|"Other Disorders Of Nervous System With Cc"|0.00|$29724.00|$8533.71|$22843.75|$20807.00|$8533.71|$21550.70|$12230.02|$9052.40|$22843.75|$17994.84|$11836.71|$14016.97|$9789.01|$10596.63|$13312.35|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 093"|"Other Disorders Of Nervous System Without Cc/McC"|0.00|$31606.00|$6761.37|$16185.40|$22124.00|$6761.37|$13749.11|$7802.62|$7172.33|$14574.05|$11480.51|$7234.84|$8962.29|$7755.97|$8395.85|$10547.55|$16185.40|$14348.40|$14348.40
"MS-DRG V37 (FY 2020) 094"|"Bacterial And Tuberculous Infections Of Nervous System With McC"|0.00|$108516.00|$0.00|$0.00|$75961.00||||||||||||||
"MS-DRG V37 (FY 2020) 095"|"Bacterial And Tuberculous Infections Of Nervous System With Cc"|0.00|$70987.00|$14333.47|$44683.26|$49691.00|$21704.23|$25257.21|$14333.47|$23023.44|$26772.64|$21089.77|$39138.07|$44683.26|$24896.92|$26950.97|$33858.00|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 096"|"Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC"|0.00|$126271.00|$20176.80|$49904.85|$88390.00|$20176.80|$35730.85|$20277.26|$21403.17|$37874.70|$29835.26|$44749.90|$49904.85|$23144.80|$25054.30|$31475.25|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 097"|"Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC"|0.00|$85845.00|$22827.00|$77708.93|$60092.00|$76798.28|$60710.10|$34452.98|$75887.63|$64352.71|$50692.93|$77708.93|$77708.93|$37252.06|$40325.44|$50660.10|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 098"|"Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc"|0.00|$56685.00|$18267.73|$58399.73|$39680.00|$18267.73|$39037.00|$22153.50|$19378.06|$41379.22|$32595.90|$53732.53|$58399.73|$18710.00|$20255.00|$28497.15|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 099"|"Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC"|0.00|$61005.00|$12092.23|$25751.00|$42704.00|$12092.23|$23680.48|$13438.67|$12827.21|$25101.31|$19773.20|$12939.00|$16028.43|$13871.00|$15015.39|$18863.55|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 100"|"Seizures With McC"|0.00|$46540.00|$12752.58|$25751.00|$32578.00|$16214.13|$22471.50|$12752.58|$17199.65|$23819.79|$18763.70|$17349.54|$21492.07|$18599.23|$20133.71|$25293.60|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 101"|"Seizures Without McC"|0.00|$32801.00|$7676.10|$19128.20|$22961.00|$7676.10|$15877.80|$9010.65|$8142.66|$16830.46|$13257.96|$16855.35|$18816.51|$8805.25|$9531.70|$11974.50|$19128.20|$16957.20|$16957.20
"MS-DRG V37 (FY 2020) 102"|"Headaches With McC"|0.00|$58949.00|$9966.81|$25031.50|$41264.00|$9966.81|$23614.62|$13401.30|$10572.61|$25031.50|$19718.21|$10664.74|$13211.15|$11432.93|$12376.17|$15547.95|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 103"|"Headaches Without McC"|0.00|$40732.00|$7634.84|$16921.10|$28512.00|$16728.63|$16728.63|$16728.63|$7634.84|$13711.05|$13711.05|$7699.53|$9530.68|$12482.63|$12482.63|$11180.70|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 113"|"Orbital Procedures With Cc/McC"|0.00|$138990.00|$0.00|$0.00|$97293.00||||||||||||||
"MS-DRG V37 (FY 2020) 114"|"Orbital Procedures Without Cc/McC"|0.00|$209185.00|$14349.48|$131179.20|$146430.00|$105847.73|$83674.10|$47485.05|$131179.20|$88694.54|$69867.87|$125792.04|$127105.05|$14349.48|$15533.34|$19514.25|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 115"|"Extraocular Procedures Except Orbit"|0.00|$70793.00|$9126.29|$25749.50|$49555.00|$12576.86|$16081.57|$9126.29|$13341.29|$17046.46|$13428.11|$15091.23|$18304.47|$14426.91|$15617.16|$19619.55|$25749.50|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 116"|"Intraocular Procedures With Cc/McC"|0.00|$141704.00|$18634.96|$72652.51|$99193.00|$71801.11|$56759.77|$32211.17|$71182.22|$60165.36|$47394.41|$72652.51|$72652.51|$18634.96|$20172.39|$25342.20|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 117"|"Intraocular Procedures Without Cc/McC"|0.00|$46853.00|$8990.64|$19948.96|$32797.00|$8990.64|$18819.78|$10680.22|$9537.10|$19948.96|$15714.51|$9620.21|$11917.22|$10313.16|$11164.02|$14025.15|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 121"|"Acute Major Eye Infections With Cc/McC"|0.00|$33283.00|$7555.30|$25751.00|$23298.00|$10287.01|$13313.30|$7555.30|$10912.27|$14112.10|$11116.61|$11007.36|$14921.71|$11800.22|$12773.77|$16047.45|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 123"|"Neurological Eye Disorders"|0.00|$29315.00|$6622.91|$22967.25|$20520.00|$6622.91|$21667.22|$12296.15|$7025.45|$22967.25|$18092.13|$7086.68|$8778.76|$7597.13|$8223.91|$10331.55|$14714.00|$13044.00|$13044.00
"MS-DRG V37 (FY 2020) 124"|"Other Disorders Of The Eye With McC"|0.00|$35479.00|$0.00|$0.00|$24835.00||||||||||||||
"MS-DRG V37 (FY 2020) 125"|"Other Disorders Of The Eye Without McC"|0.00|$39526.00|$5653.15|$18392.50|$27668.00|$7229.55|$9961.50|$5653.15|$7668.97|$10559.19|$8317.85|$7735.80|$9582.87|$8293.02|$8977.21|$11277.90|$18392.50|$16305.00|$16305.00
"MS-DRG V37 (FY 2020) 129"|"Major Head & Neck Procedures W Cc/McC Or Major Device"|0.00|$190272.00|$29760.90|$102278.91|$133190.00|$101080.33|$79905.40|$45346.31|$99881.75|$84699.72|$66721.01|$102278.91|$102278.91|$29760.90|$29760.90||||
"MS-DRG V37 (FY 2020) 130"|"Major Head & Neck Procedures W/O Cc/McC"|0.00|$122970.00|$0.00|$0.00|$86079.00||||||||||||||
"MS-DRG V37 (FY 2020) 131"|"Cranial/Facial Procedures W Cc/McC"|0.00|$160125.00|$0.00|$0.00|$112088.00||||||||||||||
"MS-DRG V37 (FY 2020) 132"|"Cranial/Facial Procedures W/O Cc/McC"|0.00|$111648.00|$2904.43|$56006.15|$78154.00|$52052.35|$41148.10|$23351.55|$56006.15|$43616.99|$34358.67|$2904.43|$2904.43|$17578.90|$17578.90||||
"MS-DRG V37 (FY 2020) 133"|"Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/McC"|0.00|$93272.00|$1135.22|$31630.10|$65290.00|$31630.10|$23800.49|$13506.78|$31630.10|$25228.52|$19873.41|$31630.10|$1135.22|$31630.10|$31630.10||||
"MS-DRG V37 (FY 2020) 134"|"Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/McC"|0.00|$47293.00|$9915.15|$18519.93|$33105.00|$11512.31|$17471.64|$9915.15|$11512.31|$18519.93|$14588.82|$11512.31|$11512.31|$11512.31|$11512.31||||
"MS-DRG V37 (FY 2020) 135"|"Sinus And Mastoid Procedures With Cc/McC"|0.00|$97225.00|$0.00|$0.00|$68058.00||||||||||||||
"MS-DRG V37 (FY 2020) 136"|"Sinus And Mastoid Procedures Without Cc/McC"|0.00|$56986.00|$0.00|$0.00|$39890.00||||||||||||||
"MS-DRG V37 (FY 2020) 137"|"Mouth Procedures With Cc/McC"|0.00|$68598.00|$0.00|$0.00|$48019.00||||||||||||||
"MS-DRG V37 (FY 2020) 138"|"Mouth Procedures Without Cc/McC"|0.00|$44810.00|$4295.01|$14714.00|$31367.00|$7296.19|$7568.30|$4295.01|$7739.66|$8022.40|$6319.53|$7807.11|$9671.20|$8369.45|$9059.95|$11381.85|$14714.00|$13044.00|$13044.00
"MS-DRG V37 (FY 2020) 139"|"Salivary Gland Procedures"|0.00|$85263.00|$0.00|$0.00|$59684.00||||||||||||||
"MS-DRG V37 (FY 2020) 146"|"Ear, Nose, Mouth And Throat Malignancy With McC"|0.00|$52762.00|$8666.41|$27446.85|$36933.00|$17594.45|$15271.21|$8666.41|$18663.86|$16187.48|$12751.46|$18826.51|$24634.94|$20182.58|$21847.69|$27446.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 147"|"Ear, Nose, Mouth And Throat Malignancy With Cc"|0.00|$55800.00|$7023.23|$25013.80|$39060.00|$11259.72|$12375.73|$7023.23|$11944.10|$13118.27|$10333.73|$12048.19|$14924.92|$12916.02|$13981.62|$17564.85|$25013.80|$22174.80|$22174.80
"MS-DRG V37 (FY 2020) 148"|"Ear, Nose, Mouth And Throat Malignancy Without Cc/McC"|0.00|$64160.00|$0.00|$0.00|$44912.00||||||||||||||
"MS-DRG V37 (FY 2020) 149"|"Dysequilibrium"|0.00|$31975.00|$1033.00|$14714.00|$22382.00|$1033.00|$10073.70|$5716.82|$6751.89|$10678.12|$8411.54|$6810.73|$8436.92|$7301.31|$7903.68|$9929.25|$14714.00|$13044.00|$13044.00
"MS-DRG V37 (FY 2020) 150"|"Epistaxis With McC"|0.00|$15640.00|$0.00|$0.00|$10948.00||||||||||||||
"MS-DRG V37 (FY 2020) 151"|"Epistaxis Without McC"|0.00|$35070.00|$6378.00|$15449.70|$24549.00|$6378.00|$14112.90|$8009.07|$6765.66|$14959.67|$11784.27|$6824.62|$8454.13|$7316.20|$7919.80|$9949.50|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 152"|"Otitis Media And Uri With McC"|0.00|$19787.00|$4413.79|$22806.70|$13851.00|$9319.49|$7777.60|$4413.79|$9885.94|$8244.26|$6494.30|$9972.09|$12353.12|$10690.39|$11572.37|$14538.15|$22806.70|$20218.20|$20218.20
"MS-DRG V37 (FY 2020) 153"|"Otitis Media And Uri Without McC"|0.00|$23345.00|$5476.66|$16921.10|$16342.00|$6149.53|$9650.50|$5476.66|$6523.31|$10229.53|$8058.17|$6580.16|$8151.29|$7054.13|$7636.11|$9593.10|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 154"|"Other Ear, Nose, Mouth And Throat Diagnoses With McC"|0.00|$50828.00|$13348.80|$26259.38|$35580.00|$13348.80|$24773.00|$14058.68|$14160.15|$26259.38|$20685.46|$14283.55|$17694.02|$15312.40|$16575.71|$20823.75|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 155"|"Other Ear, Nose, Mouth And Throat Diagnoses With Cc"|0.00|$28226.00|$7847.45|$20599.60|$19758.00|$7847.45|$19122.10|$10851.79|$8324.42|$20269.43|$15966.95|$12133.41|$14138.35|$9001.80|$9744.47|$12241.80|$20599.60|$18261.60|$18261.60
"MS-DRG V37 (FY 2020) 156"|"Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC"|0.00|$23086.00|$4604.89|$15449.70|$16160.00|$5690.87|$8114.34|$4604.89|$6036.77|$8601.20|$6775.47|$6089.38|$7543.33|$6528.00|$7066.57|$8877.60|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 157"|"Dental And Oral Diseases With McC"|0.00|$44047.00|$9933.01|$25751.00|$30833.00|$13607.55|$17503.10|$9933.01|$14434.63|$18553.29|$14615.09|$16721.95|$20198.52|$15609.21|$16897.01|$21227.40|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 158"|"Dental And Oral Diseases With Cc"|0.00|$14428.00|$6222.59|$19863.90|$10100.00|$9665.75|$10964.90|$6222.59|$10192.38|$11622.80|$9155.69|$11918.07|$13883.87|$9690.10|$10490.27|$12002.85|$19863.90|$17609.40|$17609.40
"MS-DRG V37 (FY 2020) 159"|"Dental And Oral Diseases Without Cc/McC"|0.00|$24170.00|$3885.85|$14714.00|$16919.00|$5675.29|$6847.30|$3885.85|$6020.24|$7258.14|$5717.50|$6072.71|$7522.68|$6510.13|$7047.23|$8853.30|$14714.00|$13044.00|$13044.00
"MS-DRG V37 (FY 2020) 163"|"Major Chest Procedures With McC"|0.00|$190604.00|$22827.00|$108432.15|$133423.00|$107161.46|$84712.62|$48074.41|$106021.09|$89795.37|$70735.03|$108432.15|$108432.15|$43280.00|$46856.00|$66974.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 164"|"Major Chest Procedures With Cc"|0.00|$147036.00|$22827.00|$88184.99|$102925.00|$87151.57|$68894.52|$39097.64|$86118.16|$73028.20|$57526.93|$88184.99|$88184.99|$26165.59|$28324.31|$35629.20|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 165"|"Major Chest Procedures Without Cc/McC"|0.00|$94201.00|$16957.20|$60748.05|$65941.00|$60748.05|$48022.17|$27252.58|$60027.72|$50903.50|$40098.51|$17673.64|$21893.55|$18946.67|$20509.82|$25833.60|$19128.20|$16957.20|$16957.20
"MS-DRG V37 (FY 2020) 166"|"Other Respiratory System O.R. Procedures With McC"|0.00|$87067.00|$22827.00|$64323.06|$60947.00|$59194.35|$46793.96|$26555.57|$64323.06|$49601.59|$39072.95|$38797.40|$48067.41|$28218.00|$30546.00|$51182.55|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 167"|"Other Respiratory System O.R. Procedures With Cc"|0.00|$132731.00|$22231.38|$28048.99|$92912.00|$28048.99|$28048.99|$28048.99|$22231.38|$28048.99|$28048.99|$22625.26|$27984.76|$28048.99|$28048.99|$25135.65|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 168"|"Other Respiratory System O.R. Procedures Without Cc/McC"|0.00|$83490.00|$11850.79|$30009.74|$58443.00|$11850.79|$28311.07|$16066.53|$12571.09|$30009.74|$23639.75|$12680.64|$15708.39|$13594.03|$14715.57|$18482.85|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 175"|"Pulmonary Embolism With McC Or Acute Cor Pulmonale"|0.00|$52371.00|$7943.87|$25751.00|$36660.00|$13363.51|$13998.00|$7943.87|$14175.76|$14837.88|$11688.33|$14299.29|$17713.52|$15329.27|$16593.97|$20846.70|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 176"|"Pulmonary Embolism Without McC"|0.00|$35289.00|$6931.62|$19128.20|$24702.00|$7673.50|$12214.30|$6931.62|$8139.91|$12947.16|$10198.94|$8210.84|$10171.34|$8802.27|$9528.48|$11970.45|$19128.20|$16957.20|$16957.20
"MS-DRG V37 (FY 2020) 177"|"Respiratory Infections And Inflammations With McC"|0.00|$62061.00|$11935.89|$32509.10|$43443.00|$15969.23|$21032.40|$11935.89|$16939.85|$22294.34|$17562.05|$28429.14|$32509.10|$18318.29|$19829.59|$24911.55|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 178"|"Respiratory Infections And Inflammations With Cc"|0.00|$40505.00|$9655.16|$25751.00|$28354.00|$10435.86|$17013.50|$9655.16|$11070.16|$18034.31|$14206.27|$11166.63|$13832.88|$11970.97|$12958.60|$16279.65|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 179"|"Respiratory Infections And Inflammations Without Cc/McC"|0.00|$27641.00|$8012.68|$22071.00|$19349.00|$10517.58|$10517.58|$10517.58|$8012.68|$10517.58|$10517.58|$8081.59|$10007.59|$10517.58|$10517.58|$11759.85|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 180"|"Respiratory Neoplasms With McC"|0.00|$51942.00|$15968.98|$33523.00|$36359.00|$22202.13|$22202.13|$22202.13|$15968.98|$33523.00|$33523.00|$16107.23|$19949.50|$24212.77|$24212.77|$23460.30|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 181"|"Respiratory Neoplasms With Cc"|0.00|$60077.00|$6915.33|$24278.10|$42054.00|$9700.27|$12185.61|$6915.33|$10289.86|$12916.74|$10174.98|$10379.53|$12857.84|$11127.17|$12045.19|$15132.15|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 182"|"Respiratory Neoplasms Without Cc/McC"|0.00|$33303.00|$851.19|$16185.40|$23312.00|$3749.75|$1499.90|$851.19|$3749.75|$1589.89|$1252.42|$3749.75|$3749.75|$1047.72|$1047.72|$10631.25|$16185.40|$14348.40|$14348.40
"MS-DRG V37 (FY 2020) 183"|"Major Chest Trauma With McC"|0.00|$54153.00|$0.00|$0.00|$37907.00||||||||||||||
"MS-DRG V37 (FY 2020) 184"|"Major Chest Trauma With Cc"|0.00|$45102.00|$9557.67|$22806.70|$31571.00|$11953.10|$11953.10|$11953.10|$9557.67|$11953.10|$11953.10|$9640.04|$11938.16|$11953.10|$11953.10|$14031.90|$22806.70|$20218.20|$20218.20
"MS-DRG V37 (FY 2020) 185"|"Major Chest Trauma Without Cc/McC"|0.00|$49465.00|$3508.85|$17656.80|$34626.00|$7535.90|$6183.00|$3508.85|$7993.94|$6553.98|$5162.81|$8063.61|$9988.95|$8644.43|$9357.62|$10443.60|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 186"|"Pleural Effusion With McC"|0.00|$68729.00|$10689.00|$34695.72|$48110.00|$13354.85|$32731.81|$18575.30|$14166.58|$34695.72|$27331.06|$16183.23|$19595.25|$10689.00|$11571.00|$20833.20|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 187"|"Pleural Effusion With Cc"|0.00|$31149.00|$8932.66|$23542.40|$21804.00|$8932.66|$21490.61|$12195.92|$9475.60|$22780.04|$17944.66|$9558.17|$11840.37|$10246.65|$11092.02|$13934.70|$23542.40|$20870.40|$20870.40
"MS-DRG V37 (FY 2020) 188"|"Pleural Effusion Without Cc/McC"|0.00|$38373.00|$0.00|$0.00|$26861.00||||||||||||||
"MS-DRG V37 (FY 2020) 189"|"Pulmonary Edema And Respiratory Failure"|0.00|$40548.00|$9171.20|$25751.00|$28384.00|$10599.42|$16160.70|$9171.20|$11243.66|$17130.34|$13494.18|$11341.65|$14049.68|$12158.59|$13161.70|$16534.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 190"|"Chronic Obstructive Pulmonary Disease With McC"|0.00|$35837.00|$9503.53|$25751.00|$25086.00|$9726.23|$16746.30|$9503.53|$10317.40|$17751.08|$13983.16|$10407.31|$12892.26|$11156.96|$12077.43|$15172.65|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 191"|"Chronic Obstructive Pulmonary Disease With Cc"|0.00|$28269.00|$8850.57|$21335.30|$19788.00|$10155.65|$10155.65|$10155.65|$8850.57|$10155.65|$10155.65|$8884.78|$11739.74|$10155.65|$10155.65|$11921.85|$21335.30|$18913.80|$18913.80
"MS-DRG V37 (FY 2020) 192"|"Chronic Obstructive Pulmonary Disease Without Cc/McC"|0.00|$26449.00|$4320.26|$17656.80|$18514.00|$6013.66|$7612.80|$4320.26|$6379.18|$8069.57|$6356.69|$6434.77|$7971.20|$6898.27|$7467.40|$9381.15|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 193"|"Simple Pneumonia And Pleurisy With McC"|0.00|$43569.00|$12695.08|$25751.00|$30498.00|$15073.05|$15073.05|$15073.05|$12695.08|$19754.87|$19754.87|$12767.45|$15665.41|$19754.87|$19754.87|$17694.45|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 194"|"Simple Pneumonia And Pleurisy With Cc"|0.00|$33027.00|$6330.39|$22806.70|$23119.00|$7468.40|$11154.86|$6330.39|$7922.34|$11824.16|$9314.31|$7991.38|$9899.47|$8567.00|$9273.80|$11650.50|$22806.70|$20218.20|$20218.20
"MS-DRG V37 (FY 2020) 195"|"Simple Pneumonia And Pleurisy Without Cc/McC"|0.00|$20357.00|$5487.55|$18392.50|$14250.00|$5754.91|$9669.70|$5487.55|$6104.70|$10249.88|$8074.20|$6157.90|$7628.22|$6601.46|$7146.09|$8977.50|$18392.50|$16305.00|$16305.00
"MS-DRG V37 (FY 2020) 196"|"Interstitial Lung Disease With McC"|0.00|$78689.00|$11474.28|$25751.00|$55082.00|$15024.21|$20219.00|$11474.28|$15937.40|$21432.14|$16882.87|$16076.29|$19914.80|$17234.26|$18656.13|$23437.35|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 197"|"Interstitial Lung Disease With Cc"|0.00|$47172.00|$8702.46|$42220.25|$33020.00|$8702.46|$39830.42|$22603.77|$9231.41|$42220.25|$33258.40|$9311.86|$11535.24|$9982.59|$10806.18|$13575.60|$23542.40|$20870.40|$20870.40
"MS-DRG V37 (FY 2020) 198"|"Interstitial Lung Disease Without Cc/McC"|0.00|$33106.00|$0.00|$0.00|$23174.00||||||||||||||
"MS-DRG V37 (FY 2020) 199"|"Pneumothorax With McC"|0.00|$31901.00|$10461.41|$25751.00|$22331.00|$15469.89|$18434.20|$10461.41|$16410.17|$19540.25|$15392.56|$16553.18|$20505.56|$17745.51|$19209.55|$24132.60|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 200"|"Pneumothorax With Cc"|0.00|$37408.00|$8194.42|$23542.40|$26186.00|$9303.05|$14439.50|$8194.42|$9868.50|$15305.87|$12056.99|$9954.50|$12331.33|$10671.53|$11551.95|$14512.50|$23542.40|$20870.40|$20870.40
"MS-DRG V37 (FY 2020) 201"|"Pneumothorax Without Cc/McC"|0.00|$20562.00|$5419.57|$16921.10|$14393.00|$6140.01|$9549.90|$5419.57|$6513.21|$10122.89|$7974.17|$6569.97|$8138.67|$7043.21|$7624.29|$9578.25|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 202"|"Bronchitis And Asthma With Cc/McC"|0.00|$27594.00|$7849.43|$22071.00|$19316.00|$8356.30|$13831.60|$7849.43|$8864.21|$14661.50|$11549.39|$8941.46|$11076.40|$9585.51|$10376.34|$13035.60|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 203"|"Bronchitis And Asthma Without Cc/McC"|0.00|$20123.00|$5740.72|$16921.10|$14086.00|$6105.40|$10115.80|$5740.72|$6476.49|$10722.75|$8446.69|$6532.93|$8092.79|$7003.50|$7581.30|$9524.25|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 204"|"Respiratory Signs And Symptoms"|0.00|$8168.00|$6858.30|$15449.70|$5718.00|$6858.30|$14110.10|$8007.48|$7275.15|$14956.71|$11781.93|$7338.55|$9090.77|$7867.15|$8516.21|$10698.75|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 205"|"Other Respiratory System Diagnoses With McC"|0.00|$52784.00|$7634.18|$25751.00|$36949.00|$14558.62|$13452.30|$7634.18|$15443.51|$14259.44|$11232.67|$15578.10|$19297.66|$16700.19|$18078.00|$22711.05|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 206"|"Other Respiratory System Diagnoses Without McC"|0.00|$22852.00|$8132.94|$18392.50|$15996.00|$14913.00|$14913.00|$14913.00|$8132.94|$14913.00|$14913.00|$8202.89|$10157.86|$14913.00|$14913.00|$11936.70|$18392.50|$16305.00|$16305.00
"MS-DRG V37 (FY 2020) 207"|"Respiratory System Diagnosis With Ventilator Support >96 Hours"|0.00|$142957.00|$22827.00|$113085.03|$100070.00|$86446.96|$86446.96|$86446.96|$86446.96|$86446.96|$86446.96|$86446.96|$86446.96|$113085.03|$113085.03|$77306.40|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 208"|"Respiratory System Diagnosis With Ventilator Support <=96 Hours"|0.00|$85482.00|$22827.00|$34321.05|$59837.00|$22937.04|$22937.04|$22937.04|$22937.04|$22937.04|$22937.04|$22937.04|$22937.04|$22937.04|$22937.04|$34321.05|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 215"|"Other Heart Assist System Implant"|0.00|$215993.00|$22827.00|$194219.30|$151195.00|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$150631.65|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 216"|"Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC"|0.00|$390637.00|$22827.00|$140806.35|$273446.00|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$140806.35|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 217"|"Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc"|0.00|$57209.00|$0.00|$0.00|$40046.00||||||||||||||
"MS-DRG V37 (FY 2020) 219"|"Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC"|0.00|$280698.00|$22827.00|$118165.99|$196489.00|$85530.27|$85530.27|$42557.40|$107452.17|$107452.17|$107452.17|$116870.53|$116870.53|$118165.99|$118165.99|$108743.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 220"|"Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc"|0.00|$272195.00|$22827.00|$138388.09|$190536.00|$90380.70|$90380.70|$90380.70|$138388.09|$138388.09|$138388.09|$90380.70|$90380.70|$79970.52|$79970.52|$72898.65|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 221"|"Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC"|0.00|$211554.00|$22827.00|$452346.03|$148088.00|$264838.14|$264838.14|$264838.14|$452346.03|$264838.14|$264838.14|$385007.57|$385871.68|$264838.14|$264838.14|$61456.05|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 222"|"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With McC"|0.00|$194231.00|$22827.00|$272942.70|$135962.00|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$113684.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 223"|"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without McC"|0.00|$217300.00|$0.00|$0.00|$152110.00||||||||||||||
"MS-DRG V37 (FY 2020) 224"|"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With McC"|0.00|$269782.00|$22827.00|$124831.93|$188847.00|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$99389.70|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 225"|"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without McC"|0.00|$160600.00|$22827.00|$180363.75|$112420.00|$101755.72|$80439.31|$45649.31|$180363.75|$85265.67|$67166.82|$153676.60|$153676.60|$55857.24|$60465.59|$75961.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 226"|"Cardiac Defibrillator Implant Without Cardiac Catheterization With McC"|0.00|$180641.00|$22827.00|$188652.37|$126449.00|$136671.50|$108040.71|$61313.10|$188652.37|$114523.15|$90213.99|$172350.54|$172350.54|$125327.23|$134780.79|$89259.30|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 227"|"Cardiac Defibrillator Implant Without Cardiac Catheterization Without McC"|0.00|$151294.00|$20870.40|$173110.35|$105906.00|$94415.28|$74636.58|$42356.26|$173110.35|$79114.78|$62321.55|$146249.11|$146249.11|$52135.61|$56436.92|$70900.65|$23542.40|$20870.40|$20870.40
"MS-DRG V37 (FY 2020) 228"|"Other Cardiothoracic Procedures With McC"|0.00|$231054.00|$22827.00|$94747.11|$161738.00|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$83906.55|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 229"|"Other Cardiothoracic Procedures Without McC"|0.00|$55092.00|$0.00|$0.00|$38564.00||||||||||||||
"MS-DRG V37 (FY 2020) 231"|"Coronary Bypass With Ptca With McC"|0.00|$422275.00|$22827.00|$201620.75|$295592.00|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$114617.70|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 232"|"Coronary Bypass With Ptca Without McC"|0.00|$228278.00|$0.00|$0.00|$159795.00||||||||||||||
"MS-DRG V37 (FY 2020) 233"|"Coronary Bypass With Cardiac Catheterization With McC"|0.00|$229742.00|$22827.00|$158232.17|$160819.00|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$105201.45|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 234"|"Coronary Bypass With Cardiac Catheterization Without McC"|0.00|$188858.00|$22827.00|$127554.35|$132201.00|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$71784.90|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 235"|"Coronary Bypass Without Cardiac Catheterization With McC"|0.00|$262182.00|$22827.00|$88692.69|$183527.00|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$81407.70|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 236"|"Coronary Bypass Without Cardiac Catheterization Without McC"|0.00|$147411.00|$22827.00|$138137.64|$103188.00|$133069.06|$105192.94|$59696.99|$131679.03|$111504.51|$87836.10|$137166.04|$138137.64|$122023.81|$131228.19|$55090.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 239"|"Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC"|0.00|$140377.00|$20515.02|$64917.45|$98264.00|$41614.49|$36149.81|$20515.02|$44143.87|$38318.80|$30185.09|$46007.87|$56639.91|$27540.00|$29814.00|$64917.45|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 240"|"Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc"|0.00|$107926.00|$19259.84|$40419.30|$75548.00|$24144.66|$33938.05|$19259.84|$25612.20|$35974.34|$28338.27|$34250.61|$40419.30|$27696.33|$29981.34|$37663.65|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 241"|"Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC"|0.00|$60275.00|$0.00|$0.00|$42192.00||||||||||||||
"MS-DRG V37 (FY 2020) 242"|"Permanent Cardiac Pacemaker Implant With McC"|0.00|$153727.00|$22827.00|$126469.16|$107609.00|$105540.85|$83431.50|$47347.38|$126469.16|$88437.39|$69665.31|$120885.37|$120885.37|$36953.26|$40001.99|$50253.75|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 243"|"Permanent Cardiac Pacemaker Implant With Cc"|0.00|$27330.00|$20218.20|$43383.03|$19131.00|$21917.12|$39657.13|$22505.42|$43383.03|$42036.56|$33113.70|$36244.89|$41844.47|$25141.12|$27215.32|$34190.10|$22806.70|$20218.20|$20218.20
"MS-DRG V37 (FY 2020) 244"|"Permanent Cardiac Pacemaker Implant Without Cc/McC"|0.00|$54761.00|$14348.40|$80691.13|$38333.00|$52436.62|$41451.87|$23523.94|$80691.13|$43938.98|$34612.31|$37476.40|$42043.66|$20506.20|$22198.01|$27886.95|$16185.40|$14348.40|$14348.40
"MS-DRG V37 (FY 2020) 245"|"Aicd Generator Procedures"|0.00|$116294.00|$22827.00|$237938.81|$81406.00|$150703.90|$119133.52|$67608.27|$237938.81|$126281.53|$99476.49|$209055.51|$209055.51|$138194.88|$148619.06|$73089.00|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 246"|"Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With McC Or 4+ Arteries Or Stents"|0.00|$117314.00|$22827.00|$60931.11|$82120.00|$54383.64|$42991.02|$24397.40|$60931.11|$45570.48|$35897.50|$37082.57|$43993.50|$31028.82|$33588.77|$42196.95|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 247"|"Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without McC"|0.00|$72119.00|$13696.20|$31535.51|$50483.00|$17205.88|$29750.48|$16883.40|$20259.79|$31535.51|$24841.65|$18410.73|$22806.64|$19736.86|$21365.20|$26840.70|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 248"|"Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With McC Or 4+ Arteries Or Stents"|0.00|$99850.00|$0.00|$0.00|$69895.00||||||||||||||
"MS-DRG V37 (FY 2020) 249"|"Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without McC"|0.00|$60702.00|$0.00|$0.00|$42491.00||||||||||||||
"MS-DRG V37 (FY 2020) 250"|"Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With McC"|0.00|$88874.00|$18988.74|$35467.96|$62212.00|$21832.31|$33460.34|$18988.74|$23958.45|$35467.96|$27939.38|$23361.13|$28939.04|$25043.84|$27110.01|$34057.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 251"|"Percutaneous Cardiovascular Procedures Without Coronary Artery Stent Without McC"|0.00|$62554.00|$13696.20|$35063.04|$43788.00|$14363.91|$33078.34|$18771.96|$16080.12|$35063.04|$27620.42|$15369.75|$19039.57|$16476.83|$17836.21|$22407.30|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 252"|"Other Vascular Procedures With McC"|0.00|$89861.00|$22827.00|$62953.22|$62903.00|$62953.22|$49765.39|$28241.86|$62206.74|$52751.32|$41554.10|$30749.68|$38091.75|$32964.59|$35684.24|$44829.45|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 253"|"Other Vascular Procedures With Cc"|0.00|$120767.00|$22827.00|$76211.00|$84537.00|$64874.57|$51284.24|$29103.81|$76211.00|$54361.30|$42822.34|$32265.23|$38132.57|$26343.28|$28516.66|$35824.95|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 254"|"Other Vascular Procedures Without Cc/McC"|0.00|$94532.00|$13696.20|$62429.06|$66172.00|$27272.78|$27272.78|$27272.78|$62429.06|$27272.78|$27272.78|$22352.03|$27626.01|$27272.78|$27272.78|$24428.25|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 255"|"Upper Limb And Toe Amputation For Circulatory System Disorders With McC"|0.00|$60956.00|$22827.00|$53445.75|$42669.00|$53445.75|$42249.61|$23976.65|$52812.01|$44784.58|$35278.42|$23548.18|$29170.75|$25244.36|$27327.08|$34330.50|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 256"|"Upper Limb And Toe Amputation For Circulatory System Disorders With Cc"|0.00|$69243.00|$6815.91|$25751.00|$48470.00|$14219.39|$12010.41|$6815.91|$15083.66|$12731.03|$10028.69|$15215.11|$18848.00|$16311.05|$17656.75|$22181.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 257"|"Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/McC"|0.00|$29814.00|$0.00|$0.00|$20870.00||||||||||||||
"MS-DRG V37 (FY 2020) 258"|"Cardiac Pacemaker Device Replacement With McC"|0.00|$73655.00|$22827.00|$43217.55|$51558.00|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$43217.55|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 259"|"Cardiac Pacemaker Device Replacement Without McC"|0.00|$133038.00|$0.00|$0.00|$93127.00||||||||||||||
"MS-DRG V37 (FY 2020) 260"|"Cardiac Pacemaker Revision Except Device Replacement With McC"|0.00|$168565.00|$0.00|$0.00|$117996.00||||||||||||||
"MS-DRG V37 (FY 2020) 261"|"Cardiac Pacemaker Revision Except Device Replacement With Cc"|0.00|$86431.00|$17232.71|$37548.24|$60502.00|$17232.71|$31269.20|$17745.27|$37548.24|$33145.36|$26109.79|$30682.41|$35085.18|$19767.64|$21398.51|$26882.55|$23542.40|$20870.40|$20870.40
"MS-DRG V37 (FY 2020) 262"|"Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC"|0.00|$45387.00|$0.00|$0.00|$31771.00||||||||||||||
"MS-DRG V37 (FY 2020) 263"|"Vein Ligation And Stripping"|0.00|$70281.00|$19950.07|$39494.89|$49197.00|$19950.07|$37259.33|$21144.67|$21162.65|$39494.89|$31111.54|$22807.04|$27904.06|$22884.71|$24772.75|$31121.55|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 264"|"Other Circulatory System O.R. Procedures"|0.00|$95074.00|$22827.00|$48803.14|$66552.00|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$43845.30|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 265"|"Aicd Lead Procedures"|0.00|$127922.00|$0.00|$0.00|$89545.00||||||||||||||
"MS-DRG V37 (FY 2020) 266"|"Endovascular Cardiac Valve Replacement And Supplement Procedures With McC"|0.00|$275818.00|$20870.40|$260542.38|$193073.00|$137333.86|$108564.32|$61610.25|$260542.38|$115078.17|$90651.20|$218283.86|$218283.86|$125934.61|$135433.98|$95812.20|$23542.40|$20870.40|$20870.40
"MS-DRG V37 (FY 2020) 267"|"Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC"|0.00|$217404.00|$11087.40|$260040.19|$152183.00|$132360.21|$104632.58|$59378.99|$260040.19|$110910.53|$87368.20|$216054.93|$216054.93|$121373.79|$130529.14|$75612.15|$12506.90|$11087.40|$11087.40
"MS-DRG V37 (FY 2020) 268"|"Aortic And Heart Assist Procedures Except Pulsation Balloon With McC"|0.00|$324451.00|$22827.00|$134880.25|$227116.00|$78573.29|$62113.28|$35249.28|$134880.25|$65840.07|$51864.59|$115874.49|$115874.49|$69038.31|$74734.13|$93887.10|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 269"|"Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC"|0.00|$219519.00|$10435.20|$146259.94|$153663.00|$102794.16|$81260.21|$46115.17|$146259.94|$86135.82|$67852.27|$132405.75|$132405.75|$42831.03|$46364.69|$58247.10|$11771.20|$10435.20|$10435.20
"MS-DRG V37 (FY 2020) 270"|"Other Major Cardiovascular Procedures With McC"|0.00|$111421.00|$22827.00|$91536.95|$77995.00|$72590.90|$57384.11|$32565.48|$91536.95|$60827.16|$47915.73|$86036.93|$86036.93|$51437.74|$55681.47|$69951.60|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 271"|"Other Major Cardiovascular Procedures With Cc"|0.00|$114705.00|$22827.00|$62946.46|$80294.00|$40992.90|$40992.90|$40992.90|$62946.46|$62946.46|$62946.46|$62946.46|$62946.46|$62946.46|$62946.46|$48122.10|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 272"|"Other Major Cardiovascular Procedures Without Cc/McC"|0.00|$42000.00|$13044.00|$79366.08|$29400.00|$76618.81|$60568.23|$34372.47|$78604.13|$64202.32|$50574.47|$79366.08|$79366.08|$26691.72|$28893.84|$36298.80|$14714.00|$13044.00|$13044.00
"MS-DRG V37 (FY 2020) 273"|"Percutaneous And Other Intracardiac Procedures With McC"|0.00|$169057.00|$22827.00|$80261.97|$118340.00|$79321.40|$62704.66|$35584.90|$78380.83|$66466.94|$52358.39|$80261.97|$80261.97|$38091.88|$41234.55|$51802.20|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 274"|"Percutaneous And Other Intracardiac Procedures Without McC"|0.00|$121672.00|$10435.20|$70371.67|$85170.00|$69547.00|$54977.87|$31199.94|$68722.34|$58276.54|$45906.52|$70371.67|$70371.67|$32614.17|$35304.91|$44352.90|$11771.20|$10435.20|$10435.20
"MS-DRG V37 (FY 2020) 280"|"Acute Myocardial Infarction, Discharged Alive With McC"|0.00|$52755.00|$18701.30|$25751.00|$36928.00|$18701.30|$18701.30|$18701.30|$18701.30|$18701.30|$18701.30|$18701.30|$18701.30|$24510.09|$24510.09|$21953.70|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 281"|"Acute Myocardial Infarction, Discharged Alive With Cc"|0.00|$34816.00|$8066.39|$19759.03|$24371.00|$8066.39|$18640.60|$10578.54|$9679.32|$19759.03|$15564.90|$8631.25|$10692.12|$9252.96|$10016.35|$12583.35|$18392.50|$16305.00|$16305.00
"MS-DRG V37 (FY 2020) 282"|"Acute Myocardial Infarction, Discharged Alive Without Cc/McC"|0.00|$37300.00|$6724.01|$13242.60|$26110.00|$10803.76|$10803.76|$10803.76|$6724.01|$10803.76|$10803.76|$6778.93|$8383.01|$10934.74|$10934.74|$9794.25|$13242.60|$11739.60|$11739.60
"MS-DRG V37 (FY 2020) 283"|"Acute Myocardial Infarction, Expired With McC"|0.00|$47420.00|$18913.80|$25172.10|$33194.00|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$25172.10|$21335.30|$18913.80|$18913.80
"MS-DRG V37 (FY 2020) 284"|"Acute Myocardial Infarction, Expired With Cc"|0.00|$13779.00|$0.00|$0.00|$9645.00||||||||||||||
"MS-DRG V37 (FY 2020) 286"|"Circulatory Disorders Except Ami, With Cardiac Catheterization With McC"|0.00|$87371.00|$19160.82|$39767.58|$61160.00|$19160.82|$37516.59|$21290.66|$21448.08|$39767.58|$31326.35|$20502.57|$25397.94|$21979.37|$23792.72|$29890.35|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 287"|"Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC"|0.00|$48857.00|$9952.10|$25832.13|$34200.00|$9952.10|$24369.94|$13829.94|$10557.00|$25832.13|$20348.90|$10649.00|$13191.65|$11416.05|$12357.90|$15525.00|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 288"|"Acute And Subacute Endocarditis With McC"|0.00|$100338.00|$14910.27|$36193.50|$70237.00|$23201.37|$26273.61|$14910.27|$24611.58|$27850.03|$21938.47|$24826.06|$30753.75|$14992.00|$16232.00|$36193.50|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 289"|"Acute And Subacute Endocarditis With Cc"|0.00|$47375.00|$10754.07|$25751.00|$33162.00|$14215.06|$18949.90|$10754.07|$15079.07|$20086.89|$15823.17|$15210.48|$18842.26|$16306.09|$17651.38|$22175.10|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 290"|"Acute And Subacute Endocarditis Without Cc/McC"|0.00|$31358.00|$10754.07|$25751.00|$21951.00|$14215.06|$18949.90|$10754.07|$15079.07|$20086.89|$15823.17|$15210.48|$18842.26|$16306.09|$17651.38|$13818.60|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 291"|"Heart Failure And Shock With McC"|0.00|$44986.00|$10886.01|$25751.00|$31490.00|$11604.15|$19182.40|$10886.01|$12309.46|$20333.34|$16017.30|$12416.73|$15381.46|$13311.11|$14408.00|$18102.15|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 292"|"Heart Failure And Shock With Cc"|0.00|$32968.00|$7746.20|$22806.70|$23078.00|$7746.20|$21237.80|$12052.45|$8217.02|$22512.07|$17733.56|$8288.63|$10267.69|$8885.66|$9618.74|$12083.85|$22806.70|$20218.20|$20218.20
"MS-DRG V37 (FY 2020) 293"|"Heart Failure And Shock Without Cc/McC"|0.00|$25442.00|$5647.60|$16921.10|$17809.00|$5647.60|$11569.40|$6565.63|$5990.87|$12263.56|$9660.45|$6043.08|$7485.97|$6478.36|$7012.84|$8810.10|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 294"|"Deep Vein Thrombophlebitis With Cc/McC"|0.00|$38418.00|$11095.29|$24278.10|$26893.00|$11095.29|$22363.70|$12691.40|$11769.68|$23705.52|$18673.69|$11872.25|$14706.97|$12727.41|$13777.45|$17308.35|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 296"|"Cardiac Arrest, Unexplained With McC"|0.00|$29199.00|$0.00|$0.00|$20439.00||||||||||||||
"MS-DRG V37 (FY 2020) 297"|"Cardiac Arrest, Unexplained With Cc"|0.00|$69372.00|$0.00|$0.00|$48560.00||||||||||||||
"MS-DRG V37 (FY 2020) 299"|"Peripheral Vascular Disorders With McC"|0.00|$42556.00|$13252.74|$28853.31|$29789.00|$13252.74|$27220.11|$15447.41|$14058.25|$28853.31|$22728.79|$14180.76|$17566.69|$15202.21|$16456.42|$20673.90|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 300"|"Peripheral Vascular Disorders With Cc"|0.00|$34670.00|$9019.20|$22806.70|$24269.00|$9019.20|$16255.70|$9225.11|$9567.40|$17231.04|$13573.51|$9650.77|$11955.08|$10345.92|$11199.48|$14069.70|$22806.70|$20218.20|$20218.20
"MS-DRG V37 (FY 2020) 301"|"Peripheral Vascular Disorders Without Cc/McC"|0.00|$15202.00|$7519.55|$16185.40|$10641.00|$8538.75|$8538.75|$8538.75|$8214.94|$8538.75|$8538.75|$7519.55|$9161.22|$8538.75|$8538.75|$10023.75|$16185.40|$14348.40|$14348.40
"MS-DRG V37 (FY 2020) 302"|"Atherosclerosis With McC"|0.00|$23057.00|$0.00|$0.00|$16140.00||||||||||||||
"MS-DRG V37 (FY 2020) 303"|"Atherosclerosis Without McC"|0.00|$29647.00|$5757.57|$13978.30|$20753.00|$5853.57|$10145.50|$5757.57|$6209.35|$10754.23|$8471.50|$6263.46|$7758.98|$6714.62|$7268.59|$9131.40|$13978.30|$12391.80|$12391.80
"MS-DRG V37 (FY 2020) 304"|"Hypertension With McC"|0.00|$43991.00|$9481.32|$24584.05|$30794.00|$9481.32|$23192.50|$13161.74|$10057.61|$24584.05|$19365.74|$10145.26|$12567.63|$10876.02|$11773.32|$14790.60|$21335.30|$18913.80|$18913.80
"MS-DRG V37 (FY 2020) 305"|"Hypertension Without McC"|0.00|$31367.00|$6390.98|$16185.40|$21957.00|$6390.98|$14988.90|$8506.20|$6779.43|$15888.23|$12515.73|$6838.51|$8471.33|$7331.09|$7935.92|$9969.75|$16185.40|$14348.40|$14348.40
"MS-DRG V37 (FY 2020) 306"|"Cardiac Congenital And Valvular Disorders With McC"|0.00|$64065.00|$6103.35|$25751.00|$44846.00|$13013.02|$10754.80|$6103.35|$13803.97|$11400.09|$8980.26|$13924.26|$17248.94|$14927.23|$16158.76|$20299.95|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 307"|"Cardiac Congenital And Valvular Disorders Without McC"|0.00|$15326.00|$7515.13|$21745.27|$10728.00|$7515.13|$20514.40|$11641.92|$7971.91|$21745.27|$17129.53|$8041.38|$9961.42|$8620.61|$9331.83|$11723.40|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 308"|"Cardiac Arrhythmia And Conduction Disorders With McC"|0.00|$41564.00|$8392.19|$25749.50|$29095.00|$10378.74|$14788.00|$8392.19|$11009.57|$15675.28|$12347.98|$11105.52|$13757.17|$11905.45|$12887.68|$16190.55|$25749.50|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 309"|"Cardiac Arrhythmia And Conduction Disorders With Cc"|0.00|$27828.00|$5952.96|$17656.80|$19480.00|$6485.31|$10489.80|$5952.96|$6879.49|$11119.19|$8758.98|$6939.44|$8596.37|$7439.29|$8053.05|$10116.90|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 310"|"Cardiac Arrhythmia And Conduction Disorders Without Cc/McC"|0.00|$24002.00|$4832.39|$13978.30|$16801.00|$4832.39|$9345.50|$5303.57|$5126.11|$9906.23|$7803.49|$5170.78|$6405.41|$5543.24|$6000.57|$7538.40|$13978.30|$12391.80|$12391.80
"MS-DRG V37 (FY 2020) 311"|"Angina Pectoris"|0.00|$27544.00|$6031.84|$14666.69|$19281.00|$6031.84|$13836.50|$7852.21|$6398.46|$14666.69|$11553.48|$6454.22|$7995.29|$6919.12|$7489.96|$9409.50|$13978.30|$12391.80|$12391.80
"MS-DRG V37 (FY 2020) 312"|"Syncope And Collapse"|0.00|$34192.00|$7245.13|$19702.54|$23934.00|$7245.13|$18587.30|$10548.30|$7685.50|$19702.54|$15520.40|$7752.47|$9603.52|$8310.88|$8996.55|$11302.20|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 313"|"Chest Pain"|0.00|$28235.00|$6237.80|$12569.69|$19764.00|$6237.80|$11858.20|$6729.53|$6616.94|$12569.69|$9901.59|$6674.61|$8268.30|$7155.38|$7745.72|$9730.80|$12506.90|$11087.40|$11087.40
"MS-DRG V37 (FY 2020) 314"|"Other Circulatory System Diagnoses With McC"|0.00|$79340.00|$9566.63|$28125.90|$55538.00|$18029.74|$16857.50|$9566.63|$19125.61|$17868.95|$14076.02|$19292.28|$23898.68|$20681.91|$22388.22|$28125.90|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 315"|"Other Circulatory System Diagnoses With Cc"|0.00|$42174.00|$8439.38|$20599.60|$29522.00|$8439.38|$17127.50|$9719.85|$8952.34|$18155.15|$14301.46|$9030.35|$11186.52|$9680.81|$10479.50|$13165.20|$20599.60|$18261.60|$18261.60
"MS-DRG V37 (FY 2020) 316"|"Other Circulatory System Diagnoses Without Cc/McC"|0.00|$15953.00|$6486.17|$14460.20|$11167.00|$6486.17|$13641.70|$7741.66|$6880.41|$14460.20|$11390.82|$6940.37|$8597.51|$7440.29|$8054.13|$10118.25|$13978.30|$12391.80|$12391.80
"MS-DRG V37 (FY 2020) 319"|"Other Endovascular Cardiac Valve Procedures With McC"|0.00|$135088.00|$0.00|$0.00|$94562.00||||||||||||||
"MS-DRG V37 (FY 2020) 320"|"Other Endovascular Cardiac Valve Procedures Without McC"|0.00|$89801.00|$0.00|$0.00|$62861.00||||||||||||||
"MS-DRG V37 (FY 2020) 326"|"Stomach, Esophageal And Duodenal Procedures With McC"|0.00|$105870.00|$22827.00|$79436.98|$74109.00|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$72598.95|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 327"|"Stomach, Esophageal And Duodenal Procedures With Cc"|0.00|$56673.00|$22827.00|$75110.97|$39671.00|$72554.70|$57355.49|$32549.24|$71694.37|$60796.82|$47891.84|$75110.97|$75110.97|$25905.50|$28042.76|$35229.60|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 328"|"Stomach, Esophageal And Duodenal Procedures Without Cc/McC"|0.00|$48112.00|$14290.54|$26692.47|$33678.00|$14413.24|$25181.57|$14290.54|$15289.29|$26692.47|$21026.61|$15422.53|$19104.95|$16533.42|$17897.46|$22484.25|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 329"|"Major Small And Large Bowel Procedures With McC"|0.00|$171368.00|$22827.00|$73961.32|$119958.00|$55778.45|$55778.45|$55778.45|$73740.99|$73740.99|$73740.99|$73103.72|$73103.72|$73961.32|$73961.32|$65479.05|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 330"|"Major Small And Large Bowel Procedures With Cc"|0.00|$85829.00|$15962.37|$34276.50|$60080.00|$21972.51|$28127.53|$15962.37|$23308.02|$29815.18|$23486.49|$23511.14|$29124.87|$25204.65|$27284.09|$34276.50|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 331"|"Major Small And Large Bowel Procedures Without Cc/McC"|0.00|$63160.00|$14799.21|$34374.32|$44212.00|$14799.21|$32428.61|$18403.24|$15698.72|$34374.32|$27077.89|$15835.53|$19616.56|$16976.16|$18376.73|$23086.35|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 332"|"Rectal Resection With McC"|0.00|$121758.00|$0.00|$0.00|$85231.00||||||||||||||
"MS-DRG V37 (FY 2020) 333"|"Rectal Resection With Cc"|0.00|$116674.00|$0.00|$0.00|$81672.00||||||||||||||
"MS-DRG V37 (FY 2020) 334"|"Rectal Resection Without Cc/McC"|0.00|$117789.00|$14901.19|$60239.88|$82452.00|$59600.50|$47115.02|$26737.77|$60239.88|$49941.92|$39341.04|$14901.19|$18459.13|$15974.53|$17292.46|$21724.20|$18392.50|$16305.00|$16305.00
"MS-DRG V37 (FY 2020) 335"|"Peritoneal Adhesiolysis With McC"|0.00|$123373.00|$22827.00|$114814.00|$86361.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$52520.40|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 336"|"Peritoneal Adhesiolysis With Cc"|0.00|$72563.00|$19205.00|$67805.49|$50794.00|$66739.61|$52758.59|$29940.50|$67805.49|$55924.10|$44053.42|$21139.65|$26187.15|$19205.00|$20790.00|$30819.15|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 337"|"Peritoneal Adhesiolysis Without Cc/McC"|0.00|$64776.00|$14128.52|$29578.11|$45343.00|$14128.52|$27903.88|$15835.45|$15915.89|$29578.11|$23299.74|$15117.88|$18727.55|$16206.82|$17543.92|$22040.10|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 338"|"Appendectomy With Complicated Principal Diagnosis With McC"|0.00|$83834.00|$0.00|$0.00|$58684.00||||||||||||||
"MS-DRG V37 (FY 2020) 339"|"Appendectomy With Complicated Principal Diagnosis With Cc"|0.00|$73236.00|$15889.18|$40270.85|$51265.00|$40270.85|$40270.85|$40270.85|$15889.18|$25865.06|$25865.06|$19042.80|$22790.44|$25865.06|$25865.06|$22882.50|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 340"|"Appendectomy With Complicated Principal Diagnosis Without Cc/McC"|0.00|$49678.00|$10630.57|$26695.65|$34775.00|$10630.57|$25184.58|$14292.25|$11276.71|$26695.65|$21029.12|$11374.98|$14090.98|$12194.33|$13200.39|$16583.40|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 341"|"Appendectomy Without Complicated Principal Diagnosis With McC"|0.00|$60106.00|$14068.14|$31268.70|$42074.00|$14068.14|$14068.14|$14068.14|$21278.70|$14068.14|$14068.14|$23254.28|$29280.02|$14068.14|$14068.14|$31268.70|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 342"|"Appendectomy Without Complicated Principal Diagnosis With Cc"|0.00|$38906.00|$12402.05|$27251.87|$27234.00|$12402.05|$25709.32|$14590.04|$13155.86|$27251.87|$21467.28|$13270.51|$16439.09|$14226.38|$15400.09|$19346.85|$19863.90|$17609.40|$17609.40
"MS-DRG V37 (FY 2020) 343"|"Appendectomy Without Complicated Principal Diagnosis Without Cc/McC"|0.00|$44764.00|$9600.75|$20404.22|$31335.00|$9600.75|$19249.26|$10923.96|$10184.29|$20404.22|$16073.14|$10273.04|$13711.04|$11013.01|$11921.61|$14976.90|$12506.90|$11087.40|$11087.40
"MS-DRG V37 (FY 2020) 344"|"Minor Small And Large Bowel Procedures With McC"|0.00|$282220.00|$18102.82|$37812.15|$197554.00|$24238.99|$31899.24|$18102.82|$31092.06|$33813.20|$26635.87|$29354.66|$35547.45|$27804.53|$30098.47|$37812.15|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 345"|"Minor Small And Large Bowel Procedures With Cc"|0.00|$39095.00|$9004.38|$25751.00|$27366.00|$13653.42|$15866.76|$9004.38|$14483.29|$16818.76|$13248.74|$14609.50|$18097.80|$15661.83|$16953.96|$21298.95|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 346"|"Minor Small And Large Bowel Procedures Without Cc/McC"|0.00|$43135.00|$10968.53|$22806.70|$30194.00|$11033.85|$19327.81|$10968.53|$11704.50|$20487.48|$16138.72|$11806.50|$14625.53|$12656.93|$13701.15|$17212.50|$22806.70|$20218.20|$20218.20
"MS-DRG V37 (FY 2020) 347"|"Anal And Stomal Procedures With McC"|0.00|$89777.00|$22613.47|$37101.24|$62844.00|$37101.24|$37101.24|$37101.24|$22613.47|$37101.24|$37101.24|$22816.66|$28259.25|$37101.24|$37101.24|$33231.60|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 348"|"Anal And Stomal Procedures With Cc"|0.00|$44452.00|$12355.19|$24278.10|$31116.00|$21240.97|$21240.97|$21240.97|$12355.19|$21240.97|$21240.97|$15289.15|$18257.20|$21240.97|$21240.97|$18122.40|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 349"|"Anal And Stomal Procedures Without Cc/McC"|0.00|$42909.00|$7892.26|$14741.48|$30036.00|$8474.86|$13907.06|$7892.26|$8989.97|$14741.48|$11612.40|$9068.32|$11233.55|$9721.51|$10523.56|$13220.55|$13978.30|$12391.80|$12391.80
"MS-DRG V37 (FY 2020) 350"|"Inguinal And Femoral Hernia Procedures With McC"|0.00|$139917.00|$14657.02|$33107.40|$97942.00|$21223.07|$25827.34|$14657.02|$22781.13|$27376.98|$21565.83|$24168.33|$30906.90|$24344.97|$26353.49|$33107.40|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 351"|"Inguinal And Femoral Hernia Procedures With Cc"|0.00|$68358.00|$0.00|$0.00|$47851.00||||||||||||||
"MS-DRG V37 (FY 2020) 352"|"Inguinal And Femoral Hernia Procedures Without Cc/McC"|0.00|$58576.00|$12250.96|$56065.44|$41003.00|$30918.05|$30918.05|$30918.05|$56065.44|$30918.05|$30918.05|$12250.96|$16963.89|$30918.05|$30918.05|$14890.50|$14714.00|$13044.00|$13044.00
"MS-DRG V37 (FY 2020) 353"|"Hernia Procedures Except Inguinal And Femoral With McC"|0.00|$63051.00|$0.00|$0.00|$44136.00||||||||||||||
"MS-DRG V37 (FY 2020) 354"|"Hernia Procedures Except Inguinal And Femoral With Cc"|0.00|$57366.00|$15430.08|$34075.35|$40156.00|$15430.08|$32146.56|$18243.17|$17296.57|$34075.35|$26842.38|$16510.58|$20452.79|$17699.84|$19160.12|$24070.50|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 355"|"Hernia Procedures Except Inguinal And Femoral Without Cc/McC"|0.00|$43433.00|$11762.52|$22719.80|$30403.00|$11762.52|$21433.78|$12163.67|$12477.46|$22719.80|$17897.20|$14419.37|$17424.56|$13492.78|$14605.96|$18349.20|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 356"|"Other Digestive System O.R. Procedures With McC"|0.00|$141500.00|$22827.00|$61692.75|$99050.00|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$57933.90|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 357"|"Other Digestive System O.R. Procedures With Cc"|0.00|$79142.00|$22827.00|$31354.82|$55399.00|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$30424.95|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 358"|"Other Digestive System O.R. Procedures Without Cc/McC"|0.00|$38455.00|$7842.27|$20599.60|$26918.00|$11587.71|$13818.97|$7842.27|$12292.02|$14648.11|$11538.84|$12399.14|$15359.67|$13292.25|$14388.89|$18076.50|$20599.60|$18261.60|$18261.60
"MS-DRG V37 (FY 2020) 368"|"Major Esophageal Disorders With McC"|0.00|$41422.00|$8267.96|$26221.05|$28995.00|$16808.66|$14569.10|$8267.96|$17830.31|$15443.25|$12165.20|$17985.70|$22280.12|$8384.00|$9074.00|$26221.05|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 369"|"Major Esophageal Disorders With Cc"|0.00|$43280.00|$8183.79|$22806.70|$30296.00|$9318.63|$14420.78|$8183.79|$9885.02|$15286.03|$12041.35|$9971.17|$12351.97|$10689.39|$11571.29|$14536.80|$22806.70|$20218.20|$20218.20
"MS-DRG V37 (FY 2020) 370"|"Major Esophageal Disorders Without Cc/McC"|0.00|$14913.00|$0.00|$0.00|$10439.00||||||||||||||
"MS-DRG V37 (FY 2020) 371"|"Major Gastrointestinal Disorders And Peritoneal Infections With McC"|0.00|$42043.00|$14741.21|$27534.24|$29430.00|$14956.71|$25975.70|$14741.21|$15865.79|$27534.24|$21689.71|$16004.06|$19825.33|$17156.83|$18572.31|$23332.05|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 372"|"Major Gastrointestinal Disorders And Peritoneal Infections With Cc"|0.00|$38040.00|$8892.85|$25751.00|$26628.00|$8892.85|$16016.91|$9089.60|$9433.37|$16977.92|$13374.12|$9515.58|$11787.60|$10200.99|$11042.59|$13872.60|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 373"|"Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC"|0.00|$27257.00|$6434.25|$21335.30|$19080.00|$6434.25|$11863.70|$6732.65|$6825.33|$12575.52|$9906.19|$6884.81|$8528.69|$7380.72|$7989.65|$10037.25|$21335.30|$18913.80|$18913.80
"MS-DRG V37 (FY 2020) 374"|"Digestive Malignancy With McC"|0.00|$49639.00|$17895.61|$39065.85|$34747.00|$17895.61|$36854.57|$20914.97|$26847.73|$39065.85|$30773.57|$25667.20|$31229.69|$20528.04|$22221.65|$27916.65|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 375"|"Digestive Malignancy With Cc"|0.00|$51696.00|$6646.00|$25751.00|$36187.00|$10427.20|$16157.80|$9169.55|$11060.98|$17127.27|$13491.76|$11157.37|$13821.41|$6646.00|$7194.00|$16266.15|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 376"|"Digestive Malignancy Without Cc/McC"|0.00|$56918.00|$0.00|$0.00|$39843.00||||||||||||||
"MS-DRG V37 (FY 2020) 377"|"Gastrointestinal Hemorrhage With McC"|0.00|$67179.00|$18315.67|$43050.90|$47025.00|$21843.63|$21843.63|$21843.63|$18315.67|$23015.36|$23015.36|$19165.89|$24188.87|$43050.90|$43050.90|$24285.15|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 378"|"Gastrointestinal Hemorrhage With Cc"|0.00|$38954.00|$8595.15|$22071.00|$27268.00|$8595.15|$16770.48|$9517.25|$9117.58|$17776.70|$14003.35|$9197.03|$11393.00|$9859.50|$10672.93|$13408.20|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 379"|"Gastrointestinal Hemorrhage Without Cc/McC"|0.00|$22867.00|$5886.60|$15449.70|$16007.00|$9578.00|$9578.00|$9578.00|$5886.60|$9578.00|$9578.00|$5952.47|$7361.09|$9578.00|$9578.00|$8600.85|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 380"|"Complicated Peptic Ulcer With McC"|0.00|$46517.00|$22827.00|$28449.91|$32562.00|$26237.23|$26237.23|$26237.23|$26237.23|$26237.23|$26237.23|$26237.23|$26237.23|$28449.91|$28449.91|$25421.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 381"|"Complicated Peptic Ulcer With Cc"|0.00|$34575.00|$9170.64|$23542.40|$24202.00|$9170.64|$21967.20|$12466.39|$9728.05|$23285.23|$18342.61|$9812.82|$12155.82|$10519.64|$11387.54|$14305.95|$23542.40|$20870.40|$20870.40
"MS-DRG V37 (FY 2020) 382"|"Complicated Peptic Ulcer Without Cc/McC"|0.00|$35886.00|$4010.92|$17656.80|$25120.00|$6648.87|$7067.69|$4010.92|$7052.99|$7491.75|$5901.52|$7114.46|$8813.17|$7626.91|$8256.15|$10372.05|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 383"|"Uncomplicated Peptic Ulcer With McC"|0.00|$34951.00|$0.00|$0.00|$24466.00||||||||||||||
"MS-DRG V37 (FY 2020) 384"|"Uncomplicated Peptic Ulcer Without McC"|0.00|$55139.00|$6853.33|$18392.50|$38597.00|$6853.33|$6853.33|$6853.33|$8968.17|$6853.33|$6853.33|$12562.17|$14535.27|$10267.10|$10997.98|$12047.40|$18392.50|$16305.00|$16305.00
"MS-DRG V37 (FY 2020) 385"|"Inflammatory Bowel Disease With McC"|0.00|$80296.00|$12973.67|$25751.00|$56207.00|$14011.69|$22861.10|$12973.67|$14863.34|$24232.76|$19089.02|$14992.87|$18572.70|$16072.81|$17398.85|$21857.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 386"|"Inflammatory Bowel Disease With Cc"|0.00|$45581.00|$8597.75|$25749.50|$31907.00|$8597.75|$16237.30|$9214.67|$9120.33|$17211.54|$13558.15|$9199.81|$11396.44|$9862.47|$10676.15|$13412.25|$25749.50|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 387"|"Inflammatory Bowel Disease Without Cc/McC"|0.00|$21627.00|$6174.63|$19128.20|$15139.00|$6174.63|$12342.80|$7004.54|$6549.93|$13083.37|$10306.24|$6607.01|$8184.56|$7082.91|$7667.27|$9632.25|$19128.20|$16957.20|$16957.20
"MS-DRG V37 (FY 2020) 388"|"Gastrointestinal Obstruction With McC"|0.00|$47532.00|$7023.26|$25751.00|$33272.00|$13083.12|$12375.80|$7023.26|$13878.32|$13118.34|$10333.79|$13999.27|$17341.86|$15007.64|$16245.80|$20409.30|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 389"|"Gastrointestinal Obstruction With Cc"|0.00|$27485.00|$5939.06|$23542.40|$19240.00|$7111.86|$10465.30|$5939.06|$7544.12|$11093.21|$8738.52|$7609.87|$9426.87|$8158.01|$8831.06|$11094.30|$23542.40|$20870.40|$20870.40
"MS-DRG V37 (FY 2020) 390"|"Gastrointestinal Obstruction Without Cc/McC"|0.00|$21017.00|$5041.82|$17656.80|$14712.00|$5041.82|$10114.70|$5740.09|$5348.27|$10721.59|$8445.78|$5394.88|$6683.00|$5783.47|$6260.62|$7865.10|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 391"|"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC"|0.00|$48402.00|$8710.39|$25751.00|$33881.00|$10769.04|$15348.71|$8710.39|$11423.59|$16269.63|$12816.17|$11523.14|$14274.51|$12353.16|$13372.32|$16799.40|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 392"|"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC"|0.00|$29149.00|$5496.41|$19128.20|$20404.00|$6615.12|$9685.30|$5496.41|$7017.19|$10266.42|$8087.23|$7078.34|$8768.43|$7588.20|$8214.24|$10319.40|$19128.20|$16957.20|$16957.20
"MS-DRG V37 (FY 2020) 393"|"Other Digestive System Diagnoses With McC"|0.00|$64296.00|$13423.02|$25751.00|$45007.00|$14310.25|$23652.90|$13423.02|$15180.05|$25072.07|$19750.17|$15312.34|$18968.45|$16415.29|$17769.59|$22323.60|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 394"|"Other Digestive System Diagnoses With Cc"|0.00|$44167.00|$8122.64|$22071.00|$30917.00|$8122.64|$15468.40|$8778.31|$8616.35|$16396.50|$12916.11|$8691.44|$10766.68|$9317.48|$10086.20|$12671.10|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 395"|"Other Digestive System Diagnoses Without Cc/McC"|0.00|$22729.00|$5980.23|$16185.40|$15910.00|$8300.57|$8300.57|$8300.57|$5980.23|$8300.57|$8300.57|$6031.42|$7467.91|$8300.57|$8300.57|$8770.95|$16185.40|$14348.40|$14348.40
"MS-DRG V37 (FY 2020) 405"|"Pancreas, Liver And Shunt Procedures With McC"|0.00|$207276.00|$22827.00|$112011.29|$145093.00|$93768.40|$74125.22|$42066.06|$112011.29|$78572.73|$61894.56|$108855.80|$108855.80|$56886.67|$61579.95|$77361.75|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 406"|"Pancreas, Liver And Shunt Procedures With Cc"|0.00|$158301.00|$22827.00|$87572.45|$110811.00|$86546.21|$68415.98|$38826.07|$86244.35|$72520.93|$57127.34|$87572.45|$87572.45|$28559.98|$30916.24|$38839.50|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 407"|"Pancreas, Liver And Shunt Procedures Without Cc/McC"|0.00|$137528.00|$19594.16|$55917.70|$96270.00|$55917.70|$44203.71|$25085.61|$55254.64|$46855.93|$36910.10|$19594.16|$24272.64|$21005.53|$22738.54|$28566.00|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 408"|"Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC"|0.00|$235068.00|$0.00|$0.00|$164548.00||||||||||||||
"MS-DRG V37 (FY 2020) 409"|"Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc"|0.00|$147457.00|$0.00|$0.00|$103220.00||||||||||||||
"MS-DRG V37 (FY 2020) 410"|"Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC"|0.00|$104449.00|$0.00|$0.00|$73114.00||||||||||||||
"MS-DRG V37 (FY 2020) 411"|"Cholecystectomy With C.D.E. With McC"|0.00|$100137.00|$0.00|$0.00|$70096.00||||||||||||||
"MS-DRG V37 (FY 2020) 412"|"Cholecystectomy With C.D.E. With Cc"|0.00|$196759.00|$0.00|$0.00|$137731.00||||||||||||||
"MS-DRG V37 (FY 2020) 413"|"Cholecystectomy With C.D.E. Without Cc/McC"|0.00|$109138.00|$16032.76|$55223.70|$76397.00|$55223.70|$43655.10|$24774.27|$54568.87|$46274.40|$36452.01|$16032.76|$19860.89|$17187.61|$18605.62|$23373.90|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 414"|"Cholecystectomy Except By Laparoscope Without C.D.E. With McC"|0.00|$175811.00|$0.00|$0.00|$123068.00||||||||||||||
"MS-DRG V37 (FY 2020) 415"|"Cholecystectomy Except By Laparoscope Without C.D.E. With Cc"|0.00|$92528.00|$12207.93|$27430.65|$64770.00|$17584.06|$21511.77|$12207.93|$18652.84|$22802.47|$17962.33|$18815.39|$23307.92|$20170.67|$21834.80|$27430.65|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 416"|"Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC"|0.00|$65647.00|$19199.70|$105608.47|$45953.00|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$19199.70|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 417"|"Laparoscopic Cholecystectomy Without C.D.E. With McC"|0.00|$76673.00|$22441.61|$53715.58|$53671.00|$52905.29|$41822.36|$23734.19|$53715.58|$44331.71|$34921.67|$22441.61|$27799.97|$24058.08|$26042.93|$32717.25|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 418"|"Laparoscopic Cholecystectomy Without C.D.E. With Cc"|0.00|$62262.00|$14608.82|$37491.16|$43583.00|$14608.82|$35369.02|$20071.92|$15496.76|$37491.16|$29533.13|$15631.81|$19364.20|$16757.77|$18140.32|$22789.35|$25749.50|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 419"|"Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC"|0.00|$58702.00|$11381.74|$33428.08|$41091.00|$11381.74|$31535.92|$17896.64|$12202.67|$33428.08|$26332.50|$12178.75|$15086.66|$13055.99|$14133.14|$17755.20|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 420"|"Hepatobiliary Diagnostic Procedures With McC"|0.00|$68323.00|$0.00|$0.00|$47826.00||||||||||||||
"MS-DRG V37 (FY 2020) 421"|"Hepatobiliary Diagnostic Procedures With Cc"|0.00|$66786.00|$14648.48|$27361.03|$46750.00|$16519.62|$25812.30|$14648.48|$17523.70|$27361.03|$21553.27|$17676.41|$21896.99|$18949.65|$20513.04|$25770.15|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 422"|"Hepatobiliary Diagnostic Procedures Without Cc/McC"|0.00|$91271.00|$0.00|$0.00|$63890.00||||||||||||||
"MS-DRG V37 (FY 2020) 423"|"Other Hepatobiliary Or Pancreas O.R. Procedures With McC"|0.00|$202124.00|$22827.00|$74668.74|$141487.00|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$56416.50|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 424"|"Other Hepatobiliary Or Pancreas O.R. Procedures With Cc"|0.00|$78775.00|$0.00|$0.00|$55142.00||||||||||||||
"MS-DRG V37 (FY 2020) 425"|"Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/McC"|0.00|$93641.00|$0.00|$0.00|$65549.00||||||||||||||
"MS-DRG V37 (FY 2020) 432"|"Cirrhosis And Alcoholic Hepatitis With McC"|0.00|$65290.00|$18100.89|$25751.00|$45703.00|$18100.89|$18100.89|$18100.89|$18100.89|$18100.89|$18100.89|$18100.89|$18100.89|$18100.89|$18100.89|$25408.35|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 433"|"Cirrhosis And Alcoholic Hepatitis With Cc"|0.00|$34943.00|$8900.64|$24278.10|$24460.00|$8900.64|$17117.66|$9714.27|$9441.63|$18144.72|$14293.25|$9523.91|$13013.14|$10209.92|$11052.26|$13884.75|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 434"|"Cirrhosis And Alcoholic Hepatitis Without Cc/McC"|0.00|$29956.00|$5362.02|$16185.40|$20969.00|$5362.02|$10878.30|$6173.44|$5687.93|$11531.00|$9083.38|$5737.50|$7107.43|$6150.77|$6658.22|$8364.60|$16185.40|$14348.40|$14348.40
"MS-DRG V37 (FY 2020) 435"|"Malignancy Of Hepatobiliary System Or Pancreas With McC"|0.00|$55332.00|$16106.68|$26418.20|$38732.00|$26418.20|$26418.20|$26418.20|$16106.68|$26418.20|$26418.20|$16246.13|$21404.59|$26418.20|$26418.20|$23662.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 436"|"Malignancy Of Hepatobiliary System Or Pancreas With Cc"|0.00|$29539.00|$4101.10|$25013.80|$20677.00|$9694.21|$7226.60|$4101.10|$10283.44|$7660.20|$6034.21|$10373.05|$12849.81|$5270.35|$5270.35|$15122.70|$25013.80|$22174.80|$22174.80
"MS-DRG V37 (FY 2020) 437"|"Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC"|0.00|$55500.00|$0.00|$0.00|$38850.00||||||||||||||
"MS-DRG V37 (FY 2020) 438"|"Disorders Of Pancreas Except Malignancy With McC"|0.00|$67115.00|$14692.05|$25751.00|$46980.00|$18357.45|$18357.45|$18357.45|$14692.05|$23945.00|$23945.00|$18129.95|$21659.37|$24059.43|$24059.43|$21550.05|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 439"|"Disorders Of Pancreas Except Malignancy With Cc"|0.00|$38632.00|$4673.93|$22806.70|$27042.00|$8109.62|$8109.62|$4673.93|$7789.61|$9710.60|$9710.60|$12363.02|$14229.99|$12726.80|$12726.80|$11399.40|$22806.70|$20218.20|$20218.20
"MS-DRG V37 (FY 2020) 440"|"Disorders Of Pancreas Except Malignancy Without Cc/McC"|0.00|$30409.00|$5243.46|$17656.80|$21286.00|$5243.46|$9435.40|$5354.59|$5562.16|$10001.53|$7878.56|$5610.63|$6950.28|$6014.77|$6511.00|$8179.65|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 441"|"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC"|0.00|$66369.00|$9948.97|$25751.00|$46458.00|$16301.54|$17531.22|$9948.97|$17292.37|$18583.09|$14638.57|$17443.06|$21607.92|$18699.49|$20242.24|$25429.95|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 442"|"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc"|0.00|$47445.00|$10033.55|$23542.40|$33212.00|$10033.55|$21034.90|$11937.31|$10582.53|$22296.99|$17564.14|$12311.62|$14371.38|$10111.99|$10946.97|$12576.60|$23542.40|$20870.40|$20870.40
"MS-DRG V37 (FY 2020) 443"|"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/McC"|0.00|$23443.00|$5735.87|$17656.80|$16410.00|$5735.87|$10521.20|$5970.78|$6084.50|$11152.47|$8785.20|$6137.53|$7602.98|$6579.62|$7122.45|$8947.80|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 444"|"Disorders Of The Biliary Tract With McC"|0.00|$37696.00|$15335.56|$25751.00|$26387.00|$19156.00|$19156.00|$19156.00|$15335.56|$19156.00|$19156.00|$17081.56|$20771.28|$25152.15|$25152.15|$22528.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 445"|"Disorders Of The Biliary Tract With Cc"|0.00|$40049.00|$9318.63|$27469.20|$28034.00|$9318.63|$25914.34|$14706.39|$9885.02|$27469.20|$21638.48|$9971.17|$12351.97|$10689.39|$11571.29|$14536.80|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 446"|"Disorders Of The Biliary Tract Without Cc/McC"|0.00|$39641.00|$5600.49|$16185.40|$27749.00|$7063.39|$9868.70|$5600.49|$7492.72|$10460.82|$8240.36|$7558.01|$9362.63|$8102.42|$8770.89|$11018.70|$16185.40|$14348.40|$14348.40
"MS-DRG V37 (FY 2020) 453"|"Combined Anterior And Posterior Spinal Fusion With McC"|0.00|$390259.00|$22827.00|$142628.53|$273181.00|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$124113.60|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 454"|"Combined Anterior And Posterior Spinal Fusion With Cc"|0.00|$127329.00|$22827.00|$170788.86|$89130.00|$139864.80|$110565.06|$62745.67|$170788.86|$117198.96|$92321.83|$162226.25|$162226.25|$128255.47|$137929.91|$82324.35|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 455"|"Combined Anterior And Posterior Spinal Fusion Without Cc/McC"|0.00|$98454.00|$15652.80|$72209.95|$68918.00|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$64678.50|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 456"|"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC"|0.00|$252358.00|$22827.00|$215596.06|$176651.00|$172145.29|$136083.23|$77227.23|$215596.06|$144248.23|$113629.50|$203092.21|$204396.40|$157856.55|$169763.83|$116074.35|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 457"|"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc"|0.00|$324935.00|$22827.00|$97013.12|$227454.00|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$87777.00|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 458"|"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/McC"|0.00|$188959.00|$19566.00|$125682.17|$132271.00|$95613.16|$75583.53|$42893.65|$125682.17|$80118.54|$63112.25|$116573.18|$116573.18|$49807.73|$53916.00|$67734.90|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 459"|"Spinal Fusion Except Cervical With McC"|0.00|$218238.00|$22827.00|$307334.41|$152767.00|$143197.30|$122933.76|$69764.91|$55590.69|$130309.79|$102649.71|$307334.41|$307334.41|$35081.45|$37934.10|$90879.30|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 460"|"Spinal Fusion Except Cervical Without McC"|0.00|$107413.00|$17609.40|$117079.86|$75189.00|$81803.63|$64666.90|$36698.47|$117079.86|$68546.91|$53996.86|$105804.53|$105804.53|$39039.91|$42260.79|$53091.45|$19863.90|$17609.40|$17609.40
"MS-DRG V37 (FY 2020) 461"|"Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With McC"|0.00|$102171.00|$0.00|$0.00|$71520.00||||||||||||||
"MS-DRG V37 (FY 2020) 462"|"Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without McC"|0.00|$88987.00|$16957.20|$42446.70|$62291.00|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$42446.70|$19128.20|$16957.20|$16957.20
"MS-DRG V37 (FY 2020) 463"|"Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With McC"|0.00|$117882.00|$22827.00|$78793.40|$82517.00|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$72432.90|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 464"|"Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc"|0.00|$95935.00|$22827.00|$116115.80|$67154.00|$34206.75|$34206.75|$34206.75|$116115.80|$34206.75|$34206.75|$113661.10|$114913.11|$34206.75|$34206.75|$40155.75|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 465"|"Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC"|0.00|$54005.00|$15005.15|$28027.24|$37804.00|$15954.51|$26440.79|$15005.15|$16924.25|$28027.24|$22078.06|$17071.74|$21147.94|$18301.42|$19811.33|$24888.60|$19128.20|$16957.20|$16957.20
"MS-DRG V37 (FY 2020) 466"|"Revision Of Hip Or Knee Replacement With McC"|0.00|$195540.00|$22827.00|$72157.50|$136878.00|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$72157.50|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 467"|"Revision Of Hip Or Knee Replacement With Cc"|0.00|$91461.00|$21522.60|$93156.35|$64023.00|$78118.63|$61753.86|$35045.32|$87780.70|$65459.09|$51564.47|$92288.17|$93156.35|$35500.94|$38429.85|$48278.70|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 468"|"Revision Of Hip Or Knee Replacement Without Cc/McC"|0.00|$95830.00|$12391.80|$93634.42|$67081.00|$63031.34|$49827.14|$28276.90|$93634.42|$52816.77|$41605.67|$45885.17|$52084.81|$27835.31|$30131.78|$37854.00|$13978.30|$12391.80|$12391.80
"MS-DRG V37 (FY 2020) 469"|"Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC Or Total Ankle Replacement"|0.00|$91736.00|$20218.20|$41639.40|$64215.00|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$41639.40|$22806.70|$20218.20|$20218.20
"MS-DRG V37 (FY 2020) 470"|"Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC"|0.00|$58263.00|$11739.60|$29051.35|$40784.00|$16441.73|$27333.08|$15511.52|$28863.16|$28973.06|$22823.12|$24850.67|$29051.35|$18860.31|$20416.33|$25648.65|$13242.60|$11739.60|$11739.60
"MS-DRG V37 (FY 2020) 471"|"Cervical Spinal Fusion With McC"|0.00|$246393.00|$22827.00|$266274.49|$172475.00|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$67726.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 472"|"Cervical Spinal Fusion With Cc"|0.00|$66438.00|$16305.00|$46243.72|$46507.00|$35508.80|$35508.80|$35508.80|$35508.80|$35508.80|$35508.80|$35508.80|$35508.80|$46243.72|$46243.72|$41218.20|$18392.50|$16305.00|$16305.00
"MS-DRG V37 (FY 2020) 473"|"Cervical Spinal Fusion Without Cc/McC"|0.00|$65220.00|$10435.20|$71608.96|$45654.00|$54502.40|$43084.90|$24450.68|$71608.96|$45670.00|$35975.89|$34802.41|$40418.80|$25216.57|$27296.99|$34292.70|$11771.20|$10435.20|$10435.20
