"Billing Code"|"Service Description"|"Revenue Code"|"Gross Charge"|"De-identified Minimum Negotiated Charge"|"De-identified Maximum Negotiated Charge"|"Discounted Cash Price"|"Negotiated Charge: NMH HUMANA ADVOCATE IPA _426_"|"Negotiated Charge: NMH AETNA  AFFILIATES _3004_"|"Negotiated Charge: NMH AETNA NM EMPLOYEES _390_"|"Negotiated Charge: NMH AETNA TRANSPLANT _392_"|"Negotiated Charge: NMH HUMANA CHS IPA _621_"|"Negotiated Charge: NMH CIGNA BEHAVIORAL HEALTH _348_"|"Negotiated Charge: NMH CIGNA HMO AND OAP _336_"|"Negotiated Charge: NMH CIGNA LIFESOURCE TRANSPLANT _395_"|"Negotiated Charge: NMH CIGNA LOCAL PLUS _331_"|"Negotiated Charge: NMH CIGNA NEW ACCOUNT _363_"|"Negotiated Charge: NMH CIGNA PPO _338_"|"Negotiated Charge: NMH HUMANA _553_"|"Negotiated Charge: NMH HUMANA TRANSPLANT _406_"|"Negotiated Charge: NMH HUMANA IL HEALTH PARTNERS IPA _619_"|"Negotiated Charge: NMH UHC _419_"|"Negotiated Charge: NMH UHC CORE _329_"|"Negotiated Charge: NMHC CIGNA ONE _627_"|"Negotiated Charge: NMHC AETNA IMAGINE HEALTH _653_"|"Negotiated Charge: NMHC HUMANA SCPP IPA _586_"|"Negotiated Charge: NMHC HUMANA UIC IPA _490_"|"Negotiated Charge: Health Alliance"|"Negotiated Charge: BCBS PPO"|"Negotiated Charge: BCBS HMO"|"Negotiated Charge: BCBS Blue Choice"
"MS-DRG V37 (FY 2020) 099"|"Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC"|0.00|$63942.00|$746.00|$29600.64|$44759.00|$23680.49|$16068.95|$13261.05|$17237.61|$23680.49|$746.00|$23945.00|$17237.61|$18056.40|$22496.46|$23065.00|$18164.90|$17237.61|$7755.36|$21060.11|$19468.58|$15544.96|$19924.10|$26640.55|$29600.64|$24117.40|$21145.62|$15582.67|$15582.67
"MS-DRG V37 (FY 2020) 100"|"Seizures With McC"|0.00|$102374.00|$746.00|$33855.08|$71662.00|$20717.00|$21546.40|$11601.54|$27678.00|$20717.00|$746.00|$5234.00|$27678.00|$15796.76|$19681.16|$5738.00|$24356.80|$27678.00|$6784.82|$28238.90|$26104.87|$20843.80|$26715.66|$25280.43|$28089.39|$32338.34|$33855.08|$24948.54|$24948.54
"MS-DRG V37 (FY 2020) 101"|"Seizures Without McC"|0.00|$45310.00|$2822.20|$15309.62|$31717.00|$8617.40|$10200.50|$4825.73|$10200.50|$8617.40|$11704.38|$4789.00|$11704.38|$6570.78|$8186.54|$4613.00|$11531.00|$13368.86|$2822.20|$13368.86|$12358.57|$9867.88|$12647.73|$12422.48|$13802.75|$15309.62|$14984.02|$11042.05|$11042.05
"MS-DRG V37 (FY 2020) 102"|"Headaches With McC"|0.00|$61783.00|$746.00|$29518.33|$43248.00|$23614.63|$13244.55|$13224.19|$13244.55|$23614.63|$746.00|$19156.00|$13244.55|$18006.18|$22433.88|$18452.00|$14972.10|$13244.55|$7733.79|$17358.42|$16046.64|$12812.66|$16422.09|$26566.45|$29518.33|$19878.34|$20431.64|$15056.52|$15056.52
"MS-DRG V37 (FY 2020) 103"|"Headaches Without McC"|0.00|$35440.00|$8636.73|$22377.88|$24808.00|$12482.63|$12482.63|$12482.63|$12482.63|$12482.63|$12482.63|$12482.63|$12482.63|$12482.63|$12482.63|$12482.63|$12482.63|$12482.63|$12482.63|$12482.63|$12482.63|$9213.73|$11809.30|$20140.10|$22377.88|$14294.73|$11720.01|$8636.73|$8636.73
"MS-DRG V37 (FY 2020) 113"|"Orbital Procedures With Cc/McC"|0.00|$352884.00|$0.00|$0.00|$247019.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 114"|"Orbital Procedures Without Cc/McC"|0.00|$301955.00|$14812.00|$110449.81|$211368.00|$83674.11|$16623.25|$46857.48|$110449.81|$83674.11|$110449.81|$14812.00|$110449.81|$63801.49|$79490.39|$14964.00|$18791.50|$110449.81|$27403.27|$21786.58|$20140.15|$62755.57|$20611.38|$94133.36|$104592.67|$24949.33|$99856.52|$73586.43|$73586.43
"MS-DRG V37 (FY 2020) 115"|"Extraocular Procedures Except Orbit"|0.00|$70973.00|$746.00|$25083.96|$49681.00|$16081.58|$16712.95|$9005.70|$21904.14|$16081.58|$746.00|$4789.00|$21904.14|$12262.22|$15277.50|$4613.00|$18892.90|$21904.14|$5266.71|$21904.14|$20248.83|$16167.96|$20722.60|$18091.76|$20102.03|$25083.96|$23470.77|$17296.12|$17296.12
"MS-DRG V37 (FY 2020) 116"|"Intraocular Procedures With Cc/McC"|0.00|$177141.00|$18588.83|$101518.09|$123999.00|$56759.76|$21587.80|$31785.49|$101518.09|$56759.76|$101518.09|$58803.00|$101518.09|$43279.36|$53921.81|$58731.00|$24403.60|$101518.09|$18588.83|$28293.16|$26155.03|$42569.83|$26766.99|$63854.76|$70949.77|$32400.47|$58580.53|$43169.26|$43169.26
"MS-DRG V37 (FY 2020) 117"|"Intraocular Procedures Without Cc/McC"|0.00|$46853.00|$746.00|$23524.76|$32797.00|$18819.77|$11947.35|$10539.04|$16529.46|$18819.77|$746.00|$4789.00|$16529.46|$14350.13|$17878.80|$4613.00|$13505.70|$16529.46|$6163.48|$15658.30|$14474.99|$11557.76|$14813.68|$21172.24|$23524.76|$17931.41|$15494.29|$11418.08|$11418.08
"MS-DRG V37 (FY 2020) 121"|"Acute Major Eye Infections With Cc/McC"|0.00|$34737.00|$746.00|$29123.15|$24316.00|$13313.29|$13670.05|$7455.45|$29123.15|$13313.29|$746.00|$9578.00|$29123.15|$10151.40|$12647.63|$9226.00|$15453.10|$29123.15|$4360.11|$17916.09|$16562.16|$13224.29|$16949.67|$14977.47|$16641.65|$20516.96|$11487.53|$8465.41|$8465.41
"MS-DRG V37 (FY 2020) 123"|"Neurological Eye Disorders"|0.00|$45314.00|$746.00|$27084.05|$31720.00|$17755.72|$8800.95|$9943.20|$11534.60|$17755.72|$746.00|$4789.00|$11534.60|$13538.76|$16867.94|$4613.00|$9948.90|$11534.60|$5815.00|$11534.60|$10662.92|$8513.96|$10912.41|$24375.61|$27084.05|$13209.08|$14985.34|$11043.02|$11043.02
"MS-DRG V37 (FY 2020) 124"|"Other Disorders Of The Eye With McC"|0.00|$59440.00|$13276.02|$13276.02|$41608.00||||||||||||||||||||$13276.02||||
"MS-DRG V37 (FY 2020) 125"|"Other Disorders Of The Eye Without McC"|0.00|$41453.00|$746.00|$19156.00|$29017.00|$9961.50|$9607.10|$5578.44|$8286.63|$9961.50|$746.00|$19156.00|$8286.63|$7595.67|$9463.42|$18452.00|$10860.20|$8286.63|$3262.39|$12591.15|$11639.63|$9293.83|$11911.97|$11206.68|$12451.89|$14419.00|$13708.51|$10102.10|$10102.10
"MS-DRG V37 (FY 2020) 129"|"Major Head & Neck Procedures W Cc/McC Or Major Device"|0.00|$219612.00|$23065.00|$99881.81|$153728.00|$79905.40|$29760.90|$44747.05|$29760.90|$79905.40|$29760.90|$23945.00|$29760.90|$60927.90|$75910.19|$23065.00|$29760.90|$29760.90|$26169.02|$29760.90|$29760.90|$59929.05|$29760.90|$89893.59|$99881.81||||
"MS-DRG V37 (FY 2020) 130"|"Major Head & Neck Procedures W/O Cc/McC"|0.00|$158054.00|$0.00|$0.00|$110638.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 131"|"Cranial/Facial Procedures W Cc/McC"|0.00|$168646.00|$0.00|$0.00|$118052.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 132"|"Cranial/Facial Procedures W/O Cc/McC"|0.00|$131717.00|$4613.00|$51435.19|$92202.00|$41148.08|$17578.90|$23042.94|$17578.90|$41148.08|$17578.90|$4789.00|$17578.90|$31375.41|$39090.69|$4613.00|$17578.90|$17578.90|$13476.00|$17578.90|$17578.90|$17578.90|$17578.90|$46291.65|$51435.19||||
"MS-DRG V37 (FY 2020) 133"|"Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/McC"|0.00|$125605.00|$746.00|$31630.10|$87924.00|$23800.50|$31630.10|$13328.29|$31630.10|$23800.50|$746.00|$9578.00|$31630.10|$18147.88|$22610.52|$9226.00|$31630.10|$31630.10|$7794.66|$31630.10|$31630.10|$31630.10|$31630.10|$26775.57|$29750.68||||
"MS-DRG V37 (FY 2020) 134"|"Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/McC"|0.00|$94145.00|$746.00|$21839.60|$65902.00|$17471.64|$11512.31|$9784.14|$11512.31|$17471.64|$746.00|$14367.00|$11512.31|$13322.13|$16598.06|$13839.00|$11512.31|$11512.31|$5721.96|$11512.31|$11512.31|$11512.31|$11512.31|$19655.61|$21839.60||||
"MS-DRG V37 (FY 2020) 135"|"Sinus And Mastoid Procedures With Cc/McC"|0.00|$130448.00|$0.00|$0.00|$91314.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 091"|"Other Disorders Of Nervous System With McC"|0.00|$106932.00|$7153.48|$63123.91|$74852.00|$21842.67|$18962.35|$12231.90|$24951.88|$21842.67|$24951.88|$28734.00|$24951.88|$16655.07|$20750.56|$27678.00|$21435.70|$24951.88|$7153.48|$24852.22|$22974.12|$37874.33|$23511.67|$56811.50|$63123.91|$28460.01|$35362.41|$26059.33|$26059.33
"MS-DRG V37 (FY 2020) 092"|"Other Disorders Of Nervous System With Cc"|0.00|$56480.00|$746.00|$33523.00|$39536.00|$16183.60|$11340.15|$9062.83|$14862.50|$16183.60|$746.00|$33523.00|$14862.50|$12340.03|$15374.43|$32291.00|$12819.30|$14862.50|$5300.13|$14862.50|$13739.33|$10970.36|$14060.80|$19927.24|$22141.38|$17020.09|$18677.94|$13764.18|$13764.18
"MS-DRG V37 (FY 2020) 093"|"Other Disorders Of Nervous System Without Cc/McC"|0.00|$51718.00|$746.00|$17788.51|$36203.00|$17788.51|$8984.95|$9961.55|$8984.95|$17788.51|$746.00|$5234.00|$8984.95|$13563.77|$16899.09|$5738.00|$10156.90|$8984.95|$5825.73|$11775.75|$10885.85|$8691.96|$11140.56|$15467.74|$17186.41|$13485.24|$17103.14|$12603.68|$12603.68
"MS-DRG V37 (FY 2020) 094"|"Bacterial And Tuberculous Infections Of Nervous System With McC"|0.00|$130321.00|$0.00|$0.00|$91225.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 095"|"Bacterial And Tuberculous Infections Of Nervous System With Cc"|0.00|$83892.00|$746.00|$43288.08|$58724.00|$25257.22|$28842.00|$14144.03|$28215.00|$25257.22|$746.00|$14367.00|$28215.00|$19258.65|$23994.36|$13839.00|$32604.00|$28215.00|$8271.74|$37800.58|$34943.96|$27901.50|$35761.57|$28414.37|$31571.54|$43288.08|$27743.08|$20444.48|$20444.48
"MS-DRG V37 (FY 2020) 096"|"Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC"|0.00|$94656.00|$11701.85|$44663.59|$66259.00|$35730.86|$26812.25|$20009.26|$35140.37|$35730.86|$35140.37|$23945.00|$35140.37|$27244.77|$33944.31|$23065.00|$30309.50|$35140.37|$11701.85|$35140.37|$32484.79|$25937.94|$33244.86|$40197.22|$44663.59|$40241.69|$31302.74|$23067.67|$23067.67
"MS-DRG V37 (FY 2020) 097"|"Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC"|0.00|$205614.00|$19882.56|$151775.25|$143930.00|$60710.08|$43154.90|$33997.63|$63818.42|$60710.08|$63818.42|$151775.25|$63818.42|$46291.51|$57674.60|$151775.25|$48783.80|$63818.42|$19882.56|$151775.25|$151775.25|$45532.58|$151775.25|$68298.86|$75887.73|$64769.88|$67996.55|$50108.13|$50108.13
"MS-DRG V37 (FY 2020) 098"|"Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc"|0.00|$111955.00|$746.00|$48796.28|$78368.00|$31274.23|$24275.35|$17513.58|$29411.17|$31274.23|$746.00|$33523.00|$29411.17|$23846.62|$29710.52|$32291.00|$27441.70|$29411.17|$10242.31|$31815.48|$29411.17|$23483.76|$30099.32|$43916.63|$48796.28|$36434.13|$37023.52|$27283.43|$27283.43
"MS-DRG V37 (FY 2020) 216"|"Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC"|0.00|$414862.00|$101101.87|$180023.53|$290403.00|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$180023.53|$137194.86|$101101.87|$101101.87
"MS-DRG V37 (FY 2020) 217"|"Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc"|0.00|$63153.00|$0.00|$0.00|$44207.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 219"|"Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC"|0.00|$299599.00|$73012.28|$139031.03|$209719.00|$116870.53|$89245.40|$85530.27|$85530.27|$116870.53|$107452.17|$107452.17|$107452.17|$107452.17|$107452.17|$107452.17|$116870.53|$116870.53|$116870.53|$118165.99|$118165.99|$107452.17|$85530.27|$116870.53|$116870.53|$139031.03|$99077.39|$73012.28|$73012.28
"MS-DRG V37 (FY 2020) 220"|"Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc"|0.00|$237928.00|$57983.05|$129994.55|$166550.00|$79970.52|$79970.52|$79970.52|$79970.52|$79970.52|$79970.52|$79970.52|$79970.52|$79970.52|$79970.52|$79970.52|$79970.52|$79970.52|$79970.52|$79970.52|$79970.52|$129994.55|$129994.55|$129994.55|$129994.55|$93202.27|$78682.79|$57983.05|$57983.05
"MS-DRG V37 (FY 2020) 221"|"Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC"|0.00|$231183.00|$56339.30|$264838.14|$161828.00|$193706.75|$154973.21|$108475.81|$264838.14|$193706.75|$264838.14|$264838.14|$264838.14|$147701.44|$184021.41|$264838.14|$264838.14|$264838.14|$63438.96|$264838.14|$264838.14|$264838.14|$64996.65|$217920.10|$242133.50|$78572.70|$76452.22|$56339.30|$56339.30
"MS-DRG V37 (FY 2020) 222"|"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With McC"|0.00|$367876.00|$89651.38|$462597.39|$257513.00|$272942.70|$272942.70|$272942.70|$272942.70|$401856.67|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$462597.39|$145348.19|$121656.59|$89651.38|$89651.38
"MS-DRG V37 (FY 2020) 223"|"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without McC"|0.00|$236970.00|$0.00|$0.00|$165879.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 224"|"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With McC"|0.00|$319857.00|$77949.15|$127071.57|$223900.00|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$127071.57|$105776.71|$77949.15|$77949.15
"MS-DRG V37 (FY 2020) 225"|"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without McC"|0.00|$233858.00|$746.00|$123273.24|$163701.00|$80439.32|$64708.20|$45046.02|$84807.13|$80439.32|$746.00|$114223.80|$84807.13|$61335.02|$76417.35|$123273.24|$73148.40|$84807.13|$26343.87|$84807.13|$78398.20|$60329.48|$80232.54|$90494.23|$100549.17|$97118.57|$77336.84|$56991.19|$56991.19
"MS-DRG V37 (FY 2020) 226"|"Cardiac Defibrillator Implant Without Cardiac Catheterization With McC"|0.00|$287842.00|$35383.33|$165572.42|$201489.00|$108040.70|$86432.57|$60502.82|$100797.01|$108040.70|$100797.01|$153417.80|$100797.01|$82381.12|$102638.72|$165572.42|$85953.40|$100797.01|$35383.33|$99653.05|$92122.21|$81030.53|$94277.66|$121545.81|$135050.93|$114119.67|$95189.35|$70147.10|$70147.10
"MS-DRG V37 (FY 2020) 227"|"Cardiac Defibrillator Implant Without Cardiac Catheterization Without McC"|0.00|$195692.00|$746.00|$114380.59|$136984.00|$74636.60|$60396.85|$41796.47|$93659.53|$74636.60|$746.00|$105983.95|$93659.53|$56910.42|$70904.75|$114380.59|$68274.70|$93659.53|$24443.48|$79156.64|$73174.72|$55977.44|$74886.84|$83966.15|$93295.77|$90647.79|$64715.34|$47690.14|$47690.14
"MS-DRG V37 (FY 2020) 228"|"Other Cardiothoracic Procedures With McC"|0.00|$300693.00|$73278.88|$107276.08|$210485.00|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$107276.08|$99439.18|$73278.88|$73278.88
"MS-DRG V37 (FY 2020) 229"|"Other Cardiothoracic Procedures Without McC"|0.00|$206710.00|$0.00|$0.00|$144697.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 231"|"Coronary Bypass With Ptca With McC"|0.00|$422275.00|$102908.42|$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|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$146540.85|$139646.34|$102908.42|$102908.42
"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|$345739.00|$84256.59|$158232.17|$242017.00|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$134502.00|$114335.89|$84256.59|$84256.59
"MS-DRG V37 (FY 2020) 234"|"Coronary Bypass With Cardiac Catheterization Without McC"|0.00|$280866.00|$68447.04|$127554.35|$196606.00|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$91778.32|$92882.39|$68447.04|$68447.04
"MS-DRG V37 (FY 2020) 235"|"Coronary Bypass Without Cardiac Catheterization With McC"|0.00|$257966.00|$62866.31|$104081.25|$180576.00|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$104081.25|$85309.36|$62866.31|$62866.31
"MS-DRG V37 (FY 2020) 236"|"Coronary Bypass Without Cardiac Catheterization Without McC"|0.00|$226325.00|$34450.69|$161208.13|$158428.00|$105192.93|$84154.35|$58908.06|$114052.08|$105192.93|$114052.08|$149374.00|$114052.08|$80209.67|$99933.30|$161208.13|$53050.40|$114052.08|$34450.69|$61505.82|$56857.79|$99979.60|$114052.08|$99979.60|$99979.60|$70434.61|$74845.68|$55155.40|$55155.40
"MS-DRG V37 (FY 2020) 239"|"Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC"|0.00|$203245.00|$746.00|$82998.16|$142272.00|$36149.80|$55300.05|$20243.90|$14661.00|$36149.80|$746.00|$23945.00|$14661.00|$27564.27|$34342.35|$23065.00|$62513.10|$14661.00|$11839.06|$72476.73|$66999.62|$53496.79|$68567.25|$40668.53|$45187.31|$82998.16|$67213.12|$49530.81|$49530.81
"MS-DRG V37 (FY 2020) 240"|"Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc"|0.00|$102122.00|$11114.71|$66123.00|$71485.00|$33938.06|$32085.00|$19005.31|$66123.00|$33938.06|$66123.00|$38312.00|$66123.00|$25877.77|$32241.15|$36904.00|$34136.47|$66123.00|$11114.71|$42050.88|$38873.07|$31038.75|$39782.61|$38180.30|$42422.63|$48153.67|$33771.75|$24887.13|$24887.13
"MS-DRG V37 (FY 2020) 241"|"Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC"|0.00|$61671.00|$0.00|$0.00|$43170.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 242"|"Permanent Cardiac Pacemaker Implant With McC"|0.00|$161201.00|$746.00|$127858.78|$112841.00|$83431.49|$42808.75|$46721.64|$56106.32|$83431.49|$746.00|$118472.74|$56106.32|$63616.54|$79259.94|$127858.78|$48392.50|$56106.32|$27323.82|$56105.52|$51865.59|$62573.63|$53079.13|$93860.44|$104289.44|$64250.35|$53309.17|$39284.68|$39284.68
"MS-DRG V37 (FY 2020) 243"|"Permanent Cardiac Pacemaker Implant With Cc"|0.00|$111747.00|$746.00|$60774.59|$78223.00|$39657.11|$29124.90|$22208.00|$32923.80|$39657.11|$746.00|$56313.12|$32923.80|$30238.57|$37674.27|$60774.59|$32923.80|$32923.80|$12987.71|$38171.35|$35286.72|$28175.18|$36112.34|$44614.29|$49571.45|$43712.68|$36954.73|$27232.74|$27232.74
"MS-DRG V37 (FY 2020) 244"|"Permanent Cardiac Pacemaker Implant Without Cc/McC"|0.00|$87500.00|$746.00|$63524.99|$61250.00|$41451.86|$23755.55|$23213.06|$33987.38|$41451.86|$746.00|$58861.65|$33987.38|$31607.09|$39379.27|$63524.99|$26854.10|$33987.38|$13575.49|$31134.23|$28781.40|$22980.91|$29454.82|$46633.37|$51814.86|$35653.98|$28936.25|$21323.75|$21323.75
"MS-DRG V37 (FY 2020) 245"|"Aicd Generator Procedures"|0.00|$324754.00|$39016.23|$182572.10|$227328.00|$119133.53|$95306.81|$66714.75|$145341.00|$119133.53|$145341.00|$169169.59|$145341.00|$90839.32|$113176.83|$182572.10|$70382.00|$145341.00|$39016.23|$81599.81|$75433.26|$89350.14|$77198.23|$134025.21|$148916.97|$93445.64|$107396.15|$79142.55|$79142.55
"MS-DRG V37 (FY 2020) 246"|"Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With McC Or 4+ Arteries Or Stents"|0.00|$141144.00|$746.00|$80069.64|$98801.00|$52247.70|$35945.55|$29258.70|$48881.55|$52247.70|$746.00|$74191.74|$48881.55|$39838.95|$49635.33|$80069.64|$40634.10|$48881.55|$17111.12|$47110.55|$43550.38|$34773.41|$44569.36|$55533.37|$61703.77|$53949.58|$46676.32|$34396.79|$34396.79
"MS-DRG V37 (FY 2020) 247"|"Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without McC"|0.00|$108690.00|$746.00|$64708.35|$76083.00|$42224.03|$22864.30|$23645.46|$22864.30|$42224.03|$746.00|$59958.13|$62199.28|$32195.86|$40112.84|$64708.35|$25846.60|$29966.15|$13828.37|$29966.15|$27701.59|$58502.17|$28465.59|$52799.84|$58666.51|$34316.33|$35943.78|$26487.75|$26487.75
"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|$95765.00|$0.00|$0.00|$67036.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 250"|"Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With McC"|0.00|$135926.00|$746.00|$51277.97|$95148.00|$33460.34|$29012.20|$18737.79|$21832.31|$33460.34|$746.00|$47513.68|$21832.31|$25513.53|$31787.32|$51277.97|$32796.40|$21832.31|$10958.26|$38023.64|$35150.17|$28066.15|$35972.61|$37642.89|$41825.47|$43543.53|$44950.73|$33125.17|$33125.17
"MS-DRG V37 (FY 2020) 251"|"Percutaneous Cardiovascular Procedures Without Coronary Artery Stent Without McC"|0.00|$74675.00|$746.00|$50692.58|$52272.00|$33078.34|$19087.70|$18523.88|$16120.64|$33078.34|$746.00|$46971.24|$16120.64|$25222.26|$31424.45|$50692.58|$21577.40|$16120.64|$10833.16|$25016.51|$23125.99|$18465.28|$23667.09|$37213.14|$41347.97|$28648.15|$24695.02|$18198.30|$18198.30
"MS-DRG V37 (FY 2020) 252"|"Other Vascular Procedures With McC"|0.00|$174648.00|$16298.17|$62206.81|$122254.00|$49765.39|$38188.05|$27868.65|$50124.08|$49765.39|$50124.08|$20046.00|$50124.08|$37946.15|$47277.15|$20702.00|$43169.10|$50124.08|$16298.17|$50049.59|$46267.31|$36942.79|$47349.86|$55986.09|$62206.81|$57315.28|$57756.09|$42561.72|$42561.72
"MS-DRG V37 (FY 2020) 253"|"Other Vascular Procedures With Cc"|0.00|$139406.00|$16795.59|$64105.34|$97584.00|$51284.24|$30517.55|$28719.20|$39286.68|$51284.24|$39286.68|$19156.00|$39286.68|$39104.28|$48720.03|$18452.00|$34498.10|$39286.68|$16795.59|$39996.57|$36974.00|$38463.18|$37839.11|$57694.76|$64105.34|$45802.86|$46101.56|$33973.24|$33973.24
"MS-DRG V37 (FY 2020) 254"|"Other Vascular Procedures Without Cc/McC"|0.00|$99141.00|$15746.91|$61131.94|$69399.00|$15746.91|$15746.91|$15746.91|$15746.91|$15746.91|$15746.91|$15746.91|$15746.91|$15746.91|$15746.91|$15746.91|$15746.91|$15746.91|$15746.91|$15746.91|$15746.91|$27272.78|$25811.81|$55018.68|$61131.94|$31231.97|$32785.93|$24160.66|$24160.66
"MS-DRG V37 (FY 2020) 255"|"Upper Limb And Toe Amputation For Circulatory System Disorders With McC"|0.00|$76344.00|$13836.75|$62257.00|$53441.00|$42249.59|$29244.50|$23659.81|$35431.62|$42249.59|$35431.62|$62257.00|$35431.62|$32215.36|$40137.14|$59969.00|$33059.00|$35431.62|$13836.75|$38328.10|$35431.62|$28290.88|$36260.64|$47530.81|$52812.06|$43892.18|$25246.96|$18605.03|$18605.03
"MS-DRG V37 (FY 2020) 256"|"Upper Limb And Toe Amputation For Circulatory System Disorders With Cc"|0.00|$67805.00|$3933.41|$28359.91|$47464.00|$12010.40|$18895.65|$6725.83|$14835.05|$12010.40|$14835.05|$9578.00|$14835.05|$9157.99|$11409.90|$9226.00|$21360.30|$14835.05|$3933.41|$24764.80|$22893.31|$18279.49|$23428.96|$13511.70|$15013.05|$28359.91|$22423.11|$16524.08|$16524.08
"MS-DRG V37 (FY 2020) 257"|"Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/McC"|0.00|$28744.00|$0.00|$0.00|$20121.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 258"|"Cardiac Pacemaker Device Replacement With McC"|0.00|$91932.00|$22403.83|$55254.44|$64352.00|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$55254.44|$30401.91|$22403.83|$22403.83
"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|$278244.00|$0.00|$0.00|$194771.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 261"|"Cardiac Pacemaker Revision Except Device Replacement With Cc"|0.00|$81622.00|$746.00|$47920.07|$57135.00|$31269.21|$22899.95|$17510.76|$30013.76|$31269.21|$746.00|$44402.26|$30013.76|$23842.82|$29705.76|$47920.07|$25886.90|$30013.76|$10240.66|$30012.87|$27744.78|$22153.21|$28393.95|$35177.85|$39086.52|$34369.84|$26992.40|$19891.28|$19891.28
"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|$73705.00|$5234.00|$46574.22|$51594.00|$37259.35|$26510.95|$20865.21|$34745.48|$37259.35|$34745.48|$5234.00|$34745.48|$28410.27|$35396.37|$5738.00|$29968.90|$34745.48|$12202.43|$34745.48|$32119.74|$25646.46|$32871.27|$41916.76|$46574.22|$39789.48|$24374.24|$17961.91|$17961.91
"MS-DRG V37 (FY 2020) 264"|"Other Circulatory System O.R. Procedures"|0.00|$154087.00|$37551.00|$56057.03|$107861.00|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$56057.03|$50956.57|$37551.00|$37551.00
"MS-DRG V37 (FY 2020) 265"|"Aicd Lead Procedures"|0.00|$175657.00|$0.00|$0.00|$122960.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 266"|"Endovascular Cardiac Valve Replacement And Supplement Procedures With McC"|0.00|$309319.00|$35554.81|$135705.45|$216523.00|$108564.32|$86851.45|$60796.03|$107333.74|$108564.32|$107333.74|$118335.10|$107333.74|$82780.34|$103136.09|$119149.32|$92263.60|$107333.74|$35554.81|$106969.00|$98885.29|$81423.24|$101198.97|$122134.87|$135705.45|$122497.67|$102291.79|$75381.04|$75381.04
"MS-DRG V37 (FY 2020) 267"|"Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC"|0.00|$273165.00|$34267.17|$130790.78|$191216.00|$104632.59|$64410.35|$58594.25|$84416.76|$104632.59|$84416.76|$114049.52|$84416.76|$79782.39|$99400.98|$114834.25|$72811.70|$84416.76|$34267.17|$84416.76|$78037.34|$78474.44|$79863.23|$117711.66|$130790.78|$96671.53|$90335.67|$66570.31|$66570.31
"MS-DRG V37 (FY 2020) 268"|"Aortic And Heart Assist Procedures Except Pulsation Balloon With McC"|0.00|$371132.00|$4613.00|$122733.35|$259792.00|$62113.27|$79977.90|$34783.40|$87148.10|$62113.27|$87148.10|$4789.00|$87148.10|$47361.40|$59007.66|$4613.00|$90409.80|$87148.10|$20342.10|$104819.73|$96898.44|$46584.96|$99165.64|$69877.45|$77641.65|$120036.40|$122733.35|$90444.87|$90444.87
"MS-DRG V37 (FY 2020) 269"|"Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC"|0.00|$205212.00|$9226.00|$101575.31|$143648.00|$81260.22|$49617.90|$45505.76|$49693.90|$81260.22|$49693.90|$9578.00|$49693.90|$61960.94|$77197.18|$9226.00|$56089.80|$49693.90|$26612.72|$65029.65|$60115.32|$60945.16|$61521.88|$91417.71|$101575.31|$74470.00|$67863.61|$50010.16|$50010.16
"MS-DRG V37 (FY 2020) 270"|"Other Major Cardiovascular Procedures With McC"|0.00|$283620.00|$746.00|$93793.13|$198534.00|$68077.85|$59588.40|$38123.57|$60348.55|$68077.85|$746.00|$38312.00|$20795.98|$51909.42|$64673.96|$36904.00|$63815.49|$60348.55|$22295.50|$78097.08|$72195.23|$43038.08|$73884.43|$64557.12|$71730.17|$89434.42|$93793.13|$69118.19|$69118.19
"MS-DRG V37 (FY 2020) 271"|"Other Major Cardiovascular Procedures With Cc"|0.00|$167289.00|$19496.66|$163449.16|$117102.00|$59531.77|$40992.90|$33337.80|$40992.90|$59531.77|$40992.90|$23945.00|$40992.90|$45393.03|$56555.20|$23065.00|$39948.10|$40992.90|$19496.66|$53725.65|$49665.57|$163449.16|$50913.03|$134510.51|$149456.19|$61525.00|$55322.47|$40768.33|$40768.33
"MS-DRG V37 (FY 2020) 272"|"Other Major Cardiovascular Procedures Without Cc/McC"|0.00|$142503.00|$30701.23|$102884.29|$99752.00|$93744.22|$30921.20|$52496.74|$39206.79|$93744.22|$39206.79|$102181.21|$39206.79|$71479.99|$89056.99|$102884.29|$34954.40|$39206.79|$30701.23|$40525.59|$37463.05|$45426.17|$38339.60|$68139.27|$75710.33|$46408.69|$47125.74|$34727.98|$34727.98
"MS-DRG V37 (FY 2020) 273"|"Percutaneous And Other Intracardiac Procedures With McC"|0.00|$176180.00|$746.00|$78380.89|$123326.00|$62704.67|$44127.80|$35114.63|$55921.64|$62704.67|$746.00|$47890.00|$55921.64|$47812.32|$59569.44|$46130.00|$49883.60|$55921.64|$20535.78|$57834.28|$53463.71|$47028.50|$54714.63|$70542.75|$78380.89|$66230.07|$58262.73|$42935.07|$42935.07
"MS-DRG V37 (FY 2020) 274"|"Percutaneous And Other Intracardiac Procedures Without McC"|0.00|$141295.00|$5234.00|$68722.39|$98906.00|$54977.85|$37782.10|$30787.59|$37782.10|$54977.85|$19158.26|$5234.00|$19158.26|$41920.63|$52229.00|$5738.00|$42710.20|$37782.10|$18005.25|$49517.55|$45775.48|$41233.40|$46846.52|$61850.12|$68722.39|$56706.00|$46726.26|$34433.59|$34433.59
"MS-DRG V37 (FY 2020) 280"|"Acute Myocardial Infarction, Discharged Alive With McC"|0.00|$88214.00|$746.00|$30502.50|$61750.00|$30502.50|$18701.30|$17081.39|$18701.30|$30502.50|$746.00|$28734.00|$18701.30|$23258.19|$28977.37|$27678.00|$21140.60|$18701.30|$9989.56|$24510.09|$22657.84|$18701.30|$18701.30|$18701.30|$18701.30|$28068.21|$29172.37|$21497.75|$21497.75
"MS-DRG V37 (FY 2020) 281"|"Acute Myocardial Infarction, Discharged Alive With Cc"|0.00|$46700.00|$746.00|$23300.76|$32690.00|$17572.55|$10719.15|$9840.62|$15854.39|$17572.55|$746.00|$10023.00|$15854.39|$13399.10|$16693.92|$10351.00|$12117.30|$15854.39|$5755.01|$14048.61|$12986.95|$10369.61|$13290.81|$20970.69|$23300.76|$16088.05|$15443.69|$11380.79|$11380.79
"MS-DRG V37 (FY 2020) 282"|"Acute Myocardial Infarction, Discharged Alive Without Cc/McC"|0.00|$44408.00|$7310.71|$27903.51|$31086.00|$22322.77|$8384.09|$12500.76|$10803.76|$22322.77|$10803.76|$10803.76|$10803.76|$17021.16|$21206.62|$10803.76|$10803.76|$10803.76|$7310.71|$10934.74|$10934.74|$10803.76|$10385.50|$25113.12|$27903.51|$12522.13|$14685.73|$10822.23|$10822.23
"MS-DRG V37 (FY 2020) 283"|"Acute Myocardial Infarction, Expired With McC"|0.00|$104286.00|$19339.58|$34487.38|$73000.00|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$32183.00|$34487.38|$25414.50|$25414.50
"MS-DRG V37 (FY 2020) 284"|"Acute Myocardial Infarction, Expired With Cc"|0.00|$46095.00|$0.00|$0.00|$32266.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 286"|"Circulatory Disorders Except Ami, With Cardiac Catheterization With McC"|0.00|$119381.00|$9826.88|$50925.18|$83567.00|$30005.75|$25462.15|$16803.21|$25462.15|$30005.75|$33015.31|$42608.14|$33015.31|$22879.43|$28505.48|$45983.81|$28783.30|$27398.81|$9826.88|$33370.92|$30849.06|$24631.86|$31570.85|$45832.60|$50925.18|$38215.37|$39479.30|$29093.15|$29093.15
"MS-DRG V37 (FY 2020) 287"|"Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC"|0.00|$66831.00|$746.00|$36753.82|$46782.00|$23982.90|$13225.00|$13430.43|$13225.00|$23982.90|$746.00|$34055.71|$16800.00|$18287.02|$22783.76|$36753.82|$14950.00|$16800.00|$7854.40|$17332.80|$16022.95|$12793.75|$16397.85|$28308.35|$31453.74|$19849.00|$22101.01|$16286.71|$16286.71
"MS-DRG V37 (FY 2020) 288"|"Acute And Subacute Endocarditis With McC"|0.00|$113528.00|$746.00|$46274.06|$79470.00|$26273.59|$30831.50|$14713.22|$18389.52|$26273.59|$746.00|$14367.00|$18389.52|$20033.66|$24959.93|$13839.00|$10891.56|$18389.52|$8604.61|$40408.03|$37354.37|$29826.13|$38228.38|$29557.80|$32842.06|$46274.06|$37543.71|$27666.77|$27666.77
"MS-DRG V37 (FY 2020) 136"|"Sinus And Mastoid Procedures Without Cc/McC"|0.00|$106213.00|$0.00|$0.00|$74349.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 137"|"Mouth Procedures With Cc/McC"|0.00|$48384.00|$0.00|$0.00|$33869.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 138"|"Mouth Procedures Without Cc/McC"|0.00|$46069.00|$746.00|$18920.75|$32248.00|$7568.30|$9695.65|$4238.26|$18920.75|$7568.30|$746.00|$9578.00|$18920.75|$5770.85|$7189.89|$9226.00|$10960.30|$18920.75|$2478.62|$12707.20|$11746.91|$9379.49|$12021.76|$8514.34|$9460.38|$14551.91|$15235.02|$11227.02|$11227.02
"MS-DRG V37 (FY 2020) 139"|"Salivary Gland Procedures"|0.00|$84069.00|$0.00|$0.00|$58848.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 146"|"Ear, Nose, Mouth And Throat Malignancy With McC"|0.00|$132182.00|$746.00|$43712.59|$92527.00|$15271.20|$23380.65|$8551.87|$23569.61|$15271.20|$746.00|$9578.00|$23569.61|$11644.31|$14507.66|$9226.00|$26430.30|$23569.61|$5001.32|$30642.88|$28327.18|$22618.24|$28989.97|$17180.11|$19089.02|$35091.31|$43712.59|$32212.75|$32212.75
"MS-DRG V37 (FY 2020) 147"|"Ear, Nose, Mouth And Throat Malignancy With Cc"|0.00|$48135.00|$746.00|$22456.99|$33694.00|$12375.71|$14962.65|$6930.40|$5533.02|$12375.71|$746.00|$9578.00|$5533.02|$9436.52|$11756.93|$9226.00|$16914.30|$5533.02|$4053.05|$19610.18|$18128.23|$14474.74|$18552.38|$13922.68|$15469.69|$22456.99|$15918.24|$11730.50|$11730.50
"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|$43514.00|$803.00|$25184.25|$30460.00|$10073.70|$8458.25|$5641.27|$803.00|$10073.70|$1367.00|$4789.00|$803.00|$7681.22|$9570.02|$4613.00|$9561.50|$803.00|$3299.14|$11085.46|$10247.72|$8182.44|$25184.25|$11332.92|$12592.13|$12694.73|$14390.08|$10604.36|$10604.36
"MS-DRG V37 (FY 2020) 150"|"Epistaxis With McC"|0.00|$109755.00|$0.00|$0.00|$76828.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 151"|"Epistaxis Without McC"|0.00|$21164.00|$746.00|$17641.15|$14815.00|$14112.92|$8475.50|$7903.21|$7078.15|$14112.92|$746.00|$10023.00|$7078.15|$10761.12|$13407.27|$10351.00|$9581.00|$7078.15|$4621.97|$11108.06|$10268.62|$8199.13|$10508.88|$15877.00|$17641.15|$12720.62|$6998.93|$5157.67|$5157.67
"MS-DRG V37 (FY 2020) 152"|"Otitis Media And Uri With McC"|0.00|$34783.00|$746.00|$18587.29|$24348.00|$7777.60|$12384.35|$4355.45|$16231.04|$7777.60|$746.00|$4789.00|$16231.04|$5930.44|$7388.72|$4613.00|$13999.70|$16231.04|$2547.16|$16231.04|$15004.45|$11980.51|$15355.52|$8749.80|$9722.00|$18587.29|$11502.74|$8476.62|$8476.62
"MS-DRG V37 (FY 2020) 153"|"Otitis Media And Uri Without McC"|0.00|$27962.00|$746.00|$12264.96|$19573.00|$9650.50|$8171.90|$5404.28|$9237.80|$9650.50|$746.00|$9578.00|$9237.80|$7358.51|$9167.99|$9226.00|$9237.80|$9237.80|$3160.54|$10710.16|$9900.79|$7905.43|$10132.45|$10856.83|$12063.14|$12264.96|$9247.03|$6814.34|$6814.34
"MS-DRG V37 (FY 2020) 154"|"Other Ear, Nose, Mouth And Throat Diagnoses With McC"|0.00|$48869.00|$746.00|$43662.41|$34208.00|$24773.00|$17738.75|$13872.87|$43662.41|$24773.00|$746.00|$15257.00|$43662.41|$18889.46|$23534.34|$16089.00|$20052.50|$43662.41|$8113.16|$23248.56|$21491.65|$17160.31|$21994.51|$27869.63|$30966.25|$26623.55|$16160.98|$11909.38|$11909.38
"MS-DRG V37 (FY 2020) 155"|"Other Ear, Nose, Mouth And Throat Diagnoses With Cc"|0.00|$31306.00|$6262.49|$33523.00|$21914.00|$19122.10|$10428.20|$10708.38|$14580.64|$19122.10|$14580.64|$33523.00|$14580.64|$14580.64|$18166.01|$32291.00|$11788.40|$14580.64|$6262.49|$13667.29|$12634.44|$10088.15|$12930.06|$21512.36|$23902.64|$15651.37|$10352.89|$7629.27|$7629.27
"MS-DRG V37 (FY 2020) 156"|"Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC"|0.00|$17062.00|$746.00|$11350.18|$11943.00|$8114.34|$7562.40|$4544.03|$9911.35|$8114.34|$746.00|$9578.00|$9911.35|$6187.21|$7708.64|$9226.00|$8548.80|$9911.35|$2657.45|$9911.35|$9162.34|$7315.80|$9376.72|$9128.64|$10142.95|$11350.18|$5642.40|$4158.01|$4158.01
"MS-DRG V37 (FY 2020) 157"|"Dental And Oral Diseases With McC"|0.00|$50921.00|$5732.27|$43101.00|$35645.00|$17503.10|$18082.60|$9801.74|$16627.95|$17503.10|$16627.95|$43101.00|$16627.95|$13346.14|$16627.95|$41517.00|$20441.20|$16627.95|$5732.27|$23699.21|$21908.25|$17492.95|$22420.85|$19691.00|$21878.88|$27139.62|$16839.57|$12409.45|$12409.45
"MS-DRG V37 (FY 2020) 158"|"Dental And Oral Diseases With Cc"|0.00|$38949.00|$3591.01|$16460.08|$27264.00|$10964.91|$11521.77|$6140.34|$9694.48|$10964.91|$9694.48|$16460.08|$9694.48|$8360.78|$10416.66|$16097.91|$15059.05|$9694.48|$3591.01|$14154.52|$13084.83|$10996.74|$16362.68|$12335.54|$13706.16|$15345.87|$12880.43|$9491.87|$9491.87
"MS-DRG V37 (FY 2020) 159"|"Dental And Oral Diseases Without Cc/McC"|0.00|$23711.00|$746.00|$11319.11|$16598.00|$6847.31|$7541.70|$3834.48|$9226.00|$6847.31|$746.00|$4789.00|$9226.00|$5221.10|$6504.95|$4613.00|$8525.40|$9226.00|$2242.49|$9884.22|$9137.26|$7295.78|$9351.05|$7703.22|$8559.15|$11319.11|$7841.23|$5778.37|$5778.37
"MS-DRG V37 (FY 2020) 163"|"Major Chest Procedures With McC"|0.00|$199907.00|$48717.34|$105890.85|$139935.00|$69515.11|$69515.11|$69515.11|$69515.11|$69515.11|$69515.11|$69515.11|$69515.11|$69515.11|$69515.11|$69515.11|$69515.11|$69515.11|$69515.11|$73456.41|$73456.41|$63534.46|$70718.94|$95301.69|$105890.85|$85628.59|$66109.24|$48717.34|$48717.34
"MS-DRG V37 (FY 2020) 164"|"Major Chest Procedures With Cc"|0.00|$125015.00|$22562.96|$113204.93|$87510.00|$68894.51|$30311.70|$38580.95|$38122.05|$68894.51|$39726.78|$67491.00|$39726.78|$52532.12|$65449.79|$65707.00|$34265.40|$39726.78|$22562.96|$39726.78|$36724.60|$67922.93|$37583.87|$101884.42|$113204.93|$45552.59|$41342.46|$30466.16|$30466.16
"MS-DRG V37 (FY 2020) 165"|"Major Chest Procedures Without Cc/McC"|0.00|$100258.00|$4613.00|$74685.81|$70181.00|$46294.29|$21948.90|$25924.79|$21948.90|$46294.29|$25155.90|$4789.00|$25155.90|$35299.47|$43979.59|$4613.00|$24811.80|$25155.90|$15161.39|$28766.42|$26592.52|$44811.43|$27214.73|$67217.16|$74685.81|$33028.74|$33155.32|$24432.87|$24432.87
"MS-DRG V37 (FY 2020) 166"|"Other Respiratory System O.R. Procedures With McC"|0.00|$248761.00|$13630.61|$82265.26|$174133.00|$41620.20|$43581.55|$23307.30|$57192.85|$41620.20|$57192.85|$23945.00|$57192.85|$31735.46|$39539.19|$23065.00|$24150.05|$57192.85|$13630.61|$57118.36|$52801.89|$42160.41|$54037.33|$52643.20|$58492.46|$65437.84|$82265.26|$60623.06|$60623.06
"MS-DRG V37 (FY 2020) 167"|"Other Respiratory System O.R. Procedures With Cc"|0.00|$92862.00|$8127.76|$69460.34|$65003.00|$24817.56|$21951.33|$13897.85|$28048.99|$24817.56|$28048.99|$28048.99|$28048.99|$18923.43|$23576.67|$28048.99|$28048.99|$28048.99|$8127.76|$28048.99|$28048.99|$41676.17|$26536.00|$62514.26|$69460.34|$32136.39|$30709.46|$22630.47|$22630.47
"MS-DRG V37 (FY 2020) 168"|"Other Respiratory System O.R. Procedures Without Cc/McC"|0.00|$72551.00|$6785.06|$35388.86|$50786.00|$20717.73|$15748.10|$11601.91|$12150.27|$20717.73|$12150.27|$9578.00|$12150.27|$15797.32|$19681.88|$9226.00|$17802.20|$12150.27|$6785.06|$20639.60|$19079.85|$15234.58|$19526.27|$31849.99|$35388.86|$23630.67|$23992.62|$17680.68|$17680.68
"MS-DRG V37 (FY 2020) 175"|"Pulmonary Embolism With McC Or Acute Cor Pulmonale"|0.00|$47095.00|$11477.05|$47969.98|$32966.00|$21770.00|$17758.30|$17758.30|$17758.30|$21770.00|$21770.00|$21770.00|$21770.00|$21770.00|$21770.00|$21770.00|$21770.00|$21770.00|$21770.00|$23274.18|$23274.18|$17179.23|$22018.75|$43172.93|$47969.98|$26652.89|$15574.32|$11477.05|$11477.05
"MS-DRG V37 (FY 2020) 176"|"Pulmonary Embolism Without McC"|0.00|$34122.00|$3928.13|$15304.44|$23885.00|$11994.30|$10197.05|$6716.81|$10197.05|$11994.30|$10197.05|$14367.00|$10197.05|$9145.67|$11394.59|$13839.00|$11527.10|$10197.05|$3928.13|$13364.34|$12354.39|$9864.54|$12643.46|$12597.76|$13997.50|$15304.44|$11284.15|$8315.53|$8315.53
"MS-DRG V37 (FY 2020) 177"|"Respiratory Infections And Inflammations With McC"|0.00|$66068.00|$746.00|$33523.00|$46248.00|$14640.72|$21220.95|$8198.80|$10710.44|$14640.72|$746.00|$33523.00|$11530.62|$11163.60|$13908.69|$32291.00|$23988.90|$21220.95|$4794.84|$27812.36|$25710.56|$20528.96|$26312.13|$22953.38|$25503.76|$31849.88|$21848.69|$16100.77|$16100.77
"MS-DRG V37 (FY 2020) 178"|"Respiratory Infections And Inflammations With Cc"|0.00|$43068.00|$746.00|$20813.83|$30148.00|$17490.73|$13867.85|$9794.81|$18175.32|$17490.73|$746.00|$14367.00|$18175.32|$13336.73|$16616.21|$13839.00|$15676.70|$18175.32|$5728.22|$18175.32|$16801.80|$13415.64|$17194.93|$18085.83|$20095.42|$20813.83|$14242.59|$10495.67|$10495.67
"MS-DRG V37 (FY 2020) 179"|"Respiratory Infections And Inflammations Without Cc/McC"|0.00|$35227.00|$6435.74|$24563.88|$24659.00|$19651.10|$10027.86|$11004.61|$10517.58|$19651.10|$10517.58|$10517.58|$10517.58|$14983.99|$18668.55|$10517.58|$10517.58|$10517.58|$6435.74|$10517.58|$10517.58|$10517.58|$12431.16|$22107.49|$24563.88|$15035.19|$11649.57|$8584.82|$8584.82
"MS-DRG V37 (FY 2020) 180"|"Respiratory Neoplasms With McC"|0.00|$82541.00|$5234.00|$33523.00|$57779.00|$25876.68|$19984.70|$14490.96|$26192.12|$25876.68|$26192.12|$5234.00|$26192.12|$19731.00|$24582.84|$5738.00|$22591.40|$26192.12|$8474.61|$26192.12|$24212.77|$33523.00|$24789.44|$26268.65|$29187.39|$29994.43|$27296.31|$20115.24|$20115.24
"MS-DRG V37 (FY 2020) 181"|"Respiratory Neoplasms With Cc"|0.00|$50068.00|$746.00|$19346.73|$35048.00|$11158.12|$12890.35|$6248.53|$12355.70|$11158.12|$746.00|$4789.00|$12355.70|$8508.07|$10600.23|$4613.00|$14571.70|$12355.70|$3654.28|$16894.20|$15617.50|$12470.01|$15982.91|$13708.81|$15232.02|$19346.73|$16557.49|$12201.57|$12201.57
"MS-DRG V37 (FY 2020) 182"|"Respiratory Neoplasms Without Cc/McC"|0.00|$71122.00|$491.22|$23520.05|$49785.00|$1499.90|$3749.75|$839.94|$1047.72|$1499.90|$1047.72|$3749.75|$1047.72|$1143.68|$1424.91|$3749.75|$3562.26|$1047.72|$491.22|$3749.75|$3749.75|$3749.75|$3749.75|$1687.39|$1874.88|$13592.25|$23520.05|$17332.43|$17332.43
"MS-DRG V37 (FY 2020) 183"|"Major Chest Trauma With McC"|0.00|$88916.00|$0.00|$0.00|$62241.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 184"|"Major Chest Trauma With Cc"|0.00|$52634.00|$4723.04|$18026.90|$36844.00|$14421.49|$11963.31|$8076.02|$11953.10|$14421.49|$11953.10|$11953.10|$11953.10|$10996.43|$13700.43|$11953.10|$11953.10|$11953.10|$4723.04|$11953.10|$11953.10|$11953.10|$14830.95|$16224.20|$18026.90|$17940.04|$17406.06|$12826.91|$12826.91
"MS-DRG V37 (FY 2020) 185"|"Major Chest Trauma Without Cc/McC"|0.00|$34825.00|$746.00|$13352.34|$24378.00|$6183.00|$10014.20|$3462.47|$7163.54|$6183.00|$746.00|$4789.00|$7163.54|$4714.57|$5873.85|$4613.00|$11320.40|$7163.54|$2024.93|$13124.70|$12132.86|$9687.65|$12416.74|$6955.88|$7728.75|$13352.34|$11516.63|$8486.85|$8486.85
"MS-DRG V37 (FY 2020) 186"|"Pleural Effusion With McC"|0.00|$62421.00|$746.00|$40914.81|$43695.00|$32731.82|$17746.80|$18329.84|$16423.64|$32731.82|$746.00|$9578.00|$16423.64|$24958.06|$31095.21|$9226.00|$10376.69|$16423.64|$10719.67|$23259.11|$21501.41|$17168.10|$22004.49|$36823.28|$40914.81|$26635.63|$20642.62|$15212.00|$15212.00
"MS-DRG V37 (FY 2020) 187"|"Pleural Effusion With Cc"|0.00|$38424.00|$746.00|$26863.29|$26897.00|$21490.62|$11870.30|$12034.74|$11612.25|$21490.62|$746.00|$19156.00|$11612.25|$16386.67|$20416.09|$18452.00|$13418.60|$11612.25|$7038.17|$15557.32|$14381.64|$11483.23|$14718.14|$24176.94|$26863.29|$17815.77|$12706.82|$9363.93|$9363.93
"MS-DRG V37 (FY 2020) 188"|"Pleural Effusion Without Cc/McC"|0.00|$47540.00|$0.00|$0.00|$33278.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 189"|"Pulmonary Edema And Respiratory Failure"|0.00|$70729.00|$746.00|$23390.08|$49510.00|$16357.81|$14085.20|$9160.34|$18460.19|$16357.81|$746.00|$19601.00|$18460.19|$12472.88|$15539.93|$19577.00|$15922.40|$18460.19|$5357.18|$18460.19|$17065.14|$13625.90|$17464.42|$19949.97|$22166.69|$21140.05|$23390.08|$17236.66|$17236.66
"MS-DRG V37 (FY 2020) 190"|"Chronic Obstructive Pulmonary Disease With McC"|0.00|$39039.00|$746.00|$20932.93|$27327.00|$12443.40|$12924.85|$6968.32|$19156.00|$12443.40|$746.00|$19156.00|$19156.00|$9488.13|$11821.23|$18452.00|$14610.70|$19156.00|$4075.21|$16939.42|$15659.30|$12503.39|$16025.69|$18839.59|$20932.93|$19398.51|$12910.20|$9513.80|$9513.80
"MS-DRG V37 (FY 2020) 191"|"Chronic Obstructive Pulmonary Disease With Cc"|0.00|$32890.00|$3901.18|$15242.31|$23023.00|$11912.01|$10630.76|$6670.72|$10155.65|$11912.01|$10155.65|$10155.65|$10155.65|$9082.92|$11316.41|$10155.65|$10155.65|$10155.65|$3901.18|$10155.65|$10155.65|$10155.65|$13064.53|$13401.02|$14890.02|$15242.31|$10876.72|$8015.29|$8015.29
"MS-DRG V37 (FY 2020) 192"|"Chronic Obstructive Pulmonary Disease Without Cc/McC"|0.00|$24096.00|$746.00|$11993.97|$16867.00|$7612.80|$7991.35|$4263.17|$6577.63|$7612.80|$746.00|$4789.00|$6577.63|$5804.79|$7232.16|$4613.00|$9033.70|$6577.63|$2493.19|$10473.53|$9682.04|$7730.76|$9908.58|$8564.41|$9516.00|$11993.97|$7968.55|$5872.20|$5872.20
"MS-DRG V37 (FY 2020) 193"|"Simple Pneumonia And Pleurisy With McC"|0.00|$48777.00|$746.00|$44968.65|$34144.00|$15786.01|$15073.05|$8840.20|$15073.05|$15786.01|$746.00|$19156.00|$15073.05|$12036.85|$14996.73|$18452.00|$17039.10|$15073.05|$5169.92|$19754.87|$18261.98|$14581.54|$18689.27|$40471.72|$44968.65|$22622.68|$16130.55|$11886.95|$11886.95
"MS-DRG V37 (FY 2020) 194"|"Simple Pneumonia And Pleurisy With Cc"|0.00|$29201.00|$746.00|$18375.77|$20441.00|$9540.80|$9924.50|$5342.86|$5342.86|$9540.80|$746.00|$14367.00|$12601.53|$7274.87|$9063.77|$13839.00|$11219.00|$12601.53|$3124.61|$13007.14|$12024.18|$9600.88|$12305.52|$16538.17|$18375.77|$14895.38|$9656.77|$7116.28|$7116.28
"MS-DRG V37 (FY 2020) 195"|"Simple Pneumonia And Pleurisy Without Cc/McC"|0.00|$23894.00|$746.00|$14367.00|$16726.00|$6830.50|$7647.50|$3825.09|$7647.50|$6830.50|$746.00|$14367.00|$7647.50|$5208.31|$6488.98|$13839.00|$8645.00|$7647.50|$2236.99|$10022.88|$9265.45|$7398.13|$9482.24|$12154.72|$13505.26|$11477.90|$7901.75|$5822.97|$5822.97
"MS-DRG V37 (FY 2020) 196"|"Interstitial Lung Disease With McC"|0.00|$110765.00|$746.00|$36629.99|$77536.00|$20219.01|$19965.15|$11322.62|$22180.41|$20219.01|$746.00|$14812.00|$22180.41|$15417.02|$19208.04|$14964.00|$22569.30|$22180.41|$6621.72|$26166.50|$24189.08|$19314.11|$24755.05|$22746.38|$25273.77|$29965.09|$36629.99|$26993.43|$26993.43
"MS-DRG V37 (FY 2020) 197"|"Interstitial Lung Disease With Cc"|0.00|$49953.00|$746.00|$49788.06|$34967.00|$39830.43|$11564.40|$22305.05|$24637.20|$39830.43|$746.00|$19156.00|$24637.20|$30370.78|$37838.90|$18452.00|$13072.80|$24637.20|$13044.46|$15156.40|$14011.02|$11187.30|$14338.85|$44809.24|$49788.06|$17356.66|$16519.46|$12173.55|$12173.55
"MS-DRG V37 (FY 2020) 198"|"Interstitial Lung Disease Without Cc/McC"|0.00|$42507.00|$0.00|$0.00|$29755.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 199"|"Pneumothorax With McC"|0.00|$105778.00|$746.00|$34980.78|$74045.00|$18434.19|$20557.40|$10323.14|$33263.02|$18434.19|$746.00|$25280.00|$33263.02|$14056.11|$17512.50|$26440.00|$23238.80|$33263.02|$6037.20|$26942.71|$24906.63|$19887.05|$25489.39|$20738.48|$23042.79|$30853.98|$34980.78|$25778.10|$25778.10
"MS-DRG V37 (FY 2020) 200"|"Pneumothorax With Cc"|0.00|$47322.00|$746.00|$18554.50|$33125.00|$10424.72|$12362.50|$5837.83|$12362.50|$10424.72|$746.00|$14367.00|$12362.50|$7948.86|$9903.46|$13839.00|$13975.00|$12362.50|$3414.09|$16202.40|$14977.98|$11959.38|$15328.43|$16244.44|$18049.40|$18554.50|$15649.39|$11532.37|$11532.37
"MS-DRG V37 (FY 2020) 201"|"Pneumothorax Without Cc/McC"|0.00|$38828.00|$746.00|$12840.42|$27180.00|$9549.90|$8159.25|$5347.95|$11725.20|$9549.90|$746.00|$9578.00|$11725.20|$7281.83|$9072.41|$9226.00|$9223.50|$11725.20|$3127.59|$10693.58|$9885.46|$7893.19|$10116.76|$10743.64|$11937.39|$12245.97|$12840.42|$9462.38|$9462.38
"MS-DRG V37 (FY 2020) 202"|"Bronchitis And Asthma With Cc/McC"|0.00|$41803.00|$4942.46|$18793.56|$29262.00|$15091.51|$12657.42|$8451.25|$11104.40|$15091.51|$11104.40|$17763.02|$11104.40|$11507.30|$14336.94|$18793.56|$16744.20|$11104.40|$4942.46|$15307.52|$14150.70|$10742.30|$13768.49|$15560.56|$17289.51|$16666.26|$13824.25|$10187.39|$10187.39
"MS-DRG V37 (FY 2020) 203"|"Bronchitis And Asthma Without Cc/McC"|0.00|$25005.00|$746.00|$19156.00|$17504.00|$10115.80|$8113.25|$5664.86|$8113.25|$10115.80|$746.00|$19156.00|$10143.41|$7713.32|$9610.01|$18452.00|$9171.50|$10633.30|$3312.92|$10633.30|$9829.73|$7848.69|$10059.72|$11500.87|$12778.76|$12176.93|$8269.15|$6093.72|$6093.72
"MS-DRG V37 (FY 2020) 204"|"Respiratory Signs And Symptoms"|0.00|$35749.00|$746.00|$17637.64|$25024.00|$14110.11|$9113.75|$7901.64|$11944.56|$14110.11|$746.00|$14367.00|$11944.56|$10758.98|$13404.60|$13839.00|$10302.50|$11944.56|$4621.06|$11944.56|$11041.90|$8816.56|$11300.26|$15873.87|$17637.64|$13678.55|$11822.19|$8712.03|$8712.03
"MS-DRG V37 (FY 2020) 205"|"Other Respiratory System Diagnoses With McC"|0.00|$93226.00|$746.00|$30829.84|$65258.00|$13452.31|$19346.45|$7533.28|$13669.45|$13452.31|$746.00|$9578.00|$13669.45|$10257.42|$12779.69|$9226.00|$21869.90|$13669.45|$4405.63|$25355.63|$23439.49|$18715.59|$23987.92|$15133.85|$16815.40|$29036.50|$30829.84|$22719.18|$22719.18
"MS-DRG V37 (FY 2020) 206"|"Other Respiratory System Diagnoses Without McC"|0.00|$35418.00|$5285.95|$20175.38|$24793.00|$16140.29|$10178.51|$9038.57|$14913.00|$16140.29|$14913.00|$14913.00|$14913.00|$12307.00|$15333.28|$14913.00|$14913.00|$14913.00|$5285.95|$14913.00|$14913.00|$14913.00|$12617.96|$18157.85|$20175.38|$15261.29|$11712.73|$8631.37|$8631.37
"MS-DRG V37 (FY 2020) 207"|"Respiratory System Diagnosis With Ventilator Support >96 Hours"|0.00|$331500.00|$76993.06|$109627.05|$232050.00|$76993.06|$76993.06|$76993.06|$76993.06|$76993.06|$76993.06|$76993.06|$76993.06|$76993.06|$76993.06|$76993.06|$76993.06|$76993.06|$76993.06|$76993.06|$76993.06|$86446.96|$86446.96|$86446.96|$86446.96|$98837.66|$109627.05|$80786.55|$80786.55
"MS-DRG V37 (FY 2020) 208"|"Respiratory System Diagnosis With Ventilator Support <=96 Hours"|0.00|$134794.00|$8721.52|$44576.38|$94356.00|$33034.97|$31397.73|$18499.60|$29236.45|$33034.97|$29236.45|$8721.52|$29236.45|$25189.22|$31383.24|$9501.82|$38882.90|$29236.45|$10818.96|$39071.55|$36118.87|$28283.09|$36250.66|$27312.39|$30347.18|$43880.10|$44576.38|$32849.30|$32849.30
"MS-DRG V37 (FY 2020) 215"|"Other Heart Assist System Implant"|0.00|$484632.00|$118104.82|$194219.30|$339242.00|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$192585.35|$160267.80|$118104.82|$118104.82
"MS-DRG V37 (FY 2020) 001"|"Heart Transplant Or Implant Of Heart Assist System With McC"|0.00|$1146061.00|$0.00|$0.00|$802243.00||||||||||||||||||||||||
"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|$978843.00|$143055.42|$331588.31|$685190.00|$209677.34|$143055.42|$143055.42|$143055.42|$209677.34|$185046.03|$185046.03|$185046.03|$185046.03|$185046.03|$185046.03|$209677.34|$209677.34|$209677.34|$222474.00|$264084.69|$331588.31|$331588.31|$331588.31|$331588.31|$327786.39|$323703.38|$238544.04|$238544.04
"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|$595857.00|$746.00|$333243.81|$417100.00|$266595.03|$213276.02|$149293.20|$145341.00|$266595.03|$746.00|$290588.59|$145341.00|$203278.78|$253265.29|$292588.05|$333243.79|$145341.00|$87309.87|$258384.00|$240288.00|$199946.27|$244464.00|$299919.41|$333243.81|$204738.12|$197049.91|$145210.35|$145210.35
"MS-DRG V37 (FY 2020) 005"|"Liver Transplant With McC Or Intestinal Transplant"|0.00|$684781.00|$0.00|$0.00|$479347.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 006"|"Liver Transplant Without McC"|0.00|$457429.00|$0.00|$0.00|$320200.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 007"|"Lung Transplant"|0.00|$705180.00|$0.00|$0.00|$493626.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 008"|"Simultaneous Pancreas And Kidney Transplant"|0.00|$508222.00|$0.00|$0.00|$355755.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 011"|"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC"|0.00|$255699.00|$62313.85|$90436.19|$178989.00|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$86583.06|$84559.66|$62313.85|$62313.85
"MS-DRG V37 (FY 2020) 012"|"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc"|0.00|$296712.00|$66138.59|$147717.45|$207698.00|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$66138.59|$98122.66|$72308.71|$72308.71
"MS-DRG V37 (FY 2020) 013"|"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC"|0.00|$86078.00|$11381.87|$46955.83|$60255.00|$34753.81|$31285.75|$19462.14|$17376.91|$34753.81|$17376.91|$29179.00|$17376.91|$26499.85|$33016.12|$28803.00|$31671.49|$17376.91|$11381.87|$41003.38|$37904.73|$30265.56|$38791.61|$39098.04|$43442.29|$46955.83|$28465.99|$20977.21|$20977.21
"MS-DRG V37 (FY 2020) 014"|"Allogeneic Bone Marrow Transplant"|0.00|$390524.00|$8733.31|$220562.09|$273367.00|$26666.61|$66666.50|$14933.33|$66666.50|$26666.61|$61101.00|$66666.50|$125664.00|$20333.32|$25333.25|$64582.00|$63333.18|$162298.00|$8733.31|$66666.50|$66666.50|$66666.50|$66666.50|$29999.94|$33333.30|$220562.09|$129146.29|$95170.70|$95170.70
"MS-DRG V37 (FY 2020) 016"|"Autologous Bone Marrow Transplant With Cc/McC"|0.00|$247272.00|$9077.87|$116094.21|$173090.00|$27718.70|$69296.74|$15522.45|$69296.74|$27718.70|$69296.74|$52679.00|$69296.74|$21135.50|$26332.75|$50743.00|$65831.90|$69296.74|$9077.87|$69296.74|$69296.74|$69296.74|$69296.74|$31183.56|$34648.40|$116094.21|$81772.85|$60260.19|$60260.19
"MS-DRG V37 (FY 2020) 020"|"Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC"|0.00|$450260.00|$109728.36|$178124.93|$315182.00|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$178124.93|$148900.98|$109728.36|$109728.36
"MS-DRG V37 (FY 2020) 021"|"Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc"|0.00|$326182.00|$0.00|$0.00|$228327.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 022"|"Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC"|0.00|$229920.00|$0.00|$0.00|$160944.00||||||||||||||||||||||||
"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|$299987.00|$73106.83|$111802.19|$209991.00|$82294.63|$82294.63|$82294.63|$82294.63|$82294.63|$82294.63|$82294.63|$82294.63|$82294.63|$82294.63|$82294.63|$82294.63|$82294.63|$82294.63|$82294.63|$82294.63|$111802.19|$111802.19|$111802.19|$111802.19|$97731.30|$99205.70|$73106.83|$73106.83
"MS-DRG V37 (FY 2020) 024"|"Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC"|0.00|$211371.00|$31867.69|$121632.47|$147960.00|$97305.93|$47156.23|$54491.34|$59073.20|$97305.93|$59073.20|$59073.20|$59073.20|$74195.84|$92440.65|$59073.20|$59073.20|$59073.20|$31867.69|$59073.20|$59073.20|$59073.20|$57995.04|$109469.16|$121632.47|$67874.95|$69900.39|$51511.11|$51511.11
"MS-DRG V37 (FY 2020) 025"|"Craniotomy And Endovascular Intracranial Procedures With McC"|0.00|$238329.00|$15257.00|$125516.06|$166830.00|$66233.90|$54186.55|$56824.55|$56824.55|$66233.90|$15452.00|$15257.00|$15452.00|$15452.00|$15452.00|$15452.00|$66233.90|$66233.90|$66233.90|$67698.90|$67698.90|$119490.79|$125516.06|$125516.06|$125516.06|$77526.74|$78815.40|$58080.78|$58080.78
"MS-DRG V37 (FY 2020) 026"|"Craniotomy And Endovascular Intracranial Procedures With Cc"|0.00|$179448.00|$16238.00|$69054.57|$125614.00|$64534.63|$35167.00|$36139.39|$45906.30|$64534.63|$16238.00|$19601.00|$16238.00|$49207.70|$61307.92|$19577.00|$39754.00|$45906.30|$21135.09|$46090.18|$42607.11|$41432.69|$43604.02|$62149.05|$69054.57|$52781.08|$59343.45|$43731.48|$43731.48
"MS-DRG V37 (FY 2020) 027"|"Craniotomy And Endovascular Intracranial Procedures Without Cc/McC"|0.00|$172249.00|$9226.00|$78697.71|$120574.00|$68653.43|$28885.70|$38445.94|$30703.99|$68653.43|$19156.00|$9578.00|$19156.00|$52348.30|$65220.75|$9226.00|$32653.40|$37857.85|$22484.00|$37857.85|$34996.91|$47218.60|$35815.76|$70827.90|$78697.71|$43353.67|$56962.74|$41977.08|$41977.08
"MS-DRG V37 (FY 2020) 028"|"Spinal Procedures With McC"|0.00|$260438.00|$9031.47|$100453.20|$182307.00|$27577.00|$66930.00|$15443.13|$66947.09|$27577.00|$66947.09|$9578.00|$66947.09|$21027.53|$26198.17|$9226.00|$65495.38|$66947.09|$9031.47|$68942.51|$68942.51|$64747.50|$68942.51|$31024.12|$34471.30|$100453.20|$86126.85|$63468.74|$63468.74
"MS-DRG V37 (FY 2020) 029"|"Spinal Procedures With Cc Or Spinal Neurostimulators"|0.00|$162616.00|$39629.52|$100121.20|$113831.00|$48335.90|$48335.90|$48335.90|$48335.90|$48335.90|$48335.90|$48335.90|$48335.90|$48335.90|$48335.90|$48335.90|$48335.90|$48335.90|$48335.90|$48335.90|$48335.90|$60072.71|$46983.41|$90109.07|$100121.20|$56871.70|$53777.11|$39629.52|$39629.52
"MS-DRG V37 (FY 2020) 030"|"Spinal Procedures Without Cc/McC"|0.00|$102957.00|$6345.79|$40683.55|$72070.00|$19376.46|$27106.65|$10850.81|$27106.65|$19376.46|$27106.65|$9578.00|$27106.65|$14774.60|$18407.65|$9226.00|$30642.30|$27106.65|$6345.79|$35526.21|$32841.47|$26222.74|$33609.89|$21798.52|$24220.64|$40683.55|$34047.88|$25090.62|$25090.62
"MS-DRG V37 (FY 2020) 031"|"Ventricular Shunt Procedures With McC"|0.00|$157271.00|$746.00|$75358.89|$110090.00|$56028.72|$50210.15|$31376.07|$31376.07|$56028.72|$746.00|$28734.00|$31376.07|$42721.96|$53227.32|$27678.00|$56759.30|$31376.07|$18349.40|$65805.86|$60832.87|$42021.54|$62256.22|$63032.33|$70035.93|$75358.89|$52009.52|$38326.94|$38326.94
"MS-DRG V37 (FY 2020) 032"|"Ventricular Shunt Procedures With Cc"|0.00|$109410.00|$746.00|$63830.92|$76587.00|$51064.66|$25440.30|$28596.21|$28596.21|$51064.66|$746.00|$9578.00|$28596.21|$38936.82|$48511.44|$9226.00|$28758.60|$28596.21|$16723.68|$33342.28|$30822.58|$38298.51|$31543.76|$57447.75|$63830.92|$38182.57|$36181.89|$26663.22|$26663.22
"MS-DRG V37 (FY 2020) 033"|"Ventricular Shunt Procedures Without Cc/McC"|0.00|$102511.00|$4613.00|$44300.06|$71758.00|$35440.00|$19788.05|$19846.41|$15021.21|$35440.00|$15021.21|$4789.00|$15021.21|$27023.01|$33668.05|$4613.00|$22369.10|$15021.21|$11606.60|$25934.39|$23974.51|$19142.79|$24535.46|$39870.03|$44300.06|$29699.28|$33900.39|$24981.93|$24981.93
"MS-DRG V37 (FY 2020) 034"|"Carotid Artery Stent Procedures With McC"|0.00|$176195.00|$746.00|$81237.35|$123336.00|$64989.83|$45707.90|$36394.31|$63125.17|$64989.83|$746.00|$19601.00|$63125.17|$49554.80|$61740.35|$19577.00|$51669.80|$63125.17|$21284.17|$59905.17|$55378.10|$48742.38|$56673.82|$73113.58|$81237.35|$68601.60|$58267.69|$42938.72|$42938.72
"MS-DRG V37 (FY 2020) 035"|"Carotid Artery Stent Procedures With Cc"|0.00|$84495.00|$5234.00|$40338.35|$59146.00|$20179.02|$26876.65|$11300.27|$35324.43|$20179.02|$35324.43|$5234.00|$35324.43|$15386.55|$19170.07|$5738.00|$30382.30|$35324.43|$6608.63|$35224.77|$32562.81|$26000.24|$33324.71|$22701.41|$25223.82|$40338.35|$27942.50|$20591.43|$20591.43
"MS-DRG V37 (FY 2020) 036"|"Carotid Artery Stent Procedures Without Cc/McC"|0.00|$81447.00|$0.00|$0.00|$57013.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 037"|"Extracranial Procedures With McC"|0.00|$221250.00|$0.00|$0.00|$154875.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 038"|"Extracranial Procedures With Cc"|0.00|$162650.00|$4613.00|$53788.36|$113855.00|$22503.56|$19058.95|$12601.99|$21173.66|$22503.56|$21173.66|$4789.00|$21173.66|$17159.00|$21378.43|$4613.00|$21544.90|$21173.66|$7369.92|$24978.83|$23091.16|$18437.46|$23631.44|$25316.51|$28129.50|$28605.00|$53788.36|$39637.81|$39637.81
"MS-DRG V37 (FY 2020) 039"|"Extracranial Procedures Without Cc/McC"|0.00|$129003.00|$4613.00|$42661.29|$90302.00|$29034.93|$13098.50|$16259.56|$20491.00|$29034.93|$20491.00|$4789.00|$20491.00|$22139.16|$27583.18|$4613.00|$14807.00|$20491.00|$9508.94|$17167.01|$15869.69|$12671.38|$16241.00|$32664.30|$36293.72|$19659.14|$42661.29|$31438.03|$31438.03
"MS-DRG V37 (FY 2020) 040"|"Peripheral, Cranial Nerve And Other Nervous System Procedures With McC"|0.00|$220247.00|$16072.52|$122691.01|$154173.00|$49076.41|$45514.70|$27482.79|$30004.70|$49076.41|$30004.70|$122691.01|$30004.70|$37420.78|$46622.59|$122691.01|$51451.40|$30004.70|$16072.52|$122691.01|$122691.01|$44030.53|$122691.01|$55210.96|$61345.54|$68311.63|$72835.68|$53674.19|$53674.19
"MS-DRG V37 (FY 2020) 041"|"Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator"|0.00|$136410.00|$11246.83|$52628.28|$95487.00|$34341.45|$27034.20|$19231.23|$35431.26|$34341.45|$35431.26|$44729.73|$35431.26|$26185.40|$32624.40|$52628.28|$30560.40|$35431.26|$11246.83|$35431.26|$32753.70|$26152.65|$33520.06|$38634.17|$42926.85|$40579.99|$45110.79|$33243.12|$33243.12
"MS-DRG V37 (FY 2020) 042"|"Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC"|0.00|$83130.00|$20258.78|$95262.55|$58191.00|$62161.53|$21676.35|$34810.46|$52671.65|$62161.53|$52671.65|$80965.38|$52671.65|$47398.17|$59053.44|$95262.55|$24503.70|$52671.65|$20357.90|$28409.21|$26262.31|$46621.15|$26876.79|$69931.74|$77701.97|$32533.37|$27491.09|$20258.78|$20258.78
"MS-DRG V37 (FY 2020) 052"|"Spinal Disorders And Injuries With Cc/McC"|0.00|$67957.00|$746.00|$37659.00|$47570.00|$30127.19|$21218.65|$16871.23|$12362.70|$30127.19|$746.00|$19156.00|$12362.70|$22972.04|$28620.84|$18452.00|$23986.30|$12362.70|$9866.66|$27809.35|$25707.78|$20526.74|$26309.28|$33893.09|$37659.00|$31846.43|$22473.38|$16561.12|$16561.12
"MS-DRG V37 (FY 2020) 053"|"Spinal Disorders And Injuries Without Cc/McC"|0.00|$54826.00|$7171.40|$54743.50|$38378.00|$21897.40|$13065.15|$12262.55|$14561.06|$21897.40|$14561.06|$54743.50|$14561.06|$16696.78|$20802.54|$54743.50|$14769.30|$14561.06|$7171.40|$17123.30|$15829.28|$12639.11|$16199.65|$24634.57|$27371.76|$19609.09|$18130.96|$13361.10|$13361.10
"MS-DRG V37 (FY 2020) 054"|"Nervous System Neoplasms With McC"|0.00|$79623.00|$5448.36|$27310.28|$55736.00|$16636.20|$15706.70|$9316.29|$19943.41|$16636.20|$19943.41|$9578.00|$19943.41|$12685.16|$15804.40|$9226.00|$17755.40|$19943.41|$5448.36|$20585.34|$19029.69|$15194.53|$19474.94|$24579.24|$27310.28|$23573.71|$26331.33|$19404.13|$19404.13
"MS-DRG V37 (FY 2020) 055"|"Nervous System Neoplasms Without McC"|0.00|$48663.00|$746.00|$52368.00|$34064.00|$20947.20|$11999.10|$11730.40|$15726.12|$20947.20|$746.00|$52368.00|$15726.12|$15972.33|$19899.85|$50743.00|$13564.20|$15726.12|$6860.21|$15726.12|$14537.69|$11607.83|$14877.84|$26776.93|$29752.18|$18009.08|$16092.85|$11859.17|$11859.17
"MS-DRG V37 (FY 2020) 056"|"Degenerative Nervous System Disorders With McC"|0.00|$79430.00|$5237.38|$39980.00|$55601.00|$15992.00|$25153.95|$8955.53|$18901.25|$15992.00|$18901.25|$39980.00|$18901.25|$12193.93|$15192.40|$39980.00|$28434.90|$18901.25|$5237.38|$32966.99|$30475.65|$24333.71|$31188.71|$17991.00|$19990.00|$37752.80|$26267.50|$19357.09|$19357.09
"MS-DRG V37 (FY 2020) 057"|"Degenerative Nervous System Disorders Without McC"|0.00|$58175.00|$746.00|$21820.09|$40722.00|$10833.20|$14538.30|$6066.60|$14538.30|$10833.20|$746.00|$4789.00|$14538.30|$8260.32|$10291.54|$4613.00|$16434.60|$14538.30|$3547.87|$19054.02|$17614.10|$14064.23|$18026.23|$18298.58|$20331.75|$21820.09|$19238.47|$14177.25|$14177.25
"MS-DRG V37 (FY 2020) 058"|"Multiple Sclerosis And Cerebellar Ataxia With McC"|0.00|$94388.00|$746.00|$31214.11|$66072.00|$19484.00|$19972.05|$10911.05|$24240.00|$19484.00|$746.00|$23945.00|$24240.00|$14856.59|$18509.82|$23065.00|$22577.10|$24240.00|$6381.01|$26175.54|$24197.44|$19320.79|$24763.61|$21919.53|$24355.02|$29975.44|$31214.11|$23002.36|$23002.36
"MS-DRG V37 (FY 2020) 059"|"Multiple Sclerosis And Cerebellar Ataxia With Cc"|0.00|$59841.00|$746.00|$19789.42|$41889.00|$16617.05|$12954.75|$9305.54|$14724.50|$16617.05|$746.00|$9578.00|$14724.50|$12670.53|$15786.20|$9226.00|$14644.50|$14724.50|$5442.08|$16978.61|$15695.52|$12532.31|$16062.76|$17490.27|$19433.63|$19443.39|$19789.42|$14583.25|$14583.25
"MS-DRG V37 (FY 2020) 060"|"Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC"|0.00|$39381.00|$746.00|$15803.26|$27567.00|$10941.30|$10529.40|$6127.12|$9714.98|$10941.30|$746.00|$4789.00|$9714.98|$8342.76|$10394.24|$4613.00|$11902.80|$9714.98|$3583.28|$13799.92|$12757.05|$10186.05|$13055.54|$13235.40|$14706.01|$15803.26|$13023.30|$9597.15|$9597.15
"MS-DRG V37 (FY 2020) 061"|"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC"|0.00|$124349.00|$0.00|$0.00|$87044.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 062"|"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc"|0.00|$93277.00|$746.00|$45393.01|$65294.00|$36314.40|$22852.80|$20336.06|$29951.08|$36314.40|$746.00|$4789.00|$29951.08|$27689.75|$34498.68|$4613.00|$25833.60|$29951.08|$11892.97|$29951.08|$27687.66|$22107.60|$28335.48|$40853.70|$45393.01|$34299.07|$30846.70|$22731.60|$22731.60
"MS-DRG V37 (FY 2020) 063"|"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC"|0.00|$81937.00|$0.00|$0.00|$57356.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 064"|"Intracranial Hemorrhage Or Cerebral Infarction With McC"|0.00|$109794.00|$11171.88|$52679.00|$76856.00|$34112.60|$21999.50|$19103.05|$21999.50|$34112.60|$25725.00|$52679.00|$25725.00|$26010.90|$32406.96|$50743.00|$24869.00|$26121.59|$11171.88|$28832.74|$26653.83|$22222.31|$30519.47|$24459.30|$27177.01|$33018.38|$36308.88|$26756.80|$26756.80
"MS-DRG V37 (FY 2020) 065"|"Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours"|0.00|$67419.00|$746.00|$31080.40|$47193.00|$22097.60|$11709.30|$12374.67|$11709.30|$22097.60|$746.00|$19156.00|$15346.31|$16849.46|$20992.72|$18452.00|$13236.60|$15346.31|$7236.96|$15346.31|$14186.58|$11327.48|$14518.51|$27972.35|$31080.40|$17574.13|$22295.46|$16430.01|$16430.01
"MS-DRG V37 (FY 2020) 066"|"Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC"|0.00|$58525.00|$746.00|$19354.22|$40968.00|$15268.30|$8175.35|$8550.24|$8175.35|$15268.30|$746.00|$4789.00|$8175.35|$11642.12|$14504.90|$4613.00|$9241.70|$8175.35|$5000.37|$10714.68|$9904.97|$17417.05|$17417.05|$17417.05|$17417.05|$12270.13|$19354.22|$14262.54|$14262.54
"MS-DRG V37 (FY 2020) 067"|"Nonspecific Cva And Precerebral Occlusion Without Infarction With McC"|0.00|$61425.00|$0.00|$0.00|$42998.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 068"|"Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC"|0.00|$39042.00|$3472.38|$15337.24|$27329.00|$10602.70|$10218.90|$5937.51|$8220.97|$10602.70|$8220.97|$5234.00|$8220.97|$8084.59|$10072.57|$5738.00|$11551.80|$8220.97|$3472.38|$13392.98|$12380.86|$9885.68|$12670.55|$11928.04|$13253.38|$15337.24|$12911.19|$9514.54|$9514.54
"MS-DRG V37 (FY 2020) 069"|"Transient Ischemia Without Thrombolytic"|0.00|$44559.00|$5222.94|$19934.89|$31191.00|$15947.90|$10163.39|$8930.84|$11848.10|$15947.90|$11848.10|$6601.48|$11848.10|$12160.30|$15150.51|$6569.08|$13250.75|$11848.10|$5222.94|$13604.10|$12576.73|$9670.75|$14400.00|$17941.41|$19934.89|$13568.09|$14735.66|$10859.03|$10859.03
"MS-DRG V37 (FY 2020) 070"|"Nonspecific Cerebrovascular Disorders With McC"|0.00|$77200.00|$746.00|$28934.66|$54040.00|$20593.10|$19278.60|$11532.13|$25266.70|$20593.10|$746.00|$14367.00|$25266.70|$15702.25|$19563.45|$13839.00|$21793.20|$25266.70|$6744.24|$25266.70|$23357.28|$18649.95|$23903.79|$23167.24|$25741.38|$28934.66|$25530.04|$18813.64|$18813.64
"MS-DRG V37 (FY 2020) 071"|"Nonspecific Cerebrovascular Disorders With Cc"|0.00|$54278.00|$746.00|$19156.00|$37995.00|$14687.98|$9524.30|$8225.31|$12913.98|$14687.98|$746.00|$19156.00|$12913.98|$11199.68|$13953.60|$18452.00|$10766.60|$12913.98|$4810.32|$12482.63|$11539.31|$9213.73|$11809.30|$16524.02|$18360.00|$17446.41|$17949.73|$13227.55|$13227.55
"MS-DRG V37 (FY 2020) 072"|"Nonspecific Cerebrovascular Disorders Without Cc/McC"|0.00|$36804.00|$1795.58|$13310.91|$25763.00|$5482.71|$8868.80|$3070.31|$11623.53|$5482.71|$11623.53|$9578.00|$11623.53|$4180.61|$5208.57|$9226.00|$6914.21|$11623.53|$1795.58|$11623.53|$10745.13|$8579.60|$10996.54|$6168.04|$6853.40|$13310.91|$12171.08|$8969.13|$8969.13
"MS-DRG V37 (FY 2020) 073"|"Cranial And Peripheral Nerve Disorders With McC"|0.00|$63082.00|$746.00|$69449.75|$44157.00|$27779.90|$16668.10|$15556.76|$69449.75|$27779.90|$746.00|$14367.00|$69449.75|$21182.22|$26390.92|$13839.00|$18842.20|$69449.75|$9097.92|$21845.36|$20194.49|$16124.58|$20666.99|$31252.39|$34724.89|$25016.64|$20861.22|$15373.08|$15373.08
"MS-DRG V37 (FY 2020) 074"|"Cranial And Peripheral Nerve Disorders Without McC"|0.00|$49386.00|$746.00|$31359.24|$34570.00|$12543.69|$11711.60|$7024.46|$15349.32|$12543.69|$746.00|$31359.24|$15349.32|$9564.60|$11916.51|$31359.24|$13239.20|$15349.32|$4108.06|$15349.32|$14189.37|$11329.70|$14521.37|$14786.23|$16429.14|$17577.58|$16331.95|$12035.37|$12035.37
"MS-DRG V37 (FY 2020) 075"|"Viral Meningitis With Cc/McC"|0.00|$57608.00|$746.00|$34163.45|$40326.00|$27330.69|$18699.00|$15305.20|$24238.79|$27330.69|$746.00|$19156.00|$24238.79|$20839.68|$25964.17|$18452.00|$21138.00|$24238.79|$8950.81|$24507.07|$22655.06|$18089.25|$23185.13|$30747.02|$34163.45|$28064.76|$19050.97|$14039.07|$14039.07
"MS-DRG V37 (FY 2020) 076"|"Viral Meningitis Without Cc/McC"|0.00|$33839.00|$5966.67|$22021.03|$23687.00|$17616.79|$13500.76|$9865.41|$9211.43|$17616.79|$9211.43|$8331.00|$9211.43|$13432.86|$16735.95|$8479.81|$18744.30|$9211.43|$5966.67|$15538.12|$14363.88|$12804.91|$20294.65|$19818.91|$22021.03|$16930.33|$11190.56|$8246.56|$8246.56
"MS-DRG V37 (FY 2020) 077"|"Hypertensive Encephalopathy With McC"|0.00|$43959.00|$746.00|$37531.55|$30771.00|$18793.10|$17616.85|$10524.14|$37531.55|$18793.10|$746.00|$9578.00|$37531.55|$14329.77|$17853.50|$9226.00|$19914.70|$37531.55|$6154.74|$23088.80|$21343.96|$17042.39|$21843.36|$21142.28|$23491.44|$26440.59|$14537.24|$10712.81|$10712.81
"MS-DRG V37 (FY 2020) 078"|"Hypertensive Encephalopathy With Cc"|0.00|$42067.00|$0.00|$0.00|$29447.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 079"|"Hypertensive Encephalopathy Without Cc/McC"|0.00|$64678.00|$0.00|$0.00|$45275.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 080"|"Nontraumatic Stupor And Coma With McC"|0.00|$108481.00|$0.00|$0.00|$75937.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 081"|"Nontraumatic Stupor And Coma Without McC"|0.00|$18255.00|$746.00|$13324.72|$12778.00|$7426.80|$8878.00|$4159.00|$4159.00|$7426.80|$746.00|$4789.00|$4159.00|$5662.96|$7055.46|$4613.00|$10036.00|$4159.00|$2432.28|$11635.58|$10756.28|$8588.50|$11007.95|$8355.15|$9283.50|$13324.72|$6036.93|$4448.74|$4448.74
"MS-DRG V37 (FY 2020) 082"|"Traumatic Stupor And Coma >1 Hour With McC"|0.00|$110112.00|$746.00|$38974.81|$77078.00|$23049.22|$25968.15|$12907.56|$12907.56|$23049.22|$746.00|$10023.00|$12907.56|$17575.09|$21896.76|$10351.00|$29355.30|$12907.56|$7548.62|$34034.08|$31462.11|$25121.36|$32198.25|$25930.37|$28811.54|$38974.81|$36414.04|$26834.29|$26834.29
"MS-DRG V37 (FY 2020) 083"|"Traumatic Stupor And Coma >1 Hour With Cc"|0.00|$59931.00|$4353.59|$23157.74|$41952.00|$13293.40|$15429.55|$7444.30|$20222.10|$13293.40|$20222.10|$4789.00|$20222.10|$10136.24|$12628.73|$4613.00|$17442.10|$20222.10|$4353.59|$20222.10|$18693.91|$14926.41|$19131.30|$14955.08|$16616.75|$23157.74|$19819.18|$14605.18|$14605.18
"MS-DRG V37 (FY 2020) 084"|"Traumatic Stupor And Coma >1 Hour Without Cc/McC"|0.00|$37697.00|$746.00|$15606.49|$26388.00|$12136.40|$10398.30|$6796.39|$10398.30|$12136.40|$746.00|$5234.00|$10398.30|$9254.04|$11529.59|$5738.00|$11754.60|$10398.30|$3974.67|$13628.10|$12598.22|$10059.23|$12892.99|$13653.45|$15170.54|$15606.49|$12466.40|$9186.76|$9186.76
"MS-DRG V37 (FY 2020) 085"|"Traumatic Stupor And Coma <1 Hour With McC"|0.00|$125534.00|$746.00|$41514.09|$87874.00|$23849.53|$26523.60|$13355.71|$15453.54|$23849.53|$746.00|$14812.00|$15453.54|$18185.29|$22657.05|$14964.00|$29983.20|$15453.54|$7810.71|$34762.06|$32135.07|$25658.70|$32886.96|$26830.68|$29811.91|$39808.46|$41514.09|$30592.64|$30592.64
"MS-DRG V37 (FY 2020) 086"|"Traumatic Stupor And Coma <1 Hour With Cc"|0.00|$59155.00|$746.00|$40271.14|$41408.00|$32216.90|$14638.35|$18041.47|$31186.05|$32216.90|$746.00|$29624.00|$31186.05|$24565.41|$30606.07|$29928.00|$16547.70|$31186.05|$10551.03|$19185.15|$17735.32|$14161.01|$18150.28|$36244.02|$40271.14|$21970.25|$19562.56|$14416.07|$14416.07
"MS-DRG V37 (FY 2020) 087"|"Traumatic Stupor And Coma <1 Hour Without Cc/McC"|0.00|$29057.00|$746.00|$15751.64|$20340.00|$12601.31|$9919.90|$7056.74|$12034.99|$12601.31|$746.00|$5234.00|$12034.99|$9608.52|$11971.25|$5738.00|$11213.80|$12034.99|$4126.93|$13001.11|$12018.61|$9596.43|$12299.81|$14176.48|$15751.64|$14888.48|$9609.15|$7081.19|$7081.19
"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|$72054.00|$746.00|$84475.00|$50438.00|$33789.98|$12203.80|$18922.38|$84475.00|$19989.91|$746.00|$38312.00|$84475.00|$25764.90|$32100.52|$36904.00|$13795.60|$84475.00|$11066.23|$15994.41|$14785.70|$11805.85|$15131.65|$38013.77|$42237.54|$18316.31|$23828.26|$17559.56|$17559.56
"MS-DRG V37 (FY 2020) 090"|"Concussion Without Cc/McC"|0.00|$28025.00|$0.00|$0.00|$19618.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 289"|"Acute And Subacute Endocarditis With Cc"|0.00|$37226.00|$746.00|$28351.28|$26058.00|$18949.90|$18889.90|$10611.95|$17651.38|$18949.90|$746.00|$14367.00|$17651.38|$14449.35|$18002.42|$13839.00|$21353.80|$17651.38|$6206.09|$24757.27|$22886.35|$18273.93|$23421.83|$21318.64|$23687.39|$28351.28|$12310.64|$9071.98|$9071.98
