"Billing Code"|"Service Description"|"Revenue Code"|"Gross Charge"|"De-identified Minimum Negotiated Charge"|"De-identified Maximum Negotiated Charge"|"Discounted Cash Price"|"Negotiated Charge: NLFH HUMANA ADVOCATE IPA _618_"|"Negotiated Charge: NLFH AETNA _357_"|"Negotiated Charge: NLFH AETNA NM EMPLOYEES _366_"|"Negotiated Charge: NLFH CIGNA _373_"|"Negotiated Charge: NLFH CIGNA LOCAL PLUS _3001_"|"Negotiated Charge: NLFH CIGNA ULINE _358_"|"Negotiated Charge: NLFH HUMANA _504_"|"Negotiated Charge: NLFH HUMANA CHOICE CARE _1109_"|"Negotiated Charge: NLFH HUMANA IPA LAKE COUNTY _382_"|"Negotiated Charge: NLFH UHC CORE _345_"|"Negotiated Charge: NLFH UHC HMO/PPO _432_"|"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|$209294.00|$56300.09|$251821.99|$146506.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$251821.99|$66053.19|$56300.09|$56300.09
"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|$922298.00|$85310.41|$374566.01|$645609.00|$85310.41|$241934.99|$133297.51|$374566.01|$244600.96|$311249.71|$326578.91|$303251.92|$303918.35|$275404.05|$297507.91|$157290.12|$291077.25|$248098.16|$248098.16
"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|$268025.00|$66517.46|$90436.19|$187618.00|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$66517.46|$84588.69|$72098.73|$72098.73
"MS-DRG V37 (FY 2020) 012"|"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc"|0.00|$218514.00|$50810.99|$147717.45|$152960.00|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$50810.99|$68963.02|$58780.27|$58780.27
"MS-DRG V37 (FY 2020) 013"|"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC"|0.00|$82998.00|$11121.22|$40575.09|$58099.00|$11121.22|$30605.63|$17376.91|$15251.06|$31886.63|$40575.09|$31671.49|$39532.51|$39619.35|$32033.89|$34757.11|$36073.83|$26194.17|$22326.46|$22326.46
"MS-DRG V37 (FY 2020) 014"|"Allogeneic Bone Marrow Transplant"|0.00|$293441.00|$8533.31|$169446.89|$205409.00|$8533.31|$66666.50|$13333.29|$33534.02|$24466.61|$31133.27|$63333.18|$30333.27|$30399.89|$66666.50|$66666.50|$169446.89|$92609.98|$78935.63|$78935.63
"MS-DRG V37 (FY 2020) 016"|"Autologous Bone Marrow Transplant With Cc/McC"|0.00|$145334.00|$8869.98|$89189.41|$101734.00|$8869.98|$69296.74|$13859.36|$31121.63|$25431.90|$32361.58|$65831.90|$31530.03|$31599.35|$69296.74|$69296.74|$89189.41|$45867.41|$39094.85|$39094.85
"MS-DRG V37 (FY 2020) 020"|"Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC"|0.00|$531421.00|$136844.53|$167716.47|$371995.00|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$136844.53|$167716.47|$142952.25|$142952.25
"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|$73126.04|$111802.19|$190291.00|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$75082.10|$85793.97|$73126.04|$73126.04
"MS-DRG V37 (FY 2020) 024"|"Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC"|0.00|$236071.00|$31137.90|$113604.68|$165250.00|$31137.90|$88821.19|$48652.96|$59073.20|$89278.17|$113604.68|$59073.20|$59073.20|$59073.20|$59073.20|$59073.20|$52144.95|$74504.01|$63503.10|$63503.10
"MS-DRG V37 (FY 2020) 025"|"Craniotomy And Endovascular Intracranial Procedures With McC"|0.00|$194960.00|$27001.45|$118553.20|$136472.00|$27001.45|$76574.41|$42189.75|$118553.20|$77418.22|$98513.09|$103364.91|$95981.76|$96192.69|$40070.00|$43475.00|$59559.94|$61529.38|$52444.24|$52444.24
"MS-DRG V37 (FY 2020) 026"|"Craniotomy And Endovascular Intracranial Procedures With Cc"|0.00|$138260.00|$21172.65|$92961.19|$96782.00|$21172.65|$34402.50|$33082.30|$92961.19|$60705.95|$77247.12|$81051.57|$75262.21|$75427.58|$36007.95|$39069.01|$40549.08|$43634.86|$37191.94|$37191.94
"MS-DRG V37 (FY 2020) 027"|"Craniotomy And Endovascular Intracranial Procedures Without Cc/McC"|0.00|$121933.00|$21969.10|$96458.08|$85353.00|$21969.10|$28257.75|$34326.72|$96458.08|$62989.54|$80152.89|$84100.46|$78093.30|$78264.92|$29576.45|$32090.76|$33306.47|$38482.05|$32799.98|$32799.98
"MS-DRG V37 (FY 2020) 028"|"Spinal Procedures With McC"|0.00|$245743.00|$4831.27|$77556.49|$172020.00|$8824.64|$65475.00|$13788.50|$4831.27|$25301.94|$32196.15|$65495.38|$31368.89|$31437.78|$68530.50|$68942.51|$77173.20|$77556.49|$66104.87|$66104.87
"MS-DRG V37 (FY 2020) 029"|"Spinal Procedures With Cc Or Spinal Neurostimulators"|0.00|$42799.00|$11512.93|$112536.22|$29959.00|$25631.02|$37068.75|$40048.47|$112536.22|$73488.94|$93513.18|$98118.77|$91110.31|$91310.52|$38798.63|$42096.92|$43691.70|$13507.36|$11512.93|$11512.93
"MS-DRG V37 (FY 2020) 030"|"Spinal Procedures Without Cc/McC"|0.00|$43049.00|$2630.00|$31255.15|$30134.00|$6200.47|$26517.38|$9688.22|$4749.92|$17777.88|$22622.01|$30642.30|$22040.74|$2630.00|$27754.85|$30114.31|$31255.15|$13586.26|$11580.18|$11580.18
"MS-DRG V37 (FY 2020) 031"|"Ventricular Shunt Procedures With McC"|0.00|$140072.00|$17929.19|$68635.18|$98050.00|$17929.19|$49118.63|$28014.36|$23727.25|$51406.37|$65413.54|$68635.18|$63732.72|$63872.74|$49980.00|$54229.00|$57894.49|$44206.72|$37679.37|$37679.37
"MS-DRG V37 (FY 2020) 032"|"Ventricular Shunt Procedures With Cc"|0.00|$112828.00|$6717.59|$62554.23|$78980.00|$16340.70|$24887.25|$25532.34|$6717.59|$46851.81|$59618.01|$62554.23|$58086.10|$58213.74|$26048.66|$28263.07|$29333.77|$35608.52|$30350.73|$30350.73
"MS-DRG V37 (FY 2020) 033"|"Ventricular Shunt Procedures Without Cc/McC"|0.00|$108156.00|$11340.80|$41376.20|$75709.00|$11340.80|$19357.88|$17720.01|$12018.70|$32516.18|$41376.20|$22369.10|$40313.02|$40401.61|$20261.24|$21983.66|$22816.48|$34134.03|$29093.96|$29093.96
"MS-DRG V37 (FY 2020) 034"|"Carotid Artery Stent Procedures With McC"|0.00|$134271.00|$20796.75|$79612.56|$93990.00|$20796.75|$44714.25|$32494.93|$44056.42|$59628.22|$75875.68|$79612.56|$73926.00|$74088.41|$46800.92|$50779.49|$52703.20|$42375.93|$36118.90|$36118.90
"MS-DRG V37 (FY 2020) 035"|"Carotid Artery Stent Procedures With Cc"|0.00|$134642.00|$1314.99|$42493.02|$94249.00|$6457.29|$26292.38|$10089.51|$11748.87|$18514.26|$23559.02|$30382.30|$22953.66|$1314.99|$27519.35|$29858.79|$30989.95|$42493.02|$36218.70|$36218.70
"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|$68909.00|$3812.07|$26272.88|$48236.00|$7201.14|$18644.63|$11251.78|$3812.07|$20647.02|$26272.88|$21544.90|$25597.83|$25654.08|$19514.71|$21173.66|$21975.80|$21747.68|$18536.52|$18536.52
"MS-DRG V37 (FY 2020) 039"|"Extracranial Procedures Without Cc/McC"|0.00|$58158.00|$5074.42|$33898.25|$40711.00|$9291.17|$12813.75|$14517.44|$5074.42|$26639.55|$33898.25|$14807.00|$33027.26|$33099.81|$13411.73|$14551.86|$15103.14|$18354.66|$15644.50|$15644.50
"MS-DRG V37 (FY 2020) 040"|"Peripheral, Cranial Nerve And Other Nervous System Procedures With McC"|0.00|$117503.00|$15704.45|$122691.01|$82252.00|$15704.45|$44525.25|$24538.20|$85637.12|$45027.60|$57296.72|$60118.59|$55824.44|$55947.11|$122691.01|$122691.01|$52480.43|$37083.95|$31608.31|$31608.31
"MS-DRG V37 (FY 2020) 041"|"Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator"|0.00|$121118.00|$10989.27|$40093.66|$84783.00|$10989.27|$26446.50|$17170.72|$11815.63|$31508.30|$40093.66|$30560.40|$39063.47|$39149.27|$27680.67|$30033.82|$31175.59|$38224.84|$32580.74|$32580.74
"MS-DRG V37 (FY 2020) 042"|"Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC"|0.00|$70049.00|$18843.18|$87336.97|$49034.00|$19891.69|$21205.13|$31080.76|$87336.97|$57033.20|$72573.59|$76147.88|$70708.77|$70864.13|$22194.70|$24081.48|$24993.77|$22107.46|$18843.18|$18843.18
"MS-DRG V37 (FY 2020) 052"|"Spinal Disorders And Injuries With Cc/McC"|0.00|$44031.00|$9640.70|$35173.50|$30822.00|$9640.70|$20757.38|$15063.60|$10936.78|$27641.71|$35173.50|$23986.30|$34269.75|$34345.01|$21726.05|$23573.00|$24466.03|$13896.18|$11844.34|$11844.34
"MS-DRG V37 (FY 2020) 053"|"Spinal Disorders And Injuries Without Cc/McC"|0.00|$54826.00|$7007.17|$44460.00|$38378.00|$7007.17|$12781.13|$10948.71|$44460.00|$20090.86|$25565.22|$14769.30|$24908.31|$24963.03|$29829.58|$32206.81|$15064.69|$17303.09|$14748.19|$14748.19
"MS-DRG V37 (FY 2020) 054"|"Nervous System Neoplasms With McC"|0.00|$71575.00|$1468.00|$22589.07|$50102.00|$5674.62|$15365.25|$8866.60|$4083.26|$16270.20|$20703.51|$17755.40|$20171.54|$1468.00|$16082.30|$17449.46|$18110.51|$22589.07|$19253.68|$19253.68
"MS-DRG V37 (FY 2020) 055"|"Nervous System Neoplasms Without McC"|0.00|$33697.00|$7616.55|$27788.51|$23588.00|$7616.55|$11738.25|$11900.87|$9478.11|$21838.07|$27788.51|$13564.20|$27074.47|$27133.95|$12286.04|$13330.48|$13835.48|$10634.77|$9064.49|$9064.49
"MS-DRG V37 (FY 2020) 056"|"Degenerative Nervous System Disorders With McC"|0.00|$51365.00|$5117.44|$29003.60|$35956.00|$5117.44|$24607.13|$7996.00|$28330.19|$14672.65|$18670.65|$28434.90|$18190.93|$15780.00|$25755.46|$27944.94|$29003.60|$16210.79|$13817.19|$13817.19
"MS-DRG V37 (FY 2020) 057"|"Degenerative Nervous System Disorders Without McC"|0.00|$46499.00|$5204.93|$30420.00|$32549.00|$5204.93|$14222.25|$8132.70|$30420.00|$14923.52|$18989.87|$16434.60|$18501.92|$17095.00|$14885.96|$16151.42|$16763.29|$14675.08|$12508.23|$12508.23
"MS-DRG V37 (FY 2020) 058"|"Multiple Sclerosis And Cerebellar Ataxia With McC"|0.00|$61629.00|$6234.88|$23028.64|$43140.00|$6234.88|$19537.88|$9742.00|$15936.46|$17876.57|$22747.57|$22577.10|$22163.08|$6575.00|$20449.64|$22188.08|$23028.64|$19450.11|$16578.20|$16578.20
"MS-DRG V37 (FY 2020) 059"|"Multiple Sclerosis And Cerebellar Ataxia With Cc"|0.00|$74911.00|$4975.01|$30670.20|$52438.00|$4975.01|$12673.13|$7773.45|$30670.20|$14264.28|$18151.01|$14644.50|$17684.61|$17095.00|$13264.54|$14392.16|$14937.39|$23641.91|$20151.06|$20151.06
"MS-DRG V37 (FY 2020) 060"|"Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC"|0.00|$39936.00|$1315.00|$13735.39|$27955.00|$3764.74|$10300.50|$5882.40|$2526.48|$10794.20|$13735.39|$11902.80|$13382.51|$1315.00|$10781.19|$11697.71|$12140.86|$12603.80|$10742.78|$10742.78
"MS-DRG V37 (FY 2020) 061"|"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC"|0.00|$94508.00|$0.00|$0.00|$66156.00|||||||||||||||
"MS-DRG V37 (FY 2020) 062"|"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc"|0.00|$94981.00|$11620.61|$42397.09|$66487.00|$11620.61|$22356.00|$18157.21|$21712.36|$33318.49|$42397.09|$25833.60|$41307.65|$41398.44|$23399.28|$25388.47|$26350.27|$29976.00|$25549.89|$25549.89
"MS-DRG V37 (FY 2020) 063"|"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC"|0.00|$86794.00|$0.00|$0.00|$60756.00|||||||||||||||
"MS-DRG V37 (FY 2020) 064"|"Intracranial Hemorrhage Or Cerebral Infarction With McC"|0.00|$72515.00|$9477.92|$34579.61|$50760.00|$9477.92|$21521.25|$14809.25|$22425.88|$27174.98|$34579.61|$24869.00|$33691.06|$33765.10|$22525.58|$24440.49|$25366.38|$22885.73|$19506.54|$19506.54
"MS-DRG V37 (FY 2020) 065"|"Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours"|0.00|$53910.00|$3033.73|$26012.85|$37737.00|$7129.86|$11454.75|$11140.40|$3033.73|$20442.67|$26012.85|$13236.60|$25344.45|$25400.12|$11989.31|$13008.52|$13501.33|$17014.00|$14501.79|$14501.79
"MS-DRG V37 (FY 2020) 066"|"Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC"|0.00|$39414.00|$1315.00|$22529.29|$27590.00|$6175.04|$7997.63|$9648.48|$3195.48|$17705.04|$22529.29|$7393.36|$21950.39|$1315.00|$8370.00|$9082.00|$9426.53|$12439.06|$10602.37|$10602.37
"MS-DRG V37 (FY 2020) 067"|"Nonspecific Cva And Precerebral Occlusion Without Infarction With McC"|0.00|$51686.00|$0.00|$0.00|$36180.00|||||||||||||||
"MS-DRG V37 (FY 2020) 068"|"Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC"|0.00|$57548.00|$3218.66|$18162.15|$40284.00|$3392.86|$9996.75|$5301.35|$3218.66|$9727.98|$12378.65|$11551.80|$12060.61|$8220.97|$10463.27|$11352.75|$11782.84|$18162.15|$15480.41|$15480.41
"MS-DRG V37 (FY 2020) 069"|"Transient Ischemia Without Thrombolytic"|0.00|$53585.00|$2903.95|$18619.16|$37510.00|$5103.33|$10301.92|$7973.95|$6686.57|$14632.20|$18619.16|$13250.75|$18491.77|$2903.95|$10040.33|$10895.21|$10423.69|$16911.43|$14414.37|$14414.37
"MS-DRG V37 (FY 2020) 070"|"Nonspecific Cerebrovascular Disorders With McC"|0.00|$60853.00|$3945.00|$24042.46|$42597.00|$6589.79|$18859.50|$10296.55|$7505.23|$18894.19|$24042.46|$21793.20|$23424.67|$3945.00|$19739.61|$21417.69|$22229.06|$19205.21|$16369.46|$16369.46
"MS-DRG V37 (FY 2020) 071"|"Nonspecific Cerebrovascular Disorders With Cc"|0.00|$41793.00|$4700.16|$17148.24|$29255.00|$4700.16|$9317.25|$7344.00|$11025.11|$13476.25|$17148.24|$10766.60|$16707.68|$5872.00|$9752.06|$10581.08|$13403.21|$13189.87|$11242.32|$11242.32
"MS-DRG V37 (FY 2020) 072"|"Nonspecific Cerebrovascular Disorders Without Cc/McC"|0.00|$50924.00|$1754.46|$16071.61|$35647.00|$1754.46|$8676.00|$2741.35|$4716.13|$5030.39|$6401.07|$6914.21|$6236.62|$2630.00|$9080.88|$9852.85|$10226.11|$16071.61|$13698.56|$13698.56
"MS-DRG V37 (FY 2020) 073"|"Cranial And Peripheral Nerve Disorders With McC"|0.00|$90124.00|$8889.57|$32433.03|$63087.00|$8889.57|$16305.75|$13889.95|$10442.87|$25488.05|$32433.03|$18842.20|$31599.68|$31669.07|$17066.69|$18517.53|$19219.04|$28443.13|$24243.36|$24243.36
"MS-DRG V37 (FY 2020) 074"|"Cranial And Peripheral Nerve Disorders Without McC"|0.00|$44284.00|$1315.00|$15522.87|$30999.00|$4254.66|$11457.00|$6647.89|$2917.57|$12198.95|$15522.87|$13239.20|$15124.00|$1315.00|$11991.66|$13011.08|$13503.98|$13976.03|$11912.40|$11912.40
"MS-DRG V37 (FY 2020) 075"|"Viral Meningitis With Cc/McC"|0.00|$27890.00|$7502.41|$31908.63|$19523.00|$8745.83|$18292.50|$13665.36|$13666.66|$25075.93|$31908.63|$21138.00|$31088.69|$31157.01|$19146.15|$20773.78|$21560.76|$8802.08|$7502.41|$7502.41
"MS-DRG V37 (FY 2020) 076"|"Viral Meningitis Without Cc/McC"|0.00|$35013.00|$2630.00|$20733.03|$24509.00|$5812.52|$12348.13|$8808.40|$9327.25|$16163.40|$20567.59|$18744.30|$20733.03|$2630.00|$12935.10|$14028.98|$13006.73|$11050.10|$9418.50|$9418.50
"MS-DRG V37 (FY 2020) 077"|"Hypertensive Encephalopathy With McC"|0.00|$30678.00|$2936.00|$21940.94|$21475.00|$6013.79|$17233.88|$9396.55|$7858.58|$17242.67|$21940.94|$19914.70|$21377.20|$2936.00|$18038.12|$19571.55|$20312.99|$9681.98|$8252.38|$8252.38
"MS-DRG V37 (FY 2020) 078"|"Hypertensive Encephalopathy With Cc"|0.00|$44294.00|$0.00|$0.00|$31006.00|||||||||||||||
"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|$45256.00|$0.00|$0.00|$31679.00|||||||||||||||
"MS-DRG V37 (FY 2020) 081"|"Nontraumatic Stupor And Coma Without McC"|0.00|$24342.00|$1315.00|$10236.72|$17039.00|$2376.58|$8685.00|$3713.40|$2446.71|$6814.09|$8670.79|$10036.00|$8448.01|$1315.00|$9090.30|$9863.07|$10236.72|$7682.34|$6548.00|$6548.00
"MS-DRG V37 (FY 2020) 082"|"Traumatic Stupor And Coma >1 Hour With McC"|0.00|$126975.00|$5882.54|$40073.31|$88882.00|$7375.75|$25403.63|$11524.59|$5882.54|$21147.65|$26909.96|$29355.30|$26218.53|$26276.11|$26589.13|$28849.49|$29942.41|$40073.31|$34156.28|$34156.28
"MS-DRG V37 (FY 2020) 083"|"Traumatic Stupor And Coma >1 Hour With Cc"|0.00|$45001.00|$1468.00|$17790.94|$31501.00|$4253.89|$15094.13|$6646.70|$2680.00|$12196.71|$15520.06|$17442.10|$15121.27|$1468.00|$15798.52|$17141.56|$17790.94|$14202.32|$12105.27|$12105.27
"MS-DRG V37 (FY 2020) 084"|"Traumatic Stupor And Coma >1 Hour Without Cc/McC"|0.00|$28048.00|$1773.00|$14169.25|$19634.00|$3883.65|$10172.25|$6068.20|$4097.31|$11135.16|$14169.25|$11754.60|$13805.20|$1773.00|$10646.96|$11552.06|$11989.69|$8851.95|$7544.91|$7544.91
"MS-DRG V37 (FY 2020) 085"|"Traumatic Stupor And Coma <1 Hour With McC"|0.00|$105873.00|$7631.84|$33413.52|$74111.00|$7631.84|$25947.00|$11924.74|$8698.96|$21881.94|$27844.31|$29983.20|$27128.86|$27188.44|$27157.86|$29466.57|$30582.86|$33413.52|$28479.84|$28479.84
"MS-DRG V37 (FY 2020) 086"|"Traumatic Stupor And Coma <1 Hour With Cc"|0.00|$112157.00|$10309.41|$37613.22|$78510.00|$10309.41|$14320.13|$16108.45|$16031.31|$29558.98|$37613.22|$16547.70|$36646.76|$36727.26|$14988.40|$16262.57|$16878.65|$35396.75|$30170.23|$30170.23
"MS-DRG V37 (FY 2020) 087"|"Traumatic Stupor And Coma <1 Hour Without Cc/McC"|0.00|$36569.00|$1773.00|$14712.03|$25598.00|$4032.42|$9704.25|$6300.65|$4422.48|$11561.70|$14712.03|$11213.80|$14334.00|$1773.00|$10157.12|$11020.58|$11438.08|$11541.18|$9837.06|$9837.06
"MS-DRG V37 (FY 2020) 088"|"Concussion With McC"|0.00|$58505.00|$0.00|$0.00|$40954.00|||||||||||||||
"MS-DRG V37 (FY 2020) 089"|"Concussion With Cc"|0.00|$49941.00|$10812.80|$39449.81|$34959.00|$10812.80|$11938.50|$16895.01|$21231.27|$31002.32|$39449.81|$13795.60|$38436.17|$38520.60|$12495.63|$13557.89|$14071.51|$15761.38|$13434.13|$13434.13
"MS-DRG V37 (FY 2020) 090"|"Concussion Without Cc/McC"|0.00|$22278.00|$0.00|$0.00|$15595.00|||||||||||||||
"MS-DRG V37 (FY 2020) 091"|"Other Disorders Of Nervous System With McC"|0.00|$53850.00|$6645.37|$33523.00|$37695.00|$6645.37|$18661.64|$10383.40|$33523.00|$19053.57|$24245.27|$24332.00|$24332.00|$24332.00|$22594.00|$22594.00|$21864.41|$16995.06|$14485.65|$14485.65
"MS-DRG V37 (FY 2020) 092"|"Other Disorders Of Nervous System With Cc"|0.00|$57848.00|$6896.23|$25160.45|$40494.00|$6896.23|$11093.63|$10775.35|$24722.52|$19772.78|$25160.45|$12819.30|$24513.95|$24567.80|$11611.33|$12598.41|$13075.69|$18256.83|$15561.11|$15561.11
"MS-DRG V37 (FY 2020) 093"|"Other Disorders Of Nervous System Without Cc/McC"|0.00|$28067.00|$1468.00|$16052.08|$19647.00|$4399.71|$8789.63|$6874.55|$2971.50|$12614.81|$16052.08|$10156.90|$15639.60|$1468.00|$9199.81|$9981.89|$10360.04|$8857.95|$7550.02|$7550.02
"MS-DRG V37 (FY 2020) 094"|"Bacterial And Tuberculous Infections Of Nervous System With McC"|0.00|$242608.00|$0.00|$0.00|$169826.00|||||||||||||||
"MS-DRG V37 (FY 2020) 095"|"Bacterial And Tuberculous Infections Of Nervous System With Cc"|0.00|$148835.00|$8082.31|$46972.33|$104184.00|$8082.31|$28215.00|$12628.61|$27356.81|$23173.50|$29487.79|$32604.00|$28730.11|$28793.23|$29531.70|$32042.21|$33256.08|$46972.33|$40036.62|$40036.62
"MS-DRG V37 (FY 2020) 096"|"Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC"|0.00|$78348.00|$11433.87|$41715.78|$54844.00|$11433.87|$26229.38|$17865.42|$40096.10|$32783.06|$41715.78|$30309.50|$40643.84|$40733.17|$27453.41|$29787.24|$30915.69|$24726.63|$21075.61|$21075.61
"MS-DRG V37 (FY 2020) 097"|"Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC"|0.00|$179076.00|$19427.23|$151775.25|$125353.00|$19427.23|$42216.75|$30355.07|$85297.72|$55701.59|$70879.07|$74369.87|$69057.78|$69209.55|$151775.25|$151775.25|$49759.48|$56516.39|$48171.44|$48171.44
"MS-DRG V37 (FY 2020) 098"|"Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc"|0.00|$83826.00|$12491.84|$51137.99|$58678.00|$12491.84|$23747.63|$19518.50|$51137.99|$35816.44|$45575.69|$15908.23|$44404.61|$44502.18|$22195.00|$24080.00|$27990.53|$26455.49|$22549.19|$22549.19
"MS-DRG V37 (FY 2020) 099"|"Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC"|0.00|$58640.00|$7577.75|$27646.94|$41048.00|$7577.75|$15719.63|$11840.24|$12400.08|$21726.84|$27646.94|$18164.90|$26936.59|$26995.77|$16453.21|$17851.90|$18528.20|$18506.78|$15774.16|$15774.16
"MS-DRG V37 (FY 2020) 100"|"Seizures With McC"|0.00|$83754.00|$2992.42|$26432.76|$58628.00|$7190.88|$21078.00|$11235.74|$2992.42|$20617.59|$26235.46|$24356.80|$25561.37|$25617.50|$22061.64|$23937.11|$24843.94|$26432.76|$22529.83|$22529.83
"MS-DRG V37 (FY 2020) 101"|"Seizures Without McC"|0.00|$52995.00|$1773.00|$16725.22|$37096.00|$3416.26|$9978.75|$5337.92|$3103.28|$9795.08|$12464.02|$11531.00|$12143.76|$1773.00|$10444.43|$11332.31|$11761.62|$16725.22|$14255.66|$14255.66
"MS-DRG V37 (FY 2020) 102"|"Headaches With McC"|0.00|$29514.00|$7556.68|$27570.06|$20660.00|$7556.68|$12956.63|$11807.31|$9707.05|$21666.42|$27570.06|$14972.10|$26861.67|$26920.66|$13561.27|$14714.12|$15271.54|$9314.62|$7939.27|$7939.27
"MS-DRG V37 (FY 2020) 103"|"Headaches Without McC"|0.00|$59861.00|$1315.00|$18892.13|$41903.00|$4681.16|$9317.25|$7314.31|$2991.91|$13421.76|$17078.93|$10766.60|$16640.09|$1315.00|$9752.06|$10581.08|$10981.93|$18892.13|$16102.61|$16102.61
"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|$17020.76|$117562.10|$146430.00|$26775.71|$75934.24|$41837.05|$117562.10|$76771.01|$97689.51|$102500.77|$95179.30|$95388.46|$17020.76|$18467.71|$19167.33|$66018.79|$56270.77|$56270.77
"MS-DRG V37 (FY 2020) 115"|"Extraocular Procedures Except Orbit"|0.00|$45062.00|$1315.00|$19270.76|$31543.00|$5146.10|$16349.63|$8040.79|$5147.30|$14754.84|$18775.24|$18892.90|$18292.82|$1315.00|$17112.61|$18567.36|$19270.76|$14221.57|$12121.68|$12121.68
"MS-DRG V37 (FY 2020) 116"|"Intraocular Procedures With Cc/McC"|0.00|$141704.00|$18163.13|$79747.49|$99193.00|$18163.13|$21118.50|$28379.91|$79747.49|$52077.09|$66267.05|$69530.72|$64564.28|$64706.12|$22104.03|$23983.11|$24891.67|$44721.78|$38118.38|$38118.38
"MS-DRG V37 (FY 2020) 117"|"Intraocular Procedures Without Cc/McC"|0.00|$46853.00|$1315.00|$21972.10|$32797.00|$6022.33|$11687.63|$9409.88|$2420.43|$17267.14|$21972.10|$13505.70|$21407.54|$1315.00|$12233.05|$13272.99|$13775.81|$14786.81|$12603.46|$12603.46
"MS-DRG V37 (FY 2020) 121"|"Acute Major Eye Infections With Cc/McC"|0.00|$17708.00|$2630.00|$15762.16|$12396.00|$4260.26|$13372.88|$6656.63|$7781.13|$12214.94|$15543.26|$15453.10|$15143.90|$2630.00|$13996.94|$15186.83|$15762.16|$5588.64|$4763.45|$4763.45
"MS-DRG V37 (FY 2020) 123"|"Neurological Eye Disorders"|0.00|$48452.00|$5761.71|$25296.48|$33916.00|$6933.51|$8609.63|$10833.59|$5761.71|$19879.67|$25296.48|$9948.90|$24646.49|$24700.62|$9011.41|$9777.47|$10147.88|$15291.45|$13033.59|$13033.59
"MS-DRG V37 (FY 2020) 124"|"Other Disorders Of The Eye With McC"|0.00|$22577.00|$0.00|$0.00|$15804.00|||||||||||||||
"MS-DRG V37 (FY 2020) 125"|"Other Disorders Of The Eye Without McC"|0.00|$33876.00|$3187.68|$11630.07|$23713.00|$3187.68|$9398.25|$4980.75|$9725.86|$9139.69|$11630.07|$10860.20|$11331.22|$5260.00|$9836.84|$10673.07|$11077.40|$10691.27|$9112.64|$9112.64
"MS-DRG V37 (FY 2020) 129"|"Major Head & Neck Procedures W Cc/McC Or Major Device"|0.00|$190272.00|$25569.73|$112267.10|$133190.00|$25569.73|$29760.90|$39952.70|$112267.10|$73313.18|$93289.53|$97884.12|$90892.40|$91092.13|$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|$250650.00|$0.00|$0.00|$175455.00|||||||||||||||
"MS-DRG V37 (FY 2020) 132"|"Cranial/Facial Procedures W/O Cc/McC"|0.00|$75323.00|$6042.05|$48040.42|$52726.00|$13167.39|$17578.90|$20574.06|$6042.05|$37753.38|$48040.42|$17578.90|$46805.97|$46908.84|$17578.90|$17578.90||||
"MS-DRG V37 (FY 2020) 133"|"Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/McC"|0.00|$63173.00|$7286.19|$31630.10|$44221.00|$7616.16|$31630.10|$11900.24|$7286.19|$21836.93|$27787.10|$31630.10|$27073.06|$27132.56|$31630.10|$31630.10||||
"MS-DRG V37 (FY 2020) 134"|"Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/McC"|0.00|$55946.00|$3945.00|$20398.14|$39162.00|$5590.92|$11512.31|$8735.82|$9003.44|$16030.25|$20398.14|$11512.31|$19874.02|$3945.00|$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|$72930.00|$0.00|$0.00|$51051.00|||||||||||||||
"MS-DRG V37 (FY 2020) 138"|"Mouth Procedures Without Cc/McC"|0.00|$47313.00|$2421.86|$14931.98|$33119.00|$2421.86|$9484.88|$3784.15|$4762.75|$6943.92|$8835.99|$10960.30|$8608.97|$2630.00|$9927.50|$10771.45|$11179.51|$14931.98|$12727.20|$12727.20
"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|$28749.00|$2630.00|$26958.91|$20124.00|$4886.79|$22872.38|$7635.59|$5940.42|$14011.34|$17829.14|$26430.30|$17371.02|$2630.00|$23939.75|$25974.89|$26958.91|$9073.18|$7733.48|$7733.48
"MS-DRG V37 (FY 2020) 147"|"Ear, Nose, Mouth And Throat Malignancy With Cc"|0.00|$42883.00|$2630.00|$17252.59|$30018.00|$3960.23|$14637.38|$6187.85|$5533.02|$11354.76|$14448.68|$16914.30|$14077.41|$2630.00|$15320.45|$16622.85|$17252.59|$13533.87|$11535.53|$11535.53
"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|$51580.00|$1315.00|$16278.65|$36106.00|$3223.58|$8274.38|$5036.85|$3374.83|$9242.63|$11761.06|$9561.50|$11458.86|$1315.00|$8660.51|$9396.75|$9752.73|$16278.65|$13875.02|$13875.02
"MS-DRG V37 (FY 2020) 150"|"Epistaxis With McC"|0.00|$29119.00|$0.00|$0.00|$20383.00|||||||||||||||
"MS-DRG V37 (FY 2020) 151"|"Epistaxis Without McC"|0.00|$34144.00|$3088.00|$16476.80|$23901.00|$4516.13|$8291.25|$7056.44|$5849.25|$12948.58|$16476.80|$9581.00|$16053.46|$3088.00|$8678.18|$9415.91|$9772.62|$10775.85|$9184.74|$9184.74
"MS-DRG V37 (FY 2020) 152"|"Otitis Media And Uri With McC"|0.00|$47760.00|$1315.00|$15073.06|$33432.00|$2488.83|$12115.13|$3888.80|$2340.00|$7135.95|$9080.35|$13999.70|$8847.04|$1315.00|$12680.50|$13758.47|$14279.69|$15073.06|$12847.44|$12847.44
"MS-DRG V37 (FY 2020) 153"|"Otitis Media And Uri Without McC"|0.00|$29320.00|$2630.00|$11266.95|$20524.00|$3088.16|$7994.25|$4825.25|$4704.73|$8854.32|$11266.95|$9237.80|$10977.46|$2630.00|$8367.32|$9078.63|$9422.56|$9253.39|$7887.08|$7887.08
"MS-DRG V37 (FY 2020) 154"|"Other Ear, Nose, Mouth And Throat Diagnoses With McC"|0.00|$64544.00|$7927.36|$28922.50|$45181.00|$7927.36|$17353.13|$12386.51|$10003.87|$22729.26|$28922.50|$20052.50|$28179.33|$28241.22|$18162.94|$19706.98|$20453.55|$20370.09|$17362.34|$17362.34
"MS-DRG V37 (FY 2020) 155"|"Other Ear, Nose, Mouth And Throat Diagnoses With Cc"|0.00|$33612.00|$6119.07|$22325.07|$23528.00|$6119.07|$10201.50|$9561.05|$19683.42|$17544.54|$22325.07|$11788.40|$21751.42|$9205.00|$10677.57|$11585.28|$12024.17|$10607.95|$9041.63|$9041.63
"MS-DRG V37 (FY 2020) 156"|"Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC"|0.00|$23086.00|$2596.59|$9473.49|$16160.00|$2596.59|$7398.00|$4057.18|$5114.87|$7444.90|$9473.49|$8548.80|$9230.07|$2630.00|$7743.24|$8401.50|$8719.78|$7285.94|$6210.13|$6210.13
"MS-DRG V37 (FY 2020) 157"|"Dental And Oral Diseases With McC"|0.00|$20510.00|$5517.19|$21594.96|$14357.00|$5600.99|$17689.50|$8751.55|$21594.96|$16059.11|$20434.88|$20441.20|$19909.80|$11835.00|$18515.01|$20088.98|$20850.02|$6472.96|$5517.19|$5517.19
"MS-DRG V37 (FY 2020) 158"|"Dental And Oral Diseases With Cc"|0.00|$29842.00|$3508.77|$15059.05|$20889.00|$3508.77|$11315.38|$5482.45|$9890.95|$10060.35|$12801.55|$15059.05|$12877.97|$5259.99|$11854.15|$12856.14|$11789.47|$9418.14|$8027.50|$8027.50
"MS-DRG V37 (FY 2020) 159"|"Dental And Oral Diseases Without Cc/McC"|0.00|$18400.00|$1315.00|$8695.91|$12880.00|$2191.14|$7377.75|$3423.66|$3679.56|$6282.42|$7994.24|$8525.40|$7788.84|$1315.00|$7722.05|$8378.50|$8695.91|$5807.04|$4949.60|$4949.60
"MS-DRG V37 (FY 2020) 163"|"Major Chest Procedures With McC"|0.00|$173029.00|$27108.04|$119021.25|$121120.00|$27108.04|$76876.70|$42356.28|$119021.25|$77723.84|$98901.98|$103772.95|$96360.61|$96572.39|$51344.00|$55704.00|$65784.19|$54607.95|$46544.80|$46544.80
"MS-DRG V37 (FY 2020) 164"|"Major Chest Procedures With Cc"|0.00|$134697.00|$22046.25|$96796.80|$94288.00|$22046.25|$29652.75|$34447.26|$96796.80|$63210.75|$80434.38|$84395.79|$78367.57|$78539.76|$31036.55|$33674.98|$34995.79|$42510.37|$36233.49|$36233.49
"MS-DRG V37 (FY 2020) 165"|"Major Chest Procedures Without Cc/McC"|0.00|$100928.00|$4961.67|$58827.16|$70650.00|$15367.10|$21471.75|$24011.09|$4961.67|$44060.35|$56065.89|$58827.16|$54625.25|$54745.25|$22473.77|$24384.27|$25374.34|$31852.88|$27149.63|$27149.63
"MS-DRG V37 (FY 2020) 166"|"Other Respiratory System O.R. Procedures With McC"|0.00|$120360.00|$14974.07|$54631.95|$84252.00|$14974.07|$42634.13|$23396.97|$21154.93|$42933.47|$54631.95|$49266.10|$53228.19|$53345.10|$33468.00|$36312.00|$50272.64|$37985.62|$32376.84|$32376.84
"MS-DRG V37 (FY 2020) 167"|"Other Respiratory System O.R. Procedures With Cc"|0.00|$92339.00|$7941.61|$29142.19|$64637.00|$7941.61|$21650.09|$12408.78|$28048.99|$22770.15|$28974.54|$28048.99|$28048.99|$28048.99|$28048.99|$28048.99|$24688.79|$29142.19|$24839.19|$24839.19
"MS-DRG V37 (FY 2020) 168"|"Other Respiratory System O.R. Procedures Without Cc/McC"|0.00|$68113.00|$2517.80|$33053.15|$47679.00|$9059.54|$15405.75|$14155.56|$2517.80|$25975.42|$33053.15|$17802.20|$32203.86|$32274.63|$16124.69|$17495.45|$18154.27|$21496.46|$18322.40|$18322.40
"MS-DRG V37 (FY 2020) 175"|"Pulmonary Embolism With McC Or Acute Cor Pulmonale"|0.00|$43039.00|$7133.76|$26027.10|$30127.00|$7133.76|$17372.25|$11146.50|$7540.99|$20453.84|$26027.10|$20074.60|$25358.34|$25414.00|$18182.96|$19728.70|$20476.09|$13583.11|$11577.49|$11577.49
"MS-DRG V37 (FY 2020) 176"|"Pulmonary Embolism Without McC"|0.00|$39641.00|$2936.00|$13271.46|$27749.00|$3637.57|$9975.38|$5683.70|$6187.50|$10429.61|$13271.46|$11527.10|$12930.45|$2936.00|$10440.89|$11328.48|$11757.64|$12510.70|$10663.43|$10663.43
"MS-DRG V37 (FY 2020) 177"|"Respiratory Infections And Inflammations With McC"|0.00|$54553.00|$1315.00|$24468.68|$38187.00|$4764.48|$20759.63|$7444.50|$2672.30|$13660.68|$17382.93|$23988.90|$16936.29|$1315.00|$21728.41|$23575.55|$24468.68|$17216.93|$14674.76|$14674.76
"MS-DRG V37 (FY 2020) 178"|"Respiratory Infections And Inflammations With Cc"|0.00|$35897.00|$5260.00|$19863.27|$25128.00|$5444.32|$13566.38|$8506.75|$9485.61|$15609.90|$19863.27|$15676.70|$19352.87|$5260.00|$14199.47|$15406.58|$15990.23|$11329.09|$9656.29|$9656.29
"MS-DRG V37 (FY 2020) 179"|"Respiratory Infections And Inflammations Without Cc/McC"|0.00|$24899.00|$6288.35|$22942.66|$17429.00|$6288.35|$9813.13|$9825.55|$10517.58|$18029.89|$22942.66|$10517.58|$10517.58|$10517.58|$10517.58|$10517.58|$11550.79|$7858.12|$6697.83|$6697.83
"MS-DRG V37 (FY 2020) 180"|"Respiratory Neoplasms With McC"|0.00|$70228.00|$7471.97|$33523.00|$49160.00|$7471.97|$19563.50|$11674.94|$33523.00|$21423.54|$27261.01|$22202.13|$22202.13|$22202.13|$24212.77|$24212.77|$23043.23|$22163.96|$18891.33|$18891.33
"MS-DRG V37 (FY 2020) 181"|"Respiratory Neoplasms With Cc"|0.00|$62288.00|$1315.00|$19658.09|$43602.00|$3899.39|$12610.13|$6092.80|$2553.93|$11180.32|$14226.71|$14571.70|$13861.15|$1315.00|$13198.60|$14320.62|$14863.13|$19658.09|$16755.47|$16755.47
"MS-DRG V37 (FY 2020) 182"|"Respiratory Neoplasms Without Cc/McC"|0.00|$33303.00|$479.97|$10510.43|$23312.00|$479.97|$3749.75|$749.95|$2441.66|$1376.15|$1751.13|$3562.26|$1706.13|$1315.00|$1076.00|$1168.00|$10442.25|$10510.43|$8958.51|$8958.51
"MS-DRG V37 (FY 2020) 183"|"Major Chest Trauma With McC"|0.00|$76560.00|$0.00|$0.00|$53592.00|||||||||||||||
"MS-DRG V37 (FY 2020) 184"|"Major Chest Trauma With Cc"|0.00|$42410.00|$4614.88|$16837.10|$29687.00|$4614.88|$11706.50|$7210.74|$11953.10|$13231.72|$16837.10|$11953.10|$11953.10|$11953.10|$11953.10|$11953.10|$13782.44|$13384.60|$11408.29|$11408.29
"MS-DRG V37 (FY 2020) 185"|"Major Chest Trauma Without Cc/McC"|0.00|$23551.00|$1315.00|$11320.40|$16486.00|$1978.56|$9796.50|$3091.50|$2531.14|$5672.91|$7218.66|$11320.40|$7033.19|$1315.00|$10253.67|$11125.34|$10257.94|$7432.70|$6335.22|$6335.22
"MS-DRG V37 (FY 2020) 186"|"Pleural Effusion With McC"|0.00|$35989.00|$8054.38|$38214.37|$25192.00|$10474.18|$17361.00|$16365.91|$8054.38|$30031.43|$38214.37|$10376.69|$37232.47|$37314.24|$12678.00|$13755.00|$20462.83|$11358.13|$9681.04|$9681.04
"MS-DRG V37 (FY 2020) 187"|"Pleural Effusion With Cc"|0.00|$39888.00|$6876.99|$25090.31|$27922.00|$6876.99|$11612.25|$10745.30|$9646.05|$19717.64|$25090.31|$13418.60|$24445.62|$24499.29|$12154.16|$13187.39|$13686.97|$12588.65|$10729.87|$10729.87
"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|$59990.00|$2630.00|$18932.84|$41993.00|$3998.05|$13779.00|$6246.95|$5027.32|$11463.18|$14586.64|$15922.40|$14211.85|$2630.00|$14422.02|$15648.04|$16240.85|$18932.84|$16137.31|$16137.31
"MS-DRG V37 (FY 2020) 190"|"Chronic Obstructive Pulmonary Disease With McC"|0.00|$67407.00|$5260.00|$21273.65|$47185.00|$5358.82|$12643.88|$8373.15|$10661.87|$15364.73|$19551.31|$14610.70|$19048.94|$5260.00|$13233.92|$14358.95|$14902.91|$21273.65|$18132.48|$18132.48
"MS-DRG V37 (FY 2020) 191"|"Chronic Obstructive Pulmonary Disease With Cc"|0.00|$46356.00|$3811.84|$14629.95|$32449.00|$3811.84|$10551.72|$5956.00|$10155.65|$10929.26|$13907.26|$10155.65|$10155.65|$10155.65|$10155.65|$10155.65|$11709.91|$14629.95|$12469.76|$12469.76
"MS-DRG V37 (FY 2020) 192"|"Chronic Obstructive Pulmonary Disease Without Cc/McC"|0.00|$32639.00|$1315.00|$10300.87|$22847.00|$2436.10|$7817.63|$3806.40|$2376.52|$6984.75|$8887.96|$9033.70|$8659.59|$1315.00|$8182.45|$8878.04|$9214.37|$10300.87|$8779.89|$8779.89
"MS-DRG V37 (FY 2020) 193"|"Simple Pneumonia And Pleurisy With McC"|0.00|$49898.00|$5333.34|$19754.87|$34929.00|$5333.34|$15295.15|$8333.36|$19754.87|$15291.70|$19458.35|$19754.87|$19754.87|$19754.87|$19754.87|$19754.87|$17379.88|$15747.81|$13422.56|$13422.56
"MS-DRG V37 (FY 2020) 194"|"Simple Pneumonia And Pleurisy With Cc"|0.00|$35602.00|$3915.36|$17912.42|$24921.00|$3915.36|$9740.28|$6117.75|$17912.42|$11226.09|$14284.95|$14274.05|$14274.05|$14274.05|$14274.05|$14274.05|$11443.38|$11235.99|$9576.94|$9576.94
"MS-DRG V37 (FY 2020) 195"|"Simple Pneumonia And Pleurisy Without Cc/McC"|0.00|$25206.00|$2743.46|$12145.75|$17644.00|$2743.46|$8794.25|$4286.64|$7232.88|$7866.02|$10009.35|$12145.75|$10157.50|$4785.73|$9215.38|$9993.04|$8817.90|$7955.01|$6780.41|$6780.41
"MS-DRG V37 (FY 2020) 196"|"Interstitial Lung Disease With McC"|0.00|$102720.00|$4556.00|$32418.43|$71904.00|$6470.08|$19531.13|$10109.51|$8211.86|$18550.94|$23605.69|$22569.30|$22999.15|$4556.00|$20442.58|$22180.41|$23020.69|$32418.43|$27631.68|$27631.68
"MS-DRG V37 (FY 2020) 197"|"Interstitial Lung Disease With Cc"|0.00|$32382.00|$8710.76|$46502.04|$22667.00|$12745.74|$11313.00|$19915.22|$10739.56|$36544.43|$46502.04|$13072.80|$45307.18|$45406.66|$11840.94|$12847.55|$13334.26|$10219.76|$8710.76|$8710.76
"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|$41990.00|$2630.00|$23703.58|$29393.00|$5898.94|$20110.50|$9217.09|$14897.99|$16913.40|$21521.94|$23238.80|$20968.95|$2630.00|$21048.99|$22838.38|$23703.58|$13252.04|$11295.31|$11295.31
"MS-DRG V37 (FY 2020) 200"|"Pneumothorax With Cc"|0.00|$40514.00|$1468.00|$16858.12|$28360.00|$4620.64|$12093.75|$7219.75|$2988.46|$13248.24|$16858.12|$13975.00|$16424.95|$1468.00|$12658.13|$13734.20|$14254.50|$12786.22|$10898.27|$10898.27
"MS-DRG V37 (FY 2020) 201"|"Pneumothorax Without Cc/McC"|0.00|$20266.00|$2630.00|$11149.51|$14186.00|$3055.97|$7981.88|$4774.95|$4707.84|$8762.05|$11149.51|$9223.50|$10863.03|$2630.00|$8354.36|$9064.57|$9407.97|$6395.95|$5451.55|$5451.55
"MS-DRG V37 (FY 2020) 202"|"Bronchitis And Asthma With Cc/McC"|0.00|$43601.00|$2630.00|$13760.48|$30521.00|$3225.41|$10863.00|$5039.70|$4747.85|$9247.84|$11767.70|$12552.80|$11465.34|$2630.00|$11369.94|$12336.51|$12803.86|$13760.48|$11728.67|$11728.67
"MS-DRG V37 (FY 2020) 203"|"Bronchitis And Asthma Without Cc/McC"|0.00|$24955.00|$1315.00|$9984.01|$17468.00|$2736.51|$7936.88|$4275.81|$2725.91|$7846.12|$9984.01|$9171.50|$9727.49|$1315.00|$8307.26|$9013.47|$9354.93|$7875.80|$6712.90|$6712.90
"MS-DRG V37 (FY 2020) 204"|"Respiratory Signs And Symptoms"|0.00|$23355.00|$3945.00|$16473.55|$16348.00|$4515.23|$8915.63|$7055.05|$7957.45|$12946.03|$16473.55|$10302.50|$16050.27|$3945.00|$9331.69|$10124.98|$10508.55|$7370.84|$6282.50|$6282.50
"MS-DRG V37 (FY 2020) 205"|"Other Respiratory System Diagnoses With McC"|0.00|$56687.00|$2630.00|$22307.30|$39681.00|$4304.74|$18925.88|$6726.14|$5250.84|$12342.50|$15705.58|$21869.90|$15302.02|$2630.00|$19809.08|$21493.06|$22307.30|$17890.42|$15248.80|$15248.80
"MS-DRG V37 (FY 2020) 206"|"Other Respiratory System Diagnoses Without McC"|0.00|$41898.00|$5164.89|$18843.82|$29329.00|$5164.89|$9960.50|$8070.15|$14913.00|$14808.73|$18843.82|$14913.00|$14913.00|$14913.00|$14913.00|$14913.00|$11724.49|$13223.01|$11270.56|$11270.56
"MS-DRG V37 (FY 2020) 207"|"Respiratory System Diagnosis With Ventilator Support >96 Hours"|0.00|$303273.00|$75932.06|$113085.03|$212291.00|$86446.96|$86446.96|$86446.96|$86446.96|$86446.96|$86446.96|$86446.96|$86446.96|$86446.96|$113085.03|$113085.03|$75932.06|$95712.96|$81580.44|$81580.44
"MS-DRG V37 (FY 2020) 208"|"Respiratory System Diagnosis With Ventilator Support <=96 Hours"|0.00|$161616.00|$8451.51|$51006.01|$113131.00|$12318.81|$29913.88|$19248.14|$8451.51|$35320.32|$44944.40|$39090.00|$44488.96|$42301.54|$31320.58|$33977.42|$33710.90|$51006.01|$43474.70|$43474.70
"MS-DRG V37 (FY 2020) 215"|"Other Heart Assist System Implant"|0.00|$240111.00|$64589.86|$194219.30|$168078.00|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$147953.75|$75779.03|$64589.86|$64589.86
"MS-DRG V37 (FY 2020) 216"|"Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC"|0.00|$390637.00|$105081.35|$138303.13|$273446.00|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$138303.13|$123285.04|$105081.35|$105081.35
"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|$42557.40|$118165.99|$196489.00|$116870.53|$85530.27|$42557.40|$107452.17|$107452.17|$107452.17|$116870.53|$116870.53|$116870.53|$118165.99|$118165.99|$106810.63|$88588.29|$75507.76|$75507.76
"MS-DRG V37 (FY 2020) 220"|"Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc"|0.00|$272195.00|$71602.67|$138388.09|$190536.00|$90380.70|$90380.70|$90380.70|$138388.09|$138388.09|$138388.09|$90380.70|$90380.70|$90380.70|$79970.52|$79970.52|$71602.67|$85904.74|$73220.46|$73220.46
"MS-DRG V37 (FY 2020) 221"|"Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC"|0.00|$211554.00|$56908.03|$264838.14|$148088.00|$61986.16|$175811.82|$96853.39|$264838.14|$177725.94|$226152.64|$264838.14|$264838.14|$264838.14|$264838.14|$264838.14|$60363.50|$66766.44|$56908.03|$56908.03
"MS-DRG V37 (FY 2020) 222"|"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With McC"|0.00|$337250.00|$90720.25|$272942.70|$236075.00|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$111663.79|$106436.10|$90720.25|$90720.25
"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|$240867.00|$64793.22|$124831.93|$168607.00|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$97622.77|$76017.63|$64793.22|$64793.22
"MS-DRG V37 (FY 2020) 225"|"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without McC"|0.00|$255482.00|$25740.58|$98538.15|$178837.00|$25740.58|$63301.50|$40219.66|$72510.81|$73803.08|$93912.89|$98538.15|$91499.75|$91700.80|$66255.57|$71888.00|$74611.37|$80630.12|$68724.66|$68724.66
"MS-DRG V37 (FY 2020) 226"|"Cardiac Defibrillator Implant Without Cardiac Catheterization With McC"|0.00|$224368.00|$34573.03|$151797.20|$157058.00|$34573.03|$98046.95|$54020.36|$151797.20|$99127.35|$126137.54|$132349.87|$122896.39|$123166.38|$77853.95|$84472.36|$87672.47|$70810.54|$60354.99|$60354.99
"MS-DRG V37 (FY 2020) 227"|"Cardiac Defibrillator Implant Without Cardiac Catheterization Without McC"|0.00|$191870.00|$23883.71|$91429.82|$134309.00|$23883.71|$59083.88|$37318.29|$68987.12|$68479.09|$87138.24|$91429.82|$84899.15|$85085.72|$61841.12|$67098.27|$69640.19|$60554.17|$51613.03|$51613.03
"MS-DRG V37 (FY 2020) 228"|"Other Cardiothoracic Procedures With McC"|0.00|$277720.00|$74706.68|$94747.11|$194404.00|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$82414.88|$87648.43|$74706.68|$74706.68
"MS-DRG V37 (FY 2020) 229"|"Other Cardiothoracic Procedures Without McC"|0.00|$216354.00|$0.00|$0.00|$151448.00|||||||||||||||
"MS-DRG V37 (FY 2020) 231"|"Coronary Bypass With Ptca With McC"|0.00|$422275.00|$112580.05|$201620.75|$295592.00|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$112580.05|$133269.99|$113591.98|$113591.98
"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|$337882.00|$90890.26|$158232.17|$236517.00|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$103331.20|$106635.56|$90890.26|$90890.26
"MS-DRG V37 (FY 2020) 234"|"Coronary Bypass With Cardiac Catheterization Without McC"|0.00|$317636.00|$70508.72|$127554.35|$222345.00|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$70508.72|$100245.92|$85444.08|$85444.08
"MS-DRG V37 (FY 2020) 235"|"Coronary Bypass Without Cardiac Catheterization With McC"|0.00|$262182.00|$70526.96|$88692.69|$183527.00|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$79960.45|$82744.64|$70526.96|$70526.96
"MS-DRG V37 (FY 2020) 236"|"Coronary Bypass Without Cardiac Catheterization Without McC"|0.00|$252612.00|$33661.74|$147796.08|$176828.00|$33661.74|$95462.59|$52596.48|$147796.08|$96514.56|$122812.75|$128861.35|$119656.98|$119919.95|$48051.42|$52136.30|$54111.41|$79724.35|$67952.63|$67952.63
"MS-DRG V37 (FY 2020) 239"|"Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC"|0.00|$114276.00|$11567.94|$63763.36|$79993.00|$11567.94|$54097.88|$18074.89|$14255.43|$33167.46|$42204.88|$62513.10|$41120.44|$41210.77|$32664.00|$35442.00|$63763.36|$36065.51|$30740.24|$30740.24
"MS-DRG V37 (FY 2020) 240"|"Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc"|0.00|$172796.00|$10860.18|$54534.42|$120957.00|$10860.18|$31387.50|$16969.03|$34777.07|$31138.15|$39622.66|$34136.47|$38604.54|$38689.36|$32852.25|$35645.04|$36994.07|$54534.42|$46482.12|$46482.12
"MS-DRG V37 (FY 2020) 241"|"Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC"|0.00|$64451.00|$0.00|$0.00|$45116.00|||||||||||||||
"MS-DRG V37 (FY 2020) 242"|"Permanent Cardiac Pacemaker Implant With McC"|0.00|$101523.00|$26698.08|$117221.30|$71066.00|$26698.08|$75714.09|$41715.76|$117221.30|$76548.40|$97406.30|$102203.59|$94903.39|$95111.93|$56171.44|$60827.66|$49360.35|$32040.66|$27309.69|$27309.69
"MS-DRG V37 (FY 2020) 243"|"Permanent Cardiac Pacemaker Implant With Cc"|0.00|$86150.00|$12690.28|$46299.69|$60305.00|$12690.28|$28491.75|$19828.59|$28533.74|$36385.45|$46299.69|$32923.80|$45110.05|$45209.12|$29821.37|$32356.50|$33582.28|$27188.94|$23174.35|$23174.35
"MS-DRG V37 (FY 2020) 244"|"Permanent Cardiac Pacemaker Implant Without Cc/McC"|0.00|$84181.00|$13264.60|$48395.07|$58927.00|$13264.60|$23239.13|$20725.93|$27991.04|$38032.11|$48395.07|$26854.10|$47151.54|$47255.14|$24323.62|$26391.38|$27391.18|$26567.52|$22644.69|$22644.69
"MS-DRG V37 (FY 2020) 245"|"Aicd Generator Procedures"|0.00|$201591.00|$38122.73|$167382.58|$141114.00|$38122.73|$108113.67|$59566.76|$167382.58|$109305.06|$139088.38|$145938.56|$135514.39|$135812.24|$63749.85|$69169.26|$71789.64|$63622.12|$54227.98|$54227.98
"MS-DRG V37 (FY 2020) 246"|"Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With McC Or 4+ Arteries Or Stents"|0.00|$133374.00|$15796.15|$60469.64|$93362.00|$15796.15|$35164.13|$24681.49|$22005.30|$45290.56|$57631.31|$60469.64|$56150.47|$56273.78|$36805.12|$39933.94|$41446.78|$42092.83|$35877.61|$35877.61
"MS-DRG V37 (FY 2020) 247"|"Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without McC"|0.00|$107331.00|$10358.70|$49082.09|$75132.00|$13452.91|$22367.25|$21020.18|$10358.70|$38572.01|$49082.09|$25846.60|$47820.92|$47925.98|$23411.06|$25401.24|$26363.53|$33873.66|$28872.04|$28872.04
"MS-DRG V37 (FY 2020) 248"|"Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With McC Or 4+ Arteries Or Stents"|0.00|$107714.00|$0.00|$0.00|$75400.00|||||||||||||||
"MS-DRG V37 (FY 2020) 249"|"Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without McC"|0.00|$67341.00|$0.00|$0.00|$47139.00|||||||||||||||
"MS-DRG V37 (FY 2020) 250"|"Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With McC"|0.00|$77972.00|$8641.85|$39064.93|$54580.00|$10707.31|$28381.50|$16730.17|$8641.85|$30699.86|$39064.93|$32796.40|$38061.16|$38144.79|$29705.97|$32231.29|$33452.33|$24607.96|$20974.47|$20974.47
"MS-DRG V37 (FY 2020) 251"|"Percutaneous Cardiovascular Procedures Without Coronary Artery Stent Without McC"|0.00|$99218.00|$6798.07|$38618.95|$69453.00|$10585.07|$18672.75|$16539.17|$6798.07|$30349.36|$38618.95|$21577.40|$37626.64|$37709.31|$19544.15|$21205.60|$22008.95|$31313.20|$26689.64|$26689.64
"MS-DRG V37 (FY 2020) 252"|"Other Vascular Procedures With McC"|0.00|$128754.00|$11969.16|$60962.61|$90128.00|$15924.93|$37357.88|$24882.70|$11969.16|$45659.76|$58101.13|$60962.61|$56608.19|$56732.56|$39101.24|$42425.26|$44032.48|$40634.76|$34634.83|$34634.83
"MS-DRG V37 (FY 2020) 253"|"Other Vascular Procedures With Cc"|0.00|$125237.00|$16410.96|$62823.20|$87666.00|$16410.96|$29854.13|$25642.14|$19117.31|$47053.32|$59874.36|$62823.20|$58335.86|$58464.04|$31247.32|$33903.67|$35188.06|$39524.80|$33688.75|$33688.75
"MS-DRG V37 (FY 2020) 254"|"Other Vascular Procedures Without Cc/McC"|0.00|$40849.00|$10988.38|$57097.17|$28594.00|$15649.76|$20370.13|$24452.75|$27272.78|$44870.80|$57097.17|$27272.78|$27272.78|$27272.78|$27272.78|$27272.78|$23993.97|$12891.94|$10988.38|$10988.38
"MS-DRG V37 (FY 2020) 255"|"Upper Limb And Toe Amputation For Circulatory System Disorders With McC"|0.00|$74251.00|$13519.87|$49326.41|$51976.00|$13519.87|$28608.75|$21124.79|$31270.69|$38763.98|$49326.41|$33059.00|$48058.97|$48164.53|$29943.83|$32489.37|$33720.18|$23433.62|$19973.52|$19973.52
"MS-DRG V37 (FY 2020) 256"|"Upper Limb And Toe Amputation For Circulatory System Disorders With Cc"|0.00|$69243.00|$2630.00|$21853.09|$48470.00|$3843.33|$18484.88|$6005.20|$4820.52|$11019.53|$14022.13|$21360.30|$13661.88|$2630.00|$19347.50|$20992.25|$21787.51|$21853.09|$18626.37|$18626.37
"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|$19813.20|$42449.24|$51558.00|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$42449.24|$23245.52|$19813.20|$19813.20
"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|$165748.00|$0.00|$0.00|$116024.00|||||||||||||||
"MS-DRG V37 (FY 2020) 261"|"Cardiac Pacemaker Revision Except Device Replacement With Cc"|0.00|$100442.00|$10006.15|$36506.81|$70309.00|$10006.15|$22402.13|$15634.60|$25249.75|$28689.52|$36506.81|$25886.90|$35568.77|$35646.89|$23447.56|$25440.85|$26404.64|$31699.50|$27018.90|$27018.90
"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|$86485.00|$5587.34|$43500.28|$60540.00|$11922.99|$25934.63|$18629.67|$5587.34|$34185.46|$43500.28|$29968.90|$42382.52|$42475.66|$27144.91|$29452.51|$30568.28|$27294.67|$23264.47|$23264.47
"MS-DRG V37 (FY 2020) 264"|"Other Circulatory System O.R. Procedures"|0.00|$79138.00|$21288.12|$48803.14|$55397.00|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$43065.83|$24975.95|$21288.12|$21288.12
"MS-DRG V37 (FY 2020) 265"|"Aicd Lead Procedures"|0.00|$150948.00|$0.00|$0.00|$105664.00|||||||||||||||
"MS-DRG V37 (FY 2020) 266"|"Endovascular Cardiac Valve Replacement And Supplement Procedures With McC"|0.00|$275818.00|$34740.58|$132991.29|$193073.00|$34740.58|$98522.12|$54282.16|$106401.06|$99607.77|$126748.85|$132991.29|$123491.97|$123763.30|$83569.53|$90673.83|$94108.87|$87048.16|$74195.04|$74195.04
"MS-DRG V37 (FY 2020) 267"|"Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC"|0.00|$263942.00|$33482.43|$128174.91|$184759.00|$33482.43|$94954.07|$52316.30|$107324.56|$96000.39|$122158.54|$128174.91|$119019.64|$119281.13|$65950.60|$71557.10|$74267.93|$83300.10|$71000.40|$71000.40
"MS-DRG V37 (FY 2020) 268"|"Aortic And Heart Assist Procedures Except Pulsation Balloon With McC"|0.00|$324451.00|$19876.25|$102396.74|$227116.00|$19876.25|$78239.25|$31056.64|$47422.49|$56988.97|$72517.28|$76088.76|$70653.90|$70809.17|$81890.42|$88851.97|$92218.00|$102396.74|$87277.32|$87277.32
"MS-DRG V37 (FY 2020) 269"|"Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC"|0.00|$238299.00|$26003.27|$114170.63|$166809.00|$26003.27|$48539.25|$40630.10|$114170.63|$74556.25|$94871.29|$99543.75|$92433.49|$92636.60|$50804.42|$55123.33|$57211.60|$75207.16|$64102.43|$64102.43
"MS-DRG V37 (FY 2020) 270"|"Other Major Cardiovascular Procedures With McC"|0.00|$158130.00|$18362.92|$70295.54|$110691.00|$18362.92|$58293.00|$28692.07|$21588.24|$52649.96|$66995.98|$70295.54|$65274.47|$65417.90|$61013.34|$66200.12|$68708.02|$49905.83|$42536.97|$42536.97
"MS-DRG V37 (FY 2020) 271"|"Other Major Cardiovascular Procedures With Cc"|0.00|$78559.00|$21132.37|$62946.46|$54991.00|$62946.46|$40992.90|$40992.90|$62946.46|$62946.46|$62946.46|$62946.46|$62946.46|$62946.46|$62946.46|$62946.46|$47266.60|$24793.22|$21132.37|$21132.37
"MS-DRG V37 (FY 2020) 272"|"Other Major Cardiovascular Procedures Without Cc/McC"|0.00|$107462.00|$19381.83|$85098.37|$75223.00|$19381.83|$30249.00|$30284.13|$85098.37|$55571.39|$70713.43|$74196.08|$68896.41|$69047.79|$31660.62|$34352.11|$35653.49|$33915.01|$28907.28|$28907.28
"MS-DRG V37 (FY 2020) 273"|"Percutaneous And Other Intracardiac Procedures With McC"|0.00|$103168.00|$20065.49|$88100.05|$72218.00|$20065.49|$43168.50|$31352.33|$88100.05|$57531.58|$73207.71|$76813.21|$71326.58|$71483.30|$45183.03|$49024.07|$50881.27|$32559.82|$27752.19|$27752.19
"MS-DRG V37 (FY 2020) 274"|"Percutaneous And Other Intracardiac Procedures Without McC"|0.00|$145758.00|$17592.92|$77243.93|$102031.00|$17592.92|$36960.75|$27488.93|$77243.93|$50442.21|$64186.68|$67347.89|$62537.34|$62674.78|$38685.59|$41974.27|$43564.40|$46001.22|$39208.90|$39208.90
"MS-DRG V37 (FY 2020) 280"|"Acute Myocardial Infarction, Discharged Alive With McC"|0.00|$70577.00|$18701.30|$24510.09|$49404.00|$18701.30|$18701.30|$18701.30|$18701.30|$18701.30|$18701.30|$18701.30|$18701.30|$18701.30|$24510.09|$24510.09|$21563.41|$22274.10|$18985.21|$18985.21
"MS-DRG V37 (FY 2020) 281"|"Acute Myocardial Infarction, Discharged Alive With Cc"|0.00|$58247.00|$1315.00|$20449.96|$40773.00|$5605.13|$10486.13|$8758.00|$3356.44|$16070.96|$20449.96|$12117.30|$19924.51|$1315.00|$10975.48|$11908.51|$12359.65|$18382.75|$15668.44|$15668.44
"MS-DRG V37 (FY 2020) 282"|"Acute Myocardial Infarction, Discharged Alive Without Cc/McC"|0.00|$54838.00|$7143.29|$26061.83|$38387.00|$7143.29|$8214.88|$11161.39|$10803.76|$20481.16|$26061.83|$10803.76|$10803.76|$10803.76|$10934.74|$10934.74|$9620.13|$17306.87|$14751.42|$14751.42
"MS-DRG V37 (FY 2020) 283"|"Acute Myocardial Infarction, Expired With McC"|0.00|$67914.00|$18268.87|$24724.60|$47540.00|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$24724.60|$21433.66|$18268.87|$18268.87
"MS-DRG V37 (FY 2020) 284"|"Acute Myocardial Infarction, Expired With Cc"|0.00|$45835.00|$0.00|$0.00|$32084.00|||||||||||||||
"MS-DRG V37 (FY 2020) 286"|"Circulatory Disorders Except Ami, With Cardiac Catheterization With McC"|0.00|$95102.00|$14312.40|$52217.92|$66571.00|$14312.40|$24908.63|$22363.13|$22875.11|$41036.34|$52217.92|$28783.30|$50876.13|$50987.93|$26071.03|$28287.34|$29358.97|$30014.19|$25582.44|$25582.44
"MS-DRG V37 (FY 2020) 287"|"Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC"|0.00|$64957.00|$5975.75|$25320.08|$45470.00|$6939.97|$12937.50|$10843.70|$5975.75|$19898.23|$25320.08|$14950.00|$24669.47|$24723.67|$13541.25|$14692.40|$15249.00|$20500.43|$17473.43|$17473.43
"MS-DRG V37 (FY 2020) 288"|"Acute And Subacute Endocarditis With McC"|0.00|$99442.00|$8407.56|$35550.06|$69609.00|$8407.56|$30161.25|$13136.80|$8887.70|$24106.05|$30674.45|$10891.56|$29886.23|$29951.89|$17784.00|$19296.00|$35550.06|$31383.90|$26749.90|$26749.90
"MS-DRG V37 (FY 2020) 289"|"Acute And Subacute Endocarditis With Cc"|0.00|$51484.00|$3945.00|$22124.03|$36039.00|$6063.97|$18479.25|$9474.95|$7768.64|$17386.55|$22124.03|$21353.80|$21555.57|$3945.00|$19341.62|$20985.86|$21780.88|$16248.35|$13849.20|$13849.20
"MS-DRG V37 (FY 2020) 290"|"Acute And Subacute Endocarditis Without Cc/McC"|0.00|$31358.00|$3945.00|$22124.03|$21951.00|$6063.97|$18479.25|$9474.95|$7768.64|$17386.55|$22124.03|$21353.80|$21555.57|$3945.00|$19341.62|$20985.86|$13572.94|$9896.58|$8435.30|$8435.30
"MS-DRG V37 (FY 2020) 291"|"Heart Failure And Shock With McC"|0.00|$57617.00|$7014.53|$25592.06|$40332.00|$7014.53|$15085.13|$10960.17|$10799.77|$20111.99|$25592.06|$17431.70|$24934.48|$24989.25|$15789.10|$17131.34|$17780.33|$18183.93|$15498.97|$15498.97
"MS-DRG V37 (FY 2020) 292"|"Heart Failure And Shock With Cc"|0.00|$40107.00|$6796.10|$28173.11|$28075.00|$6796.10|$10069.88|$10618.91|$28173.11|$19485.67|$24795.13|$11636.30|$24158.03|$15780.00|$10539.80|$11435.80|$11869.03|$12657.77|$10788.78|$10788.78
"MS-DRG V37 (FY 2020) 293"|"Heart Failure And Shock Without Cc/McC"|0.00|$37894.00|$3702.21|$13507.28|$26526.00|$3702.21|$7341.75|$5784.69|$9699.93|$10614.93|$13507.28|$8483.80|$13160.22|$5260.00|$7684.37|$8337.62|$8653.48|$11959.35|$10193.49|$10193.49
"MS-DRG V37 (FY 2020) 294"|"Deep Vein Thrombophlebitis With Cc/McC"|0.00|$38418.00|$7156.38|$26109.64|$26893.00|$7156.38|$14423.63|$11181.86|$16507.37|$20518.71|$26109.64|$16667.30|$25438.77|$25494.63|$15096.73|$16380.11|$17000.65|$12124.72|$10334.44|$10334.44
"MS-DRG V37 (FY 2020) 296"|"Cardiac Arrest, Unexplained With McC"|0.00|$101097.00|$0.00|$0.00|$70768.00|||||||||||||||
"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|$57147.00|$8710.43|$31779.50|$40003.00|$8710.43|$17228.25|$13610.05|$23917.60|$24974.45|$31779.50|$19908.20|$30962.91|$31030.93|$18032.24|$19565.17|$20306.36|$18035.59|$15372.54|$15372.54
"MS-DRG V37 (FY 2020) 300"|"Peripheral Vascular Disorders With Cc"|0.00|$32513.00|$5201.82|$18978.54|$22759.00|$5201.82|$11724.75|$8127.84|$12133.95|$14914.61|$18978.54|$13548.60|$18490.88|$6575.00|$12271.91|$13315.15|$13819.57|$10261.10|$8746.00|$8746.00
"MS-DRG V37 (FY 2020) 301"|"Peripheral Vascular Disorders Without Cc/McC"|0.00|$40319.00|$3858.44|$14077.27|$28223.00|$3858.44|$8914.78|$6028.80|$8538.75|$11062.86|$14077.27|$8538.75|$8538.75|$8538.75|$8538.75|$8538.75|$9845.55|$12724.68|$10845.81|$10845.81
"MS-DRG V37 (FY 2020) 302"|"Atherosclerosis With McC"|0.00|$66996.00|$0.00|$0.00|$46897.00|||||||||||||||
"MS-DRG V37 (FY 2020) 303"|"Atherosclerosis Without McC"|0.00|$35807.00|$3246.56|$11844.88|$25065.00|$3246.56|$7609.50|$5072.76|$7086.05|$9308.50|$11844.88|$8793.20|$11540.53|$3945.00|$7964.61|$8641.69|$8969.06|$11300.69|$9632.08|$9632.08
"MS-DRG V37 (FY 2020) 304"|"Hypertension With McC"|0.00|$43566.00|$7421.60|$27077.24|$30496.00|$7421.60|$12325.50|$11596.25|$14388.24|$21279.10|$27077.24|$14242.80|$26381.51|$26439.44|$12900.69|$13997.39|$14527.66|$13749.43|$11719.25|$11719.25
"MS-DRG V37 (FY 2020) 305"|"Hypertension Without McC"|0.00|$40078.00|$3945.00|$17499.54|$28055.00|$4796.45|$8308.13|$7494.44|$10141.79|$13752.31|$17499.54|$9600.50|$17049.91|$3945.00|$8695.84|$9435.08|$9792.51|$12648.62|$10780.98|$10780.98
"MS-DRG V37 (FY 2020) 306"|"Cardiac Congenital And Valvular Disorders With McC"|0.00|$43139.00|$2630.00|$19939.06|$30197.00|$3441.54|$16916.63|$5377.40|$4706.42|$9867.54|$12556.22|$19548.10|$12233.63|$2630.00|$17706.07|$19211.27|$19939.06|$13614.67|$11604.39|$11604.39
"MS-DRG V37 (FY 2020) 307"|"Cardiac Congenital And Valvular Disorders Without McC"|0.00|$48636.00|$3363.85|$23950.58|$34045.00|$6564.61|$9769.50|$10257.18|$3363.85|$18821.97|$23950.58|$11289.20|$23335.17|$13088.52|$10225.41|$11094.68|$11514.98|$15349.52|$13083.08|$13083.08
"MS-DRG V37 (FY 2020) 308"|"Cardiac Arrhythmia And Conduction Disorders With McC"|0.00|$44515.00|$4732.16|$17264.99|$31160.00|$4732.16|$13492.13|$7394.00|$16974.39|$13567.98|$17264.99|$15590.90|$16821.38|$9205.00|$14121.76|$15322.26|$15902.72|$14048.93|$11974.54|$11974.54
"MS-DRG V37 (FY 2020) 309"|"Cardiac Arrhythmia And Conduction Disorders With Cc"|0.00|$36278.00|$3806.46|$13887.65|$25395.00|$3806.46|$8430.75|$5947.60|$8476.21|$10913.86|$13887.65|$9742.20|$13530.82|$4709.00|$8824.19|$9574.33|$9937.04|$11449.34|$9758.78|$9758.78
"MS-DRG V37 (FY 2020) 310"|"Cardiac Arrhythmia And Conduction Disorders Without Cc/McC"|0.00|$28658.00|$3142.49|$11657.70|$20061.00|$3142.49|$7595.00|$4556.45|$6461.66|$8361.09|$10639.32|$11657.70|$10875.25|$4176.55|$7960.16|$8631.12|$7404.38|$9044.46|$7709.00|$7709.00
"MS-DRG V37 (FY 2020) 311"|"Angina Pectoris"|0.00|$36749.00|$3945.00|$16154.13|$25724.00|$4427.68|$7841.25|$6918.25|$7248.05|$12695.01|$16154.13|$9061.00|$15739.04|$3945.00|$8207.18|$8904.87|$9242.22|$11597.98|$9885.48|$9885.48
"MS-DRG V37 (FY 2020) 312"|"Syncope And Collapse"|0.00|$39039.00|$1315.00|$21700.69|$27327.00|$5947.94|$9418.50|$9293.65|$4425.60|$17053.88|$21700.69|$10883.60|$21143.09|$1315.00|$9858.03|$10696.07|$11101.27|$12320.71|$10501.49|$10501.49
"MS-DRG V37 (FY 2020) 313"|"Chest Pain"|0.00|$37414.00|$2630.00|$13844.46|$26190.00|$3794.62|$8109.00|$5929.08|$5546.74|$10879.92|$13844.46|$9370.40|$13488.73|$2630.00|$8487.42|$9208.94|$9557.81|$11807.86|$10064.37|$10064.37
"MS-DRG V37 (FY 2020) 314"|"Other Circulatory System Diagnoses With McC"|0.00|$78373.00|$5394.40|$27625.88|$54861.00|$5394.40|$23438.25|$8428.75|$12561.19|$15466.78|$19681.14|$20834.00|$19175.43|$6575.00|$24532.04|$26617.52|$27625.88|$24734.52|$21082.34|$21082.34
"MS-DRG V37 (FY 2020) 315"|"Other Circulatory System Diagnoses With Cc"|0.00|$47616.00|$5260.00|$19996.41|$33331.00|$5480.80|$10971.00|$8563.75|$9774.65|$15714.53|$19996.41|$12677.60|$19482.53|$5260.00|$11482.98|$12459.16|$12931.15|$15027.61|$12808.70|$12808.70
"MS-DRG V37 (FY 2020) 316"|"Other Circulatory System Diagnoses Without Cc/McC"|0.00|$37085.00|$1773.00|$15926.71|$25960.00|$4365.34|$8431.88|$6820.85|$3628.39|$12516.29|$15926.71|$9743.50|$15517.48|$1773.00|$8825.36|$9575.61|$9938.37|$11704.03|$9975.87|$9975.87
"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|$139007.00|$37392.88|$79436.98|$97305.00|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$71308.30|$43870.61|$37392.88|$37392.88
"MS-DRG V37 (FY 2020) 327"|"Stomach, Esophageal And Duodenal Procedures With Cc"|0.00|$123111.00|$18353.76|$80584.47|$86178.00|$18353.76|$29358.00|$28677.74|$80584.47|$52623.65|$66962.56|$70260.48|$65241.89|$65385.27|$30728.04|$33340.25|$34603.30|$38853.83|$33116.86|$33116.86
"MS-DRG V37 (FY 2020) 328"|"Stomach, Esophageal And Duodenal Procedures Without Cc/McC"|0.00|$76179.00|$2720.35|$29399.47|$53325.00|$8058.10|$18736.88|$12590.79|$2720.35|$23104.06|$29399.47|$21651.50|$28644.04|$28706.98|$19611.26|$21278.43|$22084.53|$24042.09|$20492.15|$20492.15
"MS-DRG V37 (FY 2020) 329"|"Major Small And Large Bowel Procedures With McC"|0.00|$135800.00|$36530.20|$73961.32|$95060.00|$73103.72|$55778.45|$55778.45|$73740.99|$73740.99|$73740.99|$73103.72|$73103.72|$73103.72|$73961.32|$73961.32|$64314.98|$42858.48|$36530.20|$36530.20
"MS-DRG V37 (FY 2020) 330"|"Major Small And Large Bowel Procedures With Cc"|0.00|$77431.00|$7368.48|$33667.14|$54202.00|$8662.45|$28563.75|$13535.08|$7368.48|$24836.88|$31604.42|$33007.00|$30792.33|$30859.98|$29896.73|$32438.26|$33667.14|$24437.22|$20828.94|$20828.94
"MS-DRG V37 (FY 2020) 331"|"Major Small And Large Bowel Procedures Without Cc/McC"|0.00|$60349.00|$4802.89|$27490.42|$42244.00|$7534.85|$19238.63|$11773.20|$4802.89|$21603.82|$27490.42|$22231.30|$26784.04|$26842.90|$20136.43|$21848.24|$22675.93|$19046.14|$16233.88|$16233.88
"MS-DRG V37 (FY 2020) 332"|"Rectal Resection With McC"|0.00|$115233.00|$0.00|$0.00|$80663.00|||||||||||||||
"MS-DRG V37 (FY 2020) 333"|"Rectal Resection With Cc"|0.00|$77594.00|$0.00|$0.00|$54316.00|||||||||||||||
"MS-DRG V37 (FY 2020) 334"|"Rectal Resection Without Cc/McC"|0.00|$117789.00|$6112.11|$55006.77|$82452.00|$15076.81|$18103.50|$23557.50|$6112.11|$43228.02|$55006.77|$20919.60|$53593.36|$53711.09|$18948.33|$20559.14|$21337.99|$37174.21|$31685.24|$31685.24
"MS-DRG V37 (FY 2020) 335"|"Peritoneal Adhesiolysis With McC"|0.00|$124910.00|$33600.79|$114814.00|$87437.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$51586.70|$39421.60|$33600.79|$33600.79
"MS-DRG V37 (FY 2020) 336"|"Peritoneal Adhesiolysis With Cc"|0.00|$72155.00|$16882.75|$74125.81|$50508.00|$16882.75|$25682.63|$26379.30|$74125.81|$48405.99|$61595.69|$64629.27|$60012.92|$60144.78|$22780.00|$24715.00|$30271.25|$22772.12|$19409.70|$19409.70
"MS-DRG V37 (FY 2020) 337"|"Peritoneal Adhesiolysis Without Cc/McC"|0.00|$75888.00|$8929.24|$32577.75|$53122.00|$8929.24|$18366.75|$13951.93|$10442.94|$25601.80|$32577.75|$21223.80|$31740.67|$31810.44|$19223.87|$20858.10|$21648.28|$23950.25|$20413.87|$20413.87
"MS-DRG V37 (FY 2020) 338"|"Appendectomy With Complicated Principal Diagnosis With McC"|0.00|$50317.00|$0.00|$0.00|$35222.00|||||||||||||||
"MS-DRG V37 (FY 2020) 339"|"Appendectomy With Complicated Principal Diagnosis With Cc"|0.00|$57130.00|$9787.47|$35708.96|$39991.00|$9787.47|$19341.69|$15292.92|$18885.42|$28062.50|$35708.96|$25865.06|$25865.06|$25865.06|$25865.06|$25865.06|$22475.70|$18030.23|$15367.97|$15367.97
"MS-DRG V37 (FY 2020) 340"|"Appendectomy With Complicated Principal Diagnosis Without Cc/McC"|0.00|$54705.00|$8059.06|$29402.98|$38294.00|$8059.06|$13819.50|$12592.28|$9596.10|$23106.84|$29402.98|$15969.20|$28647.48|$28710.38|$14464.41|$15694.04|$16288.58|$17264.90|$14715.65|$14715.65
"MS-DRG V37 (FY 2020) 341"|"Appendectomy Without Complicated Principal Diagnosis With McC"|0.00|$98659.00|$10466.22|$38185.37|$69061.00|$10466.22|$26070.50|$16353.48|$14068.14|$30008.62|$38185.37|$14068.14|$14068.14|$14068.14|$14068.14|$14068.14|$30712.81|$31136.78|$26539.27|$26539.27
"MS-DRG V37 (FY 2020) 342"|"Appendectomy Without Complicated Principal Diagnosis With Cc"|0.00|$59220.00|$5151.77|$30015.63|$41454.00|$8226.98|$16122.38|$12854.64|$5151.77|$23588.26|$30015.63|$18630.30|$29244.38|$29308.61|$16874.75|$18309.29|$19002.91|$18689.83|$15930.18|$15930.18
"MS-DRG V37 (FY 2020) 343"|"Appendectomy Without Complicated Principal Diagnosis Without Cc/McC"|0.00|$45419.00|$1315.00|$22473.55|$31793.00|$6159.76|$12480.75|$9624.62|$4048.60|$17661.23|$22473.55|$14422.20|$21896.08|$1315.00|$13063.19|$14173.69|$14710.64|$14334.24|$12217.71|$12217.71
"MS-DRG V37 (FY 2020) 344"|"Minor Small And Large Bowel Procedures With McC"|0.00|$92927.00|$10207.76|$37242.38|$65049.00|$10207.76|$31510.13|$15949.63|$18667.49|$29267.55|$37242.38|$36411.70|$36285.44|$36365.10|$32980.60|$35784.30|$37139.93|$29327.76|$24997.36|$24997.36
"MS-DRG V37 (FY 2020) 345"|"Minor Small And Large Bowel Procedures With Cc"|0.00|$29044.00|$1315.00|$20920.30|$20331.00|$5077.36|$17749.13|$7933.39|$4608.97|$14557.76|$18524.42|$20510.10|$18048.46|$1315.00|$18577.42|$20156.70|$20920.30|$9166.29|$7812.84|$7812.84
"MS-DRG V37 (FY 2020) 346"|"Minor Small And Large Bowel Procedures Without Cc/McC"|0.00|$41376.00|$1315.00|$22565.20|$28963.00|$6184.90|$14343.75|$9663.92|$2749.59|$17733.27|$22565.20|$16575.00|$21985.40|$1315.00|$15013.13|$16289.40|$16906.50|$13058.27|$11130.14|$11130.14
"MS-DRG V37 (FY 2020) 347"|"Anal And Stomal Procedures With McC"|0.00|$125802.00|$11486.36|$41907.29|$88061.00|$11486.36|$27706.25|$17947.45|$37101.24|$32933.56|$41907.29|$37101.24|$37101.24|$37101.24|$37101.24|$37101.24|$32640.82|$39703.11|$33840.74|$33840.74
"MS-DRG V37 (FY 2020) 348"|"Anal And Stomal Procedures With Cc"|0.00|$35033.00|$7543.77|$27523.02|$24523.00|$7543.77|$15128.50|$11787.16|$21240.97|$21629.43|$27523.02|$21240.97|$21240.97|$21240.97|$21240.97|$21240.97|$17800.22|$11056.41|$9423.88|$9423.88
"MS-DRG V37 (FY 2020) 349"|"Anal And Stomal Procedures Without Cc/McC"|0.00|$25915.00|$2630.00|$16236.49|$18140.00|$4450.26|$11017.13|$6953.52|$5326.32|$12759.73|$16236.49|$12730.90|$15819.32|$2630.00|$11531.26|$12511.54|$12985.52|$8178.77|$6971.14|$6971.14
"MS-DRG V37 (FY 2020) 350"|"Inguinal And Femoral Hernia Procedures With McC"|0.00|$139917.00|$8264.75|$44157.81|$97942.00|$8264.75|$27589.50|$12913.68|$13622.69|$23696.61|$30153.42|$31881.20|$29378.64|$29443.20|$28877.01|$31331.86|$32518.82|$44157.81|$37637.67|$37637.67
"MS-DRG V37 (FY 2020) 351"|"Inguinal And Femoral Hernia Procedures With Cc"|0.00|$48507.00|$0.00|$0.00|$33955.00|||||||||||||||
"MS-DRG V37 (FY 2020) 352"|"Inguinal And Femoral Hernia Procedures Without Cc/McC"|0.00|$42045.00|$11310.11|$49696.70|$29432.00|$13621.36|$12546.76|$21283.37|$30918.05|$39055.02|$49696.70|$30918.05|$30918.05|$30918.05|$30918.05|$30918.05|$14625.78|$13269.40|$11310.11|$11310.11
"MS-DRG V37 (FY 2020) 353"|"Hernia Procedures Except Inguinal And Femoral With McC"|0.00|$58548.00|$0.00|$0.00|$40984.00|||||||||||||||
"MS-DRG V37 (FY 2020) 354"|"Hernia Procedures Except Inguinal And Femoral With Cc"|0.00|$49680.00|$10286.90|$37531.10|$34776.00|$10286.90|$20058.75|$16073.30|$10553.02|$29494.48|$37531.10|$23179.00|$36566.75|$36647.07|$20994.83|$22779.61|$23642.58|$15679.01|$13363.92|$13363.92
"MS-DRG V37 (FY 2020) 355"|"Hernia Procedures Except Inguinal And Femoral Without Cc/McC"|0.00|$48978.00|$6858.81|$25023.93|$34285.00|$6858.81|$15291.00|$10716.90|$9128.09|$19665.48|$25023.93|$17669.60|$24380.96|$24434.51|$16004.58|$17365.14|$18022.99|$15457.46|$13175.08|$13175.08
"MS-DRG V37 (FY 2020) 356"|"Other Digestive System O.R. Procedures With McC"|0.00|$136797.00|$36798.39|$61692.75|$95758.00|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$56903.96|$43173.13|$36798.39|$36798.39
"MS-DRG V37 (FY 2020) 357"|"Other Digestive System O.R. Procedures With Cc"|0.00|$59073.00|$15890.64|$31354.82|$41351.00|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$29884.06|$18643.44|$15890.64|$15890.64
"MS-DRG V37 (FY 2020) 358"|"Other Digestive System O.R. Procedures Without Cc/McC"|0.00|$30800.00|$1315.00|$17755.14|$21560.00|$4422.07|$15063.75|$6909.49|$2730.05|$12678.91|$16133.68|$17407.00|$15719.11|$1315.00|$15766.73|$17107.06|$17755.14|$9720.48|$8285.20|$8285.20
"MS-DRG V37 (FY 2020) 368"|"Major Esophageal Disorders With McC"|0.00|$57320.00|$1468.00|$25754.90|$40124.00|$4662.11|$21850.88|$7284.56|$4759.12|$13367.14|$17009.42|$4072.56|$16572.38|$1468.00|$9944.00|$10790.00|$25754.90|$18090.19|$15419.08|$15419.08
"MS-DRG V37 (FY 2020) 369"|"Major Esophageal Disorders With Cc"|0.00|$49290.00|$2630.00|$16836.28|$34503.00|$4614.65|$12114.00|$7210.38|$5231.70|$13231.06|$16836.28|$13998.40|$16403.69|$2630.00|$12679.32|$13757.20|$14278.37|$15555.92|$13259.01|$13259.01
"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|$65425.00|$8312.22|$30326.66|$45798.00|$8312.22|$19443.38|$12987.85|$19158.08|$23832.73|$30326.66|$22467.90|$29547.40|$29612.29|$20350.73|$22080.76|$22917.26|$20648.13|$17599.33|$17599.33
"MS-DRG V37 (FY 2020) 372"|"Major Gastrointestinal Disorders And Peritoneal Infections With Cc"|0.00|$44706.00|$1315.00|$18699.73|$31294.00|$5125.41|$11560.50|$8008.46|$4617.65|$14695.52|$18699.73|$13358.80|$18219.27|$1315.00|$12099.99|$13128.62|$13625.98|$14109.21|$12025.91|$12025.91
"MS-DRG V37 (FY 2020) 373"|"Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC"|0.00|$32235.00|$2630.00|$13850.87|$22564.00|$3796.38|$8364.38|$5931.85|$4746.18|$10884.94|$13850.87|$9665.50|$13494.98|$2630.00|$8754.71|$9498.96|$9858.81|$10173.37|$8671.22|$8671.22
"MS-DRG V37 (FY 2020) 374"|"Digestive Malignancy With McC"|0.00|$74721.00|$12182.56|$54138.73|$52305.00|$14838.87|$23263.88|$23185.76|$12182.56|$42545.85|$54138.73|$26882.70|$52747.61|$52863.49|$24349.52|$26419.49|$27420.35|$23581.95|$20099.95|$20099.95
"MS-DRG V37 (FY 2020) 375"|"Digestive Malignancy With Cc"|0.00|$54619.00|$1315.00|$18864.25|$38233.00|$5170.50|$13555.13|$8078.91|$2562.22|$14824.83|$18864.25|$3263.27|$18379.54|$1315.00|$7882.00|$8552.00|$15976.97|$17237.76|$14692.51|$14692.51
"MS-DRG V37 (FY 2020) 376"|"Digestive Malignancy Without Cc/McC"|0.00|$34532.00|$0.00|$0.00|$24172.00|||||||||||||||
"MS-DRG V37 (FY 2020) 377"|"Gastrointestinal Hemorrhage With McC"|0.00|$75275.00|$9741.70|$43050.90|$52692.00|$9741.70|$21732.01|$15221.42|$23015.36|$27931.26|$35541.96|$23015.36|$23015.36|$23015.36|$43050.90|$43050.90|$23853.41|$23756.79|$20248.98|$20248.98
"MS-DRG V37 (FY 2020) 378"|"Gastrointestinal Hemorrhage With Cc"|0.00|$40235.00|$2936.00|$15383.92|$28164.00|$4216.57|$11173.50|$6588.39|$5754.45|$12089.71|$15383.92|$12911.60|$14988.62|$2936.00|$11694.93|$12689.12|$13169.83|$12698.17|$10823.22|$10823.22
"MS-DRG V37 (FY 2020) 379"|"Gastrointestinal Hemorrhage Without Cc/McC"|0.00|$35198.00|$5228.30|$19075.15|$24639.00|$5228.30|$7198.91|$8169.22|$9578.00|$14990.53|$19075.15|$9578.00|$9578.00|$9578.00|$9578.00|$9578.00|$8447.95|$11108.49|$9468.26|$9468.26
"MS-DRG V37 (FY 2020) 380"|"Complicated Peptic Ulcer With McC"|0.00|$63758.00|$17150.90|$28449.91|$44631.00|$26237.23|$26237.23|$26237.23|$26237.23|$26237.23|$26237.23|$26237.23|$26237.23|$26237.23|$28449.91|$28449.91|$24969.91|$20122.02|$17150.90|$17150.90
"MS-DRG V37 (FY 2020) 381"|"Complicated Peptic Ulcer With Cc"|0.00|$60350.00|$7029.50|$25646.71|$42245.00|$7029.50|$11921.63|$10983.57|$15171.21|$20154.90|$25646.71|$13776.10|$24987.71|$25042.60|$12477.97|$13538.73|$14051.62|$19046.46|$16234.15|$16234.15
"MS-DRG V37 (FY 2020) 382"|"Complicated Peptic Ulcer Without Cc/McC"|0.00|$32818.00|$1468.00|$10357.36|$22973.00|$2261.66|$8643.38|$3533.83|$3955.46|$6484.60|$8251.54|$9987.90|$8039.54|$1468.00|$9046.73|$9815.80|$10187.66|$10357.36|$8828.04|$8828.04
"MS-DRG V37 (FY 2020) 383"|"Uncomplicated Peptic Ulcer With McC"|0.00|$36855.00|$0.00|$0.00|$25798.00|||||||||||||||
"MS-DRG V37 (FY 2020) 384"|"Uncomplicated Peptic Ulcer Without McC"|0.00|$43800.00|$5624.40|$20520.25|$30660.00|$5624.40|$10683.06|$8788.11|$6853.33|$16126.19|$20520.25|$6853.33|$6853.33|$6853.33|$6853.33|$6853.33|$11833.22|$13823.28|$11782.20|$11782.20
"MS-DRG V37 (FY 2020) 385"|"Inflammatory Bowel Disease With McC"|0.00|$53720.00|$7315.55|$26690.34|$37604.00|$7315.55|$18214.88|$11430.56|$21588.09|$20975.06|$26690.34|$21048.30|$26004.52|$26061.66|$19064.90|$20685.62|$21469.27|$16954.03|$14450.68|$14450.68
"MS-DRG V37 (FY 2020) 386"|"Inflammatory Bowel Disease With Cc"|0.00|$39358.00|$1315.00|$16150.60|$27551.00|$4426.71|$11176.88|$6916.73|$2706.87|$12692.20|$16150.60|$12915.50|$15735.58|$1315.00|$11698.46|$12692.96|$13173.81|$12421.38|$10587.30|$10587.30
"MS-DRG V37 (FY 2020) 387"|"Inflammatory Bowel Disease Without Cc/McC"|0.00|$31066.00|$3949.70|$14410.23|$21746.00|$3949.70|$8026.88|$6171.40|$11816.95|$11324.52|$14410.23|$9275.50|$14039.96|$6575.00|$8401.46|$9115.68|$9461.01|$9804.43|$8356.75|$8356.75
"MS-DRG V37 (FY 2020) 388"|"Gastrointestinal Obstruction With McC"|0.00|$64496.00|$3945.00|$20354.94|$45147.00|$3960.25|$17007.75|$6187.91|$7465.98|$11354.78|$14448.75|$19653.40|$14077.50|$3945.00|$17801.45|$19314.76|$20046.47|$20354.94|$17349.42|$17349.42
"MS-DRG V37 (FY 2020) 389"|"Gastrointestinal Obstruction With Cc"|0.00|$31855.00|$2630.00|$10897.07|$22298.00|$2893.22|$9245.25|$4520.65|$4792.28|$8295.40|$10555.72|$10683.40|$10284.50|$2630.00|$9676.70|$10499.32|$10897.07|$10053.44|$8569.00|$8569.00
"MS-DRG V37 (FY 2020) 390"|"Gastrointestinal Obstruction Without Cc/McC"|0.00|$23054.00|$2630.00|$11142.73|$16138.00|$3054.11|$6554.25|$4772.06|$4980.32|$8756.70|$11142.73|$7573.80|$10856.46|$2630.00|$6860.12|$7443.30|$7725.28|$7275.84|$6201.53|$6201.53
"MS-DRG V37 (FY 2020) 391"|"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC"|0.00|$49452.00|$4911.59|$17919.59|$34616.00|$4911.59|$13999.50|$7674.36|$12624.63|$14082.41|$17919.59|$16177.20|$17459.18|$6575.00|$14652.81|$15898.45|$16500.74|$15607.05|$13302.59|$13302.59
"MS-DRG V37 (FY 2020) 392"|"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC"|0.00|$34833.00|$1315.00|$11422.47|$24383.00|$3130.79|$8599.50|$4891.82|$2703.51|$8976.56|$11422.47|$9937.20|$11129.00|$1315.00|$9000.81|$9765.97|$10135.94|$10993.29|$9370.08|$9370.08
"MS-DRG V37 (FY 2020) 393"|"Other Digestive System Diagnoses With McC"|0.00|$47714.00|$7568.93|$27614.80|$33400.00|$7568.93|$18603.00|$11826.45|$23944.03|$21701.54|$27614.80|$21496.80|$26905.20|$26964.32|$19471.14|$21126.39|$21926.74|$15058.54|$12835.07|$12835.07
"MS-DRG V37 (FY 2020) 394"|"Other Digestive System Diagnoses With Cc"|0.00|$39764.00|$4949.89|$18059.36|$27835.00|$4949.89|$10559.25|$7734.21|$10019.81|$14192.25|$18059.36|$12201.80|$17595.34|$5260.00|$11052.02|$11991.55|$12445.84|$12549.52|$10696.52|$10696.52
"MS-DRG V37 (FY 2020) 395"|"Other Digestive System Diagnoses Without Cc/McC"|0.00|$24795.00|$3151.52|$11498.10|$17356.00|$3151.52|$7322.38|$4924.26|$8300.57|$9035.97|$11498.10|$8300.57|$8300.57|$8300.57|$8300.57|$8300.57|$8615.02|$7825.30|$6669.86|$6669.86
"MS-DRG V37 (FY 2020) 405"|"Pancreas, Liver And Shunt Procedures With McC"|0.00|$276339.00|$23720.07|$104145.94|$193437.00|$23720.07|$64468.13|$37062.61|$104145.94|$68009.90|$86541.23|$90803.39|$84317.45|$84502.76|$67476.64|$73212.87|$75986.43|$87212.59|$74335.19|$74335.19
"MS-DRG V37 (FY 2020) 406"|"Pancreas, Liver And Shunt Procedures With Cc"|0.00|$67872.00|$18257.57|$96124.49|$47510.00|$21893.11|$32366.25|$34207.98|$96124.49|$62771.68|$79875.66|$83809.57|$77823.18|$77994.22|$33876.68|$36756.55|$38149.02|$21420.40|$18257.57|$18257.57
"MS-DRG V37 (FY 2020) 407"|"Pancreas, Liver And Shunt Procedures Without Cc/McC"|0.00|$137528.00|$4840.57|$51607.84|$96270.00|$14145.19|$23805.00|$22101.87|$4840.57|$40556.90|$51607.84|$27508.00|$50281.75|$50392.19|$24915.90|$27034.02|$28058.16|$43403.84|$36995.03|$36995.03
"MS-DRG V37 (FY 2020) 408"|"Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC"|0.00|$107861.00|$0.00|$0.00|$75503.00|||||||||||||||
"MS-DRG V37 (FY 2020) 409"|"Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc"|0.00|$59297.00|$0.00|$0.00|$41508.00|||||||||||||||
"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|$102442.00|$0.00|$0.00|$71709.00|||||||||||||||
"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|$4954.39|$50967.32|$76397.00|$13969.63|$19478.25|$21827.56|$4954.39|$40053.61|$50967.32|$22508.20|$49657.74|$49766.78|$20387.24|$22120.37|$22958.36|$34443.95|$29358.12|$29358.12
"MS-DRG V37 (FY 2020) 414"|"Cholecystectomy Except By Laparoscope Without C.D.E. With McC"|0.00|$108526.00|$0.00|$0.00|$75968.00|||||||||||||||
"MS-DRG V37 (FY 2020) 415"|"Cholecystectomy Except By Laparoscope Without C.D.E. With Cc"|0.00|$91082.00|$6883.77|$28745.48|$63757.00|$6883.77|$22858.88|$10755.89|$7377.87|$19737.04|$25115.01|$26414.70|$24469.65|$24523.41|$23925.62|$25959.55|$26942.99|$28745.48|$24501.06|$24501.06
"MS-DRG V37 (FY 2020) 416"|"Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC"|0.00|$53645.00|$14430.51|$105608.47|$37552.00|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$18858.37|$16930.36|$14430.51|$14430.51
"MS-DRG V37 (FY 2020) 417"|"Laparoscopic Cholecystectomy Without C.D.E. With McC"|0.00|$72950.00|$9229.11|$48827.62|$51065.00|$13383.16|$27264.38|$20911.18|$9229.11|$38372.04|$48827.62|$31505.50|$47572.98|$47677.53|$28536.71|$30962.64|$32135.61|$23023.02|$19623.55|$19623.55
"MS-DRG V37 (FY 2020) 418"|"Laparoscopic Cholecystectomy Without C.D.E. With Cc"|0.00|$71328.00|$10041.82|$41293.32|$49930.00|$11318.09|$18991.13|$17684.52|$10041.82|$32451.09|$41293.32|$21945.30|$40232.28|$40320.63|$19877.38|$21567.17|$22384.21|$22511.12|$19187.23|$19187.23
"MS-DRG V37 (FY 2020) 419"|"Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC"|0.00|$65281.00|$2553.56|$26190.66|$45697.00|$7178.59|$14796.00|$11216.57|$2553.56|$20582.43|$26190.66|$17097.60|$25517.73|$25573.72|$15486.48|$16803.00|$17439.55|$20602.68|$17560.59|$17560.59
"MS-DRG V37 (FY 2020) 420"|"Hepatobiliary Diagnostic Procedures With McC"|0.00|$187231.00|$0.00|$0.00|$131062.00|||||||||||||||
"MS-DRG V37 (FY 2020) 421"|"Hepatobiliary Diagnostic Procedures With Cc"|0.00|$66786.00|$5363.90|$30135.85|$46750.00|$8259.93|$21475.13|$12906.14|$5363.90|$23682.76|$30135.85|$24815.70|$29361.51|$29425.99|$22477.30|$24388.11|$25312.01|$21077.66|$17965.43|$17965.43
"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|$132021.00|$35513.65|$74668.74|$92415.00|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$55413.54|$41665.83|$35513.65|$35513.65
"MS-DRG V37 (FY 2020) 424"|"Other Hepatobiliary Or Pancreas O.R. Procedures With Cc"|0.00|$77394.00|$0.00|$0.00|$54176.00|||||||||||||||
"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|$77832.00|$8102.44|$29561.24|$54482.00|$8102.44|$21173.63|$12660.04|$11684.98|$23231.20|$29561.24|$24467.30|$28801.69|$28864.95|$22161.73|$24045.71|$24956.65|$24563.78|$20936.81|$20936.81
"MS-DRG V37 (FY 2020) 433"|"Cirrhosis And Alcoholic Hepatitis With Cc"|0.00|$46943.00|$3945.00|$23233.12|$32860.00|$6367.97|$11570.63|$9949.94|$7895.55|$18258.14|$23233.12|$13370.50|$22636.18|$3945.00|$12110.59|$13140.12|$13637.91|$14815.21|$12627.67|$12627.67
"MS-DRG V37 (FY 2020) 434"|"Cirrhosis And Alcoholic Hepatitis Without Cc/McC"|0.00|$38892.00|$1315.00|$12700.45|$27224.00|$3481.06|$6970.50|$5439.16|$2565.86|$9980.87|$12700.45|$8054.80|$12374.12|$1315.00|$7295.79|$7916.01|$8215.90|$12274.32|$10461.95|$10461.95
"MS-DRG V37 (FY 2020) 435"|"Malignancy Of Hepatobiliary System Or Pancreas With McC"|0.00|$85708.00|$9498.53|$34654.84|$59996.00|$9498.53|$19732.25|$14841.46|$26418.20|$27234.09|$34654.84|$26418.20|$26418.20|$26418.20|$26418.20|$26418.20|$23242.13|$27049.44|$23055.45|$23055.45
"MS-DRG V37 (FY 2020) 436"|"Malignancy Of Hepatobiliary System Or Pancreas With Cc"|0.00|$44995.00|$2312.51|$14853.85|$31496.00|$2312.51|$12602.25|$3613.30|$12209.97|$6630.41|$8437.07|$14562.60|$8220.25|$6575.00|$5380.00|$5840.00|$14853.85|$14200.42|$12103.66|$12103.66
"MS-DRG V37 (FY 2020) 437"|"Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC"|0.00|$31656.00|$0.00|$0.00|$22159.00|||||||||||||||
"MS-DRG V37 (FY 2020) 438"|"Disorders Of Pancreas Except Malignancy With McC"|0.00|$62868.00|$7078.31|$25824.78|$44008.00|$7078.31|$17958.38|$11059.85|$10493.79|$20294.82|$25824.78|$20751.90|$25161.21|$25216.47|$18796.43|$20394.33|$21166.94|$19841.14|$16911.49|$16911.49
"MS-DRG V37 (FY 2020) 439"|"Disorders Of Pancreas Except Malignancy With Cc"|0.00|$43147.00|$4163.87|$15191.63|$30203.00|$4163.87|$9531.03|$6506.05|$9710.60|$11938.60|$15191.63|$9710.60|$9710.60|$9710.60|$12726.80|$12726.80|$11196.74|$13617.19|$11606.54|$11606.54
"MS-DRG V37 (FY 2020) 440"|"Disorders Of Pancreas Except Malignancy Without Cc/McC"|0.00|$32471.00|$3618.82|$13203.04|$22730.00|$3618.82|$6816.38|$5654.40|$9706.80|$10375.84|$13203.04|$7876.70|$12863.79|$5260.00|$7134.47|$7740.98|$8034.23|$10247.85|$8734.70|$8734.70
"MS-DRG V37 (FY 2020) 441"|"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC"|0.00|$85959.00|$2630.00|$27128.66|$60171.00|$5609.99|$21191.63|$8765.60|$8430.55|$16084.87|$20467.66|$24488.10|$19941.81|$2630.00|$22180.57|$24066.15|$24977.86|$27128.66|$23122.97|$23122.97
"MS-DRG V37 (FY 2020) 442"|"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc"|0.00|$31962.00|$3944.99|$24558.23|$22373.00|$6904.83|$11793.50|$10517.44|$7563.24|$19299.50|$24558.23|$15611.55|$24332.57|$3944.99|$12354.59|$13399.12|$12353.02|$10087.21|$8597.78|$8597.78
"MS-DRG V37 (FY 2020) 443"|"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/McC"|0.00|$20280.00|$2630.00|$12283.50|$14196.00|$3366.78|$7456.50|$5260.60|$4704.86|$9653.20|$12283.50|$8616.40|$11967.89|$2630.00|$7804.47|$8467.93|$8788.73|$6400.37|$5455.32|$5455.32
"MS-DRG V37 (FY 2020) 444"|"Disorders Of The Biliary Tract With McC"|0.00|$77783.00|$6417.29|$43454.06|$54448.00|$11910.32|$18774.00|$18609.86|$6417.29|$34149.14|$43454.06|$21694.40|$42337.48|$42430.53|$19650.12|$21320.59|$22128.29|$24548.31|$20923.63|$20923.63
"MS-DRG V37 (FY 2020) 445"|"Disorders Of The Biliary Tract With Cc"|0.00|$63071.00|$7630.22|$30255.00|$44150.00|$8292.59|$12114.00|$12957.17|$7630.22|$23776.41|$30255.00|$13998.40|$29477.60|$29542.37|$12679.32|$13757.20|$14278.37|$19905.21|$16966.10|$16966.10
"MS-DRG V37 (FY 2020) 446"|"Disorders Of The Biliary Tract Without Cc/McC"|0.00|$51988.00|$1315.00|$16407.41|$36392.00|$3157.98|$9182.25|$4934.35|$2651.06|$9054.52|$11521.70|$10610.60|$11225.69|$1315.00|$9610.76|$10427.77|$10822.81|$16407.41|$13984.77|$13984.77
"MS-DRG V37 (FY 2020) 453"|"Combined Anterior And Posterior Spinal Fusion With McC"|0.00|$285804.00|$76881.28|$142628.53|$200063.00|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$121907.14|$90199.74|$76881.28|$76881.28
"MS-DRG V37 (FY 2020) 454"|"Combined Anterior And Posterior Spinal Fusion With Cc"|0.00|$163301.00|$35380.82|$155343.90|$114311.00|$35380.82|$100337.79|$55282.53|$155343.90|$101443.43|$129084.73|$135442.20|$125767.80|$126044.17|$71805.13|$77909.33|$80860.81|$51537.80|$43927.97|$43927.97
"MS-DRG V37 (FY 2020) 455"|"Combined Anterior And Posterior Spinal Fusion Without Cc/McC"|0.00|$145953.00|$39261.36|$72209.95|$102167.00|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$63528.66|$46062.77|$39261.36|$39261.36
"MS-DRG V37 (FY 2020) 456"|"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC"|0.00|$136798.00|$36798.66|$191196.95|$95759.00|$43546.63|$123495.53|$68041.61|$191196.95|$124856.39|$158877.20|$166701.96|$154794.74|$155134.88|$95913.00|$104067.00|$114010.81|$43173.45|$36798.66|$36798.66
"MS-DRG V37 (FY 2020) 457"|"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc"|0.00|$239739.00|$64489.79|$97013.12|$167817.00|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$86216.52|$75661.63|$64489.79|$64489.79
"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|$24186.73|$106194.82|$132271.00|$24186.73|$56445.75|$37791.77|$106194.82|$69347.88|$88243.76|$92589.82|$85976.30|$86165.23|$59079.00|$64101.00|$66530.72|$59635.46|$50829.97|$50829.97
"MS-DRG V37 (FY 2020) 459"|"Spinal Fusion Except Cervical With McC"|0.00|$218238.00|$8808.00|$291967.69|$152767.00|$39338.80|$140451.84|$61466.87|$172721.93|$112791.73|$143525.18|$291967.69|$173643.96|$8808.00|$45792.27|$46442.63|$89263.67|$68875.91|$58706.02|$58706.02
"MS-DRG V37 (FY 2020) 460"|"Spinal Fusion Except Cervical Without McC"|0.00|$163164.00|$20693.41|$79216.95|$114215.00|$20693.41|$44242.88|$32333.45|$34910.56|$59331.89|$75498.59|$79216.95|$73558.62|$73720.27|$46307.54|$50244.18|$52147.60|$51494.56|$43891.12|$43891.12
"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|$162704.00|$33703.75|$51349.38|$113893.00|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$41692.09|$51349.38|$43767.38|$43767.38
"MS-DRG V37 (FY 2020) 463"|"Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With McC"|0.00|$92503.00|$24883.31|$78793.40|$64752.00|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$71145.20|$29193.95|$24883.31|$24883.31
"MS-DRG V37 (FY 2020) 464"|"Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc"|0.00|$89970.00|$24201.93|$88703.81|$62979.00|$24312.82|$33476.38|$37988.80|$34206.75|$69709.40|$88703.81|$34206.75|$34206.75|$34206.75|$34206.75|$34206.75|$39441.87|$28394.53|$24201.93|$24201.93
"MS-DRG V37 (FY 2020) 465"|"Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC"|0.00|$82128.00|$2509.27|$30869.63|$57490.00|$8461.05|$20740.50|$13220.40|$2509.27|$24259.43|$30869.63|$23966.80|$30076.45|$30142.50|$21708.39|$23553.83|$24446.14|$25919.60|$22092.43|$22092.43
"MS-DRG V37 (FY 2020) 466"|"Revision Of Hip Or Knee Replacement With McC"|0.00|$189981.00|$51104.89|$70874.70|$132987.00|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$70874.70|$59958.00|$51104.89|$51104.89
"MS-DRG V37 (FY 2020) 467"|"Revision Of Hip Or Knee Replacement With Cc"|0.00|$160278.00|$14931.09|$54475.16|$112195.00|$14931.09|$40232.25|$23329.82|$19329.45|$42810.23|$54475.16|$22678.34|$53075.40|$53192.04|$38283.00|$41535.00|$47420.41|$50583.74|$43114.78|$43114.78
"MS-DRG V37 (FY 2020) 468"|"Revision Of Hip Or Knee Replacement Without Cc/McC"|0.00|$154317.00|$15944.69|$61038.25|$108022.00|$15944.69|$31545.00|$24913.59|$27275.52|$45716.39|$58173.18|$61038.25|$56678.42|$56802.96|$33017.10|$35823.90|$37181.04|$48702.45|$41511.27|$41511.27
"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|$139923.00|$37639.29|$44159.70|$97946.00|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40899.14|$44159.70|$37639.29|$37639.29
"MS-DRG V37 (FY 2020) 470"|"Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC"|0.00|$94171.00|$12210.50|$44549.25|$65920.00|$12210.50|$21373.88|$19078.93|$21779.22|$35009.78|$44549.25|$24698.70|$43404.52|$43499.93|$22371.32|$24273.12|$25192.67|$29720.37|$25332.00|$25332.00
"MS-DRG V37 (FY 2020) 471"|"Cervical Spinal Fusion With McC"|0.00|$374402.00|$66522.77|$266274.49|$262081.00|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$66522.77|$118161.27|$100714.14|$100714.14
"MS-DRG V37 (FY 2020) 472"|"Cervical Spinal Fusion With Cc"|0.00|$166902.00|$35508.80|$52674.27|$116831.00|$35508.80|$35508.80|$35508.80|$35508.80|$35508.80|$35508.80|$35508.80|$35508.80|$35508.80|$46243.72|$46243.72|$40485.43|$52674.27|$44896.64|$44896.64
"MS-DRG V37 (FY 2020) 473"|"Cervical Spinal Fusion Without Cc/McC"|0.00|$110410.00|$13787.17|$50301.65|$77287.00|$13787.17|$28577.25|$21542.45|$18160.84|$39530.41|$50301.65|$33022.60|$49009.12|$49116.79|$29910.86|$32453.60|$33683.05|$34845.40|$29700.29|$29700.29
"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|$46780.00|$8536.42|$31144.58|$32746.00|$8536.42|$24678.00|$13338.13|$17284.06|$24475.51|$31144.58|$28115.15|$30344.32|$30410.97|$25829.64|$28025.43|$29087.14|$14763.77|$12583.82|$12583.82
"MS-DRG V37 (FY 2020) 476"|"Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC"|0.00|$81590.00|$0.00|$0.00|$57113.00|||||||||||||||
"MS-DRG V37 (FY 2020) 477"|"Biopsies Of Musculoskeletal System And Connective Tissue With McC"|0.00|$88661.00|$11199.88|$44512.49|$62063.00|$11199.88|$37765.13|$17499.80|$22296.06|$32112.13|$40862.05|$42784.02|$39812.12|$39899.58|$39527.50|$42887.75|$44512.49|$27981.41|$23849.81|$23849.81
"MS-DRG V37 (FY 2020) 478"|"Biopsies Of Musculoskeletal System And Connective Tissue With Cc"|0.00|$70165.00|$12476.38|$45519.28|$49116.00|$12476.38|$26515.13|$19494.35|$21344.05|$35772.11|$45519.28|$27854.27|$44349.65|$44447.09|$27752.50|$30111.75|$31252.49|$22144.07|$18874.39|$18874.39
"MS-DRG V37 (FY 2020) 479"|"Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC"|0.00|$33232.00|$5260.00|$24094.05|$23262.00|$6603.93|$20354.63|$10318.64|$9539.88|$18934.71|$24094.05|$23520.90|$23474.95|$5260.00|$21304.51|$23115.62|$23991.32|$10488.02|$8939.41|$8939.41
"MS-DRG V37 (FY 2020) 480"|"Hip And Femur Procedures Except Major Joint With McC"|0.00|$170297.00|$24849.12|$109103.19|$119208.00|$24849.12|$34025.63|$38826.75|$109103.19|$71247.10|$90660.48|$95125.53|$88330.90|$88524.97|$35613.49|$38641.01|$40104.87|$53745.73|$45809.89|$45809.89
"MS-DRG V37 (FY 2020) 481"|"Hip And Femur Procedures Except Major Joint With Cc"|0.00|$92048.00|$9153.88|$51217.26|$64434.00|$14038.12|$23574.38|$21934.57|$9153.88|$40249.98|$51217.26|$17025.94|$49901.23|$50010.84|$18075.26|$19612.05|$27786.33|$29050.35|$24760.91|$24760.91
"MS-DRG V37 (FY 2020) 482"|"Hip And Femur Procedures Except Major Joint Without Cc/McC"|0.00|$89803.00|$10443.95|$38104.13|$62862.00|$10443.95|$18526.50|$16318.67|$16168.42|$29944.80|$38104.13|$21408.40|$37125.03|$37206.59|$19391.07|$21039.52|$21836.57|$28341.83|$24157.01|$24157.01
"MS-DRG V37 (FY 2020) 483"|"Major Joint Or Limb Reattachment Procedures Of Upper Extremities"|0.00|$125226.00|$13893.82|$58464.35|$87658.00|$13893.82|$26908.94|$21709.11|$33248.32|$39836.15|$50690.72|$33248.32|$33248.32|$33248.32|$58464.35|$58464.35|$31642.34|$39521.33|$33685.79|$33685.79
"MS-DRG V37 (FY 2020) 485"|"Knee Procedures With Principal Diagnosis Of Infection With McC"|0.00|$120689.00|$15272.27|$58464.15|$84482.00|$15272.27|$38335.50|$23862.93|$21962.49|$43788.48|$55719.93|$58464.15|$54288.17|$54407.43|$40124.49|$43535.50|$45184.78|$38089.45|$32465.34|$32465.34
"MS-DRG V37 (FY 2020) 486"|"Knee Procedures With Principal Diagnosis Of Infection With Cc"|0.00|$74188.00|$12617.99|$48258.76|$51932.00|$13227.24|$24169.50|$20667.57|$12617.99|$37924.98|$48258.76|$26599.24|$47018.78|$47122.07|$25297.41|$27447.96|$28487.78|$23413.73|$19956.57|$19956.57
"MS-DRG V37 (FY 2020) 487"|"Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC"|0.00|$81722.00|$10460.44|$38164.26|$57205.00|$10460.44|$18453.38|$16344.46|$13792.14|$29992.04|$38164.26|$21323.90|$37183.61|$37265.31|$19314.53|$20956.47|$21750.38|$25791.46|$21983.22|$21983.22
"MS-DRG V37 (FY 2020) 488"|"Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC"|0.00|$80757.00|$13991.62|$51047.55|$56530.00|$13991.62|$22214.25|$21861.91|$21893.72|$40116.61|$51047.55|$20535.84|$49735.88|$49845.14|$22500.00|$24414.00|$26183.20|$25486.91|$21723.63|$21723.63
"MS-DRG V37 (FY 2020) 489"|"Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC"|0.00|$75756.00|$0.00|$0.00|$53029.00|||||||||||||||
"MS-DRG V37 (FY 2020) 492"|"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC"|0.00|$118583.00|$2630.00|$45988.33|$83008.00|$5427.60|$39017.25|$8480.62|$4974.20|$15561.99|$19802.29|$11710.81|$19293.45|$2630.00|$19761.00|$21441.00|$45988.33|$37424.79|$31898.83|$31898.83
"MS-DRG V37 (FY 2020) 493"|"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc"|0.00|$77407.00|$19620.07|$86144.39|$54185.00|$19620.07|$26158.50|$30570.77|$86144.39|$56254.45|$71582.66|$75108.10|$69743.28|$69896.51|$27379.23|$29706.76|$30832.15|$24429.65|$20822.48|$20822.48
"MS-DRG V37 (FY 2020) 494"|"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC"|0.00|$63427.00|$10135.87|$36980.09|$44399.00|$10135.87|$20833.88|$15837.32|$10620.43|$29061.43|$36980.09|$24074.70|$36029.89|$36109.04|$21806.12|$23659.87|$24556.19|$20017.56|$17061.86|$17061.86
"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|$86824.00|$12282.99|$44813.69|$60777.00|$12282.99|$22338.00|$19192.16|$16492.39|$35217.60|$44813.69|$17208.53|$43662.22|$43758.12|$23380.44|$25368.03|$26329.06|$27401.65|$23355.66|$23355.66
"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|$77798.00|$19568.49|$85917.90|$54459.00|$19568.49|$29073.38|$30575.78|$85917.90|$56106.54|$71394.41|$74910.63|$69559.89|$69712.75|$30430.13|$33017.02|$34267.82|$24553.05|$20927.66|$20927.66
"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|$85519.00|$13111.13|$47835.15|$59863.00|$13111.13|$35481.38|$20486.15|$37447.06|$37592.06|$47835.15|$41000.70|$46606.01|$46708.40|$37137.17|$40294.23|$41820.71|$26989.80|$23004.61|$23004.61
"MS-DRG V37 (FY 2020) 501"|"Soft Tissue Procedures With Cc"|0.00|$64585.00|$2517.56|$55124.40|$45210.00|$15109.04|$19631.25|$23607.86|$2517.56|$43320.46|$55124.40|$22685.00|$53707.95|$53825.92|$20547.38|$22294.12|$23138.70|$20383.03|$17373.37|$17373.37
"MS-DRG V37 (FY 2020) 502"|"Soft Tissue Procedures Without Cc/McC"|0.00|$39201.00|$2630.00|$24816.56|$27441.00|$6801.97|$14971.50|$10628.08|$4768.21|$19502.51|$24816.56|$17300.40|$24178.92|$2630.00|$15670.17|$17002.30|$17646.41|$12371.84|$10545.07|$10545.07
"MS-DRG V37 (FY 2020) 503"|"Foot Procedures With McC"|0.00|$72737.00|$19566.25|$34856.56|$50916.00|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$34856.56|$22955.80|$19566.25|$19566.25
"MS-DRG V37 (FY 2020) 504"|"Foot Procedures With Cc"|0.00|$94744.00|$8418.23|$30713.39|$66321.00|$8418.23|$19956.38|$13153.49|$14549.97|$24136.64|$30713.39|$23060.70|$29924.22|$29989.96|$20887.67|$22663.35|$23521.91|$29901.21|$25486.14|$25486.14
"MS-DRG V37 (FY 2020) 505"|"Foot Procedures Without Cc/McC"|0.00|$32085.00|$8630.87|$67201.83|$22460.00|$17554.76|$19956.38|$27429.32|$42966.99|$50332.83|$64047.49|$67201.83|$62401.71|$62538.85|$20887.67|$22663.35|$23521.91|$10126.03|$8630.87|$8630.87
"MS-DRG V37 (FY 2020) 506"|"Major Thumb Or Joint Procedures"|0.00|$107189.00|$5260.00|$33828.85|$75032.00|$5456.35|$16601.63|$8525.54|$10032.76|$15644.38|$19907.20|$19184.10|$19395.67|$5260.00|$17376.37|$18853.54|$19567.78|$33828.85|$28833.84|$28833.84
"MS-DRG V37 (FY 2020) 507"|"Major Shoulder Or Elbow Joint Procedures With Cc/McC"|0.00|$75021.00|$0.00|$0.00|$52515.00|||||||||||||||
"MS-DRG V37 (FY 2020) 508"|"Major Shoulder Or Elbow Joint Procedures Without Cc/McC"|0.00|$59031.00|$15879.34|$82689.22|$41322.00|$18833.13|$15907.50|$29426.75|$82689.22|$53998.14|$68711.51|$72095.59|$66945.93|$67093.04|$16649.85|$18065.26|$18749.64|$18630.18|$15879.34|$15879.34
"MS-DRG V37 (FY 2020) 509"|"Arthroscopy"|0.00|$137777.00|$18464.78|$81071.92|$96444.00|$18464.78|$18830.25|$28851.22|$81071.92|$52942.01|$67367.61|$70685.48|$65636.56|$65780.78|$19709.00|$21384.47|$22194.59|$43482.42|$37062.01|$37062.01
"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|$132077.00|$16386.11|$63758.38|$92454.00|$16386.11|$23458.63|$25331.96|$31428.22|$46484.15|$59150.11|$63758.38|$58035.57|$57391.46|$26864.09|$28834.56|$26102.31|$41683.50|$35528.71|$35528.71
"MS-DRG V37 (FY 2020) 512"|"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/McC"|0.00|$164299.00|$5073.63|$51852.76|$115009.00|$7957.72|$17507.25|$12433.93|$5073.63|$22816.29|$29033.26|$20230.60|$28287.23|$28349.38|$18324.26|$19882.01|$20635.21|$51852.76|$44196.43|$44196.43
"MS-DRG V37 (FY 2020) 513"|"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/McC"|0.00|$249563.00|$20672.34|$78762.08|$174694.00|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$20672.34|$78762.08|$67132.45|$67132.45
"MS-DRG V37 (FY 2020) 514"|"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/McC"|0.00|$57488.00|$0.00|$0.00|$40242.00|||||||||||||||
"MS-DRG V37 (FY 2020) 515"|"Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC"|0.00|$143309.00|$7777.95|$60765.22|$100316.00|$7777.95|$35322.78|$12153.03|$60765.22|$22300.82|$28377.35|$60765.22|$60765.22|$60765.22|$60765.22|$60765.22|$41596.62|$45228.32|$38550.12|$38550.12
"MS-DRG V37 (FY 2020) 516"|"Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc"|0.00|$73940.00|$15732.91|$60227.53|$51758.00|$15732.91|$22062.38|$24582.66|$21439.64|$45109.19|$57400.53|$60227.53|$55925.57|$56048.47|$23091.95|$25055.01|$26004.19|$23335.46|$19889.86|$19889.86
"MS-DRG V37 (FY 2020) 517"|"Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC"|0.00|$62580.00|$3409.59|$34602.71|$43806.00|$9484.26|$15712.88|$14819.14|$3409.59|$27193.14|$34602.71|$18157.10|$33713.59|$33787.68|$16446.14|$17844.24|$18520.24|$19750.25|$16834.02|$16834.02
"MS-DRG V37 (FY 2020) 518"|"Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator"|0.00|$179041.00|$16009.74|$58410.55|$125329.00|$16009.74|$40448.58|$25015.20|$21547.90|$45902.95|$58410.55|$21547.90|$21547.90|$21547.90|$21547.90|$21547.90|$47527.82|$56505.34|$48162.03|$48162.03
"MS-DRG V37 (FY 2020) 519"|"Back And Neck Procedures Except Spinal Fusion With Cc"|0.00|$91054.00|$5896.06|$39438.59|$63738.00|$10809.72|$22024.13|$16890.17|$5896.06|$30993.49|$39438.59|$25450.10|$38425.20|$38509.62|$23051.92|$25011.58|$25959.10|$28736.64|$24493.53|$24493.53
"MS-DRG V37 (FY 2020) 520"|"Back And Neck Procedures Except Spinal Fusion Without Cc/McC"|0.00|$49327.00|$4887.34|$37965.15|$34529.00|$10405.86|$15945.75|$16259.15|$4887.34|$29835.57|$37965.15|$18426.20|$36989.61|$37070.90|$16689.89|$18108.70|$18794.72|$15567.60|$13268.96|$13268.96
"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|$37103.00|$0.00|$0.00|$25972.00|||||||||||||||
"MS-DRG V37 (FY 2020) 535"|"Fractures Of Hip And Pelvis With McC"|0.00|$32235.00|$3364.06|$16360.19|$22564.00|$3364.06|$13880.25|$5256.35|$9434.98|$9645.42|$12273.60|$16039.40|$11958.21|$5260.00|$14528.00|$15763.03|$16360.19|$10173.37|$8671.22|$8671.22
"MS-DRG V37 (FY 2020) 536"|"Fractures Of Hip And Pelvis Without McC"|0.00|$38090.00|$4904.03|$17892.07|$26663.00|$4904.03|$8680.50|$7662.55|$9396.78|$14060.80|$17892.07|$10030.80|$17432.35|$5260.00|$9085.59|$9857.96|$10231.42|$12021.20|$10246.21|$10246.21
"MS-DRG V37 (FY 2020) 537"|"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC"|0.00|$37290.00|$0.00|$0.00|$26103.00|||||||||||||||
"MS-DRG V37 (FY 2020) 538"|"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/McC"|0.00|$19973.00|$5372.74|$27354.05|$13981.00|$7497.47|$8115.75|$11714.80|$5548.30|$21496.64|$27354.05|$6467.72|$26651.21|$26709.74|$8494.49|$9216.61|$9565.76|$6303.48|$5372.74|$5372.74
"MS-DRG V37 (FY 2020) 539"|"Osteomyelitis With McC"|0.00|$65256.00|$0.00|$0.00|$45679.00|||||||||||||||
"MS-DRG V37 (FY 2020) 540"|"Osteomyelitis With Cc"|0.00|$39050.00|$3013.41|$17175.68|$27335.00|$3013.41|$14572.13|$4708.46|$7651.04|$8640.00|$10994.23|$16838.90|$10711.75|$3945.00|$15252.16|$16548.75|$17175.68|$12324.18|$10504.45|$10504.45
"MS-DRG V37 (FY 2020) 541"|"Osteomyelitis Without Cc/McC"|0.00|$30404.00|$1315.00|$11146.36|$21283.00|$2256.80|$9456.75|$3526.24|$2490.34|$6470.67|$8233.80|$10927.80|$8022.25|$1315.00|$9898.07|$10739.51|$11146.36|$9595.50|$8178.68|$8178.68
"MS-DRG V37 (FY 2020) 542"|"Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC"|0.00|$75453.00|$20296.86|$24196.85|$52817.00|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$23938.28|$23812.97|$20296.86|$20296.86
"MS-DRG V37 (FY 2020) 543"|"Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc"|0.00|$63537.00|$7596.55|$27715.52|$44476.00|$7596.55|$11737.13|$11815.80|$12389.52|$21780.74|$27715.52|$13562.90|$27003.37|$27062.71|$12284.86|$13329.20|$13834.16|$20052.28|$17091.45|$17091.45
"MS-DRG V37 (FY 2020) 544"|"Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC"|0.00|$22168.00|$0.00|$0.00|$15518.00|||||||||||||||
"MS-DRG V37 (FY 2020) 545"|"Connective Tissue Disorders With McC"|0.00|$77390.00|$9893.13|$36094.44|$54173.00|$9893.13|$28119.38|$15457.99|$16883.01|$28365.46|$36094.44|$32493.50|$35167.03|$35244.26|$29431.61|$31933.61|$33143.37|$24424.28|$20817.91|$20817.91
"MS-DRG V37 (FY 2020) 546"|"Connective Tissue Disorders With Cc"|0.00|$56861.00|$1773.00|$17945.33|$39803.00|$3829.19|$13574.25|$5983.10|$3211.67|$10978.99|$13970.55|$15685.80|$13611.58|$1773.00|$14207.72|$15415.52|$15999.52|$17945.33|$15295.61|$15295.61
"MS-DRG V37 (FY 2020) 547"|"Connective Tissue Disorders Without Cc/McC"|0.00|$54023.00|$4972.26|$18140.98|$37816.00|$4972.26|$9371.25|$7769.15|$10598.03|$14256.40|$18140.98|$10829.00|$17674.86|$5260.00|$9808.58|$10642.41|$11045.58|$17049.66|$14532.19|$14532.19
"MS-DRG V37 (FY 2020) 548"|"Septic Arthritis With McC"|0.00|$76872.00|$0.00|$0.00|$53810.00|||||||||||||||
"MS-DRG V37 (FY 2020) 549"|"Septic Arthritis With Cc"|0.00|$71935.00|$2630.00|$22702.69|$50354.00|$4394.07|$14027.63|$6865.72|$5020.58|$12598.63|$16031.48|$9535.12|$15619.56|$2630.00|$11013.00|$11949.00|$16533.89|$22702.69|$19350.52|$19350.52
"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|$50698.00|$4869.81|$21522.31|$35489.00|$4869.81|$18259.88|$7609.09|$13643.34|$13962.68|$17767.23|$21100.30|$17310.70|$7340.00|$19112.00|$20736.73|$21522.31|$16000.29|$13637.76|$13637.76
"MS-DRG V37 (FY 2020) 552"|"Medical Back Problems Without McC"|0.00|$40525.00|$3945.00|$24167.16|$28368.00|$6623.97|$10597.50|$10349.95|$7955.26|$18992.19|$24167.16|$12246.00|$23546.20|$3945.00|$11092.05|$12034.99|$12490.92|$12789.69|$10901.23|$10901.23
"MS-DRG V37 (FY 2020) 553"|"Bone Diseases And Arthropathies With McC"|0.00|$51864.00|$13951.42|$830168.57|$36305.00|$206083.00|$583921.37|$321760.34|$830168.57|$590430.22|$751310.41|$790070.05|$732425.03|$734106.38|$16319.23|$17700.80|$16817.66|$16368.28|$13951.42|$13951.42
"MS-DRG V37 (FY 2020) 554"|"Bone Diseases And Arthropathies Without McC"|0.00|$31109.00|$8368.32|$40788.28|$21776.00|$11179.65|$21373.88|$17468.20|$11397.63|$32054.17|$40788.28|$9879.48|$39740.21|$39827.49|$22371.32|$24273.12|$10480.70|$9818.00|$8368.32|$8368.32
"MS-DRG V37 (FY 2020) 555"|"Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC"|0.00|$51725.00|$0.00|$0.00|$36208.00|||||||||||||||
"MS-DRG V37 (FY 2020) 556"|"Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC"|0.00|$49758.00|$5260.00|$20814.33|$34831.00|$5704.99|$9070.88|$8914.04|$10366.86|$16357.30|$20814.33|$10481.90|$20279.49|$5260.00|$9494.18|$10301.29|$10691.54|$15703.62|$13384.90|$13384.90
"MS-DRG V37 (FY 2020) 557"|"Tendonitis, Myositis And Bursitis With McC"|0.00|$33691.00|$7871.36|$42745.81|$23584.00|$7871.36|$15681.38|$12299.00|$42745.81|$22568.65|$28718.19|$18120.70|$27980.26|$28041.77|$24639.17|$26654.47|$18483.11|$10632.88|$9062.88|$9062.88
"MS-DRG V37 (FY 2020) 558"|"Tendonitis, Myositis And Bursitis Without McC"|0.00|$29109.00|$3303.36|$14658.65|$20376.00|$3303.36|$10968.88|$5161.49|$12081.48|$9471.36|$12052.11|$14658.65|$12147.77|$7415.73|$11491.48|$12462.64|$11381.06|$9186.80|$7830.32|$7830.32
"MS-DRG V37 (FY 2020) 559"|"Aftercare, Musculoskeletal System And Connective Tissue With McC"|0.00|$52982.00|$5145.66|$29965.38|$37087.00|$5145.66|$21013.88|$8040.10|$29965.38|$14753.59|$18773.63|$24282.70|$18291.24|$15780.00|$21994.52|$23864.29|$24768.35|$16721.12|$14252.16|$14252.16
"MS-DRG V37 (FY 2020) 560"|"Aftercare, Musculoskeletal System And Connective Tissue With Cc"|0.00|$49673.00|$3595.87|$18720.00|$34771.00|$3595.87|$12109.50|$5618.55|$18720.00|$10310.04|$13119.32|$13993.20|$12782.22|$10520.00|$12674.61|$13752.09|$14273.06|$15676.80|$13362.04|$13362.04
"MS-DRG V37 (FY 2020) 561"|"Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC"|0.00|$20710.00|$2592.00|$16525.95|$14497.00|$2592.00|$8899.88|$4050.00|$16525.95|$7431.75|$9456.76|$10284.30|$9213.77|$9205.00|$9315.20|$10107.09|$10489.99|$6536.08|$5570.99|$5570.99
"MS-DRG V37 (FY 2020) 562"|"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC"|0.00|$48072.00|$0.00|$0.00|$33650.00|||||||||||||||
"MS-DRG V37 (FY 2020) 563"|"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC"|0.00|$37037.00|$2630.00|$12579.79|$25926.00|$3448.00|$9796.50|$5387.50|$5146.20|$9886.06|$12579.79|$11320.40|$12256.58|$2630.00|$10253.67|$11125.34|$11546.81|$11688.88|$9962.95|$9962.95
"MS-DRG V37 (FY 2020) 564"|"Other Musculoskeletal System And Connective Tissue Diagnoses With McC"|0.00|$51407.00|$5260.00|$20220.98|$35985.00|$5542.37|$17030.25|$8659.95|$11091.81|$15891.01|$20220.98|$19679.40|$19701.44|$5260.00|$17825.00|$19340.31|$20072.99|$16224.05|$13828.48|$13828.48
"MS-DRG V37 (FY 2020) 565"|"Other Musculoskeletal System And Connective Tissue Diagnoses With Cc"|0.00|$49331.00|$13081.90|$15568.86|$34532.00|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13343.54|$15568.86|$13270.04|$13270.04
"MS-DRG V37 (FY 2020) 566"|"Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC"|0.00|$9787.00|$2632.70|$23658.61|$6851.00|$3518.98|$8454.38|$5498.40|$23658.61|$10089.57|$12838.77|$9769.50|$12508.87|$13150.00|$8848.91|$9601.16|$9964.89|$3088.78|$2632.70|$2632.70
"MS-DRG V37 (FY 2020) 570"|"Skin Debridement With McC"|0.00|$76886.00|$9853.72|$37609.34|$53820.00|$9853.72|$31908.38|$15396.44|$16650.14|$28252.45|$35950.68|$36871.90|$35026.96|$35103.87|$33397.43|$36236.57|$37609.34|$24265.22|$20682.33|$20682.33
"MS-DRG V37 (FY 2020) 571"|"Skin Debridement With Cc"|0.00|$59766.00|$2630.00|$21650.93|$41836.00|$5186.35|$18369.00|$8103.67|$5004.67|$14870.25|$18922.09|$21226.40|$18435.86|$2630.00|$19226.22|$20860.65|$21650.93|$18862.15|$16077.05|$16077.05
"MS-DRG V37 (FY 2020) 572"|"Skin Debridement Without Cc/McC"|0.00|$42997.00|$2630.00|$18551.48|$30098.00|$5084.77|$12404.25|$7944.95|$5013.33|$14579.00|$18551.48|$14333.80|$18074.80|$2630.00|$12983.12|$14086.82|$14620.48|$13569.85|$11566.19|$11566.19
"MS-DRG V37 (FY 2020) 573"|"Skin Graft For Skin Ulcer Or Cellulitis With McC"|0.00|$102223.00|$0.00|$0.00|$71556.00|||||||||||||||
"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|$41597.00|$1315.00|$21199.10|$29118.00|$4510.83|$18345.38|$7048.16|$2383.40|$12933.41|$16457.47|$21199.10|$16034.59|$1315.00|$19201.49|$20833.82|$21145.72|$13128.01|$11189.59|$11189.59
"MS-DRG V37 (FY 2020) 579"|"Other Skin, Subcutaneous Tissue And Breast Procedures With McC"|0.00|$78830.00|$8135.37|$38822.63|$55181.00|$8135.37|$32937.75|$12711.51|$11960.55|$23325.64|$29681.39|$21625.80|$28918.74|$28982.25|$29550.00|$32064.00|$38822.63|$24878.75|$21205.27|$21205.27
"MS-DRG V37 (FY 2020) 580"|"Other Skin, Subcutaneous Tissue And Breast Procedures With Cc"|0.00|$101685.00|$7390.52|$32091.79|$71180.00|$7390.52|$18003.38|$11547.68|$21257.10|$21190.00|$26963.83|$20803.90|$26271.01|$26328.71|$18843.53|$20445.43|$21257.11|$32091.79|$27353.27|$27353.27
"MS-DRG V37 (FY 2020) 581"|"Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC"|0.00|$135619.00|$14743.48|$115990.54|$94933.00|$26417.78|$74919.17|$41277.77|$115990.54|$75744.73|$96383.61|$101130.56|$93906.95|$94113.33|$14743.48|$15996.83|$16706.27|$42801.36|$36481.51|$36481.51
"MS-DRG V37 (FY 2020) 582"|"Mastectomy For Malignancy With Cc/McC"|0.00|$97069.00|$1315.00|$30634.98|$67948.00|$4976.12|$18402.75|$7775.19|$2439.97|$14267.47|$18155.07|$21265.40|$17688.58|$1315.00|$19261.55|$20898.98|$21767.62|$30634.98|$26111.56|$26111.56
"MS-DRG V37 (FY 2020) 583"|"Mastectomy For Malignancy Without Cc/McC"|0.00|$47214.00|$12700.57|$108607.65|$33050.00|$24736.26|$17301.38|$38650.42|$108607.65|$70923.53|$90248.74|$94693.51|$87929.74|$88122.96|$18108.77|$19648.21|$20441.62|$14900.74|$12700.57|$12700.57
"MS-DRG V37 (FY 2020) 584"|"Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC"|0.00|$236793.00|$19461.18|$85446.72|$165755.00|$19461.18|$20523.38|$30408.08|$85446.72|$55798.84|$71002.87|$74499.82|$69178.43|$69330.44|$21481.13|$23307.26|$24269.78|$74731.87|$63697.32|$63697.32
"MS-DRG V37 (FY 2020) 585"|"Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC"|0.00|$199399.00|$6063.52|$62930.32|$139579.00|$10954.23|$19536.75|$17115.98|$6063.52|$31407.82|$39965.83|$22575.80|$38938.86|$39024.46|$20448.47|$22186.80|$23102.90|$62930.32|$53638.33|$53638.33
"MS-DRG V37 (FY 2020) 592"|"Skin Ulcers With McC"|0.00|$83125.00|$0.00|$0.00|$58188.00|||||||||||||||
"MS-DRG V37 (FY 2020) 593"|"Skin Ulcers With Cc"|0.00|$61617.00|$0.00|$0.00|$43132.00|||||||||||||||
"MS-DRG V37 (FY 2020) 594"|"Skin Ulcers Without Cc/McC"|0.00|$30165.00|$0.00|$0.00|$21116.00|||||||||||||||
"MS-DRG V37 (FY 2020) 595"|"Major Skin Disorders With McC"|0.00|$156973.00|$0.00|$0.00|$109881.00|||||||||||||||
"MS-DRG V37 (FY 2020) 596"|"Major Skin Disorders Without McC"|0.00|$30562.00|$2982.62|$16512.22|$21393.00|$2982.62|$11128.50|$4660.35|$16512.22|$8551.73|$10881.91|$12859.60|$10602.31|$9205.00|$11647.83|$12638.02|$13116.79|$9645.37|$8221.18|$8221.18
"MS-DRG V37 (FY 2020) 597"|"Malignant Breast Disorders With McC"|0.00|$42882.00|$4808.90|$21702.64|$30017.00|$4808.90|$18412.88|$7513.91|$14581.56|$13788.02|$17544.96|$21277.10|$17094.16|$7890.00|$19272.14|$20910.48|$21702.64|$13533.56|$11535.26|$11535.26
"MS-DRG V37 (FY 2020) 598"|"Malignant Breast Disorders With Cc"|0.00|$32849.00|$3945.00|$18264.29|$22994.00|$5006.05|$12501.00|$7821.96|$7252.59|$14353.30|$18264.29|$12294.13|$17794.97|$3945.00|$13084.38|$14196.69|$14734.51|$10367.14|$8836.38|$8836.38
"MS-DRG V37 (FY 2020) 599"|"Malignant Breast Disorders Without Cc/McC"|0.00|$42915.00|$5260.00|$20041.49|$30040.00|$5493.16|$7551.00|$8583.09|$9609.95|$15749.94|$20041.49|$8725.60|$19526.51|$5260.00|$7903.38|$8575.25|$8900.11|$13543.97|$11544.14|$11544.14
"MS-DRG V37 (FY 2020) 600"|"Non-Malignant Breast Disorders With Cc/McC"|0.00|$37769.00|$0.00|$0.00|$26438.00|||||||||||||||
"MS-DRG V37 (FY 2020) 601"|"Non-Malignant Breast Disorders Without Cc/McC"|0.00|$22377.00|$1002.30|$9117.58|$15664.00|$1002.30|$7735.50|$1566.10|$2421.58|$2873.79|$3656.84|$7438.97|$3562.89|$1315.00|$7830.49|$7830.49|$9117.58|$7062.18|$6019.41|$6019.41
"MS-DRG V37 (FY 2020) 602"|"Cellulitis With McC"|0.00|$70383.00|$4463.36|$22212.87|$49268.00|$4463.36|$16193.28|$6973.99|$16520.90|$12797.27|$16284.28|$16520.90|$16520.90|$16520.90|$16520.90|$16520.90|$19049.32|$22212.87|$18933.03|$18933.03
"MS-DRG V37 (FY 2020) 603"|"Cellulitis Without McC"|0.00|$25158.00|$2554.34|$11202.05|$17611.00|$2554.34|$9504.00|$3991.15|$4973.58|$7323.77|$9319.34|$10982.40|$9079.87|$2630.00|$9947.52|$10793.16|$11202.05|$7939.86|$6767.50|$6767.50
"MS-DRG V37 (FY 2020) 604"|"Trauma To The Skin, Subcutaneous Tissue And Breast With McC"|0.00|$50042.00|$0.00|$0.00|$35029.00|||||||||||||||
"MS-DRG V37 (FY 2020) 605"|"Trauma To The Skin, Subcutaneous Tissue And Breast Without McC"|0.00|$28029.00|$1315.00|$12055.99|$19620.00|$2406.01|$10228.50|$3759.37|$2674.10|$6898.49|$8778.21|$11819.60|$8552.66|$1315.00|$10705.83|$11615.94|$12055.99|$8845.95|$7539.80|$7539.80
"MS-DRG V37 (FY 2020) 606"|"Minor Skin Disorders With McC"|0.00|$25152.00|$0.00|$0.00|$17606.00|||||||||||||||
"MS-DRG V37 (FY 2020) 607"|"Minor Skin Disorders Without McC"|0.00|$65872.00|$3224.64|$20789.20|$46110.00|$3224.64|$9288.00|$5038.50|$8528.93|$9245.66|$11764.91|$10732.80|$11462.61|$3945.00|$9721.44|$10547.87|$10947.46|$20789.20|$17719.57|$17719.57
"MS-DRG V37 (FY 2020) 614"|"Adrenal And Pituitary Procedures With Cc/McC"|0.00|$200818.00|$23203.65|$101878.55|$140573.00|$23203.65|$26851.50|$36255.70|$101878.55|$66529.21|$84657.09|$88826.47|$82481.76|$82662.98|$28104.57|$30493.76|$31648.97|$63378.16|$54020.04|$54020.04
"MS-DRG V37 (FY 2020) 615"|"Adrenal And Pituitary Procedures Without Cc/McC"|0.00|$115685.00|$5936.28|$60103.63|$80980.00|$15700.54|$17708.63|$24532.10|$5936.28|$45016.38|$57282.43|$60103.63|$55810.53|$55933.15|$18535.03|$20110.70|$20872.57|$36510.19|$31119.27|$31119.27
"MS-DRG V37 (FY 2020) 616"|"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC"|0.00|$107322.00|$19147.73|$84070.53|$75125.00|$19147.73|$44874.00|$29918.34|$84070.53|$54900.15|$69859.29|$73299.91|$68064.25|$68213.78|$46968.12|$50960.91|$52891.49|$33870.82|$28869.62|$28869.62
"MS-DRG V37 (FY 2020) 617"|"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc"|0.00|$46316.00|$7261.53|$27788.71|$32421.00|$7616.60|$22883.63|$11900.95|$7261.53|$21838.22|$27788.71|$11332.84|$27074.69|$27134.14|$16520.00|$17924.00|$26972.17|$14617.33|$12459.00|$12459.00
"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|$17851.65|$78379.91|$96721.00|$17851.65|$34437.38|$27893.19|$78379.91|$51184.03|$65130.64|$68338.36|$63457.05|$63596.50|$36044.45|$39108.61|$40590.19|$43607.40|$37168.54|$37168.54
"MS-DRG V37 (FY 2020) 620"|"O.R. Procedures For Obesity With Cc"|0.00|$114593.00|$9000.61|$62703.56|$80215.00|$16379.70|$19812.38|$25593.29|$9000.61|$46963.73|$59760.35|$62703.56|$58224.77|$58352.68|$20736.95|$22499.81|$23352.19|$36165.55|$30825.52|$30825.52
"MS-DRG V37 (FY 2020) 621"|"O.R. Procedures For Obesity Without Cc/McC"|0.00|$65052.00|$10464.08|$38177.55|$45536.00|$10464.08|$17986.00|$16350.14|$14654.95|$30002.49|$38177.55|$21084.22|$21084.22|$21084.22|$29285.00|$29285.00|$21168.26|$20530.41|$17498.99|$17498.99
"MS-DRG V37 (FY 2020) 622"|"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With McC"|0.00|$112185.00|$0.00|$0.00|$78530.00|||||||||||||||
"MS-DRG V37 (FY 2020) 623"|"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc"|0.00|$73653.00|$7367.50|$26879.85|$51557.00|$7367.50|$21070.13|$11511.71|$14867.90|$21124.01|$26879.85|$22134.27|$26189.19|$26246.69|$22053.40|$23928.17|$24834.65|$23244.89|$19812.66|$19812.66
"MS-DRG V37 (FY 2020) 624"|"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC"|0.00|$21898.00|$0.00|$0.00|$15329.00|||||||||||||||
"MS-DRG V37 (FY 2020) 625"|"Thyroid, Parathyroid And Thyroglossal Procedures With McC"|0.00|$86268.00|$0.00|$0.00|$60388.00|||||||||||||||
"MS-DRG V37 (FY 2020) 626"|"Thyroid, Parathyroid And Thyroglossal Procedures With Cc"|0.00|$181205.00|$18588.38|$90978.07|$126844.00|$20720.98|$18588.38|$32376.53|$90978.07|$59410.94|$75599.20|$79322.52|$73656.64|$73818.50|$19455.83|$21109.78|$21909.50|$57188.30|$48744.15|$48744.15
"MS-DRG V37 (FY 2020) 627"|"Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC"|0.00|$68055.00|$13295.25|$77587.04|$47638.00|$17671.07|$13295.25|$27611.06|$77587.04|$50666.28|$64471.78|$67647.07|$62815.16|$62953.18|$13915.70|$15098.68|$15670.67|$21478.16|$18306.80|$18306.80
"MS-DRG V37 (FY 2020) 628"|"Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC"|0.00|$487586.00|$41504.63|$153882.14|$341310.00|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$49036.81|$153882.14|$131160.63|$131160.63
"MS-DRG V37 (FY 2020) 629"|"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc"|0.00|$57331.00|$9959.12|$36335.24|$40132.00|$9959.12|$26401.50|$15561.13|$17100.79|$28554.68|$36335.24|$29660.94|$35401.63|$35479.37|$27633.57|$29982.72|$31118.57|$18093.66|$15422.04|$15422.04
"MS-DRG V37 (FY 2020) 630"|"Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC"|0.00|$62687.00|$16862.80|$163125.73|$43881.00|$20880.09|$163125.73|$32625.16|$18078.52|$59867.15|$76179.71|$163125.73|$74222.26|$56747.04|$163125.73|$163125.73|$18655.49|$19784.02|$16862.80|$16862.80
"MS-DRG V37 (FY 2020) 637"|"Diabetes With McC"|0.00|$55156.00|$3546.00|$23361.58|$38609.00|$6403.17|$15465.38|$10004.94|$6396.78|$18359.09|$23361.58|$17871.10|$22761.33|$3546.00|$16187.09|$17563.17|$18228.52|$17407.23|$14836.96|$14836.96
"MS-DRG V37 (FY 2020) 638"|"Diabetes With Cc"|0.00|$39299.00|$1315.00|$13908.63|$27509.00|$3812.21|$9893.25|$5956.57|$3126.84|$10930.32|$13908.63|$9526.83|$13551.25|$1315.00|$7142.00|$7748.00|$11660.84|$12402.76|$10571.43|$10571.43
"MS-DRG V37 (FY 2020) 639"|"Diabetes Without Cc/McC"|0.00|$28795.00|$1315.00|$16350.48|$20156.00|$4481.51|$6854.63|$7002.36|$2390.51|$12849.30|$16350.48|$7920.90|$15930.39|$1315.00|$7174.51|$7784.42|$8079.32|$9087.70|$7745.86|$7745.86
"MS-DRG V37 (FY 2020) 640"|"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC"|0.00|$51309.00|$5414.38|$28654.08|$35916.00|$7853.79|$13812.75|$12271.56|$5414.38|$22518.30|$28654.08|$15961.40|$27917.81|$27979.14|$14457.35|$15686.37|$16280.63|$16193.12|$13802.12|$13802.12
"MS-DRG V37 (FY 2020) 641"|"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC"|0.00|$33880.00|$3241.00|$12962.28|$23716.00|$3552.83|$8471.25|$5551.31|$5957.97|$10186.64|$12962.28|$9789.00|$12629.23|$3241.00|$8866.58|$9620.33|$9984.78|$10692.53|$9113.72|$9113.72
"MS-DRG V37 (FY 2020) 642"|"Inborn And Other Disorders Of Metabolism"|0.00|$54312.00|$4232.83|$17140.87|$38018.00|$4232.83|$14497.63|$6613.80|$9620.33|$12136.34|$15443.22|$9620.33|$9620.33|$9620.33|$9620.33|$9620.33|$17072.25|$17140.87|$14609.93|$14609.93
"MS-DRG V37 (FY 2020) 643"|"Endocrine Disorders With McC"|0.00|$60288.00|$5962.57|$22055.36|$42202.00|$5962.57|$18712.13|$9316.54|$12849.18|$17095.83|$21754.11|$21622.90|$21195.13|$7033.00|$19585.36|$21250.32|$22055.36|$19026.89|$16217.47|$16217.47
"MS-DRG V37 (FY 2020) 644"|"Endocrine Disorders With Cc"|0.00|$42581.00|$4832.00|$17629.24|$29807.00|$4832.00|$11455.88|$7550.00|$9487.43|$13854.25|$17629.24|$13237.90|$17176.28|$5260.00|$11990.48|$13009.80|$13502.66|$13438.56|$11454.29|$11454.29
"MS-DRG V37 (FY 2020) 645"|"Endocrine Disorders Without Cc/McC"|0.00|$28209.00|$2630.00|$22135.74|$19746.00|$6067.19|$8637.75|$9479.99|$9128.32|$17395.78|$22135.74|$9981.40|$21566.98|$2630.00|$9040.85|$9809.41|$10181.03|$8902.76|$7588.22|$7588.22
"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|$63877.82|$94720.27|$166225.00|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$72256.39|$74943.64|$63877.82|$63877.82
"MS-DRG V37 (FY 2020) 654"|"Major Bladder Procedures With Cc"|0.00|$92195.00|$22637.66|$99393.53|$64536.00|$22637.66|$32627.25|$35371.34|$99393.53|$64906.43|$82592.10|$86659.81|$80469.85|$80646.68|$34149.86|$37052.96|$38456.65|$29096.74|$24800.46|$24800.46
"MS-DRG V37 (FY 2020) 655"|"Major Bladder Procedures Without Cc/McC"|0.00|$140781.00|$2530.50|$55393.81|$98547.00|$15182.89|$23401.13|$23723.26|$2530.50|$43532.18|$55393.81|$27041.30|$53970.46|$54089.07|$24493.18|$26575.36|$27582.13|$44430.48|$37870.09|$37870.09
"MS-DRG V37 (FY 2020) 656"|"Kidney And Ureter Procedures For Neoplasm With McC"|0.00|$93575.00|$25171.68|$43515.34|$65502.00|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$43515.34|$29532.27|$25171.68|$25171.68
"MS-DRG V37 (FY 2020) 657"|"Kidney And Ureter Procedures For Neoplasm With Cc"|0.00|$94179.00|$5169.89|$55083.43|$65925.00|$15097.81|$21758.63|$23590.35|$5169.89|$43288.25|$55083.43|$25143.30|$53668.02|$53785.96|$22774.03|$24710.06|$25646.17|$29722.89|$25334.15|$25334.15
"MS-DRG V37 (FY 2020) 658"|"Kidney And Ureter Procedures For Neoplasm Without Cc/McC"|0.00|$60682.00|$6275.20|$50695.44|$42477.00|$13895.10|$17764.88|$21711.11|$6275.20|$39839.85|$50695.44|$20528.30|$49392.78|$49501.29|$18593.90|$20174.58|$20938.87|$19151.24|$16323.46|$16323.46
"MS-DRG V37 (FY 2020) 659"|"Kidney And Ureter Procedures For Non-Neoplasm With McC"|0.00|$90050.00|$7735.50|$35335.25|$63035.00|$8896.41|$29979.00|$13900.63|$7735.50|$25507.67|$32458.01|$34642.40|$31624.01|$31693.48|$31378.02|$34045.48|$35335.25|$28419.78|$24223.45|$24223.45
"MS-DRG V37 (FY 2020) 660"|"Kidney And Ureter Procedures For Non-Neoplasm With Cc"|0.00|$48847.00|$4360.57|$26619.18|$34193.00|$7296.05|$16238.25|$11400.10|$4360.57|$20919.13|$26619.18|$18764.20|$25935.20|$25992.15|$16996.04|$18440.88|$19139.48|$15416.11|$13139.84|$13139.84
"MS-DRG V37 (FY 2020) 661"|"Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC"|0.00|$39225.00|$1315.00|$17006.78|$27458.00|$4661.38|$11974.50|$7283.42|$3025.95|$13365.07|$17006.78|$13837.20|$16569.77|$1315.00|$12533.31|$13598.77|$14113.94|$12379.41|$10551.53|$10551.53
"MS-DRG V37 (FY 2020) 662"|"Minor Bladder Procedures With McC"|0.00|$75063.00|$0.00|$0.00|$52544.00|||||||||||||||
"MS-DRG V37 (FY 2020) 663"|"Minor Bladder Procedures With Cc"|0.00|$79614.00|$10894.35|$39747.36|$55730.00|$10894.35|$17942.63|$17022.41|$22186.91|$31236.15|$39747.36|$20733.70|$38726.06|$38811.13|$18779.95|$20376.44|$21148.37|$25126.18|$21416.17|$21416.17
"MS-DRG V37 (FY 2020) 664"|"Minor Bladder Procedures Without Cc/McC"|0.00|$76177.00|$0.00|$0.00|$53324.00|||||||||||||||
"MS-DRG V37 (FY 2020) 665"|"Prostatectomy With McC"|0.00|$117618.00|$31639.24|$44741.23|$82333.00|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$40266.64|$37120.24|$31639.24|$31639.24
"MS-DRG V37 (FY 2020) 666"|"Prostatectomy With Cc"|0.00|$74554.00|$0.00|$0.00|$52188.00|||||||||||||||
"MS-DRG V37 (FY 2020) 667"|"Prostatectomy Without Cc/McC"|0.00|$57086.00|$2630.00|$22565.24|$39960.00|$6184.91|$11192.63|$9663.90|$4806.52|$17733.26|$22565.24|$12933.70|$21985.47|$2630.00|$11714.95|$12710.84|$13192.37|$18016.34|$15356.13|$15356.13
"MS-DRG V37 (FY 2020) 668"|"Transurethral Procedures With McC"|0.00|$131614.00|$0.00|$0.00|$92130.00|||||||||||||||
"MS-DRG V37 (FY 2020) 669"|"Transurethral Procedures With Cc"|0.00|$79590.00|$6978.52|$25460.70|$55713.00|$6978.52|$17233.88|$10903.92|$7769.66|$20008.74|$25460.70|$19914.70|$24806.49|$24860.95|$18038.12|$19571.55|$20312.99|$25118.60|$21409.71|$21409.71
"MS-DRG V37 (FY 2020) 670"|"Transurethral Procedures Without Cc/McC"|0.00|$44677.00|$0.00|$0.00|$31274.00|||||||||||||||
"MS-DRG V37 (FY 2020) 671"|"Urethral Procedures With Cc/McC"|0.00|$109659.00|$12724.40|$46424.18|$76761.00|$12724.40|$19987.88|$19881.90|$12930.17|$36483.24|$46424.18|$17431.77|$45231.32|$45330.69|$20920.64|$22699.12|$23559.04|$34608.38|$29498.27|$29498.27
"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|$101473.00|$27296.24|$45920.71|$71031.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$45920.71|$32024.88|$27296.24|$27296.24
"MS-DRG V37 (FY 2020) 674"|"Other Kidney And Urinary Tract Procedures With Cc"|0.00|$94865.00|$5853.27|$41453.97|$66406.00|$11362.12|$26779.50|$17753.32|$5853.27|$32577.32|$41453.97|$30945.20|$40388.83|$40477.57|$28029.21|$30411.99|$31564.10|$29939.39|$25518.69|$25518.69
"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|$43408.00|$4356.58|$19494.85|$30386.00|$4356.58|$16539.75|$6807.14|$9640.37|$12491.08|$15894.72|$19112.60|$15486.30|$5260.00|$17311.61|$18783.28|$19494.85|$13699.56|$11676.75|$11676.75
"MS-DRG V37 (FY 2020) 683"|"Renal Failure With Cc"|0.00|$37016.00|$3551.20|$12956.35|$25911.00|$3551.20|$9878.63|$5501.15|$7128.01|$10181.97|$12956.35|$11415.30|$12623.43|$3945.00|$10339.63|$11218.61|$11643.61|$11682.25|$9957.30|$9957.30
"MS-DRG V37 (FY 2020) 684"|"Renal Failure Without Cc/McC"|0.00|$42564.00|$1315.00|$13433.20|$29795.00|$3171.78|$6834.38|$4955.91|$2658.83|$9094.08|$11572.04|$7897.50|$11274.69|$1315.00|$7153.31|$7761.42|$8055.45|$13433.20|$11449.72|$11449.72
"MS-DRG V37 (FY 2020) 686"|"Kidney And Urinary Tract Neoplasms With McC"|0.00|$53070.00|$14275.83|$24838.63|$37149.00|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24838.63|$16748.89|$14275.83|$14275.83
"MS-DRG V37 (FY 2020) 687"|"Kidney And Urinary Tract Neoplasms With Cc"|0.00|$161888.00|$914.62|$51091.85|$113322.00|$914.62|$7145.50|$1429.10|$4812.87|$2622.40|$3336.95|$6788.23|$3251.21|$2630.00|$7145.50|$7145.50|$13893.83|$51091.85|$43547.87|$43547.87
"MS-DRG V37 (FY 2020) 688"|"Kidney And Urinary Tract Neoplasms Without Cc/McC"|0.00|$29110.00|$2630.00|$13594.14|$20377.00|$3726.02|$7709.63|$5821.90|$5622.63|$10683.18|$13594.14|$8908.90|$13244.85|$2630.00|$8069.41|$8755.39|$9087.08|$9187.12|$7830.59|$7830.59
"MS-DRG V37 (FY 2020) 689"|"Kidney And Urinary Tract Infections With McC"|0.00|$38807.00|$10439.08|$15496.47|$27165.00|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$14735.84|$12247.49|$10439.08|$10439.08
"MS-DRG V37 (FY 2020) 690"|"Kidney And Urinary Tract Infections Without McC"|0.00|$30014.00|$2009.18|$10504.57|$21010.00|$2009.18|$8912.25|$3139.35|$4797.98|$5760.70|$7330.38|$10298.60|$7142.04|$2630.00|$9328.16|$10121.15|$10504.57|$9472.42|$8073.77|$8073.77
"MS-DRG V37 (FY 2020) 693"|"Urinary Stones With McC"|0.00|$30951.00|$0.00|$0.00|$21666.00|||||||||||||||
"MS-DRG V37 (FY 2020) 694"|"Urinary Stones Without McC"|0.00|$15023.00|$3604.67|$13151.44|$10516.00|$3604.67|$8217.88|$5632.29|$7013.30|$10335.27|$13151.44|$7013.30|$7013.30|$7013.30|$7013.30|$7013.30|$9670.52|$4741.26|$4041.19|$4041.19
"MS-DRG V37 (FY 2020) 695"|"Kidney And Urinary Tract Signs And Symptoms With McC"|0.00|$24936.00|$0.00|$0.00|$17455.00|||||||||||||||
"MS-DRG V37 (FY 2020) 696"|"Kidney And Urinary Tract Signs And Symptoms Without McC"|0.00|$24516.00|$1315.00|$13002.47|$17161.00|$3563.84|$7759.13|$5568.52|$2543.06|$10218.23|$13002.47|$8966.10|$12668.39|$1315.00|$8121.22|$8811.61|$9145.42|$7737.25|$6594.80|$6594.80
"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|$58251.00|$3228.00|$22462.05|$40776.00|$6156.62|$18075.38|$9619.72|$8013.14|$17652.19|$22462.05|$20887.10|$21884.88|$3945.00|$3228.00|$3504.00|$21304.84|$18384.02|$15669.52|$15669.52
"MS-DRG V37 (FY 2020) 699"|"Other Kidney And Urinary Tract Diagnoses With Cc"|0.00|$44788.00|$3822.17|$14135.09|$31352.00|$3822.17|$11533.50|$5972.14|$7871.06|$10958.89|$13944.98|$13327.60|$13586.67|$3945.00|$12071.73|$13097.96|$13594.15|$14135.09|$12047.97|$12047.97
"MS-DRG V37 (FY 2020) 700"|"Other Kidney And Urinary Tract Diagnoses Without Cc/McC"|0.00|$38064.00|$1315.00|$12013.00|$26645.00|$2924.42|$8379.00|$4569.39|$2635.78|$8384.85|$10669.55|$9682.40|$10395.41|$1315.00|$8770.02|$9515.56|$9876.05|$12013.00|$10239.22|$10239.22
"MS-DRG V37 (FY 2020) 707"|"Major Male Pelvic Procedures With Cc/McC"|0.00|$85192.00|$4909.62|$49251.02|$59634.00|$13499.22|$21606.75|$21092.54|$4909.62|$38704.78|$49251.02|$24967.80|$47985.53|$48090.94|$22615.07|$24537.59|$25467.16|$26886.60|$22916.65|$22916.65
"MS-DRG V37 (FY 2020) 708"|"Major Male Pelvic Procedures Without Cc/McC"|0.00|$103667.00|$6348.63|$48004.33|$72567.00|$13157.51|$16778.25|$20558.59|$6348.63|$37725.03|$48004.33|$19388.20|$46770.83|$46873.63|$17561.24|$19054.13|$19775.96|$32717.31|$27886.42|$27886.42
"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|$2461.44|$25601.63|$37456.00|$7017.15|$17998.88|$10964.30|$2461.44|$20119.48|$25601.63|$20798.70|$24943.78|$24998.61|$18838.82|$20440.32|$21214.67|$16887.44|$14393.92|$14393.92
"MS-DRG V37 (FY 2020) 711"|"Testes Procedures With Cc/McC"|0.00|$47441.00|$12761.63|$32302.31|$33209.00|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$28247.78|$14972.38|$12761.63|$12761.63
"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|$63496.00|$1315.00|$20921.07|$44447.00|$5734.25|$16780.50|$8959.76|$2446.45|$16441.17|$20921.07|$19390.80|$20383.50|$1315.00|$17563.59|$19056.68|$19778.62|$20039.34|$17080.42|$17080.42
"MS-DRG V37 (FY 2020) 714"|"Transurethral Prostatectomy Without Cc/McC"|0.00|$58472.00|$1315.00|$22271.89|$40930.00|$6104.50|$10445.63|$9538.29|$2428.05|$17502.75|$22271.89|$12070.50|$21699.61|$1315.00|$10933.09|$11862.52|$12311.91|$18453.76|$15728.97|$15728.97
"MS-DRG V37 (FY 2020) 715"|"Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC"|0.00|$83233.00|$0.00|$0.00|$58263.00|||||||||||||||
"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|$35873.00|$3945.00|$24274.59|$25111.00|$6653.42|$20233.13|$10288.36|$11250.78|$19076.62|$24274.59|$23380.50|$23650.84|$3945.00|$21177.34|$22977.64|$23848.11|$11321.52|$9649.84|$9649.84
"MS-DRG V37 (FY 2020) 718"|"Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC"|0.00|$58549.00|$0.00|$0.00|$40984.00|||||||||||||||
"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|$19628.00|$0.00|$0.00|$13740.00|||||||||||||||
"MS-DRG V37 (FY 2020) 724"|"Malignancy, Male Reproductive System Without Cc/McC"|0.00|$54621.00|$2857.35|$25507.77|$38235.00|$6991.43|$7305.75|$10924.08|$2857.35|$20045.72|$25507.77|$8442.20|$24852.37|$24906.96|$7646.69|$8296.73|$8611.04|$17238.39|$14693.05|$14693.05
"MS-DRG V37 (FY 2020) 725"|"Benign Prostatic Hypertrophy With McC"|0.00|$66287.00|$0.00|$0.00|$46401.00|||||||||||||||
"MS-DRG V37 (FY 2020) 726"|"Benign Prostatic Hypertrophy Without McC"|0.00|$19432.00|$2630.00|$9856.16|$13602.00|$2674.88|$8362.13|$4179.51|$4763.76|$7669.36|$9759.14|$9662.90|$9508.37|$2630.00|$8752.36|$9496.40|$9856.16|$6132.74|$5227.21|$5227.21