"MS-DRG V37 (FY 2020) 474"|"Amputation For Musculoskeletal System And Connective Tissue Disorders With McC"|0.00|$163193.00|$0.00|$0.00|$114235.00||||||||||||||
"MS-DRG V37 (FY 2020) 475"|"Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc"|0.00|$97915.00|$15138.80|$29613.60|$68540.00|$18983.41|$26676.30|$15138.80|$20137.25|$28276.88|$22274.71|$20312.74|$25162.79|$21775.87|$23572.43|$29613.60|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 476"|"Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC"|0.00|$53326.00|$0.00|$0.00|$37328.00||||||||||||||
"MS-DRG V37 (FY 2020) 477"|"Biopsies Of Musculoskeletal System And Connective Tissue With McC"|0.00|$95700.00|$19862.29|$45318.15|$66990.00|$29050.61|$34999.63|$19862.29|$30816.34|$37099.61|$29224.69|$31084.89|$38507.00|$33323.95|$36073.25|$45318.15|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 478"|"Biopsies Of Musculoskeletal System And Connective Tissue With Cc"|0.00|$53444.00|$20396.61|$41328.00|$37411.00|$20396.61|$38988.68|$22126.08|$21976.62|$41328.00|$32555.55|$25404.14|$30615.25|$23396.95|$25327.25|$31818.15|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 479"|"Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC"|0.00|$75372.00|$11711.66|$24425.55|$52760.00|$15657.68|$20637.29|$11711.66|$16609.37|$21875.53|$17232.14|$16754.12|$20754.48|$17960.92|$19442.74|$24425.55|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 480"|"Hip And Femur Procedures Except Major Joint With McC"|0.00|$111129.00|$22827.00|$120345.38|$77790.00|$98231.67|$77653.49|$44068.36|$111687.78|$82312.70|$64840.67|$120345.38|$120345.38|$30024.21|$32501.28|$40830.75|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 481"|"Hip And Femur Procedures Except Major Joint With Cc"|0.00|$78602.00|$15239.01|$57272.18|$55021.00|$55494.46|$43869.14|$24895.74|$57272.18|$46501.29|$36630.73|$20952.01|$25585.16|$15239.01|$16496.12|$28289.25|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 482"|"Hip And Femur Procedures Except Major Joint Without Cc/McC"|0.00|$72036.00|$14251.41|$34595.59|$50425.00|$14251.41|$32637.35|$18521.70|$17527.59|$34595.59|$27252.19|$16780.66|$20421.74|$16347.78|$17696.51|$22231.80|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 483"|"Major Joint Or Limb Reattachment Procedures Of Upper Extremities"|0.00|$70623.00|$9130.80|$71981.52|$49436.00|$19304.24|$19304.24|$19304.24|$71981.52|$33248.32|$33248.32|$33450.68|$38726.79|$58464.35|$58464.35|$32215.05|$10299.80|$9130.80|$9130.80
"MS-DRG V37 (FY 2020) 485"|"Knee Procedures With Principal Diagnosis Of Infection With McC"|0.00|$118926.00|$22827.00|$62397.40|$83248.00|$60373.18|$47725.84|$27084.41|$62397.40|$50589.39|$39851.07|$33295.44|$40829.65|$33827.25|$36618.07|$46002.60|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 486"|"Knee Procedures With Principal Diagnosis Of Infection With Cc"|0.00|$69432.00|$19894.18|$52288.94|$48602.00|$52288.94|$41335.13|$23457.69|$51668.91|$43815.24|$34514.83|$19894.18|$24644.30|$21327.17|$23086.71|$29003.40|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 487"|"Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC"|0.00|$51651.00|$14195.16|$34650.19|$36156.00|$14195.16|$32688.86|$18550.93|$19769.56|$34650.19|$27295.20|$19755.86|$23382.56|$16283.26|$17626.66|$22144.05|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 488"|"Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC"|0.00|$42280.00|$18969.00|$67623.99|$29596.00|$55310.62|$43723.81|$24813.26|$67623.99|$46347.24|$36509.38|$31817.85|$36183.69|$18969.00|$20535.00|$26657.10|$22806.70|$20218.20|$20218.20
"MS-DRG V37 (FY 2020) 489"|"Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC"|0.00|$60812.00|$0.00|$0.00|$42568.00||||||||||||||
"MS-DRG V37 (FY 2020) 492"|"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC"|0.00|$118810.00|$9625.52|$46820.70|$83167.00|$30013.80|$16961.26|$9625.52|$31838.37|$17978.94|$14162.66|$32115.53|$39783.72|$16659.00|$18033.00|$46820.70|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 493"|"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc"|0.00|$111273.00|$22827.00|$83507.77|$77891.00|$77560.61|$61312.73|$34794.98|$77918.18|$64991.50|$51196.13|$82583.64|$83507.77|$23082.26|$24986.60|$31390.20|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 494"|"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC"|0.00|$63207.00|$16026.34|$33575.08|$44245.00|$16026.34|$31674.60|$17975.34|$24334.75|$33575.08|$26448.29|$21808.82|$25903.37|$18383.81|$19900.52|$25000.65|$19863.90|$17609.40|$17609.40
"MS-DRG V37 (FY 2020) 495"|"Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With McC"|0.00|$127778.00|$0.00|$0.00|$89445.00||||||||||||||
"MS-DRG V37 (FY 2020) 496"|"Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc"|0.00|$59172.00|$15652.53|$40687.40|$41420.00|$17183.38|$38384.34|$21783.11|$30002.02|$40687.40|$32050.92|$25868.00|$30258.16|$15652.53|$16944.63|$26805.60|$25013.80|$22174.80|$22174.80
"MS-DRG V37 (FY 2020) 497"|"Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC"|0.00|$45199.00|$0.00|$0.00|$31639.00||||||||||||||
"MS-DRG V37 (FY 2020) 498"|"Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC"|0.00|$107940.00|$22827.00|$78376.56|$75558.00|$77356.69|$61151.54|$34703.50|$78376.56|$64820.63|$51061.53|$78273.97|$78273.97|$25654.35|$27770.89|$34888.05|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 499"|"Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC"|0.00|$48199.00|$0.00|$0.00|$33739.00||||||||||||||
"MS-DRG V37 (FY 2020) 500"|"Soft Tissue Procedures With McC"|0.00|$74713.00|$22827.00|$51829.94|$52299.00|$51829.94|$40972.29|$23251.77|$51215.36|$43430.63|$34211.86|$29205.11|$36178.39|$31308.77|$33891.81|$42577.65|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 501"|"Soft Tissue Procedures With Cc"|0.00|$41567.00|$16158.70|$59727.92|$29097.00|$59727.92|$47215.75|$26794.94|$59019.69|$50048.69|$39425.15|$16158.70|$20016.90|$17322.62|$18751.77|$23557.50|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 502"|"Soft Tissue Procedures Without Cc/McC"|0.00|$82941.00|$11516.74|$22531.53|$58059.00|$11516.74|$21256.16|$12062.87|$12216.74|$22531.53|$17748.89|$12323.21|$15265.61|$13210.85|$14300.78|$17965.80|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 503"|"Foot Procedures With McC"|0.00|$102309.00|$22146.01|$35487.45|$71616.00|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$35487.45|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 504"|"Foot Procedures With Cc"|0.00|$134155.00|$14929.21|$27885.39|$93908.00|$15351.33|$26306.98|$14929.21|$16284.40|$27885.39|$21966.32|$16426.31|$20348.41|$17609.51|$19062.33|$23947.65|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 505"|"Foot Procedures Without Cc/McC"|0.00|$32085.00|$17609.51|$118446.10|$22460.00|$69396.18|$54858.64|$31132.28|$118446.10|$58150.16|$45806.96|$101908.28|$101908.28|$17609.51|$19062.33|$23947.65|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 506"|"Major Thumb Or Joint Procedures"|0.00|$41567.00|$9676.50|$25751.00|$29097.00|$12770.71|$17051.11|$9676.50|$13546.93|$18074.17|$14237.68|$13664.98|$16927.75|$14649.27|$15857.87|$19921.95|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 507"|"Major Shoulder Or Elbow Joint Procedures With Cc/McC"|0.00|$112290.00|$0.00|$0.00|$78603.00||||||||||||||
"MS-DRG V37 (FY 2020) 508"|"Major Shoulder Or Elbow Joint Procedures Without Cc/McC"|0.00|$59031.00|$14036.78|$81594.70|$41322.00|$74449.73|$58853.54|$33399.39|$81594.70|$62384.76|$49142.71|$80433.39|$80433.39|$14036.78|$15194.84|$19089.00|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 509"|"Arthroscopy"|0.00|$137777.00|$16615.81|$73859.12|$96444.00|$72993.58|$57702.44|$32746.13|$72466.64|$61164.58|$48181.53|$73859.12|$73859.12|$16615.81|$17986.65|$22596.30|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 510"|"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC"|0.00|$111260.00|$0.00|$0.00|$77882.00||||||||||||||
"MS-DRG V37 (FY 2020) 511"|"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc"|0.00|$110735.00|$22174.80|$73916.92|$77514.00|$64196.70|$50663.90|$28751.77|$73916.92|$53703.73|$42304.36|$28520.91|$32873.27|$23226.30|$24838.50|$26574.75|$25013.80|$22174.80|$22174.80
"MS-DRG V37 (FY 2020) 512"|"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/McC"|0.00|$71210.00|$13467.35|$26359.95|$49847.00|$13467.35|$24867.88|$14112.52|$17583.98|$26359.95|$20764.68|$16506.00|$19946.76|$15448.40|$16722.93|$21008.70|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 513"|"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/McC"|0.00|$37018.00|$21046.50|$26063.15|$25913.00|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$21046.50|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 514"|"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/McC"|0.00|$43028.00|$0.00|$0.00|$30120.00||||||||||||||
"MS-DRG V37 (FY 2020) 515"|"Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC"|0.00|$136870.00|$22827.00|$60765.22|$95809.00|$60765.22|$60765.22|$60765.22|$32170.66|$60765.22|$60765.22|$31203.83|$38139.74|$60765.22|$60765.22|$42349.50|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 516"|"Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc"|0.00|$56255.00|$19467.84|$64024.31|$39378.00|$62194.14|$49165.33|$27901.33|$64024.31|$52115.25|$41053.05|$19791.27|$24127.26|$19467.84|$21073.98|$26474.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 517"|"Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC"|0.00|$53822.00|$12087.04|$31416.60|$37675.00|$12087.04|$29638.30|$16819.74|$13929.41|$31416.60|$24747.98|$12933.44|$16021.55|$13865.04|$15008.94|$18855.45|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 518"|"Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator"|0.00|$100435.00|$21547.90|$62552.04|$70304.00|$21547.90|$21547.90|$21547.90|$62552.04|$21547.90|$21547.90|$34889.56|$42814.44|$21547.90|$21547.90|$48388.05|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 519"|"Back And Neck Procedures Except Spinal Fusion With Cc"|0.00|$75570.00|$16941.94|$35807.19|$52899.00|$16941.94|$33780.37|$19170.36|$17971.69|$35807.19|$28206.61|$20124.79|$24453.26|$19434.09|$21037.44|$26428.95|$23542.40|$20870.40|$20870.40
"MS-DRG V37 (FY 2020) 520"|"Back And Neck Procedures Except Spinal Fusion Without Cc/McC"|0.00|$86354.00|$12266.18|$34469.42|$60448.00|$12266.18|$32518.32|$18454.15|$13011.73|$34469.42|$27152.80|$13125.12|$16259.00|$14070.53|$15231.38|$19134.90|$14714.00|$13044.00|$13044.00
"MS-DRG V37 (FY 2020) 533"|"Fractures Of Femur With McC"|0.00|$41185.00|$0.00|$0.00|$28830.00||||||||||||||
"MS-DRG V37 (FY 2020) 534"|"Fractures Of Femur Without McC"|0.00|$47402.00|$0.00|$0.00|$33181.00||||||||||||||
"MS-DRG V37 (FY 2020) 535"|"Fractures Of Hip And Pelvis With McC"|0.00|$60200.00|$5965.96|$25751.00|$42140.00|$10677.31|$10512.70|$5965.96|$11326.28|$11143.46|$8778.10|$11424.99|$14152.92|$12247.93|$13258.41|$16656.30|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 536"|"Fractures Of Hip And Pelvis Without McC"|0.00|$27718.00|$6677.43|$21335.30|$19403.00|$6677.43|$15325.11|$8697.00|$7083.29|$16244.61|$12796.47|$7145.02|$8851.02|$7659.67|$8291.61|$10416.60|$21335.30|$18913.80|$18913.80
"MS-DRG V37 (FY 2020) 537"|"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC"|0.00|$40195.00|$0.00|$0.00|$28136.00||||||||||||||
"MS-DRG V37 (FY 2020) 538"|"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/McC"|0.00|$20202.00|$6243.00|$24835.37|$14141.00|$6243.00|$23429.59|$13296.29|$6622.45|$24835.37|$19563.71|$6680.16|$8275.18|$7161.34|$7752.16|$9738.90|$19128.20|$16957.20|$16957.20
"MS-DRG V37 (FY 2020) 539"|"Osteomyelitis With McC"|0.00|$53620.00|$0.00|$0.00|$37534.00||||||||||||||
"MS-DRG V37 (FY 2020) 540"|"Osteomyelitis With Cc"|0.00|$52335.00|$5344.09|$25751.00|$36634.00|$11209.53|$9416.90|$5344.09|$11890.85|$9981.91|$7863.11|$11994.48|$14858.39|$12858.44|$13919.29|$17486.55|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 541"|"Osteomyelitis Without Cc/McC"|0.00|$22032.00|$4002.29|$22806.70|$15422.00|$7274.55|$7052.50|$4002.29|$7716.71|$7475.65|$5888.83|$7783.96|$9642.52|$8344.64|$9033.09|$11348.10|$22806.70|$20218.20|$20218.20
"MS-DRG V37 (FY 2020) 542"|"Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC"|0.00|$42613.00|$22827.00|$25751.00|$29829.00|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24371.55|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 543"|"Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc"|0.00|$42025.00|$9028.72|$25749.50|$29418.00|$9028.72|$23739.21|$13472.00|$9577.49|$25163.56|$19822.24|$9660.96|$11967.69|$10356.84|$11211.30|$14084.55|$25749.50|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 544"|"Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC"|0.00|$29408.00|$0.00|$0.00|$20586.00||||||||||||||
"MS-DRG V37 (FY 2020) 545"|"Connective Tissue Disorders With McC"|0.00|$110171.00|$17544.84|$33743.25|$77120.00|$21630.67|$30916.02|$17544.84|$22945.41|$32770.98|$25814.87|$23145.37|$28671.76|$24812.54|$26859.63|$33743.25|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 546"|"Connective Tissue Disorders With Cc"|0.00|$31664.00|$6790.82|$25749.50|$22165.00|$10441.92|$11966.21|$6790.82|$11076.59|$12684.18|$9991.78|$11173.12|$13840.91|$11977.92|$12966.12|$16289.10|$25749.50|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 547"|"Connective Tissue Disorders Without Cc/McC"|0.00|$41784.00|$7208.78|$18392.50|$29249.00|$7208.78|$15538.30|$8817.99|$7646.94|$16470.60|$12974.48|$7713.58|$9555.34|$8269.19|$8951.42|$11245.50|$18392.50|$16305.00|$16305.00
"MS-DRG V37 (FY 2020) 548"|"Septic Arthritis With McC"|0.00|$69840.00|$0.00|$0.00|$48888.00||||||||||||||
"MS-DRG V37 (FY 2020) 549"|"Septic Arthritis With Cc"|0.00|$34329.00|$7792.60|$25751.00|$24030.00|$10790.67|$13731.46|$7792.60|$11446.54|$14555.35|$11465.77|$11546.29|$14303.19|$9282.00|$10050.00|$16833.15|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 550"|"Septic Arthritis Without Cc/McC"|0.00|$39126.00|$0.00|$0.00|$27388.00||||||||||||||
"MS-DRG V37 (FY 2020) 551"|"Medical Back Problems With McC"|0.00|$38412.00|$8636.31|$25751.00|$26888.00|$14046.31|$15218.16|$8636.31|$14900.06|$16131.25|$12707.16|$15029.91|$18618.58|$16112.51|$17441.83|$21911.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 552"|"Medical Back Problems Without McC"|0.00|$42690.00|$8152.07|$21335.30|$29883.00|$8152.07|$17760.74|$10079.22|$8647.56|$18826.38|$14830.21|$8722.92|$10805.68|$9351.23|$10122.73|$12717.00|$21335.30|$18913.80|$18913.80
"MS-DRG V37 (FY 2020) 553"|"Bone Diseases And Arthropathies With McC"|0.00|$48602.00|$17122.05|$1496028.08|$34021.00|$814164.46|$643520.70|$365197.99|$804595.69|$682131.94|$537339.78|$1496028.08|$1496028.08|$745575.53|$801821.89|$17122.05|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 554"|"Bone Diseases And Arthropathies Without McC"|0.00|$20057.00|$10670.40|$37032.60|$14040.00|$16441.73|$34936.42|$19826.42|$28688.16|$37032.60|$29171.91|$24739.48|$28940.16|$18860.31|$20416.33|$10670.40|$20599.60|$18261.60|$18261.60
"MS-DRG V37 (FY 2020) 555"|"Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC"|0.00|$33304.00|$0.00|$0.00|$23313.00||||||||||||||
"MS-DRG V37 (FY 2020) 556"|"Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC"|0.00|$22672.00|$6977.72|$19128.20|$15870.00|$6977.72|$17828.10|$10117.44|$7401.83|$18897.78|$14886.46|$7466.34|$9249.07|$8004.14|$8664.50|$10885.05|$19128.20|$16957.20|$16957.20
"MS-DRG V37 (FY 2020) 557"|"Tendonitis, Myositis And Bursitis With McC"|0.00|$41507.00|$12062.81|$26073.89|$29055.00|$12062.81|$24598.01|$13959.37|$12796.00|$26073.89|$20539.34|$12907.51|$17147.14|$13837.25|$14978.85|$18817.65|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 558"|"Tendonitis, Myositis And Bursitis Without McC"|0.00|$38200.00|$5858.31|$22806.70|$26740.00|$9399.21|$10323.00|$5858.31|$9909.63|$10942.38|$8619.71|$11632.86|$13530.56|$9384.34|$10159.29|$11587.05|$22806.70|$20218.20|$20218.20
"MS-DRG V37 (FY 2020) 559"|"Aftercare, Musculoskeletal System And Connective Tissue With McC"|0.00|$55151.00|$9125.51|$25751.00|$38606.00|$16164.81|$16080.20|$9125.51|$17147.32|$17045.01|$13426.96|$17296.75|$22685.94|$18542.64|$20072.45|$25216.65|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 560"|"Aftercare, Musculoskeletal System And Connective Tissue With Cc"|0.00|$36213.00|$6377.05|$25751.00|$25349.00|$9315.17|$11237.10|$6377.05|$9881.35|$11911.33|$9382.98|$9967.46|$12347.38|$10685.42|$11566.99|$14531.40|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 561"|"Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC"|0.00|$15060.00|$4596.75|$19863.90|$10542.00|$6846.18|$8100.00|$4596.75|$7262.30|$8586.00|$6763.50|$7325.59|$9074.71|$7853.25|$8501.16|$10679.85|$19863.90|$17609.40|$17609.40
"MS-DRG V37 (FY 2020) 562"|"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC"|0.00|$40285.00|$0.00|$0.00|$28200.00||||||||||||||
"MS-DRG V37 (FY 2020) 563"|"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC"|0.00|$31019.00|$6114.81|$22071.00|$21713.00|$7535.90|$10775.00|$6114.81|$7993.94|$11421.50|$8997.12|$8063.61|$9988.95|$8644.43|$9357.62|$11755.80|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 564"|"Other Musculoskeletal System And Connective Tissue Diagnoses With McC"|0.00|$39931.00|$9829.04|$25751.00|$27952.00|$13100.43|$17319.90|$9829.04|$13896.68|$18359.09|$14462.12|$14017.79|$17364.80|$15027.49|$16267.29|$20436.30|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 565"|"Other Musculoskeletal System And Connective Tissue Diagnoses With Cc"|0.00|$47586.00|$13081.90|$25013.80|$33310.00|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13585.05|$25013.80|$22174.80|$22174.80
"MS-DRG V37 (FY 2020) 566"|"Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC"|0.00|$26504.00|$6240.68|$18392.50|$18553.00|$6503.48|$10996.80|$6240.68|$6898.77|$11656.61|$9182.33|$6958.89|$8620.46|$7460.14|$8075.62|$10145.25|$18392.50|$16305.00|$16305.00
"MS-DRG V37 (FY 2020) 570"|"Skin Debridement With McC"|0.00|$62431.00|$17474.96|$38290.05|$43702.00|$24545.34|$30792.89|$17474.96|$26037.23|$32640.46|$25712.06|$26264.14|$32535.20|$28155.95|$30478.88|$38290.05|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 571"|"Skin Debridement With Cc"|0.00|$49563.00|$9197.66|$25751.00|$34694.00|$14130.25|$16207.33|$9197.66|$14989.10|$17179.77|$13533.12|$15119.73|$18729.85|$16208.81|$17546.07|$22042.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 572"|"Skin Debridement Without Cc/McC"|0.00|$38183.00|$9017.52|$22071.00|$26728.00|$9541.90|$15889.90|$9017.52|$10121.87|$16843.29|$13268.07|$10210.08|$12647.92|$10945.51|$11848.54|$14885.10|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 573"|"Skin Graft For Skin Ulcer Or Cellulitis With McC"|0.00|$77742.00|$0.00|$0.00|$54419.00||||||||||||||
"MS-DRG V37 (FY 2020) 574"|"Skin Graft For Skin Ulcer Or Cellulitis With Cc"|0.00|$77595.00|$0.00|$0.00|$54316.00||||||||||||||
"MS-DRG V37 (FY 2020) 575"|"Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC"|0.00|$41464.00|$0.00|$0.00|$29025.00||||||||||||||
"MS-DRG V37 (FY 2020) 576"|"Skin Graft Except For Skin Ulcer Or Cellulitis With McC"|0.00|$124161.00|$0.00|$0.00|$86913.00||||||||||||||
"MS-DRG V37 (FY 2020) 577"|"Skin Graft Except For Skin Ulcer Or Cellulitis With Cc"|0.00|$149600.00|$0.00|$0.00|$104720.00||||||||||||||
"MS-DRG V37 (FY 2020) 578"|"Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC"|0.00|$88525.00|$7999.67|$21528.45|$61968.00|$14112.08|$14096.33|$7999.67|$14969.83|$14942.11|$11770.44|$15100.28|$18705.76|$16187.96|$17523.50|$21528.45|$20599.60|$18261.60|$18261.60
"MS-DRG V37 (FY 2020) 579"|"Other Skin, Subcutaneous Tissue And Breast Procedures With McC"|0.00|$60615.00|$14427.57|$39525.30|$42430.00|$25337.18|$25423.03|$14427.57|$26877.20|$26948.41|$21228.23|$27111.43|$33584.79|$24912.00|$26970.00|$39525.30|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 580"|"Other Skin, Subcutaneous Tissue And Breast Procedures With Cc"|0.00|$58360.00|$13106.62|$25751.00|$40852.00|$13849.00|$23095.36|$13106.62|$15684.98|$24481.08|$19284.63|$16264.52|$19802.78|$15886.18|$17196.82|$21641.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 581"|"Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC"|0.00|$54489.00|$12429.60|$78079.98|$38142.00|$54685.90|$43229.96|$24533.00|$78079.98|$45823.76|$36097.02|$26871.09|$29639.48|$12429.60|$13455.07|$17008.65|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 582"|"Mastectomy For Malignancy With Cc/McC"|0.00|$92341.00|$8824.84|$22161.60|$64639.00|$14156.21|$15550.38|$8824.84|$15016.64|$16483.40|$12984.57|$15147.51|$18764.26|$16238.59|$17578.31|$22161.60|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 583"|"Mastectomy For Malignancy Without Cc/McC"|0.00|$68901.00|$11087.40|$98945.06|$48231.00|$97785.55|$77300.83|$43868.22|$98189.60|$81938.88|$64546.19|$98945.06|$98945.06|$15266.73|$16526.27|$20811.60|$12506.90|$11087.40|$11087.40
"MS-DRG V37 (FY 2020) 584"|"Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC"|0.00|$191148.00|$18109.83|$77844.71|$133804.00|$76932.46|$60816.18|$34513.18|$76746.93|$64465.15|$50781.51|$77844.71|$77844.71|$18109.83|$19603.93|$24709.05|$25013.80|$22174.80|$22174.80
"MS-DRG V37 (FY 2020) 585"|"Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC"|0.00|$62235.00|$14348.40|$36285.89|$43564.00|$15028.54|$34231.97|$19426.64|$20460.25|$36285.89|$28583.69|$18951.83|$22791.45|$17239.23|$18661.50|$23521.05|$16185.40|$14348.40|$14348.40
"MS-DRG V37 (FY 2020) 592"|"Skin Ulcers With McC"|0.00|$30484.00|$0.00|$0.00|$21339.00||||||||||||||
"MS-DRG V37 (FY 2020) 593"|"Skin Ulcers With Cc"|0.00|$36877.00|$0.00|$0.00|$25814.00||||||||||||||
"MS-DRG V37 (FY 2020) 594"|"Skin Ulcers Without Cc/McC"|0.00|$24209.00|$0.00|$0.00|$16946.00||||||||||||||
"MS-DRG V37 (FY 2020) 595"|"Major Skin Disorders With McC"|0.00|$47063.00|$0.00|$0.00|$32944.00||||||||||||||
"MS-DRG V37 (FY 2020) 596"|"Major Skin Disorders Without McC"|0.00|$19908.00|$5289.50|$24278.10|$13936.00|$8560.54|$9320.70|$5289.50|$9080.86|$9879.94|$7782.78|$9159.99|$11347.11|$9819.79|$10629.94|$13354.20|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 597"|"Malignant Breast Disorders With McC"|0.00|$71044.00|$8528.28|$25751.00|$49731.00|$14164.00|$15027.80|$8528.28|$15024.91|$15929.47|$12548.21|$15155.84|$18774.59|$16247.52|$17587.98|$22095.45|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 598"|"Malignant Breast Disorders With Cc"|0.00|$37799.00|$8877.92|$24278.10|$26459.00|$9616.32|$15643.90|$8877.92|$10200.82|$16582.54|$13062.66|$10289.71|$12746.58|$11030.88|$11940.96|$15001.20|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 599"|"Malignant Breast Disorders Without Cc/McC"|0.00|$31547.00|$5808.56|$18392.50|$22083.00|$5808.56|$17166.14|$9741.78|$6161.62|$18196.10|$14333.72|$6215.31|$7699.34|$6663.00|$7212.72|$9061.20|$18392.50|$16305.00|$16305.00
"MS-DRG V37 (FY 2020) 600"|"Non-Malignant Breast Disorders With Cc/McC"|0.00|$11953.00|$0.00|$0.00|$8367.00||||||||||||||
"MS-DRG V37 (FY 2020) 601"|"Non-Malignant Breast Disorders Without Cc/McC"|0.00|$19690.00|$1777.52|$20599.60|$13783.00|$5950.49|$3132.20|$1777.52|$6312.17|$3320.13|$2615.38|$6367.18|$7830.49|$6825.81|$7388.95|$9282.60|$20599.60|$18261.60|$18261.60
"MS-DRG V37 (FY 2020) 602"|"Cellulitis With McC"|0.00|$43471.00|$13226.01|$25751.00|$30430.00|$16520.90|$16520.90|$16520.90|$13226.01|$16520.90|$16520.90|$13339.08|$16515.40|$16520.90|$16520.90|$19394.10|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 603"|"Cellulitis Without McC"|0.00|$27607.00|$3925.71|$23542.40|$19325.00|$9715.20|$9715.20|$3925.71|$8187.94|$13703.84|$13703.84|$8234.33|$11261.08|$12732.83|$12732.83|$11404.80|$23542.40|$20870.40|$20870.40
"MS-DRG V37 (FY 2020) 604"|"Trauma To The Skin, Subcutaneous Tissue And Breast With McC"|0.00|$37496.00|$0.00|$0.00|$26247.00||||||||||||||
"MS-DRG V37 (FY 2020) 605"|"Trauma To The Skin, Subcutaneous Tissue And Breast Without McC"|0.00|$34259.00|$4266.91|$19863.90|$23981.00|$7868.22|$7518.79|$4266.91|$8346.46|$7969.92|$6278.19|$8419.19|$10429.43|$9025.63|$9770.26|$12274.20|$19863.90|$17609.40|$17609.40
"MS-DRG V37 (FY 2020) 606"|"Minor Skin Disorders With McC"|0.00|$42891.00|$0.00|$0.00|$30024.00||||||||||||||
"MS-DRG V37 (FY 2020) 607"|"Minor Skin Disorders Without McC"|0.00|$17843.00|$5718.70|$21335.30|$12490.00|$7144.74|$10077.00|$5718.70|$7579.01|$10681.62|$8414.30|$7645.06|$10551.54|$8195.73|$8871.90|$11145.60|$21335.30|$18913.80|$18913.80
"MS-DRG V37 (FY 2020) 614"|"Adrenal And Pituitary Procedures With Cc/McC"|0.00|$181229.00|$20870.40|$97500.70|$126860.00|$91726.93|$72511.40|$41150.22|$90639.26|$76862.09|$60547.02|$96476.07|$97500.70|$23693.76|$25648.55|$32221.80|$23542.40|$20870.40|$20870.40
"MS-DRG V37 (FY 2020) 615"|"Adrenal And Pituitary Procedures Without Cc/McC"|0.00|$115685.00|$11739.60|$62066.20|$80980.00|$62066.20|$49064.19|$27843.93|$61330.24|$52008.04|$40968.60|$14576.17|$18056.50|$15626.09|$16915.28|$21250.35|$13242.60|$11739.60|$11739.60
"MS-DRG V37 (FY 2020) 616"|"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC"|0.00|$102312.00|$22827.00|$76590.92|$71618.00|$75693.37|$59836.66|$33957.30|$74795.83|$63426.86|$49963.61|$76590.92|$76590.92|$39596.82|$42863.64|$53848.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 617"|"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc"|0.00|$59080.00|$13507.57|$27460.35|$41356.00|$17603.10|$23801.88|$13507.57|$18673.04|$25230.00|$19874.57|$18835.77|$23333.16|$13924.00|$15076.00|$27460.35|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 618"|"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC"|0.00|$88802.00|$0.00|$0.00|$62161.00||||||||||||||
"MS-DRG V37 (FY 2020) 619"|"O.R. Procedures For Obesity With McC"|0.00|$138173.00|$19815.00|$73123.74|$96721.00|$70569.82|$55786.42|$31658.79|$69733.02|$59133.60|$46581.66|$73123.74|$73123.74|$27050.00|$29285.00|$41324.85|$22378.00|$19815.00|$19815.00
"MS-DRG V37 (FY 2020) 620"|"O.R. Procedures For Obesity With Cc"|0.00|$54086.00|$17939.38|$64751.02|$37860.00|$64751.02|$51186.58|$29048.38|$63983.22|$54257.77|$42740.79|$17939.38|$21833.18|$27050.00|$29285.00|$23774.85|$22378.00|$19815.00|$19815.00
"MS-DRG V37 (FY 2020) 621"|"O.R. Procedures For Obesity Without Cc/McC"|0.00|$47928.00|$10052.97|$29285.00|$33550.00|$13815.25|$17714.48|$10052.97|$14654.95|$18777.35|$14791.59|$14782.66|$18312.30|$27050.00|$29285.00|$21551.40|$22378.00|$19815.00|$19815.00
"MS-DRG V37 (FY 2020) 622"|"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With McC"|0.00|$79496.00|$0.00|$0.00|$55647.00||||||||||||||
"MS-DRG V37 (FY 2020) 623"|"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc"|0.00|$112681.00|$13065.80|$25751.00|$78877.00|$16208.08|$23023.43|$13065.80|$17193.22|$24404.83|$19224.56|$17343.05|$21484.04|$18592.28|$20126.18|$25284.15|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 624"|"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC"|0.00|$74912.00|$0.00|$0.00|$52438.00||||||||||||||
"MS-DRG V37 (FY 2020) 625"|"Thyroid, Parathyroid And Thyroglossal Procedures With McC"|0.00|$113598.00|$0.00|$0.00|$79519.00||||||||||||||
"MS-DRG V37 (FY 2020) 626"|"Thyroid, Parathyroid And Thyroglossal Procedures With Cc"|0.00|$147564.00|$15000.60|$82883.94|$103295.00|$81912.64|$64753.08|$36747.37|$80941.35|$68638.26|$54068.82|$82883.94|$82883.94|$16402.38|$17755.62|$22306.05|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 627"|"Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC"|0.00|$68055.00|$9130.80|$70684.28|$47638.00|$69855.95|$55222.10|$31338.54|$69027.62|$58535.42|$46110.45|$70684.28|$70684.28|$11731.73|$12699.62|$15954.30|$10299.80|$9130.80|$9130.80
"MS-DRG V37 (FY 2020) 628"|"Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC"|0.00|$175730.00|$22827.00|$49924.35|$123011.00|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$49924.35|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 629"|"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc"|0.00|$47092.00|$17661.88|$32989.58|$32964.00|$20309.21|$31122.25|$17661.88|$21543.62|$32989.58|$25987.08|$21731.37|$26920.14|$23296.68|$25218.71|$31681.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 630"|"Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC"|0.00|$62687.00|$15652.80|$163125.73|$43881.00|$163125.73|$163125.73|$163125.73|$163125.73|$163125.73|$163125.73|$163125.73|$163125.73|$163125.73|$163125.73|$18993.15|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 637"|"Diabetes With McC"|0.00|$51272.00|$9748.41|$25751.00|$35890.00|$11896.65|$17177.81|$9748.41|$12619.75|$18208.48|$14343.47|$12729.72|$15769.18|$13646.65|$14772.53|$18558.45|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 638"|"Diabetes With Cc"|0.00|$30289.00|$7610.33|$21335.30|$21202.00|$7610.33|$14511.70|$8235.39|$8072.89|$15382.40|$12117.27|$8143.24|$10087.60|$8729.80|$9450.03|$11871.90|$21335.30|$18913.80|$18913.80
"MS-DRG V37 (FY 2020) 639"|"Diabetes Without Cc/McC"|0.00|$19695.00|$5272.88|$15449.70|$13786.00|$5272.88|$13636.30|$7738.60|$5593.37|$14454.48|$11386.31|$5642.12|$6989.28|$6048.52|$6547.54|$8225.55|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 640"|"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC"|0.00|$45713.00|$10625.38|$26015.69|$31999.00|$10625.38|$24543.10|$13928.21|$11271.20|$26015.69|$20493.49|$11369.43|$14084.09|$12188.37|$13193.94|$16575.30|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 641"|"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC"|0.00|$25001.00|$4676.94|$19128.20|$17501.00|$6516.46|$8241.30|$4676.94|$6912.54|$8735.78|$6881.49|$6972.78|$8637.66|$7475.03|$8091.74|$10165.50|$19128.20|$16957.20|$16957.20
"MS-DRG V37 (FY 2020) 642"|"Inborn And Other Disorders Of Metabolism"|0.00|$134565.00|$9620.33|$24278.10|$94196.00|$9620.33|$9620.33|$9620.33|$11835.23|$9620.33|$9620.33|$11937.45|$15860.30|$9620.33|$9620.33|$17381.25|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 643"|"Endocrine Disorders With McC"|0.00|$45984.00|$10574.25|$25751.00|$32189.00|$14394.20|$18633.04|$10574.25|$15269.09|$19751.03|$15558.59|$15402.16|$19079.71|$16511.58|$17873.82|$22454.55|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 644"|"Endocrine Disorders With Cc"|0.00|$33452.00|$8812.37|$25749.50|$23416.00|$8812.37|$16272.60|$9234.70|$9347.99|$17248.96|$13587.62|$9429.46|$11680.92|$10108.66|$10942.65|$13747.05|$25749.50|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 645"|"Endocrine Disorders Without Cc/McC"|0.00|$22642.00|$6644.54|$20097.57|$15849.00|$6644.54|$18959.97|$10759.78|$7048.40|$20097.57|$15831.57|$9015.52|$11573.90|$7621.95|$8250.78|$10365.30|$19863.90|$17609.40|$17609.40
"MS-DRG V37 (FY 2020) 652"|"Kidney Transplant"|0.00|$222409.00|$0.00|$0.00|$155686.00||||||||||||||
"MS-DRG V37 (FY 2020) 653"|"Major Bladder Procedures With McC"|0.00|$237464.00|$22827.00|$94720.27|$166225.00|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$73564.20|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 654"|"Major Bladder Procedures With Cc"|0.00|$143809.00|$22827.00|$90550.66|$100666.00|$89489.52|$70742.70|$40146.48|$89116.77|$74987.26|$59070.15|$90550.66|$90550.66|$28790.29|$31165.55|$39152.70|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 655"|"Major Bladder Procedures Without Cc/McC"|0.00|$140781.00|$19261.73|$60019.85|$98547.00|$60019.85|$47446.52|$26925.90|$59308.16|$50293.32|$39617.85|$19261.73|$23860.83|$20649.15|$22352.75|$28081.35|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 656"|"Kidney And Ureter Procedures For Neoplasm With McC"|0.00|$177632.00|$22827.00|$44302.95|$124342.00|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$44302.95|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 657"|"Kidney And Ureter Procedures For Neoplasm With Cc"|0.00|$123401.00|$17909.77|$59683.55|$86381.00|$59683.55|$47180.67|$26775.03|$58975.84|$50011.51|$39395.86|$17909.77|$22186.06|$19199.81|$20783.84|$26110.35|$23542.40|$20870.40|$20870.40
"MS-DRG V37 (FY 2020) 658"|"Kidney And Ureter Procedures For Neoplasm Without Cc/McC"|0.00|$116003.00|$13696.20|$54929.07|$81202.00|$54929.07|$43422.19|$24642.09|$54277.74|$46027.52|$36257.53|$14622.47|$18113.86|$15675.73|$16969.01|$21317.85|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 659"|"Kidney And Ureter Procedures For Non-Neoplasm With McC"|0.00|$66535.00|$15777.23|$35974.80|$46574.00|$23061.18|$27801.28|$15777.23|$24924.82|$29469.36|$23214.07|$24676.05|$30567.92|$26453.47|$28635.94|$35974.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 660"|"Kidney And Ureter Procedures For Non-Neoplasm With Cc"|0.00|$54293.00|$12491.18|$24168.15|$38005.00|$12491.18|$22800.14|$12939.08|$15470.86|$24168.15|$19038.12|$13365.88|$16557.24|$14328.63|$15510.78|$19485.90|$22806.70|$20218.20|$20218.20
"MS-DRG V37 (FY 2020) 661"|"Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC"|0.00|$34832.00|$9211.32|$18939.41|$24382.00|$9211.32|$17867.37|$10139.73|$10675.74|$18939.41|$14919.26|$9856.34|$13443.11|$10566.30|$11438.04|$14369.40|$13978.30|$12391.80|$12391.80
"MS-DRG V37 (FY 2020) 662"|"Minor Bladder Procedures With McC"|0.00|$6207.00|$0.00|$0.00|$4345.00||||||||||||||
"MS-DRG V37 (FY 2020) 663"|"Minor Bladder Procedures With Cc"|0.00|$80935.00|$13802.26|$36087.54|$56654.00|$13802.26|$34044.85|$19320.45|$14641.18|$36087.54|$28427.45|$14768.77|$18295.10|$15832.57|$17138.80|$21531.15|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 664"|"Minor Bladder Procedures Without Cc/McC"|0.00|$62301.00|$0.00|$0.00|$43611.00||||||||||||||
"MS-DRG V37 (FY 2020) 665"|"Prostatectomy With McC"|0.00|$88684.00|$22827.00|$44741.23|$62079.00|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$40995.45|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 666"|"Prostatectomy With Cc"|0.00|$73316.00|$0.00|$0.00|$51321.00||||||||||||||
"MS-DRG V37 (FY 2020) 667"|"Prostatectomy Without Cc/McC"|0.00|$51849.00|$8609.86|$20487.50|$36294.00|$8609.86|$19327.83|$10968.54|$9133.18|$20487.50|$16138.74|$9212.77|$11412.50|$9876.37|$10691.20|$13431.15|$14714.00|$13044.00|$13044.00
"MS-DRG V37 (FY 2020) 668"|"Transurethral Procedures With McC"|0.00|$112052.00|$0.00|$0.00|$78436.00||||||||||||||
"MS-DRG V37 (FY 2020) 669"|"Transurethral Procedures With Cc"|0.00|$68830.00|$12375.96|$25751.00|$48181.00|$13257.06|$21807.86|$12375.96|$14062.84|$23116.34|$18209.57|$14185.39|$17572.42|$15207.17|$16461.80|$20680.65|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 670"|"Transurethral Procedures Without Cc/McC"|0.00|$48654.00|$0.00|$0.00|$34058.00||||||||||||||
"MS-DRG V37 (FY 2020) 671"|"Urethral Procedures With Cc/McC"|0.00|$93200.00|$15375.56|$42149.58|$65240.00|$15375.56|$39763.76|$22565.93|$16310.11|$42149.58|$33202.74|$16452.24|$20380.53|$17637.30|$19092.42|$23985.45|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 672"|"Urethral Procedures Without Cc/McC"|0.00|$69959.00|$0.00|$0.00|$48971.00||||||||||||||
"MS-DRG V37 (FY 2020) 673"|"Other Kidney And Urinary Tract Procedures With McC"|0.00|$107739.00|$22827.00|$46751.85|$75417.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$46751.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 674"|"Other Kidney And Urinary Tract Procedures With Cc"|0.00|$87590.00|$20150.02|$37637.04|$61313.00|$20599.98|$35506.64|$20150.02|$21852.07|$37637.04|$29648.04|$22042.50|$27305.57|$23630.23|$25579.78|$32135.40|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 675"|"Other Kidney And Urinary Tract Procedures Without Cc/McC"|0.00|$54838.00|$0.00|$0.00|$38387.00||||||||||||||
"MS-DRG V37 (FY 2020) 682"|"Renal Failure With McC"|0.00|$47696.00|$14373.54|$25751.00|$33387.00|$16907.30|$16907.30|$16907.30|$14686.05|$14373.54|$14373.54|$14745.38|$17995.99|$24675.45|$24675.45|$19847.70|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 683"|"Renal Failure With Cc"|0.00|$37075.00|$6868.85|$22806.70|$25952.00|$7599.08|$12103.70|$6868.85|$8060.96|$12829.92|$10106.59|$8131.21|$10072.69|$8436.00|$9132.00|$11854.35|$22806.70|$20218.20|$20218.20
"MS-DRG V37 (FY 2020) 684"|"Renal Failure Without Cc/McC"|0.00|$21390.00|$5257.31|$16185.40|$14973.00|$5257.31|$9911.80|$5624.95|$5576.85|$10506.51|$8276.35|$5625.45|$6968.63|$6030.65|$6528.20|$8201.25|$16185.40|$14348.40|$14348.40
"MS-DRG V37 (FY 2020) 686"|"Kidney And Urinary Tract Neoplasms With McC"|0.00|$47675.00|$22827.00|$25751.00|$33372.00|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$25288.20|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 687"|"Kidney And Urinary Tract Neoplasms With Cc"|0.00|$88540.00|$1622.03|$24278.10|$61978.00|$7145.50|$2858.20|$1622.03|$7145.50|$3029.69|$2386.60|$7145.50|$7145.50|$7145.50|$7145.50|$14145.30|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 688"|"Kidney And Urinary Tract Neoplasms Without Cc/McC"|0.00|$17334.00|$5930.59|$13978.30|$12134.00|$5930.59|$11643.80|$6607.86|$6291.05|$12342.43|$9722.57|$6345.88|$7861.08|$6802.97|$7364.23|$9251.55|$13978.30|$12391.80|$12391.80
"MS-DRG V37 (FY 2020) 689"|"Kidney And Urinary Tract Infections With McC"|0.00|$42239.00|$15002.55|$25751.00|$29567.00|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15002.55|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 690"|"Kidney And Urinary Tract Infections Without McC"|0.00|$29375.00|$5684.36|$21335.30|$20562.00|$6855.70|$10016.49|$5684.36|$7272.40|$10617.48|$8363.77|$7335.77|$10442.11|$7864.17|$8512.98|$10694.70|$21335.30|$18913.80|$18913.80
"MS-DRG V37 (FY 2020) 693"|"Urinary Stones With McC"|0.00|$36285.00|$0.00|$0.00|$25400.00||||||||||||||
"MS-DRG V37 (FY 2020) 694"|"Urinary Stones Without McC"|0.00|$20089.00|$6710.95|$15449.70|$14062.00|$7013.30|$7013.30|$7013.30|$6710.95|$7013.30|$7013.30|$6768.52|$8381.00|$7013.30|$7013.30|$9845.55|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 695"|"Kidney And Urinary Tract Signs And Symptoms With McC"|0.00|$30355.00|$0.00|$0.00|$21248.00||||||||||||||
"MS-DRG V37 (FY 2020) 696"|"Kidney And Urinary Tract Signs And Symptoms Without McC"|0.00|$23334.00|$5968.66|$16921.10|$16334.00|$5968.66|$11137.00|$6320.25|$6331.45|$11805.22|$9299.40|$6386.62|$7911.55|$6846.65|$7411.52|$9310.95|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 697"|"Urethral Stricture"|0.00|$19888.00|$0.00|$0.00|$13922.00||||||||||||||
"MS-DRG V37 (FY 2020) 698"|"Other Kidney And Urinary Tract Diagnoses With McC"|0.00|$55748.00|$10918.38|$25751.00|$39024.00|$13904.38|$19239.43|$10918.38|$14749.51|$20393.80|$16064.93|$14878.04|$18430.46|$24395.54|$24395.54|$21690.45|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 699"|"Other Kidney And Urinary Tract Diagnoses With Cc"|0.00|$34521.00|$7689.17|$24278.10|$24165.00|$8872.08|$13549.20|$7689.17|$9411.34|$14362.15|$11313.58|$9493.35|$11760.07|$10177.16|$11016.80|$13840.20|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 700"|"Other Kidney And Urinary Tract Diagnoses Without Cc/McC"|0.00|$53190.00|$5186.27|$17656.80|$37233.00|$6445.50|$9138.80|$5186.27|$6837.26|$9687.13|$7630.90|$6896.85|$8543.60|$7393.63|$8003.62|$10054.80|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 707"|"Major Male Pelvic Procedures With Cc/McC"|0.00|$106562.00|$16305.00|$53364.11|$74593.00|$53364.11|$42185.06|$23940.02|$52731.33|$44716.17|$35224.53|$17784.76|$22031.20|$19065.80|$20638.77|$25928.10|$18392.50|$16305.00|$16305.00
"MS-DRG V37 (FY 2020) 708"|"Major Male Pelvic Procedures Without Cc/McC"|0.00|$103667.00|$9130.80|$52013.27|$72567.00|$52013.27|$41117.21|$23334.02|$51396.51|$43584.24|$34332.87|$13810.36|$17970.78|$14805.13|$16026.58|$20133.90|$10299.80|$9130.80|$9130.80
"MS-DRG V37 (FY 2020) 709"|"Penis Procedures With Cc/McC"|0.00|$58323.00|$0.00|$0.00|$40826.00||||||||||||||
"MS-DRG V37 (FY 2020) 710"|"Penis Procedures Without Cc/McC"|0.00|$53509.00|$11087.40|$23244.32|$37456.00|$13845.53|$21928.60|$12444.48|$14687.08|$23244.32|$18310.38|$14815.07|$18352.45|$15882.21|$17192.53|$21598.65|$12506.90|$11087.40|$11087.40
"MS-DRG V37 (FY 2020) 711"|"Testes Procedures With Cc/McC"|0.00|$121011.00|$22827.00|$32302.31|$84708.00|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$28759.05|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 712"|"Testes Procedures Without Cc/McC"|0.00|$39079.00|$0.00|$0.00|$27355.00||||||||||||||
"MS-DRG V37 (FY 2020) 713"|"Transurethral Prostatectomy With Cc/McC"|0.00|$50404.00|$10169.34|$20599.60|$35283.00|$12908.31|$17919.54|$10169.34|$13692.89|$18994.72|$14962.82|$13812.22|$17110.14|$14807.11|$16028.73|$20136.60|$20599.60|$18261.60|$18261.60
"MS-DRG V37 (FY 2020) 714"|"Transurethral Prostatectomy Without Cc/McC"|0.00|$58472.00|$8035.24|$20221.15|$40930.00|$8035.24|$19076.56|$10825.95|$8523.63|$20221.15|$15928.92|$8597.91|$10650.82|$9217.22|$9977.66|$12534.75|$11771.20|$10435.20|$10435.20
"MS-DRG V37 (FY 2020) 715"|"Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC"|0.00|$95373.00|$0.00|$0.00|$66761.00||||||||||||||
"MS-DRG V37 (FY 2020) 716"|"Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/McC"|0.00|$139270.00|$0.00|$0.00|$97489.00||||||||||||||
"MS-DRG V37 (FY 2020) 717"|"Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC"|0.00|$246843.00|$11799.43|$25751.00|$172790.00|$15564.22|$20791.94|$11799.43|$16510.23|$22039.46|$17361.27|$18675.85|$22652.33|$17853.71|$19326.68|$24279.75|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 718"|"Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC"|0.00|$59444.00|$0.00|$0.00|$41611.00||||||||||||||
"MS-DRG V37 (FY 2020) 722"|"Malignancy, Male Reproductive System With McC"|0.00|$54954.00|$0.00|$0.00|$38468.00||||||||||||||
"MS-DRG V37 (FY 2020) 723"|"Malignancy, Male Reproductive System With Cc"|0.00|$71303.00|$0.00|$0.00|$49912.00||||||||||||||
"MS-DRG V37 (FY 2020) 724"|"Malignancy, Male Reproductive System Without Cc/McC"|0.00|$54621.00|$5619.91|$23159.10|$38235.00|$5619.91|$21848.21|$12398.86|$5961.49|$23159.10|$18243.25|$6013.44|$7449.27|$6446.59|$6978.45|$8766.90|$13242.60|$11739.60|$11739.60
"MS-DRG V37 (FY 2020) 725"|"Benign Prostatic Hypertrophy With McC"|0.00|$67206.00|$0.00|$0.00|$47044.00||||||||||||||
"MS-DRG V37 (FY 2020) 726"|"Benign Prostatic Hypertrophy Without McC"|0.00|$23612.00|$4743.73|$18392.50|$16528.00|$6432.52|$8359.00|$4743.73|$6823.49|$8860.54|$6979.76|$6882.96|$8526.39|$7378.74|$7987.50|$10034.55|$18392.50|$16305.00|$16305.00
"MS-DRG V37 (FY 2020) 727"|"Inflammation Of The Male Reproductive System With McC"|0.00|$75604.00|$3400.80|$25751.00|$52923.00|$12272.24|$5992.60|$3400.80|$13018.16|$6352.16|$5003.82|$13131.61|$14981.50|$14077.48|$14981.50|$19144.35|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 728"|"Inflammation Of The Male Reproductive System Without McC"|0.00|$27209.00|$6953.49|$21335.30|$19046.00|$6953.49|$13920.55|$7899.91|$7376.13|$14755.78|$11623.66|$7440.41|$9216.95|$7976.34|$8634.41|$10847.25|$21335.30|$18913.80|$18913.80
"MS-DRG V37 (FY 2020) 729"|"Other Male Reproductive System Diagnoses With Cc/McC"|0.00|$36561.00|$0.00|$0.00|$25593.00||||||||||||||
"MS-DRG V37 (FY 2020) 730"|"Other Male Reproductive System Diagnoses Without Cc/McC"|0.00|$33969.00|$0.00|$0.00|$23778.00||||||||||||||
"MS-DRG V37 (FY 2020) 734"|"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/McC"|0.00|$144407.00|$0.00|$0.00|$101085.00||||||||||||||
"MS-DRG V37 (FY 2020) 735"|"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC"|0.00|$109356.00|$11087.40|$55334.15|$76549.00|$55334.15|$43742.41|$24823.82|$54678.01|$46366.95|$36524.91|$13089.01|$16214.26|$14031.81|$15189.47|$19082.25|$12506.90|$11087.40|$11087.40
"MS-DRG V37 (FY 2020) 736"|"Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC"|0.00|$142907.00|$0.00|$0.00|$100035.00||||||||||||||
"MS-DRG V37 (FY 2020) 737"|"Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc"|0.00|$56779.00|$19058.93|$54399.51|$39745.00|$53554.25|$42335.37|$24025.32|$54399.51|$44875.49|$35350.04|$19058.93|$23609.61|$20431.75|$22117.42|$27785.70|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 738"|"Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC"|0.00|$100638.00|$16957.20|$20782.78|$70447.00|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$19934.10|$19128.20|$16957.20|$16957.20
"MS-DRG V37 (FY 2020) 739"|"Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC"|0.00|$153320.00|$0.00|$0.00|$107324.00||||||||||||||
"MS-DRG V37 (FY 2020) 740"|"Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc"|0.00|$107970.00|$15577.20|$37955.19|$75579.00|$15577.20|$35806.78|$20320.35|$16524.00|$37955.19|$29898.66|$16668.00|$20647.80|$17868.60|$19342.80|$24300.00|$20599.60|$18261.60|$18261.60
"MS-DRG V37 (FY 2020) 741"|"Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC"|0.00|$88537.00|$10435.20|$35840.57|$61976.00|$11072.79|$33811.86|$19188.23|$11745.81|$35840.57|$28232.90|$11848.17|$14677.14|$12701.60|$13749.51|$17273.25|$11771.20|$10435.20|$10435.20
"MS-DRG V37 (FY 2020) 742"|"Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC"|0.00|$76157.00|$14858.92|$40183.47|$53310.00|$14858.92|$37908.93|$21513.32|$15762.06|$40183.47|$31653.96|$15899.42|$19695.71|$17044.66|$18450.88|$23179.50|$20599.60|$18261.60|$18261.60
"MS-DRG V37 (FY 2020) 743"|"Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC"|0.00|$36889.00|$9798.92|$23069.72|$25822.00|$9798.92|$21763.89|$12351.01|$10394.51|$23069.72|$18172.85|$10485.10|$12988.61|$11240.34|$12167.70|$15286.05|$12506.90|$11087.40|$11087.40
"MS-DRG V37 (FY 2020) 744"|"D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC"|0.00|$58669.00|$14334.60|$26774.75|$41068.00|$15525.28|$25259.20|$14334.60|$16468.92|$26774.75|$21091.43|$16612.44|$20578.97|$17809.04|$19278.32|$24219.00|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 745"|"D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/McC"|0.00|$55554.00|$10129.51|$26098.18|$38888.00|$10129.51|$24620.93|$13972.38|$10745.19|$26098.18|$20558.47|$10838.83|$13426.81|$11619.55|$12578.19|$15801.75|$16185.40|$14348.40|$14348.40
"MS-DRG V37 (FY 2020) 746"|"Vagina, Cervix And Vulva Procedures With Cc/McC"|0.00|$58936.00|$13927.75|$27400.05|$41255.00|$13927.75|$25849.10|$14669.37|$14774.29|$27400.05|$21584.00|$16492.67|$20051.05|$15976.51|$17294.61|$21726.90|$23542.40|$20870.40|$20870.40
"MS-DRG V37 (FY 2020) 747"|"Vagina, Cervix And Vulva Procedures Without Cc/McC"|0.00|$32074.00|$6418.03|$12663.00|$22452.00|$8117.45|$11309.30|$6418.03|$8610.84|$11987.86|$9443.27|$8685.88|$10759.80|$9311.53|$10079.75|$12663.00|$11035.50|$9783.00|$9783.00
"MS-DRG V37 (FY 2020) 748"|"Female Reproductive System Reconstructive Procedures"|0.00|$75121.00|$10435.20|$62416.98|$52585.00|$62416.98|$49341.49|$28001.29|$61676.86|$52301.98|$41200.14|$12485.26|$15466.35|$13384.57|$14488.83|$18202.05|$11771.20|$10435.20|$10435.20
"MS-DRG V37 (FY 2020) 749"|"Other Female Reproductive System O.R. Procedures With Cc/McC"|0.00|$95370.00|$22827.00|$41040.53|$66759.00|$37755.53|$37755.53|$37755.53|$28486.40|$37755.53|$37755.53|$35054.47|$41040.53|$37755.53|$37755.53|$36549.90|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 750"|"Other Female Reproductive System O.R. Procedures Without Cc/McC"|0.00|$55525.00|$12685.90|$30873.35|$38868.00|$12685.90|$29125.80|$16528.89|$18765.22|$30873.35|$24320.04|$16947.10|$20188.21|$14551.99|$15752.56|$19789.65|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 754"|"Malignancy, Female Reproductive System With McC"|0.00|$53955.00|$9018.20|$25751.00|$37768.00|$15758.93|$15891.11|$9018.20|$16716.78|$16844.57|$13269.08|$16862.46|$20888.69|$18077.07|$19568.47|$24583.50|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 755"|"Malignancy, Female Reproductive System With Cc"|0.00|$33687.00|$9758.25|$39998.42|$23581.00|$9758.25|$37734.36|$21414.25|$12188.95|$39998.42|$31508.19|$10441.58|$12934.70|$11193.69|$12117.19|$15222.60|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 756"|"Malignancy, Female Reproductive System Without Cc/McC"|0.00|$101211.00|$8483.09|$51212.92|$70848.00|$51212.92|$40484.52|$22974.97|$10247.38|$42913.60|$33804.58|$8483.09|$10508.58|$9094.12|$9844.41|$12367.35|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 757"|"Infections, Female Reproductive System With McC"|0.00|$45238.00|$10269.04|$25751.00|$31667.00|$13172.25|$18095.22|$10269.04|$13972.88|$19180.94|$15109.51|$14094.65|$17460.01|$15109.89|$16356.49|$20548.35|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 758"|"Infections, Female Reproductive System With Cc"|0.00|$28091.00|$6737.19|$25751.00|$19664.00|$8368.42|$11871.70|$6737.19|$8877.06|$12584.01|$9912.87|$8954.42|$11092.46|$9599.41|$10391.38|$13054.50|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 759"|"Infections, Female Reproductive System Without Cc/McC"|0.00|$31127.00|$3880.00|$19863.90|$21789.00|$5912.41|$6837.00|$3880.00|$6271.78|$7247.22|$5708.90|$6326.43|$7836.99|$6782.13|$7341.67|$9223.20|$19863.90|$17609.40|$17609.40
"MS-DRG V37 (FY 2020) 760"|"Menstrual And Other Female Reproductive System Disorders With Cc/McC"|0.00|$29749.00|$7984.18|$19128.20|$20824.00|$7984.18|$14564.90|$8265.58|$8469.47|$15438.79|$12161.69|$8543.28|$10583.14|$9158.65|$9914.26|$12455.10|$19128.20|$16957.20|$16957.20
"MS-DRG V37 (FY 2020) 761"|"Menstrual And Other Female Reproductive System Disorders Without Cc/McC"|0.00|$21055.00|$3555.84|$13242.60|$14738.00|$5105.86|$6265.80|$3555.84|$5416.20|$6641.75|$5231.94|$5463.40|$6767.89|$5856.93|$6340.14|$7965.00|$13242.60|$11739.60|$11739.60
"MS-DRG V37 (FY 2020) 768"|"Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C"|0.00|$18341.00|$5053.00|$15805.80|$12839.00|$5053.00|$9287.70|$5270.77|$10747.94|$9844.96|$7755.23|$10841.61|$13430.25|$5735.00|$6209.00|$15805.80|$13981.00|$12378.30|$12378.30
"MS-DRG V37 (FY 2020) 769"|"Postpartum And Post Abortion Diagnoses With O.R. Procedures"|0.00|$17539.00|$14022.94|$36639.89|$12277.00|$14022.94|$34565.94|$19616.17|$20373.07|$36639.89|$28862.56|$18498.21|$22080.92|$16085.71|$17412.82|$21875.40|$21335.30|$18913.80|$18913.80
"MS-DRG V37 (FY 2020) 770"|"Abortion With D&C, Aspiration Curettage Or Hysterotomy"|0.00|$35242.00|$7524.25|$14054.11|$24669.00|$7685.62|$13258.60|$7524.25|$8152.76|$14054.11|$11070.93|$8223.81|$10187.40|$8816.17|$9543.52|$11989.35|$13242.60|$11739.60|$11739.60
"MS-DRG V37 (FY 2020) 776"|"Postpartum And Post Abortion Diagnoses Without O.R. Procedures"|0.00|$24421.00|$3774.33|$18392.50|$17095.00|$6653.20|$6650.80|$3774.33|$7057.58|$7049.85|$5553.42|$7119.09|$8818.90|$7631.88|$8261.52|$10378.80|$18392.50|$16305.00|$16305.00
"MS-DRG V37 (FY 2020) 779"|"Abortion Without D&C"|0.00|$22428.00|$4608.04|$14714.00|$15700.00|$9003.62|$8119.90|$4608.04|$9550.87|$8607.09|$6780.12|$9634.10|$11934.43|$10328.05|$11180.14|$14045.40|$14714.00|$13044.00|$13044.00
"MS-DRG V37 (FY 2020) 783"|"Cesarean Section With Sterilization With McC"|0.00|$34981.00|$7926.00|$25281.45|$24487.00|$7950.00|$18900.17|$10725.85|$17191.39|$20034.18|$15781.64|$17341.20|$21481.74|$7926.00|$8580.00|$25281.45|$22883.00|$20261.00|$20261.00
"MS-DRG V37 (FY 2020) 784"|"Cesarean Section With Sterilization With Cc"|0.00|$34808.00|$7926.00|$21575.40|$24366.00|$7950.00|$18063.00|$10250.75|$10051.18|$19146.78|$15082.61|$10138.77|$12559.60|$7926.00|$8580.00|$14781.15|$21575.40|$19103.70|$19103.70
"MS-DRG V37 (FY 2020) 785"|"Cesarean Section With Sterilization Without Cc/McC"|0.00|$32377.00|$7542.57|$17652.60|$22664.00|$7950.00|$13290.88|$7542.57|$8402.45|$14088.33|$11097.88|$8475.68|$10499.41|$7926.00|$8580.00|$12356.55|$17652.60|$15630.30|$15630.30
"MS-DRG V37 (FY 2020) 786"|"Cesarean Section Without Sterilization With McC"|0.00|$40596.00|$7926.00|$22883.00|$28417.00|$7950.00|$16561.50|$9398.65|$14606.30|$17555.19|$13828.85|$14733.59|$18251.51|$7926.00|$8580.00|$21479.85|$22883.00|$20261.00|$20261.00
"MS-DRG V37 (FY 2020) 787"|"Cesarean Section Without Sterilization With Cc"|0.00|$29821.00|$7778.37|$22883.00|$20875.00|$7950.00|$13706.37|$7778.37|$9755.59|$14528.75|$11444.82|$9840.60|$12190.23|$7926.00|$8580.00|$14346.45|$22883.00|$20261.00|$20261.00
"MS-DRG V37 (FY 2020) 788"|"Cesarean Section Without Sterilization Without Cc/McC"|0.00|$30004.00|$7320.18|$19614.00|$21003.00|$7950.00|$12898.99|$7320.18|$8143.58|$13672.93|$10770.65|$8214.55|$10175.92|$7926.00|$8580.00|$11975.85|$19614.00|$17367.00|$17367.00
"MS-DRG V37 (FY 2020) 789"|"Neonates, Died Or Transferred To Another Acute Care Facility"|0.00|$14511.00|$1300.00|$23199.75|$10158.00|$13474.99|$5390.00|$3058.82|$13474.99|$5713.40|$4500.65|$1300.00|$1600.00|$13474.99|$13474.99|$23199.75|$13242.60|$11739.60|$11739.60
"MS-DRG V37 (FY 2020) 790"|"Extreme Immaturity Or Respiratory Distress Syndrome, Neonate"|0.00|$67836.00|$22827.00|$83342.32|$47485.00|$82365.67|$65111.20|$36950.61|$81389.00|$69017.87|$54367.85|$83342.32|$83342.32|$56257.30|$60898.66|$76505.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 791"|"Prematurity With Major Problems"|0.00|$29007.00|$14300.00|$52250.40|$20305.00|$33494.44|$36249.40|$20571.53|$35530.27|$38424.36|$30268.25|$14300.00|$17600.00|$38421.46|$41591.32|$52250.40|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 792"|"Prematurity Without Major Problems"|0.00|$26244.00|$1912.70|$31526.55|$18371.00|$8426.00|$3370.40|$1912.70|$8426.00|$3572.62|$2814.28|$8426.00|$8426.00|$8426.00|$8426.00|$31526.55|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 793"|"Full Term Neonate With Major Problems"|0.00|$18212.00|$1515.74|$53671.95|$12748.00|$6677.25|$2670.90|$1515.74|$6677.25|$2831.15|$2230.20|$6677.25|$6677.25|$6677.25|$6677.25|$53671.95|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 794"|"Neonate With Other Significant Problems"|0.00|$8588.00|$1408.48|$25013.80|$6012.00|$6204.75|$2481.90|$1408.48|$6204.75|$2630.81|$2072.39|$6204.75|$6204.75|$6204.75|$6204.75|$18997.20|$25013.80|$22174.80|$22174.80
"MS-DRG V37 (FY 2020) 795"|"Normal Newborn"|0.00|$6018.00|$1208.66|$22806.70|$4213.00|$1648.59|$2129.80|$1208.66|$1748.79|$2257.59|$1778.38|$1764.03|$2185.23|$1891.09|$2047.11|$2571.75|$22806.70|$20218.20|$20218.20
"MS-DRG V37 (FY 2020) 796"|"Vaginal Delivery With Sterilization And/Or D&C With McC"|0.00|$42289.00|$5053.00|$15785.00|$29602.00|$5053.00|$10227.63|$5804.18|$9803.32|$10841.29|$8540.07|$9888.75|$12249.88|$5735.00|$6209.00|$14416.65|$15785.00|$13976.00|$13976.00
"MS-DRG V37 (FY 2020) 797"|"Vaginal Delivery With Sterilization And/Or D&C With Cc"|0.00|$29060.00|$5053.00|$14854.14|$20342.00|$5053.00|$14013.34|$7952.57|$8444.68|$14854.14|$11701.14|$8518.27|$10552.17|$5735.00|$6209.00|$12418.65|$10824.00|$9583.20|$9583.20
"MS-DRG V37 (FY 2020) 798"|"Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC"|0.00|$23596.00|$5053.00|$12707.18|$16517.00|$5053.00|$11987.90|$6803.14|$7594.61|$12707.18|$10009.90|$7660.80|$9489.96|$5735.00|$6209.00|$11168.55|$9471.00|$8385.30|$8385.30
"MS-DRG V37 (FY 2020) 799"|"Splenectomy With McC"|0.00|$114327.00|$0.00|$0.00|$80029.00||||||||||||||
"MS-DRG V37 (FY 2020) 800"|"Splenectomy With Cc"|0.00|$60953.00|$0.00|$0.00|$42667.00||||||||||||||
"MS-DRG V37 (FY 2020) 801"|"Splenectomy Without Cc/McC"|0.00|$101716.00|$15454.53|$51468.12|$71201.00|$51468.12|$40686.26|$23089.45|$15454.53|$43127.44|$33973.03|$15589.21|$19311.43|$16712.10|$18090.89|$22727.25|$19128.20|$16957.20|$16957.20
"MS-DRG V37 (FY 2020) 802"|"Other O.R. Procedures Of The Blood And Blood Forming Organs With McC"|0.00|$52335.00|$22827.00|$50067.45|$36634.00|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$50067.45|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 803"|"Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc"|0.00|$110277.00|$18354.76|$34649.84|$77194.00|$18354.76|$32688.52|$18550.74|$19407.28|$34649.84|$27294.92|$21273.25|$25440.54|$19574.41|$21190.06|$25444.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 804"|"Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/McC"|0.00|$87632.00|$11805.79|$37155.81|$61342.00|$11805.79|$35052.65|$19892.38|$12523.36|$37155.81|$29268.96|$12632.49|$15648.74|$13542.41|$14659.69|$18416.70|$14714.00|$13044.00|$13044.00
"MS-DRG V37 (FY 2020) 805"|"Vaginal Delivery Without Sterilization Or D&C With McC"|0.00|$12977.00|$2791.03|$13861.80|$9084.00|$5053.00|$4918.11|$2791.03|$9426.02|$5213.19|$4106.62|$9508.17|$11778.42|$5735.00|$6209.00|$13861.80|$13079.00|$11579.70|$11579.70
"MS-DRG V37 (FY 2020) 806"|"Vaginal Delivery Without Sterilization Or D&C With Cc"|0.00|$12015.00|$3163.98|$10373.00|$8410.00|$5053.00|$5575.30|$3163.98|$6737.20|$5909.82|$4655.38|$6795.91|$8418.57|$5735.00|$6209.00|$9907.65|$10373.00|$9183.90|$9183.90
"MS-DRG V37 (FY 2020) 807"|"Vaginal Delivery Without Sterilization Or D&C Without Cc/McC"|0.00|$9830.00|$2583.49|$9471.00|$6881.00|$5053.00|$4552.40|$2583.49|$5885.30|$4825.54|$3801.25|$5936.59|$7354.06|$5735.00|$6209.00|$8654.85|$9471.00|$8385.30|$8385.30
"MS-DRG V37 (FY 2020) 808"|"Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC"|0.00|$63596.00|$11869.72|$29401.65|$44517.00|$18847.55|$20915.80|$11869.72|$19993.12|$22170.75|$17464.69|$20167.35|$24982.69|$21620.01|$23403.71|$29401.65|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 809"|"Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc"|0.00|$38452.00|$6359.89|$25749.50|$26916.00|$10572.59|$11206.86|$6359.89|$11215.21|$11879.27|$9357.72|$11312.94|$14014.12|$12127.82|$13128.39|$16492.95|$25749.50|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 810"|"Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders Without Cc/McC"|0.00|$29422.00|$8313.90|$18392.50|$20595.00|$8313.90|$16057.60|$9112.69|$8819.23|$17021.05|$13408.09|$8896.08|$11020.19|$9536.87|$10323.68|$12969.45|$18392.50|$16305.00|$16305.00
"MS-DRG V37 (FY 2020) 811"|"Red Blood Cell Disorders With McC"|0.00|$39100.00|$10786.03|$25751.00|$27370.00|$11921.75|$19006.21|$10786.03|$12646.37|$20146.58|$15870.19|$12756.58|$15802.45|$13675.44|$14803.69|$18597.60|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 812"|"Red Blood Cell Disorders Without McC"|0.00|$32276.00|$6155.78|$19863.90|$22593.00|$7612.92|$10847.20|$6155.78|$8075.65|$11498.03|$9057.41|$8146.02|$10091.04|$8732.78|$9453.26|$11875.95|$19863.90|$17609.40|$17609.40
"MS-DRG V37 (FY 2020) 813"|"Coagulation Disorders"|0.00|$36186.00|$13367.83|$27410.34|$25330.00|$13367.83|$25858.81|$14674.88|$14180.35|$27410.34|$21592.11|$21073.51|$24488.85|$15334.24|$16599.35|$20853.45|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 814"|"Reticuloendothelial And Immunity Disorders With McC"|0.00|$49806.00|$15228.73|$28444.85|$34864.00|$16362.98|$26834.77|$15228.73|$17390.45|$28444.85|$22407.03|$17508.81|$21689.37|$18769.97|$20318.54|$25524.45|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 815"|"Reticuloendothelial And Immunity Disorders With Cc"|0.00|$46710.00|$8589.10|$21335.30|$32697.00|$8589.10|$16498.50|$9362.90|$9111.15|$17488.41|$13776.25|$11723.87|$15106.72|$9852.55|$10665.41|$13398.75|$21335.30|$18913.80|$18913.80
"MS-DRG V37 (FY 2020) 816"|"Reticuloendothelial And Immunity Disorders Without Cc/McC"|0.00|$35791.00|$5719.43|$16185.40|$25054.00|$5719.43|$10217.72|$5798.55|$6067.06|$10830.78|$8531.79|$6119.93|$7581.18|$6560.75|$7102.03|$8922.15|$16185.40|$14348.40|$14348.40
"MS-DRG V37 (FY 2020) 817"|"Other Antepartum Diagnoses With O.R. Procedures With McC"|0.00|$66219.00|$15030.06|$31074.30|$46353.00|$19919.78|$26484.70|$15030.06|$21130.52|$28073.78|$22114.72|$21314.67|$26403.95|$22849.97|$24735.14|$31074.30|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 818"|"Other Antepartum Diagnoses With O.R. Procedures With Cc"|0.00|$53978.00|$11392.99|$22886.58|$37785.00|$11392.99|$21591.12|$12252.96|$12085.47|$22886.58|$18028.58|$12190.79|$15101.57|$13068.90|$14147.11|$17772.75|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 819"|"Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC"|0.00|$27059.00|$8635.83|$36088.71|$18941.00|$8635.83|$34045.95|$19321.08|$9160.72|$36088.71|$28428.37|$9240.55|$11446.91|$9906.15|$10723.43|$13471.65|$13242.60|$11739.60|$11739.60
"MS-DRG V37 (FY 2020) 820"|"Lymphoma And Leukemia With Major O.R. Procedures With McC"|0.00|$336608.00|$0.00|$0.00|$235626.00||||||||||||||
"MS-DRG V37 (FY 2020) 821"|"Lymphoma And Leukemia With Major O.R. Procedures With Cc"|0.00|$165050.00|$22827.00|$33645.23|$115535.00|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$29093.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 822"|"Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC"|0.00|$99700.00|$10831.35|$40591.84|$69790.00|$10831.35|$38294.18|$21731.95|$11489.69|$40591.84|$31975.64|$11589.82|$14357.10|$12424.63|$13449.69|$16896.60|$13242.60|$11739.60|$11739.60
"MS-DRG V37 (FY 2020) 823"|"Lymphoma And Non-Acute Leukemia With Other Procedures With McC"|0.00|$187290.00|$22827.00|$68194.77|$131103.00|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$60710.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 824"|"Lymphoma And Non-Acute Leukemia With Other Procedures With Cc"|0.00|$97818.00|$20446.81|$39261.66|$68473.00|$20446.81|$37039.30|$21019.81|$21689.59|$39261.66|$30927.82|$21878.60|$27102.53|$23454.52|$25389.57|$31896.45|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 825"|"Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC"|0.00|$83605.00|$12121.66|$38945.58|$58524.00|$12121.66|$36741.11|$20850.58|$12858.43|$38945.58|$30678.83|$12970.48|$16067.43|$13904.75|$15051.92|$18909.45|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 826"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC"|0.00|$223403.00|$22827.00|$156162.09|$156382.00|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$67996.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 827"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc"|0.00|$120293.00|$9898.09|$33717.60|$84205.00|$21614.23|$17441.58|$9898.09|$22927.97|$18488.07|$14563.72|$23127.78|$28649.97|$24793.68|$26839.21|$33717.60|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 828"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC"|0.00|$110407.00|$14518.82|$41174.10|$77285.00|$14518.82|$38843.49|$22043.68|$18766.55|$41174.10|$32434.31|$17673.79|$21383.19|$16654.53|$18028.56|$22648.95|$20599.60|$18261.60|$18261.60
"MS-DRG V37 (FY 2020) 829"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC"|0.00|$94944.00|$14888.19|$43276.95|$66461.00|$27742.13|$26234.70|$14888.19|$30253.93|$27808.79|$21905.98|$29684.78|$36772.58|$31822.98|$34448.45|$43276.95|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 830"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC"|0.00|$99292.00|$15000.60|$19932.75|$69504.00|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$19932.75|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 831"|"Other Antepartum Diagnoses Without O.R. Procedures With McC"|0.00|$25837.00|$4450.50|$25013.80|$18086.00|$12230.42|$7842.30|$4450.50|$12895.73|$8312.84|$6548.32|$15107.39|$17586.14|$11993.16|$12983.34|$15134.85|$25013.80|$22174.80|$22174.80
"MS-DRG V37 (FY 2020) 832"|"Other Antepartum Diagnoses Without O.R. Procedures With Cc"|0.00|$13199.00|$4145.47|$18392.50|$9239.00|$6748.39|$7304.80|$4145.47|$7158.56|$7743.09|$6099.51|$7220.95|$8945.09|$7741.07|$8379.73|$10527.30|$18392.50|$16305.00|$16305.00
"MS-DRG V37 (FY 2020) 833"|"Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC"|0.00|$17861.00|$3083.91|$13978.30|$12503.00|$4638.54|$5434.20|$3083.91|$4920.48|$5760.25|$4537.56|$4963.36|$6148.46|$5320.87|$5759.86|$7236.00|$13978.30|$12391.80|$12391.80
"MS-DRG V37 (FY 2020) 834"|"Acute Leukemia Without Major O.R. Procedures With McC"|0.00|$142933.00|$22827.00|$113043.00|$100053.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$81676.35|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 835"|"Acute Leukemia Without Major O.R. Procedures With Cc"|0.00|$81727.00|$22827.00|$222279.46|$57209.00|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$28534.95|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 836"|"Acute Leukemia Without Major O.R. Procedures Without Cc/McC"|0.00|$53835.00|$0.00|$0.00|$37684.00||||||||||||||
"MS-DRG V37 (FY 2020) 837"|"Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With McC"|0.00|$111936.00|$22827.00|$76937.85|$78355.00|$64949.27|$51343.30|$29137.32|$64179.12|$54423.89|$42871.65|$54263.01|$68133.21|$56575.96|$61243.60|$76937.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 838"|"Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent"|0.00|$25523.00|$5056.08|$30493.80|$17866.00|$19547.66|$8909.40|$5056.08|$20735.78|$9443.96|$7439.35|$22273.50|$22273.50|$16308.00|$17652.00|$30493.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 839"|"Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC"|0.00|$33438.00|$7415.24|$25751.00|$23407.00|$12862.44|$13066.50|$7415.24|$13644.23|$13850.49|$10910.53|$17934.74|$21220.95|$14754.50|$15971.78|$20065.05|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 840"|"Lymphoma And Non-Acute Leukemia With McC"|0.00|$123431.00|$19356.54|$43411.95|$86402.00|$27828.67|$34108.43|$19356.54|$29520.13|$36154.94|$28480.54|$29777.38|$36887.29|$31922.25|$34555.91|$43411.95|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 841"|"Lymphoma And Non-Acute Leukemia With Cc"|0.00|$50530.00|$15790.18|$55186.71|$35371.00|$24428.70|$24428.70|$24428.70|$55186.71|$24428.70|$24428.70|$15790.18|$19373.77|$24428.70|$24428.70|$21880.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 842"|"Lymphoma And Non-Acute Leukemia Without Cc/McC"|0.00|$59611.00|$9478.73|$25275.18|$41728.00|$9478.73|$23844.51|$13531.76|$10054.85|$25275.18|$19910.17|$10142.48|$12564.19|$10873.04|$11770.09|$14786.55|$20599.60|$18261.60|$18261.60
"MS-DRG V37 (FY 2020) 843"|"Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC"|0.00|$81814.00|$17484.60|$25751.00|$57270.00|$23008.07|$23008.07|$23008.07|$17484.60|$23008.07|$23008.07|$17636.05|$21843.37|$23008.07|$23008.07|$25689.15|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 844"|"Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc"|0.00|$26021.00|$5017.61|$25749.50|$18215.00|$10216.05|$8841.60|$5017.61|$10836.99|$9372.10|$7382.74|$10931.43|$13541.52|$11718.82|$12685.65|$15936.75|$25749.50|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 845"|"Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC"|0.00|$54084.00|$7033.16|$19128.20|$37859.00|$7333.40|$12393.23|$7033.16|$7848.17|$13136.83|$10348.35|$7846.92|$9720.53|$8412.14|$9106.16|$11439.90|$19128.20|$16957.20|$16957.20
"MS-DRG V37 (FY 2020) 846"|"Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC"|0.00|$71874.00|$18324.85|$36043.65|$50312.00|$23105.31|$32290.49|$18324.85|$24509.68|$34227.92|$26962.56|$24723.27|$30626.42|$26504.10|$28690.75|$36043.65|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 847"|"Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc"|0.00|$41439.00|$10049.63|$31285.86|$29007.00|$11554.82|$17708.60|$10049.63|$12257.14|$18771.12|$14786.68|$28333.73|$31285.86|$13254.53|$14348.06|$18025.20|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 848"|"Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/McC"|0.00|$64841.00|$8904.97|$28307.63|$45389.00|$8904.97|$26705.31|$15155.26|$9446.22|$28307.63|$22298.93|$9528.54|$11803.66|$10214.88|$11057.63|$13891.50|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 849"|"Radiotherapy"|0.00|$77275.00|$17541.38|$33581.25|$54092.00|$21526.83|$30909.91|$17541.38|$22835.25|$32764.51|$25809.78|$23034.25|$28534.11|$24693.41|$26730.68|$33581.25|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 853"|"Infectious And Parasitic Diseases With O.R. Procedures With McC"|0.00|$138412.00|$22827.00|$83552.53|$96888.00|$82573.40|$65275.42|$37043.80|$81594.27|$69191.94|$54504.97|$83552.53|$83552.53|$49085.04|$53134.67|$66752.10|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 854"|"Infectious And Parasitic Diseases With O.R. Procedures With Cc"|0.00|$84398.00|$15306.41|$28589.95|$59079.00|$18124.94|$26971.65|$15306.41|$19226.59|$28589.95|$22521.33|$19394.14|$24024.86|$20791.11|$22506.42|$28274.40|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 855"|"Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC"|0.00|$49796.00|$11303.63|$24278.10|$34857.00|$12937.73|$19918.29|$11303.63|$13724.10|$21113.39|$16631.77|$15304.54|$18609.99|$14840.87|$16065.27|$20182.50|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 856"|"Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC"|0.00|$105975.00|$22827.00|$66704.15|$74182.00|$32776.40|$32776.40|$32776.40|$61663.28|$61663.28|$61663.28|$61663.28|$61663.28|$66704.15|$66704.15|$61366.95|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 857"|"Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc"|0.00|$86886.00|$17608.29|$33558.82|$60820.00|$17608.29|$31659.26|$17966.63|$18678.55|$33558.82|$26435.48|$18841.32|$23340.04|$20198.47|$21864.89|$27468.45|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 858"|"Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC"|0.00|$40565.00|$7933.20|$25749.50|$28396.00|$11669.05|$13979.20|$7933.20|$12378.31|$14817.96|$11672.64|$12486.18|$15467.50|$13385.57|$14489.91|$18203.40|$25749.50|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 862"|"Postoperative And Post-Traumatic Infections With McC"|0.00|$50279.00|$7679.87|$25751.00|$35195.00|$16259.14|$13532.81|$7679.87|$17247.38|$14344.78|$11299.89|$17397.69|$21551.71|$18650.85|$20189.58|$25363.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 863"|"Postoperative And Post-Traumatic Infections Without McC"|0.00|$20400.00|$6937.12|$25013.80|$14280.00|$8458.42|$12224.00|$6937.12|$8972.53|$12957.44|$10207.04|$9050.72|$11211.76|$9702.65|$10503.14|$13194.90|$25013.80|$22174.80|$22174.80