"MS-DRG V37 (FY 2020) 290"|"Acute And Subacute Endocarditis Without Cc/McC"|0.00|$30946.00|$746.00|$24757.27|$21662.00|$18949.90|$18889.90|$10611.95|$14367.00|$18949.90|$746.00|$14367.00|$14367.00|$14449.35|$18002.42|$13839.00|$21353.80|$14367.00|$6206.09|$24757.27|$22886.35|$18273.93|$23421.83|$21318.64|$23687.39|$17667.34|$10233.84|$7541.54|$7541.54
"MS-DRG V37 (FY 2020) 291"|"Heart Failure And Shock With McC"|0.00|$57403.00|$746.00|$33523.00|$40182.00|$20635.69|$15420.35|$11556.00|$15420.35|$20635.69|$746.00|$33523.00|$20210.04|$15734.77|$19603.92|$32291.00|$17431.70|$20210.04|$6758.19|$20210.04|$18682.76|$14917.51|$19119.89|$27796.62|$30885.14|$23143.93|$18983.17|$13989.11|$13989.11
"MS-DRG V37 (FY 2020) 292"|"Heart Failure And Shock With Cc"|0.00|$42041.00|$5429.10|$41443.49|$29429.00|$16577.40|$10293.65|$9283.36|$25987.68|$16577.40|$38312.00|$41443.49|$38312.00|$12640.29|$15748.52|$41443.49|$11636.30|$25987.68|$5429.10|$13490.95|$12471.43|$9957.99|$12763.23|$23892.54|$26547.28|$15449.43|$13902.96|$10245.39|$10245.39
"MS-DRG V37 (FY 2020) 293"|"Heart Failure And Shock Without Cc/McC"|0.00|$26977.00|$746.00|$19156.00|$18884.00|$11569.40|$7504.90|$6478.88|$7504.90|$11569.40|$746.00|$19156.00|$7504.90|$8821.70|$10990.93|$18452.00|$8483.80|$7504.90|$3788.98|$9835.99|$9092.68|$7260.18|$9305.42|$13015.57|$14461.76|$11263.88|$8921.29|$6574.29|$6574.29
"MS-DRG V37 (FY 2020) 294"|"Deep Vein Thrombophlebitis With Cc/McC"|0.00|$45848.00|$7324.11|$31053.00|$32094.00|$22363.70|$14744.15|$12523.66|$20028.88|$22363.70|$20028.88|$30069.00|$20028.88|$17052.38|$21245.50|$31053.00|$16667.30|$20028.88|$7324.11|$19323.81|$17863.50|$14263.36|$18281.46|$25159.16|$27954.66|$22129.05|$15161.93|$11173.16|$11173.16
"MS-DRG V37 (FY 2020) 296"|"Cardiac Arrest, Unexplained With McC"|0.00|$211008.00|$0.00|$0.00|$147706.00||||||||||||||||||||||||
"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|$70026.00|$746.00|$57468.00|$49018.00|$29001.21|$17611.10|$16240.68|$23081.26|$29001.21|$746.00|$57468.00|$23081.26|$22113.43|$27551.15|$55356.00|$19908.20|$23081.26|$9497.90|$23081.26|$21337.00|$17036.83|$21836.23|$30622.63|$34025.19|$26431.96|$23157.60|$17065.34|$17065.34
"MS-DRG V37 (FY 2020) 300"|"Peripheral Vascular Disorders With Cc"|0.00|$43135.00|$746.00|$23945.00|$30194.00|$19369.30|$11985.30|$10846.80|$15702.00|$19369.30|$746.00|$23945.00|$15702.00|$14769.13|$18400.85|$23065.00|$13548.60|$15702.00|$6343.45|$15708.04|$14520.97|$11594.48|$14860.73|$18287.66|$20319.64|$17988.37|$14264.74|$10512.00|$10512.00
"MS-DRG V37 (FY 2020) 301"|"Peripheral Vascular Disorders Without Cc/McC"|0.00|$30719.00|$746.00|$15072.06|$21503.00|$6389.90|$8538.75|$3578.34|$8538.75|$6389.90|$746.00|$9578.00|$8538.75|$4872.30|$6070.41|$9226.00|$9652.50|$8538.75|$2092.69|$11190.96|$10345.25|$8538.75|$11017.46|$13564.81|$15072.06|$12815.55|$10158.77|$7486.22|$7486.22
"MS-DRG V37 (FY 2020) 302"|"Atherosclerosis With McC"|0.00|$39774.00|$0.00|$0.00|$27842.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 303"|"Atherosclerosis Without McC"|0.00|$37763.00|$746.00|$14367.00|$26434.00|$10145.50|$7778.60|$5681.50|$4532.06|$10145.50|$746.00|$14367.00|$4532.06|$7735.98|$9638.23|$13839.00|$8793.20|$4532.06|$3322.65|$10194.70|$9424.28|$7524.95|$9644.79|$11413.69|$12681.89|$11674.66|$12488.22|$9202.84|$9202.84
"MS-DRG V37 (FY 2020) 304"|"Hypertension With McC"|0.00|$46042.00|$746.00|$28990.66|$32229.00|$23192.49|$12599.40|$12987.80|$16451.09|$23192.49|$746.00|$28734.00|$21279.10|$17684.32|$22032.88|$27678.00|$14242.80|$16451.09|$7595.54|$16512.88|$15264.99|$12188.55|$15622.16|$26091.57|$28990.66|$18910.06|$15226.09|$11220.44|$11220.44
"MS-DRG V37 (FY 2020) 305"|"Hypertension Without McC"|0.00|$32960.00|$746.00|$19601.00|$23072.00|$14988.90|$8492.75|$8393.80|$11130.67|$14988.90|$746.00|$19601.00|$11130.67|$11429.07|$14239.45|$19577.00|$9600.50|$11130.67|$4908.86|$11130.67|$10289.52|$8215.81|$10530.27|$16862.51|$18736.12|$12746.51|$10899.87|$8032.35|$8032.35
"MS-DRG V37 (FY 2020) 306"|"Cardiac Congenital And Valvular Disorders With McC"|0.00|$70672.00|$746.00|$25953.86|$49470.00|$10754.80|$17292.55|$6022.68|$22663.77|$10754.80|$746.00|$9578.00|$22663.77|$8200.58|$10217.08|$9226.00|$19548.10|$22663.77|$3522.20|$22663.77|$20951.05|$16728.66|$21441.26|$12099.18|$13443.52|$25953.86|$23371.23|$17222.77|$17222.77
"MS-DRG V37 (FY 2020) 307"|"Cardiac Congenital And Valvular Disorders Without McC"|0.00|$37616.00|$5234.00|$25643.07|$26331.00|$20514.39|$9986.60|$11488.09|$13088.52|$20514.39|$13088.52|$5234.00|$13088.52|$15642.23|$19488.70|$5738.00|$11289.20|$13088.52|$6718.47|$13088.52|$12099.42|$9660.95|$12382.52|$23078.70|$25643.07|$14988.58|$12439.61|$9167.02|$9167.02
"MS-DRG V37 (FY 2020) 308"|"Cardiac Arrhythmia And Conduction Disorders With McC"|0.00|$54972.00|$746.00|$33523.00|$38480.00|$14788.00|$13791.95|$8281.28|$18075.85|$14788.00|$746.00|$33523.00|$18075.85|$11275.90|$14048.62|$32291.00|$15590.90|$18075.85|$4843.07|$18075.85|$16709.85|$13342.21|$17100.82|$12924.56|$14360.67|$20699.92|$18179.24|$13396.68|$13396.68
"MS-DRG V37 (FY 2020) 309"|"Cardiac Arrhythmia And Conduction Disorders With Cc"|0.00|$31087.00|$746.00|$12934.64|$21761.00|$9112.50|$8618.10|$5102.97|$8618.10|$9112.50|$746.00|$4789.00|$8618.10|$6948.31|$8656.87|$4613.00|$9742.20|$8618.10|$2984.34|$11294.96|$10441.39|$8337.08|$10685.69|$10395.68|$11550.77|$12934.64|$10280.47|$7575.90|$7575.90
"MS-DRG V37 (FY 2020) 310"|"Cardiac Arrhythmia And Conduction Disorders Without Cc/McC"|0.00|$24273.00|$2316.31|$14496.25|$16991.00|$7072.70|$6421.60|$3960.71|$8416.20|$7072.70|$14367.00|$9578.00|$14367.00|$5392.98|$6719.07|$9226.00|$6599.27|$8416.20|$2316.31|$8416.20|$7780.19|$6212.20|$7962.23|$13046.62|$14496.25|$9637.98|$8027.08|$5915.33|$5915.33
"MS-DRG V37 (FY 2020) 311"|"Angina Pectoris"|0.00|$38270.00|$746.00|$17295.63|$26789.00|$13836.50|$8015.50|$7748.44|$10505.18|$13836.50|$746.00|$14367.00|$10505.18|$10550.35|$13144.68|$13839.00|$9061.00|$10505.18|$4531.45|$10505.18|$9711.30|$7754.13|$9938.52|$15566.06|$17295.63|$12030.22|$12655.89|$9326.40|$9326.40
"MS-DRG V37 (FY 2020) 312"|"Syncope And Collapse"|0.00|$39166.00|$746.00|$23234.14|$27416.00|$18587.32|$9627.80|$10408.88|$12618.28|$18587.32|$746.00|$4789.00|$12618.28|$14172.86|$17657.95|$4613.00|$10883.60|$12618.28|$6087.34|$12618.28|$11664.71|$9313.85|$11937.63|$20910.70|$23234.14|$14450.07|$12952.20|$9544.75|$9544.75
"MS-DRG V37 (FY 2020) 313"|"Chest Pain"|0.00|$30319.00|$746.00|$24396.12|$21223.00|$11858.20|$8289.20|$6640.58|$24396.12|$11858.20|$746.00|$9578.00|$24396.12|$9041.91|$11265.29|$9226.00|$9370.40|$24396.12|$3883.56|$10863.90|$10042.91|$8018.90|$10277.89|$13340.48|$14822.76|$12441.01|$10026.49|$7388.74|$7388.74
"MS-DRG V37 (FY 2020) 314"|"Other Circulatory System Diagnoses With McC"|0.00|$80005.00|$746.00|$35959.48|$56004.00|$17267.59|$23959.10|$9669.85|$23959.10|$17267.59|$746.00|$23945.00|$23959.10|$13166.58|$16404.23|$23065.00|$27084.20|$23959.10|$5655.14|$31401.00|$29028.01|$23177.83|$29707.20|$18964.69|$21071.91|$35959.48|$26457.65|$19497.22|$19497.22
"MS-DRG V37 (FY 2020) 315"|"Other Circulatory System Diagnoses With Cc"|0.00|$38449.00|$746.00|$21409.40|$26914.00|$17164.58|$11214.80|$9612.18|$14367.00|$17164.58|$746.00|$10023.00|$14367.00|$13088.05|$16306.37|$10351.00|$12677.60|$14367.00|$5621.40|$14698.21|$13587.46|$10849.10|$13905.38|$19268.43|$21409.40|$16831.95|$12715.08|$9370.02|$9370.02
"MS-DRG V37 (FY 2020) 316"|"Other Circulatory System Diagnoses Without Cc/McC"|0.00|$30422.00|$746.00|$17052.13|$21295.00|$13641.70|$8619.25|$7639.34|$11296.46|$13641.70|$746.00|$5234.00|$11296.46|$10401.83|$12959.62|$5738.00|$9743.50|$11296.46|$4467.66|$11296.46|$10442.78|$8338.19|$10687.12|$15346.92|$17052.13|$12936.37|$10060.56|$7413.84|$7413.84
"MS-DRG V37 (FY 2020) 319"|"Other Endovascular Cardiac Valve Procedures With McC"|0.00|$227853.00|$0.00|$0.00|$159497.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 320"|"Other Endovascular Cardiac Valve Procedures Without McC"|0.00|$88566.00|$0.00|$0.00|$61996.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 326"|"Stomach, Esophageal And Duodenal Procedures With McC"|0.00|$226470.00|$55190.74|$92819.10|$158529.00|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$92819.10|$74893.63|$55190.74|$55190.74
"MS-DRG V37 (FY 2020) 327"|"Stomach, Esophageal And Duodenal Procedures With Cc"|0.00|$145869.00|$33924.80|$74298.39|$102108.00|$33924.80|$33924.80|$33924.80|$33924.80|$33924.80|$33924.80|$33924.80|$33924.80|$33924.80|$33924.80|$33924.80|$33924.80|$33924.80|$33924.80|$33924.80|$33924.80|$44578.99|$37210.29|$66868.47|$74298.39|$45041.70|$48238.88|$35548.28|$35548.28
"MS-DRG V37 (FY 2020) 328"|"Stomach, Esophageal And Duodenal Procedures Without Cc/McC"|0.00|$82669.00|$13839.00|$45195.85|$57868.00|$45195.85|$19153.25|$25309.67|$23205.41|$45195.85|$23205.41|$14367.00|$23205.41|$34461.86|$42936.07|$13839.00|$21651.50|$23205.41|$14801.64|$25102.42|$23205.41|$18528.69|$23748.36|$28329.28|$31477.02|$28746.53|$27338.64|$20146.44|$20146.44
"MS-DRG V37 (FY 2020) 329"|"Major Small And Large Bowel Procedures With McC"|0.00|$203119.00|$42896.75|$83716.18|$142183.00|$73103.72|$55778.45|$55778.45|$55778.45|$73103.72|$73103.72|$73103.72|$73103.72|$73103.72|$73103.72|$73103.72|$73103.72|$73103.72|$73103.72|$73961.32|$73961.32|$42896.75|$69160.43|$64345.13|$71494.63|$83716.18|$67171.45|$49500.10|$49500.10
"MS-DRG V37 (FY 2020) 330"|"Major Small And Large Bowel Procedures With Cc"|0.00|$116262.00|$28246.38|$54312.65|$81383.00|$32472.25|$29198.50|$29198.50|$29198.50|$32472.25|$28451.22|$28451.22|$28451.22|$28451.22|$28451.22|$28451.22|$32472.25|$32472.25|$32472.25|$38267.81|$38267.81|$28246.38|$36203.60|$48881.35|$54312.65|$43823.14|$38447.84|$28333.05|$28333.05
"MS-DRG V37 (FY 2020) 331"|"Major Small And Large Bowel Procedures Without Cc/McC"|0.00|$82077.00|$10386.75|$48455.10|$57454.00|$31715.27|$19666.15|$17760.56|$19666.15|$31715.27|$14436.75|$19156.00|$14436.75|$24182.91|$30129.49|$18452.00|$21172.67|$23826.82|$10386.75|$25774.63|$23826.82|$19024.86|$24384.32|$43609.57|$48455.10|$29516.33|$27142.86|$20002.16|$20002.16
"MS-DRG V37 (FY 2020) 332"|"Rectal Resection With McC"|0.00|$116258.00|$0.00|$0.00|$81381.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 333"|"Rectal Resection With Cc"|0.00|$133212.00|$0.00|$0.00|$93248.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 334"|"Rectal Resection Without Cc/McC"|0.00|$150199.00|$9226.00|$58893.82|$105139.00|$47115.00|$18505.80|$26384.44|$18505.80|$47115.00|$18505.80|$9578.00|$18505.80|$35925.22|$44759.30|$9226.00|$20919.60|$18505.80|$15430.17|$24253.86|$22420.98|$17902.35|$22945.58|$53004.38|$58893.82|$27774.79|$49670.81|$36603.50|$36603.50
"MS-DRG V37 (FY 2020) 335"|"Peritoneal Adhesiolysis With McC"|0.00|$177072.00|$43152.45|$114814.00|$123950.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$67148.30|$58557.71|$43152.45|$43152.45
"MS-DRG V37 (FY 2020) 336"|"Peritoneal Adhesiolysis With Cc"|0.00|$117000.00|$28512.90|$65948.30|$81900.00|$34156.17|$34156.17|$34156.17|$34156.17|$34156.17|$34156.17|$34156.17|$34156.17|$34156.17|$34156.17|$34156.17|$34156.17|$34156.17|$34156.17|$34156.17|$34156.17|$39568.94|$32551.87|$59353.43|$65948.30|$39402.85|$38691.90|$28512.90|$28512.90
"MS-DRG V37 (FY 2020) 337"|"Peritoneal Adhesiolysis Without Cc/McC"|0.00|$92249.00|$746.00|$34879.93|$64574.00|$28380.03|$18774.90|$15892.81|$18774.90|$28380.03|$746.00|$23945.00|$18774.90|$21639.78|$26961.04|$23065.00|$21223.80|$18774.90|$9294.46|$24606.55|$22747.02|$18162.68|$23279.24|$31391.87|$34879.93|$28178.68|$30506.74|$22481.08|$22481.08
"MS-DRG V37 (FY 2020) 338"|"Appendectomy With Complicated Principal Diagnosis With McC"|0.00|$84984.00|$0.00|$0.00|$59489.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 339"|"Appendectomy With Complicated Principal Diagnosis With Cc"|0.00|$81348.00|$19824.51|$38232.33|$56944.00|$25865.06|$25865.06|$25865.06|$25865.06|$25865.06|$25865.06|$25865.06|$25865.06|$25865.06|$25865.06|$25865.06|$25865.06|$25865.06|$25865.06|$25865.06|$25865.06|$25865.06|$24378.05|$34409.06|$38232.33|$29255.70|$26901.78|$19824.51|$19824.51
"MS-DRG V37 (FY 2020) 340"|"Appendectomy With Complicated Principal Diagnosis Without Cc/McC"|0.00|$61562.00|$746.00|$31480.78|$43093.00|$25087.91|$14126.60|$14049.24|$14126.60|$25087.91|$746.00|$9578.00|$14126.60|$19129.56|$23833.52|$9226.00|$15969.20|$14126.60|$8216.29|$18514.44|$17115.30|$13665.95|$17515.76|$28332.65|$31480.78|$21202.18|$20358.55|$15002.66|$15002.66
"MS-DRG V37 (FY 2020) 341"|"Appendectomy Without Complicated Principal Diagnosis With McC"|0.00|$86367.00|$10711.53|$40883.75|$60457.00|$32706.95|$26646.51|$18315.90|$14068.14|$32706.95|$14068.14|$14068.14|$14068.14|$24939.10|$31071.59|$14068.14|$14068.14|$14068.14|$10711.53|$14068.14|$14068.14|$14068.14|$33036.85|$36795.33|$40883.75|$39977.61|$28561.57|$21047.64|$21047.64
"MS-DRG V37 (FY 2020) 342"|"Appendectomy Without Complicated Principal Diagnosis With Cc"|0.00|$69822.00|$8419.80|$32136.70|$48875.00|$25709.30|$16480.65|$14397.24|$16480.65|$25709.30|$16480.65|$9578.00|$16480.65|$19603.37|$24423.83|$9226.00|$18630.30|$16480.65|$8419.80|$21599.68|$19967.38|$15943.24|$20434.57|$28922.99|$32136.70|$24735.31|$23090.14|$17015.62|$17015.62
"MS-DRG V37 (FY 2020) 343"|"Appendectomy Without Complicated Principal Diagnosis Without Cc/McC"|0.00|$49627.00|$746.00|$24061.63|$34739.00|$20073.96|$12758.10|$11241.41|$16720.88|$20073.96|$746.00|$4789.00|$16720.88|$15306.43|$19070.26|$4613.00|$14422.20|$16720.88|$6574.23|$16720.88|$15457.27|$12342.08|$15818.93|$21655.44|$24061.63|$19148.24|$16411.65|$12094.10|$12094.10
"MS-DRG V37 (FY 2020) 344"|"Minor Small And Large Bowel Procedures With McC"|0.00|$333738.00|$746.00|$110367.16|$233617.00|$31899.25|$32210.35|$17863.62|$32210.35|$31899.25|$746.00|$28734.00|$32210.35|$24323.21|$30304.27|$27678.00|$36411.70|$32210.35|$10447.00|$42215.16|$39024.94|$31160.01|$39938.03|$35886.68|$39874.10|$48343.53|$110367.16|$81331.95|$81331.95
"MS-DRG V37 (FY 2020) 345"|"Minor Small And Large Bowel Procedures With Cc"|0.00|$127159.00|$746.00|$42051.48|$89011.00|$15866.75|$18143.55|$8885.37|$15661.83|$15866.75|$746.00|$4789.00|$15661.83|$12098.42|$15073.42|$4613.00|$20510.10|$15661.83|$5196.36|$23779.09|$21982.09|$17551.91|$22496.42|$17850.10|$19833.49|$27231.10|$42051.48|$30988.65|$30988.65
"MS-DRG V37 (FY 2020) 346"|"Minor Small And Large Bowel Procedures Without Cc/McC"|0.00|$73977.00|$4613.00|$24464.19|$51784.00|$19327.80|$14662.50|$10823.57|$13701.15|$19327.80|$13701.15|$4789.00|$13701.15|$14737.48|$18361.40|$4613.00|$16575.00|$13701.15|$6329.86|$19216.80|$17764.58|$14184.38|$18180.23|$21743.81|$24159.82|$22006.50|$24464.19|$18028.19|$18028.19
"MS-DRG V37 (FY 2020) 347"|"Anal And Stomal Procedures With McC"|0.00|$110055.00|$11755.58|$44868.68|$77038.00|$35894.91|$28318.61|$20101.14|$37101.24|$35894.91|$37101.24|$37101.24|$37101.24|$27369.89|$34100.16|$37101.24|$37101.24|$37101.24|$11755.58|$37101.24|$37101.24|$37101.24|$35110.10|$40381.78|$44868.68|$42487.22|$36395.19|$26820.40|$26820.40
"MS-DRG V37 (FY 2020) 348"|"Anal And Stomal Procedures With Cc"|0.00|$71211.00|$7720.59|$29467.93|$49848.00|$23574.31|$15458.02|$13201.63|$21240.97|$23574.31|$21240.97|$21240.97|$21240.97|$17975.45|$22395.60|$21240.97|$21240.97|$21240.97|$7720.59|$21240.97|$21240.97|$21240.97|$19161.58|$26521.10|$29467.93|$23169.82|$23549.48|$17354.12|$17354.12
"MS-DRG V37 (FY 2020) 349"|"Anal And Stomal Procedures Without Cc/McC"|0.00|$38082.00|$746.00|$17383.88|$26657.00|$13907.06|$11261.95|$7787.93|$14367.00|$13907.06|$746.00|$9578.00|$14367.00|$10604.18|$13211.70|$9226.00|$12730.90|$14367.00|$4554.56|$14760.01|$13644.59|$10894.71|$13963.84|$15645.44|$17383.88|$16902.72|$12593.72|$9280.58|$9280.58
"MS-DRG V37 (FY 2020) 350"|"Inguinal And Femoral Hernia Procedures With McC"|0.00|$218461.00|$746.00|$72245.05|$152923.00|$25827.35|$28202.60|$14463.32|$28051.95|$25827.35|$746.00|$9578.00|$28051.95|$19693.40|$24535.99|$9226.00|$31881.20|$28051.95|$8458.46|$36962.57|$34169.29|$27282.95|$34968.77|$29055.78|$32284.26|$42328.42|$72245.05|$53238.95|$53238.95
"MS-DRG V37 (FY 2020) 351"|"Inguinal And Femoral Hernia Procedures With Cc"|0.00|$71789.00|$0.00|$0.00|$50252.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 352"|"Inguinal And Femoral Hernia Procedures Without Cc/McC"|0.00|$64338.00|$12790.81|$53208.49|$45037.00|$42566.78|$12790.81|$23837.40|$30918.05|$42566.78|$30918.05|$30918.05|$30918.05|$32457.21|$40438.43|$30918.05|$30918.05|$30918.05|$13940.61|$30918.05|$30918.05|$30918.05|$15833.38|$47887.61|$53208.49|$19037.78|$21276.58|$15679.17|$15679.17
"MS-DRG V37 (FY 2020) 353"|"Hernia Procedures Except Inguinal And Femoral With McC"|0.00|$156715.00|$0.00|$0.00|$109700.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 354"|"Hernia Procedures Except Inguinal And Femoral With Cc"|0.00|$70797.00|$10528.00|$40183.25|$49558.00|$32146.54|$20504.50|$18002.07|$24731.65|$32146.54|$24731.65|$19156.00|$24731.65|$24511.80|$30539.23|$18452.00|$23179.00|$24731.65|$10528.00|$26873.38|$24842.54|$19835.88|$25423.80|$36164.86|$40183.25|$30774.58|$23412.57|$17253.23|$17253.23
"MS-DRG V37 (FY 2020) 355"|"Hernia Procedures Except Inguinal And Femoral Without Cc/McC"|0.00|$65050.00|$746.00|$26792.26|$45535.00|$24654.20|$15630.80|$13806.34|$18798.88|$24654.20|$746.00|$4789.00|$18798.88|$18798.88|$23421.50|$4613.00|$17669.60|$18798.88|$8074.25|$20485.86|$18937.73|$15121.10|$19380.83|$24113.00|$26792.26|$23459.79|$21512.04|$15852.69|$15852.69
"MS-DRG V37 (FY 2020) 356"|"Other Digestive System O.R. Procedures With McC"|0.00|$171025.00|$41678.79|$74069.56|$119718.00|$61451.56|$61451.56|$61451.56|$61451.56|$61451.56|$61451.56|$61451.56|$61451.56|$61451.56|$61451.56|$61451.56|$61451.56|$61451.56|$61451.56|$61451.56|$61451.56|$61692.75|$61692.75|$61692.75|$61692.75|$74069.56|$56557.97|$41678.79|$41678.79
"MS-DRG V37 (FY 2020) 357"|"Other Digestive System O.R. Procedures With Cc"|0.00|$121679.00|$29653.17|$40239.25|$85175.00|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$38898.86|$40239.25|$29653.17|$29653.17
"MS-DRG V37 (FY 2020) 358"|"Other Digestive System O.R. Procedures Without Cc/McC"|0.00|$79647.00|$746.00|$26339.26|$55753.00|$13818.95|$15398.50|$7738.62|$7844.02|$13818.95|$746.00|$4789.00|$7844.02|$10536.99|$13128.01|$4613.00|$17407.00|$7844.02|$4525.71|$20181.41|$18656.29|$14896.38|$19092.80|$15546.36|$17273.74|$23111.14|$26339.26|$19409.97|$19409.97
"MS-DRG V37 (FY 2020) 368"|"Major Esophageal Disorders With McC"|0.00|$82846.00|$746.00|$33524.10|$57992.00|$14569.09|$22336.45|$8158.72|$16808.66|$14569.09|$746.00|$4789.00|$16808.66|$11108.94|$13840.64|$4613.00|$4072.56|$16808.66|$4771.38|$29274.35|$27062.07|$21608.09|$27695.26|$16390.26|$18211.39|$33524.10|$27397.17|$20189.57|$20189.57
"MS-DRG V37 (FY 2020) 369"|"Major Esophageal Disorders With Cc"|0.00|$32285.00|$746.00|$18585.57|$22600.00|$14420.79|$12383.20|$8075.66|$9578.00|$14420.79|$746.00|$9578.00|$9578.00|$10995.89|$13699.73|$9226.00|$13998.40|$9578.00|$4722.81|$16229.53|$15003.05|$11979.40|$15354.09|$16223.38|$18026.03|$18585.57|$10676.65|$7867.85|$7867.85
"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|$67238.00|$746.00|$32469.64|$47067.00|$14134.57|$19875.45|$7915.39|$23617.99|$14134.57|$746.00|$19156.00|$23617.99|$10777.66|$13427.85|$18452.00|$22467.90|$23617.99|$4629.08|$26048.94|$24080.40|$19227.34|$24643.83|$29222.66|$32469.64|$29830.46|$22235.61|$16385.90|$16385.90
"MS-DRG V37 (FY 2020) 372"|"Major Gastrointestinal Disorders And Peritoneal Infections With Cc"|0.00|$39927.00|$746.00|$20021.17|$27949.00|$11787.10|$11817.40|$6600.77|$11817.40|$11787.10|$746.00|$14367.00|$11817.40|$8987.69|$11197.75|$13839.00|$13358.80|$11817.40|$3860.28|$15487.99|$14317.55|$11432.05|$14652.55|$18019.02|$20021.17|$17736.38|$13203.86|$9730.21|$9730.21
"MS-DRG V37 (FY 2020) 373"|"Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC"|0.00|$31765.00|$746.00|$14468.15|$22236.00|$11863.70|$8550.25|$6643.67|$8550.25|$11863.70|$746.00|$9578.00|$8550.25|$9046.11|$11270.51|$9226.00|$9665.50|$8550.25|$3885.36|$11206.03|$10359.19|$8271.44|$10601.57|$13021.31|$14468.15|$12832.81|$10504.69|$7741.13|$7741.13
"MS-DRG V37 (FY 2020) 374"|"Digestive Malignancy With McC"|0.00|$83927.00|$20453.01|$50663.55|$58749.00|$27831.17|$27831.17|$27831.17|$27831.17|$27831.17|$27831.17|$27831.17|$27831.17|$27831.17|$27831.17|$27831.17|$27831.17|$27831.17|$27831.17|$30106.32|$30106.32|$50663.55|$50663.55|$50663.55|$50663.55|$35691.95|$27754.66|$20453.01|$20453.01
"MS-DRG V37 (FY 2020) 375"|"Digestive Malignancy With Cc"|0.00|$46074.00|$746.00|$22671.51|$32252.00|$22671.51|$13856.35|$12696.05|$16787.87|$22671.51|$746.00|$9578.00|$16787.87|$17287.05|$21537.96|$9226.00|$15663.70|$16787.87|$7424.92|$18160.25|$16787.87|$13404.51|$17180.67|$18177.52|$20197.28|$20796.57|$15236.67|$11228.23|$11228.23
"MS-DRG V37 (FY 2020) 376"|"Digestive Malignancy Without Cc/McC"|0.00|$61712.00|$0.00|$0.00|$43198.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 377"|"Gastrointestinal Hemorrhage With McC"|0.00|$83763.00|$9970.02|$43050.90|$58634.00|$30442.83|$21838.39|$17048.01|$21843.63|$30442.83|$23015.36|$23015.36|$23015.36|$23212.72|$28920.67|$23015.36|$23015.36|$23015.36|$9970.02|$43050.90|$43050.90|$20012.76|$25650.52|$27786.29|$30873.68|$31049.01|$27700.42|$20413.04|$20413.04
"MS-DRG V37 (FY 2020) 378"|"Gastrointestinal Hemorrhage With Cc"|0.00|$42805.00|$746.00|$35350.96|$29964.00|$15415.21|$11421.80|$8632.53|$11421.80|$15415.21|$746.00|$19156.00|$14367.00|$11754.13|$14644.44|$18452.00|$12911.60|$14367.00|$5048.48|$14969.51|$13838.26|$11049.35|$14162.04|$31815.86|$35350.96|$17142.63|$14155.61|$10431.58|$10431.58
"MS-DRG V37 (FY 2020) 379"|"Gastrointestinal Hemorrhage Without Cc/McC"|0.00|$22696.00|$5350.84|$20423.11|$15887.00|$16338.46|$7350.94|$9149.54|$9578.00|$16338.46|$9578.00|$9578.00|$9578.00|$12458.11|$15521.53|$9578.00|$9578.00|$9578.00|$5350.84|$9578.00|$9578.00|$9578.00|$9108.56|$18380.77|$20423.11|$10996.35|$7505.57|$5531.02|$5531.02
"MS-DRG V37 (FY 2020) 380"|"Complicated Peptic Ulcer With McC"|0.00|$102757.00|$746.00|$33981.74|$71930.00|$24224.99|$21655.65|$13566.00|$28449.91|$24224.99|$746.00|$33523.00|$28449.91|$18471.61|$23013.78|$32291.00|$24480.30|$28449.91|$7933.69|$28382.08|$26237.23|$26237.23|$26237.23|$26237.23|$26237.23|$32502.31|$33981.74|$25041.88|$25041.88
"MS-DRG V37 (FY 2020) 381"|"Complicated Peptic Ulcer With Cc"|0.00|$43302.00|$746.00|$28734.00|$30311.00|$21967.19|$12186.55|$12301.62|$17512.60|$21967.19|$746.00|$28734.00|$17512.60|$16750.02|$20868.86|$27678.00|$13776.10|$17512.60|$7194.26|$15971.80|$14764.80|$11789.16|$15110.26|$24713.10|$27459.02|$18290.42|$14319.97|$10552.70|$10552.70
"MS-DRG V37 (FY 2020) 382"|"Complicated Peptic Ulcer Without Cc/McC"|0.00|$32805.00|$746.00|$17669.23|$22964.00|$7067.71|$8835.45|$3957.86|$17669.23|$7067.71|$746.00|$4789.00|$17669.23|$5389.15|$6714.33|$4613.00|$9987.90|$17669.23|$2314.67|$11579.82|$10704.72|$8547.34|$10955.19|$7951.14|$8834.64|$13260.86|$10848.61|$7994.58|$7994.58
"MS-DRG V37 (FY 2020) 383"|"Uncomplicated Peptic Ulcer With McC"|0.00|$53238.00|$0.00|$0.00|$37267.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 384"|"Uncomplicated Peptic Ulcer Without McC"|0.00|$44925.00|$5756.21|$21970.29|$31448.00|$17576.22|$10758.30|$9842.67|$6853.33|$17576.22|$6853.33|$6853.33|$6853.33|$13401.92|$16697.42|$6853.33|$6853.33|$6853.33|$5756.21|$6853.33|$6853.33|$6853.33|$13217.62|$19773.26|$21970.29|$15402.82|$14856.70|$10948.22|$10948.22
"MS-DRG V37 (FY 2020) 385"|"Inflammatory Bowel Disease With McC"|0.00|$76232.00|$7361.32|$52679.00|$53362.00|$22477.30|$18619.65|$12587.27|$24403.08|$22477.30|$24403.08|$52679.00|$24403.08|$17138.96|$21353.45|$50743.00|$21048.30|$24403.08|$7361.32|$24403.08|$22558.92|$18012.49|$23086.75|$35018.83|$38909.86|$27945.67|$25209.92|$18577.74|$18577.74
"MS-DRG V37 (FY 2020) 386"|"Inflammatory Bowel Disease With Cc"|0.00|$56025.00|$11052.69|$20296.66|$39218.00|$14974.03|$14974.03|$14974.03|$14974.03|$14974.03|$14974.03|$14974.03|$14974.03|$14974.03|$14974.03|$14974.03|$14974.03|$14974.03|$14974.03|$14974.03|$14974.03|$11052.69|$14166.32|$18266.98|$20296.66|$17147.81|$18527.47|$13653.29|$13653.29
"MS-DRG V37 (FY 2020) 387"|"Inflammatory Bowel Disease Without Cc/McC"|0.00|$41824.00|$4042.27|$23945.00|$29277.00|$12342.80|$8205.25|$6911.95|$8205.25|$12342.80|$13490.10|$23945.00|$13490.10|$9411.39|$11725.67|$23065.00|$9275.50|$10753.87|$4042.27|$10753.87|$9941.20|$7937.69|$10173.80|$13885.67|$15428.51|$12315.01|$13831.20|$10192.51|$10192.51
"MS-DRG V37 (FY 2020) 388"|"Gastrointestinal Obstruction With McC"|0.00|$70309.00|$746.00|$26093.67|$49216.00|$12375.79|$17385.70|$6930.46|$17385.70|$12375.79|$746.00|$14367.00|$17385.70|$9436.57|$11757.00|$13839.00|$19653.40|$17385.70|$4053.07|$22785.85|$21063.91|$16818.78|$21556.76|$13922.77|$15469.76|$26093.67|$23251.19|$17134.30|$17134.30
"MS-DRG V37 (FY 2020) 389"|"Gastrointestinal Obstruction With Cc"|0.00|$34170.00|$746.00|$19156.00|$23919.00|$11510.81|$9450.70|$6446.05|$9450.70|$11510.81|$746.00|$19156.00|$9450.70|$8776.98|$10935.25|$18452.00|$10683.40|$9450.70|$3769.79|$12386.17|$11450.14|$9142.53|$11718.05|$15089.64|$16766.27|$14184.27|$11300.02|$8327.23|$8327.23
"MS-DRG V37 (FY 2020) 390"|"Gastrointestinal Obstruction Without Cc/McC"|0.00|$27911.00|$746.00|$23945.00|$19538.00|$9300.70|$6699.90|$5208.40|$6699.90|$9300.70|$746.00|$14367.00|$23945.00|$7091.79|$8835.68|$13839.00|$7573.80|$8780.95|$3045.98|$8780.95|$8117.37|$6481.43|$8307.29|$12972.38|$14413.77|$10055.68|$9230.17|$6801.91|$6801.91
"MS-DRG V37 (FY 2020) 391"|"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC"|0.00|$59695.00|$746.00|$34212.78|$41786.00|$15191.16|$14310.60|$8507.09|$17338.23|$15191.16|$746.00|$19156.00|$17338.23|$11583.31|$14431.61|$18452.00|$16177.20|$17338.23|$4975.12|$18755.60|$17338.23|$13843.95|$17743.90|$30791.45|$34212.78|$21478.34|$19741.14|$14547.67|$14547.67
"MS-DRG V37 (FY 2020) 392"|"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC"|0.00|$31958.00|$3470.26|$19156.00|$22371.00|$10596.20|$8790.60|$5933.88|$8790.60|$10596.20|$9290.15|$19156.00|$9290.15|$8079.63|$10066.39|$18452.00|$9937.20|$9937.20|$3470.26|$11521.04|$10650.39|$8503.95|$10899.58|$15296.08|$16995.65|$13193.54|$10568.51|$7788.16|$7788.16
"MS-DRG V37 (FY 2020) 393"|"Other Digestive System Diagnoses With McC"|0.00|$73600.00|$746.00|$38312.00|$51520.00|$27961.61|$19016.40|$15658.52|$24923.06|$27961.61|$746.00|$38312.00|$24923.06|$21320.80|$26563.59|$36904.00|$21496.80|$24923.06|$9157.44|$24923.06|$23039.61|$18396.30|$23578.68|$26609.53|$29566.17|$28541.14|$24339.52|$17936.32|$17936.32
"MS-DRG V37 (FY 2020) 394"|"Other Digestive System Diagnoses With Cc"|0.00|$39403.00|$746.00|$28734.00|$27582.00|$11844.31|$10793.90|$6632.81|$6947.12|$11844.31|$746.00|$19156.00|$28734.00|$9031.31|$11252.12|$18452.00|$12201.80|$13077.51|$3879.01|$14146.58|$13077.51|$22995.70|$13479.05|$19930.78|$22145.33|$16200.24|$13030.57|$9602.51|$9602.51
"MS-DRG V37 (FY 2020) 395"|"Other Digestive System Diagnoses Without Cc/McC"|0.00|$34893.00|$4671.03|$23945.00|$24425.00|$14262.70|$7471.55|$7987.09|$7987.09|$14262.70|$7987.09|$23945.00|$7987.09|$10875.32|$13549.56|$23065.00|$8446.10|$7987.09|$4671.03|$9792.28|$9052.27|$8300.57|$9274.22|$11079.56|$12310.66|$11213.82|$11539.12|$8503.42|$8503.42
"MS-DRG V37 (FY 2020) 405"|"Pancreas, Liver And Shunt Procedures With McC"|0.00|$230785.00|$24276.01|$98908.43|$161550.00|$74125.23|$65900.75|$41510.10|$82318.87|$74125.23|$82318.87|$33523.00|$82318.87|$56520.53|$70418.99|$32291.00|$74496.50|$82318.87|$24276.01|$86370.10|$79843.06|$55593.92|$81711.20|$83390.89|$92656.60|$98908.43|$76320.60|$56242.30|$56242.30
"MS-DRG V37 (FY 2020) 406"|"Pancreas, Liver And Shunt Procedures With Cc"|0.00|$146211.00|$19504.77|$86251.89|$102348.00|$59556.56|$33085.50|$33351.66|$33085.50|$59556.56|$33744.45|$33523.00|$33744.45|$45411.90|$56578.75|$32291.00|$37401.00|$33744.45|$19504.77|$43362.14|$40085.24|$86251.89|$86251.89|$86251.89|$86251.89|$49657.02|$48351.98|$35631.62|$35631.62
"MS-DRG V37 (FY 2020) 407"|"Pancreas, Liver And Shunt Procedures Without Cc/McC"|0.00|$113627.00|$9226.00|$55254.71|$79539.00|$44203.72|$24334.00|$24754.10|$24334.00|$44203.72|$24334.00|$9578.00|$24334.00|$33705.34|$41993.54|$9226.00|$27508.00|$24334.00|$14476.72|$31892.35|$29482.23|$23540.50|$30172.04|$49729.22|$55254.71|$36522.16|$37576.45|$27690.90|$27690.90
"MS-DRG V37 (FY 2020) 408"|"Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC"|0.00|$103247.00|$0.00|$0.00|$72273.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 409"|"Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc"|0.00|$101153.00|$0.00|$0.00|$70807.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 410"|"Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC"|0.00|$134322.00|$0.00|$0.00|$94025.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 411"|"Cholecystectomy With C.D.E. With McC"|0.00|$108214.00|$0.00|$0.00|$75750.00||||||||||||||||||||||||
"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|$102617.00|$746.00|$54568.93|$71832.00|$43655.08|$19911.10|$24446.86|$26095.66|$43655.08|$746.00|$9578.00|$26095.66|$33287.06|$41472.36|$9226.00|$22508.20|$26095.66|$14297.04|$26095.66|$24123.60|$19261.83|$24688.03|$49111.99|$54568.93|$29883.96|$33935.44|$25007.76|$25007.76
"MS-DRG V37 (FY 2020) 414"|"Cholecystectomy Except By Laparoscope Without C.D.E. With McC"|0.00|$144260.00|$0.00|$0.00|$100982.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 415"|"Cholecystectomy Except By Laparoscope Without C.D.E. With Cc"|0.00|$136968.00|$7045.10|$45295.32|$95878.00|$21511.77|$23366.85|$12046.60|$24767.57|$21511.77|$24767.57|$9578.00|$24767.57|$16402.74|$20436.20|$9226.00|$26414.70|$24767.57|$7045.10|$30624.80|$28310.46|$22604.89|$28972.86|$24200.74|$26889.77|$35070.59|$45295.32|$33379.10|$33379.10
"MS-DRG V37 (FY 2020) 416"|"Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC"|0.00|$167281.00|$24547.17|$105608.47|$117097.00|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$24547.17|$55319.83|$40766.38|$40766.38
"MS-DRG V37 (FY 2020) 417"|"Laparoscopic Cholecystectomy Without C.D.E. With McC"|0.00|$118244.00|$746.00|$63266.46|$82771.00|$44099.35|$27870.25|$24695.67|$33766.63|$44099.35|$746.00|$14367.00|$33766.63|$33625.80|$41894.41|$13839.00|$31505.50|$33766.63|$14442.54|$36526.99|$33766.63|$37959.85|$34556.69|$56939.79|$63266.46|$41829.61|$39103.29|$28816.06|$28816.06
"MS-DRG V37 (FY 2020) 418"|"Laparoscopic Cholecystectomy Without C.D.E. With Cc"|0.00|$93871.00|$746.00|$46123.28|$65710.00|$33602.99|$19413.15|$18817.67|$23520.30|$33602.99|$746.00|$19156.00|$23520.30|$25622.29|$31922.84|$18452.00|$21945.30|$23520.30|$11004.98|$25443.04|$23520.30|$18780.11|$24070.62|$41510.90|$46123.28|$29136.61|$31043.14|$22876.36|$22876.36
"MS-DRG V37 (FY 2020) 419"|"Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC"|0.00|$74639.00|$746.00|$53621.08|$52247.00|$30971.91|$15124.80|$17344.27|$15124.80|$30971.91|$746.00|$9578.00|$19656.90|$23616.16|$29423.34|$9226.00|$17097.60|$19656.90|$10143.31|$19822.69|$18324.68|$14631.60|$18753.44|$48258.94|$53621.08|$22700.35|$24683.12|$18189.52|$18189.52
"MS-DRG V37 (FY 2020) 420"|"Hepatobiliary Diagnostic Procedures With McC"|0.00|$199930.00|$0.00|$0.00|$139951.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 421"|"Hepatobiliary Diagnostic Procedures With Cc"|0.00|$88778.00|$8453.53|$32947.61|$62145.00|$25812.29|$21952.35|$14454.88|$21952.35|$25812.29|$21952.35|$9578.00|$21952.35|$19681.91|$24521.70|$9226.00|$24815.70|$21952.35|$8453.53|$28770.94|$26596.70|$21236.51|$27219.01|$29038.83|$32265.40|$32947.61|$29358.88|$21635.20|$21635.20
"MS-DRG V37 (FY 2020) 422"|"Hepatobiliary Diagnostic Procedures Without Cc/McC"|0.00|$46764.00|$0.00|$0.00|$32735.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 423"|"Other Hepatobiliary Or Pancreas O.R. Procedures With McC"|0.00|$101633.00|$24767.96|$74668.74|$71143.00|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$72129.54|$33610.03|$24767.96|$24767.96
"MS-DRG V37 (FY 2020) 424"|"Other Hepatobiliary Or Pancreas O.R. Procedures With Cc"|0.00|$67035.00|$0.00|$0.00|$46924.00||||||||||||||||||||||||
"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|$104331.00|$20938.36|$34502.26|$73032.00|$27482.28|$21644.15|$21644.15|$21644.15|$27482.28|$27482.28|$27482.28|$27482.28|$27482.28|$27482.28|$27482.28|$27482.28|$27482.28|$27482.28|$28367.01|$28367.01|$20938.36|$26836.86|$28485.15|$31650.19|$32485.05|$34502.26|$25425.46|$25425.46
"MS-DRG V37 (FY 2020) 433"|"Cirrhosis And Alcoholic Hepatitis With Cc"|0.00|$51342.00|$746.00|$21397.10|$35939.00|$14277.73|$11827.75|$7995.54|$11827.75|$14277.73|$746.00|$14367.00|$12898.81|$10886.78|$13563.85|$13839.00|$13370.50|$12898.81|$4675.96|$15501.55|$14330.09|$11442.06|$14665.38|$19257.36|$21397.10|$17751.91|$16978.80|$12512.05|$12512.05
"MS-DRG V37 (FY 2020) 434"|"Cirrhosis And Alcoholic Hepatitis Without Cc/McC"|0.00|$15678.00|$746.00|$13597.90|$10975.00|$10878.31|$7125.40|$6091.85|$7916.01|$10878.31|$746.00|$4789.00|$7916.01|$8294.74|$10334.41|$4613.00|$8054.80|$7916.01|$3562.64|$9338.61|$8632.89|$6893.05|$8834.88|$12238.11|$13597.90|$10694.30|$5184.71|$3820.73|$3820.73
"MS-DRG V37 (FY 2020) 435"|"Malignancy Of Hepatobiliary System Or Pancreas With McC"|0.00|$81170.00|$7233.78|$37103.69|$56819.00|$26263.26|$20157.20|$14707.43|$26418.20|$26263.26|$26418.20|$9578.00|$26418.20|$20025.76|$24950.11|$9226.00|$7233.78|$26418.20|$8601.22|$26418.20|$24421.76|$26418.20|$25003.33|$33393.29|$37103.69|$30253.33|$26842.92|$19781.13|$19781.13
"MS-DRG V37 (FY 2020) 436"|"Malignancy Of Hepatobiliary System Or Pancreas With Cc"|0.00|$50202.00|$2366.71|$19334.65|$35141.00|$7226.60|$12882.30|$4046.88|$5270.35|$7226.60|$5270.35|$18066.50|$5270.35|$5510.29|$6865.28|$18066.50|$14562.60|$5270.35|$2366.71|$16883.65|$15607.75|$12462.23|$15972.93|$8129.92|$9033.27|$19334.65|$16601.80|$12234.23|$12234.23
"MS-DRG V37 (FY 2020) 437"|"Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC"|0.00|$61467.00|$0.00|$0.00|$43027.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 438"|"Disorders Of Pancreas Except Malignancy With McC"|0.00|$72496.00|$746.00|$31053.00|$50747.00|$20873.79|$18357.45|$11689.34|$18357.45|$20873.79|$746.00|$30069.00|$24059.43|$15916.30|$19830.13|$31053.00|$20751.90|$24059.43|$6836.17|$24059.43|$22241.25|$23945.00|$22785.79|$24505.98|$27228.91|$27552.14|$23974.43|$17667.28|$17667.28
"MS-DRG V37 (FY 2020) 439"|"Disorders Of Pancreas Except Malignancy With Cc"|0.00|$39748.00|$746.00|$19135.11|$27824.00|$10219.69|$9710.60|$5723.05|$9710.60|$10219.69|$746.00|$9578.00|$9710.60|$7792.56|$9708.72|$9226.00|$10977.20|$9710.60|$3346.95|$12726.80|$11765.03|$7484.41|$12050.45|$17221.58|$19135.11|$14574.34|$13144.66|$9686.59|$9686.59
"MS-DRG V37 (FY 2020) 440"|"Disorders Of Pancreas Except Malignancy Without Cc/McC"|0.00|$27511.00|$746.00|$14136.00|$19258.00|$10300.30|$6967.85|$5768.16|$9132.12|$10300.30|$746.00|$9578.00|$9132.12|$7854.01|$9785.29|$9226.00|$7876.70|$9132.12|$3373.35|$9132.12|$8442.00|$6740.64|$8639.53|$12722.41|$14136.00|$10457.83|$9097.89|$6704.43|$6704.43
"MS-DRG V37 (FY 2020) 441"|"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC"|0.00|$72367.00|$4574.98|$32512.66|$50657.00|$13969.41|$21662.55|$7822.87|$27890.74|$13969.41|$27890.74|$14367.00|$27890.74|$10651.72|$13270.94|$13839.00|$24488.10|$27890.74|$4574.98|$28391.13|$26245.59|$20956.16|$26859.68|$19722.64|$21914.10|$32512.66|$23931.77|$17635.84|$17635.84
"MS-DRG V37 (FY 2020) 442"|"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc"|0.00|$45487.00|$6138.04|$26293.65|$31841.00|$18742.09|$10713.40|$10495.57|$14041.08|$18742.09|$14041.08|$19156.00|$14041.08|$14290.88|$17804.99|$18452.00|$12110.80|$14041.08|$6138.04|$14041.08|$12979.98|$11469.55|$16968.68|$23664.25|$26293.65|$16079.42|$15042.55|$11085.18|$11085.18
"MS-DRG V37 (FY 2020) 443"|"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/McC"|0.00|$13188.00|$3213.92|$14367.00|$9232.00|$11853.40|$7622.20|$6637.92|$9989.72|$11853.40|$9989.72|$14367.00|$9989.72|$9038.26|$11260.73|$13839.00|$8616.40|$9989.72|$3881.99|$9989.72|$9234.79|$7373.65|$9450.87|$11836.36|$13151.50|$11439.93|$4361.27|$3213.92|$3213.92
"MS-DRG V37 (FY 2020) 444"|"Disorders Of The Biliary Tract With McC"|0.00|$82576.00|$746.00|$31940.75|$57803.00|$10174.10|$19191.20|$5697.53|$23739.76|$10174.10|$746.00|$9578.00|$23739.76|$7757.81|$9665.40|$9226.00|$21694.40|$23739.76|$3332.02|$25152.15|$23251.39|$19156.00|$23805.57|$28746.63|$31940.75|$28803.49|$27307.88|$20123.77|$20123.77
"MS-DRG V37 (FY 2020) 445"|"Disorders Of The Biliary Tract With Cc"|0.00|$47596.00|$4449.51|$32392.98|$33317.00|$13586.28|$12383.20|$7608.33|$16229.53|$13586.28|$16229.53|$14367.00|$16229.53|$10359.54|$12906.98|$13839.00|$13998.40|$16229.53|$4449.51|$16229.53|$15003.05|$11979.40|$15354.09|$29153.66|$32392.98|$18585.57|$15740.00|$11599.15|$11599.15
"MS-DRG V37 (FY 2020) 446"|"Disorders Of The Biliary Tract Without Cc/McC"|0.00|$42555.00|$746.00|$14087.61|$29788.00|$7520.59|$9386.30|$4211.55|$9578.00|$7520.59|$746.00|$4789.00|$9578.00|$5734.48|$7144.57|$4613.00|$10610.60|$9578.00|$2463.00|$12301.77|$11372.11|$9080.23|$11638.20|$11102.30|$12335.90|$14087.61|$14072.94|$10370.65|$10370.65
"MS-DRG V37 (FY 2020) 453"|"Combined Anterior And Posterior Spinal Fusion With McC"|0.00|$402083.00|$97987.63|$158681.54|$281458.00|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$158681.54|$132968.85|$97987.63|$97987.63
"MS-DRG V37 (FY 2020) 454"|"Combined Anterior And Posterior Spinal Fusion With Cc"|0.00|$276748.00|$67443.49|$138206.39|$193724.00|$92316.00|$92316.00|$92316.00|$92316.00|$92316.00|$92316.00|$92316.00|$92316.00|$92316.00|$92316.00|$92316.00|$92316.00|$92316.00|$92316.00|$92316.00|$92316.00|$82923.80|$86952.81|$124385.71|$138206.39|$105253.21|$91520.56|$67443.49|$67443.49
"MS-DRG V37 (FY 2020) 455"|"Combined Anterior And Posterior Spinal Fusion Without Cc/McC"|0.00|$146245.00|$4613.00|$82692.66|$102372.00|$52228.78|$55096.50|$29248.10|$63916.50|$52228.78|$63916.50|$4789.00|$63916.50|$39824.45|$49617.32|$4613.00|$62283.00|$63916.50|$17104.92|$72209.95|$66753.00|$72209.95|$72209.95|$72209.95|$72209.95|$82692.66|$48363.22|$35639.91|$35639.91
"MS-DRG V37 (FY 2020) 456"|"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC"|0.00|$380144.00|$44567.26|$170104.04|$266101.00|$136083.23|$108866.59|$76206.61|$108866.59|$136083.23|$108866.59|$148330.73|$108866.59|$103763.53|$129279.07|$149351.38|$170104.04|$108866.59|$44567.26|$129590.56|$119797.33|$102062.42|$122600.31|$153093.64|$170104.04|$148403.21|$125713.62|$92641.09|$92641.09
"MS-DRG V37 (FY 2020) 457"|"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc"|0.00|$314403.00|$76620.01|$112224.52|$220082.00|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$112224.52|$103973.07|$76620.01|$76620.01
"MS-DRG V37 (FY 2020) 458"|"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/McC"|0.00|$177725.00|$9226.00|$94479.47|$124408.00|$75583.52|$57700.10|$42326.77|$9226.00|$75583.52|$9226.00|$9578.00|$9226.00|$57632.48|$71804.37|$9226.00|$36236.78|$9226.00|$24753.61|$75622.25|$69907.43|$56687.65|$71543.11|$85031.47|$94479.47|$86600.32|$58773.66|$43311.58|$43311.58
"MS-DRG V37 (FY 2020) 459"|"Spinal Fusion Except Cervical With McC"|0.00|$250653.00|$7750.00|$307334.41|$175457.00|$81987.65|$81987.65|$81987.65|$81987.65|$81987.65|$81987.65|$81987.65|$81987.65|$81987.65|$81987.65|$81987.65|$81987.65|$81987.65|$81987.65|$81987.65|$81987.65|$7750.00|$307334.41|$138300.50|$153667.23|$116190.87|$82890.95|$61084.14|$61084.14
"MS-DRG V37 (FY 2020) 460"|"Spinal Fusion Except Cervical Without McC"|0.00|$175521.00|$746.00|$96351.15|$122865.00|$56775.50|$45226.05|$31794.28|$30877.05|$56775.50|$746.00|$9578.00|$55180.25|$43291.37|$53936.75|$9226.00|$51125.10|$55180.25|$18593.98|$59273.65|$54794.31|$96351.15|$96351.15|$96351.15|$96351.15|$67878.40|$58044.79|$42774.47|$42774.47
"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|$217043.00|$33703.75|$71776.12|$151930.00|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$54268.89|$71776.12|$52893.38|$52893.38
"MS-DRG V37 (FY 2020) 463"|"Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With McC"|0.00|$374516.00|$78793.40|$123852.44|$262161.00|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$92606.80|$123852.44|$91269.55|$91269.55
"MS-DRG V37 (FY 2020) 464"|"Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc"|0.00|$167553.00|$24882.65|$94972.00|$117287.00|$75977.56|$34216.96|$42547.46|$34206.75|$75977.56|$34206.75|$34206.75|$34206.75|$57932.93|$72178.67|$34206.75|$34206.75|$34206.75|$24882.65|$34206.75|$34206.75|$34206.75|$42423.55|$85474.76|$94972.00|$51339.87|$55409.78|$40832.67|$40832.67
"MS-DRG V37 (FY 2020) 465"|"Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC"|0.00|$69696.00|$4613.00|$33051.01|$48787.00|$26440.79|$21201.40|$14806.85|$13094.39|$26440.79|$13094.39|$4789.00|$13094.39|$20161.14|$25118.77|$4613.00|$23966.80|$13094.39|$8659.36|$27786.74|$25686.88|$20510.05|$26287.89|$29745.91|$33051.01|$31820.54|$23048.47|$16984.92|$16984.92
"MS-DRG V37 (FY 2020) 466"|"Revision Of Hip Or Knee Replacement With McC"|0.00|$205095.00|$49981.65|$92254.70|$143566.00|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$92254.70|$67824.92|$49981.65|$49981.65
"MS-DRG V37 (FY 2020) 467"|"Revision Of Hip Or Knee Replacement With Cc"|0.00|$141121.00|$9226.00|$85903.42|$98785.00|$60041.52|$41126.30|$33623.25|$30185.04|$60041.52|$30185.04|$9578.00|$30185.04|$45781.69|$57039.45|$9226.00|$22678.34|$30185.04|$19663.60|$53900.49|$49827.19|$51542.02|$50993.04|$77313.05|$85903.42|$61725.21|$46668.71|$34391.19|$34391.19
"MS-DRG V37 (FY 2020) 468"|"Revision Of Hip Or Knee Replacement Without Cc/McC"|0.00|$114217.00|$4613.00|$68419.05|$79952.00|$49827.14|$32246.00|$27903.18|$26929.62|$49827.14|$31545.00|$4789.00|$31545.00|$37993.21|$47335.80|$4613.00|$14580.80|$31545.00|$16318.39|$42261.89|$39068.13|$41051.40|$39982.24|$61577.11|$68419.05|$48397.04|$37771.56|$27834.68|$27834.68
"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|$124673.00|$30382.81|$53236.74|$87271.00|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$53236.74|$41229.36|$30382.81|$30382.81
"MS-DRG V37 (FY 2020) 470"|"Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC"|0.00|$88008.00|$4613.00|$50679.53|$61606.00|$34876.94|$21848.85|$19531.08|$21848.85|$34876.94|$4789.00|$4789.00|$4789.00|$26593.71|$33133.10|$4613.00|$9879.48|$21848.85|$11422.20|$28635.29|$26471.31|$21136.39|$27090.67|$45611.53|$50679.53|$32792.27|$29104.25|$21447.55|$21447.55
"MS-DRG V37 (FY 2020) 471"|"Cervical Spinal Fusion With McC"|0.00|$258668.00|$63037.39|$266274.49|$181068.00|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$86589.97|$85541.51|$63037.39|$63037.39
"MS-DRG V37 (FY 2020) 472"|"Cervical Spinal Fusion With Cc"|0.00|$140066.00|$9226.00|$94113.00|$98046.00|$55895.57|$35111.80|$31301.53|$35608.80|$55895.57|$35608.80|$9578.00|$35608.80|$42620.40|$53100.78|$9226.00|$39691.60|$35608.80|$18305.79|$46017.83|$42540.24|$41218.20|$43545.73|$84701.63|$94113.00|$52698.23|$46319.83|$34134.08|$34134.08
"MS-DRG V37 (FY 2020) 473"|"Cervical Spinal Fusion Without Cc/McC"|0.00|$101036.00|$4613.00|$53856.16|$70725.00|$45614.15|$29212.30|$25543.88|$38285.89|$45614.15|$38285.89|$4789.00|$38285.89|$34780.86|$43333.53|$4613.00|$33022.60|$38285.89|$14938.65|$38285.89|$35392.61|$28259.73|$36220.71|$48470.53|$53856.16|$43843.85|$33412.61|$24622.47|$24622.47
"MS-DRG V37 (FY 2020) 474"|"Amputation For Musculoskeletal System And Connective Tissue Disorders With McC"|0.00|$245971.00|$0.00|$0.00|$172180.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 475"|"Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc"|0.00|$94651.00|$8736.49|$37861.54|$66256.00|$26676.32|$25226.40|$14938.74|$32097.44|$26676.32|$32097.44|$33523.00|$32097.44|$20340.71|$25342.50|$32291.00|$28115.15|$32097.44|$8736.49|$33061.94|$30563.43|$24403.80|$31278.54|$30010.84|$33345.41|$37861.54|$31301.09|$23066.45|$23066.45
"MS-DRG V37 (FY 2020) 476"|"Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC"|0.00|$56203.00|$0.00|$0.00|$39342.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 477"|"Biopsies Of Musculoskeletal System And Connective Tissue With McC"|0.00|$107426.00|$746.00|$57940.09|$75198.00|$34999.65|$38604.35|$19599.80|$33100.67|$34999.65|$746.00|$43101.00|$33100.67|$26687.25|$33249.67|$41517.00|$42784.02|$33100.67|$11462.38|$50595.20|$46771.69|$37345.51|$47866.04|$39374.60|$43749.60|$57940.09|$35525.78|$26179.72|$26179.72
"MS-DRG V37 (FY 2020) 478"|"Biopsies Of Musculoskeletal System And Connective Tissue With Cc"|0.00|$85609.00|$12768.79|$48735.91|$59926.00|$38988.69|$27104.35|$21833.66|$28844.13|$38988.69|$28844.13|$28734.00|$28844.13|$29728.86|$37039.26|$27678.00|$27854.27|$28844.13|$12768.79|$35523.20|$32838.69|$26220.51|$33607.04|$43862.26|$48735.91|$40680.09|$28310.90|$20862.91|$20862.91
"MS-DRG V37 (FY 2020) 479"|"Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC"|0.00|$56249.00|$746.00|$31228.52|$39374.00|$20637.29|$20806.95|$11556.86|$20806.95|$20637.29|$746.00|$19156.00|$20806.95|$15735.96|$19605.43|$18452.00|$23520.90|$20806.95|$6758.71|$27269.77|$25208.98|$20128.46|$25798.81|$23216.96|$25796.63|$31228.52|$18601.54|$13707.88|$13707.88
"MS-DRG V37 (FY 2020) 480"|"Hip And Femur Procedures Except Major Joint With McC"|0.00|$169151.00|$746.00|$194133.73|$118406.00|$77653.49|$34781.75|$43485.96|$194133.73|$77653.49|$746.00|$33523.00|$194133.73|$59210.81|$73770.84|$32291.00|$36697.27|$194133.73|$25431.52|$45585.26|$42140.36|$58240.12|$43126.35|$87360.20|$97066.90|$52202.87|$55938.24|$41222.10|$41222.10
"MS-DRG V37 (FY 2020) 481"|"Hip And Femur Procedures Except Major Joint With Cc"|0.00|$109907.00|$13839.00|$76857.64|$76935.00|$43869.10|$24098.25|$24566.74|$24098.25|$43869.10|$24098.25|$14367.00|$24098.25|$33450.28|$41675.68|$13839.00|$17025.94|$24098.25|$14367.14|$31583.38|$29196.60|$58565.75|$29889.88|$69171.83|$76857.64|$36168.33|$36346.24|$26784.34|$26784.34
"MS-DRG V37 (FY 2020) 482"|"Hip And Femur Procedures Except Major Joint Without Cc/McC"|0.00|$96462.00|$4613.00|$42797.66|$67523.00|$42797.66|$18938.20|$23966.63|$18938.20|$42797.66|$18938.20|$4789.00|$18938.20|$32633.21|$40657.75|$4613.00|$21408.40|$18938.20|$14016.22|$24820.57|$22944.86|$18320.65|$23481.72|$36717.03|$40796.74|$28423.77|$31899.98|$23507.79|$23507.79
"MS-DRG V37 (FY 2020) 483"|"Major Joint Or Limb Reattachment Procedures Of Upper Extremities"|0.00|$73915.00|$9226.00|$56749.28|$51740.00|$28445.47|$27442.45|$15929.45|$27442.45|$28445.47|$27442.45|$9578.00|$27442.45|$21689.68|$27023.19|$9226.00|$31021.90|$27442.45|$9315.89|$35966.31|$33248.32|$26547.59|$34026.25|$51074.32|$56749.28|$41187.54|$24443.69|$18013.09|$18013.09
"MS-DRG V37 (FY 2020) 485"|"Knee Procedures With Principal Diagnosis Of Infection With McC"|0.00|$165363.00|$746.00|$59657.34|$115754.00|$47725.82|$39187.40|$26726.48|$38335.50|$47725.82|$746.00|$38312.00|$38335.50|$36390.99|$45339.54|$36904.00|$36915.67|$38335.50|$15630.21|$51359.35|$47478.09|$37909.55|$48588.97|$53691.60|$59657.34|$58815.18|$54685.54|$40298.96|$40298.96
"MS-DRG V37 (FY 2020) 486"|"Knee Procedures With Principal Diagnosis Of Infection With Cc"|0.00|$96877.00|$746.00|$51668.99|$67814.00|$41335.11|$24706.60|$23147.67|$27447.96|$41335.11|$746.00|$23945.00|$27447.96|$31518.09|$39268.35|$23065.00|$26599.24|$27447.96|$13537.25|$32380.68|$29933.66|$23900.95|$30634.04|$46501.99|$51668.99|$37081.38|$32037.22|$23608.92|$23608.92
"MS-DRG V37 (FY 2020) 487"|"Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC"|0.00|$81722.00|$9226.00|$43149.30|$57205.00|$32688.87|$18863.45|$18305.76|$43149.30|$32688.87|$43149.30|$9578.00|$43149.30|$24925.29|$31054.42|$9226.00|$21323.90|$43149.30|$10705.60|$24722.60|$22854.30|$18248.34|$23389.04|$36774.98|$40861.14|$28311.58|$27025.47|$19915.65|$19915.65
"MS-DRG V37 (FY 2020) 488"|"Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC"|0.00|$116937.00|$746.00|$54654.77|$81856.00|$43723.81|$22707.90|$24485.34|$25790.84|$43723.81|$746.00|$9578.00|$25790.84|$33339.44|$41537.63|$9226.00|$20535.84|$25790.84|$14319.55|$29761.17|$27512.10|$21967.43|$28155.82|$49189.30|$54654.77|$34081.60|$38671.07|$28497.55|$28497.55
"MS-DRG V37 (FY 2020) 489"|"Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC"|0.00|$53834.00|$0.00|$0.00|$37684.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 492"|"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC"|0.00|$168998.00|$746.00|$59861.13|$118299.00|$16961.27|$39884.30|$9498.31|$9498.31|$16961.27|$746.00|$9578.00|$9498.31|$12932.99|$16113.21|$9226.00|$11710.81|$9498.31|$5554.81|$42403.16|$42403.16|$38583.73|$42403.16|$19081.42|$21201.62|$59861.13|$55887.64|$41184.81|$41184.81
"MS-DRG V37 (FY 2020) 493"|"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc"|0.00|$119592.00|$746.00|$76640.97|$83714.00|$64870.37|$26739.80|$36327.40|$34695.74|$64870.37|$746.00|$23945.00|$34695.74|$49463.69|$61626.85|$23065.00|$30227.60|$34695.74|$21245.04|$35045.41|$32397.01|$45984.55|$33155.03|$68976.83|$76640.97|$40132.95|$39549.07|$29144.57|$29144.57
"MS-DRG V37 (FY 2020) 494"|"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC"|0.00|$76152.00|$746.00|$39593.31|$53306.00|$31674.62|$21296.85|$17737.82|$27911.84|$31674.62|$746.00|$9578.00|$27911.84|$24151.94|$30090.86|$9226.00|$24074.70|$27911.84|$10373.43|$27911.84|$25802.52|$20602.39|$26406.24|$35633.95|$39593.31|$31963.79|$25183.47|$18558.24|$18558.24
"MS-DRG V37 (FY 2020) 495"|"Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With McC"|0.00|$162255.00|$0.00|$0.00|$113578.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 496"|"Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc"|0.00|$126140.00|$12570.87|$47980.46|$88298.00|$38384.33|$22834.40|$21495.25|$22834.40|$38384.33|$22834.40|$14367.00|$22834.40|$29268.09|$36465.11|$13839.00|$17208.53|$22834.40|$12570.87|$29926.96|$27665.36|$22089.80|$28312.67|$43182.37|$47980.46|$34271.46|$41714.50|$30740.32|$30740.32
"MS-DRG V37 (FY 2020) 497"|"Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC"|0.00|$102297.00|$0.00|$0.00|$71608.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 498"|"Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC"|0.00|$111876.00|$9226.00|$152878.84|$78313.00|$61151.54|$29719.45|$34244.88|$152878.84|$61151.54|$152878.84|$9578.00|$152878.84|$46628.09|$58093.98|$9226.00|$33595.90|$152878.84|$20027.13|$38950.57|$36007.05|$45863.65|$36849.53|$68795.48|$76439.50|$44605.02|$36997.39|$27264.18|$27264.18
"MS-DRG V37 (FY 2020) 499"|"Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC"|0.00|$85808.00|$0.00|$0.00|$60066.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 500"|"Soft Tissue Procedures With McC"|0.00|$144548.00|$13418.42|$71835.00|$101184.00|$40972.29|$36269.85|$22944.48|$22827.06|$40972.29|$22827.06|$71835.00|$22827.06|$31241.39|$38923.68|$69195.00|$41000.70|$22827.06|$13418.42|$47535.58|$43943.29|$35087.14|$44971.46|$46093.83|$51215.42|$54436.31|$47802.02|$35226.35|$35226.35
"MS-DRG V37 (FY 2020) 501"|"Soft Tissue Procedures With Cc"|0.00|$157623.00|$16812.44|$59019.73|$110336.00|$51335.67|$20067.50|$28747.97|$20067.50|$51335.67|$20067.50|$33523.00|$20067.50|$39143.50|$48768.89|$32291.00|$22685.00|$20067.50|$16812.44|$26300.64|$24313.09|$19413.13|$24881.96|$53117.72|$59019.73|$30118.70|$52125.93|$38412.73|$38412.73
"MS-DRG V37 (FY 2020) 502"|"Soft Tissue Procedures Without Cc/McC"|0.00|$76740.00|$6961.39|$26570.25|$53718.00|$21256.17|$15304.20|$11903.42|$9688.17|$21256.17|$9688.17|$9578.00|$9688.17|$16207.83|$20193.39|$9226.00|$17300.40|$9688.17|$6961.39|$20057.82|$18542.04|$14805.15|$18975.88|$23913.18|$26570.25|$22969.61|$25377.92|$18701.54|$18701.54
"MS-DRG V37 (FY 2020) 503"|"Foot Procedures With McC"|0.00|$84806.00|$20667.22|$45371.36|$59364.00|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$45371.36|$28045.34|$20667.22|$20667.22
"MS-DRG V37 (FY 2020) 504"|"Foot Procedures With Cc"|0.00|$99070.00|$746.00|$32883.76|$69349.00|$26306.97|$20399.85|$14731.91|$26736.22|$26306.97|$746.00|$28734.00|$26736.22|$20059.10|$24991.62|$27678.00|$23060.70|$26736.22|$8615.53|$26736.22|$24715.75|$19734.64|$25294.04|$29595.34|$32883.76|$30617.51|$32762.45|$24143.36|$24143.36
"MS-DRG V37 (FY 2020) 505"|"Foot Procedures Without Cc/McC"|0.00|$32085.00|$4613.00|$68573.35|$22460.00|$54858.67|$20399.85|$30720.82|$24686.40|$54858.67|$24686.40|$4789.00|$24686.40|$41829.72|$52115.72|$4613.00|$23060.70|$24686.40|$17966.20|$26736.22|$24715.75|$41143.98|$25294.04|$61716.00|$68573.35|$30617.51|$10610.51|$7819.11|$7819.11
"MS-DRG V37 (FY 2020) 506"|"Major Thumb Or Joint Procedures"|0.00|$72154.00|$746.00|$25470.58|$50508.00|$17051.10|$16970.55|$9548.57|$14649.27|$17051.10|$746.00|$19156.00|$14649.27|$13001.53|$16198.55|$18452.00|$19184.10|$14649.27|$5584.24|$22241.75|$20560.93|$16417.16|$21042.01|$19182.50|$21313.95|$25470.58|$23861.33|$17583.93|$17583.93
"MS-DRG V37 (FY 2020) 507"|"Major Shoulder Or Elbow Joint Procedures With Cc/McC"|0.00|$74721.00|$0.00|$0.00|$52305.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 508"|"Major Shoulder Or Elbow Joint Procedures Without Cc/McC"|0.00|$100283.00|$9226.00|$73566.98|$70198.00|$58853.55|$16261.00|$32958.00|$17485.96|$58853.55|$17485.96|$9578.00|$17485.96|$44875.85|$55910.85|$9226.00|$18382.00|$17485.96|$19274.54|$21311.81|$19701.26|$44140.16|$20162.23|$66210.25|$73566.98|$24405.64|$33163.59|$24438.97|$24438.97
"MS-DRG V37 (FY 2020) 509"|"Arthroscopy"|0.00|$148346.00|$18452.00|$72128.10|$103842.00|$57702.41|$19248.70|$32313.38|$20975.70|$57702.41|$20975.70|$19156.00|$20975.70|$43998.17|$54817.31|$18452.00|$21759.40|$20975.70|$18897.55|$25227.51|$23321.06|$43276.83|$23866.71|$64915.26|$72128.10|$28889.79|$49058.02|$36151.92|$36151.92
"MS-DRG V37 (FY 2020) 510"|"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC"|0.00|$163913.00|$0.00|$0.00|$114739.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 511"|"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc"|0.00|$82913.00|$16781.92|$63329.96|$58039.00|$50663.93|$23934.87|$28371.82|$55207.76|$50663.93|$55207.76|$40405.08|$55207.76|$38631.26|$48130.72|$39162.91|$29091.25|$55207.76|$16781.92|$30423.23|$28124.11|$23005.06|$31753.84|$56996.87|$63329.96|$33976.31|$27419.33|$20205.90|$20205.90
"MS-DRG V37 (FY 2020) 512"|"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/McC"|0.00|$75622.00|$4613.00|$31084.89|$52935.00|$24867.90|$17896.30|$13926.00|$23455.05|$24867.90|$23455.05|$4789.00|$23455.05|$18961.76|$23624.48|$4613.00|$20230.60|$23455.05|$8144.23|$23455.05|$21682.53|$17312.73|$22189.86|$27976.38|$31084.89|$26860.01|$25008.20|$18429.08|$18429.08
"MS-DRG V37 (FY 2020) 513"|"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/McC"|0.00|$75925.00|$18502.92|$26908.34|$53148.00|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26908.34|$25108.40|$18502.92|$18502.92
"MS-DRG V37 (FY 2020) 514"|"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/McC"|0.00|$40359.00|$0.00|$0.00|$28251.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 515"|"Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC"|0.00|$123435.00|$7960.24|$60765.22|$86404.00|$24306.08|$36099.79|$13611.42|$60765.22|$24306.08|$60765.22|$60765.22|$60765.22|$18533.41|$23090.76|$60765.22|$60765.22|$60765.22|$7960.24|$60765.22|$60765.22|$60765.22|$44754.63|$27344.36|$30382.65|$54144.62|$40819.95|$30081.11|$30081.11
"MS-DRG V37 (FY 2020) 516"|"Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc"|0.00|$136963.00|$13839.00|$61185.08|$95874.00|$52089.69|$22552.65|$29170.24|$27017.48|$52089.69|$27017.48|$14367.00|$27017.48|$39718.40|$49485.20|$13839.00|$25494.30|$27017.48|$17059.37|$29557.70|$27324.01|$21051.77|$27973.47|$55066.52|$61185.08|$33848.59|$45293.66|$33377.88|$33377.88
"MS-DRG V37 (FY 2020) 517"|"Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC"|0.00|$95639.00|$4613.00|$37047.93|$66947.00|$29638.30|$16062.05|$16597.42|$34219.15|$29638.30|$34219.15|$4789.00|$34219.15|$22599.22|$28156.38|$4613.00|$18157.10|$34219.15|$9706.54|$21051.06|$19460.22|$15538.29|$19915.55|$33343.08|$37047.93|$24107.04|$31627.82|$23307.22|$23307.22
"MS-DRG V37 (FY 2020) 518"|"Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator"|0.00|$219356.00|$16384.98|$72541.03|$153549.00|$50030.47|$41315.91|$28017.06|$21547.90|$50030.47|$21547.90|$21547.90|$21547.90|$38148.27|$47528.93|$21547.90|$21547.90|$21547.90|$16384.98|$21547.90|$21547.90|$21547.90|$51204.43|$56284.26|$62538.12|$61865.02|$72541.03|$53457.06|$53457.06
"MS-DRG V37 (FY 2020) 519"|"Back And Neck Procedures Except Spinal Fusion With Cc"|0.00|$110166.00|$746.00|$42225.53|$77116.00|$38204.86|$22513.55|$21394.70|$29506.45|$38204.86|$746.00|$9578.00|$29506.45|$29131.22|$36294.62|$9226.00|$25450.10|$29506.45|$12512.09|$29506.45|$27276.63|$21779.41|$27914.84|$38002.95|$42225.53|$33789.90|$36431.90|$26847.45|$26847.45
"MS-DRG V37 (FY 2020) 520"|"Back And Neck Procedures Except Spinal Fusion Without Cc/McC"|0.00|$97560.00|$4613.00|$40647.97|$68292.00|$32518.34|$16300.10|$18210.25|$20166.34|$32518.34|$20166.34|$4789.00|$20166.34|$24795.26|$30892.41|$4613.00|$18426.20|$20166.34|$10649.75|$21363.05|$19748.63|$15768.58|$20210.71|$36583.13|$40647.97|$24464.32|$32263.09|$23775.37|$23775.37
"MS-DRG V37 (FY 2020) 533"|"Fractures Of Femur With McC"|0.00|$28525.00|$0.00|$0.00|$19968.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 534"|"Fractures Of Femur Without McC"|0.00|$27283.00|$0.00|$0.00|$19098.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 535"|"Fractures Of Hip And Pelvis With McC"|0.00|$61080.00|$746.00|$21295.39|$42756.00|$10512.70|$14188.70|$5887.10|$16039.40|$10512.70|$746.00|$19156.00|$16039.40|$8015.95|$9987.08|$18452.00|$16039.40|$16039.40|$3442.91|$18595.83|$17190.54|$13726.03|$17592.75|$11826.79|$13140.89|$21295.39|$20199.16|$14885.20|$14885.20
"MS-DRG V37 (FY 2020) 536"|"Fractures Of Hip And Pelvis Without McC"|0.00|$41086.00|$5018.97|$19156.39|$28760.00|$15325.11|$8873.40|$8582.06|$7264.81|$15325.11|$7264.81|$19156.00|$7264.81|$11685.44|$14558.86|$18452.00|$10030.80|$7264.81|$5018.97|$11629.56|$10750.70|$8584.05|$11002.24|$17240.75|$19156.39|$13317.82|$13587.14|$10012.66|$10012.66
"MS-DRG V37 (FY 2020) 537"|"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC"|0.00|$42280.00|$0.00|$0.00|$29596.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 538"|"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/McC"|0.00|$56309.00|$746.00|$58573.98|$39416.00|$23429.59|$8296.10|$13120.57|$58573.98|$23429.59|$746.00|$9578.00|$58573.98|$17865.12|$22258.12|$9226.00|$6467.72|$58573.98|$7673.19|$10872.94|$10051.27|$8025.58|$10286.44|$26358.29|$29287.00|$12451.36|$18621.39|$13722.50|$13722.50
"MS-DRG V37 (FY 2020) 539"|"Osteomyelitis With McC"|0.00|$68536.00|$0.00|$0.00|$47975.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 540"|"Osteomyelitis With Cc"|0.00|$41345.00|$746.00|$22356.88|$28942.00|$9416.88|$14895.95|$5273.45|$19522.76|$9416.88|$746.00|$14367.00|$19522.76|$7180.42|$8946.05|$13839.00|$16838.90|$19522.76|$3084.03|$19522.76|$18047.41|$14410.21|$18469.68|$10594.03|$11771.15|$22356.88|$13672.79|$10075.78|$10075.78
"MS-DRG V37 (FY 2020) 541"|"Osteomyelitis Without Cc/McC"|0.00|$22299.00|$746.00|$14508.76|$15609.00|$7052.51|$9666.90|$3949.40|$4789.00|$7052.51|$746.00|$4789.00|$4789.00|$5377.54|$6699.89|$4613.00|$10927.80|$4789.00|$2309.69|$12669.52|$11712.08|$9351.68|$11986.12|$7934.06|$8815.65|$14508.76|$7374.28|$5434.27|$5434.27
"MS-DRG V37 (FY 2020) 542"|"Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC"|0.00|$94916.00|$23131.03|$31388.72|$66441.00|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$31159.48|$31388.72|$23131.03|$23131.03
"MS-DRG V37 (FY 2020) 543"|"Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc"|0.00|$62248.00|$746.00|$29674.05|$43574.00|$23739.21|$11997.95|$13293.97|$18007.36|$23739.21|$746.00|$19156.00|$18007.36|$18101.17|$22552.24|$18452.00|$13562.90|$18007.36|$7774.59|$15724.62|$14536.30|$11606.71|$14876.41|$26706.62|$29674.05|$18007.36|$20585.41|$15169.84|$15169.84
"MS-DRG V37 (FY 2020) 544"|"Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC"|0.00|$24478.00|$6790.37|$6790.37|$17135.00||||||||||||||$6790.37||||||||||
"MS-DRG V37 (FY 2020) 545"|"Connective Tissue Disorders With McC"|0.00|$125087.00|$9333.55|$57468.00|$87561.00|$28499.40|$28744.25|$15959.66|$26843.44|$28499.40|$26843.44|$57468.00|$26843.44|$21730.81|$27074.44|$55356.00|$32493.50|$26843.44|$9333.55|$37672.46|$34825.53|$27806.94|$35640.37|$34780.51|$38645.09|$43141.37|$41366.27|$30483.70|$30483.70
"MS-DRG V37 (FY 2020) 546"|"Connective Tissue Disorders With Cc"|0.00|$53872.00|$746.00|$20825.92|$37710.00|$9608.61|$13875.90|$5380.85|$17486.25|$9608.61|$746.00|$9578.00|$17486.25|$7326.59|$9128.17|$9226.00|$15685.80|$17486.25|$3146.82|$18185.88|$16811.56|$13423.43|$17204.91|$13461.98|$14957.77|$20825.92|$17815.47|$13128.61|$13128.61
"MS-DRG V37 (FY 2020) 547"|"Connective Tissue Disorders Without Cc/McC"|0.00|$34237.00|$746.00|$19422.94|$23966.00|$15538.30|$9579.50|$8701.42|$10603.17|$15538.30|$746.00|$19156.00|$10603.17|$11847.97|$14761.39|$18452.00|$10829.00|$10603.17|$5088.79|$12554.98|$11606.19|$9267.13|$11877.75|$17480.58|$19422.94|$14377.58|$11322.18|$8343.56|$8343.56
"MS-DRG V37 (FY 2020) 548"|"Septic Arthritis With McC"|0.00|$67083.00|$0.00|$0.00|$46958.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 549"|"Septic Arthritis With Cc"|0.00|$97345.00|$746.00|$32191.99|$68142.00|$13731.46|$14339.35|$7689.60|$18793.28|$13731.46|$746.00|$9578.00|$18793.28|$10470.28|$13044.90|$9226.00|$9535.12|$18793.28|$4497.05|$18793.28|$17373.06|$13871.76|$17779.55|$15447.91|$17164.35|$21521.49|$32191.99|$23722.98|$23722.98
"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|$64174.00|$746.00|$28014.71|$44922.00|$15218.17|$18665.65|$8522.20|$18665.65|$15218.17|$746.00|$23945.00|$18665.65|$11603.89|$14457.26|$23065.00|$21100.30|$18665.65|$4983.95|$24463.36|$22614.65|$18056.99|$23143.78|$17120.42|$19022.77|$28014.71|$21222.34|$15639.20|$15639.20
"MS-DRG V37 (FY 2020) 552"|"Medical Back Problems Without McC"|0.00|$38058.00|$746.00|$27859.29|$26641.00|$10911.30|$10833.00|$6110.34|$10833.00|$10911.30|$746.00|$14367.00|$10833.00|$8319.91|$10365.75|$13839.00|$12246.00|$10833.00|$3573.45|$14197.82|$13124.89|$10479.75|$13431.98|$25073.34|$27859.29|$16258.92|$12585.78|$9274.73|$9274.73
"MS-DRG V37 (FY 2020) 553"|"Bone Diseases And Arthropathies With McC"|0.00|$323540.00|$18368.22|$806119.87|$226478.00|$643520.70|$514938.80|$360371.61|$271552.62|$643520.70|$271552.62|$701941.82|$271552.62|$490684.58|$611344.67|$706928.62|$806119.87|$271552.62|$210924.84|$19869.82|$18368.22|$482640.52|$21904.69|$723960.79|$804400.89|$21890.86|$106994.68|$78846.70|$78846.70
"MS-DRG V37 (FY 2020) 554"|"Bone Diseases And Arthropathies Without McC"|0.00|$40076.00|$4613.00|$43670.56|$28053.00|$34936.42|$21848.85|$19564.40|$19364.80|$34936.42|$19364.80|$4789.00|$19364.80|$26639.04|$33189.59|$4613.00|$9879.48|$19364.80|$11441.68|$28635.29|$26471.31|$21136.39|$27090.67|$39303.49|$43670.56|$13642.30|$13253.13|$9766.52|$9766.52
"MS-DRG V37 (FY 2020) 555"|"Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC"|0.00|$60619.00|$0.00|$0.00|$42433.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 556"|"Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC"|0.00|$30180.00|$746.00|$22285.14|$21126.00|$17828.09|$9272.45|$9983.74|$13324.91|$17828.09|$746.00|$19156.00|$13324.91|$13593.95|$16936.71|$18452.00|$10481.90|$13324.91|$5838.70|$12152.55|$11234.18|$8970.09|$11497.03|$20056.63|$22285.14|$13916.74|$9980.53|$7354.87|$7354.87
"MS-DRG V37 (FY 2020) 557"|"Tendonitis, Myositis And Bursitis With McC"|0.00|$56885.00|$8055.85|$61495.02|$39820.00|$24598.01|$16029.85|$13774.88|$29546.00|$24598.01|$29546.00|$61495.02|$29546.00|$18756.00|$23368.14|$61495.02|$18120.70|$29546.00|$8055.85|$21008.86|$19421.21|$15507.14|$19875.62|$27672.76|$30747.60|$24058.71|$18811.87|$13862.87|$13862.87
"MS-DRG V37 (FY 2020) 558"|"Tendonitis, Myositis And Bursitis Without McC"|0.00|$31229.00|$3380.79|$21249.08|$21860.00|$10323.01|$11167.57|$5780.86|$8243.11|$10323.01|$11005.25|$21249.08|$11005.25|$7871.30|$9806.85|$20710.91|$14658.65|$11005.25|$3380.79|$13690.30|$12655.69|$9548.59|$12238.50|$15085.93|$16762.15|$14814.26|$10327.43|$7610.51|$7610.51
"MS-DRG V37 (FY 2020) 559"|"Aftercare, Musculoskeletal System And Connective Tissue With McC"|0.00|$99796.00|$5266.26|$40200.49|$69857.00|$16080.19|$21480.85|$9004.87|$20856.00|$16080.19|$20856.00|$40200.49|$20856.00|$12261.14|$15276.19|$40200.49|$24282.70|$20856.00|$5266.26|$28152.99|$26025.45|$20780.39|$26634.39|$18090.21|$20100.32|$32239.95|$33002.54|$24320.29|$24320.29
"MS-DRG V37 (FY 2020) 560"|"Aftercare, Musculoskeletal System And Connective Tissue With Cc"|0.00|$30277.00|$3680.15|$28092.75|$21194.00|$11237.10|$12378.60|$6292.77|$10605.00|$11237.10|$13304.00|$28092.75|$13304.00|$8568.30|$10675.25|$28092.75|$13993.20|$13993.20|$3680.15|$16223.50|$14997.48|$11974.95|$15348.39|$12641.74|$14046.38|$18578.66|$10012.60|$7378.50|$7378.50
"MS-DRG V37 (FY 2020) 561"|"Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC"|0.00|$24245.00|$2652.75|$20250.00|$16972.00|$8100.00|$9097.65|$4536.00|$11838.23|$8100.00|$11838.23|$20250.00|$11838.23|$6176.27|$7695.01|$20250.00|$10284.30|$11838.23|$2652.75|$11923.46|$11022.40|$8800.99|$11280.29|$9112.50|$10125.01|$13654.39|$8017.82|$5908.51|$5908.51
"MS-DRG V37 (FY 2020) 562"|"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC"|0.00|$64280.00|$0.00|$0.00|$44996.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 563"|"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC"|0.00|$41491.00|$746.00|$15030.01|$29044.00|$10774.99|$10014.20|$6034.00|$10014.20|$10774.99|$746.00|$9578.00|$10014.20|$8215.96|$10236.26|$9226.00|$11320.40|$10014.20|$3528.81|$13124.70|$12132.86|$9687.65|$12416.74|$12121.88|$13468.78|$15030.01|$13721.07|$10111.36|$10111.36
"MS-DRG V37 (FY 2020) 564"|"Other Musculoskeletal System And Connective Tissue Diagnoses With McC"|0.00|$73698.00|$746.00|$37088.10|$51589.00|$17319.90|$17408.70|$9699.16|$37088.10|$17319.90|$746.00|$19156.00|$37088.10|$13206.47|$16453.94|$18452.00|$19679.40|$37088.10|$5672.27|$22815.99|$21091.78|$16841.03|$21585.27|$19484.90|$21649.91|$26128.19|$24371.93|$17960.20|$17960.20
"MS-DRG V37 (FY 2020) 565"|"Other Musculoskeletal System And Connective Tissue Diagnoses With Cc"|0.00|$38356.00|$9347.36|$17368.74|$26849.00|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$17368.74|$12684.33|$9347.36|$9347.36
"MS-DRG V37 (FY 2020) 566"|"Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC"|0.00|$22532.00|$3601.45|$27492.00|$15772.00|$10996.80|$8642.25|$6158.19|$16979.47|$10996.80|$16979.47|$27492.00|$16979.47|$8385.08|$10446.97|$27492.00|$9769.50|$16979.47|$3601.45|$11326.61|$10470.65|$8360.44|$10715.64|$12371.40|$13746.01|$12970.89|$7451.33|$5491.05|$5491.05
"MS-DRG V37 (FY 2020) 570"|"Skin Debridement With McC"|0.00|$118814.00|$746.00|$48954.54|$83170.00|$30792.90|$32617.45|$17244.04|$46872.69|$30792.90|$746.00|$24390.00|$46872.69|$23479.62|$29253.26|$24190.00|$36871.90|$46872.69|$10084.67|$42748.71|$39518.17|$31553.84|$40442.80|$34642.01|$38491.18|$48954.54|$39291.79|$28954.97|$28954.97
"MS-DRG V37 (FY 2020) 571"|"Skin Debridement With Cc"|0.00|$70280.00|$746.00|$28182.13|$49196.00|$16207.33|$18777.20|$9076.11|$18777.20|$16207.33|$746.00|$9578.00|$18777.20|$12358.11|$15396.98|$9226.00|$21226.40|$18777.20|$5307.90|$24609.56|$22749.80|$18164.90|$23282.10|$18233.24|$20259.21|$28182.13|$23241.60|$17127.24|$17127.24
"MS-DRG V37 (FY 2020) 572"|"Skin Debridement Without Cc/McC"|0.00|$64535.00|$746.00|$21341.72|$45174.00|$15889.89|$12679.90|$8898.35|$10121.87|$15889.89|$746.00|$9578.00|$10121.87|$12116.09|$15095.40|$9226.00|$14333.80|$10121.87|$5203.94|$16618.39|$15362.53|$12266.43|$15721.97|$17876.14|$19862.40|$19030.88|$21341.72|$15727.18|$15727.18
"MS-DRG V37 (FY 2020) 573"|"Skin Graft For Skin Ulcer Or Cellulitis With McC"|0.00|$151671.00|$0.00|$0.00|$106170.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 574"|"Skin Graft For Skin Ulcer Or Cellulitis With Cc"|0.00|$87863.00|$0.00|$0.00|$61504.00||||||||||||||||||||||||
"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|$228975.00|$0.00|$0.00|$160282.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 577"|"Skin Graft Except For Skin Ulcer Or Cellulitis With Cc"|0.00|$158039.00|$0.00|$0.00|$110627.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 578"|"Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC"|0.00|$116904.00|$4613.00|$38660.15|$81833.00|$14096.35|$18753.05|$7893.95|$10748.49|$14096.35|$10748.49|$4789.00|$10748.49|$10748.49|$13391.53|$4613.00|$21199.10|$10748.49|$4616.55|$24577.91|$22720.54|$18141.54|$23252.15|$15858.38|$17620.44|$27524.52|$38660.15|$28489.50|$28489.50
"MS-DRG V37 (FY 2020) 579"|"Other Skin, Subcutaneous Tissue And Breast Procedures With McC"|0.00|$163218.00|$8326.04|$53976.19|$114253.00|$25423.01|$33669.70|$14236.86|$31462.14|$25423.01|$31462.14|$23945.00|$31462.14|$19385.08|$24151.88|$23065.00|$21625.80|$31462.14|$8326.04|$44127.80|$40793.04|$32571.78|$41747.50|$28600.91|$31778.84|$50533.83|$53976.19|$39776.23|$39776.23