"MS-DRG V37 (FY 2020) 727"|"Inflammation Of The Male Reproductive System With McC"|0.00|$50982.00|$1315.00|$18804.01|$35687.00|$1917.63|$14981.50|$2996.31|$2409.28|$5498.22|$6996.37|$14232.43|$6816.62|$1315.00|$14981.50|$14981.50|$18804.01|$16089.92|$13714.16|$13714.16
"MS-DRG V37 (FY 2020) 728"|"Inflammation Of The Male Reproductive System Without McC"|0.00|$35468.00|$4454.58|$16252.23|$24828.00|$4454.58|$9039.38|$6960.28|$11833.11|$12772.11|$16252.23|$10445.50|$15834.64|$6575.00|$9461.21|$10265.52|$10654.41|$11193.70|$9540.89|$9540.89
"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|$94706.00|$0.00|$0.00|$66294.00|||||||||||||||
"MS-DRG V37 (FY 2020) 735"|"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC"|0.00|$109356.00|$2576.60|$51069.26|$76549.00|$13997.57|$15901.88|$21871.20|$2576.60|$40133.69|$51069.26|$8750.24|$49757.00|$49866.33|$16643.96|$18058.88|$18743.01|$34512.75|$29416.76|$29416.76
"MS-DRG V37 (FY 2020) 736"|"Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC"|0.00|$130697.00|$0.00|$0.00|$91488.00|||||||||||||||
"MS-DRG V37 (FY 2020) 737"|"Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc"|0.00|$83347.00|$10785.65|$49426.58|$58343.00|$13547.32|$23154.75|$21167.70|$10785.65|$38842.72|$49426.58|$26756.60|$48156.53|$48262.34|$24235.31|$26295.56|$27291.73|$26304.31|$22420.34|$22420.34
"MS-DRG V37 (FY 2020) 738"|"Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC"|0.00|$112132.00|$19579.72|$35388.86|$78492.00|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$19579.72|$35388.86|$30163.51|$30163.51
"MS-DRG V37 (FY 2020) 739"|"Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC"|0.00|$116923.00|$0.00|$0.00|$81846.00|||||||||||||||
"MS-DRG V37 (FY 2020) 740"|"Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc"|0.00|$97467.00|$7690.82|$41804.43|$68227.00|$11458.17|$20250.00|$17903.39|$7690.82|$32852.76|$41804.43|$23400.00|$40730.26|$40819.71|$21195.00|$22996.80|$23868.00|$30760.59|$26218.62|$26218.62
"MS-DRG V37 (FY 2020) 741"|"Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC"|0.00|$81388.00|$2941.27|$39475.33|$56972.00|$10819.79|$14394.38|$16905.93|$2941.27|$31022.37|$39475.33|$16633.50|$38460.99|$38545.54|$15066.11|$16346.89|$16966.17|$25686.05|$21893.37|$21893.37
"MS-DRG V37 (FY 2020) 742"|"Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC"|0.00|$70031.00|$4878.16|$44258.68|$49022.00|$12130.86|$19316.25|$18954.47|$4878.16|$34781.47|$44258.68|$22321.00|$43121.45|$43216.18|$20217.68|$21936.39|$22767.42|$22101.78|$18838.34|$18838.34
"MS-DRG V37 (FY 2020) 743"|"Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC"|0.00|$59229.00|$7197.16|$26258.38|$41460.00|$7197.16|$12738.38|$11245.57|$7290.14|$20635.60|$26258.38|$14719.90|$25583.68|$25639.88|$13332.83|$14466.26|$15014.30|$18692.67|$15932.60|$15932.60
"MS-DRG V37 (FY 2020) 744"|"D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC"|0.00|$61317.00|$3053.99|$29490.15|$42922.00|$8082.94|$20182.50|$12629.60|$3053.99|$23175.35|$29490.15|$23322.00|$28732.39|$28795.51|$21124.35|$22920.14|$23788.44|$19351.65|$16494.27|$16494.27
"MS-DRG V37 (FY 2020) 745"|"D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/McC"|0.00|$55554.00|$6662.90|$28744.96|$38888.00|$7878.70|$13168.13|$12310.46|$6662.90|$22589.73|$28744.96|$15216.50|$28006.34|$28067.89|$13782.64|$14954.31|$15520.83|$17532.84|$14944.03|$14944.03
"MS-DRG V37 (FY 2020) 746"|"Vagina, Cervix And Vulva Procedures With Cc/McC"|0.00|$42677.00|$6991.30|$30178.81|$29874.00|$8271.71|$18105.75|$12924.55|$6991.30|$23716.54|$30178.81|$20922.20|$29403.39|$29467.98|$18950.69|$20561.69|$21340.64|$13468.86|$11480.11|$11480.11
"MS-DRG V37 (FY 2020) 747"|"Vagina, Cervix And Vulva Procedures Without Cc/McC"|0.00|$31756.00|$1315.00|$13203.62|$22229.00|$3618.98|$10552.50|$5654.66|$2464.07|$10376.29|$13203.62|$12194.00|$12864.35|$1315.00|$11044.95|$11983.89|$12437.88|$10022.19|$8542.36|$8542.36
"MS-DRG V37 (FY 2020) 748"|"Female Reproductive System Reconstructive Procedures"|0.00|$75121.00|$14631.44|$60443.32|$52585.00|$15789.28|$15168.38|$24670.73|$14631.44|$45270.81|$57606.19|$60443.32|$56125.98|$56249.26|$15876.23|$17225.88|$17878.46|$23708.19|$20207.55|$20207.55
"MS-DRG V37 (FY 2020) 749"|"Other Female Reproductive System O.R. Procedures With Cc/McC"|0.00|$131051.00|$12154.91|$44346.42|$91736.00|$12154.91|$30896.51|$18992.04|$37755.53|$34850.41|$44346.42|$37755.53|$37755.53|$37755.53|$37755.53|$37755.53|$35900.12|$41359.70|$35252.72|$35252.72
"MS-DRG V37 (FY 2020) 750"|"Other Female Reproductive System O.R. Procedures Without Cc/McC"|0.00|$62745.00|$7101.14|$34004.38|$43922.00|$9320.26|$16491.38|$14562.91|$7101.14|$26722.93|$34004.38|$19056.70|$33130.63|$33203.41|$17260.97|$18728.34|$19437.83|$19802.32|$16878.41|$16878.41
"MS-DRG V37 (FY 2020) 754"|"Malignancy, Female Reproductive System With McC"|0.00|$51194.00|$3945.00|$24146.46|$35836.00|$5085.15|$20486.25|$7945.55|$8170.37|$14580.09|$18552.86|$23673.00|$18076.19|$3945.00|$21442.28|$23265.10|$24146.46|$16156.83|$13771.19|$13771.19
"MS-DRG V37 (FY 2020) 755"|"Malignancy, Female Reproductive System With Cc"|0.00|$32583.00|$4068.96|$44054.85|$22808.00|$12075.00|$12685.50|$18867.17|$4068.96|$34621.28|$44054.85|$14658.80|$42922.87|$43017.16|$13277.49|$14406.22|$14951.98|$10283.19|$8764.83|$8764.83
"MS-DRG V37 (FY 2020) 756"|"Malignancy, Female Reproductive System Without Cc/McC"|0.00|$101211.00|$8751.70|$47265.68|$70848.00|$12955.05|$10306.13|$20242.26|$8751.70|$37144.53|$47265.68|$11909.30|$46051.19|$46152.37|$10787.08|$11704.09|$12147.49|$31942.19|$27225.76|$27225.76
"MS-DRG V37 (FY 2020) 757"|"Infections, Female Reproductive System With McC"|0.00|$45238.00|$5260.00|$21126.19|$31667.00|$5790.47|$17123.63|$9047.60|$10018.76|$16602.39|$21126.19|$12563.37|$20583.37|$5260.00|$17922.73|$19446.35|$20183.05|$14277.11|$12169.02|$12169.02
"MS-DRG V37 (FY 2020) 758"|"Infections, Female Reproductive System With Cc"|0.00|$30936.00|$3798.95|$13860.24|$21655.00|$3798.95|$10878.75|$5785.85|$7209.19|$10892.32|$13860.24|$12571.00|$13504.11|$3945.00|$11386.43|$12354.39|$12822.42|$9763.40|$8321.78|$8321.78
"MS-DRG V37 (FY 2020) 759"|"Infections, Female Reproductive System Without Cc/McC"|0.00|$29935.00|$2187.84|$9447.49|$20954.00|$2187.84|$7686.00|$3418.50|$4716.65|$6272.95|$7982.20|$8881.60|$7777.12|$2630.00|$8044.68|$8728.56|$9059.23|$9447.49|$8052.52|$8052.52
"MS-DRG V37 (FY 2020) 760"|"Menstrual And Other Female Reproductive System Disorders With Cc/McC"|0.00|$44316.00|$4660.77|$17004.53|$31021.00|$4660.77|$10379.25|$7282.45|$9554.12|$13363.30|$17004.53|$11993.80|$16567.61|$5260.00|$10863.62|$11787.14|$12233.68|$13986.13|$11921.00|$11921.00
"MS-DRG V37 (FY 2020) 761"|"Menstrual And Other Female Reproductive System Disorders Without Cc/McC"|0.00|$25232.00|$2005.06|$7963.22|$17662.00|$2005.06|$6637.50|$3132.90|$4849.39|$5748.86|$7315.31|$7670.00|$7127.37|$2630.00|$6947.25|$7537.84|$7823.40|$7963.22|$6787.41|$6787.41
"MS-DRG V37 (FY 2020) 768"|"Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C"|0.00|$33632.00|$3180.00|$15524.81|$23542.00|$3471.10|$13171.50|$5423.61|$6278.71|$9952.32|$12664.13|$4700.00|$12338.71|$3180.00|$6641.00|$7205.00|$15524.81|$10614.26|$9047.01|$9047.01
"MS-DRG V37 (FY 2020) 769"|"Postpartum And Post Abortion Diagnoses With O.R. Procedures"|0.00|$51521.00|$9593.70|$40355.71|$36065.00|$11061.10|$18229.50|$17282.96|$9593.70|$31714.24|$40355.71|$21065.20|$39318.78|$39405.13|$19080.21|$20702.23|$21486.50|$16260.03|$13859.15|$13859.15
"MS-DRG V37 (FY 2020) 770"|"Abortion With D&C, Aspiration Curettage Or Hysterotomy"|0.00|$34759.00|$1315.00|$15479.43|$24331.00|$4242.75|$9991.13|$6455.30|$2420.94|$12164.77|$15479.43|$11545.30|$15081.68|$1315.00|$10457.38|$11346.37|$11776.21|$10969.94|$9350.17|$9350.17
"MS-DRG V37 (FY 2020) 776"|"Postpartum And Post Abortion Diagnoses Without O.R. Procedures"|0.00|$27039.00|$2909.22|$10614.09|$18927.00|$2909.22|$8649.00|$4545.65|$6182.31|$8341.27|$10614.09|$9994.40|$10341.39|$3546.00|$9052.62|$9822.19|$10194.29|$8533.51|$7273.49|$7273.49
"MS-DRG V37 (FY 2020) 779"|"Abortion Without D&C"|0.00|$21572.00|$2598.37|$13795.70|$15100.00|$2598.37|$11704.50|$3874.74|$4997.93|$7450.02|$9479.99|$13525.20|$9236.46|$2630.00|$12250.71|$13292.15|$13795.70|$6808.12|$5802.87|$5802.87
"MS-DRG V37 (FY 2020) 783"|"Cesarean Section With Sterilization With McC"|0.00|$38638.00|$4709.00|$24832.00|$27047.00|$6048.06|$21067.88|$9369.08|$9960.94|$17340.91|$22065.95|$8375.00|$21498.98|$4709.00|$9025.00|$9793.00|$24832.00|$12194.15|$10393.62|$10393.62
"MS-DRG V37 (FY 2020) 784"|"Cesarean Section With Sterilization With Cc"|0.00|$39454.00|$4709.00|$21088.56|$27618.00|$5780.16|$12317.63|$9031.50|$9209.09|$16572.81|$21088.56|$8375.00|$20546.71|$4709.00|$9025.00|$9793.00|$14518.37|$12451.68|$10613.13|$10613.13
"MS-DRG V37 (FY 2020) 785"|"Cesarean Section With Sterilization Without Cc/McC"|0.00|$37607.00|$4709.00|$19105.57|$26325.00|$5236.64|$10297.13|$8182.27|$8901.52|$15014.43|$19105.57|$8375.00|$18614.66|$4709.00|$9025.00|$9793.00|$12136.88|$11868.77|$10116.28|$10116.28
"MS-DRG V37 (FY 2020) 786"|"Cesarean Section Without Sterilization With McC"|0.00|$46399.00|$5753.36|$21097.99|$32479.00|$5753.36|$17899.88|$8989.65|$12975.52|$16496.01|$20990.79|$9950.00|$20451.43|$5841.00|$9025.00|$9793.00|$21097.99|$14643.52|$12481.33|$12481.33
"MS-DRG V37 (FY 2020) 787"|"Cesarean Section Without Sterilization With Cc"|0.00|$44140.00|$4709.00|$20142.49|$30898.00|$5520.85|$11955.38|$8626.34|$8904.49|$15829.33|$20142.49|$8375.00|$19624.95|$4709.00|$9025.00|$9793.00|$14091.40|$13930.58|$11873.66|$11873.66
"MS-DRG V37 (FY 2020) 788"|"Cesarean Section Without Sterilization Without Cc/McC"|0.00|$37886.00|$4897.95|$17869.88|$26520.00|$4897.95|$9979.88|$7653.04|$10826.42|$14043.35|$17869.88|$9950.00|$17410.68|$5841.00|$9025.00|$9793.00|$11762.95|$11956.82|$10191.33|$10191.33
"MS-DRG V37 (FY 2020) 789"|"Neonates, Died Or Transferred To Another Acute Care Facility"|0.00|$22616.00|$1250.00|$22787.31|$15831.00|$2302.21|$17986.00|$3597.20|$3058.97|$6600.85|$8399.46|$1250.00|$8183.66|$1314.99|$1350.00|$1464.00|$22787.31|$7137.61|$6083.70|$6083.70
"MS-DRG V37 (FY 2020) 790"|"Extreme Immaturity Or Respiratory Distress Syndrome, Neonate"|0.00|$84558.00|$20835.58|$91481.20|$59191.00|$20835.58|$63754.88|$32555.61|$91481.20|$59739.52|$76017.33|$24000.00|$74064.01|$61425.79|$31440.00|$34112.00|$75145.75|$26686.50|$22746.10|$22746.10
"MS-DRG V37 (FY 2020) 791"|"Prematurity With Major Problems"|0.00|$70183.00|$11599.81|$51321.50|$49128.00|$11599.81|$43542.00|$18124.70|$28514.66|$33258.85|$42321.20|$16500.00|$41233.72|$32363.64|$21615.00|$23452.00|$51321.50|$22149.75|$18879.23|$18879.23
"MS-DRG V37 (FY 2020) 792"|"Prematurity Without Major Problems"|0.00|$28481.00|$3550.75|$30966.08|$19937.00|$3550.75|$26272.13|$5548.05|$8672.92|$10180.67|$12954.69|$6250.00|$12621.83|$4280.00|$6750.00|$7320.00|$30966.08|$8988.60|$7661.39|$7661.39
"MS-DRG V37 (FY 2020) 793"|"Full Term Neonate With Major Problems"|0.00|$25284.00|$1712.00|$52717.78|$17699.00|$2209.15|$17259.00|$3451.79|$4709.96|$6334.06|$8059.95|$4500.00|$7852.84|$1712.00|$5895.00|$6396.00|$52717.78|$7979.63|$6801.40|$6801.40
"MS-DRG V37 (FY 2020) 794"|"Neonate With Other Significant Problems"|0.00|$9095.00|$873.66|$18659.47|$6366.00|$873.66|$6825.50|$1365.10|$3554.25|$2504.96|$3187.52|$3750.00|$3105.62|$4877.25|$4050.00|$4392.00|$18659.47|$2870.38|$2446.56|$2446.56
"MS-DRG V37 (FY 2020) 795"|"Normal Newborn"|0.00|$5101.00|$726.56|$2650.80|$3571.00|$726.56|$2143.13|$1135.25|$2473.96|$2083.18|$2650.80|$1700.00|$2582.71|$2394.19|$2010.00|$2180.00|$2526.03|$1609.88|$1372.17|$1372.17
"MS-DRG V37 (FY 2020) 796"|"Vaginal Delivery With Sterilization And/Or D&C With McC"|0.00|$35499.00|$3180.00|$14160.35|$24849.00|$3272.84|$12013.88|$4928.62|$6295.04|$9383.86|$11940.74|$4700.00|$11633.97|$3180.00|$6641.00|$7205.00|$14160.35|$11203.48|$9549.23|$9549.23
"MS-DRG V37 (FY 2020) 797"|"Vaginal Delivery With Sterilization And/Or D&C With Cc"|0.00|$24468.00|$4312.00|$16360.57|$17128.00|$4484.27|$10348.88|$7006.68|$8011.73|$12857.24|$16360.57|$6275.00|$15940.21|$4312.00|$6641.00|$7205.00|$12197.87|$7722.10|$6581.89|$6581.89
"MS-DRG V37 (FY 2020) 798"|"Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC"|0.00|$39678.00|$3180.00|$13995.86|$27775.00|$3836.13|$9307.13|$5993.95|$6228.11|$10998.93|$13995.86|$4700.00|$13636.28|$3180.00|$6641.00|$7205.00|$10970.00|$12522.38|$10673.38|$10673.38
"MS-DRG V37 (FY 2020) 799"|"Splenectomy With McC"|0.00|$151604.00|$0.00|$0.00|$106123.00|||||||||||||||
"MS-DRG V37 (FY 2020) 800"|"Splenectomy With Cc"|0.00|$62592.00|$0.00|$0.00|$43814.00|||||||||||||||
"MS-DRG V37 (FY 2020) 801"|"Splenectomy Without Cc/McC"|0.00|$101716.00|$2475.18|$47501.20|$71201.00|$13019.60|$18939.38|$20343.14|$2475.18|$37329.66|$47501.20|$21885.50|$46280.68|$46382.36|$19823.21|$21508.40|$22323.21|$32101.57|$27361.60|$27361.60
"MS-DRG V37 (FY 2020) 802"|"Other O.R. Procedures Of The Blood And Blood Forming Organs With McC"|0.00|$118578.00|$31897.48|$49177.36|$83005.00|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$49177.36|$37423.22|$31897.48|$31897.48
"MS-DRG V37 (FY 2020) 803"|"Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc"|0.00|$41896.00|$10591.17|$38163.85|$29327.00|$10591.17|$22517.00|$16344.25|$17239.14|$29991.74|$38163.85|$28131.40|$37603.42|$37757.73|$23578.52|$25577.20|$24992.45|$13222.38|$11270.02|$11270.02
"MS-DRG V37 (FY 2020) 804"|"Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/McC"|0.00|$50604.00|$4922.43|$40923.96|$35423.00|$11216.85|$15347.25|$17526.32|$4922.43|$32160.79|$40923.96|$17734.60|$39872.44|$39960.01|$16063.46|$17429.02|$18089.29|$15970.62|$13612.48|$13612.48
"MS-DRG V37 (FY 2020) 805"|"Vaginal Delivery Without Sterilization Or D&C With McC"|0.00|$24881.00|$3532.99|$13615.37|$17417.00|$3532.99|$11551.50|$5520.28|$8380.28|$10129.77|$12889.90|$6275.00|$12558.73|$4312.00|$6641.00|$7205.00|$13615.37|$7852.44|$6692.99|$6692.99
"MS-DRG V37 (FY 2020) 806"|"Vaginal Delivery Without Sterilization Or D&C With Cc"|0.00|$24039.00|$3179.55|$11600.40|$16827.00|$3179.55|$8256.38|$4876.66|$6462.61|$9116.38|$11600.40|$4700.00|$11302.35|$3180.00|$6641.00|$7205.00|$9731.51|$7586.71|$6466.49|$6466.49
"MS-DRG V37 (FY 2020) 807"|"Vaginal Delivery Without Sterilization Or D&C Without Cc/McC"|0.00|$20985.00|$3002.82|$10955.60|$14690.00|$3002.82|$7212.38|$4691.92|$6336.10|$8609.64|$10955.60|$4700.00|$10674.09|$3180.00|$6641.00|$7205.00|$8500.99|$6622.87|$5644.97|$5644.97
"MS-DRG V37 (FY 2020) 808"|"Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC"|0.00|$61743.00|$6693.06|$28878.95|$43220.00|$6693.06|$24501.38|$10457.90|$22338.55|$19190.28|$24419.23|$28312.70|$23791.76|$11835.00|$25644.77|$27824.85|$28878.95|$19486.09|$16608.87|$16608.87
"MS-DRG V37 (FY 2020) 809"|"Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc"|0.00|$43090.00|$2630.00|$16199.74|$30163.00|$3586.19|$13744.13|$5603.43|$5134.81|$10282.30|$13084.00|$15882.10|$12747.85|$2630.00|$14385.52|$15608.44|$16199.74|$13599.20|$11591.21|$11591.21
"MS-DRG V37 (FY 2020) 810"|"Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders Without Cc/McC"|0.00|$37614.00|$2630.00|$18747.24|$26330.00|$5138.43|$10807.88|$8028.79|$4818.17|$14732.86|$18747.24|$12489.10|$18265.53|$2630.00|$11312.24|$12273.90|$12738.88|$11870.98|$10118.17|$10118.17
"MS-DRG V37 (FY 2020) 811"|"Red Blood Cell Disorders With McC"|0.00|$57404.00|$4860.99|$21992.90|$40183.00|$6201.69|$16811.00|$9418.81|$8617.88|$17283.50|$21992.90|$10810.46|$21833.16|$4860.99|$17203.00|$18352.00|$18266.98|$18116.70|$15441.68|$15441.68
"MS-DRG V37 (FY 2020) 812"|"Red Blood Cell Disorders Without McC"|0.00|$32128.00|$2630.00|$12664.09|$22490.00|$3471.10|$9896.63|$5423.59|$5187.13|$9952.28|$12664.09|$11436.10|$12338.72|$2630.00|$10358.47|$11239.05|$11664.82|$10139.60|$8642.43|$8642.43
"MS-DRG V37 (FY 2020) 813"|"Coagulation Disorders"|0.00|$78606.00|$8274.82|$30190.16|$55024.00|$8274.82|$17377.88|$12929.40|$15418.79|$23725.43|$30190.16|$20081.10|$29414.46|$29479.04|$18188.84|$19735.09|$20482.72|$24808.05|$21145.01|$21145.01
"MS-DRG V37 (FY 2020) 814"|"Reticuloendothelial And Immunity Disorders With McC"|0.00|$67087.00|$8587.13|$31329.58|$46961.00|$8587.13|$21271.50|$13417.37|$10277.59|$24620.92|$31329.58|$24580.40|$30524.56|$30591.65|$22264.17|$24156.86|$25070.68|$21172.66|$18046.40|$18046.40
"MS-DRG V37 (FY 2020) 815"|"Reticuloendothelial And Immunity Disorders With Cc"|0.00|$46710.00|$3945.00|$19261.99|$32697.00|$5279.52|$11165.63|$8249.25|$7708.29|$15137.38|$19261.99|$12902.50|$18767.07|$3945.00|$11686.69|$12680.18|$13160.55|$14741.68|$12564.99|$12564.99
"MS-DRG V37 (FY 2020) 816"|"Reticuloendothelial And Immunity Disorders Without Cc/McC"|0.00|$35791.00|$2630.00|$11929.17|$25054.00|$3269.67|$7435.13|$5108.87|$4966.97|$9374.74|$11929.17|$8591.70|$11622.69|$2630.00|$7782.10|$8443.66|$8763.53|$11295.64|$9627.78|$9627.78
"MS-DRG V37 (FY 2020) 817"|"Other Antepartum Diagnoses With O.R. Procedures With McC"|0.00|$252606.00|$5099.94|$79722.45|$176824.00|$8475.10|$25895.25|$13144.74|$5099.94|$24299.71|$30920.83|$29923.40|$30126.40|$30192.57|$27103.70|$29407.80|$30521.87|$79722.45|$67951.01|$67951.01
"MS-DRG V37 (FY 2020) 818"|"Other Antepartum Diagnoses With O.R. Procedures With Cc"|0.00|$81163.00|$6909.16|$25615.04|$56814.00|$6909.16|$14810.63|$10621.56|$7238.36|$19809.85|$25207.63|$17114.50|$24559.93|$24613.87|$15501.79|$16819.60|$17456.79|$25615.04|$21832.85|$21832.85
"MS-DRG V37 (FY 2020) 819"|"Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC"|0.00|$54395.00|$7511.21|$39748.67|$38076.00|$10894.70|$11226.38|$16848.98|$7511.21|$31237.18|$39748.67|$12972.70|$38727.32|$38812.39|$11750.27|$12749.17|$13232.15|$17167.06|$14632.26|$14632.26
"MS-DRG V37 (FY 2020) 820"|"Lymphoma And Leukemia With Major O.R. Procedures With McC"|0.00|$155541.00|$0.00|$0.00|$108879.00|||||||||||||||
"MS-DRG V37 (FY 2020) 821"|"Lymphoma And Leukemia With Major O.R. Procedures With Cc"|0.00|$58108.00|$15631.05|$33645.23|$40676.00|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$28576.63|$18338.88|$15631.05|$15631.05
"MS-DRG V37 (FY 2020) 822"|"Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC"|0.00|$99700.00|$2511.48|$44708.48|$69790.00|$12254.14|$14080.50|$19147.09|$2511.48|$35134.92|$44708.48|$16270.80|$43559.64|$43655.38|$14737.59|$15990.44|$16596.22|$31465.32|$26819.30|$26819.30
"MS-DRG V37 (FY 2020) 823"|"Lymphoma And Non-Acute Leukemia With Other Procedures With McC"|0.00|$92318.00|$24833.54|$68194.77|$64623.00|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$59631.55|$29135.56|$24833.54|$24833.54
"MS-DRG V37 (FY 2020) 824"|"Lymphoma And Non-Acute Leukemia With Other Procedures With Cc"|0.00|$55680.00|$7428.70|$43243.43|$38976.00|$11852.58|$26580.38|$18519.65|$7428.70|$33983.60|$43243.43|$30715.10|$42132.27|$42224.82|$27820.79|$30185.86|$31329.40|$17572.61|$14977.92|$14977.92
"MS-DRG V37 (FY 2020) 825"|"Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC"|0.00|$83605.00|$2454.35|$42895.23|$58524.00|$11757.16|$15757.88|$18370.57|$2454.35|$33709.96|$42895.23|$18209.10|$41793.05|$41884.86|$16493.24|$17895.34|$18573.28|$26385.74|$22489.75|$22489.75
"MS-DRG V37 (FY 2020) 826"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC"|0.00|$223403.00|$60095.41|$156162.09|$156382.00|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$66787.97|$70505.99|$60095.41|$60095.41
"MS-DRG V37 (FY 2020) 827"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc"|0.00|$120293.00|$1315.00|$37964.47|$84205.00|$5581.30|$28098.00|$8720.81|$5508.40|$16002.68|$20363.04|$32468.80|$19839.84|$1315.00|$29409.24|$31909.34|$33118.18|$37964.47|$32358.82|$32358.82
"MS-DRG V37 (FY 2020) 828"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC"|0.00|$110407.00|$9946.30|$45349.77|$77285.00|$12429.92|$18874.13|$19421.73|$9946.30|$35638.92|$45349.77|$21810.10|$44184.52|$44281.56|$19754.92|$21434.30|$22246.30|$34844.45|$29699.48|$29699.48
"MS-DRG V37 (FY 2020) 829"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC"|0.00|$104660.00|$8111.29|$42507.58|$73262.00|$8395.11|$36064.13|$13117.36|$8111.29|$24070.34|$30629.04|$41674.10|$29842.02|$29907.57|$37747.12|$40956.02|$42507.58|$33030.70|$28153.54|$28153.54
"MS-DRG V37 (FY 2020) 830"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC"|0.00|$88428.00|$17615.55|$27907.88|$61900.00|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$19578.39|$27907.88|$23787.13|$23787.13
"MS-DRG V37 (FY 2020) 831"|"Other Antepartum Diagnoses Without O.R. Procedures With McC"|0.00|$26264.00|$2630.00|$18625.45|$18385.00|$2762.42|$13925.38|$3921.14|$6101.48|$7195.29|$9155.88|$18625.45|$9440.49|$2630.00|$14585.95|$15820.17|$14865.79|$8288.92|$7065.02|$7065.02
"MS-DRG V37 (FY 2020) 832"|"Other Antepartum Diagnoses Without O.R. Procedures With Cc"|0.00|$19187.00|$1593.18|$10340.15|$13431.00|$1593.18|$8772.75|$2489.35|$5033.41|$4567.96|$5812.63|$10137.40|$5663.28|$2630.00|$9182.15|$9962.72|$10340.15|$6055.42|$5161.30|$5161.30
"MS-DRG V37 (FY 2020) 833"|"Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC"|0.00|$15676.00|$1164.29|$7107.36|$10973.00|$1164.29|$6030.00|$1819.20|$4925.02|$3338.23|$4247.84|$6968.00|$4138.69|$2630.00|$6311.40|$6847.94|$7107.36|$4947.35|$4216.84|$4216.84
"MS-DRG V37 (FY 2020) 834"|"Acute Leukemia Without Major O.R. Procedures With McC"|0.00|$91010.00|$24481.69|$113043.00|$63707.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$80224.33|$28722.76|$24481.69|$24481.69
"MS-DRG V37 (FY 2020) 835"|"Acute Leukemia Without Major O.R. Procedures With Cc"|0.00|$81727.00|$21984.56|$222279.46|$57209.00|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$28027.66|$25793.04|$21984.56|$21984.56
"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|$22061.00|$5934.41|$112619.98|$15443.00|$16429.85|$64116.00|$25671.64|$60129.82|$47107.48|$59943.30|$62895.54|$58403.03|$58531.36|$104125.08|$112619.98|$75570.07|$6962.45|$5934.41|$5934.41
"MS-DRG V37 (FY 2020) 838"|"Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent"|0.00|$25523.00|$2851.01|$29951.69|$17866.00|$2851.01|$22273.50|$4454.70|$10303.22|$8174.38|$10401.73|$11294.00|$10134.48|$3945.00|$19344.00|$20988.00|$29951.69|$8055.06|$6865.69|$6865.69
"MS-DRG V37 (FY 2020) 839"|"Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC"|0.00|$29390.00|$4181.28|$19708.34|$20573.00|$4181.28|$16720.88|$6533.25|$16866.93|$11988.53|$15255.17|$19321.90|$14863.19|$6575.00|$17501.18|$18988.97|$19708.34|$9275.48|$7905.91|$7905.91
"MS-DRG V37 (FY 2020) 840"|"Lymphoma And Non-Acute Leukemia With McC"|0.00|$74976.00|$10914.70|$42640.18|$52483.00|$10914.70|$36176.63|$17054.23|$17675.77|$31294.49|$39821.61|$41804.10|$38798.42|$38883.59|$37864.87|$41083.78|$42640.18|$23662.43|$20168.54|$20168.54
"MS-DRG V37 (FY 2020) 841"|"Lymphoma And Non-Acute Leukemia With Cc"|0.00|$97010.00|$13838.70|$50489.64|$67907.00|$13838.70|$18699.68|$21622.98|$24428.70|$39678.16|$50489.64|$24428.70|$24428.70|$24428.70|$24428.70|$24428.70|$21491.81|$30616.36|$26095.69|$26095.69
"MS-DRG V37 (FY 2020) 842"|"Lymphoma And Non-Acute Leukemia Without Cc/McC"|0.00|$59611.00|$7413.29|$27838.46|$41728.00|$7630.24|$12322.13|$11922.25|$7413.29|$21877.33|$27838.46|$14238.90|$27123.15|$27182.75|$12897.16|$13993.55|$14523.68|$18813.23|$16035.36|$16035.36
"MS-DRG V37 (FY 2020) 843"|"Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC"|0.00|$83030.00|$6043.71|$26204.27|$58121.00|$6043.71|$21420.88|$9443.32|$23008.07|$17328.46|$22050.10|$23008.07|$23008.07|$23008.07|$23008.07|$23008.07|$25232.45|$26204.27|$22335.07|$22335.07
"MS-DRG V37 (FY 2020) 844"|"Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc"|0.00|$71175.00|$2630.00|$22462.83|$49822.00|$2829.31|$13280.63|$4420.80|$4714.19|$8112.18|$10322.58|$15346.50|$10057.35|$2630.00|$13900.39|$15082.07|$15653.43|$22462.83|$19146.08|$19146.08
"MS-DRG V37 (FY 2020) 845"|"Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC"|0.00|$54641.00|$2630.00|$17244.70|$38249.00|$3965.83|$9533.25|$6196.64|$5867.22|$11370.79|$14469.07|$11016.20|$14097.32|$2630.00|$9978.14|$10826.38|$11236.52|$17244.70|$14698.43|$14698.43
"MS-DRG V37 (FY 2020) 846"|"Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC"|0.00|$28040.00|$7542.76|$37699.16|$19628.00|$10332.96|$30036.38|$16145.25|$17204.76|$29626.53|$37699.16|$27926.54|$36730.44|$36811.16|$31438.07|$34110.64|$35402.87|$8849.42|$7542.76|$7542.76
"MS-DRG V37 (FY 2020) 847"|"Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc"|0.00|$42149.00|$2630.00|$24098.65|$29504.00|$5666.75|$15021.00|$8854.30|$24098.65|$16247.64|$20674.80|$17357.60|$20143.55|$2630.00|$15721.98|$17058.52|$17704.75|$13302.22|$11338.08|$11338.08
"MS-DRG V37 (FY 2020) 848"|"Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/McC"|0.00|$64841.00|$8545.70|$31178.43|$45389.00|$8545.70|$11576.25|$13352.65|$12094.73|$24502.11|$31178.43|$13377.00|$30377.33|$30444.06|$12116.48|$13146.50|$13644.54|$20463.82|$17442.23|$17442.23
"MS-DRG V37 (FY 2020) 849"|"Radiotherapy"|0.00|$77275.00|$9891.17|$36087.30|$54092.00|$9891.17|$27984.38|$15454.96|$19688.03|$28359.86|$36087.30|$32337.50|$35160.04|$35237.32|$29290.31|$31780.30|$32984.25|$24387.99|$20786.98|$20786.98
"MS-DRG V37 (FY 2020) 853"|"Infectious And Parasitic Diseases With O.R. Procedures With McC"|0.00|$145963.00|$8947.73|$65565.40|$102174.00|$8947.73|$55626.75|$13980.82|$18859.27|$25654.83|$32645.24|$64279.80|$31806.40|$31876.30|$58222.67|$63172.21|$65565.40|$46065.92|$39264.05|$39264.05
"MS-DRG V37 (FY 2020) 854"|"Infectious And Parasitic Diseases With O.R. Procedures With Cc"|0.00|$61634.00|$3321.37|$31863.50|$43144.00|$8733.47|$23562.00|$13646.05|$3321.37|$25040.50|$31863.50|$27227.20|$31044.80|$31112.99|$24661.56|$26758.05|$27771.74|$19451.69|$16579.55|$16579.55
"MS-DRG V37 (FY 2020) 855"|"Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC"|0.00|$111459.00|$5260.00|$35176.46|$78021.00|$6373.85|$16818.75|$9878.14|$12995.69|$18275.02|$23254.59|$17275.56|$22657.08|$5260.00|$17603.63|$19100.12|$19823.70|$35176.46|$29982.47|$29982.47
"MS-DRG V37 (FY 2020) 856"|"Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC"|0.00|$102330.00|$27526.77|$66704.15|$71631.00|$61663.28|$32776.40|$32776.40|$61663.28|$61663.28|$61663.28|$61663.28|$61663.28|$61663.28|$66704.15|$66704.15|$60275.98|$32295.35|$27526.77|$27526.77
"MS-DRG V37 (FY 2020) 857"|"Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc"|0.00|$96765.00|$10130.96|$36962.18|$67736.00|$10130.96|$22890.38|$15829.64|$15469.57|$29047.39|$36962.18|$26451.10|$36012.46|$36091.55|$23958.59|$25995.33|$26980.12|$30539.03|$26029.79|$26029.79
"MS-DRG V37 (FY 2020) 858"|"Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC"|0.00|$75898.00|$2630.00|$23953.41|$53129.00|$4473.35|$15169.50|$6989.60|$5157.47|$12825.93|$16320.73|$17529.20|$15901.37|$2630.00|$15877.41|$17227.16|$17879.78|$23953.41|$20416.56|$20416.56
"MS-DRG V37 (FY 2020) 862"|"Postoperative And Post-Traumatic Infections With McC"|0.00|$54245.00|$4058.96|$24912.89|$37972.00|$4058.96|$21136.50|$6342.13|$10325.38|$11637.81|$14808.88|$14802.67|$14428.39|$5260.00|$22122.87|$24003.55|$24912.89|$17119.72|$14591.91|$14591.91
"MS-DRG V37 (FY 2020) 863"|"Postoperative And Post-Traumatic Infections Without McC"|0.00|$32877.00|$3911.68|$14271.52|$23014.00|$3911.68|$10995.75|$6112.00|$12401.50|$11215.51|$14271.52|$12706.20|$13904.82|$6575.00|$11508.89|$12487.26|$12960.32|$10375.98|$8843.91|$8843.91
"MS-DRG V37 (FY 2020) 864"|"Fever And Inflammatory Conditions"|0.00|$39317.00|$1315.00|$18220.02|$27522.00|$4993.92|$9843.75|$7802.98|$2955.77|$14318.51|$18220.02|$11375.00|$17751.86|$1315.00|$10303.13|$11179.00|$11602.50|$12408.45|$10576.27|$10576.27
"MS-DRG V37 (FY 2020) 865"|"Viral Illness With McC"|0.00|$42595.00|$6855.46|$25011.70|$29816.00|$6855.46|$16637.63|$10711.65|$8555.08|$19655.88|$25011.70|$19225.70|$24369.04|$24422.59|$17414.05|$18894.43|$19610.21|$13442.98|$11458.06|$11458.06
"MS-DRG V37 (FY 2020) 866"|"Viral Illness Without McC"|0.00|$19872.00|$1315.00|$13322.91|$13910.00|$3651.68|$9418.50|$5705.74|$4169.07|$10470.04|$13322.91|$10883.60|$12980.59|$1315.00|$9858.03|$10696.07|$11101.27|$6271.60|$5345.57|$5345.57
"MS-DRG V37 (FY 2020) 867"|"Other Infectious And Parasitic Diseases Diagnoses With McC"|0.00|$127337.00|$7909.03|$40187.56|$89136.00|$7909.03|$25081.88|$12357.85|$15990.66|$22676.65|$28855.57|$26695.33|$28114.15|$28175.88|$26252.36|$28484.09|$29563.17|$40187.56|$34253.65|$34253.65
"MS-DRG V37 (FY 2020) 868"|"Other Infectious And Parasitic Diseases Diagnoses With Cc"|0.00|$47297.00|$6266.05|$34472.51|$33108.00|$6266.05|$11920.25|$9790.70|$34472.51|$17965.94|$22861.29|$34472.51|$34472.51|$34472.51|$34472.51|$34472.51|$14034.38|$14926.93|$12722.89|$12722.89
"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|$567491.00|$30453.01|$179100.16|$397244.00|$30453.01|$86362.83|$47582.83|$133707.72|$87314.50|$111105.91|$116577.92|$108251.00|$108488.86|$100330.02|$108621.24|$85192.85|$179100.16|$152655.08|$152655.08
"MS-DRG V37 (FY 2020) 871"|"Septicemia Or Severe Sepsis Without Mv >96 Hours With McC"|0.00|$74289.00|$7057.53|$25748.96|$52002.00|$7057.53|$21017.25|$11027.40|$7558.57|$20235.26|$25748.96|$24286.60|$25087.37|$25142.44|$21998.06|$23868.12|$24772.33|$23445.61|$19983.74|$19983.74
"MS-DRG V37 (FY 2020) 872"|"Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC"|0.00|$40130.00|$4207.90|$16781.55|$28091.00|$4207.90|$12806.00|$6574.85|$12920.89|$12064.85|$15352.27|$16781.55|$15363.16|$6574.99|$13414.34|$14548.96|$13546.42|$12665.03|$10794.97|$10794.97
"MS-DRG V37 (FY 2020) 876"|"O.R. Procedures With Principal Diagnosis Of Mental Illness"|0.00|$86934.00|$23385.25|$179383.20|$60854.00|$40855.96|$115864.94|$63802.41|$179383.20|$117141.69|$149060.43|$156401.71|$145230.22|$145549.35|$38401.81|$41666.37|$43244.84|$27436.37|$23385.25|$23385.25
"MS-DRG V37 (FY 2020) 880"|"Acute Adjustment Reaction And Psychosocial Dysfunction"|0.00|$51493.00|$3525.57|$16251.19|$36045.00|$3525.57|$13917.38|$5508.69|$14055.66|$10108.46|$12862.82|$16082.30|$12532.32|$7890.00|$14566.85|$15805.19|$11451.34|$16251.19|$13851.62|$13851.62
"MS-DRG V37 (FY 2020) 881"|"Depressive Neuroses"|0.00|$23528.00|$3438.91|$12546.65|$16470.00|$3438.91|$9015.75|$5373.30|$7035.54|$9860.00|$12546.65|$10418.20|$12224.27|$3945.00|$9436.49|$10238.69|$10626.56|$7425.44|$6329.03|$6329.03
"MS-DRG V37 (FY 2020) 882"|"Neuroses Except Depressive"|0.00|$24792.00|$3243.20|$16380.00|$17354.00|$3243.20|$9258.75|$5067.50|$16380.00|$9298.85|$11832.60|$10699.00|$11528.59|$9205.00|$9690.83|$10514.65|$10912.98|$7824.36|$6669.05|$6669.05
"MS-DRG V37 (FY 2020) 883"|"Disorders Of Personality And Impulse Control"|0.00|$26549.00|$1315.00|$20928.26|$18584.00|$2841.60|$17755.88|$4440.00|$2806.33|$8147.41|$10367.42|$15388.43|$10101.04|$1315.00|$7288.00|$7908.00|$20928.26|$8378.86|$7141.68|$7141.68
"MS-DRG V37 (FY 2020) 884"|"Organic Disturbances And Intellectual Disability"|0.00|$49399.00|$9446.62|$35104.92|$34579.00|$9446.62|$16242.75|$14760.35|$35104.92|$27085.25|$34465.43|$18769.40|$33579.80|$33653.60|$17000.75|$18445.99|$19144.79|$15590.32|$13288.33|$13288.33
"MS-DRG V37 (FY 2020) 885"|"Psychoses"|0.00|$40420.00|$4405.63|$16403.95|$28294.00|$4405.63|$13917.38|$6883.80|$16380.00|$12631.78|$16073.68|$16082.30|$15660.66|$9205.00|$14566.85|$15805.19|$16403.95|$12756.55|$10872.98|$10872.98
"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|$25238.00|$6789.02|$128779.47|$17667.00|$18658.24|$12135.38|$29153.50|$81921.35|$53496.68|$68073.43|$71426.08|$66324.26|$66469.99|$119639.69|$128779.47|$14303.56|$7965.11|$6789.02|$6789.02
"MS-DRG V37 (FY 2020) 894"|"Alcohol, Drug Abuse Or Dependence, Left Ama"|0.00|$20759.00|$1632.16|$9360.00|$14531.00|$1632.16|$6159.38|$2550.25|$9360.00|$4679.71|$5954.83|$7117.50|$5801.82|$5260.00|$6446.81|$6994.86|$7259.85|$6551.54|$5584.17|$5584.17
"MS-DRG V37 (FY 2020) 895"|"Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy"|0.00|$20354.00|$2488.83|$21109.92|$14248.00|$2488.83|$17910.00|$3888.80|$11708.03|$7135.95|$9080.35|$18471.80|$8847.02|$6575.00|$18745.80|$19444.00|$21109.92|$6423.72|$5475.23|$5475.23
"MS-DRG V37 (FY 2020) 896"|"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC"|0.00|$60671.00|$1314.99|$23563.02|$42470.00|$5035.26|$19991.25|$7867.60|$3389.72|$14437.02|$18370.85|$23101.00|$17898.83|$1314.99|$20924.18|$22702.95|$23563.02|$19147.77|$16320.50|$16320.50
"MS-DRG V37 (FY 2020) 897"|"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC"|0.00|$30373.00|$2922.02|$10946.13|$21261.00|$2922.02|$9286.88|$4565.65|$4020.12|$8377.97|$10660.79|$10731.50|$10386.87|$7143.88|$9720.26|$10546.59|$10946.13|$9585.72|$8170.34|$8170.34
"MS-DRG V37 (FY 2020) 901"|"Wound Debridements For Injuries With McC"|0.00|$17359.00|$4669.57|$110407.01|$12151.00|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$56516.77|$5478.50|$4669.57|$4669.57
"MS-DRG V37 (FY 2020) 902"|"Wound Debridements For Injuries With Cc"|0.00|$84423.00|$0.00|$0.00|$59096.00|||||||||||||||
"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|$110640.00|$29762.16|$53315.69|$77448.00|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$49345.76|$34917.98|$29762.16|$29762.16
"MS-DRG V37 (FY 2020) 905"|"Skin Grafts For Injuries Without Cc/McC"|0.00|$43101.00|$11594.17|$44638.57|$30171.00|$12234.99|$18471.38|$19117.14|$22453.07|$35080.02|$44638.57|$17787.25|$43491.59|$43587.09|$19333.37|$20976.91|$21833.92|$13602.68|$11594.17|$11594.17
"MS-DRG V37 (FY 2020) 906"|"Hand Procedures For Injuries"|0.00|$37085.00|$3945.00|$23785.79|$25960.00|$5010.07|$20180.25|$7828.23|$7353.84|$14364.82|$18278.96|$23319.40|$17809.30|$3945.00|$21122.00|$22917.59|$23785.79|$11704.03|$9975.87|$9975.87
"MS-DRG V37 (FY 2020) 907"|"Other O.R. Procedures For Injuries With McC"|0.00|$127354.00|$34258.23|$55587.10|$89148.00|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$52471.15|$40192.92|$34258.23|$34258.23
"MS-DRG V37 (FY 2020) 908"|"Other O.R. Procedures For Injuries With Cc"|0.00|$53782.00|$14467.36|$27545.40|$37647.00|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27055.70|$16973.60|$14467.36|$14467.36
"MS-DRG V37 (FY 2020) 909"|"Other O.R. Procedures For Injuries Without Cc/McC"|0.00|$89554.00|$4816.61|$39290.16|$62688.00|$10769.04|$15467.63|$16826.62|$4816.61|$30876.86|$39290.16|$17873.70|$38280.57|$38364.68|$16189.45|$17565.72|$18227.20|$28263.24|$24090.03|$24090.03
"MS-DRG V37 (FY 2020) 913"|"Traumatic Injury With McC"|0.00|$61314.00|$0.00|$0.00|$42920.00|||||||||||||||
"MS-DRG V37 (FY 2020) 914"|"Traumatic Injury Without McC"|0.00|$24688.00|$1160.96|$11782.84|$17282.00|$1160.96|$9070.00|$1814.00|$2340.00|$3328.70|$4235.70|$8616.50|$4126.85|$1315.00|$9070.00|$9070.00|$11782.84|$7791.53|$6641.07|$6641.07
"MS-DRG V37 (FY 2020) 915"|"Allergic Reactions With McC"|0.00|$47901.00|$3945.00|$23798.92|$33531.00|$6523.04|$19098.00|$10192.24|$10145.98|$18702.77|$23798.92|$22068.80|$23187.38|$3945.00|$19989.24|$21688.54|$22510.18|$15117.56|$12885.37|$12885.37
"MS-DRG V37 (FY 2020) 916"|"Allergic Reactions Without McC"|0.00|$30445.00|$1773.00|$9608.44|$21312.00|$2433.09|$7394.63|$3801.70|$4014.95|$6976.12|$8876.97|$8544.90|$8648.89|$1773.00|$7739.71|$8397.66|$8715.80|$9608.44|$8189.71|$8189.71
"MS-DRG V37 (FY 2020) 917"|"Poisoning And Toxic Effects Of Drugs With McC"|0.00|$55888.00|$14226.31|$22268.88|$39122.00|$22268.88|$14226.31|$14226.31|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$19591.65|$17638.25|$15033.87|$15033.87
"MS-DRG V37 (FY 2020) 918"|"Poisoning And Toxic Effects Of Drugs Without McC"|0.00|$23854.00|$2630.00|$13985.86|$16698.00|$3833.38|$8899.88|$5989.65|$4774.93|$10991.02|$13985.86|$10284.30|$13626.49|$2630.00|$9315.20|$10107.09|$10489.99|$7528.32|$6416.73|$6416.73
"MS-DRG V37 (FY 2020) 919"|"Complications Of Treatment With McC"|0.00|$45787.00|$3470.73|$27347.95|$32051.00|$7256.76|$21950.00|$11338.70|$5408.94|$20806.49|$26475.84|$27347.95|$26200.88|$3470.73|$22985.06|$24933.29|$24324.14|$14450.38|$12316.70|$12316.70
"MS-DRG V37 (FY 2020) 920"|"Complications Of Treatment With Cc"|0.00|$34657.00|$4644.29|$16944.42|$24260.00|$4644.29|$11557.13|$7256.69|$16482.30|$13316.07|$16944.42|$13354.90|$16509.05|$9205.00|$12096.46|$13124.78|$13622.00|$10937.75|$9322.73|$9322.73
"MS-DRG V37 (FY 2020) 921"|"Complications Of Treatment Without Cc/McC"|0.00|$26951.00|$2040.96|$9167.96|$18866.00|$2040.96|$7778.25|$3189.01|$4680.00|$5851.84|$7446.33|$6657.93|$7255.02|$2630.00|$8141.24|$8833.33|$9167.96|$8505.74|$7249.82|$7249.82
"MS-DRG V37 (FY 2020) 922"|"Other Injury, Poisoning And Toxic Effect Diagnoses With McC"|0.00|$65848.00|$8616.74|$31437.62|$46094.00|$8616.74|$17860.50|$13162.45|$10943.52|$24705.80|$31437.62|$20638.80|$30629.84|$30697.14|$18693.99|$20283.18|$21051.58|$20781.63|$17713.11|$17713.11
"MS-DRG V37 (FY 2020) 923"|"Other Injury, Poisoning And Toxic Effect Diagnoses Without McC"|0.00|$41157.00|$1315.00|$12989.15|$28810.00|$2368.41|$10467.00|$3700.65|$2394.00|$6790.70|$8641.02|$12095.20|$8418.99|$1315.00|$10955.46|$11886.79|$12337.10|$12989.15|$11071.23|$11071.23
"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|$6339.96|$44901.01|$81570.00|$6339.96|$38094.75|$9906.17|$16616.60|$18177.90|$23131.00|$32781.30|$22536.61|$9205.00|$39872.51|$43262.09|$44901.01|$36776.55|$31346.30|$31346.30
"MS-DRG V37 (FY 2020) 940"|"O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc"|0.00|$76846.00|$19058.10|$72956.78|$53792.00|$19058.10|$32366.25|$29778.26|$33637.35|$54643.18|$69532.30|$72956.78|$67745.61|$67894.51|$33876.68|$36756.55|$29405.38|$24252.60|$20671.57|$20671.57
"MS-DRG V37 (FY 2020) 941"|"O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC"|0.00|$82343.00|$7862.33|$30827.66|$57640.00|$8449.55|$21652.88|$13202.42|$7862.33|$24226.46|$30827.66|$25021.10|$30035.55|$30101.50|$22663.34|$24589.97|$25521.52|$25987.45|$22150.27|$22150.27
"MS-DRG V37 (FY 2020) 945"|"Rehabilitation With Cc/McC"|0.00|$62086.00|$2855.10|$19687.12|$43460.00|$2855.10|$16702.88|$4461.10|$14040.00|$8186.13|$10416.68|$9983.33|$10149.02|$7890.00|$6456.00|$7008.00|$19687.12|$19594.34|$16701.13|$16701.13
"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|$46050.00|$3241.00|$18725.21|$32235.00|$5132.38|$13388.63|$8019.35|$6466.63|$14715.54|$18725.21|$15471.30|$18244.06|$3241.00|$14013.43|$15204.72|$15780.73|$14533.38|$12387.45|$12387.45
"MS-DRG V37 (FY 2020) 948"|"Signs And Symptoms Without McC"|0.00|$41785.00|$2630.00|$23550.88|$29250.00|$6455.06|$8838.00|$10086.04|$7855.73|$18507.88|$23550.88|$10212.80|$22945.73|$2630.00|$9250.44|$10036.83|$10417.06|$13187.35|$11240.17|$11240.17
"MS-DRG V37 (FY 2020) 949"|"Aftercare With Cc/McC"|0.00|$29776.00|$6128.03|$47875.25|$20843.00|$6128.03|$12454.88|$9575.05|$47875.25|$17570.22|$22357.74|$14392.30|$21783.26|$27615.00|$37714.10|$40682.31|$14680.15|$9397.31|$8009.74|$8009.74
"MS-DRG V37 (FY 2020) 950"|"Aftercare Without Cc/McC"|0.00|$31940.00|$4608.58|$21337.39|$22358.00|$4608.58|$8312.63|$7200.90|$21337.39|$13213.65|$16814.11|$9605.70|$16382.07|$11835.00|$8700.55|$9440.19|$9797.81|$10080.26|$8591.86|$8591.86
"MS-DRG V37 (FY 2020) 951"|"Other Factors Influencing Health Status"|0.00|$24402.00|$2241.85|$8179.27|$17081.00|$2241.85|$7212.38|$3502.90|$6222.39|$6427.82|$8179.27|$4700.00|$7969.10|$3180.00|$6641.00|$7205.00|$7401.73|$7701.27|$6564.14|$6564.14
"MS-DRG V37 (FY 2020) 955"|"Craniotomy For Multiple Significant Trauma"|0.00|$99702.00|$26819.84|$103895.07|$69791.00|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$83378.88|$31465.95|$26819.84|$26819.84
"MS-DRG V37 (FY 2020) 956"|"Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma"|0.00|$98399.00|$26469.33|$119715.70|$68879.00|$27266.21|$77325.27|$42603.45|$119715.70|$78177.35|$99479.08|$104378.47|$96922.91|$97135.89|$45319.62|$49172.27|$51035.09|$31054.72|$26469.33|$26469.33
"MS-DRG V37 (FY 2020) 957"|"Other O.R. Procedures For Multiple Significant Trauma With McC"|0.00|$373773.00|$98399.81|$117962.76|$261641.00|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$98399.81|$117962.76|$100544.94|$100544.94
"MS-DRG V37 (FY 2020) 958"|"Other O.R. Procedures For Multiple Significant Trauma With Cc"|0.00|$144226.00|$24319.16|$106776.35|$100958.00|$24319.16|$47310.75|$37998.69|$106776.35|$69727.60|$88726.95|$93096.80|$86447.09|$86637.03|$49518.59|$53728.19|$55763.60|$45517.73|$38796.79|$38796.79
"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|$75582.00|$4234.84|$36122.89|$52907.00|$8424.48|$30647.25|$13163.24|$4234.84|$24154.56|$30736.18|$4426.83|$29946.40|$30012.20|$12338.00|$13386.00|$36122.89|$23853.68|$20331.56|$20331.56
"MS-DRG V37 (FY 2020) 964"|"Other Multiple Significant Trauma With Cc"|0.00|$81266.00|$5260.00|$25647.55|$56886.00|$6280.13|$16744.50|$9812.70|$9850.68|$18006.32|$22912.69|$15795.27|$22323.91|$5260.00|$17525.91|$19015.80|$19736.18|$25647.55|$21860.55|$21860.55
"MS-DRG V37 (FY 2020) 965"|"Other Multiple Significant Trauma Without Cc/McC"|0.00|$21736.00|$0.00|$0.00|$15215.00|||||||||||||||
"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|$89104.00|$17306.11|$66249.96|$62373.00|$17306.11|$30214.13|$27040.80|$33823.25|$49619.87|$63140.26|$66249.96|$61517.89|$61653.04|$31624.12|$34312.50|$35612.38|$28121.22|$23968.98|$23968.98
"MS-DRG V37 (FY 2020) 975"|"Hiv With Major Related Condition With Cc"|0.00|$89912.00|$13260.84|$48381.35|$62938.00|$13260.84|$14389.88|$20720.06|$31892.35|$38021.29|$48381.35|$16628.30|$47138.17|$47241.72|$15061.40|$16341.78|$16960.87|$28376.23|$24186.33|$24186.33
"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|$82195.00|$14425.82|$52631.73|$57536.00|$14425.82|$14859.00|$22540.36|$48059.46|$41361.55|$52631.73|$17170.40|$51279.32|$51392.00|$15552.42|$16874.54|$17513.81|$25940.74|$22110.46|$22110.46
"MS-DRG V37 (FY 2020) 981"|"Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC"|0.00|$130368.00|$15100.65|$61099.43|$91258.00|$15100.65|$51837.75|$23594.77|$17929.92|$43296.40|$55093.78|$59901.40|$53678.12|$53796.07|$54256.85|$58869.25|$61099.43|$41144.14|$35068.99|$35068.99
"MS-DRG V37 (FY 2020) 982"|"Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc"|0.00|$83643.00|$13596.31|$49605.29|$58550.00|$13596.31|$28590.75|$21244.23|$15337.33|$38983.18|$49605.29|$30496.80|$48330.68|$48436.83|$29924.99|$32468.93|$33696.31|$26397.73|$22499.97|$22499.97
"MS-DRG V37 (FY 2020) 983"|"Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC"|0.00|$48440.00|$8218.42|$29984.40|$33908.00|$8218.42|$18616.50|$12841.27|$18946.28|$23563.73|$29984.40|$21512.40|$29213.95|$29278.17|$19485.27|$21141.72|$21942.65|$15287.66|$13030.36|$13030.36
"MS-DRG V37 (FY 2020) 987"|"Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC"|0.00|$99235.00|$15435.74|$59089.93|$69464.00|$15435.74|$36698.63|$24118.33|$31286.36|$44257.11|$56316.34|$59089.93|$54869.28|$54989.80|$38411.23|$41676.59|$43255.45|$31318.57|$26694.22|$26694.22
"MS-DRG V37 (FY 2020) 988"|"Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc"|0.00|$76664.00|$5539.54|$24195.16|$53665.00|$5539.54|$18921.13|$8655.54|$15758.16|$15882.87|$20210.63|$15758.16|$15758.16|$15758.16|$15758.16|$15758.16|$22286.08|$24195.16|$20622.62|$20622.62
"MS-DRG V37 (FY 2020) 989"|"Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC"|0.00|$55067.00|$5112.14|$32090.21|$38547.00|$8795.61|$12553.88|$13743.15|$5112.14|$25218.67|$32090.21|$14506.70|$31265.67|$31334.38|$13139.72|$14256.74|$14796.83|$17379.15|$14813.02|$14813.02
"MS-DRG V37 (FY 2020) 998"|"Principal Diagnosis Invalid As Discharge Diagnosis"|0.00|$19080.00|$2442.21|$8910.23|$13356.00|$2442.21|$7212.38|$3641.95|$6362.14|$7002.25|$8910.23|$4700.00|$8681.32|$3180.00|$6641.00|$7205.00||||
"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|$2438.00|$567.81|$941.07|$1707.00||||||||||||$941.07|$637.29|$567.81|$567.81
"Custom 11100001"|"HB TELEMETRY MEDICAL/SURGICAL ROOM"|111.00|$2745.00|$639.31|$1059.57|$1921.00||||||||||||$1059.57|$717.54|$639.31|$639.31
"Custom 11100002"|"HB MEDICAL/SURGICAL PRIVATE ROOM L&D HIGH RISK"|111.00|$5885.00|$1370.62|$2271.61|$4120.00||||||||||||$2271.61|$1538.34|$1370.62|$1370.62
"Custom 11200000"|"HB OBSTETRICS PRIVATE ROOM"|112.00|$2741.00|$638.38|$1058.03|$1919.00||||||||||||$1058.03|$716.50|$638.38|$638.38
"Custom 11300000"|"HB PEDIATRIC PRIVATE ROOM"|113.00|$2683.00|$624.87|$1035.64|$1878.00||||||||||||$1035.64|$701.34|$624.87|$624.87
"Custom 12100000"|"HB MEDICAL/SURGICAL SEMI-PRIVATE ROOM"|121.00|$3084.00|$718.26|$1190.42|$2159.00||||||||||||$1190.42|$806.16|$718.26|$718.26
"Custom 17100000"|"HB NEWBORN LEVEL I ROOM"|171.00|$1466.00|$341.43|$565.88|$1026.00||||||||||||$565.88|$383.21|$341.43|$341.43
"Custom 17100001"|"HB NEWBORN LEVEL I; BOARDER BABY ROOM"|171.00|$1466.00|$341.43|$565.88|$1026.00||||||||||||$565.88|$383.21|$341.43|$341.43
"Custom 17200002"|"HB NEWBORN LEVEL II ROOM"|172.00|$4650.00|$1082.99|$1794.90|$3255.00||||||||||||$1794.90|$1215.51|$1082.99|$1082.99
"Custom 17200004"|"HB NEWBORN LEVEL II; TRANSFER ROOM"|172.00|$4266.00|$993.55|$1646.68|$2986.00||||||||||||$1646.68|$1115.13|$993.55|$993.55
"Custom 17300000"|"HB NEWBORN LEVEL III ROOM"|173.00|$6293.00|$1465.64|$2429.10|$4405.00||||||||||||$2429.10|$1644.99|$1465.64|$1465.64
"Custom 17300001"|"HB NEWBORN LEVEL III; TRANSFER ROOM"|173.00|$5774.00|$1344.76|$2228.76|$4042.00||||||||||||$2228.76|$1509.32|$1344.76|$1344.76
"Custom 17300002"|"HB NEWBORN LEVEL III; INTERMEDIATE CARE ROOM"|173.00|$6293.00|$1465.64|$2429.10|$4405.00||||||||||||$2429.10|$1644.99|$1465.64|$1465.64
"Custom 20000000"|"HB ICU ROOM"|200.00|$5885.00|$1370.62|$2271.61|$4120.00||||||||||||$2271.61|$1538.34|$1370.62|$1370.62
"Custom 20600000"|"HB INTERMEDIATE CARE PRIVATE ROOM"|206.00|$4700.00|$1094.63|$1814.20|$3290.00||||||||||||$1814.20|$1228.58|$1094.63|$1094.63
"Custom 20600001"|"HB INTERMEDIATE CARE ICU ROOM"|206.00|$4700.00|$1094.63|$1814.20|$3290.00||||||||||||$1814.20|$1228.58|$1094.63|$1094.63
"Custom 20600002"|"HB TELEMETRY ROOM & BOARD"|206.00|$4700.00|$1094.63|$1814.20|$3290.00||||||||||||$1814.20|$1228.58|$1094.63|$1094.63
"Custom 27200156"|"HB IV BAG EA"|258.00|$258.00|$51.60|$182.66|$181.00||$117.91|$51.60|$182.66|$94.69|$120.49|$129.00|$145.77|$116.10|$133.13|$143.96|$99.59|$67.44|$60.09|$60.09
"Custom 27800087"|"HB IV BAG EACH 500ML/1000ML"|258.00|$242.00|$48.40|$171.34|$169.00||$110.59|$48.40|$171.34|$88.81|$113.01|$121.00|$136.73|$108.90|$124.87|$135.04|$93.41|$63.26|$56.36|$56.36
"Custom 27800088"|"HB IV BAG 250ML OR LESS"|258.00|$91.00|$18.20|$64.43|$64.00||$41.59|$18.20|$64.43|$33.40|$42.50|$45.50|$51.42|$40.95|$46.96|$50.78|$35.13|$23.79|$21.19|$21.19
"CPT® 96360"|"HB HYDRATION IV INFUSION INITIAL; 31 MINUTES TO 1 HOUR"|260.00|$746.00|$149.20|$528.17|$522.00||$340.92|$149.20|$528.17|$273.78|$348.38|$373.00|$421.49|$335.70|$384.94|$416.27|$287.96|$195.00|$173.74|$173.74
"CPT® 96361"|"HB HYDRATE IV INFUSION EACH ADDITIONAL HOUR; ADD-ON"|260.00|$256.00|$51.20|$181.25|$179.00||$116.99|$51.20|$181.25|$93.95|$119.55|$128.00|$144.64|$115.20|$132.10|$142.85|$98.82|$66.92|$59.62|$59.62
"CPT® 96365"|"HB IV INFUSION, MEDICINE (TX/PX/D); INTIAL UP TO 1 HOUR"|260.00|$796.00|$159.20|$563.57|$557.00||$363.77|$159.20|$563.57|$292.13|$371.73|$398.00|$449.74|$358.20|$410.74|$444.17|$307.26|$208.07|$185.39|$185.39
"CPT® 96366"|"HB IV INFUSION, MEDICINE (TX/PX/D); EACH ADDITIONAL HOUR (ADD-ON)"|260.00|$256.00|$51.20|$181.25|$179.00||$116.99|$51.20|$181.25|$93.95|$119.55|$128.00|$144.64|$115.20|$132.10|$142.85|$98.82|$66.92|$59.62|$59.62
"CPT® 96367"|"HB IV INFUSION, MEDICINE (TX/PX/D), ADDL SEQUENTIAL NEW MED; UP TO 1 HOUR"|260.00|$580.00|$116.00|$410.64|$406.00||$265.06|$116.00|$410.64|$212.86|$270.86|$290.00|$327.70|$261.00|$299.28|$323.64|$223.88|$151.61|$135.08|$135.08
"CPT® 96368"|"HB THER/DIAG CONCURRENT INF"|260.00|$344.00|$68.80|$243.55|$241.00||$157.21|$68.80|$243.55|$126.25|$160.65|$172.00|$194.36|$154.80|$177.50|$191.95|$132.78|$89.92|$80.12|$80.12
"CPT® 96369"|"HB SC THER INFUSION UP TO 1 HR"|260.00|$476.00|$95.20|$337.01|$333.00||$217.53|$95.20|$337.01|$174.69|$222.29|$238.00|$268.94|$214.20|$245.62|$265.61|$183.74|$124.43|$110.86|$110.86
"CPT® 96370"|"HB SC THER INFUSION ADDL HR"|260.00|$117.00|$23.40|$82.84|$82.00||$53.47|$23.40|$82.84|$42.94|$54.64|$58.50|$66.11|$52.65|$60.37|$65.29|$45.16|$30.58|$27.25|$27.25
"CPT® 96371"|"HB SC THER INFUSION RESET PUMP"|260.00|$166.00|$33.20|$117.53|$116.00||$75.86|$33.20|$117.53|$60.92|$77.52|$83.00|$93.79|$74.70|$85.66|$92.63|$64.08|$43.39|$38.66|$38.66
"CPT® 96373"|"HB THER/PROPH/DIAG INJ IA"|260.00|$198.00|$39.60|$140.18|$139.00||$90.49|$39.60|$140.18|$72.67|$92.47|$99.00|$111.87|$89.10|$102.17|$110.48|$76.43|$51.76|$46.11|$46.11
"CPT® 96374"|"HB INJECTION IV PUSH; INITIAL DRUG"|260.00|$520.00|$104.00|$368.16|$364.00||$237.64|$104.00|$368.16|$190.84|$242.84|$260.00|$293.80|$234.00|$268.32|$290.16|$200.72|$135.93|$121.11|$121.11
"CPT® 96375"|"HB INJECTION IV PUSH; EACH ADDITIONAL NEW DRUG"|260.00|$520.00|$104.00|$368.16|$364.00||$237.64|$104.00|$368.16|$190.84|$242.84|$260.00|$293.80|$234.00|$268.32|$290.16|$200.72|$135.93|$121.11|$121.11
"CPT® 96376"|"HB IV PUSH, ADDITIONAL, SAME MEDICINE,SEQUENTIAL"|260.00|$520.00|$104.00|$368.16|$364.00||$237.64|$104.00|$368.16|$190.84|$242.84|$260.00|$293.80|$234.00|$268.32|$290.16|$200.72|$135.93|$121.11|$121.11
"CPT® 96523"|"HB IRRIG DRUG DELIVERY DEVICE"|260.00|$530.00|$106.00|$375.24|$371.00||$242.21|$106.00|$375.24|$194.51|$247.51|$265.00|$299.45|$238.50|$273.48|$295.74|$204.58|$138.54|$123.44|$123.44
"Custom 25117022"|"HB LEUKOREDUCTION FILTER, RBC"|270.00|$87.00|$17.40|$61.60|$61.00||$39.76|$17.40|$61.60|$31.93|$40.63|$43.50|$49.16|$39.15|$44.89|$48.55|$33.58|$22.74|$20.26|$20.26
"Custom 26010066"|"HB PROLACT +8: 20ML"|270.00|$402.00|$80.40|$284.62|$281.00||$183.71|$80.40|$284.62|$147.53|$187.73|$201.00|$227.13|$180.90|$207.43|$224.32|$155.17|$105.08|$93.63|$93.63
"Custom 27000005"|"HB 24 IN SHOEHORN"|270.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27000006"|"HB 26 IN REACHER"|270.00|$43.00|$8.60|$30.44|$30.00||$19.65|$8.60|$30.44|$15.78|$20.08|$21.50|$24.30|$19.35|$22.19|$23.99|$16.60|$11.24|$10.01|$10.01
"Custom 27000007"|"HB 30 IN REACHER"|270.00|$60.00|$12.00|$42.48|$42.00||$27.42|$12.00|$42.48|$22.02|$28.02|$30.00|$33.90|$27.00|$30.96|$33.48|$23.16|$15.68|$13.97|$13.97
"Custom 27000008"|"HB ACE 2-3 INCH BNDG"|270.00|$41.00|$8.20|$29.03|$29.00||$18.74|$8.20|$29.03|$15.05|$19.15|$20.50|$23.17|$18.45|$21.16|$22.88|$15.83|$10.72|$9.55|$9.55
"Custom 27000009"|"HB ACE 4-6 INCH BNDG"|270.00|$41.00|$8.20|$29.03|$29.00||$18.74|$8.20|$29.03|$15.05|$19.15|$20.50|$23.17|$18.45|$21.16|$22.88|$15.83|$10.72|$9.55|$9.55
"Custom 27000010"|"HB ACE BANDAGE"|270.00|$42.00|$8.40|$29.74|$29.00||$19.19|$8.40|$29.74|$15.41|$19.61|$21.00|$23.73|$18.90|$21.67|$23.44|$16.21|$10.98|$9.78|$9.78
"Custom 27000012"|"HB AFO"|270.00|$138.00|$27.60|$97.70|$97.00||$63.07|$27.60|$97.70|$50.65|$64.45|$69.00|$77.97|$62.10|$71.21|$77.00|$53.27|$36.07|$32.14|$32.14
"Custom 27000013"|"HB AIRWAY EXCHANGER"|270.00|$241.00|$48.20|$170.63|$169.00||$110.14|$48.20|$170.63|$88.45|$112.55|$120.50|$136.17|$108.45|$124.36|$134.48|$93.03|$63.00|$56.13|$56.13
"Custom 27000015"|"HB ANESTHESIA SETUP SUPPLIES"|270.00|$476.00|$95.20|$337.01|$333.00||$217.53|$95.20|$337.01|$174.69|$222.29|$238.00|$268.94|$214.20|$245.62|$265.61|$183.74|$124.43|$110.86|$110.86
"Custom 27000016"|"HB ANT.OR POST. ELBOW SPLINT"|270.00|$138.00|$27.60|$97.70|$97.00||$63.07|$27.60|$97.70|$50.65|$64.45|$69.00|$77.97|$62.10|$71.21|$77.00|$53.27|$36.07|$32.14|$32.14
"Custom 27000017"|"HB AUTOLOGOUS BLOOD; INTRA-OPERATIVE SALVAGE; SETUP SUPPLIES"|270.00|$437.00|$87.40|$309.40|$306.00||$199.71|$87.40|$309.40|$160.38|$204.08|$218.50|$246.91|$196.65|$225.49|$243.85|$168.68|$114.23|$101.78|$101.78
"Custom 27000018"|"HB AUTOLOGOUS BLOOD; INTRA-OPERATIVE SALVAGE; UTILIZATION SUPPLY"|270.00|$856.00|$171.20|$606.05|$599.00||$391.19|$171.20|$606.05|$314.15|$399.75|$428.00|$483.64|$385.20|$441.70|$477.65|$330.42|$223.76|$199.36|$199.36
"Custom 27000019"|"HB BAKRI BALLOON"|270.00|$872.00|$174.40|$617.38|$610.00||$398.50|$174.40|$617.38|$320.02|$407.22|$436.00|$492.68|$392.40|$449.95|$486.58|$336.59|$227.94|$203.09|$203.09
"Custom 27000020"|"HB BANDAGE ELASTIC ALL SIZES"|270.00|$41.00|$8.20|$29.03|$29.00||$18.74|$8.20|$29.03|$15.05|$19.15|$20.50|$23.17|$18.45|$21.16|$22.88|$15.83|$10.72|$9.55|$9.55
"Custom 27000021"|"HB BATH IN A BAG"|270.00|$15.00|$3.00|$10.62|$10.00||$6.86|$3.00|$10.62|$5.51|$7.01|$7.50|$8.48|$6.75|$7.74|$8.37|$5.79|$3.92|$3.49|$3.49
"Custom 27000024"|"HB BODY/HIGH HUM. HOOD-CHG"|270.00|$105.00|$21.00|$74.34|$74.00||$47.99|$21.00|$74.34|$38.54|$49.04|$52.50|$59.33|$47.25|$54.18|$58.59|$40.53|$27.45|$24.45|$24.45
"Custom 27000027"|"HB BOOT (FOAM) PK/2"|270.00|$246.00|$49.20|$174.17|$172.00||$112.42|$49.20|$174.17|$90.28|$114.88|$123.00|$138.99|$110.70|$126.94|$137.27|$94.96|$64.30|$57.29|$57.29
"Custom 27000030"|"HB CAPILLARY PUNCTURE"|270.00|$114.00|$22.80|$80.71|$80.00||$52.10|$22.80|$80.71|$41.84|$53.24|$57.00|$64.41|$51.30|$58.82|$63.61|$44.00|$29.80|$26.55|$26.55
"Custom 27000034"|"HB CATHETER LEG STRAP"|270.00|$45.00|$9.00|$31.86|$31.00||$20.57|$9.00|$31.86|$16.52|$21.02|$22.50|$25.43|$20.25|$23.22|$25.11|$17.37|$11.76|$10.48|$10.48
"Custom 27000036"|"HB CERVICAL COLLAR"|270.00|$33.00|$6.60|$23.36|$23.00||$15.08|$6.60|$23.36|$12.11|$15.41|$16.50|$18.65|$14.85|$17.03|$18.41|$12.74|$8.63|$7.69|$7.69
"Custom 27000037"|"HB CHUX PK 6"|270.00|$35.00|$7.00|$24.78|$24.00||$16.00|$7.00|$24.78|$12.85|$16.35|$17.50|$19.78|$15.75|$18.06|$19.53|$13.51|$9.15|$8.15|$8.15
"Custom 27000040"|"HB COBAN DSG 3-4 INCH"|270.00|$25.00|$5.00|$17.70|$18.00||$11.43|$5.00|$17.70|$9.18|$11.68|$12.50|$14.13|$11.25|$12.90|$13.95|$9.65|$6.54|$5.82|$5.82
"Custom 27000043"|"HB COLD PACK INSTANT"|270.00|$42.00|$8.40|$29.74|$29.00||$19.19|$8.40|$29.74|$15.41|$19.61|$21.00|$23.73|$18.90|$21.67|$23.44|$16.21|$10.98|$9.78|$9.78
"Custom 27000044"|"HB COMMODE LIFT"|270.00|$272.00|$54.40|$192.58|$190.00||$124.30|$54.40|$192.58|$99.82|$127.02|$136.00|$153.68|$122.40|$140.35|$151.78|$104.99|$71.10|$63.35|$63.35
"Custom 27000045"|"HB CONNECTOR 5 IN 1"|270.00|$16.00|$3.20|$11.33|$11.00||$7.31|$3.20|$11.33|$5.87|$7.47|$8.00|$9.04|$7.20|$8.26|$8.93|$6.18|$4.18|$3.73|$3.73
"Custom 27000046"|"HB CONT AEROSOL/DAY"|270.00|$433.00|$86.60|$306.56|$303.00||$197.88|$86.60|$306.56|$158.91|$202.21|$216.50|$244.65|$194.85|$223.43|$241.61|$167.14|$113.19|$100.85|$100.85
"Custom 27000048"|"HB CPM SETUP"|270.00|$395.00|$79.00|$279.66|$276.00||$180.52|$79.00|$279.66|$144.97|$184.47|$197.50|$223.18|$177.75|$203.82|$220.41|$152.47|$103.25|$92.00|$92.00
"Custom 27000051"|"HB DIAPERS ADULT 6/PK"|270.00|$42.00|$8.40|$29.74|$29.00||$19.19|$8.40|$29.74|$15.41|$19.61|$21.00|$23.73|$18.90|$21.67|$23.44|$16.21|$10.98|$9.78|$9.78
"Custom 27000052"|"HB DISP AMBU ADULT"|270.00|$113.00|$22.60|$80.00|$79.00||$51.64|$22.60|$80.00|$41.47|$52.77|$56.50|$63.85|$50.85|$58.31|$63.05|$43.62|$29.54|$26.32|$26.32
"Custom 27000053"|"HB DONUT CUSHION INFLATABLE"|270.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27000054"|"HB D-RING WRIST BRACE"|270.00|$71.00|$14.20|$50.27|$50.00||$32.45|$14.20|$50.27|$26.06|$33.16|$35.50|$40.12|$31.95|$36.64|$39.62|$27.41|$18.56|$16.54|$16.54
"Custom 27000055"|"HB DRYMOUTH MOUTHWASH"|270.00|$35.00|$7.00|$24.78|$24.00||$16.00|$7.00|$24.78|$12.85|$16.35|$17.50|$19.78|$15.75|$18.06|$19.53|$13.51|$9.15|$8.15|$8.15
"Custom 27000059"|"HB EPIDURAL TRAY"|270.00|$227.00|$45.40|$160.72|$159.00||$103.74|$45.40|$160.72|$83.31|$106.01|$113.50|$128.26|$102.15|$117.13|$126.67|$87.62|$59.34|$52.87|$52.87
"Custom 27000061"|"HB EZPAP AIRWY CLEARNCE DEVICE"|270.00|$93.00|$18.60|$65.84|$65.00||$42.50|$18.60|$65.84|$34.13|$43.43|$46.50|$52.55|$41.85|$47.99|$51.89|$35.90|$24.31|$21.66|$21.66
"Custom 27000062"|"HB FINGER SPLINT/BASKT/STCK/METAL"|270.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27000063"|"HB FOREARM/WRST STATIC SPLNT"|270.00|$55.00|$11.00|$38.94|$38.00||$25.14|$11.00|$38.94|$20.19|$25.69|$27.50|$31.08|$24.75|$28.38|$30.69|$21.23|$14.38|$12.81|$12.81
"Custom 27000064"|"HB FULL VEST THERAPY AIRWY CLEARNCE DEVICE"|270.00|$1203.00|$240.60|$851.72|$842.00||$549.77|$240.60|$851.72|$441.50|$561.80|$601.50|$679.70|$541.35|$620.75|$671.27|$464.36|$314.46|$280.18|$280.18
"Custom 27000066"|"HB GELFOAM PLUS; RESEARCH STUDY"|270.00|$1.00|$0.20|$0.71|$1.00||$0.46|$0.20|$0.71|$0.37|$0.47|$0.50|$0.57|$0.45|$0.52|$0.56|$0.39|$0.26|$0.23|$0.23
"Custom 27000069"|"HB HAND-BASED STATIC SPLNT"|270.00|$42.00|$8.40|$29.74|$29.00||$19.19|$8.40|$29.74|$15.41|$19.61|$21.00|$23.73|$18.90|$21.67|$23.44|$16.21|$10.98|$9.78|$9.78
"Custom 27000070"|"HB HEATING PAD(K PAD)"|270.00|$211.00|$42.20|$149.39|$148.00||$96.43|$42.20|$149.39|$77.44|$98.54|$105.50|$119.22|$94.95|$108.88|$117.74|$81.45|$55.16|$49.14|$49.14
"Custom 27000071"|"HB HEEL/ELBOW PROTECTOR"|270.00|$54.00|$10.80|$38.23|$38.00||$24.68|$10.80|$38.23|$19.82|$25.22|$27.00|$30.51|$24.30|$27.86|$30.13|$20.84|$14.12|$12.58|$12.58
"Custom 27000073"|"HB HIGH FLOW OXYGEN"|270.00|$1251.00|$250.20|$885.71|$876.00||$571.71|$250.20|$885.71|$459.12|$584.22|$625.50|$706.82|$562.95|$645.52|$698.06|$482.89|$327.01|$291.36|$291.36
"Custom 27000074"|"HB HIGH FLOW OXYGEN EQUIPMT CHNGE"|270.00|$307.00|$61.40|$217.36|$215.00||$140.30|$61.40|$217.36|$112.67|$143.37|$153.50|$173.46|$138.15|$158.41|$171.31|$118.50|$80.25|$71.50|$71.50
"Custom 27000075"|"HB HIGH HUMIDITY OXYGEN EACH"|270.00|$177.00|$35.40|$125.32|$124.00||$80.89|$35.40|$125.32|$64.96|$82.66|$88.50|$100.01|$79.65|$91.33|$98.77|$68.32|$46.27|$41.22|$41.22
"Custom 27000076"|"HB HIGH HUMIDITY OXYGEN EACH-DLY"|270.00|$529.00|$105.80|$374.53|$370.00||$241.75|$105.80|$374.53|$194.14|$247.04|$264.50|$298.89|$238.05|$272.96|$295.18|$204.19|$138.28|$123.20|$123.20
"Custom 27000077"|"HB HYDROGEN PEROXIDE"|270.00|$15.00|$3.00|$10.62|$10.00||$6.86|$3.00|$10.62|$5.51|$7.01|$7.50|$8.48|$6.75|$7.74|$8.37|$5.79|$3.92|$3.49|$3.49
"Custom 27000078"|"HB HYPO/HYPER THERMIA PAD"|270.00|$745.00|$149.00|$527.46|$522.00||$340.47|$149.00|$527.46|$273.42|$347.92|$372.50|$420.93|$335.25|$384.42|$415.71|$287.57|$194.74|$173.51|$173.51
"Custom 27000079"|"HB HYPOTHERMIA SURFACE PAD SET"|270.00|$1811.00|$362.20|$1282.19|$1268.00||$827.63|$362.20|$1282.19|$664.64|$845.74|$905.50|$1023.22|$814.95|$934.48|$1010.54|$699.05|$473.40|$421.78|$421.78
"Custom 27000080"|"HB HYPOTHERMIA THERAPY SUPPLIES"|270.00|$3216.00|$643.20|$2276.93|$2251.00||$1469.71|$643.20|$2276.93|$1180.27|$1501.87|$1608.00|$1817.04|$1447.20|$1659.46|$1794.53|$1241.38|$840.66|$749.01|$749.01
"Custom 27000081"|"HB ICE BAG"|270.00|$41.00|$8.20|$29.03|$29.00||$18.74|$8.20|$29.03|$15.05|$19.15|$20.50|$23.17|$18.45|$21.16|$22.88|$15.83|$10.72|$9.55|$9.55
"Custom 27000082"|"HB INFUSION PUMP TUBING"|270.00|$658.00|$131.60|$465.86|$461.00||$300.71|$131.60|$465.86|$241.49|$307.29|$329.00|$371.77|$296.10|$339.53|$367.16|$253.99|$172.00|$153.25|$153.25
"Custom 27000083"|"HB INSUFFLATOR AIRWY CLEARNCE DEVICE"|270.00|$26.00|$5.20|$18.41|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$13.00|$14.69|$11.70|$13.42|$14.51|$10.04|$6.80|$6.06|$6.06
"Custom 27000084"|"HB IODOFORM GAUZE"|270.00|$73.00|$14.60|$51.68|$51.00||$33.36|$14.60|$51.68|$26.79|$34.09|$36.50|$41.25|$32.85|$37.67|$40.73|$28.18|$19.08|$17.00|$17.00
"Custom 27000086"|"HB JED DISPOSABLE MANDIBLE CUPS"|270.00|$94.00|$18.80|$66.55|$66.00||$42.96|$18.80|$66.55|$34.50|$43.90|$47.00|$53.11|$42.30|$48.50|$52.45|$36.28|$24.57|$21.89|$21.89
"Custom 27000088"|"HB KERLIX"|270.00|$24.00|$4.80|$16.99|$17.00||$10.97|$4.80|$16.99|$8.81|$11.21|$12.00|$13.56|$10.80|$12.38|$13.39|$9.26|$6.27|$5.59|$5.59
"Custom 27000091"|"HB KLING BANDAGE"|270.00|$24.00|$4.80|$16.99|$17.00||$10.97|$4.80|$16.99|$8.81|$11.21|$12.00|$13.56|$10.80|$12.38|$13.39|$9.26|$6.27|$5.59|$5.59
"Custom 27000092"|"HB KNEE IMMOBILIZER"|270.00|$165.00|$33.00|$116.82|$115.00||$75.41|$33.00|$116.82|$60.56|$77.06|$82.50|$93.23|$74.25|$85.14|$92.07|$63.69|$43.13|$38.43|$38.43
"Custom 27000094"|"HB LEVEL 1 - SUPPLY CHARGE"|270.00|$195.00|$39.00|$138.06|$136.00||$89.12|$39.00|$138.06|$71.57|$91.07|$97.50|$110.18|$87.75|$100.62|$108.81|$75.27|$50.97|$45.42|$45.42
"Custom 27000095"|"HB LONG HANDLED SPONGE"|270.00|$8.00|$1.60|$5.66|$6.00||$3.66|$1.60|$5.66|$2.94|$3.74|$4.00|$4.52|$3.60|$4.13|$4.46|$3.09|$2.09|$1.86|$1.86
"Custom 27000097"|"HB METANEB CIRCUIT"|270.00|$299.00|$59.80|$211.69|$209.00||$136.64|$59.80|$211.69|$109.73|$139.63|$149.50|$168.94|$134.55|$154.28|$166.84|$115.41|$78.16|$69.64|$69.64
"Custom 27000098"|"HB MICRO MARK CLIP"|270.00|$375.00|$75.00|$265.50|$262.00||$171.38|$75.00|$265.50|$137.63|$175.13|$187.50|$211.88|$168.75|$193.50|$209.25|$144.75|$98.03|$87.34|$87.34
"Custom 27000101"|"HB N.P. TUBE CHANGE"|270.00|$91.00|$18.20|$64.43|$64.00||$41.59|$18.20|$64.43|$33.40|$42.50|$45.50|$51.42|$40.95|$46.96|$50.78|$35.13|$23.79|$21.19|$21.19
"Custom 27000102"|"HB NO STING SKIN SPRAY"|270.00|$44.00|$8.80|$31.15|$31.00||$20.11|$8.80|$31.15|$16.15|$20.55|$22.00|$24.86|$19.80|$22.70|$24.55|$16.98|$11.50|$10.25|$10.25
"Custom 27000103"|"HB NOSE GUARD NG"|270.00|$26.00|$5.20|$18.41|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$13.00|$14.69|$11.70|$13.42|$14.51|$10.04|$6.80|$6.06|$6.06
"Custom 27000106"|"HB ORTHO TAPE/ROLL"|270.00|$78.00|$15.60|$55.22|$55.00||$35.65|$15.60|$55.22|$28.63|$36.43|$39.00|$44.07|$35.10|$40.25|$43.52|$30.11|$20.39|$18.17|$18.17
"Custom 27000107"|"HB OSTOMY PASTE"|270.00|$75.00|$15.00|$53.10|$52.00||$34.28|$15.00|$53.10|$27.53|$35.03|$37.50|$42.38|$33.75|$38.70|$41.85|$28.95|$19.61|$17.47|$17.47
"Custom 27000108"|"HB OSTOMY SKIN BARRIER"|270.00|$31.00|$6.20|$21.95|$22.00||$14.17|$6.20|$21.95|$11.38|$14.48|$15.50|$17.52|$13.95|$16.00|$17.30|$11.97|$8.10|$7.22|$7.22
"Custom 27000110"|"HB OVERLAY MATTRESS"|270.00|$98.00|$19.60|$69.38|$69.00||$44.79|$19.60|$69.38|$35.97|$45.77|$49.00|$55.37|$44.10|$50.57|$54.68|$37.83|$25.62|$22.82|$22.82
"Custom 27000111"|"HB OXYGEN ADMIN BABY"|270.00|$129.00|$25.80|$91.33|$90.00||$58.95|$25.80|$91.33|$47.34|$60.24|$64.50|$72.89|$58.05|$66.56|$71.98|$49.79|$33.72|$30.04|$30.04
"Custom 27000113"|"HB OXYGEN EQUIP S/U OR CHNGE"|270.00|$80.00|$16.00|$56.64|$56.00||$36.56|$16.00|$56.64|$29.36|$37.36|$40.00|$45.20|$36.00|$41.28|$44.64|$30.88|$20.91|$18.63|$18.63
"Custom 27000116"|"HB OXYGEN NASAL CANULA THERAPY"|270.00|$184.00|$36.80|$130.27|$129.00||$84.09|$36.80|$130.27|$67.53|$85.93|$92.00|$103.96|$82.80|$94.94|$102.67|$71.02|$48.10|$42.85|$42.85
"Custom 27000117"|"HB OXYGEN THERAPY; TEMPORARY"|270.00|$134.00|$26.80|$94.87|$94.00||$61.24|$26.80|$94.87|$49.18|$62.58|$67.00|$75.71|$60.30|$69.14|$74.77|$51.72|$35.03|$31.21|$31.21
"Custom 27000118"|"HB OXYGN NASAL CANULA THERAPY DLY"|270.00|$569.00|$113.80|$402.85|$398.00||$260.03|$113.80|$402.85|$208.82|$265.72|$284.50|$321.49|$256.05|$293.60|$317.50|$219.63|$148.74|$132.52|$132.52
"Custom 27000119"|"HB PARACERVICAL TRAY"|270.00|$96.00|$19.20|$67.97|$67.00||$43.87|$19.20|$67.97|$35.23|$44.83|$48.00|$54.24|$43.20|$49.54|$53.57|$37.06|$25.09|$22.36|$22.36
"Custom 27000120"|"HB PASSY MUIR VALVE"|270.00|$642.00|$128.40|$454.54|$449.00||$293.39|$128.40|$454.54|$235.61|$299.81|$321.00|$362.73|$288.90|$331.27|$358.24|$247.81|$167.82|$149.52|$149.52
"Custom 27000122"|"HB PERI PANTS"|270.00|$26.00|$5.20|$18.41|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$13.00|$14.69|$11.70|$13.42|$14.51|$10.04|$6.80|$6.06|$6.06
"Custom 27000125"|"HB PLEURX CATH SYSTEM"|270.00|$2087.00|$417.40|$1477.60|$1461.00||$953.76|$417.40|$1477.60|$765.93|$974.63|$1043.50|$1179.16|$939.15|$1076.89|$1164.55|$805.58|$545.54|$486.06|$486.06
"Custom 27000126"|"HB POSEY SKINSLEEVE SNGL ARM S/M"|270.00|$24.00|$4.80|$16.99|$17.00||$10.97|$4.80|$16.99|$8.81|$11.21|$12.00|$13.56|$10.80|$12.38|$13.39|$9.26|$6.27|$5.59|$5.59
"Custom 27000127"|"HB POST-OP SHOE"|270.00|$87.00|$17.40|$61.60|$61.00||$39.76|$17.40|$61.60|$31.93|$40.63|$43.50|$49.16|$39.15|$44.89|$48.55|$33.58|$22.74|$20.26|$20.26
"Custom 27000128"|"HB PROLACT +4: 20ML"|270.00|$428.00|$85.60|$303.02|$300.00||$195.60|$85.60|$303.02|$157.08|$199.88|$214.00|$241.82|$192.60|$220.85|$238.82|$165.21|$111.88|$99.68|$99.68
"Custom 27000129"|"HB PROLACT +6: 30ML"|270.00|$644.00|$128.80|$455.95|$451.00||$294.31|$128.80|$455.95|$236.35|$300.75|$322.00|$363.86|$289.80|$332.30|$359.35|$248.58|$168.34|$149.99|$149.99
"Custom 27000131"|"HB PROLACT +8: 40ML"|270.00|$841.00|$168.20|$595.43|$589.00||$384.34|$168.20|$595.43|$308.65|$392.75|$420.50|$475.17|$378.45|$433.96|$469.28|$324.63|$219.84|$195.87|$195.87
"Custom 27000132"|"HB PUTTY"|270.00|$16.00|$3.20|$11.33|$11.00||$7.31|$3.20|$11.33|$5.87|$7.47|$8.00|$9.04|$7.20|$8.26|$8.93|$6.18|$4.18|$3.73|$3.73
"Custom 27000136"|"HB REST.HAND/SAFE POS.SPLINT"|270.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$51.50|$58.20|$46.35|$53.15|$57.47|$39.76|$26.92|$23.99|$23.99
"Custom 27000137"|"HB RESTRAINT LIMB"|270.00|$31.00|$6.20|$21.95|$22.00||$14.17|$6.20|$21.95|$11.38|$14.48|$15.50|$17.52|$13.95|$16.00|$17.30|$11.97|$8.10|$7.22|$7.22
"Custom 27000138"|"HB RESTRAINT VEST S/M/L/XL"|270.00|$95.00|$19.00|$67.26|$66.00||$43.42|$19.00|$67.26|$34.87|$44.37|$47.50|$53.68|$42.75|$49.02|$53.01|$36.67|$24.83|$22.13|$22.13
"Custom 27000140"|"HB S:LARYNGEAL MIRRORS"|270.00|$114.00|$22.80|$80.71|$80.00||$52.10|$22.80|$80.71|$41.84|$53.24|$57.00|$64.41|$51.30|$58.82|$63.61|$44.00|$29.80|$26.55|$26.55
"Custom 27000141"|"HB SAFE-TCENTESIS CATH DRAIN"|270.00|$272.00|$54.40|$192.58|$190.00||$124.30|$54.40|$192.58|$99.82|$127.02|$136.00|$153.68|$122.40|$140.35|$151.78|$104.99|$71.10|$63.35|$63.35
"Custom 27000142"|"HB SANITARY PADS/12 PK"|270.00|$26.00|$5.20|$18.41|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$13.00|$14.69|$11.70|$13.42|$14.51|$10.04|$6.80|$6.06|$6.06
"Custom 27000143"|"HB SCALP ELECTRODE"|270.00|$83.00|$16.60|$58.76|$58.00||$37.93|$16.60|$58.76|$30.46|$38.76|$41.50|$46.90|$37.35|$42.83|$46.31|$32.04|$21.70|$19.33|$19.33
"Custom 27000145"|"HB SITZ BATH"|270.00|$130.00|$26.00|$92.04|$91.00||$59.41|$26.00|$92.04|$47.71|$60.71|$65.00|$73.45|$58.50|$67.08|$72.54|$50.18|$33.98|$30.28|$30.28
"Custom 27000146"|"HB SKIN BARRIER CREAM"|270.00|$36.00|$7.20|$25.49|$25.00||$16.45|$7.20|$25.49|$13.21|$16.81|$18.00|$20.34|$16.20|$18.58|$20.09|$13.90|$9.41|$8.38|$8.38
"Custom 27000148"|"HB SKIN OINT ANTIFUNGAL"|270.00|$36.00|$7.20|$25.49|$25.00||$16.45|$7.20|$25.49|$13.21|$16.81|$18.00|$20.34|$16.20|$18.58|$20.09|$13.90|$9.41|$8.38|$8.38
"Custom 27000149"|"HB SKIN WOUND GEL"|270.00|$54.00|$10.80|$38.23|$38.00||$24.68|$10.80|$38.23|$19.82|$25.22|$27.00|$30.51|$24.30|$27.86|$30.13|$20.84|$14.12|$12.58|$12.58
"Custom 27000150"|"HB SLING ARM"|270.00|$53.00|$10.60|$37.52|$37.00||$24.22|$10.60|$37.52|$19.45|$24.75|$26.50|$29.95|$23.85|$27.35|$29.57|$20.46|$13.85|$12.34|$12.34
"Custom 27000151"|"HB SLING/SHOULDER IMMOBILIZER"|270.00|$53.00|$10.60|$37.52|$37.00||$24.22|$10.60|$37.52|$19.45|$24.75|$26.50|$29.95|$23.85|$27.35|$29.57|$20.46|$13.85|$12.34|$12.34
"Custom 27000152"|"HB SOCK AID"|270.00|$42.00|$8.40|$29.74|$29.00||$19.19|$8.40|$29.74|$15.41|$19.61|$21.00|$23.73|$18.90|$21.67|$23.44|$16.21|$10.98|$9.78|$9.78
"Custom 27000154"|"HB SPLINT WRIST"|270.00|$107.00|$21.40|$75.76|$75.00||$48.90|$21.40|$75.76|$39.27|$49.97|$53.50|$60.46|$48.15|$55.21|$59.71|$41.30|$27.97|$24.92|$24.92
"Custom 27000155"|"HB SPLINT/CASTING LONG ARM"|270.00|$60.00|$12.00|$42.48|$42.00||$27.42|$12.00|$42.48|$22.02|$28.02|$30.00|$33.90|$27.00|$30.96|$33.48|$23.16|$15.68|$13.97|$13.97
"Custom 27000156"|"HB SPLINT/CASTING LONG LEG"|270.00|$42.00|$8.40|$29.74|$29.00||$19.19|$8.40|$29.74|$15.41|$19.61|$21.00|$23.73|$18.90|$21.67|$23.44|$16.21|$10.98|$9.78|$9.78
"Custom 27000157"|"HB SPLINT/CASTING LONG LEG/FOOT"|270.00|$44.00|$8.80|$31.15|$31.00||$20.11|$8.80|$31.15|$16.15|$20.55|$22.00|$24.86|$19.80|$22.70|$24.55|$16.98|$11.50|$10.25|$10.25
"Custom 27000158"|"HB SPLINT/CASTING SHORT ARM/HAND"|270.00|$35.00|$7.00|$24.78|$24.00||$16.00|$7.00|$24.78|$12.85|$16.35|$17.50|$19.78|$15.75|$18.06|$19.53|$13.51|$9.15|$8.15|$8.15
"Custom 27000159"|"HB SPLINT/CASTING SHORT LEG"|270.00|$42.00|$8.40|$29.74|$29.00||$19.19|$8.40|$29.74|$15.41|$19.61|$21.00|$23.73|$18.90|$21.67|$23.44|$16.21|$10.98|$9.78|$9.78
"Custom 27000160"|"HB SPLINT/CASTING SHORT LEG/FOOT"|270.00|$42.00|$8.40|$29.74|$29.00||$19.19|$8.40|$29.74|$15.41|$19.61|$21.00|$23.73|$18.90|$21.67|$23.44|$16.21|$10.98|$9.78|$9.78
"Custom 27000163"|"HB STEREO NEEDLE SETS"|270.00|$1041.00|$208.20|$737.03|$729.00||$475.74|$208.20|$737.03|$382.05|$486.15|$520.50|$588.17|$468.45|$537.16|$580.88|$401.83|$272.12|$242.45|$242.45
"Custom 27000165"|"HB STOCKINGS KNEE HI TEDS"|270.00|$75.00|$15.00|$53.10|$52.00||$34.28|$15.00|$53.10|$27.53|$35.03|$37.50|$42.38|$33.75|$38.70|$41.85|$28.95|$19.61|$17.47|$17.47
"Custom 27000166"|"HB STOCKINGS THI HI TEDS"|270.00|$91.00|$18.20|$64.43|$64.00||$41.59|$18.20|$64.43|$33.40|$42.50|$45.50|$51.42|$40.95|$46.96|$50.78|$35.13|$23.79|$21.19|$21.19
"Custom 27000167"|"HB STOOL SCOOP"|270.00|$16.00|$3.20|$11.33|$11.00||$7.31|$3.20|$11.33|$5.87|$7.47|$8.00|$9.04|$7.20|$8.26|$8.93|$6.18|$4.18|$3.73|$3.73
"Custom 27000168"|"HB STOPCOCK 3WAY"|270.00|$17.00|$3.40|$12.04|$12.00||$7.77|$3.40|$12.04|$6.24|$7.94|$8.50|$9.61|$7.65|$8.77|$9.49|$6.56|$4.44|$3.96|$3.96
"Custom 27000170"|"HB CLOSED SUCTION SYSTEM"|270.00|$108.00|$21.60|$76.46|$76.00||$49.36|$21.60|$76.46|$39.64|$50.44|$54.00|$61.02|$48.60|$55.73|$60.26|$41.69|$28.23|$25.15|$25.15
"Custom 27000171"|"HB SUCTION CANNISTER"|270.00|$29.00|$5.80|$20.53|$20.00||$13.25|$5.80|$20.53|$10.64|$13.54|$14.50|$16.39|$13.05|$14.96|$16.18|$11.19|$7.58|$6.75|$6.75
"Custom 27000173"|"HB SUPPLIES - CERCLAGE"|270.00|$1499.00|$299.80|$1061.29|$1049.00||$685.04|$299.80|$1061.29|$550.13|$700.03|$749.50|$846.94|$674.55|$773.48|$836.44|$578.61|$391.84|$349.12|$349.12
"Custom 27000174"|"HB SUPPLIES - HYSTERECTOMY"|270.00|$3214.00|$642.80|$2275.51|$2250.00||$1468.80|$642.80|$2275.51|$1179.54|$1500.94|$1607.00|$1815.91|$1446.30|$1658.42|$1793.41|$1240.60|$840.14|$748.54|$748.54
"Custom 27000175"|"HB SUPPLIES - TUBAL PROCEDURE"|270.00|$680.00|$136.00|$481.44|$476.00||$310.76|$136.00|$481.44|$249.56|$317.56|$340.00|$384.20|$306.00|$350.88|$379.44|$262.48|$177.75|$158.37|$158.37
"Custom 27000181"|"HB TEMP PACER/DAY"|270.00|$384.00|$76.80|$271.87|$269.00||$175.49|$76.80|$271.87|$140.93|$179.33|$192.00|$216.96|$172.80|$198.14|$214.27|$148.22|$100.38|$89.43|$89.43
"Custom 27000182"|"HB THERABAND"|270.00|$4.00|$0.80|$2.83|$3.00||$1.83|$0.80|$2.83|$1.47|$1.87|$2.00|$2.26|$1.80|$2.06|$2.23|$1.54|$1.05|$0.93|$0.93
"Custom 27000184"|"HB TOILET PAPER EXTENDER"|270.00|$25.00|$5.00|$17.70|$18.00||$11.43|$5.00|$17.70|$9.18|$11.68|$12.50|$14.13|$11.25|$12.90|$13.95|$9.65|$6.54|$5.82|$5.82
"Custom 27000185"|"HB TRACH-ARTIFICIAL AIRWAY"|270.00|$421.00|$84.20|$298.07|$295.00||$192.40|$84.20|$298.07|$154.51|$196.61|$210.50|$237.87|$189.45|$217.24|$234.92|$162.51|$110.05|$98.05|$98.05
"Custom 27000187"|"HB TRAPEZE W/ OVERHEAD"|270.00|$198.00|$39.60|$140.18|$139.00||$90.49|$39.60|$140.18|$72.67|$92.47|$99.00|$111.87|$89.10|$102.17|$110.48|$76.43|$51.76|$46.11|$46.11
"Custom 27000193"|"HB TROM BRACE"|270.00|$434.00|$86.80|$307.27|$304.00||$198.34|$86.80|$307.27|$159.28|$202.68|$217.00|$245.21|$195.30|$223.94|$242.17|$167.52|$113.45|$101.08|$101.08
"Custom 27000194"|"HB TUBIGRIP, PER YD"|270.00|$6.00|$1.20|$4.25|$4.00||$2.74|$1.20|$4.25|$2.20|$2.80|$3.00|$3.39|$2.70|$3.10|$3.35|$2.32|$1.57|$1.40|$1.40
"Custom 27000195"|"HB TUBING EPIDURAL PUMP SET"|270.00|$338.00|$67.60|$239.30|$237.00||$154.47|$67.60|$239.30|$124.05|$157.85|$169.00|$190.97|$152.10|$174.41|$188.60|$130.47|$88.35|$78.72|$78.72
"Custom 27000196"|"HB TUBING INFUSION PUMP"|270.00|$654.00|$130.80|$463.03|$458.00||$298.88|$130.80|$463.03|$240.02|$305.42|$327.00|$369.51|$294.30|$337.46|$364.93|$252.44|$170.96|$152.32|$152.32
"Custom 27000199"|"HB URINE COLLECTOR"|270.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27000200"|"HB URINE STRAINER"|270.00|$16.00|$3.20|$11.33|$11.00||$7.31|$3.20|$11.33|$5.87|$7.47|$8.00|$9.04|$7.20|$8.26|$8.93|$6.18|$4.18|$3.73|$3.73
"Custom 27000201"|"HB UROSTOMY POUCH"|270.00|$25.00|$5.00|$17.70|$18.00||$11.43|$5.00|$17.70|$9.18|$11.68|$12.50|$14.13|$11.25|$12.90|$13.95|$9.65|$6.54|$5.82|$5.82
"Custom 27000203"|"HB UTERINE PRESSURE CATH"|270.00|$274.00|$54.80|$193.99|$192.00||$125.22|$54.80|$193.99|$100.56|$127.96|$137.00|$154.81|$123.30|$141.38|$152.89|$105.76|$71.62|$63.81|$63.81
"Custom 27000205"|"HB VENT CIRCUIT CONV - CHG"|270.00|$264.00|$52.80|$186.91|$185.00||$120.65|$52.80|$186.91|$96.89|$123.29|$132.00|$149.16|$118.80|$136.22|$147.31|$101.90|$69.01|$61.49|$61.49
"Custom 27000206"|"HB VENT CIRCUIT JET - CHG"|270.00|$307.00|$61.40|$217.36|$215.00||$140.30|$61.40|$217.36|$112.67|$143.37|$153.50|$173.46|$138.15|$158.41|$171.31|$118.50|$80.25|$71.50|$71.50
"Custom 27000210"|"HB WHEELCHAIR PAD EGGCRATE"|270.00|$44.00|$8.80|$31.15|$31.00||$20.11|$8.80|$31.15|$16.15|$20.55|$22.00|$24.86|$19.80|$22.70|$24.55|$16.98|$11.50|$10.25|$10.25
"Custom 27000212"|"HB WRAP AROUND VEST THERAPY AIRWY CLEARNCE DEVICE"|270.00|$557.00|$111.40|$394.36|$390.00||$254.55|$111.40|$394.36|$204.42|$260.12|$278.50|$314.71|$250.65|$287.41|$310.81|$215.00|$145.60|$129.73|$129.73
"Custom 27000310"|"HB ANGIO CATH"|270.00|$30.00|$6.00|$21.24|$21.00||$13.71|$6.00|$21.24|$11.01|$14.01|$15.00|$16.95|$13.50|$15.48|$16.74|$11.58|$7.84|$6.99|$6.99
"Custom 27000763"|"HB HIFLO NASAL CANNULA NO HEAT"|270.00|$81.00|$16.20|$57.35|$57.00||$37.02|$16.20|$57.35|$29.73|$37.83|$40.50|$45.77|$36.45|$41.80|$45.20|$31.27|$21.17|$18.86|$18.86
"Custom 27000811"|"HB INCENTIVE SPIROMETERS"|270.00|$28.00|$5.60|$19.82|$20.00||$12.80|$5.60|$19.82|$10.28|$13.08|$14.00|$15.82|$12.60|$14.45|$15.62|$10.81|$7.32|$6.52|$6.52
"Custom 27000842"|"HB IV CATHETER"|270.00|$27.00|$5.40|$19.12|$19.00||$12.34|$5.40|$19.12|$9.91|$12.61|$13.50|$15.26|$12.15|$13.93|$15.07|$10.42|$7.06|$6.29|$6.29
"Custom 27000843"|"HB IV D5.9% SODIUM CHLR 1000ML"|270.00|$28.00|$5.60|$19.82|$20.00||$12.80|$5.60|$19.82|$10.28|$13.08|$14.00|$15.82|$12.60|$14.45|$15.62|$10.81|$7.32|$6.52|$6.52
"Custom 27000852"|"HB IV TUBING CONTINUE FLOW"|270.00|$78.00|$15.60|$55.22|$55.00||$35.65|$15.60|$55.22|$28.63|$36.43|$39.00|$44.07|$35.10|$40.25|$43.52|$30.11|$20.39|$18.17|$18.17
"Custom 27000879"|"HB LACERATION TRAY"|270.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$42.31|$45.76|$31.65|$21.43|$19.10|$19.10
"Custom 27000892"|"HB MASK ADULT OXY W/7TUBING"|270.00|$72.00|$14.40|$50.98|$50.00||$32.90|$14.40|$50.98|$26.42|$33.62|$36.00|$40.68|$32.40|$37.15|$40.18|$27.79|$18.82|$16.77|$16.77
"Custom 27000913"|"HB MASK PEDS (NEBULIZER)"|270.00|$7.00|$1.40|$4.96|$5.00||$3.20|$1.40|$4.96|$2.57|$3.27|$3.50|$3.96|$3.15|$3.61|$3.91|$2.70|$1.83|$1.63|$1.63
"Custom 27000927"|"HB MDI SPACER"|270.00|$57.00|$11.40|$40.36|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$28.50|$32.21|$25.65|$29.41|$31.81|$22.00|$14.90|$13.28|$13.28
"Custom 27000936"|"HB MEROCEL NASAL SPONGE"|270.00|$36.00|$7.20|$25.49|$25.00||$16.45|$7.20|$25.49|$13.21|$16.81|$18.00|$20.34|$16.20|$18.58|$20.09|$13.90|$9.41|$8.38|$8.38
"Custom 27000945"|"HB MONITOR CARDIAC"|270.00|$240.00|$48.00|$169.92|$168.00||$109.68|$48.00|$169.92|$88.08|$112.08|$120.00|$135.60|$108.00|$123.84|$133.92|$92.64|$62.74|$55.90|$55.90
"Custom 27000969"|"HB NEBULIZER TREATMENT HAND"|270.00|$203.00|$40.60|$143.72|$142.00||$92.77|$40.60|$143.72|$74.50|$94.80|$101.50|$114.70|$91.35|$104.75|$113.27|$78.36|$53.06|$47.28|$47.28
"Custom 27000970"|"HB NEBULIZER WITHOUT MASK 1734"|270.00|$6.00|$1.20|$4.25|$4.00||$2.74|$1.20|$4.25|$2.20|$2.80|$3.00|$3.39|$2.70|$3.10|$3.35|$2.32|$1.57|$1.40|$1.40
"Custom 27001000"|"HB NIPPLE SHIELD-REGULAR"|270.00|$23.00|$4.60|$16.28|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$11.87|$12.83|$8.88|$6.01|$5.36|$5.36
"Custom 27001046"|"HB OXYGEN THERAPY PER DAY"|270.00|$485.00|$97.00|$343.38|$340.00||$221.65|$97.00|$343.38|$178.00|$226.50|$242.50|$274.03|$218.25|$250.26|$270.63|$187.21|$126.78|$112.96|$112.96
"Custom 27001049"|"HB PACEMAKER EXT PER DAY"|270.00|$579.00|$115.80|$409.93|$405.00||$264.60|$115.80|$409.93|$212.49|$270.39|$289.50|$327.14|$260.55|$298.76|$323.08|$223.49|$151.35|$134.85|$134.85
"Custom 27001173"|"HB RAPID RHINO 4.5 RR450 S.0."|270.00|$303.00|$60.60|$214.52|$212.00||$138.47|$60.60|$214.52|$111.20|$141.50|$151.50|$171.20|$136.35|$156.35|$169.07|$116.96|$79.20|$70.57|$70.57
"Custom 27001407"|"HB SUTURE 1670H 4-0 NYLON"|270.00|$366.00|$73.20|$259.13|$256.00||$167.26|$73.20|$259.13|$134.32|$170.92|$183.00|$206.79|$164.70|$188.86|$204.23|$141.28|$95.67|$85.24|$85.24
"Custom 27001423"|"HB SUTURE MONOCRYL 5-0 Y493"|270.00|$98.00|$19.60|$69.38|$69.00||$44.79|$19.60|$69.38|$35.97|$45.77|$49.00|$55.37|$44.10|$50.57|$54.68|$37.83|$25.62|$22.82|$22.82
"Custom 27001631"|"HB VAG SPEC"|270.00|$31.00|$6.20|$21.95|$22.00||$14.17|$6.20|$21.95|$11.38|$14.48|$15.50|$17.52|$13.95|$16.00|$17.30|$11.97|$8.10|$7.22|$7.22
"Custom 27001634"|"HB NIF SUPPLY"|270.00|$270.00|$54.00|$191.16|$189.00||$123.39|$54.00|$191.16|$99.09|$126.09|$135.00|$152.55|$121.50|$139.32|$150.66|$104.22|$70.58|$62.88|$62.88
"Custom 27001654"|"HB ANES IV TUBING SECONDARY"|270.00|$30.00|$6.00|$21.24|$21.00||$13.71|$6.00|$21.24|$11.01|$14.01|$15.00|$16.95|$13.50|$15.48|$16.74|$11.58|$7.84|$6.99|$6.99
"Custom 27001660"|"HB CLAVE CONNECTOR"|270.00|$7.00|$1.40|$4.96|$5.00||$3.20|$1.40|$4.96|$2.57|$3.27|$3.50|$3.96|$3.15|$3.61|$3.91|$2.70|$1.83|$1.63|$1.63
"Custom 27001705"|"HB OXISENSOR DISP"|270.00|$168.00|$33.60|$118.94|$118.00||$76.78|$33.60|$118.94|$61.66|$78.46|$84.00|$94.92|$75.60|$86.69|$93.74|$64.85|$43.92|$39.13|$39.13
"HCPCS A6530"|"HB COMP GAR,BK 18-30,EA M"|270.00|$135.00|$27.00|$95.58|$94.00||$61.70|$27.00|$95.58|$49.55|$63.05|$67.50|$76.28|$60.75|$69.66|$75.33|$52.11|$35.29|$31.44|$31.44
"HCPCS A8003"|"HB HELMET,PROT,HARD, CUSTOM"|270.00|$3885.00|$777.00|$2750.58|$2720.00||$1775.45|$777.00|$2750.58|$1425.80|$1814.30|$1942.50|$2195.03|$1748.25|$2004.66|$2167.83|$1499.61|$1015.54|$904.82|$904.82
"HCPCS E0484"|"HB ACAPELLA AIRWY CLEARNCE DEVICE"|270.00|$157.00|$31.40|$111.16|$110.00||$71.75|$31.40|$111.16|$57.62|$73.32|$78.50|$88.71|$70.65|$81.01|$87.61|$60.60|$41.04|$36.57|$36.57
"HCPCS S8185"|"HB FLUTTER AIRWAY CLEARNCE DEVICE"|270.00|$179.00|$35.80|$126.73|$125.00||$81.80|$35.80|$126.73|$65.69|$83.59|$89.50|$101.14|$80.55|$92.36|$99.88|$69.09|$46.79|$41.69|$41.69
"HCPCS E0484"|"HB THERAPAP AIRWY CLEARNCE DEVICE"|270.00|$157.00|$31.40|$111.16|$110.00||$71.75|$31.40|$111.16|$57.62|$73.32|$78.50|$88.71|$70.65|$81.01|$87.61|$60.60|$41.04|$36.57|$36.57
"Custom 27001711"|"HB ELASTIC SHOELACES"|270.00|$5.00|$1.00|$3.54|$4.00||$2.29|$1.00|$3.54|$1.84|$2.34|$2.50|$2.83|$2.25|$2.58|$2.79|$1.93|$1.31|$1.16|$1.16
"Custom 27001712"|"HB ILIZAROV FOOT PLATE"|270.00|$120.00|$24.00|$84.96|$84.00||$54.84|$24.00|$84.96|$44.04|$56.04|$60.00|$67.80|$54.00|$61.92|$66.96|$46.32|$31.37|$27.95|$27.95
"Custom 27001714"|"HB AERO CHAMBER DEVICE FOR MDI"|270.00|$35.00|$7.00|$24.78|$24.00||$16.00|$7.00|$24.78|$12.85|$16.35|$17.50|$19.78|$15.75|$18.06|$19.53|$13.51|$9.15|$8.15|$8.15
"Custom 27001715"|"HB OSTOMY ADHESIVE REM BX"|270.00|$73.00|$14.60|$51.68|$51.00||$33.36|$14.60|$51.68|$26.79|$34.09|$36.50|$41.25|$32.85|$37.67|$40.73|$28.18|$19.08|$17.00|$17.00
"Custom 27001716"|"HB ATHLETIC SUPPORT"|270.00|$58.00|$11.60|$41.06|$41.00||$26.51|$11.60|$41.06|$21.29|$27.09|$29.00|$32.77|$26.10|$29.93|$32.36|$22.39|$15.16|$13.51|$13.51
"HCPCS A6530"|"HB COMP GAR,BK 18-30,EA,G"|270.00|$133.00|$26.60|$94.16|$93.00||$60.78|$26.60|$94.16|$48.81|$62.11|$66.50|$75.15|$59.85|$68.63|$74.21|$51.34|$34.77|$30.98|$30.98
"HCPCS A6533"|"HB COMP GAR,THIGH,18-30,EA,M"|270.00|$186.00|$37.20|$131.69|$130.00||$85.00|$37.20|$131.69|$68.26|$86.86|$93.00|$105.09|$83.70|$95.98|$103.79|$71.80|$48.62|$43.32|$43.32
"HCPCS A6533"|"HB COMP GAR,THIGH,18-30,EA,G"|270.00|$183.00|$36.60|$129.56|$128.00||$83.63|$36.60|$129.56|$67.16|$85.46|$91.50|$103.40|$82.35|$94.43|$102.11|$70.64|$47.84|$42.62|$42.62
"Custom 27001807"|"HB REFILLABLE ICE BAG WITH CAP"|270.00|$25.00|$5.00|$17.70|$18.00||$11.43|$5.00|$17.70|$9.18|$11.68|$12.50|$14.13|$11.25|$12.90|$13.95|$9.65|$6.54|$5.82|$5.82
"Custom 27001812"|"HB WRIST SPLINT/VELCRO"|270.00|$108.00|$21.60|$76.46|$76.00||$49.36|$21.60|$76.46|$39.64|$50.44|$54.00|$61.02|$48.60|$55.73|$60.26|$41.69|$28.23|$25.15|$25.15
"Custom 27001825"|"HB BILI BLANKET COVER"|270.00|$12.00|$2.40|$8.50|$8.00||$5.48|$2.40|$8.50|$4.40|$5.60|$6.00|$6.78|$5.40|$6.19|$6.70|$4.63|$3.14|$2.79|$2.79
"Custom 27001827"|"HB OXIMETER PROBE DISP"|270.00|$162.00|$32.40|$114.70|$113.00||$74.03|$32.40|$114.70|$59.45|$75.65|$81.00|$91.53|$72.90|$83.59|$90.40|$62.53|$42.35|$37.73|$37.73
"Custom 27001828"|"HB BIPAP MASK REPLACEMENT"|270.00|$149.00|$29.80|$105.49|$104.00||$68.09|$29.80|$105.49|$54.68|$69.58|$74.50|$84.19|$67.05|$76.88|$83.14|$57.51|$38.95|$34.70|$34.70
"Custom 27001829"|"HB PROLACT +4 10ML 270"|270.00|$189.00|$37.80|$133.81|$132.00||$86.37|$37.80|$133.81|$69.36|$88.26|$94.50|$106.79|$85.05|$97.52|$105.46|$72.95|$49.40|$44.02|$44.02
"Custom 27001830"|"HB PROLACT +10 50ML"|270.00|$946.00|$189.20|$669.77|$662.00||$432.32|$189.20|$669.77|$347.18|$441.78|$473.00|$534.49|$425.70|$488.14|$527.87|$365.16|$247.28|$220.32|$220.32
"Custom 27001833"|"HB OXISENSOR DISP"|270.00|$165.00|$33.00|$116.82|$115.00||$75.41|$33.00|$116.82|$60.56|$77.06|$82.50|$93.23|$74.25|$85.14|$92.07|$63.69|$43.13|$38.43|$38.43
"Custom 27001862"|"HB CLAVE"|270.00|$7.00|$1.40|$4.96|$5.00||$3.20|$1.40|$4.96|$2.57|$3.27|$3.50|$3.96|$3.15|$3.61|$3.91|$2.70|$1.83|$1.63|$1.63
"Custom 27001863"|"HB ULTRASOUND GEL CAP"|270.00|$27.00|$5.40|$19.12|$19.00||$12.34|$5.40|$19.12|$9.91|$12.61|$13.50|$15.26|$12.15|$13.93|$15.07|$10.42|$7.06|$6.29|$6.29
"Custom 27200207"|"HB OXYGEN ADMIN MOTHER"|270.00|$83.00|$16.60|$58.76|$58.00||$37.93|$16.60|$58.76|$30.46|$38.76|$41.50|$46.90|$37.35|$42.83|$46.31|$32.04|$21.70|$19.33|$19.33
"Custom 27200243"|"HB RESTRAINT POSEY NEONATAL"|270.00|$24.00|$4.80|$16.99|$17.00||$10.97|$4.80|$16.99|$8.81|$11.21|$12.00|$13.56|$10.80|$12.38|$13.39|$9.26|$6.27|$5.59|$5.59
"HCPCS L3260"|"HB SURG BOOT,SHOE EA"|270.00|$472.00|$94.40|$334.18|$330.00||$215.70|$94.40|$334.18|$173.22|$220.42|$236.00|$266.68|$212.40|$243.55|$263.38|$182.19|$123.38|$109.93|$109.93
"Custom 27100000"|"HB RX 271 NON-STERILE MEDICAL AND SURGICAL SUPPLY"|271.00|$373.00|$74.60|$264.08|$261.00||$170.46|$74.60|$264.08|$136.89|$174.19|$186.50|$210.75|$167.85|$192.47|$208.13|$143.98|$97.50|$86.87|$86.87
"Custom 27100001"|"HB IV HOUSE ULTRADRESSING 330L"|271.00|$54.00|$10.80|$38.23|$38.00||$24.68|$10.80|$38.23|$19.82|$25.22|$27.00|$30.51|$24.30|$27.86|$30.13|$20.84|$14.12|$12.58|$12.58
"Custom 27100002"|"HB ULTRA-DOME IV HOUSE 330M"|271.00|$54.00|$10.80|$38.23|$38.00||$24.68|$10.80|$38.23|$19.82|$25.22|$27.00|$30.51|$24.30|$27.86|$30.13|$20.84|$14.12|$12.58|$12.58
"Custom 27100003"|"HB ULTRA-DOMEIV HOUSE 330M 2S"|271.00|$50.00|$10.00|$35.40|$35.00||$22.85|$10.00|$35.40|$18.35|$23.35|$25.00|$28.25|$22.50|$25.80|$27.90|$19.30|$13.07|$11.65|$11.65
"Custom 27100011"|"HB AIRCAST"|271.00|$247.00|$49.40|$174.88|$173.00||$112.88|$49.40|$174.88|$90.65|$115.35|$123.50|$139.56|$111.15|$127.45|$137.83|$95.34|$64.57|$57.53|$57.53
"Custom 27100019"|"HB COMPRESSED AIR DLY CHARGE"|271.00|$93.00|$18.60|$65.84|$65.00||$42.50|$18.60|$65.84|$34.13|$43.43|$46.50|$52.55|$41.85|$47.99|$51.89|$35.90|$24.31|$21.66|$21.66
"Custom 27100023"|"HB HELIOX"|271.00|$597.00|$119.40|$422.68|$418.00||$272.83|$119.40|$422.68|$219.10|$278.80|$298.50|$337.31|$268.65|$308.05|$333.13|$230.44|$156.06|$139.04|$139.04
"Custom 27100038"|"HB PILL SPLITTER"|271.00|$10.00|$2.00|$7.08|$7.00||$4.57|$2.00|$7.08|$3.67|$4.67|$5.00|$5.65|$4.50|$5.16|$5.58|$3.86|$2.61|$2.33|$2.33
"Custom 27100039"|"HB PILL CRUSHER"|271.00|$22.00|$4.40|$15.58|$15.00||$10.05|$4.40|$15.58|$8.07|$10.27|$11.00|$12.43|$9.90|$11.35|$12.28|$8.49|$5.75|$5.12|$5.12
"Custom 27100047"|"HB DRESS MEPILEX PLAIN 4X4"|271.00|$60.00|$12.00|$42.48|$42.00||$27.42|$12.00|$42.48|$22.02|$28.02|$30.00|$33.90|$27.00|$30.96|$33.48|$23.16|$15.68|$13.97|$13.97
"Custom 27103112"|"HB SPLINT FINGER FOLDED LARGE ALUMINUM FOAM"|271.00|$188.00|$37.60|$133.10|$132.00||$85.92|$37.60|$133.10|$69.00|$87.80|$94.00|$106.22|$84.60|$97.01|$104.90|$72.57|$49.14|$43.79|$43.79
"Custom 27103206"|"HB SPLINT THUMB COMFORT COOL CMC RESTRICTION RL"|271.00|$262.00|$52.40|$185.50|$183.00||$119.73|$52.40|$185.50|$96.15|$122.35|$131.00|$148.03|$117.90|$135.19|$146.20|$101.13|$68.49|$61.02|$61.02
"Custom 27103249"|"HB CANNULA NASAL ADULT"|271.00|$345.00|$69.00|$244.26|$241.00||$157.67|$69.00|$244.26|$126.62|$161.12|$172.50|$194.93|$155.25|$178.02|$192.51|$133.17|$90.18|$80.35|$80.35
"Custom 27103250"|"HB CANNULA NASAL PEDIATRIC"|271.00|$345.00|$69.00|$244.26|$241.00||$157.67|$69.00|$244.26|$126.62|$161.12|$172.50|$194.93|$155.25|$178.02|$192.51|$133.17|$90.18|$80.35|$80.35
"Custom 27103256"|"HB PUMP SYNCHROMED REFILL KIT"|271.00|$323.00|$64.60|$228.68|$226.00||$147.61|$64.60|$228.68|$118.54|$150.84|$161.50|$182.50|$145.35|$166.67|$180.23|$124.68|$84.43|$75.23|$75.23
"Custom 27200015"|"HB 35ML ORAL DISPENSER"|272.00|$3.00|$0.60|$2.12|$2.00||$1.37|$0.60|$2.12|$1.10|$1.40|$1.50|$1.70|$1.35|$1.55|$1.67|$1.16|$0.78|$0.70|$0.70
"Custom 27200016"|"HB 3M NEONATAL ELECTRODE"|272.00|$24.00|$4.80|$16.99|$17.00||$10.97|$4.80|$16.99|$8.81|$11.21|$12.00|$13.56|$10.80|$12.38|$13.39|$9.26|$6.27|$5.59|$5.59
"Custom 27200017"|"HB 60ML ORAL DISPENSER"|272.00|$3.00|$0.60|$2.12|$2.00||$1.37|$0.60|$2.12|$1.10|$1.40|$1.50|$1.70|$1.35|$1.55|$1.67|$1.16|$0.78|$0.70|$0.70
"Custom 27200018"|"HB ABD PAD EACH"|272.00|$16.00|$3.20|$11.33|$11.00||$7.31|$3.20|$11.33|$5.87|$7.47|$8.00|$9.04|$7.20|$8.26|$8.93|$6.18|$4.18|$3.73|$3.73
"Custom 27200019"|"HB ABG HEPARIN SYRINGE"|272.00|$16.00|$3.20|$11.33|$11.00||$7.31|$3.20|$11.33|$5.87|$7.47|$8.00|$9.04|$7.20|$8.26|$8.93|$6.18|$4.18|$3.73|$3.73
"Custom 27200021"|"HB ADLT NASAL RAE TUBE"|272.00|$86.00|$17.20|$60.89|$60.00||$39.30|$17.20|$60.89|$31.56|$40.16|$43.00|$48.59|$38.70|$44.38|$47.99|$33.20|$22.48|$20.03|$20.03
"Custom 27200022"|"HB ADLT ORAL RAE TUBE"|272.00|$86.00|$17.20|$60.89|$60.00||$39.30|$17.20|$60.89|$31.56|$40.16|$43.00|$48.59|$38.70|$44.38|$47.99|$33.20|$22.48|$20.03|$20.03
"Custom 27200023"|"HB ADULT AMBU"|272.00|$109.00|$21.80|$77.17|$76.00||$49.81|$21.80|$77.17|$40.00|$50.90|$54.50|$61.59|$49.05|$56.24|$60.82|$42.07|$28.49|$25.39|$25.39
"Custom 27200025"|"HB AMNI-HOOK MEMBRANE PERF"|272.00|$15.00|$3.00|$10.62|$10.00||$6.86|$3.00|$10.62|$5.51|$7.01|$7.50|$8.48|$6.75|$7.74|$8.37|$5.79|$3.92|$3.49|$3.49
"Custom 27200027"|"HB ANOSCOPE"|272.00|$15.00|$3.00|$10.62|$10.00||$6.86|$3.00|$10.62|$5.51|$7.01|$7.50|$8.48|$6.75|$7.74|$8.37|$5.79|$3.92|$3.49|$3.49
"Custom 27200028"|"HB APPLICATOR CHLORAPREP 26ML"|272.00|$50.00|$10.00|$35.40|$35.00||$22.85|$10.00|$35.40|$18.35|$23.35|$25.00|$28.25|$22.50|$25.80|$27.90|$19.30|$13.07|$11.65|$11.65
"Custom 27200029"|"HB AQUACEL 4X4"|272.00|$65.00|$13.00|$46.02|$46.00||$29.71|$13.00|$46.02|$23.86|$30.36|$32.50|$36.73|$29.25|$33.54|$36.27|$25.09|$16.99|$15.14|$15.14
"Custom 27200031"|"HB ARTERIAL LINE"|272.00|$562.00|$112.40|$397.90|$393.00||$256.83|$112.40|$397.90|$206.25|$262.45|$281.00|$317.53|$252.90|$289.99|$313.60|$216.93|$146.91|$130.89|$130.89
"Custom 27200032"|"HB ARTERIAL LINE/DAY"|272.00|$416.00|$83.20|$294.53|$291.00||$190.11|$83.20|$294.53|$152.67|$194.27|$208.00|$235.04|$187.20|$214.66|$232.13|$160.58|$108.74|$96.89|$96.89
"Custom 27200033"|"HB AUTOSYRINGE TUBING"|272.00|$26.00|$5.20|$18.41|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$13.00|$14.69|$11.70|$13.42|$14.51|$10.04|$6.80|$6.06|$6.06
"Custom 27200034"|"HB BABY KIT"|272.00|$37.00|$7.40|$26.20|$26.00||$16.91|$7.40|$26.20|$13.58|$17.28|$18.50|$20.91|$16.65|$19.09|$20.65|$14.28|$9.67|$8.62|$8.62
"Custom 27200035"|"HB BAIR HUGGER BLANKET"|272.00|$109.00|$21.80|$77.17|$76.00||$49.81|$21.80|$77.17|$40.00|$50.90|$54.50|$61.59|$49.05|$56.24|$60.82|$42.07|$28.49|$25.39|$25.39
"Custom 27200036"|"HB BAKRI POSTPARTUM BALLOON-COOK"|272.00|$795.00|$159.00|$562.86|$556.00||$363.32|$159.00|$562.86|$291.77|$371.27|$397.50|$449.18|$357.75|$410.22|$443.61|$306.87|$207.81|$185.16|$185.16
"Custom 27200037"|"HB BANDAGE-ADHESIVE 6X8"|272.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27200038"|"HB BETADINE SOL 4OZ"|272.00|$16.00|$3.20|$11.33|$11.00||$7.31|$3.20|$11.33|$5.87|$7.47|$8.00|$9.04|$7.20|$8.26|$8.93|$6.18|$4.18|$3.73|$3.73
"Custom 27200039"|"HB BILI EYE SHIELDS"|272.00|$24.00|$4.80|$16.99|$17.00||$10.97|$4.80|$16.99|$8.81|$11.21|$12.00|$13.56|$10.80|$12.38|$13.39|$9.26|$6.27|$5.59|$5.59
"Custom 27200042"|"HB BLOOD PUMP TUBING W/FILTER"|272.00|$730.00|$146.00|$516.84|$511.00||$333.61|$146.00|$516.84|$267.91|$340.91|$365.00|$412.45|$328.50|$376.68|$407.34|$281.78|$190.82|$170.02|$170.02
"Custom 27200043"|"HB BLOOD TUBING"|272.00|$73.00|$14.60|$51.68|$51.00||$33.36|$14.60|$51.68|$26.79|$34.09|$36.50|$41.25|$32.85|$37.67|$40.73|$28.18|$19.08|$17.00|$17.00
"Custom 27200044"|"HB BP CUFF DISP"|272.00|$44.00|$8.80|$31.15|$31.00||$20.11|$8.80|$31.15|$16.15|$20.55|$22.00|$24.86|$19.80|$22.70|$24.55|$16.98|$11.50|$10.25|$10.25
"Custom 27200045"|"HB BREAST MILK FREEZER BAGS"|272.00|$35.00|$7.00|$24.78|$24.00||$16.00|$7.00|$24.78|$12.85|$16.35|$17.50|$19.78|$15.75|$18.06|$19.53|$13.51|$9.15|$8.15|$8.15
"Custom 27200046"|"HB BREAST PUMP KIT"|272.00|$186.00|$37.20|$131.69|$130.00||$85.00|$37.20|$131.69|$68.26|$86.86|$93.00|$105.09|$83.70|$95.98|$103.79|$71.80|$48.62|$43.32|$43.32
"Custom 27200047"|"HB BREAST SHELLS"|272.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$42.31|$45.76|$31.65|$21.43|$19.10|$19.10
"Custom 27200048"|"HB BREAST SHIELD"|272.00|$49.00|$9.80|$34.69|$34.00||$22.39|$9.80|$34.69|$17.98|$22.88|$24.50|$27.69|$22.05|$25.28|$27.34|$18.91|$12.81|$11.41|$11.41
"Custom 27200049"|"HB BREAST SHIELDS 2PK"|272.00|$36.00|$7.20|$25.49|$25.00||$16.45|$7.20|$25.49|$13.21|$16.81|$18.00|$20.34|$16.20|$18.58|$20.09|$13.90|$9.41|$8.38|$8.38
"Custom 27200050"|"HB BREATHING CIRCUIT"|272.00|$36.00|$7.20|$25.49|$25.00||$16.45|$7.20|$25.49|$13.21|$16.81|$18.00|$20.34|$16.20|$18.58|$20.09|$13.90|$9.41|$8.38|$8.38
"Custom 27200058"|"HB BULB SYRINGE"|272.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27200059"|"HB CARTRIDGE ENFLOW/980202EU"|272.00|$49.00|$9.80|$34.69|$34.00||$22.39|$9.80|$34.69|$17.98|$22.88|$24.50|$27.69|$22.05|$25.28|$27.34|$18.91|$12.81|$11.41|$11.41
"Custom 27200060"|"HB CATH CENTRAL VENOUS"|272.00|$474.00|$94.80|$335.59|$332.00||$216.62|$94.80|$335.59|$173.96|$221.36|$237.00|$267.81|$213.30|$244.58|$264.49|$182.96|$123.90|$110.39|$110.39
"Custom 27200061"|"HB CATH FOLEY"|272.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$42.31|$45.76|$31.65|$21.43|$19.10|$19.10
"Custom 27200062"|"HB CATH TIP SYRINGE"|272.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27200063"|"HB CATH TRAY W/BAG & CATH"|272.00|$150.00|$30.00|$106.20|$105.00||$68.55|$30.00|$106.20|$55.05|$70.05|$75.00|$84.75|$67.50|$77.40|$83.70|$57.90|$39.21|$34.94|$34.94
"Custom 27200064"|"HB CATH UMBILICAL"|272.00|$49.00|$9.80|$34.69|$34.00||$22.39|$9.80|$34.69|$17.98|$22.88|$24.50|$27.69|$22.05|$25.28|$27.34|$18.91|$12.81|$11.41|$11.41
"Custom 27200065"|"HB CATHETER RED RUBBER"|272.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27200066"|"HB CATHETER TRAY STRAIGHT"|272.00|$44.00|$8.80|$31.15|$31.00||$20.11|$8.80|$31.15|$16.15|$20.55|$22.00|$24.86|$19.80|$22.70|$24.55|$16.98|$11.50|$10.25|$10.25
"Custom 27200068"|"HB CBI BAG"|272.00|$65.00|$13.00|$46.02|$46.00||$29.71|$13.00|$46.02|$23.86|$30.36|$32.50|$36.73|$29.25|$33.54|$36.27|$25.09|$16.99|$15.14|$15.14
"Custom 27200069"|"HB CDS PACK C-SECTION"|272.00|$530.00|$106.00|$375.24|$371.00||$242.21|$106.00|$375.24|$194.51|$247.51|$265.00|$299.45|$238.50|$273.48|$295.74|$204.58|$138.54|$123.44|$123.44
"Custom 27200070"|"HB CENTRAL LINE DSG"|272.00|$49.00|$9.80|$34.69|$34.00||$22.39|$9.80|$34.69|$17.98|$22.88|$24.50|$27.69|$22.05|$25.28|$27.34|$18.91|$12.81|$11.41|$11.41
"Custom 27200071"|"HB CENTRAL VEIN MULTI-LUMEN"|272.00|$667.00|$133.40|$472.24|$467.00||$304.82|$133.40|$472.24|$244.79|$311.49|$333.50|$376.86|$300.15|$344.17|$372.19|$257.46|$174.35|$155.34|$155.34
"Custom 27200072"|"HB CENTRAL VENOUS CATH MULTILUMEN"|272.00|$678.00|$135.60|$480.02|$475.00||$309.85|$135.60|$480.02|$248.83|$316.63|$339.00|$383.07|$305.10|$349.85|$378.32|$261.71|$177.23|$157.91|$157.91
"Custom 27200074"|"HB CHEST SUCT PLEUREVAC"|272.00|$490.00|$98.00|$346.92|$343.00||$223.93|$98.00|$346.92|$179.83|$228.83|$245.00|$276.85|$220.50|$252.84|$273.42|$189.14|$128.09|$114.12|$114.12
"Custom 27200075"|"HB CHEST TUBE"|272.00|$67.00|$13.40|$47.44|$47.00||$30.62|$13.40|$47.44|$24.59|$31.29|$33.50|$37.86|$30.15|$34.57|$37.39|$25.86|$17.51|$15.60|$15.60
"Custom 27200076"|"HB CHEST TUBE 8FR/10FR/12FR"|272.00|$126.00|$25.20|$89.21|$88.00||$57.58|$25.20|$89.21|$46.24|$58.84|$63.00|$71.19|$56.70|$65.02|$70.31|$48.64|$32.94|$29.35|$29.35
"Custom 27200079"|"HB COOK SELECTIVE CATHETER; BLUE"|272.00|$121.00|$24.20|$85.67|$85.00||$55.30|$24.20|$85.67|$44.41|$56.51|$60.50|$68.37|$54.45|$62.44|$67.52|$46.71|$31.63|$28.18|$28.18
"Custom 27200080"|"HB COOK TENACATH"|272.00|$195.00|$39.00|$138.06|$136.00||$89.12|$39.00|$138.06|$71.57|$91.07|$97.50|$110.18|$87.75|$100.62|$108.81|$75.27|$50.97|$45.42|$45.42
"Custom 27200081"|"HB CORD CLAMP CLIPPER"|272.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27200083"|"HB CRASH CART"|272.00|$535.00|$107.00|$378.78|$374.00||$244.50|$107.00|$378.78|$196.35|$249.85|$267.50|$302.28|$240.75|$276.06|$298.53|$206.51|$139.85|$124.60|$124.60
"Custom 27200086"|"HB C-SECTION SET-UP ONLY"|272.00|$1205.00|$241.00|$853.14|$844.00||$550.69|$241.00|$853.14|$442.24|$562.74|$602.50|$680.83|$542.25|$621.78|$672.39|$465.13|$314.99|$280.64|$280.64
"Custom 27200087"|"HB C-SECTION SUTURE PACK"|272.00|$638.00|$127.60|$451.70|$447.00||$291.57|$127.60|$451.70|$234.15|$297.95|$319.00|$360.47|$287.10|$329.21|$356.00|$246.27|$166.77|$148.59|$148.59
"Custom 27200088"|"HB CSF DRAIN"|272.00|$1245.00|$249.00|$881.46|$872.00||$568.97|$249.00|$881.46|$456.92|$581.42|$622.50|$703.43|$560.25|$642.42|$694.71|$480.57|$325.44|$289.96|$289.96
"Custom 27200091"|"HB DEFIBRILLATOR PADS"|272.00|$199.00|$39.80|$140.89|$139.00||$90.94|$39.80|$140.89|$73.03|$92.93|$99.50|$112.44|$89.55|$102.68|$111.04|$76.81|$52.02|$46.35|$46.35
"Custom 27200092"|"HB DELEE SUCT CATHER"|272.00|$44.00|$8.80|$31.15|$31.00||$20.11|$8.80|$31.15|$16.15|$20.55|$22.00|$24.86|$19.80|$22.70|$24.55|$16.98|$11.50|$10.25|$10.25
"Custom 27200093"|"HB DELEE SUCTION CATH"|272.00|$44.00|$8.80|$31.15|$31.00||$20.11|$8.80|$31.15|$16.15|$20.55|$22.00|$24.86|$19.80|$22.70|$24.55|$16.98|$11.50|$10.25|$10.25
"Custom 27200095"|"HB DENTAL SUPPLIES"|272.00|$213.00|$42.60|$150.80|$149.00||$97.34|$42.60|$150.80|$78.17|$99.47|$106.50|$120.35|$95.85|$109.91|$118.85|$82.22|$55.68|$49.61|$49.61
"Custom 27200096"|"HB DEODORIZER ROOM SPRAY"|272.00|$29.00|$5.80|$20.53|$20.00||$13.25|$5.80|$20.53|$10.64|$13.54|$14.50|$16.39|$13.05|$14.96|$16.18|$11.19|$7.58|$6.75|$6.75
"Custom 27200098"|"HB DISP OXIMETER"|272.00|$168.00|$33.60|$118.94|$118.00||$76.78|$33.60|$118.94|$61.66|$78.46|$84.00|$94.92|$75.60|$86.69|$93.74|$64.85|$43.92|$39.13|$39.13
"Custom 27200099"|"HB DISP PULSE OXIMETY PROBE"|272.00|$164.00|$32.80|$116.11|$115.00||$74.95|$32.80|$116.11|$60.19|$76.59|$82.00|$92.66|$73.80|$84.62|$91.51|$63.30|$42.87|$38.20|$38.20
"Custom 27200100"|"HB DRAIN LINE SET PLEURX"|272.00|$98.00|$19.60|$69.38|$69.00||$44.79|$19.60|$69.38|$35.97|$45.77|$49.00|$55.37|$44.10|$50.57|$54.68|$37.83|$25.62|$22.82|$22.82
"Custom 27200101"|"HB DRAIN SPONGE 4X4 BOX STERILE"|272.00|$157.00|$31.40|$111.16|$110.00||$71.75|$31.40|$111.16|$57.62|$73.32|$78.50|$88.71|$70.65|$81.01|$87.61|$60.60|$41.04|$36.57|$36.57
"Custom 27200102"|"HB DRAINAGE BAG"|272.00|$105.00|$21.00|$74.34|$74.00||$47.99|$21.00|$74.34|$38.54|$49.04|$52.50|$59.33|$47.25|$54.18|$58.59|$40.53|$27.45|$24.45|$24.45
"Custom 27200103"|"HB DRAINAGE SUPPLY PACK CT"|272.00|$1718.00|$343.60|$1216.34|$1203.00||$785.13|$343.60|$1216.34|$630.51|$802.31|$859.00|$970.67|$773.10|$886.49|$958.64|$663.15|$449.09|$400.12|$400.12
"Custom 27200104"|"HB DRAINAGE TUBE APDL"|272.00|$562.00|$112.40|$397.90|$393.00||$256.83|$112.40|$397.90|$206.25|$262.45|$281.00|$317.53|$252.90|$289.99|$313.60|$216.93|$146.91|$130.89|$130.89
"Custom 27200105"|"HB DRESSING OIL EMULSION"|272.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27200106"|"HB DRESSING VERSIVA XC 4 X 4"|272.00|$26.00|$5.20|$18.41|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$13.00|$14.69|$11.70|$13.42|$14.51|$10.04|$6.80|$6.06|$6.06
"Custom 27200107"|"HB DRNGE SYS CSF EXT LIMITORR 20M"|272.00|$894.00|$178.80|$632.95|$626.00||$408.56|$178.80|$632.95|$328.10|$417.50|$447.00|$505.11|$402.30|$461.30|$498.85|$345.08|$233.69|$208.21|$208.21
"Custom 27200109"|"HB DUODERM XTHIN 4 X 4"|272.00|$26.00|$5.20|$18.41|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$13.00|$14.69|$11.70|$13.42|$14.51|$10.04|$6.80|$6.06|$6.06
"Custom 27200111"|"HB EMU SPHENOIDALS DISPOSABLE"|272.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$61.50|$69.50|$55.35|$63.47|$68.63|$47.48|$32.15|$28.65|$28.65
"Custom 27200112"|"HB ENDOTRACH TUBE"|272.00|$29.00|$5.80|$20.53|$20.00||$13.25|$5.80|$20.53|$10.64|$13.54|$14.50|$16.39|$13.05|$14.96|$16.18|$11.19|$7.58|$6.75|$6.75
"Custom 27200113"|"HB ENDOTRACHEAL TUBE"|272.00|$29.00|$5.80|$20.53|$20.00||$13.25|$5.80|$20.53|$10.64|$13.54|$14.50|$16.39|$13.05|$14.96|$16.18|$11.19|$7.58|$6.75|$6.75
"Custom 27200114"|"HB ENEMA SET"|272.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27200116"|"HB EPIDURAL TRAY CONT"|272.00|$242.00|$48.40|$171.34|$169.00||$110.59|$48.40|$171.34|$88.81|$113.01|$121.00|$136.73|$108.90|$124.87|$135.04|$93.41|$63.26|$56.36|$56.36
"Custom 27200118"|"HB ESOPH STETHOSCOPE"|272.00|$165.00|$33.00|$116.82|$115.00||$75.41|$33.00|$116.82|$60.56|$77.06|$82.50|$93.23|$74.25|$85.14|$92.07|$63.69|$43.13|$38.43|$38.43
"Custom 27200119"|"HB ESOPHAGEAL TEMP PROBE"|272.00|$35.00|$7.00|$24.78|$24.00||$16.00|$7.00|$24.78|$12.85|$16.35|$17.50|$19.78|$15.75|$18.06|$19.53|$13.51|$9.15|$8.15|$8.15
"Custom 27200121"|"HB ET TUBE/STYLETTE"|272.00|$51.00|$10.20|$36.11|$36.00||$23.31|$10.20|$36.11|$18.72|$23.82|$25.50|$28.82|$22.95|$26.32|$28.46|$19.69|$13.33|$11.88|$11.88
"Custom 27200122"|"HB EYE PADS/SHIELD"|272.00|$16.00|$3.20|$11.33|$11.00||$7.31|$3.20|$11.33|$5.87|$7.47|$8.00|$9.04|$7.20|$8.26|$8.93|$6.18|$4.18|$3.73|$3.73
"Custom 27200123"|"HB FEEDING TUBE"|272.00|$26.00|$5.20|$18.41|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$13.00|$14.69|$11.70|$13.42|$14.51|$10.04|$6.80|$6.06|$6.06
"Custom 27200124"|"HB FLEX FIBEROPTIC LARYNGOSCOPE"|272.00|$165.00|$33.00|$116.82|$115.00||$75.41|$33.00|$116.82|$60.56|$77.06|$82.50|$93.23|$74.25|$85.14|$92.07|$63.69|$43.13|$38.43|$38.43
"Custom 27200125"|"HB FLUID WARMER TUBING"|272.00|$165.00|$33.00|$116.82|$115.00||$75.41|$33.00|$116.82|$60.56|$77.06|$82.50|$93.23|$74.25|$85.14|$92.07|$63.69|$43.13|$38.43|$38.43
"Custom 27200126"|"HB FLUTTER VALVE/ACAPELLA"|272.00|$352.00|$70.40|$249.22|$246.00||$160.86|$70.40|$249.22|$129.18|$164.38|$176.00|$198.88|$158.40|$181.63|$196.42|$135.87|$92.01|$81.98|$81.98
"Custom 27200127"|"HB FOLEY PLUG"|272.00|$16.00|$3.20|$11.33|$11.00||$7.31|$3.20|$11.33|$5.87|$7.47|$8.00|$9.04|$7.20|$8.26|$8.93|$6.18|$4.18|$3.73|$3.73
"Custom 27200132"|"HB GAUZE PACKING STRIP"|272.00|$71.00|$14.20|$50.27|$50.00||$32.45|$14.20|$50.27|$26.06|$33.16|$35.50|$40.12|$31.95|$36.64|$39.62|$27.41|$18.56|$16.54|$16.54
"Custom 27200133"|"HB GAUZE VASELINE 3X9"|272.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27200135"|"HB GLIDESCOPE LARYNGOSCOPE"|272.00|$194.00|$38.80|$137.35|$136.00||$88.66|$38.80|$137.35|$71.20|$90.60|$97.00|$109.61|$87.30|$100.10|$108.25|$74.88|$50.71|$45.18|$45.18
"Custom 27200136"|"HB GLOVES STERILE PAIR"|272.00|$24.00|$4.80|$16.99|$17.00||$10.97|$4.80|$16.99|$8.81|$11.21|$12.00|$13.56|$10.80|$12.38|$13.39|$9.26|$6.27|$5.59|$5.59
"Custom 27200137"|"HB GROUNDING PAD ADULT"|272.00|$35.00|$7.00|$24.78|$24.00||$16.00|$7.00|$24.78|$12.85|$16.35|$17.50|$19.78|$15.75|$18.06|$19.53|$13.51|$9.15|$8.15|$8.15
"Custom 27200139"|"HB HABERMAN FEEDER MEDELA"|272.00|$70.00|$14.00|$49.56|$49.00||$31.99|$14.00|$49.56|$25.69|$32.69|$35.00|$39.55|$31.50|$36.12|$39.06|$27.02|$18.30|$16.30|$16.30
"Custom 27200140"|"HB HANDSWITCH PENCIL W/CAUTERY"|272.00|$60.00|$12.00|$42.48|$42.00||$27.42|$12.00|$42.48|$22.02|$28.02|$30.00|$33.90|$27.00|$30.96|$33.48|$23.16|$15.68|$13.97|$13.97
"Custom 27200141"|"HB HEIMLICH VALVE"|272.00|$104.00|$20.80|$73.63|$73.00||$47.53|$20.80|$73.63|$38.17|$48.57|$52.00|$58.76|$46.80|$53.66|$58.03|$40.14|$27.19|$24.22|$24.22
"Custom 27200142"|"HB HUBER NEEDLE"|272.00|$54.00|$10.80|$38.23|$38.00||$24.68|$10.80|$38.23|$19.82|$25.22|$27.00|$30.51|$24.30|$27.86|$30.13|$20.84|$14.12|$12.58|$12.58
"Custom 27200143"|"HB HUBER NEEDLE KIT"|272.00|$53.00|$10.60|$37.52|$37.00||$24.22|$10.60|$37.52|$19.45|$24.75|$26.50|$29.95|$23.85|$27.35|$29.57|$20.46|$13.85|$12.34|$12.34
"Custom 27200144"|"HB I&D TRAY"|272.00|$75.00|$15.00|$53.10|$52.00||$34.28|$15.00|$53.10|$27.53|$35.03|$37.50|$42.38|$33.75|$38.70|$41.85|$28.95|$19.61|$17.47|$17.47
"HCPCS C2618"|"HB ICEROD NEEDLE"|272.00|$4980.00|$996.00|$3525.84|$3486.00||$2275.86|$996.00|$3525.84|$1827.66|$2325.66|$2490.00|$2813.70|$2241.00|$2569.68|$2778.84|$1922.28|$1301.77|$1159.84|$1159.84
"Custom 27200148"|"HB INTRODUCER LARGE BORE"|272.00|$335.00|$67.00|$237.18|$234.00||$153.10|$67.00|$237.18|$122.95|$156.45|$167.50|$189.28|$150.75|$172.86|$186.93|$129.31|$87.57|$78.02|$78.02
"Custom 27200149"|"HB IO NEEDLE(INTRA OSSEOUS)"|272.00|$472.00|$94.40|$334.18|$330.00||$215.70|$94.40|$334.18|$173.22|$220.42|$236.00|$266.68|$212.40|$243.55|$263.38|$182.19|$123.38|$109.93|$109.93
"Custom 27200150"|"HB IOBAN DRAPE"|272.00|$161.00|$32.20|$113.99|$113.00||$73.58|$32.20|$113.99|$59.09|$75.19|$80.50|$90.97|$72.45|$83.08|$89.84|$62.15|$42.09|$37.50|$37.50
"Custom 27200151"|"HB IOM DISPOSABLE NEEDLES"|272.00|$32.00|$6.40|$22.66|$22.00||$14.62|$6.40|$22.66|$11.74|$14.94|$16.00|$18.08|$14.40|$16.51|$17.86|$12.35|$8.36|$7.45|$7.45
"Custom 27200152"|"HB IRRIGATION SET"|272.00|$41.00|$8.20|$29.03|$29.00||$18.74|$8.20|$29.03|$15.05|$19.15|$20.50|$23.17|$18.45|$21.16|$22.88|$15.83|$10.72|$9.55|$9.55
"Custom 27200153"|"HB IRRIGATION SET TUR/CBI"|272.00|$86.00|$17.20|$60.89|$60.00||$39.30|$17.20|$60.89|$31.56|$40.16|$43.00|$48.59|$38.70|$44.38|$47.99|$33.20|$22.48|$20.03|$20.03
"Custom 27200154"|"HB IRRIGATION SOL 3000CC BAG"|272.00|$83.00|$16.60|$58.76|$58.00||$37.93|$16.60|$58.76|$30.46|$38.76|$41.50|$46.90|$37.35|$42.83|$46.31|$32.04|$21.70|$19.33|$19.33
"Custom 27200155"|"HB IRRIGATION TRAY"|272.00|$41.00|$8.20|$29.03|$29.00||$18.74|$8.20|$29.03|$15.05|$19.15|$20.50|$23.17|$18.45|$21.16|$22.88|$15.83|$10.72|$9.55|$9.55
"Custom 27200158"|"HB IV BUTTERFLY"|272.00|$29.00|$5.80|$20.53|$20.00||$13.25|$5.80|$20.53|$10.64|$13.54|$14.50|$16.39|$13.05|$14.96|$16.18|$11.19|$7.58|$6.75|$6.75
"Custom 27200159"|"HB IV CATHETER"|272.00|$26.00|$5.20|$18.41|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$13.00|$14.69|$11.70|$13.42|$14.51|$10.04|$6.80|$6.06|$6.06
"Custom 27200160"|"HB IV EXT SET"|272.00|$26.00|$5.20|$18.41|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$13.00|$14.69|$11.70|$13.42|$14.51|$10.04|$6.80|$6.06|$6.06
"Custom 27200161"|"HB IV EXT W/T CONNECTOR"|272.00|$26.00|$5.20|$18.41|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$13.00|$14.69|$11.70|$13.42|$14.51|$10.04|$6.80|$6.06|$6.06
"Custom 27200162"|"HB IV START SET"|272.00|$26.00|$5.20|$18.41|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$13.00|$14.69|$11.70|$13.42|$14.51|$10.04|$6.80|$6.06|$6.06
"Custom 27200164"|"HB KANGAROO BAG/CASSETTE TUBING"|272.00|$257.00|$51.40|$181.96|$180.00||$117.45|$51.40|$181.96|$94.32|$120.02|$128.50|$145.21|$115.65|$132.61|$143.41|$99.20|$67.18|$59.86|$59.86
"Custom 27200165"|"HB KIT EPIDURAL NERVE BLK CONT"|272.00|$301.00|$60.20|$213.11|$211.00||$137.56|$60.20|$213.11|$110.47|$140.57|$150.50|$170.07|$135.45|$155.32|$167.96|$116.19|$78.68|$70.10|$70.10
"Custom 27200166"|"HB KIWI PUMP"|272.00|$213.00|$42.60|$150.80|$149.00||$97.34|$42.60|$150.80|$78.17|$99.47|$106.50|$120.35|$95.85|$109.91|$118.85|$82.22|$55.68|$49.61|$49.61
"Custom 27200167"|"HB KOALA INTRAUTERINE CATH"|272.00|$148.00|$29.60|$104.78|$104.00||$67.64|$29.60|$104.78|$54.32|$69.12|$74.00|$83.62|$66.60|$76.37|$82.58|$57.13|$38.69|$34.47|$34.47
"Custom 27200168"|"HB LDR SUTURE PACK"|272.00|$168.00|$33.60|$118.94|$118.00||$76.78|$33.60|$118.94|$61.66|$78.46|$84.00|$94.92|$75.60|$86.69|$93.74|$64.85|$43.92|$39.13|$39.13
"Custom 27200170"|"HB LITTLE SUCKER PREMIE NEOTECH"|272.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27200171"|"HB LMA AIRWAY"|272.00|$500.00|$100.00|$354.00|$350.00||$228.50|$100.00|$354.00|$183.50|$233.50|$250.00|$282.50|$225.00|$258.00|$279.00|$193.00|$130.70|$116.45|$116.45
"Custom 27200172"|"HB LTA KIT"|272.00|$45.00|$9.00|$31.86|$31.00||$20.57|$9.00|$31.86|$16.52|$21.02|$22.50|$25.43|$20.25|$23.22|$25.11|$17.37|$11.76|$10.48|$10.48
"Custom 27200173"|"HB LUMBAR PUNCTURE TRAY"|272.00|$211.00|$42.20|$149.39|$148.00||$96.43|$42.20|$149.39|$77.44|$98.54|$105.50|$119.22|$94.95|$108.88|$117.74|$81.45|$55.16|$49.14|$49.14
"Custom 27200174"|"HB MARKER SKIN SURGICAL BLACK"|272.00|$15.00|$3.00|$10.62|$10.00||$6.86|$3.00|$10.62|$5.51|$7.01|$7.50|$8.48|$6.75|$7.74|$8.37|$5.79|$3.92|$3.49|$3.49
"Custom 27200175"|"HB MASTISOL"|272.00|$24.00|$4.80|$16.99|$17.00||$10.97|$4.80|$16.99|$8.81|$11.21|$12.00|$13.56|$10.80|$12.38|$13.39|$9.26|$6.27|$5.59|$5.59
"Custom 27200176"|"HB MECONIUM ASPIRATOR"|272.00|$32.00|$6.40|$22.66|$22.00||$14.62|$6.40|$22.66|$11.74|$14.94|$16.00|$18.08|$14.40|$16.51|$17.86|$12.35|$8.36|$7.45|$7.45
"Custom 27200177"|"HB MEDELA 80ML BOTTLE W/LID"|272.00|$4.00|$0.80|$2.83|$3.00||$1.83|$0.80|$2.83|$1.47|$1.87|$2.00|$2.26|$1.80|$2.06|$2.23|$1.54|$1.05|$0.93|$0.93
"Custom 27200179"|"HB MICRO TUBING 60"""|272.00|$27.00|$5.40|$19.12|$19.00||$12.34|$5.40|$19.12|$9.91|$12.61|$13.50|$15.26|$12.15|$13.93|$15.07|$10.42|$7.06|$6.29|$6.29
"Custom 27200180"|"HB MICROBORE EXTENSION TUBING"|272.00|$27.00|$5.40|$19.12|$19.00||$12.34|$5.40|$19.12|$9.91|$12.61|$13.50|$15.26|$12.15|$13.93|$15.07|$10.42|$7.06|$6.29|$6.29
"Custom 27200181"|"HB MIGHTYVAC EXTRACTOR CUP"|272.00|$122.00|$24.40|$86.38|$85.00||$55.75|$24.40|$86.38|$44.77|$56.97|$61.00|$68.93|$54.90|$62.95|$68.08|$47.09|$31.89|$28.41|$28.41
"Custom 27200183"|"HB MONITOR BIS STRIP"|272.00|$240.00|$48.00|$169.92|$168.00||$109.68|$48.00|$169.92|$88.08|$112.08|$120.00|$135.60|$108.00|$123.84|$133.92|$92.64|$62.74|$55.90|$55.90
"Custom 27200184"|"HB MORGAN LENS"|272.00|$136.00|$27.20|$96.29|$95.00||$62.15|$27.20|$96.29|$49.91|$63.51|$68.00|$76.84|$61.20|$70.18|$75.89|$52.50|$35.55|$31.67|$31.67
"Custom 27200185"|"HB MRI GUIDED BREAST BX SUPPLIES"|272.00|$2956.00|$591.20|$2092.85|$2069.00||$1350.89|$591.20|$2092.85|$1084.85|$1380.45|$1478.00|$1670.14|$1330.20|$1525.30|$1649.45|$1141.02|$772.70|$688.45|$688.45
"Custom 27200186"|"HB NASAL CANNULA"|272.00|$29.00|$5.80|$20.53|$20.00||$13.25|$5.80|$20.53|$10.64|$13.54|$14.50|$16.39|$13.05|$14.96|$16.18|$11.19|$7.58|$6.75|$6.75
"Custom 27200187"|"HB NASAL CANNULA LDR"|272.00|$31.00|$6.20|$21.95|$22.00||$14.17|$6.20|$21.95|$11.38|$14.48|$15.50|$17.52|$13.95|$16.00|$17.30|$11.97|$8.10|$7.22|$7.22
"Custom 27200188"|"HB NASAL PACK RAPID RHINO"|272.00|$233.00|$46.60|$164.96|$163.00||$106.48|$46.60|$164.96|$85.51|$108.81|$116.50|$131.65|$104.85|$120.23|$130.01|$89.94|$60.91|$54.27|$54.27
"Custom 27200189"|"HB NASAL TRAY"|272.00|$60.00|$12.00|$42.48|$42.00||$27.42|$12.00|$42.48|$22.02|$28.02|$30.00|$33.90|$27.00|$30.96|$33.48|$23.16|$15.68|$13.97|$13.97
"Custom 27200190"|"HB NASOGASTRIC TUBE"|272.00|$38.00|$7.60|$26.90|$27.00||$17.37|$7.60|$26.90|$13.95|$17.75|$19.00|$21.47|$17.10|$19.61|$21.20|$14.67|$9.93|$8.85|$8.85
"Custom 27200191"|"HB NEEDLE SPINAL QUINKE"|272.00|$59.00|$11.80|$41.77|$41.00||$26.96|$11.80|$41.77|$21.65|$27.55|$29.50|$33.34|$26.55|$30.44|$32.92|$22.77|$15.42|$13.74|$13.74
"Custom 27200192"|"HB NEEDLE SPROTTE SPINAL"|272.00|$66.00|$13.20|$46.73|$46.00||$30.16|$13.20|$46.73|$24.22|$30.82|$33.00|$37.29|$29.70|$34.06|$36.83|$25.48|$17.25|$15.37|$15.37
"Custom 27200193"|"HB NEEDLE STIMULATION/ANESTHESIA"|272.00|$76.00|$15.20|$53.81|$53.00||$34.73|$15.20|$53.81|$27.89|$35.49|$38.00|$42.94|$34.20|$39.22|$42.41|$29.34|$19.87|$17.70|$17.70
"Custom 27200194"|"HB NEONATAL ARM BOARD"|272.00|$24.00|$4.80|$16.99|$17.00||$10.97|$4.80|$16.99|$8.81|$11.21|$12.00|$13.56|$10.80|$12.38|$13.39|$9.26|$6.27|$5.59|$5.59
"Custom 27200195"|"HB NERVE BLOCK NEEDLE"|272.00|$87.00|$17.40|$61.60|$61.00||$39.76|$17.40|$61.60|$31.93|$40.63|$43.50|$49.16|$39.15|$44.89|$48.55|$33.58|$22.74|$20.26|$20.26
"Custom 27200196"|"HB NERVE BLOCK TRAY"|272.00|$187.00|$37.40|$132.40|$131.00||$85.46|$37.40|$132.40|$68.63|$87.33|$93.50|$105.66|$84.15|$96.49|$104.35|$72.18|$48.88|$43.55|$43.55
"Custom 27200197"|"HB NERVE STIMULATOR"|272.00|$550.00|$110.00|$389.40|$385.00||$251.35|$110.00|$389.40|$201.85|$256.85|$275.00|$310.75|$247.50|$283.80|$306.90|$212.30|$143.77|$128.10|$128.10
"Custom 27200198"|"HB NG TUBE/SALEM SUMP"|272.00|$60.00|$12.00|$42.48|$42.00||$27.42|$12.00|$42.48|$22.02|$28.02|$30.00|$33.90|$27.00|$30.96|$33.48|$23.16|$15.68|$13.97|$13.97
"Custom 27200199"|"HB NIPPLE SHEILD SMALL"|272.00|$26.00|$5.20|$18.41|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$13.00|$14.69|$11.70|$13.42|$14.51|$10.04|$6.80|$6.06|$6.06
"Custom 27200201"|"HB OPSITE TRANSPARENT DRESSING"|272.00|$26.00|$5.20|$18.41|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$13.00|$14.69|$11.70|$13.42|$14.51|$10.04|$6.80|$6.06|$6.06
"Custom 27200202"|"HB ORO/NASOPHAR AIRWAY"|272.00|$41.00|$8.20|$29.03|$29.00||$18.74|$8.20|$29.03|$15.05|$19.15|$20.50|$23.17|$18.45|$21.16|$22.88|$15.83|$10.72|$9.55|$9.55
"Custom 27200203"|"HB OSTOMY FLANGE EA"|272.00|$45.00|$9.00|$31.86|$31.00||$20.57|$9.00|$31.86|$16.52|$21.02|$22.50|$25.43|$20.25|$23.22|$25.11|$17.37|$11.76|$10.48|$10.48
"Custom 27200204"|"HB OSTOMY KIT"|272.00|$224.00|$44.80|$158.59|$157.00||$102.37|$44.80|$158.59|$82.21|$104.61|$112.00|$126.56|$100.80|$115.58|$124.99|$86.46|$58.55|$52.17|$52.17
"Custom 27200205"|"HB OSTOMY POUCH EA"|272.00|$27.00|$5.40|$19.12|$19.00||$12.34|$5.40|$19.12|$9.91|$12.61|$13.50|$15.26|$12.15|$13.93|$15.07|$10.42|$7.06|$6.29|$6.29
"Custom 27200206"|"HB OXIMETER"|272.00|$172.00|$34.40|$121.78|$120.00||$78.60|$34.40|$121.78|$63.12|$80.32|$86.00|$97.18|$77.40|$88.75|$95.98|$66.39|$44.96|$40.06|$40.06
"Custom 27200208"|"HB OXYGEN MASK"|272.00|$29.00|$5.80|$20.53|$20.00||$13.25|$5.80|$20.53|$10.64|$13.54|$14.50|$16.39|$13.05|$14.96|$16.18|$11.19|$7.58|$6.75|$6.75
"Custom 27200210"|"HB OXYGEN PACU"|272.00|$77.00|$15.40|$54.52|$54.00||$35.19|$15.40|$54.52|$28.26|$35.96|$38.50|$43.51|$34.65|$39.73|$42.97|$29.72|$20.13|$17.93|$17.93
"Custom 27200211"|"HB PACING KIT BIPOLAR"|272.00|$559.00|$111.80|$395.77|$391.00||$255.46|$111.80|$395.77|$205.15|$261.05|$279.50|$315.84|$251.55|$288.44|$311.92|$215.77|$146.12|$130.19|$130.19
"Custom 27200213"|"HB PARACENTESIS TRAY"|272.00|$246.00|$49.20|$174.17|$172.00||$112.42|$49.20|$174.17|$90.28|$114.88|$123.00|$138.99|$110.70|$126.94|$137.27|$94.96|$64.30|$57.29|$57.29
"Custom 27200214"|"HB PEAK FLOW METER"|272.00|$151.00|$30.20|$106.91|$106.00||$69.01|$30.20|$106.91|$55.42|$70.52|$75.50|$85.32|$67.95|$77.92|$84.26|$58.29|$39.47|$35.17|$35.17
"Custom 27200216"|"HB PEAK PLATELET RICH PLASMA KIT"|272.00|$943.00|$188.60|$667.64|$660.00||$430.95|$188.60|$667.64|$346.08|$440.38|$471.50|$532.80|$424.35|$486.59|$526.19|$364.00|$246.50|$219.62|$219.62
"Custom 27200217"|"HB PEDIATRIC AMBU"|272.00|$224.00|$44.80|$158.59|$157.00||$102.37|$44.80|$158.59|$82.21|$104.61|$112.00|$126.56|$100.80|$115.58|$124.99|$86.46|$58.55|$52.17|$52.17
"Custom 27200218"|"HB PERINEAL COLD PACKS"|272.00|$4.00|$0.80|$2.83|$3.00||$1.83|$0.80|$2.83|$1.47|$1.87|$2.00|$2.26|$1.80|$2.06|$2.23|$1.54|$1.05|$0.93|$0.93
"Custom 27200220"|"HB PLAYTEX 4OZ.BOTTLE"|272.00|$16.00|$3.20|$11.33|$11.00||$7.31|$3.20|$11.33|$5.87|$7.47|$8.00|$9.04|$7.20|$8.26|$8.93|$6.18|$4.18|$3.73|$3.73
"Custom 27200221"|"HB PLAYTEX DROP-IN LINERS 4OZ50CT"|272.00|$16.00|$3.20|$11.33|$11.00||$7.31|$3.20|$11.33|$5.87|$7.47|$8.00|$9.04|$7.20|$8.26|$8.93|$6.18|$4.18|$3.73|$3.73
"Custom 27200222"|"HB PLEURX DRAINAGE KIT"|272.00|$262.00|$52.40|$185.50|$183.00||$119.73|$52.40|$185.50|$96.15|$122.35|$131.00|$148.03|$117.90|$135.19|$146.20|$101.13|$68.49|$61.02|$61.02
"Custom 27200223"|"HB PLEURX VAC BOTTLE"|272.00|$165.00|$33.00|$116.82|$115.00||$75.41|$33.00|$116.82|$60.56|$77.06|$82.50|$93.23|$74.25|$85.14|$92.07|$63.69|$43.13|$38.43|$38.43
"Custom 27200224"|"HB PORTA WARM MATTRESS"|272.00|$207.00|$41.40|$146.56|$145.00||$94.60|$41.40|$146.56|$75.97|$96.67|$103.50|$116.96|$93.15|$106.81|$115.51|$79.90|$54.11|$48.21|$48.21
"Custom 27200225"|"HB POST PARTUM SUPPLIES"|272.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$42.31|$45.76|$31.65|$21.43|$19.10|$19.10
"Custom 27200226"|"HB POST-PARTUM TUBAL SUTURE PACK"|272.00|$257.00|$51.40|$181.96|$180.00||$117.45|$51.40|$181.96|$94.32|$120.02|$128.50|$145.21|$115.65|$132.61|$143.41|$99.20|$67.18|$59.86|$59.86
"Custom 27200230"|"HB PRESSURE TRANSDUCER"|272.00|$538.00|$107.60|$380.90|$377.00||$245.87|$107.60|$380.90|$197.45|$251.25|$269.00|$303.97|$242.10|$277.61|$300.20|$207.67|$140.63|$125.30|$125.30
"Custom 27200231"|"HB PRN ADAPTOR/HEPLOCK START"|272.00|$95.00|$19.00|$67.26|$66.00||$43.42|$19.00|$67.26|$34.87|$44.37|$47.50|$53.68|$42.75|$49.02|$53.01|$36.67|$24.83|$22.13|$22.13
"Custom 27200232"|"HB PRN ADAPTOR/HEPLOCK START 2S"|272.00|$89.00|$17.80|$63.01|$62.00||$40.67|$17.80|$63.01|$32.66|$41.56|$44.50|$50.29|$40.05|$45.92|$49.66|$34.35|$23.26|$20.73|$20.73
"Custom 27200240"|"HB PULSE OX FINGER SENSOR MAX-I"|272.00|$114.00|$22.80|$80.71|$80.00||$52.10|$22.80|$80.71|$41.84|$53.24|$57.00|$64.41|$51.30|$58.82|$63.61|$44.00|$29.80|$26.55|$26.55
"Custom 27200247"|"HB RFA PROBE 3CM"|272.00|$4233.00|$846.60|$2996.96|$2963.00||$1934.48|$846.60|$2996.96|$1553.51|$1976.81|$2116.50|$2391.65|$1904.85|$2184.23|$2362.01|$1633.94|$1106.51|$985.87|$985.87
"Custom 27200249"|"HB SALEM SUMP FILTER"|272.00|$27.00|$5.40|$19.12|$19.00||$12.34|$5.40|$19.12|$9.91|$12.61|$13.50|$15.26|$12.15|$13.93|$15.07|$10.42|$7.06|$6.29|$6.29
"Custom 27200250"|"HB SKIN STAPLE TRAY"|272.00|$50.00|$10.00|$35.40|$35.00||$22.85|$10.00|$35.40|$18.35|$23.35|$25.00|$28.25|$22.50|$25.80|$27.90|$19.30|$13.07|$11.65|$11.65
"Custom 27200251"|"HB SKIN TEMP PROBE COVER"|272.00|$29.00|$5.80|$20.53|$20.00||$13.25|$5.80|$20.53|$10.64|$13.54|$14.50|$16.39|$13.05|$14.96|$16.18|$11.19|$7.58|$6.75|$6.75
"Custom 27200252"|"HB SLEEVE SCD PR"|272.00|$823.00|$164.60|$582.68|$576.00||$376.11|$164.60|$582.68|$302.04|$384.34|$411.50|$465.00|$370.35|$424.67|$459.23|$317.68|$215.13|$191.68|$191.68
"Custom 27200253"|"HB SLIT LAMP"|272.00|$29.00|$5.80|$20.53|$20.00||$13.25|$5.80|$20.53|$10.64|$13.54|$14.50|$16.39|$13.05|$14.96|$16.18|$11.19|$7.58|$6.75|$6.75
"Custom 27200255"|"HB SNS KIT"|272.00|$247.00|$49.40|$174.88|$173.00||$112.88|$49.40|$174.88|$90.65|$115.35|$123.50|$139.56|$111.15|$127.45|$137.83|$95.34|$64.57|$57.53|$57.53
"Custom 27200256"|"HB SOOTHIES"|272.00|$37.00|$7.40|$26.20|$26.00||$16.91|$7.40|$26.20|$13.58|$17.28|$18.50|$20.91|$16.65|$19.09|$20.65|$14.28|$9.67|$8.62|$8.62
"Custom 27200258"|"HB SP ORDER SPINAL NDL"|272.00|$59.00|$11.80|$41.77|$41.00||$26.96|$11.80|$41.77|$21.65|$27.55|$29.50|$33.34|$26.55|$30.44|$32.92|$22.77|$15.42|$13.74|$13.74
"Custom 27200259"|"HB SPECIMEN TRAP"|272.00|$42.00|$8.40|$29.74|$29.00||$19.19|$8.40|$29.74|$15.41|$19.61|$21.00|$23.73|$18.90|$21.67|$23.44|$16.21|$10.98|$9.78|$9.78
"Custom 27200260"|"HB SPECULUM VAGINAL MEDIUM DISPOSABLE"|272.00|$4.00|$0.80|$2.83|$3.00||$1.83|$0.80|$2.83|$1.47|$1.87|$2.00|$2.26|$1.80|$2.06|$2.23|$1.54|$1.05|$0.93|$0.93
"Custom 27200261"|"HB SPINAL NEEDLE-BLUNT"|272.00|$70.00|$14.00|$49.56|$49.00||$31.99|$14.00|$49.56|$25.69|$32.69|$35.00|$39.55|$31.50|$36.12|$39.06|$27.02|$18.30|$16.30|$16.30
"Custom 27200262"|"HB SPINAL TRAY"|272.00|$135.00|$27.00|$95.58|$94.00||$61.70|$27.00|$95.58|$49.55|$63.05|$67.50|$76.28|$60.75|$69.66|$75.33|$52.11|$35.29|$31.44|$31.44
"Custom 27200263"|"HB SPIROMETER W/INSTRUCTION"|272.00|$264.00|$52.80|$186.91|$185.00||$120.65|$52.80|$186.91|$96.89|$123.29|$132.00|$149.16|$118.80|$136.22|$147.31|$101.90|$69.01|$61.49|$61.49
"Custom 27200266"|"HB STAPLE REMOVER TRAY"|272.00|$35.00|$7.00|$24.78|$24.00||$16.00|$7.00|$24.78|$12.85|$16.35|$17.50|$19.78|$15.75|$18.06|$19.53|$13.51|$9.15|$8.15|$8.15
"Custom 27200267"|"HB STAPLER SKIN 35 MULTIDIREC"|272.00|$98.00|$19.60|$69.38|$69.00||$44.79|$19.60|$69.38|$35.97|$45.77|$49.00|$55.37|$44.10|$50.57|$54.68|$37.83|$25.62|$22.82|$22.82
"Custom 27200268"|"HB STAT LOCK"|272.00|$26.00|$5.20|$18.41|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$13.00|$14.69|$11.70|$13.42|$14.51|$10.04|$6.80|$6.06|$6.06
"Custom 27200269"|"HB STAT LOCK FOLEY CATH HOLDER"|272.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27200270"|"HB STATLOCK PICC PLUS"|272.00|$26.00|$5.20|$18.41|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$13.00|$14.69|$11.70|$13.42|$14.51|$10.04|$6.80|$6.06|$6.06
"Custom 27200273"|"HB STERI STRIPS PKG"|272.00|$24.00|$4.80|$16.99|$17.00||$10.97|$4.80|$16.99|$8.81|$11.21|$12.00|$13.56|$10.80|$12.38|$13.39|$9.26|$6.27|$5.59|$5.59
"Custom 27200275"|"HB STERILE WATER/NS"|272.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27200277"|"HB STOPCOCK 4-WAY SC"|272.00|$10.00|$2.00|$7.08|$7.00||$4.57|$2.00|$7.08|$3.67|$4.67|$5.00|$5.65|$4.50|$5.16|$5.58|$3.86|$2.61|$2.33|$2.33
"Custom 27200283"|"HB SUCTION CANNISTER 2000CC"|272.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27200284"|"HB SUCTION CATHETER"|272.00|$16.00|$3.20|$11.33|$11.00||$7.31|$3.20|$11.33|$5.87|$7.47|$8.00|$9.04|$7.20|$8.26|$8.93|$6.18|$4.18|$3.73|$3.73
"Custom 27200285"|"HB SUCTION KIT"|272.00|$27.00|$5.40|$19.12|$19.00||$12.34|$5.40|$19.12|$9.91|$12.61|$13.50|$15.26|$12.15|$13.93|$15.07|$10.42|$7.06|$6.29|$6.29
"Custom 27200286"|"HB SUCTION TIP POOLE"|272.00|$15.00|$3.00|$10.62|$10.00||$6.86|$3.00|$10.62|$5.51|$7.01|$7.50|$8.48|$6.75|$7.74|$8.37|$5.79|$3.92|$3.49|$3.49
"Custom 27200287"|"HB SUCTION TUBE YANKAUER"|272.00|$24.00|$4.80|$16.99|$17.00||$10.97|$4.80|$16.99|$8.81|$11.21|$12.00|$13.56|$10.80|$12.38|$13.39|$9.26|$6.27|$5.59|$5.59
"Custom 27200288"|"HB SUCTION TUBING LONG"|272.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27200289"|"HB SUCTION TUBING SHORT"|272.00|$16.00|$3.20|$11.33|$11.00||$7.31|$3.20|$11.33|$5.87|$7.47|$8.00|$9.04|$7.20|$8.26|$8.93|$6.18|$4.18|$3.73|$3.73
"Custom 27200291"|"HB SUPPLIES D&C PROCEDURE"|272.00|$676.00|$135.20|$478.61|$473.00||$308.93|$135.20|$478.61|$248.09|$315.69|$338.00|$381.94|$304.20|$348.82|$377.21|$260.94|$176.71|$157.44|$157.44
"Custom 27200292"|"HB SUPPLIES - DELIVERY"|272.00|$1182.00|$236.40|$836.86|$827.00||$540.17|$236.40|$836.86|$433.79|$551.99|$591.00|$667.83|$531.90|$609.91|$659.56|$456.25|$308.97|$275.29|$275.29
"Custom 27200294"|"HB SUPPLY-PIPELLE"|272.00|$51.00|$10.20|$36.11|$36.00||$23.31|$10.20|$36.11|$18.72|$23.82|$25.50|$28.82|$22.95|$26.32|$28.46|$19.69|$13.33|$11.88|$11.88
"Custom 27200296"|"HB SURGICEL ABSORBABLE HEMOSTAT"|272.00|$347.00|$69.40|$245.68|$243.00||$158.58|$69.40|$245.68|$127.35|$162.05|$173.50|$196.06|$156.15|$179.05|$193.63|$133.94|$90.71|$80.82|$80.82
"Custom 27200298"|"HB SUTURE ETHICON 3-0 SILK"|272.00|$32.00|$6.40|$22.66|$22.00||$14.62|$6.40|$22.66|$11.74|$14.94|$16.00|$18.08|$14.40|$16.51|$17.86|$12.35|$8.36|$7.45|$7.45
"Custom 27200299"|"HB SUTURE REMOVAL KIT"|272.00|$35.00|$7.00|$24.78|$24.00||$16.00|$7.00|$24.78|$12.85|$16.35|$17.50|$19.78|$15.75|$18.06|$19.53|$13.51|$9.15|$8.15|$8.15
"Custom 27200301"|"HB SWAN GANZ/DAY"|272.00|$428.00|$85.60|$303.02|$300.00||$195.60|$85.60|$303.02|$157.08|$199.88|$214.00|$241.82|$192.60|$220.85|$238.82|$165.21|$111.88|$99.68|$99.68
"Custom 27200303"|"HB TELFA 3 X 8 EA"|272.00|$16.00|$3.20|$11.33|$11.00||$7.31|$3.20|$11.33|$5.87|$7.47|$8.00|$9.04|$7.20|$8.26|$8.93|$6.18|$4.18|$3.73|$3.73
"Custom 27200306"|"HB THORACENTESIS TRAY"|272.00|$251.00|$50.20|$177.71|$176.00||$114.71|$50.20|$177.71|$92.12|$117.22|$125.50|$141.82|$112.95|$129.52|$140.06|$96.89|$65.61|$58.46|$58.46
"Custom 27200310"|"HB TRACHEOSTOMY TRAY"|272.00|$465.00|$93.00|$329.22|$326.00||$212.51|$93.00|$329.22|$170.66|$217.16|$232.50|$262.73|$209.25|$239.94|$259.47|$179.49|$121.55|$108.30|$108.30
"Custom 27200314"|"HB TRAY EPIDURAL SINGLE SHOT"|272.00|$172.00|$34.40|$121.78|$120.00||$78.60|$34.40|$121.78|$63.12|$80.32|$86.00|$97.18|$77.40|$88.75|$95.98|$66.39|$44.96|$40.06|$40.06
"Custom 27200315"|"HB TRAY UMBILICAL LINE INSERTION"|272.00|$423.00|$84.60|$299.48|$296.00||$193.31|$84.60|$299.48|$155.24|$197.54|$211.50|$239.00|$190.35|$218.27|$236.03|$163.28|$110.57|$98.52|$98.52
"Custom 27200316"|"HB TRIFUSE BABY MEDEX BTF36"|272.00|$42.00|$8.40|$29.74|$29.00||$19.19|$8.40|$29.74|$15.41|$19.61|$21.00|$23.73|$18.90|$21.67|$23.44|$16.21|$10.98|$9.78|$9.78
"Custom 27200319"|"HB TUBE N-D ENTERAL 5FR"|272.00|$49.00|$9.80|$34.69|$34.00||$22.39|$9.80|$34.69|$17.98|$22.88|$24.50|$27.69|$22.05|$25.28|$27.34|$18.91|$12.81|$11.41|$11.41
"Custom 27200320"|"HB TUBE N-D ENTERAL 8FR"|272.00|$48.00|$9.60|$33.98|$34.00||$21.94|$9.60|$33.98|$17.62|$22.42|$24.00|$27.12|$21.60|$24.77|$26.78|$18.53|$12.55|$11.18|$11.18
"Custom 27200322"|"HB TUBING EXT 45IN/ANES"|272.00|$17.00|$3.40|$12.04|$12.00||$7.77|$3.40|$12.04|$6.24|$7.94|$8.50|$9.61|$7.65|$8.77|$9.49|$6.56|$4.44|$3.96|$3.96
"Custom 27200324"|"HB UMBILICAL CATH/DAY"|272.00|$436.00|$87.20|$308.69|$305.00||$199.25|$87.20|$308.69|$160.01|$203.61|$218.00|$246.34|$196.20|$224.98|$243.29|$168.30|$113.97|$101.54|$101.54
"Custom 27200325"|"HB URINARY CATH FOLEY W/WO BAG"|272.00|$80.00|$16.00|$56.64|$56.00||$36.56|$16.00|$56.64|$29.36|$37.36|$40.00|$45.20|$36.00|$41.28|$44.64|$30.88|$20.91|$18.63|$18.63
"Custom 27200326"|"HB URINARY CATH MISC"|272.00|$117.00|$23.40|$82.84|$82.00||$53.47|$23.40|$82.84|$42.94|$54.64|$58.50|$66.11|$52.65|$60.37|$65.29|$45.16|$30.58|$27.25|$27.25
"Custom 27200327"|"HB URINARY CATH STRAIGHT"|272.00|$41.00|$8.20|$29.03|$29.00||$18.74|$8.20|$29.03|$15.05|$19.15|$20.50|$23.17|$18.45|$21.16|$22.88|$15.83|$10.72|$9.55|$9.55
"Custom 27200328"|"HB URINARY CATHETER STRAIGHT"|272.00|$26.00|$5.20|$18.41|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$13.00|$14.69|$11.70|$13.42|$14.51|$10.04|$6.80|$6.06|$6.06
"Custom 27200329"|"HB URINARY CLEAN CATCH KIT"|272.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27200330"|"HB URINARY DRAINAGE BAG"|272.00|$73.00|$14.60|$51.68|$51.00||$33.36|$14.60|$51.68|$26.79|$34.09|$36.50|$41.25|$32.85|$37.67|$40.73|$28.18|$19.08|$17.00|$17.00
"Custom 27200332"|"HB URINARY LEG STRAP"|272.00|$44.00|$8.80|$31.15|$31.00||$20.11|$8.80|$31.15|$16.15|$20.55|$22.00|$24.86|$19.80|$22.70|$24.55|$16.98|$11.50|$10.25|$10.25
"Custom 27200333"|"HB URINE METER"|272.00|$111.00|$22.20|$78.59|$78.00||$50.73|$22.20|$78.59|$40.74|$51.84|$55.50|$62.72|$49.95|$57.28|$61.94|$42.85|$29.02|$25.85|$25.85
"Custom 27200334"|"HB UROSTOMY DRAIN ADAPTER"|272.00|$27.00|$5.40|$19.12|$19.00||$12.34|$5.40|$19.12|$9.91|$12.61|$13.50|$15.26|$12.15|$13.93|$15.07|$10.42|$7.06|$6.29|$6.29
"Custom 27200335"|"HB VAC ATS CANISTER W/GEL EA"|272.00|$188.00|$37.60|$133.10|$132.00||$85.92|$37.60|$133.10|$69.00|$87.80|$94.00|$106.22|$84.60|$97.01|$104.90|$72.57|$49.14|$43.79|$43.79
"Custom 27200336"|"HB VAC FREEDOM CANISTER"|272.00|$176.00|$35.20|$124.61|$123.00||$80.43|$35.20|$124.61|$64.59|$82.19|$88.00|$99.44|$79.20|$90.82|$98.21|$67.94|$46.01|$40.99|$40.99
"Custom 27200337"|"HB VAC GRANUFOAM DRNSG MED EA"|272.00|$171.00|$34.20|$121.07|$120.00||$78.15|$34.20|$121.07|$62.76|$79.86|$85.50|$96.62|$76.95|$88.24|$95.42|$66.01|$44.70|$39.83|$39.83