"MS-DRG V37 (FY 2020) 864"|"Fever And Inflammatory Conditions"|0.00|$24833.00|$7572.25|$19863.90|$17383.00|$7572.25|$15606.00|$8856.41|$8032.50|$16542.36|$13031.01|$8102.50|$10037.13|$8686.13|$9402.75|$11812.50|$19863.90|$17609.40|$17609.40
"MS-DRG V37 (FY 2020) 865"|"Viral Illness With McC"|0.00|$34113.00|$12157.72|$25751.00|$23879.00|$12798.40|$21423.30|$12157.72|$13576.30|$22708.70|$17888.46|$13694.61|$16964.46|$14681.04|$15892.26|$19965.15|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 866"|"Viral Illness Without McC"|0.00|$21376.00|$6476.02|$19863.90|$14963.00|$7245.13|$11411.49|$6476.02|$7685.50|$12096.18|$9528.60|$7752.47|$9603.52|$8310.88|$8996.55|$11302.20|$19863.90|$17609.40|$17609.40
"MS-DRG V37 (FY 2020) 867"|"Other Infectious And Parasitic Diseases Diagnoses With McC"|0.00|$63340.00|$14026.16|$30098.25|$44338.00|$19294.09|$24715.70|$14026.16|$20466.81|$26198.65|$20637.61|$20645.17|$25574.59|$22132.25|$23958.21|$30098.25|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 868"|"Other Infectious And Parasitic Diseases Diagnoses With Cc"|0.00|$35201.00|$9732.09|$34472.51|$24641.00|$34472.51|$34472.51|$34472.51|$9732.09|$34472.51|$34472.51|$12525.77|$14865.89|$34472.51|$34472.51|$14288.40|$25749.50|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 869"|"Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC"|0.00|$31876.00|$0.00|$0.00|$22313.00||||||||||||||
"MS-DRG V37 (FY 2020) 870"|"Septicemia Or Severe Sepsis With Mv >96 Hours"|0.00|$179083.00|$22827.00|$121812.03|$125358.00|$120384.54|$95165.65|$54006.51|$118957.06|$100875.59|$79463.32|$121812.03|$121812.03|$63778.99|$69040.90|$86734.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 871"|"Septicemia Or Severe Sepsis Without Mv >96 Hours With McC"|0.00|$62414.00|$10636.59|$25751.00|$43690.00|$16167.40|$18742.90|$10636.59|$17150.08|$19867.47|$15650.32|$17299.53|$21430.12|$18545.62|$20075.68|$25220.70|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 872"|"Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC"|0.00|$34956.00|$8840.93|$25749.50|$24469.00|$8840.93|$18472.50|$10483.15|$9378.29|$19580.85|$15424.54|$9460.02|$11718.77|$10141.42|$10978.11|$13791.60|$25749.50|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 876"|"O.R. Procedures With Principal Diagnosis Of Mental Illness"|0.00|$86934.00|$22827.00|$166773.23|$60854.00|$161508.71|$127674.87|$72455.49|$164864.91|$135335.36|$106608.51|$166773.23|$166773.23|$148102.85|$159274.40|$44027.55|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 880"|"Acute Adjustment Reaction And Psychosocial Dysfunction"|0.00|$31454.00|$2600.00|$14190.77|$22018.00|$6198.00|$11017.40|$6252.37|$11356.58|$11678.44|$9199.53|$11455.55|$14190.77|$12280.69|$13293.88|$11658.60|$2930.20|$2600.00|$2600.00
"MS-DRG V37 (FY 2020) 881"|"Depressive Neuroses"|0.00|$12755.00|$3099.00|$11391.40|$8928.00|$3099.00|$10746.60|$6098.70|$7356.85|$11391.40|$8973.41|$7420.96|$9192.86|$7955.50|$8611.84|$10818.90|$3945.00|$3499.00|$3499.00
"MS-DRG V37 (FY 2020) 882"|"Neuroses Except Depressive"|0.00|$16307.00|$3200.00|$11110.50|$11415.00|$7231.00|$10135.00|$5751.61|$7555.14|$10743.10|$8462.73|$7620.98|$9440.63|$8169.92|$8843.96|$11110.50|$3606.40|$3200.00|$3200.00
"MS-DRG V37 (FY 2020) 883"|"Disorders Of Personality And Impulse Control"|0.00|$26549.00|$1033.00|$21307.05|$18584.00|$1033.00|$8880.00|$5039.40|$14488.79|$9412.80|$7414.80|$14615.06|$18104.68|$6144.00|$6652.00|$21307.05|$3945.00|$3499.00|$3499.00
"MS-DRG V37 (FY 2020) 884"|"Organic Disturbances And Intellectual Disability"|0.00|$46793.00|$3499.00|$31291.94|$32755.00|$15495.00|$29520.70|$16753.00|$13254.08|$31291.94|$24649.78|$13369.59|$16561.83|$14332.60|$15515.07|$19491.30|$3945.00|$3499.00|$3499.00
"MS-DRG V37 (FY 2020) 885"|"Psychoses"|0.00|$34827.00|$3099.00|$16700.85|$24379.00|$3099.00|$7106.10|$4032.71|$11356.58|$7532.47|$5933.60|$11455.55|$14190.77|$12280.69|$13293.88|$16700.85|$3945.00|$3499.00|$3499.00
"MS-DRG V37 (FY 2020) 886"|"Behavioral And Developmental Disorders"|0.00|$41606.00|$0.00|$0.00|$29124.00||||||||||||||
"MS-DRG V37 (FY 2020) 887"|"Other Mental Disorder Diagnoses"|0.00|$32889.00|$3000.00|$76907.16|$23022.00|$73758.36|$58307.00|$33089.22|$72883.75|$61805.42|$48686.35|$76907.16|$76907.16|$10708.25|$11591.71|$14562.45|$3381.00|$3000.00|$3000.00
"MS-DRG V37 (FY 2020) 894"|"Alcohol, Drug Abuse Or Dependence, Left Ama"|0.00|$40649.00|$1730.00|$7391.25|$28454.00|$4132.00|$5100.50|$2894.53|$5026.05|$5406.53|$4258.92|$5069.85|$6280.37|$5435.03|$5883.44|$7391.25|$1954.00|$1730.00|$1730.00
"MS-DRG V37 (FY 2020) 895"|"Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy"|0.00|$20354.00|$3027.00|$21492.00|$14248.00|$5165.00|$7777.60|$4413.79|$14614.56|$8244.26|$6494.30|$16149.42|$19444.00|$15803.78|$17107.63|$21492.00|$3420.00|$3027.00|$3027.00
"MS-DRG V37 (FY 2020) 896"|"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC"|0.00|$76509.00|$3027.00|$23989.50|$53556.00|$15378.16|$15735.20|$8929.73|$16312.86|$16679.31|$13138.89|$16455.02|$20383.97|$17640.28|$19095.64|$23989.50|$3420.00|$3027.00|$3027.00
"MS-DRG V37 (FY 2020) 897"|"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC"|0.00|$34677.00|$2941.00|$11144.25|$24274.00|$7143.88|$9131.30|$5182.01|$7578.09|$9679.18|$7624.64|$7644.13|$9469.31|$8194.74|$8870.82|$11144.25|$3321.80|$2941.00|$2941.00
"MS-DRG V37 (FY 2020) 901"|"Wound Debridements For Injuries With McC"|0.00|$112380.00|$22827.00|$110407.01|$78666.00|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$57539.70|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 902"|"Wound Debridements For Injuries With Cc"|0.00|$88626.00|$0.00|$0.00|$62038.00||||||||||||||
"MS-DRG V37 (FY 2020) 903"|"Wound Debridements For Injuries Without Cc/McC"|0.00|$56538.00|$0.00|$0.00|$39577.00||||||||||||||
"MS-DRG V37 (FY 2020) 904"|"Skin Grafts For Injuries With Cc/McC"|0.00|$99902.00|$22827.00|$53315.69|$69931.00|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$50238.90|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 905"|"Skin Grafts For Injuries Without Cc/McC"|0.00|$43101.00|$14209.00|$40528.39|$30171.00|$14209.00|$38234.33|$21697.98|$31512.82|$40528.39|$31925.67|$25650.10|$29280.34|$16299.14|$17643.86|$22229.10|$24278.10|$21522.60|$21522.60
"MS-DRG V37 (FY 2020) 906"|"Hand Procedures For Injuries"|0.00|$182027.00|$8885.05|$24216.30|$127419.00|$15523.55|$15656.48|$8885.05|$16467.08|$16595.87|$13073.16|$16610.59|$20576.68|$17807.05|$19276.17|$24216.30|$20599.60|$18261.60|$18261.60
"MS-DRG V37 (FY 2020) 907"|"Other O.R. Procedures For Injuries With McC"|0.00|$83075.00|$22827.00|$55587.10|$58152.00|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$53420.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 908"|"Other O.R. Procedures For Injuries With Cc"|0.00|$83780.00|$22827.00|$27545.40|$58646.00|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 909"|"Other O.R. Procedures For Injuries Without Cc/McC"|0.00|$50038.00|$11898.38|$35672.44|$35027.00|$11898.38|$33653.25|$19098.22|$12621.58|$35672.44|$28100.46|$12731.57|$15771.48|$13648.63|$14774.68|$18557.10|$17656.80|$15652.80|$15652.80
"MS-DRG V37 (FY 2020) 913"|"Traumatic Injury With McC"|0.00|$67538.00|$0.00|$0.00|$47277.00||||||||||||||
"MS-DRG V37 (FY 2020) 914"|"Traumatic Injury Without McC"|0.00|$15626.00|$2058.89|$18392.50|$10938.00|$7689.94|$3628.00|$2058.89|$8157.35|$3845.68|$3029.38|$8228.44|$9070.00|$8821.13|$9070.00|$11996.10|$18392.50|$16305.00|$16305.00
"MS-DRG V37 (FY 2020) 915"|"Allergic Reactions With McC"|0.00|$17700.00|$11568.20|$25751.00|$12390.00|$14691.03|$20384.49|$11568.20|$15583.97|$21607.56|$17021.05|$15719.78|$19473.17|$16852.08|$18242.41|$22917.60|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 916"|"Allergic Reactions Without McC"|0.00|$26214.00|$4314.93|$13242.60|$18350.00|$5688.27|$7603.40|$4314.93|$6034.01|$8059.60|$6348.84|$6086.60|$7539.89|$6525.02|$7063.35|$8873.55|$13242.60|$11739.60|$11739.60
"MS-DRG V37 (FY 2020) 917"|"Poisoning And Toxic Effects Of Drugs With McC"|0.00|$35301.00|$14226.31|$25749.50|$24711.00|$14226.31|$14226.31|$14226.31|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$19946.25|$25749.50|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 918"|"Poisoning And Toxic Effects Of Drugs Without McC"|0.00|$18420.00|$3947.98|$16921.10|$12894.00|$6846.18|$6956.80|$3947.98|$7262.30|$7374.21|$5808.93|$7325.59|$9074.71|$7853.25|$8501.16|$10679.85|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 919"|"Complications Of Treatment With McC"|0.00|$60793.00|$12869.41|$25751.00|$42555.00|$17846.38|$22677.37|$12869.41|$18870.23|$24038.01|$18935.61|$20671.54|$24727.40|$19074.09|$20648.46|$24764.40|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 920"|"Complications Of Treatment With Cc"|0.00|$36580.00|$8236.36|$21335.30|$25606.00|$8890.25|$14513.41|$8236.36|$9430.61|$15384.21|$12118.70|$9512.80|$11784.16|$10198.01|$11039.37|$13868.55|$21335.30|$18913.80|$18913.80
"MS-DRG V37 (FY 2020) 921"|"Complications Of Treatment Without Cc/McC"|0.00|$31011.00|$3619.52|$15449.70|$21708.00|$5983.38|$6378.01|$3619.52|$6347.05|$6760.69|$5325.64|$6402.36|$7931.05|$6863.53|$7429.78|$9333.90|$15449.70|$13696.20|$13696.20
"MS-DRG V37 (FY 2020) 922"|"Other Injury, Poisoning And Toxic Effect Diagnoses With McC"|0.00|$62290.00|$13739.09|$28542.94|$43603.00|$13739.09|$26927.30|$15281.24|$14574.17|$28542.94|$22484.30|$14701.18|$18211.36|$15760.11|$17060.35|$21432.60|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 923"|"Other Injury, Poisoning And Toxic Effect Diagnoses Without McC"|0.00|$20997.00|$4200.24|$19863.90|$14698.00|$8051.68|$7401.30|$4200.24|$8541.07|$7845.37|$6180.08|$8615.50|$10672.62|$9236.08|$9998.08|$12560.40|$19863.90|$17609.40|$17609.40
"MS-DRG V37 (FY 2020) 928"|"Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC"|0.00|$171293.00|$0.00|$0.00|$119905.00||||||||||||||
"MS-DRG V37 (FY 2020) 934"|"Full Thickness Burn Without Skin Graft Or Inhalation Injury"|0.00|$15704.00|$0.00|$0.00|$10993.00||||||||||||||
"MS-DRG V37 (FY 2020) 935"|"Non-Extensive Burns"|0.00|$29185.00|$0.00|$0.00|$20430.00||||||||||||||
"MS-DRG V37 (FY 2020) 939"|"O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC"|0.00|$116529.00|$11243.53|$45713.70|$81570.00|$29304.17|$19812.38|$11243.53|$31085.32|$21001.12|$16543.34|$31356.21|$38843.10|$33614.81|$36388.11|$45713.70|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 940"|"O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc"|0.00|$86876.00|$22827.00|$91892.38|$60813.00|$75339.04|$59556.55|$33798.34|$91892.38|$63129.95|$49729.72|$87318.03|$88525.54|$28559.98|$30916.24|$29937.60|$25749.50|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 941"|"O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC"|0.00|$82343.00|$14348.40|$27989.12|$57640.00|$16656.35|$26404.83|$14984.74|$17668.75|$27989.12|$22048.03|$17822.72|$22993.49|$19106.50|$20682.83|$25983.45|$16185.40|$14348.40|$14348.40
"MS-DRG V37 (FY 2020) 945"|"Rehabilitation With Cc/McC"|0.00|$62086.00|$3866.00|$20043.45|$43460.00|$12848.59|$8922.20|$5063.35|$13629.55|$9457.53|$7450.04|$13748.32|$17030.99|$14738.62|$15954.59|$20043.45|$4366.00|$3866.00|$3866.00
"MS-DRG V37 (FY 2020) 946"|"Rehabilitation Without Cc/McC"|0.00|$50550.00|$0.00|$0.00|$35385.00||||||||||||||
"MS-DRG V37 (FY 2020) 947"|"Signs And Symptoms With McC"|0.00|$19245.00|$9101.96|$25749.50|$13472.00|$10299.13|$16038.70|$9101.96|$10925.12|$17001.02|$13392.31|$11020.33|$13651.64|$11814.12|$12788.81|$16066.35|$25749.50|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 948"|"Signs And Symptoms Without McC"|0.00|$28299.00|$6798.58|$21382.38|$19809.00|$6798.58|$20172.06|$11447.64|$7211.81|$21382.38|$16843.67|$7274.66|$9011.62|$7798.65|$8442.06|$10605.60|$19128.20|$16957.20|$16957.20
"MS-DRG V37 (FY 2020) 949"|"Aftercare With Cc/McC"|0.00|$18661.00|$9580.84|$25751.00|$13063.00|$9580.84|$19150.10|$10867.68|$10163.18|$20299.11|$15990.33|$10251.75|$12699.54|$10990.18|$11896.90|$14945.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 950"|"Aftercare Without Cc/McC"|0.00|$31940.00|$6394.44|$22071.00|$22358.00|$6394.44|$14401.80|$8173.02|$6783.10|$15265.91|$12025.50|$6842.21|$8475.92|$7335.06|$7940.22|$9975.15|$22071.00|$19566.00|$19566.00
"MS-DRG V37 (FY 2020) 951"|"Other Factors Influencing Health Status"|0.00|$5547.00|$3975.79|$13242.60|$3883.00|$5053.00|$7005.80|$3975.79|$5885.30|$7426.14|$5849.84|$5936.59|$7354.06|$5735.00|$6209.00|$7535.70|$13242.60|$11739.60|$11739.60
"MS-DRG V37 (FY 2020) 955"|"Craniotomy For Multiple Significant Trauma"|0.00|$351947.00|$22827.00|$103895.07|$246363.00|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$84888.00|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 956"|"Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma"|0.00|$110060.00|$22827.00|$132660.52|$77042.00|$107786.74|$85206.91|$48354.92|$132660.52|$90319.33|$71147.77|$129459.74|$129459.74|$38207.04|$41359.20|$51958.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 957"|"Other O.R. Procedures For Multiple Significant Trauma With McC"|0.00|$92532.00|$22827.00|$101759.86|$64772.00|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$100180.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 958"|"Other O.R. Procedures For Multiple Significant Trauma With Cc"|0.00|$127129.00|$22827.00|$118827.90|$88990.00|$96136.70|$75997.39|$43128.52|$118827.90|$80557.23|$63457.82|$113984.44|$113984.44|$41747.01|$45191.23|$56772.90|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 959"|"Other O.R. Procedures For Multiple Significant Trauma Without Cc/McC"|0.00|$44230.00|$0.00|$0.00|$30961.00||||||||||||||
"MS-DRG V37 (FY 2020) 963"|"Other Multiple Significant Trauma With McC"|0.00|$156634.00|$10402.00|$36776.70|$109644.00|$23575.23|$26326.50|$14940.29|$25008.16|$27906.09|$21982.63|$25226.09|$31249.30|$10402.00|$11260.00|$36776.70|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 964"|"Other Multiple Significant Trauma With Cc"|0.00|$54931.00|$11137.42|$25751.00|$38452.00|$12880.61|$19625.40|$11137.42|$13663.51|$20802.93|$16387.21|$13782.58|$17073.44|$14775.35|$15994.35|$20093.40|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 965"|"Other Multiple Significant Trauma Without Cc/McC"|0.00|$30151.00|$0.00|$0.00|$21106.00||||||||||||||
"MS-DRG V37 (FY 2020) 969"|"Hiv With Extensive O.R. Procedures With McC"|0.00|$274789.00|$0.00|$0.00|$192352.00||||||||||||||
"MS-DRG V37 (FY 2020) 970"|"Hiv With Extensive O.R. Procedures Without McC"|0.00|$227982.00|$0.00|$0.00|$159587.00||||||||||||||
"MS-DRG V37 (FY 2020) 974"|"Hiv With Major Related Condition With McC"|0.00|$113521.00|$22827.00|$74724.00|$79465.00|$68413.22|$54081.60|$30691.31|$67602.00|$57326.50|$45158.14|$74724.00|$74724.00|$26660.94|$28860.53|$36256.95|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 975"|"Hiv With Major Related Condition With Cc"|0.00|$48779.00|$12697.63|$52421.75|$34145.00|$52421.75|$41440.12|$23517.27|$51800.15|$43926.52|$34602.50|$21873.32|$24701.41|$12697.63|$13745.21|$17267.85|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 976"|"Hiv With Major Related Condition Without Cc/McC"|0.00|$28020.00|$0.00|$0.00|$19614.00||||||||||||||
"MS-DRG V37 (FY 2020) 977"|"Hiv With Or Without Other Related Condition"|0.00|$48157.00|$13111.58|$57027.09|$33710.00|$57027.09|$45080.70|$25583.30|$56350.88|$47785.54|$37642.38|$30288.09|$33208.38|$13111.58|$14193.32|$17830.80|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 981"|"Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC"|0.00|$149407.00|$22827.00|$68578.69|$104585.00|$59694.76|$47189.53|$26780.06|$68578.69|$50020.90|$39403.26|$48762.85|$58950.69|$45741.63|$49515.42|$62205.30|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 982"|"Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc"|0.00|$77759.00|$22827.00|$53747.90|$54431.00|$53747.90|$42488.46|$24112.20|$53110.58|$45037.77|$35477.86|$23533.36|$29152.40|$25228.48|$27309.88|$34306.20|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 983"|"Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC"|0.00|$132575.00|$14320.64|$27223.52|$92802.00|$14320.64|$25682.56|$14574.86|$16742.06|$27223.52|$21444.94|$15323.45|$18982.21|$16427.20|$17782.48|$22339.80|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 987"|"Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC"|0.00|$67670.00|$22827.00|$61019.40|$47369.00|$61019.40|$48236.68|$27374.31|$60295.85|$51130.88|$40277.62|$30207.05|$37419.55|$32382.87|$35054.53|$44038.35|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 988"|"Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc"|0.00|$48098.00|$15444.81|$25751.00|$33669.00|$15758.16|$15758.16|$15758.16|$15444.81|$15758.16|$15758.16|$15585.52|$20261.06|$15758.16|$15758.16|$22689.45|$25751.00|$22827.00|$22827.00
"MS-DRG V37 (FY 2020) 989"|"Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC"|0.00|$55067.00|$9657.00|$29135.45|$38547.00|$9657.00|$27486.28|$15598.46|$10243.96|$29135.45|$22951.04|$10333.23|$12800.49|$11077.54|$11991.46|$15064.65|$16921.10|$15000.60|$15000.60
"MS-DRG V37 (FY 2020) 998"|"Principal Diagnosis Invalid As Discharge Diagnosis"|0.00|$19080.00|$4331.10|$8089.81|$13356.00|$5053.00|$7631.90|$4331.10|$5885.30|$8089.81|$6372.64|$5936.59|$7354.06|$5735.00|$6209.00||||
"MS-DRG V37 (FY 2020) 999"|"Ungroupable"|0.00|$40113.00|$0.00|$0.00|$28079.00||||||||||||||
"Custom 11100000"|"HB MEDICAL/SURGICAL PRIVATE ROOM"|111.00|$2700.00|$916.92|$1441.80|$1890.00|||||||||||$1441.80|$1078.65|$1222.56|$916.92
"Custom 11100001"|"HB TELEMETRY MEDICAL/SURGICAL ROOM"|111.00|$3700.00|$1256.52|$1975.80|$2590.00|||||||||||$1975.80|$1478.15|$1675.36|$1256.52
"Custom 11100002"|"HB MEDICAL/SURGICAL PRIVATE ROOM L&D HIGH RISK"|111.00|$5750.00|$1952.70|$3070.50|$4025.00|||||||||||$3070.50|$2297.13|$2603.60|$1952.70
"Custom 11200000"|"HB OBSTETRICS PRIVATE ROOM"|112.00|$2700.00|$916.92|$1441.80|$1890.00|||||||||||$1441.80|$1078.65|$1222.56|$916.92
"Custom 11300000"|"HB PEDIATRIC PRIVATE ROOM"|113.00|$3042.00|$1033.06|$1624.43|$2129.00|||||||||||$1624.43|$1215.28|$1377.42|$1033.06
"Custom 17100000"|"HB NEWBORN LEVEL I ROOM"|171.00|$2088.00|$709.08|$1114.99|$1462.00|||||||||||$1114.99|$834.16|$945.45|$709.08
"Custom 17200002"|"HB NEWBORN LEVEL II ROOM"|172.00|$3263.00|$1108.11|$1742.44|$2284.00|||||||||||$1742.44|$1303.57|$1477.49|$1108.11
"Custom 17300000"|"HB NEWBORN LEVEL III ROOM"|173.00|$6228.00|$2115.03|$3325.75|$4360.00|||||||||||$3325.75|$2488.09|$2820.04|$2115.03
"Custom 17400000"|"HB NEWBORN LEVEL IV ROOM"|174.00|$6800.00|$2309.28|$3631.20|$4760.00|||||||||||$3631.20|$2716.60|$3079.04|$2309.28
"Custom 20000000"|"HB ICU ROOM"|200.00|$5750.00|$1952.70|$3070.50|$4025.00|||||||||||$3070.50|$2297.13|$2603.60|$1952.70
"Custom 20600000"|"HB INTERMEDIATE CARE PRIVATE ROOM"|206.00|$4700.00|$1596.12|$2509.80|$3290.00|||||||||||$2509.80|$1877.65|$2128.16|$1596.12
"CPT® 96360"|"HB HYDRATION IV INFUSION INITIAL; 31 MINUTES TO 1 HOUR"|260.00|$350.00|$79.45|$192.85|$245.00|$187.25|$140.00|$79.45|$192.85|$148.40|$116.90|$183.40|$183.40|$173.25|$186.55|$186.90|$139.83|$158.48|$118.86
"CPT® 96361"|"HB HYDRATE IV INFUSION EACH ADDITIONAL HOUR; ADD-ON"|260.00|$285.00|$66.28|$160.89|$200.00|$156.22|$116.80|$66.28|$160.89|$123.81|$97.53|$153.01|$153.01|$144.54|$155.64|$152.19|$113.86|$129.05|$96.79
"CPT® 96365"|"HB IV INFUSION, MEDICINE (TX/PX/D); INTIAL UP TO 1 HOUR"|260.00|$472.00|$107.37|$260.62|$330.00|$253.06|$189.20|$107.37|$260.62|$200.55|$157.98|$247.85|$247.85|$234.14|$252.11|$252.05|$188.56|$213.72|$160.29
"CPT® 96366"|"HB IV INFUSION, MEDICINE (TX/PX/D); EACH ADDITIONAL HOUR (ADD-ON)"|260.00|$287.00|$66.28|$160.89|$201.00|$156.22|$116.80|$66.28|$160.89|$123.81|$97.53|$153.01|$153.01|$144.54|$155.64|$153.26|$114.66|$129.95|$97.47
"CPT® 96367"|"HB IV INFUSION, MEDICINE (TX/PX/D), ADDL SEQUENTIAL NEW MED; UP TO 1 HOUR"|260.00|$96.00|$22.25|$54.00|$67.00|$52.43|$39.20|$22.25|$54.00|$41.55|$32.73|$51.35|$51.35|$48.51|$52.23|$51.26|$38.35|$43.47|$32.60
"CPT® 96368"|"HB THER/DIAG CONCURRENT INF"|260.00|$344.00|$78.09|$189.54|$241.00|$184.04|$137.60|$78.09|$189.54|$145.86|$114.90|$180.26|$180.26|$170.28|$183.35|$183.70|$137.43|$155.76|$116.82
"CPT® 96374"|"HB INJECTION IV PUSH; INITIAL DRUG"|260.00|$234.00|$53.12|$128.93|$164.00|$125.19|$93.60|$53.12|$128.93|$99.22|$78.16|$122.62|$122.62|$115.83|$124.72|$124.96|$93.48|$105.96|$79.47
"CPT® 96375"|"HB INJECTION IV PUSH; EACH ADDITIONAL NEW DRUG"|260.00|$232.00|$53.35|$129.49|$162.00|$125.73|$94.00|$53.35|$129.49|$99.64|$78.49|$123.14|$123.14|$116.33|$125.26|$123.89|$92.68|$105.05|$78.79
"CPT® 96376"|"HB IV PUSH, ADDITIONAL, SAME MEDICINE,SEQUENTIAL"|260.00|$106.00|$26.33|$63.92|$74.00|$62.06|$46.40|$26.33|$63.92|$49.18|$38.74|$60.78|$60.78|$57.42|$61.83|$56.60|$42.35|$48.00|$36.00
"CPT® 96523"|"HB IRRIG DRUG DELIVERY DEVICE"|260.00|$242.00|$54.93|$133.34|$169.00|$129.47|$96.80|$54.93|$133.34|$102.61|$80.83|$126.81|$126.81|$119.79|$128.99|$129.23|$96.68|$109.58|$82.18
"Custom 27000019"|"HB BAKRI BALLOON"|270.00|$631.00|$143.24|$347.68|$442.00|$337.59|$252.40|$143.24|$347.68|$267.54|$210.75|$330.64|$330.64|$312.35|$336.32|$336.95|$252.08|$285.72|$214.29
"Custom 27000059"|"HB EPIDURAL TRAY"|270.00|$190.00|$46.08|$111.85|$133.00|$108.61|$81.20|$46.08|$111.85|$86.07|$67.80|$106.37|$106.37|$100.49|$108.20|$101.46|$75.91|$86.03|$64.52
"Custom 27000259"|"HB AMBU BAG-ADULT"|270.00|$113.00|$25.65|$62.26|$79.00|$60.46|$45.20|$25.65|$62.26|$47.91|$37.74|$59.21|$59.21|$55.94|$60.23|$60.34|$45.14|$51.17|$38.37
"Custom 27000975"|"HB NEEDLE CHIBA"|270.00|$71.00|$16.12|$39.12|$50.00|$37.99|$28.40|$16.12|$39.12|$30.10|$23.71|$37.20|$37.20|$35.15|$37.84|$37.91|$28.36|$32.15|$24.11
"Custom 27001046"|"HB OXYGEN THERAPY PER DAY"|270.00|$193.00|$49.26|$119.57|$135.00|$116.10|$86.80|$49.26|$119.57|$92.01|$72.48|$113.71|$113.71|$107.42|$115.66|$103.06|$77.10|$87.39|$65.54
"Custom 27001084"|"HB PEAK FLOW"|270.00|$82.00|$18.61|$45.18|$57.00|$43.87|$32.80|$18.61|$45.18|$34.77|$27.39|$42.97|$42.97|$40.59|$43.71|$43.79|$32.76|$37.13|$27.85
"Custom 27001811"|"HB BIOPSY TRAY"|270.00|$57.00|$12.71|$30.86|$40.00|$29.96|$22.40|$12.71|$30.86|$23.74|$18.70|$29.34|$29.34|$27.72|$29.85|$30.44|$22.77|$25.81|$19.36
"Custom 27002034"|"HB BRACE BOOT POST OP"|270.00|$160.00|$36.32|$88.16|$112.00|$85.60|$64.00|$36.32|$88.16|$67.84|$53.44|$83.84|$83.84|$79.20|$85.28|$85.44|$63.92|$72.45|$54.34
"Custom 27103020"|"HB BOTTLE SUC EVAC EVOLUT 1000ML W/VALVE ONLY NS"|271.00|$44.00|$9.99|$24.24|$31.00|$23.54|$17.60|$9.99|$24.24|$18.66|$14.70|$23.06|$23.06|$21.78|$23.45|$23.50|$17.58|$19.92|$14.94
"Custom 27200123"|"HB FEEDING TUBE"|272.00|$1282.00|$291.01|$706.38|$897.00|$685.87|$512.80|$291.01|$706.38|$543.57|$428.19|$671.77|$671.77|$634.59|$683.31|$684.59|$512.16|$580.49|$435.37
"Custom 27200173"|"HB LUMBAR PUNCTURE TRAY"|272.00|$164.00|$37.23|$90.36|$115.00|$87.74|$65.60|$37.23|$90.36|$69.54|$54.78|$85.94|$85.94|$81.18|$87.41|$87.58|$65.52|$74.26|$55.69
"HCPCS Q4101"|"HB APLIGRAF SKIN SUBT EA SQ CM"|272.00|$3584.00|$19.30|$1913.86|$2509.00|$45.48|$34.00|$19.30|$46.84|$36.04|$28.39|$44.54|$44.54|$42.08|$45.31|$1913.86|$1431.81|$1622.84|$1217.13
"HCPCS C1769"|"HB GUIDE WIRE"|272.00|$271.00|$61.52|$149.32|$190.00|$144.99|$108.40|$61.52|$149.32|$114.90|$90.51|$142.00|$142.00|$134.15|$144.44|$144.71|$108.26|$122.71|$92.03
"Custom 27201372"|"HB US CORE BIOPSY NEEDLE"|272.00|$58.00|$13.17|$31.96|$41.00|$31.03|$23.20|$13.17|$31.96|$24.59|$19.37|$30.39|$30.39|$28.71|$30.91|$30.97|$23.17|$26.26|$19.70
"HCPCS C1729"|"HB CATHETER, DRAINAGE"|272.00|$417.00|$94.66|$229.77|$292.00|$223.10|$166.80|$94.66|$229.77|$176.81|$139.28|$218.51|$218.51|$206.42|$222.26|$222.68|$166.59|$188.82|$141.61
"HCPCS C1751"|"HB PICC CATHETER"|272.00|$402.00|$91.25|$221.50|$281.00|$215.07|$160.80|$91.25|$221.50|$170.45|$134.27|$210.65|$210.65|$198.99|$214.27|$214.67|$160.60|$182.03|$136.52
"Custom 27201604"|"HB ABG KIT"|272.00|$15.00|$3.41|$8.27|$10.00|$8.03|$6.00|$3.41|$8.27|$6.36|$5.01|$7.86|$7.86|$7.43|$8.00|$8.01|$5.99|$6.79|$5.09
"Custom 27201605"|"HB AIRWAY DEVICE"|272.00|$134.00|$30.42|$73.83|$94.00|$71.69|$53.60|$30.42|$73.83|$56.82|$44.76|$70.22|$70.22|$66.33|$71.42|$71.56|$53.53|$60.68|$45.51
"Custom 27201606"|"HB ARISTA"|272.00|$675.00|$153.23|$371.93|$472.00|$361.13|$270.00|$153.23|$371.93|$286.20|$225.45|$353.70|$353.70|$334.13|$359.78|$360.45|$269.66|$305.64|$229.23
"Custom 27201612"|"HB HYSTERO CATH"|272.00|$77.00|$17.48|$42.43|$54.00|$41.20|$30.80|$17.48|$42.43|$32.65|$25.72|$40.35|$40.35|$38.12|$41.04|$41.12|$30.76|$34.87|$26.15
"CPT® C1894"|"HB INTROSYSTEM ACCUSTICK"|272.00|$204.00|$46.31|$112.40|$143.00|$109.14|$81.60|$46.31|$112.40|$86.50|$68.14|$106.90|$106.90|$100.98|$108.73|$108.94|$81.50|$92.37|$69.28
"Custom 27201614"|"HB INTUBATION KIT"|272.00|$53.00|$12.03|$29.20|$37.00|$28.36|$21.20|$12.03|$29.20|$22.47|$17.70|$27.77|$27.77|$26.24|$28.25|$28.30|$21.17|$24.00|$18.00
"Custom 27201620"|"HB THORA PARACENTESIS TRAY"|272.00|$206.00|$46.76|$113.51|$144.00|$110.21|$82.40|$46.76|$113.51|$87.34|$68.80|$107.94|$107.94|$101.97|$109.80|$110.00|$82.30|$93.28|$69.96
"Custom 27201623"|"HB VERTEBRO KYPHOPLASTY KIT"|272.00|$8269.00|$1877.06|$4556.22|$5788.00|$4423.92|$3307.60|$1877.06|$4556.22|$3506.06|$2761.85|$4332.96|$4332.96|$4093.16|$4407.38|$4415.65|$3303.47|$3744.20|$2808.15
"Custom 27201635"|"HB LUMBAR PUNC TY 22 G X 3.5IN STRL"|272.00|$2894.00|$15.66|$1545.40|$2026.00|$36.92|$27.60|$15.66|$38.02|$29.26|$23.05|$36.16|$36.16|$34.16|$36.78|$1545.40|$1156.15|$1310.40|$982.80
"Custom 27201654"|"HB ARTHROGRAM TRAY NWR"|272.00|$298.00|$67.65|$164.20|$209.00|$159.43|$119.20|$67.65|$164.20|$126.35|$99.53|$156.15|$156.15|$147.51|$158.83|$159.13|$119.05|$134.93|$101.20
"Custom 27201657"|"HB APPLICATOR LOCALIZER RADIO FREQUENCY TAG"|272.00|$891.00|$202.26|$490.94|$624.00|$476.69|$356.40|$202.26|$490.94|$377.78|$297.59|$466.88|$466.88|$441.05|$474.90|$475.79|$355.95|$403.44|$302.58
"Custom 27203083"|"HB GUN BIOPSY NEEDLE SOFT TISSUE COAXIAL INTRODUCER ACHIEVE 14 G X 11 CM"|272.00|$181.00|$43.13|$104.69|$127.00|$101.65|$76.00|$43.13|$104.69|$80.56|$63.46|$99.56|$99.56|$94.05|$101.27|$96.65|$72.31|$81.96|$61.47
"HCPCS C1751"|"HB CATHETER TRAY CENTRAL VENOUS PICC SINGLE LUMEN MICRO INTRODUCER POWERPICC 4 FR"|272.00|$846.00|$192.04|$466.15|$592.00|$452.61|$338.40|$192.04|$466.15|$358.70|$282.56|$443.30|$443.30|$418.77|$450.92|$451.76|$337.98|$383.07|$287.30
"HCPCS C1729"|"HB THORACENTESIS TRAY ARROW-CLARKE PLEURA-SEAL 8 FR 18 G X 7.5 IN W/SELF SEALING VALVE"|272.00|$375.00|$85.13|$206.63|$262.00|$200.63|$150.00|$85.13|$206.63|$159.00|$125.25|$196.50|$196.50|$185.63|$199.88|$200.25|$149.81|$169.80|$127.35
"Custom 27203248"|"HB TRAY MYELOGRAM"|272.00|$48.00|$10.90|$26.45|$34.00|$25.68|$19.20|$10.90|$26.45|$20.35|$16.03|$25.15|$25.15|$23.76|$25.58|$25.63|$19.18|$21.73|$16.30
"Custom 27203307"|"HB DRAIN SYS CHST DRY CTRL H2O SEAL SGL CHMBR AD OASIS 2000ML"|272.00|$103.00|$23.38|$56.75|$72.00|$55.11|$41.20|$23.38|$56.75|$43.67|$34.40|$53.97|$53.97|$50.99|$54.90|$55.00|$41.15|$46.64|$34.98
"HCPCS C1751"|"HB CATH KT CV PCC DL 5FR"|272.00|$2526.00|$602.00|$1461.25|$1768.00|$1418.82|$1060.80|$602.00|$1461.25|$1124.45|$885.77|$1389.65|$1389.65|$1312.74|$1413.52|$1348.88|$1009.14|$1143.77|$857.83
"Custom 27203367"|"HB KIT INSTRMNT DSPSBLE CORE BIOPSY MISSION 18GX10CM"|272.00|$199.00|$45.17|$109.65|$139.00|$106.47|$79.60|$45.17|$109.65|$84.38|$66.47|$104.28|$104.28|$98.51|$106.07|$106.27|$79.50|$90.11|$67.58
"Custom 27203370"|"HB KIT INSTRMNT DSPSBLE CORE BIOPSY MISSION 20GX16CM"|272.00|$135.00|$30.65|$74.39|$94.00|$72.23|$54.00|$30.65|$74.39|$57.24|$45.09|$70.74|$70.74|$66.83|$71.96|$72.09|$53.93|$61.13|$45.85
"Custom 27203377"|"HB NDL BX TISS COAX INTRO 19 G X 10CM TEMNO EVOLTN 20 G X 15CM"|272.00|$206.00|$46.76|$113.51|$144.00|$110.21|$82.40|$46.76|$113.51|$87.34|$68.80|$107.94|$107.94|$101.97|$109.80|$110.00|$82.30|$93.28|$69.96
"Custom 27203395"|"HB NEEDLE TEMNO COAX 18G 20CM"|272.00|$113.00|$25.65|$62.26|$79.00|$60.46|$45.20|$25.65|$62.26|$47.91|$37.74|$59.21|$59.21|$55.94|$60.23|$60.34|$45.14|$51.17|$38.37
"Custom 27203414"|"HB TRAY LUMBAR PUNCTURE"|272.00|$52.00|$12.49|$30.31|$36.00|$29.43|$22.00|$12.49|$30.31|$23.32|$18.37|$28.82|$28.82|$27.23|$29.32|$27.77|$20.77|$23.55|$17.66
"Custom 27203465"|"HB BIOPSY KIT BONE IVAS 10 G"|272.00|$240.00|$57.20|$138.85|$168.00|$134.82|$100.80|$57.20|$138.85|$106.85|$84.17|$132.05|$132.05|$124.74|$134.32|$128.16|$95.88|$108.67|$81.50
"HCPCS C1751"|"HB PPIC MAX 5FR DOT STC"|272.00|$1022.00|$231.99|$563.12|$715.00|$546.77|$408.80|$231.99|$563.12|$433.33|$341.35|$535.53|$535.53|$505.89|$544.73|$545.75|$408.29|$462.76|$347.07
"Custom 27203488"|"HB KIT FULL POWERGLIDE RT 20G 8CM"|272.00|$412.00|$93.52|$227.01|$288.00|$220.42|$164.80|$93.52|$227.01|$174.69|$137.61|$215.89|$215.89|$203.94|$219.60|$220.01|$164.59|$186.55|$139.92
"HCPCS L3808"|"HB CUSTOM WRIST HAND FINGER ORTHOSIS"|274.00|$937.00|$212.70|$619.36|$656.00|$501.30|$374.80|$212.70|$619.36|$397.29|$312.96|$490.99|$490.99|$463.82|$499.42|$500.36|$374.33|$424.27|$318.21
"HCPCS L3807"|"HB PREFAB WHFO STATIC"|274.00|$657.00|$149.14|$434.28|$460.00|$351.50|$262.80|$149.14|$434.28|$278.57|$219.44|$344.27|$344.27|$325.22|$350.18|$350.84|$262.47|$297.49|$223.12
"HCPCS L8501"|"HB TRACHEOSTOMY SPEAKING VALVE"|274.00|$463.00|$105.10|$306.04|$324.00|$247.71|$185.20|$105.10|$306.04|$196.31|$154.64|$242.61|$242.61|$229.19|$246.78|$247.24|$184.97|$209.65|$157.23
"HCPCS C1788"|"HB POWER PORT ACCESS KIT"|278.00|$1491.00|$22.70|$796.19|$1044.00|$29.20|$40.00|$22.70|$66.10|$42.40|$33.40|$52.40|$52.40|$49.50|$53.30|$796.19|$595.65|$675.12|$506.34
"HCPCS P9612"|"HB CATHETERIZE FOR URINE SPECIMEN"|300.00|$129.00|$29.28|$71.08|$90.00|$69.02|$51.60|$29.28|$71.08|$54.70|$43.09|||$42.00|$45.00|$68.89|$51.54|$58.41|$43.81
"CPT® 80048"|"HB BASIC METABOLIC PANEL"|300.00|$250.00|$25.63|$137.75|$175.00|$133.75|$100.00|$56.75|$137.75|$106.00|$83.50|$25.63|$34.03|$42.00|$45.00|$133.50|$99.88|$113.20|$84.90
"CPT® 81003"|"HB URINALYSIS AUTO W/O SCOPE"|300.00|$61.00|$6.79|$45.00|$43.00|$32.64|$24.40|$13.85|$33.61|$25.86|$20.37|$6.79|$9.01|$42.00|$45.00|$32.57|$24.37|$27.62|$20.72
"CPT® 81025"|"HB URINE PREGNANCY TEST"|300.00|$49.00|$16.64|$62.26|$34.00|$60.46|$45.20|$25.65|$62.26|$47.91|$37.74|$23.48|$31.17|$42.00|$45.00|$26.17|$19.58|$22.19|$16.64
"CPT® 82272"|"HB OCCULT BLD FECES 1-3 TESTS"|300.00|$39.00|$8.85|$39.00|$27.00|$20.87|$15.60|$8.85|$21.49|$16.54|$13.03|$11.54|$15.31|$39.00|$39.00|$20.83|$15.58|$17.66|$13.24
"CPT® 82962"|"HB GLUCOSE BLOOD TEST"|300.00|$50.00|$8.94|$45.00|$35.00|$26.75|$20.00|$11.35|$27.55|$21.20|$16.70|$8.94|$11.87|$42.00|$45.00|$26.70|$19.98|$22.64|$16.98
"CPT® 83013"|"HB H PYLORI (C-13) BREATH"|300.00|$443.00|$42.00|$270.92|$310.00|$178.16|$133.20|$75.59|$183.48|$141.19|$111.22|$204.09|$270.92|$42.00|$45.00|$236.56|$176.98|$200.59|$150.44
"CPT® 83036"|"HB GLYCOSYLATED HEMOGLOBIN TEST"|300.00|$134.00|$29.42|$73.83|$94.00|$71.69|$53.60|$30.42|$73.83|$56.82|$44.76|$29.42|$39.06|$42.00|$45.00|$71.56|$53.53|$60.68|$45.51
"CPT® 85018"|"HB HEMOGLOBIN"|300.00|$39.00|$7.17|$45.00|$27.00|$25.15|$18.80|$10.67|$25.90|$19.93|$15.70|$7.17|$9.52|$42.00|$45.00|$20.83|$15.58|$17.66|$13.24
"CPT® 87880"|"HB STREP A ASSAY W/OPTIC"|300.00|$174.00|$39.50|$95.87|$122.00|$93.09|$69.60|$39.50|$95.87|$73.78|$58.12|$45.08|$59.84|$42.00|$45.00|$92.92|$69.51|$78.79|$59.09
"CPT® 36406"|"HB BL DRAW <3 YRS OTHER VEIN"|300.00|$58.00|$13.17|$45.00|$41.00|$31.03|$23.20|$13.17|$31.96|$24.59|$19.37|||$42.00|$45.00|$30.97|$23.17|$26.26|$19.70
"CPT® 36416"|"HB CAPILLARY BLOOD COLLECTION"|300.00|$30.00|$6.81|$30.00|$21.00|$16.05|$12.00|$6.81|$16.53|$12.72|$10.02|||$30.00|$30.00|$16.02|$11.99|$13.58|$10.19
"CPT® 36591"|"HB DRAW BLOOD OFF VENOUS DEVICE"|300.00|$95.00|$21.57|$52.35|$66.00|$50.83|$38.00|$21.57|$52.35|$40.28|$31.73|||$42.00|$45.00|$50.73|$37.95|$43.02|$32.26
"CPT® 36592"|"HB COLLECT BLOOD FROM PICC"|300.00|$95.00|$21.57|$52.35|$66.00|$50.83|$38.00|$21.57|$52.35|$40.28|$31.73|||$42.00|$45.00|$50.73|$37.95|$43.02|$32.26
"CPT® 99000"|"HB SPECIMEN HANDLING OFFICE-LAB"|300.00|$47.00|$7.00|$45.00|$33.00|$7.00|$18.80|$10.67|$25.90|$19.93|$15.70|||$42.00|$45.00|$25.10|$18.78|$21.28|$15.96
"HCPCS C9803"|"HB CLINIC VISIT FOR COVID-19 SPECIMEN COLLECTION – ANY SOURCE - NWR"|300.00|$45.00|$10.22|$45.00|$31.00|$24.08|$18.00|$10.22|$24.80|$19.08|$15.03|||$42.00|$45.00|$24.03|$17.98|$20.38|$15.28
"CPT® 87635"|"HB POCT CORONAVIRUS (COVID-19) TEST"|300.00|$165.00|$37.46|$88.11|$115.00|$51.31|$66.00|$37.46|$51.31|$51.31|$51.31|||$51.31|$51.31|$88.11|$65.92|$74.71|$56.03
"CPT® 80202"|"HB VANCOMYCIN LEVEL"|300.00|$187.00|$41.04|$103.04|$131.00|$100.05|$74.80|$42.45|$103.04|$79.29|$62.46|$41.04|$54.48|$42.00|$45.00|$99.86|$74.71|$84.67|$63.51
"CPT® 80202"|"HB VANCOMYCIN, PEAK"|300.00|$209.00|$41.04|$115.16|$146.00|$111.82|$83.60|$47.44|$115.16|$88.62|$69.81|$41.04|$54.48|$42.00|$45.00|$111.61|$83.50|$94.64|$70.98
"CPT® 80202"|"HB VANCOMYCIN, TROUGH"|300.00|$187.00|$41.04|$103.04|$131.00|$100.05|$74.80|$42.45|$103.04|$79.29|$62.46|$41.04|$54.48|$42.00|$45.00|$99.86|$74.71|$84.67|$63.51
"CPT® 86900"|"HB ABO GROUP BLOOD TYPING"|300.00|$86.00|$9.05|$47.39|$60.00|$46.01|$34.40|$19.52|$47.39|$36.46|$28.72|$9.05|$12.02|$42.00|$45.00|$45.92|$34.36|$38.94|$29.21
"CPT® 86901"|"HB RH (D) ANTIGEN TYPE"|300.00|$68.00|$9.05|$45.00|$48.00|$36.38|$27.20|$15.44|$37.47|$28.83|$22.71|$9.05|$12.02|$42.00|$45.00|$36.31|$27.17|$30.79|$23.09
"CPT® 89050"|"HB BODY FLUID CELL COUNT"|300.00|$79.00|$14.32|$45.00|$55.00|$42.27|$31.60|$17.93|$43.53|$33.50|$26.39|$14.32|$19.01|$42.00|$45.00|$42.19|$31.56|$35.77|$26.83
"CPT® 89051"|"HB CELL COUNT, BODY FLUID OR CSF W/DIFFERENTIAL"|300.00|$116.00|$16.69|$63.92|$81.00|$62.06|$46.40|$26.33|$63.92|$49.18|$38.74|$16.69|$22.15|$42.00|$45.00|$61.94|$46.34|$52.52|$39.39
"CPT® 88108"|"HB BODY FLUID CELL COUNT & DIFF W/CONCENTRATION"|300.00|$177.00|$40.18|$144.15|$124.00|$94.70|$70.80|$40.18|$97.53|$75.05|$59.12|$108.59|$144.15|$42.00|$45.00|$94.52|$70.71|$80.15|$60.11
"CPT® 87635"|"HB RAPID CORONAVIRUS (COVID 19) ASSAY"|300.00|$165.00|$37.46|$100.00|$115.00|$88.28|$66.00|$37.46|$100.00|$100.00|$100.00|||$100.00|$100.00|$88.11|$65.92|$74.71|$56.03
"CPT® 87635"|"HB CORONAVIRUS SARS-COV-2 BY MULTIPLEX PCR"|300.00|$165.00|$37.46|$100.00|$115.00|$88.28|$66.00|$37.46|$100.00|$100.00|$100.00|||$100.00|$100.00|$88.11|$65.92|$74.71|$56.03
"CPT® 87635"|"HB CORONAVIRUS NCOV-19 BY PCR (2019)"|300.00|$165.00|$37.46|$88.11|$115.00|$51.31|$66.00|$37.46|$51.31|$51.31|$51.31|||$51.31|$51.31|$88.11|$65.92|$74.71|$56.03
"CPT® 86901"|"HB REF RH ANTIGEN TYPE"|300.00|$67.00|$9.05|$45.00|$47.00|$35.85|$26.80|$15.21|$36.92|$28.41|$22.38|$9.05|$12.02|$42.00|$45.00|$35.78|$26.77|$30.34|$22.75
"CPT® 86921"|"HB REF PLATELET CROSSMATCH, EACH UNIT"|300.00|$170.00|$38.59|$125.32|$119.00|$90.95|$68.00|$38.59|$93.67|$72.08|$56.78|$94.41|$125.32|$42.00|$45.00|$90.78|$67.92|$76.98|$57.73
"CPT® 86971"|"HB REF RBC PRETREATMENT, ENZYME"|300.00|$194.00|$42.00|$106.89|$136.00|$103.79|$77.60|$44.04|$106.89|$82.26|$64.80|$70.03|$92.96|$42.00|$45.00|$103.60|$77.50|$87.84|$65.88
"CPT® 86905"|"HB REF RBC ANTIGEN TYPING, PATIENT, EACH ANTIGEN"|300.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86905"|"HB REF RBC ANTIGEN TYPING, RARE, PATIENT"|300.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86900"|"HB REF ABO GROUP BLOOD TYPING"|300.00|$86.00|$9.05|$47.39|$60.00|$46.01|$34.40|$19.52|$47.39|$36.46|$28.72|$9.05|$12.02|$42.00|$45.00|$45.92|$34.36|$38.94|$29.21
"CPT® 86972"|"HB REF RBC PRETREATMENT, DENSITY GRADIENT SEPARATION"|300.00|$233.00|$42.00|$161.71|$163.00|$124.66|$93.20|$52.89|$128.38|$98.79|$77.82|$121.82|$161.71|$42.00|$45.00|$124.42|$93.08|$105.50|$79.13
"CPT® 86970"|"HB REF RBC PRETREATMENT, DRUGS OR CHEMICAL AGENTS"|300.00|$93.00|$21.11|$93.00|$65.00|$49.76|$37.20|$21.11|$51.24|$39.43|$31.06|$87.29|$93.00|$42.00|$45.00|$49.66|$37.15|$42.11|$31.58
"CPT® 86902"|"HB REF DONOR ANTIGEN SCREEN"|300.00|$175.00|$17.32|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$17.32|$22.99|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86902"|"HB REF DONOR ANTIGEN SCREEN RARE"|300.00|$175.00|$17.32|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$17.32|$22.99|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86922"|"HB REF CROSSMATCH"|300.00|$196.00|$42.00|$148.24|$137.00|$104.86|$78.40|$44.49|$108.00|$83.10|$65.46|$111.67|$148.24|$42.00|$45.00|$104.66|$78.30|$88.75|$66.56
"CPT® 80299"|"HB REF AMIODARONE AND METABOLITE"|300.00|$173.00|$39.27|$95.32|$121.00|$92.56|$69.20|$39.27|$95.32|$73.35|$57.78|$50.83|$67.48|$42.00|$45.00|$92.38|$69.11|$78.33|$58.75
"CPT® 80155"|"HB REF CAFFEINE, SERUM/PLASMA"|300.00|$235.00|$42.00|$139.62|$164.00|$125.73|$94.00|$53.35|$129.49|$99.64|$78.49|$105.18|$139.62|$42.00|$45.00|$125.49|$93.88|$106.41|$79.81
"CPT® 80299"|"HB REF FELBAMATE"|300.00|$127.00|$28.83|$69.98|$89.00|$67.95|$50.80|$28.83|$69.98|$53.85|$42.42|$50.83|$67.48|$42.00|$45.00|$67.82|$50.74|$57.51|$43.13
"CPT® 82757"|"HB REF FRUCTOSE,  SEMEN"|300.00|$209.00|$42.00|$115.16|$146.00|$111.82|$83.60|$47.44|$115.16|$88.62|$69.81|$52.52|$69.72|$42.00|$45.00|$111.61|$83.50|$94.64|$70.98
"CPT® 81261"|"HB REF IGH GENE REARRANGEMENT, AMP PROBE"|300.00|$501.00|$42.00|$501.00|$351.00|$268.04|$200.40|$113.73|$276.05|$212.42|$167.33|$501.00|$501.00|$42.00|$45.00|$267.53|$200.15|$226.85|$170.14
"CPT® 84999"|"HB REF IGH GENE REARRANGEMENT, B-CELL RECEPTOR"|300.00|$575.00|$42.00|$316.83|$402.00|$307.63|$230.00|$130.53|$316.83|$243.80|$192.05|||$42.00|$45.00|$307.05|$229.71|$260.36|$195.27
"CPT® 81273"|"HB REF KIT ASP 816 VAL MUTATION ANALYSIS, QUALITATIVE, PCR"|300.00|$531.00|$42.00|$452.03|$372.00|$284.09|$212.40|$120.54|$292.58|$225.14|$177.35|$340.52|$452.03|$42.00|$45.00|$283.55|$212.13|$240.44|$180.33
"CPT® 81309"|"HB REF PIK3CA GENE ANALYSIS TARGETED SEQUENCE ANALYSIS"|300.00|$551.00|$42.00|$303.60|$386.00|$294.79|$220.40|$125.08|$303.60|$233.62|$184.03|||$42.00|$45.00|$294.23|$220.12|$249.49|$187.12
"CPT® 87635"|"HB REF SARS-COV-2 RNA, QUAL RT-PCR"|300.00|$165.00|$37.46|$88.11|$115.00|$51.31|$66.00|$37.46|$51.31|$51.31|$51.31|||$51.31|$51.31|$88.11|$65.92|$74.71|$56.03
"CPT® 80201"|"HB REF TOPIRAMATE LEVEL"|300.00|$122.00|$27.69|$67.22|$85.00|$65.27|$48.80|$27.69|$67.22|$51.73|$40.75|$36.11|$47.93|$42.00|$45.00|$65.15|$48.74|$55.24|$41.43
"CPT® 80299"|"HB REF VORICONAZOLE LEVEL"|300.00|$372.00|$42.00|$204.97|$260.00|$199.02|$148.80|$84.44|$204.97|$157.73|$124.25|$50.83|$67.48|$42.00|$45.00|$198.65|$148.61|$168.44|$126.33
"CPT® 80203"|"HB REF ZONISAMIDE LEVEL"|300.00|$150.00|$34.05|$82.65|$105.00|$80.25|$60.00|$34.05|$82.65|$63.60|$50.10|$40.17|$53.32|$42.00|$45.00|$80.10|$59.93|$67.92|$50.94
"CPT® 82803"|"HB CORD VENOUS BLOOD GAS"|301.00|$191.00|$42.00|$105.24|$134.00|$102.19|$76.40|$43.36|$105.24|$80.98|$63.79|$71.09|$94.37|$42.00|$45.00|$101.99|$76.30|$86.48|$64.86
"CPT® 82803"|"HB ARTERIAL GASES W LYTES ISTAT"|301.00|$164.00|$37.23|$94.37|$115.00|$87.74|$65.60|$37.23|$90.36|$69.54|$54.78|$71.09|$94.37|$42.00|$45.00|$87.58|$65.52|$74.26|$55.69
"CPT® 82803"|"HB CORD ARTERIAL BLOOD GAS ISTAT"|301.00|$171.00|$38.82|$94.37|$120.00|$91.49|$68.40|$38.82|$94.22|$72.50|$57.11|$71.09|$94.37|$42.00|$45.00|$91.31|$68.31|$77.43|$58.07
"CPT® 82803"|"HB VENOUS GASES W LYTES ISTAT"|301.00|$170.00|$38.59|$94.37|$119.00|$90.95|$68.00|$38.59|$93.67|$72.08|$56.78|$71.09|$94.37|$42.00|$45.00|$90.78|$67.92|$76.98|$57.73
"CPT® 82330"|"HB IONIZED CALCIUM ISTAT"|301.00|$151.00|$34.28|$83.20|$106.00|$80.79|$60.40|$34.28|$83.20|$64.02|$50.43|$41.45|$55.02|$42.00|$45.00|$80.63|$60.32|$68.37|$51.28
"CPT® 82565"|"HB CREATININE, POCT"|301.00|$120.00|$15.52|$66.12|$84.00|$64.20|$48.00|$27.24|$66.12|$50.88|$40.08|$15.52|$20.60|$42.00|$45.00|$64.08|$47.94|$54.34|$40.75
"CPT® 82948"|"HB GLUCOSE, WHOLE BLOOD, POCT"|301.00|$62.00|$13.74|$45.00|$43.00|$33.17|$24.80|$14.07|$34.16|$26.29|$20.71|$13.74|$18.24|$42.00|$45.00|$33.11|$24.77|$28.07|$21.06
"CPT® 84112"|"HB EVAL AMNIOTIC FLUID PROTEIN"|301.00|$246.00|$42.00|$246.00|$172.00|$131.61|$98.40|$55.84|$135.55|$104.30|$82.16|$246.00|$246.00|$42.00|$45.00|$131.36|$98.28|$111.39|$83.54
"CPT® 82810"|"HB AORTA 02 SATURATION"|301.00|$115.00|$26.11|$63.37|$80.00|$61.53|$46.00|$26.11|$63.37|$48.76|$38.41|$26.64|$35.37|$42.00|$45.00|$61.41|$45.94|$52.07|$39.05
"CPT® 80329"|"HB ACETAMINOPHEN"|301.00|$255.00|$31.25|$140.51|$178.00|$136.43|$102.00|$57.89|$140.51|$108.12|$85.17|$31.25|$41.49|$42.00|$45.00|$136.17|$101.87|$115.46|$86.60
"CPT® 82040"|"HB ALBUMIN LEVEL"|301.00|$68.00|$15.00|$45.00|$48.00|$36.38|$27.20|$15.44|$37.47|$28.83|$22.71|$15.00|$19.91|$42.00|$45.00|$36.31|$27.17|$30.79|$23.09
"CPT® 82042"|"HB ALBUMIN, FLUID"|301.00|$141.00|$21.22|$77.69|$99.00|$75.44|$56.40|$32.01|$77.69|$59.78|$47.09|$21.22|$28.16|$42.00|$45.00|$75.29|$56.33|$63.84|$47.88
"CPT® 80320"|"HB ALCOHOL/ETHANOL LEVEL"|301.00|$177.00|$30.57|$97.53|$124.00|$94.70|$70.80|$40.18|$97.53|$75.05|$59.12|$30.57|$40.58|$42.00|$45.00|$94.52|$70.71|$80.15|$60.11
"CPT® 84075"|"HB ALKALINE PHOSPHATASE"|301.00|$137.00|$15.68|$75.49|$96.00|$73.30|$54.80|$31.10|$75.49|$58.09|$45.76|$15.68|$20.82|$42.00|$45.00|$73.16|$54.73|$62.03|$46.53
"CPT® 84460"|"HB ALT (SGPT)"|301.00|$203.00|$16.06|$111.85|$142.00|$108.61|$81.20|$46.08|$111.85|$86.07|$67.80|$16.06|$21.32|$42.00|$45.00|$108.40|$81.10|$91.92|$68.94
"CPT® 82140"|"HB AMMONIA"|301.00|$83.00|$18.84|$58.61|$58.00|$44.41|$33.20|$18.84|$45.73|$35.19|$27.72|$44.15|$58.61|$42.00|$45.00|$44.32|$33.16|$37.58|$28.19
"CPT® 82150"|"HB AMYLASE, FLUID"|301.00|$124.00|$19.63|$68.32|$87.00|$66.34|$49.60|$28.15|$68.32|$52.58|$41.42|$19.63|$26.06|$42.00|$45.00|$66.22|$49.54|$56.15|$42.11
"CPT® 82150"|"HB AMYLASE, SERUM"|301.00|$124.00|$19.63|$68.32|$87.00|$66.34|$49.60|$28.15|$68.32|$52.58|$41.42|$19.63|$26.06|$42.00|$45.00|$66.22|$49.54|$56.15|$42.11
"CPT® 80048"|"HB BASIC METABOLIC PANEL"|301.00|$250.00|$25.63|$137.75|$175.00|$133.75|$100.00|$56.75|$137.75|$106.00|$83.50|$25.63|$34.03|$42.00|$45.00|$133.50|$99.88|$113.20|$84.90
"CPT® 84702"|"HB BETA HCG, QUANTITATIVE"|301.00|$244.00|$42.00|$134.44|$171.00|$130.54|$97.60|$55.39|$134.44|$103.46|$81.50|$45.62|$60.56|$42.00|$45.00|$130.30|$97.48|$110.48|$82.86
"CPT® 82248"|"HB BILIRUBIN DIRECT"|301.00|$78.00|$15.19|$45.00|$55.00|$41.73|$31.20|$17.71|$42.98|$33.07|$26.05|$15.19|$20.16|$42.00|$45.00|$41.65|$31.16|$35.32|$26.49
"CPT® 82247"|"HB BILIRUBIN, TOTAL"|301.00|$75.00|$15.19|$45.00|$52.00|$40.13|$30.00|$17.03|$41.33|$31.80|$25.05|$15.19|$20.16|$42.00|$45.00|$40.05|$29.96|$33.96|$25.47
"CPT® 83880"|"HB B-TYPE NATRIURETIC PEPTIDE (BNP)"|301.00|$252.00|$42.00|$142.12|$176.00|$134.82|$100.80|$57.20|$138.85|$106.85|$84.17|$107.06|$142.12|$42.00|$45.00|$134.57|$100.67|$114.11|$85.58
"CPT® 82330"|"HB CALCIUM, IONIZED"|301.00|$188.00|$41.45|$103.59|$132.00|$100.58|$75.20|$42.68|$103.59|$79.71|$62.79|$41.45|$55.02|$42.00|$45.00|$100.39|$75.11|$85.13|$63.84
"CPT® 82310"|"HB CALCIUM, SERUM"|301.00|$68.00|$15.44|$45.00|$48.00|$36.38|$27.20|$15.44|$37.47|$28.83|$22.71|$15.63|$20.74|$42.00|$45.00|$36.31|$27.17|$30.79|$23.09
"CPT® 82375"|"HB CARBON MONOXIDE"|301.00|$142.00|$32.23|$78.24|$99.00|$75.97|$56.80|$32.23|$78.24|$60.21|$47.43|$37.33|$49.56|$42.00|$45.00|$75.83|$56.73|$64.30|$48.22
"CPT® 82435"|"HB CHLORIDE"|301.00|$126.00|$13.93|$69.43|$88.00|$67.41|$50.40|$28.60|$69.43|$53.42|$42.08|$13.93|$18.50|$42.00|$45.00|$67.28|$50.34|$57.05|$42.79
"CPT® 82465"|"HB CHOLESTEROL TOTAL"|301.00|$98.00|$13.20|$54.00|$69.00|$52.43|$39.20|$22.25|$54.00|$41.55|$32.73|$13.20|$17.52|$42.00|$45.00|$52.33|$39.15|$44.37|$33.28
"CPT® 84703"|"HB CHRONIONIC GONADOTROPIN QUAL"|301.00|$147.00|$22.80|$81.00|$103.00|$78.65|$58.80|$33.37|$81.00|$62.33|$49.10|$22.80|$30.26|$42.00|$45.00|$78.50|$58.73|$66.56|$49.92
"CPT® 82550"|"HB CK TOTAL"|301.00|$95.00|$19.72|$52.35|$66.00|$50.83|$38.00|$21.57|$52.35|$40.28|$31.73|$19.72|$26.17|$42.00|$45.00|$50.73|$37.95|$43.02|$32.26
"CPT® 82553"|"HB CK-MB FRACTION"|301.00|$234.00|$34.99|$128.93|$164.00|$125.19|$93.60|$53.12|$128.93|$99.22|$78.16|$34.99|$46.44|$42.00|$45.00|$124.96|$93.48|$105.96|$79.47
"CPT® 82374"|"HB CARBON DIOXIDE"|301.00|$54.00|$12.26|$45.00|$38.00|$28.89|$21.60|$12.26|$29.75|$22.90|$18.04|$14.81|$19.66|$42.00|$45.00|$28.84|$21.57|$24.45|$18.34
"CPT® 80053"|"HB COMPREHENSIVE METABOLIC PANEL"|301.00|$350.00|$32.01|$192.85|$245.00|$187.25|$140.00|$79.45|$192.85|$148.40|$116.90|$32.01|$42.50|$42.00|$45.00|$186.90|$139.83|$158.48|$118.86
"CPT® 82533"|"HB CORTISOL BASELINE"|301.00|$284.00|$42.00|$156.48|$199.00|$151.94|$113.60|$64.47|$156.48|$120.42|$94.86|$49.39|$65.56|$42.00|$45.00|$151.66|$113.46|$128.60|$96.45
"CPT® 82533"|"HB CORTISOL LEVEL 30 MINUTES POST-STIM"|301.00|$209.00|$42.00|$115.16|$146.00|$111.82|$83.60|$47.44|$115.16|$88.62|$69.81|$49.39|$65.56|$42.00|$45.00|$111.61|$83.50|$94.64|$70.98
"CPT® 82533"|"HB CORTISOL LEVEL 60 MINUTES POST-STIM"|301.00|$209.00|$42.00|$115.16|$146.00|$111.82|$83.60|$47.44|$115.16|$88.62|$69.81|$49.39|$65.56|$42.00|$45.00|$111.61|$83.50|$94.64|$70.98
"CPT® 82533"|"HB CORTISOL"|301.00|$208.00|$42.00|$114.61|$146.00|$111.28|$83.20|$47.22|$114.61|$88.19|$69.47|$49.39|$65.56|$42.00|$45.00|$111.07|$83.10|$94.18|$70.64
"CPT® 82565"|"HB CREATININE"|301.00|$104.00|$15.52|$57.30|$73.00|$55.64|$41.60|$23.61|$57.30|$44.10|$34.74|$15.52|$20.60|$42.00|$45.00|$55.54|$41.55|$47.09|$35.32
"CPT® 82575"|"HB CREATININE CLEARANCE"|301.00|$406.00|$28.66|$223.71|$284.00|$217.21|$162.40|$92.16|$223.71|$172.14|$135.60|$28.66|$38.05|$42.00|$45.00|$216.80|$162.20|$183.84|$137.88
"CPT® 82570"|"HB CREATININE, 24HR URINE"|301.00|$79.00|$15.68|$45.00|$55.00|$42.27|$31.60|$17.93|$43.53|$33.50|$26.39|$15.68|$20.82|$42.00|$45.00|$42.19|$31.56|$35.77|$26.83
"CPT® 82570"|"HB CREATININE, FLUID"|301.00|$79.00|$15.68|$45.00|$55.00|$42.27|$31.60|$17.93|$43.53|$33.50|$26.39|$15.68|$20.82|$42.00|$45.00|$42.19|$31.56|$35.77|$26.83
"CPT® 82570"|"HB CREATININE, RANDOM URINE"|301.00|$79.00|$15.68|$45.00|$55.00|$42.27|$31.60|$17.93|$43.53|$33.50|$26.39|$15.68|$20.82|$42.00|$45.00|$42.19|$31.56|$35.77|$26.83
"CPT® 80162"|"HB DIGOXIN"|301.00|$147.00|$33.37|$81.00|$103.00|$78.65|$58.80|$33.37|$81.00|$62.33|$49.10|$40.22|$53.40|$42.00|$45.00|$78.50|$58.73|$66.56|$49.92
"CPT® 80307"|"HB DRUG SCREEN"|301.00|$410.00|$42.00|$234.03|$287.00|$219.35|$164.00|$93.07|$225.91|$173.84|$136.94|$176.30|$234.03|$42.00|$45.00|$218.94|$163.80|$185.65|$139.24
"CPT® 80051"|"HB ELECTROLYTE PANEL"|301.00|$176.00|$21.24|$96.98|$123.00|$94.16|$70.40|$39.95|$96.98|$74.62|$58.78|$21.24|$28.20|$42.00|$45.00|$93.98|$70.31|$79.69|$59.77
"CPT® 82728"|"HB FERRITIN"|301.00|$165.00|$37.46|$90.92|$115.00|$88.28|$66.00|$37.46|$90.92|$69.96|$55.11|$41.31|$54.84|$42.00|$45.00|$88.11|$65.92|$74.71|$56.03
"CPT® 82746"|"HB FOLIC ACID"|301.00|$134.00|$30.42|$73.83|$94.00|$71.69|$53.60|$30.42|$73.83|$56.82|$44.76|$44.56|$59.15|$42.00|$45.00|$71.56|$53.53|$60.68|$45.51
"CPT® 80170"|"HB GENTAMICIN LEVEL"|301.00|$121.00|$27.47|$66.67|$85.00|$64.74|$48.40|$27.47|$66.67|$51.30|$40.41|$49.63|$65.88|$42.00|$45.00|$64.61|$48.34|$54.79|$41.09
"CPT® 80170"|"HB GENTAMICIN LEVEL (PEAK)"|301.00|$121.00|$27.47|$66.67|$85.00|$64.74|$48.40|$27.47|$66.67|$51.30|$40.41|$49.63|$65.88|$42.00|$45.00|$64.61|$48.34|$54.79|$41.09
"CPT® 80170"|"HB GENTAMICIN LEVEL (TROUGH)"|301.00|$121.00|$27.47|$66.67|$85.00|$64.74|$48.40|$27.47|$66.67|$51.30|$40.41|$49.63|$65.88|$42.00|$45.00|$64.61|$48.34|$54.79|$41.09
"CPT® 82977"|"HB GGT"|301.00|$148.00|$21.82|$81.55|$104.00|$79.18|$59.20|$33.60|$81.55|$62.75|$49.43|$21.82|$28.96|$42.00|$45.00|$79.03|$59.13|$67.01|$50.26
"CPT® 82947"|"HB GLUCOSE ASSAY"|301.00|$53.00|$11.92|$45.00|$37.00|$28.36|$21.20|$12.03|$29.20|$22.47|$17.70|$11.92|$15.82|$42.00|$45.00|$28.30|$21.17|$24.00|$18.00
"CPT® 82945"|"HB GLUCOSE, CSF"|301.00|$126.00|$11.92|$69.43|$88.00|$67.41|$50.40|$28.60|$69.43|$53.42|$42.08|$11.92|$15.82|$42.00|$45.00|$67.28|$50.34|$57.05|$42.79
"CPT® 82945"|"HB GLUCOSE, FLUID"|301.00|$57.00|$11.92|$45.00|$40.00|$30.50|$22.80|$12.94|$31.41|$24.17|$19.04|$11.92|$15.82|$42.00|$45.00|$30.44|$22.77|$25.81|$19.36
"CPT® 80076"|"HB HEPATIC FUNCTION PANEL"|301.00|$235.00|$24.76|$129.49|$164.00|$125.73|$94.00|$53.35|$129.49|$99.64|$78.49|$24.76|$32.87|$42.00|$45.00|$125.49|$93.88|$106.41|$79.81
"CPT® 83550"|"HB IRON BINDING CAPACITY"|301.00|$91.00|$20.66|$50.14|$64.00|$48.69|$36.40|$20.66|$50.14|$38.58|$30.39|$26.48|$35.15|$42.00|$45.00|$48.59|$36.35|$41.20|$30.90
"CPT® 83540"|"HB IRON LEVEL"|301.00|$90.00|$19.61|$49.59|$63.00|$48.15|$36.00|$20.43|$49.59|$38.16|$30.06|$19.61|$26.03|$42.00|$45.00|$48.06|$35.96|$40.75|$30.56
"CPT® 83615"|"HB LACTATE DEHYDROGENASE (LDH)"|301.00|$92.00|$18.30|$50.69|$64.00|$49.22|$36.80|$20.88|$50.69|$39.01|$30.73|$18.30|$24.29|$42.00|$45.00|$49.13|$36.75|$41.66|$31.24
"CPT® 83605"|"HB LACTIC ACID"|301.00|$254.00|$32.37|$139.95|$178.00|$135.89|$101.60|$57.66|$139.95|$107.70|$84.84|$32.37|$42.97|$42.00|$45.00|$135.64|$101.47|$115.01|$86.26
"CPT® 83690"|"HB LIPASE"|301.00|$99.00|$20.86|$54.55|$69.00|$52.97|$39.60|$22.47|$54.55|$41.98|$33.07|$20.86|$27.69|$42.00|$45.00|$52.87|$39.55|$44.83|$33.62
"CPT® 83690"|"HB LIPASE, FLUID"|301.00|$99.00|$20.86|$54.55|$69.00|$52.97|$39.60|$22.47|$54.55|$41.98|$33.07|$20.86|$27.69|$42.00|$45.00|$52.87|$39.55|$44.83|$33.62
"CPT® 80061"|"HB LIPID PANEL"|301.00|$210.00|$40.58|$115.71|$147.00|$112.35|$84.00|$47.67|$115.71|$89.04|$70.14|$40.58|$53.87|$42.00|$45.00|$112.14|$83.90|$95.09|$71.32
"CPT® 80178"|"HB LITHIUM LEVEL"|301.00|$165.00|$20.04|$90.92|$115.00|$88.28|$66.00|$37.46|$90.92|$69.96|$55.11|$20.04|$26.61|$42.00|$45.00|$88.11|$65.92|$74.71|$56.03
"CPT® 83735"|"HB MAGNESIUM LEVEL"|301.00|$92.00|$20.29|$50.69|$64.00|$49.22|$36.80|$20.88|$50.69|$39.01|$30.73|$20.29|$26.93|$42.00|$45.00|$49.13|$36.75|$41.66|$31.24
"CPT® 82043"|"HB MICROALBUMIN, URINE"|301.00|$103.00|$17.51|$56.75|$72.00|$55.11|$41.20|$23.38|$56.75|$43.67|$34.40|$17.51|$23.24|$42.00|$45.00|$55.00|$41.15|$46.64|$34.98
"CPT® 83930"|"HB OSMOLALITY, BLOOD"|301.00|$87.00|$19.75|$47.94|$61.00|$46.55|$34.80|$19.75|$47.94|$36.89|$29.06|$20.04|$26.61|$42.00|$45.00|$46.46|$34.76|$39.39|$29.55
"CPT® 83935"|"HB OSMOLALITY, URINE"|301.00|$87.00|$19.75|$47.94|$61.00|$46.55|$34.80|$19.75|$47.94|$36.89|$29.06|$20.64|$27.40|$42.00|$45.00|$46.46|$34.76|$39.39|$29.55
"CPT® 83986"|"HB PH, FLUID"|301.00|$59.00|$10.85|$45.00|$41.00|$31.57|$23.60|$13.39|$32.51|$25.02|$19.71|$10.85|$14.41|$42.00|$45.00|$31.51|$23.57|$26.72|$20.04
"CPT® 83986"|"HB PH, URINE"|301.00|$59.00|$10.85|$45.00|$41.00|$31.57|$23.60|$13.39|$32.51|$25.02|$19.71|$10.85|$14.41|$42.00|$45.00|$31.51|$23.57|$26.72|$20.04
"CPT® 82800"|"HB PH, WHOLE BLOOD"|301.00|$56.00|$12.71|$45.00|$39.00|$29.96|$22.40|$12.71|$30.86|$23.74|$18.70|$30.00|$39.82|$42.00|$45.00|$29.90|$22.37|$25.36|$19.02
"CPT® 80184"|"HB PHENOBARBITAL LEVEL"|301.00|$245.00|$41.72|$135.00|$172.00|$131.08|$98.00|$55.62|$135.00|$103.88|$81.83|$41.72|$55.39|$42.00|$45.00|$130.83|$97.88|$110.94|$83.20
"CPT® 80185"|"HB PHENYTOIN (DILANTIN)"|301.00|$153.00|$34.73|$84.30|$107.00|$81.86|$61.20|$34.73|$84.30|$64.87|$51.10|$40.17|$53.32|$42.00|$45.00|$81.70|$61.12|$69.28|$51.96
"CPT® 84100"|"HB PHOSPHORUS LEVEL"|301.00|$80.00|$14.37|$45.00|$56.00|$42.80|$32.00|$18.16|$44.08|$33.92|$26.72|$14.37|$19.08|$42.00|$45.00|$42.72|$31.96|$36.22|$27.17
"CPT® 84132"|"HB POTASSIUM LEVEL"|301.00|$52.00|$11.80|$45.00|$36.00|$27.82|$20.80|$11.80|$28.65|$22.05|$17.37|$13.93|$18.50|$42.00|$45.00|$27.77|$20.77|$23.55|$17.66
"CPT® 84133"|"HB POTASSIUM, 24 HR URINE"|301.00|$78.00|$13.06|$45.00|$55.00|$41.73|$31.20|$17.71|$42.98|$33.07|$26.05|$13.06|$17.34|$42.00|$45.00|$41.65|$31.16|$35.32|$26.49
"CPT® 84133"|"HB POTASSIUM, RANDOM URINE"|301.00|$53.00|$12.03|$45.00|$37.00|$28.36|$21.20|$12.03|$29.20|$22.47|$17.70|$13.06|$17.34|$42.00|$45.00|$28.30|$21.17|$24.00|$18.00
"CPT® 84153"|"HB PROSTATE SPECIFIC ANTIGEN, TOTAL"|301.00|$236.00|$42.00|$130.04|$165.00|$126.26|$94.40|$53.57|$130.04|$100.06|$78.82|$55.74|$73.99|$42.00|$45.00|$126.02|$94.28|$106.86|$80.15
"CPT® 84157"|"HB PROTEIN, TOTAL, OTHER"|301.00|$51.00|$11.10|$45.00|$36.00|$27.29|$20.40|$11.58|$28.10|$21.62|$17.03|$11.10|$14.73|$42.00|$45.00|$27.23|$20.37|$23.09|$17.32
"CPT® 84155"|"HB PROTEIN, TOTAL, SERUM"|301.00|$53.00|$11.10|$45.00|$37.00|$28.36|$21.20|$12.03|$29.20|$22.47|$17.70|$11.10|$14.73|$42.00|$45.00|$28.30|$21.17|$24.00|$18.00
"CPT® 84156"|"HB PROTEIN, TOTAL, URINE"|301.00|$133.00|$11.10|$73.28|$93.00|$71.16|$53.20|$30.19|$73.28|$56.39|$44.42|$11.10|$14.73|$42.00|$45.00|$71.02|$53.13|$60.22|$45.17
"CPT® 82570"|"HB PROTEIN/CREAT RATIO, RANDOM URINE"|301.00|$79.00|$15.68|$45.00|$55.00|$42.27|$31.60|$17.93|$43.53|$33.50|$26.39|$15.68|$20.82|$42.00|$45.00|$42.19|$31.56|$35.77|$26.83
"CPT® 80069"|"HB RENAL FUNCTION PANEL"|301.00|$247.00|$26.32|$136.10|$173.00|$132.15|$98.80|$56.07|$136.10|$104.73|$82.50|$26.32|$34.93|$42.00|$45.00|$131.90|$98.68|$111.84|$83.88
"CPT® 80329"|"HB SALICYLATE"|301.00|$159.00|$31.25|$87.61|$111.00|$85.07|$63.60|$36.09|$87.61|$67.42|$53.11|$31.25|$41.49|$42.00|$45.00|$84.91|$63.52|$72.00|$54.00
"CPT® 84450"|"HB SGOT (AST)"|301.00|$203.00|$15.68|$111.85|$142.00|$108.61|$81.20|$46.08|$111.85|$86.07|$67.80|$15.68|$20.82|$42.00|$45.00|$108.40|$81.10|$91.92|$68.94
"CPT® 84295"|"HB SODIUM ASSAY"|301.00|$41.00|$9.31|$41.00|$29.00|$21.94|$16.40|$9.31|$22.59|$17.38|$13.69|$14.59|$19.37|$41.00|$41.00|$21.89|$16.38|$18.56|$13.92
"CPT® 84300"|"HB SODIUM, 24 HR URINE"|301.00|$130.00|$14.73|$71.63|$91.00|$69.55|$52.00|$29.51|$71.63|$55.12|$43.42|$14.73|$19.55|$42.00|$45.00|$69.42|$51.94|$58.86|$44.15
"CPT® 84300"|"HB SODIUM, RANDOM URINE"|301.00|$60.00|$13.62|$45.00|$42.00|$32.10|$24.00|$13.62|$33.06|$25.44|$20.04|$14.73|$19.55|$42.00|$45.00|$32.04|$23.97|$27.17|$20.38
"CPT® 84439"|"HB T4, FREE"|301.00|$187.00|$27.32|$99.86|$131.00|$73.83|$55.20|$31.33|$76.04|$58.51|$46.09|$27.32|$36.27|$42.00|$45.00|$99.86|$74.71|$84.67|$63.51
"CPT® 84443"|"HB THYROID STIMULATING HORMONE (TSH)"|301.00|$169.00|$38.36|$93.12|$118.00|$90.42|$67.60|$38.36|$93.12|$71.66|$56.45|$50.91|$67.59|$42.00|$45.00|$90.25|$67.52|$76.52|$57.39
"CPT® 84478"|"HB TRIGLYCERIDE"|301.00|$53.00|$12.03|$45.00|$37.00|$28.36|$21.20|$12.03|$29.20|$22.47|$17.70|$17.40|$23.10|$42.00|$45.00|$28.30|$21.17|$24.00|$18.00
"CPT® 84520"|"HB UREA NITROGEN ASSAY"|301.00|$127.00|$11.97|$69.98|$89.00|$67.95|$50.80|$28.83|$69.98|$53.85|$42.42|$11.97|$15.89|$42.00|$45.00|$67.82|$50.74|$57.51|$43.13
"CPT® 84550"|"HB URIC ACID BLOOD"|301.00|$90.00|$13.69|$49.59|$63.00|$48.15|$36.00|$20.43|$49.59|$38.16|$30.06|$13.69|$18.17|$42.00|$45.00|$48.06|$35.96|$40.75|$30.56
"CPT® 80164"|"HB VALPROIC ACID LEVEL"|301.00|$191.00|$41.04|$105.24|$134.00|$102.19|$76.40|$43.36|$105.24|$80.98|$63.79|$41.04|$54.48|$42.00|$45.00|$101.99|$76.30|$86.48|$64.86
"CPT® 80047"|"HB WHOLE BLOOD CHEMISTRY PANEL"|301.00|$203.00|$37.44|$111.85|$142.00|$108.61|$81.20|$46.08|$111.85|$86.07|$67.80|$37.44|$49.70|$42.00|$45.00|$108.40|$81.10|$91.92|$68.94
"CPT® 82805"|"HB BLOOD GASES WITH O2 SATURATION"|301.00|$162.00|$36.77|$162.00|$113.00|$86.67|$64.80|$36.77|$89.26|$68.69|$54.11|$162.00|$162.00|$42.00|$45.00|$86.51|$64.72|$73.35|$55.02
"CPT® 82803"|"HB BLOOD GAS, CAPILLARY"|301.00|$171.00|$38.82|$94.37|$120.00|$91.49|$68.40|$38.82|$94.22|$72.50|$57.11|$71.09|$94.37|$42.00|$45.00|$91.31|$68.31|$77.43|$58.07
"CPT® 82803"|"HB CORD ARTERIAL BLOOD GAS"|301.00|$171.00|$38.82|$94.37|$120.00|$91.49|$68.40|$38.82|$94.22|$72.50|$57.11|$71.09|$94.37|$42.00|$45.00|$91.31|$68.31|$77.43|$58.07
"CPT® 80156"|"HB CARBAMAZEPINE (TEGRETOL)"|301.00|$191.00|$42.00|$105.24|$134.00|$102.19|$76.40|$43.36|$105.24|$80.98|$63.79|$44.12|$58.57|$42.00|$45.00|$101.99|$76.30|$86.48|$64.86
"CPT® 82270"|"HB OCCULT BLOOD, STOOL SCREENING"|301.00|$39.00|$8.85|$39.00|$27.00|$20.87|$15.60|$8.85|$21.49|$16.54|$13.03|$11.94|$15.86|$39.00|$39.00|$20.83|$15.58|$17.66|$13.24
"CPT® 82271"|"HB OCCULT BLOOD GASTRIC"|301.00|$43.00|$8.85|$39.00|$30.00|$20.87|$15.60|$8.85|$21.49|$16.54|$13.03|$14.51|$19.26|$39.00|$39.00|$22.96|$17.18|$19.47|$14.60
"CPT® 82272"|"HB OCCULT BLOOD, STOOL DIAGNOSTIC"|301.00|$39.00|$8.85|$39.00|$27.00|$20.87|$15.60|$8.85|$21.49|$16.54|$13.03|$11.54|$15.31|$39.00|$39.00|$20.83|$15.58|$17.66|$13.24
"CPT® 83498"|"HB REF 17-HYDROXYPROGESTERONE"|301.00|$229.00|$42.00|$126.18|$160.00|$122.52|$91.60|$51.98|$126.18|$97.10|$76.49|$82.33|$109.29|$42.00|$45.00|$122.29|$91.49|$103.69|$77.77
"CPT® 83516"|"HB REF 4-RECEPTOR ABS"|301.00|$397.00|$34.93|$218.75|$278.00|$212.40|$158.80|$90.12|$218.75|$168.33|$132.60|$34.93|$46.37|$42.00|$45.00|$212.00|$158.60|$179.76|$134.82
"CPT® 83497"|"HB REF 5-HIAA URINE"|301.00|$265.00|$39.08|$146.02|$186.00|$141.78|$106.00|$60.16|$146.02|$112.36|$88.51|$39.08|$51.87|$42.00|$45.00|$141.51|$105.87|$119.99|$89.99
"CPT® 83519"|"HB REF ACETYLCHOLINE RECEPTOR BINDING ANTIBODY"|301.00|$251.00|$42.00|$138.30|$176.00|$134.29|$100.40|$56.98|$138.30|$106.42|$83.83|$50.18|$66.61|$42.00|$45.00|$134.03|$100.27|$113.65|$85.24
"CPT® 83519"|"HB REF ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY"|301.00|$251.00|$42.00|$138.30|$176.00|$134.29|$100.40|$56.98|$138.30|$106.42|$83.83|$50.18|$66.61|$42.00|$45.00|$134.03|$100.27|$113.65|$85.24
"CPT® 83519"|"HB REF ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY"|301.00|$251.00|$42.00|$138.30|$176.00|$134.29|$100.40|$56.98|$138.30|$106.42|$83.83|$50.18|$66.61|$42.00|$45.00|$134.03|$100.27|$113.65|$85.24
"CPT® 83516"|"HB REF ACTIN (SMOOTH MUSCLE) AB, IGG"|301.00|$397.00|$34.93|$218.75|$278.00|$212.40|$158.80|$90.12|$218.75|$168.33|$132.60|$34.93|$46.37|$42.00|$45.00|$212.00|$158.60|$179.76|$134.82
"CPT® 83519"|"HB REF ADRENAL 21-HYDROXYLASE AUTOANTIBODIES"|301.00|$181.00|$41.09|$99.73|$127.00|$96.84|$72.40|$41.09|$99.73|$76.74|$60.45|$50.18|$66.61|$42.00|$45.00|$96.65|$72.31|$81.96|$61.47
"CPT® 82024"|"HB REF ADRENOCORDICOTROPIC HORMONE"|301.00|$391.00|$42.00|$215.44|$274.00|$209.19|$156.40|$88.76|$215.44|$165.78|$130.59|$117.02|$155.33|$42.00|$45.00|$208.79|$156.20|$177.04|$132.78
"CPT® 82105"|"HB REF AFP, TUMOR MARKER"|301.00|$383.00|$42.00|$211.03|$268.00|$204.91|$153.20|$86.94|$211.03|$162.39|$127.92|$50.83|$67.48|$42.00|$45.00|$204.52|$153.01|$173.42|$130.07
"CPT® 80320"|"HB REF ALCOHOL, ISOPROPYL"|301.00|$205.00|$30.57|$112.96|$144.00|$109.68|$82.00|$46.54|$112.96|$86.92|$68.47|$30.57|$40.58|$42.00|$45.00|$109.47|$81.90|$92.82|$69.62
"CPT® 80320"|"HB REF ALCOHOL, METHYL"|301.00|$144.00|$30.57|$79.34|$101.00|$77.04|$57.60|$32.69|$79.34|$61.06|$48.10|$30.57|$40.58|$42.00|$45.00|$76.90|$57.53|$65.20|$48.90
"CPT® 82085"|"HB REF ALDOLASE SERUM"|301.00|$173.00|$29.42|$95.32|$121.00|$92.56|$69.20|$39.27|$95.32|$73.35|$57.78|$29.42|$39.06|$42.00|$45.00|$92.38|$69.11|$78.33|$58.75
"CPT® 82088"|"HB REF ALDOSTERONE"|301.00|$333.00|$42.00|$183.48|$233.00|$178.16|$133.20|$75.59|$183.48|$141.19|$111.22|$123.48|$163.91|$42.00|$45.00|$177.82|$133.03|$150.78|$113.09
"CPT® 84075"|"HB REF ALKALINE PHOSPHATASE"|301.00|$137.00|$15.68|$75.49|$96.00|$73.30|$54.80|$31.10|$75.49|$58.09|$45.76|$15.68|$20.82|$42.00|$45.00|$73.16|$54.73|$62.03|$46.53
"CPT® 84075"|"HB REF ALKALINE PHOSPHATASE, BONE SPECIFIC"|301.00|$137.00|$15.68|$75.49|$96.00|$73.30|$54.80|$31.10|$75.49|$58.09|$45.76|$15.68|$20.82|$42.00|$45.00|$73.16|$54.73|$62.03|$46.53
"CPT® 84080"|"HB REF ALKALINE PHOSPHATASE, ISOENZYMES"|301.00|$293.00|$42.00|$161.44|$205.00|$156.76|$117.20|$66.51|$161.44|$124.23|$97.86|$44.80|$59.48|$42.00|$45.00|$156.46|$117.05|$132.67|$99.50
"CPT® 82104"|"HB REF ALPHA-1-ANTITRYPSIN PHENO"|301.00|$326.00|$42.00|$179.63|$228.00|$174.41|$130.40|$74.00|$179.63|$138.22|$108.88|$43.82|$58.17|$42.00|$45.00|$174.08|$130.24|$147.61|$110.71
"CPT® 82103"|"HB REF ALPHA-1-ANTITRYPSIN"|301.00|$167.00|$37.91|$92.02|$117.00|$89.35|$66.80|$37.91|$92.02|$70.81|$55.78|$40.71|$54.05|$42.00|$45.00|$89.18|$66.72|$75.62|$56.71
"CPT® 82105"|"HB REF ALPHA-FETOPROTEIN SERUM"|301.00|$383.00|$42.00|$211.03|$268.00|$204.91|$153.20|$86.94|$211.03|$162.39|$127.92|$50.83|$67.48|$42.00|$45.00|$204.52|$153.01|$173.42|$130.07
"CPT® 82108"|"HB REF ALUMINUM SERUM"|301.00|$168.00|$38.14|$102.48|$118.00|$89.88|$67.20|$38.14|$92.57|$71.23|$56.11|$77.20|$102.48|$42.00|$45.00|$89.71|$67.12|$76.07|$57.05
"CPT® 80150"|"HB REF AMIKACIN"|301.00|$109.00|$24.74|$60.64|$76.00|$58.32|$43.60|$24.74|$60.06|$46.22|$36.41|$45.68|$60.64|$42.00|$45.00|$58.21|$43.55|$49.36|$37.02
"CPT® 82139"|"HB REF AMINO ACIDS QUANT 6 OR MORE"|301.00|$202.00|$42.00|$111.30|$141.00|$108.07|$80.80|$45.85|$111.30|$85.65|$67.47|$51.10|$67.84|$42.00|$45.00|$107.87|$80.70|$91.47|$68.60
"CPT® 82139"|"HB REF AMINO ACIDS QUANT PLASMA"|301.00|$551.00|$42.00|$303.60|$386.00|$294.79|$220.40|$125.08|$303.60|$233.62|$184.03|$51.10|$67.84|$42.00|$45.00|$294.23|$220.12|$249.49|$187.12
"CPT® 82157"|"HB REF ANDROSTENEDIONE"|301.00|$245.00|$42.00|$135.00|$172.00|$131.08|$98.00|$55.62|$135.00|$103.88|$81.83|$88.71|$117.76|$42.00|$45.00|$130.83|$97.88|$110.94|$83.20
"CPT® 82164"|"HB REF ANGIOTENSION CONVERTING ENZYME"|301.00|$219.00|$42.00|$120.67|$153.00|$117.17|$87.60|$49.71|$120.67|$92.86|$73.15|$44.23|$58.72|$42.00|$45.00|$116.95|$87.49|$99.16|$74.37
"CPT® 82164"|"HB REF ANGIOTENSION CONVERTING ENZYME, CSF"|301.00|$219.00|$42.00|$120.67|$153.00|$117.17|$87.60|$49.71|$120.67|$92.86|$73.15|$44.23|$58.72|$42.00|$45.00|$116.95|$87.49|$99.16|$74.37
"CPT® 80335"|"HB REF ANTIDEPRESSANT TRICYCLIC & OTHER CYCLICAL"|301.00|$80.00|$13.64|$45.00|$56.00|$42.80|$32.00|$18.16|$44.08|$33.92|$26.72|$13.64|$18.10|$42.00|$45.00|$42.72|$31.96|$36.22|$27.17
"CPT® 82175"|"HB REF ARSENIC, 24HR URINE"|301.00|$104.00|$23.61|$76.31|$73.00|$55.64|$41.60|$23.61|$57.30|$44.10|$34.74|$57.49|$76.31|$42.00|$45.00|$55.54|$41.55|$47.09|$35.32
"CPT® 82175"|"HB REF ARSENIC, BLOOD"|301.00|$109.00|$24.74|$76.31|$76.00|$58.32|$43.60|$24.74|$60.06|$46.22|$36.41|$57.49|$76.31|$42.00|$45.00|$58.21|$43.55|$49.36|$37.02
"CPT® 80346"|"HB REF BENZODIAZEPINES"|301.00|$250.00|$42.00|$137.75|$175.00|$133.75|$100.00|$56.75|$137.75|$106.00|$83.50|$43.93|$58.32|$42.00|$45.00|$133.50|$99.88|$113.20|$84.90
"CPT® 82232"|"HB REF BETA-2 MICROGLOBULIN"|301.00|$146.00|$33.14|$80.45|$102.00|$78.11|$58.40|$33.14|$80.45|$61.90|$48.76|$49.00|$65.05|$42.00|$45.00|$77.96|$58.33|$66.11|$49.58
"CPT® 82542"|"HB REF BILE ACIDS FRACTIONATED & TOTAL"|301.00|$273.00|$42.00|$150.42|$191.00|$146.06|$109.20|$61.97|$150.42|$115.75|$91.18|$65.69|$87.21|$42.00|$45.00|$145.78|$109.06|$123.61|$92.71
"CPT® 82300"|"HB REF CADMIUM URINE RANDOM"|301.00|$195.00|$42.00|$107.45|$136.00|$104.33|$78.00|$44.27|$107.45|$82.68|$65.13|$70.14|$93.11|$42.00|$45.00|$104.13|$77.90|$88.30|$66.22
"CPT® 82340"|"HB REF CALCIUM, 24HR URINE"|301.00|$151.00|$18.27|$83.20|$106.00|$80.79|$60.40|$34.28|$83.20|$64.02|$50.43|$18.27|$24.25|$42.00|$45.00|$80.63|$60.32|$68.37|$51.28
"CPT® 82365"|"HB REF CALCULI (STONE) ANALYSIS"|301.00|$200.00|$39.08|$110.20|$140.00|$107.00|$80.00|$45.40|$110.20|$84.80|$66.80|$39.08|$51.87|$42.00|$45.00|$106.80|$79.90|$90.56|$67.92
"CPT® 83993"|"HB REF CALPROTECTIN, FECAL"|301.00|$349.00|$42.00|$192.30|$244.00|$186.72|$139.60|$79.22|$192.30|$147.98|$116.57|$59.48|$78.95|$42.00|$45.00|$186.37|$139.43|$158.03|$118.52
"CPT® 82378"|"HB REF CARCINOEMBRYONIC ANTIGEN (CEA), FLUID"|301.00|$360.00|$42.00|$198.36|$252.00|$192.60|$144.00|$81.72|$198.36|$152.64|$120.24|$57.46|$76.27|$42.00|$45.00|$192.24|$143.82|$163.01|$122.26
"CPT® 82379"|"HB REF CARNITINE FREE & TOTAL"|301.00|$254.00|$42.00|$139.95|$178.00|$135.89|$101.60|$57.66|$139.95|$107.70|$84.84|$51.10|$67.84|$42.00|$45.00|$135.64|$101.47|$115.01|$86.26
"CPT® 82384"|"HB REF CATECHOLAMINES PANEL, PLASMA"|301.00|$229.00|$42.00|$126.18|$160.00|$122.52|$91.60|$51.98|$126.18|$97.10|$76.49|$76.52|$101.58|$42.00|$45.00|$122.29|$91.49|$103.69|$77.77
"CPT® 82384"|"HB REF CATECHOLAMINES PANEL, URINE"|301.00|$436.00|$42.00|$240.24|$305.00|$233.26|$174.40|$98.97|$240.24|$184.86|$145.62|$76.52|$101.58|$42.00|$45.00|$232.82|$174.18|$197.42|$148.07
"CPT® 82390"|"HB REF CERULOPLASMIN"|301.00|$214.00|$32.53|$117.91|$150.00|$114.49|$85.60|$48.58|$117.91|$90.74|$71.48|$32.53|$43.19|$42.00|$45.00|$114.28|$85.49|$96.90|$72.67
"CPT® 82436"|"HB REF CHLORIDE, 24HR URINE"|301.00|$111.00|$15.68|$61.16|$78.00|$59.39|$44.40|$25.20|$61.16|$47.06|$37.07|$15.68|$20.82|$42.00|$45.00|$59.27|$44.34|$50.26|$37.70
"CPT® 82495"|"HB REF CHROMIUM, SERUM"|301.00|$158.00|$35.87|$87.06|$111.00|$84.53|$63.20|$35.87|$87.06|$66.99|$52.77|$61.44|$81.56|$42.00|$45.00|$84.37|$63.12|$71.54|$53.66
"CPT® 82542"|"HB REF CHROMOTOGRAPHY"|301.00|$102.00|$23.15|$87.21|$71.00|$54.57|$40.80|$23.15|$56.20|$43.25|$34.07|$65.69|$87.21|$42.00|$45.00|$54.47|$40.75|$46.19|$34.64
"CPT® 84702"|"HB REF CHRONIONIC GONADOTROPIN QUANT"|301.00|$245.00|$42.00|$135.00|$172.00|$131.08|$98.00|$55.62|$135.00|$103.88|$81.83|$45.62|$60.56|$42.00|$45.00|$130.83|$97.88|$110.94|$83.20
"CPT® 82507"|"HB REF CITRIC ACID, URINE"|301.00|$313.00|$42.00|$172.46|$219.00|$167.46|$125.20|$71.05|$172.46|$132.71|$104.54|$84.24|$111.82|$42.00|$45.00|$167.14|$125.04|$141.73|$106.29
"CPT® 80159"|"HB REF CLOZAPINE"|301.00|$218.00|$42.00|$120.12|$153.00|$116.63|$87.20|$49.49|$120.12|$92.43|$72.81|$56.04|$74.39|$42.00|$45.00|$116.41|$87.09|$98.71|$74.03
"CPT® 82525"|"HB REF COPPER, SERUM"|301.00|$216.00|$37.61|$119.02|$151.00|$115.56|$86.40|$49.03|$119.02|$91.58|$72.14|$37.61|$49.92|$42.00|$45.00|$115.34|$86.29|$97.80|$73.35
"CPT® 82533"|"HB REF CORTISOL"|301.00|$231.00|$42.00|$123.35|$162.00|$111.28|$83.20|$47.22|$114.61|$88.19|$69.47|$49.39|$65.56|$42.00|$45.00|$123.35|$92.28|$104.60|$78.45
"CPT® 82530"|"HB REF CORTISOL, FREE"|301.00|$140.00|$31.78|$77.14|$98.00|$74.90|$56.00|$31.78|$77.14|$59.36|$46.76|$50.64|$67.22|$42.00|$45.00|$74.76|$55.93|$63.39|$47.54
"CPT® 84681"|"HB REF C-PEPTIDE"|301.00|$149.00|$33.82|$83.73|$104.00|$79.72|$59.60|$33.82|$82.10|$63.18|$49.77|$63.08|$83.73|$42.00|$45.00|$79.57|$59.53|$67.47|$50.60
"CPT® 82570"|"HB REF CREATININE, 24HR URINE"|301.00|$79.00|$15.68|$45.00|$55.00|$42.27|$31.60|$17.93|$43.53|$33.50|$26.39|$15.68|$20.82|$42.00|$45.00|$42.19|$31.56|$35.77|$26.83
"CPT® 82570"|"HB REF CREATININE, FLUID"|301.00|$79.00|$15.68|$45.00|$55.00|$42.27|$31.60|$17.93|$43.53|$33.50|$26.39|$15.68|$20.82|$42.00|$45.00|$42.19|$31.56|$35.77|$26.83
"CPT® 82595"|"HB REF CRYOGLOBULIN SCREEN"|301.00|$87.00|$19.58|$47.94|$61.00|$46.55|$34.80|$19.75|$47.94|$36.89|$29.06|$19.58|$25.99|$42.00|$45.00|$46.46|$34.76|$39.39|$29.55
"CPT® 82523"|"HB REF CTX COLLAGEN TYPE I"|301.00|$485.00|$42.00|$267.24|$340.00|$259.48|$194.00|$110.10|$267.24|$205.64|$161.99|$56.61|$75.15|$42.00|$45.00|$258.99|$193.76|$219.61|$164.71
"CPT® 80158"|"HB REF CYCLOSPORINE, BLOOD"|301.00|$394.00|$42.00|$217.09|$276.00|$210.79|$157.60|$89.44|$217.09|$167.06|$131.60|$54.70|$72.62|$42.00|$45.00|$210.40|$157.40|$178.40|$133.80
"CPT® 82610"|"HB REF CYSTATIN C WITH ESTIMATED GFR"|301.00|$158.00|$35.87|$87.06|$111.00|$84.53|$63.20|$35.87|$87.06|$66.99|$52.77|$50.50|$67.04|$42.00|$45.00|$84.37|$63.12|$71.54|$53.66
"CPT® 83516"|"HB REF DEAMIDATED GLIADIN PEPTIDE, IGG"|301.00|$212.00|$34.93|$116.81|$148.00|$113.42|$84.80|$48.12|$116.81|$89.89|$70.81|$34.93|$46.37|$42.00|$45.00|$113.21|$84.69|$95.99|$72.00
"CPT® 83516"|"HB REF DEAMINATED GLIADIN PEPTIDE, IGA"|301.00|$212.00|$34.93|$116.81|$148.00|$113.42|$84.80|$48.12|$116.81|$89.89|$70.81|$34.93|$46.37|$42.00|$45.00|$113.21|$84.69|$95.99|$72.00
"CPT® 82135"|"HB REF DELTA-AMINOLEVULINIC ACID"|301.00|$137.00|$31.10|$75.49|$96.00|$73.30|$54.80|$31.10|$75.49|$58.09|$45.76|$49.85|$66.17|$42.00|$45.00|$73.16|$54.73|$62.03|$46.53
"CPT® 82627"|"HB REF DHEA SULFATE"|301.00|$420.00|$42.00|$231.42|$294.00|$224.70|$168.00|$95.34|$231.42|$178.08|$140.28|$67.38|$89.45|$42.00|$45.00|$224.28|$167.79|$190.18|$142.63
"CPT® 82642"|"HB REF DIHYDROTESTOSTERONE (DHT)"|301.00|$184.00|$41.77|$117.76|$129.00|$98.44|$73.60|$41.77|$101.38|$78.02|$61.46|$88.71|$117.76|$42.00|$45.00|$98.26|$73.51|$83.32|$62.49