"MS-DRG V37 (FY 2020) 580"|"Other Skin, Subcutaneous Tissue And Breast Procedures With Cc"|0.00|$149864.00|$7563.73|$49560.02|$104905.00|$23095.36|$18403.45|$12933.40|$18843.53|$23095.36|$18843.53|$38312.00|$18843.53|$17610.25|$21940.60|$36904.00|$20803.90|$18843.53|$7563.73|$24119.72|$22296.98|$17803.34|$22818.68|$25982.30|$28869.21|$27669.51|$49560.02|$36521.86|$36521.86
"MS-DRG V37 (FY 2020) 581"|"Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC"|0.00|$105787.00|$4613.00|$54037.53|$74051.00|$45190.23|$14399.15|$25306.57|$18131.27|$45190.23|$18131.27|$4789.00|$18131.27|$34457.54|$42930.74|$4613.00|$16277.30|$18131.27|$14799.80|$18871.65|$17445.51|$13929.61|$17853.69|$48633.69|$54037.53|$21745.87|$34983.76|$25780.29|$25780.29
"MS-DRG V37 (FY 2020) 582"|"Mastectomy For Malignancy With Cc/McC"|0.00|$195605.00|$4613.00|$64686.57|$136924.00|$15550.37|$18811.70|$8708.21|$7775.19|$15550.37|$7775.19|$4789.00|$7775.19|$11857.20|$14772.88|$4613.00|$21265.40|$7775.19|$5092.75|$24654.78|$22791.60|$18198.28|$23324.87|$17494.20|$19437.99|$28334.02|$64686.57|$47668.94|$47668.94
"MS-DRG V37 (FY 2020) 583"|"Mastectomy For Malignancy Without Cc/McC"|0.00|$88030.00|$14812.00|$96626.09|$61621.00|$77300.83|$17685.85|$43288.46|$14928.00|$77300.83|$14928.00|$14812.00|$14928.00|$58941.91|$73435.78|$14964.00|$19992.70|$14928.00|$25316.02|$23179.23|$21427.56|$57975.62|$21928.92|$86963.42|$96626.09|$26608.02|$29111.52|$21452.91|$21452.91
"MS-DRG V37 (FY 2020) 584"|"Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC"|0.00|$160742.00|$20979.45|$76020.29|$112519.00|$75430.15|$20979.45|$42240.89|$27495.85|$75430.15|$27495.85|$29179.00|$27495.85|$57515.51|$71658.63|$28803.00|$23715.90|$27495.85|$24703.37|$27495.85|$25417.97|$45612.13|$26012.69|$68418.21|$76020.29|$31590.98|$53157.38|$39172.83|$39172.83
"MS-DRG V37 (FY 2020) 585"|"Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC"|0.00|$111588.00|$4613.00|$42790.03|$78112.00|$33343.49|$19970.90|$18672.38|$19970.90|$33343.49|$19970.90|$4789.00|$19970.90|$25424.44|$31676.34|$4613.00|$22575.80|$19970.90|$10920.00|$26174.04|$24196.05|$19319.68|$24762.18|$38510.97|$42790.03|$30072.10|$36902.15|$27194.00|$27194.00
"MS-DRG V37 (FY 2020) 592"|"Skin Ulcers With McC"|0.00|$99624.00|$0.00|$0.00|$69737.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 593"|"Skin Ulcers With Cc"|0.00|$45780.00|$0.00|$0.00|$32046.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 594"|"Skin Ulcers Without Cc/McC"|0.00|$54355.00|$0.00|$0.00|$38048.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 595"|"Major Skin Disorders With McC"|0.00|$76718.00|$0.00|$0.00|$53703.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 596"|"Major Skin Disorders Without McC"|0.00|$50443.00|$3052.53|$23301.75|$35310.00|$9320.70|$11375.80|$5219.60|$11375.80|$9320.70|$11375.80|$23301.75|$11375.80|$7107.06|$8854.67|$23301.75|$12859.60|$11375.80|$3052.53|$14909.22|$13782.52|$11004.85|$14105.00|$10485.79|$11650.91|$17073.59|$16681.50|$12292.96|$12292.96
"MS-DRG V37 (FY 2020) 597"|"Malignant Breast Disorders With McC"|0.00|$82027.00|$4921.60|$28734.00|$57419.00|$15027.78|$18822.05|$8415.55|$8415.55|$15027.78|$8415.55|$28734.00|$8415.55|$11458.74|$14276.42|$27678.00|$21277.10|$8415.55|$4921.60|$24668.34|$22804.14|$18208.29|$23337.71|$16906.29|$18784.77|$28249.44|$27126.33|$19989.98|$19989.98
"MS-DRG V37 (FY 2020) 598"|"Malignant Breast Disorders With Cc"|0.00|$66825.00|$746.00|$22099.03|$46778.00|$15643.90|$12778.80|$8760.57|$12501.00|$15643.90|$746.00|$14367.00|$12501.00|$11928.51|$14861.72|$13839.00|$12294.13|$12501.00|$5123.38|$16748.01|$15482.35|$12362.10|$15844.60|$17599.39|$19554.91|$19179.31|$22099.03|$16285.25|$16285.25
"MS-DRG V37 (FY 2020) 599"|"Malignant Breast Disorders Without Cc/McC"|0.00|$42915.00|$746.00|$21457.71|$30040.00|$17166.16|$7718.80|$9613.01|$17744.00|$17166.16|$746.00|$19156.00|$17744.00|$13089.21|$16307.85|$18452.00|$8725.60|$17744.00|$5621.91|$10116.33|$9351.83|$7467.10|$9570.64|$19311.94|$21457.71|$11584.91|$14191.99|$10458.39|$10458.39
"MS-DRG V37 (FY 2020) 600"|"Non-Malignant Breast Disorders With Cc/McC"|0.00|$22062.00|$0.00|$0.00|$15443.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 601"|"Non-Malignant Breast Disorders Without Cc/McC"|0.00|$15843.00|$1025.79|$11867.98|$11090.00|$3132.20|$7830.49|$1754.04|$7830.49|$3132.20|$7830.49|$4789.00|$7830.49|$2388.31|$2975.58|$4613.00|$7438.97|$7830.49|$1025.79|$7830.49|$7830.49|$7649.55|$7830.49|$3523.72|$3915.26|$11867.98|$5239.28|$3860.94|$3860.94
"MS-DRG V37 (FY 2020) 602"|"Cellulitis With McC"|0.00|$46145.00|$4567.97|$24795.72|$32302.00|$13947.98|$16545.19|$7810.87|$16520.90|$13947.98|$16520.90|$16520.90|$16520.90|$10635.40|$13250.60|$16520.90|$16520.90|$16520.90|$4567.97|$16520.90|$16520.90|$16520.90|$20508.63|$15691.49|$17435.03|$24795.72|$15260.15|$11245.54|$11245.54
"MS-DRG V37 (FY 2020) 603"|"Cellulitis Without McC"|0.00|$26916.00|$746.00|$14581.25|$18841.00|$8436.88|$9715.20|$4724.63|$9715.20|$8436.88|$746.00|$14367.00|$9715.20|$6433.15|$8015.05|$13839.00|$10982.40|$9715.20|$2763.08|$12732.83|$11770.60|$9398.40|$12046.00|$11679.42|$12977.14|$14581.25|$8901.12|$6559.43|$6559.43
"MS-DRG V37 (FY 2020) 604"|"Trauma To The Skin, Subcutaneous Tissue And Breast With McC"|0.00|$73923.00|$0.00|$0.00|$51746.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 605"|"Trauma To The Skin, Subcutaneous Tissue And Breast Without McC"|0.00|$31474.00|$746.00|$15692.79|$22032.00|$7518.79|$10455.80|$4210.52|$12806.63|$7518.79|$746.00|$4789.00|$12806.63|$5733.12|$7142.84|$4613.00|$11819.60|$12806.63|$2462.40|$13703.46|$12667.88|$10114.85|$12964.28|$8458.64|$9398.54|$15692.79|$10408.45|$7670.21|$7670.21
"MS-DRG V37 (FY 2020) 606"|"Minor Skin Disorders With McC"|0.00|$68505.00|$0.00|$0.00|$47954.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 607"|"Minor Skin Disorders Without McC"|0.00|$26382.00|$3967.37|$14964.00|$18467.00|$12114.09|$9494.40|$6783.91|$12443.44|$12114.09|$12443.44|$14812.00|$12443.44|$9237.03|$11508.40|$14964.00|$10732.80|$12443.44|$3967.37|$12443.44|$11503.08|$9184.80|$11772.23|$11336.63|$12596.26|$14249.86|$8724.53|$6429.29|$6429.29
"MS-DRG V37 (FY 2020) 614"|"Adrenal And Pituitary Procedures With Cc/McC"|0.00|$186705.00|$9226.00|$118773.00|$130694.00|$50542.46|$27448.20|$28303.75|$27448.20|$50542.46|$27448.20|$9578.00|$27448.20|$38538.66|$48015.37|$9226.00|$31028.40|$27448.20|$16552.66|$35973.85|$33255.28|$71263.77|$34033.38|$106895.69|$118773.00|$41196.17|$61743.34|$45500.01|$45500.01
"MS-DRG V37 (FY 2020) 615"|"Adrenal And Pituitary Procedures Without Cc/McC"|0.00|$107848.00|$10023.00|$61330.31|$75494.00|$49064.18|$18102.15|$27475.98|$22368.36|$49064.18|$22368.36|$10023.00|$22368.36|$37411.49|$46610.98|$10351.00|$20463.30|$22368.36|$16068.52|$23724.84|$21931.94|$17511.86|$22445.09|$55197.20|$61330.31|$27168.97|$35665.33|$26282.56|$26282.56
"MS-DRG V37 (FY 2020) 616"|"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC"|0.00|$218859.00|$746.00|$74795.88|$153201.00|$59836.66|$45871.20|$33508.53|$45871.20|$59836.66|$746.00|$62257.00|$45871.20|$45625.50|$56844.85|$59969.00|$51854.40|$45871.20|$19596.51|$60119.19|$55575.95|$44877.50|$56876.30|$67316.27|$74795.88|$68846.69|$72376.67|$53335.94|$53335.94
"MS-DRG V37 (FY 2020) 617"|"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc"|0.00|$78890.00|$7795.12|$35108.57|$55223.00|$23801.88|$23392.15|$13329.05|$13329.05|$23801.88|$13329.05|$14367.00|$13329.05|$18148.96|$22611.80|$13839.00|$11332.84|$13329.05|$7795.12|$30657.96|$28341.12|$22629.36|$29004.23|$26777.13|$29752.38|$35108.57|$26088.92|$19225.49|$19225.49
"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|$215692.00|$4613.00|$71329.34|$150984.00|$55786.43|$35202.65|$31240.42|$26566.47|$55786.43|$26566.47|$4789.00|$26566.47|$42537.17|$52997.12|$4613.00|$39794.30|$26566.47|$18270.05|$46136.90|$42650.31|$41839.81|$15633.00|$62759.72|$69733.09|$52834.59|$71329.34|$52564.14|$52564.14
"MS-DRG V37 (FY 2020) 620"|"O.R. Procedures For Obesity With Cc"|0.00|$100592.00|$14367.00|$63983.29|$70414.00|$44701.84|$20252.65|$25033.01|$22161.52|$44701.84|$14367.00|$15257.00|$14367.00|$34085.21|$42466.73|$16089.00|$22894.30|$22161.52|$14639.85|$26543.30|$24537.41|$38389.93|$15633.00|$57584.93|$63983.29|$30396.59|$33265.77|$24514.27|$24514.27
"MS-DRG V37 (FY 2020) 621"|"O.R. Procedures For Obesity Without Cc/McC"|0.00|$83750.00|$9226.00|$60510.99|$58625.00|$33739.70|$18358.60|$18894.22|$18430.48|$33739.70|$9578.00|$9578.00|$9578.00|$25726.54|$32052.70|$9226.00|$20753.20|$19258.60|$11049.75|$24060.94|$22242.64|$17759.95|$22763.07|$54459.90|$60510.99|$27553.86|$27696.13|$20409.88|$20409.88
"MS-DRG V37 (FY 2020) 622"|"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With McC"|0.00|$149548.00|$0.00|$0.00|$104684.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 623"|"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc"|0.00|$77786.00|$746.00|$32326.25|$54450.00|$23023.44|$21538.35|$12893.12|$28345.00|$23023.44|$746.00|$28734.00|$28345.00|$17555.39|$21872.30|$27678.00|$22134.27|$28345.00|$7540.17|$28228.35|$26095.12|$20836.01|$26705.68|$25901.34|$28779.35|$32326.25|$25723.83|$18956.45|$18956.45
"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|$168021.00|$0.00|$0.00|$117615.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 626"|"Thyroid, Parathyroid And Thyroglossal Procedures With Cc"|0.00|$149015.00|$9226.00|$80941.39|$104310.00|$64753.08|$19001.45|$36261.72|$24462.85|$64753.08|$24903.47|$9578.00|$24903.47|$49374.26|$61515.42|$9226.00|$21479.90|$24903.47|$21206.63|$24903.47|$23021.50|$48564.81|$23560.15|$72847.23|$80941.39|$28518.70|$49279.26|$36314.96|$36314.96
"MS-DRG V37 (FY 2020) 627"|"Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC"|0.00|$95735.00|$9226.00|$69027.68|$67014.00|$55222.10|$13590.70|$30924.37|$16466.02|$55222.10|$16466.02|$9578.00|$16466.02|$42106.88|$52461.00|$9226.00|$15363.40|$16466.02|$18085.24|$17812.09|$16466.02|$41416.57|$16851.29|$62124.85|$69027.68|$20397.87|$31659.56|$23330.62|$23330.62
"MS-DRG V37 (FY 2020) 628"|"Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC"|0.00|$128823.00|$31394.17|$63829.21|$90176.00|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$63829.21|$42601.77|$31394.17|$31394.17
"MS-DRG V37 (FY 2020) 629"|"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc"|0.00|$94428.00|$746.00|$47694.86|$66100.00|$31122.26|$26988.20|$17428.46|$26988.20|$31122.26|$746.00|$40536.74|$26988.20|$23730.79|$29566.15|$47694.86|$29660.94|$26988.20|$10192.54|$35370.97|$32697.96|$26108.15|$33463.02|$35012.53|$38902.84|$40505.77|$31227.34|$23012.10|$23012.10
"MS-DRG V37 (FY 2020) 630"|"Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC"|0.00|$62687.00|$15276.82|$163125.73|$43881.00|$65250.28|$163125.73|$36540.18|$163125.73|$65250.28|$163125.73|$28734.00|$163125.73|$49753.38|$61987.79|$27678.00|$163125.73|$163125.73|$21369.47|$163125.73|$163125.73|$163125.73|$163125.73|$73406.59|$81562.91|$24283.09|$20730.59|$15276.82|$15276.82
"MS-DRG V37 (FY 2020) 637"|"Diabetes With McC"|0.00|$64166.00|$746.00|$23727.32|$44916.00|$14806.51|$15809.05|$8291.65|$17871.10|$14806.51|$746.00|$10023.00|$17871.10|$11290.00|$14066.17|$10351.00|$17871.10|$17871.10|$4849.13|$20719.48|$19153.70|$15293.54|$19601.85|$19325.05|$21472.33|$23727.32|$21219.70|$15637.25|$15637.25
"MS-DRG V37 (FY 2020) 638"|"Diabetes With Cc"|0.00|$35554.00|$746.00|$28723.40|$24888.00|$12122.69|$10113.10|$6788.72|$9005.60|$12122.69|$746.00|$10023.00|$10113.10|$9243.60|$11516.58|$10351.00|$11432.20|$10113.10|$3970.18|$13254.32|$12252.68|$28723.40|$12549.51|$21120.07|$23466.77|$15178.44|$11757.71|$8664.51|$8664.51
"MS-DRG V37 (FY 2020) 639"|"Diabetes Without Cc/McC"|0.00|$30828.00|$746.00|$17045.39|$21580.00|$14241.00|$7006.95|$7974.93|$10858.81|$14241.00|$746.00|$10023.00|$10858.81|$10858.81|$13528.97|$10351.00|$7920.90|$10858.81|$4663.93|$9183.37|$8489.38|$6778.46|$8688.01|$15340.85|$17045.39|$10516.52|$10194.82|$7512.78|$7512.78
"MS-DRG V37 (FY 2020) 640"|"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC"|0.00|$53796.00|$13110.09|$30678.90|$37657.00|$18300.42|$14119.70|$14119.70|$14119.70|$18300.42|$18300.42|$18300.42|$18300.42|$18300.42|$18300.42|$18300.42|$18300.42|$18300.42|$18300.42|$18300.42|$18300.42|$13659.28|$17507.20|$27610.99|$30678.90|$21191.83|$17790.34|$13110.09|$13110.09
"MS-DRG V37 (FY 2020) 641"|"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC"|0.00|$37168.00|$2946.25|$19382.95|$26018.00|$8996.19|$8659.50|$5037.86|$8659.50|$8996.19|$5473.52|$4789.00|$5473.52|$6859.61|$8546.39|$4613.00|$9789.00|$10491.55|$2946.25|$11349.22|$10491.55|$8377.13|$10737.03|$17444.65|$19382.95|$12996.78|$12291.46|$9057.84|$9057.84
"MS-DRG V37 (FY 2020) 642"|"Inborn And Other Disorders Of Metabolism"|0.00|$63840.00|$4332.04|$22222.25|$44688.00|$13227.59|$14816.46|$7407.45|$9620.33|$13227.59|$9620.33|$9620.33|$9620.33|$10086.07|$12566.24|$9620.33|$9620.33|$9620.33|$4332.04|$9620.33|$9620.33|$9620.33|$18368.61|$14881.05|$16534.54|$22222.25|$21111.89|$15557.81|$15557.81
"MS-DRG V37 (FY 2020) 643"|"Endocrine Disorders With McC"|0.00|$54345.00|$746.00|$28708.56|$38042.00|$15644.99|$19127.95|$8761.18|$19127.95|$15644.99|$746.00|$14812.00|$19127.95|$11929.36|$14862.75|$14964.00|$21622.90|$19127.95|$5123.73|$25069.26|$23174.76|$18504.21|$23716.99|$20962.19|$23291.36|$28708.56|$17971.89|$13243.88|$13243.88
"MS-DRG V37 (FY 2020) 644"|"Endocrine Disorders With Cc"|0.00|$39878.00|$746.00|$36571.18|$27915.00|$7329.10|$11710.45|$4104.29|$11710.45|$7329.10|$746.00|$14367.00|$11710.45|$5588.45|$6962.66|$13839.00|$13237.90|$11710.45|$2400.28|$15347.82|$14187.97|$11328.59|$14519.94|$32914.03|$36571.18|$17575.86|$13187.65|$9718.27|$9718.27
"MS-DRG V37 (FY 2020) 645"|"Endocrine Disorders Without Cc/McC"|0.00|$24828.00|$746.00|$23700.00|$17380.00|$18959.97|$8829.70|$10617.56|$21455.40|$18959.97|$746.00|$9578.00|$21455.40|$14457.00|$18011.97|$9226.00|$9981.40|$21455.40|$6209.39|$11572.28|$10697.76|$8541.78|$10948.06|$21329.97|$23700.00|$13252.23|$8210.62|$6050.58|$6050.58
"MS-DRG V37 (FY 2020) 652"|"Kidney Transplant"|0.00|$257460.00|$0.00|$0.00|$180222.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 653"|"Major Bladder Procedures With McC"|0.00|$258255.00|$62936.74|$94720.27|$180778.00|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94053.19|$85404.93|$62936.74|$62936.74
"MS-DRG V37 (FY 2020) 654"|"Major Bladder Procedures With Cc"|0.00|$180328.00|$23065.00|$88428.43|$126230.00|$70742.71|$33352.30|$39615.90|$42385.48|$70742.71|$42385.48|$23945.00|$42385.48|$53941.32|$67205.57|$23065.00|$25823.70|$42385.48|$23168.23|$43711.81|$40408.49|$53057.03|$41353.95|$79585.55|$88428.43|$50057.45|$59634.47|$43945.93|$43945.93
"MS-DRG V37 (FY 2020) 655"|"Major Bladder Procedures Without Cc/McC"|0.00|$141500.00|$4613.00|$59308.20|$99050.00|$47446.51|$23921.15|$26570.03|$31351.27|$47446.51|$31351.27|$4789.00|$31351.27|$36178.00|$45074.22|$4613.00|$27041.30|$31351.27|$15538.74|$31351.27|$28982.03|$23141.11|$29660.15|$53377.34|$59308.20|$35902.53|$46794.05|$34483.55|$34483.55
"MS-DRG V37 (FY 2020) 656"|"Kidney And Ureter Procedures For Neoplasm With McC"|0.00|$208387.00|$37496.90|$68913.58|$145871.00|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$56642.14|$68913.58|$50783.91|$50783.91
"MS-DRG V37 (FY 2020) 657"|"Kidney And Ureter Procedures For Neoplasm With Cc"|0.00|$124916.00|$9226.00|$58975.88|$87441.00|$47180.66|$22242.15|$26421.16|$22242.15|$47180.66|$22242.15|$9578.00|$22242.15|$35975.27|$44821.64|$9226.00|$25143.30|$22242.15|$15451.67|$29150.76|$26947.82|$21516.86|$27578.33|$53078.27|$58975.88|$33382.57|$41309.72|$30442.03|$30442.03
"MS-DRG V37 (FY 2020) 658"|"Kidney And Ureter Procedures For Neoplasm Without Cc/McC"|0.00|$111233.00|$9226.00|$54277.81|$77863.00|$46457.64|$18159.65|$26016.28|$23661.53|$46457.64|$23661.53|$9578.00|$23661.53|$35423.97|$44134.74|$9226.00|$20528.30|$23661.53|$15214.87|$23800.20|$22001.60|$17567.49|$22516.39|$48849.96|$54277.81|$27255.27|$36784.75|$27107.48|$27107.48
"MS-DRG V37 (FY 2020) 659"|"Kidney And Ureter Procedures For Non-Neoplasm With McC"|0.00|$163557.00|$13839.00|$57649.64|$114490.00|$57649.64|$30645.20|$32283.81|$37128.66|$57649.64|$37128.66|$14367.00|$37128.66|$43957.89|$54767.16|$13839.00|$34642.40|$37128.66|$18880.26|$40163.87|$37128.66|$29645.90|$37997.38|$31276.44|$34751.65|$45994.45|$54088.30|$39858.84|$39858.84
"MS-DRG V37 (FY 2020) 660"|"Kidney And Ureter Procedures For Non-Neoplasm With Cc"|0.00|$93106.00|$746.00|$45645.48|$65174.00|$45645.48|$16599.10|$25561.51|$19156.00|$45645.48|$746.00|$19156.00|$19156.00|$34804.75|$43363.22|$18452.00|$18764.20|$19156.00|$14948.90|$21754.92|$20110.89|$16057.83|$20581.44|$27023.02|$30025.60|$24913.08|$30790.15|$22689.93|$22689.93
"MS-DRG V37 (FY 2020) 661"|"Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC"|0.00|$46805.00|$4613.00|$45825.74|$32764.00|$45825.74|$12240.60|$25662.39|$12240.60|$45825.74|$16042.64|$4789.00|$16042.64|$34942.16|$43534.48|$4613.00|$13837.20|$16042.64|$15007.93|$16042.64|$14830.29|$11841.45|$15177.28|$17573.28|$19525.92|$18371.54|$15478.41|$11406.38|$11406.38
"MS-DRG V37 (FY 2020) 662"|"Minor Bladder Procedures With McC"|0.00|$113149.00|$0.00|$0.00|$79204.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 663"|"Minor Bladder Procedures With Cc"|0.00|$65733.00|$746.00|$46300.99|$46013.00|$34044.85|$18341.35|$19065.11|$46300.99|$34044.85|$746.00|$43101.00|$46300.99|$25959.23|$32342.61|$41517.00|$20733.70|$46300.99|$11149.69|$24038.33|$22221.74|$17743.26|$22741.68|$38300.45|$42556.09|$27527.97|$21737.90|$16019.13|$16019.13
"MS-DRG V37 (FY 2020) 664"|"Minor Bladder Procedures Without Cc/McC"|0.00|$49112.00|$0.00|$0.00|$34378.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 665"|"Prostatectomy With McC"|0.00|$225710.00|$44741.23|$74642.30|$157997.00|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$52413.44|$74642.30|$55005.53|$55005.53
"MS-DRG V37 (FY 2020) 666"|"Prostatectomy With Cc"|0.00|$81798.00|$0.00|$0.00|$57259.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 667"|"Prostatectomy Without Cc/McC"|0.00|$45920.00|$6329.86|$24159.87|$32144.00|$19327.86|$11441.35|$10823.59|$14995.13|$19327.86|$14995.13|$9578.00|$14995.13|$14737.50|$18361.45|$9226.00|$12933.70|$14995.13|$6329.86|$14995.13|$13861.94|$11068.26|$14186.28|$21743.83|$24159.87|$17171.97|$15185.74|$11190.70|$11190.70
"MS-DRG V37 (FY 2020) 668"|"Transurethral Procedures With McC"|0.00|$251428.00|$0.00|$0.00|$176000.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 669"|"Transurethral Procedures With Cc"|0.00|$63323.00|$746.00|$27259.89|$44326.00|$21807.89|$17616.85|$12212.41|$7769.66|$21807.89|$746.00|$14367.00|$7769.66|$16628.53|$20717.47|$13839.00|$19914.70|$7769.66|$7142.08|$23088.80|$21343.96|$17042.39|$21843.36|$24533.87|$27259.89|$26440.59|$20940.92|$15431.82|$15431.82
"MS-DRG V37 (FY 2020) 670"|"Transurethral Procedures Without Cc/McC"|0.00|$55416.00|$0.00|$0.00|$38791.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 671"|"Urethral Procedures With Cc/McC"|0.00|$77308.00|$746.00|$64616.09|$54116.00|$39763.76|$20432.05|$22267.71|$64616.09|$39763.76|$746.00|$19156.00|$64616.09|$30319.92|$37775.56|$18452.00|$17431.77|$64616.09|$13022.63|$26778.42|$24754.76|$19765.79|$25333.97|$44734.26|$49704.75|$30665.84|$25565.76|$18839.96|$18839.96
"MS-DRG V37 (FY 2020) 672"|"Urethral Procedures Without Cc/McC"|0.00|$59163.00|$0.00|$0.00|$41414.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 673"|"Other Kidney And Urinary Tract Procedures With McC"|0.00|$167577.00|$36840.00|$59773.11|$117304.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$59773.11|$55417.71|$40838.51|$40838.51
"MS-DRG V37 (FY 2020) 674"|"Other Kidney And Urinary Tract Procedures With Cc"|0.00|$99846.00|$9226.00|$44383.33|$69892.00|$35506.64|$27374.60|$19883.72|$39350.60|$35506.64|$39350.60|$9578.00|$39350.60|$27073.84|$33731.33|$9226.00|$30945.20|$39350.60|$11628.42|$35877.39|$33166.11|$26481.95|$33942.12|$39945.00|$44383.33|$41085.70|$33019.07|$24332.47|$24332.47
"MS-DRG V37 (FY 2020) 675"|"Other Kidney And Urinary Tract Procedures Without Cc/McC"|0.00|$53803.00|$0.00|$0.00|$37662.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 682"|"Renal Failure With McC"|0.00|$62963.00|$746.00|$25375.65|$44074.00|$18850.50|$16907.30|$10556.26|$16907.30|$18850.50|$746.00|$23945.00|$16907.30|$14373.54|$17907.99|$23065.00|$19112.60|$16907.30|$6173.54|$22158.85|$20484.30|$14373.54|$21719.23|$19475.10|$21639.01|$25375.65|$20821.86|$15344.08|$15344.08
"MS-DRG V37 (FY 2020) 683"|"Renal Failure With Cc"|0.00|$36241.00|$746.00|$26233.03|$25369.00|$10194.31|$10098.15|$5708.82|$10098.15|$10194.31|$746.00|$14367.00|$10098.15|$7773.17|$9684.61|$13839.00|$11415.30|$10098.15|$3338.63|$13234.72|$12234.57|$23426.22|$12530.98|$23609.70|$26233.03|$15156.01|$11984.90|$8831.93|$8831.93
"MS-DRG V37 (FY 2020) 684"|"Renal Failure Without Cc/McC"|0.00|$32539.00|$746.00|$12389.76|$22777.00|$9911.81|$6986.25|$5550.61|$6986.25|$9911.81|$746.00|$4789.00|$6986.25|$7557.78|$9416.21|$4613.00|$7897.50|$6986.25|$3246.11|$9156.24|$8464.30|$6758.44|$8662.34|$11150.78|$12389.76|$10485.45|$10760.65|$7929.75|$7929.75
"MS-DRG V37 (FY 2020) 686"|"Kidney And Urinary Tract Neoplasms With McC"|0.00|$159161.00|$24351.60|$52634.54|$111413.00|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$32331.43|$52634.54|$38787.54|$38787.54
"MS-DRG V37 (FY 2020) 687"|"Kidney And Urinary Tract Neoplasms With Cc"|0.00|$39539.00|$936.06|$18085.03|$27677.00|$2858.20|$7145.50|$1600.60|$2095.44|$2858.20|$2095.44|$7145.50|$2095.44|$2179.38|$2715.29|$7145.50|$6788.23|$2095.44|$936.06|$7145.50|$7145.50|$7145.50|$7145.50|$3215.48|$3572.75|$18085.03|$13075.55|$9635.65|$9635.65
"MS-DRG V37 (FY 2020) 688"|"Kidney And Urinary Tract Neoplasms Without Cc/McC"|0.00|$70588.00|$746.00|$23343.45|$49412.00|$11643.80|$7880.95|$6520.53|$10328.84|$11643.80|$746.00|$9578.00|$10328.84|$8878.42|$11061.61|$9226.00|$8908.90|$10328.84|$3813.34|$10328.84|$9548.28|$7623.96|$9771.69|$13099.28|$14554.76|$11828.28|$23343.45|$17202.30|$17202.30
"MS-DRG V37 (FY 2020) 689"|"Kidney And Urinary Tract Infections With McC"|0.00|$46453.00|$11320.60|$19181.04|$32517.00|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$19181.04|$15362.01|$11320.60|$11320.60
"MS-DRG V37 (FY 2020) 690"|"Kidney And Urinary Tract Infections Without McC"|0.00|$27378.00|$746.00|$15337.03|$19165.00|$8772.89|$9110.30|$4912.82|$9117.76|$8772.89|$746.00|$14367.00|$9117.76|$6689.36|$8334.26|$13839.00|$8582.17|$9117.76|$2873.12|$11940.04|$11037.72|$8813.23|$11295.98|$13803.31|$15337.03|$13673.37|$9053.90|$6672.02|$6672.02
"MS-DRG V37 (FY 2020) 693"|"Urinary Stones With McC"|0.00|$30377.00|$32788.30|$32788.30|$21264.00|$32788.30|||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 694"|"Urinary Stones Without McC"|0.00|$36102.00|$3689.16|$14080.76|$25271.00|$11264.59|$8397.16|$6308.17|$7013.30|$11264.59|$7013.30|$7013.30|$7013.30|$8589.29|$10701.36|$7013.30|$7013.30|$7013.30|$3689.16|$7013.30|$7013.30|$7013.30|$10409.24|$12672.67|$14080.76|$12587.72|$11938.93|$8798.06|$8798.06
"MS-DRG V37 (FY 2020) 695"|"Kidney And Urinary Tract Signs And Symptoms With McC"|0.00|$21782.00|$0.00|$0.00|$15247.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 696"|"Kidney And Urinary Tract Signs And Symptoms Without McC"|0.00|$36237.00|$746.00|$13921.26|$25366.00|$11136.99|$7931.55|$6236.71|$7759.13|$11136.99|$746.00|$4789.00|$7759.13|$8492.02|$10580.16|$4613.00|$8966.10|$7759.13|$3647.37|$10395.16|$9609.59|$7672.91|$9834.43|$12529.13|$13921.26|$11904.22|$11983.58|$8830.96|$8830.96
"MS-DRG V37 (FY 2020) 697"|"Urethral Stricture"|0.00|$14443.00|$0.00|$0.00|$10110.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 698"|"Other Kidney And Urinary Tract Diagnoses With McC"|0.00|$66613.00|$6180.44|$38312.00|$46629.00|$18871.58|$18477.05|$10568.08|$18477.05|$18871.58|$19250.91|$38312.00|$19250.91|$14389.61|$17928.01|$36904.00|$20887.10|$19250.91|$6180.44|$24216.18|$22386.15|$17874.54|$22909.94|$25561.96|$28402.15|$27731.64|$22028.92|$16233.59|$16233.59
"MS-DRG V37 (FY 2020) 699"|"Other Kidney And Urinary Tract Diagnoses With Cc"|0.00|$43635.00|$4613.00|$19101.00|$30544.00|$19101.00|$11789.80|$10696.53|$13814.02|$19101.00|$13814.02|$4789.00|$13814.02|$14564.58|$18145.96|$4613.00|$13327.60|$13814.02|$6255.58|$15451.81|$14284.11|$11405.35|$14618.33|$15242.84|$16936.53|$17694.95|$14430.09|$10633.85|$10633.85
"MS-DRG V37 (FY 2020) 700"|"Other Kidney And Urinary Tract Diagnoses Without Cc/McC"|0.00|$45062.00|$746.00|$14902.00|$31543.00|$9138.80|$8565.20|$5117.72|$11225.63|$9138.80|$746.00|$4789.00|$11225.63|$6968.36|$8681.86|$4613.00|$9682.40|$11225.63|$2992.96|$11225.63|$10377.30|$8285.90|$10620.10|$10281.15|$11423.51|$12855.25|$14902.00|$10981.61|$10981.61
"MS-DRG V37 (FY 2020) 707"|"Major Male Pelvic Procedures With Cc/McC"|0.00|$109460.00|$9226.00|$52731.37|$76622.00|$43523.15|$22086.90|$24372.95|$22086.90|$43523.15|$26941.36|$9578.00|$26941.36|$33186.42|$41346.99|$9226.00|$24967.80|$24967.80|$14253.83|$28947.28|$26759.72|$21366.68|$27385.84|$47458.21|$52731.37|$33149.56|$36198.42|$26675.40|$26675.40
"MS-DRG V37 (FY 2020) 708"|"Major Male Pelvic Procedures Without Cc/McC"|0.00|$97208.00|$4789.00|$51396.57|$68046.00|$40233.16|$17151.10|$22530.58|$17151.10|$40233.16|$4789.00|$9578.00|$4789.00|$30677.83|$38221.52|$9226.00|$19388.20|$17151.10|$13176.36|$22478.38|$20779.68|$16591.83|$21265.87|$46256.87|$51396.57|$25741.56|$32146.69|$23689.59|$23689.59
"MS-DRG V37 (FY 2020) 709"|"Penis Procedures With Cc/McC"|0.00|$55185.00|$0.00|$0.00|$38630.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 710"|"Penis Procedures Without Cc/McC"|0.00|$53391.00|$4613.00|$27614.27|$37374.00|$21928.59|$18398.85|$12280.03|$16720.58|$21928.59|$16720.58|$4789.00|$16720.58|$16720.58|$20832.17|$4613.00|$20798.70|$16720.58|$7181.62|$24113.69|$22291.41|$17798.89|$22812.97|$24669.67|$27410.78|$27614.27|$17656.40|$13011.39|$13011.39
"MS-DRG V37 (FY 2020) 711"|"Testes Procedures With Cc/McC"|0.00|$137275.00|$32302.31|$45396.84|$96092.00|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$36768.98|$45396.84|$33453.92|$33453.92
"MS-DRG V37 (FY 2020) 712"|"Testes Procedures Without Cc/McC"|0.00|$93041.00|$0.00|$0.00|$65129.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 713"|"Transurethral Prostatectomy With Cc/McC"|0.00|$70124.00|$4613.00|$25745.02|$49087.00|$17919.55|$17153.40|$10034.92|$15603.36|$17919.55|$15603.36|$4789.00|$15603.36|$13663.70|$17023.57|$4613.00|$19390.80|$15603.36|$5868.65|$22481.40|$20782.46|$16594.05|$21268.72|$20159.47|$22399.45|$25745.02|$23190.01|$17089.22|$17089.22
"MS-DRG V37 (FY 2020) 714"|"Transurethral Prostatectomy Without Cc/McC"|0.00|$53641.00|$4613.00|$23845.74|$37549.00|$19076.55|$10677.75|$10682.87|$10682.87|$19076.55|$10682.87|$4789.00|$10682.87|$14545.91|$18122.73|$4613.00|$12070.50|$10682.87|$6247.57|$13994.35|$12936.79|$10329.56|$13239.48|$21461.12|$23845.74|$16025.91|$17739.08|$13072.31|$13072.31
"MS-DRG V37 (FY 2020) 715"|"Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC"|0.00|$88021.00|$0.00|$0.00|$61615.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 716"|"Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/McC"|0.00|$127692.00|$0.00|$0.00|$89384.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 717"|"Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC"|0.00|$125734.00|$746.00|$41580.23|$88014.00|$20791.93|$20682.75|$11643.47|$20772.83|$20791.93|$746.00|$14367.00|$20772.83|$15853.88|$19752.33|$13839.00|$23380.50|$20772.83|$6809.36|$27106.99|$25058.50|$20008.31|$25644.81|$23390.93|$25989.95|$31042.11|$41580.23|$30641.38|$30641.38
"MS-DRG V37 (FY 2020) 718"|"Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC"|0.00|$108941.00|$0.00|$0.00|$76259.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 722"|"Malignancy, Male Reproductive System With McC"|0.00|$160888.00|$0.00|$0.00|$112622.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 723"|"Malignancy, Male Reproductive System With Cc"|0.00|$117350.00|$0.00|$0.00|$82145.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 724"|"Malignancy, Male Reproductive System Without Cc/McC"|0.00|$51517.00|$4613.00|$27310.32|$36062.00|$21848.20|$7468.10|$12235.01|$9787.76|$21848.20|$9787.76|$4789.00|$9787.76|$16659.28|$20755.79|$4613.00|$8442.20|$9787.76|$7155.29|$9787.76|$9048.09|$7224.58|$9259.79|$24579.23|$27310.32|$11208.64|$17036.67|$12554.69|$12554.69
"MS-DRG V37 (FY 2020) 725"|"Benign Prostatic Hypertrophy With McC"|0.00|$131017.00|$0.00|$0.00|$91712.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 726"|"Benign Prostatic Hypertrophy Without McC"|0.00|$24219.00|$746.00|$12829.36|$16953.00|$8359.01|$8547.95|$4681.04|$9578.00|$8359.01|$746.00|$9578.00|$9578.00|$6373.75|$7941.05|$9226.00|$9662.90|$9578.00|$2737.57|$11203.02|$10356.40|$8269.21|$10598.71|$9403.87|$10448.76|$12829.36|$8009.22|$5902.17|$5902.17
"MS-DRG V37 (FY 2020) 727"|"Inflammation Of The Male Reproductive System With McC"|0.00|$46334.00|$746.00|$24476.41|$32434.00|$5992.59|$14981.50|$3355.85|$14981.50|$5992.59|$746.00|$4789.00|$14981.50|$4569.39|$5692.97|$4613.00|$14232.43|$14981.50|$1962.58|$14981.50|$14981.50|$14981.50|$14981.50|$6741.68|$7490.76|$24476.41|$15322.65|$11291.60|$11291.60
"MS-DRG V37 (FY 2020) 728"|"Inflammation Of The Male Reproductive System Without McC"|0.00|$33038.00|$4558.98|$23945.00|$23127.00|$13920.57|$9240.25|$7795.51|$9240.25|$13920.57|$9240.25|$23945.00|$9240.25|$10614.43|$13224.51|$23065.00|$10445.50|$9240.25|$4558.98|$12110.35|$11195.17|$8938.94|$11457.11|$15660.62|$17400.74|$13868.41|$10925.67|$8051.36|$8051.36
"MS-DRG V37 (FY 2020) 729"|"Other Male Reproductive System Diagnoses With Cc/McC"|0.00|$83477.00|$0.00|$0.00|$58434.00||||||||||||||||||||||||
"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|$108611.00|$0.00|$0.00|$76028.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 735"|"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC"|0.00|$101358.00|$4613.00|$54678.04|$70951.00|$43742.41|$16255.25|$24495.76|$21304.27|$43742.41|$21304.27|$4789.00|$21304.27|$33353.59|$41555.30|$4613.00|$8750.24|$21304.27|$14325.64|$21304.27|$19694.30|$15725.19|$20155.10|$49210.20|$54678.04|$24397.01|$33519.09|$24700.94|$24700.94
"MS-DRG V37 (FY 2020) 736"|"Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC"|0.00|$119386.00|$0.00|$0.00|$83570.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 737"|"Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc"|0.00|$130717.00|$9226.00|$52919.28|$91502.00|$36796.38|$23669.30|$20605.98|$23669.30|$36796.38|$23669.30|$9578.00|$23669.30|$28057.28|$34956.57|$9226.00|$26756.60|$23669.30|$12050.81|$31021.19|$28676.90|$22897.48|$29347.87|$47627.32|$52919.28|$35524.53|$43228.11|$31855.73|$31855.73
"MS-DRG V37 (FY 2020) 738"|"Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC"|0.00|$95450.00|$20782.78|$31565.32|$66815.00|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$25486.12|$31565.32|$23261.17|$23261.17
"MS-DRG V37 (FY 2020) 739"|"Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC"|0.00|$184028.00|$0.00|$0.00|$128820.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 740"|"Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc"|0.00|$117315.00|$11726.72|$44758.55|$82120.00|$35806.81|$20700.00|$20051.82|$14001.79|$35806.81|$14001.79|$14367.00|$14001.79|$27302.70|$34016.46|$13839.00|$23400.00|$14001.79|$11726.72|$27129.60|$25079.40|$20025.00|$25666.20|$40282.66|$44758.55|$31068.00|$38796.07|$28589.67|$28589.67
"MS-DRG V37 (FY 2020) 741"|"Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC"|0.00|$98970.00|$4613.00|$42264.86|$69279.00|$33811.83|$14714.25|$18934.64|$17827.27|$33811.83|$17827.27|$4789.00|$17827.27|$25781.56|$32121.28|$4613.00|$16633.50|$17827.27|$11073.38|$19284.62|$17827.27|$14234.44|$18244.39|$38038.34|$42264.86|$22084.17|$32729.38|$24118.99|$24118.99
"MS-DRG V37 (FY 2020) 742"|"Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC"|0.00|$89266.00|$4613.00|$61809.02|$62486.00|$38771.77|$19745.50|$21712.23|$19745.50|$38771.77|$9578.00|$4789.00|$9578.00|$29563.51|$36833.22|$4613.00|$22321.00|$22219.53|$12697.76|$25878.62|$23922.96|$19101.63|$24482.70|$55628.09|$61809.02|$29635.42|$29520.27|$21754.12|$21754.12
"MS-DRG V37 (FY 2020) 743"|"Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC"|0.00|$66554.00|$9111.12|$34524.47|$46588.00|$27820.23|$13021.45|$15579.34|$13021.45|$27820.23|$16838.41|$9578.00|$16838.41|$21212.90|$26429.18|$9226.00|$14719.90|$16838.41|$9111.12|$17066.03|$15776.34|$12596.84|$16145.47|$31071.99|$34524.47|$19543.50|$22009.41|$16219.21|$16219.21
"MS-DRG V37 (FY 2020) 744"|"D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC"|0.00|$106963.00|$4613.00|$35372.66|$74874.00|$25259.21|$20631.00|$14145.15|$27039.17|$25259.21|$27039.17|$4789.00|$27039.17|$19260.18|$23996.25|$4613.00|$23322.00|$27039.17|$8272.39|$27039.17|$24995.80|$19958.25|$25580.65|$28416.61|$31574.02|$30964.44|$35372.66|$26066.88|$26066.88
"MS-DRG V37 (FY 2020) 745"|"D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/McC"|0.00|$133898.00|$746.00|$61552.32|$93729.00|$24620.91|$13460.75|$13787.69|$61552.32|$24620.91|$746.00|$9578.00|$61552.32|$18773.48|$23389.89|$9226.00|$15216.50|$61552.32|$8063.35|$17641.78|$16308.58|$13021.81|$16690.16|$27698.54|$30776.20|$20202.83|$44280.07|$32630.94|$32630.94
"MS-DRG V37 (FY 2020) 746"|"Vagina, Cervix And Vulva Procedures With Cc/McC"|0.00|$90123.00|$8465.58|$32311.45|$63086.00|$25849.10|$18508.10|$14475.52|$17703.40|$25849.10|$17703.40|$9578.00|$17703.40|$19709.95|$24556.66|$9226.00|$20922.20|$17703.40|$8465.58|$24256.88|$22423.77|$17904.58|$22948.43|$29080.26|$32311.45|$27778.24|$29803.68|$21962.98|$21962.98
"MS-DRG V37 (FY 2020) 747"|"Vagina, Cervix And Vulva Procedures Without Cc/McC"|0.00|$44716.00|$3703.80|$16189.88|$31301.00|$11309.34|$10787.00|$6333.21|$8610.84|$11309.34|$8610.84|$4789.00|$8610.84|$8623.34|$10743.86|$4613.00|$12194.00|$8610.84|$3703.80|$14137.54|$13069.15|$10435.25|$13374.94|$12722.97|$14136.67|$16189.88|$14787.58|$10897.29|$10897.29
"MS-DRG V37 (FY 2020) 748"|"Female Reproductive System Reconstructive Procedures"|0.00|$84424.00|$14999.84|$61676.92|$59097.00|$49341.47|$15505.45|$27631.25|$15505.45|$49341.47|$15505.45|$28734.00|$15505.45|$37622.89|$46874.43|$27678.00|$17527.90|$15505.45|$16159.34|$20321.58|$18785.86|$14999.84|$19225.41|$55509.17|$61676.92|$23271.66|$27919.02|$20574.13|$20574.13
"MS-DRG V37 (FY 2020) 749"|"Other Female Reproductive System O.R. Procedures With Cc/McC"|0.00|$105400.00|$12439.79|$47480.13|$73780.00|$37984.09|$31472.67|$21271.10|$37755.53|$37984.09|$37755.53|$37755.53|$37755.53|$28962.92|$36084.89|$37755.53|$37755.53|$37755.53|$12439.79|$37755.53|$37755.53|$37755.53|$38940.47|$42732.10|$47480.13|$46729.72|$34855.78|$25685.98|$25685.98
"MS-DRG V37 (FY 2020) 750"|"Other Female Reproductive System O.R. Procedures Without Cc/McC"|0.00|$45668.00|$4613.00|$36407.30|$31968.00|$29125.80|$16857.85|$16310.45|$16491.38|$29125.80|$16491.38|$4789.00|$16491.38|$22208.45|$27669.51|$4613.00|$19056.70|$16491.38|$9538.70|$22094.04|$20424.38|$16308.14|$20902.27|$32766.54|$36407.30|$25301.43|$15102.41|$11129.29|$11129.29
"MS-DRG V37 (FY 2020) 754"|"Malignancy, Female Reproductive System With McC"|0.00|$62657.00|$746.00|$31430.46|$43860.00|$15891.10|$20941.50|$8899.02|$23265.10|$15891.10|$746.00|$14367.00|$23265.10|$12117.02|$15096.57|$13839.00|$23673.00|$23265.10|$5204.34|$27446.11|$25371.99|$20258.63|$25965.64|$17877.51|$19863.93|$31430.46|$20720.67|$15269.51|$15269.51
"MS-DRG V37 (FY 2020) 755"|"Malignancy, Female Reproductive System With Cc"|0.00|$82958.00|$4613.00|$47168.00|$58071.00|$37734.37|$12967.40|$21131.25|$10174.17|$37734.37|$10174.17|$4789.00|$10174.17|$28772.50|$35847.65|$4613.00|$14658.80|$10174.17|$12358.00|$16995.19|$15710.85|$12544.55|$16078.45|$42451.15|$47168.00|$19462.38|$27434.21|$20216.86|$20216.86
"MS-DRG V37 (FY 2020) 756"|"Malignancy, Female Reproductive System Without Cc/McC"|0.00|$122416.00|$10191.61|$50605.69|$85691.00|$40484.52|$10535.15|$22671.33|$12764.02|$40484.52|$12764.02|$14367.00|$12764.02|$30869.49|$38460.33|$13839.00|$11909.30|$12764.02|$13258.68|$13807.46|$12764.02|$10191.61|$13062.67|$45545.15|$50605.69|$15811.89|$40482.97|$29832.78|$29832.78
"MS-DRG V37 (FY 2020) 757"|"Infections, Female Reproductive System With McC"|0.00|$47262.00|$746.00|$26271.45|$33083.00|$18095.21|$17504.15|$10133.33|$19156.00|$18095.21|$746.00|$19156.00|$19156.00|$13797.65|$17190.46|$18452.00|$12563.37|$19156.00|$5926.19|$22941.09|$21207.42|$16933.36|$21703.62|$20357.17|$22619.08|$26271.45|$15629.54|$11517.75|$11517.75
"MS-DRG V37 (FY 2020) 758"|"Infections, Female Reproductive System With Cc"|0.00|$39655.00|$746.00|$16690.42|$27758.00|$11871.70|$11120.50|$6648.17|$11120.50|$11871.70|$746.00|$14367.00|$11120.50|$9052.21|$11278.13|$13839.00|$12571.00|$11120.50|$3887.98|$14574.62|$13473.21|$10757.88|$13788.45|$13355.68|$14839.66|$16690.42|$13113.91|$9663.92|$9663.92
"MS-DRG V37 (FY 2020) 759"|"Infections, Female Reproductive System Without Cc/McC"|0.00|$22893.00|$746.00|$11792.03|$16025.00|$6837.00|$7856.80|$3828.71|$7341.67|$6837.00|$746.00|$9578.00|$7341.67|$5213.25|$6495.16|$9226.00|$8881.60|$7341.67|$2239.12|$10297.19|$9519.03|$7600.60|$9741.75|$7691.64|$8546.26|$11792.03|$7570.72|$5579.02|$5579.02
"MS-DRG V37 (FY 2020) 760"|"Menstrual And Other Female Reproductive System Disorders With Cc/McC"|0.00|$36717.00|$746.00|$19156.00|$25702.00|$14564.90|$10609.90|$8156.36|$10609.90|$14564.90|$746.00|$19156.00|$10609.90|$11105.75|$13836.67|$18452.00|$11993.80|$10609.90|$4770.00|$13905.43|$12854.59|$10263.93|$13155.35|$16385.52|$18206.14|$15924.08|$12142.31|$8947.93|$8947.93
"MS-DRG V37 (FY 2020) 761"|"Menstrual And Other Female Reproductive System Disorders Without Cc/McC"|0.00|$22154.00|$746.00|$10183.40|$15508.00|$6265.80|$6785.00|$3508.84|$9226.00|$6265.80|$746.00|$9578.00|$9226.00|$4777.70|$5952.51|$9226.00|$7670.00|$9226.00|$2052.05|$8892.48|$8220.47|$6563.75|$8412.81|$7049.04|$7832.26|$10183.40|$7326.33|$5398.93|$5398.93
"MS-DRG V37 (FY 2020) 768"|"Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C"|0.00|$27555.00|$2890.48|$21406.26|$19288.00|$8825.91|$13464.20|$4942.48|$13464.20|$8825.91|$7718.00|$7325.00|$7718.00|$6729.77|$8384.62|$7718.00|$6300.00|$8935.00|$2890.48|$8935.00|$8260.00|$13025.15|$8454.00|$19265.63|$21406.26|$20208.01|$9112.44|$6715.15|$6715.15
"MS-DRG V37 (FY 2020) 769"|"Postpartum And Post Abortion Diagnoses With O.R. Procedures"|0.00|$86415.00|$746.00|$43207.48|$60490.00|$34565.91|$18634.60|$19356.92|$19356.92|$34565.91|$746.00|$9578.00|$19356.92|$26356.58|$32837.62|$9226.00|$21065.20|$19356.92|$11320.34|$24422.67|$22577.03|$18026.95|$23105.28|$38886.66|$43207.48|$27968.10|$28577.44|$21059.34|$21059.34
"MS-DRG V37 (FY 2020) 770"|"Abortion With D&C, Aspiration Curettage Or Hysterotomy"|0.00|$34632.00|$4342.19|$16573.27|$24242.00|$13258.60|$10213.15|$7424.81|$9578.00|$13258.60|$9578.00|$4789.00|$9578.00|$10109.71|$12595.68|$4613.00|$11545.30|$9578.00|$4342.19|$13385.44|$12373.90|$9880.11|$12663.42|$14915.92|$16573.27|$15328.61|$11452.80|$8439.82|$8439.82
"MS-DRG V37 (FY 2020) 776"|"Postpartum And Post Abortion Diagnoses Without O.R. Procedures"|0.00|$15868.00|$746.00|$13269.49|$11108.00|$5785.10|$8841.20|$3239.64|$8841.20|$5785.10|$746.00|$4789.00|$5495.85|$4411.17|$5495.85|$4613.00|$9994.40|$8841.20|$1894.62|$11587.35|$10711.69|$8552.90|$10962.32|$8769.48|$9743.89|$13269.49|$5247.55|$3867.03|$3867.03
"MS-DRG V37 (FY 2020) 779"|"Abortion Without D&C"|0.00|$20099.00|$746.00|$17957.30|$14069.00|$7215.70|$11964.60|$4040.80|$9578.00|$7215.70|$746.00|$4789.00|$9578.00|$5502.00|$6854.93|$4613.00|$13525.20|$9578.00|$2363.14|$15680.91|$14495.89|$11574.45|$14835.06|$9134.89|$10149.90|$17957.30|$6646.74|$4898.13|$4898.13
"MS-DRG V37 (FY 2020) 783"|"Cesarean Section With Sterilization With McC"|0.00|$97464.00|$6189.81|$32322.80|$68225.00|$18900.17|$21536.05|$10584.10|$12000.00|$18900.17|$17889.52|$10889.00|$17889.52|$14411.42|$17955.17|$11577.00|$12075.00|$12000.00|$6189.81|$11842.00|$10947.00|$20833.79|$11204.00|$21262.69|$23625.24|$32322.80|$32231.34|$23751.98|$23751.98
"MS-DRG V37 (FY 2020) 784"|"Cesarean Section With Sterilization With Cc"|0.00|$56920.00|$5867.81|$22578.79|$39844.00|$17916.97|$12591.35|$10033.50|$12591.35|$17916.97|$12554.00|$10889.00|$12554.00|$13661.71|$17021.13|$15436.00|$13650.00|$12004.16|$5867.81|$11842.00|$10947.00|$12180.76|$11204.00|$20320.88|$22578.79|$18897.97|$18823.44|$13871.40|$13871.40
"MS-DRG V37 (FY 2020) 785"|"Cesarean Section With Sterilization Without Cc/McC"|0.00|$46209.00|$5707.73|$21329.72|$32346.00|$17428.18|$10525.95|$9759.76|$10525.95|$17428.18|$11162.96|$10889.00|$11162.96|$13289.00|$16556.76|$11577.00|$12075.00|$11257.97|$5707.73|$11842.00|$10947.00|$10182.71|$11204.00|$19196.71|$21329.72|$15798.08|$15281.32|$11261.13|$11261.13
"MS-DRG V37 (FY 2020) 786"|"Cesarean Section Without Sterilization With McC"|0.00|$58826.00|$6314.50|$30284.48|$41178.00|$19280.92|$18297.65|$10797.30|$18297.65|$19280.92|$13578.19|$10889.00|$13578.19|$14701.73|$18316.87|$15436.00|$13650.00|$11842.00|$6314.50|$11842.00|$10947.00|$17700.99|$11204.00|$27256.01|$30284.48|$27462.39|$19453.76|$14335.90|$14335.90
"MS-DRG V37 (FY 2020) 787"|"Cesarean Section Without Sterilization With Cc"|0.00|$50403.00|$9677.37|$25507.77|$35282.00|$11842.00|$12221.05|$9677.37|$12221.05|$11842.00|$12554.00|$10889.00|$12554.00|$13082.30|$18643.08|$12554.00|$11842.00|$11842.00|$11842.00|$11842.00|$10947.00|$11822.54|$11204.00|$22956.97|$25507.77|$18342.20|$16668.27|$12283.21|$12283.21
"MS-DRG V37 (FY 2020) 788"|"Cesarean Section Without Sterilization Without Cc/McC"|0.00|$41287.00|$5272.49|$23306.13|$28901.00|$16099.19|$10201.65|$9015.52|$11842.00|$16099.19|$11842.00|$10889.00|$11842.00|$12275.68|$15294.21|$11577.00|$12075.00|$11842.00|$5272.49|$11842.00|$10947.00|$9868.99|$11204.00|$20975.52|$23306.13|$15311.35|$13653.61|$10061.64|$10061.64
"MS-DRG V37 (FY 2020) 789"|"Neonates, Died Or Transferred To Another Acute Care Facility"|0.00|$120248.00|$1200.00|$39766.01|$84174.00|$7808.10|$19520.25|$4372.52|$19435.00|$7808.10|$2325.00|$2325.00|$2325.00|$5953.70|$7417.71|$2758.00|$1200.00|$4650.00|$2557.15|$1442.00|$1333.00|$17986.00|$1365.00|$8093.71|$8993.01|$29661.31|$39766.01|$29304.44|$29304.44
"MS-DRG V37 (FY 2020) 790"|"Extreme Immaturity Or Respiratory Distress Syndrome, Neonate"|0.00|$332154.00|$21179.96|$202808.74|$232508.00|$64671.61|$65171.65|$36216.12|$65171.65|$64671.61|$39525.00|$39525.00|$39525.00|$49312.15|$61438.05|$46886.00|$45900.00|$65171.65|$21179.96|$56746.00|$52445.00|$60842.62|$202808.74|$91263.94|$101404.39|$97814.15|$109843.33|$80945.93|$80945.93
"MS-DRG V37 (FY 2020) 791"|"Prematurity With Major Problems"|0.00|$128001.00|$11537.20|$81613.52|$89601.00|$35228.10|$44509.60|$19727.74|$44509.60|$35228.10|$27900.01|$27900.01|$27900.01|$26861.45|$33466.70|$33096.01|$35100.00|$39525.00|$11537.20|$43394.00|$40105.00|$48968.10|$63140.00|$73452.15|$81613.52|$66803.10|$42329.93|$31193.84|$31193.84
"MS-DRG V37 (FY 2020) 792"|"Prematurity Without Major Problems"|0.00|$43010.00|$0.01|$40307.28|$30107.00|$2776.40|$6941.00|$1554.79|$6242.00|$2776.40|$2325.01|$0.01|$2325.01|$2117.03|$2637.58|$0.01|$3600.00|$4895.00|$909.27|$4326.00|$3999.00|$13542.75|$5460.00|$6094.24|$6771.38|$40307.28|$14223.41|$10481.54|$10481.54
"MS-DRG V37 (FY 2020) 793"|"Full Term Neonate With Major Problems"|0.00|$36739.00|$2855.64|$68620.58|$25717.00|$8719.50|$21798.75|$4882.94|$10681.00|$8719.50|$6975.00|$4650.00|$6975.00|$6648.65|$8283.53|$5516.00|$5400.00|$9255.00|$2855.64|$6676.00|$6170.00|$34200.25|$15785.00|$15390.12|$17100.13|$68620.58|$12149.59|$8953.29|$8953.29
"MS-DRG V37 (FY 2020) 794"|"Neonate With Other Significant Problems"|0.00|$7655.00|$0.01|$24288.27|$5358.00|$2296.00|$5740.00|$1285.74|$2884.00|$2296.00|$2884.00|$0.01|$2884.00|$1750.71|$2181.21|$0.01|$2400.00|$2884.00|$751.94|$2884.00|$2666.00|$8305.50|$2730.00|$3737.48|$4152.76|$24288.27|$2531.51|$1865.52|$1865.52
"MS-DRG V37 (FY 2020) 795"|"Normal Newborn"|0.00|$4161.00|$0.01|$3487.13|$2913.00|$1715.40|$2190.75|$958.04|$2190.75|$1715.40|$0.01|$0.01|$0.01|$1282.61|$1598.00|$0.01|$900.00|$2046.00|$561.79|$2046.00|$1890.00|$2119.31|$1936.00|$3138.42|$3487.13|$3288.03|$1376.04|$1014.04|$1014.04
"MS-DRG V37 (FY 2020) 796"|"Vaginal Delivery With Sterilization And/Or D&C With McC"|0.00|$46311.00|$746.00|$18431.95|$32418.00|$10227.62|$12280.85|$5727.47|$7798.59|$10227.62|$746.00|$7325.00|$7798.59|$7798.59|$9716.24|$3859.00|$6300.00|$7798.59|$3349.55|$8935.00|$8260.00|$11880.39|$8454.00|$11506.08|$12784.57|$18431.95|$15315.05|$11285.99|$11285.99
"MS-DRG V37 (FY 2020) 797"|"Vaginal Delivery With Sterilization And/Or D&C With Cc"|0.00|$57551.00|$4589.37|$19032.12|$40286.00|$14013.35|$10578.85|$7847.48|$10578.85|$14013.35|$10578.85|$8990.00|$10578.85|$10685.22|$13312.69|$11577.00|$7875.00|$10578.85|$4589.37|$8935.00|$8260.00|$10233.89|$8454.00|$15765.03|$17516.69|$15877.47|$19032.12|$14025.18|$14025.18
"MS-DRG V37 (FY 2020) 798"|"Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC"|0.00|$34775.00|$3926.04|$14984.91|$24342.00|$11987.92|$9513.95|$6713.22|$7205.00|$11987.92|$7205.00|$7325.00|$7205.00|$9140.80|$11388.51|$7718.00|$6300.00|$7205.00|$3926.04|$8935.00|$8260.00|$9203.71|$8454.00|$13486.40|$14984.91|$14279.20|$11500.09|$8474.67|$8474.67
"MS-DRG V37 (FY 2020) 799"|"Splenectomy With McC"|0.00|$251691.00|$0.00|$0.00|$176184.00||||||||||||||||||||||||
"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|$94800.00|$4613.00|$50857.89|$66360.00|$40686.23|$19360.25|$22784.30|$38651.94|$40686.23|$38651.94|$4789.00|$38651.94|$31023.29|$38651.94|$4613.00|$21885.50|$38651.94|$13324.75|$25373.71|$23456.21|$18728.94|$24005.03|$45772.05|$50857.89|$29057.21|$31350.36|$23102.76|$23102.76
"MS-DRG V37 (FY 2020) 802"|"Other O.R. Procedures Of The Blood And Blood Forming Organs With McC"|0.00|$325109.00|$47512.97|$107513.55|$227576.00|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$64012.16|$107513.55|$79229.06|$79229.06
"MS-DRG V37 (FY 2020) 803"|"Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc"|0.00|$113452.00|$10850.70|$40860.74|$79416.00|$32688.52|$23019.84|$18305.57|$16878.79|$32688.52|$16878.79|$30903.76|$16878.79|$24925.04|$31054.12|$30019.66|$28131.40|$16878.79|$10850.70|$29161.71|$26957.92|$22114.40|$30695.36|$36774.59|$40860.74|$32531.65|$37518.58|$27648.25|$27648.25
"MS-DRG V37 (FY 2020) 804"|"Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/McC"|0.00|$84223.00|$9226.00|$43815.89|$58956.00|$35052.66|$15688.30|$19629.51|$16662.30|$35052.66|$16662.30|$9578.00|$16662.30|$26727.67|$33300.04|$9226.00|$17734.60|$16662.30|$11479.74|$20561.22|$19007.40|$15176.73|$19452.13|$39434.26|$43815.89|$23546.09|$27852.55|$20525.15|$20525.15
"MS-DRG V37 (FY 2020) 805"|"Vaginal Delivery Without Sterilization Or D&C With McC"|0.00|$25509.00|$2870.38|$19588.40|$17856.00|$8764.51|$11808.20|$4908.13|$11808.20|$8764.51|$7791.48|$8990.00|$7791.48|$6682.96|$8326.29|$11577.00|$7875.00|$8935.00|$2870.38|$8935.00|$8260.00|$11423.15|$8454.00|$17629.53|$19588.40|$17722.57|$8435.83|$6216.54|$6216.54
"MS-DRG V37 (FY 2020) 806"|"Vaginal Delivery Without Sterilization Or D&C With Cc"|0.00|$21631.00|$2591.80|$15652.30|$15142.00|$7913.90|$8439.85|$4431.78|$8935.00|$7913.90|$8935.00|$7325.00|$8935.00|$6034.38|$7518.24|$7718.00|$6300.00|$8935.00|$2591.80|$8935.00|$8260.00|$8164.64|$8454.00|$14087.04|$15652.30|$12667.11|$7153.37|$5271.47|$5271.47
"MS-DRG V37 (FY 2020) 807"|"Vaginal Delivery Without Sterilization Or D&C Without Cc/McC"|0.00|$19267.00|$2462.01|$14855.76|$13487.00|$7517.60|$7372.65|$4213.80|$7372.65|$7517.60|$7325.00|$7325.00|$7325.00|$5703.62|$7106.09|$7718.00|$6300.00|$8935.00|$2462.01|$8935.00|$8260.00|$7132.24|$8454.00|$13370.16|$14855.76|$11065.39|$6371.60|$4695.37|$4695.37
"MS-DRG V37 (FY 2020) 808"|"Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC"|0.00|$126506.00|$746.00|$41835.53|$88554.00|$15311.81|$25045.85|$8574.60|$32450.80|$15311.81|$746.00|$19156.00|$32450.80|$11675.25|$14546.23|$18452.00|$28312.70|$32450.80|$5014.61|$32825.31|$30344.68|$24229.14|$31054.68|$23530.27|$26144.79|$37590.55|$41835.53|$30829.51|$30829.51
"MS-DRG V37 (FY 2020) 809"|"Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc"|0.00|$58364.00|$746.00|$21086.54|$40855.00|$10215.08|$14049.55|$5720.48|$14367.00|$10215.08|$746.00|$14367.00|$14367.00|$7789.05|$9704.33|$13839.00|$15882.10|$14367.00|$3345.44|$18413.46|$17021.95|$13591.41|$17420.22|$16023.93|$17804.42|$21086.54|$19300.97|$14223.31|$14223.31
"MS-DRG V37 (FY 2020) 810"|"Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders Without Cc/McC"|0.00|$79101.00|$746.00|$26158.70|$55371.00|$16057.60|$11048.05|$8992.25|$22813.50|$16057.60|$746.00|$9578.00|$14479.67|$12243.95|$15254.72|$9226.00|$12489.10|$14479.67|$5258.86|$14479.67|$13385.43|$10687.79|$13698.62|$18064.79|$20072.01|$16581.68|$26158.70|$19276.91|$19276.91
"MS-DRG V37 (FY 2020) 811"|"Red Blood Cell Disorders With McC"|0.00|$71513.00|$746.00|$23777.38|$50059.00|$19006.22|$15842.40|$10643.47|$15842.40|$19006.22|$746.00|$19156.00|$15842.40|$14492.27|$18055.91|$18452.00|$14619.43|$15842.40|$6224.53|$20763.19|$19194.10|$15325.80|$19643.20|$21381.99|$23757.80|$23777.38|$23649.35|$17427.72|$17427.72
"MS-DRG V37 (FY 2020) 812"|"Red Blood Cell Disorders Without McC"|0.00|$33439.00|$746.00|$15183.62|$23407.00|$8806.20|$10116.55|$4931.47|$10116.55|$8806.20|$746.00|$4789.00|$10116.55|$6714.78|$8365.90|$4613.00|$11436.10|$10116.55|$2884.03|$13258.84|$12256.86|$9786.66|$12543.64|$12203.11|$13559.02|$15183.62|$11058.28|$8149.08|$8149.08
"MS-DRG V37 (FY 2020) 813"|"Coagulation Disorders"|0.00|$95709.00|$746.00|$32323.55|$66996.00|$26166.99|$17764.05|$14653.51|$18835.05|$26166.99|$746.00|$9578.00|$18835.05|$19952.35|$24858.64|$9226.00|$20081.10|$18835.05|$8569.69|$23281.72|$21522.31|$17184.79|$22025.88|$29091.18|$32323.55|$26661.52|$31650.97|$23324.28|$23324.28
"MS-DRG V37 (FY 2020) 814"|"Reticuloendothelial And Immunity Disorders With McC"|0.00|$66321.00|$8788.39|$33543.53|$46425.00|$26834.75|$21744.20|$15027.44|$14656.62|$26834.75|$14656.62|$14812.00|$14656.62|$20461.54|$25493.05|$14964.00|$24580.40|$14656.62|$8788.39|$28498.14|$26344.52|$21035.15|$26960.92|$30189.10|$33543.53|$32633.48|$21932.35|$16162.43|$16162.43
"MS-DRG V37 (FY 2020) 815"|"Reticuloendothelial And Immunity Disorders With Cc"|0.00|$48042.00|$746.00|$21778.02|$33629.00|$16498.49|$11413.75|$9239.17|$21778.02|$16498.49|$746.00|$14367.00|$21778.02|$12580.13|$15673.58|$13839.00|$12902.50|$21778.02|$5403.26|$14958.96|$13828.50|$11041.56|$14152.06|$18560.81|$20623.14|$17130.55|$15887.49|$11707.84|$11707.84
"MS-DRG V37 (FY 2020) 816"|"Reticuloendothelial And Immunity Disorders Without Cc/McC"|0.00|$26786.00|$746.00|$12772.17|$18750.00|$10217.73|$7600.35|$5721.91|$7675.04|$10217.73|$746.00|$9578.00|$7675.04|$7791.06|$9706.84|$9226.00|$8591.70|$7675.04|$3346.30|$9961.08|$9208.32|$7352.51|$9423.77|$11494.94|$12772.17|$11407.13|$8858.13|$6527.75|$6527.75
"MS-DRG V37 (FY 2020) 817"|"Other Antepartum Diagnoses With O.R. Procedures With McC"|0.00|$95224.00|$8673.74|$39729.07|$66657.00|$26484.69|$26470.70|$14831.45|$26470.70|$26484.69|$26470.70|$9578.00|$26470.70|$20194.65|$25160.49|$9226.00|$29923.40|$26470.70|$8673.74|$34692.73|$32070.98|$25607.53|$32821.37|$29795.30|$33105.92|$39729.07|$31490.58|$23206.09|$23206.09
"MS-DRG V37 (FY 2020) 818"|"Other Antepartum Diagnoses With O.R. Procedures With Cc"|0.00|$62263.00|$7071.09|$26988.92|$43584.00|$21591.12|$15139.75|$12091.02|$15139.75|$21591.12|$15139.75|$14367.00|$15139.75|$16463.24|$20511.59|$13839.00|$17114.50|$15139.75|$7071.09|$19842.29|$18342.79|$14646.06|$18771.97|$24290.04|$26988.92|$22722.79|$20590.37|$15173.49|$15173.49
"MS-DRG V37 (FY 2020) 819"|"Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC"|0.00|$59955.00|$11101.64|$42557.51|$41968.00|$34045.96|$11475.85|$19065.71|$13978.95|$34045.96|$13978.95|$14367.00|$13978.95|$25960.06|$32343.63|$13839.00|$12972.70|$13978.95|$11150.05|$15040.35|$13903.74|$11101.64|$14229.06|$38301.70|$42557.51|$17223.75|$19827.12|$14611.03|$14611.03
"MS-DRG V37 (FY 2020) 820"|"Lymphoma And Leukemia With Major O.R. Procedures With McC"|0.00|$399968.00|$0.00|$0.00|$279978.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 821"|"Lymphoma And Leukemia With Major O.R. Procedures With Cc"|0.00|$183499.00|$33645.23|$60683.12|$128449.00|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$37197.03|$60683.12|$44718.71|$44718.71
"MS-DRG V37 (FY 2020) 822"|"Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC"|0.00|$94578.00|$4613.00|$47867.78|$66205.00|$38294.19|$14393.40|$21444.71|$21087.49|$38294.19|$21087.49|$4789.00|$21087.49|$29199.33|$36379.47|$4613.00|$16270.80|$21087.49|$12541.35|$18864.12|$17438.54|$13924.05|$17846.56|$43080.97|$47867.78|$21602.62|$31276.94|$23048.66|$23048.66
"MS-DRG V37 (FY 2020) 823"|"Lymphoma And Non-Acute Leukemia With Other Procedures With McC"|0.00|$227296.00|$55392.04|$77619.95|$159107.00|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$77619.95|$75166.79|$55392.04|$55392.04
"MS-DRG V37 (FY 2020) 824"|"Lymphoma And Non-Acute Leukemia With Other Procedures With Cc"|0.00|$122188.00|$746.00|$56762.74|$85532.00|$37039.31|$27171.05|$20741.99|$35610.61|$37039.31|$746.00|$48243.73|$35610.61|$28242.52|$35187.35|$56762.74|$30715.10|$35610.61|$12130.37|$35610.61|$32919.50|$26285.04|$33689.74|$41669.23|$46299.14|$40780.20|$40407.57|$29777.22|$29777.22
"MS-DRG V37 (FY 2020) 825"|"Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC"|0.00|$69200.00|$4613.00|$45926.45|$48440.00|$36741.10|$16108.05|$20574.98|$16108.05|$36741.10|$16108.05|$4789.00|$16108.05|$28015.13|$34904.08|$4613.00|$18209.10|$16108.05|$12032.71|$21111.35|$19515.95|$15582.79|$19972.58|$41333.77|$45926.45|$24176.08|$22884.44|$16864.04|$16864.04
"MS-DRG V37 (FY 2020) 826"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC"|0.00|$283010.00|$68969.54|$156162.09|$198107.00|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$86935.17|$93591.41|$68969.54|$68969.54
"MS-DRG V37 (FY 2020) 827"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc"|0.00|$142299.00|$746.00|$47058.28|$99609.00|$17441.59|$28722.40|$9767.27|$28722.40|$17441.59|$746.00|$10023.00|$28722.40|$13299.24|$16569.50|$10351.00|$32468.80|$28722.40|$5712.12|$37643.83|$34799.06|$27785.80|$35613.28|$19621.80|$21802.02|$43108.58|$47058.28|$34678.27|$34678.27
"MS-DRG V37 (FY 2020) 828"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC"|0.00|$99306.00|$12721.24|$48554.43|$69514.00|$38843.47|$19293.55|$21752.33|$16696.83|$38843.47|$16696.83|$14367.00|$16696.83|$29618.19|$36901.34|$13839.00|$21810.10|$16696.83|$12721.24|$25286.29|$23375.39|$18664.41|$23922.32|$43698.93|$48554.43|$28957.10|$32840.49|$24200.87|$24200.87
"MS-DRG V37 (FY 2020) 829"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC"|0.00|$160197.00|$8591.87|$55330.38|$112138.00|$26234.67|$36865.55|$14691.43|$48316.31|$26234.67|$48316.31|$34170.71|$48316.31|$20003.99|$24922.97|$40204.69|$41674.10|$48316.31|$8591.87|$48316.31|$44665.02|$35663.41|$45710.08|$29514.05|$32793.45|$55330.38|$52977.15|$39040.01|$39040.01
"MS-DRG V37 (FY 2020) 830"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC"|0.00|$122668.00|$17615.55|$40566.31|$85868.00|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$25484.39|$40566.31|$29894.19|$29894.19
"MS-DRG V37 (FY 2020) 831"|"Other Antepartum Diagnoses Without O.R. Procedures With McC"|0.00|$32624.00|$2134.02|$19605.74|$22837.00|$6516.10|$12892.65|$3649.02|$9112.75|$6516.10|$10121.06|$9578.00|$10121.06|$4968.55|$6190.30|$9226.00|$14574.30|$10121.06|$2134.02|$16290.25|$15620.29|$13890.04|$19605.74|$8822.59|$9802.90|$19350.19|$10788.76|$7950.47|$7950.47
"MS-DRG V37 (FY 2020) 832"|"Other Antepartum Diagnoses Without O.R. Procedures With Cc"|0.00|$21202.00|$746.00|$13459.35|$14841.00|$7304.81|$8967.70|$4090.68|$8967.70|$7304.81|$746.00|$4789.00|$8967.70|$5569.93|$6939.58|$4613.00|$10137.40|$8967.70|$2392.32|$11753.15|$10864.95|$8675.28|$11119.17|$7949.25|$8832.50|$13459.35|$7011.50|$5166.93|$5166.93
"MS-DRG V37 (FY 2020) 833"|"Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC"|0.00|$13875.00|$1345.47|$12743.02|$9712.00|$4108.30|$6164.00|$2300.65|$6164.00|$4108.30|$4761.75|$10270.76|$4761.75|$3132.59|$3902.89|$10270.76|$6968.00|$6164.00|$1345.47|$8078.59|$7468.09|$5963.00|$7642.82|$11468.70|$12743.02|$9251.36|$4588.46|$3381.34|$3381.34
"MS-DRG V37 (FY 2020) 834"|"Acute Leukemia Without Major O.R. Procedures With McC"|0.00|$332196.00|$80956.17|$113043.00|$232537.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$104424.73|$109857.22|$80956.17|$80956.17
"MS-DRG V37 (FY 2020) 835"|"Acute Leukemia Without Major O.R. Procedures With Cc"|0.00|$112123.00|$27324.38|$222279.46|$78486.00|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$36482.46|$37079.08|$27324.38|$27324.38
"MS-DRG V37 (FY 2020) 836"|"Acute Leukemia Without Major O.R. Procedures Without Cc/McC"|0.00|$67350.00|$0.00|$0.00|$47145.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 837"|"Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With McC"|0.00|$132916.00|$10595.02|$132231.76|$93041.00|$51343.30|$65540.80|$28752.24|$132231.76|$51343.30|$132231.76|$114936.00|$132231.76|$39149.29|$48776.14|$110712.00|$74089.60|$132231.76|$10595.02|$128358.24|$120144.00|$38507.47|$122232.00|$57761.22|$64179.15|$98366.47|$43955.32|$32391.63|$32391.63
"MS-DRG V37 (FY 2020) 838"|"Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent"|0.00|$48231.00|$2917.83|$38986.89|$33762.00|$8909.40|$22273.50|$4989.27|$22273.50|$8909.40|$22273.50|$14367.00|$22273.50|$6793.46|$8463.95|$13839.00|$11294.00|$22273.50|$2917.83|$22273.50|$22273.50|$22273.50|$22273.50|$10023.10|$11136.78|$38986.89|$15949.99|$11753.89|$11753.89
"MS-DRG V37 (FY 2020) 839"|"Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC"|0.00|$39128.00|$4279.28|$25653.54|$27390.00|$13066.50|$17092.45|$7317.23|$22401.51|$13066.50|$22401.51|$23945.00|$22401.51|$9963.26|$12413.19|$23065.00|$19321.90|$22401.51|$4279.28|$22401.51|$20708.62|$16535.09|$21193.15|$14699.82|$16333.14|$25653.54|$12939.63|$9535.49|$9535.49
"MS-DRG V37 (FY 2020) 840"|"Lymphoma And Non-Acute Leukemia With McC"|0.00|$181075.00|$13839.00|$59881.50|$126752.00|$45204.30|$36980.55|$25314.42|$48716.03|$45204.30|$48716.03|$14367.00|$48716.03|$34468.30|$42944.09|$13839.00|$41804.10|$48716.03|$14804.41|$48467.03|$44804.35|$35774.66|$45852.67|$38372.00|$42635.61|$55502.98|$59881.50|$44127.98|$44127.98
"MS-DRG V37 (FY 2020) 841"|"Lymphoma And Non-Acute Leukemia With Cc"|0.00|$93870.00|$746.00|$54057.47|$65709.00|$45383.60|$18639.20|$25414.80|$24428.70|$45383.60|$746.00|$47890.00|$24428.70|$34605.11|$43114.44|$46130.00|$21070.40|$24428.70|$14863.13|$24428.70|$22582.61|$24428.70|$23467.63|$48651.69|$54057.47|$27975.01|$31042.81|$22876.12|$22876.12
"MS-DRG V37 (FY 2020) 842"|"Lymphoma And Non-Acute Leukemia Without Cc/McC"|0.00|$78998.00|$746.00|$29805.65|$55299.00|$23844.51|$12595.95|$13352.93|$12595.95|$23844.51|$746.00|$14367.00|$12595.95|$18181.46|$22652.28|$13839.00|$14238.90|$12595.95|$7809.08|$16508.36|$15260.81|$12185.21|$15617.88|$26825.07|$29805.65|$18904.88|$26124.64|$19251.81|$19251.81
"MS-DRG V37 (FY 2020) 843"|"Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC"|0.00|$84054.00|$6185.36|$32844.05|$58838.00|$18886.58|$21893.56|$10576.50|$23008.07|$18886.58|$23008.07|$23008.07|$23008.07|$14401.06|$17942.28|$23008.07|$23008.07|$23008.07|$6185.36|$23008.07|$23008.07|$23008.07|$27143.60|$21247.42|$23608.29|$32844.05|$27796.66|$20483.96|$20483.96
"MS-DRG V37 (FY 2020) 844"|"Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc"|0.00|$53175.00|$746.00|$20375.43|$37222.00|$8841.60|$13575.75|$4951.29|$10606.49|$8841.60|$746.00|$9578.00|$10606.49|$6741.75|$8399.52|$9226.00|$15346.50|$10606.49|$2895.62|$17792.50|$16447.91|$13133.06|$16832.75|$9946.80|$11052.00|$20375.43|$17584.97|$12958.75|$12958.75
"MS-DRG V37 (FY 2020) 845"|"Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC"|0.00|$54344.00|$746.00|$17971.56|$38041.00|$12393.25|$9745.10|$6940.20|$16854.80|$12393.25|$746.00|$9578.00|$16854.80|$9449.86|$11773.58|$9226.00|$11016.20|$16854.80|$4058.78|$12772.01|$11806.82|$9427.33|$12083.08|$13942.41|$15491.58|$14626.12|$17971.56|$13243.63|$13243.63
"MS-DRG V37 (FY 2020) 846"|"Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC"|0.00|$140580.00|$10575.13|$46489.81|$98406.00|$32290.50|$30703.85|$18082.70|$34828.72|$32290.50|$34828.72|$33523.00|$34828.72|$24621.52|$30675.96|$32291.00|$27926.54|$34828.72|$10575.13|$40240.73|$37199.72|$29702.64|$38070.10|$36326.80|$40363.14|$46082.47|$46489.81|$34259.35|$34259.35
"MS-DRG V37 (FY 2020) 847"|"Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc"|0.00|$43488.00|$3851.89|$53038.05|$30442.00|$11761.50|$15354.80|$6586.45|$15354.80|$11761.50|$14367.00|$23945.00|$14367.00|$8968.15|$11173.45|$23065.00|$17357.60|$15354.80|$3851.89|$20124.13|$18603.34|$14854.10|$19038.62|$47734.21|$53038.05|$23045.55|$14381.48|$10598.03|$10598.03
"MS-DRG V37 (FY 2020) 848"|"Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/McC"|0.00|$53204.00|$8745.99|$33381.67|$37243.00|$26705.30|$11833.50|$14955.00|$23945.00|$26705.30|$23945.00|$23945.00|$23945.00|$20362.82|$25370.04|$23065.00|$13377.00|$23945.00|$8745.99|$15509.09|$14337.06|$11447.63|$14672.51|$30043.47|$33381.67|$17760.54|$17594.56|$12965.81|$12965.81
"MS-DRG V37 (FY 2020) 849"|"Radiotherapy"|0.00|$75974.00|$10123.00|$42934.25|$53182.00|$30909.92|$28606.25|$17309.54|$28606.25|$30909.92|$28606.25|$38312.00|$28606.25|$23568.82|$29364.44|$36904.00|$32337.50|$28606.25|$10123.00|$37491.60|$34658.34|$27673.44|$35469.26|$34773.68|$38637.43|$42934.25|$25124.60|$18514.86|$18514.86
"MS-DRG V37 (FY 2020) 853"|"Infectious And Parasitic Diseases With O.R. Procedures With McC"|0.00|$248482.00|$58633.90|$146629.90|$173937.00|$76846.10|$58633.90|$58633.90|$58633.90|$76846.10|$146629.90|$146629.90|$146629.90|$146629.90|$146629.90|$146629.90|$76846.10|$76846.10|$76846.10|$76846.10|$76846.10|$121678.50|$121678.50|$121678.50|$121678.50|$85343.80|$82173.00|$60555.06|$60555.06
"MS-DRG V37 (FY 2020) 854"|"Infectious And Parasitic Diseases With O.R. Procedures With Cc"|0.00|$97739.00|$746.00|$36149.34|$68417.00|$28505.66|$24085.60|$15963.16|$31566.80|$28505.66|$746.00|$23945.00|$31566.80|$21735.61|$27080.39|$23065.00|$27227.20|$31566.80|$9335.60|$31566.80|$29181.28|$23300.20|$29864.05|$32444.00|$36048.98|$36149.34|$32322.29|$23818.99|$23818.99
"MS-DRG V37 (FY 2020) 855"|"Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC"|0.00|$49796.00|$746.00|$25803.70|$34857.00|$19918.28|$17192.50|$11154.23|$24001.55|$19918.28|$746.00|$19156.00|$24001.55|$15187.72|$18922.37|$18452.00|$17275.56|$24001.55|$6523.24|$22532.64|$20829.84|$16631.88|$21317.21|$22408.07|$24897.89|$25803.70|$16467.54|$12135.29|$12135.29
"MS-DRG V37 (FY 2020) 856"|"Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC"|0.00|$166276.00|$32776.40|$78458.78|$116393.00|$66704.15|$66704.15|$66704.15|$66704.15|$66704.15|$66704.15|$66704.15|$66704.15|$66704.15|$66704.15|$66704.15|$66704.15|$66704.15|$66704.15|$66704.15|$66704.15|$61663.28|$32776.40|$61663.28|$61663.28|$78458.78|$54987.47|$40521.46|$40521.46
"MS-DRG V37 (FY 2020) 857"|"Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc"|0.00|$84033.00|$20478.84|$39574.11|$58823.00|$30645.90|$30645.90|$30645.90|$30645.90|$30645.90|$30645.90|$30645.90|$30645.90|$30645.90|$30645.90|$30645.90|$30645.90|$30645.90|$30645.90|$30645.90|$30645.90|$22636.04|$29012.79|$35616.66|$39574.11|$35118.92|$27789.71|$20478.84|$20478.84
"MS-DRG V37 (FY 2020) 858"|"Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC"|0.00|$58912.00|$746.00|$23273.38|$41238.00|$13979.21|$15506.60|$7828.34|$7933.20|$13979.21|$746.00|$9578.00|$7933.20|$10659.20|$13280.27|$9226.00|$17529.20|$7933.20|$4578.19|$20323.08|$18787.26|$15000.95|$19226.84|$15726.60|$17474.03|$23273.38|$19482.20|$14356.85|$14356.85
"MS-DRG V37 (FY 2020) 862"|"Postoperative And Post-Traumatic Infections With McC"|0.00|$61174.00|$746.00|$32428.09|$42822.00|$13532.81|$21606.20|$7578.37|$21322.85|$13532.81|$746.00|$19156.00|$21322.85|$10318.79|$12856.18|$18452.00|$24424.40|$21322.85|$4431.99|$28317.27|$26177.32|$20901.65|$26789.81|$15224.42|$16916.08|$32428.09|$20230.24|$14908.10|$14908.10
"MS-DRG V37 (FY 2020) 863"|"Postoperative And Post-Traumatic Infections Without McC"|0.00|$27249.00|$746.00|$20270.88|$19074.00|$6893.39|$11240.10|$3860.30|$11240.10|$6893.39|$746.00|$14367.00|$11240.10|$5256.23|$6548.74|$13839.00|$12706.20|$11240.10|$2257.59|$14731.37|$13618.11|$10873.58|$13936.75|$18243.77|$20270.88|$16869.92|$9011.24|$6640.58|$6640.58
"MS-DRG V37 (FY 2020) 864"|"Fever And Inflammatory Conditions"|0.00|$30938.00|$746.00|$19507.53|$21657.00|$15606.00|$10062.50|$8739.35|$9843.75|$15606.00|$746.00|$4789.00|$12772.01|$11899.61|$14825.72|$4613.00|$11375.00|$12772.01|$5110.97|$13188.00|$12191.38|$9734.38|$12476.63|$17556.75|$19507.53|$15102.50|$10231.20|$7539.59|$7539.59
"MS-DRG V37 (FY 2020) 865"|"Viral Illness With McC"|0.00|$72108.00|$746.00|$26779.13|$50476.00|$21423.30|$17007.35|$11997.02|$16637.63|$21423.30|$746.00|$15257.00|$16637.63|$16335.31|$20352.14|$16089.00|$19225.70|$16637.63|$7016.13|$22289.98|$20605.51|$16452.76|$21087.64|$24101.21|$26779.13|$25525.81|$23846.12|$17572.72|$17572.72
"MS-DRG V37 (FY 2020) 866"|"Viral Illness Without McC"|0.00|$31372.00|$746.00|$17606.27|$21960.00|$11411.50|$9627.80|$6390.44|$9627.80|$11411.50|$746.00|$4789.00|$10810.95|$8701.27|$10840.92|$4613.00|$10883.60|$10810.95|$3737.26|$12618.28|$11664.71|$9313.85|$11937.63|$15845.62|$17606.27|$14450.07|$10374.72|$7645.36|$7645.36
"MS-DRG V37 (FY 2020) 867"|"Other Infectious And Parasitic Diseases Diagnoses With McC"|0.00|$79302.00|$746.00|$38481.17|$55511.00|$24715.68|$25639.25|$13840.81|$18845.80|$24715.68|$746.00|$29179.00|$18845.80|$18845.80|$23479.92|$28803.00|$26695.33|$18845.80|$8094.39|$33603.02|$31063.62|$24803.19|$31790.44|$27805.15|$30894.67|$38481.17|$26225.17|$19325.90|$19325.90
"MS-DRG V37 (FY 2020) 868"|"Other Infectious And Parasitic Diseases Diagnoses With Cc"|0.00|$41785.00|$6412.91|$34472.51|$29250.00|$19581.40|$12181.81|$10965.58|$34472.51|$19581.40|$34472.51|$34472.51|$34472.51|$14930.86|$18602.34|$34472.51|$34472.51|$34472.51|$6412.91|$34472.51|$34472.51|$34472.51|$15101.88|$22029.08|$24476.76|$18267.98|$13818.30|$10183.00|$10183.00
"MS-DRG V37 (FY 2020) 869"|"Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC"|0.00|$47681.00|$0.00|$0.00|$33377.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 870"|"Septicemia Or Severe Sepsis With Mv >96 Hours"|0.00|$344056.00|$746.00|$118957.11|$240839.00|$95165.64|$73885.20|$53292.76|$95319.85|$95165.64|$746.00|$103730.58|$95319.85|$72563.89|$90407.38|$104444.31|$83522.40|$95319.85|$31166.75|$113043.00|$105126.00|$71374.24|$106953.00|$107061.39|$118957.11|$110892.05|$113779.32|$83846.45|$83846.45
"MS-DRG V37 (FY 2020) 871"|"Septicemia Or Severe Sepsis Without Mv >96 Hours With McC"|0.00|$83608.00|$746.00|$47890.00|$58526.00|$22004.79|$21484.30|$12322.68|$28154.67|$22004.79|$746.00|$47890.00|$28154.67|$16778.69|$20904.57|$46130.00|$24286.60|$28154.67|$7206.57|$28157.51|$26029.63|$20783.73|$26638.66|$27598.39|$30664.91|$32245.13|$27649.17|$20375.27|$20375.27
"MS-DRG V37 (FY 2020) 872"|"Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC"|0.00|$36683.00|$4228.28|$22908.65|$25678.00|$12467.40|$13093.04|$6981.76|$11748.40|$12467.40|$14367.00|$21325.76|$14367.00|$9506.42|$11844.02|$20793.66|$16909.80|$11748.40|$4228.28|$16151.56|$14930.95|$11365.30|$14566.99|$20617.77|$22908.65|$17632.82|$12131.07|$8939.65|$8939.65
"MS-DRG V37 (FY 2020) 876"|"O.R. Procedures With Principal Diagnosis Of Mental Illness"|0.00|$295712.00|$39966.86|$159593.67|$206998.00|$127674.87|$102139.89|$71497.92|$39966.86|$127674.87|$39966.86|$139165.63|$39966.86|$97352.13|$121291.13|$140123.15|$42396.90|$39966.86|$41813.52|$49154.31|$45439.69|$95756.15|$46502.88|$143634.21|$159593.67|$56290.04|$97791.96|$72065.01|$72065.01
"MS-DRG V37 (FY 2020) 880"|"Acute Adjustment Reaction And Psychosocial Dysfunction"|0.00|$33197.00|$3608.20|$33216.00|$23238.00|$11017.40|$14226.65|$6169.75|$6268.31|$11017.40|$8202.00|$27543.50|$6268.31|$8400.79|$10466.53|$27543.50|$16082.30|$6268.31|$3608.20|$18645.57|$17236.51|$9607.55|$33216.00|$14947.20|$16608.00|$14905.74|$10978.25|$8090.11|$8090.11
"MS-DRG V37 (FY 2020) 881"|"Depressive Neuroses"|0.00|$30493.00|$2444.79|$34215.75|$21345.00|$7465.00|$9216.10|$4180.41|$7175.00|$7465.00|$5468.00|$18662.50|$6835.00|$5692.08|$7091.75|$18452.00|$10418.20|$7175.00|$2444.79|$12078.70|$11165.91|$8915.58|$34215.75|$15397.09|$17107.88|$13832.16|$10084.04|$7431.14|$7431.14
"MS-DRG V37 (FY 2020) 882"|"Neuroses Except Depressive"|0.00|$35625.00|$2641.48|$25337.50|$24938.00|$8065.60|$9464.50|$4516.75|$9569.00|$8065.60|$6835.00|$20164.00|$9569.00|$6150.03|$7662.32|$20164.00|$10699.00|$9569.00|$2641.48|$12404.26|$11466.86|$9155.88|$25337.50|$11401.88|$12668.75|$14204.98|$11781.19|$8681.81|$8681.81