"Custom 27200338"|"HB VAC GRANUFOAM DRSNG LG EA"|272.00|$206.00|$41.20|$145.85|$144.00||$94.14|$41.20|$145.85|$75.60|$96.20|$103.00|$116.39|$92.70|$106.30|$114.95|$79.52|$53.85|$47.98|$47.98
"Custom 27200339"|"HB VAC GRANUFOAM DRSNG SM EA"|272.00|$134.00|$26.80|$94.87|$94.00||$61.24|$26.80|$94.87|$49.18|$62.58|$67.00|$75.71|$60.30|$69.14|$74.77|$51.72|$35.03|$31.21|$31.21
"Custom 27200340"|"HB VAC GRANUFOAM SILVER DRSNG MED"|272.00|$246.00|$49.20|$174.17|$172.00||$112.42|$49.20|$174.17|$90.28|$114.88|$123.00|$138.99|$110.70|$126.94|$137.27|$94.96|$64.30|$57.29|$57.29
"Custom 27200341"|"HB VAC VERSAFOAM DRSNG KIT LG EA"|272.00|$195.00|$39.00|$138.06|$136.00||$89.12|$39.00|$138.06|$71.57|$91.07|$97.50|$110.18|$87.75|$100.62|$108.81|$75.27|$50.97|$45.42|$45.42
"Custom 27200342"|"HB VAC VERSAFOAM DRSNG KIT SM EA"|272.00|$174.00|$34.80|$123.19|$122.00||$79.52|$34.80|$123.19|$63.86|$81.26|$87.00|$98.31|$78.30|$89.78|$97.09|$67.16|$45.48|$40.52|$40.52
"Custom 27200343"|"HB VAGINAL SPECULUM"|272.00|$15.00|$3.00|$10.62|$10.00||$6.86|$3.00|$10.62|$5.51|$7.01|$7.50|$8.48|$6.75|$7.74|$8.37|$5.79|$3.92|$3.49|$3.49
"Custom 27200349"|"HB VM DISPOSABLE ELECTRODES"|272.00|$48.00|$9.60|$33.98|$34.00||$21.94|$9.60|$33.98|$17.62|$22.42|$24.00|$27.12|$21.60|$24.77|$26.78|$18.53|$12.55|$11.18|$11.18
"Custom 27200350"|"HB VM DISPOSABLE MRI COMPATIBLE ELECTRODES"|272.00|$227.00|$45.40|$160.72|$159.00||$103.74|$45.40|$160.72|$83.31|$106.01|$113.50|$128.26|$102.15|$117.13|$126.67|$87.62|$59.34|$52.87|$52.87
"Custom 27200353"|"HB WARM AIR BLANKET(BAIR HUGGER)"|272.00|$109.00|$21.80|$77.17|$76.00||$49.81|$21.80|$77.17|$40.00|$50.90|$54.50|$61.59|$49.05|$56.24|$60.82|$42.07|$28.49|$25.39|$25.39
"Custom 27200355"|"HB WIRE"|272.00|$84.00|$16.80|$59.47|$59.00||$38.39|$16.80|$59.47|$30.83|$39.23|$42.00|$47.46|$37.80|$43.34|$46.87|$32.42|$21.96|$19.56|$19.56
"Custom 27200359"|"HB YANKAUER"|272.00|$23.00|$4.60|$16.28|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$11.87|$12.83|$8.88|$6.01|$5.36|$5.36
"Custom 27200360"|"HB YANKAUER SUCTION TIP"|272.00|$25.00|$5.00|$17.70|$18.00||$11.43|$5.00|$17.70|$9.18|$11.68|$12.50|$14.13|$11.25|$12.90|$13.95|$9.65|$6.54|$5.82|$5.82
"Custom 27200432"|"HB ANESCATH SET RADIAL ART 20G"|272.00|$85.00|$17.00|$60.18|$59.00||$38.85|$17.00|$60.18|$31.20|$39.70|$42.50|$48.03|$38.25|$43.86|$47.43|$32.81|$22.22|$19.80|$19.80
"Custom 27200631"|"HB ENDOFORM COLLAGEN 2X2/MICROFIBRIL"|272.00|$1226.00|$245.20|$868.01|$858.00||$560.28|$245.20|$868.01|$449.94|$572.54|$613.00|$692.69|$551.70|$632.62|$684.11|$473.24|$320.48|$285.54|$285.54
"Custom 27200721"|"HB KIT IV START 57285C"|272.00|$28.00|$5.60|$19.82|$20.00||$12.80|$5.60|$19.82|$10.28|$13.08|$14.00|$15.82|$12.60|$14.45|$15.62|$10.81|$7.32|$6.52|$6.52
"Custom 27200787"|"HB NEBULIZER MINI-HEART100612A"|272.00|$59.00|$11.80|$41.77|$41.00||$26.96|$11.80|$41.77|$21.65|$27.55|$29.50|$33.34|$26.55|$30.44|$32.92|$22.77|$15.42|$13.74|$13.74
"Custom 27200799"|"HB NEEDLE BONE BIOPSY 13GA"|272.00|$1135.00|$227.00|$803.58|$794.00||$518.70|$227.00|$803.58|$416.55|$530.05|$567.50|$641.28|$510.75|$585.66|$633.33|$438.11|$296.69|$264.34|$264.34
"Custom 27200800"|"HB NEEDLE BREAST PREC GD20X1.5"|272.00|$117.00|$23.40|$82.84|$82.00||$53.47|$23.40|$82.84|$42.94|$54.64|$58.50|$66.11|$52.65|$60.37|$65.29|$45.16|$30.58|$27.25|$27.25
"Custom 27200866"|"HB PROBE WRAP PULSE OXIMETER"|272.00|$7.00|$1.40|$4.96|$5.00||$3.20|$1.40|$4.96|$2.57|$3.27|$3.50|$3.96|$3.15|$3.61|$3.91|$2.70|$1.83|$1.63|$1.63
"Custom 27200908"|"HB SPIROMETER ADULT INCENTIVE"|272.00|$23.00|$4.60|$16.28|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$11.87|$12.83|$8.88|$6.01|$5.36|$5.36
"Custom 27201136"|"HB SODIUM CHLORIDE .9% 1000ML"|272.00|$29.00|$5.80|$20.53|$20.00||$13.25|$5.80|$20.53|$10.64|$13.54|$14.50|$16.39|$13.05|$14.96|$16.18|$11.19|$7.58|$6.75|$6.75
"Custom 27201138"|"HB TUBE ET CUFF 5.0MM 5-10310"|272.00|$29.00|$5.80|$20.53|$20.00||$13.25|$5.80|$20.53|$10.64|$13.54|$14.50|$16.39|$13.05|$14.96|$16.18|$11.19|$7.58|$6.75|$6.75
"HCPCS Q4101"|"HB APLIGRAF SKIN SUBT EA SQ CM"|272.00|$204.00|$40.80|$144.43|$143.00||$93.23|$40.80|$144.43|$74.87|$95.27|$102.00|$115.26|$91.80|$105.26|$113.83|$78.74|$53.33|$47.51|$47.51
"Custom 27201175"|"HB HUBER NEEDLE"|272.00|$53.00|$10.60|$37.52|$37.00||$24.22|$10.60|$37.52|$19.45|$24.75|$26.50|$29.95|$23.85|$27.35|$29.57|$20.46|$13.85|$12.34|$12.34
"HCPCS C1751"|"HB CATH,INF,PERCENT/MIDLINE"|272.00|$340.00|$68.00|$240.72|$238.00||$155.38|$68.00|$240.72|$124.78|$158.78|$170.00|$192.10|$153.00|$175.44|$189.72|$131.24|$88.88|$79.19|$79.19
"HCPCS C1769"|"HB GUIDE WIRE"|272.00|$414.00|$82.80|$293.11|$290.00||$189.20|$82.80|$293.11|$151.94|$193.34|$207.00|$233.91|$186.30|$213.62|$231.01|$159.80|$108.22|$96.42|$96.42
"HCPCS C1751"|"HB CATH,INF,PERCENT/MIDLINE"|272.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$225.50|$254.82|$202.95|$232.72|$251.66|$174.09|$117.89|$105.04|$105.04
"Custom 27201182"|"HB STERI-STRIP 1/2 X 4"|272.00|$15.00|$3.00|$10.62|$10.00||$6.86|$3.00|$10.62|$5.51|$7.01|$7.50|$8.48|$6.75|$7.74|$8.37|$5.79|$3.92|$3.49|$3.49
"Custom 27201184"|"HB HUBER NEEDLE"|272.00|$54.00|$10.80|$38.23|$38.00||$24.68|$10.80|$38.23|$19.82|$25.22|$27.00|$30.51|$24.30|$27.86|$30.13|$20.84|$14.12|$12.58|$12.58
"Custom 27201186"|"HB NERVE BLOCK TRAY"|272.00|$187.00|$37.40|$132.40|$131.00||$85.46|$37.40|$132.40|$68.63|$87.33|$93.50|$105.66|$84.15|$96.49|$104.35|$72.18|$48.88|$43.55|$43.55
"Custom 27201187"|"HB LUMBAR PUNCTURE TRAY"|272.00|$212.00|$42.40|$150.10|$148.00||$96.88|$42.40|$150.10|$77.80|$99.00|$106.00|$119.78|$95.40|$109.39|$118.30|$81.83|$55.42|$49.37|$49.37
"Custom 27201188"|"HB CENTRAL VENOUS CATH MULTILUMEN"|272.00|$665.00|$133.00|$470.82|$465.00||$303.91|$133.00|$470.82|$244.06|$310.56|$332.50|$375.73|$299.25|$343.14|$371.07|$256.69|$173.83|$154.88|$154.88
"Custom 27201189"|"HB URINARY CATH FOLEY W/WO BAG"|272.00|$80.00|$16.00|$56.64|$56.00||$36.56|$16.00|$56.64|$29.36|$37.36|$40.00|$45.20|$36.00|$41.28|$44.64|$30.88|$20.91|$18.63|$18.63
"Custom 27201190"|"HB URINARY LEG BAG"|272.00|$49.00|$9.80|$34.69|$34.00||$22.39|$9.80|$34.69|$17.98|$22.88|$24.50|$27.69|$22.05|$25.28|$27.34|$18.91|$12.81|$11.41|$11.41
"Custom 27201191"|"HB ENDOTRACHEAL TUBE"|272.00|$29.00|$5.80|$20.53|$20.00||$13.25|$5.80|$20.53|$10.64|$13.54|$14.50|$16.39|$13.05|$14.96|$16.18|$11.19|$7.58|$6.75|$6.75
"Custom 27201192"|"HB CHEST TUBE"|272.00|$67.00|$13.40|$47.44|$47.00||$30.62|$13.40|$47.44|$24.59|$31.29|$33.50|$37.86|$30.15|$34.57|$37.39|$25.86|$17.51|$15.60|$15.60
"Custom 27201193"|"HB I&D TRAY"|272.00|$75.00|$15.00|$53.10|$52.00||$34.28|$15.00|$53.10|$27.53|$35.03|$37.50|$42.38|$33.75|$38.70|$41.85|$28.95|$19.61|$17.47|$17.47
"Custom 27201194"|"HB IRRIGATION TRAY"|272.00|$41.00|$8.20|$29.03|$29.00||$18.74|$8.20|$29.03|$15.05|$19.15|$20.50|$23.17|$18.45|$21.16|$22.88|$15.83|$10.72|$9.55|$9.55
"Custom 27201195"|"HB NASOGASTRIC TUBE"|272.00|$37.00|$7.40|$26.20|$26.00||$16.91|$7.40|$26.20|$13.58|$17.28|$18.50|$20.91|$16.65|$19.09|$20.65|$14.28|$9.67|$8.62|$8.62
"Custom 27201196"|"HB SLIT LAMP"|272.00|$29.00|$5.80|$20.53|$20.00||$13.25|$5.80|$20.53|$10.64|$13.54|$14.50|$16.39|$13.05|$14.96|$16.18|$11.19|$7.58|$6.75|$6.75
"Custom 27201197"|"HB STAPLE REMOVER TRAY"|272.00|$36.00|$7.20|$25.49|$25.00||$16.45|$7.20|$25.49|$13.21|$16.81|$18.00|$20.34|$16.20|$18.58|$20.09|$13.90|$9.41|$8.38|$8.38
"HCPCS J7300"|"HB PARAGARD (IUD)"|272.00|$751.00|$150.20|$531.71|$526.00||$343.21|$150.20|$531.71|$275.62|$350.72|$375.50|$424.32|$337.95|$387.52|$419.06|$289.89|$196.31|$174.91|$174.91
"Custom 27201200"|"HB NASAL PACKING/RAPID RHINO"|272.00|$233.00|$46.60|$164.96|$163.00||$106.48|$46.60|$164.96|$85.51|$108.81|$116.50|$131.65|$104.85|$120.23|$130.01|$89.94|$60.91|$54.27|$54.27
"Custom 27201202"|"HB DENTAL SUPPLIES"|272.00|$206.00|$41.20|$145.85|$144.00||$94.14|$41.20|$145.85|$75.60|$96.20|$103.00|$116.39|$92.70|$106.30|$114.95|$79.52|$53.85|$47.98|$47.98
"Custom 27201203"|"HB LUMBAR PUNCTURE TRAY"|272.00|$212.00|$42.40|$150.10|$148.00||$96.88|$42.40|$150.10|$77.80|$99.00|$106.00|$119.78|$95.40|$109.39|$118.30|$81.83|$55.42|$49.37|$49.37
"Custom 27201209"|"HB BREAST PUMP KIT"|272.00|$237.00|$47.40|$167.80|$166.00||$108.31|$47.40|$167.80|$86.98|$110.68|$118.50|$133.91|$106.65|$122.29|$132.25|$91.48|$61.95|$55.20|$55.20
"HCPCS C1751"|"HB POWER PICC SOLO CATHETER KIT 4FR"|272.00|$969.00|$193.80|$686.05|$678.00||$442.83|$193.80|$686.05|$355.62|$452.52|$484.50|$547.49|$436.05|$500.00|$540.70|$374.03|$253.30|$225.68|$225.68
"HCPCS C1751"|"HB POWER PICC SOLO CATHETER KIT 5FR"|272.00|$1004.00|$200.80|$710.83|$703.00||$458.83|$200.80|$710.83|$368.47|$468.87|$502.00|$567.26|$451.80|$518.06|$560.23|$387.54|$262.45|$233.83|$233.83
"HCPCS C1751"|"HB POWER PICC SOLO CATHETER KIT 6FR"|272.00|$1115.00|$223.00|$789.42|$780.00||$509.56|$223.00|$789.42|$409.21|$520.71|$557.50|$629.98|$501.75|$575.34|$622.17|$430.39|$291.46|$259.68|$259.68
"Custom 27201216"|"HB SWAB CULT COLL APPL MINITIP PL"|272.00|$457.00|$91.40|$323.56|$320.00||$208.85|$91.40|$323.56|$167.72|$213.42|$228.50|$258.21|$205.65|$235.81|$255.01|$176.40|$119.46|$106.44|$106.44
"HCPCS C1729"|"HB PLEURX PLEURAL CATH KIT"|272.00|$1355.00|$271.00|$959.34|$948.00||$619.24|$271.00|$959.34|$497.29|$632.79|$677.50|$765.58|$609.75|$699.18|$756.09|$523.03|$354.20|$315.58|$315.58
"HCPCS C1751"|"HB CATH,INF,PERCENT/MIDLINE"|272.00|$361.00|$72.20|$255.59|$253.00||$164.98|$72.20|$255.59|$132.49|$168.59|$180.50|$203.97|$162.45|$186.28|$201.44|$139.35|$94.37|$84.08|$84.08
"Custom 27201225"|"HB FECAL MGMT SYS FLEXI-SEAL SGNL"|272.00|$390.00|$78.00|$276.12|$273.00||$178.23|$78.00|$276.12|$143.13|$182.13|$195.00|$220.35|$175.50|$201.24|$217.62|$150.54|$101.95|$90.83|$90.83
"HCPCS C1726"|"HB COOK BALLOON CATHETER"|272.00|$204.00|$40.80|$144.43|$143.00||$93.23|$40.80|$144.43|$74.87|$95.27|$102.00|$115.26|$91.80|$105.26|$113.83|$78.74|$53.33|$47.51|$47.51
"HCPCS C1726"|"HB HYSTEROSALPINGOGRAPHY; CATHETER, BALLOON DILATATION, NON-VASCULAR"|272.00|$57.00|$11.40|$40.36|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$28.50|$32.21|$25.65|$29.41|$31.81|$22.00|$14.90|$13.28|$13.28
"Custom 27201280"|"HB ADAPTIC DRESSING 3X3"|272.00|$41.00|$8.20|$29.03|$29.00||$18.74|$8.20|$29.03|$15.05|$19.15|$20.50|$23.17|$18.45|$21.16|$22.88|$15.83|$10.72|$9.55|$9.55
"Custom 27201328"|"HB FOLEY CATHETER OR 14/16/18FR"|272.00|$62.00|$12.40|$43.90|$43.00||$28.33|$12.40|$43.90|$22.75|$28.95|$31.00|$35.03|$27.90|$31.99|$34.60|$23.93|$16.21|$14.44|$14.44
"Custom 27201356"|"HB SALINE IRRIGATION 500ML"|272.00|$445.00|$89.00|$315.06|$312.00||$203.37|$89.00|$315.06|$163.32|$207.82|$222.50|$251.43|$200.25|$229.62|$248.31|$171.77|$116.32|$103.64|$103.64
"Custom 27201364"|"HB TRAY LACERATION/FACIAL"|272.00|$449.00|$89.80|$317.89|$314.00||$205.19|$89.80|$317.89|$164.78|$209.68|$224.50|$253.69|$202.05|$231.68|$250.54|$173.31|$117.37|$104.57|$104.57
"Custom 27201372"|"HB US CORE BIOPSY NEEDLE"|272.00|$1104.00|$220.80|$781.63|$773.00||$504.53|$220.80|$781.63|$405.17|$515.57|$552.00|$623.76|$496.80|$569.66|$616.03|$426.14|$288.59|$257.12|$257.12
"HCPCS C1729"|"HB PLEURAGUIDE CHEST TUBE KT"|272.00|$1296.00|$259.20|$917.57|$907.00||$592.27|$259.20|$917.57|$475.63|$605.23|$648.00|$732.24|$583.20|$668.74|$723.17|$500.26|$338.77|$301.84|$301.84
"HCPCS C1729"|"HB CATHETER, DRAINAGE"|272.00|$503.00|$100.60|$356.12|$352.00||$229.87|$100.60|$356.12|$184.60|$234.90|$251.50|$284.20|$226.35|$259.55|$280.67|$194.16|$131.48|$117.15|$117.15
"HCPCS C1751"|"HB CATH,INF,PERCENT/MIDLINE"|272.00|$343.00|$68.60|$242.84|$240.00||$156.75|$68.60|$242.84|$125.88|$160.18|$171.50|$193.80|$154.35|$176.99|$191.39|$132.40|$89.66|$79.88|$79.88
"HCPCS C1751"|"HB PICC CATHETER"|272.00|$1232.00|$246.40|$872.26|$862.00||$563.02|$246.40|$872.26|$452.14|$575.34|$616.00|$696.08|$554.40|$635.71|$687.46|$475.55|$322.04|$286.93|$286.93
"Custom 27201412"|"HB CERVICAL RIPENING BALLOON-COOK"|272.00|$237.00|$47.40|$167.80|$166.00||$108.31|$47.40|$167.80|$86.98|$110.68|$118.50|$133.91|$106.65|$122.29|$132.25|$91.48|$61.95|$55.20|$55.20
"Custom 27201413"|"HB IV/HEPLOCK/PRN START"|272.00|$32.00|$6.40|$22.66|$22.00||$14.62|$6.40|$22.66|$11.74|$14.94|$16.00|$18.08|$14.40|$16.51|$17.86|$12.35|$8.36|$7.45|$7.45
"Custom 27201414"|"HB CATH CSF LUM EXT CLOSE END BA"|272.00|$772.00|$154.40|$546.58|$540.00||$352.80|$154.40|$546.58|$283.32|$360.52|$386.00|$436.18|$347.40|$398.35|$430.78|$297.99|$201.80|$179.80|$179.80
"Custom 27201415"|"HB ACCUCATH 20G 2.25"""|272.00|$143.00|$28.60|$101.24|$100.00||$65.35|$28.60|$101.24|$52.48|$66.78|$71.50|$80.80|$64.35|$73.79|$79.79|$55.20|$37.38|$33.30|$33.30
"Custom 27201419"|"HB NEBULIZER KIT AEROECLIPSE"|272.00|$79.00|$15.80|$55.93|$55.00||$36.10|$15.80|$55.93|$28.99|$36.89|$39.50|$44.64|$35.55|$40.76|$44.08|$30.49|$20.65|$18.40|$18.40
"Custom 27201422"|"HB ANESTHESIA GASES"|272.00|$416.00|$83.20|$294.53|$291.00||$190.11|$83.20|$294.53|$152.67|$194.27|$208.00|$235.04|$187.20|$214.66|$232.13|$160.58|$108.74|$96.89|$96.89
"Custom 27201423"|"HB CATH TRAY W/BAG NO CATH"|272.00|$73.00|$14.60|$51.68|$51.00||$33.36|$14.60|$51.68|$26.79|$34.09|$36.50|$41.25|$32.85|$37.67|$40.73|$28.18|$19.08|$17.00|$17.00
"Custom 27201424"|"HB DRAPE UNDER BUTTOCKS #89415"|272.00|$37.00|$7.40|$26.20|$26.00||$16.91|$7.40|$26.20|$13.58|$17.28|$18.50|$20.91|$16.65|$19.09|$20.65|$14.28|$9.67|$8.62|$8.62
"Custom 27201425"|"HB BILI EYE SHIELDS"|272.00|$23.00|$4.60|$16.28|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$11.87|$12.83|$8.88|$6.01|$5.36|$5.36
"Custom 27201426"|"HB DUODERM EXTRA THIN/SHEET"|272.00|$15.00|$3.00|$10.62|$10.00||$6.86|$3.00|$10.62|$5.51|$7.01|$7.50|$8.48|$6.75|$7.74|$8.37|$5.79|$3.92|$3.49|$3.49
"Custom 27201427"|"HB ENTERAL ONLY EXT SET"|272.00|$4.00|$0.80|$2.83|$3.00||$1.83|$0.80|$2.83|$1.47|$1.87|$2.00|$2.26|$1.80|$2.06|$2.23|$1.54|$1.05|$0.93|$0.93
"Custom 27201428"|"HB NIPPLE SHIELD EXTRA SMALL"|272.00|$23.00|$4.60|$16.28|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$11.87|$12.83|$8.88|$6.01|$5.36|$5.36
"Custom 27201429"|"HB BOTTLE FEED DR BROWNS 4OZ W/PREMIE NIP"|272.00|$7.00|$1.40|$4.96|$5.00||$3.20|$1.40|$4.96|$2.57|$3.27|$3.50|$3.96|$3.15|$3.61|$3.91|$2.70|$1.83|$1.63|$1.63
"Custom 27201430"|"HB SPECULUM VAG MED DISP W/LT"|272.00|$4.00|$0.80|$2.83|$3.00||$1.83|$0.80|$2.83|$1.47|$1.87|$2.00|$2.26|$1.80|$2.06|$2.23|$1.54|$1.05|$0.93|$0.93
"Custom 27201431"|"HB SPECULUM VAG LG DISP W/LT"|272.00|$5.00|$1.00|$3.54|$4.00||$2.29|$1.00|$3.54|$1.84|$2.34|$2.50|$2.83|$2.25|$2.58|$2.79|$1.93|$1.31|$1.16|$1.16
"Custom 27201432"|"HB OPSITE POST OP VISIBLE 4X8 (20X10CM)"|272.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27201433"|"HB OPSITE POST OP VISIBLE 4X10 (25X10CM)"|272.00|$21.00|$4.20|$14.87|$15.00||$9.60|$4.20|$14.87|$7.71|$9.81|$10.50|$11.87|$9.45|$10.84|$11.72|$8.11|$5.49|$4.89|$4.89
"Custom 27201434"|"HB ON-Q CONTINUOUS NERVE BLOCK TRAY"|272.00|$258.00|$51.60|$182.66|$181.00||$117.91|$51.60|$182.66|$94.69|$120.49|$129.00|$145.77|$116.10|$133.13|$143.96|$99.59|$67.44|$60.09|$60.09
"HCPCS C2627"|"HB OR 272 C2627"|272.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27201437"|"HB AQUACEL AG SURGICAL 3.5 X 10"|272.00|$474.00|$94.80|$335.59|$332.00||$216.62|$94.80|$335.59|$173.96|$221.36|$237.00|$267.81|$213.30|$244.58|$264.49|$182.96|$123.90|$110.39|$110.39
"CPT® C1894"|"HB INTRODUCER KIT ARROW 9FR"|272.00|$703.00|$140.60|$497.72|$492.00||$321.27|$140.60|$497.72|$258.00|$328.30|$351.50|$397.20|$316.35|$362.75|$392.27|$271.36|$183.76|$163.73|$163.73
"Custom 27201474"|"HB ARISTA AH FLEXTIP APPLICATOR 14CM"|272.00|$98.00|$19.60|$69.38|$69.00||$44.79|$19.60|$69.38|$35.97|$45.77|$49.00|$55.37|$44.10|$50.57|$54.68|$37.83|$25.62|$22.82|$22.82
"CPT® C1893"|"HB MICROPUNCTURE KIT"|272.00|$201.00|$40.20|$142.31|$141.00||$91.86|$40.20|$142.31|$73.77|$93.87|$100.50|$113.57|$90.45|$103.72|$112.16|$77.59|$52.54|$46.81|$46.81
"CPT® C1894"|"HB MICROEZ INTRODUCER KIT"|272.00|$375.00|$75.00|$265.50|$262.00||$171.38|$75.00|$265.50|$137.63|$175.13|$187.50|$211.88|$168.75|$193.50|$209.25|$144.75|$98.03|$87.34|$87.34
"Custom 27201477"|"HB SITE RITE NEEDLE GUIDE KIT"|272.00|$96.00|$19.20|$67.97|$67.00||$43.87|$19.20|$67.97|$35.23|$44.83|$48.00|$54.24|$43.20|$49.54|$53.57|$37.06|$25.09|$22.36|$22.36
"Custom 27201478"|"HB MIDLINE CATHETER"|272.00|$296.00|$59.20|$209.57|$207.00||$135.27|$59.20|$209.57|$108.63|$138.23|$148.00|$167.24|$133.20|$152.74|$165.17|$114.26|$77.37|$68.94|$68.94
"Custom 27201479"|"HB ULTRASOUND COVER"|272.00|$19.00|$3.80|$13.45|$13.00||$8.68|$3.80|$13.45|$6.97|$8.87|$9.50|$10.74|$8.55|$9.80|$10.60|$7.33|$4.97|$4.43|$4.43
"Custom 27201482"|"HB SORBABIEW"|272.00|$21.00|$4.20|$14.87|$15.00||$9.60|$4.20|$14.87|$7.71|$9.81|$10.50|$11.87|$9.45|$10.84|$11.72|$8.11|$5.49|$4.89|$4.89
"Custom 27201483"|"HB BIOPATCH"|272.00|$37.00|$7.40|$26.20|$26.00||$16.91|$7.40|$26.20|$13.58|$17.28|$18.50|$20.91|$16.65|$19.09|$20.65|$14.28|$9.67|$8.62|$8.62
"Custom 27201484"|"HB ACCUCATH START KIT"|272.00|$174.00|$34.80|$123.19|$122.00||$79.52|$34.80|$123.19|$63.86|$81.26|$87.00|$98.31|$78.30|$89.78|$97.09|$67.16|$45.48|$40.52|$40.52
"Custom 27201485"|"HB STERILE MIDLINE PACK"|272.00|$210.00|$42.00|$148.68|$147.00||$95.97|$42.00|$148.68|$77.07|$98.07|$105.00|$118.65|$94.50|$108.36|$117.18|$81.06|$54.89|$48.91|$48.91
"Custom 27201488"|"HB D-STAT WRAP PATCH"|272.00|$206.00|$41.20|$145.85|$144.00||$94.14|$41.20|$145.85|$75.60|$96.20|$103.00|$116.39|$92.70|$106.30|$114.95|$79.52|$53.85|$47.98|$47.98
"Custom 27201536"|"HB BOTTLE DR BROWNS 2OZ"|272.00|$10.00|$2.00|$7.08|$7.00||$4.57|$2.00|$7.08|$3.67|$4.67|$5.00|$5.65|$4.50|$5.16|$5.58|$3.86|$2.61|$2.33|$2.33
"Custom 27201541"|"HB US NEEDLE SETS"|272.00|$1139.00|$227.80|$806.41|$797.00||$520.52|$227.80|$806.41|$418.01|$531.91|$569.50|$643.54|$512.55|$587.72|$635.56|$439.65|$297.73|$265.27|$265.27
"Custom 27201543"|"HB EXT SET IV AUTO SYR HI FLO 60IN"|272.00|$23.00|$4.60|$16.28|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$11.87|$12.83|$8.88|$6.01|$5.36|$5.36
"Custom 27201544"|"HB NDL ANES REG BLK 22X1.5IN"|272.00|$35.00|$7.00|$24.78|$24.00||$16.00|$7.00|$24.78|$12.85|$16.35|$17.50|$19.78|$15.75|$18.06|$19.53|$13.51|$9.15|$8.15|$8.15
"Custom 27201554"|"HB FLEXTIP PLUS"|272.00|$427.00|$85.40|$302.32|$299.00||$195.14|$85.40|$302.32|$156.71|$199.41|$213.50|$241.26|$192.15|$220.33|$238.27|$164.82|$111.62|$99.45|$99.45
"Custom 27201555"|"HB BRAUN EPIDURAL TY CONT"|272.00|$395.00|$79.00|$279.66|$276.00||$180.52|$79.00|$279.66|$144.97|$184.47|$197.50|$223.18|$177.75|$203.82|$220.41|$152.47|$103.25|$92.00|$92.00
"Custom 27201559"|"HB 3 FR SINGLE LUMEN POWER MIDLINE"|272.00|$571.00|$114.20|$404.27|$400.00||$260.95|$114.20|$404.27|$209.56|$266.66|$285.50|$322.62|$256.95|$294.64|$318.62|$220.41|$149.26|$132.99|$132.99
"Custom 27201560"|"HB 4 FR DUAL LUMEN POWER MIDLINE"|272.00|$653.00|$130.60|$462.32|$457.00||$298.42|$130.60|$462.32|$239.65|$304.95|$326.50|$368.95|$293.85|$336.95|$364.37|$252.06|$170.69|$152.08|$152.08
"HCPCS C2618"|"HB ICEFORCE NEEDLE"|272.00|$9731.00|$1946.20|$6889.55|$6812.00||$4447.07|$1946.20|$6889.55|$3571.28|$4544.38|$4865.50|$5498.02|$4378.95|$5021.20|$5429.90|$3756.17|$2543.68|$2266.35|$2266.35
"HCPCS C2618"|"HB ICEPEARL NEEDLE"|272.00|$9935.00|$1987.00|$7033.98|$6954.00||$4540.30|$1987.00|$7033.98|$3646.15|$4639.65|$4967.50|$5613.28|$4470.75|$5126.46|$5543.73|$3834.91|$2597.01|$2313.86|$2313.86
"HCPCS C2618"|"HB ICESPHERE NEEDLE"|272.00|$7524.00|$1504.80|$5326.99|$5267.00||$3438.47|$1504.80|$5326.99|$2761.31|$3513.71|$3762.00|$4251.06|$3385.80|$3882.38|$4198.39|$2904.26|$1966.77|$1752.34|$1752.34
"HCPCS C2618"|"HB ICEEDGE NEEDLE"|272.00|$9297.00|$1859.40|$6582.28|$6508.00||$4248.73|$1859.40|$6582.28|$3412.00|$4341.70|$4648.50|$5252.81|$4183.65|$4797.25|$5187.73|$3588.64|$2430.24|$2165.27|$2165.27
"HCPCS C2618"|"HB ICEROD PLUS NEEDLE"|272.00|$7524.00|$1504.80|$5326.99|$5267.00||$3438.47|$1504.80|$5326.99|$2761.31|$3513.71|$3762.00|$4251.06|$3385.80|$3882.38|$4198.39|$2904.26|$1966.77|$1752.34|$1752.34
"Custom 27201647"|"HB SHILEY ENDOBRONCHIAL TUBE"|272.00|$819.00|$163.80|$579.85|$573.00||$374.28|$163.80|$579.85|$300.57|$382.47|$409.50|$462.74|$368.55|$422.60|$457.00|$316.13|$214.09|$190.75|$190.75
"HCPCS C2618"|"HB NEEDLE CRYOABLATION ICESPHERE 1.5CX 90 DEGREE"|272.00|$10093.00|$2018.60|$7145.84|$7065.00||$4612.50|$2018.60|$7145.84|$3704.13|$4713.43|$5046.50|$5702.55|$4541.85|$5207.99|$5631.89|$3895.90|$2638.31|$2350.66|$2350.66
"Custom 27203029"|"HB DRESSING DERMAL FENESTRATED TEMPLATE ENDOFORM 2 X 2 IN COLLAGEN EXTRACELLULAR MATRIX"|272.00|$183.00|$36.60|$129.56|$128.00||$83.63|$36.60|$129.56|$67.16|$85.46|$91.50|$103.40|$82.35|$94.43|$102.11|$70.64|$47.84|$42.62|$42.62
"Custom 27203079"|"HB LUMBAR PUNCTURE TRAY SAFE-T PLUS ADULT 20 G X 3.5 IN"|272.00|$274.00|$54.80|$193.99|$192.00||$125.22|$54.80|$193.99|$100.56|$127.96|$137.00|$154.81|$123.30|$141.38|$152.89|$105.76|$71.62|$63.81|$63.81
"Custom 27203085"|"HB SUTURE TRAY"|272.00|$194.00|$38.80|$137.35|$136.00||$88.66|$38.80|$137.35|$71.20|$90.60|$97.00|$109.61|$87.30|$100.10|$108.25|$74.88|$50.71|$45.18|$45.18
"Custom 27203229"|"HB MAX-CORE BIOPSY INST 18G X 10C"|272.00|$634.00|$126.80|$448.87|$444.00||$289.74|$126.80|$448.87|$232.68|$296.08|$317.00|$358.21|$285.30|$327.14|$353.77|$244.72|$165.73|$147.66|$147.66
"Custom 27203291"|"HB GUN BX NDL SFT TISS MAXCOR 18 G X 20CM DISP"|272.00|$610.00|$122.00|$431.88|$427.00||$278.77|$122.00|$431.88|$223.87|$284.87|$305.00|$344.65|$274.50|$314.76|$340.38|$235.46|$159.45|$142.07|$142.07
"Custom 27203367"|"HB KIT INSTRMNT DSPSBLE CORE BIOPSY MISSION 18GX10CM"|272.00|$891.00|$178.20|$630.83|$624.00||$407.19|$178.20|$630.83|$327.00|$416.10|$445.50|$503.42|$400.95|$459.76|$497.18|$343.93|$232.91|$207.51|$207.51
"Custom 27203368"|"HB KIT INSTRMNT DSPSBLE CORE BIOPSY MISSION 18GX16CM"|272.00|$653.00|$130.60|$462.32|$457.00||$298.42|$130.60|$462.32|$239.65|$304.95|$326.50|$368.95|$293.85|$336.95|$364.37|$252.06|$170.69|$152.08|$152.08
"Custom 27203398"|"HB BLOOD ADMIN SET 122IN ALARIS FOR USE WITH PUMP VENT"|272.00|$187.00|$37.40|$132.40|$131.00||$85.46|$37.40|$132.40|$68.63|$87.33|$93.50|$105.66|$84.15|$96.49|$104.35|$72.18|$48.88|$43.55|$43.55
"Custom 27203443"|"HB NEEDLE LOCALIZATION BREAST LESION HAWKINS III 20 G X 10 CM"|272.00|$470.00|$94.00|$332.76|$329.00||$214.79|$94.00|$332.76|$172.49|$219.49|$235.00|$265.55|$211.50|$242.52|$262.26|$181.42|$122.86|$109.46|$109.46
"Custom 27203450"|"HB NEEDLE LOCALIZATION BREAST PRECISIONGLIDE 20 G X 1.5 IN STERILE W/HOOK WIRE"|272.00|$210.00|$42.00|$148.68|$147.00||$95.97|$42.00|$148.68|$77.07|$98.07|$105.00|$118.65|$94.50|$108.36|$117.18|$81.06|$54.89|$48.91|$48.91
"HCPCS C2618"|"HB NEEDLE CRYOABLATION ICEPEARL 2.1CX 90 DEGREE"|272.00|$10093.00|$2018.60|$7145.84|$7065.00||$4612.50|$2018.60|$7145.84|$3704.13|$4713.43|$5046.50|$5702.55|$4541.85|$5207.99|$5631.89|$3895.90|$2638.31|$2350.66|$2350.66
"HCPCS C2618"|"HB NEEDLE CRYOABLATION DEGREE 90 GREY HANDLE ICEFORCE 2.1CX"|272.00|$10093.00|$2018.60|$7145.84|$7065.00||$4612.50|$2018.60|$7145.84|$3704.13|$4713.43|$5046.50|$5702.55|$4541.85|$5207.99|$5631.89|$3895.90|$2638.31|$2350.66|$2350.66
"HCPCS C2618"|"HB NEEDLE CRYOABLATION ICEPEARL 2.1CX LONG 90 DEGREE"|272.00|$10725.00|$2145.00|$7593.30|$7507.00||$4901.33|$2145.00|$7593.30|$3936.08|$5008.58|$5362.50|$6059.63|$4826.25|$5534.10|$5984.55|$4139.85|$2803.52|$2497.85|$2497.85
"HCPCS C2618"|"HB NEEDLE CRYOABLATION ICEFORCE 2.1CX LONG 90 DEGREE"|272.00|$10725.00|$2145.00|$7593.30|$7507.00||$4901.33|$2145.00|$7593.30|$3936.08|$5008.58|$5362.50|$6059.63|$4826.25|$5534.10|$5984.55|$4139.85|$2803.52|$2497.85|$2497.85
"HCPCS C2618"|"HB NEEDLE CRYOABLATION DEGREE 90 RED HANDLE ICEFORCE 1.5CX"|272.00|$8700.00|$1740.00|$6159.60|$6090.00||$3975.90|$1740.00|$6159.60|$3192.90|$4062.90|$4350.00|$4915.50|$3915.00|$4489.20|$4854.60|$3358.20|$2274.18|$2026.23|$2026.23
"HCPCS C2618"|"HB NEEDLE KIT CRYOSURGERY SEEDNET ICEROD PLUS"|272.00|$8543.00|$1708.60|$6048.44|$5980.00||$3904.15|$1708.60|$6048.44|$3135.28|$3989.58|$4271.50|$4826.80|$3844.35|$4408.19|$4766.99|$3297.60|$2233.14|$1989.66|$1989.66
"HCPCS C2618"|"HB NEEDLE KIT CRYOSURG ICE SPHERE DEGREE 90"|272.00|$8543.00|$1708.60|$6048.44|$5980.00||$3904.15|$1708.60|$6048.44|$3135.28|$3989.58|$4271.50|$4826.80|$3844.35|$4408.19|$4766.99|$3297.60|$2233.14|$1989.66|$1989.66
"Custom 27203465"|"HB BIOPSY KIT BONE IVAS 10 G"|272.00|$1074.00|$214.80|$760.39|$752.00||$490.82|$214.80|$760.39|$394.16|$501.56|$537.00|$606.81|$483.30|$554.18|$599.29|$414.56|$280.74|$250.13|$250.13
"Custom 27203466"|"HB CANNULA ACCESS DELIVERY BONE CEMENT VERTEPORT 10 G"|272.00|$873.00|$174.60|$618.08|$611.00||$398.96|$174.60|$618.08|$320.39|$407.69|$436.50|$493.25|$392.85|$450.47|$487.13|$336.98|$228.20|$203.32|$203.32
"Custom 27203471"|"HB INSTRMNT DSPSBLE CORE BIOPSY MISSION 18GX10CM"|272.00|$592.00|$118.40|$419.14|$414.00||$270.54|$118.40|$419.14|$217.26|$276.46|$296.00|$334.48|$266.40|$305.47|$330.34|$228.51|$154.75|$137.88|$137.88
"Custom 27203472"|"HB NEEDLE BIOPSY BREAST LOCALIZATION FULL CORE BIOPINCE 18 G X 15 CM"|272.00|$697.00|$139.40|$493.48|$488.00||$318.53|$139.40|$493.48|$255.80|$325.50|$348.50|$393.81|$313.65|$359.65|$388.93|$269.04|$182.20|$162.33|$162.33
"Custom 27203473"|"HB DRESSING COVER AQUACEL AG SURGICAL SP 3.5X6IN"|272.00|$402.00|$80.40|$284.62|$281.00||$183.71|$80.40|$284.62|$147.53|$187.73|$201.00|$227.13|$180.90|$207.43|$224.32|$155.17|$105.08|$93.63|$93.63
"Custom 27300005"|"HB ABDOMINAL BINDER"|273.00|$174.00|$34.80|$123.19|$122.00||$79.52|$34.80|$123.19|$63.86|$81.26|$87.00|$98.31|$78.30|||$67.16|$45.48|$40.52|$40.52
"Custom 27400005"|"HB ADL CYLINDRICAL FOAM"|274.00|$6.00|$1.20|$3.39|$4.00||$2.74|$1.20|$3.23|$2.20|$2.80|$3.00|$3.39|$2.70|$3.00|$3.00|$2.32|$1.57|$1.40|$1.40
"Custom 27400006"|"HB MULTI PODUS BOOT"|274.00|$183.00|$36.60|$103.40|$128.00||$83.63|$36.60|$98.45|$67.16|$85.46|$91.50|$103.40|$82.35|$91.50|$91.50|$70.64|$47.84|$42.62|$42.62
"HCPCS L4350"|"HB AIRCAST ANKLE BRACE"|274.00|$191.00|$38.20|$107.92|$134.00||$87.29|$38.20|$102.76|$70.10|$89.20|$95.50|$107.92|$85.95|$95.50|$95.50|$73.73|$49.93|$44.48|$44.48
"HCPCS L0120"|"HB CERVICAL COLLAR SOFT"|274.00|$70.00|$14.00|$39.55|$49.00||$31.99|$14.00|$37.66|$25.69|$32.69|$35.00|$39.55|$31.50|$35.00|$35.00|$27.02|$18.30|$16.30|$16.30
"HCPCS L4360"|"HB WALKER NXSTEP CONTOUT AIR LG"|274.00|$743.00|$148.60|$419.80|$520.00||$339.55|$148.60|$399.73|$272.68|$346.98|$371.50|$419.80|$334.35|$371.50|$371.50|$286.80|$194.22|$173.04|$173.04
"HCPCS L3933"|"HB CUSTOM FINGER ORTHOSIS STATIC"|274.00|$2638.00|$527.60|$1490.47|$1847.00||$1205.57|$527.60|$1419.24|$968.15|$1231.95|$1319.00|$1490.47|$1187.10|$1319.00|$1319.00|$1018.27|$689.57|$614.39|$614.39
"HCPCS L3807"|"HB PREFAB WHFO STATIC"|274.00|$2638.00|$527.60|$1490.47|$1847.00||$1205.57|$527.60|$1419.24|$968.15|$1231.95|$1319.00|$1490.47|$1187.10|$1319.00|$1319.00|$1018.27|$689.57|$614.39|$614.39
"HCPCS L4360"|"HB WALKER NXSTEP CONTOUT AIR MD"|274.00|$743.00|$148.60|$419.80|$520.00||$339.55|$148.60|$399.73|$272.68|$346.98|$371.50|$419.80|$334.35|$371.50|$371.50|$286.80|$194.22|$173.04|$173.04
"HCPCS L0150"|"HB C-COL,S-RIG,MAND/OC PC"|274.00|$342.00|$68.40|$193.23|$239.00||$156.29|$68.40|$184.00|$125.51|$159.71|$171.00|$193.23|$153.90|$171.00|$171.00|$132.01|$89.40|$79.65|$79.65
"HCPCS L0174"|"HB C-COL,S-RIG,2-PC,T-EXT"|274.00|$429.00|$85.80|$242.39|$300.00||$196.05|$85.80|$230.80|$157.44|$200.34|$214.50|$242.39|$193.05|$214.50|$214.50|$165.59|$112.14|$99.91|$99.91
"HCPCS L0472"|"HB TLSO,ANT FRAME,PREFAB"|274.00|$1029.00|$205.80|$581.39|$720.00||$470.25|$205.80|$553.60|$377.64|$480.54|$514.50|$581.39|$463.05|$514.50|$514.50|$397.19|$268.98|$239.65|$239.65
"HCPCS L0486"|"HB TLSO,2 PC,MOLD TO PT CUST"|274.00|$3486.00|$697.20|$1969.59|$2440.00||$1593.10|$697.20|$1875.47|$1279.36|$1627.96|$1743.00|$1969.59|$1568.70|$1743.00|$1743.00|$1345.60|$911.24|$811.89|$811.89
"HCPCS L0627"|"HB L OX A,P PAN L1-5,PREFAB"|274.00|$1088.00|$217.60|$614.72|$762.00||$497.22|$217.60|$585.34|$399.30|$508.10|$544.00|$614.72|$489.60|$544.00|$544.00|$419.97|$284.40|$253.40|$253.40
"HCPCS L0628"|"HB LSO FLEX SCJ-T9 PREFAB"|274.00|$357.00|$71.40|$201.71|$250.00||$163.15|$71.40|$192.07|$131.02|$166.72|$178.50|$201.71|$160.65|$178.50|$178.50|$137.80|$93.32|$83.15|$83.15
"HCPCS L0631"|"HB LSO RIG A P,SCJ-T9 PREFAB"|274.00|$2712.00|$542.40|$1532.28|$1898.00||$1239.38|$542.40|$1459.06|$995.30|$1266.50|$1356.00|$1532.28|$1220.40|$1356.00|$1356.00|$1046.83|$708.92|$631.62|$631.62
"HCPCS L0810"|"HB HALOJACKET VEST"|274.00|$7212.00|$1442.40|$4074.78|$5048.00||$3295.88|$1442.40|$3880.06|$2646.80|$3368.00|$3606.00|$4074.78|$3245.40|$3606.00|$3606.00|$2783.83|$1885.22|$1679.67|$1679.67
"HCPCS L0984"|"HB TLSO BODY SOCK"|274.00|$399.00|$79.80|$225.44|$279.00||$182.34|$79.80|$214.66|$146.43|$186.33|$199.50|$225.44|$179.55|$199.50|$199.50|$154.01|$104.30|$92.93|$92.93
"HCPCS L1260"|"HB ADD ANT T DEROT PAD"|274.00|$254.00|$50.80|$143.51|$178.00||$116.08|$50.80|$136.65|$93.22|$118.62|$127.00|$143.51|$114.30|$127.00|$127.00|$98.04|$66.40|$59.16|$59.16
"HCPCS L1499"|"HB ASPEN REPLACEMENT PADS"|274.00|$97.00|$19.40|$54.81|$68.00||$44.33|$19.40|$52.19|$35.60|$45.30|$48.50|$54.81|$43.65|$48.50|$48.50|$37.44|$25.36|$22.59|$22.59
"HCPCS L1686"|"HB HIP ABD OX PRE FAB"|274.00|$2481.00|$496.20|$1401.77|$1737.00||$1133.82|$496.20|$1334.78|$910.53|$1158.63|$1240.50|$1401.77|$1116.45|$1240.50|$1240.50|$957.67|$648.53|$577.82|$577.82
"HCPCS L1832"|"HB KO, ADJ KNE,RIG,PREFAB"|274.00|$1790.00|$358.00|$1011.35|$1253.00||$818.03|$358.00|$963.02|$656.93|$835.93|$895.00|$1011.35|$805.50|$895.00|$895.00|$690.94|$467.91|$416.89|$416.89
"HCPCS L1930"|"HB AFO,PLAS,PREFAB"|274.00|$664.00|$132.80|$375.16|$465.00||$303.45|$132.80|$357.23|$243.69|$310.09|$332.00|$375.16|$298.80|$332.00|$332.00|$256.30|$173.57|$154.65|$154.65
"HCPCS L1960"|"HB AFO,PLAS,CUSTOM"|274.00|$1270.00|$254.00|$717.55|$889.00||$580.39|$254.00|$683.26|$466.09|$593.09|$635.00|$717.55|$571.50|$635.00|$635.00|$490.22|$331.98|$295.78|$295.78
"HCPCS L2270"|"HB ADD VAR/VAL CORR PAD"|274.00|$165.00|$33.00|$93.23|$115.00||$75.41|$33.00|$88.77|$60.56|$77.06|$82.50|$93.23|$74.25|$82.50|$82.50|$63.69|$43.13|$38.43|$38.43
"HCPCS L2820"|"HB ADD SOFT INTERF BK"|274.00|$216.00|$43.20|$122.04|$151.00||$98.71|$43.20|$116.21|$79.27|$100.87|$108.00|$122.04|$97.20|$108.00|$108.00|$83.38|$56.46|$50.31|$50.31
"HCPCS L2830"|"HB ADD SOFT INTERF AK"|274.00|$230.00|$46.00|$129.95|$161.00||$105.11|$46.00|$123.74|$84.41|$107.41|$115.00|$129.95|$103.50|$115.00|$115.00|$88.78|$60.12|$53.57|$53.57
"HCPCS L2850"|"HB ADD FEM SOCK EA"|274.00|$153.00|$30.60|$86.45|$107.00||$69.92|$30.60|$82.31|$56.15|$71.45|$76.50|$86.45|$68.85|$76.50|$76.50|$59.06|$39.99|$35.63|$35.63
"HCPCS L4396"|"HB STAT O DYN AFO PREFAB"|274.00|$660.00|$132.00|$372.90|$462.00||$301.62|$132.00|$355.08|$242.22|$308.22|$330.00|$372.90|$297.00|$330.00|$330.00|$254.76|$172.52|$153.71|$153.71
"HCPCS L0630"|"HB LSO RIG P,SCJ-T9 PREFAB"|274.00|$429.00|$85.80|$242.39|$300.00||$196.05|$85.80|$230.80|$157.44|$200.34|$214.50|$242.39|$193.05|$214.50|$214.50|$165.59|$112.14|$99.91|$99.91
"HCPCS L1499"|"HB TLSO MOD 4 SHEL PRE FAB"|274.00|$97.00|$19.40|$54.81|$68.00||$44.33|$19.40|$52.19|$35.60|$45.30|$48.50|$54.81|$43.65|$48.50|$48.50|$37.44|$25.36|$22.59|$22.59
"HCPCS L4350"|"HB BRACE ANKLE AIR STIRRUP LARGE LEFT PLASTIC FOAM"|274.00|$281.00|$56.20|$158.77|$197.00||$128.42|$56.20|$151.18|$103.13|$131.23|$140.50|$158.77|$126.45|$140.50|$140.50|$108.47|$73.45|$65.44|$65.44
"HCPCS L0172"|"HB COLLAR CERV VISTA ASPEN ADLT"|274.00|$648.00|$129.60|$366.12|$454.00||$296.14|$129.60|$348.62|$237.82|$302.62|$324.00|$366.12|$291.60|$324.00|$324.00|$250.13|$169.39|$150.92|$150.92
"HCPCS C1788"|"HB POWER PORT ACCESS KIT"|278.00|$92.00|$18.40|$51.98|$64.00||$42.04|$18.40|$49.50|$33.76|$42.96|$46.00|$51.98|$41.40|$46.00|$46.00|$35.51|$24.05|$21.43|$21.43
"HCPCS A4648"|"HB BIOPSY TITANIUM CLIP"|278.00|$488.00|$97.60|$275.72|$342.00||$223.02|$97.60|$262.54|$179.10|$227.90|$244.00|$275.72|$219.60|$244.00|$244.00|$188.37|$127.56|$113.66|$113.66
"HCPCS C1717"|"HB BRACHY HIGH DS IR 192 SRC"|278.00|$1466.00|$293.20|$828.29|$1026.00||$669.96|$293.20|$788.71|$538.02|$684.62|$733.00|$828.29|$659.70|$733.00|$733.00|$565.88|$383.21|$341.43|$341.43
"HCPCS A4648"|"HB PERCUTANEOUS MARKER PRE-LOADED"|278.00|$789.00|$157.80|$445.79|$552.00||$360.57|$157.80|$424.48|$289.56|$368.46|$394.50|$445.79|$355.05|$394.50|$394.50|$304.55|$206.24|$183.76|$183.76
"HCPCS Q4117"|"HB HYALOMATRIX, 2.5X2.5 CM PER SQ CM"|278.00|$90.00|$18.00|$50.85|$63.00||$41.13|$18.00|$48.42|$33.03|$42.03|$45.00|$50.85|$40.50|$45.00|$45.00|$34.74|$23.53|$20.96|$20.96
"HCPCS C2639"|"HB IODINE-125 BRACHYTX SEED"|278.00|$312.00|$62.40|$176.28|$218.00||$142.58|$62.40|$167.86|$114.50|$145.70|$156.00|$176.28|$140.40|$156.00|$156.00|$120.43|$81.56|$72.66|$72.66
"HCPCS Q4117"|"HB HYALOMATRIX, 10X10 CM PER SQ CM"|278.00|$40.00|$8.00|$22.60|$28.00||$18.28|$8.00|$21.52|$14.68|$18.68|$20.00|$22.60|$18.00|$20.00|$20.00|$15.44|$10.46|$9.32|$9.32
"HCPCS Q4121"|"HB THERASKIN SKIN SUB PER SQ CM"|278.00|$1189.00|$237.80|$671.79|$832.00||$543.37|$237.80|$639.68|$436.36|$555.26|$594.50|$671.79|$535.05|$594.50|$594.50|$458.95|$310.80|$276.92|$276.92
"HCPCS C2616"|"HB MICROSPHERE THERAPY DOSE"|278.00|$82188.00|$16437.60|$46436.22|$57532.00||$37559.92|$16437.60|$44217.14|$30163.00|$38381.80|$41094.00|$46436.22|$36984.60|$41094.00|$41094.00|$31724.57|$21483.94|$19141.59|$19141.59
"Custom 27800121"|"HB S INDWELLING PROSTHESIS"|278.00|$393.00|$78.60|$222.05|$275.00||$179.60|$78.60|$211.43|$144.23|$183.53|$196.50|$222.05|$176.85|$196.50|$196.50|$151.70|$102.73|$91.53|$91.53
"HCPCS Q4151"|"HB AMNIOBAND ALLOGRAFT PLACENTAL MATRIX PER SQ CM"|278.00|$470.00|$94.00|$265.55|$329.00||$214.79|$94.00|$252.86|$172.49|$219.49|$235.00|$265.55|$211.50|$235.00|$235.00|$181.42|$122.86|$109.46|$109.46
"HCPCS C2624"|"HB WIRELESS PRESSURE SENSOR"|278.00|$66339.00|$13267.80|$37481.54|$46437.00||$30316.92|$13267.80|$35690.38|$24346.41|$30980.31|$33169.50|$37481.54|$29852.55|$33169.50|$33169.50|$25606.85|$17341.01|$15450.35|$15450.35
"HCPCS A4648"|"HB MARKER TISS BRST ULTRACOR SENOMARK COIL 14GX13CM"|278.00|$853.00|$170.60|$481.95|$597.00||$389.82|$170.60|$458.91|$313.05|$398.35|$426.50|$481.95|$383.85|$426.50|$426.50|$329.26|$222.97|$198.66|$198.66
"HCPCS V5267"|"HB DOMES OTICON DELTA/EPOQ 10 PK"|279.00|$11.00|$2.20|$7.79|$8.00||$5.03|$2.20|$7.79|$4.04|$5.14|$5.50|$6.22|$4.95|$5.68|$6.14|$4.25|$2.88|$2.56|$2.56
"HCPCS V5267"|"HB DOMES PHONAK SIEMENS RESD WIDX"|279.00|$3.00|$0.60|$2.12|$2.00||$1.37|$0.60|$2.12|$1.10|$1.40|$1.50|$1.70|$1.35|$1.55|$1.67|$1.16|$0.78|$0.70|$0.70
"HCPCS V5264"|"HB EARMOLDS I EA"|279.00|$142.00|$28.40|$100.54|$99.00||$64.89|$28.40|$100.54|$52.11|$66.31|$71.00|$80.23|$63.90|$73.27|$79.24|$54.81|$37.12|$33.07|$33.07
"HCPCS V5266"|"HB HEARING AID BATTERIES (6PK - P1)"|279.00|$11.00|$2.20|$7.79|$8.00||$5.03|$2.20|$7.79|$4.04|$5.14|$5.50|$6.22|$4.95|$5.68|$6.14|$4.25|$2.88|$2.56|$2.56
"HCPCS V5267"|"HB MISC HEARING AID SUPPL/ACCESS"|279.00|$219.00|$43.80|$155.05|$153.00||$100.08|$43.80|$155.05|$80.37|$102.27|$109.50|$123.74|$98.55|$113.00|$122.20|$84.53|$57.25|$51.01|$51.01
"HCPCS V5267"|"HB RECHARGE BAT SIEMENS"|279.00|$45.00|$9.00|$31.86|$31.00||$20.57|$9.00|$31.86|$16.52|$21.02|$22.50|$25.43|$20.25|$23.22|$25.11|$17.37|$11.76|$10.48|$10.48
"HCPCS V5267"|"HB SLIM TUBES EA"|279.00|$4.00|$0.80|$2.83|$3.00||$1.83|$0.80|$2.83|$1.47|$1.87|$2.00|$2.26|$1.80|$2.06|$2.23|$1.54|$1.05|$0.93|$0.93
"HCPCS V5264"|"HB SWIMMOLDS EA"|279.00|$90.00|$18.00|$63.72|$63.00||$41.13|$18.00|$63.72|$33.03|$42.03|$45.00|$50.85|$40.50|$46.44|$50.22|$34.74|$23.53|$20.96|$20.96
"HCPCS V5267"|"HB WAX GUARDS WIDX OTIPHNAK RESD"|279.00|$12.00|$2.40|$8.50|$8.00||$5.48|$2.40|$8.50|$4.40|$5.60|$6.00|$6.78|$5.40|$6.19|$6.70|$4.63|$3.14|$2.79|$2.79
"HCPCS V5160"|"HB HEARING AID BIN DISPENSING FEE (MEDICAID)"|279.00|$1338.00|$267.60|$947.30|$937.00||$611.47|$267.60|$947.30|$491.05|$624.85|$669.00|$755.97|$602.10|$690.41|$746.60|$516.47|$349.75|$311.62|$311.62
"HCPCS V5241"|"HB HEARING AID MON DISPENSING FEE (MEDICAID)"|279.00|$691.00|$138.20|$489.23|$484.00||$315.79|$138.20|$489.23|$253.60|$322.70|$345.50|$390.42|$310.95|$356.56|$385.58|$266.73|$180.63|$160.93|$160.93
"HCPCS V5257"|"HB HEARING AID DIG MON BTE"|279.00|$1349.00|$269.80|$955.09|$944.00||$616.49|$269.80|$955.09|$495.08|$629.98|$674.50|$762.19|$607.05|$696.08|$752.74|$520.71|$352.63|$314.18|$314.18
"HCPCS V5261"|"HB HEARING AID DIG BIN BTE"|279.00|$2747.00|$549.40|$1944.88|$1923.00||$1255.38|$549.40|$1944.88|$1008.15|$1282.85|$1373.50|$1552.06|$1236.15|$1417.45|$1532.83|$1060.34|$718.07|$639.78|$639.78
"HCPCS V5266"|"HB HEARING AID BATTERY - PER CELL"|279.00|$2.00|$0.40|$1.42|$1.00||$0.91|$0.40|$1.42|$0.73|$0.93|$1.00|$1.13|$0.90|$1.03|$1.12|$0.77|$0.52|$0.47|$0.47
"CPT® V5260"|"HB HEARING AID DIG BIN ITE"|279.00|$1937.00|$387.40|$1371.40|$1356.00||$885.21|$387.40|$1371.40|$710.88|$904.58|$968.50|$1094.41|$871.65|$999.49|$1080.85|$747.68|$506.33|$451.13|$451.13
"CPT® V5264"|"HB MUSICIAN PLUGS EACH"|279.00|$184.00|$36.80|$130.27|$129.00||$84.09|$36.80|$130.27|$67.53|$85.93|$92.00|$103.96|$82.80|$94.94|$102.67|$71.02|$48.10|$42.85|$42.85
"CPT® V5240"|"HB HEARING AID BICROS DISPENSING FEE (MEDICAID)"|279.00|$2342.00|$468.40|$1658.14|$1639.00||$1070.29|$468.40|$1658.14|$859.51|$1093.71|$1171.00|$1323.23|$1053.90|$1208.47|$1306.84|$904.01|$612.20|$545.45|$545.45
"HCPCS V5267"|"HB MUSICIAN PLUGS ADDL FILTERS"|279.00|$64.00|$12.80|$45.31|$45.00||$29.25|$12.80|$45.31|$23.49|$29.89|$32.00|$36.16|$28.80|$33.02|$35.71|$24.70|$16.73|$14.91|$14.91
"HCPCS V5267"|"HB DOMES OTICON DELTA/EPOQ EACH"|279.00|$3.00|$0.60|$2.12|$2.00||$1.37|$0.60|$2.12|$1.10|$1.40|$1.50|$1.70|$1.35|$1.55|$1.67|$1.16|$0.78|$0.70|$0.70
"CPT® 36415"|"HB VENIPUNCTURE"|300.00|$48.00|$11.18|$42.00|$34.00||||$33.98|$17.62|$22.42|$24.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 36416"|"HB CAPILLARY BLOOD COLLECTION"|300.00|$37.00|$8.62|$37.00|$26.00||$16.91||$26.20|$13.58|$17.28|$18.50|$20.91|$16.65|$37.00|$37.00|$14.28|$9.67|$8.62|$8.62
"CPT® 36591"|"HB BLOOD DRAW IMPLANTED VAD"|300.00|$623.00|$39.00|$441.08|$436.00||$284.71|$124.60|$441.08|$228.64|$290.94|$311.50|$352.00|$280.35|$39.00|$42.00|$240.48|$162.85|$145.10|$145.10
"CPT® 36592"|"HB BLOOD COLLECTION CVC OR PICC"|300.00|$623.00|$39.00|$441.08|$436.00||$284.71|$124.60|$441.08|$228.64|$290.94|$311.50|$352.00|$280.35|$39.00|$42.00|$240.48|$162.85|$145.10|$145.10
"CPT® 36600"|"HB ARTERIAL BLOOD DRAW"|300.00|$330.00|$39.00|$233.64|$231.00||$150.81|$66.00|$233.64|$121.11|$154.11|$165.00|$186.45|$148.50|$39.00|$42.00|$127.38|$86.26|$76.86|$76.86
"CPT® 36416"|"HB CAPILLARY BLOOD COLLECTION"|300.00|$37.00|$8.62|$37.00|$26.00||$16.91||$26.20|$13.58|$17.28|$18.50|$20.91|$16.65|$37.00|$37.00|$14.28|$9.67|$8.62|$8.62
"CPT® 86790"|"HB ANTI-HTLV I & II"|300.00|$37.00|$7.40|$37.00|$26.00||$16.91|$7.40|$26.20|$13.58|$17.28|$37.00|$20.91|$16.65|$37.00|$37.00|$14.28|$9.67|$8.62|$8.62
"CPT® 87340"|"HB HBSAG"|300.00|$111.00|$22.20|$78.59|$78.00||$50.73|$22.20|$78.59|$40.74|$51.84|$41.00|$62.72|$49.95|$39.00|$42.00|$42.85|$29.02|$25.85|$25.85
"CPT® 87521"|"HB HCV RNA BY PCR (NAT)"|300.00|$44.00|$8.80|$42.00|$31.00||$20.11|$8.80|$31.15|$16.15|$20.55|$41.00|$24.86|$19.80|$39.00|$42.00|$16.98|$11.50|$10.25|$10.25
"CPT® 87536"|"HB HIV-I RNA BY PCR(NAT)"|300.00|$106.00|$21.20|$75.05|$74.00||$48.44|$21.20|$75.05|$38.90|$49.50|$41.00|$59.89|$47.70|$39.00|$42.00|$40.92|$27.71|$24.69|$24.69
"CPT® 86592"|"HB SEROLOGIC SYPHILIS"|300.00|$86.00|$17.20|$60.89|$60.00||$39.30|$17.20|$60.89|$31.56|$40.16|$41.00|$48.59|$38.70|$39.00|$42.00|$33.20|$22.48|$20.03|$20.03
"CPT® 87635"|"HB RAPID CORONAVIRUS (COVID 19) ASSAY"|300.00|$165.00|$33.00|$100.00|$115.00||$75.41|$33.00|$100.00|$100.00|$100.00|$82.50|$93.23|$74.25|$100.00|$100.00|$63.69|$43.13|$38.43|$38.43
"CPT® 87635"|"HB BD CORONAVIRUS (COVID 19) ASSAY"|300.00|$165.00|$33.00|$100.00|$115.00||$75.41|$33.00|$100.00|$100.00|$100.00|$82.50|$93.23|$74.25|$100.00|$100.00|$63.69|$43.13|$38.43|$38.43
"CPT® 81210"|"HB BRAF V600 MUTATION ASSAY"|300.00|$1474.00|$39.00|$1043.59|$1032.00||$673.62|$294.80|$1043.59|$540.96|$688.36|$41.00|$832.81|$663.30|$39.00|$42.00|$568.96|$385.30|$343.29|$343.29
"CPT® 81241"|"HB FACTOR V LEIDEN GENE MUTATION"|300.00|$622.00|$39.00|$440.38|$435.00||$284.25|$124.40|$440.38|$228.27|$290.47|$41.00|$351.43|$279.90|$39.00|$42.00|$240.09|$162.59|$144.86|$144.86
"CPT® 81256"|"HB HEMACHROMATOSIS GENE MUTATION"|300.00|$848.00|$39.00|$600.38|$594.00||$387.54|$169.60|$600.38|$311.22|$396.02|$41.00|$479.12|$381.60|$39.00|$42.00|$327.33|$221.67|$197.50|$197.50
"CPT® 81479"|"HB HYDATIDIFORM MOLE GENOTYPING"|300.00|$707.00|$39.00|$500.56|$495.00||$323.10|$141.40|$500.56|$259.47|$330.17|$41.00|$399.46|$318.15|$39.00|$42.00|$272.90|$184.81|$164.66|$164.66
"CPT® 81261"|"HB IMMUNOGLOBULIN HEAVY CHAIN GENE REARRANGEMENT, PCR"|300.00|$1115.00|$39.00|$789.42|$780.00||$509.56|$223.00|$789.42|$409.21|$520.71|$41.00|$629.98|$501.75|$39.00|$42.00|$430.39|$291.46|$259.68|$259.68
"CPT® 81291"|"HB METHYLENETETRAHYDROFOLATE REDUCTASE THERMOLABILE GENE MUTATION"|300.00|$622.00|$39.00|$440.38|$435.00||$284.25|$124.40|$440.38|$228.27|$290.47|$41.00|$351.43|$279.90|$39.00|$42.00|$240.09|$162.59|$144.86|$144.86
"CPT® 81287"|"HB MGMT PYROSEQUENCING ASSAY"|300.00|$865.00|$39.00|$612.42|$606.00||$395.31|$173.00|$612.42|$317.46|$403.96|$41.00|$488.73|$389.25|$39.00|$42.00|$333.89|$226.11|$201.46|$201.46
"CPT® 81240"|"HB PROTHROMBIN GENE MUTATION"|300.00|$622.00|$39.00|$440.38|$435.00||$284.25|$124.40|$440.38|$228.27|$290.47|$41.00|$351.43|$279.90|$39.00|$42.00|$240.09|$162.59|$144.86|$144.86
"CPT® 81225"|"HB CYP2C19"|300.00|$1857.00|$39.00|$1314.76|$1300.00||$848.65|$371.40|$1314.76|$681.52|$867.22|$41.00|$1049.21|$835.65|$39.00|$42.00|$716.80|$485.42|$432.50|$432.50
"CPT® 81455"|"HB COMPREHENSIVE CANCER NGS PANEL"|300.00|$2925.00|$39.00|$2070.90|$2047.00||$1336.73|$585.00|$2070.90|$1073.48|$1365.98|$41.00|$1652.63|$1316.25|$39.00|$42.00|$1129.05|$764.60|$681.23|$681.23
"CPT® 81305"|"HB MYD88 GENE MUTATION PCR"|300.00|$1304.00|$39.00|$923.23|$913.00||$595.93|$260.80|$923.23|$478.57|$608.97|$41.00|$736.76|$586.80|$39.00|$42.00|$503.34|$340.87|$303.70|$303.70
"CPT® 81450"|"HB LYMPHOMA NGS PANEL"|300.00|$2785.00|$39.00|$1971.78|$1949.00||$1272.75|$557.00|$1971.78|$1022.10|$1300.60|$41.00|$1573.53|$1253.25|$39.00|$42.00|$1075.01|$728.00|$648.63|$648.63
"CPT® 87635"|"HB CORONAVIRUS NCOV-19 BY PCR (2019)"|300.00|$165.00|$33.00|$93.23|$115.00||$51.31|$33.00|$51.31|$51.31|$51.31|$41.00|$93.23|$74.25|$51.31|$51.31|$63.69|$43.13|$38.43|$38.43
"CPT® 87635"|"HB CORONAVIRUS SARS-COV-2 BY MULTIPLEX PCR"|300.00|$165.00|$33.00|$100.00|$115.00||$75.41|$33.00|$100.00|$100.00|$100.00|$82.50|$93.23|$74.25|$100.00|$100.00|$63.69|$43.13|$38.43|$38.43
"CPT® 86890"|"HB AUTOLOGOUS BLOOD, COLLLECTION, PROCESSING, STORAGE"|300.00|$1381.00|$39.00|$977.75|$967.00||$631.12|$276.20|$977.75|$506.83|$644.93|$690.50|$780.27|$621.45|$39.00|$42.00|$533.07|$360.99|$321.63|$321.63
"CPT® 0202U"|"HB RESPIRATORY PATHOGEN PANEL, PCR (INCL. SARS-COV-2)"|300.00|$361.00|$39.00|$255.59|$253.00||$164.98|$72.20|$255.59|$132.49|$168.59|$180.50|$203.97|$162.45|$39.00|$42.00|$139.35|$94.37|$84.08|$84.08
"CPT® 80074"|"HB ACUTE HEPATITIS PANEL"|300.00|$411.00|$39.00|$290.99|$288.00||$187.83|$82.20|$290.99|$150.84|$191.94|$41.00|$232.22|$184.95|$39.00|$42.00|$158.65|$107.44|$95.72|$95.72
"CPT® 83516"|"HB ANTI NEUTROPHIL CYTOPLASMIC ANTIBODY BY EIA"|300.00|$214.00|$39.00|$151.51|$150.00||$97.80|$42.80|$151.51|$78.54|$99.94|$41.00|$120.91|$96.30|$39.00|$42.00|$82.60|$55.94|$49.84|$49.84
"CPT® 86972"|"HB RBC PRETREATMENT, DENSITY GRADIENT SEPARATION"|300.00|$110.00|$22.00|$77.88|$77.00||$50.27|$22.00|$77.88|$40.37|$51.37|$55.00|$62.15|$49.50|$39.00|$42.00|$42.46|$28.75|$25.62|$25.62
"CPT® 86970"|"HB RBC PRETREATMENT, EDTA-GLYCINE ACID"|300.00|$75.00|$15.00|$53.10|$52.00||$34.28|$15.00|$53.10|$27.53|$35.03|$41.00|$42.38|$33.75|$39.00|$42.00|$28.95|$19.61|$17.47|$17.47
"CPT® 86941"|"HB THERMAL AMPLITUDE TEST"|300.00|$100.00|$20.00|$70.80|$70.00||$45.70|$20.00|$70.80|$36.70|$46.70|$41.00|$56.50|$45.00|$39.00|$42.00|$38.60|$26.14|$23.29|$23.29
"CPT® 86905"|"HB A1 ANTIGEN TYPING, PATIENT"|300.00|$85.00|$17.00|$60.18|$59.00||$38.85|$17.00|$60.18|$31.20|$39.70|$41.00|$48.03|$38.25|$39.00|$42.00|$32.81|$22.22|$19.80|$19.80
"CPT® 86902"|"HB ANTIGEN TESTING, REAGENT IGG, EACH ANTIGEN"|300.00|$46.00|$9.20|$42.00|$32.00||$21.02|$9.20|$32.57|$16.88|$21.48|$41.00|$25.99|$20.70|$39.00|$42.00|$17.76|$12.02|$10.71|$10.71
"CPT® 86905"|"HB ANTIGEN TYPING, PATIENT IGG, EACH ANTIGEN"|300.00|$85.00|$17.00|$60.18|$59.00||$38.85|$17.00|$60.18|$31.20|$39.70|$41.00|$48.03|$38.25|$39.00|$42.00|$32.81|$22.22|$19.80|$19.80
"CPT® 0001U"|"HB HUMAN ERYTHROCYTE ANTIGEN MOLECULAR PHENOTYPING"|300.00|$1071.00|$39.00|$758.27|$750.00||$489.45|$214.20|$758.27|$393.06|$500.16|$535.50|$605.12|$481.95|$39.00|$42.00|$413.41|$279.96|$249.44|$249.44
"CPT® 86905"|"HB CW ANTIGEN TYPING, PATIENT"|300.00|$94.00|$18.80|$66.55|$66.00||$42.96|$18.80|$66.55|$34.50|$43.90|$41.00|$53.11|$42.30|$39.00|$42.00|$36.28|$24.57|$21.89|$21.89
"CPT® 86902"|"HB K ANTIGEN TYPING, EACH UNIT"|300.00|$18.00|$3.60|$18.00|$13.00||$8.23|$3.60|$12.74|$6.61|$8.41|$18.00|$10.17|$8.10|$18.00|$18.00|$6.95|$4.71|$4.19|$4.19
"CPT® 86905"|"HB K ANTIGEN TYPING, PATIENT"|300.00|$85.00|$17.00|$60.18|$59.00||$38.85|$17.00|$60.18|$31.20|$39.70|$41.00|$48.03|$38.25|$39.00|$42.00|$32.81|$22.22|$19.80|$19.80
"CPT® 86905"|"HB LEWIS (LEA & LEB) PHENOTYPE, PATIENT"|300.00|$94.00|$18.80|$66.55|$66.00||$42.96|$18.80|$66.55|$34.50|$43.90|$41.00|$53.11|$42.30|$39.00|$42.00|$36.28|$24.57|$21.89|$21.89
"CPT® 86902"|"HB M ANTIGEN TYPING, EACH UNIT"|300.00|$24.00|$4.80|$24.00|$17.00||$10.97|$4.80|$16.99|$8.81|$11.21|$24.00|$13.56|$10.80|$24.00|$24.00|$9.26|$6.27|$5.59|$5.59
"CPT® 86905"|"HB MN PHENOTYPE, PATIENT"|300.00|$94.00|$18.80|$66.55|$66.00||$42.96|$18.80|$66.55|$34.50|$43.90|$41.00|$53.11|$42.30|$39.00|$42.00|$36.28|$24.57|$21.89|$21.89
"CPT® 86902"|"HB N ANTIGEN TYPING, EACH UNIT"|300.00|$24.00|$4.80|$24.00|$17.00||$10.97|$4.80|$16.99|$8.81|$11.21|$24.00|$13.56|$10.80|$24.00|$24.00|$9.26|$6.27|$5.59|$5.59
"CPT® 86905"|"HB P1 ANTIGEN TYPING, PATIENT"|300.00|$85.00|$17.00|$60.18|$59.00||$38.85|$17.00|$60.18|$31.20|$39.70|$41.00|$48.03|$38.25|$39.00|$42.00|$32.81|$22.22|$19.80|$19.80
"CPT® 86905"|"HB RH ANTIGEN TYPING, PATIENT, EACH ANTIGEN"|300.00|$85.00|$17.00|$60.18|$59.00||$38.85|$17.00|$60.18|$31.20|$39.70|$41.00|$48.03|$38.25|$39.00|$42.00|$32.81|$22.22|$19.80|$19.80
"CPT® 86902"|"HB RH ANTIGEN TYPING, UNIT, EACH ANTIGEN"|300.00|$18.00|$3.60|$18.00|$13.00||$8.23|$3.60|$12.74|$6.61|$8.41|$18.00|$10.17|$8.10|$18.00|$18.00|$6.95|$4.71|$4.19|$4.19
"CPT® 86906"|"HB RH PHENOTYPE, PATIENT"|300.00|$85.00|$17.00|$60.18|$59.00||$38.85|$17.00|$60.18|$31.20|$39.70|$41.00|$48.03|$38.25|$39.00|$42.00|$32.81|$22.22|$19.80|$19.80
"CPT® 81403"|"HB HUMAN ERYTHROCYTE RHD GENE ANALYSIS"|300.00|$2309.00|$39.00|$1634.77|$1616.00||$1055.21|$461.80|$1634.77|$847.40|$1078.30|$41.00|$1304.59|$1039.05|$39.00|$42.00|$891.27|$603.57|$537.77|$537.77
"CPT® 81373"|"HB HLA CLASS I TYPING LOW RESOLUTION - HLA MATCHED PLATELET"|300.00|$4448.00|$39.00|$3149.18|$3114.00||$2032.74|$889.60|$3149.18|$1632.42|$2077.22|$41.00|$2513.12|$2001.60|$39.00|$42.00|$1716.93|$1162.71|$1035.94|$1035.94
"CPT® 86900"|"HB ABO RH TYPING SO"|300.00|$50.00|$10.00|$42.00|$35.00||$22.85|$10.00|$35.40|$18.35|$23.35|$41.00|$28.25|$22.50|$39.00|$42.00|$19.30|$13.07|$11.65|$11.65
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, ENZYME, EACH PANEL SO"|300.00|$335.00|$39.00|$237.18|$234.00||$153.10|$67.00|$237.18|$122.95|$156.45|$41.00|$189.28|$150.75|$39.00|$42.00|$129.31|$87.57|$78.02|$78.02
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, COLD, EACH PANEL SO"|300.00|$217.00|$39.00|$153.64|$152.00||$99.17|$43.40|$153.64|$79.64|$101.34|$41.00|$122.61|$97.65|$39.00|$42.00|$83.76|$56.72|$50.54|$50.54
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, LISS, EACH PANEL SO"|300.00|$372.00|$39.00|$263.38|$260.00||$170.00|$74.40|$263.38|$136.52|$173.72|$41.00|$210.18|$167.40|$39.00|$42.00|$143.59|$97.24|$86.64|$86.64
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, WARM ABSORPTION, EACH PANEL SO"|300.00|$372.00|$39.00|$263.38|$260.00||$170.00|$74.40|$263.38|$136.52|$173.72|$41.00|$210.18|$167.40|$39.00|$42.00|$143.59|$97.24|$86.64|$86.64
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, ELUATE, EACH PANEL SO"|300.00|$372.00|$39.00|$263.38|$260.00||$170.00|$74.40|$263.38|$136.52|$173.72|$41.00|$210.18|$167.40|$39.00|$42.00|$143.59|$97.24|$86.64|$86.64
"CPT® 86902"|"HB ANTIGEN TYPING, 1ST , EACH UNIT SO"|300.00|$371.00|$39.00|$262.67|$260.00||$169.55|$74.20|$262.67|$136.16|$173.26|$41.00|$209.62|$166.95|$39.00|$42.00|$143.21|$96.98|$86.41|$86.41
"CPT® 86902"|"HB ANTIGEN TYPING, RARE, EACH UNIT SO"|300.00|$820.00|$39.00|$580.56|$574.00||$374.74|$164.00|$580.56|$300.94|$382.94|$41.00|$463.30|$369.00|$39.00|$42.00|$316.52|$214.35|$190.98|$190.98
"CPT® 86860"|"HB ANTIBODY ELUTION SO"|300.00|$185.00|$37.00|$130.98|$130.00||$84.55|$37.00|$130.98|$67.90|$86.40|$41.00|$104.53|$83.25|$39.00|$42.00|$71.41|$48.36|$43.09|$43.09
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, EACH PANEL SO"|300.00|$335.00|$39.00|$237.18|$234.00||$153.10|$67.00|$237.18|$122.95|$156.45|$41.00|$189.28|$150.75|$39.00|$42.00|$129.31|$87.57|$78.02|$78.02
"CPT® 86922"|"HB CROSSMATCH, WARM ABSORPTION, EACH UNIT SO"|300.00|$169.00|$33.80|$119.65|$118.00||$77.23|$33.80|$119.65|$62.02|$78.92|$41.00|$95.49|$76.05|$39.00|$42.00|$65.23|$44.18|$39.36|$39.36
"CPT® 86880"|"HB DIRECT ANTIGLOBULIN TEST (DIRECT COOMBS), C3 SO"|300.00|$109.00|$21.80|$77.17|$76.00||$49.81|$21.80|$77.17|$40.00|$50.90|$41.00|$61.59|$49.05|$39.00|$42.00|$42.07|$28.49|$25.39|$25.39
"CPT® 86880"|"HB DIRECT ANTIGLOBULIN TEST (DIRECT COOMBS), IGG SO"|300.00|$109.00|$21.80|$77.17|$76.00||$49.81|$21.80|$77.17|$40.00|$50.90|$41.00|$61.59|$49.05|$39.00|$42.00|$42.07|$28.49|$25.39|$25.39
"CPT® 86880"|"HB DIRECT ANTIGLOBULIN TEST (DIRECT COOMBS) SO"|300.00|$109.00|$21.80|$77.17|$76.00||$49.81|$21.80|$77.17|$40.00|$50.90|$41.00|$61.59|$49.05|$39.00|$42.00|$42.07|$28.49|$25.39|$25.39
"CPT® 86022"|"HB PLATELET ANTIBODY SCREEN SO"|300.00|$121.00|$24.20|$85.67|$85.00||$55.30|$24.20|$85.67|$44.41|$56.51|$41.00|$68.37|$54.45|$39.00|$42.00|$46.71|$31.63|$28.18|$28.18
"CPT® 86921"|"HB PLATELET CROSSMATCH, EACH UNIT SO"|300.00|$138.00|$27.60|$97.70|$97.00||$63.07|$27.60|$97.70|$50.65|$64.45|$41.00|$77.97|$62.10|$39.00|$42.00|$53.27|$36.07|$32.14|$32.14
"CPT® 86870"|"HB ANTIBODY ID, EACH PANEL RARE CELLS SO"|300.00|$372.00|$39.00|$263.38|$260.00||$170.00|$74.40|$263.38|$136.52|$173.72|$41.00|$210.18|$167.40|$39.00|$42.00|$143.59|$97.24|$86.64|$86.64
"CPT® 86902"|"HB RBC ANTIGEN SCREENING, UNIT, EACH ANTIGEN SO"|300.00|$149.00|$29.80|$105.49|$104.00||$68.09|$29.80|$105.49|$54.68|$69.58|$41.00|$84.19|$67.05|$39.00|$42.00|$57.51|$38.95|$34.70|$34.70
"CPT® 86905"|"HB RBC ANTIGEN TYPING, PATIENT, EACH ANTIGEN SO"|300.00|$85.00|$17.00|$60.18|$59.00||$38.85|$17.00|$60.18|$31.20|$39.70|$41.00|$48.03|$38.25|$39.00|$42.00|$32.81|$22.22|$19.80|$19.80
"CPT® 86970"|"HB RBC PRETREATMENT, DRUGS OR CHEMICAL AGENTS SO"|300.00|$188.00|$37.60|$133.10|$132.00||$85.92|$37.60|$133.10|$69.00|$87.80|$41.00|$106.22|$84.60|$39.00|$42.00|$72.57|$49.14|$43.79|$43.79
"CPT® 86970"|"HB RBC PRETREATMENT, ENZYME SO"|300.00|$188.00|$37.60|$133.10|$132.00||$85.92|$37.60|$133.10|$69.00|$87.80|$41.00|$106.22|$84.60|$39.00|$42.00|$72.57|$49.14|$43.79|$43.79
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, SELECT CELLS, ELUATE, EACH PANEL SO"|300.00|$415.00|$39.00|$293.82|$290.00||$189.66|$83.00|$293.82|$152.31|$193.81|$41.00|$234.48|$186.75|$39.00|$42.00|$160.19|$108.48|$96.65|$96.65
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, SELECT CELLS, EACH PANEL SO"|300.00|$335.00|$39.00|$237.18|$234.00||$153.10|$67.00|$237.18|$122.95|$156.45|$41.00|$189.28|$150.75|$39.00|$42.00|$129.31|$87.57|$78.02|$78.02
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, SELECT CELLS, ENZYMES, EACH PANEL SO"|300.00|$372.00|$39.00|$263.38|$260.00||$170.00|$74.40|$263.38|$136.52|$173.72|$41.00|$210.18|$167.40|$39.00|$42.00|$143.59|$97.24|$86.64|$86.64
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, SELECT CELLS, LISS, EACH PANEL SO"|300.00|$372.00|$39.00|$263.38|$260.00||$170.00|$74.40|$263.38|$136.52|$173.72|$41.00|$210.18|$167.40|$39.00|$42.00|$143.59|$97.24|$86.64|$86.64
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, SELECT CELLS, PEG, EACH PANEL SO"|300.00|$372.00|$39.00|$263.38|$260.00||$170.00|$74.40|$263.38|$136.52|$173.72|$41.00|$210.18|$167.40|$39.00|$42.00|$143.59|$97.24|$86.64|$86.64
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, SELECT CELLS, WARM ABSORPTION, EACH PANEL SO"|300.00|$372.00|$39.00|$263.38|$260.00||$170.00|$74.40|$263.38|$136.52|$173.72|$41.00|$210.18|$167.40|$39.00|$42.00|$143.59|$97.24|$86.64|$86.64
"CPT® 86902"|"HB ANTIGEN TYPING, EACH ADDTL , EACH UNIT SO"|300.00|$158.00|$31.60|$111.86|$111.00||$72.21|$31.60|$111.86|$57.99|$73.79|$41.00|$89.27|$71.10|$39.00|$42.00|$60.99|$41.30|$36.80|$36.80
"CPT® 86922"|"HB CROSSMATCH, SO"|300.00|$262.00|$39.00|$185.50|$183.00||$119.73|$52.40|$185.50|$96.15|$122.35|$41.00|$148.03|$117.90|$39.00|$42.00|$101.13|$68.49|$61.02|$61.02
"Custom 25117901"|"HB TISSUE/SPECIMEN PROCESS"|300.00|$75.00|$15.00|$53.10|$52.00||$34.28|$15.00|$53.10|$27.53|$35.03|$37.50|$42.38|$33.75|$39.00|$42.00|$28.95|$19.61|$17.47|$17.47
"CPT® 89051"|"HB CSF CELL COUNT W/DIFF, AUTOMATED"|300.00|$425.00|$39.00|$300.90|$298.00||$194.23|$85.00|$300.90|$155.98|$198.48|$100.00|$240.13|$191.25|$39.00|$42.00|$164.05|$111.10|$98.98|$98.98
"CPT® 86331"|"HB BLASTOMYCES ANTIBODY"|300.00|$120.00|$24.00|$84.96|$84.00||$54.84|$24.00|$84.96|$44.04|$56.04|$41.00|$67.80|$54.00|$39.00|$42.00|$46.32|$31.37|$27.95|$27.95
"CPT® 86331"|"HB COCCIDIOIDES ANTIBODY"|300.00|$120.00|$24.00|$84.96|$84.00||$54.84|$24.00|$84.96|$44.04|$56.04|$41.00|$67.80|$54.00|$39.00|$42.00|$46.32|$31.37|$27.95|$27.95
"CPT® 89055"|"HB FECAL LEUKOCYTES"|300.00|$81.00|$16.20|$81.00|$57.00||$37.02|$16.20|$57.35|$29.73|$37.83|$81.00|$45.77|$36.45|$39.00|$42.00|$31.27|$21.17|$18.86|$18.86
"CPT® 86331"|"HB HISTOPLASMA ANTIBODY"|300.00|$120.00|$24.00|$84.96|$84.00||$54.84|$24.00|$84.96|$44.04|$56.04|$41.00|$67.80|$54.00|$39.00|$42.00|$46.32|$31.37|$27.95|$27.95
"CPT® 86334"|"HB CRYOGLOBULIN ID, EA, (IFE)"|300.00|$356.00|$39.00|$252.05|$249.00||$162.69|$71.20|$252.05|$130.65|$166.25|$41.00|$201.14|$160.20|$39.00|$42.00|$137.42|$93.06|$82.91|$82.91
"CPT® 83883"|"HB FREE LIGHT CHAINS"|300.00|$152.00|$30.40|$107.62|$106.00||$69.46|$30.40|$107.62|$55.78|$70.98|$41.00|$85.88|$68.40|$39.00|$42.00|$58.67|$39.73|$35.40|$35.40
"CPT® 86790"|"HB HEPATITIS A IGG ANTIBODY"|300.00|$89.00|$17.80|$63.01|$62.00||$40.67|$17.80|$63.01|$32.66|$41.56|$41.00|$50.29|$40.05|$39.00|$42.00|$34.35|$23.26|$20.73|$20.73
"CPT® 86334"|"HB IMMUNOFIXATION ELECTROPHORESIS, SERUM"|300.00|$452.00|$39.00|$320.02|$316.00||$206.56|$90.40|$320.02|$165.88|$211.08|$41.00|$255.38|$203.40|$39.00|$42.00|$174.47|$118.15|$105.27|$105.27
"CPT® 82784"|"HB IMMUNOGLOBULIN, QUANTITATIVE, EACH"|300.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 83883"|"HB KAPPA LIGHT CHAIN"|300.00|$152.00|$30.40|$107.62|$106.00||$69.46|$30.40|$107.62|$55.78|$70.98|$41.00|$85.88|$68.40|$39.00|$42.00|$58.67|$39.73|$35.40|$35.40
"CPT® 83883"|"HB KAPPA LIGHT CHAIN (MOD 59)"|300.00|$68.00|$13.60|$48.14|$48.00||$31.08|$13.60|$48.14|$24.96|$31.76|$41.00|$38.42|$30.60|$39.00|$42.00|$26.25|$17.78|$15.84|$15.84
"CPT® 83883"|"HB LAMBDA LIGHT CHAIN"|300.00|$70.00|$14.00|$49.56|$49.00||$31.99|$14.00|$49.56|$25.69|$32.69|$41.00|$39.55|$31.50|$39.00|$42.00|$27.02|$18.30|$16.30|$16.30
"CPT® 83516"|"HB RIBOSOMAL P ANTIBODY"|300.00|$167.00|$33.40|$118.24|$117.00||$76.32|$33.40|$118.24|$61.29|$77.99|$41.00|$94.36|$75.15|$39.00|$42.00|$64.46|$43.65|$38.89|$38.89
"CPT® 84432"|"HB THYROGLOBULIN"|300.00|$250.00|$39.00|$177.00|$175.00||$114.25|$50.00|$177.00|$91.75|$116.75|$41.00|$141.25|$112.50|$39.00|$42.00|$96.50|$65.35|$58.23|$58.23
"CPT® 83520"|"HB GANGLIOSIDE ASIALO GM1 IGG ANTIBODY"|300.00|$601.00|$39.00|$425.51|$421.00||$274.66|$120.20|$425.51|$220.57|$280.67|$41.00|$339.57|$270.45|$39.00|$42.00|$231.99|$157.10|$139.97|$139.97
"CPT® 83520"|"HB GANGLIOSIDE ASIALO GM1 IGM ANTIBODY"|300.00|$546.00|$39.00|$386.57|$382.00||$249.52|$109.20|$386.57|$200.38|$254.98|$41.00|$308.49|$245.70|$39.00|$42.00|$210.76|$142.72|$127.16|$127.16
"CPT® 83520"|"HB GANGLIOSIDE GD1B IGG ANTIBODY"|300.00|$275.00|$39.00|$194.70|$192.00||$125.68|$55.00|$194.70|$100.93|$128.43|$41.00|$155.38|$123.75|$39.00|$42.00|$106.15|$71.89|$64.05|$64.05
"CPT® 83520"|"HB GANGLIOSIDE GD1B IGM ANTIBODY"|300.00|$275.00|$39.00|$194.70|$192.00||$125.68|$55.00|$194.70|$100.93|$128.43|$41.00|$155.38|$123.75|$39.00|$42.00|$106.15|$71.89|$64.05|$64.05
"CPT® 83520"|"HB GANGLIOSIDE GM1 ANTIBODIES"|300.00|$120.00|$24.00|$84.96|$84.00||$54.84|$24.00|$84.96|$44.04|$56.04|$41.00|$67.80|$54.00|$39.00|$42.00|$46.32|$31.37|$27.95|$27.95
"CPT® 83516"|"HB GLIADIN IGG, IGA ANTIBODIES"|300.00|$104.00|$20.80|$73.63|$73.00||$47.53|$20.80|$73.63|$38.17|$48.57|$41.00|$58.76|$46.80|$39.00|$42.00|$40.14|$27.19|$24.22|$24.22
"CPT® 87338"|"HB HELICOBACTER PYLORI ANTIGEN, STOOL"|300.00|$77.00|$15.40|$54.52|$54.00||$35.19|$15.40|$54.52|$28.26|$35.96|$41.00|$43.51|$34.65|$39.00|$42.00|$29.72|$20.13|$17.93|$17.93
"CPT® 87350"|"HB HEPATITIS B VIRUS E ANTIGEN/ANTIBODY"|300.00|$34.00|$6.80|$34.00|$24.00||$15.54|$6.80|$24.07|$12.48|$15.88|$34.00|$19.21|$15.30|$34.00|$34.00|$13.12|$8.89|$7.92|$7.92
"CPT® 86692"|"HB HEPATITIS D VIRUS ANTIBODY"|300.00|$107.00|$21.40|$75.76|$75.00||$48.90|$21.40|$75.76|$39.27|$49.97|$41.00|$60.46|$48.15|$39.00|$42.00|$41.30|$27.97|$24.92|$24.92
"CPT® 81401"|"HB HEREDITARY PANCREATITIS"|300.00|$1165.00|$39.00|$824.82|$816.00||$532.41|$233.00|$824.82|$427.56|$544.06|$41.00|$658.23|$524.25|$39.00|$42.00|$449.69|$304.53|$271.33|$271.33
"CPT® 86695"|"HB HERPES SIMPLEX VIRUS TYPES 1 IGM ANTIBODIES"|300.00|$29.00|$5.80|$29.00|$20.00||$13.25|$5.80|$20.53|$10.64|$13.54|$29.00|$16.39|$13.05|$29.00|$29.00|$11.19|$7.58|$6.75|$6.75
"CPT® 86696"|"HB HERPES SIMPLEX VIRUS TYPES 2 IGM ANTIBODIES"|300.00|$44.00|$8.80|$42.00|$31.00||$20.11|$8.80|$31.15|$16.15|$20.55|$41.00|$24.86|$19.80|$39.00|$42.00|$16.98|$11.50|$10.25|$10.25
"CPT® 87903"|"HB HIV PHENOTYPE, 1 - 10 DRUGS"|300.00|$2163.00|$39.00|$1531.40|$1514.00||$988.49|$432.60|$1531.40|$793.82|$1010.12|$41.00|$1222.10|$973.35|$39.00|$42.00|$834.92|$565.41|$503.76|$503.76
"CPT® 81373"|"HB HLA AB TYPING"|300.00|$1471.00|$39.00|$1041.47|$1030.00||$672.25|$294.20|$1041.47|$539.86|$686.96|$41.00|$831.12|$661.95|$39.00|$42.00|$567.81|$384.52|$342.60|$342.60
"CPT® 81380"|"HB HLA ANTIGEN DQ TYPING, CLASS I"|300.00|$716.00|$39.00|$506.93|$501.00||$327.21|$143.20|$506.93|$262.77|$334.37|$41.00|$404.54|$322.20|$39.00|$42.00|$276.38|$187.16|$166.76|$166.76
"CPT® 81382"|"HB HLA ANTIGEN DQ TYPING, CLASS II"|300.00|$412.00|$39.00|$291.70|$288.00||$188.28|$82.40|$291.70|$151.20|$192.40|$41.00|$232.78|$185.40|$39.00|$42.00|$159.03|$107.70|$95.95|$95.95
"CPT® 81381"|"HB HLA B 5701 TYPING"|300.00|$1385.00|$39.00|$980.58|$969.00||$632.95|$277.00|$980.58|$508.30|$646.80|$41.00|$782.53|$623.25|$39.00|$42.00|$534.61|$362.04|$322.57|$322.57
"CPT® 81380"|"HB HLA B5 TYPING"|300.00|$2881.00|$39.00|$2039.75|$2017.00||$1316.62|$576.20|$2039.75|$1057.33|$1345.43|$41.00|$1627.77|$1296.45|$39.00|$42.00|$1112.07|$753.09|$670.98|$670.98
"CPT® 81380"|"HB HLA B51 TYPING"|300.00|$716.00|$39.00|$506.93|$501.00||$327.21|$143.20|$506.93|$262.77|$334.37|$41.00|$404.54|$322.20|$39.00|$42.00|$276.38|$187.16|$166.76|$166.76
"CPT® 83516"|"HB HISTONE ANTIBODY, SEMI-QUANT"|300.00|$52.00|$10.40|$42.00|$36.00||$23.76|$10.40|$36.82|$19.08|$24.28|$41.00|$29.38|$23.40|$39.00|$42.00|$20.07|$13.59|$12.11|$12.11
"CPT® 83883"|"HB HEAVY AND LIGHT CHAIN, IGG"|300.00|$300.00|$39.00|$212.40|$210.00||$137.10|$60.00|$212.40|$110.10|$140.10|$41.00|$169.50|$135.00|$39.00|$42.00|$115.80|$78.42|$69.87|$69.87
"CPT® 83883"|"HB HEAVY AND LIGHT CHAIN, IGA"|300.00|$300.00|$39.00|$212.40|$210.00||$137.10|$60.00|$212.40|$110.10|$140.10|$41.00|$169.50|$135.00|$39.00|$42.00|$115.80|$78.42|$69.87|$69.87
"CPT® 83883"|"HB HEAVY AND LIGHT CHAIN, IGM"|300.00|$300.00|$39.00|$212.40|$210.00||$137.10|$60.00|$212.40|$110.10|$140.10|$41.00|$169.50|$135.00|$39.00|$42.00|$115.80|$78.42|$69.87|$69.87
"CPT® 84311"|"HB 1,3 BETA-D-GLUCAN-FUNGITELL ASSAY"|300.00|$975.00|$39.00|$690.30|$682.00||$445.58|$195.00|$690.30|$357.83|$455.33|$41.00|$550.88|$438.75|$39.00|$42.00|$376.35|$254.87|$227.08|$227.08
"CPT® 83519"|"HB ACETYLCHOLINE RECEPTOR BINDING ANTIBODY"|300.00|$289.00|$39.00|$204.61|$202.00||$132.07|$57.80|$204.61|$106.06|$134.96|$41.00|$163.29|$130.05|$39.00|$42.00|$111.55|$75.54|$67.31|$67.31
"CPT® 82384"|"HB ADRENERGIC EXCESS PANEL, CATECHOLAMINES, 24 HOUR URINE"|300.00|$348.00|$39.00|$246.38|$244.00||$159.04|$69.60|$246.38|$127.72|$162.52|$41.00|$196.62|$156.60|$39.00|$42.00|$134.33|$90.97|$81.05|$81.05
"CPT® 82570"|"HB ADRENERGIC EXCESS PANEL, CREATININE, 24 HOUR URINE"|300.00|$79.00|$15.80|$55.93|$55.00||$36.10|$15.80|$55.93|$28.99|$36.89|$41.00|$44.64|$35.55|$39.00|$42.00|$30.49|$20.65|$18.40|$18.40
"CPT® 83835"|"HB ADRENERGIC EXCESS PANEL METANEPHRINES, 24 HOUR URINE"|300.00|$24.00|$4.80|$24.00|$17.00||$10.97|$4.80|$16.99|$8.81|$11.21|$24.00|$13.56|$10.80|$24.00|$24.00|$9.26|$6.27|$5.59|$5.59
"CPT® 84585"|"HB ADRENERGIC EXCESS PANEL, VANILLYLMANDELIC ACID, 24 HOUR URINE"|300.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$23.00|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 81332"|"HB ALPHA 1 ANTITRYPSIN GENOTYPE"|300.00|$741.00|$39.00|$524.63|$519.00||$338.64|$148.20|$524.63|$271.95|$346.05|$41.00|$418.67|$333.45|$39.00|$42.00|$286.03|$193.70|$172.58|$172.58
"CPT® 82103"|"HB ALPHA-1-ANTITRYPSIN, TOTAL"|300.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 82104"|"HB ALPHA-1-ANTITRYPSIN PHENOTYPE"|300.00|$127.00|$25.40|$89.92|$89.00||$58.04|$25.40|$89.92|$46.61|$59.31|$41.00|$71.76|$57.15|$39.00|$42.00|$49.02|$33.20|$29.58|$29.58
"CPT® 82103"|"HB ALPHA-1-ANTITRYPSIN TOTAL"|300.00|$247.00|$39.00|$174.88|$173.00||$112.88|$49.40|$174.88|$90.65|$115.35|$41.00|$139.56|$111.15|$39.00|$42.00|$95.34|$64.57|$57.53|$57.53
"CPT® 82164"|"HB ANGIOTENSIN 1 CONVERTING ENZYME"|300.00|$170.00|$34.00|$120.36|$119.00||$77.69|$34.00|$120.36|$62.39|$79.39|$41.00|$96.05|$76.50|$39.00|$42.00|$65.62|$44.44|$39.59|$39.59
"CPT® 82164"|"HB ANGIOTENSIN 1 CONVERTING ENZYME (CEREBRAL SPINAL FLUID)"|300.00|$170.00|$34.00|$120.36|$119.00||$77.69|$34.00|$120.36|$62.39|$79.39|$41.00|$96.05|$76.50|$39.00|$42.00|$65.62|$44.44|$39.59|$39.59
"CPT® 88346"|"HB ANTIENTEROCYTE ANTIBODY, IMF, 1ST"|300.00|$1414.00|$39.00|$1001.11|$990.00||$646.20|$282.80|$1001.11|$518.94|$660.34|$100.00|$798.91|$636.30|$39.00|$42.00|$545.80|$369.62|$329.32|$329.32
"CPT® 83520"|"HB ANTI-RIBONUCLEIC ACID POLYMERASE III"|300.00|$293.00|$39.00|$207.44|$205.00||$133.90|$58.60|$207.44|$107.53|$136.83|$41.00|$165.55|$131.85|$39.00|$42.00|$113.10|$76.59|$68.24|$68.24
"CPT® 83520"|"HB BASEMENT MEMBRANE IGG ANTIBODIES"|300.00|$107.00|$21.40|$75.76|$75.00||$48.90|$21.40|$75.76|$39.27|$49.97|$41.00|$60.46|$48.15|$39.00|$42.00|$41.30|$27.97|$24.92|$24.92
"CPT® 83520"|"HB BILE ACID FRACTIONATED"|300.00|$844.00|$39.00|$597.55|$591.00||$385.71|$168.80|$597.55|$309.75|$394.15|$41.00|$476.86|$379.80|$39.00|$42.00|$325.78|$220.62|$196.57|$196.57
"CPT® 87449"|"HB BLASTOMYCES ANTIGEN, URINE"|300.00|$250.00|$39.00|$177.00|$175.00||$114.25|$50.00|$177.00|$91.75|$116.75|$41.00|$141.25|$112.50|$39.00|$42.00|$96.50|$65.35|$58.23|$58.23
"CPT® 86628"|"HB CANDIDA ALBICANS IGG, IGM, IGA ANTIBODIES"|300.00|$90.00|$18.00|$63.72|$63.00||$41.13|$18.00|$63.72|$33.03|$42.03|$41.00|$50.85|$40.50|$39.00|$42.00|$34.74|$23.53|$20.96|$20.96
"CPT® 81268"|"HB CD/CD33 ENRICHMENT ANALYSIS"|300.00|$2424.00|$39.00|$1716.19|$1697.00||$1107.77|$484.80|$1716.19|$889.61|$1132.01|$41.00|$1369.56|$1090.80|$39.00|$42.00|$935.66|$633.63|$564.55|$564.55
"CPT® 81218"|"HB CEBPA ANALYSIS"|300.00|$2881.00|$39.00|$2039.75|$2017.00||$1316.62|$576.20|$2039.75|$1057.33|$1345.43|$41.00|$1627.77|$1296.45|$39.00|$42.00|$1112.07|$753.09|$670.98|$670.98
"CPT® 81382"|"HB CELIAC GENETICS HLA DQ2/DQ8"|300.00|$867.00|$39.00|$613.84|$607.00||$396.22|$173.40|$613.84|$318.19|$404.89|$41.00|$489.86|$390.15|$39.00|$42.00|$334.66|$226.63|$201.92|$201.92
"CPT® 81267"|"HB CHIMERISM-POST"|300.00|$3076.00|$39.00|$2177.81|$2153.00||$1405.73|$615.20|$2177.81|$1128.89|$1436.49|$41.00|$1737.94|$1384.20|$39.00|$42.00|$1187.34|$804.07|$716.40|$716.40
"CPT® 87491"|"HB CHLAMYDIA TRACHOMATIS CONFIRMATION"|300.00|$250.00|$39.00|$177.00|$175.00||$114.25|$50.00|$177.00|$91.75|$116.75|$41.00|$141.25|$112.50|$39.00|$42.00|$96.50|$65.35|$58.23|$58.23
"CPT® 87491"|"HB CHLAMYDIA TRACHOMATIS/NEISSERIA GONORRHEA  RIBOSOMAL RNA CONFIRMATION"|300.00|$59.00|$11.80|$42.00|$41.00||$26.96|$11.80|$41.77|$21.65|$27.55|$41.00|$33.34|$26.55|$39.00|$42.00|$22.77|$15.42|$13.74|$13.74
"CPT® 87591"|"HB CHLAMYDIA TRACHOMATIS/NEISSERIA GONORRHEA  RIBOSOMAL RNA CONFIRMATION"|300.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 88267"|"HB CHROMOSOME ANALYSIS, CHORIONIC VILLI SAMPLING"|300.00|$574.00|$39.00|$406.39|$402.00||$262.32|$114.80|$406.39|$210.66|$268.06|$287.00|$324.31|$258.30|$39.00|$42.00|$221.56|$150.04|$133.68|$133.68
"CPT® 88280"|"HB CHROMOSOME ANALYSIS, CHORIONIC VILLI SAMPLING"|300.00|$82.00|$16.40|$82.00|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$82.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 88237"|"HB CHROMOSOME ANALYSIS, HEMATOLOGIC, BONE MARROW"|300.00|$1062.00|$39.00|$751.90|$743.00||$485.33|$212.40|$751.90|$389.75|$495.95|$100.00|$600.03|$477.90|$39.00|$42.00|$409.93|$277.61|$247.34|$247.34
"CPT® 88264"|"HB CHROMOSOME ANALYSIS, HEMATOLOGIC, BONE MARROW"|300.00|$452.00|$39.00|$320.02|$316.00||$206.56|$90.40|$320.02|$165.88|$211.08|$100.00|$255.38|$203.40|$39.00|$42.00|$174.47|$118.15|$105.27|$105.27
"CPT® 88262"|"HB CHROMOSOME ANALYSIS, PRODUCTS OF CONCEPTION"|300.00|$886.00|$39.00|$627.29|$620.00||$404.90|$177.20|$627.29|$325.16|$413.76|$100.00|$500.59|$398.70|$39.00|$42.00|$342.00|$231.60|$206.35|$206.35
"CPT® 88233"|"HB CHROMOSOME ANALYSIS, PRODUCTS OF CONCEPTION"|300.00|$299.00|$39.00|$211.69|$209.00||$136.64|$59.80|$211.69|$109.73|$139.63|$100.00|$168.94|$134.55|$39.00|$42.00|$115.41|$78.16|$69.64|$69.64
"CPT® 87497"|"HB CMV, PCR, AMNIOTIC FLUID"|300.00|$1635.00|$39.00|$1157.58|$1144.00||$747.20|$327.00|$1157.58|$600.05|$763.55|$41.00|$923.78|$735.75|$39.00|$42.00|$631.11|$427.39|$380.79|$380.79
"CPT® 88346"|"HB CUTANEOUS IMMUNOFLUORESCENCE ANTIBODY IGG, 1ST ST"|300.00|$160.00|$32.00|$113.28|$112.00||$73.12|$32.00|$113.28|$58.72|$74.72|$100.00|$90.40|$72.00|$39.00|$42.00|$61.76|$41.82|$37.26|$37.26
"CPT® 86682"|"HB CYSTICERCUS ANTIBODY"|300.00|$135.00|$27.00|$95.58|$94.00||$61.70|$27.00|$95.58|$49.55|$63.05|$41.00|$76.28|$60.75|$39.00|$42.00|$52.11|$35.29|$31.44|$31.44
"CPT® 83520"|"HB DESMOGLEIN 1 AND 3 ANTIBODIES"|300.00|$63.00|$12.60|$44.60|$44.00||$28.79|$12.60|$44.60|$23.12|$29.42|$41.00|$35.60|$28.35|$39.00|$42.00|$24.32|$16.47|$14.67|$14.67
"CPT® 83520"|"HB DESMOGLEIN 1 AND 3 ANTIBODIES"|300.00|$63.00|$12.60|$44.60|$44.00||$28.79|$12.60|$44.60|$23.12|$29.42|$41.00|$35.60|$28.35|$39.00|$42.00|$24.32|$16.47|$14.67|$14.67
"CPT® 81371"|"HB DONOR, HLA CONFIRMATORY TYPING"|300.00|$3435.00|$39.00|$2431.98|$2404.00||$1569.80|$687.00|$2431.98|$1260.65|$1604.15|$41.00|$1940.78|$1545.75|$39.00|$42.00|$1325.91|$897.91|$800.01|$800.01
"CPT® 81378"|"HB DONOR, HLA HIGH RESOLUTION"|300.00|$2597.00|$39.00|$1838.68|$1818.00||$1186.83|$519.40|$1838.68|$953.10|$1212.80|$41.00|$1467.31|$1168.65|$39.00|$42.00|$1002.44|$678.86|$604.84|$604.84
"CPT® 81382"|"HB DONOR, HLA HIGH RESOLUTION"|300.00|$1661.00|$39.00|$1175.99|$1163.00||$759.08|$332.20|$1175.99|$609.59|$775.69|$41.00|$938.47|$747.45|$39.00|$42.00|$641.15|$434.19|$386.85|$386.85
"CPT® 81373"|"HB DONOR, HLA LOW RESOLUTION"|300.00|$2257.00|$39.00|$1597.96|$1580.00||$1031.45|$451.40|$1597.96|$828.32|$1054.02|$41.00|$1275.21|$1015.65|$39.00|$42.00|$871.20|$589.98|$525.66|$525.66
"CPT® 81376"|"HB DONOR, HLA LOW RESOLUTION"|300.00|$1147.00|$39.00|$812.08|$803.00||$524.18|$229.40|$812.08|$420.95|$535.65|$41.00|$648.06|$516.15|$39.00|$42.00|$442.74|$299.83|$267.14|$267.14
"CPT® 83520"|"HB HUMAN MOUSE ANTIBODY"|300.00|$264.00|$39.00|$186.91|$185.00||$120.65|$52.80|$186.91|$96.89|$123.29|$41.00|$149.16|$118.80|$39.00|$42.00|$101.90|$69.01|$61.49|$61.49
"CPT® 82784"|"HB IMMUNOGLOBULIN D"|300.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 82784"|"HB IMMUNOGLOBULIN SUBCLASS 1,2,3,4"|300.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 82787"|"HB IMMUNOGLOBULIN SUBCLASS 1,2,3,4"|300.00|$13.00|$2.60|$13.00|$9.00||$5.94|$2.60|$9.20|$4.77|$6.07|$13.00|$7.35|$5.85|$13.00|$13.00|$5.02|$3.40|$3.03|$3.03
"CPT® 82787"|"HB IMMUNOGLOBULIN SUBCLASS 4"|300.00|$13.00|$2.60|$13.00|$9.00||$5.94|$2.60|$9.20|$4.77|$6.07|$13.00|$7.35|$5.85|$13.00|$13.00|$5.02|$3.40|$3.03|$3.03
"CPT® 86337"|"HB INSULIN ANTIBODIES"|300.00|$60.00|$12.00|$42.48|$42.00||$27.42|$12.00|$42.48|$22.02|$28.02|$41.00|$33.90|$27.00|$39.00|$42.00|$23.16|$15.68|$13.97|$13.97
"CPT® 86341"|"HB INSULINOMA ASSOCIATED 2 ANTIBODY"|300.00|$163.00|$32.60|$115.40|$114.00||$74.49|$32.60|$115.40|$59.82|$76.12|$41.00|$92.10|$73.35|$39.00|$42.00|$62.92|$42.61|$37.96|$37.96
"CPT® 81265"|"HB ENGRAPHMENT MONITORING: STR PP21, PATIENT AND DONOR, PRE-TRANSPLANT"|300.00|$528.00|$39.00|$373.82|$370.00||$241.30|$105.60|$373.82|$193.78|$246.58|$41.00|$298.32|$237.60|$39.00|$42.00|$203.81|$138.02|$122.97|$122.97
"CPT® 81266"|"HB ENGRAPHMENT MONITORING: STR PP21, ADDITIONAL DONOR, PRE-TRANSPLANT"|300.00|$528.00|$39.00|$373.82|$370.00||$241.30|$105.60|$373.82|$193.78|$246.58|$264.00|$298.32|$237.60|$39.00|$42.00|$203.81|$138.02|$122.97|$122.97
"CPT® 81267"|"HB ENGRAPHMENT MONITORING: STR PP21, CHIMERISM ANALYSIS, POST TRANSPLANT"|300.00|$997.00|$39.00|$705.88|$698.00||$455.63|$199.40|$705.88|$365.90|$465.60|$41.00|$563.31|$448.65|$39.00|$42.00|$384.84|$260.62|$232.20|$232.20
"CPT® 81268"|"HB ENGRAPHMENT MONITORING STR PP21 CHIMERISM ANALYSIS POST TRANSPLANT W/ CELL SELECT, EA CELL"|300.00|$1200.00|$39.00|$849.60|$840.00||$548.40|$240.00|$849.60|$440.40|$560.40|$41.00|$678.00|$540.00|$39.00|$42.00|$463.20|$313.68|$279.48|$279.48
"CPT® 81267"|"HB ENGRAPHMENT MONITORING: STR PP21, CHIMERISM W/WHOLE GENOME AMPLIFICATION"|300.00|$1769.00|$39.00|$1252.45|$1238.00||$808.43|$353.80|$1252.45|$649.22|$826.12|$41.00|$999.49|$796.05|$39.00|$42.00|$682.83|$462.42|$412.00|$412.00
"CPT® 81268"|"HB ENGRAPHMENT MONTR STR PP21 CHIMERSM POST TRNSPLNT W/CELL SLECT W/WHLE GENOME AMP EA CELL"|300.00|$1093.00|$39.00|$773.84|$765.00||$499.50|$218.60|$773.84|$401.13|$510.43|$41.00|$617.55|$491.85|$39.00|$42.00|$421.90|$285.71|$254.56|$254.56
"CPT® 87799"|"HB JC POLYOMA VIRUS DNA, QUANTITATIVE, PCR"|300.00|$504.00|$39.00|$356.83|$353.00||$230.33|$100.80|$356.83|$184.97|$235.37|$41.00|$284.76|$226.80|$39.00|$42.00|$194.54|$131.75|$117.38|$117.38
"CPT® 81273"|"HB KIT ASP 816 VAL MUTATION ANALYSIS, QUALITATIVE, PCR"|300.00|$5148.00|$39.00|$3644.78|$3604.00||$2352.64|$1029.60|$3644.78|$1889.32|$2404.12|$41.00|$2908.62|$2316.60|$39.00|$42.00|$1987.13|$1345.69|$1198.97|$1198.97
"CPT® 81162"|"HB BRCAVANTAGE, COMPREHENSIVE"|300.00|$6962.00|$39.00|$4929.10|$4873.00||$3181.63|$1392.40|$4929.10|$2555.05|$3251.25|$41.00|$3933.53|$3132.90|$39.00|$42.00|$2687.33|$1819.87|$1621.45|$1621.45
"CPT® 81213"|"HB BRCAVANTAGE, REARRANGEMENTS"|300.00|$4304.00|$39.00|$3047.23|$3013.00||$1966.93|$860.80|$3047.23|$1579.57|$2009.97|$41.00|$2431.76|$1936.80|$39.00|$42.00|$1661.34|$1125.07|$1002.40|$1002.40
"CPT® 83520"|"HB C3A DESARG FRAGMENT"|300.00|$866.00|$39.00|$613.13|$606.00||$395.76|$173.20|$613.13|$317.82|$404.42|$41.00|$489.29|$389.70|$39.00|$42.00|$334.28|$226.37|$201.69|$201.69
"CPT® 81244"|"HB FRAGILE X SYNDROME MUTATION ANALYSIS, BILL ONLY"|300.00|$1277.00|$39.00|$904.12|$894.00||$583.59|$255.40|$904.12|$468.66|$596.36|$41.00|$721.51|$574.65|$39.00|$42.00|$492.92|$333.81|$297.41|$297.41
"CPT® 81250"|"HB GLYCOGEN STORAGE DISEASE, DIRECT BILL"|300.00|$757.00|$39.00|$535.96|$530.00||$345.95|$151.40|$535.96|$277.82|$353.52|$41.00|$427.71|$340.65|$39.00|$42.00|$292.20|$197.88|$176.31|$176.31
"CPT® 88271"|"HB INSIGHT, FISH, BILL ONLY"|300.00|$133.00|$26.60|$100.00|$93.00||$60.78|$26.60|$94.16|$48.81|$62.11|$100.00|$75.15|$59.85|$39.00|$42.00|$51.34|$34.77|$30.98|$30.98
"CPT® 81205"|"HB MAPLE SYRUP URINE DISEASE, DIRECT BILL"|300.00|$757.00|$39.00|$535.96|$530.00||$345.95|$151.40|$535.96|$277.82|$353.52|$41.00|$427.71|$340.65|$39.00|$42.00|$292.20|$197.88|$176.31|$176.31
"CPT® 81401"|"HB SPINAL MUSCULAR ATROPHY, BILL ONLY"|300.00|$2238.00|$39.00|$1584.50|$1567.00||$1022.77|$447.60|$1584.50|$821.35|$1045.15|$41.00|$1264.47|$1007.10|$39.00|$42.00|$863.87|$585.01|$521.23|$521.23
"CPT® 81479"|"HB Y CHROMOSOME MICRODELETION, BILL ONLY"|300.00|$3203.00|$39.00|$2267.72|$2242.00||$1463.77|$640.60|$2267.72|$1175.50|$1495.80|$41.00|$1809.70|$1441.35|$39.00|$42.00|$1236.36|$837.26|$745.98|$745.98
"CPT® 81220"|"HB CYSTIC FIBROSIS SCREEN, BILL ONLY"|300.00|$1063.00|$39.00|$752.60|$744.00||$485.79|$212.60|$752.60|$390.12|$496.42|$41.00|$600.60|$478.35|$39.00|$42.00|$410.32|$277.87|$247.57|$247.57
"CPT® 81250"|"HB GLYCOGEN STORAGE DISEASE TYPE 1A, BILL ONLY"|300.00|$666.00|$39.00|$471.53|$466.00||$304.36|$133.20|$471.53|$244.42|$311.02|$41.00|$376.29|$299.70|$39.00|$42.00|$257.08|$174.09|$155.11|$155.11
"CPT® 81229"|"HB SNP MICROARRAY-PEDIATRIC(REVEAL)"|300.00|$4520.00|$39.00|$3200.16|$3164.00||$2065.64|$904.00|$3200.16|$1658.84|$2110.84|$41.00|$2553.80|$2034.00|$39.00|$42.00|$1744.72|$1181.53|$1052.71|$1052.71
"CPT® 83520"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, ELISA"|300.00|$140.00|$28.00|$99.12|$98.00||$63.98|$28.00|$99.12|$51.38|$65.38|$41.00|$79.10|$63.00|$39.00|$42.00|$54.04|$36.60|$32.61|$32.61
"CPT® 81479"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, SNP"|300.00|$431.00|$39.00|$305.15|$302.00||$196.97|$86.20|$305.15|$158.18|$201.28|$41.00|$243.52|$193.95|$39.00|$42.00|$166.37|$112.66|$100.38|$100.38
"CPT® 88346"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, IFA 1ST"|300.00|$440.00|$39.00|$311.52|$308.00||$201.08|$88.00|$311.52|$161.48|$205.48|$100.00|$248.60|$198.00|$39.00|$42.00|$169.84|$115.02|$102.48|$102.48
"CPT® 81335"|"HB THIOPURINE METHYLTRANSFERASE, GENOTYPE, BILL ONLY"|300.00|$1665.00|$39.00|$1178.82|$1166.00||$760.91|$333.00|$1178.82|$611.06|$777.56|$41.00|$940.73|$749.25|$39.00|$42.00|$642.69|$435.23|$387.78|$387.78
"CPT® 83516"|"HB CELIAC SCREEN PANEL, TTG-IGA IMMUNOASSAY"|300.00|$214.00|$39.00|$151.51|$150.00||$97.80|$42.80|$151.51|$78.54|$99.94|$41.00|$120.91|$96.30|$39.00|$42.00|$82.60|$55.94|$49.84|$49.84
"CPT® 83516"|"HB CELIAC SCREEN PANEL, GLIADIN IGA IMMUNOASSAY"|300.00|$116.00|$23.20|$82.13|$81.00||$53.01|$23.20|$82.13|$42.57|$54.17|$41.00|$65.54|$52.20|$39.00|$42.00|$44.78|$30.32|$27.02|$27.02
"CPT® 82784"|"HB CELIAC SCREEN PANEL, GAMMAGLOBULIN-IGA"|300.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 83516"|"HB CELIAC SCREEN RELEX, TTG-IGG IMMUNOASSAY"|300.00|$225.00|$39.00|$159.30|$158.00||$102.83|$45.00|$159.30|$82.58|$105.08|$41.00|$127.13|$101.25|$39.00|$42.00|$86.85|$58.82|$52.40|$52.40
"CPT® 83516"|"HB CELIAC SCREEN REFLEX, GLIADIN-IGG IMMUNOASSAY"|300.00|$210.00|$39.00|$148.68|$147.00||$95.97|$42.00|$148.68|$77.07|$98.07|$41.00|$118.65|$94.50|$39.00|$42.00|$81.06|$54.89|$48.91|$48.91
"CPT® 86256"|"HB NEUROMYELITIS OPTICA IGG SERUM/CSF, TITER"|300.00|$260.00|$39.00|$184.08|$182.00||$118.82|$52.00|$184.08|$95.42|$121.42|$41.00|$146.90|$117.00|$39.00|$42.00|$100.36|$67.96|$60.55|$60.55
"CPT® 87801"|"HB LYME DISEASE DNA, BLOOD"|300.00|$419.00|$39.00|$296.65|$293.00||$191.48|$83.80|$296.65|$153.77|$195.67|$41.00|$236.74|$188.55|$39.00|$42.00|$161.73|$109.53|$97.59|$97.59
"CPT® 86617"|"HB LYME IGG, IGM CONFIRMATION"|300.00|$55.00|$11.00|$42.00|$38.00||$25.14|$11.00|$38.94|$20.19|$25.69|$41.00|$31.08|$24.75|$39.00|$42.00|$21.23|$14.38|$12.81|$12.81
"CPT® 86999"|"HB MISCELLANEOUS LABORATORY TEST"|300.00|$37.00|$7.40|$37.00|$26.00||$16.91|$7.40|$26.20|$13.58|$17.28|$37.00|$20.91|$16.65|$37.00|$37.00|$14.28|$9.67|$8.62|$8.62
"CPT® 86738"|"HB MYCOPLASMA PNEUMONIAE IGG AND IGM ANTIBODIES"|300.00|$98.00|$19.60|$69.38|$69.00||$44.79|$19.60|$69.38|$35.97|$45.77|$41.00|$55.37|$44.10|$39.00|$42.00|$37.83|$25.62|$22.82|$22.82
"CPT® 83520"|"HB MYELIN ASSOCIATED GLYCOPROTEIN (MAG), SULFOGLUCURONYL PARAGLOBOSIDE (SGPG) IGM AUTOANTIBODIES"|300.00|$105.00|$21.00|$74.34|$74.00||$47.99|$21.00|$74.34|$38.54|$49.04|$41.00|$59.33|$47.25|$39.00|$42.00|$40.53|$27.45|$24.45|$24.45
"CPT® 83520"|"HB MYELIN ASSOCIATED GLYCOPROTEIN (MAG), SULFOGLUCURONYL PARAGLOBOSIDE (SGPG) IGM AUTOANTIBODIES"|300.00|$117.00|$23.40|$82.84|$82.00||$53.47|$23.40|$82.84|$42.94|$54.64|$41.00|$66.11|$52.65|$39.00|$42.00|$45.16|$30.58|$27.25|$27.25
"CPT® 87591"|"HB NEISSERIA GONORRHOEAE CONFIRMATION"|300.00|$250.00|$39.00|$177.00|$175.00||$114.25|$50.00|$177.00|$91.75|$116.75|$41.00|$141.25|$112.50|$39.00|$42.00|$96.50|$65.35|$58.23|$58.23
"CPT® 86255"|"HB NEUROMYELTITIS OPTICA IGG SERUM/CSF"|300.00|$615.00|$39.00|$435.42|$430.00||$281.06|$123.00|$435.42|$225.71|$287.21|$41.00|$347.48|$276.75|$39.00|$42.00|$237.39|$160.76|$143.23|$143.23
"CPT® 86645"|"HB NON-DONOR CMV, IGM"|300.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 87799"|"HB PARVOVIRUS B19 QUANTITATIVE, PCR"|300.00|$722.00|$39.00|$511.18|$505.00||$329.95|$144.40|$511.18|$264.97|$337.17|$41.00|$407.93|$324.90|$39.00|$42.00|$278.69|$188.73|$168.15|$168.15
"CPT® 88182"|"HB PLASMA CELL LABELING INDEX, FLOW CYTOMETRY, DNA"|300.00|$102.00|$20.40|$100.00|$71.00||$46.61|$20.40|$72.22|$37.43|$47.63|$100.00|$57.63|$45.90|$39.00|$42.00|$39.37|$26.66|$23.76|$23.76
"CPT® 86023"|"HB PLATELET AUTOANTIBODIES"|300.00|$99.00|$19.80|$70.09|$69.00||$45.24|$19.80|$70.09|$36.33|$46.23|$41.00|$55.94|$44.55|$39.00|$42.00|$38.21|$25.88|$23.06|$23.06
"CPT® 86022"|"HB PLATELET AUTOANTIBODIES"|300.00|$67.00|$13.40|$47.44|$47.00||$30.62|$13.40|$47.44|$24.59|$31.29|$41.00|$37.86|$30.15|$39.00|$42.00|$25.86|$17.51|$15.60|$15.60
"CPT® 86022"|"HB PLATELET AUTOANTIBODIES"|300.00|$155.00|$31.00|$109.74|$108.00||$70.84|$31.00|$109.74|$56.89|$72.39|$41.00|$87.58|$69.75|$39.00|$42.00|$59.83|$40.52|$36.10|$36.10
"CPT® 87798"|"HB PROTEIN 14-3-3, RT PCR"|300.00|$649.00|$39.00|$459.49|$454.00||$296.59|$129.80|$459.49|$238.18|$303.08|$41.00|$366.69|$292.05|$39.00|$42.00|$250.51|$169.65|$151.15|$151.15
"CPT® 84182"|"HB PROTEIN 14-3-3, WESTERN BLOT"|300.00|$65.00|$13.00|$46.02|$46.00||$29.71|$13.00|$46.02|$23.86|$30.36|$41.00|$36.73|$29.25|$39.00|$42.00|$25.09|$16.99|$15.14|$15.14
"CPT® 86317"|"HB PROTEIN 14-3-3, IMMUNMOASSAY"|300.00|$69.00|$13.80|$48.85|$48.00||$31.53|$13.80|$48.85|$25.32|$32.22|$41.00|$38.99|$31.05|$39.00|$42.00|$26.63|$18.04|$16.07|$16.07
"CPT® 84181"|"HB PURKINJE CELL (YO) AUTOANTIBODIES"|300.00|$906.00|$39.00|$641.45|$634.00||$414.04|$181.20|$641.45|$332.50|$423.10|$41.00|$511.89|$407.70|$39.00|$42.00|$349.72|$236.83|$211.01|$211.01
"CPT® 81378"|"HB RECIPIENT HLA HIGH RESOLUTION"|300.00|$2597.00|$39.00|$1838.68|$1818.00||$1186.83|$519.40|$1838.68|$953.10|$1212.80|$41.00|$1467.31|$1168.65|$39.00|$42.00|$1002.44|$678.86|$604.84|$604.84
"CPT® 81382"|"HB RECIPIENT HLA HIGH RESOLUTION"|300.00|$1661.00|$39.00|$1175.99|$1163.00||$759.08|$332.20|$1175.99|$609.59|$775.69|$41.00|$938.47|$747.45|$39.00|$42.00|$641.15|$434.19|$386.85|$386.85
"CPT® 86671"|"HB SACCHAROMYCES CEREVISIAE IGG, IGA ANTIBODIES"|300.00|$248.00|$39.00|$175.58|$174.00||$113.34|$49.60|$175.58|$91.02|$115.82|$41.00|$140.12|$111.60|$39.00|$42.00|$95.73|$64.83|$57.76|$57.76
"CPT® 86022"|"HB SEROTONIN RELEASE ASSAY"|300.00|$986.00|$39.00|$698.09|$690.00||$450.60|$197.20|$698.09|$361.86|$460.46|$41.00|$557.09|$443.70|$39.00|$42.00|$380.60|$257.74|$229.64|$229.64
"CPT® 86317"|"HB STREPTOCOCCUS PNEUMONIAE IGG ANTIBODIES"|300.00|$40.00|$8.00|$40.00|$28.00||$18.28|$8.00|$28.32|$14.68|$18.68|$40.00|$22.60|$18.00|$39.00|$40.00|$15.44|$10.46|$9.32|$9.32
"CPT® 86682"|"HB STRONGYLOIDES IGG ANTIBODY"|300.00|$350.00|$39.00|$247.80|$245.00||$159.95|$70.00|$247.80|$128.45|$163.45|$41.00|$197.75|$157.50|$39.00|$42.00|$135.10|$91.49|$81.52|$81.52
"CPT® 83520"|"HB SULFATIDE AUTOANTIBODIES"|300.00|$575.00|$39.00|$407.10|$402.00||$262.78|$115.00|$407.10|$211.03|$268.53|$41.00|$324.88|$258.75|$39.00|$42.00|$221.95|$150.31|$133.92|$133.92
"CPT® 83520"|"HB SULFATIDE AUTOANTIBODIES"|300.00|$575.00|$39.00|$407.10|$402.00||$262.78|$115.00|$407.10|$211.03|$268.53|$41.00|$324.88|$258.75|$39.00|$42.00|$221.95|$150.31|$133.92|$133.92
"CPT® 83516"|"HB TRANSGLUTAMINASE IGG, IGA AUTOANTIBODIES"|300.00|$181.00|$36.20|$128.15|$127.00||$82.72|$36.20|$128.15|$66.43|$84.53|$41.00|$102.27|$81.45|$39.00|$42.00|$69.87|$47.31|$42.15|$42.15
"CPT® 87799"|"HB VARICELLA ZOSTER VIRUS, PCR, CSF"|300.00|$860.00|$39.00|$608.88|$602.00||$393.02|$172.00|$608.88|$315.62|$401.62|$41.00|$485.90|$387.00|$39.00|$42.00|$331.96|$224.80|$200.29|$200.29
"CPT® 83520"|"HB PARANEOPLASTIC-MAYO STRI AB"|300.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 88350"|"HB CUTANEOUS IMMUNOFLUORESCENCE ANTIBODY IGG, ADDTL"|300.00|$205.00|$39.00|$145.14|$144.00||$93.69|$41.00|$145.14|$75.24|$95.74|$100.00|$115.83|$92.25|$39.00|$42.00|$79.13|$53.59|$47.74|$47.74
"CPT® 86160"|"HB C4A LEVEL"|300.00|$725.00|$39.00|$513.30|$507.00||$331.33|$145.00|$513.30|$266.08|$338.58|$41.00|$409.63|$326.25|$39.00|$42.00|$279.85|$189.52|$168.85|$168.85
"CPT® 83520"|"HB EOSINOPHIL CATIONIC PROTEIN"|300.00|$639.00|$39.00|$452.41|$447.00||$292.02|$127.80|$452.41|$234.51|$298.41|$41.00|$361.04|$287.55|$39.00|$42.00|$246.65|$167.03|$148.82|$148.82
"CPT® 83520"|"HB VASCULAR ENDOTHELIAL GROWTH FACTOR"|300.00|$1012.00|$39.00|$716.50|$708.00||$462.48|$202.40|$716.50|$371.40|$472.60|$41.00|$571.78|$455.40|$39.00|$42.00|$390.63|$264.54|$235.69|$235.69
"CPT® 81257"|"HB ALPHA-GLOBIN COMMON MUTATION ANALYSIS"|300.00|$2186.00|$39.00|$1547.69|$1530.00||$999.00|$437.20|$1547.69|$802.26|$1020.86|$41.00|$1235.09|$983.70|$39.00|$42.00|$843.80|$571.42|$509.12|$509.12
"CPT® 87471"|"HB BARTONELLA DNA, RT-PCR"|300.00|$902.00|$39.00|$638.62|$631.00||$412.21|$180.40|$638.62|$331.03|$421.23|$41.00|$509.63|$405.90|$39.00|$42.00|$348.17|$235.78|$210.08|$210.08
"CPT® 81212"|"HB BRCAVANTAGE, ASHKENAZI JEWISH SCREEN"|300.00|$4304.00|$39.00|$3047.23|$3013.00||$1966.93|$860.80|$3047.23|$1579.57|$2009.97|$2152.00|$2431.76|$1936.80|$39.00|$42.00|$1661.34|$1125.07|$1002.40|$1002.40
"CPT® 81220"|"HB CYSTIC FIBROSIS SCREEN"|300.00|$557.00|$39.00|$394.36|$390.00||$254.55|$111.40|$394.36|$204.42|$260.12|$41.00|$314.71|$250.65|$39.00|$42.00|$215.00|$145.60|$129.73|$129.73
"CPT® 81400"|"HB FACTOR XIII (13) V34L DNA MUTATION ANALYSIS"|300.00|$2890.00|$39.00|$2046.12|$2023.00||$1320.73|$578.00|$2046.12|$1060.63|$1349.63|$41.00|$1632.85|$1300.50|$39.00|$42.00|$1115.54|$755.45|$673.08|$673.08
"CPT® 84181"|"HB HSP-70 ANTIBODY, WESTERN BLOT"|300.00|$719.00|$39.00|$509.05|$503.00||$328.58|$143.80|$509.05|$263.87|$335.77|$41.00|$406.24|$323.55|$39.00|$42.00|$277.53|$187.95|$167.46|$167.46
"CPT® 81400"|"HB HUMAN PLATELET ANTIGEN 1 GENOTYPE"|300.00|$1174.00|$39.00|$831.19|$822.00||$536.52|$234.80|$831.19|$430.86|$548.26|$41.00|$663.31|$528.30|$39.00|$42.00|$453.16|$306.88|$273.42|$273.42
"CPT® 81270"|"HB JAK2 V617F MUTATION, QUANTITATIVE"|300.00|$2920.00|$39.00|$2067.36|$2044.00||$1334.44|$584.00|$2067.36|$1071.64|$1363.64|$41.00|$1649.80|$1314.00|$39.00|$42.00|$1127.12|$763.29|$680.07|$680.07
"CPT® 81400"|"HB PAI-1, 4G/5G POLYMORPHISM"|300.00|$637.00|$39.00|$451.00|$446.00||$291.11|$127.40|$451.00|$233.78|$297.48|$41.00|$359.91|$286.65|$39.00|$42.00|$245.88|$166.51|$148.36|$148.36
"CPT® 87798"|"HB WEST NILE VIRUS, RNA, RT-PCR"|300.00|$1635.00|$39.00|$1157.58|$1144.00||$747.20|$327.00|$1157.58|$600.05|$763.55|$41.00|$923.78|$735.75|$39.00|$42.00|$631.11|$427.39|$380.79|$380.79
"CPT® 81401"|"HB ADMARK APOLIPOPROTEIN E GENOTYPE, BILL ONLY"|300.00|$3301.00|$39.00|$2337.11|$2311.00||$1508.56|$660.20|$2337.11|$1211.47|$1541.57|$41.00|$1865.07|$1485.45|$39.00|$42.00|$1274.19|$862.88|$768.80|$768.80
"CPT® 81401"|"HB ATAXIA EVALUATION, MOL. PATH LEVEL 2, BILL ONLY"|300.00|$1788.00|$39.00|$1265.90|$1252.00||$817.12|$357.60|$1265.90|$656.20|$835.00|$41.00|$1010.22|$804.60|$39.00|$42.00|$690.17|$467.38|$416.43|$416.43
"CPT® 81401"|"HB ATAXIA EVALUATION, MOL. PATH LEVEL 2, EACH ADDTL-MOD 59, BILL ONLY"|300.00|$1788.00|$39.00|$1265.90|$1252.00||$817.12|$357.60|$1265.90|$656.20|$835.00|$41.00|$1010.22|$804.60|$39.00|$42.00|$690.17|$467.38|$416.43|$416.43
"CPT® 81403"|"HB ATAXIA EVALUATION, MOL. PATH LEVEL 4, BILL ONLY"|300.00|$1788.00|$39.00|$1265.90|$1252.00||$817.12|$357.60|$1265.90|$656.20|$835.00|$41.00|$1010.22|$804.60|$39.00|$42.00|$690.17|$467.38|$416.43|$416.43
"CPT® 81404"|"HB ATAXIA EVALUATION, MOL. PATH LEVEL 5, BILL ONLY"|300.00|$1788.00|$39.00|$1265.90|$1252.00||$817.12|$357.60|$1265.90|$656.20|$835.00|$41.00|$1010.22|$804.60|$39.00|$42.00|$690.17|$467.38|$416.43|$416.43
"CPT® 81405"|"HB ATAXIA EVALUATION, MOL. PATH LEVEL 6, BILL ONLY"|300.00|$1788.00|$39.00|$1265.90|$1252.00||$817.12|$357.60|$1265.90|$656.20|$835.00|$41.00|$1010.22|$804.60|$39.00|$42.00|$690.17|$467.38|$416.43|$416.43
"CPT® 81406"|"HB ATAXIA EVALUATION, MOL. PATH LEVEL 7, BILL ONLY"|300.00|$1788.00|$39.00|$1265.90|$1252.00||$817.12|$357.60|$1265.90|$656.20|$835.00|$41.00|$1010.22|$804.60|$39.00|$42.00|$690.17|$467.38|$416.43|$416.43
"CPT® 81479"|"HB ATAXIA EVALUATION, UNLISTED MOL. PATH, BILL ONLY"|300.00|$1788.00|$39.00|$1265.90|$1252.00||$817.12|$357.60|$1265.90|$656.20|$835.00|$41.00|$1010.22|$804.60|$39.00|$42.00|$690.17|$467.38|$416.43|$416.43
"CPT® 81406"|"HB COMPLETE CADASIL EVALUATION, BILL ONLY"|300.00|$22117.00|$39.00|$15658.84|$15482.00||$10107.47|$4423.40|$15658.84|$8116.94|$10328.64|$41.00|$12496.11|$9952.65|$39.00|$42.00|$8537.16|$5781.38|$5151.05|$5151.05
"CPT® 83520"|"HB SENSORI MOTOR NEUROPATHY PROFILE, BILL ONLY"|300.00|$349.00|$39.00|$247.09|$244.00||$159.49|$69.80|$247.09|$128.08|$162.98|$41.00|$197.19|$157.05|$39.00|$42.00|$134.71|$91.23|$81.28|$81.28
"CPT® 83520"|"HB SENSORI MOTOR NEUROPATHY PROFILE, BILL ONLY (MOD-59)"|300.00|$349.00|$39.00|$247.09|$244.00||$159.49|$69.80|$247.09|$128.08|$162.98|$41.00|$197.19|$157.05|$39.00|$42.00|$134.71|$91.23|$81.28|$81.28
"CPT® 83516"|"HB SENSORI MOTOR NEUROPATHY PROFILE, BILL ONLY, IMMUNOASSAY"|300.00|$315.00|$39.00|$223.02|$220.00||$143.96|$63.00|$223.02|$115.61|$147.11|$41.00|$177.98|$141.75|$39.00|$42.00|$121.59|$82.34|$73.36|$73.36
"CPT® 82106"|"HB AMNIOTIC FLUID, ALPHAFETO PROTEIN, BILL ONLY"|300.00|$76.00|$15.20|$53.81|$53.00||$34.73|$15.20|$53.81|$27.89|$35.49|$41.00|$42.94|$34.20|$39.00|$42.00|$29.34|$19.87|$17.70|$17.70
"CPT® 81223"|"HB CYSTIC FIBROSIS TRANSMEMBRANE REDUCTANCE, BILL ONLY"|300.00|$1210.00|$39.00|$856.68|$847.00||$552.97|$242.00|$856.68|$444.07|$565.07|$41.00|$683.65|$544.50|$39.00|$42.00|$467.06|$316.29|$281.81|$281.81
"CPT® 81224"|"HB CYSTIC FIBROSIS TRANSMEMBRANE REDUCTANCE, INTRON 8, BILL ONLY"|300.00|$1424.00|$39.00|$1008.19|$997.00||$650.77|$284.80|$1008.19|$522.61|$665.01|$41.00|$804.56|$640.80|$39.00|$42.00|$549.66|$372.23|$331.65|$331.65
"CPT® 81405"|"HB FABRY FULL GENE SEQUENCE, BILL ONLY"|300.00|$5509.00|$39.00|$3900.37|$3856.00||$2517.61|$1101.80|$3900.37|$2021.80|$2572.70|$41.00|$3112.59|$2479.05|$39.00|$42.00|$2126.47|$1440.05|$1283.05|$1283.05
"CPT® 81243"|"HB FRAGILE X SYNDROME MUTATION ANALYSIS, BILL ONLY"|300.00|$1277.00|$39.00|$904.12|$894.00||$583.59|$255.40|$904.12|$468.66|$596.36|$41.00|$721.51|$574.65|$39.00|$42.00|$492.92|$333.81|$297.41|$297.41
"CPT® 81255"|"HB INHERITEST SOCIETY, HEXA GENE ANALYSIS"|300.00|$147.00|$29.40|$104.08|$103.00||$67.18|$29.40|$104.08|$53.95|$68.65|$41.00|$83.06|$66.15|$39.00|$42.00|$56.74|$38.43|$34.24|$34.24
"CPT® 81257"|"HB INHERITEST SOCIETY, HBA1/HBA2 GENE ANALYSIS"|300.00|$290.00|$39.00|$205.32|$203.00||$132.53|$58.00|$205.32|$106.43|$135.43|$41.00|$163.85|$130.50|$39.00|$42.00|$111.94|$75.81|$67.54|$67.54
"CPT® 81406"|"HB DILATED CARDIOMYOPATHY, FULL GENE SEQUENCING"|300.00|$5710.00|$39.00|$4042.68|$3997.00||$2609.47|$1142.00|$4042.68|$2095.57|$2666.57|$41.00|$3226.15|$2569.50|$39.00|$42.00|$2204.06|$1492.59|$1329.86|$1329.86
"CPT® 81240"|"HB THROMBOPHILIA DNA MUTATION PANEL, F2 GENE"|300.00|$333.00|$39.00|$235.76|$233.00||$152.18|$66.60|$235.76|$122.21|$155.51|$41.00|$188.15|$149.85|$39.00|$42.00|$128.54|$87.05|$77.56|$77.56
"CPT® 81241"|"HB THROMBOPHILIA DNA MUTATION PANEL, F5 GENE"|300.00|$408.00|$39.00|$288.86|$286.00||$186.46|$81.60|$288.86|$149.74|$190.54|$41.00|$230.52|$183.60|$39.00|$42.00|$157.49|$106.65|$95.02|$95.02
"CPT® 81291"|"HB THROMBOPHILIA DNA MUTATION PANEL, FMTHFR GENE"|300.00|$299.00|$39.00|$211.69|$209.00||$136.64|$59.80|$211.69|$109.73|$139.63|$41.00|$168.94|$134.55|$39.00|$42.00|$115.41|$78.16|$69.64|$69.64
"CPT® 81209"|"HB BLOOM SYNDROME MUTATION (IG)"|300.00|$725.00|$39.00|$513.30|$507.00||$331.33|$145.00|$513.30|$266.08|$338.58|$41.00|$409.63|$326.25|$39.00|$42.00|$279.85|$189.52|$168.85|$168.85
"CPT® 81200"|"HB CANAVAN DISEASE, DNA (IG)"|300.00|$528.00|$39.00|$373.82|$370.00||$241.30|$105.60|$373.82|$193.78|$246.58|$41.00|$298.32|$237.60|$39.00|$42.00|$203.81|$138.02|$122.97|$122.97
"CPT® 81260"|"HB FAMILIAL DYSAUTONOMIA, DNA (IG)"|300.00|$573.00|$39.00|$405.68|$401.00||$261.86|$114.60|$405.68|$210.29|$267.59|$41.00|$323.75|$257.85|$39.00|$42.00|$221.18|$149.78|$133.45|$133.45
"CPT® 81242"|"HB FANCONI ANEMIA C (IG)"|300.00|$480.00|$39.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$41.00|$271.20|$216.00|$39.00|$42.00|$185.28|$125.47|$111.79|$111.79
"CPT® 81243"|"HB FRAGILE X CARRIER SCREEN (IG)"|300.00|$651.00|$39.00|$460.91|$456.00||$297.51|$130.20|$460.91|$238.92|$304.02|$41.00|$367.82|$292.95|$39.00|$42.00|$251.29|$170.17|$151.62|$151.62
"CPT® 81243"|"HB FRAGILE X TEST, GENE ANALYSIS (IG)"|300.00|$606.00|$39.00|$429.05|$424.00||$276.94|$121.20|$429.05|$222.40|$283.00|$41.00|$342.39|$272.70|$39.00|$42.00|$233.92|$158.41|$141.14|$141.14
"CPT® 81260"|"HB INHERITEST SOCIETY, IKBKAP GENE ANALYSIS"|300.00|$113.00|$22.60|$80.00|$79.00||$51.64|$22.60|$80.00|$41.47|$52.77|$41.00|$63.85|$50.85|$39.00|$42.00|$43.62|$29.54|$26.32|$26.32
"CPT® 81290"|"HB INHERITEST SOCIETY, MCOLN1 GENE ANALYSIS"|300.00|$113.00|$22.60|$80.00|$79.00||$51.64|$22.60|$80.00|$41.47|$52.77|$41.00|$63.85|$50.85|$39.00|$42.00|$43.62|$29.54|$26.32|$26.32
"CPT® 81329"|"HB INHERITEST SOCIETY, SMN1 GENE ANALYSIS"|300.00|$388.00|$39.00|$274.70|$272.00||$177.32|$77.60|$274.70|$142.40|$181.20|$41.00|$219.22|$174.60|$39.00|$42.00|$149.77|$101.42|$90.37|$90.37
"CPT® 81330"|"HB INHERITEST SOCIETY, SMPD1 COMMON VARIANTS"|300.00|$135.00|$27.00|$95.58|$94.00||$61.70|$27.00|$95.58|$49.55|$63.05|$41.00|$76.28|$60.75|$39.00|$42.00|$52.11|$35.29|$31.44|$31.44
"CPT® 81361"|"HB INHERITEST SOCIETY, HBB COMMON VARIANTS"|300.00|$494.00|$39.00|$349.75|$346.00||$225.76|$98.80|$349.75|$181.30|$230.70|$41.00|$279.11|$222.30|$39.00|$42.00|$190.68|$129.13|$115.05|$115.05
"CPT® 81243"|"HB INHERITEST ASHKENAZI JEWISH, FMR1 GENE ANALYSIS"|300.00|$90.00|$18.00|$63.72|$63.00||$41.13|$18.00|$63.72|$33.03|$42.03|$41.00|$50.85|$40.50|$39.00|$42.00|$34.74|$23.53|$20.96|$20.96
"CPT® 81257"|"HB INHERITEST ASHKENAZI JEWISH, HBA1/HBA2 GENE"|300.00|$154.00|$30.80|$109.03|$108.00||$70.38|$30.80|$109.03|$56.52|$71.92|$41.00|$87.01|$69.30|$39.00|$42.00|$59.44|$40.26|$35.87|$35.87
"CPT® 81329"|"HB INHERITEST ASHKENAZI JEWISH, SMN1 GENE ANALYSIS"|300.00|$202.00|$39.00|$143.02|$141.00||$92.31|$40.40|$143.02|$74.13|$94.33|$41.00|$114.13|$90.90|$39.00|$42.00|$77.97|$52.80|$47.05|$47.05
"CPT® 81412"|"HB INHERITEST ASHKENAZI JEWISH, ASSOC. DISORDERS, 9 GENES"|300.00|$3458.00|$39.00|$2448.26|$2421.00||$1580.31|$691.60|$2448.26|$1269.09|$1614.89|$1729.00|$1953.77|$1556.10|$39.00|$42.00|$1334.79|$903.92|$805.37|$805.37
"CPT® 81443"|"HB ATAXIA, COMPLETE EVALUATION"|300.00|$33018.00|$39.00|$23376.74|$23113.00||$15089.23|$6603.60|$23376.74|$12117.61|$15419.41|$16509.00|$18655.17|$14858.10|$39.00|$42.00|$12744.95|$8630.91|$7689.89|$7689.89
"CPT® 87635"|"HB SARS-COV-2 RNA, QUAL RT-PCR"|300.00|$165.00|$33.00|$93.23|$115.00||$51.31|$33.00|$51.31|$51.31|$51.31|$41.00|$93.23|$74.25|$51.31|$51.31|$63.69|$43.13|$38.43|$38.43
"CPT® 81401"|"HB CROHN'S PROGNOSTIC, MOLECULAR PATH, LEVEL 2"|300.00|$395.00|$39.00|$279.66|$276.00||$180.52|$79.00|$279.66|$144.97|$184.47|$41.00|$223.18|$177.75|$39.00|$42.00|$152.47|$103.25|$92.00|$92.00
"CPT® 81220"|"HB CYSTIC FIBROSIS PROFILE, 97 MUTATIONS, CF PLUS"|300.00|$378.00|$39.00|$267.62|$265.00||$172.75|$75.60|$267.62|$138.73|$176.53|$41.00|$213.57|$170.10|$39.00|$42.00|$145.91|$98.81|$88.04|$88.04
"CPT® 81406"|"HB DCM:LMNA (FULL GENE SEQUENCING)"|300.00|$2111.00|$39.00|$1494.59|$1478.00||$964.73|$422.20|$1494.59|$774.74|$985.84|$41.00|$1192.72|$949.95|$39.00|$42.00|$814.85|$551.82|$491.65|$491.65
"CPT® 81420"|"HB INFORMASEQ PRENATAL TEST"|300.00|$5242.00|$39.00|$3711.34|$3669.00||$2395.59|$1048.40|$3711.34|$1923.81|$2448.01|$41.00|$2961.73|$2358.90|$39.00|$42.00|$2023.41|$1370.26|$1220.86|$1220.86
"CPT® 81200"|"HB ASHKENAZI JEWISH CARRIER, ASPA GENE ANAYSIS."|300.00|$363.00|$39.00|$257.00|$254.00||$165.89|$72.60|$257.00|$133.22|$169.52|$41.00|$205.10|$163.35|$39.00|$42.00|$140.12|$94.89|$84.54|$84.54
"CPT® 81220"|"HB ASHKENAZI JEWISH CARRIER, CFTR GENE ANALYSIS"|300.00|$363.00|$39.00|$257.00|$254.00||$165.89|$72.60|$257.00|$133.22|$169.52|$41.00|$205.10|$163.35|$39.00|$42.00|$140.12|$94.89|$84.54|$84.54
"CPT® 81260"|"HB ASHKENAZI JEWISH CARRIER, IKBKAP GENE ANALYSIS"|300.00|$363.00|$39.00|$257.00|$254.00||$165.89|$72.60|$257.00|$133.22|$169.52|$41.00|$205.10|$163.35|$39.00|$42.00|$140.12|$94.89|$84.54|$84.54
"CPT® 81229"|"HB SNP MICROARRAY-PEDIATRIC(REVEAL)"|300.00|$5229.00|$39.00|$3702.13|$3660.00||$2389.65|$1045.80|$3702.13|$1919.04|$2441.94|$41.00|$2954.39|$2353.05|$39.00|$42.00|$2018.39|$1366.86|$1217.83|$1217.83
"CPT® 87798"|"HB ANAPLASMA PHAGOCYTOPHILUM DNA, PCR"|300.00|$451.00|$39.00|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$41.00|$254.82|$202.95|$39.00|$42.00|$174.09|$117.89|$105.04|$105.04
"Custom 25218500"|"HB LABORATORY SPECIMEN PROCESSING"|300.00|$40.00|$8.00|$40.00|$28.00||$18.28|$8.00|$28.32|$14.68|$18.68|$20.00|$22.60|$18.00|$39.00|$40.00|$15.44|$10.46|$9.32|$9.32
"CPT® 81400"|"HB ACCUTYPE IL28B GENOTYPE, DNA, PCR"|300.00|$1101.00|$39.00|$779.51|$771.00||$503.16|$220.20|$779.51|$404.07|$514.17|$41.00|$622.07|$495.45|$39.00|$42.00|$424.99|$287.80|$256.42|$256.42
"CPT® 81405"|"HB ALPHA-GLOBIN GENE SEQUENCING"|300.00|$3841.00|$39.00|$2719.43|$2689.00||$1755.34|$768.20|$2719.43|$1409.65|$1793.75|$41.00|$2170.17|$1728.45|$39.00|$42.00|$1482.63|$1004.04|$894.57|$894.57
"CPT® 81479"|"HB BRCA1, BRCA2 MOLECULAR PATHOLOGY PROCEDURE"|300.00|$981.00|$39.00|$694.55|$687.00||$448.32|$196.20|$694.55|$360.03|$458.13|$41.00|$554.27|$441.45|$39.00|$42.00|$378.67|$256.43|$228.47|$228.47
"CPT® 81272"|"HB C-KIT MUTATIONS"|300.00|$2027.00|$39.00|$1435.12|$1419.00||$926.34|$405.40|$1435.12|$743.91|$946.61|$41.00|$1145.26|$912.15|$39.00|$42.00|$782.42|$529.86|$472.09|$472.09
"CPT® 81374"|"HB HLA-B27 TYPING"|300.00|$661.00|$39.00|$467.99|$463.00||$302.08|$132.20|$467.99|$242.59|$308.69|$41.00|$373.47|$297.45|$39.00|$42.00|$255.15|$172.79|$153.95|$153.95
"CPT® 81331"|"HB PRADER-WILLI/ANGELMAN, DNA METHYLATION"|300.00|$1760.00|$39.00|$1246.08|$1232.00||$804.32|$352.00|$1246.08|$645.92|$821.92|$41.00|$994.40|$792.00|$39.00|$42.00|$679.36|$460.06|$409.90|$409.90
"CPT® 81244"|"HB FRAGILE X TEST, ALLELE CHARACTERIZATION (IG)"|300.00|$1582.00|$39.00|$1120.06|$1107.00||$722.97|$316.40|$1120.06|$580.59|$738.79|$41.00|$893.83|$711.90|$39.00|$42.00|$610.65|$413.53|$368.45|$368.45
"CPT® 81250"|"HB GLYCOGEN STORAGE DISEASE (IG)"|300.00|$1101.00|$39.00|$779.51|$771.00||$503.16|$220.20|$779.51|$404.07|$514.17|$41.00|$622.07|$495.45|$39.00|$42.00|$424.99|$287.80|$256.42|$256.42
"CPT® 81412"|"HB INHERITEST SOCIETY GUIDED (IG)"|300.00|$2285.00|$39.00|$1617.78|$1600.00||$1044.25|$457.00|$1617.78|$838.60|$1067.10|$1142.50|$1291.03|$1028.25|$39.00|$42.00|$882.01|$597.30|$532.18|$532.18
"CPT® 81223"|"HB INHERITEST COMPREHENSIVE, CTFR FULL GENE SEQUENCE (IG)"|300.00|$101.00|$20.20|$71.51|$71.00||$46.16|$20.20|$71.51|$37.07|$47.17|$41.00|$57.07|$45.45|$39.00|$42.00|$38.99|$26.40|$23.52|$23.52
"CPT® 81404"|"HB INHERITEST COMPREHENSIVE, DNA ANALYSIS LEVEL 5 (IG)"|300.00|$101.00|$20.20|$71.51|$71.00||$46.16|$20.20|$71.51|$37.07|$47.17|$41.00|$57.07|$45.45|$39.00|$42.00|$38.99|$26.40|$23.52|$23.52
"CPT® 81405"|"HB INHERITEST COMPREHENSIVE, DNA ANALYSIS LEVEL 6 (IG)"|300.00|$101.00|$20.20|$71.51|$71.00||$46.16|$20.20|$71.51|$37.07|$47.17|$41.00|$57.07|$45.45|$39.00|$42.00|$38.99|$26.40|$23.52|$23.52
"CPT® 81406"|"HB INHERITEST COMPREHENSIVE, DNA ANALYSI LEVEL 7 (IG)"|300.00|$101.00|$20.20|$71.51|$71.00||$46.16|$20.20|$71.51|$37.07|$47.17|$41.00|$57.07|$45.45|$39.00|$42.00|$38.99|$26.40|$23.52|$23.52
"CPT® 81407"|"HB INHERITEST COMPREHENSIVE, DNA ANALYSIS LEVEL 8 (IG)"|300.00|$101.00|$20.20|$71.51|$71.00||$46.16|$20.20|$71.51|$37.07|$47.17|$41.00|$57.07|$45.45|$39.00|$42.00|$38.99|$26.40|$23.52|$23.52
"CPT® 81408"|"HB INHERITEST COMPREHENSIVE, DNA ANALYSIS LEVEL 9 (IG)"|300.00|$101.00|$20.20|$71.51|$71.00||$46.16|$20.20|$71.51|$37.07|$47.17|$41.00|$57.07|$45.45|$39.00|$42.00|$38.99|$26.40|$23.52|$23.52
"CPT® 81479"|"HB INHERITEST COMPREHENSIVE, DNA ANALYSIS OTHER (IG)"|300.00|$101.00|$20.20|$71.51|$71.00||$46.16|$20.20|$71.51|$37.07|$47.17|$41.00|$57.07|$45.45|$39.00|$42.00|$38.99|$26.40|$23.52|$23.52
"CPT® 88271"|"HB INSIGHT FISH, CYTOGENETICS DNA PROBE (IG)"|300.00|$328.00|$39.00|$232.22|$230.00||$149.90|$65.60|$232.22|$120.38|$153.18|$100.00|$185.32|$147.60|$39.00|$42.00|$126.61|$85.74|$76.39|$76.39
"CPT® 88275"|"HB INSIGHT FISH, INTERPHASE 100-300 CELLS (IG)"|300.00|$886.00|$39.00|$627.29|$620.00||$404.90|$177.20|$627.29|$325.16|$413.76|$100.00|$500.59|$398.70|$39.00|$42.00|$342.00|$231.60|$206.35|$206.35
"CPT® 84163"|"HB INTEGRATED SCREEN, 1ST TRIMESTER (IG)"|300.00|$387.00|$39.00|$274.00|$271.00||$176.86|$77.40|$274.00|$142.03|$180.73|$41.00|$218.66|$174.15|$39.00|$42.00|$149.38|$101.16|$90.13|$90.13
"CPT® 82105"|"HB INTEGRATED SCREEN, 2ND TRIMESTER, AFP (IG)"|300.00|$499.00|$39.00|$353.29|$349.00||$228.04|$99.80|$353.29|$183.13|$233.03|$41.00|$281.94|$224.55|$39.00|$42.00|$192.61|$130.44|$116.22|$116.22
"CPT® 82677"|"HB INTEGRATED SCREEN, 2ND TRIMESTER, ESTRIOL (IG)"|300.00|$337.00|$39.00|$238.60|$236.00||$154.01|$67.40|$238.60|$123.68|$157.38|$41.00|$190.41|$151.65|$39.00|$42.00|$130.08|$88.09|$78.49|$78.49
"CPT® 84163"|"HB INTEGRATED SCREEN, 2ND TRIMESTER, PAPP-A (IG)"|300.00|$449.00|$39.00|$317.89|$314.00||$205.19|$89.80|$317.89|$164.78|$209.68|$41.00|$253.69|$202.05|$39.00|$42.00|$173.31|$117.37|$104.57|$104.57
"CPT® 84702"|"HB INTEGRATED SCREEN, 2ND TRIMESTER, HCG (IG)"|300.00|$449.00|$39.00|$317.89|$314.00||$205.19|$89.80|$317.89|$164.78|$209.68|$41.00|$253.69|$202.05|$39.00|$42.00|$173.31|$117.37|$104.57|$104.57
"CPT® 81290"|"HB MUCOLIPIDOSIS TYPE IV MUTATION (IG)"|300.00|$881.00|$39.00|$623.75|$617.00||$402.62|$176.20|$623.75|$323.33|$411.43|$41.00|$497.77|$396.45|$39.00|$42.00|$340.07|$230.29|$205.18|$205.18
"CPT® 81330"|"HB NIEMANN-PICK TYPE A MUTATION (IG)"|300.00|$881.00|$39.00|$623.75|$617.00||$402.62|$176.20|$623.75|$323.33|$411.43|$41.00|$497.77|$396.45|$39.00|$42.00|$340.07|$230.29|$205.18|$205.18
"CPT® 81255"|"HB TAY SACHS ANALYSIS (IG)"|300.00|$586.00|$39.00|$414.89|$410.00||$267.80|$117.20|$414.89|$215.06|$273.66|$41.00|$331.09|$263.70|$39.00|$42.00|$226.20|$153.18|$136.48|$136.48
"CPT® 0035U"|"HB REAL-TIME QUAKING-INDUCED CONVERSION"|300.00|$1066.00|$39.00|$754.73|$746.00||$487.16|$213.20|$754.73|$391.22|$497.82|$533.00|$602.29|$479.70|$39.00|$42.00|$411.48|$278.65|$248.27|$248.27
"CPT® 81596"|"HB HCV FIBROSPECT"|300.00|$1056.00|$39.00|$747.65|$739.00||$482.59|$211.20|$747.65|$387.55|$493.15|$41.00|$596.64|$475.20|$39.00|$42.00|$407.62|$276.04|$245.94|$245.94
"CPT® 81229"|"HB SNP MICROARRAY POC"|300.00|$3024.00|$39.00|$2140.99|$2117.00||$1381.97|$604.80|$2140.99|$1109.81|$1412.21|$41.00|$1708.56|$1360.80|$39.00|$42.00|$1167.26|$790.47|$704.29|$704.29
"CPT® 81243"|"HB INHERITEST COMPREHENSIVE, FMR1 GENE ANALYSIS"|300.00|$91.00|$18.20|$64.43|$64.00||$41.59|$18.20|$64.43|$33.40|$42.50|$41.00|$51.42|$40.95|$39.00|$42.00|$35.13|$23.79|$21.19|$21.19
"CPT® 81329"|"HB INHERITEST COMPREHENSIVE, SMN1 GENE ANALYSIS"|300.00|$395.00|$39.00|$279.66|$276.00||$180.52|$79.00|$279.66|$144.97|$184.47|$41.00|$223.18|$177.75|$39.00|$42.00|$152.47|$103.25|$92.00|$92.00
"CPT® 81443"|"HB INHERITEST COMPREHENSIVE, SEVERE CONDITIONS, 15 GENES"|300.00|$3418.00|$39.00|$2419.94|$2393.00||$1562.03|$683.60|$2419.94|$1254.41|$1596.21|$1709.00|$1931.17|$1538.10|$39.00|$42.00|$1319.35|$893.47|$796.05|$796.05
"CPT® 81200"|"HB INHERITEST SOCIETY, ASPA GENE ANALYSIS"|300.00|$135.00|$27.00|$95.58|$94.00||$61.70|$27.00|$95.58|$49.55|$63.05|$41.00|$76.28|$60.75|$39.00|$42.00|$52.11|$35.29|$31.44|$31.44
"CPT® 81209"|"HB INHERITEST SOCIETY, BLM GENE ANALYSIS"|300.00|$113.00|$22.60|$80.00|$79.00||$51.64|$22.60|$80.00|$41.47|$52.77|$41.00|$63.85|$50.85|$39.00|$42.00|$43.62|$29.54|$26.32|$26.32
"CPT® 81220"|"HB INHERITEST SOCIETY, CTFR GENE COMMON VARIANTS"|300.00|$1568.00|$39.00|$1110.14|$1098.00||$716.58|$313.60|$1110.14|$575.46|$732.26|$41.00|$885.92|$705.60|$39.00|$42.00|$605.25|$409.88|$365.19|$365.19
"CPT® 81242"|"HB INHERITEST SOCIETY, FANCC GENE ANALYSIS"|300.00|$106.00|$21.20|$75.05|$74.00||$48.44|$21.20|$75.05|$38.90|$49.50|$41.00|$59.89|$47.70|$39.00|$42.00|$40.92|$27.71|$24.69|$24.69
"CPT® 81243"|"HB INHERITEST SOCIETY, FMR1 GENE ANALYSIS"|300.00|$163.00|$32.60|$115.40|$114.00||$74.49|$32.60|$115.40|$59.82|$76.12|$41.00|$92.10|$73.35|$39.00|$42.00|$62.92|$42.61|$37.96|$37.96
"CPT® 81251"|"HB INHERITEST SOCIETY, GBA GENE ANALYSIS"|300.00|$135.00|$27.00|$95.58|$94.00||$61.70|$27.00|$95.58|$49.55|$63.05|$41.00|$76.28|$60.75|$39.00|$42.00|$52.11|$35.29|$31.44|$31.44
"CPT® 84112"|"HB ROM PLUS (POC)"|300.00|$210.00|$39.00|$148.68|$147.00||$95.97|$42.00|$148.68|$77.07|$98.07|$41.00|$118.65|$94.50|$39.00|$42.00|$81.06|$54.89|$48.91|$48.91
"HCPCS Q0114"|"HB FERN TEST (POC)"|300.00|$56.00|$11.20|$42.00|$39.00||$25.59|$11.20|$39.65|$20.55|$26.15|$28.00|$31.64|$25.20|$39.00|$42.00|$21.62|$14.64|$13.04|$13.04
"CPT® 87635"|"HB POCT CORONAVIRUS (COVID-19) TEST"|300.00|$165.00|$33.00|$93.23|$115.00||$51.31|$33.00|$51.31|$51.31|$51.31|$41.00|$93.23|$74.25|$51.31|$51.31|$63.69|$43.13|$38.43|$38.43
"CPT® 81277"|"HB HEMATOLOGIC MICROARRAY"|300.00|$5971.00|$39.00|$4227.47|$4180.00||$2728.75|$1194.20|$4227.47|$2191.36|$2788.46|$41.00|$3373.62|$2686.95|$39.00|$42.00|$2304.81|$1560.82|$1390.65|$1390.65
"CPT® 82803"|"HB BLOOD GASES ANY COMBINATION"|300.00|$418.00|$39.00|$295.94|$293.00||$191.03|$83.60|$295.94|$153.41|$195.21|$41.00|$236.17|$188.10|$39.00|$42.00|$161.35|$109.27|$97.35|$97.35
"CPT® 84112"|"HB EVALUATION OF AMNIOTIC FLUID PROTEIN"|300.00|$106.00|$21.20|$75.05|$74.00||$48.44|$21.20|$75.05|$38.90|$49.50|$41.00|$59.89|$47.70|$39.00|$42.00|$40.92|$27.71|$24.69|$24.69
"CPT® 84703"|"HB URINE HCG TEST QUALITATIVE"|300.00|$418.00|$39.00|$295.94|$293.00||$191.03|$83.60|$295.94|$153.41|$195.21|$41.00|$236.17|$188.10|$39.00|$42.00|$161.35|$109.27|$97.35|$97.35
"CPT® 86849"|"HB CONFIRM TYPE PER SAMPLE; NATIONAL"|300.00|$730.00|$39.00|$516.84|$511.00||$333.61|$146.00|$516.84|$267.91|$340.91|$41.00|$412.45|$328.50|$39.00|$42.00|$281.78|$190.82|$170.02|$170.02
"CPT® 86891"|"HB AUTOLOGOUS BLOOD; INTRA-OPERATIVE SALVAGE"|300.00|$2442.00|$39.00|$1728.94|$1709.00||$1115.99|$488.40|$1728.94|$896.21|$1140.41|$1221.00|$1379.73|$1098.90|$39.00|$42.00|$942.61|$638.34|$568.74|$568.74
"CPT® 86900"|"HB BLOOD TYPING ABO"|300.00|$418.00|$39.00|$295.94|$293.00||$191.03|$83.60|$295.94|$153.41|$195.21|$41.00|$236.17|$188.10|$39.00|$42.00|$161.35|$109.27|$97.35|$97.35
"CPT® 87340"|"HB HEPATITIS B SURFACE; PER SAMPLE, NATIONAL"|300.00|$502.00|$39.00|$355.42|$351.00||$229.41|$100.40|$355.42|$184.23|$234.43|$41.00|$283.63|$225.90|$39.00|$42.00|$193.77|$131.22|$116.92|$116.92
"CPT® 87880"|"HB RAPID STREPTOCOCCUS A WITH OPTIC OBSERVATION"|300.00|$109.00|$21.80|$77.17|$76.00||$49.81|$21.80|$77.17|$40.00|$50.90|$41.00|$61.59|$49.05|$39.00|$42.00|$42.07|$28.49|$25.39|$25.39
"CPT® 88720"|"HB TRANSCUTANEOUS BILIRUBIN"|300.00|$246.00|$39.00|$174.17|$172.00||$112.42|$49.20|$174.17|$90.28|$114.88|$100.00|$138.99|$110.70|$39.00|$42.00|$94.96|$64.30|$57.29|$57.29
"CPT® 89220"|"HB SPUTUM SPECIMEN COLLECTION; AEROSOL INDUCED TECHNIQUE"|300.00|$209.00|$39.00|$147.97|$146.00||$95.51|$41.80|$147.97|$76.70|$97.60|$100.00|$118.09|$94.05|$39.00|$42.00|$80.67|$54.63|$48.68|$48.68
"Custom 25410044"|"HB CORD HR CONFIRM TYPE, URGENT; NATIONAL"|300.00|$438.00|$39.00|$310.10|$307.00||$200.17|$87.60|$310.10|$160.75|$204.55|$219.00|$247.47|$197.10|$39.00|$42.00|$169.07|$114.49|$102.01|$102.01
"Custom 25410045"|"HB CORD HR CONFIRM TYPE, URGENT; INTERNATIONAL"|300.00|$5169.00|$39.00|$3659.65|$3618.00||$2362.23|$1033.80|$3659.65|$1897.02|$2413.92|$2584.50|$2920.49|$2326.05|$39.00|$42.00|$1995.23|$1351.18|$1203.86|$1203.86
"CPT® 38204"|"HB CORD HR CONFIRM TYPE, STANDARD; INTERNATIONAL"|300.00|$5032.00|$39.00|$3562.66|$3522.00||$2299.62|$1006.40|$3562.66|$1846.74|$2349.94|$2516.00|$2843.08|$2264.40|$39.00|$42.00|$1942.35|$1315.36|$1171.95|$1171.95
"CPT® 87880"|"HB RAPID STREPTOCOCCUS A WITH OPTIC OBSERVATION"|300.00|$178.00|$35.60|$126.02|$125.00||$81.35|$35.60|$126.02|$65.33|$83.13|$41.00|$100.57|$80.10|$39.00|$42.00|$68.71|$46.53|$41.46|$41.46
"HCPCS P9612"|"HB CATHETERIZE FOR URINE SPECIMEN"|300.00|$268.00|$39.00|$189.74|$188.00||$122.48|$53.60|$189.74|$98.36|$125.16|$134.00|$151.42|$120.60|$39.00|$42.00|$103.45|$70.06|$62.42|$62.42
"CPT® 86849"|"HB CONFIRM TYPE PER SAMPLE; INTERNATIONL"|300.00|$3478.00|$39.00|$2462.42|$2435.00||$1589.45|$695.60|$2462.42|$1276.43|$1624.23|$41.00|$1965.07|$1565.10|$39.00|$42.00|$1342.51|$909.15|$810.03|$810.03
"CPT® 86849"|"HB ADDITIONAL SAMPLE; NATIONAL"|300.00|$460.00|$39.00|$325.68|$322.00||$210.22|$92.00|$325.68|$168.82|$214.82|$41.00|$259.90|$207.00|$39.00|$42.00|$177.56|$120.24|$107.13|$107.13
"CPT® 86849"|"HB ADDITIONA SAMPLE; INTERNATIONAL"|300.00|$460.00|$39.00|$325.68|$322.00||$210.22|$92.00|$325.68|$168.82|$214.82|$41.00|$259.90|$207.00|$39.00|$42.00|$177.56|$120.24|$107.13|$107.13
"CPT® 87340"|"HB HEPATITIS B SURFACE; PER SAMPLE, INTERNATIONAL"|300.00|$1428.00|$39.00|$1011.02|$1000.00||$652.60|$285.60|$1011.02|$524.08|$666.88|$41.00|$806.82|$642.60|$39.00|$42.00|$551.21|$373.28|$332.58|$332.58
"CPT® 86360"|"HB CD4 & CD8 COUNT"|300.00|$389.00|$39.00|$275.41|$272.00||$177.77|$77.80|$275.41|$142.76|$181.66|$41.00|$219.79|$175.05|$39.00|$42.00|$150.15|$101.68|$90.60|$90.60
"CPT® 86359"|"HB T CELLS, TOTAL COUNT"|300.00|$616.00|$39.00|$436.13|$431.00||$281.51|$123.20|$436.13|$226.07|$287.67|$41.00|$348.04|$277.20|$39.00|$42.00|$237.78|$161.02|$143.47|$143.47
"CPT® 81403"|"HB HUMAN ERYTHROCYTE RHD GENE ANALYSIS"|300.00|$2309.00|$39.00|$1634.77|$1616.00||$1055.21|$461.80|$1634.77|$847.40|$1078.30|$41.00|$1304.59|$1039.05|$39.00|$42.00|$891.27|$603.57|$537.77|$537.77
"CPT® 0001U"|"HB HUMAN ERYTHROCYTE ANTIGEN MOLECULAR PHENOTYPING"|300.00|$1071.00|$39.00|$758.27|$750.00||$489.45|$214.20|$758.27|$393.06|$500.16|$535.50|$605.12|$481.95|$39.00|$42.00|$413.41|$279.96|$249.44|$249.44
"CPT® 81373"|"HB HLA CLASS I TYPING LOW RESOLUTION - HLA MATCHED PLATELET"|300.00|$4448.00|$39.00|$3149.18|$3114.00||$2032.74|$889.60|$3149.18|$1632.42|$2077.22|$41.00|$2513.12|$2001.60|$39.00|$42.00|$1716.93|$1162.71|$1035.94|$1035.94
"CPT® 84311"|"HB 1,3 BETA-D-GLUCAN FUNGITELL ASSAY"|300.00|$173.00|$34.60|$122.48|$121.00||$79.06|$34.60|$122.48|$63.49|$80.79|$41.00|$97.75|$77.85|$39.00|$42.00|$66.78|$45.22|$40.29|$40.29
"CPT® 83491"|"HB 17 HYDROXYCORTICOSTEROIDS, URINE, 24 HR"|300.00|$391.00|$39.00|$276.83|$274.00||$178.69|$78.20|$276.83|$143.50|$182.60|$41.00|$220.92|$175.95|$39.00|$42.00|$150.93|$102.21|$91.06|$91.06
"CPT® 83593"|"HB 17 KETOSTEROID FRACTIONATION"|300.00|$274.00|$39.00|$193.99|$192.00||$125.22|$54.80|$193.99|$100.56|$127.96|$137.00|$154.81|$123.30|$39.00|$42.00|$105.76|$71.62|$63.81|$63.81
"CPT® 83586"|"HB 17 KETOSTEROIDS, URINE, 24 HR"|300.00|$443.00|$39.00|$313.64|$310.00||$202.45|$88.60|$313.64|$162.58|$206.88|$41.00|$250.30|$199.35|$39.00|$42.00|$171.00|$115.80|$103.17|$103.17
"CPT® 86300"|"HB CA 27-29"|300.00|$412.00|$39.00|$291.70|$288.00||$188.28|$82.40|$291.70|$151.20|$192.40|$41.00|$232.78|$185.40|$39.00|$42.00|$159.03|$107.70|$95.95|$95.95
"CPT® 84182"|"HB CYSTICERCUS IGG, WESTERN BLOT"|300.00|$170.00|$34.00|$120.36|$119.00||$77.69|$34.00|$120.36|$62.39|$79.39|$41.00|$96.05|$76.50|$39.00|$42.00|$65.62|$44.44|$39.59|$39.59
"CPT® 87420"|"HB RESPIRATORY SYNCYTIAL VIRUS TEST; AG EIA"|300.00|$226.00|$39.00|$160.01|$158.00||$103.28|$45.20|$160.01|$82.94|$105.54|$113.00|$127.69|$101.70|$39.00|$42.00|$87.24|$59.08|$52.64|$52.64
"CPT® 89051"|"HB CELL COUNT, BODY FLUID OR CSF W/DIFFERENTIAL"|300.00|$213.00|$39.00|$150.80|$149.00||$97.34|$42.60|$150.80|$78.17|$99.47|$100.00|$120.35|$95.85|$39.00|$42.00|$82.22|$55.68|$49.61|$49.61
"CPT® 89190"|"HB EOSINOPHIL SMEAR, NASAL"|300.00|$114.00|$22.80|$80.71|$80.00||$52.10|$22.80|$80.71|$41.84|$53.24|$57.00|$64.41|$51.30|$39.00|$42.00|$44.00|$29.80|$26.55|$26.55
"CPT® 89060"|"HB CRYSTAL IDENTIFICATION"|300.00|$147.00|$29.40|$104.08|$103.00||$67.18|$29.40|$104.08|$53.95|$68.65|$100.00|$83.06|$66.15|$39.00|$42.00|$56.74|$38.43|$34.24|$34.24
"CPT® 89060"|"HB CRYSTAL IDENTIFICATION, URIC ACID"|300.00|$147.00|$29.40|$104.08|$103.00||$67.18|$29.40|$104.08|$53.95|$68.65|$100.00|$83.06|$66.15|$39.00|$42.00|$56.74|$38.43|$34.24|$34.24
"CPT® 89050"|"HB CELL COUNT, BODY FLUID"|300.00|$167.00|$33.40|$118.24|$117.00||$76.32|$33.40|$118.24|$61.29|$77.99|$100.00|$94.36|$75.15|$39.00|$42.00|$64.46|$43.65|$38.89|$38.89
"CPT® 89310"|"HB SEMINAL FLUID, POST VASECTOMY"|300.00|$149.00|$29.80|$105.49|$104.00||$68.09|$29.80|$105.49|$54.68|$69.58|$100.00|$84.19|$67.05|$39.00|$42.00|$57.51|$38.95|$34.70|$34.70
"CPT® 84583"|"HB UROBILINOGEN, URINE"|300.00|$97.00|$19.40|$68.68|$68.00||$44.33|$19.40|$68.68|$35.60|$45.30|$48.50|$54.81|$43.65|$39.00|$42.00|$37.44|$25.36|$22.59|$22.59
"CPT® 89125"|"HB FAT BODIES, URINE"|300.00|$126.00|$25.20|$89.21|$88.00||$57.58|$25.20|$89.21|$46.24|$58.84|$63.00|$71.19|$56.70|$39.00|$42.00|$48.64|$32.94|$29.35|$29.35
"CPT® 82271"|"HB OCCULT BLOOD, GASTRIC"|300.00|$74.00|$14.80|$52.39|$52.00||$33.82|$14.80|$52.39|$27.16|$34.56|$41.00|$41.81|$33.30|$39.00|$42.00|$28.56|$19.34|$17.23|$17.23
"CPT® 82270"|"HB OCCULT BLOOD, COLORECTAL CANCER SCREEN"|300.00|$76.00|$15.20|$53.81|$53.00||$34.73|$15.20|$53.81|$27.89|$35.49|$41.00|$42.94|$34.20|$39.00|$42.00|$29.34|$19.87|$17.70|$17.70
"CPT® 83516"|"HB CENTROMERE ANTIBODY"|300.00|$272.00|$39.00|$192.58|$190.00||$124.30|$54.40|$192.58|$99.82|$127.02|$41.00|$153.68|$122.40|$39.00|$42.00|$104.99|$71.10|$63.35|$63.35
"CPT® 83520"|"HB GLIADIN ANTIBODIES, IGA"|300.00|$371.00|$39.00|$262.67|$260.00||$169.55|$74.20|$262.67|$136.16|$173.26|$41.00|$209.62|$166.95|$39.00|$42.00|$143.21|$96.98|$86.41|$86.41
"CPT® 88346"|"HB ANTIENTEROCYTE ANTIBODY, IMF, 1ST"|300.00|$416.00|$39.00|$294.53|$291.00||$190.11|$83.20|$294.53|$152.67|$194.27|$100.00|$235.04|$187.20|$39.00|$42.00|$160.58|$108.74|$96.89|$96.89
"CPT® 88350"|"HB ANTIENTEROCYTE ANTIBODY, IMF, ADDT'L"|300.00|$718.00|$39.00|$508.34|$503.00||$328.13|$143.60|$508.34|$263.51|$335.31|$100.00|$405.67|$323.10|$39.00|$42.00|$277.15|$187.69|$167.22|$167.22
"CPT® 83520"|"HB ANTI-MULLARIAN HORMONE"|300.00|$362.00|$39.00|$256.30|$253.00||$165.43|$72.40|$256.30|$132.85|$169.05|$41.00|$204.53|$162.90|$39.00|$42.00|$139.73|$94.63|$84.31|$84.31
"CPT® 86606"|"HB ASPERGILLUS ANTIBODY"|300.00|$317.00|$39.00|$224.44|$222.00||$144.87|$63.40|$224.44|$116.34|$148.04|$41.00|$179.11|$142.65|$39.00|$42.00|$122.36|$82.86|$73.83|$73.83
"CPT® 84075"|"HB ALKALINE PHOSPHATASE, BONE"|300.00|$130.00|$26.00|$92.04|$91.00||$59.41|$26.00|$92.04|$47.71|$60.71|$41.00|$73.45|$58.50|$39.00|$42.00|$50.18|$33.98|$30.28|$30.28
"CPT® 81301"|"HB ALPHA -1-ANTITRYPSIN GENOTYPE"|300.00|$178.00|$35.60|$126.02|$125.00||$81.35|$35.60|$126.02|$65.33|$83.13|$41.00|$100.57|$80.10|$39.00|$42.00|$68.71|$46.53|$41.46|$41.46
"CPT® 81332"|"HB ALPHA-1-ANTITRYPSIN GENOTYPE"|300.00|$741.00|$39.00|$524.63|$519.00||$338.64|$148.20|$524.63|$271.95|$346.05|$41.00|$418.67|$333.45|$39.00|$42.00|$286.03|$193.70|$172.58|$172.58
"CPT® 82103"|"HB ALPHA-1-ANTITRYPSIN GENOTYPE"|300.00|$3553.00|$39.00|$2515.52|$2487.00||$1623.72|$710.60|$2515.52|$1303.95|$1659.25|$41.00|$2007.45|$1598.85|$39.00|$42.00|$1371.46|$928.75|$827.49|$827.49
"CPT® 83883"|"HB ALPHA-2 MACROGLOBULIN"|300.00|$138.00|$27.60|$97.70|$97.00||$63.07|$27.60|$97.70|$50.65|$64.45|$41.00|$77.97|$62.10|$39.00|$42.00|$53.27|$36.07|$32.14|$32.14
"HCPCS G0480"|"HB BENZODIAZEPINES"|300.00|$233.00|$39.00|$164.96|$163.00||$106.48|$46.60|$164.96|$85.51|$108.81|$116.50|$131.65|$104.85|$39.00|$42.00|$89.94|$60.91|$54.27|$54.27
"CPT® 82480"|"HB CHOLINESTERASE"|300.00|$149.00|$29.80|$105.49|$104.00||$68.09|$29.80|$105.49|$54.68|$69.58|$41.00|$84.19|$67.05|$39.00|$42.00|$57.51|$38.95|$34.70|$34.70
"CPT® 82525"|"HB COPPER, URINE, 24 HR"|300.00|$293.00|$39.00|$207.44|$205.00||$133.90|$58.60|$207.44|$107.53|$136.83|$41.00|$165.55|$131.85|$39.00|$42.00|$113.10|$76.59|$68.24|$68.24
"CPT® 84120"|"HB COPROPORPYRIN, URINE, 24 HR"|300.00|$487.00|$39.00|$344.80|$341.00||$222.56|$97.40|$344.80|$178.73|$227.43|$41.00|$275.16|$219.15|$39.00|$42.00|$187.98|$127.30|$113.42|$113.42
"CPT® 84681"|"HB C-PEPTIDE"|300.00|$344.00|$39.00|$243.55|$241.00||$157.21|$68.80|$243.55|$126.25|$160.65|$41.00|$194.36|$154.80|$39.00|$42.00|$132.78|$89.92|$80.12|$80.12
"CPT® 84681"|"HB C-PEPTIDE, SERUM"|300.00|$337.00|$39.00|$238.60|$236.00||$154.01|$67.40|$238.60|$123.68|$157.38|$41.00|$190.41|$151.65|$39.00|$42.00|$130.08|$88.09|$78.49|$78.49
"CPT® 84681"|"HB C-PEPTIDE, URINE"|300.00|$337.00|$39.00|$238.60|$236.00||$154.01|$67.40|$238.60|$123.68|$157.38|$41.00|$190.41|$151.65|$39.00|$42.00|$130.08|$88.09|$78.49|$78.49
"CPT® 80158"|"HB CYCLOSPORINE"|300.00|$540.00|$39.00|$382.32|$378.00||$246.78|$108.00|$382.32|$198.18|$252.18|$41.00|$305.10|$243.00|$39.00|$42.00|$208.44|$141.16|$125.77|$125.77
"CPT® 82626"|"HB DHEA UNCONJUGATED"|300.00|$151.00|$30.20|$106.91|$106.00||$69.01|$30.20|$106.91|$55.42|$70.52|$41.00|$85.32|$67.95|$39.00|$42.00|$58.29|$39.47|$35.17|$35.17
"CPT® 82679"|"HB ESTRONE"|300.00|$130.00|$26.00|$92.04|$91.00||$59.41|$26.00|$92.04|$47.71|$60.71|$41.00|$73.45|$58.50|$39.00|$42.00|$50.18|$33.98|$30.28|$30.28
"CPT® 83986"|"HB FECAL PH"|300.00|$114.00|$22.80|$80.71|$80.00||$52.10|$22.80|$80.71|$41.84|$53.24|$41.00|$64.41|$51.30|$39.00|$42.00|$44.00|$29.80|$26.55|$26.55
"CPT® 82945"|"HB FECAL SUGAR, QUALITATIVE"|300.00|$130.00|$26.00|$92.04|$91.00||$59.41|$26.00|$92.04|$47.71|$60.71|$41.00|$73.45|$58.50|$39.00|$42.00|$50.18|$33.98|$30.28|$30.28
"CPT® 80299"|"HB FELBAMATE"|300.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"CPT® 82941"|"HB GASTRIN"|300.00|$361.00|$39.00|$255.59|$253.00||$164.98|$72.20|$255.59|$132.49|$168.59|$41.00|$203.97|$162.45|$39.00|$42.00|$139.35|$94.37|$84.08|$84.08
"CPT® 83520"|"HB GLOMERULAR BASEMENT MEMBRANE"|300.00|$371.00|$39.00|$262.67|$260.00||$169.55|$74.20|$262.67|$136.16|$173.26|$41.00|$209.62|$166.95|$39.00|$42.00|$143.21|$96.98|$86.41|$86.41
"CPT® 84704"|"HB HCG, FREE BETA CHAIN"|300.00|$156.00|$31.20|$110.45|$109.00||$71.29|$31.20|$110.45|$57.25|$72.85|$78.00|$88.14|$70.20|$39.00|$42.00|$60.22|$40.78|$36.33|$36.33
"CPT® 83520"|"HB HYALURONIC ACID"|300.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 83883"|"HB IMMUNOFIXATION ELECTROPHORESIS, QUANT, URINE 24HR"|300.00|$274.00|$39.00|$193.99|$192.00||$125.22|$54.80|$193.99|$100.56|$127.96|$41.00|$154.81|$123.30|$39.00|$42.00|$105.76|$71.62|$63.81|$63.81
"CPT® 83519"|"HB INSULIN-LIKE GROWTH FACTOR II"|300.00|$351.00|$39.00|$248.51|$246.00||$160.41|$70.20|$248.51|$128.82|$163.92|$41.00|$198.32|$157.95|$39.00|$42.00|$135.49|$91.75|$81.75|$81.75
"CPT® 87389"|"HB IODINE"|300.00|$546.00|$39.00|$386.57|$382.00||$249.52|$109.20|$386.57|$200.38|$254.98|$41.00|$308.49|$245.70|$39.00|$42.00|$210.76|$142.72|$127.16|$127.16
"CPT® 83540"|"HB IRON, LIVER TISSUE"|300.00|$90.00|$18.00|$63.72|$63.00||$41.13|$18.00|$63.72|$33.03|$42.03|$41.00|$50.85|$40.50|$39.00|$42.00|$34.74|$23.53|$20.96|$20.96
"CPT® 83883"|"HB KAPPA/LAMBDA LIGHT CHAINS"|300.00|$280.00|$39.00|$198.24|$196.00||$127.96|$56.00|$198.24|$102.76|$130.76|$41.00|$158.20|$126.00|$39.00|$42.00|$108.08|$73.19|$65.21|$65.21
"CPT® 83615"|"HB LDH ISOENZYMES, LDH"|300.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 80177"|"HB LEVETIRACETAM LEVEL"|300.00|$406.00|$39.00|$287.45|$284.00||$185.54|$81.20|$287.45|$149.00|$189.60|$41.00|$229.39|$182.70|$39.00|$42.00|$156.72|$106.13|$94.56|$94.56
"CPT® 83695"|"HB LIPOPROTEIN A"|300.00|$253.00|$39.00|$179.12|$177.00||$115.62|$50.60|$179.12|$92.85|$118.15|$41.00|$142.95|$113.85|$39.00|$42.00|$97.66|$66.13|$58.92|$58.92
"CPT® 83701"|"HB LIPOPROTEIN HR FRACTION"|300.00|$213.00|$39.00|$150.80|$149.00||$97.34|$42.60|$150.80|$78.17|$99.47|$41.00|$120.35|$95.85|$39.00|$42.00|$82.22|$55.68|$49.61|$49.61
"CPT® 83921"|"HB METHYLMALONIC ACID"|300.00|$366.00|$39.00|$259.13|$256.00||$167.26|$73.20|$259.13|$134.32|$170.92|$41.00|$206.79|$164.70|$39.00|$42.00|$141.28|$95.67|$85.24|$85.24
"CPT® 83874"|"HB MYOGLOBIN"|300.00|$225.00|$39.00|$159.30|$158.00||$102.83|$45.00|$159.30|$82.58|$105.08|$41.00|$127.13|$101.25|$39.00|$42.00|$86.85|$58.82|$52.40|$52.40
"CPT® 82523"|"HB N-TELOPEPTIDES"|300.00|$246.00|$39.00|$174.17|$172.00||$112.42|$49.20|$174.17|$90.28|$114.88|$41.00|$138.99|$110.70|$39.00|$42.00|$94.96|$64.30|$57.29|$57.29
"CPT® 83916"|"HB OLIGOCLONAL BANDS"|300.00|$366.00|$39.00|$259.13|$256.00||$167.26|$73.20|$259.13|$134.32|$170.92|$41.00|$206.79|$164.70|$39.00|$42.00|$141.28|$95.67|$85.24|$85.24
"CPT® 80183"|"HB OXCARBAZEPINE LEVEL"|300.00|$406.00|$39.00|$287.45|$284.00||$185.54|$81.20|$287.45|$149.00|$189.60|$41.00|$229.39|$182.70|$39.00|$42.00|$156.72|$106.13|$94.56|$94.56
"CPT® 84081"|"HB PHOSPHATIDYLGLYCEROL"|300.00|$166.00|$33.20|$117.53|$116.00||$75.86|$33.20|$117.53|$60.92|$77.52|$83.00|$93.79|$74.70|$39.00|$42.00|$64.08|$43.39|$38.66|$38.66
"CPT® 84311"|"HB PORPHYRINS, TOTAL, PLASMA, SPECTROPHOTOMETRY"|300.00|$59.00|$11.80|$42.00|$41.00||$26.96|$11.80|$41.77|$21.65|$27.55|$41.00|$33.34|$26.55|$39.00|$42.00|$22.77|$15.42|$13.74|$13.74
"CPT® 82542"|"HB PORPHYRINS, TOTAL, PLASMA, CHROMATOGRAPHY"|300.00|$166.00|$33.20|$117.53|$116.00||$75.86|$33.20|$117.53|$60.92|$77.52|$41.00|$93.79|$74.70|$39.00|$42.00|$64.08|$43.39|$38.66|$38.66
"CPT® 84140"|"HB PREGNENOLONE LEVEL"|300.00|$105.00|$21.00|$74.34|$74.00||$47.99|$21.00|$74.34|$38.54|$49.04|$41.00|$59.33|$47.25|$39.00|$42.00|$40.53|$27.45|$24.45|$24.45
"CPT® 84206"|"HB PROINSULIN"|300.00|$156.00|$31.20|$110.45|$109.00||$71.29|$31.20|$110.45|$57.25|$72.85|$41.00|$88.14|$70.20|$39.00|$42.00|$60.22|$40.78|$36.33|$36.33
"CPT® 84166"|"HB PROTEIN ELECTROPHORESIS, URINE, 24 HR"|300.00|$306.00|$39.00|$216.65|$214.00||$139.84|$61.20|$216.65|$112.30|$142.90|$41.00|$172.89|$137.70|$39.00|$42.00|$118.12|$79.99|$71.27|$71.27
"CPT® 84202"|"HB PROTOPORPHYRIN, FREE, RBC"|300.00|$180.00|$36.00|$127.44|$126.00||$82.26|$36.00|$127.44|$66.06|$84.06|$41.00|$101.70|$81.00|$39.00|$42.00|$69.48|$47.05|$41.92|$41.92
"CPT® 80195"|"HB RAPAMYCIN (SIROLIMUS)"|300.00|$323.00|$39.00|$228.68|$226.00||$147.61|$64.60|$228.68|$118.54|$150.84|$41.00|$182.50|$145.35|$39.00|$42.00|$124.68|$84.43|$75.23|$75.23
"CPT® 84402"|"HB TESTOSTERONE, FREE"|300.00|$321.00|$39.00|$227.27|$225.00||$146.70|$64.20|$227.27|$117.81|$149.91|$41.00|$181.37|$144.45|$39.00|$42.00|$123.91|$83.91|$74.76|$74.76
"CPT® 84430"|"HB THIOCYANATE LEVEL"|300.00|$94.00|$18.80|$66.55|$66.00||$42.96|$18.80|$66.55|$34.50|$43.90|$47.00|$53.11|$42.30|$39.00|$42.00|$36.28|$24.57|$21.89|$21.89
"CPT® 84432"|"HB THYROGLOBULIN"|300.00|$341.00|$39.00|$241.43|$239.00||$155.84|$68.20|$241.43|$125.15|$159.25|$41.00|$192.67|$153.45|$39.00|$42.00|$131.63|$89.14|$79.42|$79.42
"CPT® 80299"|"HB TOPAMAX LEVEL"|300.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"CPT® 83520"|"HB TRYPTASE"|300.00|$134.00|$26.80|$94.87|$94.00||$61.24|$26.80|$94.87|$49.18|$62.58|$41.00|$75.71|$60.30|$39.00|$42.00|$51.72|$35.03|$31.21|$31.21
"CPT® 84590"|"HB VITAMIN A"|300.00|$107.00|$21.40|$75.76|$75.00||$48.90|$21.40|$75.76|$39.27|$49.97|$41.00|$60.46|$48.15|$39.00|$42.00|$41.30|$27.97|$24.92|$24.92
"CPT® 84202"|"HB ZINC PROTOPORPHYRIN, BLOOD"|300.00|$180.00|$36.00|$127.44|$126.00||$82.26|$36.00|$127.44|$66.06|$84.06|$41.00|$101.70|$81.00|$39.00|$42.00|$69.48|$47.05|$41.92|$41.92
"CPT® 83033"|"HB APT TEST FOR FETAL BLOOD"|300.00|$491.00|$39.00|$347.63|$344.00||$224.39|$98.20|$347.63|$180.20|$229.30|$245.50|$277.42|$220.95|$39.00|$42.00|$189.53|$128.35|$114.35|$114.35
"CPT® 85520"|"HB ANTI XA ASSAY-ARIXTRA"|300.00|$434.00|$39.00|$307.27|$304.00||$198.34|$86.80|$307.27|$159.28|$202.68|$41.00|$245.21|$195.30|$39.00|$42.00|$167.52|$113.45|$101.08|$101.08
"CPT® 85520"|"HB ANTI XA ASSAY-FRAGMIN"|300.00|$434.00|$39.00|$307.27|$304.00||$198.34|$86.80|$307.27|$159.28|$202.68|$41.00|$245.21|$195.30|$39.00|$42.00|$167.52|$113.45|$101.08|$101.08
"CPT® 85520"|"HB ANTI XA ASSAY-LOVENOX"|300.00|$434.00|$39.00|$307.27|$304.00||$198.34|$86.80|$307.27|$159.28|$202.68|$41.00|$245.21|$195.30|$39.00|$42.00|$167.52|$113.45|$101.08|$101.08
"CPT® 85520"|"HB ANTI-XA ASSAY RIVAROXABAN"|300.00|$434.00|$39.00|$307.27|$304.00||$198.34|$86.80|$307.27|$159.28|$202.68|$41.00|$245.21|$195.30|$39.00|$42.00|$167.52|$113.45|$101.08|$101.08
"CPT® 85520"|"HB ANTI-XA ASSAY-APIXABAN"|300.00|$434.00|$39.00|$307.27|$304.00||$198.34|$86.80|$307.27|$159.28|$202.68|$41.00|$245.21|$195.30|$39.00|$42.00|$167.52|$113.45|$101.08|$101.08
"CPT® 85732"|"HB APTT MIXING STUDY"|300.00|$273.00|$39.00|$193.28|$191.00||$124.76|$54.60|$193.28|$100.19|$127.49|$41.00|$154.25|$122.85|$39.00|$42.00|$105.38|$71.36|$63.58|$63.58
"CPT® 81210"|"HB BRAF V600 MUTATION TEST"|300.00|$1445.00|$39.00|$1023.06|$1011.00||$660.37|$289.00|$1023.06|$530.32|$674.82|$41.00|$816.43|$650.25|$39.00|$42.00|$557.77|$377.72|$336.54|$336.54
"CPT® 88346"|"HB CUTANEOUS IMMUNOFLUORESCENCE ANTIBODY IGG, 1ST ST"|300.00|$205.00|$39.00|$145.14|$144.00||$93.69|$41.00|$145.14|$75.24|$95.74|$100.00|$115.83|$92.25|$39.00|$42.00|$79.13|$53.59|$47.74|$47.74
"CPT® 88350"|"HB CUTANEOUS IMMUNOFLUORESCENCE ANTIBODY IGG, ADDTL"|300.00|$205.00|$39.00|$145.14|$144.00||$93.69|$41.00|$145.14|$75.24|$95.74|$100.00|$115.83|$92.25|$39.00|$42.00|$79.13|$53.59|$47.74|$47.74
"CPT® 81220"|"HB CYSTIC FIBROSIS MUTATION"|300.00|$724.00|$39.00|$512.59|$507.00||$330.87|$144.80|$512.59|$265.71|$338.11|$41.00|$409.06|$325.80|$39.00|$42.00|$279.46|$189.25|$168.62|$168.62
"CPT® 81235"|"HB EGFR MUTATION"|300.00|$1511.00|$39.00|$1069.79|$1058.00||$690.53|$302.20|$1069.79|$554.54|$705.64|$41.00|$853.72|$679.95|$39.00|$42.00|$583.25|$394.98|$351.91|$351.91
"CPT® 81235"|"HB EGFR MUTATION"|300.00|$1511.00|$39.00|$1069.79|$1058.00||$690.53|$302.20|$1069.79|$554.54|$705.64|$41.00|$853.72|$679.95|$39.00|$42.00|$583.25|$394.98|$351.91|$351.91
"CPT® 81241"|"HB FACTOR V LEIDEN GENE MUTATION"|300.00|$285.00|$39.00|$201.78|$200.00||$130.25|$57.00|$201.78|$104.60|$133.10|$41.00|$161.03|$128.25|$39.00|$42.00|$110.01|$74.50|$66.38|$66.38