"CPT® 80307"|"HB REF DRUG SCREEN, UMBILICAL CORD TISSUE"|301.00|$298.00|$42.00|$234.03|$209.00|$159.43|$119.20|$67.65|$164.20|$126.35|$99.53|$176.30|$234.03|$42.00|$45.00|$159.13|$119.05|$134.93|$101.20
"CPT® 80306"|"HB REF DRUG CONFIRMATION, CANNABINOID/THC"|301.00|$504.00|$42.00|$277.70|$353.00|$269.64|$201.60|$114.41|$277.70|$213.70|$168.34|$46.74|$62.05|$42.00|$45.00|$269.14|$201.35|$228.21|$171.16
"CPT® 80307"|"HB REF DRUG SCREEN"|301.00|$305.00|$42.00|$234.03|$214.00|$163.18|$122.00|$69.24|$168.06|$129.32|$101.87|$176.30|$234.03|$42.00|$45.00|$162.87|$121.85|$138.10|$103.58
"CPT® 80325"|"HB REF DRUG SCREEN, AMPHETAMINES, 3 OR 4"|301.00|$47.00|$10.67|$47.00|$33.00|$25.15|$18.80|$10.67|$25.90|$19.93|$15.70|$35.45|$47.00|$42.00|$45.00|$25.10|$18.78|$21.28|$15.96
"CPT® 80345"|"HB REF DRUG SCREENING BARBITURATES"|301.00|$138.00|$29.72|$76.04|$97.00|$73.83|$55.20|$31.33|$76.04|$58.51|$46.09|$29.72|$39.46|$42.00|$45.00|$73.69|$55.13|$62.49|$46.86
"CPT® 82438"|"HB REF ELECTROLYES, CHLORIDE, FECAL"|301.00|$45.00|$10.22|$45.00|$31.00|$24.08|$18.00|$10.22|$24.80|$19.08|$15.03|$14.81|$19.66|$42.00|$45.00|$24.03|$17.98|$20.38|$15.28
"CPT® 82664"|"HB REF ELECTROPHORETIC TEST"|301.00|$64.00|$14.53|$64.00|$45.00|$34.24|$25.60|$14.53|$35.26|$27.14|$21.38|$64.00|$64.00|$42.00|$45.00|$34.18|$25.57|$28.98|$21.73
"CPT® 82668"|"HB REF ERYTHROPOIETIN (EPO)"|301.00|$123.00|$27.92|$75.59|$86.00|$65.81|$49.20|$27.92|$67.77|$52.15|$41.08|$56.94|$75.59|$42.00|$45.00|$65.68|$49.14|$55.69|$41.77
"CPT® 82670"|"HB REF ESTRADIOL"|301.00|$331.00|$42.00|$182.38|$232.00|$177.09|$132.40|$75.14|$182.38|$140.34|$110.55|$84.65|$112.36|$42.00|$45.00|$176.75|$132.23|$149.88|$112.41
"CPT® 82677"|"HB REF ESTRIOL, SERUM"|301.00|$171.00|$38.82|$97.27|$120.00|$91.49|$68.40|$38.82|$94.22|$72.50|$57.11|$73.27|$97.27|$42.00|$45.00|$91.31|$68.31|$77.43|$58.07
"CPT® 82671"|"HB REF ESTROGENS, FRACTIONATED"|301.00|$195.00|$42.00|$129.92|$136.00|$104.33|$78.00|$44.27|$107.45|$82.68|$65.13|$97.87|$129.92|$42.00|$45.00|$104.13|$77.90|$88.30|$66.22
"CPT® 82679"|"HB REF ESTRONE BY TMS"|301.00|$174.00|$39.50|$100.38|$122.00|$93.09|$69.60|$39.50|$95.87|$73.78|$58.12|$75.62|$100.38|$42.00|$45.00|$92.92|$69.51|$78.79|$59.09
"CPT® 80168"|"HB REF ETHOSUXIMIDE"|301.00|$123.00|$27.92|$67.77|$86.00|$65.81|$49.20|$27.92|$67.77|$52.15|$41.08|$49.50|$65.70|$42.00|$45.00|$65.68|$49.14|$55.69|$41.77
"CPT® 82693"|"HB REF ETHYLENE GLYCOL"|301.00|$185.00|$42.00|$101.94|$130.00|$98.98|$74.00|$42.00|$101.94|$78.44|$61.79|$45.16|$59.95|$42.00|$45.00|$98.79|$73.91|$83.77|$62.83
"CPT® 80169"|"HB REF EVEROLIMUS, BLOOD"|301.00|$569.00|$41.61|$313.52|$398.00|$304.42|$227.60|$129.16|$313.52|$241.26|$190.05|$41.61|$55.24|$42.00|$45.00|$303.85|$227.32|$257.64|$193.23
"CPT® 82710"|"HB REF FECAL FAT, QUANTITATIVE"|301.00|$83.00|$18.84|$67.59|$58.00|$44.41|$33.20|$18.84|$45.73|$35.19|$27.72|$50.91|$67.59|$42.00|$45.00|$44.32|$33.16|$37.58|$28.19
"CPT® 82747"|"HB REF FOLATE, RBC"|301.00|$129.00|$29.28|$71.08|$90.00|$69.02|$51.60|$29.28|$71.08|$54.70|$43.09|$52.49|$69.69|$42.00|$45.00|$68.89|$51.54|$58.41|$43.81
"CPT® 83001"|"HB REF FOLLICLE STIMULATING HORMONE (FSH)"|301.00|$350.00|$42.00|$192.85|$245.00|$187.25|$140.00|$79.45|$192.85|$148.40|$116.90|$56.31|$74.75|$42.00|$45.00|$186.90|$139.83|$158.48|$118.86
"CPT® 84154"|"HB REF FREE PSA"|301.00|$251.00|$42.00|$138.30|$176.00|$134.29|$100.40|$56.98|$138.30|$106.42|$83.83|$55.74|$73.99|$42.00|$45.00|$134.03|$100.27|$113.65|$85.24
"CPT® 82985"|"HB REF FRUCTOSAMINE"|301.00|$97.00|$22.02|$60.67|$68.00|$51.90|$38.80|$22.02|$53.45|$41.13|$32.40|$45.70|$60.67|$42.00|$45.00|$51.80|$38.75|$43.92|$32.94
"CPT® 82955"|"HB REF G-6-PD, QUALITATIVE"|301.00|$65.00|$14.76|$45.00|$46.00|$34.78|$26.00|$14.76|$35.82|$27.56|$21.71|$29.37|$38.99|$42.00|$45.00|$34.71|$25.97|$29.43|$22.07
"CPT® 80171"|"HB REF GABAPENTIN LEVEL"|301.00|$292.00|$42.00|$160.89|$204.00|$156.22|$116.80|$66.28|$160.89|$123.81|$97.53|$59.09|$78.45|$42.00|$45.00|$155.93|$116.65|$132.22|$99.16
"CPT® 82941"|"HB REF GASTRIN LEVEL"|301.00|$309.00|$42.00|$170.26|$216.00|$165.32|$123.60|$70.14|$170.26|$131.02|$103.21|$53.42|$70.92|$42.00|$45.00|$165.01|$123.45|$139.92|$104.94
"CPT® 83520"|"HB REF GLOMERULAR BASEMENT MEMBRANE ANTIBODY (IGG)"|301.00|$274.00|$42.00|$150.97|$192.00|$146.59|$109.60|$62.20|$150.97|$116.18|$91.52|$47.10|$62.52|$42.00|$45.00|$146.32|$109.46|$124.07|$93.05
"CPT® 83003"|"HB REF GROWTH HORMONE (HGH)"|301.00|$152.00|$34.50|$83.75|$106.00|$81.32|$60.80|$34.50|$83.75|$64.45|$50.77|$50.50|$67.04|$42.00|$45.00|$81.17|$60.72|$68.83|$51.62
"CPT® 83010"|"HB REF HAPTOGLOBIN"|301.00|$97.00|$22.02|$53.45|$68.00|$51.90|$38.80|$22.02|$53.45|$41.13|$32.40|$38.10|$50.57|$42.00|$45.00|$51.80|$38.75|$43.92|$32.94
"CPT® 83013"|"HB REF HELICOBACTER PYLORI UREA BREATH TEST"|301.00|$443.00|$42.00|$270.92|$310.00|$237.01|$177.20|$100.56|$244.09|$187.83|$147.96|$204.09|$270.92|$42.00|$45.00|$236.56|$176.98|$200.59|$150.44
"CPT® 83020"|"HB REF HEMOGLOBIN ELECTROPHORESIS"|301.00|$134.00|$30.42|$73.83|$94.00|$71.69|$53.60|$30.42|$73.83|$56.82|$44.76|$39.00|$51.77|$42.00|$45.00|$71.56|$53.53|$60.68|$45.51
"CPT® 83021"|"HB REF HEMOGLOBIN EVALUATION"|301.00|$426.00|$42.00|$234.73|$298.00|$227.91|$170.40|$96.70|$234.73|$180.62|$142.28|$54.70|$72.62|$42.00|$45.00|$227.48|$170.19|$192.89|$144.67
"CPT® 83070"|"HB REF HEMOSIDERINE, URINE"|301.00|$124.00|$14.37|$68.32|$87.00|$66.34|$49.60|$28.15|$68.32|$52.58|$41.42|$14.37|$19.08|$42.00|$45.00|$66.22|$49.54|$56.15|$42.11
"CPT® 83516"|"HB REF HISTONE ANTIBODY"|301.00|$397.00|$34.93|$218.75|$278.00|$212.40|$158.80|$90.12|$218.75|$168.33|$132.60|$34.93|$46.37|$42.00|$45.00|$212.00|$158.60|$179.76|$134.82
"CPT® 83090"|"HB REF HOMOCYSTEINE"|301.00|$385.00|$42.00|$212.14|$270.00|$205.98|$154.00|$87.40|$212.14|$163.24|$128.59|$51.10|$67.84|$42.00|$45.00|$205.59|$153.81|$174.33|$130.75
"CPT® 82787"|"HB REF IGA SUBCLASS"|301.00|$180.00|$24.30|$99.18|$126.00|$96.30|$72.00|$40.86|$99.18|$76.32|$60.12|$24.30|$32.25|$42.00|$45.00|$96.12|$71.91|$81.50|$61.13
"CPT® 82784"|"HB REF IGA, TOTAL"|301.00|$103.00|$23.38|$56.75|$72.00|$55.11|$41.20|$23.38|$56.75|$43.67|$34.40|$28.20|$37.43|$42.00|$45.00|$55.00|$41.15|$46.64|$34.98
"CPT® 82785"|"HB REF IGE, TOTAL"|301.00|$390.00|$42.00|$214.89|$273.00|$208.65|$156.00|$88.53|$214.89|$165.36|$130.26|$49.88|$66.21|$42.00|$45.00|$208.26|$155.81|$176.59|$132.44
"CPT® 83520"|"HB REF IGF BINDING PROTEIN (IGFBP-1)"|301.00|$211.00|$42.00|$116.26|$148.00|$112.89|$84.40|$47.90|$116.26|$89.46|$70.47|$47.10|$62.52|$42.00|$45.00|$112.67|$84.29|$95.54|$71.66
"CPT® 82784"|"HB REF IGG"|301.00|$103.00|$23.38|$56.75|$72.00|$55.11|$41.20|$23.38|$56.75|$43.67|$34.40|$28.20|$37.43|$42.00|$45.00|$55.00|$41.15|$46.64|$34.98
"CPT® 82787"|"HB REF IGG SUBCLASS"|301.00|$237.00|$24.30|$130.59|$166.00|$126.80|$94.80|$53.80|$130.59|$100.49|$79.16|$24.30|$32.25|$42.00|$45.00|$126.56|$94.68|$107.31|$80.49
"CPT® 82784"|"HB REF IGG, TOTAL"|301.00|$103.00|$23.38|$56.75|$72.00|$55.11|$41.20|$23.38|$56.75|$43.67|$34.40|$28.20|$37.43|$42.00|$45.00|$55.00|$41.15|$46.64|$34.98
"CPT® 82784"|"HB REF IGM, TOTAL"|301.00|$103.00|$23.38|$56.75|$72.00|$55.11|$41.20|$23.38|$56.75|$43.67|$34.40|$28.20|$37.43|$42.00|$45.00|$55.00|$41.15|$46.64|$34.98
"CPT® 83516"|"HB REF IMMUNOASSAY FOR ANALYTE MULTI MET"|301.00|$397.00|$34.93|$218.75|$278.00|$212.40|$158.80|$90.12|$218.75|$168.33|$132.60|$34.93|$46.37|$42.00|$45.00|$212.00|$158.60|$179.76|$134.82
"CPT® 83525"|"HB REF INSULIN LEVEL"|301.00|$209.00|$34.63|$115.16|$146.00|$111.82|$83.60|$47.44|$115.16|$88.62|$69.81|$34.63|$45.97|$42.00|$45.00|$111.61|$83.50|$94.64|$70.98
"CPT® 84305"|"HB REF INSULIN LIKE GROWTH FACTOR-1"|301.00|$255.00|$42.00|$140.51|$178.00|$136.43|$102.00|$57.89|$140.51|$108.12|$85.17|$64.44|$85.54|$42.00|$45.00|$136.17|$101.87|$115.46|$86.60
"CPT® 84163"|"HB REF INTEGRATED SCREEN, PART 2, PAPP-A"|301.00|$155.00|$35.19|$85.41|$108.00|$82.93|$62.00|$35.19|$85.41|$65.72|$51.77|$45.62|$60.56|$42.00|$45.00|$82.77|$61.92|$70.18|$52.64
"CPT® 83883"|"HB REF KAPPA FREE LIGHT CHAINS"|301.00|$211.00|$41.20|$116.26|$148.00|$112.89|$84.40|$47.90|$116.26|$89.46|$70.47|$41.20|$54.70|$42.00|$45.00|$112.67|$84.29|$95.54|$71.66
"CPT® 83883"|"HB REF KAPPA LIGHT CHAIN,  24HR URINE"|301.00|$190.00|$41.20|$104.69|$133.00|$101.65|$76.00|$43.13|$104.69|$80.56|$63.46|$41.20|$54.70|$42.00|$45.00|$101.46|$75.91|$86.03|$64.52
"CPT® 83883"|"HB REF KAPPA LIGHT CHAINS,  URINE RANDOM"|301.00|$375.00|$41.20|$206.63|$262.00|$200.63|$150.00|$85.13|$206.63|$159.00|$125.25|$41.20|$54.70|$42.00|$45.00|$200.25|$149.81|$169.80|$127.35
"CPT® 80299"|"HB REF LACOSAMIDE"|301.00|$122.00|$27.69|$67.48|$85.00|$65.27|$48.80|$27.69|$67.22|$51.73|$40.75|$50.83|$67.48|$42.00|$45.00|$65.15|$48.74|$55.24|$41.43
"CPT® 83605"|"HB REF LACTIC ACID"|301.00|$254.00|$32.37|$139.95|$178.00|$135.89|$101.60|$57.66|$139.95|$107.70|$84.84|$32.37|$42.97|$42.00|$45.00|$135.64|$101.47|$115.01|$86.26
"CPT® 83883"|"HB REF LAMBDA FREE LIGHT CHAINS"|301.00|$211.00|$41.20|$116.26|$148.00|$112.89|$84.40|$47.90|$116.26|$89.46|$70.47|$41.20|$54.70|$42.00|$45.00|$112.67|$84.29|$95.54|$71.66
"CPT® 83883"|"HB REF LAMBDA LIGHT CHAINS, 24HR URINE"|301.00|$190.00|$41.20|$104.69|$133.00|$101.65|$76.00|$43.13|$104.69|$80.56|$63.46|$41.20|$54.70|$42.00|$45.00|$101.46|$75.91|$86.03|$64.52
"CPT® 83883"|"HB REF LAMBDA LT CHAIN RND UR"|301.00|$234.00|$41.20|$128.93|$164.00|$125.19|$93.60|$53.12|$128.93|$99.22|$78.16|$41.20|$54.70|$42.00|$45.00|$124.96|$93.48|$105.96|$79.47
"CPT® 80175"|"HB REF LAMOTRIGINE LEVEL"|301.00|$311.00|$40.17|$171.36|$218.00|$166.39|$124.40|$70.60|$171.36|$131.86|$103.87|$40.17|$53.32|$42.00|$45.00|$166.07|$124.24|$140.82|$105.62
"CPT® 83721"|"HB REF LDL CHOLESTEROL, DIRECT"|301.00|$112.00|$25.42|$61.71|$78.00|$59.92|$44.80|$25.42|$61.71|$47.49|$37.41|$28.91|$38.37|$42.00|$45.00|$59.81|$44.74|$50.71|$38.04
"CPT® 83655"|"HB REF LEAD, BLOOD"|301.00|$125.00|$28.38|$68.88|$88.00|$66.88|$50.00|$28.38|$68.88|$53.00|$41.75|$36.68|$48.69|$42.00|$45.00|$66.75|$49.94|$56.60|$42.45
"CPT® 83655"|"HB REF LEAD, URINE"|301.00|$99.00|$22.47|$54.55|$69.00|$52.97|$39.60|$22.47|$54.55|$41.98|$33.07|$36.68|$48.69|$42.00|$45.00|$52.87|$39.55|$44.83|$33.62
"CPT® 80177"|"HB REF LEVETIRACETAM (KEPPRA)"|301.00|$481.00|$40.17|$265.03|$337.00|$257.34|$192.40|$109.19|$265.03|$203.94|$160.65|$40.17|$53.32|$42.00|$45.00|$256.85|$192.16|$217.80|$163.35
"CPT® 83690"|"HB REF LIPASE, URINE"|301.00|$99.00|$20.86|$54.55|$69.00|$52.97|$39.60|$22.47|$54.55|$41.98|$33.07|$20.86|$27.69|$42.00|$45.00|$52.87|$39.55|$44.83|$33.62
"CPT® 80061"|"HB REF LIPID PANEL"|301.00|$210.00|$40.58|$115.71|$147.00|$112.35|$84.00|$47.67|$115.71|$89.04|$70.14|$40.58|$53.87|$42.00|$45.00|$112.14|$83.90|$95.09|$71.32
"CPT® 83695"|"HB REF LIPOPROTEIN A"|301.00|$140.00|$31.78|$77.14|$98.00|$74.90|$56.00|$31.78|$77.14|$59.36|$46.76|$39.24|$52.09|$42.00|$45.00|$74.76|$55.93|$63.39|$47.54
"CPT® 83002"|"HB REF LUTEINIZING HORMONE (LH)"|301.00|$324.00|$42.00|$178.52|$227.00|$173.34|$129.60|$73.55|$178.52|$137.38|$108.22|$56.09|$74.46|$42.00|$45.00|$173.02|$129.44|$146.71|$110.03
"CPT® 83735"|"HB REF MAGNESIUM RBC"|301.00|$92.00|$20.29|$50.69|$64.00|$49.22|$36.80|$20.88|$50.69|$39.01|$30.73|$20.29|$26.93|$42.00|$45.00|$49.13|$36.75|$41.66|$31.24
"CPT® 83735"|"HB REF MAGNESIUM, URINE"|301.00|$92.00|$20.29|$50.69|$64.00|$49.22|$36.80|$20.88|$50.69|$39.01|$30.73|$20.29|$26.93|$42.00|$45.00|$49.13|$36.75|$41.66|$31.24
"CPT® 83785"|"HB REF MANGANESE, BLOOD"|301.00|$160.00|$36.32|$98.93|$112.00|$85.60|$64.00|$36.32|$88.16|$67.84|$53.44|$74.53|$98.93|$42.00|$45.00|$85.44|$63.92|$72.45|$54.34
"CPT® 83825"|"HB REF MERCURY, BLOOD"|301.00|$91.00|$20.66|$65.38|$64.00|$48.69|$36.40|$20.66|$50.14|$38.58|$30.39|$49.25|$65.38|$42.00|$45.00|$48.59|$36.35|$41.20|$30.90
"CPT® 83825"|"HB REF MERCURY, URINE"|301.00|$85.00|$19.30|$65.38|$59.00|$45.48|$34.00|$19.30|$46.84|$36.04|$28.39|$49.25|$65.38|$42.00|$45.00|$45.39|$33.96|$38.49|$28.87
"CPT® 83835"|"HB REF METANEPHRINES, FRACTIONATED, PLASMA"|301.00|$221.00|$42.00|$121.77|$155.00|$118.24|$88.40|$50.17|$121.77|$93.70|$73.81|$51.32|$68.13|$42.00|$45.00|$118.01|$88.29|$100.07|$75.05
"CPT® 83835"|"HB REF METANEPHRINES, FRACTIONATED, URINE"|301.00|$240.00|$42.00|$132.24|$168.00|$128.40|$96.00|$54.48|$132.24|$101.76|$80.16|$51.32|$68.13|$42.00|$45.00|$128.16|$95.88|$108.67|$81.50
"CPT® 83520"|"HB REF MITOCHONDRIAL (M2) ANTIBODY (IGG)"|301.00|$149.00|$33.82|$82.10|$104.00|$79.72|$59.60|$33.82|$82.10|$63.18|$49.77|$47.10|$62.52|$42.00|$45.00|$79.57|$59.53|$67.47|$50.60
"CPT® 80180"|"HB REF MYCOPHENOLIC ACID"|301.00|$213.00|$42.00|$117.36|$149.00|$113.96|$85.20|$48.35|$117.36|$90.31|$71.14|$54.70|$72.62|$42.00|$45.00|$113.74|$85.09|$96.45|$72.33
"CPT® 83520"|"HB REF MYELIN ASSOCIATED GLYCOPROTEIN (MAG), SULFOGLUCURONYL PARAGLOBOSIDE (SGPG) IGM AUTOANTIBODIES"|301.00|$140.00|$31.78|$77.14|$98.00|$74.90|$56.00|$31.78|$77.14|$59.36|$46.76|$47.10|$62.52|$42.00|$45.00|$74.76|$55.93|$63.39|$47.54
"CPT® 83873"|"HB REF MYELIN BASIC PROTEIN, CSF"|301.00|$303.00|$42.00|$166.95|$212.00|$162.11|$121.20|$68.78|$166.95|$128.47|$101.20|$52.14|$69.21|$42.00|$45.00|$161.80|$121.05|$137.20|$102.90
"CPT® 83874"|"HB REF MYOGLOBIN, SERUM"|301.00|$212.00|$39.13|$116.81|$148.00|$113.42|$84.80|$48.12|$116.81|$89.89|$70.81|$39.13|$51.95|$42.00|$45.00|$113.21|$84.69|$95.99|$72.00
"CPT® 83874"|"HB REF MYOGLOBIN, URINE"|301.00|$163.00|$37.00|$89.81|$114.00|$87.21|$65.20|$37.00|$89.81|$69.11|$54.44|$39.13|$51.95|$42.00|$45.00|$87.04|$65.12|$73.81|$55.35
"CPT® 82523"|"HB REF N TELOPEPTIDE URINE"|301.00|$99.00|$22.47|$75.15|$69.00|$52.97|$39.60|$22.47|$54.55|$41.98|$33.07|$56.61|$75.15|$42.00|$45.00|$52.87|$39.55|$44.83|$33.62
"CPT® 83883"|"HB REF NEPHELOMETRY NOT SPEC"|301.00|$135.00|$30.65|$74.39|$94.00|$72.23|$54.00|$30.65|$74.39|$57.24|$45.09|$41.20|$54.70|$42.00|$45.00|$72.09|$53.93|$61.13|$45.85
"CPT® 80323"|"HB REF NICOTINE METABOLITE"|301.00|$148.00|$33.60|$81.55|$104.00|$79.18|$59.20|$33.60|$81.55|$62.75|$49.43|$55.49|$73.67|$42.00|$45.00|$79.03|$59.13|$67.01|$50.26
"CPT® 83704"|"HB REF NMR LIPID PROFILE, LIPOPROTEIN PARTICLE CLASSES"|301.00|$160.00|$36.32|$126.92|$112.00|$85.60|$64.00|$36.32|$88.16|$67.84|$53.44|$95.61|$126.92|$42.00|$45.00|$85.44|$63.92|$72.45|$54.34
"HCPCS G0480"|"HB REF NORTRIPTYLINE"|301.00|$222.00|$42.00|$122.32|$155.00|$118.77|$88.80|$50.39|$122.32|$94.13|$74.15|||$42.00|$45.00|$118.55|$88.69|$100.52|$75.39
"CPT® 83916"|"HB REF OLIGOCLONAL BANDS (IGG), SERUM AND CSF"|301.00|$156.00|$35.41|$99.15|$109.00|$83.46|$62.40|$35.41|$85.96|$66.14|$52.10|$74.69|$99.15|$42.00|$45.00|$83.30|$62.32|$70.64|$52.98
"CPT® 83921"|"HB REF ORGANIC ACIDS SINGLE QUANT"|301.00|$319.00|$42.00|$175.77|$223.00|$170.67|$127.60|$72.41|$175.77|$135.26|$106.55|$57.84|$76.78|$42.00|$45.00|$170.35|$127.44|$144.44|$108.33
"CPT® 83918"|"HB REF ORGANIC ACIDS TOTAL QUANT"|301.00|$475.00|$42.00|$261.73|$332.00|$254.13|$190.00|$107.83|$261.73|$201.40|$158.65|$64.36|$85.43|$42.00|$45.00|$253.65|$189.76|$215.08|$161.31
"CPT® 83945"|"HB REF OXALATE TOTAL, URINE"|301.00|$237.00|$39.41|$130.59|$166.00|$126.80|$94.80|$53.80|$130.59|$100.49|$79.16|$39.41|$52.31|$42.00|$45.00|$126.56|$94.68|$107.31|$80.49
"CPT® 80183"|"HB REF OXCARBAZEPINE METABOLITE (TRILEPTAL)"|301.00|$356.00|$40.17|$196.16|$249.00|$190.46|$142.40|$80.81|$196.16|$150.94|$118.90|$40.17|$53.32|$42.00|$45.00|$190.10|$142.22|$161.20|$120.90
"CPT® 83516"|"HB REF PARIETAL CELL ANTIBODY, ELISA"|301.00|$397.00|$34.93|$218.75|$278.00|$212.40|$158.80|$90.12|$218.75|$168.33|$132.60|$34.93|$46.37|$42.00|$45.00|$212.00|$158.60|$179.76|$134.82
"CPT® 80184"|"HB REF PHENOBARBITAL LEVEL"|301.00|$245.00|$41.72|$135.00|$172.00|$131.08|$98.00|$55.62|$135.00|$103.88|$81.83|$41.72|$55.39|$42.00|$45.00|$130.83|$97.88|$110.94|$83.20
"CPT® 80185"|"HB REF PHENYTOIN (DILANTIN)"|301.00|$153.00|$34.73|$84.30|$107.00|$81.86|$61.20|$34.73|$84.30|$64.87|$51.10|$40.17|$53.32|$42.00|$45.00|$81.70|$61.12|$69.28|$51.96
"CPT® 80186"|"HB REF PHENYTOIN, FREE"|301.00|$194.00|$41.70|$106.89|$136.00|$103.79|$77.60|$44.04|$106.89|$82.26|$64.80|$41.70|$55.35|$42.00|$45.00|$103.60|$77.50|$87.84|$65.88
"CPT® 84105"|"HB REF PHOSPHORUS, RANDOM URINE"|301.00|$63.00|$14.30|$45.00|$44.00|$33.71|$25.20|$14.30|$34.71|$26.71|$21.04|$15.76|$20.92|$42.00|$45.00|$33.64|$25.17|$28.53|$21.39
"CPT® 84030"|"HB REF PKU/OTHER NEONATAL SCREEN"|301.00|$153.00|$16.66|$84.30|$107.00|$81.86|$61.20|$34.73|$84.30|$64.87|$51.10|$16.66|$22.12|$42.00|$45.00|$81.70|$61.12|$69.28|$51.96
"CPT® 84110"|"HB REF PORPHOBILINOGEN, QUANT, 24HR UR"|301.00|$138.00|$25.58|$76.04|$97.00|$73.83|$55.20|$31.33|$76.04|$58.51|$46.09|$25.58|$33.96|$42.00|$45.00|$73.69|$55.13|$62.49|$46.86
"CPT® 84120"|"HB REF PORPHYRINS, FRACTIONATED, QUANTITATIVE, 24 HR URINE"|301.00|$260.00|$42.00|$143.26|$182.00|$139.10|$104.00|$59.02|$143.26|$110.24|$86.84|$44.59|$59.19|$42.00|$45.00|$138.84|$103.87|$117.73|$88.30
"CPT® 84311"|"HB REF POTASSIUM, FECES"|301.00|$79.00|$17.93|$45.00|$55.00|$42.27|$31.60|$17.93|$43.53|$33.50|$26.39|$22.09|$29.32|$42.00|$45.00|$42.19|$31.56|$35.77|$26.83
"CPT® 84134"|"HB REF PREALBUMIN"|301.00|$69.00|$15.66|$58.68|$48.00|$36.92|$27.60|$15.66|$38.02|$29.26|$23.05|$44.20|$58.68|$42.00|$45.00|$36.85|$27.57|$31.24|$23.43
"CPT® 80366"|"HB REF PREGABALIN"|301.00|$169.00|$22.50|$93.12|$118.00|$90.42|$67.60|$38.36|$93.12|$71.66|$56.45|$22.50|$29.87|$42.00|$45.00|$90.25|$67.52|$76.52|$57.39
"CPT® 84140"|"HB REF PREGNENOLONE"|301.00|$190.00|$42.00|$104.69|$133.00|$101.65|$76.00|$43.13|$104.69|$80.56|$63.46|$62.64|$83.15|$42.00|$45.00|$101.46|$75.91|$86.03|$64.52
"CPT® 80188"|"HB REF PRIMIDONE LEVEL"|301.00|$148.00|$33.60|$81.55|$104.00|$79.18|$59.20|$33.60|$81.55|$62.75|$49.43|$50.29|$66.75|$42.00|$45.00|$79.03|$59.13|$67.01|$50.26
"CPT® 84145"|"HB REF PROCALCITONIN ASSAY"|301.00|$269.00|$42.00|$148.22|$188.00|$143.92|$107.60|$61.06|$148.22|$114.06|$89.85|$81.18|$107.77|$42.00|$45.00|$143.65|$107.47|$121.80|$91.35
"CPT® 84206"|"HB REF PROINSULIN"|301.00|$148.00|$33.60|$96.62|$104.00|$79.18|$59.20|$33.60|$81.55|$62.75|$49.43|$72.78|$96.62|$42.00|$45.00|$79.03|$59.13|$67.01|$50.26
"CPT® 84146"|"HB REF PROLACTIN ASSAY"|301.00|$400.00|$42.00|$220.40|$280.00|$214.00|$160.00|$90.80|$220.40|$169.60|$133.60|$58.71|$77.94|$42.00|$45.00|$213.60|$159.80|$181.12|$135.84
"CPT® 84153"|"HB REF PROSTATE SPECIFIC ANTIGEN, TOTAL"|301.00|$267.00|$42.00|$142.58|$187.00|$128.40|$96.00|$54.48|$132.24|$101.76|$80.16|$55.74|$73.99|$42.00|$45.00|$142.58|$106.67|$120.90|$90.67
"CPT® 84182"|"HB REF PROTEIN 14-3-3, WESTERN BLOT"|301.00|$409.00|$42.00|$225.36|$286.00|$218.82|$163.60|$92.84|$225.36|$173.42|$136.61|$79.66|$105.74|$42.00|$45.00|$218.41|$163.40|$185.20|$138.90
"CPT® 84166"|"HB REF PROTEIN ELECTROPHORESIS, CSF"|301.00|$155.00|$35.19|$85.41|$108.00|$82.93|$62.00|$35.19|$85.41|$65.72|$51.77|$54.02|$71.71|$42.00|$45.00|$82.77|$61.92|$70.18|$52.64
"CPT® 84165"|"HB REF PROTEIN ELECTROPHORESIS, SERUM"|301.00|$130.00|$29.51|$71.63|$91.00|$69.55|$52.00|$29.51|$71.63|$55.12|$43.42|$32.53|$43.19|$42.00|$45.00|$69.42|$51.94|$58.86|$44.15
"CPT® 84155"|"HB REF PROTEIN, TOTAL, SERUM"|301.00|$53.00|$11.10|$45.00|$37.00|$28.36|$21.20|$12.03|$29.20|$22.47|$17.70|$11.10|$14.73|$42.00|$45.00|$28.30|$21.17|$24.00|$18.00
"CPT® 84202"|"HB REF PROTOPORPHYRINS, FREE RBC"|301.00|$87.00|$19.75|$57.70|$61.00|$46.55|$34.80|$19.75|$47.94|$36.89|$29.06|$43.47|$57.70|$42.00|$45.00|$46.46|$34.76|$39.39|$29.55
"CPT® 83519"|"HB REF PTH RELATED PROTEIN"|301.00|$318.00|$42.00|$175.22|$223.00|$170.13|$127.20|$72.19|$175.22|$134.83|$106.21|$50.18|$66.61|$42.00|$45.00|$169.81|$127.04|$143.99|$107.99
"CPT® 84210"|"HB REF PYRUVIC ACID"|301.00|$138.00|$31.33|$76.04|$97.00|$73.83|$55.20|$31.33|$76.04|$58.51|$46.09|$39.49|$52.42|$42.00|$45.00|$73.69|$55.13|$62.49|$46.86
"CPT® 84244"|"HB REF RENIN ACTIVITY"|301.00|$167.00|$37.91|$92.02|$117.00|$89.35|$66.80|$37.91|$92.02|$70.81|$55.78|$66.65|$88.47|$42.00|$45.00|$89.18|$66.72|$75.62|$56.71
"CPT® 83516"|"HB REF RNA POLYMERASE III AB"|301.00|$254.00|$34.93|$139.95|$178.00|$135.89|$101.60|$57.66|$139.95|$107.70|$84.84|$34.93|$46.37|$42.00|$45.00|$135.64|$101.47|$115.01|$86.26
"CPT® 84255"|"HB REF SELENIUM"|301.00|$203.00|$42.00|$111.85|$142.00|$108.61|$81.20|$46.08|$111.85|$86.07|$67.80|$77.36|$102.70|$42.00|$45.00|$108.40|$81.10|$91.92|$68.94
"CPT® 84260"|"HB REF SEROTONIN, SERUM"|301.00|$240.00|$42.00|$132.24|$168.00|$128.40|$96.00|$54.48|$132.24|$101.76|$80.16|$93.89|$124.64|$42.00|$45.00|$128.16|$95.88|$108.67|$81.50
"CPT® 80195"|"HB REF SIROLIMUS LEVEL"|301.00|$246.00|$41.61|$135.55|$172.00|$131.61|$98.40|$55.84|$135.55|$104.30|$82.16|$41.61|$55.24|$42.00|$45.00|$131.36|$98.28|$111.39|$83.54
"CPT® 84302"|"HB REF SODIUM FECES"|301.00|$42.00|$9.53|$42.00|$29.00|$22.47|$16.80|$9.53|$23.14|$17.81|$14.03|$14.73|$19.55|$42.00|$42.00|$22.43|$16.78|$19.02|$14.26
"CPT® 84311"|"HB REF SPECTROPHOTOMETRY ANALYTE NOS"|301.00|$98.00|$22.09|$54.00|$69.00|$52.43|$39.20|$22.25|$54.00|$41.55|$32.73|$22.09|$29.32|$42.00|$45.00|$52.33|$39.15|$44.37|$33.28
"CPT® 84376"|"HB REF SUGARS, SINGLE, QUALITATIVE"|301.00|$41.00|$9.31|$41.00|$29.00|$21.94|$16.40|$9.31|$22.59|$17.38|$13.69|$16.66|$22.12|$41.00|$41.00|$21.89|$16.38|$18.56|$13.92
"CPT® 84480"|"HB REF T3, TOTAL"|301.00|$273.00|$42.00|$150.42|$191.00|$146.06|$109.20|$61.97|$150.42|$115.75|$91.18|$42.95|$57.02|$42.00|$45.00|$145.78|$109.06|$123.61|$92.71
"CPT® 84436"|"HB REF T4"|301.00|$134.00|$20.81|$73.83|$94.00|$71.69|$53.60|$30.42|$73.83|$56.82|$44.76|$20.81|$27.62|$42.00|$45.00|$71.56|$53.53|$60.68|$45.51
"CPT® 84439"|"HB REF T4, FREE"|301.00|$138.00|$27.32|$76.04|$97.00|$73.83|$55.20|$31.33|$76.04|$58.51|$46.09|$27.32|$36.27|$42.00|$45.00|$73.69|$55.13|$62.49|$46.86
"CPT® 80197"|"HB REF TACROLIMUS LEVEL"|301.00|$403.00|$41.61|$222.05|$282.00|$215.61|$161.20|$91.48|$222.05|$170.87|$134.60|$41.61|$55.24|$42.00|$45.00|$215.20|$161.00|$182.48|$136.86
"CPT® 84402"|"HB REF TESTOSTERONE, FREE"|301.00|$269.00|$42.00|$148.22|$188.00|$143.92|$107.60|$61.06|$148.22|$114.06|$89.85|$77.17|$102.45|$42.00|$45.00|$143.65|$107.47|$121.80|$91.35
"CPT® 84403"|"HB REF TESTOSTERONE, TOTAL, MS"|301.00|$389.00|$42.00|$214.34|$272.00|$208.12|$155.60|$88.30|$214.34|$164.94|$129.93|$78.21|$103.82|$42.00|$45.00|$207.73|$155.41|$176.14|$132.10
"CPT® 82542"|"HB REF THIOPURINE METABOLITES"|301.00|$308.00|$42.00|$169.71|$216.00|$164.78|$123.20|$69.92|$169.71|$130.59|$102.87|$65.69|$87.21|$42.00|$45.00|$164.47|$123.05|$139.46|$104.60
"CPT® 84432"|"HB REF THYROGLOBULIN"|301.00|$242.00|$42.00|$133.34|$169.00|$129.47|$96.80|$54.93|$133.34|$102.61|$80.83|$48.65|$64.58|$42.00|$45.00|$129.23|$96.68|$109.58|$82.18
"CPT® 84445"|"HB REF THYROID STIMULATING IMMUNOGLOBULIN"|301.00|$400.00|$42.00|$220.40|$280.00|$214.00|$160.00|$90.80|$220.40|$169.60|$133.60|$154.10|$204.57|$42.00|$45.00|$213.60|$159.80|$181.12|$135.84
"CPT® 83520"|"HB REF THYROTROPIN RECEPTOR ANTIBODY"|301.00|$171.00|$38.82|$94.22|$120.00|$91.49|$68.40|$38.82|$94.22|$72.50|$57.11|$47.10|$62.52|$42.00|$45.00|$91.31|$68.31|$77.43|$58.07
"CPT® 83516"|"HB REF TISSUE TRANSGLUTAMINASE (TTG), IGG"|301.00|$206.00|$34.93|$113.51|$144.00|$110.21|$82.40|$46.76|$113.51|$87.34|$68.80|$34.93|$46.37|$42.00|$45.00|$110.00|$82.30|$93.28|$69.96
"CPT® 80360"|"HB REF TOXASSURE PROFILE, METHYLPHENIDATE"|301.00|$47.00|$10.67|$45.00|$33.00|$25.15|$18.80|$10.67|$25.90|$19.93|$15.70|$29.56|$39.24|$42.00|$45.00|$25.10|$18.78|$21.28|$15.96
"CPT® 82657"|"HB REF TPMT ACTIVITY"|301.00|$382.00|$42.00|$210.48|$267.00|$204.37|$152.80|$86.71|$210.48|$161.97|$127.59|$60.46|$80.26|$42.00|$45.00|$203.99|$152.61|$172.97|$129.73
"CPT® 84466"|"HB REF TRANSFERRIN LEVEL"|301.00|$118.00|$26.79|$65.02|$83.00|$63.13|$47.20|$26.79|$65.02|$50.03|$39.41|$38.67|$51.33|$42.00|$45.00|$63.01|$47.14|$53.43|$40.07
"CPT® 84482"|"HB REF TRIIODOTHYRONINE REVERSE"|301.00|$397.00|$42.00|$218.75|$278.00|$212.40|$158.80|$90.12|$218.75|$168.33|$132.60|$47.75|$63.39|$42.00|$45.00|$212.00|$158.60|$179.76|$134.82
"CPT® 83520"|"HB REF TRYPTASE"|301.00|$104.00|$23.61|$62.52|$73.00|$55.64|$41.60|$23.61|$57.30|$44.10|$34.74|$47.10|$62.52|$42.00|$45.00|$55.54|$41.55|$47.09|$35.32
"CPT® 84540"|"HB REF UREA NITROGEN, 24HR URINE"|301.00|$310.00|$15.16|$170.81|$217.00|$165.85|$124.00|$70.37|$170.81|$131.44|$103.54|$15.16|$20.13|$42.00|$45.00|$165.54|$123.85|$140.37|$105.28
"CPT® 84560"|"HB REF URIC ACID, RANDOM URINE"|301.00|$107.00|$14.37|$58.96|$75.00|$57.25|$42.80|$24.29|$58.96|$45.37|$35.74|$14.37|$19.08|$42.00|$45.00|$57.14|$42.75|$48.45|$36.34
"CPT® 80165"|"HB REF VALPROIC ACID LEVEL (FREE)"|301.00|$191.00|$41.04|$105.24|$134.00|$102.19|$76.40|$43.36|$105.24|$80.98|$63.79|$41.04|$54.48|$42.00|$45.00|$101.99|$76.30|$86.48|$64.86
"CPT® 80164"|"HB REF VALPROIC ACID TOTAL"|301.00|$191.00|$41.04|$105.24|$134.00|$102.19|$76.40|$43.36|$105.24|$80.98|$63.79|$41.04|$54.48|$42.00|$45.00|$101.99|$76.30|$86.48|$64.86
"CPT® 84585"|"HB REF VANILLYLMANDELIC ACID"|301.00|$282.00|$42.00|$155.38|$197.00|$150.87|$112.80|$64.01|$155.38|$119.57|$94.19|$46.96|$62.34|$42.00|$45.00|$150.59|$112.66|$127.69|$95.77
"CPT® 84590"|"HB REF VITAMIN A"|301.00|$167.00|$35.18|$92.02|$117.00|$89.35|$66.80|$37.91|$92.02|$70.81|$55.78|$35.18|$46.70|$42.00|$45.00|$89.18|$66.72|$75.62|$56.71
"CPT® 84425"|"HB REF VITAMIN B1 LEVEL"|301.00|$194.00|$42.00|$106.89|$136.00|$103.79|$77.60|$44.04|$106.89|$82.26|$64.80|$64.33|$85.40|$42.00|$45.00|$103.60|$77.50|$87.84|$65.88
"CPT® 84207"|"HB REF VITAMIN B6 (PYRIDOXINE) LEVEL"|301.00|$206.00|$42.00|$113.51|$144.00|$110.21|$82.40|$46.76|$113.51|$87.34|$68.80|$85.14|$113.02|$42.00|$45.00|$110.00|$82.30|$93.28|$69.96
"CPT® 82652"|"HB REF VITAMIN D, 1,25 DIHYDROXY"|301.00|$382.00|$42.00|$210.48|$267.00|$204.37|$152.80|$86.71|$210.48|$161.97|$127.59|$116.66|$154.86|$42.00|$45.00|$203.99|$152.61|$172.97|$129.73
"CPT® 84446"|"HB REF VITAMIN E (TOCOPHEROL) LEVEL"|301.00|$133.00|$30.19|$73.28|$93.00|$71.16|$53.20|$30.19|$73.28|$56.39|$44.42|$42.95|$57.02|$42.00|$45.00|$71.02|$53.13|$60.22|$45.17
"CPT® 84630"|"HB REF ZINC LEVEL"|301.00|$142.00|$32.23|$78.24|$99.00|$75.97|$56.80|$32.23|$78.24|$60.21|$47.43|$34.50|$45.79|$42.00|$45.00|$75.83|$56.73|$64.30|$48.22
"CPT® 86140"|"HB C-REACTIVE PROTEIN (CRP)"|302.00|$107.00|$15.68|$58.96|$75.00|$57.25|$42.80|$24.29|$58.96|$45.37|$35.74|$15.68|$20.82|$42.00|$45.00|$57.14|$42.75|$48.45|$36.34
"CPT® 86431"|"HB RHEUMATOID FACTOR (RF), QUANTITATIVE"|302.00|$85.00|$17.18|$45.39|$59.00|$41.20|$30.80|$17.48|$42.43|$32.65|$25.72|$17.18|$22.81|$42.00|$45.00|$45.39|$33.96|$38.49|$28.87
"CPT® 86850"|"HB ANTIBODY SCREEN"|302.00|$123.00|$26.64|$67.77|$86.00|$65.81|$49.20|$27.92|$67.77|$52.15|$41.08|$26.64|$35.37|$42.00|$45.00|$65.68|$49.14|$55.69|$41.77
"CPT® 86850"|"HB ANTIBODY SCREEN - PEG"|302.00|$123.00|$26.64|$67.77|$86.00|$65.81|$49.20|$27.92|$67.77|$52.15|$41.08|$26.64|$35.37|$42.00|$45.00|$65.68|$49.14|$55.69|$41.77
"CPT® 86850"|"HB ANTIBODY SCREEN - PREWARM"|302.00|$123.00|$26.64|$67.77|$86.00|$65.81|$49.20|$27.92|$67.77|$52.15|$41.08|$26.64|$35.37|$42.00|$45.00|$65.68|$49.14|$55.69|$41.77
"CPT® 86880"|"HB DIRECT ANTIGLOBULIN TEST (DIRECT COOMBS)"|302.00|$104.00|$16.33|$57.30|$73.00|$55.64|$41.60|$23.61|$57.30|$44.10|$34.74|$16.33|$21.68|$42.00|$45.00|$55.54|$41.55|$47.09|$35.32
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION"|302.00|$280.00|$42.00|$171.12|$196.00|$149.80|$112.00|$63.56|$154.28|$118.72|$93.52|$128.91|$171.12|$42.00|$45.00|$149.52|$111.86|$126.78|$95.09
"CPT® 86886"|"HB ANTIBODY TITRATION"|302.00|$111.00|$15.68|$61.16|$78.00|$59.39|$44.40|$25.20|$61.16|$47.06|$37.07|$15.68|$20.82|$42.00|$45.00|$59.27|$44.34|$50.26|$37.70
"CPT® 86850"|"HB COLD AGGLUTININ SCREEN IS"|302.00|$123.00|$26.64|$67.77|$86.00|$65.81|$49.20|$27.92|$67.77|$52.15|$41.08|$26.64|$35.37|$42.00|$45.00|$65.68|$49.14|$55.69|$41.77
"CPT® 86850"|"HB COLD AGGLUTININ SCREEN RT"|302.00|$123.00|$26.64|$67.77|$86.00|$65.81|$49.20|$27.92|$67.77|$52.15|$41.08|$26.64|$35.37|$42.00|$45.00|$65.68|$49.14|$55.69|$41.77
"CPT® 86850"|"HB ELUATE, ANTIBODY SCREEN"|302.00|$137.00|$26.64|$73.16|$96.00|$65.81|$49.20|$27.92|$67.77|$52.15|$41.08|$26.64|$35.37|$42.00|$45.00|$73.16|$54.73|$62.03|$46.53
"CPT® 86860"|"HB ELUATE, ANTIBODY ELUTION"|302.00|$171.00|$34.96|$125.32|$120.00|$82.39|$61.60|$34.96|$84.85|$65.30|$51.44|$94.41|$125.32|$42.00|$45.00|$91.31|$68.31|$77.43|$58.07
"CPT® 86920"|"HB CROSSMATCH, IMMEDIATE SPIN, EACH UNIT"|302.00|$151.00|$34.28|$138.79|$106.00|$80.79|$60.40|$34.28|$83.20|$64.02|$50.43|$104.55|$138.79|$42.00|$45.00|$80.63|$60.32|$68.37|$51.28
"CPT® 86923"|"HB CROSSMATCH, ELECTRONIC, EACH UNIT"|302.00|$200.00|$42.00|$110.48|$140.00|$107.00|$80.00|$45.40|$110.20|$84.80|$66.80|$83.23|$110.48|$42.00|$45.00|$106.80|$79.90|$90.56|$67.92
"CPT® 86905"|"HB PATIENT, A1 ANTIGEN TYPING"|302.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86905"|"HB PATIENT C AG TYPING"|302.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86905"|"HB PATIENT /C AG TYPING"|302.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86905"|"HB PATIENT CW AG TYPING"|302.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86905"|"HB PATIENT E AG TYPING"|302.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86905"|"HB PATIENT /E AG TYPING"|302.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86905"|"HB PATIENT FYA AG TYPING"|302.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86905"|"HB PATIENT FYB AG TYPING"|302.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86905"|"HB PATIENT JKA AG TYPING"|302.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86905"|"HB PATIENT JKB AG TYPING"|302.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86905"|"HB PATIENT K AG TYPING"|302.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86905"|"HB PATIENT LEA AG TYPING"|302.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86905"|"HB PATIENT LEB AG TYPING"|302.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86905"|"HB PATIENT M AG TYPING"|302.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86905"|"HB PATIENT N AG TYPING"|302.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86905"|"HB PATIENT P1 AG TYPING"|302.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86905"|"HB PATIENT S AG TYPING"|302.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86905"|"HB PATIENT /S AG TYPING"|302.00|$175.00|$11.59|$96.43|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$11.59|$15.39|$42.00|$45.00|$93.45|$69.91|$79.24|$59.43
"CPT® 86965"|"HB POOLING OF PLATELETS/CRYOPRECIPITATES/OTHERS"|302.00|$149.00|$33.82|$129.34|$104.00|$79.72|$59.60|$33.82|$82.10|$63.18|$49.77|$97.44|$129.34|$42.00|$45.00|$79.57|$59.53|$67.47|$50.60
"CPT® 86156"|"HB COLD AGGLUTININ SCREEN"|302.00|$103.00|$22.01|$56.75|$72.00|$55.11|$41.20|$23.38|$56.75|$43.67|$34.40|$22.01|$29.21|$42.00|$45.00|$55.00|$41.15|$46.64|$34.98
"CPT® 86022"|"HB PLATELET ANTIBODY SCREEN"|302.00|$482.00|$42.00|$265.58|$337.00|$257.87|$192.80|$109.41|$265.58|$204.37|$160.99|$55.66|$73.88|$42.00|$45.00|$257.39|$192.56|$218.25|$163.69
"CPT® 85461"|"HB FETAL BLEED SCREEN"|302.00|$74.00|$16.80|$45.00|$52.00|$39.59|$29.60|$16.80|$40.77|$31.38|$24.72|$25.52|$33.88|$42.00|$45.00|$39.52|$29.56|$33.51|$25.13
"CPT® 0001U"|"HB HUMAN ERYTHROCYTE ANTIGEN MOLECULAR PHENOTYPING"|302.00|$748.00|$42.00|$412.15|$524.00|$400.18|$299.20|$169.80|$412.15|$317.15|$249.83|||$42.00|$45.00|$399.43|$298.83|$338.69|$254.02
"CPT® 86592"|"HB SYPHILIS RPR SCREEN"|302.00|$99.00|$12.95|$54.55|$69.00|$52.97|$39.60|$22.47|$54.55|$41.98|$33.07|$12.95|$17.20|$42.00|$45.00|$52.87|$39.55|$44.83|$33.62
"CPT® 86308"|"HB HETEROPHILE SCREEN"|302.00|$186.00|$15.68|$102.49|$130.00|$99.51|$74.40|$42.22|$102.49|$78.86|$62.12|$15.68|$20.82|$42.00|$45.00|$99.32|$74.31|$84.22|$63.17
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGG"|302.00|$165.00|$37.46|$88.28|$115.00|$88.28|$66.00|$37.46|$42.13|$42.13|$42.13|||$42.13|$42.13|$88.11|$65.92|$74.71|$56.03
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGM"|302.00|$165.00|$37.46|$88.28|$115.00|$88.28|$66.00|$37.46|$42.13|$42.13|$42.13|||$42.13|$42.13|$88.11|$65.92|$74.71|$56.03
"CPT® 86769"|"HB COVID-19 ANTIBODIES, TOTAL IGG & IGM"|302.00|$165.00|$37.46|$88.28|$115.00|$88.28|$66.00|$37.46|$42.13|$42.13|$42.13|||$42.13|$42.13|$88.11|$65.92|$74.71|$56.03
"CPT® 86850"|"HB REF ANTIBODY SCREEN"|302.00|$123.00|$26.64|$67.77|$86.00|$65.81|$49.20|$27.92|$67.77|$52.15|$41.08|$26.64|$35.37|$42.00|$45.00|$65.68|$49.14|$55.69|$41.77
"CPT® 86870"|"HB REF ANTIBODY IDENTIFICATION"|302.00|$280.00|$42.00|$171.12|$196.00|$149.80|$112.00|$63.56|$154.28|$118.72|$93.52|$128.91|$171.12|$42.00|$45.00|$149.52|$111.86|$126.78|$95.09
"CPT® 86860"|"HB REF ELUATE, ANTIBODY ELUTION"|302.00|$171.00|$34.96|$125.32|$120.00|$82.39|$61.60|$34.96|$84.85|$65.30|$51.44|$94.41|$125.32|$42.00|$45.00|$91.31|$68.31|$77.43|$58.07
"CPT® 86975"|"HB REF PLASMA PRETREATMENT, INCUBATION WITH DRUGS"|302.00|$151.00|$34.28|$125.32|$106.00|$80.79|$60.40|$34.28|$83.20|$64.02|$50.43|$94.41|$125.32|$42.00|$45.00|$80.63|$60.32|$68.37|$51.28
"CPT® 86978"|"HB REF PLASMA PRETREATMENT, ALLOABSORPTION"|302.00|$252.00|$42.00|$138.85|$176.00|$134.82|$100.80|$57.20|$138.85|$106.85|$84.17|$104.55|$138.79|$42.00|$45.00|$134.57|$100.67|$114.11|$85.58
"CPT® 86978"|"HB REF PLASMA PRETREATMENT, AUTOABSORPTION"|302.00|$252.00|$42.00|$138.85|$176.00|$134.82|$100.80|$57.20|$138.85|$106.85|$84.17|$104.55|$138.79|$42.00|$45.00|$134.57|$100.67|$114.11|$85.58
"CPT® 86978"|"HB REF RBC ABSORPTION EA"|302.00|$252.00|$42.00|$138.85|$176.00|$134.82|$100.80|$57.20|$138.85|$106.85|$84.17|$104.55|$138.79|$42.00|$45.00|$134.57|$100.67|$114.11|$85.58
"CPT® 86977"|"HB REF RBC SERUM PRETX INCUBJ/INHIB"|302.00|$116.00|$26.33|$116.00|$81.00|$62.06|$46.40|$26.33|$63.92|$49.18|$38.74|$104.55|$116.00|$42.00|$45.00|$61.94|$46.34|$52.52|$39.39
"CPT® 86906"|"HB REF RH PHENOTYPE"|302.00|$364.00|$23.48|$200.56|$255.00|$194.74|$145.60|$82.63|$200.56|$154.34|$121.58|$23.48|$31.17|$42.00|$45.00|$194.38|$145.42|$164.82|$123.61
"CPT® 86940"|"HB REF DONATH LANDSTEINER"|302.00|$88.00|$19.98|$48.49|$62.00|$47.08|$35.20|$19.98|$48.49|$37.31|$29.39|$24.84|$32.98|$42.00|$45.00|$46.99|$35.16|$39.85|$29.88
"CPT® 86828"|"HB REF HLA ANTIBODY SCREEN"|302.00|$463.00|$42.00|$255.11|$324.00|$247.71|$185.20|$105.10|$255.11|$196.31|$154.64|$175.05|$232.37|$42.00|$45.00|$247.24|$184.97|$209.65|$157.23
"CPT® 86941"|"HB REF THERMAL AMPLITUDE WORK UP"|302.00|$107.00|$24.29|$58.96|$75.00|$57.25|$42.80|$24.29|$58.96|$45.37|$35.74|$36.68|$48.69|$42.00|$45.00|$57.14|$42.75|$48.45|$36.34
"CPT® 86890"|"HB REF AUTOLOGOUS STORAGE"|302.00|$257.00|$42.00|$257.00|$180.00|$137.50|$102.80|$58.34|$141.61|$108.97|$85.84|$257.00|$257.00|$42.00|$45.00|$137.24|$102.67|$116.37|$87.28
"CPT® 86003"|"HB REF ALLERGEN SPECIFIC IGE"|302.00|$145.00|$15.82|$79.90|$102.00|$77.58|$58.00|$32.92|$79.90|$61.48|$48.43|$15.82|$21.00|$42.00|$45.00|$77.43|$57.93|$65.66|$49.24
"CPT® 86038"|"HB REF ANA SCREEN"|302.00|$164.00|$36.62|$90.36|$115.00|$87.74|$65.60|$37.23|$90.36|$69.54|$54.78|$36.62|$48.62|$42.00|$45.00|$87.58|$65.52|$74.26|$55.69
"CPT® 86039"|"HB REF ANA TITER"|302.00|$179.00|$33.81|$98.63|$125.00|$95.77|$71.60|$40.63|$98.63|$75.90|$59.79|$33.81|$44.89|$42.00|$45.00|$95.59|$71.51|$81.05|$60.79
"CPT® 86021"|"HB REF ANCA"|302.00|$240.00|$42.00|$132.24|$168.00|$128.40|$96.00|$54.48|$132.24|$101.76|$80.16|$45.62|$60.56|$42.00|$45.00|$128.16|$95.88|$108.67|$81.50
"CPT® 86256"|"HB REF ANTINEUTROPHIL CYTOPLASMIC AB"|302.00|$121.00|$27.47|$66.67|$85.00|$64.74|$48.40|$27.47|$66.67|$51.30|$40.41|$36.51|$48.47|$42.00|$45.00|$64.61|$48.34|$54.79|$41.09
"CPT® 86148"|"HB REF ANTI-PHOSPHOLIPID ANTIBODY"|302.00|$127.00|$28.83|$69.98|$89.00|$67.95|$50.80|$28.83|$69.98|$53.85|$42.42|$48.68|$64.62|$42.00|$45.00|$67.82|$50.74|$57.51|$43.13
"CPT® 86651"|"HB REF ARBOVIRUS ANTIBODIES, CALIFORNIA ENCEPHALITIS"|302.00|$289.00|$39.95|$159.24|$202.00|$154.62|$115.60|$65.60|$159.24|$122.54|$96.53|$39.95|$53.03|$42.00|$45.00|$154.33|$115.46|$130.86|$98.14
"CPT® 86652"|"HB REF ARBOVIRUS ANTIBODIES, EASTERN EQUINE ENCEPHALITIS"|302.00|$224.00|$39.95|$123.42|$157.00|$119.84|$89.60|$50.85|$123.42|$94.98|$74.82|$39.95|$53.03|$42.00|$45.00|$119.62|$89.49|$101.43|$76.07
"CPT® 86653"|"HB REF ARBOVIRUS ANTIBODIES, ST. LOUIS ENCEPHALITIS"|302.00|$140.00|$31.78|$77.14|$98.00|$74.90|$56.00|$31.78|$77.14|$59.36|$46.76|$39.95|$53.03|$42.00|$45.00|$74.76|$55.93|$63.39|$47.54
"CPT® 86654"|"HB REF ARBOVIRUS ANTIBODIES, WESTERN EQUINE ENCEPHALITIS"|302.00|$137.00|$31.10|$75.49|$96.00|$73.30|$54.80|$31.10|$75.49|$58.09|$45.76|$39.95|$53.03|$42.00|$45.00|$73.16|$54.73|$62.03|$46.53
"CPT® 86606"|"HB REF ASPERGILLUS ANTIBODY"|302.00|$92.00|$20.88|$60.56|$64.00|$49.22|$36.80|$20.88|$50.69|$39.01|$30.73|$45.62|$60.56|$42.00|$45.00|$49.13|$36.75|$41.66|$31.24
"CPT® 86611"|"HB REF BARTONELLA ANTIBODY"|302.00|$48.00|$10.90|$45.00|$34.00|$25.68|$19.20|$10.90|$26.45|$20.35|$16.03|$30.84|$40.94|$42.00|$45.00|$25.63|$19.18|$21.73|$16.30
"CPT® 86146"|"HB REF BETA-2-GLYCOPROTEIN I ANTIBODY, IGG"|302.00|$121.00|$27.47|$102.37|$85.00|$64.74|$48.40|$27.47|$66.67|$51.30|$40.41|$77.12|$102.37|$42.00|$45.00|$64.61|$48.34|$54.79|$41.09
"CPT® 86612"|"HB REF BLASTOMYCES DERMATITIDIS"|302.00|$121.00|$27.47|$66.67|$85.00|$64.74|$48.40|$27.47|$66.67|$51.30|$40.41|$39.11|$51.91|$42.00|$45.00|$64.61|$48.34|$54.79|$41.09
"CPT® 86615"|"HB REF BORDETELLA PERTUSSIS IGG/IGA/IGM, EACH"|302.00|$115.00|$26.11|$63.37|$80.00|$61.53|$46.00|$26.11|$63.37|$48.76|$38.41|$39.95|$53.03|$42.00|$45.00|$61.41|$45.94|$52.07|$39.05
"CPT® 86161"|"HB REF C1 ESTERASE INHIBITOR FUNCTIONAL"|302.00|$176.00|$36.35|$96.98|$123.00|$94.16|$70.40|$39.95|$96.98|$74.62|$58.78|$36.35|$48.25|$42.00|$45.00|$93.98|$70.31|$79.69|$59.77
"CPT® 86304"|"HB REF CANCER ANTIGEN 125"|302.00|$312.00|$42.00|$171.91|$218.00|$166.92|$124.80|$70.82|$171.91|$132.29|$104.21|$63.08|$83.73|$42.00|$45.00|$166.61|$124.64|$141.27|$105.96
"CPT® 86300"|"HB REF CANCER ANTIGEN 15-3"|302.00|$186.00|$42.00|$102.49|$130.00|$99.51|$74.40|$42.22|$102.49|$78.86|$62.12|$63.08|$83.73|$42.00|$45.00|$99.32|$74.31|$84.22|$63.17
"CPT® 86300"|"HB REF CANCER ANTIGEN 27.29"|302.00|$384.00|$42.00|$211.58|$269.00|$205.44|$153.60|$87.17|$211.58|$162.82|$128.26|$63.08|$83.73|$42.00|$45.00|$205.06|$153.41|$173.88|$130.41
"CPT® 86628"|"HB REF CANDIDA ANTIBODY"|302.00|$58.00|$13.17|$48.29|$41.00|$31.03|$23.20|$13.17|$31.96|$24.59|$19.37|$36.38|$48.29|$42.00|$45.00|$30.97|$23.17|$26.26|$19.70
"CPT® 86301"|"HB REF CARBOHYDRATE ANTIGEN 19-9"|302.00|$277.00|$42.00|$152.63|$194.00|$148.20|$110.80|$62.88|$152.63|$117.45|$92.52|$63.08|$83.73|$42.00|$45.00|$147.92|$110.66|$125.43|$94.07
"CPT® 86147"|"HB REF CARDIOLIPIN IGA ANTIBODY"|302.00|$182.00|$41.31|$102.37|$127.00|$97.37|$72.80|$41.31|$100.28|$77.17|$60.79|$77.12|$102.37|$42.00|$45.00|$97.19|$72.71|$82.41|$61.81
"CPT® 86147"|"HB REF CARDIOLIPIN IGG ANTIBODY"|302.00|$200.00|$42.00|$110.20|$140.00|$107.00|$80.00|$45.40|$110.20|$84.80|$66.80|$77.12|$102.37|$42.00|$45.00|$106.80|$79.90|$90.56|$67.92
"CPT® 86147"|"HB REF CARDIOLIPIN IGM ANTIBODY"|302.00|$200.00|$42.00|$110.20|$140.00|$107.00|$80.00|$45.40|$110.20|$84.80|$66.80|$77.12|$102.37|$42.00|$45.00|$106.80|$79.90|$90.56|$67.92
"CPT® 86200"|"HB REF CCP ANTIBODY"|302.00|$236.00|$39.24|$130.04|$165.00|$126.26|$94.40|$53.57|$130.04|$100.06|$78.82|$39.24|$52.09|$42.00|$45.00|$126.02|$94.28|$106.86|$80.15
"CPT® 86316"|"HB REF CHROMOGRANIN A"|302.00|$182.00|$41.31|$100.28|$127.00|$97.37|$72.80|$41.31|$100.28|$77.17|$60.79|$63.08|$83.73|$42.00|$45.00|$97.19|$72.71|$82.41|$61.81
"CPT® 86644"|"HB REF CMV IGG ANTIBODY"|302.00|$76.00|$17.25|$57.88|$53.00|$40.66|$30.40|$17.25|$41.88|$32.22|$25.38|$43.60|$57.88|$42.00|$45.00|$40.58|$30.36|$34.41|$25.81
"CPT® 86645"|"HB REF CMV IGM ANTIBODY"|302.00|$152.00|$34.50|$83.75|$106.00|$81.32|$60.80|$34.50|$83.75|$64.45|$50.77|$51.05|$67.77|$42.00|$45.00|$81.17|$60.72|$68.83|$51.62
"CPT® 86635"|"HB REF COCCIDIODES ANTIBODY"|302.00|$102.00|$23.15|$56.20|$71.00|$54.57|$40.80|$23.15|$56.20|$43.25|$34.07|$34.77|$46.16|$42.00|$45.00|$54.47|$40.75|$46.19|$34.64
"CPT® 86156"|"HB REF COLD AGGLUTININ SCREEN"|302.00|$103.00|$22.01|$56.75|$72.00|$55.11|$41.20|$23.38|$56.75|$43.67|$34.40|$22.01|$29.21|$42.00|$45.00|$55.00|$41.15|$46.64|$34.98
"CPT® 86157"|"HB REF COLD AGGLUTININ TITER"|302.00|$70.00|$15.89|$45.00|$49.00|$37.45|$28.00|$15.89|$38.57|$29.68|$23.38|$24.43|$32.44|$42.00|$45.00|$37.38|$27.97|$31.70|$23.77
"CPT® 86160"|"HB REF COMPLEMENT C2"|302.00|$214.00|$36.35|$117.91|$150.00|$114.49|$85.60|$48.58|$117.91|$90.74|$71.48|$36.35|$48.25|$42.00|$45.00|$114.28|$85.49|$96.90|$72.67
"CPT® 86162"|"HB REF COMPLEMENT TOTAL (CH50)"|302.00|$345.00|$42.00|$190.10|$241.00|$184.58|$138.00|$78.32|$190.10|$146.28|$115.23|$61.58|$81.74|$42.00|$45.00|$184.23|$137.83|$156.22|$117.16
"CPT® 86769"|"HB REF COVID-19 ANTIBODIES, IGG (Q)"|302.00|$165.00|$37.46|$88.28|$115.00|$88.28|$66.00|$37.46|$42.13|$42.13|$42.13|||$42.13|$42.13|$88.11|$65.92|$74.71|$56.03
"CPT® 86769"|"HB REF COVID-19 ANTIBODIES, IGG (V)"|302.00|$165.00|$37.46|$88.28|$115.00|$88.28|$66.00|$37.46|$42.13|$42.13|$42.13|||$42.13|$42.13|$88.11|$65.92|$74.71|$56.03
"CPT® 86769"|"HB REF COVID-19 ANTIBODIES, IGM (V)"|302.00|$165.00|$37.46|$88.28|$115.00|$88.28|$66.00|$37.46|$42.13|$42.13|$42.13|||$42.13|$42.13|$88.11|$65.92|$74.71|$56.03
"CPT® 86141"|"HB REF CRP HIGH SENSITIVITY"|302.00|$277.00|$39.24|$152.63|$194.00|$148.20|$110.80|$62.88|$152.63|$117.45|$92.52|$39.24|$52.09|$42.00|$45.00|$147.92|$110.66|$125.43|$94.07
"CPT® 86215"|"HB REF DEOXYRIBONUCLEASE ANTIBODY"|302.00|$86.00|$19.52|$53.29|$60.00|$46.01|$34.40|$19.52|$47.39|$36.46|$28.72|$40.14|$53.29|$42.00|$45.00|$45.92|$34.36|$38.94|$29.21
"CPT® 86648"|"HB REF DIPTHERIA ANTITOXOID"|302.00|$143.00|$32.46|$78.79|$100.00|$76.51|$57.20|$32.46|$78.79|$60.63|$47.76|$46.09|$61.18|$42.00|$45.00|$76.36|$57.13|$64.75|$48.56
"CPT® 86225"|"HB REF DS DNA ANTIBODY"|302.00|$313.00|$41.64|$172.46|$219.00|$167.46|$125.20|$71.05|$172.46|$132.71|$104.54|$41.64|$55.28|$42.00|$45.00|$167.14|$125.04|$141.73|$106.29
"CPT® 86663"|"HB REF EBV PANEL, EARLY ANTIGEN (EA)"|302.00|$127.00|$28.83|$69.98|$89.00|$67.95|$50.80|$28.83|$69.98|$53.85|$42.42|$39.76|$52.78|$42.00|$45.00|$67.82|$50.74|$57.51|$43.13
"CPT® 86664"|"HB REF EBV PANEL, NUCLEAR ANTIGEN (NA)"|302.00|$146.00|$33.14|$80.45|$102.00|$78.11|$58.40|$33.14|$80.45|$61.90|$48.76|$46.33|$61.50|$42.00|$45.00|$77.96|$58.33|$66.11|$49.58
"CPT® 86658"|"HB REF ENTEROVIRUS ANTIBODY"|302.00|$62.00|$14.07|$52.38|$43.00|$33.17|$24.80|$14.07|$34.16|$26.29|$20.71|$39.46|$52.38|$42.00|$45.00|$33.11|$24.77|$28.07|$21.06
"CPT® 86665"|"HB REF EPSTEIN-BARR VIRAL CAPSID (VCA)"|302.00|$156.00|$35.41|$85.96|$109.00|$83.46|$62.40|$35.41|$85.96|$66.14|$52.10|$54.98|$72.98|$42.00|$45.00|$83.30|$62.32|$70.64|$52.98
"CPT® 86235"|"HB REF EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY"|302.00|$296.00|$42.00|$163.10|$207.00|$158.36|$118.40|$67.19|$163.10|$125.50|$98.86|$54.35|$72.15|$42.00|$45.00|$158.06|$118.25|$134.03|$100.52
"CPT® 86255"|"HB REF FLUORESCENT ANTIBODY SCREEN"|302.00|$193.00|$36.51|$106.34|$135.00|$103.26|$77.20|$43.81|$106.34|$81.83|$64.46|$36.51|$48.47|$42.00|$45.00|$103.06|$77.10|$87.39|$65.54
"CPT® 86256"|"HB REF FLUORESCENT TITER EA AB"|302.00|$134.00|$30.42|$73.83|$94.00|$71.69|$53.60|$30.42|$73.83|$56.82|$44.76|$36.51|$48.47|$42.00|$45.00|$71.56|$53.53|$60.68|$45.51
"CPT® 86832"|"HB REF HLA CLASS I HIGH DEFIN QUAL"|302.00|$758.00|$42.00|$758.00|$531.00|$405.53|$303.20|$172.07|$417.66|$321.39|$253.17|$758.00|$758.00|$42.00|$45.00|$404.77|$302.82|$343.22|$257.42
"CPT® 86341"|"HB REF GLUTAMIC ACID DECARBOXYLASE"|302.00|$157.00|$35.64|$86.51|$110.00|$84.00|$62.80|$35.64|$86.51|$66.57|$52.44|$64.28|$85.32|$42.00|$45.00|$83.84|$62.72|$71.09|$53.32
"CPT® 86684"|"HB REF HAEMOPHILUS INFLUENZAE B"|302.00|$134.00|$30.42|$73.83|$94.00|$71.69|$53.60|$30.42|$73.83|$56.82|$44.76|$48.00|$63.71|$42.00|$45.00|$71.56|$53.53|$60.68|$45.51
"CPT® 86022"|"HB REF HEPARIN INDUCED PLATELET AB (PF4)"|302.00|$282.00|$42.00|$155.38|$197.00|$150.87|$112.80|$64.01|$155.38|$119.57|$94.19|$55.66|$73.88|$42.00|$45.00|$150.59|$112.66|$127.69|$95.77
"CPT® 86708"|"HB REF HEPATITIS A ANTIBODY"|302.00|$206.00|$37.52|$113.51|$144.00|$110.21|$82.40|$46.76|$113.51|$87.34|$68.80|$37.52|$49.81|$42.00|$45.00|$110.00|$82.30|$93.28|$69.96
"CPT® 86709"|"HB REF HEPATITIS A IGM ANTIBODY"|302.00|$230.00|$34.11|$126.73|$161.00|$123.05|$92.00|$52.21|$126.73|$97.52|$76.82|$34.11|$45.29|$42.00|$45.00|$122.82|$91.89|$104.14|$78.11
"CPT® 86704"|"HB REF HEPATITIS B CORE ANTIBODY (TOTAL)"|302.00|$206.00|$36.51|$113.51|$144.00|$110.21|$82.40|$46.76|$113.51|$87.34|$68.80|$36.51|$48.47|$42.00|$45.00|$110.00|$82.30|$93.28|$69.96
"CPT® 86705"|"HB REF HEPATITIS B CORE ANTIBODY IGM"|302.00|$283.00|$35.67|$151.12|$198.00|$136.43|$102.00|$57.89|$140.51|$108.12|$85.17|$35.67|$47.35|$42.00|$45.00|$151.12|$113.06|$128.14|$96.11
"CPT® 86706"|"HB REF HEPATITIS B SURFACE ANTIBODY"|302.00|$290.00|$32.53|$159.79|$203.00|$155.15|$116.00|$65.83|$159.79|$122.96|$96.86|$32.53|$43.19|$42.00|$45.00|$154.86|$115.86|$131.31|$98.48
"CPT® 86707"|"HB REF HEPATITIS BE ANTIBODY"|302.00|$272.00|$35.04|$149.87|$190.00|$145.52|$108.80|$61.74|$149.87|$115.33|$90.85|$35.04|$46.52|$42.00|$45.00|$145.25|$108.66|$123.16|$92.37
"CPT® 86803"|"HB REF HEPATITIS C ANTIBODY"|302.00|$275.00|$42.00|$151.53|$192.00|$147.13|$110.00|$62.43|$151.53|$116.60|$91.85|$43.22|$57.38|$42.00|$45.00|$146.85|$109.86|$124.52|$93.39
"CPT® 86694"|"HB REF HERPES SIMPLEX NES ANTIBODY"|302.00|$254.00|$42.00|$139.95|$178.00|$135.89|$101.60|$57.66|$139.95|$107.70|$84.84|$43.60|$57.88|$42.00|$45.00|$135.64|$101.47|$115.01|$86.26
"CPT® 86695"|"HB REF HERPES SIMPLEX TYPE 1 TEST"|302.00|$172.00|$39.04|$94.77|$120.00|$92.02|$68.80|$39.04|$94.77|$72.93|$57.45|$39.95|$53.03|$42.00|$45.00|$91.85|$68.71|$77.88|$58.41
"CPT® 86696"|"HB REF HERPES SIMPLEX TYPE 2 TEST"|302.00|$185.00|$42.00|$101.94|$130.00|$98.98|$74.00|$42.00|$101.94|$78.44|$61.79|$58.66|$77.87|$42.00|$45.00|$98.79|$73.91|$83.77|$62.83
"CPT® 86790"|"HB REF HERPES VIRUS 6 IGG/IGM ANTIBODY"|302.00|$139.00|$31.55|$76.59|$97.00|$74.37|$55.60|$31.55|$76.59|$58.94|$46.43|$39.02|$51.80|$42.00|$45.00|$74.23|$55.53|$62.94|$47.20
"CPT® 86698"|"HB REF HISTOPLASMA ANTIBODY"|302.00|$140.00|$31.78|$77.14|$98.00|$74.90|$56.00|$31.78|$77.14|$59.36|$46.76|$37.85|$50.25|$42.00|$45.00|$74.76|$55.93|$63.39|$47.54
"CPT® 86702"|"HB REF HIV-2 ANTIBODY"|302.00|$280.00|$40.96|$154.28|$196.00|$149.80|$112.00|$63.56|$154.28|$118.72|$93.52|$40.96|$54.37|$42.00|$45.00|$149.52|$111.86|$126.78|$95.09
"CPT® 86609"|"HB REF HYPERSENSITIVITY PNEUMONITIS, BACTERIAL AB"|302.00|$46.00|$10.44|$46.00|$32.00|$24.61|$18.40|$10.44|$25.35|$19.50|$15.36|$39.02|$46.00|$42.00|$45.00|$24.56|$18.38|$20.83|$15.62
"CPT® 86331"|"HB REF HYPERSENSITIVITY PNEUMONITIS, GEL DIFFUSION"|302.00|$65.00|$14.76|$48.18|$46.00|$34.78|$26.00|$14.76|$35.82|$27.56|$21.71|$36.30|$48.18|$42.00|$45.00|$34.71|$25.97|$29.43|$22.07
"CPT® 86341"|"HB REF IA-2 ANTIBODY"|302.00|$157.00|$35.64|$86.51|$110.00|$84.00|$62.80|$35.64|$86.51|$66.57|$52.44|$64.28|$85.32|$42.00|$45.00|$83.84|$62.72|$71.09|$53.32
"CPT® 86335"|"HB REF IMMUNFIXATION ELECTROPHORESIS, URINE, CSF"|302.00|$154.00|$34.96|$118.05|$108.00|$82.39|$61.60|$34.96|$84.85|$65.30|$51.44|$88.93|$118.05|$42.00|$45.00|$82.24|$61.52|$69.73|$52.30
"CPT® 86318"|"HB REF IMMUNOASSAY INFECT AGNT AB QL"|302.00|$107.00|$24.29|$65.49|$75.00|$57.25|$42.80|$24.29|$58.96|$45.37|$35.74|$49.33|$65.49|$42.00|$45.00|$57.14|$42.75|$48.45|$36.34
"CPT® 86334"|"HB REF IMMUNOFIXATION ELECTROPHORESIS, SERUM"|302.00|$122.00|$27.69|$89.88|$85.00|$65.27|$48.80|$27.69|$67.22|$51.73|$40.75|$67.71|$89.88|$42.00|$45.00|$65.15|$48.74|$55.24|$41.43
"CPT® 86337"|"HB REF INSULIN AUTOANTIBODY"|302.00|$413.00|$42.00|$227.56|$289.00|$220.96|$165.20|$93.75|$227.56|$175.11|$137.94|$64.88|$86.12|$42.00|$45.00|$220.54|$164.99|$187.01|$140.25
"CPT® 86340"|"HB REF INTRINSIC FACTOR BLOCKING AB"|302.00|$131.00|$29.74|$72.18|$92.00|$70.09|$52.40|$29.74|$72.18|$55.54|$43.75|$45.68|$60.64|$42.00|$45.00|$69.95|$52.33|$59.32|$44.49
"CPT® 86341"|"HB REF ISLET CELL ANTIBODY"|302.00|$157.00|$35.64|$86.51|$110.00|$84.00|$62.80|$35.64|$86.51|$66.57|$52.44|$64.28|$85.32|$42.00|$45.00|$83.84|$62.72|$71.09|$53.32
"CPT® 86618"|"HB REF LYME DISEASE ANTIBODY"|302.00|$298.00|$42.00|$164.20|$209.00|$159.43|$119.20|$67.65|$164.20|$126.35|$99.53|$51.59|$68.49|$42.00|$45.00|$159.13|$119.05|$134.93|$101.20
"CPT® 86617"|"HB REF LYME DISEASE ANTIBODY CONFIRMATORY TEST"|302.00|$194.00|$42.00|$106.89|$136.00|$103.79|$77.60|$44.04|$106.89|$82.26|$64.80|$46.93|$62.30|$42.00|$45.00|$103.60|$77.50|$87.84|$65.88
"CPT® 86727"|"HB REF LYMPH CHORIOMENIGITIS ANTIBODY"|302.00|$129.00|$29.28|$71.08|$90.00|$69.02|$51.60|$29.28|$71.08|$54.70|$43.09|$39.00|$51.77|$42.00|$45.00|$68.89|$51.54|$58.41|$43.81
"CPT® 86356"|"HB REF MONONUCLEAR CELL ANTIGEN"|302.00|$154.00|$34.96|$107.70|$108.00|$82.39|$61.60|$34.96|$84.85|$65.30|$51.44|$81.13|$107.70|$42.00|$45.00|$82.24|$61.52|$69.73|$52.30
"CPT® 86735"|"HB REF MUMPS ANTIBODY,IGG"|302.00|$154.00|$34.96|$84.85|$108.00|$82.39|$61.60|$34.96|$84.85|$65.30|$51.44|$39.54|$52.49|$42.00|$45.00|$82.24|$61.52|$69.73|$52.30
"CPT® 86738"|"HB REF MYCOPLASMA ANTIBODY"|302.00|$136.00|$30.87|$74.94|$95.00|$72.76|$54.40|$30.87|$74.94|$57.66|$45.42|$40.11|$53.25|$42.00|$45.00|$72.62|$54.33|$61.58|$46.19
"CPT® 86021"|"HB REF MYELOPEROXIDASE ANTIBODY"|302.00|$240.00|$42.00|$132.24|$168.00|$128.40|$96.00|$54.48|$132.24|$101.76|$80.16|$45.62|$60.56|$42.00|$45.00|$128.16|$95.88|$108.67|$81.50
"CPT® 86316"|"HB REF NEURON SPECIFIC ENOLASE"|302.00|$182.00|$41.31|$100.28|$127.00|$97.37|$72.80|$41.31|$100.28|$77.17|$60.79|$63.08|$83.73|$42.00|$45.00|$97.19|$72.71|$82.41|$61.81
"CPT® 86255"|"HB REF NMDA RECEPTOR IGG AB"|302.00|$544.00|$36.51|$299.74|$381.00|$291.04|$217.60|$123.49|$299.74|$230.66|$181.70|$36.51|$48.47|$42.00|$45.00|$290.50|$217.33|$246.32|$184.74
"CPT® 86403"|"HB REF PARTICLE AGGLUT ANTIBODY SCRN"|302.00|$127.00|$28.83|$69.98|$89.00|$67.95|$50.80|$28.83|$69.98|$53.85|$42.42|$31.47|$41.77|$42.00|$45.00|$67.82|$50.74|$57.51|$43.13
"CPT® 86747"|"HB REF PARVOVIRUS ANTIBODY"|302.00|$118.00|$26.79|$65.02|$83.00|$63.13|$47.20|$26.79|$65.02|$50.03|$39.41|$45.54|$60.45|$42.00|$45.00|$63.01|$47.14|$53.43|$40.07
"CPT® 86480"|"HB REF QUANTIFERON TB - GOLD PLUS"|302.00|$328.00|$42.00|$249.31|$230.00|$175.48|$131.20|$74.46|$180.73|$139.07|$109.55|$187.81|$249.31|$42.00|$45.00|$175.15|$131.04|$148.52|$111.39
"CPT® 86762"|"HB REF RUBELLA ANTIBODY"|302.00|$194.00|$39.73|$103.60|$136.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$43.60|$57.88|$42.00|$45.00|$103.60|$77.50|$87.84|$65.88
"CPT® 86765"|"HB REF RUBEOLA ANTIBODY"|302.00|$138.00|$31.33|$76.04|$97.00|$73.83|$55.20|$31.33|$76.04|$58.51|$46.09|$39.02|$51.80|$42.00|$45.00|$73.69|$55.13|$62.49|$46.86
"CPT® 86317"|"HB REF STREP PNEUMONIAE ABS EACH TYPE"|302.00|$149.00|$33.82|$82.10|$104.00|$79.72|$59.60|$33.82|$82.10|$63.18|$49.77|$45.40|$60.27|$42.00|$45.00|$79.57|$59.53|$67.47|$50.60
"CPT® 86360"|"HB REF T CELL ABSOLUTE COUNT/RATIO"|302.00|$551.00|$42.00|$303.60|$386.00|$294.79|$220.40|$125.08|$303.60|$233.62|$184.03|$142.35|$188.96|$42.00|$45.00|$294.23|$220.12|$249.49|$187.12
"CPT® 86774"|"HB REF TETANUS ANTIBODY"|302.00|$206.00|$42.00|$113.51|$144.00|$110.21|$82.40|$46.76|$113.51|$87.34|$68.80|$44.83|$59.51|$42.00|$45.00|$110.00|$82.30|$93.28|$69.96
"CPT® 86800"|"HB REF THYROGLOBULIN ANTIBODY"|302.00|$122.00|$27.69|$67.22|$85.00|$65.27|$48.80|$27.69|$67.22|$51.73|$40.75|$48.19|$63.97|$42.00|$45.00|$65.15|$48.74|$55.24|$41.43
"CPT® 86777"|"HB REF TOXOPLASMA IGG ANTIBODY"|302.00|$86.00|$19.52|$57.88|$60.00|$46.01|$34.40|$19.52|$47.39|$36.46|$28.72|$43.60|$57.88|$42.00|$45.00|$45.92|$34.36|$38.94|$29.21
"CPT® 86778"|"HB REF TOXOPLASMA IGM ANTIBODY"|302.00|$86.00|$19.52|$57.96|$60.00|$46.01|$34.40|$19.52|$47.39|$36.46|$28.72|$43.66|$57.96|$42.00|$45.00|$45.92|$34.36|$38.94|$29.21
"CPT® 86376"|"HB REF TPO (MICROSOMAL) ANTIBODY"|302.00|$276.00|$42.00|$152.08|$193.00|$147.66|$110.40|$62.65|$152.08|$117.02|$92.18|$44.10|$58.54|$42.00|$45.00|$147.38|$110.26|$124.97|$93.73
"CPT® 86780"|"HB REF TREPONEMA PALLIDUM ANTIBODY"|302.00|$263.00|$40.11|$144.91|$184.00|$140.71|$105.20|$59.70|$144.91|$111.51|$87.84|$40.11|$53.25|$42.00|$45.00|$140.44|$105.07|$119.09|$89.31
"CPT® 86787"|"HB REF VARICELLA-ZOSTER ANTIBODY, IGG"|302.00|$119.00|$27.01|$65.57|$83.00|$63.67|$47.60|$27.01|$65.57|$50.46|$39.75|$39.02|$51.80|$42.00|$45.00|$63.55|$47.54|$53.88|$40.41
"CPT® 86787"|"HB REF VARICELLA-ZOSTER ANTIBODY, IGM"|302.00|$196.00|$39.02|$108.00|$137.00|$104.86|$78.40|$44.49|$108.00|$83.10|$65.46|$39.02|$51.80|$42.00|$45.00|$104.66|$78.30|$88.75|$66.56
"CPT® 86592"|"HB REF VDRL CSF"|302.00|$302.00|$12.95|$166.40|$211.00|$161.57|$120.80|$68.55|$166.40|$128.05|$100.87|$12.95|$17.20|$42.00|$45.00|$161.27|$120.65|$136.75|$102.56
"CPT® 86789"|"HB REF WEST NILE VIRUS ANTIBODY"|302.00|$57.00|$12.94|$57.00|$40.00|$30.50|$22.80|$12.94|$31.41|$24.17|$19.04|$43.60|$57.00|$42.00|$45.00|$30.44|$22.77|$25.81|$19.36
"CPT® 86788"|"HB REF WEST NILE VIRUS IGM ANTIBODY"|302.00|$129.00|$29.28|$71.08|$90.00|$69.02|$51.60|$29.28|$71.08|$54.70|$43.09|$51.05|$67.77|$42.00|$45.00|$68.89|$51.54|$58.41|$43.81
"CPT® 86833"|"HB REF POST LUMINEX HLA CLASS II SA FP OL BATCH"|302.00|$770.00|$42.00|$770.00|$539.00|$411.95|$308.00|$174.79|$424.27|$326.48|$257.18|$770.00|$770.00|$42.00|$45.00|$411.18|$307.62|$348.66|$261.49
"CPT® 85347"|"HB ACT POCT"|305.00|$62.00|$12.90|$45.00|$43.00|$33.17|$24.80|$14.07|$34.16|$26.29|$20.71|$12.90|$17.12|$42.00|$45.00|$33.11|$24.77|$28.07|$21.06
"CPT® 85610"|"HB PROTHROMBIN TIME"|305.00|$68.00|$11.92|$45.00|$48.00|$36.38|$27.20|$15.44|$37.47|$28.83|$22.71|$11.92|$15.82|$42.00|$45.00|$36.31|$27.17|$30.79|$23.09
"CPT® 85048"|"HB AUTOMATED LEUKOCYTE COUNT"|305.00|$27.00|$6.13|$27.00|$19.00|$14.45|$10.80|$6.13|$14.88|$11.45|$9.02|$7.69|$10.21|$27.00|$27.00|$14.42|$10.79|$12.23|$9.17
"CPT® 85008"|"HB BLOOD COUNT SMEAR MICRO W/O MNL DIFF WBC"|305.00|$40.00|$9.08|$40.00|$28.00|$21.40|$16.00|$9.08|$22.04|$16.96|$13.36|$10.42|$13.83|$40.00|$40.00|$21.36|$15.98|$18.11|$13.58
"CPT® 85007"|"HB BLOOD SMEAR EXAM"|305.00|$86.00|$10.42|$47.39|$60.00|$46.01|$34.40|$19.52|$47.39|$36.46|$28.72|$10.42|$13.83|$42.00|$45.00|$45.92|$34.36|$38.94|$29.21
"CPT® 85007"|"HB BLOOD SMEAR EXAM WITH PATHOLOGIST REVIEW"|305.00|$86.00|$10.42|$47.39|$60.00|$46.01|$34.40|$19.52|$47.39|$36.46|$28.72|$10.42|$13.83|$42.00|$45.00|$45.92|$34.36|$38.94|$29.21
"CPT® 85097"|"HB BONE MARROW ASPIRATE SMEAR"|305.00|$487.00|$42.00|$287.25|$341.00|$260.55|$194.80|$110.55|$268.34|$206.49|$162.66|$216.39|$287.25|$42.00|$45.00|$260.06|$194.56|$220.51|$165.39
"CPT® 85027"|"HB CBC"|305.00|$57.00|$12.94|$45.00|$40.00|$30.50|$22.80|$12.94|$31.41|$24.17|$19.04|$19.58|$25.99|$42.00|$45.00|$30.44|$22.77|$25.81|$19.36
"CPT® 85025"|"HB CBC WITH DIFFERENTIAL"|305.00|$97.00|$22.02|$53.45|$68.00|$51.90|$38.80|$22.02|$53.45|$41.13|$32.40|$23.53|$31.24|$42.00|$45.00|$51.80|$38.75|$43.92|$32.94
"CPT® 85014"|"HB HEMATOCRIT"|305.00|$46.00|$7.17|$45.00|$32.00|$24.61|$18.40|$10.44|$25.35|$19.50|$15.36|$7.17|$9.52|$42.00|$45.00|$24.56|$18.38|$20.83|$15.62
"CPT® 85018"|"HB HEMOGLOBIN"|305.00|$39.00|$7.17|$39.00|$27.00|$20.87|$15.60|$8.85|$21.49|$16.54|$13.03|$7.17|$9.52|$39.00|$39.00|$20.83|$15.58|$17.66|$13.24
"CPT® 85007"|"HB MANUAL DIFFERENTIAL"|305.00|$86.00|$10.42|$47.39|$60.00|$46.01|$34.40|$19.52|$47.39|$36.46|$28.72|$10.42|$13.83|$42.00|$45.00|$45.92|$34.36|$38.94|$29.21
"CPT® 85049"|"HB PLATELET COUNT"|305.00|$39.00|$8.85|$39.00|$27.00|$20.87|$15.60|$8.85|$21.49|$16.54|$13.03|$13.55|$17.99|$39.00|$39.00|$20.83|$15.58|$17.66|$13.24
"CPT® 85055"|"HB RETICULATED PLATELET COUNT"|305.00|$124.00|$28.15|$124.00|$87.00|$66.34|$49.60|$28.15|$68.32|$52.58|$41.42|$97.46|$124.00|$42.00|$45.00|$66.22|$49.54|$56.15|$42.11
"CPT® 85045"|"HB RETICULOCYTE COUNT"|305.00|$45.00|$10.22|$45.00|$31.00|$24.08|$18.00|$10.22|$24.80|$19.08|$15.03|$12.11|$16.07|$42.00|$45.00|$24.03|$17.98|$20.38|$15.28
"CPT® 85046"|"HB RETICULOCYTE HEMOGLOBIN EQUIVALENT"|305.00|$78.00|$16.88|$45.00|$55.00|$41.73|$31.20|$17.71|$42.98|$33.07|$26.05|$16.88|$22.41|$42.00|$45.00|$41.65|$31.16|$35.32|$26.49
"CPT® 85652"|"HB SEDIMENTATION RATE"|305.00|$64.00|$8.18|$45.00|$45.00|$34.24|$25.60|$14.53|$35.26|$27.14|$21.38|$8.18|$10.86|$42.00|$45.00|$34.18|$25.57|$28.98|$21.73
"CPT® 85032"|"HB EOSINOPHIL COUNT, URINE"|305.00|$70.00|$13.06|$45.00|$49.00|$37.45|$28.00|$15.89|$38.57|$29.68|$23.38|$13.06|$17.34|$42.00|$45.00|$37.38|$27.97|$31.70|$23.77
"CPT® 85379"|"HB D-DIMER QUANT"|305.00|$215.00|$30.84|$118.47|$150.00|$115.03|$86.00|$48.81|$118.47|$91.16|$71.81|$30.84|$40.94|$42.00|$45.00|$114.81|$85.89|$97.35|$73.01
"CPT® 85362"|"HB FIBRIN SPLIT PRODUCT"|305.00|$234.00|$20.86|$128.93|$164.00|$125.19|$93.60|$53.12|$128.93|$99.22|$78.16|$20.86|$27.69|$42.00|$45.00|$124.96|$93.48|$105.96|$79.47
"CPT® 85384"|"HB FIBRINOGEN"|305.00|$96.00|$21.79|$52.90|$67.00|$51.36|$38.40|$21.79|$52.90|$40.70|$32.06|$26.51|$35.19|$42.00|$45.00|$51.26|$38.35|$43.47|$32.60
"CPT® 85730"|"HB PARTIAL THROMBOPLASTIN TIME"|305.00|$93.00|$18.19|$51.24|$65.00|$49.76|$37.20|$21.11|$51.24|$39.43|$31.06|$18.19|$24.15|$42.00|$45.00|$49.66|$37.15|$42.11|$31.58
"CPT® 85610"|"HB PROTHROMBIN TIME"|305.00|$68.00|$11.92|$45.00|$48.00|$36.38|$27.20|$15.44|$37.47|$28.83|$22.71|$11.92|$15.82|$42.00|$45.00|$36.31|$27.17|$30.79|$23.09
"CPT® 85307"|"HB REF ACTIVATED PROTEIN C RESISTANCE-V"|305.00|$115.00|$26.11|$63.37|$80.00|$61.53|$46.00|$26.11|$63.37|$48.76|$38.41|$46.44|$61.65|$42.00|$45.00|$61.41|$45.94|$52.07|$39.05
"CPT® 85520"|"HB REF ANTI XA ASSAY-ARIXTRA"|305.00|$243.00|$39.68|$133.89|$170.00|$130.01|$97.20|$55.16|$133.89|$103.03|$81.16|$39.68|$52.67|$42.00|$45.00|$129.76|$97.08|$110.03|$82.52
"CPT® 85300"|"HB REF ANTITHROMBIN III ACTIVITY"|305.00|$150.00|$34.05|$82.65|$105.00|$80.25|$60.00|$34.05|$82.65|$63.60|$50.10|$35.91|$47.68|$42.00|$45.00|$80.10|$59.93|$67.92|$50.94
"CPT® 85301"|"HB REF ANTITHROMBIN III ANTIGEN"|305.00|$172.00|$32.75|$94.77|$120.00|$92.02|$68.80|$39.04|$94.77|$72.93|$57.45|$32.75|$43.48|$42.00|$45.00|$91.85|$68.71|$77.88|$58.41
"CPT® 85041"|"HB REF AUTOMATED RBC COUNT"|305.00|$32.00|$7.26|$32.00|$22.00|$17.12|$12.80|$7.26|$17.63|$13.57|$10.69|$9.14|$12.13|$32.00|$32.00|$17.09|$12.78|$14.49|$10.87
"CPT® 85397"|"HB REF CLOTTING FUNCT ACTIVITY"|305.00|$239.00|$42.00|$131.69|$167.00|$127.87|$95.60|$54.25|$131.69|$101.34|$79.83|$84.16|$111.71|$42.00|$45.00|$127.63|$95.48|$108.22|$81.16
"CPT® 85210"|"HB REF FACTOR II ACTIVITY"|305.00|$109.00|$24.74|$60.06|$76.00|$58.32|$43.60|$24.74|$60.06|$46.22|$36.41|$39.35|$52.24|$42.00|$45.00|$58.21|$43.55|$49.36|$37.02
"CPT® 85250"|"HB REF FACTOR IX ACTIVITY"|305.00|$119.00|$27.01|$76.60|$83.00|$63.67|$47.60|$27.01|$65.57|$50.46|$39.75|$57.70|$76.60|$42.00|$45.00|$63.55|$47.54|$53.88|$40.41
"CPT® 85220"|"HB REF FACTOR V ACTIVITY"|305.00|$109.00|$24.74|$70.99|$76.00|$58.32|$43.60|$24.74|$60.06|$46.22|$36.41|$53.48|$70.99|$42.00|$45.00|$58.21|$43.55|$49.36|$37.02
"CPT® 85230"|"HB REF FACTOR VII ACTIVITY"|305.00|$109.00|$24.74|$72.00|$76.00|$58.32|$43.60|$24.74|$60.06|$46.22|$36.41|$54.24|$72.00|$42.00|$45.00|$58.21|$43.55|$49.36|$37.02
"CPT® 85240"|"HB REF FACTOR VIII ACTIVITY"|305.00|$119.00|$27.01|$72.00|$83.00|$63.67|$47.60|$27.01|$65.57|$50.46|$39.75|$54.24|$72.00|$42.00|$45.00|$63.55|$47.54|$53.88|$40.41
"CPT® 85260"|"HB REF FACTOR X ACTIVITY"|305.00|$131.00|$29.74|$72.18|$92.00|$70.09|$52.40|$29.74|$72.18|$55.54|$43.75|$54.24|$72.00|$42.00|$45.00|$69.95|$52.33|$59.32|$44.49
"CPT® 85270"|"HB REF FACTOR XI ACTIVITY"|305.00|$132.00|$29.96|$72.73|$92.00|$70.62|$52.80|$29.96|$72.73|$55.97|$44.09|$54.24|$72.00|$42.00|$45.00|$70.49|$52.73|$59.77|$44.83
"CPT® 85014"|"HB REF HEMATOCRIT"|305.00|$46.00|$7.17|$45.00|$32.00|$24.61|$18.40|$10.44|$25.35|$19.50|$15.36|$7.17|$9.52|$42.00|$45.00|$24.56|$18.38|$20.83|$15.62
"CPT® 85018"|"HB REF HEMOGLOBIN"|305.00|$39.00|$7.17|$39.00|$27.00|$20.87|$15.60|$8.85|$21.49|$16.54|$13.03|$7.17|$9.52|$39.00|$39.00|$20.83|$15.58|$17.66|$13.24
"CPT® 85549"|"HB REF MURAMIDASE (LYSOZYME), SERUM"|305.00|$116.00|$26.33|$75.40|$81.00|$62.06|$46.40|$26.33|$63.92|$49.18|$38.74|$56.80|$75.40|$42.00|$45.00|$61.94|$46.34|$52.52|$39.39
"CPT® 85597"|"HB REF PHOSPHOLIPID PLTLT NEUTRALIZ"|305.00|$80.00|$18.16|$72.29|$56.00|$42.80|$32.00|$18.16|$44.08|$33.92|$26.72|$54.46|$72.29|$42.00|$45.00|$42.72|$31.96|$36.22|$27.17
"CPT® 85576"|"HB REF PLATELET FUNCTION ANALYSIS EPI"|305.00|$121.00|$27.47|$90.17|$85.00|$64.74|$48.40|$27.47|$66.67|$51.30|$40.41|$67.93|$90.17|$42.00|$45.00|$64.61|$48.34|$54.79|$41.09
"CPT® 85303"|"HB REF PROTEIN C ACTIVITY"|305.00|$204.00|$41.91|$112.40|$143.00|$109.14|$81.60|$46.31|$112.40|$86.50|$68.14|$41.91|$55.64|$42.00|$45.00|$108.94|$81.50|$92.37|$69.28
"CPT® 85302"|"HB REF PROTEIN C ANTIGEN, TOTAL"|305.00|$356.00|$36.41|$196.16|$249.00|$190.46|$142.40|$80.81|$196.16|$150.94|$118.90|$36.41|$48.33|$42.00|$45.00|$190.10|$142.22|$161.20|$120.90
"CPT® 85306"|"HB REF PROTEIN S ACTIVITY, FREE"|305.00|$247.00|$42.00|$136.10|$173.00|$132.15|$98.80|$56.07|$136.10|$104.73|$82.50|$46.44|$61.65|$42.00|$45.00|$131.90|$98.68|$111.84|$83.88
"CPT® 85305"|"HB REF PROTEIN S ACTIVITY, TOTAL"|305.00|$275.00|$35.18|$151.53|$192.00|$147.13|$110.00|$62.43|$151.53|$116.60|$91.85|$35.18|$46.70|$42.00|$45.00|$146.85|$109.86|$124.52|$93.39
"CPT® 85732"|"HB REF PTT SUBSITUTION EACH"|305.00|$93.00|$19.58|$51.24|$65.00|$49.76|$37.20|$21.11|$51.24|$39.43|$31.06|$19.58|$25.99|$42.00|$45.00|$49.66|$37.15|$42.11|$31.58
"CPT® 85245"|"HB REF RISTOCETIN COFACTOR ACTIVITY"|305.00|$302.00|$42.00|$166.40|$211.00|$161.57|$120.80|$68.55|$166.40|$128.05|$100.87|$69.51|$92.27|$42.00|$45.00|$161.27|$120.65|$136.75|$102.56
"CPT® 85613"|"HB REF RUSSELL VIPER VENOM DILUTED"|305.00|$103.00|$23.38|$56.75|$72.00|$55.11|$41.20|$23.38|$56.75|$43.67|$34.40|$29.02|$38.52|$42.00|$45.00|$55.00|$41.15|$46.64|$34.98
"CPT® 85810"|"HB REF VISCOSITY, SERUM"|305.00|$56.00|$12.71|$46.95|$39.00|$29.96|$22.40|$12.71|$30.86|$23.74|$18.70|$35.37|$46.95|$42.00|$45.00|$29.90|$22.37|$25.36|$19.02
"CPT® 85246"|"HB REF VON WILLEBRAND FACTOR ANTIGEN"|305.00|$302.00|$42.00|$166.40|$211.00|$161.57|$120.80|$68.55|$166.40|$128.05|$100.87|$69.51|$92.27|$42.00|$45.00|$161.27|$120.65|$136.75|$102.56
"CPT® 85247"|"HB REF VON WILLEBRAND FACTOR, MULTIMERIC ANALYSIS"|305.00|$131.00|$29.74|$92.27|$92.00|$70.09|$52.40|$29.74|$72.18|$55.54|$43.75|$69.51|$92.27|$42.00|$45.00|$69.95|$52.33|$59.32|$44.49
"CPT® 87880"|"HB POCT RAPID STREP TEST"|306.00|$174.00|$39.50|$95.87|$122.00|$93.09|$69.60|$39.50|$95.87|$73.78|$58.12|$45.08|$59.84|$42.00|$45.00|$92.92|$69.51|$78.79|$59.09
"CPT® 87340"|"HB HEPATITIS B SURFACE ANTIGEN"|306.00|$198.00|$31.31|$109.10|$139.00|$105.93|$79.20|$44.95|$109.10|$83.95|$66.13|$31.31|$41.56|$42.00|$45.00|$105.73|$79.10|$89.65|$67.24
"CPT® 87147"|"HB CULTURE TYPING, IMMUNOLOGIC NOT IF"|306.00|$50.00|$11.35|$45.00|$35.00|$26.75|$20.00|$11.35|$27.55|$21.20|$16.70|$15.68|$20.82|$42.00|$45.00|$26.70|$19.98|$22.64|$16.98
"CPT® 87040"|"HB CULTURE, BLOOD"|306.00|$164.00|$31.28|$90.36|$115.00|$87.74|$65.60|$37.23|$90.36|$69.54|$54.78|$31.28|$41.52|$42.00|$45.00|$87.58|$65.52|$74.26|$55.69
"CPT® 87185"|"HB SUSCEPTIBILITY, ENZYME"|306.00|$85.00|$14.37|$46.84|$59.00|$45.48|$34.00|$19.30|$46.84|$36.04|$28.39|$14.37|$19.08|$42.00|$45.00|$45.39|$33.96|$38.49|$28.87
"CPT® 87205"|"HB GRAM STAIN"|306.00|$71.00|$12.95|$45.00|$50.00|$37.99|$28.40|$16.12|$39.12|$30.10|$23.71|$12.95|$17.20|$42.00|$45.00|$37.91|$28.36|$32.15|$24.11
"CPT® 87210"|"HB KOH PREP"|306.00|$49.00|$11.12|$45.00|$34.00|$26.22|$19.60|$11.12|$27.00|$20.78|$16.37|$15.87|$21.07|$42.00|$45.00|$26.17|$19.58|$22.19|$16.64
"CPT® 87210"|"HB WET PREP INFECTIOUS AGENT"|306.00|$59.00|$13.39|$45.00|$41.00|$31.57|$23.60|$13.39|$32.51|$25.02|$19.71|$15.87|$21.07|$42.00|$45.00|$31.51|$23.57|$26.72|$20.04
"CPT® 87324"|"HB CLOSTRIDIUM AG IA"|306.00|$139.00|$31.55|$76.59|$97.00|$74.37|$55.60|$31.55|$76.59|$58.94|$46.43|$36.32|$48.22|$42.00|$45.00|$74.23|$55.53|$62.94|$47.20
"CPT® 87430"|"HB GRP A STREP RAPID/THROAT"|306.00|$176.00|$39.95|$96.98|$123.00|$94.16|$70.40|$39.95|$96.98|$74.62|$58.78|$45.84|$60.85|$42.00|$45.00|$93.98|$70.31|$79.69|$59.77
"CPT® 87502"|"HB INFLUENZA DNA AMP PROBE"|306.00|$401.00|$42.00|$346.80|$281.00|$214.54|$160.40|$91.03|$220.95|$170.02|$133.93|$261.25|$346.80|$42.00|$45.00|$214.13|$160.20|$181.57|$136.18
"CPT® 87581"|"HB MYCOPLASMA PNEUMONIAE DNA BY PCR"|306.00|$289.00|$42.00|$159.24|$202.00|$154.62|$115.60|$65.60|$159.24|$122.54|$96.53|$106.33|$141.14|$42.00|$45.00|$154.33|$115.46|$130.86|$98.14
"CPT® 87632"|"HB PNEUMONIA PANEL, VIRUS DETECTION, MULTIPLEX PCR"|306.00|$1214.00|$42.00|$858.45|$850.00|$649.49|$485.60|$275.58|$668.91|$514.74|$405.48|$646.68|$858.45|$42.00|$45.00|$648.28|$484.99|$549.70|$412.27
"CPT® 87807"|"HB RSV ANTIGEN"|306.00|$298.00|$36.32|$164.20|$209.00|$159.43|$119.20|$67.65|$164.20|$126.35|$99.53|$36.32|$48.22|$42.00|$45.00|$159.13|$119.05|$134.93|$101.20
"CPT® 87633"|"HB RESPIRATORY VIRUS PANEL, PCR"|306.00|$1934.00|$42.00|$1676.39|$1354.00|$1034.69|$773.60|$439.02|$1065.63|$820.02|$645.96|$1262.85|$1676.39|$42.00|$45.00|$1032.76|$772.63|$875.72|$656.79
"CPT® 87798"|"HB BORDETELLA PERTUSSIS BY DNA"|306.00|$415.00|$42.00|$228.67|$290.00|$222.03|$166.00|$94.21|$228.67|$175.96|$138.61|$106.33|$141.14|$42.00|$45.00|$221.61|$165.79|$187.91|$140.93
"CPT® 87486"|"HB RESPIRATORY VIRUS PANEL, CHLAMYDIA PNEUMONIAE"|306.00|$284.00|$42.00|$156.48|$199.00|$151.94|$113.60|$64.47|$156.48|$120.42|$94.86|$106.33|$141.14|$42.00|$45.00|$151.66|$113.46|$128.60|$96.45
"CPT® 87581"|"HB RESPIRATORY VIRUS PANEL, MYCOPLASMA PNEUMONIAE"|306.00|$330.00|$42.00|$181.83|$231.00|$176.55|$132.00|$74.91|$181.83|$139.92|$110.22|$106.33|$141.14|$42.00|$45.00|$176.22|$131.84|$149.42|$112.07
"CPT® 87880"|"HB STREP A ANTIGEN"|306.00|$174.00|$39.50|$95.87|$122.00|$93.09|$69.60|$39.50|$95.87|$73.78|$58.12|$45.08|$59.84|$42.00|$45.00|$92.92|$69.51|$78.79|$59.09
"CPT® 87798"|"HB REF ADENOVIRUS DNA, QUAL PCR, FECAL"|306.00|$339.00|$42.00|$186.79|$237.00|$181.37|$135.60|$76.95|$186.79|$143.74|$113.23|$106.33|$141.14|$42.00|$45.00|$181.03|$135.43|$153.50|$115.12
"CPT® 87799"|"HB REF ADENOVIRUS DNA, QUANT PCR, URINE"|306.00|$270.00|$42.00|$172.31|$189.00|$144.45|$108.00|$61.29|$148.77|$114.48|$90.18|$129.81|$172.31|$42.00|$45.00|$144.18|$107.87|$122.26|$91.69
"CPT® 87116"|"HB REF AFB CULTURE"|306.00|$213.00|$32.72|$117.36|$149.00|$113.96|$85.20|$48.35|$117.36|$90.31|$71.14|$32.72|$43.44|$42.00|$45.00|$113.74|$85.09|$96.45|$72.33
"CPT® 87149"|"HB REF AFB IDENTIFICATION, NUCLEIC ACID PROBE"|306.00|$246.00|$42.00|$135.55|$172.00|$131.61|$98.40|$55.84|$135.55|$104.30|$82.16|$60.76|$80.65|$42.00|$45.00|$131.36|$98.28|$111.39|$83.54
"CPT® 87799"|"HB REF BK VIRUS DNA, QUANT, RT-PCR, BLOOD"|306.00|$755.00|$42.00|$416.01|$528.00|$403.93|$302.00|$171.39|$416.01|$320.12|$252.17|$129.81|$172.31|$42.00|$45.00|$403.17|$301.62|$341.86|$256.40
"CPT® 87799"|"HB REF BK VIRUS DNA, QUANT, RT-PCR, URINE"|306.00|$755.00|$42.00|$416.01|$528.00|$403.93|$302.00|$171.39|$416.01|$320.12|$252.17|$129.81|$172.31|$42.00|$45.00|$403.17|$301.62|$341.86|$256.40
"CPT® 87493"|"HB REF C. DIFFICILE PCR"|306.00|$414.00|$42.00|$228.11|$290.00|$221.49|$165.60|$93.98|$228.11|$175.54|$138.28|$106.33|$141.14|$42.00|$45.00|$221.08|$165.39|$187.46|$140.59
"CPT® 87480"|"HB REF CANDIDA DNA DIR PROBE"|306.00|$105.00|$23.84|$80.65|$74.00|$56.18|$42.00|$23.84|$57.86|$44.52|$35.07|$60.76|$80.65|$42.00|$45.00|$56.07|$41.95|$47.54|$35.66
"CPT® 87491"|"HB REF CHLAMYDIA TRACHOMATIS, PCR"|306.00|$224.00|$42.00|$141.14|$157.00|$119.84|$89.60|$50.85|$123.42|$94.98|$74.82|$106.33|$141.14|$42.00|$45.00|$119.62|$89.49|$101.43|$76.07
"CPT® 87486"|"HB REF CHYLMD PNEUM DNA AMP PROBE"|306.00|$95.00|$21.57|$95.00|$66.00|$50.83|$38.00|$21.57|$52.35|$40.28|$31.73|$95.00|$95.00|$42.00|$45.00|$50.73|$37.95|$43.02|$32.26
"CPT® 87015"|"HB REF CONCENTRATION, MICROBIOLOGY"|306.00|$32.00|$7.26|$32.00|$22.00|$17.12|$12.80|$7.26|$17.63|$13.57|$10.69|$20.23|$26.86|$32.00|$32.00|$17.09|$12.78|$14.49|$10.87
"CPT® 87206"|"HB REF CRYPTOSPORIDIUM EXAM"|306.00|$112.00|$16.33|$61.71|$78.00|$59.92|$44.80|$25.42|$61.71|$47.49|$37.41|$16.33|$21.68|$42.00|$45.00|$59.81|$44.74|$50.71|$38.04
"CPT® 87081"|"HB REF CULTURE SCREEN ONLY"|306.00|$230.00|$20.07|$122.82|$161.00|$110.75|$82.80|$46.99|$114.06|$87.77|$69.14|$20.07|$26.64|$42.00|$45.00|$122.82|$91.89|$104.14|$78.11
"CPT® 87143"|"HB REF CULTURE TYPING GLC/HPLC"|306.00|$64.00|$14.53|$50.39|$45.00|$34.24|$25.60|$14.53|$35.26|$27.14|$21.38|$37.96|$50.39|$42.00|$45.00|$34.18|$25.57|$28.98|$21.73
"CPT® 87140"|"HB REF CULTURE TYPING, IMMUNOFLUORESCENCE"|306.00|$159.00|$16.88|$87.61|$111.00|$85.07|$63.60|$36.09|$87.61|$67.42|$53.11|$16.88|$22.41|$42.00|$45.00|$84.91|$63.52|$72.00|$54.00