"MS-DRG V37 (FY 2020) 883"|"Disorders Of Personality And Impulse Control"|0.00|$34749.00|$2805.23|$27241.46|$24324.00|$8565.60|$18150.45|$4796.74|$8200.00|$8565.60|$6835.00|$21414.00|$8200.00|$6531.30|$8137.32|$21414.00|$20343.30|$8200.00|$2805.23|$21414.00|$21414.00|$17558.59|$22200.00|$9990.00|$11100.01|$27241.46|$11491.49|$8468.33|$8468.33
"MS-DRG V37 (FY 2020) 884"|"Organic Disturbances And Intellectual Disability"|0.00|$60472.00|$9668.03|$73801.75|$42330.00|$29520.70|$16603.70|$16531.59|$16242.75|$29520.70|$20505.00|$71835.00|$16242.75|$22509.55|$28044.67|$69195.00|$18769.40|$16242.75|$9668.03|$21760.95|$20116.47|$16062.28|$73801.75|$33210.79|$36900.88|$24919.99|$19998.09|$14737.03|$14737.03
"MS-DRG V37 (FY 2020) 885"|"Psychoses"|0.00|$53476.00|$4130.46|$36495.75|$37433.00|$12612.10|$14226.65|$7062.79|$14226.65|$12612.10|$12303.00|$31530.25|$9569.00|$9616.74|$11981.50|$31530.25|$16082.30|$14226.65|$4130.46|$18645.57|$17236.51|$13762.74|$36495.75|$16423.09|$18247.88|$21352.35|$17684.51|$13032.10|$13032.10
"MS-DRG V37 (FY 2020) 886"|"Behavioral And Developmental Disorders"|0.00|$54276.00|$0.00|$0.00|$37993.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 887"|"Other Mental Disorder Diagnoses"|0.00|$53648.00|$12405.05|$145767.50|$37554.00|$58307.00|$12405.05|$32651.91|$41533.00|$58307.00|$56047.00|$145767.50|$41533.00|$44459.13|$55391.65|$145767.50|$14023.10|$41533.00|$19095.54|$145767.50|$145767.50|$43730.25|$145767.50|$65595.38|$72883.75|$18618.36|$17741.39|$13074.02|$13074.02
"MS-DRG V37 (FY 2020) 894"|"Alcohol, Drug Abuse Or Dependence, Left Ama"|0.00|$24669.00|$1670.41|$12751.25|$17268.00|$5100.50|$6296.25|$2856.28|$4789.00|$5100.50|$4789.00|$12751.25|$4789.00|$3889.14|$4845.48|$12751.25|$7117.50|$4789.00|$1670.41|$8251.92|$7628.32|$6090.94|$7806.80|$4891.50|$5435.00|$9449.85|$8158.04|$6011.84|$6011.84
"MS-DRG V37 (FY 2020) 895"|"Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy"|0.00|$20354.00|$2547.16|$27477.92|$14248.00|$7777.60|$18308.00|$4355.45|$6012.35|$7777.60|$5654.00|$19444.00|$5654.00|$5930.43|$7388.72|$19444.00|$18471.80|$5654.00|$2547.16|$19444.00|$19444.00|$17711.00|$19444.00|$8749.81|$9722.00|$27477.92|$6731.07|$4960.27|$4960.27
"MS-DRG V37 (FY 2020) 896"|"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC"|0.00|$46670.00|$746.00|$30671.02|$32669.00|$12572.30|$20435.50|$7040.47|$23101.00|$12572.30|$746.00|$10023.00|$23101.00|$9586.39|$11943.69|$10351.00|$23101.00|$23101.00|$4117.43|$26782.94|$24758.94|$19769.13|$25338.24|$17702.08|$19669.06|$30671.02|$15433.77|$11373.48|$11373.48
"MS-DRG V37 (FY 2020) 897"|"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC"|0.00|$27738.00|$746.00|$18898.75|$19417.00|$8417.10|$9493.25|$4713.57|$9493.25|$8417.10|$746.00|$4789.00|$9578.00|$6418.05|$7996.26|$4613.00|$10731.50|$9578.00|$2756.60|$12441.94|$11501.69|$17711.00|$18898.75|$8504.44|$9449.38|$14248.13|$9172.96|$6759.75|$6759.75
"MS-DRG V37 (FY 2020) 901"|"Wound Debridements For Injuries With McC"|0.00|$171013.00|$41675.87|$110407.01|$119709.00|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$73565.57|$56554.00|$41675.87|$41675.87
"MS-DRG V37 (FY 2020) 902"|"Wound Debridements For Injuries With Cc"|0.00|$102775.00|$0.00|$0.00|$71942.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 903"|"Wound Debridements For Injuries Without Cc/McC"|0.00|$73036.00|$0.00|$0.00|$51125.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 904"|"Skin Grafts For Injuries With Cc/McC"|0.00|$186688.00|$45495.87|$64231.36|$130682.00|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$64231.36|$61737.72|$45495.87|$45495.87
"MS-DRG V37 (FY 2020) 905"|"Skin Grafts For Injuries Without Cc/McC"|0.00|$77203.00|$12521.74|$47792.97|$54042.00|$38234.32|$18881.85|$21411.26|$18881.85|$38234.32|$18881.85|$19156.00|$18881.85|$29153.72|$36322.61|$18452.00|$17787.25|$18881.85|$12521.74|$24746.72|$22876.59|$18266.14|$23411.85|$43013.61|$47792.97|$28420.32|$25531.03|$18814.37|$18814.37
"MS-DRG V37 (FY 2020) 906"|"Hand Procedures For Injuries"|0.00|$37896.00|$746.00|$30960.99|$26527.00|$15656.48|$20628.70|$8767.65|$22917.59|$15656.48|$746.00|$14367.00|$22917.59|$11938.09|$14873.67|$13839.00|$23319.40|$22917.59|$5127.50|$27036.15|$24993.02|$19956.03|$25577.79|$17613.56|$19570.66|$30960.99|$12532.21|$9235.26|$9235.26
"MS-DRG V37 (FY 2020) 907"|"Other O.R. Procedures For Injuries With McC"|0.00|$162994.00|$39721.64|$68299.55|$114096.00|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$68299.55|$53902.12|$39721.64|$39721.64
"MS-DRG V37 (FY 2020) 908"|"Other O.R. Procedures For Injuries With Cc"|0.00|$97853.00|$23846.78|$35217.30|$68497.00|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$35217.30|$32359.99|$23846.78|$23846.78
"MS-DRG V37 (FY 2020) 909"|"Other O.R. Procedures For Injuries Without Cc/McC"|0.00|$73148.00|$9226.00|$42066.61|$51204.00|$33653.23|$15811.35|$18845.83|$18845.83|$33653.23|$18845.83|$9578.00|$18845.83|$25660.60|$31970.59|$9226.00|$17873.70|$18845.83|$11021.44|$20722.49|$19156.48|$15295.76|$19604.70|$37859.91|$42066.61|$23725.60|$24190.04|$17826.17|$17826.17
"MS-DRG V37 (FY 2020) 913"|"Traumatic Injury With McC"|0.00|$62869.00|$0.00|$0.00|$44008.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 914"|"Traumatic Injury Without McC"|0.00|$42250.00|$1188.17|$15337.24|$29575.00|$3628.00|$9070.00|$2031.68|$9070.00|$3628.00|$9070.00|$4789.00|$9070.00|$2766.35|$3446.60|$4613.00|$8616.50|$9070.00|$1188.17|$9070.00|$9070.00|$9070.00|$9070.00|$4081.50|$4535.00|$15337.24|$13972.08|$10296.33|$10296.33
"MS-DRG V37 (FY 2020) 915"|"Allergic Reactions With McC"|0.00|$65896.00|$746.00|$29300.58|$46127.00|$20384.47|$19522.40|$11415.31|$19257.11|$20384.47|$746.00|$14367.00|$19257.11|$15543.18|$19365.28|$13839.00|$22068.80|$19257.11|$6675.92|$25586.23|$23652.66|$18885.80|$24206.08|$22932.56|$25480.66|$29300.58|$21791.81|$16058.86|$16058.86
"MS-DRG V37 (FY 2020) 916"|"Allergic Reactions Without McC"|0.00|$30509.00|$746.00|$11345.00|$21356.00|$7603.40|$7558.95|$4257.89|$6024.44|$7603.40|$746.00|$5234.00|$6024.44|$5797.61|$7223.23|$5738.00|$8544.90|$6024.44|$2490.11|$9906.83|$9158.16|$7312.46|$9372.44|$8553.83|$9504.25|$11345.00|$10089.33|$7435.04|$7435.04
"MS-DRG V37 (FY 2020) 917"|"Poisoning And Toxic Effects Of Drugs With McC"|0.00|$63036.00|$15361.87|$52602.60|$44125.00|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$22268.88|$16437.19|$21067.67|$47342.26|$52602.60|$25501.65|$20846.01|$15361.87|$15361.87
"MS-DRG V37 (FY 2020) 918"|"Poisoning And Toxic Effects Of Drugs Without McC"|0.00|$36374.00|$3652.61|$34130.00|$25462.00|$11153.00|$9097.65|$6245.67|$9097.65|$11153.00|$12303.00|$27882.50|$9097.65|$8504.17|$10595.35|$27882.50|$10284.30|$9097.65|$3652.61|$11923.46|$11022.40|$8800.99|$34130.00|$15358.50|$17065.00|$13654.39|$12028.88|$8864.34|$8864.34
"MS-DRG V37 (FY 2020) 919"|"Complications Of Treatment With McC"|0.00|$114176.00|$7645.39|$58361.75|$79923.00|$23344.70|$58361.75|$13073.03|$27510.92|$23344.70|$27510.92|$14367.00|$27510.92|$17800.45|$22177.48|$13839.00|$58361.75|$58361.75|$7645.39|$58361.75|$58361.75|$21513.20|$29841.71|$25512.07|$28346.72|$31661.74|$37758.00|$27824.69|$27824.69
"MS-DRG V37 (FY 2020) 920"|"Complications Of Treatment With Cc"|0.00|$61624.00|$5030.20|$20379.06|$43137.00|$15359.40|$11813.95|$8601.29|$13354.90|$15359.40|$13354.90|$9578.00|$13354.90|$11711.58|$14591.43|$9226.00|$13354.90|$13354.90|$5030.20|$15483.47|$14313.37|$11428.71|$14648.27|$16327.59|$18141.77|$17731.20|$20379.06|$15017.77|$15017.77
"MS-DRG V37 (FY 2020) 921"|"Complications Of Treatment Without Cc/McC"|0.00|$21564.00|$2088.80|$11933.56|$15095.00|$6378.00|$7951.10|$3571.66|$10420.78|$6378.00|$10420.78|$9578.00|$10420.78|$4863.27|$6059.10|$9226.00|$6657.93|$10420.78|$2088.80|$10420.78|$9633.28|$7691.83|$9858.67|$7175.29|$7972.52|$11933.56|$7131.21|$5255.15|$5255.15
"MS-DRG V37 (FY 2020) 922"|"Other Injury, Poisoning And Toxic Effect Diagnoses With McC"|0.00|$96728.00|$746.00|$35544.04|$67710.00|$26927.30|$18257.40|$15079.28|$35544.04|$26927.30|$746.00|$19156.00|$35544.04|$20532.11|$25580.95|$18452.00|$20638.80|$35544.04|$8818.69|$23928.31|$22120.03|$17662.05|$22637.59|$30293.23|$33659.14|$27401.98|$31987.95|$23572.61|$23572.61
"MS-DRG V37 (FY 2020) 923"|"Other Injury, Poisoning And Toxic Effect Diagnoses Without McC"|0.00|$24580.00|$746.00|$16058.70|$17206.00|$7401.30|$10699.60|$4144.72|$13229.82|$7401.30|$746.00|$4789.00|$13229.82|$5643.51|$7031.24|$4613.00|$12095.20|$13229.82|$2423.92|$14022.99|$12963.26|$10350.70|$13266.57|$8326.47|$9251.63|$16058.70|$8128.61|$5990.15|$5990.15
"MS-DRG V37 (FY 2020) 928"|"Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC"|0.00|$169500.00|$0.00|$0.00|$118650.00||||||||||||||||||||||||
"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|$29035.00|$0.00|$0.00|$20324.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 939"|"O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC"|0.00|$127393.00|$6488.55|$58445.81|$89175.00|$19812.38|$38941.30|$11094.94|$11094.94|$19812.38|$11094.94|$33523.00|$11094.94|$15106.97|$18821.77|$32291.00|$32781.30|$11094.94|$6488.55|$49530.95|$47179.92|$37671.48|$48283.83|$22288.92|$24765.53|$58445.81|$42128.87|$31045.67|$31045.67
"MS-DRG V37 (FY 2020) 940"|"O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc"|0.00|$112278.00|$19504.77|$74445.76|$78595.00|$59556.56|$33085.50|$33351.66|$34314.50|$59556.56|$34314.50|$33523.00|$34314.50|$45411.90|$56578.75|$32291.00|$37401.00|$34314.50|$19504.77|$43362.14|$40085.24|$44667.41|$41023.14|$67001.13|$74445.76|$38275.78|$37130.33|$27362.15|$27362.15
"MS-DRG V37 (FY 2020) 941"|"O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC"|0.00|$81679.00|$8647.58|$43477.32|$57175.00|$26404.83|$22134.05|$14786.71|$43477.32|$26404.83|$43477.32|$9578.00|$43477.32|$20133.73|$25084.63|$9226.00|$25021.10|$43477.32|$8647.58|$29009.08|$26816.85|$21412.29|$27444.30|$29705.50|$33006.08|$33220.32|$27011.25|$19905.17|$19905.17
"MS-DRG V37 (FY 2020) 945"|"Rehabilitation With Cc/McC"|0.00|$62086.00|$2922.02|$25625.92|$43460.00|$8922.20|$17074.05|$4996.43|$10428.00|$8922.20|$10428.00|$22305.50|$10428.00|$6803.20|$8476.09|$22305.50|$9983.33|$10428.00|$2922.02|$22305.50|$20686.33|$16517.29|$21170.34|$10037.48|$11152.76|$25625.92|$20531.84|$15130.36|$15130.36
"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|$48241.00|$746.00|$20541.13|$33769.00|$16038.70|$13686.15|$8981.69|$20541.13|$16038.70|$746.00|$10023.00|$20541.13|$12229.55|$15236.77|$10351.00|$15471.30|$20541.13|$5252.67|$17937.19|$16581.66|$13239.86|$16969.64|$18043.54|$20048.38|$20541.13|$15953.30|$11756.33|$11756.33
"MS-DRG V37 (FY 2020) 948"|"Signs And Symptoms Without McC"|0.00|$29186.00|$6606.35|$35224.03|$20430.00|$20172.05|$9034.40|$11296.34|$13381.91|$20172.05|$13381.91|$9578.00|$13381.91|$15381.20|$19163.45|$9226.00|$10212.80|$13381.91|$6606.35|$11840.56|$10945.76|$8739.80|$11201.87|$31701.59|$35224.03|$13559.46|$9651.81|$7112.63|$7112.63
"MS-DRG V37 (FY 2020) 949"|"Aftercare With Cc/McC"|0.00|$31247.00|$6271.66|$47875.25|$21873.00|$19150.10|$12731.65|$10724.07|$27904.47|$19150.10|$34923.00|$47875.25|$34923.00|$14601.97|$18192.60|$47875.25|$14392.30|$24332.00|$6271.66|$47875.25|$47875.25|$12316.49|$47875.25|$21543.86|$23937.63|$19108.55|$10333.38|$7614.89|$7614.89
"MS-DRG V37 (FY 2020) 950"|"Aftercare Without Cc/McC"|0.00|$31940.00|$4716.59|$36004.50|$22358.00|$14401.80|$8497.35|$8065.00|$19956.00|$14401.80|$19956.00|$36004.50|$19956.00|$10981.40|$13681.73|$36004.50|$9605.70|$19956.00|$4716.59|$11136.70|$10295.09|$8220.26|$10535.98|$16202.04|$18002.27|$12753.41|$10562.56|$7783.78|$7783.78
"MS-DRG V37 (FY 2020) 951"|"Other Factors Influencing Health Status"|0.00|$6584.00|$1604.52|$9634.53|$4609.00|$7005.80|$7372.65|$3923.25|$7372.65|$7005.80|$7372.65|$7325.00|$7372.65|$5341.92|$6655.51|$7718.00|$6300.00|$7372.65|$2294.40|$8935.00|$8260.00|$7132.24|$8454.00|$7881.53|$8757.27|$9634.53|$2177.33|$1604.52|$1604.52
"MS-DRG V37 (FY 2020) 955"|"Craniotomy For Multiple Significant Trauma"|0.00|$309828.00|$75505.08|$108530.88|$216880.00|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$108530.88|$102460.12|$75505.08|$75505.08
"MS-DRG V37 (FY 2020) 956"|"Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma"|0.00|$224809.00|$746.00|$106508.67|$157366.00|$85206.90|$44261.20|$47715.87|$51002.90|$85206.90|$746.00|$29624.00|$51002.90|$64970.34|$80946.56|$29928.00|$50034.40|$51002.90|$27905.26|$58009.11|$53625.33|$63905.18|$54880.04|$95857.77|$106508.67|$66430.29|$74344.34|$54785.95|$54785.95
"MS-DRG V37 (FY 2020) 957"|"Other O.R. Procedures For Multiple Significant Trauma With McC"|0.00|$283216.00|$69019.74|$128083.01|$198251.00|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$128083.01|$93659.53|$69019.74|$69019.74
"MS-DRG V37 (FY 2020) 958"|"Other O.R. Procedures For Multiple Significant Trauma With Cc"|0.00|$176522.00|$746.00|$123864.57|$123565.00|$75997.39|$48362.10|$42558.54|$123864.57|$75997.39|$746.00|$33968.00|$123864.57|$57948.07|$72197.53|$33416.00|$54670.20|$123864.57|$24889.14|$63383.79|$58593.84|$56998.04|$59964.80|$85497.07|$94996.75|$72585.20|$58375.83|$43018.41|$43018.41
"MS-DRG V37 (FY 2020) 959"|"Other O.R. Procedures For Multiple Significant Trauma Without Cc/McC"|0.00|$132178.00|$0.00|$0.00|$92525.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 963"|"Other Multiple Significant Trauma With McC"|0.00|$130894.00|$746.00|$65816.25|$91626.00|$26326.50|$31328.30|$14742.86|$65816.25|$26326.50|$746.00|$5234.00|$65816.25|$20073.98|$25010.21|$5738.00|$4426.83|$65816.25|$8621.93|$41059.14|$37956.28|$30306.73|$38844.37|$29617.31|$32908.16|$47019.69|$43286.65|$31898.87|$31898.87
"MS-DRG V37 (FY 2020) 964"|"Other Multiple Significant Trauma With Cc"|0.00|$68295.00|$746.00|$25689.78|$47806.00|$19625.40|$17116.60|$10990.23|$13122.77|$19625.40|$746.00|$19156.00|$13122.77|$14964.41|$18644.16|$18452.00|$15795.27|$13122.77|$6427.32|$22433.16|$20737.88|$16558.45|$21223.10|$22078.56|$24531.81|$25689.78|$22585.16|$16643.49|$16643.49
"MS-DRG V37 (FY 2020) 965"|"Other Multiple Significant Trauma Without Cc/McC"|0.00|$36561.00|$0.00|$0.00|$25593.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 969"|"Hiv With Extensive O.R. Procedures With McC"|0.00|$187180.00|$0.00|$0.00|$131026.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 970"|"Hiv With Extensive O.R. Procedures Without McC"|0.00|$185564.00|$0.00|$0.00|$129895.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 974"|"Hiv With Major Related Condition With McC"|0.00|$93875.00|$746.00|$75049.20|$65712.00|$54081.60|$30885.55|$30285.68|$75049.20|$54081.60|$746.00|$53569.00|$75049.20|$41237.28|$51377.53|$52993.00|$34914.10|$75049.20|$17711.72|$40478.87|$37419.86|$40561.20|$38295.40|$60841.81|$67602.01|$46355.18|$31044.46|$22877.34|$22877.34
"MS-DRG V37 (FY 2020) 975"|"Hiv With Major Related Condition With Cc"|0.00|$67609.00|$746.00|$51800.20|$47326.00|$41440.12|$14709.65|$23206.50|$15097.50|$41440.12|$746.00|$38312.00|$15097.50|$31598.14|$39368.10|$36904.00|$16628.30|$15097.50|$13571.64|$19278.60|$17821.70|$14229.99|$18238.69|$46620.14|$51800.20|$22077.27|$22358.30|$16476.31|$16476.31
"MS-DRG V37 (FY 2020) 976"|"Hiv With Major Related Condition Without Cc/McC"|0.00|$31653.00|$0.00|$0.00|$22157.00||||||||||||||||||||||||
"MS-DRG V37 (FY 2020) 977"|"Hiv With Or Without Other Related Condition"|0.00|$56110.00|$13674.01|$56350.90|$39277.00|$45080.70|$15189.20|$25245.19|$20068.23|$45080.70|$20068.23|$52679.00|$20068.23|$34374.06|$42826.66|$50743.00|$17170.40|$20068.23|$14763.93|$19907.10|$18402.71|$14693.90|$18833.29|$50715.80|$56350.90|$22797.01|$18555.58|$13674.01|$13674.01
"MS-DRG V37 (FY 2020) 981"|"Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC"|0.00|$222330.00|$14049.45|$79530.63|$155631.00|$42370.75|$54334.34|$23727.60|$43972.60|$42370.75|$43972.60|$26114.76|$43972.60|$32307.70|$40252.20|$25406.66|$29901.54|$43972.60|$14049.45|$70202.76|$64897.48|$51261.78|$65702.62|$53088.22|$58986.96|$79530.63|$73524.53|$54181.82|$54181.82
"MS-DRG V37 (FY 2020) 982"|"Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc"|0.00|$95089.00|$746.00|$43861.11|$66562.00|$42488.46|$29226.10|$23793.55|$29226.10|$42488.46|$746.00|$28734.00|$29226.10|$32397.51|$40364.03|$27678.00|$30496.80|$29226.10|$13914.97|$38303.98|$35409.33|$28273.08|$36237.82|$35766.89|$39741.04|$43861.11|$31445.93|$23173.19|$23173.19
"MS-DRG V37 (FY 2020) 983"|"Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC"|0.00|$96984.00|$8411.04|$33523.00|$67889.00|$25682.53|$19030.20|$14382.20|$14382.20|$25682.53|$14382.20|$33523.00|$14382.20|$19582.97|$24398.45|$32291.00|$21512.40|$14382.20|$8411.04|$24941.15|$23056.33|$18409.65|$23595.79|$28892.87|$32103.25|$28561.85|$32072.61|$23635.00|$23635.00
"MS-DRG V37 (FY 2020) 987"|"Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC"|0.00|$177423.00|$746.00|$62257.00|$124196.00|$48236.69|$37514.15|$27012.53|$37514.15|$48236.69|$746.00|$62257.00|$37514.15|$36780.50|$45824.88|$59969.00|$42407.30|$37514.15|$15797.51|$49166.37|$45450.84|$36290.86|$46514.28|$54266.29|$60295.92|$56303.85|$58673.79|$43237.99|$43237.99
"MS-DRG V37 (FY 2020) 988"|"Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc"|0.00|$65653.00|$5669.37|$29008.88|$45957.00|$17311.05|$19338.26|$9694.19|$15758.16|$17311.05|$15758.16|$15758.16|$15758.16|$13199.71|$16445.52|$15758.16|$15758.16|$15758.16|$5669.37|$15758.16|$15758.16|$15758.16|$23975.25|$19474.92|$21638.86|$29008.88|$21711.45|$15999.64|$15999.64
"MS-DRG V37 (FY 2020) 989"|"Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC"|0.00|$72720.00|$9001.76|$34357.92|$50904.00|$27486.30|$12832.85|$15392.32|$16818.84|$27486.30|$16818.84|$9578.00|$16818.84|$20958.33|$26111.97|$9226.00|$14506.70|$16818.84|$9001.76|$16818.84|$15547.83|$12414.39|$15911.62|$30922.08|$34357.92|$19260.43|$24048.50|$17721.86|$17721.86
"MS-DRG V37 (FY 2020) 998"|"Principal Diagnosis Invalid As Discharge Diagnosis"|0.00|$20445.00|$2499.45|$9539.90|$14312.00|$7631.90|$7372.65|$4273.86|$8935.00|$7631.90|$8935.00|$7325.00|$8935.00|$5819.35|$7250.33|$7718.00|$6300.00|$8935.00|$2499.45|$8935.00|$8260.00|$7132.24|$8454.00|$8585.89|$9539.90||||
"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|$2596.00|$658.35|$973.50|$1817.00|||||||||||||||||||||$973.50|$957.15|$658.35|$658.35
"Custom 11100001"|"HB TELEMETRY MEDICAL/SURGICAL ROOM"|111.00|$2796.00|$709.07|$1048.50|$1957.00|||||||||||||||||||||$1048.50|$1030.89|$709.07|$709.07
"Custom 11100002"|"HB MEDICAL/SURGICAL PRIVATE ROOM L&D HIGH RISK"|111.00|$5655.00|$1434.11|$2120.63|$3958.00|||||||||||||||||||||$2120.63|$2085.00|$1434.11|$1434.11
"Custom 11100005"|"HB TELEMETRY TRANSPLANT/HEPATOLOGY ROOM"|111.00|$2796.00|$709.07|$1048.50|$1957.00|||||||||||||||||||||$1048.50|$1030.89|$709.07|$709.07
"Custom 88040042"|"HB IND PRIVATE ROOM 1478"|111.00|$1430.00|$362.65|$536.25|$1001.00|||||||||||||||||||||$536.25|$527.24|$362.65|$362.65
"Custom 88040053"|"HB PRIVATE ROOM 1478"|111.00|$1100.00|$278.96|$412.50|$770.00|||||||||||||||||||||$412.50|$405.57|$278.96|$278.96
"Custom 88040054"|"HB PRIVATE ROOM PSG 1478"|111.00|$1100.00|$278.96|$412.50|$770.00|||||||||||||||||||||$412.50|$405.57|$278.96|$278.96
"Custom 88040055"|"HB IND PRIVATE ROOM PSG 1478"|111.00|$1334.00|$338.30|$500.25|$934.00|||||||||||||||||||||$500.25|$491.85|$338.30|$338.30
"Custom 88040114"|"HB IND SLEEP ROOM 1478"|111.00|$1435.00|$363.92|$538.13|$1004.00|||||||||||||||||||||$538.13|$529.08|$363.92|$363.92
"Custom 88040115"|"HB SLEEP ROOM 1478"|111.00|$386.00|$97.89|$144.75|$270.00|||||||||||||||||||||$144.75|$142.32|$97.89|$97.89
"Custom 88040116"|"HB SLEEP ROOM PSG 1478"|111.00|$401.00|$101.69|$150.38|$281.00|||||||||||||||||||||$150.38|$147.85|$101.69|$101.69
"Custom 88040117"|"HB IND SLEEP ROOM PSG 1478"|111.00|$1334.00|$338.30|$500.25|$934.00|||||||||||||||||||||$500.25|$491.85|$338.30|$338.30
"Custom 11200000"|"HB OBSTETRICS PRIVATE ROOM"|112.00|$2596.00|$658.35|$973.50|$1817.00|||||||||||||||||||||$973.50|$957.15|$658.35|$658.35
"Custom 11700000"|"HB INPATIENT ONCOLOGY ROOM"|117.00|$2596.00|$658.35|$973.50|$1817.00|||||||||||||||||||||$973.50|$957.15|$658.35|$658.35
"Custom 12400001"|"HB INPATIENT PSYCHIATRIC ROOM"|124.00|$2596.00|$658.35|$973.50|$1817.00|||||||||||||||||||||$973.50|$957.15|$658.35|$658.35
"Custom 17100000"|"HB NEWBORN LEVEL I ROOM"|171.00|$1378.00|$349.46|$516.75|$965.00|||||||||||||||||||||$516.75|$508.07|$349.46|$349.46
"Custom 17100001"|"HB NEWBORN LEVEL I; BOARDER BABY ROOM"|171.00|$2714.00|$688.27|$1017.75|$1900.00|||||||||||||||||||||$1017.75|$1000.65|$688.27|$688.27
"Custom 17200002"|"HB NEWBORN LEVEL II ROOM"|172.00|$2372.00|$601.54|$889.50|$1660.00|||||||||||||||||||||$889.50|$874.56|$601.54|$601.54
"Custom 17200003"|"HB NEWBORN LEVEL II; BOARDER BABY ROOM"|172.00|$2714.00|$688.27|$1017.75|$1900.00|||||||||||||||||||||$1017.75|$1000.65|$688.27|$688.27
"Custom 17300000"|"HB NEWBORN LEVEL III ROOM"|173.00|$5691.00|$1443.24|$2134.13|$3984.00|||||||||||||||||||||$2134.13|$2098.27|$1443.24|$1443.24
"Custom 17300002"|"HB NEWBORN LEVEL III; INTERMEDIATE CARE ROOM"|173.00|$5691.00|$1443.24|$2134.13|$3984.00|||||||||||||||||||||$2134.13|$2098.27|$1443.24|$1443.24
"Custom 17400000"|"HB NEWBORN LEVEL IV ROOM"|174.00|$8776.00|$2225.59|$3291.00|$6143.00|||||||||||||||||||||$3291.00|$3235.71|$2225.59|$2225.59
"Custom 17400002"|"HB NEWBORN LEVEL IV; COOL CAP ROOM"|174.00|$11505.00|$2917.67|$4314.38|$8053.00|||||||||||||||||||||$4314.38|$4241.89|$2917.67|$2917.67
"Custom 20000000"|"HB ICU ROOM"|200.00|$5655.00|$1434.11|$2120.63|$3958.00|||||||||||||||||||||$2120.63|$2085.00|$1434.11|$1434.11
"Custom 20100000"|"HB SURGICAL ICU ROOM"|201.00|$5655.00|$1434.11|$2120.63|$3958.00|||||||||||||||||||||$2120.63|$2085.00|$1434.11|$1434.11
"Custom 20200000"|"HB MEDICAL INTENSIVE CARE INPATIENT ROOM"|202.00|$5655.00|$1434.11|$2120.63|$3958.00|||||||||||||||||||||$2120.63|$2085.00|$1434.11|$1434.11
"Custom 20600000"|"HB INTERMEDIATE CARE PRIVATE ROOM"|206.00|$4628.00|$1173.66|$1735.50|$3240.00|||||||||||||||||||||$1735.50|$1706.34|$1173.66|$1173.66
"Custom 20600001"|"HB INTERMEDIATE CARE ICU ROOM"|206.00|$4628.00|$1173.66|$1735.50|$3240.00|||||||||||||||||||||$1735.50|$1706.34|$1173.66|$1173.66
"Custom 20600002"|"HB TELEMETRY ROOM & BOARD"|206.00|$2796.00|$709.07|$1048.50|$1957.00|||||||||||||||||||||$1048.50|$1030.89|$709.07|$709.07
"Custom 20900000"|"HB NEURO SURGICAL ICU ROOM"|209.00|$5655.00|$1434.11|$2120.63|$3958.00|||||||||||||||||||||$2120.63|$2085.00|$1434.11|$1434.11
"Custom 21000000"|"HB CARDIAC ICU ROOM"|210.00|$5655.00|$1434.11|$2120.63|$3958.00|||||||||||||||||||||$2120.63|$2085.00|$1434.11|$1434.11
"Custom 21400000"|"HB CARDIAC INTERMEDIATE ICU ROOM"|214.00|$5655.00|$1434.11|$2120.63|$3958.00|||||||||||||||||||||$2120.63|$2085.00|$1434.11|$1434.11
"Custom 25500001"|"HB NON-IONIC CONTRAST 50CC"|255.00|$345.00|$77.28|$276.00|$241.00|$138.00|$121.44|$77.28||$138.00|$276.00|$195.96||$105.23|$131.10|$211.49|$136.69|||$108.33|$102.12|$100.05|$120.75|$155.25|$172.50|$129.38|$127.20|$87.49|$87.49
"CPT® 96360"|"HB HYDRATION IV INFUSION INITIAL; 31 MINUTES TO 1 HOUR"|260.00|$531.00|$118.94|$424.80|$372.00|$212.40|$186.91|$118.94||$212.40|$424.80|$301.61||$161.96|$201.78|$325.50|$210.38|||$166.73|$157.18|$180.43|$234.99|$319.73|$355.25|$199.13|$195.78|$134.66|$134.66
"CPT® 96361"|"HB HYDRATE IV INFUSION EACH ADDITIONAL HOUR; ADD-ON"|260.00|$542.00|$103.97|$433.60|$379.00|$216.80|$190.78|$121.41||$216.80|$433.60|$307.86||$165.31|$205.96|$332.25|$214.74|||$170.19|$160.43|$103.97|$137.66|$178.88|$198.75|$203.25|$199.84|$137.45|$137.45
"CPT® 96365"|"HB IV INFUSION, MEDICINE (TX/PX/D); INTIAL UP TO 1 HOUR"|260.00|$580.00|$129.92|$464.00|$406.00|$232.00|$204.16|$129.92||$232.00|$464.00|$329.44||$176.90|$220.40|$355.54|$229.80|||$182.12|$171.68|$192.46|$237.36|$325.20|$361.33|$217.50|$213.85|$147.09|$147.09
"CPT® 96366"|"HB IV INFUSION, MEDICINE (TX/PX/D); EACH ADDITIONAL HOUR (ADD-ON)"|260.00|$542.00|$105.66|$433.60|$379.00|$216.80|$190.78|$121.41||$216.80|$433.60|$307.86||$165.31|$205.96|$332.25|$214.74|||$170.19|$160.43|$105.66|$138.85|$181.50|$201.67|$203.25|$199.84|$137.45|$137.45
"CPT® 96367"|"HB IV INFUSION, MEDICINE (TX/PX/D), ADDL SEQUENTIAL NEW MED; UP TO 1 HOUR"|260.00|$459.00|$102.82|$367.20|$321.00|$183.60|$161.57|$102.82||$183.60|$367.20|$260.71||$140.00|$174.42|$281.37|$181.86|||$144.13|$135.86|$114.74|$165.41|$216.00|$240.00|$172.13|$169.23|$116.40|$116.40
"CPT® 96368"|"HB THER/DIAG CONCURRENT INF"|260.00|$344.00|$77.06|$275.20|$241.00|$137.60|$121.09|$77.06||$137.60|$275.20|$195.39||$104.92|$130.72|$210.87|$136.29|||$108.02|$101.82|$99.76|$120.40|$154.80|$172.00|$129.00|$126.83|$87.24|$87.24
"CPT® 96369"|"HB SC THER INFUSION UP TO 1 HR"|260.00|$472.00|$105.73|$377.60|$330.00|$188.80|$166.14|$105.73||$188.80|$377.60|$268.10||$143.96|$179.36|$289.34|$187.01|||$148.21|$139.71|$155.83|$188.07|$241.80|$268.67|$177.00|$174.03|$119.70|$119.70
"CPT® 96370"|"HB SC THER INFUSION ADDL HR"|260.00|$116.00|$25.98|$92.80|$81.00|$46.40|$40.83|$25.98||$46.40|$92.80|$65.89||$35.38|$44.08|$71.11|$45.96|||$36.42|$34.34|$46.98|$56.70|$72.90|$81.00|$43.50|$42.77|$29.42|$29.42
"CPT® 96371"|"HB SC THER INFUSION RESET PUMP"|260.00|$164.00|$36.74|$131.20|$115.00|$65.60|$57.73|$36.74||$65.60|$131.20|$93.15||$50.02|$62.32|$100.53|$64.98|||$51.50|$48.54|$62.64|$75.60|$97.20|$108.00|$61.50|$60.47|$41.59|$41.59
"CPT® 96373"|"HB THER/PROPH/DIAG INJ IA"|260.00|$196.00|$43.90|$156.80|$137.00|$78.40|$68.99|$43.90||$78.40|$156.80|$111.33||$59.78|$74.48|$120.15|$77.66|||$61.54|$58.02|$88.45|$115.71|$137.25|$152.50|$73.50|$72.27|$49.71|$49.71
"CPT® 96374"|"HB INJECTION IV PUSH; INITIAL DRUG"|260.00|$292.00|$65.41|$233.60|$204.00|$116.80|$102.78|$65.41||$116.80|$233.60|$165.86||$89.06|$110.96|$179.00|$115.69|||$91.69|$86.43|$99.42|$131.39|$174.30|$193.67|$109.50|$107.66|$74.05|$74.05
"CPT® 96375"|"HB INJECTION IV PUSH; EACH ADDITIONAL NEW DRUG"|260.00|$257.00|$57.57|$205.60|$180.00|$102.80|$90.46|$57.57||$102.80|$205.60|$145.98||$78.39|$97.66|$157.54|$101.82|||$80.70|$76.07|$92.85|$126.63|$164.03|$182.25|$96.38|$94.76|$65.18|$65.18
"CPT® 96376"|"HB IV PUSH, ADDITIONAL, SAME MEDICINE,SEQUENTIAL"|260.00|$257.00|$57.57|$205.60|$180.00|$102.80|$90.46|$57.57||$102.80|$205.60|$145.98||$78.39|$97.66|$157.54|$101.82|||$80.70|$76.07|$87.10|$122.47|$164.03|$182.25|$96.38|$94.76|$65.18|$65.18
"CPT® 96523"|"HB IRRIG DRUG DELIVERY DEVICE"|260.00|$429.00|$95.75|$343.20|$300.00|$171.60|$151.01|$96.10||$171.60|$343.20|$243.67||$130.85|$163.02|$262.98|$169.97|||$134.71|$126.98|$95.75|$108.89|$152.18|$169.08|$160.88|$158.17|$108.79|$108.79
"Custom 25117022"|"HB LEUKOREDUCTION FILTER, RBC"|270.00|$81.00|$18.14|$64.80|$57.00|$32.40|$28.51|$18.14||$32.40|$64.80|$46.01||$24.71|$30.78|$49.65|$32.09|||$25.43|$23.98|$24.36|$29.40|$37.80|$42.00|$30.38|$29.86|$20.54|$20.54
"Custom 26010066"|"HB PROLACT +8: 20ML"|270.00|$391.00|$87.58|$312.80|$274.00|$156.40|$137.63|$87.58||$156.40|$312.80|$222.09||$119.26|$148.58|$239.68|$154.91|||$122.77|$115.74|$114.99|$138.78|$178.43|$198.25|$146.63|$144.16|$99.16|$99.16
"Custom 27000005"|"HB 24 IN SHOEHORN"|270.00|$19.00|$4.26|$15.20|$13.00|$7.60|$6.69|$4.26||$7.60|$15.20|$10.79||$5.80|$7.22|$11.65|$7.53|||$5.97|$5.62|$5.51|$6.65|$8.55|$9.50|$7.13|$7.01|$4.82|$4.82
"Custom 27000006"|"HB 26 IN REACHER"|270.00|$41.00|$9.18|$32.80|$29.00|$16.40|$14.43|$9.18||$16.40|$32.80|$23.29||$12.51|$15.58|$25.13|$16.24|||$12.87|$12.14|$12.18|$14.70|$18.90|$21.00|$15.38|$15.12|$10.40|$10.40
"Custom 27000007"|"HB 30 IN REACHER"|270.00|$59.00|$13.22|$47.20|$41.00|$23.60|$20.77|$13.22||$23.60|$47.20|$33.51||$18.00|$22.42|$36.17|$23.38|||$18.53|$17.46|$17.26|$20.83|$26.78|$29.75|$22.13|$21.75|$14.96|$14.96
"Custom 27000012"|"HB AFO"|270.00|$134.00|$30.02|$107.20|$94.00|$53.60|$47.17|$30.02||$53.60|$107.20|$76.11||$40.87|$50.92|$82.14|$53.09|||$42.08|$39.66|$39.44|$47.60|$61.20|$68.00|$50.25|$49.41|$33.98|$33.98
"Custom 27000013"|"HB AIRWAY EXCHANGER"|270.00|$234.00|$52.42|$187.20|$164.00|$93.60|$82.37|$52.42||$93.60|$187.20|$132.91||$71.37|$88.92|$143.44|$92.71|||$73.48|$69.26|$68.88|$83.13|$106.88|$118.75|$87.75|$86.28|$59.34|$59.34
"Custom 27000015"|"HB ANESTHESIA SETUP SUPPLIES"|270.00|$452.00|$101.25|$361.60|$316.00|$180.80|$159.10|$101.25||$180.80|$361.60|$256.74||$137.86|$171.76|$277.08|$179.08|||$141.93|$133.79|$134.56|$162.40|$208.80|$232.00|$169.50|$166.65|$114.63|$114.63
"Custom 27000016"|"HB ANT.OR POST. ELBOW SPLINT"|270.00|$128.00|$28.67|$102.40|$90.00|$51.20|$45.06|$28.67||$51.20|$102.40|$72.70||$39.04|$48.64|$78.46|$50.71|||$40.19|$37.89|$38.57|$46.55|$59.85|$66.50|$48.00|$47.19|$32.46|$32.46
"Custom 27000017"|"HB AUTOLOGOUS BLOOD; INTRA-OPERATIVE SALVAGE; SETUP SUPPLIES"|270.00|$413.00|$92.51|$330.40|$289.00|$165.20|$145.38|$92.51||$165.20|$330.40|$234.58||$125.97|$156.94|$253.17|$163.63|||$129.68|$122.25|$123.25|$148.75|$191.25|$212.50|$154.88|$152.27|$104.74|$104.74
"Custom 27000018"|"HB AUTOLOGOUS BLOOD; INTRA-OPERATIVE SALVAGE; UTILIZATION SUPPLY"|270.00|$812.00|$181.89|$649.60|$568.00|$324.80|$285.82|$181.89||$324.80|$649.60|$461.22||$247.66|$308.56|$497.76|$321.71|||$254.97|$240.35|$241.86|$291.90|$375.30|$417.00|$304.50|$299.38|$205.92|$205.92
"Custom 27000019"|"HB BAKRI BALLOON"|270.00|$826.00|$185.02|$660.80|$578.00|$330.40|$290.75|$185.02||$330.40|$660.80|$469.17||$251.93|$313.88|$506.34|$327.26|||$259.36|$244.50|$225.14|$271.72|$382.05|$424.50|$309.75|$304.55|$209.47|$209.47
"Custom 27000024"|"HB BODY/HIGH HUM. HOOD-CHG"|270.00|$102.00|$22.85|$81.60|$71.00|$40.80|$35.90|$22.85||$40.80|$81.60|$57.94||$31.11|$38.76|$62.53|$40.41|||$32.03|$30.19|$30.02|$36.23|$46.58|$51.75|$38.25|$37.61|$25.87|$25.87
"Custom 27000030"|"HB CAPILLARY PUNCTURE"|270.00|$108.00|$24.19|$86.40|$76.00|$43.20|$38.02|$24.19||$43.20|$86.40|$61.34||$32.94|$41.04|$66.20|$42.79|||$33.91|$31.97|$32.19|$38.85|$49.95|$55.50|$40.50|$39.82|$27.39|$27.39
"Custom 27000054"|"HB D-RING WRIST BRACE"|270.00|$67.00|$15.01|$53.60|$47.00|$26.80|$23.58|$15.01||$26.80|$53.60|$38.06||$20.44|$25.46|$41.07|$26.55|||$21.04|$19.83|$20.01|$24.15|$31.05|$34.50|$25.13|$24.70|$16.99|$16.99
"Custom 27000061"|"HB EZPAP AIRWY CLEARNCE DEVICE"|270.00|$88.00|$19.71|$70.40|$62.00|$35.20|$30.98|$19.71||$35.20|$70.40|$49.98||$26.84|$33.44|$53.94|$34.87|||$27.63|$26.05|$26.25|$31.68|$40.73|$45.25|$33.00|$32.45|$22.32|$22.32
"Custom 27000063"|"HB FOREARM/WRST STATIC SPLNT"|270.00|$51.00|$11.42|$40.80|$36.00|$20.40|$17.95|$11.42||$20.40|$40.80|$28.97||$15.56|$19.38|$31.26|$20.21|||$16.01|$15.10|$15.37|$18.55|$23.85|$26.50|$19.13|$18.80|$12.93|$12.93
"Custom 27000064"|"HB FULL VEST THERAPY AIRWY CLEARNCE DEVICE"|270.00|$1146.00|$256.70|$916.80|$802.00|$458.40|$403.39|$256.70||$458.40|$916.80|$650.93||$349.53|$435.48|$702.50|$454.05|||$359.84|$339.22|$340.61|$411.08|$528.53|$587.25|$429.75|$422.53|$290.63|$290.63
"Custom 27000066"|"HB GELFOAM PLUS; RESEARCH STUDY"|270.00|$1.00|$0.22|$0.80|$1.00|$0.40|$0.35|$0.22||$0.40|$0.80|$0.57||$0.31|$0.38|$0.61|$0.40|||$0.31|$0.30|$0.29|$0.35|$0.45|$0.50|$0.38|$0.37|$0.25|$0.25
"Custom 27000069"|"HB HAND-BASED STATIC SPLNT"|270.00|$41.00|$9.18|$32.80|$29.00|$16.40|$14.43|$9.18||$16.40|$32.80|$23.29||$12.51|$15.58|$25.13|$16.24|||$12.87|$12.14|$12.04|$14.53|$18.68|$20.75|$15.38|$15.12|$10.40|$10.40
"Custom 27000074"|"HB HIGH FLOW OXYGEN EQUIPMT CHNGE"|270.00|$292.00|$65.41|$233.60|$204.00|$116.80|$102.78|$65.41||$116.80|$233.60|$165.86||$89.06|$110.96|$179.00|$115.69|||$91.69|$86.43|$86.86|$104.83|$134.78|$149.75|$109.50|$107.66|$74.05|$74.05
"Custom 27000075"|"HB HIGH HUMIDITY OXYGEN EACH"|270.00|$167.00|$37.41|$133.60|$117.00|$66.80|$58.78|$37.41||$66.80|$133.60|$94.86||$50.94|$63.46|$102.37|$66.17|||$52.44|$49.43|$49.88|$60.20|$77.40|$86.00|$62.63|$61.57|$42.35|$42.35
"Custom 27000076"|"HB HIGH HUMIDITY OXYGEN EACH-DLY"|270.00|$505.00|$113.12|$404.00|$354.00|$202.00|$177.76|$113.12||$202.00|$404.00|$286.84||$154.03|$191.90|$309.57|$200.08|||$158.57|$149.48|$149.93|$180.95|$232.65|$258.50|$189.38|$186.19|$128.07|$128.07
"Custom 27000080"|"HB HYPOTHERMIA THERAPY SUPPLIES"|270.00|$2978.00|$667.07|$2382.40|$2085.00|$1191.20|$1048.26|$667.07||$1191.20|$2382.40|$1691.50||$908.29|$1131.64|$1825.51|$1179.88|||$935.09|$881.49|$898.13|$1083.95|$1393.65|$1548.50|$1116.75|$1097.99|$755.22|$755.22
"Custom 27000083"|"HB INSUFFLATOR AIRWY CLEARNCE DEVICE"|270.00|$24.00|$5.38|$19.20|$17.00|$9.60|$8.45|$5.38||$9.60|$19.20|$13.63||$7.32|$9.12|$14.71|$9.51|||$7.54|$7.10|$7.25|$8.75|$11.25|$12.50|$9.00|$8.85|$6.09|$6.09
"Custom 27000094"|"HB LEVEL 1 - SUPPLY CHARGE"|270.00|$181.00|$40.54|$144.80|$127.00|$72.40|$63.71|$40.54||$72.40|$144.80|$102.81||$55.21|$68.78|$110.95|$71.71|||$56.83|$53.58|$54.52|$65.80|$84.60|$94.00|$67.88|$66.73|$45.90|$45.90
"Custom 27000095"|"HB LONG HANDLED SPONGE"|270.00|$8.00|$1.79|$6.40|$6.00|$3.20|$2.82|$1.79||$3.20|$6.40|$4.54||$2.44|$3.04|$4.90|$3.17|||$2.51|$2.37|$2.32|$2.80|$3.60|$4.00|$3.00|$2.95|$2.03|$2.03
"Custom 27000097"|"HB METANEB CIRCUIT"|270.00|$272.00|$60.93|$217.60|$190.00|$108.80|$95.74|$60.93||$108.80|$217.60|$154.50||$82.96|$103.36|$166.74|$107.77|||$85.41|$80.51|$95.56|$115.33|$167.70|$186.33|$102.00|$100.29|$68.98|$68.98
"Custom 27000098"|"HB MICRO MARK CLIP"|270.00|$334.00|$74.82|$267.20|$234.00|$133.60|$117.57|$74.82||$133.60|$267.20|$189.71||$101.87|$126.92|$204.74|$132.33|||$104.88|$98.86|$102.81|$124.08|$159.53|$177.25|$125.25|$123.15|$84.70|$84.70
"Custom 27000101"|"HB N.P. TUBE CHANGE"|270.00|$88.00|$19.71|$70.40|$62.00|$35.20|$30.98|$19.71||$35.20|$70.40|$49.98||$26.84|$33.44|$53.94|$34.87|||$27.63|$26.05|$25.96|$31.33|$40.28|$44.75|$33.00|$32.45|$22.32|$22.32
"Custom 27000113"|"HB OXYGEN EQUIP S/U OR CHNGE"|270.00|$75.00|$16.80|$60.00|$52.00|$30.00|$26.40|$16.80||$30.00|$60.00|$42.60||$22.88|$28.50|$45.98|$29.72|||$23.55|$22.20|$22.48|$27.13|$34.88|$38.75|$28.13|$27.65|$19.02|$19.02
"Custom 27000116"|"HB OXYGEN NASAL CANULA THERAPY"|270.00|$174.00|$38.98|$139.20|$122.00|$69.60|$61.25|$38.98||$69.60|$139.20|$98.83||$53.07|$66.12|$106.66|$68.94|||$54.64|$51.50|$53.84|$65.45|$83.55|$92.83|$65.25|$64.15|$44.13|$44.13
"Custom 27000117"|"HB OXYGEN THERAPY; TEMPORARY"|270.00|$130.00|$29.12|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$51.51|||$40.82|$38.48|$38.28|$46.20|$59.40|$66.00|$48.75|$47.93|$32.97|$32.97
"Custom 27000118"|"HB OXYGN NASAL CANULA THERAPY DLY"|270.00|$553.00|$123.87|$442.40|$387.00|$221.20|$194.66|$123.87||$221.20|$442.40|$314.10||$168.67|$210.14|$338.99|$219.10|||$173.64|$163.69|$162.69|$196.35|$252.45|$280.50|$207.38|$203.89|$140.24|$140.24
"Custom 27000120"|"HB PASSY MUIR VALVE"|270.00|$610.00|$135.62|$488.00|$427.00|$244.00|$214.72|$136.64||$244.00|$488.00|$346.48||$186.05|$231.80|$373.93|$241.68|||$191.54|$180.56|$135.62|$163.68|$281.70|$313.00|$228.75|$224.91|$154.70|$154.70
"Custom 27000125"|"HB PLEURX CATH SYSTEM"|270.00|$2029.00|$454.50|$1623.20|$1420.00|$811.60|$714.21|$454.50||$811.60|$1623.20|$1152.47||$618.85|$771.02|$1243.78|$803.89|||$637.11|$600.58|$596.82|$720.30|$926.10|$1029.00|$760.88|$748.09|$514.55|$514.55
"Custom 27000128"|"HB PROLACT +4: 20ML"|270.00|$403.00|$90.27|$322.40|$282.00|$161.20|$141.86|$90.27||$161.20|$322.40|$228.90||$122.92|$153.14|$247.04|$159.67|||$126.54|$119.29|$120.50|$145.43|$186.98|$207.75|$151.13|$148.59|$102.20|$102.20
"Custom 27000129"|"HB PROLACT +6: 30ML"|270.00|$613.00|$137.31|$490.40|$429.00|$245.20|$215.78|$137.31||$245.20|$490.40|$348.18||$186.97|$232.94|$375.77|$242.87|||$192.48|$181.45|$182.27|$219.98|$282.83|$314.25|$229.88|$226.01|$155.46|$155.46
"Custom 27000130"|"HB PROLACT +8: 20ML"|270.00|$390.00|$87.36|$312.00|$273.00|$156.00|$137.28|$87.36||$156.00|$312.00|$221.52||$118.95|$148.20|$239.07|$154.52|||$122.46|$115.44|$113.10|$136.50|$175.50|$195.00|$146.25|$143.79|$98.90|$98.90
"Custom 27000131"|"HB PROLACT +8: 40ML"|270.00|$797.00|$178.53|$637.60|$558.00|$318.80|$280.54|$178.53||$318.80|$637.60|$452.70||$243.09|$302.86|$488.56|$315.77|||$250.26|$235.91|$237.51|$286.65|$368.55|$409.50|$298.88|$293.85|$202.12|$202.12
"Custom 27000132"|"HB PUTTY"|270.00|$16.00|$3.58|$12.80|$11.00|$6.40|$5.63|$3.58||$6.40|$12.80|$9.09||$4.88|$6.08|$9.81|$6.34|||$5.02|$4.74|$4.64|$5.60|$7.20|$8.00|$6.00|$5.90|$4.06|$4.06
"Custom 27000136"|"HB REST.HAND/SAFE POS.SPLINT"|270.00|$96.00|$21.50|$76.80|$67.00|$38.40|$33.79|$21.50||$38.40|$76.80|$54.53||$29.28|$36.48|$58.85|$38.04|||$30.14|$28.42|$29.92|$36.37|$46.43|$51.58|$36.00|$35.40|$24.35|$24.35
"Custom 27000140"|"HB S:LARYNGEAL MIRRORS"|270.00|$111.00|$24.86|$88.80|$78.00|$44.40|$39.07|$24.86||$44.40|$88.80|$63.05||$33.86|$42.18|$68.04|$43.98|||$34.85|$32.86|$26.20|$31.62|$50.63|$56.25|$41.63|$40.93|$28.15|$28.15
"Custom 27000141"|"HB SAFE-TCENTESIS CATH DRAIN"|270.00|$252.00|$56.45|$201.60|$176.00|$100.80|$88.70|$56.45||$100.80|$201.60|$143.14||$76.86|$95.76|$154.48|$99.84|||$79.13|$74.59|$75.98|$91.70|$117.90|$131.00|$94.50|$92.91|$63.91|$63.91
"Custom 27000152"|"HB SOCK AID"|270.00|$41.00|$9.18|$32.80|$29.00|$16.40|$14.43|$9.18||$16.40|$32.80|$23.29||$12.51|$15.58|$25.13|$16.24|||$12.87|$12.14|$12.04|$14.53|$18.68|$20.75|$15.38|$15.12|$10.40|$10.40
"Custom 27000163"|"HB STEREO NEEDLE SETS"|270.00|$984.00|$220.42|$787.20|$689.00|$393.60|$346.37|$220.42||$393.60|$787.20|$558.91||$300.12|$373.92|$603.19|$389.86|||$308.98|$291.26|$293.63|$354.38|$455.63|$506.25|$369.00|$362.80|$249.54|$249.54
"Custom 27000170"|"HB CLOSED SUCTION SYSTEM"|270.00|$102.00|$22.85|$81.60|$71.00|$40.80|$35.90|$22.85||$40.80|$81.60|$57.94||$31.11|$38.76|$62.53|$40.41|||$32.03|$30.19|$30.45|$36.75|$47.25|$52.50|$38.25|$37.61|$25.87|$25.87
"Custom 27000173"|"HB SUPPLIES - CERCLAGE"|270.00|$1457.00|$326.37|$1165.60|$1020.00|$582.80|$512.86|$326.37||$582.80|$1165.60|$827.58||$444.39|$553.66|$893.14|$577.26|||$457.50|$431.27|$428.62|$517.30|$665.10|$739.00|$546.38|$537.20|$369.50|$369.50
"Custom 27000174"|"HB SUPPLIES - HYSTERECTOMY"|270.00|$3125.00|$700.00|$2500.00|$2188.00|$1250.00|$1100.00|$700.00||$1250.00|$2500.00|$1775.00||$953.13|$1187.50|$1915.63|$1238.13|||$981.25|$925.00|$919.16|$1109.33|$1426.28|$1584.75|$1171.88|$1152.19|$792.50|$792.50
"Custom 27000175"|"HB SUPPLIES - TUBAL PROCEDURE"|270.00|$662.00|$148.29|$529.60|$463.00|$264.80|$233.02|$148.29||$264.80|$529.60|$376.02||$201.91|$251.56|$405.81|$262.28|||$207.87|$195.95|$194.59|$234.85|$301.95|$335.50|$248.25|$244.08|$167.88|$167.88
"Custom 27000182"|"HB THERABAND"|270.00|$4.00|$0.90|$3.20|$3.00|$1.60|$1.41|$0.90||$1.60|$3.20|$2.27||$1.22|$1.52|$2.45|$1.58|||$1.26|$1.18|$1.16|$1.40|$1.80|$2.00|$1.50|$1.47|$1.01|$1.01
"Custom 27000184"|"HB TOILET PAPER EXTENDER"|270.00|$24.00|$5.38|$19.20|$17.00|$9.60|$8.45|$5.38||$9.60|$19.20|$13.63||$7.32|$9.12|$14.71|$9.51|||$7.54|$7.10|$7.11|$8.58|$11.03|$12.25|$9.00|$8.85|$6.09|$6.09
"Custom 27000185"|"HB TRACH-ARTIFICIAL AIRWAY"|270.00|$401.00|$89.82|$320.80|$281.00|$160.40|$141.15|$89.82||$160.40|$320.80|$227.77||$122.31|$152.38|$245.81|$158.88|||$125.91|$118.70|$119.19|$143.85|$184.95|$205.50|$150.38|$147.85|$101.69|$101.69
"Custom 27000194"|"HB TUBIGRIP, PER YD"|270.00|$6.00|$1.34|$4.80|$4.00|$2.40|$2.11|$1.34||$2.40|$4.80|$3.41||$1.83|$2.28|$3.68|$2.38|||$1.88|$1.78|$1.74|$2.10|$2.70|$3.00|$2.25|$2.21|$1.52|$1.52
"Custom 27000205"|"HB VENT CIRCUIT CONV - CHG"|270.00|$249.00|$55.78|$199.20|$174.00|$99.60|$87.65|$55.78||$99.60|$199.20|$141.43||$75.95|$94.62|$152.64|$98.65|||$78.19|$73.70|$74.39|$89.78|$115.43|$128.25|$93.38|$91.81|$63.15|$63.15
"Custom 27000206"|"HB VENT CIRCUIT JET - CHG"|270.00|$291.00|$65.18|$232.80|$204.00|$116.40|$102.43|$65.18||$116.40|$232.80|$165.29||$88.76|$110.58|$178.38|$115.29|||$91.37|$86.14|$86.71|$104.65|$134.55|$149.50|$109.13|$107.29|$73.80|$73.80
"Custom 27000212"|"HB WRAP AROUND VEST THERAPY AIRWY CLEARNCE DEVICE"|270.00|$495.00|$110.88|$396.00|$346.00|$198.00|$174.24|$110.88||$198.00|$396.00|$281.16||$150.98|$188.10|$303.44|$196.12|||$155.43|$146.52|$152.54|$184.10|$236.70|$263.00|$185.63|$182.51|$125.53|$125.53
"Custom 27000291"|"HB ANES LMA (LARYNGEAL ARWY)"|270.00|$240.00|$53.76|$192.00|$168.00|$96.00|$84.48|$53.76||$96.00|$192.00|$136.32||$73.20|$91.20|$147.12|$95.09|||$75.36|$71.04|$73.52|$89.18|$114.08|$126.75|$90.00|$88.49|$60.86|$60.86
"Custom 27000353"|"HB BIOPSY PROBE GUIDE"|270.00|$84.00|$18.82|$67.20|$59.00|$33.60|$29.57|$18.82||$33.60|$67.20|$47.71||$25.62|$31.92|$51.49|$33.28|||$26.38|$24.86|$24.41|$29.16|$37.88|$42.08|$31.50|$30.97|$21.30|$21.30
"Custom 27000356"|"HB BIOPSY VACUUM CONTAINER"|270.00|$72.00|$16.13|$57.60|$50.00|$28.80|$25.34|$16.13||$28.80|$57.60|$40.90||$21.96|$27.36|$44.14|$28.53|||$22.61|$21.31|$20.88|$25.20|$32.40|$36.00|$27.00|$26.55|$18.26|$18.26
"Custom 27000748"|"HB HANDPCE ATEC 20MM 0912-20"|270.00|$1230.00|$275.52|$984.00|$861.00|$492.00|$432.96|$275.52||$492.00|$984.00|$698.64||$375.15|$467.40|$753.99|$487.33|||$386.22|$364.08|$356.70|$430.50|$553.50|$615.00|$461.25|$453.50|$311.93|$311.93
"Custom 27000750"|"HB HANDPIECE 20MM ATEC 0909-20"|270.00|$1241.00|$277.98|$992.80|$869.00|$496.40|$436.83|$277.98||$496.40|$992.80|$704.89||$378.51|$471.58|$760.73|$491.68|||$389.67|$367.34|$370.04|$446.60|$574.20|$638.00|$465.38|$457.56|$314.72|$314.72
"Custom 27000763"|"HB HIFLO NASAL CANNULA NO HEAT"|270.00|$78.00|$17.47|$62.40|$55.00|$31.20|$27.46|$17.47||$31.20|$62.40|$44.30||$23.79|$29.64|$47.81|$30.90|||$24.49|$23.09|$23.01|$27.77|$35.70|$39.67|$29.25|$28.76|$19.78|$19.78
"Custom 27000842"|"HB IV CATHETER"|270.00|$26.00|$5.82|$20.80|$18.00|$10.40|$9.15|$5.82||$10.40|$20.80|$14.77||$7.93|$9.88|$15.94|$10.30|||$8.16|$7.70|$7.35|$8.78|$11.40|$12.67|$9.75|$9.59|$6.59|$6.59
"Custom 27000852"|"HB IV TUBING CONTINUE FLOW"|270.00|$76.00|$17.02|$60.80|$53.00|$30.40|$26.75|$17.02||$30.40|$60.80|$43.17||$23.18|$28.88|$46.59|$30.11|||$23.86|$22.50|$21.41|$25.62|$33.22|$36.92|$28.50|$28.02|$19.27|$19.27
"Custom 27000892"|"HB MASK ADULT OXY W/7TUBING"|270.00|$70.00|$15.68|$56.00|$49.00|$28.00|$24.64|$15.68||$28.00|$56.00|$39.76||$21.35|$26.60|$42.91|$27.73|||$21.98|$20.72|$19.92|$23.87|$30.90|$34.33|$26.25|$25.81|$17.75|$17.75
"Custom 27000927"|"HB MDI SPACER"|270.00|$33.00|$7.39|$32.71|$23.00|$13.20|$11.62|$7.39||$13.20|$26.40|$18.74||$10.07|$12.54|$20.23|$13.07|||$10.36|$9.77|$18.56|$24.33|$29.44|$32.71|$12.38|$12.17|$8.37|$8.37
"Custom 27000966"|"HB NCV KIT"|270.00|$79.00|$17.70|$63.20|$55.00|$31.60|$27.81|$17.70||$31.60|$63.20|$44.87||$24.10|$30.02|$48.43|$31.30|||$24.81|$23.38|$22.91|$27.65|$35.55|$39.50|$29.63|$29.13|$20.03|$20.03
"Custom 27000969"|"HB NEBULIZER TREATMENT HAND"|270.00|$187.00|$41.89|$149.60|$131.00|$74.80|$65.82|$41.89||$74.80|$149.60|$106.22||$57.04|$71.06|$114.63|$74.09|||$58.72|$55.35|$58.77|$71.68|$91.20|$101.33|$70.13|$68.95|$47.42|$47.42
"Custom 27000974"|"HB NEEDLE BIPOLAR/CONCENTRIC"|270.00|$138.00|$30.91|$110.40|$97.00|$55.20|$48.58|$30.91||$55.20|$110.40|$78.38||$42.09|$52.44|$84.59|$54.68|||$43.33|$40.85|$40.02|$48.30|$62.10|$69.00|$51.75|$50.88|$35.00|$35.00
"Custom 27001004"|"HB NITRIC OXIDE/HR WCARD STUDY"|270.00|$820.00|$183.68|$656.00|$574.00|$328.00|$288.64|$183.68||$328.00|$656.00|$465.76||$250.10|$311.60|$502.66|$324.88|||$257.48|$242.72|$224.27|$269.36|$348.00|$386.67|$307.50|$302.33|$207.95|$207.95
"Custom 27001046"|"HB OXYGEN THERAPY PER DAY"|270.00|$540.00|$120.96|$432.00|$378.00|$216.00|$190.08|$120.96||$216.00|$432.00|$306.72||$164.70|$205.20|$331.02|$213.95|||$169.56|$159.84|$148.48|$206.05|$271.80|$302.00|$202.50|$199.10|$136.94|$136.94
"Custom 27001049"|"HB PACEMAKER EXT PER DAY"|270.00|$275.00|$61.60|$220.00|$192.00|$110.00|$96.80|$61.60||$110.00|$220.00|$156.20||$83.88|$104.50|$168.58|$108.96|||$86.35|$81.40|$123.83|$149.45|$192.15|$213.50|$103.13|$101.39|$69.74|$69.74
"Custom 27001559"|"HB UMBILICAL VESSEL CATH 3.5FR"|270.00|$558.00|$124.99|$446.40|$391.00|$223.20|$196.42|$124.99||$223.20|$446.40|$316.94||$170.19|$212.04|$342.05|$221.08|||$175.21|$165.17|$162.11|$195.65|$251.55|$279.50|$209.25|$205.73|$141.51|$141.51
"HCPCS A6530"|"HB COMP GAR,BK 18-30,EA M"|270.00|$126.00|$28.22|$100.80|$88.00|$50.40|$44.35|$28.22||$50.40|$100.80|$71.57||$38.43|$47.88|$77.24|$49.92|||$39.56|$37.30|$37.85|$45.68|$58.73|$65.25|$47.25|$46.46|$31.95|$31.95
"HCPCS A8003"|"HB HELMET,PROT,HARD, CUSTOM"|270.00|$3723.00|$833.95|$2978.40|$2606.00|$1489.20|$1310.50|$833.95||$1489.20|$2978.40|$2114.66||$1135.52|$1414.74|$2282.20|$1475.05|||$1169.02|$1102.01|$1103.16|$1331.40|$1711.80|$1902.00|$1396.13|$1372.67|$944.15|$944.15
"HCPCS E0484"|"HB ACAPELLA AIRWY CLEARNCE DEVICE"|270.00|$149.00|$33.38|$119.20|$104.00|$59.60|$52.45|$33.38||$59.60|$119.20|$84.63||$45.45|$56.62|$91.34|$59.03|||$46.79|$44.10|$40.12|$48.42|$68.85|$76.50|$55.88|$54.94|$37.79|$37.79
"HCPCS S8185"|"HB FLUTTER AIRWAY CLEARNCE DEVICE"|270.00|$170.00|$38.08|$136.00|$119.00|$68.00|$59.84|$38.08||$68.00|$136.00|$96.56||$51.85|$64.60|$104.21|$67.35|||$53.38|$50.32|$50.61|$61.08|$78.53|$87.25|$63.75|$62.68|$43.11|$43.11
"HCPCS E0484"|"HB THERAPAP AIRWY CLEARNCE DEVICE"|270.00|$148.00|$33.15|$118.40|$104.00|$59.20|$52.10|$33.15||$59.20|$118.40|$84.06||$45.14|$56.24|$90.72|$58.64|||$46.47|$43.81|$44.23|$53.38|$68.63|$76.25|$55.50|$54.57|$37.53|$37.53
"Custom 27001711"|"HB ELASTIC SHOELACES"|270.00|$5.00|$1.12|$4.00|$4.00|$2.00|$1.76|$1.12||$2.00|$4.00|$2.84||$1.53|$1.90|$3.07|$1.98|||$1.57|$1.48|$1.45|$1.75|$2.25|$2.50|$1.88|$1.84|$1.27|$1.27
"Custom 27001712"|"HB ILIZAROV FOOT PLATE"|270.00|$117.00|$26.21|$93.60|$82.00|$46.80|$41.18|$26.21||$46.80|$93.60|$66.46||$35.69|$44.46|$71.72|$46.36|||$36.74|$34.63|$34.37|$41.48|$53.33|$59.25|$43.88|$43.14|$29.67|$29.67
"HCPCS A6530"|"HB COMP GAR,BK 18-30,EA,G"|270.00|$129.00|$28.90|$103.20|$90.00|$51.60|$45.41|$28.90||$51.60|$103.20|$73.27||$39.35|$49.02|$79.08|$51.11|||$40.51|$38.18|$37.99|$45.85|$58.95|$65.50|$48.38|$47.56|$32.71|$32.71
"HCPCS A6533"|"HB COMP GAR,THIGH,18-30,EA,M"|270.00|$174.00|$38.98|$139.20|$122.00|$69.60|$61.25|$38.98||$69.60|$139.20|$98.83||$53.07|$66.12|$106.66|$68.94|||$54.64|$51.50|$52.20|$63.00|$81.00|$90.00|$65.25|$64.15|$44.13|$44.13
"HCPCS A6533"|"HB COMP GAR,THIGH,18-30,EA,G"|270.00|$177.00|$39.65|$141.60|$124.00|$70.80|$62.30|$39.65||$70.80|$141.60|$100.54||$53.99|$67.26|$108.50|$70.13|||$55.58|$52.39|$52.20|$63.00|$81.00|$90.00|$66.38|$65.26|$44.89|$44.89
"Custom 27001829"|"HB PROLACT +4 10ML 270"|270.00|$178.00|$39.87|$142.40|$125.00|$71.20|$62.66|$39.87||$71.20|$142.40|$101.10||$54.29|$67.64|$109.11|$70.52|||$55.89|$52.69|$53.22|$64.23|$82.58|$91.75|$66.75|$65.63|$45.14|$45.14
"Custom 27001830"|"HB PROLACT +10 50ML"|270.00|$896.00|$200.70|$716.80|$627.00|$358.40|$315.39|$200.70||$358.40|$716.80|$508.93||$273.28|$340.48|$549.25|$355.00|||$281.34|$265.22|$267.09|$322.35|$414.45|$460.50|$336.00|$330.36|$227.23|$227.23
"Custom 27001850"|"HB PROLACT +8: 20ML"|270.00|$391.00|$87.58|$312.80|$274.00|$156.40|$137.63|$87.58||$156.40|$312.80|$222.09||$119.26|$148.58|$239.68|$154.91|||$122.77|$115.74|$113.39|$136.85|$175.95|$195.50|$146.63|$144.16|$99.16|$99.16
"Custom 27001871"|"HB SUPPLIES TUBAL PROCEDURE"|270.00|$647.00|$144.93|$517.60|$453.00|$258.80|$227.74|$144.93||$258.80|$517.60|$367.50||$197.34|$245.86|$396.61|$256.34|||$203.16|$191.51|$187.63|$226.45|$291.15|$323.50|$242.63|$238.55|$164.08|$164.08
"Custom 27001872"|"HB SUPPLIES CERCLAGE"|270.00|$1423.00|$318.75|$1138.40|$996.00|$569.20|$500.90|$318.75||$569.20|$1138.40|$808.26||$434.02|$540.74|$872.30|$563.79|||$446.82|$421.21|$412.67|$498.05|$640.35|$711.50|$533.63|$524.66|$360.87|$360.87
"Custom 27001973"|"HB SUPPLIES HYSTERECTOMY"|270.00|$3075.00|$688.80|$2460.00|$2152.00|$1230.00|$1082.40|$688.80||$1230.00|$2460.00|$1746.60||$937.88|$1168.50|$1884.98|$1218.32|||$965.55|$910.20|$891.75|$1076.25|$1383.75|$1537.50|$1153.13|$1133.75|$779.82|$779.82
"Custom 27002038"|"HB NITROUS OXIDE"|270.00|$400.00|$89.60|$320.00|$280.00|$160.00|$140.80|$89.60||$160.00|$320.00|$227.20||$122.00|$152.00|$245.20|$158.48|||$125.60|$118.40|$116.58|$140.42|$180.90|$201.00|$150.00|$147.48|$101.44|$101.44
"Custom 27201581"|"HB SIP/PUFF CIRCUIT"|270.00|$110.00|$24.64|$88.00|$77.00|$44.00|$38.72|$24.64||$44.00|$88.00|$62.48||$33.55|$41.80|$67.43|$43.58|||$34.54|$32.56|$31.90|$38.50|$49.50|$55.00|$41.25|$40.56|$27.90|$27.90
"HCPCS L3260"|"HB SURG BOOT,SHOE EA"|270.00|$448.00|$100.35|$358.40|$314.00|$179.20|$157.70|$100.35||$179.20|$358.40|$254.46||$136.64|$170.24|$274.62|$177.50|||$140.67|$132.61|$184.63|$235.20|$286.50|$318.33|$168.00|$165.18|$113.61|$113.61
"Custom 41000017"|"HB HIGH FLOW OXYGEN; INITIAL DAY"|270.00|$1191.00|$266.78|$952.80|$834.00|$476.40|$419.23|$266.78||$476.40|$952.80|$676.49||$363.26|$452.58|$730.08|$471.87|||$373.97|$352.54|$345.39|$416.85|$535.95|$595.50|$446.63|$439.12|$302.04|$302.04
"Custom 41000018"|"HB HIGH HUMIDITY MANAGEMENT; INITIAL DAY"|270.00|$1078.00|$241.47|$862.40|$755.00|$431.20|$379.46|$241.47||$431.20|$862.40|$612.30||$328.79|$409.64|$660.81|$427.10|||$338.49|$319.09|$312.62|$377.30|$485.10|$539.00|$404.25|$397.46|$273.38|$273.38
"Custom 41000019"|"HB HIGH HUMIDITY MANAGEMENT; SUBSEQUENT DAY"|270.00|$1112.00|$249.09|$889.60|$778.00|$444.80|$391.42|$249.09||$444.80|$889.60|$631.62||$339.16|$422.56|$681.66|$440.57|||$349.17|$329.15|$322.48|$389.20|$500.40|$556.00|$417.00|$409.99|$282.00|$282.00
"Custom 41000020"|"HB NEONATAL OXYGEN MANAGEMENT; DAILY"|270.00|$727.00|$162.85|$581.60|$509.00|$290.80|$255.90|$162.85||$290.80|$581.60|$412.94||$221.74|$276.26|$445.65|$288.04|||$228.28|$215.19|$210.83|$254.45|$327.15|$363.50|$272.63|$268.04|$184.37|$184.37
"Custom 27100019"|"HB COMPRESSED AIR DLY CHARGE"|271.00|$87.00|$19.49|$69.60|$61.00|$34.80|$30.62|$19.49||$34.80|$69.60|$49.42||$26.54|$33.06|$53.33|$34.47|||$27.32|$25.75|$26.10|$31.50|$40.50|$45.00|$32.63|$32.08|$22.06|$22.06
"Custom 27100023"|"HB HELIOX"|271.00|$553.00|$123.87|$442.40|$387.00|$221.20|$194.66|$123.87||$221.20|$442.40|$314.10||$168.67|$210.14|$338.99|$219.10|||$173.64|$163.69|$127.21|$153.53|$197.40|$219.33|$207.38|$203.89|$140.24|$140.24
"Custom 27100038"|"HB PILL SPLITTER"|271.00|$7.00|$1.57|$5.60|$5.00|$2.80|$2.46|$1.57||$2.80|$5.60|$3.98||$2.14|$2.66|$4.29|$2.77|||$2.20|$2.07|$2.47|$2.98|$3.83|$4.25|$2.63|$2.58|$1.78|$1.78
"Custom 27100039"|"HB PILL CRUSHER"|271.00|$16.00|$3.58|$12.80|$11.00|$6.40|$5.63|$3.58||$6.40|$12.80|$9.09||$4.88|$6.08|$9.81|$6.34|||$5.02|$4.74|$5.51|$6.65|$8.55|$9.50|$6.00|$5.90|$4.06|$4.06
"Custom 27100047"|"HB DRESS MEPILEX PLAIN 4X4"|271.00|$59.00|$13.22|$47.20|$41.00|$23.60|$20.77|$13.22||$23.60|$47.20|$33.51||$18.00|$22.42|$36.17|$23.38|||$18.53|$17.46|$15.52|$18.69|$24.90|$27.67|$22.13|$21.75|$14.96|$14.96
"Custom 27200079"|"HB COOK SELECTIVE CATHETER; BLUE"|272.00|$118.00|$26.43|$94.40|$83.00|$47.20|$41.54|$26.43||$47.20|$94.40|$67.02||$35.99|$44.84|$72.33|$46.75|||$37.05|$34.93|$34.66|$41.83|$53.78|$59.75|$44.25|$43.51|$29.92|$29.92
"Custom 27200080"|"HB COOK TENACATH"|272.00|$181.00|$40.54|$144.80|$127.00|$72.40|$63.71|$40.54||$72.40|$144.80|$102.81||$55.21|$68.78|$110.95|$71.71|||$56.83|$53.58|$54.52|$65.80|$84.60|$94.00|$67.88|$66.73|$45.90|$45.90
"Custom 27200102"|"HB DRAINAGE BAG"|272.00|$102.00|$22.85|$81.60|$71.00|$40.80|$35.90|$22.85||$40.80|$81.60|$57.94||$31.11|$38.76|$62.53|$40.41|||$32.03|$30.19|$30.02|$36.23|$46.58|$51.75|$38.25|$37.61|$25.87|$25.87
"Custom 27200111"|"HB EMU SPHENOIDALS DISPOSABLE"|272.00|$117.00|$26.21|$93.60|$82.00|$46.80|$41.18|$26.21||$46.80|$93.60|$66.46||$35.69|$44.46|$71.72|$46.36|||$36.74|$34.63|$34.80|$42.00|$54.00|$60.00|$43.88|$43.14|$29.67|$29.67
"Custom 27200135"|"HB GLIDESCOPE LARYNGOSCOPE"|272.00|$189.00|$42.34|$151.20|$132.00|$75.60|$66.53|$42.34||$75.60|$151.20|$107.35||$57.65|$71.82|$115.86|$74.88|||$59.35|$55.94|$56.99|$69.13|$88.43|$98.25|$70.88|$69.68|$47.93|$47.93
"Custom 27200151"|"HB IOM DISPOSABLE NEEDLES"|272.00|$31.00|$6.94|$24.80|$22.00|$12.40|$10.91|$6.94||$12.40|$24.80|$17.61||$9.46|$11.78|$19.00|$12.28|||$9.73|$9.18|$9.14|$11.03|$14.18|$15.75|$11.63|$11.43|$7.86|$7.86
"Custom 27200168"|"HB LDR SUTURE PACK"|272.00|$156.00|$34.94|$124.80|$109.00|$62.40|$54.91|$34.94||$62.40|$124.80|$88.61||$47.58|$59.28|$95.63|$61.81|||$48.98|$46.18|$46.98|$56.70|$72.90|$81.00|$58.50|$57.52|$39.56|$39.56
"Custom 27200198"|"HB NG TUBE/SALEM SUMP"|272.00|$59.00|$13.22|$47.20|$41.00|$23.60|$20.77|$13.22||$23.60|$47.20|$33.51||$18.00|$22.42|$36.17|$23.38|||$18.53|$17.46|$17.84|$21.88|$27.68|$30.75|$22.13|$21.75|$14.96|$14.96
"Custom 27200260"|"HB SPECULUM VAGINAL MEDIUM DISPOSABLE"|272.00|$4.00|$0.90|$3.20|$3.00|$1.60|$1.41|$0.90||$1.60|$3.20|$2.27||$1.22|$1.52|$2.45|$1.58|||$1.26|$1.18|$1.16|$1.40|$1.80|$2.00|$1.50|$1.47|$1.01|$1.01
"Custom 27200291"|"HB SUPPLIES D&C PROCEDURE"|272.00|$657.00|$147.17|$525.60|$460.00|$262.80|$231.26|$147.17||$262.80|$525.60|$373.18||$200.39|$249.66|$402.74|$260.30|||$206.30|$194.47|$193.29|$233.28|$299.93|$333.25|$246.38|$242.24|$166.62|$166.62
"Custom 27200292"|"HB SUPPLIES - DELIVERY"|272.00|$1120.00|$250.88|$896.00|$784.00|$448.00|$394.24|$250.88||$448.00|$896.00|$636.16||$341.60|$425.60|$686.56|$443.74|||$351.68|$331.52|$333.79|$402.85|$517.95|$575.50|$420.00|$412.94|$284.03|$284.03
"Custom 27200294"|"HB SUPPLY-PIPELLE"|272.00|$48.00|$10.75|$38.40|$34.00|$19.20|$16.90|$10.75||$19.20|$38.40|$27.26||$14.64|$18.24|$29.42|$19.02|||$15.07|$14.21|$14.36|$17.33|$22.28|$24.75|$18.00|$17.70|$12.17|$12.17
"Custom 27200296"|"HB SURGICEL ABSORBABLE HEMOSTAT"|272.00|$337.00|$75.49|$269.60|$236.00|$134.80|$118.62|$75.49||$134.80|$269.60|$191.42||$102.79|$128.06|$206.58|$133.52|||$105.82|$99.75|$99.18|$119.70|$153.90|$171.00|$126.38|$124.25|$85.46|$85.46
"Custom 27200349"|"HB VM DISPOSABLE ELECTRODES"|272.00|$45.00|$10.08|$36.00|$31.00|$18.00|$15.84|$10.08||$18.00|$36.00|$25.56||$13.73|$17.10|$27.59|$17.83|||$14.13|$13.32|$13.49|$16.28|$20.93|$23.25|$16.88|$16.59|$11.41|$11.41
"Custom 27200350"|"HB VM DISPOSABLE MRI COMPATIBLE ELECTRODES"|272.00|$216.00|$48.38|$172.80|$151.00|$86.40|$76.03|$48.38||$86.40|$172.80|$122.69||$65.88|$82.08|$132.41|$85.58|||$67.82|$63.94|$64.24|$77.53|$99.68|$110.75|$81.00|$79.64|$54.78|$54.78
"Custom 27200355"|"HB WIRE"|272.00|$76.00|$17.02|$60.80|$53.00|$30.40|$26.75|$17.02||$30.40|$60.80|$43.17||$23.18|$28.88|$46.59|$30.11|||$23.86|$22.50|$23.68|$28.77|$36.75|$40.83|$28.50|$28.02|$19.27|$19.27
"Custom 27200425"|"HB ANES TRAY SPNL 25GX3.5/LATX"|272.00|$105.00|$23.52|$84.00|$74.00|$42.00|$36.96|$23.52||$42.00|$84.00|$59.64||$32.03|$39.90|$64.37|$41.60|||$32.97|$31.08|$31.90|$38.71|$49.50|$55.00|$39.38|$38.71|$26.63|$26.63
"Custom 27200426"|"HB ANES TRY SPINAL EPIDURL 27G"|272.00|$272.00|$60.93|$217.60|$190.00|$108.80|$95.74|$60.93||$108.80|$217.60|$154.50||$82.96|$103.36|$166.74|$107.77|||$85.41|$80.51|$82.84|$100.42|$128.55|$142.83|$102.00|$100.29|$68.98|$68.98
"Custom 27200432"|"HB ANESCATH SET RADIAL ART 20G"|272.00|$82.00|$18.37|$65.60|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$32.49|||$25.75|$24.27|$24.70|$30.10|$38.33|$42.58|$30.75|$30.23|$20.80|$20.80
"Custom 27200590"|"HB DOPPLER PROBE ESOPHAGEAL"|272.00|$2638.00|$590.91|$2110.40|$1847.00|$1055.20|$928.58|$590.91||$1055.20|$2110.40|$1498.38||$804.59|$1002.44|$1617.09|$1045.18|||$828.33|$780.85|$819.64|$994.49|$1271.85|$1413.17|$989.25|$972.63|$669.00|$669.00
"Custom 27200631"|"HB ENDOFORM COLLAGEN 2X2/MICROFIBRIL"|272.00|$911.00|$204.06|$728.80|$638.00|$364.40|$320.67|$204.06||$364.40|$728.80|$517.45||$277.86|$346.18|$558.44|$360.94|||$286.05|$269.66|$309.87|$373.98|$480.83|$534.25|$341.63|$335.89|$231.03|$231.03
"Custom 27200721"|"HB KIT IV START 57285C"|272.00|$27.00|$6.05|$21.60|$19.00|$10.80|$9.50|$6.05||$10.80|$21.60|$15.34||$8.24|$10.26|$16.55|$10.70|||$8.48|$7.99|$7.69|$9.21|$11.93|$13.25|$10.13|$9.95|$6.85|$6.85
"Custom 27200799"|"HB NEEDLE BONE BIOPSY 13GA"|272.00|$1051.00|$235.42|$840.80|$736.00|$420.40|$369.95|$235.42||$420.40|$840.80|$596.97||$320.56|$399.38|$644.26|$416.41|||$330.01|$311.10|$316.97|$382.55|$491.85|$546.50|$394.13|$387.50|$266.53|$266.53
"Custom 27200800"|"HB NEEDLE BREAST PREC GD20X1.5"|272.00|$108.00|$24.19|$86.40|$76.00|$43.20|$38.02|$24.19||$43.20|$86.40|$61.34||$32.94|$41.04|$66.20|$42.79|||$33.91|$31.97|$32.63|$39.38|$50.63|$56.25|$40.50|$39.82|$27.39|$27.39
"Custom 27200801"|"HB NEEDLE CANN 100/22G/10M"|272.00|$288.00|$64.51|$230.40|$202.00|$115.20|$101.38|$64.51||$115.20|$230.40|$163.58||$87.84|$109.44|$176.54|$114.11|||$90.43|$85.25|$83.52|$100.80|$129.60|$144.00|$108.00|$106.19|$73.04|$73.04
"Custom 27200874"|"HB REMOVER STAPLE SURGICAL PSX"|272.00|$19.00|$4.26|$15.20|$13.00|$7.60|$6.69|$4.26||$7.60|$15.20|$10.79||$5.80|$7.22|$11.65|$7.53|||$5.97|$5.62|$5.51|$6.65|$8.55|$9.50|$7.13|$7.01|$4.82|$4.82
"Custom 27201136"|"HB SODIUM CHLORIDE .9% 1000ML"|272.00|$28.00|$6.27|$22.40|$20.00|$11.20|$9.86|$6.27||$11.20|$22.40|$15.90||$8.54|$10.64|$17.16|$11.09|||$8.79|$8.29|$8.27|$9.98|$12.83|$14.25|$10.50|$10.32|$7.10|$7.10
"Custom 27201142"|"HB ANES TUBE ET DBL LMN 39FR R"|272.00|$948.00|$212.35|$758.40|$664.00|$379.20|$333.70|$212.35||$379.20|$758.40|$538.46||$289.14|$360.24|$581.12|$375.60|||$297.67|$280.61|$288.89|$351.02|$448.28|$498.08|$355.50|$349.53|$240.41|$240.41
"HCPCS C1751"|"HB CATH,INF,PERCENT/MIDLINE"|272.00|$315.00|$70.56|$252.00|$220.00|$126.00|$110.88|$70.56||$126.00|$252.00|$178.92||$96.08|$119.70|$193.10|$124.80|||$98.91|$93.24|$94.98|$114.63|$147.38|$163.75|$118.13|$116.14|$79.88|$79.88
"HCPCS C1769"|"HB GUIDE WIRE"|272.00|$370.00|$82.88|$296.00|$259.00|$148.00|$130.24|$82.88||$148.00|$296.00|$210.16||$112.85|$140.60|$226.81|$146.59|||$116.18|$109.52|$103.17|$124.51|$172.80|$192.00|$138.75|$136.42|$93.83|$93.83
"HCPCS C1751"|"HB CATH,INF,PERCENT/MIDLINE"|272.00|$439.00|$98.34|$351.20|$307.00|$175.60|$154.53|$98.34||$175.60|$351.20|$249.35||$133.90|$166.82|$269.11|$173.93|||$137.85|$129.94|$129.05|$155.75|$200.25|$222.50|$164.63|$161.86|$111.33|$111.33
"HCPCS C1715"|"HB NEEDLE BRACHY TX DISP"|272.00|$73.00|$16.35|$58.40|$51.00|$29.20|$25.70|$16.35||$29.20|$58.40|$41.46||$22.27|$27.74|$44.75|$28.92|||$22.92|$21.61|$21.17|$25.55|$32.85|$36.50|$27.38|$26.92|$18.51|$18.51
"HCPCS J7300"|"HB PARAGARD (IUD)"|272.00|$712.00|$159.49|$569.60|$498.00|$284.80|$250.62|$159.49||$284.80|$569.60|$404.42||$217.16|$270.56|$436.46|$282.09|||$223.57|$210.75|$212.14|$256.03|$329.18|$365.75|$267.00|$262.51|$180.56|$180.56
"HCPCS C1751"|"HB CATH,INF,PERCENT/MIDLINE"|272.00|$326.00|$73.02|$260.80|$228.00|$130.40|$114.75|$73.02||$130.40|$260.80|$185.17||$99.43|$123.88|$199.84|$129.16|||$102.36|$96.50|$139.25|$159.92|$216.08|$240.08|$122.25|$120.20|$82.67|$82.67
"HCPCS C1726"|"HB COOK BALLOON CATHETER"|272.00|$189.00|$42.34|$151.20|$132.00|$75.60|$66.53|$42.34||$75.60|$151.20|$107.35||$57.65|$71.82|$115.86|$74.88|||$59.35|$55.94|$56.99|$68.78|$88.43|$98.25|$70.88|$69.68|$47.93|$47.93
"HCPCS C1726"|"HB HYSTEROSALPINGOGRAPHY; CATHETER, BALLOON DILATATION, NON-VASCULAR"|272.00|$54.00|$12.10|$43.20|$38.00|$21.60|$19.01|$12.10||$21.60|$43.20|$30.67||$16.47|$20.52|$33.10|$21.39|||$16.96|$15.98|$16.10|$19.43|$24.98|$27.75|$20.25|$19.91|$13.69|$13.69
"HCPCS C1751"|"HB CATH SWAN GANZ 4FR"|272.00|$405.00|$90.72|$368.08|$284.00|$162.00|$142.56|$90.72||$162.00|$324.00|$230.04||$123.53|$153.90|$248.27|$160.46|||$127.17|$119.88|$213.49|$210.18|$331.28|$368.08|$151.88|$149.32|$102.71|$102.71
"HCPCS C1729"|"HB CATHETER, DRAINAGE"|272.00|$489.00|$109.54|$451.92|$342.00|$195.60|$172.13|$109.54||$195.60|$391.20|$277.75||$149.15|$185.82|$299.76|$193.74|||$153.55|$144.74|$211.65|$332.82|$406.73|$451.92|$183.38|$180.29|$124.01|$124.01
"HCPCS C1751"|"HB CATH,INF,PERCENT/MIDLINE"|272.00|$334.00|$74.82|$267.20|$234.00|$133.60|$117.57|$74.82||$133.60|$267.20|$189.71||$101.87|$126.92|$204.74|$132.33|||$104.88|$98.86|$98.17|$118.48|$152.33|$169.25|$125.25|$123.15|$84.70|$84.70
"HCPCS C1751"|"HB PICC CATHETER"|272.00|$1198.00|$268.35|$958.40|$839.00|$479.20|$421.70|$268.35||$479.20|$958.40|$680.46||$365.39|$455.24|$734.37|$474.65|||$376.17|$354.61|$273.76|$330.40|$546.75|$607.50|$449.25|$441.70|$303.81|$303.81
"CPT® C1894"|"HB INTRODUCER KIT ARROW 9FR"|272.00|$666.00|$149.18|$532.80|$466.00|$266.40|$234.43|$149.18||$266.40|$532.80|$378.29||$203.13|$253.08|$408.26|$263.87|||$209.12|$197.14|$259.02|$288.23|$401.93|$446.58|$249.75|$245.55|$168.90|$168.90
"CPT® C1751"|"HB ANES SINGLE LUMEN LINE"|272.00|$326.00|$73.02|$715.08|$228.00|$130.40|$114.75|$73.02||$130.40|$260.80|$185.17||$99.43|$123.88|$199.84|$129.16|||$102.36|$96.50|$414.75|$531.48|$643.58|$715.08|$122.25|$120.20|$82.67|$82.67
"CPT® C1751"|"HB ANES TRIPLE LUMEN LINE"|272.00|$326.00|$73.02|$362.25|$228.00|$130.40|$114.75|$73.02||$130.40|$260.80|$185.17||$99.43|$123.88|$199.84|$129.16|||$102.36|$96.50|$210.11|$309.05|$326.03|$362.25|$122.25|$120.20|$82.67|$82.67
"CPT® C1751"|"HB CVC DOUBLE LUMEN LINE"|272.00|$324.00|$72.58|$259.20|$227.00|$129.60|$114.05|$72.58||$129.60|$259.20|$184.03||$98.82|$123.12|$198.61|$128.37|||$101.74|$95.90|$100.97|$122.54|$156.68|$174.08|$121.50|$119.46|$82.17|$82.17
"Custom 27201471"|"HB EVIVA PETITE HANDPIECE 0913-12T"|272.00|$619.00|$138.66|$664.33|$433.00|$247.60|$217.89|$138.66||$247.60|$495.20|$351.59||$188.80|$235.22|$379.45|$245.25|||$194.37|$183.22|$385.31|$485.31|$597.90|$664.33|$232.13|$228.23|$156.98|$156.98
"Custom 27201472"|"HB EVIVA STANDARD HANDPIECE 0913-20"|272.00|$1349.00|$302.18|$1079.20|$944.00|$539.60|$474.85|$302.18||$539.60|$1079.20|$766.23||$411.45|$512.62|$826.94|$534.47|||$423.59|$399.30|$417.79|$506.80|$648.30|$720.33|$505.88|$497.38|$342.11|$342.11
"Custom 27201480"|"HB SUPPLIES C-SECTION"|272.00|$1504.00|$336.90|$1203.20|$1053.00|$601.60|$529.41|$336.90||$601.60|$1203.20|$854.27||$458.72|$571.52|$921.95|$595.88|||$472.26|$445.18|$436.16|$526.40|$676.80|$752.00|$564.00|$554.52|$381.41|$381.41
"Custom 27201481"|"HB SPINAL KIT PENCAN 25GX3.5"" W/LIDO"|272.00|$477.00|$85.98|$381.60|$334.00|$190.80|$167.90|$106.85||$190.80|$381.60|$270.94||$145.49|$181.26|$292.40|$188.99|||$149.78|$141.19|$88.02|$85.98|$136.58|$151.75|$178.88|$175.87|$120.97|$120.97
"Custom 27201489"|"HB SUPPLIES D&C PROCEDURE"|272.00|$657.00|$147.17|$525.60|$460.00|$262.80|$231.26|$147.17||$262.80|$525.60|$373.18||$200.39|$249.66|$402.74|$260.30|||$206.30|$194.47|$190.53|$229.95|$295.65|$328.50|$246.38|$242.24|$166.62|$166.62
"Custom 27201551"|"HB INTRODUCER"|272.00|$1446.00|$323.90|$1156.80|$1012.00|$578.40|$508.99|$323.90||$578.40|$1156.80|$821.33||$441.03|$549.48|$886.40|$572.91|||$454.04|$428.02|$419.34|$506.10|$650.70|$723.00|$542.25|$533.14|$366.71|$366.71
"Custom 27201552"|"HB ROCKET KCH FETAL BLADDER CATHETER"|272.00|$340.00|$76.16|$272.00|$238.00|$136.00|$119.68|$76.16||$136.00|$272.00|$193.12||$103.70|$129.20|$208.42|$134.71|||$106.76|$100.64|$98.60|$119.00|$153.00|$170.00|$127.50|$125.36|$86.22|$86.22
"Custom 27201553"|"HB HARRISON FETAL BLADDER STENT SET"|272.00|$602.00|$134.85|$481.60|$421.00|$240.80|$211.90|$134.85||$240.80|$481.60|$341.94||$183.61|$228.76|$369.03|$238.51|||$189.03|$178.19|$174.58|$210.70|$270.90|$301.00|$225.75|$221.96|$152.67|$152.67
"Custom 27201648"|"HB Q-SWEAT IONTOPHORETIC GROUND PADS - GELTRODES"|272.00|$16.00|$3.58|$12.80|$11.00|$6.40|$5.63|$3.58||$6.40|$12.80|$9.09||$4.88|$6.08|$9.81|$6.34|||$5.02|$4.74|$4.64|$5.60|$7.20|$8.00|$6.00|$5.90|$4.06|$4.06
"Custom 27201649"|"HB MERIDIAN ELECTRODES"|272.00|$40.00|$8.96|$32.00|$28.00|$16.00|$14.08|$8.96||$16.00|$32.00|$22.72||$12.20|$15.20|$24.52|$15.85|||$12.56|$11.84|$11.60|$14.00|$18.00|$20.00|$15.00|$14.75|$10.14|$10.14
"HCPCS C1726"|"HB CATHETER CANNULATION NOVY CORNUAL MODIFIED WITH CURVED INTRODUCING 5FR X 35 X 50CM SET"|272.00|$465.00|$104.16|$372.00|$326.00|$186.00|$163.68|$104.16||$186.00|$372.00|$264.12||$141.83|$176.70|$285.05|$184.23|||$146.01|$137.64|$134.85|$162.75|$209.25|$232.50|$174.38|$171.45|$117.92|$117.92
"HCPCS C1726"|"HB CANNULATION SET NOVY CORNUAL 40 CM X 55 CM CURVED"|272.00|$456.00|$102.14|$364.80|$319.00|$182.40|$160.51|$102.14||$182.40|$364.80|$259.01||$139.08|$173.28|$279.53|$180.67|||$143.18|$134.98|$132.24|$159.60|$205.20|$228.00|$171.00|$168.13|$115.64|$115.64
"Custom 27203029"|"HB DRESSING DERMAL FENESTRATED TEMPLATE ENDOFORM 2 X 2 IN COLLAGEN EXTRACELLULAR MATRIX"|272.00|$39.00|$8.74|$91.92|$27.00|$15.60|$13.73|$8.74||$15.60|$31.20|$22.15||$11.90|$14.82|$23.91|$15.45|||$12.25|$11.54|$53.31|$69.44|$82.73|$91.92|$14.63|$14.38|$9.89|$9.89
"Custom 27203036"|"HB CATHETER CENTRAL VENOUS UMBILICAL SINGLE LUMEN LUERLOCK 3.5 FR X 15 IN LF"|272.00|$49.00|$10.98|$126.33|$34.00|$19.60|$17.25|$10.98||$19.60|$39.20|$27.83||$14.95|$18.62|$30.04|$19.41|||$15.39|$14.50|$73.27|$93.56|$113.70|$126.33|$18.38|$18.07|$12.43|$12.43
"HCPCS C1729"|"HB CATHETER PNEUMOTHORAX 1400 19GAX14FRX29CM  5CM 9CM NEEDLE TRAY WAYNE SELDINGER PLACED C UTPTY"|272.00|$721.00|$161.50|$1062.58|$505.00|$288.40|$253.79|$161.50||$288.40|$576.80|$409.53||$219.91|$273.98|$441.97|$285.66|||$226.39|$213.42|$616.30|$783.13|$956.33|$1062.58|$270.38|$265.83|$182.85|$182.85
"Custom 27203088"|"HB CATHETER KIT CENTRAL VENOUS RADIAL ARTERY 3 FR X 5 CM"|272.00|$209.00|$46.82|$476.58|$146.00|$83.60|$73.57|$46.82||$83.60|$167.20|$118.71||$63.75|$79.42|$128.12|$82.81|||$65.63|$61.86|$276.42|$354.45|$428.93|$476.58|$78.38|$77.06|$53.00|$53.00
"HCPCS C1729"|"HB CATHETER KIT THORACIC INSERTION LIDOCAINE PLEURAGLIDE NEEDLE 19 G DISPOSABLE W/O CATHETER"|272.00|$292.00|$65.41|$651.17|$204.00|$116.80|$102.78|$65.41||$116.80|$233.60|$165.86||$89.06|$110.96|$179.00|$115.69|||$91.69|$86.43|$377.68|$481.18|$586.05|$651.17|$109.50|$107.66|$74.05|$74.05
"Custom 27203152"|"HB CATHETER UMBILICAL DOUBLE LUMEN LUERLOCK HUB ARGYLE 3.5 FR X 15 IN POLYURETHANE LF STERILE"|272.00|$124.00|$27.78|$318.25|$87.00|$49.60|$43.65|$27.78||$49.60|$99.20|$70.43||$37.82|$47.12|$76.01|$49.13|||$38.94|$36.70|$184.59|$235.66|$286.43|$318.25|$46.50|$45.72|$31.45|$31.45
"Custom 27203288"|"HB HANDPIECE BX BRST MAMMO-ATEC MINMLY STEREOTCT 9GX20MMX12CM"|272.00|$551.00|$123.42|$662.75|$386.00|$220.40|$193.95|$123.42||$220.40|$440.80|$312.97||$168.06|$209.38|$337.76|$218.31|||$173.01|$163.10|$384.40|$463.93|$596.48|$662.75|$206.63|$203.15|$139.73|$139.73
"Custom 27203289"|"HB HANDPIECE NDL BX MAG RESONC IMAG MRI STD ATEC 9GX20MMX14CM"|272.00|$662.00|$148.29|$1215.17|$463.00|$264.80|$233.02|$148.29||$264.80|$529.60|$376.02||$201.91|$251.56|$405.81|$262.28|||$207.87|$195.95|$583.05|$821.21|$1093.65|$1215.17|$248.25|$244.08|$167.88|$167.88
"Custom 27203294"|"HB HANDPIECE BX BRST NDL MAMMO-ATEC 9 G X 12MMX14CM"|272.00|$662.00|$148.29|$1271.83|$463.00|$264.80|$233.02|$148.29||$264.80|$529.60|$376.02||$201.91|$251.56|$405.81|$262.28|||$207.87|$195.95|$615.86|$844.97|$1144.65|$1271.83|$248.25|$244.08|$167.88|$167.88
"Custom 27203355"|"HB NDL ELECMYO CONCNTRIC 26 G X 37MM GRN DISP"|272.00|$38.00|$8.51|$747.33|$27.00|$15.20|$13.38|$8.51||$15.20|$30.40|$21.58||$11.59|$14.44|$23.29|$15.06|||$11.93|$11.25|$433.45|$563.92|$672.60|$747.33|$14.25|$14.01|$9.64|$9.64
"Custom 27203479"|"HB CERIBELL EEG HEADBAND"|272.00|$2276.00|$509.82|$1995.50|$1593.00|$910.40|$801.15|$509.82||$910.40|$1820.80|$1292.77||$694.18|$864.88|$1395.19|$901.75|||$714.66|$673.70|$1157.39|$1444.87|$1795.95|$1995.50|$853.50|$839.16|$577.19|$577.19
"Custom 27203480"|"HB KNIFE HYBRID TYPE I O.D 2.2X2.2MM"|272.00|$1797.00|$402.53|$1437.60|$1258.00|$718.80|$632.54|$402.53||$718.80|$1437.60|$1020.70||$548.09|$682.86|$1101.56|$711.97|||$564.26|$531.91|$521.13|$628.95|$808.65|$898.50|$673.88|$662.55|$455.72|$455.72
"Custom 27203481"|"HB KNIFE HYBRID TYPE T O.D 2.3X1.9MM"|272.00|$1797.00|$402.53|$1437.60|$1258.00|$718.80|$632.54|$402.53||$718.80|$1437.60|$1020.70||$548.09|$682.86|$1101.56|$711.97|||$564.26|$531.91|$521.13|$628.95|$808.65|$898.50|$673.88|$662.55|$455.72|$455.72
"HCPCS A4648"|"HB NEEDLE DELIVERY 7.5 CM AND REFLECTOR SCOUT SINGLE HAND"|272.00|$294.00|$65.86|$235.20|$206.00|$117.60|$103.49|$65.86||$117.60|$235.20|$166.99||$89.67|$111.72|$180.22|$116.48|||$92.32|$87.02|$85.26|$102.90|$132.30|$147.00|$110.25|$108.40|$74.56|$74.56
"HCPCS A4648"|"HB NEEDLE DELIVERY 7.5 CM WITH REFLECTOR SAVISCOUT MAMMO"|272.00|$294.00|$65.86|$235.20|$206.00|$117.60|$103.49|$65.86||$117.60|$235.20|$166.99||$89.67|$111.72|$180.22|$116.48|||$92.32|$87.02|$85.26|$102.90|$132.30|$147.00|$110.25|$108.40|$74.56|$74.56
"HCPCS A4648"|"HB NEEDLE DELIVERY 5 CM WITH REFLECTOR SAVISCOUT MAMMO"|272.00|$294.00|$65.86|$235.20|$206.00|$117.60|$103.49|$65.86||$117.60|$235.20|$166.99||$89.67|$111.72|$180.22|$116.48|||$92.32|$87.02|$85.26|$102.90|$132.30|$147.00|$110.25|$108.40|$74.56|$74.56
"HCPCS A4648"|"HB NEEDLE DELIVERY 10 CM WITH REFLECTOR SAVISCOUT MAMMO"|272.00|$294.00|$65.86|$235.20|$206.00|$117.60|$103.49|$65.86||$117.60|$235.20|$166.99||$89.67|$111.72|$180.22|$116.48|||$92.32|$87.02|$85.26|$102.90|$132.30|$147.00|$110.25|$108.40|$74.56|$74.56
"Custom 27400005"|"HB ADL CYLINDRICAL FOAM"|274.00|$6.00|$1.34|$4.80|$4.00|$2.40|$2.11|$1.34||$2.40|$4.80|$3.41||$1.83|$2.28|$3.68|$2.38|||$1.88|$1.78|$1.74|$2.10|$2.70|$3.00|$2.25|$2.21|$1.52|$1.52
"Custom 27400006"|"HB MULTI PODUS BOOT"|274.00|$172.00|$38.53|$137.60|$120.00|$68.80|$60.54|$38.53||$68.80|$137.60|$97.70||$52.46|$65.36|$105.44|$68.15|||$54.01|$50.91|$51.48|$62.13|$79.88|$88.75|$64.50|$63.42|$43.62|$43.62
"HCPCS L0120"|"HB CERVICAL COLLAR SOFT"|274.00|$67.00|$15.01|$75.07|$47.00|$26.80|$23.58|$15.01||$26.80|$53.60|$38.06||$20.44|$25.46|$41.07|$26.55|||$21.04|$19.83|$20.59|$58.26|$67.56|$75.07|$25.13|$24.70|$16.99|$16.99
"HCPCS L1830"|"HB KNEE IMMOBILIZER"|274.00|$348.00|$77.95|$278.40|$244.00|$139.20|$122.50|$77.95||$139.20|$278.40|$197.66||$106.14|$132.24|$213.32|$137.88|||$109.27|$103.01|$98.15|$118.18|$152.29|$169.21|$130.50|$128.31|$88.25|$88.25