"CPT® 81256"|"HB HEMACHROMATOSIS MUTATION"|300.00|$412.00|$39.00|$291.70|$288.00||$188.28|$82.40|$291.70|$151.20|$192.40|$41.00|$232.78|$185.40|$39.00|$42.00|$159.03|$107.70|$95.95|$95.95
"CPT® 81273"|"HB KIT ASP 816 VAL MUTATION ANALYSIS, QUALITATIVE, PCR"|300.00|$2448.00|$39.00|$1733.18|$1714.00||$1118.74|$489.60|$1733.18|$898.42|$1143.22|$41.00|$1383.12|$1101.60|$39.00|$42.00|$944.93|$639.91|$570.14|$570.14
"CPT® 81291"|"HB MTHFR GENE MUTATION"|300.00|$200.00|$39.00|$141.60|$140.00||$91.40|$40.00|$141.60|$73.40|$93.40|$41.00|$113.00|$90.00|$39.00|$42.00|$77.20|$52.28|$46.58|$46.58
"CPT® 81240"|"HB PROTHROMBIN GENE MUTATION"|300.00|$287.00|$39.00|$203.20|$201.00||$131.16|$57.40|$203.20|$105.33|$134.03|$41.00|$162.16|$129.15|$39.00|$42.00|$110.78|$75.02|$66.84|$66.84
"CPT® 81479"|"HB NGS RNA ALK TRANSLOCATION FUSION"|300.00|$1429.00|$39.00|$1011.73|$1000.00||$653.05|$285.80|$1011.73|$524.44|$667.34|$41.00|$807.39|$643.05|$39.00|$42.00|$551.59|$373.54|$332.81|$332.81
"CPT® 81479"|"HB NGS RNA RET TRANSLOCATION FUSION"|300.00|$1429.00|$39.00|$1011.73|$1000.00||$653.05|$285.80|$1011.73|$524.44|$667.34|$41.00|$807.39|$643.05|$39.00|$42.00|$551.59|$373.54|$332.81|$332.81
"CPT® 81479"|"HB NGS RNA ROS1 TRANSLOCATION FUSION"|300.00|$1429.00|$39.00|$1011.73|$1000.00||$653.05|$285.80|$1011.73|$524.44|$667.34|$41.00|$807.39|$643.05|$39.00|$42.00|$551.59|$373.54|$332.81|$332.81
"CPT® 81479"|"HB NGS RNA NTRK1 TRANSLOCATION FUSION"|300.00|$1429.00|$39.00|$1011.73|$1000.00||$653.05|$285.80|$1011.73|$524.44|$667.34|$41.00|$807.39|$643.05|$39.00|$42.00|$551.59|$373.54|$332.81|$332.81
"CPT® 86160"|"HB C4A LEVEL"|300.00|$725.00|$39.00|$513.30|$507.00||$331.33|$145.00|$513.30|$266.08|$338.58|$41.00|$409.63|$326.25|$39.00|$42.00|$279.85|$189.52|$168.85|$168.85
"CPT® 88184"|"HB CD57, CD3, CD8 FLOW CYTOMETRY, 1ST MARKER"|300.00|$192.00|$38.40|$135.94|$134.00||$87.74|$38.40|$135.94|$70.46|$89.66|$100.00|$108.48|$86.40|$39.00|$42.00|$74.11|$50.19|$44.72|$44.72
"CPT® 88185"|"HB CD57, CD3, CD8 FLOW CYTOMETRY, ADDTL MARKER"|300.00|$129.00|$25.80|$100.00|$90.00||$58.95|$25.80|$91.33|$47.34|$60.24|$100.00|$72.89|$58.05|$39.00|$42.00|$49.79|$33.72|$30.04|$30.04
"CPT® 83520"|"HB EOSINOPHIL CATIONIC PROTEIN"|300.00|$639.00|$39.00|$452.41|$447.00||$292.02|$127.80|$452.41|$234.51|$298.41|$41.00|$361.04|$287.55|$39.00|$42.00|$246.65|$167.03|$148.82|$148.82
"CPT® 83520"|"HB TRANSFORMING GROWTH FACTOR BETA, SERUM"|300.00|$1656.00|$39.00|$1172.45|$1159.00||$756.79|$331.20|$1172.45|$607.75|$773.35|$41.00|$935.64|$745.20|$39.00|$42.00|$639.22|$432.88|$385.68|$385.68
"CPT® 86356"|"HB B CELLS, TOTAL COUNT"|300.00|$220.00|$39.00|$155.76|$154.00||$100.54|$44.00|$155.76|$80.74|$102.74|$41.00|$124.30|$99.00|$39.00|$42.00|$84.92|$57.51|$51.24|$51.24
"CPT® 86355"|"HB B CELLS, TOTAL COUNT"|300.00|$78.00|$15.60|$55.22|$55.00||$35.65|$15.60|$55.22|$28.63|$36.43|$41.00|$44.07|$35.10|$39.00|$42.00|$30.11|$20.39|$18.17|$18.17
"CPT® 81371"|"HB HLA CONFIRMATION"|300.00|$500.00|$39.00|$354.00|$350.00||$228.50|$100.00|$354.00|$183.50|$233.50|$41.00|$282.50|$225.00|$39.00|$42.00|$193.00|$130.70|$116.45|$116.45
"CPT® 81401"|"HB APOE MUTATION"|300.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 81261"|"HB BCL IGH MUTATION"|300.00|$712.00|$39.00|$504.10|$498.00||$325.38|$142.40|$504.10|$261.30|$332.50|$41.00|$402.28|$320.40|$39.00|$42.00|$274.83|$186.12|$165.82|$165.82
"CPT® 81211"|"HB BRCA1/BRCA2 MUTATION"|300.00|$167.00|$33.40|$118.24|$117.00||$76.32|$33.40|$118.24|$61.29|$77.99|$41.00|$94.36|$75.15|$39.00|$42.00|$64.46|$43.65|$38.89|$38.89
"CPT® 81406"|"HB COMPLETE CADASIL EVALUATION"|300.00|$4709.00|$39.00|$3333.97|$3296.00||$2152.01|$941.80|$3333.97|$1728.20|$2199.10|$41.00|$2660.59|$2119.05|$39.00|$42.00|$1817.67|$1230.93|$1096.73|$1096.73
"CPT® 88262"|"HB CHROMOSOME ANALYSIS, BONE MARROW"|300.00|$2373.00|$39.00|$1680.08|$1661.00||$1084.46|$474.60|$1680.08|$870.89|$1108.19|$100.00|$1340.75|$1067.85|$39.00|$42.00|$915.98|$620.30|$552.67|$552.67
"CPT® 88233"|"HB CHROMOSOME ANALYSIS, POC"|300.00|$238.00|$39.00|$168.50|$167.00||$108.77|$47.60|$168.50|$87.35|$111.15|$100.00|$134.47|$107.10|$39.00|$42.00|$91.87|$62.21|$55.43|$55.43
"CPT® 88237"|"HB CHROMOSOME ANALYSIS, TISSUE CULTURE"|300.00|$1583.00|$39.00|$1120.76|$1108.00||$723.43|$316.60|$1120.76|$580.96|$739.26|$100.00|$894.40|$712.35|$39.00|$42.00|$611.04|$413.80|$368.68|$368.68
"CPT® 81225"|"HB CLOPIDOGREL CYP2C19 GENOTYPE"|300.00|$576.00|$39.00|$407.81|$403.00||$263.23|$115.20|$407.81|$211.39|$268.99|$41.00|$325.44|$259.20|$39.00|$42.00|$222.34|$150.57|$134.15|$134.15
"CPT® 81225"|"HB CYP2C19"|300.00|$1857.00|$39.00|$1314.76|$1300.00||$848.65|$371.40|$1314.76|$681.52|$867.22|$41.00|$1049.21|$835.65|$39.00|$42.00|$716.80|$485.42|$432.50|$432.50
"CPT® 81243"|"HB FRAGILE X, GENE ANALYSIS"|300.00|$1177.00|$39.00|$833.32|$824.00||$537.89|$235.40|$833.32|$431.96|$549.66|$41.00|$665.01|$529.65|$39.00|$42.00|$454.32|$307.67|$274.12|$274.12
"CPT® 88230"|"HB FRAGILE X, TISSUE CULTURE"|300.00|$1070.00|$39.00|$757.56|$749.00||$488.99|$214.00|$757.56|$392.69|$499.69|$100.00|$604.55|$481.50|$39.00|$42.00|$413.02|$279.70|$249.20|$249.20
"CPT® 88262"|"HB FRAGILE X, 15-20 CELLS"|300.00|$1070.00|$39.00|$757.56|$749.00||$488.99|$214.00|$757.56|$392.69|$499.69|$100.00|$604.55|$481.50|$39.00|$42.00|$413.02|$279.70|$249.20|$249.20
"CPT® 81250"|"HB G6PC MUTATION"|300.00|$263.00|$39.00|$186.20|$184.00||$120.19|$52.60|$186.20|$96.52|$122.82|$41.00|$148.60|$118.35|$39.00|$42.00|$101.52|$68.75|$61.25|$61.25
"CPT® 81401"|"HB MOLECULAR PATHOLOGY PROCEDURE, LEVEL I"|300.00|$3465.00|$39.00|$2453.22|$2426.00||$1583.51|$693.00|$2453.22|$1271.66|$1618.16|$41.00|$1957.73|$1559.25|$39.00|$42.00|$1337.49|$905.75|$807.00|$807.00
"CPT® 86256"|"HB NEUROMYELITIS OPTICA IGG SERUM/CSF, TITER"|300.00|$260.00|$39.00|$184.08|$182.00||$118.82|$52.00|$184.08|$95.42|$121.42|$41.00|$146.90|$117.00|$39.00|$42.00|$100.36|$67.96|$60.55|$60.55
"CPT® 83520"|"HB SENSORIMOTOR NEURO PROFILE"|300.00|$349.00|$39.00|$247.09|$244.00||$159.49|$69.80|$247.09|$128.08|$162.98|$41.00|$197.19|$157.05|$39.00|$42.00|$134.71|$91.23|$81.28|$81.28
"CPT® 83520"|"HB SENSORIMOTOR NEURO PROFILE (MOD-59)"|300.00|$349.00|$39.00|$247.09|$244.00||$159.49|$69.80|$247.09|$128.08|$162.98|$41.00|$197.19|$157.05|$39.00|$42.00|$134.71|$91.23|$81.28|$81.28
"CPT® 83516"|"HB SENSORIMOTOR NEURO PROFILE, IMMUNOASSAY"|300.00|$315.00|$39.00|$223.02|$220.00||$143.96|$63.00|$223.02|$115.61|$147.11|$41.00|$177.98|$141.75|$39.00|$42.00|$121.59|$82.34|$73.36|$73.36
"CPT® 81401"|"HB SPINAL MUSCULAR ATROPHY"|300.00|$2238.00|$39.00|$1584.50|$1567.00||$1022.77|$447.60|$1584.50|$821.35|$1045.15|$41.00|$1264.47|$1007.10|$39.00|$42.00|$863.87|$585.01|$521.23|$521.23
"CPT® 84030"|"HB NEWBORN METABOLISM SCREEN"|300.00|$267.00|$39.00|$189.04|$187.00||$122.02|$53.40|$189.04|$97.99|$124.69|$41.00|$150.86|$120.15|$39.00|$42.00|$103.06|$69.79|$62.18|$62.18
"CPT® 36415"|"HB SPECIMEN AQUISITION WITH SHIPPING FEE"|300.00|$48.00|$11.18|$42.00|$34.00||||$33.98|$17.62|$22.42|$24.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 36415"|"HB SPECIMEN ACQUISITION NO SHIPPING FEE"|300.00|$48.00|$11.18|$42.00|$34.00||||$33.98|$17.62|$22.42|$24.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 86999"|"HB MISCELLANEOUS REFERENCE LAB CHARGE"|300.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 86704"|"HB EXPOSURE HEPATITIS B CORE AB TOTAL, REFLEX IGM"|300.00|$307.00|$39.00|$217.36|$215.00||$140.30|$61.40|$217.36|$112.67|$143.37|$41.00|$173.46|$138.15|$39.00|$42.00|$118.50|$80.25|$71.50|$71.50
"CPT® 86689"|"HB EXPOSURE HIV-1 WESTERN BLOT"|300.00|$720.00|$39.00|$509.76|$504.00||$329.04|$144.00|$509.76|$264.24|$336.24|$41.00|$406.80|$324.00|$39.00|$42.00|$277.92|$188.21|$167.69|$167.69
"CPT® 83520"|"HB GANGLIOSIDE ASIALO GM1, IGG AB"|300.00|$203.00|$39.00|$143.72|$142.00||$92.77|$40.60|$143.72|$74.50|$94.80|$41.00|$114.70|$91.35|$39.00|$42.00|$78.36|$53.06|$47.28|$47.28
"CPT® 83520"|"HB GANGLIOSIDE ASIALO GM1, IGM AB"|300.00|$203.00|$39.00|$143.72|$142.00||$92.77|$40.60|$143.72|$74.50|$94.80|$41.00|$114.70|$91.35|$39.00|$42.00|$78.36|$53.06|$47.28|$47.28
"CPT® 83520"|"HB GANGLIOSIDE GD1B, IGG AB"|300.00|$203.00|$39.00|$143.72|$142.00||$92.77|$40.60|$143.72|$74.50|$94.80|$41.00|$114.70|$91.35|$39.00|$42.00|$78.36|$53.06|$47.28|$47.28
"CPT® 83520"|"HB GANGLIOSIDE GD1B, IGM AB"|300.00|$203.00|$39.00|$143.72|$142.00||$92.77|$40.60|$143.72|$74.50|$94.80|$41.00|$114.70|$91.35|$39.00|$42.00|$78.36|$53.06|$47.28|$47.28
"CPT® 83520"|"HB GANGLIOSIDE GM1 ANTIBODIES"|300.00|$217.00|$39.00|$153.64|$152.00||$99.17|$43.40|$153.64|$79.64|$101.34|$41.00|$122.61|$97.65|$39.00|$42.00|$83.76|$56.72|$50.54|$50.54
"CPT® 83516"|"HB GLIADIN ANTIBODIES, IGA"|300.00|$101.00|$20.20|$71.51|$71.00||$46.16|$20.20|$71.51|$37.07|$47.17|$41.00|$57.07|$45.45|$39.00|$42.00|$38.99|$26.40|$23.52|$23.52
"CPT® 83516"|"HB GLIADIN ANTIBODIES, IGG"|300.00|$101.00|$20.20|$71.51|$71.00||$46.16|$20.20|$71.51|$37.07|$47.17|$41.00|$57.07|$45.45|$39.00|$42.00|$38.99|$26.40|$23.52|$23.52
"CPT® 86022"|"HB HEPARIN INDUCED PLATELET ANTIBODY"|300.00|$601.00|$39.00|$425.51|$421.00||$274.66|$120.20|$425.51|$220.57|$280.67|$41.00|$339.57|$270.45|$39.00|$42.00|$231.99|$157.10|$139.97|$139.97
"CPT® 83520"|"HB HEPASCORE LIVER FIBROSIS PANEL LF"|300.00|$362.00|$39.00|$256.30|$253.00||$165.43|$72.40|$256.30|$132.85|$169.05|$41.00|$204.53|$162.90|$39.00|$42.00|$139.73|$94.63|$84.31|$84.31
"CPT® 87516"|"HB HEPATITIS B VIRAL DNA, QUALITATIVE"|300.00|$359.00|$39.00|$254.17|$251.00||$164.06|$71.80|$254.17|$131.75|$167.65|$41.00|$202.84|$161.55|$39.00|$42.00|$138.57|$93.84|$83.61|$83.61
"CPT® 80074"|"HB HEPATITIS PANEL, ACUTE"|300.00|$969.00|$39.00|$686.05|$678.00||$442.83|$193.80|$686.05|$355.62|$452.52|$41.00|$547.49|$436.05|$39.00|$42.00|$374.03|$253.30|$225.68|$225.68
"CPT® 86694"|"HB HERPES SIMPLEX ANTIBODY"|300.00|$217.00|$39.00|$153.64|$152.00||$99.17|$43.40|$153.64|$79.64|$101.34|$41.00|$122.61|$97.65|$39.00|$42.00|$83.76|$56.72|$50.54|$50.54
"CPT® 87389"|"HB HIV ANTIGEN/ANTIBODY COMBO"|300.00|$128.00|$25.60|$90.62|$90.00||$58.50|$25.60|$90.62|$46.98|$59.78|$41.00|$72.32|$57.60|$39.00|$42.00|$49.41|$33.46|$29.81|$29.81
"CPT® 84181"|"HB HIV WESTERN BLOT"|300.00|$78.00|$15.60|$55.22|$55.00||$35.65|$15.60|$55.22|$28.63|$36.43|$41.00|$44.07|$35.10|$39.00|$42.00|$30.11|$20.39|$18.17|$18.17
"CPT® 87536"|"HB HIV-1 QUANTITATIVE RT  PCR"|300.00|$1791.00|$39.00|$1268.03|$1254.00||$818.49|$358.20|$1268.03|$657.30|$836.40|$41.00|$1011.92|$805.95|$39.00|$42.00|$691.33|$468.17|$417.12|$417.12
"CPT® 87624"|"HB HPV HIGH RISK DETECT"|300.00|$290.00|$39.00|$205.32|$203.00||$132.53|$58.00|$205.32|$106.43|$135.43|$41.00|$163.85|$130.50|$39.00|$42.00|$111.94|$75.81|$67.54|$67.54
"CPT® 84181"|"HB HU AUTOANTIBODY"|300.00|$148.00|$29.60|$104.78|$104.00||$67.64|$29.60|$104.78|$54.32|$69.12|$41.00|$83.62|$66.60|$39.00|$42.00|$57.13|$38.69|$34.47|$34.47
"CPT® 83520"|"HB HUMAN ANTI-MOUSE IGG ANTIBODIES"|300.00|$362.00|$39.00|$256.30|$253.00||$165.43|$72.40|$256.30|$132.85|$169.05|$41.00|$204.53|$162.90|$39.00|$42.00|$139.73|$94.63|$84.31|$84.31
"CPT® 83520"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, ELISA"|300.00|$140.00|$28.00|$99.12|$98.00||$63.98|$28.00|$99.12|$51.38|$65.38|$41.00|$79.10|$63.00|$39.00|$42.00|$54.04|$36.60|$32.61|$32.61
"CPT® 81479"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, SNP"|300.00|$431.00|$39.00|$305.15|$302.00||$196.97|$86.20|$305.15|$158.18|$201.28|$41.00|$243.52|$193.95|$39.00|$42.00|$166.37|$112.66|$100.38|$100.38
"CPT® 82784"|"HB IMMUNOGLOBULIN, QUANTITATIVE, EACH"|300.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 86334"|"HB IMMUNOFIXATION ELECTROPHORESIS, SERUM"|300.00|$452.00|$39.00|$320.02|$316.00||$206.56|$90.40|$320.02|$165.88|$211.08|$41.00|$255.38|$203.40|$39.00|$42.00|$174.47|$118.15|$105.27|$105.27
"CPT® 82784"|"HB IMMUNOGLOBULIN, IGD, QUANTITATIVE"|300.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 82784"|"HB IMMUNOGLOBULIN, IGG SUBCLASS 1,2,3,5"|300.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 82784"|"HB IMMUNOGLOBULIN, IGG, QUANTITATIVE"|300.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 82784"|"HB IMMUNOGLOBULIN, IGG, SERUM/CSF"|300.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 82784"|"HB IMMUNOGLOBULIN, IGM, QUANTITATIVE"|300.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 83520"|"HB INHIBIN B"|300.00|$362.00|$39.00|$256.30|$253.00||$165.43|$72.40|$256.30|$132.85|$169.05|$41.00|$204.53|$162.90|$39.00|$42.00|$139.73|$94.63|$84.31|$84.31
"CPT® 86337"|"HB INSULIN ANTIBODIES"|300.00|$254.00|$39.00|$179.83|$178.00||$116.08|$50.80|$179.83|$93.22|$118.62|$41.00|$143.51|$114.30|$39.00|$42.00|$98.04|$66.40|$59.16|$59.16
"CPT® 83520"|"HB MAG & SGPG IGM AUTO AB EVAL"|300.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 86735"|"HB MUMPS ANTIBODY, IGM"|300.00|$398.00|$39.00|$281.78|$279.00||$181.89|$79.60|$281.78|$146.07|$185.87|$41.00|$224.87|$179.10|$39.00|$42.00|$153.63|$104.04|$92.69|$92.69
"CPT® 86747"|"HB PARVO B19, PCR"|300.00|$248.00|$39.00|$175.58|$174.00||$113.34|$49.60|$175.58|$91.02|$115.82|$41.00|$140.12|$111.60|$39.00|$42.00|$95.73|$64.83|$57.76|$57.76
"CPT® 86747"|"HB PARVO B19, PCR"|300.00|$248.00|$39.00|$175.58|$174.00||$113.34|$49.60|$175.58|$91.02|$115.82|$41.00|$140.12|$111.60|$39.00|$42.00|$95.73|$64.83|$57.76|$57.76
"CPT® 88182"|"HB PLASMA CELL LABELING INDEX, FLOW CYTOMETRY, DNA"|300.00|$52.00|$10.40|$52.00|$36.00||$23.76|$10.40|$36.82|$19.08|$24.28|$52.00|$29.38|$23.40|$39.00|$42.00|$20.07|$13.59|$12.11|$12.11
"CPT® 86022"|"HB PLATELET AUTOANTIBODIES (INDIRECT)"|300.00|$172.00|$34.40|$121.78|$120.00||$78.60|$34.40|$121.78|$63.12|$80.32|$41.00|$97.18|$77.40|$39.00|$42.00|$66.39|$44.96|$40.06|$40.06
"CPT® 86022"|"HB PLATELET AUTOANTIBODIES (ITP STUDY)"|300.00|$587.00|$39.00|$415.60|$411.00||$268.26|$117.40|$415.60|$215.43|$274.13|$41.00|$331.66|$264.15|$39.00|$42.00|$226.58|$153.44|$136.71|$136.71
"CPT® 86849"|"HB PROTHROMBIN ANTIBODIES , IGG"|300.00|$250.00|$39.00|$177.00|$175.00||$114.25|$50.00|$177.00|$91.75|$116.75|$41.00|$141.25|$112.50|$39.00|$42.00|$96.50|$65.35|$58.23|$58.23
"CPT® 86849"|"HB PROTHROMBIN ANTIBODIES , IGM"|300.00|$250.00|$39.00|$177.00|$175.00||$114.25|$50.00|$177.00|$91.75|$116.75|$41.00|$141.25|$112.50|$39.00|$42.00|$96.50|$65.35|$58.23|$58.23
"CPT® 83516"|"HB RIBOSOMAL P PROTEIN ANTIBODY, IGG"|300.00|$266.00|$39.00|$188.33|$186.00||$121.56|$53.20|$188.33|$97.62|$124.22|$41.00|$150.29|$119.70|$39.00|$42.00|$102.68|$69.53|$61.95|$61.95
"CPT® 83883"|"HB KAPPA LIGHT CHAIN"|300.00|$111.00|$22.20|$78.59|$78.00||$50.73|$22.20|$78.59|$40.74|$51.84|$41.00|$62.72|$49.95|$39.00|$42.00|$42.85|$29.02|$25.85|$25.85
"CPT® 83883"|"HB LAMBDA LIGHT CHAIN"|300.00|$111.00|$22.20|$78.59|$78.00||$50.73|$22.20|$78.59|$40.74|$51.84|$41.00|$62.72|$49.95|$39.00|$42.00|$42.85|$29.02|$25.85|$25.85
"CPT® 86403"|"HB STREPTOCOCCUS PNEUMONIAE IGG ANTIBODIES"|300.00|$268.00|$39.00|$189.74|$188.00||$122.48|$53.60|$189.74|$98.36|$125.16|$41.00|$151.42|$120.60|$39.00|$42.00|$103.45|$70.06|$62.42|$62.42
"CPT® 86317"|"HB STREPTOCOCCUS PNEUMONIAE IGG ANTIBODY PANEL"|300.00|$40.00|$8.00|$40.00|$28.00||$18.28|$8.00|$28.32|$14.68|$18.68|$40.00|$22.60|$18.00|$39.00|$40.00|$15.44|$10.46|$9.32|$9.32
"CPT® 86317"|"HB STREPTOCOCCUS PNEUMONIAE IGG ANTIBODY EA ADD"|300.00|$40.00|$8.00|$40.00|$28.00||$18.28|$8.00|$28.32|$14.68|$18.68|$40.00|$22.60|$18.00|$39.00|$40.00|$15.44|$10.46|$9.32|$9.32
"CPT® 86800"|"HB THYROGLOBULIN ANTIBODY"|300.00|$373.00|$39.00|$264.08|$261.00||$170.46|$74.60|$264.08|$136.89|$174.19|$41.00|$210.75|$167.85|$39.00|$42.00|$143.98|$97.50|$86.87|$86.87
"CPT® 83516"|"HB TRANSGLUTAMINASE IGG & IGA AUTO ANTIBODIES"|300.00|$105.00|$21.00|$74.34|$74.00||$47.99|$21.00|$74.34|$38.54|$49.04|$41.00|$59.33|$47.25|$39.00|$42.00|$40.53|$27.45|$24.45|$24.45
"CPT® 83516"|"HB CELIAC SCREEN PANEL, TTG-IGA IMMUNOASSY"|300.00|$251.00|$39.00|$177.71|$176.00||$114.71|$50.20|$177.71|$92.12|$117.22|$41.00|$141.82|$112.95|$39.00|$42.00|$96.89|$65.61|$58.46|$58.46
"CPT® 83516"|"HB CELIAC SCREEN PANEL, GLIADIN IGA IMMUNOASSAY"|300.00|$240.00|$39.00|$169.92|$168.00||$109.68|$48.00|$169.92|$88.08|$112.08|$41.00|$135.60|$108.00|$39.00|$42.00|$92.64|$62.74|$55.90|$55.90
"CPT® 82784"|"HB CELIAC SCREEN PANEL, IGA, TOTAL"|300.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 83516"|"HB CELIAC SCREEN RELEX, TTG-IGG IMMUNOASSAY"|300.00|$178.00|$35.60|$126.02|$125.00||$81.35|$35.60|$126.02|$65.33|$83.13|$41.00|$100.57|$80.10|$39.00|$42.00|$68.71|$46.53|$41.46|$41.46
"CPT® 83516"|"HB CELIAC SCREEN REFLEX, GLIADIN-IGG IMMUNOASSAY"|300.00|$150.00|$30.00|$106.20|$105.00||$68.55|$30.00|$106.20|$55.05|$70.05|$41.00|$84.75|$67.50|$39.00|$42.00|$57.90|$39.21|$34.94|$34.94
"CPT® 36415"|"HB DRAW, BAND & HOLD BB SAMPLE"|300.00|$48.00|$11.18|$42.00|$34.00||||$33.98|$17.62|$22.42|$24.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 86900"|"HB ABO BLOOD GROUP TYPE"|300.00|$144.00|$28.80|$101.95|$101.00||$65.81|$28.80|$101.95|$52.85|$67.25|$41.00|$81.36|$64.80|$39.00|$42.00|$55.58|$37.64|$33.54|$33.54
"CPT® 86901"|"HB RH ANTIGEN TYPE"|300.00|$148.00|$29.60|$104.78|$104.00||$67.64|$29.60|$104.78|$54.32|$69.12|$41.00|$83.62|$66.60|$39.00|$42.00|$57.13|$38.69|$34.47|$34.47
"CPT® 87328"|"HB CRYTOSPORIDIUM ANTIGEN, STOOL"|300.00|$148.00|$29.60|$104.78|$104.00||$67.64|$29.60|$104.78|$54.32|$69.12|$41.00|$83.62|$66.60|$39.00|$42.00|$57.13|$38.69|$34.47|$34.47
"CPT® 85460"|"HB KLEIHAUER-BETKE FETAL BLEED TEST"|300.00|$96.00|$19.20|$67.97|$67.00||$43.87|$19.20|$67.97|$35.23|$44.83|$41.00|$54.24|$43.20|$39.00|$42.00|$37.06|$25.09|$22.36|$22.36
"CPT® 87088"|"HB CULTURE, URINE W/ ID"|300.00|$210.00|$39.00|$148.68|$147.00||$95.97|$42.00|$148.68|$77.07|$98.07|$41.00|$118.65|$94.50|$39.00|$42.00|$81.06|$54.89|$48.91|$48.91
"CPT® 89055"|"HB FECAL LEUKOCYTES"|300.00|$88.00|$17.60|$88.00|$62.00||$40.22|$17.60|$62.30|$32.30|$41.10|$88.00|$49.72|$39.60|$39.00|$42.00|$33.97|$23.00|$20.50|$20.50
"CPT® 87177"|"HB OVA & PARASITE EXAM"|300.00|$268.00|$39.00|$189.74|$188.00||$122.48|$53.60|$189.74|$98.36|$125.16|$41.00|$151.42|$120.60|$39.00|$42.00|$103.45|$70.06|$62.42|$62.42
"CPT® 86331"|"HB BLASTOMYCOSIS ANTIBODY"|300.00|$139.00|$27.80|$98.41|$97.00||$63.52|$27.80|$98.41|$51.01|$64.91|$41.00|$78.54|$62.55|$39.00|$42.00|$53.65|$36.33|$32.37|$32.37
"CPT® 86331"|"HB COCCIDIOIDMYCOSIS ANTIBODY"|300.00|$139.00|$27.80|$98.41|$97.00||$63.52|$27.80|$98.41|$51.01|$64.91|$41.00|$78.54|$62.55|$39.00|$42.00|$53.65|$36.33|$32.37|$32.37
"CPT® 86331"|"HB HISTOPLASMOSIS ANTIBODY"|300.00|$139.00|$27.80|$98.41|$97.00||$63.52|$27.80|$98.41|$51.01|$64.91|$41.00|$78.54|$62.55|$39.00|$42.00|$53.65|$36.33|$32.37|$32.37
"CPT® 82247"|"HB BILIRUBIN, CORD BLOOD"|300.00|$132.00|$26.40|$93.46|$92.00||$60.32|$26.40|$93.46|$48.44|$61.64|$41.00|$74.58|$59.40|$39.00|$42.00|$50.95|$34.50|$30.74|$30.74
"CPT® 83880"|"HB B-NATRIURETIC PEPTIDE (BNP)"|300.00|$346.00|$39.00|$244.97|$242.00||$158.12|$69.20|$244.97|$126.98|$161.58|$41.00|$195.49|$155.70|$39.00|$42.00|$133.56|$90.44|$80.58|$80.58
"CPT® 82310"|"HB CALCIUM, TOTAL"|300.00|$131.00|$26.20|$92.75|$92.00||$59.87|$26.20|$92.75|$48.08|$61.18|$41.00|$74.02|$58.95|$39.00|$42.00|$50.57|$34.24|$30.51|$30.51
"CPT® 82374"|"HB CARBON DIOXIDE"|300.00|$86.00|$17.20|$60.89|$60.00||$39.30|$17.20|$60.89|$31.56|$40.16|$41.00|$48.59|$38.70|$39.00|$42.00|$33.20|$22.48|$20.03|$20.03
"CPT® 83718"|"HB CHOLESTEROL, HDL"|300.00|$175.00|$35.00|$123.90|$122.00||$79.98|$35.00|$123.90|$64.23|$81.73|$41.00|$98.88|$78.75|$39.00|$42.00|$67.55|$45.75|$40.76|$40.76
"CPT® 82553"|"HB CK-MB LEVEL"|300.00|$284.00|$31.25|$201.07|$199.00||$31.25|$56.80|$201.07|$104.23|$132.63|$41.00|$160.46|$127.80|$39.00|$42.00|$109.62|$74.24|$66.14|$66.14
"CPT® 86141"|"HB C-REACTIVE PROTEIN, HIGH SENSITIVITY"|300.00|$629.00|$39.00|$445.33|$440.00||$287.45|$125.80|$445.33|$230.84|$293.74|$41.00|$355.39|$283.05|$39.00|$42.00|$242.79|$164.42|$146.49|$146.49
"CPT® 82570"|"HB CREATININE, URINE"|300.00|$79.00|$15.80|$55.93|$55.00||$36.10|$15.80|$55.93|$28.99|$36.89|$41.00|$44.64|$35.55|$39.00|$42.00|$30.49|$20.65|$18.40|$18.40
"CPT® 82570"|"HB CREATININE, URINE, RANDOM"|300.00|$79.00|$15.80|$55.93|$55.00||$36.10|$15.80|$55.93|$28.99|$36.89|$41.00|$44.64|$35.55|$39.00|$42.00|$30.49|$20.65|$18.40|$18.40
"CPT® 82728"|"HB FERRITIN LEVEL"|300.00|$165.00|$33.00|$116.82|$115.00||$75.41|$33.00|$116.82|$60.56|$77.06|$41.00|$93.23|$74.25|$39.00|$42.00|$63.69|$43.13|$38.43|$38.43
"CPT® 82945"|"HB GLUCOSE, CSF"|300.00|$130.00|$26.00|$92.04|$91.00||$59.41|$26.00|$92.04|$47.71|$60.71|$41.00|$73.45|$58.50|$39.00|$42.00|$50.18|$33.98|$30.28|$30.28
"CPT® 82945"|"HB GLUCOSE, BODY FLUID"|300.00|$130.00|$26.00|$92.04|$91.00||$59.41|$26.00|$92.04|$47.71|$60.71|$41.00|$73.45|$58.50|$39.00|$42.00|$50.18|$33.98|$30.28|$30.28
"CPT® 82945"|"HB GLUCOSE, CSF"|300.00|$130.00|$26.00|$92.04|$91.00||$59.41|$26.00|$92.04|$47.71|$60.71|$41.00|$73.45|$58.50|$39.00|$42.00|$50.18|$33.98|$30.28|$30.28
"CPT® 83036"|"HB GLYCOHEMOGLOBIN LEVEL"|300.00|$134.00|$26.27|$94.87|$94.00||$26.27|$26.80|$94.87|$49.18|$62.58|$41.00|$75.71|$60.30|$39.00|$42.00|$51.72|$35.03|$31.21|$31.21
"CPT® 83540"|"HB IRON LEVEL"|300.00|$90.00|$18.00|$63.72|$63.00||$41.13|$18.00|$63.72|$33.03|$42.03|$41.00|$50.85|$40.50|$39.00|$42.00|$34.74|$23.53|$20.96|$20.96
"CPT® 83615"|"HB LACTATE DEHYDROGENASE LEVEL"|300.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 83615"|"HB LACTATE DEHYDROGENASE, BODY FLUID"|300.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 83735"|"HB MAGNESIUM, 24 HR URINE"|300.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"HCPCS G0481"|"HB OPIATES, QUALITATIVE"|300.00|$350.00|$39.00|$247.80|$245.00||$159.95|$70.00|$247.80|$128.45|$163.45|$175.00|$197.75|$157.50|$39.00|$42.00|$135.10|$91.49|$81.52|$81.52
"HCPCS 83992"|"HB PHENCYCLIDINE, QUALITATIVE"|300.00|$318.00|$39.00|$225.14|$223.00||$145.33|$63.60|$225.14|$116.71|$148.51|$159.00|$179.67|$143.10|$39.00|$42.00|$122.75|$83.13|$74.06|$74.06
"CPT® 84154"|"HB PROSTATE SPECIFIC ANTIGEN, FREE"|300.00|$242.00|$39.00|$171.34|$169.00||$110.59|$48.40|$171.34|$88.81|$113.01|$41.00|$136.73|$108.90|$39.00|$42.00|$93.41|$63.26|$56.36|$56.36
"HCPCS G0103"|"HB PROSTATE SPECIFIC ANTIGEN, SCREENING"|300.00|$336.00|$39.00|$237.89|$235.00||$153.55|$67.20|$237.89|$123.31|$156.91|$168.00|$189.84|$151.20|$39.00|$42.00|$129.70|$87.83|$78.25|$78.25
"CPT® 84156"|"HB PROTEIN, TOTAL, URINE, RANDOM"|300.00|$141.00|$28.20|$99.83|$99.00||$64.44|$28.20|$99.83|$51.75|$65.85|$41.00|$79.67|$63.45|$39.00|$42.00|$54.43|$36.86|$32.84|$32.84
"CPT® 84156"|"HB PROTEIN, URINE, 24 HR"|300.00|$141.00|$28.20|$99.83|$99.00||$64.44|$28.20|$99.83|$51.75|$65.85|$41.00|$79.67|$63.45|$39.00|$42.00|$54.43|$36.86|$32.84|$32.84
"CPT® 86762"|"HB RUBELLA ANTIBODY"|300.00|$201.00|$39.00|$142.31|$141.00||$91.86|$40.20|$142.31|$73.77|$93.87|$41.00|$113.57|$90.45|$39.00|$42.00|$77.59|$52.54|$46.81|$46.81
"CPT® 84550"|"HB URIC ACID LEVEL"|300.00|$90.00|$18.00|$63.72|$63.00||$41.13|$18.00|$63.72|$33.03|$42.03|$41.00|$50.85|$40.50|$39.00|$42.00|$34.74|$23.53|$20.96|$20.96
"HCPCS 80307"|"HB DRUG SCREEN, COMPREHENSIVE"|300.00|$475.00|$39.00|$336.30|$332.00||$217.08|$95.00|$336.30|$174.33|$221.83|$41.00|$268.38|$213.75|$39.00|$42.00|$183.35|$124.17|$110.63|$110.63
"HCPCS G0435"|"HB RAPID HIV-1/2 ANTIBODY SCRE (MOD 90)"|300.00|$376.00|$39.00|$266.21|$263.00||$171.83|$75.20|$266.21|$137.99|$175.59|$188.00|$212.44|$169.20|$39.00|$42.00|$145.14|$98.29|$87.57|$87.57
"CPT® 83520"|"HB GLIADIN ANTIBODIES, IGG"|300.00|$371.00|$39.00|$262.67|$260.00||$169.55|$74.20|$262.67|$136.16|$173.26|$41.00|$209.62|$166.95|$39.00|$42.00|$143.21|$96.98|$86.41|$86.41
"CPT® 83516"|"HB HISTONE ANTIBODY"|300.00|$272.00|$39.00|$192.58|$190.00||$124.30|$54.40|$192.58|$99.82|$127.02|$41.00|$153.68|$122.40|$39.00|$42.00|$104.99|$71.10|$63.35|$63.35
"CPT® 82784"|"HB IGA, TOTAL"|300.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 86235"|"HB RNP ANTIBODY"|300.00|$334.00|$39.00|$236.47|$234.00||$152.64|$66.80|$236.47|$122.58|$155.98|$41.00|$188.71|$150.30|$39.00|$42.00|$128.92|$87.31|$77.79|$77.79
"CPT® 86235"|"HB SM ANTIBODY"|300.00|$334.00|$39.00|$236.47|$234.00||$152.64|$66.80|$236.47|$122.58|$155.98|$41.00|$188.71|$150.30|$39.00|$42.00|$128.92|$87.31|$77.79|$77.79
"CPT® 83520"|"HB TISSUE TRANSGLUTAMINASE ANTIBODY"|300.00|$371.00|$39.00|$262.67|$260.00||$169.55|$74.20|$262.67|$136.16|$173.26|$41.00|$209.62|$166.95|$39.00|$42.00|$143.21|$96.98|$86.41|$86.41
"CPT® 85347"|"HB ACTIVATED COAGULATION TIME, POC"|300.00|$188.00|$37.60|$133.10|$132.00||$85.92|$37.60|$133.10|$69.00|$87.80|$41.00|$106.22|$84.60|$39.00|$42.00|$72.57|$49.14|$43.79|$43.79
"CPT® 83986"|"HB AMNIOTEST, POC"|300.00|$62.00|$12.40|$43.90|$43.00||$28.33|$12.40|$43.90|$22.75|$28.95|$41.00|$35.03|$27.90|$39.00|$42.00|$23.93|$16.21|$14.44|$14.44
"CPT® 83880"|"HB B-NATRIURETIC PEPTIDE (BNP)"|300.00|$339.00|$39.00|$240.01|$237.00||$154.92|$67.80|$240.01|$124.41|$158.31|$41.00|$191.54|$152.55|$39.00|$42.00|$130.85|$88.61|$78.95|$78.95
"CPT® 85378"|"HB D-DIMER, QUANTITATIVE"|300.00|$254.00|$39.00|$179.83|$178.00||$116.08|$50.80|$179.83|$93.22|$118.62|$41.00|$143.51|$114.30|$39.00|$42.00|$98.04|$66.40|$59.16|$59.16
"CPT® 36416"|"HB CAPILLARY BLOOD COLLECTION"|300.00|$37.00|$8.62|$37.00|$26.00||$16.91||$26.20|$13.58|$17.28|$18.50|$20.91|$16.65|$37.00|$37.00|$14.28|$9.67|$8.62|$8.62
"CPT® 83883"|"HB HEAVY AND LIGHT CHAIN, IGG"|300.00|$295.00|$39.00|$208.86|$206.00||$134.82|$59.00|$208.86|$108.27|$137.77|$41.00|$166.68|$132.75|$39.00|$42.00|$113.87|$77.11|$68.71|$68.71
"CPT® 83883"|"HB HEAVY AND LIGHT CHAIN, IGA"|300.00|$295.00|$39.00|$208.86|$206.00||$134.82|$59.00|$208.86|$108.27|$137.77|$41.00|$166.68|$132.75|$39.00|$42.00|$113.87|$77.11|$68.71|$68.71
"CPT® 83883"|"HB HEAVY AND LIGHT CHAIN, IGM"|300.00|$295.00|$39.00|$208.86|$206.00||$134.82|$59.00|$208.86|$108.27|$137.77|$41.00|$166.68|$132.75|$39.00|$42.00|$113.87|$77.11|$68.71|$68.71
"CPT® 81381"|"HB PRE HUMAN LYMPHOCYTE ANTIGEN SINGLE ALLELE SSO CLASS I"|300.00|$318.00|$39.00|$225.14|$223.00||$145.33|$63.60|$225.14|$116.71|$148.51|$41.00|$179.67|$143.10|$39.00|$42.00|$122.75|$83.13|$74.06|$74.06
"CPT® 81383"|"HB PRE HUMAN LYMPHOCYTE ANTIGEN SINGLE ALLELE SSO CLASS II"|300.00|$318.00|$39.00|$225.14|$223.00||$145.33|$63.60|$225.14|$116.71|$148.51|$41.00|$179.67|$143.10|$39.00|$42.00|$122.75|$83.13|$74.06|$74.06
"CPT® 81381"|"HB POST HUMAN LYMPHOCYTE ANTIGEN SINGLE ALLELE CLASS I SSP"|300.00|$439.00|$39.00|$310.81|$307.00||$200.62|$87.80|$310.81|$161.11|$205.01|$41.00|$248.04|$197.55|$39.00|$42.00|$169.45|$114.75|$102.24|$102.24
"CPT® 81381"|"HB POST HUMAN LYMPHOCYTE ANTIGEN SINGLE ALLELE CLASS I SSO"|300.00|$318.00|$39.00|$225.14|$223.00||$145.33|$63.60|$225.14|$116.71|$148.51|$41.00|$179.67|$143.10|$39.00|$42.00|$122.75|$83.13|$74.06|$74.06
"CPT® 81383"|"HB POST HUMAN LYMPHOCYTE ANTIGEN SINGLE ALLELE CLASS II SSO"|300.00|$318.00|$39.00|$225.14|$223.00||$145.33|$63.60|$225.14|$116.71|$148.51|$41.00|$179.67|$143.10|$39.00|$42.00|$122.75|$83.13|$74.06|$74.06
"CPT® 81381"|"HB PRE HUMAN LYMPHOCYTE ANTIGEN SINGLE ALLELE SSP CLASS I"|300.00|$439.00|$39.00|$310.81|$307.00||$200.62|$87.80|$310.81|$161.11|$205.01|$41.00|$248.04|$197.55|$39.00|$42.00|$169.45|$114.75|$102.24|$102.24
"CPT® 81383"|"HB POST HUMAN LYMPHOCYTE ANTIGEN SINGLE ALLELE SSP CLASS II"|300.00|$439.00|$39.00|$310.81|$307.00||$200.62|$87.80|$310.81|$161.11|$205.01|$41.00|$248.04|$197.55|$39.00|$42.00|$169.45|$114.75|$102.24|$102.24
"CPT® 81383"|"HB PRE HUMAN LYMPHOCYTE ANTIGEN SINGLE ALLELE SSP CLASS II"|300.00|$431.00|$39.00|$305.15|$302.00||$196.97|$86.20|$305.15|$158.18|$201.28|$41.00|$243.52|$193.95|$39.00|$42.00|$166.37|$112.66|$100.38|$100.38
"CPT® 81380"|"HB HUMAN LYMPHOCYTE ANTIGEN /B/DQ CLASS I"|300.00|$1190.00|$39.00|$842.52|$833.00||$543.83|$238.00|$842.52|$436.73|$555.73|$41.00|$672.35|$535.50|$39.00|$42.00|$459.34|$311.07|$277.15|$277.15
"CPT® 81382"|"HB HUMAN LYMPHOCYTE ANTIGEN /B/DQ CLASS II"|300.00|$1190.00|$39.00|$842.52|$833.00||$543.83|$238.00|$842.52|$436.73|$555.73|$41.00|$672.35|$535.50|$39.00|$42.00|$459.34|$311.07|$277.15|$277.15
"CPT® 86834"|"HB LUMINEX HLA CLASS I SA SPECIFICITY FULL PANEL (ONE LAMBDA), TITERS"|300.00|$3698.00|$39.00|$2618.18|$2589.00||$1689.99|$739.60|$2618.18|$1357.17|$1726.97|$41.00|$2089.37|$1664.10|$39.00|$42.00|$1427.43|$966.66|$861.26|$861.26
"CPT® 86834"|"HB POST LUMINEX HLA CLASS I SA FP OL TITERS"|300.00|$3329.00|$39.00|$2356.93|$2330.00||$1521.35|$665.80|$2356.93|$1221.74|$1554.64|$41.00|$1880.89|$1498.05|$39.00|$42.00|$1284.99|$870.20|$775.32|$775.32
"CPT® 86835"|"HB POST LUM HLA CLASS II SA FP OL TITERS"|300.00|$2858.00|$39.00|$2023.46|$2001.00||$1306.11|$571.60|$2023.46|$1048.89|$1334.69|$41.00|$1614.77|$1286.10|$39.00|$42.00|$1103.19|$747.08|$665.63|$665.63
"CPT® 86835"|"HB LUMINEX CLASS II TITERS"|300.00|$1732.00|$39.00|$1226.26|$1212.00||$791.52|$346.40|$1226.26|$635.64|$808.84|$41.00|$978.58|$779.40|$39.00|$42.00|$668.55|$452.74|$403.38|$403.38
"CPT® 36415"|"HB ROUTINE VENIPUNCTURE"|300.00|$48.00|$11.18|$42.00|$34.00||||$33.98|$17.62|$22.42|$24.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 36416"|"HB CAPILLARY BLOOD DRAW"|300.00|$37.00|$8.62|$37.00|$26.00||$16.91||$26.20|$13.58|$17.28|$18.50|$20.91|$16.65|$37.00|$37.00|$14.28|$9.67|$8.62|$8.62
"CPT® 36591"|"HB DRAW BLOOD OFF VENOUS DEVICE"|300.00|$623.00|$39.00|$441.08|$436.00||$284.71|$124.60|$441.08|$228.64|$290.94|$311.50|$352.00|$280.35|$39.00|$42.00|$240.48|$162.85|$145.10|$145.10
"CPT® 36592"|"HB COLLECT BLOOD FROM PICC"|300.00|$584.00|$39.00|$413.47|$409.00||$266.89|$116.80|$413.47|$214.33|$272.73|$292.00|$329.96|$262.80|$39.00|$42.00|$225.42|$152.66|$136.01|$136.01
"CPT® 36600"|"HB WITHDRAWAL OF ARTERIAL BLOOD"|300.00|$245.00|$39.00|$173.46|$172.00||$111.97|$49.00|$173.46|$89.92|$114.42|$122.50|$138.43|$110.25|$39.00|$42.00|$94.57|$64.04|$57.06|$57.06
"CPT® 78268"|"HB UREA BREATH TEST, C-14; ANALYSIS"|300.00|$709.00|$39.00|$501.97|$496.00||$324.01|$141.80|$501.97|$260.20|$331.10|$354.50|$400.59|$319.05|$39.00|$42.00|$273.67|$185.33|$165.13|$165.13
"CPT® 81025"|"HB URINE PREGNANCY TEST"|300.00|$133.00|$17.14|$94.16|$93.00||$17.14|$26.60|$94.16|$48.81|$62.11|$41.00|$75.15|$59.85|$39.00|$42.00|$51.34|$34.77|$30.98|$30.98
"CPT® 82962"|"HB GLUCOSE BLOOD TEST"|300.00|$50.00|$10.00|$42.00|$35.00||$22.85|$10.00|$35.40|$18.35|$23.35|$41.00|$28.25|$22.50|$39.00|$42.00|$19.30|$13.07|$11.65|$11.65
"CPT® 83986"|"HB ASSAY PH BODY FLUID NOS"|300.00|$91.00|$18.20|$64.43|$64.00||$41.59|$18.20|$64.43|$33.40|$42.50|$41.00|$51.42|$40.95|$39.00|$42.00|$35.13|$23.79|$21.19|$21.19
"CPT® 87880"|"HB STREP A ASSAY W/OPTIC"|300.00|$160.00|$32.00|$113.28|$112.00||$73.12|$32.00|$113.28|$58.72|$74.72|$41.00|$90.40|$72.00|$39.00|$42.00|$61.76|$41.82|$37.26|$37.26
"CPT® 88720"|"HB BILIRUBIN TOTAL TRANSCUT"|300.00|$22.00|$4.40|$22.00|$15.00||$10.05|$4.40|$15.58|$8.07|$10.27|$22.00|$12.43|$9.90|$22.00|$22.00|$8.49|$5.75|$5.12|$5.12
"HCPCS C9803"|"HB CLINIC VISIT FOR COVID-19 SPECIMEN COLLECTION – ANY SOURCE - NCR, WR"|300.00|$30.00|$6.99|$42.00|$21.00||$20.57|$9.00|$31.86|$16.52|$21.02|$22.50|$25.43|$20.25|$39.00|$42.00|$11.58|$7.84|$6.99|$6.99
"CPT® 82270"|"HB OCCULT BLOOD SCREEN"|301.00|$63.00|$12.60|$44.60|$44.00||$28.79|$12.60|$44.60|$23.12|$29.42|$41.00|$35.60|$28.35|$39.00|$42.00|$24.32|$16.47|$14.67|$14.67
"CPT® 82271"|"HB OCCULT BLOOD SCREEN, OTHER"|301.00|$45.00|$9.00|$42.00|$31.00||$20.57|$9.00|$31.86|$16.52|$21.02|$41.00|$25.43|$20.25|$39.00|$42.00|$17.37|$11.76|$10.48|$10.48
"CPT® 82272"|"HB OCCULT BLOOD, DIAGNOSTIC, SINGLE"|301.00|$41.00|$8.20|$41.00|$29.00||$18.74|$8.20|$29.03|$15.05|$19.15|$41.00|$23.17|$18.45|$39.00|$41.00|$15.83|$10.72|$9.55|$9.55
"CPT® 83069"|"HB URINE FREE HEMOGLOBIN"|301.00|$22.00|$4.40|$22.00|$15.00||$10.05|$4.40|$15.58|$8.07|$10.27|$22.00|$12.43|$9.90|$22.00|$22.00|$8.49|$5.75|$5.12|$5.12
"CPT® 82105"|"HB ALPHA-FETOPROTEIN, SERUM"|301.00|$190.00|$38.00|$134.52|$133.00||$86.83|$38.00|$134.52|$69.73|$88.73|$41.00|$107.35|$85.50|$39.00|$42.00|$73.34|$49.67|$44.25|$44.25
"CPT® 83033"|"HB APT TEST FOR FETAL BLOOD"|301.00|$196.00|$39.00|$138.77|$137.00||$89.57|$39.20|$138.77|$71.93|$91.53|$98.00|$110.74|$88.20|$39.00|$42.00|$75.66|$51.23|$45.65|$45.65
"CPT® 83020"|"HB HEMOGLOBIN ELECTROPHORESIS"|301.00|$158.00|$31.60|$111.86|$111.00||$72.21|$31.60|$111.86|$57.99|$73.79|$41.00|$89.27|$71.10|$39.00|$42.00|$60.99|$41.30|$36.80|$36.80
"CPT® 82232"|"HB BETA-2 MICROGLOBULIN"|301.00|$153.00|$30.60|$108.32|$107.00||$69.92|$30.60|$108.32|$56.15|$71.45|$41.00|$86.45|$68.85|$39.00|$42.00|$59.06|$39.99|$35.63|$35.63
"CPT® 82595"|"HB CRYOGLOBULIN SCREEN"|301.00|$93.00|$18.60|$65.84|$65.00||$42.50|$18.60|$65.84|$34.13|$43.43|$41.00|$52.55|$41.85|$39.00|$42.00|$35.90|$24.31|$21.66|$21.66
"CPT® 80158"|"HB CYCLOSPORIN ASSAY"|301.00|$329.00|$39.00|$232.93|$230.00||$150.35|$65.80|$232.93|$120.74|$153.64|$41.00|$185.89|$148.05|$39.00|$42.00|$126.99|$86.00|$76.62|$76.62
"CPT® 82627"|"HB DHEA SULFATE"|301.00|$363.00|$39.00|$257.00|$254.00||$165.89|$72.60|$257.00|$133.22|$169.52|$41.00|$205.10|$163.35|$39.00|$42.00|$140.12|$94.89|$84.54|$84.54
"CPT® 82960"|"HB G6PD, SCREEN"|301.00|$201.00|$39.00|$142.31|$141.00||$91.86|$40.20|$142.31|$73.77|$93.87|$41.00|$113.57|$90.45|$39.00|$42.00|$77.59|$52.54|$46.81|$46.81
"CPT® 83010"|"HB HAPTOGLOBIN"|301.00|$128.00|$25.60|$90.62|$90.00||$58.50|$25.60|$90.62|$46.98|$59.78|$41.00|$72.32|$57.60|$39.00|$42.00|$49.41|$33.46|$29.81|$29.81
"CPT® 82542"|"HB CLEARANCE MEASURED GFR BY HPLC"|301.00|$158.00|$31.60|$111.86|$111.00||$72.21|$31.60|$111.86|$57.99|$73.79|$41.00|$89.27|$71.10|$39.00|$42.00|$60.99|$41.30|$36.80|$36.80
"CPT® 83916"|"HB OLIGOCLONAL BANDS, CSF"|301.00|$187.00|$37.40|$132.40|$131.00||$85.46|$37.40|$132.40|$68.63|$87.33|$41.00|$105.66|$84.15|$39.00|$42.00|$72.18|$48.88|$43.55|$43.55
"CPT® 84165"|"HB PROTEIN ELECTROPHORESIS, SERUM"|301.00|$259.00|$39.00|$183.37|$181.00||$118.36|$51.80|$183.37|$95.05|$120.95|$41.00|$146.34|$116.55|$39.00|$42.00|$99.97|$67.70|$60.32|$60.32
"CPT® 84166"|"HB PROTEIN ELECTROPHORESIS, URINE/CSF"|301.00|$289.00|$39.00|$204.61|$202.00||$132.07|$57.80|$204.61|$106.06|$134.96|$41.00|$163.29|$130.05|$39.00|$42.00|$111.55|$75.54|$67.31|$67.31
"CPT® 80197"|"HB TACROLIMUS-FK506"|301.00|$375.00|$39.00|$265.50|$262.00||$171.38|$75.00|$265.50|$137.63|$175.13|$41.00|$211.88|$168.75|$39.00|$42.00|$144.75|$98.03|$87.34|$87.34
"CPT® 82542"|"HB FLUOXETINE LEVEL"|301.00|$224.00|$39.00|$158.59|$157.00||$102.37|$44.80|$158.59|$82.21|$104.61|$41.00|$126.56|$100.80|$39.00|$42.00|$86.46|$58.55|$52.17|$52.17
"CPT® 82985"|"HB FRUCTOSAMINE"|301.00|$121.00|$24.20|$85.67|$85.00||$55.30|$24.20|$85.67|$44.41|$56.51|$41.00|$68.37|$54.45|$39.00|$42.00|$46.71|$31.63|$28.18|$28.18
"CPT® 82941"|"HB GASTRIN"|301.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 82943"|"HB GLUCAGON"|301.00|$122.00|$24.40|$86.38|$85.00||$55.75|$24.40|$86.38|$44.77|$56.97|$41.00|$68.93|$54.90|$39.00|$42.00|$47.09|$31.89|$28.41|$28.41
"CPT® 83003"|"HB GROWTH HORMONE"|301.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 82175"|"HB HEAVY METAL SCREEN ARSENIC, URINE RANDOM"|301.00|$35.00|$7.00|$35.00|$24.00||$16.00|$7.00|$24.78|$12.85|$16.35|$35.00|$19.78|$15.75|$35.00|$35.00|$13.51|$9.15|$8.15|$8.15
"CPT® 83655"|"HB HEAVY METAL SCREEN LEAD, URINE RANDOM"|301.00|$62.00|$12.40|$43.90|$43.00||$28.33|$12.40|$43.90|$22.75|$28.95|$41.00|$35.03|$27.90|$39.00|$42.00|$23.93|$16.21|$14.44|$14.44
"CPT® 83825"|"HB HEAVY METAL SCREEN MERCURY, URINE RANDOM"|301.00|$38.00|$7.60|$38.00|$27.00||$17.37|$7.60|$26.90|$13.95|$17.75|$38.00|$21.47|$17.10|$38.00|$38.00|$14.67|$9.93|$8.85|$8.85
"CPT® 82175"|"HB HEAVY METALS SCREEN, ARSENIC, 24 HOUR URINE"|301.00|$35.00|$7.00|$35.00|$24.00||$16.00|$7.00|$24.78|$12.85|$16.35|$35.00|$19.78|$15.75|$35.00|$35.00|$13.51|$9.15|$8.15|$8.15
"CPT® 83655"|"HB HEAVY METALS SCREEN, LEAD, 24 HOUR URINE"|301.00|$62.00|$12.40|$43.90|$43.00||$28.33|$12.40|$43.90|$22.75|$28.95|$41.00|$35.03|$27.90|$39.00|$42.00|$23.93|$16.21|$14.44|$14.44
"CPT® 83825"|"HB HEAVY METALS SCREEN, MERCURY, 24 HOUR URINE"|301.00|$38.00|$7.60|$38.00|$27.00||$17.37|$7.60|$26.90|$13.95|$17.75|$38.00|$21.47|$17.10|$38.00|$38.00|$14.67|$9.93|$8.85|$8.85
"CPT® 82175"|"HB HEAVY METALS SCREEN, ARSENIC, WHOLE BLOOD"|301.00|$35.00|$7.00|$35.00|$24.00||$16.00|$7.00|$24.78|$12.85|$16.35|$35.00|$19.78|$15.75|$35.00|$35.00|$13.51|$9.15|$8.15|$8.15
"CPT® 83655"|"HB HEAVY METALS SCREEN, LEAD, WHOLE BLOOD"|301.00|$62.00|$12.40|$43.90|$43.00||$28.33|$12.40|$43.90|$22.75|$28.95|$41.00|$35.03|$27.90|$39.00|$42.00|$23.93|$16.21|$14.44|$14.44
"CPT® 83825"|"HB HEAVY METALS SCREEN, MERCURY, WHOLE BLOOD"|301.00|$38.00|$7.60|$38.00|$27.00||$17.37|$7.60|$26.90|$13.95|$17.75|$38.00|$21.47|$17.10|$38.00|$38.00|$14.67|$9.93|$8.85|$8.85
"CPT® 82306"|"HB VITAMIN D 25 HYDROXY"|301.00|$218.00|$39.00|$154.34|$153.00||$99.63|$43.60|$154.34|$80.01|$101.81|$41.00|$123.17|$98.10|$39.00|$42.00|$84.15|$56.99|$50.77|$50.77
"CPT® 82670"|"HB ESTRADIOL, SERUM"|301.00|$76.00|$15.20|$53.81|$53.00||$34.73|$15.20|$53.81|$27.89|$35.49|$41.00|$42.94|$34.20|$39.00|$42.00|$29.34|$19.87|$17.70|$17.70
"HCPCS G0480"|"HB OPIATE, DRUG & METAB, CONFIRM"|301.00|$156.00|$31.20|$110.45|$109.00||$71.29|$31.20|$110.45|$57.25|$72.85|$78.00|$88.14|$70.20|$39.00|$42.00|$60.22|$40.78|$36.33|$36.33
"HCPCS G0480"|"HB NICOTINE AND METABOLITES"|301.00|$454.00|$39.00|$321.43|$318.00||$207.48|$90.80|$321.43|$166.62|$212.02|$227.00|$256.51|$204.30|$39.00|$42.00|$175.24|$118.68|$105.74|$105.74
"CPT® 84402"|"HB TESTOSTERONE, FREE BY LC MS/MS"|301.00|$247.00|$39.00|$174.88|$173.00||$112.88|$49.40|$174.88|$90.65|$115.35|$41.00|$139.56|$111.15|$39.00|$42.00|$95.34|$64.57|$57.53|$57.53
"CPT® 84403"|"HB TESTOSTERONE, TOTAL BY LC MS/MS"|301.00|$247.00|$39.00|$174.88|$173.00||$112.88|$49.40|$174.88|$90.65|$115.35|$41.00|$139.56|$111.15|$39.00|$42.00|$95.34|$64.57|$57.53|$57.53
"CPT® 80285"|"HB VORICONAZOLE LEVEL"|301.00|$308.00|$39.00|$218.06|$216.00||$140.76|$61.60|$218.06|$113.04|$143.84|$41.00|$174.02|$138.60|$39.00|$42.00|$118.89|$80.51|$71.73|$71.73
"CPT® 83520"|"HB MYELOPEROXIDASE ANTIBODIES"|301.00|$109.00|$21.80|$77.17|$76.00||$49.81|$21.80|$77.17|$40.00|$50.90|$41.00|$61.59|$49.05|$39.00|$42.00|$42.07|$28.49|$25.39|$25.39
"CPT® 83520"|"HB PROTEINASE-3 ANTIBODIES"|301.00|$109.00|$21.80|$77.17|$76.00||$49.81|$21.80|$77.17|$40.00|$50.90|$41.00|$61.59|$49.05|$39.00|$42.00|$42.07|$28.49|$25.39|$25.39
"CPT® 80299"|"HB ISAVUCONAZOLE LEVEL"|301.00|$280.00|$39.00|$198.24|$196.00||$127.96|$56.00|$198.24|$102.76|$130.76|$41.00|$158.20|$126.00|$39.00|$42.00|$108.08|$73.19|$65.21|$65.21
"CPT® 80187"|"HB POSACONAZOLE LEVEL"|301.00|$308.00|$39.00|$218.06|$216.00||$140.76|$61.60|$218.06|$113.04|$143.84|$41.00|$174.02|$138.60|$39.00|$42.00|$118.89|$80.51|$71.73|$71.73
"CPT® 83516"|"HB TISSUE TRANSGLUTAMINASE (TTG) AB, IGA"|301.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 83516"|"HB TISSUE TRANSGLUTAMINASE (TTG) AB, IGG"|301.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 83516"|"HB DEAMINATED GLIADIN PEPTIDE (DPG) AB, IGA"|301.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 83516"|"HB DEAMINATED GLIADIN PEPTIDE (DPG) AB, IGG"|301.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"HCPCS G0480"|"HB PHOSPHATIDYLETHANOL"|301.00|$1069.00|$39.00|$756.85|$748.00||$488.53|$213.80|$756.85|$392.32|$499.22|$534.50|$603.99|$481.05|$39.00|$42.00|$412.63|$279.44|$248.97|$248.97
"CPT® 83491"|"HB 17-HYDROXYCORTICOSTEROIDS URINE, RANDOM"|301.00|$334.00|$39.00|$236.47|$234.00||$152.64|$66.80|$236.47|$122.58|$155.98|$41.00|$188.71|$150.30|$39.00|$42.00|$128.92|$87.31|$77.79|$77.79
"CPT® 83498"|"HB 17-HYDROXYPROGESTERONE"|301.00|$113.00|$22.60|$80.00|$79.00||$51.64|$22.60|$80.00|$41.47|$52.77|$41.00|$63.85|$50.85|$39.00|$42.00|$43.62|$29.54|$26.32|$26.32
"CPT® 83586"|"HB 17-KETOSTEROIDS, URINE RANDOM"|301.00|$422.00|$39.00|$298.78|$295.00||$192.85|$84.40|$298.78|$154.87|$197.07|$41.00|$238.43|$189.90|$39.00|$42.00|$162.89|$110.31|$98.28|$98.28
"CPT® 83497"|"HB 5-HYROXYINDOLACETIC ACID (5-HIAA) 24 HOUR URINE"|301.00|$84.00|$16.80|$59.47|$59.00||$38.39|$16.80|$59.47|$30.83|$39.23|$41.00|$47.46|$37.80|$39.00|$42.00|$32.42|$21.96|$19.56|$19.56
"CPT® 83915"|"HB 5'-NUCLEOTIDASE"|301.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 84066"|"HB ACID PHOSPHATASE, PROSTATIC"|301.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 82024"|"HB ADENOCORTICOTROPIC HORMONE"|301.00|$140.00|$28.00|$99.12|$98.00||$63.98|$28.00|$99.12|$51.38|$65.38|$41.00|$79.10|$63.00|$39.00|$42.00|$54.04|$36.60|$32.61|$32.61
"CPT® 82085"|"HB ALDOLASE"|301.00|$80.00|$16.00|$56.64|$56.00||$36.56|$16.00|$56.64|$29.36|$37.36|$41.00|$45.20|$36.00|$39.00|$42.00|$30.88|$20.91|$18.63|$18.63
"CPT® 82088"|"HB ALDOSTERONE URINE RANDOM"|301.00|$195.00|$39.00|$138.06|$136.00||$89.12|$39.00|$138.06|$71.57|$91.07|$41.00|$110.18|$87.75|$39.00|$42.00|$75.27|$50.97|$45.42|$45.42
"CPT® 82088"|"HB ALDOSTERONE, SERUM"|301.00|$195.00|$39.00|$138.06|$136.00||$89.12|$39.00|$138.06|$71.57|$91.07|$41.00|$110.18|$87.75|$39.00|$42.00|$75.27|$50.97|$45.42|$45.42
"CPT® 84080"|"HB ALKALINE PHOSPHATASE ISOENZYMES"|301.00|$87.00|$17.40|$61.60|$61.00||$39.76|$17.40|$61.60|$31.93|$40.63|$41.00|$49.16|$39.15|$39.00|$42.00|$33.58|$22.74|$20.26|$20.26
"CPT® 84075"|"HB ALKALINE PHOSPHATASE"|301.00|$48.00|$9.60|$42.00|$34.00||$21.94|$9.60|$33.98|$17.62|$22.42|$41.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 82108"|"HB ALUMINUM SERUM"|301.00|$78.00|$15.60|$55.22|$55.00||$35.65|$15.60|$55.22|$28.63|$36.43|$41.00|$44.07|$35.10|$39.00|$42.00|$30.11|$20.39|$18.17|$18.17
"CPT® 82108"|"HB ALUMINUM URINE"|301.00|$78.00|$15.60|$55.22|$55.00||$35.65|$15.60|$55.22|$28.63|$36.43|$41.00|$44.07|$35.10|$39.00|$42.00|$30.11|$20.39|$18.17|$18.17
"CPT® 82542"|"HB AMIODARONE ASSAY"|301.00|$69.00|$13.80|$48.85|$48.00||$31.53|$13.80|$48.85|$25.32|$32.22|$41.00|$38.99|$31.05|$39.00|$42.00|$26.63|$18.04|$16.07|$16.07
"CPT® 82157"|"HB ANDROSTENEDIONE"|301.00|$116.00|$23.20|$82.13|$81.00||$53.01|$23.20|$82.13|$42.57|$54.17|$41.00|$65.54|$52.20|$39.00|$42.00|$44.78|$30.32|$27.02|$27.02
"CPT® 82172"|"HB APOLIPOPROTEIN A-1"|301.00|$168.00|$33.60|$118.94|$118.00||$76.78|$33.60|$118.94|$61.66|$78.46|$41.00|$94.92|$75.60|$39.00|$42.00|$64.85|$43.92|$39.13|$39.13
"CPT® 82172"|"HB APOLIPOPROTEIN B"|301.00|$168.00|$33.60|$118.94|$118.00||$76.78|$33.60|$118.94|$61.66|$78.46|$41.00|$94.92|$75.60|$39.00|$42.00|$64.85|$43.92|$39.13|$39.13
"CPT® 82175"|"HB ARSENIC, URINE"|301.00|$286.00|$39.00|$202.49|$200.00||$130.70|$57.20|$202.49|$104.96|$133.56|$41.00|$161.59|$128.70|$39.00|$42.00|$110.40|$74.76|$66.61|$66.61
"CPT® 82143"|"HB BILIRUBIN SCAN (DELTA A 450) AMNIOTIC FLUID"|301.00|$214.00|$39.00|$151.51|$150.00||$97.80|$42.80|$151.51|$78.54|$99.94|$107.00|$120.91|$96.30|$39.00|$42.00|$82.60|$55.94|$49.84|$49.84
"CPT® 82300"|"HB CADMIUM URINE, RANDOM"|301.00|$60.00|$12.00|$42.48|$42.00||$27.42|$12.00|$42.48|$22.02|$28.02|$41.00|$33.90|$27.00|$39.00|$42.00|$23.16|$15.68|$13.97|$13.97
"CPT® 82308"|"HB CALCITONIN"|301.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 82365"|"HB CALCULUS ANALYSIS, STONE"|301.00|$69.00|$13.80|$48.85|$48.00||$31.53|$13.80|$48.85|$25.32|$32.22|$41.00|$38.99|$31.05|$39.00|$42.00|$26.63|$18.04|$16.07|$16.07
"CPT® 82380"|"HB CAROTENE"|301.00|$42.00|$8.40|$42.00|$29.00||$19.19|$8.40|$29.74|$15.41|$19.61|$41.00|$23.73|$18.90|$39.00|$42.00|$16.21|$10.98|$9.78|$9.78
"CPT® 82384"|"HB CATECHOLAMINES, FRACTIONATED 24 HOUR URINE"|301.00|$348.00|$39.00|$246.38|$244.00||$159.04|$69.60|$246.38|$127.72|$162.52|$41.00|$196.62|$156.60|$39.00|$42.00|$134.33|$90.97|$81.05|$81.05
"CPT® 82384"|"HB CATECHOLAMINES, FRACTIONATED URINE, RANDOM"|301.00|$386.00|$39.00|$273.29|$270.00||$176.40|$77.20|$273.29|$141.66|$180.26|$41.00|$218.09|$173.70|$39.00|$42.00|$149.00|$100.90|$89.90|$89.90
"CPT® 82384"|"HB CATECHOLAMINES, FRACTIONATED, PLASMA"|301.00|$348.00|$39.00|$246.38|$244.00||$159.04|$69.60|$246.38|$127.72|$162.52|$41.00|$196.62|$156.60|$39.00|$42.00|$134.33|$90.97|$81.05|$81.05
"CPT® 82390"|"HB CERULOPLASMIN"|301.00|$207.00|$39.00|$146.56|$145.00||$94.60|$41.40|$146.56|$75.97|$96.67|$41.00|$116.96|$93.15|$39.00|$42.00|$79.90|$54.11|$48.21|$48.21
"CPT® 83721"|"HB CHOLESTEROL-LOW DENSITY LIPOPROTEIN DIRECT"|301.00|$26.00|$5.20|$26.00|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$26.00|$14.69|$11.70|$26.00|$26.00|$10.04|$6.80|$6.06|$6.06
"CPT® 82495"|"HB CHROMIUM, BLOOD"|301.00|$205.00|$39.00|$145.14|$144.00||$93.69|$41.00|$145.14|$75.24|$95.74|$41.00|$115.83|$92.25|$39.00|$42.00|$79.13|$53.59|$47.74|$47.74
"CPT® 82507"|"HB CITRATE, 24 HR URINE"|301.00|$93.00|$18.60|$65.84|$65.00||$42.50|$18.60|$65.84|$34.13|$43.43|$41.00|$52.55|$41.85|$39.00|$42.00|$35.90|$24.31|$21.66|$21.66
"HCPCS G0480"|"HB CLONAZEPAM, SERUM"|301.00|$100.00|$20.00|$70.80|$70.00||$45.70|$20.00|$70.80|$36.70|$46.70|$50.00|$56.50|$45.00|$39.00|$42.00|$38.60|$26.14|$23.29|$23.29
"CPT® 83018"|"HB COBALT, BLOOD"|301.00|$217.00|$39.00|$153.64|$152.00||$99.17|$43.40|$153.64|$79.64|$101.34|$41.00|$122.61|$97.65|$39.00|$42.00|$83.76|$56.72|$50.54|$50.54
"HCPCS 80307"|"HB COMPREHENSIVE DRUG SCREEN, SERUM"|301.00|$1106.00|$39.00|$783.05|$774.00||$505.44|$221.20|$783.05|$405.90|$516.50|$41.00|$624.89|$497.70|$39.00|$42.00|$426.92|$289.11|$257.59|$257.59
"HCPCS 80307"|"HB COMPREHENSIVE DRUG SCREEN, URINE"|301.00|$1106.00|$39.00|$783.05|$774.00||$505.44|$221.20|$783.05|$405.90|$516.50|$41.00|$624.89|$497.70|$39.00|$42.00|$426.92|$289.11|$257.59|$257.59
"CPT® 82525"|"HB COPPER 24 HOUR URINE"|301.00|$130.00|$26.00|$92.04|$91.00||$59.41|$26.00|$92.04|$47.71|$60.71|$41.00|$73.45|$58.50|$39.00|$42.00|$50.18|$33.98|$30.28|$30.28
"CPT® 82525"|"HB COPPER URINE, RANDOM"|301.00|$130.00|$26.00|$92.04|$91.00||$59.41|$26.00|$92.04|$47.71|$60.71|$41.00|$73.45|$58.50|$39.00|$42.00|$50.18|$33.98|$30.28|$30.28
"CPT® 82525"|"HB COPPER, SERUM"|301.00|$130.00|$26.00|$92.04|$91.00||$59.41|$26.00|$92.04|$47.71|$60.71|$41.00|$73.45|$58.50|$39.00|$42.00|$50.18|$33.98|$30.28|$30.28
"CPT® 82530"|"HB CORTISOL FREE, 24 HOUR URINE"|301.00|$132.00|$26.40|$93.46|$92.00||$60.32|$26.40|$93.46|$48.44|$61.64|$41.00|$74.58|$59.40|$39.00|$42.00|$50.95|$34.50|$30.74|$30.74
"CPT® 84681"|"HB C-PEPTIDE"|301.00|$89.00|$17.80|$63.01|$62.00||$40.67|$17.80|$63.01|$32.66|$41.56|$41.00|$50.29|$40.05|$39.00|$42.00|$34.35|$23.26|$20.73|$20.73
"CPT® 82540"|"HB CREATINE 24 HOUR URINE"|301.00|$55.00|$11.00|$42.00|$38.00||$25.14|$11.00|$38.94|$20.19|$25.69|$41.00|$31.08|$24.75|$39.00|$42.00|$21.23|$14.38|$12.81|$12.81
"CPT® 82785"|"HB CHILDHOOD ALLERGY PANEL, IGE, TOTAL"|301.00|$210.00|$39.00|$148.68|$147.00||$95.97|$42.00|$148.68|$77.07|$98.07|$41.00|$118.65|$94.50|$39.00|$42.00|$81.06|$54.89|$48.91|$48.91
"CPT® 82785"|"HB FOOD ALLERGY PANEL, IGE, TOTAL"|301.00|$210.00|$39.00|$148.68|$147.00||$95.97|$42.00|$148.68|$77.07|$98.07|$41.00|$118.65|$94.50|$39.00|$42.00|$81.06|$54.89|$48.91|$48.91
"CPT® 83605"|"HB D- LACTATE"|301.00|$254.00|$39.00|$179.83|$178.00||$116.08|$50.80|$179.83|$93.22|$118.62|$41.00|$143.51|$114.30|$39.00|$42.00|$98.04|$66.40|$59.16|$59.16
"CPT® 82626"|"HB DEHYDROEPIANDROSTERONE"|301.00|$127.00|$25.40|$89.92|$89.00||$58.04|$25.40|$89.92|$46.61|$59.31|$41.00|$71.76|$57.15|$39.00|$42.00|$49.02|$33.20|$29.58|$29.58
"CPT® 82135"|"HB DELTA-AMINOLEVULINIC ACID, 24 HR URINE"|301.00|$163.00|$32.60|$115.40|$114.00||$74.49|$32.60|$115.40|$59.82|$76.12|$41.00|$92.10|$73.35|$39.00|$42.00|$62.92|$42.61|$37.96|$37.96
"CPT® 82135"|"HB DELTA-AMINOLEVULINIC ACID, URINE RANDOM"|301.00|$147.00|$29.40|$104.08|$103.00||$67.18|$29.40|$104.08|$53.95|$68.65|$41.00|$83.06|$66.15|$39.00|$42.00|$56.74|$38.43|$34.24|$34.24
"CPT® 84620"|"HB D-XYLOSE"|301.00|$254.00|$39.00|$179.83|$178.00||$116.08|$50.80|$179.83|$93.22|$118.62|$41.00|$143.51|$114.30|$39.00|$42.00|$98.04|$66.40|$59.16|$59.16
"CPT® 84620"|"HB D-XYLOSE 1 HOUR ABSORPTION"|301.00|$254.00|$39.00|$179.83|$178.00||$116.08|$50.80|$179.83|$93.22|$118.62|$41.00|$143.51|$114.30|$39.00|$42.00|$98.04|$66.40|$59.16|$59.16
"CPT® 82438"|"HB ELECTROLYES, CHLORIDE, FECAL"|301.00|$12.00|$2.40|$12.00|$8.00||$5.48|$2.40|$8.50|$4.40|$5.60|$12.00|$6.78|$5.40|$12.00|$12.00|$4.63|$3.14|$2.79|$2.79
"CPT® 84302"|"HB ELECTROLYES, SODIUM, FECAL"|301.00|$12.00|$2.40|$12.00|$8.00||$5.48|$2.40|$8.50|$4.40|$5.60|$12.00|$6.78|$5.40|$12.00|$12.00|$4.63|$3.14|$2.79|$2.79
"CPT® 84311"|"HB ELECTROLYTES, FECAL, SPECTROPHOTOMETRY"|301.00|$20.00|$4.00|$20.00|$14.00||$9.14|$4.00|$14.16|$7.34|$9.34|$20.00|$11.30|$9.00|$20.00|$20.00|$7.72|$5.23|$4.66|$4.66
"CPT® 82668"|"HB ERYTHROPOIETIN"|301.00|$118.00|$23.60|$83.54|$83.00||$53.93|$23.60|$83.54|$43.31|$55.11|$41.00|$66.67|$53.10|$39.00|$42.00|$45.55|$30.85|$27.48|$27.48
"CPT® 82542"|"HB ESSENTIAL FATTY ACID PROFILE"|301.00|$318.00|$39.00|$225.14|$223.00||$145.33|$63.60|$225.14|$116.71|$148.51|$41.00|$179.67|$143.10|$39.00|$42.00|$122.75|$83.13|$74.06|$74.06
"CPT® 82679"|"HB ESTROGEN METABOLISM ASSESSMENT"|301.00|$224.00|$39.00|$158.59|$157.00||$102.37|$44.80|$158.59|$82.21|$104.61|$41.00|$126.56|$100.80|$39.00|$42.00|$86.46|$58.55|$52.17|$52.17
"CPT® 82672"|"HB ESTROGENS, TOTAL"|301.00|$132.00|$26.40|$93.46|$92.00||$60.32|$26.40|$93.46|$48.44|$61.64|$41.00|$74.58|$59.40|$39.00|$42.00|$50.95|$34.50|$30.74|$30.74
"CPT® 82679"|"HB ESTRONE"|301.00|$100.00|$20.00|$70.80|$70.00||$45.70|$20.00|$70.80|$36.70|$46.70|$41.00|$56.50|$45.00|$39.00|$42.00|$38.60|$26.14|$23.29|$23.29
"CPT® 82693"|"HB ETHYLENE GLYCOL"|301.00|$93.00|$18.60|$65.84|$65.00||$42.50|$18.60|$65.84|$34.13|$43.43|$41.00|$52.55|$41.85|$39.00|$42.00|$35.90|$24.31|$21.66|$21.66
"CPT® 82785"|"HB IMMUNOGLOBULIN E"|301.00|$259.00|$39.00|$183.37|$181.00||$118.36|$51.80|$183.37|$95.05|$120.95|$41.00|$146.34|$116.55|$39.00|$42.00|$99.97|$67.70|$60.32|$60.32
"CPT® 80307"|"HB INFANT DRUG SCREEN, MECONIUM"|301.00|$381.00|$39.00|$269.75|$267.00||$174.12|$76.20|$269.75|$139.83|$177.93|$41.00|$215.27|$171.45|$39.00|$42.00|$147.07|$99.59|$88.73|$88.73
"HCPCS 80307"|"HB INFANT DRUG SCREEN, URINE"|301.00|$380.00|$39.00|$269.04|$266.00||$173.66|$76.00|$269.04|$139.46|$177.46|$41.00|$214.70|$171.00|$39.00|$42.00|$146.68|$99.33|$88.50|$88.50
"CPT® 82397"|"HB INHIBIN B"|301.00|$229.00|$39.00|$162.13|$160.00||$104.65|$45.80|$162.13|$84.04|$106.94|$41.00|$129.39|$103.05|$39.00|$42.00|$88.39|$59.86|$53.33|$53.33
"CPT® 83520"|"HB INTERLEUKIN 6"|301.00|$349.00|$39.00|$247.09|$244.00||$159.49|$69.80|$247.09|$128.08|$162.98|$41.00|$197.19|$157.05|$39.00|$42.00|$134.71|$91.23|$81.28|$81.28
"CPT® 83789"|"HB IODINE, RANDOM URINE"|301.00|$118.00|$23.60|$83.54|$83.00||$53.93|$23.60|$83.54|$43.31|$55.11|$41.00|$66.67|$53.10|$39.00|$42.00|$45.55|$30.85|$27.48|$27.48
"CPT® 83540"|"HB IRON LIVER, TISSUE"|301.00|$90.00|$18.00|$63.72|$63.00||$41.13|$18.00|$63.72|$33.03|$42.03|$41.00|$50.85|$40.50|$39.00|$42.00|$34.74|$23.53|$20.96|$20.96
"CPT® 84600"|"HB ISOPROPYL ALCOHOL-ACETONE"|301.00|$166.00|$33.20|$117.53|$116.00||$75.86|$33.20|$117.53|$60.92|$77.52|$41.00|$93.79|$74.70|$39.00|$42.00|$64.08|$43.39|$38.66|$38.66
"CPT® 83615"|"HB LACTATE DEHYDROGENASE"|301.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 83625"|"HB LACTATE DEHYDROGENASE ISOENZYMES"|301.00|$67.00|$13.40|$47.44|$47.00||$30.62|$13.40|$47.44|$24.59|$31.29|$41.00|$37.86|$30.15|$39.00|$42.00|$25.86|$17.51|$15.60|$15.60
"CPT® 80175"|"HB LAMOTRIGINE LEVEL"|301.00|$124.00|$24.80|$87.79|$87.00||$56.67|$24.80|$87.79|$45.51|$57.91|$41.00|$70.06|$55.80|$39.00|$42.00|$47.86|$32.41|$28.88|$28.88
"CPT® 83655"|"HB LEAD 24 HOUR URINE"|301.00|$69.00|$13.80|$48.85|$48.00||$31.53|$13.80|$48.85|$25.32|$32.22|$41.00|$38.99|$31.05|$39.00|$42.00|$26.63|$18.04|$16.07|$16.07
"CPT® 83655"|"HB LEAD LEVEL"|301.00|$62.00|$12.40|$43.90|$43.00||$28.33|$12.40|$43.90|$22.75|$28.95|$41.00|$35.03|$27.90|$39.00|$42.00|$23.93|$16.21|$14.44|$14.44
"CPT® 80177"|"HB LEVETIRACETAM LEVEL"|301.00|$124.00|$24.80|$87.79|$87.00||$56.67|$24.80|$87.79|$45.51|$57.91|$41.00|$70.06|$55.80|$39.00|$42.00|$47.86|$32.41|$28.88|$28.88
"CPT® 82300"|"HB CADMIUM BLOOD"|301.00|$183.00|$36.60|$129.56|$128.00||$83.63|$36.60|$129.56|$67.16|$85.46|$41.00|$103.40|$82.35|$39.00|$42.00|$70.64|$47.84|$42.62|$42.62
"CPT® 80155"|"HB CAFFEINE"|301.00|$169.00|$33.80|$119.65|$118.00||$77.23|$33.80|$119.65|$62.02|$78.92|$84.50|$95.49|$76.05|$39.00|$42.00|$65.23|$44.18|$39.36|$39.36
"CPT® 80061"|"HB CARDIO IQ ADVANCED PANEL, LIPID PANEL"|301.00|$210.00|$36.28|$148.68|$147.00||$36.28|$42.00|$148.68|$77.07|$98.07|$41.00|$118.65|$94.50|$39.00|$42.00|$81.06|$54.89|$48.91|$48.91
"CPT® 82172"|"HB CARDIO IQ ADVANCED PANEL, APOLIPOPROTEIN"|301.00|$146.00|$29.20|$103.37|$102.00||$66.72|$29.20|$103.37|$53.58|$68.18|$41.00|$82.49|$65.70|$39.00|$42.00|$56.36|$38.16|$34.00|$34.00
"CPT® 83695"|"HB CARDIO IQ ADVANCED PANEL, LIPOPROTEIN (A)"|301.00|$125.00|$25.00|$88.50|$88.00||$57.13|$25.00|$88.50|$45.88|$58.38|$41.00|$70.63|$56.25|$39.00|$42.00|$48.25|$32.68|$29.11|$29.11
"CPT® 83704"|"HB CARDIO IQ ADVANCED PANEL, PARTICLE SUBCLASSES"|301.00|$276.00|$39.00|$195.41|$193.00||$126.13|$55.20|$195.41|$101.29|$128.89|$41.00|$155.94|$124.20|$39.00|$42.00|$106.54|$72.15|$64.28|$64.28
"CPT® 83704"|"HB CARDIO IQ LIPOPROTEIN SUBFRACTIONS, ION MOVILITY"|301.00|$429.00|$39.00|$303.73|$300.00||$196.05|$85.80|$303.73|$157.44|$200.34|$41.00|$242.39|$193.05|$39.00|$42.00|$165.59|$112.14|$99.91|$99.91
"CPT® 82105"|"HB QUADRUPLE MARKER TEST, AFP"|301.00|$190.00|$38.00|$134.52|$133.00||$86.83|$38.00|$134.52|$69.73|$88.73|$41.00|$107.35|$85.50|$39.00|$42.00|$73.34|$49.67|$44.25|$44.25
"CPT® 82677"|"HB QUADRUPLE MARKER TEST, ESTRIOL"|301.00|$56.00|$11.20|$42.00|$39.00||$25.59|$11.20|$39.65|$20.55|$26.15|$41.00|$31.64|$25.20|$39.00|$42.00|$21.62|$14.64|$13.04|$13.04
"CPT® 84702"|"HB QUADRUPLE MARKER TEST, HCG"|301.00|$152.00|$30.40|$107.62|$106.00||$69.46|$30.40|$107.62|$55.78|$70.98|$41.00|$85.88|$68.40|$39.00|$42.00|$58.67|$39.73|$35.40|$35.40
"CPT® 84163"|"HB SEQUENTIAL SCREEN-FIRST TRIMESTER, PAPP-A"|301.00|$156.00|$31.20|$110.45|$109.00||$71.29|$31.20|$110.45|$57.25|$72.85|$41.00|$88.14|$70.20|$39.00|$42.00|$60.22|$40.78|$36.33|$36.33
"CPT® 84702"|"HB SEQUENTIAL SCREEN-FIRST TRIMESTER, HCG"|301.00|$91.00|$18.20|$64.43|$64.00||$41.59|$18.20|$64.43|$33.40|$42.50|$41.00|$51.42|$40.95|$39.00|$42.00|$35.13|$23.79|$21.19|$21.19
"CPT® 82105"|"HB SEQUENTIAL SCREEN- SECOND TRIMESTER, AFP"|301.00|$190.00|$38.00|$134.52|$133.00||$86.83|$38.00|$134.52|$69.73|$88.73|$41.00|$107.35|$85.50|$39.00|$42.00|$73.34|$49.67|$44.25|$44.25
"CPT® 84702"|"HB SEQUENTIAL SCREEN- SECOND TRIMESTER, HCG"|301.00|$94.00|$18.80|$66.55|$66.00||$42.96|$18.80|$66.55|$34.50|$43.90|$41.00|$53.11|$42.30|$39.00|$42.00|$36.28|$24.57|$21.89|$21.89
"CPT® 82677"|"HB SEQUENTIAL SCREEN- SECOND TRIMESTER, ESTRIOL"|301.00|$56.00|$11.20|$42.00|$39.00||$25.59|$11.20|$39.65|$20.55|$26.15|$41.00|$31.64|$25.20|$39.00|$42.00|$21.62|$14.64|$13.04|$13.04
"CPT® 83080"|"HB TAY SACHS, ENZYMES, BILL ONLY"|301.00|$379.00|$39.00|$268.33|$265.00||$173.20|$75.80|$268.33|$139.09|$176.99|$41.00|$214.14|$170.55|$39.00|$42.00|$146.29|$99.07|$88.27|$88.27
"CPT® 82397"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, CLA"|301.00|$111.00|$22.20|$78.59|$78.00||$50.73|$22.20|$78.59|$40.74|$51.84|$41.00|$62.72|$49.95|$39.00|$42.00|$42.85|$29.02|$25.85|$25.85
"CPT® 82542"|"HB THIOPURINE METHYLTRANSFERASE ENZYME ACTIVITY LEVEL, PHENOTYPE, BILL ONLY"|301.00|$257.00|$39.00|$181.96|$180.00||$117.45|$51.40|$181.96|$94.32|$120.02|$41.00|$145.21|$115.65|$39.00|$42.00|$99.20|$67.18|$59.86|$59.86
"CPT® 82657"|"HB THIOPURINE METHYLTRANSFERASE ENZYME ACTIVITY LEVEL, PHENOTYPE, BILL ONLY"|301.00|$272.00|$39.00|$192.58|$190.00||$124.30|$54.40|$192.58|$99.82|$127.02|$41.00|$153.68|$122.40|$39.00|$42.00|$104.99|$71.10|$63.35|$63.35
"CPT® 80299"|"HB THIOPURINE METABOLITES"|301.00|$694.00|$39.00|$491.35|$486.00||$317.16|$138.80|$491.35|$254.70|$324.10|$41.00|$392.11|$312.30|$39.00|$42.00|$267.88|$181.41|$161.63|$161.63
"CPT® 83021"|"HB HEMOGLOBIN A2 AND F QUANTITATION"|301.00|$200.00|$39.00|$141.60|$140.00||$91.40|$40.00|$141.60|$73.40|$93.40|$41.00|$113.00|$90.00|$39.00|$42.00|$77.20|$52.28|$46.58|$46.58
"CPT® 82610"|"HB CYSTATIN C"|301.00|$158.00|$31.60|$111.86|$111.00||$72.21|$31.60|$111.86|$57.99|$73.79|$41.00|$89.27|$71.10|$39.00|$42.00|$60.99|$41.30|$36.80|$36.80
"CPT® 80235"|"HB LACOSAMIDE LEVEL"|301.00|$273.00|$39.00|$193.28|$191.00||$124.76|$54.60|$193.28|$100.19|$127.49|$41.00|$154.25|$122.85|$39.00|$42.00|$105.38|$71.36|$63.58|$63.58
"CPT® 82523"|"HB N-TELOPEPTIDE, SERUM"|301.00|$247.00|$39.00|$174.88|$173.00||$112.88|$49.40|$174.88|$90.65|$115.35|$41.00|$139.56|$111.15|$39.00|$42.00|$95.34|$64.57|$57.53|$57.53
"CPT® 83519"|"HB PROCOLLAGEN TYPE I INTACT N TERMINAL PROPEPTIDE"|301.00|$340.00|$39.00|$240.72|$238.00||$155.38|$68.00|$240.72|$124.78|$158.78|$41.00|$192.10|$153.00|$39.00|$42.00|$131.24|$88.88|$79.19|$79.19
"CPT® 80201"|"HB TOPIRAMATE LEVEL"|301.00|$63.00|$12.60|$44.60|$44.00||$28.79|$12.60|$44.60|$23.12|$29.42|$41.00|$35.60|$28.35|$39.00|$42.00|$24.32|$16.47|$14.67|$14.67
"CPT® 80165"|"HB VALPROIC ACID, FREE"|301.00|$127.00|$25.40|$89.92|$89.00||$58.04|$25.40|$89.92|$46.61|$59.31|$41.00|$71.76|$57.15|$39.00|$42.00|$49.02|$33.20|$29.58|$29.58
"CPT® 83519"|"HB ACETYLCHOLINE RECEPTOR BLOCKING, AUTOANTIBODIES"|301.00|$476.00|$39.00|$337.01|$333.00||$217.53|$95.20|$337.01|$174.69|$222.29|$41.00|$268.94|$214.20|$39.00|$42.00|$183.74|$124.43|$110.86|$110.86
"CPT® 83519"|"HB ACETYLCHOMINE RECEPTOR MODULATING, AUTOANTIBODIES"|301.00|$476.00|$39.00|$337.01|$333.00||$217.53|$95.20|$337.01|$174.69|$222.29|$41.00|$268.94|$214.20|$39.00|$42.00|$183.74|$124.43|$110.86|$110.86
"CPT® 82710"|"HB LIPIDS TOTAL, FECAL"|301.00|$252.00|$39.00|$178.42|$176.00||$115.16|$50.40|$178.42|$92.48|$117.68|$41.00|$142.38|$113.40|$39.00|$42.00|$97.27|$65.87|$58.69|$58.69
"CPT® 83695"|"HB LIPOPROTEIN A"|301.00|$32.00|$6.40|$32.00|$22.00||$14.62|$6.40|$22.66|$11.74|$14.94|$32.00|$18.08|$14.40|$32.00|$32.00|$12.35|$8.36|$7.45|$7.45
"CPT® 83700"|"HB LIPOPROTEIN FRACTIONATION"|301.00|$85.00|$17.00|$60.18|$59.00||$38.85|$17.00|$60.18|$31.20|$39.70|$41.00|$48.03|$38.25|$39.00|$42.00|$32.81|$22.22|$19.80|$19.80
"CPT® 82465"|"HB LIPOPROTEIN FRACTIONATION, CHOLESTEROL"|301.00|$62.00|$12.40|$43.90|$43.00||$28.33|$12.40|$43.90|$22.75|$28.95|$41.00|$35.03|$27.90|$39.00|$42.00|$23.93|$16.21|$14.44|$14.44
"CPT® 84478"|"HB LIPOPROTEIN FRACTIONATION, TRIGLYCERIDE"|301.00|$62.00|$12.40|$43.90|$43.00||$28.33|$12.40|$43.90|$22.75|$28.95|$41.00|$35.03|$27.90|$39.00|$42.00|$23.93|$16.21|$14.44|$14.44
"CPT® 83735"|"HB MAGNESIUM, RBC"|301.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 83785"|"HB MANGANESE, RBC"|301.00|$136.00|$27.20|$96.29|$95.00||$62.15|$27.20|$96.29|$49.91|$63.51|$41.00|$76.84|$61.20|$39.00|$42.00|$52.50|$35.55|$31.67|$31.67
"CPT® 83825"|"HB MERCURY, 24 HOUR URINE"|301.00|$38.00|$7.60|$38.00|$27.00||$17.37|$7.60|$26.90|$13.95|$17.75|$38.00|$21.47|$17.10|$38.00|$38.00|$14.67|$9.93|$8.85|$8.85
"CPT® 83825"|"HB MERCURY, WHOLE BLOOD"|301.00|$38.00|$7.60|$38.00|$27.00||$17.37|$7.60|$26.90|$13.95|$17.75|$38.00|$21.47|$17.10|$38.00|$38.00|$14.67|$9.93|$8.85|$8.85
"CPT® 82570"|"HB METANEPHRINES FRACTIONATED RANDOM URINE"|301.00|$79.00|$15.80|$55.93|$55.00||$36.10|$15.80|$55.93|$28.99|$36.89|$41.00|$44.64|$35.55|$39.00|$42.00|$30.49|$20.65|$18.40|$18.40
"CPT® 83835"|"HB METANEPHRINES FRACTIONATED RANDOM URINE"|301.00|$24.00|$4.80|$24.00|$17.00||$10.97|$4.80|$16.99|$8.81|$11.21|$24.00|$13.56|$10.80|$24.00|$24.00|$9.26|$6.27|$5.59|$5.59
"CPT® 83835"|"HB METANEPHRINES, FRACTIONATED 24 HOUR URINE"|301.00|$119.00|$23.80|$84.25|$83.00||$54.38|$23.80|$84.25|$43.67|$55.57|$41.00|$67.24|$53.55|$39.00|$42.00|$45.93|$31.11|$27.72|$27.72
"CPT® 83835"|"HB METANEPHRINES, FRACTIONATED FREE, PLASMA"|301.00|$229.00|$39.00|$162.13|$160.00||$104.65|$45.80|$162.13|$84.04|$106.94|$41.00|$129.39|$103.05|$39.00|$42.00|$88.39|$59.86|$53.33|$53.33
"CPT® 84600"|"HB METHYL ALCOHOL"|301.00|$308.00|$39.00|$218.06|$216.00||$140.76|$61.60|$218.06|$113.04|$143.84|$41.00|$174.02|$138.60|$39.00|$42.00|$118.89|$80.51|$71.73|$71.73
"CPT® 83921"|"HB METHYLMALONIC ACID"|301.00|$211.00|$39.00|$149.39|$148.00||$96.43|$42.20|$149.39|$77.44|$98.54|$41.00|$119.22|$94.95|$39.00|$42.00|$81.45|$55.16|$49.14|$49.14
"CPT® 83874"|"HB MYOGLOBIN, RANDOM URINE"|301.00|$96.00|$19.20|$67.97|$67.00||$43.87|$19.20|$67.97|$35.23|$44.83|$41.00|$54.24|$43.20|$39.00|$42.00|$37.06|$25.09|$22.36|$22.36
"CPT® 83874"|"HB MYOGLOBIN, SERUM"|301.00|$96.00|$19.20|$67.97|$67.00||$43.87|$19.20|$67.97|$35.23|$44.83|$41.00|$54.24|$43.20|$39.00|$42.00|$37.06|$25.09|$22.36|$22.36
"CPT® 84181"|"HB NEURONAL NUCLEAR AUTOANTIBODIES"|301.00|$906.00|$39.00|$641.45|$634.00||$414.04|$181.20|$641.45|$332.50|$423.10|$41.00|$511.89|$407.70|$39.00|$42.00|$349.72|$236.83|$211.01|$211.01
"CPT® 83498"|"HB NEWBORN METABOLIC SCREEN. CAH"|301.00|$74.00|$14.80|$52.39|$52.00||$33.82|$14.80|$52.39|$27.16|$34.56|$41.00|$41.81|$33.30|$39.00|$42.00|$28.56|$19.34|$17.23|$17.23
"CPT® 83789"|"HB NEWBORN METABOLIC SCREEN, FATTY, ORGANIC & AMINO ACIDS, MS"|301.00|$61.00|$12.20|$43.19|$43.00||$27.88|$12.20|$43.19|$22.39|$28.49|$41.00|$34.47|$27.45|$39.00|$42.00|$23.55|$15.95|$14.21|$14.21
"CPT® 81479"|"HB NEWBORN METABOLIC SCREEN, TREC SCID"|301.00|$44.00|$8.80|$42.00|$31.00||$20.11|$8.80|$31.15|$16.15|$20.55|$41.00|$24.86|$19.80|$39.00|$42.00|$16.98|$11.50|$10.25|$10.25
"CPT® 82261"|"HB NEWBORN METABOLIC SCREEN. BIOTINIDASE"|301.00|$58.00|$11.60|$42.00|$41.00||$26.51|$11.60|$41.06|$21.29|$27.09|$29.00|$32.77|$26.10|$39.00|$42.00|$22.39|$15.16|$13.51|$13.51
"CPT® 83516"|"HB NEWBORN METABOLIC SCREEN, CYSTIC FIBROSIS"|301.00|$36.00|$7.20|$36.00|$25.00||$16.45|$7.20|$25.49|$13.21|$16.81|$36.00|$20.34|$16.20|$36.00|$36.00|$13.90|$9.41|$8.38|$8.38
"CPT® 83021"|"HB NEWBORN METABOLIC SCREEN, HEMOGLOBINOPATHIES"|301.00|$50.00|$10.00|$42.00|$35.00||$22.85|$10.00|$35.40|$18.35|$23.35|$41.00|$28.25|$22.50|$39.00|$42.00|$19.30|$13.07|$11.65|$11.65
"CPT® 84443"|"HB NEWBORN METABOLIC SCREEN, TSH/T4"|301.00|$186.00|$37.20|$131.69|$130.00||$45.49|$37.20|$131.69|$68.26|$86.86|$41.00|$105.09|$83.70|$39.00|$42.00|$71.80|$48.62|$43.32|$43.32
"CPT® 82776"|"HB NEWBORN METABOLIC SCREEN, URIDYLTRANSFERASE"|301.00|$33.00|$6.60|$33.00|$23.00||$15.08|$6.60|$23.36|$12.11|$15.41|$16.50|$18.65|$14.85|$33.00|$33.00|$12.74|$8.63|$7.69|$7.69
"HCPCS G0480"|"HB NORTRIPTYLINE LEVEL"|301.00|$101.00|$20.20|$71.51|$71.00||$46.16|$20.20|$71.51|$37.07|$47.17|$50.50|$57.07|$45.45|$39.00|$42.00|$38.99|$26.40|$23.52|$23.52
"CPT® 82523"|"HB N-TELOPEPTIDES WITH CREATININE RANDOM URINE"|301.00|$59.00|$11.80|$42.00|$41.00||$26.96|$11.80|$41.77|$21.65|$27.55|$41.00|$33.34|$26.55|$39.00|$42.00|$22.77|$15.42|$13.74|$13.74
"CPT® 83918"|"HB ORGANIC ACIDS QUANTITATIVE RANDOM URINE"|301.00|$1614.00|$39.00|$1142.71|$1130.00||$737.60|$322.80|$1142.71|$592.34|$753.74|$41.00|$911.91|$726.30|$39.00|$42.00|$623.00|$421.90|$375.90|$375.90
"CPT® 83935"|"HB OSMOLALITY URINE 24 HOUR"|301.00|$118.00|$23.60|$83.54|$83.00||$53.93|$23.60|$83.54|$43.31|$55.11|$41.00|$66.67|$53.10|$39.00|$42.00|$45.55|$30.85|$27.48|$27.48
"CPT® 84311"|"HB OSMOTIC GAP, FECAL, SODIUM"|301.00|$182.00|$36.40|$128.86|$127.00||$83.17|$36.40|$128.86|$66.79|$84.99|$41.00|$102.83|$81.90|$39.00|$42.00|$70.25|$47.57|$42.39|$42.39
"CPT® 84302"|"HB OSMOTIC GAP, FECAL, SPECTOPHOTOMETRY"|301.00|$128.00|$25.60|$90.62|$90.00||$58.50|$25.60|$90.62|$46.98|$59.78|$41.00|$72.32|$57.60|$39.00|$42.00|$49.41|$33.46|$29.81|$29.81
"CPT® 83937"|"HB OSTEOCALCIN"|301.00|$146.00|$29.20|$103.37|$102.00||$66.72|$29.20|$103.37|$53.58|$68.18|$41.00|$82.49|$65.70|$39.00|$42.00|$56.36|$38.16|$34.00|$34.00
"CPT® 83945"|"HB OXALATE, 24 HOUR URINE"|301.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 80183"|"HB OXCARBAZEPINE LEVEL"|301.00|$222.00|$39.00|$157.18|$155.00||$101.45|$44.40|$157.18|$81.47|$103.67|$41.00|$125.43|$99.90|$39.00|$42.00|$85.69|$58.03|$51.70|$51.70
"HCPCS G0480"|"HB PENTOBARBITAL LEVEL"|301.00|$602.00|$39.00|$426.22|$421.00||$275.11|$120.40|$426.22|$220.93|$281.13|$301.00|$340.13|$270.90|$39.00|$42.00|$232.37|$157.36|$140.21|$140.21
"CPT® 83986"|"HB PH, FECAL"|301.00|$133.00|$26.60|$94.16|$93.00||$60.78|$26.60|$94.16|$48.81|$62.11|$41.00|$75.15|$59.85|$39.00|$42.00|$51.34|$34.77|$30.98|$30.98
"CPT® 83520"|"HB PHOSPHO TAU TOTAL/AB42"|301.00|$504.00|$39.00|$356.83|$353.00||$230.33|$100.80|$356.83|$184.97|$235.37|$41.00|$284.76|$226.80|$39.00|$42.00|$194.54|$131.75|$117.38|$117.38
"CPT® 83051"|"HB PLASMA HEMOGLOBIN"|301.00|$136.00|$27.20|$96.29|$95.00||$62.15|$27.20|$96.29|$49.91|$63.51|$41.00|$76.84|$61.20|$39.00|$42.00|$52.50|$35.55|$31.67|$31.67
"CPT® 84110"|"HB PORPHOBILINOGEN 24 HOUR URINE"|301.00|$114.00|$22.80|$80.71|$80.00||$52.10|$22.80|$80.71|$41.84|$53.24|$41.00|$64.41|$51.30|$39.00|$42.00|$44.00|$29.80|$26.55|$26.55
"CPT® 84110"|"HB PORPHOBILINOGEN RANDOM URINE"|301.00|$114.00|$22.80|$80.71|$80.00||$52.10|$22.80|$80.71|$41.84|$53.24|$41.00|$64.41|$51.30|$39.00|$42.00|$44.00|$29.80|$26.55|$26.55
"CPT® 84120"|"HB PORPHYRINS FRACTIONATED 24 HOUR URINE"|301.00|$220.00|$39.00|$155.76|$154.00||$100.54|$44.00|$155.76|$80.74|$102.74|$41.00|$124.30|$99.00|$39.00|$42.00|$84.92|$57.51|$51.24|$51.24
"CPT® 82542"|"HB PORPHYRINS, TOTAL, PLASMA, CHROMATOGRAPHY"|301.00|$166.00|$33.20|$117.53|$116.00||$75.86|$33.20|$117.53|$60.92|$77.52|$41.00|$93.79|$74.70|$39.00|$42.00|$64.08|$43.39|$38.66|$38.66
"CPT® 84311"|"HB PORPHYRINS, TOTAL, PLASMA, SPECTROPHOTOMETRY"|301.00|$67.00|$13.40|$47.44|$47.00||$30.62|$13.40|$47.44|$24.59|$31.29|$41.00|$37.86|$30.15|$39.00|$42.00|$25.86|$17.51|$15.60|$15.60
"CPT® 84140"|"HB PREGNENOLONE LEVEL"|301.00|$456.00|$39.00|$322.85|$319.00||$208.39|$91.20|$322.85|$167.35|$212.95|$41.00|$257.64|$205.20|$39.00|$42.00|$176.02|$119.20|$106.20|$106.20
"CPT® 80188"|"HB PRIMIDONE LEVEL"|301.00|$61.00|$12.20|$43.19|$43.00||$27.88|$12.20|$43.19|$22.39|$28.49|$41.00|$34.47|$27.45|$39.00|$42.00|$23.55|$15.95|$14.21|$14.21
"CPT® 80192"|"HB PROCAINAMIDE/NAPA LEVEL"|301.00|$61.00|$12.20|$43.19|$43.00||$27.88|$12.20|$43.19|$22.39|$28.49|$30.50|$34.47|$27.45|$39.00|$42.00|$23.55|$15.95|$14.21|$14.21
"CPT® 84206"|"HB PROINSULIN"|301.00|$393.00|$39.00|$278.24|$275.00||$179.60|$78.60|$278.24|$144.23|$183.53|$41.00|$222.05|$176.85|$39.00|$42.00|$151.70|$102.73|$91.53|$91.53
"CPT® 80194"|"HB QUINIDINE LEVEL"|301.00|$68.00|$13.60|$48.14|$48.00||$31.08|$13.60|$48.14|$24.96|$31.76|$34.00|$38.42|$30.60|$39.00|$42.00|$26.25|$17.78|$15.84|$15.84
"CPT® 84244"|"HB RENIN ACTIVITY"|301.00|$107.00|$21.40|$75.76|$75.00||$48.90|$21.40|$75.76|$39.27|$49.97|$41.00|$60.46|$48.15|$39.00|$42.00|$41.30|$27.97|$24.92|$24.92
"CPT® 84255"|"HB SELENIUM LEVEL"|301.00|$175.00|$35.00|$123.90|$122.00||$79.98|$35.00|$123.90|$64.23|$81.73|$41.00|$98.88|$78.75|$39.00|$42.00|$67.55|$45.75|$40.76|$40.76
"CPT® 84305"|"HB SOMATOMEDIN C (INSULIN LIKE GROWTH FACTOR-I)"|301.00|$212.00|$39.00|$150.10|$148.00||$96.88|$42.40|$150.10|$77.80|$99.00|$41.00|$119.78|$95.40|$39.00|$42.00|$81.83|$55.42|$49.37|$49.37
"CPT® 82365"|"HB STONE ANALYSIS, NON-KIDNEY"|301.00|$166.00|$33.20|$117.53|$116.00||$75.86|$33.20|$117.53|$60.92|$77.52|$41.00|$93.79|$74.70|$39.00|$42.00|$64.08|$43.39|$38.66|$38.66
"CPT® 83080"|"HB TAY SACHS DISEASE SCREENING"|301.00|$341.00|$39.00|$241.43|$239.00||$155.84|$68.20|$241.43|$125.15|$159.25|$41.00|$192.67|$153.45|$39.00|$42.00|$131.63|$89.14|$79.42|$79.42
"CPT® 84403"|"HB TESTOSTERONE, TOTAL"|301.00|$153.00|$30.60|$108.32|$107.00||$69.92|$30.60|$108.32|$56.15|$71.45|$41.00|$86.45|$68.85|$39.00|$42.00|$59.06|$39.99|$35.63|$35.63
"CPT® 84402"|"HB TESTOSTERONE, FREE"|301.00|$182.00|$36.40|$128.86|$127.00||$83.17|$36.40|$128.86|$66.79|$84.99|$41.00|$102.83|$81.90|$39.00|$42.00|$70.25|$47.57|$42.39|$42.39
"CPT® 84430"|"HB THIOCYANATE LEVEL"|301.00|$124.00|$24.80|$87.79|$87.00||$56.67|$24.80|$87.79|$45.51|$57.91|$62.00|$70.06|$55.80|$39.00|$42.00|$47.86|$32.41|$28.88|$28.88
"CPT® 82657"|"HB THIOPURINE METHYLTRANSFERASE, RED BLOOD CELLS"|301.00|$967.00|$39.00|$684.64|$677.00||$441.92|$193.40|$684.64|$354.89|$451.59|$41.00|$546.36|$435.15|$39.00|$42.00|$373.26|$252.77|$225.21|$225.21
"CPT® 84445"|"HB THYROID STIMULATING IMMUNOGLOBULIN"|301.00|$284.00|$39.00|$201.07|$199.00||$129.79|$56.80|$201.07|$104.23|$132.63|$41.00|$160.46|$127.80|$39.00|$42.00|$109.62|$74.24|$66.14|$66.14
"CPT® 83519"|"HB THYROTROPIN BINDING INHIBITORY IMMUNOGLOBULIN"|301.00|$289.00|$39.00|$204.61|$202.00||$132.07|$57.80|$204.61|$106.06|$134.96|$41.00|$163.29|$130.05|$39.00|$42.00|$111.55|$75.54|$67.31|$67.31
"CPT® 84436"|"HB FREE THYROXINE INDEX, TOTAL THYROXINE"|301.00|$132.00|$26.40|$93.46|$92.00||$60.32|$26.40|$93.46|$48.44|$61.64|$41.00|$74.58|$59.40|$39.00|$42.00|$50.95|$34.50|$30.74|$30.74
"CPT® 84479"|"HB FREE THYROXINE INDEX, FREE THYROXINE"|301.00|$152.00|$30.40|$107.62|$106.00||$69.46|$30.40|$107.62|$55.78|$70.98|$41.00|$85.88|$68.40|$39.00|$42.00|$58.67|$39.73|$35.40|$35.40
"CPT® 83018"|"HB TITANIUM, PLASMA"|301.00|$233.00|$39.00|$164.96|$163.00||$106.48|$46.60|$164.96|$85.51|$108.81|$41.00|$131.65|$104.85|$39.00|$42.00|$89.94|$60.91|$54.27|$54.27
"CPT® 84482"|"HB TRIIODOTHYRONINE, REVERSE, T3"|301.00|$135.00|$27.00|$95.58|$94.00||$61.70|$27.00|$95.58|$49.55|$63.05|$41.00|$76.28|$60.75|$39.00|$42.00|$52.11|$35.29|$31.44|$31.44
"CPT® 84481"|"HB TRIIODOTHYRONINE, TOTAL AND FREE, T3 BY DIALYSIS"|301.00|$88.00|$17.60|$62.30|$62.00||$40.22|$17.60|$62.30|$32.30|$41.10|$41.00|$49.72|$39.60|$39.00|$42.00|$33.97|$23.00|$20.50|$20.50
"CPT® 84479"|"HB TRIIODOTHYRONINE, UPTAKE, T3"|301.00|$114.00|$22.80|$80.71|$80.00||$52.10|$22.80|$80.71|$41.84|$53.24|$41.00|$64.41|$51.30|$39.00|$42.00|$44.00|$29.80|$26.55|$26.55
"CPT® 84585"|"HB VANILLYMANDELIC ACID 24 HOUR URINE"|301.00|$69.00|$13.80|$48.85|$48.00||$31.53|$13.80|$48.85|$25.32|$32.22|$41.00|$38.99|$31.05|$39.00|$42.00|$26.63|$18.04|$16.07|$16.07
"CPT® 84586"|"HB VASOACTIVE INTESTINAL POLYPEPTIDE"|301.00|$239.00|$39.00|$169.21|$167.00||$109.22|$47.80|$169.21|$87.71|$111.61|$41.00|$135.04|$107.55|$39.00|$42.00|$92.25|$62.47|$55.66|$55.66
"CPT® 84590"|"HB VITAMIN A LEVEL"|301.00|$124.00|$24.80|$87.79|$87.00||$56.67|$24.80|$87.79|$45.51|$57.91|$41.00|$70.06|$55.80|$39.00|$42.00|$47.86|$32.41|$28.88|$28.88
"CPT® 84207"|"HB VITAMIN B6 LEVEL"|301.00|$240.00|$39.00|$169.92|$168.00||$109.68|$48.00|$169.92|$88.08|$112.08|$41.00|$135.60|$108.00|$39.00|$42.00|$92.64|$62.74|$55.90|$55.90
"CPT® 82652"|"HB VITAMIN D 1,25 DIHYDROXY (CALCIFIDOL) LEVEL"|301.00|$165.00|$33.00|$116.82|$115.00||$75.41|$33.00|$116.82|$60.56|$77.06|$41.00|$93.23|$74.25|$39.00|$42.00|$63.69|$43.13|$38.43|$38.43
"CPT® 84446"|"HB VITAMIN E (ALPHA-TOCOPHEROL) LEVEL"|301.00|$172.00|$34.40|$121.78|$120.00||$78.60|$34.40|$121.78|$63.12|$80.32|$41.00|$97.18|$77.40|$39.00|$42.00|$66.39|$44.96|$40.06|$40.06
"CPT® 84597"|"HB VITAMIN K LEVEL"|301.00|$728.00|$39.00|$515.42|$510.00||$332.70|$145.60|$515.42|$267.18|$339.98|$41.00|$411.32|$327.60|$39.00|$42.00|$281.01|$190.30|$169.55|$169.55
"CPT® 84630"|"HB ZINC LEVEL"|301.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 84630"|"HB ZINC, 24 HOUR URINE"|301.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 82570"|"HB CREATININE,URINE B"|301.00|$79.00|$15.80|$55.93|$55.00||$36.10|$15.80|$55.93|$28.99|$36.89|$41.00|$44.64|$35.55|$39.00|$42.00|$30.49|$20.65|$18.40|$18.40
"CPT® 82465"|"HB NMR LIPID PROFILE, CHOLESTEROL"|301.00|$128.00|$25.60|$90.62|$90.00||$58.50|$25.60|$90.62|$46.98|$59.78|$41.00|$72.32|$57.60|$39.00|$42.00|$49.41|$33.46|$29.81|$29.81
"CPT® 83704"|"HB NMR LIPID PROFILE, LIPOPROTEIN PARTICLE CLASSES"|301.00|$302.00|$39.00|$213.82|$211.00||$138.01|$60.40|$213.82|$110.83|$141.03|$41.00|$170.63|$135.90|$39.00|$42.00|$116.57|$78.94|$70.34|$70.34
"CPT® 83519"|"HB PARANEOPLASTIC-MAYO AB-RIA"|301.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 82785"|"HB RESPIRATORY ALLERGY PANEL, MIDWEST, IGE TOTAL"|301.00|$210.00|$39.00|$148.68|$147.00||$95.97|$42.00|$148.68|$77.07|$98.07|$41.00|$118.65|$94.50|$39.00|$42.00|$81.06|$54.89|$48.91|$48.91
"CPT® 82634"|"HB 11-DEOXYCORTISOL, LC/MS/MS"|301.00|$272.00|$39.00|$192.58|$190.00||$124.30|$54.40|$192.58|$99.82|$127.02|$41.00|$153.68|$122.40|$39.00|$42.00|$104.99|$71.10|$63.35|$63.35
"CPT® 82017"|"HB ACYLCARNITINES QUANT, PLASMA"|301.00|$694.00|$39.00|$491.35|$486.00||$317.16|$138.80|$491.35|$254.70|$324.10|$41.00|$392.11|$312.30|$39.00|$42.00|$267.88|$181.41|$161.63|$161.63
"CPT® 83520"|"HB ADIPONECTIN"|301.00|$921.00|$39.00|$652.07|$645.00||$420.90|$184.20|$652.07|$338.01|$430.11|$41.00|$520.37|$414.45|$39.00|$42.00|$355.51|$240.75|$214.50|$214.50
"CPT® 83520"|"HB ALPHA MELANOCYTE STIMULATING HORMONE"|301.00|$1486.00|$39.00|$1052.09|$1040.00||$679.10|$297.20|$1052.09|$545.36|$693.96|$41.00|$839.59|$668.70|$39.00|$42.00|$573.60|$388.44|$346.09|$346.09
"CPT® 82397"|"HB ALPHA SUBUNIT"|301.00|$556.00|$39.00|$393.65|$389.00||$254.09|$111.20|$393.65|$204.05|$259.65|$41.00|$314.14|$250.20|$39.00|$42.00|$214.62|$145.34|$129.49|$129.49
"HCPCS G0480"|"HB AMITRIPTYLINE"|301.00|$97.00|$19.40|$68.68|$68.00||$44.33|$19.40|$68.68|$35.60|$45.30|$48.50|$54.81|$43.65|$39.00|$42.00|$37.44|$25.36|$22.59|$22.59
"CPT® 82175"|"HB ARSENIC, BLOOD"|301.00|$286.00|$39.00|$202.49|$200.00||$130.70|$57.20|$202.49|$104.96|$133.56|$41.00|$161.59|$128.70|$39.00|$42.00|$110.40|$74.76|$66.61|$66.61
"CPT® 84600"|"HB BENZENE, BLOOD"|301.00|$421.00|$39.00|$298.07|$295.00||$192.40|$84.20|$298.07|$154.51|$196.61|$41.00|$237.87|$189.45|$39.00|$42.00|$162.51|$110.05|$98.05|$98.05
"HCPCS G0480"|"HB BENZODIAZEPINES, BLOOD"|301.00|$573.00|$39.00|$405.68|$401.00||$261.86|$114.60|$405.68|$210.29|$267.59|$286.50|$323.75|$257.85|$39.00|$42.00|$221.18|$149.78|$133.45|$133.45
"CPT® 81404"|"HB BETA-GLOBIN COMPLETE"|301.00|$2846.00|$39.00|$2014.97|$1992.00||$1300.62|$569.20|$2014.97|$1044.48|$1329.08|$41.00|$1607.99|$1280.70|$39.00|$42.00|$1098.56|$743.94|$662.83|$662.83
"CPT® 82542"|"HB BILE ACIDS, FRACTIONATED AND TOTAL,PREGNANCY"|301.00|$883.00|$39.00|$625.16|$618.00||$403.53|$176.60|$625.16|$324.06|$412.36|$41.00|$498.90|$397.35|$39.00|$42.00|$340.84|$230.82|$205.65|$205.65
"CPT® 82239"|"HB BILE ACIDS, TOTAL"|301.00|$217.00|$39.00|$153.64|$152.00||$99.17|$43.40|$153.64|$79.64|$101.34|$41.00|$122.61|$97.65|$39.00|$42.00|$83.76|$56.72|$50.54|$50.54
"CPT® 82480"|"HB CHOLINESTERASE,PLASMA"|301.00|$149.00|$29.80|$105.49|$104.00||$68.09|$29.80|$105.49|$54.68|$69.58|$41.00|$84.19|$67.05|$39.00|$42.00|$57.51|$38.95|$34.70|$34.70
"CPT® 82550"|"HB CREATINE KINASE, TOTAL"|301.00|$63.00|$12.60|$44.60|$44.00||$17.63|$12.60|$44.60|$23.12|$29.42|$41.00|$35.60|$28.35|$39.00|$42.00|$24.32|$16.47|$14.67|$14.67
"CPT® 82552"|"HB CREATINE KINASE ISOENZYMES"|301.00|$86.00|$17.20|$60.89|$60.00||$39.30|$17.20|$60.89|$31.56|$40.16|$41.00|$48.59|$38.70|$39.00|$42.00|$33.20|$22.48|$20.03|$20.03
"CPT® 80335"|"HB CLOMIPRAMINE (ANAFRANIL), SERUM"|301.00|$422.00|$39.00|$298.78|$295.00||$192.85|$84.40|$298.78|$154.87|$197.07|$41.00|$238.43|$189.90|$39.00|$42.00|$162.89|$110.31|$98.28|$98.28
"CPT® 80159"|"HB CLOZAPINE (CLOZARIL)"|301.00|$150.00|$30.00|$106.20|$105.00||$68.55|$30.00|$106.20|$55.05|$70.05|$41.00|$84.75|$67.50|$39.00|$42.00|$57.90|$39.21|$34.94|$34.94
"CPT® 82542"|"HB COENZYME Q10"|301.00|$390.00|$39.00|$276.12|$273.00||$178.23|$78.00|$276.12|$143.13|$182.13|$41.00|$220.35|$175.50|$39.00|$42.00|$150.54|$101.95|$90.83|$90.83
"CPT® 82530"|"HB CORTISOL, FREE"|301.00|$412.00|$39.00|$291.70|$288.00||$188.28|$82.40|$291.70|$151.20|$192.40|$41.00|$232.78|$185.40|$39.00|$42.00|$159.03|$107.70|$95.95|$95.95
"CPT® 82533"|"HB CORTISOL, TOTAL"|301.00|$402.00|$39.00|$284.62|$281.00||$183.71|$80.40|$284.62|$147.53|$187.73|$41.00|$227.13|$180.90|$39.00|$42.00|$155.17|$105.08|$93.63|$93.63
"CPT® 82542"|"HB CORTISONE, SERUM"|301.00|$892.00|$39.00|$631.54|$624.00||$407.64|$178.40|$631.54|$327.36|$416.56|$41.00|$503.98|$401.40|$39.00|$42.00|$344.31|$233.17|$207.75|$207.75
"CPT® 82540"|"HB CREATINE, SERUM"|301.00|$108.00|$21.60|$76.46|$76.00||$49.36|$21.60|$76.46|$39.64|$50.44|$41.00|$61.02|$48.60|$39.00|$42.00|$41.69|$28.23|$25.15|$25.15
"CPT® 82523"|"HB C-TELOPEPTIDE (CTX)"|301.00|$387.00|$39.00|$274.00|$271.00||$176.86|$77.40|$274.00|$142.03|$180.73|$41.00|$218.66|$174.15|$39.00|$42.00|$149.38|$101.16|$90.13|$90.13
"HCPCS G0480"|"HB DESIPRAMINE"|301.00|$504.00|$39.00|$356.83|$353.00||$230.33|$100.80|$356.83|$184.97|$235.37|$252.00|$284.76|$226.80|$39.00|$42.00|$194.54|$131.75|$117.38|$117.38
"CPT® 80307"|"HB DRUG ABUSE PANEL 10-50 WITH CONFIRMATION"|301.00|$172.00|$34.40|$121.78|$120.00||$78.60|$34.40|$121.78|$63.12|$80.32|$41.00|$97.18|$77.40|$39.00|$42.00|$66.39|$44.96|$40.06|$40.06
"CPT® 82670"|"HB ESTRADIOL, FREE LC/MS/MS"|301.00|$559.00|$39.00|$395.77|$391.00||$255.46|$111.80|$395.77|$205.15|$261.05|$41.00|$315.84|$251.55|$39.00|$42.00|$215.77|$146.12|$130.19|$130.19
"CPT® 82670"|"HB ESTRADIOL, ULTRASENSITIVE, PEDIATRIC LC/MS/MS"|301.00|$158.00|$31.60|$111.86|$111.00||$72.21|$31.60|$111.86|$57.99|$73.79|$41.00|$89.27|$71.10|$39.00|$42.00|$60.99|$41.30|$36.80|$36.80
"CPT® 82677"|"HB ESTRIOL,SERUM LC/MS/MS"|301.00|$258.00|$39.00|$182.66|$181.00||$117.91|$51.60|$182.66|$94.69|$120.49|$41.00|$145.77|$116.10|$39.00|$42.00|$99.59|$67.44|$60.09|$60.09
"CPT® 80168"|"HB ETHOSUXIMIDE"|301.00|$170.00|$34.00|$120.36|$119.00||$77.69|$34.00|$120.36|$62.39|$79.39|$41.00|$96.05|$76.50|$39.00|$42.00|$65.62|$44.44|$39.59|$39.59
"CPT® 80299"|"HB FLECAINIDE (TAMBOCOR)"|301.00|$201.00|$39.00|$142.31|$141.00||$91.86|$40.20|$142.31|$73.77|$93.87|$41.00|$113.57|$90.45|$39.00|$42.00|$77.59|$52.54|$46.81|$46.81
"HCPCS G0480"|"HB FLUNITRAZEPAM AND METABOLITES"|301.00|$1410.00|$39.00|$998.28|$987.00||$644.37|$282.00|$998.28|$517.47|$658.47|$705.00|$796.65|$634.50|$39.00|$42.00|$544.26|$368.57|$328.39|$328.39
"HCPCS G0480"|"HB FLUPHENAZINE"|301.00|$557.00|$39.00|$394.36|$390.00||$254.55|$111.40|$394.36|$204.42|$260.12|$278.50|$314.71|$250.65|$39.00|$42.00|$215.00|$145.60|$129.73|$129.73
"CPT® 80307"|"HB GAMMA-HYDROXYBUTYRIC ACID SCREEN"|301.00|$1137.00|$39.00|$805.00|$796.00||$519.61|$227.40|$805.00|$417.28|$530.98|$41.00|$642.41|$511.65|$39.00|$42.00|$438.88|$297.21|$264.81|$264.81
"CPT® 84378"|"HB GLYCOMARK"|301.00|$318.00|$39.00|$225.14|$223.00||$145.33|$63.60|$225.14|$116.71|$148.51|$41.00|$179.67|$143.10|$39.00|$42.00|$122.75|$83.13|$74.06|$74.06
"CPT® 83088"|"HB HISTAMINE, PLASMA"|301.00|$436.00|$39.00|$308.69|$305.00||$199.25|$87.20|$308.69|$160.01|$203.61|$41.00|$246.34|$196.20|$39.00|$42.00|$168.30|$113.97|$101.54|$101.54
"CPT® 82784"|"HB GAMMAGLOBULIN, IGA"|301.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 82787"|"HB IGA SUBCLASSES 1 AND 2"|301.00|$127.00|$25.40|$89.92|$89.00||$58.04|$25.40|$89.92|$46.61|$59.31|$41.00|$71.76|$57.15|$39.00|$42.00|$49.02|$33.20|$29.58|$29.58
"CPT® 82397"|"HB IGF BINDING PROTEIN-3"|301.00|$259.00|$39.00|$183.37|$181.00||$118.36|$51.80|$183.37|$95.05|$120.95|$41.00|$146.34|$116.55|$39.00|$42.00|$99.97|$67.70|$60.32|$60.32
"HCPCS G0480"|"HB IMIPRAMINE (TOFRANIL)"|301.00|$201.00|$39.00|$142.31|$141.00||$91.86|$40.20|$142.31|$73.77|$93.87|$100.50|$113.57|$90.45|$39.00|$42.00|$77.59|$52.54|$46.81|$46.81
"CPT® 82784"|"HB GAMMAGLOBULIN, IGG"|301.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 83789"|"HB IODINE, PLASMA/SERUM"|301.00|$578.00|$39.00|$409.22|$405.00||$264.15|$115.60|$409.22|$212.13|$269.93|$41.00|$326.57|$260.10|$39.00|$42.00|$223.11|$151.09|$134.62|$134.62
"CPT® 82397"|"HB LEPTIN"|301.00|$484.00|$39.00|$342.67|$339.00||$221.19|$96.80|$342.67|$177.63|$226.03|$41.00|$273.46|$217.80|$39.00|$42.00|$186.82|$126.52|$112.72|$112.72
"CPT® 83516"|"HB MITOCHONDRIA ANTIBODY (M2), IGG"|301.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"HCPCS G0480"|"HB NICOTINE AND COTININE LC/MS/MS"|301.00|$373.00|$39.00|$264.08|$261.00||$170.46|$74.60|$264.08|$136.89|$174.19|$186.50|$210.75|$167.85|$39.00|$42.00|$143.98|$97.50|$86.87|$86.87
"CPT® 80299"|"HB PREGABALIN(LYRICA)"|301.00|$940.00|$39.00|$665.52|$658.00||$429.58|$188.00|$665.52|$344.98|$438.98|$41.00|$531.10|$423.00|$39.00|$42.00|$362.84|$245.72|$218.93|$218.93
"CPT® 84146"|"HB PROLACTIN, TOTAL AND MONOMERIC"|301.00|$331.00|$39.00|$234.35|$232.00||$151.27|$66.20|$234.35|$121.48|$154.58|$41.00|$187.02|$148.95|$39.00|$42.00|$127.77|$86.52|$77.09|$77.09
"CPT® 84150"|"HB PROSTAGLANDIN E2"|301.00|$1486.00|$39.00|$1052.09|$1040.00||$679.10|$297.20|$1052.09|$545.36|$693.96|$41.00|$839.59|$668.70|$39.00|$42.00|$573.60|$388.44|$346.09|$346.09
"HCPCS G0480"|"HB RISPERIDONE"|301.00|$886.00|$39.00|$627.29|$620.00||$404.90|$177.20|$627.29|$325.16|$413.76|$443.00|$500.59|$398.70|$39.00|$42.00|$342.00|$231.60|$206.35|$206.35
"CPT® 84260"|"HB SEROTONIN, WHOLE BLOOD"|301.00|$314.00|$39.00|$222.31|$220.00||$143.50|$62.80|$222.31|$115.24|$146.64|$41.00|$177.41|$141.30|$39.00|$42.00|$121.20|$82.08|$73.13|$73.13
"CPT® 84238"|"HB SOLUBLE TRANSFERRIN RECEPTOR"|301.00|$864.00|$39.00|$611.71|$605.00||$394.85|$172.80|$611.71|$317.09|$403.49|$41.00|$488.16|$388.80|$39.00|$42.00|$333.50|$225.85|$201.23|$201.23
"CPT® 84439"|"HB THYROXINE, FREE, DIRECT DIALYSIS"|301.00|$138.00|$24.41|$97.70|$97.00||$24.41|$27.60|$97.70|$50.65|$64.45|$41.00|$77.97|$62.10|$39.00|$42.00|$53.27|$36.07|$32.14|$32.14
"CPT® 84442"|"HB THYROXINE BINDING GLOBULIN"|301.00|$183.00|$36.60|$129.56|$128.00||$83.63|$36.60|$129.56|$67.16|$85.46|$41.00|$103.40|$82.35|$39.00|$42.00|$70.64|$47.84|$42.62|$42.62
"CPT® 83519"|"HB TSH ANTIBODY"|301.00|$813.00|$39.00|$575.60|$569.00||$371.54|$162.60|$575.60|$298.37|$379.67|$41.00|$459.35|$365.85|$39.00|$42.00|$313.82|$212.52|$189.35|$189.35
"CPT® 83520"|"HB VASCULAR ENDOTHELIAL GROWTH FACTOR ,PLASMA"|301.00|$1013.00|$39.00|$717.20|$709.00||$462.94|$202.60|$717.20|$371.77|$473.07|$41.00|$572.35|$455.85|$39.00|$42.00|$391.02|$264.80|$235.93|$235.93
"CPT® 84252"|"HB VITAMIN B2"|301.00|$319.00|$39.00|$225.85|$223.00||$145.78|$63.80|$225.85|$117.07|$148.97|$41.00|$180.24|$143.55|$39.00|$42.00|$123.13|$83.39|$74.30|$74.30
"CPT® 84591"|"HB VITAMIN B3"|301.00|$1159.00|$39.00|$820.57|$811.00||$529.66|$231.80|$820.57|$425.35|$541.25|$41.00|$654.84|$521.55|$39.00|$42.00|$447.37|$302.96|$269.93|$269.93
"CPT® 84591"|"HB VITAMIN B7"|301.00|$847.00|$39.00|$599.68|$593.00||$387.08|$169.40|$599.68|$310.85|$395.55|$41.00|$478.56|$381.15|$39.00|$42.00|$326.94|$221.41|$197.27|$197.27
"CPT® 80203"|"HB ZONISAMIDE LEVEL"|301.00|$355.00|$39.00|$251.34|$248.00||$162.24|$71.00|$251.34|$130.29|$165.79|$41.00|$200.58|$159.75|$39.00|$42.00|$137.03|$92.80|$82.68|$82.68
"CPT® 84702"|"HB FIRST SCREEN- FIRST TRIMESTER, HCG"|301.00|$152.00|$30.40|$107.62|$106.00||$69.46|$30.40|$107.62|$55.78|$70.98|$41.00|$85.88|$68.40|$39.00|$42.00|$58.67|$39.73|$35.40|$35.40
"CPT® 84163"|"HB FIRST SCREEN- FIRST TRIMESTER, PAPP-A"|301.00|$156.00|$31.20|$110.45|$109.00||$71.29|$31.20|$110.45|$57.25|$72.85|$41.00|$88.14|$70.20|$39.00|$42.00|$60.22|$40.78|$36.33|$36.33
"CPT® 83993"|"HB CALPROTECTIN, FECAL"|301.00|$1546.00|$39.00|$1094.57|$1082.00||$706.52|$309.20|$1094.57|$567.38|$721.98|$41.00|$873.49|$695.70|$39.00|$42.00|$596.76|$404.12|$360.06|$360.06
"CPT® 82525"|"HB COPPER, RBC"|301.00|$250.00|$39.00|$177.00|$175.00||$114.25|$50.00|$177.00|$91.75|$116.75|$41.00|$141.25|$112.50|$39.00|$42.00|$96.50|$65.35|$58.23|$58.23
"HCPCS G0480"|"HB DIHYDROTESTOSTERONE"|301.00|$476.00|$39.00|$337.01|$333.00||$217.53|$95.20|$337.01|$174.69|$222.29|$238.00|$268.94|$214.20|$39.00|$42.00|$183.74|$124.43|$110.86|$110.86
"CPT® 82670"|"HB ESTROGEN, FRACTIONATED, ESTRADIOL"|301.00|$503.00|$39.00|$356.12|$352.00||$229.87|$100.60|$356.12|$184.60|$234.90|$41.00|$284.20|$226.35|$39.00|$42.00|$194.16|$131.48|$117.15|$117.15
"CPT® 82677"|"HB ESTROGEN, FRACTIONATED, ESTRIOL"|301.00|$495.00|$39.00|$350.46|$346.00||$226.22|$99.00|$350.46|$181.67|$231.17|$41.00|$279.68|$222.75|$39.00|$42.00|$191.07|$129.39|$115.29|$115.29
"CPT® 82679"|"HB ESTROGEN, FRACTIONATED, ESTRONE"|301.00|$496.00|$39.00|$351.17|$347.00||$226.67|$99.20|$351.17|$182.03|$231.63|$41.00|$280.24|$223.20|$39.00|$42.00|$191.46|$129.65|$115.52|$115.52
"CPT® 82705"|"HB FECAL FAT LIPID, QUALITATIVE"|301.00|$295.00|$39.00|$208.86|$206.00||$134.82|$59.00|$208.86|$108.27|$137.77|$41.00|$166.68|$132.75|$39.00|$42.00|$113.87|$77.11|$68.71|$68.71
"HCPCS G0480"|"HB FELBAMATE (FELBATOL)"|301.00|$678.00|$39.00|$480.02|$475.00||$309.85|$135.60|$480.02|$248.83|$316.63|$339.00|$383.07|$305.10|$39.00|$42.00|$261.71|$177.23|$157.91|$157.91
"CPT® 80171"|"HB GABAPENTIN LEVEL"|301.00|$377.00|$39.00|$266.92|$264.00||$172.29|$75.40|$266.92|$138.36|$176.06|$41.00|$213.01|$169.65|$39.00|$42.00|$145.52|$98.55|$87.80|$87.80
"CPT® 83655"|"HB LEAD, WHOLE BLOOD, OSHA"|301.00|$227.00|$39.00|$160.72|$159.00||$103.74|$45.40|$160.72|$83.31|$106.01|$41.00|$128.26|$102.15|$39.00|$42.00|$87.62|$59.34|$52.87|$52.87
"CPT® 84270"|"HB TESTOSTERONE BIO/SHBG, SHBG"|301.00|$150.00|$30.00|$106.20|$105.00||$68.55|$30.00|$106.20|$55.05|$70.05|$41.00|$84.75|$67.50|$39.00|$42.00|$57.90|$39.21|$34.94|$34.94
"CPT® 84402"|"HB TESTOSTERONE BIO/SHBG, TESTOSTERONE, FREE"|301.00|$168.00|$33.60|$118.94|$118.00||$76.78|$33.60|$118.94|$61.66|$78.46|$41.00|$94.92|$75.60|$39.00|$42.00|$64.85|$43.92|$39.13|$39.13
"CPT® 84403"|"HB TESTOSTERONE BIO/SHBG, TESTOSTERONE, TOTAL"|301.00|$170.00|$34.00|$120.36|$119.00||$77.69|$34.00|$120.36|$62.39|$79.39|$41.00|$96.05|$76.50|$39.00|$42.00|$65.62|$44.44|$39.59|$39.59
"CPT® 84402"|"HB TESTOSTERONE, FREE"|301.00|$220.00|$39.00|$155.76|$154.00||$100.54|$44.00|$155.76|$80.74|$102.74|$41.00|$124.30|$99.00|$39.00|$42.00|$84.92|$57.51|$51.24|$51.24
"CPT® 82040"|"HB TESTOSTERONE, FREE, BIO & TOTAL, ALBUMIN"|301.00|$68.00|$13.60|$48.14|$48.00||$31.08|$13.60|$48.14|$24.96|$31.76|$41.00|$38.42|$30.60|$39.00|$42.00|$26.25|$17.78|$15.84|$15.84
"CPT® 84270"|"HB TESTOSTERONE, FREE, BIO & TOTAL, SHBG"|301.00|$150.00|$30.00|$106.20|$105.00||$68.55|$30.00|$106.20|$55.05|$70.05|$41.00|$84.75|$67.50|$39.00|$42.00|$57.90|$39.21|$34.94|$34.94
"CPT® 84403"|"HB TESTOSTERONE, FREE, BIO & TOTAL, TESTOSTERONE, TOTAL"|301.00|$170.00|$34.00|$120.36|$119.00||$77.69|$34.00|$120.36|$62.39|$79.39|$41.00|$96.05|$76.50|$39.00|$42.00|$65.62|$44.44|$39.59|$39.59
"CPT® 84403"|"HB TESTOSTERONE, TOTAL, ALL AGES"|301.00|$250.00|$39.00|$177.00|$175.00||$114.25|$50.00|$177.00|$91.75|$116.75|$41.00|$141.25|$112.50|$39.00|$42.00|$96.50|$65.35|$58.23|$58.23
"CPT® 82306"|"HB VITAMIN D3, 25-HYDROXY TOTAL"|301.00|$218.00|$39.00|$154.34|$153.00||$99.63|$43.60|$154.34|$80.01|$101.81|$41.00|$123.17|$98.10|$39.00|$42.00|$84.15|$56.99|$50.77|$50.77
"CPT® 84202"|"HB ZINC PROTOPORPHYRIN"|301.00|$261.00|$39.00|$184.79|$183.00||$119.28|$52.20|$184.79|$95.79|$121.89|$41.00|$147.47|$117.45|$39.00|$42.00|$100.75|$68.23|$60.79|$60.79
"CPT® 84630"|"HB ZINC, RBC"|301.00|$290.00|$39.00|$205.32|$203.00||$132.53|$58.00|$205.32|$106.43|$135.43|$41.00|$163.85|$130.50|$39.00|$42.00|$111.94|$75.81|$67.54|$67.54
"CPT® 80145"|"HB ADALIMUMAB LEVEL"|301.00|$738.00|$39.00|$522.50|$517.00||$337.27|$147.60|$522.50|$270.85|$344.65|$41.00|$416.97|$332.10|$39.00|$42.00|$284.87|$192.91|$171.88|$171.88
"CPT® 82397"|"HB ADALIMUMAB AB (SERIAL), CHEMILUMINESCENT"|301.00|$691.00|$39.00|$489.23|$484.00||$315.79|$138.20|$489.23|$253.60|$322.70|$41.00|$390.42|$310.95|$39.00|$42.00|$266.73|$180.63|$160.93|$160.93
"CPT® 80353"|"HB TOXASSURE PROFILE, COCAINE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$23.00|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80354"|"HB TOXASSURE PROFILE, FENTANYL"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$23.00|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80355"|"HB TOXASSURE PROFILE, GABAPENTIN"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80357"|"HB TOXASSURE PROFILE, KETAMINE & NORKETAMINE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80358"|"HB TOXASSURE PROFILE, METHADONE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$23.00|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80359"|"HB TOXASSURE PROFILE, MDA, MDEA, MDMA"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$23.00|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80360"|"HB TOXASSURE PROFILE, METHYLPHENIDATE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$23.00|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80364"|"HB TOXASSURE PROFILE, OPIOIDS, 5 OR MORE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80365"|"HB TOXASSURE PROFILE, OXYCODONE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$23.00|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80366"|"HB TOXASSURE PROFILE, PREGABALIN"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80367"|"HB TOXASSURE PROFILE, PROPOXYPHENE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80368"|"HB TOXASSURE PROFILE, SEDATIVE HYPNOTICS"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$23.00|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80361"|"HB TOXASSURE PROFILE, OPIATES, 1 OR MORE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$23.00|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80370"|"HB TOXASSURE PROFILE, MUSCLE RELAXANTS, 3 OR MORE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80371"|"HB TOXASSURE PROFILE, STIMULANTS, SYNTHETIC"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80372"|"HB TOXASSURE PROFILE, TAPENTADOL"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$23.00|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80373"|"HB TOXASSURE PROFILE, TRAMADOL"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$23.00|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80377"|"HB TOXASSURE PROFILE, DRUGS, NOS, 7 OR MORE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$23.00|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 83992"|"HB TOXASSURE PROFILE, PHENCYCLIDENE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 83698"|"HB CARDIO IQ LP-PLA2 ACTIVITY"|301.00|$429.00|$39.00|$303.73|$300.00||$196.05|$85.80|$303.73|$157.44|$200.34|$41.00|$242.39|$193.05|$39.00|$42.00|$165.59|$112.14|$99.91|$99.91
"HCPCS G0480"|"HB IBUPROFEN"|301.00|$698.00|$39.00|$494.18|$489.00||$318.99|$139.60|$494.18|$256.17|$325.97|$349.00|$394.37|$314.10|$39.00|$42.00|$269.43|$182.46|$162.56|$162.56
"CPT® 83986"|"HB PH, PERICARDIAL FLUID"|301.00|$307.00|$39.00|$217.36|$215.00||$140.30|$61.40|$217.36|$112.67|$143.37|$41.00|$173.46|$138.15|$39.00|$42.00|$118.50|$80.25|$71.50|$71.50
"CPT® 84157"|"HB PROTEIN, TOTAL PERICARDIAL FLUID"|301.00|$181.00|$36.20|$128.15|$127.00||$82.72|$36.20|$128.15|$66.43|$84.53|$41.00|$102.27|$81.45|$39.00|$42.00|$69.87|$47.31|$42.15|$42.15
"CPT® 84157"|"HB PROTEIN, TOTAL, SYNOVIAL FLUID"|301.00|$200.00|$39.00|$141.60|$140.00||$91.40|$40.00|$141.60|$73.40|$93.40|$41.00|$113.00|$90.00|$39.00|$42.00|$77.20|$52.28|$46.58|$46.58
"CPT® 80324"|"HB TOXASSURE PROFILE, AMPHETAMINES, 1 OR 2"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$23.00|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 83519"|"HB IGF BINDING PROTEIN-3 (Q)"|301.00|$96.00|$19.20|$67.97|$67.00||$43.87|$19.20|$67.97|$35.23|$44.83|$41.00|$54.24|$43.20|$39.00|$42.00|$37.06|$25.09|$22.36|$22.36
"CPT® 83883"|"HB LIGHT CHAINS, KAPPA/LAMBDA, URINE RANDOM"|301.00|$143.00|$28.60|$101.24|$100.00||$65.35|$28.60|$101.24|$52.48|$66.78|$41.00|$80.80|$64.35|$39.00|$42.00|$55.20|$37.38|$33.30|$33.30
"CPT® 83520"|"HB MMP-9 (MATRIX METALLOPROTEINASE-9)"|301.00|$171.00|$34.20|$121.07|$120.00||$78.15|$34.20|$121.07|$62.76|$79.86|$41.00|$96.62|$76.95|$39.00|$42.00|$66.01|$44.70|$39.83|$39.83
"CPT® 84425"|"HB VITAMIN B1, WHOLE BLOOD"|301.00|$61.00|$12.20|$43.19|$43.00||$27.88|$12.20|$43.19|$22.39|$28.49|$41.00|$34.47|$27.45|$39.00|$42.00|$23.55|$15.95|$14.21|$14.21
"CPT® 80307"|"HB MECONIUM-MECSTAT 7"|301.00|$309.00|$39.00|$218.77|$216.00||$141.21|$61.80|$218.77|$113.40|$144.30|$41.00|$174.59|$139.05|$39.00|$42.00|$119.27|$80.77|$71.97|$71.97
"CPT® 80307"|"HB MECONIUM-MECSTAT 9"|301.00|$396.00|$39.00|$280.37|$277.00||$180.97|$79.20|$280.37|$145.33|$184.93|$41.00|$223.74|$178.20|$39.00|$42.00|$152.86|$103.51|$92.23|$92.23
"CPT® 82013"|"HB ACETYLCHOLINESTERASE, AMNIOTIC FLUID (IG)"|301.00|$762.00|$39.00|$539.50|$533.00||$348.23|$152.40|$539.50|$279.65|$355.85|$41.00|$430.53|$342.90|$39.00|$42.00|$294.13|$199.19|$177.47|$177.47
"CPT® 82013"|"HB ALPHA-FETOPROTEIN, AMNIOTIC FLUID, ACHE (IG)"|301.00|$621.00|$39.00|$439.67|$435.00||$283.80|$124.20|$439.67|$227.91|$290.01|$41.00|$350.87|$279.45|$39.00|$42.00|$239.71|$162.33|$144.63|$144.63
"CPT® 82106"|"HB ALPHA-FETOPROTEIN, AMNIOTIC FLUID, AFP (IG)"|301.00|$912.00|$39.00|$645.70|$638.00||$416.78|$182.40|$645.70|$334.70|$425.90|$41.00|$515.28|$410.40|$39.00|$42.00|$352.03|$238.40|$212.40|$212.40
"CPT® 83520"|"HB ADAMTS13 EVALUATION, ANTIBODY (REFLEX)"|301.00|$1567.00|$39.00|$1109.44|$1097.00||$716.12|$313.40|$1109.44|$575.09|$731.79|$41.00|$885.36|$705.15|$39.00|$42.00|$604.86|$409.61|$364.95|$364.95
"HCPCS G0480"|"HB CLOBAZAM LEVEL"|301.00|$464.00|$39.00|$328.51|$325.00||$212.05|$92.80|$328.51|$170.29|$216.69|$232.00|$262.16|$208.80|$39.00|$42.00|$179.10|$121.29|$108.07|$108.07
"CPT® 83519"|"HB NEOCOMPLETE PARANEOPLASTIC W/ RECOMBX, RIA QNT"|301.00|$597.00|$39.00|$422.68|$418.00||$272.83|$119.40|$422.68|$219.10|$278.80|$41.00|$337.31|$268.65|$39.00|$42.00|$230.44|$156.06|$139.04|$139.04
"CPT® 83520"|"HB NEOCOMPLETE PARANEOPLASTIC W/ RECOMBX, IA, QUANT, NOS"|301.00|$561.00|$39.00|$397.19|$393.00||$256.38|$112.20|$397.19|$205.89|$261.99|$41.00|$316.97|$252.45|$39.00|$42.00|$216.55|$146.65|$130.66|$130.66
"CPT® 83520"|"HB CROHN'S PROGNOSTIC, IMMUNOASSAY, ANALYTE, NOS"|301.00|$164.00|$32.80|$116.11|$115.00||$74.95|$32.80|$116.11|$60.19|$76.59|$41.00|$92.66|$73.80|$39.00|$42.00|$63.30|$42.87|$38.20|$38.20
"HCPCS G0481"|"HB TOXASSURE PROFILE, DRUG TESTS, DEFINITIVE, 8-14"|301.00|$588.00|$39.00|$416.30|$412.00||$268.72|$117.60|$416.30|$215.80|$274.60|$294.00|$332.22|$264.60|$39.00|$42.00|$226.97|$153.70|$136.95|$136.95
"HCPCS G0483"|"HB TOXASSURE PROFILE, DRUG TESTS, DEFINITIVE, 22 OR MORE"|301.00|$231.00|$39.00|$163.55|$162.00||$105.57|$46.20|$163.55|$84.78|$107.88|$115.50|$130.52|$103.95|$39.00|$42.00|$89.17|$60.38|$53.80|$53.80
"CPT® 82962"|"HB BEDSIDE GLUCOSE TEST"|301.00|$50.00|$10.00|$42.00|$35.00||$22.85|$10.00|$35.40|$18.35|$23.35|$41.00|$28.25|$22.50|$39.00|$42.00|$19.30|$13.07|$11.65|$11.65
"CPT® 82565"|"HB CREATININE, POINT-OF-CARE"|301.00|$91.00|$18.20|$64.43|$64.00||$41.59|$18.20|$64.43|$33.40|$42.50|$41.00|$51.42|$40.95|$39.00|$42.00|$35.13|$23.79|$21.19|$21.19
"CPT® 82565"|"HB CREATININE, POINT-OF-CARE (MOD 59)"|301.00|$91.00|$18.20|$64.43|$64.00||$41.59|$18.20|$64.43|$33.40|$42.50|$41.00|$51.42|$40.95|$39.00|$42.00|$35.13|$23.79|$21.19|$21.19
"CPT® 82810"|"HB OXYHEMOGLOBIN, AVOXIMETER (POC)"|301.00|$52.00|$10.40|$42.00|$36.00||$23.76|$10.40|$36.82|$19.08|$24.28|$41.00|$29.38|$23.40|$39.00|$42.00|$20.07|$13.59|$12.11|$12.11
"CPT® 83930"|"HB ANTIDIURETIC HORMONE PROFILE, OSMOLALITY"|301.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 84588"|"HB ANTIDIURETIC HORMONE PROFILE, VASOPRESSIN"|301.00|$270.00|$39.00|$191.16|$189.00||$123.39|$54.00|$191.16|$99.09|$126.09|$41.00|$152.55|$121.50|$39.00|$42.00|$104.22|$70.58|$62.88|$62.88
"CPT® 82373"|"HB CARBOHYDRATE DEFICIENT TRANSFERRIN (CDT)"|301.00|$181.00|$36.20|$128.15|$127.00||$82.72|$36.20|$128.15|$66.43|$84.53|$41.00|$102.27|$81.45|$39.00|$42.00|$69.87|$47.31|$42.15|$42.15
"CPT® 82379"|"HB CARNITINE, FREE AND TOTAL"|301.00|$251.00|$39.00|$177.71|$176.00||$114.71|$50.20|$177.71|$92.12|$117.22|$41.00|$141.82|$112.95|$39.00|$42.00|$96.89|$65.61|$58.46|$58.46
"CPT® 82172"|"HB HCV FIBROSPECT, APOLIPOPROTEIN"|301.00|$278.00|$39.00|$196.82|$195.00||$127.05|$55.60|$196.82|$102.03|$129.83|$41.00|$157.07|$125.10|$39.00|$42.00|$107.31|$72.67|$64.75|$64.75
"CPT® 82247"|"HB HCV FIBROSPECT, BILIRUBIN"|301.00|$99.00|$19.80|$70.09|$69.00||$45.24|$19.80|$70.09|$36.33|$46.23|$41.00|$55.94|$44.55|$39.00|$42.00|$38.21|$25.88|$23.06|$23.06
"CPT® 82977"|"HB HCV FIBROSPECT, GAMMA GLUTAMYLTRANSFERASE"|301.00|$257.00|$39.00|$181.96|$180.00||$117.45|$51.40|$181.96|$94.32|$120.02|$41.00|$145.21|$115.65|$39.00|$42.00|$99.20|$67.18|$59.86|$59.86
"CPT® 83010"|"HB HCV FIBROSPECT, HAPTOGLOBIN"|301.00|$228.00|$39.00|$161.42|$160.00||$104.20|$45.60|$161.42|$83.68|$106.48|$41.00|$128.82|$102.60|$39.00|$42.00|$88.01|$59.60|$53.10|$53.10
"CPT® 83883"|"HB HCV FIBROSPECT, NEPHELOMETRY EACH ANALYTE"|301.00|$246.00|$39.00|$174.17|$172.00||$112.42|$49.20|$174.17|$90.28|$114.88|$41.00|$138.99|$110.70|$39.00|$42.00|$94.96|$64.30|$57.29|$57.29
"CPT® 84460"|"HB HCV FIBROSPECT, ALT (AST)"|301.00|$104.00|$20.80|$73.63|$73.00||$47.53|$20.80|$73.63|$38.17|$48.57|$41.00|$58.76|$46.80|$39.00|$42.00|$40.14|$27.19|$24.22|$24.22
"CPT® 83527"|"HB INSULIN, FREE"|301.00|$90.00|$18.00|$63.72|$63.00||$41.13|$18.00|$63.72|$33.03|$42.03|$41.00|$50.85|$40.50|$39.00|$42.00|$34.74|$23.53|$20.96|$20.96
"CPT® 83525"|"HB INSULIN, TOTAL"|301.00|$84.00|$16.80|$59.47|$59.00||$38.39|$16.80|$59.47|$30.83|$39.23|$41.00|$47.46|$37.80|$39.00|$42.00|$32.42|$21.96|$19.56|$19.56
"CPT® 83700"|"HB LIPOPROTEIN PHENOTYPE, ELECTROPHORESIS"|301.00|$79.00|$15.80|$55.93|$55.00||$36.10|$15.80|$55.93|$28.99|$36.89|$41.00|$44.64|$35.55|$39.00|$42.00|$30.49|$20.65|$18.40|$18.40
"CPT® 80061"|"HB LIPOPROTEIN PHENOTYPE, LIPID PANEL"|301.00|$210.00|$36.28|$148.68|$147.00||$36.28|$42.00|$148.68|$77.07|$98.07|$41.00|$118.65|$94.50|$39.00|$42.00|$81.06|$54.89|$48.91|$48.91
"CPT® 83519"|"HB MELANOCYTE STIMULATING HORMONE"|301.00|$318.00|$39.00|$225.14|$223.00||$145.33|$63.60|$225.14|$116.71|$148.51|$41.00|$179.67|$143.10|$39.00|$42.00|$122.75|$83.13|$74.06|$74.06
"CPT® 82441"|"HB PCB, ARACHLORS"|301.00|$346.00|$39.00|$244.97|$242.00||$158.12|$69.20|$244.97|$126.98|$161.58|$173.00|$195.49|$155.70|$39.00|$42.00|$133.56|$90.44|$80.58|$80.58
"CPT® 84202"|"HB PROTOPORPHYRINS, FREE RBC AND ZINC"|301.00|$138.00|$27.60|$97.70|$97.00||$63.07|$27.60|$97.70|$50.65|$64.45|$41.00|$77.97|$62.10|$39.00|$42.00|$53.27|$36.07|$32.14|$32.14
"CPT® 84410"|"HB TESTOSTERONE FREE/WEAK"|301.00|$295.00|$39.00|$208.86|$206.00||$134.82|$59.00|$208.86|$108.27|$137.77|$41.00|$166.68|$132.75|$39.00|$42.00|$113.87|$77.11|$68.71|$68.71
"CPT® 84403"|"HB TESTOSTERONE, FREE (LC)"|301.00|$93.00|$18.60|$65.84|$65.00||$42.50|$18.60|$65.84|$34.13|$43.43|$41.00|$52.55|$41.85|$39.00|$42.00|$35.90|$24.31|$21.66|$21.66
"CPT® 84402"|"HB TESTOSTERONE, TOTAL (LC)"|301.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 83080"|"HB ASHKENAZI JEWISH CARRIER, B-HEXOSAMINIDASE"|301.00|$330.00|$39.00|$233.64|$231.00||$150.81|$66.00|$233.64|$121.11|$154.11|$41.00|$186.45|$148.50|$39.00|$42.00|$127.38|$86.26|$76.86|$76.86
"CPT® 83519"|"HB ADRENAL 21-HYDROXYLASE AUTOANTIBODIES"|301.00|$334.00|$39.00|$236.47|$234.00||$152.64|$66.80|$236.47|$122.58|$155.98|$41.00|$188.71|$150.30|$39.00|$42.00|$128.92|$87.31|$77.79|$77.79
"CPT® 83520"|"HB IGF BINDING PROTEIN-3"|301.00|$166.00|$33.20|$117.53|$116.00||$75.86|$33.20|$117.53|$60.92|$77.52|$41.00|$93.79|$74.70|$39.00|$42.00|$64.08|$43.39|$38.66|$38.66
"CPT® 82785"|"HB IMMUNOGLOBULINS, TOTAL, IGE"|301.00|$112.00|$22.40|$79.30|$78.00||$51.18|$22.40|$79.30|$41.10|$52.30|$41.00|$63.28|$50.40|$39.00|$42.00|$43.23|$29.28|$26.08|$26.08
"CPT® 83516"|"HB TISSUE TRANSGLUTAMINASE AB IGG"|301.00|$183.00|$36.60|$129.56|$128.00||$83.63|$36.60|$129.56|$67.16|$85.46|$41.00|$103.40|$82.35|$39.00|$42.00|$70.64|$47.84|$42.62|$42.62
"CPT® 82785"|"HB IGE, TOTAL (LC)"|301.00|$39.00|$7.80|$39.00|$27.00||$17.82|$7.80|$27.61|$14.31|$18.21|$39.00|$22.04|$17.55|$39.00|$39.00|$15.05|$10.19|$9.08|$9.08
"CPT® 82139"|"HB AMINO ACID ANALYSIS, QUANTITATIVE"|301.00|$602.00|$39.00|$426.22|$421.00||$275.11|$120.40|$426.22|$220.93|$281.13|$41.00|$340.13|$270.90|$39.00|$42.00|$232.37|$157.36|$140.21|$140.21
"CPT® 84311"|"HB ARYLSULFATASE A"|301.00|$436.00|$39.00|$308.69|$305.00||$199.25|$87.20|$308.69|$160.01|$203.61|$41.00|$246.34|$196.20|$39.00|$42.00|$168.30|$113.97|$101.54|$101.54
"CPT® 84600"|"HB BENZENE PANEL, VOLATILES"|301.00|$532.00|$39.00|$376.66|$372.00||$243.12|$106.40|$376.66|$195.24|$248.44|$41.00|$300.58|$239.40|$39.00|$42.00|$205.35|$139.06|$123.90|$123.90
"HCPCS G0480"|"HB BUPRENORPHINE LEVEL, QUANT, URINE"|301.00|$460.00|$39.00|$325.68|$322.00||$210.22|$92.00|$325.68|$168.82|$214.82|$230.00|$259.90|$207.00|$39.00|$42.00|$177.56|$120.24|$107.13|$107.13
"CPT® 82495"|"HB CHROMIUM"|301.00|$277.00|$39.00|$196.12|$194.00||$126.59|$55.40|$196.12|$101.66|$129.36|$41.00|$156.51|$124.65|$39.00|$42.00|$106.92|$72.41|$64.51|$64.51
"HCPCS G0480"|"HB COCAINE METABOLITES"|301.00|$244.00|$39.00|$172.75|$171.00||$111.51|$48.80|$172.75|$89.55|$113.95|$122.00|$137.86|$109.80|$39.00|$42.00|$94.18|$63.78|$56.83|$56.83
"CPT® 82530"|"HB CORTISOL"|301.00|$291.00|$39.00|$206.03|$204.00||$132.99|$58.20|$206.03|$106.80|$135.90|$41.00|$164.42|$130.95|$39.00|$42.00|$112.33|$76.07|$67.77|$67.77
"HCPCS G0480"|"HB ETHANOL LEVEL"|301.00|$339.00|$39.00|$240.01|$237.00||$154.92|$67.80|$240.01|$124.41|$158.31|$169.50|$191.54|$152.55|$39.00|$42.00|$130.85|$88.61|$78.95|$78.95
"CPT® 83520"|"HB GANGLIOSIDE GQ1B IGG ANTIBODY"|301.00|$149.00|$29.80|$105.49|$104.00||$68.09|$29.80|$105.49|$54.68|$69.58|$41.00|$84.19|$67.05|$39.00|$42.00|$57.51|$38.95|$34.70|$34.70
"CPT® 83013"|"HB HELICOBACTER PYLORI BREATH TEST"|301.00|$771.00|$39.00|$545.87|$540.00||$352.35|$154.20|$545.87|$282.96|$360.06|$41.00|$435.62|$346.95|$39.00|$42.00|$297.61|$201.54|$179.57|$179.57
"CPT® 83070"|"HB HEMOSIDERIN STAIN"|301.00|$124.00|$24.80|$87.79|$87.00||$56.67|$24.80|$87.79|$45.51|$57.91|$41.00|$70.06|$55.80|$39.00|$42.00|$47.86|$32.41|$28.88|$28.88
"CPT® 83150"|"HB HOMOVANILLIC ACID"|301.00|$173.00|$34.60|$122.48|$121.00||$79.06|$34.60|$122.48|$63.49|$80.79|$41.00|$97.75|$77.85|$39.00|$42.00|$66.78|$45.22|$40.29|$40.29
"CPT® 83520"|"HB HUMAN TRANSFORMING GROWTH FACTOR BETA 1"|301.00|$677.00|$39.00|$479.32|$474.00||$309.39|$135.40|$479.32|$248.46|$316.16|$41.00|$382.51|$304.65|$39.00|$42.00|$261.32|$176.97|$157.67|$157.67
"CPT® 83520"|"HB IGE ANTIBODY"|301.00|$324.00|$39.00|$229.39|$227.00||$148.07|$64.80|$229.39|$118.91|$151.31|$41.00|$183.06|$145.80|$39.00|$42.00|$125.06|$84.69|$75.46|$75.46
"CPT® 82542"|"HB IODINE"|301.00|$511.00|$39.00|$361.79|$358.00||$233.53|$102.20|$361.79|$187.54|$238.64|$41.00|$288.72|$229.95|$39.00|$42.00|$197.25|$133.58|$119.01|$119.01
"CPT® 83605"|"HB LACTIC ACID"|301.00|$254.00|$39.00|$179.83|$178.00||$116.08|$50.80|$179.83|$93.22|$118.62|$41.00|$143.51|$114.30|$39.00|$42.00|$98.04|$66.40|$59.16|$59.16
"CPT® 83615"|"HB LACTIC DEHYDROGENASE, BODY FLUID"|301.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 83690"|"HB LIPASE, BODY FLUID"|301.00|$119.00|$18.64|$84.25|$83.00||$18.64|$23.80|$84.25|$43.67|$55.57|$41.00|$67.24|$53.55|$39.00|$42.00|$45.93|$31.11|$27.72|$27.72
"CPT® 83690"|"HB LIPASE. URINE"|301.00|$114.00|$18.64|$80.71|$80.00||$18.64|$22.80|$80.71|$41.84|$53.24|$41.00|$64.41|$51.30|$39.00|$42.00|$44.00|$29.80|$26.55|$26.55
"CPT® 80061"|"HB LIPID RISK PANEL W/SCORE"|301.00|$210.00|$36.28|$148.68|$147.00||$36.28|$42.00|$148.68|$77.07|$98.07|$41.00|$118.65|$94.50|$39.00|$42.00|$81.06|$54.89|$48.91|$48.91
"CPT® 83698"|"HB LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2"|301.00|$429.00|$39.00|$303.73|$300.00||$196.05|$85.80|$303.73|$157.44|$200.34|$41.00|$242.39|$193.05|$39.00|$42.00|$165.59|$112.14|$99.91|$99.91
"CPT® 83002"|"HB LUTEINIZING HORMONE"|301.00|$152.00|$30.40|$107.62|$106.00||$69.46|$30.40|$107.62|$55.78|$70.98|$41.00|$85.88|$68.40|$39.00|$42.00|$58.67|$39.73|$35.40|$35.40
"CPT® 83785"|"HB MANGANESE, URINE"|301.00|$418.00|$39.00|$295.94|$293.00||$191.03|$83.60|$295.94|$153.41|$195.21|$41.00|$236.17|$188.10|$39.00|$42.00|$161.35|$109.27|$97.35|$97.35
"CPT® 83520"|"HB MANNOSE-BINDING LEPTIN"|301.00|$523.00|$39.00|$370.28|$366.00||$239.01|$104.60|$370.28|$191.94|$244.24|$41.00|$295.50|$235.35|$39.00|$42.00|$201.88|$136.71|$121.81|$121.81
"CPT® 83921"|"HB METHYLMALONIC ACID, URINE"|301.00|$576.00|$39.00|$407.81|$403.00||$263.23|$115.20|$407.81|$211.39|$268.99|$41.00|$325.44|$259.20|$39.00|$42.00|$222.34|$150.57|$134.15|$134.15
"CPT® 82657"|"HB NEUTROPHIL FUNCTION, OXIDATIVE BURST"|301.00|$483.00|$39.00|$341.96|$338.00||$220.73|$96.60|$341.96|$177.26|$225.56|$41.00|$272.90|$217.35|$39.00|$42.00|$186.44|$126.26|$112.49|$112.49
"CPT® 80307"|"HB PAIN MANAGEMENT PROFILE W/CONF., URINE"|301.00|$1141.00|$39.00|$807.83|$799.00||$521.44|$228.20|$807.83|$418.75|$532.85|$41.00|$644.67|$513.45|$39.00|$42.00|$440.43|$298.26|$265.74|$265.74
"CPT® 82656"|"HB PANCREATIC ELASTASE-1"|301.00|$719.00|$39.00|$509.05|$503.00||$328.58|$143.80|$509.05|$263.87|$335.77|$41.00|$406.24|$323.55|$39.00|$42.00|$277.53|$187.95|$167.46|$167.46
"CPT® 84311"|"HB POTASSIUM, FECES"|301.00|$237.00|$39.00|$167.80|$166.00||$108.31|$47.40|$167.80|$86.98|$110.68|$41.00|$133.91|$106.65|$39.00|$42.00|$91.48|$61.95|$55.20|$55.20
"CPT® 84376"|"HB REDUCING SUBSTANCES, STOOL"|301.00|$135.00|$27.00|$95.58|$94.00||$61.70|$27.00|$95.58|$49.55|$63.05|$41.00|$76.28|$60.75|$39.00|$42.00|$52.11|$35.29|$31.44|$31.44
"CPT® 84302"|"HB SODIUM, FECES"|301.00|$183.00|$36.60|$129.56|$128.00||$83.63|$36.60|$129.56|$67.16|$85.46|$41.00|$103.40|$82.35|$39.00|$42.00|$70.64|$47.84|$42.62|$42.62
"CPT® 83520"|"HB SOLUBLE LIVER ANTIGEN AUTOANTIBODY"|301.00|$435.00|$39.00|$307.98|$304.00||$198.80|$87.00|$307.98|$159.65|$203.15|$41.00|$245.78|$195.75|$39.00|$42.00|$167.91|$113.71|$101.31|$101.31
"CPT® 82726"|"HB VERY LONG CHAIN FATTY ACIDS"|301.00|$1754.00|$39.00|$1241.83|$1228.00||$801.58|$350.80|$1241.83|$643.72|$819.12|$41.00|$991.01|$789.30|$39.00|$42.00|$677.04|$458.50|$408.51|$408.51
"CPT® 82042"|"HB ALBUMIN, CSF"|301.00|$52.00|$10.40|$42.00|$36.00||$23.76|$10.40|$36.82|$19.08|$24.28|$41.00|$29.38|$23.40|$39.00|$42.00|$20.07|$13.59|$12.11|$12.11
"CPT® 82042"|"HB ALBUMIN, BODY FLUID"|301.00|$52.00|$10.40|$42.00|$36.00||$23.76|$10.40|$36.82|$19.08|$24.28|$41.00|$29.38|$23.40|$39.00|$42.00|$20.07|$13.59|$12.11|$12.11
"CPT® 84703"|"HB REF BETA-HCG, QUALITATIVE, SERUM"|301.00|$62.00|$12.40|$43.90|$43.00||$28.33|$12.40|$43.90|$22.75|$28.95|$41.00|$35.03|$27.90|$39.00|$42.00|$23.93|$16.21|$14.44|$14.44
"CPT® 82438"|"HB CHLORIDE, CSF"|301.00|$40.00|$8.00|$40.00|$28.00||$18.28|$8.00|$28.32|$14.68|$18.68|$40.00|$22.60|$18.00|$39.00|$40.00|$15.44|$10.46|$9.32|$9.32
"CPT® 80307"|"HB GABAPENTIN, URINE"|301.00|$154.00|$30.80|$109.03|$108.00||$70.38|$30.80|$109.03|$56.52|$71.92|$41.00|$87.01|$69.30|$39.00|$42.00|$59.44|$40.26|$35.87|$35.87
"CPT® 82945"|"HB GLUCOSE, BODY FLUID"|301.00|$47.00|$9.40|$42.00|$33.00||$21.48|$9.40|$33.28|$17.25|$21.95|$41.00|$26.56|$21.15|$39.00|$42.00|$18.14|$12.29|$10.95|$10.95
"HCPCS G00480"|"HB HYDROCODONE AND METABOLITE, URINE"|301.00|$288.00|$39.00|$203.90|$202.00||$131.62|$57.60|$203.90|$105.70|$134.50|$144.00|$162.72|$129.60|$39.00|$42.00|$111.17|$75.28|$67.08|$67.08
"CPT® 83520"|"HB IGF BINDING PROTEIN (IGFBP-1)"|301.00|$160.00|$32.00|$113.28|$112.00||$73.12|$32.00|$113.28|$58.72|$74.72|$41.00|$90.40|$72.00|$39.00|$42.00|$61.76|$41.82|$37.26|$37.26
"CPT® 82131"|"HB KIDNEY STONE, AMINO ACIDS, SINGLE, QUANT"|301.00|$45.00|$9.00|$42.00|$31.00||$20.57|$9.00|$31.86|$16.52|$21.02|$41.00|$25.43|$20.25|$39.00|$42.00|$17.37|$11.76|$10.48|$10.48
"CPT® 82140"|"HB KIDNEY STONE, AMMONIA ASSAY"|301.00|$39.00|$7.80|$39.00|$27.00||$17.82|$7.80|$27.61|$14.31|$18.21|$39.00|$22.04|$17.55|$39.00|$39.00|$15.05|$10.19|$9.08|$9.08
"CPT® 82340"|"HB KIDNEY STONE, CALCIUM ASSAY"|301.00|$18.00|$3.60|$18.00|$13.00||$8.23|$3.60|$12.74|$6.61|$8.41|$18.00|$10.17|$8.10|$18.00|$18.00|$6.95|$4.71|$4.19|$4.19
"CPT® 82436"|"HB KIDNEY STONE, CHLORIDE ASSAY"|301.00|$15.00|$3.00|$15.00|$10.00||$6.86|$3.00|$10.62|$5.51|$7.01|$15.00|$8.48|$6.75|$15.00|$15.00|$5.79|$3.92|$3.49|$3.49
"CPT® 82507"|"HB KIDNEY STONE, CITRATE ASSAY"|301.00|$35.00|$7.00|$35.00|$24.00||$16.00|$7.00|$24.78|$12.85|$16.35|$35.00|$19.78|$15.75|$35.00|$35.00|$13.51|$9.15|$8.15|$8.15
"CPT® 82570"|"HB KIDNEY STONE, CREATININE ASSAY"|301.00|$79.00|$15.80|$55.93|$55.00||$36.10|$15.80|$55.93|$28.99|$36.89|$41.00|$44.64|$35.55|$39.00|$42.00|$30.49|$20.65|$18.40|$18.40
"CPT® 83735"|"HB KIDNEY STONE, MAGNESIUM ASSAY"|301.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 83935"|"HB KIDNEY STONE, OSMOLALITY"|301.00|$20.00|$4.00|$20.00|$14.00||$9.14|$4.00|$14.16|$7.34|$9.34|$20.00|$11.30|$9.00|$20.00|$20.00|$7.72|$5.23|$4.66|$4.66
"CPT® 83945"|"HB KIDNEY STONE, OXALATE ASSAY"|301.00|$35.00|$7.00|$35.00|$24.00||$16.00|$7.00|$24.78|$12.85|$16.35|$35.00|$19.78|$15.75|$35.00|$35.00|$13.51|$9.15|$8.15|$8.15
"CPT® 84105"|"HB KIDNEY STONE, PHOSPHOROUS ASSAY"|301.00|$16.00|$3.20|$16.00|$11.00||$7.31|$3.20|$11.33|$5.87|$7.47|$16.00|$9.04|$7.20|$16.00|$16.00|$6.18|$4.18|$3.73|$3.73
"CPT® 84133"|"HB KIDNEY STONE, POTASSIUM ASSAY"|301.00|$13.00|$2.60|$13.00|$9.00||$5.94|$2.60|$9.20|$4.77|$6.07|$13.00|$7.35|$5.85|$13.00|$13.00|$5.02|$3.40|$3.03|$3.03
"CPT® 84300"|"HB KIDNEY STONE, SODIUM ASSAY"|301.00|$15.00|$3.00|$15.00|$10.00||$6.86|$3.00|$10.62|$5.51|$7.01|$15.00|$8.48|$6.75|$15.00|$15.00|$5.79|$3.92|$3.49|$3.49
"CPT® 84392"|"HB KIDNEY STONE, SULFATE ASSAY"|301.00|$14.00|$2.80|$14.00|$10.00||$6.40|$2.80|$9.91|$5.14|$6.54|$14.00|$7.91|$6.30|$14.00|$14.00|$5.40|$3.66|$3.26|$3.26
"CPT® 84560"|"HB KIDNEY STONE, URIC ACID ASSAY"|301.00|$14.00|$2.80|$14.00|$10.00||$6.40|$2.80|$9.91|$5.14|$6.54|$14.00|$7.91|$6.30|$14.00|$14.00|$5.40|$3.66|$3.26|$3.26
"CPT® 84275"|"HB LIPID ASSICIATED SIALIC ACID"|301.00|$71.00|$14.20|$50.27|$50.00||$32.45|$14.20|$50.27|$26.06|$33.16|$41.00|$40.12|$31.95|$39.00|$42.00|$27.41|$18.56|$16.54|$16.54
"HCPCS G0480"|"HB METHYLPHENIDATE AND METABOLITE, URINE"|301.00|$206.00|$39.00|$145.85|$144.00||$94.14|$41.20|$145.85|$75.60|$96.20|$103.00|$116.39|$92.70|$39.00|$42.00|$79.52|$53.85|$47.98|$47.98
"CPT® 82542"|"HB MHPG, 24HR URINE"|301.00|$218.00|$39.00|$154.34|$153.00||$99.63|$43.60|$154.34|$80.01|$101.81|$41.00|$123.17|$98.10|$39.00|$42.00|$84.15|$56.99|$50.77|$50.77
"CPT® 80307"|"HB PAIN MANAGEMENT PROFILE, URINE"|301.00|$309.00|$39.00|$218.77|$216.00||$141.21|$61.80|$218.77|$113.40|$144.30|$41.00|$174.59|$139.05|$39.00|$42.00|$119.27|$80.77|$71.97|$71.97
"HCPCS G0480"|"HB PREGABALIN, URINE"|301.00|$154.00|$30.80|$109.03|$108.00||$70.38|$30.80|$109.03|$56.52|$71.92|$77.00|$87.01|$69.30|$39.00|$42.00|$59.44|$40.26|$35.87|$35.87
"CPT® 80307"|"HB TOXASSURE PROFILE, DRUG TESTS, PRESUMPTIVE"|301.00|$191.00|$38.20|$135.23|$134.00||$87.29|$38.20|$135.23|$70.10|$89.20|$41.00|$107.92|$85.95|$39.00|$42.00|$73.73|$49.93|$44.48|$44.48
"CPT® 80326"|"HB TOXASSURE PROFILE, DRUG TESTS, AMPHETAMINES, 5 OR MORE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80331"|"HB TOXASSURE PROFILE, ANALGESICS, 6 OR MORE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80334"|"HB TOXASSURE PROFILE, ANTIDEPRESSANTS, 6 OR MORE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80337"|"HB TOXASSURE PROFILE, ANTIDEPRESSANTS, TRICYCLIC, 6 OR MORE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80338"|"HB TOXASSURE PROFILE, ANTIDEPRESSANTS, NOS"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80341"|"HB TOXASSURE PROFILE, ANTIEPILEPTICS, NOS, 6 OR MORE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80344"|"HB TOXASSURE PROFILE, ANTIPSYCHOTICS, NOS, 7 OR MORE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$11.50|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80347"|"HB TOXASSURE PROFILE, BENZODIAZEPINES, 13 OR MORE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$23.00|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"CPT® 80348"|"HB TOXASSURE PROFILE, BUPRENORPHINE"|301.00|$23.00|$4.60|$23.00|$16.00||$10.51|$4.60|$16.28|$8.44|$10.74|$23.00|$13.00|$10.35|$23.00|$23.00|$8.88|$6.01|$5.36|$5.36
"HCPCS G0480"|"HB NICOTINE & COTININE, URINE"|301.00|$626.00|$39.00|$443.21|$438.00||$286.08|$125.20|$443.21|$229.74|$292.34|$313.00|$353.69|$281.70|$39.00|$42.00|$241.64|$163.64|$145.80|$145.80
"CPT® 84143"|"HB 17-HYDROXYPREGNENOLONE LC/MS/MS"|301.00|$245.00|$39.00|$173.46|$172.00||$111.97|$49.00|$173.46|$89.92|$114.42|$41.00|$138.43|$110.25|$39.00|$42.00|$94.57|$64.04|$57.06|$57.06
"CPT® 83986"|"HB PH, BODY FLUID (POC)"|301.00|$9.00|$1.80|$9.00|$6.00||$4.11|$1.80|$6.37|$3.30|$4.20|$9.00|$5.09|$4.05|$9.00|$9.00|$3.47|$2.35|$2.10|$2.10
"CPT® 82803"|"HB ARTERIAL BLOOD GAS (POC)"|301.00|$101.00|$20.20|$71.51|$71.00||$46.16|$20.20|$71.51|$37.07|$47.17|$41.00|$57.07|$45.45|$39.00|$42.00|$38.99|$26.40|$23.52|$23.52
"CPT® 82803"|"HB VENOUS BLOOD GAS (POC)"|301.00|$101.00|$20.20|$71.51|$71.00||$46.16|$20.20|$71.51|$37.07|$47.17|$41.00|$57.07|$45.45|$39.00|$42.00|$38.99|$26.40|$23.52|$23.52
"HCPCS G0480"|"HB ACETOMINOPHEN ASSAY"|301.00|$191.00|$38.20|$135.23|$134.00||$87.29|$38.20|$135.23|$70.10|$89.20|$95.50|$107.92|$85.95|$39.00|$42.00|$73.73|$49.93|$44.48|$44.48
"CPT® 82040"|"HB ALBUMIN ASSAY"|301.00|$48.00|$9.60|$42.00|$34.00||$21.94|$9.60|$33.98|$17.62|$22.42|$41.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 82042"|"HB ALBUMIN, FLUID"|301.00|$17.00|$3.40|$17.00|$12.00||$7.77|$3.40|$12.04|$6.24|$7.94|$17.00|$9.61|$7.65|$17.00|$17.00|$6.56|$4.44|$3.96|$3.96
"HCPCS G0480"|"HB ALCOHOL LEVEL"|301.00|$276.00|$39.00|$195.41|$193.00||$126.13|$55.20|$195.41|$101.29|$128.89|$138.00|$155.94|$124.20|$39.00|$42.00|$106.54|$72.15|$64.28|$64.28
"CPT® 84075"|"HB ALKALINE PHOSPHATASE"|301.00|$48.00|$9.60|$42.00|$34.00||$21.94|$9.60|$33.98|$17.62|$22.42|$41.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 82105"|"HB ALPHA FETOPROTEIN"|301.00|$190.00|$38.00|$134.52|$133.00||$86.83|$38.00|$134.52|$69.73|$88.73|$41.00|$107.35|$85.50|$39.00|$42.00|$73.34|$49.67|$44.25|$44.25
"CPT® 80150"|"HB AMIKACIN ASSAY"|301.00|$125.00|$25.00|$88.50|$88.00||$57.13|$25.00|$88.50|$45.88|$58.38|$41.00|$70.63|$56.25|$39.00|$42.00|$48.25|$32.68|$29.11|$29.11
"CPT® 82140"|"HB AMMONIA ASSAY"|301.00|$214.00|$39.00|$151.51|$150.00||$97.80|$42.80|$151.51|$78.54|$99.94|$41.00|$120.91|$96.30|$39.00|$42.00|$82.60|$55.94|$49.84|$49.84
"CPT® 82150"|"HB AMYLASE ASSAY"|301.00|$93.00|$18.60|$65.84|$65.00||$42.50|$18.60|$65.84|$34.13|$43.43|$41.00|$52.55|$41.85|$39.00|$42.00|$35.90|$24.31|$21.66|$21.66
"CPT® 80048"|"HB BASIC CHEMISTRY PANEL"|301.00|$250.00|$22.91|$177.00|$175.00||$22.91|$50.00|$177.00|$91.75|$116.75|$41.00|$141.25|$112.50|$39.00|$42.00|$96.50|$65.35|$58.23|$58.23
"CPT® 84702"|"HB BETA HCG, QUANTITATIVE"|301.00|$224.00|$39.00|$158.59|$157.00||$102.37|$44.80|$158.59|$82.21|$104.61|$41.00|$126.56|$100.80|$39.00|$42.00|$86.46|$58.55|$52.17|$52.17
"CPT® 82248"|"HB BILIRUBIN, DIRECT"|301.00|$78.00|$15.60|$55.22|$55.00||$35.65|$15.60|$55.22|$28.63|$36.43|$41.00|$44.07|$35.10|$39.00|$42.00|$30.11|$20.39|$18.17|$18.17
"CPT® 82247"|"HB BILIRUBIN, TOTAL"|301.00|$48.00|$9.60|$42.00|$34.00||$21.94|$9.60|$33.98|$17.62|$22.42|$41.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 83880"|"HB B-NATRIURETIC PEPTIDE (BNP)"|301.00|$240.00|$39.00|$169.92|$168.00||$109.68|$48.00|$169.92|$88.08|$112.08|$41.00|$135.60|$108.00|$39.00|$42.00|$92.64|$62.74|$55.90|$55.90
"CPT® 82330"|"HB CALCIUM, IONIZED"|301.00|$236.00|$39.00|$167.09|$165.00||$107.85|$47.20|$167.09|$86.61|$110.21|$41.00|$133.34|$106.20|$39.00|$42.00|$91.10|$61.69|$54.96|$54.96
"CPT® 82310"|"HB CALCIUM, TOTAL"|301.00|$48.00|$9.60|$42.00|$34.00||$21.94|$9.60|$33.98|$17.62|$22.42|$41.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 82340"|"HB CALCIUM, URINE, QUANTITATIVE"|301.00|$59.00|$11.80|$42.00|$41.00||$26.96|$11.80|$41.77|$21.65|$27.55|$41.00|$33.34|$26.55|$39.00|$42.00|$22.77|$15.42|$13.74|$13.74
"CPT® 80156"|"HB CARBAMAZEPINE ASSAY"|301.00|$166.00|$33.20|$117.53|$116.00||$75.86|$33.20|$117.53|$60.92|$77.52|$41.00|$93.79|$74.70|$39.00|$42.00|$64.08|$43.39|$38.66|$38.66
"CPT® 82374"|"HB CARBON DIOXIDE"|301.00|$48.00|$9.60|$42.00|$34.00||$21.94|$9.60|$33.98|$17.62|$22.42|$41.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 82378"|"HB CARCINOEMBRYONIC ANTIGEN (CEA)"|301.00|$244.00|$39.00|$172.75|$171.00||$111.51|$48.80|$172.75|$89.55|$113.95|$41.00|$137.86|$109.80|$39.00|$42.00|$94.18|$63.78|$56.83|$56.83
"CPT® 82435"|"HB CHLORIDE, BLOOD"|301.00|$48.00|$9.60|$42.00|$34.00||$21.94|$9.60|$33.98|$17.62|$22.42|$41.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 82436"|"HB CHLORIDE, URINE"|301.00|$59.00|$11.80|$42.00|$41.00||$26.96|$11.80|$41.77|$21.65|$27.55|$41.00|$33.34|$26.55|$39.00|$42.00|$22.77|$15.42|$13.74|$13.74
"CPT® 84311"|"HB CHOLESTEROL, FLUID"|301.00|$22.00|$4.40|$22.00|$15.00||$10.05|$4.40|$15.58|$8.07|$10.27|$22.00|$12.43|$9.90|$22.00|$22.00|$8.49|$5.75|$5.12|$5.12
"CPT® 82465"|"HB CHOLESTEROL, TOTAL"|301.00|$62.00|$12.40|$43.90|$43.00||$28.33|$12.40|$43.90|$22.75|$28.95|$41.00|$35.03|$27.90|$39.00|$42.00|$23.93|$16.21|$14.44|$14.44
"CPT® 82553"|"HB CK-MB FRACTION"|301.00|$134.00|$26.80|$94.87|$94.00||$31.25|$26.80|$94.87|$49.18|$62.58|$41.00|$75.71|$60.30|$39.00|$42.00|$51.72|$35.03|$31.21|$31.21
"CPT® 80053"|"HB COMPREHENSIVE CHEMISTRY PANEL"|301.00|$350.00|$28.63|$247.80|$245.00||$28.63|$70.00|$247.80|$128.45|$163.45|$41.00|$197.75|$157.50|$39.00|$42.00|$135.10|$91.49|$81.52|$81.52
"CPT® 82533"|"HB CORTISOL, TOTAL"|301.00|$243.00|$39.00|$172.04|$170.00||$111.05|$48.60|$172.04|$89.18|$113.48|$41.00|$137.30|$109.35|$39.00|$42.00|$93.80|$63.52|$56.59|$56.59
"CPT® 82550"|"HB CREATINE PHOSPHOKINASE (CPK)"|301.00|$81.00|$16.20|$57.35|$57.00||$17.63|$16.20|$57.35|$29.73|$37.83|$41.00|$45.77|$36.45|$39.00|$42.00|$31.27|$21.17|$18.86|$18.86
"CPT® 82565"|"HB CREATININE"|301.00|$91.00|$18.20|$64.43|$64.00||$41.59|$18.20|$64.43|$33.40|$42.50|$41.00|$51.42|$40.95|$39.00|$42.00|$35.13|$23.79|$21.19|$21.19
"CPT® 82575"|"HB CREATININE CLEARANCE"|301.00|$126.00|$25.20|$89.21|$88.00||$57.58|$25.20|$89.21|$46.24|$58.84|$41.00|$71.19|$56.70|$39.00|$42.00|$48.64|$32.94|$29.35|$29.35
"CPT® 82570"|"HB CREATININE, OTHER SOURCE"|301.00|$79.00|$15.80|$55.93|$55.00||$36.10|$15.80|$55.93|$28.99|$36.89|$41.00|$44.64|$35.55|$39.00|$42.00|$30.49|$20.65|$18.40|$18.40
"CPT® 80162"|"HB DIGOXIN ASSAY"|301.00|$146.00|$29.20|$103.37|$102.00||$66.72|$29.20|$103.37|$53.58|$68.18|$41.00|$82.49|$65.70|$39.00|$42.00|$56.36|$38.16|$34.00|$34.00
"HCPCS 80307"|"HB DRUGS OF ABUSE SCREEN, QUALITATIVE"|301.00|$364.00|$39.00|$257.71|$255.00||$166.35|$72.80|$257.71|$133.59|$169.99|$41.00|$205.66|$163.80|$39.00|$42.00|$140.50|$95.15|$84.78|$84.78
"CPT® 80051"|"HB ELECTROLYTE PANEL"|301.00|$87.00|$17.40|$61.60|$61.00||$39.76|$17.40|$61.60|$31.93|$40.63|$41.00|$49.16|$39.15|$39.00|$42.00|$33.58|$22.74|$20.26|$20.26
"CPT® 80169"|"HB EVEROLIMUS LEVEL"|301.00|$414.00|$39.00|$293.11|$290.00||$189.20|$82.80|$293.11|$151.94|$193.34|$41.00|$233.91|$186.30|$39.00|$42.00|$159.80|$108.22|$96.42|$96.42
"CPT® 82728"|"HB FERRITIN"|301.00|$165.00|$33.00|$116.82|$115.00||$75.41|$33.00|$116.82|$60.56|$77.06|$41.00|$93.23|$74.25|$39.00|$42.00|$63.69|$43.13|$38.43|$38.43
"CPT® 82746"|"HB FOLIC ACID"|301.00|$138.00|$27.60|$97.70|$97.00||$63.07|$27.60|$97.70|$50.65|$64.45|$41.00|$77.97|$62.10|$39.00|$42.00|$53.27|$36.07|$32.14|$32.14
"CPT® 82747"|"HB FOLIC ACID, RED CELL"|301.00|$232.00|$39.00|$164.26|$162.00||$106.02|$46.40|$164.26|$85.14|$108.34|$41.00|$131.08|$104.40|$39.00|$42.00|$89.55|$60.64|$54.03|$54.03
"CPT® 83001"|"HB FOLLICLE STIMULATING HORMONE (FSH)"|301.00|$136.00|$27.20|$96.29|$95.00||$62.15|$27.20|$96.29|$49.91|$63.51|$41.00|$76.84|$61.20|$39.00|$42.00|$52.50|$35.55|$31.67|$31.67
"CPT® 82977"|"HB GAMMA GLUTAMYL TRANSPEPTIDASE (GGT)"|301.00|$48.00|$9.60|$42.00|$34.00||$21.94|$9.60|$33.98|$17.62|$22.42|$41.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 80170"|"HB GENTAMYCIN ASSAY"|301.00|$152.00|$30.40|$107.62|$106.00||$69.46|$30.40|$107.62|$55.78|$70.98|$41.00|$85.88|$68.40|$39.00|$42.00|$58.67|$39.73|$35.40|$35.40
"CPT® 82947"|"HB GLUCOSE ASSAY"|301.00|$61.00|$12.20|$43.19|$43.00||$27.88|$12.20|$43.19|$22.39|$28.49|$41.00|$34.47|$27.45|$39.00|$42.00|$23.55|$15.95|$14.21|$14.21
"CPT® 82951"|"HB GLUCOSE TOLERANCE, 2 HR OB"|301.00|$90.00|$18.00|$63.72|$63.00||$41.13|$18.00|$63.72|$33.03|$42.03|$41.00|$50.85|$40.50|$39.00|$42.00|$34.74|$23.53|$20.96|$20.96
"CPT® 82951"|"HB GLUCOSE TOLERANCE, 3 HRS"|301.00|$160.00|$32.00|$113.28|$112.00||$73.12|$32.00|$113.28|$58.72|$74.72|$41.00|$90.40|$72.00|$39.00|$42.00|$61.76|$41.82|$37.26|$37.26
"CPT® 82952"|"HB GLUCOSE TOLERANCE, EACH ADDITIONAL ASSAY"|301.00|$48.00|$9.60|$42.00|$34.00||$21.94|$9.60|$33.98|$17.62|$22.42|$41.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 82945"|"HB GLUCOSE, BODY FLUID"|301.00|$90.00|$18.00|$63.72|$63.00||$41.13|$18.00|$63.72|$33.03|$42.03|$41.00|$50.85|$40.50|$39.00|$42.00|$34.74|$23.53|$20.96|$20.96
"CPT® 83718"|"HB HDL CHOLESTEROL"|301.00|$77.00|$15.40|$54.52|$54.00||$35.19|$15.40|$54.52|$28.26|$35.96|$41.00|$43.51|$34.65|$39.00|$42.00|$29.72|$20.13|$17.93|$17.93
"CPT® 83036"|"HB HEMOGLOBIN A1C"|301.00|$134.00|$26.27|$94.87|$94.00||$26.27|$26.80|$94.87|$49.18|$62.58|$41.00|$75.71|$60.30|$39.00|$42.00|$51.72|$35.03|$31.21|$31.21
"CPT® 83036"|"HB HEMOGLOBIN A1C (MOD59)"|301.00|$134.00|$26.27|$94.87|$94.00||$26.27|$26.80|$94.87|$49.18|$62.58|$41.00|$75.71|$60.30|$39.00|$42.00|$51.72|$35.03|$31.21|$31.21
"CPT® 80076"|"HB HEPATIC FUNCTION PANEL"|301.00|$184.00|$22.12|$130.27|$129.00||$22.12|$36.80|$130.27|$67.53|$85.93|$41.00|$103.96|$82.80|$39.00|$42.00|$71.02|$48.10|$42.85|$42.85
"CPT® 83090"|"HB HOMOCYSTEINE"|301.00|$225.00|$39.00|$159.30|$158.00||$102.83|$45.00|$159.30|$82.58|$105.08|$41.00|$127.13|$101.25|$39.00|$42.00|$86.85|$58.82|$52.40|$52.40
"CPT® 83525"|"HB INSULIN LEVEL"|301.00|$67.00|$13.40|$47.44|$47.00||$30.62|$13.40|$47.44|$24.59|$31.29|$41.00|$37.86|$30.15|$39.00|$42.00|$25.86|$17.51|$15.60|$15.60
"CPT® 83550"|"HB IRON BINDING CAPACITY"|301.00|$146.00|$29.20|$103.37|$102.00||$66.72|$29.20|$103.37|$53.58|$68.18|$41.00|$82.49|$65.70|$39.00|$42.00|$56.36|$38.16|$34.00|$34.00
"CPT® 83540"|"HB IRON, TOTAL"|301.00|$90.00|$18.00|$63.72|$63.00||$41.13|$18.00|$63.72|$33.03|$42.03|$41.00|$50.85|$40.50|$39.00|$42.00|$34.74|$23.53|$20.96|$20.96
"CPT® 80069"|"HB KIDNEY PANEL"|301.00|$172.00|$34.40|$121.78|$120.00||$78.60|$34.40|$121.78|$63.12|$80.32|$41.00|$97.18|$77.40|$39.00|$42.00|$66.39|$44.96|$40.06|$40.06
"CPT® 83615"|"HB LACTATE DEHYDROGENASE (LDH)"|301.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 82951"|"HB LACTOSE TOLERANCE TEST"|301.00|$33.00|$6.60|$33.00|$23.00||$15.08|$6.60|$23.36|$12.11|$15.41|$33.00|$18.65|$14.85|$33.00|$33.00|$12.74|$8.63|$7.69|$7.69
"CPT® 83690"|"HB LIPASE"|301.00|$100.00|$18.64|$70.80|$70.00||$18.64|$20.00|$70.80|$36.70|$46.70|$41.00|$56.50|$45.00|$39.00|$42.00|$38.60|$26.14|$23.29|$23.29
"CPT® 80061"|"HB LIPID PANEL"|301.00|$210.00|$36.28|$148.68|$147.00||$36.28|$42.00|$148.68|$77.07|$98.07|$41.00|$118.65|$94.50|$39.00|$42.00|$81.06|$54.89|$48.91|$48.91
"CPT® 80178"|"HB LITHIUM ASSAY"|301.00|$81.00|$16.20|$57.35|$57.00||$37.02|$16.20|$57.35|$29.73|$37.83|$41.00|$45.77|$36.45|$39.00|$42.00|$31.27|$21.17|$18.86|$18.86
"CPT® 83002"|"HB LUTEINIZING HORMONE (LH)"|301.00|$136.00|$27.20|$96.29|$95.00||$62.15|$27.20|$96.29|$49.91|$63.51|$41.00|$76.84|$61.20|$39.00|$42.00|$52.50|$35.55|$31.67|$31.67
"CPT® 83735"|"HB MAGNESIUM"|301.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 83930"|"HB OSMOLALITY, BLOOD"|301.00|$96.00|$19.20|$67.97|$67.00||$43.87|$19.20|$67.97|$35.23|$44.83|$41.00|$54.24|$43.20|$39.00|$42.00|$37.06|$25.09|$22.36|$22.36
"CPT® 83935"|"HB OSMOLALITY, URINE"|301.00|$106.00|$21.20|$75.05|$74.00||$48.44|$21.20|$75.05|$38.90|$49.50|$41.00|$59.89|$47.70|$39.00|$42.00|$40.92|$27.71|$24.69|$24.69
"CPT® 83970"|"HB PARATHYROID HORMONE, INTACT"|301.00|$383.00|$39.00|$271.16|$268.00||$175.03|$76.60|$271.16|$140.56|$178.86|$41.00|$216.40|$172.35|$39.00|$42.00|$147.84|$100.12|$89.20|$89.20
"CPT® 83970"|"HB PARATHYROID HORMONE, INTEROPERATIVE"|301.00|$383.00|$39.00|$271.16|$268.00||$175.03|$76.60|$271.16|$140.56|$178.86|$41.00|$216.40|$172.35|$39.00|$42.00|$147.84|$100.12|$89.20|$89.20
"CPT® 83986"|"HB PH, BODY FLUID"|301.00|$148.00|$29.60|$104.78|$104.00||$67.64|$29.60|$104.78|$54.32|$69.12|$41.00|$83.62|$66.60|$39.00|$42.00|$57.13|$38.69|$34.47|$34.47