"CPT® 87109"|"HB REF CULTURE, MYCOPLASMA"|306.00|$97.00|$22.02|$61.90|$68.00|$51.90|$38.80|$22.02|$53.45|$41.13|$32.40|$46.63|$61.90|$42.00|$45.00|$51.80|$38.75|$43.92|$32.94
"CPT® 87252"|"HB REF CULTURE, VIRUS"|306.00|$158.00|$35.87|$104.87|$111.00|$84.53|$63.20|$35.87|$87.06|$66.99|$52.77|$79.00|$104.87|$42.00|$45.00|$84.37|$63.12|$71.54|$53.66
"CPT® 87206"|"HB REF CYCLOSPORA EXAM"|306.00|$103.00|$16.33|$56.75|$72.00|$55.11|$41.20|$23.38|$56.75|$43.67|$34.40|$16.33|$21.68|$42.00|$45.00|$55.00|$41.15|$46.64|$34.98
"CPT® 87496"|"HB REF CYTOMEG DNA AMP PROBE"|306.00|$185.00|$42.00|$141.14|$130.00|$98.98|$74.00|$42.00|$101.94|$78.44|$61.79|$106.33|$141.14|$42.00|$45.00|$98.79|$73.91|$83.77|$62.83
"CPT® 87497"|"HB REF CYTOMEG DNA QUANT"|306.00|$538.00|$42.00|$296.44|$377.00|$287.83|$215.20|$122.13|$296.44|$228.11|$179.69|$129.81|$172.31|$42.00|$45.00|$287.29|$214.93|$243.61|$182.70
"CPT® 87798"|"HB REF EBV DNA, QUALITATIVE, RT-PCR"|306.00|$290.00|$42.00|$159.79|$203.00|$155.15|$116.00|$65.83|$159.79|$122.96|$96.86|$106.33|$141.14|$42.00|$45.00|$154.86|$115.86|$131.31|$98.48
"CPT® 87799"|"HB REF EBV DNA, QUANTITATIVE, RT-PCR"|306.00|$823.00|$42.00|$439.48|$576.00|$396.44|$296.40|$168.21|$408.29|$314.18|$247.49|$129.81|$172.31|$42.00|$45.00|$439.48|$328.79|$372.65|$279.49
"CPT® 87498"|"HB REF ENTEROVIRUS PROBE&REVERSE TRNS"|306.00|$326.00|$42.00|$179.63|$228.00|$174.41|$130.40|$74.00|$179.63|$138.22|$108.88|$106.33|$141.14|$42.00|$45.00|$174.08|$130.24|$147.61|$110.71
"CPT® 87510"|"HB REF GARDNER VAG DNA DIR PROBE"|306.00|$105.00|$23.84|$80.65|$74.00|$56.18|$42.00|$23.84|$57.86|$44.52|$35.07|$60.76|$80.65|$42.00|$45.00|$56.07|$41.95|$47.54|$35.66
"CPT® 87255"|"HB REF GENET VIRUS ISOLATE HSV"|306.00|$213.00|$42.00|$136.18|$149.00|$113.96|$85.20|$48.35|$117.36|$90.31|$71.14|$102.59|$136.18|$42.00|$45.00|$113.74|$85.09|$96.45|$72.33
"CPT® 87522"|"HB REF HEP C VIRUS RNA QUANT (PCR)"|306.00|$722.00|$42.00|$385.55|$505.00|$347.75|$260.00|$147.55|$358.15|$275.60|$217.10|$129.81|$172.31|$42.00|$45.00|$385.55|$288.44|$326.92|$245.19
"CPT® 87517"|"HB REF HEPATITIS B DNA QUANT"|306.00|$412.00|$42.00|$227.01|$288.00|$220.42|$164.80|$93.52|$227.01|$174.69|$137.61|$129.81|$172.31|$42.00|$45.00|$220.01|$164.59|$186.55|$139.92
"CPT® 87340"|"HB REF HEPATITIS B SURFACE ANTIGEN"|306.00|$220.00|$31.31|$117.48|$154.00|$105.93|$79.20|$44.95|$109.10|$83.95|$66.13|$31.31|$41.56|$42.00|$45.00|$117.48|$87.89|$99.62|$74.71
"CPT® 87350"|"HB REF HEPATITIS BE AG IA"|306.00|$255.00|$34.93|$140.51|$178.00|$136.43|$102.00|$57.89|$140.51|$108.12|$85.17|$34.93|$46.37|$42.00|$45.00|$136.17|$101.87|$115.46|$86.60
"CPT® 87902"|"HB REF HEPATITIS C GENOTYPE"|306.00|$2327.00|$42.00|$1282.18|$1629.00|$1244.95|$930.80|$528.23|$1282.18|$986.65|$777.22|$780.06|$1035.50|$42.00|$45.00|$1242.62|$929.64|$1053.67|$790.25
"CPT® 87521"|"HB REF HEPATITIS C PROBE&RVRS TRNSC"|306.00|$487.00|$42.00|$268.34|$341.00|$260.55|$194.80|$110.55|$268.34|$206.49|$162.66|$106.33|$141.14|$42.00|$45.00|$260.06|$194.56|$220.51|$165.39
"CPT® 87385"|"HB REF HISTOPLASMA CAPSUL AG IA"|306.00|$163.00|$36.32|$89.81|$114.00|$87.21|$65.20|$37.00|$89.81|$69.11|$54.44|$36.32|$48.22|$42.00|$45.00|$87.04|$65.12|$73.81|$55.35
"CPT® 87389"|"HB REF HIV ANTIGEN/ANTIBODY COMBINATION"|306.00|$140.00|$31.78|$96.84|$98.00|$74.90|$56.00|$31.78|$77.14|$59.36|$46.76|$72.95|$96.84|$42.00|$45.00|$74.76|$55.93|$63.39|$47.54
"CPT® 87536"|"HB REF HIV, QUANTITATIVE, PCR"|306.00|$722.00|$42.00|$397.82|$505.00|$386.27|$288.80|$163.89|$397.82|$306.13|$241.15|$257.84|$342.27|$42.00|$45.00|$385.55|$288.44|$326.92|$245.19
"CPT® 87624"|"HB REF HPV HIGH-RISK TYPES"|306.00|$371.00|$42.00|$204.42|$260.00|$198.49|$148.40|$84.22|$204.42|$157.30|$123.91|$106.33|$141.14|$42.00|$45.00|$198.11|$148.21|$167.99|$125.99
"CPT® 87625"|"HB REF HPV TYPES 16 & 18 ONLY"|306.00|$371.00|$42.00|$204.42|$260.00|$198.49|$148.40|$84.22|$204.42|$157.30|$123.91|$110.58|$146.79|$42.00|$45.00|$198.11|$148.21|$167.99|$125.99
"CPT® 87529"|"HB REF HSV DNA AMP PROBE"|306.00|$262.00|$42.00|$144.36|$183.00|$140.17|$104.80|$59.47|$144.36|$111.09|$87.51|$106.33|$141.14|$42.00|$45.00|$139.91|$104.67|$118.63|$88.98
"CPT® 87631"|"HB REF INFLUENZA A/B AND RSV, PCR"|306.00|$605.00|$42.00|$516.32|$424.00|$323.68|$242.00|$137.34|$333.36|$256.52|$202.07|$388.95|$516.32|$42.00|$45.00|$323.07|$241.70|$273.94|$205.46
"CPT® 87206"|"HB REF ISOSPORA EXAM"|306.00|$103.00|$16.33|$56.75|$72.00|$55.11|$41.20|$23.38|$56.75|$43.67|$34.40|$16.33|$21.68|$42.00|$45.00|$55.00|$41.15|$46.64|$34.98
"CPT® 87799"|"HB REF JC VIRUS"|306.00|$270.00|$42.00|$172.31|$189.00|$144.45|$108.00|$61.29|$148.77|$114.48|$90.18|$129.81|$172.31|$42.00|$45.00|$144.18|$107.87|$122.26|$91.69
"CPT® 87798"|"HB REF LEPTOSPIRA ANTIGEN, DNA, PCR"|306.00|$339.00|$42.00|$186.79|$237.00|$181.37|$135.60|$76.95|$186.79|$143.74|$113.23|$106.33|$141.14|$42.00|$45.00|$181.03|$135.43|$153.50|$115.12
"CPT® 87206"|"HB REF MYCOBACTERIA SMEAR"|306.00|$103.00|$16.33|$56.75|$72.00|$55.11|$41.20|$23.38|$56.75|$43.67|$34.40|$16.33|$21.68|$42.00|$45.00|$55.00|$41.15|$46.64|$34.98
"CPT® 87118"|"HB REF MYCOBACTERIC IDENTIFICATION"|306.00|$154.00|$34.96|$84.85|$108.00|$82.39|$61.60|$34.96|$84.85|$65.30|$51.44|$39.84|$52.89|$42.00|$45.00|$82.24|$61.52|$69.73|$52.30
"CPT® 87556"|"HB REF MYCOBACTERIUM TUBERCULOSIS COMPLEX, PCR"|306.00|$226.00|$42.00|$150.88|$158.00|$120.91|$90.40|$51.30|$124.53|$95.82|$75.48|$113.66|$150.88|$42.00|$45.00|$120.68|$90.29|$102.33|$76.75
"CPT® 87591"|"HB REF NEISSERIA GONORRHOEAE, PCR"|306.00|$227.00|$42.00|$141.14|$159.00|$121.45|$90.80|$51.53|$125.08|$96.25|$75.82|$106.33|$141.14|$42.00|$45.00|$121.22|$90.69|$102.79|$77.09
"CPT® 87798"|"HB REF NOROVIRUS, QUALITATIVE PCR, STOOL"|306.00|$339.00|$42.00|$186.79|$237.00|$181.37|$135.60|$76.95|$186.79|$143.74|$113.23|$106.33|$141.14|$42.00|$45.00|$181.03|$135.43|$153.50|$115.12
"CPT® 87177"|"HB REF OVA AND PARASITES SMEARS"|306.00|$266.00|$26.97|$146.57|$186.00|$142.31|$106.40|$60.38|$146.57|$112.78|$88.84|$26.97|$35.80|$42.00|$45.00|$142.04|$106.27|$120.44|$90.33
"CPT® 87265"|"HB REF PERTUSSIS AG IF"|306.00|$188.00|$36.32|$103.59|$132.00|$100.58|$75.20|$42.68|$103.59|$79.71|$62.79|$36.32|$48.22|$42.00|$45.00|$100.39|$75.11|$85.13|$63.84
"CPT® 87799"|"HB REF PNEUMOCYSTIS JIROVECII, QUANT RT-PCR, BRONCHIAL WASH/LAVAGE"|306.00|$512.00|$42.00|$282.11|$358.00|$273.92|$204.80|$116.22|$282.11|$217.09|$171.01|$129.81|$172.31|$42.00|$45.00|$273.41|$204.54|$231.83|$173.88
"CPT® 87581"|"HB REF RESPIRATORY VIRUS PANEL, CHLAMYDIA PNEUMONIAE"|306.00|$289.00|$42.00|$159.24|$202.00|$154.62|$115.60|$65.60|$159.24|$122.54|$96.53|$106.33|$141.14|$42.00|$45.00|$154.33|$115.46|$130.86|$98.14
"CPT® 87632"|"HB REF RESPIRATORY VIRUS PANEL, PCR"|306.00|$906.00|$42.00|$858.45|$634.00|$484.71|$362.40|$205.66|$499.21|$384.14|$302.60|$646.68|$858.45|$42.00|$45.00|$483.80|$361.95|$410.24|$307.68
"CPT® 87633"|"HB REF RESPIRATORY VIRUS PANEL, PCR"|306.00|$767.00|$42.00|$767.00|$537.00|$410.35|$306.80|$174.11|$422.62|$325.21|$256.18|$767.00|$767.00|$42.00|$45.00|$409.58|$306.42|$347.30|$260.47
"CPT® 87209"|"HB REF SMEAR COMPLEX STAIN"|306.00|$151.00|$34.28|$83.20|$106.00|$80.79|$60.40|$34.28|$83.20|$64.02|$50.43|$54.46|$72.29|$42.00|$45.00|$80.63|$60.32|$68.37|$51.28
"CPT® 87660"|"HB REF TRICHOMONAS VAGIN DIR PROBE"|306.00|$105.00|$23.84|$80.65|$74.00|$56.18|$42.00|$23.84|$57.86|$44.52|$35.07|$60.76|$80.65|$42.00|$45.00|$56.07|$41.95|$47.54|$35.66
"CPT® 87661"|"HB REF TRICHOMONAS VAGINALIS AMPLIF"|306.00|$397.00|$42.00|$218.75|$278.00|$212.40|$158.80|$90.12|$218.75|$168.33|$132.60|$106.33|$141.14|$42.00|$45.00|$212.00|$158.60|$179.76|$134.82
"CPT® 87799"|"HB REF VARICELLA ZOSTER VIRUS DNA, QUANT"|306.00|$1245.00|$42.00|$686.00|$872.00|$666.08|$498.00|$282.62|$686.00|$527.88|$415.83|$129.81|$172.31|$42.00|$45.00|$664.83|$497.38|$563.74|$422.80
"CPT® 87254"|"HB REF VIRUS SHELL VIAL CULTURE"|306.00|$93.00|$21.11|$78.66|$65.00|$49.76|$37.20|$21.11|$51.24|$39.43|$31.06|$59.26|$78.66|$42.00|$45.00|$49.66|$37.15|$42.11|$31.58
"CPT® 81002"|"HB BILIRUBIN, URINE CONFIRMATORY"|307.00|$45.00|$9.49|$45.00|$31.00|$24.08|$18.00|$10.22|$24.80|$19.08|$15.03|$9.49|$12.60|$42.00|$45.00|$24.03|$17.98|$20.38|$15.28
"CPT® 81002"|"HB SPECIFIC GRAVITY, URINE"|307.00|$45.00|$9.49|$45.00|$31.00|$24.08|$18.00|$10.22|$24.80|$19.08|$15.03|$9.49|$12.60|$42.00|$45.00|$24.03|$17.98|$20.38|$15.28
"CPT® 81015"|"HB UA MICROSCOPIC ONLY"|307.00|$65.00|$9.24|$45.00|$46.00|$34.78|$26.00|$14.76|$35.82|$27.56|$21.71|$9.24|$12.27|$42.00|$45.00|$34.71|$25.97|$29.43|$22.07
"CPT® 81001"|"HB URINALYSIS W MICROSCOPIC"|307.00|$91.00|$9.60|$50.14|$64.00|$48.69|$36.40|$20.66|$50.14|$38.58|$30.39|$9.60|$12.74|$42.00|$45.00|$48.59|$36.35|$41.20|$30.90
"CPT® 81003"|"HB URINALYSIS W/O MICROSCOPIC"|307.00|$29.00|$6.58|$29.00|$20.00|$15.52|$11.60|$6.58|$15.98|$12.30|$9.69|$6.79|$9.01|$29.00|$29.00|$15.49|$11.59|$13.13|$9.85
"CPT® 81206"|"HB BCR/ABL MAJOR, QUALITATIVE, PCR"|310.00|$2616.00|$54.00|$1441.42|$1831.00|$1399.56|$1046.40|$593.83|$1441.42|$1109.18|$873.74|$496.80|$659.49|$54.00|$58.00|$1396.94|$1045.09|$1184.52|$888.39
"CPT® 81207"|"HB BCR/ABL MINOR, QUALITATIVE, PCR"|310.00|$1501.00|$54.00|$827.05|$1051.00|$803.04|$600.40|$340.73|$827.05|$636.42|$501.33|$438.86|$582.57|$54.00|$58.00|$801.53|$599.65|$679.65|$509.74
"CPT® 81261"|"HB IMMUNOGLOBULIN HEAVY CHAIN GENE REARRANGEMENT, PCR"|310.00|$469.00|$54.00|$469.00|$328.00|$250.92|$187.60|$106.46|$258.42|$198.86|$156.65|$469.00|$469.00|$54.00|$58.00|$250.45|$187.37|$212.36|$159.27
"CPT® 81270"|"HB JAK 2 MUTATION ASSAY"|310.00|$1917.00|$54.00|$1056.27|$1342.00|$1025.60|$766.80|$435.16|$1056.27|$812.81|$640.28|$277.74|$368.70|$54.00|$58.00|$1023.68|$765.84|$868.02|$651.01
"CPT® 81450"|"HB MYELOID NEOPLASMS NGS PANEL"|310.00|$2431.00|$54.00|$2431.00|$1702.00|$1300.59|$972.40|$551.84|$1339.48|$1030.74|$811.95|$2071.24|$2431.00|$54.00|$58.00|$1298.15|$971.18|$1100.76|$825.57
"CPT® 81315"|"HB PML-RARA, QUANTITATIVE RT-PCR"|310.00|$739.00|$54.00|$739.00|$517.00|$395.37|$295.60|$167.75|$407.19|$313.34|$246.83|$628.16|$739.00|$54.00|$58.00|$394.63|$295.23|$334.62|$250.96
"CPT® 88358"|"HB ANALYSIS TUMOR"|310.00|$588.00|$54.00|$323.99|$412.00|$314.58|$235.20|$133.48|$323.99|$249.31|$196.39|$220.37|$292.53|$54.00|$58.00|$313.99|$234.91|$266.25|$199.68
"CPT® 88350"|"HB IMF ANTIBODY STAIN, ADDT'L"|310.00|$227.00|$51.53|$182.09|$159.00|$121.45|$90.80|$51.53|$125.08|$96.25|$75.82|$137.17|$182.09|$54.00|$58.00|$121.22|$90.69|$102.79|$77.09
"CPT® 88300"|"HB SURGICAL PATH GROSS LEVEL I"|310.00|$156.00|$33.41|$85.96|$109.00|$83.46|$62.40|$35.41|$85.96|$66.14|$52.10|$33.41|$44.35|$54.00|$58.00|$83.30|$62.32|$70.64|$52.98
"CPT® 88302"|"HB SURGICAL PATH LEVEL II"|310.00|$373.00|$54.00|$205.52|$261.00|$199.56|$149.20|$84.67|$205.52|$158.15|$124.58|$68.97|$91.55|$54.00|$58.00|$199.18|$149.01|$168.89|$126.67
"CPT® 88304"|"HB SURGICAL PATH LEVEL III"|310.00|$553.00|$54.00|$304.70|$387.00|$295.86|$221.20|$125.53|$304.70|$234.47|$184.70|$83.20|$110.45|$54.00|$58.00|$295.30|$220.92|$250.40|$187.80
"CPT® 88305"|"HB SURGICAL PATH LEVEL IV"|310.00|$579.00|$54.00|$319.03|$405.00|$309.77|$231.60|$131.43|$319.03|$245.50|$193.39|$87.26|$115.84|$54.00|$58.00|$309.19|$231.31|$262.17|$196.63
"CPT® 88307"|"HB SURGICAL PATH LEVEL V"|310.00|$1238.00|$54.00|$701.09|$867.00|$662.33|$495.20|$281.03|$682.14|$524.91|$413.49|$528.14|$701.09|$54.00|$58.00|$661.09|$494.58|$560.57|$420.42
"CPT® 88309"|"HB SURGICAL PATH LEVEL VI"|310.00|$1746.00|$54.00|$984.21|$1222.00|$934.11|$698.40|$396.34|$962.05|$740.30|$583.16|$741.42|$984.21|$54.00|$58.00|$932.36|$697.53|$790.59|$592.94
"CPT® 88305"|"HB PATH EXAM-MUSCLE/NERVE"|310.00|$1248.00|$54.00|$687.65|$874.00|$667.68|$499.20|$283.30|$687.65|$529.15|$416.83|$87.26|$115.84|$54.00|$58.00|$666.43|$498.58|$565.09|$423.82
"CPT® 88311"|"HB DECALCIFY TISSUE"|310.00|$181.00|$26.29|$99.73|$127.00|$96.84|$72.40|$41.09|$99.73|$76.74|$60.45|$26.29|$34.90|$54.00|$58.00|$96.65|$72.31|$81.96|$61.47
"CPT® 88381"|"HB MICRODISSECTION MANUAL"|310.00|$445.00|$54.00|$445.00|$312.00|$238.08|$178.00|$101.02|$245.20|$188.68|$148.63|$368.58|$445.00|$54.00|$58.00|$237.63|$177.78|$201.50|$151.12
"CPT® 81206"|"HB REF BCR/ABL1 GENE MAJOR BP"|310.00|$328.00|$54.00|$328.00|$230.00|$175.48|$131.20|$74.46|$180.73|$139.07|$109.55|$328.00|$328.00|$54.00|$58.00|$175.15|$131.04|$148.52|$111.39
"CPT® 81208"|"HB REF BCR/ABL1 OTHER BREAKPNT QUAL/QUANT"|310.00|$362.00|$54.00|$362.00|$253.00|$193.67|$144.80|$82.17|$199.46|$153.49|$120.91|$362.00|$362.00|$54.00|$58.00|$193.31|$144.62|$163.91|$122.94
"CPT® 81272"|"HB REF C-KIT MUTATIONS"|310.00|$936.00|$54.00|$936.00|$655.00|$500.76|$374.40|$212.47|$515.74|$396.86|$312.62|$898.57|$936.00|$54.00|$58.00|$499.82|$373.93|$423.82|$317.87
"CPT® 81219"|"HB REF CALRETICULIN FS MUTATION"|310.00|$608.00|$54.00|$489.21|$426.00|$325.28|$243.20|$138.02|$335.01|$257.79|$203.07|$368.53|$489.21|$54.00|$58.00|$324.67|$242.90|$275.30|$206.48
"CPT® 81220"|"HB REF CYSTIC FIBROSIS PROFILE"|310.00|$734.00|$54.00|$734.00|$514.00|$392.69|$293.60|$166.62|$404.43|$311.22|$245.16|$734.00|$734.00|$54.00|$58.00|$391.96|$293.23|$332.36|$249.27
"CPT® 81229"|"HB REF CYTOGEN M ARRAY COPY NO&SNP"|310.00|$1746.00|$54.00|$1746.00|$1222.00|$934.11|$698.40|$396.34|$962.05|$740.30|$583.16|$1746.00|$1746.00|$54.00|$58.00|$932.36|$697.53|$790.59|$592.94
"CPT® 81235"|"HB REF EGFR GENE COM VARIANTS"|310.00|$2770.00|$54.00|$1526.27|$1939.00|$1481.95|$1108.00|$628.79|$1526.27|$1174.48|$925.18|$885.13|$1174.98|$54.00|$58.00|$1479.18|$1106.62|$1254.26|$940.69
"CPT® 88348"|"HB REF ELECTRON MICROSCOPY"|310.00|$1604.00|$54.00|$1076.91|$1123.00|$858.14|$641.60|$364.11|$883.80|$680.10|$535.74|$811.26|$1076.91|$54.00|$58.00|$856.54|$640.80|$726.29|$544.72
"CPT® 81241"|"HB REF FACTOR V LEIDEN"|310.00|$552.00|$54.00|$304.15|$386.00|$295.32|$220.80|$125.30|$304.15|$234.05|$184.37|$200.08|$265.60|$54.00|$58.00|$294.77|$220.52|$249.95|$187.46
"CPT® 81245"|"HB REF FLT3 GENE"|310.00|$620.00|$54.00|$599.15|$434.00|$331.70|$248.00|$140.74|$341.62|$262.88|$207.08|$451.35|$599.15|$54.00|$58.00|$331.08|$247.69|$280.74|$210.55
"CPT® 81246"|"HB REF FLT3 GENE ANALYSIS"|310.00|$362.00|$54.00|$300.46|$253.00|$193.67|$144.80|$82.17|$199.46|$153.49|$120.91|$226.34|$300.46|$54.00|$58.00|$193.31|$144.62|$163.91|$122.94
"CPT® 81244"|"HB REF FMR1 GENE CHARACTERIZATION"|310.00|$197.00|$44.72|$162.50|$138.00|$105.40|$78.80|$44.72|$108.55|$83.53|$65.80|$122.42|$162.50|$54.00|$58.00|$105.20|$78.70|$89.20|$66.90
"CPT® 81243"|"HB REF FRAGILE X (FMR1)"|310.00|$726.00|$54.00|$400.03|$508.00|$388.41|$290.40|$164.80|$400.03|$307.82|$242.48|$155.55|$206.48|$54.00|$58.00|$387.68|$290.04|$328.73|$246.55
"CPT® 81511"|"HB REF FTL CGEN ABNOR FOUR ANAL"|310.00|$307.00|$54.00|$307.00|$215.00|$164.25|$122.80|$69.69|$169.16|$130.17|$102.54|$307.00|$307.00|$54.00|$58.00|$163.94|$122.65|$139.01|$104.26
"CPT® 81455"|"HB REF GEN SEQ ANALYS SOL ORG/HEMTOLMPHOID NEO 51/> GEN"|310.00|$3936.00|$54.00|$3936.00|$2755.00|$2105.76|$1574.40|$893.47|$2168.74|$1668.86|$1314.62|$3936.00|$3936.00|$54.00|$58.00|$2101.82|$1572.43|$1782.22|$1336.67
"CPT® 81256"|"HB REF HFE GENE"|310.00|$1166.00|$54.00|$642.47|$816.00|$623.81|$466.40|$264.68|$642.47|$494.38|$389.44|$198.03|$262.88|$54.00|$58.00|$622.64|$465.82|$527.96|$395.97
"CPT® 81372"|"HB REF HLA CLASS I TYPING LOW RES"|310.00|$3075.00|$54.00|$1694.33|$2152.00|$1645.13|$1230.00|$698.03|$1694.33|$1303.80|$1027.05|$1100.59|$1461.00|$54.00|$58.00|$1642.05|$1228.46|$1392.36|$1044.27
"CPT® 81374"|"HB REF HLA I TYPING 1 ANTIGEN LR"|310.00|$723.00|$54.00|$398.37|$506.00|$386.81|$289.20|$164.12|$398.37|$306.55|$241.48|$220.42|$292.60|$54.00|$58.00|$386.08|$288.84|$327.37|$245.53
"CPT® 81263"|"HB REF IGH VARI REGIONAL MUTATION"|310.00|$933.00|$54.00|$933.00|$653.00|$499.16|$373.20|$211.79|$514.08|$395.59|$311.62|$892.38|$933.00|$54.00|$58.00|$498.22|$372.73|$422.46|$316.85
"CPT® 81120"|"HB REF ISOCITRATE DEHYDROGENASE 1 MUTATION ANALYSIS"|310.00|$1673.00|$54.00|$921.82|$1171.00|$895.06|$669.20|$379.77|$921.82|$709.35|$558.78|$526.99|$699.57|$54.00|$58.00|$893.38|$668.36|$757.53|$568.15
"CPT® 81121"|"HB REF ISOCITRATE DEHYDROGENASE 2 MUTATION ANALYSIS"|310.00|$1673.00|$54.00|$1070.76|$1171.00|$895.06|$669.20|$379.77|$921.82|$709.35|$558.78|$806.62|$1070.76|$54.00|$58.00|$893.38|$668.36|$757.53|$568.15
"CPT® 81270"|"HB REF JAK2, V617F MUTATION ANALYSIS, QUALITATIVE"|310.00|$512.00|$54.00|$368.70|$358.00|$273.92|$204.80|$116.22|$282.11|$217.09|$171.01|$277.74|$368.70|$54.00|$58.00|$273.41|$204.54|$231.83|$173.88
"CPT® 81276"|"HB REF KRAS GENE CODON 61"|310.00|$1004.00|$54.00|$699.57|$703.00|$537.14|$401.60|$227.91|$553.20|$425.70|$335.34|$526.99|$699.57|$54.00|$58.00|$536.14|$401.10|$454.61|$340.96
"CPT® 81275"|"HB REF KRAS MUTATION ANALYSIS"|310.00|$1967.00|$54.00|$1083.82|$1377.00|$1052.35|$786.80|$446.51|$1083.82|$834.01|$656.98|$526.99|$699.57|$54.00|$58.00|$1050.38|$785.82|$890.66|$667.99
"CPT® 81301"|"HB REF MICROSATELLITE INSTABILITY"|310.00|$681.00|$54.00|$681.00|$477.00|$364.34|$272.40|$154.59|$375.23|$288.74|$227.45|$681.00|$681.00|$54.00|$58.00|$363.65|$272.06|$308.36|$231.27
"CPT® 81400"|"HB REF MOLECULAR PATHOLOGY PROCEDURE LEVEL 1"|310.00|$2033.00|$54.00|$1120.18|$1423.00|$1087.66|$813.20|$461.49|$1120.18|$861.99|$679.02|$174.42|$231.54|$54.00|$58.00|$1085.62|$812.18|$920.54|$690.41
"CPT® 81403"|"HB REF MOLECULAR PATHOLOGY PROCEDURE LEVEL 4"|310.00|$2706.00|$54.00|$1491.01|$1894.00|$1447.71|$1082.40|$614.26|$1491.01|$1147.34|$903.80|$505.04|$670.42|$54.00|$58.00|$1445.00|$1081.05|$1225.28|$918.96
"CPT® 81404"|"HB REF MOLECULAR PATHOLOGY PROCEDURE LEVEL 5"|310.00|$2976.00|$54.00|$1639.78|$2083.00|$1592.16|$1190.40|$675.55|$1639.78|$1261.82|$993.98|$749.46|$994.88|$54.00|$58.00|$1589.18|$1188.91|$1347.53|$1010.65
"CPT® 81291"|"HB REF MTHFR GENE"|310.00|$465.00|$54.00|$256.22|$326.00|$248.78|$186.00|$105.56|$256.22|$197.16|$155.31|$178.18|$236.53|$54.00|$58.00|$248.31|$185.77|$210.55|$157.91
"CPT® 81305"|"HB REF MYD88 L265P MUTATION DETECTION"|310.00|$387.00|$54.00|$387.00|$271.00|$207.05|$154.80|$87.85|$213.24|$164.09|$129.26|$387.00|$387.00|$54.00|$58.00|$206.66|$154.61|$175.23|$131.43
"CPT® 81596"|"HB REF NFCT DS CHRNC HCV 6 BIOCHEM ASSAY SRM ALG LVR"|310.00|$357.00|$54.00|$261.33|$250.00|$191.00|$142.80|$81.04|$196.71|$151.37|$119.24|$196.86|$261.33|$54.00|$58.00|$190.64|$142.62|$161.65|$121.24
"CPT® 81310"|"HB REF NPM1 GENE"|310.00|$717.00|$54.00|$717.00|$502.00|$383.60|$286.80|$162.76|$395.07|$304.01|$239.48|$672.26|$717.00|$54.00|$58.00|$382.88|$286.44|$324.66|$243.49
"CPT® 81311"|"HB REF NRAS GENE ANALYSIS"|310.00|$759.00|$54.00|$759.00|$531.00|$406.07|$303.60|$172.29|$418.21|$321.82|$253.51|$759.00|$759.00|$54.00|$58.00|$405.31|$303.22|$343.68|$257.76
"CPT® 81240"|"HB REF PROTHROMBIN (F2) GENE MUTATION"|310.00|$446.00|$54.00|$245.75|$312.00|$238.61|$178.40|$101.24|$245.75|$189.10|$148.96|$179.14|$237.80|$54.00|$58.00|$238.16|$178.18|$201.95|$151.46
"CPT® 81404"|"HB REF PRSS1 GENE, FULL GENE ANALYSIS (HEREDITARY PANCREATITIS)"|310.00|$2976.00|$54.00|$1639.78|$2083.00|$1592.16|$1190.40|$675.55|$1639.78|$1261.82|$993.98|$749.46|$994.88|$54.00|$58.00|$1589.18|$1188.91|$1347.53|$1010.65
"CPT® 88184"|"HB FLOWCYTOMETRY 1ST MARKER"|311.00|$421.00|$54.00|$255.93|$295.00|$225.24|$168.40|$95.57|$231.97|$178.50|$140.61|$192.80|$255.93|$54.00|$58.00|$224.81|$168.19|$190.63|$142.97
"CPT® 88185"|"HB FLOWCYTOMETRY EA ADDL MARKER"|311.00|$256.00|$54.00|$141.06|$179.00|$136.96|$102.40|$58.11|$141.06|$108.54|$85.50|$70.11|$93.07|$54.00|$58.00|$136.70|$102.27|$115.92|$86.94
"CPT® 88188"|"HB FLOWCYTOMETRY 9-15 MARKERS"|311.00|$374.00|$54.00|$249.78|$262.00|$200.09|$149.60|$84.90|$206.07|$158.58|$124.92|$188.16|$249.78|$54.00|$58.00|$199.72|$149.41|$169.35|$127.01
"CPT® 88189"|"HB FLOWCYTOMETRY >=16 MARKERS"|311.00|$510.00|$54.00|$334.02|$357.00|$272.85|$204.00|$115.77|$281.01|$216.24|$170.34|$251.62|$334.02|$54.00|$58.00|$272.34|$203.75|$230.93|$173.20
"CPT® 88262"|"HB CHROMOSOME ANALYSIS, BONE MARROW, BONE CORE, BODY FLUID 15-20 CELLS"|311.00|$1481.00|$54.00|$816.03|$1037.00|$792.34|$592.40|$336.19|$816.03|$627.94|$494.65|$377.66|$501.33|$54.00|$58.00|$790.85|$591.66|$670.60|$502.95
"CPT® 88264"|"HB CHROMOSOME ANALYSIS, BONE MARROW, BONE CORE, BODY FLUID 20-25 CELLS"|311.00|$589.00|$54.00|$523.49|$412.00|$315.12|$235.60|$133.70|$324.54|$249.74|$196.73|$394.35|$523.49|$54.00|$58.00|$314.53|$235.31|$266.70|$200.02
"CPT® 88366"|"HB FISH, +4+10+17, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, ALK BAP, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, AML1/ETO T(8;21), MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, ATM/CEP1,1 MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, ATM/TP53, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, BCL2/IGH, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, BCL6 BAP, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, BCR/ABL, T(9;22), MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, CBFB BAP, INV(16), MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, CCND1 BAP, 11Q13, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, CCND1/IGH, T(11;14), MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, CCND3/IGH, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, CEP 12/13, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, CEP 3/7/11, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, CEP 5/9/15, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, CEP X/Y, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, CMYC/IGH, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, CRLF2, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, DEL(13Q), -13, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, DEL(20Q), TRISOMY 8, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, DEL(4Q), CHIC2, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, DEL(5Q), -5, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, DEL(7Q), -7, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, EVI1 BAP, INV(3), MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, FGFR1, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, FGFR3/IGH, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, IGH BAP, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, IGH/CCND1-XT, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, IGH/MAF T(14;16), MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, IGH/MAFB, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, MALT1 BAP, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, MALT1/IGH, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, MLL BAP 11Q, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, MM1Q, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, MYB, 6Q, MULTIPLEXPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, MYC BAP, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, P16/CEP 9, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, P2RY8, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, P53/ATM/13/CEP12, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, PDGFRB, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, PML/RARA, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, RARA 17Q12, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, TCRAD, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, TCRB, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, TEL/AML, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"CPT® 88366"|"HB FISH, TP53/CEP17, MULTIPLEX"|311.00|$704.00|$54.00|$704.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$574.01|$704.00|$54.00|$58.00|$375.94|$281.25|$318.77|$239.08
"HCPCS G0123"|"HB PAP TEST, LIQUID SCREEN"|311.00|$145.00|$32.92|$81.49|$102.00|$77.58|$58.00|$32.92|$79.90|$61.48|$48.43|$61.38|$81.49|$54.00|$58.00|$77.43|$57.93|$65.66|$49.24
"HCPCS G0145"|"HB PAP TEST, LIQUID SCREEN W/IMAGING"|311.00|$126.00|$28.60|$69.43|$88.00|$67.41|$50.40|$28.60|$69.43|$53.42|$42.08|||$54.00|$58.00|$67.28|$50.34|$57.05|$42.79
"CPT® 88142"|"HB PAP TEST, LIQUID, DIAGNOSTIC"|311.00|$145.00|$32.92|$81.49|$102.00|$77.58|$58.00|$32.92|$79.90|$61.48|$48.43|$61.38|$81.49|$54.00|$58.00|$77.43|$57.93|$65.66|$49.24
"CPT® 88175"|"HB PAP TEST, LIQUID DIAGNOSTIC W/IMAGING"|311.00|$294.00|$54.00|$161.99|$206.00|$157.29|$117.60|$66.74|$161.99|$124.66|$98.20|$80.28|$106.57|$54.00|$58.00|$157.00|$117.45|$133.12|$99.84
"CPT® 88130"|"HB CYTOPATH, BUCCAL SMEAR"|311.00|$92.00|$20.88|$72.29|$64.00|$49.22|$36.80|$20.88|$50.69|$39.01|$30.73|$54.46|$72.29|$54.00|$58.00|$49.13|$36.75|$41.66|$31.24
"CPT® 88141"|"HB CYTOPATH C/V INTERPRET"|311.00|$134.00|$30.42|$122.32|$94.00|$71.69|$53.60|$30.42|$73.83|$56.82|$44.76|$92.15|$122.32|$54.00|$58.00|$71.56|$53.53|$60.68|$45.51
"CPT® 88160"|"HB PATH CYTO OTHER SOURCE"|311.00|$213.00|$48.35|$171.15|$149.00|$113.96|$85.20|$48.35|$117.36|$90.31|$71.14|$128.93|$171.15|$54.00|$58.00|$113.74|$85.09|$96.45|$72.33
"CPT® 88161"|"HB CYTOPATH SMEAR OTHER SOURCE PREP SCREENING INTERPRETATION"|311.00|$106.00|$24.06|$106.00|$74.00|$56.71|$42.40|$24.06|$58.41|$44.94|$35.40|$106.00|$106.00|$54.00|$58.00|$56.60|$42.35|$48.00|$36.00
"CPT® 88174"|"HB CYTOPATH C/V AUTO IN FLUID"|311.00|$153.00|$34.73|$91.84|$107.00|$81.86|$61.20|$34.73|$84.30|$64.87|$51.10|$69.18|$91.84|$54.00|$58.00|$81.70|$61.12|$69.28|$51.96
"CPT® 88182"|"HB CELL MARKER STUDY"|311.00|$816.00|$54.00|$449.62|$571.00|$436.56|$326.40|$185.23|$449.62|$345.98|$272.54|$273.95|$363.67|$54.00|$58.00|$435.74|$325.99|$369.48|$277.11
"HCPCS G0124"|"HB SCREEN C/V THIN LAYER BY MD"|311.00|$132.00|$29.96|$72.73|$92.00|$70.62|$52.80|$29.96|$72.73|$55.97|$44.09|||$54.00|$58.00|$70.49|$52.73|$59.77|$44.83
"CPT® 88155"|"HB CYTOPATH, HORMONAL EVALUATION"|311.00|$43.00|$9.76|$43.00|$30.00|$23.01|$17.20|$9.76|$23.69|$18.23|$14.36|$39.95|$43.00|$43.00|$43.00|$22.96|$17.18|$19.47|$14.60
"CPT® 88164"|"HB CYTOPATH TBS C/V MANUAL"|311.00|$66.00|$14.98|$58.00|$46.00|$35.31|$26.40|$14.98|$36.37|$27.98|$22.04|$40.88|$54.26|$54.00|$58.00|$35.24|$26.37|$29.88|$22.41
"CPT® 88104"|"HB FLUID/BRUSH DIRECT SMEARS"|311.00|$184.00|$41.77|$157.65|$129.00|$98.44|$73.60|$41.77|$101.38|$78.02|$61.46|$118.76|$157.65|$54.00|$58.00|$98.26|$73.51|$83.32|$62.49
"CPT® 88108"|"HB FLUID/BRUSH CONCENTRATION"|311.00|$177.00|$40.18|$144.15|$124.00|$94.70|$70.80|$40.18|$97.53|$75.05|$59.12|$108.59|$144.15|$54.00|$58.00|$94.52|$70.71|$80.15|$60.11
"CPT® 88106"|"HB CYTOPATH FL NON-GYN FILTER"|311.00|$139.00|$31.55|$139.00|$97.00|$74.37|$55.60|$31.55|$76.59|$58.94|$46.43|$127.90|$139.00|$54.00|$58.00|$74.23|$55.53|$62.94|$47.20
"CPT® 88112"|"HB CYTOPATH CELL ENHANCE TECH"|311.00|$222.00|$50.39|$148.20|$155.00|$118.77|$88.80|$50.39|$122.32|$94.13|$74.15|$111.64|$148.20|$54.00|$58.00|$118.55|$88.69|$100.52|$75.39
"CPT® 88120"|"HB CYTOPATH, URINE 3-5 PROBES EA SPEC"|311.00|$573.00|$54.00|$573.00|$401.00|$306.56|$229.20|$130.07|$315.72|$242.95|$191.38|$573.00|$573.00|$54.00|$58.00|$305.98|$228.91|$259.45|$194.59
"CPT® 88172"|"HB FNA ADEQUACY-1ST EPISODE"|311.00|$619.00|$54.00|$341.07|$433.00|$331.17|$247.60|$140.51|$341.07|$262.46|$206.75|$56.78|$75.37|$54.00|$58.00|$330.55|$247.29|$280.28|$210.21
"CPT® 88177"|"HB FNA TECH ADEQUACY EVAL ADDL"|311.00|$244.00|$20.32|$134.44|$171.00|$130.54|$97.60|$55.39|$134.44|$103.46|$81.50|$20.32|$26.97|$54.00|$58.00|$130.30|$97.48|$110.48|$82.86
"CPT® 88173"|"HB CYTOPATH EVAL FNA"|311.00|$742.00|$54.00|$408.84|$519.00|$396.97|$296.80|$168.43|$408.84|$314.61|$247.83|$232.45|$308.57|$54.00|$58.00|$396.23|$296.43|$335.98|$251.98
"CPT® 88333"|"HB INTRAOP TOUCH PREPARATION 1ST"|311.00|$603.00|$54.00|$332.25|$422.00|$322.61|$241.20|$136.88|$332.25|$255.67|$201.40|$73.03|$96.94|$54.00|$58.00|$322.00|$240.90|$273.04|$204.78
"CPT® 88334"|"HB INTRAOP TOUCH PREPARATION ADDL"|311.00|$330.00|$47.78|$181.83|$231.00|$176.55|$132.00|$74.91|$181.83|$139.92|$110.22|$47.78|$63.42|$54.00|$58.00|$176.22|$131.84|$149.42|$112.07
"CPT® 88291"|"HB REF CYTO/MOLECULAR REPORT"|311.00|$243.00|$54.00|$133.89|$170.00|$130.01|$97.20|$55.16|$133.89|$103.03|$81.16|$95.94|$127.35|$54.00|$58.00|$129.76|$97.08|$110.03|$82.52
"CPT® 88271"|"HB REF CYTOGENETICS DNA PROBE"|311.00|$263.00|$54.00|$144.91|$184.00|$140.71|$105.20|$59.70|$144.91|$111.51|$87.84|$64.90|$86.16|$54.00|$58.00|$140.44|$105.07|$119.09|$89.31
"CPT® 88187"|"HB REF FLOWCYTOMETRY 2-8 MARKERS"|311.00|$263.00|$54.00|$146.68|$184.00|$140.71|$105.20|$59.70|$144.91|$111.51|$87.84|$110.50|$146.68|$54.00|$58.00|$140.44|$105.07|$119.09|$89.31
"CPT® 88275"|"HB REF MOLECULAR CYTOGENETICS 100-300"|311.00|$272.00|$54.00|$185.31|$190.00|$145.52|$108.80|$61.74|$149.87|$115.33|$90.85|$139.60|$185.31|$54.00|$58.00|$145.25|$108.66|$123.16|$92.37
"CPT® 88274"|"HB REF MOLECULAR CYTOGENETICS 25-99"|311.00|$240.00|$54.00|$153.42|$168.00|$128.40|$96.00|$54.48|$132.24|$101.76|$80.16|$115.57|$153.42|$54.00|$58.00|$128.16|$95.88|$108.67|$81.50
"CPT® 88237"|"HB REF TISSUE CULTURE BONE MARROW"|311.00|$856.00|$54.00|$520.38|$599.00|$457.96|$342.40|$194.31|$471.66|$362.94|$285.90|$392.01|$520.38|$54.00|$58.00|$457.10|$341.97|$387.60|$290.70
"CPT® 88230"|"HB REF TISSUE CULTURE LYMPHOCYTE"|311.00|$789.00|$54.00|$468.57|$552.00|$422.12|$315.60|$179.10|$434.74|$334.54|$263.53|$352.98|$468.57|$54.00|$58.00|$421.33|$315.21|$357.26|$267.94
"CPT® 88233"|"HB REF TISSUE CULTURE SKIN/BIOPSY"|311.00|$1228.00|$54.00|$676.63|$860.00|$656.98|$491.20|$278.76|$676.63|$520.67|$410.15|$426.39|$566.02|$54.00|$58.00|$655.75|$490.59|$556.04|$417.03
"CPT® 88377"|"HB IN SITU HYBRIDIZATION (ISH), MANUAL, EA MULTIPLEX"|312.00|$609.00|$54.00|$609.00|$426.00|$325.82|$243.60|$138.24|$335.56|$258.22|$203.41|$609.00|$609.00|$54.00|$58.00|$325.21|$243.30|$275.76|$206.82
"CPT® 88342"|"HB IHC STAIN, 1ST, GROUP 1"|312.00|$397.00|$54.00|$268.24|$278.00|$212.40|$158.80|$90.12|$218.75|$168.33|$132.60|$202.07|$268.24|$54.00|$58.00|$212.00|$158.60|$179.76|$134.82
"CPT® 88342"|"HB IHC STAIN, 1ST, GROUP 2"|312.00|$397.00|$54.00|$268.24|$278.00|$212.40|$158.80|$90.12|$218.75|$168.33|$132.60|$202.07|$268.24|$54.00|$58.00|$212.00|$158.60|$179.76|$134.82
"CPT® 88342"|"HB IHC STAIN, 1ST, GROUP 3"|312.00|$397.00|$54.00|$268.24|$278.00|$212.40|$158.80|$90.12|$218.75|$168.33|$132.60|$202.07|$268.24|$54.00|$58.00|$212.00|$158.60|$179.76|$134.82
"CPT® 88342"|"HB IHC STAIN, 1ST, GROUP 4"|312.00|$397.00|$54.00|$268.24|$278.00|$212.40|$158.80|$90.12|$218.75|$168.33|$132.60|$202.07|$268.24|$54.00|$58.00|$212.00|$158.60|$179.76|$134.82
"CPT® 88342"|"HB IHC STAIN, 1ST, GROUP 5"|312.00|$397.00|$54.00|$268.24|$278.00|$212.40|$158.80|$90.12|$218.75|$168.33|$132.60|$202.07|$268.24|$54.00|$58.00|$212.00|$158.60|$179.76|$134.82
"CPT® 88342"|"HB IHC STAIN, 1ST, GROUP 6"|312.00|$397.00|$54.00|$268.24|$278.00|$212.40|$158.80|$90.12|$218.75|$168.33|$132.60|$202.07|$268.24|$54.00|$58.00|$212.00|$158.60|$179.76|$134.82
"CPT® 88342"|"HB IHC STAIN, 1ST, GROUP 7"|312.00|$397.00|$54.00|$268.24|$278.00|$212.40|$158.80|$90.12|$218.75|$168.33|$132.60|$202.07|$268.24|$54.00|$58.00|$212.00|$158.60|$179.76|$134.82
"CPT® 88341"|"HB IHC STAIN, ADDT'L GROUP 1"|312.00|$441.00|$54.00|$242.99|$309.00|$235.94|$176.40|$100.11|$242.99|$186.98|$147.29|$181.89|$241.45|$54.00|$58.00|$235.49|$176.18|$199.68|$149.76
"CPT® 88341"|"HB IHC STAIN, ADDT'L GROUP 2"|312.00|$441.00|$54.00|$242.99|$309.00|$235.94|$176.40|$100.11|$242.99|$186.98|$147.29|$181.89|$241.45|$54.00|$58.00|$235.49|$176.18|$199.68|$149.76
"CPT® 88341"|"HB IHC STAIN, ADDT'L GROUP 3"|312.00|$441.00|$54.00|$242.99|$309.00|$235.94|$176.40|$100.11|$242.99|$186.98|$147.29|$181.89|$241.45|$54.00|$58.00|$235.49|$176.18|$199.68|$149.76
"CPT® 88341"|"HB IHC STAIN, ADDT'L GROUP 4"|312.00|$441.00|$54.00|$242.99|$309.00|$235.94|$176.40|$100.11|$242.99|$186.98|$147.29|$181.89|$241.45|$54.00|$58.00|$235.49|$176.18|$199.68|$149.76
"CPT® 88341"|"HB IHC STAIN, ADDT'L GROUP 5"|312.00|$441.00|$54.00|$242.99|$309.00|$235.94|$176.40|$100.11|$242.99|$186.98|$147.29|$181.89|$241.45|$54.00|$58.00|$235.49|$176.18|$199.68|$149.76
"CPT® 88341"|"HB IHC STAIN, ADDT'L GROUP 6"|312.00|$441.00|$54.00|$242.99|$309.00|$235.94|$176.40|$100.11|$242.99|$186.98|$147.29|$181.89|$241.45|$54.00|$58.00|$235.49|$176.18|$199.68|$149.76
"CPT® 88341"|"HB IHC STAIN, ADDT'L GROUP 7"|312.00|$441.00|$54.00|$242.99|$309.00|$235.94|$176.40|$100.11|$242.99|$186.98|$147.29|$181.89|$241.45|$54.00|$58.00|$235.49|$176.18|$199.68|$149.76
"CPT® 88360"|"HB IHC STAIN, TUMOR, QUANTITATIVE, GROUP 1"|312.00|$457.00|$54.00|$320.88|$320.00|$244.50|$182.80|$103.74|$251.81|$193.77|$152.64|$241.72|$320.88|$54.00|$58.00|$244.04|$182.57|$206.93|$155.20
"CPT® 88360"|"HB IHC STAIN, TUMOR, QUANTITATIVE, GROUP 2"|312.00|$457.00|$54.00|$320.88|$320.00|$244.50|$182.80|$103.74|$251.81|$193.77|$152.64|$241.72|$320.88|$54.00|$58.00|$244.04|$182.57|$206.93|$155.20
"CPT® 88361"|"HB IHC STAIN, TUMOR, COMPUTER ASSIST"|312.00|$741.00|$54.00|$408.29|$519.00|$396.44|$296.40|$168.21|$408.29|$314.18|$247.49|$244.78|$324.93|$54.00|$58.00|$395.69|$296.03|$335.52|$251.64
"CPT® 88346"|"HB IMMUNOFLUOR ANTB 1ST STAIN"|312.00|$375.00|$54.00|$279.03|$262.00|$200.63|$150.00|$85.13|$206.63|$159.00|$125.25|$210.20|$279.03|$54.00|$58.00|$200.25|$149.81|$169.80|$127.35
"CPT® 88344"|"HB IMMUNOPEROX STN EA MULTIPLEX PER SP"|312.00|$880.00|$54.00|$502.96|$616.00|$470.80|$352.00|$199.76|$484.88|$373.12|$293.92|$378.89|$502.96|$54.00|$58.00|$469.92|$351.56|$398.46|$298.85
"CPT® 88365"|"HB INSITU HYBRIDIZATION INITIAL"|312.00|$405.00|$54.00|$405.00|$284.00|$216.68|$162.00|$91.94|$223.16|$171.72|$135.27|$378.92|$405.00|$54.00|$58.00|$216.27|$161.80|$183.38|$137.54
"CPT® 88364"|"HB INSITU HYBRIDIZATION ADDITIONAL"|312.00|$352.00|$54.00|$352.00|$246.00|$188.32|$140.80|$79.90|$193.95|$149.25|$117.57|$278.32|$352.00|$54.00|$58.00|$187.97|$140.62|$159.39|$119.54
"CPT® 88368"|"HB INSITU HYBRIDIZATION, QUANT, SINGLE PROBE, 1ST"|312.00|$513.00|$54.00|$322.22|$359.00|$274.46|$205.20|$116.45|$282.66|$217.51|$171.34|$242.73|$322.22|$54.00|$58.00|$273.94|$204.94|$232.29|$174.21
"CPT® 88369"|"HB INSITU HYBRIDIZATION, QUANT, SINGLE PROBE, ADDT'L"|312.00|$513.00|$54.00|$297.96|$359.00|$274.46|$205.20|$116.45|$282.66|$217.51|$171.34|$224.46|$297.96|$54.00|$58.00|$273.94|$204.94|$232.29|$174.21
"CPT® 88331"|"HB FROZEN SECTION 1ST BLOCK"|312.00|$335.00|$54.00|$184.59|$234.00|$179.23|$134.00|$76.05|$184.59|$142.04|$111.89|$95.39|$126.63|$54.00|$58.00|$178.89|$133.83|$151.69|$113.77
"CPT® 88332"|"HB FROZEN SECTION ADDITIONAL BLOCK"|312.00|$120.00|$27.24|$83.44|$84.00|$64.20|$48.00|$27.24|$66.12|$50.88|$40.08|$62.86|$83.44|$54.00|$58.00|$64.08|$47.94|$54.34|$40.75
"CPT® 88312"|"HB SPECIAL STAINS GROUP 1"|312.00|$388.00|$54.00|$279.03|$272.00|$207.58|$155.20|$88.08|$213.79|$164.51|$129.59|$210.20|$279.03|$54.00|$58.00|$207.19|$155.01|$175.69|$131.76
"CPT® 88313"|"HB SPECIAL STAINS GROUP 2"|312.00|$332.00|$54.00|$230.49|$232.00|$177.62|$132.80|$75.36|$182.93|$140.77|$110.89|$173.63|$230.49|$54.00|$58.00|$177.29|$132.63|$150.33|$112.75
"CPT® 88319"|"HB SPECIAL STAINS GROUP 3"|312.00|$541.00|$54.00|$298.09|$379.00|$289.44|$216.40|$122.81|$298.09|$229.38|$180.69|$201.06|$266.90|$54.00|$58.00|$288.89|$216.13|$244.96|$183.72
"CPT® 88312"|"HB ACID FAST BACILLI STAIN"|312.00|$388.00|$54.00|$279.03|$272.00|$207.58|$155.20|$88.08|$213.79|$164.51|$129.59|$210.20|$279.03|$54.00|$58.00|$207.19|$155.01|$175.69|$131.76
"CPT® 88313"|"HB BIELCHOWSKY STAIN"|312.00|$332.00|$54.00|$230.49|$232.00|$177.62|$132.80|$75.36|$182.93|$140.77|$110.89|$173.63|$230.49|$54.00|$58.00|$177.29|$132.63|$150.33|$112.75
"CPT® 88313"|"HB CALCIUM STAIN"|312.00|$332.00|$54.00|$230.49|$232.00|$177.62|$132.80|$75.36|$182.93|$140.77|$110.89|$173.63|$230.49|$54.00|$58.00|$177.29|$132.63|$150.33|$112.75
"CPT® 88313"|"HB FONTANA-MASSON STAIN"|312.00|$332.00|$54.00|$230.49|$232.00|$177.62|$132.80|$75.36|$182.93|$140.77|$110.89|$173.63|$230.49|$54.00|$58.00|$177.29|$132.63|$150.33|$112.75
"CPT® 88312"|"HB GMS STAIN"|312.00|$388.00|$54.00|$279.03|$272.00|$207.58|$155.20|$88.08|$213.79|$164.51|$129.59|$210.20|$279.03|$54.00|$58.00|$207.19|$155.01|$175.69|$131.76
"CPT® 88313"|"HB LUXOL FAST BLUE +CS STAIN"|312.00|$332.00|$54.00|$230.49|$232.00|$177.62|$132.80|$75.36|$182.93|$140.77|$110.89|$173.63|$230.49|$54.00|$58.00|$177.29|$132.63|$150.33|$112.75
"CPT® 88313"|"HB TRICHROME STAIN"|312.00|$332.00|$54.00|$230.49|$232.00|$177.62|$132.80|$75.36|$182.93|$140.77|$110.89|$173.63|$230.49|$54.00|$58.00|$177.29|$132.63|$150.33|$112.75
"CPT® 88314"|"HB HISTOCHEMICAL STAINS ADD-ON"|312.00|$420.00|$54.00|$264.22|$294.00|$224.70|$168.00|$95.34|$231.42|$178.08|$140.28|$199.04|$264.22|$54.00|$58.00|$224.28|$167.79|$190.18|$142.63
"CPT® 88380"|"HB MICRODISSECTION LASER"|312.00|$804.00|$54.00|$443.00|$563.00|$430.14|$321.60|$182.51|$443.00|$340.90|$268.54|$224.32|$297.78|$54.00|$58.00|$429.34|$321.20|$364.05|$273.04
"CPT® 88363"|"HB EXAMINE/SELECT TISSUE-MOLECULAR DIAGNOSTICS"|312.00|$67.00|$15.21|$67.00|$47.00|$35.85|$26.80|$15.21|$36.92|$28.41|$22.38|$67.00|$67.00|$54.00|$58.00|$35.78|$26.77|$30.34|$22.75
"CPT® 88321"|"HB PATH CONSULT/REPORT OUTSIDE SLIDES"|312.00|$525.00|$54.00|$388.25|$368.00|$280.88|$210.00|$119.18|$289.28|$222.60|$175.35|$292.47|$388.25|$54.00|$58.00|$280.35|$209.74|$237.72|$178.29
"CPT® 88323"|"HB PATH CONSULT W/ SLIDE PREP"|312.00|$685.00|$54.00|$377.44|$479.00|$366.48|$274.00|$155.50|$377.44|$290.44|$228.79|$77.09|$102.34|$54.00|$58.00|$365.79|$273.66|$310.17|$232.63
"CPT® 88325"|"HB SLIDE/RECORD REVIEW"|312.00|$618.00|$54.00|$618.00|$433.00|$330.63|$247.20|$140.29|$340.52|$262.03|$206.41|$525.27|$618.00|$54.00|$58.00|$330.01|$246.89|$279.83|$209.87
"CPT® 88329"|"HB INTRAOPERATIVE CONSULTATION"|312.00|$379.00|$54.00|$208.83|$265.00|$202.77|$151.60|$86.03|$208.83|$160.70|$126.59|$151.18|$200.69|$54.00|$58.00|$202.39|$151.41|$171.61|$128.71
"CPT® 88360"|"HB REF TUMOR IMMUNOHISTOCHEM/MANUAL"|312.00|$456.00|$54.00|$320.88|$319.00|$243.96|$182.40|$103.51|$251.26|$193.34|$152.30|$241.72|$320.88|$54.00|$58.00|$243.50|$182.17|$206.48|$154.86
"HCPCS G0416"|"HB SURG PATH PROSTATE NDL BX"|314.00|$968.00|$54.00|$533.37|$678.00|$517.88|$387.20|$219.74|$533.37|$410.43|$323.31|||$54.00|$58.00|$516.91|$386.72|$438.31|$328.73
"CPT® 62304"|"HB IR MYELOGRAPHY LUMBARSACRAL"|320.00|$2189.00|$496.90|$1206.14|$1532.00|$1171.12|$875.60|$496.90|$1206.14|$928.14|$731.13|||$1083.56|$1166.74|$1168.93|$874.51|$991.18|$743.38
"CPT® 70110"|"HB X-RAY EXAM OF JAW 4/> VIEWS"|320.00|$807.00|$79.14|$431.75|$565.00|$431.75|$322.80|$183.19|$121.73|$342.17|$269.54|$79.14|$105.05|$399.47|$430.13|$430.94|$322.40|$365.41|$274.06
"CPT® 70150"|"HB XRAY FACIAL BONE COMPLETE; MINIMUM 3 VIEWS"|320.00|$1007.00|$87.24|$538.75|$705.00|$538.75|$402.80|$228.59|$121.73|$426.97|$336.34|$87.24|$115.80|$498.47|$536.73|$537.74|$402.30|$455.97|$341.98
"CPT® 70160"|"HB X-RAY EXAM OF NASAL BONES"|320.00|$802.00|$74.04|$429.07|$561.00|$429.07|$320.80|$182.05|$121.73|$340.05|$267.87|$74.04|$98.28|$396.99|$427.47|$428.27|$320.40|$363.15|$272.36
"CPT® 70200"|"HB XRAY EYE SOCKETS COMPLETE; MINIMUM OF 4 VIEWS"|320.00|$929.00|$86.26|$497.02|$650.00|$497.02|$371.60|$210.88|$121.73|$393.90|$310.29|$86.26|$114.50|$459.86|$495.16|$496.09|$371.14|$420.65|$315.49
"CPT® 70220"|"HB XRAY SINUSES COMPLETE; MINIMUM OF 3 VIEWS"|320.00|$943.00|$76.08|$504.51|$660.00|$504.51|$377.20|$214.06|$121.73|$399.83|$314.96|$76.08|$101.00|$466.79|$502.62|$503.56|$376.73|$426.99|$320.24
"CPT® 70250"|"HB XRAY SKULL; LESS THAN 4 VIEWS"|320.00|$544.00|$73.03|$291.04|$381.00|$291.04|$217.60|$123.49|$121.73|$230.66|$181.70|$73.03|$96.94|$269.28|$289.95|$290.50|$217.33|$246.32|$184.74
"CPT® 70260"|"HB XRAY SKULL COMPLETE; MINIMUM OF 4 VIEWS"|320.00|$910.00|$86.23|$486.85|$637.00|$486.85|$364.00|$206.57|$203.96|$385.84|$303.94|$86.23|$114.46|$450.45|$485.03|$485.94|$363.55|$412.05|$309.04
"CPT® 70360"|"HB X-RAY EXAM OF NECK"|320.00|$681.00|$62.86|$364.34|$477.00|$364.34|$272.40|$154.59|$121.73|$288.74|$227.45|$62.86|$83.44|$337.10|$362.97|$363.65|$272.06|$308.36|$231.27
"CPT® 71100"|"HB X-RAY EXAM RIBS UNI 2 VIEWS"|320.00|$738.00|$66.92|$394.83|$517.00|$394.83|$295.20|$167.53|$121.73|$312.91|$246.49|$66.92|$88.83|$365.31|$393.35|$394.09|$294.83|$334.17|$250.62
"CPT® 71101"|"HB X-RAY EXAM UNILAT RIBS/CHEST"|320.00|$878.00|$74.04|$469.73|$615.00|$469.73|$351.20|$199.31|$121.73|$372.27|$293.25|$74.04|$98.28|$434.61|$467.97|$468.85|$350.76|$397.56|$298.17
"CPT® 71110"|"HB X-RAY EXAM RIBS BIL 3 VIEWS"|320.00|$882.00|$76.08|$471.87|$617.00|$471.87|$352.80|$200.21|$121.73|$373.97|$294.59|$76.08|$101.00|$436.59|$470.11|$470.99|$352.36|$399.37|$299.53
"CPT® 71111"|"HB X-RAY EXAM RIBS/CHEST4/> VWS"|320.00|$1109.00|$93.35|$593.32|$776.00|$593.32|$443.60|$251.74|$203.96|$470.22|$370.41|$93.35|$123.91|$548.96|$591.10|$592.21|$443.05|$502.16|$376.62
"CPT® 71120"|"HB X-RAY EXAM BREASTBONE 2/>VWS"|320.00|$604.00|$60.84|$323.14|$423.00|$323.14|$241.60|$137.11|$121.73|$256.10|$201.74|$60.84|$80.76|$298.98|$321.93|$322.54|$241.30|$273.49|$205.12
"CPT® 71130"|"HB X-RAY STRENOCLAVIC JT 3/>VWS"|320.00|$753.00|$76.06|$402.86|$527.00|$402.86|$301.20|$170.93|$121.73|$319.27|$251.50|$76.06|$100.96|$372.74|$401.35|$402.10|$300.82|$340.96|$255.72
"CPT® 72020"|"HB X-RAY EXAM OF SPINE 1 VIEW"|320.00|$540.00|$44.56|$288.90|$378.00|$288.90|$216.00|$122.58|$121.73|$228.96|$180.36|$44.56|$59.15|$267.30|$287.82|$288.36|$215.73|$244.51|$183.38
"CPT® 72040"|"HB X-RAY EXAM NECK SPINE 2-3 VW"|320.00|$747.00|$73.03|$399.65|$523.00|$399.65|$298.80|$169.57|$121.73|$316.73|$249.50|$73.03|$96.94|$369.77|$398.15|$398.90|$298.43|$338.24|$253.68
"CPT® 72050"|"HB X-RAY EXAM NECK SPINE 4/5VWS"|320.00|$1058.00|$99.45|$566.03|$741.00|$566.03|$423.20|$240.17|$203.96|$448.59|$353.37|$99.45|$132.02|$523.71|$563.91|$564.97|$422.67|$479.06|$359.30
"CPT® 72052"|"HB X-RAY EXAM NECK SPINE 6/>VWS"|320.00|$1105.00|$119.77|$591.18|$774.00|$591.18|$442.00|$250.84|$203.96|$468.52|$369.07|$119.77|$158.99|$546.98|$588.97|$590.07|$441.45|$500.34|$375.26
"CPT® 72070"|"HB X-RAY EXAM THORAC SPINE 2VWS"|320.00|$783.00|$65.91|$418.91|$548.00|$418.91|$313.20|$177.74|$121.73|$331.99|$261.52|$65.91|$87.50|$387.59|$417.34|$418.12|$312.81|$354.54|$265.91
"CPT® 72072"|"HB X-RAY EXAM THORAC SPINE 3VWS"|320.00|$872.00|$73.03|$466.52|$610.00|$466.52|$348.80|$197.94|$121.73|$369.73|$291.25|$73.03|$96.94|$431.64|$464.78|$465.65|$348.36|$394.84|$296.13
"CPT® 72100"|"HB X-RAY EXAM L-S SPINE 2/3 VWS"|320.00|$730.00|$73.03|$390.55|$511.00|$390.55|$292.00|$165.71|$121.73|$309.52|$243.82|$73.03|$96.94|$361.35|$389.09|$389.82|$291.64|$330.54|$247.91
"CPT® 72110"|"HB X-RAY EXAM L-2 SPINE 4/>VWS"|320.00|$1020.00|$101.47|$545.70|$714.00|$545.70|$408.00|$231.54|$203.96|$432.48|$340.68|$101.47|$134.70|$504.90|$543.66|$544.68|$407.49|$461.86|$346.39
"CPT® 72114"|"HB X-RAY EXAM L-S SPINE BENDING"|320.00|$1310.00|$119.77|$700.85|$917.00|$700.85|$524.00|$297.37|$203.96|$555.44|$437.54|$119.77|$158.99|$648.45|$698.23|$699.54|$523.35|$593.17|$444.88
"CPT® 72120"|"HB X-RAY SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS"|320.00|$713.00|$91.33|$381.46|$499.00|$381.46|$285.20|$161.85|$203.96|$302.31|$238.14|$91.33|$121.23|$352.94|$380.03|$380.74|$284.84|$322.85|$242.13
"CPT® 72170"|"HB XRAY PELVIS 1 OR 2 VIEWS"|320.00|$646.00|$69.97|$345.61|$452.00|$345.61|$258.40|$146.64|$121.73|$273.90|$215.76|$69.97|$92.89|$319.77|$344.32|$344.96|$258.08|$292.51|$219.38
"CPT® 72190"|"HB XRAY PELVIS COMPLETE, MINIMUM OF 3 VIEWS"|320.00|$770.00|$83.17|$411.95|$539.00|$411.95|$308.00|$174.79|$121.73|$326.48|$257.18|$83.17|$110.41|$381.15|$410.41|$411.18|$307.62|$348.66|$261.49
"CPT® 72202"|"HB X-RAY EXAM SI JOINTS 3/> VWS"|320.00|$774.00|$73.03|$414.09|$542.00|$414.09|$309.60|$175.70|$121.73|$328.18|$258.52|$73.03|$96.94|$383.13|$412.54|$413.32|$309.21|$350.47|$262.85
"CPT® 72220"|"HB X-RAY EXAM SACRUM TAILBONE"|320.00|$833.00|$62.86|$445.66|$583.00|$445.66|$333.20|$189.09|$121.73|$353.19|$278.22|$62.86|$83.44|$412.34|$443.99|$444.82|$332.78|$377.18|$282.89
"CPT® 73000"|"HB X-RAY EXAM OF COLLAR BONE"|320.00|$613.00|$59.83|$327.96|$429.00|$327.96|$245.20|$139.15|$121.73|$259.91|$204.74|$59.83|$79.42|$303.44|$326.73|$327.34|$244.89|$277.57|$208.17
"CPT® 73010"|"HB X-RAY EXAM OF SHOULDER BLADE"|320.00|$561.00|$65.91|$300.14|$393.00|$300.14|$224.40|$127.35|$121.73|$237.86|$187.37|$65.91|$87.50|$277.70|$299.01|$299.57|$224.12|$254.02|$190.52
"CPT® 73020"|"HB X-RAY EXAM OF SHOULDER 1 VIEW"|320.00|$466.00|$45.60|$249.31|$326.00|$249.31|$186.40|$105.78|$121.73|$197.58|$155.64|$45.60|$60.53|$230.67|$248.38|$248.84|$186.17|$211.00|$158.25
"CPT® 73030"|"HB X-RAY EXAM OF SHOULDER MINIMUM 2 VIEWS"|320.00|$699.00|$59.83|$373.97|$489.00|$373.97|$279.60|$158.67|$121.73|$296.38|$233.47|$59.83|$79.42|$346.01|$372.57|$373.27|$279.25|$316.51|$237.38
"CPT® 73040"|"HB SHOULDER ARTHROGRAPHY; S&I"|320.00|$1613.00|$238.67|$862.96|$1129.00|$862.96|$645.20|$366.15|$719.34|$683.91|$538.74|$238.67|$316.82|$798.44|$859.73|$861.34|$644.39|$730.37|$547.77
"CPT® 73060"|"HB X-RAY HUMERUS MINIMUM 2 VIEW"|320.00|$694.00|$62.88|$371.29|$486.00|$371.29|$277.60|$157.54|$121.73|$294.26|$231.80|$62.88|$83.48|$343.53|$369.90|$370.60|$277.25|$314.24|$235.68
"CPT® 73070"|"HB X-RAY EXAM OF ELBOW 2 VIEWS"|320.00|$412.00|$54.73|$220.42|$288.00|$220.42|$164.80|$93.52|$121.73|$174.69|$137.61|$54.73|$72.65|$203.94|$219.60|$220.01|$164.59|$186.55|$139.92
"CPT® 73080"|"HB X-RAY EXAM OF ELBOW 3 VIEWS"|320.00|$648.00|$60.84|$346.68|$454.00|$346.68|$259.20|$147.10|$121.73|$274.75|$216.43|$60.84|$80.76|$320.76|$345.38|$346.03|$258.88|$293.41|$220.06
"CPT® 73090"|"HB X-RAY EXAM OF FOREARM 2 VIEWS"|320.00|$579.00|$56.78|$309.77|$405.00|$309.77|$231.60|$131.43|$121.73|$245.50|$193.39|$56.78|$75.37|$286.61|$308.61|$309.19|$231.31|$262.17|$196.63
"CPT® 73092"|"HB X-RAY UPPER EXTREMITY INFANT, MINIMUM 2 VIEWS"|320.00|$507.00|$59.83|$271.25|$355.00|$271.25|$202.80|$115.09|$121.73|$214.97|$169.34|$59.83|$79.42|$250.97|$270.23|$270.74|$202.55|$229.57|$172.18
"CPT® 73100"|"HB X-RAY EXAM OF WRIST 2 VIEWS"|320.00|$449.00|$67.96|$240.22|$314.00|$240.22|$179.60|$101.92|$121.73|$190.38|$149.97|$67.96|$90.21|$222.26|$239.32|$239.77|$179.38|$203.31|$152.48
"CPT® 73110"|"HB X-RAY EXAM OF WRIST 3 VIEWS"|320.00|$552.00|$80.15|$295.32|$386.00|$295.32|$220.80|$125.30|$121.73|$234.05|$184.37|$80.15|$106.39|$273.24|$294.22|$294.77|$220.52|$249.95|$187.46
"CPT® 73120"|"HB X-RAY EXAM OF HAND 2 VIEWS"|320.00|$584.00|$59.83|$312.44|$409.00|$312.44|$233.60|$132.57|$121.73|$247.62|$195.06|$59.83|$79.42|$289.08|$311.27|$311.86|$233.31|$264.44|$198.33
"CPT® 73130"|"HB X-RAY EXAM OF HAND 3 VIEWS"|320.00|$613.00|$70.98|$327.96|$429.00|$327.96|$245.20|$139.15|$121.73|$259.91|$204.74|$70.98|$94.23|$303.44|$326.73|$327.34|$244.89|$277.57|$208.17
"CPT® 73140"|"HB X-RAY EXAM OF FINGER(S) MIN 2 VIEWS"|320.00|$514.00|$77.09|$274.99|$360.00|$274.99|$205.60|$116.68|$121.73|$217.94|$171.68|$77.09|$102.34|$254.43|$273.96|$274.48|$205.34|$232.74|$174.55
"CPT® 73523"|"HB X-RAY HIPS, BILATERAL WITH PELVIS, MINIMUM 5 VIEWS"|320.00|$882.00|$121.82|$485.98|$617.00|$471.87|$352.80|$200.21|$485.98|$373.97|$294.59|$121.82|$161.71|$436.59|$470.11|$470.99|$352.36|$399.37|$299.53
"CPT® 73503"|"HB X-RAY EXAM HIP UNILATERAL MIN 4 VIEWS"|320.00|$1200.00|$113.69|$661.20|$840.00|$642.00|$480.00|$272.40|$661.20|$508.80|$400.80|$113.69|$150.92|$594.00|$639.60|$640.80|$479.40|$543.36|$407.52
"CPT® 73560"|"HB X-RAY EXAM OF KNEE 1 OR 2"|320.00|$624.00|$68.97|$333.84|$437.00|$333.84|$249.60|$141.65|$121.73|$264.58|$208.42|$68.97|$91.55|$308.88|$332.59|$333.22|$249.29|$282.55|$211.91
"CPT® 73562"|"HB X-RAY EXAM OF KNEE 3"|320.00|$671.00|$80.15|$358.99|$470.00|$358.99|$268.40|$152.32|$121.73|$284.50|$224.11|$80.15|$106.39|$332.15|$357.64|$358.31|$268.06|$303.83|$227.87
"CPT® 73564"|"HB X-RAY EXAM KNEE 4 OR MORE"|320.00|$812.00|$87.26|$434.42|$568.00|$434.42|$324.80|$184.32|$121.73|$344.29|$271.21|$87.26|$115.84|$401.94|$432.80|$433.61|$324.39|$367.67|$275.76
"CPT® 73565"|"HB X-RAY EXAM OF KNEES"|320.00|$540.00|$82.16|$288.90|$378.00|$288.90|$216.00|$122.58|$121.73|$228.96|$180.36|$82.16|$109.07|$267.30|$287.82|$288.36|$215.73|$244.51|$183.38
"CPT® 73590"|"HB X-RAY EXAM OF LOWER LEG"|320.00|$602.00|$61.85|$322.07|$421.00|$322.07|$240.80|$136.65|$121.73|$255.25|$201.07|$61.85|$82.10|$297.99|$320.87|$321.47|$240.50|$272.59|$204.44
"CPT® 73592"|"HB X-RAY EXAM OF LEG INFANT"|320.00|$536.00|$59.83|$286.76|$375.00|$286.76|$214.40|$121.67|$121.73|$227.26|$179.02|$59.83|$79.42|$265.32|$285.69|$286.22|$214.13|$242.70|$182.03
"CPT® 73600"|"HB X-RAY EXAM OF ANKLE 2 VIEWS"|320.00|$433.00|$64.90|$231.66|$303.00|$231.66|$173.20|$98.29|$121.73|$183.59|$144.62|$64.90|$86.16|$214.34|$230.79|$231.22|$172.98|$196.06|$147.05
"CPT® 73610"|"HB X-RAY EXAM OF ANKLE 3 VIEWS"|320.00|$608.00|$70.98|$325.28|$426.00|$325.28|$243.20|$138.02|$121.73|$257.79|$203.07|$70.98|$94.23|$300.96|$324.06|$324.67|$242.90|$275.30|$206.48
"CPT® 73620"|"HB X-RAY EXAM OF FOOT 2 VIEWS"|320.00|$364.00|$55.74|$194.74|$255.00|$194.74|$145.60|$82.63|$121.73|$154.34|$121.58|$55.74|$73.99|$180.18|$194.01|$194.38|$145.42|$164.82|$123.61
"CPT® 73630"|"HB X-RAY EXAM OF FOOT 3 VIEWS"|320.00|$666.00|$65.91|$356.31|$466.00|$356.31|$266.40|$151.18|$121.73|$282.38|$222.44|$65.91|$87.50|$329.67|$354.98|$355.64|$266.07|$301.56|$226.17
"CPT® 73650"|"HB X-RAY EXAM OF HEEL"|320.00|$525.00|$54.73|$280.88|$368.00|$280.88|$210.00|$119.18|$121.73|$222.60|$175.35|$54.73|$72.65|$259.88|$279.83|$280.35|$209.74|$237.72|$178.29
"CPT® 73660"|"HB X-RAY EXAM OF TOE(S)"|320.00|$489.00|$63.87|$261.62|$342.00|$261.62|$195.60|$111.00|$121.73|$207.34|$163.33|$63.87|$84.78|$242.06|$260.64|$261.13|$195.36|$221.42|$166.06
"CPT® 74018"|"HB XRAY EXAM ABDOMEN 1 VIEW"|320.00|$489.00|$55.77|$269.44|$342.00|$261.62|$195.60|$111.00|$269.44|$207.34|$163.33|$55.77|$74.03|$242.06|$260.64|$261.13|$195.36|$221.42|$166.06
"CPT® 74022"|"HB X-RAY EXAM SERIES ABDOMEN"|320.00|$1127.00|$87.26|$602.95|$789.00|$602.95|$450.80|$255.83|$203.96|$477.85|$376.42|$87.26|$115.84|$557.87|$600.69|$601.82|$450.24|$510.31|$382.73
"CPT® 74220"|"HB SINGLE CONTRAST X-RAY ESOPHAGUS"|320.00|$1090.00|$180.75|$583.15|$763.00|$583.15|$436.00|$247.43|$237.31|$462.16|$364.06|$180.75|$239.93|$539.55|$580.97|$582.06|$435.46|$493.55|$370.16
"CPT® 74230"|"HB CINE/VID X-RAY THROAT/ESOPH"|320.00|$746.00|$169.34|$399.11|$522.00|$399.11|$298.40|$169.34|$237.31|$316.30|$249.16|$288.46|$382.92|$369.27|$397.62|$398.36|$298.03|$337.79|$253.34
"CPT® 74240"|"HB RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY"|320.00|$1401.00|$237.31|$749.54|$981.00|$749.54|$560.40|$318.03|$237.31|$594.02|$467.93|$250.86|$333.00|$693.50|$746.73|$748.13|$559.70|$634.37|$475.78
"CPT® 74246"|"HB X-RAY UPPER GI, DOUBLE CONTRAST"|320.00|$1737.00|$237.31|$929.30|$1216.00|$929.30|$694.80|$394.30|$237.31|$736.49|$580.16|$291.49|$386.94|$859.82|$925.82|$927.56|$693.93|$786.51|$589.89
"CPT® 74250"|"HB RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY"|320.00|$1026.00|$232.90|$548.91|$718.00|$548.91|$410.40|$232.90|$237.31|$435.02|$342.68|$255.93|$339.74|$507.87|$546.86|$547.88|$409.89|$464.57|$348.43
"CPT® 74270"|"HB RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY"|320.00|$1280.00|$237.31|$684.80|$896.00|$684.80|$512.00|$290.56|$237.31|$542.72|$427.52|$362.64|$481.39|$633.60|$682.24|$683.52|$511.36|$579.58|$434.69
"CPT® 74280"|"HB RADIOLOGIC EXAM COLON DOUBLE CONTRAST"|320.00|$1424.00|$323.25|$761.84|$997.00|$761.84|$569.60|$323.25|$383.80|$603.78|$475.62|$508.99|$675.67|$704.88|$758.99|$760.42|$568.89|$644.79|$483.59
"CPT® 74300"|"HB X-RAY BILE DUCTS/PANCREAS"|320.00|$880.00|$105.94|$484.88|$616.00|$470.80|$352.00|$199.76|$484.88|$373.12|$293.92|$105.94|$140.64|$435.60|$469.04|$469.92|$351.56|$398.46|$298.85
"CPT® 74330"|"HB X-RAY BILE/PANCREAS ENDOSCOPY; S&I"|320.00|$1468.00|$333.24|$808.87|$1028.00|$785.38|$587.20|$333.24|$808.87|$622.43|$490.31|$426.37|$565.99|$726.66|$782.44|$783.91|$586.47|$664.71|$498.53
"CPT® 74425"|"HB UROGRAPHY, ANTEGRADE; S&I"|320.00|$582.00|$132.11|$465.30|$407.00|$311.37|$232.80|$132.11|$465.30|$246.77|$194.39|$176.66|$234.50|$288.09|$310.21|$310.79|$232.51|$263.53|$197.65
"CPT® 74455"|"HB URETHROCYSTOGRAPHY, VOIDING; S&I"|320.00|$1714.00|$212.24|$916.99|$1200.00|$916.99|$685.60|$389.08|$465.30|$726.74|$572.48|$212.24|$281.74|$848.43|$913.56|$915.28|$684.74|$776.10|$582.07
"CPT® 74740"|"HB X-RAY FEMALE GENITAL TRACT"|320.00|$1942.00|$181.75|$1038.97|$1359.00|$1038.97|$776.80|$440.83|$570.03|$823.41|$648.63|$181.75|$241.27|$961.29|$1035.09|$1037.03|$775.83|$879.34|$659.50
"CPT® 75710"|"HB ANGIOGRAPHY EXTREMITY, UNILATERAL; S&I"|320.00|$6209.00|$232.59|$5320.38|$4346.00|$3321.82|$2483.60|$1409.44|$5320.38|$2632.62|$2073.81|$232.59|$308.75|$3073.46|$3309.40|$3315.61|$2480.50|$2811.44|$2108.58
"CPT® 75716"|"HB ANGIOGRAPHY EXTREMITY, BILATERAL; S&I"|320.00|$5744.00|$235.61|$5320.38|$4021.00|$3073.04|$2297.60|$1303.89|$5320.38|$2435.46|$1918.50|$235.61|$312.77|$2843.28|$3061.55|$3067.30|$2294.73|$2600.88|$1950.66
"CPT® 75726"|"HB ANGIOGRAPHY ABDOMEN VISCERAL; S&I"|320.00|$4947.00|$256.97|$4947.00|$3463.00|$2646.65|$1978.80|$1122.97|$4947.00|$2097.53|$1652.30|$256.97|$341.11|$2448.77|$2636.75|$2641.70|$1976.33|$2240.00|$1680.00
"CPT® 75736"|"HB ARTERY X-RAYS- PELVIS"|320.00|$4947.00|$288.30|$4947.00|$3463.00|$2646.65|$1978.80|$1122.97|$4947.00|$2097.53|$1652.30|$288.30|$382.71|$2448.77|$2636.75|$2641.70|$1976.33|$2240.00|$1680.00
"CPT® 75820"|"HB VENOGRAPHY EXTREMITY, UNILATERAL; S&I"|320.00|$2579.00|$220.37|$1881.94|$1805.00|$1379.77|$1031.60|$585.43|$1881.94|$1093.50|$861.39|$220.37|$292.53|$1276.61|$1374.61|$1377.19|$1030.31|$1167.77|$875.83
"CPT® 75822"|"HB VENOGRAPHY EXTREMITY, BILATERAL; S&I"|320.00|$2929.00|$225.44|$1881.94|$2050.00|$1159.88|$867.20|$492.14|$1881.94|$919.23|$724.11|$225.44|$299.27|$1073.16|$1155.54|$1564.09|$1170.14|$1326.25|$994.69
"CPT® 75825"|"HB VENOGRAPHY CAVAL, INFERIOR; S&I"|320.00|$4356.00|$214.29|$4356.00|$3049.00|$2330.46|$1742.40|$988.81|$4356.00|$1846.94|$1454.90|$214.29|$284.46|$2156.22|$2321.75|$2326.10|$1740.22|$1972.40|$1479.30
"CPT® 75889"|"HB HEPATIC VENOGRAPHY WITH HEMODYNAMIC EVAL; S&I"|320.00|$3013.00|$242.73|$3013.00|$2109.00|$1611.96|$1205.20|$683.95|$3013.00|$1277.51|$1006.34|$242.73|$322.22|$1491.44|$1605.93|$1608.94|$1203.69|$1364.29|$1023.21
"CPT® 75894"|"HB TRANSCATHETER THERAPY, EMBOLIZATION; S&I"|320.00|$5998.00|$1361.55|$4326.23|$4199.00|$3208.93|$2399.20|$1361.55|$3304.90|$2543.15|$2003.33|$3259.01|$4326.23|$2969.01|$3196.93|$3202.93|$2396.20|$2715.89|$2036.92
"CPT® 75898"|"HB ANGIOGRAPHY FOLLOW-UP, THROUGH EXISTING CATHETER"|320.00|$2298.00|$142.43|$1229.43|$1609.00|$1229.43|$919.20|$521.65|$203.96|$974.35|$767.53|$142.43|$189.07|$1137.51|$1224.83|$1227.13|$918.05|$1040.53|$780.40
"CPT® 75970"|"HB TRANSCATHETER BIOPSY; S&I"|320.00|$5089.00|$1155.20|$2804.04|$3562.00|$2722.62|$2035.60|$1155.20|$2804.04|$2157.74|$1699.73|$1556.65|$2066.40|$2519.06|$2712.44|$2717.53|$2033.06|$2304.30|$1728.22
"CPT® 75989"|"HB RADIOLOGICAL GUIDANCE, PERCUTANEOUS DRAINAGE; S&I"|320.00|$1268.00|$180.75|$698.67|$888.00|$678.38|$507.20|$287.84|$698.67|$537.63|$423.51|$180.75|$239.93|$627.66|$675.84|$677.11|$506.57|$574.15|$430.61
"CPT® 76000"|"HB FLUOROSCOPY, UP TO 1 HOUR"|320.00|$988.00|$91.33|$528.58|$692.00|$528.58|$395.20|$224.28|$231.97|$418.91|$329.99|$91.33|$121.23|$489.06|$526.60|$527.59|$394.71|$447.37|$335.52
"CPT® 76010"|"HB X-RAY NOSE TO RECTUM"|320.00|$738.00|$52.71|$394.83|$517.00|$394.83|$295.20|$167.53|$121.73|$312.91|$246.49|$52.71|$69.97|$365.31|$393.35|$394.09|$294.83|$334.17|$250.62
"CPT® 76080"|"HB X-RAY ABSCESS/FISTULA/SINUS STUDY S&I"|320.00|$1321.00|$89.28|$706.74|$925.00|$706.74|$528.40|$299.87|$570.03|$560.10|$441.21|$89.28|$118.52|$653.90|$704.09|$705.41|$527.74|$598.15|$448.61
"CPT® 76098"|"HB X-RAY EXAM BREAST SPECIMEN"|320.00|$886.00|$25.28|$886.00|$620.00|$474.01|$354.40|$201.12|$886.00|$375.66|$295.92|$25.28|$33.56|$438.57|$472.24|$473.12|$353.96|$401.18|$300.89
"CPT® 76376"|"HB 3D RENDERING WITHOUT INDEPENDENT WORKSTATION"|320.00|$1759.00|$38.48|$939.31|$1231.00|$576.20|$430.80|$244.48|$593.43|$456.65|$359.72|$38.48|$51.08|$533.12|$574.04|$939.31|$702.72|$796.48|$597.36
"CPT® 76377"|"HB 3D RENDERING WITH INDEPENDENT WORKSTATION"|320.00|$1899.00|$90.32|$1046.35|$1329.00|$1015.97|$759.60|$431.07|$1046.35|$805.18|$634.27|$90.32|$119.89|$940.01|$1012.17|$1014.07|$758.65|$859.87|$644.90
"CPT® 76496"|"HB FLUOROSCOPIC PROCEDURE"|320.00|$700.00|$158.90|$374.50|$490.00|$374.50|$280.00|$158.90|$231.97|$296.80|$233.80|||$346.50|$373.10|$373.80|$279.65|$316.96|$237.72
"CPT® 77001"|"HB FLUOROSCOPIC GUIDANCE, CVA DEVICE PLACEMENT/REPLACE/REMOVAL"|320.00|$1176.00|$206.13|$647.98|$823.00|$629.16|$470.40|$266.95|$647.98|$498.62|$392.78|$206.13|$273.64|$582.12|$626.81|$627.98|$469.81|$532.49|$399.37
"CPT® 77002"|"HB FLUOROSCOPIC GUIDANCE, NEEDLE PLACEMENT"|320.00|$1751.00|$211.21|$935.03|$1226.00|$843.16|$630.40|$357.75|$868.38|$668.22|$526.38|$211.21|$280.37|$780.12|$840.01|$935.03|$699.52|$792.85|$594.64
"CPT® 77003"|"HB FLUOROSCOPIC GUIDANCE/LOCALIZATION, SPINE INJECTION"|320.00|$2965.00|$194.98|$1633.72|$2076.00|$1586.28|$1186.00|$673.06|$1633.72|$1257.16|$990.31|$194.98|$258.83|$1467.68|$1580.35|$1583.31|$1184.52|$1342.55|$1006.91
"CPT® 77072"|"HB X-RAYS FOR BONE AGE"|320.00|$518.00|$42.54|$277.13|$363.00|$277.13|$207.20|$117.59|$121.73|$219.63|$173.01|$42.54|$56.47|$256.41|$276.09|$276.61|$206.94|$234.55|$175.91
"CPT® 77073"|"HB X-RAYS BONE LENGTH STUDIES"|320.00|$865.00|$66.92|$462.78|$606.00|$462.78|$346.00|$196.36|$121.73|$366.76|$288.91|$66.92|$88.83|$428.18|$461.05|$461.91|$345.57|$391.67|$293.75
"CPT® 77074"|"HB X-RAYS BONE SURVEY LIMITED"|320.00|$1280.00|$128.93|$684.80|$896.00|$684.80|$512.00|$290.56|$203.96|$542.72|$427.52|$128.93|$171.15|$633.60|$682.24|$683.52|$511.36|$579.58|$434.69
"CPT® 77075"|"HB X-RAYS BONE SURVEY COMPLETE"|320.00|$1663.00|$186.85|$889.71|$1164.00|$889.71|$665.20|$377.50|$203.96|$705.11|$555.44|$186.85|$248.04|$823.19|$886.38|$888.04|$664.37|$753.01|$564.75
"CPT® 77080"|"HB DXA BONE DENSITY STUDY, 1 OR MORE SITES, AXIAL SKELETON"|320.00|$713.00|$87.24|$381.46|$499.00|$381.46|$285.20|$161.85|$196.56|$302.31|$238.14|$87.24|$115.80|$352.94|$380.03|$380.74|$284.84|$322.85|$242.13
"CPT® 77081"|"HB DXA BONE DENSITY/PERIPHERAL"|320.00|$413.00|$66.92|$220.96|$289.00|$220.96|$165.20|$93.75|$78.92|$175.11|$137.94|$66.92|$88.83|$204.44|$220.13|$220.54|$164.99|$187.01|$140.25
"CPT® 77085"|"HB DXA BONE DENSITY STUDY"|320.00|$820.00|$113.69|$451.82|$574.00|$438.70|$328.00|$186.14|$451.82|$347.68|$273.88|$113.69|$150.92|$405.90|$437.06|$437.88|$327.59|$371.30|$278.47
"CPT® 72081"|"HB X-RAY EXAM ENTIRE SPINE 1 VIEW"|320.00|$688.00|$77.09|$379.09|$482.00|$368.08|$275.20|$156.18|$379.09|$291.71|$229.79|$77.09|$102.34|$340.56|$366.70|$367.39|$274.86|$311.53|$233.64
"CPT® 72082"|"HB X-RAY EXAM ENTIRE SPI 2/3 VW"|320.00|$923.00|$140.11|$508.57|$646.00|$493.81|$369.20|$209.52|$508.57|$391.35|$308.28|$140.11|$186.00|$456.89|$491.96|$492.88|$368.74|$417.93|$313.45
"CPT® 73501"|"HB X-RAY HIP UNILATERAL WITH PELVIS 1 VIEW"|320.00|$596.00|$61.85|$328.40|$417.00|$318.86|$238.40|$135.29|$328.40|$252.70|$199.06|$61.85|$82.10|$295.02|$317.67|$318.26|$238.10|$269.87|$202.40
"CPT® 73502"|"HB X-RAY EXAM HIP UNILATERAL 2-3 VIEWS"|320.00|$586.00|$91.33|$322.89|$410.00|$313.51|$234.40|$133.02|$322.89|$248.46|$195.72|$91.33|$121.23|$290.07|$312.34|$312.92|$234.11|$265.34|$199.01
"CPT® 73521"|"HB X-RAY EXAM HIPS BILATERAL 2 VIEWS"|320.00|$1005.00|$78.10|$553.76|$704.00|$537.68|$402.00|$228.14|$553.76|$426.12|$335.67|$78.10|$103.68|$497.48|$535.67|$536.67|$401.50|$455.06|$341.30
"CPT® 73552"|"HB X-RAY EXAM OF FEMUR MIN 2 VIEWS"|320.00|$673.00|$69.97|$370.82|$471.00|$360.06|$269.20|$152.77|$370.82|$285.35|$224.78|$69.97|$92.89|$333.14|$358.71|$359.38|$268.86|$304.73|$228.55
"CPT® 74019"|"HB X-RAY EXAM ABDOMEN 2 VIEWS"|320.00|$647.00|$66.95|$356.50|$453.00|$346.15|$258.80|$146.87|$356.50|$274.33|$216.10|$66.95|$88.87|$320.27|$344.85|$345.50|$258.48|$292.96|$219.72
"CPT® 74021"|"HB XRAY EXAM ABDOMEN 3+ VIEWS"|320.00|$526.00|$76.08|$289.83|$368.00|$281.41|$210.40|$119.40|$289.83|$223.02|$175.68|$76.08|$101.00|$260.37|$280.36|$280.88|$210.14|$238.17|$178.63
"CPT® 74221"|"HB RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY"|320.00|$560.00|$127.12|$308.56|$392.00|$299.60|$224.00|$127.12|$308.56|$237.44|$187.04|||$277.20|$298.48|$299.04|$223.72|$253.57|$190.18
"CPT® 74248"|"HB RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY"|320.00|$821.00|$232.90|$565.33|$575.00|$548.91|$410.40|$232.90|$565.33|$435.02|$342.68|||$507.87|$546.86|$438.41|$327.99|$371.75|$278.81
"CPT® 73525"|"HB CONTRAST X-RAY OF HIP"|322.00|$2558.00|$239.68|$1368.53|$1791.00|$1368.53|$1023.20|$580.67|$719.34|$1084.59|$854.37|$239.68|$318.16|$1266.21|$1363.41|$1365.97|$1021.92|$1158.26|$868.70
"CPT® 73085"|"HB ELBOW ARTHROGRAM; S&I"|322.00|$3244.00|$221.38|$1735.54|$2271.00|$1735.54|$1297.60|$736.39|$719.34|$1375.46|$1083.50|$221.38|$293.87|$1605.78|$1729.05|$1732.30|$1295.98|$1468.88|$1101.66
"CPT® 73115"|"HB WRIST ARTHROGRAM; S&I"|322.00|$1614.00|$256.97|$863.49|$1130.00|$863.49|$645.60|$366.38|$719.34|$684.34|$539.08|$256.97|$341.11|$798.93|$860.26|$861.88|$644.79|$730.82|$548.11
"CPT® 75625"|"HB AORTOGRAPHY ABDOMEN BY SERIALOGRAPHY; S&I"|323.00|$6466.00|$219.33|$5320.38|$4526.00|$3459.31|$2586.40|$1467.78|$5320.38|$2741.58|$2159.64|$219.33|$291.16|$3200.67|$3446.38|$3452.84|$2583.17|$2927.80|$2195.85
"CPT® 75630"|"HB AORTOGRAPHY ABDOMEN; BILATERAL ILIOFEMORAL LOWER EXTREMITY; S&I"|323.00|$9228.00|$223.42|$5320.38|$6460.00|$4936.98|$3691.20|$2094.76|$5320.38|$3912.67|$3082.15|$223.42|$296.59|$4567.86|$4918.52|$4927.75|$3686.59|$4178.44|$3133.83
"CPT® 75774"|"HB ARTERY X-RAY- EACH VESSEL"|323.00|$1516.00|$187.84|$835.32|$1061.00|$811.06|$606.40|$344.13|$835.32|$642.78|$506.34|$187.84|$249.35|$750.42|$808.03|$809.54|$605.64|$686.44|$514.83
"CPT® 71045"|"HB X-RAY CHEST SINGLE VIEW"|324.00|$603.00|$45.60|$332.25|$422.00|$322.61|$241.20|$136.88|$332.25|$255.67|$201.40|$45.60|$60.53|$298.49|$321.40|$322.00|$240.90|$273.04|$204.78
"CPT® 71046"|"HB-XRAY EXAM CHEST 2 VIEWS"|324.00|$755.00|$59.80|$416.01|$528.00|$403.93|$302.00|$171.39|$416.01|$320.12|$252.17|$59.80|$79.39|$373.73|$402.42|$403.17|$301.62|$341.86|$256.40
"CPT® 96401"|"HB CHEMO ANTI-NEOPL SQ/IM"|331.00|$606.00|$153.23|$371.93|$424.00|$361.13|$270.00|$153.23|$371.93|$286.20|$225.45|$353.70|$353.70|$334.13|$359.78|$323.60|$242.10|$274.40|$205.80
"CPT® 96402"|"HB CHEMO HORMON ANTINEOPL SQ/IM"|331.00|$675.00|$153.23|$371.93|$472.00|$361.13|$270.00|$153.23|$371.93|$286.20|$225.45|$353.70|$353.70|$334.13|$359.78|$360.45|$269.66|$305.64|$229.23
"CPT® 96409"|"HB CHEMO IV PUSH SNGL DRUG"|331.00|$1358.00|$308.27|$748.26|$951.00|$726.53|$543.20|$308.27|$748.26|$575.79|$453.57|$711.59|$711.59|$672.21|$723.81|$725.17|$542.52|$614.90|$461.18
"CPT® 96411"|"HB CHEMO IV PUSH ADDL DRUG"|331.00|$1358.00|$308.27|$748.26|$951.00|$726.53|$543.20|$308.27|$748.26|$575.79|$453.57|$711.59|$711.59|$672.21|$723.81|$725.17|$542.52|$614.90|$461.18
"CPT® 96446"|"HB CHEMOTX ADMN PRTL CAVITY"|331.00|$943.00|$187.05|$503.56|$660.00|$440.84|$329.60|$187.05|$454.02|$349.38|$275.22|$431.78|$431.78|$407.88|$439.19|$503.56|$376.73|$426.99|$320.24
"CPT® 96450"|"HB LUMBAR PUNCTURE (LP) FOR CHEMO INJECTION"|331.00|$1709.00|$387.94|$941.66|$1196.00|$914.32|$683.60|$387.94|$941.66|$724.62|$570.81|$895.52|$895.52|$845.96|$910.90|$912.61|$682.75|$773.84|$580.38
"CPT® 96413"|"HB CHEMO IV INFUSION; SINGLE/INITIAL MEDICINE; 1ST HOUR"|335.00|$1727.00|$392.03|$951.58|$1209.00|$923.95|$690.80|$392.03|$951.58|$732.25|$576.82|$904.95|$904.95|$854.87|$920.49|$922.22|$689.94|$781.99|$586.49
"CPT® 96413"|"HB CHEMO IV INFUSION 1 HR"|335.00|$1727.00|$392.03|$951.58|$1209.00|$923.95|$690.80|$392.03|$951.58|$732.25|$576.82|$904.95|$904.95|$854.87|$920.49|$922.22|$689.94|$781.99|$586.49
"CPT® 96415"|"HB CHEMO IV INFUSION ADDL HR"|335.00|$1102.00|$250.15|$607.20|$771.00|$589.57|$440.80|$250.15|$607.20|$467.25|$368.07|$577.45|$577.45|$545.49|$587.37|$588.47|$440.25|$498.99|$374.24
"CPT® 96416"|"HB CHEMO PROLONG INFUSE W/PUMP"|335.00|$1102.00|$250.15|$607.20|$771.00|$589.57|$440.80|$250.15|$607.20|$467.25|$368.07|$577.45|$577.45|$545.49|$587.37|$588.47|$440.25|$498.99|$374.24
"CPT® 96417"|"HB CHEMO IV INFUS EACH ADDL SEQ"|335.00|$1102.00|$250.15|$607.20|$771.00|$589.57|$440.80|$250.15|$607.20|$467.25|$368.07|$577.45|$577.45|$545.49|$587.37|$588.47|$440.25|$498.99|$374.24
"CPT® 96440"|"HB CHEMOTHERAPY INTRACAVITARY"|335.00|$1046.00|$237.44|$576.35|$732.00|$559.61|$418.40|$237.44|$576.35|$443.50|$349.36|$548.10|$548.10|$517.77|$557.52|$558.56|$417.88|$473.63|$355.22
"CPT® 96521"|"HB REFILL/MAINT PORTABLE PUMP"|335.00|$1164.00|$264.23|$641.36|$815.00|$622.74|$465.60|$264.23|$641.36|$493.54|$388.78|$609.94|$609.94|$576.18|$620.41|$621.58|$465.02|$527.06|$395.29
"CPT® 78070"|"HB PARATHYROID PLANAR IMAGING"|340.00|$3800.00|$601.16|$2033.00|$2660.00|$2033.00|$1520.00|$862.60|$601.16|$1611.20|$1269.20|$1991.20|$1991.20|$624.00|$675.00|$2029.20|$1518.10|$1720.64|$1290.48
"CPT® 78195"|"HB LYMPHATICS AND LYMPH NODES IMAGING"|340.00|$4501.00|$624.00|$2408.04|$3151.00|$2408.04|$1800.40|$1021.73|$700.71|$1908.42|$1503.33|$2358.52|$2358.52|$624.00|$675.00|$2403.53|$1798.15|$2038.05|$1528.54
"CPT® 78226"|"HB HEPATOBILIARY SYSTEM IMAGING"|340.00|$4742.00|$624.00|$2612.84|$3319.00|$2536.97|$1896.80|$1076.43|$2612.84|$2010.61|$1583.83|$2484.81|$2484.81|$624.00|$675.00|$2532.23|$1894.43|$2147.18|$1610.38
"CPT® 78227"|"HB HEPATOBIL SYST IMAGE W/DRUG"|340.00|$4742.00|$624.00|$2612.84|$3319.00|$2536.97|$1896.80|$1076.43|$2612.84|$2010.61|$1583.83|$2484.81|$2484.81|$624.00|$675.00|$2532.23|$1894.43|$2147.18|$1610.38
"CPT® 78264"|"HB GASTRIC EMPTYING IMAG STUDY"|340.00|$3730.00|$624.00|$1995.55|$2611.00|$1995.55|$1492.00|$846.71|$670.73|$1581.52|$1245.82|$1954.52|$1954.52|$624.00|$675.00|$1991.82|$1490.14|$1688.94|$1266.71
"CPT® 78278"|"HB ACUTE GI BLOOD LOSS IMAGING"|340.00|$2329.00|$528.68|$1246.02|$1630.00|$1246.02|$931.60|$528.68|$670.73|$987.50|$777.89|$1220.40|$1220.40|$624.00|$675.00|$1243.69|$930.44|$1054.57|$790.93
"CPT® 78306"|"HB BONE IMAGING WHOLE BODY"|340.00|$3984.00|$624.00|$2131.44|$2789.00|$2131.44|$1593.60|$904.37|$670.84|$1689.22|$1330.66|$2087.62|$2087.62|$624.00|$675.00|$2127.46|$1591.61|$1803.96|$1352.97
"CPT® 78315"|"HB BONE/JOINT IMAGING, 3 PHASE STUDY"|340.00|$3909.00|$624.00|$2091.32|$2736.00|$2091.32|$1563.60|$887.34|$670.84|$1657.42|$1305.61|$2048.32|$2048.32|$624.00|$675.00|$2087.41|$1561.65|$1770.00|$1327.50
"CPT® 78451"|"HB HT MUSCLE IMAGE SPECT SING"|340.00|$4697.00|$624.00|$2512.90|$3288.00|$2512.90|$1878.80|$1066.22|$2101.44|$1991.53|$1568.80|$2461.23|$2461.23|$624.00|$675.00|$2508.20|$1876.45|$2126.80|$1595.10
"CPT® 78452"|"HB HT MUSCLE IMAGE SPECT MULT"|340.00|$6053.00|$624.00|$3238.36|$4237.00|$3238.36|$2421.20|$1374.03|$2101.44|$2566.47|$2021.70|$3171.77|$3171.77|$624.00|$675.00|$3232.30|$2418.17|$2740.80|$2055.60
"CPT® 78582"|"HB LUNG VENTILAT&PERFUS IMAGING"|340.00|$2301.00|$522.33|$1267.85|$1611.00|$1231.04|$920.40|$522.33|$1267.85|$975.62|$768.53|$1205.72|$1205.72|$624.00|$675.00|$1228.73|$919.25|$1041.89|$781.42
"CPT® 78606"|"HB BRAIN IMAGE W/FLOW 4 + VIEWS"|340.00|$3616.00|$624.00|$1934.56|$2531.00|$1934.56|$1446.40|$820.83|$1568.84|$1533.18|$1207.74|$1894.78|$1894.78|$624.00|$675.00|$1930.94|$1444.59|$1637.32|$1227.99
"CPT® 78802"|"HB RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING"|340.00|$5310.00|$624.00|$2840.85|$3717.00|$2840.85|$2124.00|$1205.37|$1383.83|$2251.44|$1773.54|$2782.44|$2782.44|$624.00|$675.00|$2835.54|$2121.35|$2404.37|$1803.28
"CPT® 78803"|"HB RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING"|340.00|$3847.00|$624.00|$2058.15|$2693.00|$2058.15|$1538.80|$873.27|$1383.83|$1631.13|$1284.90|$2015.83|$2015.83|$624.00|$675.00|$2054.30|$1536.88|$1741.92|$1306.44
"CPT® 78580"|"HB LUNG PERFUSION IMAGING"|341.00|$1827.00|$414.73|$977.45|$1279.00|$977.45|$730.80|$414.73|$559.68|$774.65|$610.22|$957.35|$957.35|$624.00|$675.00|$975.62|$729.89|$827.27|$620.45
"CPT® 78630"|"HB CEREBROSPINAL FLUID FLOW IMAGING; CISTERNOGRAPHY"|341.00|$2316.00|$525.73|$1568.84|$1621.00|$1239.06|$926.40|$525.73|$1568.84|$981.98|$773.54|$1213.58|$1213.58|$624.00|$675.00|$1236.74|$925.24|$1048.68|$786.51
"CPT® 78708"|"HB K FLOW/FUNCT IMAGE W/DRUG"|341.00|$3884.00|$624.00|$2077.94|$2719.00|$2077.94|$1553.60|$881.67|$881.25|$1646.82|$1297.26|$2035.22|$2035.22|$624.00|$675.00|$2074.06|$1551.66|$1758.68|$1319.01
"HCPCS A4641"|"HB RADIOPHARM DX AGENT NOC"|343.00|$1574.00|$357.30|$867.27|$1102.00|$842.09|$629.60|$357.30|$867.27|$667.38|$525.72|$824.78|$824.78|$779.13|$838.94|$840.52|$628.81|$712.71|$534.53