"HCPCS L4360"|"HB WALKER NXSTEP CONTOUT AIR LG"|274.00|$722.00|$161.73|$577.60|$505.00|$288.80|$254.14|$161.73||$288.80|$577.60|$410.10||$220.21|$274.36|$442.59|$286.06|||$226.71|$213.71|$203.82|$246.23|$318.75|$354.17|$270.75|$266.20|$183.10|$183.10
"HCPCS L3933"|"HB CUSTOM FINGER ORTHOSIS STATIC"|274.00|$2565.00|$289.31|$2052.00|$1795.00|$1026.00|$902.88|$574.56||$1026.00|$2052.00|$1456.92||$782.33|$974.70|$1572.35|$1016.25|||$805.41|$759.24|$322.87|$289.31|$501.00|$556.67|$961.88|$945.72|$650.48|$650.48
"HCPCS L3807"|"HB PREFAB WHFO STATIC"|274.00|$525.00|$117.60|$790.75|$368.00|$210.00|$184.80|$117.60||$210.00|$420.00|$298.20||$160.13|$199.50|$321.83|$208.01|||$164.85|$155.40|$369.27|$445.67|$711.68|$790.75|$196.88|$193.57|$133.14|$133.14
"HCPCS L3908"|"HB PREFAB WHO STATIC"|274.00|$331.00|$74.14|$264.80|$232.00|$132.40|$116.51|$74.14||$132.40|$264.80|$188.01||$100.96|$125.78|$202.90|$131.14|||$103.93|$97.98|$75.98|$91.70|$148.95|$165.50|$124.13|$122.04|$83.94|$83.94
"HCPCS L4360"|"HB WALKER NXSTEP CONTOUT AIR MD"|274.00|$663.00|$148.51|$600.58|$464.00|$265.20|$233.38|$148.51||$265.20|$530.40|$376.58||$202.22|$251.94|$406.42|$262.68|||$208.18|$196.25|$200.97|$455.28|$540.53|$600.58|$248.63|$244.45|$168.14|$168.14
"HCPCS L2999"|"HB CUSTOM ORTHOTICS"|274.00|$405.00|$90.72|$1172.08|$284.00|$162.00|$142.56|$90.72||$162.00|$324.00|$230.04||$123.53|$153.90|$248.27|$160.46|||$127.17|$119.88|$679.81|$874.76|$1054.88|$1172.08|$151.88|$149.32|$102.71|$102.71
"HCPCS L0150"|"HB C-COL,S-RIG,MAND/OC PC"|274.00|$329.00|$73.70|$263.20|$230.00|$131.60|$115.81|$73.70||$131.60|$263.20|$186.87||$100.35|$125.02|$201.68|$130.35|||$103.31|$97.38|$97.30|$117.43|$150.98|$167.75|$123.38|$121.30|$83.43|$83.43
"HCPCS L0174"|"HB C-COL,S-RIG,2-PC,T-EXT"|274.00|$405.00|$90.72|$1145.50|$284.00|$162.00|$142.56|$90.72||$162.00|$324.00|$230.04||$123.53|$153.90|$248.27|$160.46|||$127.17|$119.88|$664.39|$933.03|$1030.95|$1145.50|$151.88|$149.32|$102.71|$102.71
"HCPCS L0472"|"HB TLSO,ANT FRAME,PREFAB"|274.00|$971.00|$217.50|$1405.67|$680.00|$388.40|$341.79|$217.50||$388.40|$776.80|$551.53||$296.16|$368.98|$595.22|$384.71|||$304.89|$287.42|$815.29|$1110.76|$1265.10|$1405.67|$364.13|$358.01|$246.25|$246.25
"HCPCS L0486"|"HB TLSO,2 PC,MOLD TO PT CUST"|274.00|$3291.00|$737.18|$3544.42|$2304.00|$1316.40|$1158.43|$737.18||$1316.40|$2632.80|$1869.29||$1003.76|$1250.58|$2017.38|$1303.89|||$1033.37|$974.14|$2055.76|$2740.12|$3189.98|$3544.42|$1234.13|$1213.39|$834.60|$834.60
"HCPCS L0627"|"HB L OX A,P PAN L1-5,PREFAB"|274.00|$1010.00|$226.24|$808.00|$707.00|$404.00|$355.52|$226.24||$404.00|$808.00|$573.68||$308.05|$383.80|$619.13|$400.16|||$317.14|$298.96|$358.15|$445.27|$555.75|$617.50|$378.75|$372.39|$256.14|$256.14
"HCPCS L0628"|"HB LSO FLEX SCJ-T9 PREFAB"|274.00|$331.00|$74.14|$622.33|$232.00|$132.40|$116.51|$74.14||$132.40|$264.80|$188.01||$100.96|$125.78|$202.90|$131.14|||$103.93|$97.98|$360.95|$498.68|$560.10|$622.33|$124.13|$122.04|$83.94|$83.94
"HCPCS L0631"|"HB LSO RIG A P,SCJ-T9 PREFAB"|274.00|$2583.00|$578.59|$2066.40|$1808.00|$1033.20|$909.22|$578.59||$1033.20|$2066.40|$1467.14||$787.82|$981.54|$1583.38|$1023.38|||$811.06|$764.57|$767.78|$926.63|$1191.38|$1323.75|$968.63|$952.35|$655.05|$655.05
"HCPCS L0810"|"HB HALOJACKET VEST"|274.00|$6928.00|$1551.87|$5542.40|$4850.00|$2771.20|$2438.66|$1551.87||$2771.20|$5542.40|$3935.10||$2113.04|$2632.64|$4246.86|$2744.87|||$2175.39|$2050.69|$2050.30|$2474.50|$3181.50|$3535.00|$2598.00|$2554.35|$1756.94|$1756.94
"HCPCS L0984"|"HB TLSO BODY SOCK"|274.00|$375.00|$84.00|$300.00|$262.00|$150.00|$132.00|$84.00||$150.00|$300.00|$213.00||$114.38|$142.50|$229.88|$148.58|||$117.75|$111.00|$112.23|$135.45|$174.15|$193.50|$140.63|$138.26|$95.10|$95.10
"HCPCS L1260"|"HB ADD ANT T DEROT PAD"|274.00|$242.00|$54.21|$193.60|$169.00|$96.80|$85.18|$54.21||$96.80|$193.60|$137.46||$73.81|$91.96|$148.35|$95.88|||$75.99|$71.63|$71.92|$86.80|$111.60|$124.00|$90.75|$89.23|$61.37|$61.37
"HCPCS L1499"|"HB ASPEN REPLACEMENT PADS"|274.00|$92.00|$20.61|$300.75|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$36.45|||$28.89|$27.23|$135.67|$189.88|$270.68|$300.75|$34.50|$33.92|$23.33|$23.33
"HCPCS L1686"|"HB HIP ABD OX PRE FAB"|274.00|$2381.00|$533.34|$2778.50|$1667.00|$952.40|$838.11|$533.34||$952.40|$1904.80|$1352.41||$726.21|$904.78|$1459.55|$943.35|||$747.63|$704.78|$1611.53|$2163.77|$2500.65|$2778.50|$892.88|$877.87|$603.82|$603.82
"HCPCS L1832"|"HB KO, ADJ KNE,RIG,PREFAB"|274.00|$1657.00|$371.17|$1888.25|$1160.00|$662.80|$583.26|$371.17||$662.80|$1325.60|$941.18||$505.39|$629.66|$1015.74|$656.50|||$520.30|$490.47|$1095.19|$1465.49|$1699.43|$1888.25|$621.38|$610.94|$420.22|$420.22
"HCPCS L1930"|"HB AFO,PLAS,PREFAB"|274.00|$632.00|$141.57|$938.33|$442.00|$252.80|$222.46|$141.57||$252.80|$505.60|$358.98||$192.76|$240.16|$387.42|$250.40|||$198.45|$187.07|$544.23|$742.84|$844.50|$938.33|$237.00|$233.02|$160.28|$160.28
"HCPCS L1960"|"HB AFO,PLAS,CUSTOM"|274.00|$1219.00|$273.06|$1404.75|$853.00|$487.60|$429.09|$273.06||$487.60|$975.20|$692.39||$371.80|$463.22|$747.25|$482.97|||$382.77|$360.82|$814.76|$1092.88|$1264.28|$1404.75|$457.13|$449.45|$309.14|$309.14
"HCPCS L2270"|"HB ADD VAR/VAL CORR PAD"|274.00|$159.00|$35.62|$127.20|$111.00|$63.60|$55.97|$35.62||$63.60|$127.20|$90.31||$48.50|$60.42|$97.47|$63.00|||$49.93|$47.06|$46.98|$56.70|$72.90|$81.00|$59.63|$58.62|$40.32|$40.32
"HCPCS L2820"|"HB ADD SOFT INTERF BK"|274.00|$208.00|$46.59|$550.00|$146.00|$83.20|$73.22|$46.59||$83.20|$166.40|$118.14||$63.44|$79.04|$127.50|$82.41|||$65.31|$61.57|$319.00|$447.16|$495.00|$550.00|$78.00|$76.69|$52.75|$52.75
"HCPCS L2830"|"HB ADD SOFT INTERF AK"|274.00|$224.00|$50.18|$537.17|$157.00|$89.60|$78.85|$50.18||$89.60|$179.20|$127.23||$68.32|$85.12|$137.31|$88.75|||$70.34|$66.30|$311.56|$435.33|$483.45|$537.17|$84.00|$82.59|$56.81|$56.81
"HCPCS L2850"|"HB ADD FEM SOCK EA"|274.00|$145.00|$32.48|$116.00|$102.00|$58.00|$51.04|$32.48||$58.00|$116.00|$82.36||$44.23|$55.10|$88.89|$57.45|||$45.53|$42.92|$43.21|$52.15|$67.05|$74.50|$54.38|$53.46|$36.77|$36.77
"HCPCS L4396"|"HB STAT O DYN AFO PREFAB"|274.00|$630.00|$141.12|$929.50|$441.00|$252.00|$221.76|$141.12||$252.00|$504.00|$357.84||$192.15|$239.40|$386.19|$249.61|||$197.82|$186.48|$539.11|$735.63|$836.55|$929.50|$236.25|$232.28|$159.77|$159.77
"HCPCS L0630"|"HB LSO RIG P,SCJ-T9 PREFAB"|274.00|$417.00|$93.41|$333.60|$292.00|$166.80|$146.78|$93.41||$166.80|$333.60|$236.86||$127.19|$158.46|$255.62|$165.22|||$130.94|$123.43|$122.67|$148.05|$190.35|$211.50|$156.38|$153.75|$105.75|$105.75
"HCPCS L1499"|"HB TLSO MOD 4 SHEL PRE FAB"|274.00|$93.00|$20.83|$74.40|$65.00|$37.20|$32.74|$20.83||$37.20|$74.40|$52.82||$28.37|$35.34|$57.01|$36.85|||$29.20|$27.53|$27.55|$33.25|$42.75|$47.50|$34.88|$34.29|$23.58|$23.58
"CPT® L0200"|"HB CERV, MULT POST, T-EXT"|274.00|$1434.00|$321.22|$2284.50|$1004.00|$573.60|$504.77|$321.22||$573.60|$1147.20|$814.51||$437.37|$544.92|$879.04|$568.15|||$450.28|$424.46|$1325.01|$1686.93|$2056.05|$2284.50|$537.75|$528.72|$363.66|$363.66
"CPT® L0454"|"HB TLSO, FLEX, SCJ-T9, PREFAB"|274.00|$817.00|$183.01|$653.60|$572.00|$326.80|$287.58|$183.01||$326.80|$653.60|$464.06||$249.19|$310.46|$500.82|$323.70|||$256.54|$241.83|$236.93|$285.95|$367.65|$408.50|$306.38|$301.23|$207.19|$207.19
"CPT® L0625"|"HB LUMB OX, FLEX, L1-L5"|274.00|$130.00|$29.12|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$51.51|||$40.82|$38.48|$37.70|$45.50|$58.50|$65.00|$48.75|$47.93|$32.97|$32.97
"CPT® L0626"|"HB L OX,P PAN L1-5, PREFAB"|274.00|$184.00|$41.22|$147.20|$129.00|$73.60|$64.77|$41.22||$73.60|$147.20|$104.51||$56.12|$69.92|$112.79|$72.90|||$57.78|$54.46|$53.36|$64.40|$82.80|$92.00|$69.00|$67.84|$46.66|$46.66
"CPT® L0861"|"HB ADD TO HALO LINER"|274.00|$549.00|$122.98|$439.20|$384.00|$219.60|$193.25|$122.98||$219.60|$439.20|$311.83||$167.45|$208.62|$336.54|$217.51|||$172.39|$162.50|$159.21|$192.15|$247.05|$274.50|$205.88|$202.42|$139.23|$139.23
"CPT® L1050"|"HB ADD TO STERNAL PAD"|274.00|$263.00|$58.91|$210.40|$184.00|$105.20|$92.58|$58.91||$105.20|$210.40|$149.38||$80.22|$99.94|$161.22|$104.20|||$82.58|$77.85|$76.27|$92.05|$118.35|$131.50|$98.63|$96.97|$66.70|$66.70
"CPT® L0637"|"HB LSO RIG AP, SCJ-T9 NON CUSTOM"|274.00|$2985.00|$668.64|$3566.67|$2090.00|$1194.00|$1050.72|$668.64||$1194.00|$2388.00|$1695.48||$910.43|$1134.30|$1829.81|$1182.66|||$937.29|$883.56|$2068.67|$2612.82|$3210.00|$3566.67|$1119.38|$1100.57|$757.00|$757.00
"CPT® L1250"|"HB ADD ANT ASIS PAD"|274.00|$197.00|$44.13|$157.60|$138.00|$78.80|$69.34|$44.13||$78.80|$157.60|$111.90||$60.09|$74.86|$120.76|$78.05|||$61.86|$58.31|$57.13|$68.95|$88.65|$98.50|$73.88|$72.63|$49.96|$49.96
"CPT® L1831"|"HB KO,LOK KNE,POS,PREFAB"|274.00|$693.00|$155.23|$554.40|$485.00|$277.20|$243.94|$155.23||$277.20|$554.40|$393.62||$211.37|$263.34|$424.81|$274.57|||$217.60|$205.13|$200.97|$242.55|$311.85|$346.50|$259.88|$255.51|$175.74|$175.74
"CPT® L1845"|"HB KO,DBLE,UPR,PREFAB"|274.00|$1121.00|$251.10|$896.80|$785.00|$448.40|$394.59|$251.10||$448.40|$896.80|$636.73||$341.91|$425.98|$687.17|$444.14|||$351.99|$331.82|$325.09|$392.35|$504.45|$560.50|$420.38|$413.31|$284.29|$284.29
"CPT® L1970"|"HB AFO, PLAS, JT, CUSTOM"|274.00|$1631.00|$365.34|$1304.80|$1142.00|$652.40|$574.11|$365.34||$652.40|$1304.80|$926.41||$497.46|$619.78|$999.80|$646.20|||$512.13|$482.78|$472.99|$570.85|$733.95|$815.50|$611.63|$601.35|$413.62|$413.62
"CPT® L2036"|"HB KAFO, DOUB UPR, CUSTOM"|274.00|$3132.00|$701.57|$2505.60|$2192.00|$1252.80|$1102.46|$701.57||$1252.80|$2505.60|$1778.98||$955.26|$1190.16|$1919.92|$1240.90|||$983.45|$927.07|$908.28|$1096.20|$1409.40|$1566.00|$1174.50|$1154.77|$794.28|$794.28
"CPT® L2210"|"HB ADD DF ASS EA JT"|274.00|$160.00|$35.84|$128.00|$112.00|$64.00|$56.32|$35.84||$64.00|$128.00|$90.88||$48.80|$60.80|$98.08|$63.39|||$50.24|$47.36|$46.40|$56.00|$72.00|$80.00|$60.00|$58.99|$40.58|$40.58
"CPT® L2340"|"HB ADD PRETIB MOLD TO PT"|274.00|$985.00|$220.64|$788.00|$690.00|$394.00|$346.72|$220.64||$394.00|$788.00|$559.48||$300.43|$374.30|$603.81|$390.26|||$309.29|$291.56|$285.65|$344.75|$443.25|$492.50|$369.38|$363.17|$249.80|$249.80
"CPT® L2510"|"HB ADD QUAD BRI MOLD TO PT"|274.00|$1901.00|$425.82|$1520.80|$1331.00|$760.40|$669.15|$425.82||$760.40|$1520.80|$1079.77||$579.81|$722.38|$1165.31|$753.18|||$596.91|$562.70|$551.29|$665.35|$855.45|$950.50|$712.88|$700.90|$482.09|$482.09
"CPT® L2622"|"HB ADD HIP JT ADJ FLEX EA"|274.00|$723.00|$161.95|$578.40|$506.00|$289.20|$254.50|$161.95||$289.20|$578.40|$410.66||$220.52|$274.74|$443.20|$286.45|||$227.02|$214.01|$209.67|$253.05|$325.35|$361.50|$271.13|$266.57|$183.35|$183.35
"CPT® L2650"|"HB ADD GLUT PAD EA"|274.00|$322.00|$72.13|$257.60|$225.00|$128.80|$113.34|$72.13||$128.80|$257.60|$182.90||$98.21|$122.36|$197.39|$127.58|||$101.11|$95.31|$93.38|$112.70|$144.90|$161.00|$120.75|$118.72|$81.66|$81.66
"CPT® L2780"|"HB ADD NON CORR"|274.00|$149.00|$33.38|$119.20|$104.00|$59.60|$52.45|$33.38||$59.60|$119.20|$84.63||$45.45|$56.62|$91.34|$59.03|||$46.79|$44.10|$43.21|$52.15|$67.05|$74.50|$55.88|$54.94|$37.79|$37.79
"CPT® L2840"|"HB ADD TIB SOCK EA"|274.00|$108.00|$24.19|$86.40|$76.00|$43.20|$38.02|$24.19||$43.20|$86.40|$61.34||$32.94|$41.04|$66.20|$42.79|||$33.91|$31.97|$31.32|$37.80|$48.60|$54.00|$40.50|$39.82|$27.39|$27.39
"CPT® L3002"|"HB FO MOLD TO PAT EA"|274.00|$380.00|$85.12|$304.00|$266.00|$152.00|$133.76|$85.12||$152.00|$304.00|$215.84||$115.90|$144.40|$232.94|$150.56|||$119.32|$112.48|$110.20|$133.00|$171.00|$190.00|$142.50|$140.11|$96.37|$96.37
"CPT® L3010"|"HB FO LONG ARCH EA"|274.00|$411.00|$92.06|$328.80|$288.00|$164.40|$144.67|$92.06||$164.40|$328.80|$233.45||$125.36|$156.18|$251.94|$162.84|||$129.05|$121.66|$119.19|$143.85|$184.95|$205.50|$154.13|$151.54|$104.23|$104.23
"CPT® L3060"|"HB FO LONG, MET PERMOLD EA"|274.00|$174.00|$38.98|$139.20|$122.00|$69.60|$61.25|$38.98||$69.60|$139.20|$98.83||$53.07|$66.12|$106.66|$68.94|||$54.64|$51.50|$50.46|$60.90|$78.30|$87.00|$65.25|$64.15|$44.13|$44.13
"CPT® L3332"|"HB LIFT IN SHO PER 1/2 IN"|274.00|$174.00|$38.98|$139.20|$122.00|$69.60|$61.25|$38.98||$69.60|$139.20|$98.83||$53.07|$66.12|$106.66|$68.94|||$54.64|$51.50|$50.46|$60.90|$78.30|$87.00|$65.25|$64.15|$44.13|$44.13
"CPT® L2624"|"HB ADD HIP JT ADJ FL/EX/AD EA"|274.00|$911.00|$204.06|$1493.00|$638.00|$364.40|$320.67|$204.06||$364.40|$728.80|$517.45||$277.86|$346.18|$558.44|$360.94|||$286.05|$269.66|$865.94|$1103.20|$1343.70|$1493.00|$341.63|$335.89|$231.03|$231.03
"CPT® L3670"|"HB SO ACRO/CLAV CANV PREFAB"|274.00|$244.00|$54.66|$195.20|$171.00|$97.60|$85.89|$54.66||$97.60|$195.20|$138.59||$74.42|$92.72|$149.57|$96.67|||$76.62|$72.22|$80.91|$97.65|$109.80|$122.00|$91.50|$89.96|$61.88|$61.88
"CPT® L3650"|"HB SO FIG 8 PREFAB"|274.00|$149.00|$33.38|$119.20|$104.00|$59.60|$52.45|$33.38||$59.60|$119.20|$84.63||$45.45|$56.62|$91.34|$59.03|||$46.79|$44.10|$43.21|$52.15|$67.05|$74.50|$55.88|$54.94|$37.79|$37.79
"CPT® L3980"|"HB HUM FX OX PREFAB"|274.00|$810.00|$181.44|$1911.67|$567.00|$324.00|$285.12|$181.44||$324.00|$648.00|$460.08||$247.05|$307.80|$496.53|$320.92|||$254.34|$239.76|$1108.77|$1422.54|$1720.50|$1911.67|$303.75|$298.65|$205.42|$205.42
"CPT® L3995"|"HB ADD FX SOCK EA"|274.00|$96.00|$21.50|$76.80|$67.00|$38.40|$33.79|$21.50||$38.40|$76.80|$54.53||$29.28|$36.48|$58.85|$38.04|||$30.14|$28.42|$27.84|$33.60|$43.20|$48.00|$36.00|$35.40|$24.35|$24.35
"CPT® L4002"|"HB ADD REPLAC STRP EA"|274.00|$98.00|$21.95|$78.40|$69.00|$39.20|$34.50|$21.95||$39.20|$78.40|$55.66||$29.89|$37.24|$60.07|$38.83|||$30.77|$29.01|$28.42|$34.30|$44.10|$49.00|$36.75|$36.13|$24.85|$24.85
"CPT® L4386"|"HB WALK BT W/WO JTS PREFAB"|274.00|$375.00|$84.00|$300.00|$262.00|$150.00|$132.00|$84.00||$150.00|$300.00|$213.00||$114.38|$142.50|$229.88|$148.58|||$117.75|$111.00|$108.75|$131.25|$168.75|$187.50|$140.63|$138.26|$95.10|$95.10
"CPT® S8424"|"HB COMP SLEEVE PREFAB"|274.00|$218.00|$48.83|$174.40|$153.00|$87.20|$76.74|$48.83||$87.20|$174.40|$123.82||$66.49|$82.84|$133.63|$86.37|||$68.45|$64.53|$63.22|$76.30|$98.10|$109.00|$81.75|$80.38|$55.28|$55.28
"CPT® S8427"|"HB COMP GLOVE PREFAB"|274.00|$137.00|$30.69|$109.60|$96.00|$54.80|$48.22|$30.69||$54.80|$109.60|$77.82||$41.79|$52.06|$83.98|$54.28|||$43.02|$40.55|$39.73|$47.95|$61.65|$68.50|$51.38|$50.51|$34.74|$34.74
"CPT® L5450"|"HB RIGID DRESSING"|274.00|$1494.00|$334.66|$1921.17|$1046.00|$597.60|$525.89|$334.66||$597.60|$1195.20|$848.59||$455.67|$567.72|$915.82|$591.92|||$469.12|$442.22|$1114.28|$1410.57|$1729.05|$1921.17|$560.25|$550.84|$378.88|$378.88
"CPT® L8420"|"HB PROSTHETIC SOCK, BK MULTIPLE PLY EACH"|274.00|$66.00|$14.78|$193.42|$46.00|$26.40|$23.23|$14.78||$26.40|$52.80|$37.49||$20.13|$25.08|$40.46|$26.15|||$20.72|$19.54|$112.18|$144.38|$174.08|$193.42|$24.75|$24.33|$16.74|$16.74
"CPT® L8470"|"HB PROSTHETIC SOCK, BK SINGLE PLY"|274.00|$21.00|$4.70|$16.80|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$8.32|||$6.59|$6.22|$6.09|$7.35|$9.45|$10.50|$7.88|$7.74|$5.33|$5.33
"CPT® L5668"|"HB BK MOLDED CUSHION"|274.00|$360.00|$80.64|$288.00|$252.00|$144.00|$126.72|$80.64||$144.00|$288.00|$204.48||$109.80|$136.80|$220.68|$142.63|||$113.04|$106.56|$104.40|$126.00|$162.00|$180.00|$135.00|$132.73|$91.30|$91.30
"CPT® L0859"|"HB ADD TO HALO MRI COMP"|274.00|$2680.00|$600.32|$2144.00|$1876.00|$1072.00|$943.36|$600.32||$1072.00|$2144.00|$1522.24||$817.40|$1018.40|$1642.84|$1061.82|||$841.52|$793.28|$777.20|$938.00|$1206.00|$1340.00|$1005.00|$988.12|$679.65|$679.65
"CPT® L1499"|"HB HALO PINS"|274.00|$87.00|$19.49|$69.60|$61.00|$34.80|$30.62|$19.49||$34.80|$69.60|$49.42||$26.54|$33.06|$53.33|$34.47|||$27.32|$25.75|$25.23|$30.45|$39.15|$43.50|$32.63|$32.08|$22.06|$22.06
"HCPCS C1897"|"HB LEAD, NEUROSTIMULATOR TEST KIT (IMPLANTABLE)"|275.00|$5220.00|$1169.28|$4176.00|$3654.00|$2088.00|$1837.44|$1169.28||$2088.00|$4176.00|$2964.96||$1592.10|$1983.60|$3199.86|$2068.16|||$1639.08|$1545.12|$1513.80|$1827.00|$2349.00|$2610.00|$1957.50|$1924.61|$1323.79|$1323.79
"HCPCS A4648"|"HB BIOPSY TITANIUM CLIP"|278.00|$555.00|$124.32|$444.00|$388.00|$222.00|$195.36|$124.32||$222.00|$444.00|$315.24||$169.28|$210.90|$340.22|$219.89|||$174.27|$164.28|$126.73|$152.95|$196.65|$218.50|$208.13|$204.63|$140.75|$140.75
"HCPCS C1717"|"HB BRACHY HIGH DS IR 192 SRC"|278.00|$1390.00|$311.36|$1379.92|$973.00|$556.00|$489.28|$311.36||$556.00|$1112.00|$789.52||$423.95|$528.20|$852.07|$550.72|||$436.46|$411.44|$800.35|$1038.52|$1241.93|$1379.92|$521.25|$512.49|$352.50|$352.50
"HCPCS A4648"|"HB PERCUTANEOUS MARKER PRE-LOADED"|278.00|$740.00|$165.76|$592.00|$518.00|$296.00|$260.48|$165.76||$296.00|$592.00|$420.32||$225.70|$281.20|$453.62|$293.19|||$232.36|$219.04|$221.71|$267.58|$344.03|$382.25|$277.50|$272.84|$187.66|$187.66
"HCPCS Q4117"|"HB HYALOMATRIX, 2.5X2.5 CM PER SQ CM"|278.00|$83.00|$18.59|$66.40|$58.00|$33.20|$29.22|$18.59||$33.20|$66.40|$47.14||$25.32|$31.54|$50.88|$32.88|||$26.06|$24.57|$25.09|$30.28|$38.93|$43.25|$31.13|$30.60|$21.05|$21.05
"HCPCS C2639"|"HB IODINE-125 BRACHYTX SEED"|278.00|$292.00|$65.41|$233.60|$204.00|$116.80|$102.78|$65.41||$116.80|$233.60|$165.86||$89.06|$110.96|$179.00|$115.69|||$91.69|$86.43|$87.58|$105.70|$135.90|$151.00|$109.50|$107.66|$74.05|$74.05
"HCPCS Q4117"|"HB HYALOMATRIX, 10X10 CM PER SQ CM"|278.00|$37.00|$8.29|$29.60|$26.00|$14.80|$13.02|$8.29||$14.80|$29.60|$21.02||$11.29|$14.06|$22.68|$14.66|||$11.62|$10.95|$11.17|$13.48|$17.33|$19.25|$13.88|$13.64|$9.38|$9.38
"HCPCS C2616"|"HB MICROSPHERE THERAPY DOSE"|278.00|$77817.00|$17431.01|$62253.60|$54472.00|$31126.80|$27391.58|$17431.01||$31126.80|$62253.60|$44200.06||$23734.19|$29570.46|$47701.82|$30831.10|||$24434.54|$23033.83|$24212.00|$32145.19|$42090.90|$46767.67|$29181.38|$28691.13|$19734.39|$19734.39
"Custom 27800121"|"HB S INDWELLING PROSTHESIS"|278.00|$364.00|$81.54|$291.20|$255.00|$145.60|$128.13|$81.54||$145.60|$291.20|$206.75||$111.02|$138.32|$223.13|$144.22|||$114.30|$107.74|$109.77|$132.48|$170.33|$189.25|$136.50|$134.21|$92.31|$92.31
"Custom 27800153"|"HB IDE #G170284- CARDIOBAND TRICUSPID SYSTEM- EDWARDS CARDIOBAND TRICUSPID VALVE RECONSTRUCTION SYSTEM"|278.00|$0.00|$0.00|$0.01|$0.00|$0.00|$0.00|$0.00||$0.00|$0.01|$0.01||$0.00|$0.00|$0.01|$0.00|||$0.00|$0.00|$0.00|$0.00|$0.00|$0.01|$0.00|$0.00|$0.00|$0.00
"HCPCS C1897"|"HB FREEDOM 8A NEUROSTIMULATOR TRIAL LEAD KIT (PNS)"|278.00|$3675.00|$823.20|$2940.00|$2572.00|$1470.00|$1293.60|$823.20||$1470.00|$2940.00|$2087.40||$1120.88|$1396.50|$2252.78|$1456.04|||$1153.95|$1087.80|$1065.75|$1286.25|$1653.75|$1837.50|$1378.13|$1354.97|$931.98|$931.98
"HCPCS C1897"|"HB FREEDOM 4A NEUROSTIMULATOR TRIAL LEAD KIT (PNS)"|278.00|$3675.00|$823.20|$2940.00|$2572.00|$1470.00|$1293.60|$823.20||$1470.00|$2940.00|$2087.40||$1120.88|$1396.50|$2252.78|$1456.04|||$1153.95|$1087.80|$1065.75|$1286.25|$1653.75|$1837.50|$1378.13|$1354.97|$931.98|$931.98
"Custom 62400056"|"HB IDE# G160020 INTREPID TRIAL; TMVR VIA TRANSAPICAL ACCES BY MEDTRONIC, IMPLANT, DELIVERY SYSTEM AND CRIMPER"|278.00|$159705.00|$35773.92|$127764.00|$111794.00|$63882.00|$56216.16|$35773.92||$63882.00|$127764.00|$90712.44||$48710.03|$60687.90|$97899.17|$63275.12|||$50147.37|$47272.68|$46314.45|$55896.75|$71867.25|$79852.50|$59889.38|$58883.23|$40501.19|$40501.19
"HCPCS A4649"|"HB IDE G180266, PASCAL TRANSCATHETER TRICUSPID VALVE REPAIR"|278.00|$210587.00|$47171.49|$168469.60|$147411.00|$84234.80|$74126.62|$47171.49||$84234.80|$168469.60|$119613.42||$64229.04|$80023.06|$129089.83|$83434.57|||$66124.32|$62333.75|$61070.23|$73705.45|$94764.15|$105293.50|$78970.13|$77643.43|$53404.86|$53404.86
"HCPCS A4649"|"HB IDE G180266, CLASP TR EFS"|278.00|$0.00|$0.00|$0.01|$0.00|$0.00|$0.00|$0.00||$0.00|$0.01|$0.01||$0.00|$0.00|$0.01|$0.00|||$0.00|$0.00|$0.00|$0.00|$0.00|$0.01|$0.00|$0.00|$0.00|$0.00
"HCPCS A4649"|"HB IDE#G190212 - MITRACLIP NTR SYSTEM; MITRACLIP XTR SYSTEM"|278.00|$180495.00|$40430.88|$144396.00|$126346.00|$72198.00|$63534.24|$40430.88||$72198.00|$144396.00|$102521.16||$55050.98|$68588.10|$110643.44|$71512.12|||$56675.43|$53426.52|$52343.55|$63173.25|$81222.75|$90247.50|$67685.63|$66548.51|$45773.53|$45773.53
"CPT® 36415"|"HB VENIPUNCTURE"|300.00|$44.00|$2.93|$44.00|$31.00|$17.60|$15.49|||$17.60|$35.20|$24.99||$13.42|$16.72|$26.97|$17.43|||$44.00|$44.00|$2.93|$16.10|$20.70|$23.00|$16.50|$16.22|$11.16|$11.16
"CPT® 36591"|"HB BLOOD DRAW IMPLANTED VAD"|300.00|$283.00|$52.00|$226.50|$198.00|$113.20|$99.62|$63.39||$113.20|$226.40|$160.74||$86.32|$107.54|$173.48|$112.12|||$56.00|$52.00|$131.37|$158.55|$203.85|$226.50|$106.13|$104.34|$71.77|$71.77
"CPT® 36592"|"HB BLOOD COLLECTION CVC OR PICC"|300.00|$315.00|$52.00|$252.00|$220.00|$126.00|$110.88|$70.56||$126.00|$252.00|$178.92||$96.08|$119.70|$193.10|$124.80|||$56.00|$52.00|$108.56|$124.39|$168.45|$187.17|$118.13|$116.14|$79.88|$79.88
"CPT® 36600"|"HB ARTERIAL BLOOD DRAW"|300.00|$231.00|$51.74|$184.80|$162.00|$92.40|$81.31|$51.74||$92.40|$184.80|$131.21||$70.46|$87.78|$141.60|$91.52|||$56.00|$52.00|$81.35|$98.18|$126.23|$140.25|$86.63|$85.17|$58.58|$58.58
"CPT® 86790"|"HB ANTI-HTLV I & II"|300.00|$37.00|$8.29|$37.00|$26.00|$14.80|$13.02|$8.29||$14.80|$29.60|$21.02||$11.29|$14.06|$22.68|$37.00|||$37.00|$37.00|$27.29|$12.95|$16.65|$18.50|$13.88|$13.64|$9.38|$9.38
"CPT® 87340"|"HB HBSAG"|300.00|$118.00|$21.72|$94.40|$83.00|$47.20|$41.54|$26.43||$47.20|$94.40|$67.02||$35.99|$44.84|$72.33|$55.00|||$56.00|$52.00|$21.72|$40.08|$51.53|$57.25|$44.25|$43.51|$29.92|$29.92
"CPT® 87521"|"HB HCV RNA BY PCR (NAT)"|300.00|$46.00|$10.30|$46.00|$32.00|$18.40|$16.19|$10.30||$18.40|$36.80|$26.13||$14.03|$17.48|$28.20|$46.00|||$46.00|$46.00|$45.00|$15.75|$20.25|$22.50|$17.25|$16.96|$11.67|$11.67
"CPT® 87536"|"HB HIV-I RNA BY PCR(NAT)"|300.00|$112.00|$25.09|$109.00|$78.00|$44.80|$39.42|$25.09||$44.80|$89.60|$63.62||$34.16|$42.56|$68.66|$55.00|||$56.00|$52.00|$109.00|$38.15|$49.05|$54.50|$42.00|$41.29|$28.40|$28.40
"CPT® 86592"|"HB SEROLOGIC SYPHILIS"|300.00|$86.00|$8.91|$68.80|$60.00|$34.40|$30.27|$19.26||$34.40|$68.80|$48.85||$26.23|$32.68|$52.72|$55.00|||$56.00|$52.00|$8.91|$30.10|$38.70|$43.00|$32.25|$31.71|$21.81|$21.81
"CPT® 87635"|"HB RAPID CORONAVIRUS (COVID 19) ASSAY"|300.00|$165.00|$36.96|$132.00|$115.00|$66.00|$58.08|$36.96||$66.00|$132.00|$100.00||$100.00|$100.00|$100.00|$65.37|||$100.00|$100.00|$100.00|$39.55|$54.75|$60.83|$61.88|$60.84|$41.84|$41.84
"CPT® 87635"|"HB BD CORONAVIRUS (COVID 19) ASSAY"|300.00|$165.00|$36.96|$132.00|$115.00|$66.00|$58.08|$36.96||$66.00|$132.00|$100.00||$100.00|$100.00|$100.00|$65.37|||$100.00|$100.00|$100.00|$39.55|$54.75|$60.83|$61.88|$60.84|$41.84|$41.84
"CPT® 81210"|"HB BRAF V600 MUTATION ASSAY"|300.00|$1474.00|$52.00|$1179.20|$1032.00|$589.60|$518.85|$330.18||$589.60|$1179.20|$837.23||$449.57|$560.12|$903.56|$55.00|||$56.00|$52.00|$278.43|$515.90|$663.30|$737.00|$552.75|$543.46|$373.81|$373.81
"CPT® 81241"|"HB FACTOR V LEIDEN GENE MUTATION"|300.00|$622.00|$52.00|$497.60|$435.00|$248.80|$218.94|$139.33||$248.80|$497.60|$353.30||$189.71|$236.36|$381.29|$55.00|||$56.00|$52.00|$129.20|$217.70|$279.90|$311.00|$233.25|$229.33|$157.74|$157.74
"CPT® 81256"|"HB HEMACHROMATOSIS GENE MUTATION"|300.00|$848.00|$52.00|$678.40|$594.00|$339.20|$298.50|$189.95||$339.20|$678.40|$481.66||$258.64|$322.24|$519.82|$55.00|||$56.00|$52.00|$138.66|$296.80|$381.60|$424.00|$318.00|$312.66|$215.05|$215.05
"CPT® 81479"|"HB HYDATIDIFORM MOLE GENOTYPING"|300.00|$707.00|$52.00|$565.60|$495.00|$282.80|$248.86|$158.37||$282.80|$565.60|$401.58||$215.64|$268.66|$433.39|$55.00|||$56.00|$52.00|$163.85|$247.45|$318.15|$353.50|$265.13|$260.67|$179.30|$179.30
"CPT® 81261"|"HB IMMUNOGLOBULIN HEAVY CHAIN GENE REARRANGEMENT, PCR"|300.00|$1115.00|$52.00|$892.00|$780.00|$446.00|$392.48|$249.76||$446.00|$892.00|$633.32||$340.08|$423.70|$683.50|$55.00|||$56.00|$52.00|$419.33|$390.25|$501.75|$557.50|$418.13|$411.10|$282.76|$282.76
"CPT® 81291"|"HB METHYLENETETRAHYDROFOLATE REDUCTASE THERMOLABILE GENE MUTATION"|300.00|$622.00|$52.00|$497.60|$435.00|$248.80|$218.94|$139.33||$248.80|$497.60|$353.30||$189.71|$236.36|$381.29|$55.00|||$56.00|$52.00|$92.45|$217.70|$279.90|$311.00|$233.25|$229.33|$157.74|$157.74
"CPT® 81287"|"HB MGMT PYROSEQUENCING ASSAY"|300.00|$865.00|$52.00|$692.00|$606.00|$346.00|$304.48|$193.76||$346.00|$692.00|$491.32||$263.83|$328.70|$530.25|$55.00|||$56.00|$52.00|$250.85|$302.75|$389.25|$432.50|$324.38|$318.93|$219.36|$219.36
"CPT® 81240"|"HB PROTHROMBIN GENE MUTATION"|300.00|$622.00|$52.00|$497.60|$435.00|$248.80|$218.94|$139.33||$248.80|$497.60|$353.30||$189.71|$236.36|$381.29|$55.00|||$56.00|$52.00|$104.13|$217.70|$279.90|$311.00|$233.25|$229.33|$157.74|$157.74
"CPT® 81225"|"HB CYP2C19"|300.00|$1857.00|$52.00|$1485.60|$1300.00|$742.80|$653.66|$415.97||$742.80|$1485.60|$1054.78||$566.39|$705.66|$1138.34|$55.00|||$56.00|$52.00|$453.29|$649.95|$835.65|$928.50|$696.38|$684.68|$470.94|$470.94
"CPT® 81455"|"HB COMPREHENSIVE CANCER NGS PANEL"|300.00|$2925.00|$52.00|$2340.00|$2047.00|$1170.00|$1029.60|$655.20||$1170.00|$2340.00|$1661.40||$892.13|$1111.50|$1793.03|$55.00|||$56.00|$52.00|$848.25|$1023.75|$1316.25|$1462.50|$1096.88|$1078.45|$741.78|$741.78
"CPT® 81305"|"HB MYD88 GENE MUTATION PCR"|300.00|$1304.00|$52.00|$1043.20|$913.00|$521.60|$459.01|$292.10||$521.60|$1043.20|$740.67||$397.72|$495.52|$799.35|$55.00|||$56.00|$52.00|$289.76|$328.37|$449.63|$499.59|$489.00|$480.78|$330.69|$330.69
"CPT® 81450"|"HB LYMPHOMA NGS PANEL"|300.00|$2925.00|$52.00|$2340.00|$2047.00|$1170.00|$1029.60|$655.20||$1170.00|$2340.00|$1661.40||$892.13|$1111.50|$1793.03|$55.00|||$56.00|$52.00|$1008.50|$999.25|$1284.75|$1427.50|$1096.88|$1078.45|$741.78|$741.78
"CPT® 87635"|"HB CORONAVIRUS NCOV-19 BY PCR (2019)"|300.00|$165.00|$35.28|$132.00|$115.00|$66.00|$51.31|$36.96||$66.00|$132.00|$51.31||$51.31|$51.31|$51.31|$55.00|||$51.31|$51.31|$35.28|$39.55|$54.75|$60.83|$61.88|$60.84|$41.84|$41.84
"CPT® 87635"|"HB CORONAVIRUS NCOV-19 BY PCR (COMMUNITY)"|300.00|$165.00|$36.96|$132.00|$115.00|$66.00|$51.31|$36.96||$66.00|$132.00|$51.31||$51.31|$51.31|$51.31|$55.00|||$51.31|$51.31|$47.85|$57.75|$74.25|$82.50|$61.88|$60.84|$41.84|$41.84
"CPT® 87635"|"HB CORONAVIRUS SARS-COV-2 BY MULTIPLEX PCR"|300.00|$165.00|$36.96|$132.00|$115.00|$66.00|$58.08|$36.96||$66.00|$132.00|$100.00||$100.00|$100.00|$100.00|$65.37|||$100.00|$100.00|$100.00|$38.01|$53.10|$59.00|$61.88|$60.84|$41.84|$41.84
"CPT® 86890"|"HB AUTOLOGOUS BLOOD, COLLLECTION, PROCESSING, STORAGE"|300.00|$1381.00|$52.00|$1104.80|$967.00|$552.40|$486.11|$309.34||$552.40|$1104.80|$784.41||$421.21|$524.78|$846.55|$547.15|||$56.00|$52.00|$149.81|$483.35|$621.45|$690.50|$517.88|$509.17|$350.22|$350.22
"CPT® 86972"|"HB RBC PRETREATMENT, DENSITY GRADIENT SEPARATION"|300.00|$110.00|$24.64|$88.00|$77.00|$44.00|$38.72|$24.64||$44.00|$88.00|$62.48||$33.55|$41.80|$67.43|$43.58|||$56.00|$52.00|$61.82|$38.50|$49.50|$55.00|$41.25|$40.56|$27.90|$27.90
"CPT® 86970"|"HB RBC PRETREATMENT, EDTA-GLYCINE ACID"|300.00|$75.00|$16.80|$60.00|$52.00|$30.00|$26.40|$16.80||$30.00|$60.00|$42.60||$22.88|$28.50|$45.98|$55.00|||$56.00|$52.00|$44.00|$26.25|$33.75|$37.50|$28.13|$27.65|$19.02|$19.02
"CPT® 86941"|"HB THERMAL AMPLITUDE TEST"|300.00|$100.00|$22.40|$80.00|$70.00|$40.00|$35.20|$22.40||$40.00|$80.00|$56.80||$30.50|$38.00|$61.30|$55.00|||$56.00|$52.00|$25.62|$35.00|$45.00|$50.00|$37.50|$36.87|$25.36|$25.36
"CPT® 86905"|"HB A1 ANTIGEN TYPING, PATIENT"|300.00|$85.00|$8.36|$68.00|$59.00|$34.00|$29.92|$19.04||$34.00|$68.00|$48.28||$25.93|$32.30|$52.11|$55.00|||$56.00|$52.00|$8.36|$29.75|$38.25|$42.50|$31.88|$31.34|$21.56|$21.56
"CPT® 86902"|"HB ANTIGEN TESTING, REAGENT IGG, EACH ANTIGEN"|300.00|$46.00|$8.36|$46.00|$32.00|$18.40|$16.19|$10.30||$18.40|$36.80|$26.13||$14.03|$17.48|$28.20|$46.00|||$46.00|$46.00|$8.36|$16.10|$20.70|$23.00|$17.25|$16.96|$11.67|$11.67
"CPT® 86905"|"HB ANTIGEN TYPING, PATIENT IGG, EACH ANTIGEN"|300.00|$85.00|$8.36|$68.00|$59.00|$34.00|$29.92|$19.04||$34.00|$68.00|$48.28||$25.93|$32.30|$52.11|$55.00|||$56.00|$52.00|$8.36|$22.96|$30.98|$34.42|$31.88|$31.34|$21.56|$21.56
"CPT® 0001U"|"HB HUMAN ERYTHROCYTE ANTIGEN MOLECULAR PHENOTYPING"|300.00|$1071.00|$52.00|$856.80|$750.00|$428.40|$376.99|$239.90||$428.40|$856.80|$608.33||$326.66|$406.98|$656.52|$424.33|||$56.00|$52.00|$310.59|$374.85|$481.95|$535.50|$401.63|$394.88|$271.61|$271.61
"CPT® 86905"|"HB CW ANTIGEN TYPING, PATIENT"|300.00|$95.00|$8.36|$76.00|$66.00|$38.00|$33.44|$21.28||$38.00|$76.00|$53.96||$28.98|$36.10|$58.24|$55.00|||$56.00|$52.00|$8.36|$25.52|$34.43|$38.25|$35.63|$35.03|$24.09|$24.09
"CPT® 86902"|"HB K ANTIGEN TYPING, EACH UNIT"|300.00|$18.00|$4.03|$18.00|$13.00|$7.20|$6.34|$4.03||$7.20|$14.40|$10.22||$5.49|$6.84|$11.03|$18.00|||$18.00|$18.00|$8.36|$6.30|$8.10|$9.00|$6.75|$6.64|$4.56|$4.56
"CPT® 86905"|"HB K ANTIGEN TYPING, PATIENT"|300.00|$85.00|$8.36|$68.00|$59.00|$34.00|$29.92|$19.04||$34.00|$68.00|$48.28||$25.93|$32.30|$52.11|$55.00|||$56.00|$52.00|$8.36|$22.96|$30.98|$34.42|$31.88|$31.34|$21.56|$21.56
"CPT® 86905"|"HB LEWIS (LEA & LEB) PHENOTYPE, PATIENT"|300.00|$95.00|$8.36|$76.00|$66.00|$38.00|$33.44|$21.28||$38.00|$76.00|$53.96||$28.98|$36.10|$58.24|$55.00|||$56.00|$52.00|$8.36|$33.08|$42.53|$47.25|$35.63|$35.03|$24.09|$24.09
"CPT® 86902"|"HB M ANTIGEN TYPING, EACH UNIT"|300.00|$24.00|$5.38|$24.00|$17.00|$9.60|$8.45|$5.38||$9.60|$19.20|$13.63||$7.32|$9.12|$14.71|$24.00|||$24.00|$24.00|$8.36|$8.40|$10.80|$12.00|$9.00|$8.85|$6.09|$6.09
"CPT® 86905"|"HB MN PHENOTYPE, PATIENT"|300.00|$95.00|$8.36|$76.00|$66.00|$38.00|$33.44|$21.28||$38.00|$76.00|$53.96||$28.98|$36.10|$58.24|$55.00|||$56.00|$52.00|$8.36|$33.08|$42.53|$47.25|$35.63|$35.03|$24.09|$24.09
"CPT® 86902"|"HB N ANTIGEN TYPING, EACH UNIT"|300.00|$24.00|$5.38|$24.00|$17.00|$9.60|$8.45|$5.38||$9.60|$19.20|$13.63||$7.32|$9.12|$14.71|$24.00|||$24.00|$24.00|$8.36|$8.40|$10.80|$12.00|$9.00|$8.85|$6.09|$6.09
"CPT® 86905"|"HB P1 ANTIGEN TYPING, PATIENT"|300.00|$85.00|$8.36|$68.00|$59.00|$34.00|$29.92|$19.04||$34.00|$68.00|$48.28||$25.93|$32.30|$52.11|$55.00|||$56.00|$52.00|$8.36|$22.96|$30.98|$34.42|$31.88|$31.34|$21.56|$21.56
"CPT® 86905"|"HB RH ANTIGEN TYPING, PATIENT, EACH ANTIGEN"|300.00|$85.00|$8.36|$68.00|$59.00|$34.00|$29.92|$19.04||$34.00|$68.00|$48.28||$25.93|$32.30|$52.11|$55.00|||$56.00|$52.00|$8.36|$22.96|$30.98|$34.42|$31.88|$31.34|$21.56|$21.56
"CPT® 86902"|"HB RH ANTIGEN TYPING, UNIT, EACH ANTIGEN"|300.00|$18.00|$4.03|$18.00|$13.00|$7.20|$6.34|$4.03||$7.20|$14.40|$10.22||$5.49|$6.84|$11.03|$18.00|||$18.00|$18.00|$8.36|$6.30|$8.10|$9.00|$6.75|$6.64|$4.56|$4.56
"CPT® 86906"|"HB RH PHENOTYPE, PATIENT"|300.00|$85.00|$16.16|$68.00|$59.00|$34.00|$29.92|$19.04||$34.00|$68.00|$48.28||$25.93|$32.30|$52.11|$55.00|||$56.00|$52.00|$16.16|$29.75|$38.25|$42.50|$31.88|$31.34|$21.56|$21.56
"CPT® 81403"|"HB HUMAN ERYTHROCYTE RHD GENE ANALYSIS"|300.00|$2309.00|$52.00|$1847.20|$1616.00|$923.60|$812.77|$517.22||$923.60|$1847.20|$1311.51||$704.25|$877.42|$1415.42|$55.00|||$56.00|$52.00|$178.25|$808.15|$1039.05|$1154.50|$865.88|$851.33|$585.56|$585.56
"CPT® 81373"|"HB HLA CLASS I TYPING LOW RESOLUTION - HLA MATCHED PLATELET"|300.00|$4448.00|$52.00|$3558.40|$3114.00|$1779.20|$1565.70|$996.35||$1779.20|$3558.40|$2526.46||$1356.64|$1690.24|$2726.62|$55.00|||$56.00|$52.00|$236.12|$1556.80|$2001.60|$2224.00|$1668.00|$1639.98|$1128.01|$1128.01
"CPT® 86900"|"HB ABO RH TYPING SO"|300.00|$50.00|$6.12|$50.00|$35.00|$20.00|$17.60|$11.20||$20.00|$40.00|$28.40||$15.25|$19.00|$30.65|$50.00|||$50.00|$50.00|$6.12|$17.50|$22.50|$25.00|$18.75|$18.44|$12.68|$12.68
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, ENZYME, EACH PANEL SO"|300.00|$335.00|$52.00|$268.00|$234.00|$134.00|$117.92|$75.04||$134.00|$268.00|$190.28||$102.18|$127.30|$205.36|$55.00|||$56.00|$52.00|$65.16|$117.25|$150.75|$167.50|$125.63|$123.51|$84.96|$84.96
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, COLD, EACH PANEL SO"|300.00|$217.00|$48.61|$173.60|$152.00|$86.80|$76.38|$48.61||$86.80|$173.60|$123.26||$66.19|$82.46|$133.02|$55.00|||$56.00|$52.00|$65.16|$75.95|$97.65|$108.50|$81.38|$80.01|$55.03|$55.03
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, LISS, EACH PANEL SO"|300.00|$372.00|$52.00|$297.60|$260.00|$148.80|$130.94|$83.33||$148.80|$297.60|$211.30||$113.46|$141.36|$228.04|$55.00|||$56.00|$52.00|$65.16|$130.20|$167.40|$186.00|$139.50|$137.16|$94.34|$94.34
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, WARM ABSORPTION, EACH PANEL SO"|300.00|$372.00|$52.00|$297.60|$260.00|$148.80|$130.94|$83.33||$148.80|$297.60|$211.30||$113.46|$141.36|$228.04|$55.00|||$56.00|$52.00|$65.16|$130.20|$167.40|$186.00|$139.50|$137.16|$94.34|$94.34
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, ELUATE, EACH PANEL SO"|300.00|$372.00|$52.00|$297.60|$260.00|$148.80|$130.94|$83.33||$148.80|$297.60|$211.30||$113.46|$141.36|$228.04|$55.00|||$56.00|$52.00|$65.16|$130.20|$167.40|$186.00|$139.50|$137.16|$94.34|$94.34
"CPT® 86902"|"HB ANTIGEN TYPING, 1ST , EACH UNIT SO"|300.00|$371.00|$8.36|$296.80|$260.00|$148.40|$130.59|$83.10||$148.40|$296.80|$210.73||$113.16|$140.98|$227.42|$55.00|||$56.00|$52.00|$8.36|$129.85|$166.95|$185.50|$139.13|$136.79|$94.09|$94.09
"CPT® 86902"|"HB ANTIGEN TYPING, RARE, EACH UNIT SO"|300.00|$820.00|$8.36|$656.00|$574.00|$328.00|$288.64|$183.68||$328.00|$656.00|$465.76||$250.10|$311.60|$502.66|$55.00|||$56.00|$52.00|$8.36|$287.00|$369.00|$410.00|$307.50|$302.33|$207.95|$207.95
"CPT® 86860"|"HB ANTIBODY ELUTION SO"|300.00|$185.00|$41.44|$148.00|$130.00|$74.00|$65.12|$41.44||$74.00|$148.00|$105.08||$56.43|$70.30|$113.41|$55.00|||$56.00|$52.00|$47.34|$64.75|$83.25|$92.50|$69.38|$68.21|$46.92|$46.92
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, EACH PANEL SO"|300.00|$335.00|$52.00|$268.00|$234.00|$134.00|$117.92|$75.04||$134.00|$268.00|$190.28||$102.18|$127.30|$205.36|$55.00|||$56.00|$52.00|$65.16|$117.25|$150.75|$167.50|$125.63|$123.51|$84.96|$84.96
"CPT® 86922"|"HB CROSSMATCH, WARM ABSORPTION, EACH UNIT SO"|300.00|$169.00|$37.86|$135.20|$118.00|$67.60|$59.49|$37.86||$67.60|$135.20|$95.99||$51.55|$64.22|$103.60|$55.00|||$56.00|$52.00|$56.25|$59.15|$76.05|$84.50|$63.38|$62.31|$42.86|$42.86
"CPT® 86880"|"HB DIRECT ANTIGLOBULIN TEST (DIRECT COOMBS), C3 SO"|300.00|$109.00|$11.13|$87.20|$76.00|$43.60|$38.37|$24.42||$43.60|$87.20|$61.91||$33.25|$41.42|$66.82|$55.00|||$56.00|$52.00|$11.13|$38.15|$49.05|$54.50|$40.88|$40.19|$27.64|$27.64
"CPT® 86880"|"HB DIRECT ANTIGLOBULIN TEST (DIRECT COOMBS), IGG SO"|300.00|$109.00|$11.13|$87.20|$76.00|$43.60|$38.37|$24.42||$43.60|$87.20|$61.91||$33.25|$41.42|$66.82|$55.00|||$56.00|$52.00|$11.13|$38.15|$49.05|$54.50|$40.88|$40.19|$27.64|$27.64
"CPT® 86880"|"HB DIRECT ANTIGLOBULIN TEST (DIRECT COOMBS) SO"|300.00|$109.00|$11.13|$87.20|$76.00|$43.60|$38.37|$24.42||$43.60|$87.20|$61.91||$33.25|$41.42|$66.82|$55.00|||$56.00|$52.00|$11.13|$38.15|$49.05|$54.50|$40.88|$40.19|$27.64|$27.64
"CPT® 86022"|"HB PLATELET ANTIBODY SCREEN SO"|300.00|$121.00|$27.10|$96.80|$85.00|$48.40|$42.59|$27.10||$48.40|$96.80|$68.73||$36.91|$45.98|$74.17|$55.00|||$56.00|$52.00|$38.99|$42.35|$54.45|$60.50|$45.38|$44.61|$30.69|$30.69
"CPT® 86921"|"HB PLATELET CROSSMATCH, EACH UNIT SO"|300.00|$138.00|$30.91|$110.40|$97.00|$55.20|$48.58|$30.91||$55.20|$110.40|$78.38||$42.09|$52.44|$84.59|$55.00|||$56.00|$52.00|$47.34|$48.30|$62.10|$69.00|$51.75|$50.88|$35.00|$35.00
"CPT® 86870"|"HB ANTIBODY ID, EACH PANEL RARE CELLS SO"|300.00|$372.00|$52.00|$297.60|$260.00|$148.80|$130.94|$83.33||$148.80|$297.60|$211.30||$113.46|$141.36|$228.04|$55.00|||$56.00|$52.00|$65.16|$130.20|$167.40|$186.00|$139.50|$137.16|$94.34|$94.34
"CPT® 86902"|"HB RBC ANTIGEN SCREENING, UNIT, EACH ANTIGEN SO"|300.00|$149.00|$8.36|$119.20|$104.00|$59.60|$52.45|$33.38||$59.60|$119.20|$84.63||$45.45|$56.62|$91.34|$55.00|||$56.00|$52.00|$8.36|$52.15|$67.05|$74.50|$55.88|$54.94|$37.79|$37.79
"CPT® 86905"|"HB RBC ANTIGEN TYPING, PATIENT, EACH ANTIGEN SO"|300.00|$85.00|$8.36|$68.00|$59.00|$34.00|$29.92|$19.04||$34.00|$68.00|$48.28||$25.93|$32.30|$52.11|$55.00|||$56.00|$52.00|$8.36|$29.75|$38.25|$42.50|$31.88|$31.34|$21.56|$21.56
"CPT® 86970"|"HB RBC PRETREATMENT, DRUGS OR CHEMICAL AGENTS SO"|300.00|$188.00|$42.11|$150.40|$132.00|$75.20|$66.18|$42.11||$75.20|$150.40|$106.78||$57.34|$71.44|$115.24|$55.00|||$56.00|$52.00|$44.00|$65.80|$84.60|$94.00|$70.50|$69.32|$47.68|$47.68
"CPT® 86970"|"HB RBC PRETREATMENT, ENZYME SO"|300.00|$188.00|$42.11|$150.40|$132.00|$75.20|$66.18|$42.11||$75.20|$150.40|$106.78||$57.34|$71.44|$115.24|$55.00|||$56.00|$52.00|$44.00|$65.80|$84.60|$94.00|$70.50|$69.32|$47.68|$47.68
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, SELECT CELLS, ELUATE, EACH PANEL SO"|300.00|$415.00|$52.00|$332.00|$290.00|$166.00|$146.08|$92.96||$166.00|$332.00|$235.72||$126.58|$157.70|$254.40|$55.00|||$56.00|$52.00|$65.16|$145.25|$186.75|$207.50|$155.63|$153.01|$105.24|$105.24
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, SELECT CELLS, EACH PANEL SO"|300.00|$335.00|$52.00|$268.00|$234.00|$134.00|$117.92|$75.04||$134.00|$268.00|$190.28||$102.18|$127.30|$205.36|$55.00|||$56.00|$52.00|$65.16|$117.25|$150.75|$167.50|$125.63|$123.51|$84.96|$84.96
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, SELECT CELLS, ENZYMES, EACH PANEL SO"|300.00|$372.00|$52.00|$297.60|$260.00|$148.80|$130.94|$83.33||$148.80|$297.60|$211.30||$113.46|$141.36|$228.04|$55.00|||$56.00|$52.00|$65.16|$130.20|$167.40|$186.00|$139.50|$137.16|$94.34|$94.34
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, SELECT CELLS, LISS, EACH PANEL SO"|300.00|$372.00|$52.00|$297.60|$260.00|$148.80|$130.94|$83.33||$148.80|$297.60|$211.30||$113.46|$141.36|$228.04|$55.00|||$56.00|$52.00|$65.16|$130.20|$167.40|$186.00|$139.50|$137.16|$94.34|$94.34
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, SELECT CELLS, PEG, EACH PANEL SO"|300.00|$372.00|$52.00|$297.60|$260.00|$148.80|$130.94|$83.33||$148.80|$297.60|$211.30||$113.46|$141.36|$228.04|$55.00|||$56.00|$52.00|$65.16|$130.20|$167.40|$186.00|$139.50|$137.16|$94.34|$94.34
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, SELECT CELLS, WARM ABSORPTION, EACH PANEL SO"|300.00|$372.00|$52.00|$297.60|$260.00|$148.80|$130.94|$83.33||$148.80|$297.60|$211.30||$113.46|$141.36|$228.04|$55.00|||$56.00|$52.00|$65.16|$130.20|$167.40|$186.00|$139.50|$137.16|$94.34|$94.34
"CPT® 86902"|"HB ANTIGEN TYPING, EACH ADDTL , EACH UNIT SO"|300.00|$158.00|$8.36|$126.40|$111.00|$63.20|$55.62|$35.39||$63.20|$126.40|$89.74||$48.19|$60.04|$96.85|$55.00|||$56.00|$52.00|$8.36|$55.30|$71.10|$79.00|$59.25|$58.25|$40.07|$40.07
"CPT® 86922"|"HB CROSSMATCH, SO"|300.00|$263.00|$52.00|$210.40|$184.00|$105.20|$92.58|$58.91||$105.20|$210.40|$149.38||$80.22|$99.94|$161.22|$55.00|||$56.00|$52.00|$56.25|$91.88|$118.13|$131.25|$98.63|$96.97|$66.70|$66.70
"Custom 25117901"|"HB TISSUE/SPECIMEN PROCESS"|300.00|$76.00|$17.02|$60.80|$53.00|$30.40|$26.75|$17.02||$30.40|$60.80|$43.17||$23.18|$28.88|$46.59|$30.11|||$56.00|$52.00|$21.90|$26.43|$33.98|$37.75|$28.50|$28.02|$19.27|$19.27
"CPT® 86331"|"HB BLASTOMYCES ANTIBODY"|300.00|$120.00|$25.62|$96.00|$84.00|$48.00|$42.24|$26.88||$48.00|$96.00|$68.16||$36.60|$45.60|$73.56|$55.00|||$56.00|$52.00|$25.62|$42.00|$54.00|$60.00|$45.00|$44.24|$30.43|$30.43
"CPT® 86331"|"HB COCCIDIOIDES ANTIBODY"|300.00|$120.00|$25.62|$96.00|$84.00|$48.00|$42.24|$26.88||$48.00|$96.00|$68.16||$36.60|$45.60|$73.56|$55.00|||$56.00|$52.00|$25.62|$42.00|$54.00|$60.00|$45.00|$44.24|$30.43|$30.43
"CPT® 89055"|"HB FECAL LEUKOCYTES"|300.00|$81.00|$8.91|$81.00|$57.00|$32.40|$28.51|$18.14||$32.40|$64.80|$46.01||$24.71|$30.78|$49.65|$81.00|||$56.00|$52.00|$8.91|$28.35|$36.45|$40.50|$30.38|$29.86|$20.54|$20.54
"CPT® 86331"|"HB HISTOPLASMA ANTIBODY"|300.00|$120.00|$25.62|$96.00|$84.00|$48.00|$42.24|$26.88||$48.00|$96.00|$68.16||$36.60|$45.60|$73.56|$55.00|||$56.00|$52.00|$25.62|$42.00|$54.00|$60.00|$45.00|$44.24|$30.43|$30.43
"CPT® 0202U"|"HB RESPIRATORY PATHOGEN PANEL, PCR (INCL. SARS-COV-2)"|300.00|$361.00|$52.00|$288.80|$253.00|$144.40|$127.07|$80.86||$144.40|$288.80|$205.05||$110.11|$137.18|$221.29|$143.03|||$56.00|$52.00|$87.24|$101.08|$135.38|$150.42|$135.38|$133.10|$91.55|$91.55
"CPT® 80074"|"HB ACUTE HEPATITIS PANEL"|300.00|$452.00|$52.00|$361.60|$316.00|$180.80|$159.10|$101.25||$180.80|$361.60|$256.74||$137.86|$171.76|$277.08|$55.00|||$56.00|$52.00|$115.28|$151.03|$194.18|$215.75|$169.50|$166.65|$114.63|$114.63
"CPT® 83516"|"HB ANTI NEUTROPHIL CYTOPLASMIC ANTIBODY BY EIA"|300.00|$214.00|$24.50|$171.20|$150.00|$85.60|$75.33|$47.94||$85.60|$171.20|$121.55||$65.27|$81.32|$131.18|$55.00|||$56.00|$52.00|$24.50|$74.90|$96.30|$107.00|$80.25|$78.90|$54.27|$54.27
"CPT® 86334"|"HB CRYOGLOBULIN ID, EA, (IFE)"|300.00|$356.00|$47.34|$284.80|$249.00|$142.40|$125.31|$79.74||$142.40|$284.80|$202.21||$108.58|$135.28|$218.23|$55.00|||$56.00|$52.00|$47.34|$124.60|$160.20|$178.00|$133.50|$131.26|$90.28|$90.28
"CPT® 83883"|"HB FREE LIGHT CHAINS"|300.00|$152.00|$28.95|$121.60|$106.00|$60.80|$53.50|$34.05||$60.80|$121.60|$86.34||$46.36|$57.76|$93.18|$55.00|||$56.00|$52.00|$28.95|$53.20|$68.40|$76.00|$57.00|$56.04|$38.55|$38.55
"CPT® 86790"|"HB HEPATITIS A IGG ANTIBODY"|300.00|$89.00|$19.94|$71.20|$62.00|$35.60|$31.33|$19.94||$35.60|$71.20|$50.55||$27.15|$33.82|$54.56|$55.00|||$56.00|$52.00|$27.29|$31.15|$40.05|$44.50|$33.38|$32.81|$22.57|$22.57
"CPT® 86334"|"HB IMMUNOFIXATION ELECTROPHORESIS, SERUM"|300.00|$452.00|$47.34|$361.60|$316.00|$180.80|$159.10|$101.25||$180.80|$361.60|$256.74||$137.86|$171.76|$277.08|$55.00|||$56.00|$52.00|$47.34|$158.20|$203.40|$226.00|$169.50|$166.65|$114.63|$114.63
"CPT® 82784"|"HB IMMUNOGLOBULIN, QUANTITATIVE, EACH"|300.00|$103.00|$19.49|$82.40|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$55.00|||$56.00|$52.00|$19.49|$36.05|$46.35|$51.50|$38.63|$37.98|$26.12|$26.12
"CPT® 83883"|"HB KAPPA LIGHT CHAIN"|300.00|$152.00|$28.95|$121.60|$106.00|$60.80|$53.50|$34.05||$60.80|$121.60|$86.34||$46.36|$57.76|$93.18|$55.00|||$56.00|$52.00|$28.95|$53.20|$68.40|$76.00|$57.00|$56.04|$38.55|$38.55
"CPT® 83883"|"HB KAPPA LIGHT CHAIN (MOD 59)"|300.00|$68.00|$15.23|$56.00|$48.00|$27.20|$23.94|$15.23||$27.20|$54.40|$38.62||$20.74|$25.84|$41.68|$55.00|||$56.00|$52.00|$28.95|$23.80|$30.60|$34.00|$25.50|$25.07|$17.24|$17.24
"CPT® 83883"|"HB LAMBDA LIGHT CHAIN"|300.00|$70.00|$15.68|$56.00|$49.00|$28.00|$24.64|$15.68||$28.00|$56.00|$39.76||$21.35|$26.60|$42.91|$55.00|||$56.00|$52.00|$28.95|$24.50|$31.50|$35.00|$26.25|$25.81|$17.75|$17.75
"CPT® 83516"|"HB RIBOSOMAL P ANTIBODY"|300.00|$167.00|$24.50|$133.60|$117.00|$66.80|$58.78|$37.41||$66.80|$133.60|$94.86||$50.94|$63.46|$102.37|$55.00|||$56.00|$52.00|$24.50|$58.45|$75.15|$83.50|$62.63|$61.57|$42.35|$42.35
"CPT® 84432"|"HB THYROGLOBULIN"|300.00|$250.00|$33.98|$200.00|$175.00|$100.00|$88.00|$56.00||$100.00|$200.00|$142.00||$76.25|$95.00|$153.25|$55.00|||$56.00|$52.00|$33.98|$87.50|$112.50|$125.00|$93.75|$92.18|$63.40|$63.40
"CPT® 83516"|"HB HISTONE ANTIBODY, SEMI-QUANT"|300.00|$53.00|$11.87|$53.00|$37.00|$21.20|$18.66|$11.87||$21.20|$42.40|$30.10||$16.17|$20.14|$32.49|$53.00|||$53.00|$52.00|$24.50|$14.18|$19.13|$21.25|$19.88|$19.54|$13.44|$13.44
"CPT® 83883"|"HB HEAVY AND LIGHT CHAIN, IGG"|300.00|$300.00|$28.95|$240.00|$210.00|$120.00|$105.60|$67.20||$120.00|$240.00|$170.40||$91.50|$114.00|$183.90|$55.00|||$56.00|$52.00|$28.95|$105.00|$135.00|$150.00|$112.50|$110.61|$76.08|$76.08
"CPT® 83883"|"HB HEAVY AND LIGHT CHAIN, IGA"|300.00|$300.00|$28.95|$240.00|$210.00|$120.00|$105.60|$67.20||$120.00|$240.00|$170.40||$91.50|$114.00|$183.90|$55.00|||$56.00|$52.00|$28.95|$105.00|$135.00|$150.00|$112.50|$110.61|$76.08|$76.08
"CPT® 83883"|"HB HEAVY AND LIGHT CHAIN, IGM"|300.00|$300.00|$28.95|$240.00|$210.00|$120.00|$105.60|$67.20||$120.00|$240.00|$170.40||$91.50|$114.00|$183.90|$55.00|||$56.00|$52.00|$28.95|$105.00|$135.00|$150.00|$112.50|$110.61|$76.08|$76.08
"CPT® 84311"|"HB 1,3 BETA-D-GLUCAN-FUNGITELL ASSAY"|300.00|$975.00|$15.03|$780.00|$682.00|$390.00|$343.20|$218.40||$390.00|$780.00|$553.80||$297.38|$370.50|$597.68|$55.00|||$56.00|$52.00|$15.03|$341.25|$438.75|$487.50|$365.63|$359.48|$247.26|$247.26
"CPT® 83519"|"HB ACETYLCHOLINE RECEPTOR BINDING ANTIBODY"|300.00|$289.00|$28.40|$231.20|$202.00|$115.60|$101.73|$64.74||$115.60|$231.20|$164.15||$88.15|$109.82|$177.16|$55.00|||$56.00|$52.00|$28.40|$101.15|$130.05|$144.50|$108.38|$106.55|$73.29|$73.29
"CPT® 82384"|"HB ADRENERGIC EXCESS PANEL, CATECHOLAMINES, 24 HOUR URINE"|300.00|$348.00|$52.00|$278.40|$244.00|$139.20|$122.50|$77.95||$139.20|$278.40|$197.66||$106.14|$132.24|$213.32|$55.00|||$56.00|$52.00|$53.46|$121.80|$156.60|$174.00|$130.50|$128.31|$88.25|$88.25
"CPT® 82570"|"HB ADRENERGIC EXCESS PANEL, CREATININE, 24 HOUR URINE"|300.00|$79.00|$11.13|$63.20|$55.00|$31.60|$27.81|$17.70||$31.60|$63.20|$44.87||$24.10|$30.02|$48.43|$55.00|||$56.00|$52.00|$11.13|$27.65|$35.55|$39.50|$29.63|$29.13|$20.03|$20.03
"CPT® 83835"|"HB ADRENERGIC EXCESS PANEL METANEPHRINES, 24 HOUR URINE"|300.00|$24.00|$5.38|$24.00|$17.00|$9.60|$8.45|$5.38||$9.60|$19.20|$13.63||$7.32|$9.12|$14.71|$24.00|||$24.00|$24.00|$24.00|$8.40|$10.80|$12.00|$9.00|$8.85|$6.09|$6.09
"CPT® 84585"|"HB ADRENERGIC EXCESS PANEL, VANILLYLMANDELIC ACID, 24 HOUR URINE"|300.00|$23.00|$5.15|$23.00|$16.00|$9.20|$8.10|$5.15||$9.20|$18.40|$13.06||$7.02|$8.74|$14.10|$23.00|||$23.00|$23.00|$23.00|$8.05|$10.35|$11.50|$8.63|$8.48|$5.83|$5.83
"CPT® 81332"|"HB ALPHA 1 ANTITRYPSIN GENOTYPE"|300.00|$741.00|$52.00|$592.80|$519.00|$296.40|$260.83|$165.98||$296.40|$592.80|$420.89||$226.01|$281.58|$454.23|$55.00|||$56.00|$52.00|$92.45|$259.35|$333.45|$370.50|$277.88|$273.21|$187.92|$187.92
"CPT® 82103"|"HB ALPHA-1-ANTITRYPSIN, TOTAL"|300.00|$123.00|$27.55|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$28.40|$43.05|$55.35|$61.50|$46.13|$45.35|$31.19|$31.19
"CPT® 82104"|"HB ALPHA-1-ANTITRYPSIN PHENOTYPE"|300.00|$127.00|$28.45|$101.60|$89.00|$50.80|$44.70|$28.45||$50.80|$101.60|$72.14||$38.74|$48.26|$77.85|$55.00|||$56.00|$52.00|$30.63|$44.45|$57.15|$63.50|$47.63|$46.82|$32.21|$32.21
"CPT® 82103"|"HB ALPHA-1-ANTITRYPSIN TOTAL"|300.00|$247.00|$28.40|$197.60|$173.00|$98.80|$86.94|$55.33||$98.80|$197.60|$140.30||$75.34|$93.86|$151.41|$55.00|||$56.00|$52.00|$28.40|$86.45|$111.15|$123.50|$92.63|$91.07|$62.64|$62.64
"CPT® 82164"|"HB ANGIOTENSIN 1 CONVERTING ENZYME"|300.00|$170.00|$31.19|$136.00|$119.00|$68.00|$59.84|$38.08||$68.00|$136.00|$96.56||$51.85|$64.60|$104.21|$55.00|||$56.00|$52.00|$31.19|$59.50|$76.50|$85.00|$63.75|$62.68|$43.11|$43.11
"CPT® 82164"|"HB ANGIOTENSIN 1 CONVERTING ENZYME (CEREBRAL SPINAL FLUID)"|300.00|$170.00|$31.19|$136.00|$119.00|$68.00|$59.84|$38.08||$68.00|$136.00|$96.56||$51.85|$64.60|$104.21|$55.00|||$56.00|$52.00|$31.19|$59.50|$76.50|$85.00|$63.75|$62.68|$43.11|$43.11
"CPT® 88346"|"HB ANTIENTEROCYTE ANTIBODY, IMF, 1ST"|300.00|$1285.00|$52.00|$1028.00|$899.00|$514.00|$452.32|$287.84||$514.00|$1028.00|$729.88||$391.93|$488.30|$787.71|$100.00|||$56.00|$52.00|$86.84|$472.33|$607.28|$674.75|$481.88|$473.78|$325.88|$325.88
"CPT® 83520"|"HB ANTI-RIBONUCLEIC ACID POLYMERASE III"|300.00|$293.00|$27.29|$234.40|$205.00|$117.20|$103.14|$65.63||$117.20|$234.40|$166.42||$89.37|$111.34|$179.61|$55.00|||$56.00|$52.00|$27.29|$79.10|$106.72|$118.59|$109.88|$108.03|$74.30|$74.30
"CPT® 83520"|"HB BASEMENT MEMBRANE IGG ANTIBODIES"|300.00|$107.00|$23.97|$85.60|$75.00|$42.80|$37.66|$23.97||$42.80|$85.60|$60.78||$32.64|$40.66|$65.59|$55.00|||$56.00|$52.00|$27.29|$37.45|$48.15|$53.50|$40.13|$39.45|$27.14|$27.14
"CPT® 83520"|"HB BILE ACID FRACTIONATED"|300.00|$844.00|$27.29|$675.20|$591.00|$337.60|$297.09|$189.06||$337.60|$675.20|$479.39||$257.42|$320.72|$517.37|$55.00|||$56.00|$52.00|$27.29|$295.40|$379.80|$422.00|$316.50|$311.18|$214.04|$214.04
"CPT® 87449"|"HB BLASTOMYCES ANTIGEN, URINE"|300.00|$264.00|$25.62|$211.20|$185.00|$105.60|$92.93|$59.14||$105.60|$211.20|$149.95||$80.52|$100.32|$161.83|$55.00|||$56.00|$52.00|$25.62|$89.95|$115.65|$128.50|$99.00|$97.34|$66.95|$66.95
"CPT® 86628"|"HB CANDIDA ALBICANS IGG, IGM, IGA ANTIBODIES"|300.00|$90.00|$20.16|$72.00|$63.00|$36.00|$31.68|$20.16||$36.00|$72.00|$51.12||$27.45|$34.20|$55.17|$55.00|||$56.00|$52.00|$25.62|$31.50|$40.50|$45.00|$33.75|$33.18|$22.82|$22.82
"CPT® 81268"|"HB CD/CD33 ENRICHMENT ANALYSIS"|300.00|$2424.00|$52.00|$1939.20|$1697.00|$969.60|$853.25|$542.98||$969.60|$1939.20|$1376.83||$739.32|$921.12|$1485.91|$55.00|||$56.00|$52.00|$552.42|$610.47|$835.87|$928.75|$909.00|$893.73|$614.73|$614.73
"CPT® 81218"|"HB CEBPA ANALYSIS"|300.00|$2881.00|$52.00|$2304.80|$2017.00|$1152.40|$1014.11|$645.34||$1152.40|$2304.80|$1636.41||$878.71|$1094.78|$1766.05|$55.00|||$56.00|$52.00|$512.33|$1008.35|$1296.45|$1440.50|$1080.38|$1062.22|$730.62|$730.62
"CPT® 81382"|"HB CELIAC GENETICS HLA DQ2/DQ8"|300.00|$867.00|$52.00|$693.60|$607.00|$346.80|$305.18|$194.21||$346.80|$693.60|$492.46||$264.44|$329.46|$531.47|$55.00|||$56.00|$52.00|$262.29|$218.19|$298.80|$332.00|$325.13|$319.66|$219.87|$219.87
"CPT® 81267"|"HB CHIMERISM-POST"|300.00|$3076.00|$52.00|$2460.80|$2153.00|$1230.40|$1082.75|$689.02||$1230.40|$2460.80|$1747.17||$938.18|$1168.88|$1885.59|$55.00|||$56.00|$52.00|$439.37|$1076.60|$1384.20|$1538.00|$1153.50|$1134.12|$780.07|$780.07
"CPT® 87491"|"HB CHLAMYDIA TRACHOMATIS CONFIRMATION"|300.00|$264.00|$52.00|$211.20|$185.00|$105.60|$92.93|$59.14||$105.60|$211.20|$149.95||$80.52|$100.32|$161.83|$55.00|||$56.00|$52.00|$74.63|$89.95|$115.65|$128.50|$99.00|$97.34|$66.95|$66.95
"CPT® 87491"|"HB CHLAMYDIA TRACHOMATIS/NEISSERIA GONORRHEA  RIBOSOMAL RNA CONFIRMATION"|300.00|$63.00|$14.11|$61.00|$44.00|$25.20|$22.18|$14.11||$25.20|$50.40|$35.78||$19.22|$23.94|$38.62|$55.00|||$56.00|$52.00|$61.00|$21.35|$27.45|$30.50|$23.63|$23.23|$15.98|$15.98
"CPT® 87591"|"HB CHLAMYDIA TRACHOMATIS/NEISSERIA GONORRHEA  RIBOSOMAL RNA CONFIRMATION"|300.00|$60.00|$13.44|$58.50|$42.00|$24.00|$21.12|$13.44||$24.00|$48.00|$34.08||$18.30|$22.80|$36.78|$55.00|||$56.00|$52.00|$58.50|$20.48|$26.33|$29.25|$22.50|$22.12|$15.22|$15.22
"CPT® 88267"|"HB CHROMOSOME ANALYSIS, CHORIONIC VILLI SAMPLING"|300.00|$574.00|$52.00|$459.20|$402.00|$229.60|$202.05|$128.58||$229.60|$459.20|$326.03||$175.07|$218.12|$351.86|$227.42|||$56.00|$52.00|$380.90|$155.05|$209.17|$232.42|$215.25|$211.63|$145.57|$145.57
"CPT® 88280"|"HB CHROMOSOME ANALYSIS, CHORIONIC VILLI SAMPLING"|300.00|$82.00|$18.37|$82.00|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$82.00|||$56.00|$52.00|$52.91|$22.12|$29.85|$33.17|$30.75|$30.23|$20.80|$20.80
"CPT® 88237"|"HB CHROMOSOME ANALYSIS, HEMATOLOGIC, BONE MARROW"|300.00|$1062.00|$52.00|$849.60|$743.00|$424.80|$373.82|$237.89||$424.80|$849.60|$603.22||$323.91|$403.56|$651.01|$100.00|||$56.00|$52.00|$267.86|$371.70|$477.90|$531.00|$398.25|$391.56|$269.32|$269.32
"CPT® 88264"|"HB CHROMOSOME ANALYSIS, HEMATOLOGIC, BONE MARROW"|300.00|$452.00|$52.00|$361.60|$316.00|$180.80|$159.10|$101.25||$180.80|$361.60|$256.74||$137.86|$171.76|$277.08|$100.00|||$56.00|$52.00|$263.96|$158.20|$203.40|$226.00|$169.50|$166.65|$114.63|$114.63
"CPT® 88262"|"HB CHROMOSOME ANALYSIS, PRODUCTS OF CONCEPTION"|300.00|$886.00|$52.00|$708.80|$620.00|$354.40|$311.87|$198.46||$354.40|$708.80|$503.25||$270.23|$336.68|$543.12|$100.00|||$56.00|$52.00|$263.96|$310.10|$398.70|$443.00|$332.25|$326.67|$224.69|$224.69
"CPT® 88233"|"HB CHROMOSOME ANALYSIS, PRODUCTS OF CONCEPTION"|300.00|$299.00|$52.00|$297.93|$209.00|$119.60|$105.25|$66.98||$119.60|$239.20|$169.83||$91.20|$113.62|$183.29|$100.00|||$56.00|$52.00|$297.93|$104.65|$134.55|$149.50|$112.13|$110.24|$75.83|$75.83
"CPT® 87497"|"HB CMV, PCR, AMNIOTIC FLUID"|300.00|$1728.00|$52.00|$1382.40|$1210.00|$691.20|$608.26|$387.07||$691.20|$1382.40|$981.50||$527.04|$656.64|$1059.26|$55.00|||$56.00|$52.00|$90.77|$588.53|$756.68|$840.75|$648.00|$637.11|$438.22|$438.22
"CPT® 88346"|"HB CUTANEOUS IMMUNOFLUORESCENCE ANTIBODY IGG, 1ST ST"|300.00|$145.00|$32.48|$116.00|$102.00|$58.00|$51.04|$32.48||$58.00|$116.00|$82.36||$44.23|$55.10|$88.89|$100.00|||$56.00|$52.00|$86.84|$53.38|$68.63|$76.25|$54.38|$53.46|$36.77|$36.77
"CPT® 86682"|"HB CYSTICERCUS ANTIBODY"|300.00|$135.00|$27.29|$108.00|$94.00|$54.00|$47.52|$30.24||$54.00|$108.00|$76.68||$41.18|$51.30|$82.76|$55.00|||$56.00|$52.00|$27.29|$47.25|$60.75|$67.50|$50.63|$49.77|$34.24|$34.24
"CPT® 83520"|"HB DESMOGLEIN 1 AND 3 ANTIBODIES"|300.00|$63.00|$14.11|$56.00|$44.00|$25.20|$22.18|$14.11||$25.20|$50.40|$35.78||$19.22|$23.94|$38.62|$55.00|||$56.00|$52.00|$27.29|$17.01|$22.95|$25.50|$23.63|$23.23|$15.98|$15.98
"CPT® 83520"|"HB DESMOGLEIN 1 AND 3 ANTIBODIES"|300.00|$63.00|$14.11|$56.00|$44.00|$25.20|$22.18|$14.11||$25.20|$50.40|$35.78||$19.22|$23.94|$38.62|$55.00|||$56.00|$52.00|$27.29|$22.05|$28.35|$31.50|$23.63|$23.23|$15.98|$15.98
"CPT® 81371"|"HB DONOR, HLA CONFIRMATORY TYPING"|300.00|$3435.00|$52.00|$2748.00|$2404.00|$1374.00|$1209.12|$769.44||$1374.00|$2748.00|$1951.08||$1047.68|$1305.30|$2105.66|$55.00|||$56.00|$52.00|$510.09|$1202.25|$1545.75|$1717.50|$1288.13|$1266.48|$871.12|$871.12
"CPT® 81378"|"HB DONOR, HLA HIGH RESOLUTION"|300.00|$2597.00|$52.00|$2077.60|$1818.00|$1038.80|$914.14|$581.73||$1038.80|$2077.60|$1475.10||$792.09|$986.86|$1591.96|$55.00|||$56.00|$52.00|$732.29|$654.08|$895.58|$995.09|$973.88|$957.51|$658.60|$658.60
"CPT® 81382"|"HB DONOR, HLA HIGH RESOLUTION"|300.00|$1661.00|$52.00|$1328.80|$1163.00|$664.40|$584.67|$372.06||$664.40|$1328.80|$943.45||$506.61|$631.18|$1018.19|$55.00|||$56.00|$52.00|$262.29|$418.25|$572.70|$636.33|$622.88|$612.41|$421.23|$421.23
"CPT® 81373"|"HB DONOR, HLA LOW RESOLUTION"|300.00|$2257.00|$52.00|$1805.60|$1580.00|$902.80|$794.46|$505.57||$902.80|$1805.60|$1281.98||$688.39|$857.66|$1383.54|$55.00|||$56.00|$52.00|$236.12|$568.33|$778.20|$864.67|$846.38|$832.16|$572.38|$572.38
"CPT® 81376"|"HB DONOR, HLA LOW RESOLUTION"|300.00|$1147.00|$52.00|$917.60|$803.00|$458.80|$403.74|$256.93||$458.80|$917.60|$651.50||$349.84|$435.86|$703.11|$55.00|||$56.00|$52.00|$258.95|$288.82|$395.48|$439.42|$430.13|$422.90|$290.88|$290.88
"CPT® 83520"|"HB GANGLIOSIDE ASIALO GM1 IGG ANTIBODY"|300.00|$601.00|$27.29|$480.80|$421.00|$240.40|$211.55|$134.62||$240.40|$480.80|$341.37||$183.31|$228.38|$368.41|$55.00|||$56.00|$52.00|$27.29|$210.35|$270.45|$300.50|$225.38|$221.59|$152.41|$152.41
"CPT® 83520"|"HB GANGLIOSIDE ASIALO GM1 IGM ANTIBODY"|300.00|$546.00|$27.29|$436.80|$382.00|$218.40|$192.19|$122.30||$218.40|$436.80|$310.13||$166.53|$207.48|$334.70|$55.00|||$56.00|$52.00|$27.29|$191.10|$245.70|$273.00|$204.75|$201.31|$138.47|$138.47
"CPT® 83520"|"HB GANGLIOSIDE GD1B IGG ANTIBODY"|300.00|$275.00|$27.29|$220.00|$192.00|$110.00|$96.80|$61.60||$110.00|$220.00|$156.20||$83.88|$104.50|$168.58|$55.00|||$56.00|$52.00|$27.29|$96.25|$123.75|$137.50|$103.13|$101.39|$69.74|$69.74
"CPT® 83520"|"HB GANGLIOSIDE GD1B IGM ANTIBODY"|300.00|$275.00|$27.29|$220.00|$192.00|$110.00|$96.80|$61.60||$110.00|$220.00|$156.20||$83.88|$104.50|$168.58|$55.00|||$56.00|$52.00|$27.29|$96.25|$123.75|$137.50|$103.13|$101.39|$69.74|$69.74
"CPT® 83520"|"HB GANGLIOSIDE GM1 ANTIBODIES"|300.00|$120.00|$26.88|$96.00|$84.00|$48.00|$42.24|$26.88||$48.00|$96.00|$68.16||$36.60|$45.60|$73.56|$55.00|||$56.00|$52.00|$27.29|$42.00|$54.00|$60.00|$45.00|$44.24|$30.43|$30.43
"CPT® 83516"|"HB GLIADIN IGG, IGA ANTIBODIES"|300.00|$104.00|$23.30|$83.20|$73.00|$41.60|$36.61|$23.30||$41.60|$83.20|$59.07||$31.72|$39.52|$63.75|$55.00|||$56.00|$52.00|$24.50|$36.40|$46.80|$52.00|$39.00|$38.34|$26.37|$26.37
"CPT® 87338"|"HB HELICOBACTER PYLORI ANTIGEN, STOOL"|300.00|$81.00|$18.14|$64.80|$57.00|$32.40|$28.51|$18.14||$32.40|$64.80|$46.01||$24.71|$30.78|$49.65|$55.00|||$56.00|$52.00|$30.63|$27.65|$35.55|$39.50|$30.38|$29.86|$20.54|$20.54
"CPT® 87350"|"HB HEPATITIS B VIRUS E ANTIGEN/ANTIBODY"|300.00|$36.00|$8.06|$36.00|$25.00|$14.40|$12.67|$8.06||$14.40|$28.80|$20.45||$10.98|$13.68|$22.07|$36.00|||$36.00|$36.00|$24.50|$12.25|$15.75|$17.50|$13.50|$13.27|$9.13|$9.13
"CPT® 86692"|"HB HEPATITIS D VIRUS ANTIBODY"|300.00|$107.00|$23.97|$85.60|$75.00|$42.80|$37.66|$23.97||$42.80|$85.60|$60.78||$32.64|$40.66|$65.59|$55.00|||$56.00|$52.00|$36.20|$37.45|$48.15|$53.50|$40.13|$39.45|$27.14|$27.14
"CPT® 81401"|"HB HEREDITARY PANCREATITIS"|300.00|$1165.00|$52.00|$932.00|$816.00|$466.00|$410.08|$260.96||$466.00|$932.00|$661.72||$355.33|$442.70|$714.15|$55.00|||$56.00|$52.00|$136.82|$293.44|$401.78|$446.42|$436.88|$429.54|$295.44|$295.44
"CPT® 86695"|"HB HERPES SIMPLEX VIRUS TYPES 1 IGM ANTIBODIES"|300.00|$29.00|$6.50|$29.00|$20.00|$11.60|$10.21|$6.50||$11.60|$23.20|$16.47||$8.85|$11.02|$17.78|$29.00|||$29.00|$29.00|$27.84|$10.15|$13.05|$14.50|$10.88|$10.69|$7.35|$7.35
"CPT® 86696"|"HB HERPES SIMPLEX VIRUS TYPES 2 IGM ANTIBODIES"|300.00|$44.00|$9.86|$44.00|$31.00|$17.60|$15.49|$9.86||$17.60|$35.20|$24.99||$13.42|$16.72|$26.97|$44.00|||$44.00|$44.00|$41.21|$15.40|$19.80|$22.00|$16.50|$16.22|$11.16|$11.16
"CPT® 87903"|"HB HIV PHENOTYPE, 1 - 10 DRUGS"|300.00|$4336.00|$52.00|$3468.80|$3035.00|$1734.40|$1526.27|$971.26||$1734.40|$3468.80|$2462.85||$1322.48|$1647.68|$2657.97|$55.00|||$56.00|$52.00|$1035.23|$643.06|$932.70|$1036.34|$1626.00|$1598.68|$1099.61|$1099.61
"CPT® 81373"|"HB HLA AB TYPING"|300.00|$1471.00|$52.00|$1176.80|$1030.00|$588.40|$517.79|$329.50||$588.40|$1176.80|$835.53||$448.66|$558.98|$901.72|$55.00|||$56.00|$52.00|$236.12|$370.30|$507.08|$563.42|$551.63|$542.36|$373.05|$373.05
"CPT® 81380"|"HB HLA ANTIGEN DQ TYPING, CLASS I"|300.00|$716.00|$52.00|$572.80|$501.00|$286.40|$252.03|$160.38||$286.40|$572.80|$406.69||$218.38|$272.08|$438.91|$55.00|||$56.00|$52.00|$375.33|$180.32|$246.90|$274.33|$268.50|$263.99|$181.58|$181.58
"CPT® 81382"|"HB HLA ANTIGEN DQ TYPING, CLASS II"|300.00|$412.00|$52.00|$329.60|$288.00|$164.80|$145.02|$92.29||$164.80|$329.60|$234.02||$125.66|$156.56|$252.56|$55.00|||$56.00|$52.00|$262.29|$103.81|$142.13|$157.92|$154.50|$151.90|$104.48|$104.48
"CPT® 81381"|"HB HLA B 5701 TYPING"|300.00|$1385.00|$52.00|$1108.00|$969.00|$554.00|$487.52|$310.24||$554.00|$1108.00|$786.68||$422.43|$526.30|$849.01|$55.00|||$56.00|$52.00|$200.48|$348.74|$477.52|$530.59|$519.38|$510.65|$351.24|$351.24
"CPT® 81380"|"HB HLA B5 TYPING"|300.00|$2881.00|$52.00|$2304.80|$2017.00|$1152.40|$1014.11|$645.34||$1152.40|$2304.80|$1636.41||$878.71|$1094.78|$1766.05|$55.00|||$56.00|$52.00|$375.33|$1008.35|$1296.45|$1440.50|$1080.38|$1062.22|$730.62|$730.62
"CPT® 81380"|"HB HLA B51 TYPING"|300.00|$2881.00|$52.00|$2304.80|$2017.00|$1152.40|$1014.11|$645.34||$1152.40|$2304.80|$1636.41||$878.71|$1094.78|$1766.05|$55.00|||$56.00|$52.00|$375.33|$256.10|$409.28|$454.75|$1080.38|$1062.22|$730.62|$730.62
"CPT® 83520"|"HB HUMAN MOUSE ANTIBODY"|300.00|$264.00|$27.29|$211.20|$185.00|$105.60|$92.93|$59.14||$105.60|$211.20|$149.95||$80.52|$100.32|$161.83|$55.00|||$56.00|$52.00|$27.29|$92.40|$118.80|$132.00|$99.00|$97.34|$66.95|$66.95
"CPT® 82784"|"HB IMMUNOGLOBULIN D"|300.00|$103.00|$19.49|$82.40|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$55.00|||$56.00|$52.00|$19.49|$36.05|$46.35|$51.50|$38.63|$37.98|$26.12|$26.12
"CPT® 82784"|"HB IMMUNOGLOBULIN SUBCLASS 1,2,3,4"|300.00|$103.00|$19.49|$82.40|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$55.00|||$56.00|$52.00|$19.49|$36.05|$46.35|$51.50|$38.63|$37.98|$26.12|$26.12
"CPT® 82787"|"HB IMMUNOGLOBULIN SUBCLASS 1,2,3,4"|300.00|$13.00|$2.91|$13.00|$9.00|$5.20|$4.58|$2.91||$5.20|$10.40|$7.38||$3.97|$4.94|$7.97|$13.00|||$13.00|$13.00|$13.00|$4.55|$5.85|$6.50|$4.88|$4.79|$3.30|$3.30
"CPT® 82787"|"HB IMMUNOGLOBULIN SUBCLASS 4"|300.00|$13.00|$2.91|$13.00|$9.00|$5.20|$4.58|$2.91||$5.20|$10.40|$7.38||$3.97|$4.94|$7.97|$13.00|||$13.00|$13.00|$13.00|$4.55|$5.85|$6.50|$4.88|$4.79|$3.30|$3.30
"CPT® 86337"|"HB INSULIN ANTIBODIES"|300.00|$60.00|$13.44|$56.00|$42.00|$24.00|$21.12|$13.44||$24.00|$48.00|$34.08||$18.30|$22.80|$36.78|$55.00|||$56.00|$52.00|$45.11|$21.00|$27.00|$30.00|$22.50|$22.12|$15.22|$15.22
"CPT® 86341"|"HB INSULINOMA ASSOCIATED 2 ANTIBODY"|300.00|$163.00|$36.51|$130.40|$114.00|$65.20|$57.38|$36.51||$65.20|$130.40|$92.58||$49.72|$61.94|$99.92|$55.00|||$56.00|$52.00|$41.76|$57.05|$73.35|$81.50|$61.13|$60.10|$41.34|$41.34
"CPT® 81265"|"HB ENGRAPHMENT MONITORING: STR PP21, PATIENT AND DONOR, PRE-TRANSPLANT"|300.00|$528.00|$52.00|$455.52|$370.00|$211.20|$185.86|$118.27||$211.20|$422.40|$299.90||$161.04|$200.64|$323.66|$55.00|||$56.00|$52.00|$455.52|$184.80|$237.60|$264.00|$198.00|$194.67|$133.90|$133.90
"CPT® 81266"|"HB ENGRAPHMENT MONITORING: STR PP21, ADDITIONAL DONOR, PRE-TRANSPLANT"|300.00|$528.00|$52.00|$422.40|$370.00|$211.20|$185.86|$118.27||$211.20|$422.40|$299.90||$161.04|$200.64|$323.66|$209.19|||$56.00|$52.00|$418.55|$184.80|$237.60|$264.00|$198.00|$194.67|$133.90|$133.90
"CPT® 81267"|"HB ENGRAPHMENT MONITORING: STR PP21, CHIMERISM ANALYSIS, POST TRANSPLANT"|300.00|$997.00|$52.00|$797.60|$698.00|$398.80|$350.94|$223.33||$398.80|$797.60|$566.30||$304.09|$378.86|$611.16|$55.00|||$56.00|$52.00|$439.37|$348.95|$448.65|$498.50|$373.88|$367.59|$252.84|$252.84
"CPT® 81268"|"HB ENGRAPHMENT MONITORING STR PP21 CHIMERISM ANALYSIS POST TRANSPLANT W/ CELL SELECT, EA CELL"|300.00|$1200.00|$52.00|$960.00|$840.00|$480.00|$422.40|$268.80||$480.00|$960.00|$681.60||$366.00|$456.00|$735.60|$55.00|||$56.00|$52.00|$552.42|$420.00|$540.00|$600.00|$450.00|$442.44|$304.32|$304.32
"CPT® 81267"|"HB ENGRAPHMENT MONITORING: STR PP21, CHIMERISM W/WHOLE GENOME AMPLIFICATION"|300.00|$1769.00|$52.00|$1415.20|$1238.00|$707.60|$622.69|$396.26||$707.60|$1415.20|$1004.79||$539.55|$672.22|$1084.40|$55.00|||$56.00|$52.00|$439.37|$619.15|$796.05|$884.50|$663.38|$652.23|$448.62|$448.62
"CPT® 81268"|"HB ENGRAPHMENT MONTR STR PP21 CHIMERSM POST TRNSPLNT W/CELL SLECT W/WHLE GENOME AMP EA CELL"|300.00|$1093.00|$52.00|$874.40|$765.00|$437.20|$384.74|$244.83||$437.20|$874.40|$620.82||$333.37|$415.34|$670.01|$55.00|||$56.00|$52.00|$552.42|$382.55|$491.85|$546.50|$409.88|$402.99|$277.18|$277.18
"CPT® 87799"|"HB JC POLYOMA VIRUS DNA, QUANTITATIVE, PCR"|300.00|$532.00|$52.00|$425.60|$372.00|$212.80|$187.26|$119.17||$212.80|$425.60|$302.18||$162.26|$202.16|$326.12|$55.00|||$56.00|$52.00|$90.77|$181.30|$233.10|$259.00|$199.50|$196.15|$134.92|$134.92
"CPT® 87799"|"HB JC POLYOMA VIRUS DNA, QUANTITATIVE, PCR"|300.00|$532.00|$52.00|$425.60|$372.00|$212.80|$187.26|$119.17||$212.80|$425.60|$302.18||$162.26|$202.16|$326.12|$55.00|||$56.00|$52.00|$90.77|$186.20|$239.40|$266.00|$199.50|$196.15|$134.92|$134.92
"CPT® 81273"|"HB KIT ASP 816 VAL MUTATION ANALYSIS, QUALITATIVE, PCR"|300.00|$5148.00|$52.00|$4118.40|$3604.00|$2059.20|$1812.10|$1153.15||$2059.20|$4118.40|$2924.06||$1570.14|$1956.24|$3155.72|$55.00|||$56.00|$52.00|$194.34|$1801.80|$2316.60|$2574.00|$1930.50|$1898.07|$1305.53|$1305.53
"CPT® 87801"|"HB LYME DISEASE DNA, BLOOD"|300.00|$443.00|$52.00|$354.40|$310.00|$177.20|$155.94|$99.23||$177.20|$354.40|$251.62||$135.12|$168.34|$271.56|$55.00|||$56.00|$52.00|$148.68|$150.85|$193.95|$215.50|$166.13|$163.33|$112.34|$112.34
"CPT® 86617"|"HB LYME IGG, IGM CONFIRMATION"|300.00|$55.00|$12.32|$55.00|$38.00|$22.00|$19.36|$12.32||$22.00|$44.00|$31.24||$16.78|$20.90|$33.72|$55.00|||$55.00|$52.00|$32.85|$19.25|$24.75|$27.50|$20.63|$20.28|$13.95|$13.95
"CPT® 86999"|"HB MISCELLANEOUS LABORATORY TEST"|300.00|$128.00|$19.05|$102.40|$90.00|$51.20|$45.06|$28.67||$51.20|$102.40|$72.70||$39.04|$48.64|$78.46|$55.00|||$56.00|$52.00|$19.05|$28.88|$37.13|$41.25|$48.00|$47.19|$32.46|$32.46
"CPT® 86738"|"HB MYCOPLASMA PNEUMONIAE IGG AND IGM ANTIBODIES"|300.00|$98.00|$21.95|$78.40|$69.00|$39.20|$34.50|$21.95||$39.20|$78.40|$55.66||$29.89|$37.24|$60.07|$55.00|||$56.00|$52.00|$27.84|$34.30|$44.10|$49.00|$36.75|$36.13|$24.85|$24.85
"CPT® 83520"|"HB MYELIN ASSOCIATED GLYCOPROTEIN (MAG), SULFOGLUCURONYL PARAGLOBOSIDE (SGPG) IGM AUTOANTIBODIES"|300.00|$105.00|$23.52|$84.00|$74.00|$42.00|$36.96|$23.52||$42.00|$84.00|$59.64||$32.03|$39.90|$64.37|$55.00|||$56.00|$52.00|$27.29|$36.75|$47.25|$52.50|$39.38|$38.71|$26.63|$26.63
"CPT® 83520"|"HB MYELIN ASSOCIATED GLYCOPROTEIN (MAG), SULFOGLUCURONYL PARAGLOBOSIDE (SGPG) IGM AUTOANTIBODIES"|300.00|$117.00|$26.21|$93.60|$82.00|$46.80|$41.18|$26.21||$46.80|$93.60|$66.46||$35.69|$44.46|$71.72|$55.00|||$56.00|$52.00|$27.29|$40.95|$52.65|$58.50|$43.88|$43.14|$29.67|$29.67
"CPT® 87591"|"HB NEISSERIA GONORRHOEAE CONFIRMATION"|300.00|$264.00|$52.00|$211.20|$185.00|$105.60|$92.93|$59.14||$105.60|$211.20|$149.95||$80.52|$100.32|$161.83|$55.00|||$56.00|$52.00|$74.63|$89.95|$115.65|$128.50|$99.00|$97.34|$66.95|$66.95
"CPT® 86255"|"HB NEUROMYELTITIS OPTICA IGG SERUM/CSF"|300.00|$615.00|$25.62|$492.00|$430.00|$246.00|$216.48|$137.76||$246.00|$492.00|$349.32||$187.58|$233.70|$377.00|$55.00|||$56.00|$52.00|$25.62|$215.25|$276.75|$307.50|$230.63|$226.75|$155.96|$155.96
"CPT® 86645"|"HB NON-DONOR CMV, IGM"|300.00|$58.00|$12.99|$56.00|$41.00|$23.20|$20.42|$12.99||$23.20|$46.40|$32.94||$17.69|$22.04|$35.55|$55.00|||$56.00|$52.00|$35.64|$20.13|$25.88|$28.75|$21.75|$21.38|$14.71|$14.71
"CPT® 87799"|"HB PARVOVIRUS B19 QUANTITATIVE, PCR"|300.00|$763.00|$52.00|$610.40|$534.00|$305.20|$268.58|$170.91||$305.20|$610.40|$433.38||$232.72|$289.94|$467.72|$55.00|||$56.00|$52.00|$90.77|$259.88|$334.13|$371.25|$286.13|$281.32|$193.50|$193.50
"CPT® 88182"|"HB PLASMA CELL LABELING INDEX, FLOW CYTOMETRY, DNA"|300.00|$93.00|$20.83|$97.50|$65.00|$37.20|$32.74|$20.83||$37.20|$74.40|$52.82||$28.37|$35.34|$57.01|$93.00|||$56.00|$52.00|$97.50|$34.13|$43.88|$48.75|$34.88|$34.29|$23.58|$23.58
"CPT® 86023"|"HB PLATELET AUTOANTIBODIES"|300.00|$99.00|$22.18|$79.20|$69.00|$39.60|$34.85|$22.18||$39.60|$79.20|$56.23||$30.20|$37.62|$60.69|$55.00|||$56.00|$52.00|$26.18|$34.65|$44.55|$49.50|$37.13|$36.50|$25.11|$25.11
"CPT® 86022"|"HB PLATELET AUTOANTIBODIES"|300.00|$67.00|$15.01|$56.00|$47.00|$26.80|$23.58|$15.01||$26.80|$53.60|$38.06||$20.44|$25.46|$41.07|$55.00|||$56.00|$52.00|$38.99|$23.45|$30.15|$33.50|$25.13|$24.70|$16.99|$16.99
"CPT® 86022"|"HB PLATELET AUTOANTIBODIES"|300.00|$155.00|$34.72|$124.00|$108.00|$62.00|$54.56|$34.72||$62.00|$124.00|$88.04||$47.28|$58.90|$95.02|$55.00|||$56.00|$52.00|$38.99|$54.25|$69.75|$77.50|$58.13|$57.15|$39.31|$39.31
"CPT® 87798"|"HB PROTEIN 14-3-3, RT PCR"|300.00|$686.00|$52.00|$548.80|$480.00|$274.40|$241.47|$153.66||$274.40|$548.80|$389.65||$209.23|$260.68|$420.52|$55.00|||$56.00|$52.00|$55.88|$59.75|$114.08|$126.75|$257.25|$252.93|$173.97|$173.97
"CPT® 84182"|"HB PROTEIN 14-3-3, WESTERN BLOT"|300.00|$333.00|$26.95|$266.40|$233.00|$133.20|$117.22|$74.59||$133.20|$266.40|$189.14||$101.57|$126.54|$204.13|$55.00|||$56.00|$52.00|$37.86|$26.95|$43.80|$48.67|$124.88|$122.78|$84.45|$84.45
"CPT® 86317"|"HB PROTEIN 14-3-3, IMMUNMOASSAY"|300.00|$309.00|$25.83|$247.20|$216.00|$123.60|$108.77|$69.22||$123.60|$247.20|$175.51||$94.25|$117.42|$189.42|$55.00|||$56.00|$52.00|$31.74|$25.83|$41.85|$46.50|$115.88|$113.93|$78.36|$78.36
"CPT® 84181"|"HB PURKINJE CELL (YO) AUTOANTIBODIES"|300.00|$906.00|$36.20|$724.80|$634.00|$362.40|$318.91|$202.94||$362.40|$724.80|$514.61||$276.33|$344.28|$555.38|$55.00|||$56.00|$52.00|$36.20|$317.10|$407.70|$453.00|$339.75|$334.04|$229.76|$229.76
"CPT® 81378"|"HB RECIPIENT HLA HIGH RESOLUTION"|300.00|$2597.00|$52.00|$2077.60|$1818.00|$1038.80|$914.14|$581.73||$1038.80|$2077.60|$1475.10||$792.09|$986.86|$1591.96|$55.00|||$56.00|$52.00|$732.29|$908.95|$1168.65|$1298.50|$973.88|$957.51|$658.60|$658.60
"CPT® 81382"|"HB RECIPIENT HLA HIGH RESOLUTION"|300.00|$1661.00|$52.00|$1328.80|$1163.00|$664.40|$584.67|$372.06||$664.40|$1328.80|$943.45||$506.61|$631.18|$1018.19|$55.00|||$56.00|$52.00|$262.29|$581.35|$747.45|$830.50|$622.88|$612.41|$421.23|$421.23
"CPT® 86671"|"HB SACCHAROMYCES CEREVISIAE IGG, IGA ANTIBODIES"|300.00|$248.00|$26.18|$198.40|$174.00|$99.20|$87.30|$55.55||$99.20|$198.40|$140.86||$75.64|$94.24|$152.02|$55.00|||$56.00|$52.00|$26.18|$86.80|$111.60|$124.00|$93.00|$91.44|$62.89|$62.89
"CPT® 86022"|"HB SEROTONIN RELEASE ASSAY"|300.00|$986.00|$38.99|$788.80|$690.00|$394.40|$347.07|$220.86||$394.40|$788.80|$560.05||$300.73|$374.68|$604.42|$55.00|||$56.00|$52.00|$38.99|$248.15|$339.83|$377.59|$369.75|$363.54|$250.05|$250.05
"CPT® 86317"|"HB STREPTOCOCCUS PNEUMONIAE IGG ANTIBODIES"|300.00|$40.00|$8.96|$40.00|$28.00|$16.00|$14.08|$8.96||$16.00|$32.00|$22.72||$12.20|$15.20|$24.52|$40.00|||$40.00|$40.00|$31.74|$14.00|$18.00|$20.00|$15.00|$14.75|$10.14|$10.14
"CPT® 86682"|"HB STRONGYLOIDES IGG ANTIBODY"|300.00|$350.00|$27.29|$280.00|$245.00|$140.00|$123.20|$78.40||$140.00|$280.00|$198.80||$106.75|$133.00|$214.55|$55.00|||$56.00|$52.00|$27.29|$122.50|$157.50|$175.00|$131.25|$129.05|$88.76|$88.76
"CPT® 83520"|"HB SULFATIDE AUTOANTIBODIES"|300.00|$575.00|$27.29|$460.00|$402.00|$230.00|$202.40|$128.80||$230.00|$460.00|$326.60||$175.38|$218.50|$352.48|$55.00|||$56.00|$52.00|$27.29|$201.25|$258.75|$287.50|$215.63|$212.00|$145.82|$145.82
"CPT® 83520"|"HB SULFATIDE AUTOANTIBODIES"|300.00|$575.00|$27.29|$460.00|$402.00|$230.00|$202.40|$128.80||$230.00|$460.00|$326.60||$175.38|$218.50|$352.48|$55.00|||$56.00|$52.00|$27.29|$201.25|$258.75|$287.50|$215.63|$212.00|$145.82|$145.82
"CPT® 83516"|"HB TRANSGLUTAMINASE IGG, IGA AUTOANTIBODIES"|300.00|$181.00|$24.50|$144.80|$127.00|$72.40|$63.71|$40.54||$72.40|$144.80|$102.81||$55.21|$68.78|$110.95|$55.00|||$56.00|$52.00|$24.50|$63.35|$81.45|$90.50|$67.88|$66.73|$45.90|$45.90
"CPT® 87799"|"HB VARICELLA ZOSTER VIRUS, PCR, CSF"|300.00|$909.00|$52.00|$727.20|$636.00|$363.60|$319.97|$203.62||$363.60|$727.20|$516.31||$277.25|$345.42|$557.22|$55.00|||$56.00|$52.00|$90.77|$309.58|$398.03|$442.25|$340.88|$335.15|$230.52|$230.52