"CPT® 80184"|"HB PHENOBARBITAL ASSAY"|301.00|$125.00|$25.00|$88.50|$88.00||$57.13|$25.00|$88.50|$45.88|$58.38|$41.00|$70.63|$56.25|$39.00|$42.00|$48.25|$32.68|$29.11|$29.11
"CPT® 80186"|"HB PHENYTOIN, FREE ASSAY"|301.00|$156.00|$31.20|$110.45|$109.00||$71.29|$31.20|$110.45|$57.25|$72.85|$41.00|$88.14|$70.20|$39.00|$42.00|$60.22|$40.78|$36.33|$36.33
"CPT® 84100"|"HB PHOSPHORUS ASSAY"|301.00|$80.00|$16.00|$56.64|$56.00||$36.56|$16.00|$56.64|$29.36|$37.36|$41.00|$45.20|$36.00|$39.00|$42.00|$30.88|$20.91|$18.63|$18.63
"CPT® 84105"|"HB PHOSPHORUS, URINE"|301.00|$75.00|$15.00|$53.10|$52.00||$34.28|$15.00|$53.10|$27.53|$35.03|$41.00|$42.38|$33.75|$39.00|$42.00|$28.95|$19.61|$17.47|$17.47
"CPT® 82950"|"HB POST GLUCOSE DOSE ASSAY"|301.00|$58.00|$11.60|$42.00|$41.00||$26.51|$11.60|$41.06|$21.29|$27.09|$41.00|$32.77|$26.10|$39.00|$42.00|$22.39|$15.16|$13.51|$13.51
"CPT® 84132"|"HB POTASSIUM ASSAY"|301.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 84133"|"HB POTASSIUM, URINE"|301.00|$59.00|$11.80|$42.00|$41.00||$26.96|$11.80|$41.77|$21.65|$27.55|$41.00|$33.34|$26.55|$39.00|$42.00|$22.77|$15.42|$13.74|$13.74
"CPT® 84134"|"HB PREALBUMIN ASSAY"|301.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 84145"|"HB PROCALCITONIN ASSAY"|301.00|$166.00|$33.20|$117.53|$116.00||$75.86|$33.20|$117.53|$60.92|$77.52|$41.00|$93.79|$74.70|$39.00|$42.00|$64.08|$43.39|$38.66|$38.66
"CPT® 84144"|"HB PROGESTERONE ASSAY"|301.00|$50.00|$10.00|$42.00|$35.00||$22.85|$10.00|$35.40|$18.35|$23.35|$41.00|$28.25|$22.50|$39.00|$42.00|$19.30|$13.07|$11.65|$11.65
"CPT® 84146"|"HB PROLACTIN ASSAY"|301.00|$136.00|$27.20|$96.29|$95.00||$62.15|$27.20|$96.29|$49.91|$63.51|$41.00|$76.84|$61.20|$39.00|$42.00|$52.50|$35.55|$31.67|$31.67
"HCPCS G0103"|"HB PROSTATE SPECIFIC ANTIGEN SCREEN"|301.00|$188.00|$37.60|$133.10|$132.00||$85.92|$37.60|$133.10|$69.00|$87.80|$94.00|$106.22|$84.60|$39.00|$42.00|$72.57|$49.14|$43.79|$43.79
"CPT® 84153"|"HB PROSTATE SPECIFIC ANTIGEN, TOTAL"|301.00|$185.00|$37.00|$130.98|$130.00||$84.55|$37.00|$130.98|$67.90|$86.40|$41.00|$104.53|$83.25|$39.00|$42.00|$71.41|$48.36|$43.09|$43.09
"CPT® 84154"|"HB PROSTATE SPECIFIC ANTIGEN, FREE"|301.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 84157"|"HB PROTEIN, TOTAL, OTHER"|301.00|$88.00|$17.60|$62.30|$62.00||$40.22|$17.60|$62.30|$32.30|$41.10|$41.00|$49.72|$39.60|$39.00|$42.00|$33.97|$23.00|$20.50|$20.50
"CPT® 84155"|"HB PROTEIN, TOTAL, SERUM"|301.00|$51.00|$10.20|$42.00|$36.00||$23.31|$10.20|$36.11|$18.72|$23.82|$41.00|$28.82|$22.95|$39.00|$42.00|$19.69|$13.33|$11.88|$11.88
"CPT® 84156"|"HB PROTEIN, TOTAL, URINE"|301.00|$59.00|$11.80|$42.00|$41.00||$26.96|$11.80|$41.77|$21.65|$27.55|$41.00|$33.34|$26.55|$39.00|$42.00|$22.77|$15.42|$13.74|$13.74
"HCPCS G0480"|"HB SALICYLATE ASSAY"|301.00|$142.00|$28.40|$100.54|$99.00||$64.89|$28.40|$100.54|$52.11|$66.31|$71.00|$80.23|$63.90|$39.00|$42.00|$54.81|$37.12|$33.07|$33.07
"CPT® 84450"|"HB SGOT (AST)"|301.00|$48.00|$9.60|$42.00|$34.00||$21.94|$9.60|$33.98|$17.62|$22.42|$41.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 84460"|"HB SGPT (ALT)"|301.00|$48.00|$9.60|$42.00|$34.00||$21.94|$9.60|$33.98|$17.62|$22.42|$41.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 84295"|"HB SODIUM ASSAY"|301.00|$107.00|$21.40|$75.76|$75.00||$48.90|$21.40|$75.76|$39.27|$49.97|$41.00|$60.46|$48.15|$39.00|$42.00|$41.30|$27.97|$24.92|$24.92
"CPT® 84300"|"HB SODIUM, URINE"|301.00|$59.00|$11.80|$42.00|$41.00||$26.96|$11.80|$41.77|$21.65|$27.55|$41.00|$33.34|$26.55|$39.00|$42.00|$22.77|$15.42|$13.74|$13.74
"CPT® 84315"|"HB SPECIFIC GRAVITY, BODY FLUID"|301.00|$30.00|$6.00|$30.00|$21.00||$13.71|$6.00|$21.24|$11.01|$14.01|$30.00|$16.95|$13.50|$30.00|$30.00|$11.58|$7.84|$6.99|$6.99
"CPT® 84481"|"HB T3, FREE"|301.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 84480"|"HB T3, TOTAL"|301.00|$166.00|$33.20|$117.53|$116.00||$75.86|$33.20|$117.53|$60.92|$77.52|$41.00|$93.79|$74.70|$39.00|$42.00|$64.08|$43.39|$38.66|$38.66
"CPT® 84436"|"HB T4"|301.00|$150.00|$30.00|$106.20|$105.00||$68.55|$30.00|$106.20|$55.05|$70.05|$41.00|$84.75|$67.50|$39.00|$42.00|$57.90|$39.21|$34.94|$34.94
"CPT® 84439"|"HB T4, FREE"|301.00|$138.00|$24.41|$97.70|$97.00||$24.41|$27.60|$97.70|$50.65|$64.45|$41.00|$77.97|$62.10|$39.00|$42.00|$53.27|$36.07|$32.14|$32.14
"CPT® 84403"|"HB TESTOSTERONE, TOTAL"|301.00|$318.00|$39.00|$225.14|$223.00||$145.33|$63.60|$225.14|$116.71|$148.51|$41.00|$179.67|$143.10|$39.00|$42.00|$122.75|$83.13|$74.06|$74.06
"CPT® 80198"|"HB THEOPHYLLINE ASSAY"|301.00|$125.00|$25.00|$88.50|$88.00||$57.13|$25.00|$88.50|$45.88|$58.38|$41.00|$70.63|$56.25|$39.00|$42.00|$48.25|$32.68|$29.11|$29.11
"CPT® 84443"|"HB THYROID STIMULATING HORMONE (TSH)"|301.00|$186.00|$37.20|$131.69|$130.00||$45.49|$37.20|$131.69|$68.26|$86.86|$41.00|$105.09|$83.70|$39.00|$42.00|$71.80|$48.62|$43.32|$43.32
"CPT® 80200"|"HB TOBRAMYCIN ASSAY"|301.00|$158.00|$31.60|$111.86|$111.00||$72.21|$31.60|$111.86|$57.99|$73.79|$41.00|$89.27|$71.10|$39.00|$42.00|$60.99|$41.30|$36.80|$36.80
"CPT® 84466"|"HB TRANSFERRIN"|301.00|$69.00|$13.80|$48.85|$48.00||$31.53|$13.80|$48.85|$25.32|$32.22|$41.00|$38.99|$31.05|$39.00|$42.00|$26.63|$18.04|$16.07|$16.07
"CPT® 84478"|"HB TRIGLYCERIDES"|301.00|$62.00|$12.40|$43.90|$43.00||$28.33|$12.40|$43.90|$22.75|$28.95|$41.00|$35.03|$27.90|$39.00|$42.00|$23.93|$16.21|$14.44|$14.44
"CPT® 84484"|"HB TROPONIN"|301.00|$195.00|$26.64|$138.06|$136.00||$26.64|$39.00|$138.06|$71.57|$91.07|$41.00|$110.18|$87.75|$39.00|$42.00|$75.27|$50.97|$45.42|$45.42
"CPT® 84520"|"HB UREA NITROGEN ASSAY"|301.00|$48.00|$9.60|$42.00|$34.00||$21.94|$9.60|$33.98|$17.62|$22.42|$41.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 84540"|"HB UREA NITROGEN, URINE"|301.00|$59.00|$11.80|$42.00|$41.00||$26.96|$11.80|$41.77|$21.65|$27.55|$41.00|$33.34|$26.55|$39.00|$42.00|$22.77|$15.42|$13.74|$13.74
"CPT® 84550"|"HB URIC ACID ASSAY"|301.00|$90.00|$18.00|$63.72|$63.00||$41.13|$18.00|$63.72|$33.03|$42.03|$41.00|$50.85|$40.50|$39.00|$42.00|$34.74|$23.53|$20.96|$20.96
"CPT® 84560"|"HB URIC ACID, URINE (24 HR)"|301.00|$59.00|$11.80|$42.00|$41.00||$26.96|$11.80|$41.77|$21.65|$27.55|$41.00|$33.34|$26.55|$39.00|$42.00|$22.77|$15.42|$13.74|$13.74
"CPT® 80164"|"HB VALPROATE ASSAY"|301.00|$158.00|$31.60|$111.86|$111.00||$72.21|$31.60|$111.86|$57.99|$73.79|$41.00|$89.27|$71.10|$39.00|$42.00|$60.99|$41.30|$36.80|$36.80
"CPT® 80202"|"HB VANCOMYCIN ASSAY"|301.00|$133.00|$26.60|$94.16|$93.00||$60.78|$26.60|$94.16|$48.81|$62.11|$41.00|$75.15|$59.85|$39.00|$42.00|$51.34|$34.77|$30.98|$30.98
"CPT® 82607"|"HB VITAMIN B12 ASSAY"|301.00|$154.00|$30.80|$109.03|$108.00||$70.38|$30.80|$109.03|$56.52|$71.92|$41.00|$87.01|$69.30|$39.00|$42.00|$59.44|$40.26|$35.87|$35.87
"CPT® 80176"|"HB LIDOCAINE, SERUM"|301.00|$264.00|$39.00|$186.91|$185.00||$120.65|$52.80|$186.91|$96.89|$123.29|$41.00|$149.16|$118.80|$39.00|$42.00|$101.90|$69.01|$61.49|$61.49
"CPT® 80299"|"HB METHOTREXATE, SERUM"|301.00|$676.00|$39.00|$478.61|$473.00||$308.93|$135.20|$478.61|$248.09|$315.69|$41.00|$381.94|$304.20|$39.00|$42.00|$260.94|$176.71|$157.44|$157.44
"CPT® 82043"|"HB MICROALBUMIN, URINE"|301.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 84153"|"HB PROSTATE HEALTH INDEX, TOTAL PSA"|301.00|$61.00|$12.20|$43.19|$43.00||$27.88|$12.20|$43.19|$22.39|$28.49|$41.00|$34.47|$27.45|$39.00|$42.00|$23.55|$15.95|$14.21|$14.21
"CPT® 84154"|"HB PROSTATE HEALTH INDEX, FREE PSA"|301.00|$102.00|$20.40|$72.22|$71.00||$46.61|$20.40|$72.22|$37.43|$47.63|$41.00|$57.63|$45.90|$39.00|$42.00|$39.37|$26.66|$23.76|$23.76
"CPT® 80180"|"HB MYCOPHENOLIC ACID, EIA"|301.00|$326.00|$39.00|$230.81|$228.00||$148.98|$65.20|$230.81|$119.64|$152.24|$41.00|$184.19|$146.70|$39.00|$42.00|$125.84|$85.22|$75.93|$75.93
"CPT® 84560"|"HB URIC ACID, BODY FLUID"|301.00|$18.00|$3.60|$18.00|$13.00||$8.23|$3.60|$12.74|$6.61|$8.41|$18.00|$10.17|$8.10|$18.00|$18.00|$6.95|$4.71|$4.19|$4.19
"CPT® 83520"|"HB ANTI-MULLERIAN HORMONE"|301.00|$212.00|$39.00|$150.10|$148.00||$96.88|$42.40|$150.10|$77.80|$99.00|$41.00|$119.78|$95.40|$39.00|$42.00|$81.83|$55.42|$49.37|$49.37
"CPT® 83010"|"HB HAPTOGLOBIN"|301.00|$98.00|$19.60|$69.38|$69.00||$44.79|$19.60|$69.38|$35.97|$45.77|$41.00|$55.37|$44.10|$39.00|$42.00|$37.83|$25.62|$22.82|$22.82
"CPT® 84145"|"HB PROCALCITONIN"|301.00|$245.00|$39.00|$173.46|$172.00||$111.97|$49.00|$173.46|$89.92|$114.42|$41.00|$138.43|$110.25|$39.00|$42.00|$94.57|$64.04|$57.06|$57.06
"CPT® 80185"|"HB PHENYTOIN LEVEL"|301.00|$39.00|$7.80|$39.00|$27.00||$17.82|$7.80|$27.61|$14.31|$18.21|$39.00|$22.04|$17.55|$39.00|$39.00|$15.05|$10.19|$9.08|$9.08
"CPT® 82010"|"HB BETA-HYDROXYBUTYRATE"|301.00|$381.00|$39.00|$269.75|$267.00||$174.12|$76.20|$269.75|$139.83|$177.93|$41.00|$215.27|$171.45|$39.00|$42.00|$147.07|$99.59|$88.73|$88.73
"CPT® 84703"|"HB BETA-HCG, QUALITATIVE, SERUM"|301.00|$197.00|$39.00|$139.48|$138.00||$90.03|$39.40|$139.48|$72.30|$92.00|$41.00|$111.31|$88.65|$39.00|$42.00|$76.04|$51.50|$45.88|$45.88
"CPT® 82239"|"HB BILE ACIDS, TOTAL"|301.00|$120.00|$24.00|$84.96|$84.00||$54.84|$24.00|$84.96|$44.04|$56.04|$41.00|$67.80|$54.00|$39.00|$42.00|$46.32|$31.37|$27.95|$27.95
"CPT® 84145"|"HB PROCALCITONIN"|301.00|$195.00|$39.00|$138.06|$136.00||$89.12|$39.00|$138.06|$71.57|$91.07|$41.00|$110.18|$87.75|$39.00|$42.00|$75.27|$50.97|$45.42|$45.42
"CPT® 82810"|"HB BLOOD GASES WITH O2 SATURATION"|301.00|$167.00|$33.40|$118.24|$117.00||$76.32|$33.40|$118.24|$61.29|$77.99|$41.00|$94.36|$75.15|$39.00|$42.00|$64.46|$43.65|$38.89|$38.89
"CPT® 82810"|"HB BLOOD GASES, O2 SATURATION ONLY, DIRECT MEASURE"|301.00|$47.00|$9.40|$42.00|$33.00||$21.48|$9.40|$33.28|$17.25|$21.95|$41.00|$26.56|$21.15|$39.00|$42.00|$18.14|$12.29|$10.95|$10.95
"CPT® 82805"|"HB BLOOD GASES, PRE-OXYGENATOR"|301.00|$167.00|$33.40|$118.24|$117.00||$76.32|$33.40|$118.24|$61.29|$77.99|$41.00|$94.36|$75.15|$39.00|$42.00|$64.46|$43.65|$38.89|$38.89
"CPT® 82805"|"HB BLOOD GASES, POST-OXYGENATOR"|301.00|$167.00|$33.40|$118.24|$117.00||$76.32|$33.40|$118.24|$61.29|$77.99|$41.00|$94.36|$75.15|$39.00|$42.00|$64.46|$43.65|$38.89|$38.89
"CPT® 82803"|"HB BLOOD GASES ANY COMBINATION"|301.00|$292.00|$39.00|$206.74|$204.00||$133.44|$58.40|$206.74|$107.16|$136.36|$41.00|$164.98|$131.40|$39.00|$42.00|$112.71|$76.33|$68.01|$68.01
"CPT® 82805"|"HB ECMO PRE-OXYGENATOR"|301.00|$67.00|$13.40|$47.44|$47.00||$30.62|$13.40|$47.44|$24.59|$31.29|$41.00|$37.86|$30.15|$39.00|$42.00|$25.86|$17.51|$15.60|$15.60
"CPT® 82805"|"HB ECMO POST-OXYGENATOR"|301.00|$67.00|$13.40|$47.44|$47.00||$30.62|$13.40|$47.44|$24.59|$31.29|$41.00|$37.86|$30.15|$39.00|$42.00|$25.86|$17.51|$15.60|$15.60
"CPT® 82330"|"HB CALCIUM, IONIZED (BG)"|301.00|$236.00|$39.00|$167.09|$165.00||$107.85|$47.20|$167.09|$86.61|$110.21|$41.00|$133.34|$106.20|$39.00|$42.00|$91.10|$61.69|$54.96|$54.96
"CPT® 82375"|"HB CARBOXYHEMOGLOBIN, QUANT (BG)"|301.00|$37.00|$7.40|$37.00|$26.00||$16.91|$7.40|$26.20|$13.58|$17.28|$37.00|$20.91|$16.65|$37.00|$37.00|$14.28|$9.67|$8.62|$8.62
"CPT® 82947"|"HB GLUCOSE, BLOOD, (BG)"|301.00|$61.00|$12.20|$43.19|$43.00||$27.88|$12.20|$43.19|$22.39|$28.49|$41.00|$34.47|$27.45|$39.00|$42.00|$23.55|$15.95|$14.21|$14.21
"CPT® 82947"|"HB GLUCOSE, BLOOD, (MOD-59) (BG)"|301.00|$61.00|$12.20|$43.19|$43.00||$27.88|$12.20|$43.19|$22.39|$28.49|$41.00|$34.47|$27.45|$39.00|$42.00|$23.55|$15.95|$14.21|$14.21
"CPT® 83050"|"HB HEMOGLOBIN, METHEMOGLOBIN, QUANT (BG)"|301.00|$37.00|$7.40|$37.00|$26.00||$16.91|$7.40|$26.20|$13.58|$17.28|$37.00|$20.91|$16.65|$37.00|$37.00|$14.28|$9.67|$8.62|$8.62
"CPT® 83605"|"HB LACTIC ACID (BG)"|301.00|$254.00|$39.00|$179.83|$178.00||$116.08|$50.80|$179.83|$93.22|$118.62|$41.00|$143.51|$114.30|$39.00|$42.00|$98.04|$66.40|$59.16|$59.16
"CPT® 82800"|"HB PH, BLOOD (BG)"|301.00|$81.00|$16.20|$57.35|$57.00||$37.02|$16.20|$57.35|$29.73|$37.83|$41.00|$45.77|$36.45|$39.00|$42.00|$31.27|$21.17|$18.86|$18.86
"CPT® 83986"|"HB PH, BODY FLUID, NOS (BG)"|301.00|$133.00|$26.60|$94.16|$93.00||$60.78|$26.60|$94.16|$48.81|$62.11|$41.00|$75.15|$59.85|$39.00|$42.00|$51.34|$34.77|$30.98|$30.98
"CPT® 84132"|"HB POTASSIUM, BLOOD (BG)"|301.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 84132"|"HB POTASSIUM, BLOOD (MOD-59) (BG)"|301.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 84295"|"HB SODIUM, BLOOD (BG)"|301.00|$107.00|$21.40|$75.76|$75.00||$48.90|$21.40|$75.76|$39.27|$49.97|$41.00|$60.46|$48.15|$39.00|$42.00|$41.30|$27.97|$24.92|$24.92
"CPT® 84295"|"HB SODIUM, BLOOD (MOD-59) (BG)"|301.00|$107.00|$21.40|$75.76|$75.00||$48.90|$21.40|$75.76|$39.27|$49.97|$41.00|$60.46|$48.15|$39.00|$42.00|$41.30|$27.97|$24.92|$24.92
"CPT® 82570"|"HB ASSAY OF URINE CREATININE"|301.00|$79.00|$15.80|$55.93|$55.00||$36.10|$15.80|$55.93|$28.99|$36.89|$41.00|$44.64|$35.55|$39.00|$42.00|$30.49|$20.65|$18.40|$18.40
"CPT® 82962"|"HB GLUCOSE BLOOD TEST"|301.00|$50.00|$10.00|$42.00|$35.00||$22.85|$10.00|$35.40|$18.35|$23.35|$41.00|$28.25|$22.50|$39.00|$42.00|$19.30|$13.07|$11.65|$11.65
"CPT® 83036"|"HB GLYCOSYLATED HEMOGLOBIN TEST"|301.00|$134.00|$26.27|$94.87|$94.00||$26.27|$26.80|$94.87|$49.18|$62.58|$41.00|$75.71|$60.30|$39.00|$42.00|$51.72|$35.03|$31.21|$31.21
"CPT® 82634"|"HB 11 DEOXYCORTISOL"|301.00|$633.00|$39.00|$448.16|$443.00||$289.28|$126.60|$448.16|$232.31|$295.61|$41.00|$357.65|$284.85|$39.00|$42.00|$244.34|$165.47|$147.43|$147.43
"CPT® 83498"|"HB 17 HYDROXYPROGESTERONE"|301.00|$434.00|$39.00|$307.27|$304.00||$198.34|$86.80|$307.27|$159.28|$202.68|$41.00|$245.21|$195.30|$39.00|$42.00|$167.52|$113.45|$101.08|$101.08
"CPT® 83497"|"HB 5-HIAA, URINE, 24 HR"|301.00|$508.00|$39.00|$359.66|$356.00||$232.16|$101.60|$359.66|$186.44|$237.24|$41.00|$287.02|$228.60|$39.00|$42.00|$196.09|$132.79|$118.31|$118.31
"CPT® 83915"|"HB 5-NUCLEOTIDASE"|301.00|$253.00|$39.00|$179.12|$177.00||$115.62|$50.60|$179.12|$92.85|$118.15|$41.00|$142.95|$113.85|$39.00|$42.00|$97.66|$66.13|$58.92|$58.92
"CPT® 84066"|"HB ACID PHOSPHATASE, PROSTATIC, RIA"|301.00|$158.00|$31.60|$111.86|$111.00||$72.21|$31.60|$111.86|$57.99|$73.79|$41.00|$89.27|$71.10|$39.00|$42.00|$60.99|$41.30|$36.80|$36.80
"CPT® 84060"|"HB ACID PHOSPHATASE, TOTAL"|301.00|$173.00|$34.60|$122.48|$121.00||$79.06|$34.60|$122.48|$63.49|$80.79|$86.50|$97.75|$77.85|$39.00|$42.00|$66.78|$45.22|$40.29|$40.29
"CPT® 82024"|"HB ACTH"|301.00|$554.00|$39.00|$392.23|$388.00||$253.18|$110.80|$392.23|$203.32|$258.72|$41.00|$313.01|$249.30|$39.00|$42.00|$213.84|$144.82|$129.03|$129.03
"CPT® 82017"|"HB ACYLCARNITINE, QUANTITATIVE"|301.00|$171.00|$34.20|$121.07|$120.00||$78.15|$34.20|$121.07|$62.76|$79.86|$41.00|$96.62|$76.95|$39.00|$42.00|$66.01|$44.70|$39.83|$39.83
"CPT® 82030"|"HB ADENOSINE 5'-MONOPHOSPHATE, PLASMA"|301.00|$526.00|$39.00|$372.41|$368.00||$240.38|$105.20|$372.41|$193.04|$245.64|$41.00|$297.19|$236.70|$39.00|$42.00|$203.04|$137.50|$122.51|$122.51
"CPT® 84311"|"HB ADENOSINE DEAMINASE, FLUID"|301.00|$286.00|$39.00|$202.49|$200.00||$130.70|$57.20|$202.49|$104.96|$133.56|$41.00|$161.59|$128.70|$39.00|$42.00|$110.40|$74.76|$66.61|$66.61
"CPT® 82042"|"HB ALBUMIN, CSF"|301.00|$160.00|$32.00|$113.28|$112.00||$73.12|$32.00|$113.28|$58.72|$74.72|$41.00|$90.40|$72.00|$39.00|$42.00|$61.76|$41.82|$37.26|$37.26
"CPT® 82040"|"HB ALBUMIN, SERUM"|301.00|$131.00|$26.20|$92.75|$92.00||$59.87|$26.20|$92.75|$48.08|$61.18|$41.00|$74.02|$58.95|$39.00|$42.00|$50.57|$34.24|$30.51|$30.51
"CPT® 85810"|"HB VISCOSITY, PLASMA"|301.00|$224.00|$39.00|$158.59|$157.00||$102.37|$44.80|$158.59|$82.21|$104.61|$41.00|$126.56|$100.80|$39.00|$42.00|$86.46|$58.55|$52.17|$52.17
"CPT® 83519"|"HB ACETYLCHOLINE RECEPTOR BINDING, AUTOANTIBODIES"|301.00|$432.00|$39.00|$305.86|$302.00||$197.42|$86.40|$305.86|$158.54|$201.74|$41.00|$244.08|$194.40|$39.00|$42.00|$166.75|$112.92|$100.61|$100.61
"CPT® 83519"|"HB ACETYLCHOLINE RECEPTOR BLOCKING, AUTOANTIBODIES"|301.00|$432.00|$39.00|$305.86|$302.00||$197.42|$86.40|$305.86|$158.54|$201.74|$41.00|$244.08|$194.40|$39.00|$42.00|$166.75|$112.92|$100.61|$100.61
"CPT® 83519"|"HB ACETYLCHOLINE RECEPTOR MODULATING, AUTOANTIBODIES"|301.00|$432.00|$39.00|$305.86|$302.00||$197.42|$86.40|$305.86|$158.54|$201.74|$41.00|$244.08|$194.40|$39.00|$42.00|$166.75|$112.92|$100.61|$100.61
"CPT® 83930"|"HB OSMOLALITY, SERUM"|301.00|$159.00|$31.80|$112.57|$111.00||$72.66|$31.80|$112.57|$58.35|$74.25|$41.00|$89.84|$71.55|$39.00|$42.00|$61.37|$41.56|$37.03|$37.03
"CPT® 82731"|"HB FETAL FIBRONECTIN"|301.00|$532.00|$39.00|$376.66|$372.00||$243.12|$106.40|$376.66|$195.24|$248.44|$41.00|$300.58|$239.40|$39.00|$42.00|$205.35|$139.06|$123.90|$123.90
"CPT® 84703"|"HB PREGNANCY TEST, SERUM"|301.00|$197.00|$39.00|$139.48|$138.00||$90.03|$39.40|$139.48|$72.30|$92.00|$41.00|$111.31|$88.65|$39.00|$42.00|$76.04|$51.50|$45.88|$45.88
"CPT® 81025"|"HB PREGNANCY TEST, URINE"|301.00|$197.00|$17.14|$139.48|$138.00||$17.14|$39.40|$139.48|$72.30|$92.00|$41.00|$111.31|$88.65|$39.00|$42.00|$76.04|$51.50|$45.88|$45.88
"CPT® 83986"|"HB PH, BODY FLUID"|301.00|$114.00|$22.80|$80.71|$80.00||$52.10|$22.80|$80.71|$41.84|$53.24|$41.00|$64.41|$51.30|$39.00|$42.00|$44.00|$29.80|$26.55|$26.55
"CPT® 83935"|"HB OSMOLALITY, BODY FLUID"|301.00|$205.00|$39.00|$145.14|$144.00||$93.69|$41.00|$145.14|$75.24|$95.74|$41.00|$115.83|$92.25|$39.00|$42.00|$79.13|$53.59|$47.74|$47.74
"CPT® 84376"|"HB REDUCING SUBSTANCES"|301.00|$60.00|$12.00|$42.48|$42.00||$27.42|$12.00|$42.48|$22.02|$28.02|$41.00|$33.90|$27.00|$39.00|$42.00|$23.16|$15.68|$13.97|$13.97
"CPT® 83935"|"HB OSMOLALITY, URINE"|301.00|$209.00|$39.00|$147.97|$146.00||$95.51|$41.80|$147.97|$76.70|$97.60|$41.00|$118.09|$94.05|$39.00|$42.00|$80.67|$54.63|$48.68|$48.68
"CPT® 82272"|"HB OCCULT BLOOD, DIAGNOSTIC"|301.00|$81.00|$16.20|$57.35|$57.00||$37.02|$16.20|$57.35|$29.73|$37.83|$41.00|$45.77|$36.45|$39.00|$42.00|$31.27|$21.17|$18.86|$18.86
"CPT® 82785"|"HB ALLERGEN, IGE, EACH"|301.00|$310.00|$39.00|$219.48|$217.00||$141.67|$62.00|$219.48|$113.77|$144.77|$41.00|$175.15|$139.50|$39.00|$42.00|$119.66|$81.03|$72.20|$72.20
"CPT® 82785"|"HB CHILDHOOD ALLERGY PANEL, IGE, TOTAL"|301.00|$210.00|$39.00|$148.68|$147.00||$95.97|$42.00|$148.68|$77.07|$98.07|$41.00|$118.65|$94.50|$39.00|$42.00|$81.06|$54.89|$48.91|$48.91
"CPT® 82785"|"HB RESPIRATORY ALLERGY PANEL, MIDWEST, IGE TOTAL"|301.00|$210.00|$39.00|$148.68|$147.00||$95.97|$42.00|$148.68|$77.07|$98.07|$41.00|$118.65|$94.50|$39.00|$42.00|$81.06|$54.89|$48.91|$48.91
"CPT® 82085"|"HB ALDOLASE"|301.00|$212.00|$39.00|$150.10|$148.00||$96.88|$42.40|$150.10|$77.80|$99.00|$41.00|$119.78|$95.40|$39.00|$42.00|$81.83|$55.42|$49.37|$49.37
"CPT® 82088"|"HB ALDOSTERONE, SERUM"|301.00|$743.00|$39.00|$526.04|$520.00||$339.55|$148.60|$526.04|$272.68|$346.98|$41.00|$419.80|$334.35|$39.00|$42.00|$286.80|$194.22|$173.04|$173.04
"CPT® 82088"|"HB ALDOSTERONE, URINE"|301.00|$728.00|$39.00|$515.42|$510.00||$332.70|$145.60|$515.42|$267.18|$339.98|$41.00|$411.32|$327.60|$39.00|$42.00|$281.01|$190.30|$169.55|$169.55
"CPT® 84080"|"HB ALKALINE PHOSPHATASE ISOENZYMES"|301.00|$87.00|$17.40|$61.60|$61.00||$39.76|$17.40|$61.60|$31.93|$40.63|$41.00|$49.16|$39.15|$39.00|$42.00|$33.58|$22.74|$20.26|$20.26
"CPT® 82106"|"HB ALPHA FETOPROTEIN, AMNIOTIC FLUID"|301.00|$339.00|$39.00|$240.01|$237.00||$154.92|$67.80|$240.01|$124.41|$158.31|$41.00|$191.54|$152.55|$39.00|$42.00|$130.85|$88.61|$78.95|$78.95
"CPT® 82105"|"HB ALPHA FETOPROTEIN, SERUM"|301.00|$360.00|$39.00|$254.88|$252.00||$164.52|$72.00|$254.88|$132.12|$168.12|$41.00|$203.40|$162.00|$39.00|$42.00|$138.96|$94.10|$83.84|$83.84
"CPT® 82103"|"HB ALPHA-1-ANTITRYPSIN, TOTAL"|301.00|$247.00|$39.00|$174.88|$173.00||$112.88|$49.40|$174.88|$90.65|$115.35|$41.00|$139.56|$111.15|$39.00|$42.00|$95.34|$64.57|$57.53|$57.53
"CPT® 82104"|"HB ALPHA-1-ANTITRYPSIN PHENOTYPE"|301.00|$127.00|$25.40|$89.92|$89.00||$58.04|$25.40|$89.92|$46.61|$59.31|$41.00|$71.76|$57.15|$39.00|$42.00|$49.02|$33.20|$29.58|$29.58
"CPT® 82108"|"HB ALUMINUM, PLASMA"|301.00|$275.00|$39.00|$194.70|$192.00||$125.68|$55.00|$194.70|$100.93|$128.43|$41.00|$155.38|$123.75|$39.00|$42.00|$106.15|$71.89|$64.05|$64.05
"CPT® 80150"|"HB AMIKACIN LEVEL"|301.00|$376.00|$39.00|$266.21|$263.00||$171.83|$75.20|$266.21|$137.99|$175.59|$41.00|$212.44|$169.20|$39.00|$42.00|$145.14|$98.29|$87.57|$87.57
"CPT® 82139"|"HB AMINO ACID FRACTIONATION, QUANTITATIVE"|301.00|$1389.00|$39.00|$983.41|$972.00||$634.77|$277.80|$983.41|$509.76|$648.66|$41.00|$784.79|$625.05|$39.00|$42.00|$536.15|$363.08|$323.50|$323.50
"CPT® 82139"|"HB AMINO ACID PROFILE, QUANTITATIVE"|301.00|$1389.00|$39.00|$983.41|$972.00||$634.77|$277.80|$983.41|$509.76|$648.66|$41.00|$784.79|$625.05|$39.00|$42.00|$536.15|$363.08|$323.50|$323.50
"CPT® 82128"|"HB AMINO ACID SCREEN, PLASMA"|301.00|$194.00|$38.80|$137.35|$136.00||$88.66|$38.80|$137.35|$71.20|$90.60|$97.00|$109.61|$87.30|$39.00|$42.00|$74.88|$50.71|$45.18|$45.18
"CPT® 82128"|"HB AMINO ACID SCREEN, URINE, 24 HR"|301.00|$194.00|$38.80|$137.35|$136.00||$88.66|$38.80|$137.35|$71.20|$90.60|$97.00|$109.61|$87.30|$39.00|$42.00|$74.88|$50.71|$45.18|$45.18
"CPT® 82135"|"HB AMINOLEVULINIC ACID, URINE"|301.00|$354.00|$39.00|$250.63|$248.00||$161.78|$70.80|$250.63|$129.92|$165.32|$41.00|$200.01|$159.30|$39.00|$42.00|$136.64|$92.54|$82.45|$82.45
"CPT® 82542"|"HB AMIODARONE ASSAY"|301.00|$296.00|$39.00|$209.57|$207.00||$135.27|$59.20|$209.57|$108.63|$138.23|$41.00|$167.24|$133.20|$39.00|$42.00|$114.26|$77.37|$68.94|$68.94
"HCPCS G0480"|"HB AMITRYPTYLINE LEVEL"|301.00|$250.00|$39.00|$177.00|$175.00||$114.25|$50.00|$177.00|$91.75|$116.75|$125.00|$141.25|$112.50|$39.00|$42.00|$96.50|$65.35|$58.23|$58.23
"CPT® 82150"|"HB AMYLASE ISOENZYMES"|301.00|$209.00|$39.00|$147.97|$146.00||$95.51|$41.80|$147.97|$76.70|$97.60|$41.00|$118.09|$94.05|$39.00|$42.00|$80.67|$54.63|$48.68|$48.68
"CPT® 82157"|"HB ANDROSTENEDIONE LEVEL"|301.00|$467.00|$39.00|$330.64|$327.00||$213.42|$93.40|$330.64|$171.39|$218.09|$41.00|$263.86|$210.15|$39.00|$42.00|$180.26|$122.07|$108.76|$108.76
"CPT® 82163"|"HB ANGIOTENSIN II"|301.00|$212.00|$39.00|$150.10|$148.00||$96.88|$42.40|$150.10|$77.80|$99.00|$41.00|$119.78|$95.40|$39.00|$42.00|$81.83|$55.42|$49.37|$49.37
"CPT® 82164"|"HB ANGIOTENSIN CONVERTING ENZYME"|301.00|$249.00|$39.00|$176.29|$174.00||$113.79|$49.80|$176.29|$91.38|$116.28|$41.00|$140.69|$112.05|$39.00|$42.00|$96.11|$65.09|$57.99|$57.99
"CPT® 82164"|"HB ANGIOTENSIN CONVERTING ENZYME, CSF"|301.00|$249.00|$39.00|$176.29|$174.00||$113.79|$49.80|$176.29|$91.38|$116.28|$41.00|$140.69|$112.05|$39.00|$42.00|$96.11|$65.09|$57.99|$57.99
"CPT® 84588"|"HB ANTIDIURETIC HORMONE VASOPRESSIN"|301.00|$272.00|$39.00|$192.58|$190.00||$124.30|$54.40|$192.58|$99.82|$127.02|$41.00|$153.68|$122.40|$39.00|$42.00|$104.99|$71.10|$63.35|$63.35
"CPT® 82172"|"HB APOLIPOPROTEIN A-1"|301.00|$143.00|$28.60|$101.24|$100.00||$65.35|$28.60|$101.24|$52.48|$66.78|$41.00|$80.80|$64.35|$39.00|$42.00|$55.20|$37.38|$33.30|$33.30
"CPT® 82172"|"HB APOLIPOPROTEIN B"|301.00|$143.00|$28.60|$101.24|$100.00||$65.35|$28.60|$101.24|$52.48|$66.78|$41.00|$80.80|$64.35|$39.00|$42.00|$55.20|$37.38|$33.30|$33.30
"CPT® 82175"|"HB ARSENIC LEVEL"|301.00|$312.00|$39.00|$220.90|$218.00||$142.58|$62.40|$220.90|$114.50|$145.70|$41.00|$176.28|$140.40|$39.00|$42.00|$120.43|$81.56|$72.66|$72.66
"CPT® 82175"|"HB ARSENIC, URINE"|301.00|$312.00|$39.00|$220.90|$218.00||$142.58|$62.40|$220.90|$114.50|$145.70|$41.00|$176.28|$140.40|$39.00|$42.00|$120.43|$81.56|$72.66|$72.66
"CPT® 82180"|"HB VITAMIN C LEVEL"|301.00|$208.00|$39.00|$147.26|$146.00||$95.06|$41.60|$147.26|$76.34|$97.14|$41.00|$117.52|$93.60|$39.00|$42.00|$80.29|$54.37|$48.44|$48.44
"HCPCS G0480"|"HB BARBITURATE PANEL"|301.00|$205.00|$39.00|$145.14|$144.00||$93.69|$41.00|$145.14|$75.24|$95.74|$102.50|$115.83|$92.25|$39.00|$42.00|$79.13|$53.59|$47.74|$47.74
"HCPCS G0480"|"HB CLONAZEPAM, SERUM"|301.00|$233.00|$39.00|$164.96|$163.00||$106.48|$46.60|$164.96|$85.51|$108.81|$116.50|$131.65|$104.85|$39.00|$42.00|$89.94|$60.91|$54.27|$54.27
"CPT® 82232"|"HB BETA-2 MICROGLOBULIN"|301.00|$360.00|$39.00|$254.88|$252.00||$164.52|$72.00|$254.88|$132.12|$168.12|$41.00|$203.40|$162.00|$39.00|$42.00|$138.96|$94.10|$83.84|$83.84
"CPT® 84999"|"HB BETA-GLUCURONIDASE"|301.00|$549.00|$39.00|$388.69|$384.00||$250.89|$109.80|$388.69|$201.48|$256.38|$41.00|$310.19|$247.05|$39.00|$42.00|$211.91|$143.51|$127.86|$127.86
"CPT® 82010"|"HB BETA-HYDROXYBUTYRATE"|301.00|$119.00|$23.80|$84.25|$83.00||$54.38|$23.80|$84.25|$43.67|$55.57|$41.00|$67.24|$53.55|$39.00|$42.00|$45.93|$31.11|$27.72|$27.72
"CPT® 82374"|"HB BICARBONATE, URINE"|301.00|$86.00|$17.20|$60.89|$60.00||$39.30|$17.20|$60.89|$31.56|$40.16|$41.00|$48.59|$38.70|$39.00|$42.00|$33.20|$22.48|$20.03|$20.03
"CPT® 83789"|"HB BILE ACIDS, FRACTIONATED"|301.00|$198.00|$39.00|$140.18|$139.00||$90.49|$39.60|$140.18|$72.67|$92.47|$41.00|$111.87|$89.10|$39.00|$42.00|$76.43|$51.76|$46.11|$46.11
"CPT® 82247"|"HB BILIRUBIN, TOTAL, SO"|301.00|$132.00|$26.40|$93.46|$92.00||$60.32|$26.40|$93.46|$48.44|$61.64|$41.00|$74.58|$59.40|$39.00|$42.00|$50.95|$34.50|$30.74|$30.74
"CPT® 82300"|"HB CADMIUM"|301.00|$257.00|$39.00|$181.96|$180.00||$117.45|$51.40|$181.96|$94.32|$120.02|$41.00|$145.21|$115.65|$39.00|$42.00|$99.20|$67.18|$59.86|$59.86
"CPT® 82300"|"HB CADMIUM, UIRNE"|301.00|$252.00|$39.00|$178.42|$176.00||$115.16|$50.40|$178.42|$92.48|$117.68|$41.00|$142.38|$113.40|$39.00|$42.00|$97.27|$65.87|$58.69|$58.69
"CPT® 82308"|"HB CALCITONIN"|301.00|$494.00|$39.00|$349.75|$346.00||$225.76|$98.80|$349.75|$181.30|$230.70|$41.00|$279.11|$222.30|$39.00|$42.00|$190.68|$129.13|$115.05|$115.05
"CPT® 82365"|"HB CALCULI (STONE) ANALYSIS"|301.00|$169.00|$33.80|$119.65|$118.00||$77.23|$33.80|$119.65|$62.02|$78.92|$41.00|$95.49|$76.05|$39.00|$42.00|$65.23|$44.18|$39.36|$39.36
"CPT® 83993"|"HB CALPROTECTIN"|301.00|$214.00|$39.00|$151.51|$150.00||$97.80|$42.80|$151.51|$78.54|$99.94|$41.00|$120.91|$96.30|$39.00|$42.00|$82.60|$55.94|$49.84|$49.84
"CPT® 82379"|"HB CARNITINE, FREE AND TOTAL"|301.00|$581.00|$39.00|$411.35|$407.00||$265.52|$116.20|$411.35|$213.23|$271.33|$41.00|$328.27|$261.45|$39.00|$42.00|$224.27|$151.87|$135.31|$135.31
"CPT® 82380"|"HB CAROTENE"|301.00|$273.00|$39.00|$193.28|$191.00||$124.76|$54.60|$193.28|$100.19|$127.49|$41.00|$154.25|$122.85|$39.00|$42.00|$105.38|$71.36|$63.58|$63.58
"CPT® 82384"|"HB CATECHOLAMINES, FRACTIONATED"|301.00|$344.00|$39.00|$243.55|$241.00||$157.21|$68.80|$243.55|$126.25|$160.65|$41.00|$194.36|$154.80|$39.00|$42.00|$132.78|$89.92|$80.12|$80.12
"CPT® 82384"|"HB CATECHOLAMINES, FRACTIONATED, URINE, 24 HR"|301.00|$461.00|$39.00|$326.39|$323.00||$210.68|$92.20|$326.39|$169.19|$215.29|$41.00|$260.47|$207.45|$39.00|$42.00|$177.95|$120.51|$107.37|$107.37
"CPT® 82390"|"HB CERULOPLASMIN"|301.00|$373.00|$39.00|$264.08|$261.00||$170.46|$74.60|$264.08|$136.89|$174.19|$41.00|$210.75|$167.85|$39.00|$42.00|$143.98|$97.50|$86.87|$86.87
"CPT® 80299"|"HB CHLORPROMAZINE"|301.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"CPT® 82482"|"HB CHOLINESTASE, RBC"|301.00|$279.00|$39.00|$197.53|$195.00||$127.50|$55.80|$197.53|$102.39|$130.29|$139.50|$157.64|$125.55|$39.00|$42.00|$107.69|$72.93|$64.98|$64.98
"CPT® 82495"|"HB CHROMIUM, BLOOD"|301.00|$411.00|$39.00|$290.99|$288.00||$187.83|$82.20|$290.99|$150.84|$191.94|$41.00|$232.22|$184.95|$39.00|$42.00|$158.65|$107.44|$95.72|$95.72
"CPT® 82507"|"HB CITRIC ACID, URINE"|301.00|$223.00|$39.00|$157.88|$156.00||$101.91|$44.60|$157.88|$81.84|$104.14|$41.00|$126.00|$100.35|$39.00|$42.00|$86.08|$58.29|$51.94|$51.94
"CPT® 80299"|"HB CLOAZEPAM/KLONOPIN"|301.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"CPT® 83018"|"HB COBALT, BLOOD"|301.00|$217.00|$39.00|$153.64|$152.00||$99.17|$43.40|$153.64|$79.64|$101.34|$41.00|$122.61|$97.65|$39.00|$42.00|$83.76|$56.72|$50.54|$50.54
"CPT® 83018"|"HB COBALT, URINE"|301.00|$217.00|$39.00|$153.64|$152.00||$99.17|$43.40|$153.64|$79.64|$101.34|$41.00|$122.61|$97.65|$39.00|$42.00|$83.76|$56.72|$50.54|$50.54
"CPT® 80307"|"HB COMPREHENSIVE DRUG SCREEN, SERUM"|301.00|$249.00|$39.00|$176.29|$174.00||$113.79|$49.80|$176.29|$91.38|$116.28|$41.00|$140.69|$112.05|$39.00|$42.00|$96.11|$65.09|$57.99|$57.99
"CPT® 80307"|"HB COMPREHENSIVE DRUG SCREEN, URINE"|301.00|$249.00|$39.00|$176.29|$174.00||$113.79|$49.80|$176.29|$91.38|$116.28|$41.00|$140.69|$112.05|$39.00|$42.00|$96.11|$65.09|$57.99|$57.99
"CPT® 82525"|"HB COPPER"|301.00|$293.00|$39.00|$207.44|$205.00||$133.90|$58.60|$207.44|$107.53|$136.83|$41.00|$165.55|$131.85|$39.00|$42.00|$113.10|$76.59|$68.24|$68.24
"CPT® 82525"|"HB COPPER"|301.00|$293.00|$39.00|$207.44|$205.00||$133.90|$58.60|$207.44|$107.53|$136.83|$41.00|$165.55|$131.85|$39.00|$42.00|$113.10|$76.59|$68.24|$68.24
"CPT® 82530"|"HB CORTISOL, FREE"|301.00|$285.00|$39.00|$201.78|$200.00||$130.25|$57.00|$201.78|$104.60|$133.10|$41.00|$161.03|$128.25|$39.00|$42.00|$110.01|$74.50|$66.38|$66.38
"CPT® 82552"|"HB CREATINE KINASE ISOENZYMES"|301.00|$86.00|$17.20|$60.89|$60.00||$39.30|$17.20|$60.89|$31.56|$40.16|$41.00|$48.59|$38.70|$39.00|$42.00|$33.20|$22.48|$20.03|$20.03
"CPT® 82570"|"HB CREATININE, AMNIOTIC FLUID"|301.00|$79.00|$15.80|$55.93|$55.00||$36.10|$15.80|$55.93|$28.99|$36.89|$41.00|$44.64|$35.55|$39.00|$42.00|$30.49|$20.65|$18.40|$18.40
"CPT® 82570"|"HB CREATININE, OTHER SOURCE"|301.00|$79.00|$15.80|$55.93|$55.00||$36.10|$15.80|$55.93|$28.99|$36.89|$41.00|$44.64|$35.55|$39.00|$42.00|$30.49|$20.65|$18.40|$18.40
"CPT® 82570"|"HB CREATININE, URINE, 24 HR"|301.00|$79.00|$15.80|$55.93|$55.00||$36.10|$15.80|$55.93|$28.99|$36.89|$41.00|$44.64|$35.55|$39.00|$42.00|$30.49|$20.65|$18.40|$18.40
"CPT® 82570"|"HB CREATININE, URINE, RANDOM"|301.00|$79.00|$15.80|$55.93|$55.00||$36.10|$15.80|$55.93|$28.99|$36.89|$41.00|$44.64|$35.55|$39.00|$42.00|$30.49|$20.65|$18.40|$18.40
"CPT® 82595"|"HB CRYOGLOBULINS"|301.00|$185.00|$37.00|$130.98|$130.00||$84.55|$37.00|$130.98|$67.90|$86.40|$41.00|$104.53|$83.25|$39.00|$42.00|$71.41|$48.36|$43.09|$43.09
"CPT® 82600"|"HB CYANIDE"|301.00|$292.00|$39.00|$206.74|$204.00||$133.44|$58.40|$206.74|$107.16|$136.36|$146.00|$164.98|$131.40|$39.00|$42.00|$112.71|$76.33|$68.01|$68.01
"CPT® 82610"|"HB CYSTATIN C"|301.00|$158.00|$31.60|$111.86|$111.00||$72.21|$31.60|$111.86|$57.99|$73.79|$41.00|$89.27|$71.10|$39.00|$42.00|$60.99|$41.30|$36.80|$36.80
"CPT® 82131"|"HB CYSTINE, URINE, 24 HR"|301.00|$295.00|$39.00|$208.86|$206.00||$134.82|$59.00|$208.86|$108.27|$137.77|$41.00|$166.68|$132.75|$39.00|$42.00|$113.87|$77.11|$68.71|$68.71
"CPT® 82135"|"HB DELTA-AMINOLEVULINIC ACID, URINE, 24 HR"|301.00|$354.00|$39.00|$250.63|$248.00||$161.78|$70.80|$250.63|$129.92|$165.32|$41.00|$200.01|$159.30|$39.00|$42.00|$136.64|$92.54|$82.45|$82.45
"HCPCS G0480"|"HB DESIPRAMINE"|301.00|$551.00|$39.00|$390.11|$386.00||$251.81|$110.20|$390.11|$202.22|$257.32|$275.50|$311.32|$247.95|$39.00|$42.00|$212.69|$144.03|$128.33|$128.33
"CPT® 82627"|"HB DHEA SULFATE"|301.00|$333.00|$39.00|$235.76|$233.00||$152.18|$66.60|$235.76|$122.21|$155.51|$41.00|$188.15|$149.85|$39.00|$42.00|$128.54|$87.05|$77.56|$77.56
"CPT® 80299"|"HB DIAZEPAM"|301.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"CPT® 82638"|"HB DIBUCAINE INHIBITION NUMBER"|301.00|$126.00|$25.20|$89.21|$88.00||$57.58|$25.20|$89.21|$46.24|$58.84|$41.00|$71.19|$56.70|$39.00|$42.00|$48.64|$32.94|$29.35|$29.35
"HCPCS G0480"|"HB DIHYDROTESTOSTERONE"|301.00|$312.00|$39.00|$220.90|$218.00||$142.58|$62.40|$220.90|$114.50|$145.70|$156.00|$176.28|$140.40|$39.00|$42.00|$120.43|$81.56|$72.66|$72.66
"CPT® 80299"|"HB DISOPYRAMIDE"|301.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"HCPCS G0480"|"HB DOXEPIN"|301.00|$373.00|$39.00|$264.08|$261.00||$170.46|$74.60|$264.08|$136.89|$174.19|$186.50|$210.75|$167.85|$39.00|$42.00|$143.98|$97.50|$86.87|$86.87
"HCPCS 80307"|"HB DRUG ABUSE PANEL, EACH DRUG CLASS"|301.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"HCPCS G0483"|"HB DRUG SCREEN, LC-MS/MS"|301.00|$648.00|$39.00|$458.78|$454.00||$296.14|$129.60|$458.78|$237.82|$302.62|$324.00|$366.12|$291.60|$39.00|$42.00|$250.13|$169.39|$150.92|$150.92
"HCPCS G0480"|"HB DRUG CONFIRMATION, AMPHETAMINES, URINE"|301.00|$285.00|$39.00|$201.78|$200.00||$130.25|$57.00|$201.78|$104.60|$133.10|$142.50|$161.03|$128.25|$39.00|$42.00|$110.01|$74.50|$66.38|$66.38
"HCPCS G0480"|"HB DRUG CONFIRMATION, CANNABINOIDS, URINE"|301.00|$200.00|$39.00|$141.60|$140.00||$91.40|$40.00|$141.60|$73.40|$93.40|$100.00|$113.00|$90.00|$39.00|$42.00|$77.20|$52.28|$46.58|$46.58
"HCPCS G0480"|"HB DRUG CONFIRMATION, COCAINE, URINE"|301.00|$168.00|$33.60|$118.94|$118.00||$76.78|$33.60|$118.94|$61.66|$78.46|$84.00|$94.92|$75.60|$39.00|$42.00|$64.85|$43.92|$39.13|$39.13
"HCPCS G6056"|"HB DRUG CONFIRMATION, OPIATES, URINE"|301.00|$206.00|$39.00|$145.85|$144.00||$94.14|$41.20|$145.85|$75.60|$96.20|$103.00|$116.39|$92.70|$39.00|$42.00|$79.52|$53.85|$47.98|$47.98
"CPT® 83992"|"HB DRUG CONFIRMATION, PCP, URINE"|301.00|$396.00|$39.00|$280.37|$277.00||$180.97|$79.20|$280.37|$145.33|$184.93|$198.00|$223.74|$178.20|$39.00|$42.00|$152.86|$103.51|$92.23|$92.23
"CPT® 80307"|"HB DRUG SCREEN, COMPREHENSIVE, SERUM & URINE"|301.00|$516.00|$39.00|$365.33|$361.00||$235.81|$103.20|$365.33|$189.37|$240.97|$41.00|$291.54|$232.20|$39.00|$42.00|$199.18|$134.88|$120.18|$120.18
"CPT® 80307"|"HB DRUG SCREEN, URINE"|301.00|$480.00|$39.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$41.00|$271.20|$216.00|$39.00|$42.00|$185.28|$125.47|$111.79|$111.79
"CPT® 80307"|"HB DRUG, SINGLE CLASS, EACH DRUG"|301.00|$87.00|$17.40|$61.60|$61.00||$39.76|$17.40|$61.60|$31.93|$40.63|$41.00|$49.16|$39.15|$39.00|$42.00|$33.58|$22.74|$20.26|$20.26
"CPT® 80307"|"HB DRUG, SINGLE CLASS, IMMUNOASSAY"|301.00|$233.00|$39.00|$164.96|$163.00||$106.48|$46.60|$164.96|$85.51|$108.81|$41.00|$131.65|$104.85|$39.00|$42.00|$89.94|$60.91|$54.27|$54.27
"CPT® 84620"|"HB D-XYLOSE, 2 HR"|301.00|$238.00|$39.00|$168.50|$167.00||$108.77|$47.60|$168.50|$87.35|$111.15|$41.00|$134.47|$107.10|$39.00|$42.00|$91.87|$62.21|$55.43|$55.43
"CPT® 84620"|"HB D-XYLOSE, SERUM"|301.00|$238.00|$39.00|$168.50|$167.00||$108.77|$47.60|$168.50|$87.35|$111.15|$41.00|$134.47|$107.10|$39.00|$42.00|$91.87|$62.21|$55.43|$55.43
"CPT® 82668"|"HB ERYTHROPOETIN"|301.00|$308.00|$39.00|$218.06|$216.00||$140.76|$61.60|$218.06|$113.04|$143.84|$41.00|$174.02|$138.60|$39.00|$42.00|$118.89|$80.51|$71.73|$71.73
"CPT® 82542"|"HB ESSENTIAL FATTY ACID PROFILE"|301.00|$386.00|$39.00|$273.29|$270.00||$176.40|$77.20|$273.29|$141.66|$180.26|$41.00|$218.09|$173.70|$39.00|$42.00|$149.00|$100.90|$89.90|$89.90
"CPT® 82670"|"HB ESTRADIOL, FREE"|301.00|$125.00|$25.00|$88.50|$88.00||$57.13|$25.00|$88.50|$45.88|$58.38|$41.00|$70.63|$56.25|$39.00|$42.00|$48.25|$32.68|$29.11|$29.11
"CPT® 82677"|"HB ESTRIOL"|301.00|$300.00|$39.00|$212.40|$210.00||$137.10|$60.00|$212.40|$110.10|$140.10|$41.00|$169.50|$135.00|$39.00|$42.00|$115.80|$78.42|$69.87|$69.87
"CPT® 82671"|"HB ESTROGEN, FRACTIONATED"|301.00|$329.00|$39.00|$232.93|$230.00||$150.35|$65.80|$232.93|$120.74|$153.64|$41.00|$185.89|$148.05|$39.00|$42.00|$126.99|$86.00|$76.62|$76.62
"CPT® 80168"|"HB ETHOSUXIMIDE"|301.00|$155.00|$31.00|$109.74|$108.00||$70.84|$31.00|$109.74|$56.89|$72.39|$41.00|$87.58|$69.75|$39.00|$42.00|$59.83|$40.52|$36.10|$36.10
"CPT® 80299"|"HB ETHOTOIN"|301.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"CPT® 82693"|"HB ETHYLENE GLYCOL"|301.00|$153.00|$30.60|$108.32|$107.00||$69.92|$30.60|$108.32|$56.15|$71.45|$41.00|$86.45|$68.85|$39.00|$42.00|$59.06|$39.99|$35.63|$35.63
"CPT® 80169"|"HB EVEROLIMUS LEVEL"|301.00|$396.00|$39.00|$280.37|$277.00||$180.97|$79.20|$280.37|$145.33|$184.93|$41.00|$223.74|$178.20|$39.00|$42.00|$152.86|$103.51|$92.23|$92.23
"CPT® 83630"|"HB FECAL LACTOFERRIN"|301.00|$198.00|$39.00|$140.18|$139.00||$90.49|$39.60|$140.18|$72.67|$92.47|$41.00|$111.87|$89.10|$39.00|$42.00|$76.43|$51.76|$46.11|$46.11
"CPT® 82705"|"HB FECAL FAT, QUALITATIVE"|301.00|$110.00|$22.00|$77.88|$77.00||$50.27|$22.00|$77.88|$40.37|$51.37|$41.00|$62.15|$49.50|$39.00|$42.00|$42.46|$28.75|$25.62|$25.62
"CPT® 82710"|"HB FECAL FAT, QUANTITATIVE"|301.00|$363.00|$39.00|$257.00|$254.00||$165.89|$72.60|$257.00|$133.22|$169.52|$41.00|$205.10|$163.35|$39.00|$42.00|$140.12|$94.89|$84.54|$84.54
"CPT® 80299"|"HB FLECAINIDE"|301.00|$201.00|$39.00|$142.31|$141.00||$91.86|$40.20|$142.31|$73.77|$93.87|$41.00|$113.57|$90.45|$39.00|$42.00|$77.59|$52.54|$46.81|$46.81
"CPT® 82747"|"HB FOLATE, RBC"|301.00|$292.00|$39.00|$206.74|$204.00||$133.44|$58.40|$206.74|$107.16|$136.36|$41.00|$164.98|$131.40|$39.00|$42.00|$112.71|$76.33|$68.01|$68.01
"CPT® 83001"|"HB FOLLICAL STIMULATING HORMONE"|301.00|$355.00|$39.00|$251.34|$248.00||$162.24|$71.00|$251.34|$130.29|$165.79|$41.00|$200.58|$159.75|$39.00|$42.00|$137.03|$92.80|$82.68|$82.68
"CPT® 82985"|"HB FRUCTOSAMINE"|301.00|$122.00|$24.40|$86.38|$85.00||$55.75|$24.40|$86.38|$44.77|$56.97|$41.00|$68.93|$54.90|$39.00|$42.00|$47.09|$31.89|$28.41|$28.41
"CPT® 82960"|"HB G-6-PD, QUALITATIVE"|301.00|$52.00|$10.40|$42.00|$36.00||$23.76|$10.40|$36.82|$19.08|$24.28|$41.00|$29.38|$23.40|$39.00|$42.00|$20.07|$13.59|$12.11|$12.11
"CPT® 80299"|"HB GABAPENTIN"|301.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"CPT® 84378"|"HB GALASTOSE-1-PHOSPHATE, RBC"|301.00|$268.00|$39.00|$189.74|$188.00||$122.48|$53.60|$189.74|$98.36|$125.16|$41.00|$151.42|$120.60|$39.00|$42.00|$103.45|$70.06|$62.42|$62.42
"CPT® 82977"|"HB GAMMA-GLUTAMYL TRANSFERASE"|301.00|$183.00|$36.60|$129.56|$128.00||$83.63|$36.60|$129.56|$67.16|$85.46|$41.00|$103.40|$82.35|$39.00|$42.00|$70.64|$47.84|$42.62|$42.62
"CPT® 82943"|"HB GLUCAGON"|301.00|$80.00|$16.00|$56.64|$56.00||$36.56|$16.00|$56.64|$29.36|$37.36|$41.00|$45.20|$36.00|$39.00|$42.00|$30.88|$20.91|$18.63|$18.63
"CPT® 83519"|"HB GLUTAMIC ACID DECARBOXYLASE"|301.00|$383.00|$39.00|$271.16|$268.00||$175.03|$76.60|$271.16|$140.56|$178.86|$41.00|$216.40|$172.35|$39.00|$42.00|$147.84|$100.12|$89.20|$89.20
"CPT® 83010"|"HB HAPTOGLOBIN"|301.00|$209.00|$39.00|$147.97|$146.00||$95.51|$41.80|$147.97|$76.70|$97.60|$41.00|$118.09|$94.05|$39.00|$42.00|$80.67|$54.63|$48.68|$48.68
"CPT® 82175"|"HB HEAVY METAL PANEL, ARSENIC, BLOOD"|301.00|$312.00|$39.00|$220.90|$218.00||$142.58|$62.40|$220.90|$114.50|$145.70|$41.00|$176.28|$140.40|$39.00|$42.00|$120.43|$81.56|$72.66|$72.66
"CPT® 82300"|"HB HEAVY METAL PANEL, CADMIUM, BLOOD"|301.00|$252.00|$39.00|$178.42|$176.00||$115.16|$50.40|$178.42|$92.48|$117.68|$41.00|$142.38|$113.40|$39.00|$42.00|$97.27|$65.87|$58.69|$58.69
"CPT® 83655"|"HB HEAVY METAL PANEL, LEAD, BLOOD"|301.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 83825"|"HB HEAVY METAL PANEL, MERCURY, BLOOD"|301.00|$181.00|$36.20|$128.15|$127.00||$82.72|$36.20|$128.15|$66.43|$84.53|$41.00|$102.27|$81.45|$39.00|$42.00|$69.87|$47.31|$42.15|$42.15
"CPT® 83070"|"HB HEMOSIDERIN"|301.00|$207.00|$39.00|$146.56|$145.00||$94.60|$41.40|$146.56|$75.97|$96.67|$41.00|$116.96|$93.15|$39.00|$42.00|$79.90|$54.11|$48.21|$48.21
"CPT® 83918"|"HB HIPPURIC ACID, URINE"|301.00|$182.00|$36.40|$128.86|$127.00||$83.17|$36.40|$128.86|$66.79|$84.99|$41.00|$102.83|$81.90|$39.00|$42.00|$70.25|$47.57|$42.39|$42.39
"CPT® 83090"|"HB HOMOCYSTEINE"|301.00|$160.00|$32.00|$113.28|$112.00||$73.12|$32.00|$113.28|$58.72|$74.72|$41.00|$90.40|$72.00|$39.00|$42.00|$61.76|$41.82|$37.26|$37.26
"CPT® 83150"|"HB HOMOVANILLIC ACID, URINE"|301.00|$200.00|$39.00|$141.60|$140.00||$91.40|$40.00|$141.60|$73.40|$93.40|$41.00|$113.00|$90.00|$39.00|$42.00|$77.20|$52.28|$46.58|$46.58
"CPT® 83003"|"HB HUMAN GROWTH HORMONE"|301.00|$229.00|$39.00|$162.13|$160.00||$104.65|$45.80|$162.13|$84.04|$106.94|$41.00|$129.39|$103.05|$39.00|$42.00|$88.39|$59.86|$53.33|$53.33
"CPT® 83505"|"HB HYDROXYPROLINE, TOTAL"|301.00|$253.00|$39.00|$179.12|$177.00||$115.62|$50.60|$179.12|$92.85|$118.15|$126.50|$142.95|$113.85|$39.00|$42.00|$97.66|$66.13|$58.92|$58.92
"CPT® 80299"|"HB IBUPROPHEN"|301.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"HCPCS G0480"|"HB IMIPRAMINE & DESIPRAMINE"|301.00|$1090.00|$39.00|$771.72|$763.00||$498.13|$218.00|$771.72|$400.03|$509.03|$545.00|$615.85|$490.50|$39.00|$42.00|$420.74|$284.93|$253.86|$253.86
"CPT® 83525"|"HB INSULIN, TOTAL"|301.00|$261.00|$39.00|$184.79|$183.00||$119.28|$52.20|$184.79|$95.79|$121.89|$41.00|$147.47|$117.45|$39.00|$42.00|$100.75|$68.23|$60.79|$60.79
"CPT® 84305"|"HB INSULIN-LIKE GROWTH FACTOR I"|301.00|$654.00|$39.00|$463.03|$458.00||$298.88|$130.80|$463.03|$240.02|$305.42|$41.00|$369.51|$294.30|$39.00|$42.00|$252.44|$170.96|$152.32|$152.32
"CPT® 84600"|"HB ISOPROPANOL INCLUDING ACETONE"|301.00|$161.00|$32.20|$113.99|$113.00||$73.58|$32.20|$113.99|$59.09|$75.19|$41.00|$90.97|$72.45|$39.00|$42.00|$62.15|$42.09|$37.50|$37.50
"CPT® 82542"|"HB KETAMINE AND METABOLITE"|301.00|$286.00|$39.00|$202.49|$200.00||$130.70|$57.20|$202.49|$104.96|$133.56|$41.00|$161.59|$128.70|$39.00|$42.00|$110.40|$74.76|$66.61|$66.61
"CPT® 80235"|"HB LACOSAMIDE LEVEL"|301.00|$273.00|$39.00|$193.28|$191.00||$124.76|$54.60|$193.28|$100.19|$127.49|$41.00|$154.25|$122.85|$39.00|$42.00|$105.38|$71.36|$63.58|$63.58
"CPT® 80169"|"HB LAMACTIL LEVEL"|301.00|$406.00|$39.00|$287.45|$284.00||$185.54|$81.20|$287.45|$149.00|$189.60|$41.00|$229.39|$182.70|$39.00|$42.00|$156.72|$106.13|$94.56|$94.56
"CPT® 80299"|"HB LAMOTRIGINE LEVEL"|301.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"CPT® 83625"|"HB LDH ISOENZYMES"|301.00|$114.00|$22.80|$80.71|$80.00||$52.10|$22.80|$80.71|$41.84|$53.24|$41.00|$64.41|$51.30|$39.00|$42.00|$44.00|$29.80|$26.55|$26.55
"CPT® 83655"|"HB LEAD, URINE"|301.00|$131.00|$26.20|$92.75|$92.00||$59.87|$26.20|$92.75|$48.08|$61.18|$41.00|$74.02|$58.95|$39.00|$42.00|$50.57|$34.24|$30.51|$30.51
"CPT® 83655"|"HB LEAD, PLASMA"|301.00|$178.00|$35.60|$126.02|$125.00||$81.35|$35.60|$126.02|$65.33|$83.13|$41.00|$100.57|$80.10|$39.00|$42.00|$68.71|$46.53|$41.46|$41.46
"CPT® 83655"|"HB LEAD, URINE, 24 HR"|301.00|$174.00|$34.80|$123.19|$122.00||$79.52|$34.80|$123.19|$63.86|$81.26|$41.00|$98.31|$78.30|$39.00|$42.00|$67.16|$45.48|$40.52|$40.52
"CPT® 83670"|"HB LEUCINE AMINOPEPTIDASE"|301.00|$301.00|$39.00|$213.11|$211.00||$137.56|$60.20|$213.11|$110.47|$140.57|$150.50|$170.07|$135.45|$39.00|$42.00|$116.19|$78.68|$70.10|$70.10
"CPT® 83002"|"HB LEUTINIZING HORMONE"|301.00|$373.00|$39.00|$264.08|$261.00||$170.46|$74.60|$264.08|$136.89|$174.19|$41.00|$210.75|$167.85|$39.00|$42.00|$143.98|$97.50|$86.87|$86.87
"CPT® 80176"|"HB LIDOCAINE"|301.00|$309.00|$39.00|$218.77|$216.00||$141.21|$61.80|$218.77|$113.40|$144.30|$41.00|$174.59|$139.05|$39.00|$42.00|$119.27|$80.77|$71.97|$71.97
"CPT® 83700"|"HB LIPOPROTEIN ELECTROPHORESIS"|301.00|$128.00|$25.60|$90.62|$90.00||$58.50|$25.60|$90.62|$46.98|$59.78|$41.00|$72.32|$57.60|$39.00|$42.00|$49.41|$33.46|$29.81|$29.81
"CPT® 83698"|"HB LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2"|301.00|$286.00|$39.00|$202.49|$200.00||$130.70|$57.20|$202.49|$104.96|$133.56|$41.00|$161.59|$128.70|$39.00|$42.00|$110.40|$74.76|$66.61|$66.61
"CPT® 83735"|"HB MAGNESIUM, RBC"|301.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 83785"|"HB MANGANESE"|301.00|$166.00|$33.20|$117.53|$116.00||$75.86|$33.20|$117.53|$60.92|$77.52|$41.00|$93.79|$74.70|$39.00|$42.00|$64.08|$43.39|$38.66|$38.66
"CPT® 80299"|"HB MAPORTILINE"|301.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"CPT® 80299"|"HB MERCAPTOPURINE"|301.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"CPT® 83825"|"HB MERCURY, URINE"|301.00|$181.00|$36.20|$128.15|$127.00||$82.72|$36.20|$128.15|$66.43|$84.53|$41.00|$102.27|$81.45|$39.00|$42.00|$69.87|$47.31|$42.15|$42.15
"CPT® 83825"|"HB MERCURY, BLOOD"|301.00|$176.00|$35.20|$124.61|$123.00||$80.43|$35.20|$124.61|$64.59|$82.19|$41.00|$99.44|$79.20|$39.00|$42.00|$67.94|$46.01|$40.99|$40.99
"CPT® 83825"|"HB MERCURY, URINE, 24 HR"|301.00|$246.00|$39.00|$174.17|$172.00||$112.42|$49.20|$174.17|$90.28|$114.88|$41.00|$138.99|$110.70|$39.00|$42.00|$94.96|$64.30|$57.29|$57.29
"CPT® 83835"|"HB METANEPHRINES, FREE, PLASMA"|301.00|$311.00|$39.00|$220.19|$218.00||$142.13|$62.20|$220.19|$114.14|$145.24|$41.00|$175.72|$139.95|$39.00|$42.00|$120.05|$81.30|$72.43|$72.43
"CPT® 83835"|"HB METANEPHRINES, URINE, 24 HR"|301.00|$311.00|$39.00|$220.19|$218.00||$142.13|$62.20|$220.19|$114.14|$145.24|$41.00|$175.72|$139.95|$39.00|$42.00|$120.05|$81.30|$72.43|$72.43
"CPT® 83835"|"HB METANEPHRINES, URINE, RANDOM"|301.00|$311.00|$39.00|$220.19|$218.00||$142.13|$62.20|$220.19|$114.14|$145.24|$41.00|$175.72|$139.95|$39.00|$42.00|$120.05|$81.30|$72.43|$72.43
"CPT® 84600"|"HB METHANOL"|301.00|$161.00|$32.20|$113.99|$113.00||$73.58|$32.20|$113.99|$59.09|$75.19|$41.00|$90.97|$72.45|$39.00|$42.00|$62.15|$42.09|$37.50|$37.50
"CPT® 80299"|"HB METHOTREXATE"|301.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"CPT® 83918"|"HB METHYLHIPPURIC ACID, URINE"|301.00|$182.00|$36.40|$128.86|$127.00||$83.17|$36.40|$128.86|$66.79|$84.99|$41.00|$102.83|$81.90|$39.00|$42.00|$70.25|$47.57|$42.39|$42.39
"CPT® 80299"|"HB METHYLPHENIDATE (RITALIN)"|301.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"CPT® 80299"|"HB MEXILETINE"|301.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"CPT® 82043"|"HB MICROALBUMIN"|301.00|$225.00|$39.00|$159.30|$158.00||$102.83|$45.00|$159.30|$82.58|$105.08|$41.00|$127.13|$101.25|$39.00|$42.00|$86.85|$58.82|$52.40|$52.40
"CPT® 83873"|"HB MYELIN BASIC PROTEIN, CSF"|301.00|$339.00|$39.00|$240.01|$237.00||$154.92|$67.80|$240.01|$124.41|$158.31|$41.00|$191.54|$152.55|$39.00|$42.00|$130.85|$88.61|$78.95|$78.95
"CPT® 83874"|"HB MYOGLOBIN"|301.00|$225.00|$39.00|$159.30|$158.00||$102.83|$45.00|$159.30|$82.58|$105.08|$41.00|$127.13|$101.25|$39.00|$42.00|$86.85|$58.82|$52.40|$52.40
"CPT® 83885"|"HB NICKEL, URINE"|301.00|$108.00|$21.60|$76.46|$76.00||$49.36|$21.60|$76.46|$39.64|$50.44|$41.00|$61.02|$48.60|$39.00|$42.00|$41.69|$28.23|$25.15|$25.15
"HCPCS G0480"|"HB NICOTINE AND METABOLITES"|301.00|$412.00|$39.00|$291.70|$288.00||$188.28|$82.40|$291.70|$151.20|$192.40|$206.00|$232.78|$185.40|$39.00|$42.00|$159.03|$107.70|$95.95|$95.95
"CPT® 80299"|"HB NORPACE LEVEL"|301.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"HCPCS G0480"|"HB NORTRIPTYLINE"|301.00|$187.00|$37.40|$132.40|$131.00||$85.46|$37.40|$132.40|$68.63|$87.33|$93.50|$105.66|$84.15|$39.00|$42.00|$72.18|$48.88|$43.55|$43.55
"CPT® 82523"|"HB N-TELOPEPTIDE, SERUM"|301.00|$246.00|$39.00|$174.17|$172.00||$112.42|$49.20|$174.17|$90.28|$114.88|$41.00|$138.99|$110.70|$39.00|$42.00|$94.96|$64.30|$57.29|$57.29
"CPT® 83918"|"HB ORGANIC ACIDS, URINE"|301.00|$182.00|$36.40|$128.86|$127.00||$83.17|$36.40|$128.86|$66.79|$84.99|$41.00|$102.83|$81.90|$39.00|$42.00|$70.25|$47.57|$42.39|$42.39
"CPT® 83937"|"HB OSTEOCALCIN"|301.00|$181.00|$36.20|$128.15|$127.00||$82.72|$36.20|$128.15|$66.43|$84.53|$41.00|$102.27|$81.45|$39.00|$42.00|$69.87|$47.31|$42.15|$42.15
"CPT® 83945"|"HB OXALATE, 24 HR URINE"|301.00|$231.00|$39.00|$163.55|$162.00||$105.57|$46.20|$163.55|$84.78|$107.88|$41.00|$130.52|$103.95|$39.00|$42.00|$89.17|$60.38|$53.80|$53.80
"CPT® 83519"|"HB PANCREATIC POLYPEPTIDE"|301.00|$383.00|$39.00|$271.16|$268.00||$175.03|$76.60|$271.16|$140.56|$178.86|$41.00|$216.40|$172.35|$39.00|$42.00|$147.84|$100.12|$89.20|$89.20
"CPT® 83970"|"HB PARATHYROID HORMONE LEVEL, INTACT"|301.00|$567.00|$39.00|$401.44|$397.00||$259.12|$113.40|$401.44|$208.09|$264.79|$41.00|$320.36|$255.15|$39.00|$42.00|$218.86|$148.21|$132.05|$132.05
"CPT® 83986"|"HB PH, BODY FLUID"|301.00|$112.00|$22.40|$79.30|$78.00||$51.18|$22.40|$79.30|$41.10|$52.30|$41.00|$63.28|$50.40|$39.00|$42.00|$43.23|$29.28|$26.08|$26.08
"CPT® 80186"|"HB PHENTOIN, FREE"|301.00|$274.00|$39.00|$193.99|$192.00||$125.22|$54.80|$193.99|$100.56|$127.96|$41.00|$154.81|$123.30|$39.00|$42.00|$105.76|$71.62|$63.81|$63.81
"CPT® 80185"|"HB PHENTOIN, TOTAL"|301.00|$280.00|$39.00|$198.24|$196.00||$127.96|$56.00|$198.24|$102.76|$130.76|$41.00|$158.20|$126.00|$39.00|$42.00|$108.08|$73.19|$65.21|$65.21
"CPT® 84030"|"HB PHENYLALANINE"|301.00|$267.00|$39.00|$189.04|$187.00||$122.02|$53.40|$189.04|$97.99|$124.69|$41.00|$150.86|$120.15|$39.00|$42.00|$103.06|$69.79|$62.18|$62.18
"CPT® 84311"|"HB PHOSPHOLIPIDS"|301.00|$286.00|$39.00|$202.49|$200.00||$130.70|$57.20|$202.49|$104.96|$133.56|$41.00|$161.59|$128.70|$39.00|$42.00|$110.40|$74.76|$66.61|$66.61
"CPT® 84105"|"HB PHOSPHORUS, URINE"|301.00|$114.00|$22.80|$80.71|$80.00||$52.10|$22.80|$80.71|$41.84|$53.24|$41.00|$64.41|$51.30|$39.00|$42.00|$44.00|$29.80|$26.55|$26.55
"CPT® 83051"|"HB PLASMA HEMOGLOBIN"|301.00|$232.00|$39.00|$164.26|$162.00||$106.02|$46.40|$164.26|$85.14|$108.34|$41.00|$131.08|$104.40|$39.00|$42.00|$89.55|$60.64|$54.03|$54.03
"CPT® 84110"|"HB PORPHOBILINOGEN, URINE"|301.00|$232.00|$39.00|$164.26|$162.00||$106.02|$46.40|$164.26|$85.14|$108.34|$41.00|$131.08|$104.40|$39.00|$42.00|$89.55|$60.64|$54.03|$54.03
"CPT® 84126"|"HB PORPHYRINS, FECES"|301.00|$569.00|$39.00|$402.85|$398.00||$260.03|$113.80|$402.85|$208.82|$265.72|$41.00|$321.49|$256.05|$39.00|$42.00|$219.63|$148.74|$132.52|$132.52
"CPT® 82542"|"HB PORPHYRINS, FRACTIONATED, PLASMA"|301.00|$161.00|$32.20|$113.99|$113.00||$73.58|$32.20|$113.99|$59.09|$75.19|$41.00|$90.97|$72.45|$39.00|$42.00|$62.15|$42.09|$37.50|$37.50
"CPT® 84120"|"HB PORPHYRINS, FRACTIONED, URINE"|301.00|$487.00|$39.00|$344.80|$341.00||$222.56|$97.40|$344.80|$178.73|$227.43|$41.00|$275.16|$219.15|$39.00|$42.00|$187.98|$127.30|$113.42|$113.42
"CPT® 84134"|"HB PREALBUMIN"|301.00|$161.00|$32.20|$113.99|$113.00||$73.58|$32.20|$113.99|$59.09|$75.19|$41.00|$90.97|$72.45|$39.00|$42.00|$62.15|$42.09|$37.50|$37.50
"CPT® 84144"|"HB PREGESTERONE"|301.00|$361.00|$39.00|$255.59|$253.00||$164.98|$72.20|$255.59|$132.49|$168.59|$41.00|$203.97|$162.45|$39.00|$42.00|$139.35|$94.37|$84.08|$84.08
"CPT® 84138"|"HB PREGNANTRIOL, URINE, 24 HR"|301.00|$464.00|$39.00|$328.51|$325.00||$212.05|$92.80|$328.51|$170.29|$216.69|$232.00|$262.16|$208.80|$39.00|$42.00|$179.10|$121.29|$108.07|$108.07
"CPT® 80188"|"HB PRIMIDONE"|301.00|$274.00|$39.00|$193.99|$192.00||$125.22|$54.80|$193.99|$100.56|$127.96|$41.00|$154.81|$123.30|$39.00|$42.00|$105.76|$71.62|$63.81|$63.81
"CPT® 80192"|"HB PROCAINAMIDE-PRONESTYL"|301.00|$333.00|$39.00|$235.76|$233.00||$152.18|$66.60|$235.76|$122.21|$155.51|$166.50|$188.15|$149.85|$39.00|$42.00|$128.54|$87.05|$77.56|$77.56
"CPT® 84145"|"HB PROCALCITONIN"|301.00|$344.00|$39.00|$243.55|$241.00||$157.21|$68.80|$243.55|$126.25|$160.65|$41.00|$194.36|$154.80|$39.00|$42.00|$132.78|$89.92|$80.12|$80.12
"CPT® 83519"|"HB PROCOLLAGEN TYPE I INTACT N TERMINAL PROPEPTIDE"|301.00|$340.00|$39.00|$240.72|$238.00||$155.38|$68.00|$240.72|$124.78|$158.78|$41.00|$192.10|$153.00|$39.00|$42.00|$131.24|$88.88|$79.19|$79.19
"CPT® 84146"|"HB PROLACTIN"|301.00|$411.00|$39.00|$290.99|$288.00||$187.83|$82.20|$290.99|$150.84|$191.94|$41.00|$232.22|$184.95|$39.00|$42.00|$158.65|$107.44|$95.72|$95.72
"CPT® 84166"|"HB PROTEIN ELECTROPHORESIS, CSF"|301.00|$299.00|$39.00|$211.69|$209.00||$136.64|$59.80|$211.69|$109.73|$139.63|$41.00|$168.94|$134.55|$39.00|$42.00|$115.41|$78.16|$69.64|$69.64
"CPT® 84165"|"HB PROTEIN ELECTROPHORESIS, SERUM"|301.00|$259.00|$39.00|$183.37|$181.00||$118.36|$51.80|$183.37|$95.05|$120.95|$41.00|$146.34|$116.55|$39.00|$42.00|$99.97|$67.70|$60.32|$60.32
"CPT® 84166"|"HB PROTEIN ELECTROPHORESIS, URINE"|301.00|$306.00|$39.00|$216.65|$214.00||$139.84|$61.20|$216.65|$112.30|$142.90|$41.00|$172.89|$137.70|$39.00|$42.00|$118.12|$79.99|$71.27|$71.27
"CPT® 80299"|"HB PROZAC LEVEL"|301.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"CPT® 82480"|"HB PSEUDOCHOLINESTASE, TOTAL"|301.00|$80.00|$16.00|$56.64|$56.00||$36.56|$16.00|$56.64|$29.36|$37.36|$41.00|$45.20|$36.00|$39.00|$42.00|$30.88|$20.91|$18.63|$18.63
"CPT® 83519"|"HB PTH-RELATED PROTEIN"|301.00|$383.00|$39.00|$271.16|$268.00||$175.03|$76.60|$271.16|$140.56|$178.86|$41.00|$216.40|$172.35|$39.00|$42.00|$147.84|$100.12|$89.20|$89.20
"CPT® 84210"|"HB PYRUVIC ACID"|301.00|$301.00|$39.00|$213.11|$211.00||$137.56|$60.20|$213.11|$110.47|$140.57|$41.00|$170.07|$135.45|$39.00|$42.00|$116.19|$78.68|$70.10|$70.10
"CPT® 80194"|"HB QUINIDINE"|301.00|$68.00|$13.60|$48.14|$48.00||$31.08|$13.60|$48.14|$24.96|$31.76|$34.00|$38.42|$30.60|$39.00|$42.00|$26.25|$17.78|$15.84|$15.84
"CPT® 84244"|"HB RENIN"|301.00|$352.00|$39.00|$249.22|$246.00||$160.86|$70.40|$249.22|$129.18|$164.38|$41.00|$198.88|$158.40|$39.00|$42.00|$135.87|$92.01|$81.98|$81.98
"CPT® 84255"|"HB SELENIUM"|301.00|$614.00|$39.00|$434.71|$430.00||$280.60|$122.80|$434.71|$225.34|$286.74|$41.00|$346.91|$276.30|$39.00|$42.00|$237.00|$160.50|$143.00|$143.00
"CPT® 80299"|"HB SEROQUEL"|301.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"CPT® 84260"|"HB SEROTONIN"|301.00|$743.00|$39.00|$526.04|$520.00||$339.55|$148.60|$526.04|$272.68|$346.98|$41.00|$419.80|$334.35|$39.00|$42.00|$286.80|$194.22|$173.04|$173.04
"CPT® 84270"|"HB SEX HORMONE BINDING GLOBULIN"|301.00|$161.00|$32.20|$113.99|$113.00||$73.58|$32.20|$113.99|$59.09|$75.19|$41.00|$90.97|$72.45|$39.00|$42.00|$62.15|$42.09|$37.50|$37.50
"CPT® 84305"|"HB SOMATOMEDIN C"|301.00|$640.00|$39.00|$453.12|$448.00||$292.48|$128.00|$453.12|$234.88|$298.88|$41.00|$361.60|$288.00|$39.00|$42.00|$247.04|$167.30|$149.06|$149.06
"CPT® 84307"|"HB SOMATOSTATIN"|301.00|$186.00|$37.20|$131.69|$130.00||$85.00|$37.20|$131.69|$68.26|$86.86|$41.00|$105.09|$83.70|$39.00|$42.00|$71.80|$48.62|$43.32|$43.32
"CPT® 84311"|"HB DRUG ANALYTE, SPECTROPHOTOMETRY"|301.00|$59.00|$11.80|$42.00|$41.00||$26.96|$11.80|$41.77|$21.65|$27.55|$41.00|$33.34|$26.55|$39.00|$42.00|$22.77|$15.42|$13.74|$13.74
"CPT® 84479"|"HB T3 UPTAKE"|301.00|$134.00|$26.80|$94.87|$94.00||$61.24|$26.80|$94.87|$49.18|$62.58|$41.00|$75.71|$60.30|$39.00|$42.00|$51.72|$35.03|$31.21|$31.21
"CPT® 84481"|"HB T3, FREE"|301.00|$427.00|$39.00|$302.32|$299.00||$195.14|$85.40|$302.32|$156.71|$199.41|$41.00|$241.26|$192.15|$39.00|$42.00|$164.82|$111.62|$99.45|$99.45
"CPT® 84482"|"HB T3, REVERSE"|301.00|$176.00|$35.20|$124.61|$123.00||$80.43|$35.20|$124.61|$64.59|$82.19|$41.00|$99.44|$79.20|$39.00|$42.00|$67.94|$46.01|$40.99|$40.99
"CPT® 84439"|"HB T4, FREE"|301.00|$138.00|$24.41|$97.70|$97.00||$24.41|$27.60|$97.70|$50.65|$64.45|$41.00|$77.97|$62.10|$39.00|$42.00|$53.27|$36.07|$32.14|$32.14
"CPT® 84436"|"HB T4, TOTAL"|301.00|$191.00|$38.20|$135.23|$134.00||$87.29|$38.20|$135.23|$70.10|$89.20|$41.00|$107.92|$85.95|$39.00|$42.00|$73.73|$49.93|$44.48|$44.48
"CPT® 80197"|"HB TACROLIMUS (PROGRAF)"|301.00|$475.00|$39.00|$336.30|$332.00||$217.08|$95.00|$336.30|$174.33|$221.83|$41.00|$268.38|$213.75|$39.00|$42.00|$183.35|$124.17|$110.63|$110.63
"CPT® 84270"|"HB TESTOSTERONE BIO/SHBG"|301.00|$220.00|$39.00|$155.76|$154.00||$100.54|$44.00|$155.76|$80.74|$102.74|$41.00|$124.30|$99.00|$39.00|$42.00|$84.92|$57.51|$51.24|$51.24
"CPT® 84403"|"HB TESTOSTERONE BIO/SHBG"|301.00|$321.00|$39.00|$227.27|$225.00||$146.70|$64.20|$227.27|$117.81|$149.91|$41.00|$181.37|$144.45|$39.00|$42.00|$123.91|$83.91|$74.76|$74.76
"CPT® 84403"|"HB TESTOSTERONE, LEVEL"|301.00|$321.00|$39.00|$227.27|$225.00||$146.70|$64.20|$227.27|$117.81|$149.91|$41.00|$181.37|$144.45|$39.00|$42.00|$123.91|$83.91|$74.76|$74.76
"CPT® 84403"|"HB TESTOSTERONE, TOTAL"|301.00|$321.00|$39.00|$227.27|$225.00||$146.70|$64.20|$227.27|$117.81|$149.91|$41.00|$181.37|$144.45|$39.00|$42.00|$123.91|$83.91|$74.76|$74.76
"CPT® 83018"|"HB THALLIUM, URINE"|301.00|$217.00|$39.00|$153.64|$152.00||$99.17|$43.40|$153.64|$79.64|$101.34|$41.00|$122.61|$97.65|$39.00|$42.00|$83.76|$56.72|$50.54|$50.54
"CPT® 84425"|"HB THIAMINE (VITAMIN B-1)"|301.00|$284.00|$39.00|$201.07|$199.00||$129.79|$56.80|$201.07|$104.23|$132.63|$41.00|$160.46|$127.80|$39.00|$42.00|$109.62|$74.24|$66.14|$66.14
"CPT® 82657"|"HB THIOPURINE METHYLTRANSFERASE, RBC"|301.00|$198.00|$39.00|$140.18|$139.00||$90.49|$39.60|$140.18|$72.67|$92.47|$41.00|$111.87|$89.10|$39.00|$42.00|$76.43|$51.76|$46.11|$46.11
"CPT® 84445"|"HB THYROID STIMULATING IMMUNOGLOULIN"|301.00|$404.00|$39.00|$286.03|$283.00||$184.63|$80.80|$286.03|$148.27|$188.67|$41.00|$228.26|$181.80|$39.00|$42.00|$155.94|$105.61|$94.09|$94.09
"CPT® 80439"|"HB THYROTROPIN RELEASING HORMONE"|301.00|$437.00|$39.00|$309.40|$306.00||$199.71|$87.40|$309.40|$160.38|$204.08|$218.50|$246.91|$196.65|$39.00|$42.00|$168.68|$114.23|$101.78|$101.78
"CPT® 84436"|"HB THYROXINE"|301.00|$191.00|$38.20|$135.23|$134.00||$87.29|$38.20|$135.23|$70.10|$89.20|$41.00|$107.92|$85.95|$39.00|$42.00|$73.73|$49.93|$44.48|$44.48
"CPT® 84442"|"HB THYROXINE BINDING GLOBULIN"|301.00|$382.00|$39.00|$270.46|$267.00||$174.57|$76.40|$270.46|$140.19|$178.39|$41.00|$215.83|$171.90|$39.00|$42.00|$147.45|$99.85|$88.97|$88.97
"CPT® 80299"|"HB TRAZADONE"|301.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"CPT® 84510"|"HB TYROSINE"|301.00|$275.00|$39.00|$194.70|$192.00||$125.68|$55.00|$194.70|$100.93|$128.43|$137.50|$155.38|$123.75|$39.00|$42.00|$106.15|$71.89|$64.05|$64.05
"CPT® 84577"|"HB UROBILINOGEN, FECAL"|301.00|$292.00|$39.00|$206.74|$204.00||$133.44|$58.40|$206.74|$107.16|$136.36|$146.00|$164.98|$131.40|$39.00|$42.00|$112.71|$76.33|$68.01|$68.01
"CPT® 84120"|"HB UROPORPHYRINOGEN"|301.00|$487.00|$39.00|$344.80|$341.00||$222.56|$97.40|$344.80|$178.73|$227.43|$41.00|$275.16|$219.15|$39.00|$42.00|$187.98|$127.30|$113.42|$113.42
"CPT® 84585"|"HB VANILLYL MANDELIC ACID, URINE, 24 HR"|301.00|$249.00|$39.00|$176.29|$174.00||$113.79|$49.80|$176.29|$91.38|$116.28|$41.00|$140.69|$112.05|$39.00|$42.00|$96.11|$65.09|$57.99|$57.99
"CPT® 84586"|"HB VASOACTIVE INTESTINAL PEPTIDE"|301.00|$314.00|$39.00|$222.31|$220.00||$143.50|$62.80|$222.31|$115.24|$146.64|$41.00|$177.41|$141.30|$39.00|$42.00|$121.20|$82.08|$73.13|$73.13
"CPT® 84588"|"HB VASOPRESSIN HORMONE ADH"|301.00|$572.00|$39.00|$404.98|$400.00||$261.40|$114.40|$404.98|$209.92|$267.12|$41.00|$323.18|$257.40|$39.00|$42.00|$220.79|$149.52|$133.22|$133.22
"CPT® 84207"|"HB VITAMIN B6"|301.00|$310.00|$39.00|$219.48|$217.00||$141.67|$62.00|$219.48|$113.77|$144.77|$41.00|$175.15|$139.50|$39.00|$42.00|$119.66|$81.03|$72.20|$72.20
"CPT® 82652"|"HB VITAMIN D 1-25 DIHYDROXY"|301.00|$569.00|$39.00|$402.85|$398.00||$260.03|$113.80|$402.85|$208.82|$265.72|$41.00|$321.49|$256.05|$39.00|$42.00|$219.63|$148.74|$132.52|$132.52
"CPT® 82306"|"HB VITAMIN D 25-HYDROXY D2 & D3"|301.00|$218.00|$39.00|$154.34|$153.00||$99.63|$43.60|$154.34|$80.01|$101.81|$41.00|$123.17|$98.10|$39.00|$42.00|$84.15|$56.99|$50.77|$50.77
"CPT® 84446"|"HB VITAMIN E (ALPHA/GAMMATOCOPHEROL) LEVEL"|301.00|$172.00|$34.40|$121.78|$120.00||$78.60|$34.40|$121.78|$63.12|$80.32|$41.00|$97.18|$77.40|$39.00|$42.00|$66.39|$44.96|$40.06|$40.06
"CPT® 84597"|"HB VITAMIN K"|301.00|$537.00|$39.00|$380.20|$376.00||$245.41|$107.40|$380.20|$197.08|$250.78|$41.00|$303.41|$241.65|$39.00|$42.00|$207.28|$140.37|$125.07|$125.07
"CPT® 84620"|"HB XYLOSE TOLERANCE"|301.00|$238.00|$39.00|$168.50|$167.00||$108.77|$47.60|$168.50|$87.35|$111.15|$41.00|$134.47|$107.10|$39.00|$42.00|$91.87|$62.21|$55.43|$55.43
"CPT® 84630"|"HB ZINC"|301.00|$125.00|$25.00|$88.50|$88.00||$57.13|$25.00|$88.50|$45.88|$58.38|$41.00|$70.63|$56.25|$39.00|$42.00|$48.25|$32.68|$29.11|$29.11
"CPT® 84630"|"HB ZINC, SERUM"|301.00|$272.00|$39.00|$192.58|$190.00||$124.30|$54.40|$192.58|$99.82|$127.02|$41.00|$153.68|$122.40|$39.00|$42.00|$104.99|$71.10|$63.35|$63.35
"CPT® 84630"|"HB ZINC, URINE"|301.00|$266.00|$39.00|$188.33|$186.00||$121.56|$53.20|$188.33|$97.62|$124.22|$41.00|$150.29|$119.70|$39.00|$42.00|$102.68|$69.53|$61.95|$61.95
"CPT® 80299"|"HB ZONISAMIDE, QUANTITATIVE"|301.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"CPT® 84153"|"HB PROSTATE HEALTH INDEX, TOTAL PSA"|301.00|$139.00|$27.80|$98.41|$97.00||$63.52|$27.80|$98.41|$51.01|$64.91|$41.00|$78.54|$62.55|$39.00|$42.00|$53.65|$36.33|$32.37|$32.37
"CPT® 84154"|"HB PROSTATE HEALTH INDEX, FREE PSA"|301.00|$213.00|$39.00|$150.80|$149.00||$97.34|$42.60|$150.80|$78.17|$99.47|$41.00|$120.35|$95.85|$39.00|$42.00|$82.22|$55.68|$49.61|$49.61
"CPT® 86316"|"HB PROSTATE HEALTH INDEX, P2PSA"|301.00|$1082.00|$39.00|$766.06|$757.00||$494.47|$216.40|$766.06|$397.09|$505.29|$41.00|$611.33|$486.90|$39.00|$42.00|$417.65|$282.83|$252.00|$252.00
"CPT® 81401"|"HB HEREDITARY PANCREATITIS"|301.00|$1981.00|$39.00|$1402.55|$1387.00||$905.32|$396.20|$1402.55|$727.03|$925.13|$41.00|$1119.27|$891.45|$39.00|$42.00|$764.67|$517.83|$461.37|$461.37
"CPT® 82105"|"HB AFP MATERNAL SERUM"|301.00|$353.00|$39.00|$249.92|$247.00||$161.32|$70.60|$249.92|$129.55|$164.85|$41.00|$199.45|$158.85|$39.00|$42.00|$136.26|$92.27|$82.21|$82.21
"CPT® 81225"|"HB CYTOCHROME P2 C19 SEQUENCE GENOTYPE"|301.00|$1818.00|$39.00|$1287.14|$1273.00||$830.83|$363.60|$1287.14|$667.21|$849.01|$41.00|$1027.17|$818.10|$39.00|$42.00|$701.75|$475.23|$423.41|$423.41
"CPT® 81227"|"HB CYTOCHROME P2 C9 SEQUENCE GENOTYPE"|301.00|$3817.00|$39.00|$2702.44|$2672.00||$1744.37|$763.40|$2702.44|$1400.84|$1782.54|$41.00|$2156.61|$1717.65|$39.00|$42.00|$1473.36|$997.76|$888.98|$888.98
"CPT® 84233"|"HB ERA RECEPTOR"|301.00|$810.00|$39.00|$573.48|$567.00||$370.17|$162.00|$573.48|$297.27|$378.27|$405.00|$457.65|$364.50|$39.00|$42.00|$312.66|$211.73|$188.65|$188.65
"CPT® 84234"|"HB PRA RECEPTOR"|301.00|$810.00|$39.00|$573.48|$567.00||$370.17|$162.00|$573.48|$297.27|$378.27|$405.00|$457.65|$364.50|$39.00|$42.00|$312.66|$211.73|$188.65|$188.65
"CPT® 83080"|"HB TAY SACHS DISEASE SCREENING"|301.00|$341.00|$39.00|$241.43|$239.00||$155.84|$68.20|$241.43|$125.15|$159.25|$41.00|$192.67|$153.45|$39.00|$42.00|$131.63|$89.14|$79.42|$79.42
"CPT® 83020"|"HB HEMOGLOBIN FRACTIONATION WITH INTERPRETATION"|301.00|$204.00|$39.00|$144.43|$143.00||$93.23|$40.80|$144.43|$74.87|$95.27|$41.00|$115.26|$91.80|$39.00|$42.00|$78.74|$53.33|$47.51|$47.51
"CPT® 83021"|"HB HEMOGLOBIN A2 & F QUANTITATION"|301.00|$200.00|$39.00|$141.60|$140.00||$91.40|$40.00|$141.60|$73.40|$93.40|$41.00|$113.00|$90.00|$39.00|$42.00|$77.20|$52.28|$46.58|$46.58
"HCPCS G0480"|"HB ACETAMINOPHEN LEVEL"|301.00|$419.00|$39.00|$296.65|$293.00||$191.48|$83.80|$296.65|$153.77|$195.67|$209.50|$236.74|$188.55|$39.00|$42.00|$161.73|$109.53|$97.59|$97.59
"CPT® 82009"|"HB ACETONE LEVEL"|301.00|$119.00|$23.80|$84.25|$83.00||$54.38|$23.80|$84.25|$43.67|$55.57|$59.50|$67.24|$53.55|$39.00|$42.00|$45.93|$31.11|$27.72|$27.72
"CPT® 84060"|"HB ACID PHOSPHATASE, TOTAL"|301.00|$208.00|$39.00|$147.26|$146.00||$95.06|$41.60|$147.26|$76.34|$97.14|$104.00|$117.52|$93.60|$39.00|$42.00|$80.29|$54.37|$48.44|$48.44
"CPT® 82040"|"HB ALBUMIN LEVEL"|301.00|$131.00|$26.20|$92.75|$92.00||$59.87|$26.20|$92.75|$48.08|$61.18|$41.00|$74.02|$58.95|$39.00|$42.00|$50.57|$34.24|$30.51|$30.51
"CPT® 82042"|"HB ALBUMIN, BODY FLUID"|301.00|$160.00|$32.00|$113.28|$112.00||$73.12|$32.00|$113.28|$58.72|$74.72|$41.00|$90.40|$72.00|$39.00|$42.00|$61.76|$41.82|$37.26|$37.26
"CPT® 84080"|"HB ALKALINE PHOSPHATASE ISOENZYMES"|301.00|$289.00|$39.00|$204.61|$202.00||$132.07|$57.80|$204.61|$106.06|$134.96|$41.00|$163.29|$130.05|$39.00|$42.00|$111.55|$75.54|$67.31|$67.31
"CPT® 84075"|"HB ALKALINE PHOSPHATASE LEVEL"|301.00|$130.00|$26.00|$92.04|$91.00||$59.41|$26.00|$92.04|$47.71|$60.71|$41.00|$73.45|$58.50|$39.00|$42.00|$50.18|$33.98|$30.28|$30.28
"CPT® 82140"|"HB AMMONIA LEVEL"|301.00|$354.00|$39.00|$250.63|$248.00||$161.78|$70.80|$250.63|$129.92|$165.32|$41.00|$200.01|$159.30|$39.00|$42.00|$136.64|$92.54|$82.45|$82.45
"HCPCS G0480"|"HB AMPHETAMINE LEVEL"|301.00|$285.00|$39.00|$201.78|$200.00||$130.25|$57.00|$201.78|$104.60|$133.10|$142.50|$161.03|$128.25|$39.00|$42.00|$110.01|$74.50|$66.38|$66.38
"CPT® 82150"|"HB AMYLASE, BODY FLUID"|301.00|$209.00|$39.00|$147.97|$146.00||$95.51|$41.80|$147.97|$76.70|$97.60|$41.00|$118.09|$94.05|$39.00|$42.00|$80.67|$54.63|$48.68|$48.68
"CPT® 82150"|"HB AMYLASE, SERUM"|301.00|$209.00|$39.00|$147.97|$146.00||$95.51|$41.80|$147.97|$76.70|$97.60|$41.00|$118.09|$94.05|$39.00|$42.00|$80.67|$54.63|$48.68|$48.68
"CPT® 82150"|"HB AMYLASE, URINE, 24 HR"|301.00|$209.00|$39.00|$147.97|$146.00||$95.51|$41.80|$147.97|$76.70|$97.60|$41.00|$118.09|$94.05|$39.00|$42.00|$80.67|$54.63|$48.68|$48.68
"CPT® 82150"|"HB AMYLASE, URINE, RANDOM"|301.00|$209.00|$39.00|$147.97|$146.00||$95.51|$41.80|$147.97|$76.70|$97.60|$41.00|$118.09|$94.05|$39.00|$42.00|$80.67|$54.63|$48.68|$48.68
"CPT® 80047"|"HB BASIC METABOLIC PANEL W/IONIZED CALCIUM"|301.00|$453.00|$39.00|$320.72|$317.00||$207.02|$90.60|$320.72|$166.25|$211.55|$41.00|$255.95|$203.85|$39.00|$42.00|$174.86|$118.41|$105.50|$105.50
"CPT® 80048"|"HB BASIC METABOLIC PANEL W/TOTAL CALCIUM"|301.00|$250.00|$22.91|$177.00|$175.00||$22.91|$50.00|$177.00|$91.75|$116.75|$41.00|$141.25|$112.50|$39.00|$42.00|$96.50|$65.35|$58.23|$58.23
"CPT® 84702"|"HB BETA HCG, QUANTITATIVE"|301.00|$318.00|$39.00|$225.14|$223.00||$145.33|$63.60|$225.14|$116.71|$148.51|$41.00|$179.67|$143.10|$39.00|$42.00|$122.75|$83.13|$74.06|$74.06
"CPT® 82785"|"HB FOOD ALLERGY PANEL, IGE, TOTAL"|301.00|$210.00|$39.00|$148.68|$147.00||$95.97|$42.00|$148.68|$77.07|$98.07|$41.00|$118.65|$94.50|$39.00|$42.00|$81.06|$54.89|$48.91|$48.91
"CPT® 82397"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, CLA"|301.00|$111.00|$22.20|$78.59|$78.00||$50.73|$22.20|$78.59|$40.74|$51.84|$41.00|$62.72|$49.95|$39.00|$42.00|$42.85|$29.02|$25.85|$25.85
"CPT® 82787"|"HB IMMUNOGLOBULIN, IGG SUBCLASS 1,2,3,4"|301.00|$88.00|$17.60|$62.30|$62.00||$40.22|$17.60|$62.30|$32.30|$41.10|$41.00|$49.72|$39.60|$39.00|$42.00|$33.97|$23.00|$20.50|$20.50
"CPT® 82787"|"HB IMMUNOGLOBULIN, IGG SUBCLASS 4"|301.00|$88.00|$17.60|$62.30|$62.00||$40.22|$17.60|$62.30|$32.30|$41.10|$41.00|$49.72|$39.60|$39.00|$42.00|$33.97|$23.00|$20.50|$20.50
"CPT® 83519"|"HB MUSK ANTIBODY"|301.00|$383.00|$39.00|$271.16|$268.00||$175.03|$76.60|$271.16|$140.56|$178.86|$41.00|$216.40|$172.35|$39.00|$42.00|$147.84|$100.12|$89.20|$89.20
"CPT® 80180"|"HB MYCOPHENOLIC ACID & METABOLITE"|301.00|$326.00|$39.00|$230.81|$228.00||$148.98|$65.20|$230.81|$119.64|$152.24|$41.00|$184.19|$146.70|$39.00|$42.00|$125.84|$85.22|$75.93|$75.93
"CPT® 83519"|"HB PARANEOPLASTIC-MAYO AB-RIA"|301.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 83520"|"HB PARANEOPLASTIC-MAYO STRI AB"|301.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 82248"|"HB BILIRUBIN, DIRECT"|301.00|$78.00|$15.60|$55.22|$55.00||$35.65|$15.60|$55.22|$28.63|$36.43|$41.00|$44.07|$35.10|$39.00|$42.00|$30.11|$20.39|$18.17|$18.17
"CPT® 82247"|"HB BILIRUBIN, TOTAL"|301.00|$132.00|$26.40|$93.46|$92.00||$60.32|$26.40|$93.46|$48.44|$61.64|$41.00|$74.58|$59.40|$39.00|$42.00|$50.95|$34.50|$30.74|$30.74
"CPT® 82247"|"HB BILIRUBIN, TOTAL, NEONATAL"|301.00|$132.00|$26.40|$93.46|$92.00||$60.32|$26.40|$93.46|$48.44|$61.64|$41.00|$74.58|$59.40|$39.00|$42.00|$50.95|$34.50|$30.74|$30.74
"CPT® 82310"|"HB CALCIUM LEVEL"|301.00|$131.00|$26.20|$92.75|$92.00||$59.87|$26.20|$92.75|$48.08|$61.18|$41.00|$74.02|$58.95|$39.00|$42.00|$50.57|$34.24|$30.51|$30.51
"CPT® 82340"|"HB CALCIUM, 24 HR URINE"|301.00|$181.00|$36.20|$128.15|$127.00||$82.72|$36.20|$128.15|$66.43|$84.53|$41.00|$102.27|$81.45|$39.00|$42.00|$69.87|$47.31|$42.15|$42.15
"CPT® 82330"|"HB CALCIUM, IONIZED"|301.00|$274.00|$39.00|$193.99|$192.00||$125.22|$54.80|$193.99|$100.56|$127.96|$41.00|$154.81|$123.30|$39.00|$42.00|$105.76|$71.62|$63.81|$63.81
"CPT® 82310"|"HB CALCIUM, URINE, RANDOM"|301.00|$131.00|$26.20|$92.75|$92.00||$59.87|$26.20|$92.75|$48.08|$61.18|$41.00|$74.02|$58.95|$39.00|$42.00|$50.57|$34.24|$30.51|$30.51
"CPT® 80156"|"HB CARBAMAZEPINE LEVEL"|301.00|$351.00|$39.00|$248.51|$246.00||$160.41|$70.20|$248.51|$128.82|$163.92|$41.00|$198.32|$157.95|$39.00|$42.00|$135.49|$91.75|$81.75|$81.75
"CPT® 82375"|"HB CARBON MONOXIDE LEVEL"|301.00|$233.00|$39.00|$164.96|$163.00||$106.48|$46.60|$164.96|$85.51|$108.81|$41.00|$131.65|$104.85|$39.00|$42.00|$89.94|$60.91|$54.27|$54.27
"CPT® 82378"|"HB CARCINOEMBYONIC ANTIGEN"|301.00|$377.00|$39.00|$266.92|$264.00||$172.29|$75.40|$266.92|$138.36|$176.06|$41.00|$213.01|$169.65|$39.00|$42.00|$145.52|$98.55|$87.80|$87.80
"CPT® 82435"|"HB CHLORIDE LEVEL"|301.00|$117.00|$23.40|$82.84|$82.00||$53.47|$23.40|$82.84|$42.94|$54.64|$41.00|$66.11|$52.65|$39.00|$42.00|$45.16|$30.58|$27.25|$27.25
"CPT® 82438"|"HB CHLORIDE, BODY FLUID"|301.00|$340.00|$39.00|$240.72|$238.00||$155.38|$68.00|$240.72|$124.78|$158.78|$41.00|$192.10|$153.00|$39.00|$42.00|$131.24|$88.88|$79.19|$79.19
"CPT® 82436"|"HB CHLORIDE, URINE"|301.00|$94.00|$18.80|$66.55|$66.00||$42.96|$18.80|$66.55|$34.50|$43.90|$41.00|$53.11|$42.30|$39.00|$42.00|$36.28|$24.57|$21.89|$21.89
"CPT® 82436"|"HB CHLORIDE, URINE, 24 HR"|301.00|$94.00|$18.80|$66.55|$66.00||$42.96|$18.80|$66.55|$34.50|$43.90|$41.00|$53.11|$42.30|$39.00|$42.00|$36.28|$24.57|$21.89|$21.89
"CPT® 82465"|"HB CHOLESTEROL, TOTAL"|301.00|$136.00|$27.20|$96.29|$95.00||$62.15|$27.20|$96.29|$49.91|$63.51|$41.00|$76.84|$61.20|$39.00|$42.00|$52.50|$35.55|$31.67|$31.67
"CPT® 80053"|"HB COMPREHENSIVE METABOLIC PANEL"|301.00|$350.00|$28.63|$247.80|$245.00||$28.63|$70.00|$247.80|$128.45|$163.45|$41.00|$197.75|$157.50|$39.00|$42.00|$135.10|$91.49|$81.52|$81.52
"CPT® 82533"|"HB CORTISOL LEVEL, AM"|301.00|$392.00|$39.00|$277.54|$274.00||$179.14|$78.40|$277.54|$143.86|$183.06|$41.00|$221.48|$176.40|$39.00|$42.00|$151.31|$102.47|$91.30|$91.30
"CPT® 82533"|"HB CORTISOL LEVEL, TOTAL"|301.00|$392.00|$39.00|$277.54|$274.00||$179.14|$78.40|$277.54|$143.86|$183.06|$41.00|$221.48|$176.40|$39.00|$42.00|$151.31|$102.47|$91.30|$91.30
"CPT® 80400"|"HB CORTROSYN STIMULATION TEST"|301.00|$574.00|$39.00|$406.39|$402.00||$262.32|$114.80|$406.39|$210.66|$268.06|$287.00|$324.31|$258.30|$39.00|$42.00|$221.56|$150.04|$133.68|$133.68
"CPT® 82533"|"HB CORTROSYN STIMULATION TEST, ADDT'L SPECIMEN"|301.00|$392.00|$39.00|$277.54|$274.00||$179.14|$78.40|$277.54|$143.86|$183.06|$41.00|$221.48|$176.40|$39.00|$42.00|$151.31|$102.47|$91.30|$91.30
"CPT® 82550"|"HB CREATINE KINASE, TOTAL"|301.00|$191.00|$17.63|$135.23|$134.00||$17.63|$38.20|$135.23|$70.10|$89.20|$41.00|$107.92|$85.95|$39.00|$42.00|$73.73|$49.93|$44.48|$44.48
"CPT® 82575"|"HB CREATININE CLEARANCE, 24 HR"|301.00|$245.00|$39.00|$173.46|$172.00||$111.97|$49.00|$173.46|$89.92|$114.42|$41.00|$138.43|$110.25|$39.00|$42.00|$94.57|$64.04|$57.06|$57.06
"CPT® 82565"|"HB CREATININE, SERUM"|301.00|$131.00|$26.20|$92.75|$92.00||$59.87|$26.20|$92.75|$48.08|$61.18|$41.00|$74.02|$58.95|$39.00|$42.00|$50.57|$34.24|$30.51|$30.51
"CPT® 82570"|"HB CREATININE, URINE 24 HR"|301.00|$79.00|$15.80|$55.93|$55.00||$36.10|$15.80|$55.93|$28.99|$36.89|$41.00|$44.64|$35.55|$39.00|$42.00|$30.49|$20.65|$18.40|$18.40
"CPT® 80162"|"HB DIGOXIN LEVEL"|301.00|$351.00|$39.00|$248.51|$246.00||$160.41|$70.20|$248.51|$128.82|$163.92|$41.00|$198.32|$157.95|$39.00|$42.00|$135.49|$91.75|$81.75|$81.75
"CPT® 80051"|"HB ELECTROLYTE LEVELS"|301.00|$249.00|$39.00|$176.29|$174.00||$113.79|$49.80|$176.29|$91.38|$116.28|$41.00|$140.69|$112.05|$39.00|$42.00|$96.11|$65.09|$57.99|$57.99
"HCPCS G0480"|"HB ETHANOL LEVEL"|301.00|$448.00|$39.00|$317.18|$314.00||$204.74|$89.60|$317.18|$164.42|$209.22|$224.00|$253.12|$201.60|$39.00|$42.00|$172.93|$117.11|$104.34|$104.34
"CPT® 82746"|"HB FOLIC ACID LEVEL"|301.00|$244.00|$39.00|$172.75|$171.00||$111.51|$48.80|$172.75|$89.55|$113.95|$41.00|$137.86|$109.80|$39.00|$42.00|$94.18|$63.78|$56.83|$56.83
"CPT® 82977"|"HB GAMMA GLUTAMYL TRANSPEPTIDASE (GGT)"|301.00|$187.00|$37.40|$132.40|$131.00||$85.46|$37.40|$132.40|$68.63|$87.33|$41.00|$105.66|$84.15|$39.00|$42.00|$72.18|$48.88|$43.55|$43.55
"CPT® 80170"|"HB GENTAMICIN LEVEL"|301.00|$366.00|$39.00|$259.13|$256.00||$167.26|$73.20|$259.13|$134.32|$170.92|$41.00|$206.79|$164.70|$39.00|$42.00|$141.28|$95.67|$85.24|$85.24
"CPT® 82952"|"HB GLUCOSE, GTT, EACH ADDITIONAL"|301.00|$119.00|$23.80|$84.25|$83.00||$54.38|$23.80|$84.25|$43.67|$55.57|$41.00|$67.24|$53.55|$39.00|$42.00|$45.93|$31.11|$27.72|$27.72
"CPT® 82947"|"HB GLUCOSE LEVEL, BLOOD"|301.00|$130.00|$26.00|$92.04|$91.00||$59.41|$26.00|$92.04|$47.71|$60.71|$41.00|$73.45|$58.50|$39.00|$42.00|$50.18|$33.98|$30.28|$30.28
"CPT® 82951"|"HB GLUCOSE TOLERANCE TEST, 3 SPECIMENS"|301.00|$298.00|$39.00|$210.98|$209.00||$136.19|$59.60|$210.98|$109.37|$139.17|$41.00|$168.37|$134.10|$39.00|$42.00|$115.03|$77.90|$69.40|$69.40
"CPT® 82951"|"HB GLUCOSE TOLERANCE TEST, GESTATIONAL"|301.00|$298.00|$39.00|$210.98|$209.00||$136.19|$59.60|$210.98|$109.37|$139.17|$41.00|$168.37|$134.10|$39.00|$42.00|$115.03|$77.90|$69.40|$69.40
"CPT® 82950"|"HB GLUCOSE, POST GLUCOSE DOSE"|301.00|$136.00|$27.20|$96.29|$95.00||$62.15|$27.20|$96.29|$49.91|$63.51|$41.00|$76.84|$61.20|$39.00|$42.00|$52.50|$35.55|$31.67|$31.67
"CPT® 82947"|"HB GLUCOSE, 2 HR POST-PRANDIAL"|301.00|$130.00|$26.00|$92.04|$91.00||$59.41|$26.00|$92.04|$47.71|$60.71|$41.00|$73.45|$58.50|$39.00|$42.00|$50.18|$33.98|$30.28|$30.28
"CPT® 80076"|"HB HEPATIC FUNCTION PANEL"|301.00|$434.00|$22.12|$307.27|$304.00||$22.12|$86.80|$307.27|$159.28|$202.68|$41.00|$245.21|$195.30|$39.00|$42.00|$167.52|$113.45|$101.08|$101.08
"CPT® 83550"|"HB IRON BINDING CAPACITY"|301.00|$181.00|$36.20|$128.15|$127.00||$82.72|$36.20|$128.15|$66.43|$84.53|$41.00|$102.27|$81.45|$39.00|$42.00|$69.87|$47.31|$42.15|$42.15
"CPT® 83605"|"HB LACTIC ACID LEVEL"|301.00|$254.00|$39.00|$179.83|$178.00||$116.08|$50.80|$179.83|$93.22|$118.62|$41.00|$143.51|$114.30|$39.00|$42.00|$98.04|$66.40|$59.16|$59.16
"CPT® 82951"|"HB LACTOSE TOLERANCE"|301.00|$298.00|$39.00|$210.98|$209.00||$136.19|$59.60|$210.98|$109.37|$139.17|$41.00|$168.37|$134.10|$39.00|$42.00|$115.03|$77.90|$69.40|$69.40
"CPT® 83690"|"HB LIPASE LEVEL"|301.00|$220.00|$18.64|$155.76|$154.00||$18.64|$44.00|$155.76|$80.74|$102.74|$41.00|$124.30|$99.00|$39.00|$42.00|$84.92|$57.51|$51.24|$51.24
"CPT® 80061"|"HB LIPID PANEL"|301.00|$210.00|$36.28|$148.68|$147.00||$36.28|$42.00|$148.68|$77.07|$98.07|$41.00|$118.65|$94.50|$39.00|$42.00|$81.06|$54.89|$48.91|$48.91
"CPT® 80178"|"HB LITHIUM LEVEL"|301.00|$194.00|$38.80|$137.35|$136.00||$88.66|$38.80|$137.35|$71.20|$90.60|$41.00|$109.61|$87.30|$39.00|$42.00|$74.88|$50.71|$45.18|$45.18
"CPT® 83735"|"HB MAGNESIUM LEVEL"|301.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 83050"|"HB METHEMOGLOBIN LEVEL"|301.00|$188.00|$37.60|$133.10|$132.00||$85.92|$37.60|$133.10|$69.00|$87.80|$41.00|$106.22|$84.60|$39.00|$42.00|$72.57|$49.14|$43.79|$43.79
"CPT® 83992"|"HB PHENCYLIDINE LEVEL"|301.00|$360.00|$39.00|$254.88|$252.00||$164.52|$72.00|$254.88|$132.12|$168.12|$180.00|$203.40|$162.00|$39.00|$42.00|$138.96|$94.10|$83.84|$83.84
"CPT® 80184"|"HB PHENOBARBITAL LEVEL"|301.00|$370.00|$39.00|$261.96|$259.00||$169.09|$74.00|$261.96|$135.79|$172.79|$41.00|$209.05|$166.50|$39.00|$42.00|$142.82|$96.72|$86.17|$86.17
"CPT® 80185"|"HB PHENYTOIN LEVEL"|301.00|$280.00|$39.00|$198.24|$196.00||$127.96|$56.00|$198.24|$102.76|$130.76|$41.00|$158.20|$126.00|$39.00|$42.00|$108.08|$73.19|$65.21|$65.21
"CPT® 84100"|"HB PHOSPHORUS LEVEL"|301.00|$80.00|$16.00|$56.64|$56.00||$36.56|$16.00|$56.64|$29.36|$37.36|$41.00|$45.20|$36.00|$39.00|$42.00|$30.88|$20.91|$18.63|$18.63
"CPT® 84105"|"HB PHOSPHORUS, URINE, 24 HR"|301.00|$114.00|$22.80|$80.71|$80.00||$52.10|$22.80|$80.71|$41.84|$53.24|$41.00|$64.41|$51.30|$39.00|$42.00|$44.00|$29.80|$26.55|$26.55
"CPT® 84132"|"HB POTASSIUM LEVEL"|301.00|$119.00|$23.80|$84.25|$83.00||$54.38|$23.80|$84.25|$43.67|$55.57|$41.00|$67.24|$53.55|$39.00|$42.00|$45.93|$31.11|$27.72|$27.72
"CPT® 84133"|"HB POTASSIUM, BODY FLUID"|301.00|$158.00|$31.60|$111.86|$111.00||$72.21|$31.60|$111.86|$57.99|$73.79|$41.00|$89.27|$71.10|$39.00|$42.00|$60.99|$41.30|$36.80|$36.80
"CPT® 84133"|"HB POTASSIUM, URINE"|301.00|$158.00|$31.60|$111.86|$111.00||$72.21|$31.60|$111.86|$57.99|$73.79|$41.00|$89.27|$71.10|$39.00|$42.00|$60.99|$41.30|$36.80|$36.80
"CPT® 84133"|"HB POTASSIUM, URINE, 24 HR"|301.00|$158.00|$31.60|$111.86|$111.00||$72.21|$31.60|$111.86|$57.99|$73.79|$41.00|$89.27|$71.10|$39.00|$42.00|$60.99|$41.30|$36.80|$36.80
"CPT® 84153"|"HB PROSTATE SPECIFIC ANTIGEN, TOTAL"|301.00|$272.00|$39.00|$192.58|$190.00||$124.30|$54.40|$192.58|$99.82|$127.02|$41.00|$153.68|$122.40|$39.00|$42.00|$104.99|$71.10|$63.35|$63.35
"CPT® 84157"|"HB PROTEIN, TOTAL, CSF"|301.00|$131.00|$26.20|$92.75|$92.00||$59.87|$26.20|$92.75|$48.08|$61.18|$41.00|$74.02|$58.95|$39.00|$42.00|$50.57|$34.24|$30.51|$30.51
"CPT® 84155"|"HB PROTEIN, TOTAL, SERUM"|301.00|$131.00|$26.20|$92.75|$92.00||$59.87|$26.20|$92.75|$48.08|$61.18|$41.00|$74.02|$58.95|$39.00|$42.00|$50.57|$34.24|$30.51|$30.51
"CPT® 84157"|"HB PROTEIN, TOTAL, BODY FLUID"|301.00|$131.00|$26.20|$92.75|$92.00||$59.87|$26.20|$92.75|$48.08|$61.18|$41.00|$74.02|$58.95|$39.00|$42.00|$50.57|$34.24|$30.51|$30.51
"CPT® 80069"|"HB RENAL FUNCTION PANEL"|301.00|$345.00|$39.00|$244.26|$241.00||$157.67|$69.00|$244.26|$126.62|$161.12|$41.00|$194.93|$155.25|$39.00|$42.00|$133.17|$90.18|$80.35|$80.35
"HCPCS G0480"|"HB SALYCYLATE LEVEL"|301.00|$315.00|$39.00|$223.02|$220.00||$143.96|$63.00|$223.02|$115.61|$147.11|$157.50|$177.98|$141.75|$39.00|$42.00|$121.59|$82.34|$73.36|$73.36
"CPT® 84450"|"HB SGOT (ALT)"|301.00|$187.00|$37.40|$132.40|$131.00||$85.46|$37.40|$132.40|$68.63|$87.33|$41.00|$105.66|$84.15|$39.00|$42.00|$72.18|$48.88|$43.55|$43.55
"CPT® 84460"|"HB SGPT (AST)"|301.00|$187.00|$37.40|$132.40|$131.00||$85.46|$37.40|$132.40|$68.63|$87.33|$41.00|$105.66|$84.15|$39.00|$42.00|$72.18|$48.88|$43.55|$43.55
"CPT® 84295"|"HB SODIUM LEVEL"|301.00|$120.00|$24.00|$84.96|$84.00||$54.84|$24.00|$84.96|$44.04|$56.04|$41.00|$67.80|$54.00|$39.00|$42.00|$46.32|$31.37|$27.95|$27.95
"CPT® 84300"|"HB SODIUM, URINE"|301.00|$118.00|$23.60|$83.54|$83.00||$53.93|$23.60|$83.54|$43.31|$55.11|$41.00|$66.67|$53.10|$39.00|$42.00|$45.55|$30.85|$27.48|$27.48
"CPT® 84300"|"HB SODIUM, URINE, 24 HR"|301.00|$118.00|$23.60|$83.54|$83.00||$53.93|$23.60|$83.54|$43.31|$55.11|$41.00|$66.67|$53.10|$39.00|$42.00|$45.55|$30.85|$27.48|$27.48
"CPT® 84479"|"HB T3 UPTAKE"|301.00|$131.00|$26.20|$92.75|$92.00||$59.87|$26.20|$92.75|$48.08|$61.18|$41.00|$74.02|$58.95|$39.00|$42.00|$50.57|$34.24|$30.51|$30.51
"CPT® 84480"|"HB T3, TOTAL"|301.00|$302.00|$39.00|$213.82|$211.00||$138.01|$60.40|$213.82|$110.83|$141.03|$41.00|$170.63|$135.90|$39.00|$42.00|$116.57|$78.94|$70.34|$70.34
"CPT® 84439"|"HB T4, FREE"|301.00|$138.00|$24.41|$97.70|$97.00||$24.41|$27.60|$97.70|$50.65|$64.45|$41.00|$77.97|$62.10|$39.00|$42.00|$53.27|$36.07|$32.14|$32.14
"CPT® 80198"|"HB THEOPHYLLINE LEVEL"|301.00|$376.00|$39.00|$266.21|$263.00||$171.83|$75.20|$266.21|$137.99|$175.59|$41.00|$212.44|$169.20|$39.00|$42.00|$145.14|$98.29|$87.57|$87.57
"CPT® 84443"|"HB THYROID STIMULATING HORMONE"|301.00|$186.00|$37.20|$131.69|$130.00||$45.49|$37.20|$131.69|$68.26|$86.86|$41.00|$105.09|$83.70|$39.00|$42.00|$71.80|$48.62|$43.32|$43.32
"CPT® 80200"|"HB TOBRAMYCIN LEVEL"|301.00|$277.00|$39.00|$196.12|$194.00||$126.59|$55.40|$196.12|$101.66|$129.36|$41.00|$156.51|$124.65|$39.00|$42.00|$106.92|$72.41|$64.51|$64.51
"CPT® 84466"|"HB TRANSFERRIN LEVEL"|301.00|$282.00|$39.00|$199.66|$197.00||$128.87|$56.40|$199.66|$103.49|$131.69|$41.00|$159.33|$126.90|$39.00|$42.00|$108.85|$73.71|$65.68|$65.68
"CPT® 84478"|"HB TRIGLYCERIDE LEVEL"|301.00|$145.00|$29.00|$102.66|$102.00||$66.27|$29.00|$102.66|$53.22|$67.72|$41.00|$81.93|$65.25|$39.00|$42.00|$55.97|$37.90|$33.77|$33.77
"CPT® 84484"|"HB TROPONIN I LEVEL"|301.00|$195.00|$26.64|$138.06|$136.00||$26.64|$39.00|$138.06|$71.57|$91.07|$41.00|$110.18|$87.75|$39.00|$42.00|$75.27|$50.97|$45.42|$45.42
"CPT® 84520"|"HB UREA NITROGEN LEVEL"|301.00|$131.00|$26.20|$92.75|$92.00||$59.87|$26.20|$92.75|$48.08|$61.18|$41.00|$74.02|$58.95|$39.00|$42.00|$50.57|$34.24|$30.51|$30.51
"CPT® 84540"|"HB UREA NITROGEN, URINE, 24 HR"|301.00|$136.00|$27.20|$96.29|$95.00||$62.15|$27.20|$96.29|$49.91|$63.51|$41.00|$76.84|$61.20|$39.00|$42.00|$52.50|$35.55|$31.67|$31.67
"CPT® 84560"|"HB URIC ACID, BODY FLUID"|301.00|$177.00|$35.40|$125.32|$124.00||$80.89|$35.40|$125.32|$64.96|$82.66|$41.00|$100.01|$79.65|$39.00|$42.00|$68.32|$46.27|$41.22|$41.22
"CPT® 84560"|"HB URIC ACID, URINE, 24 HR"|301.00|$177.00|$35.40|$125.32|$124.00||$80.89|$35.40|$125.32|$64.96|$82.66|$41.00|$100.01|$79.65|$39.00|$42.00|$68.32|$46.27|$41.22|$41.22
"CPT® 80164"|"HB VALPROIC ACID LEVEL"|301.00|$379.00|$39.00|$268.33|$265.00||$173.20|$75.80|$268.33|$139.09|$176.99|$41.00|$214.14|$170.55|$39.00|$42.00|$146.29|$99.07|$88.27|$88.27
"CPT® 80202"|"HB VANCOMYCIN LEVEL"|301.00|$312.00|$39.00|$220.90|$218.00||$142.58|$62.40|$220.90|$114.50|$145.70|$41.00|$176.28|$140.40|$39.00|$42.00|$120.43|$81.56|$72.66|$72.66
"CPT® 82607"|"HB VITAMIN B12 LEVEL"|301.00|$154.00|$30.80|$109.03|$108.00||$70.38|$30.80|$109.03|$56.52|$71.92|$41.00|$87.01|$69.30|$39.00|$42.00|$59.44|$40.26|$35.87|$35.87
"CPT® 83970"|"HB PARATHYROID HORMONE, INTRAOPERATIVE"|301.00|$383.00|$39.00|$271.16|$268.00||$175.03|$76.60|$271.16|$140.56|$178.86|$41.00|$216.40|$172.35|$39.00|$42.00|$147.84|$100.12|$89.20|$89.20
"CPT® 83970"|"HB PARATHYROID HORMONE, INTACT"|301.00|$383.00|$39.00|$271.16|$268.00||$175.03|$76.60|$271.16|$140.56|$178.86|$41.00|$216.40|$172.35|$39.00|$42.00|$147.84|$100.12|$89.20|$89.20
"CPT® 82803"|"HB BLOOD GAS, POC"|301.00|$403.00|$39.00|$285.32|$282.00||$184.17|$80.60|$285.32|$147.90|$188.20|$41.00|$227.70|$181.35|$39.00|$42.00|$155.56|$105.34|$93.86|$93.86
"CPT® 82803"|"HB BLOOD GAS, CORD BLOOD, POC"|301.00|$403.00|$39.00|$285.32|$282.00||$184.17|$80.60|$285.32|$147.90|$188.20|$41.00|$227.70|$181.35|$39.00|$42.00|$155.56|$105.34|$93.86|$93.86
"CPT® 82800"|"HB BLOOD GAS, VENOUS PH, POC"|301.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 82330"|"HB IONIZED CALCIUM, BLOOD GAS"|301.00|$274.00|$39.00|$193.99|$192.00||$125.22|$54.80|$193.99|$100.56|$127.96|$41.00|$154.81|$123.30|$39.00|$42.00|$105.76|$71.62|$63.81|$63.81
"CPT® 82565"|"HB CREATININE. POC"|301.00|$30.00|$6.00|$30.00|$21.00||$13.71|$6.00|$21.24|$11.01|$14.01|$30.00|$16.95|$13.50|$30.00|$30.00|$11.58|$7.84|$6.99|$6.99
"CPT® 82962"|"HB GLUCOSE, WHOLE BLOOD, POC"|301.00|$50.00|$10.00|$42.00|$35.00||$22.85|$10.00|$35.40|$18.35|$23.35|$41.00|$28.25|$22.50|$39.00|$42.00|$19.30|$13.07|$11.65|$11.65
"CPT® 82948"|"HB GLUCOSE, WHOLE BLOOD, POC, EACH ADDITIONAL"|301.00|$32.00|$6.40|$32.00|$22.00||$14.62|$6.40|$22.66|$11.74|$14.94|$32.00|$18.08|$14.40|$32.00|$32.00|$12.35|$8.36|$7.45|$7.45
"CPT® 82552"|"HB CREATINE KINASE MB LEVEL"|301.00|$259.00|$39.00|$183.37|$181.00||$118.36|$51.80|$183.37|$95.05|$120.95|$41.00|$146.34|$116.55|$39.00|$42.00|$99.97|$67.70|$60.32|$60.32
"CPT® 84484"|"HB TROPONIN I LEVEL"|301.00|$195.00|$26.64|$138.06|$136.00||$26.64|$39.00|$138.06|$71.57|$91.07|$41.00|$110.18|$87.75|$39.00|$42.00|$75.27|$50.97|$45.42|$45.42
"CPT® 81025"|"HB PREGNANCY TEST, URINE (POCT)"|301.00|$197.00|$17.14|$139.48|$138.00||$17.14|$39.40|$139.48|$72.30|$92.00|$41.00|$111.31|$88.65|$39.00|$42.00|$76.04|$51.50|$45.88|$45.88
"CPT® 83880"|"HB B-NATRIURETIC PEPTIDE (POCT)"|301.00|$339.00|$39.00|$240.01|$237.00||$154.92|$67.80|$240.01|$124.41|$158.31|$41.00|$191.54|$152.55|$39.00|$42.00|$130.85|$88.61|$78.95|$78.95
"CPT® 82553"|"HB CK-MB (POCT)"|301.00|$259.00|$31.25|$183.37|$181.00||$31.25|$51.80|$183.37|$95.05|$120.95|$41.00|$146.34|$116.55|$39.00|$42.00|$99.97|$67.70|$60.32|$60.32
"CPT® 83874"|"HB MYOGLOBIN (POCT)"|301.00|$225.00|$39.00|$159.30|$158.00||$102.83|$45.00|$159.30|$82.58|$105.08|$41.00|$127.13|$101.25|$39.00|$42.00|$86.85|$58.82|$52.40|$52.40
"CPT® 84484"|"HB TROPONIN I (POCT)"|301.00|$195.00|$26.64|$138.06|$136.00||$26.64|$39.00|$138.06|$71.57|$91.07|$41.00|$110.18|$87.75|$39.00|$42.00|$75.27|$50.97|$45.42|$45.42
"CPT® 80186"|"HB PHENYTOIN, FREE"|301.00|$156.00|$31.20|$110.45|$109.00||$71.29|$31.20|$110.45|$57.25|$72.85|$41.00|$88.14|$70.20|$39.00|$42.00|$60.22|$40.78|$36.33|$36.33
"CPT® 82962"|"HB GLUCOSE BLOOD TEST"|301.00|$50.00|$10.00|$42.00|$35.00||$22.85|$10.00|$35.40|$18.35|$23.35|$41.00|$28.25|$22.50|$39.00|$42.00|$19.30|$13.07|$11.65|$11.65
"CPT® 84112"|"HB EVAL AMNIOTIC FLUID PROTEIN"|301.00|$106.00|$21.20|$75.05|$74.00||$48.44|$21.20|$75.05|$38.90|$49.50|$41.00|$59.89|$47.70|$39.00|$42.00|$40.92|$27.71|$24.69|$24.69
"CPT® 83013"|"HB HELICOBACTER PYLORI; BREATH TEST ANALYSIS FOR UREASE ACTIVITY; NON-RADIOACTIVE ISOTOPE"|301.00|$439.00|$39.00|$310.81|$307.00||$200.62|$87.80|$310.81|$161.11|$205.01|$41.00|$248.04|$197.55|$39.00|$42.00|$169.45|$114.75|$102.24|$102.24
"CPT® 86359"|"HB T CELLS, TOTAL COUNT, TCM"|302.00|$220.00|$39.00|$155.76|$154.00||$100.54|$44.00|$155.76|$80.74|$102.74|$41.00|$124.30|$99.00|$39.00|$42.00|$84.92|$57.51|$51.24|$51.24
"CPT® 86360"|"HB ABSOLUTE CD4 & CD8 COUNT INCLUDING RATIO, TCM"|302.00|$323.00|$39.00|$228.68|$226.00||$147.61|$64.60|$228.68|$118.54|$150.84|$41.00|$182.50|$145.35|$39.00|$42.00|$124.68|$84.43|$75.23|$75.23
"CPT® 86359"|"HB T CELLS, TOTAL COUNT, PB, QTB"|302.00|$220.00|$39.00|$155.76|$154.00||$100.54|$44.00|$155.76|$80.74|$102.74|$41.00|$124.30|$99.00|$39.00|$42.00|$84.92|$57.51|$51.24|$51.24
"CPT® 86360"|"HB ABSOLUTE CD4 & CD8 COUNT INCLUDING RATIO, PB, QTB"|302.00|$323.00|$39.00|$228.68|$226.00||$147.61|$64.60|$228.68|$118.54|$150.84|$41.00|$182.50|$145.35|$39.00|$42.00|$124.68|$84.43|$75.23|$75.23
"CPT® 86355"|"HB B CELLS, TOTAL COUNT, PB, QTB"|302.00|$309.00|$39.00|$218.77|$216.00||$141.21|$61.80|$218.77|$113.40|$144.30|$41.00|$174.59|$139.05|$39.00|$42.00|$119.27|$80.77|$71.97|$71.97
"CPT® 86357"|"HB NK CELLS, TOTAL COUNT, PB, QTB"|302.00|$309.00|$39.00|$218.77|$216.00||$141.21|$61.80|$218.77|$113.40|$144.30|$41.00|$174.59|$139.05|$39.00|$42.00|$119.27|$80.77|$71.97|$71.97
"CPT® 86359"|"HB T CELLS, TOTAL COUNT, NON-PB, QTB"|302.00|$220.00|$39.00|$155.76|$154.00||$100.54|$44.00|$155.76|$80.74|$102.74|$41.00|$124.30|$99.00|$39.00|$42.00|$84.92|$57.51|$51.24|$51.24
"CPT® 86356"|"HB ADDITIONAL MARKERS, LYMPHOCYTES, NON-PB, QTB"|302.00|$155.00|$31.00|$109.74|$108.00||$70.84|$31.00|$109.74|$56.89|$72.39|$41.00|$87.58|$69.75|$39.00|$42.00|$59.83|$40.52|$36.10|$36.10
"CPT® 86355"|"HB B CELLS, TOTAL COUNT, NON-PB, QTB"|302.00|$309.00|$39.00|$218.77|$216.00||$141.21|$61.80|$218.77|$113.40|$144.30|$41.00|$174.59|$139.05|$39.00|$42.00|$119.27|$80.77|$71.97|$71.97
"CPT® 86357"|"HB NK CELLS, TOTAL COUNT, NON-PB, QTB"|302.00|$309.00|$39.00|$218.77|$216.00||$141.21|$61.80|$218.77|$113.40|$144.30|$41.00|$174.59|$139.05|$39.00|$42.00|$119.27|$80.77|$71.97|$71.97
"CPT® 86812"|"HB HLA B27 BY FLOW CYTOMETRY"|302.00|$119.00|$23.80|$84.25|$83.00||$54.38|$23.80|$84.25|$43.67|$55.57|$41.00|$67.24|$53.55|$39.00|$42.00|$45.93|$31.11|$27.72|$27.72
"CPT® 86367"|"HB STEM CELLS, TOTAL"|302.00|$510.00|$39.00|$361.08|$357.00||$233.07|$102.00|$361.08|$187.17|$238.17|$41.00|$288.15|$229.50|$39.00|$42.00|$196.86|$133.31|$118.78|$118.78
"CPT® 86367"|"HB STEM CELLS, TOTAL, PRODUCT (MOD 59)"|302.00|$316.00|$39.00|$223.73|$221.00||$144.41|$63.20|$223.73|$115.97|$147.57|$41.00|$178.54|$142.20|$39.00|$42.00|$121.98|$82.60|$73.60|$73.60
"CPT® 86359"|"HB T CELLS, TOTAL COUNT, PRODUCT"|302.00|$220.00|$39.00|$155.76|$154.00||$100.54|$44.00|$155.76|$80.74|$102.74|$41.00|$124.30|$99.00|$39.00|$42.00|$84.92|$57.51|$51.24|$51.24
"CPT® 86355"|"HB B CELLS, TOTAL COUNT, CD20 B CELL MONITORING"|302.00|$524.00|$39.00|$370.99|$367.00||$239.47|$104.80|$370.99|$192.31|$244.71|$41.00|$296.06|$235.80|$39.00|$42.00|$202.26|$136.97|$122.04|$122.04
"CPT® 86356"|"HB T REGULATORY PANEL 4/25/127"|302.00|$526.00|$39.00|$372.41|$368.00||$240.38|$105.20|$372.41|$193.04|$245.64|$41.00|$297.19|$236.70|$39.00|$42.00|$203.04|$137.50|$122.51|$122.51
"CPT® 86356"|"HB T REGULATORY PANEL 4/25/FOXP3"|302.00|$578.00|$39.00|$409.22|$405.00||$264.15|$115.60|$409.22|$212.13|$269.93|$41.00|$326.57|$260.10|$39.00|$42.00|$223.11|$151.09|$134.62|$134.62
"CPT® 86157"|"HB ABO ANTIBODY TITRATION, IGM"|302.00|$63.00|$12.60|$44.60|$44.00||$28.79|$12.60|$44.60|$23.12|$29.42|$41.00|$35.60|$28.35|$39.00|$42.00|$24.32|$16.47|$14.67|$14.67
"CPT® 86850"|"HB ANTIBODY SCREEN"|302.00|$127.00|$25.40|$89.92|$89.00||$58.04|$25.40|$89.92|$46.61|$59.31|$41.00|$71.76|$57.15|$39.00|$42.00|$49.02|$33.20|$29.58|$29.58
"CPT® 86255"|"HB ANTIPARIETAL CELL ANTIBODY"|302.00|$240.00|$39.00|$169.92|$168.00||$109.68|$48.00|$169.92|$88.08|$112.08|$41.00|$135.60|$108.00|$39.00|$42.00|$92.64|$62.74|$55.90|$55.90
"CPT® 86255"|"HB ANTI NEUTROPHIL CYTOPLASMIC ANTIBODY BY IF"|302.00|$148.00|$29.60|$104.78|$104.00||$67.64|$29.60|$104.78|$54.32|$69.12|$41.00|$83.62|$66.60|$39.00|$42.00|$57.13|$38.69|$34.47|$34.47
"CPT® 86255"|"HB ANTIMITOCHONDRIAL ANTIBODY"|302.00|$276.00|$39.00|$195.41|$193.00||$126.13|$55.20|$195.41|$101.29|$128.89|$41.00|$155.94|$124.20|$39.00|$42.00|$106.54|$72.15|$64.28|$64.28
"CPT® 86156"|"HB COLD AGGLUTININ SCREEN"|302.00|$122.00|$24.40|$86.38|$85.00||$55.75|$24.40|$86.38|$44.77|$56.97|$41.00|$68.93|$54.90|$39.00|$42.00|$47.09|$31.89|$28.41|$28.41
"CPT® 86921"|"HB CROSSMATCH, INCUBATION, EACH UNIT"|302.00|$24.00|$4.80|$24.00|$17.00||$10.97|$4.80|$16.99|$8.81|$11.21|$24.00|$13.56|$10.80|$24.00|$24.00|$9.26|$6.27|$5.59|$5.59
"CPT® 86813"|"HB HUMAN LEUKOCYTE ANTIGEN (HLA) TYPE MATCHING"|302.00|$1657.00|$39.00|$1173.16|$1160.00||$757.25|$331.40|$1173.16|$608.12|$773.82|$41.00|$936.21|$745.65|$39.00|$42.00|$639.60|$433.14|$385.92|$385.92
"CPT® 86978"|"HB PLASMA PRETREATMENT, ABSORPTION"|302.00|$239.00|$39.00|$169.21|$167.00||$109.22|$47.80|$169.21|$87.71|$111.61|$41.00|$135.04|$107.55|$39.00|$42.00|$92.25|$62.47|$55.66|$55.66
"CPT® 86978"|"HB PLASMA PRETREATMENT, EACH ALLOABSORPTION"|302.00|$211.00|$39.00|$149.39|$148.00||$96.43|$42.20|$149.39|$77.44|$98.54|$41.00|$119.22|$94.95|$39.00|$42.00|$81.45|$55.16|$49.14|$49.14
"CPT® 86978"|"HB PLASMA PRETREATMENT, EACH AUTOABSORPTION"|302.00|$211.00|$39.00|$149.39|$148.00||$96.43|$42.20|$149.39|$77.44|$98.54|$41.00|$119.22|$94.95|$39.00|$42.00|$81.45|$55.16|$49.14|$49.14
"CPT® 86975"|"HB PLASMA PRETREATMENT, INCUBATION WITH DRUGS"|302.00|$129.00|$25.80|$91.33|$90.00||$58.95|$25.80|$91.33|$47.34|$60.24|$64.50|$72.89|$58.05|$39.00|$42.00|$49.79|$33.72|$30.04|$30.04
"CPT® 86977"|"HB PLASMA PRETREATMENT, INCUBATION WITH INHIBITORS"|302.00|$129.00|$25.80|$91.33|$90.00||$58.95|$25.80|$91.33|$47.34|$60.24|$64.50|$72.89|$58.05|$39.00|$42.00|$49.79|$33.72|$30.04|$30.04
"CPT® 86970"|"HB RBC PRETREATMENT, ENZYME"|302.00|$129.00|$25.80|$91.33|$90.00||$58.95|$25.80|$91.33|$47.34|$60.24|$41.00|$72.89|$58.05|$39.00|$42.00|$49.79|$33.72|$30.04|$30.04
"CPT® 86904"|"HB ANTIGEN SCREENING, PATIENT SERUM, EACH ANTIGEN"|302.00|$105.00|$21.00|$74.34|$74.00||$47.99|$21.00|$74.34|$38.54|$49.04|$52.50|$59.33|$47.25|$39.00|$42.00|$40.53|$27.45|$24.45|$24.45
"CPT® 86905"|"HB LEA ANTIGEN TYPING, PATIENT"|302.00|$85.00|$17.00|$60.18|$59.00||$38.85|$17.00|$60.18|$31.20|$39.70|$41.00|$48.03|$38.25|$39.00|$42.00|$32.81|$22.22|$19.80|$19.80
"CPT® 86905"|"HB LEB ANTIGEN TYPING, PATIENT"|302.00|$94.00|$18.80|$66.55|$66.00||$42.96|$18.80|$66.55|$34.50|$43.90|$41.00|$53.11|$42.30|$39.00|$42.00|$36.28|$24.57|$21.89|$21.89
"CPT® 86905"|"HB M ANTIGEN TYPING, PATIENT"|302.00|$85.00|$17.00|$60.18|$59.00||$38.85|$17.00|$60.18|$31.20|$39.70|$41.00|$48.03|$38.25|$39.00|$42.00|$32.81|$22.22|$19.80|$19.80
"CPT® 86905"|"HB N ANTIGEN TYPING, PATIENT"|302.00|$85.00|$17.00|$60.18|$59.00||$38.85|$17.00|$60.18|$31.20|$39.70|$41.00|$48.03|$38.25|$39.00|$42.00|$32.81|$22.22|$19.80|$19.80
"CPT® 86832"|"HB HLA CLASS I ANTIBODY ID HIGH RESOLUTION - HLA MATCHED PLATELET"|302.00|$6019.00|$39.00|$4261.45|$4213.00||$2750.68|$1203.80|$4261.45|$2208.97|$2810.87|$41.00|$3400.74|$2708.55|$39.00|$42.00|$2323.33|$1573.37|$1401.83|$1401.83
"CPT® 86850"|"HB ANTIBODY SCREEN , COLD SO"|302.00|$127.00|$25.40|$89.92|$89.00||$58.04|$25.40|$89.92|$46.61|$59.31|$41.00|$71.76|$57.15|$39.00|$42.00|$49.02|$33.20|$29.58|$29.58
"CPT® 86850"|"HB ANTIBODY SCREEN SO"|302.00|$127.00|$25.40|$89.92|$89.00||$58.04|$25.40|$89.92|$46.61|$59.31|$41.00|$71.76|$57.15|$39.00|$42.00|$49.02|$33.20|$29.58|$29.58
"CPT® 86978"|"HB PLASMA PRETREATMENT, ALLOABSORPTION SO"|302.00|$211.00|$39.00|$149.39|$148.00||$96.43|$42.20|$149.39|$77.44|$98.54|$41.00|$119.22|$94.95|$39.00|$42.00|$81.45|$55.16|$49.14|$49.14
"CPT® 86978"|"HB PLASMA PRETREATMENT, AUTOABSORPTION SO"|302.00|$190.00|$38.00|$134.52|$133.00||$86.83|$38.00|$134.52|$69.73|$88.73|$41.00|$107.35|$85.50|$39.00|$42.00|$73.34|$49.67|$44.25|$44.25
"CPT® 86972"|"HB ANTIBODY ADSORPTION REST SO"|302.00|$650.00|$39.00|$460.20|$455.00||$297.05|$130.00|$460.20|$238.55|$303.55|$325.00|$367.25|$292.50|$39.00|$42.00|$250.90|$169.91|$151.39|$151.39
"CPT® 86308"|"HB HETEROPHILE ANTIBODY SCREEN"|302.00|$153.00|$30.60|$108.32|$107.00||$69.92|$30.60|$108.32|$56.15|$71.45|$41.00|$86.45|$68.85|$39.00|$42.00|$59.06|$39.99|$35.63|$35.63
"CPT® 86403"|"HB CRYPTOCOCCAL ANTIGEN SCREEN"|302.00|$208.00|$39.00|$147.26|$146.00||$95.06|$41.60|$147.26|$76.34|$97.14|$41.00|$117.52|$93.60|$39.00|$42.00|$80.29|$54.37|$48.44|$48.44
"CPT® 86403"|"HB CRYPTOCOCCAL ANTIGEN SCREEN, CSF"|302.00|$208.00|$39.00|$147.26|$146.00||$95.06|$41.60|$147.26|$76.34|$97.14|$41.00|$117.52|$93.60|$39.00|$42.00|$80.29|$54.37|$48.44|$48.44
"CPT® 86406"|"HB CRYTOCOCCAL TITER"|302.00|$389.00|$39.00|$275.41|$272.00||$177.77|$77.80|$275.41|$142.76|$181.66|$41.00|$219.79|$175.05|$39.00|$42.00|$150.15|$101.68|$90.60|$90.60
"CPT® 86703"|"HB HIV-1 & HIV-2 ANTIBODY, RAPID TEST"|302.00|$140.00|$28.00|$99.12|$98.00||$63.98|$28.00|$99.12|$51.38|$65.38|$41.00|$79.10|$63.00|$39.00|$42.00|$54.04|$36.60|$32.61|$32.61
"CPT® 86038"|"HB ANTINUCLEAR ANTIBODY (ANA)"|302.00|$190.00|$38.00|$134.52|$133.00||$86.83|$38.00|$134.52|$69.73|$88.73|$41.00|$107.35|$85.50|$39.00|$42.00|$73.34|$49.67|$44.25|$44.25
"CPT® 86039"|"HB ANA TITER"|302.00|$307.00|$39.00|$217.36|$215.00||$140.30|$61.40|$217.36|$112.67|$143.37|$41.00|$173.46|$138.15|$39.00|$42.00|$118.50|$80.25|$71.50|$71.50
"CPT® 86255"|"HB ANTISMOOTH MUSCLE ANTIBODY"|302.00|$276.00|$39.00|$195.41|$193.00||$126.13|$55.20|$195.41|$101.29|$128.89|$41.00|$155.94|$124.20|$39.00|$42.00|$106.54|$72.15|$64.28|$64.28
"CPT® 86146"|"HB BETA 2 GLYCOPROTEIN IGA ANTIBODY"|302.00|$65.00|$13.00|$46.02|$46.00||$29.71|$13.00|$46.02|$23.86|$30.36|$41.00|$36.73|$29.25|$39.00|$42.00|$25.09|$16.99|$15.14|$15.14
"CPT® 86146"|"HB BETA 2 GLYCOPROTEIN IGG ANTIBODY"|302.00|$65.00|$13.00|$46.02|$46.00||$29.71|$13.00|$46.02|$23.86|$30.36|$41.00|$36.73|$29.25|$39.00|$42.00|$25.09|$16.99|$15.14|$15.14
"CPT® 86146"|"HB BETA 2 GLYCOPROTEIN IGM ANTIBODY"|302.00|$65.00|$13.00|$46.02|$46.00||$29.71|$13.00|$46.02|$23.86|$30.36|$41.00|$36.73|$29.25|$39.00|$42.00|$25.09|$16.99|$15.14|$15.14
"CPT® 86304"|"HB CA125"|302.00|$307.00|$39.00|$217.36|$215.00||$140.30|$61.40|$217.36|$112.67|$143.37|$41.00|$173.46|$138.15|$39.00|$42.00|$118.50|$80.25|$71.50|$71.50
"CPT® 86147"|"HB CARDIOLIPIN ANTIBODY, EACH IG CLASS"|302.00|$184.00|$36.80|$130.27|$129.00||$84.09|$36.80|$130.27|$67.53|$85.93|$41.00|$103.96|$82.80|$39.00|$42.00|$71.02|$48.10|$42.85|$42.85
"CPT® 86160"|"HB COMPLEMENT ANTIGEN, EACH"|302.00|$145.00|$29.00|$102.66|$102.00||$66.27|$29.00|$102.66|$53.22|$67.72|$41.00|$81.93|$65.25|$39.00|$42.00|$55.97|$37.90|$33.77|$33.77
"CPT® 86162"|"HB COMPLEMENT: CH50"|302.00|$204.00|$39.00|$144.43|$143.00||$93.23|$40.80|$144.43|$74.87|$95.27|$41.00|$115.26|$91.80|$39.00|$42.00|$78.74|$53.33|$47.51|$47.51
"CPT® 86200"|"HB CYCLIC CITRULLINATED PEPTIDE ANTIBODY"|302.00|$64.00|$12.80|$45.31|$45.00||$29.25|$12.80|$45.31|$23.49|$29.89|$41.00|$36.16|$28.80|$39.00|$42.00|$24.70|$16.73|$14.91|$14.91
"CPT® 86644"|"HB CYTOMEGALOVIRUS ANTIBODY, IGG"|302.00|$268.00|$39.00|$189.74|$188.00||$122.48|$53.60|$189.74|$98.36|$125.16|$41.00|$151.42|$120.60|$39.00|$42.00|$103.45|$70.06|$62.42|$62.42
"CPT® 86645"|"HB CYTOMEGALOVIRUS ANIBODY, IGM"|302.00|$268.00|$39.00|$189.74|$188.00||$122.48|$53.60|$189.74|$98.36|$125.16|$41.00|$151.42|$120.60|$39.00|$42.00|$103.45|$70.06|$62.42|$62.42
"CPT® 86225"|"HB DS DNA ANTIBODY"|302.00|$240.00|$39.00|$169.92|$168.00||$109.68|$48.00|$169.92|$88.08|$112.08|$41.00|$135.60|$108.00|$39.00|$42.00|$92.64|$62.74|$55.90|$55.90
"CPT® 86256"|"HB DS DNA ANTIBODY TITER BY IFA"|302.00|$98.00|$19.60|$69.38|$69.00||$44.79|$19.60|$69.38|$35.97|$45.77|$41.00|$55.37|$44.10|$39.00|$42.00|$37.83|$25.62|$22.82|$22.82
"CPT® 86235"|"HB EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY"|302.00|$147.00|$29.40|$104.08|$103.00||$67.18|$29.40|$104.08|$53.95|$68.65|$41.00|$83.06|$66.15|$39.00|$42.00|$56.74|$38.43|$34.24|$34.24
"CPT® 86256"|"HB FLUORESCENT ANTIBODY TITER"|302.00|$98.00|$19.60|$69.38|$69.00||$44.79|$19.60|$69.38|$35.97|$45.77|$41.00|$55.37|$44.10|$39.00|$42.00|$37.83|$25.62|$22.82|$22.82
"CPT® 86677"|"HB H. PYLORI IGG ANTIBODY"|302.00|$375.00|$39.00|$265.50|$262.00||$171.38|$75.00|$265.50|$137.63|$175.13|$41.00|$211.88|$168.75|$39.00|$42.00|$144.75|$98.03|$87.34|$87.34
"CPT® 86704"|"HB HEPATITIS B CORE ANTIBODY (TOTAL)"|302.00|$231.00|$39.00|$163.55|$162.00||$105.57|$46.20|$163.55|$84.78|$107.88|$41.00|$130.52|$103.95|$39.00|$42.00|$89.17|$60.38|$53.80|$53.80
"CPT® 86709"|"HB HEPATITIS A IGM ANTIBODY"|302.00|$314.00|$39.00|$222.31|$220.00||$143.50|$62.80|$222.31|$115.24|$146.64|$41.00|$177.41|$141.30|$39.00|$42.00|$121.20|$82.08|$73.13|$73.13
"CPT® 86705"|"HB HEPATITIS B CORE ANTIBODY IGM"|302.00|$330.00|$39.00|$233.64|$231.00||$150.81|$66.00|$233.64|$121.11|$154.11|$41.00|$186.45|$148.50|$39.00|$42.00|$127.38|$86.26|$76.86|$76.86
"CPT® 86706"|"HB HEPATITIS B SURFACE ANTIBODY"|302.00|$153.00|$30.60|$108.32|$107.00||$69.92|$30.60|$108.32|$56.15|$71.45|$41.00|$86.45|$68.85|$39.00|$42.00|$59.06|$39.99|$35.63|$35.63
"CPT® 87340"|"HB HEPATITIS B SURFACE ANTIGEN"|302.00|$107.00|$21.40|$75.76|$75.00||$48.90|$21.40|$75.76|$39.27|$49.97|$41.00|$60.46|$48.15|$39.00|$42.00|$41.30|$27.97|$24.92|$24.92
"CPT® 86803"|"HB HEPATITIS C ANTIBODY"|302.00|$314.00|$39.00|$222.31|$220.00||$143.50|$62.80|$222.31|$115.24|$146.64|$41.00|$177.41|$141.30|$39.00|$42.00|$121.20|$82.08|$73.13|$73.13
"CPT® 87389"|"HB HIV ANTIGEN/ANTIBODY COMBINATION"|302.00|$39.00|$7.80|$39.00|$27.00||$17.82|$7.80|$27.61|$14.31|$18.21|$39.00|$22.04|$17.55|$39.00|$39.00|$15.05|$10.19|$9.08|$9.08
"CPT® 86305"|"HB HUMAN EPIDIDYMIS PROTEIN (HE4)"|302.00|$284.00|$39.00|$201.07|$199.00||$129.79|$56.80|$201.07|$104.23|$132.63|$41.00|$160.46|$127.80|$39.00|$42.00|$109.62|$74.24|$66.14|$66.14
"CPT® 86335"|"HB IMMUNOFIXELECTROPHB -UR/CSF"|302.00|$572.00|$39.00|$404.98|$400.00||$261.40|$114.40|$404.98|$209.92|$267.12|$41.00|$323.18|$257.40|$39.00|$42.00|$220.79|$149.52|$133.22|$133.22
"CPT® 86618"|"HB LYMES IGG/IGM ANTIBODIES, EACH"|302.00|$148.00|$29.60|$104.78|$104.00||$67.64|$29.60|$104.78|$54.32|$69.12|$41.00|$83.62|$66.60|$39.00|$42.00|$57.13|$38.69|$34.47|$34.47
"CPT® 80195"|"HB RAPAMYCIN BY IMX"|302.00|$191.00|$38.20|$135.23|$134.00||$87.29|$38.20|$135.23|$70.10|$89.20|$41.00|$107.92|$85.95|$39.00|$42.00|$73.73|$49.93|$44.48|$44.48
"CPT® 86235"|"HB SJOGRENS ANTIBODIES"|302.00|$174.00|$34.80|$123.19|$122.00||$79.52|$34.80|$123.19|$63.86|$81.26|$41.00|$98.31|$78.30|$39.00|$42.00|$67.16|$45.48|$40.52|$40.52
"CPT® 86592"|"HB SYPHILIS TEST, QUALITATIVE"|302.00|$84.00|$16.80|$59.47|$59.00||$38.39|$16.80|$59.47|$30.83|$39.23|$41.00|$47.46|$37.80|$39.00|$42.00|$32.42|$21.96|$19.56|$19.56
"CPT® 86800"|"HB THYROGLOBULIN ANTIBODIES"|302.00|$317.00|$39.00|$224.44|$222.00||$144.87|$63.40|$224.44|$116.34|$148.04|$41.00|$179.11|$142.65|$39.00|$42.00|$122.36|$82.86|$73.83|$73.83
"CPT® 86376"|"HB THYROID PEROXIDASE ANTIBODY"|302.00|$318.00|$39.00|$225.14|$223.00||$145.33|$63.60|$225.14|$116.71|$148.51|$41.00|$179.67|$143.10|$39.00|$42.00|$122.75|$83.13|$74.06|$74.06
"CPT® 86777"|"HB TOXOPLASMA ANTIBODY, IGG"|302.00|$268.00|$39.00|$189.74|$188.00||$122.48|$53.60|$189.74|$98.36|$125.16|$41.00|$151.42|$120.60|$39.00|$42.00|$103.45|$70.06|$62.42|$62.42
"CPT® 86403"|"HB FDA, CMV TOTAL WITH REFLEX"|302.00|$174.00|$34.80|$123.19|$122.00||$79.52|$34.80|$123.19|$63.86|$81.26|$41.00|$98.31|$78.30|$39.00|$42.00|$67.16|$45.48|$40.52|$40.52
"CPT® 86790"|"HB FDA, HTLV I/II ANTIBODY SCREEN"|302.00|$116.00|$23.20|$82.13|$81.00||$53.01|$23.20|$82.13|$42.57|$54.17|$41.00|$65.54|$52.20|$39.00|$42.00|$44.78|$30.32|$27.02|$27.02
"CPT® 86592"|"HB FDA, RPR"|302.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 86703"|"HB FDA, HIV 1/2+O ANTIBODY SCREEN"|302.00|$87.00|$17.40|$61.60|$61.00||$39.76|$17.40|$61.60|$31.93|$40.63|$41.00|$49.16|$39.15|$39.00|$42.00|$33.58|$22.74|$20.26|$20.26
"CPT® 86704"|"HB FDA, HEPATITIS B CORE ANTIBODY"|302.00|$87.00|$17.40|$61.60|$61.00||$39.76|$17.40|$61.60|$31.93|$40.63|$41.00|$49.16|$39.15|$39.00|$42.00|$33.58|$22.74|$20.26|$20.26
"CPT® 86803"|"HB FDA, HEPATITIS C ANTIBODY"|302.00|$87.00|$17.40|$61.60|$61.00||$39.76|$17.40|$61.60|$31.93|$40.63|$41.00|$49.16|$39.15|$39.00|$42.00|$33.58|$22.74|$20.26|$20.26
"CPT® 86317"|"HB HEPATITIS B SURFACE ANTIBODY, QUANTITATIVE"|302.00|$110.00|$22.00|$77.88|$77.00||$50.27|$22.00|$77.88|$40.37|$51.37|$41.00|$62.15|$49.50|$39.00|$42.00|$42.46|$28.75|$25.62|$25.62
"CPT® 86317"|"HB HEPATITIS B SURFACE ANTIBODY, QUANTITATIVE, END POINT"|302.00|$297.00|$39.00|$210.28|$208.00||$135.73|$59.40|$210.28|$109.00|$138.70|$41.00|$167.81|$133.65|$39.00|$42.00|$114.64|$77.64|$69.17|$69.17
"CPT® 86707"|"HB HEPATITIS B VIRUS E ANTIGEN/ANTIBODY"|302.00|$42.00|$8.40|$42.00|$29.00||$19.19|$8.40|$29.74|$15.41|$19.61|$41.00|$23.73|$18.90|$39.00|$42.00|$16.21|$10.98|$9.78|$9.78
"CPT® 86817"|"HB HLA DR TISSUE TYPING"|302.00|$1942.00|$39.00|$1374.94|$1359.00||$887.49|$388.40|$1374.94|$712.71|$906.91|$971.00|$1097.23|$873.90|$39.00|$42.00|$749.61|$507.64|$452.29|$452.29
"CPT® 86778"|"HB TOXOPLASMA ANTIBODY, IGM"|302.00|$221.00|$39.00|$156.47|$155.00||$101.00|$44.20|$156.47|$81.11|$103.21|$41.00|$124.87|$99.45|$39.00|$42.00|$85.31|$57.77|$51.47|$51.47
"CPT® 86780"|"HB TPA SYPHILIS CONFIRMATION"|302.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 86480"|"HB TUBERCULOSIS IMMUNITY ASSAY"|302.00|$212.00|$39.00|$150.10|$148.00||$96.88|$42.40|$150.10|$77.80|$99.00|$41.00|$119.78|$95.40|$39.00|$42.00|$81.83|$55.42|$49.37|$49.37
"CPT® 86701"|"HB HIV-1 ANTIBODY, MULTISPOT"|302.00|$174.00|$34.80|$123.19|$122.00||$79.52|$34.80|$123.19|$63.86|$81.26|$41.00|$98.31|$78.30|$39.00|$42.00|$67.16|$45.48|$40.52|$40.52
"CPT® 86702"|"HB HIV-2 ANTIBODY, MULTISPOT"|302.00|$174.00|$34.80|$123.19|$122.00||$79.52|$34.80|$123.19|$63.86|$81.26|$41.00|$98.31|$78.30|$39.00|$42.00|$67.16|$45.48|$40.52|$40.52
"CPT® 86235"|"HB JO-1 ANTIBODY, QUANTITATIVE"|302.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 86235"|"HB RNP/SM ANTIBODY, QUANTITATIVE"|302.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 86235"|"HB SCL-70 ANTIBODY, QUANTITATIVE"|302.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 86235"|"HB SM ANTIBODY, QUANTITATIVE"|302.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 86235"|"HB SSA(RO) ANTIBODY, QUANTITATIVE"|302.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 86235"|"HB SSB(LA) ANTIBODY, QUANTITATIVE"|302.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 86780"|"HB SYPHILIS ANTIBODY, TREPONEMAL W/ REFLEX"|302.00|$87.00|$17.40|$61.60|$61.00||$39.76|$17.40|$61.60|$31.93|$40.63|$41.00|$49.16|$39.15|$39.00|$42.00|$33.58|$22.74|$20.26|$20.26
"CPT® 86663"|"HB EBV PANEL, EARLY ANTIGEN (EA)"|302.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 86664"|"HB EBV PANEL, NUCLEAR ANTIGEN (NA)"|302.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 86665"|"HB EBV PANEL, VIRAL CAPSID (VCA)"|302.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 86695"|"HB HERPES SIMPLEX 1 ANTIBODIES, IGG"|302.00|$86.00|$17.20|$60.89|$60.00||$39.30|$17.20|$60.89|$31.56|$40.16|$41.00|$48.59|$38.70|$39.00|$42.00|$33.20|$22.48|$20.03|$20.03
"CPT® 86696"|"HB HERPES SIMPLEX 2 ANTIBODIES, IGG"|302.00|$86.00|$17.20|$60.89|$60.00||$39.30|$17.20|$60.89|$31.56|$40.16|$41.00|$48.59|$38.70|$39.00|$42.00|$33.20|$22.48|$20.03|$20.03
"CPT® 86735"|"HB MUMPS ANTIBODY, IGG"|302.00|$53.00|$10.60|$42.00|$37.00||$24.22|$10.60|$37.52|$19.45|$24.75|$41.00|$29.95|$23.85|$39.00|$42.00|$20.46|$13.85|$12.34|$12.34
"CPT® 86762"|"HB RUBELLA ANTIBODY, IGG"|302.00|$53.00|$10.60|$42.00|$37.00||$24.22|$10.60|$37.52|$19.45|$24.75|$41.00|$29.95|$23.85|$39.00|$42.00|$20.46|$13.85|$12.34|$12.34
"CPT® 86765"|"HB RUBEOLA ANTIBODY, IGG"|302.00|$53.00|$10.60|$42.00|$37.00||$24.22|$10.60|$37.52|$19.45|$24.75|$41.00|$29.95|$23.85|$39.00|$42.00|$20.46|$13.85|$12.34|$12.34
"CPT® 86777"|"HB TOXOPLASMA ANTIBODY, IGG"|302.00|$68.00|$13.60|$48.14|$48.00||$31.08|$13.60|$48.14|$24.96|$31.76|$41.00|$38.42|$30.60|$39.00|$42.00|$26.25|$17.78|$15.84|$15.84
"CPT® 86787"|"HB VARICELLA ZOSTER ANTIBODY, IGG"|302.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 86665"|"HB EBV PANEL, VIRAL CAPSID (VCA), IGM"|302.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 86701"|"HB HIV-1 AB DIFFERENTIATION"|302.00|$280.00|$39.00|$198.24|$196.00||$127.96|$56.00|$198.24|$102.76|$130.76|$41.00|$158.20|$126.00|$39.00|$42.00|$108.08|$73.19|$65.21|$65.21
"CPT® 86702"|"HB HIV-2 AB DIFFERENTIATION"|302.00|$280.00|$39.00|$198.24|$196.00||$127.96|$56.00|$198.24|$102.76|$130.76|$41.00|$158.20|$126.00|$39.00|$42.00|$108.08|$73.19|$65.21|$65.21
"CPT® 86593"|"HB RPR TITER"|302.00|$11.00|$2.20|$11.00|$8.00||$5.03|$2.20|$7.79|$4.04|$5.14|$11.00|$6.22|$4.95|$11.00|$11.00|$4.25|$2.88|$2.56|$2.56
"CPT® 86146"|"HB BETA 2 GLYCOPROTEIN IGA ANTIBODY"|302.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 86146"|"HB BETA 2 GLYCOPROTEIN IGG ANTIBODY"|302.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 86146"|"HB BETA 2 GLYCOPROTEIN IGM ANTIBODY"|302.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 86147"|"HB CARDIOLIPIN ANTIBODY, EACH IG CLASS"|302.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGG"|302.00|$165.00|$33.00|$93.23|$115.00||$75.41|$33.00|$42.13|$42.13|$42.13|$41.00|$93.23|$74.25|$42.13|$42.13|$63.69|$43.13|$38.43|$38.43
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGM"|302.00|$165.00|$33.00|$93.23|$115.00||$75.41|$33.00|$42.13|$42.13|$42.13|$41.00|$93.23|$74.25|$42.13|$42.13|$63.69|$43.13|$38.43|$38.43
"CPT® 86769"|"HB COVID-19 ANTIBODIES, TOTAL IGG & IGM"|302.00|$165.00|$33.00|$93.23|$115.00||$75.41|$33.00|$42.13|$42.13|$42.13|$41.00|$93.23|$74.25|$42.13|$42.13|$63.69|$43.13|$38.43|$38.43
"CPT® 86022"|"HB PLATELET ANTIBODIES"|302.00|$1022.00|$39.00|$723.58|$715.00||$467.05|$204.40|$723.58|$375.07|$477.27|$41.00|$577.43|$459.90|$39.00|$42.00|$394.49|$267.15|$238.02|$238.02
"CPT® 86022"|"HB HEPARIN INDUCED THROMBOCYTOPENIA"|302.00|$902.00|$39.00|$638.62|$631.00||$412.21|$180.40|$638.62|$331.03|$421.23|$41.00|$509.63|$405.90|$39.00|$42.00|$348.17|$235.78|$210.08|$210.08
"CPT® 86603"|"HB ADENOVIRUS ANTIBODY"|302.00|$258.00|$39.00|$182.66|$181.00||$117.91|$51.60|$182.66|$94.69|$120.49|$41.00|$145.77|$116.10|$39.00|$42.00|$99.59|$67.44|$60.09|$60.09
"CPT® 86235"|"HB ANTICENTROMERE AUTOANTIBODIES"|302.00|$120.00|$24.00|$84.96|$84.00||$54.84|$24.00|$84.96|$44.04|$56.04|$41.00|$67.80|$54.00|$39.00|$42.00|$46.32|$31.37|$27.95|$27.95
"CPT® 86215"|"HB ANTIDEOXYRIBONUCLEASE-B ANTIBODIES"|302.00|$94.00|$18.80|$66.55|$66.00||$42.96|$18.80|$66.55|$34.50|$43.90|$41.00|$53.11|$42.30|$39.00|$42.00|$36.28|$24.57|$21.89|$21.89
"CPT® 86060"|"HB ANTI-STREPTOLYSIN TITER"|302.00|$85.00|$17.00|$60.18|$59.00||$38.85|$17.00|$60.18|$31.20|$39.70|$41.00|$48.03|$38.25|$39.00|$42.00|$32.81|$22.22|$19.80|$19.80
"CPT® 86622"|"HB BRUCELLA ABORTUS ANTIBODIES"|302.00|$106.00|$21.20|$75.05|$74.00||$48.44|$21.20|$75.05|$38.90|$49.50|$41.00|$59.89|$47.70|$39.00|$42.00|$40.92|$27.71|$24.69|$24.69
"CPT® 86301"|"HB CANCER ANTIGEN 19-9"|302.00|$94.00|$18.80|$66.55|$66.00||$42.96|$18.80|$66.55|$34.50|$43.90|$41.00|$53.11|$42.30|$39.00|$42.00|$36.28|$24.57|$21.89|$21.89
"CPT® 86300"|"HB CANCER ANTIGEN 27.29"|302.00|$94.00|$18.80|$66.55|$66.00||$42.96|$18.80|$66.55|$34.50|$43.90|$41.00|$53.11|$42.30|$39.00|$42.00|$36.28|$24.57|$21.89|$21.89
"CPT® 86316"|"HB CHROMOGRANIN A"|302.00|$204.00|$39.00|$144.43|$143.00||$93.23|$40.80|$144.43|$74.87|$95.27|$41.00|$115.26|$91.80|$39.00|$42.00|$78.74|$53.33|$47.51|$47.51
"CPT® 86658"|"HB COXSACKIE B VIRUS ANTIBODY PANEL"|302.00|$110.00|$22.00|$77.88|$77.00||$50.27|$22.00|$77.88|$40.37|$51.37|$41.00|$62.15|$49.50|$39.00|$42.00|$42.46|$28.75|$25.62|$25.62
"CPT® 86658"|"HB COXSACKIE B VIRUS ANTIBODY PANEL, CEREBRAL SPINAL FLUID"|302.00|$33.00|$6.60|$33.00|$23.00||$15.08|$6.60|$23.36|$12.11|$15.41|$33.00|$18.65|$14.85|$33.00|$33.00|$12.74|$8.63|$7.69|$7.69
"CPT® 86658"|"HB COXSACKIE B VIRUS ANTIBODY PANEL, CEREBRAL SPINAL FLUID"|302.00|$32.00|$6.40|$32.00|$22.00||$14.62|$6.40|$22.66|$11.74|$14.94|$32.00|$18.08|$14.40|$32.00|$32.00|$12.35|$8.36|$7.45|$7.45
"CPT® 86003"|"HB CHILDHOOD ALLERGY PANEL, IGE, EACH"|302.00|$75.00|$15.00|$53.10|$52.00||$34.28|$15.00|$53.10|$27.53|$35.03|$41.00|$42.38|$33.75|$39.00|$42.00|$28.95|$19.61|$17.47|$17.47
"CPT® 86003"|"HB FOOD ALLERGY PANEL, IGE, EACH"|302.00|$75.00|$15.00|$53.10|$52.00||$34.28|$15.00|$53.10|$27.53|$35.03|$41.00|$42.38|$33.75|$39.00|$42.00|$28.95|$19.61|$17.47|$17.47
"CPT® 86255"|"HB ENDOMYSIAL IGA ANTIBODIES"|302.00|$106.00|$21.20|$75.05|$74.00||$48.44|$21.20|$75.05|$38.90|$49.50|$41.00|$59.89|$47.70|$39.00|$42.00|$40.92|$27.71|$24.69|$24.69
"CPT® 86753"|"HB ENTAMOEBA HISTOLYTICA ANTIBODIES"|302.00|$139.00|$27.80|$98.41|$97.00||$63.52|$27.80|$98.41|$51.01|$64.91|$41.00|$78.54|$62.55|$39.00|$42.00|$53.65|$36.33|$32.37|$32.37
"CPT® 86753"|"HB FDA, CHAGAS"|302.00|$116.00|$23.20|$82.13|$81.00||$53.01|$23.20|$82.13|$42.57|$54.17|$41.00|$65.54|$52.20|$39.00|$42.00|$44.78|$30.32|$27.02|$27.02
"CPT® 86807"|"HB HLA RAPID ANTIBODY SCREEN"|302.00|$888.00|$39.00|$628.70|$622.00||$405.82|$177.60|$628.70|$325.90|$414.70|$41.00|$501.72|$399.60|$39.00|$42.00|$342.77|$232.12|$206.82|$206.82
"CPT® 86687"|"HB HUMAN T-CELL LYMPHOTROPIC VIRUS TYPE I/II ANTIBODY"|302.00|$199.00|$39.00|$140.89|$139.00||$90.94|$39.80|$140.89|$73.03|$92.93|$41.00|$112.44|$89.55|$39.00|$42.00|$76.81|$52.02|$46.35|$46.35
"CPT® 86352"|"HB IMMUNE CELL FUNCTION"|302.00|$385.00|$39.00|$272.58|$270.00||$175.95|$77.00|$272.58|$141.30|$179.80|$41.00|$217.53|$173.25|$39.00|$42.00|$148.61|$100.64|$89.67|$89.67
"CPT® 86161"|"HB C1 INHIBITOR,PROTEIN"|302.00|$204.00|$39.00|$144.43|$143.00||$93.23|$40.80|$144.43|$74.87|$95.27|$41.00|$115.26|$91.80|$39.00|$42.00|$78.74|$53.33|$47.51|$47.51
"CPT® 86160"|"HB C2 COMPLEMENT COMPONENT"|302.00|$312.00|$39.00|$220.90|$218.00||$142.58|$62.40|$220.90|$114.50|$145.70|$41.00|$176.28|$140.40|$39.00|$42.00|$120.43|$81.56|$72.66|$72.66
"CPT® 86160"|"HB C4A LEVEL"|302.00|$512.00|$39.00|$362.50|$358.00||$233.98|$102.40|$362.50|$187.90|$239.10|$41.00|$289.28|$230.40|$39.00|$42.00|$197.63|$133.84|$119.24|$119.24
"CPT® 86147"|"HB CARDIOLIPIN IGA"|302.00|$130.00|$26.00|$92.04|$91.00||$59.41|$26.00|$92.04|$47.71|$60.71|$41.00|$73.45|$58.50|$39.00|$42.00|$50.18|$33.98|$30.28|$30.28
"CPT® 86631"|"HB CHLAMYDIA ANTIBODY, IGA, IGG"|302.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 86632"|"HB CHLAMYDIA ANTIBODY, IGM"|302.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 86336"|"HB QUADRUPLE MARKER TEST, INHIBIN A"|302.00|$146.00|$29.20|$103.37|$102.00||$66.72|$29.20|$103.37|$53.58|$68.18|$41.00|$82.49|$65.70|$39.00|$42.00|$56.36|$38.16|$34.00|$34.00
"CPT® 86336"|"HB SEQUENTIAL SCREEN- SECOND TRIMESTER, INHIBIN A"|302.00|$120.00|$24.00|$84.96|$84.00||$54.84|$24.00|$84.96|$44.04|$56.04|$41.00|$67.80|$54.00|$39.00|$42.00|$46.32|$31.37|$27.95|$27.95
"CPT® 86140"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, CRP"|302.00|$184.00|$36.80|$130.27|$129.00||$84.09|$36.80|$130.27|$67.53|$85.93|$41.00|$103.96|$82.80|$39.00|$42.00|$71.02|$48.10|$42.85|$42.85
"CPT® 86787"|"HB VARICELLA ZOSTER VIRUS ANTIBODY-IGM"|302.00|$45.00|$9.00|$42.00|$31.00||$20.57|$9.00|$31.86|$16.52|$21.02|$41.00|$25.43|$20.25|$39.00|$42.00|$17.37|$11.76|$10.48|$10.48
"CPT® 86735"|"HB MUMPS IGM ANTIBODY"|302.00|$52.00|$10.40|$42.00|$36.00||$23.76|$10.40|$36.82|$19.08|$24.28|$41.00|$29.38|$23.40|$39.00|$42.00|$20.07|$13.59|$12.11|$12.11
"CPT® 86710"|"HB INFLUENZA A AND B ANTIBODIES, CF"|302.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 87801"|"HB DONOR, HIV1, HBV, HCV-NAT"|302.00|$869.00|$39.00|$615.25|$608.00||$397.13|$173.80|$615.25|$318.92|$405.82|$41.00|$490.99|$391.05|$39.00|$42.00|$335.43|$227.16|$202.39|$202.39
"CPT® 86021"|"HB ANCA SCREEN WITH MPO AND PR3, WITH REFLEX"|302.00|$310.00|$39.00|$219.48|$217.00||$141.67|$62.00|$219.48|$113.77|$144.77|$41.00|$175.15|$139.50|$39.00|$42.00|$119.66|$81.03|$72.20|$72.20
"CPT® 86021"|"HB ANCA VASCULITIDES"|302.00|$443.00|$39.00|$313.64|$310.00||$202.45|$88.60|$313.64|$162.58|$206.88|$41.00|$250.30|$199.35|$39.00|$42.00|$171.00|$115.80|$103.17|$103.17
"CPT® 86611"|"HB BARTONELLA HENSELAE IGG & IGM ANTIBODIES"|302.00|$206.00|$39.00|$145.85|$144.00||$94.14|$41.20|$145.85|$75.60|$96.20|$41.00|$116.39|$92.70|$39.00|$42.00|$79.52|$53.85|$47.98|$47.98
"CPT® 86376"|"HB LIVER-KIDNEY MICROSOME ANTIBODIES"|302.00|$145.00|$29.00|$102.66|$102.00||$66.27|$29.00|$102.66|$53.22|$67.72|$41.00|$81.93|$65.25|$39.00|$42.00|$55.97|$37.90|$33.77|$33.77
"CPT® 86618"|"HB LYME DISEASE ANTIBODY"|302.00|$147.00|$29.40|$104.08|$103.00||$67.18|$29.40|$104.08|$53.95|$68.65|$41.00|$83.06|$66.15|$39.00|$42.00|$56.74|$38.43|$34.24|$34.24
"CPT® 86617"|"HB LYME IGG, IGM CONFIRMATION"|302.00|$55.00|$11.00|$42.00|$38.00||$25.14|$11.00|$38.94|$20.19|$25.69|$41.00|$31.08|$24.75|$39.00|$42.00|$21.23|$14.38|$12.81|$12.81
"CPT® 86738"|"HB MYCOPLASMA PNEUMONIAE IGG AND IGM ANTIBODIES"|302.00|$98.00|$19.60|$69.38|$69.00||$44.79|$19.60|$69.38|$35.97|$45.77|$41.00|$55.37|$44.10|$39.00|$42.00|$37.83|$25.62|$22.82|$22.82
"CPT® 86316"|"HB NEURON SPECIFIC ENOLASE"|302.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 86747"|"HB PARVOVIRUS B19 IGG, IGM ANTIBODIES"|302.00|$125.00|$25.00|$88.50|$88.00||$57.13|$25.00|$88.50|$45.88|$58.38|$41.00|$70.63|$56.25|$39.00|$42.00|$48.25|$32.68|$29.11|$29.11
"CPT® 86658"|"HB POLIO ANTIBODIES"|302.00|$68.00|$13.60|$48.14|$48.00||$31.08|$13.60|$48.14|$24.96|$31.76|$41.00|$38.42|$30.60|$39.00|$42.00|$26.25|$17.78|$15.84|$15.84
"CPT® 86638"|"HB Q FEVER PHASE I ANTIBODIES, IGG/ IGM"|302.00|$68.00|$13.60|$48.14|$48.00||$31.08|$13.60|$48.14|$24.96|$31.76|$41.00|$38.42|$30.60|$39.00|$42.00|$26.25|$17.78|$15.84|$15.84
"CPT® 86638"|"HB Q FEVER PHASE II ANTIBODIES, IGG/ IGM"|302.00|$68.00|$13.60|$48.14|$48.00||$31.08|$13.60|$48.14|$24.96|$31.76|$41.00|$38.42|$30.60|$39.00|$42.00|$26.25|$17.78|$15.84|$15.84
"CPT® 86382"|"HB RABIES ANTIBODY TITER"|302.00|$932.00|$39.00|$659.86|$652.00||$425.92|$186.40|$659.86|$342.04|$435.24|$41.00|$526.58|$419.40|$39.00|$42.00|$359.75|$243.62|$217.06|$217.06
"CPT® 86317"|"HB STREPTOCOCCUS PNEUMONIAE IGG AB (MOD 59)"|302.00|$40.00|$8.00|$40.00|$28.00||$18.28|$8.00|$28.32|$14.68|$18.68|$40.00|$22.60|$18.00|$39.00|$40.00|$15.44|$10.46|$9.32|$9.32
"CPT® 86671"|"HB SACCHAROMYCES CEREVISIAE IGG, IGA ANTIBODIES"|302.00|$248.00|$39.00|$175.58|$174.00||$113.34|$49.60|$175.58|$91.02|$115.82|$41.00|$140.12|$111.60|$39.00|$42.00|$95.73|$64.83|$57.76|$57.76
"CPT® 86317"|"HB STREPTOCOCCUS PNEUMONIAE IGG ANTIBODIES"|302.00|$40.00|$8.00|$40.00|$28.00||$18.28|$8.00|$28.32|$14.68|$18.68|$40.00|$22.60|$18.00|$39.00|$40.00|$15.44|$10.46|$9.32|$9.32
"CPT® 86255"|"HB PARANEOPLAST-MAYO AB SCREEN"|302.00|$63.00|$12.60|$44.60|$44.00||$28.79|$12.60|$44.60|$23.12|$29.42|$41.00|$35.60|$28.35|$39.00|$42.00|$24.32|$16.47|$14.67|$14.67
"CPT® 86003"|"HB RESPIRATORY ALLERGY PANEL, MIDWEST, IGE EACH"|302.00|$52.00|$10.40|$42.00|$36.00||$23.76|$10.40|$36.82|$19.08|$24.28|$41.00|$29.38|$23.40|$39.00|$42.00|$20.07|$13.59|$12.11|$12.11
"CPT® 86003"|"HB ALLERGEN SPECIFIC IGE, EACH"|302.00|$52.00|$10.40|$42.00|$36.00||$23.76|$10.40|$36.82|$19.08|$24.28|$41.00|$29.38|$23.40|$39.00|$42.00|$20.07|$13.59|$12.11|$12.11
"CPT® 86666"|"HB A.PHAGOCYTOPHILUM/ E.CHAFFEENSIS ANTIBODY PANEL"|302.00|$152.00|$30.40|$107.62|$106.00||$69.46|$30.40|$107.62|$55.78|$70.98|$41.00|$85.88|$68.40|$39.00|$42.00|$58.67|$39.73|$35.40|$35.40
"CPT® 83516"|"HB ACTIN SMOOTH MUSCLE AB,IGG"|302.00|$142.00|$28.40|$100.54|$99.00||$64.89|$28.40|$100.54|$52.11|$66.31|$41.00|$80.23|$63.90|$39.00|$42.00|$54.81|$37.12|$33.07|$33.07
"CPT® 86606"|"HB ASPERGILLUS ANTIBODIES, EACH"|302.00|$69.00|$13.80|$48.85|$48.00||$31.53|$13.80|$48.85|$25.32|$32.22|$41.00|$38.99|$31.05|$39.00|$42.00|$26.63|$18.04|$16.07|$16.07
"CPT® 86753"|"HB BABESIA MICROTI IGG/IGM ANTIBODIES, IFA, EACH"|302.00|$155.00|$31.00|$109.74|$108.00||$70.84|$31.00|$109.74|$56.89|$72.39|$41.00|$87.58|$69.75|$39.00|$42.00|$59.83|$40.52|$36.10|$36.10
"CPT® 86611"|"HB BARTONELLA SPECIES AB, IGG/IGM, EACH"|302.00|$62.00|$12.40|$43.90|$43.00||$28.33|$12.40|$43.90|$22.75|$28.95|$41.00|$35.03|$27.90|$39.00|$42.00|$23.93|$16.21|$14.44|$14.44
"CPT® 86612"|"HB BLASTOMYCES ANTIBODY, ID"|302.00|$194.00|$38.80|$137.35|$136.00||$88.66|$38.80|$137.35|$71.20|$90.60|$41.00|$109.61|$87.30|$39.00|$42.00|$74.88|$50.71|$45.18|$45.18
"CPT® 86615"|"HB BORDETELLA PERTUSSIS IGG ANTIBODIES, EACH"|302.00|$146.00|$29.20|$103.37|$102.00||$66.72|$29.20|$103.37|$53.58|$68.18|$41.00|$82.49|$65.70|$39.00|$42.00|$56.36|$38.16|$34.00|$34.00
"CPT® 86235"|"HB CHROMATIN(NUCLEOSOMAL)ANTIBODY"|302.00|$463.00|$39.00|$327.80|$324.00||$211.59|$92.60|$327.80|$169.92|$216.22|$41.00|$261.60|$208.35|$39.00|$42.00|$178.72|$121.03|$107.83|$107.83
"CPT® 86635"|"HB COCCIDIOIDES ANTIBODY, ID"|302.00|$224.00|$39.00|$158.59|$157.00||$102.37|$44.80|$158.59|$82.21|$104.61|$41.00|$126.56|$100.80|$39.00|$42.00|$86.46|$58.55|$52.17|$52.17
"CPT® 86658"|"HB COXSACKIE A ANTIBODY PANEL"|302.00|$77.00|$15.40|$54.52|$54.00||$35.19|$15.40|$54.52|$28.26|$35.96|$41.00|$43.51|$34.65|$39.00|$42.00|$29.72|$20.13|$17.93|$17.93
"CPT® 86684"|"HB HAEMOPHILUS INFLUENZA B ANTIBODY, IGG"|302.00|$327.00|$39.00|$231.52|$229.00||$149.44|$65.40|$231.52|$120.01|$152.71|$41.00|$184.76|$147.15|$39.00|$42.00|$126.22|$85.48|$76.16|$76.16
"CPT® 87521"|"HB HEPATITIS C RNA, QUALITATIVE, PCR"|302.00|$1042.00|$39.00|$737.74|$729.00||$476.19|$208.40|$737.74|$382.41|$486.61|$41.00|$588.73|$468.90|$39.00|$42.00|$402.21|$272.38|$242.68|$242.68
"CPT® 86343"|"HB LEUKOCYTE HISTAMINE RELEASE"|302.00|$856.00|$39.00|$606.05|$599.00||$391.19|$171.20|$606.05|$314.15|$399.75|$41.00|$483.64|$385.20|$39.00|$42.00|$330.42|$223.76|$199.36|$199.36
"CPT® 86331"|"HB HYPERSENSITIVITY PNEUMONITIS, GEL DIFFUSION"|302.00|$160.00|$32.00|$113.28|$112.00||$73.12|$32.00|$113.28|$58.72|$74.72|$41.00|$90.40|$72.00|$39.00|$42.00|$61.76|$41.82|$37.26|$37.26
"CPT® 86606"|"HB HYPERSENSITIVITY PNEUMONITIS, ASPERGILLUS AB"|302.00|$177.00|$35.40|$125.32|$124.00||$80.89|$35.40|$125.32|$64.96|$82.66|$41.00|$100.01|$79.65|$39.00|$42.00|$68.32|$46.27|$41.22|$41.22
"CPT® 86609"|"HB HYPERSENSITIVITY PNEUMONITIS, BACTERIAL AB"|302.00|$164.00|$32.80|$116.11|$115.00||$74.95|$32.80|$116.11|$60.19|$76.59|$41.00|$92.66|$73.80|$39.00|$42.00|$63.30|$42.87|$38.20|$38.20
"CPT® 86713"|"HB LEGIONELLA PNEUMOPHILA IGM"|302.00|$363.00|$39.00|$257.00|$254.00||$165.89|$72.60|$257.00|$133.22|$169.52|$41.00|$205.10|$163.35|$39.00|$42.00|$140.12|$94.89|$84.54|$84.54
"CPT® 86765"|"HB RUBEOLA ANTIBODY"|302.00|$156.00|$31.20|$110.45|$109.00||$71.29|$31.20|$110.45|$57.25|$72.85|$41.00|$88.14|$70.20|$39.00|$42.00|$60.22|$40.78|$36.33|$36.33
"CPT® 86738"|"HB MYCOPLASMA PNEUMONIAE, IGA"|302.00|$838.00|$39.00|$593.30|$587.00||$382.97|$167.60|$593.30|$307.55|$391.35|$41.00|$473.47|$377.10|$39.00|$42.00|$323.47|$219.05|$195.17|$195.17
"CPT® 86255"|"HB MYOCARDIAL ANTIBODY SCREEN"|302.00|$217.00|$39.00|$153.64|$152.00||$99.17|$43.40|$153.64|$79.64|$101.34|$41.00|$122.61|$97.65|$39.00|$42.00|$83.76|$56.72|$50.54|$50.54
"CPT® 86148"|"HB PHOSPHATIDYLSERINE ANTIBODIES, EACH"|302.00|$187.00|$37.40|$132.40|$131.00||$85.46|$37.40|$132.40|$68.63|$87.33|$41.00|$105.66|$84.15|$39.00|$42.00|$72.18|$48.88|$43.55|$43.55
"CPT® 86023"|"HB PLATELET ANTIBODIES, DIRECT"|302.00|$1823.00|$39.00|$1290.68|$1276.00||$833.11|$364.60|$1290.68|$669.04|$851.34|$41.00|$1030.00|$820.35|$39.00|$42.00|$703.68|$476.53|$424.58|$424.58
"CPT® 86022"|"HB PLATELET ANTIBODIES, EACH"|302.00|$195.00|$39.00|$138.06|$136.00||$89.12|$39.00|$138.06|$71.57|$91.07|$41.00|$110.18|$87.75|$39.00|$42.00|$75.27|$50.97|$45.42|$45.42
"CPT® 86255"|"HB RETICULIN IGA SCREEN"|302.00|$220.00|$39.00|$155.76|$154.00||$100.54|$44.00|$155.76|$80.74|$102.74|$41.00|$124.30|$99.00|$39.00|$42.00|$84.92|$57.51|$51.24|$51.24
"CPT® 86226"|"HB SS DNA ANTIBODY, IGG"|302.00|$276.00|$39.00|$195.41|$193.00||$126.13|$55.20|$195.41|$101.29|$128.89|$41.00|$155.94|$124.20|$39.00|$42.00|$106.54|$72.15|$64.28|$64.28
"CPT® 86255"|"HB STRIATED MUSCLE ANTIBODY"|302.00|$186.00|$37.20|$131.69|$130.00||$85.00|$37.20|$131.69|$68.26|$86.86|$41.00|$105.09|$83.70|$39.00|$42.00|$71.80|$48.62|$43.32|$43.32
"CPT® 84432"|"HB THYROGLOBULIN PANEL, THYROGLOBULIN"|302.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 86800"|"HB THYROGLOBULIN PANEL, THYROGLOBULIN AB"|302.00|$89.00|$17.80|$63.01|$62.00||$40.67|$17.80|$63.01|$32.66|$41.56|$41.00|$50.29|$40.05|$39.00|$42.00|$34.35|$23.26|$20.73|$20.73
"CPT® 86682"|"HB TOXOCARA ANTIBODIES"|302.00|$439.00|$39.00|$310.81|$307.00||$200.62|$87.80|$310.81|$161.11|$205.01|$41.00|$248.04|$197.55|$39.00|$42.00|$169.45|$114.75|$102.24|$102.24
"CPT® 86753"|"HB TRYPANOSOMA CRUZI ANTIBODY, TOTAL"|302.00|$785.00|$39.00|$555.78|$550.00||$358.75|$157.00|$555.78|$288.10|$366.60|$41.00|$443.53|$353.25|$39.00|$42.00|$303.01|$205.20|$182.83|$182.83
"CPT® 86788"|"HB WEST NILE VIRUS ANTIBODY, IGM"|302.00|$196.00|$39.00|$138.77|$137.00||$89.57|$39.20|$138.77|$71.93|$91.53|$41.00|$110.74|$88.20|$39.00|$42.00|$75.66|$51.23|$45.65|$45.65
"CPT® 86789"|"HB WEST NILE VIRUS ANTIBODY, IGG"|302.00|$175.00|$35.00|$123.90|$122.00||$79.98|$35.00|$123.90|$64.23|$81.73|$41.00|$98.88|$78.75|$39.00|$42.00|$67.55|$45.75|$40.76|$40.76
"CPT® 83519"|"HB MUSK ANTIBODY, BILL ONLY"|302.00|$1408.00|$39.00|$996.86|$986.00||$643.46|$281.60|$996.86|$516.74|$657.54|$41.00|$795.52|$633.60|$39.00|$42.00|$543.49|$368.05|$327.92|$327.92
"CPT® 86615"|"HB BORDETELLA PERTUSSIS/PARAPERTUSSIS, IGG & IGA"|302.00|$208.00|$39.00|$147.26|$146.00||$95.06|$41.60|$147.26|$76.34|$97.14|$41.00|$117.52|$93.60|$39.00|$42.00|$80.29|$54.37|$48.44|$48.44
"CPT® 86161"|"HB C1 ESTER INHIBITOR FUNCTIONAL"|302.00|$389.00|$39.00|$275.41|$272.00||$177.77|$77.80|$275.41|$142.76|$181.66|$41.00|$219.79|$175.05|$39.00|$42.00|$150.15|$101.68|$90.60|$90.60
"CPT® 86300"|"HB CANCER ANTIGEN 15-3, BREAST"|302.00|$304.00|$39.00|$215.23|$213.00||$138.93|$60.80|$215.23|$111.57|$141.97|$41.00|$171.76|$136.80|$39.00|$42.00|$117.34|$79.47|$70.80|$70.80
"CPT® 86152"|"HB CIRCULATING TUMOR CELLS, BREAST"|302.00|$2044.00|$39.00|$1447.15|$1431.00||$934.11|$408.80|$1447.15|$750.15|$954.55|$41.00|$1154.86|$919.80|$39.00|$42.00|$788.98|$534.30|$476.05|$476.05
"CPT® 86152"|"HB CIRCULATING TUMOR CELLS, COLON"|302.00|$2044.00|$39.00|$1447.15|$1431.00||$934.11|$408.80|$1447.15|$750.15|$954.55|$41.00|$1154.86|$919.80|$39.00|$42.00|$788.98|$534.30|$476.05|$476.05
"CPT® 86152"|"HB CIRCULATING TUMOR CELLS, PROSTATE"|302.00|$2044.00|$39.00|$1447.15|$1431.00||$934.11|$408.80|$1447.15|$750.15|$954.55|$41.00|$1154.86|$919.80|$39.00|$42.00|$788.98|$534.30|$476.05|$476.05
"CPT® 86682"|"HB CYSTICERCUS IGG, CSF"|302.00|$1071.00|$39.00|$758.27|$750.00||$489.45|$214.20|$758.27|$393.06|$500.16|$41.00|$605.12|$481.95|$39.00|$42.00|$413.41|$279.96|$249.44|$249.44
"CPT® 86648"|"HB DIPHTHERIA IGG ANTIBODIES"|302.00|$410.00|$39.00|$290.28|$287.00||$187.37|$82.00|$290.28|$150.47|$191.47|$41.00|$231.65|$184.50|$39.00|$42.00|$158.26|$107.17|$95.49|$95.49
"CPT® 86658"|"HB ECHOVIRUS ANTIBODY PANEL SEROTYPE, BLOOD"|302.00|$156.00|$31.20|$110.45|$109.00||$71.29|$31.20|$110.45|$57.25|$72.85|$41.00|$88.14|$70.20|$39.00|$42.00|$60.22|$40.78|$36.33|$36.33
"CPT® 86658"|"HB ECHOVIRUS ANTIBODY PANEL SEROTYPE, CSF"|302.00|$246.00|$39.00|$174.17|$172.00||$112.42|$49.20|$174.17|$90.28|$114.88|$41.00|$138.99|$110.70|$39.00|$42.00|$94.96|$64.30|$57.29|$57.29
"CPT® 86666"|"HB EHRLICIA CHAFFEENSIS AB, IGG & IGM, IFA"|302.00|$371.00|$39.00|$262.67|$260.00||$169.55|$74.20|$262.67|$136.16|$173.26|$41.00|$209.62|$166.95|$39.00|$42.00|$143.21|$96.98|$86.41|$86.41
"CPT® 86148"|"HB PHOSPHATYDYLSERINE ABS IGG, IGM, IGA"|302.00|$315.00|$39.00|$223.02|$220.00||$143.96|$63.00|$223.02|$115.61|$147.11|$41.00|$177.98|$141.75|$39.00|$42.00|$121.59|$82.34|$73.36|$73.36
"CPT® 86023"|"HB PLATELET AUTOANTIBODIES (DIRECT)"|302.00|$3055.00|$39.00|$2162.94|$2138.00||$1396.14|$611.00|$2162.94|$1121.19|$1426.69|$41.00|$1726.08|$1374.75|$39.00|$42.00|$1179.23|$798.58|$711.51|$711.51