"HCPCS A9500"|"HB TC99M SESTAMIBI (MIBI)"|343.00|$535.00|$121.45|$294.79|$374.00|$286.23|$214.00|$121.45|$294.79|$226.84|$178.69|$280.34|$280.34|$264.83|$285.16|$285.69|$213.73|$242.25|$181.69
"HCPCS A9502"|"HB IC_TETROFOSMIN DOSE (MYOVIEW)"|343.00|$392.00|$88.98|$215.99|$274.00|$209.72|$156.80|$88.98|$215.99|$166.21|$130.93|$205.41|$205.41|$194.04|$208.94|$209.33|$156.60|$177.50|$133.12
"HCPCS A9503"|"HB TC99M MEDRONATE (MDP)"|343.00|$34.00|$7.72|$18.73|$24.00|$18.19|$13.60|$7.72|$18.73|$14.42|$11.36|$17.82|$17.82|$16.83|$18.12|$18.16|$13.58|$15.40|$11.55
"HCPCS A9521"|"HB TC99M EXAMETAZIME (CERETEC) (HMPAO)"|343.00|$3022.00|$685.99|$1665.12|$2115.00|$1616.77|$1208.80|$685.99|$1665.12|$1281.33|$1009.35|$1583.53|$1583.53|$1495.89|$1610.73|$1613.75|$1207.29|$1368.36|$1026.27
"HCPCS A9537"|"HB TC99M MEBROFENIN (CHOLETEC)"|343.00|$210.00|$47.67|$115.71|$147.00|$112.35|$84.00|$47.67|$115.71|$89.04|$70.14|$110.04|$110.04|$103.95|$111.93|$112.14|$83.90|$95.09|$71.32
"HCPCS A9540"|"HB TC99M MAA"|343.00|$180.00|$40.86|$99.18|$126.00|$96.30|$72.00|$40.86|$99.18|$76.32|$60.12|$94.32|$94.32|$89.10|$95.94|$96.12|$71.91|$81.50|$61.13
"HCPCS A9541"|"HB TC99M SULFUR COLLOID"|343.00|$386.00|$87.62|$212.69|$270.00|$206.51|$154.40|$87.62|$212.69|$163.66|$128.92|$202.26|$202.26|$191.07|$205.74|$206.12|$154.21|$174.78|$131.09
"HCPCS A9558"|"HB XE133 XENON PER 10MCI"|343.00|$82.00|$18.61|$45.18|$57.00|$43.87|$32.80|$18.61|$45.18|$34.77|$27.39|$42.97|$42.97|$40.59|$43.71|$43.79|$32.76|$37.13|$27.85
"HCPCS A9560"|"HB TC99M LABELED RBC"|343.00|$76.00|$17.25|$41.88|$53.00|$40.66|$30.40|$17.25|$41.88|$32.22|$25.38|$39.82|$39.82|$37.62|$40.51|$40.58|$30.36|$34.41|$25.81
"HCPCS A9562"|"HB TC99M MERTIATIDE (MAG3)"|343.00|$470.00|$106.69|$258.97|$329.00|$251.45|$188.00|$106.69|$258.97|$199.28|$156.98|$246.28|$246.28|$232.65|$250.51|$250.98|$187.77|$212.82|$159.61
"HCPCS A9572"|"HB INDIUM IN-111 PENTETREOTIDE (OCTREOSCAN)"|343.00|$5690.00|$1470.28|$3568.83|$3983.00|$3465.20|$2590.80|$1470.28|$3568.83|$2746.25|$2163.32|$3393.95|$3393.95|$3206.12|$3452.24|$3038.46|$2273.16|$2576.43|$1932.32
"HCPCS A9520"|"HB TC99 TILMANOCEPT DIAG 0.5MCI"|343.00|$1028.00|$233.36|$566.43|$720.00|$549.98|$411.20|$233.36|$566.43|$435.87|$343.35|$538.67|$538.67|$508.86|$547.92|$548.95|$410.69|$465.48|$349.11
"HCPCS A9543"|"HB Y90 IBRITUMOMAB, RX"|344.00|$96900.00|$19323.00|$53391.90|$67830.00|$51841.50|$38760.00|$21996.30|$53391.90|$41085.60|$32364.60|$50775.60|$50775.60|$19323.00|$20788.00|$51744.60|$38711.55|$43876.32|$32907.24
"CPT® 75571"|"HB CT HRT W/O DYE W/CA TEST"|350.00|$192.00|$43.58|$192.00|$134.00|$102.72|$76.80|$43.58|$192.00|$81.41|$64.13|$100.61|$100.61|$192.00|$192.00|$102.53|$76.70|$86.94|$65.20
"CPT® 75572"|"HB CT HRT W/3D IMAGE"|350.00|$3856.00|$619.00|$2062.96|$2699.00|$2062.96|$1542.40|$875.31|$979.00|$1634.94|$1287.90|$2020.54|$2020.54|$619.00|$670.00|$1500.00|$1540.47|$1746.00|$1309.50
"CPT® 75574"|"HB CT ANGIO HRT W/3D IMAGE"|350.00|$4083.00|$619.00|$2184.41|$2858.00|$2184.41|$1633.20|$926.84|$979.00|$1731.19|$1363.72|$2139.49|$2139.49|$619.00|$670.00|$1500.00|$1631.16|$1848.78|$1386.59
"CPT® 77012"|"HB CT GUIDANCE, NEEDLE PLACEMENT; S&I"|350.00|$3186.00|$619.00|$1704.51|$2230.00|$1704.51|$1274.40|$723.22|$979.00|$1350.86|$1064.12|$1669.46|$1669.46|$619.00|$670.00|$1500.00|$1272.81|$1442.62|$1081.97
"CPT® 77013"|"HB CT GUIDANCE, PARENCHYMAL TISSUE ABLATION"|350.00|$2587.00|$587.25|$1384.05|$1811.00|$1384.05|$1034.80|$587.25|$979.00|$1096.89|$864.06|$1355.59|$1355.59|$619.00|$670.00|$1381.46|$1033.51|$1171.39|$878.55
"CPT® 77014"|"HB CT GUIDANCE, PLACEMENT RADIATION THERAPY FIELDS"|350.00|$1677.00|$380.68|$979.00|$1174.00|$897.20|$670.80|$380.68|$979.00|$711.05|$560.12|$878.75|$878.75|$619.00|$670.00|$895.52|$669.96|$759.35|$569.51
"CPT® 0042T"|"HB CT PERFUSION W/CONTRAST CBF"|350.00|$1428.00|$324.16|$979.00|$1000.00|$763.98|$571.20|$324.16|$979.00|$605.47|$476.95|$748.27|$748.27|$619.00|$670.00|$762.55|$570.49|$646.60|$484.95
"HCPCS G0297"|"HB CT LOW DOSE FOR LUNG SCREENING"|350.00|$937.00|$212.70|$937.00|$656.00|$501.30|$374.80|$212.70|$937.00|$397.29|$312.96|$490.99|$490.99|$619.00|$670.00|$500.36|$374.33|$424.27|$318.21
"CPT® 0042T"|"HB CT PERFUSION W/CONTRAST,CBF"|350.00|$1428.00|$324.16|$979.00|$1000.00|$763.98|$571.20|$324.16|$979.00|$605.47|$476.95|$748.27|$748.27|$619.00|$670.00|$762.55|$570.49|$646.60|$484.95
"CPT® 70450"|"HB CT HEAD/BRAIN WITHOUT CONTRAST"|351.00|$2774.00|$619.00|$1484.09|$1942.00|$1484.09|$1109.60|$629.70|$979.00|$1176.18|$926.52|$951.00|$1311.00|$619.00|$670.00|$1481.32|$1108.21|$1256.07|$942.05
"CPT® 70460"|"HB CT HEAD/BRAIN W/DYE"|351.00|$3276.00|$619.00|$1752.66|$2293.00|$1752.66|$1310.40|$743.65|$979.00|$1389.02|$1094.18|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1308.76|$1483.37|$1112.53
"CPT® 70470"|"HB CT HEAD/BRAIN W/O & W/DYE"|351.00|$4212.00|$619.00|$2253.42|$2948.00|$2253.42|$1684.80|$956.12|$979.00|$1785.89|$1406.81|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1682.69|$1907.19|$1430.40
"CPT® 70480"|"HB CT ORBIT/EAR/FOSSA W/O DYE"|351.00|$3687.00|$619.00|$1972.55|$2581.00|$1972.55|$1474.80|$836.95|$979.00|$1563.29|$1231.46|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1472.96|$1669.47|$1252.11
"CPT® 70481"|"HB CT ORBIT/EAR/FOSSA W/DYE"|351.00|$4005.00|$619.00|$2142.68|$2804.00|$2142.68|$1602.00|$909.14|$979.00|$1698.12|$1337.67|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1600.00|$1813.46|$1360.10
"CPT® 70482"|"HB CT ORBIT/EAR/FOSSA W/O&W/DYE"|351.00|$4276.00|$619.00|$2287.66|$2993.00|$2287.66|$1710.40|$970.65|$979.00|$1813.02|$1428.18|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1708.26|$1936.17|$1452.13
"CPT® 70486"|"HB CT MAXILLOFACIAL WITHOUT CONTRAST"|351.00|$2921.00|$619.00|$1562.74|$2045.00|$1562.74|$1168.40|$663.07|$979.00|$1238.50|$975.61|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1166.94|$1322.63|$991.97
"CPT® 70487"|"HB CT MAXILLOFACIAL W/DYE"|351.00|$3545.00|$619.00|$1896.58|$2482.00|$1896.58|$1418.00|$804.72|$979.00|$1503.08|$1184.03|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1416.23|$1605.18|$1203.88
"CPT® 70488"|"HB CT MAXILLOFACIAL W/O & W/DYE"|351.00|$4099.00|$619.00|$2192.97|$2869.00|$2192.97|$1639.60|$930.47|$979.00|$1737.98|$1369.07|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1637.55|$1856.03|$1392.02
"CPT® 70496"|"HB CT ANGIOGRAPHY HEAD"|351.00|$4099.00|$619.00|$2192.97|$2869.00|$2192.97|$1639.60|$930.47|$979.00|$1737.98|$1369.07|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1637.55|$1856.03|$1392.02
"CPT® 70498"|"HB CT ANGIOGRAPHY NECK"|351.00|$4269.00|$619.00|$2283.92|$2988.00|$2283.92|$1707.60|$969.06|$979.00|$1810.06|$1425.85|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1705.47|$1933.00|$1449.75
"CPT® 71275"|"HB CT ANGIOGRAPHY CHEST"|352.00|$3928.00|$619.00|$2101.48|$2750.00|$2101.48|$1571.20|$891.66|$979.00|$1665.47|$1311.95|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1569.24|$1778.60|$1333.95
"CPT® 72125"|"HB CT NECK SPINE W/O DYE"|352.00|$3551.00|$619.00|$1899.79|$2486.00|$1899.79|$1420.40|$806.08|$979.00|$1505.62|$1186.03|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1418.62|$1607.89|$1205.92
"CPT® 72126"|"HB CT NECK SPINE W/DYE"|352.00|$3921.00|$619.00|$2097.74|$2745.00|$2097.74|$1568.40|$890.07|$979.00|$1662.50|$1309.61|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1566.44|$1775.43|$1331.57
"CPT® 72127"|"HB CT NECK SPINE W/O & W/DYE"|352.00|$4591.00|$619.00|$2456.19|$3214.00|$2456.19|$1836.40|$1042.16|$979.00|$1946.58|$1533.39|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1834.10|$2078.80|$1559.10
"CPT® 72128"|"HB CT CHEST SPINE W/O DYE"|352.00|$3151.00|$619.00|$1685.79|$2206.00|$1685.79|$1260.40|$715.28|$979.00|$1336.02|$1052.43|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1258.82|$1426.77|$1070.08
"CPT® 72129"|"HB CT CHEST SPINE W/DYE"|352.00|$3305.00|$619.00|$1768.18|$2314.00|$1768.18|$1322.00|$750.24|$979.00|$1401.32|$1103.87|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1320.35|$1496.50|$1122.38
"CPT® 72130"|"HB CT CHEST SPINE W/O & W/DYE"|352.00|$3597.00|$619.00|$1924.40|$2518.00|$1924.40|$1438.80|$816.52|$979.00|$1525.13|$1201.40|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1437.00|$1628.72|$1221.54
"CPT® 72131"|"HB CT LUMBAR SPINE W/O DYE"|352.00|$3457.00|$619.00|$1849.50|$2420.00|$1849.50|$1382.80|$784.74|$979.00|$1465.77|$1154.64|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1381.07|$1565.33|$1174.00
"CPT® 72132"|"HB CT LUMBAR SPINE W/DYE"|352.00|$3930.00|$619.00|$2102.55|$2751.00|$2102.55|$1572.00|$892.11|$979.00|$1666.32|$1312.62|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1570.04|$1779.50|$1334.63
"CPT® 72133"|"HB CT LUMBAR SPINE W/O & W/DYE"|352.00|$4167.00|$619.00|$2229.35|$2917.00|$2229.35|$1666.80|$945.91|$979.00|$1766.81|$1391.78|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1664.72|$1886.82|$1415.11
"CPT® 72191"|"HB CT ANGIOGRAPH PELV W/O&W/DYE"|352.00|$3792.00|$619.00|$2028.72|$2654.00|$2028.72|$1516.80|$860.78|$979.00|$1607.81|$1266.53|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1514.90|$1717.02|$1287.76
"CPT® 72192"|"HB CT PELVIS W/O DYE"|352.00|$2418.00|$548.89|$1311.00|$1693.00|$1293.63|$967.20|$548.89|$979.00|$1025.23|$807.61|$951.00|$1311.00|$619.00|$670.00|$1291.21|$965.99|$1094.87|$821.15
"CPT® 72193"|"HB CT PELVIS W/DYE"|352.00|$3260.00|$619.00|$1744.10|$2282.00|$1744.10|$1304.00|$740.02|$979.00|$1382.24|$1088.84|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1302.37|$1476.13|$1107.10
"CPT® 72194"|"HB CT PELVIS W/O & W/DYE"|352.00|$3720.00|$619.00|$1990.20|$2604.00|$1990.20|$1488.00|$844.44|$979.00|$1577.28|$1242.48|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1486.14|$1684.42|$1263.31
"CPT® 73200"|"HB CT UPPER EXTREMITY WITHOUT CONTRAST"|352.00|$2873.00|$619.00|$1537.06|$2011.00|$1537.06|$1149.20|$652.17|$979.00|$1218.15|$959.58|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1147.76|$1300.89|$975.67
"CPT® 73201"|"HB CT UPPER EXTREMITY WITH CONTRAST"|352.00|$3152.00|$619.00|$1686.32|$2206.00|$1686.32|$1260.80|$715.50|$979.00|$1336.45|$1052.77|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1259.22|$1427.23|$1070.42
"CPT® 73202"|"HB CT UPPER EXTREMITY WITH AND WITHOUT CONTRAST"|352.00|$4225.00|$619.00|$2260.38|$2958.00|$2260.38|$1690.00|$959.08|$979.00|$1791.40|$1411.15|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1687.89|$1913.08|$1434.81
"CPT® 73206"|"HB CT ANGIOGRAPHY UPPER EXTREMITY WITH CONTRAST"|352.00|$3392.00|$619.00|$1814.72|$2374.00|$1814.72|$1356.80|$769.98|$979.00|$1438.21|$1132.93|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1355.10|$1535.90|$1151.92
"CPT® 73700"|"HB CT LOWER EXTREMITY WITHOUT CONTRAST"|352.00|$2941.00|$619.00|$1573.44|$2059.00|$1573.44|$1176.40|$667.61|$979.00|$1246.98|$982.29|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1174.93|$1331.68|$998.76
"CPT® 73701"|"HB CT LOWER EXTREMITY WITH CONTRAST"|352.00|$3336.00|$619.00|$1784.76|$2335.00|$1784.76|$1334.40|$757.27|$979.00|$1414.46|$1114.22|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1332.73|$1510.54|$1132.91
"CPT® 73702"|"HB CT LOWER EXTREMITY W/ AND W/OUT CONTRAST"|352.00|$3788.00|$619.00|$2026.58|$2652.00|$2026.58|$1515.20|$859.88|$979.00|$1606.11|$1265.19|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1513.31|$1715.21|$1286.40
"CPT® 73706"|"HB CT ANGIOGRAPHY LOWER EXTREMITY W/ AND W/OUT CONTRAST"|352.00|$3767.00|$619.00|$2015.35|$2637.00|$2015.35|$1506.80|$855.11|$979.00|$1597.21|$1258.18|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1504.92|$1705.70|$1279.27
"CPT® 74150"|"HB CT ABDOMEN W/O DYE"|352.00|$2888.00|$619.00|$1545.08|$2022.00|$1545.08|$1155.20|$655.58|$979.00|$1224.51|$964.59|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1153.76|$1307.69|$980.76
"CPT® 74160"|"HB CT ABDOMEN W/DYE"|352.00|$3589.00|$619.00|$1920.12|$2512.00|$1920.12|$1435.60|$814.70|$979.00|$1521.74|$1198.73|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1433.81|$1625.10|$1218.82
"CPT® 74170"|"HB CT ABDOMEN W/O & W/DYE"|352.00|$4102.00|$619.00|$2194.57|$2871.00|$2194.57|$1640.80|$931.15|$979.00|$1739.25|$1370.07|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1638.75|$1857.39|$1393.04
"CPT® 74174"|"HB CT ANGIO ABD&PELV W/O&W/DYE"|352.00|$6076.00|$619.00|$3250.66|$4253.00|$3250.66|$2430.40|$1379.25|$979.00|$2576.22|$2029.38|$3183.82|$3183.82|$619.00|$670.00|$1500.00|$2427.36|$2751.21|$2063.41
"CPT® 74175"|"HB CT ANGIO ABDOM W/O & W/DYE"|352.00|$4834.00|$619.00|$2586.19|$3384.00|$2586.19|$1933.60|$1097.32|$979.00|$2049.62|$1614.56|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1931.18|$2188.84|$1641.63
"CPT® 74176"|"HB CT ABD & PELVIS W/O CONTRAST"|352.00|$5384.00|$619.00|$2880.44|$3769.00|$2880.44|$2153.60|$1222.17|$979.00|$2282.82|$1798.26|$2821.22|$2821.22|$619.00|$670.00|$1500.00|$2150.91|$2437.88|$1828.41
"CPT® 74177"|"HB CT ABD & PELV W/CONTRAST"|352.00|$6783.00|$619.00|$3628.91|$4748.00|$3628.91|$2713.20|$1539.74|$979.00|$2875.99|$2265.52|$3554.29|$3554.29|$619.00|$670.00|$1500.00|$2709.81|$3071.34|$2303.51
"CPT® 74178"|"HB CT ABD & PELV 1/> REGNS"|352.00|$7966.00|$619.00|$4261.81|$5576.00|$4261.81|$3186.40|$1808.28|$979.00|$3377.58|$2660.64|$4174.18|$4174.18|$619.00|$670.00|$1500.00|$3182.42|$3607.00|$2705.25
"CPT® 75635"|"HB CT ANGIO ABDOMINAL ARTERIES"|352.00|$4360.00|$619.00|$2332.60|$3052.00|$2332.60|$1744.00|$989.72|$979.00|$1848.64|$1456.24|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1741.82|$1974.21|$1480.66
"CPT® 70490"|"HB CT SOFT TISSUE NECK WITHOUT CONTRAST"|352.00|$2877.00|$619.00|$1539.20|$2014.00|$1539.20|$1150.80|$653.08|$979.00|$1219.85|$960.92|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1149.36|$1302.71|$977.03
"CPT® 70491"|"HB CT SOFT TISSUE NECK W/DYE"|352.00|$3644.00|$619.00|$1949.54|$2551.00|$1949.54|$1457.60|$827.19|$979.00|$1545.06|$1217.10|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1455.78|$1650.00|$1237.50
"CPT® 70492"|"HB CT SFT TSUE NCK W/O & W/DYE"|352.00|$4152.00|$619.00|$2221.32|$2906.00|$2221.32|$1660.80|$942.50|$979.00|$1760.45|$1386.77|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1658.72|$1880.03|$1410.02
"CPT® 71250"|"HB CT THORAX W/O DYE"|352.00|$2928.00|$619.00|$1566.48|$2050.00|$1566.48|$1171.20|$664.66|$979.00|$1241.47|$977.95|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1169.74|$1325.80|$994.35
"CPT® 71260"|"HB CT THORAX W/DYE"|352.00|$3558.00|$619.00|$1903.53|$2491.00|$1903.53|$1423.20|$807.67|$979.00|$1508.59|$1188.37|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1421.42|$1611.06|$1208.30
"CPT® 71270"|"HB CT THORAX W/O & W/DYE"|352.00|$3830.00|$619.00|$2049.05|$2681.00|$2049.05|$1532.00|$869.41|$979.00|$1623.92|$1279.22|$951.00|$1311.00|$619.00|$670.00|$1500.00|$1530.09|$1734.22|$1300.67
"CPT® 13160"|"HB LATE CLOSURE OF WOUND"|360.00|$8628.00|$1958.56|$6617.68|$6040.00|$4615.98|$3451.20|$1958.56|$5263.08|$3658.27|$2881.75|$4831.00|$6617.68|$5072.00|$5491.00|$4607.35|$3446.89|$3343.00|$2930.07
"CPT® 23350"|"HB INJECTION FOR SHOULDER X-RAY"|360.00|$828.00|$187.96|$828.00|$580.00|$442.98|$331.20|$187.96|$505.08|$351.07|$276.55|$635.08|$635.08|$828.00|$828.00|$442.15|$330.79|$374.92|$281.19
"CPT® 23505"|"HB TREAT CLAVICLE FRACTR W/MANIP"|360.00|$1956.00|$444.01|$1956.00|$1369.00|$1046.46|$782.40|$444.01||$829.34|$653.30|||$1956.00|$1956.00|$1044.50|$781.42|$885.68|$664.26
"CPT® 24220"|"HB INJECTION FOR ELBOW X-RAY"|360.00|$1376.00|$205.89|$907.00|$963.00|$485.25|$362.80|$205.89|$553.27|$384.57|$302.94|$695.67|$695.67|$907.00|$907.00|$734.78|$549.71|$623.05|$467.29
"CPT® 25246"|"HB INJECTION FOR WRIST X-RAY"|360.00|$1331.00|$302.14|$1331.00|$932.00|$712.09|$532.40|$302.14|$811.91|$564.34|$444.55|$1020.88|$1020.88|$1331.00|$1331.00|$710.75|$531.73|$602.68|$452.01
"CPT® 26410"|"HB REPAIR HAND TENDON"|360.00|$7106.00|$1613.06|$5491.00|$4974.00|$3801.71|$2842.40|$1613.06|$4334.66|$3012.94|$2373.40|$4831.00|$5450.30|$5072.00|$5491.00|$3794.60|$2838.85|$3217.60|$2413.20
"CPT® 27093"|"HB INJECTION PROCEDURE HIP ARTHROGRAPHY WITHOUT ANESTHESIA"|360.00|$470.00|$106.69|$470.00|$329.00|$251.45|$188.00|$106.69|$286.70|$199.28|$156.98|$360.49|$360.49|$470.00|$470.00|$250.98|$187.77|$212.82|$159.61
"CPT® 27630"|"HB REMOVAL OF TENDON LESION"|360.00|$6425.00|$1458.48|$5491.00|$4498.00|$3437.38|$2570.00|$1458.48|$3919.25|$2724.20|$2145.95|$4831.00|$4927.98|$5072.00|$5491.00|$3430.95|$2566.79|$2909.24|$2181.93
"CPT® 28270"|"HB RELEASE OF FOOT CONTRACTURE"|360.00|$5170.00|$1173.59|$5170.00|$3619.00|$2765.95|$2068.00|$1173.59|$3153.70|$2192.08|$1726.78|$3965.39|$3965.39|$5072.00|$5170.00|$2760.78|$2065.42|$2340.98|$1755.73
"CPT® 51600"|"HB INJECTION CYSTOGRAPHY/VOIDING URETHROCYSTOGRAPHY"|360.00|$243.00|$55.16|$243.00|$170.00|$130.01|$97.20|$55.16|$148.23|$103.03|$81.16|$186.38|$186.38|$243.00|$243.00|$129.76|$97.08|$110.03|$82.52
"Custom 36000391"|"HB OR LEVEL 1 FIRST 15 MINUTES"|360.00|$5268.00|$1195.84|$2818.38|$3688.00|$2818.38|$2107.20|$1195.84||$2233.63|$1759.51|||||$2813.11|$2104.57|$2385.35|$1789.01
"Custom 36000392"|"HB OR LEVEL 1 EACH ADDITIONAL MINUTE"|360.00|$59.00|$13.39|$31.57|$41.00|$31.57|$23.60|$13.39||$25.02|$19.71|||||$31.51|$23.57|$26.72|$20.04
"Custom 36000393"|"HB OR LEVEL 2 FIRST 15 MINUTES"|360.00|$9595.00|$2178.07|$5133.33|$6716.00|$5133.33|$3838.00|$2178.07||$4068.28|$3204.73|||||$5123.73|$3630.00|$3343.00|$3258.46
"Custom 36000394"|"HB OR LEVEL 2 EACH ADDITIONAL MINUTE"|360.00|$131.00|$29.74|$70.09|$92.00|$70.09|$52.40|$29.74||$55.54|$43.75|||||$69.95|$52.33|$59.32|$44.49
"Custom 36000395"|"HB OR LEVEL 3 FIRST 15 MINUTES"|360.00|$10040.00|$2279.08|$5371.40|$7028.00|$5371.40|$4016.00|$2279.08||$4256.96|$3353.36|||||$5361.36|$3630.00|$3343.00|$3343.00
"Custom 36000396"|"HB OR LEVEL 3 EACH ADDITIONAL MINUTE"|360.00|$134.00|$30.42|$71.69|$94.00|$71.69|$53.60|$30.42||$56.82|$44.76|||||$71.56|$53.53|$60.68|$45.51
"Custom 36000397"|"HB OR LEVEL 4 FIRST 15 MINUTES"|360.00|$10259.00|$2328.79|$5488.57|$7181.00|$5488.57|$4103.60|$2328.79||$4349.82|$3426.51|||||$5478.31|$3630.00|$3343.00|$3343.00
"Custom 36000398"|"HB OR LEVEL 4 EACH ADDITIONAL MINUTE"|360.00|$138.00|$31.33|$73.83|$97.00|$73.83|$55.20|$31.33||$58.51|$46.09|||||$73.69|$55.13|$62.49|$46.86
"Custom 36000399"|"HB OR LEVEL 5 FIRST 15 MINUTES"|360.00|$10651.00|$2417.78|$5698.29|$7456.00|$5698.29|$4260.40|$2417.78||$4516.02|$3557.43|||||$5687.63|$3630.00|$3343.00|$3343.00
"Custom 36000407"|"HB OR LEVEL 5 EACH ADDITIONAL MINUTE"|360.00|$143.00|$32.46|$76.51|$100.00|$76.51|$57.20|$32.46||$60.63|$47.76|||||$76.36|$57.13|$64.75|$48.56
"Custom 36000408"|"HB OR LEVEL 6 FIRST 15 MINUTES"|360.00|$12504.00|$2838.41|$6689.64|$8753.00|$6689.64|$5001.60|$2838.41||$5301.70|$4176.34|||||$6677.14|$3630.00|$3343.00|$3343.00
"Custom 36000409"|"HB OR LEVEL 6 EACH ADDITIONAL MINUTE"|360.00|$153.00|$34.73|$81.86|$107.00|$81.86|$61.20|$34.73||$64.87|$51.10|||||$81.70|$61.12|$69.28|$51.96
"Custom 36000410"|"HB OR LEVEL 7 FIRST 15 MINUTES"|360.00|$12672.00|$2876.54|$6779.52|$8870.00|$6779.52|$5068.80|$2876.54||$5372.93|$4232.45|||||$6766.85|$3630.00|$3343.00|$3343.00
"Custom 36000411"|"HB OR LEVEL 7 EACH ADDITIONAL MINUTE"|360.00|$161.00|$36.55|$86.14|$113.00|$86.14|$64.40|$36.55||$68.26|$53.77|||||$85.97|$64.32|$72.90|$54.68
"CPT® 23700"|"HB FIXATION OF SHOULDER"|360.00|$5719.00|$1298.21|$5491.00|$4003.00|$3059.67|$2287.60|$1298.21|$3488.59|$2424.86|$1910.15|$4386.47|$4386.47|$5072.00|$5491.00|$3053.95|$2284.74|$2589.56|$1942.17
"CPT® 64864"|"HB REPAIR OF FACIAL NERVE"|360.00|$10533.00|$2390.99|$5635.16|$7373.00|$5635.16|$4213.20|$2390.99||$4465.99|$3518.02|||$5072.00|$5491.00|$5624.62|$3630.00|$3343.00|$3343.00
"CPT® 28405"|"HB CL TX CALCANEAL FX; W MANIP"|360.00|$10804.00|$2452.51|$5780.14|$7563.00|$5780.14|$4321.60|$2452.51||$4580.90|$3608.54|||$5072.00|$5491.00|$5769.34|$3630.00|$3343.00|$3343.00
"HCPCS S2900"|"HB ROBOTIC SURGICAL SYSTEM"|369.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.00|$0.01|$0.00|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00
"CPT® 64400"|"HB N BLOCK INJ TRIGEMINAL"|370.00|$505.00|$114.64|$278.26|$354.00|$270.18|$202.00|$114.64|$278.26|$214.12|$168.67|$264.62|$264.62|$249.98|$269.17|$269.67|$201.75|$228.66|$171.50
"CPT® 64415"|"HB NERVE BLOCK BRACHIAL PLEXUS"|370.00|$3000.00|$681.00|$1653.00|$2100.00|$1605.00|$1200.00|$681.00|$1653.00|$1272.00|$1002.00|$1572.00|$1572.00|$1485.00|$1599.00|$1602.00|$1198.50|$1358.40|$1018.80
"CPT® 64421"|"HB INTERCOSTAL NERVE BLOCK; MULTIPLE"|370.00|$2580.00|$585.66|$1421.58|$1806.00|$1380.30|$1032.00|$585.66|$1421.58|$1093.92|$861.72|$1351.92|$1351.92|$1277.10|$1375.14|$1377.72|$1030.71|$1168.22|$876.17
"CPT® 64450"|"HB OTHER PERIPHERAL NERVE OR BRANCH BLOCK"|370.00|$1700.00|$385.90|$936.70|$1190.00|$909.50|$680.00|$385.90|$936.70|$720.80|$567.80|$890.80|$890.80|$841.50|$906.10|$907.80|$679.15|$769.76|$577.32
"CPT® 64479"|"HB NERVE BLOCK CERVICAL OR THORACIC; SINGLE LEVEL"|370.00|$1696.00|$384.99|$934.50|$1187.00|$907.36|$678.40|$384.99|$934.50|$719.10|$566.46|$888.70|$888.70|$839.52|$903.97|$905.66|$677.55|$767.95|$575.96
"Custom 37000044"|"HB GENERAL ANESTHESIA"|370.00|$22.00|$5.68|$13.78|$15.00|$13.38|$10.00|$5.68|$13.78|$10.60|$8.35|$13.10|$13.10|$12.38|$13.33|$11.75|$8.79|$9.96|$7.47
"Custom 37000045"|"HB REGIONAL ANESTHESIA"|370.00|$22.00|$5.45|$13.22|$15.00|$12.84|$9.60|$5.45|$13.22|$10.18|$8.02|$12.58|$12.58|$11.88|$12.79|$11.75|$8.79|$9.96|$7.47
"Custom 37000046"|"HB MONITORED ANESTHESIA CARE (MAC)"|370.00|$21.00|$5.45|$13.22|$15.00|$12.84|$9.60|$5.45|$13.22|$10.18|$8.02|$12.58|$12.58|$11.88|$12.79|$11.21|$8.39|$9.51|$7.13
"Custom 37000047"|"HB EPIDURAL"|370.00|$640.00|$145.28|$352.64|$448.00|$342.40|$256.00|$145.28|$352.64|$271.36|$213.76|$335.36|$335.36|$316.80|$341.12|$341.76|$255.68|$289.79|$217.34
"CPT® 64416"|"HB N BLOCK CONT INFUSE B PLEX"|370.00|$2792.00|$633.78|$1538.39|$1954.00|$1493.72|$1116.80|$633.78|$1538.39|$1183.81|$932.53|$1463.01|$1463.01|$1382.04|$1488.14|$1490.93|$1115.40|$1264.22|$948.16
"CPT® 64448"|"HB N BLOCK INJ FEM CONT INF"|370.00|$3464.00|$786.33|$1908.66|$2425.00|$1853.24|$1385.60|$786.33|$1908.66|$1468.74|$1156.98|$1815.14|$1815.14|$1714.68|$1846.31|$1849.78|$1383.87|$1568.50|$1176.37
"CPT® 64449"|"HB N BLOCK INJ LUMBAR PLEXUS"|370.00|$2305.00|$523.24|$1270.06|$1614.00|$1233.18|$922.00|$523.24|$1270.06|$977.32|$769.87|$1207.82|$1207.82|$1140.98|$1228.57|$1230.87|$920.85|$1043.70|$782.78
"CPT® 99151"|"HB MODERATE SEDATION SAME PHYS/QHP, INITIAL 15 MIN; LESS THAN 5 YEARS"|372.00|$423.00|$96.02|$233.07|$296.00|$226.31|$169.20|$96.02|$233.07|$179.35|$141.28|$221.65|$221.65|$209.39|$225.46|$225.88|$168.99|$191.53|$143.65
"HCPCS 99152"|"HB MODERATE SEDATION SAME PHYS/QHP, INITIAL 15 MIN; 5 YEARS & OLDER"|372.00|$455.00|$103.29|$250.71|$318.00|$243.43|$182.00|$103.29|$250.71|$192.92|$151.97|$238.42|$238.42|$225.23|$242.52|$242.97|$181.77|$206.02|$154.52
"CPT® 99153"|"HB MODERATE SEDATION SAME PHYS/QHP, EACH ADDL 15 MIN, ADD ON"|372.00|$303.00|$68.78|$166.95|$212.00|$162.11|$121.20|$68.78|$166.95|$128.47|$101.20|$158.77|$158.77|$149.99|$161.50|$161.80|$121.05|$137.20|$102.90
"CPT® 99156"|"HB MODERATE SEDATION OTHER PHYS/QHP, INITIAL 15 MIN; 5 YEARS & OLDER"|372.00|$455.00|$103.29|$250.71|$318.00|$243.43|$182.00|$103.29|$250.71|$192.92|$151.97|$238.42|$238.42|$225.23|$242.52|$242.97|$181.77|$206.02|$154.52
"HCPCS P9017"|"HB PLASMA, THAWED, CONVALESCENT COVID"|390.00|$322.00|$73.09|$286.00|$225.00|$172.27|$128.80|$73.09|$177.42|$136.53|$107.55|$168.73|$168.73|$264.00|$286.00|$171.95|$128.64|$145.80|$109.35
"HCPCS P9012"|"HB CRYOPRECIPITATE EACH UNIT"|390.00|$141.00|$32.01|$141.00|$99.00|$75.44|$56.40|$32.01|$77.69|$59.78|$47.09|$73.88|$73.88|$141.00|$141.00|$75.29|$56.33|$63.84|$47.88
"HCPCS P9017"|"HB PLASMA THAWED ALIQUOT"|390.00|$160.00|$36.32|$160.00|$112.00|$85.60|$64.00|$36.32|$88.16|$67.84|$53.44|$83.84|$83.84|$160.00|$160.00|$85.44|$63.92|$72.45|$54.34
"HCPCS P9017"|"HB PLASMA THAWED EACH UNIT"|390.00|$160.00|$36.32|$160.00|$112.00|$85.60|$64.00|$36.32|$88.16|$67.84|$53.44|$83.84|$83.84|$160.00|$160.00|$85.44|$63.92|$72.45|$54.34
"HCPCS P9017"|"HB PLASMA, THAWED, CONVALESCENT COVID"|390.00|$160.00|$36.32|$160.00|$112.00|$85.60|$64.00|$36.32|$88.16|$67.84|$53.44|$83.84|$83.84|$160.00|$160.00|$85.44|$63.92|$72.45|$54.34
"HCPCS P9059"|"HB PLASMA, THAWED EACH UNIT, FROZEN WITHIN 8-24 HOURS"|390.00|$175.00|$39.73|$175.00|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$91.70|$91.70|$175.00|$175.00|$93.45|$69.91|$79.24|$59.43
"HCPCS P9044"|"HB PLASMA, CRYOPRECIPITATE REDUCED EACH UNIT"|390.00|$141.00|$32.01|$141.00|$99.00|$75.44|$56.40|$32.01|$77.69|$59.78|$47.09|$73.88|$73.88|$141.00|$141.00|$75.29|$56.33|$63.84|$47.88
"HCPCS P9035"|"HB PLATELETS, APHERESIS LEUKOREDUCED EACH UNIT"|390.00|$1643.00|$264.00|$905.29|$1150.00|$879.01|$657.20|$372.96|$905.29|$696.63|$548.76|$860.93|$860.93|$264.00|$286.00|$877.36|$656.38|$743.95|$557.96
"HCPCS P9036"|"HB PLATELETS, APHERESIS IRRADIATED EACH UNIT"|390.00|$1844.00|$264.00|$1016.04|$1291.00|$986.54|$737.60|$418.59|$1016.04|$781.86|$615.90|$966.26|$966.26|$264.00|$286.00|$984.70|$736.68|$834.96|$626.22
"HCPCS P9037"|"HB PLATELETS, APHERESIS LEUKOREDUCED IRRADIATED EACH UNIT"|390.00|$1699.00|$264.00|$936.15|$1189.00|$908.97|$679.60|$385.67|$936.15|$720.38|$567.47|$890.28|$890.28|$264.00|$286.00|$907.27|$678.75|$769.31|$576.98
"HCPCS P9053"|"HB PLATELETS, APHERESIS LEUKOREDUCED IRRADIATED CMV NEG"|390.00|$1753.00|$264.00|$965.90|$1227.00|$937.86|$701.20|$397.93|$965.90|$743.27|$585.50|$918.57|$918.57|$264.00|$286.00|$936.10|$700.32|$793.76|$595.32
"HCPCS P9021"|"HB RED BLOOD CELLS, EACH UNIT"|390.00|$518.00|$117.59|$286.00|$363.00|$277.13|$207.20|$117.59|$285.42|$219.63|$173.01|$271.43|$271.43|$264.00|$286.00|$276.61|$206.94|$234.55|$175.91
"HCPCS P9016"|"HB RED BLOOD CELLS, LEUKO REDUCED"|390.00|$611.00|$138.70|$336.66|$428.00|$326.89|$244.40|$138.70|$336.66|$259.06|$204.07|$320.16|$320.16|$264.00|$286.00|$326.27|$244.09|$276.66|$207.50
"HCPCS P9038"|"HB RED BLOOD CELLS, IRRADIATED EACH UNIT"|390.00|$679.00|$154.13|$374.13|$475.00|$363.27|$271.60|$154.13|$374.13|$287.90|$226.79|$355.80|$355.80|$264.00|$286.00|$362.59|$271.26|$307.45|$230.59
"HCPCS P9040"|"HB RED BLOOD CELLS, LEUKOREDUCED IRRADIATED"|390.00|$645.00|$146.42|$355.40|$451.00|$345.08|$258.00|$146.42|$355.40|$273.48|$215.43|$337.98|$337.98|$264.00|$286.00|$344.43|$257.68|$292.06|$219.04
"HCPCS P9051"|"HB RED BLOOD CELLS, LEUKOREDUCED CMV NEG"|390.00|$664.00|$150.73|$365.86|$465.00|$355.24|$265.60|$150.73|$365.86|$281.54|$221.78|$347.94|$347.94|$264.00|$286.00|$354.58|$265.27|$300.66|$225.49
"HCPCS P9058"|"HB RED BLOOD CELLS, LEUKOREDUCED IRRADIATED CMV NEG"|390.00|$699.00|$158.67|$385.15|$489.00|$373.97|$279.60|$158.67|$385.15|$296.38|$233.47|$366.28|$366.28|$264.00|$286.00|$373.27|$279.25|$316.51|$237.38
"HCPCS P9057"|"HB RED BLOOD CELLS, LR IRR FROZE DEGLYC EACH UNIT"|390.00|$1350.00|$264.00|$743.85|$945.00|$722.25|$540.00|$306.45|$743.85|$572.40|$450.90|$707.40|$707.40|$264.00|$286.00|$720.90|$539.33|$611.28|$458.46
"CPT® 86931"|"HB THAWING OF BLOOD, EACH UNIT"|390.00|$335.00|$76.05|$286.00|$234.00|$179.23|$134.00|$76.05|$184.59|$142.04|$111.89|$175.54|$175.54|$264.00|$286.00|$178.89|$133.83|$151.69|$113.77
"CPT® 86927"|"HB THAWING OF PLASMA, EACH UNIT"|390.00|$313.00|$71.05|$286.00|$219.00|$167.46|$125.20|$71.05|$172.46|$132.71|$104.54|$164.01|$164.01|$264.00|$286.00|$167.14|$125.04|$141.73|$106.29
"CPT® 36430"|"HB BLOOD TRANSFUSION SERVICE"|391.00|$819.00|$186.37|$452.37|$573.00|$439.24|$328.40|$186.37|$452.37|$348.10|$274.21|$430.20|$430.20|$264.00|$286.00|$437.35|$327.19|$370.84|$278.13
"HCPCS G0279"|"HB TOMOSYNTHESIS, MAMMO"|401.00|$114.00|$25.88|$114.00|$80.00|$60.99|$45.60|$25.88|$62.81|$48.34|$38.08|$59.74|$59.74|$114.00|$114.00|$60.88|$45.54|$51.62|$38.71
"CPT® 77065"|"HB DIAGNOSTIC MAMMOGRAPHY INCL CAD UNILATERAL"|401.00|$521.00|$118.27|$287.07|$365.00|$278.74|$208.40|$118.27|$287.07|$220.90|$174.01|$273.00|$273.00|$130.00|$141.00|$278.21|$208.14|$235.91|$176.93
"CPT® 77066"|"HB DIAGNOSTIC MAMMOGRAPHY INCL CAD BILATERAL"|401.00|$576.00|$130.00|$317.38|$403.00|$308.16|$230.40|$130.75|$317.38|$244.22|$192.38|$301.82|$301.82|$130.00|$141.00|$307.58|$230.11|$260.81|$195.61
"CPT® 51798"|"HB US URINE CAPACITY MEASURE"|402.00|$376.00|$68.33|$232.00|$263.00|$161.04|$120.40|$68.33|$165.85|$127.62|$100.53|$157.72|$157.72|$214.00|$232.00|$200.78|$150.21|$170.25|$127.69
"CPT® 76506"|"HB ECHO EXAM OF HEAD"|402.00|$1577.00|$169.37|$843.70|$1104.00|$843.70|$630.80|$357.98|$169.37|$668.65|$526.72|$826.35|$826.35|$214.00|$232.00|$842.12|$630.01|$714.07|$535.55
"CPT® 76536"|"HB US EXAM OF HEAD AND NECK"|402.00|$1506.00|$214.00|$805.71|$1054.00|$805.71|$602.40|$341.86|$263.77|$638.54|$503.00|$789.14|$789.14|$214.00|$232.00|$804.20|$601.65|$681.92|$511.44
"CPT® 76604"|"HB US EXAM CHEST"|402.00|$1166.00|$169.37|$623.81|$816.00|$623.81|$466.40|$264.68|$169.37|$494.38|$389.44|$610.98|$610.98|$214.00|$232.00|$622.64|$465.82|$527.96|$395.97
"CPT® 76641"|"HB ULTRASOUND BREAST COMPLETE"|402.00|$596.00|$135.29|$328.40|$417.00|$318.86|$238.40|$135.29|$328.40|$252.70|$199.06|$312.30|$312.30|$214.00|$232.00|$318.26|$238.10|$269.87|$202.40
"CPT® 76642"|"HB ULTRASOUND BREAST LIMITED"|402.00|$492.00|$111.68|$271.09|$344.00|$263.22|$196.80|$111.68|$271.09|$208.61|$164.33|$257.81|$257.81|$214.00|$232.00|$262.73|$196.55|$222.78|$167.08
"CPT® 76700"|"HB US EXAM ABDOM COMPLETE"|402.00|$1987.00|$214.00|$1063.05|$1391.00|$1063.05|$794.80|$451.05|$263.77|$842.49|$663.66|$1041.19|$1041.19|$214.00|$232.00|$1061.06|$793.81|$899.71|$674.79
"CPT® 76705"|"HB US EXAM ABDOMINAL, LIMITED"|402.00|$1799.00|$214.00|$962.47|$1259.00|$962.47|$719.60|$408.37|$263.77|$762.78|$600.87|$942.68|$942.68|$214.00|$232.00|$960.67|$718.70|$814.59|$610.94
"CPT® 76770"|"HB US EXAM ABDO BACK WALL COMP"|402.00|$1652.00|$214.00|$883.82|$1156.00|$883.82|$660.80|$375.00|$263.77|$700.45|$551.77|$865.65|$865.65|$214.00|$232.00|$882.17|$659.97|$748.03|$561.02
"CPT® 76775"|"HB US EXAM ABDO BACK WALL LIM"|402.00|$1471.00|$214.00|$786.99|$1030.00|$786.99|$588.40|$333.92|$263.77|$623.70|$491.31|$770.80|$770.80|$214.00|$232.00|$785.51|$587.66|$666.07|$499.55
"CPT® 76776"|"HB US EXAM K TRANSPL W/DOPPLER"|402.00|$1388.00|$214.00|$742.58|$972.00|$742.58|$555.20|$315.08|$263.77|$588.51|$463.59|$727.31|$727.31|$214.00|$232.00|$741.19|$554.51|$628.49|$471.36
"CPT® 76800"|"HB US EXAM SPINAL CANAL"|402.00|$1749.00|$214.00|$935.72|$1224.00|$935.72|$699.60|$397.02|$263.77|$741.58|$584.17|$916.48|$916.48|$214.00|$232.00|$933.97|$698.73|$791.95|$593.96
"CPT® 76801"|"HB US OB, LESS THAN 14 WEEKS, SINGLE/FIRST GESTATION"|402.00|$1055.00|$214.00|$564.43|$738.00|$564.43|$422.00|$239.49|$263.77|$447.32|$352.37|$552.82|$552.82|$214.00|$232.00|$563.37|$421.47|$477.70|$358.28
"CPT® 76802"|"HB US OB, LESS THAN 14 WEEKS, EACH ADD'L GESTATION"|402.00|$918.00|$169.37|$491.13|$643.00|$491.13|$367.20|$208.39|$169.37|$389.23|$306.61|$481.03|$481.03|$214.00|$232.00|$490.21|$366.74|$415.67|$311.75
"CPT® 76805"|"HB US OB, 14 WEEKS OR MORE, SINGLE/FIRST GESTATION"|402.00|$1352.00|$214.00|$723.32|$946.00|$723.32|$540.80|$306.90|$263.77|$573.25|$451.57|$708.45|$708.45|$214.00|$232.00|$721.97|$540.12|$612.19|$459.14
"CPT® 76810"|"HB US OB, 14 WEEKS OR MORE, EACH ADD'L GESTATION"|402.00|$1791.00|$214.00|$958.19|$1254.00|$958.19|$716.40|$406.56|$263.77|$759.38|$598.19|$938.48|$938.48|$214.00|$232.00|$956.39|$715.50|$810.96|$608.22
"CPT® 76815"|"HB US OB, LIMITED, 1 OR MORE FETUSES"|402.00|$806.00|$169.37|$431.21|$564.00|$431.21|$322.40|$182.96|$169.37|$341.74|$269.20|$422.34|$422.34|$214.00|$232.00|$430.40|$322.00|$364.96|$273.72
"CPT® 76816"|"HB OB US FOLLOW-UP PER FETUS"|402.00|$930.00|$169.37|$497.55|$651.00|$497.55|$372.00|$211.11|$169.37|$394.32|$310.62|$487.32|$487.32|$214.00|$232.00|$496.62|$371.54|$421.10|$315.83
"CPT® 76817"|"HB TRANSVAGINAL US OBSTETRIC"|402.00|$840.00|$169.37|$449.40|$588.00|$449.40|$336.00|$190.68|$169.37|$356.16|$280.56|$440.16|$440.16|$214.00|$232.00|$448.56|$335.58|$380.35|$285.26
"CPT® 76818"|"HB FETAL BIOPHYS PROFILE W/NST"|402.00|$1580.00|$214.00|$845.30|$1106.00|$845.30|$632.00|$358.66|$263.77|$669.92|$527.72|$827.92|$827.92|$214.00|$232.00|$843.72|$631.21|$715.42|$536.57
"CPT® 76819"|"HB FETAL BIOPHYSICAL PROFILE; WITHOUT NON-STRESS TEST"|402.00|$1256.00|$214.00|$671.96|$879.00|$671.96|$502.40|$285.11|$263.77|$532.54|$419.50|$658.14|$658.14|$214.00|$232.00|$670.70|$501.77|$568.72|$426.54
"CPT® 76820"|"HB DOPPLER VELOCIMETRY, FETAL; UMBILICAL ARTERY"|402.00|$883.00|$169.37|$472.41|$618.00|$472.41|$353.20|$200.44|$169.37|$374.39|$294.92|$462.69|$462.69|$214.00|$232.00|$471.52|$352.76|$399.82|$299.87
"CPT® 76825"|"HB ECHOCARDIOGRAPHY, FETAL HEART, 2D W/ OR W/OUT M-MODE RECORDING"|402.00|$1312.00|$214.00|$1312.00|$918.00|$701.92|$524.80|$297.82|$1312.00|$556.29|$438.21|$687.49|$687.49|$214.00|$232.00|$700.61|$524.14|$594.07|$445.56
"CPT® 76826"|"HB ECHOCARDIOGRAPHY, FETAL HEART, 2D , FOLLOW-UP STUDY"|402.00|$1068.00|$214.00|$1068.00|$748.00|$571.38|$427.20|$242.44|$1068.00|$452.83|$356.71|$559.63|$559.63|$214.00|$232.00|$570.31|$426.67|$483.59|$362.69
"CPT® 76827"|"HB ECHO FETAL HEART COMPLETE PULSED AND/OR CONTINUOUS"|402.00|$1108.00|$169.37|$592.78|$776.00|$592.78|$443.20|$251.52|$169.37|$469.79|$370.07|$580.59|$580.59|$214.00|$232.00|$591.67|$442.65|$501.70|$376.28
"CPT® 76828"|"HB ECHO FETAL HEART COMPLETE FOLLOW-UP OR REPEAT"|402.00|$435.00|$98.75|$232.73|$304.00|$232.73|$174.00|$98.75|$169.37|$184.44|$145.29|$227.94|$227.94|$214.00|$232.00|$232.29|$173.78|$196.97|$147.73
"CPT® 76830"|"HB TRANSVAGINAL US NON-OB"|402.00|$1210.00|$214.00|$647.35|$847.00|$647.35|$484.00|$274.67|$263.77|$513.04|$404.14|$634.04|$634.04|$214.00|$232.00|$646.14|$483.40|$547.89|$410.92
"CPT® 76831"|"HB ECHO EXAM UTERUS"|402.00|$1569.00|$214.00|$839.42|$1098.00|$839.42|$627.60|$356.16|$420.43|$665.26|$524.05|$822.16|$822.16|$214.00|$232.00|$837.85|$626.82|$710.44|$532.83
"CPT® 76856"|"HB US EXAM PELVIC COMPLETE"|402.00|$1692.00|$214.00|$905.22|$1184.00|$905.22|$676.80|$384.08|$263.77|$717.41|$565.13|$886.61|$886.61|$214.00|$232.00|$903.53|$675.95|$766.14|$574.60
"CPT® 76857"|"HB US PELVIC, NONOBSTETRIC, LIMITED OR FOLLOW-UP"|402.00|$967.00|$169.37|$517.35|$677.00|$517.35|$386.80|$219.51|$169.37|$410.01|$322.98|$506.71|$506.71|$214.00|$232.00|$516.38|$386.32|$437.86|$328.39
"CPT® 76870"|"HB US EXAM SCROTUM"|402.00|$1544.00|$214.00|$826.04|$1081.00|$826.04|$617.60|$350.49|$263.77|$654.66|$515.70|$809.06|$809.06|$214.00|$232.00|$824.50|$616.83|$699.12|$524.34
"CPT® 76881"|"HB US XTR NON-VASC COMPLETE"|402.00|$1423.00|$214.00|$784.07|$996.00|$761.31|$569.20|$323.02|$784.07|$603.35|$475.28|$745.65|$745.65|$214.00|$232.00|$759.88|$568.49|$644.33|$483.25
"CPT® 76882"|"HB US EXTREMITY, LIMITED, NON-VASCULAR"|402.00|$869.00|$197.26|$478.82|$608.00|$464.92|$347.60|$197.26|$478.82|$368.46|$290.25|$455.36|$455.36|$214.00|$232.00|$464.05|$347.17|$393.48|$295.11
"CPT® 76885"|"HB US EXAM INFANT HIPS DYNAMIC"|402.00|$1430.00|$169.37|$765.05|$1001.00|$765.05|$572.00|$324.61|$169.37|$606.32|$477.62|$749.32|$749.32|$214.00|$232.00|$763.62|$571.29|$647.50|$485.63
"CPT® 76886"|"HB US EXAM INFANT HIPS STATIC"|402.00|$1219.00|$169.37|$652.17|$853.00|$652.17|$487.60|$276.71|$169.37|$516.86|$407.15|$638.76|$638.76|$214.00|$232.00|$650.95|$486.99|$551.96|$413.97
"CPT® 76936"|"HB ECHO GUIDE FOR ARTERY REPAIR"|402.00|$739.00|$167.75|$395.37|$517.00|$395.37|$295.60|$167.75|$293.79|$313.34|$246.83|$387.24|$387.24|$214.00|$232.00|$394.63|$295.23|$334.62|$250.96
"CPT® 76937"|"HB US GUIDE VASCULAR ACCESS"|402.00|$1449.00|$214.00|$798.40|$1014.00|$775.22|$579.60|$328.92|$798.40|$614.38|$483.97|$759.28|$759.28|$214.00|$232.00|$773.77|$578.88|$656.11|$492.08
"CPT® 76942"|"HB US GUIDANCE NEEDLE PLACEMENT; S&I"|402.00|$1912.00|$214.00|$1053.51|$1338.00|$1022.92|$764.80|$434.02|$1053.51|$810.69|$638.61|$1001.89|$1001.89|$214.00|$232.00|$1021.01|$763.84|$865.75|$649.32
"CPT® 76946"|"HB US GUIDANCE, AMNIOCENTESIS; S&I"|402.00|$1178.00|$214.00|$649.08|$825.00|$630.23|$471.20|$267.41|$649.08|$499.47|$393.45|$617.27|$617.27|$214.00|$232.00|$629.05|$470.61|$533.40|$400.05
"CPT® 76998"|"HB US GUIDE INTRAOP"|402.00|$2358.00|$214.00|$1299.26|$1651.00|$1261.53|$943.20|$535.27|$1299.26|$999.79|$787.57|$1235.59|$1235.59|$214.00|$232.00|$1259.17|$942.02|$1067.70|$800.78
"CPT® 93990"|"HB DUPLEX SCAN HEMODIALYSIS ACCESS GRAFT"|402.00|$515.00|$116.91|$283.77|$360.00|$275.53|$206.00|$116.91|$283.77|$218.36|$172.01|$269.86|$269.86|$214.00|$232.00|$275.01|$205.74|$233.19|$174.89
"CPT® 76706"|"HB ULTRASOUND EXAM AAA SCREEN"|402.00|$956.00|$214.00|$526.76|$669.00|$511.46|$382.40|$217.01|$526.76|$405.34|$319.30|$500.94|$500.94|$214.00|$232.00|$510.50|$381.92|$432.88|$324.66
"CPT® 77063"|"HB BREAST TOMOSYNTHESIS BILAT SCREENING DIGITAL"|403.00|$140.00|$31.78|$140.00|$98.00|$74.90|$56.00|$31.78|$77.14|$59.36|$46.76|$73.36|$73.36|$130.00|$140.00|$74.76|$55.93|$63.39|$47.54
"CPT® 77067"|"HB SCREENING MAMMOGRAPHY BILATERAL INCL CAD"|403.00|$587.00|$130.00|$323.44|$411.00|$314.05|$234.80|$133.25|$323.44|$248.89|$196.06|$307.59|$307.59|$130.00|$141.00|$313.46|$234.51|$265.79|$199.35
"CPT® 31502"|"HB CHANGE OF WINDPIPE AIRWAY"|410.00|$1386.00|$314.62|$763.69|$970.00|$741.51|$554.40|$314.62|$763.69|$587.66|$462.92|$726.26|$726.26|$686.07|$738.74|$740.12|$553.71|$627.58|$470.69
"CPT® 94002"|"HB VENT MGMT INPAT INIT DAY"|410.00|$1055.00|$239.49|$581.31|$738.00|$564.43|$422.00|$239.49|$581.31|$447.32|$352.37|$552.82|$552.82|$522.23|$562.32|$563.37|$421.47|$477.70|$358.28
"CPT® 94003"|"HB VENT MGMT INPAT SUBQ DAY"|410.00|$915.00|$207.71|$504.17|$640.00|$489.53|$366.00|$207.71|$504.17|$387.96|$305.61|$479.46|$479.46|$452.93|$487.70|$488.61|$365.54|$414.31|$310.73
"CPT® 94610"|"HB SURFACTANT ADMIN THRU TUBE"|410.00|$317.00|$71.96|$174.67|$222.00|$169.60|$126.80|$71.96|$174.67|$134.41|$105.88|$166.11|$166.11|$156.92|$168.96|$169.28|$126.64|$143.54|$107.65
"CPT® 94640"|"HB AIRWAY INHALATION TREATMENT"|410.00|$160.00|$45.40|$110.20|$112.00|$107.00|$80.00|$45.40|$110.20|$84.80|$66.80|$104.80|$104.80|$99.00|$106.60|$85.44|$63.92|$72.45|$54.34
"CPT® 94642"|"HB AEROSOL INHALATION TREATMENT"|410.00|$440.00|$99.88|$242.44|$308.00|$235.40|$176.00|$99.88|$242.44|$186.56|$146.96|$230.56|$230.56|$217.80|$234.52|$234.96|$175.78|$199.23|$149.42
"CPT® 94644"|"HB CBT 1ST HOUR"|410.00|$610.00|$138.47|$336.11|$427.00|$326.35|$244.00|$138.47|$336.11|$258.64|$203.74|$319.64|$319.64|$301.95|$325.13|$325.74|$243.70|$276.21|$207.16
"CPT® 94645"|"HB CBT EACH ADDL HOUR"|410.00|$415.00|$89.67|$221.61|$290.00|$211.33|$158.00|$89.67|$217.65|$167.48|$131.93|$206.98|$206.98|$195.53|$210.54|$221.61|$165.79|$187.91|$140.93
"CPT® 94660"|"HB POS AIRWAY PRESSURE CPAP"|410.00|$401.00|$91.94|$223.16|$281.00|$216.68|$162.00|$91.94|$223.16|$171.72|$135.27|$212.22|$212.22|$200.48|$215.87|$214.13|$111.00|$181.57|$94.00
"CPT® 94664"|"HB EVALUATE PT USE OF INHALER"|410.00|$376.00|$81.27|$200.78|$263.00|$191.53|$143.20|$81.27|$197.26|$151.79|$119.57|$187.59|$187.59|$177.21|$190.81|$200.78|$150.21|$170.25|$127.69
"CPT® 94667"|"HB CHEST WALL MANIPULATION INITIAL"|410.00|$131.00|$30.65|$74.39|$92.00|$72.23|$54.00|$30.65|$74.39|$57.24|$45.09|$70.74|$70.74|$66.83|$71.96|$69.95|$52.33|$59.32|$44.49
"CPT® 94668"|"HB CHEST WALL MANIPULATION SUBSEQUENT"|410.00|$79.00|$17.93|$43.53|$55.00|$42.27|$31.60|$17.93|$43.53|$33.50|$26.39|$41.40|$41.40|$39.11|$42.11|$42.19|$31.56|$35.77|$26.83
"CPT® 94669"|"HB MECHANICAL CHEST WALL OSCILL"|410.00|$385.00|$83.31|$205.59|$270.00|$196.35|$146.80|$83.31|$202.22|$155.61|$122.58|$192.31|$192.31|$181.67|$195.61|$205.59|$153.81|$174.33|$130.75
"CPT® 94799"|"HB PULMONARY SERVICE/PROCEDURE"|410.00|$110.00|$24.29|$58.96|$77.00|$57.25|$42.80|$24.29|$58.96|$45.37|$35.74|$56.07|$56.07|$52.97|$57.03|$58.74|$43.95|$49.81|$37.36
"HCPCS G0239"|"HB OTH RESP PROC, GROUP"|410.00|$208.00|$47.22|$114.61|$146.00|$111.28|$83.20|$47.22|$114.61|$88.19|$69.47|$108.99|$108.99|$102.96|$110.86|$111.07|$83.10|$94.18|$70.64
"CPT® 94660"|"HB HOME CPAP-BIPAP"|410.00|$375.00|$85.13|$206.63|$262.00|$200.63|$150.00|$85.13|$206.63|$159.00|$125.25|$196.50|$196.50|$185.63|$199.88|$200.25|$111.00|$169.80|$94.00
"CPT® 97035"|"HB ULTRASOUND THERAPY"|420.00|$193.00|$43.81|$140.00|$135.00|$103.26|$77.20|$43.81|$106.34|$81.83|$64.46|$101.13|$101.13|$62.00|$67.00|$140.00|$77.10|$87.39|$65.54
"CPT® 97110"|"HB THERAPEUTIC EXERCISES"|420.00|$186.00|$42.22|$140.00|$130.00|$99.51|$74.40|$42.22|$102.49|$78.86|$62.12|$97.46|$97.46|$62.00|$67.00|$140.00|$74.31|$84.22|$63.17
"CPT® 97112"|"HB NEUROMUSCULAR REEDUCATION"|420.00|$189.00|$42.90|$140.00|$132.00|$101.12|$75.60|$42.90|$104.14|$80.14|$63.13|$99.04|$99.04|$62.00|$67.00|$140.00|$75.51|$85.58|$64.18
"CPT® 97116"|"HB GAIT TRAINING THERAPY"|420.00|$190.00|$43.13|$140.00|$133.00|$101.65|$76.00|$43.13|$104.69|$80.56|$63.46|$99.56|$99.56|$62.00|$67.00|$140.00|$75.91|$86.03|$64.52
"CPT® 97542"|"HB WHEELCHAIR MNGMENT TRAINING"|420.00|$124.00|$28.15|$124.00|$87.00|$66.34|$49.60|$28.15|$68.32|$52.58|$41.42|$64.98|$64.98|$62.00|$67.00|$124.00|$49.54|$56.15|$42.11
"CPT® 97763"|"HB ORTHC/PROSTC MGMT SBSQ ENC"|420.00|$264.00|$59.93|$145.46|$185.00|$141.24|$105.60|$59.93|$145.46|$111.94|$88.18|$138.34|$138.34|$62.00|$67.00|$140.00|$105.47|$119.54|$89.65
"CPT® 97537"|"HB COMM WORK REINTEGRATION EA 15 MIN"|420.00|$54.00|$12.26|$54.00|$38.00|$28.89|$21.60|$12.26|$29.75|$22.90|$18.04|$28.30|$28.30|$54.00|$54.00|$54.00|$21.57|$24.45|$18.34
"CPT® 97140"|"HB MANUAL THERAPY 1/> REGIONS"|421.00|$240.00|$54.48|$140.00|$168.00|$128.40|$96.00|$54.48|$132.24|$101.76|$80.16|$125.76|$125.76|$62.00|$67.00|$140.00|$95.88|$108.67|$81.50
"CPT® 97530"|"HB THERAPEUTIC ACTIVITIES"|421.00|$189.00|$42.90|$140.00|$132.00|$101.12|$75.60|$42.90|$104.14|$80.14|$63.13|$99.04|$99.04|$62.00|$67.00|$140.00|$75.51|$85.58|$64.18
"CPT® 97535"|"HB SELF CARE MNGMENT TRAINING"|421.00|$211.00|$47.90|$140.00|$148.00|$112.89|$84.40|$47.90|$116.26|$89.46|$70.47|$110.56|$110.56|$62.00|$67.00|$140.00|$84.29|$95.54|$71.66
"CPT® 97150"|"HB GROUP THERAPEUTIC PROCEDURES"|423.00|$116.00|$26.33|$116.00|$81.00|$62.06|$46.40|$26.33|$63.92|$49.18|$38.74|$60.78|$60.78|$62.00|$67.00|$116.00|$46.34|$52.52|$39.39
"CPT® 97161"|"HB PT EVAL LOW COMPLEX"|424.00|$329.00|$62.00|$181.28|$230.00|$176.02|$131.60|$74.68|$181.28|$139.50|$109.89|$172.40|$172.40|$62.00|$67.00|$140.00|$131.44|$148.97|$111.73
"CPT® 97162"|"HB PT EVAL MOD COMPLEX"|424.00|$394.00|$62.00|$217.09|$276.00|$210.79|$157.60|$89.44|$217.09|$167.06|$131.60|$206.46|$206.46|$62.00|$67.00|$140.00|$157.40|$178.40|$133.80
"CPT® 97163"|"HB PT EVAL HIGH COMPLEX"|424.00|$500.00|$62.00|$275.50|$350.00|$267.50|$200.00|$113.50|$275.50|$212.00|$167.00|$262.00|$262.00|$62.00|$67.00|$140.00|$199.75|$226.40|$169.80
"CPT® 97164"|"HB PT RE-EVAL EST PLAN CARE"|424.00|$259.00|$58.79|$142.71|$181.00|$138.57|$103.60|$58.79|$142.71|$109.82|$86.51|$135.72|$135.72|$62.00|$67.00|$140.00|$103.47|$117.28|$87.96
"CPT® 97129"|"HB THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES"|430.00|$153.00|$34.73|$140.00|$107.00|$81.86|$61.20|$34.73|$84.30|$64.87|$51.10|$80.17|$80.17|$62.00|$67.00|$140.00|$61.12|$69.28|$51.96
"CPT® 97165"|"HB OT EVAL LOW COMPLEX"|434.00|$390.00|$62.00|$214.89|$273.00|$208.65|$156.00|$88.53|$214.89|$165.36|$130.26|$204.36|$204.36|$62.00|$67.00|$140.00|$155.81|$176.59|$132.44
"CPT® 97166"|"HB OT EVAL MOD COMPLEX"|434.00|$428.00|$62.00|$235.83|$300.00|$228.98|$171.20|$97.16|$235.83|$181.47|$142.95|$224.27|$224.27|$62.00|$67.00|$140.00|$170.99|$193.80|$145.35
"CPT® 97167"|"HB OT EVAL HIGH COMPLEX"|434.00|$617.00|$62.00|$339.97|$432.00|$330.10|$246.80|$140.06|$339.97|$261.61|$206.08|$323.31|$323.31|$62.00|$67.00|$140.00|$246.49|$279.38|$209.53
"CPT® 97168"|"HB OT RE-EVAL EST PLAN CARE"|434.00|$368.00|$62.00|$202.77|$258.00|$196.88|$147.20|$83.54|$202.77|$156.03|$122.91|$192.83|$192.83|$62.00|$67.00|$140.00|$147.02|$166.63|$124.97
"CPT® 92507"|"HB SPEECH/HEARING THERAPY INDIVIDUAL"|440.00|$399.00|$90.57|$219.85|$279.00|$213.47|$159.60|$90.57|$219.85|$169.18|$133.27|$209.08|$209.08|$148.00|$160.00|$140.00|$159.40|$180.67|$135.50
"CPT® 92526"|"HB ORAL FUNCTION THERAPY"|440.00|$580.00|$131.66|$319.58|$406.00|$310.30|$232.00|$131.66|$319.58|$245.92|$193.72|$303.92|$303.92|$148.00|$160.00|$140.00|$231.71|$262.62|$196.97
"CPT® 96125"|"HB STANDARDIZED COGNITIVE PERFORMANCE TESTING"|440.00|$310.00|$70.37|$170.81|$217.00|$165.85|$124.00|$70.37|$170.81|$131.44|$103.54|$162.44|$162.44|$148.00|$160.00|$140.00|$123.85|$140.37|$105.28
"CPT® 92521"|"HB EVALUATION OF SPEECH FLUENCY"|444.00|$282.00|$64.01|$160.00|$197.00|$150.87|$112.80|$64.01|$155.38|$119.57|$94.19|$147.77|$147.77|$148.00|$160.00|$140.00|$112.66|$127.69|$95.77
"CPT® 92522"|"HB EVALUATE SPEECH PRODUCTION"|444.00|$822.00|$140.00|$452.92|$575.00|$439.77|$328.80|$186.59|$452.92|$348.53|$274.55|$430.73|$430.73|$148.00|$160.00|$140.00|$328.39|$372.20|$279.15
"CPT® 92523"|"HB SPEECH SOUND LANG COMPREHEN"|444.00|$632.00|$140.00|$348.23|$442.00|$338.12|$252.80|$143.46|$348.23|$267.97|$211.09|$331.17|$331.17|$148.00|$160.00|$140.00|$252.48|$286.17|$214.63
"CPT® 92524"|"HB BEHAVRAL QUALIT ANALYS VOICE"|444.00|$863.00|$140.00|$475.51|$604.00|$461.71|$345.20|$195.90|$475.51|$365.91|$288.24|$452.21|$452.21|$148.00|$160.00|$140.00|$344.77|$390.77|$293.07
"CPT® 92597"|"HB ORAL SPEECH DEVICE EVAL"|444.00|$501.00|$113.73|$276.05|$351.00|$268.04|$200.40|$113.73|$276.05|$212.42|$167.33|$262.52|$262.52|$148.00|$160.00|$140.00|$200.15|$226.85|$170.14
"CPT® 92610"|"HB EVALUATE SWALLOWING FUNCTION"|444.00|$795.00|$140.00|$438.05|$556.00|$425.33|$318.00|$180.47|$438.05|$337.08|$265.53|$416.58|$416.58|$148.00|$160.00|$140.00|$317.60|$359.98|$269.98
"CPT® 92611"|"HB MOTION FLUOROSCOPY/SWALLOW"|444.00|$1002.00|$140.00|$552.10|$701.00|$536.07|$400.80|$227.45|$552.10|$424.85|$334.67|$525.05|$525.05|$148.00|$160.00|$140.00|$400.30|$453.71|$340.28
"CPT® 21421"|"HB TREAT MOUTH ROOF FRACTURE WITH WIRE FIX"|450.00|$7853.00|$675.00|$4327.00|$5497.00|$4201.36|$3141.20|$1782.63|$4327.00|$3329.67|$2622.90|$675.00|$920.00|$864.00|$936.00|$4193.50|$3137.27|$3555.84|$2666.88
"CPT® 23600"|"HB TREAT HUMERUS FRACTURE WITHOUT MANIPULATION"|450.00|$906.00|$205.66|$906.00|$634.00|$484.71|$362.40|$205.66|$499.21|$384.14|$302.60|$675.00|$906.00|$864.00|$906.00|$483.80|$361.95|$410.24|$307.68
"CPT® 23931"|"HB DRAINAGE OF ARM BURSA"|450.00|$3915.00|$675.00|$2157.17|$2740.00|$2094.53|$1566.00|$888.71|$2157.17|$1659.96|$1307.61|$675.00|$920.00|$864.00|$936.00|$2090.61|$1564.04|$1772.71|$1329.53
"CPT® 24500"|"HB TREAT HUMERUS FRACTURE WITHOUT MANIPULATION."|450.00|$1317.00|$298.96|$936.00|$922.00|$704.60|$526.80|$298.96|$725.67|$558.41|$439.88|$675.00|$920.00|$864.00|$936.00|$703.28|$526.14|$596.34|$447.25
"CPT® 24530"|"HB TREAT HUMERUS FRACTURE WITHOUT MANIPULATION OR EXTENSION"|450.00|$678.00|$153.91|$678.00|$475.00|$362.73|$271.20|$153.91|$373.58|$287.47|$226.45|$675.00|$678.00|$678.00|$678.00|$362.05|$270.86|$307.00|$230.25
"CPT® 24535"|"HB TREAT FX SUPRA/TRANS CONDYLAR W/MANIPULATION"|450.00|$1956.00|$444.01|$1077.76|$1369.00|$1046.46|$782.40|$444.01|$1077.76|$829.34|$653.30|$675.00|$920.00|$864.00|$936.00|$1044.50|$781.42|$885.68|$664.26
"CPT® 24577"|"HB HUMERUS CONDYLAR FRACTURE, WITH MANIPULATION"|450.00|$1956.00|$444.01|$1077.76|$1369.00|$1046.46|$782.40|$444.01|$1077.76|$829.34|$653.30|$675.00|$920.00|$864.00|$936.00|$1044.50|$781.42|$885.68|$664.26
"CPT® 24620"|"HB TREAT ELBOW FRACTURE MONTEGGIA TYPE WITH MANIPULATION"|450.00|$1956.00|$444.01|$1077.76|$1369.00|$1046.46|$782.40|$444.01|$1077.76|$829.34|$653.30|$675.00|$920.00|$864.00|$936.00|$1044.50|$781.42|$885.68|$664.26
"CPT® 24655"|"HB TREAT RADIUS FRACTURE WITH MANIPULATION"|450.00|$1956.00|$444.01|$1077.76|$1369.00|$1046.46|$782.40|$444.01|$1077.76|$829.34|$653.30|$675.00|$920.00|$864.00|$936.00|$1044.50|$781.42|$885.68|$664.26
"CPT® 24675"|"HB TREAT ULNAR FRACTURE WITH MANIPULATION"|450.00|$4659.00|$675.00|$2567.11|$3261.00|$2492.57|$1863.60|$1057.59|$2567.11|$1975.42|$1556.11|$675.00|$920.00|$864.00|$936.00|$2487.91|$1861.27|$2109.60|$1582.20
"CPT® 25560"|"HB TREAT FRACTURE RADIUS & ULNA W/O MANIPULATION"|450.00|$2296.00|$521.19|$1265.10|$1607.00|$1228.36|$918.40|$521.19|$1265.10|$973.50|$766.86|$675.00|$920.00|$864.00|$936.00|$1226.06|$917.25|$1039.63|$779.72
"CPT® 25600"|"HB TREAT FRACTURE RADIUS & ULNA W/O MANIPULATION COLLES SMITH TYPE"|450.00|$1397.00|$317.12|$936.00|$978.00|$747.40|$558.80|$317.12|$769.75|$592.33|$466.60|$675.00|$920.00|$864.00|$936.00|$746.00|$558.10|$632.56|$474.42
"CPT® 26433"|"HB REPAIR FINGER TENDON W/O GRAFT"|450.00|$8084.00|$675.00|$4454.28|$5659.00|$4324.94|$3233.60|$1835.07|$4454.28|$3427.62|$2700.06|$675.00|$920.00|$864.00|$936.00|$4316.86|$3229.56|$3660.44|$2745.33
"CPT® 26735"|"HB TREAT FINGER FRACTURE EACH FINGER OR THUMB"|450.00|$8780.00|$675.00|$4837.78|$6146.00|$4697.30|$3512.00|$1993.06|$4837.78|$3722.72|$2932.52|$675.00|$920.00|$864.00|$936.00|$4688.52|$3507.61|$3975.58|$2981.69
"CPT® 26746"|"HB TREAT FINGER FRACTURE EACH W/INTERNAL FIX"|450.00|$8752.00|$675.00|$4822.35|$6126.00|$4682.32|$3500.80|$1986.70|$4822.35|$3710.85|$2923.17|$675.00|$920.00|$864.00|$936.00|$4673.57|$3496.42|$3962.91|$2972.18
"CPT® 26765"|"HB TREAT FINGER FRACTURE EACH"|450.00|$6550.00|$675.00|$3609.05|$4585.00|$3504.25|$2620.00|$1486.85|$3609.05|$2777.20|$2187.70|$675.00|$920.00|$864.00|$936.00|$3497.70|$2616.73|$2965.84|$2224.38
"CPT® 26785"|"HB TREAT FINGER DISLOCATION SINGLE"|450.00|$6788.00|$675.00|$3740.19|$4752.00|$3631.58|$2715.20|$1540.88|$3740.19|$2878.11|$2267.19|$675.00|$920.00|$864.00|$936.00|$3624.79|$2711.81|$3073.61|$2305.20
"CPT® 27256"|"HB TX HIP DISLOC-NO ANES/MANIP"|450.00|$709.00|$160.94|$709.00|$496.00|$379.32|$283.60|$160.94|$390.66|$300.62|$236.81|$675.00|$709.00|$709.00|$709.00|$378.61|$283.25|$321.04|$240.78
"CPT® 27266"|"HB TREAT HIP DISLOCATION CLSD"|450.00|$2345.00|$532.32|$1292.10|$1642.00|$1254.58|$938.00|$532.32|$1292.10|$994.28|$783.23|$675.00|$920.00|$864.00|$936.00|$1252.23|$936.83|$1061.82|$796.36
"CPT® 27760"|"HB CLTX MEDIAL ANKLE FX"|450.00|$700.00|$158.90|$700.00|$490.00|$374.50|$280.00|$158.90|$385.70|$296.80|$233.80|$675.00|$700.00|$700.00|$700.00|$373.80|$279.65|$316.96|$237.72
"CPT® 27767"|"HB CLTX POST ANKLE FX"|450.00|$399.00|$90.57|$399.00|$279.00|$213.47|$159.60|$90.57|$219.85|$169.18|$133.27|$399.00|$399.00|$399.00|$399.00|$213.07|$159.40|$180.67|$135.50
"CPT® 27786"|"HB TX FX DISTAL FIBULA W/O MANIPULATION"|450.00|$648.00|$147.10|$648.00|$454.00|$346.68|$259.20|$147.10|$357.05|$274.75|$216.43|$648.00|$648.00|$648.00|$648.00|$346.03|$258.88|$293.41|$220.06
"CPT® 27824"|"HB TREAT LOWER LEG FRACTURE"|450.00|$1933.00|$438.79|$1065.08|$1353.00|$1034.16|$773.20|$438.79|$1065.08|$819.59|$645.62|$675.00|$920.00|$864.00|$936.00|$1032.22|$772.23|$875.26|$656.45
"CPT® 27825"|"HB CL TX WB DSTL TIB FX W MANP"|450.00|$1805.00|$409.74|$994.56|$1264.00|$965.68|$722.00|$409.74|$994.56|$765.32|$602.87|$675.00|$920.00|$864.00|$936.00|$963.87|$721.10|$817.30|$612.98
"CPT® 29280"|"HB STRAPPING OF HAND OR FINGER"|450.00|$503.00|$114.18|$503.00|$352.00|$269.11|$201.20|$114.18|$277.15|$213.27|$168.00|$503.00|$503.00|$503.00|$503.00|$268.60|$200.95|$227.76|$170.82
"CPT® 29530"|"HB STRAPPING OF KNEE"|450.00|$319.00|$72.41|$319.00|$223.00|$170.67|$127.60|$72.41|$175.77|$135.26|$106.55|$319.00|$319.00|$319.00|$319.00|$170.35|$127.44|$144.44|$108.33
"CPT® 30906"|"HB REPEAT CONTROL OF NOSEBLEED"|450.00|$1348.00|$306.00|$936.00|$944.00|$721.18|$539.20|$306.00|$742.75|$571.55|$450.23|$675.00|$920.00|$864.00|$936.00|$719.83|$538.53|$610.37|$457.78
"CPT® 31238"|"HB NASAL/SINUS ENDOSCOPY SURG"|450.00|$5256.00|$675.00|$2896.06|$3679.00|$2811.96|$2102.40|$1193.11|$2896.06|$2228.54|$1755.50|$675.00|$920.00|$864.00|$936.00|$2806.70|$2099.77|$2379.92|$1784.94
"CPT® 58662"|"HB LAPAROSCOPY EXCISE LESIONS"|450.00|$12006.00|$675.00|$6615.31|$8404.00|$6423.21|$4802.40|$2725.36|$6615.31|$5090.54|$4010.00|$675.00|$920.00|$864.00|$936.00|$6411.20|$4796.40|$5436.32|$4077.24
"CPT® 59150"|"HB TREAT ECTOPIC PREGNANCY"|450.00|$13715.00|$675.00|$7556.97|$9600.00|$7337.53|$5486.00|$3113.31|$7556.97|$5815.16|$4580.81|$675.00|$920.00|$864.00|$936.00|$7323.81|$5479.14|$6210.15|$4657.61
"CPT® 59812"|"HB TREATMENT OF MISCARRIAGE"|450.00|$3918.00|$675.00|$2158.82|$2743.00|$2096.13|$1567.20|$889.39|$2158.82|$1661.23|$1308.61|$675.00|$920.00|$864.00|$936.00|$2092.21|$1565.24|$1774.07|$1330.55
"CPT® 64831"|"HB REPAIR OF DIGIT NERVE"|450.00|$4628.00|$675.00|$2550.03|$3240.00|$2475.98|$1851.20|$1050.56|$2550.03|$1962.27|$1545.75|$675.00|$920.00|$864.00|$936.00|$2471.35|$1848.89|$2095.56|$1571.67
"CPT® 65220"|"HB REMOVE FB EYE CORNEAL W/OSL"|450.00|$500.00|$113.50|$500.00|$350.00|$267.50|$200.00|$113.50|$275.50|$212.00|$167.00|$500.00|$500.00|$500.00|$500.00|$267.00|$199.75|$226.40|$169.80
"CPT® 67700"|"HB DRAINAGE OF EYELID ABSCESS"|450.00|$666.00|$151.18|$666.00|$466.00|$356.31|$266.40|$151.18|$366.97|$282.38|$222.44|$666.00|$666.00|$666.00|$666.00|$355.64|$266.07|$301.56|$226.17
"CPT® 67938"|"HB REMOVE EYELID FOREIGN BODY"|450.00|$371.00|$84.22|$371.00|$260.00|$198.49|$148.40|$84.22|$204.42|$157.30|$123.91|$371.00|$371.00|$371.00|$371.00|$198.11|$148.21|$167.99|$125.99
"CPT® 69200"|"HB CLEAR OUTER EAR CANAL WO GEN ANESTHESIA"|450.00|$363.00|$82.40|$363.00|$254.00|$194.21|$145.20|$82.40|$200.01|$153.91|$121.24|$363.00|$363.00|$363.00|$363.00|$193.84|$145.02|$164.37|$123.27
"CPT® 99281"|"HB ED VISIT LEVEL 1"|450.00|$450.00|$102.15|$450.00|$315.00|$240.75|$180.00|$102.15|$247.95|$190.80|$150.30|$450.00|$450.00|$450.00|$450.00|$240.30|$179.78|$203.76|$152.82
"CPT® 99282"|"HB ED VISIT LEVEL 2"|450.00|$866.00|$196.58|$866.00|$606.00|$463.31|$346.40|$196.58|$477.17|$367.18|$289.24|$675.00|$866.00|$864.00|$866.00|$462.44|$345.97|$392.12|$294.09
"CPT® 99283"|"HB ED VISIT LEVEL 3"|450.00|$1444.00|$327.79|$936.00|$1011.00|$772.54|$577.60|$327.79|$795.64|$612.26|$482.30|$675.00|$920.00|$864.00|$936.00|$771.10|$576.88|$653.84|$490.38
"CPT® 99284"|"HB ED VISIT LEVEL 4"|450.00|$2983.00|$675.00|$1643.63|$2088.00|$1595.91|$1193.20|$677.14|$1643.63|$1264.79|$996.32|$675.00|$920.00|$864.00|$936.00|$1592.92|$1191.71|$1350.70|$1013.03
"CPT® 99285"|"HB ED VISIT LEVEL 5"|450.00|$4024.00|$675.00|$2217.22|$2817.00|$2152.84|$1609.60|$913.45|$2217.22|$1706.18|$1344.02|$675.00|$920.00|$864.00|$936.00|$2148.82|$1607.59|$1822.07|$1366.55
"CPT® 99291"|"HB CRITICAL CARE FIRST HOUR"|450.00|$3953.00|$675.00|$2178.10|$2767.00|$2114.86|$1581.20|$897.33|$2178.10|$1676.07|$1320.30|$675.00|$920.00|$864.00|$936.00|$2110.90|$1579.22|$1789.92|$1342.44
"CPT® 99292"|"HB CRITICAL CARE ADDL 30 MIN"|450.00|$3953.00|$675.00|$2178.10|$2767.00|$2114.86|$1581.20|$897.33|$2178.10|$1676.07|$1320.30|$675.00|$920.00|$864.00|$936.00|$2110.90|$1579.22|$1789.92|$1342.44
"CPT® 57160"|"HB INSERTION PESSARY/OTHER DEV"|450.00|$277.00|$62.88|$277.00|$194.00|$148.20|$110.80|$62.88|$152.63|$117.45|$92.52|$277.00|$277.00|$277.00|$277.00|$147.92|$110.66|$125.43|$94.07
"CPT® 24200"|"HB REMVAL FOREIGN BDY ARM/ELBW"|450.00|$1954.00|$443.56|$1076.65|$1368.00|$1045.39|$781.60|$443.56|$1076.65|$828.50|$652.64|$675.00|$920.00|$864.00|$936.00|$1043.44|$780.62|$884.77|$663.58
"CPT® 29260"|"HB STRAPPING ELBOW/WRIST"|450.00|$488.00|$110.78|$488.00|$342.00|$261.08|$195.20|$110.78|$268.89|$206.91|$162.99|$488.00|$488.00|$488.00|$488.00|$260.59|$194.96|$220.97|$165.72
"CPT® 94010"|"HB SPIROMETRY TIMED VITAL CAPACITY WITH OR WITHOUT MAXIMAL VOLUNTARY VENTILATION"|460.00|$1022.00|$151.00|$563.12|$715.00|$546.77|$408.80|$231.99|$563.12|$433.33|$341.35|$535.53|$535.53|$151.00|$163.00|$545.75|$408.29|$462.76|$347.07
"CPT® 94060"|"HB BRONCHODILATION RESPONSIVENESS, PRE/POST BRONCHODILATOR"|460.00|$1191.00|$151.00|$656.24|$834.00|$637.19|$476.40|$270.36|$656.24|$504.98|$397.79|$624.08|$624.08|$151.00|$163.00|$635.99|$475.80|$539.28|$404.46
"CPT® 94150"|"HB VITAL CAPACITY TEST"|460.00|$175.00|$39.73|$163.00|$122.00|$93.63|$70.00|$39.73|$96.43|$74.20|$58.45|$91.70|$91.70|$151.00|$163.00|$93.45|$69.91|$79.24|$59.43
"CPT® 94250"|"HB EXPIRED GAS COLLECTION"|460.00|$207.00|$46.99|$163.00|$145.00|$110.75|$82.80|$46.99|$114.06|$87.77|$69.14|$108.47|$108.47|$151.00|$163.00|$110.54|$82.70|$93.73|$70.30
"CPT® 94726"|"HB LUNG VOLUMES PLETHYSMOGRAPHY"|460.00|$633.00|$143.69|$348.78|$443.00|$338.66|$253.20|$143.69|$348.78|$268.39|$211.42|$331.69|$331.69|$151.00|$163.00|$338.02|$252.88|$286.62|$214.97
"CPT® 94727"|"HB PULM FUNCTION TEST BY GAS"|460.00|$524.00|$118.95|$288.72|$367.00|$280.34|$209.60|$118.95|$288.72|$222.18|$175.02|$274.58|$274.58|$151.00|$163.00|$279.82|$209.34|$237.27|$177.95
"CPT® 94729"|"HB CO/MEMBANE DIFFUSE CAPACITY"|460.00|$691.00|$151.00|$380.74|$484.00|$369.69|$276.40|$156.86|$380.74|$292.98|$230.79|$362.08|$362.08|$151.00|$163.00|$368.99|$276.05|$312.88|$234.66
"CPT® 94760"|"HB PULSE OXIMETRY; SINGLE"|460.00|$46.00|$10.44|$46.00|$32.00|$24.61|$18.40|$10.44|$25.35|$19.50|$15.36|$24.10|$24.10|$46.00|$46.00|$24.56|$18.38|$20.83|$15.62
"CPT® 94761"|"HB PULSE OXIMETRY W/EXERCISE; MULTIPLE"|460.00|$254.00|$57.66|$163.00|$178.00|$135.89|$101.60|$57.66|$139.95|$107.70|$84.84|$133.10|$133.10|$151.00|$163.00|$135.64|$101.47|$115.01|$86.26
"CPT® 94762"|"HB PULSE OXIMETRY; CONTINOUS OVERNIGHT"|460.00|$169.00|$38.36|$163.00|$118.00|$90.42|$67.60|$38.36|$93.12|$71.66|$56.45|$88.56|$88.56|$151.00|$163.00|$90.25|$67.52|$76.52|$57.39
"CPT® 94770"|"HB EXHALED CARBON DIOXIDE TEST"|460.00|$221.00|$50.85|$163.00|$155.00|$119.84|$89.60|$50.85|$123.42|$94.98|$74.82|$117.38|$117.38|$151.00|$163.00|$118.01|$67.00|$100.07|$57.00
"CPT® 94780"|"HB CAR SEAT TEST FIRST 60 MINUTES"|460.00|$74.00|$16.80|$74.00|$52.00|$39.59|$29.60|$16.80|$40.77|$31.38|$24.72|$38.78|$38.78|$74.00|$74.00|$39.52|$29.56|$33.51|$25.13
"CPT® 94618"|"HB PULMONARY STRESS TESTING"|460.00|$1036.00|$151.00|$570.84|$725.00|$554.26|$414.40|$235.17|$570.84|$439.26|$346.02|$542.86|$542.86|$151.00|$163.00|$553.22|$413.88|$469.10|$351.83
"CPT® 95992"|"HB CANALITH REPOSITIONING PROCEDURE"|470.00|$339.00|$76.95|$186.79|$237.00|$181.37|$135.60|$76.95|$186.79|$143.74|$113.23|$177.64|$177.64|$167.81|$180.69|$181.03|$135.43|$153.50|$115.12
"CPT® 92950"|"HB HEART/LUNG RESUSCITATION CPR"|480.00|$1041.00|$236.31|$573.59|$729.00|$556.94|$416.40|$236.31|$573.59|$441.38|$347.69|$545.48|$545.48|$445.00|$482.00|$555.89|$415.88|$471.36|$353.52
"CPT® 92960"|"HB CARDIOVERSION ELECTRIC EXT"|480.00|$2363.00|$445.00|$1302.01|$1654.00|$1264.21|$945.20|$536.40|$1302.01|$1001.91|$789.24|$1238.21|$1238.21|$445.00|$482.00|$1261.84|$944.02|$1069.97|$802.47
"CPT® 93288"|"HB PM DEVICE EVAL IN PERSON"|480.00|$164.00|$37.23|$164.00|$115.00|$87.74|$65.60|$37.23|$90.36|$69.54|$54.78|$85.94|$85.94|$164.00|$164.00|$87.58|$65.52|$74.26|$55.69
"CPT® 93289"|"HB INTERROG DEVICE EVAL HEART"|480.00|$217.00|$49.26|$217.00|$152.00|$116.10|$86.80|$49.26|$119.57|$92.01|$72.48|$113.71|$113.71|$217.00|$217.00|$115.88|$86.69|$98.26|$73.69
"CPT® 93303"|"HB ECHO CONG HEART-COMPLETE"|480.00|$1400.00|$317.80|$771.40|$980.00|$749.00|$560.00|$317.80|$771.40|$593.60|$467.60|$733.60|$733.60|$445.00|$482.00|$747.60|$559.30|$633.92|$475.44
"CPT® 93306"|"HB TTE W/DOPPLER COMPLETE"|480.00|$4955.00|$445.00|$2730.21|$3468.00|$2650.93|$1982.00|$1124.79|$2730.21|$2100.92|$1654.97|$2596.42|$2596.42|$445.00|$482.00|$2645.97|$1979.52|$2243.62|$1682.72
"CPT® 93307"|"HB TTE W/O DOPPLER COMPLETE"|480.00|$2239.00|$445.00|$1233.69|$1567.00|$1197.87|$895.60|$508.25|$1233.69|$949.34|$747.83|$1173.24|$1173.24|$445.00|$482.00|$1195.63|$894.48|$1013.82|$760.36
"CPT® 93308"|"HB TTE F-UP OR LMTD"|480.00|$1551.00|$352.08|$854.60|$1086.00|$829.79|$620.40|$352.08|$854.60|$657.62|$518.03|$812.72|$812.72|$445.00|$482.00|$828.23|$619.62|$702.29|$526.72
"CPT® 93312"|"HB ECHO TRANSESOPHAGEAL WITH IMAGING (2D); WITH OR WITHOUT M-MODE RECORDING"|480.00|$3057.00|$445.00|$1684.41|$2140.00|$1635.50|$1222.80|$693.94|$1684.41|$1296.17|$1021.04|$1601.87|$1601.87|$445.00|$482.00|$1632.44|$1221.27|$1384.21|$1038.16
"CPT® 93320"|"HB DOPPLER ECHO PULSE/CONTINUOUS WAVE WITH SPECTRAL; COMPLETE; ADD-ON"|480.00|$1233.00|$279.89|$679.38|$863.00|$659.66|$493.20|$279.89|$679.38|$522.79|$411.82|$646.09|$646.09|$445.00|$482.00|$658.42|$492.58|$558.30|$418.73
"CPT® 93321"|"HB LIMITED DOPPLER - ADD ON"|480.00|$1043.00|$236.76|$574.69|$730.00|$558.01|$417.20|$236.76|$574.69|$442.23|$348.36|$546.53|$546.53|$445.00|$482.00|$556.96|$416.68|$472.27|$354.20
"CPT® 93351"|"HB STRESS TTE COMPLETE"|480.00|$5336.00|$445.00|$2940.14|$3735.00|$2854.76|$2134.40|$1211.27|$2940.14|$2262.46|$1782.22|$2796.06|$2796.06|$445.00|$482.00|$2849.42|$2131.73|$2416.14|$1812.11
"CPT® 93620"|"HB ELECTROPHYSIOLOGY EVALUATION WITH INDUCTION"|480.00|$11479.00|$445.00|$6324.93|$8035.00|$6141.27|$4591.60|$2605.73|$6324.93|$4867.10|$3833.99|$6015.00|$6015.00|$445.00|$482.00|$6129.79|$4585.86|$5197.69|$3898.27
"CPT® 93621"|"HB ELECTROPHYSIOLOGY EVALUATION WITH INDUCTION; ADD-ON"|480.00|$11525.00|$445.00|$6350.28|$8067.00|$6165.88|$4610.00|$2616.18|$6350.28|$4886.60|$3849.35|$6039.10|$6039.10|$445.00|$482.00|$6154.35|$4604.24|$5218.52|$3913.89
"CPT® 93623"|"HB STIMULATION PACING, POST INTRAVENOUS INFUSE; ADD-ON"|480.00|$9488.00|$445.00|$5227.89|$6642.00|$5076.08|$3795.20|$2153.78|$5227.89|$4022.91|$3168.99|$4971.71|$4971.71|$445.00|$482.00|$5066.59|$3790.46|$4296.17|$3222.12
"CPT® 93641"|"HB ELECTROPHYSIOLOGIC EVAL SINGLE/DUAL ICD GENERATOR & LEAD TESTING"|480.00|$5375.00|$445.00|$2915.89|$3762.00|$2831.22|$2116.80|$1201.28|$2915.89|$2243.81|$1767.53|$2773.01|$2773.01|$445.00|$482.00|$2870.25|$2147.31|$2433.80|$1825.35
"CPT® 33210"|"HB TEMP PACER INSERT"|480.00|$16487.00|$445.00|$8913.53|$11541.00|$8654.70|$6470.80|$3672.18|$8913.53|$6859.05|$5403.12|$8476.75|$8476.75|$445.00|$482.00|$8804.06|$6586.56|$7465.31|$5598.99
"CPT® 93355"|"HB ECHO TEE GUIDE/TRANSCATH PROC"|480.00|$6977.00|$445.00|$3844.33|$4884.00|$3732.70|$2790.80|$1583.78|$3844.33|$2958.25|$2330.32|$3655.95|$3655.95|$445.00|$482.00|$3725.72|$2787.31|$3159.19|$2369.39
"CPT® 0296T"|"HB EXT ECG RECORDING"|480.00|$646.00|$146.64|$482.00|$452.00|$345.61|$258.40|$146.64|$355.95|$273.90|$215.76|$338.50|$338.50|$445.00|$482.00|$344.96|$258.08|$292.51|$219.38
"HCPCS C9601"|"HB PERC DRUG-EL COR STENT BRAN"|480.00|$13459.00|$445.00|$7415.91|$9421.00|$7200.57|$5383.60|$3055.19|$7415.91|$5706.62|$4495.31|$7052.52|$7052.52|$445.00|$482.00|$7187.11|$5376.87|$6094.24|$4570.68
"HCPCS C9604"|"HB PERC D-E COR REVASC T CABG S"|480.00|$20190.00|$445.00|$11124.69|$14133.00|$10801.65|$8076.00|$4583.13|$11124.69|$8560.56|$6743.46|$10579.56|$10579.56|$445.00|$482.00|$10781.46|$8065.91|$9142.03|$6856.52
"CPT® 93571"|"HB FRACTIONAL FLOW RESERVE INITIAL VESSEL; ADD-ON"|480.00|$5063.00|$445.00|$2789.71|$3544.00|$2708.71|$2025.20|$1149.30|$2789.71|$2146.71|$1691.04|$2653.01|$2653.01|$445.00|$482.00|$2703.64|$2022.67|$2292.53|$1719.39
"CPT® 92978"|"HB INTRAVASCULAR ULTRASOUND, INITIAL VESSEL; ADD-ON"|480.00|$4930.00|$445.00|$2716.43|$3451.00|$2637.55|$1972.00|$1119.11|$2716.43|$2090.32|$1646.62|$2583.32|$2583.32|$445.00|$482.00|$2632.62|$1969.54|$2232.30|$1674.23
"CPT® 33274"|"HB TCAT INSJ/RPL PERM LDLS PM"|480.00|$33649.00|$445.00|$18540.60|$23554.00|$18002.22|$13459.60|$7638.32|$18540.60|$14267.18|$11238.77|$17632.08|$17632.08|$445.00|$482.00|$17968.57|$13442.78|$15236.27|$11427.20
"CPT® 93356"|"HB MYOCRD STRAIN IMG SPCKL TRCK"|480.00|$704.00|$159.81|$482.00|$493.00|$376.64|$281.60|$159.81|$387.90|$298.50|$235.14|$368.90|$368.90|$445.00|$482.00|$375.94|$281.25|$318.77|$239.08
"CPT® 93613"|"HB ELECTROPHYS MAP 3D ADD-ON"|480.00|$11019.00|$445.00|$6071.47|$7713.00|$5895.17|$4407.60|$2501.31|$6071.47|$4672.06|$3680.35|$5773.96|$5773.96|$445.00|$482.00|$5884.15|$4402.09|$4989.40|$3742.05
"CPT® 93650"|"HB ABLATION OF ATRIOVENTRICULAR NODE"|480.00|$12922.00|$445.00|$7120.02|$9045.00|$6913.27|$5168.80|$2933.29|$7120.02|$5478.93|$4315.95|$6771.13|$6771.13|$445.00|$482.00|$6900.35|$5162.34|$5851.08|$4388.31
"CPT® 93653"|"HB EP & ABLATE SUPRAVENT ARRHYT"|480.00|$33916.00|$445.00|$18687.72|$23741.00|$18145.06|$13566.40|$7698.93|$18687.72|$14380.38|$11327.94|$17771.98|$17771.98|$445.00|$482.00|$18111.14|$13549.44|$15357.16|$11517.87
"CPT® 93654"|"HB EP & ABLATE VENTRIC TACHY"|480.00|$33916.00|$445.00|$18687.72|$23741.00|$18145.06|$13566.40|$7698.93|$18687.72|$14380.38|$11327.94|$17771.98|$17771.98|$445.00|$482.00|$18111.14|$13549.44|$15357.16|$11517.87
"CPT® 93655"|"HB ABLATE ARRHYTHMIA ADD ON"|480.00|$19567.00|$445.00|$10781.42|$13697.00|$10468.35|$7826.80|$4441.71|$10781.42|$8296.41|$6535.38|$10253.11|$10253.11|$445.00|$482.00|$10448.78|$7817.02|$8859.94|$6644.95
"CPT® 93656"|"HB TX ATRIAL FIB PULM VEIN ISOL"|480.00|$33916.00|$445.00|$18687.72|$23741.00|$18145.06|$13566.40|$7698.93|$18687.72|$14380.38|$11327.94|$17771.98|$17771.98|$445.00|$482.00|$18111.14|$13549.44|$15357.16|$11517.87
"CPT® 93657"|"HB TX L/R ATRIAL FIB ADDL"|480.00|$7247.00|$445.00|$3993.10|$5073.00|$3877.15|$2898.80|$1645.07|$3993.10|$3072.73|$2420.50|$3797.43|$3797.43|$445.00|$482.00|$3869.90|$2895.18|$3281.44|$2461.08
"CPT® 93660"|"HB TILT TABLE EVALUATION"|480.00|$5214.00|$445.00|$2872.91|$3650.00|$2789.49|$2085.60|$1183.58|$2872.91|$2210.74|$1741.48|$2732.14|$2732.14|$445.00|$482.00|$2784.28|$2082.99|$2360.90|$1770.67
"CPT® 93662"|"HB INTRACARDIAC ECG (ICE)"|480.00|$7987.00|$445.00|$4400.84|$5591.00|$4273.05|$3194.80|$1813.05|$4400.84|$3386.49|$2667.66|$4185.19|$4185.19|$445.00|$482.00|$4265.06|$3190.81|$3616.51|$2712.39
"CPT® 33207"|"HB INSERT HEART PM VENTRICULAR"|481.00|$11308.00|$2566.92|$11308.00|$7916.00|$6049.78|$4523.20|$2566.92|$6897.88|$4794.59|$3776.87|$5925.39|$5925.39|$11308.00|$11308.00|$6038.47|$4517.55|$5120.26|$3840.20
"CPT® 33208"|"HB INSRT HEART PM ATRIAL & VENT"|481.00|$11308.00|$2566.92|$11308.00|$7916.00|$6049.78|$4523.20|$2566.92|$6897.88|$4794.59|$3776.87|$5925.39|$5925.39|$11308.00|$11308.00|$6038.47|$4517.55|$5120.26|$3840.20
"CPT® 33210"|"HB INSERT ELECTRD/PM CATH SNGL"|481.00|$8550.00|$1940.85|$5491.00|$5985.00|$4574.25|$3420.00|$1940.85|$5215.50|$3625.20|$2855.70|$4480.20|$4480.20|$5072.00|$5491.00|$4565.70|$3415.73|$3871.44|$2903.58
"CPT® 33216"|"HB INSERT 1 ELECTRODE PM-DEFIB"|481.00|$7371.00|$1858.68|$5491.00|$5160.00|$4380.58|$3275.20|$1858.68|$4994.68|$3471.71|$2734.79|$4290.51|$4290.51|$5072.00|$5491.00|$3936.11|$2944.71|$3337.59|$2503.19
"CPT® 33225"|"HB L VENTRIC PACING LEAD ADD-ON"|481.00|$8534.00|$1937.22|$8534.00|$5974.00|$4565.69|$3413.60|$1937.22|$5205.74|$3618.42|$2850.36|$4471.82|$4471.82|$8534.00|$8534.00|$4557.16|$3409.33|$3864.20|$2898.15
"CPT® 33228"|"HB REMV&REPLC PM GEN DUAL LEAD"|481.00|$11308.00|$2566.92|$11308.00|$7916.00|$6049.78|$4523.20|$2566.92|$6897.88|$4794.59|$3776.87|$5925.39|$5925.39|$11308.00|$11308.00|$6038.47|$4517.55|$5120.26|$3840.20
"CPT® 33233"|"HB REMOVAL OF PM GENERATOR"|481.00|$14563.00|$3305.80|$8883.43|$10194.00|$7791.21|$5825.20|$3305.80|$8883.43|$6174.71|$4864.04|$7631.01|$7631.01|$5072.00|$5491.00|$7776.64|$5817.92|$6594.13|$4945.59
"CPT® 33235"|"HB REMOVAL PACEMAKER ELECTRODE"|481.00|$10294.00|$1296.40|$5497.00|$7206.00|$3055.39|$2284.40|$1296.40|$3483.71|$2421.46|$1907.47|$2992.56|$2992.56|$5072.00|$5491.00|$5497.00|$4112.45|$4661.12|$3495.84
"CPT® 33244"|"HB REMOVE ELCTRD TRANSVENOUSLY"|481.00|$3570.00|$940.01|$4141.00|$2499.00|$2215.44|$1656.40|$940.01|$2526.01|$1755.78|$1383.09|$2169.88|$2169.88|$4141.00|$4141.00|$1906.38|$1426.22|$1616.50|$1212.37
"CPT® 33249"|"HB INSJ/RPLCMT DEFIB W/LEAD(S)"|481.00|$35916.00|$8152.93|$35916.00|$25141.00|$19215.06|$14366.40|$8152.93|$9023.00|$15228.38|$11995.94|$18819.98|$18819.98|$35916.00|$35916.00|$19179.14|$14348.44|$16262.76|$12197.07
"CPT® 33262"|"HB RMVL& REPLC PULSE GEN 1 LEAD"|481.00|$25649.00|$5822.32|$25649.00|$17954.00|$13722.22|$10259.60|$5822.32|$9023.00|$10875.18|$8566.77|$13440.08|$13440.08|$25649.00|$25649.00|$13696.57|$10246.78|$11613.87|$8710.40
"CPT® 33263"|"HB RMVL & RPLCMT DFB GEN 2 LEAD"|481.00|$25649.00|$5822.32|$25649.00|$17954.00|$13722.22|$10259.60|$5822.32|$9023.00|$10875.18|$8566.77|$13440.08|$13440.08|$25649.00|$25649.00|$13696.57|$10246.78|$11613.87|$8710.40
"CPT® 33264"|"HB RMVL & RPLCMT DFB GEN MLT LD"|481.00|$35916.00|$8152.93|$35916.00|$25141.00|$19215.06|$14366.40|$8152.93|$9023.00|$15228.38|$11995.94|$18819.98|$18819.98|$35916.00|$35916.00|$19179.14|$14348.44|$16262.76|$12197.07
"CPT® 33967"|"HB INSERT I-AORT PERCUT DEVICE"|481.00|$5301.00|$1203.33|$5301.00|$3711.00|$2836.04|$2120.40|$1203.33||$2247.62|$1770.53|$2777.72|$2777.72|$5072.00|$5301.00|$2830.73|$2117.75|$2400.29|$1800.22
"CPT® 33968"|"HB REMOVE AORTIC ASSIST DEVICE"|481.00|$1252.00|$329.60|$1452.00|$876.00|$776.82|$580.80|$329.60||$615.65|$484.97|$760.85|$760.85|$1452.00|$1452.00|$668.57|$500.17|$566.91|$425.18
"CPT® 92920"|"HB PRQ CARDIAC ANGIOPLAST 1 ART"|481.00|$12754.00|$2895.16|$7779.94|$8928.00|$6823.39|$5101.60|$2895.16|$7779.94|$5407.70|$4259.84|$6683.10|$6683.10|$6644.00|$7193.00|$6810.64|$5095.22|$5775.01|$4331.26