"CPT® 83520"|"HB PARANEOPLASTIC-MAYO STRI AB"|300.00|$57.00|$12.77|$56.00|$40.00|$22.80|$20.06|$12.77||$22.80|$45.60|$32.38||$17.39|$21.66|$34.94|$55.00|||$56.00|$52.00|$27.29|$19.95|$25.65|$28.50|$21.38|$21.02|$14.46|$14.46
"CPT® 88350"|"HB CUTANEOUS IMMUNOFLUORESCENCE ANTIBODY IGG, ADDTL"|300.00|$186.00|$41.66|$148.80|$130.00|$74.40|$65.47|$41.66||$74.40|$148.80|$105.65||$56.73|$70.68|$114.02|$100.00|||$56.00|$52.00|$67.94|$68.43|$87.98|$97.75|$69.75|$68.58|$47.17|$47.17
"CPT® 86160"|"HB C4A LEVEL"|300.00|$725.00|$25.62|$580.00|$507.00|$290.00|$255.20|$162.40||$290.00|$580.00|$411.80||$221.13|$275.50|$444.43|$55.00|||$56.00|$52.00|$25.62|$253.75|$326.25|$362.50|$271.88|$267.31|$183.86|$183.86
"CPT® 83520"|"HB EOSINOPHIL CATIONIC PROTEIN"|300.00|$639.00|$27.29|$511.20|$447.00|$255.60|$224.93|$143.14||$255.60|$511.20|$362.95||$194.90|$242.82|$391.71|$55.00|||$56.00|$52.00|$27.29|$223.65|$287.55|$319.50|$239.63|$235.60|$162.05|$162.05
"CPT® 83520"|"HB VASCULAR ENDOTHELIAL GROWTH FACTOR"|300.00|$1012.00|$27.29|$809.60|$708.00|$404.80|$356.22|$226.69||$404.80|$809.60|$574.82||$308.66|$384.56|$620.36|$55.00|||$56.00|$52.00|$27.29|$354.20|$455.40|$506.00|$379.50|$373.12|$256.64|$256.64
"CPT® 81257"|"HB ALPHA-GLOBIN COMMON MUTATION ANALYSIS"|300.00|$2186.00|$52.00|$1748.80|$1530.00|$874.40|$769.47|$489.66||$874.40|$1748.80|$1241.65||$666.73|$830.68|$1340.02|$55.00|||$56.00|$52.00|$212.18|$818.72|$1041.15|$1156.83|$819.75|$805.98|$554.37|$554.37
"CPT® 87471"|"HB BARTONELLA DNA, RT-PCR"|300.00|$954.00|$52.00|$763.20|$668.00|$381.60|$335.81|$213.70||$381.60|$763.20|$541.87||$290.97|$362.52|$584.80|$55.00|||$56.00|$52.00|$74.63|$355.60|$450.60|$500.67|$357.75|$351.74|$241.93|$241.93
"CPT® 81212"|"HB BRCAVANTAGE, ASHKENAZI JEWISH SCREEN"|300.00|$4304.00|$52.00|$3443.20|$3013.00|$1721.60|$1515.01|$964.10||$1721.60|$3443.20|$2444.67||$1312.72|$1635.52|$2638.35|$1705.24|||$56.00|$52.00|$274.53|$1612.94|$2050.95|$2278.83|$1614.00|$1586.88|$1091.49|$1091.49
"CPT® 81162"|"HB BRCAVANTAGE, COMPREHENSIVE"|300.00|$6962.00|$52.00|$7991.59|$4873.00|$2784.80|$2450.62|$1559.49||$2784.80|$5569.60|$3954.42||$2123.41|$2645.56|$4267.71|$55.00|||$56.00|$52.00|$3866.34|$6225.59|$7192.43|$7991.59|$2610.75|$2566.89|$1765.56|$1765.56
"CPT® 81213"|"HB BRCAVANTAGE, REARRANGEMENTS"|300.00|$4304.00|$52.00|$3443.20|$3013.00|$1721.60|$1515.01|$964.10||$1721.60|$3443.20|$2444.67||$1312.72|$1635.52|$2638.35|$55.00|||$56.00|$52.00|$904.91|$1599.71|$2036.77|$2263.09|$1614.00|$1586.88|$1091.49|$1091.49
"CPT® 83520"|"HB C3A DESARG FRAGMENT"|300.00|$866.00|$27.29|$692.80|$606.00|$346.40|$304.83|$193.98||$346.40|$692.80|$491.89||$264.13|$329.08|$530.86|$55.00|||$56.00|$52.00|$27.29|$350.84|$440.85|$489.83|$324.75|$319.29|$219.62|$219.62
"CPT® 81220"|"HB CYSTIC FIBROSIS SCREEN"|300.00|$557.00|$52.00|$445.60|$390.00|$222.80|$196.06|$124.77||$222.80|$445.60|$316.38||$169.89|$211.66|$341.44|$55.00|||$56.00|$52.00|$292.83|$208.46|$265.12|$294.59|$208.88|$205.37|$141.26|$141.26
"CPT® 81400"|"HB FACTOR XIII (13) V34L DNA MUTATION ANALYSIS"|300.00|$2890.00|$52.00|$2312.00|$2023.00|$1156.00|$1017.28|$647.36||$1156.00|$2312.00|$1641.52||$881.45|$1098.20|$1771.57|$55.00|||$56.00|$52.00|$64.70|$1082.83|$1376.93|$1529.92|$1083.75|$1065.54|$732.90|$732.90
"CPT® 84181"|"HB HSP-70 ANTIBODY, WESTERN BLOT"|300.00|$719.00|$36.20|$575.20|$503.00|$287.60|$253.09|$161.06||$287.60|$575.20|$408.39||$219.30|$273.22|$440.75|$55.00|||$56.00|$52.00|$36.20|$291.20|$365.92|$406.59|$269.63|$265.10|$182.34|$182.34
"CPT® 81400"|"HB HUMAN PLATELET ANTIGEN 1 GENOTYPE"|300.00|$1174.00|$52.00|$939.20|$822.00|$469.60|$413.25|$262.98||$469.60|$939.20|$666.83||$358.07|$446.12|$719.66|$55.00|||$56.00|$52.00|$64.70|$439.60|$559.05|$621.17|$440.25|$432.85|$297.73|$297.73
"CPT® 81270"|"HB JAK2 V617F MUTATION, QUANTITATIVE"|300.00|$2920.00|$52.00|$2336.00|$2044.00|$1168.00|$1027.84|$654.08||$1168.00|$2336.00|$1658.56||$890.60|$1109.60|$1789.96|$55.00|||$56.00|$52.00|$194.34|$1094.38|$1391.55|$1546.17|$1095.00|$1076.60|$740.51|$740.51
"CPT® 81400"|"HB PAI-1, 4G/5G POLYMORPHISM"|300.00|$637.00|$52.00|$509.60|$446.00|$254.80|$224.22|$142.69||$254.80|$509.60|$361.82||$194.29|$242.06|$390.48|$55.00|||$56.00|$52.00|$64.70|$238.00|$302.78|$336.42|$238.88|$234.86|$161.54|$161.54
"CPT® 87798"|"HB WEST NILE VIRUS, RNA, RT-PCR"|300.00|$1728.00|$52.00|$1382.40|$1210.00|$691.20|$608.26|$387.07||$691.20|$1382.40|$981.50||$527.04|$656.64|$1059.26|$55.00|||$56.00|$52.00|$74.63|$644.18|$816.30|$907.00|$648.00|$637.11|$438.22|$438.22
"CPT® 81401"|"HB ADMARK APOLIPOPROTEIN E GENOTYPE, BILL ONLY"|300.00|$3301.00|$52.00|$2640.80|$2311.00|$1320.40|$1161.95|$739.42||$1320.40|$2640.80|$1874.97||$1006.81|$1254.38|$2023.51|$55.00|||$56.00|$52.00|$136.82|$1155.35|$1485.45|$1650.50|$1237.88|$1217.08|$837.13|$837.13
"CPT® 81401"|"HB ATAXIA EVALUATION, MOL. PATH LEVEL 2, BILL ONLY"|300.00|$1788.00|$52.00|$1430.40|$1252.00|$715.20|$629.38|$400.51||$715.20|$1430.40|$1015.58||$545.34|$679.44|$1096.04|$55.00|||$56.00|$52.00|$136.82|$450.24|$616.50|$685.00|$670.50|$659.24|$453.44|$453.44
"CPT® 81401"|"HB ATAXIA EVALUATION, MOL. PATH LEVEL 2, EACH ADDTL-MOD 59, BILL ONLY"|300.00|$1788.00|$52.00|$1430.40|$1252.00|$715.20|$629.38|$400.51||$715.20|$1430.40|$1015.58||$545.34|$679.44|$1096.04|$55.00|||$56.00|$52.00|$136.82|$450.24|$616.50|$685.00|$670.50|$659.24|$453.44|$453.44
"CPT® 81403"|"HB ATAXIA EVALUATION, MOL. PATH LEVEL 4, BILL ONLY"|300.00|$1788.00|$52.00|$1430.40|$1252.00|$715.20|$629.38|$400.51||$715.20|$1430.40|$1015.58||$545.34|$679.44|$1096.04|$55.00|||$56.00|$52.00|$178.25|$450.24|$616.50|$685.00|$670.50|$659.24|$453.44|$453.44
"CPT® 81404"|"HB ATAXIA EVALUATION, MOL. PATH LEVEL 5, BILL ONLY"|300.00|$1788.00|$52.00|$1430.40|$1252.00|$715.20|$629.38|$400.51||$715.20|$1430.40|$1015.58||$545.34|$679.44|$1096.04|$55.00|||$56.00|$52.00|$294.98|$450.24|$616.50|$685.00|$670.50|$659.24|$453.44|$453.44
"CPT® 81405"|"HB ATAXIA EVALUATION, MOL. PATH LEVEL 6, BILL ONLY"|300.00|$1788.00|$52.00|$1430.40|$1252.00|$715.20|$629.38|$400.51||$715.20|$1430.40|$1015.58||$545.34|$679.44|$1096.04|$55.00|||$56.00|$52.00|$317.88|$450.24|$616.50|$685.00|$670.50|$659.24|$453.44|$453.44
"CPT® 81406"|"HB ATAXIA EVALUATION, MOL. PATH LEVEL 7, BILL ONLY"|300.00|$1788.00|$52.00|$1430.40|$1252.00|$715.20|$629.38|$400.51||$715.20|$1430.40|$1015.58||$545.34|$679.44|$1096.04|$55.00|||$56.00|$52.00|$363.65|$450.24|$616.50|$685.00|$670.50|$659.24|$453.44|$453.44
"CPT® 81479"|"HB ATAXIA EVALUATION, UNLISTED MOL. PATH, BILL ONLY"|300.00|$1788.00|$52.00|$1430.40|$1252.00|$715.20|$629.38|$400.51||$715.20|$1430.40|$1015.58||$545.34|$679.44|$1096.04|$55.00|||$56.00|$52.00|$163.85|$450.24|$616.50|$685.00|$670.50|$659.24|$453.44|$453.44
"CPT® 81406"|"HB COMPLETE CADASIL EVALUATION, BILL ONLY"|300.00|$22117.00|$52.00|$17693.60|$15482.00|$8846.80|$7785.18|$4954.21||$8846.80|$17693.60|$12562.46||$6745.69|$8404.46|$13557.72|$55.00|||$56.00|$52.00|$363.65|$7740.95|$9952.65|$11058.50|$8293.88|$8154.54|$5608.87|$5608.87
"CPT® 83520"|"HB SENSORI MOTOR NEUROPATHY PROFILE, BILL ONLY"|300.00|$349.00|$27.29|$279.20|$244.00|$139.60|$122.85|$78.18||$139.60|$279.20|$198.23||$106.45|$132.62|$213.94|$55.00|||$56.00|$52.00|$27.29|$122.15|$157.05|$174.50|$130.88|$128.68|$88.51|$88.51
"CPT® 83519"|"HB MUSK ANTIBODY"|300.00|$1408.00|$28.40|$1126.40|$986.00|$563.20|$495.62|$315.39||$563.20|$1126.40|$799.74||$429.44|$535.04|$863.10|$55.00|||$56.00|$52.00|$28.40|$492.80|$633.60|$704.00|$528.00|$519.13|$357.07|$357.07
"CPT® 83520"|"HB SENSORI MOTOR NEUROPATHY PROFILE, BILL ONLY (MOD-59)"|300.00|$349.00|$27.29|$279.20|$244.00|$139.60|$122.85|$78.18||$139.60|$279.20|$198.23||$106.45|$132.62|$213.94|$55.00|||$56.00|$52.00|$27.29|$122.15|$157.05|$174.50|$130.88|$128.68|$88.51|$88.51
"CPT® 83516"|"HB SENSORI MOTOR NEUROPATHY PROFILE, BILL ONLY, IMMUNOASSAY"|300.00|$315.00|$24.50|$252.00|$220.00|$126.00|$110.88|$70.56||$126.00|$252.00|$178.92||$96.08|$119.70|$193.10|$55.00|||$56.00|$52.00|$24.50|$110.25|$141.75|$157.50|$118.13|$116.14|$79.88|$79.88
"CPT® 82106"|"HB AMNIOTIC FLUID, ALPHAFETO PROTEIN, BILL ONLY"|300.00|$76.00|$17.02|$60.80|$53.00|$30.40|$26.75|$17.02||$30.40|$60.80|$43.17||$23.18|$28.88|$46.59|$55.00|||$56.00|$52.00|$35.64|$26.60|$34.20|$38.00|$28.50|$28.02|$19.27|$19.27
"CPT® 81223"|"HB CYSTIC FIBROSIS TRANSMEMBRANE REDUCTANCE, BILL ONLY"|300.00|$1210.00|$52.00|$968.00|$847.00|$484.00|$425.92|$271.04||$484.00|$968.00|$687.28||$369.05|$459.80|$741.73|$55.00|||$56.00|$52.00|$446.24|$423.50|$544.50|$605.00|$453.75|$446.13|$306.86|$306.86
"CPT® 81224"|"HB CYSTIC FIBROSIS TRANSMEMBRANE REDUCTANCE, INTRON 8, BILL ONLY"|300.00|$1424.00|$52.00|$1139.20|$997.00|$569.60|$501.25|$318.98||$569.60|$1139.20|$808.83||$434.32|$541.12|$872.91|$55.00|||$56.00|$52.00|$124.95|$358.61|$491.03|$545.59|$534.00|$525.03|$361.13|$361.13
"CPT® 81405"|"HB FABRY FULL GENE SEQUENCE, BILL ONLY"|300.00|$5510.00|$52.00|$4408.00|$3857.00|$2204.00|$1939.52|$1234.24||$2204.00|$4408.00|$3129.68||$1680.55|$2093.80|$3377.63|$55.00|||$56.00|$52.00|$317.88|$1387.37|$1899.68|$2110.75|$2066.25|$2031.54|$1397.34|$1397.34
"CPT® 81243"|"HB FRAGILE X SYNDROME MUTATION ANALYSIS, BILL ONLY"|300.00|$1277.00|$52.00|$1021.60|$894.00|$510.80|$449.50|$286.05||$510.80|$1021.60|$725.34||$389.49|$485.26|$782.80|$55.00|||$56.00|$52.00|$109.83|$446.95|$574.65|$638.50|$478.88|$470.83|$323.85|$323.85
"CPT® 81244"|"HB FRAGILE X SYNDROME MUTATION ANALYSIS, BILL ONLY"|300.00|$1277.00|$52.00|$1021.60|$894.00|$510.80|$449.50|$286.05||$510.80|$1021.60|$725.34||$389.49|$485.26|$782.80|$55.00|||$56.00|$52.00|$57.33|$446.95|$574.65|$638.50|$478.88|$470.83|$323.85|$323.85
"CPT® 81250"|"HB GLYCOGEN STORAGE DISEASE, DIRECT BILL"|300.00|$757.00|$51.93|$605.60|$530.00|$302.80|$266.46|$169.57||$302.80|$605.60|$429.98||$230.89|$287.66|$464.04|$55.00|||$56.00|$52.00|$51.93|$190.54|$260.92|$289.92|$283.88|$279.11|$191.98|$191.98
"CPT® 88271"|"HB INSIGHT, FISH, BILL ONLY"|300.00|$133.00|$29.79|$106.40|$93.00|$53.20|$46.82|$29.79||$53.20|$106.40|$75.54||$40.57|$50.54|$81.53|$100.00|||$56.00|$52.00|$45.11|$46.55|$59.85|$66.50|$49.88|$49.04|$33.73|$33.73
"CPT® 81205"|"HB MAPLE SYRUP URINE DISEASE, DIRECT BILL"|300.00|$757.00|$52.00|$605.60|$530.00|$302.80|$266.46|$169.57||$302.80|$605.60|$429.98||$230.89|$287.66|$464.04|$55.00|||$56.00|$52.00|$52.65|$190.54|$260.92|$289.92|$283.88|$279.11|$191.98|$191.98
"CPT® 81401"|"HB SPINAL MUSCULAR ATROPHY, BILL ONLY"|300.00|$2238.00|$52.00|$1790.40|$1567.00|$895.20|$787.78|$501.31||$895.20|$1790.40|$1271.18||$682.59|$850.44|$1371.89|$55.00|||$56.00|$52.00|$136.82|$783.30|$1007.10|$1119.00|$839.25|$825.15|$567.56|$567.56
"CPT® 81479"|"HB Y CHROMOSOME MICRODELETION, BILL ONLY"|300.00|$2397.00|$52.00|$1917.60|$1678.00|$958.80|$843.74|$536.93||$958.80|$1917.60|$1361.50||$731.09|$910.86|$1469.36|$55.00|||$56.00|$52.00|$163.85|$778.33|$1043.93|$1159.92|$898.88|$883.77|$607.88|$607.88
"CPT® 81220"|"HB CYSTIC FIBROSIS SCREEN, BILL ONLY"|300.00|$1063.00|$52.00|$850.40|$744.00|$425.20|$374.18|$238.11||$425.20|$850.40|$603.78||$324.22|$403.94|$651.62|$55.00|||$56.00|$52.00|$292.83|$372.05|$478.35|$531.50|$398.63|$391.93|$269.58|$269.58
"CPT® 81250"|"HB GLYCOGEN STORAGE DISEASE TYPE 1A, BILL ONLY"|300.00|$666.00|$51.93|$532.80|$466.00|$266.40|$234.43|$149.18||$266.40|$532.80|$378.29||$203.13|$253.08|$408.26|$55.00|||$56.00|$52.00|$51.93|$233.10|$299.70|$333.00|$249.75|$245.55|$168.90|$168.90
"CPT® 81229"|"HB SNP MICROARRAY-PEDIATRIC(REVEAL)"|300.00|$4520.00|$52.00|$3616.00|$3164.00|$1808.00|$1591.04|$1012.48||$1808.00|$3616.00|$2567.36||$1378.60|$1717.60|$2770.76|$55.00|||$56.00|$52.00|$727.29|$1138.13|$1558.43|$1731.59|$1695.00|$1666.52|$1146.27|$1146.27
"CPT® 83520"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, ELISA"|300.00|$140.00|$27.29|$112.00|$98.00|$56.00|$49.28|$31.36||$56.00|$112.00|$79.52||$42.70|$53.20|$85.82|$55.00|||$56.00|$52.00|$27.29|$49.00|$63.00|$70.00|$52.50|$51.62|$35.50|$35.50
"CPT® 81479"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, SNP"|300.00|$431.00|$52.00|$344.80|$302.00|$172.40|$151.71|$96.54||$172.40|$344.80|$244.81||$131.46|$163.78|$264.20|$55.00|||$56.00|$52.00|$163.85|$150.85|$193.95|$215.50|$161.63|$158.91|$109.30|$109.30
"CPT® 88346"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, IFA 1ST"|300.00|$400.00|$52.00|$320.00|$280.00|$160.00|$140.80|$89.60||$160.00|$320.00|$227.20||$122.00|$152.00|$245.20|$100.00|||$56.00|$52.00|$86.84|$147.00|$189.00|$210.00|$150.00|$147.48|$101.44|$101.44
"CPT® 81335"|"HB THIOPURINE METHYLTRANSFERASE, GENOTYPE, BILL ONLY"|300.00|$1665.00|$52.00|$1332.00|$1166.00|$666.00|$586.08|$372.96||$666.00|$1332.00|$945.72||$507.83|$632.70|$1020.65|$55.00|||$56.00|$52.00|$370.04|$419.37|$574.20|$638.00|$624.38|$613.89|$422.24|$422.24
"CPT® 83516"|"HB CELIAC SCREEN PANEL, TTG-IGA IMMUNOASSAY"|300.00|$214.00|$24.50|$171.20|$150.00|$85.60|$75.33|$47.94||$85.60|$171.20|$121.55||$65.27|$81.32|$131.18|$55.00|||$56.00|$52.00|$24.50|$74.90|$96.30|$107.00|$80.25|$78.90|$54.27|$54.27
"CPT® 83516"|"HB CELIAC SCREEN PANEL, GLIADIN IGA IMMUNOASSAY"|300.00|$116.00|$24.50|$92.80|$81.00|$46.40|$40.83|$25.98||$46.40|$92.80|$65.89||$35.38|$44.08|$71.11|$55.00|||$56.00|$52.00|$24.50|$40.60|$52.20|$58.00|$43.50|$42.77|$29.42|$29.42
"CPT® 82784"|"HB CELIAC SCREEN PANEL, GAMMAGLOBULIN-IGA"|300.00|$103.00|$19.49|$82.40|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$55.00|||$56.00|$52.00|$19.49|$36.05|$46.35|$51.50|$38.63|$37.98|$26.12|$26.12
"CPT® 83516"|"HB CELIAC SCREEN RELEX, TTG-IGG IMMUNOASSAY"|300.00|$225.00|$24.50|$180.00|$158.00|$90.00|$79.20|$50.40||$90.00|$180.00|$127.80||$68.63|$85.50|$137.93|$55.00|||$56.00|$52.00|$24.50|$78.75|$101.25|$112.50|$84.38|$82.96|$57.06|$57.06
"CPT® 83516"|"HB CELIAC SCREEN REFLEX, GLIADIN-IGG IMMUNOASSAY"|300.00|$210.00|$24.50|$168.00|$147.00|$84.00|$73.92|$47.04||$84.00|$168.00|$119.28||$64.05|$79.80|$128.73|$55.00|||$56.00|$52.00|$24.50|$73.50|$94.50|$105.00|$78.75|$77.43|$53.26|$53.26
"CPT® 86256"|"HB NEUROMYELITIS OPTICA IGG SERUM/CSF, TITER"|300.00|$260.00|$25.62|$208.00|$182.00|$104.00|$91.52|$58.24||$104.00|$208.00|$147.68||$79.30|$98.80|$159.38|$55.00|||$56.00|$52.00|$25.62|$91.00|$117.00|$130.00|$97.50|$95.86|$65.94|$65.94
"CPT® 81220"|"HB CYSTIC FIBROSIS PROFILE, 97 MUTATIONS, CF PLUS"|300.00|$378.00|$52.00|$302.40|$265.00|$151.20|$133.06|$84.67||$151.20|$302.40|$214.70||$115.29|$143.64|$231.71|$55.00|||$56.00|$52.00|$261.61|$95.34|$130.50|$145.00|$141.75|$139.37|$95.86|$95.86
"CPT® 81406"|"HB DCM:LMNA (FULL GENE SEQUENCING)"|300.00|$2111.00|$52.00|$1688.80|$1478.00|$844.40|$743.07|$472.86||$844.40|$1688.80|$1199.05||$643.86|$802.18|$1294.04|$55.00|||$56.00|$52.00|$363.65|$531.65|$727.95|$808.83|$791.63|$778.33|$535.35|$535.35
"CPT® 81420"|"HB INFORMASEQ PRENATAL TEST"|300.00|$5242.00|$52.00|$4193.60|$3669.00|$2096.80|$1845.18|$1174.21||$2096.80|$4193.60|$2977.46||$1598.81|$1991.96|$3213.35|$55.00|||$56.00|$52.00|$1164.74|$1319.92|$1807.35|$2008.17|$1965.75|$1932.73|$1329.37|$1329.37
"CPT® 81200"|"HB ASHKENAZI JEWISH CARRIER, ASPA GENE ANAYSIS."|300.00|$363.00|$52.00|$290.40|$254.00|$145.20|$127.78|$81.31||$145.20|$290.40|$206.18||$110.72|$137.94|$222.52|$55.00|||$56.00|$52.00|$59.54|$91.35|$125.10|$139.00|$136.13|$133.84|$92.06|$92.06
"CPT® 81220"|"HB ASHKENAZI JEWISH CARRIER, CFTR GENE ANALYSIS"|300.00|$363.00|$52.00|$290.40|$254.00|$145.20|$127.78|$81.31||$145.20|$290.40|$206.18||$110.72|$137.94|$222.52|$55.00|||$56.00|$52.00|$254.61|$91.35|$125.10|$139.00|$136.13|$133.84|$92.06|$92.06
"CPT® 81260"|"HB ASHKENAZI JEWISH CARRIER, IKBKAP GENE ANALYSIS"|300.00|$363.00|$46.68|$290.40|$254.00|$145.20|$127.78|$81.31||$145.20|$290.40|$206.18||$110.72|$137.94|$222.52|$55.00|||$56.00|$52.00|$46.68|$91.35|$125.10|$139.00|$136.13|$133.84|$92.06|$92.06
"CPT® 81229"|"HB SNP MICROARRAY-PEDIATRIC(REVEAL)"|300.00|$5229.00|$52.00|$4183.20|$3660.00|$2091.60|$1840.61|$1171.30||$2091.60|$4183.20|$2970.07||$1594.85|$1987.02|$3205.38|$55.00|||$56.00|$52.00|$727.29|$1316.91|$1803.15|$2003.50|$1960.88|$1927.93|$1326.07|$1326.07
"CPT® 87798"|"HB ANAPLASMA PHAGOCYTOPHILUM DNA, PCR"|300.00|$476.00|$52.00|$380.80|$333.00|$190.40|$167.55|$106.62||$190.40|$380.80|$270.37||$145.18|$180.88|$291.79|$55.00|||$56.00|$52.00|$74.63|$118.97|$162.23|$180.25|$178.50|$175.50|$120.71|$120.71
"Custom 25218500"|"HB LABORATORY SPECIMEN PROCESSING"|300.00|$41.00|$9.18|$41.00|$29.00|$16.40|$14.43|$9.18||$16.40|$32.80|$23.29||$12.51|$15.58|$25.13|$16.24|||$41.00|$41.00|$11.75|$14.18|$18.23|$20.25|$15.38|$15.12|$10.40|$10.40
"CPT® 81400"|"HB ACCUTYPE IL28B GENOTYPE, DNA, PCR"|300.00|$1101.00|$52.00|$880.80|$771.00|$440.40|$387.55|$246.62||$440.40|$880.80|$625.37||$335.81|$418.38|$674.91|$55.00|||$56.00|$52.00|$64.70|$277.20|$379.58|$421.75|$412.88|$405.94|$279.21|$279.21
"CPT® 81405"|"HB ALPHA-GLOBIN GENE SEQUENCING"|300.00|$3841.00|$52.00|$3072.80|$2689.00|$1536.40|$1352.03|$860.38||$1536.40|$3072.80|$2181.69||$1171.51|$1459.58|$2354.53|$55.00|||$56.00|$52.00|$317.88|$967.33|$1324.50|$1471.67|$1440.38|$1416.18|$974.08|$974.08
"CPT® 81479"|"HB BRCA1, BRCA2 MOLECULAR PATHOLOGY PROCEDURE"|300.00|$982.00|$52.00|$785.60|$687.00|$392.80|$345.66|$219.97||$392.80|$785.60|$557.78||$299.51|$373.16|$601.97|$55.00|||$56.00|$52.00|$163.85|$247.21|$338.48|$376.08|$368.25|$362.06|$249.04|$249.04
"CPT® 81272"|"HB C-KIT MUTATIONS"|300.00|$2027.00|$52.00|$1621.60|$1419.00|$810.80|$713.50|$454.05||$810.80|$1621.60|$1151.34||$618.24|$770.26|$1242.55|$55.00|||$56.00|$52.00|$512.33|$510.44|$698.92|$776.59|$760.13|$747.35|$514.05|$514.05
"CPT® 81374"|"HB HLA-B27 TYPING"|300.00|$661.00|$52.00|$528.80|$463.00|$264.40|$232.67|$148.06||$264.40|$528.80|$375.45||$201.61|$251.18|$405.19|$55.00|||$56.00|$52.00|$154.26|$166.39|$227.85|$253.17|$247.88|$243.71|$167.63|$167.63
"CPT® 81331"|"HB PRADER-WILLI/ANGELMAN, DNA METHYLATION"|300.00|$1760.00|$52.00|$1408.00|$1232.00|$704.00|$619.52|$394.24||$704.00|$1408.00|$999.68||$536.80|$668.80|$1078.88|$55.00|||$56.00|$52.00|$86.13|$443.24|$606.90|$674.33|$660.00|$648.91|$446.34|$446.34
"CPT® 81406"|"HB DILATED CARDIOMYOPATHY, FULL GENE SEQUENCING"|300.00|$5710.00|$52.00|$4568.00|$3997.00|$2284.00|$2009.92|$1279.04||$2284.00|$4568.00|$3243.28||$1741.55|$2169.80|$3500.23|$55.00|||$56.00|$52.00|$363.65|$1437.94|$1968.90|$2187.67|$2141.25|$2105.28|$1448.06|$1448.06
"CPT® 81240"|"HB THROMBOPHILIA DNA MUTATION PANEL, F2 GENE"|300.00|$333.00|$52.00|$266.40|$233.00|$133.20|$117.22|$74.59||$133.20|$266.40|$189.14||$101.57|$126.54|$204.13|$55.00|||$56.00|$52.00|$104.13|$84.00|$114.98|$127.75|$124.88|$122.78|$84.45|$84.45
"CPT® 81241"|"HB THROMBOPHILIA DNA MUTATION PANEL, F5 GENE"|300.00|$408.00|$52.00|$326.40|$286.00|$163.20|$143.62|$91.39||$163.20|$326.40|$231.74||$124.44|$155.04|$250.10|$55.00|||$56.00|$52.00|$129.20|$102.69|$140.63|$156.25|$153.00|$150.43|$103.47|$103.47
"CPT® 81291"|"HB THROMBOPHILIA DNA MUTATION PANEL, FMTHFR GENE"|300.00|$299.00|$52.00|$239.20|$209.00|$119.60|$105.25|$66.98||$119.60|$239.20|$169.83||$91.20|$113.62|$183.29|$55.00|||$56.00|$52.00|$92.45|$75.32|$103.12|$114.59|$112.13|$110.24|$75.83|$75.83
"CPT® 81209"|"HB BLOOM SYNDROME MUTATION (IG)"|300.00|$725.00|$35.97|$580.00|$507.00|$290.00|$255.20|$162.40||$290.00|$580.00|$411.80||$221.13|$275.50|$444.43|$55.00|||$56.00|$52.00|$35.97|$407.54|$491.02|$545.59|$271.88|$267.31|$183.86|$183.86
"CPT® 81200"|"HB CANAVAN DISEASE, DNA (IG)"|300.00|$528.00|$52.00|$422.40|$370.00|$211.20|$185.86|$118.27||$211.20|$422.40|$299.90||$161.04|$200.64|$323.66|$55.00|||$56.00|$52.00|$59.54|$296.73|$357.53|$397.25|$198.00|$194.67|$133.90|$133.90
"CPT® 81260"|"HB FAMILIAL DYSAUTONOMIA, DNA (IG)"|300.00|$573.00|$46.68|$458.40|$401.00|$229.20|$201.70|$128.35||$229.20|$458.40|$325.46||$174.77|$217.74|$351.25|$55.00|||$56.00|$52.00|$46.68|$321.93|$387.90|$431.00|$214.88|$211.27|$145.31|$145.31
"CPT® 81242"|"HB FANCONI ANEMIA C (IG)"|300.00|$480.00|$40.31|$384.00|$336.00|$192.00|$168.96|$107.52||$192.00|$384.00|$272.64||$146.40|$182.40|$294.24|$55.00|||$56.00|$52.00|$40.31|$269.43|$324.67|$360.75|$180.00|$176.98|$121.73|$121.73
"CPT® 81243"|"HB FRAGILE X CARRIER SCREEN (IG)"|300.00|$651.00|$52.00|$520.80|$456.00|$260.40|$229.15|$145.82||$260.40|$520.80|$369.77||$198.56|$247.38|$399.06|$55.00|||$56.00|$52.00|$109.83|$164.01|$224.55|$249.50|$244.13|$240.02|$165.09|$165.09
"CPT® 81243"|"HB FRAGILE X TEST, GENE ANALYSIS (IG)"|300.00|$606.00|$52.00|$484.80|$424.00|$242.40|$213.31|$135.74||$242.40|$484.80|$344.21||$184.83|$230.28|$371.48|$55.00|||$56.00|$52.00|$109.83|$152.67|$209.03|$232.25|$227.25|$223.43|$153.68|$153.68
"CPT® 81244"|"HB FRAGILE X TEST, ALLELE CHARACTERIZATION (IG)"|300.00|$1583.00|$52.00|$1266.40|$1108.00|$633.20|$557.22|$354.59||$633.20|$1266.40|$899.14||$482.82|$601.54|$970.38|$55.00|||$56.00|$52.00|$57.33|$888.82|$1071.00|$1190.00|$593.63|$583.65|$401.45|$401.45
"CPT® 81250"|"HB GLYCOGEN STORAGE DISEASE (IG)"|300.00|$1101.00|$51.93|$880.80|$771.00|$440.40|$387.55|$246.62||$440.40|$880.80|$625.37||$335.81|$418.38|$674.91|$55.00|||$56.00|$52.00|$51.93|$277.20|$379.58|$421.75|$412.88|$405.94|$279.21|$279.21
"CPT® 81412"|"HB INHERITEST SOCIETY GUIDED (IG)"|300.00|$2285.00|$52.00|$1828.00|$1600.00|$914.00|$804.32|$511.84||$914.00|$1828.00|$1297.88||$696.93|$868.30|$1400.71|$905.32|||$56.00|$52.00|$996.64|$1283.45|$1546.50|$1718.33|$856.88|$842.48|$579.48|$579.48
"CPT® 81223"|"HB INHERITEST COMPREHENSIVE, CTFR FULL GENE SEQUENCE (IG)"|300.00|$101.00|$22.62|$80.80|$71.00|$40.40|$35.55|$22.62||$40.40|$80.80|$57.37||$30.81|$38.38|$61.91|$55.00|||$56.00|$52.00|$77.67|$25.55|$34.95|$38.83|$37.88|$37.24|$25.61|$25.61
"CPT® 81404"|"HB INHERITEST COMPREHENSIVE, DNA ANALYSIS LEVEL 5 (IG)"|300.00|$101.00|$22.62|$80.80|$71.00|$40.40|$35.55|$22.62||$40.40|$80.80|$57.37||$30.81|$38.38|$61.91|$55.00|||$56.00|$52.00|$77.67|$25.55|$34.95|$38.83|$37.88|$37.24|$25.61|$25.61
"CPT® 81405"|"HB INHERITEST COMPREHENSIVE, DNA ANALYSIS LEVEL 6 (IG)"|300.00|$101.00|$22.62|$80.80|$71.00|$40.40|$35.55|$22.62||$40.40|$80.80|$57.37||$30.81|$38.38|$61.91|$55.00|||$56.00|$52.00|$77.67|$25.55|$34.95|$38.83|$37.88|$37.24|$25.61|$25.61
"CPT® 81406"|"HB INHERITEST COMPREHENSIVE, DNA ANALYSI LEVEL 7 (IG)"|300.00|$101.00|$22.62|$80.80|$71.00|$40.40|$35.55|$22.62||$40.40|$80.80|$57.37||$30.81|$38.38|$61.91|$55.00|||$56.00|$52.00|$77.67|$25.55|$34.95|$38.83|$37.88|$37.24|$25.61|$25.61
"CPT® 81407"|"HB INHERITEST COMPREHENSIVE, DNA ANALYSIS LEVEL 8 (IG)"|300.00|$101.00|$22.62|$80.80|$71.00|$40.40|$35.55|$22.62||$40.40|$80.80|$57.37||$30.81|$38.38|$61.91|$55.00|||$56.00|$52.00|$77.67|$25.55|$34.95|$38.83|$37.88|$37.24|$25.61|$25.61
"CPT® 81408"|"HB INHERITEST COMPREHENSIVE, DNA ANALYSIS LEVEL 9 (IG)"|300.00|$101.00|$22.62|$80.80|$71.00|$40.40|$35.55|$22.62||$40.40|$80.80|$57.37||$30.81|$38.38|$61.91|$55.00|||$56.00|$52.00|$77.67|$25.55|$34.95|$38.83|$37.88|$37.24|$25.61|$25.61
"CPT® 81479"|"HB INHERITEST COMPREHENSIVE, DNA ANALYSIS OTHER (IG)"|300.00|$101.00|$22.62|$80.80|$71.00|$40.40|$35.55|$22.62||$40.40|$80.80|$57.37||$30.81|$38.38|$61.91|$55.00|||$56.00|$52.00|$77.67|$25.55|$34.95|$38.83|$37.88|$37.24|$25.61|$25.61
"CPT® 88271"|"HB INSIGHT FISH, CYTOGENETICS DNA PROBE (IG)"|300.00|$328.00|$45.11|$262.40|$230.00|$131.20|$115.46|$73.47||$131.20|$262.40|$186.30||$100.04|$124.64|$201.06|$100.00|||$56.00|$52.00|$45.11|$88.48|$119.40|$132.67|$123.00|$120.93|$83.18|$83.18
"CPT® 88275"|"HB INSIGHT FISH, INTERPHASE 100-300 CELLS (IG)"|300.00|$886.00|$52.00|$708.80|$620.00|$354.40|$311.87|$198.46||$354.40|$708.80|$503.25||$270.23|$336.68|$543.12|$100.00|||$56.00|$52.00|$85.20|$239.26|$322.80|$358.67|$332.25|$326.67|$224.69|$224.69
"CPT® 84163"|"HB INTEGRATED SCREEN, 1ST TRIMESTER (IG)"|300.00|$387.00|$31.74|$309.60|$271.00|$154.80|$136.22|$86.69||$154.80|$309.60|$219.82||$118.04|$147.06|$237.23|$55.00|||$56.00|$52.00|$31.74|$104.58|$141.08|$156.75|$145.13|$142.69|$98.14|$98.14
"CPT® 82105"|"HB INTEGRATED SCREEN, 2ND TRIMESTER, AFP (IG)"|300.00|$499.00|$35.64|$399.20|$349.00|$199.60|$175.65|$111.78||$199.60|$399.20|$283.43||$152.20|$189.62|$305.89|$55.00|||$56.00|$52.00|$35.64|$134.68|$181.72|$201.92|$187.13|$183.98|$126.55|$126.55
"CPT® 82677"|"HB INTEGRATED SCREEN, 2ND TRIMESTER, ESTRIOL (IG)"|300.00|$337.00|$51.23|$269.60|$236.00|$134.80|$118.62|$75.49||$134.80|$269.60|$191.42||$102.79|$128.06|$206.58|$55.00|||$56.00|$52.00|$51.23|$91.00|$122.78|$136.42|$126.38|$124.25|$85.46|$85.46
"CPT® 84163"|"HB INTEGRATED SCREEN, 2ND TRIMESTER, PAPP-A (IG)"|300.00|$449.00|$31.74|$359.20|$314.00|$179.60|$158.05|$100.58||$179.60|$359.20|$255.03||$136.95|$170.62|$275.24|$55.00|||$56.00|$52.00|$31.74|$121.31|$163.65|$181.83|$168.38|$165.55|$113.87|$113.87
"CPT® 84702"|"HB INTEGRATED SCREEN, 2ND TRIMESTER, HCG (IG)"|300.00|$449.00|$31.74|$359.20|$314.00|$179.60|$158.05|$100.58||$179.60|$359.20|$255.03||$136.95|$170.62|$275.24|$55.00|||$56.00|$52.00|$31.74|$121.31|$163.65|$181.83|$168.38|$165.55|$113.87|$113.87
"CPT® 81290"|"HB MUCOLIPIDOSIS TYPE IV MUTATION (IG)"|300.00|$881.00|$45.17|$704.80|$617.00|$352.40|$310.11|$197.34||$352.40|$704.80|$500.41||$268.71|$334.78|$540.05|$55.00|||$56.00|$52.00|$45.17|$495.11|$596.55|$662.83|$330.38|$324.82|$223.42|$223.42
"CPT® 81330"|"HB NIEMANN-PICK TYPE A MUTATION (IG)"|300.00|$881.00|$48.96|$704.80|$617.00|$352.40|$310.11|$197.34||$352.40|$704.80|$500.41||$268.71|$334.78|$540.05|$55.00|||$56.00|$52.00|$48.96|$495.11|$596.55|$662.83|$330.38|$324.82|$223.42|$223.42
"CPT® 81255"|"HB TAY SACHS ANALYSIS (IG)"|300.00|$586.00|$52.00|$468.80|$410.00|$234.40|$206.27|$131.26||$234.40|$468.80|$332.85||$178.73|$222.68|$359.22|$55.00|||$56.00|$52.00|$82.92|$329.77|$397.27|$441.42|$219.75|$216.06|$148.61|$148.61
"CPT® 0035U"|"HB REAL-TIME QUAKING-INDUCED CONVERSION"|300.00|$1066.00|$52.00|$852.80|$746.00|$426.40|$375.23|$238.78||$426.40|$852.80|$605.49||$325.13|$405.08|$653.46|$422.35|||$56.00|$52.00|$309.14|$373.10|$479.70|$533.00|$399.75|$393.03|$270.34|$270.34
"CPT® 81596"|"HB HCV FIBROSPECT"|300.00|$960.00|$52.00|$768.00|$672.00|$384.00|$337.92|$215.04||$384.00|$768.00|$545.28||$292.80|$364.80|$588.48|$55.00|||$56.00|$52.00|$292.32|$352.80|$453.60|$504.00|$360.00|$353.95|$243.46|$243.46
"CPT® 81229"|"HB SNP MICROARRAY POC"|300.00|$3024.00|$52.00|$2419.20|$2117.00|$1209.60|$1064.45|$677.38||$1209.60|$2419.20|$1717.63||$922.32|$1149.12|$1853.71|$55.00|||$56.00|$52.00|$727.29|$788.97|$1072.13|$1191.25|$1134.00|$1114.95|$766.89|$766.89
"CPT® 81243"|"HB INHERITEST COMPREHENSIVE, FMR1 GENE ANALYSIS"|300.00|$91.00|$20.38|$72.80|$64.00|$36.40|$32.03|$20.38||$36.40|$72.80|$51.69||$27.76|$34.58|$55.78|$55.00|||$56.00|$52.00|$71.83|$23.80|$32.32|$35.92|$34.13|$33.55|$23.08|$23.08
"CPT® 81329"|"HB INHERITEST COMPREHENSIVE, SMN1 GENE ANALYSIS"|300.00|$395.00|$52.00|$316.00|$276.00|$158.00|$139.04|$88.48||$158.00|$316.00|$224.36||$120.48|$150.10|$242.14|$55.00|||$56.00|$52.00|$90.24|$103.04|$140.02|$155.59|$148.13|$145.64|$100.17|$100.17
"CPT® 81443"|"HB INHERITEST COMPREHENSIVE, SEVERE CONDITIONS, 15 GENES"|300.00|$3418.00|$52.00|$2734.40|$2393.00|$1367.20|$1203.14|$765.63||$1367.20|$2734.40|$1941.42||$1042.49|$1298.84|$2095.23|$1354.21|||$56.00|$52.00|$780.92|$891.73|$1211.77|$1346.42|$1281.75|$1260.22|$866.80|$866.80
"CPT® 81200"|"HB INHERITEST SOCIETY, ASPA GENE ANALYSIS"|300.00|$135.00|$30.24|$108.00|$94.00|$54.00|$47.52|$30.24||$54.00|$108.00|$76.68||$41.18|$51.30|$82.76|$55.00|||$56.00|$52.00|$59.54|$35.28|$47.92|$53.25|$50.63|$49.77|$34.24|$34.24
"CPT® 81209"|"HB INHERITEST SOCIETY, BLM GENE ANALYSIS"|300.00|$113.00|$25.31|$90.40|$79.00|$45.20|$39.78|$25.31||$45.20|$90.40|$64.18||$34.47|$42.94|$69.27|$55.00|||$56.00|$52.00|$35.97|$29.54|$40.12|$44.59|$42.38|$41.66|$28.66|$28.66
"CPT® 81220"|"HB INHERITEST SOCIETY, CTFR GENE COMMON VARIANTS"|300.00|$1568.00|$52.00|$1254.40|$1098.00|$627.20|$551.94|$351.23||$627.20|$1254.40|$890.62||$478.24|$595.84|$961.18|$55.00|||$56.00|$52.00|$292.83|$409.01|$555.83|$617.59|$588.00|$578.12|$397.64|$397.64
"CPT® 81242"|"HB INHERITEST SOCIETY, FANCC GENE ANALYSIS"|300.00|$106.00|$23.74|$84.80|$74.00|$42.40|$37.31|$23.74||$42.40|$84.80|$60.21||$32.33|$40.28|$64.98|$55.00|||$56.00|$52.00|$40.31|$27.58|$37.50|$41.67|$39.75|$39.08|$26.88|$26.88
"CPT® 81243"|"HB INHERITEST SOCIETY, FMR1 GENE ANALYSIS"|300.00|$163.00|$36.51|$130.40|$114.00|$65.20|$57.38|$36.51||$65.20|$130.40|$92.58||$49.72|$61.94|$99.92|$55.00|||$56.00|$52.00|$109.83|$42.49|$57.75|$64.17|$61.13|$60.10|$41.34|$41.34
"CPT® 81251"|"HB INHERITEST SOCIETY, GBA GENE ANALYSIS"|300.00|$135.00|$30.24|$108.00|$94.00|$54.00|$47.52|$30.24||$54.00|$108.00|$76.68||$41.18|$51.30|$82.76|$55.00|||$56.00|$52.00|$70.98|$35.28|$47.92|$53.25|$50.63|$49.77|$34.24|$34.24
"CPT® 81255"|"HB INHERITEST SOCIETY, HEXA GENE ANALYSIS"|300.00|$147.00|$32.93|$117.60|$103.00|$58.80|$51.74|$32.93||$58.80|$117.60|$83.50||$44.84|$55.86|$90.11|$55.00|||$56.00|$52.00|$82.92|$38.43|$52.20|$58.00|$55.13|$54.20|$37.28|$37.28
"CPT® 81257"|"HB INHERITEST SOCIETY, HBA1/HBA2 GENE ANALYSIS"|300.00|$290.00|$52.00|$232.00|$203.00|$116.00|$102.08|$64.96||$116.00|$232.00|$164.72||$88.45|$110.20|$177.77|$55.00|||$56.00|$52.00|$202.73|$75.74|$102.90|$114.33|$108.75|$106.92|$73.54|$73.54
"CPT® 81260"|"HB INHERITEST SOCIETY, IKBKAP GENE ANALYSIS"|300.00|$113.00|$25.31|$90.40|$79.00|$45.20|$39.78|$25.31||$45.20|$90.40|$64.18||$34.47|$42.94|$69.27|$55.00|||$56.00|$52.00|$46.68|$29.54|$40.12|$44.59|$42.38|$41.66|$28.66|$28.66
"CPT® 81290"|"HB INHERITEST SOCIETY, MCOLN1 GENE ANALYSIS"|300.00|$113.00|$25.31|$90.40|$79.00|$45.20|$39.78|$25.31||$45.20|$90.40|$64.18||$34.47|$42.94|$69.27|$55.00|||$56.00|$52.00|$45.17|$29.54|$40.12|$44.59|$42.38|$41.66|$28.66|$28.66
"CPT® 81329"|"HB INHERITEST SOCIETY, SMN1 GENE ANALYSIS"|300.00|$388.00|$52.00|$310.40|$272.00|$155.20|$136.58|$86.91||$155.20|$310.40|$220.38||$118.34|$147.44|$237.84|$55.00|||$56.00|$52.00|$88.69|$101.29|$137.63|$152.92|$145.50|$143.06|$98.40|$98.40
"CPT® 81330"|"HB INHERITEST SOCIETY, SMPD1 COMMON VARIANTS"|300.00|$135.00|$30.24|$108.00|$94.00|$54.00|$47.52|$30.24||$54.00|$108.00|$76.68||$41.18|$51.30|$82.76|$55.00|||$56.00|$52.00|$48.96|$35.28|$47.92|$53.25|$50.63|$49.77|$34.24|$34.24
"CPT® 81361"|"HB INHERITEST SOCIETY, HBB COMMON VARIANTS"|300.00|$494.00|$52.00|$395.20|$346.00|$197.60|$173.89|$110.66||$197.60|$395.20|$280.59||$150.67|$187.72|$302.82|$55.00|||$56.00|$52.00|$112.86|$128.87|$175.13|$194.59|$185.25|$182.14|$125.28|$125.28
"CPT® 81243"|"HB INHERITEST ASHKENAZI JEWISH, FMR1 GENE ANALYSIS"|300.00|$90.00|$20.16|$72.00|$63.00|$36.00|$31.68|$20.16||$36.00|$72.00|$51.12||$27.45|$34.20|$55.17|$55.00|||$56.00|$52.00|$71.00|$23.52|$31.95|$35.50|$33.75|$33.18|$22.82|$22.82
"CPT® 81257"|"HB INHERITEST ASHKENAZI JEWISH, HBA1/HBA2 GENE"|300.00|$154.00|$34.50|$123.20|$108.00|$61.60|$54.21|$34.50||$61.60|$123.20|$87.47||$46.97|$58.52|$94.40|$55.00|||$56.00|$52.00|$121.33|$40.18|$54.60|$60.67|$57.75|$56.78|$39.05|$39.05
"CPT® 81329"|"HB INHERITEST ASHKENAZI JEWISH, SMN1 GENE ANALYSIS"|300.00|$202.00|$45.25|$161.60|$141.00|$80.80|$71.10|$45.25||$80.80|$161.60|$114.74||$61.61|$76.76|$123.83|$55.00|||$56.00|$52.00|$46.21|$52.78|$71.70|$79.67|$75.75|$74.48|$51.23|$51.23
"CPT® 81412"|"HB INHERITEST ASHKENAZI JEWISH, ASSOC. DISORDERS, 9 GENES"|300.00|$3458.00|$52.00|$2766.40|$2421.00|$1383.20|$1217.22|$774.59||$1383.20|$2766.40|$1964.14||$1054.69|$1314.04|$2119.75|$1370.06|||$56.00|$52.00|$790.15|$902.30|$1226.10|$1362.33|$1296.75|$1274.96|$876.95|$876.95
"CPT® 81443"|"HB ATAXIA, COMPLETE EVALUATION"|300.00|$33018.00|$52.00|$26414.40|$23113.00|$13207.20|$11622.34|$7396.03||$13207.20|$26414.40|$18754.22||$10070.49|$12546.84|$20240.03|$13081.73|||$56.00|$52.00|$7544.06|$8614.62|$11706.30|$13007.00|$12381.75|$12173.74|$8373.36|$8373.36
"CPT® 87635"|"HB SARS-COV-2 RNA, QUAL RT-PCR"|300.00|$165.00|$35.28|$132.00|$115.00|$66.00|$51.31|$36.96||$66.00|$132.00|$51.31||$51.31|$51.31|$51.31|$55.00|||$51.31|$51.31|$35.28|$39.55|$54.75|$60.83|$61.88|$60.84|$41.84|$41.84
"CPT® 81401"|"HB CROHN'S PROGNOSTIC, MOLECULAR PATH, LEVEL 2"|300.00|$395.00|$52.00|$316.00|$276.00|$158.00|$139.04|$88.48||$158.00|$316.00|$224.36||$120.48|$150.10|$242.14|$55.00|||$56.00|$52.00|$136.82|$110.60|$148.12|$164.59|$148.13|$145.64|$100.17|$100.17
"CPT® 84112"|"HB ROM PLUS (POC)"|300.00|$210.00|$47.04|$168.00|$147.00|$84.00|$73.92|$47.04||$84.00|$168.00|$119.28||$64.05|$79.80|$128.73|$55.00|||$56.00|$52.00|$136.44|$73.50|$94.50|$105.00|$78.75|$77.43|$53.26|$53.26
"HCPCS Q0114"|"HB FERN TEST (POC)"|300.00|$56.00|$12.54|$56.00|$39.00|$22.40|$19.71|$12.54||$22.40|$44.80|$31.81||$17.08|$21.28|$34.33|$22.19|||$56.00|$52.00|$15.03|$19.60|$25.20|$28.00|$21.00|$20.65|$14.20|$14.20
"CPT® 87635"|"HB POCT CORONAVIRUS (COVID-19) TEST"|300.00|$165.00|$35.28|$132.00|$115.00|$66.00|$51.31|$36.96||$66.00|$132.00|$51.31||$51.31|$51.31|$51.31|$55.00|||$51.31|$51.31|$35.28|$39.55|$54.75|$60.83|$61.88|$60.84|$41.84|$41.84
"CPT® 81277"|"HB HEMATOLOGIC MICROARRAY"|300.00|$5972.00|$52.00|$4777.60|$4180.00|$2388.80|$2102.14|$1337.73||$2388.80|$4777.60|$3392.10||$1821.46|$2269.36|$3660.84|$55.00|||$56.00|$52.00|$1731.74|$2090.03|$2687.18|$2985.75|$2239.50|$2201.88|$1514.50|$1514.50
"CPT® 82803"|"HB BLOOD GASES ANY COMBINATION"|300.00|$418.00|$41.21|$334.40|$293.00|$167.20|$147.14|$93.63||$167.20|$334.40|$237.42||$127.49|$158.84|$256.23|$55.00|||$56.00|$52.00|$41.21|$146.30|$188.10|$209.00|$156.75|$154.12|$106.00|$106.00
"CPT® 84112"|"HB EVALUATION OF AMNIOTIC FLUID PROTEIN"|300.00|$106.00|$23.74|$106.00|$74.00|$42.40|$37.31|$23.74||$42.40|$84.80|$60.21||$32.33|$40.28|$64.98|$55.00|||$56.00|$52.00|$106.00|$37.10|$47.70|$53.00|$39.75|$39.08|$26.88|$26.88
"CPT® 84703"|"HB URINE HCG TEST QUALITATIVE"|300.00|$418.00|$16.16|$334.40|$293.00|$167.20|$147.14|$93.63||$167.20|$334.40|$237.42||$127.49|$158.84|$256.23|$55.00|||$56.00|$52.00|$16.16|$146.30|$188.10|$209.00|$156.75|$154.12|$106.00|$106.00
"CPT® 86849"|"HB CONFIRM TYPE PER SAMPLE; NATIONAL"|300.00|$730.00|$19.05|$584.00|$511.00|$292.00|$256.96|$163.52||$292.00|$584.00|$414.64||$222.65|$277.40|$447.49|$55.00|||$56.00|$52.00|$19.05|$255.50|$328.50|$365.00|$273.75|$269.15|$185.13|$185.13
"CPT® 86891"|"HB AUTOLOGOUS BLOOD; INTRA-OPERATIVE SALVAGE"|300.00|$2442.00|$52.00|$1953.60|$1709.00|$976.80|$859.58|$547.01||$976.80|$1953.60|$1387.06||$744.81|$927.96|$1496.95|$967.52|||$56.00|$52.00|$211.05|$854.70|$1098.90|$1221.00|$915.75|$900.37|$619.29|$619.29
"CPT® 86900"|"HB BLOOD TYPING ABO"|300.00|$418.00|$6.12|$334.40|$293.00|$167.20|$147.14|$93.63||$167.20|$334.40|$237.42||$127.49|$158.84|$256.23|$55.00|||$56.00|$52.00|$6.12|$146.30|$188.10|$209.00|$156.75|$154.12|$106.00|$106.00
"CPT® 87340"|"HB HEPATITIS B SURFACE; PER SAMPLE, NATIONAL"|300.00|$530.00|$21.72|$424.00|$371.00|$212.00|$186.56|$118.72||$212.00|$424.00|$301.04||$161.65|$201.40|$324.89|$55.00|||$56.00|$52.00|$21.72|$180.60|$232.20|$258.00|$198.75|$195.41|$134.41|$134.41
"CPT® 87880"|"HB RAPID STREPTOCOCCUS A WITH OPTIC OBSERVATION"|300.00|$116.00|$25.62|$92.80|$81.00|$46.40|$40.83|$25.98||$46.40|$92.80|$65.89||$35.38|$44.08|$71.11|$55.00|||$56.00|$52.00|$25.62|$39.38|$50.63|$56.25|$43.50|$42.77|$29.42|$29.42
"CPT® 88720"|"HB TRANSCUTANEOUS BILIRUBIN"|300.00|$246.00|$10.58|$196.80|$172.00|$98.40|$86.59|$55.10||$98.40|$196.80|$139.73||$75.03|$93.48|$150.80|$100.00|||$56.00|$52.00|$10.58|$32.83|$62.85|$69.83|$92.25|$90.70|$62.39|$62.39
"CPT® 89220"|"HB SPUTUM SPECIMEN COLLECTION; AEROSOL INDUCED TECHNIQUE"|300.00|$234.00|$26.15|$187.20|$164.00|$93.60|$82.37|$52.42||$93.60|$187.20|$132.91||$71.37|$88.92|$143.44|$100.00|||$56.00|$52.00|$26.15|$77.53|$99.68|$110.75|$87.75|$86.28|$59.34|$59.34
"Custom 25410044"|"HB CORD HR CONFIRM TYPE, URGENT; NATIONAL"|300.00|$447.00|$52.00|$357.60|$313.00|$178.80|$157.34|$100.13||$178.80|$357.60|$253.90||$136.34|$169.86|$274.01|$177.10|||$56.00|$52.00|$128.33|$154.88|$199.13|$221.25|$167.63|$164.81|$113.36|$113.36
"Custom 25410045"|"HB CORD HR CONFIRM TYPE, URGENT; INTERNATIONAL"|300.00|$5269.00|$52.00|$4215.20|$3688.00|$2107.60|$1854.69|$1180.26||$2107.60|$4215.20|$2992.79||$1607.05|$2002.22|$3229.90|$2087.58|||$56.00|$52.00|$1513.51|$1826.65|$2348.55|$2609.50|$1975.88|$1942.68|$1336.22|$1336.22
"CPT® 38204"|"HB CORD HR CONFIRM TYPE, STANDARD; INTERNATIONAL"|300.00|$4239.00|$52.00|$3391.20|$2967.00|$1695.60|$1492.13|$949.54||$1695.60|$3391.20|$2407.75||$1292.90|$1610.82|$2598.51|$1679.49|||$56.00|$52.00|$1344.30|$1622.43|$2085.98|$2317.75|$1589.63|$1562.92|$1075.01|$1075.01
"HCPCS P9612"|"HB CATHETERIZE FOR URINE SPECIMEN"|300.00|$295.00|$2.93|$236.00|$206.00|$118.00|$103.84|$66.08||$118.00|$236.00|$167.56||$89.98|$112.10|$180.84|$116.88|||$56.00|$52.00|$2.93|$90.37|$123.68|$137.42|$110.63|$108.77|$74.81|$74.81
"CPT® 86849"|"HB CONFIRM TYPE PER SAMPLE; INTERNATIONL"|300.00|$3478.00|$19.05|$2782.40|$2435.00|$1391.20|$1224.26|$779.07||$1391.20|$2782.40|$1975.50||$1060.79|$1321.64|$2132.01|$55.00|||$56.00|$52.00|$19.05|$1217.30|$1565.10|$1739.00|$1304.25|$1282.34|$882.02|$882.02
"CPT® 86849"|"HB ADDITIONAL SAMPLE; NATIONAL"|300.00|$460.00|$19.05|$368.00|$322.00|$184.00|$161.92|$103.04||$184.00|$368.00|$261.28||$140.30|$174.80|$281.98|$55.00|||$56.00|$52.00|$19.05|$161.00|$207.00|$230.00|$172.50|$169.60|$116.66|$116.66
"CPT® 86849"|"HB ADDITIONA SAMPLE; INTERNATIONAL"|300.00|$460.00|$19.05|$368.00|$322.00|$184.00|$161.92|$103.04||$184.00|$368.00|$261.28||$140.30|$174.80|$281.98|$55.00|||$56.00|$52.00|$19.05|$161.00|$207.00|$230.00|$172.50|$169.60|$116.66|$116.66
"CPT® 87340"|"HB HEPATITIS B SURFACE; PER SAMPLE, INTERNATIONAL"|300.00|$1509.00|$21.72|$1207.20|$1056.00|$603.60|$531.17|$338.02||$603.60|$1207.20|$857.11||$460.25|$573.42|$925.02|$55.00|||$56.00|$52.00|$21.72|$513.98|$660.83|$734.25|$565.88|$556.37|$382.68|$382.68
"CPT® 86360"|"HB CD4 & CD8 COUNT"|300.00|$389.00|$52.00|$311.20|$272.00|$155.60|$136.93|$87.14||$155.60|$311.20|$220.95||$118.65|$147.82|$238.46|$55.00|||$56.00|$52.00|$99.68|$98.00|$134.18|$149.09|$145.88|$143.42|$98.65|$98.65
"CPT® 86359"|"HB T CELLS, TOTAL COUNT"|300.00|$616.00|$52.00|$492.80|$431.00|$246.40|$216.83|$137.98||$246.40|$492.80|$349.89||$187.88|$234.08|$377.61|$55.00|||$56.00|$52.00|$80.19|$152.74|$209.85|$233.17|$231.00|$227.12|$156.22|$156.22
"CPT® 0001U"|"HB HUMAN ERYTHROCYTE ANTIGEN MOLECULAR PHENOTYPING"|300.00|$1071.00|$52.00|$856.80|$750.00|$428.40|$376.99|$239.90||$428.40|$856.80|$608.33||$326.66|$406.98|$656.52|$424.33|||$56.00|$52.00|$251.43|$289.17|$390.15|$433.50|$401.63|$394.88|$271.61|$271.61
"CPT® 84311"|"HB 1,3 BETA-D-GLUCAN FUNGITELL ASSAY"|300.00|$173.00|$15.03|$138.40|$121.00|$69.20|$60.90|$38.75||$69.20|$138.40|$98.26||$52.77|$65.74|$106.05|$55.00|||$56.00|$52.00|$15.03|$46.76|$63.08|$70.09|$64.88|$63.79|$43.87|$43.87
"CPT® 83491"|"HB 17 HYDROXYCORTICOSTEROIDS, URINE, 24 HR"|300.00|$391.00|$37.31|$312.80|$274.00|$156.40|$137.63|$87.58||$156.40|$312.80|$222.09||$119.26|$148.58|$239.68|$55.00|||$56.00|$52.00|$37.31|$106.89|$143.85|$159.83|$146.63|$144.16|$99.16|$99.16
"CPT® 83586"|"HB 17 KETOSTEROIDS, URINE, 24 HR"|300.00|$443.00|$27.29|$354.40|$310.00|$177.20|$155.94|$99.23||$177.20|$354.40|$251.62||$135.12|$168.34|$271.56|$55.00|||$56.00|$52.00|$27.29|$113.33|$154.65|$171.83|$166.13|$163.33|$112.34|$112.34
"CPT® 84075"|"HB ALKALINE PHOSPHATASE, BONE"|300.00|$130.00|$11.13|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$11.13|$33.46|$45.60|$50.67|$48.75|$47.93|$32.97|$32.97
"CPT® 81332"|"HB ALPHA-1-ANTITRYPSIN GENOTYPE"|300.00|$741.00|$52.00|$592.80|$519.00|$296.40|$260.83|$165.98||$296.40|$592.80|$420.89||$226.01|$281.58|$454.23|$55.00|||$56.00|$52.00|$92.45|$79.59|$140.85|$156.50|$277.88|$273.21|$187.92|$187.92
"HCPCS G0480"|"HB BENZODIAZEPINES"|300.00|$212.00|$47.49|$169.60|$148.00|$84.80|$74.62|$47.49||$84.80|$169.60|$120.42||$64.66|$80.56|$129.96|$83.99|||$56.00|$52.00|$124.19|$58.17|$87.15|$96.83|$79.50|$78.16|$53.76|$53.76
"CPT® 82480"|"HB CHOLINESTERASE"|300.00|$149.00|$16.71|$119.20|$104.00|$59.60|$52.45|$33.38||$59.60|$119.20|$84.63||$45.45|$56.62|$91.34|$55.00|||$56.00|$52.00|$16.71|$40.25|$54.30|$60.33|$55.88|$54.94|$37.79|$37.79
"CPT® 82525"|"HB COPPER, URINE, 24 HR"|300.00|$293.00|$26.18|$234.40|$205.00|$117.20|$103.14|$65.63||$117.20|$234.40|$166.42||$89.37|$111.34|$179.61|$55.00|||$56.00|$52.00|$26.18|$74.83|$102.15|$113.50|$109.88|$108.03|$74.30|$74.30
"CPT® 84681"|"HB C-PEPTIDE"|300.00|$344.00|$44.00|$275.20|$241.00|$137.60|$121.09|$77.06||$137.60|$275.20|$195.39||$104.92|$130.72|$210.87|$55.00|||$56.00|$52.00|$44.00|$88.20|$120.30|$133.67|$129.00|$126.83|$87.24|$87.24
"CPT® 80158"|"HB CYCLOSPORINE"|300.00|$540.00|$38.43|$432.00|$378.00|$216.00|$190.08|$120.96||$216.00|$432.00|$306.72||$164.70|$205.20|$331.02|$55.00|||$56.00|$52.00|$38.43|$131.88|$181.80|$202.00|$202.50|$199.10|$136.94|$136.94
"CPT® 82626"|"HB DHEA UNCONJUGATED"|300.00|$151.00|$33.82|$120.80|$106.00|$60.40|$53.15|$33.82||$60.40|$120.80|$85.77||$46.06|$57.38|$92.56|$55.00|||$56.00|$52.00|$53.46|$41.37|$55.65|$61.83|$56.63|$55.67|$38.29|$38.29
"CPT® 82679"|"HB ESTRONE"|300.00|$130.00|$29.12|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$52.91|$33.46|$45.60|$50.67|$48.75|$47.93|$32.97|$32.97
"CPT® 83986"|"HB FECAL PH"|300.00|$114.00|$7.80|$91.20|$80.00|$45.60|$40.13|$25.54||$45.60|$91.20|$64.75||$34.77|$43.32|$69.88|$55.00|||$56.00|$52.00|$7.80|$28.98|$39.60|$44.00|$42.75|$42.03|$28.91|$28.91
"CPT® 82945"|"HB FECAL SUGAR, QUALITATIVE"|300.00|$130.00|$8.36|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$8.36|$33.46|$45.60|$50.67|$48.75|$47.93|$32.97|$32.97
"CPT® 80299"|"HB FELBAMATE"|300.00|$316.00|$28.95|$252.80|$221.00|$126.40|$111.23|$70.78||$126.40|$252.80|$179.49||$96.38|$120.08|$193.71|$55.00|||$56.00|$52.00|$28.95|$78.68|$108.00|$120.00|$118.50|$116.51|$80.14|$80.14
"CPT® 82941"|"HB GASTRIN"|300.00|$361.00|$37.31|$288.80|$253.00|$144.40|$127.07|$80.86||$144.40|$288.80|$205.05||$110.11|$137.18|$221.29|$55.00|||$56.00|$52.00|$37.31|$92.47|$126.15|$140.17|$135.38|$133.10|$91.55|$91.55
"CPT® 83520"|"HB GLOMERULAR BASEMENT MEMBRANE"|300.00|$371.00|$27.29|$296.80|$260.00|$148.40|$130.59|$83.10||$148.40|$296.80|$210.73||$113.16|$140.98|$227.42|$55.00|||$56.00|$52.00|$27.29|$94.85|$129.45|$143.83|$139.13|$136.79|$94.09|$94.09
"CPT® 83540"|"HB IRON, LIVER TISSUE"|300.00|$90.00|$13.92|$120.67|$63.00|$36.00|$31.68|$20.16||$36.00|$72.00|$51.12||$27.45|$34.20|$55.17|$55.00|||$56.00|$52.00|$13.92|$95.06|$108.60|$120.67|$33.75|$33.18|$22.82|$22.82
"CPT® 83883"|"HB KAPPA/LAMBDA LIGHT CHAINS"|300.00|$280.00|$28.95|$224.00|$196.00|$112.00|$98.56|$62.72||$112.00|$224.00|$159.04||$85.40|$106.40|$171.64|$55.00|||$56.00|$52.00|$28.95|$71.68|$97.80|$108.67|$105.00|$103.24|$71.01|$71.01
"CPT® 83615"|"HB LDH ISOENZYMES, LDH"|300.00|$92.00|$12.81|$73.60|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$55.00|||$56.00|$52.00|$12.81|$18.76|$27.00|$30.00|$34.50|$33.92|$23.33|$23.33
"CPT® 80177"|"HB LEVETIRACETAM LEVEL"|300.00|$369.00|$27.84|$295.20|$258.00|$147.60|$129.89|$82.66||$147.60|$295.20|$209.59||$112.55|$140.22|$226.20|$55.00|||$56.00|$52.00|$27.84|$83.69|$118.73|$131.92|$138.38|$136.05|$93.58|$93.58
"CPT® 83695"|"HB LIPOPROTEIN A"|300.00|$253.00|$27.29|$202.40|$177.00|$101.20|$89.06|$56.67||$101.20|$202.40|$143.70||$77.17|$96.14|$155.09|$55.00|||$56.00|$52.00|$27.29|$52.71|$75.45|$83.83|$94.88|$93.28|$64.16|$64.16
"CPT® 83921"|"HB METHYLMALONIC ACID"|300.00|$366.00|$35.09|$292.80|$256.00|$146.40|$128.83|$81.98||$146.40|$292.80|$207.89||$111.63|$139.08|$224.36|$55.00|||$56.00|$52.00|$35.09|$93.66|$127.80|$142.00|$137.25|$134.94|$92.82|$92.82
"CPT® 83874"|"HB MYOGLOBIN"|300.00|$225.00|$27.29|$180.00|$158.00|$90.00|$79.20|$50.40||$90.00|$180.00|$127.80||$68.63|$85.50|$137.93|$55.00|||$56.00|$52.00|$27.29|$58.59|$79.65|$88.50|$84.38|$82.96|$57.06|$57.06
"CPT® 82523"|"HB N-TELOPEPTIDES"|300.00|$246.00|$39.54|$196.80|$172.00|$98.40|$86.59|$55.10||$98.40|$196.80|$139.73||$75.03|$93.48|$150.80|$55.00|||$56.00|$52.00|$39.54|$67.34|$90.60|$100.67|$92.25|$90.70|$62.39|$62.39
"CPT® 83916"|"HB OLIGOCLONAL BANDS"|300.00|$366.00|$42.32|$292.80|$256.00|$146.40|$128.83|$81.98||$146.40|$292.80|$207.89||$111.63|$139.08|$224.36|$55.00|||$56.00|$52.00|$42.32|$93.66|$127.80|$142.00|$137.25|$134.94|$92.82|$92.82
"CPT® 80183"|"HB OXCARBAZEPINE LEVEL"|300.00|$369.00|$27.84|$295.20|$258.00|$147.60|$129.89|$82.66||$147.60|$295.20|$209.59||$112.55|$140.22|$226.20|$55.00|||$56.00|$52.00|$27.84|$83.69|$118.73|$131.92|$138.38|$136.05|$93.58|$93.58
"CPT® 84081"|"HB PHOSPHATIDYLGLYCEROL"|300.00|$166.00|$35.09|$132.80|$116.00|$66.40|$58.43|$37.18||$66.40|$132.80|$94.29||$50.63|$63.08|$101.76|$65.77|||$56.00|$52.00|$35.09|$45.50|$61.20|$68.00|$62.25|$61.20|$42.10|$42.10
"CPT® 84311"|"HB PORPHYRINS, TOTAL, PLASMA, SPECTROPHOTOMETRY"|300.00|$59.00|$13.22|$56.00|$41.00|$23.60|$20.77|$13.22||$23.60|$47.20|$33.51||$18.00|$22.42|$36.17|$55.00|||$56.00|$52.00|$15.03|$17.57|$23.25|$25.83|$22.13|$21.75|$14.96|$14.96
"CPT® 82542"|"HB PORPHYRINS, TOTAL, PLASMA, CHROMATOGRAPHY"|300.00|$166.00|$37.18|$132.80|$116.00|$66.40|$58.43|$37.18||$66.40|$132.80|$94.29||$50.63|$63.08|$101.76|$55.00|||$56.00|$52.00|$38.43|$44.80|$60.45|$67.17|$62.25|$61.20|$42.10|$42.10
"CPT® 84140"|"HB PREGNENOLONE LEVEL"|300.00|$105.00|$23.52|$84.00|$74.00|$42.00|$36.96|$23.52||$42.00|$84.00|$59.64||$32.03|$39.90|$64.37|$55.00|||$56.00|$52.00|$44.00|$28.35|$38.25|$42.50|$39.38|$38.71|$26.63|$26.63
"CPT® 84206"|"HB PROINSULIN"|300.00|$156.00|$34.94|$124.80|$109.00|$62.40|$54.91|$34.94||$62.40|$124.80|$88.61||$47.58|$59.28|$95.63|$55.00|||$56.00|$52.00|$37.86|$39.20|$53.70|$59.67|$58.50|$57.52|$39.56|$39.56
"CPT® 84166"|"HB PROTEIN ELECTROPHORESIS, URINE, 24 HR"|300.00|$306.00|$37.86|$244.80|$214.00|$122.40|$107.71|$68.54||$122.40|$244.80|$173.81||$93.33|$116.28|$187.58|$55.00|||$56.00|$52.00|$37.86|$78.26|$106.80|$118.67|$114.75|$112.82|$77.60|$77.60
"CPT® 80195"|"HB RAPAMYCIN (SIROLIMUS)"|300.00|$323.00|$28.95|$258.40|$226.00|$129.20|$113.70|$72.35||$129.20|$258.40|$183.46||$98.52|$122.74|$198.00|$55.00|||$56.00|$52.00|$28.95|$79.17|$109.05|$121.17|$121.13|$119.09|$81.91|$81.91
"CPT® 84402"|"HB TESTOSTERONE, FREE"|300.00|$321.00|$52.00|$256.80|$225.00|$128.40|$112.99|$71.90||$128.40|$256.80|$182.33||$97.91|$121.98|$196.77|$55.00|||$56.00|$52.00|$54.02|$81.83|$111.75|$124.17|$120.38|$118.35|$81.41|$81.41
"CPT® 84430"|"HB THIOCYANATE LEVEL"|300.00|$95.00|$21.28|$76.00|$66.00|$38.00|$33.44|$21.28||$38.00|$76.00|$53.96||$28.98|$36.10|$58.24|$37.64|||$56.00|$52.00|$24.50|$25.10|$33.98|$37.75|$35.63|$35.03|$24.09|$24.09
"CPT® 84432"|"HB THYROGLOBULIN"|300.00|$341.00|$33.98|$272.80|$239.00|$136.40|$120.03|$76.38||$136.40|$272.80|$193.69||$104.01|$129.58|$209.03|$55.00|||$56.00|$52.00|$33.98|$87.43|$119.25|$132.50|$127.88|$125.73|$86.48|$86.48
"CPT® 83520"|"HB TRYPTASE"|300.00|$134.00|$27.29|$122.33|$94.00|$53.60|$47.17|$30.02||$53.60|$107.20|$76.11||$40.87|$50.92|$82.14|$55.00|||$56.00|$52.00|$27.29|$93.38|$110.10|$122.33|$50.25|$49.41|$33.98|$33.98
"CPT® 84590"|"HB VITAMIN A"|300.00|$107.00|$23.97|$85.60|$75.00|$42.80|$37.66|$23.97||$42.80|$85.60|$60.78||$32.64|$40.66|$65.59|$55.00|||$56.00|$52.00|$24.50|$27.37|$37.35|$41.50|$40.13|$39.45|$27.14|$27.14
"CPT® 84202"|"HB ZINC PROTOPORPHYRIN, BLOOD"|300.00|$180.00|$30.63|$144.00|$126.00|$72.00|$63.36|$40.32||$72.00|$144.00|$102.24||$54.90|$68.40|$110.34|$55.00|||$56.00|$52.00|$30.63|$49.00|$66.00|$73.33|$67.50|$66.37|$45.65|$45.65
"CPT® 83033"|"HB APT TEST FOR FETAL BLOOD"|300.00|$491.00|$12.81|$392.80|$344.00|$196.40|$172.83|$109.98||$196.40|$392.80|$278.89||$149.76|$186.58|$300.98|$194.53|||$56.00|$52.00|$12.81|$132.65|$178.95|$198.83|$184.13|$181.03|$124.52|$124.52
"CPT® 85520"|"HB ANTI XA ASSAY-ARIXTRA"|300.00|$434.00|$27.84|$347.20|$304.00|$173.60|$152.77|$97.22||$173.60|$347.20|$246.51||$132.37|$164.92|$266.04|$55.00|||$56.00|$52.00|$27.84|$117.11|$158.03|$175.59|$162.75|$160.02|$110.06|$110.06
"CPT® 85520"|"HB ANTI XA ASSAY-FRAGMIN"|300.00|$434.00|$27.84|$347.20|$304.00|$173.60|$152.77|$97.22||$173.60|$347.20|$246.51||$132.37|$164.92|$266.04|$55.00|||$56.00|$52.00|$27.84|$117.11|$158.03|$175.59|$162.75|$160.02|$110.06|$110.06
"CPT® 85520"|"HB ANTI XA ASSAY-LOVENOX"|300.00|$434.00|$27.84|$347.20|$304.00|$173.60|$152.77|$97.22||$173.60|$347.20|$246.51||$132.37|$164.92|$266.04|$55.00|||$56.00|$52.00|$27.84|$117.11|$158.03|$175.59|$162.75|$160.02|$110.06|$110.06
"CPT® 85520"|"HB ANTI-XA ASSAY-APIXABAN"|300.00|$434.00|$27.84|$347.20|$304.00|$173.60|$152.77|$97.22||$173.60|$347.20|$246.51||$132.37|$164.92|$266.04|$55.00|||$56.00|$52.00|$27.84|$117.11|$158.03|$175.59|$162.75|$160.02|$110.06|$110.06
"CPT® 85732"|"HB APTT MIXING STUDY"|300.00|$273.00|$13.92|$218.40|$191.00|$109.20|$96.10|$61.15||$109.20|$218.40|$155.06||$83.27|$103.74|$167.35|$55.00|||$56.00|$52.00|$13.92|$73.15|$98.85|$109.83|$102.38|$100.66|$69.23|$69.23
"CPT® 81210"|"HB BRAF V600 MUTATION TEST"|300.00|$1445.00|$52.00|$1156.00|$1011.00|$578.00|$508.64|$323.68||$578.00|$1156.00|$820.76||$440.73|$549.10|$885.79|$55.00|||$56.00|$52.00|$278.43|$363.86|$498.22|$553.59|$541.88|$532.77|$366.45|$366.45
"CPT® 88346"|"HB CUTANEOUS IMMUNOFLUORESCENCE ANTIBODY IGG, 1ST ST"|300.00|$186.00|$41.66|$148.80|$130.00|$74.40|$65.47|$41.66||$74.40|$148.80|$105.65||$56.73|$70.68|$114.02|$100.00|||$56.00|$52.00|$86.84|$50.85|$69.15|$76.84|$69.75|$68.58|$47.17|$47.17
"CPT® 88350"|"HB CUTANEOUS IMMUNOFLUORESCENCE ANTIBODY IGG, ADDTL"|300.00|$186.00|$41.66|$148.80|$130.00|$74.40|$65.47|$41.66||$74.40|$148.80|$105.65||$56.73|$70.68|$114.02|$100.00|||$56.00|$52.00|$67.94|$50.85|$69.15|$76.84|$69.75|$68.58|$47.17|$47.17
"CPT® 81220"|"HB CYSTIC FIBROSIS MUTATION"|300.00|$724.00|$52.00|$579.20|$507.00|$289.60|$254.85|$162.18||$289.60|$579.20|$411.23||$220.82|$275.12|$443.81|$55.00|||$56.00|$52.00|$292.83|$148.68|$213.60|$237.33|$271.50|$266.94|$183.61|$183.61
"CPT® 81235"|"HB EGFR MUTATION"|300.00|$1511.00|$52.00|$1208.80|$1058.00|$604.40|$531.87|$338.46||$604.40|$1208.80|$858.25||$460.86|$574.18|$926.24|$55.00|||$56.00|$52.00|$512.33|$406.28|$548.62|$609.59|$566.63|$557.11|$383.19|$383.19
"CPT® 81241"|"HB FACTOR V LEIDEN GENE MUTATION"|300.00|$285.00|$52.00|$228.00|$200.00|$114.00|$100.32|$63.84||$114.00|$228.00|$161.88||$86.93|$108.30|$174.71|$55.00|||$56.00|$52.00|$129.20|$61.95|$87.75|$97.50|$106.88|$105.08|$72.28|$72.28
"CPT® 81256"|"HB HEMACHROMATOSIS MUTATION"|300.00|$412.00|$52.00|$329.60|$288.00|$164.80|$145.02|$92.29||$164.80|$329.60|$234.02||$125.66|$156.56|$252.56|$55.00|||$56.00|$52.00|$138.66|$127.96|$168.00|$186.67|$154.50|$151.90|$104.48|$104.48
"CPT® 81273"|"HB KIT ASP 816 VAL MUTATION ANALYSIS, QUALITATIVE, PCR"|300.00|$2448.00|$52.00|$1958.40|$1714.00|$979.20|$861.70|$548.35||$979.20|$1958.40|$1390.46||$746.64|$930.24|$1500.62|$55.00|||$56.00|$52.00|$194.34|$616.35|$843.97|$937.75|$918.00|$902.58|$620.81|$620.81
"CPT® 81291"|"HB MTHFR GENE MUTATION"|300.00|$200.00|$44.80|$200.00|$140.00|$80.00|$70.40|$44.80||$80.00|$160.00|$113.60||$61.00|$76.00|$122.60|$55.00|||$56.00|$52.00|$92.45|$154.00|$180.00|$200.00|$75.00|$73.74|$50.72|$50.72
"CPT® 81240"|"HB PROTHROMBIN GENE MUTATION"|300.00|$287.00|$52.00|$229.60|$201.00|$114.80|$101.02|$64.29||$114.80|$229.60|$163.02||$87.54|$109.06|$175.93|$55.00|||$56.00|$52.00|$104.13|$69.09|$95.55|$106.17|$107.63|$105.82|$72.78|$72.78
"CPT® 81479"|"HB NGS RNA ALK TRANSLOCATION FUSION"|300.00|$1429.00|$52.00|$1143.20|$1000.00|$571.60|$503.01|$320.10||$571.60|$1143.20|$811.67||$435.85|$543.02|$875.98|$55.00|||$56.00|$52.00|$163.85|$359.80|$492.68|$547.42|$535.88|$526.87|$362.39|$362.39
"CPT® 81479"|"HB NGS RNA RET TRANSLOCATION FUSION"|300.00|$1429.00|$52.00|$1143.20|$1000.00|$571.60|$503.01|$320.10||$571.60|$1143.20|$811.67||$435.85|$543.02|$875.98|$55.00|||$56.00|$52.00|$163.85|$359.80|$492.68|$547.42|$535.88|$526.87|$362.39|$362.39
"CPT® 81479"|"HB NGS RNA ROS1 TRANSLOCATION FUSION"|300.00|$1429.00|$52.00|$1143.20|$1000.00|$571.60|$503.01|$320.10||$571.60|$1143.20|$811.67||$435.85|$543.02|$875.98|$55.00|||$56.00|$52.00|$163.85|$359.80|$492.68|$547.42|$535.88|$526.87|$362.39|$362.39
"CPT® 81479"|"HB NGS RNA NTRK1 TRANSLOCATION FUSION"|300.00|$1429.00|$52.00|$1143.20|$1000.00|$571.60|$503.01|$320.10||$571.60|$1143.20|$811.67||$435.85|$543.02|$875.98|$55.00|||$56.00|$52.00|$163.85|$359.80|$492.68|$547.42|$535.88|$526.87|$362.39|$362.39
"CPT® 86160"|"HB C4A LEVEL"|300.00|$725.00|$25.62|$580.00|$507.00|$290.00|$255.20|$162.40||$290.00|$580.00|$411.80||$221.13|$275.50|$444.43|$55.00|||$56.00|$52.00|$25.62|$182.63|$250.05|$277.83|$271.88|$267.31|$183.86|$183.86
"CPT® 88184"|"HB CD57, CD3, CD8 FLOW CYTOMETRY, 1ST MARKER"|300.00|$175.00|$39.20|$140.00|$122.00|$70.00|$61.60|$39.20||$70.00|$140.00|$99.40||$53.38|$66.50|$107.28|$100.00|||$56.00|$52.00|$119.15|$47.92|$65.10|$72.34|$65.63|$64.52|$44.38|$44.38
"CPT® 88185"|"HB CD57, CD3, CD8 FLOW CYTOMETRY, ADDTL MARKER"|300.00|$117.00|$26.21|$100.00|$82.00|$46.80|$41.18|$26.21||$46.80|$93.60|$66.46||$35.69|$44.46|$71.72|$100.00|||$56.00|$52.00|$72.39|$31.92|$43.42|$48.25|$43.88|$43.14|$29.67|$29.67
"CPT® 83520"|"HB EOSINOPHIL CATIONIC PROTEIN"|300.00|$639.00|$27.29|$511.20|$447.00|$255.60|$224.93|$143.14||$255.60|$511.20|$362.95||$194.90|$242.82|$391.71|$55.00|||$56.00|$52.00|$27.29|$172.62|$232.88|$258.75|$239.63|$235.60|$162.05|$162.05
"CPT® 83520"|"HB TRANSFORMING GROWTH FACTOR BETA, SERUM"|300.00|$1656.00|$27.29|$1324.80|$1159.00|$662.40|$582.91|$370.94||$662.40|$1324.80|$940.61||$505.08|$629.28|$1015.13|$55.00|||$56.00|$52.00|$27.29|$447.09|$603.23|$670.25|$621.00|$610.57|$419.96|$419.96
"CPT® 86356"|"HB B CELLS, TOTAL COUNT"|300.00|$220.00|$43.12|$176.00|$154.00|$88.00|$77.44|$49.28||$88.00|$176.00|$124.96||$67.10|$83.60|$134.86|$55.00|||$56.00|$52.00|$56.81|$43.12|$62.70|$69.67|$82.50|$81.11|$55.79|$55.79
"CPT® 86355"|"HB B CELLS, TOTAL COUNT"|300.00|$78.00|$17.47|$79.46|$55.00|$31.20|$27.46|$17.47||$31.20|$62.40|$44.30||$23.79|$29.64|$47.81|$55.00|||$56.00|$52.00|$79.46|$33.18|$41.40|$46.00|$29.25|$28.76|$19.78|$19.78
"CPT® 81371"|"HB HLA CONFIRMATION"|300.00|$500.00|$52.00|$400.00|$350.00|$200.00|$176.00|$112.00||$200.00|$400.00|$284.00||$152.50|$190.00|$306.50|$55.00|||$56.00|$52.00|$386.67|$127.40|$174.00|$193.33|$187.50|$184.35|$126.80|$126.80
"CPT® 81406"|"HB COMPLETE CADASIL EVALUATION"|300.00|$4709.00|$52.00|$3767.20|$3296.00|$1883.60|$1657.57|$1054.82||$1883.60|$3767.20|$2674.71||$1436.25|$1789.42|$2886.62|$55.00|||$56.00|$52.00|$363.65|$1185.80|$1623.68|$1804.09|$1765.88|$1736.21|$1194.20|$1194.20
"CPT® 88262"|"HB CHROMOSOME ANALYSIS, BONE MARROW"|300.00|$2373.00|$52.00|$1898.40|$1661.00|$949.20|$835.30|$531.55||$949.20|$1898.40|$1347.86||$723.77|$901.74|$1454.65|$100.00|||$56.00|$52.00|$263.96|$560.07|$778.05|$864.50|$889.88|$874.93|$601.79|$601.79
"CPT® 88233"|"HB CHROMOSOME ANALYSIS, POC"|300.00|$238.00|$52.00|$190.40|$167.00|$95.20|$83.78|$53.31||$95.20|$190.40|$135.18||$72.59|$90.44|$145.89|$100.00|||$56.00|$52.00|$173.33|$56.14|$78.00|$86.67|$89.25|$87.75|$60.36|$60.36
"CPT® 88237"|"HB CHROMOSOME ANALYSIS, TISSUE CULTURE"|300.00|$1583.00|$52.00|$1266.40|$1108.00|$633.20|$557.22|$354.59||$633.20|$1266.40|$899.14||$482.82|$601.54|$970.38|$100.00|||$56.00|$52.00|$267.86|$311.29|$452.25|$502.50|$593.63|$583.65|$401.45|$401.45
"CPT® 81225"|"HB CYP2C19"|300.00|$1857.00|$52.00|$1485.60|$1300.00|$742.80|$653.66|$415.97||$742.80|$1485.60|$1054.78||$566.39|$705.66|$1138.34|$55.00|||$56.00|$52.00|$453.29|$467.67|$640.35|$711.50|$696.38|$684.68|$470.94|$470.94
"CPT® 81243"|"HB FRAGILE X, GENE ANALYSIS"|300.00|$1177.00|$52.00|$941.60|$824.00|$470.80|$414.30|$263.65||$470.80|$941.60|$668.54||$358.99|$447.26|$721.50|$55.00|||$56.00|$52.00|$109.83|$296.38|$405.82|$450.92|$441.38|$433.96|$298.49|$298.49
"CPT® 83520"|"HB SENSORIMOTOR NEURO PROFILE"|300.00|$349.00|$27.29|$279.20|$244.00|$139.60|$122.85|$78.18||$139.60|$279.20|$198.23||$106.45|$132.62|$213.94|$55.00|||$56.00|$52.00|$27.29|$94.15|$127.05|$141.17|$130.88|$128.68|$88.51|$88.51
"CPT® 83520"|"HB SENSORIMOTOR NEURO PROFILE (MOD-59)"|300.00|$349.00|$27.29|$279.20|$244.00|$139.60|$122.85|$78.18||$139.60|$279.20|$198.23||$106.45|$132.62|$213.94|$55.00|||$56.00|$52.00|$27.29|$94.15|$127.05|$141.17|$130.88|$128.68|$88.51|$88.51
"CPT® 83516"|"HB SENSORIMOTOR NEURO PROFILE, IMMUNOASSAY"|300.00|$315.00|$24.50|$252.00|$220.00|$126.00|$110.88|$70.56||$126.00|$252.00|$178.92||$96.08|$119.70|$193.10|$55.00|||$56.00|$52.00|$24.50|$85.05|$114.75|$127.50|$118.13|$116.14|$79.88|$79.88
"CPT® 81401"|"HB SPINAL MUSCULAR ATROPHY"|300.00|$2238.00|$52.00|$1790.40|$1567.00|$895.20|$787.78|$501.31||$895.20|$1790.40|$1271.18||$682.59|$850.44|$1371.89|$55.00|||$56.00|$52.00|$136.82|$563.64|$771.75|$857.50|$839.25|$825.15|$567.56|$567.56
"CPT® 88346"|"HB ANTIENTEROCYTE ANTIBODY, IMF, 1ST"|300.00|$378.00|$52.00|$302.40|$265.00|$151.20|$133.06|$84.67||$151.20|$302.40|$214.70||$115.29|$143.64|$231.71|$100.00|||$56.00|$52.00|$86.84|$103.39|$140.55|$156.17|$141.75|$139.37|$95.86|$95.86
"CPT® 88350"|"HB ANTIENTEROCYTE ANTIBODY, IMF, ADDT'L"|300.00|$653.00|$52.00|$522.40|$457.00|$261.20|$229.86|$146.27||$261.20|$522.40|$370.90||$199.17|$248.14|$400.29|$100.00|||$56.00|$52.00|$67.94|$178.61|$242.78|$269.75|$244.88|$240.76|$165.60|$165.60
"CPT® 83520"|"HB ANTI-MULLARIAN HORMONE"|300.00|$362.00|$27.29|$289.60|$253.00|$144.80|$127.42|$81.09||$144.80|$289.60|$205.62||$110.41|$137.56|$221.91|$55.00|||$56.00|$52.00|$27.29|$97.79|$131.93|$146.59|$135.75|$133.47|$91.80|$91.80
"CPT® 86300"|"HB CA 27-29"|300.00|$412.00|$44.00|$329.60|$288.00|$164.80|$145.02|$92.29||$164.80|$329.60|$234.02||$125.66|$156.56|$252.56|$55.00|||$56.00|$52.00|$44.00|$56.84|$91.80|$102.00|$154.50|$151.90|$104.48|$104.48
"CPT® 84182"|"HB CYSTICERCUS IGG, WESTERN BLOT"|300.00|$170.00|$37.86|$136.00|$119.00|$68.00|$59.84|$38.08||$68.00|$136.00|$96.56||$51.85|$64.60|$104.21|$55.00|||$56.00|$52.00|$37.86|$81.90|$100.50|$111.67|$63.75|$62.68|$43.11|$43.11
"CPT® 86704"|"HB EXPOSURE HEPATITIS B CORE AB TOTAL, REFLEX IGM"|300.00|$307.00|$25.62|$245.60|$215.00|$122.80|$108.06|$68.77||$122.80|$245.60|$174.38||$93.64|$116.66|$188.19|$55.00|||$56.00|$52.00|$25.62|$45.29|$71.55|$79.50|$115.13|$113.19|$77.86|$77.86
"CPT® 86689"|"HB EXPOSURE HIV-1 WESTERN BLOT"|300.00|$720.00|$41.21|$576.00|$504.00|$288.00|$253.44|$161.28||$288.00|$576.00|$408.96||$219.60|$273.60|$441.36|$55.00|||$56.00|$52.00|$41.21|$85.40|$145.50|$161.67|$270.00|$265.46|$182.59|$182.59
"CPT® 83520"|"HB GANGLIOSIDE ASIALO GM1, IGG AB"|300.00|$203.00|$27.29|$162.40|$142.00|$81.20|$71.46|$45.47||$81.20|$162.40|$115.30||$61.92|$77.14|$124.44|$55.00|||$56.00|$52.00|$27.29|$54.74|$73.88|$82.09|$76.13|$74.85|$51.48|$51.48
"CPT® 83520"|"HB GANGLIOSIDE ASIALO GM1, IGM AB"|300.00|$203.00|$27.29|$162.40|$142.00|$81.20|$71.46|$45.47||$81.20|$162.40|$115.30||$61.92|$77.14|$124.44|$55.00|||$56.00|$52.00|$27.29|$54.74|$73.88|$82.09|$76.13|$74.85|$51.48|$51.48
"CPT® 83520"|"HB GANGLIOSIDE GD1B, IGG AB"|300.00|$203.00|$27.29|$162.40|$142.00|$81.20|$71.46|$45.47||$81.20|$162.40|$115.30||$61.92|$77.14|$124.44|$55.00|||$56.00|$52.00|$27.29|$54.74|$73.88|$82.09|$76.13|$74.85|$51.48|$51.48
"CPT® 83520"|"HB GANGLIOSIDE GD1B, IGM AB"|300.00|$203.00|$27.29|$162.40|$142.00|$81.20|$71.46|$45.47||$81.20|$162.40|$115.30||$61.92|$77.14|$124.44|$55.00|||$56.00|$52.00|$27.29|$54.74|$73.88|$82.09|$76.13|$74.85|$51.48|$51.48
"CPT® 83520"|"HB GANGLIOSIDE GM1 ANTIBODIES"|300.00|$217.00|$27.29|$173.60|$152.00|$86.80|$76.38|$48.61||$86.80|$173.60|$123.26||$66.19|$82.46|$133.02|$55.00|||$56.00|$52.00|$27.29|$58.66|$79.12|$87.92|$81.38|$80.01|$55.03|$55.03
"CPT® 83516"|"HB GLIADIN ANTIBODIES, IGA"|300.00|$101.00|$22.62|$80.80|$71.00|$40.40|$35.55|$22.62||$40.40|$80.80|$57.37||$30.81|$38.38|$61.91|$55.00|||$56.00|$52.00|$24.50|$26.81|$36.30|$40.33|$37.88|$37.24|$25.61|$25.61
"CPT® 83516"|"HB GLIADIN ANTIBODIES, IGG"|300.00|$101.00|$22.62|$80.80|$71.00|$40.40|$35.55|$22.62||$40.40|$80.80|$57.37||$30.81|$38.38|$61.91|$55.00|||$56.00|$52.00|$24.50|$26.81|$36.30|$40.33|$37.88|$37.24|$25.61|$25.61
"CPT® 86022"|"HB HEPARIN INDUCED PLATELET ANTIBODY"|300.00|$601.00|$38.99|$480.80|$421.00|$240.40|$211.55|$134.62||$240.40|$480.80|$341.37||$183.31|$228.38|$368.41|$55.00|||$56.00|$52.00|$38.99|$117.67|$171.15|$190.17|$225.38|$221.59|$152.41|$152.41
"CPT® 83520"|"HB HEPASCORE LIVER FIBROSIS PANEL LF"|300.00|$362.00|$27.29|$289.60|$253.00|$144.80|$127.42|$81.09||$144.80|$289.60|$205.62||$110.41|$137.56|$221.91|$55.00|||$56.00|$52.00|$27.29|$42.84|$73.05|$81.17|$135.75|$133.47|$91.80|$91.80
"CPT® 87516"|"HB HEPATITIS B VIRAL DNA, QUALITATIVE"|300.00|$380.00|$52.00|$304.00|$266.00|$152.00|$133.76|$85.12||$152.00|$304.00|$215.84||$115.90|$144.40|$232.94|$55.00|||$56.00|$52.00|$74.63|$81.59|$115.13|$127.92|$142.50|$140.11|$96.37|$96.37
"CPT® 80074"|"HB HEPATITIS PANEL, ACUTE"|300.00|$1066.00|$52.00|$852.80|$746.00|$426.40|$375.23|$238.78||$426.40|$852.80|$605.49||$325.13|$405.08|$653.46|$55.00|||$56.00|$52.00|$115.28|$180.71|$269.93|$299.92|$399.75|$393.03|$270.34|$270.34
"CPT® 86694"|"HB HERPES SIMPLEX ANTIBODY"|300.00|$217.00|$30.63|$173.60|$152.00|$86.80|$76.38|$48.61||$86.80|$173.60|$123.26||$66.19|$82.46|$133.02|$55.00|||$56.00|$52.00|$30.63|$42.35|$61.65|$68.50|$81.38|$80.01|$55.03|$55.03
"CPT® 87389"|"HB HIV ANTIGEN/ANTIBODY COMBO"|300.00|$135.00|$30.24|$108.00|$94.00|$54.00|$47.52|$30.24||$54.00|$108.00|$76.68||$41.18|$51.30|$82.76|$55.00|||$56.00|$52.00|$51.23|$32.17|$44.33|$49.25|$50.63|$49.77|$34.24|$34.24
"CPT® 87536"|"HB HIV-1 QUANTITATIVE RT  PCR"|300.00|$1893.00|$52.00|$1514.40|$1325.00|$757.20|$666.34|$424.03||$757.20|$1514.40|$1075.22||$577.37|$719.34|$1160.41|$55.00|||$56.00|$52.00|$180.42|$427.14|$595.80|$662.00|$709.88|$697.95|$480.06|$480.06
"CPT® 87624"|"HB HPV HIGH RISK DETECT"|300.00|$307.00|$52.00|$245.60|$215.00|$122.80|$108.06|$68.77||$122.80|$245.60|$174.38||$93.64|$116.66|$188.19|$55.00|||$56.00|$52.00|$74.63|$76.62|$104.48|$116.08|$115.13|$113.19|$77.86|$77.86
"CPT® 84181"|"HB HU AUTOANTIBODY"|300.00|$148.00|$33.15|$118.40|$104.00|$59.20|$52.10|$33.15||$59.20|$118.40|$84.06||$45.14|$56.24|$90.72|$55.00|||$56.00|$52.00|$36.20|$37.52|$51.30|$57.00|$55.50|$54.57|$37.53|$37.53
"CPT® 83520"|"HB HUMAN ANTI-MOUSE IGG ANTIBODIES"|300.00|$362.00|$27.29|$289.60|$253.00|$144.80|$127.42|$81.09||$144.80|$289.60|$205.62||$110.41|$137.56|$221.91|$55.00|||$56.00|$52.00|$27.29|$92.82|$126.60|$140.67|$135.75|$133.47|$91.80|$91.80
"CPT® 83520"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, ELISA"|300.00|$140.00|$27.29|$112.00|$98.00|$56.00|$49.28|$31.36||$56.00|$112.00|$79.52||$42.70|$53.20|$85.82|$55.00|||$56.00|$52.00|$27.29|$37.73|$50.93|$56.59|$52.50|$51.62|$35.50|$35.50
"CPT® 81479"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, SNP"|300.00|$431.00|$52.00|$344.80|$302.00|$172.40|$151.71|$96.54||$172.40|$344.80|$244.81||$131.46|$163.78|$264.20|$55.00|||$56.00|$52.00|$163.85|$108.50|$148.58|$165.09|$161.63|$158.91|$109.30|$109.30
"CPT® 82784"|"HB IMMUNOGLOBULIN, QUANTITATIVE, EACH"|300.00|$103.00|$18.76|$82.40|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$55.00|||$56.00|$52.00|$19.49|$18.76|$27.82|$30.92|$38.63|$37.98|$26.12|$26.12
"CPT® 86334"|"HB IMMUNOFIXATION ELECTROPHORESIS, SERUM"|300.00|$452.00|$47.34|$361.60|$316.00|$180.80|$159.10|$101.25||$180.80|$361.60|$256.74||$137.86|$171.76|$277.08|$55.00|||$56.00|$52.00|$47.34|$113.75|$155.77|$173.09|$169.50|$166.65|$114.63|$114.63
"CPT® 82784"|"HB IMMUNOGLOBULIN, IGD, QUANTITATIVE"|300.00|$103.00|$19.49|$82.40|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$55.00|||$56.00|$52.00|$19.49|$28.21|$37.95|$42.17|$38.63|$37.98|$26.12|$26.12
"CPT® 82784"|"HB IMMUNOGLOBULIN, IGG SUBCLASS 1,2,3,5"|300.00|$103.00|$19.49|$82.40|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$55.00|||$56.00|$52.00|$19.49|$26.25|$35.85|$39.83|$38.63|$37.98|$26.12|$26.12
"CPT® 82784"|"HB IMMUNOGLOBULIN, IGG, QUANTITATIVE"|300.00|$103.00|$19.49|$82.40|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$55.00|||$56.00|$52.00|$19.49|$28.21|$37.95|$42.17|$38.63|$37.98|$26.12|$26.12
"CPT® 82784"|"HB IMMUNOGLOBULIN, IGG, SERUM/CSF"|300.00|$103.00|$19.49|$82.40|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$55.00|||$56.00|$52.00|$19.49|$26.25|$35.85|$39.83|$38.63|$37.98|$26.12|$26.12
"CPT® 82784"|"HB IMMUNOGLOBULIN, IGM, QUANTITATIVE"|300.00|$103.00|$19.49|$82.40|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$55.00|||$56.00|$52.00|$19.49|$28.21|$37.95|$42.17|$38.63|$37.98|$26.12|$26.12
"CPT® 86337"|"HB INSULIN ANTIBODIES"|300.00|$254.00|$45.11|$203.20|$178.00|$101.60|$89.41|$56.90||$101.60|$203.20|$144.27||$77.47|$96.52|$155.70|$55.00|||$56.00|$52.00|$45.11|$50.26|$72.90|$81.00|$95.25|$93.65|$64.41|$64.41
"CPT® 83520"|"HB MAG & SGPG IGM AUTO AB EVAL"|300.00|$103.00|$23.07|$82.40|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$55.00|||$56.00|$52.00|$27.29|$27.93|$37.65|$41.83|$38.63|$37.98|$26.12|$26.12
"CPT® 86735"|"HB MUMPS ANTIBODY, IGM"|300.00|$398.00|$27.84|$318.40|$279.00|$159.20|$140.10|$89.15||$159.20|$318.40|$226.06||$121.39|$151.24|$243.97|$55.00|||$56.00|$52.00|$27.84|$50.26|$83.70|$93.00|$149.25|$146.74|$100.93|$100.93
"CPT® 86747"|"HB PARVO B19, PCR"|300.00|$248.00|$31.74|$198.40|$174.00|$99.20|$87.30|$55.55||$99.20|$198.40|$140.86||$75.64|$94.24|$152.02|$55.00|||$56.00|$52.00|$31.74|$48.44|$70.50|$78.33|$93.00|$91.44|$62.89|$62.89
"CPT® 86747"|"HB PARVO B19, PCR"|300.00|$248.00|$31.74|$198.40|$174.00|$99.20|$87.30|$55.55||$99.20|$198.40|$140.86||$75.64|$94.24|$152.02|$55.00|||$56.00|$52.00|$31.74|$48.44|$70.50|$78.33|$93.00|$91.44|$62.89|$62.89
"CPT® 88182"|"HB PLASMA CELL LABELING INDEX, FLOW CYTOMETRY, DNA"|300.00|$47.00|$10.53|$47.00|$33.00|$18.80|$16.54|$10.53||$18.80|$37.60|$26.70||$14.34|$17.86|$28.81|$47.00|||$47.00|$47.00|$39.00|$12.91|$17.55|$19.50|$17.63|$17.33|$11.92|$11.92
"CPT® 86022"|"HB PLATELET AUTOANTIBODIES (ITP STUDY)"|300.00|$587.00|$38.99|$469.60|$411.00|$234.80|$206.62|$131.49||$234.80|$469.60|$333.42||$179.04|$223.06|$359.83|$55.00|||$56.00|$52.00|$38.99|$192.29|$250.05|$277.83|$220.13|$216.43|$148.86|$148.86
"CPT® 86849"|"HB PROTHROMBIN ANTIBODIES , IGG"|300.00|$250.00|$19.05|$200.00|$175.00|$100.00|$88.00|$56.00||$100.00|$200.00|$142.00||$76.25|$95.00|$153.25|$55.00|||$56.00|$52.00|$19.05|$54.74|$77.40|$86.00|$93.75|$92.18|$63.40|$63.40
"CPT® 86849"|"HB PROTHROMBIN ANTIBODIES , IGM"|300.00|$250.00|$19.05|$200.00|$175.00|$100.00|$88.00|$56.00||$100.00|$200.00|$142.00||$76.25|$95.00|$153.25|$55.00|||$56.00|$52.00|$19.05|$54.74|$77.40|$86.00|$93.75|$92.18|$63.40|$63.40
"CPT® 83516"|"HB RIBOSOMAL P PROTEIN ANTIBODY, IGG"|300.00|$266.00|$24.50|$212.80|$186.00|$106.40|$93.63|$59.58||$106.40|$212.80|$151.09||$81.13|$101.08|$163.06|$55.00|||$56.00|$52.00|$24.50|$68.18|$93.00|$103.33|$99.75|$98.07|$67.46|$67.46
"CPT® 83883"|"HB KAPPA LIGHT CHAIN"|300.00|$111.00|$24.86|$88.80|$78.00|$44.40|$39.07|$24.86||$44.40|$88.80|$63.05||$33.86|$42.18|$68.04|$55.00|||$56.00|$52.00|$28.95|$30.03|$40.50|$45.00|$41.63|$40.93|$28.15|$28.15
"CPT® 83883"|"HB LAMBDA LIGHT CHAIN"|300.00|$111.00|$24.86|$88.80|$78.00|$44.40|$39.07|$24.86||$44.40|$88.80|$63.05||$33.86|$42.18|$68.04|$55.00|||$56.00|$52.00|$28.95|$30.03|$40.50|$45.00|$41.63|$40.93|$28.15|$28.15
"CPT® 86317"|"HB STREPTOCOCCUS PNEUMONIAE IGG ANTIBODY PANEL"|300.00|$40.00|$8.96|$40.00|$28.00|$16.00|$14.08|$8.96||$16.00|$32.00|$22.72||$12.20|$15.20|$24.52|$40.00|||$40.00|$40.00|$31.74|$16.24|$20.40|$22.67|$15.00|$14.75|$10.14|$10.14
"CPT® 86317"|"HB STREPTOCOCCUS PNEUMONIAE IGG ANTIBODY EA ADD"|300.00|$40.00|$8.96|$40.00|$28.00|$16.00|$14.08|$8.96||$16.00|$32.00|$22.72||$12.20|$15.20|$24.52|$40.00|||$40.00|$40.00|$31.74|$14.56|$18.60|$20.67|$15.00|$14.75|$10.14|$10.14
"CPT® 86800"|"HB THYROGLOBULIN ANTIBODY"|300.00|$373.00|$33.98|$298.40|$261.00|$149.20|$131.30|$83.55||$149.20|$298.40|$211.86||$113.77|$141.74|$228.65|$55.00|||$56.00|$52.00|$33.98|$73.15|$106.35|$118.17|$139.88|$137.53|$94.59|$94.59
"CPT® 83516"|"HB TRANSGLUTAMINASE IGG & IGA AUTO ANTIBODIES"|300.00|$105.00|$23.52|$84.00|$74.00|$42.00|$36.96|$23.52||$42.00|$84.00|$59.64||$32.03|$39.90|$64.37|$55.00|||$56.00|$52.00|$24.50|$28.07|$37.95|$42.17|$39.38|$38.71|$26.63|$26.63
"CPT® 83516"|"HB CELIAC SCREEN PANEL, TTG-IGA IMMUNOASSY"|300.00|$251.00|$24.50|$200.80|$176.00|$100.40|$88.35|$56.22||$100.40|$200.80|$142.57||$76.56|$95.38|$153.86|$55.00|||$56.00|$52.00|$24.50|$67.76|$91.42|$101.59|$94.13|$92.54|$63.65|$63.65
"CPT® 83516"|"HB CELIAC SCREEN PANEL, GLIADIN IGA IMMUNOASSAY"|300.00|$240.00|$24.50|$192.00|$168.00|$96.00|$84.48|$53.76||$96.00|$192.00|$136.32||$73.20|$91.20|$147.12|$55.00|||$56.00|$52.00|$24.50|$64.89|$87.53|$97.25|$90.00|$88.49|$60.86|$60.86
"CPT® 82784"|"HB CELIAC SCREEN PANEL, IGA, TOTAL"|300.00|$103.00|$19.49|$82.40|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$55.00|||$56.00|$52.00|$19.49|$49.42|$60.68|$67.42|$38.63|$37.98|$26.12|$26.12
"CPT® 83516"|"HB CELIAC SCREEN RELEX, TTG-IGG IMMUNOASSAY"|300.00|$179.00|$24.50|$143.20|$125.00|$71.60|$63.01|$40.10||$71.60|$143.20|$101.67||$54.60|$68.02|$109.73|$55.00|||$56.00|$52.00|$24.50|$48.20|$65.03|$72.25|$67.13|$66.00|$45.39|$45.39
"CPT® 83516"|"HB CELIAC SCREEN REFLEX, GLIADIN-IGG IMMUNOASSAY"|300.00|$150.00|$24.50|$120.00|$105.00|$60.00|$52.80|$33.60||$60.00|$120.00|$85.20||$45.75|$57.00|$91.95|$55.00|||$56.00|$52.00|$24.50|$40.53|$54.67|$60.75|$56.25|$55.31|$38.04|$38.04
"CPT® 36415"|"HB DRAW, BAND & HOLD BB SAMPLE"|300.00|$44.00|$2.93|$44.00|$31.00|$17.60|$15.49|||$17.60|$35.20|$24.99||$13.42|$16.72|$26.97|$17.43|||$44.00|$44.00|$2.93|$28.70|$34.20|$38.00|$16.50|$16.22|$11.16|$11.16