"CPT® 86762"|"HB RUBELLA IGM ANTIBODIES"|302.00|$260.00|$39.00|$184.08|$182.00||$118.82|$52.00|$184.08|$95.42|$121.42|$41.00|$146.90|$117.00|$39.00|$42.00|$100.36|$67.96|$60.55|$60.55
"CPT® 86762"|"HB RUBELLA TITER IGG, SEMI-QUANT"|302.00|$250.00|$39.00|$177.00|$175.00||$114.25|$50.00|$177.00|$91.75|$116.75|$41.00|$141.25|$112.50|$39.00|$42.00|$96.50|$65.35|$58.23|$58.23
"CPT® 86774"|"HB TETANUS ANTIBODY, IGG"|302.00|$410.00|$39.00|$290.28|$287.00||$187.37|$82.00|$290.28|$150.47|$191.47|$41.00|$231.65|$184.50|$39.00|$42.00|$158.26|$107.17|$95.49|$95.49
"CPT® 86008"|"HB ALPHA-GAL PANEL, IGE"|302.00|$362.00|$39.00|$256.30|$253.00||$165.43|$72.40|$256.30|$132.85|$169.05|$41.00|$204.53|$162.90|$39.00|$42.00|$139.73|$94.63|$84.31|$84.31
"CPT® 86003"|"HB ALLERGEN: COCKROACH AMERICAN"|302.00|$261.00|$39.00|$184.79|$183.00||$119.28|$52.20|$184.79|$95.79|$121.89|$41.00|$147.47|$117.45|$39.00|$42.00|$100.75|$68.23|$60.79|$60.79
"CPT® 86003"|"HB ALLERGEN: BEAN BLACK"|302.00|$442.00|$39.00|$312.94|$309.00||$201.99|$88.40|$312.94|$162.21|$206.41|$41.00|$249.73|$198.90|$39.00|$42.00|$170.61|$115.54|$102.94|$102.94
"CPT® 86003"|"HB ALLERGEN: BREWERS YEAST"|302.00|$261.00|$39.00|$184.79|$183.00||$119.28|$52.20|$184.79|$95.79|$121.89|$41.00|$147.47|$117.45|$39.00|$42.00|$100.75|$68.23|$60.79|$60.79
"CPT® 86003"|"HB ALLERGEN: CARELESS WEED"|302.00|$442.00|$39.00|$312.94|$309.00||$201.99|$88.40|$312.94|$162.21|$206.41|$41.00|$249.73|$198.90|$39.00|$42.00|$170.61|$115.54|$102.94|$102.94
"CPT® 86003"|"HB ALLERGEN: CEDAR RED"|302.00|$442.00|$39.00|$312.94|$309.00||$201.99|$88.40|$312.94|$162.21|$206.41|$41.00|$249.73|$198.90|$39.00|$42.00|$170.61|$115.54|$102.94|$102.94
"CPT® 86003"|"HB ALLERGEN: CLOVER RED"|302.00|$442.00|$39.00|$312.94|$309.00||$201.99|$88.40|$312.94|$162.21|$206.41|$41.00|$249.73|$198.90|$39.00|$42.00|$170.61|$115.54|$102.94|$102.94
"CPT® 86003"|"HB ALLERGEN: ELM CHINESE"|302.00|$261.00|$39.00|$184.79|$183.00||$119.28|$52.20|$184.79|$95.79|$121.89|$41.00|$147.47|$117.45|$39.00|$42.00|$100.75|$68.23|$60.79|$60.79
"CPT® 86003"|"HB ALLERGEN: EPIDERMOPHYTON FLOCCOSUM"|302.00|$442.00|$39.00|$312.94|$309.00||$201.99|$88.40|$312.94|$162.21|$206.41|$41.00|$249.73|$198.90|$39.00|$42.00|$170.61|$115.54|$102.94|$102.94
"CPT® 86003"|"HB ALLERGEN: FUSARIUM OXYSPORUM/VASINFECTUM"|302.00|$442.00|$39.00|$312.94|$309.00||$201.99|$88.40|$312.94|$162.21|$206.41|$41.00|$249.73|$198.90|$39.00|$42.00|$170.61|$115.54|$102.94|$102.94
"CPT® 86003"|"HB ALLERGEN: GLIOCLADIUM FIMBRIATUM"|302.00|$442.00|$39.00|$312.94|$309.00||$201.99|$88.40|$312.94|$162.21|$206.41|$41.00|$249.73|$198.90|$39.00|$42.00|$170.61|$115.54|$102.94|$102.94
"CPT® 86003"|"HB ALLERGEN: HEMP WESTERN WATER"|302.00|$261.00|$39.00|$184.79|$183.00||$119.28|$52.20|$184.79|$95.79|$121.89|$41.00|$147.47|$117.45|$39.00|$42.00|$100.75|$68.23|$60.79|$60.79
"CPT® 86003"|"HB ALLERGEN: HICKORY WHITE"|302.00|$442.00|$39.00|$312.94|$309.00||$201.99|$88.40|$312.94|$162.21|$206.41|$41.00|$249.73|$198.90|$39.00|$42.00|$170.61|$115.54|$102.94|$102.94
"CPT® 86003"|"HB ALLERGEN: MULBERRY RED TREE"|302.00|$261.00|$39.00|$184.79|$183.00||$119.28|$52.20|$184.79|$95.79|$121.89|$41.00|$147.47|$117.45|$39.00|$42.00|$100.75|$68.23|$60.79|$60.79
"CPT® 86003"|"HB ALLERGEN: OAT GRASS FALSE"|302.00|$663.00|$39.00|$469.40|$464.00||$302.99|$132.60|$469.40|$243.32|$309.62|$41.00|$374.60|$298.35|$39.00|$42.00|$255.92|$173.31|$154.41|$154.41
"CPT® 86003"|"HB ALLERGEN: PAECILOMYCES VARIOTII"|302.00|$442.00|$39.00|$312.94|$309.00||$201.99|$88.40|$312.94|$162.21|$206.41|$41.00|$249.73|$198.90|$39.00|$42.00|$170.61|$115.54|$102.94|$102.94
"CPT® 86003"|"HB ALLERGEN: BEAN PINTO"|302.00|$261.00|$39.00|$184.79|$183.00||$119.28|$52.20|$184.79|$95.79|$121.89|$41.00|$147.47|$117.45|$39.00|$42.00|$100.75|$68.23|$60.79|$60.79
"CPT® 86003"|"HB ALLERGEN: SMUT CORN"|302.00|$442.00|$39.00|$312.94|$309.00||$201.99|$88.40|$312.94|$162.21|$206.41|$41.00|$249.73|$198.90|$39.00|$42.00|$170.61|$115.54|$102.94|$102.94
"CPT® 86003"|"HB ALLERGEN: SMUT JOHNSON"|302.00|$261.00|$39.00|$184.79|$183.00||$119.28|$52.20|$184.79|$95.79|$121.89|$41.00|$147.47|$117.45|$39.00|$42.00|$100.75|$68.23|$60.79|$60.79
"CPT® 86003"|"HB ALLERGEN: SMUT OAT"|302.00|$442.00|$39.00|$312.94|$309.00||$201.99|$88.40|$312.94|$162.21|$206.41|$41.00|$249.73|$198.90|$39.00|$42.00|$170.61|$115.54|$102.94|$102.94
"CPT® 86003"|"HB ALLERGEN: TILAPIA"|302.00|$442.00|$39.00|$312.94|$309.00||$201.99|$88.40|$312.94|$162.21|$206.41|$41.00|$249.73|$198.90|$39.00|$42.00|$170.61|$115.54|$102.94|$102.94
"CPT® 86003"|"HB ALLERGEN: TREE OF HEAVEN"|302.00|$442.00|$39.00|$312.94|$309.00||$201.99|$88.40|$312.94|$162.21|$206.41|$41.00|$249.73|$198.90|$39.00|$42.00|$170.61|$115.54|$102.94|$102.94
"CPT® 86003"|"HB ALLERGEN: WILLOW BLACK"|302.00|$261.00|$39.00|$184.79|$183.00||$119.28|$52.20|$184.79|$95.79|$121.89|$41.00|$147.47|$117.45|$39.00|$42.00|$100.75|$68.23|$60.79|$60.79
"CPT® 86003"|"HB ALLERGEN: WALNUT BLACK TREE"|302.00|$261.00|$39.00|$184.79|$183.00||$119.28|$52.20|$184.79|$95.79|$121.89|$41.00|$147.47|$117.45|$39.00|$42.00|$100.75|$68.23|$60.79|$60.79
"CPT® 86631"|"HB CHLAMYDIA TRACHOMATIS IGG"|302.00|$242.00|$39.00|$171.34|$169.00||$110.59|$48.40|$171.34|$88.81|$113.01|$41.00|$136.73|$108.90|$39.00|$42.00|$93.41|$63.26|$56.36|$56.36
"CPT® 86632"|"HB CHLAMYDIA TRACHOMATIS IGM"|302.00|$362.00|$39.00|$256.30|$253.00||$165.43|$72.40|$256.30|$132.85|$169.05|$41.00|$204.53|$162.90|$39.00|$42.00|$139.73|$94.63|$84.31|$84.31
"CPT® 86631"|"HB CHLAMYDOPHILA PNEUMONIAE AB, IGG, IGA"|302.00|$172.00|$34.40|$121.78|$120.00||$78.60|$34.40|$121.78|$63.12|$80.32|$41.00|$97.18|$77.40|$39.00|$42.00|$66.39|$44.96|$40.06|$40.06
"CPT® 86632"|"HB CHLAMYDOPHILA PNEUMONIAE AB, IGM"|302.00|$182.00|$36.40|$128.86|$127.00||$83.17|$36.40|$128.86|$66.79|$84.99|$41.00|$102.83|$81.90|$39.00|$42.00|$70.25|$47.57|$42.39|$42.39
"CPT® 86641"|"HB CRYPTOCOCCUS AB,QUANT"|302.00|$758.00|$39.00|$536.66|$531.00||$346.41|$151.60|$536.66|$278.19|$353.99|$41.00|$428.27|$341.10|$39.00|$42.00|$292.59|$198.14|$176.54|$176.54
"CPT® 86003"|"HB ALLERGEN: ORANGE ROUGHY IGE"|302.00|$217.00|$39.00|$153.64|$152.00||$99.17|$43.40|$153.64|$79.64|$101.34|$41.00|$122.61|$97.65|$39.00|$42.00|$83.76|$56.72|$50.54|$50.54
"CPT® 86331"|"HB HYPERSENSITIVITY PNEUMONITIS PANEL, GEL DIFFUSION (Q)"|302.00|$31.00|$6.20|$31.00|$22.00||$14.17|$6.20|$21.95|$11.38|$14.48|$31.00|$17.52|$13.95|$31.00|$31.00|$11.97|$8.10|$7.22|$7.22
"CPT® 86606"|"HB HYPERSENSITIVITY PNEUMONITIS PANEL 1, ASPERGILLUS AB (Q)"|302.00|$38.00|$7.60|$38.00|$27.00||$17.37|$7.60|$26.90|$13.95|$17.75|$38.00|$21.47|$17.10|$38.00|$38.00|$14.67|$9.93|$8.85|$8.85
"CPT® 86609"|"HB HYPERSENSITIVITY PNEUMONITIS PANEL, BACTERIA NOS (Q)"|302.00|$33.00|$6.60|$33.00|$23.00||$15.08|$6.60|$23.36|$12.11|$15.41|$33.00|$18.65|$14.85|$33.00|$33.00|$12.74|$8.63|$7.69|$7.69
"CPT® 86788"|"HB WEST NILE VIRUS ANTIBODY, IGM, CSF"|302.00|$68.00|$13.60|$48.14|$48.00||$31.08|$13.60|$48.14|$24.96|$31.76|$41.00|$38.42|$30.60|$39.00|$42.00|$26.25|$17.78|$15.84|$15.84
"CPT® 86789"|"HB WEST NILE VIRUS ANTIBODY, IGG, CSF"|302.00|$68.00|$13.60|$48.14|$48.00||$31.08|$13.60|$48.14|$24.96|$31.76|$41.00|$38.42|$30.60|$39.00|$42.00|$26.25|$17.78|$15.84|$15.84
"CPT® 86481"|"HB T-SPOT TB TEST"|302.00|$238.00|$39.00|$168.50|$167.00||$108.77|$47.60|$168.50|$87.35|$111.15|$41.00|$134.47|$107.10|$39.00|$42.00|$91.87|$62.21|$55.43|$55.43
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGG (Q)"|302.00|$165.00|$33.00|$93.23|$115.00||$75.41|$33.00|$42.13|$42.13|$42.13|$41.00|$93.23|$74.25|$42.13|$42.13|$63.69|$43.13|$38.43|$38.43
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGG (V)"|302.00|$165.00|$33.00|$93.23|$115.00||$75.41|$33.00|$42.13|$42.13|$42.13|$41.00|$93.23|$74.25|$42.13|$42.13|$63.69|$43.13|$38.43|$38.43
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGM (V)"|302.00|$165.00|$33.00|$93.23|$115.00||$75.41|$33.00|$42.13|$42.13|$42.13|$41.00|$93.23|$74.25|$42.13|$42.13|$63.69|$43.13|$38.43|$38.43
"CPT® 86255"|"HB NEOCOMPLETE PARANEOPLASTIC W/ RECOMBX, IFA, EA AB"|302.00|$436.00|$39.00|$308.69|$305.00||$199.25|$87.20|$308.69|$160.01|$203.61|$41.00|$246.34|$196.20|$39.00|$42.00|$168.30|$113.97|$101.54|$101.54
"CPT® 86341"|"HB NEOCOMPLETE PARANEOPLASTIC W/ RECOMBX, ISLET CELL"|302.00|$763.00|$39.00|$540.20|$534.00||$348.69|$152.60|$540.20|$280.02|$356.32|$41.00|$431.10|$343.35|$39.00|$42.00|$294.52|$199.45|$177.70|$177.70
"CPT® 87502"|"HB POC RAPID ISOTHERMAL INFLUENZA TYPE A & TYPE B"|302.00|$205.00|$39.00|$145.14|$144.00||$93.69|$41.00|$145.14|$75.24|$95.74|$41.00|$115.83|$92.25|$39.00|$42.00|$79.13|$53.59|$47.74|$47.74
"CPT® 86332"|"HB IMMUNE COMPLEXES, C3D CIRCULATING"|302.00|$307.00|$39.00|$217.36|$215.00||$140.30|$61.40|$217.36|$112.67|$143.37|$41.00|$173.46|$138.15|$39.00|$42.00|$118.50|$80.25|$71.50|$71.50
"CPT® 86606"|"HB ASPERGILLUS FUMIGATUS PRECIP AB IGG"|302.00|$323.00|$39.00|$228.68|$226.00||$147.61|$64.60|$228.68|$118.54|$150.84|$41.00|$182.50|$145.35|$39.00|$42.00|$124.68|$84.43|$75.23|$75.23
"CPT® 86003"|"HB ALLERGEN: CURVULARIA SPICIFERA/BIPOLARIS IGE"|302.00|$214.00|$39.00|$151.51|$150.00||$97.80|$42.80|$151.51|$78.54|$99.94|$41.00|$120.91|$96.30|$39.00|$42.00|$82.60|$55.94|$49.84|$49.84
"CPT® 86003"|"HB ALLERGEN: PENICILLIN G IGG"|302.00|$125.00|$25.00|$88.50|$88.00||$57.13|$25.00|$88.50|$45.88|$58.38|$41.00|$70.63|$56.25|$39.00|$42.00|$48.25|$32.68|$29.11|$29.11
"CPT® 86615"|"HB BORDETELLA PERTUSSIS IGG/IGA/IGM, EACH"|302.00|$209.00|$39.00|$147.97|$146.00||$95.51|$41.80|$147.97|$76.70|$97.60|$41.00|$118.09|$94.05|$39.00|$42.00|$80.67|$54.63|$48.68|$48.68
"CPT® 86645"|"HB CMV IGM AB, QUANT"|302.00|$229.00|$39.00|$162.13|$160.00||$104.65|$45.80|$162.13|$84.04|$106.94|$41.00|$129.39|$103.05|$39.00|$42.00|$88.39|$59.86|$53.33|$53.33
"CPT® 86641"|"HB CRYPTOCOCCUS AB,QUANT"|302.00|$304.00|$39.00|$215.23|$213.00||$138.93|$60.80|$215.23|$111.57|$141.97|$41.00|$171.76|$136.80|$39.00|$42.00|$117.34|$79.47|$70.80|$70.80
"CPT® 86331"|"HB HYPERSENSITIVITY PNEUNONITIS PANEL, GEL DIFFUSION"|302.00|$155.00|$31.00|$109.74|$108.00||$70.84|$31.00|$109.74|$56.89|$72.39|$41.00|$87.58|$69.75|$39.00|$42.00|$59.83|$40.52|$36.10|$36.10
"CPT® 86602"|"HB HYPERSENSITIVITY PNEUNONITIS PANEL, ACTINOMYCES AB"|302.00|$134.00|$26.80|$94.87|$94.00||$61.24|$26.80|$94.87|$49.18|$62.58|$41.00|$75.71|$60.30|$39.00|$42.00|$51.72|$35.03|$31.21|$31.21
"CPT® 86606"|"HB HYPERSENSITIVITY PNEUNONITIS PANEL 1, ASPERGILLUS AB"|302.00|$191.00|$38.20|$135.23|$134.00||$87.29|$38.20|$135.23|$70.10|$89.20|$41.00|$107.92|$85.95|$39.00|$42.00|$73.73|$49.93|$44.48|$44.48
"CPT® 86609"|"HB HYPERSENSITIVITY PNEUNONITIS PANEL, BACTERIA NOS"|302.00|$166.00|$33.20|$117.53|$116.00||$75.86|$33.20|$117.53|$60.92|$77.52|$41.00|$93.79|$74.70|$39.00|$42.00|$64.08|$43.39|$38.66|$38.66
"CPT® 86671"|"HB HYPERSENSITIVITY PNEUNONITIS PANEL, FUNGUS NOS"|302.00|$158.00|$31.60|$111.86|$111.00||$72.21|$31.60|$111.86|$57.99|$73.79|$41.00|$89.27|$71.10|$39.00|$42.00|$60.99|$41.30|$36.80|$36.80
"CPT® 86617"|"HB LYME DISEASE IGG/IGM BY WESTERN BLOT"|302.00|$139.00|$27.80|$98.41|$97.00||$63.52|$27.80|$98.41|$51.01|$64.91|$41.00|$78.54|$62.55|$39.00|$42.00|$53.65|$36.33|$32.37|$32.37
"CPT® 86710"|"HB PARAINFLUENZA ANTIBODIES"|302.00|$191.00|$38.20|$135.23|$134.00||$87.29|$38.20|$135.23|$70.10|$89.20|$41.00|$107.92|$85.95|$39.00|$42.00|$73.73|$49.93|$44.48|$44.48
"CPT® 86645"|"HB PRENATAL INF. DISEASE AB, CMV IGM"|302.00|$129.00|$25.80|$91.33|$90.00||$58.95|$25.80|$91.33|$47.34|$60.24|$41.00|$72.89|$58.05|$39.00|$42.00|$49.79|$33.72|$30.04|$30.04
"CPT® 86694"|"HB PRENATAL INF. DISEASE AB, HERPES SIMPLEX"|302.00|$113.00|$22.60|$80.00|$79.00||$51.64|$22.60|$80.00|$41.47|$52.77|$41.00|$63.85|$50.85|$39.00|$42.00|$43.62|$29.54|$26.32|$26.32
"CPT® 86762"|"HB PRENATAL INF. DISEASE AB, RUBELLA"|302.00|$113.00|$22.60|$80.00|$79.00||$51.64|$22.60|$80.00|$41.47|$52.77|$41.00|$63.85|$50.85|$39.00|$42.00|$43.62|$29.54|$26.32|$26.32
"CPT® 86778"|"HB PRENATAL INF. DISEASE AB, TOXOPLASMA IGM"|302.00|$113.00|$22.60|$80.00|$79.00||$51.64|$22.60|$80.00|$41.47|$52.77|$41.00|$63.85|$50.85|$39.00|$42.00|$43.62|$29.54|$26.32|$26.32
"CPT® 86003"|"HB ALLERGEN SPECIFIC"|302.00|$15.00|$3.00|$15.00|$10.00||$6.86|$3.00|$10.62|$5.51|$7.01|$15.00|$8.48|$6.75|$15.00|$15.00|$5.79|$3.92|$3.49|$3.49
"CPT® 86003"|"HB ALLERGEN SPECIFIC ADDTL"|302.00|$15.00|$3.00|$15.00|$10.00||$6.86|$3.00|$10.62|$5.51|$7.01|$15.00|$8.48|$6.75|$15.00|$15.00|$5.79|$3.92|$3.49|$3.49
"CPT® 86255"|"HB ADRENAL ANTIBODY SCREEN"|302.00|$144.00|$28.80|$101.95|$101.00||$65.81|$28.80|$101.95|$52.85|$67.25|$41.00|$81.36|$64.80|$39.00|$42.00|$55.58|$37.64|$33.54|$33.54
"CPT® 86256"|"HB ADRENAL ANTIBODY TITER"|302.00|$100.00|$20.00|$70.80|$70.00||$45.70|$20.00|$70.80|$36.70|$46.70|$41.00|$56.50|$45.00|$39.00|$42.00|$38.60|$26.14|$23.29|$23.29
"CPT® 86003"|"HB ALLERGEN PROFILE, EGG WHITE, IGE"|302.00|$125.00|$25.00|$88.50|$88.00||$57.13|$25.00|$88.50|$45.88|$58.38|$41.00|$70.63|$56.25|$39.00|$42.00|$48.25|$32.68|$29.11|$29.11
"CPT® 86003"|"HB ALLERGEN PROFILE, MILK, IGE"|302.00|$125.00|$25.00|$88.50|$88.00||$57.13|$25.00|$88.50|$45.88|$58.38|$41.00|$70.63|$56.25|$39.00|$42.00|$48.25|$32.68|$29.11|$29.11
"CPT® 86003"|"HB ALLERGEN: CARAWAY SEED"|302.00|$229.00|$39.00|$162.13|$160.00||$104.65|$45.80|$162.13|$84.04|$106.94|$41.00|$129.39|$103.05|$39.00|$42.00|$88.39|$59.86|$53.33|$53.33
"CPT® 86003"|"HB ALLERGEN: POLLOCK WHITE, IGE"|302.00|$155.00|$31.00|$109.74|$108.00||$70.84|$31.00|$109.74|$56.89|$72.39|$41.00|$87.58|$69.75|$39.00|$42.00|$59.83|$40.52|$36.10|$36.10
"CPT® 86003"|"HB ALLERGEN: POPLAR WHITE, IGE"|302.00|$155.00|$31.00|$109.74|$108.00||$70.84|$31.00|$109.74|$56.89|$72.39|$41.00|$87.58|$69.75|$39.00|$42.00|$59.83|$40.52|$36.10|$36.10
"CPT® 86003"|"HB ALLERGEN: RED SNAPPER"|302.00|$155.00|$31.00|$109.74|$108.00||$70.84|$31.00|$109.74|$56.89|$72.39|$41.00|$87.58|$69.75|$39.00|$42.00|$59.83|$40.52|$36.10|$36.10
"CPT® 86003"|"HB ALLERGEN: RHODOTORULA, IGE"|302.00|$229.00|$39.00|$162.13|$160.00||$104.65|$45.80|$162.13|$84.04|$106.94|$41.00|$129.39|$103.05|$39.00|$42.00|$88.39|$59.86|$53.33|$53.33
"CPT® 86003"|"HB ALLERGEN: SNAIL/ESCARGOT, IGE"|302.00|$229.00|$39.00|$162.13|$160.00||$104.65|$45.80|$162.13|$84.04|$106.94|$41.00|$129.39|$103.05|$39.00|$42.00|$88.39|$59.86|$53.33|$53.33
"CPT® 86160"|"HB COMPLEMENT ANTIGEN, C1Q"|302.00|$288.00|$39.00|$203.90|$202.00||$131.62|$57.60|$203.90|$105.70|$134.50|$41.00|$162.72|$129.60|$39.00|$42.00|$111.17|$75.28|$67.08|$67.08
"CPT® 86341"|"HB ISLET CELL ANTIBODY"|302.00|$337.00|$39.00|$238.60|$236.00||$154.01|$67.40|$238.60|$123.68|$157.38|$41.00|$190.41|$151.65|$39.00|$42.00|$130.08|$88.09|$78.49|$78.49
"CPT® 86353"|"HB MITOGEN OR ANTIGEN INDUCED BLASTOGENESIS"|302.00|$766.00|$39.00|$542.33|$536.00||$350.06|$153.20|$542.33|$281.12|$357.72|$41.00|$432.79|$344.70|$39.00|$42.00|$295.68|$200.23|$178.40|$178.40
"CPT® 86353"|"HB MITOGEN OR ANTIGEN INDUCED BLASTOGENESIS, ADDTL"|302.00|$766.00|$39.00|$542.33|$536.00||$350.06|$153.20|$542.33|$281.12|$357.72|$41.00|$432.79|$344.70|$39.00|$42.00|$295.68|$200.23|$178.40|$178.40
"CPT® 86255"|"HB OVARIAN ANTIBODY SCREEN"|302.00|$238.00|$39.00|$168.50|$167.00||$108.77|$47.60|$168.50|$87.35|$111.15|$41.00|$134.47|$107.10|$39.00|$42.00|$91.87|$62.21|$55.43|$55.43
"CPT® 86256"|"HB OVARIAN ANTIBODY TITER"|302.00|$194.00|$38.80|$137.35|$136.00||$88.66|$38.80|$137.35|$71.20|$90.60|$41.00|$109.61|$87.30|$39.00|$42.00|$74.88|$50.71|$45.18|$45.18
"CPT® 86403"|"HB STREPTOCOCCUS GROUP B ANTIGEN, LA"|302.00|$187.00|$37.40|$132.40|$131.00||$85.46|$37.40|$132.40|$68.63|$87.33|$41.00|$105.66|$84.15|$39.00|$42.00|$72.18|$48.88|$43.55|$43.55
"CPT® 86317"|"HB STREPTOCOCCUS PNEUMONIAE IGG AB, 23 SEROTYPES"|302.00|$55.00|$11.00|$42.00|$38.00||$25.14|$11.00|$38.94|$20.19|$25.69|$41.00|$31.08|$24.75|$39.00|$42.00|$21.23|$14.38|$12.81|$12.81
"CPT® 83516"|"HB ANTI-IGE RECEPTOR ANTIBODY"|302.00|$296.00|$39.00|$209.57|$207.00||$135.27|$59.20|$209.57|$108.63|$138.23|$41.00|$167.24|$133.20|$39.00|$42.00|$114.26|$77.37|$68.94|$68.94
"CPT® 86704"|"HB HEPATITIS B CORE ANTIBODY, TOTAL"|302.00|$38.00|$7.60|$38.00|$27.00||$17.37|$7.60|$26.90|$13.95|$17.75|$38.00|$21.47|$17.10|$38.00|$38.00|$14.67|$9.93|$8.85|$8.85
"CPT® 86705"|"HB HEPATITIS B CORE ANTIBODY, IGM"|302.00|$37.00|$7.40|$37.00|$26.00||$16.91|$7.40|$26.20|$13.58|$17.28|$37.00|$20.91|$16.65|$37.00|$37.00|$14.28|$9.67|$8.62|$8.62
"CPT® 86331"|"HB NEUROSPORA SITOPHILA/MONILIA GEL DIFFUSION"|302.00|$136.00|$27.20|$96.29|$95.00||$62.15|$27.20|$96.29|$49.91|$63.51|$41.00|$76.84|$61.20|$39.00|$42.00|$52.50|$35.55|$31.67|$31.67
"CPT® 86756"|"HB RSV ANTIBODY, QUANT"|302.00|$88.00|$17.60|$62.30|$62.00||$40.22|$17.60|$62.30|$32.30|$41.10|$41.00|$49.72|$39.60|$39.00|$42.00|$33.97|$23.00|$20.50|$20.50
"CPT® 86356"|"HB T-CELL PROFILE, MONONUCLEAR CELL AG"|302.00|$64.00|$12.80|$45.31|$45.00||$29.25|$12.80|$45.31|$23.49|$29.89|$41.00|$36.16|$28.80|$39.00|$42.00|$24.70|$16.73|$14.91|$14.91
"CPT® 86359"|"HB T-CELL PROFILE, T-CELLS, TOTAL"|302.00|$164.00|$32.80|$116.11|$115.00||$74.95|$32.80|$116.11|$60.19|$76.59|$41.00|$92.66|$73.80|$39.00|$42.00|$63.30|$42.87|$38.20|$38.20
"CPT® 86360"|"HB T-CELL PROFILE, T-CELLS, ABSOLUTE"|302.00|$204.00|$39.00|$144.43|$143.00||$93.23|$40.80|$144.43|$74.87|$95.27|$41.00|$115.26|$91.80|$39.00|$42.00|$78.74|$53.33|$47.51|$47.51
"CPT® 86336"|"HB INTEGRATED SCREEN, 2ND TRIMESTER, INHIBIN A (IG)"|302.00|$480.00|$39.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$41.00|$271.20|$216.00|$39.00|$42.00|$185.28|$125.47|$111.79|$111.79
"CPT® 86711"|"HB JCV ANTIBODY W/ REFLEX TO INHIBITION ASSAY"|302.00|$5258.00|$39.00|$3722.66|$3681.00||$2402.91|$1051.60|$3722.66|$1929.69|$2455.49|$41.00|$2970.77|$2366.10|$39.00|$42.00|$2029.59|$1374.44|$1224.59|$1224.59
"CPT® 86711"|"HB JCV ANTIBODY INHIBITION ASSAY"|302.00|$2035.00|$39.00|$1440.78|$1424.00||$930.00|$407.00|$1440.78|$746.85|$950.35|$41.00|$1149.78|$915.75|$39.00|$42.00|$785.51|$531.95|$473.95|$473.95
"CPT® 87662"|"HB ZIKA VIRUS RNA, QUAL, RT-PCR PANEL"|302.00|$1212.00|$39.00|$858.10|$848.00||$553.88|$242.40|$858.10|$444.80|$566.00|$41.00|$684.78|$545.40|$39.00|$42.00|$467.83|$316.82|$282.27|$282.27
"CPT® 86003"|"HB ALPHA-GAL PANEL, BEEF IGE"|302.00|$78.00|$15.60|$55.22|$55.00||$35.65|$15.60|$55.22|$28.63|$36.43|$41.00|$44.07|$35.10|$39.00|$42.00|$30.11|$20.39|$18.17|$18.17
"CPT® 86003"|"HB ALPHA-GAL PANEL, PORK IGE"|302.00|$78.00|$15.60|$55.22|$55.00||$35.65|$15.60|$55.22|$28.63|$36.43|$41.00|$44.07|$35.10|$39.00|$42.00|$30.11|$20.39|$18.17|$18.17
"CPT® 86003"|"HB ALPHA-GAL PANEL, LAMB IGE"|302.00|$78.00|$15.60|$55.22|$55.00||$35.65|$15.60|$55.22|$28.63|$36.43|$41.00|$44.07|$35.10|$39.00|$42.00|$30.11|$20.39|$18.17|$18.17
"CPT® 86140"|"HB C REACTIVE PROTEIN"|302.00|$88.00|$17.60|$62.30|$62.00||$40.22|$17.60|$62.30|$32.30|$41.10|$41.00|$49.72|$39.60|$39.00|$42.00|$33.97|$23.00|$20.50|$20.50
"CPT® 86141"|"HB C REACTIVE PROTEIN, HIGH SENSITIVITY"|302.00|$153.00|$30.60|$108.32|$107.00||$69.92|$30.60|$108.32|$56.15|$71.45|$41.00|$86.45|$68.85|$39.00|$42.00|$59.06|$39.99|$35.63|$35.63
"CPT® 86431"|"HB RHEUMATOID FACTOR"|302.00|$45.00|$9.00|$42.00|$31.00||$20.57|$9.00|$31.86|$16.52|$21.02|$41.00|$25.43|$20.25|$39.00|$42.00|$17.37|$11.76|$10.48|$10.48
"CPT® 86316"|"HB PROSTATE HEALTH INDEX, P2PSA"|302.00|$649.00|$39.00|$459.49|$454.00||$296.59|$129.80|$459.49|$238.18|$303.08|$41.00|$366.69|$292.05|$39.00|$42.00|$250.51|$169.65|$151.15|$151.15
"CPT® 86580"|"HB TB INTRADERMAL TEST"|302.00|$8.00|$1.60|$8.00|$6.00||$3.66|$1.60|$5.66|$2.94|$3.74|$8.00|$4.52|$3.60|$8.00|$8.00|$3.09|$2.09|$1.86|$1.86
"CPT® 86341"|"HB ALLO ISLET CELL PROCESS"|302.00|$102030.00|$39.00|$72237.24|$71421.00||$46627.71|$20406.00|$72237.24|$37445.01|$47648.01|$41.00|$57646.95|$45913.50|$39.00|$42.00|$39383.58|$26670.64|$23762.79|$23762.79
"CPT® 86978"|"HB SERUM PRETREATMENT, NEUTRALIZATION"|302.00|$110.00|$22.00|$77.88|$77.00||$50.27|$22.00|$77.88|$40.37|$51.37|$41.00|$62.15|$49.50|$39.00|$42.00|$42.46|$28.75|$25.62|$25.62
"CPT® 86156"|"HB COLD AGGLUTININ SCREEN"|302.00|$194.00|$38.80|$137.35|$136.00||$88.66|$38.80|$137.35|$71.20|$90.60|$41.00|$109.61|$87.30|$39.00|$42.00|$74.88|$50.71|$45.18|$45.18
"CPT® 86850"|"HB COLD AGGLUTININ SCREEN, ADDT'L"|302.00|$172.00|$34.40|$121.78|$120.00||$78.60|$34.40|$121.78|$63.12|$80.32|$41.00|$97.18|$77.40|$39.00|$42.00|$66.39|$44.96|$40.06|$40.06
"CPT® 86941"|"HB HEMOLYSIS/AGGLUTININ, INCUBATED"|302.00|$128.00|$25.60|$90.62|$90.00||$58.50|$25.60|$90.62|$46.98|$59.78|$41.00|$72.32|$57.60|$39.00|$42.00|$49.41|$33.46|$29.81|$29.81
"CPT® 86886"|"HB ANTIBODY TITER"|302.00|$203.00|$39.00|$143.72|$142.00||$92.77|$40.60|$143.72|$74.50|$94.80|$41.00|$114.70|$91.35|$39.00|$42.00|$78.36|$53.06|$47.28|$47.28
"CPT® 86832"|"HB HLA CLASS I ANTIBODY ID HIGH RESOLUTION - HLA MATCHED PLATELET"|302.00|$6019.00|$39.00|$4261.45|$4213.00||$2750.68|$1203.80|$4261.45|$2208.97|$2810.87|$41.00|$3400.74|$2708.55|$39.00|$42.00|$2323.33|$1573.37|$1401.83|$1401.83
"CPT® 86603"|"HB ADENOVIRUS ANTIBODY"|302.00|$436.00|$39.00|$308.69|$305.00||$199.25|$87.20|$308.69|$160.01|$203.61|$41.00|$246.34|$196.20|$39.00|$42.00|$168.30|$113.97|$101.54|$101.54
"CPT® 86003"|"HB ALERGEN, D PTERONYSSINUS, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86612"|"HB BLASTOMYCES ANTIBODY"|302.00|$212.00|$39.00|$150.10|$148.00||$96.88|$42.40|$150.10|$77.80|$99.00|$41.00|$119.78|$95.40|$39.00|$42.00|$81.83|$55.42|$49.37|$49.37
"CPT® 86615"|"HB BORDETELLA PERTUSSIS/PARAPERTUSSIS, IGG AND IGA"|302.00|$212.00|$39.00|$150.10|$148.00||$96.88|$42.40|$150.10|$77.80|$99.00|$41.00|$119.78|$95.40|$39.00|$42.00|$81.83|$55.42|$49.37|$49.37
"CPT® 86618"|"HB BORRELIA BURGDORFERI ANTIBODUES, IGG/IGM"|302.00|$205.00|$39.00|$145.14|$144.00||$93.69|$41.00|$145.14|$75.24|$95.74|$41.00|$115.83|$92.25|$39.00|$42.00|$79.13|$53.59|$47.74|$47.74
"CPT® 86622"|"HB BRUCELLA ABORTUS ANTIBODIES"|302.00|$133.00|$26.60|$94.16|$93.00||$60.78|$26.60|$94.16|$48.81|$62.11|$41.00|$75.15|$59.85|$39.00|$42.00|$51.34|$34.77|$30.98|$30.98
"CPT® 86161"|"HB C1 ESTERASE INHIBITOR"|302.00|$374.00|$39.00|$264.79|$262.00||$170.92|$74.80|$264.79|$137.26|$174.66|$41.00|$211.31|$168.30|$39.00|$42.00|$144.36|$97.76|$87.10|$87.10
"CPT® 86332"|"HB C1Q BINDING ASSAY"|302.00|$587.00|$39.00|$415.60|$411.00||$268.26|$117.40|$415.60|$215.43|$274.13|$41.00|$331.66|$264.15|$39.00|$42.00|$226.58|$153.44|$136.71|$136.71
"CPT® 86160"|"HB C1Q NON BINDING ASSAY"|302.00|$366.00|$39.00|$259.13|$256.00||$167.26|$73.20|$259.13|$134.32|$170.92|$41.00|$206.79|$164.70|$39.00|$42.00|$141.28|$95.67|$85.24|$85.24
"CPT® 86301"|"HB CA 19-9"|302.00|$426.00|$39.00|$301.61|$298.00||$194.68|$85.20|$301.61|$156.34|$198.94|$41.00|$240.69|$191.70|$39.00|$42.00|$164.44|$111.36|$99.22|$99.22
"CPT® 86304"|"HB CANCER ANTIGEN 125"|302.00|$505.00|$39.00|$357.54|$354.00||$230.79|$101.00|$357.54|$185.34|$235.84|$41.00|$285.33|$227.25|$39.00|$42.00|$194.93|$132.01|$117.61|$117.61
"CPT® 86300"|"HB CANCER ANTIGEN 15-3"|302.00|$412.00|$39.00|$291.70|$288.00||$188.28|$82.40|$291.70|$151.20|$192.40|$41.00|$232.78|$185.40|$39.00|$42.00|$159.03|$107.70|$95.95|$95.95
"CPT® 86628"|"HB CANDIDA ALBICANS ANTIBODIES, IGA, IGG, IGM"|302.00|$190.00|$38.00|$134.52|$133.00||$86.83|$38.00|$134.52|$69.73|$88.73|$41.00|$107.35|$85.50|$39.00|$42.00|$73.34|$49.67|$44.25|$44.25
"CPT® 86147"|"HB CARDIOLIPIN ANTIBODIES, IGA"|302.00|$417.00|$39.00|$295.24|$292.00||$190.57|$83.40|$295.24|$153.04|$194.74|$41.00|$235.61|$187.65|$39.00|$42.00|$160.96|$109.00|$97.12|$97.12
"CPT® 86147"|"HB CARDIOLIPIN ANTIBODIES, IGA, IGG, IGM"|302.00|$408.00|$39.00|$288.86|$286.00||$186.46|$81.60|$288.86|$149.74|$190.54|$41.00|$230.52|$183.60|$39.00|$42.00|$157.49|$106.65|$95.02|$95.02
"CPT® 86147"|"HB CARDIOLIPIN ANTIBODIES, IGG"|302.00|$417.00|$39.00|$295.24|$292.00||$190.57|$83.40|$295.24|$153.04|$194.74|$41.00|$235.61|$187.65|$39.00|$42.00|$160.96|$109.00|$97.12|$97.12
"CPT® 86147"|"HB CARDIOLIPIN ANTIBODIES, IGM"|302.00|$417.00|$39.00|$295.24|$292.00||$190.57|$83.40|$295.24|$153.04|$194.74|$41.00|$235.61|$187.65|$39.00|$42.00|$160.96|$109.00|$97.12|$97.12
"CPT® 86200"|"HB CCP ANTIBODY"|302.00|$383.00|$39.00|$271.16|$268.00||$175.03|$76.60|$271.16|$140.56|$178.86|$41.00|$216.40|$172.35|$39.00|$42.00|$147.84|$100.12|$89.20|$89.20
"CPT® 86780"|"HB CHAGAS DISEASE ANTIBODIES"|302.00|$403.00|$39.00|$285.32|$282.00||$184.17|$80.60|$285.32|$147.90|$188.20|$41.00|$227.70|$181.35|$39.00|$42.00|$155.56|$105.34|$93.86|$93.86
"CPT® 86631"|"HB CHLAMYDIA ANTIBODIES, IGG"|302.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 86632"|"HB CHLAMYDIA ANTIBODIES, IGM"|302.00|$103.00|$20.60|$72.92|$72.00||$47.07|$20.60|$72.92|$37.80|$48.10|$41.00|$58.20|$46.35|$39.00|$42.00|$39.76|$26.92|$23.99|$23.99
"CPT® 86316"|"HB CHROMOGRANIN A"|302.00|$339.00|$39.00|$240.01|$237.00||$154.92|$67.80|$240.01|$124.41|$158.31|$41.00|$191.54|$152.55|$39.00|$42.00|$130.85|$88.61|$78.95|$78.95
"CPT® 86152"|"HB CIRCULATING TUMOR CELL BREA"|302.00|$1113.00|$39.00|$788.00|$779.00||$508.64|$222.60|$788.00|$408.47|$519.77|$41.00|$628.85|$500.85|$39.00|$42.00|$429.62|$290.94|$259.22|$259.22
"CPT® 86152"|"HB CIRCULATING TUMOR CELL COLO"|302.00|$1113.00|$39.00|$788.00|$779.00||$508.64|$222.60|$788.00|$408.47|$519.77|$41.00|$628.85|$500.85|$39.00|$42.00|$429.62|$290.94|$259.22|$259.22
"CPT® 86152"|"HB CIRCULATING TUMOR CELL PROS"|302.00|$1113.00|$39.00|$788.00|$779.00||$508.64|$222.60|$788.00|$408.47|$519.77|$41.00|$628.85|$500.85|$39.00|$42.00|$429.62|$290.94|$259.22|$259.22
"CPT® 86635"|"HB COCCIDIOIDES AB, IGG/IGM"|302.00|$157.00|$31.40|$111.16|$110.00||$71.75|$31.40|$111.16|$57.62|$73.32|$41.00|$88.71|$70.65|$39.00|$42.00|$60.60|$41.04|$36.57|$36.57
"CPT® 86157"|"HB COLD AGGLUTININS"|302.00|$248.00|$39.00|$175.58|$174.00||$113.34|$49.60|$175.58|$91.02|$115.82|$41.00|$140.12|$111.60|$39.00|$42.00|$95.73|$64.83|$57.76|$57.76
"CPT® 86160"|"HB COMPLEMENT C3 ANTIGEN"|302.00|$374.00|$39.00|$264.79|$262.00||$170.92|$74.80|$264.79|$137.26|$174.66|$41.00|$211.31|$168.30|$39.00|$42.00|$144.36|$97.76|$87.10|$87.10
"CPT® 86704"|"HB ANTI-HBC"|302.00|$239.00|$39.00|$169.21|$167.00||$109.22|$47.80|$169.21|$87.71|$111.61|$41.00|$135.04|$107.55|$39.00|$42.00|$92.25|$62.47|$55.66|$55.66
"CPT® 86160"|"HB COMPLEMENT C4 ANTIGEN"|302.00|$374.00|$39.00|$264.79|$262.00||$170.92|$74.80|$264.79|$137.26|$174.66|$41.00|$211.31|$168.30|$39.00|$42.00|$144.36|$97.76|$87.10|$87.10
"CPT® 86162"|"HB COMPLEMENT CH50"|302.00|$398.00|$39.00|$281.78|$279.00||$181.89|$79.60|$281.78|$146.07|$185.87|$41.00|$224.87|$179.10|$39.00|$42.00|$153.63|$104.04|$92.69|$92.69
"CPT® 86638"|"HB COXIELLA BURNETII IGG ANTIBODIES, PHASE 1& 2"|302.00|$500.00|$39.00|$354.00|$350.00||$228.50|$100.00|$354.00|$183.50|$233.50|$41.00|$282.50|$225.00|$39.00|$42.00|$193.00|$130.70|$116.45|$116.45
"CPT® 86658"|"HB COXSACKIE B ANTIBODIES, SERUM"|302.00|$214.00|$39.00|$151.51|$150.00||$97.80|$42.80|$151.51|$78.54|$99.94|$41.00|$120.91|$96.30|$39.00|$42.00|$82.60|$55.94|$49.84|$49.84
"CPT® 86682"|"HB CYSTICERCUS IGG, CSF"|302.00|$214.00|$39.00|$151.51|$150.00||$97.80|$42.80|$151.51|$78.54|$99.94|$41.00|$120.91|$96.30|$39.00|$42.00|$82.60|$55.94|$49.84|$49.84
"CPT® 86644"|"HB CYTOMEGALOVIRUS ANTIBODY, IGG"|302.00|$419.00|$39.00|$296.65|$293.00||$191.48|$83.80|$296.65|$153.77|$195.67|$41.00|$236.74|$188.55|$39.00|$42.00|$161.73|$109.53|$97.59|$97.59
"CPT® 86645"|"HB CYTOMEGALOVIRUS ANTIBODY, IGM"|302.00|$455.00|$39.00|$322.14|$318.00||$207.94|$91.00|$322.14|$166.99|$212.49|$41.00|$257.08|$204.75|$39.00|$42.00|$175.63|$118.94|$105.97|$105.97
"CPT® 86790"|"HB DENGUE FEVER ANTIBODY, TOTAL"|302.00|$212.00|$39.00|$150.10|$148.00||$96.88|$42.40|$150.10|$77.80|$99.00|$41.00|$119.78|$95.40|$39.00|$42.00|$81.83|$55.42|$49.37|$49.37
"CPT® 86790"|"HB DENGUE FEVER IGG ANTIBODY"|302.00|$212.00|$39.00|$150.10|$148.00||$96.88|$42.40|$150.10|$77.80|$99.00|$41.00|$119.78|$95.40|$39.00|$42.00|$81.83|$55.42|$49.37|$49.37
"CPT® 86790"|"HB DENGUE FEVER IGM ANTIBODY"|302.00|$212.00|$39.00|$150.10|$148.00||$96.88|$42.40|$150.10|$77.80|$99.00|$41.00|$119.78|$95.40|$39.00|$42.00|$81.83|$55.42|$49.37|$49.37
"CPT® 86648"|"HB DIPHTHERIA IGG ANTIBODIES"|302.00|$246.00|$39.00|$174.17|$172.00||$112.42|$49.20|$174.17|$90.28|$114.88|$41.00|$138.99|$110.70|$39.00|$42.00|$94.96|$64.30|$57.29|$57.29
"CPT® 86753"|"HB E. HISTOLYTICA ANTIBODIES"|302.00|$396.00|$39.00|$280.37|$277.00||$180.97|$79.20|$280.37|$145.33|$184.93|$41.00|$223.74|$178.20|$39.00|$42.00|$152.86|$103.51|$92.23|$92.23
"CPT® 86665"|"HB EBV VIRAL CAPSID IGG/IGM"|302.00|$236.00|$39.00|$167.09|$165.00||$107.85|$47.20|$167.09|$86.61|$110.21|$41.00|$133.34|$106.20|$39.00|$42.00|$91.10|$61.69|$54.96|$54.96
"CPT® 86658"|"HB ECHOVIRUS ANTIBODY PANEL SEROTYPE, BLOOD"|302.00|$214.00|$39.00|$151.51|$150.00||$97.80|$42.80|$151.51|$78.54|$99.94|$41.00|$120.91|$96.30|$39.00|$42.00|$82.60|$55.94|$49.84|$49.84
"CPT® 86666"|"HB EHRLICIA CHAFFEENSIS AB IGG AND IGM, IFA"|302.00|$156.00|$31.20|$110.45|$109.00||$71.29|$31.20|$110.45|$57.25|$72.85|$41.00|$88.14|$70.20|$39.00|$42.00|$60.22|$40.78|$36.33|$36.33
"CPT® 87450"|"HB CRYPTOCOCCAL ANTIGEN, CSF"|302.00|$298.00|$39.00|$210.98|$209.00||$136.19|$59.60|$210.98|$109.37|$139.17|$41.00|$168.37|$134.10|$39.00|$42.00|$115.03|$77.90|$69.40|$69.40
"CPT® 86703"|"HB HIV SCREEN"|302.00|$385.00|$39.00|$272.58|$270.00||$175.95|$77.00|$272.58|$141.30|$179.80|$41.00|$217.53|$173.25|$39.00|$42.00|$148.61|$100.64|$89.67|$89.67
"CPT® 87389"|"HB HIV 1/2 AG/AB COMBO RAPID TEST"|302.00|$179.00|$35.80|$126.73|$125.00||$81.80|$35.80|$126.73|$65.69|$83.59|$41.00|$101.14|$80.55|$39.00|$42.00|$69.09|$46.79|$41.69|$41.69
"CPT® 86308"|"HB MONONUCLEOSIS SCREEN"|302.00|$201.00|$39.00|$142.31|$141.00||$91.86|$40.20|$142.31|$73.77|$93.87|$41.00|$113.57|$90.45|$39.00|$42.00|$77.59|$52.54|$46.81|$46.81
"CPT® 86038"|"HB ANTINUCLEAR ANTIBODY"|302.00|$383.00|$39.00|$271.16|$268.00||$175.03|$76.60|$271.16|$140.56|$178.86|$41.00|$216.40|$172.35|$39.00|$42.00|$147.84|$100.12|$89.20|$89.20
"CPT® 86039"|"HB ANTINUCLEAR ANTIBODY TITER"|302.00|$294.00|$39.00|$208.15|$206.00||$134.36|$58.80|$208.15|$107.90|$137.30|$41.00|$166.11|$132.30|$39.00|$42.00|$113.48|$76.85|$68.47|$68.47
"CPT® 86225"|"HB DNA ANTIBODY SCREEN"|302.00|$317.00|$39.00|$224.44|$222.00||$144.87|$63.40|$224.44|$116.34|$148.04|$41.00|$179.11|$142.65|$39.00|$42.00|$122.36|$82.86|$73.83|$73.83
"CPT® 86225"|"HB DSDNA, QUANTITATIVE"|302.00|$317.00|$39.00|$224.44|$222.00||$144.87|$63.40|$224.44|$116.34|$148.04|$41.00|$179.11|$142.65|$39.00|$42.00|$122.36|$82.86|$73.83|$73.83
"CPT® 86003"|"HB FOOD ALLERGY PANEL, IGE, EACH"|302.00|$75.00|$15.00|$53.10|$52.00||$34.28|$15.00|$53.10|$27.53|$35.03|$41.00|$42.38|$33.75|$39.00|$42.00|$28.95|$19.61|$17.47|$17.47
"CPT® 86003"|"HB ALLERGEN PANEL - FRUITS (FX16)"|302.00|$65.00|$13.00|$46.02|$46.00||$29.71|$13.00|$46.02|$23.86|$30.36|$41.00|$36.73|$29.25|$39.00|$42.00|$25.09|$16.99|$15.14|$15.14
"CPT® 86003"|"HB ALLERGEN PANEL - GRAIN (FX20)"|302.00|$65.00|$13.00|$46.02|$46.00||$29.71|$13.00|$46.02|$23.86|$30.36|$41.00|$36.73|$29.25|$39.00|$42.00|$25.09|$16.99|$15.14|$15.14
"CPT® 86003"|"HB ALLERGEN PANEL - MEAT (FX73)"|302.00|$65.00|$13.00|$46.02|$46.00||$29.71|$13.00|$46.02|$23.86|$30.36|$41.00|$36.73|$29.25|$39.00|$42.00|$25.09|$16.99|$15.14|$15.14
"CPT® 86003"|"HB ALLERGEN PANEL - NUTS (FX1 & RFX22)"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN PANEL - SEAFOOD (FX2)"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, ALTERNARIA TENUIS, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, BIRCH TREE, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, BOX ELDER/MAPLE TREE, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, CAT EPITH./DANDER, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, CLADOSPORIUM, IGE"|302.00|$65.00|$13.00|$46.02|$46.00||$29.71|$13.00|$46.02|$23.86|$30.36|$41.00|$36.73|$29.25|$39.00|$42.00|$25.09|$16.99|$15.14|$15.14
"CPT® 86003"|"HB ALLERGEN, CODFISH/WHITEFISH, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, COMMON/SHORT RAGWEED, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, CORN, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, COW MILD, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, D FARINAE, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, DOG DANDER, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, DOG EPITHELIUM, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, EGG WHITE, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, ELM TREE, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, FEATHER MIX, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, FUMIGATUS, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, GERMAN COCKROACH, IGE"|302.00|$65.00|$13.00|$46.02|$46.00||$29.71|$13.00|$46.02|$23.86|$30.36|$41.00|$36.73|$29.25|$39.00|$42.00|$25.09|$16.99|$15.14|$15.14
"CPT® 86005"|"HB ALLERGEN, GLUTEN, RAST"|302.00|$371.00|$39.00|$262.67|$260.00||$169.55|$74.20|$262.67|$136.16|$173.26|$185.50|$209.62|$166.95|$39.00|$42.00|$143.21|$96.98|$86.41|$86.41
"CPT® 86003"|"HB ALLERGEN, JUNE/KENTUCKY GRASS, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, OAK TREE, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, ORCHARD GRASS, IGE"|302.00|$65.00|$13.00|$46.02|$46.00||$29.71|$13.00|$46.02|$23.86|$30.36|$41.00|$36.73|$29.25|$39.00|$42.00|$25.09|$16.99|$15.14|$15.14
"CPT® 86003"|"HB ALLERGEN, PEA, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, PEANUT, IGE"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86003"|"HB ALLERGEN, ROUGH MARSHELDER, IGE"|302.00|$65.00|$13.00|$46.02|$46.00||$29.71|$13.00|$46.02|$23.86|$30.36|$41.00|$36.73|$29.25|$39.00|$42.00|$25.09|$16.99|$15.14|$15.14
"CPT® 86003"|"HB ALLERGEN, SHRIMP, IGE"|302.00|$125.00|$25.00|$88.50|$88.00||$57.13|$25.00|$88.50|$45.88|$58.38|$41.00|$70.63|$56.25|$39.00|$42.00|$48.25|$32.68|$29.11|$29.11
"CPT® 86003"|"HB ALLERGEN, SOYBEAN, IGE"|302.00|$125.00|$25.00|$88.50|$88.00||$57.13|$25.00|$88.50|$45.88|$58.38|$41.00|$70.63|$56.25|$39.00|$42.00|$48.25|$32.68|$29.11|$29.11
"CPT® 86003"|"HB ALLERGEN, TOMATO, IGE"|302.00|$125.00|$25.00|$88.50|$88.00||$57.13|$25.00|$88.50|$45.88|$58.38|$41.00|$70.63|$56.25|$39.00|$42.00|$48.25|$32.68|$29.11|$29.11
"CPT® 86003"|"HB ALLERGEN, WHEAT, IGE"|302.00|$125.00|$25.00|$88.50|$88.00||$57.13|$25.00|$88.50|$45.88|$58.38|$41.00|$70.63|$56.25|$39.00|$42.00|$48.25|$32.68|$29.11|$29.11
"CPT® 86003"|"HB ALLERGEN SPECIFIC IGE, EACH"|302.00|$75.00|$15.00|$53.10|$52.00||$34.28|$15.00|$53.10|$27.53|$35.03|$41.00|$42.38|$33.75|$39.00|$42.00|$28.95|$19.61|$17.47|$17.47
"CPT® 86003"|"HB CHILDHOOD ALLERGY PANEL, IGE, EACH"|302.00|$75.00|$15.00|$53.10|$52.00||$34.28|$15.00|$53.10|$27.53|$35.03|$41.00|$42.38|$33.75|$39.00|$42.00|$28.95|$19.61|$17.47|$17.47
"CPT® 86003"|"HB RESPIRATORY ALLERGY PANEL, MIDWEST, IGE EACH"|302.00|$52.00|$10.40|$42.00|$36.00||$23.76|$10.40|$36.82|$19.08|$24.28|$41.00|$29.38|$23.40|$39.00|$42.00|$20.07|$13.59|$12.11|$12.11
"CPT® 86021"|"HB ANCA VASCULITIDES"|302.00|$886.00|$39.00|$627.29|$620.00||$404.90|$177.20|$627.29|$325.16|$413.76|$41.00|$500.59|$398.70|$39.00|$42.00|$342.00|$231.60|$206.35|$206.35
"CPT® 86021"|"HB ANTI NEUTROPHIL CYTOPLASMIC AB BY IF"|302.00|$861.00|$39.00|$609.59|$603.00||$393.48|$172.20|$609.59|$315.99|$402.09|$41.00|$486.47|$387.45|$39.00|$42.00|$332.35|$225.07|$200.53|$200.53
"CPT® 86060"|"HB ANTI STREPTOLYSIN O ANTIBODY"|302.00|$220.00|$39.00|$155.76|$154.00||$100.54|$44.00|$155.76|$80.74|$102.74|$41.00|$124.30|$99.00|$39.00|$42.00|$84.92|$57.51|$51.24|$51.24
"CPT® 86215"|"HB ANTI-DNASE B ANTIBODIES,STREPTOCOCCAL"|302.00|$429.00|$39.00|$303.73|$300.00||$196.05|$85.80|$303.73|$157.44|$200.34|$41.00|$242.39|$193.05|$39.00|$42.00|$165.59|$112.14|$99.91|$99.91
"CPT® 86280"|"HB ANTI-GRANULOCYTE ANTIBODY"|302.00|$911.00|$39.00|$644.99|$638.00||$416.33|$182.20|$644.99|$334.34|$425.44|$455.50|$514.72|$409.95|$39.00|$42.00|$351.65|$238.14|$212.17|$212.17
"CPT® 86255"|"HB ANTIMITOCHONDRIAL ANTIBODY SCREEN"|302.00|$394.00|$39.00|$278.95|$276.00||$180.06|$78.80|$278.95|$144.60|$184.00|$41.00|$222.61|$177.30|$39.00|$42.00|$152.08|$102.99|$91.76|$91.76
"CPT® 86256"|"HB ANTIMITOCHONDRIAL ANTIBODY TITER, EACH"|302.00|$109.00|$21.80|$77.17|$76.00||$49.81|$21.80|$77.17|$40.00|$50.90|$41.00|$61.59|$49.05|$39.00|$42.00|$42.07|$28.49|$25.39|$25.39
"CPT® 86255"|"HB ANTI-MYOCARDIAL ANTIBODY"|302.00|$517.00|$39.00|$366.04|$362.00||$236.27|$103.40|$366.04|$189.74|$241.44|$41.00|$292.11|$232.65|$39.00|$42.00|$199.56|$135.14|$120.41|$120.41
"CPT® 86256"|"HB ANTI-MYOCARDIAL ANTIBODY TITER"|302.00|$141.00|$28.20|$99.83|$99.00||$64.44|$28.20|$99.83|$51.75|$65.85|$41.00|$79.67|$63.45|$39.00|$42.00|$54.43|$36.86|$32.84|$32.84
"CPT® 86651"|"HB ARBOVIRUS ANTIBODIES, IGG, CALIFORNIA ENCEPHALITIS"|302.00|$199.00|$39.00|$140.89|$139.00||$90.94|$39.80|$140.89|$73.03|$92.93|$41.00|$112.44|$89.55|$39.00|$42.00|$76.81|$52.02|$46.35|$46.35
"CPT® 86651"|"HB ARBOVIRUS ANTIBODIES, IGG, CALIFORNIA ENCEPHALITIS, CSF"|302.00|$199.00|$39.00|$140.89|$139.00||$90.94|$39.80|$140.89|$73.03|$92.93|$41.00|$112.44|$89.55|$39.00|$42.00|$76.81|$52.02|$46.35|$46.35
"CPT® 86652"|"HB ARBOVIRUS ANTIBODIES, IGG, EASTERN EQUINE ENCEPHALITIS"|302.00|$199.00|$39.00|$140.89|$139.00||$90.94|$39.80|$140.89|$73.03|$92.93|$41.00|$112.44|$89.55|$39.00|$42.00|$76.81|$52.02|$46.35|$46.35
"CPT® 86652"|"HB ARBOVIRUS ANTIBODIES, IGG, EASTERN EQUINE ENCEPHALITIS, CSF"|302.00|$199.00|$39.00|$140.89|$139.00||$90.94|$39.80|$140.89|$73.03|$92.93|$41.00|$112.44|$89.55|$39.00|$42.00|$76.81|$52.02|$46.35|$46.35
"CPT® 86653"|"HB ARBOVIRUS ANTIBODIES, IGG, ST. LOUIS ENCEPHALITIS"|302.00|$199.00|$39.00|$140.89|$139.00||$90.94|$39.80|$140.89|$73.03|$92.93|$41.00|$112.44|$89.55|$39.00|$42.00|$76.81|$52.02|$46.35|$46.35
"CPT® 86653"|"HB ARBOVIRUS ANTIBODIES, IGG, ST. LOUIS ENCEPHALITIS, CSF"|302.00|$199.00|$39.00|$140.89|$139.00||$90.94|$39.80|$140.89|$73.03|$92.93|$41.00|$112.44|$89.55|$39.00|$42.00|$76.81|$52.02|$46.35|$46.35
"CPT® 86654"|"HB ARBOVIRUS ANTIBODIES, IGG, WESTERN EQUINE ENCEPHALITIS"|302.00|$199.00|$39.00|$140.89|$139.00||$90.94|$39.80|$140.89|$73.03|$92.93|$41.00|$112.44|$89.55|$39.00|$42.00|$76.81|$52.02|$46.35|$46.35
"CPT® 86654"|"HB ARBOVIRUS ANTIBODIES, IGG, WESTERN EQUINE ENCEPHALITIS, CSF"|302.00|$199.00|$39.00|$140.89|$139.00||$90.94|$39.80|$140.89|$73.03|$92.93|$41.00|$112.44|$89.55|$39.00|$42.00|$76.81|$52.02|$46.35|$46.35
"CPT® 86651"|"HB ARBOVIRUS ANTIBODIES, IGM, CALIFORNIA ENCEPHALITIS, CSF"|302.00|$199.00|$39.00|$140.89|$139.00||$90.94|$39.80|$140.89|$73.03|$92.93|$41.00|$112.44|$89.55|$39.00|$42.00|$76.81|$52.02|$46.35|$46.35
"CPT® 86651"|"HB ARBOVIRUS ANTIBODIES, IGM, EASTERN EQUINE ENCEPHALITIS"|302.00|$156.00|$31.20|$110.45|$109.00||$71.29|$31.20|$110.45|$57.25|$72.85|$41.00|$88.14|$70.20|$39.00|$42.00|$60.22|$40.78|$36.33|$36.33
"CPT® 86652"|"HB ARBOVIRUS ANTIBODIES, IGM, EASTERN EQUINE ENCEPHALITIS, CSF"|302.00|$199.00|$39.00|$140.89|$139.00||$90.94|$39.80|$140.89|$73.03|$92.93|$41.00|$112.44|$89.55|$39.00|$42.00|$76.81|$52.02|$46.35|$46.35
"CPT® 86653"|"HB ARBOVIRUS ANTIBODIES, IGM, ST. LOUIS ENCEPHALITIS"|302.00|$156.00|$31.20|$110.45|$109.00||$71.29|$31.20|$110.45|$57.25|$72.85|$41.00|$88.14|$70.20|$39.00|$42.00|$60.22|$40.78|$36.33|$36.33
"CPT® 86653"|"HB ARBOVIRUS ANTIBODIES, IGM, ST. LOUIS ENCEPHALITIS, CSF"|302.00|$199.00|$39.00|$140.89|$139.00||$90.94|$39.80|$140.89|$73.03|$92.93|$41.00|$112.44|$89.55|$39.00|$42.00|$76.81|$52.02|$46.35|$46.35
"CPT® 86654"|"HB ARBOVIRUS ANTIBODIES, IGM, WESTERN EQUINE ENCEPHALITIS"|302.00|$156.00|$31.20|$110.45|$109.00||$71.29|$31.20|$110.45|$57.25|$72.85|$41.00|$88.14|$70.20|$39.00|$42.00|$60.22|$40.78|$36.33|$36.33
"CPT® 86652"|"HB ARBOVIRUS ANTIBODIES, IGM, WESTERN EQUINE ENCEPHALITIS"|302.00|$156.00|$31.20|$110.45|$109.00||$71.29|$31.20|$110.45|$57.25|$72.85|$41.00|$88.14|$70.20|$39.00|$42.00|$60.22|$40.78|$36.33|$36.33
"CPT® 86654"|"HB ARBOVIRUS ANTIBODIES, IGM, WESTERN EQUINE ENCEPHALITIS, CSF"|302.00|$199.00|$39.00|$140.89|$139.00||$90.94|$39.80|$140.89|$73.03|$92.93|$41.00|$112.44|$89.55|$39.00|$42.00|$76.81|$52.02|$46.35|$46.35
"CPT® 86341"|"HB INSULINOMA ASSOCIATED 2 ANTIBODY"|302.00|$163.00|$32.60|$115.40|$114.00||$74.49|$32.60|$115.40|$59.82|$76.12|$41.00|$92.10|$73.35|$39.00|$42.00|$62.92|$42.61|$37.96|$37.96
"CPT® 86317"|"HB TAY SACHS MUTATION"|302.00|$1141.00|$39.00|$807.83|$799.00||$521.44|$228.20|$807.83|$418.75|$532.85|$41.00|$644.67|$513.45|$39.00|$42.00|$440.43|$298.26|$265.74|$265.74
"CPT® 86360"|"HB CD4 AND CD8 COUNT, INCLUDING RATIO"|302.00|$78.00|$15.60|$55.22|$55.00||$35.65|$15.60|$55.22|$28.63|$36.43|$41.00|$44.07|$35.10|$39.00|$42.00|$30.11|$20.39|$18.17|$18.17
"CPT® 86357"|"HB NATURAL KILLER CELLS, TOTAL COUNT"|302.00|$616.00|$39.00|$436.13|$431.00||$281.51|$123.20|$436.13|$226.07|$287.67|$41.00|$348.04|$277.20|$39.00|$42.00|$237.78|$161.02|$143.47|$143.47
"CPT® 86357"|"HB NATURAL KILLER CELLS, TOTAL COUNT"|302.00|$78.00|$15.60|$55.22|$55.00||$35.65|$15.60|$55.22|$28.63|$36.43|$41.00|$44.07|$35.10|$39.00|$42.00|$30.11|$20.39|$18.17|$18.17
"CPT® 86359"|"HB T CELLS, TOTAL COUNT"|302.00|$616.00|$39.00|$436.13|$431.00||$281.51|$123.20|$436.13|$226.07|$287.67|$41.00|$348.04|$277.20|$39.00|$42.00|$237.78|$161.02|$143.47|$143.47
"CPT® 86255"|"HB NEUROMYELTITIS OPTICA IGG SERUM/CSF"|302.00|$615.00|$39.00|$435.42|$430.00||$281.06|$123.00|$435.42|$225.71|$287.21|$41.00|$347.48|$276.75|$39.00|$42.00|$237.39|$160.76|$143.23|$143.23
"CPT® 86146"|"HB B-2 GLYCOPROTEIN ANTOBODY IGA"|302.00|$417.00|$39.00|$295.24|$292.00||$190.57|$83.40|$295.24|$153.04|$194.74|$41.00|$235.61|$187.65|$39.00|$42.00|$160.96|$109.00|$97.12|$97.12
"CPT® 86146"|"HB B-2 GLYCOPROTEIN ANTOBODY IGG"|302.00|$184.00|$36.80|$130.27|$129.00||$84.09|$36.80|$130.27|$67.53|$85.93|$41.00|$103.96|$82.80|$39.00|$42.00|$71.02|$48.10|$42.85|$42.85
"CPT® 86146"|"HB B-2 GLYCOPROTEIN ANTOBODY IGM"|302.00|$417.00|$39.00|$295.24|$292.00||$190.57|$83.40|$295.24|$153.04|$194.74|$41.00|$235.61|$187.65|$39.00|$42.00|$160.96|$109.00|$97.12|$97.12
"CPT® 86611"|"HB BARTONELLA HENSELAE IGG ANTIBODIES"|302.00|$169.00|$33.80|$119.65|$118.00||$77.23|$33.80|$119.65|$62.02|$78.92|$41.00|$95.49|$76.05|$39.00|$42.00|$65.23|$44.18|$39.36|$39.36
"CPT® 86611"|"HB BARTONELLA HENSELAE IGM ANTIBODIES"|302.00|$169.00|$33.80|$119.65|$118.00||$77.23|$33.80|$119.65|$62.02|$78.92|$41.00|$95.49|$76.05|$39.00|$42.00|$65.23|$44.18|$39.36|$39.36
"CPT® 86255"|"HB ENDOMYSIAL ANTIBODY"|302.00|$560.00|$39.00|$396.48|$392.00||$255.92|$112.00|$396.48|$205.52|$261.52|$41.00|$316.40|$252.00|$39.00|$42.00|$216.16|$146.38|$130.42|$130.42
"CPT® 86664"|"HB EPSTEIN-BARR NUCLEAR ANTIGEN"|302.00|$201.00|$39.00|$142.31|$141.00||$91.86|$40.20|$142.31|$73.77|$93.87|$41.00|$113.57|$90.45|$39.00|$42.00|$77.59|$52.54|$46.81|$46.81
"CPT® 86663"|"HB EPSTEIN-BARR VIRUS PANEL"|302.00|$526.00|$39.00|$372.41|$368.00||$240.38|$105.20|$372.41|$193.04|$245.64|$41.00|$297.19|$236.70|$39.00|$42.00|$203.04|$137.50|$122.51|$122.51
"CPT® 86803"|"HB EXPOSURE HEPATITIS  C ANTIBODY"|302.00|$371.00|$39.00|$262.67|$260.00||$169.55|$74.20|$262.67|$136.16|$173.26|$41.00|$209.62|$166.95|$39.00|$42.00|$143.21|$96.98|$86.41|$86.41
"CPT® 86705"|"HB EXPOSURE HEPATITIS B CORE IGM"|302.00|$334.00|$39.00|$236.47|$234.00||$152.64|$66.80|$236.47|$122.58|$155.98|$41.00|$188.71|$150.30|$39.00|$42.00|$128.92|$87.31|$77.79|$77.79
"CPT® 86706"|"HB EXPOSURE HEPATITIS BS ANTIBODY"|302.00|$309.00|$39.00|$218.77|$216.00||$141.21|$61.80|$218.77|$113.40|$144.30|$41.00|$174.59|$139.05|$39.00|$42.00|$119.27|$80.77|$71.97|$71.97
"CPT® 87340"|"HB EXPOSURE HEPATITIS BS ANTIGEN"|302.00|$257.00|$39.00|$181.96|$180.00||$117.45|$51.40|$181.96|$94.32|$120.02|$41.00|$145.21|$115.65|$39.00|$42.00|$99.20|$67.18|$59.86|$59.86
"CPT® 86612"|"HB FUNGAL ANTIBODIES PANEL (2731)"|302.00|$212.00|$39.00|$150.10|$148.00||$96.88|$42.40|$150.10|$77.80|$99.00|$41.00|$119.78|$95.40|$39.00|$42.00|$81.83|$55.42|$49.37|$49.37
"CPT® 86635"|"HB FUNGAL ANTIBODIES PANEL (2732)"|302.00|$157.00|$31.40|$111.16|$110.00||$71.75|$31.40|$111.16|$57.62|$73.32|$41.00|$88.71|$70.65|$39.00|$42.00|$60.60|$41.04|$36.57|$36.57
"CPT® 86698"|"HB FUNGAL ANTIBODIES PANEL (2733)"|302.00|$202.00|$39.00|$143.02|$141.00||$92.31|$40.40|$143.02|$74.13|$94.33|$41.00|$114.13|$90.90|$39.00|$42.00|$77.97|$52.80|$47.05|$47.05
"CPT® 86677"|"HB HELICOBACTER PYLORI ANTIBODIES, IGA"|302.00|$498.00|$39.00|$352.58|$349.00||$227.59|$99.60|$352.58|$182.77|$232.57|$41.00|$281.37|$224.10|$39.00|$42.00|$192.23|$130.18|$115.98|$115.98
"CPT® 86677"|"HB HELICOBACTER PYLORI ANTIBODIES, IGG"|302.00|$498.00|$39.00|$352.58|$349.00||$227.59|$99.60|$352.58|$182.77|$232.57|$41.00|$281.37|$224.10|$39.00|$42.00|$192.23|$130.18|$115.98|$115.98
"CPT® 86677"|"HB HELICOBACTER PYLORI ANTIBODIES, IGM"|302.00|$498.00|$39.00|$352.58|$349.00||$227.59|$99.60|$352.58|$182.77|$232.57|$41.00|$281.37|$224.10|$39.00|$42.00|$192.23|$130.18|$115.98|$115.98
"CPT® 86692"|"HB HEP DELTA IGM ABS"|302.00|$365.00|$39.00|$258.42|$255.00||$166.81|$73.00|$258.42|$133.96|$170.46|$41.00|$206.23|$164.25|$39.00|$42.00|$140.89|$95.41|$85.01|$85.01
"CPT® 86708"|"HB HEPATITIS A IGG"|302.00|$327.00|$39.00|$231.52|$229.00||$149.44|$65.40|$231.52|$120.01|$152.71|$41.00|$184.76|$147.15|$39.00|$42.00|$126.22|$85.48|$76.16|$76.16
"CPT® 86709"|"HB HEPATITIS A IGM"|302.00|$321.00|$39.00|$227.27|$225.00||$146.70|$64.20|$227.27|$117.81|$149.91|$41.00|$181.37|$144.45|$39.00|$42.00|$123.91|$83.91|$74.76|$74.76
"CPT® 86317"|"HB HEPATITIS B SURFACE ANTIBODY, QUANT"|302.00|$228.00|$39.00|$161.42|$160.00||$104.20|$45.60|$161.42|$83.68|$106.48|$41.00|$128.82|$102.60|$39.00|$42.00|$88.01|$59.60|$53.10|$53.10
"CPT® 87350"|"HB HEPATITIS BE AG/AB"|302.00|$232.00|$39.00|$164.26|$162.00||$106.02|$46.40|$164.26|$85.14|$108.34|$41.00|$131.08|$104.40|$39.00|$42.00|$89.55|$60.64|$54.03|$54.03
"CPT® 86707"|"HB HEPATITIS BE AG/AB"|302.00|$387.00|$39.00|$274.00|$271.00||$176.86|$77.40|$274.00|$142.03|$180.73|$41.00|$218.66|$174.15|$39.00|$42.00|$149.38|$101.16|$90.13|$90.13
"CPT® 86706"|"HB HEPATITIS BS ANTIBODY"|302.00|$317.00|$39.00|$224.44|$222.00||$144.87|$63.40|$224.44|$116.34|$148.04|$41.00|$179.11|$142.65|$39.00|$42.00|$122.36|$82.86|$73.83|$73.83
"CPT® 86694"|"HB HERPES SIMPLEX VIRUS TYPES 1 & 2 IGM AB"|302.00|$234.00|$39.00|$165.67|$164.00||$106.94|$46.80|$165.67|$85.88|$109.28|$41.00|$132.21|$105.30|$39.00|$42.00|$90.32|$61.17|$54.50|$54.50
"CPT® 86696"|"HB HERPES SIMPLEX VIRUS TYPE 2 IGM AB"|302.00|$234.00|$39.00|$165.67|$164.00||$106.94|$46.80|$165.67|$85.88|$109.28|$41.00|$132.21|$105.30|$39.00|$42.00|$90.32|$61.17|$54.50|$54.50
"CPT® 87385"|"HB HISTOPLASMA ANTIGEN,URINE"|302.00|$343.00|$39.00|$242.84|$240.00||$156.75|$68.60|$242.84|$125.88|$160.18|$41.00|$193.80|$154.35|$39.00|$42.00|$132.40|$89.66|$79.88|$79.88
"CPT® 86689"|"HB HIV-1 WESTERN BLOT"|302.00|$305.00|$39.00|$215.94|$214.00||$139.39|$61.00|$215.94|$111.94|$142.44|$41.00|$172.33|$137.25|$39.00|$42.00|$117.73|$79.73|$71.03|$71.03
"CPT® 86812"|"HB HLA-B27 BY FLOW CYTOMETRY"|302.00|$762.00|$39.00|$539.50|$533.00||$348.23|$152.40|$539.50|$279.65|$355.85|$41.00|$430.53|$342.90|$39.00|$42.00|$294.13|$199.19|$177.47|$177.47
"CPT® 86790"|"HB HTLV, IGG"|302.00|$212.00|$39.00|$150.10|$148.00||$96.88|$42.40|$150.10|$77.80|$99.00|$41.00|$119.78|$95.40|$39.00|$42.00|$81.83|$55.42|$49.37|$49.37
"CPT® 86305"|"HB HUMAN EPIDIDYMIS PROTEIN 4"|302.00|$449.00|$39.00|$317.89|$314.00||$205.19|$89.80|$317.89|$164.78|$209.68|$41.00|$253.69|$202.05|$39.00|$42.00|$173.31|$117.37|$104.57|$104.57
"CPT® 86140"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, CRP"|302.00|$184.00|$36.80|$130.27|$129.00||$84.09|$36.80|$130.27|$67.53|$85.93|$41.00|$103.96|$82.80|$39.00|$42.00|$71.02|$48.10|$42.85|$42.85
"CPT® 86335"|"HB IMMUNOFIXATION ELECTROPHORESIS, RANDOM URINE"|302.00|$481.00|$39.00|$340.55|$337.00||$219.82|$96.20|$340.55|$176.53|$224.63|$41.00|$271.77|$216.45|$39.00|$42.00|$185.67|$125.73|$112.02|$112.02
"CPT® 86710"|"HB INFLUENZA A ANTIBODY, CF"|302.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 86710"|"HB INFLUENZA B ANTIBODY, CF"|302.00|$57.00|$11.40|$42.00|$40.00||$26.05|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 86336"|"HB INHIBIN A"|302.00|$236.00|$39.00|$167.09|$165.00||$107.85|$47.20|$167.09|$86.61|$110.21|$41.00|$133.34|$106.20|$39.00|$42.00|$91.10|$61.69|$54.96|$54.96
"CPT® 86340"|"HB INTRINSIC FACTOR BLOCKING AUTOAB"|302.00|$346.00|$39.00|$244.97|$242.00||$158.12|$69.20|$244.97|$126.98|$161.58|$41.00|$195.49|$155.70|$39.00|$42.00|$133.56|$90.44|$80.58|$80.58
"CPT® 86341"|"HB ISLET CELL IGG CYTO AUTOAB"|302.00|$318.00|$39.00|$225.14|$223.00||$145.33|$63.60|$225.14|$116.71|$148.51|$41.00|$179.67|$143.10|$39.00|$42.00|$122.75|$83.13|$74.06|$74.06
"CPT® 86713"|"HB LEGIONELLA PNEUM AB"|302.00|$726.00|$39.00|$514.01|$508.00||$331.78|$145.20|$514.01|$266.44|$339.04|$41.00|$410.19|$326.70|$39.00|$42.00|$280.24|$189.78|$169.09|$169.09
"CPT® 86717"|"HB LEISHMANIA ANTIBODY, IFA"|302.00|$189.00|$37.80|$133.81|$132.00||$86.37|$37.80|$133.81|$69.36|$88.26|$41.00|$106.79|$85.05|$39.00|$42.00|$72.95|$49.40|$44.02|$44.02
"CPT® 86376"|"HB LIVER-KIDNEY MICROSOME AUTOANTIBODIES"|302.00|$302.00|$39.00|$213.82|$211.00||$138.01|$60.40|$213.82|$110.83|$141.03|$41.00|$170.63|$135.90|$39.00|$42.00|$116.57|$78.94|$70.34|$70.34
"CPT® 86617"|"HB LYME CONFIRMATION IGG&IGM"|302.00|$248.00|$39.00|$175.58|$174.00||$113.34|$49.60|$175.58|$91.02|$115.82|$41.00|$140.12|$111.60|$39.00|$42.00|$95.73|$64.83|$57.76|$57.76
"CPT® 86618"|"HB LYMES IGG/IGM ANTIBODIES, EACH"|302.00|$148.00|$29.60|$104.78|$104.00||$67.64|$29.60|$104.78|$54.32|$69.12|$41.00|$83.62|$66.60|$39.00|$42.00|$57.13|$38.69|$34.47|$34.47
"CPT® 86618"|"HB LYME DISEASE ANTIBODIES, CSF"|302.00|$419.00|$39.00|$296.65|$293.00||$191.48|$83.80|$296.65|$153.77|$195.67|$41.00|$236.74|$188.55|$39.00|$42.00|$161.73|$109.53|$97.59|$97.59
"CPT® 86735"|"HB MUMPS ANTIBODY, IGG"|302.00|$398.00|$39.00|$281.78|$279.00||$181.89|$79.60|$281.78|$146.07|$185.87|$41.00|$224.87|$179.10|$39.00|$42.00|$153.63|$104.04|$92.69|$92.69
"CPT® 86738"|"HB MYCOPLASMA PHEUMONIAE IGG & IGM ABS"|302.00|$195.00|$39.00|$138.06|$136.00||$89.12|$39.00|$138.06|$71.57|$91.07|$41.00|$110.18|$87.75|$39.00|$42.00|$75.27|$50.97|$45.42|$45.42
"CPT® 86738"|"HB MYCOPLASMA PHEUMONIAE IGG & IGM ABS"|302.00|$195.00|$39.00|$138.06|$136.00||$89.12|$39.00|$138.06|$71.57|$91.07|$41.00|$110.18|$87.75|$39.00|$42.00|$75.27|$50.97|$45.42|$45.42
"CPT® 86316"|"HB NEURON SPECIFIC ENOLASE"|302.00|$331.00|$39.00|$234.35|$232.00||$151.27|$66.20|$234.35|$121.48|$154.58|$41.00|$187.02|$148.95|$39.00|$42.00|$127.77|$86.52|$77.09|$77.09
"CPT® 86255"|"HB PARANEOPLASTIC-MAYO AB SCREEN"|302.00|$63.00|$12.60|$44.60|$44.00||$28.79|$12.60|$44.60|$23.12|$29.42|$41.00|$35.60|$28.35|$39.00|$42.00|$24.32|$16.47|$14.67|$14.67
"CPT® 86255"|"HB PARIETAL CELL ANTIBODY SCREEN"|302.00|$565.00|$39.00|$400.02|$396.00||$258.21|$113.00|$400.02|$207.36|$263.86|$41.00|$319.23|$254.25|$39.00|$42.00|$218.09|$147.69|$131.59|$131.59
"CPT® 86747"|"HB PARVOVIRUS IGG, IGM ANTIBODIES"|302.00|$248.00|$39.00|$175.58|$174.00||$113.34|$49.60|$175.58|$91.02|$115.82|$41.00|$140.12|$111.60|$39.00|$42.00|$95.73|$64.83|$57.76|$57.76
"CPT® 86148"|"HB PHOSPHATYDLSERINE ABS IGG, IGM, IGA"|302.00|$239.00|$39.00|$169.21|$167.00||$109.22|$47.80|$169.21|$87.71|$111.61|$41.00|$135.04|$107.55|$39.00|$42.00|$92.25|$62.47|$55.66|$55.66
"CPT® 86023"|"HB PLATELET AUTOANTIBODIES (DIRECT)"|302.00|$185.00|$37.00|$130.98|$130.00||$84.55|$37.00|$130.98|$67.90|$86.40|$41.00|$104.53|$83.25|$39.00|$42.00|$71.41|$48.36|$43.09|$43.09
"CPT® 86255"|"HB PURKINJE CELL (YO) AUTOANTIBODIES"|302.00|$472.00|$39.00|$334.18|$330.00||$215.70|$94.40|$334.18|$173.22|$220.42|$41.00|$266.68|$212.40|$39.00|$42.00|$182.19|$123.38|$109.93|$109.93
"CPT® 86638"|"HB Q FEVER PHASE I ANTIBODIES, IGG/IGM"|302.00|$68.00|$13.60|$48.14|$48.00||$31.08|$13.60|$48.14|$24.96|$31.76|$41.00|$38.42|$30.60|$39.00|$42.00|$26.25|$17.78|$15.84|$15.84
"CPT® 86638"|"HB Q FEVER PHASE II ANTIBODIES, IGG/IGM"|302.00|$68.00|$13.60|$48.14|$48.00||$31.08|$13.60|$48.14|$24.96|$31.76|$41.00|$38.42|$30.60|$39.00|$42.00|$26.25|$17.78|$15.84|$15.84
"CPT® 86790"|"HB RABIES ANTIBODY, IGG"|302.00|$208.00|$39.00|$147.26|$146.00||$95.06|$41.60|$147.26|$76.34|$97.14|$41.00|$117.52|$93.60|$39.00|$42.00|$80.29|$54.37|$48.44|$48.44
"CPT® 86431"|"HB RHEUMATOID FACTOR, QUANTITATIVE"|302.00|$223.00|$39.00|$157.88|$156.00||$101.91|$44.60|$157.88|$81.84|$104.14|$41.00|$126.00|$100.35|$39.00|$42.00|$86.08|$58.29|$51.94|$51.94
"CPT® 86592"|"HB RPR"|302.00|$183.00|$36.60|$129.56|$128.00||$83.63|$36.60|$129.56|$67.16|$85.46|$41.00|$103.40|$82.35|$39.00|$42.00|$70.64|$47.84|$42.62|$42.62
"CPT® 86762"|"HB RUBELLA ANTIBODIES, IGG"|302.00|$224.00|$39.00|$158.59|$157.00||$102.37|$44.80|$158.59|$82.21|$104.61|$41.00|$126.56|$100.80|$39.00|$42.00|$86.46|$58.55|$52.17|$52.17
"CPT® 86762"|"HB RUBELLA ANTIBODIES, IGG"|302.00|$196.00|$39.00|$138.77|$137.00||$89.57|$39.20|$138.77|$71.93|$91.53|$41.00|$110.74|$88.20|$39.00|$42.00|$75.66|$51.23|$45.65|$45.65
"CPT® 86317"|"HB RUBELLA ANTIBODY TITER, IGG"|302.00|$211.00|$39.00|$149.39|$148.00||$96.43|$42.20|$149.39|$77.44|$98.54|$41.00|$119.22|$94.95|$39.00|$42.00|$81.45|$55.16|$49.14|$49.14
"CPT® 86765"|"HB RUBEOLA ANTIBODY, IGG"|302.00|$233.00|$39.00|$164.96|$163.00||$106.48|$46.60|$164.96|$85.51|$108.81|$41.00|$131.65|$104.85|$39.00|$42.00|$89.94|$60.91|$54.27|$54.27
"CPT® 86765"|"HB RUBEOLA ANTIBODY, IGM"|302.00|$169.00|$33.80|$119.65|$118.00||$77.23|$33.80|$119.65|$62.02|$78.92|$41.00|$95.49|$76.05|$39.00|$42.00|$65.23|$44.18|$39.36|$39.36
"CPT® 86671"|"HB SACCHAROMYCES CEREVISAE ANTIBODIES, IGA"|302.00|$184.00|$36.80|$130.27|$129.00||$84.09|$36.80|$130.27|$67.53|$85.93|$41.00|$103.96|$82.80|$39.00|$42.00|$71.02|$48.10|$42.85|$42.85
"CPT® 86671"|"HB SACCHAROMYCES CEREVISAE ANTIBODIES, IGG"|302.00|$184.00|$36.80|$130.27|$129.00||$84.09|$36.80|$130.27|$67.53|$85.93|$41.00|$103.96|$82.80|$39.00|$42.00|$71.02|$48.10|$42.85|$42.85
"CPT® 86255"|"HB SMOOTH MUSCLE ANTIBODY"|302.00|$565.00|$39.00|$400.02|$396.00||$258.21|$113.00|$400.02|$207.36|$263.86|$41.00|$319.23|$254.25|$39.00|$42.00|$218.09|$147.69|$131.59|$131.59
"CPT® 86255"|"HB STRIATIONAL TOTAL AUTOANTIBODIES LF"|302.00|$565.00|$39.00|$400.02|$396.00||$258.21|$113.00|$400.02|$207.36|$263.86|$41.00|$319.23|$254.25|$39.00|$42.00|$218.09|$147.69|$131.59|$131.59
"CPT® 86682"|"HB STRONGYLOIDES ANTIBODY IGG"|302.00|$214.00|$39.00|$151.51|$150.00||$97.80|$42.80|$151.51|$78.54|$99.94|$41.00|$120.91|$96.30|$39.00|$42.00|$82.60|$55.94|$49.84|$49.84
"CPT® 86780"|"HB SYPHILIS ANTIBODY, TREPONEMAL W/ REFLEX"|302.00|$255.00|$39.00|$180.54|$178.00||$116.54|$51.00|$180.54|$93.59|$119.09|$41.00|$144.08|$114.75|$39.00|$42.00|$98.43|$66.66|$59.39|$59.39
"CPT® 86774"|"HB TETANUS ANTIBODY, IGG"|302.00|$266.00|$39.00|$188.33|$186.00||$121.56|$53.20|$188.33|$97.62|$124.22|$41.00|$150.29|$119.70|$39.00|$42.00|$102.68|$69.53|$61.95|$61.95
"CPT® 86376"|"HB THYROID PEROXIDASE ANTIBODIES"|302.00|$302.00|$39.00|$213.82|$211.00||$138.01|$60.40|$213.82|$110.83|$141.03|$41.00|$170.63|$135.90|$39.00|$42.00|$116.57|$78.94|$70.34|$70.34
"CPT® 86777"|"HB TOXOPLASMA ANTIBODY IGG"|302.00|$363.00|$39.00|$257.00|$254.00||$165.89|$72.60|$257.00|$133.22|$169.52|$41.00|$205.10|$163.35|$39.00|$42.00|$140.12|$94.89|$84.54|$84.54
"CPT® 86778"|"HB TOXOPLASMA ANTIBODY IGM"|302.00|$381.00|$39.00|$269.75|$267.00||$174.12|$76.20|$269.75|$139.83|$177.93|$41.00|$215.27|$171.45|$39.00|$42.00|$147.07|$99.59|$88.73|$88.73
"CPT® 86780"|"HB TREPONEMA PALLIDUM ANTIBODY ASSAY"|302.00|$412.00|$39.00|$291.70|$288.00||$188.28|$82.40|$291.70|$151.20|$192.40|$41.00|$232.78|$185.40|$39.00|$42.00|$159.03|$107.70|$95.95|$95.95
"CPT® 86480"|"HB TUBERCULOSIS IMMUNITY"|302.00|$957.00|$39.00|$677.56|$670.00||$437.35|$191.40|$677.56|$351.22|$446.92|$41.00|$540.71|$430.65|$39.00|$42.00|$369.40|$250.16|$222.89|$222.89
"CPT® 86787"|"HB VARICELLA ZOSTER ANTIBODY"|302.00|$276.00|$39.00|$195.41|$193.00||$126.13|$55.20|$195.41|$101.29|$128.89|$41.00|$155.94|$124.20|$39.00|$42.00|$106.54|$72.15|$64.28|$64.28
"CPT® 86787"|"HB VARICELLA-ZOSTER IGG ANTIBODIES"|302.00|$212.00|$39.00|$150.10|$148.00||$96.88|$42.40|$150.10|$77.80|$99.00|$41.00|$119.78|$95.40|$39.00|$42.00|$81.83|$55.42|$49.37|$49.37
"CPT® 86787"|"HB VARICELLA-ZOSTER IGM ANTIBODIES"|302.00|$212.00|$39.00|$150.10|$148.00||$96.88|$42.40|$150.10|$77.80|$99.00|$41.00|$119.78|$95.40|$39.00|$42.00|$81.83|$55.42|$49.37|$49.37
"CPT® 86592"|"HB VDRL, CSF"|302.00|$183.00|$36.60|$129.56|$128.00||$83.63|$36.60|$129.56|$67.16|$85.46|$41.00|$103.40|$82.35|$39.00|$42.00|$70.64|$47.84|$42.62|$42.62
"CPT® 86592"|"HB VDRL, SERUM"|302.00|$183.00|$36.60|$129.56|$128.00||$83.63|$36.60|$129.56|$67.16|$85.46|$41.00|$103.40|$82.35|$39.00|$42.00|$70.64|$47.84|$42.62|$42.62
"CPT® 86905"|"HB WEAK D ANTIGEN TEST"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86850"|"HB ANTIBODY SCREEN"|302.00|$201.00|$39.00|$142.31|$141.00||$91.86|$40.20|$142.31|$73.77|$93.87|$41.00|$113.57|$90.45|$39.00|$42.00|$77.59|$52.54|$46.81|$46.81
"CPT® 86850"|"HB CAMPYLOBACTER ANTIGEN"|302.00|$340.00|$39.00|$240.72|$238.00||$155.38|$68.00|$240.72|$124.78|$158.78|$41.00|$192.10|$153.00|$39.00|$42.00|$131.24|$88.88|$79.19|$79.19
"CPT® 86850"|"HB ANTIBODY SCREEN, PEG"|302.00|$141.00|$28.20|$99.83|$99.00||$64.44|$28.20|$99.83|$51.75|$65.85|$41.00|$79.67|$63.45|$39.00|$42.00|$54.43|$36.86|$32.84|$32.84
"CPT® 86880"|"HB DIRECT ANTIGLOBULIN TEST"|302.00|$118.00|$23.60|$83.54|$83.00||$53.93|$23.60|$83.54|$43.31|$55.11|$41.00|$66.67|$53.10|$39.00|$42.00|$45.55|$30.85|$27.48|$27.48
"CPT® 86905"|"HB ANTIGEN TYPING, IGG, EACH ANTIGEN"|302.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 86902"|"HB ANTIGEN TYPING, UNIT, EACH ANTIGEN"|302.00|$110.00|$22.00|$77.88|$77.00||$50.27|$22.00|$77.88|$40.37|$51.37|$41.00|$62.15|$49.50|$39.00|$42.00|$42.46|$28.75|$25.62|$25.62
"CPT® 86885"|"HB INDIRECT ANTIGLOBULIN TEST"|302.00|$93.00|$18.60|$65.84|$65.00||$42.50|$18.60|$65.84|$34.13|$43.43|$41.00|$52.55|$41.85|$39.00|$42.00|$35.90|$24.31|$21.66|$21.66
"CPT® 86922"|"HB CROSSMATCH, ONE UNIT"|302.00|$322.00|$39.00|$227.98|$225.00||$147.15|$64.40|$227.98|$118.17|$150.37|$41.00|$181.93|$144.90|$39.00|$42.00|$124.29|$84.17|$74.99|$74.99
"CPT® 86256"|"HB CULTURE, LEGIONELLA"|302.00|$607.00|$39.00|$429.76|$425.00||$277.40|$121.40|$429.76|$222.77|$283.47|$41.00|$342.96|$273.15|$39.00|$42.00|$234.30|$158.67|$141.37|$141.37
"CPT® 86140"|"HB C-REACTIVE PROTEIN"|302.00|$253.00|$39.00|$179.12|$177.00||$115.62|$50.60|$179.12|$92.85|$118.15|$41.00|$142.95|$113.85|$39.00|$42.00|$97.66|$66.13|$58.92|$58.92
"CPT® 86235"|"HB JO-1 ANTIBODIES"|302.00|$334.00|$39.00|$236.47|$234.00||$152.64|$66.80|$236.47|$122.58|$155.98|$41.00|$188.71|$150.30|$39.00|$42.00|$128.92|$87.31|$77.79|$77.79
"CPT® 86765"|"HB RUBEOLA ANTIBODY"|302.00|$238.00|$39.00|$168.50|$167.00||$108.77|$47.60|$168.50|$87.35|$111.15|$41.00|$134.47|$107.10|$39.00|$42.00|$91.87|$62.21|$55.43|$55.43
"CPT® 86235"|"HB SCL 70"|302.00|$334.00|$39.00|$236.47|$234.00||$152.64|$66.80|$236.47|$122.58|$155.98|$41.00|$188.71|$150.30|$39.00|$42.00|$128.92|$87.31|$77.79|$77.79
"CPT® 86235"|"HB SSA ANTIBODY"|302.00|$334.00|$39.00|$236.47|$234.00||$152.64|$66.80|$236.47|$122.58|$155.98|$41.00|$188.71|$150.30|$39.00|$42.00|$128.92|$87.31|$77.79|$77.79
"CPT® 86235"|"HB SSB ANTIBODY"|302.00|$334.00|$39.00|$236.47|$234.00||$152.64|$66.80|$236.47|$122.58|$155.98|$41.00|$188.71|$150.30|$39.00|$42.00|$128.92|$87.31|$77.79|$77.79
"CPT® 86825"|"HB FINAL FLOW CROSSMATCH"|302.00|$872.00|$39.00|$617.38|$610.00||$398.50|$174.40|$617.38|$320.02|$407.22|$41.00|$492.68|$392.40|$39.00|$42.00|$336.59|$227.94|$203.09|$203.09
"CPT® 86826"|"HB FINAL FLOW CROSSMATCH"|302.00|$309.00|$39.00|$218.77|$216.00||$141.21|$61.80|$218.77|$113.40|$144.30|$41.00|$174.59|$139.05|$39.00|$42.00|$119.27|$80.77|$71.97|$71.97
"CPT® 86832"|"HB POST FLOW HUMAN LYMPHOCYTE ANTIGEN HIGH DEFINITION SINGLE GROUP"|302.00|$896.00|$39.00|$634.37|$627.00||$409.47|$179.20|$634.37|$328.83|$418.43|$41.00|$506.24|$403.20|$39.00|$42.00|$345.86|$234.21|$208.68|$208.68
"CPT® 86832"|"HB PRE FLOW HUMAN LYMPHOCYTE ANTIGEN HIGH DEFINITION SINGLE GROUP"|302.00|$896.00|$39.00|$634.37|$627.00||$409.47|$179.20|$634.37|$328.83|$418.43|$41.00|$506.24|$403.20|$39.00|$42.00|$345.86|$234.21|$208.68|$208.68
"CPT® 86828"|"HB POST FLOW SCREENING CLASS I/II"|302.00|$526.00|$39.00|$372.41|$368.00||$240.38|$105.20|$372.41|$193.04|$245.64|$41.00|$297.19|$236.70|$39.00|$42.00|$203.04|$137.50|$122.51|$122.51
"CPT® 86828"|"HB PRE FLOW SCREENING CLASS I/II"|302.00|$526.00|$39.00|$372.41|$368.00||$240.38|$105.20|$372.41|$193.04|$245.64|$41.00|$297.19|$236.70|$39.00|$42.00|$203.04|$137.50|$122.51|$122.51
"CPT® 86828"|"HB POST HUMAN LYMPHOCYTE ANTIGEN ANTIBODY SCREEN LUMINEX"|302.00|$522.00|$39.00|$369.58|$365.00||$238.55|$104.40|$369.58|$191.57|$243.77|$41.00|$294.93|$234.90|$39.00|$42.00|$201.49|$136.45|$121.57|$121.57
"CPT® 86828"|"HB PRE HUMAN LYMPHOCYTE ANTIGEN ANTIBODY SCREEN LUMINEX"|302.00|$522.00|$39.00|$369.58|$365.00||$238.55|$104.40|$369.58|$191.57|$243.77|$41.00|$294.93|$234.90|$39.00|$42.00|$201.49|$136.45|$121.57|$121.57
"CPT® 86832"|"HB HUMAN LYMPHOCYTE ANTIGEN ANTIBODY CLASS I SINGLE ANTIGEN C1Q"|302.00|$1741.00|$39.00|$1232.63|$1219.00||$795.64|$348.20|$1232.63|$638.95|$813.05|$41.00|$983.67|$783.45|$39.00|$42.00|$672.03|$455.10|$405.48|$405.48
"CPT® 86833"|"HB HUMAN LYMPHOCYTE ANTIGEN ANTIBODY CLASS II SINGLE ANTIGEN C1Q"|302.00|$1556.00|$39.00|$1101.65|$1089.00||$711.09|$311.20|$1101.65|$571.05|$726.65|$41.00|$879.14|$700.20|$39.00|$42.00|$600.62|$406.74|$362.39|$362.39
"CPT® 86805"|"HB T CELL ANTI-HUMAN GLOBULIN CROSSMATCH"|302.00|$785.00|$39.00|$555.78|$550.00||$358.75|$157.00|$555.78|$288.10|$366.60|$41.00|$443.53|$353.25|$39.00|$42.00|$303.01|$205.20|$182.83|$182.83
"CPT® 86805"|"HB POST T CELL ANTI HUMAN GLOBULIN CROSSMATCH CYTOTOXICITY"|302.00|$1484.00|$39.00|$1050.67|$1039.00||$678.19|$296.80|$1050.67|$544.63|$693.03|$41.00|$838.46|$667.80|$39.00|$42.00|$572.82|$387.92|$345.62|$345.62
"CPT® 86805"|"HB PRE T CELL ANTI HUMAN GLOBULIN CROSSMATCH CYTOTOXICITY"|302.00|$1484.00|$39.00|$1050.67|$1039.00||$678.19|$296.80|$1050.67|$544.63|$693.03|$41.00|$838.46|$667.80|$39.00|$42.00|$572.82|$387.92|$345.62|$345.62
"CPT® 86832"|"HB LUMINEX HLA CLASS I SPECIFICITY (TEPNEL)"|302.00|$1285.00|$39.00|$909.78|$899.00||$587.25|$257.00|$909.78|$471.60|$600.10|$41.00|$726.03|$578.25|$39.00|$42.00|$496.01|$335.90|$299.28|$299.28
"CPT® 86833"|"HB LUMINEXHLA CLASS I SA SPECIFICITY (ONE LAMBDA), BATCHED"|302.00|$1025.00|$39.00|$725.70|$718.00||$468.43|$205.00|$725.70|$376.18|$478.68|$41.00|$579.13|$461.25|$39.00|$42.00|$395.65|$267.94|$238.72|$238.72
"CPT® 86833"|"HB LUMINEX HLA CLASS II SA SPECIFICITY FULL PANEL (ONE LAMBDA), BATCHED"|302.00|$1150.00|$39.00|$814.20|$805.00||$525.55|$230.00|$814.20|$422.05|$537.05|$41.00|$649.75|$517.50|$39.00|$42.00|$443.90|$300.61|$267.84|$267.84
"CPT® 86832"|"HB POST LUMINEX HLA CLASS I SA SPEC TEPNEL"|302.00|$1285.00|$39.00|$909.78|$899.00||$587.25|$257.00|$909.78|$471.60|$600.10|$41.00|$726.03|$578.25|$39.00|$42.00|$496.01|$335.90|$299.28|$299.28
"CPT® 86833"|"HB POST LUMINEX HLA CLASS II SA FP OL BATCH"|302.00|$1035.00|$39.00|$732.78|$724.00||$473.00|$207.00|$732.78|$379.85|$483.35|$41.00|$584.78|$465.75|$39.00|$42.00|$399.51|$270.55|$241.05|$241.05
"CPT® 86832"|"HB POST LUMIMEX HLA CLASS I SA OL BATCHED"|302.00|$1156.00|$39.00|$818.45|$809.00||$528.29|$231.20|$818.45|$424.25|$539.85|$41.00|$653.14|$520.20|$39.00|$42.00|$446.22|$302.18|$269.23|$269.23
"CPT® 86769"|"HB REF COVID-19 ANTIBODIES, IGG (Q)"|302.00|$165.00|$33.00|$93.23|$115.00||$75.41|$33.00|$42.13|$42.13|$42.13|$41.00|$93.23|$74.25|$42.13|$42.13|$63.69|$43.13|$38.43|$38.43
"CPT® 87899"|"HB H. INFLUENZAE B ANTIGEN"|304.00|$135.00|$27.00|$95.58|$94.00||$61.70|$27.00|$95.58|$49.55|$63.05|$41.00|$76.28|$60.75|$39.00|$42.00|$52.11|$35.29|$31.44|$31.44
"CPT® 87522"|"HB HEPATITIS C, RT-PCR, QUANT"|304.00|$224.00|$39.00|$158.59|$157.00||$102.37|$44.80|$158.59|$82.21|$104.61|$41.00|$126.56|$100.80|$39.00|$42.00|$86.46|$58.55|$52.17|$52.17
"CPT® 87903"|"HB HIV-1 PHENOSENSE"|304.00|$2407.00|$39.00|$1704.16|$1685.00||$1100.00|$481.40|$1704.16|$883.37|$1124.07|$41.00|$1359.96|$1083.15|$39.00|$42.00|$929.10|$629.19|$560.59|$560.59
"CPT® 87900"|"HB HIV-1 PHENOSENSE GT, INF. AGT DRUG PHENOTYPE"|304.00|$423.00|$39.00|$299.48|$296.00||$193.31|$84.60|$299.48|$155.24|$197.54|$41.00|$239.00|$190.35|$39.00|$42.00|$163.28|$110.57|$98.52|$98.52
"CPT® 87901"|"HB HIV-1 PHENOSENSE GT, INF. AGT GENOTYPE"|304.00|$936.00|$39.00|$662.69|$655.00||$427.75|$187.20|$662.69|$343.51|$437.11|$41.00|$528.84|$421.20|$39.00|$42.00|$361.30|$244.67|$217.99|$217.99
"CPT® 87903"|"HB HIV-1 PHENOSENSE GT, HIV PHENOTYPE W/ CULTURE"|304.00|$1772.00|$39.00|$1254.58|$1240.00||$809.80|$354.40|$1254.58|$650.32|$827.52|$41.00|$1001.18|$797.40|$39.00|$42.00|$683.99|$463.20|$412.70|$412.70
"CPT® 87904"|"HB HIV-1 PHENOSENSE GT, HIV PHENOTYPE W/CULTURE, ADDTL"|304.00|$86.00|$17.20|$60.89|$60.00||$39.30|$17.20|$60.89|$31.56|$40.16|$41.00|$48.59|$38.70|$39.00|$42.00|$33.20|$22.48|$20.03|$20.03
"CPT® 87903"|"HB HIV-1 PHENOSENSE INTEGRASE"|304.00|$1049.00|$39.00|$742.69|$734.00||$479.39|$209.80|$742.69|$384.98|$489.88|$41.00|$592.69|$472.05|$39.00|$42.00|$404.91|$274.21|$244.31|$244.31
"CPT® 87798"|"HB CANDIDA AURIS SCREEN BY PCR"|305.00|$113.00|$22.60|$80.00|$79.00||$51.64|$22.60|$80.00|$41.47|$52.77|$41.00|$63.85|$50.85|$39.00|$42.00|$43.62|$29.54|$26.32|$26.32
"CPT® 85730"|"HB ACTIVATED PARTIAL THROMBOPLASTIN TIME"|305.00|$146.00|$16.23|$103.37|$102.00||$16.23|$29.20|$103.37|$53.58|$68.18|$41.00|$82.49|$65.70|$39.00|$42.00|$56.36|$38.16|$34.00|$34.00
"CPT® 85307"|"HB ACTIVATED PROTEIN C RESISTANCE"|305.00|$377.00|$39.00|$266.92|$264.00||$172.29|$75.40|$266.92|$138.36|$176.06|$41.00|$213.01|$169.65|$39.00|$42.00|$145.52|$98.55|$87.80|$87.80
"CPT® 85520"|"HB ANTI XA ASSAY"|305.00|$361.00|$39.00|$255.59|$253.00||$164.98|$72.20|$255.59|$132.49|$168.59|$41.00|$203.97|$162.45|$39.00|$42.00|$139.35|$94.37|$84.08|$84.08
"CPT® 85300"|"HB ANTITHROMBIN III ACTIVITY"|305.00|$419.00|$39.00|$296.65|$293.00||$191.48|$83.80|$296.65|$153.77|$195.67|$41.00|$236.74|$188.55|$39.00|$42.00|$161.73|$109.53|$97.59|$97.59
"CPT® 85730"|"HB APTT MIXING STUDY"|305.00|$151.00|$16.23|$106.91|$106.00||$16.23|$30.20|$106.91|$55.42|$70.52|$41.00|$85.32|$67.95|$39.00|$42.00|$58.29|$39.47|$35.17|$35.17
"CPT® 85732"|"HB APTT SUBSTITUTION, PLASMA, EACH"|305.00|$55.00|$11.00|$42.00|$38.00||$25.14|$11.00|$38.94|$20.19|$25.69|$41.00|$31.08|$24.75|$39.00|$42.00|$21.23|$14.38|$12.81|$12.81
"CPT® 85379"|"HB D-DIMER, QUANTITATIVE"|305.00|$108.00|$21.60|$76.46|$76.00||$49.36|$21.60|$76.46|$39.64|$50.44|$41.00|$61.02|$48.60|$39.00|$42.00|$41.69|$28.23|$25.15|$25.15
"CPT® 85210"|"HB FACTOR II ASSAY"|305.00|$442.00|$39.00|$312.94|$309.00||$201.99|$88.40|$312.94|$162.21|$206.41|$41.00|$249.73|$198.90|$39.00|$42.00|$170.61|$115.54|$102.94|$102.94
"CPT® 85220"|"HB FACTOR V ASSAY"|305.00|$381.00|$39.00|$269.75|$267.00||$174.12|$76.20|$269.75|$139.83|$177.93|$41.00|$215.27|$171.45|$39.00|$42.00|$147.07|$99.59|$88.73|$88.73
"CPT® 85230"|"HB FACTOR VII ASSAY"|305.00|$466.00|$39.00|$329.93|$326.00||$212.96|$93.20|$329.93|$171.02|$217.62|$41.00|$263.29|$209.70|$39.00|$42.00|$179.88|$121.81|$108.53|$108.53
"CPT® 85240"|"HB FACTOR VIII ASSAY"|305.00|$466.00|$39.00|$329.93|$326.00||$212.96|$93.20|$329.93|$171.02|$217.62|$41.00|$263.29|$209.70|$39.00|$42.00|$179.88|$121.81|$108.53|$108.53
"CPT® 85240"|"HB FACTOR VIII INHIBITOR ASSAY"|305.00|$517.00|$39.00|$366.04|$362.00||$236.27|$103.40|$366.04|$189.74|$241.44|$41.00|$292.11|$232.65|$39.00|$42.00|$199.56|$135.14|$120.41|$120.41
"CPT® 85335"|"HB FACTOR VIII INHIBITOR ASSAY, BETHESDA TITER"|305.00|$345.00|$39.00|$244.26|$241.00||$157.67|$69.00|$244.26|$126.62|$161.12|$41.00|$194.93|$155.25|$39.00|$42.00|$133.17|$90.18|$80.35|$80.35
"CPT® 85250"|"HB FACTOR IX ASSAY"|305.00|$381.00|$39.00|$269.75|$267.00||$174.12|$76.20|$269.75|$139.83|$177.93|$41.00|$215.27|$171.45|$39.00|$42.00|$147.07|$99.59|$88.73|$88.73
"CPT® 85250"|"HB FACTOR IX INHIBITOR ASSAY"|305.00|$544.00|$39.00|$385.15|$381.00||$248.61|$108.80|$385.15|$199.65|$254.05|$41.00|$307.36|$244.80|$39.00|$42.00|$209.98|$142.20|$126.70|$126.70
"CPT® 87653"|"HB GROUP B STREPTOCOCCUS PCR"|305.00|$365.00|$39.00|$258.42|$255.00||$166.81|$73.00|$258.42|$133.96|$170.46|$41.00|$206.23|$164.25|$39.00|$42.00|$140.89|$95.41|$85.01|$85.01
"CPT® 85027"|"HB CBC W/O DIFFERENTIAL"|305.00|$104.00|$20.80|$73.63|$73.00||$47.53|$20.80|$73.63|$38.17|$48.57|$41.00|$58.76|$46.80|$39.00|$42.00|$40.14|$27.19|$24.22|$24.22
"CPT® 85027"|"HB CBC AND PLATELET, BILL ONLY"|305.00|$109.00|$21.80|$77.17|$76.00||$49.81|$21.80|$77.17|$40.00|$50.90|$41.00|$61.59|$49.05|$39.00|$42.00|$42.07|$28.49|$25.39|$25.39
"HCPCS G0307"|"HB CBC W/O PLATELET COUNT"|305.00|$39.00|$7.80|$39.00|$27.00||$17.82|$7.80|$27.61|$14.31|$18.21|$19.50|$22.04|$17.55|$39.00|$39.00|$15.05|$10.19|$9.08|$9.08
"CPT® 85025"|"HB CBC, PLATELET COUNT, DIFFERENTIAL"|305.00|$136.00|$21.05|$96.29|$95.00||$21.05|$27.20|$96.29|$49.91|$63.51|$41.00|$76.84|$61.20|$39.00|$42.00|$52.50|$35.55|$31.67|$31.67
"CPT® 85007"|"HB DIFFERENTIAL, MANUAL"|305.00|$41.00|$8.20|$41.00|$29.00||$18.74|$8.20|$29.03|$15.05|$19.15|$41.00|$23.17|$18.45|$39.00|$41.00|$15.83|$10.72|$9.55|$9.55
"CPT® 85441"|"HB HEINZ BODY, DIRECT"|305.00|$81.00|$16.20|$57.35|$57.00||$37.02|$16.20|$57.35|$29.73|$37.83|$41.00|$45.77|$36.45|$39.00|$42.00|$31.27|$21.17|$18.86|$18.86
"CPT® 85013"|"HB HEMATOCRIT, BODY FLUID"|305.00|$60.00|$12.00|$42.48|$42.00||$27.42|$12.00|$42.48|$22.02|$28.02|$41.00|$33.90|$27.00|$39.00|$42.00|$23.16|$15.68|$13.97|$13.97
"CPT® 85018"|"HB HEMOGLOBIN"|305.00|$45.00|$9.00|$42.00|$31.00||$20.57|$9.00|$31.86|$16.52|$21.02|$41.00|$25.43|$20.25|$39.00|$42.00|$17.37|$11.76|$10.48|$10.48
"CPT® 85014"|"HB HEMATOCRIT"|305.00|$44.00|$8.80|$42.00|$31.00||$20.11|$8.80|$31.15|$16.15|$20.55|$41.00|$24.86|$19.80|$39.00|$42.00|$16.98|$11.50|$10.25|$10.25
"CPT® 85049"|"HB PLATELET COUNT"|305.00|$79.00|$15.80|$55.93|$55.00||$36.10|$15.80|$55.93|$28.99|$36.89|$41.00|$44.64|$35.55|$39.00|$42.00|$30.49|$20.65|$18.40|$18.40
"CPT® 85049"|"HB PLATELET COUNT (MOD 91)"|305.00|$79.00|$15.80|$55.93|$55.00||$36.10|$15.80|$55.93|$28.99|$36.89|$41.00|$44.64|$35.55|$39.00|$42.00|$30.49|$20.65|$18.40|$18.40
"CPT® 85055"|"HB RETICULATED PLATELET COUNT"|305.00|$37.00|$7.40|$37.00|$26.00||$16.91|$7.40|$26.20|$13.58|$17.28|$37.00|$20.91|$16.65|$37.00|$37.00|$14.28|$9.67|$8.62|$8.62
"CPT® 85045"|"HB RETICULOCYTE COUNT"|305.00|$59.00|$11.80|$42.00|$41.00||$26.96|$11.80|$41.77|$21.65|$27.55|$41.00|$33.34|$26.55|$39.00|$42.00|$22.77|$15.42|$13.74|$13.74
"CPT® 85651"|"HB SEDIMENTATION RATE"|305.00|$70.00|$14.00|$49.56|$49.00||$31.99|$14.00|$49.56|$25.69|$32.69|$41.00|$39.55|$31.50|$39.00|$42.00|$27.02|$18.30|$16.30|$16.30
"CPT® 85999"|"HB SEZARY CELL PREP"|305.00|$252.00|$39.00|$178.42|$176.00||$115.16|$50.40|$178.42|$92.48|$117.68|$41.00|$142.38|$113.40|$39.00|$42.00|$97.27|$65.87|$58.69|$58.69
"CPT® 85660"|"HB SICKLE CELL SCREEN"|305.00|$87.00|$17.40|$61.60|$61.00||$39.76|$17.40|$61.60|$31.93|$40.63|$41.00|$49.16|$39.15|$39.00|$42.00|$33.58|$22.74|$20.26|$20.26
"CPT® 85810"|"HB VISCOSITY"|305.00|$167.00|$33.40|$118.24|$117.00||$76.32|$33.40|$118.24|$61.29|$77.99|$41.00|$94.36|$75.15|$39.00|$42.00|$64.46|$43.65|$38.89|$38.89
"CPT® 85652"|"HB SEDIMENTATION RATE, AUTOMATED"|305.00|$27.00|$5.40|$27.00|$19.00||$12.34|$5.40|$19.12|$9.91|$12.61|$27.00|$15.26|$12.15|$27.00|$27.00|$10.42|$7.06|$6.29|$6.29
"CPT® 85046"|"HB RETICULOCYTE HEMOGLOBIN EQUIVALENT"|305.00|$59.00|$11.80|$42.00|$41.00||$26.96|$11.80|$41.77|$21.65|$27.55|$41.00|$33.34|$26.55|$39.00|$42.00|$22.77|$15.42|$13.74|$13.74
"CPT® 85025"|"HB CBC ABSOLUTE NEUTROPHIL CT"|305.00|$133.00|$21.05|$94.16|$93.00||$21.05|$26.60|$94.16|$48.81|$62.11|$41.00|$75.15|$59.85|$39.00|$42.00|$51.34|$34.77|$30.98|$30.98
"CPT® 85385"|"HB FIBRINOGEN ANTIGEN"|305.00|$190.00|$38.00|$134.52|$133.00||$86.83|$38.00|$134.52|$69.73|$88.73|$41.00|$107.35|$85.50|$39.00|$42.00|$73.34|$49.67|$44.25|$44.25
"CPT® 85335"|"HB FACTOR IX INHIBITOR ASSAY, BETHESDA TITER"|305.00|$363.00|$39.00|$257.00|$254.00||$165.89|$72.60|$257.00|$133.22|$169.52|$41.00|$205.10|$163.35|$39.00|$42.00|$140.12|$94.89|$84.54|$84.54
"CPT® 85260"|"HB FACTOR X ASSAY"|305.00|$395.00|$39.00|$279.66|$276.00||$180.52|$79.00|$279.66|$144.97|$184.47|$41.00|$223.18|$177.75|$39.00|$42.00|$152.47|$103.25|$92.00|$92.00
"CPT® 85270"|"HB FACTOR XI ASSAY"|305.00|$381.00|$39.00|$269.75|$267.00||$174.12|$76.20|$269.75|$139.83|$177.93|$41.00|$215.27|$171.45|$39.00|$42.00|$147.07|$99.59|$88.73|$88.73
"CPT® 85280"|"HB FACTOR XII ASSAY"|305.00|$404.00|$39.00|$286.03|$283.00||$184.63|$80.80|$286.03|$148.27|$188.67|$41.00|$228.26|$181.80|$39.00|$42.00|$155.94|$105.61|$94.09|$94.09
"CPT® 85291"|"HB FACTOR XIII ASSAY"|305.00|$229.00|$39.00|$162.13|$160.00||$104.65|$45.80|$162.13|$84.04|$106.94|$41.00|$129.39|$103.05|$39.00|$42.00|$88.39|$59.86|$53.33|$53.33
"CPT® 85362"|"HB FIBRIN SPLIT PRODUCTS"|305.00|$248.00|$39.00|$175.58|$174.00||$113.34|$49.60|$175.58|$91.02|$115.82|$41.00|$140.12|$111.60|$39.00|$42.00|$95.73|$64.83|$57.76|$57.76
"CPT® 85384"|"HB FIBRINOGEN"|305.00|$56.00|$11.20|$42.00|$39.00||$25.59|$11.20|$39.65|$20.55|$26.15|$41.00|$31.64|$25.20|$39.00|$42.00|$21.62|$14.64|$13.04|$13.04
"CPT® 85576"|"HB PLATELET AGGREGATION EACH AGENT"|305.00|$154.00|$30.80|$109.03|$108.00||$70.38|$30.80|$109.03|$56.52|$71.92|$41.00|$87.01|$69.30|$39.00|$42.00|$59.44|$40.26|$35.87|$35.87
"CPT® 85576"|"HB PLATELET ASPIRIN ASSAY"|305.00|$314.00|$39.00|$222.31|$220.00||$143.50|$62.80|$222.31|$115.24|$146.64|$41.00|$177.41|$141.30|$39.00|$42.00|$121.20|$82.08|$73.13|$73.13
"CPT® 85576"|"HB PLATELET FUNCTION, COLLAGEN/ADP"|305.00|$170.00|$34.00|$120.36|$119.00||$77.69|$34.00|$120.36|$62.39|$79.39|$41.00|$96.05|$76.50|$39.00|$42.00|$65.62|$44.44|$39.59|$39.59
"CPT® 85576"|"HB PLATELET FUNCTION, COLLAGEN/EPI"|305.00|$170.00|$34.00|$120.36|$119.00||$77.69|$34.00|$120.36|$62.39|$79.39|$41.00|$96.05|$76.50|$39.00|$42.00|$65.62|$44.44|$39.59|$39.59
"CPT® 85576"|"HB PLATELET MAPPING, TEG, ADP"|305.00|$895.00|$39.00|$633.66|$626.00||$409.02|$179.00|$633.66|$328.47|$417.97|$41.00|$505.68|$402.75|$39.00|$42.00|$345.47|$233.95|$208.45|$208.45
"CPT® 85576"|"HB PLATELET MAPPING, TEG, ARACHIDONICA ACID"|305.00|$895.00|$39.00|$633.66|$626.00||$409.02|$179.00|$633.66|$328.47|$417.97|$41.00|$505.68|$402.75|$39.00|$42.00|$345.47|$233.95|$208.45|$208.45
"CPT® 85576"|"HB PLATELET RESPONSE TO PLAVIX (P2Y12) ASSAY"|305.00|$508.00|$39.00|$359.66|$356.00||$232.16|$101.60|$359.66|$186.44|$237.24|$41.00|$287.02|$228.60|$39.00|$42.00|$196.09|$132.79|$118.31|$118.31
"CPT® 85303"|"HB PROTEIN C ACTIVITY"|305.00|$390.00|$39.00|$276.12|$273.00||$178.23|$78.00|$276.12|$143.13|$182.13|$41.00|$220.35|$175.50|$39.00|$42.00|$150.54|$101.95|$90.83|$90.83
"CPT® 85302"|"HB PROTEIN C ANTIGEN"|305.00|$395.00|$39.00|$279.66|$276.00||$180.52|$79.00|$279.66|$144.97|$184.47|$41.00|$223.18|$177.75|$39.00|$42.00|$152.47|$103.25|$92.00|$92.00
"CPT® 85306"|"HB PROTEIN S ACTIVITY, FREE"|305.00|$584.00|$39.00|$413.47|$409.00||$266.89|$116.80|$413.47|$214.33|$272.73|$41.00|$329.96|$262.80|$39.00|$42.00|$225.42|$152.66|$136.01|$136.01
"CPT® 85306"|"HB PROTEIN S ANTIGEN"|305.00|$584.00|$39.00|$413.47|$409.00||$266.89|$116.80|$413.47|$214.33|$272.73|$41.00|$329.96|$262.80|$39.00|$42.00|$225.42|$152.66|$136.01|$136.01
"CPT® 85610"|"HB PROTHROMBIN TIME"|305.00|$101.00|$10.65|$71.51|$71.00||$10.65|$20.20|$71.51|$37.07|$47.17|$41.00|$57.07|$45.45|$39.00|$42.00|$38.99|$26.40|$23.52|$23.52
"CPT® 85610"|"HB PROTHROMBIN TIME MIXING STUDY"|305.00|$105.00|$10.65|$74.34|$74.00||$10.65|$21.00|$74.34|$38.54|$49.04|$41.00|$59.33|$47.25|$39.00|$42.00|$40.53|$27.45|$24.45|$24.45
"CPT® 85611"|"HB PROTHROMBIN SUBSTITUTION, PLASMA, EACH"|305.00|$55.00|$11.00|$42.00|$38.00||$25.14|$11.00|$38.94|$20.19|$25.69|$41.00|$31.08|$24.75|$39.00|$42.00|$21.23|$14.38|$12.81|$12.81
"CPT® 85245"|"HB RISTOCETIN COFACTOR"|305.00|$728.00|$39.00|$515.42|$510.00||$332.70|$145.60|$515.42|$267.18|$339.98|$41.00|$411.32|$327.60|$39.00|$42.00|$281.01|$190.30|$169.55|$169.55
"CPT® 85613"|"HB RUSSELL VIPER VENOM (LUPUS ANTICOAGULANT)"|305.00|$213.00|$39.00|$150.80|$149.00||$97.34|$42.60|$150.80|$78.17|$99.47|$41.00|$120.35|$95.85|$39.00|$42.00|$82.22|$55.68|$49.61|$49.61
"CPT® 85670"|"HB THROMBIN TIME"|305.00|$47.00|$9.40|$42.00|$33.00||$21.48|$9.40|$33.28|$17.25|$21.95|$41.00|$26.56|$21.15|$39.00|$42.00|$18.14|$12.29|$10.95|$10.95
"CPT® 85396"|"HB THROMBOELASTOGRAM ANALYSIS"|305.00|$204.00|$39.00|$144.43|$143.00||$93.23|$40.80|$144.43|$74.87|$95.27|$41.00|$115.26|$91.80|$39.00|$42.00|$78.74|$53.33|$47.51|$47.51
"CPT® 85246"|"HB VON WILLEBRAND ANTIGEN"|305.00|$187.00|$37.40|$132.40|$131.00||$85.46|$37.40|$132.40|$68.63|$87.33|$41.00|$105.66|$84.15|$39.00|$42.00|$72.18|$48.88|$43.55|$43.55
"CPT® 85396"|"HB THROMBOELASTOGRAM, RAPID - NATIVE"|305.00|$802.00|$39.00|$567.82|$561.00||$366.51|$160.40|$567.82|$294.33|$374.53|$41.00|$453.13|$360.90|$39.00|$42.00|$309.57|$209.64|$186.79|$186.79
"CPT® 85396"|"HB THROMBOELASTOGRAM, RAPID - NATIVE W/ HEPARINASE"|305.00|$1008.00|$39.00|$713.66|$706.00||$460.66|$201.60|$713.66|$369.94|$470.74|$41.00|$569.52|$453.60|$39.00|$42.00|$389.09|$263.49|$234.76|$234.76
"CPT® 85520"|"HB ANTI-XA ASSAY-APIXABAN"|305.00|$434.00|$39.00|$307.27|$304.00||$198.34|$86.80|$307.27|$159.28|$202.68|$41.00|$245.21|$195.30|$39.00|$42.00|$167.52|$113.45|$101.08|$101.08
"CPT® 85520"|"HB ANTI XA ASSAY ARIXTRA"|305.00|$434.00|$39.00|$307.27|$304.00||$198.34|$86.80|$307.27|$159.28|$202.68|$41.00|$245.21|$195.30|$39.00|$42.00|$167.52|$113.45|$101.08|$101.08
"CPT® 85520"|"HB ANTI XA LOVENOX"|305.00|$434.00|$39.00|$307.27|$304.00||$198.34|$86.80|$307.27|$159.28|$202.68|$41.00|$245.21|$195.30|$39.00|$42.00|$167.52|$113.45|$101.08|$101.08
"CPT® 85520"|"HB ANTI XA ASSAY FRAGMIN"|305.00|$434.00|$39.00|$307.27|$304.00||$198.34|$86.80|$307.27|$159.28|$202.68|$41.00|$245.21|$195.30|$39.00|$42.00|$167.52|$113.45|$101.08|$101.08
"CPT® 85520"|"HB ANTI XA ASSAY RIVAROXABAN"|305.00|$434.00|$39.00|$307.27|$304.00||$198.34|$86.80|$307.27|$159.28|$202.68|$41.00|$245.21|$195.30|$39.00|$42.00|$167.52|$113.45|$101.08|$101.08
"CPT® 85670"|"HB DIRECT THROMBIN INHIBITOR ASSAY"|305.00|$297.00|$39.00|$210.28|$208.00||$135.73|$59.40|$210.28|$109.00|$138.70|$41.00|$167.81|$133.65|$39.00|$42.00|$114.64|$77.64|$69.17|$69.17
"CPT® 85290"|"HB FACTOR XIII ANTIGEN"|305.00|$244.00|$39.00|$172.75|$171.00||$111.51|$48.80|$172.75|$89.55|$113.95|$41.00|$137.86|$109.80|$39.00|$42.00|$94.18|$63.78|$56.83|$56.83
"CPT® 85396"|"HB THROMBOELASTOMETRY, EXTEM"|305.00|$319.00|$39.00|$225.85|$223.00||$145.78|$63.80|$225.85|$117.07|$148.97|$41.00|$180.24|$143.55|$39.00|$42.00|$123.13|$83.39|$74.30|$74.30
"CPT® 85396"|"HB THROMBOELASTOMETRY, INTEM"|305.00|$319.00|$39.00|$225.85|$223.00||$145.78|$63.80|$225.85|$117.07|$148.97|$41.00|$180.24|$143.55|$39.00|$42.00|$123.13|$83.39|$74.30|$74.30
"CPT® 85396"|"HB THROMBOELASTOMETRY, FIBTEM"|305.00|$500.00|$39.00|$354.00|$350.00||$228.50|$100.00|$354.00|$183.50|$233.50|$41.00|$282.50|$225.00|$39.00|$42.00|$193.00|$130.70|$116.45|$116.45
"CPT® 85396"|"HB THROMBOELASTOMETRY, HEPTEM"|305.00|$428.00|$39.00|$303.02|$300.00||$195.60|$85.60|$303.02|$157.08|$199.88|$41.00|$241.82|$192.60|$39.00|$42.00|$165.21|$111.88|$99.68|$99.68
"CPT® 85396"|"HB THROMBOELASTOMETRY, APTEM"|305.00|$428.00|$39.00|$303.02|$300.00||$195.60|$85.60|$303.02|$157.08|$199.88|$41.00|$241.82|$192.60|$39.00|$42.00|$165.21|$111.88|$99.68|$99.68
"CPT® 85397"|"HB ADAMTS 13 ACTIVITY"|305.00|$1290.00|$39.00|$913.32|$903.00||$589.53|$258.00|$913.32|$473.43|$602.43|$41.00|$728.85|$580.50|$39.00|$42.00|$497.94|$337.21|$300.44|$300.44
"CPT® 85301"|"HB ANTITHROMBIN III ANTIGEN"|305.00|$237.00|$39.00|$167.80|$166.00||$108.31|$47.40|$167.80|$86.98|$110.68|$41.00|$133.91|$106.65|$39.00|$42.00|$91.48|$61.95|$55.20|$55.20
"CPT® 85549"|"HB MURAMIDASE (LYSOZYME), SERUM"|305.00|$204.00|$39.00|$144.43|$143.00||$93.23|$40.80|$144.43|$74.87|$95.27|$41.00|$115.26|$91.80|$39.00|$42.00|$78.74|$53.33|$47.51|$47.51
"CPT® 85415"|"HB PLASMINOGEN ACTIVATOR INHIBITOR(PAI-1) ACTIVITY"|305.00|$579.00|$39.00|$409.93|$405.00||$264.60|$115.80|$409.93|$212.49|$270.39|$41.00|$327.14|$260.55|$39.00|$42.00|$223.49|$151.35|$134.85|$134.85
"CPT® 85240"|"HB VW PANEL-FACTOR VIII, 1-STAGE"|305.00|$479.00|$39.00|$339.13|$335.00||$218.90|$95.80|$339.13|$175.79|$223.69|$41.00|$270.64|$215.55|$39.00|$42.00|$184.89|$125.21|$111.56|$111.56
"CPT® 85245"|"HB VW PANEL-FACTOR VIII, VW FACTOR, RISTOCETIN COFACTOR"|305.00|$382.00|$39.00|$270.46|$267.00||$174.57|$76.40|$270.46|$140.19|$178.39|$41.00|$215.83|$171.90|$39.00|$42.00|$147.45|$99.85|$88.97|$88.97
"CPT® 85246"|"HB VW PANEL-FACTOR VIII, VW FACTOR ANTIGEN"|305.00|$382.00|$39.00|$270.46|$267.00||$174.57|$76.40|$270.46|$140.19|$178.39|$41.00|$215.83|$171.90|$39.00|$42.00|$147.45|$99.85|$88.97|$88.97
"CPT® 85247"|"HB VW PANEL-FACTOR VIII, VW FACTOR, MULTIMETRIC ANALYSIS"|305.00|$382.00|$39.00|$270.46|$267.00||$174.57|$76.40|$270.46|$140.19|$178.39|$41.00|$215.83|$171.90|$39.00|$42.00|$147.45|$99.85|$88.97|$88.97
"CPT® 85730"|"HB VW PANEL-PARTIAL THROMBOPLASTIN TIME"|305.00|$171.00|$16.23|$121.07|$120.00||$16.23|$34.20|$121.07|$62.76|$79.86|$41.00|$96.62|$76.95|$39.00|$42.00|$66.01|$44.70|$39.83|$39.83
"CPT® 85247"|"HB VONWILLEBRAND FACTOR, MULTIMERIC ANALYSIS"|305.00|$508.00|$39.00|$359.66|$356.00||$232.16|$101.60|$359.66|$186.44|$237.24|$41.00|$287.02|$228.60|$39.00|$42.00|$196.09|$132.79|$118.31|$118.31
"CPT® 85305"|"HB PROTEIN S ANTIGEN, TOTAL"|305.00|$76.00|$15.20|$53.81|$53.00||$34.73|$15.20|$53.81|$27.89|$35.49|$41.00|$42.94|$34.20|$39.00|$42.00|$29.34|$19.87|$17.70|$17.70
"CPT® 85245"|"HB RISTOCETIN COFACTOR"|305.00|$127.00|$25.40|$89.92|$89.00||$58.04|$25.40|$89.92|$46.61|$59.31|$41.00|$71.76|$57.15|$39.00|$42.00|$49.02|$33.20|$29.58|$29.58
"CPT® 85549"|"HB LYSOZYME, SERUM"|305.00|$341.00|$39.00|$241.43|$239.00||$155.84|$68.20|$241.43|$125.15|$159.25|$41.00|$192.67|$153.45|$39.00|$42.00|$131.63|$89.14|$79.42|$79.42
"CPT® 82542"|"HB HEPARIN INDUCED PLATELET W/REFLEX SEROTONIN"|305.00|$1154.00|$39.00|$817.03|$808.00||$527.38|$230.80|$817.03|$423.52|$538.92|$41.00|$652.01|$519.30|$39.00|$42.00|$445.44|$301.66|$268.77|$268.77
"CPT® 85335"|"HB ADAMTS13 EVALUATION, INHIBITOR (REFLEX)"|305.00|$1283.00|$39.00|$908.36|$898.00||$586.33|$256.60|$908.36|$470.86|$599.16|$41.00|$724.90|$577.35|$39.00|$42.00|$495.24|$335.38|$298.81|$298.81
"CPT® 85347"|"HB ACTIVATED CLOTTING TIME"|305.00|$76.00|$15.20|$53.81|$53.00||$34.73|$15.20|$53.81|$27.89|$35.49|$41.00|$42.94|$34.20|$39.00|$42.00|$29.34|$19.87|$17.70|$17.70
"CPT® 85347"|"HB ACTIVATED CLOTTING TIME, HEMOCHRON (POC)"|305.00|$104.00|$20.80|$73.63|$73.00||$47.53|$20.80|$73.63|$38.17|$48.57|$41.00|$58.76|$46.80|$39.00|$42.00|$40.14|$27.19|$24.22|$24.22
"CPT® 85018"|"HB HEMOGLOBIN, TOTAL, AVOXIMETER (POC)"|305.00|$52.00|$10.40|$42.00|$36.00||$23.76|$10.40|$36.82|$19.08|$24.28|$41.00|$29.38|$23.40|$39.00|$42.00|$20.07|$13.59|$12.11|$12.11
"CPT® 85420"|"HB PLASMINOGEN ACTIVITY"|305.00|$558.00|$39.00|$395.06|$391.00||$255.01|$111.60|$395.06|$204.79|$260.59|$41.00|$315.27|$251.10|$39.00|$42.00|$215.39|$145.86|$129.96|$129.96
"CPT® 83520"|"HB PROTHROMBIN TIME 1 + 2"|305.00|$831.00|$39.00|$588.35|$582.00||$379.77|$166.20|$588.35|$304.98|$388.08|$41.00|$469.52|$373.95|$39.00|$42.00|$320.77|$217.22|$193.54|$193.54
"CPT® 83520"|"HB TUMOR NECROSIS FACTOR-ALPHA, HS"|305.00|$863.00|$39.00|$611.00|$604.00||$394.39|$172.60|$611.00|$316.72|$403.02|$41.00|$487.60|$388.35|$39.00|$42.00|$333.12|$225.59|$200.99|$200.99
"CPT® 85705"|"HB DILUTE PROTHROMBIN TIME"|305.00|$212.00|$39.00|$150.10|$148.00||$96.88|$42.40|$150.10|$77.80|$99.00|$41.00|$119.78|$95.40|$39.00|$42.00|$81.83|$55.42|$49.37|$49.37
"CPT® 85240"|"HB FACTOR VIII INHIBITOR PANEL, FACTOR VIII ASSAY"|305.00|$104.00|$20.80|$73.63|$73.00||$47.53|$20.80|$73.63|$38.17|$48.57|$41.00|$58.76|$46.80|$39.00|$42.00|$40.14|$27.19|$24.22|$24.22
"CPT® 85730"|"HB FACTOR VIII INHIBITOR PANEL, PTT"|305.00|$39.00|$7.80|$39.00|$27.00||$16.23|$7.80|$27.61|$14.31|$18.21|$39.00|$22.04|$17.55|$39.00|$39.00|$15.05|$10.19|$9.08|$9.08
"CPT® 85732"|"HB FACTOR VIII INHIBITOR PANEL, PTT SUBSTITUTION"|305.00|$41.00|$8.20|$41.00|$29.00||$18.74|$8.20|$29.03|$15.05|$19.15|$41.00|$23.17|$18.45|$39.00|$41.00|$15.83|$10.72|$9.55|$9.55
"CPT® 85540"|"HB LEUKOCYTE ALKALINE PHOSPHATASE SCORE"|305.00|$54.00|$10.80|$42.00|$38.00||$24.68|$10.80|$38.23|$19.82|$25.22|$41.00|$30.51|$24.30|$39.00|$42.00|$20.84|$14.12|$12.58|$12.58
"CPT® 85014"|"HB HEMATOCRIT, BLOOD (BG)"|305.00|$44.00|$8.80|$42.00|$31.00||$20.11|$8.80|$31.15|$16.15|$20.55|$41.00|$24.86|$19.80|$39.00|$42.00|$16.98|$11.50|$10.25|$10.25
"CPT® 85014"|"HB HEMATOCRIT, BLOOD (MOD-59) (BG)"|305.00|$44.00|$8.80|$42.00|$31.00||$20.11|$8.80|$31.15|$16.15|$20.55|$41.00|$24.86|$19.80|$39.00|$42.00|$16.98|$11.50|$10.25|$10.25
"CPT® 85018"|"HB HEMOGLOBIN, BLOOD (BG)"|305.00|$47.00|$9.40|$42.00|$33.00||$21.48|$9.40|$33.28|$17.25|$21.95|$41.00|$26.56|$21.15|$39.00|$42.00|$18.14|$12.29|$10.95|$10.95
"CPT® 85018"|"HB HEMOGLOBIN, BLOOD (MOD 59) (BG)"|305.00|$47.00|$9.40|$42.00|$33.00||$21.48|$9.40|$33.28|$17.25|$21.95|$41.00|$26.56|$21.15|$39.00|$42.00|$18.14|$12.29|$10.95|$10.95
"CPT® 85660"|"HB SICKLE CELL SCREEN"|305.00|$28.00|$5.60|$28.00|$20.00||$12.80|$5.60|$19.82|$10.28|$13.08|$28.00|$15.82|$12.60|$28.00|$28.00|$10.81|$7.32|$6.52|$6.52
"CPT® 85025"|"HB CBC ABSOLUTE NEUTROPHIL CT"|305.00|$133.00|$21.05|$94.16|$93.00||$21.05|$26.60|$94.16|$48.81|$62.11|$41.00|$75.15|$59.85|$39.00|$42.00|$51.34|$34.77|$30.98|$30.98
"CPT® 85007"|"HB DIFFERENTIAL, MANUAL"|305.00|$93.00|$18.60|$65.84|$65.00||$42.50|$18.60|$65.84|$34.13|$43.43|$41.00|$52.55|$41.85|$39.00|$42.00|$35.90|$24.31|$21.66|$21.66
"CPT® 85041"|"HB RED BLOOD CELL COUNT"|305.00|$60.00|$12.00|$42.48|$42.00||$27.42|$12.00|$42.48|$22.02|$28.02|$41.00|$33.90|$27.00|$39.00|$42.00|$23.16|$15.68|$13.97|$13.97
"CPT® 85018"|"HB HEMOGLOBIN"|305.00|$77.00|$15.40|$54.52|$54.00||$35.19|$15.40|$54.52|$28.26|$35.96|$41.00|$43.51|$34.65|$39.00|$42.00|$29.72|$20.13|$17.93|$17.93
"CPT® 85014"|"HB HEMATOCRIT"|305.00|$68.00|$13.60|$48.14|$48.00||$31.08|$13.60|$48.14|$24.96|$31.76|$41.00|$38.42|$30.60|$39.00|$42.00|$26.25|$17.78|$15.84|$15.84
"CPT® 85049"|"HB PLATELET COUNT"|305.00|$111.00|$22.20|$78.59|$78.00||$50.73|$22.20|$78.59|$40.74|$51.84|$41.00|$62.72|$49.95|$39.00|$42.00|$42.85|$29.02|$25.85|$25.85
"CPT® 85045"|"HB RETICULOCYTE COUNT, AUTOMATED"|305.00|$167.00|$33.40|$118.24|$117.00||$76.32|$33.40|$118.24|$61.29|$77.99|$41.00|$94.36|$75.15|$39.00|$42.00|$64.46|$43.65|$38.89|$38.89
"CPT® 85044"|"HB RETICULOCYTE COUNT, MANUAL"|305.00|$107.00|$21.40|$75.76|$75.00||$48.90|$21.40|$75.76|$39.27|$49.97|$53.50|$60.46|$48.15|$39.00|$42.00|$41.30|$27.97|$24.92|$24.92
"CPT® 85032"|"HB EOSINOPHIL COUNT"|305.00|$108.00|$21.60|$76.46|$76.00||$49.36|$21.60|$76.46|$39.64|$50.44|$41.00|$61.02|$48.60|$39.00|$42.00|$41.69|$28.23|$25.15|$25.15
"CPT® 85540"|"HB LEUKOCYTE ALKALINE PHOSPHATASE"|305.00|$323.00|$39.00|$228.68|$226.00||$147.61|$64.60|$228.68|$118.54|$150.84|$41.00|$182.50|$145.35|$39.00|$42.00|$124.68|$84.43|$75.23|$75.23
"CPT® 85652"|"HB SEDIMENTATION RATE"|305.00|$126.00|$25.20|$89.21|$88.00||$57.58|$25.20|$89.21|$46.24|$58.84|$41.00|$71.19|$56.70|$39.00|$42.00|$48.64|$32.94|$29.35|$29.35
"CPT® 85610"|"HB PROTHROMBIN TIME"|305.00|$105.00|$10.65|$74.34|$74.00||$10.65|$21.00|$74.34|$38.54|$49.04|$41.00|$59.33|$47.25|$39.00|$42.00|$40.53|$27.45|$24.45|$24.45
"CPT® 85730"|"HB PARTIAL THROMBOPLASTIN TIME"|305.00|$152.00|$16.23|$107.62|$106.00||$16.23|$30.40|$107.62|$55.78|$70.98|$41.00|$85.88|$68.40|$39.00|$42.00|$58.67|$39.73|$35.40|$35.40
"CPT® 85384"|"HB FIBRINOGEN"|305.00|$189.00|$37.80|$133.81|$132.00||$86.37|$37.80|$133.81|$69.36|$88.26|$41.00|$106.79|$85.05|$39.00|$42.00|$72.95|$49.40|$44.02|$44.02
"CPT® 85670"|"HB THROMBIN TIME"|305.00|$138.00|$27.60|$97.70|$97.00||$63.07|$27.60|$97.70|$50.65|$64.45|$41.00|$77.97|$62.10|$39.00|$42.00|$53.27|$36.07|$32.14|$32.14
"CPT® 85378"|"HB D-DIMER, QUANTITATIVE"|305.00|$116.00|$23.20|$82.13|$81.00||$53.01|$23.20|$82.13|$42.57|$54.17|$41.00|$65.54|$52.20|$39.00|$42.00|$44.78|$30.32|$27.02|$27.02
"CPT® 85378"|"HB D-DIMER, OB LATEX"|305.00|$254.00|$39.00|$179.83|$178.00||$116.08|$50.80|$179.83|$93.22|$118.62|$41.00|$143.51|$114.30|$39.00|$42.00|$98.04|$66.40|$59.16|$59.16
"CPT® 85362"|"HB FIBRIN SPLIT PRODUCTS"|305.00|$197.00|$39.00|$139.48|$138.00||$90.03|$39.40|$139.48|$72.30|$92.00|$41.00|$111.31|$88.65|$39.00|$42.00|$76.04|$51.50|$45.88|$45.88
"CPT® 85576"|"HB COLLAGEN ADP"|305.00|$565.00|$39.00|$400.02|$396.00||$258.21|$113.00|$400.02|$207.36|$263.86|$41.00|$319.23|$254.25|$39.00|$42.00|$218.09|$147.69|$131.59|$131.59
"CPT® 85576"|"HB COLLAGEN EPINEPHRINE"|305.00|$565.00|$39.00|$400.02|$396.00||$258.21|$113.00|$400.02|$207.36|$263.86|$41.00|$319.23|$254.25|$39.00|$42.00|$218.09|$147.69|$131.59|$131.59
"CPT® 85576"|"HB PLATELET ASPIRIN ASSAY"|305.00|$565.00|$39.00|$400.02|$396.00||$258.21|$113.00|$400.02|$207.36|$263.86|$41.00|$319.23|$254.25|$39.00|$42.00|$218.09|$147.69|$131.59|$131.59
"CPT® 85576"|"HB PLAVIX P2Y12 ASSAY"|305.00|$565.00|$39.00|$400.02|$396.00||$258.21|$113.00|$400.02|$207.36|$263.86|$41.00|$319.23|$254.25|$39.00|$42.00|$218.09|$147.69|$131.59|$131.59
"CPT® 85013"|"HB FLUID HEMATOCRIT"|305.00|$77.00|$15.40|$54.52|$54.00||$35.19|$15.40|$54.52|$28.26|$35.96|$41.00|$43.51|$34.65|$39.00|$42.00|$29.72|$20.13|$17.93|$17.93
"CPT® 85549"|"HB LYSOZYME, SERUM"|305.00|$366.00|$39.00|$259.13|$256.00||$167.26|$73.20|$259.13|$134.32|$170.92|$41.00|$206.79|$164.70|$39.00|$42.00|$141.28|$95.67|$85.24|$85.24
"CPT® 85307"|"HB ACTIVATED PROTEIN C RESISTANCE"|305.00|$177.00|$35.40|$125.32|$124.00||$80.89|$35.40|$125.32|$64.96|$82.66|$41.00|$100.01|$79.65|$39.00|$42.00|$68.32|$46.27|$41.22|$41.22
"CPT® 85520"|"HB ANTI XA ASSAY-UNFRACTIONATED HEPARIN"|305.00|$434.00|$39.00|$307.27|$304.00||$198.34|$86.80|$307.27|$159.28|$202.68|$41.00|$245.21|$195.30|$39.00|$42.00|$167.52|$113.45|$101.08|$101.08
"CPT® 85210"|"HB FACTOR II ACTIVITY"|305.00|$452.00|$39.00|$320.02|$316.00||$206.56|$90.40|$320.02|$165.88|$211.08|$41.00|$255.38|$203.40|$39.00|$42.00|$174.47|$118.15|$105.27|$105.27
"CPT® 85220"|"HB FACTOR V ACTIVITY"|305.00|$452.00|$39.00|$320.02|$316.00||$206.56|$90.40|$320.02|$165.88|$211.08|$41.00|$255.38|$203.40|$39.00|$42.00|$174.47|$118.15|$105.27|$105.27
"CPT® 85230"|"HB FACTOR VII ACTIVITY"|305.00|$624.00|$39.00|$441.79|$437.00||$285.17|$124.80|$441.79|$229.01|$291.41|$41.00|$352.56|$280.80|$39.00|$42.00|$240.86|$163.11|$145.33|$145.33
"CPT® 85220"|"HB FACTOR V ASSAY"|305.00|$452.00|$39.00|$320.02|$316.00||$206.56|$90.40|$320.02|$165.88|$211.08|$41.00|$255.38|$203.40|$39.00|$42.00|$174.47|$118.15|$105.27|$105.27
"CPT® 85230"|"HB FACTOR VII ASSAY"|305.00|$637.00|$39.00|$451.00|$446.00||$291.11|$127.40|$451.00|$233.78|$297.48|$41.00|$359.91|$286.65|$39.00|$42.00|$245.88|$166.51|$148.36|$148.36
"CPT® 85240"|"HB FACTOR VIII ASSAY"|305.00|$671.00|$39.00|$475.07|$470.00||$306.65|$134.20|$475.07|$246.26|$313.36|$41.00|$379.12|$301.95|$39.00|$42.00|$259.01|$175.40|$156.28|$156.28
"CPT® 85250"|"HB FACTOR IX ASSAY"|305.00|$671.00|$39.00|$475.07|$470.00||$306.65|$134.20|$475.07|$246.26|$313.36|$41.00|$379.12|$301.95|$39.00|$42.00|$259.01|$175.40|$156.28|$156.28
"CPT® 85260"|"HB FACTOR X ASSAY"|305.00|$637.00|$39.00|$451.00|$446.00||$291.11|$127.40|$451.00|$233.78|$297.48|$41.00|$359.91|$286.65|$39.00|$42.00|$245.88|$166.51|$148.36|$148.36
"CPT® 85270"|"HB FACTOR XI ASSAY"|305.00|$671.00|$39.00|$475.07|$470.00||$306.65|$134.20|$475.07|$246.26|$313.36|$41.00|$379.12|$301.95|$39.00|$42.00|$259.01|$175.40|$156.28|$156.28
"CPT® 85280"|"HB FACTOR XII ASSAY"|305.00|$738.00|$39.00|$522.50|$517.00||$337.27|$147.60|$522.50|$270.85|$344.65|$41.00|$416.97|$332.10|$39.00|$42.00|$284.87|$192.91|$171.88|$171.88
"CPT® 85290"|"HB FACTOR XIII ASSAY"|305.00|$240.00|$39.00|$169.92|$168.00||$109.68|$48.00|$169.92|$88.08|$112.08|$41.00|$135.60|$108.00|$39.00|$42.00|$92.64|$62.74|$55.90|$55.90
"CPT® 85244"|"HB FACTOR VIII RELATED ANTIGEN"|305.00|$536.00|$39.00|$379.49|$375.00||$244.95|$107.20|$379.49|$196.71|$250.31|$268.00|$302.84|$241.20|$39.00|$42.00|$206.90|$140.11|$124.83|$124.83
"CPT® 85335"|"HB FACTOR XIII INHIBITOR TEST"|305.00|$114.00|$22.80|$80.71|$80.00||$52.10|$22.80|$80.71|$41.84|$53.24|$41.00|$64.41|$51.30|$39.00|$42.00|$44.00|$29.80|$26.55|$26.55
"CPT® 85290"|"HB FACTOR XIII STABILIZING FACTOR"|305.00|$130.00|$26.00|$92.04|$91.00||$59.41|$26.00|$92.04|$47.71|$60.71|$41.00|$73.45|$58.50|$39.00|$42.00|$50.18|$33.98|$30.28|$30.28
"CPT® 85613"|"HB LUPUS ANTICOAGULANT"|305.00|$224.00|$39.00|$158.59|$157.00||$102.37|$44.80|$158.59|$82.21|$104.61|$41.00|$126.56|$100.80|$39.00|$42.00|$86.46|$58.55|$52.17|$52.17
"CPT® 85730"|"HB PARTIAL THROMBOPLASTIN TIME"|305.00|$152.00|$16.23|$107.62|$106.00||$16.23|$30.40|$107.62|$55.78|$70.98|$41.00|$85.88|$68.40|$39.00|$42.00|$58.67|$39.73|$35.40|$35.40
"CPT® 85420"|"HB PLASMINOGEN ACTIVITY, TISSUE"|305.00|$66.00|$13.20|$46.73|$46.00||$30.16|$13.20|$46.73|$24.22|$30.82|$41.00|$37.29|$29.70|$39.00|$42.00|$25.48|$17.25|$15.37|$15.37
"CPT® 85576"|"HB PLATELET AGGREGATION"|305.00|$490.00|$39.00|$346.92|$343.00||$223.93|$98.00|$346.92|$179.83|$228.83|$41.00|$276.85|$220.50|$39.00|$42.00|$189.14|$128.09|$114.12|$114.12
"CPT® 85303"|"HB PROTEIN C ACTIVITY"|305.00|$606.00|$39.00|$429.05|$424.00||$276.94|$121.20|$429.05|$222.40|$283.00|$41.00|$342.39|$272.70|$39.00|$42.00|$233.92|$158.41|$141.14|$141.14
"CPT® 85302"|"HB PROTEIN C ANTIGEN, TOTAL"|305.00|$449.00|$39.00|$317.89|$314.00||$205.19|$89.80|$317.89|$164.78|$209.68|$41.00|$253.69|$202.05|$39.00|$42.00|$173.31|$117.37|$104.57|$104.57
"CPT® 85305"|"HB PROTEIN S ACTIVITY W/REFLEX"|305.00|$530.00|$39.00|$375.24|$371.00||$242.21|$106.00|$375.24|$194.51|$247.51|$41.00|$299.45|$238.50|$39.00|$42.00|$204.58|$138.54|$123.44|$123.44
"CPT® 85306"|"HB PROTEIN S ANTIGEN, FREE"|305.00|$177.00|$35.40|$125.32|$124.00||$80.89|$35.40|$125.32|$64.96|$82.66|$41.00|$100.01|$79.65|$39.00|$42.00|$68.32|$46.27|$41.22|$41.22
"CPT® 85305"|"HB PROTEIN S ANTIGEN, TOTAL"|305.00|$519.00|$39.00|$367.45|$363.00||$237.18|$103.80|$367.45|$190.47|$242.37|$41.00|$293.24|$233.55|$39.00|$42.00|$200.33|$135.67|$120.88|$120.88
"CPT® 85611"|"HB PROTHROMBIN TIME MIXING STUDY"|305.00|$605.00|$39.00|$428.34|$424.00||$276.49|$121.00|$428.34|$222.04|$282.54|$41.00|$341.83|$272.25|$39.00|$42.00|$233.53|$158.15|$140.90|$140.90
"CPT® 85300"|"HB THROMBIN III ACTIVITY"|305.00|$388.00|$39.00|$274.70|$272.00||$177.32|$77.60|$274.70|$142.40|$181.20|$41.00|$219.22|$174.60|$39.00|$42.00|$149.77|$101.42|$90.37|$90.37
"CPT® 85301"|"HB THROMBIN III ANTIGEN"|305.00|$338.00|$39.00|$239.30|$237.00||$154.47|$67.60|$239.30|$124.05|$157.85|$41.00|$190.97|$152.10|$39.00|$42.00|$130.47|$88.35|$78.72|$78.72
"CPT® 85245"|"HB VON WILLEBRAND FACTOR ACTIVITY"|305.00|$165.00|$33.00|$116.82|$115.00||$75.41|$33.00|$116.82|$60.56|$77.06|$41.00|$93.23|$74.25|$39.00|$42.00|$63.69|$43.13|$38.43|$38.43
"CPT® 85441"|"HB HEINZ BODY TEST"|305.00|$170.00|$34.00|$120.36|$119.00||$77.69|$34.00|$120.36|$62.39|$79.39|$41.00|$96.05|$76.50|$39.00|$42.00|$65.62|$44.44|$39.59|$39.59
"CPT® 85461"|"HB FETAL HEMORRHAGE SCREEN"|305.00|$98.00|$19.60|$69.38|$69.00||$44.79|$19.60|$69.38|$35.97|$45.77|$41.00|$55.37|$44.10|$39.00|$42.00|$37.83|$25.62|$22.82|$22.82
"CPT® 85027"|"HB CBC W/O DIFFERENTIAL"|305.00|$141.00|$28.20|$99.83|$99.00||$64.44|$28.20|$99.83|$51.75|$65.85|$41.00|$79.67|$63.45|$39.00|$42.00|$54.43|$36.86|$32.84|$32.84
"CPT® 85025"|"HB CBC W/ AUTOMATED DIFFERENTIAL"|305.00|$164.00|$21.05|$116.11|$115.00||$21.05|$32.80|$116.11|$60.19|$76.59|$41.00|$92.66|$73.80|$39.00|$42.00|$63.30|$42.87|$38.20|$38.20
"CPT® 85048"|"HB WHITE BLOOD CELL COUNT"|305.00|$94.00|$18.80|$66.55|$66.00||$42.96|$18.80|$66.55|$34.50|$43.90|$41.00|$53.11|$42.30|$39.00|$42.00|$36.28|$24.57|$21.89|$21.89
"CPT® 85055"|"HB RETICULATED PLATELET COUNT"|305.00|$37.00|$7.40|$37.00|$26.00||$16.91|$7.40|$26.20|$13.58|$17.28|$37.00|$20.91|$16.65|$37.00|$37.00|$14.28|$9.67|$8.62|$8.62
"CPT® 85610"|"HB PROTHROMBIN TIME, WHOLE BLOOD, POC"|305.00|$105.00|$10.65|$74.34|$74.00||$10.65|$21.00|$74.34|$38.54|$49.04|$41.00|$59.33|$47.25|$39.00|$42.00|$40.53|$27.45|$24.45|$24.45
"CPT® 85018"|"HB HEMOGLOBIN"|305.00|$77.00|$15.40|$54.52|$54.00||$35.19|$15.40|$54.52|$28.26|$35.96|$41.00|$43.51|$34.65|$39.00|$42.00|$29.72|$20.13|$17.93|$17.93
"CPT® 85378"|"HB D-DIMER (POCT)"|305.00|$254.00|$39.00|$179.83|$178.00||$116.08|$50.80|$179.83|$93.22|$118.62|$41.00|$143.51|$114.30|$39.00|$42.00|$98.04|$66.40|$59.16|$59.16
"CPT® 87801"|"HB BACTERIAL/FUNGAL DNA SCREEN"|306.00|$555.00|$39.00|$392.94|$388.00||$253.64|$111.00|$392.94|$203.69|$259.19|$41.00|$313.58|$249.75|$39.00|$42.00|$214.23|$145.08|$129.26|$129.26
"CPT® 87149"|"HB KPC PCR CONFIRMATION"|306.00|$424.00|$39.00|$300.19|$297.00||$193.77|$84.80|$300.19|$155.61|$198.01|$41.00|$239.56|$190.80|$39.00|$42.00|$163.66|$110.83|$98.75|$98.75
"CPT® 87081"|"HB MRSA SCREEN BY CULTURE"|306.00|$39.00|$7.80|$39.00|$27.00||$17.82|$7.80|$27.61|$14.31|$18.21|$39.00|$22.04|$17.55|$39.00|$39.00|$15.05|$10.19|$9.08|$9.08
"CPT® 87641"|"HB MRSA SCREEN BY PCR"|306.00|$324.00|$39.00|$229.39|$227.00||$148.07|$64.80|$229.39|$118.91|$151.31|$41.00|$183.06|$145.80|$39.00|$42.00|$125.06|$84.69|$75.46|$75.46
"CPT® 87077"|"HB ORGANISM ID"|306.00|$46.00|$9.20|$42.00|$32.00||$21.02|$9.20|$32.57|$16.88|$21.48|$41.00|$25.99|$20.70|$39.00|$42.00|$17.76|$12.02|$10.71|$10.71
"CPT® 87153"|"HB ORGANISM ID BY 16 S SEQ"|306.00|$518.00|$39.00|$366.74|$363.00||$236.73|$103.60|$366.74|$190.11|$241.91|$41.00|$292.67|$233.10|$39.00|$42.00|$199.95|$135.41|$120.64|$120.64
"CPT® 87070"|"HB PRE-PROSTATE RECTAL BIOPSY CULTURE"|306.00|$58.00|$11.60|$42.00|$41.00||$26.51|$11.60|$41.06|$21.29|$27.09|$41.00|$32.77|$26.10|$39.00|$42.00|$22.39|$15.16|$13.51|$13.51
"CPT® 87184"|"HB SUSCEPTIBILITY, KIRBY BAUER"|306.00|$14.00|$2.80|$14.00|$10.00||$6.40|$2.80|$9.91|$5.14|$6.54|$14.00|$7.91|$6.30|$14.00|$14.00|$5.40|$3.66|$3.26|$3.26
"CPT® 87081"|"HB VRE SCREENING CULTURE"|306.00|$25.00|$5.00|$25.00|$18.00||$11.43|$5.00|$17.70|$9.18|$11.68|$25.00|$14.13|$11.25|$25.00|$25.00|$9.65|$6.54|$5.82|$5.82
"CPT® 87152"|"HB PULSED FIELD GEL ELECTROPHORES"|306.00|$246.00|$39.00|$174.17|$172.00||$112.42|$49.20|$174.17|$90.28|$114.88|$123.00|$138.99|$110.70|$39.00|$42.00|$94.96|$64.30|$57.29|$57.29
"CPT® 87798"|"HB NOROVIRUS RNA, QUALITATIVE PCR"|306.00|$846.00|$39.00|$598.97|$592.00||$386.62|$169.20|$598.97|$310.48|$395.08|$41.00|$477.99|$380.70|$39.00|$42.00|$326.56|$221.14|$197.03|$197.03
"CPT® 87081"|"HB BACTERIAL CULTURE SCREEN FOR ESBL"|306.00|$117.00|$23.40|$82.84|$82.00||$53.47|$23.40|$82.84|$42.94|$54.64|$41.00|$66.11|$52.65|$39.00|$42.00|$45.16|$30.58|$27.25|$27.25
"CPT® 87631"|"HB INFLUENZA A, B, RSV (RAPID PCR)"|306.00|$821.00|$39.00|$581.27|$575.00||$375.20|$164.20|$581.27|$301.31|$383.41|$41.00|$463.87|$369.45|$39.00|$42.00|$316.91|$214.61|$191.21|$191.21
"CPT® 87641"|"HB RESPIRATORY STAPHYLOCOCCUS PCR SCREEN"|306.00|$945.00|$39.00|$669.06|$662.00||$431.87|$189.00|$669.06|$346.82|$441.32|$41.00|$533.93|$425.25|$39.00|$42.00|$364.77|$247.02|$220.09|$220.09
"CPT® 87081"|"HB MRSA DE-ISOLATION SCREEN"|306.00|$80.00|$16.00|$56.64|$56.00||$36.56|$16.00|$56.64|$29.36|$37.36|$41.00|$45.20|$36.00|$39.00|$42.00|$30.88|$20.91|$18.63|$18.63
"CPT® 87081"|"HB CABARPENEM RESISTANT ENTEROBACTERIACEAE SCREEN"|306.00|$117.00|$23.40|$82.84|$82.00||$53.47|$23.40|$82.84|$42.94|$54.64|$41.00|$66.11|$52.65|$39.00|$42.00|$45.16|$30.58|$27.25|$27.25
"CPT® 87483"|"HB CSF MENINGITIS PANEL, NAT"|306.00|$1754.00|$39.00|$1241.83|$1228.00||$801.58|$350.80|$1241.83|$643.72|$819.12|$41.00|$991.01|$789.30|$39.00|$42.00|$677.04|$458.50|$408.51|$408.51
"CPT® 87640"|"HB MRSA WOUND SCREEN, S. AUREUS AMPLIFIED PROBE"|306.00|$255.00|$39.00|$180.54|$178.00||$116.54|$51.00|$180.54|$93.59|$119.09|$41.00|$144.08|$114.75|$39.00|$42.00|$98.43|$66.66|$59.39|$59.39
"CPT® 87641"|"HB MRSA WOUND SCREEN, MRSA AMPLIFIED PROBE"|306.00|$255.00|$39.00|$180.54|$178.00||$116.54|$51.00|$180.54|$93.59|$119.09|$41.00|$144.08|$114.75|$39.00|$42.00|$98.43|$66.66|$59.39|$59.39
"CPT® 87799"|"HB BK VIRUS, QUANTITATIVE, PCR"|306.00|$157.00|$31.40|$111.16|$110.00||$71.75|$31.40|$111.16|$57.62|$73.32|$41.00|$88.71|$70.65|$39.00|$42.00|$60.60|$41.04|$36.57|$36.57
"CPT® 87491"|"HB CHLAMYDIA TRACHOMATIS, PCR"|306.00|$167.00|$33.40|$118.24|$117.00||$76.32|$33.40|$118.24|$61.29|$77.99|$41.00|$94.36|$75.15|$39.00|$42.00|$64.46|$43.65|$38.89|$38.89
"CPT® 87497"|"HB CYTOMEGALOVIRUS, QUANTITATIVE, PCR"|306.00|$480.00|$39.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$41.00|$271.20|$216.00|$39.00|$42.00|$185.28|$125.47|$111.79|$111.79
"CPT® 87798"|"HB EPSTEIN-BARR VIRUS, QUALITATIVE, BLOOD, PCR"|306.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 87798"|"HB EPSTEIN-BARR VIRUS, QUALITATIVE, CSF, PCR"|306.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 87517"|"HB HEPATITIS B, QUANTITATIVE, PCR"|306.00|$682.00|$39.00|$482.86|$477.00||$311.67|$136.40|$482.86|$250.29|$318.49|$41.00|$385.33|$306.90|$39.00|$42.00|$263.25|$178.27|$158.84|$158.84
"CPT® 87902"|"HB HEPATITIS C GENOTYPE"|306.00|$900.00|$39.00|$637.20|$630.00||$411.30|$180.00|$637.20|$330.30|$420.30|$41.00|$508.50|$405.00|$39.00|$42.00|$347.40|$235.26|$209.61|$209.61
"CPT® 87522"|"HB HEPATITIS C, QUANTITATIVE, PCR"|306.00|$738.00|$39.00|$522.50|$517.00||$337.27|$147.60|$522.50|$270.85|$344.65|$41.00|$416.97|$332.10|$39.00|$42.00|$284.87|$192.91|$171.88|$171.88
"CPT® 87529"|"HB HERPES SIMPLEX VIRUS, QUALITATIVE, PCR"|306.00|$88.00|$17.60|$62.30|$62.00||$40.22|$17.60|$62.30|$32.30|$41.10|$41.00|$49.72|$39.60|$39.00|$42.00|$33.97|$23.00|$20.50|$20.50
"CPT® 87901"|"HB HIV GENOTYPE"|306.00|$1079.00|$39.00|$763.93|$755.00||$493.10|$215.80|$763.93|$395.99|$503.89|$41.00|$609.64|$485.55|$39.00|$42.00|$416.49|$282.05|$251.30|$251.30
"CPT® 87536"|"HB HIV, QUANTITATIVE, PCR"|306.00|$247.00|$39.00|$174.88|$173.00||$112.88|$49.40|$174.88|$90.65|$115.35|$41.00|$139.56|$111.15|$39.00|$42.00|$95.34|$64.57|$57.53|$57.53
"CPT® 87631"|"HB INFLUENZA A & B AND RESPIRATORY SYNCYTIAL VIRUS, PCR"|306.00|$273.00|$39.00|$193.28|$191.00||$124.76|$54.60|$193.28|$100.19|$127.49|$41.00|$154.25|$122.85|$39.00|$42.00|$105.38|$71.36|$63.58|$63.58
"CPT® 87591"|"HB NEISSERIA GONORRHOEAE, PCR"|306.00|$157.00|$31.40|$111.16|$110.00||$71.75|$31.40|$111.16|$57.62|$73.32|$41.00|$88.71|$70.65|$39.00|$42.00|$60.60|$41.04|$36.57|$36.57
"CPT® 87633"|"HB RESPIRATORY VIRUS PANEL, PCR"|306.00|$1095.00|$39.00|$775.26|$766.00||$500.42|$219.00|$775.26|$401.87|$511.37|$41.00|$618.68|$492.75|$39.00|$42.00|$422.67|$286.23|$255.03|$255.03
"CPT® 87798"|"HB MULTIPLEX RT-PCR PANEL-ZIKA VIRUS"|306.00|$529.00|$39.00|$374.53|$370.00||$241.75|$105.80|$374.53|$194.14|$247.04|$41.00|$298.89|$238.05|$39.00|$42.00|$204.19|$138.28|$123.20|$123.20
"CPT® 87798"|"HB MULTIPLEX RT-PCR PANEL-CHIKUGUNYA VIRUS"|306.00|$529.00|$39.00|$374.53|$370.00||$241.75|$105.80|$374.53|$194.14|$247.04|$41.00|$298.89|$238.05|$39.00|$42.00|$204.19|$138.28|$123.20|$123.20
"CPT® 87798"|"HB MULTIPLEX RT-PCR PANEL-DENGUE VIRUS"|306.00|$529.00|$39.00|$374.53|$370.00||$241.75|$105.80|$374.53|$194.14|$247.04|$41.00|$298.89|$238.05|$39.00|$42.00|$204.19|$138.28|$123.20|$123.20
"CPT® 87624"|"HB HUMAN PAPILLOMA VIRUS, AMPLIFIED PROBE SCREENING"|306.00|$133.00|$26.60|$94.16|$93.00||$60.78|$26.60|$94.16|$48.81|$62.11|$41.00|$75.15|$59.85|$39.00|$42.00|$51.34|$34.77|$30.98|$30.98
"CPT® 87206"|"HB MYCOBACTERIA SMEAR"|306.00|$100.00|$20.00|$70.80|$70.00||$45.70|$20.00|$70.80|$36.70|$46.70|$41.00|$56.50|$45.00|$39.00|$42.00|$38.60|$26.14|$23.29|$23.29
"CPT® 87206"|"HB MYCOBACTERIA SMEAR (MOD 59)"|306.00|$110.00|$22.00|$77.88|$77.00||$50.27|$22.00|$77.88|$40.37|$51.37|$41.00|$62.15|$49.50|$39.00|$42.00|$42.46|$28.75|$25.62|$25.62
"CPT® 87116"|"HB MYCOBACTERIUM CSF CULTURE"|306.00|$148.00|$29.60|$104.78|$104.00||$67.64|$29.60|$104.78|$54.32|$69.12|$41.00|$83.62|$66.60|$39.00|$42.00|$57.13|$38.69|$34.47|$34.47
"CPT® 87116"|"HB MYCOBACTERIUM BLOOD CULTURE"|306.00|$173.00|$34.60|$122.48|$121.00||$79.06|$34.60|$122.48|$63.49|$80.79|$41.00|$97.75|$77.85|$39.00|$42.00|$66.78|$45.22|$40.29|$40.29
"CPT® 87556"|"HB MYCOBACTERIUM TUBERCULOSIS, AMPLIFIED"|306.00|$1340.00|$39.00|$948.72|$938.00||$612.38|$268.00|$948.72|$491.78|$625.78|$41.00|$757.10|$603.00|$39.00|$42.00|$517.24|$350.28|$312.09|$312.09
"CPT® 87081"|"HB NASAL CULTURE, STAPH AUREUS"|306.00|$25.00|$5.00|$25.00|$18.00||$11.43|$5.00|$17.70|$9.18|$11.68|$25.00|$14.13|$11.25|$25.00|$25.00|$9.65|$6.54|$5.82|$5.82
"CPT® 87081"|"HB NASAL CULTURE, STAPH AUREUS (MOD 59)"|306.00|$25.00|$5.00|$25.00|$18.00||$11.43|$5.00|$17.70|$9.18|$11.68|$25.00|$14.13|$11.25|$25.00|$25.00|$9.65|$6.54|$5.82|$5.82
"CPT® 87177"|"HB OVA & PARASITE EXAM"|306.00|$223.00|$39.00|$157.88|$156.00||$101.91|$44.60|$157.88|$81.84|$104.14|$41.00|$126.00|$100.35|$39.00|$42.00|$86.08|$58.29|$51.94|$51.94
"CPT® 87177"|"HB OVA & PARASITE EXAM (MOD 59)"|306.00|$248.00|$39.00|$175.58|$174.00||$113.34|$49.60|$175.58|$91.02|$115.82|$41.00|$140.12|$111.60|$39.00|$42.00|$95.73|$64.83|$57.76|$57.76
"CPT® 87172"|"HB PIN WORM TEST"|306.00|$93.00|$18.60|$65.84|$65.00||$42.50|$18.60|$65.84|$34.13|$43.43|$41.00|$52.55|$41.85|$39.00|$42.00|$35.90|$24.31|$21.66|$21.66
"CPT® 87281"|"HB PNEUMOCYSTIS, DFA"|306.00|$254.00|$39.00|$179.83|$178.00||$116.08|$50.80|$179.83|$93.22|$118.62|$41.00|$143.51|$114.30|$39.00|$42.00|$98.04|$66.40|$59.16|$59.16
"CPT® 87070"|"HB RESPIRATORY CULTURE"|306.00|$129.00|$25.80|$91.33|$90.00||$58.95|$25.80|$91.33|$47.34|$60.24|$41.00|$72.89|$58.05|$39.00|$42.00|$49.79|$33.72|$30.04|$30.04
"CPT® 87280"|"HB RESPIRATORY SYNCYTIAL VIRUS, DFA"|306.00|$116.00|$23.20|$82.13|$81.00||$53.01|$23.20|$82.13|$42.57|$54.17|$41.00|$65.54|$52.20|$39.00|$42.00|$44.78|$30.32|$27.02|$27.02
"CPT® 87070"|"HB SPINAL FLUID CULTURE"|306.00|$136.00|$27.20|$96.29|$95.00||$62.15|$27.20|$96.29|$49.91|$63.51|$41.00|$76.84|$61.20|$39.00|$42.00|$52.50|$35.55|$31.67|$31.67
"CPT® 87070"|"HB SPINAL FLUID CULTURE (MOD 59)"|306.00|$152.00|$30.40|$107.62|$106.00||$69.46|$30.40|$107.62|$55.78|$70.98|$41.00|$85.88|$68.40|$39.00|$42.00|$58.67|$39.73|$35.40|$35.40
"CPT® 87070"|"HB STEM CELL CULTURE, CFR"|306.00|$33.00|$6.60|$33.00|$23.00||$15.08|$6.60|$23.36|$12.11|$15.41|$33.00|$18.65|$14.85|$33.00|$33.00|$12.74|$8.63|$7.69|$7.69
"CPT® 87070"|"HB STERILITY CULTURE"|306.00|$146.00|$29.20|$103.37|$102.00||$66.72|$29.20|$103.37|$53.58|$68.18|$41.00|$82.49|$65.70|$39.00|$42.00|$56.36|$38.16|$34.00|$34.00
"CPT® 87045"|"HB STOOL CULTURE"|306.00|$151.00|$30.20|$106.91|$106.00||$69.01|$30.20|$106.91|$55.42|$70.52|$41.00|$85.32|$67.95|$39.00|$42.00|$58.29|$39.47|$35.17|$35.17
"CPT® 87046"|"HB STOOL CULTURE, ADDITIONAL PATHOGEN"|306.00|$26.00|$5.20|$26.00|$18.00||$11.88|$5.20|$18.41|$9.54|$12.14|$26.00|$14.69|$11.70|$26.00|$26.00|$10.04|$6.80|$6.06|$6.06
"CPT® 87899"|"HB STREP PNEUMONIAE ANTIGEN"|306.00|$190.00|$38.00|$134.52|$133.00||$86.83|$38.00|$134.52|$69.73|$88.73|$41.00|$107.35|$85.50|$39.00|$42.00|$73.34|$49.67|$44.25|$44.25
"CPT® 87184"|"HB SUSCEPTIBILITY, DISC"|306.00|$80.00|$16.00|$56.64|$56.00||$36.56|$16.00|$56.64|$29.36|$37.36|$41.00|$45.20|$36.00|$39.00|$42.00|$30.88|$20.91|$18.63|$18.63
"CPT® 87184"|"HB SUSCEPTIBILITY, DISC (MOD 59)"|306.00|$88.00|$17.60|$62.30|$62.00||$40.22|$17.60|$62.30|$32.30|$41.10|$41.00|$49.72|$39.60|$39.00|$42.00|$33.97|$23.00|$20.50|$20.50
"CPT® 87184"|"HB SUSCEPTIBILITY, DISC, 1-2 DRUGS"|306.00|$42.00|$8.40|$42.00|$29.00||$19.19|$8.40|$29.74|$15.41|$19.61|$41.00|$23.73|$18.90|$39.00|$42.00|$16.21|$10.98|$9.78|$9.78
"CPT® 87181"|"HB SUSCEPTIBILITY, GRADIENT STRIP, EACH"|306.00|$30.00|$6.00|$30.00|$21.00||$13.71|$6.00|$21.24|$11.01|$14.01|$30.00|$16.95|$13.50|$30.00|$30.00|$11.58|$7.84|$6.99|$6.99
"CPT® 87186"|"HB SUSCEPTIBILITY, MICROTITER"|306.00|$245.00|$39.00|$173.46|$172.00||$111.97|$49.00|$173.46|$89.92|$114.42|$41.00|$138.43|$110.25|$39.00|$42.00|$94.57|$64.04|$57.06|$57.06
"CPT® 87186"|"HB SUSCEPTIBILITY, MICROTITER (MOD 59)"|306.00|$245.00|$39.00|$173.46|$172.00||$111.97|$49.00|$173.46|$89.92|$114.42|$41.00|$138.43|$110.25|$39.00|$42.00|$94.57|$64.04|$57.06|$57.06
"CPT® 87081"|"HB THROAT CULTURE, STREP"|306.00|$85.00|$17.00|$60.18|$59.00||$38.85|$17.00|$60.18|$31.20|$39.70|$41.00|$48.03|$38.25|$39.00|$42.00|$32.81|$22.22|$19.80|$19.80
"CPT® 87070"|"HB TISSUE BIOPSY CULTURE"|306.00|$136.00|$27.20|$96.29|$95.00||$62.15|$27.20|$96.29|$49.91|$63.51|$41.00|$76.84|$61.20|$39.00|$42.00|$52.50|$35.55|$31.67|$31.67
"CPT® 87086"|"HB URINE CULTURE"|306.00|$93.00|$18.60|$65.84|$65.00||$21.86|$18.60|$65.84|$34.13|$43.43|$41.00|$52.55|$41.85|$39.00|$42.00|$35.90|$24.31|$21.66|$21.66
"CPT® 87088"|"HB URINE ORGANISM ID"|306.00|$70.00|$14.00|$49.56|$49.00||$31.99|$14.00|$49.56|$25.69|$32.69|$41.00|$39.55|$31.50|$39.00|$42.00|$27.02|$18.30|$16.30|$16.30
"CPT® 87252"|"HB VIRUS CULTURE"|306.00|$195.00|$39.00|$138.06|$136.00||$89.12|$39.00|$138.06|$71.57|$91.07|$41.00|$110.18|$87.75|$39.00|$42.00|$75.27|$50.97|$45.42|$45.42
"CPT® 87254"|"HB VIRUS SHELL VIAL CULTURE"|306.00|$128.00|$25.60|$90.62|$90.00||$58.50|$25.60|$90.62|$46.98|$59.78|$41.00|$72.32|$57.60|$39.00|$42.00|$49.41|$33.46|$29.81|$29.81
"CPT® 87210"|"HB WET PREP, TRICHOMONAS"|306.00|$48.00|$9.60|$42.00|$34.00||$21.94|$9.60|$33.98|$17.62|$22.42|$41.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 87169"|"HB WORM IDENTIFICATION"|306.00|$184.00|$36.80|$130.27|$129.00||$84.09|$36.80|$130.27|$67.53|$85.93|$41.00|$103.96|$82.80|$39.00|$42.00|$71.02|$48.10|$42.85|$42.85
"CPT® 87070"|"HB WOUND CULTURE"|306.00|$136.00|$27.20|$96.29|$95.00||$62.15|$27.20|$96.29|$49.91|$63.51|$41.00|$76.84|$61.20|$39.00|$42.00|$52.50|$35.55|$31.67|$31.67
"CPT® 87070"|"HB WOUND CULTURE (MOD 59)"|306.00|$152.00|$30.40|$107.62|$106.00||$69.46|$30.40|$107.62|$55.78|$70.98|$41.00|$85.88|$68.40|$39.00|$42.00|$58.67|$39.73|$35.40|$35.40
"CPT® 87798"|"HB MALARIA ANTIGEN, RAPID"|306.00|$246.00|$39.00|$174.17|$172.00||$112.42|$49.20|$174.17|$90.28|$114.88|$41.00|$138.99|$110.70|$39.00|$42.00|$94.96|$64.30|$57.29|$57.29
"CPT® 87529"|"HB HERPES SIMPLEX VIRUS TYPE 1, PCR"|306.00|$265.00|$39.00|$187.62|$186.00||$121.11|$53.00|$187.62|$97.26|$123.76|$41.00|$149.73|$119.25|$39.00|$42.00|$102.29|$69.27|$61.72|$61.72
"CPT® 87529"|"HB HERPES SIMPLEX VIRUS TYPE 2, PCR"|306.00|$265.00|$39.00|$187.62|$186.00||$121.11|$53.00|$187.62|$97.26|$123.76|$41.00|$149.73|$119.25|$39.00|$42.00|$102.29|$69.27|$61.72|$61.72
"CPT® 87081"|"HB SURVEILLANCE CULTURE"|306.00|$54.00|$10.80|$42.00|$38.00||$24.68|$10.80|$38.23|$19.82|$25.22|$41.00|$30.51|$24.30|$39.00|$42.00|$20.84|$14.12|$12.58|$12.58
"CPT® 87147"|"HB CULTURE ID BY IMMUNOLOGIC METHOD"|306.00|$102.00|$20.40|$72.22|$71.00||$46.61|$20.40|$72.22|$37.43|$47.63|$41.00|$57.63|$45.90|$39.00|$42.00|$39.37|$26.66|$23.76|$23.76
"CPT® 87798"|"HB RESPIRATORY VIRUS PANEL, BORDETELLA"|306.00|$172.00|$34.40|$121.78|$120.00||$78.60|$34.40|$121.78|$63.12|$80.32|$41.00|$97.18|$77.40|$39.00|$42.00|$66.39|$44.96|$40.06|$40.06
"CPT® 87486"|"HB RESPIRATORY VIRUS PANEL, CHLAMYDIA PNEUMONIAE"|306.00|$85.00|$17.00|$60.18|$59.00||$38.85|$17.00|$60.18|$31.20|$39.70|$41.00|$48.03|$38.25|$39.00|$42.00|$32.81|$22.22|$19.80|$19.80
"CPT® 87581"|"HB RESPIRATORY VIRUS PANEL, MYCOPLASMA PNEUMONIAE"|306.00|$85.00|$17.00|$60.18|$59.00||$38.85|$17.00|$60.18|$31.20|$39.70|$41.00|$48.03|$38.25|$39.00|$42.00|$32.81|$22.22|$19.80|$19.80
"CPT® 87040"|"HB BLOOD PRODUCT CULTURE"|306.00|$114.00|$22.80|$80.71|$80.00||$27.93|$22.80|$80.71|$41.84|$53.24|$41.00|$64.41|$51.30|$39.00|$42.00|$44.00|$29.80|$26.55|$26.55
"CPT® 87081"|"HB CANDIDA AURIS CULTURE"|306.00|$86.00|$17.20|$60.89|$60.00||$39.30|$17.20|$60.89|$31.56|$40.16|$41.00|$48.59|$38.70|$39.00|$42.00|$33.20|$22.48|$20.03|$20.03
"CPT® 87798"|"HB PNEUMONIA PANEL, BACTERIA DETECTION, EACH PCR"|306.00|$173.00|$34.60|$122.48|$121.00||$79.06|$34.60|$122.48|$63.49|$80.79|$41.00|$97.75|$77.85|$39.00|$42.00|$66.78|$45.22|$40.29|$40.29
"CPT® 87541"|"HB PNEUMONIA PANEL, LEGIONELLA PNEUMOPHILA PCR"|306.00|$158.00|$31.60|$111.86|$111.00||$72.21|$31.60|$111.86|$57.99|$73.79|$41.00|$89.27|$71.10|$39.00|$42.00|$60.99|$41.30|$36.80|$36.80
"CPT® 87581"|"HB PNEUMONIA PANEL, MYCOPLASMA PNEUMONIAE PCR"|306.00|$158.00|$31.60|$111.86|$111.00||$72.21|$31.60|$111.86|$57.99|$73.79|$41.00|$89.27|$71.10|$39.00|$42.00|$60.99|$41.30|$36.80|$36.80
"CPT® 87486"|"HB PNEUMONIA PANEL, CHLAMYDOPHILA PNEUMONIAE PCR"|306.00|$158.00|$31.60|$111.86|$111.00||$72.21|$31.60|$111.86|$57.99|$73.79|$41.00|$89.27|$71.10|$39.00|$42.00|$60.99|$41.30|$36.80|$36.80
"CPT® 87632"|"HB PNEUMONIA PANEL, VIRUS DETECTION, MULTIPLEX PCR"|306.00|$707.00|$39.00|$500.56|$495.00||$323.10|$141.40|$500.56|$259.47|$330.17|$41.00|$399.46|$318.15|$39.00|$42.00|$272.90|$184.81|$164.66|$164.66
"CPT® 87150"|"HB PNEUMONIA PANEL, ANTIMICROBIAL RESISTENCE GENES PCR"|306.00|$158.00|$31.60|$111.86|$111.00||$72.21|$31.60|$111.86|$57.99|$73.79|$41.00|$89.27|$71.10|$39.00|$42.00|$60.99|$41.30|$36.80|$36.80
"CPT® 87798"|"HB PNEUMOCYSTIS JIROVECII PCR"|306.00|$360.00|$39.00|$254.88|$252.00||$164.52|$72.00|$254.88|$132.12|$168.12|$41.00|$203.40|$162.00|$39.00|$42.00|$138.96|$94.10|$83.84|$83.84
"CPT® 87469"|"HB CMV, SALIVA, NEONATES, PCR"|306.00|$216.00|$39.00|$152.93|$151.00||$98.71|$43.20|$152.93|$79.27|$100.87|$108.00|$122.04|$97.20|$39.00|$42.00|$83.38|$56.46|$50.31|$50.31
"CPT® 87149"|"HB AFB IDENTIFICATION, NUCLEIC ACID PROBE"|306.00|$430.00|$39.00|$304.44|$301.00||$196.51|$86.00|$304.44|$157.81|$200.81|$41.00|$242.95|$193.50|$39.00|$42.00|$165.98|$112.40|$100.15|$100.15
"CPT® 87188"|"HB AFB SENSITIVITY, EACH"|306.00|$173.00|$34.60|$122.48|$121.00||$79.06|$34.60|$122.48|$63.49|$80.79|$41.00|$97.75|$77.85|$39.00|$42.00|$66.78|$45.22|$40.29|$40.29
"CPT® 87168"|"HB ARTHROPOD IDENTIFICATION"|306.00|$153.00|$30.60|$108.32|$107.00||$69.92|$30.60|$108.32|$56.15|$71.45|$41.00|$86.45|$68.85|$39.00|$42.00|$59.06|$39.99|$35.63|$35.63
"CPT® 87305"|"HB ASPERGILLUS GALACTOMANNAN"|306.00|$174.00|$34.80|$123.19|$122.00||$79.52|$34.80|$123.19|$63.86|$81.26|$41.00|$98.31|$78.30|$39.00|$42.00|$67.16|$45.48|$40.52|$40.52
"CPT® 87040"|"HB BLOOD CULTURE"|306.00|$200.00|$27.93|$141.60|$140.00||$27.93|$40.00|$141.60|$73.40|$93.40|$41.00|$113.00|$90.00|$39.00|$42.00|$77.20|$52.28|$46.58|$46.58
"CPT® 87040"|"HB BLOOD CULTURE (MOD 59)"|306.00|$209.00|$27.93|$147.97|$146.00||$27.93|$41.80|$147.97|$76.70|$97.60|$41.00|$118.09|$94.05|$39.00|$42.00|$80.67|$54.63|$48.68|$48.68
"CPT® 87070"|"HB BODY FLUID CULTURE"|306.00|$136.00|$27.20|$96.29|$95.00||$62.15|$27.20|$96.29|$49.91|$63.51|$41.00|$76.84|$61.20|$39.00|$42.00|$52.50|$35.55|$31.67|$31.67
"CPT® 87070"|"HB BONE MARROW CULTURE"|306.00|$291.00|$39.00|$206.03|$204.00||$132.99|$58.20|$206.03|$106.80|$135.90|$41.00|$164.42|$130.95|$39.00|$42.00|$112.33|$76.07|$67.77|$67.77
"CPT® 87070"|"HB BONE MARROW CULTURE, AUTOLOGOUS"|306.00|$24.00|$4.80|$24.00|$17.00||$10.97|$4.80|$16.99|$8.81|$11.21|$24.00|$13.56|$10.80|$24.00|$24.00|$9.26|$6.27|$5.59|$5.59
"CPT® 87493"|"HB C. DIFFICILE PCR"|306.00|$293.00|$39.00|$207.44|$205.00||$133.90|$58.60|$207.44|$107.53|$136.83|$41.00|$165.55|$131.85|$39.00|$42.00|$113.10|$76.59|$68.24|$68.24
"CPT® 87493"|"HB C. DIFFICILE PCR (MOD 59)"|306.00|$191.00|$38.20|$135.23|$134.00||$87.29|$38.20|$135.23|$70.10|$89.20|$41.00|$107.92|$85.95|$39.00|$42.00|$73.73|$49.93|$44.48|$44.48
"CPT® 87206"|"HB CALCOFLUOR WHITE STAIN"|306.00|$34.00|$6.80|$34.00|$24.00||$15.54|$6.80|$24.07|$12.48|$15.88|$34.00|$19.21|$15.30|$34.00|$34.00|$13.12|$8.89|$7.92|$7.92
"CPT® 87110"|"HB CHLAMYDIA CULTURE"|306.00|$238.00|$39.00|$168.50|$167.00||$108.77|$47.60|$168.50|$87.35|$111.15|$41.00|$134.47|$107.10|$39.00|$42.00|$91.87|$62.21|$55.43|$55.43
"CPT® 87015"|"HB CONCENTRATION, MICROBIOLOGY"|306.00|$37.00|$7.40|$37.00|$26.00||$16.91|$7.40|$26.20|$13.58|$17.28|$37.00|$20.91|$16.65|$37.00|$37.00|$14.28|$9.67|$8.62|$8.62
"CPT® 87015"|"HB CONCENTRATION, MICROBIOLOGY (MOD 59)"|306.00|$42.00|$8.40|$42.00|$29.00||$19.19|$8.40|$29.74|$15.41|$19.61|$41.00|$23.73|$18.90|$39.00|$42.00|$16.21|$10.98|$9.78|$9.78
"CPT® 87328"|"HB CRYPTOSPORIDIUM ANTIGEN"|306.00|$130.00|$26.00|$92.04|$91.00||$59.41|$26.00|$92.04|$47.71|$60.71|$41.00|$73.45|$58.50|$39.00|$42.00|$50.18|$33.98|$30.28|$30.28
"CPT® 87328"|"HB CRYPTOSPORIDIUM ANTIGEN (MOD 59)"|306.00|$145.00|$29.00|$102.66|$102.00||$66.27|$29.00|$102.66|$53.22|$67.72|$41.00|$81.93|$65.25|$39.00|$42.00|$55.97|$37.90|$33.77|$33.77
"CPT® 87206"|"HB CRYPTOSPORIDIUM EXAM"|306.00|$140.00|$28.00|$99.12|$98.00||$63.98|$28.00|$99.12|$51.38|$65.38|$41.00|$79.10|$63.00|$39.00|$42.00|$54.04|$36.60|$32.61|$32.61
"CPT® 87077"|"HB CULTURE ID, AEROBIC"|306.00|$51.00|$10.20|$42.00|$36.00||$23.31|$10.20|$36.11|$18.72|$23.82|$41.00|$28.82|$22.95|$39.00|$42.00|$19.69|$13.33|$11.88|$11.88
"CPT® 87076"|"HB CULTURE ID, ANAEROBIC"|306.00|$129.00|$25.80|$91.33|$90.00||$58.95|$25.80|$91.33|$47.34|$60.24|$41.00|$72.89|$58.05|$39.00|$42.00|$49.79|$33.72|$30.04|$30.04
"CPT® 87075"|"HB CULTURE, ANAEROBIC"|306.00|$261.00|$39.00|$184.79|$183.00||$119.28|$52.20|$184.79|$95.79|$121.89|$41.00|$147.47|$117.45|$39.00|$42.00|$100.75|$68.23|$60.79|$60.79
"CPT® 87075"|"HB CULTURE, ANAEROBIC (MOD 59)"|306.00|$289.00|$39.00|$204.61|$202.00||$132.07|$57.80|$204.61|$106.06|$134.96|$41.00|$163.29|$130.05|$39.00|$42.00|$111.55|$75.54|$67.31|$67.31
"CPT® 87206"|"HB CYCLOSPORA EXAM"|306.00|$25.00|$5.00|$25.00|$18.00||$11.43|$5.00|$17.70|$9.18|$11.68|$25.00|$14.13|$11.25|$25.00|$25.00|$9.65|$6.54|$5.82|$5.82
"CPT® 87070"|"HB EYE CULTURE"|306.00|$227.00|$39.00|$160.72|$159.00||$103.74|$45.40|$160.72|$83.31|$106.01|$41.00|$128.26|$102.15|$39.00|$42.00|$87.62|$59.34|$52.87|$52.87
"CPT® 87103"|"HB FUNGAL BLOOD CULTURE"|306.00|$116.00|$23.20|$82.13|$81.00||$53.01|$23.20|$82.13|$42.57|$54.17|$41.00|$65.54|$52.20|$39.00|$42.00|$44.78|$30.32|$27.02|$27.02
"CPT® 87102"|"HB FUNGAL CSF CULTURE"|306.00|$108.00|$21.60|$76.46|$76.00||$49.36|$21.60|$76.46|$39.64|$50.44|$41.00|$61.02|$48.60|$39.00|$42.00|$41.69|$28.23|$25.15|$25.15
"CPT® 87102"|"HB FUNGAL CULTURE, OTHER"|306.00|$97.00|$19.40|$68.68|$68.00||$44.33|$19.40|$68.68|$35.60|$45.30|$41.00|$54.81|$43.65|$39.00|$42.00|$37.44|$25.36|$22.59|$22.59
"CPT® 87101"|"HB FUNGAL DERM CULTURE"|306.00|$100.00|$20.00|$70.80|$70.00||$45.70|$20.00|$70.80|$36.70|$46.70|$41.00|$56.50|$45.00|$39.00|$42.00|$38.60|$26.14|$23.29|$23.29
"CPT® 87106"|"HB FUNGAL ID, YEAST"|306.00|$93.00|$18.60|$65.84|$65.00||$42.50|$18.60|$65.84|$34.13|$43.43|$41.00|$52.55|$41.85|$39.00|$42.00|$35.90|$24.31|$21.66|$21.66
"CPT® 87220"|"HB FUNGAL KOH PREP"|306.00|$80.00|$16.00|$56.64|$56.00||$36.56|$16.00|$56.64|$29.36|$37.36|$41.00|$45.20|$36.00|$39.00|$42.00|$30.88|$20.91|$18.63|$18.63
"CPT® 87186"|"HB FUNGAL SUSCEPTIBILITY"|306.00|$245.00|$39.00|$173.46|$172.00||$111.97|$49.00|$173.46|$89.92|$114.42|$41.00|$138.43|$110.25|$39.00|$42.00|$94.57|$64.04|$57.06|$57.06
"CPT® 87081"|"HB GC CULTURE"|306.00|$85.00|$17.00|$60.18|$59.00||$38.85|$17.00|$60.18|$31.20|$39.70|$41.00|$48.03|$38.25|$39.00|$42.00|$32.81|$22.22|$19.80|$19.80
"CPT® 87329"|"HB GIARDIA ANTIGEN"|306.00|$130.00|$26.00|$92.04|$91.00||$59.41|$26.00|$92.04|$47.71|$60.71|$41.00|$73.45|$58.50|$39.00|$42.00|$50.18|$33.98|$30.28|$30.28
"CPT® 87205"|"HB GRAM STAIN"|306.00|$61.00|$12.20|$43.19|$43.00||$27.88|$12.20|$43.19|$22.39|$28.49|$41.00|$34.47|$27.45|$39.00|$42.00|$23.55|$15.95|$14.21|$14.21
"CPT® 87205"|"HB GRAM STAIN (MOD 59)"|306.00|$68.00|$13.60|$48.14|$48.00||$31.08|$13.60|$48.14|$24.96|$31.76|$41.00|$38.42|$30.60|$39.00|$42.00|$26.25|$17.78|$15.84|$15.84
"CPT® 87081"|"HB GROUP B STREP CULTURE"|306.00|$39.00|$7.80|$39.00|$27.00||$17.82|$7.80|$27.61|$14.31|$18.21|$39.00|$22.04|$17.55|$39.00|$39.00|$15.05|$10.19|$9.08|$9.08
"CPT® 87205"|"HB H. PYLORI SCREEN, BIOPSY"|306.00|$52.00|$10.40|$42.00|$36.00||$23.76|$10.40|$36.82|$19.08|$24.28|$41.00|$29.38|$23.40|$39.00|$42.00|$20.07|$13.59|$12.11|$12.11
"CPT® 87254"|"HB HERPES SHELL VIAL ISOLATION, EACH"|306.00|$124.00|$24.80|$87.79|$87.00||$56.67|$24.80|$87.79|$45.51|$57.91|$41.00|$70.06|$55.80|$39.00|$42.00|$47.86|$32.41|$28.88|$28.88
"CPT® 87206"|"HB ISOSPORA EXAM"|306.00|$110.00|$22.00|$77.88|$77.00||$50.27|$22.00|$77.88|$40.37|$51.37|$41.00|$62.15|$49.50|$39.00|$42.00|$42.46|$28.75|$25.62|$25.62
"CPT® 87206"|"HB ISOSPORA EXAM (MOD 59)"|306.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 87071"|"HB IV CATHETER CULTURE"|306.00|$264.00|$39.00|$186.91|$185.00||$120.65|$52.80|$186.91|$96.89|$123.29|$41.00|$149.16|$118.80|$39.00|$42.00|$101.90|$69.01|$61.49|$61.49
"CPT® 87071"|"HB IV CATHETER CULTURE (MOD 59)"|306.00|$293.00|$39.00|$207.44|$205.00||$133.90|$58.60|$207.44|$107.53|$136.83|$41.00|$165.55|$131.85|$39.00|$42.00|$113.10|$76.59|$68.24|$68.24
"CPT® 87070"|"HB LEGIONELLA CULTURE"|306.00|$227.00|$39.00|$160.72|$159.00||$103.74|$45.40|$160.72|$83.31|$106.01|$41.00|$128.26|$102.15|$39.00|$42.00|$87.62|$59.34|$52.87|$52.87
"CPT® 87899"|"HB LEGIONELLA ANTIGEN, URINE"|306.00|$275.00|$39.00|$194.70|$192.00||$125.68|$55.00|$194.70|$100.93|$128.43|$41.00|$155.38|$123.75|$39.00|$42.00|$106.15|$71.89|$64.05|$64.05
"CPT® 87899"|"HB LEGIONELLA ANTIGEN, URINE (MOD 59)"|306.00|$305.00|$39.00|$215.94|$214.00||$139.39|$61.00|$215.94|$111.94|$142.44|$41.00|$172.33|$137.25|$39.00|$42.00|$117.73|$79.73|$71.03|$71.03
"CPT® 87015"|"HB MALARIA EXAM, THICK SMEAR"|306.00|$149.00|$29.80|$105.49|$104.00||$68.09|$29.80|$105.49|$54.68|$69.58|$41.00|$84.19|$67.05|$39.00|$42.00|$57.51|$38.95|$34.70|$34.70
"CPT® 87207"|"HB MALARIA EXAM, THIN SMEAR"|306.00|$70.00|$14.00|$49.56|$49.00||$31.99|$14.00|$49.56|$25.69|$32.69|$41.00|$39.55|$31.50|$39.00|$42.00|$27.02|$18.30|$16.30|$16.30
"CPT® 87206"|"HB MICROSPORIDIA EXAM"|306.00|$34.00|$6.80|$34.00|$24.00||$15.54|$6.80|$24.07|$12.48|$15.88|$34.00|$19.21|$15.30|$34.00|$34.00|$13.12|$8.89|$7.92|$7.92
"CPT® 87116"|"HB MYCOBACTERIA CULTURE"|306.00|$145.00|$29.00|$102.66|$102.00||$66.27|$29.00|$102.66|$53.22|$67.72|$41.00|$81.93|$65.25|$39.00|$42.00|$55.97|$37.90|$33.77|$33.77
"CPT® 87798"|"HB FDA, WEST NILE VIRUS"|306.00|$136.00|$27.20|$96.29|$95.00||$62.15|$27.20|$96.29|$49.91|$63.51|$41.00|$76.84|$61.20|$39.00|$42.00|$52.50|$35.55|$31.67|$31.67
"CPT® 87801"|"HB FDA, HIV-1, HCV, NAT"|306.00|$164.00|$32.80|$116.11|$115.00||$74.95|$32.80|$116.11|$60.19|$76.59|$41.00|$92.66|$73.80|$39.00|$42.00|$63.30|$42.87|$38.20|$38.20
"CPT® 87340"|"HB FDA, HEPATITIS B SURFACE ANTIGEN"|306.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 87912"|"HB HEPATITIS B GENOTYPE DRUG RESISTANCE GENOTYPE"|306.00|$2089.00|$39.00|$1479.01|$1462.00||$954.67|$417.80|$1479.01|$766.66|$975.56|$41.00|$1180.29|$940.05|$39.00|$42.00|$806.35|$546.06|$486.53|$486.53
"CPT® 87516"|"HB HEPATITIS B VIRAL DNA"|306.00|$235.00|$39.00|$166.38|$164.00||$107.40|$47.00|$166.38|$86.25|$109.75|$41.00|$132.78|$105.75|$39.00|$42.00|$90.71|$61.43|$54.73|$54.73
"CPT® 87798"|"HB HEPATITIS D VIRUS DNA, QUALITATIVE"|306.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 87385"|"HB HISTOPLASMA ANTIGEN, URINE"|306.00|$343.00|$39.00|$242.84|$240.00||$156.75|$68.60|$242.84|$125.88|$160.18|$41.00|$193.80|$154.35|$39.00|$42.00|$132.40|$89.66|$79.88|$79.88
"CPT® 87535"|"HB HIV -1 DNA PCR, NEWBORNS"|306.00|$438.00|$39.00|$310.10|$307.00||$200.17|$87.60|$310.10|$160.75|$204.55|$41.00|$247.47|$197.10|$39.00|$42.00|$169.07|$114.49|$102.01|$102.01
"CPT® 87799"|"HB ADENOVIRUS, QUANTITATIVE, PCR"|306.00|$685.00|$39.00|$484.98|$479.00||$313.05|$137.00|$484.98|$251.40|$319.90|$41.00|$387.03|$308.25|$39.00|$42.00|$264.41|$179.06|$159.54|$159.54
"CPT® 87798"|"HB BORDETELLA PERTUSSIS/PARAPERTUSSIS POLYMERASE CHAIN REACTION"|306.00|$414.00|$39.00|$293.11|$290.00||$189.20|$82.80|$293.11|$151.94|$193.34|$41.00|$233.91|$186.30|$39.00|$42.00|$159.80|$108.22|$96.42|$96.42