"CPT® 92921"|"HB PRQ CARDIAC ANGIO ADDL ART"|481.00|$8503.00|$1930.18|$7193.00|$5952.00|$4549.11|$3401.20|$1930.18|$5186.83|$3605.27|$2840.00|$4455.57|$4455.57|$6644.00|$7193.00|$4540.60|$3396.95|$3850.16|$2887.62
"CPT® 92928"|"HB PRQ CARD STENT W/ANGIO 1 VSL"|481.00|$19573.00|$4443.07|$11307.00|$13701.00|$10471.56|$7829.20|$4443.07|$9023.00|$8298.95|$6537.38|$10256.25|$10256.25|$10444.00|$11307.00|$10451.98|$7819.41|$8862.65|$6646.99
"CPT® 92929"|"HB PRQ CARD STENT W/ANGIO ADDL"|481.00|$13049.00|$2962.12|$11307.00|$9134.00|$6981.22|$5219.60|$2962.12||$5532.78|$4358.37|$6837.68|$6837.68|$10444.00|$11307.00|$6968.17|$5213.08|$5908.59|$4431.44
"CPT® 92933"|"HB PERCUTANEOUS CARDIAC STENT/ATHERECTOMY/ANGIOPLASTY; INITIAL VESSEL"|481.00|$18584.00|$4218.57|$11307.00|$13009.00|$9942.44|$7433.60|$4218.57|$9023.00|$7879.62|$6207.06|$9738.02|$9738.02|$10444.00|$11307.00|$9923.86|$7424.31|$8414.84|$6311.13
"CPT® 92937"|"HB PRQ REVASC BYP GRAFT 1 VSL"|481.00|$19573.00|$4443.07|$11307.00|$13701.00|$10471.56|$7829.20|$4443.07||$8298.95|$6537.38|$10256.25|$10256.25|$10444.00|$11307.00|$10451.98|$7819.41|$8862.65|$6646.99
"CPT® 92941"|"HB PRQ CARD REVASC MI 1 VSL"|481.00|$17372.00|$3943.44|$11307.00|$12160.00|$9294.02|$6948.80|$3943.44|$9023.00|$7365.73|$5802.25|$9102.93|$9102.93|$10444.00|$11307.00|$9276.65|$6940.11|$7866.04|$5899.53
"CPT® 92953"|"HB TEMPORARY EXTERNAL PACING"|481.00|$487.00|$110.55|$487.00|$341.00|$260.55|$194.80|$110.55||$206.49|$162.66|$255.19|$255.19|$487.00|$487.00|$260.06|$194.56|$220.51|$165.39
"CPT® 93451"|"HB RIGHT HEART CATH"|481.00|$13779.00|$3127.83|$8405.19|$9645.00|$7371.77|$5511.60|$3127.83|$8405.19|$5842.30|$4602.19|$7220.20|$7220.20|$5072.00|$5491.00|$7357.99|$5504.71|$6239.13|$4679.35
"CPT® 93453"|"HB R&L HRT CATH W/VENTRICLGRPHY"|481.00|$11709.00|$2657.94|$7142.49|$8196.00|$6264.32|$4683.60|$2657.94|$7142.49|$4964.62|$3910.81|$6135.52|$6135.52|$5072.00|$5491.00|$6252.61|$4677.75|$5301.84|$3976.38
"CPT® 93454"|"HB CORONARY ARTERY ANGIO S&I"|481.00|$16440.00|$3731.88|$9023.00|$11508.00|$8795.40|$6576.00|$3731.88|$9023.00|$6970.56|$5490.96|$8614.56|$8614.56|$5072.00|$5491.00|$8778.96|$6567.78|$7444.03|$5583.02
"CPT® 93455"|"HB CORONARY ART/GRFT ANGIO S&I"|481.00|$8369.00|$1899.76|$5491.00|$5858.00|$4477.42|$3347.60|$1899.76|$5105.09|$3548.46|$2795.25|$4385.36|$4385.36|$5072.00|$5491.00|$4469.05|$3343.42|$3789.48|$2842.11
"CPT® 93456"|"HB R HRT CORONARY ARTERY ANGIO"|481.00|$10454.00|$2373.06|$6376.94|$7318.00|$5592.89|$4181.60|$2373.06|$6376.94|$4432.50|$3491.64|$5477.90|$5477.90|$5072.00|$5491.00|$5582.44|$4176.37|$4733.57|$3550.18
"CPT® 93458"|"HB L HRT ARTERY/VENTRICLE ANGIO"|481.00|$12911.00|$2930.80|$7875.71|$9038.00|$6907.39|$5164.40|$2930.80|$7875.71|$5474.26|$4312.27|$6765.36|$6765.36|$5072.00|$5491.00|$6894.47|$5157.94|$5846.10|$4384.58
"CPT® 93459"|"HB L HRT ART/GRFT ANGIO"|481.00|$13381.00|$3037.49|$8162.41|$9367.00|$7158.84|$5352.40|$3037.49|$8162.41|$5673.54|$4469.25|$7011.64|$7011.64|$5072.00|$5491.00|$7145.45|$5345.71|$6058.92|$4544.19
"CPT® 93460"|"HB RIGHT & LEFT HEART CATH (RLHC) FOR LEFT VENTRICULOGRAM (LVGRAM) W/S&I"|481.00|$13418.00|$3045.89|$8184.98|$9393.00|$7178.63|$5367.20|$3045.89|$8184.98|$5689.23|$4481.61|$7031.03|$7031.03|$5072.00|$5491.00|$7165.21|$5360.49|$6075.67|$4556.75
"CPT® 93461"|"HB RIGHT & LEFT HEART ARTERY/VENTRICAL (RLHC) FOR LEFT VENTRICULOGRAM (LVGRAM) GRAFTS W/S&I"|481.00|$14735.00|$3344.85|$8988.35|$10314.00|$7883.23|$5894.00|$3344.85|$8988.35|$6247.64|$4921.49|$7721.14|$7721.14|$5072.00|$5491.00|$7868.49|$5886.63|$6672.01|$5004.01
"CPT® 93567"|"HB INJECT SUPRVLV AORTOGRAPHY"|481.00|$444.00|$100.79|$444.00|$311.00|$237.54|$177.60|$100.79|$270.84|$188.26|$148.30|$232.66|$232.66|$444.00|$444.00|$237.10|$177.38|$201.04|$150.78
"HCPCS C9602"|"HB PERC D-E COR STENT ATHER S"|481.00|$20190.00|$4583.13|$17471.00|$14133.00|$10801.65|$8076.00|$4583.13|$9023.00|$8560.56|$6743.46|$10579.56|$10579.56|$16138.00|$17471.00|$10781.46|$8065.91|$9142.03|$6856.52
"HCPCS C9606"|"HB PERC D-E COR REVASC W AMI S"|481.00|$20190.00|$4583.13|$17471.00|$14133.00|$10801.65|$8076.00|$4583.13|$9023.00|$8560.56|$6743.46|$10579.56|$10579.56|$16138.00|$17471.00|$10781.46|$8065.91|$9142.03|$6856.52
"HCPCS G0278"|"HB ILIAC ART ANGIO,CARDIAC CATH"|481.00|$5820.00|$1126.60|$4963.00|$4074.00|$2655.21|$1985.20|$1126.60|$3027.43|$2104.31|$1657.64|$2600.61|$2600.61|$4963.00|$4963.00|$3107.88|$2325.09|$2635.30|$1976.47
"HCPCS C9600"|"HB PERC DRUG-EL COR STENT SING"|481.00|$18768.00|$4260.34|$17471.00|$13138.00|$10040.88|$7507.20|$4260.34|$9023.00|$7957.63|$6268.51|$9834.43|$9834.43|$16138.00|$17471.00|$10022.11|$7497.82|$8498.15|$6373.61
"CPT® 33285"|"HB INSJ SUBQ CAR RHYTHM MNTR"|481.00|$9072.00|$2059.34|$5533.92|$6350.00|$4853.52|$3628.80|$2059.34|$5533.92|$3846.53|$3030.05|$4753.73|$4753.73|$5072.00|$5491.00|$4844.45|$3624.26|$4107.80|$3080.85
"CPT® 33286"|"HB RMVL SUBQ CAR RHYTHM MNTR"|481.00|$4444.00|$1008.79|$4444.00|$3111.00|$2377.54|$1777.60|$1008.79|$2710.84|$1884.26|$1484.30|$2328.66|$2328.66|$4444.00|$4444.00|$2373.10|$1775.38|$2012.24|$1509.18
"CPT® 33016"|"HB PERICARDIOCENTESIS W/IMAGING"|481.00|$1626.00|$428.12|$1886.00|$1138.00|$1009.01|$754.40|$428.12||$799.66|$629.92|$988.26|$988.26|$1886.00|$1886.00|$868.28|$649.59|$736.25|$552.19
"CPT® 93017"|"HB CARDIOVASCULAR STRESS TEST"|482.00|$1681.00|$381.59|$926.23|$1177.00|$899.34|$672.40|$381.59|$926.23|$712.74|$561.45|$880.84|$880.84|$462.00|$500.00|$897.65|$671.56|$761.16|$570.87
"CPT® 93325"|"HB DOPPLER COLOR FLOW ADD-ON"|483.00|$1027.00|$233.13|$565.88|$719.00|$549.45|$410.80|$233.13|$565.88|$435.45|$343.02|$538.15|$538.15|$270.00|$293.00|$548.42|$410.29|$465.03|$348.77
"CPT® 93350"|"HB ECHO STRESS TRANSTHORACIC"|483.00|$4728.00|$270.00|$2605.13|$3310.00|$2529.48|$1891.20|$1073.26|$2605.13|$2004.67|$1579.15|$2477.47|$2477.47|$270.00|$293.00|$2524.75|$1888.84|$2140.84|$1605.63
"CPT® 64633"|"HB DEST C/T FCET NRV BIL W IMG"|510.00|$5204.00|$55.00|$2867.40|$3643.00|$2784.14|$2081.60|$1181.31|$2867.40|$2206.50|$1738.14|$55.00|$55.00|$2575.98|$2773.73|$2778.94|$2079.00|$2356.37|$1767.28
"CPT® 99201"|"HB OFFICE/OUTPATIENT VISIT NEW LEVEL 1"|510.00|$230.00|$52.21|$126.73|$161.00|$123.05|$92.00|$52.21|$126.73|$97.52|$76.82|$55.00|$55.00|$113.85|$122.59|$122.82|$91.89|$104.14|$78.11
"CPT® 99202"|"HB OFFICE/OUTPATIENT VISIT NEW LEVEL 2"|510.00|$284.00|$55.00|$156.48|$199.00|$151.94|$113.60|$64.47|$156.48|$120.42|$94.86|$55.00|$55.00|$140.58|$151.37|$151.66|$113.46|$128.60|$96.45
"CPT® 99203"|"HB OFFICE/OUTPATIENT VISIT NEW LEVEL 3"|510.00|$366.00|$55.00|$201.67|$256.00|$195.81|$146.40|$83.08|$201.67|$155.18|$122.24|$55.00|$55.00|$181.17|$195.08|$195.44|$146.22|$165.72|$124.29
"CPT® 99204"|"HB OFFICE/OUTPATIENT VISIT NEW LEVEL 4"|510.00|$460.00|$55.00|$253.46|$322.00|$246.10|$184.00|$104.42|$253.46|$195.04|$153.64|$55.00|$55.00|$227.70|$245.18|$245.64|$183.77|$208.29|$156.22
"CPT® 99205"|"HB OFFICE/OUTPATIENT VISIT NEW LEVEL 5"|510.00|$578.00|$55.00|$318.48|$405.00|$309.23|$231.20|$131.21|$318.48|$245.07|$193.05|$55.00|$55.00|$286.11|$308.07|$308.65|$230.91|$261.72|$196.29
"CPT® 99211"|"HB OFFICE/OUTPATIENT VISIT ESTABLISHED LEVEL 1"|510.00|$190.00|$43.13|$104.69|$133.00|$101.65|$76.00|$43.13|$104.69|$80.56|$63.46|$55.00|$55.00|$94.05|$101.27|$101.46|$75.91|$86.03|$64.52
"CPT® 99212"|"HB OFFICE/OUTPATIENT VISIT ESTABLISHED LEVEL 2"|510.00|$238.00|$54.03|$131.14|$167.00|$127.33|$95.20|$54.03|$131.14|$100.91|$79.49|$55.00|$55.00|$117.81|$126.85|$127.09|$95.08|$107.77|$80.82
"CPT® 99213"|"HB OFFICE/OUTPATIENT VISIT ESTABLISHED LEVEL 3"|510.00|$350.00|$55.00|$192.85|$245.00|$187.25|$140.00|$79.45|$192.85|$148.40|$116.90|$55.00|$55.00|$173.25|$186.55|$186.90|$139.83|$158.48|$118.86
"CPT® 99214"|"HB OFFICE/OUTPATIENT VISIT ESTABLISHED LEVEL 4"|510.00|$400.00|$55.00|$220.40|$280.00|$214.00|$160.00|$90.80|$220.40|$169.60|$133.60|$55.00|$55.00|$198.00|$213.20|$213.60|$159.80|$181.12|$135.84
"CPT® 99215"|"HB OFFICE/OUTPATIENT VISIT ESTABLISHED LEVEL 5"|510.00|$456.00|$55.00|$251.26|$319.00|$243.96|$182.40|$103.51|$251.26|$193.34|$152.30|$55.00|$55.00|$225.72|$243.05|$243.50|$182.17|$206.48|$154.86
"CPT® 69209"|"HB REMOVAL IMPACTED CERUMEN, IRRIGATION/LAVAGE, UNILATERAL"|510.00|$304.00|$55.00|$167.50|$213.00|$162.64|$121.60|$69.01|$167.50|$128.90|$101.54|$55.00|$55.00|$150.48|$162.03|$162.34|$121.45|$137.65|$103.24
"CPT® 64405"|"HB OCCIPITAL NERVE BLOCK"|510.00|$637.00|$55.00|$350.99|$446.00|$340.80|$254.80|$144.60|$350.99|$270.09|$212.76|$55.00|$55.00|$315.32|$339.52|$340.16|$254.48|$288.43|$216.33
"CPT® 70336"|"HB MAGNETIC IMAGE JAW JOINT"|610.00|$4316.00|$979.73|$2309.06|$3021.00|$2309.06|$1726.40|$979.73|$1339.00|$1829.98|$1441.54|$2261.58|$2261.58|$1262.00|$1366.00|$1800.00|$1724.24|$1954.28|$1465.71
"CPT® 70540"|"HB MRI ORBIT/FACE/NECK W/O DYE"|610.00|$4653.00|$1056.23|$2489.36|$3257.00|$2489.36|$1861.20|$1056.23|$1339.00|$1972.87|$1554.10|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1858.87|$2106.88|$1580.16
"CPT® 70542"|"HB MRI ORBIT/FACE/NECK W/DYE"|610.00|$5402.00|$1226.25|$2890.07|$3781.00|$2890.07|$2160.80|$1226.25|$1339.00|$2290.45|$1804.27|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$2158.10|$2446.03|$1834.52
"CPT® 70543"|"HB MRI ORBT/FAC/NCK W/O &W/DYE"|610.00|$5702.00|$1262.00|$3050.57|$3991.00|$3050.57|$2280.80|$1294.35|$1339.00|$2417.65|$1904.47|$2987.85|$2987.85|$1262.00|$1366.00|$1800.00|$2277.95|$2581.87|$1936.40
"CPT® 70544"|"HB MRA HEAD WITHOUT CONTRAST"|610.00|$4424.00|$1004.25|$2366.84|$3097.00|$2366.84|$1769.60|$1004.25|$1339.00|$1875.78|$1477.62|$2318.18|$2318.18|$1262.00|$1366.00|$1800.00|$1767.39|$2003.19|$1502.39
"CPT® 70545"|"HB MR ANGIOGRAPHY HEAD W/DYE"|610.00|$5482.00|$1244.41|$2932.87|$3837.00|$2932.87|$2192.80|$1244.41|$1339.00|$2324.37|$1830.99|$2872.57|$2872.57|$1262.00|$1366.00|$1800.00|$2190.06|$2482.25|$1861.69
"CPT® 70546"|"HB MRA HEAD WITH AND WITHOUT CONTRAST"|610.00|$6402.00|$1262.00|$3425.07|$4481.00|$3425.07|$2560.80|$1453.25|$1339.00|$2714.45|$2138.27|$3354.65|$3354.65|$1262.00|$1366.00|$1800.00|$2557.60|$2898.83|$2174.12
"CPT® 70547"|"HB MRA NECK WITHOUT CONTRAST"|610.00|$3788.00|$859.88|$2026.58|$2652.00|$2026.58|$1515.20|$859.88|$1339.00|$1606.11|$1265.19|$1984.91|$1984.91|$1262.00|$1366.00|$1800.00|$1513.31|$1715.21|$1286.40
"CPT® 70548"|"HB MR ANGIOGRAPHY NECK W/DYE"|610.00|$4309.00|$978.14|$2305.32|$3016.00|$2305.32|$1723.60|$978.14|$1339.00|$1827.02|$1439.21|$2257.92|$2257.92|$1262.00|$1366.00|$1800.00|$1721.45|$1951.12|$1463.34
"CPT® 70549"|"HB MRA NECK WITH AND WITHOUT CONTRAST"|610.00|$4899.00|$1112.07|$2620.97|$3429.00|$2620.97|$1959.60|$1112.07|$1339.00|$2077.18|$1636.27|$2567.08|$2567.08|$1262.00|$1366.00|$1800.00|$1957.15|$2218.27|$1663.70
"CPT® 71550"|"HB MRI CHEST W/O DYE"|610.00|$3290.00|$746.83|$1794.00|$2303.00|$1760.15|$1316.00|$746.83|$1339.00|$1394.96|$1098.86|$1258.00|$1794.00|$1262.00|$1366.00|$1756.86|$1314.36|$1489.71|$1117.28
"CPT® 71551"|"HB MRI CHEST W/DYE"|610.00|$4168.00|$946.14|$2229.88|$2918.00|$2229.88|$1667.20|$946.14|$1339.00|$1767.23|$1392.11|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1665.12|$1887.27|$1415.45
"CPT® 71552"|"HB MRI CHEST W/O & W/DYE"|610.00|$4901.00|$1112.53|$2622.04|$3431.00|$2622.04|$1960.40|$1112.53|$1339.00|$2078.02|$1636.93|$2568.12|$2568.12|$1262.00|$1366.00|$1800.00|$1957.95|$2219.17|$1664.38
"CPT® 72141"|"HB MRI NECK SPINE W/O DYE"|610.00|$4676.00|$1061.45|$2501.66|$3273.00|$2501.66|$1870.40|$1061.45|$1339.00|$1982.62|$1561.78|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1868.06|$2117.29|$1587.97
"CPT® 72142"|"HB MRI NECK SPINE W/DYE"|610.00|$5084.00|$1154.07|$2719.94|$3559.00|$2719.94|$2033.60|$1154.07|$1339.00|$2155.62|$1698.06|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$2031.06|$2302.04|$1726.53
"CPT® 72146"|"HB MRI CHEST SPINE W/O DYE"|610.00|$4270.00|$969.29|$2284.45|$2989.00|$2284.45|$1708.00|$969.29|$1339.00|$1810.48|$1426.18|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1705.87|$1933.46|$1450.09
"CPT® 72147"|"HB MRI CHEST SPINE W/DYE"|610.00|$4598.00|$1043.75|$2459.93|$3219.00|$2459.93|$1839.20|$1043.75|$1339.00|$1949.55|$1535.73|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1836.90|$2081.97|$1561.48
"CPT® 72148"|"HB MRI LUMBAR SPINE W/O DYE"|610.00|$4302.00|$976.55|$2301.57|$3011.00|$2301.57|$1720.80|$976.55|$1339.00|$1824.05|$1436.87|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1718.65|$1947.95|$1460.96
"CPT® 72149"|"HB MRI LUMBAR SPINE W/DYE"|610.00|$4678.00|$1061.91|$2502.73|$3275.00|$2502.73|$1871.20|$1061.91|$1339.00|$1983.47|$1562.45|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1868.86|$2118.20|$1588.65
"CPT® 72156"|"HB MRI NECK SPINE W/O & W/DYE"|610.00|$5766.00|$1262.00|$3084.81|$4036.00|$3084.81|$2306.40|$1308.88|$1339.00|$2444.78|$1925.84|$3021.38|$3021.38|$1262.00|$1366.00|$1800.00|$2303.52|$2610.84|$1958.13
"CPT® 72157"|"HB MRI CHEST SPINE W/O & W/DYE"|610.00|$5265.00|$1195.16|$2816.78|$3685.00|$2816.78|$2106.00|$1195.16|$1339.00|$2232.36|$1758.51|$2758.86|$2758.86|$1262.00|$1366.00|$1800.00|$2103.37|$2383.99|$1787.99
"CPT® 72158"|"HB MRI LUMBAR SPINE W/O & W/DYE"|610.00|$5277.00|$1197.88|$2823.20|$3694.00|$2823.20|$2110.80|$1197.88|$1339.00|$2237.45|$1762.52|$2765.15|$2765.15|$1262.00|$1366.00|$1800.00|$2108.16|$2389.43|$1792.07
"CPT® 72195"|"HB MRI PELVIS W/O DYE"|610.00|$4053.00|$920.03|$2168.36|$2837.00|$2168.36|$1621.20|$920.03|$1339.00|$1718.47|$1353.70|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1619.17|$1835.20|$1376.40
"CPT® 72196"|"HB MRI PELVIS W/DYE"|610.00|$4426.00|$1004.70|$2367.91|$3098.00|$2367.91|$1770.40|$1004.70|$1339.00|$1876.62|$1478.28|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1768.19|$2004.09|$1503.07
"CPT® 72197"|"HB MRI PELVIS W/O & W/DYE"|610.00|$5343.00|$1212.86|$2858.51|$3740.00|$2858.51|$2137.20|$1212.86|$1339.00|$2265.43|$1784.56|$2799.73|$2799.73|$1262.00|$1366.00|$1800.00|$2134.53|$2419.31|$1814.48
"CPT® 72198"|"HB MRA W/CONTRAST, PELVIS"|610.00|$5793.00|$1262.00|$3099.26|$4055.00|$3099.26|$2317.20|$1315.01|$1339.00|$2456.23|$1934.86|$3035.53|$3035.53|$1262.00|$1366.00|$1800.00|$2314.30|$2623.07|$1967.30
"CPT® 73218"|"HB MRI UPPER EXTREMITY W/O DYE"|610.00|$3927.00|$891.43|$2100.95|$2749.00|$2100.95|$1570.80|$891.43|$1339.00|$1665.05|$1311.62|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1568.84|$1778.15|$1333.61
"CPT® 73219"|"HB MRI UPPER EXTREMITY W/DYE"|610.00|$4068.00|$923.44|$2176.38|$2848.00|$2176.38|$1627.20|$923.44|$1339.00|$1724.83|$1358.71|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1625.17|$1841.99|$1381.49
"CPT® 73220"|"HB MRI UPPR EXTREMITY W/O&W/DYE"|610.00|$4583.00|$1040.34|$2451.91|$3208.00|$2451.91|$1833.20|$1040.34|$1339.00|$1943.19|$1530.72|$2401.49|$2401.49|$1262.00|$1366.00|$1800.00|$1830.91|$2075.18|$1556.39
"CPT® 73221"|"HB MRI JOINT UPR EXTREM W/O DYE"|610.00|$4026.00|$913.90|$2153.91|$2818.00|$2153.91|$1610.40|$913.90|$1339.00|$1707.02|$1344.68|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1608.39|$1822.97|$1367.23
"CPT® 73222"|"HB MRI JOINT UPR EXTREM W/DYE"|610.00|$4291.00|$974.06|$2295.69|$3004.00|$2295.69|$1716.40|$974.06|$1339.00|$1819.38|$1433.19|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1714.25|$1942.96|$1457.22
"CPT® 73223"|"HB MRI JOINT UPR EXTR W/O&W/DYE"|610.00|$4848.00|$1100.50|$2593.68|$3394.00|$2593.68|$1939.20|$1100.50|$1339.00|$2055.55|$1619.23|$2540.35|$2540.35|$1262.00|$1366.00|$1800.00|$1936.78|$2195.17|$1646.38
"CPT® 73225"|"HB MR ANGIO UPR EXTR W/O&W/DYE"|610.00|$5860.00|$1262.00|$3135.10|$4102.00|$3135.10|$2344.00|$1330.22|$1339.00|$2484.64|$1957.24|$3070.64|$3070.64|$1262.00|$1366.00|$1800.00|$2341.07|$2653.41|$1990.06
"CPT® 73718"|"HB MRI LOWER EXTREMITY W/O DYE"|610.00|$3849.00|$873.72|$2059.22|$2694.00|$2059.22|$1539.60|$873.72|$1339.00|$1631.98|$1285.57|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1537.68|$1742.83|$1307.12
"CPT® 73719"|"HB MRI LOWER EXTREMITY W/DYE"|610.00|$4124.00|$936.15|$2206.34|$2887.00|$2206.34|$1649.60|$936.15|$1339.00|$1748.58|$1377.42|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1647.54|$1867.35|$1400.51
"CPT® 73720"|"HB MRI LOWER EXTREMITY W/ AND W/OUT CONTRAST"|610.00|$4544.00|$1031.49|$2431.04|$3181.00|$2431.04|$1817.60|$1031.49|$1339.00|$1926.66|$1517.70|$2381.06|$2381.06|$1262.00|$1366.00|$1800.00|$1815.33|$2057.52|$1543.14
"CPT® 73721"|"HB MRI JNT OF LWR EXTRE W/O DYE"|610.00|$4300.00|$976.10|$2300.50|$3010.00|$2300.50|$1720.00|$976.10|$1339.00|$1823.20|$1436.20|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1717.85|$1947.04|$1460.28
"CPT® 73722"|"HB MRI JOINT OF LWR EXTR W/DYE"|610.00|$4528.00|$1027.86|$2422.48|$3170.00|$2422.48|$1811.20|$1027.86|$1339.00|$1919.87|$1512.35|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1808.94|$2050.28|$1537.71
"CPT® 73723"|"HB MRI JOINT LWR EXTR W/O&W/DYE"|610.00|$4965.00|$1127.06|$2656.28|$3476.00|$2656.28|$1986.00|$1127.06|$1339.00|$2105.16|$1658.31|$2601.66|$2601.66|$1262.00|$1366.00|$1800.00|$1983.52|$2248.15|$1686.11
"CPT® 73725"|"HB MRA W/CONTRAST, LOWER EXTREMITY"|610.00|$4480.00|$1016.96|$2396.80|$3136.00|$2396.80|$1792.00|$1016.96|$1339.00|$1899.52|$1496.32|$2347.52|$2347.52|$1262.00|$1366.00|$1800.00|$1789.76|$2028.54|$1521.41
"CPT® 74181"|"HB MRI ABDOMEN W/O DYE"|610.00|$4149.00|$941.82|$2219.72|$2904.00|$2219.72|$1659.60|$941.82|$1339.00|$1759.18|$1385.77|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1657.53|$1878.67|$1409.00
"CPT® 74182"|"HB MRI ABDOMEN W/DYE"|610.00|$4228.00|$959.76|$2261.98|$2960.00|$2261.98|$1691.20|$959.76|$1339.00|$1792.67|$1412.15|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1689.09|$1914.44|$1435.83
"CPT® 74183"|"HB MRI ABDOMEN W/O & W/DYE"|610.00|$4916.00|$1115.93|$2630.06|$3441.00|$2630.06|$1966.40|$1115.93|$1339.00|$2084.38|$1641.94|$2575.98|$2575.98|$1262.00|$1366.00|$1800.00|$1963.94|$2225.96|$1669.47
"CPT® 74185"|"HB MRI ANGIO W/CONTRAST"|610.00|$3893.00|$883.71|$2082.76|$2725.00|$2082.76|$1557.20|$883.71|$1339.00|$1650.63|$1300.26|$2039.93|$2039.93|$1262.00|$1366.00|$1800.00|$1555.25|$1762.75|$1322.06
"CPT® 75557"|"HB CARDIAC MRI FOR MORPH"|610.00|$4299.00|$975.87|$2299.97|$3009.00|$2299.97|$1719.60|$975.87|$1339.00|$1822.78|$1435.87|$2252.68|$2252.68|$1262.00|$1366.00|$1800.00|$1717.45|$1946.59|$1459.94
"CPT® 75561"|"HB CARDIAC MRI FOR MORPH W/DYE"|610.00|$4868.00|$1105.04|$2604.38|$3408.00|$2604.38|$1947.20|$1105.04|$1339.00|$2064.03|$1625.91|$2550.83|$2550.83|$1262.00|$1366.00|$1800.00|$1944.77|$2204.23|$1653.17
"CPT® 74185"|"HB MRA ABDOMEN WITHOUT CONTRAST"|610.00|$3893.00|$883.71|$2082.76|$2725.00|$2082.76|$1557.20|$883.71|$1339.00|$1650.63|$1300.26|$2039.93|$2039.93|$1262.00|$1366.00|$1800.00|$1555.25|$1762.75|$1322.06
"CPT® 74185"|"HB MRA ABDOMEN WITH AND W/O CONTRAST"|610.00|$6034.00|$1262.00|$3228.19|$4224.00|$3228.19|$2413.60|$1369.72|$1339.00|$2558.42|$2015.36|$3161.82|$3161.82|$1262.00|$1366.00|$1800.00|$2410.58|$2732.20|$2049.15
"CPT® 71555"|"HB MRA CHEST WITH AND W/O CONTRAST"|610.00|$4175.00|$947.73|$2233.63|$2922.00|$2233.63|$1670.00|$947.73|$1339.00|$1770.20|$1394.45|$2187.70|$2187.70|$1262.00|$1366.00|$1800.00|$1667.91|$1890.44|$1417.83
"CPT® 73725"|"HB MRA LOWER EXTREMITY WITHOUT CONTRAST"|610.00|$4038.00|$916.63|$2160.33|$2827.00|$2160.33|$1615.20|$916.63|$1339.00|$1712.11|$1348.69|$2115.91|$2115.91|$1262.00|$1366.00|$1800.00|$1613.18|$1828.41|$1371.30
"CPT® 73725"|"HB MRA LOWER EXTREMITY WITH AND W/O CONTRAST"|610.00|$6026.00|$1024.91|$2728.57|$4218.00|$2415.53|$1806.00|$1024.91|$1339.00|$1914.36|$1508.01|$2365.86|$2365.86|$1262.00|$1366.00|$1800.00|$2407.39|$2728.57|$2046.43
"CPT® 72198"|"HB MRA PELVIS WITHOUT CONTRAST"|610.00|$3363.00|$763.40|$1799.21|$2354.00|$1799.21|$1345.20|$763.40|$1339.00|$1425.91|$1123.24|$1762.21|$1762.21|$1262.00|$1366.00|$1795.84|$1343.52|$1522.77|$1142.07
"CPT® 72198"|"HB MRA PELVIS WITH AND W/O CONTRAST"|610.00|$5859.00|$1262.00|$3134.57|$4101.00|$3134.57|$2343.60|$1329.99|$1339.00|$2484.22|$1956.91|$3070.12|$3070.12|$1262.00|$1366.00|$1800.00|$2340.67|$2652.96|$1989.72
"CPT® 73225"|"HB MRA UPPER EXTREMITY WITHOUT CONTRAST"|610.00|$5860.00|$1262.00|$3135.10|$4102.00|$3135.10|$2344.00|$1330.22|$1339.00|$2484.64|$1957.24|$3070.64|$3070.64|$1262.00|$1366.00|$1800.00|$2341.07|$2653.41|$1990.06
"CPT® 73225"|"HB MRA UPPER EXTREMITY WITH AND W/O CONTRAST"|610.00|$5860.00|$1262.00|$3135.10|$4102.00|$3135.10|$2344.00|$1330.22|$1339.00|$2484.64|$1957.24|$3070.64|$3070.64|$1262.00|$1366.00|$1800.00|$2341.07|$2653.41|$1990.06
"CPT® 70551"|"HB MRI BRAIN STEM W/O DYE"|611.00|$4633.00|$1051.69|$2478.66|$3243.00|$2478.66|$1853.20|$1051.69|$1339.00|$1964.39|$1547.42|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1850.88|$2097.82|$1573.37
"CPT® 70552"|"HB MRI BRAIN STEM W/DYE"|611.00|$4810.00|$1091.87|$2573.35|$3367.00|$2573.35|$1924.00|$1091.87|$1339.00|$2039.44|$1606.54|$1258.00|$1794.00|$1262.00|$1366.00|$1800.00|$1921.60|$2177.97|$1633.48
"CPT® 70553"|"HB MRI BRAIN STEM W/O & W/DYE"|611.00|$6038.00|$1262.00|$3230.33|$4227.00|$3230.33|$2415.20|$1370.63|$1339.00|$2560.11|$2016.69|$3163.91|$3163.91|$1262.00|$1366.00|$1800.00|$2412.18|$2734.01|$2050.50
"HCPCS 72159"|"HB MRA SPINE CANAL/CONTENTS WITH AND WITHOUT CONTRAST"|618.00|$3081.00|$699.39|$1648.34|$2157.00|$1648.34|$1232.40|$699.39|$1339.00|$1306.34|$1029.05|$1614.44|$1614.44|$1262.00|$1366.00|$1645.25|$1230.86|$1395.08|$1046.31
"Custom 63600003"|"HB RX 636 CONTRAST"|636.00|$142.00|$31.72|$78.24|$99.00|$31.72|$56.80|$32.23|$78.24|$60.21|$47.43|$74.41|$74.41|$70.29|$75.69||$56.73|$64.30|$48.22
"Custom 68200000"|"HB TRAUMA ACTIVATION W/O CC"|682.00|$6896.00|$1565.39|$3799.70|$4827.00|$3689.36|$2758.40|$1565.39|$3799.70|$2923.90|$2303.26|$3613.50|$3613.50|$3413.52|$3675.57|$3682.46|$2754.95|$3122.51|$2341.88
"HCPCS G0390"|"HB TRAUMA RESPONS W/HOSP CC 1"|682.00|$6896.00|$1565.39|$3799.70|$4827.00|$3689.36|$2758.40|$1565.39|$3799.70|$2923.90|$2303.26|$3613.50|$3613.50|$3413.52|$3675.57|$3682.46|$2754.95|$3122.51|$2341.88
"HCPCS G0390"|"HB TRAUMA RESPONS W/HOSP CC 2"|682.00|$6896.00|$1565.39|$3799.70|$4827.00|$3689.36|$2758.40|$1565.39|$3799.70|$2923.90|$2303.26|$3613.50|$3613.50|$3413.52|$3675.57|$3682.46|$2754.95|$3122.51|$2341.88
"Custom 71000026"|"HB L&D EXTENDED RECOVERY"|710.00|$3035.00|$688.95|$1672.29|$2124.00|$1623.73|$1214.00|$688.95|$1672.29|$1286.84|$1013.69|$1590.34|$1590.34|$1502.33|$1617.66|$1620.69|$1212.48|$1374.25|$1030.69
"Custom 71000035"|"HB RECOVERY PHASE I BASIC"|710.00|$26.00|$5.90|$14.33|$18.00|$13.91|$10.40|$5.90|$14.33|$11.02|$8.68|$13.62|$13.62|$12.87|$13.86|$13.88|$10.39|$11.77|$8.83
"Custom 71000036"|"HB RECOVERY PHASE I INTERMEDIATE"|710.00|$27.00|$6.13|$14.88|$19.00|$14.45|$10.80|$6.13|$14.88|$11.45|$9.02|$14.15|$14.15|$13.37|$14.39|$14.42|$10.79|$12.23|$9.17
"Custom 71000037"|"HB RECOVERY PHASE I COMPLEX"|710.00|$28.00|$6.36|$15.43|$20.00|$14.98|$11.20|$6.36|$15.43|$11.87|$9.35|$14.67|$14.67|$13.86|$14.92|$14.95|$11.19|$12.68|$9.51
"Custom 71000038"|"HB RECOVERY PHASE II"|710.00|$17.00|$3.86|$9.37|$12.00|$9.10|$6.80|$3.86|$9.37|$7.21|$5.68|$8.91|$8.91|$8.42|$9.06|$9.08|$6.79|$7.70|$5.77
"CPT® 59200"|"HB INSERT CERVICAL DILATOR"|720.00|$529.00|$83.00|$291.48|$370.00|$283.02|$211.60|$120.08|$291.48|$224.30|$176.69|$277.20|$277.20|$83.00|$90.00|$282.49|$211.34|$239.53|$179.65
"CPT® 59300"|"HB EPISIOTOMY OR VAGINAL REPAIR"|720.00|$3092.00|$83.00|$1703.69|$2164.00|$1654.22|$1236.80|$701.88|$1703.69|$1311.01|$1032.73|$1620.21|$1620.21|$83.00|$90.00|$1651.13|$1235.25|$1400.06|$1050.04
"Custom 72100001"|"HB LABOR LEVEL 1 ROUTINE LABOR"|721.00|$1125.00|$83.00|$619.88|$788.00|$601.88|$450.00|$255.38|$619.88|$477.00|$375.75|$589.50|$589.50|$83.00|$90.00|$600.75|$449.44|$509.40|$382.05
"Custom 72100002"|"HB LABOR LEVEL 2 HIGH-RISK LABOR"|721.00|$1275.00|$83.00|$702.53|$892.00|$682.13|$510.00|$289.43|$702.53|$540.60|$425.85|$668.10|$668.10|$83.00|$90.00|$680.85|$509.36|$577.32|$432.99
"Custom 72200009"|"HB DELIVERY LEVEL 1 NORMAL DELIVERY"|722.00|$1125.00|$83.00|$619.88|$788.00|$601.88|$450.00|$255.38|$619.88|$477.00|$375.75|$589.50|$589.50|$83.00|$90.00|$600.75|$449.44|$509.40|$382.05
"Custom 72200010"|"HB DELIVERY LEVEL 2 COMPLEX DELIVERY"|722.00|$1275.00|$83.00|$702.53|$892.00|$682.13|$510.00|$289.43|$702.53|$540.60|$425.85|$668.10|$668.10|$83.00|$90.00|$680.85|$509.36|$577.32|$432.99
"Custom 72200011"|"HB OFF SITE DELIVERY"|722.00|$1379.00|$83.00|$759.83|$965.00|$737.77|$551.60|$313.03|$759.83|$584.70|$460.59|$722.60|$722.60|$83.00|$90.00|$736.39|$550.91|$624.41|$468.31
"CPT® 54150"|"HB CIRCUMCISION W/REGIONL BLOCK"|723.00|$1272.00|$288.74|$700.87|$890.00|$680.52|$508.80|$288.74|$700.87|$539.33|$424.85|$666.53|$666.53|$629.64|$677.98|$679.25|$508.16|$575.96|$431.97
"CPT® 93005"|"HB ELECTROCARDIOGRAM TRACING"|730.00|$255.00|$51.00|$140.51|$178.00|$136.43|$102.00|$57.89|$140.51|$108.12|$85.17|$133.62|$133.62|$51.00|$55.00|$136.17|$101.87|$115.46|$86.60
"CPT® 93225"|"HB HOLTER MONITORING/HOOK-UP"|731.00|$2143.00|$486.46|$1180.79|$1500.00|$1146.51|$857.20|$486.46|$1180.79|$908.63|$715.76|$1122.93|$1122.93|$1060.79|$1142.22|$1144.36|$856.13|$970.35|$727.76
"CPT® 93270"|"HB REMOTE CARDIAC EVENT MONITOR/30 DAYS"|731.00|$1609.00|$365.24|$886.56|$1126.00|$860.82|$643.60|$365.24|$886.56|$682.22|$537.41|$843.12|$843.12|$796.46|$857.60|$859.21|$642.80|$728.56|$546.42
"CPT® 95812"|"HB EEG 41-60 MINUTES"|740.00|$2157.00|$489.64|$1544.00|$1510.00|$1154.00|$862.80|$489.64|$1188.51|$914.57|$720.44|$1130.27|$1130.27|$1427.00|$1544.00|$1151.84|$861.72|$976.69|$732.52
"CPT® 95813"|"HB EEG OVER 1 HOUR"|740.00|$2665.00|$505.30|$1544.00|$1865.00|$1190.91|$890.40|$505.30|$1226.53|$943.82|$743.48|$1166.42|$1166.42|$1427.00|$1544.00|$1423.11|$1064.67|$1206.71|$905.03
"CPT® 95819"|"HB EEG AWAKE AND ASLEEP"|740.00|$1628.00|$369.56|$1544.00|$1140.00|$870.98|$651.20|$369.56|$897.03|$690.27|$543.75|$853.07|$853.07|$1427.00|$1544.00|$869.35|$650.39|$737.16|$552.87
"CPT® 95822"|"HB EEG COMA OR SLEEP ONLY"|740.00|$2054.00|$359.80|$1544.00|$1438.00|$847.98|$634.00|$359.80|$873.34|$672.04|$529.39|$830.54|$830.54|$1427.00|$1544.00|$1096.84|$820.57|$930.05|$697.54
"CPT® 48102"|"HB NEEDLE BIOPSY PANCREAS"|750.00|$1389.00|$315.30|$1389.00|$972.00|$743.12|$555.60|$315.30||$588.94|$463.93|||$1389.00|$1389.00|$741.73|$554.91|$628.94|$471.70
"CPT® 43200"|"HB ESOPHAGOSCOPY FLEXIBLE BRUSH"|750.00|$3626.00|$823.10|$3626.00|$2538.00|$1939.91|$1450.40|$823.10|$2211.86|$1537.42|$1211.08|$2781.14|$2781.14|$3626.00|$3626.00|$1936.28|$1448.59|$1641.85|$1231.39
"CPT® 43202"|"HB ESOPHAGOSCOPY FLEX BIOPSY"|750.00|$5209.00|$1182.44|$5209.00|$3646.00|$2786.82|$2083.60|$1182.44|$3177.49|$2208.62|$1739.81|$3995.30|$3995.30|$5072.00|$5209.00|$2781.61|$2081.00|$2358.64|$1768.98
"CPT® 43205"|"HB ESOPHAGUS ENDOSCOPY/LIGATION"|750.00|$4521.00|$1026.27|$4521.00|$3165.00|$2418.74|$1808.40|$1026.27||$1916.90|$1510.01|||$4521.00|$4521.00|$2414.21|$1806.14|$2047.11|$1535.33
"CPT® 43229"|"HB ESOPHAGOSCOPY LESION ABLATE"|750.00|$6419.00|$1457.11|$5491.00|$4493.00|$3434.17|$2567.60|$1457.11|$3915.59|$2721.66|$2143.95|$4831.00|$4923.37|$5072.00|$5491.00|$3427.75|$2564.39|$2906.52|$2179.89
"CPT® 43233"|"HB EGD BALLOON DIL ESOPH30 MM/>"|750.00|$4835.00|$867.59|$3822.00|$3384.00|$2044.77|$1528.80|$867.59|$2331.42|$1620.53|$1276.55|$2931.47|$2931.47|$3822.00|$3822.00|$2581.89|$1931.58|$2189.29|$1641.97
"CPT® 43235"|"HB EGD DIAGNOSTIC BRUSH WASH"|750.00|$3386.00|$768.62|$3386.00|$2370.00|$1811.51|$1354.40|$768.62|$2065.46|$1435.66|$1130.92|$2597.06|$2597.06|$3386.00|$3386.00|$1808.12|$1352.71|$1533.18|$1149.89
"CPT® 43236"|"HB UPPR GI SCOPE W/SUBMUC INJ"|750.00|$3956.00|$898.01|$3956.00|$2769.00|$2116.46|$1582.40|$898.01|$2413.16|$1677.34|$1321.30|$3034.25|$3034.25|$3956.00|$3956.00|$2112.50|$1580.42|$1791.28|$1343.46
"CPT® 43239"|"HB EGD BIOPSY SINGLE/MULTIPLE"|750.00|$3831.00|$898.01|$3956.00|$2682.00|$2116.46|$1582.40|$898.01|$2413.16|$1677.34|$1321.30|$3034.25|$3034.25|$3956.00|$3956.00|$2045.75|$1530.48|$1734.68|$1301.01
"CPT® 43244"|"HB EGD VARICES LIGATION"|750.00|$6782.00|$1539.51|$5491.00|$4747.00|$3628.37|$2712.80|$1539.51|$4137.02|$2875.57|$2265.19|$4831.00|$5201.79|$5072.00|$5491.00|$3621.59|$2709.41|$3070.89|$2303.17
"CPT® 43245"|"HB EGD DILATE STRICTURE"|750.00|$4852.00|$1101.40|$4852.00|$3396.00|$2595.82|$1940.80|$1101.40|$2959.72|$2057.25|$1620.57|$3721.48|$3721.48|$4852.00|$4852.00|$2590.97|$1938.37|$2196.99|$1647.74
"CPT® 43246"|"HB EGD PLACE GASTROSTOMY TUBE"|750.00|$6326.00|$1436.00|$5491.00|$4428.00|$3384.41|$2530.40|$1436.00|$3858.86|$2682.22|$2112.88|$4831.00|$4852.04|$5072.00|$5491.00|$3378.08|$2527.24|$2864.41|$2148.31
"CPT® 43247"|"HB EGD REMOVE FOREIGN BODY"|750.00|$4899.00|$1112.07|$4899.00|$3429.00|$2620.97|$1959.60|$1112.07|$2988.39|$2077.18|$1636.27|$3757.53|$3757.53|$4899.00|$4899.00|$2616.07|$1957.15|$2218.27|$1663.70
"CPT® 43248"|"HB EGD GUIDE WIRE INSERTION"|750.00|$4597.00|$1043.52|$4597.00|$3218.00|$2459.40|$1838.80|$1043.52|$2804.17|$1949.13|$1535.40|$3525.90|$3525.90|$4597.00|$4597.00|$2454.80|$1836.50|$2081.52|$1561.14
"CPT® 43249"|"HB ESOPH EGD DILATION <30 MM"|750.00|$4247.00|$995.40|$4385.00|$2973.00|$2345.98|$1754.00|$995.40|$2674.85|$1859.24|$1464.59|$3363.30|$3363.30|$4385.00|$4385.00|$2267.90|$1696.68|$1923.04|$1442.28
"CPT® 43250"|"HB EGD CAUTERY TUMOR POLYP"|750.00|$4044.00|$917.99|$4044.00|$2831.00|$2163.54|$1617.60|$917.99|$2466.84|$1714.66|$1350.70|$3101.75|$3101.75|$4044.00|$4044.00|$2159.50|$1615.58|$1831.12|$1373.34
"CPT® 43251"|"HB EGD REMOVE LESION SNARE"|750.00|$5429.00|$1232.38|$5429.00|$3800.00|$2904.52|$2171.60|$1232.38|$3311.69|$2301.90|$1813.29|$4164.04|$4164.04|$5072.00|$5429.00|$2899.09|$2168.89|$2458.25|$1843.69
"CPT® 43255"|"HB EGD CONTROL BLEEDING ANY"|750.00|$5552.00|$1260.30|$5491.00|$3886.00|$2970.32|$2220.80|$1260.30|$3386.72|$2354.05|$1854.37|$4258.38|$4258.38|$5072.00|$5491.00|$2964.77|$2218.02|$2513.95|$1885.46
"CPT® 43260"|"HB ERCP W/SPECIMEN COLLECTION"|750.00|$7589.00|$1722.70|$5820.76|$5312.00|$4060.12|$3035.60|$1722.70|$4629.29|$3217.74|$2534.73|$4831.00|$5820.76|$5072.00|$5491.00|$4052.53|$3031.81|$3436.30|$2577.22
"CPT® 43261"|"HB ERCP W/ BIOPSY, SINGLE OR MULTIPLE"|750.00|$9383.00|$2129.94|$7196.76|$6568.00|$5019.91|$3753.20|$2129.94|$5723.63|$3978.39|$3133.92|$4831.00|$7196.76|$5072.00|$5491.00|$5010.52|$3748.51|$4248.62|$3186.47
"CPT® 43262"|"HB ERCP W/SPHINCTEROTOMY"|750.00|$9893.00|$2245.71|$7587.93|$6925.00|$5292.76|$3957.20|$2245.71|$6034.73|$4194.63|$3304.26|$4831.00|$7587.93|$5072.00|$5491.00|$5282.86|$3952.25|$4479.55|$3359.66
"CPT® 43264"|"HB ERCP REMOVE DUCT CALCULI"|750.00|$10082.00|$2288.61|$7732.89|$7057.00|$5393.87|$4032.80|$2288.61|$6150.02|$4274.77|$3367.39|$4831.00|$7732.89|$5072.00|$5491.00|$5383.79|$4027.76|$4565.13|$3423.85
"CPT® 43270"|"HB EGD LESION ABLATION"|750.00|$6417.00|$1456.66|$5491.00|$4492.00|$3433.10|$2566.80|$1456.66|$3914.37|$2720.81|$2143.28|$4831.00|$4921.84|$5072.00|$5491.00|$3426.68|$2563.59|$2905.62|$2179.21
"CPT® 43274"|"HB ERCP DUCT STENT PLACEMENT"|750.00|$12825.00|$2911.28|$8625.00|$8978.00|$6861.38|$5130.00|$2911.28|$7823.25|$5437.80|$4283.55|$4831.00|$8625.00|$5072.00|$5491.00|$6848.55|$5123.59|$5807.16|$4355.37
"CPT® 43275"|"HB ERCP REMOVE FORGN BODY DUCT"|750.00|$10442.00|$2370.33|$8009.01|$7309.00|$5586.47|$4176.80|$2370.33|$6369.62|$4427.41|$3487.63|$4831.00|$8009.01|$5072.00|$5491.00|$5576.03|$4171.58|$4728.14|$3546.10
"CPT® 43276"|"HB ERCP STENT EXCHANGE W/DILATE"|750.00|$13791.00|$3130.56|$8625.00|$9654.00|$7378.19|$5516.40|$3130.56|$8412.51|$5847.38|$4606.19|$4831.00|$8625.00|$5072.00|$5491.00|$7364.39|$5509.50|$6244.56|$4683.42
"CPT® 43277"|"HB ERCP EA DUCT/AMPULLA DILATE"|750.00|$10489.00|$2381.00|$8045.06|$7342.00|$5611.62|$4195.60|$2381.00|$6398.29|$4447.34|$3503.33|$4831.00|$8045.06|$5072.00|$5491.00|$5601.13|$4190.36|$4749.42|$3562.06
"CPT® 43752"|"HB NASAL/OROGASTRIC W/TUBE PLMT"|750.00|$304.00|$69.01|$304.00|$213.00|$162.64|$121.60|$69.01|$185.44|$128.90|$101.54|$233.17|$233.17|$304.00|$304.00|$162.34|$121.45|$137.65|$103.24
"CPT® 43753"|"HB TX GASTRO INTUB W/ASP"|750.00|$229.00|$51.98|$229.00|$160.00|$122.52|$91.60|$51.98|$139.69|$97.10|$76.49|$175.64|$175.64|$229.00|$229.00|$122.29|$91.49|$103.69|$77.77
"CPT® 44360"|"HB ENTEROSCOPY DIAGNOSTIC WITHOUT ILEUM"|750.00|$5255.00|$924.57|$4073.00|$3678.00|$2179.06|$1629.20|$924.57|$2484.53|$1726.95|$1360.38|$3123.99|$3123.99|$4073.00|$4073.00|$2806.17|$2099.37|$2379.46|$1784.60
"CPT® 44361"|"HB SMALL BOWEL ENDOSCOPY/BIOPSY WITHOUT ILEUM"|750.00|$4879.00|$414.28|$2605.39|$3415.00|$976.38|$730.00|$414.28|$1113.25|$773.80|$609.55|$1399.78|$1399.78|$1825.00|$1825.00|$2605.39|$1949.16|$2209.21|$1656.91
"CPT® 44364"|"HB SMALL BOWEL ENDOSCOPY WITHOUT ILEUM POLYP SNARE"|750.00|$4582.00|$1040.11|$4582.00|$3207.00|$2451.37|$1832.80|$1040.11|$2795.02|$1942.77|$1530.39|$3514.39|$3514.39|$4582.00|$4582.00|$2446.79|$1830.51|$2074.73|$1556.05
"CPT® 44380"|"HB SMALL BOWEL ENDOSCOPY THROUGH STOMA DIAGNOSTIC"|750.00|$3319.00|$673.74|$2968.00|$2323.00|$1587.88|$1187.20|$673.74|$1810.48|$1258.43|$991.31|$2276.46|$2276.46|$2968.00|$2968.00|$1772.35|$1325.94|$1502.84|$1127.13
"CPT® 44388"|"HB COLONOSCOPY THRU STOMA SPX"|750.00|$4454.00|$1011.06|$4454.00|$3118.00|$2382.89|$1781.60|$1011.06|$2716.94|$1888.50|$1487.64|$3416.22|$3416.22|$4454.00|$4454.00|$2378.44|$1779.37|$2016.77|$1512.58
"CPT® 44389"|"HB COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE"|750.00|$3903.00|$885.98|$3903.00|$2732.00|$2088.11|$1561.20|$885.98|$2380.83|$1654.87|$1303.60|$2993.60|$2993.60|$3903.00|$3903.00|$2084.20|$1559.25|$1767.28|$1325.46
"CPT® 44394"|"HB COLON THRU STOMA W/SNARE"|750.00|$3379.00|$767.03|$3379.00|$2365.00|$1807.77|$1351.60|$767.03|$2061.19|$1432.70|$1128.59|$2591.69|$2591.69|$3379.00|$3379.00|$1804.39|$1349.91|$1530.01|$1147.51
"CPT® 44799"|"HB UNLISTED PX SMALL INTESTINE"|750.00|$4994.00|$895.74|$3946.00|$3496.00|$2111.11|$1578.40|$895.74|$2407.06|$1673.10|$1317.96|$3026.58|$3026.58|$3946.00|$3946.00|$2666.80|$1995.10|$2261.28|$1695.96
"CPT® 45330"|"HB DIAGNOSTIC SIGMOIDOSCOPY"|750.00|$1542.00|$361.38|$1592.00|$1079.00|$851.72|$636.80|$361.38|$971.12|$675.01|$531.73|$1221.06|$1221.06|$1592.00|$1592.00|$823.43|$616.03|$698.22|$523.66
"CPT® 45331"|"HB SIGMOIDOSCOPY AND BIOPSY"|750.00|$1968.00|$461.26|$2032.00|$1378.00|$1087.12|$812.80|$461.26|$1239.52|$861.57|$678.69|$1558.54|$1558.54|$2032.00|$2032.00|$1050.91|$786.22|$891.11|$668.33
"CPT® 45334"|"HB SIGMOIDOSCOPY FOR BLEEDING"|750.00|$3360.00|$762.72|$3360.00|$2352.00|$1797.60|$1344.00|$762.72|$2049.60|$1424.64|$1122.24|$2577.12|$2577.12|$3360.00|$3360.00|$1794.24|$1342.32|$1521.41|$1141.06
"CPT® 45338"|"HB SIGMOIDOSCOPY W/TUMR REMOVE"|750.00|$3775.00|$856.93|$3775.00|$2642.00|$2019.63|$1510.00|$856.93|$2302.75|$1600.60|$1260.85|$2895.43|$2895.43|$3775.00|$3775.00|$2015.85|$1508.11|$1709.32|$1281.99
"CPT® 45350"|"HB SGMDSC W/BAND LIGATION"|750.00|$2781.00|$651.94|$2872.00|$1947.00|$1536.52|$1148.80|$651.94|$1751.92|$1217.73|$959.25|$2202.82|$2202.82|$2872.00|$2872.00|$1485.05|$1111.01|$1259.24|$944.43
"CPT® 45378"|"HB DIAGNOSTIC COLONOSCOPY"|750.00|$3000.00|$681.00|$3000.00|$2100.00|$1605.00|$1200.00|$681.00|$1830.00|$1272.00|$1002.00|$2301.00|$2301.00|$3000.00|$3000.00|$1602.00|$1198.50|$1358.40|$1018.80
"CPT® 45379"|"HB COLONOSCOPY W/FB REMOVAL"|750.00|$3862.00|$876.67|$3862.00|$2703.00|$2066.17|$1544.80|$876.67|$2355.82|$1637.49|$1289.91|$2962.15|$2962.15|$3862.00|$3862.00|$2062.31|$1542.87|$1748.71|$1311.54
"CPT® 45380"|"HB COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE"|750.00|$5552.00|$1301.39|$5491.00|$3886.00|$3067.16|$2293.20|$1301.39|$3497.13|$2430.79|$1914.82|$4397.21|$4397.21|$5072.00|$5491.00|$2964.77|$2218.02|$2513.95|$1885.46
"CPT® 45381"|"HB COLONOSCOPY SUBMUCOUS NJX"|750.00|$5552.00|$1301.39|$5491.00|$3886.00|$3067.16|$2293.20|$1301.39|$3497.13|$2430.79|$1914.82|$4397.21|$4397.21|$5072.00|$5491.00|$2964.77|$2218.02|$2513.95|$1885.46
"CPT® 45382"|"HB COLONOSCOPY W/CONTROL BLEED"|750.00|$7169.00|$1627.36|$5498.62|$5018.00|$3835.42|$2867.60|$1627.36|$4373.09|$3039.66|$2394.45|$4831.00|$5498.62|$5072.00|$5491.00|$3828.25|$2864.02|$3246.12|$2434.59
"CPT® 45384"|"HB COLONOSCOPY WITH HOT BIOPSY/BIPOLAR CAUTERY"|750.00|$6318.00|$1434.19|$5491.00|$4423.00|$3380.13|$2527.20|$1434.19|$3853.98|$2678.83|$2110.21|$4831.00|$4845.91|$5072.00|$5491.00|$3373.81|$2524.04|$2860.79|$2145.59
"CPT® 45385"|"HB COLONOSCOPY WITH POLYP SNARE"|750.00|$7046.00|$1599.44|$5491.00|$4932.00|$3769.61|$2818.40|$1599.44|$4298.06|$2987.50|$2353.36|$4831.00|$5404.28|$5072.00|$5491.00|$3762.56|$2814.88|$3190.43|$2392.82
"CPT® 45386"|"HB COLONOSCOPY W/BALLOON DILAT"|750.00|$3911.00|$887.80|$3911.00|$2738.00|$2092.39|$1564.40|$887.80|$2385.71|$1658.26|$1306.27|$2999.74|$2999.74|$3911.00|$3911.00|$2088.47|$1562.44|$1770.90|$1328.18
"CPT® 45388"|"HB COLONOSCOPY W/ABLATION"|750.00|$7491.00|$1700.46|$5745.60|$5244.00|$4007.69|$2996.40|$1700.46|$4569.51|$3176.18|$2501.99|$4831.00|$5745.60|$5072.00|$5491.00|$4000.19|$2992.65|$3391.92|$2543.94
"CPT® 45389"|"HB COLONOSCOPY WITH STENT PLACEMENT"|750.00|$8029.00|$1822.58|$6158.24|$5620.00|$4295.52|$3211.60|$1822.58|$4897.69|$3404.30|$2681.69|$4831.00|$6158.24|$5072.00|$5491.00|$4287.49|$3207.59|$3635.53|$2726.65
"CPT® 45393"|"HB COLON W/DECOMPRESSION VOLVULUS"|750.00|$4283.00|$970.20|$4274.00|$2998.00|$2286.59|$1709.60|$970.20||$1812.18|$1427.52|||$4274.00|$4274.00|$2287.12|$1711.06|$1939.34|$1454.51
"CPT® 45398"|"HB COLONOSCOPY W/BAND LIGATION"|750.00|$6507.00|$1477.09|$5491.00|$4555.00|$3481.25|$2602.80|$1477.09|$3969.27|$2758.97|$2173.34|$4831.00|$4990.87|$5072.00|$5491.00|$3474.74|$2599.55|$2946.37|$2209.78
"CPT® 46040"|"HB INCISION DRAINAGE RECTAL ABSCESS"|750.00|$3314.00|$752.28|$3314.00|$2320.00|$1772.99|$1325.60|$752.28|$2021.54|$1405.14|$1106.88|$2541.84|$2541.84|$3314.00|$3314.00|$1769.68|$1323.94|$1500.58|$1125.43
"CPT® 46083"|"HB INCISE EXTERNAL HEMORRHOID"|750.00|$1194.00|$271.04|$1194.00|$836.00|$638.79|$477.60|$271.04|$728.34|$506.26|$398.80|$915.80|$915.80|$1194.00|$1194.00|$637.60|$477.00|$540.64|$405.48
"CPT® 46600"|"HB DIAGNOSTIC ANOSCOPY SPX"|750.00|$193.00|$43.81|$193.00|$135.00|$103.26|$77.20|$43.81|$117.73|$81.83|$64.46|$148.03|$148.03|$193.00|$193.00|$103.06|$77.10|$87.39|$65.54
"CPT® 49440"|"HB PLACE GASTROSTOMY TUBE PERC"|750.00|$3452.00|$783.60|$3452.00|$2416.00|$1846.82|$1380.80|$783.60|$2105.72|$1463.65|$1152.97|$2647.68|$2647.68|$3452.00|$3452.00|$1843.37|$1379.07|$1563.07|$1172.30
"CPT® 49446"|"HB CHANGE G-TUBE TO G-J PERC"|750.00|$3811.00|$865.10|$3811.00|$2668.00|$2038.89|$1524.40|$865.10|$2324.71|$1615.86|$1272.87|$2923.04|$2923.04|$3811.00|$3811.00|$2035.07|$1522.49|$1725.62|$1294.22
"CPT® 49450"|"HB REPLACE G/C TUBE PERC"|750.00|$1812.00|$411.32|$1812.00|$1268.00|$969.42|$724.80|$411.32|$1105.32|$768.29|$605.21|$1389.80|$1389.80|$1812.00|$1812.00|$967.61|$723.89|$820.47|$615.36
"CPT® 49451"|"HB REPLACE DUOD/JEJ TUBE PERC"|750.00|$1828.00|$414.96|$1828.00|$1280.00|$977.98|$731.20|$414.96|$1115.08|$775.07|$610.55|$1402.08|$1402.08|$1828.00|$1828.00|$976.15|$730.29|$827.72|$620.79
"CPT® 49452"|"HB REPLACE G-J TUBE PERC"|750.00|$2275.00|$516.43|$2275.00|$1592.00|$1217.13|$910.00|$516.43|$1387.75|$964.60|$759.85|$1744.93|$1744.93|$2275.00|$2275.00|$1214.85|$908.86|$1030.12|$772.59
"CPT® 49465"|"HB FLUORO EXAM OF G/COLON TUBE"|750.00|$694.00|$157.54|$694.00|$486.00|$371.29|$277.60|$157.54|$423.34|$294.26|$231.80|$532.30|$532.30|$694.00|$694.00|$370.60|$277.25|$314.24|$235.68
"CPT® 91010"|"HB ESOPHAGUS MOTILITY STUDY"|750.00|$5089.00|$1155.20|$5089.00|$3562.00|$2722.62|$2035.60|$1155.20|$3104.29|$2157.74|$1699.73|$3903.26|$3903.26|$5072.00|$5089.00|$2717.53|$2033.06|$2304.30|$1728.22
"CPT® 91035"|"HB G-ESOPH REFLX TST W/ELECTROD"|750.00|$13361.00|$3032.95|$8625.00|$9353.00|$7148.14|$5344.40|$3032.95|$8150.21|$5665.06|$4462.57|$4831.00|$8625.00|$5072.00|$5491.00|$7134.77|$5337.72|$6049.86|$4537.40
"CPT® 91110"|"HB CAPSULE ENDOSCOPY"|750.00|$3899.00|$885.07|$3899.00|$2729.00|$2085.97|$1559.60|$885.07|$2378.39|$1653.18|$1302.27|$2990.53|$2990.53|$3899.00|$3899.00|$2082.07|$1557.65|$1765.47|$1324.10
"HCPCS G0104"|"HB CA SCREEN;FLEXI SIGMOIDSCOPE"|750.00|$1542.00|$361.38|$1592.00|$1079.00|$851.72|$636.80|$361.38|$971.12|$675.01|$531.73|$1221.06|$1221.06|$1592.00|$1592.00|$823.43|$616.03|$698.22|$523.66
"HCPCS G0105"|"HB COLORECTAL SCRN; HI RISK IND"|750.00|$5107.00|$1159.29|$5107.00|$3575.00|$2732.25|$2042.80|$1159.29|$3115.27|$2165.37|$1705.74|$3917.07|$3917.07|$5072.00|$5107.00|$2727.14|$2040.25|$2312.45|$1734.34
"HCPCS G0121"|"HB COLON CA SCRN NOT HI RSK IND"|750.00|$5116.00|$1161.33|$5116.00|$3581.00|$2737.06|$2046.40|$1161.33|$3120.76|$2169.18|$1708.74|$3923.97|$3923.97|$5072.00|$5116.00|$2731.94|$2043.84|$2316.52|$1737.39
"CPT® 31632"|"HB BRONCHOSCOPY TRANSBRONCHIAL LUNG BIOPSY ADDL"|750.00|$2752.00|$624.70|$2752.00|$1926.00|$1472.32|$1100.80|$624.70|$1678.72|$1166.85|$919.17|$2110.78|$2110.78|$2752.00|$2752.00|$1469.57|$1099.42|$1246.11|$934.58
"CPT® 43215"|"HB ESOPHAGOSCOPY FLEX REMOVE FB"|750.00|$5322.00|$1208.09|$5322.00|$3725.00|$2847.27|$2128.80|$1208.09|$3246.42|$2256.53|$1777.55|$4081.97|$4081.97|$5072.00|$5322.00|$2841.95|$2126.14|$2409.80|$1807.35
"CPT® 43226"|"HB ESOPH ENDOSCOPY DILATION"|750.00|$6910.00|$1568.57|$5491.00|$4837.00|$3696.85|$2764.00|$1568.57|$4215.10|$2929.84|$2307.94|$4831.00|$5299.97|$5072.00|$5491.00|$3689.94|$2760.55|$3128.85|$2346.64
"CPT® 43227"|"HB ESOPHAGOSCOPY CONTROL BLEED"|750.00|$4541.00|$1030.81|$4541.00|$3179.00|$2429.44|$1816.40|$1030.81||$1925.38|$1516.69|||$4541.00|$4541.00|$2424.89|$1814.13|$2056.16|$1542.12
"CPT® 44391"|"HB COLONOSCOPY FOR BLEEDING"|750.00|$6563.00|$1489.80|$5491.00|$4594.00|$3511.21|$2625.20|$1489.80||$2782.71|$2192.04|||$5072.00|$5491.00|$3504.64|$2621.92|$2971.73|$2228.79
"CPT® 91013"|"HB ESOPHGL MOTIL W/STIM/PERFUS"|750.00|$2582.00|$434.48|$1914.00|$1807.00|$1023.99|$765.60|$434.48||$811.54|$639.28|||$1914.00|$1914.00|$1378.79|$1031.51|$1169.13|$876.85
"CPT® 91112"|"HB GI WIRELESS CAPSULE MEASURE W/ INTERP"|750.00|$3677.00|$834.68|$3677.00|$2574.00|$1967.20|$1470.80|$834.68|$2242.97|$1559.05|$1228.12|$2820.26|$2820.26|$3677.00|$3677.00|$1963.52|$1468.96|$1664.95|$1248.71
"CPT® 43762"|"HB RPLC GTUBE NO REVJ TRC"|750.00|$804.00|$182.51|$804.00|$563.00|$430.14|$321.60|$182.51|$490.44|$340.90|$268.54|$616.67|$616.67|$804.00|$804.00|$429.34|$321.20|$364.05|$273.04
"CPT® 43763"|"HB RPLC GTUBE REVJ GSTRST TRC"|750.00|$699.00|$158.67|$699.00|$489.00|$373.97|$279.60|$158.67|$426.39|$296.38|$233.47|$536.13|$536.13|$699.00|$699.00|$373.27|$279.25|$316.51|$237.38
"CPT® 75984"|"HB PERCUTANEOUS TUBE/CATHETER CHANGE; S&I"|761.00|$791.00|$155.00|$791.00|$554.00|$423.19|$316.40|$179.56|$435.84|$335.38|$264.19|$155.00|$201.00|$791.00|$791.00|$422.39|$316.00|$358.16|$268.62
"CPT® 27570"|"HB MANIPULA JOINT KNEE W/ANESTH"|761.00|$6275.00|$155.00|$5491.00|$4392.00|$3357.13|$2510.00|$1424.43|$3457.53|$2660.60|$2095.85|$155.00|$201.00|$5072.00|$5491.00|$3350.85|$2506.86|$2841.32|$2130.99
"CPT® 10021"|"HB FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE"|761.00|$1080.00|$155.00|$1080.00|$756.00|$577.80|$432.00|$245.16|$595.08|$457.92|$360.72|$155.00|$201.00|$1080.00|$1080.00|$576.72|$431.46|$489.02|$366.77
"CPT® 10060"|"HB DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE"|761.00|$1188.00|$155.00|$1188.00|$832.00|$635.58|$475.20|$269.68|$654.59|$503.71|$396.79|$155.00|$201.00|$1188.00|$1188.00|$634.39|$474.61|$537.93|$403.44
"CPT® 10061"|"HB DRAINAGE OF SKIN ABSCESS COMPLICATED & MULTIPLE"|761.00|$1410.00|$155.00|$1410.00|$987.00|$754.35|$564.00|$320.07|$776.91|$597.84|$470.94|$155.00|$201.00|$1410.00|$1410.00|$752.94|$563.30|$638.45|$478.84
"CPT® 10080"|"HB DRAINAGE OF PILONIDAL CYST SIMPLE"|761.00|$841.00|$155.00|$841.00|$589.00|$449.94|$336.40|$190.91|$463.39|$356.58|$280.89|$155.00|$201.00|$841.00|$841.00|$449.09|$335.98|$380.80|$285.60
"CPT® 10081"|"HB DRAINAGE OF PILONIDAL CYST COMPLICATED"|761.00|$7281.00|$155.00|$5491.00|$5097.00|$3895.34|$2912.40|$1652.79|$4011.83|$3087.14|$2431.85|$155.00|$201.00|$5072.00|$5491.00|$3888.05|$2908.76|$3296.84|$2472.63
"CPT® 10120"|"HB INCISION & REMOVAL FOREIGN BODY SUBCUTANEOUS TISSUE SIMPLE"|761.00|$938.00|$155.00|$938.00|$657.00|$501.83|$375.20|$212.93|$516.84|$397.71|$313.29|$155.00|$201.00|$938.00|$938.00|$500.89|$374.73|$424.73|$318.54
"CPT® 10121"|"HB INCISION & REMOVAL FOREIGN BODY SUBCUTANEOUS TISSUE COMPICATED"|761.00|$3670.00|$155.00|$3670.00|$2569.00|$1963.45|$1468.00|$833.09|$2022.17|$1556.08|$1225.78|$155.00|$201.00|$3670.00|$3670.00|$1959.78|$1466.17|$1661.78|$1246.33
"CPT® 10140"|"HB INCISION & DRAINAGE HEMATOMA, SEROMA OR FLUID COLLECTION"|761.00|$7281.00|$155.00|$5491.00|$5097.00|$3895.34|$2912.40|$1652.79|$4011.83|$3087.14|$2431.85|$155.00|$201.00|$5072.00|$5491.00|$3888.05|$2908.76|$3296.84|$2472.63
"CPT® 10160"|"HB PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST"|761.00|$841.00|$155.00|$841.00|$589.00|$449.94|$336.40|$190.91|$463.39|$356.58|$280.89|$155.00|$201.00|$841.00|$841.00|$449.09|$335.98|$380.80|$285.60
"CPT® 11012"|"HB DEB SKIN BONE AT FX SITE"|761.00|$1750.00|$155.00|$1750.00|$1225.00|$936.25|$700.00|$397.25|$964.25|$742.00|$584.50|$155.00|$201.00|$1750.00|$1750.00|$934.50|$699.13|$792.40|$594.30
"CPT® 11042"|"HB DEB SUBQ TISSUE 20 SQ CM/<"|761.00|$1466.00|$155.00|$1466.00|$1026.00|$784.31|$586.40|$332.78|$807.77|$621.58|$489.64|$155.00|$201.00|$1466.00|$1466.00|$782.84|$585.67|$663.80|$497.85
"CPT® 11045"|"HB DEB SUBQ TISSUE ADD-ON"|761.00|$578.00|$155.00|$778.00|$405.00|$416.23|$311.20|$176.61|$428.68|$329.87|$259.85|$155.00|$201.00|$778.00|$778.00|$308.65|$230.91|$261.72|$196.29
"CPT® 11200"|"HB REMOVAL OF SKIN TAGS <W/15"|761.00|$357.00|$81.04|$357.00|$250.00|$191.00|$142.80|$81.04|$196.71|$151.37|$119.24|$155.00|$201.00|$357.00|$357.00|$190.64|$142.62|$161.65|$121.24
"CPT® 11403"|"HB EXC TR-EXT B9+MARG 2.1-3CM/<"|761.00|$1200.00|$155.00|$1200.00|$840.00|$642.00|$480.00|$272.40|$661.20|$508.80|$400.80|$155.00|$201.00|$1200.00|$1200.00|$640.80|$479.40|$543.36|$407.52
"CPT® 11406"|"HB EXC TR-EXT B9+MARG >4.0 CM"|761.00|$7307.00|$155.00|$5491.00|$5115.00|$3361.41|$2513.20|$1426.24|$3461.93|$2663.99|$2098.52|$155.00|$201.00|$5072.00|$5491.00|$3901.94|$2919.15|$3308.61|$2481.46
"CPT® 11420"|"HB EXC H-F-NK-SP B9+MARG 0.5/<"|761.00|$1171.00|$155.00|$1171.00|$820.00|$626.49|$468.40|$265.82|$645.22|$496.50|$391.11|$155.00|$201.00|$1171.00|$1171.00|$625.31|$467.81|$530.23|$397.67
"CPT® 11423"|"HB EXC H-F-NK-SP B9+MARG 2.1-3"|761.00|$3042.00|$155.00|$3042.00|$2129.00|$1627.47|$1216.80|$690.53|$1676.14|$1289.81|$1016.03|$155.00|$201.00|$3042.00|$3042.00|$1624.43|$1215.28|$1377.42|$1033.06
"CPT® 11424"|"HB EXC H-F-NK-SP B9+MARG 3.1-4"|761.00|$6436.00|$155.00|$5491.00|$4505.00|$3392.97|$2536.80|$1439.63|$3494.44|$2689.01|$2118.23|$155.00|$201.00|$5072.00|$5491.00|$3436.82|$2571.18|$2914.22|$2185.67
"CPT® 11440"|"HB EXC FACE-MM B9+MARG 0.5 CM/<"|761.00|$1782.00|$155.00|$1782.00|$1247.00|$953.37|$712.80|$404.51|$981.88|$755.57|$595.19|$155.00|$201.00|$1782.00|$1782.00|$951.59|$711.91|$806.89|$605.17
"CPT® 11441"|"HB EXC FACE-MM B9+MARG 0.6-1 CM"|761.00|$3283.00|$155.00|$2629.00|$2298.00|$1406.52|$1051.60|$596.78|$1448.58|$1114.70|$878.09|$155.00|$201.00|$2629.00|$2629.00|$1753.12|$1311.56|$1486.54|$1114.91
"CPT® 11442"|"HB EXC FACE-MM B9+MARG 1.1-2 CM"|761.00|$2566.00|$155.00|$2566.00|$1796.00|$1372.81|$1026.40|$582.48|$1413.87|$1087.98|$857.04|$155.00|$201.00|$2566.00|$2566.00|$1370.24|$1025.12|$1161.88|$871.41
"CPT® 11443"|"HB EXC FACE-MM B9+MARG 2.1-3 CM"|761.00|$3079.00|$155.00|$3079.00|$2155.00|$1647.27|$1231.60|$698.93|$1696.53|$1305.50|$1028.39|$155.00|$201.00|$3079.00|$3079.00|$1644.19|$1230.06|$1394.17|$1045.63
"CPT® 11446"|"HB EXC FACE-MM B9+MARG >4 CM"|761.00|$3594.00|$155.00|$3594.00|$2516.00|$1922.79|$1437.60|$815.84|$1980.29|$1523.86|$1200.40|$155.00|$201.00|$3594.00|$3594.00|$1919.20|$1435.80|$1627.36|$1220.52
"CPT® 11721"|"HB DEBRIDE NAIL 6 OR MORE"|761.00|$504.00|$114.41|$504.00|$353.00|$269.64|$201.60|$114.41|$277.70|$213.70|$168.34|$155.00|$201.00|$504.00|$504.00|$269.14|$201.35|$228.21|$171.16
"CPT® 11730"|"HB REMOVAL OF NAIL PLATE"|761.00|$527.00|$119.63|$527.00|$369.00|$281.95|$210.80|$119.63|$290.38|$223.45|$176.02|$155.00|$201.00|$527.00|$527.00|$281.42|$210.54|$238.63|$178.97
"CPT® 11732"|"HB REMOVE NAIL PLATE ADD-ON"|761.00|$527.00|$119.63|$527.00|$369.00|$281.95|$210.80|$119.63|$290.38|$223.45|$176.02|$155.00|$201.00|$527.00|$527.00|$281.42|$210.54|$238.63|$178.97
"CPT® 11740"|"HB DRAIN BLOOD FROM UNDER NAIL"|761.00|$292.00|$66.28|$292.00|$204.00|$156.22|$116.80|$66.28|$160.89|$123.81|$97.53|$155.00|$201.00|$292.00|$292.00|$155.93|$116.65|$132.22|$99.16
"CPT® 11750"|"HB REMOVAL OF NAIL BED"|761.00|$2718.00|$155.00|$2718.00|$1903.00|$1454.13|$1087.20|$616.99|$1497.62|$1152.43|$907.81|$155.00|$201.00|$2718.00|$2718.00|$1451.41|$1085.84|$1230.71|$923.03
"CPT® 11760"|"HB REPAIR OF NAIL BED"|761.00|$682.00|$154.81|$682.00|$477.00|$364.87|$272.80|$154.81|$375.78|$289.17|$227.79|$155.00|$201.00|$682.00|$682.00|$364.19|$272.46|$308.81|$231.61
"CPT® 11765"|"HB EXCISION OF NAIL FOLD TOE"|761.00|$878.00|$155.00|$878.00|$615.00|$469.73|$351.20|$199.31|$483.78|$372.27|$293.25|$155.00|$201.00|$878.00|$878.00|$468.85|$350.76|$397.56|$298.17
"CPT® 12001"|"HB RPR S/N/AX/GEN/TRNK 2.5CM/<"|761.00|$972.00|$155.00|$972.00|$680.00|$520.02|$388.80|$220.64|$535.57|$412.13|$324.65|$155.00|$201.00|$972.00|$972.00|$519.05|$388.31|$440.12|$330.09
"CPT® 12002"|"HB RPR S/N/AX/GEN/TRNK2.6-7.5CM"|761.00|$1047.00|$155.00|$1047.00|$733.00|$560.15|$418.80|$237.67|$576.90|$443.93|$349.70|$155.00|$201.00|$1047.00|$1047.00|$559.10|$418.28|$474.08|$355.56
"CPT® 12004"|"HB RPR S/N/AX/GEN/TRK7.6-12.5CM"|761.00|$1124.00|$155.00|$1124.00|$787.00|$601.34|$449.60|$255.15|$619.32|$476.58|$375.42|$155.00|$201.00|$1124.00|$1124.00|$600.22|$449.04|$508.95|$381.71
"CPT® 12005"|"HB RPR S/N/A/GEN/TRK12.6-20.0CM"|761.00|$1203.00|$155.00|$1203.00|$842.00|$643.61|$481.20|$273.08|$662.85|$510.07|$401.80|$155.00|$201.00|$1203.00|$1203.00|$642.40|$480.60|$544.72|$408.54
"CPT® 12006"|"HB RPR S/N/A/GEN/TRK20.1-30.0CM"|761.00|$1203.00|$155.00|$1203.00|$842.00|$643.61|$481.20|$273.08|$662.85|$510.07|$401.80|$155.00|$201.00|$1203.00|$1203.00|$642.40|$480.60|$544.72|$408.54
"CPT® 12007"|"HB RPR S/N/AX/GEN/TRNK >30.0 CM"|761.00|$1287.00|$155.00|$1287.00|$901.00|$688.55|$514.80|$292.15|$709.14|$545.69|$429.86|$155.00|$201.00|$1287.00|$1287.00|$687.26|$514.16|$582.75|$437.07
"CPT® 12011"|"HB RPR F/E/E/N/L/M 2.5 CM/<"|761.00|$972.00|$155.00|$972.00|$680.00|$520.02|$388.80|$220.64|$535.57|$412.13|$324.65|$155.00|$201.00|$972.00|$972.00|$519.05|$388.31|$440.12|$330.09
"CPT® 12013"|"HB RPR F/E/E/N/L/M 2.6-5.0 CM"|761.00|$1047.00|$155.00|$1047.00|$733.00|$560.15|$418.80|$237.67|$576.90|$443.93|$349.70|$155.00|$201.00|$1047.00|$1047.00|$559.10|$418.28|$474.08|$355.56
"CPT® 12014"|"HB RPR F/E/E/N/L/M 5.1-7.5 CM"|761.00|$1124.00|$155.00|$1124.00|$787.00|$601.34|$449.60|$255.15|$619.32|$476.58|$375.42|$155.00|$201.00|$1124.00|$1124.00|$600.22|$449.04|$508.95|$381.71
"CPT® 12015"|"HB RPR F/E/E/N/L/M 7.6-12.5 CM"|761.00|$1203.00|$155.00|$1203.00|$842.00|$643.61|$481.20|$273.08|$662.85|$510.07|$401.80|$155.00|$201.00|$1203.00|$1203.00|$642.40|$480.60|$544.72|$408.54
"CPT® 12016"|"HB RPR FE/E/EN/L/M 12.6-20.0 CM"|761.00|$1280.00|$155.00|$1280.00|$896.00|$684.80|$512.00|$290.56|$705.28|$542.72|$427.52|$155.00|$201.00|$1280.00|$1280.00|$683.52|$511.36|$579.58|$434.69
"CPT® 12020"|"HB CLOSURE OF SPLIT WOUND SIMPLE"|761.00|$3793.00|$155.00|$3793.00|$2655.00|$2029.26|$1517.20|$861.01|$2089.94|$1608.23|$1266.86|$155.00|$201.00|$3793.00|$3793.00|$2025.46|$1515.30|$1717.47|$1288.10
"CPT® 12031"|"HB INTMD RPR S/A/T/EXT 2.5 CM/<"|761.00|$972.00|$155.00|$972.00|$680.00|$520.02|$388.80|$220.64|$535.57|$412.13|$324.65|$155.00|$201.00|$972.00|$972.00|$519.05|$388.31|$440.12|$330.09
"CPT® 12032"|"HB INTMD RPR S/A/T/EXT 2.6-7.5"|761.00|$1048.00|$155.00|$1048.00|$734.00|$560.68|$419.20|$237.90|$577.45|$444.35|$350.03|$155.00|$201.00|$1048.00|$1048.00|$559.63|$418.68|$474.53|$355.90
"CPT® 12034"|"HB INTMD RPR S/TR/EXT 7.6-12.5"|761.00|$1124.00|$155.00|$1124.00|$787.00|$601.34|$449.60|$255.15|$619.32|$476.58|$375.42|$155.00|$201.00|$1124.00|$1124.00|$600.22|$449.04|$508.95|$381.71
"CPT® 12035"|"HB INTMD RPR S/A/T/EXT 12.6-20"|761.00|$1235.00|$155.00|$1235.00|$864.00|$660.73|$494.00|$280.35|$680.49|$523.64|$412.49|$155.00|$201.00|$1235.00|$1235.00|$659.49|$493.38|$559.21|$419.41
"CPT® 12036"|"HB INTMD RPR S/A/T/EXT 20.1-30"|761.00|$1235.00|$155.00|$1235.00|$864.00|$660.73|$494.00|$280.35|$680.49|$523.64|$412.49|$155.00|$201.00|$1235.00|$1235.00|$659.49|$493.38|$559.21|$419.41
"CPT® 12037"|"HB INTMD RPR S/TR/EXT >30.0 CM"|761.00|$4041.00|$155.00|$4041.00|$2829.00|$2161.94|$1616.40|$917.31|$2226.59|$1713.38|$1349.69|$155.00|$201.00|$4041.00|$4041.00|$2157.89|$1614.38|$1829.76|$1372.32
"CPT® 12041"|"HB INTMD RPR N-HF/GENIT 2.5CM/<"|761.00|$972.00|$155.00|$972.00|$680.00|$520.02|$388.80|$220.64|$535.57|$412.13|$324.65|$155.00|$201.00|$972.00|$972.00|$519.05|$388.31|$440.12|$330.09
"CPT® 12042"|"HB INTMD RPR N-HF/GENIT2.6-7.5"|761.00|$1047.00|$155.00|$1047.00|$733.00|$560.15|$418.80|$237.67|$576.90|$443.93|$349.70|$155.00|$201.00|$1047.00|$1047.00|$559.10|$418.28|$474.08|$355.56
"CPT® 12044"|"HB INTMD RPR N-HF/GENIT7.6-12.5"|761.00|$1124.00|$155.00|$1124.00|$787.00|$601.34|$449.60|$255.15|$619.32|$476.58|$375.42|$155.00|$201.00|$1124.00|$1124.00|$600.22|$449.04|$508.95|$381.71
"CPT® 12045"|"HB INTMD RPR N-HF/GENIT12.6-20"|761.00|$1235.00|$155.00|$1235.00|$864.00|$660.73|$494.00|$280.35|$680.49|$523.64|$412.49|$155.00|$201.00|$1235.00|$1235.00|$659.49|$493.38|$559.21|$419.41
"CPT® 12051"|"HB INTMD RPR FACE/MM 2.5 CM/<"|761.00|$1003.00|$155.00|$1003.00|$702.00|$536.61|$401.20|$227.68|$552.65|$425.27|$335.00|$155.00|$201.00|$1003.00|$1003.00|$535.60|$400.70|$454.16|$340.62
"CPT® 12052"|"HB INTMD RPR FACE/MM 2.6-5.0 CM"|761.00|$1099.00|$155.00|$1099.00|$769.00|$587.97|$439.60|$249.47|$605.55|$465.98|$367.07|$155.00|$201.00|$1099.00|$1099.00|$586.87|$439.05|$497.63|$373.22
"CPT® 12053"|"HB INTMD RPR FACE/MM 5.1-7.5 CM"|761.00|$1099.00|$155.00|$1099.00|$769.00|$587.97|$439.60|$249.47|$605.55|$465.98|$367.07|$155.00|$201.00|$1099.00|$1099.00|$586.87|$439.05|$497.63|$373.22
"CPT® 12054"|"HB INTMD RPR FACE/MM 7.6-12.5CM"|761.00|$1124.00|$155.00|$1124.00|$787.00|$601.34|$449.60|$255.15|$619.32|$476.58|$375.42|$155.00|$201.00|$1124.00|$1124.00|$600.22|$449.04|$508.95|$381.71
"CPT® 13120"|"HB CMPLX RPR S/A/L 1.1-2.5 CM"|761.00|$1331.00|$155.00|$1202.00|$932.00|$643.07|$480.80|$272.85|$662.30|$509.65|$401.47|$155.00|$201.00|$1202.00|$1202.00|$710.75|$531.73|$602.68|$452.01
"CPT® 13121"|"HB CMPLX RPR S/A/L 2.6-7.5 CM"|761.00|$1550.00|$155.00|$1550.00|$1085.00|$829.25|$620.00|$351.85|$854.05|$657.20|$517.70|$155.00|$201.00|$1550.00|$1550.00|$827.70|$619.23|$701.84|$526.38
"CPT® 13122"|"HB CMPLX RPR S/A/L ADDL 5 CM/>"|761.00|$1213.00|$155.00|$1213.00|$849.00|$648.96|$485.20|$275.35|$668.36|$514.31|$405.14|$155.00|$201.00|$1213.00|$1213.00|$647.74|$484.59|$549.25|$411.93
"CPT® 13131"|"HB COMPLEX SUTURE, HEAD, HANDS, FEET, 1.1 TO 2.5 CM"|761.00|$1331.00|$155.00|$1331.00|$932.00|$712.09|$532.40|$302.14|$733.38|$564.34|$444.55|$155.00|$201.00|$1331.00|$1331.00|$710.75|$531.73|$602.68|$452.01
"CPT® 13132"|"HB COMPLEX SUTURE, HEAD, HANDS, FEET, 2.6 TO 7.5 CM"|761.00|$3375.00|$155.00|$3375.00|$2362.00|$1805.63|$1350.00|$766.13|$1859.63|$1431.00|$1127.25|$155.00|$201.00|$3375.00|$3375.00|$1802.25|$1348.31|$1528.20|$1146.15
"CPT® 13133"|"HB REPAIR WOUND/LESION ADD-ON"|761.00|$1551.00|$155.00|$1551.00|$1086.00|$829.79|$620.40|$352.08|$854.60|$657.62|$518.03|$155.00|$201.00|$1551.00|$1551.00|$828.23|$619.62|$702.29|$526.72
"CPT® 13151"|"HB CMPLX RPR E/N/E/L 1.1-2.5 CM"|761.00|$3170.00|$155.00|$3170.00|$2219.00|$1695.95|$1268.00|$719.59|$1746.67|$1344.08|$1058.78|$155.00|$201.00|$3170.00|$3170.00|$1692.78|$1266.42|$1435.38|$1076.53
"CPT® 13152"|"HB CMPLX RPR E/N/E/L 2.6-7.5 CM"|761.00|$1551.00|$155.00|$1551.00|$1086.00|$829.79|$620.40|$352.08|$854.60|$657.62|$518.03|$155.00|$201.00|$1551.00|$1551.00|$828.23|$619.62|$702.29|$526.72
"CPT® 13153"|"HB CMPLX RPR E/N/E/L ADDL 5CM/<"|761.00|$1671.00|$155.00|$1671.00|$1170.00|$893.99|$668.40|$379.32|$920.72|$708.50|$558.11|$155.00|$201.00|$1671.00|$1671.00|$892.31|$667.56|$756.63|$567.47
"CPT® 15275"|"HB SKIN SUB GRAFT FACE/NK/HF/G"|761.00|$2568.00|$155.00|$2568.00|$1798.00|$1373.88|$1027.20|$582.94|$1414.97|$1088.83|$857.71|$155.00|$201.00|$2568.00|$2568.00|$1371.31|$1025.92|$1162.79|$872.09
"CPT® 16000"|"HB INITIAL TREATMENT OF BURN(S)"|761.00|$235.00|$53.35|$235.00|$164.00|$125.73|$94.00|$53.35|$129.49|$99.64|$78.49|$155.00|$201.00|$235.00|$235.00|$125.49|$93.88|$106.41|$79.81
"CPT® 16020"|"HB DRESS/DEBRID P-THICK BURN S"|761.00|$239.00|$54.25|$239.00|$167.00|$127.87|$95.60|$54.25|$131.69|$101.34|$79.83|$155.00|$201.00|$239.00|$239.00|$127.63|$95.48|$108.22|$81.16
"CPT® 16025"|"HB DRESS/DEBRID P-THICK BURN M"|761.00|$239.00|$54.25|$239.00|$167.00|$127.87|$95.60|$54.25|$131.69|$101.34|$79.83|$155.00|$201.00|$239.00|$239.00|$127.63|$95.48|$108.22|$81.16
"CPT® 16030"|"HB DRESS/DEBRID P-THICK BURN L"|761.00|$239.00|$54.25|$239.00|$167.00|$127.87|$95.60|$54.25|$131.69|$101.34|$79.83|$155.00|$201.00|$239.00|$239.00|$127.63|$95.48|$108.22|$81.16
"CPT® 17110"|"HB DESTRUCT B9 LESION 1-14"|761.00|$879.00|$155.00|$879.00|$615.00|$470.27|$351.60|$199.53|$484.33|$372.70|$293.59|$155.00|$201.00|$879.00|$879.00|$469.39|$351.16|$398.01|$298.51
"CPT® 17250"|"HB CHEMICAL CAUTERY TISSUE"|761.00|$240.00|$54.48|$240.00|$168.00|$128.40|$96.00|$54.48|$132.24|$101.76|$80.16|$155.00|$201.00|$240.00|$240.00|$128.16|$95.88|$108.67|$81.50
"CPT® 19000"|"HB PUNCTURE ASPIRATION OF CYST, BREAST"|761.00|$1316.00|$155.00|$1316.00|$921.00|$704.06|$526.40|$298.73|$725.12|$557.98|$439.54|$155.00|$201.00|$1316.00|$1316.00|$702.74|$525.74|$595.88|$446.91
"CPT® 19020"|"HB INCISION OF BREAST LESION"|761.00|$4663.00|$155.00|$4663.00|$3264.00|$2494.71|$1865.20|$1058.50|$2569.31|$1977.11|$1557.44|$155.00|$201.00|$4663.00|$4663.00|$2490.04|$1862.87|$2111.41|$1583.55
"CPT® 19083"|"HB BX BREAST 1ST LESION US IMAG"|761.00|$3089.00|$155.00|$3089.00|$2162.00|$1652.62|$1235.60|$701.20|$1702.04|$1309.74|$1031.73|$155.00|$201.00|$3089.00|$3089.00|$1649.53|$1234.06|$1398.70|$1049.02
"CPT® 19084"|"HB BX BREAST ADD LESION US IMAG"|761.00|$3089.00|$155.00|$3089.00|$2162.00|$1652.62|$1235.60|$701.20|$1702.04|$1309.74|$1031.73|$155.00|$201.00|$3089.00|$3089.00|$1649.53|$1234.06|$1398.70|$1049.02
"CPT® 19120"|"HB REMOVAL OF BREAST LESION"|761.00|$4555.00|$155.00|$4555.00|$3188.00|$2436.93|$1822.00|$1033.99|$2509.81|$1931.32|$1521.37|$155.00|$201.00|$4555.00|$4555.00|$2432.37|$1819.72|$2062.50|$1546.88
"CPT® 19281"|"HB PERCUTENEOUS DEVICE BREAST 1ST LESION; MAMMO GUIDED"|761.00|$1248.00|$155.00|$1248.00|$874.00|$667.68|$499.20|$283.30|$687.65|$529.15|$416.83|$155.00|$201.00|$1248.00|$1248.00|$666.43|$498.58|$565.09|$423.82
"CPT® 19282"|"HB PERQ DEVICE BREAST EA IMAG"|761.00|$233.00|$52.89|$233.00|$163.00|$124.66|$93.20|$52.89|$128.38|$98.79|$77.82|$155.00|$201.00|$233.00|$233.00|$124.42|$93.08|$105.50|$79.13
"CPT® 19283"|"HB PERQ DEV BREAST 1ST STRTCTC"|761.00|$1594.00|$155.00|$1594.00|$1116.00|$852.79|$637.60|$361.84|$878.29|$675.86|$532.40|$155.00|$201.00|$1594.00|$1594.00|$851.20|$636.80|$721.76|$541.32
"CPT® 19285"|"HB PERCUTENEOUS DEVICE BREAST 1ST LESION; ULTRASOUND GUIDED"|761.00|$1807.00|$155.00|$1807.00|$1265.00|$966.75|$722.80|$410.19|$995.66|$766.17|$603.54|$155.00|$201.00|$1807.00|$1807.00|$964.94|$721.90|$818.21|$613.66
"CPT® 20206"|"HB BIOPSY, MUSCLE; PERCUTANEOUS NEEDLE"|761.00|$1389.00|$155.00|$1389.00|$972.00|$743.12|$555.60|$315.30|$765.34|$588.94|$463.93|$155.00|$201.00|$1389.00|$1389.00|$741.73|$554.91|$628.94|$471.70
"CPT® 20220"|"HB BONE BIOPSY SUPERFICIAL; TROCAR OR NEEDLE"|761.00|$2426.00|$155.00|$2426.00|$1698.00|$1297.91|$970.40|$550.70|$1336.73|$1028.62|$810.28|$155.00|$201.00|$2426.00|$2426.00|$1295.48|$969.19|$1098.49|$823.87
"CPT® 20225"|"HB BONE BIOPSY DEEP; TROCAR OR NEEDLE"|761.00|$1257.00|$155.00|$1257.00|$880.00|$672.50|$502.80|$285.34|$692.61|$532.97|$419.84|$155.00|$201.00|$1257.00|$1257.00|$671.24|$502.17|$569.17|$426.88
"CPT® 20550"|"HB INJ TENDON SHEATH/LIGAMENT"|761.00|$505.00|$114.64|$505.00|$354.00|$270.18|$202.00|$114.64|$278.26|$214.12|$168.67|$155.00|$201.00|$505.00|$505.00|$269.67|$201.75|$228.66|$171.50
"CPT® 20552"|"HB INJ TRIGGER POINT 1/2 MUSCL"|761.00|$633.00|$143.69|$633.00|$443.00|$338.66|$253.20|$143.69|$348.78|$268.39|$211.42|$155.00|$201.00|$633.00|$633.00|$338.02|$252.88|$286.62|$214.97
"CPT® 20553"|"HB INJECTIONS, SINGLE OR MULTIPLE TRIGGER POINTS, 3 OR MORE MUSCLES"|761.00|$576.00|$130.75|$576.00|$403.00|$308.16|$230.40|$130.75|$317.38|$244.22|$192.38|$155.00|$201.00|$576.00|$576.00|$307.58|$230.11|$260.81|$195.61
"CPT® 20600"|"HB ARTHROCENTESIS, ASPIRATION/INJECTION; SMALL JOINT W/O US"|761.00|$377.00|$85.58|$377.00|$264.00|$201.70|$150.80|$85.58|$207.73|$159.85|$125.92|$155.00|$201.00|$377.00|$377.00|$201.32|$150.61|$170.71|$128.03
"CPT® 20605"|"HB ARTHROCENTESIS, ASPIRATION/INJECTION; INTERMEDIATE JOINT/BURSA"|761.00|$323.00|$73.32|$323.00|$226.00|$172.81|$129.20|$73.32|$177.97|$136.95|$107.88|$155.00|$201.00|$323.00|$323.00|$172.48|$129.04|$146.25|$109.69
"CPT® 20606"|"HB US GUIDED ASP/INJ INTERMEDIATE JOINT"|761.00|$484.00|$109.87|$484.00|$339.00|$258.94|$193.60|$109.87|$266.68|$205.22|$161.66|$155.00|$201.00|$484.00|$484.00|$258.46|$193.36|$219.16|$164.37
"CPT® 20610"|"HB ARTHROCENTESIS, ASPIRATION/INJECTION; MAJOR JOINT/BURSA"|761.00|$738.00|$155.00|$738.00|$517.00|$394.83|$295.20|$167.53|$406.64|$312.91|$246.49|$155.00|$201.00|$738.00|$738.00|$394.09|$294.83|$334.17|$250.62
"CPT® 20611"|"HB US GUIDED ASP/INJ MAJOR JOINT"|761.00|$1950.00|$155.00|$1950.00|$1365.00|$1043.25|$780.00|$442.65|$1074.45|$826.80|$651.30|$155.00|$201.00|$1950.00|$1950.00|$1041.30|$779.03|$882.96|$662.22
"CPT® 20612"|"HB ASPIRATE/INJ GANGLION CYST"|761.00|$462.00|$104.87|$462.00|$323.00|$247.17|$184.80|$104.87|$254.56|$195.89|$154.31|$155.00|$201.00|$462.00|$462.00|$246.71|$184.57|$209.19|$156.90
"CPT® 20670"|"HB REMOVAL SUPPORT IMPLANT"|761.00|$5917.00|$155.00|$5491.00|$4142.00|$3165.60|$2366.80|$1343.16|$3260.27|$2508.81|$1976.28|$155.00|$201.00|$5072.00|$5491.00|$3159.68|$2363.84|$2679.22|$2009.41
"CPT® 20982"|"HB ABLATION BONE TUMOR(S) PERCUTANEOUS RADIOFREQUENCY W/CT"|761.00|$10845.00|$155.00|$5975.60|$7591.00|$5802.08|$4338.00|$2461.82|$5975.60|$4598.28|$3622.23|$155.00|$201.00|$5072.00|$5491.00|$5791.23|$4332.58|$4910.62|$3682.96
"CPT® 21310"|"HB CLOSED TX NOSE FX W/O MANJ"|761.00|$375.00|$85.13|$375.00|$262.00|$200.63|$150.00|$85.13|$206.63|$159.00|$125.25|$155.00|$201.00|$375.00|$375.00|$200.25|$149.81|$169.80|$127.35
"CPT® 21453"|"HB TREAT LOWER JAW FRACTURE; WITH INTERDENTAL FIXATION"|761.00|$5216.00|$155.00|$5216.00|$3651.00|$2790.56|$2086.40|$1184.03|$2874.02|$2211.58|$1742.14|$155.00|$201.00|$5072.00|$5216.00|$2785.34|$2083.79|$2361.80|$1771.35
"CPT® 21480"|"HB REDUCT DISLOCATED JAW; INITIAL OR SUBSEQUENT"|761.00|$951.00|$155.00|$951.00|$666.00|$508.79|$380.40|$215.88|$524.00|$403.22|$317.63|$155.00|$201.00|$951.00|$951.00|$507.83|$379.92|$430.61|$322.96
"CPT® 22511"|"HB PERQ LUMBOSACRAL INJECTION"|761.00|$5240.00|$155.00|$5491.00|$3668.00|$2972.46|$2222.40|$1261.21|$3061.36|$2355.74|$1855.70|$155.00|$201.00|$5072.00|$5491.00|$2798.16|$2093.38|$2372.67|$1779.50
"CPT® 22513"|"HB PERCUTANEOUS KYPHOPLASTY; THORACIC"|761.00|$13433.00|$155.00|$7401.58|$9403.00|$7186.66|$5373.20|$3049.29|$7401.58|$5695.59|$4486.62|$155.00|$201.00|$5072.00|$5491.00|$7173.22|$5366.48|$6082.46|$4561.85
"CPT® 22514"|"HB PERCUTANEOUS KYPHOPLASTY; LUMBAR"|761.00|$13433.00|$155.00|$7401.58|$9403.00|$7186.66|$5373.20|$3049.29|$7401.58|$5695.59|$4486.62|$155.00|$201.00|$5072.00|$5491.00|$7173.22|$5366.48|$6082.46|$4561.85
"CPT® 22515"|"HB PERCUTANEOUS KYPHOPLASTY; EACH ADD'L THORACIC OR LUMBAR"|761.00|$10330.00|$155.00|$5691.83|$7231.00|$5526.55|$4132.00|$2344.91|$5691.83|$4379.92|$3450.22|$155.00|$201.00|$5072.00|$5491.00|$5516.22|$4126.84|$4677.42|$3508.07
"CPT® 23605"|"HB HUMERUS PROXIMAL FRACTURE; WITH MANIPULATION; W/ OR W/O TRACTION"|761.00|$1956.00|$155.00|$1956.00|$1369.00|$1046.46|$782.40|$444.01|$1077.76|$829.34|$653.30|$155.00|$201.00|$1956.00|$1956.00|$1044.50|$781.42|$885.68|$664.26
"CPT® 23650"|"HB SHOULDER DISLOCATION; WITH MANIPULATION; W/O ANESTHESIA"|761.00|$784.00|$155.00|$784.00|$549.00|$419.44|$313.60|$177.97|$431.98|$332.42|$261.86|$155.00|$201.00|$784.00|$784.00|$418.66|$313.21|$355.00|$266.25
"CPT® 23665"|"HB SHOULDER DISLOCATION W/FRACTURE, GREATER HUMERAL TUBEROSITY; W/MANIPULATION"|761.00|$1956.00|$155.00|$1956.00|$1369.00|$1046.46|$782.40|$444.01|$1077.76|$829.34|$653.30|$155.00|$201.00|$1956.00|$1956.00|$1044.50|$781.42|$885.68|$664.26
"CPT® 23675"|"HB SHOULDER DISLOCATION W/ANATOMICAL NECK FRACTURE; W/MANIPULATION"|761.00|$1956.00|$155.00|$1956.00|$1369.00|$1046.46|$782.40|$444.01|$1077.76|$829.34|$653.30|$155.00|$201.00|$1956.00|$1956.00|$1044.50|$781.42|$885.68|$664.26
"CPT® 24505"|"HB HUMERUS SHAFT FRACTURE, WITH MANIPULATION; W/ OR W/O TRACTION"|761.00|$1956.00|$155.00|$1956.00|$1369.00|$1046.46|$782.40|$444.01|$1077.76|$829.34|$653.30|$155.00|$201.00|$1956.00|$1956.00|$1044.50|$781.42|$885.68|$664.26
"CPT® 24565"|"HB HUMERUS EPICONDYLAR FRACTURE, WITH MANIPULATION"|761.00|$1956.00|$155.00|$1956.00|$1369.00|$1046.46|$782.40|$444.01|$1077.76|$829.34|$653.30|$155.00|$201.00|$1956.00|$1956.00|$1044.50|$781.42|$885.68|$664.26
"CPT® 24600"|"HB ELBOW DISLOCATION; WITHOUT ANESTHESIA"|761.00|$855.00|$155.00|$855.00|$598.00|$457.43|$342.00|$194.09|$471.11|$362.52|$285.57|$155.00|$201.00|$855.00|$855.00|$456.57|$341.57|$387.14|$290.36
"CPT® 24640"|"HB ELBOW DISLOCATION RADIAL HEAD; WITH MANIPULATION"|761.00|$784.00|$155.00|$784.00|$549.00|$419.44|$313.60|$177.97|$431.98|$332.42|$261.86|$155.00|$201.00|$784.00|$784.00|$418.66|$313.21|$355.00|$266.25
"CPT® 25028"|"HB DRAINAGE OF FOREARM LESION"|761.00|$3825.00|$155.00|$3825.00|$2678.00|$2046.38|$1530.00|$868.28|$2107.58|$1621.80|$1277.55|$155.00|$201.00|$3825.00|$3825.00|$2042.55|$1528.09|$1731.96|$1298.97
"CPT® 25505"|"HB FRACTURE RADIUS SHAFT; WITH MANIPULATION"|761.00|$1799.00|$155.00|$1799.00|$1259.00|$962.47|$719.60|$408.37|$991.25|$762.78|$600.87|$155.00|$201.00|$1799.00|$1799.00|$960.67|$718.70|$814.59|$610.94
"CPT® 25535"|"HB FRACTURE ULNAR SHAFT; WITH MANIPULATION"|761.00|$2399.00|$155.00|$2399.00|$1679.00|$1283.47|$959.60|$544.57|$1321.85|$1017.18|$801.27|$155.00|$201.00|$2399.00|$2399.00|$1281.07|$958.40|$1086.27|$814.70
"CPT® 25565"|"HB FRACTURE RADIUS & ULNA; WITH MANIPULATION"|761.00|$2296.00|$155.00|$2296.00|$1607.00|$1228.36|$918.40|$521.19|$1265.10|$973.50|$766.86|$155.00|$201.00|$2296.00|$2296.00|$1226.06|$917.25|$1039.63|$779.72
"CPT® 25605"|"HB FRACTURE RADIUS/ULNA, COLLES OR SMITH TYPE; WITH MANIPULATION"|761.00|$2239.00|$155.00|$2239.00|$1567.00|$1197.87|$895.60|$508.25|$1233.69|$949.34|$747.83|$155.00|$201.00|$2239.00|$2239.00|$1195.63|$894.48|$1013.82|$760.36
"CPT® 25650"|"HB FRACTURE WRIST, ULNAR STYLOID"|761.00|$3703.00|$155.00|$3703.00|$2592.00|$1981.11|$1481.20|$840.58|$2040.35|$1570.07|$1236.80|$155.00|$201.00|$3703.00|$3703.00|$1977.40|$1479.35|$1676.72|$1257.54
"CPT® 25690"|"HB DISLOCATION LUNATE WITH MANIPULATION"|761.00|$16705.00|$155.00|$9204.46|$11694.00|$8937.18|$6682.00|$3792.04|$9204.46|$7082.92|$5579.47|$155.00|$201.00|$5072.00|$5491.00|$8920.47|$6673.65|$7564.02|$5673.02
"CPT® 26010"|"HB DRAINAGE FINGER ABSCESS; SIMPLE"|761.00|$865.00|$155.00|$865.00|$606.00|$462.78|$346.00|$196.36|$476.62|$366.76|$288.91|$155.00|$201.00|$865.00|$865.00|$461.91|$345.57|$391.67|$293.75
"CPT® 26011"|"HB DRAINAGE FINGER ABSCESS; COMPLEX"|761.00|$1905.00|$155.00|$1905.00|$1334.00|$1019.18|$762.00|$432.44|$1049.66|$807.72|$636.27|$155.00|$201.00|$1905.00|$1905.00|$1017.27|$761.05|$862.58|$646.94
"CPT® 26605"|"HB FRACTURE METACARPAL, SINGLE; WITH MANIPULATION, EACH BONE"|761.00|$1827.00|$155.00|$1827.00|$1279.00|$977.45|$730.80|$414.73|$1006.68|$774.65|$610.22|$155.00|$201.00|$1827.00|$1827.00|$975.62|$729.89|$827.27|$620.45
"CPT® 26641"|"HB DISLOCATION, THUMB, WITH MANIPULATION"|761.00|$1547.00|$155.00|$1547.00|$1083.00|$827.65|$618.80|$351.17|$852.40|$655.93|$516.70|$155.00|$201.00|$1547.00|$1547.00|$826.10|$618.03|$700.48|$525.36
"CPT® 26670"|"HB DISLOCATION HAND, WITH MANIPULATION, EACH JOINT; WITHOUT ANESTHESIA"|761.00|$1346.00|$155.00|$1346.00|$942.00|$720.11|$538.40|$305.54|$741.65|$570.70|$449.56|$155.00|$201.00|$1346.00|$1346.00|$718.76|$537.73|$609.47|$457.10