"CPT® 86900"|"HB ABO BLOOD GROUP TYPE"|300.00|$144.00|$6.12|$115.20|$101.00|$57.60|$50.69|$32.26||$57.60|$115.20|$81.79||$43.92|$54.72|$88.27|$55.00|||$56.00|$52.00|$6.12|$37.52|$51.00|$56.67|$54.00|$53.09|$36.52|$36.52
"CPT® 86901"|"HB RH ANTIGEN TYPE"|300.00|$148.00|$6.12|$118.40|$104.00|$59.20|$52.10|$33.15||$59.20|$118.40|$84.06||$45.14|$56.24|$90.72|$55.00|||$56.00|$52.00|$6.12|$38.08|$51.90|$57.67|$55.50|$54.57|$37.53|$37.53
"CPT® 87328"|"HB CRYTOSPORIDIUM ANTIGEN, STOOL"|300.00|$156.00|$25.62|$124.80|$109.00|$62.40|$54.91|$34.94||$62.40|$124.80|$88.61||$47.58|$59.28|$95.63|$55.00|||$56.00|$52.00|$25.62|$34.16|$48.00|$53.33|$58.50|$57.52|$39.56|$39.56
"CPT® 85460"|"HB KLEIHAUER-BETKE FETAL BLEED TEST"|300.00|$96.00|$16.16|$76.80|$67.00|$38.40|$33.79|$21.50||$38.40|$76.80|$54.53||$29.28|$36.48|$58.85|$55.00|||$56.00|$52.00|$16.16|$23.80|$32.70|$36.33|$36.00|$35.40|$24.35|$24.35
"CPT® 87088"|"HB CULTURE, URINE W/ ID"|300.00|$222.00|$17.27|$177.60|$155.00|$88.80|$78.14|$49.73||$88.80|$177.60|$126.10||$67.71|$84.36|$136.09|$55.00|||$56.00|$52.00|$17.27|$36.12|$54.90|$61.00|$83.25|$81.85|$56.30|$56.30
"CPT® 89055"|"HB FECAL LEUKOCYTES"|300.00|$88.00|$8.91|$88.00|$62.00|$35.20|$30.98|$19.71||$35.20|$70.40|$49.98||$26.84|$33.44|$53.94|$88.00|||$56.00|$52.00|$8.91|$21.56|$29.70|$33.00|$33.00|$32.45|$22.32|$22.32
"CPT® 87177"|"HB OVA & PARASITE EXAM"|300.00|$284.00|$18.93|$227.20|$199.00|$113.60|$99.97|$63.62||$113.60|$227.20|$161.31||$86.62|$107.92|$174.09|$55.00|||$56.00|$52.00|$18.93|$63.84|$89.10|$99.00|$106.50|$104.71|$72.02|$72.02
"CPT® 86331"|"HB BLASTOMYCOSIS ANTIBODY"|300.00|$139.00|$25.62|$111.20|$97.00|$55.60|$48.93|$31.14||$55.60|$111.20|$78.95||$42.40|$52.82|$85.21|$55.00|||$56.00|$52.00|$25.62|$34.30|$47.18|$52.42|$52.13|$51.25|$35.25|$35.25
"CPT® 86331"|"HB COCCIDIOIDMYCOSIS ANTIBODY"|300.00|$139.00|$25.62|$111.20|$97.00|$55.60|$48.93|$31.14||$55.60|$111.20|$78.95||$42.40|$52.82|$85.21|$55.00|||$56.00|$52.00|$25.62|$34.30|$47.18|$52.42|$52.13|$51.25|$35.25|$35.25
"CPT® 86331"|"HB HISTOPLASMOSIS ANTIBODY"|300.00|$139.00|$25.62|$111.20|$97.00|$55.60|$48.93|$31.14||$55.60|$111.20|$78.95||$42.40|$52.82|$85.21|$55.00|||$56.00|$52.00|$25.62|$34.30|$47.18|$52.42|$52.13|$51.25|$35.25|$35.25
"CPT® 84030"|"HB NEWBORN METABOLISM SCREEN"|300.00|$267.00|$11.70|$213.60|$187.00|$106.80|$93.98|$59.81||$106.80|$213.60|$151.66||$81.44|$101.46|$163.67|$55.00|||$56.00|$52.00|$11.70|$65.73|$90.45|$100.50|$100.13|$98.44|$67.71|$67.71
"CPT® 82247"|"HB BILIRUBIN, CORD BLOOD"|300.00|$132.00|$10.58|$105.60|$92.00|$52.80|$46.46|$29.57||$52.80|$105.60|$74.98||$40.26|$50.16|$80.92|$55.00|||$56.00|$52.00|$10.58|$33.88|$46.20|$51.33|$49.50|$48.67|$33.48|$33.48
"CPT® 83880"|"HB B-NATRIURETIC PEPTIDE (BNP)"|300.00|$347.00|$52.00|$277.60|$243.00|$138.80|$122.14|$77.73||$138.80|$277.60|$197.10||$105.84|$131.86|$212.71|$55.00|||$56.00|$52.00|$71.84|$88.66|$120.98|$134.42|$130.13|$127.94|$88.00|$88.00
"CPT® 82374"|"HB CARBON DIOXIDE"|300.00|$86.00|$10.58|$68.80|$60.00|$34.40|$30.27|$19.26||$34.40|$68.80|$48.85||$26.23|$32.68|$52.72|$55.00|||$56.00|$52.00|$10.58|$15.82|$23.40|$26.00|$32.25|$31.71|$21.81|$21.81
"CPT® 83718"|"HB CHOLESTEROL, HDL"|300.00|$175.00|$17.27|$140.00|$122.00|$70.00|$61.60|$39.20||$70.00|$140.00|$99.40||$53.38|$66.50|$107.28|$55.00|||$56.00|$52.00|$17.27|$23.45|$38.25|$42.50|$65.63|$64.52|$44.38|$44.38
"CPT® 82553"|"HB CK-MB LEVEL"|300.00|$284.00|$24.50|$227.20|$199.00|$113.60|$99.97|$63.62||$113.60|$227.20|$161.31||$86.62|$107.92|$174.09|$55.00|||$56.00|$52.00|$24.50|$72.80|$99.30|$110.33|$106.50|$104.71|$72.02|$72.02
"CPT® 86141"|"HB C-REACTIVE PROTEIN, HIGH SENSITIVITY"|300.00|$629.00|$27.29|$503.20|$440.00|$251.60|$221.41|$140.90||$251.60|$503.20|$357.27||$191.85|$239.02|$385.58|$55.00|||$56.00|$52.00|$27.29|$65.03|$116.85|$129.83|$235.88|$231.91|$159.51|$159.51
"CPT® 82570"|"HB CREATININE, URINE"|300.00|$79.00|$11.13|$63.20|$55.00|$31.60|$27.81|$17.70||$31.60|$63.20|$44.87||$24.10|$30.02|$48.43|$55.00|||$56.00|$52.00|$11.13|$13.47|$20.35|$22.61|$29.63|$29.13|$20.03|$20.03
"CPT® 82570"|"HB CREATININE, URINE, RANDOM"|300.00|$79.00|$11.13|$63.20|$55.00|$31.60|$27.81|$17.70||$31.60|$63.20|$44.87||$24.10|$30.02|$48.43|$55.00|||$56.00|$52.00|$11.13|$18.13|$25.35|$28.17|$29.63|$29.13|$20.03|$20.03
"CPT® 82728"|"HB FERRITIN LEVEL"|300.00|$165.00|$28.95|$132.00|$115.00|$66.00|$58.08|$36.96||$66.00|$132.00|$93.72||$50.33|$62.70|$101.15|$55.00|||$56.00|$52.00|$28.95|$35.35|$50.25|$55.83|$61.88|$60.84|$41.84|$41.84
"CPT® 82945"|"HB GLUCOSE, BODY FLUID"|300.00|$130.00|$8.36|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$8.36|$25.90|$37.50|$41.67|$48.75|$47.93|$32.97|$32.97
"CPT® 82945"|"HB GLUCOSE, CSF"|300.00|$130.00|$8.36|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$8.36|$33.46|$45.60|$50.67|$48.75|$47.93|$32.97|$32.97
"CPT® 83036"|"HB GLYCOHEMOGLOBIN LEVEL"|300.00|$134.00|$20.61|$107.20|$94.00|$53.60|$47.17|$30.02||$53.60|$107.20|$76.11||$40.87|$50.92|$82.14|$55.00|||$56.00|$52.00|$20.61|$26.18|$38.10|$42.33|$50.25|$49.41|$33.98|$33.98
"CPT® 83540"|"HB IRON LEVEL"|300.00|$90.00|$13.92|$72.00|$63.00|$36.00|$31.68|$20.16||$36.00|$72.00|$51.12||$27.45|$34.20|$55.17|$55.00|||$56.00|$52.00|$13.92|$20.30|$28.50|$31.67|$33.75|$33.18|$22.82|$22.82
"CPT® 83615"|"HB LACTATE DEHYDROGENASE LEVEL"|300.00|$92.00|$12.81|$73.60|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$55.00|||$56.00|$52.00|$12.81|$33.60|$42.90|$47.67|$34.50|$33.92|$23.33|$23.33
"CPT® 83615"|"HB LACTATE DEHYDROGENASE, BODY FLUID"|300.00|$92.00|$12.81|$73.60|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$55.00|||$56.00|$52.00|$12.81|$33.60|$42.90|$47.67|$34.50|$33.92|$23.33|$23.33
"CPT® 83735"|"HB MAGNESIUM, 24 HR URINE"|300.00|$92.00|$13.92|$73.60|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$55.00|||$56.00|$52.00|$13.92|$20.44|$28.80|$32.00|$34.50|$33.92|$23.33|$23.33
"CPT® 84154"|"HB PROSTATE SPECIFIC ANTIGEN, FREE"|300.00|$242.00|$38.99|$193.60|$169.00|$96.80|$85.18|$54.21||$96.80|$193.60|$137.46||$73.81|$91.96|$148.35|$55.00|||$56.00|$52.00|$38.99|$86.94|$111.30|$123.67|$90.75|$89.23|$61.37|$61.37
"HCPCS G0103"|"HB PROSTATE SPECIFIC ANTIGEN, SCREENING"|300.00|$336.00|$38.99|$268.80|$235.00|$134.40|$118.27|$75.26||$134.40|$268.80|$190.85||$102.48|$127.68|$205.97|$133.12|||$56.00|$52.00|$38.99|$44.52|$72.90|$81.00|$126.00|$123.88|$85.21|$85.21
"CPT® 84156"|"HB PROTEIN, TOTAL, URINE, RANDOM"|300.00|$141.00|$7.80|$112.80|$99.00|$56.40|$49.63|$31.58||$56.40|$112.80|$80.09||$43.01|$53.58|$86.43|$55.00|||$56.00|$52.00|$7.80|$19.67|$31.65|$35.17|$52.88|$51.99|$35.76|$35.76
"CPT® 84156"|"HB PROTEIN, URINE, 24 HR"|300.00|$141.00|$7.80|$112.80|$99.00|$56.40|$49.63|$31.58||$56.40|$112.80|$80.09||$43.01|$53.58|$86.43|$55.00|||$56.00|$52.00|$7.80|$18.27|$30.15|$33.50|$52.88|$51.99|$35.76|$35.76
"CPT® 86762"|"HB RUBELLA ANTIBODY"|300.00|$201.00|$18.75|$160.80|$141.00|$80.40|$70.75|$45.02||$80.40|$160.80|$114.17||$61.31|$76.38|$123.21|$55.00|||$56.00|$52.00|$21.34|$18.75|$35.16|$39.07|$75.38|$74.11|$50.97|$50.97
"CPT® 84550"|"HB URIC ACID LEVEL"|300.00|$90.00|$9.47|$72.00|$63.00|$36.00|$31.68|$20.16||$36.00|$72.00|$51.12||$27.45|$34.20|$55.17|$55.00|||$56.00|$52.00|$9.47|$16.10|$24.00|$26.67|$33.75|$33.18|$22.82|$22.82
"HCPCS 80307"|"HB DRUG SCREEN, COMPREHENSIVE"|300.00|$432.00|$52.00|$345.60|$302.00|$172.80|$152.06|$96.77||$172.80|$345.60|$245.38||$131.76|$164.16|$264.82|$55.00|||$56.00|$52.00|$89.85|$98.39|$139.43|$154.92|$162.00|$159.28|$109.56|$109.56
"CPT® 87420"|"HB RESPIRATORY SYNCYTIAL VIRUS TEST; AG EIA"|300.00|$239.00|$25.62|$191.20|$167.00|$95.60|$84.13|$53.54||$95.60|$191.20|$135.75||$72.90|$90.82|$146.51|$94.69|||$56.00|$52.00|$25.62|$59.75|$81.45|$90.50|$89.63|$88.12|$60.61|$60.61
"CPT® 89051"|"HB CELL COUNT, BODY FLUID OR CSF W/DIFFERENTIAL"|300.00|$213.00|$11.70|$170.40|$149.00|$85.20|$74.98|$47.71||$85.20|$170.40|$120.98||$64.97|$80.94|$130.57|$100.00|||$56.00|$52.00|$11.70|$43.47|$62.55|$69.50|$79.88|$78.53|$54.02|$54.02
"CPT® 89190"|"HB EOSINOPHIL SMEAR, NASAL"|300.00|$114.00|$10.02|$91.20|$80.00|$45.60|$40.13|$25.54||$45.60|$91.20|$64.75||$34.77|$43.32|$69.88|$45.17|||$56.00|$52.00|$10.02|$27.02|$37.50|$41.67|$42.75|$42.03|$28.91|$28.91
"CPT® 89060"|"HB CRYSTAL IDENTIFICATION"|300.00|$147.00|$15.03|$117.60|$103.00|$58.80|$51.74|$32.93||$58.80|$117.60|$83.50||$44.84|$55.86|$90.11|$100.00|||$56.00|$52.00|$15.03|$34.93|$48.45|$53.83|$55.13|$54.20|$37.28|$37.28
"CPT® 89060"|"HB CRYSTAL IDENTIFICATION, URIC ACID"|300.00|$147.00|$15.03|$117.60|$103.00|$58.80|$51.74|$32.93||$58.80|$117.60|$83.50||$44.84|$55.86|$90.11|$100.00|||$56.00|$52.00|$15.03|$34.93|$48.45|$53.83|$55.13|$54.20|$37.28|$37.28
"CPT® 89050"|"HB CELL COUNT, BODY FLUID"|300.00|$167.00|$10.02|$133.60|$117.00|$66.80|$58.78|$37.41||$66.80|$133.60|$94.86||$50.94|$63.46|$102.37|$100.00|||$56.00|$52.00|$10.02|$40.25|$55.65|$61.83|$62.63|$61.57|$42.35|$42.35
"CPT® 89310"|"HB SEMINAL FLUID, POST VASECTOMY"|300.00|$149.00|$18.38|$119.20|$104.00|$59.60|$52.45|$33.38||$59.60|$119.20|$84.63||$45.45|$56.62|$91.34|$100.00|||$56.00|$52.00|$18.38|$38.43|$52.35|$58.17|$55.88|$54.94|$37.79|$37.79
"CPT® 82271"|"HB OCCULT BLOOD, GASTRIC"|300.00|$74.00|$6.68|$59.20|$52.00|$29.60|$26.05|$16.58||$29.60|$59.20|$42.03||$22.57|$28.12|$45.36|$55.00|||$56.00|$52.00|$6.68|$18.90|$25.80|$28.67|$27.75|$27.28|$18.77|$18.77
"CPT® 82270"|"HB OCCULT BLOOD, COLORECTAL CANCER SCREEN"|300.00|$76.00|$6.68|$60.80|$53.00|$30.40|$26.75|$17.02||$30.40|$60.80|$43.17||$23.18|$28.88|$46.59|$55.00|||$56.00|$52.00|$6.68|$20.16|$27.30|$30.33|$28.50|$28.02|$19.27|$19.27
"CPT® 83516"|"HB CENTROMERE ANTIBODY"|300.00|$272.00|$24.50|$217.60|$190.00|$108.80|$95.74|$60.93||$108.80|$217.60|$154.50||$82.96|$103.36|$166.74|$55.00|||$56.00|$52.00|$24.50|$63.28|$88.20|$98.00|$102.00|$100.29|$68.98|$68.98
"CPT® 83520"|"HB GLIADIN ANTIBODIES, IGA"|300.00|$371.00|$27.29|$296.80|$260.00|$148.40|$130.59|$83.10||$148.40|$296.80|$210.73||$113.16|$140.98|$227.42|$55.00|||$56.00|$52.00|$27.29|$94.85|$129.45|$143.83|$139.13|$136.79|$94.09|$94.09
"CPT® 83520"|"HB GLIADIN ANTIBODIES, IGG"|300.00|$371.00|$27.29|$296.80|$260.00|$148.40|$130.59|$83.10||$148.40|$296.80|$210.73||$113.16|$140.98|$227.42|$55.00|||$56.00|$52.00|$27.29|$94.85|$129.45|$143.83|$139.13|$136.79|$94.09|$94.09
"CPT® 83516"|"HB HISTONE ANTIBODY"|300.00|$272.00|$24.50|$217.60|$190.00|$108.80|$95.74|$60.93||$108.80|$217.60|$154.50||$82.96|$103.36|$166.74|$55.00|||$56.00|$52.00|$24.50|$63.28|$88.20|$98.00|$102.00|$100.29|$68.98|$68.98
"CPT® 82784"|"HB IGA, TOTAL"|300.00|$103.00|$19.49|$82.40|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$55.00|||$56.00|$52.00|$19.49|$28.21|$37.95|$42.17|$38.63|$37.98|$26.12|$26.12
"CPT® 86235"|"HB RNP ANTIBODY"|300.00|$336.00|$37.86|$268.80|$235.00|$134.40|$118.27|$75.26||$134.40|$268.80|$190.85||$102.48|$127.68|$205.97|$55.00|||$56.00|$52.00|$37.86|$67.69|$97.65|$108.50|$126.00|$123.88|$85.21|$85.21
"CPT® 86235"|"HB SM ANTIBODY"|300.00|$336.00|$37.86|$268.80|$235.00|$134.40|$118.27|$75.26||$134.40|$268.80|$190.85||$102.48|$127.68|$205.97|$55.00|||$56.00|$52.00|$37.86|$67.69|$97.65|$108.50|$126.00|$123.88|$85.21|$85.21
"CPT® 83520"|"HB TISSUE TRANSGLUTAMINASE ANTIBODY"|300.00|$371.00|$27.29|$296.80|$260.00|$148.40|$130.59|$83.10||$148.40|$296.80|$210.73||$113.16|$140.98|$227.42|$55.00|||$56.00|$52.00|$27.29|$93.45|$127.95|$142.17|$139.13|$136.79|$94.09|$94.09
"CPT® 85347"|"HB ACTIVATED COAGULATION TIME, POC"|300.00|$188.00|$8.91|$150.40|$132.00|$75.20|$66.18|$42.11||$75.20|$150.40|$106.78||$57.34|$71.44|$115.24|$55.00|||$56.00|$52.00|$8.91|$46.48|$63.90|$71.00|$70.50|$69.32|$47.68|$47.68
"CPT® 83986"|"HB AMNIOTEST, POC"|300.00|$62.00|$7.80|$56.00|$43.00|$24.80|$21.82|$13.89||$24.80|$49.60|$35.22||$18.91|$23.56|$38.01|$55.00|||$56.00|$52.00|$7.80|$15.82|$21.60|$24.00|$23.25|$22.86|$15.72|$15.72
"CPT® 85378"|"HB D-DIMER, QUANTITATIVE"|300.00|$254.00|$15.03|$203.20|$178.00|$101.60|$89.41|$56.90||$101.60|$203.20|$144.27||$77.47|$96.52|$155.70|$55.00|||$56.00|$52.00|$15.03|$63.70|$87.30|$97.00|$95.25|$93.65|$64.41|$64.41
"CPT® 36416"|"HB CAPILLARY BLOOD COLLECTION"|300.00|$37.00|$2.79|$37.00|$26.00|$14.80|$13.02|||$14.80|$29.60|$21.02||$11.29|$14.06|$22.68|$14.66|||$37.00|$37.00|$2.79|$6.79|$10.05|$11.17|$13.88|$13.64|$9.38|$9.38
"CPT® 81381"|"HB PRE HUMAN LYMPHOCYTE ANTIGEN SINGLE ALLELE SSO CLASS I"|300.00|$318.00|$52.00|$254.40|$223.00|$127.20|$111.94|$71.23||$127.20|$254.40|$180.62||$96.99|$120.84|$194.93|$55.00|||$56.00|$52.00|$200.48|$111.30|$143.10|$159.00|$119.25|$117.25|$80.64|$80.64
"CPT® 81383"|"HB PRE HUMAN LYMPHOCYTE ANTIGEN SINGLE ALLELE SSO CLASS II"|300.00|$318.00|$52.00|$254.40|$223.00|$127.20|$111.94|$71.23||$127.20|$254.40|$180.62||$96.99|$120.84|$194.93|$55.00|||$56.00|$52.00|$231.11|$111.30|$143.10|$159.00|$119.25|$117.25|$80.64|$80.64
"CPT® 81381"|"HB POST HUMAN LYMPHOCYTE ANTIGEN SINGLE ALLELE CLASS I SSP"|300.00|$439.00|$52.00|$351.20|$307.00|$175.60|$154.53|$98.34||$175.60|$351.20|$249.35||$133.90|$166.82|$269.11|$55.00|||$56.00|$52.00|$200.48|$153.65|$197.55|$219.50|$164.63|$161.86|$111.33|$111.33
"CPT® 81381"|"HB POST HUMAN LYMPHOCYTE ANTIGEN SINGLE ALLELE CLASS I SSO"|300.00|$318.00|$52.00|$254.40|$223.00|$127.20|$111.94|$71.23||$127.20|$254.40|$180.62||$96.99|$120.84|$194.93|$55.00|||$56.00|$52.00|$200.48|$111.30|$143.10|$159.00|$119.25|$117.25|$80.64|$80.64
"CPT® 81383"|"HB POST HUMAN LYMPHOCYTE ANTIGEN SINGLE ALLELE CLASS II SSO"|300.00|$318.00|$52.00|$254.40|$223.00|$127.20|$111.94|$71.23||$127.20|$254.40|$180.62||$96.99|$120.84|$194.93|$55.00|||$56.00|$52.00|$231.11|$111.30|$143.10|$159.00|$119.25|$117.25|$80.64|$80.64
"CPT® 81381"|"HB PRE HUMAN LYMPHOCYTE ANTIGEN SINGLE ALLELE SSP CLASS I"|300.00|$439.00|$52.00|$351.20|$307.00|$175.60|$154.53|$98.34||$175.60|$351.20|$249.35||$133.90|$166.82|$269.11|$55.00|||$56.00|$52.00|$200.48|$153.65|$197.55|$219.50|$164.63|$161.86|$111.33|$111.33
"CPT® 81383"|"HB POST HUMAN LYMPHOCYTE ANTIGEN SINGLE ALLELE SSP CLASS II"|300.00|$439.00|$52.00|$351.20|$307.00|$175.60|$154.53|$98.34||$175.60|$351.20|$249.35||$133.90|$166.82|$269.11|$55.00|||$56.00|$52.00|$231.11|$153.65|$197.55|$219.50|$164.63|$161.86|$111.33|$111.33
"CPT® 81383"|"HB PRE HUMAN LYMPHOCYTE ANTIGEN SINGLE ALLELE SSP CLASS II"|300.00|$431.00|$52.00|$344.80|$302.00|$172.40|$151.71|$96.54||$172.40|$344.80|$244.81||$131.46|$163.78|$264.20|$55.00|||$56.00|$52.00|$231.11|$150.85|$193.95|$215.50|$161.63|$158.91|$109.30|$109.30
"CPT® 81380"|"HB HUMAN LYMPHOCYTE ANTIGEN /B/DQ CLASS I"|300.00|$1190.00|$52.00|$952.00|$833.00|$476.00|$418.88|$266.56||$476.00|$952.00|$675.92||$362.95|$452.20|$729.47|$55.00|||$56.00|$52.00|$375.33|$416.50|$535.50|$595.00|$446.25|$438.75|$301.78|$301.78
"CPT® 81382"|"HB HUMAN LYMPHOCYTE ANTIGEN /B/DQ CLASS II"|300.00|$1190.00|$52.00|$952.00|$833.00|$476.00|$418.88|$266.56||$476.00|$952.00|$675.92||$362.95|$452.20|$729.47|$55.00|||$56.00|$52.00|$262.29|$299.60|$410.25|$455.83|$446.25|$438.75|$301.78|$301.78
"CPT® 86834"|"HB LUMINEX HLA CLASS I SA SPECIFICITY FULL PANEL (ONE LAMBDA), TITERS"|300.00|$3698.00|$52.00|$2958.40|$2589.00|$1479.20|$1301.70|$828.35||$1479.20|$2958.40|$2100.46||$1127.89|$1405.24|$2266.87|$55.00|||$56.00|$52.00|$757.34|$1294.30|$1664.10|$1849.00|$1386.75|$1363.45|$937.81|$937.81
"CPT® 86834"|"HB POST LUMINEX HLA CLASS I SA FP OL TITERS"|300.00|$3329.00|$52.00|$2663.20|$2330.00|$1331.60|$1171.81|$745.70||$1331.60|$2663.20|$1890.87||$1015.35|$1265.02|$2040.68|$55.00|||$56.00|$52.00|$757.34|$1165.15|$1498.05|$1664.50|$1248.38|$1227.40|$844.23|$844.23
"CPT® 86835"|"HB POST LUM HLA CLASS II SA FP OL TITERS"|300.00|$2858.00|$52.00|$2286.40|$2001.00|$1143.20|$1006.02|$640.19||$1143.20|$2286.40|$1623.34||$871.69|$1086.04|$1751.95|$55.00|||$56.00|$52.00|$684.39|$1000.30|$1286.10|$1429.00|$1071.75|$1053.74|$724.79|$724.79
"CPT® 86835"|"HB LUMINEX CLASS II TITERS"|300.00|$1732.00|$52.00|$1385.60|$1212.00|$692.80|$609.66|$387.97||$692.80|$1385.60|$983.78||$528.26|$658.16|$1061.72|$55.00|||$56.00|$52.00|$684.39|$606.20|$779.40|$866.00|$649.50|$638.59|$439.24|$439.24
"CPT® 36415"|"HB ROUTINE VENIPUNCTURE"|300.00|$51.00|$2.93|$51.00|$36.00|$20.40|$17.95|||$20.40|$40.80|$28.97||$15.56|$19.38|$31.26|$20.21|||$51.00|$51.00|$2.93|$16.21|$21.23|$23.58|$19.13|$18.80|$12.93|$12.93
"CPT® 36416"|"HB CAPILLARY BLOOD DRAW"|300.00|$37.00|$2.79|$37.00|$26.00|$14.80|$13.02|||$14.80|$29.60|$21.02||$11.29|$14.06|$22.68|$14.66|||$37.00|$37.00|$2.79|$12.01|$14.25|$15.83|$13.88|$13.64|$9.38|$9.38
"CPT® 36591"|"HB DRAW BLOOD OFF VENOUS DEVICE"|300.00|$283.00|$52.00|$226.40|$198.00|$113.20|$99.62|$63.39||$113.20|$226.40|$160.74||$86.32|$107.54|$173.48|$112.12|||$56.00|$52.00|$91.21|$119.00|$159.00|$176.67|$106.13|$104.34|$71.77|$71.77
"CPT® 36592"|"HB COLLECT BLOOD FROM PICC"|300.00|$286.00|$52.00|$228.80|$200.00|$114.40|$100.67|$64.06||$114.40|$228.80|$162.45||$87.23|$108.68|$175.32|$113.31|||$56.00|$52.00|$95.99|$127.12|$151.80|$168.67|$107.25|$105.45|$72.53|$72.53
"CPT® 36600"|"HB WITHDRAWAL OF ARTERIAL BLOOD"|300.00|$231.00|$44.35|$184.80|$162.00|$92.40|$81.31|$51.74||$92.40|$184.80|$131.21||$70.46|$87.78|$141.60|$91.52|||$56.00|$52.00|$45.14|$44.35|$70.05|$77.83|$86.63|$85.17|$58.58|$58.58
"CPT® 78267"|"HB BREATH TST ATTAIN/ANAL C-14"|300.00|$471.00|$16.71|$376.80|$330.00|$188.40|$165.79|$105.50||$188.40|$376.80|$267.53||$143.66|$178.98|$288.72|$186.61|||$56.00|$52.00|$16.71|$157.92|$203.70|$226.33|$176.63|$173.66|$119.45|$119.45
"CPT® 78268"|"HB UREA BREATH TEST, C-14; ANALYSIS"|300.00|$709.00|$52.00|$567.20|$496.00|$283.60|$249.57|$158.82||$283.60|$567.20|$402.71||$216.25|$269.42|$434.62|$280.91|||$56.00|$52.00|$142.56|$238.63|$308.85|$343.17|$265.88|$261.41|$179.80|$179.80
"CPT® 81002"|"HB URINALYSIS NONAUTO W/O SCOPE"|300.00|$96.00|$5.57|$76.80|$67.00|$38.40|$33.79|$21.50||$38.40|$76.80|$54.53||$29.28|$36.48|$58.85|$55.00|||$56.00|$52.00|$5.57|$26.53|$37.95|$42.17|$36.00|$35.40|$24.35|$24.35
"CPT® 81025"|"HB URINE PREGNANCY TEST"|300.00|$134.00|$13.37|$107.20|$94.00|$53.60|$47.17|$30.02||$53.60|$107.20|$76.11||$40.87|$50.92|$82.14|$55.00|||$56.00|$52.00|$13.37|$55.37|$71.93|$79.92|$50.25|$49.41|$33.98|$33.98
"CPT® 82962"|"HB GLUCOSE BLOOD TEST"|300.00|$50.00|$5.01|$50.00|$35.00|$20.00|$17.60|$11.20||$20.00|$40.00|$28.40||$15.25|$19.00|$30.65|$50.00|||$50.00|$50.00|$5.01|$17.50|$22.50|$25.00|$18.75|$18.44|$12.68|$12.68
"CPT® 83986"|"HB ASSAY PH BODY FLUID NOS"|300.00|$91.00|$7.80|$72.80|$64.00|$36.40|$32.03|$20.38||$36.40|$72.80|$51.69||$27.76|$34.58|$55.78|$55.00|||$56.00|$52.00|$7.80|$27.97|$35.85|$39.83|$34.13|$33.55|$23.08|$23.08
"CPT® 87088"|"HB URINE BACTERIA CULTURE"|300.00|$198.00|$17.27|$158.40|$139.00|$79.20|$69.70|$44.35||$79.20|$158.40|$112.46||$60.39|$75.24|$121.37|$55.00|||$56.00|$52.00|$17.27|$56.11|$73.05|$81.17|$74.25|$73.00|$50.21|$50.21
"CPT® 87210"|"HB SMEAR WET MOUNT SALINE/INK"|300.00|$169.00|$8.91|$135.20|$118.00|$67.60|$59.49|$37.86||$67.60|$135.20|$95.99||$51.55|$64.22|$103.60|$55.00|||$56.00|$52.00|$8.91|$47.53|$61.35|$68.17|$63.38|$62.31|$42.86|$42.86
"CPT® 88720"|"HB BILIRUBIN TOTAL TRANSCUT"|300.00|$22.00|$4.93|$32.50|$15.00|$8.80|$7.74|$4.93||$8.80|$17.60|$12.50||$6.71|$8.36|$13.49|$22.00|||$22.00|$22.00|$10.58|$17.15|$29.25|$32.50|$8.25|$8.11|$5.58|$5.58
"HCPCS C9803"|"HB CLINIC VISIT FOR COVID-19 SPECIMEN COLLECTION – ANY SOURCE - NCR, WR"|300.00|$45.00|$10.08|$45.00|$31.00|$18.00|$15.84|$10.08||$18.00|$36.00|$25.56||$13.73|$17.10|$27.59|$17.83|||$45.00|$45.00|$13.05|$15.75|$20.25|$22.50|$16.88|$16.59|$11.41|$11.41
"CPT® 87635"|"HB RAPID CORONAVIRUS (COVID 19) ASSAY"|300.00|$165.00|$36.96|$132.00|$115.00|$66.00|$58.08|$36.96||$66.00|$132.00|$100.00||$100.00|$100.00|$100.00|$65.37|||$100.00|$100.00|$100.00|$57.75|$74.25|$82.50|$61.88|$60.84|$41.84|$41.84
"CPT® 87635"|"HB CORONAVIRUS SARS-COV-2 BY MULTIPLEX PCR"|300.00|$100.00|$22.40|$100.00|$70.00|$40.00|$35.20|$22.40||$40.00|$80.00|$100.00||$100.00|$100.00|$100.00|$39.62|||$100.00|$100.00|$100.00|$35.00|$45.00|$50.00|$37.50|$36.87|$25.36|$25.36
"CPT® 83033"|"HB APT TEST FOR FETAL BLOOD"|301.00|$196.00|$12.81|$156.80|$137.00|$78.40|$68.99|$43.90||$78.40|$156.80|$111.33||$59.78|$74.48|$120.15|$77.66|||$56.00|$52.00|$12.81|$68.60|$88.20|$98.00|$73.50|$72.27|$49.71|$49.71
"CPT® 83020"|"HB HEMOGLOBIN ELECTROPHORESIS"|301.00|$158.00|$27.29|$126.40|$111.00|$63.20|$55.62|$35.39||$63.20|$126.40|$89.74||$48.19|$60.04|$96.85|$55.00|||$56.00|$52.00|$27.29|$55.30|$71.10|$79.00|$59.25|$58.25|$40.07|$40.07
"CPT® 82270"|"HB OCCULT BLOOD SCREEN"|301.00|$63.00|$6.68|$56.00|$44.00|$25.20|$22.18|$14.11||$25.20|$50.40|$35.78||$19.22|$23.94|$38.62|$55.00|||$56.00|$52.00|$6.68|$22.05|$28.35|$31.50|$23.63|$23.23|$15.98|$15.98
"CPT® 82271"|"HB OCCULT BLOOD SCREEN, OTHER"|301.00|$45.00|$6.68|$45.00|$31.00|$18.00|$15.84|$10.08||$18.00|$36.00|$25.56||$13.73|$17.10|$27.59|$45.00|||$45.00|$45.00|$6.68|$15.75|$20.25|$22.50|$16.88|$16.59|$11.41|$11.41
"CPT® 82272"|"HB OCCULT BLOOD, DIAGNOSTIC, SINGLE"|301.00|$41.00|$6.68|$41.00|$29.00|$16.40|$14.43|$9.18||$16.40|$32.80|$23.29||$12.51|$15.58|$25.13|$41.00|||$41.00|$41.00|$6.68|$14.35|$18.45|$20.50|$15.38|$15.12|$10.40|$10.40
"CPT® 83069"|"HB URINE FREE HEMOGLOBIN"|301.00|$22.00|$4.93|$22.00|$15.00|$8.80|$7.74|$4.93||$8.80|$17.60|$12.50||$6.71|$8.36|$13.49|$22.00|||$22.00|$22.00|$8.36|$7.70|$9.90|$11.00|$8.25|$8.11|$5.58|$5.58
"CPT® 82105"|"HB ALPHA-FETOPROTEIN, SERUM"|301.00|$190.00|$35.64|$152.00|$133.00|$76.00|$66.88|$42.56||$76.00|$152.00|$107.92||$57.95|$72.20|$116.47|$55.00|||$56.00|$52.00|$35.64|$66.50|$85.50|$95.00|$71.25|$70.05|$48.18|$48.18
"CPT® 82232"|"HB BETA-2 MICROGLOBULIN"|301.00|$153.00|$34.27|$122.40|$107.00|$61.20|$53.86|$34.27||$61.20|$122.40|$86.90||$46.67|$58.14|$93.79|$55.00|||$56.00|$52.00|$34.53|$53.55|$68.85|$76.50|$57.38|$56.41|$38.80|$38.80
"CPT® 82595"|"HB CRYOGLOBULIN SCREEN"|301.00|$93.00|$13.92|$74.40|$65.00|$37.20|$32.74|$20.83||$37.20|$74.40|$52.82||$28.37|$35.34|$57.01|$55.00|||$56.00|$52.00|$13.92|$32.55|$41.85|$46.50|$34.88|$34.29|$23.58|$23.58
"CPT® 80158"|"HB CYCLOSPORIN ASSAY"|301.00|$329.00|$38.43|$263.20|$230.00|$131.60|$115.81|$73.70||$131.60|$263.20|$186.87||$100.35|$125.02|$201.68|$55.00|||$56.00|$52.00|$38.43|$115.15|$148.05|$164.50|$123.38|$121.30|$83.43|$83.43
"CPT® 82627"|"HB DHEA SULFATE"|301.00|$363.00|$47.34|$290.40|$254.00|$145.20|$127.78|$81.31||$145.20|$290.40|$206.18||$110.72|$137.94|$222.52|$55.00|||$56.00|$52.00|$47.34|$127.05|$163.35|$181.50|$136.13|$133.84|$92.06|$92.06
"CPT® 82960"|"HB G6PD, SCREEN"|301.00|$201.00|$12.81|$160.80|$141.00|$80.40|$70.75|$45.02||$80.40|$160.80|$114.17||$61.31|$76.38|$123.21|$55.00|||$56.00|$52.00|$12.81|$70.35|$90.45|$100.50|$75.38|$74.11|$50.97|$50.97
"CPT® 83010"|"HB HAPTOGLOBIN"|301.00|$128.00|$26.73|$102.40|$90.00|$51.20|$45.06|$28.67||$51.20|$102.40|$72.70||$39.04|$48.64|$78.46|$55.00|||$56.00|$52.00|$26.73|$44.80|$57.60|$64.00|$48.00|$47.19|$32.46|$32.46
"CPT® 82542"|"HB CLEARANCE MEASURED GFR BY HPLC"|301.00|$158.00|$35.39|$126.40|$111.00|$63.20|$55.62|$35.39||$63.20|$126.40|$89.74||$48.19|$60.04|$96.85|$55.00|||$56.00|$52.00|$38.43|$55.30|$71.10|$79.00|$59.25|$58.25|$40.07|$40.07
"CPT® 83916"|"HB OLIGOCLONAL BANDS, CSF"|301.00|$187.00|$41.89|$149.60|$131.00|$74.80|$65.82|$41.89||$74.80|$149.60|$106.22||$57.04|$71.06|$114.63|$55.00|||$56.00|$52.00|$42.32|$65.45|$84.15|$93.50|$70.13|$68.95|$47.42|$47.42
"CPT® 84165"|"HB PROTEIN ELECTROPHORESIS, SERUM"|301.00|$259.00|$22.83|$207.20|$181.00|$103.60|$91.17|$58.02||$103.60|$207.20|$147.11||$79.00|$98.42|$158.77|$55.00|||$56.00|$52.00|$22.83|$90.65|$116.55|$129.50|$97.13|$95.49|$65.68|$65.68
"CPT® 84166"|"HB PROTEIN ELECTROPHORESIS, URINE/CSF"|301.00|$289.00|$37.86|$231.20|$202.00|$115.60|$101.73|$64.74||$115.60|$231.20|$164.15||$88.15|$109.82|$177.16|$55.00|||$56.00|$52.00|$37.86|$101.15|$130.05|$144.50|$108.38|$106.55|$73.29|$73.29
"CPT® 80197"|"HB TACROLIMUS-FK506"|301.00|$375.00|$28.95|$300.00|$262.00|$150.00|$132.00|$84.00||$150.00|$300.00|$213.00||$114.38|$142.50|$229.88|$55.00|||$56.00|$52.00|$28.95|$131.25|$168.75|$187.50|$140.63|$138.26|$95.10|$95.10
"CPT® 82306"|"HB VITAMIN D 25 HYDROXY"|301.00|$218.00|$48.83|$174.40|$153.00|$87.20|$76.74|$48.83||$87.20|$174.40|$123.82||$66.49|$82.84|$133.63|$55.00|||$56.00|$52.00|$62.93|$76.30|$98.10|$109.00|$81.75|$80.38|$55.28|$55.28
"CPT® 82670"|"HB ESTRADIOL, SERUM"|301.00|$85.00|$19.04|$68.00|$59.00|$34.00|$29.92|$19.04||$34.00|$68.00|$48.28||$25.93|$32.30|$52.11|$55.00|||$56.00|$52.00|$59.03|$22.64|$30.30|$33.67|$31.88|$31.34|$21.56|$21.56
"HCPCS G0480"|"HB OPIATE, DRUG & METAB, CONFIRM"|301.00|$142.00|$31.81|$124.19|$99.00|$56.80|$49.98|$31.81||$56.80|$113.60|$80.66||$43.31|$53.96|$87.05|$56.26|||$56.00|$52.00|$124.19|$52.15|$67.05|$74.50|$53.25|$52.36|$36.01|$36.01
"HCPCS G0480"|"HB NICOTINE AND METABOLITES"|301.00|$413.00|$52.00|$330.40|$289.00|$165.20|$145.38|$92.51||$165.20|$330.40|$234.58||$125.97|$156.94|$253.17|$163.63|||$56.00|$52.00|$124.19|$151.73|$195.08|$216.75|$154.88|$152.27|$104.74|$104.74
"CPT® 84402"|"HB TESTOSTERONE, FREE BY LC MS/MS"|301.00|$247.00|$52.00|$197.60|$173.00|$98.80|$86.94|$55.33||$98.80|$197.60|$140.30||$75.34|$93.86|$151.41|$55.00|||$56.00|$52.00|$54.02|$86.45|$111.15|$123.50|$92.63|$91.07|$62.64|$62.64
"CPT® 84403"|"HB TESTOSTERONE, TOTAL BY LC MS/MS"|301.00|$247.00|$52.00|$197.60|$173.00|$98.80|$86.94|$55.33||$98.80|$197.60|$140.30||$75.34|$93.86|$151.41|$55.00|||$56.00|$52.00|$54.57|$86.45|$111.15|$123.50|$92.63|$91.07|$62.64|$62.64
"CPT® 80285"|"HB VORICONAZOLE LEVEL"|301.00|$280.00|$52.00|$224.00|$196.00|$112.00|$98.56|$62.72||$112.00|$224.00|$159.04||$85.40|$106.40|$171.64|$55.00|||$56.00|$52.00|$67.13|$76.65|$104.17|$115.75|$105.00|$103.24|$71.01|$71.01
"CPT® 83520"|"HB MYELOPEROXIDASE ANTIBODIES"|301.00|$109.00|$24.42|$87.20|$76.00|$43.60|$38.37|$24.42||$43.60|$87.20|$61.91||$33.25|$41.42|$66.82|$55.00|||$56.00|$52.00|$27.29|$29.47|$39.75|$44.17|$40.88|$40.19|$27.64|$27.64
"CPT® 83520"|"HB PROTEINASE-3 ANTIBODIES"|301.00|$109.00|$24.42|$87.20|$76.00|$43.60|$38.37|$24.42||$43.60|$87.20|$61.91||$33.25|$41.42|$66.82|$55.00|||$56.00|$52.00|$27.29|$29.47|$39.75|$44.17|$40.88|$40.19|$27.64|$27.64
"CPT® 80299"|"HB ISAVUCONAZOLE LEVEL"|301.00|$280.00|$28.95|$224.00|$196.00|$112.00|$98.56|$62.72||$112.00|$224.00|$159.04||$85.40|$106.40|$171.64|$55.00|||$56.00|$52.00|$28.95|$75.67|$102.07|$113.42|$105.00|$103.24|$71.01|$71.01
"CPT® 80187"|"HB POSACONAZOLE LEVEL"|301.00|$280.00|$52.00|$224.00|$196.00|$112.00|$98.56|$62.72||$112.00|$224.00|$159.04||$85.40|$106.40|$171.64|$55.00|||$56.00|$52.00|$67.13|$76.65|$104.17|$115.75|$105.00|$103.24|$71.01|$71.01
"CPT® 83516"|"HB TISSUE TRANSGLUTAMINASE (TTG) AB, IGA"|301.00|$86.00|$19.26|$68.80|$60.00|$34.40|$30.27|$19.26||$34.40|$68.80|$48.85||$26.23|$32.68|$52.72|$55.00|||$56.00|$52.00|$24.50|$22.26|$30.15|$33.50|$32.25|$31.71|$21.81|$21.81
"CPT® 83516"|"HB TISSUE TRANSGLUTAMINASE (TTG) AB, IGG"|301.00|$86.00|$19.26|$68.80|$60.00|$34.40|$30.27|$19.26||$34.40|$68.80|$48.85||$26.23|$32.68|$52.72|$55.00|||$56.00|$52.00|$24.50|$22.26|$30.15|$33.50|$32.25|$31.71|$21.81|$21.81
"CPT® 83516"|"HB DEAMINATED GLIADIN PEPTIDE (DPG) AB, IGA"|301.00|$86.00|$19.26|$68.80|$60.00|$34.40|$30.27|$19.26||$34.40|$68.80|$48.85||$26.23|$32.68|$52.72|$55.00|||$56.00|$52.00|$24.50|$22.26|$30.15|$33.50|$32.25|$31.71|$21.81|$21.81
"CPT® 83516"|"HB DEAMINATED GLIADIN PEPTIDE (DPG) AB, IGG"|301.00|$86.00|$19.26|$68.80|$60.00|$34.40|$30.27|$19.26||$34.40|$68.80|$48.85||$26.23|$32.68|$52.72|$55.00|||$56.00|$52.00|$24.50|$22.26|$30.15|$33.50|$32.25|$31.71|$21.81|$21.81
"CPT® 82542"|"HB CLEARANCE MEASURED GFR BY HPLC (MOD 59)"|301.00|$158.00|$35.39|$126.40|$111.00|$63.20|$55.62|$35.39||$63.20|$126.40|$89.74||$48.19|$60.04|$96.85|$55.00|||$56.00|$52.00|$38.43|$55.30|$71.10|$79.00|$59.25|$58.25|$40.07|$40.07
"HCPCS G0480"|"HB PHOSPHATIDYLETHANOL"|301.00|$972.00|$52.00|$777.60|$680.00|$388.80|$342.14|$217.73||$388.80|$777.60|$552.10||$296.46|$369.36|$595.84|$385.11|||$56.00|$52.00|$124.19|$275.56|$371.78|$413.08|$364.50|$358.38|$246.50|$246.50
"CPT® 83491"|"HB 17-HYDROXYCORTICOSTEROIDS URINE, RANDOM"|301.00|$334.00|$37.31|$267.20|$234.00|$133.60|$117.57|$74.82||$133.60|$267.20|$189.71||$101.87|$126.92|$204.74|$55.00|||$56.00|$52.00|$37.31|$116.90|$150.30|$167.00|$125.25|$123.15|$84.70|$84.70
"CPT® 83498"|"HB 17-HYDROXYPROGESTERONE"|301.00|$113.00|$25.31|$90.40|$79.00|$45.20|$39.78|$25.31||$45.20|$90.40|$64.18||$34.47|$42.94|$69.27|$55.00|||$56.00|$52.00|$57.36|$39.55|$50.85|$56.50|$42.38|$41.66|$28.66|$28.66
"CPT® 83586"|"HB 17-KETOSTEROIDS, URINE RANDOM"|301.00|$422.00|$27.29|$337.60|$295.00|$168.80|$148.54|$94.53||$168.80|$337.60|$239.70||$128.71|$160.36|$258.69|$55.00|||$56.00|$52.00|$27.29|$147.70|$189.90|$211.00|$158.25|$155.59|$107.02|$107.02
"CPT® 83497"|"HB 5-HYROXYINDOLACETIC ACID (5-HIAA) 24 HOUR URINE"|301.00|$84.00|$18.82|$67.20|$59.00|$33.60|$29.57|$18.82||$33.60|$67.20|$47.71||$25.62|$31.92|$51.49|$55.00|||$56.00|$52.00|$27.29|$29.40|$37.80|$42.00|$31.50|$30.97|$21.30|$21.30
"CPT® 83915"|"HB 5'-NUCLEOTIDASE"|301.00|$103.00|$23.07|$82.40|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$55.00|||$56.00|$52.00|$23.39|$36.05|$46.35|$51.50|$38.63|$37.98|$26.12|$26.12
"CPT® 84066"|"HB ACID PHOSPHATASE, PROSTATIC"|301.00|$82.00|$18.37|$65.60|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$55.00|||$56.00|$52.00|$20.61|$28.70|$36.90|$41.00|$30.75|$30.23|$20.80|$20.80
"CPT® 82024"|"HB ADENOCORTICOTROPIC HORMONE"|301.00|$140.00|$31.36|$112.00|$98.00|$56.00|$49.28|$31.36||$56.00|$112.00|$79.52||$42.70|$53.20|$85.82|$55.00|||$56.00|$52.00|$81.86|$49.00|$63.00|$70.00|$52.50|$51.62|$35.50|$35.50
"CPT® 82085"|"HB ALDOLASE"|301.00|$80.00|$17.92|$64.00|$56.00|$32.00|$28.16|$17.92||$32.00|$64.00|$45.44||$24.40|$30.40|$49.04|$55.00|||$56.00|$52.00|$20.61|$28.00|$36.00|$40.00|$30.00|$29.50|$20.29|$20.29
"CPT® 82088"|"HB ALDOSTERONE URINE RANDOM"|301.00|$195.00|$43.68|$156.00|$136.00|$78.00|$68.64|$43.68||$78.00|$156.00|$110.76||$59.48|$74.10|$119.54|$55.00|||$56.00|$52.00|$86.31|$68.25|$87.75|$97.50|$73.13|$71.90|$49.45|$49.45
"CPT® 82088"|"HB ALDOSTERONE, SERUM"|301.00|$195.00|$43.68|$156.00|$136.00|$78.00|$68.64|$43.68||$78.00|$156.00|$110.76||$59.48|$74.10|$119.54|$55.00|||$56.00|$52.00|$86.31|$68.25|$87.75|$97.50|$73.13|$71.90|$49.45|$49.45
"CPT® 84080"|"HB ALKALINE PHOSPHATASE ISOENZYMES"|301.00|$87.00|$19.49|$69.60|$61.00|$34.80|$30.62|$19.49||$34.80|$69.60|$49.42||$26.54|$33.06|$53.33|$55.00|||$56.00|$52.00|$31.19|$30.45|$39.15|$43.50|$32.63|$32.08|$22.06|$22.06
"CPT® 84075"|"HB ALKALINE PHOSPHATASE"|301.00|$48.00|$10.75|$48.00|$34.00|$19.20|$16.90|$10.75||$19.20|$38.40|$27.26||$14.64|$18.24|$29.42|$48.00|||$48.00|$48.00|$11.13|$20.37|$25.43|$28.25|$18.00|$17.70|$12.17|$12.17
"CPT® 82108"|"HB ALUMINUM SERUM"|301.00|$78.00|$17.47|$62.40|$55.00|$31.20|$27.46|$17.47||$31.20|$62.40|$44.30||$23.79|$29.64|$47.81|$55.00|||$56.00|$52.00|$54.02|$21.00|$28.35|$31.50|$29.25|$28.76|$19.78|$19.78
"CPT® 82108"|"HB ALUMINUM URINE"|301.00|$251.00|$27.06|$200.80|$176.00|$100.40|$88.35|$56.22||$100.40|$200.80|$142.57||$76.56|$95.38|$153.86|$55.00|||$56.00|$52.00|$54.02|$27.06|$41.33|$45.92|$94.13|$92.54|$63.65|$63.65
"CPT® 82542"|"HB AMIODARONE ASSAY"|301.00|$69.00|$15.46|$56.00|$48.00|$27.60|$24.29|$15.46||$27.60|$55.20|$39.19||$21.05|$26.22|$42.30|$55.00|||$56.00|$52.00|$38.43|$24.15|$31.05|$34.50|$25.88|$25.44|$17.50|$17.50
"CPT® 82157"|"HB ANDROSTENEDIONE"|301.00|$116.00|$25.98|$92.80|$81.00|$46.40|$40.83|$25.98||$46.40|$92.80|$65.89||$35.38|$44.08|$71.11|$55.00|||$56.00|$52.00|$61.82|$40.60|$52.20|$58.00|$43.50|$42.77|$29.42|$29.42
"CPT® 82172"|"HB APOLIPOPROTEIN A-1"|301.00|$168.00|$32.85|$134.40|$118.00|$67.20|$59.14|$37.63||$67.20|$134.40|$95.42||$51.24|$63.84|$102.98|$55.00|||$56.00|$52.00|$32.85|$58.80|$75.60|$84.00|$63.00|$61.94|$42.60|$42.60
"CPT® 82172"|"HB APOLIPOPROTEIN B"|301.00|$168.00|$32.85|$134.40|$118.00|$67.20|$59.14|$37.63||$67.20|$134.40|$95.42||$51.24|$63.84|$102.98|$55.00|||$56.00|$52.00|$32.85|$58.80|$75.60|$84.00|$63.00|$61.94|$42.60|$42.60
"CPT® 82175"|"HB ARSENIC, URINE"|301.00|$286.00|$40.10|$228.80|$200.00|$114.40|$100.67|$64.06||$114.40|$228.80|$162.45||$87.23|$108.68|$175.32|$55.00|||$56.00|$52.00|$40.10|$100.10|$128.70|$143.00|$107.25|$105.45|$72.53|$72.53
"CPT® 82143"|"HB BILIRUBIN SCAN (DELTA A 450) AMNIOTIC FLUID"|301.00|$214.00|$14.48|$171.20|$150.00|$85.60|$75.33|$47.94||$85.60|$171.20|$121.55||$65.27|$81.32|$131.18|$84.79|||$56.00|$52.00|$14.48|$57.82|$78.00|$86.67|$80.25|$78.90|$54.27|$54.27
"CPT® 82300"|"HB CADMIUM URINE, RANDOM"|301.00|$60.00|$13.44|$56.00|$42.00|$24.00|$21.12|$13.44||$24.00|$48.00|$34.08||$18.30|$22.80|$36.78|$55.00|||$56.00|$52.00|$49.01|$21.00|$27.00|$30.00|$22.50|$22.12|$15.22|$15.22
"CPT® 82308"|"HB CALCITONIN"|301.00|$103.00|$23.07|$82.40|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$55.00|||$56.00|$52.00|$56.81|$36.05|$46.35|$51.50|$38.63|$37.98|$26.12|$26.12
"CPT® 82365"|"HB CALCULUS ANALYSIS, STONE"|301.00|$69.00|$15.46|$56.00|$48.00|$27.60|$24.29|$15.46||$27.60|$55.20|$39.19||$21.05|$26.22|$42.30|$55.00|||$56.00|$52.00|$27.29|$24.15|$31.05|$34.50|$25.88|$25.44|$17.50|$17.50
"CPT® 82380"|"HB CAROTENE"|301.00|$42.00|$9.41|$42.00|$29.00|$16.80|$14.78|$9.41||$16.80|$33.60|$23.86||$12.81|$15.96|$25.75|$42.00|||$42.00|$42.00|$19.49|$14.70|$18.90|$21.00|$15.75|$15.49|$10.65|$10.65
"CPT® 82384"|"HB CATECHOLAMINES, FRACTIONATED 24 HOUR URINE"|301.00|$348.00|$52.00|$278.40|$244.00|$139.20|$122.50|$77.95||$139.20|$278.40|$197.66||$106.14|$132.24|$213.32|$55.00|||$56.00|$52.00|$53.46|$121.80|$156.60|$174.00|$130.50|$128.31|$88.25|$88.25
"CPT® 82384"|"HB CATECHOLAMINES, FRACTIONATED URINE, RANDOM"|301.00|$386.00|$52.00|$308.80|$270.00|$154.40|$135.87|$86.46||$154.40|$308.80|$219.25||$117.73|$146.68|$236.62|$55.00|||$56.00|$52.00|$53.46|$135.10|$173.70|$193.00|$144.75|$142.32|$97.89|$97.89
"CPT® 82384"|"HB CATECHOLAMINES, FRACTIONATED, PLASMA"|301.00|$348.00|$52.00|$278.40|$244.00|$139.20|$122.50|$77.95||$139.20|$278.40|$197.66||$106.14|$132.24|$213.32|$55.00|||$56.00|$52.00|$53.46|$121.80|$156.60|$174.00|$130.50|$128.31|$88.25|$88.25
"CPT® 82390"|"HB CERULOPLASMIN"|301.00|$207.00|$22.83|$165.60|$145.00|$82.80|$72.86|$46.37||$82.80|$165.60|$117.58||$63.14|$78.66|$126.89|$55.00|||$56.00|$52.00|$22.83|$72.45|$93.15|$103.50|$77.63|$76.32|$52.50|$52.50
"CPT® 83721"|"HB CHOLESTEROL-LOW DENSITY LIPOPROTEIN DIRECT"|301.00|$26.00|$5.82|$26.00|$18.00|$10.40|$9.15|$5.82||$10.40|$20.80|$14.77||$7.93|$9.88|$15.94|$26.00|||$26.00|$26.00|$20.04|$9.10|$11.70|$13.00|$9.75|$9.59|$6.59|$6.59
"CPT® 82495"|"HB CHROMIUM, BLOOD"|301.00|$205.00|$42.89|$164.00|$144.00|$82.00|$72.16|$45.92||$82.00|$164.00|$116.44||$62.53|$77.90|$125.67|$55.00|||$56.00|$52.00|$42.89|$71.75|$92.25|$102.50|$76.88|$75.58|$51.99|$51.99
"CPT® 82507"|"HB CITRATE, 24 HR URINE"|301.00|$93.00|$20.83|$74.40|$65.00|$37.20|$32.74|$20.83||$37.20|$74.40|$52.82||$28.37|$35.34|$57.01|$55.00|||$56.00|$52.00|$59.03|$32.55|$41.85|$46.50|$34.88|$34.29|$23.58|$23.58
"HCPCS G0480"|"HB CLONAZEPAM, SERUM"|301.00|$91.00|$20.38|$95.50|$64.00|$36.40|$32.03|$20.38||$36.40|$72.80|$51.69||$27.76|$34.58|$55.78|$36.05|||$56.00|$52.00|$95.50|$33.43|$42.98|$47.75|$34.13|$33.55|$23.08|$23.08
"CPT® 83018"|"HB COBALT, BLOOD"|301.00|$217.00|$46.77|$173.60|$152.00|$86.80|$76.38|$48.61||$86.80|$173.60|$123.26||$66.19|$82.46|$133.02|$55.00|||$56.00|$52.00|$46.77|$75.95|$97.65|$108.50|$81.38|$80.01|$55.03|$55.03
"HCPCS 80307"|"HB COMPREHENSIVE DRUG SCREEN, SERUM"|301.00|$1005.00|$52.00|$804.00|$704.00|$402.00|$353.76|$225.12||$402.00|$804.00|$570.84||$306.53|$381.90|$616.07|$55.00|||$56.00|$52.00|$306.10|$369.43|$474.98|$527.75|$376.88|$370.54|$254.87|$254.87
"HCPCS 80307"|"HB COMPREHENSIVE DRUG SCREEN, URINE"|301.00|$1005.00|$52.00|$804.00|$704.00|$402.00|$353.76|$225.12||$402.00|$804.00|$570.84||$306.53|$381.90|$616.07|$55.00|||$56.00|$52.00|$306.10|$369.43|$474.98|$527.75|$376.88|$370.54|$254.87|$254.87
"CPT® 82525"|"HB COPPER 24 HOUR URINE"|301.00|$130.00|$26.18|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$26.18|$45.50|$58.50|$65.00|$48.75|$47.93|$32.97|$32.97
"CPT® 82525"|"HB COPPER URINE, RANDOM"|301.00|$130.00|$26.18|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$26.18|$45.50|$58.50|$65.00|$48.75|$47.93|$32.97|$32.97
"CPT® 82525"|"HB COPPER, SERUM"|301.00|$130.00|$26.18|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$26.18|$45.50|$58.50|$65.00|$48.75|$47.93|$32.97|$32.97
"CPT® 82530"|"HB CORTISOL FREE, 24 HOUR URINE"|301.00|$132.00|$29.57|$105.60|$92.00|$52.80|$46.46|$29.57||$52.80|$105.60|$74.98||$40.26|$50.16|$80.92|$55.00|||$56.00|$52.00|$35.64|$46.20|$59.40|$66.00|$49.50|$48.67|$33.48|$33.48
"CPT® 84681"|"HB C-PEPTIDE"|301.00|$89.00|$19.94|$71.20|$62.00|$35.60|$31.33|$19.94||$35.60|$71.20|$50.55||$27.15|$33.82|$54.56|$55.00|||$56.00|$52.00|$44.00|$31.15|$40.05|$44.50|$33.38|$32.81|$22.57|$22.57
"CPT® 82540"|"HB CREATINE 24 HOUR URINE"|301.00|$55.00|$10.02|$55.00|$38.00|$22.00|$19.36|$12.32||$22.00|$44.00|$31.24||$16.78|$20.90|$33.72|$55.00|||$55.00|$52.00|$10.02|$19.25|$24.75|$27.50|$20.63|$20.28|$13.95|$13.95
"CPT® 82785"|"HB CHILDHOOD ALLERGY PANEL, IGE, TOTAL"|301.00|$210.00|$35.09|$168.00|$147.00|$84.00|$73.92|$47.04||$84.00|$168.00|$119.28||$64.05|$79.80|$128.73|$55.00|||$56.00|$52.00|$35.09|$73.50|$94.50|$105.00|$78.75|$77.43|$53.26|$53.26
"CPT® 82785"|"HB FOOD ALLERGY PANEL, IGE, TOTAL"|301.00|$210.00|$35.09|$168.00|$147.00|$84.00|$73.92|$47.04||$84.00|$168.00|$119.28||$64.05|$79.80|$128.73|$55.00|||$56.00|$52.00|$35.09|$73.50|$94.50|$105.00|$78.75|$77.43|$53.26|$53.26
"CPT® 83605"|"HB D- LACTATE"|301.00|$254.00|$22.83|$203.20|$178.00|$101.60|$89.41|$56.90||$101.60|$203.20|$144.27||$77.47|$96.52|$155.70|$55.00|||$56.00|$52.00|$22.83|$88.90|$114.30|$127.00|$95.25|$93.65|$64.41|$64.41
"CPT® 82626"|"HB DEHYDROEPIANDROSTERONE"|301.00|$127.00|$28.45|$101.60|$89.00|$50.80|$44.70|$28.45||$50.80|$101.60|$72.14||$38.74|$48.26|$77.85|$55.00|||$56.00|$52.00|$53.46|$44.45|$57.15|$63.50|$47.63|$46.82|$32.21|$32.21
"CPT® 82135"|"HB DELTA-AMINOLEVULINIC ACID, 24 HR URINE"|301.00|$163.00|$35.09|$130.40|$114.00|$65.20|$57.38|$36.51||$65.20|$130.40|$92.58||$49.72|$61.94|$99.92|$55.00|||$56.00|$52.00|$35.09|$57.05|$73.35|$81.50|$61.13|$60.10|$41.34|$41.34
"CPT® 82135"|"HB DELTA-AMINOLEVULINIC ACID, URINE RANDOM"|301.00|$147.00|$32.93|$117.60|$103.00|$58.80|$51.74|$32.93||$58.80|$117.60|$83.50||$44.84|$55.86|$90.11|$55.00|||$56.00|$52.00|$35.09|$51.45|$66.15|$73.50|$55.13|$54.20|$37.28|$37.28
"CPT® 84620"|"HB D-XYLOSE"|301.00|$254.00|$25.07|$203.20|$178.00|$101.60|$89.41|$56.90||$101.60|$203.20|$144.27||$77.47|$96.52|$155.70|$55.00|||$56.00|$52.00|$25.07|$88.90|$114.30|$127.00|$95.25|$93.65|$64.41|$64.41
"CPT® 84620"|"HB D-XYLOSE 1 HOUR ABSORPTION"|301.00|$254.00|$25.07|$203.20|$178.00|$101.60|$89.41|$56.90||$101.60|$203.20|$144.27||$77.47|$96.52|$155.70|$55.00|||$56.00|$52.00|$25.07|$88.90|$114.30|$127.00|$95.25|$93.65|$64.41|$64.41
"CPT® 82438"|"HB ELECTROLYES, CHLORIDE, FECAL"|301.00|$12.00|$2.69|$12.00|$8.00|$4.80|$4.22|$2.69||$4.80|$9.60|$6.82||$3.66|$4.56|$7.36|$12.00|||$12.00|$12.00|$10.58|$3.92|$5.10|$5.67|$4.50|$4.42|$3.04|$3.04
"CPT® 84302"|"HB ELECTROLYES, SODIUM, FECAL"|301.00|$12.00|$2.69|$13.00|$8.00|$4.80|$4.22|$2.69||$4.80|$9.60|$6.82||$3.66|$4.56|$7.36|$12.00|||$12.00|$12.00|$10.58|$10.08|$11.70|$13.00|$4.50|$4.42|$3.04|$3.04
"CPT® 84311"|"HB ELECTROLYTES, FECAL, SPECTROPHOTOMETRY"|301.00|$20.00|$4.48|$20.00|$14.00|$8.00|$7.04|$4.48||$8.00|$16.00|$11.36||$6.10|$7.60|$12.26|$20.00|||$20.00|$20.00|$14.51|$5.39|$7.27|$8.09|$7.50|$7.37|$5.07|$5.07
"CPT® 82668"|"HB ERYTHROPOIETIN"|301.00|$118.00|$26.43|$94.40|$83.00|$47.20|$41.54|$26.43||$47.20|$94.40|$67.02||$35.99|$44.84|$72.33|$55.00|||$56.00|$52.00|$39.54|$41.30|$53.10|$59.00|$44.25|$43.51|$29.92|$29.92
"CPT® 82542"|"HB ESSENTIAL FATTY ACID PROFILE"|301.00|$318.00|$38.43|$254.40|$223.00|$127.20|$111.94|$71.23||$127.20|$254.40|$180.62||$96.99|$120.84|$194.93|$55.00|||$56.00|$52.00|$38.43|$111.30|$143.10|$159.00|$119.25|$117.25|$80.64|$80.64
"CPT® 82679"|"HB ESTROGEN METABOLISM ASSESSMENT"|301.00|$224.00|$50.18|$179.20|$157.00|$89.60|$78.85|$50.18||$89.60|$179.20|$127.23||$68.32|$85.12|$137.31|$55.00|||$56.00|$52.00|$52.91|$60.41|$81.53|$90.59|$84.00|$82.59|$56.81|$56.81
"CPT® 82672"|"HB ESTROGENS, TOTAL"|301.00|$132.00|$29.57|$105.60|$92.00|$52.80|$46.46|$29.57||$52.80|$105.60|$74.98||$40.26|$50.16|$80.92|$55.00|||$56.00|$52.00|$46.22|$46.20|$59.40|$66.00|$49.50|$48.67|$33.48|$33.48
"CPT® 82679"|"HB ESTRONE"|301.00|$100.00|$22.40|$80.00|$70.00|$40.00|$35.20|$22.40||$40.00|$80.00|$56.80||$30.50|$38.00|$61.30|$55.00|||$56.00|$52.00|$52.91|$35.00|$45.00|$50.00|$37.50|$36.87|$25.36|$25.36
"CPT® 82693"|"HB ETHYLENE GLYCOL"|301.00|$93.00|$20.83|$74.40|$65.00|$37.20|$32.74|$20.83||$37.20|$74.40|$52.82||$28.37|$35.34|$57.01|$55.00|||$56.00|$52.00|$31.74|$32.55|$41.85|$46.50|$34.88|$34.29|$23.58|$23.58
"CPT® 82542"|"HB FLUOXETINE LEVEL"|301.00|$224.00|$38.43|$179.20|$157.00|$89.60|$78.85|$50.18||$89.60|$179.20|$127.23||$68.32|$85.12|$137.31|$55.00|||$56.00|$52.00|$38.43|$78.40|$100.80|$112.00|$84.00|$82.59|$56.81|$56.81
"CPT® 82985"|"HB FRUCTOSAMINE"|301.00|$121.00|$27.10|$96.80|$85.00|$48.40|$42.59|$27.10||$48.40|$96.80|$68.73||$36.91|$45.98|$74.17|$55.00|||$56.00|$52.00|$31.74|$42.35|$54.45|$60.50|$45.38|$44.61|$30.69|$30.69
"CPT® 82941"|"HB GASTRIN"|301.00|$82.00|$18.37|$65.60|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$55.00|||$56.00|$52.00|$37.31|$28.70|$36.90|$41.00|$30.75|$30.23|$20.80|$20.80
"CPT® 82943"|"HB GLUCAGON"|301.00|$122.00|$27.33|$97.60|$85.00|$48.80|$42.94|$27.33||$48.80|$97.60|$69.30||$37.21|$46.36|$74.79|$55.00|||$56.00|$52.00|$30.08|$42.70|$54.90|$61.00|$45.75|$44.98|$30.94|$30.94
"CPT® 83003"|"HB GROWTH HORMONE"|301.00|$82.00|$18.37|$65.60|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$55.00|||$56.00|$52.00|$35.09|$28.70|$36.90|$41.00|$30.75|$30.23|$20.80|$20.80
"CPT® 82175"|"HB HEAVY METAL SCREEN ARSENIC, URINE RANDOM"|301.00|$35.00|$7.84|$35.00|$24.00|$14.00|$12.32|$7.84||$14.00|$28.00|$19.88||$10.68|$13.30|$21.46|$35.00|||$35.00|$35.00|$35.00|$12.25|$15.75|$17.50|$13.13|$12.90|$8.88|$8.88
"CPT® 83655"|"HB HEAVY METAL SCREEN LEAD, URINE RANDOM"|301.00|$62.00|$13.89|$56.00|$43.00|$24.80|$21.82|$13.89||$24.80|$49.60|$35.22||$18.91|$23.56|$38.01|$55.00|||$56.00|$52.00|$25.62|$21.70|$27.90|$31.00|$23.25|$22.86|$15.72|$15.72
"CPT® 83825"|"HB HEAVY METAL SCREEN MERCURY, URINE RANDOM"|301.00|$38.00|$8.51|$38.00|$27.00|$15.20|$13.38|$8.51||$15.20|$30.40|$21.58||$11.59|$14.44|$23.29|$38.00|||$38.00|$38.00|$34.53|$13.30|$17.10|$19.00|$14.25|$14.01|$9.64|$9.64
"CPT® 82175"|"HB HEAVY METALS SCREEN, ARSENIC, 24 HOUR URINE"|301.00|$35.00|$7.84|$35.00|$24.00|$14.00|$12.32|$7.84||$14.00|$28.00|$19.88||$10.68|$13.30|$21.46|$35.00|||$35.00|$35.00|$35.00|$12.25|$15.75|$17.50|$13.13|$12.90|$8.88|$8.88
"CPT® 83655"|"HB HEAVY METALS SCREEN, LEAD, 24 HOUR URINE"|301.00|$62.00|$13.89|$56.00|$43.00|$24.80|$21.82|$13.89||$24.80|$49.60|$35.22||$18.91|$23.56|$38.01|$55.00|||$56.00|$52.00|$25.62|$21.70|$27.90|$31.00|$23.25|$22.86|$15.72|$15.72
"CPT® 83825"|"HB HEAVY METALS SCREEN, MERCURY, 24 HOUR URINE"|301.00|$38.00|$8.51|$38.00|$27.00|$15.20|$13.38|$8.51||$15.20|$30.40|$21.58||$11.59|$14.44|$23.29|$38.00|||$38.00|$38.00|$34.53|$13.30|$17.10|$19.00|$14.25|$14.01|$9.64|$9.64
"CPT® 82175"|"HB HEAVY METALS SCREEN, ARSENIC, WHOLE BLOOD"|301.00|$35.00|$7.84|$35.00|$24.00|$14.00|$12.32|$7.84||$14.00|$28.00|$19.88||$10.68|$13.30|$21.46|$35.00|||$35.00|$35.00|$35.00|$12.25|$15.75|$17.50|$13.13|$12.90|$8.88|$8.88
"CPT® 83655"|"HB HEAVY METALS SCREEN, LEAD, WHOLE BLOOD"|301.00|$62.00|$13.89|$56.00|$43.00|$24.80|$21.82|$13.89||$24.80|$49.60|$35.22||$18.91|$23.56|$38.01|$55.00|||$56.00|$52.00|$25.62|$21.70|$27.90|$31.00|$23.25|$22.86|$15.72|$15.72
"CPT® 83825"|"HB HEAVY METALS SCREEN, MERCURY, WHOLE BLOOD"|301.00|$38.00|$8.51|$38.00|$27.00|$15.20|$13.38|$8.51||$15.20|$30.40|$21.58||$11.59|$14.44|$23.29|$38.00|||$38.00|$38.00|$34.53|$13.30|$17.10|$19.00|$14.25|$14.01|$9.64|$9.64
"CPT® 82785"|"HB IMMUNOGLOBULIN E"|301.00|$259.00|$35.09|$207.20|$181.00|$103.60|$91.17|$58.02||$103.60|$207.20|$147.11||$79.00|$98.42|$158.77|$55.00|||$56.00|$52.00|$35.09|$90.65|$116.55|$129.50|$97.13|$95.49|$65.68|$65.68
"CPT® 80307"|"HB INFANT DRUG SCREEN, MECONIUM"|301.00|$347.00|$52.00|$277.60|$243.00|$138.80|$122.14|$77.73||$138.80|$277.60|$197.10||$105.84|$131.86|$212.71|$55.00|||$56.00|$52.00|$105.56|$127.40|$163.80|$182.00|$130.13|$127.94|$88.00|$88.00
"HCPCS 80307"|"HB INFANT DRUG SCREEN, URINE"|301.00|$345.00|$52.00|$276.00|$241.00|$138.00|$121.44|$77.28||$138.00|$276.00|$195.96||$105.23|$131.10|$211.49|$55.00|||$56.00|$52.00|$105.13|$126.88|$163.13|$181.25|$129.38|$127.20|$87.49|$87.49
"CPT® 82397"|"HB INHIBIN B"|301.00|$229.00|$30.08|$183.20|$160.00|$91.60|$80.61|$51.30||$91.60|$183.20|$130.07||$69.85|$87.02|$140.38|$55.00|||$56.00|$52.00|$30.08|$80.15|$103.05|$114.50|$85.88|$84.43|$58.07|$58.07
"CPT® 83520"|"HB INTERLEUKIN 6"|301.00|$349.00|$27.29|$279.20|$244.00|$139.60|$122.85|$78.18||$139.60|$279.20|$198.23||$106.45|$132.62|$213.94|$55.00|||$56.00|$52.00|$27.29|$94.15|$127.05|$141.17|$130.88|$128.68|$88.51|$88.51
"CPT® 83789"|"HB IODINE, RANDOM URINE"|301.00|$554.00|$38.43|$443.20|$388.00|$221.60|$195.01|$124.10||$221.60|$443.20|$314.67||$168.97|$210.52|$339.60|$55.00|||$56.00|$52.00|$38.43|$47.04|$75.60|$84.00|$207.75|$204.26|$140.49|$140.49
"CPT® 83540"|"HB IRON LIVER, TISSUE"|301.00|$90.00|$13.92|$72.00|$63.00|$36.00|$31.68|$20.16||$36.00|$72.00|$51.12||$27.45|$34.20|$55.17|$55.00|||$56.00|$52.00|$13.92|$31.50|$40.50|$45.00|$33.75|$33.18|$22.82|$22.82
"CPT® 84600"|"HB ISOPROPYL ALCOHOL-ACETONE"|301.00|$166.00|$33.98|$132.80|$116.00|$66.40|$58.43|$37.18||$66.40|$132.80|$94.29||$50.63|$63.08|$101.76|$55.00|||$56.00|$52.00|$33.98|$58.10|$74.70|$83.00|$62.25|$61.20|$42.10|$42.10
"CPT® 83615"|"HB LACTATE DEHYDROGENASE"|301.00|$92.00|$12.81|$73.60|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$55.00|||$56.00|$52.00|$12.81|$32.20|$41.40|$46.00|$34.50|$33.92|$23.33|$23.33
"CPT® 83625"|"HB LACTATE DEHYDROGENASE ISOENZYMES"|301.00|$67.00|$15.01|$56.00|$47.00|$26.80|$23.58|$15.01||$26.80|$53.60|$38.06||$20.44|$25.46|$41.07|$55.00|||$56.00|$52.00|$27.29|$23.45|$30.15|$33.50|$25.13|$24.70|$16.99|$16.99
"CPT® 80175"|"HB LAMOTRIGINE LEVEL"|301.00|$113.00|$25.31|$90.40|$79.00|$45.20|$39.78|$25.31||$45.20|$90.40|$64.18||$34.47|$42.94|$69.27|$55.00|||$56.00|$52.00|$27.84|$41.48|$53.33|$59.25|$42.38|$41.66|$28.66|$28.66
"CPT® 83655"|"HB LEAD 24 HOUR URINE"|301.00|$69.00|$15.46|$56.00|$48.00|$27.60|$24.29|$15.46||$27.60|$55.20|$39.19||$21.05|$26.22|$42.30|$55.00|||$56.00|$52.00|$25.62|$24.15|$31.05|$34.50|$25.88|$25.44|$17.50|$17.50
"CPT® 83655"|"HB LEAD LEVEL"|301.00|$62.00|$13.89|$56.00|$43.00|$24.80|$21.82|$13.89||$24.80|$49.60|$35.22||$18.91|$23.56|$38.01|$55.00|||$56.00|$52.00|$25.62|$21.70|$27.90|$31.00|$23.25|$22.86|$15.72|$15.72
"CPT® 80177"|"HB LEVETIRACETAM LEVEL"|301.00|$113.00|$25.31|$90.40|$79.00|$45.20|$39.78|$25.31||$45.20|$90.40|$64.18||$34.47|$42.94|$69.27|$55.00|||$56.00|$52.00|$27.84|$41.48|$53.33|$59.25|$42.38|$41.66|$28.66|$28.66
"CPT® 82710"|"HB LIPIDS TOTAL, FECAL"|301.00|$252.00|$35.64|$201.60|$176.00|$100.80|$88.70|$56.45||$100.80|$201.60|$143.14||$76.86|$95.76|$154.48|$55.00|||$56.00|$52.00|$35.64|$88.20|$113.40|$126.00|$94.50|$92.91|$63.91|$63.91
"CPT® 83695"|"HB LIPOPROTEIN A"|301.00|$32.00|$7.17|$32.00|$22.00|$12.80|$11.26|$7.17||$12.80|$25.60|$18.18||$9.76|$12.16|$19.62|$32.00|||$32.00|$32.00|$27.29|$11.20|$14.40|$16.00|$12.00|$11.80|$8.12|$8.12
"CPT® 83700"|"HB LIPOPROTEIN FRACTIONATION"|301.00|$85.00|$19.04|$68.00|$59.00|$34.00|$29.92|$19.04||$34.00|$68.00|$48.28||$25.93|$32.30|$52.11|$55.00|||$56.00|$52.00|$23.94|$29.75|$38.25|$42.50|$31.88|$31.34|$21.56|$21.56
"CPT® 82465"|"HB LIPOPROTEIN FRACTIONATION, CHOLESTEROL"|301.00|$62.00|$9.47|$56.00|$43.00|$24.80|$21.82|$13.89||$24.80|$49.60|$35.22||$18.91|$23.56|$38.01|$55.00|||$56.00|$52.00|$9.47|$21.70|$27.90|$31.00|$23.25|$22.86|$15.72|$15.72
"CPT® 84478"|"HB LIPOPROTEIN FRACTIONATION, TRIGLYCERIDE"|301.00|$62.00|$12.26|$56.00|$43.00|$24.80|$21.82|$13.89||$24.80|$49.60|$35.22||$18.91|$23.56|$38.01|$55.00|||$56.00|$52.00|$12.26|$21.70|$27.90|$31.00|$23.25|$22.86|$15.72|$15.72
"CPT® 83735"|"HB MAGNESIUM, RBC"|301.00|$92.00|$13.92|$73.60|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$55.00|||$56.00|$52.00|$13.92|$32.20|$41.40|$46.00|$34.50|$33.92|$23.33|$23.33
"CPT® 83785"|"HB MANGANESE, RBC"|301.00|$137.00|$30.69|$109.60|$96.00|$54.80|$48.22|$30.69||$54.80|$109.60|$77.82||$41.79|$52.06|$83.98|$55.00|||$56.00|$52.00|$52.35|$47.78|$61.43|$68.25|$51.38|$50.51|$34.74|$34.74
"CPT® 83825"|"HB MERCURY, 24 HOUR URINE"|301.00|$38.00|$8.51|$38.00|$27.00|$15.20|$13.38|$8.51||$15.20|$30.40|$21.58||$11.59|$14.44|$23.29|$38.00|||$38.00|$38.00|$34.53|$13.30|$17.10|$19.00|$14.25|$14.01|$9.64|$9.64
"CPT® 83825"|"HB MERCURY, WHOLE BLOOD"|301.00|$38.00|$8.51|$38.00|$27.00|$15.20|$13.38|$8.51||$15.20|$30.40|$21.58||$11.59|$14.44|$23.29|$38.00|||$38.00|$38.00|$34.53|$13.30|$17.10|$19.00|$14.25|$14.01|$9.64|$9.64
"CPT® 82570"|"HB METANEPHRINES FRACTIONATED RANDOM URINE"|301.00|$79.00|$11.13|$63.20|$55.00|$31.60|$27.81|$17.70||$31.60|$63.20|$44.87||$24.10|$30.02|$48.43|$55.00|||$56.00|$52.00|$11.13|$27.65|$35.55|$39.50|$29.63|$29.13|$20.03|$20.03
"CPT® 83835"|"HB METANEPHRINES FRACTIONATED RANDOM URINE"|301.00|$24.00|$5.38|$24.00|$17.00|$9.60|$8.45|$5.38||$9.60|$19.20|$13.63||$7.32|$9.12|$14.71|$24.00|||$24.00|$24.00|$24.00|$8.40|$10.80|$12.00|$9.00|$8.85|$6.09|$6.09
"CPT® 83835"|"HB METANEPHRINES, FRACTIONATED 24 HOUR URINE"|301.00|$119.00|$26.66|$95.20|$83.00|$47.60|$41.89|$26.66||$47.60|$95.20|$67.59||$36.30|$45.22|$72.95|$55.00|||$56.00|$52.00|$35.64|$41.65|$53.55|$59.50|$44.63|$43.88|$30.18|$30.18
"CPT® 83835"|"HB METANEPHRINES, FRACTIONATED FREE, PLASMA"|301.00|$229.00|$35.64|$183.20|$160.00|$91.60|$80.61|$51.30||$91.60|$183.20|$130.07||$69.85|$87.02|$140.38|$55.00|||$56.00|$52.00|$35.64|$80.15|$103.05|$114.50|$85.88|$84.43|$58.07|$58.07
"CPT® 84600"|"HB METHYL ALCOHOL"|301.00|$308.00|$33.98|$246.40|$216.00|$123.20|$108.42|$68.99||$123.20|$246.40|$174.94||$93.94|$117.04|$188.80|$55.00|||$56.00|$52.00|$33.98|$107.80|$138.60|$154.00|$115.50|$113.56|$78.11|$78.11
"CPT® 83921"|"HB METHYLMALONIC ACID"|301.00|$211.00|$35.09|$168.80|$148.00|$84.40|$74.27|$47.26||$84.40|$168.80|$119.85||$64.36|$80.18|$129.34|$55.00|||$56.00|$52.00|$35.09|$73.85|$94.95|$105.50|$79.13|$77.80|$53.51|$53.51
"CPT® 83874"|"HB MYOGLOBIN, RANDOM URINE"|301.00|$96.00|$21.50|$76.80|$67.00|$38.40|$33.79|$21.50||$38.40|$76.80|$54.53||$29.28|$36.48|$58.85|$55.00|||$56.00|$52.00|$27.29|$33.60|$43.20|$48.00|$36.00|$35.40|$24.35|$24.35
"CPT® 83874"|"HB MYOGLOBIN, SERUM"|301.00|$96.00|$21.50|$76.80|$67.00|$38.40|$33.79|$21.50||$38.40|$76.80|$54.53||$29.28|$36.48|$58.85|$55.00|||$56.00|$52.00|$27.29|$33.60|$43.20|$48.00|$36.00|$35.40|$24.35|$24.35
"CPT® 84181"|"HB NEURONAL NUCLEAR AUTOANTIBODIES"|301.00|$906.00|$36.20|$724.80|$634.00|$362.40|$318.91|$202.94||$362.40|$724.80|$514.61||$276.33|$344.28|$555.38|$55.00|||$56.00|$52.00|$36.20|$317.10|$407.70|$453.00|$339.75|$334.04|$229.76|$229.76
"CPT® 83498"|"HB NEWBORN METABOLIC SCREEN. CAH"|301.00|$74.00|$16.58|$59.20|$52.00|$29.60|$26.05|$16.58||$29.60|$59.20|$42.03||$22.57|$28.12|$45.36|$55.00|||$56.00|$52.00|$56.12|$20.72|$27.75|$30.83|$27.75|$27.28|$18.77|$18.77
"CPT® 83789"|"HB NEWBORN METABOLIC SCREEN, FATTY, ORGANIC & AMINO ACIDS, MS"|301.00|$61.00|$13.66|$56.00|$43.00|$24.40|$21.47|$13.66||$24.40|$48.80|$34.65||$18.61|$23.18|$37.39|$55.00|||$56.00|$52.00|$38.43|$17.08|$22.88|$25.42|$22.88|$22.49|$15.47|$15.47
"CPT® 81479"|"HB NEWBORN METABOLIC SCREEN, TREC SCID"|301.00|$44.00|$9.86|$44.00|$31.00|$17.60|$15.49|$9.86||$17.60|$35.20|$24.99||$13.42|$16.72|$26.97|$44.00|||$44.00|$44.00|$34.67|$11.48|$15.60|$17.33|$16.50|$16.22|$11.16|$11.16
"CPT® 82261"|"HB NEWBORN METABOLIC SCREEN. BIOTINIDASE"|301.00|$58.00|$12.99|$56.00|$41.00|$23.20|$20.42|$12.99||$23.20|$46.40|$32.94||$17.69|$22.04|$35.55|$22.98|||$56.00|$52.00|$35.64|$14.35|$19.73|$21.92|$21.75|$21.38|$14.71|$14.71
"CPT® 83516"|"HB NEWBORN METABOLIC SCREEN, CYSTIC FIBROSIS"|301.00|$36.00|$8.06|$36.00|$25.00|$14.40|$12.67|$8.06||$14.40|$28.80|$20.45||$10.98|$13.68|$22.07|$36.00|||$36.00|$36.00|$24.50|$10.08|$13.50|$15.00|$13.50|$13.27|$9.13|$9.13
"CPT® 83021"|"HB NEWBORN METABOLIC SCREEN, HEMOGLOBINOPATHIES"|301.00|$50.00|$11.20|$50.00|$35.00|$20.00|$17.60|$11.20||$20.00|$40.00|$28.40||$15.25|$19.00|$30.65|$50.00|||$50.00|$50.00|$37.81|$14.00|$18.75|$20.83|$18.75|$18.44|$12.68|$12.68
"CPT® 84443"|"HB NEWBORN METABOLIC SCREEN, TSH/T4"|301.00|$186.00|$23.10|$148.80|$130.00|$74.40|$65.47|$41.66||$74.40|$148.80|$105.65||$56.73|$70.68|$114.02|$55.00|||$56.00|$52.00|$35.64|$23.10|$38.70|$43.00|$69.75|$68.58|$47.17|$47.17
"CPT® 82776"|"HB NEWBORN METABOLIC SCREEN, URIDYLTRANSFERASE"|301.00|$33.00|$7.39|$33.00|$23.00|$13.20|$11.62|$7.39||$13.20|$26.40|$18.74||$10.07|$12.54|$20.23|$13.07|||$33.00|$33.00|$17.82|$9.24|$12.38|$13.75|$12.38|$12.17|$8.37|$8.37
"HCPCS G0480"|"HB NORTRIPTYLINE LEVEL"|301.00|$92.00|$20.61|$96.50|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$36.45|||$56.00|$52.00|$96.50|$33.78|$43.43|$48.25|$34.50|$33.92|$23.33|$23.33
"CPT® 82523"|"HB N-TELOPEPTIDES WITH CREATININE RANDOM URINE"|301.00|$59.00|$13.22|$56.00|$41.00|$23.60|$20.77|$13.22||$23.60|$47.20|$33.51||$18.00|$22.42|$36.17|$55.00|||$56.00|$52.00|$39.54|$20.65|$26.55|$29.50|$22.13|$21.75|$14.96|$14.96
"CPT® 83918"|"HB ORGANIC ACIDS QUANTITATIVE RANDOM URINE"|301.00|$1614.00|$35.09|$1291.20|$1130.00|$645.60|$568.13|$361.54||$645.60|$1291.20|$916.75||$492.27|$613.32|$989.38|$55.00|||$56.00|$52.00|$35.09|$564.90|$726.30|$807.00|$605.25|$595.08|$409.31|$409.31
"CPT® 83935"|"HB OSMOLALITY URINE 24 HOUR"|301.00|$118.00|$14.48|$94.40|$83.00|$47.20|$41.54|$26.43||$47.20|$94.40|$67.02||$35.99|$44.84|$72.33|$55.00|||$56.00|$52.00|$14.48|$41.30|$53.10|$59.00|$44.25|$43.51|$29.92|$29.92
"CPT® 84311"|"HB OSMOTIC GAP, FECAL, SODIUM"|301.00|$182.00|$10.51|$145.60|$127.00|$72.80|$64.06|$40.77||$72.80|$145.60|$103.38||$55.51|$69.16|$111.57|$55.00|||$56.00|$52.00|$10.51|$15.05|$29.77|$33.09|$68.25|$67.10|$46.16|$46.16
"CPT® 84302"|"HB OSMOTIC GAP, FECAL, SPECTOPHOTOMETRY"|301.00|$128.00|$10.58|$102.40|$90.00|$51.20|$45.06|$28.67||$51.20|$102.40|$72.70||$39.04|$48.64|$78.46|$55.00|||$56.00|$52.00|$10.58|$34.58|$46.65|$51.83|$48.00|$47.19|$32.46|$32.46
"CPT® 83937"|"HB OSTEOCALCIN"|301.00|$146.00|$32.70|$116.80|$102.00|$58.40|$51.39|$32.70||$58.40|$116.80|$82.93||$44.53|$55.48|$89.50|$55.00|||$56.00|$52.00|$63.48|$51.10|$65.70|$73.00|$54.75|$53.83|$37.03|$37.03
"CPT® 83945"|"HB OXALATE, 24 HOUR URINE"|301.00|$82.00|$18.37|$65.60|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$55.00|||$56.00|$52.00|$27.29|$28.70|$36.90|$41.00|$30.75|$30.23|$20.80|$20.80
"CPT® 80183"|"HB OXCARBAZEPINE LEVEL"|301.00|$202.00|$27.84|$161.60|$141.00|$80.80|$71.10|$45.25||$80.80|$161.60|$114.74||$61.61|$76.76|$123.83|$55.00|||$56.00|$52.00|$27.84|$74.20|$95.40|$106.00|$75.75|$74.48|$51.23|$51.23
"HCPCS G0480"|"HB PENTOBARBITAL LEVEL"|301.00|$547.00|$52.00|$437.60|$383.00|$218.80|$192.54|$122.53||$218.80|$437.60|$310.70||$166.84|$207.86|$335.31|$216.72|||$56.00|$52.00|$124.19|$149.62|$203.40|$226.00|$205.13|$201.68|$138.72|$138.72
"CPT® 83986"|"HB PH, FECAL"|301.00|$133.00|$7.80|$106.40|$93.00|$53.20|$46.82|$29.79||$53.20|$106.40|$75.54||$40.57|$50.54|$81.53|$55.00|||$56.00|$52.00|$7.80|$46.55|$59.85|$66.50|$49.88|$49.04|$33.73|$33.73
"CPT® 83520"|"HB PHOSPHO TAU TOTAL/AB42"|301.00|$504.00|$27.29|$403.20|$353.00|$201.60|$177.41|$112.90||$201.60|$403.20|$286.27||$153.72|$191.52|$308.95|$55.00|||$56.00|$52.00|$27.29|$176.40|$226.80|$252.00|$189.00|$185.82|$127.81|$127.81
"CPT® 83051"|"HB PLASMA HEMOGLOBIN"|301.00|$137.00|$15.59|$109.60|$96.00|$54.80|$48.22|$30.69||$54.80|$109.60|$77.82||$41.79|$52.06|$83.98|$55.00|||$56.00|$52.00|$15.59|$47.78|$61.43|$68.25|$51.38|$50.51|$34.74|$34.74
"CPT® 84110"|"HB PORPHOBILINOGEN 24 HOUR URINE"|301.00|$114.00|$17.82|$91.20|$80.00|$45.60|$40.13|$25.54||$45.60|$91.20|$64.75||$34.77|$43.32|$69.88|$55.00|||$56.00|$52.00|$17.82|$39.90|$51.30|$57.00|$42.75|$42.03|$28.91|$28.91
"CPT® 84110"|"HB PORPHOBILINOGEN RANDOM URINE"|301.00|$114.00|$17.82|$91.20|$80.00|$45.60|$40.13|$25.54||$45.60|$91.20|$64.75||$34.77|$43.32|$69.88|$55.00|||$56.00|$52.00|$17.82|$39.90|$51.30|$57.00|$42.75|$42.03|$28.91|$28.91
"CPT® 84120"|"HB PORPHYRINS FRACTIONATED 24 HOUR URINE"|301.00|$221.00|$31.19|$176.80|$155.00|$88.40|$77.79|$49.50||$88.40|$176.80|$125.53||$67.41|$83.98|$135.47|$55.00|||$56.00|$52.00|$31.19|$77.18|$99.23|$110.25|$82.88|$81.48|$56.05|$56.05
"CPT® 82542"|"HB PORPHYRINS, TOTAL, PLASMA, CHROMATOGRAPHY"|301.00|$166.00|$37.18|$132.80|$116.00|$66.40|$58.43|$37.18||$66.40|$132.80|$94.29||$50.63|$63.08|$101.76|$55.00|||$56.00|$52.00|$38.43|$58.10|$74.70|$83.00|$62.25|$61.20|$42.10|$42.10
"CPT® 84311"|"HB PORPHYRINS, TOTAL, PLASMA, SPECTROPHOTOMETRY"|301.00|$67.00|$15.01|$56.00|$47.00|$26.80|$23.58|$15.01||$26.80|$53.60|$38.06||$20.44|$25.46|$41.07|$55.00|||$56.00|$52.00|$15.03|$23.45|$30.15|$33.50|$25.13|$24.70|$16.99|$16.99
"CPT® 84140"|"HB PREGNENOLONE LEVEL"|301.00|$456.00|$44.00|$364.80|$319.00|$182.40|$160.51|$102.14||$182.40|$364.80|$259.01||$139.08|$173.28|$279.53|$55.00|||$56.00|$52.00|$44.00|$184.17|$231.53|$257.25|$171.00|$168.13|$115.64|$115.64
"CPT® 80188"|"HB PRIMIDONE LEVEL"|301.00|$61.00|$13.66|$69.17|$43.00|$24.40|$21.47|$13.66||$24.40|$48.80|$34.65||$18.61|$23.18|$37.39|$55.00|||$56.00|$52.00|$35.09|$53.83|$62.25|$69.17|$22.88|$22.49|$15.47|$15.47
"CPT® 80192"|"HB PROCAINAMIDE/NAPA LEVEL"|301.00|$61.00|$13.66|$56.00|$43.00|$24.40|$21.47|$13.66||$24.40|$48.80|$34.65||$18.61|$23.18|$37.39|$24.17|||$56.00|$52.00|$35.64|$16.45|$22.20|$24.67|$22.88|$22.49|$15.47|$15.47
"CPT® 84206"|"HB PROINSULIN"|301.00|$393.00|$37.86|$314.40|$275.00|$157.20|$138.34|$88.03||$157.20|$314.40|$223.22||$119.87|$149.34|$240.91|$55.00|||$56.00|$52.00|$37.86|$137.55|$176.85|$196.50|$147.38|$144.90|$99.66|$99.66
"CPT® 80194"|"HB QUINIDINE LEVEL"|301.00|$68.00|$15.23|$56.00|$48.00|$27.20|$23.94|$15.23||$27.20|$54.40|$38.62||$20.74|$25.84|$41.68|$26.94|||$56.00|$52.00|$31.19|$23.80|$30.60|$34.00|$25.50|$25.07|$17.24|$17.24
"CPT® 84244"|"HB RENIN ACTIVITY"|301.00|$107.00|$23.97|$85.60|$75.00|$42.80|$37.66|$23.97||$42.80|$85.60|$60.78||$32.64|$40.66|$65.59|$55.00|||$56.00|$52.00|$46.77|$37.45|$48.15|$53.50|$40.13|$39.45|$27.14|$27.14
"CPT® 84255"|"HB SELENIUM LEVEL"|301.00|$175.00|$39.20|$140.00|$122.00|$70.00|$61.60|$39.20||$70.00|$140.00|$99.40||$53.38|$66.50|$107.28|$55.00|||$56.00|$52.00|$54.02|$61.25|$78.75|$87.50|$65.63|$64.52|$44.38|$44.38
"CPT® 84305"|"HB SOMATOMEDIN C (INSULIN LIKE GROWTH FACTOR-I)"|301.00|$212.00|$45.11|$169.60|$148.00|$84.80|$74.62|$47.49||$84.80|$169.60|$120.42||$64.66|$80.56|$129.96|$55.00|||$56.00|$52.00|$45.11|$74.20|$95.40|$106.00|$79.50|$78.16|$53.76|$53.76
"CPT® 82365"|"HB STONE ANALYSIS, NON-KIDNEY"|301.00|$166.00|$27.29|$132.80|$116.00|$66.40|$58.43|$37.18||$66.40|$132.80|$94.29||$50.63|$63.08|$101.76|$55.00|||$56.00|$52.00|$27.29|$58.10|$74.70|$83.00|$62.25|$61.20|$42.10|$42.10
"CPT® 83080"|"HB TAY SACHS DISEASE SCREENING"|301.00|$341.00|$35.64|$272.80|$239.00|$136.40|$120.03|$76.38||$136.40|$272.80|$193.69||$104.01|$129.58|$209.03|$55.00|||$56.00|$52.00|$35.64|$119.35|$153.45|$170.50|$127.88|$125.73|$86.48|$86.48
"CPT® 84403"|"HB TESTOSTERONE, TOTAL"|301.00|$153.00|$34.27|$122.40|$107.00|$61.20|$53.86|$34.27||$61.20|$122.40|$86.90||$46.67|$58.14|$93.79|$55.00|||$56.00|$52.00|$54.57|$53.55|$68.85|$76.50|$57.38|$56.41|$38.80|$38.80
"CPT® 84402"|"HB TESTOSTERONE, FREE"|301.00|$182.00|$40.77|$145.60|$127.00|$72.80|$64.06|$40.77||$72.80|$145.60|$103.38||$55.51|$69.16|$111.57|$55.00|||$56.00|$52.00|$54.02|$63.70|$81.90|$91.00|$68.25|$67.10|$46.16|$46.16
"CPT® 84430"|"HB THIOCYANATE LEVEL"|301.00|$124.00|$24.50|$99.20|$87.00|$49.60|$43.65|$27.78||$49.60|$99.20|$70.43||$37.82|$47.12|$76.01|$49.13|||$56.00|$52.00|$24.50|$43.40|$55.80|$62.00|$46.50|$45.72|$31.45|$31.45
"CPT® 82657"|"HB THIOPURINE METHYLTRANSFERASE, RED BLOOD CELLS"|301.00|$967.00|$38.43|$773.60|$677.00|$386.80|$340.38|$216.61||$386.80|$773.60|$549.26||$294.94|$367.46|$592.77|$55.00|||$56.00|$52.00|$38.43|$338.45|$435.15|$483.50|$362.63|$356.53|$245.23|$245.23
"CPT® 84445"|"HB THYROID STIMULATING IMMUNOGLOBULIN"|301.00|$284.00|$52.00|$227.20|$199.00|$113.60|$99.97|$63.62||$113.60|$227.20|$161.31||$86.62|$107.92|$174.09|$55.00|||$56.00|$52.00|$107.48|$99.40|$127.80|$142.00|$106.50|$104.71|$72.02|$72.02
"CPT® 83519"|"HB THYROTROPIN BINDING INHIBITORY IMMUNOGLOBULIN"|301.00|$289.00|$28.40|$231.20|$202.00|$115.60|$101.73|$64.74||$115.60|$231.20|$164.15||$88.15|$109.82|$177.16|$55.00|||$56.00|$52.00|$28.40|$77.98|$105.22|$116.92|$108.38|$106.55|$73.29|$73.29
"CPT® 84436"|"HB FREE THYROXINE INDEX, TOTAL THYROXINE"|301.00|$132.00|$14.48|$105.60|$92.00|$52.80|$46.46|$29.57||$52.80|$105.60|$74.98||$40.26|$50.16|$80.92|$55.00|||$56.00|$52.00|$14.48|$46.20|$59.40|$66.00|$49.50|$48.67|$33.48|$33.48
"CPT® 84479"|"HB FREE THYROXINE INDEX, FREE THYROXINE"|301.00|$152.00|$13.92|$121.60|$106.00|$60.80|$53.50|$34.05||$60.80|$121.60|$86.34||$46.36|$57.76|$93.18|$55.00|||$56.00|$52.00|$13.92|$53.20|$68.40|$76.00|$57.00|$56.04|$38.55|$38.55
"CPT® 83018"|"HB TITANIUM, PLASMA"|301.00|$233.00|$46.77|$186.40|$163.00|$93.20|$82.02|$52.19||$93.20|$186.40|$132.34||$71.07|$88.54|$142.83|$55.00|||$56.00|$52.00|$46.77|$62.93|$84.90|$94.33|$87.38|$85.91|$59.09|$59.09
"CPT® 84482"|"HB TRIIODOTHYRONINE, REVERSE, T3"|301.00|$135.00|$30.24|$108.00|$94.00|$54.00|$47.52|$30.24||$54.00|$108.00|$76.68||$41.18|$51.30|$82.76|$55.00|||$56.00|$52.00|$33.41|$47.25|$60.75|$67.50|$50.63|$49.77|$34.24|$34.24
"CPT® 84481"|"HB TRIIODOTHYRONINE, TOTAL AND FREE, T3 BY DIALYSIS"|301.00|$88.00|$19.71|$70.40|$62.00|$35.20|$30.98|$19.71||$35.20|$70.40|$49.98||$26.84|$33.44|$53.94|$55.00|||$56.00|$52.00|$35.64|$30.80|$39.60|$44.00|$33.00|$32.45|$22.32|$22.32
"CPT® 84479"|"HB TRIIODOTHYRONINE, UPTAKE, T3"|301.00|$114.00|$13.92|$91.20|$80.00|$45.60|$40.13|$25.54||$45.60|$91.20|$64.75||$34.77|$43.32|$69.88|$55.00|||$56.00|$52.00|$13.92|$39.90|$51.30|$57.00|$42.75|$42.03|$28.91|$28.91
"CPT® 84585"|"HB VANILLYMANDELIC ACID 24 HOUR URINE"|301.00|$69.00|$15.46|$56.00|$48.00|$27.60|$24.29|$15.46||$27.60|$55.20|$39.19||$21.05|$26.22|$42.30|$55.00|||$56.00|$52.00|$32.85|$24.15|$31.05|$34.50|$25.88|$25.44|$17.50|$17.50
"CPT® 84586"|"HB VASOACTIVE INTESTINAL POLYPEPTIDE"|301.00|$239.00|$52.00|$191.20|$167.00|$95.60|$84.13|$53.54||$95.60|$191.20|$135.75||$72.90|$90.82|$146.51|$55.00|||$56.00|$52.00|$74.63|$83.65|$107.55|$119.50|$89.63|$88.12|$60.61|$60.61
"CPT® 84590"|"HB VITAMIN A LEVEL"|301.00|$124.00|$24.50|$99.20|$87.00|$49.60|$43.65|$27.78||$49.60|$99.20|$70.43||$37.82|$47.12|$76.01|$55.00|||$56.00|$52.00|$24.50|$43.40|$55.80|$62.00|$46.50|$45.72|$31.45|$31.45
"CPT® 84207"|"HB VITAMIN B6 LEVEL"|301.00|$240.00|$52.00|$192.00|$168.00|$96.00|$84.48|$53.76||$96.00|$192.00|$136.32||$73.20|$91.20|$147.12|$55.00|||$56.00|$52.00|$59.58|$84.00|$108.00|$120.00|$90.00|$88.49|$60.86|$60.86
"CPT® 82652"|"HB VITAMIN D 1,25 DIHYDROXY (CALCIFIDOL) LEVEL"|301.00|$165.00|$36.96|$132.00|$115.00|$66.00|$58.08|$36.96||$66.00|$132.00|$93.72||$50.33|$62.70|$101.15|$55.00|||$56.00|$52.00|$81.30|$57.75|$74.25|$82.50|$61.88|$60.84|$41.84|$41.84
"CPT® 84446"|"HB VITAMIN E (ALPHA-TOCOPHEROL) LEVEL"|301.00|$172.00|$30.08|$137.60|$120.00|$68.80|$60.54|$38.53||$68.80|$137.60|$97.70||$52.46|$65.36|$105.44|$55.00|||$56.00|$52.00|$30.08|$60.20|$77.40|$86.00|$64.50|$63.42|$43.62|$43.62
"CPT® 84597"|"HB VITAMIN K LEVEL"|301.00|$728.00|$28.95|$582.40|$510.00|$291.20|$256.26|$163.07||$291.20|$582.40|$413.50||$222.04|$276.64|$446.26|$55.00|||$56.00|$52.00|$28.95|$254.80|$327.60|$364.00|$273.00|$268.41|$184.62|$184.62
"CPT® 84630"|"HB ZINC LEVEL"|301.00|$82.00|$18.37|$65.60|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$55.00|||$56.00|$52.00|$23.94|$28.70|$36.90|$41.00|$30.75|$30.23|$20.80|$20.80
"CPT® 84630"|"HB ZINC, 24 HOUR URINE"|301.00|$82.00|$18.37|$65.60|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$55.00|||$56.00|$52.00|$23.94|$28.70|$36.90|$41.00|$30.75|$30.23|$20.80|$20.80
"CPT® 82570"|"HB CREATININE,URINE B"|301.00|$79.00|$11.13|$63.20|$55.00|$31.60|$27.81|$17.70||$31.60|$63.20|$44.87||$24.10|$30.02|$48.43|$55.00|||$56.00|$52.00|$11.13|$27.65|$35.55|$39.50|$29.63|$29.13|$20.03|$20.03
"CPT® 82465"|"HB NMR LIPID PROFILE, CHOLESTEROL"|301.00|$128.00|$9.47|$102.40|$90.00|$51.20|$45.06|$28.67||$51.20|$102.40|$72.70||$39.04|$48.64|$78.46|$55.00|||$56.00|$52.00|$9.47|$34.58|$46.65|$51.83|$48.00|$47.19|$32.46|$32.46
"CPT® 83704"|"HB NMR LIPID PROFILE, LIPOPROTEIN PARTICLE CLASSES"|301.00|$302.00|$52.00|$241.60|$211.00|$120.80|$106.30|$67.65||$120.80|$241.60|$171.54||$92.11|$114.76|$185.13|$55.00|||$56.00|$52.00|$66.83|$81.62|$110.10|$122.33|$113.25|$111.35|$76.59|$76.59
"CPT® 83519"|"HB PARANEOPLASTIC-MAYO AB-RIA"|301.00|$57.00|$12.77|$56.00|$40.00|$22.80|$20.06|$12.77||$22.80|$45.60|$32.38||$17.39|$21.66|$34.94|$55.00|||$56.00|$52.00|$28.40|$19.95|$25.65|$28.50|$21.38|$21.02|$14.46|$14.46
"CPT® 82785"|"HB RESPIRATORY ALLERGY PANEL, MIDWEST, IGE TOTAL"|301.00|$210.00|$35.09|$168.00|$147.00|$84.00|$73.92|$47.04||$84.00|$168.00|$119.28||$64.05|$79.80|$128.73|$55.00|||$56.00|$52.00|$35.09|$73.50|$94.50|$105.00|$78.75|$77.43|$53.26|$53.26
"CPT® 82634"|"HB 11-DEOXYCORTISOL, LC/MS/MS"|301.00|$272.00|$52.00|$217.60|$190.00|$108.80|$95.74|$60.93||$108.80|$217.60|$154.50||$82.96|$103.36|$166.74|$55.00|||$56.00|$52.00|$61.82|$109.76|$138.00|$153.33|$102.00|$100.29|$68.98|$68.98
"CPT® 82017"|"HB ACYLCARNITINES QUANT, PLASMA"|301.00|$694.00|$35.64|$555.20|$486.00|$277.60|$244.29|$155.46||$277.60|$555.20|$394.19||$211.67|$263.72|$425.42|$55.00|||$56.00|$52.00|$35.64|$280.84|$352.95|$392.17|$260.25|$255.88|$176.00|$176.00
"CPT® 83520"|"HB ADIPONECTIN"|301.00|$921.00|$27.29|$736.80|$645.00|$368.40|$324.19|$206.30||$368.40|$736.80|$523.13||$280.91|$349.98|$564.57|$55.00|||$56.00|$52.00|$27.29|$372.75|$468.45|$520.50|$345.38|$339.57|$233.57|$233.57
"CPT® 83520"|"HB ALPHA MELANOCYTE STIMULATING HORMONE"|301.00|$1486.00|$27.29|$1188.80|$1040.00|$594.40|$523.07|$332.86||$594.40|$1188.80|$844.05||$453.23|$564.68|$910.92|$55.00|||$56.00|$52.00|$27.29|$601.93|$756.37|$840.42|$557.25|$547.89|$376.85|$376.85
"CPT® 82397"|"HB ALPHA SUBUNIT"|301.00|$557.00|$30.08|$445.60|$390.00|$222.80|$196.06|$124.77||$222.80|$445.60|$316.38||$169.89|$211.66|$341.44|$55.00|||$56.00|$52.00|$30.08|$225.23|$283.05|$314.50|$208.88|$205.37|$141.26|$141.26
"HCPCS G0480"|"HB AMITRIPTYLINE"|301.00|$88.00|$19.71|$100.83|$62.00|$35.20|$30.98|$19.71||$35.20|$70.40|$49.98||$26.84|$33.44|$53.94|$34.87|||$56.00|$52.00|$100.83|$35.88|$45.38|$50.42|$33.00|$32.45|$22.32|$22.32
"CPT® 82175"|"HB ARSENIC, BLOOD"|301.00|$286.00|$40.10|$228.80|$200.00|$114.40|$100.67|$64.06||$114.40|$228.80|$162.45||$87.23|$108.68|$175.32|$55.00|||$56.00|$52.00|$40.10|$115.15|$144.83|$160.92|$107.25|$105.45|$72.53|$72.53
"CPT® 84600"|"HB BENZENE, BLOOD"|301.00|$421.00|$33.98|$336.80|$295.00|$168.40|$148.19|$94.30||$168.40|$336.80|$239.13||$128.41|$159.98|$258.07|$55.00|||$56.00|$52.00|$33.98|$170.38|$214.12|$237.92|$157.88|$155.22|$106.77|$106.77
"HCPCS G0480"|"HB BENZODIAZEPINES, BLOOD"|301.00|$521.00|$52.00|$416.80|$365.00|$208.40|$183.39|$116.70||$208.40|$416.80|$295.93||$158.91|$197.98|$319.37|$206.42|||$56.00|$52.00|$124.19|$212.38|$268.58|$298.42|$195.38|$192.09|$132.13|$132.13
"CPT® 81404"|"HB BETA-GLOBIN COMPLETE"|301.00|$2846.00|$52.00|$2276.80|$1992.00|$1138.40|$1001.79|$637.50||$1138.40|$2276.80|$1616.53||$868.03|$1081.48|$1744.60|$55.00|||$56.00|$52.00|$294.98|$1066.31|$1355.93|$1506.59|$1067.25|$1049.32|$721.75|$721.75
"CPT® 82542"|"HB BILE ACIDS, FRACTIONATED AND TOTAL,PREGNANCY"|301.00|$883.00|$38.43|$706.40|$618.00|$353.20|$310.82|$197.79||$353.20|$706.40|$501.54||$269.32|$335.54|$541.28|$55.00|||$56.00|$52.00|$38.43|$357.49|$449.25|$499.17|$331.13|$325.56|$223.93|$223.93
"CPT® 82239"|"HB BILE ACIDS, TOTAL"|301.00|$217.00|$36.20|$173.60|$152.00|$86.80|$76.38|$48.61||$86.80|$173.60|$123.26||$66.19|$82.46|$133.02|$55.00|||$56.00|$52.00|$36.20|$87.64|$110.18|$122.42|$81.38|$80.01|$55.03|$55.03
"CPT® 82300"|"HB CADMIUM BLOOD"|301.00|$183.00|$40.99|$146.40|$128.00|$73.20|$64.42|$40.99||$73.20|$146.40|$103.94||$55.82|$69.54|$112.18|$55.00|||$56.00|$52.00|$49.01|$73.71|$92.70|$103.00|$68.63|$67.47|$46.41|$46.41
"CPT® 80155"|"HB CAFFEINE"|301.00|$154.00|$30.08|$123.20|$108.00|$61.60|$54.21|$34.50||$61.60|$123.20|$87.47||$46.97|$58.52|$94.40|$61.01|||$56.00|$52.00|$30.08|$62.75|$79.35|$88.17|$57.75|$56.78|$39.05|$39.05
"CPT® 80061"|"HB CARDIO IQ ADVANCED PANEL, LIPID PANEL"|301.00|$210.00|$41.21|$168.00|$147.00|$84.00|$73.92|$47.04||$84.00|$168.00|$119.28||$64.05|$79.80|$128.73|$55.00|||$56.00|$52.00|$41.21|$57.75|$77.63|$86.25|$78.75|$77.43|$53.26|$53.26
"CPT® 82172"|"HB CARDIO IQ ADVANCED PANEL, APOLIPOPROTEIN"|301.00|$146.00|$32.70|$116.80|$102.00|$58.40|$51.39|$32.70||$58.40|$116.80|$82.93||$44.53|$55.48|$89.50|$55.00|||$56.00|$52.00|$32.85|$58.94|$74.10|$82.33|$54.75|$53.83|$37.03|$37.03