"CPT® 87798"|"HB BORDETELLA PERTUSSIS/PARAPERTUSSIS POLYMERASE CHAIN REACTION"|306.00|$414.00|$39.00|$293.11|$290.00||$189.20|$82.80|$293.11|$151.94|$193.34|$41.00|$233.91|$186.30|$39.00|$42.00|$159.80|$108.22|$96.42|$96.42
"CPT® 87496"|"HB CMV, PCR"|306.00|$418.00|$39.00|$295.94|$293.00||$191.03|$83.60|$295.94|$153.41|$195.21|$41.00|$236.17|$188.10|$39.00|$42.00|$161.35|$109.27|$97.35|$97.35
"CPT® 87496"|"HB CMV, PCR, URINE"|306.00|$240.00|$39.00|$169.92|$168.00||$109.68|$48.00|$169.92|$88.08|$112.08|$41.00|$135.60|$108.00|$39.00|$42.00|$92.64|$62.74|$55.90|$55.90
"CPT® 87337"|"HB ENTAMOEBA HISTOLYTICA ANTIGEN"|306.00|$100.00|$20.00|$70.80|$70.00||$45.70|$20.00|$70.80|$36.70|$46.70|$41.00|$56.50|$45.00|$39.00|$42.00|$38.60|$26.14|$23.29|$23.29
"CPT® 87533"|"HB HUMAN HERPES VIRUS-6 QUANTITATIVE PCR"|306.00|$685.00|$39.00|$484.98|$479.00||$313.05|$137.00|$484.98|$251.40|$319.90|$41.00|$387.03|$308.25|$39.00|$42.00|$264.41|$179.06|$159.54|$159.54
"CPT® 87799"|"HB HUMAN HERPES VIRUS-7 QUANTITATIVE PCR"|306.00|$685.00|$39.00|$484.98|$479.00||$313.05|$137.00|$484.98|$251.40|$319.90|$41.00|$387.03|$308.25|$39.00|$42.00|$264.41|$179.06|$159.54|$159.54
"CPT® 87799"|"HB HUMAN HERPES VIRUS-8 QUANTITATIVE PCR"|306.00|$685.00|$39.00|$484.98|$479.00||$313.05|$137.00|$484.98|$251.40|$319.90|$41.00|$387.03|$308.25|$39.00|$42.00|$264.41|$179.06|$159.54|$159.54
"CPT® 87491"|"HB FDA, CHLAMYDIA RNA"|306.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 87591"|"HB FDA, GC RNA"|306.00|$82.00|$16.40|$58.06|$57.00||$37.47|$16.40|$58.06|$30.09|$38.29|$41.00|$46.33|$36.90|$39.00|$42.00|$31.65|$21.43|$19.10|$19.10
"CPT® 87799"|"HB ADENOVIRUS PCR, URINE"|306.00|$605.00|$39.00|$428.34|$424.00||$276.49|$121.00|$428.34|$222.04|$282.54|$41.00|$341.83|$272.25|$39.00|$42.00|$233.53|$158.15|$140.90|$140.90
"CPT® 87798"|"HB ADENOVIRUS PCR QUAL, FECAL"|306.00|$605.00|$39.00|$428.34|$424.00||$276.49|$121.00|$428.34|$222.04|$282.54|$41.00|$341.83|$272.25|$39.00|$42.00|$233.53|$158.15|$140.90|$140.90
"CPT® 87496"|"HB CYTOMEGALOVIRUS PCR QUAL, FECAL"|306.00|$522.00|$39.00|$369.58|$365.00||$238.55|$104.40|$369.58|$191.57|$243.77|$41.00|$294.93|$234.90|$39.00|$42.00|$201.49|$136.45|$121.57|$121.57
"CPT® 87497"|"HB CYTOMEGALOVIRUS PCR QUANT, AQUEOUS FLUID"|306.00|$522.00|$39.00|$369.58|$365.00||$238.55|$104.40|$369.58|$191.57|$243.77|$41.00|$294.93|$234.90|$39.00|$42.00|$201.49|$136.45|$121.57|$121.57
"CPT® 87910"|"HB CYTOMEGALOVIRUS ANTIVIRAL RESISTANCE"|306.00|$2407.00|$39.00|$1704.16|$1685.00||$1100.00|$481.40|$1704.16|$883.37|$1124.07|$41.00|$1359.96|$1083.15|$39.00|$42.00|$929.10|$629.19|$560.59|$560.59
"CPT® 87530"|"HB HERPES SIMPLEX VIRUS 1/2 PCR QUANT, BLOOD"|306.00|$351.00|$39.00|$248.51|$246.00||$160.41|$70.20|$248.51|$128.82|$163.92|$41.00|$198.32|$157.95|$39.00|$42.00|$135.49|$91.75|$81.75|$81.75
"CPT® 87530"|"HB HERPES SIMPLEX VIRUS 1/2 PCR QUANT, AQUEOUS FLUID"|306.00|$351.00|$39.00|$248.51|$246.00||$160.41|$70.20|$248.51|$128.82|$163.92|$41.00|$198.32|$157.95|$39.00|$42.00|$135.49|$91.75|$81.75|$81.75
"CPT® 87533"|"HB HUMAN HERPES VIRUS 6 PCR QUANT, CSF"|306.00|$670.00|$39.00|$474.36|$469.00||$306.19|$134.00|$474.36|$245.89|$312.89|$41.00|$378.55|$301.50|$39.00|$42.00|$258.62|$175.14|$156.04|$156.04
"CPT® 87521"|"HB DONOR, HCV-NAT, REFLEX"|306.00|$2828.00|$39.00|$2002.22|$1980.00||$1292.40|$565.60|$2002.22|$1037.88|$1320.68|$41.00|$1597.82|$1272.60|$39.00|$42.00|$1091.61|$739.24|$658.64|$658.64
"CPT® 87476"|"HB LYME DISEASE, PCR, FLUID"|306.00|$1414.00|$39.00|$1001.11|$990.00||$646.20|$282.80|$1001.11|$518.94|$660.34|$41.00|$798.91|$636.30|$39.00|$42.00|$545.80|$369.62|$329.32|$329.32
"CPT® 87556"|"HB MYCOBACTERIA TUBERCULOSIS COMPLEX PCR"|306.00|$1340.00|$39.00|$948.72|$938.00||$612.38|$268.00|$948.72|$491.78|$625.78|$41.00|$757.10|$603.00|$39.00|$42.00|$517.24|$350.28|$312.09|$312.09
"CPT® 87798"|"HB TOXOPLASMA DNA, PCR"|306.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 87999"|"HB TROFILE- HIV CORECEPTOR TROPISM ASSAY"|306.00|$3883.00|$39.00|$2749.16|$2718.00||$1774.53|$776.60|$2749.16|$1425.06|$1813.36|$41.00|$2193.90|$1747.35|$39.00|$42.00|$1498.84|$1015.02|$904.35|$904.35
"CPT® 87798"|"HB VARICELLA ZOSTER VIRUS DNA, QUALITATIVE"|306.00|$1098.00|$39.00|$777.38|$769.00||$501.79|$219.60|$777.38|$402.97|$512.77|$41.00|$620.37|$494.10|$39.00|$42.00|$423.83|$287.02|$255.72|$255.72
"CPT® 87799"|"HB VARICELLA ZOSTER VIRUS QUANTITATIVE PCR"|306.00|$685.00|$39.00|$484.98|$479.00||$313.05|$137.00|$484.98|$251.40|$319.90|$41.00|$387.03|$308.25|$39.00|$42.00|$264.41|$179.06|$159.54|$159.54
"CPT® 87799"|"HB EPSTEIN-BARR VIRUS, PCR, QUANT"|306.00|$606.00|$39.00|$429.05|$424.00||$276.94|$121.20|$429.05|$222.40|$283.00|$41.00|$342.39|$272.70|$39.00|$42.00|$233.92|$158.41|$141.14|$141.14
"CPT® 87109"|"HB CULTURE: MYCOPLASMA HOMINS / UREAPLASMA UREALYTICUM"|306.00|$155.00|$31.00|$109.74|$108.00||$70.84|$31.00|$109.74|$56.89|$72.39|$41.00|$87.58|$69.75|$39.00|$42.00|$59.83|$40.52|$36.10|$36.10
"CPT® 87109"|"HB CULTURE: MYCOPLASMA PNEUMONIAE"|306.00|$255.00|$39.00|$180.54|$178.00||$116.54|$51.00|$180.54|$93.59|$119.09|$41.00|$144.08|$114.75|$39.00|$42.00|$98.43|$66.66|$59.39|$59.39
"CPT® 87081"|"HB CULTURE:BORDETELLA PERTUSSIS/PARAPERTUSSIS"|306.00|$199.00|$39.00|$140.89|$139.00||$90.94|$39.80|$140.89|$73.03|$92.93|$41.00|$112.44|$89.55|$39.00|$42.00|$76.81|$52.02|$46.35|$46.35
"CPT® 87496"|"HB CYTOMEGALOVIRUS (CMV) DNA, QUAL PCR"|306.00|$651.00|$39.00|$460.91|$456.00||$297.51|$130.20|$460.91|$238.92|$304.02|$41.00|$367.82|$292.95|$39.00|$42.00|$251.29|$170.17|$151.62|$151.62
"CPT® 86682"|"HB ECHINOCOCCUS AB IGG EIA"|306.00|$368.00|$39.00|$260.54|$258.00||$168.18|$73.60|$260.54|$135.06|$171.86|$41.00|$207.92|$165.60|$39.00|$42.00|$142.05|$96.20|$85.71|$85.71
"CPT® 87491"|"HB CHLAMYDIA TRACHOMATIS"|306.00|$179.00|$35.80|$126.73|$125.00||$81.80|$35.80|$126.73|$65.69|$83.59|$41.00|$101.14|$80.55|$39.00|$42.00|$69.09|$46.79|$41.69|$41.69
"CPT® 87591"|"HB NEISSERIA GONORRHOEAE"|306.00|$179.00|$35.80|$126.73|$125.00||$81.80|$35.80|$126.73|$65.69|$83.59|$41.00|$101.14|$80.55|$39.00|$42.00|$69.09|$46.79|$41.69|$41.69
"CPT® 87799"|"HB JC POLYOMA VIRUS DNA, QUANT RT/PCR, BLOOD"|306.00|$1204.00|$39.00|$852.43|$843.00||$550.23|$240.80|$852.43|$441.87|$562.27|$41.00|$680.26|$541.80|$39.00|$42.00|$464.74|$314.73|$280.41|$280.41
"CPT® 87801"|"HB LYME DISEASE DNA,QUAL,RT-PCR,TICK"|306.00|$2177.00|$39.00|$1541.32|$1524.00||$994.89|$435.40|$1541.32|$798.96|$1016.66|$41.00|$1230.01|$979.65|$39.00|$42.00|$840.32|$569.07|$507.02|$507.02
"CPT® 87265"|"HB BORDETELLA PERTUSSIS/PARAPERTUSSIS, DFA"|306.00|$196.00|$39.00|$138.77|$137.00||$89.57|$39.20|$138.77|$71.93|$91.53|$98.00|$110.74|$88.20|$39.00|$42.00|$75.66|$51.23|$45.65|$45.65
"CPT® 87498"|"HB ENTEROVIRUS RNA QUAL PCR"|306.00|$1627.00|$39.00|$1151.92|$1139.00||$743.54|$325.40|$1151.92|$597.11|$759.81|$41.00|$919.26|$732.15|$39.00|$42.00|$628.02|$425.30|$378.93|$378.93
"CPT® 87278"|"HB LEGIONELLA DETECTION, DFA"|306.00|$759.00|$39.00|$537.37|$531.00||$346.86|$151.80|$537.37|$278.55|$354.45|$379.50|$428.84|$341.55|$39.00|$42.00|$292.97|$198.40|$176.77|$176.77
"CPT® 87491"|"HB CHLAMYDIA TRACHOMATIS, CONJUNCTIVAL SWAB, NAA"|306.00|$301.00|$39.00|$213.11|$211.00||$137.56|$60.20|$213.11|$110.47|$140.57|$41.00|$170.07|$135.45|$39.00|$42.00|$116.19|$78.68|$70.10|$70.10
"CPT® 87499"|"HB CLOSTRIDIUM DIFFICILE, GDH ANTIGEN"|306.00|$202.00|$39.00|$143.02|$141.00||$92.31|$40.40|$143.02|$74.13|$94.33|$101.00|$114.13|$90.90|$39.00|$42.00|$77.97|$52.80|$47.05|$47.05
"CPT® 87324"|"HB CLOSTRIDIUM DIFFICILE, TOXIN"|306.00|$201.00|$39.00|$142.31|$141.00||$91.86|$40.20|$142.31|$73.77|$93.87|$41.00|$113.57|$90.45|$39.00|$42.00|$77.59|$52.54|$46.81|$46.81
"CPT® 87661"|"HB TRICHOMONAS VAGINALIS RNA, QUAL TMA, MALE URINE"|306.00|$727.00|$39.00|$514.72|$509.00||$332.24|$145.40|$514.72|$266.81|$339.51|$41.00|$410.76|$327.15|$39.00|$42.00|$280.62|$190.04|$169.32|$169.32
"CPT® 87517"|"HB HEPATITIS B VIRUS DNA QUANT PCR"|306.00|$262.00|$39.00|$185.50|$183.00||$119.73|$52.40|$185.50|$96.15|$122.35|$41.00|$148.03|$117.90|$39.00|$42.00|$101.13|$68.49|$61.02|$61.02
"CPT® 87536"|"HB HIV-1, QUANT, RT PCR (GRAPHICAL)"|306.00|$352.00|$39.00|$249.22|$246.00||$160.86|$70.40|$249.22|$129.18|$164.38|$41.00|$198.88|$158.40|$39.00|$42.00|$135.87|$92.01|$81.98|$81.98
"CPT® 87491"|"HB CHLAMYDIA TRACHOMATIS, CONJUNCTIVAL SWAB, NAA"|306.00|$179.00|$35.80|$126.73|$125.00||$81.80|$35.80|$126.73|$65.69|$83.59|$41.00|$101.14|$80.55|$39.00|$42.00|$69.09|$46.79|$41.69|$41.69
"CPT® 87522"|"HB HCV QUANTASURE (NGI)"|306.00|$1004.00|$39.00|$710.83|$703.00||$458.83|$200.80|$710.83|$368.47|$468.87|$41.00|$567.26|$451.80|$39.00|$42.00|$387.54|$262.45|$233.83|$233.83
"CPT® 86677"|"HB HELICOBACTER PYLORI ANTIBODY IGM"|306.00|$131.00|$26.20|$92.75|$92.00||$59.87|$26.20|$92.75|$48.08|$61.18|$41.00|$74.02|$58.95|$39.00|$42.00|$50.57|$34.24|$30.51|$30.51
"CPT® 86677"|"HB HELICOBACTER PYLORI ANTIBODY, IGA"|306.00|$144.00|$28.80|$101.95|$101.00||$65.81|$28.80|$101.95|$52.85|$67.25|$41.00|$81.36|$64.80|$39.00|$42.00|$55.58|$37.64|$33.54|$33.54
"CPT® 86022"|"HB HEPARIN PF4 EIA/ REFLEX SRA"|306.00|$223.00|$39.00|$157.88|$156.00||$101.91|$44.60|$157.88|$81.84|$104.14|$41.00|$126.00|$100.35|$39.00|$42.00|$86.08|$58.29|$51.94|$51.94
"CPT® 86698"|"HB HISTOPLASMA AB,QUANT"|306.00|$216.00|$39.00|$152.93|$151.00||$98.71|$43.20|$152.93|$79.27|$100.87|$41.00|$122.04|$97.20|$39.00|$42.00|$83.38|$56.46|$50.31|$50.31
"CPT® 87270"|"HB CHLAMYDIA TRACHOMATIS ANTIGEN, DFA"|306.00|$241.00|$39.00|$170.63|$169.00||$110.14|$48.20|$170.63|$88.45|$112.55|$120.50|$136.17|$108.45|$39.00|$42.00|$93.03|$63.00|$56.13|$56.13
"CPT® 87350"|"HB HEPATITIS BE ANTIGEN"|306.00|$140.00|$28.00|$99.12|$98.00||$63.98|$28.00|$99.12|$51.38|$65.38|$41.00|$79.10|$63.00|$39.00|$42.00|$54.04|$36.60|$32.61|$32.61
"CPT® 87538"|"HB HIV-2 AMPLIFIED PROBE"|306.00|$1546.00|$39.00|$1094.57|$1082.00||$706.52|$309.20|$1094.57|$567.38|$721.98|$41.00|$873.49|$695.70|$39.00|$42.00|$596.76|$404.12|$360.06|$360.06
"CPT® 87624"|"HB HPV DNA, HIGH RISK"|306.00|$332.00|$39.00|$235.06|$232.00||$151.72|$66.40|$235.06|$121.84|$155.04|$41.00|$187.58|$149.40|$39.00|$42.00|$128.15|$86.78|$77.32|$77.32
"CPT® 87798"|"HB PNEUMOCYSTIS JIROVECII, QUAL, RT-PCR"|306.00|$2078.00|$39.00|$1471.22|$1455.00||$949.65|$415.60|$1471.22|$762.63|$970.43|$41.00|$1174.07|$935.10|$39.00|$42.00|$802.11|$543.19|$483.97|$483.97
"CPT® 87799"|"HB PNEUMOCYSTIS JIROVECII, QUANT, RT-PCR"|306.00|$2202.00|$39.00|$1559.02|$1541.00||$1006.31|$440.40|$1559.02|$808.13|$1028.33|$41.00|$1244.13|$990.90|$39.00|$42.00|$849.97|$575.60|$512.85|$512.85
"CPT® 87280"|"HB RESPIRATORY SYNCYTIAL VIRUS, DFA"|306.00|$170.00|$34.00|$120.36|$119.00||$77.69|$34.00|$120.36|$62.39|$79.39|$41.00|$96.05|$76.50|$39.00|$42.00|$65.62|$44.44|$39.59|$39.59
"CPT® 87491"|"HB VAG SCREEN, CHLAMYDIA TRACHOMATIS, AMP PROBE"|306.00|$365.00|$39.00|$258.42|$255.00||$166.81|$73.00|$258.42|$133.96|$170.46|$41.00|$206.23|$164.25|$39.00|$42.00|$140.89|$95.41|$85.01|$85.01
"CPT® 87512"|"HB VAG SCREEN, GARDNERELLA VAGINALIS, QUANT"|306.00|$433.00|$39.00|$306.56|$303.00||$197.88|$86.60|$306.56|$158.91|$202.21|$41.00|$244.65|$194.85|$39.00|$42.00|$167.14|$113.19|$100.85|$100.85
"CPT® 87591"|"HB VAG SCREEN, NEISSERIA GONORRHOEAE, AMP PROBE"|306.00|$435.00|$39.00|$307.98|$304.00||$198.80|$87.00|$307.98|$159.65|$203.15|$41.00|$245.78|$195.75|$39.00|$42.00|$167.91|$113.71|$101.31|$101.31
"CPT® 87661"|"HB VAG SCREEN, TRICHOMONAS VAGINALIS, AMP PROBE"|306.00|$435.00|$39.00|$307.98|$304.00||$198.80|$87.00|$307.98|$159.65|$203.15|$41.00|$245.78|$195.75|$39.00|$42.00|$167.91|$113.71|$101.31|$101.31
"CPT® 87799"|"HB VAG SCREEN, QUANT, EA ORGANISM"|306.00|$529.00|$39.00|$374.53|$370.00||$241.75|$105.80|$374.53|$194.14|$247.04|$41.00|$298.89|$238.05|$39.00|$42.00|$204.19|$138.28|$123.20|$123.20
"CPT® 87481"|"HB VAG SCREEN, CANDIDA SPECIES, AMP PROBE"|306.00|$435.00|$39.00|$307.98|$304.00||$198.80|$87.00|$307.98|$159.65|$203.15|$41.00|$245.78|$195.75|$39.00|$42.00|$167.91|$113.71|$101.31|$101.31
"CPT® 87899"|"HB NEISSERIA MENINGITIDIS ANTIGEN"|306.00|$135.00|$27.00|$95.58|$94.00||$61.70|$27.00|$95.58|$49.55|$63.05|$41.00|$76.28|$60.75|$39.00|$42.00|$52.11|$35.29|$31.44|$31.44
"CPT® 87210"|"HB WET PREP, VAGINAL (POC)"|306.00|$59.00|$11.80|$42.00|$41.00||$26.96|$11.80|$41.77|$21.65|$27.55|$41.00|$33.34|$26.55|$39.00|$42.00|$22.77|$15.42|$13.74|$13.74
"CPT® 87210"|"HB KOH PREP (POC)"|306.00|$100.00|$20.00|$70.80|$70.00||$45.70|$20.00|$70.80|$36.70|$46.70|$41.00|$56.50|$45.00|$39.00|$42.00|$38.60|$26.14|$23.29|$23.29
"CPT® 87798"|"HB EBOLA VIRUS PCR"|306.00|$3278.00|$39.00|$2320.82|$2295.00||$1498.05|$655.60|$2320.82|$1203.03|$1530.83|$41.00|$1852.07|$1475.10|$39.00|$42.00|$1265.31|$856.87|$763.45|$763.45
"CPT® 87633"|"HB IRESPIRATORY MULT PCR PANEL"|306.00|$1093.00|$39.00|$773.84|$765.00||$499.50|$218.60|$773.84|$401.13|$510.43|$41.00|$617.55|$491.85|$39.00|$42.00|$421.90|$285.71|$254.56|$254.56
"CPT® 87040"|"HB BLOOD CULTURE FOR BACTERIA; AEROBIC"|306.00|$435.00|$27.93|$307.98|$304.00||$27.93|$87.00|$307.98|$159.65|$203.15|$41.00|$245.78|$195.75|$39.00|$42.00|$167.91|$113.71|$101.31|$101.31
"CPT® 87070"|"HB CULTURE OTHER SPECIMEN; AEROBIC"|306.00|$435.00|$39.00|$307.98|$304.00||$198.80|$87.00|$307.98|$159.65|$203.15|$41.00|$245.78|$195.75|$39.00|$42.00|$167.91|$113.71|$101.31|$101.31
"CPT® 87086"|"HB URINE CULTURE; BACTERIAL; QUANTITATIVE COLONY COUNT"|306.00|$435.00|$21.86|$307.98|$304.00||$21.86|$87.00|$307.98|$159.65|$203.15|$41.00|$245.78|$195.75|$39.00|$42.00|$167.91|$113.71|$101.31|$101.31
"CPT® 87101"|"HB SKIN FUNGAL CULTURE"|306.00|$435.00|$39.00|$307.98|$304.00||$198.80|$87.00|$307.98|$159.65|$203.15|$41.00|$245.78|$195.75|$39.00|$42.00|$167.91|$113.71|$101.31|$101.31
"CPT® 87205"|"HB VAGINITIS SCREEN"|306.00|$435.00|$39.00|$307.98|$304.00||$198.80|$87.00|$307.98|$159.65|$203.15|$41.00|$245.78|$195.75|$39.00|$42.00|$167.91|$113.71|$101.31|$101.31
"CPT® 87210"|"HB SMEAR WET MOUNT"|306.00|$37.00|$7.40|$37.00|$26.00||$16.91|$7.40|$26.20|$13.58|$17.28|$37.00|$20.91|$16.65|$37.00|$37.00|$14.28|$9.67|$8.62|$8.62
"CPT® 87491"|"HB CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECHNIQUE"|306.00|$435.00|$39.00|$307.98|$304.00||$198.80|$87.00|$307.98|$159.65|$203.15|$41.00|$245.78|$195.75|$39.00|$42.00|$167.91|$113.71|$101.31|$101.31
"CPT® 87624"|"HB HUMAN PAPILLOMA VIRUS, DIRECT PROBE"|306.00|$215.00|$39.00|$152.22|$150.00||$98.26|$43.00|$152.22|$78.91|$100.41|$41.00|$121.48|$96.75|$39.00|$42.00|$82.99|$56.20|$50.07|$50.07
"CPT® 87798"|"HB BORDETELLA PERTUSSIS DNA QUAL BY PCR"|306.00|$153.00|$30.60|$108.32|$107.00||$69.92|$30.60|$108.32|$56.15|$71.45|$41.00|$86.45|$68.85|$39.00|$42.00|$59.06|$39.99|$35.63|$35.63
"CPT® 87497"|"HB CMV, PCR, AMNIOTIC FLUID"|306.00|$558.00|$39.00|$395.06|$391.00||$255.01|$111.60|$395.06|$204.79|$260.59|$41.00|$315.27|$251.10|$39.00|$42.00|$215.39|$145.86|$129.96|$129.96
"CPT® 87496"|"HB CMV, PCR, URINE"|306.00|$240.00|$39.00|$169.92|$168.00||$109.68|$48.00|$169.92|$88.08|$112.08|$41.00|$135.60|$108.00|$39.00|$42.00|$92.64|$62.74|$55.90|$55.90
"CPT® 87207"|"HB MALARIAL SMEAR"|306.00|$215.00|$39.00|$152.22|$150.00||$98.26|$43.00|$152.22|$78.91|$100.41|$41.00|$121.48|$96.75|$39.00|$42.00|$82.99|$56.20|$50.07|$50.07
"CPT® 87450"|"HB CRYPTOCOCCAL ANTIGEN, SERUM"|306.00|$298.00|$39.00|$210.98|$209.00||$136.19|$59.60|$210.98|$109.37|$139.17|$41.00|$168.37|$134.10|$39.00|$42.00|$115.03|$77.90|$69.40|$69.40
"CPT® 87449"|"HB LEGIONELLA ANTIGEN, URINE"|306.00|$336.00|$39.00|$237.89|$235.00||$153.55|$67.20|$237.89|$123.31|$156.91|$41.00|$189.84|$151.20|$39.00|$42.00|$129.70|$87.83|$78.25|$78.25
"CPT® 87804"|"HB RAPID INFLUENZA A/B TEST"|306.00|$206.00|$39.00|$145.85|$144.00||$94.14|$41.20|$145.85|$75.60|$96.20|$103.00|$116.39|$92.70|$39.00|$42.00|$79.52|$53.85|$47.98|$47.98
"CPT® 87502"|"HB INFLUENZA A, B (RAPID PCR)"|306.00|$617.00|$39.00|$436.84|$432.00||$281.97|$123.40|$436.84|$226.44|$288.14|$41.00|$348.61|$277.65|$39.00|$42.00|$238.16|$161.28|$143.70|$143.70
"CPT® 87880"|"HB RAPID STREP TEST"|306.00|$178.00|$35.60|$126.02|$125.00||$81.35|$35.60|$126.02|$65.33|$83.13|$41.00|$100.57|$80.10|$39.00|$42.00|$68.71|$46.53|$41.46|$41.46
"CPT® 87807"|"HB RESPIRATORY SYNCYTIAL VIRUS TEST; DIRECT OPTIC OBSERVATION"|306.00|$221.00|$39.00|$156.47|$155.00||$101.00|$44.20|$156.47|$81.11|$103.21|$41.00|$124.87|$99.45|$39.00|$42.00|$85.31|$57.77|$51.47|$51.47
"CPT® 87425"|"HB ROTOVIRUS DETECTION TEST"|306.00|$200.00|$39.00|$141.60|$140.00||$91.40|$40.00|$141.60|$73.40|$93.40|$41.00|$113.00|$90.00|$39.00|$42.00|$77.20|$52.28|$46.58|$46.58
"CPT® 87205"|"HB GRAM STAIN"|306.00|$109.00|$21.80|$77.17|$76.00||$49.81|$21.80|$77.17|$40.00|$50.90|$41.00|$61.59|$49.05|$39.00|$42.00|$42.07|$28.49|$25.39|$25.39
"CPT® 87070"|"HB CULTURE/STERILITY"|306.00|$241.00|$39.00|$170.63|$169.00||$110.14|$48.20|$170.63|$88.45|$112.55|$41.00|$136.17|$108.45|$39.00|$42.00|$93.03|$63.00|$56.13|$56.13
"CPT® 87449"|"HB ASPERGILLUS ANTIGEN"|306.00|$267.00|$39.00|$189.04|$187.00||$122.02|$53.40|$189.04|$97.99|$124.69|$41.00|$150.86|$120.15|$39.00|$42.00|$103.06|$69.79|$62.18|$62.18
"CPT® 87799"|"HB BK VIRUS QUANTITATIVE VIRAL LOAD, BLOOD"|306.00|$530.00|$39.00|$375.24|$371.00||$242.21|$106.00|$375.24|$194.51|$247.51|$41.00|$299.45|$238.50|$39.00|$42.00|$204.58|$138.54|$123.44|$123.44
"CPT® 87801"|"HB BORDETELLA PCR"|306.00|$738.00|$39.00|$522.50|$517.00||$337.27|$147.60|$522.50|$270.85|$344.65|$41.00|$416.97|$332.10|$39.00|$42.00|$284.87|$192.91|$171.88|$171.88
"CPT® 87493"|"HB C. DIFFICILE PCR"|306.00|$341.00|$39.00|$241.43|$239.00||$155.84|$68.20|$241.43|$125.15|$159.25|$41.00|$192.67|$153.45|$39.00|$42.00|$131.63|$89.14|$79.42|$79.42
"CPT® 87491"|"HB CHLAMYDIA TRACHOMATIS PCR"|306.00|$432.00|$39.00|$305.86|$302.00||$197.42|$86.40|$305.86|$158.54|$201.74|$41.00|$244.08|$194.40|$39.00|$42.00|$166.75|$112.92|$100.61|$100.61
"CPT® 87902"|"HB HCV GENOTYPE"|306.00|$2704.00|$39.00|$1914.43|$1893.00||$1235.73|$540.80|$1914.43|$992.37|$1262.77|$41.00|$1527.76|$1216.80|$39.00|$42.00|$1043.74|$706.83|$629.76|$629.76
"CPT® 87798"|"HB JC VIRUS DNA, PCR"|306.00|$986.00|$39.00|$698.09|$690.00||$450.60|$197.20|$698.09|$361.86|$460.46|$41.00|$557.09|$443.70|$39.00|$42.00|$380.60|$257.74|$229.64|$229.64
"CPT® 87798"|"HB NOROVIRUS RNA, QUALITATIVE PCR"|306.00|$846.00|$39.00|$598.97|$592.00||$386.62|$169.20|$598.97|$310.48|$395.08|$41.00|$477.99|$380.70|$39.00|$42.00|$326.56|$221.14|$197.03|$197.03
"CPT® 87798"|"HB NOROVIRUS 1/2 TOTAL, PCR"|306.00|$965.00|$39.00|$683.22|$676.00||$441.01|$193.00|$683.22|$354.16|$450.66|$41.00|$545.23|$434.25|$39.00|$42.00|$372.49|$252.25|$224.75|$224.75
"CPT® 87798"|"HB PCR AMPLIFIED PROBE"|306.00|$386.00|$39.00|$273.29|$270.00||$176.40|$77.20|$273.29|$141.66|$180.26|$41.00|$218.09|$173.70|$39.00|$42.00|$149.00|$100.90|$89.90|$89.90
"CPT® 87798"|"HB TOXOPLASMA PCR, CSF"|306.00|$341.00|$39.00|$241.43|$239.00||$155.84|$68.20|$241.43|$125.15|$159.25|$41.00|$192.67|$153.45|$39.00|$42.00|$131.63|$89.14|$79.42|$79.42
"CPT® 87799"|"HB VARICELLA ZOSTER PCR, QUANTITATIVE, CSF"|306.00|$530.00|$39.00|$375.24|$371.00||$242.21|$106.00|$375.24|$194.51|$247.51|$41.00|$299.45|$238.50|$39.00|$42.00|$204.58|$138.54|$123.44|$123.44
"CPT® 87798"|"HB VARICELLA ZOSTER PCR, QUALITATIVE"|306.00|$937.00|$39.00|$663.40|$656.00||$428.21|$187.40|$663.40|$343.88|$437.58|$41.00|$529.41|$421.65|$39.00|$42.00|$361.68|$244.93|$218.23|$218.23
"CPT® 87798"|"HB WEST NILE VIRUS PCR"|306.00|$965.00|$39.00|$683.22|$676.00||$441.01|$193.00|$683.22|$354.16|$450.66|$41.00|$545.23|$434.25|$39.00|$42.00|$372.49|$252.25|$224.75|$224.75
"CPT® 87798"|"HB MULTIPLEX RT-PCR PANEL-ZIKA VIRUS"|306.00|$529.00|$39.00|$374.53|$370.00||$241.75|$105.80|$374.53|$194.14|$247.04|$41.00|$298.89|$238.05|$39.00|$42.00|$204.19|$138.28|$123.20|$123.20
"CPT® 87798"|"HB MULTIPLEX RT-PCR PANEL-CHIKUGUNYA VIRUS"|306.00|$529.00|$39.00|$374.53|$370.00||$241.75|$105.80|$374.53|$194.14|$247.04|$41.00|$298.89|$238.05|$39.00|$42.00|$204.19|$138.28|$123.20|$123.20
"CPT® 87798"|"HB MULTIPLEX RT-PCR PANEL-DENGUE VIRUS"|306.00|$529.00|$39.00|$374.53|$370.00||$241.75|$105.80|$374.53|$194.14|$247.04|$41.00|$298.89|$238.05|$39.00|$42.00|$204.19|$138.28|$123.20|$123.20
"CPT® 87305"|"HB ASPERGILLUS GALACTOMANAN ANTIGEN"|306.00|$154.00|$30.80|$109.03|$108.00||$70.38|$30.80|$109.03|$56.52|$71.92|$41.00|$87.01|$69.30|$39.00|$42.00|$59.44|$40.26|$35.87|$35.87
"CPT® 87498"|"HB ENTEROVIRUS RNA QUAL, PCR"|306.00|$433.00|$39.00|$306.56|$303.00||$197.88|$86.60|$306.56|$158.91|$202.21|$41.00|$244.65|$194.85|$39.00|$42.00|$167.14|$113.19|$100.85|$100.85
"CPT® 87521"|"HB HCV PCR QUALITATIVE"|306.00|$445.00|$39.00|$315.06|$312.00||$203.37|$89.00|$315.06|$163.32|$207.82|$41.00|$251.43|$200.25|$39.00|$42.00|$171.77|$116.32|$103.64|$103.64
"CPT® 87522"|"HB HCV PCR QUANTITATION"|306.00|$180.00|$36.00|$127.44|$126.00||$82.26|$36.00|$127.44|$66.06|$84.06|$41.00|$101.70|$81.00|$39.00|$42.00|$69.48|$47.05|$41.92|$41.92
"CPT® 87517"|"HB HEPATITIS B VIRUS VIRAL LOAD PCR"|306.00|$558.00|$39.00|$395.06|$391.00||$255.01|$111.60|$395.06|$204.79|$260.59|$41.00|$315.27|$251.10|$39.00|$42.00|$215.39|$145.86|$129.96|$129.96
"CPT® 87529"|"HB HERPES SIMPLEX VIRUS BY PCR"|306.00|$456.00|$39.00|$322.85|$319.00||$208.39|$91.20|$322.85|$167.35|$212.95|$41.00|$257.64|$205.20|$39.00|$42.00|$176.02|$119.20|$106.20|$106.20
"CPT® 87529"|"HB HERPES SIMPLEX VIRUS TYPE 1, PCR"|306.00|$368.00|$39.00|$260.54|$258.00||$168.18|$73.60|$260.54|$135.06|$171.86|$41.00|$207.92|$165.60|$39.00|$42.00|$142.05|$96.20|$85.71|$85.71
"CPT® 87529"|"HB HERPES SIMPLEX VIRUS TYPE 2, PCR"|306.00|$368.00|$39.00|$260.54|$258.00||$168.18|$73.60|$260.54|$135.06|$171.86|$41.00|$207.92|$165.60|$39.00|$42.00|$142.05|$96.20|$85.71|$85.71
"CPT® 87299"|"HB HERPES SIMPLEX, DFA"|306.00|$156.00|$31.20|$110.45|$109.00||$71.29|$31.20|$110.45|$57.25|$72.85|$41.00|$88.14|$70.20|$39.00|$42.00|$60.22|$40.78|$36.33|$36.33
"CPT® 87385"|"HB HISTOPLASMA ANTIGEN URINE LF"|306.00|$334.00|$39.00|$236.47|$234.00||$152.64|$66.80|$236.47|$122.58|$155.98|$41.00|$188.71|$150.30|$39.00|$42.00|$128.92|$87.31|$77.79|$77.79
"CPT® 86701"|"HB HIV-1 ANTIBODY MULTISPOT"|306.00|$174.00|$34.80|$123.19|$122.00||$79.52|$34.80|$123.19|$63.86|$81.26|$41.00|$98.31|$78.30|$39.00|$42.00|$67.16|$45.48|$40.52|$40.52
"CPT® 86702"|"HB HIV-2 ANTIBODY MULTISPOT"|306.00|$174.00|$34.80|$123.19|$122.00||$79.52|$34.80|$123.19|$63.86|$81.26|$41.00|$98.31|$78.30|$39.00|$42.00|$67.16|$45.48|$40.52|$40.52
"CPT® 86701"|"HB EXPOSURE HIV-1 ANTIBODY MULTISPOT"|306.00|$174.00|$34.80|$123.19|$122.00||$79.52|$34.80|$123.19|$63.86|$81.26|$41.00|$98.31|$78.30|$39.00|$42.00|$67.16|$45.48|$40.52|$40.52
"CPT® 86702"|"HB EXPOSURE HIV-2 ANTIBODY MULTISPOT"|306.00|$174.00|$34.80|$123.19|$122.00||$79.52|$34.80|$123.19|$63.86|$81.26|$41.00|$98.31|$78.30|$39.00|$42.00|$67.16|$45.48|$40.52|$40.52
"CPT® 87449"|"HB HIV P24 ANTIGEN TEST"|306.00|$347.00|$39.00|$245.68|$243.00||$158.58|$69.40|$245.68|$127.35|$162.05|$41.00|$196.06|$156.15|$39.00|$42.00|$133.94|$90.71|$80.82|$80.82
"CPT® 87631"|"HB INFLUENZA A/B & RSV BY PCR"|306.00|$304.00|$39.00|$215.23|$213.00||$138.93|$60.80|$215.23|$111.57|$141.97|$41.00|$171.76|$136.80|$39.00|$42.00|$117.34|$79.47|$70.80|$70.80
"CPT® 87278"|"HB LEGIONELLA DETECTION, DFA"|306.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$61.50|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 87476"|"HB LYME DISEASE, FLUID"|306.00|$368.00|$39.00|$260.54|$258.00||$168.18|$73.60|$260.54|$135.06|$171.86|$41.00|$207.92|$165.60|$39.00|$42.00|$142.05|$96.20|$85.71|$85.71
"CPT® 87556"|"HB MYCOBACTERIA TUBERCULOSIS COMPLEX PCR"|306.00|$368.00|$39.00|$260.54|$258.00||$168.18|$73.60|$260.54|$135.06|$171.86|$41.00|$207.92|$165.60|$39.00|$42.00|$142.05|$96.20|$85.71|$85.71
"CPT® 87556"|"HB MYCOBACTERIUM TUBERCULOSIS PCR"|306.00|$1489.00|$39.00|$1054.21|$1042.00||$680.47|$297.80|$1054.21|$546.46|$695.36|$41.00|$841.29|$670.05|$39.00|$42.00|$574.75|$389.22|$346.79|$346.79
"CPT® 87591"|"HB NEISSERIA GONORRHOEAE PCR"|306.00|$432.00|$39.00|$305.86|$302.00||$197.42|$86.40|$305.86|$158.54|$201.74|$41.00|$244.08|$194.40|$39.00|$42.00|$166.75|$112.92|$100.61|$100.61
"CPT® 87281"|"HB PNEUMOCYSTIS JIROVECII, DFA"|306.00|$154.00|$30.80|$109.03|$108.00||$70.38|$30.80|$109.03|$56.52|$71.92|$41.00|$87.01|$69.30|$39.00|$42.00|$59.44|$40.26|$35.87|$35.87
"CPT® 87798"|"HB RESPIRATORY SYNCYTIAL VIRUS, PCR"|306.00|$421.00|$39.00|$298.07|$295.00||$192.40|$84.20|$298.07|$154.51|$196.61|$41.00|$237.87|$189.45|$39.00|$42.00|$162.51|$110.05|$98.05|$98.05
"CPT® 87798"|"HB VARICELLA ZOSTER VIRUS, PCR"|306.00|$437.00|$39.00|$309.40|$306.00||$199.71|$87.40|$309.40|$160.38|$204.08|$41.00|$246.91|$196.65|$39.00|$42.00|$168.68|$114.23|$101.78|$101.78
"CPT® 87206"|"HB ACID FAST SMEAR"|306.00|$177.00|$35.40|$125.32|$124.00||$80.89|$35.40|$125.32|$64.96|$82.66|$41.00|$100.01|$79.65|$39.00|$42.00|$68.32|$46.27|$41.22|$41.22
"CPT® 87149"|"HB AFB IDENTIFICATION CHARGE"|306.00|$562.00|$39.00|$397.90|$393.00||$256.83|$112.40|$397.90|$206.25|$262.45|$41.00|$317.53|$252.90|$39.00|$42.00|$216.93|$146.91|$130.89|$130.89
"CPT® 87188"|"HB AFB PANEL"|306.00|$146.00|$29.20|$103.37|$102.00||$66.72|$29.20|$103.37|$53.58|$68.18|$41.00|$82.49|$65.70|$39.00|$42.00|$56.36|$38.16|$34.00|$34.00
"CPT® 87449"|"HB BLASTOMYCES ANTIGEN, URINE"|306.00|$336.00|$39.00|$237.89|$235.00||$153.55|$67.20|$237.89|$123.31|$156.91|$41.00|$189.84|$151.20|$39.00|$42.00|$129.70|$87.83|$78.25|$78.25
"CPT® 87265"|"HB BORDETELLA PERTUSSIS/PARAPERTUSSIS, DFA"|306.00|$129.00|$25.80|$91.33|$90.00||$58.95|$25.80|$91.33|$47.34|$60.24|$64.50|$72.89|$58.05|$39.00|$42.00|$49.79|$33.72|$30.04|$30.04
"CPT® 87324"|"HB C. DIFFICILE TOXIN"|306.00|$191.00|$38.20|$135.23|$134.00||$87.29|$38.20|$135.23|$70.10|$89.20|$41.00|$107.92|$85.95|$39.00|$42.00|$73.73|$49.93|$44.48|$44.48
"CPT® 87046"|"HB CAMPHYLOBACTER ISOLATION"|306.00|$137.00|$27.40|$97.00|$96.00||$62.61|$27.40|$97.00|$50.28|$63.98|$41.00|$77.41|$61.65|$39.00|$42.00|$52.88|$35.81|$31.91|$31.91
"CPT® 87015"|"HB CONCENTRATION, INFECTIOUS AGENT"|306.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 87327"|"HB CRYPTOCOCCUS NEOFORMANS"|306.00|$125.00|$25.00|$88.50|$88.00||$57.13|$25.00|$88.50|$45.88|$58.38|$62.50|$70.63|$56.25|$39.00|$42.00|$48.25|$32.68|$29.11|$29.11
"CPT® 87449"|"HB C. DIFFICILE, ANTIGEN DETECTION"|306.00|$347.00|$39.00|$245.68|$243.00||$158.58|$69.40|$245.68|$127.35|$162.05|$41.00|$196.06|$156.15|$39.00|$42.00|$133.94|$90.71|$80.82|$80.82
"CPT® 87070"|"HB CULLTURE, WOUND"|306.00|$277.00|$39.00|$196.12|$194.00||$126.59|$55.40|$196.12|$101.66|$129.36|$41.00|$156.51|$124.65|$39.00|$42.00|$106.92|$72.41|$64.51|$64.51
"CPT® 87086"|"HB CULTURE, URINE W/COLONY COUNT"|306.00|$278.00|$21.86|$196.82|$195.00||$21.86|$55.60|$196.82|$102.03|$129.83|$41.00|$157.07|$125.10|$39.00|$42.00|$107.31|$72.67|$64.75|$64.75
"CPT® 87070"|"HB CULTURE, CATHETER TIP"|306.00|$290.00|$39.00|$205.32|$203.00||$132.53|$58.00|$205.32|$106.43|$135.43|$41.00|$163.85|$130.50|$39.00|$42.00|$111.94|$75.81|$67.54|$67.54
"CPT® 87110"|"HB CULTURE, CHLAMYDIA"|306.00|$401.00|$39.00|$283.91|$281.00||$183.26|$80.20|$283.91|$147.17|$187.27|$41.00|$226.57|$180.45|$39.00|$42.00|$154.79|$104.82|$93.39|$93.39
"CPT® 87075"|"HB CULTURE, AANAEROBIC"|306.00|$173.00|$34.60|$122.48|$121.00||$79.06|$34.60|$122.48|$63.49|$80.79|$41.00|$97.75|$77.85|$39.00|$42.00|$66.78|$45.22|$40.29|$40.29
"CPT® 87116"|"HB CULTURE, ACID FAST"|306.00|$336.00|$39.00|$237.89|$235.00||$153.55|$67.20|$237.89|$123.31|$156.91|$41.00|$189.84|$151.20|$39.00|$42.00|$129.70|$87.83|$78.25|$78.25
"CPT® 87147"|"HB CULTURE, AGGLUTININ/ANTISERUM"|306.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 87081"|"HB CULTURE, BETA STREP"|306.00|$278.00|$39.00|$196.82|$195.00||$127.05|$55.60|$196.82|$102.03|$129.83|$41.00|$157.07|$125.10|$39.00|$42.00|$107.31|$72.67|$64.75|$64.75
"CPT® 87290"|"HB CULTURE, BETA STREP"|306.00|$139.00|$27.80|$98.41|$97.00||$63.52|$27.80|$98.41|$51.01|$64.91|$69.50|$78.54|$62.55|$39.00|$42.00|$53.65|$36.33|$32.37|$32.37
"CPT® 87040"|"HB CULTURE, BLOOD"|306.00|$397.00|$27.93|$281.08|$278.00||$27.93|$79.40|$281.08|$145.70|$185.40|$41.00|$224.31|$178.65|$39.00|$42.00|$153.24|$103.78|$92.46|$92.46
"CPT® 87103"|"HB CULTURE, BLOOD, FUNGUS"|306.00|$213.00|$39.00|$150.80|$149.00||$97.34|$42.60|$150.80|$78.17|$99.47|$41.00|$120.35|$95.85|$39.00|$42.00|$82.22|$55.68|$49.61|$49.61
"CPT® 87070"|"HB CULTURE, BONE MARROW"|306.00|$284.00|$39.00|$201.07|$199.00||$129.79|$56.80|$201.07|$104.23|$132.63|$41.00|$160.46|$127.80|$39.00|$42.00|$109.62|$74.24|$66.14|$66.14
"CPT® 87046"|"HB CULTURE, C. DIFFICILE"|306.00|$257.00|$39.00|$181.96|$180.00||$117.45|$51.40|$181.96|$94.32|$120.02|$41.00|$145.21|$115.65|$39.00|$42.00|$99.20|$67.18|$59.86|$59.86
"CPT® 87070"|"HB CULTURE, CORNEA"|306.00|$284.00|$39.00|$201.07|$199.00||$129.79|$56.80|$201.07|$104.23|$132.63|$41.00|$160.46|$127.80|$39.00|$42.00|$109.62|$74.24|$66.14|$66.14
"CPT® 87070"|"HB CULTURE, CSF"|306.00|$290.00|$39.00|$205.32|$203.00||$132.53|$58.00|$205.32|$106.43|$135.43|$41.00|$163.85|$130.50|$39.00|$42.00|$111.94|$75.81|$67.54|$67.54
"CPT® 87254"|"HB CULTURE, CYTOMEGALOVIRUS"|306.00|$263.00|$39.00|$186.20|$184.00||$120.19|$52.60|$186.20|$96.52|$122.82|$41.00|$148.60|$118.35|$39.00|$42.00|$101.52|$68.75|$61.25|$61.25
"CPT® 87070"|"HB CULTURE, EAR"|306.00|$284.00|$39.00|$201.07|$199.00||$129.79|$56.80|$201.07|$104.23|$132.63|$41.00|$160.46|$127.80|$39.00|$42.00|$109.62|$74.24|$66.14|$66.14
"CPT® 87070"|"HB CULTURE, EYE"|306.00|$290.00|$39.00|$205.32|$203.00||$132.53|$58.00|$205.32|$106.43|$135.43|$41.00|$163.85|$130.50|$39.00|$42.00|$111.94|$75.81|$67.54|$67.54
"CPT® 87070"|"HB CULTURE, FLUID"|306.00|$290.00|$39.00|$205.32|$203.00||$132.53|$58.00|$205.32|$106.43|$135.43|$41.00|$163.85|$130.50|$39.00|$42.00|$111.94|$75.81|$67.54|$67.54
"CPT® 87102"|"HB CULTURE, FUNGAL"|306.00|$278.00|$39.00|$196.82|$195.00||$127.05|$55.60|$196.82|$102.03|$129.83|$41.00|$157.07|$125.10|$39.00|$42.00|$107.31|$72.67|$64.75|$64.75
"CPT® 87107"|"HB CULTURE, FUNGUS ID, MOLD"|306.00|$179.00|$35.80|$126.73|$125.00||$81.80|$35.80|$126.73|$65.69|$83.59|$41.00|$101.14|$80.55|$39.00|$42.00|$69.09|$46.79|$41.69|$41.69
"CPT® 87106"|"HB CULTURE, FUNGUS ID, YEAST"|306.00|$206.00|$39.00|$145.85|$144.00||$94.14|$41.20|$145.85|$75.60|$96.20|$41.00|$116.39|$92.70|$39.00|$42.00|$79.52|$53.85|$47.98|$47.98
"CPT® 87101"|"HB CULTURE, FUNGUS, SKIN, NAIL, HAIR"|306.00|$208.00|$39.00|$147.26|$146.00||$95.06|$41.60|$147.26|$76.34|$97.14|$41.00|$117.52|$93.60|$39.00|$42.00|$80.29|$54.37|$48.44|$48.44
"CPT® 87070"|"HB CULTURE, GENITAL"|306.00|$284.00|$39.00|$201.07|$199.00||$129.79|$56.80|$201.07|$104.23|$132.63|$41.00|$160.46|$127.80|$39.00|$42.00|$109.62|$74.24|$66.14|$66.14
"CPT® 87254"|"HB CULTURE, HERPES"|306.00|$263.00|$39.00|$186.20|$184.00||$120.19|$52.60|$186.20|$96.52|$122.82|$41.00|$148.60|$118.35|$39.00|$42.00|$101.52|$68.75|$61.25|$61.25
"CPT® 87081"|"HB CULTURE, MRSA SCREEN"|306.00|$278.00|$39.00|$196.82|$195.00||$127.05|$55.60|$196.82|$102.03|$129.83|$41.00|$157.07|$125.10|$39.00|$42.00|$107.31|$72.67|$64.75|$64.75
"CPT® 87081"|"HB CULTURE, NEISSERIA"|306.00|$278.00|$39.00|$196.82|$195.00||$127.05|$55.60|$196.82|$102.03|$129.83|$41.00|$157.07|$125.10|$39.00|$42.00|$107.31|$72.67|$64.75|$64.75
"CPT® 87070"|"HB CULTURE, PLACENTA"|306.00|$284.00|$39.00|$201.07|$199.00||$129.79|$56.80|$201.07|$104.23|$132.63|$41.00|$160.46|$127.80|$39.00|$42.00|$109.62|$74.24|$66.14|$66.14
"CPT® 87070"|"HB CULTURE, RESPIRATORY"|306.00|$290.00|$39.00|$205.32|$203.00||$132.53|$58.00|$205.32|$106.43|$135.43|$41.00|$163.85|$130.50|$39.00|$42.00|$111.94|$75.81|$67.54|$67.54
"CPT® 87081"|"HB CULTURE, SCREEN"|306.00|$278.00|$39.00|$196.82|$195.00||$127.05|$55.60|$196.82|$102.03|$129.83|$41.00|$157.07|$125.10|$39.00|$42.00|$107.31|$72.67|$64.75|$64.75
"CPT® 87046"|"HB CULTURE, STOOL, ADDITIONAL PATHOGEN"|306.00|$310.00|$39.00|$219.48|$217.00||$141.67|$62.00|$219.48|$113.77|$144.77|$41.00|$175.15|$139.50|$39.00|$42.00|$119.66|$81.03|$72.20|$72.20
"CPT® 87081"|"HB CULTURE, THROAT"|306.00|$278.00|$39.00|$196.82|$195.00||$127.05|$55.60|$196.82|$102.03|$129.83|$41.00|$157.07|$125.10|$39.00|$42.00|$107.31|$72.67|$64.75|$64.75
"CPT® 87070"|"HB CULTURE, TISSUE"|306.00|$290.00|$39.00|$205.32|$203.00||$132.53|$58.00|$205.32|$106.43|$135.43|$41.00|$163.85|$130.50|$39.00|$42.00|$111.94|$75.81|$67.54|$67.54
"CPT® 87081"|"HB CULTURE, VIBRIO"|306.00|$278.00|$39.00|$196.82|$195.00||$127.05|$55.60|$196.82|$102.03|$129.83|$41.00|$157.07|$125.10|$39.00|$42.00|$107.31|$72.67|$64.75|$64.75
"CPT® 87252"|"HB CULTURE, VIRUS"|306.00|$461.00|$39.00|$326.39|$323.00||$210.68|$92.20|$326.39|$169.19|$215.29|$41.00|$260.47|$207.45|$39.00|$42.00|$177.95|$120.51|$107.37|$107.37
"CPT® 87102"|"HB CULTURE, YEAST"|306.00|$278.00|$39.00|$196.82|$195.00||$127.05|$55.60|$196.82|$102.03|$129.83|$41.00|$157.07|$125.10|$39.00|$42.00|$107.31|$72.67|$64.75|$64.75
"CPT® 87046"|"HB CULTURE, YERSINIA"|306.00|$111.00|$22.20|$78.59|$78.00||$50.73|$22.20|$78.59|$40.74|$51.84|$41.00|$62.72|$49.95|$39.00|$42.00|$42.85|$29.02|$25.85|$25.85
"CPT® 87206"|"HB CYCLOSPORA EXAM"|306.00|$177.00|$35.40|$125.32|$124.00||$80.89|$35.40|$125.32|$64.96|$82.66|$41.00|$100.01|$79.65|$39.00|$42.00|$68.32|$46.27|$41.22|$41.22
"CPT® 87153"|"HB DNA/RNA SEQUENCING"|306.00|$531.00|$39.00|$375.95|$372.00||$242.67|$106.20|$375.95|$194.88|$247.98|$41.00|$300.02|$238.95|$39.00|$42.00|$204.97|$138.80|$123.67|$123.67
"CPT® 87185"|"HB ENZYME DETECTION, EACH ENZYME"|306.00|$51.00|$10.20|$42.00|$36.00||$23.31|$10.20|$36.11|$18.72|$23.82|$41.00|$28.82|$22.95|$39.00|$42.00|$19.69|$13.33|$11.88|$11.88
"CPT® 87181"|"HB E-TEST, EACH"|306.00|$108.00|$21.60|$76.46|$76.00||$49.36|$21.60|$76.46|$39.64|$50.44|$41.00|$61.02|$48.60|$39.00|$42.00|$41.69|$28.23|$25.15|$25.15
"CPT® 87801"|"HB BACTERIAL/FUNGAL DNA SCREEN"|306.00|$408.00|$39.00|$288.86|$286.00||$186.46|$81.60|$288.86|$149.74|$190.54|$41.00|$230.52|$183.60|$39.00|$42.00|$157.49|$106.65|$95.02|$95.02
"CPT® 87329"|"HB GIARDIA ANTIGEN"|306.00|$154.00|$30.80|$109.03|$108.00||$70.38|$30.80|$109.03|$56.52|$71.92|$41.00|$87.01|$69.30|$39.00|$42.00|$59.44|$40.26|$35.87|$35.87
"CPT® 87338"|"HB H PYLORI AG, STOOL"|306.00|$303.00|$39.00|$214.52|$212.00||$138.47|$60.60|$214.52|$111.20|$141.50|$41.00|$171.20|$136.35|$39.00|$42.00|$116.96|$79.20|$70.57|$70.57
"CPT® 87205"|"HB H PYLORI AG, TISSUE"|306.00|$107.00|$21.40|$75.76|$75.00||$48.90|$21.40|$75.76|$39.27|$49.97|$41.00|$60.46|$48.15|$39.00|$42.00|$41.30|$27.97|$24.92|$24.92
"CPT® 87176"|"HB HOMOGENIZATION, TISSUE"|306.00|$61.00|$12.20|$43.19|$43.00||$27.88|$12.20|$43.19|$22.39|$28.49|$41.00|$34.47|$27.45|$39.00|$42.00|$23.55|$15.95|$14.21|$14.21
"CPT® 87206"|"HB IOSPORA EXAM"|306.00|$177.00|$35.40|$125.32|$124.00||$80.89|$35.40|$125.32|$64.96|$82.66|$41.00|$100.01|$79.65|$39.00|$42.00|$68.32|$46.27|$41.22|$41.22
"CPT® 87220"|"HB FUNGAL KOH PREP"|306.00|$80.00|$16.00|$56.64|$56.00||$36.56|$16.00|$56.64|$29.36|$37.36|$41.00|$45.20|$36.00|$39.00|$42.00|$30.88|$20.91|$18.63|$18.63
"CPT® 87206"|"HB CALCOFLUOR WHITE STAIN"|306.00|$34.00|$6.80|$34.00|$24.00||$15.54|$6.80|$24.07|$12.48|$15.88|$34.00|$19.21|$15.30|$34.00|$34.00|$13.12|$8.89|$7.92|$7.92
"CPT® 87168"|"HB ARTHROPOD IDENTIFICATION"|306.00|$73.00|$14.60|$51.68|$51.00||$33.36|$14.60|$51.68|$26.79|$34.09|$41.00|$41.25|$32.85|$39.00|$42.00|$28.18|$19.08|$17.00|$17.00
"CPT® 87207"|"HB MICROSPORIA EXAM"|306.00|$62.00|$12.40|$43.90|$43.00||$28.33|$12.40|$43.90|$22.75|$28.95|$41.00|$35.03|$27.90|$39.00|$42.00|$23.93|$16.21|$14.44|$14.44
"CPT® 87015"|"HB MICROSPORIA STAIN"|306.00|$70.00|$14.00|$49.56|$49.00||$31.99|$14.00|$49.56|$25.69|$32.69|$41.00|$39.55|$31.50|$39.00|$42.00|$27.02|$18.30|$16.30|$16.30
"CPT® 87254"|"HB MRSA SCREEN"|306.00|$263.00|$39.00|$186.20|$184.00||$120.19|$52.60|$186.20|$96.52|$122.82|$41.00|$148.60|$118.35|$39.00|$42.00|$101.52|$68.75|$61.25|$61.25
"CPT® 87077"|"HB ORGANISM ID, AEROBIC, EACH ISOLATE"|306.00|$134.00|$26.80|$94.87|$94.00||$61.24|$26.80|$94.87|$49.18|$62.58|$41.00|$75.71|$60.30|$39.00|$42.00|$51.72|$35.03|$31.21|$31.21
"CPT® 87076"|"HB ORGANISM ID, ANAEROBIC, EACH ISOLATE"|306.00|$173.00|$34.60|$122.48|$121.00||$79.06|$34.60|$122.48|$63.49|$80.79|$41.00|$97.75|$77.85|$39.00|$42.00|$66.78|$45.22|$40.29|$40.29
"CPT® 87045"|"HB ORGANISM ID, SALMONELLA/SHIGELLA"|306.00|$303.00|$39.00|$214.52|$212.00||$138.47|$60.60|$214.52|$111.20|$141.50|$41.00|$171.20|$136.35|$39.00|$42.00|$116.96|$79.20|$70.57|$70.57
"CPT® 87209"|"HB OVA & PARASITE TRICHROME STAIN"|306.00|$267.00|$39.00|$189.04|$187.00||$122.02|$53.40|$189.04|$97.99|$124.69|$41.00|$150.86|$120.15|$39.00|$42.00|$103.06|$69.79|$62.18|$62.18
"CPT® 87169"|"HB PARASITE EXAM"|306.00|$105.00|$21.00|$74.34|$74.00||$47.99|$21.00|$74.34|$38.54|$49.04|$41.00|$59.33|$47.25|$39.00|$42.00|$40.53|$27.45|$24.45|$24.45
"CPT® 87172"|"HB PINWORM PREP"|306.00|$78.00|$15.60|$55.22|$55.00||$35.65|$15.60|$55.22|$28.63|$36.43|$41.00|$44.07|$35.10|$39.00|$42.00|$30.11|$20.39|$18.17|$18.17
"CPT® 87299"|"HB RESPIRATORY SYNCYTIAL VIRUS, DFA"|306.00|$156.00|$31.20|$110.45|$109.00||$71.29|$31.20|$110.45|$57.25|$72.85|$41.00|$88.14|$70.20|$39.00|$42.00|$60.22|$40.78|$36.33|$36.33
"CPT® 87633"|"HB RESPIRATORY VIRUS PANEL, MULTIPLEX BY PCR"|306.00|$1217.00|$39.00|$861.64|$852.00||$556.17|$243.40|$861.64|$446.64|$568.34|$41.00|$687.61|$547.65|$39.00|$42.00|$469.76|$318.12|$283.44|$283.44
"CPT® 87147"|"HB SALMONELLA IDENTIFICATION"|306.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 87197"|"HB SCHLICHTER TEST"|306.00|$403.00|$39.00|$285.32|$282.00||$184.17|$80.60|$285.32|$147.90|$188.20|$201.50|$227.70|$181.35|$39.00|$42.00|$155.56|$105.34|$93.86|$93.86
"CPT® 87899"|"HB SHIGA TOXINS"|306.00|$154.00|$30.80|$109.03|$108.00||$70.38|$30.80|$109.03|$56.52|$71.92|$41.00|$87.01|$69.30|$39.00|$42.00|$59.44|$40.26|$35.87|$35.87
"CPT® 87899"|"HB SHIGA TOXINS (MOD 59)"|306.00|$154.00|$30.80|$109.03|$108.00||$70.38|$30.80|$109.03|$56.52|$71.92|$41.00|$87.01|$69.30|$39.00|$42.00|$59.44|$40.26|$35.87|$35.87
"CPT® 87147"|"HB SHIGELLA IDENTIFICATION"|306.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 87147"|"HB STREPTOCOCCUS GROUP A"|306.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 87147"|"HB STREPTOCOCCUS GROUP B"|306.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 87147"|"HB STREPTOCOCCUS GROUP C"|306.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 87147"|"HB STREPTOCOCCUS GROUP F"|306.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 87147"|"HB STREPTOCOCCUS GROUP G"|306.00|$123.00|$24.60|$87.08|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$41.00|$69.50|$55.35|$39.00|$42.00|$47.48|$32.15|$28.65|$28.65
"CPT® 87206"|"HB STREPTOCOCCUS PNEUMONIAE ANTIGEN"|306.00|$177.00|$35.40|$125.32|$124.00||$80.89|$35.40|$125.32|$64.96|$82.66|$41.00|$100.01|$79.65|$39.00|$42.00|$68.32|$46.27|$41.22|$41.22
"CPT® 87899"|"HB STREPTOCOCCUS PNEUMONIAE ANTIGEN, URINE"|306.00|$154.00|$30.80|$109.03|$108.00||$70.38|$30.80|$109.03|$56.52|$71.92|$41.00|$87.01|$69.30|$39.00|$42.00|$59.44|$40.26|$35.87|$35.87
"CPT® 87186"|"HB SUSCEPTIBILITY TESTING, GRAM NEGATIVE PANEL"|306.00|$285.00|$39.00|$201.78|$200.00||$130.25|$57.00|$201.78|$104.60|$133.10|$41.00|$161.03|$128.25|$39.00|$42.00|$110.01|$74.50|$66.38|$66.38
"CPT® 87186"|"HB SUSCEPTIBILITY TESTING, GRAM POSITIVE PANEL"|306.00|$285.00|$39.00|$201.78|$200.00||$130.25|$57.00|$201.78|$104.60|$133.10|$41.00|$161.03|$128.25|$39.00|$42.00|$110.01|$74.50|$66.38|$66.38
"CPT® 87186"|"HB SUSCEPTIBILITY TESTING, MIC"|306.00|$260.00|$39.00|$184.08|$182.00||$118.82|$52.00|$184.08|$95.42|$121.42|$41.00|$146.90|$117.00|$39.00|$42.00|$100.36|$67.96|$60.55|$60.55
"CPT® 87186"|"HB SUSCEPTIBILITY TESTING, MIC, FUNGUS"|306.00|$301.00|$39.00|$213.11|$211.00||$137.56|$60.20|$213.11|$110.47|$140.57|$41.00|$170.07|$135.45|$39.00|$42.00|$116.19|$78.68|$70.10|$70.10
"CPT® 87184"|"HB SUSCEPTIBILITY, DISC METHOD"|306.00|$152.00|$30.40|$107.62|$106.00||$69.46|$30.40|$107.62|$55.78|$70.98|$41.00|$85.88|$68.40|$39.00|$42.00|$58.67|$39.73|$35.40|$35.40
"CPT® 87210"|"HB TRICHOMONAS WET PREP"|306.00|$48.00|$9.60|$42.00|$34.00||$21.94|$9.60|$33.98|$17.62|$22.42|$41.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 87252"|"HB VIRUS ISOLATION, CSF"|306.00|$461.00|$39.00|$326.39|$323.00||$210.68|$92.20|$326.39|$169.19|$215.29|$41.00|$260.47|$207.45|$39.00|$42.00|$177.95|$120.51|$107.37|$107.37
"CPT® 87254"|"HB VIRUS SHELL VIAL"|306.00|$263.00|$39.00|$186.20|$184.00||$120.19|$52.60|$186.20|$96.52|$122.82|$41.00|$148.60|$118.35|$39.00|$42.00|$101.52|$68.75|$61.25|$61.25
"CPT® 87081"|"HB VRE SCREEN"|306.00|$278.00|$39.00|$196.82|$195.00||$127.05|$55.60|$196.82|$102.03|$129.83|$41.00|$157.07|$125.10|$39.00|$42.00|$107.31|$72.67|$64.75|$64.75
"CPT® 87880"|"HB STREP TEST, RAPID, POC"|306.00|$178.00|$35.60|$126.02|$125.00||$81.35|$35.60|$126.02|$65.33|$83.13|$41.00|$100.57|$80.10|$39.00|$42.00|$68.71|$46.53|$41.46|$41.46
"CPT® 87880"|"HB STREP A ASSAY W/OPTIC"|306.00|$178.00|$35.60|$126.02|$125.00||$81.35|$35.60|$126.02|$65.33|$83.13|$41.00|$100.57|$80.10|$39.00|$42.00|$68.71|$46.53|$41.46|$41.46
"CPT® 81003"|"HB URINALYSIS W/O MICROSCOPY"|307.00|$48.00|$9.60|$42.00|$34.00||$21.94|$9.60|$33.98|$17.62|$22.42|$41.00|$27.12|$21.60|$39.00|$42.00|$18.53|$12.55|$11.18|$11.18
"CPT® 81001"|"HB URINALYSIS, COMPLETE"|307.00|$89.00|$8.59|$63.01|$62.00||$8.59|$17.80|$63.01|$32.66|$41.56|$41.00|$50.29|$40.05|$39.00|$42.00|$34.35|$23.26|$20.73|$20.73
"CPT® 81025"|"HB URINE HCG (POC)"|307.00|$57.00|$11.40|$42.00|$40.00||$17.14|$11.40|$40.36|$20.92|$26.62|$41.00|$32.21|$25.65|$39.00|$42.00|$22.00|$14.90|$13.28|$13.28
"CPT® 81002"|"HB BENZENE PANEL, URINALYSIS"|307.00|$120.00|$24.00|$84.96|$84.00||$54.84|$24.00|$84.96|$44.04|$56.04|$41.00|$67.80|$54.00|$39.00|$42.00|$46.32|$31.37|$27.95|$27.95
"CPT® 81003"|"HB KIDNEY STONE, URINALYSIS"|307.00|$7.00|$1.40|$7.00|$5.00||$3.20|$1.40|$4.96|$2.57|$3.27|$7.00|$3.96|$3.15|$7.00|$7.00|$2.70|$1.83|$1.63|$1.63
"CPT® 81002"|"HB URINALYSIS (POC)"|307.00|$67.00|$13.40|$47.44|$47.00||$30.62|$13.40|$47.44|$24.59|$31.29|$41.00|$37.86|$30.15|$39.00|$42.00|$25.86|$17.51|$15.60|$15.60
"CPT® 81002"|"HB DRUG CONFIRMATION, EACH PROCEDURE"|307.00|$45.00|$9.00|$42.00|$31.00||$20.57|$9.00|$31.86|$16.52|$21.02|$41.00|$25.43|$20.25|$39.00|$42.00|$17.37|$11.76|$10.48|$10.48
"CPT® 84315"|"HB SPECIFIC GRAVITY, BODY FLUID"|307.00|$174.00|$34.80|$123.19|$122.00||$79.52|$34.80|$123.19|$63.86|$81.26|$41.00|$98.31|$78.30|$39.00|$42.00|$67.16|$45.48|$40.52|$40.52
"CPT® 81003"|"HB URINALYSIS W/WO MICROSCOPIC"|307.00|$160.00|$32.00|$113.28|$112.00||$73.12|$32.00|$113.28|$58.72|$74.72|$41.00|$90.40|$72.00|$39.00|$42.00|$61.76|$41.82|$37.26|$37.26
"CPT® 81001"|"HB URINALYSIS W/ MICROSCOPIC"|307.00|$160.00|$8.59|$113.28|$112.00||$8.59|$32.00|$113.28|$58.72|$74.72|$41.00|$90.40|$72.00|$39.00|$42.00|$61.76|$41.82|$37.26|$37.26
"CPT® 81003"|"HB SPECIFIC GRAVITY, URINE"|307.00|$174.00|$34.80|$123.19|$122.00||$79.52|$34.80|$123.19|$63.86|$81.26|$41.00|$98.31|$78.30|$39.00|$42.00|$67.16|$45.48|$40.52|$40.52
"CPT® 81050"|"HB VOLUME MEASUREMENT, URINE"|307.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 81025"|"HB URINE PREGNANCY TEST"|307.00|$189.00|$17.14|$133.81|$132.00||$17.14|$37.80|$133.81|$69.36|$88.26|$41.00|$106.79|$85.05|$39.00|$42.00|$72.95|$49.40|$44.02|$44.02
"CPT® 87624"|"HB HUMAN PAPILLOMA VIRUS, AMPLIFIED PROBE"|309.00|$133.00|$26.60|$94.16|$93.00||$60.78|$26.60|$94.16|$48.81|$62.11|$41.00|$75.15|$59.85|$39.00|$42.00|$51.34|$34.77|$30.98|$30.98
"CPT® 86886"|"HB ABO ANTIBODY TITRATION, IGG"|309.00|$49.00|$9.80|$42.00|$34.00||$22.39|$9.80|$34.69|$17.98|$22.88|$41.00|$27.69|$22.05|$39.00|$42.00|$18.91|$12.81|$11.41|$11.41
"CPT® 86900"|"HB ABO BLOOD TYPING"|309.00|$50.00|$10.00|$42.00|$35.00||$22.85|$10.00|$35.40|$18.35|$23.35|$41.00|$28.25|$22.50|$39.00|$42.00|$19.30|$13.07|$11.65|$11.65
"CPT® 86860"|"HB ANTIBODY  ELUTION"|309.00|$203.00|$39.00|$143.72|$142.00||$92.77|$40.60|$143.72|$74.50|$94.80|$41.00|$114.70|$91.35|$39.00|$42.00|$78.36|$53.06|$47.28|$47.28
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, EACH PANEL"|309.00|$335.00|$39.00|$237.18|$234.00||$153.10|$67.00|$237.18|$122.95|$156.45|$41.00|$189.28|$150.75|$39.00|$42.00|$129.31|$87.57|$78.02|$78.02
"CPT® 86886"|"HB ANTIBODY TITRATION, EACH ANTIBODY"|309.00|$49.00|$9.80|$42.00|$34.00||$22.39|$9.80|$34.69|$17.98|$22.88|$41.00|$27.69|$22.05|$39.00|$42.00|$18.91|$12.81|$11.41|$11.41
"CPT® 86922"|"HB CROSSMATCH, ANTIGLOBULIN, EACH UNIT"|309.00|$143.00|$28.60|$101.24|$100.00||$65.35|$28.60|$101.24|$52.48|$66.78|$41.00|$80.80|$64.35|$39.00|$42.00|$55.20|$37.38|$33.30|$33.30
"CPT® 86923"|"HB CROSSMATCH, ELECTRONIC, EACH UNIT"|309.00|$136.00|$27.20|$96.29|$95.00||$62.15|$27.20|$96.29|$49.91|$63.51|$41.00|$76.84|$61.20|$39.00|$42.00|$52.50|$35.55|$31.67|$31.67
"CPT® 86920"|"HB CROSSMATCH, IMMEDIATE SPIN, EACH UNIT"|309.00|$127.00|$25.40|$89.92|$89.00||$58.04|$25.40|$89.92|$46.61|$59.31|$41.00|$71.76|$57.15|$39.00|$42.00|$49.02|$33.20|$29.58|$29.58
"CPT® 86880"|"HB DIRECT ANTIGLOBULIN TEST (DIRECT COOMBS)"|309.00|$109.00|$21.80|$77.17|$76.00||$49.81|$21.80|$77.17|$40.00|$50.90|$41.00|$61.59|$49.05|$39.00|$42.00|$42.07|$28.49|$25.39|$25.39
"CPT® 86880"|"HB DIRECT ANTIGLOBULIN TEST (DIRECT COOMBS), C3"|309.00|$109.00|$21.80|$77.17|$76.00||$49.81|$21.80|$77.17|$40.00|$50.90|$41.00|$61.59|$49.05|$39.00|$42.00|$42.07|$28.49|$25.39|$25.39
"CPT® 86880"|"HB DIRECT ANTIGLOBULIN TEST (DIRECT COOMBS), IGG"|309.00|$109.00|$21.80|$77.17|$76.00||$49.81|$21.80|$77.17|$40.00|$50.90|$41.00|$61.59|$49.05|$39.00|$42.00|$42.07|$28.49|$25.39|$25.39
"CPT® 85461"|"HB FETAL-MATERNAL HEMORRRHAGE SCREEN, ROSETTE"|309.00|$158.00|$31.60|$111.86|$111.00||$72.21|$31.60|$111.86|$57.99|$73.79|$41.00|$89.27|$71.10|$39.00|$42.00|$60.99|$41.30|$36.80|$36.80
"CPT® 86960"|"HB PACKING WHOLE BLOOD, EACH UNIT"|309.00|$113.00|$22.60|$80.00|$79.00||$51.64|$22.60|$80.00|$41.47|$52.77|$56.50|$63.85|$50.85|$39.00|$42.00|$43.62|$29.54|$26.32|$26.32
"CPT® 86901"|"HB RH (D) ANTIGEN TYPING"|309.00|$35.00|$7.00|$35.00|$24.00||$16.00|$7.00|$24.78|$12.85|$16.35|$35.00|$19.78|$15.75|$35.00|$35.00|$13.51|$9.15|$8.15|$8.15
"CPT® 86885"|"HB WEAK RH(D) ANTIGEN TYPING, PATIENT"|309.00|$62.00|$12.40|$43.90|$43.00||$28.33|$12.40|$43.90|$22.75|$28.95|$41.00|$35.03|$27.90|$39.00|$42.00|$23.93|$16.21|$14.44|$14.44
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, PEG, EACH PANEL SO"|309.00|$372.00|$39.00|$263.38|$260.00||$170.00|$74.40|$263.38|$136.52|$173.72|$41.00|$210.18|$167.40|$39.00|$42.00|$143.59|$97.24|$86.64|$86.64
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, PRE WARM, EACH PANEL SO"|309.00|$368.00|$39.00|$260.54|$258.00||$168.18|$73.60|$260.54|$135.06|$171.86|$41.00|$207.92|$165.60|$39.00|$42.00|$142.05|$96.20|$85.71|$85.71
"CPT® 86886"|"HB ANTIBODY TITRATION, EACH ANTIBODY SO"|309.00|$49.00|$9.80|$42.00|$34.00||$22.39|$9.80|$34.69|$17.98|$22.88|$41.00|$27.69|$22.05|$39.00|$42.00|$18.91|$12.81|$11.41|$11.41
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, SELECT CELLS, PRE WARM, EACH PANEL SO"|309.00|$372.00|$39.00|$263.38|$260.00||$170.00|$74.40|$263.38|$136.52|$173.72|$41.00|$210.18|$167.40|$39.00|$42.00|$143.59|$97.24|$86.64|$86.64
"CPT® 89051"|"HB CELL COUNT, BODY FLUID OR CSF W/DIFFERENTIAL"|309.00|$279.00|$39.00|$197.53|$195.00||$127.50|$55.80|$197.53|$102.39|$130.29|$100.00|$157.64|$125.55|$39.00|$42.00|$107.69|$72.93|$64.98|$64.98
"CPT® 89050"|"HB EOSINOPHILS, BODY FLUID"|309.00|$126.00|$25.20|$100.00|$88.00||$57.58|$25.20|$89.21|$46.24|$58.84|$100.00|$71.19|$56.70|$39.00|$42.00|$48.64|$32.94|$29.35|$29.35
"CPT® 89050"|"HB FLUID CELL COUNT ONLY"|309.00|$126.00|$25.20|$100.00|$88.00||$57.58|$25.20|$89.21|$46.24|$58.84|$100.00|$71.19|$56.70|$39.00|$42.00|$48.64|$32.94|$29.35|$29.35
"CPT® 89060"|"HB FLUID CRYSTAL ANALYSIS"|309.00|$132.00|$26.40|$100.00|$92.00||$60.32|$26.40|$93.46|$48.44|$61.64|$100.00|$74.58|$59.40|$39.00|$42.00|$50.95|$34.50|$30.74|$30.74
"CPT® 88240"|"HB PARATHYROID PROCESS"|309.00|$1476.00|$39.00|$1045.01|$1033.00||$674.53|$295.20|$1045.01|$541.69|$689.29|$100.00|$833.94|$664.20|$39.00|$42.00|$569.74|$385.83|$343.76|$343.76
"CPT® 88241"|"HB PARATHYROID INJECTION PREP"|309.00|$788.00|$39.00|$557.90|$552.00||$360.12|$157.60|$557.90|$289.20|$368.00|$394.00|$445.22|$354.60|$39.00|$42.00|$304.17|$205.98|$183.53|$183.53
"CPT® 87999"|"HB ENDOTOXIN DIAD"|309.00|$820.00|$39.00|$580.56|$574.00||$374.74|$164.00|$580.56|$300.94|$382.94|$41.00|$463.30|$369.00|$39.00|$42.00|$316.52|$214.35|$190.98|$190.98
"CPT® 83519"|"HB GLUTAMIC DECARBOXYLASE ANTIBODY"|309.00|$289.00|$39.00|$204.61|$202.00||$132.07|$57.80|$204.61|$106.06|$134.96|$41.00|$163.29|$130.05|$39.00|$42.00|$111.55|$75.54|$67.31|$67.31
"CPT® 86692"|"HB HEPATITIS D VIRUS ANTIBODY"|309.00|$107.00|$21.40|$75.76|$75.00||$48.90|$21.40|$75.76|$39.27|$49.97|$41.00|$60.46|$48.15|$39.00|$42.00|$41.30|$27.97|$24.92|$24.92
"CPT® 84311"|"HB ADENOSINE DEAMINASE"|309.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 84078"|"HB ALKALINE PHOSPHATASE BONE SPECIFIC"|309.00|$99.00|$19.80|$70.09|$69.00||$45.24|$19.80|$70.09|$36.33|$46.23|$41.00|$55.94|$44.55|$39.00|$42.00|$38.21|$25.88|$23.06|$23.06
"CPT® 86003"|"HB ALLERGEN PANEL CENTRAL MIDWEST REGION"|309.00|$42.00|$8.40|$42.00|$29.00||$19.19|$8.40|$29.74|$15.41|$19.61|$41.00|$23.73|$18.90|$39.00|$42.00|$16.21|$10.98|$9.78|$9.78
"CPT® 82657"|"HB ALPHA GALACTOSIDASE LEUKOCYTE"|309.00|$570.00|$39.00|$403.56|$399.00||$260.49|$114.00|$403.56|$209.19|$266.19|$41.00|$322.05|$256.50|$39.00|$42.00|$220.02|$149.00|$132.75|$132.75
"CPT® 82139"|"HB AMINO ACID PROFILE QUANTITATIVE"|309.00|$211.00|$39.00|$149.39|$148.00||$96.43|$42.20|$149.39|$77.44|$98.54|$41.00|$119.22|$94.95|$39.00|$42.00|$81.45|$55.16|$49.14|$49.14
"CPT® 84588"|"HB ANTIDIURETIC HORMONE"|309.00|$120.00|$24.00|$84.96|$84.00||$54.84|$24.00|$84.96|$44.04|$56.04|$41.00|$67.80|$54.00|$39.00|$42.00|$46.32|$31.37|$27.95|$27.95
"CPT® 82657"|"HB ARYLSULFATASE A LEUKOCYTES"|309.00|$417.00|$39.00|$295.24|$292.00||$190.57|$83.40|$295.24|$153.04|$194.74|$41.00|$235.61|$187.65|$39.00|$42.00|$160.96|$109.00|$97.12|$97.12
"CPT® 82010"|"HB BETA-HYDROXYBUTYRATE"|309.00|$92.00|$18.40|$65.14|$64.00||$42.04|$18.40|$65.14|$33.76|$42.96|$41.00|$51.98|$41.40|$39.00|$42.00|$35.51|$24.05|$21.43|$21.43
"CPT® 86336"|"HB INHIBIN A"|309.00|$240.00|$39.00|$169.92|$168.00||$109.68|$48.00|$169.92|$88.08|$112.08|$41.00|$135.60|$108.00|$39.00|$42.00|$92.64|$62.74|$55.90|$55.90
"CPT® 86340"|"HB INTRINSIC FACTOR BLOCKING ANTIBODY"|309.00|$111.00|$22.20|$78.59|$78.00||$50.73|$22.20|$78.59|$40.74|$51.84|$41.00|$62.72|$49.95|$39.00|$42.00|$42.85|$29.02|$25.85|$25.85
"CPT® 83873"|"HB MYELIN BASIC PROTEIN, CSF"|309.00|$106.00|$21.20|$75.05|$74.00||$48.44|$21.20|$75.05|$38.90|$49.50|$41.00|$59.89|$47.70|$39.00|$42.00|$40.92|$27.71|$24.69|$24.69
"CPT® 83519"|"HB PANCREATIC POLYPEPTIDE"|309.00|$321.00|$39.00|$227.27|$225.00||$146.70|$64.20|$227.27|$117.81|$149.91|$41.00|$181.37|$144.45|$39.00|$42.00|$123.91|$83.91|$74.76|$74.76
"CPT® 83519"|"HB PARATHYROID HORMONE RELATED PROTEIN"|309.00|$289.00|$39.00|$204.61|$202.00||$132.07|$57.80|$204.61|$106.06|$134.96|$41.00|$163.29|$130.05|$39.00|$42.00|$111.55|$75.54|$67.31|$67.31
"CPT® 84210"|"HB PYRUVIC ACID"|309.00|$166.00|$33.20|$117.53|$116.00||$75.86|$33.20|$117.53|$60.92|$77.52|$41.00|$93.79|$74.70|$39.00|$42.00|$64.08|$43.39|$38.66|$38.66
"CPT® 84260"|"HB SEROTONIN (5-HYDROXYTRYPTAMINE)"|309.00|$122.00|$24.40|$86.38|$85.00||$55.75|$24.40|$86.38|$44.77|$56.97|$41.00|$68.93|$54.90|$39.00|$42.00|$47.09|$31.89|$28.41|$28.41
"CPT® 84270"|"HB SEX HORMONE BINDING GLOBULIN"|309.00|$61.00|$12.20|$43.19|$43.00||$27.88|$12.20|$43.19|$22.39|$28.49|$41.00|$34.47|$27.45|$39.00|$42.00|$23.55|$15.95|$14.21|$14.21
"CPT® 84307"|"HB SOMATOSTATIN (SOMATOTROPIN RELEASE INHIBITING FACTOR)"|309.00|$444.00|$39.00|$314.35|$311.00||$202.91|$88.80|$314.35|$162.95|$207.35|$41.00|$250.86|$199.80|$39.00|$42.00|$171.38|$116.06|$103.41|$103.41
"CPT® 84425"|"HB VITAMIN B1 (THIAMINE) LEVEL"|309.00|$81.00|$16.20|$57.35|$57.00||$37.02|$16.20|$57.35|$29.73|$37.83|$41.00|$45.77|$36.45|$39.00|$42.00|$31.27|$21.17|$18.86|$18.86
"CPT® 86341"|"HB AUTO ISLET CELL PROCESS"|309.00|$101035.00|$39.00|$71532.78|$70724.00||$46173.00|$20207.00|$71532.78|$37079.85|$47183.35|$41.00|$57084.78|$45465.75|$39.00|$42.00|$38999.51|$26410.55|$23531.05|$23531.05
"CPT® 86978"|"HB SERUM PRETREATMENT, ABSORPTION"|309.00|$110.00|$22.00|$77.88|$77.00||$50.27|$22.00|$77.88|$40.37|$51.37|$41.00|$62.15|$49.50|$39.00|$42.00|$42.46|$28.75|$25.62|$25.62
"CPT® 82657"|"HB ALPHA GALACTOSIDASE LEUKOCYTE"|309.00|$260.00|$39.00|$184.08|$182.00||$118.82|$52.00|$184.08|$95.42|$121.42|$41.00|$146.90|$117.00|$39.00|$42.00|$100.36|$67.96|$60.55|$60.55
"CPT® 82657"|"HB ARYLSULFATASE A LEUKOCYTES"|309.00|$301.00|$39.00|$213.11|$211.00||$137.56|$60.20|$213.11|$110.47|$140.57|$41.00|$170.07|$135.45|$39.00|$42.00|$116.19|$78.68|$70.10|$70.10
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION PANEL"|309.00|$363.00|$39.00|$257.00|$254.00||$165.89|$72.60|$257.00|$133.22|$169.52|$41.00|$205.10|$163.35|$39.00|$42.00|$140.12|$94.89|$84.54|$84.54
"CPT® 86860"|"HB ANTIBODY ELUTION"|309.00|$279.00|$39.00|$197.53|$195.00||$127.50|$55.80|$197.53|$102.39|$130.29|$41.00|$157.64|$125.55|$39.00|$42.00|$107.69|$72.93|$64.98|$64.98
"CPT® 86923"|"HB CROSSMATCH, ELECTRONIC"|309.00|$135.00|$27.00|$95.58|$94.00||$61.70|$27.00|$95.58|$49.55|$63.05|$41.00|$76.28|$60.75|$39.00|$42.00|$52.11|$35.29|$31.44|$31.44
"CPT® 86920"|"HB CROSSMATCH, IMMEDIATE SPIN"|309.00|$195.00|$39.00|$138.06|$136.00||$89.12|$39.00|$138.06|$71.57|$91.07|$41.00|$110.18|$87.75|$39.00|$42.00|$75.27|$50.97|$45.42|$45.42
"CPT® 86921"|"HB CROSSMATCH, INCUBATED"|309.00|$118.00|$23.60|$83.54|$83.00||$53.93|$23.60|$83.54|$43.31|$55.11|$41.00|$66.67|$53.10|$39.00|$42.00|$45.55|$30.85|$27.48|$27.48
"CPT® 86960"|"HB VOLUME REDUCTION BLOOD PRODUCT, EA UNIT"|309.00|$65.00|$13.00|$46.02|$46.00||$29.71|$13.00|$46.02|$23.86|$30.36|$32.50|$36.73|$29.25|$39.00|$42.00|$25.09|$16.99|$15.14|$15.14
"CPT® 86985"|"HB SPLITTING OF BLOOD PRODUCT, EA UNIT"|309.00|$65.00|$13.00|$46.02|$46.00||$29.71|$13.00|$46.02|$23.86|$30.36|$41.00|$36.73|$29.25|$39.00|$42.00|$25.09|$16.99|$15.14|$15.14
"CPT® 88350"|"HB IMF-IGG STAIN, ADDITIONAL"|310.00|$361.00|$72.20|$255.59|$253.00||$164.98|$72.20|$255.59|$132.49|$168.59|$100.00|$203.97|$162.45|$91.00|$99.00|$139.35|$94.37|$84.08|$84.08
"CPT® 88350"|"HB IMF-IGA STAIN, ADDITIONAL"|310.00|$365.00|$73.00|$258.42|$255.00||$166.81|$73.00|$258.42|$133.96|$170.46|$100.00|$206.23|$164.25|$91.00|$99.00|$140.89|$95.41|$85.01|$85.01
"CPT® 88350"|"HB IMF-IGM STAIN, ADDITIONAL"|310.00|$364.00|$72.80|$257.71|$255.00||$166.35|$72.80|$257.71|$133.59|$169.99|$100.00|$205.66|$163.80|$91.00|$99.00|$140.50|$95.15|$84.78|$84.78
"CPT® 88350"|"HB IMF-ALBUMIN STAIN, ADDITIONAL"|310.00|$298.00|$59.60|$210.98|$209.00||$136.19|$59.60|$210.98|$109.37|$139.17|$100.00|$168.37|$134.10|$91.00|$99.00|$115.03|$77.90|$69.40|$69.40
"CPT® 88350"|"HB IMF-C1Q STAIN, ADDITIONAL"|310.00|$298.00|$59.60|$210.98|$209.00||$136.19|$59.60|$210.98|$109.37|$139.17|$100.00|$168.37|$134.10|$91.00|$99.00|$115.03|$77.90|$69.40|$69.40
"CPT® 88350"|"HB IMF-C3 STAIN, ADDITIONAL"|310.00|$298.00|$59.60|$210.98|$209.00||$136.19|$59.60|$210.98|$109.37|$139.17|$100.00|$168.37|$134.10|$91.00|$99.00|$115.03|$77.90|$69.40|$69.40
"CPT® 88350"|"HB IMF-C4D STAIN, ADDITIONAL"|310.00|$398.00|$79.60|$281.78|$279.00||$181.89|$79.60|$281.78|$146.07|$185.87|$100.00|$224.87|$179.10|$91.00|$99.00|$153.63|$104.04|$92.69|$92.69
"CPT® 88350"|"HB IMF-FIBRINOGEN STAIN, ADDITIONAL"|310.00|$361.00|$72.20|$255.59|$253.00||$164.98|$72.20|$255.59|$132.49|$168.59|$100.00|$203.97|$162.45|$91.00|$99.00|$139.35|$94.37|$84.08|$84.08
"CPT® 88350"|"HB IMF-KAPPA STAIN, ADDITIONAL"|310.00|$387.00|$77.40|$274.00|$271.00||$176.86|$77.40|$274.00|$142.03|$180.73|$100.00|$218.66|$174.15|$91.00|$99.00|$149.38|$101.16|$90.13|$90.13
"CPT® 88350"|"HB IMF-LAMBDA STAIN, ADDITIONAL"|310.00|$298.00|$59.60|$210.98|$209.00||$136.19|$59.60|$210.98|$109.37|$139.17|$100.00|$168.37|$134.10|$91.00|$99.00|$115.03|$77.90|$69.40|$69.40
"CPT® 81206"|"HB BCR/ABL MAJOR, QUALITATIVE, PCR"|310.00|$412.00|$41.00|$291.70|$288.00||$188.28|$82.40|$291.70|$151.20|$192.40|$41.00|$232.78|$185.40|$91.00|$99.00|$159.03|$107.70|$95.95|$95.95
"CPT® 81207"|"HB BCR/ABL MINOR, QUALITATIVE, PCR"|310.00|$729.00|$41.00|$516.13|$510.00||$333.15|$145.80|$516.13|$267.54|$340.44|$41.00|$411.89|$328.05|$91.00|$99.00|$281.39|$190.56|$169.78|$169.78
"CPT® 81206"|"HB BCR/ABL MAJOR, QUANTITATIVE, PCR"|310.00|$551.00|$41.00|$390.11|$386.00||$251.81|$110.20|$390.11|$202.22|$257.32|$41.00|$311.32|$247.95|$91.00|$99.00|$212.69|$144.03|$128.33|$128.33
"CPT® 81235"|"HB EPIDERMAL GROWTH FACTOR RECEPTOR ANALYSIS"|310.00|$1686.00|$41.00|$1193.69|$1180.00||$770.50|$337.20|$1193.69|$618.76|$787.36|$41.00|$952.59|$758.70|$91.00|$99.00|$650.80|$440.72|$392.67|$392.67
"CPT® 81246"|"HB FLT3 EXON 20, PCR"|310.00|$116.00|$23.20|$99.00|$81.00||$53.01|$23.20|$82.13|$42.57|$54.17|$41.00|$65.54|$52.20|$91.00|$99.00|$44.78|$30.32|$27.02|$27.02
"CPT® 81245"|"HB FLT3 EXONS 14 & 15, PCR"|310.00|$295.00|$41.00|$208.86|$206.00||$134.82|$59.00|$208.86|$108.27|$137.77|$41.00|$166.68|$132.75|$91.00|$99.00|$113.87|$77.11|$68.71|$68.71
"CPT® 81120"|"HB ISOCITRATE DEHYDROGENASE 1 MUTATION ANALYSIS"|310.00|$769.00|$41.00|$544.45|$538.00||$351.43|$153.80|$544.45|$282.22|$359.12|$41.00|$434.49|$346.05|$91.00|$99.00|$296.83|$201.02|$179.10|$179.10
"CPT® 81121"|"HB ISOCITRATE DEHYDROGENASE 2 MUTATION ANALYSIS"|310.00|$1122.00|$41.00|$794.38|$785.00||$512.75|$224.40|$794.38|$411.77|$523.97|$41.00|$633.93|$504.90|$91.00|$99.00|$433.09|$293.29|$261.31|$261.31
"CPT® 81270"|"HB JAK 2 QUANTITATIVE MUTATION ASSAY"|310.00|$553.00|$41.00|$391.52|$387.00||$252.72|$110.60|$391.52|$202.95|$258.25|$41.00|$312.45|$248.85|$91.00|$99.00|$213.46|$144.55|$128.79|$128.79
"CPT® 81275"|"HB KRAS MUTATION ANALYSIS"|310.00|$954.00|$41.00|$675.43|$668.00||$435.98|$190.80|$675.43|$350.12|$445.52|$41.00|$539.01|$429.30|$91.00|$99.00|$368.24|$249.38|$222.19|$222.19
"CPT® 81310"|"HB NPM1 NUCLEOPHOSMIN GENE MUTATION"|310.00|$592.00|$41.00|$419.14|$414.00||$270.54|$118.40|$419.14|$217.26|$276.46|$41.00|$334.48|$266.40|$91.00|$99.00|$228.51|$154.75|$137.88|$137.88
"CPT® 81315"|"HB PML/RAR QUANTITATIVE ASSAY, PCR"|310.00|$1341.00|$41.00|$949.43|$939.00||$612.84|$268.20|$949.43|$492.15|$626.25|$41.00|$757.67|$603.45|$91.00|$99.00|$517.63|$350.54|$312.32|$312.32
"CPT® 81342"|"HB T- CELL RECEPTOR GENE REARANGEMENT, PCR"|310.00|$1295.00|$41.00|$916.86|$906.00||$591.82|$259.00|$916.86|$475.27|$604.77|$41.00|$731.68|$582.75|$91.00|$99.00|$499.87|$338.51|$301.61|$301.61
"CPT® 81219"|"HB CALRETICULIN FS MUTATION"|310.00|$855.00|$41.00|$605.34|$598.00||$390.74|$171.00|$605.34|$313.79|$399.29|$41.00|$483.08|$384.75|$91.00|$99.00|$330.03|$223.50|$199.13|$199.13
"CPT® 88387"|"HB MACRO EXAM, DISSECT, PREP"|310.00|$170.00|$34.00|$120.36|$119.00||$77.69|$34.00|$120.36|$62.39|$79.39|$100.00|$96.05|$76.50|$91.00|$99.00|$65.62|$44.44|$39.59|$39.59
"CPT® 81276"|"HB KRAS GENE CODON 61"|310.00|$192.00|$38.40|$135.94|$134.00||$87.74|$38.40|$135.94|$70.46|$89.66|$41.00|$108.48|$86.40|$91.00|$99.00|$74.11|$50.19|$44.72|$44.72
"CPT® 81208"|"HB BCR/ABL OTHER BREAKPOINT, QUALITATIVE, PCR"|310.00|$363.00|$41.00|$257.00|$254.00||$165.89|$72.60|$257.00|$133.22|$169.52|$41.00|$205.10|$163.35|$91.00|$99.00|$140.12|$94.89|$84.54|$84.54
"CPT® 81207"|"HB BCR/ABL P190 QUANTITATIVE ASSAY"|310.00|$4211.00|$41.00|$2981.39|$2948.00||$1924.43|$842.20|$2981.39|$1545.44|$1966.54|$41.00|$2379.22|$1894.95|$91.00|$99.00|$1625.45|$1100.76|$980.74|$980.74
"CPT® 88037"|"HB AUTOPSY, DISEMBODIED ORGAN OR GROUP OF ORGANS"|310.00|$4112.00|$91.00|$2911.30|$2878.00||$1879.18|$822.40|$2911.30|$1509.10|$1920.30|$2056.00|$2323.28|$1850.40|$91.00|$99.00|$1587.23|$1074.88|$957.68|$957.68
"CPT® 85097"|"HB BONE MARROW ASPIRATE SMEAR"|310.00|$486.00|$41.00|$344.09|$340.00||$222.10|$97.20|$344.09|$178.36|$226.96|$41.00|$274.59|$218.70|$91.00|$99.00|$187.60|$127.04|$113.19|$113.19
"CPT® 85097"|"HB BONE MARROW TOUCH PREP"|310.00|$211.00|$41.00|$149.39|$148.00||$96.43|$42.20|$149.39|$77.44|$98.54|$41.00|$119.22|$94.95|$91.00|$99.00|$81.45|$55.16|$49.14|$49.14
"CPT® 80502"|"HB COMPREHENSIVE BLOOD SMEAR REVIEW"|310.00|$155.00|$31.00|$109.74|$108.00||$70.84|$31.00|$109.74|$56.89|$72.39|$77.50|$87.58|$69.75|$91.00|$99.00|$59.83|$40.52|$36.10|$36.10
"CPT® 88333"|"HB TOUCH PREP, HEMATOPATHOLOGY TISSUE"|310.00|$166.00|$33.20|$117.53|$116.00||$75.86|$33.20|$117.53|$60.92|$77.52|$100.00|$93.79|$74.70|$91.00|$99.00|$64.08|$43.39|$38.66|$38.66
"CPT® 88020"|"HB AUTOPSY, GROSS & MICROSCOPIC, ADULT"|310.00|$4797.00|$91.00|$3396.28|$3358.00||$2192.23|$959.40|$3396.28|$1760.50|$2240.20|$100.00|$2710.31|$2158.65|$91.00|$99.00|$1851.64|$1253.94|$1117.22|$1117.22
"CPT® 88029"|"HB AUTOPSY, GROSS & MICROSCOPIC, PERINATAL"|310.00|$4797.00|$91.00|$3396.28|$3358.00||$2192.23|$959.40|$3396.28|$1760.50|$2240.20|$100.00|$2710.31|$2158.65|$91.00|$99.00|$1851.64|$1253.94|$1117.22|$1117.22
"CPT® 88027"|"HB AUTOPSY, SPECIAL"|310.00|$5481.00|$91.00|$3880.55|$3837.00||$2504.82|$1096.20|$3880.55|$2011.53|$2559.63|$2740.50|$3096.77|$2466.45|$91.00|$99.00|$2115.67|$1432.73|$1276.52|$1276.52
"CPT® 88037"|"HB AUTOPSY, BRAIN ONLY"|310.00|$4797.00|$91.00|$3396.28|$3358.00||$2192.23|$959.40|$3396.28|$1760.50|$2240.20|$2398.50|$2710.31|$2158.65|$91.00|$99.00|$1851.64|$1253.94|$1117.22|$1117.22
"CPT® 88099"|"HB AUTOPSY, BRAIN REMOVAL ONLY"|310.00|$1371.00|$91.00|$970.67|$960.00||$626.55|$274.20|$970.67|$503.16|$640.26|$685.50|$774.62|$616.95|$91.00|$99.00|$529.21|$358.38|$319.31|$319.31
"CPT® 88275"|"HB INSIGHT, FISH, BILL ONLY"|310.00|$243.00|$48.60|$172.04|$170.00||$111.05|$48.60|$172.04|$89.18|$113.48|$100.00|$137.30|$109.35|$91.00|$99.00|$93.80|$63.52|$56.59|$56.59
"CPT® 88350"|"HB ANTIENTEROCYTE ANTIBODY, IMF, ADDT'L"|310.00|$1414.00|$91.00|$1001.11|$990.00||$646.20|$282.80|$1001.11|$518.94|$660.34|$100.00|$798.91|$636.30|$91.00|$99.00|$545.80|$369.62|$329.32|$329.32
"CPT® 88350"|"HB IBS, SGI DIAGNOSTIC, BILL ONLY, IFA, ADDT'L"|310.00|$440.00|$88.00|$311.52|$308.00||$201.08|$88.00|$311.52|$161.48|$205.48|$100.00|$248.60|$198.00|$91.00|$99.00|$169.84|$115.02|$102.48|$102.48
"CPT® 88240"|"HB FREEZE/STORE CELLS, EACH LINE"|310.00|$169.00|$33.80|$119.65|$118.00||$77.23|$33.80|$119.65|$62.02|$78.92|$100.00|$95.49|$76.05|$91.00|$99.00|$65.23|$44.18|$39.36|$39.36
"CPT® 88237"|"HB TISSUE CULTURE, BONE MARROW/BONE CORE/BODY FLUID"|310.00|$443.00|$88.60|$313.64|$310.00||$202.45|$88.60|$313.64|$162.58|$206.88|$100.00|$250.30|$199.35|$91.00|$99.00|$171.00|$115.80|$103.17|$103.17
"CPT® 88239"|"HB TISSUE CULTURE, LYMPH NODE/SOLID TUMOR"|310.00|$485.00|$91.00|$343.38|$340.00||$221.65|$97.00|$343.38|$178.00|$226.50|$100.00|$274.03|$218.25|$91.00|$99.00|$187.21|$126.78|$112.96|$112.96
"CPT® 88237"|"HB TISSUE CULTURE, PERIPHERAL BLOOD"|310.00|$443.00|$88.60|$313.64|$310.00||$202.45|$88.60|$313.64|$162.58|$206.88|$100.00|$250.30|$199.35|$91.00|$99.00|$171.00|$115.80|$103.17|$103.17
"CPT® 88261"|"HB CHROMOSOME ANALYSIS, 5 CELLS"|310.00|$1004.00|$91.00|$710.83|$703.00||$458.83|$200.80|$710.83|$368.47|$468.87|$100.00|$567.26|$451.80|$91.00|$99.00|$387.54|$262.45|$233.83|$233.83
"CPT® 88285"|"HB CHROMOSOME ANALYSIS, ADDITIONAL CELLS"|310.00|$202.00|$40.40|$143.02|$141.00||$92.31|$40.40|$143.02|$74.13|$94.33|$100.00|$114.13|$90.90|$91.00|$99.00|$77.97|$52.80|$47.05|$47.05
"CPT® 88280"|"HB CHROMOSOME ANALYSIS, ADDITIONAL KARYOTYPE"|310.00|$60.00|$12.00|$60.00|$42.00||$27.42|$12.00|$42.48|$22.02|$28.02|$60.00|$33.90|$27.00|$60.00|$60.00|$23.16|$15.68|$13.97|$13.97
"CPT® 88262"|"HB CHROMOSOME ANALYSIS, BLOOD, 15-20 CELLS"|310.00|$868.00|$91.00|$614.54|$608.00||$396.68|$173.60|$614.54|$318.56|$405.36|$100.00|$490.42|$390.60|$91.00|$99.00|$335.05|$226.90|$202.16|$202.16
"CPT® 88264"|"HB CHROMOSOME ANALYSIS, BLOOD, 20-25 CELLS"|310.00|$969.00|$91.00|$686.05|$678.00||$442.83|$193.80|$686.05|$355.62|$452.52|$100.00|$547.49|$436.05|$91.00|$99.00|$374.03|$253.30|$225.68|$225.68
"CPT® 88262"|"HB CHROMOSOME ANALYSIS, BONE MARROW, BONE CORE, BODY FLUID 15-20 CELLS"|310.00|$868.00|$91.00|$614.54|$608.00||$396.68|$173.60|$614.54|$318.56|$405.36|$100.00|$490.42|$390.60|$91.00|$99.00|$335.05|$226.90|$202.16|$202.16
"CPT® 88264"|"HB CHROMOSOME ANALYSIS, BONE MARROW, BONE CORE, BODY FLUID 20-25 CELLS"|310.00|$969.00|$91.00|$686.05|$678.00||$442.83|$193.80|$686.05|$355.62|$452.52|$100.00|$547.49|$436.05|$91.00|$99.00|$374.03|$253.30|$225.68|$225.68
"CPT® 88264"|"HB CHROMOSOME ANALYSIS, LYMPH NODE/SOLID TUMOR 20-25 CELLS"|310.00|$969.00|$91.00|$686.05|$678.00||$442.83|$193.80|$686.05|$355.62|$452.52|$100.00|$547.49|$436.05|$91.00|$99.00|$374.03|$253.30|$225.68|$225.68
"CPT® 88262"|"HB CHROMOSOME ANALYSIS, LYMPH NODE/SOLID TUMOR 15-20 CELLS"|310.00|$868.00|$91.00|$614.54|$608.00||$396.68|$173.60|$614.54|$318.56|$405.36|$100.00|$490.42|$390.60|$91.00|$99.00|$335.05|$226.90|$202.16|$202.16
"CPT® 88366"|"HB FISH, CCND3/IGH MULTIPLEX"|310.00|$1005.00|$91.00|$711.54|$704.00||$459.29|$201.00|$711.54|$368.84|$469.34|$100.00|$567.83|$452.25|$91.00|$99.00|$387.93|$262.71|$234.06|$234.06
"CPT® 88366"|"HB FISH,CEP 3/7/11 MULTIPLEX"|310.00|$1296.00|$91.00|$917.57|$907.00||$592.27|$259.20|$917.57|$475.63|$605.23|$100.00|$732.24|$583.20|$91.00|$99.00|$500.26|$338.77|$301.84|$301.84
"CPT® 88366"|"HB FISH,CEP 5/9/15 MULTIPLEX"|310.00|$1296.00|$91.00|$917.57|$907.00||$592.27|$259.20|$917.57|$475.63|$605.23|$100.00|$732.24|$583.20|$91.00|$99.00|$500.26|$338.77|$301.84|$301.84
"CPT® 88366"|"HB FISH, CMYC/IGH MULTIPLEX"|310.00|$999.00|$91.00|$707.29|$699.00||$456.54|$199.80|$707.29|$366.63|$466.53|$100.00|$564.44|$449.55|$91.00|$99.00|$385.61|$261.14|$232.67|$232.67
"CPT® 88366"|"HB FISH, DEL(13Q), -13  MULTIPLEX"|310.00|$992.00|$91.00|$702.34|$694.00||$453.34|$198.40|$702.34|$364.06|$463.26|$100.00|$560.48|$446.40|$91.00|$99.00|$382.91|$259.31|$231.04|$231.04
"CPT® 88366"|"HB FISH, FGFR3/IGH MULTIPLEX"|310.00|$999.00|$91.00|$707.29|$699.00||$456.54|$199.80|$707.29|$366.63|$466.53|$100.00|$564.44|$449.55|$91.00|$99.00|$385.61|$261.14|$232.67|$232.67
"CPT® 88366"|"HB FISH, IGH BREAK APART MULTIPLEX"|310.00|$988.00|$91.00|$699.50|$692.00||$451.52|$197.60|$699.50|$362.60|$461.40|$100.00|$558.22|$444.60|$91.00|$99.00|$381.37|$258.26|$230.11|$230.11
"CPT® 88366"|"HB FISH ,IGH/CCND1-XT MULTIPLEX"|310.00|$1027.00|$91.00|$727.12|$719.00||$469.34|$205.40|$727.12|$376.91|$479.61|$100.00|$580.26|$462.15|$91.00|$99.00|$396.42|$268.46|$239.19|$239.19
"CPT® 88366"|"HB FISH, IGH/MAF T(14;16) MULTIPLEX"|310.00|$999.00|$91.00|$707.29|$699.00||$456.54|$199.80|$707.29|$366.63|$466.53|$100.00|$564.44|$449.55|$91.00|$99.00|$385.61|$261.14|$232.67|$232.67
"CPT® 88366"|"HB FISH,IGH/MAFB MULTIPLEX"|310.00|$1005.00|$91.00|$711.54|$704.00||$459.29|$201.00|$711.54|$368.84|$469.34|$100.00|$567.83|$452.25|$91.00|$99.00|$387.93|$262.71|$234.06|$234.06
"CPT® 88366"|"HB FISH, MM1Q MULTIPLEX"|310.00|$948.00|$91.00|$671.18|$664.00||$433.24|$189.60|$671.18|$347.92|$442.72|$100.00|$535.62|$426.60|$91.00|$99.00|$365.93|$247.81|$220.79|$220.79
"CPT® 88366"|"HB FISH, TP53/CEP17 MULTIPLEX"|310.00|$1021.00|$91.00|$722.87|$715.00||$466.60|$204.20|$722.87|$374.71|$476.81|$100.00|$576.87|$459.45|$91.00|$99.00|$394.11|$266.89|$237.79|$237.79
"CPT® 88366"|"HB FISH, ALK BREAK APART PARAFFIN TISSUE"|310.00|$1766.00|$91.00|$1250.33|$1236.00||$807.06|$353.20|$1250.33|$648.12|$824.72|$100.00|$997.79|$794.70|$91.00|$99.00|$681.68|$461.63|$411.30|$411.30
"CPT® 88366"|"HB FISH, BCL2 BREAK APART PARAFFIN TISSUE"|310.00|$1642.00|$91.00|$1162.54|$1149.00||$750.39|$328.40|$1162.54|$602.61|$766.81|$100.00|$927.73|$738.90|$91.00|$99.00|$633.81|$429.22|$382.42|$382.42
"CPT® 88366"|"HB FISH, BCL6 BREAK APART PARAFFIN TISSUE"|310.00|$1628.00|$91.00|$1152.62|$1140.00||$744.00|$325.60|$1152.62|$597.48|$760.28|$100.00|$919.82|$732.60|$91.00|$99.00|$628.41|$425.56|$379.16|$379.16
"CPT® 88366"|"HB FISH, MYC BREAK APART PARAFFIN TISSUE"|310.00|$1680.00|$91.00|$1189.44|$1176.00||$767.76|$336.00|$1189.44|$616.56|$784.56|$100.00|$949.20|$756.00|$91.00|$99.00|$648.48|$439.15|$391.27|$391.27
"CPT® 88366"|"HB FISH, GLIOMA PARAFFIN TISSUE"|310.00|$1681.00|$91.00|$1190.15|$1177.00||$768.22|$336.20|$1190.15|$616.93|$785.03|$100.00|$949.77|$756.45|$91.00|$99.00|$648.87|$439.41|$391.50|$391.50
"CPT® 88366"|"HB FISH, HER2 PARAFFIN TISSUE"|310.00|$1706.00|$91.00|$1207.85|$1194.00||$779.64|$341.20|$1207.85|$626.10|$796.70|$100.00|$963.89|$767.70|$91.00|$99.00|$658.52|$445.95|$397.33|$397.33
"CPT® 88366"|"HB FISH, EGFR PARAFFIN TISSUE"|310.00|$1686.00|$91.00|$1193.69|$1180.00||$770.50|$337.20|$1193.69|$618.76|$787.36|$100.00|$952.59|$758.70|$91.00|$99.00|$650.80|$440.72|$392.67|$392.67
"CPT® 88366"|"HB FISH, PTEN PARAFFIN TISSUE"|310.00|$1686.00|$91.00|$1193.69|$1180.00||$770.50|$337.20|$1193.69|$618.76|$787.36|$100.00|$952.59|$758.70|$91.00|$99.00|$650.80|$440.72|$392.67|$392.67
"CPT® 88366"|"HB FISH, AML1/ETO T(8;21) MULTIPLEX"|310.00|$861.00|$91.00|$609.59|$603.00||$393.48|$172.20|$609.59|$315.99|$402.09|$100.00|$486.47|$387.45|$91.00|$99.00|$332.35|$225.07|$200.53|$200.53
"CPT® 88366"|"HB FISH, BCR/ABL, T(9;22) MULTIPLEX"|310.00|$851.00|$91.00|$602.51|$596.00||$388.91|$170.20|$602.51|$312.32|$397.42|$100.00|$480.82|$382.95|$91.00|$99.00|$328.49|$222.45|$198.20|$198.20
"CPT® 88366"|"HB FISH, CBFB BAP, INV(16) MULTIPLEX"|310.00|$879.00|$91.00|$622.33|$615.00||$401.70|$175.80|$622.33|$322.59|$410.49|$100.00|$496.64|$395.55|$91.00|$99.00|$339.29|$229.77|$204.72|$204.72
"CPT® 88366"|"HB FISH, CCND1 BAP, 11Q13 MULTIPLEX"|310.00|$883.00|$91.00|$625.16|$618.00||$403.53|$176.60|$625.16|$324.06|$412.36|$100.00|$498.90|$397.35|$91.00|$99.00|$340.84|$230.82|$205.65|$205.65
"CPT® 88366"|"HB FISH, CCND1/IGH, T(11;14) MULTIPLEX"|310.00|$891.00|$91.00|$630.83|$624.00||$407.19|$178.20|$630.83|$327.00|$416.10|$100.00|$503.42|$400.95|$91.00|$99.00|$343.93|$232.91|$207.51|$207.51
"CPT® 88366"|"HB FISH, CEP X/Y MULTIPLEX"|310.00|$735.00|$91.00|$520.38|$514.00||$335.90|$147.00|$520.38|$269.75|$343.25|$100.00|$415.28|$330.75|$91.00|$99.00|$283.71|$192.13|$171.18|$171.18
"CPT® 88366"|"HB FISH, CRLF2 MULTIPLEX"|310.00|$745.00|$91.00|$527.46|$522.00||$340.47|$149.00|$527.46|$273.42|$347.92|$100.00|$420.93|$335.25|$91.00|$99.00|$287.57|$194.74|$173.51|$173.51
"CPT® 88366"|"HB FISH, DEL(4Q), CHIC2 MULTIPLEX"|310.00|$934.00|$91.00|$661.27|$654.00||$426.84|$186.80|$661.27|$342.78|$436.18|$100.00|$527.71|$420.30|$91.00|$99.00|$360.52|$244.15|$217.53|$217.53
"CPT® 88366"|"HB FISH, DEL(5Q), -5 MULTIPLEX"|310.00|$802.00|$91.00|$567.82|$561.00||$366.51|$160.40|$567.82|$294.33|$374.53|$100.00|$453.13|$360.90|$91.00|$99.00|$309.57|$209.64|$186.79|$186.79
"CPT® 88366"|"HB FISH, DEL(7Q), -7 MULTIPLEX"|310.00|$1137.00|$91.00|$805.00|$796.00||$519.61|$227.40|$805.00|$417.28|$530.98|$100.00|$642.41|$511.65|$91.00|$99.00|$438.88|$297.21|$264.81|$264.81
"CPT® 88366"|"HB FISH, EVI1 BAP, INV(3) MULTIPLEX"|310.00|$868.00|$91.00|$614.54|$608.00||$396.68|$173.60|$614.54|$318.56|$405.36|$100.00|$490.42|$390.60|$91.00|$99.00|$335.05|$226.90|$202.16|$202.16
"CPT® 88366"|"HB FISH, MLL BAP 11Q MULTIPLEX"|310.00|$850.00|$91.00|$601.80|$595.00||$388.45|$170.00|$601.80|$311.95|$396.95|$100.00|$480.25|$382.50|$91.00|$99.00|$328.10|$222.19|$197.97|$197.97
"CPT® 88366"|"HB FISH, MYB, 6Q MULTIPLEX"|310.00|$812.00|$91.00|$574.90|$568.00||$371.08|$162.40|$574.90|$298.00|$379.20|$100.00|$458.78|$365.40|$91.00|$99.00|$313.43|$212.26|$189.11|$189.11
"CPT® 88366"|"HB FISH, P53/ATM/13/CEP12 MULTIPLEX"|310.00|$716.00|$91.00|$506.93|$501.00||$327.21|$143.20|$506.93|$262.77|$334.37|$100.00|$404.54|$322.20|$91.00|$99.00|$276.38|$187.16|$166.76|$166.76
"CPT® 88366"|"HB FISH, ALK BAP MULTI"|310.00|$1042.00|$91.00|$737.74|$729.00||$476.19|$208.40|$737.74|$382.41|$486.61|$100.00|$588.73|$468.90|$91.00|$99.00|$402.21|$272.38|$242.68|$242.68
"CPT® 88366"|"HB FISH, ATM/CEP11 MULTI"|310.00|$836.00|$91.00|$591.89|$585.00||$382.05|$167.20|$591.89|$306.81|$390.41|$100.00|$472.34|$376.20|$91.00|$99.00|$322.70|$218.53|$194.70|$194.70
"CPT® 88366"|"HB FISH, BCL2/IGH MULTI"|310.00|$836.00|$91.00|$591.89|$585.00||$382.05|$167.20|$591.89|$306.81|$390.41|$100.00|$472.34|$376.20|$91.00|$99.00|$322.70|$218.53|$194.70|$194.70
"CPT® 88366"|"HB FISH, BCL6 BAP MULTI"|310.00|$723.00|$91.00|$511.88|$506.00||$330.41|$144.60|$511.88|$265.34|$337.64|$100.00|$408.50|$325.35|$91.00|$99.00|$279.08|$188.99|$168.39|$168.39
"CPT® 88366"|"HB FISH, +4+10+17 MULTI"|310.00|$669.00|$91.00|$473.65|$468.00||$305.73|$133.80|$473.65|$245.52|$312.42|$100.00|$377.99|$301.05|$91.00|$99.00|$258.23|$174.88|$155.81|$155.81
"CPT® 88366"|"HB FISH, MYC BAP MULTI"|310.00|$723.00|$91.00|$511.88|$506.00||$330.41|$144.60|$511.88|$265.34|$337.64|$100.00|$408.50|$325.35|$91.00|$99.00|$279.08|$188.99|$168.39|$168.39
"CPT® 88366"|"HB FISH, DEL(20Q), TRISOMY 8 MULTI"|310.00|$657.00|$91.00|$465.16|$460.00||$300.25|$131.40|$465.16|$241.12|$306.82|$100.00|$371.21|$295.65|$91.00|$99.00|$253.60|$171.74|$153.02|$153.02
"CPT® 88366"|"HB FISH, EWSR1 BAP MULTI"|310.00|$606.00|$91.00|$429.05|$424.00||$276.94|$121.20|$429.05|$222.40|$283.00|$100.00|$342.39|$272.70|$91.00|$99.00|$233.92|$158.41|$141.14|$141.14
"CPT® 88366"|"HB FISH, FGFR1 MULTI"|310.00|$606.00|$91.00|$429.05|$424.00||$276.94|$121.20|$429.05|$222.40|$283.00|$100.00|$342.39|$272.70|$91.00|$99.00|$233.92|$158.41|$141.14|$141.14
"CPT® 88366"|"HB FISH, FOX01 BAP MULTI"|310.00|$606.00|$91.00|$429.05|$424.00||$276.94|$121.20|$429.05|$222.40|$283.00|$100.00|$342.39|$272.70|$91.00|$99.00|$233.92|$158.41|$141.14|$141.14
"CPT® 88366"|"HB FISH, GLIO 1Q PET MULTI"|310.00|$1701.00|$91.00|$1204.31|$1191.00||$777.36|$340.20|$1204.31|$624.27|$794.37|$100.00|$961.07|$765.45|$91.00|$99.00|$656.59|$444.64|$396.16|$396.16
"CPT® 88366"|"HB FISH, GLIO 19 PET MULTI"|310.00|$1701.00|$91.00|$1204.31|$1191.00||$777.36|$340.20|$1204.31|$624.27|$794.37|$100.00|$961.07|$765.45|$91.00|$99.00|$656.59|$444.64|$396.16|$396.16
"CPT® 88366"|"HB FISH, MALT1 BAP MULTI"|310.00|$723.00|$91.00|$511.88|$506.00||$330.41|$144.60|$511.88|$265.34|$337.64|$100.00|$408.50|$325.35|$91.00|$99.00|$279.08|$188.99|$168.39|$168.39
"CPT® 88366"|"HB FISH, MALT1/IGH MULTI"|310.00|$836.00|$91.00|$591.89|$585.00||$382.05|$167.20|$591.89|$306.81|$390.41|$100.00|$472.34|$376.20|$91.00|$99.00|$322.70|$218.53|$194.70|$194.70
"CPT® 88366"|"HB FISH, P16/CEP 9 MULTI"|310.00|$715.00|$91.00|$506.22|$500.00||$326.76|$143.00|$506.22|$262.41|$333.91|$100.00|$403.98|$321.75|$91.00|$99.00|$275.99|$186.90|$166.52|$166.52
"CPT® 88366"|"HB FISH, P2RY8 MULTI"|310.00|$601.00|$91.00|$425.51|$421.00||$274.66|$120.20|$425.51|$220.57|$280.67|$100.00|$339.57|$270.45|$91.00|$99.00|$231.99|$157.10|$139.97|$139.97
"CPT® 88366"|"HB FISH, ATM/TP53 MULTI"|310.00|$914.00|$91.00|$647.11|$640.00||$417.70|$182.80|$647.11|$335.44|$426.84|$100.00|$516.41|$411.30|$91.00|$99.00|$352.80|$238.92|$212.87|$212.87
"CPT® 88366"|"HB FISH, CEP 12/13 MULTI"|310.00|$914.00|$91.00|$647.11|$640.00||$417.70|$182.80|$647.11|$335.44|$426.84|$100.00|$516.41|$411.30|$91.00|$99.00|$352.80|$238.92|$212.87|$212.87
"CPT® 88366"|"HB FISH, PDGFRB MULTI"|310.00|$727.00|$91.00|$514.72|$509.00||$332.24|$145.40|$514.72|$266.81|$339.51|$100.00|$410.76|$327.15|$91.00|$99.00|$280.62|$190.04|$169.32|$169.32
"CPT® 88366"|"HB FISH, PML/RARA MULTI"|310.00|$723.00|$91.00|$511.88|$506.00||$330.41|$144.60|$511.88|$265.34|$337.64|$100.00|$408.50|$325.35|$91.00|$99.00|$279.08|$188.99|$168.39|$168.39
"CPT® 88366"|"HB FISH, RARA 17Q12 MULTI"|310.00|$673.00|$91.00|$476.48|$471.00||$307.56|$134.60|$476.48|$246.99|$314.29|$100.00|$380.25|$302.85|$91.00|$99.00|$259.78|$175.92|$156.74|$156.74
"CPT® 88366"|"HB FISH, SS18 MULTI"|310.00|$836.00|$91.00|$591.89|$585.00||$382.05|$167.20|$591.89|$306.81|$390.41|$100.00|$472.34|$376.20|$91.00|$99.00|$322.70|$218.53|$194.70|$194.70
"CPT® 88366"|"HB FISH, TCRAD MULTI"|310.00|$836.00|$91.00|$591.89|$585.00||$382.05|$167.20|$591.89|$306.81|$390.41|$100.00|$472.34|$376.20|$91.00|$99.00|$322.70|$218.53|$194.70|$194.70
"CPT® 88366"|"HB FISH, TCRB MULTI"|310.00|$836.00|$91.00|$591.89|$585.00||$382.05|$167.20|$591.89|$306.81|$390.41|$100.00|$472.34|$376.20|$91.00|$99.00|$322.70|$218.53|$194.70|$194.70
"CPT® 88366"|"HB FISH, TEL/AML MULTI"|310.00|$723.00|$91.00|$511.88|$506.00||$330.41|$144.60|$511.88|$265.34|$337.64|$100.00|$408.50|$325.35|$91.00|$99.00|$279.08|$188.99|$168.39|$168.39
"CPT® 88366"|"HB FISH, TFE3 PET MULTIPLEX"|310.00|$1201.00|$91.00|$850.31|$841.00||$548.86|$240.20|$850.31|$440.77|$560.87|$100.00|$678.57|$540.45|$91.00|$99.00|$463.59|$313.94|$279.71|$279.71
"CPT® 88365"|"HB IN SITU HYBRIDIZATION"|310.00|$1452.00|$91.00|$1028.02|$1016.00||$663.56|$290.40|$1028.02|$532.88|$678.08|$100.00|$820.38|$653.40|$91.00|$99.00|$560.47|$379.55|$338.17|$338.17
"CPT® 85097"|"HB BONE MARROW SMEAR"|310.00|$252.00|$41.00|$178.42|$176.00||$115.16|$50.40|$178.42|$92.48|$117.68|$41.00|$142.38|$113.40|$91.00|$99.00|$97.27|$65.87|$58.69|$58.69
"CPT® 85097"|"HB BONE MARROW SMEAR INTERPRETATION"|310.00|$252.00|$41.00|$178.42|$176.00||$115.16|$50.40|$178.42|$92.48|$117.68|$41.00|$142.38|$113.40|$91.00|$99.00|$97.27|$65.87|$58.69|$58.69
"CPT® 88112"|"HB CYTOLOGY CELL ENRICHMENT"|310.00|$398.00|$79.60|$281.78|$279.00||$181.89|$79.60|$281.78|$146.07|$185.87|$100.00|$224.87|$179.10|$91.00|$99.00|$153.63|$104.04|$92.69|$92.69
"CPT® 88333"|"HB INTRAOPERATIVE TOUCH PREPARATION, 1ST"|310.00|$277.00|$55.40|$196.12|$194.00||$126.59|$55.40|$196.12|$101.66|$129.36|$100.00|$156.51|$124.65|$91.00|$99.00|$106.92|$72.41|$64.51|$64.51
"CPT® 88334"|"HB INTRAOPERATIVE TOUCH PREPARATION, ADDITIONAL SITE"|310.00|$198.00|$39.60|$140.18|$139.00||$90.49|$39.60|$140.18|$72.67|$92.47|$100.00|$111.87|$89.10|$91.00|$99.00|$76.43|$51.76|$46.11|$46.11
"CPT® 88112"|"HB CYTOLOGY CELL ENRICHMENT"|310.00|$398.00|$79.60|$281.78|$279.00||$181.89|$79.60|$281.78|$146.07|$185.87|$100.00|$224.87|$179.10|$91.00|$99.00|$153.63|$104.04|$92.69|$92.69
"CPT® 88365"|"HB FISH, HER2/NEU"|310.00|$1452.00|$91.00|$1028.02|$1016.00||$663.56|$290.40|$1028.02|$532.88|$678.08|$100.00|$820.38|$653.40|$91.00|$99.00|$560.47|$379.55|$338.17|$338.17
"CPT® 88271"|"HB FISH, MOLECULAR CYTOGENETICS, DNA"|310.00|$175.00|$35.00|$123.90|$122.00||$79.98|$35.00|$123.90|$64.23|$81.73|$100.00|$98.88|$78.75|$91.00|$99.00|$67.55|$45.75|$40.76|$40.76
"CPT® 88275"|"HB INTERPHASE IN SITU HYBRIDIZATION"|310.00|$264.00|$52.80|$186.91|$185.00||$120.65|$52.80|$186.91|$96.89|$123.29|$100.00|$149.16|$118.80|$91.00|$99.00|$101.90|$69.01|$61.49|$61.49
"CPT® 88182"|"HB CELL CYCLE ANALYSIS"|310.00|$446.00|$89.20|$315.77|$312.00||$203.82|$89.20|$315.77|$163.68|$208.28|$100.00|$251.99|$200.70|$91.00|$99.00|$172.16|$116.58|$103.87|$103.87
"CPT® 81207"|"HB BCR/ABL P190 QUANTITATIVE ASSAY"|310.00|$4211.00|$41.00|$2981.39|$2948.00||$1924.43|$842.20|$2981.39|$1545.44|$1966.54|$41.00|$2379.22|$1894.95|$91.00|$99.00|$1625.45|$1100.76|$980.74|$980.74
"CPT® 81206"|"HB BCR/ABL MAJOR, QUALITATIVE, PCR"|310.00|$412.00|$41.00|$291.70|$288.00||$188.28|$82.40|$291.70|$151.20|$192.40|$41.00|$232.78|$185.40|$91.00|$99.00|$159.03|$107.70|$95.95|$95.95
"CPT® 81207"|"HB BCR/ABL MINOR, QUALITATIVE, PCR"|310.00|$729.00|$41.00|$516.13|$510.00||$333.15|$145.80|$516.13|$267.54|$340.44|$41.00|$411.89|$328.05|$91.00|$99.00|$281.39|$190.56|$169.78|$169.78
"CPT® 81206"|"HB BCR/ABL MAJOR, QUANTITATIVE, PCR"|310.00|$551.00|$41.00|$390.11|$386.00||$251.81|$110.20|$390.11|$202.22|$257.32|$41.00|$311.32|$247.95|$91.00|$99.00|$212.69|$144.03|$128.33|$128.33
"CPT® 81270"|"HB JAK2 MUTATION ANALYSIS"|310.00|$553.00|$41.00|$391.52|$387.00||$252.72|$110.60|$391.52|$202.95|$258.25|$41.00|$312.45|$248.85|$91.00|$99.00|$213.46|$144.55|$128.79|$128.79
"CPT® 81275"|"HB KRAS MUTATION ANALYSIS"|310.00|$954.00|$41.00|$675.43|$668.00||$435.98|$190.80|$675.43|$350.12|$445.52|$41.00|$539.01|$429.30|$91.00|$99.00|$368.24|$249.38|$222.19|$222.19
"CPT® 88275"|"HB BCR/ABL FISH"|310.00|$487.00|$91.00|$344.80|$341.00||$222.56|$97.40|$344.80|$178.73|$227.43|$100.00|$275.16|$219.15|$91.00|$99.00|$187.98|$127.30|$113.42|$113.42
"CPT® 88264"|"HB CHROMOSOME ANALYSIS, 20-25 CELLS"|310.00|$1191.00|$91.00|$843.23|$834.00||$544.29|$238.20|$843.23|$437.10|$556.20|$100.00|$672.92|$535.95|$91.00|$99.00|$459.73|$311.33|$277.38|$277.38
"CPT® 88280"|"HB CHROMOSOME ANALYSIS, ADDITIONAL KARYOTYPE"|310.00|$299.00|$59.80|$211.69|$209.00||$136.64|$59.80|$211.69|$109.73|$139.63|$100.00|$168.94|$134.55|$91.00|$99.00|$115.41|$78.16|$69.64|$69.64
"CPT® 88267"|"HB CHROMOSOME ANALYSIS, AMNIOTIC FLUID"|310.00|$699.00|$91.00|$494.89|$489.00||$319.44|$139.80|$494.89|$256.53|$326.43|$349.50|$394.94|$314.55|$91.00|$99.00|$269.81|$182.72|$162.80|$162.80
"CPT® 88262"|"HB CHROMOSOME ANALYSIS, POC"|310.00|$2322.00|$91.00|$1643.98|$1625.00||$1061.15|$464.40|$1643.98|$852.17|$1084.37|$100.00|$1311.93|$1044.90|$91.00|$99.00|$896.29|$606.97|$540.79|$540.79
"CPT® 88275"|"HB CHROMOSOME, PRENATAL FISH"|310.00|$487.00|$91.00|$344.80|$341.00||$222.56|$97.40|$344.80|$178.73|$227.43|$100.00|$275.16|$219.15|$91.00|$99.00|$187.98|$127.30|$113.42|$113.42
"CPT® 88271"|"HB FISH, HER2 PARAFFIN TISSUE, PROBE"|310.00|$133.00|$26.60|$100.00|$93.00||$60.78|$26.60|$94.16|$48.81|$62.11|$100.00|$75.15|$59.85|$91.00|$99.00|$51.34|$34.77|$30.98|$30.98
"CPT® 88275"|"HB FISH, HER2 PARAFFIN TISSUE, ANALYSIS"|310.00|$243.00|$48.60|$172.04|$170.00||$111.05|$48.60|$172.04|$89.18|$113.48|$100.00|$137.30|$109.35|$91.00|$99.00|$93.80|$63.52|$56.59|$56.59
"CPT® 88275"|"HB MULTIPLE MYELOMA, FISH"|310.00|$487.00|$91.00|$344.80|$341.00||$222.56|$97.40|$344.80|$178.73|$227.43|$100.00|$275.16|$219.15|$91.00|$99.00|$187.98|$127.30|$113.42|$113.42
"CPT® 88346"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, IFA 1ST"|310.00|$440.00|$88.00|$311.52|$308.00||$201.08|$88.00|$311.52|$161.48|$205.48|$100.00|$248.60|$198.00|$91.00|$99.00|$169.84|$115.02|$102.48|$102.48
"CPT® 88350"|"HB IBS, SGI DIAGNOSTIC, BILL ONLY, IFA, ADDT'L"|310.00|$440.00|$88.00|$311.52|$308.00||$201.08|$88.00|$311.52|$161.48|$205.48|$100.00|$248.60|$198.00|$91.00|$99.00|$169.84|$115.02|$102.48|$102.48
"CPT® 38207"|"HB HPC CRYO STORAGE"|310.00|$4123.00|$91.00|$2919.08|$2886.00||$1884.21|$824.60|$2919.08|$1513.14|$1925.44|$2061.50|$2329.50|$1855.35|$91.00|$99.00|$1591.48|$1077.75|$960.25|$960.25
"CPT® 38207"|"HB HPC CRYO STORAGE-LC"|310.00|$2544.00|$91.00|$1801.15|$1781.00||$1162.61|$508.80|$1801.15|$933.65|$1188.05|$1272.00|$1437.36|$1144.80|$91.00|$99.00|$981.98|$665.00|$592.50|$592.50
"CPT® 38208"|"HB INFUSION PREP"|310.00|$2373.00|$91.00|$1680.08|$1661.00||$1084.46|$474.60|$1680.08|$870.89|$1108.19|$1186.50|$1340.75|$1067.85|$91.00|$99.00|$915.98|$620.30|$552.67|$552.67
"CPT® 38208"|"HB THAW INFUSION PREP"|310.00|$2636.00|$91.00|$1866.29|$1845.00||$1204.65|$527.20|$1866.29|$967.41|$1231.01|$1318.00|$1489.34|$1186.20|$91.00|$99.00|$1017.50|$689.05|$613.92|$613.92
"CPT® 38209"|"HB HPC C PROCESSING-LC"|310.00|$2815.00|$91.00|$1993.02|$1970.00||$1286.46|$563.00|$1993.02|$1033.11|$1314.61|$1407.50|$1590.48|$1266.75|$91.00|$99.00|$1086.59|$735.84|$655.61|$655.61
"CPT® 38209"|"HB HPCC PROCESSING"|310.00|$3675.00|$91.00|$2601.90|$2572.00||$1679.48|$735.00|$2601.90|$1348.73|$1716.23|$1837.50|$2076.38|$1653.75|$91.00|$99.00|$1418.55|$960.65|$855.91|$855.91
"CPT® 38210"|"HB CELL SELECTION LARGE"|310.00|$34061.00|$91.00|$24115.19|$23843.00||$15565.88|$6812.20|$24115.19|$12500.39|$15906.49|$17030.50|$19244.47|$15327.45|$91.00|$99.00|$13147.55|$8903.55|$7932.81|$7932.81
"CPT® 38210"|"HB CELL SELECTION LARGE-LC"|310.00|$22652.00|$91.00|$16037.62|$15856.00||$10351.96|$4530.40|$16037.62|$8313.28|$10578.48|$11326.00|$12798.38|$10193.40|$91.00|$99.00|$8743.67|$5921.23|$5275.65|$5275.65
"CPT® 38210"|"HB CELL SELECTION NORMAL"|310.00|$28863.00|$91.00|$20435.00|$20204.00||$13190.39|$5772.60|$20435.00|$10592.72|$13479.02|$14431.50|$16307.60|$12988.35|$91.00|$99.00|$11141.12|$7544.79|$6722.19|$6722.19
"CPT® 38210"|"HB CELL SELECTION NORMAL- LC"|310.00|$19876.00|$91.00|$14072.21|$13913.00||$9083.33|$3975.20|$14072.21|$7294.49|$9282.09|$9938.00|$11229.94|$8944.20|$91.00|$99.00|$7672.14|$5195.59|$4629.12|$4629.12
"CPT® 38212"|"HB SALVAGE RBC MARROW-LC"|310.00|$1083.00|$91.00|$766.76|$758.00||$494.93|$216.60|$766.76|$397.46|$505.76|$541.50|$611.90|$487.35|$91.00|$99.00|$418.04|$283.10|$252.23|$252.23
"CPT® 38212"|"HB SLVG RBC MARROW PREP"|310.00|$1155.00|$91.00|$817.74|$808.00||$527.84|$231.00|$817.74|$423.89|$539.39|$577.50|$652.58|$519.75|$91.00|$99.00|$445.83|$301.92|$269.00|$269.00
"CPT® 38214"|"HB PLASMA DEPLETION"|310.00|$1960.00|$91.00|$1387.68|$1372.00||$895.72|$392.00|$1387.68|$719.32|$915.32|$980.00|$1107.40|$882.00|$91.00|$99.00|$756.56|$512.34|$456.48|$456.48
"CPT® 38214"|"HB PLASMA DEPLETION-LC"|310.00|$552.00|$91.00|$390.82|$386.00||$252.26|$110.40|$390.82|$202.58|$257.78|$276.00|$311.88|$248.40|$91.00|$99.00|$213.07|$144.29|$128.56|$128.56
"CPT® 38215"|"HB HPC A PROC/POOL"|310.00|$1790.00|$91.00|$1267.32|$1253.00||$818.03|$358.00|$1267.32|$656.93|$835.93|$895.00|$1011.35|$805.50|$91.00|$99.00|$690.94|$467.91|$416.89|$416.89
"CPT® 38215"|"HB HPCA PROC/POOL-LC"|310.00|$1600.00|$91.00|$1132.80|$1120.00||$731.20|$320.00|$1132.80|$587.20|$747.20|$800.00|$904.00|$720.00|$91.00|$99.00|$617.60|$418.24|$372.64|$372.64
"CPT® 38215"|"HB HPCA PROCESSING"|310.00|$1575.00|$91.00|$1115.10|$1102.00||$719.78|$315.00|$1115.10|$578.03|$735.53|$787.50|$889.88|$708.75|$91.00|$99.00|$607.95|$411.71|$366.82|$366.82
"CPT® 38215"|"HB HPCA PROCESSING-LC"|310.00|$1300.00|$91.00|$920.40|$910.00||$594.10|$260.00|$920.40|$477.10|$607.10|$650.00|$734.50|$585.00|$91.00|$99.00|$501.80|$339.82|$302.77|$302.77
"CPT® 38215"|"HB HPCM PROC WITH SEP"|310.00|$2976.00|$91.00|$2107.01|$2083.00||$1360.03|$595.20|$2107.01|$1092.19|$1389.79|$1488.00|$1681.44|$1339.20|$91.00|$99.00|$1148.74|$777.93|$693.11|$693.11
"CPT® 38215"|"HB HPCM PROC WITH SEP-LC"|310.00|$2510.00|$91.00|$1777.08|$1757.00||$1147.07|$502.00|$1777.08|$921.17|$1172.17|$1255.00|$1418.15|$1129.50|$91.00|$99.00|$968.86|$656.11|$584.58|$584.58
"CPT® 38215"|"HB HPCM PROC WO SEP"|310.00|$1631.00|$91.00|$1154.75|$1142.00||$745.37|$326.20|$1154.75|$598.58|$761.68|$815.50|$921.52|$733.95|$91.00|$99.00|$629.57|$426.34|$379.86|$379.86
"CPT® 38215"|"HB HPCM PROC WO SEP-LC"|310.00|$1425.00|$91.00|$1008.90|$997.00||$651.23|$285.00|$1008.90|$522.98|$665.48|$712.50|$805.13|$641.25|$91.00|$99.00|$550.05|$372.50|$331.88|$331.88
"CPT® 38208"|"HB INFUSION PREP FRESH LC"|310.00|$1022.00|$91.00|$723.58|$715.00||$467.05|$204.40|$723.58|$375.07|$477.27|$511.00|$577.43|$459.90|$91.00|$99.00|$394.49|$267.15|$238.02|$238.02
"CPT® 38208"|"HB INFUSION PREP FRZN- LC"|310.00|$1173.00|$91.00|$830.48|$821.00||$536.06|$234.60|$830.48|$430.49|$547.79|$586.50|$662.75|$527.85|$91.00|$99.00|$452.78|$306.62|$273.19|$273.19
"CPT® 38215"|"HB MUD PROCESSING"|310.00|$2310.00|$91.00|$1635.48|$1617.00||$1055.67|$462.00|$1635.48|$847.77|$1078.77|$1155.00|$1305.15|$1039.50|$91.00|$99.00|$891.66|$603.83|$538.00|$538.00
"CPT® 38215"|"HB MUD PROCESSING-LC"|310.00|$1866.00|$91.00|$1321.13|$1306.00||$852.76|$373.20|$1321.13|$684.82|$871.42|$933.00|$1054.29|$839.70|$91.00|$99.00|$720.28|$487.77|$434.59|$434.59
"CPT® 38215"|"HB THAW INF PREP WO WASH-LC"|310.00|$1315.00|$91.00|$931.02|$920.00||$600.96|$263.00|$931.02|$482.61|$614.11|$657.50|$742.98|$591.75|$91.00|$99.00|$507.59|$343.74|$306.26|$306.26
"CPT® 38215"|"HB HPCM DOUBLE BUFFY - LC"|310.00|$4134.00|$91.00|$2926.87|$2894.00||$1889.24|$826.80|$2926.87|$1517.18|$1930.58|$2067.00|$2335.71|$1860.30|$91.00|$99.00|$1595.72|$1080.63|$962.81|$962.81
"CPT® 88184"|"HB FLOW CYTOMETRY, 1ST MARKER, LLP"|311.00|$240.00|$48.00|$169.92|$168.00||$109.68|$48.00|$169.92|$88.08|$112.08|$100.00|$135.60|$108.00|$91.00|$99.00|$92.64|$62.74|$55.90|$55.90
"CPT® 88185"|"HB FLOW CYTOMETRY, EACH ADDITIONAL MARKER, LLP"|311.00|$44.00|$8.80|$44.00|$31.00||$20.11|$8.80|$31.15|$16.15|$20.55|$44.00|$24.86|$19.80|$44.00|$44.00|$16.98|$11.50|$10.25|$10.25
"CPT® 88184"|"HB FETAL HEMOGLOBIN, FLOW CYTOMETRY"|311.00|$910.00|$91.00|$644.28|$637.00||$415.87|$182.00|$644.28|$333.97|$424.97|$100.00|$514.15|$409.50|$91.00|$99.00|$351.26|$237.87|$211.94|$211.94
"CPT® 88363"|"HB EXAMINE/SELECT TISSUE-MOLECULAR DIAGNOSTICS"|311.00|$177.00|$35.40|$125.32|$124.00||$80.89|$35.40|$125.32|$64.96|$82.66|$100.00|$100.01|$79.65|$91.00|$99.00|$68.32|$46.27|$41.22|$41.22
"CPT® 88363"|"HB EXAMINE/SELECT TISSUE-MOLECULAR DIAGNOSTICS"|311.00|$177.00|$35.40|$125.32|$124.00||$80.89|$35.40|$125.32|$64.96|$82.66|$100.00|$100.01|$79.65|$91.00|$99.00|$68.32|$46.27|$41.22|$41.22
"CPT® 88112"|"HB CYTOLOGY CELL ENRICHMENT"|311.00|$608.00|$91.00|$430.46|$426.00||$277.86|$121.60|$430.46|$223.14|$283.94|$100.00|$343.52|$273.60|$91.00|$99.00|$234.69|$158.93|$141.60|$141.60
"CPT® 88173"|"HB FINE NEEDLE ASPIRATE"|311.00|$804.00|$91.00|$569.23|$563.00||$367.43|$160.80|$569.23|$295.07|$375.47|$100.00|$454.26|$361.80|$91.00|$99.00|$310.34|$210.17|$187.25|$187.25
"CPT® 88172"|"HB FINE NEEDLE ASPIRATE TECHNICAL ADEQUACY EVALUATION, 1ST"|311.00|$507.00|$91.00|$358.96|$355.00||$231.70|$101.40|$358.96|$186.07|$236.77|$100.00|$286.46|$228.15|$91.00|$99.00|$195.70|$132.53|$118.08|$118.08
"CPT® 88177"|"HB FINE NEEDLE ASPIRATE TECHNICAL ADEQUACY EVALUATION,ADDITIONAL"|311.00|$109.00|$21.80|$100.00|$76.00||$49.81|$21.80|$77.17|$40.00|$50.90|$100.00|$61.59|$49.05|$91.00|$99.00|$42.07|$28.49|$25.39|$25.39
"CPT® 88108"|"HB FLUID/BRUSH CONCENTRATION"|311.00|$608.00|$91.00|$430.46|$426.00||$277.86|$121.60|$430.46|$223.14|$283.94|$100.00|$343.52|$273.60|$91.00|$99.00|$234.69|$158.93|$141.60|$141.60
"CPT® 88104"|"HB FLUID/BRUSH DIRECT SMEARS"|311.00|$547.00|$91.00|$387.28|$383.00||$249.98|$109.40|$387.28|$200.75|$255.45|$100.00|$309.06|$246.15|$91.00|$99.00|$211.14|$142.99|$127.40|$127.40
"CPT® 88333"|"HB INTRAOPERATIVE TOUCH PREPARATION, 1ST"|311.00|$337.00|$67.40|$238.60|$236.00||$154.01|$67.40|$238.60|$123.68|$157.38|$100.00|$190.41|$151.65|$91.00|$99.00|$130.08|$88.09|$78.49|$78.49
"CPT® 88334"|"HB INTRAOPERATIVE TOUCH PREPARATION, ADDITIONAL SITE"|311.00|$337.00|$67.40|$238.60|$236.00||$154.01|$67.40|$238.60|$123.68|$157.38|$100.00|$190.41|$151.65|$91.00|$99.00|$130.08|$88.09|$78.49|$78.49
"CPT® 88142"|"HB PAP TEST, LIQUID, DIAGNOSTIC"|311.00|$201.00|$40.20|$142.31|$141.00||$91.86|$40.20|$142.31|$73.77|$93.87|$100.00|$113.57|$90.45|$91.00|$99.00|$77.59|$52.54|$46.81|$46.81
"CPT® 88175"|"HB PAP TEST, LIQUID DIAGNOSTIC W/IMAGING"|311.00|$199.00|$39.80|$140.89|$139.00||$90.94|$39.80|$140.89|$73.03|$92.93|$100.00|$112.44|$89.55|$91.00|$99.00|$76.81|$52.02|$46.35|$46.35
"HCPCS G0123"|"HB PAP TEST, LIQUID SCREEN"|311.00|$119.00|$23.80|$99.00|$83.00||$54.38|$23.80|$84.25|$43.67|$55.57|$59.50|$67.24|$53.55|$91.00|$99.00|$45.93|$31.11|$27.72|$27.72
"HCPCS G0145"|"HB PAP TEST, LIQUID SCREEN W/IMAGING"|311.00|$132.00|$26.40|$99.00|$92.00||$60.32|$26.40|$93.46|$48.44|$61.64|$66.00|$74.58|$59.40|$91.00|$99.00|$50.95|$34.50|$30.74|$30.74
"CPT® 88173"|"HB SUBMITTED FINE NEEDLE ASPIRATE SLIDES"|311.00|$718.00|$91.00|$508.34|$503.00||$328.13|$143.60|$508.34|$263.51|$335.31|$100.00|$405.67|$323.10|$91.00|$99.00|$277.15|$187.69|$167.22|$167.22
"CPT® 88235"|"HB CHROMOSOME ANALYSIS, AMNIOTIC FLUID"|311.00|$1451.00|$91.00|$1027.31|$1016.00||$663.11|$290.20|$1027.31|$532.52|$677.62|$100.00|$819.82|$652.95|$91.00|$99.00|$560.09|$379.29|$337.94|$337.94
"CPT® 88267"|"HB CHROMOSOME ANALYSIS, AMNIOTIC FLUID"|311.00|$868.00|$91.00|$614.54|$608.00||$396.68|$173.60|$614.54|$318.56|$405.36|$434.00|$490.42|$390.60|$91.00|$99.00|$335.05|$226.90|$202.16|$202.16
"CPT® 88280"|"HB CHROMOSOME ANALYSIS, AMNIOTIC FLUID"|311.00|$277.00|$55.40|$196.12|$194.00||$126.59|$55.40|$196.12|$101.66|$129.36|$100.00|$156.51|$124.65|$91.00|$99.00|$106.92|$72.41|$64.51|$64.51
"CPT® 88235"|"HB CHROMOSOME ANALYSIS, CHORIONIC VILLI SAMPLING"|311.00|$1451.00|$91.00|$1027.31|$1016.00||$663.11|$290.20|$1027.31|$532.52|$677.62|$100.00|$819.82|$652.95|$91.00|$99.00|$560.09|$379.29|$337.94|$337.94
"CPT® 88264"|"HB CHROMOSOME ANALYSIS, HEMATOLOGIC, BLOOD"|311.00|$2445.00|$91.00|$1731.06|$1712.00||$1117.37|$489.00|$1731.06|$897.32|$1141.82|$100.00|$1381.43|$1100.25|$91.00|$99.00|$943.77|$639.12|$569.44|$569.44
"CPT® 88237"|"HB CHROMOSOME ANALYSIS, HEMATOLOGIC, BLOOD"|311.00|$1041.00|$91.00|$737.03|$729.00||$475.74|$208.20|$737.03|$382.05|$486.15|$100.00|$588.17|$468.45|$91.00|$99.00|$401.83|$272.12|$242.45|$242.45
"CPT® 88273"|"HB CHROMOSOME ANOMALIES, MISCELLANEOUS, FISH"|311.00|$786.00|$91.00|$556.49|$550.00||$359.20|$157.20|$556.49|$288.46|$367.06|$100.00|$444.09|$353.70|$91.00|$99.00|$303.40|$205.46|$183.06|$183.06
"CPT® 88271"|"HB CHROMOSOME ANOMALIES, MISCELLANEOUS, FISH"|311.00|$133.00|$26.60|$100.00|$93.00||$60.78|$26.60|$94.16|$48.81|$62.11|$100.00|$75.15|$59.85|$91.00|$99.00|$51.34|$34.77|$30.98|$30.98
"CPT® 88271"|"HB DIGEORGE MUTATION ANALYSIS, FISH"|311.00|$133.00|$26.60|$100.00|$93.00||$60.78|$26.60|$94.16|$48.81|$62.11|$100.00|$75.15|$59.85|$91.00|$99.00|$51.34|$34.77|$30.98|$30.98
"CPT® 88273"|"HB DIGEORGE MUTATION ANALYSIS, FISH"|311.00|$786.00|$91.00|$556.49|$550.00||$359.20|$157.20|$556.49|$288.46|$367.06|$100.00|$444.09|$353.70|$91.00|$99.00|$303.40|$205.46|$183.06|$183.06
"CPT® 88271"|"HB INSIGHT, FISH, BILL ONLY"|311.00|$133.00|$26.60|$100.00|$93.00||$60.78|$26.60|$94.16|$48.81|$62.11|$100.00|$75.15|$59.85|$91.00|$99.00|$51.34|$34.77|$30.98|$30.98
"CPT® 88184"|"HB PLASMA CELL LABELING INDEX, FLOW CYTOMETRY, 1ST MARKER"|311.00|$246.00|$49.20|$174.17|$172.00||$112.42|$49.20|$174.17|$90.28|$114.88|$100.00|$138.99|$110.70|$91.00|$99.00|$94.96|$64.30|$57.29|$57.29
"CPT® 88185"|"HB PLASMA CELL LABELING INDEX, FLOW CYTOMETRY, ADDT'L MARKER"|311.00|$119.00|$23.80|$100.00|$83.00||$54.38|$23.80|$84.25|$43.67|$55.57|$100.00|$67.24|$53.55|$91.00|$99.00|$45.93|$31.11|$27.72|$27.72
"CPT® 88230"|"HB CHROMOSOME FAMILIAL STUDIES, TISSUE CULTURE, BILL ONLY"|311.00|$511.00|$91.00|$361.79|$358.00||$233.53|$102.20|$361.79|$187.54|$238.64|$100.00|$288.72|$229.95|$91.00|$99.00|$197.25|$133.58|$119.01|$119.01
"CPT® 88262"|"HB CHROMOSOME FAMILIAL STUDIES, KARYOTYPE 15-20, BILL ONLY"|311.00|$836.00|$91.00|$591.89|$585.00||$382.05|$167.20|$591.89|$306.81|$390.41|$100.00|$472.34|$376.20|$91.00|$99.00|$322.70|$218.53|$194.70|$194.70
"CPT® 88161"|"HB PAP SMEAR, SCREENING"|311.00|$300.00|$60.00|$212.40|$210.00||$137.10|$60.00|$212.40|$110.10|$140.10|$100.00|$169.50|$135.00|$91.00|$99.00|$115.80|$78.42|$69.87|$69.87
"CPT® 88160"|"HB PAP SMEAR, SCREENING, INTERPRETATION"|311.00|$299.00|$59.80|$211.69|$209.00||$136.64|$59.80|$211.69|$109.73|$139.63|$149.50|$168.94|$134.55|$91.00|$99.00|$115.41|$78.16|$69.64|$69.64
"CPT® 88164"|"HB PAP SMEAR (BETHESDA SYSTEM)"|311.00|$133.00|$26.60|$99.00|$93.00||$60.78|$26.60|$94.16|$48.81|$62.11|$66.50|$75.15|$59.85|$91.00|$99.00|$51.34|$34.77|$30.98|$30.98
"CPT® 88155"|"HB PAP SMEAR, HORMONE EVALUATION"|311.00|$323.00|$64.60|$228.68|$226.00||$147.61|$64.60|$228.68|$118.54|$150.84|$161.50|$182.50|$145.35|$91.00|$99.00|$124.68|$84.43|$75.23|$75.23
"CPT® 88162"|"HB PAP SMEAR, EXTENDED STUDY"|311.00|$263.00|$52.60|$186.20|$184.00||$120.19|$52.60|$186.20|$96.52|$122.82|$131.50|$148.60|$118.35|$91.00|$99.00|$101.52|$68.75|$61.25|$61.25
"CPT® 88174"|"HB PAP TEST, LIQUID SCREEN W/IMAGING"|311.00|$331.00|$66.20|$234.35|$232.00||$151.27|$66.20|$234.35|$121.48|$154.58|$165.50|$187.02|$148.95|$91.00|$99.00|$127.77|$86.52|$77.09|$77.09
"CPT® 88175"|"HB PAP TEST, LIQUID DIAGNOSTIC W/IMAGING"|311.00|$397.00|$79.40|$281.08|$278.00||$181.43|$79.40|$281.08|$145.70|$185.40|$100.00|$224.31|$178.65|$91.00|$99.00|$153.24|$103.78|$92.46|$92.46
"CPT® 88104"|"HB FLUID/BRUSH DIRECT SMEARS"|311.00|$486.00|$91.00|$344.09|$340.00||$222.10|$97.20|$344.09|$178.36|$226.96|$100.00|$274.59|$218.70|$91.00|$99.00|$187.60|$127.04|$113.19|$113.19
"CPT® 88106"|"HB FLUID, FILTER PREPARATION"|311.00|$345.00|$69.00|$244.26|$241.00||$157.67|$69.00|$244.26|$126.62|$161.12|$100.00|$194.93|$155.25|$91.00|$99.00|$133.17|$90.18|$80.35|$80.35
"CPT® 88108"|"HB FLUID, CYTOSPIN PREPARATION"|311.00|$522.00|$91.00|$369.58|$365.00||$238.55|$104.40|$369.58|$191.57|$243.77|$100.00|$294.93|$234.90|$91.00|$99.00|$201.49|$136.45|$121.57|$121.57
"CPT® 88125"|"HB CYTOPATHOLOGY, FORENSIC"|311.00|$713.00|$91.00|$504.80|$499.00||$325.84|$142.60|$504.80|$261.67|$332.97|$356.50|$402.85|$320.85|$91.00|$99.00|$275.22|$186.38|$166.06|$166.06
"CPT® 88130"|"HB BARR BODY IDENTIFICATION"|311.00|$148.00|$29.60|$104.78|$104.00||$67.64|$29.60|$104.78|$54.32|$69.12|$74.00|$83.62|$66.60|$91.00|$99.00|$57.13|$38.69|$34.47|$34.47
"CPT® 88141"|"HB PAP TEST, PATHOLOGIST REVIEW"|311.00|$304.00|$60.80|$215.23|$213.00||$138.93|$60.80|$215.23|$111.57|$141.97|$100.00|$171.76|$136.80|$91.00|$99.00|$117.34|$79.47|$70.80|$70.80
"CPT® 88172"|"HB FINE NEEDLE ASPIRATE TECHNICAL ADEQUACY EVALUATION, 1ST"|311.00|$802.00|$91.00|$567.82|$561.00||$366.51|$160.40|$567.82|$294.33|$374.53|$100.00|$453.13|$360.90|$91.00|$99.00|$309.57|$209.64|$186.79|$186.79
"CPT® 88177"|"HB FINE NEEDLE ASPIRATE TECHNICAL ADEQUACY EVALUATION,ADDITIONAL"|311.00|$123.00|$24.60|$100.00|$86.00||$56.21|$24.60|$87.08|$45.14|$57.44|$100.00|$69.50|$55.35|$91.00|$99.00|$47.48|$32.15|$28.65|$28.65
"CPT® 88173"|"HB FINE NEEDLE ASPIRATE"|311.00|$802.00|$91.00|$567.82|$561.00||$366.51|$160.40|$567.82|$294.33|$374.53|$100.00|$453.13|$360.90|$91.00|$99.00|$309.57|$209.64|$186.79|$186.79
"CPT® 88184"|"HB FLOW CYTOMETRY , 1ST MARKER"|311.00|$245.00|$49.00|$173.46|$172.00||$111.97|$49.00|$173.46|$89.92|$114.42|$100.00|$138.43|$110.25|$91.00|$99.00|$94.57|$64.04|$57.06|$57.06
"CPT® 88185"|"HB FLOW CYTOMETRY, EACH ADDITIONAL MARKER"|311.00|$110.00|$22.00|$100.00|$77.00||$50.27|$22.00|$77.88|$40.37|$51.37|$100.00|$62.15|$49.50|$91.00|$99.00|$42.46|$28.75|$25.62|$25.62
"CPT® 88184"|"HB FETAL HEMOGLOBIN BY FLOW CYTOMETRY"|311.00|$166.00|$33.20|$117.53|$116.00||$75.86|$33.20|$117.53|$60.92|$77.52|$100.00|$93.79|$74.70|$91.00|$99.00|$64.08|$43.39|$38.66|$38.66
"CPT® 88184"|"HB PL LINKED ANTIGEN, 1ST MARKER"|311.00|$296.00|$59.20|$209.57|$207.00||$135.27|$59.20|$209.57|$108.63|$138.23|$100.00|$167.24|$133.20|$91.00|$99.00|$114.26|$77.37|$68.94|$68.94
"CPT® 88185"|"HB PL LINKED ANTIGEN, ADDITIONAL MARKER"|311.00|$241.00|$48.20|$170.63|$169.00||$110.14|$48.20|$170.63|$88.45|$112.55|$100.00|$136.17|$108.45|$91.00|$99.00|$93.03|$63.00|$56.13|$56.13
"CPT® 88271"|"HB BCR/ABL FISH"|311.00|$175.00|$35.00|$123.90|$122.00||$79.98|$35.00|$123.90|$64.23|$81.73|$100.00|$98.88|$78.75|$91.00|$99.00|$67.55|$45.75|$40.76|$40.76
"CPT® 88273"|"HB CHROMOSOME  METAPHASE, FIAH"|311.00|$400.00|$80.00|$283.20|$280.00||$182.80|$80.00|$283.20|$146.80|$186.80|$100.00|$226.00|$180.00|$91.00|$99.00|$154.40|$104.56|$93.16|$93.16
"CPT® 88262"|"HB CHROMOSOME ANALYSIS, 2 KARYOTYPES"|311.00|$1545.00|$91.00|$1093.86|$1082.00||$706.07|$309.00|$1093.86|$567.02|$721.52|$100.00|$872.93|$695.25|$91.00|$99.00|$596.37|$403.86|$359.83|$359.83
"CPT® 88235"|"HB CHROMOSOME ANALYSIS, AMNIOTIC FLUID"|311.00|$1836.00|$91.00|$1299.89|$1285.00||$839.05|$367.20|$1299.89|$673.81|$857.41|$100.00|$1037.34|$826.20|$91.00|$99.00|$708.70|$479.93|$427.60|$427.60
"CPT® 88280"|"HB CHROMOSOME ANALYSIS, AMNIOTIC FLUID"|311.00|$181.00|$36.20|$128.15|$127.00||$82.72|$36.20|$128.15|$66.43|$84.53|$100.00|$102.27|$81.45|$91.00|$99.00|$69.87|$47.31|$42.15|$42.15
"CPT® 88230"|"HB CHROMOSOME ANALYSIS, FAMILIAL STUDIES"|311.00|$1443.00|$91.00|$1021.64|$1010.00||$659.45|$288.60|$1021.64|$529.58|$673.88|$100.00|$815.30|$649.35|$91.00|$99.00|$557.00|$377.20|$336.07|$336.07
"CPT® 88273"|"HB CHROMOSOME ANOMALIES, MISCELLANEOUS, FISH"|311.00|$193.00|$38.60|$136.64|$135.00||$88.20|$38.60|$136.64|$70.83|$90.13|$100.00|$109.05|$86.85|$91.00|$99.00|$74.50|$50.45|$44.95|$44.95
"CPT® 88271"|"HB CHROMOSOME ANOMALIES, MISCELLANEOUS, FISH"|311.00|$438.00|$87.60|$310.10|$307.00||$200.17|$87.60|$310.10|$160.75|$204.55|$100.00|$247.47|$197.10|$91.00|$99.00|$169.07|$114.49|$102.01|$102.01
"CPT® 88271"|"HB CHROMOSOME, PRENATAL FISH"|311.00|$175.00|$35.00|$123.90|$122.00||$79.98|$35.00|$123.90|$64.23|$81.73|$100.00|$98.88|$78.75|$91.00|$99.00|$67.55|$45.75|$40.76|$40.76
"CPT® 88271"|"HB MULTIPLE MYELOMA, FISH"|311.00|$175.00|$35.00|$123.90|$122.00||$79.98|$35.00|$123.90|$64.23|$81.73|$100.00|$98.88|$78.75|$91.00|$99.00|$67.55|$45.75|$40.76|$40.76
"CPT® 88346"|"HB IF STAIN, BIOPSY"|311.00|$356.00|$71.20|$252.05|$249.00||$162.69|$71.20|$252.05|$130.65|$166.25|$100.00|$201.14|$160.20|$91.00|$99.00|$137.42|$93.06|$82.91|$82.91
"CPT® 88184"|"HB PLASMA CELL LABELING INDEX, FLOW CYTOMETRY, 1ST MARKER"|311.00|$118.00|$23.60|$100.00|$83.00||$53.93|$23.60|$83.54|$43.31|$55.11|$100.00|$66.67|$53.10|$91.00|$99.00|$45.55|$30.85|$27.48|$27.48
"CPT® 88185"|"HB PLASMA CELL LABELING INDEX, FLOW CYTOMETRY, ADDT'L MARKER"|311.00|$59.00|$11.80|$59.00|$41.00||$26.96|$11.80|$41.77|$21.65|$27.55|$59.00|$33.34|$26.55|$59.00|$59.00|$22.77|$15.42|$13.74|$13.74
"CPT® 88346"|"HB IMMUNOFLUORESCENT STAIN, DIRECT"|312.00|$188.00|$37.60|$133.10|$132.00||$85.92|$37.60|$133.10|$69.00|$87.80|$100.00|$106.22|$84.60|$91.00|$99.00|$72.57|$49.14|$43.79|$43.79
"CPT® 88342"|"HB IMMUNOPEROXIDASE STAIN-1ST IP"|312.00|$468.00|$91.00|$331.34|$328.00||$213.88|$93.60|$331.34|$171.76|$218.56|$100.00|$264.42|$210.60|$91.00|$99.00|$180.65|$122.34|$109.00|$109.00
"CPT® 88341"|"HB IMMUNOPEROXIDASE STAIN-ADDITIONAL IP"|312.00|$399.00|$79.80|$282.49|$279.00||$182.34|$79.80|$282.49|$146.43|$186.33|$100.00|$225.44|$179.55|$91.00|$99.00|$154.01|$104.30|$92.93|$92.93
"CPT® 88342"|"HB IMMUNOPEROXIDASE STAIN ONLY, BLOCK"|312.00|$558.00|$91.00|$395.06|$391.00||$255.01|$111.60|$395.06|$204.79|$260.59|$100.00|$315.27|$251.10|$91.00|$99.00|$215.39|$145.86|$129.96|$129.96
"CPT® 88365"|"HB IN SITU HYBRIDIZATION, PER SPECIMEN, 1ST PROBE"|312.00|$484.00|$91.00|$342.67|$339.00||$221.19|$96.80|$342.67|$177.63|$226.03|$100.00|$273.46|$217.80|$91.00|$99.00|$186.82|$126.52|$112.72|$112.72
"CPT® 88364"|"HB IN SITU HYBRIDIZATION, EACH ADDTL PROBE"|312.00|$541.00|$91.00|$383.03|$379.00||$247.24|$108.20|$383.03|$198.55|$252.65|$100.00|$305.67|$243.45|$91.00|$99.00|$208.83|$141.42|$126.00|$126.00
"CPT® 88342"|"HB IP-ACTH STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-ACTH STAIN, ADDITIONAL IP"|312.00|$410.00|$82.00|$290.28|$287.00||$187.37|$82.00|$290.28|$150.47|$191.47|$100.00|$231.65|$184.50|$91.00|$99.00|$158.26|$107.17|$95.49|$95.49
"CPT® 88342"|"HB IP-ACTIN STAIN, SMOOTH MUSCLE STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-ACTIN STAIN, SMOOTH MUSCLE, ADDITIONAL IP"|312.00|$454.00|$90.80|$321.43|$318.00||$207.48|$90.80|$321.43|$166.62|$212.02|$100.00|$256.51|$204.30|$91.00|$99.00|$175.24|$118.68|$105.74|$105.74
"CPT® 88342"|"HB IP-AE1/3 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-AE1/3 STAIN, ADDITIONAL IP"|312.00|$438.00|$87.60|$310.10|$307.00||$200.17|$87.60|$310.10|$160.75|$204.55|$100.00|$247.47|$197.10|$91.00|$99.00|$169.07|$114.49|$102.01|$102.01
"CPT® 88342"|"HB IP-ALK-1 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-ALK-1 STAIN, ADDITIONAL IP"|312.00|$522.00|$91.00|$369.58|$365.00||$238.55|$104.40|$369.58|$191.57|$243.77|$100.00|$294.93|$234.90|$91.00|$99.00|$201.49|$136.45|$121.57|$121.57
"CPT® 88342"|"HB IP-ALPHA-SYNUCLEIN, STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-ALPHA-SYNUCLEIN, STAIN, ADDITIONAL IP"|312.00|$531.00|$91.00|$375.95|$372.00||$242.67|$106.20|$375.95|$194.88|$247.98|$100.00|$300.02|$238.95|$91.00|$99.00|$204.97|$138.80|$123.67|$123.67
"CPT® 88342"|"HB IP-ANDROGEN RECEPTOR STAIN, 1ST IP"|312.00|$498.00|$91.00|$352.58|$349.00||$227.59|$99.60|$352.58|$182.77|$232.57|$100.00|$281.37|$224.10|$91.00|$99.00|$192.23|$130.18|$115.98|$115.98
"CPT® 88341"|"HB IP-ANDROGEN RECEPTOR STAIN, ADDITIONAL IP"|312.00|$498.00|$91.00|$352.58|$349.00||$227.59|$99.60|$352.58|$182.77|$232.57|$100.00|$281.37|$224.10|$91.00|$99.00|$192.23|$130.18|$115.98|$115.98
"CPT® 88342"|"HB IP-BCL-1 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-BCL-1 STAIN, ADD"|312.00|$461.00|$91.00|$326.39|$323.00||$210.68|$92.20|$326.39|$169.19|$215.29|$100.00|$260.47|$207.45|$91.00|$99.00|$177.95|$120.51|$107.37|$107.37
"CPT® 88342"|"HB IP-BCL-2 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-BCL-2 STAIN, ADDITIONAL"|312.00|$591.00|$91.00|$418.43|$414.00||$270.09|$118.20|$418.43|$216.90|$276.00|$100.00|$333.92|$265.95|$91.00|$99.00|$228.13|$154.49|$137.64|$137.64
"CPT® 88342"|"HB IP-BCL-6 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-BCL-6 STAIN, ADDITIONAL"|312.00|$490.00|$91.00|$346.92|$343.00||$223.93|$98.00|$346.92|$179.83|$228.83|$100.00|$276.85|$220.50|$91.00|$99.00|$189.14|$128.09|$114.12|$114.12
"CPT® 88342"|"HB IP-BER-EP4 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-BER-EP4 STAIN, ADDITIONAL IP"|312.00|$414.00|$82.80|$293.11|$290.00||$189.20|$82.80|$293.11|$151.94|$193.34|$100.00|$233.91|$186.30|$91.00|$99.00|$159.80|$108.22|$96.42|$96.42
"CPT® 88342"|"HB IP-BETA-CATENIN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-BETA-CATENIN STAIN, ADDITIONAL IP"|312.00|$420.00|$84.00|$297.36|$294.00||$191.94|$84.00|$297.36|$154.14|$196.14|$100.00|$237.30|$189.00|$91.00|$99.00|$162.12|$109.79|$97.82|$97.82
"CPT® 88342"|"HB IP-BRST-2 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-BRST-2 STAIN, ADDITIONAL IP"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-BRST-3 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-BRST-3 STAIN, ADDITIONAL IP"|312.00|$439.00|$87.80|$310.81|$307.00||$200.62|$87.80|$310.81|$161.11|$205.01|$100.00|$248.04|$197.55|$91.00|$99.00|$169.45|$114.75|$102.24|$102.24
"CPT® 88342"|"HB IP-CA125 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CA125 STAIN, ADDITIONAL IP"|312.00|$448.00|$89.60|$317.18|$314.00||$204.74|$89.60|$317.18|$164.42|$209.22|$100.00|$253.12|$201.60|$91.00|$99.00|$172.93|$117.11|$104.34|$104.34
"CPT® 88342"|"HB IP-CA19.9 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CA19.9 STAIN, ADDITIONAL IP"|312.00|$453.00|$90.60|$320.72|$317.00||$207.02|$90.60|$320.72|$166.25|$211.55|$100.00|$255.95|$203.85|$91.00|$99.00|$174.86|$118.41|$105.50|$105.50
"CPT® 88342"|"HB IP-CAIX STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CAIX STAIN, ADDITIONAL IP"|312.00|$309.00|$61.80|$218.77|$216.00||$141.21|$61.80|$218.77|$113.40|$144.30|$100.00|$174.59|$139.05|$91.00|$99.00|$119.27|$80.77|$71.97|$71.97
"CPT® 88342"|"HB IP-CALCITONIN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CALCITONIN STAIN, ADDITIONAL IP"|312.00|$408.00|$81.60|$288.86|$286.00||$186.46|$81.60|$288.86|$149.74|$190.54|$100.00|$230.52|$183.60|$91.00|$99.00|$157.49|$106.65|$95.02|$95.02
"CPT® 88342"|"HB IP-CALDESMON STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CALDESMON STAIN, ADDITIONAL IP"|312.00|$318.00|$63.60|$225.14|$223.00||$145.33|$63.60|$225.14|$116.71|$148.51|$100.00|$179.67|$143.10|$91.00|$99.00|$122.75|$83.13|$74.06|$74.06
"CPT® 88342"|"HB IP-CALPONIN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CALPONIN STAIN, ADDITIONAL IP"|312.00|$407.00|$81.40|$288.16|$285.00||$186.00|$81.40|$288.16|$149.37|$190.07|$100.00|$229.96|$183.15|$91.00|$99.00|$157.10|$106.39|$94.79|$94.79
"CPT® 88342"|"HB IP-CALRETININ STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CALRETININ STAIN, ADDITIONAL IP"|312.00|$471.00|$91.00|$333.47|$330.00||$215.25|$94.20|$333.47|$172.86|$219.96|$100.00|$266.12|$211.95|$91.00|$99.00|$181.81|$123.12|$109.70|$109.70
"CPT® 88342"|"HB IP-CAM 5.2 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CAM 5.2 STAIN, ADDITIONAL IP"|312.00|$436.00|$87.20|$308.69|$305.00||$199.25|$87.20|$308.69|$160.01|$203.61|$100.00|$246.34|$196.20|$91.00|$99.00|$168.30|$113.97|$101.54|$101.54
"CPT® 88342"|"HB IP-CEA-MONOCLONAL STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CEA-MONOCLONAL STAIN, ADDITIONAL IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88342"|"HB IP-CEA-POLYCLONAL STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CEA-POLYCLONAL STAIN, ADDITIONAL IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88342"|"HB IP-CD10 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD10 STAIN, ADDITIONAL IP"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-CD117-CKIT STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD117-CKIT STAIN, ADDITIONAL IP"|312.00|$409.00|$81.80|$289.57|$286.00||$186.91|$81.80|$289.57|$150.10|$191.00|$100.00|$231.09|$184.05|$91.00|$99.00|$157.87|$106.91|$95.26|$95.26
"CPT® 88342"|"HB IP-CD15 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD15 STAIN, ADDITIONAL IP"|312.00|$427.00|$85.40|$302.32|$299.00||$195.14|$85.40|$302.32|$156.71|$199.41|$100.00|$241.26|$192.15|$91.00|$99.00|$164.82|$111.62|$99.45|$99.45
"CPT® 88342"|"HB IP-CD163 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD163 STAIN, ADDITIONAL IP"|312.00|$416.00|$83.20|$294.53|$291.00||$190.11|$83.20|$294.53|$152.67|$194.27|$100.00|$235.04|$187.20|$91.00|$99.00|$160.58|$108.74|$96.89|$96.89
"CPT® 88342"|"HB IP-CD19 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD19 STAIN, ADDITIONAL IP"|312.00|$420.00|$84.00|$297.36|$294.00||$191.94|$84.00|$297.36|$154.14|$196.14|$100.00|$237.30|$189.00|$91.00|$99.00|$162.12|$109.79|$97.82|$97.82
"CPT® 88342"|"HB IP-CD1A STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD1A STAIN, ADDITIONAL IP"|312.00|$531.00|$91.00|$375.95|$372.00||$242.67|$106.20|$375.95|$194.88|$247.98|$100.00|$300.02|$238.95|$91.00|$99.00|$204.97|$138.80|$123.67|$123.67
"CPT® 88342"|"HB IP-CD2 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD2 STAIN, ADDITIONAL IP"|312.00|$513.00|$91.00|$363.20|$359.00||$234.44|$102.60|$363.20|$188.27|$239.57|$100.00|$289.85|$230.85|$91.00|$99.00|$198.02|$134.10|$119.48|$119.48
"CPT® 88342"|"HB IP-CD20 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD20 STAIN, ADDITIONAL IP"|312.00|$476.00|$91.00|$337.01|$333.00||$217.53|$95.20|$337.01|$174.69|$222.29|$100.00|$268.94|$214.20|$91.00|$99.00|$183.74|$124.43|$110.86|$110.86
"CPT® 88342"|"HB IP-CD21 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD21 STAIN, ADDITIONAL IP"|312.00|$495.00|$91.00|$350.46|$346.00||$226.22|$99.00|$350.46|$181.67|$231.17|$100.00|$279.68|$222.75|$91.00|$99.00|$191.07|$129.39|$115.29|$115.29
"CPT® 88342"|"HB IP-CD22 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD22 STAIN, ADDITIONAL IP"|312.00|$508.00|$91.00|$359.66|$356.00||$232.16|$101.60|$359.66|$186.44|$237.24|$100.00|$287.02|$228.60|$91.00|$99.00|$196.09|$132.79|$118.31|$118.31
"CPT® 88342"|"HB IP-CD23 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD23 STAIN, ADDITIONAL IP"|312.00|$490.00|$91.00|$346.92|$343.00||$223.93|$98.00|$346.92|$179.83|$228.83|$100.00|$276.85|$220.50|$91.00|$99.00|$189.14|$128.09|$114.12|$114.12
"CPT® 88342"|"HB IP-CD25 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD25 STAIN, ADDITIONAL IP"|312.00|$500.00|$91.00|$354.00|$350.00||$228.50|$100.00|$354.00|$183.50|$233.50|$100.00|$282.50|$225.00|$91.00|$99.00|$193.00|$130.70|$116.45|$116.45
"CPT® 88342"|"HB IP-CD3 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD3 STAIN, ADDITIONAL IP"|312.00|$516.00|$91.00|$365.33|$361.00||$235.81|$103.20|$365.33|$189.37|$240.97|$100.00|$291.54|$232.20|$91.00|$99.00|$199.18|$134.88|$120.18|$120.18
"CPT® 88342"|"HB IP-CD30 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD30 STAIN, ADDITIONAL IP"|312.00|$497.00|$91.00|$351.88|$348.00||$227.13|$99.40|$351.88|$182.40|$232.10|$100.00|$280.81|$223.65|$91.00|$99.00|$191.84|$129.92|$115.75|$115.75
"CPT® 88342"|"HB IP-CD31 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD31 STAIN, ADDITIONAL IP"|312.00|$544.00|$91.00|$385.15|$381.00||$248.61|$108.80|$385.15|$199.65|$254.05|$100.00|$307.36|$244.80|$91.00|$99.00|$209.98|$142.20|$126.70|$126.70
"CPT® 88342"|"HB IP-CD34 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD34 STAIN, ADDITIONAL IP"|312.00|$504.00|$91.00|$356.83|$353.00||$230.33|$100.80|$356.83|$184.97|$235.37|$100.00|$284.76|$226.80|$91.00|$99.00|$194.54|$131.75|$117.38|$117.38
"CPT® 88342"|"HB IP-CD35 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD35 STAIN, ADDITIONAL IP"|312.00|$541.00|$91.00|$383.03|$379.00||$247.24|$108.20|$383.03|$198.55|$252.65|$100.00|$305.67|$243.45|$91.00|$99.00|$208.83|$141.42|$126.00|$126.00
"CPT® 88342"|"HB IP-CD4 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD4 STAIN, ADDITIONAL IP"|312.00|$508.00|$91.00|$359.66|$356.00||$232.16|$101.60|$359.66|$186.44|$237.24|$100.00|$287.02|$228.60|$91.00|$99.00|$196.09|$132.79|$118.31|$118.31
"CPT® 88342"|"HB IP-CD43 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD43 STAIN, ADDITIONAL IP"|312.00|$536.00|$91.00|$379.49|$375.00||$244.95|$107.20|$379.49|$196.71|$250.31|$100.00|$302.84|$241.20|$91.00|$99.00|$206.90|$140.11|$124.83|$124.83
"CPT® 88342"|"HB IP-CD45 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD45 STAIN, ADDITIONAL IP"|312.00|$477.00|$91.00|$337.72|$334.00||$217.99|$95.40|$337.72|$175.06|$222.76|$100.00|$269.51|$214.65|$91.00|$99.00|$184.12|$124.69|$111.09|$111.09
"CPT® 88342"|"HB IP-CD5 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD5 STAIN, ADDITIONAL IP"|312.00|$113.00|$22.60|$100.00|$79.00||$51.64|$22.60|$80.00|$41.47|$52.77|$100.00|$63.85|$50.85|$91.00|$99.00|$43.62|$29.54|$26.32|$26.32
"CPT® 88342"|"HB IP-CD56 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD56 STAIN, ADDITIONAL IP"|312.00|$478.00|$91.00|$338.42|$335.00||$218.45|$95.60|$338.42|$175.43|$223.23|$100.00|$270.07|$215.10|$91.00|$99.00|$184.51|$124.95|$111.33|$111.33
"CPT® 88342"|"HB IP-CD57 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD57 STAIN, ADDITIONAL IP"|312.00|$484.00|$91.00|$342.67|$339.00||$221.19|$96.80|$342.67|$177.63|$226.03|$100.00|$273.46|$217.80|$91.00|$99.00|$186.82|$126.52|$112.72|$112.72
"CPT® 88342"|"HB IP-CD68-KP1 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD68-KP1 STAIN, ADDITIONAL IP"|312.00|$476.00|$91.00|$337.01|$333.00||$217.53|$95.20|$337.01|$174.69|$222.29|$100.00|$268.94|$214.20|$91.00|$99.00|$183.74|$124.43|$110.86|$110.86
"CPT® 88342"|"HB IP-CD68-PGM-1 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD68-PGM-1 STAIN, ADDITIONAL IP"|312.00|$477.00|$91.00|$337.72|$334.00||$217.99|$95.40|$337.72|$175.06|$222.76|$100.00|$269.51|$214.65|$91.00|$99.00|$184.12|$124.69|$111.09|$111.09
"CPT® 88342"|"HB IP-CD7 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD7 STAIN, ADDITIONAL IP"|312.00|$387.00|$77.40|$274.00|$271.00||$176.86|$77.40|$274.00|$142.03|$180.73|$100.00|$218.66|$174.15|$91.00|$99.00|$149.38|$101.16|$90.13|$90.13
"CPT® 88342"|"HB IP-CD79A STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD79A STAIN, ADDITIONAL IP"|312.00|$429.00|$85.80|$303.73|$300.00||$196.05|$85.80|$303.73|$157.44|$200.34|$100.00|$242.39|$193.05|$91.00|$99.00|$165.59|$112.14|$99.91|$99.91
"CPT® 88342"|"HB IP-CD8 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CD8 STAIN, ADDITIONAL IP"|312.00|$456.00|$91.00|$322.85|$319.00||$208.39|$91.20|$322.85|$167.35|$212.95|$100.00|$257.64|$205.20|$91.00|$99.00|$176.02|$119.20|$106.20|$106.20
"CPT® 88342"|"HB IP-CDX-2 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CDX-2 STAIN, ADDITIONAL IP"|312.00|$547.00|$91.00|$387.28|$383.00||$249.98|$109.40|$387.28|$200.75|$255.45|$100.00|$309.06|$246.15|$91.00|$99.00|$211.14|$142.99|$127.40|$127.40
"CPT® 88342"|"HB IP-CHROMOGRANIN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CHROMOGRANIN STAIN, ADDITIONAL IP"|312.00|$532.00|$91.00|$376.66|$372.00||$243.12|$106.40|$376.66|$195.24|$248.44|$100.00|$300.58|$239.40|$91.00|$99.00|$205.35|$139.06|$123.90|$123.90
"CPT® 88342"|"HB IP-C-MYC STAIN, 1ST IP"|312.00|$476.00|$91.00|$337.01|$333.00||$217.53|$95.20|$337.01|$174.69|$222.29|$100.00|$268.94|$214.20|$91.00|$99.00|$183.74|$124.43|$110.86|$110.86
"CPT® 88341"|"HB IP-C-MYC STAIN, ADD"|312.00|$164.00|$32.80|$116.11|$115.00||$74.95|$32.80|$116.11|$60.19|$76.59|$100.00|$92.66|$73.80|$91.00|$99.00|$63.30|$42.87|$38.20|$38.20
"CPT® 88342"|"HB IP-CYTOKERATIN 19 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CYTOKERATIN 19 STAIN, ADDITIONAL IP"|312.00|$482.00|$91.00|$341.26|$337.00||$220.27|$96.40|$341.26|$176.89|$225.09|$100.00|$272.33|$216.90|$91.00|$99.00|$186.05|$125.99|$112.26|$112.26
"CPT® 88342"|"HB IP-CYTOKERATIN 20 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CYTOKERATIN 20 STAIN, ADDITIONAL IP"|312.00|$508.00|$91.00|$359.66|$356.00||$232.16|$101.60|$359.66|$186.44|$237.24|$100.00|$287.02|$228.60|$91.00|$99.00|$196.09|$132.79|$118.31|$118.31
"CPT® 88342"|"HB IP-CYTOKERATIN 5 STAIN, 1ST IP"|312.00|$483.00|$91.00|$341.96|$338.00||$220.73|$96.60|$341.96|$177.26|$225.56|$100.00|$272.90|$217.35|$91.00|$99.00|$186.44|$126.26|$112.49|$112.49
"CPT® 88341"|"HB IP-CYTOKERATIN 5 STAIN, ADDITIONAL IP"|312.00|$483.00|$91.00|$341.96|$338.00||$220.73|$96.60|$341.96|$177.26|$225.56|$100.00|$272.90|$217.35|$91.00|$99.00|$186.44|$126.26|$112.49|$112.49
"CPT® 88342"|"HB IP-CYTOKERATIN 5/6 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CYTOKERATIN 5/6 STAIN, ADDITIONAL IP"|312.00|$524.00|$91.00|$370.99|$367.00||$239.47|$104.80|$370.99|$192.31|$244.71|$100.00|$296.06|$235.80|$91.00|$99.00|$202.26|$136.97|$122.04|$122.04
"CPT® 88342"|"HB IP-CYTOKERATIN 7 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CYTOKERATIN 7 STAIN, ADDITIONAL IP"|312.00|$483.00|$91.00|$341.96|$338.00||$220.73|$96.60|$341.96|$177.26|$225.56|$100.00|$272.90|$217.35|$91.00|$99.00|$186.44|$126.26|$112.49|$112.49
"CPT® 88342"|"HB IP-CMV STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-CMV STAIN, ADDITIONAL IP"|312.00|$506.00|$91.00|$358.25|$354.00||$231.24|$101.20|$358.25|$185.70|$236.30|$100.00|$285.89|$227.70|$91.00|$99.00|$195.32|$132.27|$117.85|$117.85
"CPT® 88342"|"HB IP-D2-40 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-D2-40 STAIN, ADDITIONAL IP"|312.00|$403.00|$80.60|$285.32|$282.00||$184.17|$80.60|$285.32|$147.90|$188.20|$100.00|$227.70|$181.35|$91.00|$99.00|$155.56|$105.34|$93.86|$93.86
"CPT® 88342"|"HB IP-DESMIN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-DESMIN STAIN, ADDITIONAL IP"|312.00|$494.00|$91.00|$349.75|$346.00||$225.76|$98.80|$349.75|$181.30|$230.70|$100.00|$279.11|$222.30|$91.00|$99.00|$190.68|$129.13|$115.05|$115.05
"CPT® 88342"|"HB IP-E-CADHERIN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-E-CADHERIN STAIN, ADDITIONAL IP"|312.00|$517.00|$91.00|$366.04|$362.00||$236.27|$103.40|$366.04|$189.74|$241.44|$100.00|$292.11|$232.65|$91.00|$99.00|$199.56|$135.14|$120.41|$120.41
"CPT® 88342"|"HB IP-EPITHELIAL MEMBRANE ANTIGEN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-EPITHELIAL MEMBRANE ANTIGEN STAIN, ADDITIONAL IP"|312.00|$485.00|$91.00|$343.38|$340.00||$221.65|$97.00|$343.38|$178.00|$226.50|$100.00|$274.03|$218.25|$91.00|$99.00|$187.21|$126.78|$112.96|$112.96
"CPT® 88360"|"HB IP-ER QUANTITATIVE STAIN"|312.00|$366.00|$73.20|$259.13|$256.00||$167.26|$73.20|$259.13|$134.32|$170.92|$100.00|$206.79|$164.70|$91.00|$99.00|$141.28|$95.67|$85.24|$85.24
"CPT® 88342"|"HB IP-ER STAIN, 1ST IP"|312.00|$558.00|$91.00|$395.06|$391.00||$255.01|$111.60|$395.06|$204.79|$260.59|$100.00|$315.27|$251.10|$91.00|$99.00|$215.39|$145.86|$129.96|$129.96
"CPT® 88341"|"HB IP-ER STAIN, ADDITIONAL IP"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-FACTOR 13A STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-FACTOR 13A STAIN, ADDITIONAL IP"|312.00|$569.00|$91.00|$402.85|$398.00||$260.03|$113.80|$402.85|$208.82|$265.72|$100.00|$321.49|$256.05|$91.00|$99.00|$219.63|$148.74|$132.52|$132.52
"CPT® 88342"|"HB IP-FACTOR 8 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-FACTOR 8 STAIN, ADDITIONAL IP"|312.00|$475.00|$91.00|$336.30|$332.00||$217.08|$95.00|$336.30|$174.33|$221.83|$100.00|$268.38|$213.75|$91.00|$99.00|$183.35|$124.17|$110.63|$110.63
"CPT® 88342"|"HB IP-FLI-1 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-FLI-1 STAIN, ADDITIONAL IP"|312.00|$495.00|$91.00|$350.46|$346.00||$226.22|$99.00|$350.46|$181.67|$231.17|$100.00|$279.68|$222.75|$91.00|$99.00|$191.07|$129.39|$115.29|$115.29
"CPT® 88342"|"HB IP-FSH STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-FSH STAIN, ADDITIONAL IP"|312.00|$434.00|$86.80|$307.27|$304.00||$198.34|$86.80|$307.27|$159.28|$202.68|$100.00|$245.21|$195.30|$91.00|$99.00|$167.52|$113.45|$101.08|$101.08
"CPT® 88342"|"HB IP-GALECTIN-3 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-GALECTIN-3 STAIN, ADDITIONAL IP"|312.00|$488.00|$91.00|$345.50|$342.00||$223.02|$97.60|$345.50|$179.10|$227.90|$100.00|$275.72|$219.60|$91.00|$99.00|$188.37|$127.56|$113.66|$113.66
"CPT® 88342"|"HB IP-GASTRIN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-GASTRIN STAIN, ADDITIONAL IP"|312.00|$481.00|$91.00|$340.55|$337.00||$219.82|$96.20|$340.55|$176.53|$224.63|$100.00|$271.77|$216.45|$91.00|$99.00|$185.67|$125.73|$112.02|$112.02
"CPT® 88342"|"HB IP-GATA 3 STAIN, 1ST IP"|312.00|$438.00|$87.60|$310.10|$307.00||$200.17|$87.60|$310.10|$160.75|$204.55|$100.00|$247.47|$197.10|$91.00|$99.00|$169.07|$114.49|$102.01|$102.01
"CPT® 88341"|"HB IP-GATA 3 STAIN, ADDITIONAL IP"|312.00|$438.00|$87.60|$310.10|$307.00||$200.17|$87.60|$310.10|$160.75|$204.55|$100.00|$247.47|$197.10|$91.00|$99.00|$169.07|$114.49|$102.01|$102.01
"CPT® 88342"|"HB IP-GLIAL FIBRILLARY ACIDIC PROTEIN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-GLIAL FIBRILLARY ACIDIC PROTEIN STAIN, ADDITIONAL IP"|312.00|$476.00|$91.00|$337.01|$333.00||$217.53|$95.20|$337.01|$174.69|$222.29|$100.00|$268.94|$214.20|$91.00|$99.00|$183.74|$124.43|$110.86|$110.86
"CPT® 88342"|"HB IP-GLYPICAN-3 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-GLYPICAN-3 STAIN, ADDITIONAL IP"|312.00|$582.00|$91.00|$412.06|$407.00||$265.97|$116.40|$412.06|$213.59|$271.79|$100.00|$328.83|$261.90|$91.00|$99.00|$224.65|$152.13|$135.55|$135.55
"CPT® 88342"|"HB IP-GROWTH HORMONE STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-GROWTH HORMONE STAIN, ADDITIONAL IP"|312.00|$410.00|$82.00|$290.28|$287.00||$187.37|$82.00|$290.28|$150.47|$191.47|$100.00|$231.65|$184.50|$91.00|$99.00|$158.26|$107.17|$95.49|$95.49
"CPT® 88342"|"HB IP-H.PYLORI STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-H.PYLORI STAIN, ADDITIONAL IP"|312.00|$488.00|$91.00|$345.50|$342.00||$223.02|$97.60|$345.50|$179.10|$227.90|$100.00|$275.72|$219.60|$91.00|$99.00|$188.37|$127.56|$113.66|$113.66
"CPT® 88342"|"HB IP-HBME-1 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-HBME-1 STAIN, ADDITIONAL IP"|312.00|$481.00|$91.00|$340.55|$337.00||$219.82|$96.20|$340.55|$176.53|$224.63|$100.00|$271.77|$216.45|$91.00|$99.00|$185.67|$125.73|$112.02|$112.02
"CPT® 88342"|"HB IP-HEMOGLOBIN A STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-HEMOGLOBIN A STAIN, ADDITIONAL IP"|312.00|$515.00|$91.00|$364.62|$360.00||$235.36|$103.00|$364.62|$189.01|$240.51|$100.00|$290.98|$231.75|$91.00|$99.00|$198.79|$134.62|$119.94|$119.94
"CPT® 88360"|"HB IP-HER2/NEU QUANTITATIVE STAIN"|312.00|$624.00|$91.00|$441.79|$437.00||$285.17|$124.80|$441.79|$229.01|$291.41|$100.00|$352.56|$280.80|$91.00|$99.00|$240.86|$163.11|$145.33|$145.33
"CPT® 88342"|"HB IP-HER2/NEU STAIN, 1ST IP"|312.00|$558.00|$91.00|$395.06|$391.00||$255.01|$111.60|$395.06|$204.79|$260.59|$100.00|$315.27|$251.10|$91.00|$99.00|$215.39|$145.86|$129.96|$129.96
"CPT® 88341"|"HB IP-HER2/NEU STAIN, ADDITIONAL IP"|312.00|$632.00|$91.00|$447.46|$442.00||$288.82|$126.40|$447.46|$231.94|$295.14|$100.00|$357.08|$284.40|$91.00|$99.00|$243.95|$165.20|$147.19|$147.19
"CPT® 88342"|"HB IP-HMB45 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-HMB45 STAIN, ADDITIONAL IP"|312.00|$462.00|$91.00|$327.10|$323.00||$211.13|$92.40|$327.10|$169.55|$215.75|$100.00|$261.03|$207.90|$91.00|$99.00|$178.33|$120.77|$107.60|$107.60
"CPT® 88342"|"HB IP-HMW KERATIN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-HMW KERATIN STAIN, ADDITIONAL IP"|312.00|$487.00|$91.00|$344.80|$341.00||$222.56|$97.40|$344.80|$178.73|$227.43|$100.00|$275.16|$219.15|$91.00|$99.00|$187.98|$127.30|$113.42|$113.42