"CPT® 26700"|"HB DISLOCATION KNUCLE, WITH MANIPULATION; WITHOUT ANESTHESIA"|761.00|$871.00|$155.00|$871.00|$610.00|$465.99|$348.40|$197.72|$479.92|$369.30|$290.91|$155.00|$201.00|$871.00|$871.00|$465.11|$347.96|$394.39|$295.79
"CPT® 26720"|"HB FRACTURE FINGER, EACH; WITHOUT MANIPULATION"|761.00|$562.00|$127.57|$562.00|$393.00|$300.67|$224.80|$127.57|$309.66|$238.29|$187.71|$155.00|$201.00|$562.00|$562.00|$300.11|$224.52|$254.47|$190.86
"CPT® 26725"|"HB FRACTURE FINGER, WITH MANIPULATION; WITH OR WITHOUT TRACTION"|761.00|$1065.00|$155.00|$1065.00|$746.00|$569.78|$426.00|$241.76|$586.82|$451.56|$355.71|$155.00|$201.00|$1065.00|$1065.00|$568.71|$425.47|$482.23|$361.67
"CPT® 26742"|"HB FRACTURE FINGER, ARTICULAR; WITH MANIPULATION"|761.00|$1305.00|$155.00|$1305.00|$913.00|$698.18|$522.00|$296.24|$719.06|$553.32|$435.87|$155.00|$201.00|$1305.00|$1305.00|$696.87|$521.35|$590.90|$443.18
"CPT® 26750"|"HB FRACTURE FINGER, DISTAL; WITHOUT MANIPULATION"|761.00|$562.00|$127.57|$562.00|$393.00|$300.67|$224.80|$127.57|$309.66|$238.29|$187.71|$155.00|$201.00|$562.00|$562.00|$300.11|$224.52|$254.47|$190.86
"CPT® 26755"|"HB FRACTURE FINGER, DISTAL; WITH MANIPULATION"|761.00|$608.00|$138.02|$608.00|$426.00|$325.28|$243.20|$138.02|$335.01|$257.79|$203.07|$155.00|$201.00|$608.00|$608.00|$324.67|$242.90|$275.30|$206.48
"CPT® 26756"|"HB PIN FINGER FRACTURE EACH"|761.00|$9408.00|$155.00|$5491.00|$6586.00|$5033.28|$3763.20|$2135.62|$5183.81|$3988.99|$3142.27|$155.00|$201.00|$5072.00|$5491.00|$5023.87|$3758.50|$4259.94|$3194.96
"CPT® 26770"|"HB DISLOCATION FINGER, INTERPHALANGEAL; W/MANIPULATION, W/O ANESTHESIA"|761.00|$745.00|$155.00|$745.00|$522.00|$398.58|$298.00|$169.12|$410.50|$315.88|$248.83|$155.00|$201.00|$745.00|$745.00|$397.83|$297.63|$337.34|$253.00
"CPT® 26952"|"HB AMPUTATION FINGER/THUMB WITH V-Y, HOOD"|761.00|$2645.00|$155.00|$2645.00|$1851.00|$1415.08|$1058.00|$600.42|$1457.40|$1121.48|$883.43|$155.00|$201.00|$2645.00|$2645.00|$1412.43|$1056.68|$1197.66|$898.24
"CPT® 27250"|"HB DISLOCATION HIP, TRAUMATIC; WITHOUT ANESTHESIA"|761.00|$600.00|$136.20|$600.00|$420.00|$321.00|$240.00|$136.20|$330.60|$254.40|$200.40|$155.00|$201.00|$600.00|$600.00|$320.40|$239.70|$271.68|$203.76
"CPT® 27265"|"HB DISLOCATION HIP, POST ARTHROPLASTY; WITHOUT ANESTHESIA"|761.00|$996.00|$155.00|$996.00|$697.00|$532.86|$398.40|$226.09|$548.80|$422.30|$332.66|$155.00|$201.00|$996.00|$996.00|$531.86|$397.90|$450.99|$338.24
"CPT® 27301"|"HB DRAIN THIGH/KNEE LESION"|761.00|$7153.00|$155.00|$5491.00|$5007.00|$3826.86|$2861.20|$1623.73|$3941.30|$3032.87|$2389.10|$155.00|$201.00|$5072.00|$5491.00|$3819.70|$2857.62|$3238.88|$2429.16
"CPT® 27502"|"HB FRACTURE FEMORAL SHAFT, WITH MANIPULATION, WITH OR W/O TRACTION"|761.00|$1963.00|$155.00|$1963.00|$1374.00|$1050.21|$785.20|$445.60|$1081.61|$832.31|$655.64|$155.00|$201.00|$1963.00|$1963.00|$1048.24|$784.22|$888.85|$666.63
"CPT® 27550"|"HB DISLOCATION KNEE; WITHOUT ANESTHESIA"|761.00|$673.00|$152.77|$673.00|$471.00|$360.06|$269.20|$152.77|$370.82|$285.35|$224.78|$155.00|$201.00|$673.00|$673.00|$359.38|$268.86|$304.73|$228.55
"CPT® 27560"|"HB DISCLOCATION PATELLAR; WITHOUT ANESTHESIA"|761.00|$1018.00|$155.00|$1018.00|$713.00|$544.63|$407.20|$231.09|$560.92|$431.63|$340.01|$155.00|$201.00|$1018.00|$1018.00|$543.61|$406.69|$460.95|$345.71
"CPT® 27752"|"HB FRACTURE TIBIA; WITH MANIPULATION, WITH OR WITHOUT TRACTION"|761.00|$1825.00|$155.00|$1825.00|$1278.00|$976.38|$730.00|$414.28|$1005.58|$773.80|$609.55|$155.00|$201.00|$1825.00|$1825.00|$974.55|$729.09|$826.36|$619.77
"CPT® 27762"|"HB FRACTURE MEDIAL ANKLE; WITH MANIPULATION; WITH OR WITHOUT TRACTION"|761.00|$9419.00|$155.00|$5491.00|$6593.00|$5039.17|$3767.60|$2138.11|$5189.87|$3993.66|$3145.95|$155.00|$201.00|$5072.00|$5491.00|$5029.75|$3762.89|$4264.92|$3198.69
"CPT® 27781"|"HB FRACTURE PROXIMAL FIBULA; WITH MANIPULATION"|761.00|$1805.00|$155.00|$1805.00|$1264.00|$965.68|$722.00|$409.74|$994.56|$765.32|$602.87|$155.00|$201.00|$1805.00|$1805.00|$963.87|$721.10|$817.30|$612.98
"CPT® 27788"|"HB FRACTURE DISTAL LATERAL ANKLE; WITH MANIPULATION"|761.00|$1525.00|$155.00|$1525.00|$1068.00|$815.88|$610.00|$346.18|$840.28|$646.60|$509.35|$155.00|$201.00|$1525.00|$1525.00|$814.35|$609.24|$690.52|$517.89
"CPT® 27810"|"HB FRACTURE BIMALLEOLAR ANKLE WITH MANIPULATION"|761.00|$1805.00|$155.00|$1805.00|$1264.00|$965.68|$722.00|$409.74|$994.56|$765.32|$602.87|$155.00|$201.00|$1805.00|$1805.00|$963.87|$721.10|$817.30|$612.98
"CPT® 27818"|"HB FRACTURE TRIMALLEOLAR ANKLE; WITH MANIPULATION"|761.00|$1805.00|$155.00|$1805.00|$1264.00|$965.68|$722.00|$409.74|$994.56|$765.32|$602.87|$155.00|$201.00|$1805.00|$1805.00|$963.87|$721.10|$817.30|$612.98
"CPT® 27840"|"HB DISLOCATIN ANKLE; WITHOUT ANESTHESIA"|761.00|$1356.00|$155.00|$1356.00|$949.00|$725.46|$542.40|$307.81|$747.16|$574.94|$452.90|$155.00|$201.00|$1356.00|$1356.00|$724.10|$541.72|$614.00|$460.50
"CPT® 28190"|"HB REMOVAL FOREIGNBODY, FOOT; SUBQUTANEOUS"|761.00|$2305.00|$155.00|$2305.00|$1614.00|$1233.18|$922.00|$523.24|$1270.06|$977.32|$769.87|$155.00|$201.00|$2305.00|$2305.00|$1230.87|$920.85|$1043.70|$782.78
"CPT® 28192"|"HB REMOVAL FOOT FOREIGN BODY DEEP"|761.00|$9783.00|$155.00|$5491.00|$6848.00|$5233.91|$3913.20|$2220.74|$5390.43|$4147.99|$3267.52|$155.00|$201.00|$5072.00|$5491.00|$5224.12|$3908.31|$4429.74|$3322.31
"CPT® 28495"|"HB FRACTURE BIG TOE; WITH MANIPULATION"|761.00|$805.00|$155.00|$805.00|$564.00|$430.68|$322.00|$182.74|$443.56|$341.32|$268.87|$155.00|$201.00|$805.00|$805.00|$429.87|$321.60|$364.50|$273.38
"CPT® 28515"|"HB FRACTURE NON-GREAT TOE WITH MANIPULATION"|761.00|$929.00|$155.00|$929.00|$650.00|$497.02|$371.60|$210.88|$511.88|$393.90|$310.29|$155.00|$201.00|$929.00|$929.00|$496.09|$371.14|$420.65|$315.49
"CPT® 28630"|"HB DISLOCATION METATARSOPHALANGEAL TOE; WITHOUT ANESTHESIA"|761.00|$1352.00|$155.00|$1352.00|$946.00|$723.32|$540.80|$306.90|$744.95|$573.25|$451.57|$155.00|$201.00|$1352.00|$1352.00|$721.97|$540.12|$612.19|$459.14
"CPT® 28660"|"HB DISLOCATION INTERPHALANGEAL TOE; WITHOUT ANESTHESIA"|761.00|$685.00|$155.00|$685.00|$479.00|$366.48|$274.00|$155.50|$377.44|$290.44|$228.79|$155.00|$201.00|$685.00|$685.00|$365.79|$273.66|$310.17|$232.63
"CPT® 29065"|"HB APPLICATION OF LONG ARM CAST"|761.00|$912.00|$155.00|$912.00|$638.00|$487.92|$364.80|$207.02|$502.51|$386.69|$304.61|$155.00|$201.00|$912.00|$912.00|$487.01|$364.34|$412.95|$309.72
"CPT® 29075"|"HB APPLICATION OF FOREARM CAST"|761.00|$1127.00|$155.00|$1127.00|$789.00|$602.95|$450.80|$255.83|$620.98|$477.85|$376.42|$155.00|$201.00|$1127.00|$1127.00|$601.82|$450.24|$510.31|$382.73
"CPT® 29105"|"HB APPLY LONG ARM SPLINT"|761.00|$548.00|$124.40|$548.00|$384.00|$293.18|$219.20|$124.40|$301.95|$232.35|$183.03|$155.00|$201.00|$548.00|$548.00|$292.63|$218.93|$248.13|$186.10
"CPT® 29125"|"HB APPLICATION, SPLINT; FOREARM TO HAND-STATIC"|761.00|$505.00|$114.64|$505.00|$354.00|$270.18|$202.00|$114.64|$278.26|$214.12|$168.67|$155.00|$201.00|$505.00|$505.00|$269.67|$201.75|$228.66|$171.50
"CPT® 29130"|"HB APPLICATION, SPLINT; FINGER-STATIC"|761.00|$462.00|$104.87|$462.00|$323.00|$247.17|$184.80|$104.87|$254.56|$195.89|$154.31|$155.00|$201.00|$462.00|$462.00|$246.71|$184.57|$209.19|$156.90
"CPT® 29240"|"HB STRAPPING OF SHOULDER"|761.00|$548.00|$124.40|$548.00|$384.00|$293.18|$219.20|$124.40|$301.95|$232.35|$183.03|$155.00|$201.00|$548.00|$548.00|$292.63|$218.93|$248.13|$186.10
"CPT® 29505"|"HB APPLICATION LONG LEG SPLINT"|761.00|$694.00|$155.00|$694.00|$486.00|$371.29|$277.60|$157.54|$382.39|$294.26|$231.80|$155.00|$201.00|$694.00|$694.00|$370.60|$277.25|$314.24|$235.68
"CPT® 29515"|"HB APPLICATION LOWER LEG SPLINT"|761.00|$516.00|$117.13|$516.00|$361.00|$276.06|$206.40|$117.13|$284.32|$218.78|$172.34|$155.00|$201.00|$516.00|$516.00|$275.54|$206.14|$233.64|$175.23
"CPT® 29540"|"HB STRAPPING OF ANKLE AND/OR FT"|761.00|$545.00|$123.72|$545.00|$382.00|$291.58|$218.00|$123.72|$300.30|$231.08|$182.03|$155.00|$201.00|$545.00|$545.00|$291.03|$217.73|$246.78|$185.08
"CPT® 29700"|"HB REMOVAL/REVISON CAST; GAUNTLET, BOOT OR BODY CAST"|761.00|$394.00|$89.44|$394.00|$276.00|$210.79|$157.60|$89.44|$217.09|$167.06|$131.60|$155.00|$201.00|$394.00|$394.00|$210.40|$157.40|$178.40|$133.80
"CPT® 29705"|"HB REMOVAL/REVISON CAST; FULL ARM OR FULL LEG CAST"|761.00|$394.00|$89.44|$394.00|$276.00|$210.79|$157.60|$89.44|$217.09|$167.06|$131.60|$155.00|$201.00|$394.00|$394.00|$210.40|$157.40|$178.40|$133.80
"CPT® 30000"|"HB DRAINAGE ABSCESS/HEMATOMA, NASAL, INTERNAL APPROACH"|761.00|$1000.00|$155.00|$1000.00|$700.00|$535.00|$400.00|$227.00|$551.00|$424.00|$334.00|$155.00|$201.00|$1000.00|$1000.00|$534.00|$399.50|$452.80|$339.60
"CPT® 30300"|"HB REMOVE NASAL FOREIGN BODY"|761.00|$656.00|$148.91|$656.00|$459.00|$350.96|$262.40|$148.91|$361.46|$278.14|$219.10|$155.00|$201.00|$656.00|$656.00|$350.30|$262.07|$297.04|$222.78
"CPT® 30901"|"HB CONTROL NASAL HEMORRHAGE, ANTERIOR, SIMPLE"|761.00|$638.00|$144.83|$638.00|$447.00|$341.33|$255.20|$144.83|$351.54|$270.51|$213.09|$155.00|$201.00|$638.00|$638.00|$340.69|$254.88|$288.89|$216.66
"CPT® 30903"|"HB CONTROL NASAL HEMORRHAGE, ANTERIOR, COMPLEX"|761.00|$915.00|$155.00|$915.00|$640.00|$489.53|$366.00|$207.71|$504.17|$387.96|$305.61|$155.00|$201.00|$915.00|$915.00|$488.61|$365.54|$414.31|$310.73
"CPT® 30905"|"HB CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH NASAL PACKS/CAUTERY"|761.00|$1155.00|$155.00|$1155.00|$808.00|$617.93|$462.00|$262.19|$636.41|$489.72|$385.77|$155.00|$201.00|$1155.00|$1155.00|$616.77|$461.42|$522.98|$392.24
"CPT® 31500"|"HB INSERT EMERGENCY AIRWAY"|761.00|$644.00|$146.19|$644.00|$451.00|$344.54|$257.60|$146.19|$354.84|$273.06|$215.10|$155.00|$201.00|$644.00|$644.00|$343.90|$257.28|$291.60|$218.70
"CPT® 31525"|"HB DX LARYNGOSCOPY EXCL NB"|761.00|$2035.00|$155.00|$1924.00|$1424.00|$1029.34|$769.60|$436.75|$1060.12|$815.78|$642.62|$155.00|$201.00|$1924.00|$1924.00|$1086.69|$812.98|$921.45|$691.09
"CPT® 31575"|"HB LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; DIAGNOSTIC"|761.00|$1376.00|$155.00|$1329.00|$963.00|$711.02|$531.60|$301.68|$732.28|$563.50|$443.89|$155.00|$201.00|$1329.00|$1329.00|$734.78|$549.71|$623.05|$467.29
"CPT® 31577"|"HB REMOVE FOREIGN BODY LARYNX"|761.00|$994.00|$155.00|$994.00|$696.00|$531.79|$397.60|$225.64|$547.69|$421.46|$332.00|$155.00|$201.00|$994.00|$994.00|$530.80|$397.10|$450.08|$337.56
"CPT® 31605"|"HB TRACHEOSTOMY; CRICOTHYROID MEMBRANE"|761.00|$1371.00|$155.00|$1371.00|$960.00|$733.49|$548.40|$311.22|$755.42|$581.30|$457.91|$155.00|$201.00|$1371.00|$1371.00|$732.11|$547.71|$620.79|$465.59
"CPT® 31615"|"HB VISUALIZATION OF WINDPIPE"|761.00|$2328.00|$155.00|$2328.00|$1630.00|$1245.48|$931.20|$528.46|$1282.73|$987.07|$777.55|$155.00|$201.00|$2328.00|$2328.00|$1243.15|$930.04|$1054.12|$790.59
"CPT® 31622"|"HB BRONCHOSCOPY, INCLUDING FLUORO; DIAGNOSTIC"|761.00|$2631.00|$155.00|$2631.00|$1842.00|$1407.59|$1052.40|$597.24|$1449.68|$1115.54|$878.75|$155.00|$201.00|$2631.00|$2631.00|$1404.95|$1051.08|$1191.32|$893.49
"CPT® 31623"|"HB BRONCHOSCOPY WITH BRUSHINGS, INCLUDING FLUORO"|761.00|$3603.00|$155.00|$3603.00|$2522.00|$1927.61|$1441.20|$817.88|$1985.25|$1527.67|$1203.40|$155.00|$201.00|$3603.00|$3603.00|$1924.00|$1439.40|$1631.44|$1223.58
"CPT® 31624"|"HB BRONCHOSCOPY WITH LAVAGE, INCLUDING FLUORO"|761.00|$3651.00|$155.00|$3651.00|$2556.00|$1953.29|$1460.40|$828.78|$2011.70|$1548.02|$1219.43|$155.00|$201.00|$3651.00|$3651.00|$1949.63|$1458.57|$1653.17|$1239.88
"CPT® 31625"|"HB BRONCHOSCOPY WITH BRONCHIAL/ENDOBRONCHIAL BIOPSY, INCLUDING FLUORO"|761.00|$4247.00|$155.00|$4247.00|$2973.00|$2272.15|$1698.80|$964.07|$2340.10|$1800.73|$1418.50|$155.00|$201.00|$4247.00|$4247.00|$2267.90|$1696.68|$1923.04|$1442.28
"CPT® 31628"|"HB BRONCHOSCOPY, LUNG BIOPSY, SINGLE LOBE"|761.00|$4786.00|$155.00|$4786.00|$3350.00|$2560.51|$1914.40|$1086.42|$2637.09|$2029.26|$1598.52|$155.00|$201.00|$4786.00|$4786.00|$2555.72|$1912.01|$2167.10|$1625.33
"CPT® 31629"|"HB BRONCHOSCOPY, NEEDLE ASPIRATION"|761.00|$5089.00|$155.00|$5089.00|$3562.00|$2722.62|$2035.60|$1155.20|$2804.04|$2157.74|$1699.73|$155.00|$201.00|$5072.00|$5089.00|$2717.53|$2033.06|$2304.30|$1728.22
"CPT® 31635"|"HB BRONCHOSCOPY, FOREIGN BODY REMOVAL"|761.00|$4786.00|$155.00|$4942.00|$3350.00|$2643.97|$1976.80|$1121.83|$2723.04|$2095.41|$1650.63|$155.00|$201.00|$4942.00|$4942.00|$2555.72|$1912.01|$2167.10|$1625.33
"CPT® 31645"|"HB BRONCHOSCOPY, W/ASPIRATION TRACHTREE INITITIAL"|761.00|$3981.00|$155.00|$3981.00|$2787.00|$2129.84|$1592.40|$903.69|$2193.53|$1687.94|$1329.65|$155.00|$201.00|$3981.00|$3981.00|$2125.85|$1590.41|$1802.60|$1351.95
"CPT® 31646"|"HB BRONCHOSCOPY, W/ASPIRATION TRACHTREE SUBSEQUENT"|761.00|$2599.00|$155.00|$2599.00|$1819.00|$1390.47|$1039.60|$589.97|$1432.05|$1101.98|$868.07|$155.00|$201.00|$2599.00|$2599.00|$1387.87|$1038.30|$1176.83|$882.62
"CPT® 32160"|"HB OPEN CHEST HEART MASSAGE"|761.00|$1286.00|$155.00|$1286.00|$900.00|$688.01|$514.40|$291.92|$708.59|$545.26|$429.52|$155.00|$201.00|$1286.00|$1286.00|$686.72|$513.76|$582.30|$436.73
"CPT® 32400"|"HB BIOPSY, PLEURA, PERCUTANEOUS NEEDLE"|761.00|$1389.00|$155.00|$1389.00|$972.00|$743.12|$555.60|$315.30|$765.34|$588.94|$463.93|$155.00|$201.00|$1389.00|$1389.00|$741.73|$554.91|$628.94|$471.70
"CPT® 32405"|"HB BIOPSY, LUNG, PERCUTANEOUS NEEDLE"|761.00|$1257.00|$155.00|$1257.00|$880.00|$672.50|$502.80|$285.34|$692.61|$532.97|$419.84|$155.00|$201.00|$1257.00|$1257.00|$671.24|$502.17|$569.17|$426.88
"CPT® 32550"|"HB INSERTION INDWELLING TUNNELED PLEURAL CATHETER"|761.00|$4580.00|$155.00|$4580.00|$3206.00|$2450.30|$1832.00|$1039.66|$2523.58|$1941.92|$1529.72|$155.00|$201.00|$4580.00|$4580.00|$2445.72|$1829.71|$2073.82|$1555.37
"CPT® 32551"|"HB INSERTION OF CHEST TUBE"|761.00|$1257.00|$155.00|$1257.00|$880.00|$672.50|$502.80|$285.34|$692.61|$532.97|$419.84|$155.00|$201.00|$1257.00|$1257.00|$671.24|$502.17|$569.17|$426.88
"CPT® 32554"|"HB THORACENTESIS, NEEDLE/CATHETER WITHOUT IMAGING"|761.00|$1222.00|$155.00|$1229.00|$855.00|$657.52|$491.60|$278.98|$677.18|$521.10|$410.49|$155.00|$201.00|$1229.00|$1229.00|$652.55|$488.19|$553.32|$414.99
"CPT® 32555"|"HB THORACENTESIS, NEEDLE/CATHETER WITH IMAGING"|761.00|$2195.00|$155.00|$2195.00|$1536.00|$1174.33|$878.00|$498.27|$1209.45|$930.68|$733.13|$155.00|$201.00|$2195.00|$2195.00|$1172.13|$876.90|$993.90|$745.42
"CPT® 32556"|"HB INSERT CATH PLEURA W/O IMAGE"|761.00|$2748.00|$155.00|$2748.00|$1924.00|$1470.18|$1099.20|$623.80|$1514.15|$1165.15|$917.83|$155.00|$201.00|$2748.00|$2748.00|$1467.43|$1097.83|$1244.29|$933.22
"CPT® 32557"|"HB PLEURAL DRAINAGE CATHETER WITH IMAGING"|761.00|$4241.00|$155.00|$4241.00|$2969.00|$2268.94|$1696.40|$962.71|$2336.79|$1798.18|$1416.49|$155.00|$201.00|$4241.00|$4241.00|$2264.69|$1694.28|$1920.32|$1440.24
"CPT® 32560"|"HB TREAT PLEURODESIS W/AGENT"|761.00|$3621.00|$155.00|$3621.00|$2535.00|$1937.24|$1448.40|$821.97|$1995.17|$1535.30|$1209.41|$155.00|$201.00|$3621.00|$3621.00|$1933.61|$1446.59|$1639.59|$1229.69
"CPT® 32998"|"HB PERQ RF ABLATE TX PUL TUMOR"|761.00|$12003.00|$155.00|$6613.65|$8402.00|$6421.61|$4801.20|$2724.68|$6613.65|$5089.27|$4009.00|$155.00|$201.00|$5072.00|$5491.00|$6409.60|$4795.20|$5434.96|$4076.22
"CPT® 33270"|"HB INS/REP SUBQ DEFIBRILLATOR"|761.00|$82630.00|$155.00|$45529.13|$57841.00|$44207.05|$33052.00|$18757.01|$45529.13|$35035.12|$27598.42|$155.00|$201.00|$41764.00|$45215.00|$9800.00|$33010.69|$37414.86|$28061.15
"CPT® 35207"|"HB REPAIR BLOOD VESSEL LESION HAND FINGER"|761.00|$4339.00|$155.00|$4339.00|$3037.00|$2321.37|$1735.60|$984.95|$2390.79|$1839.74|$1449.23|$155.00|$201.00|$4339.00|$4339.00|$2317.03|$1733.43|$1964.70|$1473.52
"CPT® 35226"|"HB REPAIR BLOOD VESSEL LESION LOWER EXTRIMITY"|761.00|$3012.00|$155.00|$3012.00|$2108.00|$1611.42|$1204.80|$683.72|$1659.61|$1277.09|$1006.01|$155.00|$201.00|$3012.00|$3012.00|$1608.41|$1203.29|$1363.83|$1022.88
"CPT® 36000"|"HB PLACE NEEDLE IN VEIN"|761.00|$331.00|$75.14|$331.00|$232.00|$177.09|$132.40|$75.14|$182.38|$140.34|$110.55|$155.00|$201.00|$331.00|$331.00|$176.75|$132.23|$149.88|$112.41
"CPT® 36005"|"HB INJECTION EXTREMITY VENOGRAPHY"|761.00|$811.00|$155.00|$811.00|$568.00|$433.89|$324.40|$184.10|$446.86|$343.86|$270.87|$155.00|$201.00|$811.00|$811.00|$433.07|$323.99|$367.22|$275.42
"CPT® 36010"|"HB CATHETER SELECTIVE SUPERIOR OR INFERIOR VENA CAVA"|761.00|$1064.00|$155.00|$1064.00|$745.00|$569.24|$425.60|$241.53|$586.26|$451.14|$355.38|$155.00|$201.00|$1064.00|$1064.00|$568.18|$425.07|$481.78|$361.33
"CPT® 36011"|"HB CATHETER SELECTIVE VENOUS 1ST ORDER BRANCH"|761.00|$879.00|$155.00|$879.00|$615.00|$470.27|$351.60|$199.53|$484.33|$372.70|$293.59|$155.00|$201.00|$879.00|$879.00|$469.39|$351.16|$398.01|$298.51
"CPT® 36012"|"HB CATHETER SELECTIVE VENOUS 2ND ORDER BRANCH"|761.00|$879.00|$155.00|$879.00|$615.00|$470.27|$351.60|$199.53|$484.33|$372.70|$293.59|$155.00|$201.00|$879.00|$879.00|$469.39|$351.16|$398.01|$298.51
"CPT® 36014"|"HB CATHETER LEFT OR RIGHT PULMONARY ARTERY"|761.00|$1257.00|$155.00|$1257.00|$880.00|$672.50|$502.80|$285.34|$692.61|$532.97|$419.84|$155.00|$201.00|$1257.00|$1257.00|$671.24|$502.17|$569.17|$426.88
"CPT® 36140"|"HB INTRO NEEDLE/CATHETER; EXTREMITY ARTERY"|761.00|$1036.00|$155.00|$1036.00|$725.00|$554.26|$414.40|$235.17|$570.84|$439.26|$346.02|$155.00|$201.00|$1036.00|$1036.00|$553.22|$413.88|$469.10|$351.83
"CPT® 36200"|"HB PLACE CATHETER IN AORTA"|761.00|$1911.00|$155.00|$1911.00|$1338.00|$1022.39|$764.40|$433.80|$1052.96|$810.26|$638.27|$155.00|$201.00|$1911.00|$1911.00|$1020.47|$763.44|$865.30|$648.98
"CPT® 36215"|"HB SELECTIVE CATH ART SYSTEM; THOR/BRACH EACH 1ST ORDER"|761.00|$1993.00|$155.00|$1993.00|$1395.00|$1066.26|$797.20|$452.41|$1098.14|$845.03|$665.66|$155.00|$201.00|$1993.00|$1993.00|$1064.26|$796.20|$902.43|$676.82
"CPT® 36216"|"HB SELECTIVE CATH ART SYSTEM; THOR/BRACH INITIAL 2ND ORDER"|761.00|$1993.00|$155.00|$1993.00|$1395.00|$1066.26|$797.20|$452.41|$1098.14|$845.03|$665.66|$155.00|$201.00|$1993.00|$1993.00|$1064.26|$796.20|$902.43|$676.82
"CPT® 36217"|"HB SELECTIVE CATH ART SYSTEM; THOR/BRACH INITIAL 3RD ORDER"|761.00|$1888.00|$155.00|$1040.29|$1322.00|$1010.08|$755.20|$428.58|$1040.29|$800.51|$630.59|$155.00|$201.00|$934.56|$1006.30|$1008.19|$754.26|$854.89|$641.16
"CPT® 36222"|"HB CAROTID/INNOMINATE ANGIO W/EXTRACRAINAL UNILATERAL"|761.00|$8590.00|$155.00|$5491.00|$6013.00|$4595.65|$3436.00|$1949.93|$4733.09|$3642.16|$2869.06|$155.00|$201.00|$5072.00|$5491.00|$4587.06|$3431.71|$3889.55|$2917.16
"CPT® 36223"|"HB CAROTID/INNOMINATE ANGIO W/INTRACRANIAL UNILATERAL"|761.00|$8590.00|$155.00|$5491.00|$6013.00|$4595.65|$3436.00|$1949.93|$4733.09|$3642.16|$2869.06|$155.00|$201.00|$5072.00|$5491.00|$4587.06|$3431.71|$3889.55|$2917.16
"CPT® 36224"|"HB INTERNAL CAROTID ANGIO W/INTRACRANIAL CAROTID CIRCULATION"|761.00|$14050.00|$155.00|$7741.55|$9835.00|$7516.75|$5620.00|$3189.35|$7741.55|$5957.20|$4692.70|$155.00|$201.00|$5072.00|$5491.00|$7502.70|$5612.98|$6361.84|$4771.38
"CPT® 36225"|"HB CATH PLACE SUBCLAVIAN OR INNOMINATE ARTERY"|761.00|$8590.00|$155.00|$5491.00|$6013.00|$4595.65|$3436.00|$1949.93|$4733.09|$3642.16|$2869.06|$155.00|$201.00|$5072.00|$5491.00|$4587.06|$3431.71|$3889.55|$2917.16
"CPT® 36226"|"HB CATH PLACE VERTEBRAL ARTERY"|761.00|$14050.00|$155.00|$7741.55|$9835.00|$7516.75|$5620.00|$3189.35|$7741.55|$5957.20|$4692.70|$155.00|$201.00|$5072.00|$5491.00|$7502.70|$5612.98|$6361.84|$4771.38
"CPT® 36227"|"HB CATH PLACE EXTERNAL CAROTID ARTERY ADD-ON"|761.00|$2810.00|$155.00|$2810.00|$1967.00|$1503.35|$1124.00|$637.87|$1548.31|$1191.44|$938.54|$155.00|$201.00|$2810.00|$2810.00|$1500.54|$1122.60|$1272.37|$954.28
"CPT® 36228"|"HB ANGIO INTRACRANIAL ART-ADD"|761.00|$2810.00|$155.00|$2810.00|$1967.00|$1503.35|$1124.00|$637.87|$1548.31|$1191.44|$938.54|$155.00|$201.00|$2810.00|$2810.00|$1500.54|$1122.60|$1272.37|$954.28
"CPT® 36245"|"HB INSERT CATH ABDOMEN LOWER EXTREMITY 1ST ARTERY"|761.00|$1631.00|$155.00|$1631.00|$1142.00|$872.59|$652.40|$370.24|$898.68|$691.54|$544.75|$155.00|$201.00|$1631.00|$1631.00|$870.95|$651.58|$738.52|$553.89
"CPT® 36246"|"HB INSERT CATH ABDOMEN LOWER EXTREMITY 2ND ARTERY"|761.00|$1575.00|$155.00|$1575.00|$1102.00|$842.63|$630.00|$357.53|$867.83|$667.80|$526.05|$155.00|$201.00|$1575.00|$1575.00|$841.05|$629.21|$713.16|$534.87
"CPT® 36247"|"HB INSERT CATH ABDOMEN LOWER EXTREMITY 3RD ARTERY"|761.00|$1749.00|$155.00|$1749.00|$1224.00|$935.72|$699.60|$397.02|$963.70|$741.58|$584.17|$155.00|$201.00|$1749.00|$1749.00|$933.97|$698.73|$791.95|$593.96
"CPT® 36248"|"HB INSERT CATH ABDOMEN LOWER EXTREMITY INTIAL/2ND/3RD ADD-ON"|761.00|$4397.00|$155.00|$2348.00|$3078.00|$1248.69|$933.60|$529.82|$1286.03|$989.62|$779.56|$155.00|$201.00|$2334.00|$2334.00|$2348.00|$1756.60|$1990.96|$1493.22
"CPT® 36410"|"HB NON-ROUTINE BL DRAW 3/> YRS"|761.00|$584.00|$132.57|$584.00|$409.00|$312.44|$233.60|$132.57|$321.78|$247.62|$195.06|$155.00|$201.00|$584.00|$584.00|$311.86|$233.31|$264.44|$198.33
"CPT® 36510"|"HB UMBILICAL VEIN CATH; NEWBORN"|761.00|$158.00|$35.87|$158.00|$111.00|$84.53|$63.20|$35.87|$87.06|$66.99|$52.77|$155.00|$158.00|$158.00|$158.00|$84.37|$63.12|$71.54|$53.66
"CPT® 36556"|"HB INSERT NON-TUNNEL CV CATH, >5 YEARS"|761.00|$1205.00|$155.00|$1205.00|$844.00|$644.68|$482.00|$273.54|$663.96|$510.92|$402.47|$155.00|$201.00|$1205.00|$1205.00|$643.47|$481.40|$545.62|$409.22
"CPT® 36558"|"HB INSERT TUNNEL CV CATH"|761.00|$6271.00|$155.00|$5491.00|$4390.00|$3354.99|$2508.40|$1423.52|$3455.32|$2658.90|$2094.51|$155.00|$201.00|$5072.00|$5491.00|$3348.71|$2505.26|$2839.51|$2129.63
"CPT® 36568"|"HB INSJ PICC <5 YR W/O IMAGING"|761.00|$782.00|$155.00|$791.00|$547.00|$423.19|$316.40|$179.56|$435.84|$335.38|$264.19|$155.00|$201.00|$791.00|$791.00|$417.59|$312.41|$354.09|$265.57
"CPT® 36569"|"HB INSJ PICC 5 YR + W/O IMAGING"|761.00|$802.00|$155.00|$812.00|$561.00|$434.42|$324.80|$184.32|$447.41|$344.29|$271.21|$155.00|$201.00|$812.00|$812.00|$428.27|$320.40|$363.15|$272.36
"CPT® 36580"|"HB CATH EXCHANGE CENTRAL NON-TUNNELED"|761.00|$5499.00|$155.00|$5491.00|$3849.00|$2941.97|$2199.60|$1248.27|$3029.95|$2331.58|$1836.67|$155.00|$201.00|$5072.00|$5491.00|$2936.47|$2196.85|$2489.95|$1867.46
"CPT® 36581"|"HB CATH EXCHANGE CENTRAL TUNNELED"|761.00|$6112.00|$155.00|$5491.00|$4278.00|$3269.92|$2444.80|$1387.42|$3367.71|$2591.49|$2041.41|$155.00|$201.00|$5072.00|$5491.00|$3263.81|$2441.74|$2767.51|$2075.64
"CPT® 36582"|"HB CATH EXCHANGE CENTRAL TUNNELED W/SUBQ PORT"|761.00|$5931.00|$155.00|$5491.00|$4152.00|$3173.09|$2372.40|$1346.34|$3267.98|$2514.74|$1980.95|$155.00|$201.00|$5072.00|$5491.00|$3167.15|$2369.43|$2685.56|$2014.17
"CPT® 36584"|"HB REPLACE PICC CATH W/IMAGING"|761.00|$1485.00|$155.00|$1485.00|$1040.00|$794.48|$594.00|$337.10|$818.24|$629.64|$495.99|$155.00|$201.00|$1485.00|$1485.00|$792.99|$593.26|$672.41|$504.31
"CPT® 36589"|"HB REMOVE TUNNELLED CV W/OUT SUBQ PORT"|761.00|$2079.00|$155.00|$2079.00|$1455.00|$1112.27|$831.60|$471.93|$1145.53|$881.50|$694.39|$155.00|$201.00|$2079.00|$2079.00|$1110.19|$830.56|$941.37|$706.03
"CPT® 36590"|"HB REMOVE TUNNELLED CV WITH SUBQ PORT/PUMP"|761.00|$2794.00|$155.00|$2794.00|$1956.00|$1494.79|$1117.60|$634.24|$1539.49|$1184.66|$933.20|$155.00|$201.00|$2794.00|$2794.00|$1492.00|$1116.20|$1265.12|$948.84
"CPT® 36593"|"HB DECLOT VASCULAR IMPLANTED DEVICE OR CATHETER"|761.00|$725.00|$155.00|$725.00|$507.00|$387.88|$290.00|$164.58|$399.48|$307.40|$242.15|$155.00|$201.00|$725.00|$725.00|$387.15|$289.64|$328.28|$246.21
"CPT® 36597"|"HB REPOSITION VENOUS CATHETER"|761.00|$1140.00|$155.00|$1140.00|$798.00|$609.90|$456.00|$258.78|$628.14|$483.36|$380.76|$155.00|$201.00|$1140.00|$1140.00|$608.76|$455.43|$516.19|$387.14
"CPT® 36598"|"HB CONTRAST INJECT FOR EVAL CV DEVICE, INCLUDING FLUORO"|761.00|$443.00|$100.56|$443.00|$310.00|$237.01|$177.20|$100.56|$244.09|$187.83|$147.96|$155.00|$201.00|$443.00|$443.00|$236.56|$176.98|$200.59|$150.44
"CPT® 36620"|"HB ARTERIAL LINE INSERT/CANNULATION"|761.00|$440.00|$121.90|$537.00|$308.00|$287.30|$214.80|$121.90|$295.89|$227.69|$179.36|$155.00|$201.00|$537.00|$537.00|$234.96|$175.78|$199.23|$149.42
"CPT® 36680"|"HB INSERT NEEDLE BONE CAVITY"|761.00|$332.00|$75.36|$332.00|$232.00|$177.62|$132.80|$75.36|$182.93|$140.77|$110.89|$155.00|$201.00|$332.00|$332.00|$177.29|$132.63|$150.33|$112.75
"CPT® 37182"|"HB INSERT HEPATIC SHUNT (TIPS) PROCEDURE"|761.00|$14624.00|$155.00|$8057.82|$10237.00|$7823.84|$5849.60|$3319.65|$8057.82|$6200.58|$4884.42|$155.00|$201.00|$5072.00|$5491.00|$7809.22|$5842.29|$6621.75|$4966.31
"CPT® 37184"|"HB PRIMARY ARTERIAL MECHANICAL THROMBECTOMY INITIAL"|761.00|$6730.00|$155.00|$5491.00|$4711.00|$3600.55|$2692.00|$1527.71|$3708.23|$2853.52|$2247.82|$155.00|$201.00|$5072.00|$5491.00|$3593.82|$2688.64|$3047.34|$2285.51
"CPT® 37187"|"HB VENOUS MECHANICAL THROMBECTOMY"|761.00|$8585.00|$155.00|$5491.00|$6010.00|$4592.98|$3434.00|$1948.80|$4730.34|$3640.04|$2867.39|$155.00|$201.00|$5072.00|$5491.00|$4584.39|$3429.71|$3887.29|$2915.47
"CPT® 37191"|"HB INSERT IVC FILTER"|761.00|$10060.00|$155.00|$5543.06|$7042.00|$5382.10|$4024.00|$2283.62|$5543.06|$4265.44|$3360.04|$155.00|$201.00|$5072.00|$5491.00|$5372.04|$4018.97|$4555.17|$3416.38
"CPT® 37193"|"HB IVC FILTER REMOVAL"|761.00|$6908.00|$155.00|$5491.00|$4836.00|$3695.78|$2763.20|$1568.12|$3806.31|$2928.99|$2307.27|$155.00|$201.00|$5072.00|$5491.00|$3688.87|$2759.75|$3127.94|$2345.96
"CPT® 37195"|"HB THROMBOLYTIC THERAPY STROKE"|761.00|$779.00|$155.00|$779.00|$545.00|$416.77|$311.60|$176.83|$429.23|$330.30|$260.19|$155.00|$201.00|$779.00|$779.00|$415.99|$311.21|$352.73|$264.55
"CPT® 37197"|"HB REMOVAL INTRAVASCULAR FOREIGN BODY"|761.00|$7838.00|$155.00|$5491.00|$5487.00|$4193.33|$3135.20|$1779.23|$4318.74|$3323.31|$2617.89|$155.00|$201.00|$5072.00|$5491.00|$4185.49|$3131.28|$3549.05|$2661.78
"CPT® 37200"|"HB TRANSCATHETER BIOPSY"|761.00|$8727.00|$155.00|$5491.00|$6109.00|$4668.95|$3490.80|$1981.03|$4808.58|$3700.25|$2914.82|$155.00|$201.00|$5072.00|$5491.00|$4660.22|$3486.44|$3951.59|$2963.69
"CPT® 37211"|"HB THROMBOLYTIC ARTERIAL THERAPY; INITIAL"|761.00|$12786.00|$155.00|$7045.09|$8950.00|$6840.51|$5114.40|$2902.42|$7045.09|$5421.26|$4270.52|$155.00|$201.00|$5072.00|$5491.00|$6827.72|$5108.01|$5789.50|$4342.13
"CPT® 37212"|"HB THROMBOLYTIC VENOUS THERAPY; INITIAL"|761.00|$2906.00|$155.00|$2906.00|$2034.00|$1554.71|$1162.40|$659.66|$1601.21|$1232.14|$970.60|$155.00|$201.00|$2906.00|$2906.00|$1551.80|$1160.95|$1315.84|$986.88
"CPT® 37213"|"HB THROMBLYTIC ARTERIAL OR VENOUS THERAPY; SUBSEQUENT"|761.00|$7571.00|$155.00|$5491.00|$5300.00|$4050.49|$3028.40|$1718.62|$4171.62|$3210.10|$2528.71|$155.00|$201.00|$5072.00|$5491.00|$4042.91|$3024.61|$3428.15|$2571.11
"CPT® 37214"|"HB TRANSCATHETER THERAPY; ARTERIAL/VENOUS INFUSION THROMBOLYSIS; CESSATION; S&I"|761.00|$7571.00|$155.00|$5491.00|$5300.00|$4050.49|$3028.40|$1718.62|$4171.62|$3210.10|$2528.71|$155.00|$201.00|$5072.00|$5491.00|$4042.91|$3024.61|$3428.15|$2571.11
"CPT® 37215"|"HB TRANSCATH CAROTID STENT W/DISTAL EMBOLIC PROTECTION"|761.00|$9799.00|$155.00|$5491.00|$6859.00|$5242.47|$3919.60|$2224.37|$5399.25|$4154.78|$3272.87|$155.00|$201.00|$5072.00|$5491.00|$5232.67|$3914.70|$4436.99|$3327.74
"CPT® 37221"|"HB ILIAC ARTERY REVASCULAR W/STENT; UNILATERAL INITIAL VESSEL"|761.00|$47233.00|$155.00|$26025.38|$33063.00|$25269.66|$18893.20|$10721.89|$26025.38|$20026.79|$15775.82|$155.00|$201.00|$5072.00|$5491.00|$9800.00|$18869.58|$21387.10|$16040.33
"CPT® 37224"|"HB FEM/POPL REVAS W/TRANSLUMINAL ANGIOPLASTY"|761.00|$22707.00|$155.00|$12511.56|$15895.00|$12148.25|$9082.80|$5154.49|$12511.56|$9627.77|$7584.14|$155.00|$201.00|$5072.00|$5491.00|$9800.00|$9071.45|$10281.73|$7711.30
"CPT® 37225"|"HB FEM/POPL REVAS W/ATHERECTOMY"|761.00|$36331.00|$155.00|$20018.38|$25432.00|$19437.09|$14532.40|$8247.14|$20018.38|$15404.34|$12134.55|$155.00|$201.00|$5072.00|$5491.00|$9800.00|$14514.23|$16450.68|$12338.01
"CPT® 37226"|"HB FEM/POPL REVASC W/STENT"|761.00|$44935.00|$155.00|$24759.19|$31454.00|$24040.23|$17974.00|$10200.25|$24759.19|$19052.44|$15008.29|$155.00|$201.00|$5072.00|$5491.00|$9800.00|$17951.53|$20346.57|$15259.93
"CPT® 37228"|"HB TIBAL PERONEAL ARTERY REVAS W/TRANSLUMINAL ANGIO; INITIAL"|761.00|$22707.00|$155.00|$12511.56|$15895.00|$12148.25|$9082.80|$5154.49|$12511.56|$9627.77|$7584.14|$155.00|$201.00|$5072.00|$5491.00|$9800.00|$9071.45|$10281.73|$7711.30
"CPT® 37229"|"HB TIBAL PERONEAL ARTERY REVAS W/ATHERECTOMY; INITIAL"|761.00|$36331.00|$155.00|$20018.38|$25432.00|$19437.09|$14532.40|$8247.14|$20018.38|$15404.34|$12134.55|$155.00|$201.00|$5072.00|$5491.00|$9800.00|$14514.23|$16450.68|$12338.01
"CPT® 37230"|"HB TIBAL PERONEAL ARTERY REVAS W/ STENT; INITIAL"|761.00|$44935.00|$155.00|$24759.19|$31454.00|$24040.23|$17974.00|$10200.25|$24759.19|$19052.44|$15008.29|$155.00|$201.00|$5072.00|$5491.00|$9800.00|$17951.53|$20346.57|$15259.93
"CPT® 37231"|"HB TIBAL PERONEAL ARTERY REVAS STENT AND ATHERECTOMY"|761.00|$50291.00|$155.00|$27710.34|$35204.00|$26905.69|$20116.40|$11416.06|$27710.34|$21323.38|$16797.19|$155.00|$201.00|$5072.00|$5491.00|$9800.00|$20091.25|$22771.76|$17078.82
"CPT® 37232"|"HB TIBAL PERONEAL ARTERY REVAS ADD-ON"|761.00|$19283.00|$155.00|$10624.93|$13498.00|$10316.41|$7713.20|$4377.24|$10624.93|$8175.99|$6440.52|$155.00|$201.00|$5072.00|$5491.00|$9800.00|$7703.56|$8731.34|$6548.51
"CPT® 37236"|"HB OPEN PERQ PLACE STENT 1ST ARTERY"|761.00|$23293.00|$155.00|$12834.44|$16305.00|$12461.76|$9317.20|$5287.51|$12834.44|$9876.23|$7779.86|$155.00|$201.00|$5072.00|$5491.00|$9800.00|$9305.55|$10547.07|$7910.30
"CPT® 37242"|"HB VASCULAR EMBOLIZATION/OCCLUSION; ARTERY"|761.00|$24418.00|$155.00|$13454.32|$17093.00|$13063.63|$9767.20|$5542.89|$13454.32|$10353.23|$8155.61|$155.00|$201.00|$5072.00|$5491.00|$9800.00|$9754.99|$11056.47|$8292.35
"CPT® 37243"|"HB VASCULAR EMBOLIZATION/OCCLUSION; ORGAN"|761.00|$21050.00|$155.00|$12187.02|$14735.00|$11833.13|$8847.20|$5020.79|$12187.02|$9378.03|$7387.41|$155.00|$201.00|$5072.00|$5491.00|$9800.00|$8409.48|$9531.44|$7148.58
"CPT® 37244"|"HB VASCULAR EMBOLIZATION/OCCLUSION; HEMORRHAGE"|761.00|$24418.00|$155.00|$13454.32|$17093.00|$13063.63|$9767.20|$5542.89|$13454.32|$10353.23|$8155.61|$155.00|$201.00|$5072.00|$5491.00|$9800.00|$9754.99|$11056.47|$8292.35
"CPT® 38792"|"HB RADIOACTIVE TRACER IDENTIFICATION SENTINEL NODE"|761.00|$478.00|$108.51|$478.00|$335.00|$255.73|$191.20|$108.51|$263.38|$202.67|$159.65|$155.00|$201.00|$478.00|$478.00|$255.25|$190.96|$216.44|$162.33
"CPT® 38999"|"HB BLOOD/LYMPH SYSTEM PROCEDURE"|761.00|$1659.00|$155.00|$1659.00|$1161.00|$887.57|$663.60|$376.59|$914.11|$703.42|$554.11|$155.00|$201.00|$1659.00|$1659.00|$885.91|$662.77|$751.20|$563.40
"CPT® 40650"|"HB REPAIR LIP FULL THICKNESS; VERMILION ONLY"|761.00|$1746.00|$155.00|$1746.00|$1222.00|$934.11|$698.40|$396.34|$962.05|$740.30|$583.16|$155.00|$201.00|$1746.00|$1746.00|$932.36|$697.53|$790.59|$592.94
"CPT® 40652"|"HB REPAIR LIP FULL THICKNESS; HALF VERTICAL HEIGHT"|761.00|$3123.00|$155.00|$3123.00|$2186.00|$1670.81|$1249.20|$708.92|$1720.77|$1324.15|$1043.08|$155.00|$201.00|$3123.00|$3123.00|$1667.68|$1247.64|$1414.09|$1060.57
"CPT® 40654"|"HB REPAIR LIP FULL THICKNESS; COMPLEX"|761.00|$3038.00|$155.00|$3038.00|$2127.00|$1625.33|$1215.20|$689.63|$1673.94|$1288.11|$1014.69|$155.00|$201.00|$3038.00|$3038.00|$1622.29|$1213.68|$1375.61|$1031.70
"CPT® 40800"|"HB DRAINAGE OF MOUTH LESION; SIMPLE"|761.00|$430.00|$97.61|$430.00|$301.00|$230.05|$172.00|$97.61|$236.93|$182.32|$143.62|$155.00|$201.00|$430.00|$430.00|$229.62|$171.79|$194.70|$146.03
"CPT® 40830"|"HB REPAIR MOUTH LACERATION; 2.5CM OR LESS"|761.00|$268.00|$60.84|$268.00|$188.00|$143.38|$107.20|$60.84|$147.67|$113.63|$89.51|$155.00|$201.00|$268.00|$268.00|$143.11|$107.07|$121.35|$91.01
"CPT® 40831"|"HB REPAIR MOUTH LACERATION; OVER 2.5CM OR COMPLEX"|761.00|$1935.00|$155.00|$1935.00|$1354.00|$1035.23|$774.00|$439.25|$1066.19|$820.44|$646.29|$155.00|$201.00|$1935.00|$1935.00|$1033.29|$773.03|$876.17|$657.13
"CPT® 41000"|"HB DRAINAGE OF MOUTH LESION LINGUAL"|761.00|$4599.00|$155.00|$4599.00|$3219.00|$2460.47|$1839.60|$1043.97|$2534.05|$1949.98|$1536.07|$155.00|$201.00|$4599.00|$4599.00|$2455.87|$1837.30|$2082.43|$1561.82
"CPT® 41250"|"HB REPAIR TONGUE LACERATION; 2.5CM OR LESS"|761.00|$650.00|$147.55|$650.00|$455.00|$347.75|$260.00|$147.55|$358.15|$275.60|$217.10|$155.00|$201.00|$650.00|$650.00|$347.10|$259.68|$294.32|$220.74
"CPT® 41252"|"HB REPAIR TONGUE LACERATION; OVER 2.6CM OR COMPLEX"|761.00|$2153.00|$155.00|$2153.00|$1507.00|$1151.86|$861.20|$488.73|$1186.30|$912.87|$719.10|$155.00|$201.00|$2153.00|$2153.00|$1149.70|$860.12|$974.88|$731.16
"CPT® 41599"|"HB TONGUE AND MOUTH SURGERY"|761.00|$5983.00|$155.00|$5491.00|$4188.00|$3200.91|$2393.20|$1358.14|$3296.63|$2536.79|$1998.32|$155.00|$201.00|$5072.00|$5491.00|$3194.92|$2390.21|$2709.10|$2031.83
"CPT® 41800"|"HB DRAINAGE OF GUM LESION"|761.00|$576.00|$130.75|$576.00|$403.00|$308.16|$230.40|$130.75|$317.38|$244.22|$192.38|$155.00|$201.00|$576.00|$576.00|$307.58|$230.11|$260.81|$195.61
"CPT® 41899"|"HB UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES"|761.00|$839.00|$155.00|$839.00|$587.00|$448.87|$335.60|$190.45|$462.29|$355.74|$280.23|$155.00|$201.00|$839.00|$839.00|$448.03|$335.18|$379.90|$284.92
"CPT® 42000"|"HB DRAINAGE MOUTH ROOF LESION"|761.00|$519.00|$117.81|$519.00|$363.00|$277.67|$207.60|$117.81|$285.97|$220.06|$173.35|$155.00|$201.00|$519.00|$519.00|$277.15|$207.34|$235.00|$176.25
"CPT® 42700"|"HB DRAINAGE OF TONSIL ABSCESS"|761.00|$1123.00|$155.00|$1123.00|$786.00|$600.81|$449.20|$254.92|$618.77|$476.15|$375.08|$155.00|$201.00|$1123.00|$1123.00|$599.68|$448.64|$508.49|$381.37
"CPT® 42809"|"HB REMOVE PHARYNX FOREIGN BODY"|761.00|$616.00|$139.83|$616.00|$431.00|$329.56|$246.40|$139.83|$339.42|$261.18|$205.74|$155.00|$201.00|$616.00|$616.00|$328.94|$246.09|$278.92|$209.19
"CPT® 42960"|"HB CONTROL THROAT BLEEDING SIMPLE"|761.00|$1394.00|$155.00|$1394.00|$976.00|$745.79|$557.60|$316.44|$768.09|$591.06|$465.60|$155.00|$201.00|$1394.00|$1394.00|$744.40|$556.90|$631.20|$473.40
"CPT® 42999"|"HB THROAT SURGERY PROCEDURE"|761.00|$935.00|$155.00|$935.00|$654.00|$500.23|$374.00|$212.25|$515.19|$396.44|$312.29|$155.00|$201.00|$935.00|$935.00|$499.29|$373.53|$423.37|$317.53
"CPT® 45300"|"HB PROCTOSIGMOIDOSCOPY DX"|761.00|$4647.00|$155.00|$4647.00|$3253.00|$2486.15|$1858.80|$1054.87|$2560.50|$1970.33|$1552.10|$155.00|$201.00|$4647.00|$4647.00|$2481.50|$1856.48|$2104.16|$1578.12
"CPT® 46050"|"HB INCISION OF ANAL ABSCESS"|761.00|$3456.00|$155.00|$3456.00|$2419.00|$1848.96|$1382.40|$784.51|$1904.26|$1465.34|$1154.30|$155.00|$201.00|$3456.00|$3456.00|$1845.50|$1380.67|$1564.88|$1173.66
"CPT® 46320"|"HB REMOVAL OF HEMORRHOID CLOT"|761.00|$2843.00|$155.00|$2843.00|$1990.00|$1521.01|$1137.20|$645.36|$1566.49|$1205.43|$949.56|$155.00|$201.00|$2843.00|$2843.00|$1518.16|$1135.78|$1287.31|$965.48
"CPT® 47000"|"HB NEEDLE BIOPSY OF LIVER; PERCUTANEOUS"|761.00|$1389.00|$155.00|$1389.00|$972.00|$743.12|$555.60|$315.30|$765.34|$588.94|$463.93|$155.00|$201.00|$1389.00|$1389.00|$741.73|$554.91|$628.94|$471.70
"CPT® 47001"|"HB NEEDLE BIOPSY OF LIVER; ADD-ON"|761.00|$6847.00|$155.00|$5491.00|$4793.00|$3663.15|$2738.80|$1554.27|$3772.70|$2903.13|$2286.90|$155.00|$201.00|$5072.00|$5491.00|$3656.30|$2735.38|$3100.32|$2325.24
"CPT® 47382"|"HB PERCUT ABLATE LIVER RF"|761.00|$9512.00|$155.00|$5491.00|$6658.00|$4742.24|$3545.60|$2012.13|$4884.06|$3758.34|$2960.58|$155.00|$201.00|$5072.00|$5491.00|$5079.41|$3800.04|$4307.03|$3230.28
"CPT® 47383"|"HB CRYOABLATION LIVER PERCUTANEOUS; 1 OR MORE TUMORS"|761.00|$9512.00|$155.00|$5491.00|$6658.00|$5088.92|$3804.80|$2159.22|$5241.11|$4033.09|$3177.01|$155.00|$201.00|$5072.00|$5491.00|$5079.41|$3800.04|$4307.03|$3230.28
"CPT® 47490"|"HB INCISION OF GALLBLADDER; PERCUTANEOUS, COMPLETE"|761.00|$5245.00|$155.00|$5245.00|$3671.00|$2806.08|$2098.00|$1190.62|$2890.00|$2223.88|$1751.83|$155.00|$201.00|$5072.00|$5245.00|$2800.83|$2095.38|$2374.94|$1781.20
"CPT® 49082"|"HB ABDOMEN PARACENTESIS WITHOUT IMAGING"|761.00|$1261.00|$155.00|$1261.00|$883.00|$674.64|$504.40|$286.25|$694.81|$534.66|$421.17|$155.00|$201.00|$1261.00|$1261.00|$673.37|$503.77|$570.98|$428.24
"CPT® 49083"|"HB ABD PARACENTESIS W/IMAGING"|761.00|$2654.00|$155.00|$2654.00|$1858.00|$1419.89|$1061.60|$602.46|$1462.35|$1125.30|$886.44|$155.00|$201.00|$2654.00|$2654.00|$1417.24|$1060.27|$1201.73|$901.30
"CPT® 49405"|"HB IMAGE-GUIDED FLUID COLLECTION DRAINAGE, CATHETER; VISCERAL, PERCUTANEOUS"|761.00|$3812.00|$155.00|$3812.00|$2668.00|$2039.42|$1524.80|$865.32|$2100.41|$1616.29|$1273.21|$155.00|$201.00|$3812.00|$3812.00|$2035.61|$1522.89|$1726.07|$1294.56
"CPT® 49406"|"HB IMAGE-GUIDED FLUID COLLECTION DRAINAGE, CATHETER; PERITONEAL/RETROPERITONEAL, PERCUTANEOUS"|761.00|$3179.00|$155.00|$3179.00|$2225.00|$1700.77|$1271.60|$721.63|$1751.63|$1347.90|$1061.79|$155.00|$201.00|$3179.00|$3179.00|$1697.59|$1270.01|$1439.45|$1079.59
"CPT® 49411"|"HB FIDUCIAL MARKER PLACEMENT; ABDOMEN"|761.00|$4452.00|$155.00|$4452.00|$3116.00|$2381.82|$1780.80|$1010.60|$2453.05|$1887.65|$1486.97|$155.00|$201.00|$4452.00|$4452.00|$2377.37|$1778.57|$2015.87|$1511.90
"CPT® 49418"|"HB INSERT TUN IP CATH PERC"|761.00|$7661.00|$155.00|$5491.00|$5363.00|$4098.64|$3064.40|$1739.05|$4221.21|$3248.26|$2558.77|$155.00|$201.00|$5072.00|$5491.00|$4090.97|$3060.57|$3468.90|$2601.68
"CPT® 49421"|"HB INSERT TUNNEL INTRAPERITONEAL CATHETER FOR DIALYSIS; OPEN"|761.00|$5723.00|$155.00|$5491.00|$4006.00|$3061.81|$2289.20|$1299.12|$3153.37|$2426.55|$1911.48|$155.00|$201.00|$5072.00|$5491.00|$3056.08|$2286.34|$2591.37|$1943.53
"CPT® 49422"|"HB REMOVE TUNNELED IP CATH"|761.00|$5977.00|$155.00|$5491.00|$4184.00|$3197.70|$2390.80|$1356.78|$3293.33|$2534.25|$1996.32|$155.00|$201.00|$5072.00|$5491.00|$3191.72|$2387.81|$2706.39|$2029.79
"CPT® 49424"|"HB ASSESS CYST CONTRAST INJECT"|761.00|$850.00|$155.00|$850.00|$595.00|$454.75|$340.00|$192.95|$468.35|$360.40|$283.90|$155.00|$201.00|$850.00|$850.00|$453.90|$339.58|$384.88|$288.66
"CPT® 50200"|"HB RENAL BIOPSY PERCUTANEOUS"|761.00|$1447.00|$155.00|$1447.00|$1013.00|$774.15|$578.80|$328.47|$797.30|$613.53|$483.30|$155.00|$201.00|$1447.00|$1447.00|$772.70|$578.08|$655.20|$491.40
"CPT® 50387"|"HB CHANGE TRANSNEPHRIC URETERAL STENT; REQUIRING FLUORO"|761.00|$4213.00|$155.00|$3957.00|$2949.00|$2117.00|$1582.80|$898.24|$2180.31|$1677.77|$1321.64|$155.00|$201.00|$3957.00|$3957.00|$2249.74|$1683.09|$1907.65|$1430.73
"CPT® 50389"|"HB REMOVE NEPHROSTOMY TUBE; REQUIRING FLUORO"|761.00|$1305.00|$155.00|$1305.00|$913.00|$698.18|$522.00|$296.24|$719.06|$553.32|$435.87|$155.00|$201.00|$1305.00|$1305.00|$696.87|$521.35|$590.90|$443.18
"CPT® 50592"|"HB PERC RF ABLATE RENAL TUMOR"|761.00|$10159.00|$155.00|$5597.61|$7111.00|$5435.07|$4063.60|$2306.09|$5597.61|$4307.42|$3393.11|$155.00|$201.00|$5072.00|$5491.00|$5424.91|$4058.52|$4600.00|$3450.00
"CPT® 50593"|"HB PERC CRYO ABLATE RENAL TUM"|761.00|$10776.00|$155.00|$5937.58|$7543.00|$5765.16|$4310.40|$2446.15|$5937.58|$4569.02|$3599.18|$155.00|$201.00|$5072.00|$5491.00|$5754.38|$4305.01|$4879.37|$3659.53
"CPT® 50690"|"HB INJECTION FOR URETER XRAY/URETEROPYELOGRAPHY"|761.00|$2646.00|$155.00|$1412.96|$1852.00|$445.12|$332.80|$188.86|$458.43|$352.77|$277.89|$155.00|$201.00|$832.00|$832.00|$1412.96|$1057.08|$1198.11|$898.58
"CPT® 51102"|"HB BLADDER DRAINAGE WITH CATHETER INSERTION"|761.00|$4930.00|$155.00|$4930.00|$3451.00|$2637.55|$1972.00|$1119.11|$2716.43|$2090.32|$1646.62|$155.00|$201.00|$4930.00|$4930.00|$2632.62|$1969.54|$2232.30|$1674.23
"CPT® 51700"|"HB IRRIGATION OF BLADDER"|761.00|$462.00|$104.87|$462.00|$323.00|$247.17|$184.80|$104.87|$254.56|$195.89|$154.31|$155.00|$201.00|$462.00|$462.00|$246.71|$184.57|$209.19|$156.90
"CPT® 51701"|"HB INSERT NON-DWELLING BLADDER CATHETER"|761.00|$172.00|$39.04|$172.00|$120.00|$92.02|$68.80|$39.04|$94.77|$72.93|$57.45|$155.00|$172.00|$172.00|$172.00|$91.85|$68.71|$77.88|$58.41
"CPT® 51702"|"HB INSERT BLADDER CATHETER; SIMPLE"|761.00|$155.00|$39.04|$172.00|$108.00|$92.02|$68.80|$39.04|$94.77|$72.93|$57.45|$155.00|$172.00|$172.00|$172.00|$82.77|$61.92|$70.18|$52.64
"CPT® 51703"|"HB INSERT BLADDER CATH COMPLEX"|761.00|$271.00|$61.52|$271.00|$190.00|$144.99|$108.40|$61.52|$149.32|$114.90|$90.51|$155.00|$201.00|$271.00|$271.00|$144.71|$108.26|$122.71|$92.03
"CPT® 51705"|"HB CHANGE OF CYSTOSTOMY TUBE; SIMPLE"|761.00|$462.00|$104.87|$462.00|$323.00|$247.17|$184.80|$104.87|$254.56|$195.89|$154.31|$155.00|$201.00|$462.00|$462.00|$246.71|$184.57|$209.19|$156.90
"CPT® 52000"|"HB CYSTOSCOPY"|761.00|$2168.00|$155.00|$2168.00|$1518.00|$1159.88|$867.20|$492.14|$1194.57|$919.23|$724.11|$155.00|$201.00|$2168.00|$2168.00|$1157.71|$866.12|$981.67|$736.25
"CPT® 52281"|"HB CYSTOSCOPY AND TREATMENT W/DILATION  MALE & FEMALE"|761.00|$3775.00|$155.00|$3775.00|$2642.00|$2019.63|$1510.00|$856.93|$2080.03|$1600.60|$1260.85|$155.00|$201.00|$3775.00|$3775.00|$2015.85|$1508.11|$1709.32|$1281.99
"CPT® 53600"|"HB DILATE URETHRA STRICTURE MALE INITIAL"|761.00|$510.00|$115.77|$510.00|$357.00|$272.85|$204.00|$115.77|$281.01|$216.24|$170.34|$155.00|$201.00|$510.00|$510.00|$272.34|$203.75|$230.93|$173.20
"CPT® 53620"|"HB DILATE URETHRA STRICTURE BY FILIFORM MALE INITIAL"|761.00|$537.00|$121.90|$537.00|$376.00|$287.30|$214.80|$121.90|$295.89|$227.69|$179.36|$155.00|$201.00|$537.00|$537.00|$286.76|$214.53|$243.15|$182.37
"CPT® 54220"|"HB TREATMENT OF PENIS LESION"|761.00|$685.00|$155.00|$685.00|$479.00|$366.48|$274.00|$155.50|$377.44|$290.44|$228.79|$155.00|$201.00|$685.00|$685.00|$365.79|$273.66|$310.17|$232.63
"CPT® 54450"|"HB PREPUTIAL STRETCHING"|761.00|$5620.00|$155.00|$5491.00|$3934.00|$3006.70|$2248.00|$1275.74|$3096.62|$2382.88|$1877.08|$155.00|$201.00|$5072.00|$5491.00|$3001.08|$2245.19|$2544.74|$1908.55
"CPT® 54700"|"HB DRAINAGE OF SCROTUM"|761.00|$1842.00|$155.00|$1842.00|$1289.00|$985.47|$736.80|$418.13|$1014.94|$781.01|$615.23|$155.00|$201.00|$1842.00|$1842.00|$983.63|$735.88|$834.06|$625.54
"CPT® 55100"|"HB DRAINAGE OF SCROTUM ABSCESS"|761.00|$2412.00|$155.00|$2412.00|$1688.00|$1290.42|$964.80|$547.52|$1329.01|$1022.69|$805.61|$155.00|$201.00|$2412.00|$2412.00|$1288.01|$963.59|$1092.15|$819.12
"CPT® 57200"|"HB SUTURE VAGINAL INJURY; NON-OB"|761.00|$3047.00|$155.00|$3047.00|$2133.00|$1630.15|$1218.80|$691.67|$1678.90|$1291.93|$1017.70|$155.00|$201.00|$3047.00|$3047.00|$1627.10|$1217.28|$1379.68|$1034.76
"CPT® 58100"|"HB BIOPSY OF UTERUS LINING"|761.00|$698.00|$155.00|$698.00|$489.00|$373.43|$279.20|$158.45|$384.60|$295.95|$233.13|$155.00|$201.00|$698.00|$698.00|$372.73|$278.85|$316.05|$237.04
"CPT® 58300"|"HB INSERT INTRAUTERINE DEVICE"|761.00|$3479.00|$155.00|$3479.00|$2435.00|$1861.27|$1391.60|$789.73|$1916.93|$1475.10|$1161.99|$155.00|$201.00|$3479.00|$3479.00|$1857.79|$1389.86|$1575.29|$1181.47
"CPT® 58301"|"HB REMOVE INTRAUTERINE DEVICE"|761.00|$960.00|$155.00|$960.00|$672.00|$513.60|$384.00|$217.92|$528.96|$407.04|$320.64|$155.00|$201.00|$960.00|$960.00|$512.64|$383.52|$434.69|$326.02
"CPT® 58340"|"HB CATHETER FOR SONOHYSTEROGRAPHY OR HYSTEROSALPINGOGRAPHY"|761.00|$904.00|$155.00|$904.00|$633.00|$483.64|$361.60|$205.21|$498.10|$383.30|$301.94|$155.00|$201.00|$904.00|$904.00|$482.74|$361.15|$409.33|$307.00
"CPT® 59000"|"HB AMNIOCENTESIS DIAGNOSTIC"|761.00|$1889.00|$155.00|$1889.00|$1322.00|$1010.62|$755.60|$428.80|$1040.84|$800.94|$630.93|$155.00|$201.00|$1889.00|$1889.00|$1008.73|$754.66|$855.34|$641.50
"CPT® 59412"|"HB ANTEPARTUM MANIPULATION"|761.00|$1705.00|$155.00|$1705.00|$1194.00|$912.18|$682.00|$387.04|$939.46|$722.92|$569.47|$155.00|$201.00|$1705.00|$1705.00|$910.47|$681.15|$772.02|$579.02
"CPT® 60100"|"HB BIOPSY OF THYROID"|761.00|$1513.00|$155.00|$1513.00|$1059.00|$809.46|$605.20|$343.45|$833.66|$641.51|$505.34|$155.00|$201.00|$1513.00|$1513.00|$807.94|$604.44|$685.09|$513.81
"CPT® 61070"|"HB CSF COLLECT VIA SHUNT"|761.00|$863.00|$155.00|$863.00|$604.00|$461.71|$345.20|$195.90|$475.51|$365.91|$288.24|$155.00|$201.00|$863.00|$863.00|$460.84|$344.77|$390.77|$293.07
"CPT® 62270"|"HB SPINAL TAP/LUMBAR PUNCTURE"|761.00|$712.00|$155.00|$712.00|$498.00|$380.92|$284.80|$161.62|$392.31|$301.89|$237.81|$155.00|$201.00|$712.00|$712.00|$380.21|$284.44|$322.39|$241.80
"CPT® 62272"|"HB SPINAL PUNCTURE DRAINAGE"|761.00|$712.00|$155.00|$712.00|$498.00|$380.92|$284.80|$161.62|$392.31|$301.89|$237.81|$155.00|$201.00|$712.00|$712.00|$380.21|$284.44|$322.39|$241.80
"CPT® 62273"|"HB INJECT EPIDURAL BLOOD PATCH"|761.00|$962.00|$155.00|$962.00|$673.00|$514.67|$384.80|$218.37|$530.06|$407.89|$321.31|$155.00|$201.00|$962.00|$962.00|$513.71|$384.32|$435.59|$326.70
"CPT® 62320"|"HB INJECT SPINE CERV/THORACIC"|761.00|$1895.00|$155.00|$1895.00|$1326.00|$1013.83|$758.00|$430.17|$1044.15|$803.48|$632.93|$155.00|$201.00|$1895.00|$1895.00|$1011.93|$757.05|$858.06|$643.54
"CPT® 64490"|"HB PARAVERT FACET INJ CERVICAL OR THORASIC; SINGLE LEVEL"|761.00|$1054.00|$155.00|$1732.00|$738.00|$926.62|$692.80|$393.16|$954.33|$734.37|$578.49|$155.00|$201.00|$1732.00|$1732.00|$562.84|$421.07|$477.25|$357.94
"CPT® 64491"|"HB INJ PARAVERT F JNT C/T 2 LEV"|761.00|$1054.00|$155.00|$1054.00|$738.00|$563.89|$421.60|$239.26|$580.75|$446.90|$352.04|$155.00|$201.00|$1054.00|$1054.00|$562.84|$421.07|$477.25|$357.94
"CPT® 64492"|"HB INJ PARAVERT F JNT C/T 3 LEV"|761.00|$1054.00|$155.00|$1054.00|$738.00|$563.89|$421.60|$239.26|$580.75|$446.90|$352.04|$155.00|$201.00|$1054.00|$1054.00|$562.84|$421.07|$477.25|$357.94
"CPT® 64493"|"HB INJ PARAVERT F JNT L/S 1 LEV"|761.00|$1054.00|$155.00|$2204.00|$738.00|$1179.14|$881.60|$500.31|$1214.40|$934.50|$736.14|$155.00|$201.00|$2204.00|$2204.00|$562.84|$421.07|$477.25|$357.94
"CPT® 64494"|"HB PARAVERT FACET INJ LUMBAR OR SACRAL; 2ND LEVEL"|761.00|$1054.00|$155.00|$1054.00|$738.00|$563.89|$421.60|$239.26|$580.75|$446.90|$352.04|$155.00|$201.00|$1054.00|$1054.00|$562.84|$421.07|$477.25|$357.94
"CPT® 64495"|"HB PARAVERT FACET INJ LUMBAR OR SACRAL; THIRD LEVEL; ADD-ON"|761.00|$1054.00|$155.00|$1054.00|$738.00|$563.89|$421.60|$239.26|$580.75|$446.90|$352.04|$155.00|$201.00|$1054.00|$1054.00|$562.84|$421.07|$477.25|$357.94
"CPT® 64680"|"HB INJECTION TREATMENT OF NERVE; W/WO RADIOLOGIC MONITORING; CELIAC PLEXUS"|761.00|$1924.00|$155.00|$1924.00|$1347.00|$1029.34|$769.60|$436.75|$1060.12|$815.78|$642.62|$155.00|$201.00|$1924.00|$1924.00|$1027.42|$768.64|$871.19|$653.39
"CPT® 65205"|"HB REMOVE FOREIGN BODY FROM EYE; CONJUNCTIVAL SUPERFICIAL"|761.00|$460.00|$104.42|$460.00|$322.00|$246.10|$184.00|$104.42|$253.46|$195.04|$153.64|$155.00|$201.00|$460.00|$460.00|$245.64|$183.77|$208.29|$156.22
"CPT® 65210"|"HB REMOVE FOREIGN BODY FROM EYE; CONJUNCTIVAL EMBEDDED"|761.00|$490.00|$111.23|$490.00|$343.00|$262.15|$196.00|$111.23|$269.99|$207.76|$163.66|$155.00|$201.00|$490.00|$490.00|$261.66|$195.76|$221.87|$166.40
"CPT® 65222"|"HB REMOVE FOREIGN BODY FROM EYE; CORNEAL, W/SLIT LAMP"|761.00|$542.00|$123.03|$542.00|$379.00|$289.97|$216.80|$123.03|$298.64|$229.81|$181.03|$155.00|$201.00|$542.00|$542.00|$289.43|$216.53|$245.42|$184.06
"CPT® 67935"|"HB REPAIR EYELID WOUND-FULL THICKNESS"|761.00|$2628.00|$155.00|$2628.00|$1840.00|$1405.98|$1051.20|$596.56|$1448.03|$1114.27|$877.75|$155.00|$201.00|$2628.00|$2628.00|$1403.35|$1049.89|$1189.96|$892.47
"CPT® 69000"|"HB DRAIN EXTERNAL EAR; SIMPLE"|761.00|$559.00|$126.89|$559.00|$391.00|$299.07|$223.60|$126.89|$308.01|$237.02|$186.71|$155.00|$201.00|$559.00|$559.00|$298.51|$223.32|$253.12|$189.84
"CPT® 69210"|"HB REMOVE IMPACTED EAR WAX, UNILATERAL"|761.00|$368.00|$83.54|$368.00|$258.00|$196.88|$147.20|$83.54|$202.77|$156.03|$122.91|$155.00|$201.00|$368.00|$368.00|$196.51|$147.02|$166.63|$124.97
"CPT® 92511"|"HB NASOPHARYNGOSCOPY"|761.00|$317.00|$71.96|$317.00|$222.00|$169.60|$126.80|$71.96|$174.67|$134.41|$105.88|$155.00|$201.00|$317.00|$317.00|$169.28|$126.64|$143.54|$107.65
"CPT® 97605"|"HB NEG PRESS WOUND TX </=50 CM"|761.00|$288.00|$65.38|$288.00|$202.00|$154.08|$115.20|$65.38|$158.69|$122.11|$96.19|$155.00|$201.00|$288.00|$288.00|$153.79|$115.06|$130.41|$97.80
"CPT® 36660"|"HB UAC INSERTION; ALINE"|761.00|$210.00|$47.67|$210.00|$147.00|$112.35|$84.00|$47.67|$115.71|$89.04|$70.14|$155.00|$201.00|$210.00|$210.00|$112.14|$83.90|$95.09|$71.32
"CPT® 0200T"|"HB PERQ SACRAL AUGMT UNILAT INJ"|761.00|$7768.00|$155.00|$5491.00|$5438.00|$4155.88|$3107.20|$1763.34|$4280.17|$3293.63|$2594.51|$155.00|$201.00|$5072.00|$5491.00|$4148.11|$3103.32|$3517.35|$2638.01
"CPT® 0201T"|"HB PERQ SACRAL AUGMT BILAT INJ"|761.00|$11399.00|$155.00|$6280.85|$7979.00|$6098.47|$4559.60|$2587.57|$6280.85|$4833.18|$3807.27|$155.00|$201.00|$5072.00|$5491.00|$6087.07|$4553.90|$5161.47|$3871.10
"HCPCS G0269"|"HB PLACEMENT OCCLUSIVE CLOSURE DEVICE, ARTIAL/VENOUS"|761.00|$964.00|$155.00|$964.00|$675.00|$515.74|$385.60|$218.83|$531.16|$408.74|$321.98|$155.00|$201.00|$964.00|$964.00|$514.78|$385.12|$436.50|$327.37
"CPT® 11971"|"HB REMOVE TISSUE EXPANDERS"|761.00|$8874.00|$155.00|$5491.00|$6212.00|$4747.59|$3549.60|$2014.40|$4889.57|$3762.58|$2963.92|$155.00|$201.00|$5072.00|$5491.00|$4738.72|$3545.16|$4018.15|$3013.61
"CPT® 36901"|"HB INTRO CATH DIALYSIS CIRCUIT; S&I"|761.00|$2752.00|$155.00|$2752.00|$1926.00|$1472.32|$1100.80|$624.70|$1516.35|$1166.85|$919.17|$155.00|$201.00|$2752.00|$2752.00|$1469.57|$1099.42|$1246.11|$934.58
"CPT® 36902"|"HB INTRO CATH DIALYS CIRCUIT W TRANSLU BALLO ANGIO; S&I"|761.00|$5899.00|$155.00|$5491.00|$4129.00|$3155.97|$2359.60|$1339.07|$3250.35|$2501.18|$1970.27|$155.00|$201.00|$5072.00|$5491.00|$3150.07|$2356.65|$2671.07|$2003.30
"CPT® 36904"|"HB THRMBC/NFS DIALYSIS CIRCUIT; S&I"|761.00|$5899.00|$155.00|$5491.00|$4129.00|$3155.97|$2359.60|$1339.07|$3250.35|$2501.18|$1970.27|$155.00|$201.00|$5072.00|$5491.00|$3150.07|$2356.65|$2671.07|$2003.30
"CPT® 36906"|"HB THRMBC/NFS DIALYS CIRCUIT W TRANSCA PLMT STENT; S&I"|761.00|$14826.00|$155.00|$7917.08|$10378.00|$6551.08|$4898.00|$2779.62|$6747.00|$5191.88|$4089.83|$155.00|$201.00|$5072.00|$5491.00|$7917.08|$5922.99|$6713.21|$5034.91
"CPT® 36907"|"HB TRANSLUMINAL BALLOON ANGIOPLASTY CTR DIALYSIS SEGMENT; S&I"|761.00|$5814.00|$155.00|$5491.00|$4070.00|$3110.49|$2325.60|$1319.78|$3203.51|$2465.14|$1941.88|$155.00|$201.00|$5072.00|$5491.00|$3104.68|$2322.69|$2632.58|$1974.43
"CPT® 37248"|"HB TRANSLUMINAL BALLOON ANGIOPLASTY INITIAL VEIN"|761.00|$8039.00|$155.00|$5491.00|$5627.00|$4300.87|$3215.60|$1824.85|$4429.49|$3408.54|$2685.03|$155.00|$201.00|$5072.00|$5491.00|$4292.83|$3211.58|$3640.06|$2730.04
"CPT® 50432"|"HB PLMT NEPHROSTOMY CATHETER"|761.00|$4990.00|$155.00|$4990.00|$3493.00|$2669.65|$1996.00|$1132.73|$2749.49|$2115.76|$1666.66|$155.00|$201.00|$4990.00|$4990.00|$2664.66|$1993.51|$2259.47|$1694.60
"CPT® 50433"|"HB PLMT NEPHROURETERAL CATHETER"|761.00|$5276.00|$155.00|$5276.00|$3693.00|$2822.66|$2110.40|$1197.65|$2907.08|$2237.02|$1762.18|$155.00|$201.00|$5072.00|$5276.00|$2817.38|$2107.76|$2388.97|$1791.73
"CPT® 50435"|"HB EXCHANGE NEPHROSTOMY CATH"|761.00|$2514.00|$155.00|$2514.00|$1760.00|$1344.99|$1005.60|$570.68|$1385.21|$1065.94|$839.68|$155.00|$201.00|$2514.00|$2514.00|$1342.48|$1004.34|$1138.34|$853.75
"CPT® 50693"|"HB PLMT URETERAL STENT PRQ"|761.00|$7858.00|$155.00|$5491.00|$5501.00|$4204.03|$3143.20|$1783.77|$4329.76|$3331.79|$2624.57|$155.00|$201.00|$5072.00|$5491.00|$4196.17|$3139.27|$3558.10|$2668.58
"CPT® 50431"|"HB NJX PX NFROSGRM &/URTRGRM - EXISTING ACCESS"|761.00|$1836.00|$155.00|$1836.00|$1285.00|$982.26|$734.40|$416.77|$1011.64|$778.46|$613.22|$155.00|$201.00|$1836.00|$1836.00|$980.42|$733.48|$831.34|$623.51
"CPT® 50434"|"HB CONVERT NEPHROSTOMY CATHETER"|761.00|$5611.00|$155.00|$5491.00|$3928.00|$3001.89|$2244.40|$1273.70|$3091.66|$2379.06|$1874.07|$155.00|$201.00|$5072.00|$5491.00|$2996.27|$2241.59|$2540.66|$1905.50
"CPT® 50695"|"HB PLMT URETERAL STENT NEW ACCESS W NEPH CATH"|761.00|$7858.00|$155.00|$5491.00|$5501.00|$4204.03|$3143.20|$1783.77|$4329.76|$3331.79|$2624.57|$155.00|$201.00|$5072.00|$5491.00|$4196.17|$3139.27|$3558.10|$2668.58
"CPT® 47534"|"HB PLMT BILIARY DRAINAGE CATH INT/EXT"|761.00|$7213.00|$155.00|$5491.00|$5049.00|$3858.96|$2885.20|$1637.35|$3974.36|$3058.31|$2409.14|$155.00|$201.00|$5072.00|$5491.00|$3851.74|$2881.59|$3266.05|$2449.53
"CPT® 47538"|"HB PERQ PLMT BILE DUCT STENT-EXISTING ACCESS"|761.00|$15210.00|$155.00|$8380.71|$10647.00|$8137.35|$6084.00|$3452.67|$8380.71|$6449.04|$5080.14|$155.00|$201.00|$5072.00|$5491.00|$8122.14|$6076.40|$6887.09|$5165.32
"CPT® 64461"|"HB PARAVERTERBRAL THORACIC NERVE BLOCK; SINGLE"|761.00|$1787.00|$155.00|$1787.00|$1251.00|$956.05|$714.80|$405.65|$984.64|$757.69|$596.86|$155.00|$201.00|$1787.00|$1787.00|$954.26|$713.91|$809.15|$606.87
"CPT® 47531"|"HB INJECTION FOR CHOLANGIOGRAM; EXISTING ACCESS"|761.00|$3377.00|$155.00|$2659.00|$2364.00|$1422.57|$1063.60|$603.59|$1465.11|$1127.42|$888.11|$155.00|$201.00|$2659.00|$2659.00|$1803.32|$1349.11|$1529.11|$1146.83
"CPT® 62320"|"HB INJECTION INCLU NEEDLE/CATH PLCT INTERLAMINAR CRV/THRC"|761.00|$1895.00|$155.00|$1895.00|$1326.00|$1013.83|$758.00|$430.17|$1044.15|$803.48|$632.93|$155.00|$201.00|$1895.00|$1895.00|$1011.93|$757.05|$858.06|$643.54
"CPT® 62322"|"HB INJECTION INCLU NEEDLE/CATH PLCT INTERLAMINAR LMBR/SAC"|761.00|$3880.00|$155.00|$3880.00|$2716.00|$2075.80|$1552.00|$880.76|$2137.88|$1645.12|$1295.92|$155.00|$201.00|$3880.00|$3880.00|$2071.92|$1550.06|$1756.86|$1317.65
"CPT® 62323"|"HB INJECTION INCLU NEEDLE/CATH PLCT INTERLAMINAR LMBR/SAC W/ FLOURO (AKA HB62323)"|761.00|$2316.00|$155.00|$2316.00|$1621.00|$1239.06|$926.40|$525.73|$1276.12|$981.98|$773.54|$155.00|$201.00|$2316.00|$2316.00|$1236.74|$925.24|$1048.68|$786.51
"CPT® 40808"|"HB BIOPSY VESTIBULE MOUTH"|761.00|$1228.00|$155.00|$1228.00|$860.00|$656.98|$491.20|$278.76|$676.63|$520.67|$410.15|$155.00|$201.00|$1228.00|$1228.00|$655.75|$490.59|$556.04|$417.03
"CPT® 62252"|"HB REPROGRAMMING OF PROGRAMMABLE CEREBROSPINAL SHUNT"|761.00|$634.00|$143.92|$634.00|$444.00|$339.19|$253.60|$143.92|$349.33|$268.82|$211.76|$155.00|$201.00|$634.00|$634.00|$338.56|$253.28|$287.08|$215.31
"CPT® 50431"|"HB NJX PX NFROSGRM &/URTRGRM EX"|761.00|$1836.00|$155.00|$1836.00|$1285.00|$982.26|$734.40|$416.77|$1011.64|$778.46|$613.22|$155.00|$201.00|$1836.00|$1836.00|$980.42|$733.48|$831.34|$623.51
"CPT® 61645"|"HB PERQ ART M-THROMBECT &/NFS"|761.00|$16899.00|$155.00|$9311.35|$11829.00|$9040.97|$6759.60|$3836.07|$9311.35|$7165.18|$5644.27|$155.00|$201.00|$5072.00|$5491.00|$9024.07|$6751.15|$7651.87|$5738.90
"CPT® 12018"|"HB SIMPLAC F/EEN/MM OVR 30C"|761.00|$1280.00|$155.00|$1280.00|$896.00|$684.80|$512.00|$290.56|$705.28|$542.72|$427.52|$155.00|$201.00|$1280.00|$1280.00|$683.52|$511.36|$579.58|$434.69
"CPT® 51710"|"HB CHANGE OF BLADDER TUBE"|761.00|$3655.00|$155.00|$3655.00|$2558.00|$1955.43|$1462.00|$829.69|$2013.91|$1549.72|$1220.77|$155.00|$201.00|$3655.00|$3655.00|$1951.77|$1460.17|$1654.98|$1241.24
"CPT® 32994"|"HB ABLATE PULM TUMOR PERQ CRYBL"|761.00|$16422.00|$155.00|$9048.52|$11495.00|$8785.77|$6568.80|$3727.79|$9048.52|$6962.93|$5484.95|$155.00|$201.00|$5072.00|$5491.00|$8769.35|$6560.59|$7435.88|$5576.91
"CPT® 38222"|"HB DX BONE MARROW BX & ASPIR"|761.00|$1915.00|$155.00|$2381.00|$1340.00|$1273.84|$952.40|$540.49|$1311.93|$1009.54|$795.25|$155.00|$201.00|$2381.00|$2381.00|$1022.61|$765.04|$867.11|$650.33
"CPT® 20983"|"HB ABLATION TX RDCT/IRDICTN/BONE TMRS/INC ADJ SFT TISS/TMR EXT PERC W/IMAGING GUIDE CRYBLTN"|761.00|$10522.00|$155.00|$5797.62|$7365.00|$5629.27|$4208.80|$2388.49|$5797.62|$4461.33|$3514.35|$155.00|$201.00|$5072.00|$5491.00|$5618.75|$4203.54|$4764.36|$3573.27
"CPT® 67715"|"HB INCISION OF EYELID FOLD"|761.00|$1735.00|$155.00|$1735.00|$1214.00|$928.23|$694.00|$393.85|$955.99|$735.64|$579.49|$155.00|$201.00|$1735.00|$1735.00|$926.49|$693.13|$785.61|$589.21
"CPT® 42699"|"HB UNLISTED SALIVARY GLAND PROCEDURE"|761.00|$7943.00|$155.00|$5491.00|$5560.00|$4249.51|$3177.20|$1803.06|$4376.59|$3367.83|$2652.96|$155.00|$201.00|$5072.00|$5491.00|$4241.56|$3173.23|$3596.59|$2697.44
"CPT® 42180"|"HB REPAIR LACERATION PALATE </2 CM"|761.00|$1420.00|$155.00|$782.42|$994.00|$759.70|$568.00|$322.34|$782.42|$602.08|$474.28|$155.00|$201.00|$702.90|$756.86|$758.28|$567.29|$642.98|$482.23
"CPT® 56420"|"HB DRAINAGE OF GLAND ABSCESS"|761.00|$623.00|$141.42|$623.00|$436.00|$333.31|$249.20|$141.42|$343.27|$264.15|$208.08|$155.00|$201.00|$623.00|$623.00|$332.68|$248.89|$282.09|$211.57
"CPT® 59070"|"HB TRANSABDOMINAL AMNIOINFUSION INCL ULTRASOUND GUIDANCE"|761.00|$171.00|$38.82|$171.00|$120.00|$91.49|$68.40|$38.82|$94.22|$72.50|$57.11|$155.00|$171.00|$171.00|$171.00|$91.31|$68.31|$77.43|$58.07
"CPT® 36561"|"HB INSERT TUNNEL CV CATH; WITH PORT"|761.00|$5931.00|$155.00|$5491.00|$4152.00|$3173.09|$2372.40|$1346.34|$3267.98|$2514.74|$1980.95|$155.00|$201.00|$5072.00|$5491.00|$3167.15|$2369.43|$2685.56|$2014.17
"CPT® 38221"|"HB BONE MARROW BIOPSY"|761.00|$1348.00|$155.00|$1276.00|$944.00|$682.66|$510.40|$289.65|$703.08|$541.02|$426.18|$155.00|$201.00|$1276.00|$1276.00|$719.83|$538.53|$610.37|$457.78
"CPT® 49180"|"HB BIOPSY ABDOMINAL MASS"|761.00|$1389.00|$155.00|$1389.00|$972.00|$743.12|$555.60|$315.30|$765.34|$588.94|$463.93|$155.00|$201.00|$1389.00|$1389.00|$741.73|$554.91|$628.94|$471.70
"CPT® 38505"|"HB NEEDLE BIOPSY LYMPH NODES"|761.00|$1389.00|$155.00|$1389.00|$972.00|$743.12|$555.60|$315.30|$765.34|$588.94|$463.93|$155.00|$201.00|$1389.00|$1389.00|$741.73|$554.91|$628.94|$471.70
"CPT® 42305"|"HB DRAINAGE OF SALIVARY GLAND"|761.00|$7857.00|$155.00|$5491.00|$5500.00|$4203.50|$3142.80|$1783.54|$4329.21|$3331.37|$2624.24|$155.00|$201.00|$5072.00|$5491.00|$4195.64|$3138.87|$3557.65|$2668.24
"CPT® 19328"|"HB REMOVAL OF INTACT MAMMARY IMPLANT"|761.00|$6339.00|$155.00|$5491.00|$4437.00|$3391.37|$2535.60|$1438.95|$3492.79|$2687.74|$2117.23|$155.00|$201.00|$5072.00|$5491.00|$3385.03|$2532.43|$2870.30|$2152.72
"CPT® 64530"|"HB NERVE BLOCK; CELIAC PLEXUS"|761.00|$1969.00|$155.00|$1969.00|$1378.00|$1053.42|$787.60|$446.96|$1084.92|$834.86|$657.65|$155.00|$201.00|$1969.00|$1969.00|$1051.45|$786.62|$891.56|$668.67
"CPT® 56405"|"HB I & D OF VULVA/PERINEUM"|761.00|$611.00|$138.70|$611.00|$428.00|$326.89|$244.40|$138.70|$336.66|$259.06|$204.07|$155.00|$201.00|$611.00|$611.00|$326.27|$244.09|$276.66|$207.50
"CPT® 10004"|"HB FNA BX W/O IMG GDN EA ADDL"|761.00|$2237.00|$155.00|$2237.00|$1566.00|$1196.80|$894.80|$507.80|$1232.59|$948.49|$747.16|$155.00|$201.00|$2237.00|$2237.00|$1194.56|$893.68|$1012.91|$759.69
"CPT® 10005"|"HB FNA BX W/US GDN 1ST LES"|761.00|$1314.00|$155.00|$1314.00|$920.00|$702.99|$525.60|$298.28|$724.01|$557.14|$438.88|$155.00|$201.00|$1314.00|$1314.00|$701.68|$524.94|$594.98|$446.23
"CPT® 10006"|"HB FNA BX W/US GDN EA ADDL"|761.00|$1314.00|$155.00|$1314.00|$920.00|$702.99|$525.60|$298.28|$724.01|$557.14|$438.88|$155.00|$201.00|$1314.00|$1314.00|$701.68|$524.94|$594.98|$446.23
"CPT® 10009"|"HB FNA BX W/CT GDN 1ST LES"|761.00|$1314.00|$155.00|$1314.00|$920.00|$702.99|$525.60|$298.28|$724.01|$557.14|$438.88|$155.00|$201.00|$1314.00|$1314.00|$701.68|$524.94|$594.98|$446.23
"CPT® 11104"|"HB PUNCH BX SKIN SINGLE LESION"|761.00|$390.00|$88.53|$390.00|$273.00|$208.65|$156.00|$88.53|$214.89|$165.36|$130.26|$155.00|$201.00|$390.00|$390.00|$208.26|$155.81|$176.59|$132.44
"CPT® 11105"|"HB PUNCH BX SKIN EA SEP/ADDL"|761.00|$390.00|$88.53|$390.00|$273.00|$208.65|$156.00|$88.53|$214.89|$165.36|$130.26|$155.00|$201.00|$390.00|$390.00|$208.26|$155.81|$176.59|$132.44
"CPT® 27369"|"HB NJX CNTRST KNE ARTHG/CT/MRI"|761.00|$816.00|$155.00|$816.00|$571.00|$436.56|$326.40|$185.23|$449.62|$345.98|$272.54|$155.00|$201.00|$816.00|$816.00|$435.74|$325.99|$369.48|$277.11
"CPT® 36572"|"HB INSJ PICC W/IMAGING <5 YR"|761.00|$1485.00|$155.00|$1485.00|$1040.00|$794.48|$594.00|$337.10|$818.24|$629.64|$495.99|$155.00|$201.00|$1485.00|$1485.00|$792.99|$593.26|$672.41|$504.31
"CPT® 36573"|"HB INSJ PICC W/IMAGING 5 YR+"|761.00|$1485.00|$155.00|$1485.00|$1040.00|$794.48|$594.00|$337.10|$818.24|$629.64|$495.99|$155.00|$201.00|$1485.00|$1485.00|$792.99|$593.26|$672.41|$504.31
"CPT® 47536"|"HB EXCHANGE BILIARY DRG CATH"|761.00|$7213.00|$155.00|$5491.00|$5049.00|$3858.96|$2885.20|$1637.35|$3974.36|$3058.31|$2409.14|$155.00|$201.00|$5072.00|$5491.00|$3851.74|$2881.59|$3266.05|$2449.53
"CPT® 62328"|"HB DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT"|761.00|$2016.00|$155.00|$2016.00|$1411.00|$1078.56|$806.40|$457.63|$1110.82|$854.78|$673.34|$155.00|$201.00|$2016.00|$2016.00|$1076.54|$805.39|$912.84|$684.63
"HCPCS G0378"|"HB HOSPITAL OBSERVATION PER HR"|762.00|$94.00|$21.79|$96.00|$66.00|$51.36|$38.40|$21.79|$58.56|$40.70|$32.06|$96.00|$96.00|$96.00|$96.00|$50.20|$37.55|$42.56|$31.92
"HCPCS G0379"|"HB DIRECT REFER HOSPITAL OBSERVATION"|762.00|$384.00|$87.17|$384.00|$269.00|$205.44|$153.60|$87.17|$234.24|$162.82|$128.26|$155.00|$201.00|$384.00|$384.00|$205.06|$153.41|$173.88|$130.41
"HCPCS G0378"|"HB HOSPITAL OBSERVATION PER HR, TELEMETRY"|762.00|$118.00|$26.79|$118.00|$83.00|$63.13|$47.20|$26.79|$71.98|$50.03|$39.41|$118.00|$118.00|$118.00|$118.00|$63.01|$47.14|$53.43|$40.07
"HCPCS G0378"|"HB HOSPITAL OBSERVATION PER HR, CARVE-OUT"|762.00|$99.00|$22.93|$101.00|$69.00|$54.04|$40.40|$22.93|$61.61|$42.82|$33.73|$101.00|$101.00|$101.00|$101.00|$52.87|$39.55|$44.83|$33.62
"CPT® 90461"|"HB IM ADMIN EACH ADDL COMPONENT"|771.00|$71.00|$16.12|$71.00|$50.00|$37.99|$28.40|$16.12|$39.12|$30.10|$23.71|$37.20|$37.20|$71.00|$71.00|$37.91|$28.36|$32.15|$24.11
"CPT® 90471"|"HB IMMUNIZATION ADMIN"|771.00|$139.00|$31.55|$139.00|$97.00|$74.37|$55.60|$31.55|$76.59|$58.94|$46.43|$72.84|$72.84|$139.00|$139.00|$74.23|$55.53|$62.94|$47.20
"CPT® 90472"|"HB IMMUNIZATION ADMIN EACH ADD"|771.00|$144.00|$30.42|$134.00|$101.00|$71.69|$53.60|$30.42|$73.83|$56.82|$44.76|$70.22|$70.22|$134.00|$134.00|$76.90|$57.53|$65.20|$48.90
"HCPCS G0008"|"HB ADMIN INFLUENZA VIRUS VAC"|771.00|$130.00|$29.28|$129.00|$91.00|$69.02|$51.60|$29.28|$71.08|$54.70|$43.09|$67.60|$67.60|$129.00|$129.00|$69.42|$51.94|$58.86|$44.15
"HCPCS G0009"|"HB ADMIN PNEUMOCOCCAL VACCINE"|771.00|$129.00|$29.28|$129.00|$90.00|$69.02|$51.60|$29.28|$71.08|$54.70|$43.09|$67.60|$67.60|$129.00|$129.00|$68.89|$51.54|$58.41|$43.81
"HCPCS Q3014"|"HB TELEHEALTH FACILITY FEE"|780.00|$100.00|$22.70|$55.10|$70.00|$53.50|$40.00|$22.70|$55.10|$42.40|$33.40|$52.40|$52.40|$49.50|$53.30|$53.40|$39.95|$45.28|$33.96
"CPT® 90945"|"HB DIALYSIS PERITONEAL NON-ESRD ONE EVAL"|802.00|$460.00|$104.42|$253.46|$322.00|$246.10|$184.00|$104.42|$253.46|$195.04|$153.64|$241.04|$241.04|$227.70|$245.18|$245.64|$183.77|$208.29|$156.22
"CPT® 90935"|"HB HEMODIALYSIS NON-ESRD ONE EVAL"|809.00|$843.00|$115.00|$464.49|$590.00|$451.01|$337.20|$191.36|$464.49|$357.43|$281.56|$441.73|$441.73|$115.00|$125.00|$450.16|$336.78|$381.71|$286.28
"CPT® 90945"|"HB DIALYSIS CRRT IP ONE EVAL"|809.00|$460.00|$104.42|$253.46|$322.00|$246.10|$184.00|$104.42|$253.46|$195.04|$153.64|$241.04|$241.04|$227.70|$245.18|$245.64|$183.77|$208.29|$156.22
"CPT® G0257"|"HB UNSCHEDULED HEMODIALYSIS ESRD ONE EVAL"|809.00|$2822.00|$115.00|$1554.92|$1975.00|$1509.77|$1128.80|$640.59|$1554.92|$1196.53|$942.55|$1478.73|$1478.73|$115.00|$125.00|$1506.95|$1127.39|$1277.80|$958.35
"CPT® 90945"|"HB DIALYSIS CRRT OP ONE EVAL"|880.00|$460.00|$104.42|$253.46|$322.00|$246.10|$184.00|$104.42|$253.46|$195.04|$153.64|$241.04|$241.04|$227.70|$245.18|$245.64|$183.77|$208.29|$156.22
"CPT® 59025"|"HB FETAL NON-STRESS TEST"|920.00|$1394.00|$158.00|$745.79|$976.00|$745.79|$557.60|$316.44|$158.00|$591.06|$465.60|$730.46|$730.46|$690.03|$743.00|$744.40|$556.90|$631.20|$473.40
"CPT® 93880"|"HB EXTRACRANIAL BILAT STUDY"|921.00|$2620.00|$594.74|$1443.62|$1834.00|$1401.70|$1048.00|$594.74|$1443.62|$1110.88|$875.08|$1372.88|$1372.88|$761.00|$824.00|$1399.08|$1046.69|$1186.34|$889.75
"CPT® 93882"|"HB EXTRACRANIAL UNI/LTD STUDY"|921.00|$1258.00|$285.57|$824.00|$881.00|$673.03|$503.20|$285.57|$693.16|$533.39|$420.17|$659.19|$659.19|$761.00|$824.00|$671.77|$502.57|$569.62|$427.22
"CPT® 93886"|"HB INTRACRANIAL COMPLETE STUDY"|921.00|$2656.00|$602.91|$1463.46|$1859.00|$1420.96|$1062.40|$602.91|$1463.46|$1126.14|$887.10|$1391.74|$1391.74|$761.00|$824.00|$1418.30|$1061.07|$1202.64|$901.98
"CPT® 93922"|"HB UPR/L XTREMITY ART 2 LEVELS"|921.00|$734.00|$166.62|$734.00|$514.00|$392.69|$293.60|$166.62|$404.43|$311.22|$245.16|$384.62|$384.62|$734.00|$734.00|$391.96|$293.23|$332.36|$249.27
"CPT® 93923"|"HB UPR/LXTR ART STDY 3+ LVLS"|921.00|$1198.00|$271.95|$824.00|$839.00|$640.93|$479.20|$271.95|$660.10|$507.95|$400.13|$627.75|$627.75|$761.00|$824.00|$639.73|$478.60|$542.45|$406.84
"CPT® 93924"|"HB LWR XTR VASC STDY BILAT"|921.00|$568.00|$128.94|$568.00|$398.00|$303.88|$227.20|$128.94|$312.97|$240.83|$189.71|$297.63|$297.63|$568.00|$568.00|$303.31|$226.92|$257.19|$192.89
"CPT® 93925"|"HB LOWER EXTREMITY STUDY COMP BILAT STUDY"|921.00|$2063.00|$468.30|$1136.71|$1444.00|$1103.71|$825.20|$468.30|$1136.71|$874.71|$689.04|$1081.01|$1081.01|$761.00|$824.00|$1101.64|$824.17|$934.13|$700.59
"CPT® 93926"|"HB LOWER EXTREMITY STUDY UNILATERAL OR LIMITED"|921.00|$1502.00|$340.95|$827.60|$1051.00|$803.57|$600.80|$340.95|$827.60|$636.85|$501.67|$787.05|$787.05|$761.00|$824.00|$802.07|$600.05|$680.11|$510.08
"CPT® 93930"|"HB UPPER EXTREMITY STUDY COMP BILAT STUDY"|921.00|$2059.00|$467.39|$1134.51|$1441.00|$1101.57|$823.60|$467.39|$1134.51|$873.02|$687.71|$1078.92|$1078.92|$761.00|$824.00|$1099.51|$822.57|$932.32|$699.24
"CPT® 93931"|"HB UPPER EXTREMITY STUDY UNILATERAL OR LIMITED"|921.00|$1301.00|$295.33|$824.00|$911.00|$696.04|$520.40|$295.33|$716.85|$551.62|$434.53|$681.72|$681.72|$761.00|$824.00|$694.73|$519.75|$589.09|$441.82
"CPT® 93970"|"HB US DOPP VENUS EXT BIL"|921.00|$2945.00|$668.52|$1622.70|$2062.00|$1575.58|$1178.00|$668.52|$1622.70|$1248.68|$983.63|$1543.18|$1543.18|$761.00|$824.00|$1572.63|$1176.53|$1333.50|$1000.12
"CPT® 93971"|"HB US DOPP VENUS EXT UNI"|921.00|$1876.00|$425.85|$1033.68|$1313.00|$1003.66|$750.40|$425.85|$1033.68|$795.42|$626.58|$983.02|$983.02|$761.00|$824.00|$1001.78|$749.46|$849.45|$637.09
"CPT® 93975"|"HB ARTERIAL DUPLEX ABDOMEN/PELVIC/RETROPERITONEAL; COMPLETE"|921.00|$2103.00|$477.38|$1158.75|$1472.00|$1125.11|$841.20|$477.38|$1158.75|$891.67|$702.40|$1101.97|$1101.97|$761.00|$824.00|$1123.00|$840.15|$952.24|$714.18
"CPT® 93976"|"HB ARTERIAL DUPLEX ABDOMEN/PELVIC/RETROPERITONEAL; LIMITED"|921.00|$1307.00|$296.69|$824.00|$915.00|$699.25|$522.80|$296.69|$720.16|$554.17|$436.54|$684.87|$684.87|$761.00|$824.00|$697.94|$522.15|$591.81|$443.86
"CPT® 93978"|"HB DUPLEX SCAN AORTA/IVC/ILIAC VASCULATURE OR BYPASS GRAFTS; COMPLETE"|921.00|$1730.00|$392.71|$953.23|$1211.00|$925.55|$692.00|$392.71|$953.23|$733.52|$577.82|$906.52|$906.52|$761.00|$824.00|$923.82|$691.14|$783.34|$587.51
"CPT® 93979"|"HB DUPLEX SCAN AORTA/IVC/ILIAC VASCULATURE OR BYPASS GRAFTS; UNILATERAL OR LIMITED"|921.00|$1653.00|$375.23|$910.80|$1157.00|$884.36|$661.20|$375.23|$910.80|$700.87|$552.10|$866.17|$866.17|$761.00|$824.00|$882.70|$660.37|$748.48|$561.36
"CPT® 36513"|"HB APHERESIS PLATELETS"|940.00|$3271.00|$753.64|$1829.32|$2290.00|$1776.20|$1328.00|$753.64|$1829.32|$1407.68|$1108.88|$1739.68|$1739.68|$1643.40|$1769.56|$1746.71|$1306.76|$1481.11|$1110.83
"CPT® 36514"|"HB APHERESIS PLASMA"|940.00|$5512.00|$1251.22|$3037.11|$3858.00|$2948.92|$2204.80|$1251.22|$3037.11|$2337.09|$1841.01|$2888.29|$2888.29|$2728.44|$2937.90|$2943.41|$2202.04|$2495.83|$1871.88
"CPT® 96372"|"HB THER/PROPH/DIAG INJ SC/IM"|940.00|$171.00|$41.09|$99.73|$120.00|$96.84|$72.40|$41.09|$99.73|$76.74|$60.45|$94.84|$94.84|$89.60|$96.47|$91.31|$68.31|$77.43|$58.07
"CPT® 99195"|"HB PHLEBOTOMY"|940.00|$417.00|$94.66|$229.77|$292.00|$223.10|$166.80|$94.66|$229.77|$176.81|$139.28|$218.51|$218.51|$206.42|$222.26|$222.68|$166.59|$188.82|$141.61
"CPT® 99195"|"HB THERAPEUTIC PHLEBOTOMY"|940.00|$417.00|$94.66|$229.77|$292.00|$223.10|$166.80|$94.66|$229.77|$176.81|$139.28|$218.51|$218.51|$206.42|$222.26|$222.68|$166.59|$188.82|$141.61
"CPT® 93797"|"HB CARDIAC REHAB"|943.00|$168.00|$38.14|$92.57|$118.00|$89.88|$67.20|$38.14|$92.57|$71.23|$56.11|$88.03|$88.03|$80.00|$87.00|$89.71|$67.12|$76.07|$57.05
"CPT® 93798"|"HB CARDIAC REHAB/MONITOR"|943.00|$517.00|$80.00|$284.87|$362.00|$276.60|$206.80|$117.36|$284.87|$219.21|$172.68|$270.91|$270.91|$80.00|$87.00|$276.08|$206.54|$234.10|$175.57
"CPT® 93668"|"HB PERIPHERAL ART DISEASE REHAB, EA"|943.00|$384.00|$80.00|$211.58|$269.00|$205.44|$153.60|$87.17|$211.58|$162.82|$128.26|$201.22|$201.22|$80.00|$87.00|$205.06|$153.41|$173.88|$130.41
"Custom 94300004"|"HB CARDIAC PULMONARY REHAB P3 MONTHLY 2 DAY SELF PAY"|943.00|$39.00|$8.85|$39.00|$27.00|$20.87|$15.60|$8.85|$21.49|$16.54|$13.03|$20.44|$20.44|$39.00|$39.00|$20.83|$15.58|$17.66|$13.24
"Custom 94300005"|"HB CARDIAC PULMONARY REHAB P3 MONTHLY 5 DAY SELF PAY"|943.00|$58.00|$13.17|$58.00|$41.00|$31.03|$23.20|$13.17|$31.96|$24.59|$19.37|$30.39|$30.39|$58.00|$58.00|$30.97|$23.17|$26.26|$19.70
"HCPCS G0424"|"HB PULMONARY REHAB W EXER"|948.00|$160.00|$36.32|$88.16|$112.00|$85.60|$64.00|$36.32|$88.16|$67.84|$53.44|$83.84|$83.84|$80.00|$87.00|$85.44|$63.92|$72.45|$54.34