"CPT® 88342"|"HB IP-HUMAN PAPILLOMA VIRUS STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-HUMAN PAPILLOMA VIRUS STAIN, ADDITIONAL IP"|312.00|$535.00|$91.00|$378.78|$374.00||$244.50|$107.00|$378.78|$196.35|$249.85|$100.00|$302.28|$240.75|$91.00|$99.00|$206.51|$139.85|$124.60|$124.60
"CPT® 88342"|"HB IP-IDH1 STAIN, 1ST IP"|312.00|$488.00|$91.00|$345.50|$342.00||$223.02|$97.60|$345.50|$179.10|$227.90|$100.00|$275.72|$219.60|$91.00|$99.00|$188.37|$127.56|$113.66|$113.66
"CPT® 88341"|"HB IP-IDH1 STAIN, ADDITIONAL IP"|312.00|$488.00|$91.00|$345.50|$342.00||$223.02|$97.60|$345.50|$179.10|$227.90|$100.00|$275.72|$219.60|$91.00|$99.00|$188.37|$127.56|$113.66|$113.66
"CPT® 88342"|"HB IP-INHIBIN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-INHIBIN STAIN, ADDITIONAL IP"|312.00|$524.00|$91.00|$370.99|$367.00||$239.47|$104.80|$370.99|$192.31|$244.71|$100.00|$296.06|$235.80|$91.00|$99.00|$202.26|$136.97|$122.04|$122.04
"CPT® 88342"|"HB IP-KAPPA STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-KAPPA STAIN, ADDITIONAL IP"|312.00|$475.00|$91.00|$336.30|$332.00||$217.08|$95.00|$336.30|$174.33|$221.83|$100.00|$268.38|$213.75|$91.00|$99.00|$183.35|$124.17|$110.63|$110.63
"CPT® 88360"|"HB IP-KI-67 QUANTITATIVE STAIN"|312.00|$366.00|$73.20|$259.13|$256.00||$167.26|$73.20|$259.13|$134.32|$170.92|$100.00|$206.79|$164.70|$91.00|$99.00|$141.28|$95.67|$85.24|$85.24
"CPT® 88342"|"HB IP-KI-67 STAIN, 1ST IP"|312.00|$558.00|$91.00|$395.06|$391.00||$255.01|$111.60|$395.06|$204.79|$260.59|$100.00|$315.27|$251.10|$91.00|$99.00|$215.39|$145.86|$129.96|$129.96
"CPT® 88341"|"HB IP-KI-67 STAIN, ADDITIONAL IP"|312.00|$631.00|$91.00|$446.75|$442.00||$288.37|$126.20|$446.75|$231.58|$294.68|$100.00|$356.52|$283.95|$91.00|$99.00|$243.57|$164.94|$146.96|$146.96
"CPT® 88342"|"HB IP-LAMBDA STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-LAMBDA STAIN, ADDITIONAL IP"|312.00|$475.00|$91.00|$336.30|$332.00||$217.08|$95.00|$336.30|$174.33|$221.83|$100.00|$268.38|$213.75|$91.00|$99.00|$183.35|$124.17|$110.63|$110.63
"CPT® 88342"|"HB IP-LANA STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-LANA STAIN, ADDITIONAL IP"|312.00|$440.00|$88.00|$311.52|$308.00||$201.08|$88.00|$311.52|$161.48|$205.48|$100.00|$248.60|$198.00|$91.00|$99.00|$169.84|$115.02|$102.48|$102.48
"CPT® 88342"|"HB IP-LATENT MEMBRANE PROTEIN-1 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-LATENT MEMBRANE PROTEIN-1 STAIN, ADDITIONAL IP"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88342"|"HB IP-LEF-1 STAIN, 1ST IP"|312.00|$462.00|$91.00|$327.10|$323.00||$211.13|$92.40|$327.10|$169.55|$215.75|$100.00|$261.03|$207.90|$91.00|$99.00|$178.33|$120.77|$107.60|$107.60
"CPT® 88341"|"HB IP-LEF-1 STAIN, ADD"|312.00|$462.00|$91.00|$327.10|$323.00||$211.13|$92.40|$327.10|$169.55|$215.75|$100.00|$261.03|$207.90|$91.00|$99.00|$178.33|$120.77|$107.60|$107.60
"CPT® 88342"|"HB IP-LUTEINIZING HORMONE STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-LUTEINIZING HORMONE STAIN, ADD"|312.00|$446.00|$89.20|$315.77|$312.00||$203.82|$89.20|$315.77|$163.68|$208.28|$100.00|$251.99|$200.70|$91.00|$99.00|$172.16|$116.58|$103.87|$103.87
"CPT® 88342"|"HB IP-MAMMAGLOBIN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-MAMMAGLOBIN ST, ADD"|312.00|$529.00|$91.00|$374.53|$370.00||$241.75|$105.80|$374.53|$194.14|$247.04|$100.00|$298.89|$238.05|$91.00|$99.00|$204.19|$138.28|$123.20|$123.20
"CPT® 88342"|"HB IP-MLHB -1 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-MLHB-1 STAIN, ADD"|312.00|$462.00|$91.00|$327.10|$323.00||$211.13|$92.40|$327.10|$169.55|$215.75|$100.00|$261.03|$207.90|$91.00|$99.00|$178.33|$120.77|$107.60|$107.60
"CPT® 88342"|"HB IP-MNF-116 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-MNF-116 STAIN, ADD"|312.00|$490.00|$91.00|$346.92|$343.00||$223.93|$98.00|$346.92|$179.83|$228.83|$100.00|$276.85|$220.50|$91.00|$99.00|$189.14|$128.09|$114.12|$114.12
"CPT® 88342"|"HB IP-MSHB -2 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-MSHB-2 STAIN, ADDITIONAL IP"|312.00|$431.00|$86.20|$305.15|$302.00||$196.97|$86.20|$305.15|$158.18|$201.28|$100.00|$243.52|$193.95|$91.00|$99.00|$166.37|$112.66|$100.38|$100.38
"CPT® 88342"|"HB IP-MSHB -6 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-MSHB-6 STAIN, ADDITIONAL IP"|312.00|$427.00|$85.40|$302.32|$299.00||$195.14|$85.40|$302.32|$156.71|$199.41|$100.00|$241.26|$192.15|$91.00|$99.00|$164.82|$111.62|$99.45|$99.45
"CPT® 88342"|"HB IP-MUC 1 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-MUC 1 STAIN, ADD"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88342"|"HB IP-MUC 2 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-MUC 2 STAIN, ADDITIONAL IP"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88342"|"HB IP-MUC 5AC STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-MUC 5AC STAIN, ADDITIONAL IP"|312.00|$485.00|$91.00|$343.38|$340.00||$221.65|$97.00|$343.38|$178.00|$226.50|$100.00|$274.03|$218.25|$91.00|$99.00|$187.21|$126.78|$112.96|$112.96
"CPT® 88342"|"HB IP-MUC 6 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-MUC 6 STAIN, ADDITIONAL IP"|312.00|$485.00|$91.00|$343.38|$340.00||$221.65|$97.00|$343.38|$178.00|$226.50|$100.00|$274.03|$218.25|$91.00|$99.00|$187.21|$126.78|$112.96|$112.96
"CPT® 88342"|"HB IP-MULTIPLE MYELOMA ONCOGENE 1 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-MULTIPLE MYELOMA ONCOGENE 1 STAIN, ADDITIONAL IP"|312.00|$434.00|$86.80|$307.27|$304.00||$198.34|$86.80|$307.27|$159.28|$202.68|$100.00|$245.21|$195.30|$91.00|$99.00|$167.52|$113.45|$101.08|$101.08
"CPT® 88342"|"HB IP-MYELOPEROXIDASE STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-MYELOPEROXIDASE STAIN, ADD"|312.00|$476.00|$91.00|$337.01|$333.00||$217.53|$95.20|$337.01|$174.69|$222.29|$100.00|$268.94|$214.20|$91.00|$99.00|$183.74|$124.43|$110.86|$110.86
"CPT® 88342"|"HB IP-MYOGENIN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-MYOGENIN STAIN, ADD"|312.00|$500.00|$91.00|$354.00|$350.00||$228.50|$100.00|$354.00|$183.50|$233.50|$100.00|$282.50|$225.00|$91.00|$99.00|$193.00|$130.70|$116.45|$116.45
"CPT® 88342"|"HB IP-NAPSIN A STAIN, 1ST IP"|312.00|$488.00|$91.00|$345.50|$342.00||$223.02|$97.60|$345.50|$179.10|$227.90|$100.00|$275.72|$219.60|$91.00|$99.00|$188.37|$127.56|$113.66|$113.66
"CPT® 88341"|"HB IP-NAPSIN A STAIN, ADDITIONAL IP"|312.00|$488.00|$91.00|$345.50|$342.00||$223.02|$97.60|$345.50|$179.10|$227.90|$100.00|$275.72|$219.60|$91.00|$99.00|$188.37|$127.56|$113.66|$113.66
"CPT® 88342"|"HB IP-NEUROFILAMENT STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-NEUROFILAMENT STAIN, ADDITIONAL IP"|312.00|$475.00|$91.00|$336.30|$332.00||$217.08|$95.00|$336.30|$174.33|$221.83|$100.00|$268.38|$213.75|$91.00|$99.00|$183.35|$124.17|$110.63|$110.63
"CPT® 88342"|"HB IP-NEURONAL NUCLEI STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-NEURONAL NUCLEIN STAIN, ADDITIONAL IP"|312.00|$475.00|$91.00|$336.30|$332.00||$217.08|$95.00|$336.30|$174.33|$221.83|$100.00|$268.38|$213.75|$91.00|$99.00|$183.35|$124.17|$110.63|$110.63
"CPT® 88342"|"HB IP-NEURON-SPECIFIC ENOLASE, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-NEURON-SPECIFIC ENOLASE, ADDITIONAL IP"|312.00|$541.00|$91.00|$383.03|$379.00||$247.24|$108.20|$383.03|$198.55|$252.65|$100.00|$305.67|$243.45|$91.00|$99.00|$208.83|$141.42|$126.00|$126.00
"CPT® 88342"|"HB IP-OCT-4 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-OCT-4 STAIN, ADDITIONAL IP"|312.00|$562.00|$91.00|$397.90|$393.00||$256.83|$112.40|$397.90|$206.25|$262.45|$100.00|$317.53|$252.90|$91.00|$99.00|$216.93|$146.91|$130.89|$130.89
"CPT® 88342"|"HB IP-P504S STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-P504S STAIN, ADDITIONAL IP"|312.00|$486.00|$91.00|$344.09|$340.00||$222.10|$97.20|$344.09|$178.36|$226.96|$100.00|$274.59|$218.70|$91.00|$99.00|$187.60|$127.04|$113.19|$113.19
"CPT® 88342"|"HB IP-P53 STAIN, 1ST IP"|312.00|$558.00|$91.00|$395.06|$391.00||$255.01|$111.60|$395.06|$204.79|$260.59|$100.00|$315.27|$251.10|$91.00|$99.00|$215.39|$145.86|$129.96|$129.96
"CPT® 88341"|"HB IP-P53 STAIN, ADDITIONAL IP"|312.00|$583.00|$91.00|$412.76|$408.00||$266.43|$116.60|$412.76|$213.96|$272.26|$100.00|$329.40|$262.35|$91.00|$99.00|$225.04|$152.40|$135.78|$135.78
"CPT® 88342"|"HB IP-P57 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-P57 STAIN, ADDITIONAL IP"|312.00|$476.00|$91.00|$337.01|$333.00||$217.53|$95.20|$337.01|$174.69|$222.29|$100.00|$268.94|$214.20|$91.00|$99.00|$183.74|$124.43|$110.86|$110.86
"CPT® 88342"|"HB IP-P63 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-P63 STAIN, ADDITIONAL IP"|312.00|$476.00|$91.00|$337.01|$333.00||$217.53|$95.20|$337.01|$174.69|$222.29|$100.00|$268.94|$214.20|$91.00|$99.00|$183.74|$124.43|$110.86|$110.86
"CPT® 88342"|"HB IP-PAX-5 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-PAX-5 STAIN, ADDITIONAL IP"|312.00|$573.00|$91.00|$405.68|$401.00||$261.86|$114.60|$405.68|$210.29|$267.59|$100.00|$323.75|$257.85|$91.00|$99.00|$221.18|$149.78|$133.45|$133.45
"CPT® 88344"|"HB IP-PIN-4 STAIN, MULTIPLEX"|312.00|$558.00|$91.00|$395.06|$391.00||$255.01|$111.60|$395.06|$204.79|$260.59|$100.00|$315.27|$251.10|$91.00|$99.00|$215.39|$145.86|$129.96|$129.96
"CPT® 88342"|"HB IP-PLACENTAL ALKALINE PHOSPHATASE STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-PLACENTAL ALKALINE PHOSPHATASE STAIN, ADDITIONAL IP"|312.00|$538.00|$91.00|$380.90|$377.00||$245.87|$107.60|$380.90|$197.45|$251.25|$100.00|$303.97|$242.10|$91.00|$99.00|$207.67|$140.63|$125.30|$125.30
"CPT® 88342"|"HB IP-PMS-2 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-PMS-2 STAIN, ADDITIONAL IP"|312.00|$422.00|$84.40|$298.78|$295.00||$192.85|$84.40|$298.78|$154.87|$197.07|$100.00|$238.43|$189.90|$91.00|$99.00|$162.89|$110.31|$98.28|$98.28
"CPT® 88342"|"HB IP-PR STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-PR STAIN, ADDITIONAL IP"|312.00|$632.00|$91.00|$447.46|$442.00||$288.82|$126.40|$447.46|$231.94|$295.14|$100.00|$357.08|$284.40|$91.00|$99.00|$243.95|$165.20|$147.19|$147.19
"CPT® 88360"|"HB IP-PR, QUANTITATIVE STAIN"|312.00|$366.00|$73.20|$259.13|$256.00||$167.26|$73.20|$259.13|$134.32|$170.92|$100.00|$206.79|$164.70|$91.00|$99.00|$141.28|$95.67|$85.24|$85.24
"CPT® 88342"|"HB IP-PROLACTIN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-PROLACTIN STAIN, ADDITIONAL IP"|312.00|$412.00|$82.40|$291.70|$288.00||$188.28|$82.40|$291.70|$151.20|$192.40|$100.00|$232.78|$185.40|$91.00|$99.00|$159.03|$107.70|$95.95|$95.95
"CPT® 88342"|"HB IP-PROSTATE-SPECIFIC ACID PHOSPHATASE, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-PROSTATE-SPECIFIC ACID PHOSPHATASE, ADDITIONAL IP"|312.00|$495.00|$91.00|$350.46|$346.00||$226.22|$99.00|$350.46|$181.67|$231.17|$100.00|$279.68|$222.75|$91.00|$99.00|$191.07|$129.39|$115.29|$115.29
"CPT® 88342"|"HB IP-PROSTATE-SPECIFIC ANTIGEN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-PROSTATE-SPECIFIC ANTIGEN STAIN, ADDITIONAL IP"|312.00|$410.00|$82.00|$290.28|$287.00||$187.37|$82.00|$290.28|$150.47|$191.47|$100.00|$231.65|$184.50|$91.00|$99.00|$158.26|$107.17|$95.49|$95.49
"CPT® 88342"|"HB IP-PROSTATE-SPECIFIC MEMBRANE ANTIGEN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-PROSTATE-SPECIFIC MEMBRANE ANTIGEN STAIN, ADDITIONAL IP"|312.00|$522.00|$91.00|$369.58|$365.00||$238.55|$104.40|$369.58|$191.57|$243.77|$100.00|$294.93|$234.90|$91.00|$99.00|$201.49|$136.45|$121.57|$121.57
"CPT® 88342"|"HB IP-S100 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-S100 STAIN, ADDITIONAL IP"|312.00|$586.00|$91.00|$414.89|$410.00||$267.80|$117.20|$414.89|$215.06|$273.66|$100.00|$331.09|$263.70|$91.00|$99.00|$226.20|$153.18|$136.48|$136.48
"CPT® 88342"|"HB IP-S100P STAIN, 1ST IP"|312.00|$462.00|$91.00|$327.10|$323.00||$211.13|$92.40|$327.10|$169.55|$215.75|$100.00|$261.03|$207.90|$91.00|$99.00|$178.33|$120.77|$107.60|$107.60
"CPT® 88341"|"HB IP-S100P STAIN, ADDITIONAL IP"|312.00|$462.00|$91.00|$327.10|$323.00||$211.13|$92.40|$327.10|$169.55|$215.75|$100.00|$261.03|$207.90|$91.00|$99.00|$178.33|$120.77|$107.60|$107.60
"CPT® 88342"|"HB IP-SMOOTH MUSCLE MYOSIN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-SMOOTH MUSCLE MYOSIN STAIN, ADDITIONAL IP"|312.00|$422.00|$84.40|$298.78|$295.00||$192.85|$84.40|$298.78|$154.87|$197.07|$100.00|$238.43|$189.90|$91.00|$99.00|$162.89|$110.31|$98.28|$98.28
"CPT® 88342"|"HB IP-SV-40 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-SV-40 STAIN, ADDITIONAL IP"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88342"|"HB IP-SYNAPTOPHYSIN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-SYNAPTOPHYSIN STAIN, ADDITIONAL IP"|312.00|$485.00|$91.00|$343.38|$340.00||$221.65|$97.00|$343.38|$178.00|$226.50|$100.00|$274.03|$218.25|$91.00|$99.00|$187.21|$126.78|$112.96|$112.96
"CPT® 88342"|"HB IP-TCL-1 STAIN, 1ST IP"|312.00|$529.00|$91.00|$374.53|$370.00||$241.75|$105.80|$374.53|$194.14|$247.04|$100.00|$298.89|$238.05|$91.00|$99.00|$204.19|$138.28|$123.20|$123.20
"CPT® 88341"|"HB IP-TCL-1 STAIN, ADDITIONAL IP"|312.00|$529.00|$91.00|$374.53|$370.00||$241.75|$105.80|$374.53|$194.14|$247.04|$100.00|$298.89|$238.05|$91.00|$99.00|$204.19|$138.28|$123.20|$123.20
"CPT® 88342"|"HB IP-TERMINAL DEOXYNUCLEOTIDYL TRANSFERASE-1 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-TERMINAL DEOXYNUCLEOTIDYL TRANSFERASE-1 STAIN, ADDITIONAL IP"|312.00|$560.00|$91.00|$396.48|$392.00||$255.92|$112.00|$396.48|$205.52|$261.52|$100.00|$316.40|$252.00|$91.00|$99.00|$216.16|$146.38|$130.42|$130.42
"CPT® 88342"|"HB IP-THROMBOMODULIN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-THROMBOMODULIN STAIN, ADDITIONAL IP"|312.00|$503.00|$91.00|$356.12|$352.00||$229.87|$100.60|$356.12|$184.60|$234.90|$100.00|$284.20|$226.35|$91.00|$99.00|$194.16|$131.48|$117.15|$117.15
"CPT® 88342"|"HB IP-THYROGLOBULIN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-THYROGLOBULIN STAIN, ADDITIONAL IP"|312.00|$475.00|$91.00|$336.30|$332.00||$217.08|$95.00|$336.30|$174.33|$221.83|$100.00|$268.38|$213.75|$91.00|$99.00|$183.35|$124.17|$110.63|$110.63
"CPT® 88342"|"HB IP-THYROID TRANSCRIPTION FACTOR-1 STAIN  , 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-THYROID TRANSCRIPTION FACTOR-1 STAIN, ADDITIONAL IP"|312.00|$497.00|$91.00|$351.88|$348.00||$227.13|$99.40|$351.88|$182.40|$232.10|$100.00|$280.81|$223.65|$91.00|$99.00|$191.84|$129.92|$115.75|$115.75
"CPT® 88342"|"HB IP-THYROID-STIMULATING HORMONE STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-THYROID-STIMULATING HORMONE STAIN, ADDITIONAL IP"|312.00|$424.00|$84.80|$300.19|$297.00||$193.77|$84.80|$300.19|$155.61|$198.01|$100.00|$239.56|$190.80|$91.00|$99.00|$163.66|$110.83|$98.75|$98.75
"CPT® 88342"|"HB IP-TIA-1 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-TIA-1 STAIN, ADDITIONAL IP"|312.00|$478.00|$91.00|$338.42|$335.00||$218.45|$95.60|$338.42|$175.43|$223.23|$100.00|$270.07|$215.10|$91.00|$99.00|$184.51|$124.95|$111.33|$111.33
"CPT® 88342"|"HB IP-TRACP STAIN, 1ST IP"|312.00|$583.00|$91.00|$412.76|$408.00||$266.43|$116.60|$412.76|$213.96|$272.26|$100.00|$329.40|$262.35|$91.00|$99.00|$225.04|$152.40|$135.78|$135.78
"CPT® 88341"|"HB IP-TRACP STAIN, ADDITIONAL IP"|312.00|$583.00|$91.00|$412.76|$408.00||$266.43|$116.60|$412.76|$213.96|$272.26|$100.00|$329.40|$262.35|$91.00|$99.00|$225.04|$152.40|$135.78|$135.78
"CPT® 88342"|"HB IP-TRYPTASE STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-TRYPTASE STAIN, ADDITIONAL IP"|312.00|$478.00|$91.00|$338.42|$335.00||$218.45|$95.60|$338.42|$175.43|$223.23|$100.00|$270.07|$215.10|$91.00|$99.00|$184.51|$124.95|$111.33|$111.33
"CPT® 88342"|"HB IP-VIMENTIN STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-VIMENTIN STAIN, ADDITIONAL IP"|312.00|$482.00|$91.00|$341.26|$337.00||$220.27|$96.40|$341.26|$176.89|$225.09|$100.00|$272.33|$216.90|$91.00|$99.00|$186.05|$125.99|$112.26|$112.26
"CPT® 88342"|"HB IP-WT-1 STAIN, 1ST IP"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88341"|"HB IP-WT-1 STAIN, ADDITIONAL IP"|312.00|$507.00|$91.00|$358.96|$355.00||$231.70|$101.40|$358.96|$186.07|$236.77|$100.00|$286.46|$228.15|$91.00|$99.00|$195.70|$132.53|$118.08|$118.08
"CPT® 88360"|"HB IP-P53 STAIN, QUANTITATIVE STAIN"|312.00|$366.00|$73.20|$259.13|$256.00||$167.26|$73.20|$259.13|$134.32|$170.92|$100.00|$206.79|$164.70|$91.00|$99.00|$141.28|$95.67|$85.24|$85.24
"CPT® 88342"|"HB IP-ACTIN STAIN, MUSCLE SPECIFIC, 1ST IP"|312.00|$475.00|$91.00|$336.30|$332.00||$217.08|$95.00|$336.30|$174.33|$221.83|$100.00|$268.38|$213.75|$91.00|$99.00|$183.35|$124.17|$110.63|$110.63
"CPT® 88341"|"HB IP-ACTIN STAIN, MUSCLE SPECIFIC, ADDITIONAL IP"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-AFP STAIN, 1ST"|312.00|$454.00|$90.80|$321.43|$318.00||$207.48|$90.80|$321.43|$166.62|$212.02|$100.00|$256.51|$204.30|$91.00|$99.00|$175.24|$118.68|$105.74|$105.74
"CPT® 88341"|"HB IP-AFP STAIN, ADD"|312.00|$454.00|$90.80|$321.43|$318.00||$207.48|$90.80|$321.43|$166.62|$212.02|$100.00|$256.51|$204.30|$91.00|$99.00|$175.24|$118.68|$105.74|$105.74
"CPT® 88342"|"HB IP-BETA HCG STAIN, 1ST"|312.00|$476.00|$91.00|$337.01|$333.00||$217.53|$95.20|$337.01|$174.69|$222.29|$100.00|$268.94|$214.20|$91.00|$99.00|$183.74|$124.43|$110.86|$110.86
"CPT® 88341"|"HB IP-BETA HCG STAIN, ADD"|312.00|$476.00|$91.00|$337.01|$333.00||$217.53|$95.20|$337.01|$174.69|$222.29|$100.00|$268.94|$214.20|$91.00|$99.00|$183.74|$124.43|$110.86|$110.86
"CPT® 88342"|"HB IP-CD123 STAIN, 1ST IP"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88341"|"HB IP-CD123 STAIN, ADDITIONAL IP"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-CD138 STAIN, 1ST IP"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88341"|"HB IP-CD138 STAIN, ADDITIONAL IP"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-CD61 STAIN 1ST"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88341"|"HB IP-CD61 STAIN ADD"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-CD99 STAIN, 1ST"|312.00|$478.00|$91.00|$338.42|$335.00||$218.45|$95.60|$338.42|$175.43|$223.23|$100.00|$270.07|$215.10|$91.00|$99.00|$184.51|$124.95|$111.33|$111.33
"CPT® 88341"|"HB IP-CD99 STAIN, ADD"|312.00|$478.00|$91.00|$338.42|$335.00||$218.45|$95.60|$338.42|$175.43|$223.23|$100.00|$270.07|$215.10|$91.00|$99.00|$184.51|$124.95|$111.33|$111.33
"CPT® 88342"|"HB IP-CLUSTERIN STAIN 1ST"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88341"|"HB IP-CLUSTERIN STAIN ADD"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-EBNA-2 STAIN 1ST"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88341"|"HB IP-EBNA-2 STAIN ADD"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-FOXP3 STAIN 1ST"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88341"|"HB IP-FOXP3 STAIN ADD"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-HISTONE STAIN 1ST"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88341"|"HB IP-HISTONE STAIN ADD"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-MDM2 STAIN 1ST"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88341"|"HB IP-MDM2 STAIN ADD"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-MELAN A STAIN, 1ST"|312.00|$519.00|$91.00|$367.45|$363.00||$237.18|$103.80|$367.45|$190.47|$242.37|$100.00|$293.24|$233.55|$91.00|$99.00|$200.33|$135.67|$120.88|$120.88
"CPT® 88341"|"HB IP-MELAN A STAIN, ADD"|312.00|$519.00|$91.00|$367.45|$363.00||$237.18|$103.80|$367.45|$190.47|$242.37|$100.00|$293.24|$233.55|$91.00|$99.00|$200.33|$135.67|$120.88|$120.88
"CPT® 88342"|"HB IP-MESOTHELIN ST 1ST"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88341"|"HB IP-MESOTHELIN ST ADD"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-P40 STAIN, 1ST IP"|312.00|$475.00|$91.00|$336.30|$332.00||$217.08|$95.00|$336.30|$174.33|$221.83|$100.00|$268.38|$213.75|$91.00|$99.00|$183.35|$124.17|$110.63|$110.63
"CPT® 88341"|"HB IP-P40 STAIN, ADD"|312.00|$475.00|$91.00|$336.30|$332.00||$217.08|$95.00|$336.30|$174.33|$221.83|$100.00|$268.38|$213.75|$91.00|$99.00|$183.35|$124.17|$110.63|$110.63
"CPT® 88342"|"HB IP-PAX8 STAIN, 1ST"|312.00|$478.00|$91.00|$338.42|$335.00||$218.45|$95.60|$338.42|$175.43|$223.23|$100.00|$270.07|$215.10|$91.00|$99.00|$184.51|$124.95|$111.33|$111.33
"CPT® 88341"|"HB IP-PAX8 STAIN, ADD"|312.00|$478.00|$91.00|$338.42|$335.00||$218.45|$95.60|$338.42|$175.43|$223.23|$100.00|$270.07|$215.10|$91.00|$99.00|$184.51|$124.95|$111.33|$111.33
"CPT® 88342"|"HB IP-TFE3 STAIN, 1ST IP"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88341"|"HB IP-TFE3 STAIN, ADDITIONAL IP"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-TOXOPLASMA STAIN, 1ST IP"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88341"|"HB IP-TOXOPLASMA STAIN, ADDITIONAL IP"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-AT8 STAIN, 1ST IP"|312.00|$475.00|$91.00|$336.30|$332.00||$217.08|$95.00|$336.30|$174.33|$221.83|$100.00|$268.38|$213.75|$91.00|$99.00|$183.35|$124.17|$110.63|$110.63
"CPT® 88341"|"HB IP-AT8 STAIN, ADDITIONAL IP"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-BETA AMYLOID STAIN, IST IP"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88341"|"HB IP-BETA AMYLOID STAIN, ADDITIONAL IP"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-C4D STAIN, 1ST IP"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88341"|"HB IP-C4D STAIN, ADDITIONAL IP"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-PD-1 STAIN, 1ST IP"|312.00|$475.00|$91.00|$336.30|$332.00||$217.08|$95.00|$336.30|$174.33|$221.83|$100.00|$268.38|$213.75|$91.00|$99.00|$183.35|$124.17|$110.63|$110.63
"CPT® 88341"|"HB IP-PD-1 STAIN, ADDITIONAL IP"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-BETA-F1 STAIN 1ST"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88341"|"HB IP-BETA-F1 STAIN ADD"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88341"|"HB IP-CK19 STAIN 1ST"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88342"|"HB IP-CK19 STAIN ADD"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-HSV STAIN 1ST"|312.00|$381.00|$76.20|$269.75|$267.00||$174.12|$76.20|$269.75|$139.83|$177.93|$100.00|$215.27|$171.45|$91.00|$99.00|$147.07|$99.59|$88.73|$88.73
"CPT® 88341"|"HB IP-HSV STAIN ADD"|312.00|$381.00|$76.20|$269.75|$267.00||$174.12|$76.20|$269.75|$139.83|$177.93|$100.00|$215.27|$171.45|$91.00|$99.00|$147.07|$99.59|$88.73|$88.73
"CPT® 88342"|"HB IP-MITF STAIN 1ST"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88341"|"HB IP-MITF STAIN ADD"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88360"|"HB IP-HISTONE STAIN, QUANTITATIVE"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88342"|"HB IP-P16-INK STAIN 1ST"|312.00|$766.00|$91.00|$542.33|$536.00||$350.06|$153.20|$542.33|$281.12|$357.72|$100.00|$432.79|$344.70|$91.00|$99.00|$295.68|$200.23|$178.40|$178.40
"CPT® 88341"|"HB IP-P16-INK STAIN ADD"|312.00|$766.00|$91.00|$542.33|$536.00||$350.06|$153.20|$542.33|$281.12|$357.72|$100.00|$432.79|$344.70|$91.00|$99.00|$295.68|$200.23|$178.40|$178.40
"CPT® 88342"|"HB IP-LMO2 STAIN 1ST"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88341"|"HB IP-LMO2 STAIN ADD"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-HEPPAR STAIN, 1ST IP"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88341"|"HB IP-HEPPAR STAIN, ADD"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP-ADENOVIRUS STAIN, 1ST IP"|312.00|$674.00|$91.00|$477.19|$472.00||$308.02|$134.80|$477.19|$247.36|$314.76|$100.00|$380.81|$303.30|$91.00|$99.00|$260.16|$176.18|$156.97|$156.97
"CPT® 88341"|"HB IP-ADENOVIRUS STAIN, ADDITIONAL IP"|312.00|$674.00|$91.00|$477.19|$472.00||$308.02|$134.80|$477.19|$247.36|$314.76|$100.00|$380.81|$303.30|$91.00|$99.00|$260.16|$176.18|$156.97|$156.97
"CPT® 88342"|"HB IP-ATRX STAIN, 1ST IP"|312.00|$629.00|$91.00|$445.33|$440.00||$287.45|$125.80|$445.33|$230.84|$293.74|$100.00|$355.39|$283.05|$91.00|$99.00|$242.79|$164.42|$146.49|$146.49
"CPT® 88341"|"HB IP-ATRX STAIN, ADDDITIONAL IP"|312.00|$629.00|$91.00|$445.33|$440.00||$287.45|$125.80|$445.33|$230.84|$293.74|$100.00|$355.39|$283.05|$91.00|$99.00|$242.79|$164.42|$146.49|$146.49
"CPT® 88342"|"HB IP-DDX4 STAIN, 1ST IP"|312.00|$768.00|$91.00|$543.74|$538.00||$350.98|$153.60|$543.74|$281.86|$358.66|$100.00|$433.92|$345.60|$91.00|$99.00|$296.45|$200.76|$178.87|$178.87
"CPT® 88341"|"HB IP-DDX4 STAIN, ADDITIONAL IP"|312.00|$768.00|$91.00|$543.74|$538.00||$350.98|$153.60|$543.74|$281.86|$358.66|$100.00|$433.92|$345.60|$91.00|$99.00|$296.45|$200.76|$178.87|$178.87
"CPT® 88342"|"HB IP-ERG STAIN, 1ST IP"|312.00|$657.00|$91.00|$465.16|$460.00||$300.25|$131.40|$465.16|$241.12|$306.82|$100.00|$371.21|$295.65|$91.00|$99.00|$253.60|$171.74|$153.02|$153.02
"CPT® 88341"|"HB IP-ERG STAIN, ADDITIONAL IP"|312.00|$657.00|$91.00|$465.16|$460.00||$300.25|$131.40|$465.16|$241.12|$306.82|$100.00|$371.21|$295.65|$91.00|$99.00|$253.60|$171.74|$153.02|$153.02
"CPT® 88342"|"HB IP-HMGA2 STAIN, 1ST IP"|312.00|$627.00|$91.00|$443.92|$439.00||$286.54|$125.40|$443.92|$230.11|$292.81|$100.00|$354.26|$282.15|$91.00|$99.00|$242.02|$163.90|$146.03|$146.03
"CPT® 88341"|"HB IP-HMGA2 STAIN, ADDITIONAL IP"|312.00|$627.00|$91.00|$443.92|$439.00||$286.54|$125.40|$443.92|$230.11|$292.81|$100.00|$354.26|$282.15|$91.00|$99.00|$242.02|$163.90|$146.03|$146.03
"CPT® 88342"|"HB IP-SALL4 STAIN, 1ST IP"|312.00|$652.00|$91.00|$461.62|$456.00||$297.96|$130.40|$461.62|$239.28|$304.48|$100.00|$368.38|$293.40|$91.00|$99.00|$251.67|$170.43|$151.85|$151.85
"CPT® 88341"|"HB IP-SALL4 STAIN, ADDITIONAL IP"|312.00|$662.00|$91.00|$468.70|$463.00||$302.53|$132.40|$468.70|$242.95|$309.15|$100.00|$374.03|$297.90|$91.00|$99.00|$255.53|$173.05|$154.18|$154.18
"CPT® 88360"|"HB IP-BCL-6 QUANTITATIVE STAIN"|312.00|$548.00|$91.00|$387.98|$384.00||$250.44|$109.60|$387.98|$201.12|$255.92|$100.00|$309.62|$246.60|$91.00|$99.00|$211.53|$143.25|$127.63|$127.63
"CPT® 88360"|"HB IP-BCL-2 QUANTITATIVE STAIN"|312.00|$433.00|$86.60|$306.56|$303.00||$197.88|$86.60|$306.56|$158.91|$202.21|$100.00|$244.65|$194.85|$91.00|$99.00|$167.14|$113.19|$100.85|$100.85
"CPT® 88360"|"HB IP-CD10 QUANTITATIVE STAIN"|312.00|$490.00|$91.00|$346.92|$343.00||$223.93|$98.00|$346.92|$179.83|$228.83|$100.00|$276.85|$220.50|$91.00|$99.00|$189.14|$128.09|$114.12|$114.12
"CPT® 88360"|"HB IP-CD117 QUANTITATIVE STAIN"|312.00|$490.00|$91.00|$346.92|$343.00||$223.93|$98.00|$346.92|$179.83|$228.83|$100.00|$276.85|$220.50|$91.00|$99.00|$189.14|$128.09|$114.12|$114.12
"CPT® 88360"|"HB IP-CD138 QUANTITATIVE STAIN"|312.00|$506.00|$91.00|$358.25|$354.00||$231.24|$101.20|$358.25|$185.70|$236.30|$100.00|$285.89|$227.70|$91.00|$99.00|$195.32|$132.27|$117.85|$117.85
"CPT® 88360"|"HB IP-CD34 QUANTITATIVE STAIN"|312.00|$513.00|$91.00|$363.20|$359.00||$234.44|$102.60|$363.20|$188.27|$239.57|$100.00|$289.85|$230.85|$91.00|$99.00|$198.02|$134.10|$119.48|$119.48
"CPT® 88360"|"HB IP-C-MYC QUANTITATIVE STAIN"|312.00|$476.00|$91.00|$337.01|$333.00||$217.53|$95.20|$337.01|$174.69|$222.29|$100.00|$268.94|$214.20|$91.00|$99.00|$183.74|$124.43|$110.86|$110.86
"CPT® 88360"|"HB IP-MUM1 QUANTITATIVE STAIN"|312.00|$411.00|$82.20|$290.99|$288.00||$187.83|$82.20|$290.99|$150.84|$191.94|$100.00|$232.22|$184.95|$91.00|$99.00|$158.65|$107.44|$95.72|$95.72
"CPT® 88346"|"HB IMF-IGG STAIN, 1ST"|312.00|$361.00|$72.20|$255.59|$253.00||$164.98|$72.20|$255.59|$132.49|$168.59|$100.00|$203.97|$162.45|$91.00|$99.00|$139.35|$94.37|$84.08|$84.08
"CPT® 88346"|"HB IMF-IGA STAIN, 1ST"|312.00|$365.00|$73.00|$258.42|$255.00||$166.81|$73.00|$258.42|$133.96|$170.46|$100.00|$206.23|$164.25|$91.00|$99.00|$140.89|$95.41|$85.01|$85.01
"CPT® 88346"|"HB IMF-IGM STAIN, 1ST"|312.00|$364.00|$72.80|$257.71|$255.00||$166.35|$72.80|$257.71|$133.59|$169.99|$100.00|$205.66|$163.80|$91.00|$99.00|$140.50|$95.15|$84.78|$84.78
"CPT® 88346"|"HB IMF-ALBUMIN STAIN, 1ST"|312.00|$298.00|$59.60|$210.98|$209.00||$136.19|$59.60|$210.98|$109.37|$139.17|$100.00|$168.37|$134.10|$91.00|$99.00|$115.03|$77.90|$69.40|$69.40
"CPT® 88346"|"HB IMF-C1Q STAIN, 1ST"|312.00|$298.00|$59.60|$210.98|$209.00||$136.19|$59.60|$210.98|$109.37|$139.17|$100.00|$168.37|$134.10|$91.00|$99.00|$115.03|$77.90|$69.40|$69.40
"CPT® 88346"|"HB IMF-C3 STAIN, 1ST"|312.00|$298.00|$59.60|$210.98|$209.00||$136.19|$59.60|$210.98|$109.37|$139.17|$100.00|$168.37|$134.10|$91.00|$99.00|$115.03|$77.90|$69.40|$69.40
"CPT® 88346"|"HB IMF-C4D STAIN, 1ST"|312.00|$398.00|$79.60|$281.78|$279.00||$181.89|$79.60|$281.78|$146.07|$185.87|$100.00|$224.87|$179.10|$91.00|$99.00|$153.63|$104.04|$92.69|$92.69
"CPT® 88346"|"HB IMF-FIBRINOGEN STAIN, 1ST"|312.00|$361.00|$72.20|$255.59|$253.00||$164.98|$72.20|$255.59|$132.49|$168.59|$100.00|$203.97|$162.45|$91.00|$99.00|$139.35|$94.37|$84.08|$84.08
"CPT® 88346"|"HB IMF-KAPPA STAIN, 1ST"|312.00|$387.00|$77.40|$274.00|$271.00||$176.86|$77.40|$274.00|$142.03|$180.73|$100.00|$218.66|$174.15|$91.00|$99.00|$149.38|$101.16|$90.13|$90.13
"CPT® 88346"|"HB IMF-LAMBDA STAIN, 1ST"|312.00|$298.00|$59.60|$210.98|$209.00||$136.19|$59.60|$210.98|$109.37|$139.17|$100.00|$168.37|$134.10|$91.00|$99.00|$115.03|$77.90|$69.40|$69.40
"CPT® 88360"|"HB IP-KAPPA STAIN QUANTITATIVE"|312.00|$486.00|$91.00|$344.09|$340.00||$222.10|$97.20|$344.09|$178.36|$226.96|$100.00|$274.59|$218.70|$91.00|$99.00|$187.60|$127.04|$113.19|$113.19
"CPT® 88360"|"HB IP-LAMBDA STAIN QUANTITATIVE"|312.00|$486.00|$91.00|$344.09|$340.00||$222.10|$97.20|$344.09|$178.36|$226.96|$100.00|$274.59|$218.70|$91.00|$99.00|$187.60|$127.04|$113.19|$113.19
"CPT® 88360"|"HB IP-IGG STAIN QUANTITATIVE"|312.00|$490.00|$91.00|$346.92|$343.00||$223.93|$98.00|$346.92|$179.83|$228.83|$100.00|$276.85|$220.50|$91.00|$99.00|$189.14|$128.09|$114.12|$114.12
"CPT® 88360"|"HB IP-IGG4 STAIN QUANTITATIVE"|312.00|$490.00|$91.00|$346.92|$343.00||$223.93|$98.00|$346.92|$179.83|$228.83|$100.00|$276.85|$220.50|$91.00|$99.00|$189.14|$128.09|$114.12|$114.12
"CPT® 88360"|"HB IP STAIN QUANTITATIVE"|312.00|$490.00|$91.00|$346.92|$343.00||$223.93|$98.00|$346.92|$179.83|$228.83|$100.00|$276.85|$220.50|$91.00|$99.00|$189.14|$128.09|$114.12|$114.12
"CPT® 88342"|"HB IP-SMOOTHLIN STAIN, 1ST IP"|312.00|$662.00|$91.00|$468.70|$463.00||$302.53|$132.40|$468.70|$242.95|$309.15|$100.00|$374.03|$297.90|$91.00|$99.00|$255.53|$173.05|$154.18|$154.18
"CPT® 88341"|"HB IP-SMOOTHLIN STAIN, ADDITIONAL IP"|312.00|$662.00|$91.00|$468.70|$463.00||$302.53|$132.40|$468.70|$242.95|$309.15|$100.00|$374.03|$297.90|$91.00|$99.00|$255.53|$173.05|$154.18|$154.18
"CPT® 88342"|"HB IP NKX3.1 STAIN, 1ST IP"|312.00|$374.00|$74.80|$264.79|$262.00||$170.92|$74.80|$264.79|$137.26|$174.66|$100.00|$211.31|$168.30|$91.00|$99.00|$144.36|$97.76|$87.10|$87.10
"CPT® 88341"|"HB IP NKX3.1 STAIN, ADDITIONAL IP"|312.00|$374.00|$74.80|$264.79|$262.00||$170.92|$74.80|$264.79|$137.26|$174.66|$100.00|$211.31|$168.30|$91.00|$99.00|$144.36|$97.76|$87.10|$87.10
"CPT® 88342"|"HB IP PDL-1 STAIN, 1ST IP"|312.00|$1146.00|$91.00|$811.37|$802.00||$523.72|$229.20|$811.37|$420.58|$535.18|$100.00|$647.49|$515.70|$91.00|$99.00|$442.36|$299.56|$266.90|$266.90
"CPT® 88341"|"HB IP PDL-1 STAIN, ADDITIONAL IP"|312.00|$1146.00|$91.00|$811.37|$802.00||$523.72|$229.20|$811.37|$420.58|$535.18|$100.00|$647.49|$515.70|$91.00|$99.00|$442.36|$299.56|$266.90|$266.90
"CPT® 88360"|"HB IP PDL-1 QUANTITATIVE STAIN"|312.00|$495.00|$91.00|$350.46|$346.00||$226.22|$99.00|$350.46|$181.67|$231.17|$100.00|$279.68|$222.75|$91.00|$99.00|$191.07|$129.39|$115.29|$115.29
"CPT® 88342"|"HB IP EGFR STAIN, 1ST IP"|312.00|$400.00|$80.00|$283.20|$280.00||$182.80|$80.00|$283.20|$146.80|$186.80|$100.00|$226.00|$180.00|$91.00|$99.00|$154.40|$104.56|$93.16|$93.16
"CPT® 88341"|"HB IP EGFR STAIN, ADDITIONAL IP"|312.00|$400.00|$80.00|$283.20|$280.00||$182.80|$80.00|$283.20|$146.80|$186.80|$100.00|$226.00|$180.00|$91.00|$99.00|$154.40|$104.56|$93.16|$93.16
"CPT® 88344"|"HB IP KI67/CD138 DUAL STAIN"|312.00|$416.00|$83.20|$294.53|$291.00||$190.11|$83.20|$294.53|$152.67|$194.27|$100.00|$235.04|$187.20|$91.00|$99.00|$160.58|$108.74|$96.89|$96.89
"CPT® 88344"|"HB IP PDL1/PAX5 DUAL STAIN"|312.00|$552.00|$91.00|$390.82|$386.00||$252.26|$110.40|$390.82|$202.58|$257.78|$100.00|$311.88|$248.40|$91.00|$99.00|$213.07|$144.29|$128.56|$128.56
"CPT® 88342"|"HB IP PTEN STAIN, 1ST IP"|312.00|$1373.00|$91.00|$972.08|$961.00||$627.46|$274.60|$972.08|$503.89|$641.19|$100.00|$775.75|$617.85|$91.00|$99.00|$529.98|$358.90|$319.77|$319.77
"CPT® 88341"|"HB IP PTEN STAIN, ADDITIONAL IP"|312.00|$1373.00|$91.00|$972.08|$961.00||$627.46|$274.60|$972.08|$503.89|$641.19|$100.00|$775.75|$617.85|$91.00|$99.00|$529.98|$358.90|$319.77|$319.77
"CPT® 88342"|"HB IP SOX10 STAIN, 1ST IP"|312.00|$359.00|$71.80|$254.17|$251.00||$164.06|$71.80|$254.17|$131.75|$167.65|$100.00|$202.84|$161.55|$91.00|$99.00|$138.57|$93.84|$83.61|$83.61
"CPT® 88341"|"HB IP SOX10 STAIN, ADDITIONAL IP"|312.00|$359.00|$71.80|$254.17|$251.00||$164.06|$71.80|$254.17|$131.75|$167.65|$100.00|$202.84|$161.55|$91.00|$99.00|$138.57|$93.84|$83.61|$83.61
"CPT® 88342"|"HB IP-IHC STAIN, 1ST"|312.00|$412.00|$82.40|$291.70|$288.00||$188.28|$82.40|$291.70|$151.20|$192.40|$100.00|$232.78|$185.40|$91.00|$99.00|$159.03|$107.70|$95.95|$95.95
"CPT® 88341"|"HB IP-IHC STAIN, ADD"|312.00|$586.00|$91.00|$414.89|$410.00||$267.80|$117.20|$414.89|$215.06|$273.66|$100.00|$331.09|$263.70|$91.00|$99.00|$226.20|$153.18|$136.48|$136.48
"CPT® 88342"|"HB IP-IMMUNOGLOBULIN ST 1ST"|312.00|$480.00|$91.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$100.00|$271.20|$216.00|$91.00|$99.00|$185.28|$125.47|$111.79|$111.79
"CPT® 88341"|"HB IP-IMMUNOGLOBULIN ST ADD"|312.00|$451.00|$90.20|$319.31|$316.00||$206.11|$90.20|$319.31|$165.52|$210.62|$100.00|$254.82|$202.95|$91.00|$99.00|$174.09|$117.89|$105.04|$105.04
"CPT® 88342"|"HB IP BOB1 STAIN, 1ST IP"|312.00|$393.00|$78.60|$278.24|$275.00||$179.60|$78.60|$278.24|$144.23|$183.53|$100.00|$222.05|$176.85|$91.00|$99.00|$151.70|$102.73|$91.53|$91.53
"CPT® 88341"|"HB IP BOB1 STAIN, ADDITIONAL IP"|312.00|$393.00|$78.60|$278.24|$275.00||$179.60|$78.60|$278.24|$144.23|$183.53|$100.00|$222.05|$176.85|$91.00|$99.00|$151.70|$102.73|$91.53|$91.53
"CPT® 88342"|"HB IP HPL STAIN, 1ST IP"|312.00|$394.00|$78.80|$278.95|$276.00||$180.06|$78.80|$278.95|$144.60|$184.00|$100.00|$222.61|$177.30|$91.00|$99.00|$152.08|$102.99|$91.76|$91.76
"CPT® 88341"|"HB IP HPL STAIN, ADDITIONAL IP"|312.00|$394.00|$78.80|$278.95|$276.00||$180.06|$78.80|$278.95|$144.60|$184.00|$100.00|$222.61|$177.30|$91.00|$99.00|$152.08|$102.99|$91.76|$91.76
"CPT® 88342"|"HB IP MUC4 STAIN, 1ST IP"|312.00|$359.00|$71.80|$254.17|$251.00||$164.06|$71.80|$254.17|$131.75|$167.65|$100.00|$202.84|$161.55|$91.00|$99.00|$138.57|$93.84|$83.61|$83.61
"CPT® 88341"|"HB IP MUC4 STAIN, ADDITIONAL IP"|312.00|$359.00|$71.80|$254.17|$251.00||$164.06|$71.80|$254.17|$131.75|$167.65|$100.00|$202.84|$161.55|$91.00|$99.00|$138.57|$93.84|$83.61|$83.61
"CPT® 88342"|"HB IP OCT2 STAIN, 1ST IP"|312.00|$394.00|$78.80|$278.95|$276.00||$180.06|$78.80|$278.95|$144.60|$184.00|$100.00|$222.61|$177.30|$91.00|$99.00|$152.08|$102.99|$91.76|$91.76
"CPT® 88341"|"HB IP OCT2 STAIN, ADDITIONAL IP"|312.00|$394.00|$78.80|$278.95|$276.00||$180.06|$78.80|$278.95|$144.60|$184.00|$100.00|$222.61|$177.30|$91.00|$99.00|$152.08|$102.99|$91.76|$91.76
"CPT® 88342"|"HB IP PARVOVIRUS STAIN, 1ST IP"|312.00|$332.00|$66.40|$235.06|$232.00||$151.72|$66.40|$235.06|$121.84|$155.04|$100.00|$187.58|$149.40|$91.00|$99.00|$128.15|$86.78|$77.32|$77.32
"CPT® 88341"|"HB IP PARVOVIRUS STAIN, ADDITIONAL IP"|312.00|$332.00|$66.40|$235.06|$232.00||$151.72|$66.40|$235.06|$121.84|$155.04|$100.00|$187.58|$149.40|$91.00|$99.00|$128.15|$86.78|$77.32|$77.32
"CPT® 88342"|"HB IP SOX11 STAIN, 1ST IP"|312.00|$359.00|$71.80|$254.17|$251.00||$164.06|$71.80|$254.17|$131.75|$167.65|$100.00|$202.84|$161.55|$91.00|$99.00|$138.57|$93.84|$83.61|$83.61
"CPT® 88341"|"HB IP SOX11 STAIN, ADDITIONAL IP"|312.00|$359.00|$71.80|$254.17|$251.00||$164.06|$71.80|$254.17|$131.75|$167.65|$100.00|$202.84|$161.55|$91.00|$99.00|$138.57|$93.84|$83.61|$83.61
"CPT® 88342"|"HB IP TREPONEMA PALLIDUM STAIN, 1ST IP"|312.00|$376.00|$75.20|$266.21|$263.00||$171.83|$75.20|$266.21|$137.99|$175.59|$100.00|$212.44|$169.20|$91.00|$99.00|$145.14|$98.29|$87.57|$87.57
"CPT® 88341"|"HB IP TREPONEMA PALLIDUM STAIN, ADDITIONAL IP"|312.00|$376.00|$75.20|$266.21|$263.00||$171.83|$75.20|$266.21|$137.99|$175.59|$100.00|$212.44|$169.20|$91.00|$99.00|$145.14|$98.29|$87.57|$87.57
"CPT® 88342"|"HB IP ALK CDX ASSAY, 1ST IP"|312.00|$944.00|$91.00|$668.35|$661.00||$431.41|$188.80|$668.35|$346.45|$440.85|$100.00|$533.36|$424.80|$91.00|$99.00|$364.38|$246.76|$219.86|$219.86
"CPT® 88341"|"HB IP ALK CDX ASSAY, ADDT'L IP"|312.00|$944.00|$91.00|$668.35|$661.00||$431.41|$188.80|$668.35|$346.45|$440.85|$100.00|$533.36|$424.80|$91.00|$99.00|$364.38|$246.76|$219.86|$219.86
"CPT® 88365"|"HB IP HPV 16 RNA ISH, 1ST"|312.00|$752.00|$91.00|$532.42|$526.00||$343.66|$150.40|$532.42|$275.98|$351.18|$100.00|$424.88|$338.40|$91.00|$99.00|$290.27|$196.57|$175.14|$175.14
"CPT® 88364"|"HB IP HPV 16 RNA ISH, ADDT'L"|312.00|$752.00|$91.00|$532.42|$526.00||$343.66|$150.40|$532.42|$275.98|$351.18|$100.00|$424.88|$338.40|$91.00|$99.00|$290.27|$196.57|$175.14|$175.14
"CPT® 88365"|"HB IP HPV 18 RNA ISH, 1ST"|312.00|$833.00|$91.00|$589.76|$583.00||$380.68|$166.60|$589.76|$305.71|$389.01|$100.00|$470.65|$374.85|$91.00|$99.00|$321.54|$217.75|$194.01|$194.01
"CPT® 88364"|"HB IP HPV 18 RNA ISH, ADDT'L"|312.00|$833.00|$91.00|$589.76|$583.00||$380.68|$166.60|$589.76|$305.71|$389.01|$100.00|$470.65|$374.85|$91.00|$99.00|$321.54|$217.75|$194.01|$194.01
"CPT® 88305"|"HB BONE MARROW CELL BLOCK"|312.00|$1617.00|$91.00|$1144.84|$1132.00||$135.90|$323.40|$1144.84|$593.44|$755.14|$100.00|$913.61|$727.65|$91.00|$99.00|$624.16|$422.68|$376.60|$376.60
"CPT® 88305"|"HB BONE MARROW CORE"|312.00|$1871.00|$91.00|$1324.67|$1310.00||$135.90|$374.20|$1324.67|$686.66|$873.76|$100.00|$1057.12|$841.95|$91.00|$99.00|$722.21|$489.08|$435.76|$435.76
"CPT® 88319"|"HB BONE MARROW ENZYMATIC ACTIVITY STAIN"|312.00|$561.00|$91.00|$397.19|$393.00||$256.38|$112.20|$397.19|$205.89|$261.99|$100.00|$316.97|$252.45|$91.00|$99.00|$216.55|$146.65|$130.66|$130.66
"CPT® 88313"|"HB BONE MARROW NON-ENZYMATIC STAIN"|312.00|$168.00|$33.60|$118.94|$118.00||$76.78|$33.60|$118.94|$61.66|$78.46|$100.00|$94.92|$75.60|$91.00|$99.00|$64.85|$43.92|$39.13|$39.13
"CPT® 88311"|"HB DECALCIFICATION, BONE MARROW"|312.00|$233.00|$46.60|$164.96|$163.00||$106.48|$46.60|$164.96|$85.51|$108.81|$100.00|$131.65|$104.85|$91.00|$99.00|$89.94|$60.91|$54.27|$54.27
"CPT® 88300"|"HB SURG PATH LEVEL I"|312.00|$305.00|$61.00|$215.94|$214.00||$139.39|$61.00|$215.94|$111.94|$142.44|$100.00|$172.33|$137.25|$91.00|$99.00|$117.73|$79.73|$71.03|$71.03
"CPT® 88302"|"HB SURG PATH LEVEL II"|312.00|$608.00|$91.00|$430.46|$426.00||$277.86|$121.60|$430.46|$223.14|$283.94|$100.00|$343.52|$273.60|$91.00|$99.00|$234.69|$158.93|$141.60|$141.60
"CPT® 88304"|"HB SURG PATH LEVEL III"|312.00|$758.00|$91.00|$536.66|$531.00||$346.41|$151.60|$536.66|$278.19|$353.99|$100.00|$428.27|$341.10|$91.00|$99.00|$292.59|$198.14|$176.54|$176.54
"CPT® 88305"|"HB SURG PATH LEVEL IV"|312.00|$999.00|$91.00|$707.29|$699.00||$135.90|$199.80|$707.29|$366.63|$466.53|$100.00|$564.44|$449.55|$91.00|$99.00|$385.61|$261.14|$232.67|$232.67
"CPT® 88307"|"HB SURG PATH LEVEL V"|312.00|$1062.00|$91.00|$751.90|$743.00||$485.33|$212.40|$751.90|$389.75|$495.95|$100.00|$600.03|$477.90|$91.00|$99.00|$409.93|$277.61|$247.34|$247.34
"CPT® 88309"|"HB SURG PATH LEVEL VI"|312.00|$1124.00|$91.00|$795.79|$787.00||$513.67|$224.80|$795.79|$412.51|$524.91|$100.00|$635.06|$505.80|$91.00|$99.00|$433.86|$293.81|$261.78|$261.78
"CPT® 88311"|"HB DECALCIFICATION"|312.00|$242.00|$48.40|$171.34|$169.00||$110.59|$48.40|$171.34|$88.81|$113.01|$100.00|$136.73|$108.90|$91.00|$99.00|$93.41|$63.26|$56.36|$56.36
"CPT® 88331"|"HB FROZEN SECTION"|312.00|$294.00|$58.80|$208.15|$206.00||$134.36|$58.80|$208.15|$107.90|$137.30|$100.00|$166.11|$132.30|$91.00|$99.00|$113.48|$76.85|$68.47|$68.47
"CPT® 88332"|"HB FROZEN SECTION, ADDITIONAL"|312.00|$202.00|$40.40|$143.02|$141.00||$92.31|$40.40|$143.02|$74.13|$94.33|$100.00|$114.13|$90.90|$91.00|$99.00|$77.97|$52.80|$47.05|$47.05
"CPT® 88312"|"HB GROUP I STAIN"|312.00|$355.00|$71.00|$251.34|$248.00||$162.24|$71.00|$251.34|$130.29|$165.79|$100.00|$200.58|$159.75|$91.00|$99.00|$137.03|$92.80|$82.68|$82.68
"CPT® 88313"|"HB GROUP II STAIN"|312.00|$355.00|$71.00|$251.34|$248.00||$162.24|$71.00|$251.34|$130.29|$165.79|$100.00|$200.58|$159.75|$91.00|$99.00|$137.03|$92.80|$82.68|$82.68
"CPT® 88312"|"HB ACID FAST BACILLI STAIN"|312.00|$274.00|$54.80|$193.99|$192.00||$125.22|$54.80|$193.99|$100.56|$127.96|$100.00|$154.81|$123.30|$91.00|$99.00|$105.76|$71.62|$63.81|$63.81
"CPT® 88313"|"HB ALCIAN BLUE STAIN"|312.00|$477.00|$91.00|$337.72|$334.00||$217.99|$95.40|$337.72|$175.06|$222.76|$100.00|$269.51|$214.65|$91.00|$99.00|$184.12|$124.69|$111.09|$111.09
"CPT® 88313"|"HB BIELCHOWSKY STAIN"|312.00|$593.00|$91.00|$419.84|$415.00||$271.00|$118.60|$419.84|$217.63|$276.93|$100.00|$335.05|$266.85|$91.00|$99.00|$228.90|$155.01|$138.11|$138.11
"CPT® 88313"|"HB BILE STAIN"|312.00|$310.00|$62.00|$219.48|$217.00||$141.67|$62.00|$219.48|$113.77|$144.77|$100.00|$175.15|$139.50|$91.00|$99.00|$119.66|$81.03|$72.20|$72.20
"CPT® 88313"|"HB CALCIUM STAIN"|312.00|$547.00|$91.00|$387.28|$383.00||$249.98|$109.40|$387.28|$200.75|$255.45|$100.00|$309.06|$246.15|$91.00|$99.00|$211.14|$142.99|$127.40|$127.40
"CPT® 88313"|"HB CONGO RED STAIN"|312.00|$274.00|$54.80|$193.99|$192.00||$125.22|$54.80|$193.99|$100.56|$127.96|$100.00|$154.81|$123.30|$91.00|$99.00|$105.76|$71.62|$63.81|$63.81
"CPT® 88313"|"HB COPPER STAIN"|312.00|$491.00|$91.00|$347.63|$344.00||$224.39|$98.20|$347.63|$180.20|$229.30|$100.00|$277.42|$220.95|$91.00|$99.00|$189.53|$128.35|$114.35|$114.35
"CPT® 88313"|"HB CRESYL ECHT VIOLET STAIN"|312.00|$250.00|$50.00|$177.00|$175.00||$114.25|$50.00|$177.00|$91.75|$116.75|$100.00|$141.25|$112.50|$91.00|$99.00|$96.50|$65.35|$58.23|$58.23
"CPT® 88313"|"HB ELASTIC STAIN"|312.00|$306.00|$61.20|$216.65|$214.00||$139.84|$61.20|$216.65|$112.30|$142.90|$100.00|$172.89|$137.70|$91.00|$99.00|$118.12|$79.99|$71.27|$71.27
"CPT® 88313"|"HB FONTANA-MASSON STAIN"|312.00|$744.00|$91.00|$526.75|$521.00||$340.01|$148.80|$526.75|$273.05|$347.45|$100.00|$420.36|$334.80|$91.00|$99.00|$287.18|$194.48|$173.28|$173.28
"CPT® 88313"|"HB GIEMSA STAIN"|312.00|$279.00|$55.80|$197.53|$195.00||$127.50|$55.80|$197.53|$102.39|$130.29|$100.00|$157.64|$125.55|$91.00|$99.00|$107.69|$72.93|$64.98|$64.98
"CPT® 88313"|"HB GRAM STAIN"|312.00|$381.00|$76.20|$269.75|$267.00||$174.12|$76.20|$269.75|$139.83|$177.93|$100.00|$215.27|$171.45|$91.00|$99.00|$147.07|$99.59|$88.73|$88.73
"CPT® 88313"|"HB IRON COLLOIDAL STAIN"|312.00|$359.00|$71.80|$254.17|$251.00||$164.06|$71.80|$254.17|$131.75|$167.65|$100.00|$202.84|$161.55|$91.00|$99.00|$138.57|$93.84|$83.61|$83.61
"CPT® 88313"|"HB IRON STAIN"|312.00|$274.00|$54.80|$193.99|$192.00||$125.22|$54.80|$193.99|$100.56|$127.96|$100.00|$154.81|$123.30|$91.00|$99.00|$105.76|$71.62|$63.81|$63.81
"CPT® 88313"|"HB LIPID STAIN"|312.00|$246.00|$49.20|$174.17|$172.00||$112.42|$49.20|$174.17|$90.28|$114.88|$100.00|$138.99|$110.70|$91.00|$99.00|$94.96|$64.30|$57.29|$57.29
"CPT® 88313"|"HB LUXOL FAST BLUE +CS STAIN"|312.00|$565.00|$91.00|$400.02|$396.00||$258.21|$113.00|$400.02|$207.36|$263.86|$100.00|$319.23|$254.25|$91.00|$99.00|$218.09|$147.69|$131.59|$131.59
"CPT® 88313"|"HB MELANIN BLEACH STAIN"|312.00|$284.00|$56.80|$201.07|$199.00||$129.79|$56.80|$201.07|$104.23|$132.63|$100.00|$160.46|$127.80|$91.00|$99.00|$109.62|$74.24|$66.14|$66.14
"CPT® 88313"|"HB METHYL GREEN PYRONIN Y STAIN"|312.00|$290.00|$58.00|$205.32|$203.00||$132.53|$58.00|$205.32|$106.43|$135.43|$100.00|$163.85|$130.50|$91.00|$99.00|$111.94|$75.81|$67.54|$67.54
"CPT® 88313"|"HB MUCICARMINE STAIN"|312.00|$274.00|$54.80|$193.99|$192.00||$125.22|$54.80|$193.99|$100.56|$127.96|$100.00|$154.81|$123.30|$91.00|$99.00|$105.76|$71.62|$63.81|$63.81
"CPT® 88313"|"HB PAS STAIN"|312.00|$274.00|$54.80|$193.99|$192.00||$125.22|$54.80|$193.99|$100.56|$127.96|$100.00|$154.81|$123.30|$91.00|$99.00|$105.76|$71.62|$63.81|$63.81
"CPT® 88313"|"HB PTAH STAIN"|312.00|$465.00|$91.00|$329.22|$326.00||$212.51|$93.00|$329.22|$170.66|$217.16|$100.00|$262.73|$209.25|$91.00|$99.00|$179.49|$121.55|$108.30|$108.30
"CPT® 88313"|"HB RETICULIN STAIN"|312.00|$309.00|$61.80|$218.77|$216.00||$141.21|$61.80|$218.77|$113.40|$144.30|$100.00|$174.59|$139.05|$91.00|$99.00|$119.27|$80.77|$71.97|$71.97
"CPT® 88313"|"HB JONES SILVER STAIN"|312.00|$308.00|$61.60|$218.06|$216.00||$140.76|$61.60|$218.06|$113.04|$143.84|$100.00|$174.02|$138.60|$91.00|$99.00|$118.89|$80.51|$71.73|$71.73
"CPT® 88313"|"HB TOLUIDINE BLUE STAIN"|312.00|$253.00|$50.60|$179.12|$177.00||$115.62|$50.60|$179.12|$92.85|$118.15|$100.00|$142.95|$113.85|$91.00|$99.00|$97.66|$66.13|$58.92|$58.92
"CPT® 88313"|"HB TRICHROME STAIN"|312.00|$536.00|$91.00|$379.49|$375.00||$244.95|$107.20|$379.49|$196.71|$250.31|$100.00|$302.84|$241.20|$91.00|$99.00|$206.90|$140.11|$124.83|$124.83
"CPT® 88348"|"HB ELECTRON MICROSCOPY"|312.00|$1224.00|$91.00|$866.59|$857.00||$559.37|$244.80|$866.59|$449.21|$571.61|$100.00|$691.56|$550.80|$91.00|$99.00|$472.46|$319.95|$285.07|$285.07
"CPT® 88333"|"HB TOUCH PREP, 1ST SITE"|312.00|$338.00|$67.60|$239.30|$237.00||$154.47|$67.60|$239.30|$124.05|$157.85|$100.00|$190.97|$152.10|$91.00|$99.00|$130.47|$88.35|$78.72|$78.72
"CPT® 88334"|"HB TOUCH PREP, ADDITIONAL SITE"|312.00|$329.00|$65.80|$232.93|$230.00||$150.35|$65.80|$232.93|$120.74|$153.64|$100.00|$185.89|$148.05|$91.00|$99.00|$126.99|$86.00|$76.62|$76.62
"CPT® 88305"|"HB SURG PATH IV, ORAL PATHOLOGY"|312.00|$485.00|$91.00|$343.38|$340.00||$135.90|$97.00|$343.38|$178.00|$226.50|$100.00|$274.03|$218.25|$91.00|$99.00|$187.21|$126.78|$112.96|$112.96
"HCPCS G0416"|"HB SURG PATH PROSTATE NDL BX"|312.00|$1825.00|$91.00|$1292.10|$1278.00||$834.03|$365.00|$1292.10|$669.78|$852.28|$912.50|$1031.13|$821.25|$91.00|$99.00|$704.45|$477.06|$425.04|$425.04
"CPT® 88312"|"HB GMS STAIN"|312.00|$473.00|$91.00|$334.88|$331.00||$216.16|$94.60|$334.88|$173.59|$220.89|$100.00|$267.25|$212.85|$91.00|$99.00|$182.58|$123.64|$110.16|$110.16
"CPT® 88305"|"HB CYTOLOGY CELL BLOCK"|312.00|$921.00|$91.00|$652.07|$645.00||$135.90|$184.20|$652.07|$338.01|$430.11|$100.00|$520.37|$414.45|$91.00|$99.00|$355.51|$240.75|$214.50|$214.50
"CPT® 88346"|"HB CROHN'S PROGNOSTIC, IFA STAIN, SINGLE AB"|312.00|$880.00|$91.00|$623.04|$616.00||$402.16|$176.00|$623.04|$322.96|$410.96|$100.00|$497.20|$396.00|$91.00|$99.00|$339.68|$230.03|$204.95|$204.95
"CPT® 88350"|"HB CROHN'S PROGNOSTIC, IFA STAIN, SINGLE AB, EA ADDTL"|312.00|$620.00|$91.00|$438.96|$434.00||$283.34|$124.00|$438.96|$227.54|$289.54|$100.00|$350.30|$279.00|$91.00|$99.00|$239.32|$162.07|$144.40|$144.40
"CPT® 88300"|"HB SURG PATH LEVEL I"|312.00|$238.00|$47.60|$168.50|$167.00||$108.77|$47.60|$168.50|$87.35|$111.15|$100.00|$134.47|$107.10|$91.00|$99.00|$91.87|$62.21|$55.43|$55.43
"CPT® 88302"|"HB SURG PATH LEVEL II"|312.00|$326.00|$65.20|$230.81|$228.00||$148.98|$65.20|$230.81|$119.64|$152.24|$100.00|$184.19|$146.70|$91.00|$99.00|$125.84|$85.22|$75.93|$75.93
"CPT® 88304"|"HB SURG PATH LEVEL III"|312.00|$431.00|$86.20|$305.15|$302.00||$196.97|$86.20|$305.15|$158.18|$201.28|$100.00|$243.52|$193.95|$91.00|$99.00|$166.37|$112.66|$100.38|$100.38
"CPT® 88305"|"HB SURG PATH LEVEL IV"|312.00|$630.00|$91.00|$446.04|$441.00||$135.90|$126.00|$446.04|$231.21|$294.21|$100.00|$355.95|$283.50|$91.00|$99.00|$243.18|$164.68|$146.73|$146.73
"CPT® 88307"|"HB SURG PATH LEVEL V"|312.00|$1404.00|$91.00|$994.03|$983.00||$641.63|$280.80|$994.03|$515.27|$655.67|$100.00|$793.26|$631.80|$91.00|$99.00|$541.94|$367.01|$326.99|$326.99
"CPT® 88309"|"HB SURG PATH LEVEL VI"|312.00|$1456.00|$91.00|$1030.85|$1019.00||$665.39|$291.20|$1030.85|$534.35|$679.95|$100.00|$822.64|$655.20|$91.00|$99.00|$562.02|$380.60|$339.10|$339.10
"CPT® 88311"|"HB DECALCIFICATION"|312.00|$212.00|$42.40|$150.10|$148.00||$96.88|$42.40|$150.10|$77.80|$99.00|$100.00|$119.78|$95.40|$91.00|$99.00|$81.83|$55.42|$49.37|$49.37
"CPT® 88331"|"HB FROZEN SECTION, 1ST SPECIMEN"|312.00|$559.00|$91.00|$395.77|$391.00||$255.46|$111.80|$395.77|$205.15|$261.05|$100.00|$315.84|$251.55|$91.00|$99.00|$215.77|$146.12|$130.19|$130.19
"CPT® 88332"|"HB FROZEN SECTION, ADDITIONAL SPECIMEN"|312.00|$387.00|$77.40|$274.00|$271.00||$176.86|$77.40|$274.00|$142.03|$180.73|$100.00|$218.66|$174.15|$91.00|$99.00|$149.38|$101.16|$90.13|$90.13
"CPT® 88314"|"HB FROZEN SECTION, IHC STAIN"|312.00|$236.00|$47.20|$167.09|$165.00||$107.85|$47.20|$167.09|$86.61|$110.21|$100.00|$133.34|$106.20|$91.00|$99.00|$91.10|$61.69|$54.96|$54.96
"CPT® 88329"|"HB INTRAOPERATIVE CONSULT"|312.00|$288.00|$57.60|$203.90|$202.00||$131.62|$57.60|$203.90|$105.70|$134.50|$100.00|$162.72|$129.60|$91.00|$99.00|$111.17|$75.28|$67.08|$67.08
"CPT® 88312"|"HB SPECIAL STAIN, GROUP I"|312.00|$310.00|$62.00|$219.48|$217.00||$141.67|$62.00|$219.48|$113.77|$144.77|$100.00|$175.15|$139.50|$91.00|$99.00|$119.66|$81.03|$72.20|$72.20
"CPT® 88313"|"HB SPECIAL STAIN, GROUP II"|312.00|$305.00|$61.00|$215.94|$214.00||$139.39|$61.00|$215.94|$111.94|$142.44|$100.00|$172.33|$137.25|$91.00|$99.00|$117.73|$79.73|$71.03|$71.03
"CPT® 88342"|"HB IMMUNOHISTOCHEMICAL STAIN, 1ST ANTIBODY"|312.00|$540.00|$91.00|$382.32|$378.00||$246.78|$108.00|$382.32|$198.18|$252.18|$100.00|$305.10|$243.00|$91.00|$99.00|$208.44|$141.16|$125.77|$125.77
"CPT® 88341"|"HB IMMUNOHISTOCHEMICAL STAIN, ADDT'L ANTIBODY"|312.00|$494.00|$91.00|$349.75|$346.00||$225.76|$98.80|$349.75|$181.30|$230.70|$100.00|$279.11|$222.30|$91.00|$99.00|$190.68|$129.13|$115.05|$115.05
"CPT® 88360"|"HB IMMUNOHISTOCHEMICAL STAIN, QUANTITATIVE"|312.00|$540.00|$91.00|$382.32|$378.00||$246.78|$108.00|$382.32|$198.18|$252.18|$100.00|$305.10|$243.00|$91.00|$99.00|$208.44|$141.16|$125.77|$125.77
"CPT® 88361"|"HB IHC STAIN ANALYSIS, COMPUTER ASSISTED"|312.00|$494.00|$91.00|$349.75|$346.00||$225.76|$98.80|$349.75|$181.30|$230.70|$100.00|$279.11|$222.30|$91.00|$99.00|$190.68|$129.13|$115.05|$115.05
"CPT® 88346"|"HB IMMUNOFLUORESCENT STAIN, 1ST"|312.00|$1343.00|$91.00|$950.84|$940.00||$613.75|$268.60|$950.84|$492.88|$627.18|$100.00|$758.80|$604.35|$91.00|$99.00|$518.40|$351.06|$312.78|$312.78
"CPT® 88368"|"HB IN SITU HYBRIDIZATION ANALYSIS, MANUAL"|312.00|$350.00|$70.00|$247.80|$245.00||$159.95|$70.00|$247.80|$128.45|$163.45|$100.00|$197.75|$157.50|$91.00|$99.00|$135.10|$91.49|$81.52|$81.52
"CPT® 88367"|"HB IN SITU HYBRIDIZATION ANALYSIS, COMPUTER ASSISTED"|312.00|$329.00|$65.80|$232.93|$230.00||$150.35|$65.80|$232.93|$120.74|$153.64|$164.50|$185.89|$148.05|$91.00|$99.00|$126.99|$86.00|$76.62|$76.62
"CPT® 88325"|"HB SLIDE/RECORD REVIEW"|312.00|$405.00|$81.00|$286.74|$284.00||$185.09|$81.00|$286.74|$148.64|$189.14|$100.00|$228.83|$182.25|$91.00|$99.00|$156.33|$105.87|$94.32|$94.32
"CPT® 88321"|"HB LOW COMPLEXITY CONSULT"|312.00|$167.00|$33.40|$118.24|$117.00||$76.32|$33.40|$118.24|$61.29|$77.99|$100.00|$94.36|$75.15|$91.00|$99.00|$64.46|$43.65|$38.89|$38.89
"CPT® 88323"|"HB MODERATE COMPLEXITY CONSULT"|312.00|$217.00|$43.40|$153.64|$152.00||$99.17|$43.40|$153.64|$79.64|$101.34|$100.00|$122.61|$97.65|$91.00|$99.00|$83.76|$56.72|$50.54|$50.54
"CPT® 88325"|"HB HIGH COMPLEXITY CONSULT"|312.00|$366.00|$73.20|$259.13|$256.00||$167.26|$73.20|$259.13|$134.32|$170.92|$100.00|$206.79|$164.70|$91.00|$99.00|$141.28|$95.67|$85.24|$85.24
"CPT® 88350"|"HB IMMUNOFLUORESCENT STAIN, ADDITIONAL"|312.00|$1221.00|$91.00|$864.47|$855.00||$558.00|$244.20|$864.47|$448.11|$570.21|$100.00|$689.87|$549.45|$91.00|$99.00|$471.31|$319.17|$284.37|$284.37
"CPT® 88319"|"HB SPECIAL STAIN, GROUP III"|312.00|$500.00|$91.00|$354.00|$350.00||$228.50|$100.00|$354.00|$183.50|$233.50|$100.00|$282.50|$225.00|$91.00|$99.00|$193.00|$130.70|$116.45|$116.45
"CPT® 88358"|"HB DNA PLOIDY ANALYSIS"|312.00|$386.00|$77.20|$273.29|$270.00||$176.40|$77.20|$273.29|$141.66|$180.26|$193.00|$218.09|$173.70|$91.00|$99.00|$149.00|$100.90|$89.90|$89.90
"CPT® 88361"|"HB CIRCULATING TUMOR COUNT"|312.00|$1894.00|$91.00|$1340.95|$1326.00||$865.56|$378.80|$1340.95|$695.10|$884.50|$100.00|$1070.11|$852.30|$91.00|$99.00|$731.08|$495.09|$441.11|$441.11
"CPT® 88365"|"HB HUMAN PAPILLOMA VIRUS"|312.00|$1452.00|$91.00|$1028.02|$1016.00||$663.56|$290.40|$1028.02|$532.88|$678.08|$100.00|$820.38|$653.40|$91.00|$99.00|$560.47|$379.55|$338.17|$338.17
"CPT® 81450"|"HB NGS MYELOID NEOPLASMS, 40 TARGETED GENES"|319.00|$2079.00|$41.00|$1471.93|$1455.00||$950.10|$415.80|$1471.93|$762.99|$970.89|$41.00|$1174.64|$935.55|$91.00|$99.00|$802.49|$543.45|$484.20|$484.20
"CPT® 81455"|"HB NGS DNA CANCER PANEL - 22 TARGETED GENES"|319.00|$3380.00|$41.00|$2393.04|$2366.00||$1544.66|$676.00|$2393.04|$1240.46|$1578.46|$41.00|$1909.70|$1521.00|$91.00|$99.00|$1304.68|$883.53|$787.20|$787.20
"CPT® 62302"|"HB MYELOGRAPHY LUMBAR INJECTION CERVICAL S & I"|320.00|$3975.00|$229.00|$2814.30|$2782.00||$1816.58|$795.00|$2814.30|$1458.83|$1856.33|$1987.50|$2245.88|$1788.75|$229.00|$248.00|$1534.35|$1039.07|$925.78|$925.78
"CPT® 62303"|"HB MYELOGRAPHY LUMBAR INJECTION THORACIC S & I"|320.00|$3975.00|$229.00|$2814.30|$2782.00||$1816.58|$795.00|$2814.30|$1458.83|$1856.33|$1987.50|$2245.88|$1788.75|$229.00|$248.00|$1534.35|$1039.07|$925.78|$925.78
"CPT® 62304"|"HB IR MYELOGRAPHY LUMBARSACRAL"|320.00|$3975.00|$229.00|$2814.30|$2782.00||$1816.58|$795.00|$2814.30|$1458.83|$1856.33|$1987.50|$2245.88|$1788.75|$229.00|$248.00|$1534.35|$1039.07|$925.78|$925.78
"CPT® 62305"|"HB MYELOGRAPHY LUMBAR INJECTION TWO OR MORE REGIONS S & I"|320.00|$4115.00|$229.00|$2913.42|$2880.00||$1880.56|$823.00|$2913.42|$1510.21|$1921.71|$2057.50|$2324.98|$1851.75|$229.00|$248.00|$1588.39|$1075.66|$958.38|$958.38
"CPT® 70030"|"HB X-RAY EYE FOR FOREIGN BODY"|320.00|$480.00|$96.00|$339.84|$336.00||$219.36|$96.00|$339.84|$176.16|$224.16|$240.00|$271.20|$216.00|$229.00|$248.00|$185.28|$125.47|$111.79|$111.79
"CPT® 70100"|"HB X-RAY EXAM OF JAW <4VIEWS"|320.00|$588.00|$117.60|$416.30|$412.00||$268.72|$117.60|$416.30|$215.80|$274.60|$294.00|$332.22|$264.60|$229.00|$248.00|$226.97|$153.70|$136.95|$136.95
"CPT® 70110"|"HB X-RAY EXAM OF JAW 4/> VIEWS"|320.00|$807.00|$161.40|$571.36|$565.00||$368.80|$161.40|$571.36|$296.17|$376.87|$403.50|$455.96|$363.15|$229.00|$248.00|$311.50|$210.95|$187.95|$187.95
"CPT® 70130"|"HB XRAY MASTOIDS COMPLETE; MINIMUM 3 VIEWS PER SIDE"|320.00|$595.00|$119.00|$421.26|$416.00||$271.92|$119.00|$421.26|$218.37|$277.87|$297.50|$336.18|$267.75|$229.00|$248.00|$229.67|$155.53|$138.58|$138.58
"CPT® 70150"|"HB XRAY FACIAL BONE COMPLETE; MINIMUM 3 VIEWS"|320.00|$1007.00|$201.40|$712.96|$705.00||$460.20|$201.40|$712.96|$369.57|$470.27|$503.50|$568.96|$453.15|$229.00|$248.00|$388.70|$263.23|$234.53|$234.53
"CPT® 70160"|"HB X-RAY EXAM OF NASAL BONES"|320.00|$802.00|$160.40|$567.82|$561.00||$366.51|$160.40|$567.82|$294.33|$374.53|$401.00|$453.13|$360.90|$229.00|$248.00|$309.57|$209.64|$186.79|$186.79
"CPT® 70200"|"HB XRAY EYE SOCKETS COMPLETE; MINIMUM OF 4 VIEWS"|320.00|$929.00|$185.80|$657.73|$650.00||$424.55|$185.80|$657.73|$340.94|$433.84|$464.50|$524.89|$418.05|$229.00|$248.00|$358.59|$242.84|$216.36|$216.36
"CPT® 70210"|"HB XRAY SINUS; LESS THAN 3 VIEW"|320.00|$299.00|$59.80|$248.00|$209.00||$136.64|$59.80|$211.69|$109.73|$139.63|$149.50|$168.94|$134.55|$229.00|$248.00|$115.41|$78.16|$69.64|$69.64
"CPT® 70220"|"HB XRAY SINUSES COMPLETE; MINIMUM OF 3 VIEWS"|320.00|$943.00|$188.60|$667.64|$660.00||$430.95|$188.60|$667.64|$346.08|$440.38|$471.50|$532.80|$424.35|$229.00|$248.00|$364.00|$246.50|$219.62|$219.62
"CPT® 70250"|"HB XRAY SKULL; LESS THAN 4 VIEWS"|320.00|$544.00|$108.80|$385.15|$381.00||$248.61|$108.80|$385.15|$199.65|$254.05|$272.00|$307.36|$244.80|$229.00|$248.00|$209.98|$142.20|$126.70|$126.70
"CPT® 70260"|"HB XRAY SKULL COMPLETE; MINIMUM OF 4 VIEWS"|320.00|$910.00|$182.00|$644.28|$637.00||$415.87|$182.00|$644.28|$333.97|$424.97|$455.00|$514.15|$409.50|$229.00|$248.00|$351.26|$237.87|$211.94|$211.94
"CPT® 70330"|"HB X-RAY EXAM OF JAW JOINTS"|320.00|$901.00|$180.20|$637.91|$631.00||$411.76|$180.20|$637.91|$330.67|$420.77|$450.50|$509.07|$405.45|$229.00|$248.00|$347.79|$235.52|$209.84|$209.84
"CPT® 70355"|"HB PANORAMIC X-RAY OF JAWS"|320.00|$776.00|$155.20|$549.41|$543.00||$354.63|$155.20|$549.41|$284.79|$362.39|$388.00|$438.44|$349.20|$229.00|$248.00|$299.54|$202.85|$180.73|$180.73
"CPT® 70360"|"HB X-RAY EXAM OF NECK"|320.00|$504.00|$100.80|$356.83|$353.00||$230.33|$100.80|$356.83|$184.97|$235.37|$252.00|$284.76|$226.80|$229.00|$248.00|$194.54|$131.75|$117.38|$117.38
"CPT® 71100"|"HB X-RAY EXAM RIBS UNI 2 VIEWS"|320.00|$738.00|$147.60|$522.50|$517.00||$337.27|$147.60|$522.50|$270.85|$344.65|$369.00|$416.97|$332.10|$229.00|$248.00|$284.87|$192.91|$171.88|$171.88
"CPT® 71101"|"HB X-RAY EXAM UNILAT RIBS/CHEST"|320.00|$878.00|$175.60|$621.62|$615.00||$401.25|$175.60|$621.62|$322.23|$410.03|$439.00|$496.07|$395.10|$229.00|$248.00|$338.91|$229.51|$204.49|$204.49
"CPT® 71110"|"HB X-RAY EXAM RIBS BIL 3 VIEWS"|320.00|$882.00|$176.40|$624.46|$617.00||$403.07|$176.40|$624.46|$323.69|$411.89|$441.00|$498.33|$396.90|$229.00|$248.00|$340.45|$230.55|$205.42|$205.42
"CPT® 71111"|"HB X-RAY EXAM RIBS/CHEST4/> VWS"|320.00|$1109.00|$221.80|$785.17|$776.00||$506.81|$221.80|$785.17|$407.00|$517.90|$554.50|$626.59|$499.05|$229.00|$248.00|$428.07|$289.89|$258.29|$258.29
"CPT® 71120"|"HB X-RAY EXAM BREASTBONE 2/>VWS"|320.00|$604.00|$120.80|$427.63|$423.00||$276.03|$120.80|$427.63|$221.67|$282.07|$302.00|$341.26|$271.80|$229.00|$248.00|$233.14|$157.89|$140.67|$140.67
"CPT® 71130"|"HB X-RAY STRENOCLAVIC JT 3/>VWS"|320.00|$791.00|$158.20|$560.03|$554.00||$361.49|$158.20|$560.03|$290.30|$369.40|$395.50|$446.92|$355.95|$229.00|$248.00|$305.33|$206.77|$184.22|$184.22
"CPT® 72020"|"HB X-RAY EXAM OF SPINE 1 VIEW"|320.00|$540.00|$108.00|$382.32|$378.00||$246.78|$108.00|$382.32|$198.18|$252.18|$270.00|$305.10|$243.00|$229.00|$248.00|$208.44|$141.16|$125.77|$125.77
"CPT® 72040"|"HB X-RAY EXAM NECK SPINE 2-3 VW"|320.00|$747.00|$149.40|$528.88|$523.00||$341.38|$149.40|$528.88|$274.15|$348.85|$373.50|$422.06|$336.15|$229.00|$248.00|$288.34|$195.27|$173.98|$173.98
"CPT® 72050"|"HB X-RAY EXAM NECK SPINE 4/5VWS"|320.00|$1058.00|$211.60|$749.06|$741.00||$483.51|$211.60|$749.06|$388.29|$494.09|$529.00|$597.77|$476.10|$229.00|$248.00|$408.39|$276.56|$246.41|$246.41
"CPT® 72052"|"HB X-RAY EXAM NECK SPINE 6/>VWS"|320.00|$1105.00|$221.00|$782.34|$774.00||$504.99|$221.00|$782.34|$405.54|$516.04|$552.50|$624.33|$497.25|$229.00|$248.00|$426.53|$288.85|$257.35|$257.35
"CPT® 72070"|"HB X-RAY EXAM THORAC SPINE 2VWS"|320.00|$783.00|$156.60|$554.36|$548.00||$357.83|$156.60|$554.36|$287.36|$365.66|$391.50|$442.40|$352.35|$229.00|$248.00|$302.24|$204.68|$182.36|$182.36
"CPT® 72072"|"HB X-RAY EXAM THORAC SPINE 3VWS"|320.00|$872.00|$174.40|$617.38|$610.00||$398.50|$174.40|$617.38|$320.02|$407.22|$436.00|$492.68|$392.40|$229.00|$248.00|$336.59|$227.94|$203.09|$203.09
"CPT® 72080"|"HB X-RAY EXAM THORACOLMB 2/> VW"|320.00|$728.00|$145.60|$515.42|$510.00||$332.70|$145.60|$515.42|$267.18|$339.98|$364.00|$411.32|$327.60|$229.00|$248.00|$281.01|$190.30|$169.55|$169.55
"CPT® 72100"|"HB X-RAY EXAM L-S SPINE 2/3 VWS"|320.00|$730.00|$146.00|$516.84|$511.00||$333.61|$146.00|$516.84|$267.91|$340.91|$365.00|$412.45|$328.50|$229.00|$248.00|$281.78|$190.82|$170.02|$170.02
"CPT® 72110"|"HB X-RAY EXAM L-2 SPINE 4/>VWS"|320.00|$1020.00|$204.00|$722.16|$714.00||$466.14|$204.00|$722.16|$374.34|$476.34|$510.00|$576.30|$459.00|$229.00|$248.00|$393.72|$266.63|$237.56|$237.56
"CPT® 72114"|"HB X-RAY EXAM L-S SPINE BENDING"|320.00|$1310.00|$229.00|$927.48|$917.00||$598.67|$262.00|$927.48|$480.77|$611.77|$655.00|$740.15|$589.50|$229.00|$248.00|$505.66|$342.43|$305.10|$305.10
"CPT® 72120"|"HB X-RAY SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS"|320.00|$713.00|$142.60|$504.80|$499.00||$325.84|$142.60|$504.80|$261.67|$332.97|$356.50|$402.85|$320.85|$229.00|$248.00|$275.22|$186.38|$166.06|$166.06
"CPT® 72170"|"HB XRAY PELVIS 1 OR 2 VIEWS"|320.00|$646.00|$129.20|$457.37|$452.00||$295.22|$129.20|$457.37|$237.08|$301.68|$323.00|$364.99|$290.70|$229.00|$248.00|$249.36|$168.86|$150.45|$150.45
"CPT® 72190"|"HB XRAY PELVIS COMPLETE, MINIMUM OF 3 VIEWS"|320.00|$770.00|$154.00|$545.16|$539.00||$351.89|$154.00|$545.16|$282.59|$359.59|$385.00|$435.05|$346.50|$229.00|$248.00|$297.22|$201.28|$179.33|$179.33
"CPT® 72202"|"HB X-RAY EXAM SI JOINTS 3/> VWS"|320.00|$774.00|$154.80|$547.99|$542.00||$353.72|$154.80|$547.99|$284.06|$361.46|$387.00|$437.31|$348.30|$229.00|$248.00|$298.76|$202.32|$180.26|$180.26
"CPT® 72220"|"HB X-RAY EXAM SACRUM TAILBONE"|320.00|$833.00|$166.60|$589.76|$583.00||$380.68|$166.60|$589.76|$305.71|$389.01|$416.50|$470.65|$374.85|$229.00|$248.00|$321.54|$217.75|$194.01|$194.01
"CPT® 72265"|"HB MYELOGRAPHY L-S SPINE"|320.00|$2462.00|$229.00|$1743.10|$1723.00||$1125.13|$492.40|$1743.10|$903.55|$1149.75|$1231.00|$1391.03|$1107.90|$229.00|$248.00|$950.33|$643.57|$573.40|$573.40
"CPT® 72295"|"HB X-RAY LOWER SPINE DISK; S&I"|320.00|$2813.00|$229.00|$1991.60|$1969.00||$1285.54|$562.60|$1991.60|$1032.37|$1313.67|$1406.50|$1589.35|$1265.85|$229.00|$248.00|$1085.82|$735.32|$655.15|$655.15
"CPT® 73000"|"HB X-RAY EXAM OF COLLAR BONE"|320.00|$613.00|$122.60|$434.00|$429.00||$280.14|$122.60|$434.00|$224.97|$286.27|$306.50|$346.35|$275.85|$229.00|$248.00|$236.62|$160.24|$142.77|$142.77
"CPT® 73010"|"HB X-RAY EXAM OF SHOULDER BLADE"|320.00|$561.00|$112.20|$397.19|$393.00||$256.38|$112.20|$397.19|$205.89|$261.99|$280.50|$316.97|$252.45|$229.00|$248.00|$216.55|$146.65|$130.66|$130.66
"CPT® 73020"|"HB X-RAY EXAM OF SHOULDER 1 VIEW"|320.00|$466.00|$93.20|$329.93|$326.00||$212.96|$93.20|$329.93|$171.02|$217.62|$233.00|$263.29|$209.70|$229.00|$248.00|$179.88|$121.81|$108.53|$108.53
"CPT® 73030"|"HB X-RAY EXAM OF SHOULDER MINIMUM 2 VIEWS"|320.00|$699.00|$139.80|$494.89|$489.00||$319.44|$139.80|$494.89|$256.53|$326.43|$349.50|$394.94|$314.55|$229.00|$248.00|$269.81|$182.72|$162.80|$162.80
"CPT® 73040"|"HB SHOULDER ARTHROGRAPHY; S&I"|320.00|$1695.00|$229.00|$1200.06|$1186.00||$774.62|$339.00|$1200.06|$622.07|$791.57|$847.50|$957.68|$762.75|$229.00|$248.00|$654.27|$443.07|$394.77|$394.77
"CPT® 73050"|"HB X-RAY EXAM OF SHOULDERS"|320.00|$857.00|$171.40|$606.76|$600.00||$391.65|$171.40|$606.76|$314.52|$400.22|$428.50|$484.21|$385.65|$229.00|$248.00|$330.80|$224.02|$199.60|$199.60
"CPT® 73060"|"HB X-RAY HUMERUS MINIMUM 2 VIEW"|320.00|$694.00|$138.80|$491.35|$486.00||$317.16|$138.80|$491.35|$254.70|$324.10|$347.00|$392.11|$312.30|$229.00|$248.00|$267.88|$181.41|$161.63|$161.63
"CPT® 73070"|"HB X-RAY EXAM OF ELBOW 2 VIEWS"|320.00|$412.00|$82.40|$291.70|$288.00||$188.28|$82.40|$291.70|$151.20|$192.40|$206.00|$232.78|$185.40|$229.00|$248.00|$159.03|$107.70|$95.95|$95.95
"CPT® 73080"|"HB X-RAY EXAM OF ELBOW 3 VIEWS"|320.00|$648.00|$129.60|$458.78|$454.00||$296.14|$129.60|$458.78|$237.82|$302.62|$324.00|$366.12|$291.60|$229.00|$248.00|$250.13|$169.39|$150.92|$150.92
"CPT® 73090"|"HB X-RAY EXAM OF FOREARM 2 VIEWS"|320.00|$579.00|$115.80|$409.93|$405.00||$264.60|$115.80|$409.93|$212.49|$270.39|$289.50|$327.14|$260.55|$229.00|$248.00|$223.49|$151.35|$134.85|$134.85
"CPT® 73092"|"HB X-RAY UPPER EXTREMITY INFANT, MINIMUM 2 VIEWS"|320.00|$507.00|$101.40|$358.96|$355.00||$231.70|$101.40|$358.96|$186.07|$236.77|$253.50|$286.46|$228.15|$229.00|$248.00|$195.70|$132.53|$118.08|$118.08
"CPT® 73100"|"HB X-RAY EXAM OF WRIST 2 VIEWS"|320.00|$449.00|$89.80|$317.89|$314.00||$205.19|$89.80|$317.89|$164.78|$209.68|$224.50|$253.69|$202.05|$229.00|$248.00|$173.31|$117.37|$104.57|$104.57
"CPT® 73110"|"HB X-RAY EXAM OF WRIST 3 VIEWS"|320.00|$552.00|$110.40|$390.82|$386.00||$252.26|$110.40|$390.82|$202.58|$257.78|$276.00|$311.88|$248.40|$229.00|$248.00|$213.07|$144.29|$128.56|$128.56
"CPT® 73120"|"HB X-RAY EXAM OF HAND 2 VIEWS"|320.00|$584.00|$116.80|$413.47|$409.00||$266.89|$116.80|$413.47|$214.33|$272.73|$292.00|$329.96|$262.80|$229.00|$248.00|$225.42|$152.66|$136.01|$136.01
"CPT® 73130"|"HB X-RAY EXAM OF HAND 3 VIEWS"|320.00|$613.00|$122.60|$434.00|$429.00||$280.14|$122.60|$434.00|$224.97|$286.27|$306.50|$346.35|$275.85|$229.00|$248.00|$236.62|$160.24|$142.77|$142.77
"CPT® 73140"|"HB X-RAY EXAM OF FINGER(S) MIN 2 VIEWS"|320.00|$514.00|$102.80|$363.91|$360.00||$234.90|$102.80|$363.91|$188.64|$240.04|$257.00|$290.41|$231.30|$229.00|$248.00|$198.40|$134.36|$119.71|$119.71
"CPT® 73523"|"HB X-RAY HIPS, BILATERAL WITH PELVIS, MINIMUM 5 VIEWS"|320.00|$926.00|$185.20|$655.61|$648.00||$423.18|$185.20|$655.61|$339.84|$432.44|$463.00|$523.19|$416.70|$229.00|$248.00|$357.44|$242.06|$215.67|$215.67
"CPT® 73503"|"HB X-RAY EXAM HIP UNILATERAL MIN 4 VIEWS"|320.00|$1200.00|$229.00|$849.60|$840.00||$548.40|$240.00|$849.60|$440.40|$560.40|$600.00|$678.00|$540.00|$229.00|$248.00|$463.20|$313.68|$279.48|$279.48
"CPT® 73560"|"HB X-RAY EXAM OF KNEE 1 OR 2"|320.00|$624.00|$124.80|$441.79|$437.00||$285.17|$124.80|$441.79|$229.01|$291.41|$312.00|$352.56|$280.80|$229.00|$248.00|$240.86|$163.11|$145.33|$145.33
"CPT® 73562"|"HB X-RAY EXAM OF KNEE 3"|320.00|$671.00|$134.20|$475.07|$470.00||$306.65|$134.20|$475.07|$246.26|$313.36|$335.50|$379.12|$301.95|$229.00|$248.00|$259.01|$175.40|$156.28|$156.28
"CPT® 73564"|"HB X-RAY EXAM KNEE 4 OR MORE"|320.00|$812.00|$162.40|$574.90|$568.00||$371.08|$162.40|$574.90|$298.00|$379.20|$406.00|$458.78|$365.40|$229.00|$248.00|$313.43|$212.26|$189.11|$189.11
"CPT® 73565"|"HB X-RAY EXAM OF KNEES"|320.00|$540.00|$108.00|$382.32|$378.00||$246.78|$108.00|$382.32|$198.18|$252.18|$270.00|$305.10|$243.00|$229.00|$248.00|$208.44|$141.16|$125.77|$125.77
"CPT® 73590"|"HB X-RAY EXAM OF LOWER LEG"|320.00|$602.00|$120.40|$426.22|$421.00||$275.11|$120.40|$426.22|$220.93|$281.13|$301.00|$340.13|$270.90|$229.00|$248.00|$232.37|$157.36|$140.21|$140.21
"CPT® 73592"|"HB X-RAY EXAM OF LEG INFANT"|320.00|$536.00|$107.20|$379.49|$375.00||$244.95|$107.20|$379.49|$196.71|$250.31|$268.00|$302.84|$241.20|$229.00|$248.00|$206.90|$140.11|$124.83|$124.83
"CPT® 73600"|"HB X-RAY EXAM OF ANKLE 2 VIEWS"|320.00|$433.00|$86.60|$306.56|$303.00||$197.88|$86.60|$306.56|$158.91|$202.21|$216.50|$244.65|$194.85|$229.00|$248.00|$167.14|$113.19|$100.85|$100.85
"CPT® 73610"|"HB X-RAY EXAM OF ANKLE 3 VIEWS"|320.00|$608.00|$121.60|$430.46|$426.00||$277.86|$121.60|$430.46|$223.14|$283.94|$304.00|$343.52|$273.60|$229.00|$248.00|$234.69|$158.93|$141.60|$141.60
"CPT® 73620"|"HB X-RAY EXAM OF FOOT 2 VIEWS"|320.00|$364.00|$72.80|$257.71|$255.00||$166.35|$72.80|$257.71|$133.59|$169.99|$182.00|$205.66|$163.80|$229.00|$248.00|$140.50|$95.15|$84.78|$84.78
"CPT® 73630"|"HB X-RAY EXAM OF FOOT 3 VIEWS"|320.00|$666.00|$133.20|$471.53|$466.00||$304.36|$133.20|$471.53|$244.42|$311.02|$333.00|$376.29|$299.70|$229.00|$248.00|$257.08|$174.09|$155.11|$155.11
"CPT® 73650"|"HB X-RAY EXAM OF HEEL"|320.00|$525.00|$105.00|$371.70|$368.00||$239.93|$105.00|$371.70|$192.68|$245.18|$262.50|$296.63|$236.25|$229.00|$248.00|$202.65|$137.24|$122.27|$122.27
"CPT® 73660"|"HB X-RAY EXAM OF TOE(S)"|320.00|$489.00|$97.80|$346.21|$342.00||$223.47|$97.80|$346.21|$179.46|$228.36|$244.50|$276.29|$220.05|$229.00|$248.00|$188.75|$127.82|$113.89|$113.89
"CPT® 74018"|"HB XRAY EXAM ABDOMEN 1 VIEW"|320.00|$524.00|$104.80|$370.99|$367.00||$239.47|$104.80|$370.99|$192.31|$244.71|$262.00|$296.06|$235.80|$229.00|$248.00|$202.26|$136.97|$122.04|$122.04
"CPT® 74022"|"HB X-RAY EXAM SERIES ABDOMEN"|320.00|$721.00|$144.20|$510.47|$505.00||$329.50|$144.20|$510.47|$264.61|$336.71|$360.50|$407.37|$324.45|$229.00|$248.00|$278.31|$188.47|$167.92|$167.92
"CPT® 74220"|"HB SINGLE CONTRAST X-RAY ESOPHAGUS"|320.00|$1013.00|$202.60|$717.20|$709.00||$462.94|$202.60|$717.20|$371.77|$473.07|$506.50|$572.35|$455.85|$229.00|$248.00|$391.02|$264.80|$235.93|$235.93
"CPT® 74230"|"HB CINE/VID X-RAY THROAT/ESOPH"|320.00|$934.00|$186.80|$661.27|$654.00||$426.84|$186.80|$661.27|$342.78|$436.18|$467.00|$527.71|$420.30|$229.00|$248.00|$360.52|$244.15|$217.53|$217.53
"CPT® 74240"|"HB RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY"|320.00|$783.00|$156.60|$554.36|$548.00||$357.83|$156.60|$554.36|$287.36|$365.66|$391.50|$442.40|$352.35|$229.00|$248.00|$302.24|$204.68|$182.36|$182.36
"CPT® 74246"|"HB X-RAY UPPER GI, DOUBLE CONTRAST"|320.00|$940.00|$188.00|$665.52|$658.00||$429.58|$188.00|$665.52|$344.98|$438.98|$470.00|$531.10|$423.00|$229.00|$248.00|$362.84|$245.72|$218.93|$218.93
"CPT® 74250"|"HB RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY"|320.00|$1034.00|$206.80|$732.07|$724.00||$472.54|$206.80|$732.07|$379.48|$482.88|$517.00|$584.21|$465.30|$229.00|$248.00|$399.12|$270.29|$240.82|$240.82
"CPT® 74270"|"HB RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY"|320.00|$1092.00|$218.40|$773.14|$764.00||$499.04|$218.40|$773.14|$400.76|$509.96|$546.00|$616.98|$491.40|$229.00|$248.00|$421.51|$285.45|$254.33|$254.33
"CPT® 74280"|"HB RADIOLOGIC EXAM COLON DOUBLE CONTRAST"|320.00|$1416.00|$229.00|$1002.53|$991.00||$647.11|$283.20|$1002.53|$519.67|$661.27|$708.00|$800.04|$637.20|$229.00|$248.00|$546.58|$370.14|$329.79|$329.79
"CPT® 74283"|"HB X-RAY COLON, THERAPEUTIC ENEMA/CONTRAST/AIR FOR OBSTRUCTION"|320.00|$873.00|$174.60|$618.08|$611.00||$398.96|$174.60|$618.08|$320.39|$407.69|$436.50|$493.25|$392.85|$229.00|$248.00|$336.98|$228.20|$203.32|$203.32
"CPT® 74300"|"HB X-RAY BILE DUCTS/PANCREAS"|320.00|$1416.00|$229.00|$1002.53|$991.00||$647.11|$283.20|$1002.53|$519.67|$661.27|$708.00|$800.04|$637.20|$229.00|$248.00|$546.58|$370.14|$329.79|$329.79
"CPT® 74328"|"HB X-RAY BILE DUCT ENDOSCOPY"|320.00|$1734.00|$229.00|$1227.67|$1214.00||$792.44|$346.80|$1227.67|$636.38|$809.78|$867.00|$979.71|$780.30|$229.00|$248.00|$669.32|$453.27|$403.85|$403.85
"CPT® 74330"|"HB X-RAY BILE/PANCREAS ENDOSCOPY; S&I"|320.00|$2464.00|$229.00|$1744.51|$1725.00||$1126.05|$492.80|$1744.51|$904.29|$1150.69|$1232.00|$1392.16|$1108.80|$229.00|$248.00|$951.10|$644.09|$573.87|$573.87
"CPT® 74340"|"HB X-RAY GUIDE FOR GI TUBE"|320.00|$710.00|$142.00|$502.68|$497.00||$324.47|$142.00|$502.68|$260.57|$331.57|$355.00|$401.15|$319.50|$229.00|$248.00|$274.06|$185.59|$165.36|$165.36
"CPT® 74355"|"HB X-RAY GUIDE INTESTINAL TUBE"|320.00|$1573.00|$229.00|$1113.68|$1101.00||$718.86|$314.60|$1113.68|$577.29|$734.59|$786.50|$888.75|$707.85|$229.00|$248.00|$607.18|$411.18|$366.35|$366.35
"CPT® 74360"|"HB X-RAY INTRALUMINAL DILATION S&I"|320.00|$653.00|$130.60|$462.32|$457.00||$298.42|$130.60|$462.32|$239.65|$304.95|$326.50|$368.95|$293.85|$229.00|$248.00|$252.06|$170.69|$152.08|$152.08
"CPT® 74400"|"HB UROGRAPHY, INTRAVENOUS; W/ OR W/OUT KUB; W/ OR W/OUT TOMOGRAPHY"|320.00|$1321.00|$229.00|$935.27|$925.00||$603.70|$264.20|$935.27|$484.81|$616.91|$660.50|$746.37|$594.45|$229.00|$248.00|$509.91|$345.31|$307.66|$307.66
"CPT® 74420"|"HB UROGRAPHY, RETROGRADE; WITH OR WITHOUT KUB"|320.00|$1398.00|$229.00|$989.78|$979.00||$638.89|$279.60|$989.78|$513.07|$652.87|$699.00|$789.87|$629.10|$229.00|$248.00|$539.63|$365.44|$325.59|$325.59
"CPT® 74425"|"HB UROGRAPHY, ANTEGRADE; S&I"|320.00|$1352.00|$229.00|$957.22|$946.00||$617.86|$270.40|$957.22|$496.18|$631.38|$676.00|$763.88|$608.40|$229.00|$248.00|$521.87|$353.41|$314.88|$314.88
"CPT® 74430"|"HB CYSTOGRAPHY, MINIMUM 3 VIEWS; S&I"|320.00|$1431.00|$229.00|$1013.15|$1002.00||$653.97|$286.20|$1013.15|$525.18|$668.28|$715.50|$808.52|$643.95|$229.00|$248.00|$552.37|$374.06|$333.28|$333.28
"CPT® 74450"|"HB URETHROCYSTOGRAPHY, RETROGRADE; S&I"|320.00|$1535.00|$229.00|$1086.78|$1074.00||$701.50|$307.00|$1086.78|$563.35|$716.85|$767.50|$867.28|$690.75|$229.00|$248.00|$592.51|$401.25|$357.50|$357.50
"CPT® 74455"|"HB URETHROCYSTOGRAPHY, VOIDING; S&I"|320.00|$1306.00|$229.00|$924.65|$914.00||$596.84|$261.20|$924.65|$479.30|$609.90|$653.00|$737.89|$587.70|$229.00|$248.00|$504.12|$341.39|$304.17|$304.17
"CPT® 74470"|"HB X-RAY RENAL CYST STUDY, TRANSLUMBAR; S&I"|320.00|$1479.00|$229.00|$1047.13|$1035.00||$675.90|$295.80|$1047.13|$542.79|$690.69|$739.50|$835.64|$665.55|$229.00|$248.00|$570.89|$386.61|$344.46|$344.46
"CPT® 74485"|"HB DILATION NEPHROSTOMY/URETERS/URETHRA; S&I"|320.00|$2487.00|$229.00|$1760.80|$1741.00||$1136.56|$497.40|$1760.80|$912.73|$1161.43|$1243.50|$1405.16|$1119.15|$229.00|$248.00|$959.98|$650.10|$579.22|$579.22
"CPT® 74740"|"HB X-RAY FEMALE GENITAL TRACT"|320.00|$1647.00|$229.00|$1166.08|$1153.00||$752.68|$329.40|$1166.08|$604.45|$769.15|$823.50|$930.56|$741.15|$229.00|$248.00|$635.74|$430.53|$383.59|$383.59
"CPT® 74775"|"HB X-RAY EXAM OF PERINEUM"|320.00|$1052.00|$210.40|$744.82|$736.00||$480.76|$210.40|$744.82|$386.08|$491.28|$526.00|$594.38|$473.40|$229.00|$248.00|$406.07|$274.99|$245.01|$245.01
"CPT® 75600"|"HB AORTOGRAPHY THORACIC WITHOUT SERIALOGRAPHY; S&I"|320.00|$4630.00|$229.00|$3278.04|$3241.00||$2115.91|$926.00|$3278.04|$1699.21|$2162.21|$2315.00|$2615.95|$2083.50|$229.00|$248.00|$1787.18|$1210.28|$1078.33|$1078.33
"CPT® 75705"|"HB ARTERY X-RAYS- SPINE"|320.00|$2709.00|$229.00|$1917.97|$1896.00||$1238.01|$541.80|$1917.97|$994.20|$1265.10|$1354.50|$1530.59|$1219.05|$229.00|$248.00|$1045.67|$708.13|$630.93|$630.93
"CPT® 75710"|"HB ANGIOGRAPHY EXTREMITY, UNILATERAL; S&I"|320.00|$4981.00|$229.00|$3526.55|$3487.00||$2276.32|$996.20|$3526.55|$1828.03|$2326.13|$2490.50|$2814.27|$2241.45|$229.00|$248.00|$1922.67|$1302.03|$1160.07|$1160.07
"CPT® 75716"|"HB ANGIOGRAPHY EXTREMITY, BILATERAL; S&I"|320.00|$5623.00|$229.00|$3981.08|$3936.00||$2569.71|$1124.60|$3981.08|$2063.64|$2625.94|$2811.50|$3177.00|$2530.35|$229.00|$248.00|$2170.48|$1469.85|$1309.60|$1309.60
"CPT® 75726"|"HB ANGIOGRAPHY ABDOMEN VISCERAL; S&I"|320.00|$4365.00|$229.00|$3090.42|$3056.00||$1994.81|$873.00|$3090.42|$1601.96|$2038.46|$2182.50|$2466.23|$1964.25|$229.00|$248.00|$1684.89|$1141.01|$1016.61|$1016.61
"CPT® 75736"|"HB ARTERY X-RAYS- PELVIS"|320.00|$5922.00|$229.00|$4192.78|$4145.00||$2706.35|$1184.40|$4192.78|$2173.37|$2765.57|$2961.00|$3345.93|$2664.90|$229.00|$248.00|$2285.89|$1548.01|$1379.23|$1379.23
"CPT® 75741"|"HB ANGIOGRAPHY PULMONARY, UNILATERAL; S&I"|320.00|$7932.00|$229.00|$5615.86|$5552.00||$3624.92|$1586.40|$5615.86|$2911.04|$3704.24|$3966.00|$4481.58|$3569.40|$229.00|$248.00|$3061.75|$2073.42|$1847.36|$1847.36
"CPT® 75743"|"HB ARTERY X-RAYS LUNGS"|320.00|$7203.00|$229.00|$5099.72|$5042.00||$3291.77|$1440.60|$5099.72|$2643.50|$3363.80|$3601.50|$4069.70|$3241.35|$229.00|$248.00|$2780.36|$1882.86|$1677.58|$1677.58
"CPT® 75809"|"HB NONVASCULAR SHUNT X-RAY"|320.00|$465.00|$93.00|$329.22|$326.00||$212.51|$93.00|$329.22|$170.66|$217.16|$232.50|$262.73|$209.25|$229.00|$248.00|$179.49|$121.55|$108.30|$108.30
"CPT® 75820"|"HB VENOGRAPHY EXTREMITY, UNILATERAL; S&I"|320.00|$2420.00|$229.00|$1713.36|$1694.00||$1105.94|$484.00|$1713.36|$888.14|$1130.14|$1210.00|$1367.30|$1089.00|$229.00|$248.00|$934.12|$632.59|$563.62|$563.62
"CPT® 75822"|"HB VENOGRAPHY EXTREMITY, BILATERAL; S&I"|320.00|$2276.00|$229.00|$1611.41|$1593.00||$1040.13|$455.20|$1611.41|$835.29|$1062.89|$1138.00|$1285.94|$1024.20|$229.00|$248.00|$878.54|$594.95|$530.08|$530.08
"CPT® 75825"|"HB VENOGRAPHY CAVAL, INFERIOR; S&I"|320.00|$5195.00|$229.00|$3678.06|$3636.00||$2374.12|$1039.00|$3678.06|$1906.57|$2426.07|$2597.50|$2935.18|$2337.75|$229.00|$248.00|$2005.27|$1357.97|$1209.92|$1209.92
"CPT® 75827"|"HB VENOGRAPHY CAVAL, SUPERIOR W WITH SERIALOGRAPHY; S&I"|320.00|$4079.00|$229.00|$2887.93|$2855.00||$1864.10|$815.80|$2887.93|$1496.99|$1904.89|$2039.50|$2304.64|$1835.55|$229.00|$248.00|$1574.49|$1066.25|$950.00|$950.00
"CPT® 75831"|"HB VENOGRAPHY RENAL, UNILATERAL; S&I"|320.00|$7451.00|$229.00|$5275.31|$5216.00||$3405.11|$1490.20|$5275.31|$2734.52|$3479.62|$3725.50|$4209.82|$3352.95|$229.00|$248.00|$2876.09|$1947.69|$1735.34|$1735.34
"CPT® 75833"|"HB VENOGRAPHY RENAL, BILATERAL; S&I"|320.00|$5525.00|$229.00|$3911.70|$3867.00||$2524.93|$1105.00|$3911.70|$2027.68|$2580.18|$2762.50|$3121.63|$2486.25|$229.00|$248.00|$2132.65|$1444.24|$1286.77|$1286.77
"CPT® 75860"|"HB VENOGRAPHY VENOUS SINUS/JUGULAR, CATHETER; S&I"|320.00|$2246.00|$229.00|$1590.17|$1572.00||$1026.42|$449.20|$1590.17|$824.28|$1048.88|$1123.00|$1268.99|$1010.70|$229.00|$248.00|$866.96|$587.10|$523.09|$523.09
"CPT® 75885"|"HB PORTOGRAPHY LIVER WITH HEMODYNAMIC EVAL; S&I"|320.00|$8569.00|$229.00|$6066.85|$5998.00||$3916.03|$1713.80|$6066.85|$3144.82|$4001.72|$4284.50|$4841.49|$3856.05|$229.00|$248.00|$3307.63|$2239.94|$1995.72|$1995.72
"CPT® 75887"|"HB PORTOGRAPHY LIVER WITHOUT HEMODYNAMIC EVAL; S&I"|320.00|$3842.00|$229.00|$2720.14|$2689.00||$1755.79|$768.40|$2720.14|$1410.01|$1794.21|$1921.00|$2170.73|$1728.90|$229.00|$248.00|$1483.01|$1004.30|$894.80|$894.80
"CPT® 75889"|"HB HEPATIC VENOGRAPHY WITH HEMODYNAMIC EVAL; S&I"|320.00|$7264.00|$229.00|$5142.91|$5085.00||$3319.65|$1452.80|$5142.91|$2665.89|$3392.29|$3632.00|$4104.16|$3268.80|$229.00|$248.00|$2803.90|$1898.81|$1691.79|$1691.79
"CPT® 75891"|"HB HEPATIC VENOGRAPHY WITHOUT HEMODYNAMIC EVAL; S&I"|320.00|$7156.00|$229.00|$5066.45|$5009.00||$3270.29|$1431.20|$5066.45|$2626.25|$3341.85|$3578.00|$4043.14|$3220.20|$229.00|$248.00|$2762.22|$1870.58|$1666.63|$1666.63
"CPT® 75894"|"HB TRANSCATHETER THERAPY, EMBOLIZATION; S&I"|320.00|$7577.00|$229.00|$5364.52|$5304.00||$3462.69|$1515.40|$5364.52|$2780.76|$3538.46|$3788.50|$4281.01|$3409.65|$229.00|$248.00|$2924.72|$1980.63|$1764.68|$1764.68
"CPT® 75898"|"HB ANGIOGRAPHY FOLLOW-UP, THROUGH EXISTING CATHETER"|320.00|$3594.00|$229.00|$2544.55|$2516.00||$1642.46|$718.80|$2544.55|$1319.00|$1678.40|$1797.00|$2030.61|$1617.30|$229.00|$248.00|$1387.28|$939.47|$837.04|$837.04
"CPT® 75901"|"HB REMOVE CVA DEVICE OBSTRUCT; S&I"|320.00|$1916.00|$229.00|$1356.53|$1341.00||$875.61|$383.20|$1356.53|$703.17|$894.77|$958.00|$1082.54|$862.20|$229.00|$248.00|$739.58|$500.84|$446.24|$446.24
"CPT® 75970"|"HB TRANSCATHETER BIOPSY; S&I"|320.00|$3904.00|$229.00|$2764.03|$2733.00||$1784.13|$780.80|$2764.03|$1432.77|$1823.17|$1952.00|$2205.76|$1756.80|$229.00|$248.00|$1506.94|$1020.51|$909.24|$909.24
"CPT® 75989"|"HB RADIOLOGICAL GUIDANCE, PERCUTANEOUS DRAINAGE; S&I"|320.00|$2179.00|$229.00|$1542.73|$1525.00||$995.80|$435.80|$1542.73|$799.69|$1017.59|$1089.50|$1231.14|$980.55|$229.00|$248.00|$841.09|$569.59|$507.49|$507.49
"CPT® 76000"|"HB FLUOROSCOPY, UP TO 1 HOUR"|320.00|$1020.00|$204.00|$722.16|$714.00||$466.14|$204.00|$722.16|$374.34|$476.34|$510.00|$576.30|$459.00|$229.00|$248.00|$393.72|$266.63|$237.56|$237.56
"CPT® 76010"|"HB X-RAY NOSE TO RECTUM"|320.00|$503.00|$100.60|$356.12|$352.00||$229.87|$100.60|$356.12|$184.60|$234.90|$251.50|$284.20|$226.35|$229.00|$248.00|$194.16|$131.48|$117.15|$117.15
"CPT® 76080"|"HB X-RAY ABSCESS/FISTULA/SINUS STUDY S&I"|320.00|$1398.00|$229.00|$989.78|$979.00||$638.89|$279.60|$989.78|$513.07|$652.87|$699.00|$789.87|$629.10|$229.00|$248.00|$539.63|$365.44|$325.59|$325.59
"CPT® 76098"|"HB X-RAY EXAM BREAST SPECIMEN"|320.00|$886.00|$177.20|$627.29|$620.00||$404.90|$177.20|$627.29|$325.16|$413.76|$443.00|$500.59|$398.70|$229.00|$248.00|$342.00|$231.60|$206.35|$206.35
"CPT® 76120"|"HB CINERADIOGRAPHY/VIDEORADIOGRAPHY"|320.00|$712.00|$142.40|$504.10|$498.00||$325.38|$142.40|$504.10|$261.30|$332.50|$356.00|$402.28|$320.40|$229.00|$248.00|$274.83|$186.12|$165.82|$165.82
"CPT® 76376"|"HB 3D RENDERING WITHOUT INDEPENDENT WORKSTATION"|320.00|$1077.00|$215.40|$762.52|$754.00||$492.19|$215.40|$762.52|$395.26|$502.96|$538.50|$608.51|$484.65|$229.00|$248.00|$415.72|$281.53|$250.83|$250.83
"CPT® 76377"|"HB 3D RENDERING WITH INDEPENDENT WORKSTATION"|320.00|$1323.00|$229.00|$936.68|$926.00||$604.61|$264.60|$936.68|$485.54|$617.84|$661.50|$747.50|$595.35|$229.00|$248.00|$510.68|$345.83|$308.13|$308.13
"CPT® 77001"|"HB FLUOROSCOPIC GUIDANCE, CVA DEVICE PLACEMENT/REPLACE/REMOVAL"|320.00|$662.00|$132.40|$468.70|$463.00||$302.53|$132.40|$468.70|$242.95|$309.15|$331.00|$374.03|$297.90|$229.00|$248.00|$255.53|$173.05|$154.18|$154.18
"CPT® 77002"|"HB FLUOROSCOPIC GUIDANCE, NEEDLE PLACEMENT"|320.00|$1062.00|$212.40|$751.90|$743.00||$485.33|$212.40|$751.90|$389.75|$495.95|$531.00|$600.03|$477.90|$229.00|$248.00|$409.93|$277.61|$247.34|$247.34
"CPT® 77003"|"HB FLUOROSCOPIC GUIDANCE/LOCALIZATION, SPINE INJECTION"|320.00|$1371.00|$229.00|$970.67|$960.00||$626.55|$274.20|$970.67|$503.16|$640.26|$685.50|$774.62|$616.95|$229.00|$248.00|$529.21|$358.38|$319.31|$319.31
"CPT® 77053"|"HB X-RAY OF MAMMARY DUCT"|320.00|$755.00|$151.00|$534.54|$528.00||$345.04|$151.00|$534.54|$277.09|$352.59|$377.50|$426.58|$339.75|$229.00|$248.00|$291.43|$197.36|$175.84|$175.84
"CPT® 77054"|"HB X-RAY OF MAMMARY DUCTS"|320.00|$918.00|$183.60|$649.94|$643.00||$419.53|$183.60|$649.94|$336.91|$428.71|$459.00|$518.67|$413.10|$229.00|$248.00|$354.35|$239.97|$213.80|$213.80
"CPT® 77072"|"HB X-RAYS FOR BONE AGE"|320.00|$518.00|$103.60|$366.74|$363.00||$236.73|$103.60|$366.74|$190.11|$241.91|$259.00|$292.67|$233.10|$229.00|$248.00|$199.95|$135.41|$120.64|$120.64
"CPT® 77073"|"HB X-RAYS BONE LENGTH STUDIES"|320.00|$865.00|$173.00|$612.42|$606.00||$395.31|$173.00|$612.42|$317.46|$403.96|$432.50|$488.73|$389.25|$229.00|$248.00|$333.89|$226.11|$201.46|$201.46
"CPT® 77074"|"HB X-RAYS BONE SURVEY LIMITED"|320.00|$1280.00|$229.00|$906.24|$896.00||$584.96|$256.00|$906.24|$469.76|$597.76|$640.00|$723.20|$576.00|$229.00|$248.00|$494.08|$334.59|$298.11|$298.11
"CPT® 77075"|"HB X-RAYS BONE SURVEY COMPLETE"|320.00|$1663.00|$229.00|$1177.40|$1164.00||$759.99|$332.60|$1177.40|$610.32|$776.62|$831.50|$939.60|$748.35|$229.00|$248.00|$641.92|$434.71|$387.31|$387.31
"CPT® 77076"|"HB X-RAYS BONE SURVEY INFANT"|320.00|$1402.00|$229.00|$992.62|$981.00||$640.71|$280.40|$992.62|$514.53|$654.73|$701.00|$792.13|$630.90|$229.00|$248.00|$541.17|$366.48|$326.53|$326.53
"CPT® 77077"|"HB JOINT SURVEY SINGLE VIEW"|320.00|$545.00|$109.00|$385.86|$382.00||$249.07|$109.00|$385.86|$200.02|$254.52|$272.50|$307.93|$245.25|$229.00|$248.00|$210.37|$142.46|$126.93|$126.93
"CPT® 77080"|"HB DXA BONE DENSITY STUDY, 1 OR MORE SITES, AXIAL SKELETON"|320.00|$713.00|$142.60|$504.80|$499.00||$325.84|$142.60|$504.80|$261.67|$332.97|$356.50|$402.85|$320.85|$229.00|$248.00|$275.22|$186.38|$166.06|$166.06
"CPT® 77081"|"HB DXA BONE DENSITY/PERIPHERAL"|320.00|$413.00|$82.60|$292.40|$289.00||$188.74|$82.60|$292.40|$151.57|$192.87|$206.50|$233.35|$185.85|$229.00|$248.00|$159.42|$107.96|$96.19|$96.19
"CPT® 77085"|"HB DXA BONE DENSITY STUDY"|320.00|$524.00|$104.80|$370.99|$367.00||$239.47|$104.80|$370.99|$192.31|$244.71|$262.00|$296.06|$235.80|$229.00|$248.00|$202.26|$136.97|$122.04|$122.04
"CPT® 77086"|"HB FRACTURE ASSESSMENT VIA DXA"|320.00|$736.00|$147.20|$521.09|$515.00||$336.35|$147.20|$521.09|$270.11|$343.71|$368.00|$415.84|$331.20|$229.00|$248.00|$284.10|$192.39|$171.41|$171.41
"CPT® 73560"|"HB X-RAY KNEE 1 OR 2 VIEWS"|320.00|$624.00|$124.80|$441.79|$437.00||$285.17|$124.80|$441.79|$229.01|$291.41|$312.00|$352.56|$280.80|$229.00|$248.00|$240.86|$163.11|$145.33|$145.33
"CPT® 73562"|"HB X-RAY KNEE 3 VIEWS"|320.00|$671.00|$134.20|$475.07|$470.00||$306.65|$134.20|$475.07|$246.26|$313.36|$335.50|$379.12|$301.95|$229.00|$248.00|$259.01|$175.40|$156.28|$156.28
"CPT® 75889"|"HB VEIN X-RAY LIVER W/HEMODYNAM"|320.00|$5645.00|$229.00|$3996.66|$3951.00||$2579.77|$1129.00|$3996.66|$2071.72|$2636.22|$2822.50|$3189.43|$2540.25|$229.00|$248.00|$2178.97|$1475.60|$1314.72|$1314.72
"CPT® 73551"|"HB X-RAY EXAM OF FEMUR 1 VIEW"|320.00|$478.00|$95.60|$338.42|$335.00||$218.45|$95.60|$338.42|$175.43|$223.23|$239.00|$270.07|$215.10|$229.00|$248.00|$184.51|$124.95|$111.33|$111.33
"CPT® 72083"|"HB XRAY EXAM ENTIRE SPINE 4-5 VIEWS"|320.00|$837.00|$167.40|$592.60|$586.00||$382.51|$167.40|$592.60|$307.18|$390.88|$418.50|$472.91|$376.65|$229.00|$248.00|$323.08|$218.79|$194.94|$194.94
"CPT® 72081"|"HB X-RAY EXAM ENTIRE SPINE 1 VIEW"|320.00|$688.00|$137.60|$487.10|$482.00||$314.42|$137.60|$487.10|$252.50|$321.30|$344.00|$388.72|$309.60|$229.00|$248.00|$265.57|$179.84|$160.24|$160.24
"CPT® 72082"|"HB X-RAY EXAM ENTIRE SPI 2/3 VW"|320.00|$923.00|$184.60|$653.48|$646.00||$421.81|$184.60|$653.48|$338.74|$431.04|$461.50|$521.50|$415.35|$229.00|$248.00|$356.28|$241.27|$214.97|$214.97
"CPT® 73501"|"HB X-RAY HIP UNILATERAL WITH PELVIS 1 VIEW"|320.00|$596.00|$119.20|$421.97|$417.00||$272.37|$119.20|$421.97|$218.73|$278.33|$298.00|$336.74|$268.20|$229.00|$248.00|$230.06|$155.79|$138.81|$138.81
"CPT® 73502"|"HB X-RAY EXAM HIP UNILATERAL 2-3 VIEWS"|320.00|$586.00|$117.20|$414.89|$410.00||$267.80|$117.20|$414.89|$215.06|$273.66|$293.00|$331.09|$263.70|$229.00|$248.00|$226.20|$153.18|$136.48|$136.48
"CPT® 73521"|"HB X-RAY EXAM HIPS BILATERAL 2 VIEWS"|320.00|$1005.00|$201.00|$711.54|$704.00||$459.29|$201.00|$711.54|$368.84|$469.34|$502.50|$567.83|$452.25|$229.00|$248.00|$387.93|$262.71|$234.06|$234.06
"CPT® 73522"|"HB X-RAY EXAM HIPS BILATERAL 3-4 VIEWS"|320.00|$1264.00|$229.00|$894.91|$885.00||$577.65|$252.80|$894.91|$463.89|$590.29|$632.00|$714.16|$568.80|$229.00|$248.00|$487.90|$330.41|$294.39|$294.39
"CPT® 73552"|"HB X-RAY EXAM OF FEMUR MIN 2 VIEWS"|320.00|$673.00|$134.60|$476.48|$471.00||$307.56|$134.60|$476.48|$246.99|$314.29|$336.50|$380.25|$302.85|$229.00|$248.00|$259.78|$175.92|$156.74|$156.74
"CPT® 72084"|"HB X-RAY EXAM OF SPINE, MIN 6 VIEWS"|320.00|$2317.00|$229.00|$1640.44|$1622.00||$1058.87|$463.40|$1640.44|$850.34|$1082.04|$1158.50|$1309.11|$1042.65|$229.00|$248.00|$894.36|$605.66|$539.63|$539.63
"CPT® 74019"|"HB X-RAY EXAM ABDOMEN 2 VIEWS"|320.00|$647.00|$129.40|$458.08|$453.00||$295.68|$129.40|$458.08|$237.45|$302.15|$323.50|$365.56|$291.15|$229.00|$248.00|$249.74|$169.13|$150.69|$150.69
"CPT® 74021"|"HB XRAY EXAM ABDOMEN 3+ VIEWS"|320.00|$686.00|$137.20|$485.69|$480.00||$313.50|$137.20|$485.69|$251.76|$320.36|$343.00|$387.59|$308.70|$229.00|$248.00|$264.80|$179.32|$159.77|$159.77
"HCPCS 0348T"|"HB RADIOSTEREOMETRIC (RSA) ANALYSIS SPINE EXAM"|320.00|$631.00|$126.20|$446.75|$442.00||$288.37|$126.20|$446.75|$231.58|$294.68|$315.50|$356.52|$283.95|$229.00|$248.00|$243.57|$164.94|$146.96|$146.96
"HCPCS 0349T"|"HB RADIOSTEREOMETRIC (RSA) ANALYSIS UPPER EXTREMITY EXAM"|320.00|$631.00|$126.20|$446.75|$442.00||$288.37|$126.20|$446.75|$231.58|$294.68|$315.50|$356.52|$283.95|$229.00|$248.00|$243.57|$164.94|$146.96|$146.96
"CPT® 49427"|"HB INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT"|320.00|$2057.00|$229.00|$1456.36|$1440.00||$940.05|$411.40|$1456.36|$754.92|$960.62|$1028.50|$1162.21|$925.65|$229.00|$248.00|$794.00|$537.70|$479.08|$479.08
"CPT® 74221"|"HB RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY"|320.00|$1013.00|$202.60|$717.20|$709.00||$462.94|$202.60|$717.20|$371.77|$473.07|$506.50|$572.35|$455.85|$229.00|$248.00|$391.02|$264.80|$235.93|$235.93
"CPT® 74248"|"HB RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY"|320.00|$1034.00|$206.80|$732.07|$724.00||$472.54|$206.80|$732.07|$379.48|$482.88|$517.00|$584.21|$465.30|$229.00|$248.00|$399.12|$270.29|$240.82|$240.82
"CPT® 74251"|"HB RADEX SM INT W/MLT SRL IMGES VIA ENTEROCLSS TUBE"|320.00|$1704.00|$229.00|$1206.43|$1193.00||$778.73|$340.80|$1206.43|$625.37|$795.77|$852.00|$962.76|$766.80|$229.00|$248.00|$657.74|$445.43|$396.86|$396.86
"CPT® 73525"|"HB CONTRAST X-RAY OF HIP"|322.00|$883.00|$176.60|$625.16|$618.00||$403.53|$176.60|$625.16|$324.06|$412.36|$441.50|$498.90|$397.35|$229.00|$248.00|$340.84|$230.82|$205.65|$205.65
"CPT® 73085"|"HB ELBOW ARTHROGRAM; S&I"|322.00|$1712.00|$229.00|$1212.10|$1198.00||$782.38|$342.40|$1212.10|$628.30|$799.50|$856.00|$967.28|$770.40|$229.00|$248.00|$660.83|$447.52|$398.72|$398.72
"CPT® 73115"|"HB WRIST ARTHROGRAM; S&I"|322.00|$1614.00|$229.00|$1142.71|$1130.00||$737.60|$322.80|$1142.71|$592.34|$753.74|$807.00|$911.91|$726.30|$229.00|$248.00|$623.00|$421.90|$375.90|$375.90
"CPT® 73580"|"HB CONTRAST X-RAY OF KNEE JOINT LT"|322.00|$2870.00|$229.00|$2031.96|$2009.00||$1311.59|$574.00|$2031.96|$1053.29|$1340.29|$1435.00|$1621.55|$1291.50|$229.00|$248.00|$1107.82|$750.22|$668.42|$668.42
"CPT® 73615"|"HB CONTRAST X-RAY OF ANKLE LT"|322.00|$1352.00|$229.00|$957.22|$946.00||$617.86|$270.40|$957.22|$496.18|$631.38|$676.00|$763.88|$608.40|$229.00|$248.00|$521.87|$353.41|$314.88|$314.88
"CPT® 74363"|"HB X-RAY BILIARY DILATION WITH OR WITHOUT STENT S&I"|323.00|$3865.00|$229.00|$2736.42|$2706.00||$1766.31|$773.00|$2736.42|$1418.46|$1804.96|$1932.50|$2183.73|$1739.25|$229.00|$248.00|$1491.89|$1010.31|$900.16|$900.16
"CPT® 75605"|"HB AORTOGRAPHY THORACIC BY SERIALOGRAPHY; S&I"|323.00|$7872.00|$229.00|$5573.38|$5510.00||$3597.50|$1574.40|$5573.38|$2889.02|$3676.22|$3936.00|$4447.68|$3542.40|$229.00|$248.00|$3038.59|$2057.74|$1833.39|$1833.39
"CPT® 75625"|"HB AORTOGRAPHY ABDOMEN BY SERIALOGRAPHY; S&I"|323.00|$4288.00|$229.00|$3035.90|$3002.00||$1959.62|$857.60|$3035.90|$1573.70|$2002.50|$2144.00|$2422.72|$1929.60|$229.00|$248.00|$1655.17|$1120.88|$998.68|$998.68
"CPT® 75630"|"HB AORTOGRAPHY ABDOMEN; BILATERAL ILIOFEMORAL LOWER EXTREMITY; S&I"|323.00|$4393.00|$229.00|$3110.24|$3075.00||$2007.60|$878.60|$3110.24|$1612.23|$2051.53|$2196.50|$2482.05|$1976.85|$229.00|$248.00|$1695.70|$1148.33|$1023.13|$1023.13
"CPT® 75746"|"HB ANGIOGRAPHY PULMONARY, NON-SELECTIVE CATH/VENOUS INJECTION; S&I"|323.00|$1778.00|$229.00|$1258.82|$1245.00||$812.55|$355.60|$1258.82|$652.53|$830.33|$889.00|$1004.57|$800.10|$229.00|$248.00|$686.31|$464.77|$414.10|$414.10
"CPT® 75756"|"HB ANGIOGRAPHY INTERNAL MAMMARY; S&I"|323.00|$2578.00|$229.00|$1825.22|$1805.00||$1178.15|$515.60|$1825.22|$946.13|$1203.93|$1289.00|$1456.57|$1160.10|$229.00|$248.00|$995.11|$673.89|$600.42|$600.42
"CPT® 75774"|"HB ARTERY X-RAY- EACH VESSEL"|323.00|$3854.00|$229.00|$2728.63|$2698.00||$1761.28|$770.80|$2728.63|$1414.42|$1799.82|$1927.00|$2177.51|$1734.30|$229.00|$248.00|$1487.64|$1007.44|$897.60|$897.60
"CPT® 71045"|"HB X-RAY CHEST SINGLE VIEW"|324.00|$603.00|$120.60|$426.92|$422.00||$275.57|$120.60|$426.92|$221.30|$281.60|$301.50|$340.70|$271.35|$229.00|$248.00|$232.76|$157.62|$140.44|$140.44
"CPT® 71046"|"HB-XRAY EXAM CHEST 2 VIEWS"|324.00|$755.00|$151.00|$534.54|$528.00||$345.04|$151.00|$534.54|$277.09|$352.59|$377.50|$426.58|$339.75|$229.00|$248.00|$291.43|$197.36|$175.84|$175.84
"CPT® 71047"|"HB-XRAY EXAM CHEST 3 VIEWS"|324.00|$1009.00|$201.80|$714.37|$706.00||$461.11|$201.80|$714.37|$370.30|$471.20|$504.50|$570.09|$454.05|$229.00|$248.00|$389.47|$263.75|$235.00|$235.00
"CPT® 71048"|"HB XRAY EXAM CHEST 4+ VIEWS"|324.00|$1084.00|$216.80|$767.47|$759.00||$495.39|$216.80|$767.47|$397.83|$506.23|$542.00|$612.46|$487.80|$229.00|$248.00|$418.42|$283.36|$252.46|$252.46
"CPT® 96401"|"HB CHEMO ANTI-NEOPL SQ/IM"|331.00|$1097.00|$219.40|$776.68|$768.00||$501.33|$219.40|$776.68|$402.60|$512.30|$548.50|$619.81|$493.65|$366.00|$397.00|$423.44|$286.76|$255.49|$255.49
"CPT® 96402"|"HB CHEMO HORMON ANTINEOPL SQ/IM"|331.00|$1097.00|$219.40|$776.68|$768.00||$501.33|$219.40|$776.68|$402.60|$512.30|$548.50|$619.81|$493.65|$366.00|$397.00|$423.44|$286.76|$255.49|$255.49
"CPT® 96409"|"HB CHEMO IV PUSH SNGL DRUG"|331.00|$853.00|$170.60|$603.92|$597.00||$389.82|$170.60|$603.92|$313.05|$398.35|$426.50|$481.95|$383.85|$366.00|$397.00|$329.26|$222.97|$198.66|$198.66
"CPT® 96411"|"HB CHEMO IV PUSH ADDL DRUG"|331.00|$813.00|$162.60|$575.60|$569.00||$371.54|$162.60|$575.60|$298.37|$379.67|$406.50|$459.35|$365.85|$366.00|$397.00|$313.82|$212.52|$189.35|$189.35
"CPT® 96446"|"HB CHEMOTX ADMN PRTL CAVITY"|331.00|$1025.00|$205.00|$725.70|$718.00||$468.43|$205.00|$725.70|$376.18|$478.68|$512.50|$579.13|$461.25|$366.00|$397.00|$395.65|$267.94|$238.72|$238.72
"CPT® 96450"|"HB LUMBAR PUNCTURE (LP) FOR CHEMO INJECTION"|331.00|$3469.00|$366.00|$2456.05|$2428.00||$1585.33|$693.80|$2456.05|$1273.12|$1620.02|$1734.50|$1959.99|$1561.05|$366.00|$397.00|$1339.03|$906.80|$807.93|$807.93
"CPT® 96542"|"HB CHEMOTHERAPY INJECTION"|331.00|$334.00|$66.80|$334.00|$234.00||$152.64|$66.80|$236.47|$122.58|$155.98|$167.00|$188.71|$150.30|$334.00|$334.00|$128.92|$87.31|$77.79|$77.79
"CPT® 77280"|"HB RADIATION THERAPY SIMULATION; SIMPLE"|333.00|$5683.00|$671.00|$4023.56|$3978.00||$2597.13|$1136.60|$4023.56|$2085.66|$2653.96|$2841.50|$3210.90|$2557.35|$671.00|$728.00|$2193.64|$1485.54|$1323.57|$1323.57
"CPT® 77290"|"HB RADIATION THERAPY SIMULATION; COMPLEX"|333.00|$6480.00|$671.00|$4587.84|$4536.00||$2961.36|$1296.00|$4587.84|$2378.16|$3026.16|$3240.00|$3661.20|$2916.00|$671.00|$728.00|$2501.28|$1693.87|$1509.19|$1509.19
"CPT® 77293"|"HB RESPIRATOR MOTION MANAGEMENT SIMULATION; ADD-ON"|333.00|$1342.00|$268.40|$950.14|$939.00||$613.29|$268.40|$950.14|$492.51|$626.71|$671.00|$758.23|$603.90|$671.00|$728.00|$518.01|$350.80|$312.55|$312.55
"CPT® 77295"|"HB 3-D RADIOTHERAPY PLAN"|333.00|$7386.00|$671.00|$5229.29|$5170.00||$3375.40|$1477.20|$5229.29|$2710.66|$3449.26|$3693.00|$4173.09|$3323.70|$671.00|$728.00|$2851.00|$1930.70|$1720.20|$1720.20
"CPT® 77300"|"HB RADIATION THERAPY DOSE PLAN"|333.00|$893.00|$178.60|$728.00|$625.00||$408.10|$178.60|$632.24|$327.73|$417.03|$446.50|$504.55|$401.85|$671.00|$728.00|$344.70|$233.43|$207.98|$207.98
"CPT® 77301"|"HB RADIOTHERAPY DOSE PLAN IMRT"|333.00|$28344.00|$671.00|$20067.55|$19841.00||$12953.21|$5668.80|$20067.55|$10402.25|$13236.65|$14172.00|$16014.36|$12754.80|$671.00|$728.00|$10940.78|$7409.12|$6601.32|$6601.32
"CPT® 77306"|"HB TELETHX ISODOSE PLAN SIMPLE"|333.00|$2747.00|$549.40|$1944.88|$1923.00||$1255.38|$549.40|$1944.88|$1008.15|$1282.85|$1373.50|$1552.06|$1236.15|$671.00|$728.00|$1060.34|$718.07|$639.78|$639.78
"CPT® 77307"|"HB TELETHX ISODOSE PLAN CPLX"|333.00|$6275.00|$671.00|$4442.70|$4392.00||$2867.68|$1255.00|$4442.70|$2302.93|$2930.43|$3137.50|$3545.38|$2823.75|$671.00|$728.00|$2422.15|$1640.29|$1461.45|$1461.45
"CPT® 77317"|"HB BRACHYTX ISODOSE INTERMED"|333.00|$6067.00|$671.00|$4295.44|$4247.00||$2772.62|$1213.40|$4295.44|$2226.59|$2833.29|$3033.50|$3427.86|$2730.15|$671.00|$728.00|$2341.86|$1585.91|$1413.00|$1413.00
"CPT® 77321"|"HB SPECIAL TELETX PORT PLAN"|333.00|$2043.00|$408.60|$1446.44|$1430.00||$933.65|$408.60|$1446.44|$749.78|$954.08|$1021.50|$1154.30|$919.35|$671.00|$728.00|$788.60|$534.04|$475.81|$475.81
"CPT® 77331"|"HB SPECIAL RADIATION DOSIMETRY"|333.00|$1259.00|$251.80|$891.37|$881.00||$575.36|$251.80|$891.37|$462.05|$587.95|$629.50|$711.34|$566.55|$671.00|$728.00|$485.97|$329.10|$293.22|$293.22
"CPT® 77332"|"HB RADIATION TREATMENT AID(S) SIMPLE BLOCK"|333.00|$1002.00|$200.40|$728.00|$701.00||$457.91|$200.40|$709.42|$367.73|$467.93|$501.00|$566.13|$450.90|$671.00|$728.00|$386.77|$261.92|$233.37|$233.37
"CPT® 77333"|"HB RADIATION TREATMENT AID(S) MULTIPLE BLOCKS"|333.00|$1186.00|$237.20|$839.69|$830.00||$542.00|$237.20|$839.69|$435.26|$553.86|$593.00|$670.09|$533.70|$671.00|$728.00|$457.80|$310.02|$276.22|$276.22
"CPT® 77334"|"HB RADIATION TREATMENT AID(S) IRREGULAR BLOCKS"|333.00|$2644.00|$528.80|$1871.95|$1851.00||$1208.31|$528.80|$1871.95|$970.35|$1234.75|$1322.00|$1493.86|$1189.80|$671.00|$728.00|$1020.58|$691.14|$615.79|$615.79
"CPT® 77336"|"HB CONTINUING RADIATION PHYSICS CONSULT"|333.00|$1142.00|$228.40|$808.54|$799.00||$521.89|$228.40|$808.54|$419.11|$533.31|$571.00|$645.23|$513.90|$671.00|$728.00|$440.81|$298.52|$265.97|$265.97
"CPT® 77338"|"HB DESIGN MLC DEVICE FOR IMRT"|333.00|$2395.00|$479.00|$1695.66|$1676.00||$1094.52|$479.00|$1695.66|$878.97|$1118.47|$1197.50|$1353.18|$1077.75|$671.00|$728.00|$924.47|$626.05|$557.80|$557.80
"CPT® 77370"|"HB SPECIAL RADIATION PHYSICS CONSULT"|333.00|$1104.00|$220.80|$781.63|$773.00||$504.53|$220.80|$781.63|$405.17|$515.57|$552.00|$623.76|$496.80|$671.00|$728.00|$426.14|$288.59|$257.12|$257.12
"CPT® 77372"|"HB SRS LINEAR BASED"|333.00|$30419.00|$671.00|$21536.65|$21293.00||$13901.48|$6083.80|$21536.65|$11163.77|$14205.67|$15209.50|$17186.74|$13688.55|$671.00|$728.00|$11741.73|$7951.53|$7084.59|$7084.59
"CPT® 77373"|"HB SBRT DELIVERY"|333.00|$20831.00|$671.00|$14748.35|$14582.00||$9519.77|$4166.20|$14748.35|$7644.98|$9728.08|$10415.50|$11769.52|$9373.95|$671.00|$728.00|$8040.77|$5445.22|$4851.54|$4851.54
"CPT® 77385"|"HB NTSTY MODUL RAD TX DLVR SMPL"|333.00|$4844.00|$671.00|$3429.55|$3391.00||$2213.71|$968.80|$3429.55|$1777.75|$2262.15|$2422.00|$2736.86|$2179.80|$671.00|$728.00|$1869.78|$1266.22|$1128.17|$1128.17
"CPT® 77386"|"HB NTSTY MODUL RAD TX DLVR CPLX"|333.00|$7292.00|$671.00|$5162.74|$5104.00||$3332.44|$1458.40|$5162.74|$2676.16|$3405.36|$3646.00|$4119.98|$3281.40|$671.00|$728.00|$2814.71|$1906.13|$1698.31|$1698.31
"CPT® 77387"|"HB GUIDANCE FOR RADIAJ TX DLVR"|333.00|$607.00|$121.40|$607.00|$425.00||$277.40|$121.40|$429.76|$222.77|$283.47|$303.50|$342.96|$273.15|$607.00|$607.00|$234.30|$158.67|$141.37|$141.37
"CPT® 77402"|"HB RADIATION TREATMENT DELIVERY, SINGLE TREATMENT AREA; SIMPLE, 6-10 MEV"|333.00|$964.00|$192.80|$728.00|$675.00||$440.55|$192.80|$682.51|$353.79|$450.19|$482.00|$544.66|$433.80|$671.00|$728.00|$372.10|$251.99|$224.52|$224.52
"CPT® 77412"|"HB TRMT COMPLEX > 1MEV"|333.00|$2199.00|$439.80|$1556.89|$1539.00||$1004.94|$439.80|$1556.89|$807.03|$1026.93|$1099.50|$1242.44|$989.55|$671.00|$728.00|$848.81|$574.82|$512.15|$512.15
"CPT® 77417"|"HB RADIOLOGY PORT IMAGES(S)"|333.00|$808.00|$161.60|$728.00|$566.00||$369.26|$161.60|$572.06|$296.54|$377.34|$404.00|$456.52|$363.60|$671.00|$728.00|$311.89|$211.21|$188.18|$188.18
"CPT® 77470"|"HB SPECIAL RADIATION TREATMENT"|333.00|$4214.00|$671.00|$2983.51|$2950.00||$1925.80|$842.80|$2983.51|$1546.54|$1967.94|$2107.00|$2380.91|$1896.30|$671.00|$728.00|$1626.60|$1101.54|$981.44|$981.44
"CPT® 77750"|"HB INFUSE RADIOACTIVE MATERIALS"|333.00|$1382.00|$276.40|$978.46|$967.00||$631.57|$276.40|$978.46|$507.19|$645.39|$691.00|$780.83|$621.90|$671.00|$728.00|$533.45|$361.25|$321.87|$321.87
"CPT® 96413"|"HB CHEMO IV INFUSION 1 HR"|335.00|$1341.00|$268.20|$949.43|$939.00||$612.84|$268.20|$949.43|$492.15|$626.25|$670.50|$757.67|$603.45|$366.00|$397.00|$517.63|$350.54|$312.32|$312.32
"CPT® 96415"|"HB CHEMO IV INFUSION ADDL HR"|335.00|$881.00|$176.20|$623.75|$617.00||$402.62|$176.20|$623.75|$323.33|$411.43|$440.50|$497.77|$396.45|$366.00|$397.00|$340.07|$230.29|$205.18|$205.18
"CPT® 96416"|"HB CHEMO PROLONG INFUSE W/PUMP"|335.00|$1965.00|$366.00|$1391.22|$1376.00||$898.01|$393.00|$1391.22|$721.16|$917.66|$982.50|$1110.23|$884.25|$366.00|$397.00|$758.49|$513.65|$457.65|$457.65
"CPT® 96417"|"HB CHEMO IV INFUS EACH ADDL SEQ"|335.00|$711.00|$142.20|$503.39|$498.00||$324.93|$142.20|$503.39|$260.94|$332.04|$355.50|$401.72|$319.95|$366.00|$397.00|$274.45|$185.86|$165.59|$165.59
"CPT® 96420"|"HB CHEMO IA PUSH TECNIQUE"|335.00|$1246.00|$249.20|$882.17|$872.00||$569.42|$249.20|$882.17|$457.28|$581.88|$623.00|$703.99|$560.70|$366.00|$397.00|$480.96|$325.70|$290.19|$290.19
"CPT® 96440"|"HB CHEMOTHERAPY INTRACAVITARY"|335.00|$1137.00|$227.40|$805.00|$796.00||$519.61|$227.40|$805.00|$417.28|$530.98|$568.50|$642.41|$511.65|$366.00|$397.00|$438.88|$297.21|$264.81|$264.81
"CPT® 96521"|"HB REFILL/MAINT PORTABLE PUMP"|335.00|$1316.00|$263.20|$931.73|$921.00||$601.41|$263.20|$931.73|$482.97|$614.57|$658.00|$743.54|$592.20|$366.00|$397.00|$507.98|$344.00|$306.50|$306.50
"CPT® 96549"|"HB CHEMOTHERAPY UNSPECIFIED"|335.00|$337.00|$67.40|$337.00|$236.00||$154.01|$67.40|$238.60|$123.68|$157.38|$168.50|$190.41|$151.65|$337.00|$337.00|$130.08|$88.09|$78.49|$78.49
"HCPCS G0498"|"HB CHEMO EXTEND IV INFUS W/PUMP"|335.00|$2361.00|$366.00|$1671.59|$1653.00||$1078.98|$472.20|$1671.59|$866.49|$1102.59|$1180.50|$1333.97|$1062.45|$366.00|$397.00|$911.35|$617.17|$549.88|$549.88
"CPT® 78012"|"HB THYROID UPTAKE MEASUREMENT"|340.00|$1652.00|$330.40|$1169.62|$1156.00||$754.96|$330.40|$1169.62|$606.28|$771.48|$826.00|$933.38|$743.40|$958.00|$1040.00|$637.67|$431.83|$384.75|$384.75
"CPT® 78013"|"HB THYROID IMAGING W/BLOOD FLOW VASCULAR FLOW"|340.00|$2060.00|$412.00|$1458.48|$1442.00||$941.42|$412.00|$1458.48|$756.02|$962.02|$1030.00|$1163.90|$927.00|$958.00|$1040.00|$795.16|$538.48|$479.77|$479.77
"CPT® 78014"|"HB THYROID IMAGING W/BLOOD FLOW SINGLE OR MULTIPLE"|340.00|$3160.00|$632.00|$2237.28|$2212.00||$1444.12|$632.00|$2237.28|$1159.72|$1475.72|$1580.00|$1785.40|$1422.00|$958.00|$1040.00|$1219.76|$826.02|$735.96|$735.96
"CPT® 78018"|"HB THYROID MET IMAGING BODY"|340.00|$2888.00|$577.60|$2044.70|$2022.00||$1319.82|$577.60|$2044.70|$1059.90|$1348.70|$1444.00|$1631.72|$1299.60|$958.00|$1040.00|$1114.77|$754.92|$672.62|$672.62
"CPT® 78070"|"HB PARATHYROID PLANAR IMAGING"|340.00|$3582.00|$716.40|$2536.06|$2507.00||$1636.97|$716.40|$2536.06|$1314.59|$1672.79|$1791.00|$2023.83|$1611.90|$958.00|$1040.00|$1382.65|$936.33|$834.25|$834.25
"CPT® 78072"|"HB PARATHYROID PLANAR IMAGING WITH SPECT AND CT"|340.00|$7990.00|$958.00|$5656.92|$5593.00||$3651.43|$1598.00|$5656.92|$2932.33|$3731.33|$3995.00|$4514.35|$3595.50|$958.00|$1040.00|$3084.14|$2088.59|$1860.87|$1860.87
"CPT® 78195"|"HB LYMPHATICS AND LYMPH NODES IMAGING"|340.00|$3160.00|$632.00|$2237.28|$2212.00||$1444.12|$632.00|$2237.28|$1159.72|$1475.72|$1580.00|$1785.40|$1422.00|$958.00|$1040.00|$1219.76|$826.02|$735.96|$735.96
"CPT® 78201"|"HB LIVER IMAGING"|340.00|$2294.00|$458.80|$1624.15|$1606.00||$1048.36|$458.80|$1624.15|$841.90|$1071.30|$1147.00|$1296.11|$1032.30|$958.00|$1040.00|$885.48|$599.65|$534.27|$534.27
"CPT® 78215"|"HB LIVER AND SPLEEN IMAGING"|340.00|$1671.00|$334.20|$1183.07|$1170.00||$763.65|$334.20|$1183.07|$613.26|$780.36|$835.50|$944.12|$751.95|$958.00|$1040.00|$645.01|$436.80|$389.18|$389.18
"CPT® 78216"|"HB LIVER & SPLEEN IMAGE/FLOW"|340.00|$2625.00|$525.00|$1858.50|$1837.00||$1199.63|$525.00|$1858.50|$963.38|$1225.88|$1312.50|$1483.13|$1181.25|$958.00|$1040.00|$1013.25|$686.18|$611.36|$611.36
"CPT® 78226"|"HB HEPATOBILIARY SYSTEM IMAGING"|340.00|$3501.00|$700.20|$2478.71|$2451.00||$1599.96|$700.20|$2478.71|$1284.87|$1634.97|$1750.50|$1978.07|$1575.45|$958.00|$1040.00|$1351.39|$915.16|$815.38|$815.38
"CPT® 78227"|"HB HEPATOBIL SYST IMAGE W/DRUG"|340.00|$3939.00|$787.80|$2788.81|$2757.00||$1800.12|$787.80|$2788.81|$1445.61|$1839.51|$1969.50|$2225.54|$1772.55|$958.00|$1040.00|$1520.45|$1029.65|$917.39|$917.39
"CPT® 78262"|"HB GASTROESOPHAGEAL REFLUX EXAM"|340.00|$1127.00|$225.40|$1040.00|$789.00||$515.04|$225.40|$797.92|$413.61|$526.31|$563.50|$636.76|$507.15|$958.00|$1040.00|$435.02|$294.60|$262.48|$262.48
"CPT® 78264"|"HB GASTRIC EMPTYING IMAG STUDY"|340.00|$2553.00|$510.60|$1807.52|$1787.00||$1166.72|$510.60|$1807.52|$936.95|$1192.25|$1276.50|$1442.45|$1148.85|$958.00|$1040.00|$985.46|$667.35|$594.59|$594.59
"CPT® 78278"|"HB ACUTE GI BLOOD LOSS IMAGING"|340.00|$3282.00|$656.40|$2323.66|$2297.00||$1499.87|$656.40|$2323.66|$1204.49|$1532.69|$1641.00|$1854.33|$1476.90|$958.00|$1040.00|$1266.85|$857.91|$764.38|$764.38
"CPT® 78290"|"HB MECKELS DIVERT EXAM"|340.00|$2431.00|$486.20|$1721.15|$1702.00||$1110.97|$486.20|$1721.15|$892.18|$1135.28|$1215.50|$1373.52|$1093.95|$958.00|$1040.00|$938.37|$635.46|$566.18|$566.18
"CPT® 78306"|"HB BONE IMAGING WHOLE BODY"|340.00|$3276.00|$655.20|$2319.41|$2293.00||$1497.13|$655.20|$2319.41|$1202.29|$1529.89|$1638.00|$1850.94|$1474.20|$958.00|$1040.00|$1264.54|$856.35|$762.98|$762.98
"CPT® 78315"|"HB BONE/JOINT IMAGING, 3 PHASE STUDY"|340.00|$2463.00|$492.60|$1743.80|$1724.00||$1125.59|$492.60|$1743.80|$903.92|$1150.22|$1231.50|$1391.60|$1108.35|$958.00|$1040.00|$950.72|$643.83|$573.63|$573.63
"CPT® 78451"|"HB HT MUSCLE IMAGE SPECT SING"|340.00|$3160.00|$632.00|$2237.28|$2212.00||$1444.12|$632.00|$2237.28|$1159.72|$1475.72|$1580.00|$1785.40|$1422.00|$958.00|$1040.00|$1219.76|$826.02|$735.96|$735.96
"CPT® 78452"|"HB HT MUSCLE IMAGE SPECT MULT"|340.00|$6685.00|$958.00|$4732.98|$4680.00||$3055.05|$1337.00|$4732.98|$2453.40|$3121.90|$3342.50|$3777.03|$3008.25|$958.00|$1040.00|$2580.41|$1747.46|$1556.94|$1556.94
"CPT® 78472"|"HB GATED HEART PLANAR SINGLE"|340.00|$3689.00|$737.80|$2611.81|$2582.00||$1685.87|$737.80|$2611.81|$1353.86|$1722.76|$1844.50|$2084.29|$1660.05|$958.00|$1040.00|$1423.95|$964.30|$859.17|$859.17
"CPT® 78481"|"HB NM HEART FIRST PASS SINGLE WITH OR WITHOUT QUANTIFICATION"|340.00|$2330.00|$466.00|$1649.64|$1631.00||$1064.81|$466.00|$1649.64|$855.11|$1088.11|$1165.00|$1316.45|$1048.50|$958.00|$1040.00|$899.38|$609.06|$542.66|$542.66
"CPT® 78579"|"HB LUNG VENTILATION IMAGING"|340.00|$1903.00|$380.60|$1347.32|$1332.00||$869.67|$380.60|$1347.32|$698.40|$888.70|$951.50|$1075.20|$856.35|$958.00|$1040.00|$734.56|$497.44|$443.21|$443.21
"CPT® 78582"|"HB LUNG VENTILAT&PERFUS IMAGING"|340.00|$3625.00|$725.00|$2566.50|$2538.00||$1656.63|$725.00|$2566.50|$1330.38|$1692.88|$1812.50|$2048.13|$1631.25|$958.00|$1040.00|$1399.25|$947.58|$844.26|$844.26
"CPT® 78597"|"HB LUNG PERFUSION DIFFERENTIAL"|340.00|$1903.00|$380.60|$1347.32|$1332.00||$869.67|$380.60|$1347.32|$698.40|$888.70|$951.50|$1075.20|$856.35|$958.00|$1040.00|$734.56|$497.44|$443.21|$443.21
"CPT® 78598"|"HB LUNG PERF&VENTILAT DIFERENTL"|340.00|$3625.00|$725.00|$2566.50|$2538.00||$1656.63|$725.00|$2566.50|$1330.38|$1692.88|$1812.50|$2048.13|$1631.25|$958.00|$1040.00|$1399.25|$947.58|$844.26|$844.26
"CPT® 78606"|"HB BRAIN IMAGE W/FLOW 4 + VIEWS"|340.00|$2711.00|$542.20|$1919.39|$1898.00||$1238.93|$542.20|$1919.39|$994.94|$1266.04|$1355.50|$1531.72|$1219.95|$958.00|$1040.00|$1046.45|$708.66|$631.39|$631.39
"CPT® 78645"|"HB CSF SHUNT EVALUATION"|340.00|$3255.00|$651.00|$2304.54|$2278.00||$1487.54|$651.00|$2304.54|$1194.59|$1520.09|$1627.50|$1839.08|$1464.75|$958.00|$1040.00|$1256.43|$850.86|$758.09|$758.09
"CPT® 78650"|"HB CSF LEAKAGE IMAGING"|340.00|$5250.00|$958.00|$3717.00|$3675.00||$2399.25|$1050.00|$3717.00|$1926.75|$2451.75|$2625.00|$2966.25|$2362.50|$958.00|$1040.00|$2026.50|$1372.35|$1222.73|$1222.73
"CPT® 78707"|"HB K FLOW/FUNCT IMAGE W/O DRUG"|340.00|$3016.00|$603.20|$2135.33|$2111.00||$1378.31|$603.20|$2135.33|$1106.87|$1408.47|$1508.00|$1704.04|$1357.20|$958.00|$1040.00|$1164.18|$788.38|$702.43|$702.43
"CPT® 78709"|"HB K FLOW/FUNCT IMAGE MULTIPLE"|340.00|$3620.00|$724.00|$2562.96|$2534.00||$1654.34|$724.00|$2562.96|$1328.54|$1690.54|$1810.00|$2045.30|$1629.00|$958.00|$1040.00|$1397.32|$946.27|$843.10|$843.10
"CPT® 78802"|"HB RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING"|340.00|$3945.00|$789.00|$2793.06|$2762.00||$1802.87|$789.00|$2793.06|$1447.82|$1842.32|$1972.50|$2228.93|$1775.25|$958.00|$1040.00|$1522.77|$1031.22|$918.79|$918.79
"CPT® 78803"|"HB RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING"|340.00|$4879.00|$958.00|$3454.33|$3415.00||$2229.70|$975.80|$3454.33|$1790.59|$2278.49|$2439.50|$2756.64|$2195.55|$958.00|$1040.00|$1883.29|$1275.37|$1136.32|$1136.32
"CPT® 78804"|"HB RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING"|340.00|$5436.00|$958.00|$3848.69|$3805.00||$2484.25|$1087.20|$3848.69|$1995.01|$2538.61|$2718.00|$3071.34|$2446.20|$958.00|$1040.00|$2098.30|$1420.97|$1266.04|$1266.04
"CPT® 79005"|"HB RADIOPHARMACEUTICAL THERAPY, ORAL ADMINISTRATION"|340.00|$3255.00|$651.00|$2304.54|$2278.00||$1487.54|$651.00|$2304.54|$1194.59|$1520.09|$1627.50|$1839.08|$1464.75|$958.00|$1040.00|$1256.43|$850.86|$758.09|$758.09
"CPT® 79101"|"HB RADIOPHARMACEUTICAL THERAPY, INTRAVENOUS ADMINISTRATION"|340.00|$3255.00|$651.00|$2304.54|$2278.00||$1487.54|$651.00|$2304.54|$1194.59|$1520.09|$1627.50|$1839.08|$1464.75|$958.00|$1040.00|$1256.43|$850.86|$758.09|$758.09
"CPT® 78801"|"HB RP LOCLZJ TUM PLNR 2+AREA 1+D IMG/1 AREA IMG>2+D"|340.00|$2939.00|$587.80|$2080.81|$2057.00||$1343.12|$587.80|$2080.81|$1078.61|$1372.51|$1469.50|$1660.54|$1322.55|$958.00|$1040.00|$1134.45|$768.25|$684.49|$684.49
"CPT® 78830"|"HB RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMAGING"|340.00|$4089.00|$817.80|$2895.01|$2862.00||$1868.67|$817.80|$2895.01|$1500.66|$1909.56|$2044.50|$2310.29|$1840.05|$958.00|$1040.00|$1578.35|$1068.86|$952.33|$952.33
"CPT® 78831"|"HB RP LOCLZJ TUM SPECT 2 AREA 1D IMG/1 AREA IMG>2+D"|340.00|$4089.00|$817.80|$2895.01|$2862.00||$1868.67|$817.80|$2895.01|$1500.66|$1909.56|$2044.50|$2310.29|$1840.05|$958.00|$1040.00|$1578.35|$1068.86|$952.33|$952.33
"CPT® 78832"|"HB RP LOCLZJ TUM SPECT CT 2AREA 1D IMG/1 AR IMG>2+D"|340.00|$4637.00|$927.40|$3283.00|$3246.00||$2119.11|$927.40|$3283.00|$1701.78|$2165.48|$2318.50|$2619.91|$2086.65|$958.00|$1040.00|$1789.88|$1212.11|$1079.96|$1079.96
"CPT® 78429"|"HB MYOCRD IMG PET METAB EVAL SINGLE STUDY CNCRNT CT"|340.00|$4637.00|$927.40|$3283.00|$3246.00||$2119.11|$927.40|$3283.00|$1701.78|$2165.48|$2318.50|$2619.91|$2086.65|$958.00|$1040.00|$1789.88|$1212.11|$1079.96|$1079.96
"CPT® 78102"|"HB BONE MARROW IMAGING LTD"|341.00|$2738.00|$547.60|$1938.50|$1917.00||$1251.27|$547.60|$1938.50|$1004.85|$1278.65|$1369.00|$1546.97|$1232.10|$958.00|$1040.00|$1056.87|$715.71|$637.68|$637.68
"CPT® 78300"|"HB BONE IMAGING LIMITED AREA"|341.00|$2722.00|$544.40|$1927.18|$1905.00||$1243.95|$544.40|$1927.18|$998.97|$1271.17|$1361.00|$1537.93|$1224.90|$958.00|$1040.00|$1050.69|$711.53|$633.95|$633.95
"CPT® 78305"|"HB BONE IMAGING MULTIPLE AREAS"|341.00|$2125.00|$425.00|$1504.50|$1488.00||$971.13|$425.00|$1504.50|$779.88|$992.38|$1062.50|$1200.63|$956.25|$958.00|$1040.00|$820.25|$555.48|$494.91|$494.91
"CPT® 78580"|"HB LUNG PERFUSION IMAGING"|341.00|$2377.00|$475.40|$1682.92|$1664.00||$1086.29|$475.40|$1682.92|$872.36|$1110.06|$1188.50|$1343.01|$1069.65|$958.00|$1040.00|$917.52|$621.35|$553.60|$553.60
"CPT® 78610"|"HB BRAIN FLOW IMAGING ONLY"|341.00|$3261.00|$652.20|$2308.79|$2283.00||$1490.28|$652.20|$2308.79|$1196.79|$1522.89|$1630.50|$1842.47|$1467.45|$958.00|$1040.00|$1258.75|$852.43|$759.49|$759.49
"CPT® 78630"|"HB CEREBROSPINAL FLUID FLOW IMAGING; CISTERNOGRAPHY"|341.00|$3255.00|$651.00|$2304.54|$2278.00||$1487.54|$651.00|$2304.54|$1194.59|$1520.09|$1627.50|$1839.08|$1464.75|$958.00|$1040.00|$1256.43|$850.86|$758.09|$758.09
"CPT® 78700"|"HB KIDNEY IMAGING MORPHOL"|341.00|$2577.00|$515.40|$1824.52|$1804.00||$1177.69|$515.40|$1824.52|$945.76|$1203.46|$1288.50|$1456.01|$1159.65|$958.00|$1040.00|$994.72|$673.63|$600.18|$600.18
"CPT® 78701"|"HB KIDNEY IMAGING MORPHOLOGY; WITH VASCULAR FLOW"|341.00|$3016.00|$603.20|$2135.33|$2111.00||$1378.31|$603.20|$2135.33|$1106.87|$1408.47|$1508.00|$1704.04|$1357.20|$958.00|$1040.00|$1164.18|$788.38|$702.43|$702.43
"CPT® 78708"|"HB K FLOW/FUNCT IMAGE W/DRUG"|341.00|$3068.00|$613.60|$2172.14|$2148.00||$1402.08|$613.60|$2172.14|$1125.96|$1432.76|$1534.00|$1733.42|$1380.60|$958.00|$1040.00|$1184.25|$801.98|$714.54|$714.54
"CPT® 78740"|"HB URETERAL REFLUX STUDY"|341.00|$3045.00|$609.00|$2155.86|$2132.00||$1391.57|$609.00|$2155.86|$1117.52|$1422.02|$1522.50|$1720.43|$1370.25|$958.00|$1040.00|$1175.37|$795.96|$709.18|$709.18
"CPT® 78071"|"HB PARATHYROID PLANAR IMAGING WITH SPECT"|341.00|$2855.00|$571.00|$2021.34|$1998.00||$1304.74|$571.00|$2021.34|$1047.79|$1333.29|$1427.50|$1613.08|$1284.75|$958.00|$1040.00|$1102.03|$746.30|$664.93|$664.93
"HCPCS A9500"|"HB TC99M SESTAMIBI (MIBI)"|343.00|$710.00|$142.00|$502.68|$497.00||$324.47|$142.00|$502.68|$260.57|$331.57|$355.00|$401.15|$319.50|$168.98|$170.40|$274.06|$185.59|$165.36|$165.36
"HCPCS A9503"|"HB TC99M MEDRONATE (MDP)"|343.00|$125.00|$25.00|$88.50|$88.00||$57.13|$25.00|$88.50|$45.88|$58.38|$62.50|$70.63|$56.25|$29.75|$30.00|$48.25|$32.68|$29.11|$29.11
"HCPCS A9505"|"HB TL201 THALLIUM PER MCI"|343.00|$878.00|$175.60|$621.62|$615.00||$401.25|$175.60|$621.62|$322.23|$410.03|$439.00|$496.07|$395.10|$208.96|$210.72|$338.91|$229.51|$204.49|$204.49
"HCPCS A9510"|"HB TC99M DISOFENIN (DISIDA)"|343.00|$204.00|$40.80|$144.43|$143.00||$93.23|$40.80|$144.43|$74.87|$95.27|$102.00|$115.26|$91.80|$48.55|$48.96|$78.74|$53.33|$47.51|$47.51
"HCPCS A9512"|"HB TC99M PERTECHNETATE PER MCI"|343.00|$4.00|$0.80|$2.83|$3.00||$1.83|$0.80|$2.83|$1.47|$1.87|$2.00|$2.26|$1.80|$0.95|$0.96|$1.54|$1.05|$0.93|$0.93
"HCPCS A9516"|"HB IODINE I-123 SOD IODIDE MIC PER 100 UCI"|343.00|$189.00|$37.80|$133.81|$132.00||$86.37|$37.80|$133.81|$69.36|$88.26|$94.50|$106.79|$85.05|$44.98|$45.36|$72.95|$49.40|$44.02|$44.02
"HCPCS A9521"|"HB TC99M EXAMETAZIME (CERETEC) (HMPAO)"|343.00|$1819.00|$363.80|$1287.85|$1273.00||$831.28|$363.80|$1287.85|$667.57|$849.47|$909.50|$1027.74|$818.55|$432.92|$436.56|$702.13|$475.49|$423.65|$423.65
"HCPCS A9528"|"HB IODINE I-131 IODIDE CAP, DX PER MCI"|343.00|$819.00|$163.80|$579.85|$573.00||$374.28|$163.80|$579.85|$300.57|$382.47|$409.50|$462.74|$368.55|$194.92|$196.56|$316.13|$214.09|$190.75|$190.75
"HCPCS A9537"|"HB TC99M MEBROFENIN (CHOLETEC)"|343.00|$210.00|$42.00|$148.68|$147.00||$95.97|$42.00|$148.68|$77.07|$98.07|$105.00|$118.65|$94.50|$49.98|$50.40|$81.06|$54.89|$48.91|$48.91
"HCPCS A9538"|"HB TC99M PYROPHOSPHATE (PYP)"|343.00|$378.00|$75.60|$267.62|$265.00||$172.75|$75.60|$267.62|$138.73|$176.53|$189.00|$213.57|$170.10|$89.96|$90.72|$145.91|$98.81|$88.04|$88.04
"HCPCS A9539"|"HB TC99M PENTETATE (DTPA)"|343.00|$227.00|$45.40|$160.72|$159.00||$103.74|$45.40|$160.72|$83.31|$106.01|$113.50|$128.26|$102.15|$54.03|$54.48|$87.62|$59.34|$52.87|$52.87
"HCPCS A9540"|"HB TC99M MAA"|343.00|$211.00|$42.20|$149.39|$148.00||$96.43|$42.20|$149.39|$77.44|$98.54|$105.50|$119.22|$94.95|$50.22|$50.64|$81.45|$55.16|$49.14|$49.14
"HCPCS A9541"|"HB TC99M SULFUR COLLOID"|343.00|$365.00|$73.00|$258.42|$255.00||$166.81|$73.00|$258.42|$133.96|$170.46|$182.50|$206.23|$164.25|$86.87|$87.60|$140.89|$95.41|$85.01|$85.01
"HCPCS A9547"|"HB IN111 OXYQUINOLINE PER 0.5MCI"|343.00|$3087.00|$617.40|$2185.60|$2161.00||$1410.76|$617.40|$2185.60|$1132.93|$1441.63|$1543.50|$1744.16|$1389.15|$734.71|$740.88|$1191.58|$806.94|$718.96|$718.96
"HCPCS A9548"|"HB IN111 PENTETATE PER 0.5MCI (DTPA)"|343.00|$2056.00|$411.20|$1455.65|$1439.00||$939.59|$411.20|$1455.65|$754.55|$960.15|$1028.00|$1161.64|$925.20|$489.33|$493.44|$793.62|$537.44|$478.84|$478.84
"HCPCS A9551"|"HB TC99M SUCCIMER (DMSA)"|343.00|$1056.00|$211.20|$747.65|$739.00||$482.59|$211.20|$747.65|$387.55|$493.15|$528.00|$596.64|$475.20|$251.33|$253.44|$407.62|$276.04|$245.94|$245.94
"HCPCS A9552"|"HB F18 FDG"|343.00|$2201.00|$440.20|$1558.31|$1541.00||$1005.86|$440.20|$1558.31|$807.77|$1027.87|$1100.50|$1243.57|$990.45|$523.84|$528.24|$849.59|$575.34|$512.61|$512.61
"HCPCS A9556"|"HB GA67 GALLIUM PER MCI"|343.00|$146.00|$29.20|$103.37|$102.00||$66.72|$29.20|$103.37|$53.58|$68.18|$73.00|$82.49|$65.70|$34.75|$35.04|$56.36|$38.16|$34.00|$34.00
"HCPCS A9558"|"HB XE133 XENON PER 10MCI"|343.00|$309.00|$61.80|$218.77|$216.00||$141.21|$61.80|$218.77|$113.40|$144.30|$154.50|$174.59|$139.05|$73.54|$74.16|$119.27|$80.77|$71.97|$71.97
"HCPCS A9560"|"HB TC99M LABELED RBC"|343.00|$440.00|$88.00|$311.52|$308.00||$201.08|$88.00|$311.52|$161.48|$205.48|$220.00|$248.60|$198.00|$104.72|$105.60|$169.84|$115.02|$102.48|$102.48
"HCPCS A9562"|"HB TC99M MERTIATIDE (MAG3)"|343.00|$800.00|$160.00|$566.40|$560.00||$365.60|$160.00|$566.40|$293.60|$373.60|$400.00|$452.00|$360.00|$190.40|$192.00|$308.80|$209.12|$186.32|$186.32
"HCPCS A9569"|"HB TECHNETIUM TC-99M AUTO WBC"|343.00|$3951.00|$790.20|$2797.31|$2766.00||$1805.61|$790.20|$2797.31|$1450.02|$1845.12|$1975.50|$2232.32|$1777.95|$940.34|$948.24|$1525.09|$1032.79|$920.19|$920.19
"HCPCS A9570"|"HB INDIUM IN-111 WBC"|343.00|$4049.00|$809.80|$2866.69|$2834.00||$1850.39|$809.80|$2866.69|$1485.98|$1890.88|$2024.50|$2287.69|$1822.05|$963.66|$971.76|$1562.91|$1058.41|$943.01|$943.01
"HCPCS A9572"|"HB INDIUM IN-111 PENTETREOTIDE (OCTREOSCAN)"|343.00|$10696.00|$2139.20|$7572.77|$7487.00||$4888.07|$2139.20|$7572.77|$3925.43|$4995.03|$5348.00|$6043.24|$4813.20|$2545.65|$2567.04|$4128.66|$2795.93|$2491.10|$2491.10
"HCPCS A9586"|"HB FLORBETAPIR F18 (AMYVID)"|343.00|$13142.00|$2628.40|$9304.54|$9199.00||$6005.89|$2628.40|$9304.54|$4823.11|$6137.31|$6571.00|$7425.23|$5913.90|$3127.80|$3154.08|$5072.81|$3435.32|$3060.77|$3060.77
"HCPCS A9509"|"HB IODINE I-123 SOD IODIDE PER MCI"|343.00|$1670.00|$334.00|$1182.36|$1169.00||$763.19|$334.00|$1182.36|$612.89|$779.89|$835.00|$943.55|$751.50|$397.46|$400.80|$644.62|$436.54|$388.94|$388.94
"HCPCS A9588"|"HB FLUCICLOVIN F-18 (AXUMIN) PER MCI"|343.00|$1783.00|$356.60|$1262.36|$1248.00||$814.83|$356.60|$1262.36|$654.36|$832.66|$891.50|$1007.40|$802.35|$424.35|$427.92|$688.24|$466.08|$415.26|$415.26
"HCPCS A9577"|"HB INJECTION, GADOBENATE DIMEGLUMINE PER ML"|343.00|$18.00|$3.60|$12.74|$13.00||$8.23|$3.60|$12.74|$6.61|$8.41|$9.00|$10.17|$8.10|$4.28|$4.32|$6.95|$4.71|$4.19|$4.19
"HCPCS A9517"|"HB I131 IODIDE CAP TX, PER MILLICURIE"|344.00|$142.00|$28.40|$100.54|$99.00||$64.89|$28.40|$100.54|$52.11|$66.31|$71.00|$80.23|$63.90|$33.80|$34.08|$54.81|$37.12|$33.07|$33.07
"HCPCS A9543"|"HB Y90 IBRITUMOMAB, RX"|344.00|$170171.00|$4650.00|$120481.07|$119120.00||$77768.15|$34034.20|$120481.07|$62452.76|$79469.86|$85085.50|$96146.62|$76576.95|$4650.00|$5000.00|$65686.01|$44482.70|$39632.83|$39632.83
"HCPCS A9600"|"HB SR89 STRONTIUM PER MCI"|344.00|$10323.00|$2064.60|$7308.68|$7226.00||$4717.61|$2064.60|$7308.68|$3788.54|$4820.84|$5161.50|$5832.50|$4645.35|$2456.87|$2477.52|$3984.68|$2698.43|$2404.23|$2404.23
"HCPCS A9604"|"HB SM 153 LEXIDRONAM"|344.00|$24310.00|$4650.00|$17211.48|$17017.00||$11109.67|$4862.00|$17211.48|$8921.77|$11352.77|$12155.00|$13735.15|$10939.50|$4650.00|$5000.00|$9383.66|$6354.63|$5661.80|$5661.80
"HCPCS A9606"|"HB RADIUM RA223 DICHLORIDE THER PER UCI"|344.00|$421.00|$84.20|$298.07|$295.00||$192.40|$84.20|$298.07|$154.51|$196.61|$210.50|$237.87|$189.45|$100.20|$101.04|$162.51|$110.05|$98.05|$98.05
"CPT® 75571"|"HB CT HRT W/O DYE W/CA TEST"|350.00|$192.00|$38.40|$192.00|$134.00||$192.00|$38.40|$135.94|$70.46|$89.66|$96.00|$108.48|$86.40|$192.00|$192.00|$74.11|$50.19|$44.72|$44.72
"CPT® 75572"|"HB CT HRT W/3D IMAGE"|350.00|$3856.00|$550.00|$2730.05|$2699.00||$1071.00|$771.20|$2730.05|$1415.15|$1800.75|$1928.00|$2178.64|$1735.20|$550.00|$597.00|$1488.42|$1007.96|$898.06|$898.06
"CPT® 75574"|"HB CT ANGIO HRT W/3D IMAGE"|350.00|$4083.00|$550.00|$2890.76|$2858.00||$1071.00|$816.60|$2890.76|$1498.46|$1906.76|$2041.50|$2306.90|$1837.35|$550.00|$597.00|$1500.00|$1067.30|$950.93|$950.93
"CPT® 77012"|"HB CT GUIDANCE, NEEDLE PLACEMENT; S&I"|350.00|$3186.00|$550.00|$2255.69|$2230.00||$1071.00|$637.20|$2255.69|$1169.26|$1487.86|$1593.00|$1800.09|$1433.70|$550.00|$597.00|$1229.80|$832.82|$742.02|$742.02
"CPT® 77013"|"HB CT GUIDANCE, PARENCHYMAL TISSUE ABLATION"|350.00|$2587.00|$517.40|$1831.60|$1811.00||$1071.00|$517.40|$1831.60|$949.43|$1208.13|$1293.50|$1461.66|$1164.15|$550.00|$597.00|$998.58|$676.24|$602.51|$602.51
"CPT® 77012"|"HCPF CT SCAN FOR NEEDLE BIOPSY"|350.00|$3186.00|$550.00|$2255.69|$2230.00||$1071.00|$637.20|$2255.69|$1169.26|$1487.86|$1593.00|$1800.09|$1433.70|$550.00|$597.00|$1229.80|$832.82|$742.02|$742.02
"HCPCS G0297"|"HB CT LOW DOSE FOR LUNG SCREENING"|350.00|$937.00|$187.40|$663.40|$656.00||$428.21|$187.40|$663.40|$343.88|$437.58|$468.50|$529.41|$421.65|$550.00|$597.00|$361.68|$244.93|$218.23|$218.23
"CPT® 0042T"|"HB CT PERFUSION W/CONTRAST,CBF"|350.00|$1428.00|$285.60|$1011.02|$1000.00||$652.60|$285.60|$1011.02|$524.08|$666.88|$714.00|$806.82|$642.60|$550.00|$597.00|$551.21|$373.28|$332.58|$332.58
"CPT® 70450"|"HB CT HEAD/BRAIN WITHOUT CONTRAST"|351.00|$2774.00|$550.00|$1963.99|$1942.00||$1071.00|$554.80|$1963.99|$1018.06|$1295.46|$1387.00|$1567.31|$1248.30|$550.00|$597.00|$1070.76|$725.12|$646.06|$646.06
"CPT® 70460"|"HB CT HEAD/BRAIN W/DYE"|351.00|$3276.00|$550.00|$2319.41|$2293.00||$1071.00|$655.20|$2319.41|$1202.29|$1529.89|$1638.00|$1850.94|$1474.20|$550.00|$597.00|$1264.54|$856.35|$762.98|$762.98
"CPT® 70470"|"HB CT HEAD/BRAIN W/O & W/DYE"|351.00|$4212.00|$550.00|$2982.10|$2948.00||$1071.00|$842.40|$2982.10|$1545.80|$1967.00|$2106.00|$2379.78|$1895.40|$550.00|$597.00|$1500.00|$1101.02|$980.97|$980.97
"CPT® 70480"|"HB CT ORBIT/EAR/FOSSA W/O DYE"|351.00|$3687.00|$550.00|$2610.40|$2581.00||$1071.00|$737.40|$2610.40|$1353.13|$1721.83|$1843.50|$2083.16|$1659.15|$550.00|$597.00|$1423.18|$963.78|$858.70|$858.70
"CPT® 70481"|"HB CT ORBIT/EAR/FOSSA W/DYE"|351.00|$4005.00|$550.00|$2835.54|$2804.00||$1071.00|$801.00|$2835.54|$1469.84|$1870.34|$2002.50|$2262.83|$1802.25|$550.00|$597.00|$1500.00|$1046.91|$932.76|$932.76
"CPT® 70482"|"HB CT ORBIT/EAR/FOSSA W/O&W/DYE"|351.00|$4276.00|$550.00|$3027.41|$2993.00||$1071.00|$855.20|$3027.41|$1569.29|$1996.89|$2138.00|$2415.94|$1924.20|$550.00|$597.00|$1500.00|$1117.75|$995.88|$995.88
"CPT® 70486"|"HB CT MAXILLOFACIAL WITHOUT CONTRAST"|351.00|$2921.00|$550.00|$2068.07|$2045.00||$1071.00|$584.20|$2068.07|$1072.01|$1364.11|$1460.50|$1650.37|$1314.45|$550.00|$597.00|$1127.51|$763.55|$680.30|$680.30
"CPT® 70487"|"HB CT MAXILLOFACIAL W/DYE"|351.00|$3545.00|$550.00|$2509.86|$2482.00||$1071.00|$709.00|$2509.86|$1301.02|$1655.52|$1772.50|$2002.93|$1595.25|$550.00|$597.00|$1368.37|$926.66|$825.63|$825.63
"CPT® 70488"|"HB CT MAXILLOFACIAL W/O & W/DYE"|351.00|$4099.00|$550.00|$2902.09|$2869.00||$1071.00|$819.80|$2902.09|$1504.33|$1914.23|$2049.50|$2315.94|$1844.55|$550.00|$597.00|$1500.00|$1071.48|$954.66|$954.66
"CPT® 70496"|"HB CT ANGIOGRAPHY HEAD"|351.00|$4099.00|$550.00|$2902.09|$2869.00||$1071.00|$819.80|$2902.09|$1504.33|$1914.23|$2049.50|$2315.94|$1844.55|$550.00|$597.00|$1500.00|$1071.48|$954.66|$954.66
"CPT® 70498"|"HB CT ANGIOGRAPHY NECK"|351.00|$4269.00|$550.00|$3022.45|$2988.00||$1071.00|$853.80|$3022.45|$1566.72|$1993.62|$2134.50|$2411.99|$1921.05|$550.00|$597.00|$1500.00|$1115.92|$994.25|$994.25
"CPT® 76380"|"HB CT LIMITED FOLLOW-UP STUDY"|352.00|$1182.00|$236.40|$1071.00|$827.00||$1071.00|$236.40|$836.86|$433.79|$551.99|$591.00|$667.83|$531.90|$550.00|$597.00|$456.25|$308.97|$275.29|$275.29
"CPT® 70490"|"HB CT SOFT TISSUE NECK WITHOUT CONTRAST"|352.00|$2877.00|$550.00|$2036.92|$2014.00||$1071.00|$575.40|$2036.92|$1055.86|$1343.56|$1438.50|$1625.51|$1294.65|$550.00|$597.00|$1110.52|$752.05|$670.05|$670.05
"CPT® 70491"|"HB CT SOFT TISSUE NECK W/DYE"|352.00|$3644.00|$550.00|$2579.95|$2551.00||$1071.00|$728.80|$2579.95|$1337.35|$1701.75|$1822.00|$2058.86|$1639.80|$550.00|$597.00|$1406.58|$952.54|$848.69|$848.69
"CPT® 70492"|"HB CT SFT TSUE NCK W/O & W/DYE"|352.00|$4152.00|$550.00|$2939.62|$2906.00||$1071.00|$830.40|$2939.62|$1523.78|$1938.98|$2076.00|$2345.88|$1868.40|$550.00|$597.00|$1500.00|$1085.33|$967.00|$967.00
"CPT® 71250"|"HB CT THORAX W/O DYE"|352.00|$2928.00|$550.00|$2073.02|$2050.00||$1071.00|$585.60|$2073.02|$1074.58|$1367.38|$1464.00|$1654.32|$1317.60|$550.00|$597.00|$1130.21|$765.38|$681.93|$681.93
"CPT® 71260"|"HB CT THORAX W/DYE"|352.00|$3558.00|$550.00|$2519.06|$2491.00||$1071.00|$711.60|$2519.06|$1305.79|$1661.59|$1779.00|$2010.27|$1601.10|$550.00|$597.00|$1373.39|$930.06|$828.66|$828.66
"CPT® 71270"|"HB CT THORAX W/O & W/DYE"|352.00|$3830.00|$550.00|$2711.64|$2681.00||$1071.00|$766.00|$2711.64|$1405.61|$1788.61|$1915.00|$2163.95|$1723.50|$550.00|$597.00|$1478.38|$1001.16|$892.01|$892.01
"CPT® 71275"|"HB CT ANGIOGRAPHY CHEST"|352.00|$3928.00|$550.00|$2781.02|$2750.00||$1071.00|$785.60|$2781.02|$1441.58|$1834.38|$1964.00|$2219.32|$1767.60|$550.00|$597.00|$1500.00|$1026.78|$914.83|$914.83
"CPT® 72125"|"HB CT NECK SPINE W/O DYE"|352.00|$3551.00|$550.00|$2514.11|$2486.00||$1071.00|$710.20|$2514.11|$1303.22|$1658.32|$1775.50|$2006.32|$1597.95|$550.00|$597.00|$1370.69|$928.23|$827.03|$827.03
"CPT® 72126"|"HB CT NECK SPINE W/DYE"|352.00|$3921.00|$550.00|$2776.07|$2745.00||$1071.00|$784.20|$2776.07|$1439.01|$1831.11|$1960.50|$2215.37|$1764.45|$550.00|$597.00|$1500.00|$1024.95|$913.20|$913.20
"CPT® 72127"|"HB CT NECK SPINE W/O & W/DYE"|352.00|$4591.00|$550.00|$3250.43|$3214.00||$1071.00|$918.20|$3250.43|$1684.90|$2144.00|$2295.50|$2593.92|$2065.95|$550.00|$597.00|$1500.00|$1200.09|$1069.24|$1069.24
"CPT® 72128"|"HB CT CHEST SPINE W/O DYE"|352.00|$3151.00|$550.00|$2230.91|$2206.00||$1071.00|$630.20|$2230.91|$1156.42|$1471.52|$1575.50|$1780.32|$1417.95|$550.00|$597.00|$1216.29|$823.67|$733.87|$733.87
"CPT® 72129"|"HB CT CHEST SPINE W/DYE"|352.00|$3305.00|$550.00|$2339.94|$2314.00||$1071.00|$661.00|$2339.94|$1212.94|$1543.44|$1652.50|$1867.33|$1487.25|$550.00|$597.00|$1275.73|$863.93|$769.73|$769.73
"CPT® 72130"|"HB CT CHEST SPINE W/O & W/DYE"|352.00|$3597.00|$550.00|$2546.68|$2518.00||$1071.00|$719.40|$2546.68|$1320.10|$1679.80|$1798.50|$2032.31|$1618.65|$550.00|$597.00|$1388.44|$940.26|$837.74|$837.74
"CPT® 72131"|"HB CT LUMBAR SPINE W/O DYE"|352.00|$3457.00|$550.00|$2447.56|$2420.00||$1071.00|$691.40|$2447.56|$1268.72|$1614.42|$1728.50|$1953.21|$1555.65|$550.00|$597.00|$1334.40|$903.66|$805.14|$805.14
"CPT® 72132"|"HB CT LUMBAR SPINE W/DYE"|352.00|$3930.00|$550.00|$2782.44|$2751.00||$1071.00|$786.00|$2782.44|$1442.31|$