"CPT® 83695"|"HB CARDIO IQ ADVANCED PANEL, LIPOPROTEIN (A)"|301.00|$125.00|$27.29|$100.00|$88.00|$50.00|$44.00|$28.00||$50.00|$100.00|$71.00||$38.13|$47.50|$76.63|$55.00|||$56.00|$52.00|$27.29|$50.54|$63.52|$70.59|$46.88|$46.09|$31.70|$31.70
"CPT® 83704"|"HB CARDIO IQ ADVANCED PANEL, PARTICLE SUBCLASSES"|301.00|$276.00|$52.00|$220.80|$193.00|$110.40|$97.15|$61.82||$110.40|$220.80|$156.77||$84.18|$104.88|$169.19|$55.00|||$56.00|$52.00|$66.83|$111.93|$140.63|$156.25|$103.50|$101.76|$69.99|$69.99
"CPT® 83704"|"HB CARDIO IQ LIPOPROTEIN SUBFRACTIONS, ION MOVILITY"|301.00|$429.00|$52.00|$343.20|$300.00|$171.60|$151.01|$96.10||$171.60|$343.20|$243.67||$130.85|$163.02|$262.98|$55.00|||$56.00|$52.00|$66.83|$173.46|$218.02|$242.25|$160.88|$158.17|$108.79|$108.79
"CPT® 82480"|"HB CHOLINESTERASE,PLASMA"|301.00|$149.00|$16.71|$119.20|$104.00|$59.60|$52.45|$33.38||$59.60|$119.20|$84.63||$45.45|$56.62|$91.34|$55.00|||$56.00|$52.00|$16.71|$52.15|$67.05|$74.50|$55.88|$54.94|$37.79|$37.79
"CPT® 82550"|"HB CREATINE KINASE, TOTAL"|301.00|$63.00|$13.92|$56.00|$44.00|$25.20|$22.18|$14.11||$25.20|$50.40|$35.78||$19.22|$23.94|$38.62|$55.00|||$56.00|$52.00|$13.92|$25.20|$31.72|$35.25|$23.63|$23.23|$15.98|$15.98
"CPT® 82552"|"HB CREATINE KINASE ISOENZYMES"|301.00|$86.00|$19.26|$68.80|$60.00|$34.40|$30.27|$19.26||$34.40|$68.80|$48.85||$26.23|$32.68|$52.72|$55.00|||$56.00|$52.00|$28.40|$30.10|$38.70|$43.00|$32.25|$31.71|$21.81|$21.81
"CPT® 80335"|"HB CLOMIPRAMINE (ANAFRANIL), SERUM"|301.00|$422.00|$52.00|$337.60|$295.00|$168.80|$148.54|$94.53||$168.80|$337.60|$239.70||$128.71|$160.36|$258.69|$55.00|||$56.00|$52.00|$138.23|$170.66|$214.50|$238.33|$158.25|$155.59|$107.02|$107.02
"CPT® 80159"|"HB CLOZAPINE (CLOZARIL)"|301.00|$137.00|$30.69|$109.60|$96.00|$54.80|$48.22|$30.69||$54.80|$109.60|$77.82||$41.79|$52.06|$83.98|$55.00|||$56.00|$52.00|$38.99|$55.61|$70.35|$78.17|$51.38|$50.51|$34.74|$34.74
"CPT® 82542"|"HB COENZYME Q10"|301.00|$390.00|$38.43|$312.00|$273.00|$156.00|$137.28|$87.36||$156.00|$312.00|$221.52||$118.95|$148.20|$239.07|$55.00|||$56.00|$52.00|$38.43|$157.71|$198.23|$220.25|$146.25|$143.79|$98.90|$98.90
"CPT® 82530"|"HB CORTISOL, FREE"|301.00|$412.00|$35.64|$329.60|$288.00|$164.80|$145.02|$92.29||$164.80|$329.60|$234.02||$125.66|$156.56|$252.56|$55.00|||$56.00|$52.00|$35.64|$166.60|$209.40|$232.67|$154.50|$151.90|$104.48|$104.48
"CPT® 82533"|"HB CORTISOL, TOTAL"|301.00|$402.00|$34.53|$321.60|$281.00|$160.80|$141.50|$90.05||$160.80|$321.60|$228.34||$122.61|$152.76|$246.43|$55.00|||$56.00|$52.00|$34.53|$162.96|$204.75|$227.50|$150.75|$148.22|$101.95|$101.95
"CPT® 82542"|"HB CORTISONE, SERUM"|301.00|$893.00|$38.43|$714.40|$625.00|$357.20|$314.34|$200.03||$357.20|$714.40|$507.22||$272.37|$339.34|$547.41|$55.00|||$56.00|$52.00|$38.43|$361.52|$454.28|$504.75|$334.88|$329.25|$226.46|$226.46
"CPT® 82540"|"HB CREATINE, SERUM"|301.00|$108.00|$10.02|$86.40|$76.00|$43.20|$38.02|$24.19||$43.20|$86.40|$61.34||$32.94|$41.04|$66.20|$55.00|||$56.00|$52.00|$10.02|$43.47|$54.67|$60.75|$40.50|$39.82|$27.39|$27.39
"CPT® 82523"|"HB C-TELOPEPTIDE (CTX)"|301.00|$387.00|$39.54|$309.60|$271.00|$154.80|$136.22|$86.69||$154.80|$309.60|$219.82||$118.04|$147.06|$237.23|$55.00|||$56.00|$52.00|$39.54|$156.66|$196.88|$218.75|$145.13|$142.69|$98.14|$98.14
"HCPCS G0480"|"HB DESIPRAMINE"|301.00|$458.00|$52.00|$366.40|$321.00|$183.20|$161.22|$102.59||$183.20|$366.40|$260.14||$139.69|$174.04|$280.75|$181.46|||$56.00|$52.00|$124.19|$168.35|$216.45|$240.50|$171.75|$168.86|$116.15|$116.15
"CPT® 80307"|"HB DRUG ABUSE PANEL 10-50 WITH CONFIRMATION"|301.00|$156.00|$34.94|$124.80|$109.00|$62.40|$54.91|$34.94||$62.40|$124.80|$88.61||$47.58|$59.28|$95.63|$55.00|||$56.00|$52.00|$51.81|$63.56|$80.40|$89.33|$58.50|$57.52|$39.56|$39.56
"CPT® 82670"|"HB ESTRADIOL, FREE LC/MS/MS"|301.00|$559.00|$52.00|$447.20|$391.00|$223.60|$196.77|$125.22||$223.60|$447.20|$317.51||$170.50|$212.42|$342.67|$55.00|||$56.00|$52.00|$59.03|$195.65|$251.55|$279.50|$209.63|$206.10|$141.76|$141.76
"CPT® 82670"|"HB ESTRADIOL, ULTRASENSITIVE, PEDIATRIC LC/MS/MS"|301.00|$158.00|$35.39|$126.40|$111.00|$63.20|$55.62|$35.39||$63.20|$126.40|$89.74||$48.19|$60.04|$96.85|$55.00|||$56.00|$52.00|$59.03|$63.35|$79.73|$88.59|$59.25|$58.25|$40.07|$40.07
"CPT® 82677"|"HB ESTRIOL,SERUM LC/MS/MS"|301.00|$258.00|$51.23|$206.40|$181.00|$103.20|$90.82|$57.79||$103.20|$206.40|$146.54||$78.69|$98.04|$158.15|$55.00|||$56.00|$52.00|$51.23|$104.16|$130.95|$145.50|$96.75|$95.12|$65.43|$65.43
"CPT® 80168"|"HB ETHOSUXIMIDE"|301.00|$155.00|$34.53|$124.00|$108.00|$62.00|$54.56|$34.72||$62.00|$124.00|$88.04||$47.28|$58.90|$95.02|$55.00|||$56.00|$52.00|$34.53|$56.88|$73.13|$81.25|$58.13|$57.15|$39.31|$39.31
"CPT® 80299"|"HB FLECAINIDE (TAMBOCOR)"|301.00|$201.00|$28.95|$160.80|$141.00|$80.40|$70.75|$45.02||$80.40|$160.80|$114.17||$61.31|$76.38|$123.21|$55.00|||$56.00|$52.00|$28.95|$70.35|$90.45|$100.50|$75.38|$74.11|$50.97|$50.97
"HCPCS G0480"|"HB FLUNITRAZEPAM AND METABOLITES"|301.00|$1282.00|$52.00|$1025.60|$897.00|$512.80|$451.26|$287.17||$512.80|$1025.60|$728.18||$391.01|$487.16|$785.87|$507.93|||$56.00|$52.00|$124.19|$471.10|$605.70|$673.00|$480.75|$472.67|$325.12|$325.12
"HCPCS G0480"|"HB FLUPHENAZINE"|301.00|$506.00|$52.00|$404.80|$354.00|$202.40|$178.11|$113.34||$202.40|$404.80|$287.41||$154.33|$192.28|$310.18|$200.48|||$56.00|$52.00|$124.19|$206.68|$261.30|$290.34|$189.75|$186.56|$128.32|$128.32
"CPT® 80307"|"HB GAMMA-HYDROXYBUTYRIC ACID SCREEN"|301.00|$1034.00|$52.00|$827.20|$724.00|$413.60|$363.97|$231.62||$413.60|$827.20|$587.31||$315.37|$392.92|$633.84|$55.00|||$56.00|$52.00|$344.19|$422.49|$534.08|$593.42|$387.75|$381.24|$262.22|$262.22
"CPT® 84378"|"HB GLYCOMARK"|301.00|$318.00|$24.50|$254.40|$223.00|$127.20|$111.94|$71.23||$127.20|$254.40|$180.62||$96.99|$120.84|$194.93|$55.00|||$56.00|$52.00|$24.50|$128.52|$161.55|$179.50|$119.25|$117.25|$80.64|$80.64
"CPT® 83088"|"HB HISTAMINE, PLASMA"|301.00|$436.00|$52.00|$348.80|$305.00|$174.40|$153.47|$97.66||$174.40|$348.80|$247.65||$132.98|$165.68|$267.27|$55.00|||$56.00|$52.00|$62.37|$176.05|$221.33|$245.92|$163.50|$160.75|$110.57|$110.57
"CPT® 82784"|"HB GAMMAGLOBULIN, IGA"|301.00|$103.00|$19.49|$95.17|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$55.00|||$56.00|$52.00|$19.49|$72.73|$85.65|$95.17|$38.63|$37.98|$26.12|$26.12
"CPT® 82787"|"HB IGA SUBCLASSES 1 AND 2"|301.00|$127.00|$16.71|$101.60|$89.00|$50.80|$44.70|$28.45||$50.80|$101.60|$72.14||$38.74|$48.26|$77.85|$55.00|||$56.00|$52.00|$16.71|$69.16|$83.62|$92.92|$47.63|$46.82|$32.21|$32.21
"CPT® 82397"|"HB IGF BINDING PROTEIN-3"|301.00|$259.00|$30.08|$207.20|$181.00|$103.60|$91.17|$58.02||$103.60|$207.20|$147.11||$79.00|$98.42|$158.77|$55.00|||$56.00|$52.00|$30.08|$104.86|$131.78|$146.42|$97.13|$95.49|$65.68|$65.68
"HCPCS G0480"|"HB IMIPRAMINE (TOFRANIL)"|301.00|$183.00|$40.99|$146.40|$128.00|$73.20|$64.42|$40.99||$73.20|$146.40|$103.94||$55.82|$69.54|$112.18|$72.50|||$56.00|$52.00|$124.19|$74.34|$94.05|$104.50|$68.63|$67.47|$46.41|$46.41
"CPT® 82784"|"HB GAMMAGLOBULIN, IGG"|301.00|$103.00|$19.49|$82.40|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$55.00|||$56.00|$52.00|$19.49|$34.30|$44.48|$49.42|$38.63|$37.98|$26.12|$26.12
"CPT® 83789"|"HB IODINE, PLASMA/SERUM"|301.00|$578.00|$38.43|$462.40|$405.00|$231.20|$203.46|$129.47||$231.20|$462.40|$328.30||$176.29|$219.64|$354.31|$55.00|||$56.00|$52.00|$38.43|$233.87|$293.93|$326.59|$216.75|$213.11|$146.58|$146.58
"CPT® 82397"|"HB LEPTIN"|301.00|$484.00|$30.08|$387.20|$339.00|$193.60|$170.37|$108.42||$193.60|$387.20|$274.91||$147.62|$183.92|$296.69|$55.00|||$56.00|$52.00|$30.08|$195.79|$246.07|$273.42|$181.50|$178.45|$122.74|$122.74
"CPT® 83516"|"HB MITOCHONDRIA ANTIBODY (M2), IGG"|301.00|$123.00|$24.50|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$24.50|$49.56|$62.32|$69.25|$46.13|$45.35|$31.19|$31.19
"HCPCS G0480"|"HB NICOTINE AND COTININE LC/MS/MS"|301.00|$339.00|$52.00|$271.20|$237.00|$135.60|$119.33|$75.94||$135.60|$271.20|$192.55||$103.40|$128.82|$207.81|$134.31|||$56.00|$52.00|$124.19|$138.32|$174.90|$194.33|$127.13|$124.99|$85.97|$85.97
"CPT® 80299"|"HB PREGABALIN(LYRICA)"|301.00|$940.00|$28.95|$752.00|$658.00|$376.00|$330.88|$210.56||$376.00|$752.00|$533.92||$286.70|$357.20|$576.22|$55.00|||$56.00|$52.00|$28.95|$380.38|$478.05|$531.17|$352.50|$346.58|$238.38|$238.38
"CPT® 84146"|"HB PROLACTIN, TOTAL AND MONOMERIC"|301.00|$331.00|$41.21|$264.80|$232.00|$132.40|$116.51|$74.14||$132.40|$264.80|$188.01||$100.96|$125.78|$202.90|$55.00|||$56.00|$52.00|$41.21|$133.84|$168.22|$186.92|$124.13|$122.04|$83.94|$83.94
"CPT® 84150"|"HB PROSTAGLANDIN E2"|301.00|$1486.00|$52.00|$1188.80|$1040.00|$594.40|$523.07|$332.86||$594.40|$1188.80|$844.05||$453.23|$564.68|$910.92|$55.00|||$56.00|$52.00|$52.91|$601.93|$756.37|$840.42|$557.25|$547.89|$376.85|$376.85
"HCPCS G0480"|"HB RISPERIDONE"|301.00|$732.00|$52.00|$585.60|$512.00|$292.80|$257.66|$163.97||$292.80|$585.60|$415.78||$223.26|$278.16|$448.72|$290.02|||$56.00|$52.00|$124.19|$314.09|$397.20|$441.33|$274.50|$269.89|$185.64|$185.64
"CPT® 84260"|"HB SEROTONIN, WHOLE BLOOD"|301.00|$314.00|$52.00|$251.20|$220.00|$125.60|$110.53|$70.34||$125.60|$251.20|$178.35||$95.77|$119.32|$192.48|$55.00|||$56.00|$52.00|$65.72|$126.77|$159.37|$177.09|$117.75|$115.77|$79.63|$79.63
"CPT® 84238"|"HB SOLUBLE TRANSFERRIN RECEPTOR"|301.00|$864.00|$52.00|$691.20|$605.00|$345.60|$304.13|$193.54||$345.60|$691.20|$490.75||$263.52|$328.32|$529.63|$55.00|||$56.00|$52.00|$77.40|$349.86|$439.65|$488.50|$324.00|$318.56|$219.11|$219.11
"CPT® 84439"|"HB THYROXINE, FREE, DIRECT DIALYSIS"|301.00|$138.00|$18.93|$110.40|$97.00|$55.20|$48.58|$30.91||$55.20|$110.40|$78.38||$42.09|$52.44|$84.59|$55.00|||$56.00|$52.00|$18.93|$58.17|$72.67|$80.75|$51.75|$50.88|$35.00|$35.00
"CPT® 84442"|"HB THYROXINE BINDING GLOBULIN"|301.00|$183.00|$31.19|$146.40|$128.00|$73.20|$64.42|$40.99||$73.20|$146.40|$103.94||$55.82|$69.54|$112.18|$55.00|||$56.00|$52.00|$31.19|$73.71|$92.70|$103.00|$68.63|$67.47|$46.41|$46.41
"CPT® 83519"|"HB TSH ANTIBODY"|301.00|$813.00|$28.40|$650.40|$569.00|$325.20|$286.18|$182.11||$325.20|$650.40|$461.78||$247.97|$308.94|$498.37|$55.00|||$56.00|$52.00|$28.40|$328.86|$413.32|$459.25|$304.88|$299.75|$206.18|$206.18
"CPT® 83520"|"HB VASCULAR ENDOTHELIAL GROWTH FACTOR ,PLASMA"|301.00|$1013.00|$27.29|$810.40|$709.00|$405.20|$356.58|$226.91||$405.20|$810.40|$575.38||$308.97|$384.94|$620.97|$55.00|||$56.00|$52.00|$27.29|$410.06|$515.32|$572.59|$379.88|$373.49|$256.90|$256.90
"CPT® 84252"|"HB VITAMIN B2"|301.00|$319.00|$42.89|$255.20|$223.00|$127.60|$112.29|$71.46||$127.60|$255.20|$181.19||$97.30|$121.22|$195.55|$55.00|||$56.00|$52.00|$42.89|$129.01|$162.15|$180.17|$119.63|$117.62|$80.90|$80.90
"CPT® 84591"|"HB VITAMIN B3"|301.00|$1159.00|$24.50|$927.20|$811.00|$463.60|$407.97|$259.62||$463.60|$927.20|$658.31||$353.50|$440.42|$710.47|$55.00|||$56.00|$52.00|$24.50|$469.42|$589.88|$655.42|$434.63|$427.32|$293.92|$293.92
"CPT® 84591"|"HB VITAMIN B7"|301.00|$847.00|$24.50|$677.60|$593.00|$338.80|$298.14|$189.73||$338.80|$677.60|$481.10||$258.34|$321.86|$519.21|$55.00|||$56.00|$52.00|$24.50|$343.00|$431.02|$478.92|$317.63|$312.29|$214.80|$214.80
"CPT® 80203"|"HB ZONISAMIDE LEVEL"|301.00|$323.00|$27.84|$258.40|$226.00|$129.20|$113.70|$72.35||$129.20|$258.40|$183.46||$98.52|$122.74|$198.00|$55.00|||$56.00|$52.00|$27.84|$131.88|$166.72|$185.25|$121.13|$119.09|$81.91|$81.91
"CPT® 84702"|"HB FIRST SCREEN- FIRST TRIMESTER, HCG"|301.00|$152.00|$31.74|$121.60|$106.00|$60.80|$53.50|$34.05||$60.80|$121.60|$86.34||$46.36|$57.76|$93.18|$55.00|||$56.00|$52.00|$31.74|$41.09|$55.43|$61.59|$57.00|$56.04|$38.55|$38.55
"CPT® 84163"|"HB FIRST SCREEN- FIRST TRIMESTER, PAPP-A"|301.00|$156.00|$31.74|$124.80|$109.00|$62.40|$54.91|$34.94||$62.40|$124.80|$88.61||$47.58|$59.28|$95.63|$55.00|||$56.00|$52.00|$31.74|$42.21|$56.93|$63.25|$58.50|$57.52|$39.56|$39.56
"CPT® 82105"|"HB QUADRUPLE MARKER TEST, AFP"|301.00|$190.00|$35.64|$152.00|$133.00|$76.00|$66.88|$42.56||$76.00|$152.00|$107.92||$57.95|$72.20|$116.47|$55.00|||$56.00|$52.00|$35.64|$51.31|$69.23|$76.92|$71.25|$70.05|$48.18|$48.18
"CPT® 82677"|"HB QUADRUPLE MARKER TEST, ESTRIOL"|301.00|$56.00|$12.54|$56.00|$39.00|$22.40|$19.71|$12.54||$22.40|$44.80|$31.81||$17.08|$21.28|$34.33|$55.00|||$56.00|$52.00|$43.58|$15.05|$20.33|$22.59|$21.00|$20.65|$14.20|$14.20
"CPT® 84702"|"HB QUADRUPLE MARKER TEST, HCG"|301.00|$152.00|$31.74|$121.60|$106.00|$60.80|$53.50|$34.05||$60.80|$121.60|$86.34||$46.36|$57.76|$93.18|$55.00|||$56.00|$52.00|$31.74|$41.09|$55.43|$61.59|$57.00|$56.04|$38.55|$38.55
"CPT® 84163"|"HB SEQUENTIAL SCREEN-FIRST TRIMESTER, PAPP-A"|301.00|$156.00|$31.74|$124.80|$109.00|$62.40|$54.91|$34.94||$62.40|$124.80|$88.61||$47.58|$59.28|$95.63|$55.00|||$56.00|$52.00|$31.74|$42.21|$56.93|$63.25|$58.50|$57.52|$39.56|$39.56
"CPT® 84702"|"HB SEQUENTIAL SCREEN-FIRST TRIMESTER, HCG"|301.00|$91.00|$20.38|$72.80|$64.00|$36.40|$32.03|$20.38||$36.40|$72.80|$51.69||$27.76|$34.58|$55.78|$55.00|||$56.00|$52.00|$31.74|$24.64|$33.22|$36.92|$34.13|$33.55|$23.08|$23.08
"CPT® 82105"|"HB SEQUENTIAL SCREEN- SECOND TRIMESTER, AFP"|301.00|$190.00|$35.64|$152.00|$133.00|$76.00|$66.88|$42.56||$76.00|$152.00|$107.92||$57.95|$72.20|$116.47|$55.00|||$56.00|$52.00|$35.64|$51.31|$69.23|$76.92|$71.25|$70.05|$48.18|$48.18
"CPT® 84702"|"HB SEQUENTIAL SCREEN- SECOND TRIMESTER, HCG"|301.00|$95.00|$21.28|$76.00|$66.00|$38.00|$33.44|$21.28||$38.00|$76.00|$53.96||$28.98|$36.10|$58.24|$55.00|||$56.00|$52.00|$31.74|$25.52|$34.43|$38.25|$35.63|$35.03|$24.09|$24.09
"CPT® 82677"|"HB SEQUENTIAL SCREEN- SECOND TRIMESTER, ESTRIOL"|301.00|$56.00|$12.54|$56.00|$39.00|$22.40|$19.71|$12.54||$22.40|$44.80|$31.81||$17.08|$21.28|$34.33|$55.00|||$56.00|$52.00|$43.58|$15.05|$20.33|$22.59|$21.00|$20.65|$14.20|$14.20
"CPT® 83080"|"HB TAY SACHS, ENZYMES, BILL ONLY"|301.00|$379.00|$35.64|$303.20|$265.00|$151.60|$133.41|$84.90||$151.60|$303.20|$215.27||$115.60|$144.02|$232.33|$55.00|||$56.00|$52.00|$35.64|$132.65|$170.55|$189.50|$142.13|$139.74|$96.11|$96.11
"CPT® 82397"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, CLA"|301.00|$111.00|$24.86|$88.80|$78.00|$44.40|$39.07|$24.86||$44.40|$88.80|$63.05||$33.86|$42.18|$68.04|$55.00|||$56.00|$52.00|$30.08|$38.85|$49.95|$55.50|$41.63|$40.93|$28.15|$28.15
"CPT® 82542"|"HB THIOPURINE METHYLTRANSFERASE ENZYME ACTIVITY LEVEL, PHENOTYPE, BILL ONLY"|301.00|$257.00|$38.43|$205.60|$180.00|$102.80|$90.46|$57.57||$102.80|$205.60|$145.98||$78.39|$97.66|$157.54|$55.00|||$56.00|$52.00|$38.43|$69.44|$93.68|$104.09|$96.38|$94.76|$65.18|$65.18
"CPT® 82657"|"HB THIOPURINE METHYLTRANSFERASE ENZYME ACTIVITY LEVEL, PHENOTYPE, BILL ONLY"|301.00|$272.00|$38.43|$217.60|$190.00|$108.80|$95.74|$60.93||$108.80|$217.60|$154.50||$82.96|$103.36|$166.74|$55.00|||$56.00|$52.00|$38.43|$73.43|$99.07|$110.09|$102.00|$100.29|$68.98|$68.98
"CPT® 80299"|"HB THIOPURINE METABOLITES"|301.00|$694.00|$28.95|$555.20|$486.00|$277.60|$244.29|$155.46||$277.60|$555.20|$394.19||$211.67|$263.72|$425.42|$55.00|||$56.00|$52.00|$28.95|$100.66|$159.90|$177.67|$260.25|$255.88|$176.00|$176.00
"CPT® 83021"|"HB HEMOGLOBIN A2 AND F QUANTITATION"|301.00|$200.00|$38.43|$160.00|$140.00|$80.00|$70.40|$44.80||$80.00|$160.00|$113.60||$61.00|$76.00|$122.60|$55.00|||$56.00|$52.00|$38.43|$70.00|$90.00|$100.00|$75.00|$73.74|$50.72|$50.72
"CPT® 82610"|"HB CYSTATIN C"|301.00|$158.00|$28.95|$126.40|$111.00|$63.20|$55.62|$35.39||$63.20|$126.40|$89.74||$48.19|$60.04|$96.85|$55.00|||$56.00|$52.00|$28.95|$55.30|$71.10|$79.00|$59.25|$58.25|$40.07|$40.07
"CPT® 80235"|"HB LACOSAMIDE LEVEL"|301.00|$248.00|$52.00|$198.40|$174.00|$99.20|$87.30|$55.55||$99.20|$198.40|$140.86||$75.64|$94.24|$152.02|$55.00|||$56.00|$52.00|$75.55|$91.18|$117.23|$130.25|$93.00|$91.44|$62.89|$62.89
"CPT® 82523"|"HB N-TELOPEPTIDE, SERUM"|301.00|$247.00|$39.54|$197.60|$173.00|$98.80|$86.94|$55.33||$98.80|$197.60|$140.30||$75.34|$93.86|$151.41|$55.00|||$56.00|$52.00|$39.54|$86.45|$111.15|$123.50|$92.63|$91.07|$62.64|$62.64
"CPT® 83519"|"HB PROCOLLAGEN TYPE I INTACT N TERMINAL PROPEPTIDE"|301.00|$340.00|$28.40|$272.00|$238.00|$136.00|$119.68|$76.16||$136.00|$272.00|$193.12||$103.70|$129.20|$208.42|$55.00|||$56.00|$52.00|$28.40|$119.00|$153.00|$170.00|$127.50|$125.36|$86.22|$86.22
"CPT® 80201"|"HB TOPIRAMATE LEVEL"|301.00|$63.00|$14.11|$56.00|$44.00|$25.20|$22.18|$14.11||$25.20|$50.40|$35.78||$19.22|$23.94|$38.62|$55.00|||$56.00|$52.00|$25.07|$22.05|$28.35|$31.50|$23.63|$23.23|$15.98|$15.98
"CPT® 80165"|"HB VALPROIC ACID, FREE"|301.00|$127.00|$28.45|$101.60|$89.00|$50.80|$44.70|$28.45||$50.80|$101.60|$72.14||$38.74|$48.26|$77.85|$55.00|||$56.00|$52.00|$28.95|$44.45|$57.15|$63.50|$47.63|$46.82|$32.21|$32.21
"CPT® 83519"|"HB ACETYLCHOLINE RECEPTOR BLOCKING, AUTOANTIBODIES"|301.00|$476.00|$28.40|$380.80|$333.00|$190.40|$167.55|$106.62||$190.40|$380.80|$270.37||$145.18|$180.88|$291.79|$55.00|||$56.00|$52.00|$28.40|$166.60|$214.20|$238.00|$178.50|$175.50|$120.71|$120.71
"CPT® 83519"|"HB ACETYLCHOMINE RECEPTOR MODULATING, AUTOANTIBODIES"|301.00|$476.00|$28.40|$380.80|$333.00|$190.40|$167.55|$106.62||$190.40|$380.80|$270.37||$145.18|$180.88|$291.79|$55.00|||$56.00|$52.00|$28.40|$166.60|$214.20|$238.00|$178.50|$175.50|$120.71|$120.71
"CPT® 83993"|"HB CALPROTECTIN, FECAL"|301.00|$1546.00|$41.76|$1236.80|$1082.00|$618.40|$544.19|$346.30||$618.40|$1236.80|$878.13||$471.53|$587.48|$947.70|$55.00|||$56.00|$52.00|$41.76|$541.10|$695.70|$773.00|$579.75|$570.01|$392.07|$392.07
"CPT® 82525"|"HB COPPER, RBC"|301.00|$250.00|$26.18|$200.00|$175.00|$100.00|$88.00|$56.00||$100.00|$200.00|$142.00||$76.25|$95.00|$153.25|$55.00|||$56.00|$52.00|$26.18|$87.50|$112.50|$125.00|$93.75|$92.18|$63.40|$63.40
"HCPCS G0480"|"HB DIHYDROTESTOSTERONE"|301.00|$433.00|$52.00|$346.40|$303.00|$173.20|$152.42|$96.99||$173.20|$346.40|$245.94||$132.07|$164.54|$265.43|$171.55|||$56.00|$52.00|$124.19|$159.08|$204.53|$227.25|$162.38|$159.65|$109.81|$109.81
"CPT® 82670"|"HB ESTROGEN, FRACTIONATED, ESTRADIOL"|301.00|$503.00|$52.00|$402.40|$352.00|$201.20|$177.06|$112.67||$201.20|$402.40|$285.70||$153.42|$191.14|$308.34|$55.00|||$56.00|$52.00|$59.03|$176.05|$226.35|$251.50|$188.63|$185.46|$127.56|$127.56
"CPT® 82677"|"HB ESTROGEN, FRACTIONATED, ESTRIOL"|301.00|$495.00|$51.23|$396.00|$346.00|$198.00|$174.24|$110.88||$198.00|$396.00|$281.16||$150.98|$188.10|$303.44|$55.00|||$56.00|$52.00|$51.23|$173.25|$222.75|$247.50|$185.63|$182.51|$125.53|$125.53
"CPT® 82679"|"HB ESTROGEN, FRACTIONATED, ESTRONE"|301.00|$496.00|$52.00|$396.80|$347.00|$198.40|$174.59|$111.10||$198.40|$396.80|$281.73||$151.28|$188.48|$304.05|$55.00|||$56.00|$52.00|$52.91|$173.60|$223.20|$248.00|$186.00|$182.88|$125.79|$125.79
"CPT® 82705"|"HB FECAL FAT LIPID, QUALITATIVE"|301.00|$295.00|$10.58|$236.00|$206.00|$118.00|$103.84|$66.08||$118.00|$236.00|$167.56||$89.98|$112.10|$180.84|$55.00|||$56.00|$52.00|$10.58|$103.25|$132.75|$147.50|$110.63|$108.77|$74.81|$74.81
"HCPCS G0480"|"HB FELBAMATE (FELBATOL)"|301.00|$616.00|$52.00|$492.80|$431.00|$246.40|$216.83|$137.98||$246.40|$492.80|$349.89||$187.88|$234.08|$377.61|$244.06|||$56.00|$52.00|$124.19|$226.45|$291.15|$323.50|$231.00|$227.12|$156.22|$156.22
"CPT® 80171"|"HB GABAPENTIN LEVEL"|301.00|$343.00|$27.84|$274.40|$240.00|$137.20|$120.74|$76.83||$137.20|$274.40|$194.82||$104.62|$130.34|$210.26|$55.00|||$56.00|$52.00|$27.84|$126.00|$162.00|$180.00|$128.63|$126.46|$86.98|$86.98
"CPT® 83655"|"HB LEAD, WHOLE BLOOD, OSHA"|301.00|$227.00|$25.62|$181.60|$159.00|$90.80|$79.90|$50.85||$90.80|$181.60|$128.94||$69.24|$86.26|$139.15|$55.00|||$56.00|$52.00|$25.62|$79.45|$102.15|$113.50|$85.13|$83.69|$57.57|$57.57
"CPT® 84270"|"HB TESTOSTERONE BIO/SHBG, SHBG"|301.00|$150.00|$33.60|$120.00|$105.00|$60.00|$52.80|$33.60||$60.00|$120.00|$85.20||$45.75|$57.00|$91.95|$55.00|||$56.00|$52.00|$46.22|$52.50|$67.50|$75.00|$56.25|$55.31|$38.04|$38.04
"CPT® 84402"|"HB TESTOSTERONE BIO/SHBG, TESTOSTERONE, FREE"|301.00|$168.00|$37.63|$134.40|$118.00|$67.20|$59.14|$37.63||$67.20|$134.40|$95.42||$51.24|$63.84|$102.98|$55.00|||$56.00|$52.00|$54.02|$58.80|$75.60|$84.00|$63.00|$61.94|$42.60|$42.60
"CPT® 84403"|"HB TESTOSTERONE BIO/SHBG, TESTOSTERONE, TOTAL"|301.00|$170.00|$38.08|$136.00|$119.00|$68.00|$59.84|$38.08||$68.00|$136.00|$96.56||$51.85|$64.60|$104.21|$55.00|||$56.00|$52.00|$54.57|$59.50|$76.50|$85.00|$63.75|$62.68|$43.11|$43.11
"CPT® 84402"|"HB TESTOSTERONE, FREE"|301.00|$221.00|$49.50|$176.80|$155.00|$88.40|$77.79|$49.50||$88.40|$176.80|$125.53||$67.41|$83.98|$135.47|$55.00|||$56.00|$52.00|$54.02|$77.18|$99.23|$110.25|$82.88|$81.48|$56.05|$56.05
"CPT® 82040"|"HB TESTOSTERONE, FREE, BIO & TOTAL, ALBUMIN"|301.00|$68.00|$10.58|$56.00|$48.00|$27.20|$23.94|$15.23||$27.20|$54.40|$38.62||$20.74|$25.84|$41.68|$55.00|||$56.00|$52.00|$10.58|$23.80|$30.60|$34.00|$25.50|$25.07|$17.24|$17.24
"CPT® 84270"|"HB TESTOSTERONE, FREE, BIO & TOTAL, SHBG"|301.00|$150.00|$33.60|$120.00|$105.00|$60.00|$52.80|$33.60||$60.00|$120.00|$85.20||$45.75|$57.00|$91.95|$55.00|||$56.00|$52.00|$46.22|$52.50|$67.50|$75.00|$56.25|$55.31|$38.04|$38.04
"CPT® 84403"|"HB TESTOSTERONE, FREE, BIO & TOTAL, TESTOSTERONE, TOTAL"|301.00|$170.00|$38.08|$136.00|$119.00|$68.00|$59.84|$38.08||$68.00|$136.00|$96.56||$51.85|$64.60|$104.21|$55.00|||$56.00|$52.00|$54.57|$59.50|$76.50|$85.00|$63.75|$62.68|$43.11|$43.11
"CPT® 84403"|"HB TESTOSTERONE, TOTAL, ALL AGES"|301.00|$250.00|$52.00|$200.00|$175.00|$100.00|$88.00|$56.00||$100.00|$200.00|$142.00||$76.25|$95.00|$153.25|$55.00|||$56.00|$52.00|$54.57|$87.50|$112.50|$125.00|$93.75|$92.18|$63.40|$63.40
"CPT® 82306"|"HB VITAMIN D3, 25-HYDROXY TOTAL"|301.00|$218.00|$48.83|$174.40|$153.00|$87.20|$76.74|$48.83||$87.20|$174.40|$123.82||$66.49|$82.84|$133.63|$55.00|||$56.00|$52.00|$62.93|$76.30|$98.10|$109.00|$81.75|$80.38|$55.28|$55.28
"CPT® 84202"|"HB ZINC PROTOPORPHYRIN"|301.00|$261.00|$30.63|$208.80|$183.00|$104.40|$91.87|$58.46||$104.40|$208.80|$148.25||$79.61|$99.18|$159.99|$55.00|||$56.00|$52.00|$30.63|$91.35|$117.45|$130.50|$97.88|$96.23|$66.19|$66.19
"CPT® 84630"|"HB ZINC, RBC"|301.00|$290.00|$23.94|$232.00|$203.00|$116.00|$102.08|$64.96||$116.00|$232.00|$164.72||$88.45|$110.20|$177.77|$55.00|||$56.00|$52.00|$23.94|$101.50|$130.50|$145.00|$108.75|$106.92|$73.54|$73.54
"CPT® 80145"|"HB ADALIMUMAB LEVEL"|301.00|$671.00|$52.00|$536.80|$470.00|$268.40|$236.19|$150.30||$268.40|$536.80|$381.13||$204.66|$254.98|$411.32|$55.00|||$56.00|$52.00|$160.76|$183.51|$249.45|$277.17|$251.63|$247.40|$170.17|$170.17
"CPT® 82397"|"HB ADALIMUMAB AB (SERIAL), CHEMILUMINESCENT"|301.00|$691.00|$30.08|$552.80|$484.00|$276.40|$243.23|$154.78||$276.40|$552.80|$392.49||$210.76|$262.58|$423.58|$55.00|||$56.00|$52.00|$30.08|$186.55|$251.70|$279.67|$259.13|$254.77|$175.24|$175.24
"CPT® 83930"|"HB ANTIDIURETIC HORMONE PROFILE, OSMOLALITY"|301.00|$92.00|$13.92|$73.60|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$55.00|||$56.00|$52.00|$13.92|$24.92|$33.60|$37.33|$34.50|$33.92|$23.33|$23.33
"CPT® 84588"|"HB ANTIDIURETIC HORMONE PROFILE, VASOPRESSIN"|301.00|$270.00|$52.00|$216.00|$189.00|$108.00|$95.04|$60.48||$108.00|$216.00|$153.36||$82.35|$102.60|$165.51|$55.00|||$56.00|$52.00|$71.84|$72.87|$98.33|$109.25|$101.25|$99.55|$68.47|$68.47
"CPT® 82373"|"HB CARBOHYDRATE DEFICIENT TRANSFERRIN (CDT)"|301.00|$181.00|$38.43|$144.80|$127.00|$72.40|$63.71|$40.54||$72.40|$144.80|$102.81||$55.21|$68.78|$110.95|$55.00|||$56.00|$52.00|$38.43|$48.79|$65.85|$73.17|$67.88|$66.73|$45.90|$45.90
"CPT® 82379"|"HB CARNITINE, FREE AND TOTAL"|301.00|$251.00|$35.64|$200.80|$176.00|$100.40|$88.35|$56.22||$100.40|$200.80|$142.57||$76.56|$95.38|$153.86|$55.00|||$56.00|$52.00|$35.64|$67.76|$91.42|$101.59|$94.13|$92.54|$63.65|$63.65
"CPT® 82172"|"HB HCV FIBROSPECT, APOLIPOPROTEIN"|301.00|$278.00|$32.85|$222.40|$195.00|$111.20|$97.86|$62.27||$111.20|$222.40|$157.90||$84.79|$105.64|$170.41|$55.00|||$56.00|$52.00|$32.85|$75.11|$101.33|$112.59|$104.25|$102.50|$70.50|$70.50
"CPT® 82247"|"HB HCV FIBROSPECT, BILIRUBIN"|301.00|$99.00|$10.58|$79.20|$69.00|$39.60|$34.85|$22.18||$39.60|$79.20|$56.23||$30.20|$37.62|$60.69|$55.00|||$56.00|$52.00|$10.58|$26.67|$36.00|$40.00|$37.13|$36.50|$25.11|$25.11
"CPT® 82977"|"HB HCV FIBROSPECT, GAMMA GLUTAMYLTRANSFERASE"|301.00|$257.00|$15.03|$205.60|$180.00|$102.80|$90.46|$57.57||$102.80|$205.60|$145.98||$78.39|$97.66|$157.54|$55.00|||$56.00|$52.00|$15.03|$69.44|$93.68|$104.09|$96.38|$94.76|$65.18|$65.18
"CPT® 83010"|"HB HCV FIBROSPECT, HAPTOGLOBIN"|301.00|$228.00|$26.73|$182.40|$160.00|$91.20|$80.26|$51.07||$91.20|$182.40|$129.50||$69.54|$86.64|$139.76|$55.00|||$56.00|$52.00|$26.73|$61.53|$83.03|$92.25|$85.50|$84.06|$57.82|$57.82
"CPT® 83883"|"HB HCV FIBROSPECT, NEPHELOMETRY EACH ANALYTE"|301.00|$246.00|$28.95|$196.80|$172.00|$98.40|$86.59|$55.10||$98.40|$196.80|$139.73||$75.03|$93.48|$150.80|$55.00|||$56.00|$52.00|$28.95|$66.36|$89.55|$99.50|$92.25|$90.70|$62.39|$62.39
"CPT® 84460"|"HB HCV FIBROSPECT, ALT (AST)"|301.00|$104.00|$11.13|$83.20|$73.00|$41.60|$36.61|$23.30||$41.60|$83.20|$59.07||$31.72|$39.52|$63.75|$55.00|||$56.00|$52.00|$11.13|$28.07|$37.87|$42.09|$39.00|$38.34|$26.37|$26.37
"CPT® 83527"|"HB INSULIN, FREE"|301.00|$90.00|$20.16|$72.00|$63.00|$36.00|$31.68|$20.16||$36.00|$72.00|$51.12||$27.45|$34.20|$55.17|$55.00|||$56.00|$52.00|$27.29|$24.36|$32.85|$36.50|$33.75|$33.18|$22.82|$22.82
"CPT® 83525"|"HB INSULIN, TOTAL"|301.00|$84.00|$18.82|$67.20|$59.00|$33.60|$29.57|$18.82||$33.60|$67.20|$47.71||$25.62|$31.92|$51.49|$55.00|||$56.00|$52.00|$23.94|$22.68|$30.60|$34.00|$31.50|$30.97|$21.30|$21.30
"CPT® 83700"|"HB LIPOPROTEIN PHENOTYPE, ELECTROPHORESIS"|301.00|$79.00|$17.70|$63.20|$55.00|$31.60|$27.81|$17.70||$31.60|$63.20|$44.87||$24.10|$30.02|$48.43|$55.00|||$56.00|$52.00|$23.94|$21.28|$28.72|$31.92|$29.63|$29.13|$20.03|$20.03
"CPT® 80061"|"HB LIPOPROTEIN PHENOTYPE, LIPID PANEL"|301.00|$210.00|$31.92|$168.00|$147.00|$84.00|$73.92|$47.04||$84.00|$168.00|$119.28||$64.05|$79.80|$128.73|$55.00|||$56.00|$52.00|$41.21|$31.92|$49.95|$55.50|$78.75|$77.43|$53.26|$53.26
"CPT® 83519"|"HB MELANOCYTE STIMULATING HORMONE"|301.00|$318.00|$28.40|$254.40|$223.00|$127.20|$111.94|$71.23||$127.20|$254.40|$180.62||$96.99|$120.84|$194.93|$55.00|||$56.00|$52.00|$28.40|$85.89|$115.87|$128.75|$119.25|$117.25|$80.64|$80.64
"CPT® 82441"|"HB PCB, ARACHLORS"|301.00|$347.00|$12.81|$277.60|$243.00|$138.80|$122.14|$77.73||$138.80|$277.60|$197.10||$105.84|$131.86|$212.71|$137.48|||$56.00|$52.00|$12.81|$93.56|$126.23|$140.25|$130.13|$127.94|$88.00|$88.00
"CPT® 84202"|"HB PROTOPORPHYRINS, FREE RBC AND ZINC"|301.00|$138.00|$30.63|$110.40|$97.00|$55.20|$48.58|$30.91||$55.20|$110.40|$78.38||$42.09|$52.44|$84.59|$55.00|||$56.00|$52.00|$30.63|$37.17|$50.17|$55.75|$51.75|$50.88|$35.00|$35.00
"CPT® 84410"|"HB TESTOSTERONE FREE/WEAK"|301.00|$295.00|$52.00|$236.00|$206.00|$118.00|$103.84|$66.08||$118.00|$236.00|$167.56||$89.98|$112.10|$180.84|$55.00|||$56.00|$52.00|$69.26|$79.66|$107.48|$119.42|$110.63|$108.77|$74.81|$74.81
"CPT® 84403"|"HB TESTOSTERONE, FREE (LC)"|301.00|$93.00|$20.83|$74.40|$65.00|$37.20|$32.74|$20.83||$37.20|$74.40|$52.82||$28.37|$35.34|$57.01|$55.00|||$56.00|$52.00|$54.57|$25.20|$33.98|$37.75|$34.88|$34.29|$23.58|$23.58
"CPT® 84402"|"HB TESTOSTERONE, TOTAL (LC)"|301.00|$92.00|$20.61|$73.60|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$55.00|||$56.00|$52.00|$54.02|$24.92|$33.60|$37.33|$34.50|$33.92|$23.33|$23.33
"CPT® 83080"|"HB ASHKENAZI JEWISH CARRIER, B-HEXOSAMINIDASE"|301.00|$330.00|$35.64|$264.00|$231.00|$132.00|$116.16|$73.92||$132.00|$264.00|$187.44||$100.65|$125.40|$202.29|$55.00|||$56.00|$52.00|$35.64|$89.04|$120.15|$133.50|$123.75|$121.67|$83.69|$83.69
"CPT® 83519"|"HB ADRENAL 21-HYDROXYLASE AUTOANTIBODIES"|301.00|$334.00|$28.40|$267.20|$234.00|$133.60|$117.57|$74.82||$133.60|$267.20|$189.71||$101.87|$126.92|$204.74|$55.00|||$56.00|$52.00|$28.40|$90.16|$121.65|$135.17|$125.25|$123.15|$84.70|$84.70
"CPT® 83520"|"HB IGF BINDING PROTEIN-3"|301.00|$166.00|$27.29|$132.80|$116.00|$66.40|$58.43|$37.18||$66.40|$132.80|$94.29||$50.63|$63.08|$101.76|$55.00|||$56.00|$52.00|$27.29|$44.80|$60.45|$67.17|$62.25|$61.20|$42.10|$42.10
"CPT® 82785"|"HB IMMUNOGLOBULINS, TOTAL, IGE"|301.00|$112.00|$25.09|$89.60|$78.00|$44.80|$39.42|$25.09||$44.80|$89.60|$63.62||$34.16|$42.56|$68.66|$55.00|||$56.00|$52.00|$35.09|$30.31|$40.87|$45.42|$42.00|$41.29|$28.40|$28.40
"CPT® 83516"|"HB TISSUE TRANSGLUTAMINASE AB IGG"|301.00|$183.00|$24.50|$146.40|$128.00|$73.20|$64.42|$40.99||$73.20|$146.40|$103.94||$55.82|$69.54|$112.18|$55.00|||$56.00|$52.00|$24.50|$49.35|$66.60|$74.00|$68.63|$67.47|$46.41|$46.41
"CPT® 82785"|"HB IGE, TOTAL (LC)"|301.00|$39.00|$8.74|$39.00|$27.00|$15.60|$13.73|$8.74||$15.60|$31.20|$22.15||$11.90|$14.82|$23.91|$39.00|||$39.00|$39.00|$30.20|$10.50|$14.18|$15.75|$14.63|$14.38|$9.89|$9.89
"CPT® 82139"|"HB AMINO ACID ANALYSIS, QUANTITATIVE"|301.00|$602.00|$35.64|$481.60|$421.00|$240.80|$211.90|$134.85||$240.80|$481.60|$341.94||$183.61|$228.76|$369.03|$55.00|||$56.00|$52.00|$35.64|$162.47|$219.23|$243.59|$225.75|$221.96|$152.67|$152.67
"CPT® 84311"|"HB ARYLSULFATASE A"|301.00|$436.00|$15.03|$348.80|$305.00|$174.40|$153.47|$97.66||$174.40|$348.80|$247.65||$132.98|$165.68|$267.27|$55.00|||$56.00|$52.00|$15.03|$117.67|$158.77|$176.42|$163.50|$160.75|$110.57|$110.57
"CPT® 84600"|"HB BENZENE PANEL, VOLATILES"|301.00|$532.00|$33.98|$425.60|$372.00|$212.80|$187.26|$119.17||$212.80|$425.60|$302.18||$162.26|$202.16|$326.12|$55.00|||$56.00|$52.00|$33.98|$143.71|$193.87|$215.42|$199.50|$196.15|$134.92|$134.92
"HCPCS G0480"|"HB BUPRENORPHINE LEVEL, QUANT, URINE"|301.00|$418.00|$52.00|$334.40|$293.00|$167.20|$147.14|$93.63||$167.20|$334.40|$237.42||$127.49|$158.84|$256.23|$165.61|||$56.00|$52.00|$124.19|$114.31|$155.40|$172.67|$156.75|$154.12|$106.00|$106.00
"CPT® 82495"|"HB CHROMIUM"|301.00|$277.00|$42.89|$221.60|$194.00|$110.80|$97.50|$62.05||$110.80|$221.60|$157.34||$84.49|$105.26|$169.80|$55.00|||$56.00|$52.00|$42.89|$74.83|$100.95|$112.17|$103.88|$102.13|$70.25|$70.25
"HCPCS G0480"|"HB COCAINE METABOLITES"|301.00|$222.00|$49.73|$177.60|$155.00|$88.80|$78.14|$49.73||$88.80|$177.60|$126.10||$67.71|$84.36|$136.09|$87.96|||$56.00|$52.00|$124.19|$60.62|$82.42|$91.59|$83.25|$81.85|$56.30|$56.30
"CPT® 82530"|"HB CORTISOL"|301.00|$291.00|$35.64|$232.80|$204.00|$116.40|$102.43|$65.18||$116.40|$232.80|$165.29||$88.76|$110.58|$178.38|$55.00|||$56.00|$52.00|$35.64|$78.54|$105.98|$117.75|$109.13|$107.29|$73.80|$73.80
"HCPCS G0480"|"HB ETHANOL LEVEL"|301.00|$308.00|$52.00|$246.40|$216.00|$123.20|$108.42|$68.99||$123.20|$246.40|$174.94||$93.94|$117.04|$188.80|$122.03|||$56.00|$52.00|$124.19|$84.17|$114.45|$127.17|$115.50|$113.56|$78.11|$78.11
"CPT® 83520"|"HB GANGLIOSIDE GQ1B IGG ANTIBODY"|301.00|$149.00|$27.29|$119.20|$104.00|$59.60|$52.45|$33.38||$59.60|$119.20|$84.63||$45.45|$56.62|$91.34|$55.00|||$56.00|$52.00|$27.29|$40.25|$54.30|$60.33|$55.88|$54.94|$37.79|$37.79
"CPT® 83013"|"HB HELICOBACTER PYLORI BREATH TEST"|301.00|$771.00|$52.00|$616.80|$540.00|$308.40|$271.39|$172.70||$308.40|$616.80|$437.93||$235.16|$292.98|$472.62|$55.00|||$56.00|$52.00|$142.56|$208.11|$280.80|$312.00|$289.13|$284.27|$195.53|$195.53
"CPT® 83070"|"HB HEMOSIDERIN STAIN"|301.00|$124.00|$10.02|$99.20|$87.00|$49.60|$43.65|$27.78||$49.60|$99.20|$70.43||$37.82|$47.12|$76.01|$55.00|||$56.00|$52.00|$10.02|$33.46|$45.15|$50.17|$46.50|$45.72|$31.45|$31.45
"CPT® 83150"|"HB HOMOVANILLIC ACID"|301.00|$173.00|$38.75|$138.40|$121.00|$69.20|$60.90|$38.75||$69.20|$138.40|$98.26||$52.77|$65.74|$106.05|$55.00|||$56.00|$52.00|$41.21|$46.76|$63.08|$70.09|$64.88|$63.79|$43.87|$43.87
"CPT® 83520"|"HB HUMAN TRANSFORMING GROWTH FACTOR BETA 1"|301.00|$677.00|$27.29|$541.60|$474.00|$270.80|$238.30|$151.65||$270.80|$541.60|$384.54||$206.49|$257.26|$415.00|$55.00|||$56.00|$52.00|$27.29|$182.84|$246.68|$274.09|$253.88|$249.61|$171.69|$171.69
"CPT® 83520"|"HB IGE ANTIBODY"|301.00|$324.00|$27.29|$259.20|$227.00|$129.60|$114.05|$72.58||$129.60|$259.20|$184.03||$98.82|$123.12|$198.61|$55.00|||$56.00|$52.00|$27.29|$87.57|$118.13|$131.25|$121.50|$119.46|$82.17|$82.17
"CPT® 82542"|"HB IODINE"|301.00|$511.00|$38.43|$408.80|$358.00|$204.40|$179.87|$114.46||$204.40|$408.80|$290.25||$155.86|$194.18|$313.24|$55.00|||$56.00|$52.00|$38.43|$138.04|$186.22|$206.92|$191.63|$188.41|$129.59|$129.59
"CPT® 83605"|"HB LACTIC ACID"|301.00|$254.00|$22.83|$203.20|$178.00|$101.60|$89.41|$56.90||$101.60|$203.20|$144.27||$77.47|$96.52|$155.70|$55.00|||$56.00|$52.00|$22.83|$51.80|$74.55|$82.83|$95.25|$93.65|$64.41|$64.41
"CPT® 83615"|"HB LACTIC DEHYDROGENASE, BODY FLUID"|301.00|$92.00|$12.81|$73.60|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$55.00|||$56.00|$52.00|$12.81|$30.17|$39.23|$43.59|$34.50|$33.92|$23.33|$23.33
"CPT® 83690"|"HB LIPASE, BODY FLUID"|301.00|$119.00|$14.48|$95.20|$83.00|$47.60|$41.89|$26.66||$47.60|$95.20|$67.59||$36.30|$45.22|$72.95|$55.00|||$56.00|$52.00|$14.48|$32.06|$43.28|$48.09|$44.63|$43.88|$30.18|$30.18
"CPT® 83690"|"HB LIPASE. URINE"|301.00|$114.00|$14.48|$91.20|$80.00|$45.60|$40.13|$25.54||$45.60|$91.20|$64.75||$34.77|$43.32|$69.88|$55.00|||$56.00|$52.00|$14.48|$30.87|$41.63|$46.25|$42.75|$42.03|$28.91|$28.91
"CPT® 80061"|"HB LIPID RISK PANEL W/SCORE"|301.00|$210.00|$41.21|$168.00|$147.00|$84.00|$73.92|$47.04||$84.00|$168.00|$119.28||$64.05|$79.80|$128.73|$55.00|||$56.00|$52.00|$41.21|$41.79|$60.53|$67.25|$78.75|$77.43|$53.26|$53.26
"CPT® 83698"|"HB LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2"|301.00|$429.00|$52.00|$343.20|$300.00|$171.60|$151.01|$96.10||$171.60|$343.20|$243.67||$130.85|$163.02|$262.98|$55.00|||$56.00|$52.00|$71.84|$115.92|$156.38|$173.75|$160.88|$158.17|$108.79|$108.79
"CPT® 83002"|"HB LUTEINIZING HORMONE"|301.00|$152.00|$34.05|$121.60|$106.00|$60.80|$53.50|$34.05||$60.80|$121.60|$86.34||$46.36|$57.76|$93.18|$55.00|||$56.00|$52.00|$38.99|$41.09|$55.43|$61.59|$57.00|$56.04|$38.55|$38.55
"CPT® 83785"|"HB MANGANESE, URINE"|301.00|$418.00|$52.00|$334.40|$293.00|$167.20|$147.14|$93.63||$167.20|$334.40|$237.42||$127.49|$158.84|$256.23|$55.00|||$56.00|$52.00|$52.35|$112.84|$152.25|$169.17|$156.75|$154.12|$106.00|$106.00
"CPT® 83520"|"HB MANNOSE-BINDING LEPTIN"|301.00|$523.00|$27.29|$418.40|$366.00|$209.20|$184.10|$117.15||$209.20|$418.40|$297.06||$159.52|$198.74|$320.60|$55.00|||$56.00|$52.00|$27.29|$141.19|$190.50|$211.67|$196.13|$192.83|$132.63|$132.63
"CPT® 83921"|"HB METHYLMALONIC ACID, URINE"|301.00|$576.00|$35.09|$460.80|$403.00|$230.40|$202.75|$129.02||$230.40|$460.80|$327.17||$175.68|$218.88|$353.09|$55.00|||$56.00|$52.00|$35.09|$155.61|$209.93|$233.25|$216.00|$212.37|$146.07|$146.07
"CPT® 82657"|"HB NEUTROPHIL FUNCTION, OXIDATIVE BURST"|301.00|$483.00|$38.43|$386.40|$338.00|$193.20|$170.02|$108.19||$193.20|$386.40|$274.34||$147.32|$183.54|$296.08|$55.00|||$56.00|$52.00|$38.43|$130.41|$175.95|$195.50|$181.13|$178.08|$122.49|$122.49
"CPT® 80307"|"HB PAIN MANAGEMENT PROFILE W/CONF., URINE"|301.00|$1037.00|$52.00|$829.60|$726.00|$414.80|$365.02|$232.29||$414.80|$829.60|$589.02||$316.29|$394.06|$635.68|$55.00|||$56.00|$52.00|$248.53|$283.71|$385.65|$428.50|$388.88|$382.34|$262.98|$262.98
"CPT® 82656"|"HB PANCREATIC ELASTASE-1"|301.00|$719.00|$24.50|$575.20|$503.00|$287.60|$253.09|$161.06||$287.60|$575.20|$408.39||$219.30|$273.22|$440.75|$55.00|||$56.00|$52.00|$24.50|$194.18|$261.98|$291.09|$269.63|$265.10|$182.34|$182.34
"CPT® 84311"|"HB POTASSIUM, FECES"|301.00|$237.00|$15.03|$189.60|$166.00|$94.80|$83.42|$53.09||$94.80|$189.60|$134.62||$72.29|$90.06|$145.28|$55.00|||$56.00|$52.00|$15.03|$64.05|$86.40|$96.00|$88.88|$87.38|$60.10|$60.10
"CPT® 84376"|"HB REDUCING SUBSTANCES, STOOL"|301.00|$135.00|$11.70|$108.00|$94.00|$54.00|$47.52|$30.24||$54.00|$108.00|$76.68||$41.18|$51.30|$82.76|$55.00|||$56.00|$52.00|$11.70|$36.54|$49.28|$54.75|$50.63|$49.77|$34.24|$34.24
"CPT® 84302"|"HB SODIUM, FECES"|301.00|$183.00|$10.58|$146.40|$128.00|$73.20|$64.42|$40.99||$73.20|$146.40|$103.94||$55.82|$69.54|$112.18|$55.00|||$56.00|$52.00|$10.58|$49.35|$66.60|$74.00|$68.63|$67.47|$46.41|$46.41
"CPT® 83520"|"HB SOLUBLE LIVER ANTIGEN AUTOANTIBODY"|301.00|$435.00|$27.29|$348.00|$304.00|$174.00|$153.12|$97.44||$174.00|$348.00|$247.08||$132.68|$165.30|$266.66|$55.00|||$56.00|$52.00|$27.29|$117.39|$158.40|$176.00|$163.13|$160.38|$110.32|$110.32
"CPT® 82726"|"HB VERY LONG CHAIN FATTY ACIDS"|301.00|$1754.00|$38.43|$1403.20|$1228.00|$701.60|$617.41|$392.90||$701.60|$1403.20|$996.27||$534.97|$666.52|$1075.20|$55.00|||$56.00|$52.00|$38.43|$473.48|$638.85|$709.83|$657.75|$646.70|$444.81|$444.81
"CPT® 82042"|"HB ALBUMIN, CSF"|301.00|$53.00|$11.13|$53.00|$37.00|$21.20|$18.66|$11.87||$21.20|$42.40|$30.10||$16.17|$20.14|$32.49|$53.00|||$53.00|$52.00|$11.13|$14.18|$19.13|$21.25|$19.88|$19.54|$13.44|$13.44
"CPT® 82042"|"HB ALBUMIN, BODY FLUID"|301.00|$53.00|$11.13|$53.00|$37.00|$21.20|$18.66|$11.87||$21.20|$42.40|$30.10||$16.17|$20.14|$32.49|$53.00|||$53.00|$52.00|$11.13|$14.18|$19.13|$21.25|$19.88|$19.54|$13.44|$13.44
"CPT® 84703"|"HB REF BETA-HCG, QUALITATIVE, SERUM"|301.00|$62.00|$13.89|$56.00|$43.00|$24.80|$21.82|$13.89||$24.80|$49.60|$35.22||$18.91|$23.56|$38.01|$55.00|||$56.00|$52.00|$16.16|$16.73|$22.57|$25.09|$23.25|$22.86|$15.72|$15.72
"CPT® 82438"|"HB CHLORIDE, CSF"|301.00|$40.00|$8.96|$40.00|$28.00|$16.00|$14.08|$8.96||$16.00|$32.00|$22.72||$12.20|$15.20|$24.52|$40.00|||$40.00|$40.00|$10.58|$10.78|$14.55|$16.17|$15.00|$14.75|$10.14|$10.14
"CPT® 80307"|"HB GABAPENTIN, URINE"|301.00|$140.00|$31.36|$112.00|$98.00|$56.00|$49.28|$31.36||$56.00|$112.00|$79.52||$42.70|$53.20|$85.82|$55.00|||$56.00|$52.00|$33.50|$38.22|$51.98|$57.75|$52.50|$51.62|$35.50|$35.50
"CPT® 82945"|"HB GLUCOSE, BODY FLUID"|301.00|$47.00|$8.36|$47.00|$33.00|$18.80|$16.54|$10.53||$18.80|$37.60|$26.70||$14.34|$17.86|$28.81|$47.00|||$47.00|$47.00|$8.36|$12.74|$17.18|$19.09|$17.63|$17.33|$11.92|$11.92
"HCPCS G00480"|"HB HYDROCODONE AND METABOLITE, URINE"|301.00|$243.00|$52.00|$194.40|$170.00|$97.20|$85.54|$54.43||$97.20|$194.40|$138.02||$74.12|$92.34|$148.96|$96.28|||$56.00|$52.00|$60.18|$68.57|$93.38|$103.75|$91.13|$89.59|$61.62|$61.62
"CPT® 83520"|"HB IGF BINDING PROTEIN (IGFBP-1)"|301.00|$160.00|$27.29|$128.00|$112.00|$64.00|$56.32|$35.84||$64.00|$128.00|$90.88||$48.80|$60.80|$98.08|$55.00|||$56.00|$52.00|$27.29|$43.12|$58.20|$64.67|$60.00|$58.99|$40.58|$40.58
"CPT® 82131"|"HB KIDNEY STONE, AMINO ACIDS, SINGLE, QUANT"|301.00|$45.00|$10.08|$45.00|$31.00|$18.00|$15.84|$10.08||$18.00|$36.00|$25.56||$13.73|$17.10|$27.59|$45.00|||$45.00|$45.00|$33.38|$12.18|$16.42|$18.25|$16.88|$16.59|$11.41|$11.41
"CPT® 82140"|"HB KIDNEY STONE, AMMONIA ASSAY"|301.00|$39.00|$8.74|$39.00|$27.00|$15.60|$13.73|$8.74||$15.60|$31.20|$22.15||$11.90|$14.82|$23.91|$39.00|||$39.00|$39.00|$28.71|$10.50|$14.18|$15.75|$14.63|$14.38|$9.89|$9.89
"CPT® 82340"|"HB KIDNEY STONE, CALCIUM ASSAY"|301.00|$18.00|$4.03|$18.00|$13.00|$7.20|$6.34|$4.03||$7.20|$14.40|$10.22||$5.49|$6.84|$11.03|$18.00|||$18.00|$18.00|$12.77|$4.83|$6.53|$7.25|$6.75|$6.64|$4.56|$4.56
"CPT® 82436"|"HB KIDNEY STONE, CHLORIDE ASSAY"|301.00|$15.00|$3.36|$15.00|$10.00|$6.00|$5.28|$3.36||$6.00|$12.00|$8.52||$4.58|$5.70|$9.20|$15.00|||$15.00|$15.00|$10.53|$3.99|$5.40|$6.00|$5.63|$5.53|$3.80|$3.80
"CPT® 82507"|"HB KIDNEY STONE, CITRATE ASSAY"|301.00|$35.00|$7.84|$35.00|$24.00|$14.00|$12.32|$7.84||$14.00|$28.00|$19.88||$10.68|$13.30|$21.46|$35.00|||$35.00|$35.00|$28.17|$9.38|$12.68|$14.09|$13.13|$12.90|$8.88|$8.88
"CPT® 82570"|"HB KIDNEY STONE, CREATININE ASSAY"|301.00|$79.00|$8.68|$63.20|$55.00|$31.60|$27.81|$17.70||$31.60|$63.20|$44.87||$24.10|$30.02|$48.43|$55.00|||$56.00|$52.00|$11.13|$8.68|$15.22|$16.92|$29.63|$29.13|$20.03|$20.03
"CPT® 83735"|"HB KIDNEY STONE, MAGNESIUM ASSAY"|301.00|$92.00|$10.22|$73.60|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$55.00|||$56.00|$52.00|$13.64|$10.22|$17.85|$19.83|$34.50|$33.92|$23.33|$23.33
"CPT® 83935"|"HB KIDNEY STONE, OSMOLALITY"|301.00|$20.00|$4.48|$20.00|$14.00|$8.00|$7.04|$4.48||$8.00|$16.00|$11.36||$6.10|$7.60|$12.26|$20.00|||$20.00|$20.00|$14.33|$5.39|$7.27|$8.09|$7.50|$7.37|$5.07|$5.07
"CPT® 83945"|"HB KIDNEY STONE, OXALATE ASSAY"|301.00|$35.00|$7.84|$35.00|$24.00|$14.00|$12.32|$7.84||$14.00|$28.00|$19.88||$10.68|$13.30|$21.46|$35.00|||$35.00|$35.00|$25.60|$9.38|$12.68|$14.09|$13.13|$12.90|$8.88|$8.88
"CPT® 84105"|"HB KIDNEY STONE, PHOSPHOROUS ASSAY"|301.00|$16.00|$3.58|$16.00|$11.00|$6.40|$5.63|$3.58||$6.40|$12.80|$9.09||$4.88|$6.08|$9.81|$16.00|||$16.00|$16.00|$11.13|$4.27|$5.77|$6.42|$6.00|$5.90|$4.06|$4.06
"CPT® 84133"|"HB KIDNEY STONE, POTASSIUM ASSAY"|301.00|$13.00|$2.91|$13.00|$9.00|$5.20|$4.58|$2.91||$5.20|$10.40|$7.38||$3.97|$4.94|$7.97|$13.00|||$13.00|$13.00|$8.91|$3.43|$4.65|$5.17|$4.88|$4.79|$3.30|$3.30
"CPT® 84300"|"HB KIDNEY STONE, SODIUM ASSAY"|301.00|$15.00|$3.36|$15.00|$10.00|$6.00|$5.28|$3.36||$6.00|$12.00|$8.52||$4.58|$5.70|$9.20|$15.00|||$15.00|$15.00|$10.53|$3.99|$5.40|$6.00|$5.63|$5.53|$3.80|$3.80
"CPT® 84392"|"HB KIDNEY STONE, SULFATE ASSAY"|301.00|$14.00|$3.14|$14.00|$10.00|$5.60|$4.93|$3.14||$5.60|$11.20|$7.95||$4.27|$5.32|$8.58|$14.00|||$14.00|$14.00|$9.84|$3.71|$5.03|$5.59|$5.25|$5.16|$3.55|$3.55
"CPT® 84560"|"HB KIDNEY STONE, URIC ACID ASSAY"|301.00|$14.00|$3.14|$14.00|$10.00|$5.60|$4.93|$3.14||$5.60|$11.20|$7.95||$4.27|$5.32|$8.58|$14.00|||$14.00|$14.00|$9.84|$3.71|$5.03|$5.59|$5.25|$5.16|$3.55|$3.55
"CPT® 84275"|"HB LIPID ASSICIATED SIALIC ACID"|301.00|$71.00|$15.90|$56.80|$50.00|$28.40|$24.99|$15.90||$28.40|$56.80|$40.33||$21.66|$26.98|$43.52|$55.00|||$56.00|$52.00|$28.40|$19.25|$25.95|$28.83|$26.63|$26.18|$18.01|$18.01
"HCPCS G0480"|"HB METHYLPHENIDATE AND METABOLITE, URINE"|301.00|$187.00|$41.89|$149.60|$131.00|$74.80|$65.82|$41.89||$74.80|$149.60|$106.22||$57.04|$71.06|$114.63|$74.09|||$56.00|$52.00|$124.19|$51.14|$69.53|$77.25|$70.13|$68.95|$47.42|$47.42
"CPT® 82542"|"HB MHPG, 24HR URINE"|301.00|$218.00|$38.43|$174.40|$153.00|$87.20|$76.74|$48.83||$87.20|$174.40|$123.82||$66.49|$82.84|$133.63|$55.00|||$56.00|$52.00|$38.43|$58.94|$79.50|$88.33|$81.75|$80.38|$55.28|$55.28
"CPT® 80307"|"HB PAIN MANAGEMENT PROFILE, URINE"|301.00|$281.00|$52.00|$224.80|$197.00|$112.40|$98.91|$62.94||$112.40|$224.80|$159.61||$85.71|$106.78|$172.25|$55.00|||$56.00|$52.00|$67.38|$76.93|$104.55|$116.17|$105.38|$103.60|$71.26|$71.26
"HCPCS G0480"|"HB PREGABALIN, URINE"|301.00|$140.00|$31.36|$112.00|$98.00|$56.00|$49.28|$31.36||$56.00|$112.00|$79.52||$42.70|$53.20|$85.82|$55.47|||$56.00|$52.00|$107.90|$38.22|$51.98|$57.75|$52.50|$51.62|$35.50|$35.50
"CPT® 80307"|"HB TOXASSURE PROFILE, DRUG TESTS, PRESUMPTIVE"|301.00|$174.00|$38.98|$139.20|$122.00|$69.60|$61.25|$38.98||$69.60|$139.20|$98.83||$53.07|$66.12|$106.66|$55.00|||$56.00|$52.00|$41.72|$47.64|$64.73|$71.92|$65.25|$64.15|$44.13|$44.13
"CPT® 80326"|"HB TOXASSURE PROFILE, DRUG TESTS, AMPHETAMINES, 5 OR MORE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$8.32|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80331"|"HB TOXASSURE PROFILE, ANALGESICS, 6 OR MORE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$8.32|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80334"|"HB TOXASSURE PROFILE, ANTIDEPRESSANTS, 6 OR MORE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$8.32|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80337"|"HB TOXASSURE PROFILE, ANTIDEPRESSANTS, TRICYCLIC, 6 OR MORE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$8.32|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80338"|"HB TOXASSURE PROFILE, ANTIDEPRESSANTS, NOS"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$8.32|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80341"|"HB TOXASSURE PROFILE, ANTIEPILEPTICS, NOS, 6 OR MORE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$8.32|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80344"|"HB TOXASSURE PROFILE, ANTIPSYCHOTICS, NOS, 7 OR MORE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$8.32|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80347"|"HB TOXASSURE PROFILE, BENZODIAZEPINES, 13 OR MORE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$21.00|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80348"|"HB TOXASSURE PROFILE, BUPRENORPHINE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$21.00|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80353"|"HB TOXASSURE PROFILE, COCAINE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$21.00|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80354"|"HB TOXASSURE PROFILE, FENTANYL"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$21.00|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80355"|"HB TOXASSURE PROFILE, GABAPENTIN"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$8.32|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80357"|"HB TOXASSURE PROFILE, KETAMINE & NORKETAMINE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$8.32|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80358"|"HB TOXASSURE PROFILE, METHADONE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$21.00|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80359"|"HB TOXASSURE PROFILE, MDA, MDEA, MDMA"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$21.00|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80360"|"HB TOXASSURE PROFILE, METHYLPHENIDATE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$21.00|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80364"|"HB TOXASSURE PROFILE, OPIOIDS, 5 OR MORE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$8.32|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80365"|"HB TOXASSURE PROFILE, OXYCODONE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$21.00|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80366"|"HB TOXASSURE PROFILE, PREGABALIN"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$8.32|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80367"|"HB TOXASSURE PROFILE, PROPOXYPHENE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$8.32|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80368"|"HB TOXASSURE PROFILE, SEDATIVE HYPNOTICS"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$21.00|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80361"|"HB TOXASSURE PROFILE, OPIATES, 1 OR MORE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$21.00|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80370"|"HB TOXASSURE PROFILE, MUSCLE RELAXANTS, 3 OR MORE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$8.32|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80371"|"HB TOXASSURE PROFILE, STIMULANTS, SYNTHETIC"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$8.32|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80372"|"HB TOXASSURE PROFILE, TAPENTADOL"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$21.00|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80373"|"HB TOXASSURE PROFILE, TRAMADOL"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$21.00|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 80377"|"HB TOXASSURE PROFILE, DRUGS, NOS, 7 OR MORE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$21.00|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 83992"|"HB TOXASSURE PROFILE, PHENCYCLIDENE"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$8.32|||$21.00|$21.00|$17.33|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 83698"|"HB CARDIO IQ LP-PLA2 ACTIVITY"|301.00|$429.00|$52.00|$343.20|$300.00|$171.60|$151.01|$96.10||$171.60|$343.20|$243.67||$130.85|$163.02|$262.98|$55.00|||$56.00|$52.00|$71.84|$115.92|$156.38|$173.75|$160.88|$158.17|$108.79|$108.79
"HCPCS G0480"|"HB IBUPROFEN"|301.00|$635.00|$52.00|$508.00|$444.00|$254.00|$223.52|$142.24||$254.00|$508.00|$360.68||$193.68|$241.30|$389.26|$251.59|||$56.00|$52.00|$124.19|$173.70|$236.10|$262.34|$238.13|$234.12|$161.04|$161.04
"CPT® 83986"|"HB PH, PERICARDIAL FLUID"|301.00|$307.00|$7.80|$245.60|$215.00|$122.80|$108.06|$68.77||$122.80|$245.60|$174.38||$93.64|$116.66|$188.19|$55.00|||$56.00|$52.00|$7.80|$82.81|$111.75|$124.17|$115.13|$113.19|$77.86|$77.86
"CPT® 84157"|"HB PROTEIN, TOTAL PERICARDIAL FLUID"|301.00|$181.00|$7.80|$144.80|$127.00|$72.40|$63.71|$40.54||$72.40|$144.80|$102.81||$55.21|$68.78|$110.95|$55.00|||$56.00|$52.00|$7.80|$49.00|$66.08|$73.42|$67.88|$66.73|$45.90|$45.90
"CPT® 84157"|"HB PROTEIN, TOTAL, SYNOVIAL FLUID"|301.00|$200.00|$7.80|$160.00|$140.00|$80.00|$70.40|$44.80||$80.00|$160.00|$113.60||$61.00|$76.00|$122.60|$55.00|||$56.00|$52.00|$7.80|$53.90|$72.75|$80.83|$75.00|$73.74|$50.72|$50.72
"CPT® 80324"|"HB TOXASSURE PROFILE, AMPHETAMINES, 1 OR 2"|301.00|$21.00|$4.70|$21.00|$15.00|$8.40|$7.39|$4.70||$8.40|$16.80|$11.93||$6.41|$7.98|$12.87|$21.00|||$21.00|$21.00|$5.03|$5.74|$7.80|$8.67|$7.88|$7.74|$5.33|$5.33
"CPT® 83519"|"HB IGF BINDING PROTEIN-3 (Q)"|301.00|$96.00|$21.50|$76.80|$67.00|$38.40|$33.79|$21.50||$38.40|$76.80|$54.53||$29.28|$36.48|$58.85|$55.00|||$56.00|$52.00|$28.40|$25.83|$34.87|$38.75|$36.00|$35.40|$24.35|$24.35
"CPT® 83883"|"HB LIGHT CHAINS, KAPPA/LAMBDA, URINE RANDOM"|301.00|$143.00|$28.95|$114.40|$100.00|$57.20|$50.34|$32.03||$57.20|$114.40|$81.22||$43.62|$54.34|$87.66|$55.00|||$56.00|$52.00|$28.95|$38.57|$52.05|$57.83|$53.63|$52.72|$36.26|$36.26
"CPT® 83520"|"HB MMP-9 (MATRIX METALLOPROTEINASE-9)"|301.00|$171.00|$27.29|$136.80|$120.00|$68.40|$60.19|$38.30||$68.40|$136.80|$97.13||$52.16|$64.98|$104.82|$55.00|||$56.00|$52.00|$27.29|$46.20|$62.32|$69.25|$64.13|$63.05|$43.37|$43.37
"CPT® 84425"|"HB VITAMIN B1, WHOLE BLOOD"|301.00|$61.00|$13.66|$56.00|$43.00|$24.40|$21.47|$13.66||$24.40|$48.80|$34.65||$18.61|$23.18|$37.39|$55.00|||$56.00|$52.00|$44.04|$16.45|$22.20|$24.67|$22.88|$22.49|$15.47|$15.47
"CPT® 80307"|"HB MECONIUM-MECSTAT 7"|301.00|$281.00|$52.00|$224.80|$197.00|$112.40|$98.91|$62.94||$112.40|$224.80|$159.61||$85.71|$106.78|$172.25|$55.00|||$56.00|$52.00|$85.55|$103.25|$132.75|$147.50|$105.38|$103.60|$71.26|$71.26
"CPT® 80307"|"HB MECONIUM-MECSTAT 9"|301.00|$360.00|$52.00|$288.00|$252.00|$144.00|$126.72|$80.64||$144.00|$288.00|$204.48||$109.80|$136.80|$220.68|$55.00|||$56.00|$52.00|$109.62|$132.30|$170.10|$189.00|$135.00|$132.73|$91.30|$91.30
"CPT® 82013"|"HB ACETYLCHOLINESTERASE, AMNIOTIC FLUID (IG)"|301.00|$762.00|$23.39|$609.60|$533.00|$304.80|$268.22|$170.69||$304.80|$609.60|$432.82||$232.41|$289.56|$467.11|$55.00|||$56.00|$52.00|$23.39|$205.80|$277.65|$308.50|$285.75|$280.95|$193.24|$193.24
"CPT® 82013"|"HB ALPHA-FETOPROTEIN, AMNIOTIC FLUID, ACHE (IG)"|301.00|$621.00|$23.39|$496.80|$435.00|$248.40|$218.59|$139.10||$248.40|$496.80|$352.73||$189.41|$235.98|$380.67|$55.00|||$56.00|$52.00|$23.39|$167.58|$226.12|$251.25|$232.88|$228.96|$157.49|$157.49
"CPT® 82106"|"HB ALPHA-FETOPROTEIN, AMNIOTIC FLUID, AFP (IG)"|301.00|$912.00|$35.64|$729.60|$638.00|$364.80|$321.02|$204.29||$364.80|$729.60|$518.02||$278.16|$346.56|$559.06|$55.00|||$56.00|$52.00|$35.64|$246.33|$332.33|$369.25|$342.00|$336.25|$231.28|$231.28
"HCPCS G0480"|"HB NICOTINE & COTININE, URINE"|301.00|$569.00|$52.00|$455.20|$398.00|$227.60|$200.29|$127.46||$227.60|$455.20|$323.19||$173.55|$216.22|$348.80|$225.44|||$56.00|$52.00|$124.19|$155.65|$211.58|$235.08|$213.38|$209.79|$144.30|$144.30
"CPT® 84143"|"HB 17-HYDROXYPREGNENOLONE LC/MS/MS"|301.00|$245.00|$48.45|$196.00|$172.00|$98.00|$86.24|$54.88||$98.00|$196.00|$139.16||$74.73|$93.10|$150.19|$55.00|||$56.00|$52.00|$48.45|$66.08|$89.18|$99.09|$91.88|$90.33|$62.13|$62.13
"CPT® 83520"|"HB ADAMTS13 EVALUATION, ANTIBODY (REFLEX)"|301.00|$1567.00|$27.29|$1253.60|$1097.00|$626.80|$551.58|$351.01||$626.80|$1253.60|$890.06||$477.94|$595.46|$960.57|$55.00|||$56.00|$52.00|$27.29|$438.76|$587.62|$652.92|$587.63|$577.75|$397.39|$397.39
"HCPCS G0480"|"HB CLOBAZAM LEVEL"|301.00|$422.00|$52.00|$337.60|$295.00|$168.80|$148.54|$94.53||$168.80|$337.60|$239.70||$128.71|$160.36|$258.69|$167.20|||$56.00|$52.00|$124.19|$119.63|$161.40|$179.33|$158.25|$155.59|$107.02|$107.02
"CPT® 83519"|"HB NEOCOMPLETE PARANEOPLASTIC W/ RECOMBX, RIA QNT"|301.00|$569.00|$28.40|$455.20|$398.00|$227.60|$200.29|$127.46||$227.60|$455.20|$323.19||$173.55|$216.22|$348.80|$55.00|||$56.00|$52.00|$28.40|$160.30|$215.48|$239.42|$213.38|$209.79|$144.30|$144.30
"CPT® 83520"|"HB NEOCOMPLETE PARANEOPLASTIC W/ RECOMBX, IA, QUANT, NOS"|301.00|$534.00|$27.29|$427.20|$374.00|$213.60|$187.97|$119.62||$213.60|$427.20|$303.31||$162.87|$202.92|$327.34|$55.00|||$56.00|$52.00|$27.29|$150.47|$202.28|$224.75|$200.25|$196.89|$135.42|$135.42
"CPT® 83520"|"HB CROHN'S PROGNOSTIC, IMMUNOASSAY, ANALYTE, NOS"|301.00|$164.00|$27.29|$131.20|$115.00|$65.60|$57.73|$36.74||$65.60|$131.20|$93.15||$50.02|$62.32|$100.53|$55.00|||$56.00|$52.00|$27.29|$45.92|$61.50|$68.33|$61.50|$60.47|$41.59|$41.59
"HCPCS G0481"|"HB TOXASSURE PROFILE, DRUG TESTS, DEFINITIVE, 8-14"|301.00|$588.00|$52.00|$470.40|$412.00|$235.20|$206.98|$131.71||$235.20|$470.40|$333.98||$179.34|$223.44|$360.44|$232.97|||$56.00|$52.00|$191.57|$164.64|$220.50|$245.00|$220.50|$216.80|$149.12|$149.12
"HCPCS G0483"|"HB TOXASSURE PROFILE, DRUG TESTS, DEFINITIVE, 22 OR MORE"|301.00|$231.00|$51.74|$192.50|$162.00|$92.40|$81.31|$51.74||$92.40|$184.80|$131.21||$70.46|$87.78|$141.60|$91.52|||$56.00|$52.00|$192.50|$64.68|$86.62|$96.25|$86.63|$85.17|$58.58|$58.58
"CPT® 82962"|"HB BEDSIDE GLUCOSE TEST"|301.00|$50.00|$5.01|$50.00|$35.00|$20.00|$17.60|$11.20||$20.00|$40.00|$28.40||$15.25|$19.00|$30.65|$50.00|||$50.00|$50.00|$5.01|$17.50|$22.50|$25.00|$18.75|$18.44|$12.68|$12.68
"CPT® 82565"|"HB CREATININE, POINT-OF-CARE"|301.00|$91.00|$10.58|$72.80|$64.00|$36.40|$32.03|$20.38||$36.40|$72.80|$51.69||$27.76|$34.58|$55.78|$55.00|||$56.00|$52.00|$10.58|$31.85|$40.95|$45.50|$34.13|$33.55|$23.08|$23.08
"CPT® 82565"|"HB CREATININE, POINT-OF-CARE (MOD 59)"|301.00|$91.00|$10.58|$72.80|$64.00|$36.40|$32.03|$20.38||$36.40|$72.80|$51.69||$27.76|$34.58|$55.78|$55.00|||$56.00|$52.00|$10.58|$31.85|$40.95|$45.50|$34.13|$33.55|$23.08|$23.08
"CPT® 82810"|"HB OXYHEMOGLOBIN, AVOXIMETER (POC)"|301.00|$53.00|$11.87|$53.00|$37.00|$21.20|$18.66|$11.87||$21.20|$42.40|$30.10||$16.17|$20.14|$32.49|$53.00|||$53.00|$52.00|$18.38|$18.38|$23.63|$26.25|$19.88|$19.54|$13.44|$13.44
"CPT® 83986"|"HB PH, BODY FLUID (POC)"|301.00|$9.00|$2.02|$9.00|$6.00|$3.60|$3.17|$2.02||$3.60|$7.20|$5.11||$2.75|$3.42|$5.52|$9.00|||$9.00|$9.00|$7.80|$3.15|$4.05|$4.50|$3.38|$3.32|$2.28|$2.28
"CPT® 82803"|"HB ARTERIAL BLOOD GAS (POC)"|301.00|$101.00|$22.62|$80.80|$71.00|$40.40|$35.55|$22.62||$40.40|$80.80|$57.37||$30.81|$38.38|$61.91|$55.00|||$56.00|$52.00|$41.21|$35.35|$45.45|$50.50|$37.88|$37.24|$25.61|$25.61
"CPT® 82803"|"HB VENOUS BLOOD GAS (POC)"|301.00|$101.00|$22.62|$80.80|$71.00|$40.40|$35.55|$22.62||$40.40|$80.80|$57.37||$30.81|$38.38|$61.91|$55.00|||$56.00|$52.00|$41.21|$35.35|$45.45|$50.50|$37.88|$37.24|$25.61|$25.61
"HCPCS G0480"|"HB ACETOMINOPHEN ASSAY"|301.00|$174.00|$38.98|$139.20|$122.00|$69.60|$61.25|$38.98||$69.60|$139.20|$98.83||$53.07|$66.12|$106.66|$68.94|||$56.00|$52.00|$124.19|$63.88|$82.13|$91.25|$65.25|$64.15|$44.13|$44.13
"CPT® 82040"|"HB ALBUMIN ASSAY"|301.00|$48.00|$10.58|$48.00|$34.00|$19.20|$16.90|$10.75||$19.20|$38.40|$27.26||$14.64|$18.24|$29.42|$48.00|||$48.00|$48.00|$10.58|$16.80|$21.60|$24.00|$18.00|$17.70|$12.17|$12.17
"CPT® 82042"|"HB ALBUMIN, FLUID"|301.00|$17.00|$3.81|$17.00|$12.00|$6.80|$5.98|$3.81||$6.80|$13.60|$9.66||$5.19|$6.46|$10.42|$17.00|||$17.00|$17.00|$11.13|$5.95|$7.65|$8.50|$6.38|$6.27|$4.31|$4.31
"HCPCS G0480"|"HB ALCOHOL LEVEL"|301.00|$251.00|$52.00|$200.80|$176.00|$100.40|$88.35|$56.22||$100.40|$200.80|$142.57||$76.56|$95.38|$153.86|$99.45|||$56.00|$52.00|$124.19|$92.23|$118.58|$131.75|$94.13|$92.54|$63.65|$63.65
"CPT® 84075"|"HB ALKALINE PHOSPHATASE"|301.00|$48.00|$10.75|$48.00|$34.00|$19.20|$16.90|$10.75||$19.20|$38.40|$27.26||$14.64|$18.24|$29.42|$48.00|||$48.00|$48.00|$11.13|$16.80|$21.60|$24.00|$18.00|$17.70|$12.17|$12.17
"CPT® 82105"|"HB ALPHA FETOPROTEIN"|301.00|$190.00|$35.64|$152.00|$133.00|$76.00|$66.88|$42.56||$76.00|$152.00|$107.92||$57.95|$72.20|$116.47|$55.00|||$56.00|$52.00|$35.64|$66.50|$85.50|$95.00|$71.25|$70.05|$48.18|$48.18
"CPT® 80150"|"HB AMIKACIN ASSAY"|301.00|$125.00|$28.00|$100.00|$88.00|$50.00|$44.00|$28.00||$50.00|$100.00|$71.00||$38.13|$47.50|$76.63|$55.00|||$56.00|$52.00|$31.74|$43.75|$56.25|$62.50|$46.88|$46.09|$31.70|$31.70
"CPT® 82140"|"HB AMMONIA ASSAY"|301.00|$214.00|$30.63|$171.20|$150.00|$85.60|$75.33|$47.94||$85.60|$171.20|$121.55||$65.27|$81.32|$131.18|$55.00|||$56.00|$52.00|$30.63|$74.90|$96.30|$107.00|$80.25|$78.90|$54.27|$54.27
"CPT® 82150"|"HB AMYLASE ASSAY"|301.00|$93.00|$13.92|$74.40|$65.00|$37.20|$32.74|$20.83||$37.20|$74.40|$52.82||$28.37|$35.34|$57.01|$55.00|||$56.00|$52.00|$13.92|$32.55|$41.85|$46.50|$34.88|$34.29|$23.58|$23.58
"CPT® 80048"|"HB BASIC CHEMISTRY PANEL"|301.00|$250.00|$17.82|$200.00|$175.00|$100.00|$88.00|$56.00||$100.00|$200.00|$142.00||$76.25|$95.00|$153.25|$55.00|||$56.00|$52.00|$17.82|$87.50|$112.50|$125.00|$93.75|$92.18|$63.40|$63.40
"CPT® 84702"|"HB BETA HCG, QUANTITATIVE"|301.00|$224.00|$31.74|$179.20|$157.00|$89.60|$78.85|$50.18||$89.60|$179.20|$127.23||$68.32|$85.12|$137.31|$55.00|||$56.00|$52.00|$31.74|$78.40|$100.80|$112.00|$84.00|$82.59|$56.81|$56.81
"CPT® 82248"|"HB BILIRUBIN, DIRECT"|301.00|$78.00|$10.58|$62.40|$55.00|$31.20|$27.46|$17.47||$31.20|$62.40|$44.30||$23.79|$29.64|$47.81|$55.00|||$56.00|$52.00|$10.58|$27.30|$35.10|$39.00|$29.25|$28.76|$19.78|$19.78
"CPT® 82247"|"HB BILIRUBIN, TOTAL"|301.00|$48.00|$10.58|$48.00|$34.00|$19.20|$16.90|$10.75||$19.20|$38.40|$27.26||$14.64|$18.24|$29.42|$48.00|||$48.00|$48.00|$10.58|$16.80|$21.60|$24.00|$18.00|$17.70|$12.17|$12.17
"CPT® 83880"|"HB B-NATRIURETIC PEPTIDE (BNP)"|301.00|$240.00|$52.00|$192.00|$168.00|$96.00|$84.48|$53.76||$96.00|$192.00|$136.32||$73.20|$91.20|$147.12|$55.00|||$56.00|$52.00|$71.84|$84.00|$108.00|$120.00|$90.00|$88.49|$60.86|$60.86
"CPT® 82330"|"HB CALCIUM, IONIZED"|301.00|$236.00|$28.95|$188.80|$165.00|$94.40|$83.07|$52.86||$94.40|$188.80|$134.05||$71.98|$89.68|$144.67|$55.00|||$56.00|$52.00|$28.95|$82.60|$106.20|$118.00|$88.50|$87.01|$59.85|$59.85
"CPT® 82310"|"HB CALCIUM, TOTAL"|301.00|$48.00|$10.75|$48.00|$34.00|$19.20|$16.90|$10.75||$19.20|$38.40|$27.26||$14.64|$18.24|$29.42|$48.00|||$48.00|$48.00|$11.13|$16.80|$21.60|$24.00|$18.00|$17.70|$12.17|$12.17
"CPT® 82340"|"HB CALCIUM, URINE, QUANTITATIVE"|301.00|$59.00|$12.81|$56.00|$41.00|$23.60|$20.77|$13.22||$23.60|$47.20|$33.51||$18.00|$22.42|$36.17|$55.00|||$56.00|$52.00|$12.81|$20.65|$26.55|$29.50|$22.13|$21.75|$14.96|$14.96
"CPT® 80156"|"HB CARBAMAZEPINE ASSAY"|301.00|$166.00|$30.63|$132.80|$116.00|$66.40|$58.43|$37.18||$66.40|$132.80|$94.29||$50.63|$63.08|$101.76|$55.00|||$56.00|$52.00|$30.63|$58.10|$74.70|$83.00|$62.25|$61.20|$42.10|$42.10
"CPT® 82374"|"HB CARBON DIOXIDE"|301.00|$48.00|$10.58|$48.00|$34.00|$19.20|$16.90|$10.75||$19.20|$38.40|$27.26||$14.64|$18.24|$29.42|$48.00|||$48.00|$48.00|$10.58|$16.80|$21.60|$24.00|$18.00|$17.70|$12.17|$12.17
"CPT® 82378"|"HB CARCINOEMBRYONIC ANTIGEN (CEA)"|301.00|$244.00|$40.10|$195.20|$171.00|$97.60|$85.89|$54.66||$97.60|$195.20|$138.59||$74.42|$92.72|$149.57|$55.00|||$56.00|$52.00|$40.10|$85.40|$109.80|$122.00|$91.50|$89.96|$61.88|$61.88
"CPT® 82435"|"HB CHLORIDE, BLOOD"|301.00|$48.00|$9.47|$48.00|$34.00|$19.20|$16.90|$10.75||$19.20|$38.40|$27.26||$14.64|$18.24|$29.42|$48.00|||$48.00|$48.00|$9.47|$16.80|$21.60|$24.00|$18.00|$17.70|$12.17|$12.17
"CPT® 82436"|"HB CHLORIDE, URINE"|301.00|$59.00|$10.58|$56.00|$41.00|$23.60|$20.77|$13.22||$23.60|$47.20|$33.51||$18.00|$22.42|$36.17|$55.00|||$56.00|$52.00|$10.58|$20.65|$26.55|$29.50|$22.13|$21.75|$14.96|$14.96
"CPT® 84311"|"HB CHOLESTEROL, FLUID"|301.00|$22.00|$4.93|$22.00|$15.00|$8.80|$7.74|$4.93||$8.80|$17.60|$12.50||$6.71|$8.36|$13.49|$22.00|||$22.00|$22.00|$15.03|$5.95|$8.03|$8.92|$8.25|$8.11|$5.58|$5.58
"CPT® 82465"|"HB CHOLESTEROL, TOTAL"|301.00|$62.00|$9.47|$56.00|$43.00|$24.80|$21.82|$13.89||$24.80|$49.60|$35.22||$18.91|$23.56|$38.01|$55.00|||$56.00|$52.00|$9.47|$21.70|$27.90|$31.00|$23.25|$22.86|$15.72|$15.72
"CPT® 82553"|"HB CK-MB FRACTION"|301.00|$134.00|$24.50|$107.20|$94.00|$53.60|$47.17|$30.02||$53.60|$107.20|$76.11||$40.87|$50.92|$82.14|$55.00|||$56.00|$52.00|$24.50|$46.90|$60.30|$67.00|$50.25|$49.41|$33.98|$33.98
"CPT® 80053"|"HB COMPREHENSIVE CHEMISTRY PANEL"|301.00|$350.00|$22.28|$280.00|$245.00|$140.00|$123.20|$78.40||$140.00|$280.00|$198.80||$106.75|$133.00|$214.55|$55.00|||$56.00|$52.00|$22.28|$122.50|$157.50|$175.00|$131.25|$129.05|$88.76|$88.76
"CPT® 82533"|"HB CORTISOL, TOTAL"|301.00|$243.00|$34.53|$194.40|$170.00|$97.20|$85.54|$54.43||$97.20|$194.40|$138.02||$74.12|$92.34|$148.96|$55.00|||$56.00|$52.00|$34.53|$85.05|$109.35|$121.50|$91.13|$89.59|$61.62|$61.62
"CPT® 82550"|"HB CREATINE PHOSPHOKINASE (CPK)"|301.00|$81.00|$13.92|$64.80|$57.00|$32.40|$28.51|$18.14||$32.40|$64.80|$46.01||$24.71|$30.78|$49.65|$55.00|||$56.00|$52.00|$13.92|$28.35|$36.45|$40.50|$30.38|$29.86|$20.54|$20.54
"CPT® 82565"|"HB CREATININE"|301.00|$91.00|$10.58|$72.80|$64.00|$36.40|$32.03|$20.38||$36.40|$72.80|$51.69||$27.76|$34.58|$55.78|$55.00|||$56.00|$52.00|$10.58|$31.85|$40.95|$45.50|$34.13|$33.55|$23.08|$23.08
"CPT® 82575"|"HB CREATININE CLEARANCE"|301.00|$126.00|$20.04|$100.80|$88.00|$50.40|$44.35|$28.22||$50.40|$100.80|$71.57||$38.43|$47.88|$77.24|$55.00|||$56.00|$52.00|$20.04|$44.10|$56.70|$63.00|$47.25|$46.46|$31.95|$31.95
"CPT® 82570"|"HB CREATININE, OTHER SOURCE"|301.00|$79.00|$11.13|$63.20|$55.00|$31.60|$27.81|$17.70||$31.60|$63.20|$44.87||$24.10|$30.02|$48.43|$55.00|||$56.00|$52.00|$11.13|$27.65|$35.55|$39.50|$29.63|$29.13|$20.03|$20.03
"CPT® 80162"|"HB DIGOXIN ASSAY"|301.00|$146.00|$28.40|$116.80|$102.00|$58.40|$51.39|$32.70||$58.40|$116.80|$82.93||$44.53|$55.48|$89.50|$55.00|||$56.00|$52.00|$28.40|$51.10|$65.70|$73.00|$54.75|$53.83|$37.03|$37.03
"HCPCS 80307"|"HB DRUGS OF ABUSE SCREEN, QUALITATIVE"|301.00|$331.00|$52.00|$264.80|$232.00|$132.40|$116.51|$74.14||$132.40|$264.80|$188.01||$100.96|$125.78|$202.90|$55.00|||$56.00|$52.00|$79.27|$90.48|$123.00|$136.67|$124.13|$122.04|$83.94|$83.94
"CPT® 80051"|"HB ELECTROLYTE PANEL"|301.00|$96.00|$15.03|$76.80|$67.00|$38.40|$33.79|$21.50||$38.40|$76.80|$54.53||$29.28|$36.48|$58.85|$55.00|||$56.00|$52.00|$15.03|$32.03|$41.18|$45.75|$36.00|$35.40|$24.35|$24.35
"CPT® 80169"|"HB EVEROLIMUS LEVEL"|301.00|$376.00|$28.95|$300.80|$263.00|$150.40|$132.35|$84.22||$150.40|$300.80|$213.57||$114.68|$142.88|$230.49|$55.00|||$56.00|$52.00|$28.95|$138.25|$177.75|$197.50|$141.00|$138.63|$95.35|$95.35
"CPT® 82728"|"HB FERRITIN"|301.00|$165.00|$28.95|$132.00|$115.00|$66.00|$58.08|$36.96||$66.00|$132.00|$93.72||$50.33|$62.70|$101.15|$55.00|||$56.00|$52.00|$28.95|$57.75|$74.25|$82.50|$61.88|$60.84|$41.84|$41.84
"CPT® 82746"|"HB FOLIC ACID"|301.00|$138.00|$30.91|$110.40|$97.00|$55.20|$48.58|$30.91||$55.20|$110.40|$78.38||$42.09|$52.44|$84.59|$55.00|||$56.00|$52.00|$31.19|$48.30|$62.10|$69.00|$51.75|$50.88|$35.00|$35.00
"CPT® 82747"|"HB FOLIC ACID, RED CELL"|301.00|$232.00|$36.75|$185.60|$162.00|$92.80|$81.66|$51.97||$92.80|$185.60|$131.78||$70.76|$88.16|$142.22|$55.00|||$56.00|$52.00|$36.75|$81.20|$104.40|$116.00|$87.00|$85.54|$58.84|$58.84
"CPT® 83001"|"HB FOLLICLE STIMULATING HORMONE (FSH)"|301.00|$137.00|$30.69|$109.60|$96.00|$54.80|$48.22|$30.69||$54.80|$109.60|$77.82||$41.79|$52.06|$83.98|$55.00|||$56.00|$52.00|$39.54|$47.78|$61.43|$68.25|$51.38|$50.51|$34.74|$34.74
"CPT® 82977"|"HB GAMMA GLUTAMYL TRANSPEPTIDASE (GGT)"|301.00|$48.00|$10.75|$48.00|$34.00|$19.20|$16.90|$10.75||$19.20|$38.40|$27.26||$14.64|$18.24|$29.42|$48.00|||$48.00|$48.00|$15.03|$16.80|$21.60|$24.00|$18.00|$17.70|$12.17|$12.17
"CPT® 80170"|"HB GENTAMYCIN ASSAY"|301.00|$152.00|$34.05|$121.60|$106.00|$60.80|$53.50|$34.05||$60.80|$121.60|$86.34||$46.36|$57.76|$93.18|$55.00|||$56.00|$52.00|$34.53|$53.20|$68.40|$76.00|$57.00|$56.04|$38.55|$38.55
"CPT® 82947"|"HB GLUCOSE ASSAY"|301.00|$61.00|$8.36|$56.00|$43.00|$24.40|$21.47|$13.66||$24.40|$48.80|$34.65||$18.61|$23.18|$37.39|$55.00|||$56.00|$52.00|$8.36|$21.35|$27.45|$30.50|$22.88|$22.49|$15.47|$15.47
"CPT® 82951"|"HB GLUCOSE TOLERANCE, 2 HR OB"|301.00|$90.00|$20.16|$72.00|$63.00|$36.00|$31.68|$20.16||$36.00|$72.00|$51.12||$27.45|$34.20|$55.17|$55.00|||$56.00|$52.00|$27.29|$31.50|$40.50|$45.00|$33.75|$33.18|$22.82|$22.82
"CPT® 82951"|"HB GLUCOSE TOLERANCE, 3 HRS"|301.00|$160.00|$27.29|$128.00|$112.00|$64.00|$56.32|$35.84||$64.00|$128.00|$90.88||$48.80|$60.80|$98.08|$55.00|||$56.00|$52.00|$27.29|$56.00|$72.00|$80.00|$60.00|$58.99|$40.58|$40.58
"CPT® 82952"|"HB GLUCOSE TOLERANCE, EACH ADDITIONAL ASSAY"|301.00|$48.00|$8.36|$48.00|$34.00|$19.20|$16.90|$10.75||$19.20|$38.40|$27.26||$14.64|$18.24|$29.42|$48.00|||$48.00|$48.00|$8.36|$16.80|$21.60|$24.00|$18.00|$17.70|$12.17|$12.17
"CPT® 82945"|"HB GLUCOSE, BODY FLUID"|301.00|$90.00|$8.36|$72.00|$63.00|$36.00|$31.68|$20.16||$36.00|$72.00|$51.12||$27.45|$34.20|$55.17|$55.00|||$56.00|$52.00|$8.36|$31.50|$40.50|$45.00|$33.75|$33.18|$22.82|$22.82
"CPT® 83718"|"HB HDL CHOLESTEROL"|301.00|$77.00|$17.25|$61.60|$54.00|$30.80|$27.10|$17.25||$30.80|$61.60|$43.74||$23.49|$29.26|$47.20|$55.00|||$56.00|$52.00|$17.27|$26.95|$34.65|$38.50|$28.88|$28.39|$19.53|$19.53
"CPT® 83036"|"HB HEMOGLOBIN A1C"|301.00|$134.00|$20.61|$107.20|$94.00|$53.60|$47.17|$30.02||$53.60|$107.20|$76.11||$40.87|$50.92|$82.14|$55.00|||$56.00|$52.00|$20.61|$46.90|$60.30|$67.00|$50.25|$49.41|$33.98|$33.98
"CPT® 83036"|"HB HEMOGLOBIN A1C (MOD59)"|301.00|$134.00|$20.61|$107.20|$94.00|$53.60|$47.17|$30.02||$53.60|$107.20|$76.11||$40.87|$50.92|$82.14|$55.00|||$56.00|$52.00|$20.61|$46.90|$60.30|$67.00|$50.25|$49.41|$33.98|$33.98
"CPT® 80076"|"HB HEPATIC FUNCTION PANEL"|301.00|$202.00|$17.27|$161.60|$141.00|$80.80|$71.10|$45.25||$80.80|$161.60|$114.74||$61.61|$76.76|$123.83|$55.00|||$56.00|$52.00|$17.27|$67.55|$86.85|$96.50|$75.75|$74.48|$51.23|$51.23
"CPT® 83090"|"HB HOMOCYSTEINE"|301.00|$225.00|$35.64|$180.00|$158.00|$90.00|$79.20|$50.40||$90.00|$180.00|$127.80||$68.63|$85.50|$137.93|$55.00|||$56.00|$52.00|$35.64|$78.75|$101.25|$112.50|$84.38|$82.96|$57.06|$57.06
"CPT® 83525"|"HB INSULIN LEVEL"|301.00|$67.00|$15.01|$56.00|$47.00|$26.80|$23.58|$15.01||$26.80|$53.60|$38.06||$20.44|$25.46|$41.07|$55.00|||$56.00|$52.00|$23.94|$23.45|$30.15|$33.50|$25.13|$24.70|$16.99|$16.99
"CPT® 83550"|"HB IRON BINDING CAPACITY"|301.00|$146.00|$18.38|$116.80|$102.00|$58.40|$51.39|$32.70||$58.40|$116.80|$82.93||$44.53|$55.48|$89.50|$55.00|||$56.00|$52.00|$18.38|$51.10|$65.70|$73.00|$54.75|$53.83|$37.03|$37.03
"CPT® 83540"|"HB IRON, TOTAL"|301.00|$90.00|$13.92|$72.00|$63.00|$36.00|$31.68|$20.16||$36.00|$72.00|$51.12||$27.45|$34.20|$55.17|$55.00|||$56.00|$52.00|$13.92|$31.50|$40.50|$45.00|$33.75|$33.18|$22.82|$22.82
"CPT® 80069"|"HB KIDNEY PANEL"|301.00|$189.00|$18.38|$151.20|$132.00|$75.60|$66.53|$42.34||$75.60|$151.20|$107.35||$57.65|$71.82|$115.86|$55.00|||$56.00|$52.00|$18.38|$63.18|$81.23|$90.25|$70.88|$69.68|$47.93|$47.93
"CPT® 83615"|"HB LACTATE DEHYDROGENASE (LDH)"|301.00|$92.00|$12.81|$73.60|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$55.00|||$56.00|$52.00|$12.81|$32.20|$41.40|$46.00|$34.50|$33.92|$23.33|$23.33
"CPT® 82951"|"HB LACTOSE TOLERANCE TEST"|301.00|$33.00|$7.39|$33.00|$23.00|$13.20|$11.62|$7.39||$13.20|$26.40|$18.74||$10.07|$12.54|$20.23|$33.00|||$33.00|$33.00|$27.29|$11.55|$14.85|$16.50|$12.38|$12.17|$8.37|$8.37
"CPT® 83690"|"HB LIPASE"|301.00|$100.00|$14.48|$80.00|$70.00|$40.00|$35.20|$22.40||$40.00|$80.00|$56.80||$30.50|$38.00|$61.30|$55.00|||$56.00|$52.00|$14.48|$35.00|$45.00|$50.00|$37.50|$36.87|$25.36|$25.36
"CPT® 80061"|"HB LIPID PANEL"|301.00|$210.00|$41.21|$168.00|$147.00|$84.00|$73.92|$47.04||$84.00|$168.00|$119.28||$64.05|$79.80|$128.73|$55.00|||$56.00|$52.00|$41.21|$73.50|$94.50|$105.00|$78.75|$77.43|$53.26|$53.26
"CPT® 80178"|"HB LITHIUM ASSAY"|301.00|$81.00|$13.92|$64.80|$57.00|$32.40|$28.51|$18.14||$32.40|$64.80|$46.01||$24.71|$30.78|$49.65|$55.00|||$56.00|$52.00|$13.92|$28.35|$36.45|$40.50|$30.38|$29.86|$20.54|$20.54
"CPT® 83002"|"HB LUTEINIZING HORMONE (LH)"|301.00|$137.00|$30.69|$109.60|$96.00|$54.80|$48.22|$30.69||$54.80|$109.60|$77.82||$41.79|$52.06|$83.98|$55.00|||$56.00|$52.00|$38.99|$47.78|$61.43|$68.25|$51.38|$50.51|$34.74|$34.74
"CPT® 83735"|"HB MAGNESIUM"|301.00|$92.00|$13.92|$73.60|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$55.00|||$56.00|$52.00|$13.92|$32.20|$41.40|$46.00|$34.50|$33.92|$23.33|$23.33
"CPT® 83930"|"HB OSMOLALITY, BLOOD"|301.00|$96.00|$13.92|$76.80|$67.00|$38.40|$33.79|$21.50||$38.40|$76.80|$54.53||$29.28|$36.48|$58.85|$55.00|||$56.00|$52.00|$13.92|$33.60|$43.20|$48.00|$36.00|$35.40|$24.35|$24.35
"CPT® 83935"|"HB OSMOLALITY, URINE"|301.00|$106.00|$14.48|$84.80|$74.00|$42.40|$37.31|$23.74||$42.40|$84.80|$60.21||$32.33|$40.28|$64.98|$55.00|||$56.00|$52.00|$14.48|$37.10|$47.70|$53.00|$39.75|$39.08|$26.88|$26.88
"CPT® 83970"|"HB PARATHYROID HORMONE, INTACT"|301.00|$383.00|$52.00|$306.40|$268.00|$153.20|$134.82|$85.79||$153.20|$306.40|$217.54||$116.82|$145.54|$234.78|$55.00|||$56.00|$52.00|$87.44|$134.05|$172.35|$191.50|$143.63|$141.21|$97.13|$97.13
"CPT® 83970"|"HB PARATHYROID HORMONE, INTEROPERATIVE"|301.00|$383.00|$52.00|$306.40|$268.00|$153.20|$134.82|$85.79||$153.20|$306.40|$217.54||$116.82|$145.54|$234.78|$55.00|||$56.00|$52.00|$87.44|$134.05|$172.35|$191.50|$143.63|$141.21|$97.13|$97.13
"CPT® 83986"|"HB PH, BODY FLUID"|301.00|$148.00|$7.80|$118.40|$104.00|$59.20|$52.10|$33.15||$59.20|$118.40|$84.06||$45.14|$56.24|$90.72|$55.00|||$56.00|$52.00|$7.80|$51.80|$66.60|$74.00|$55.50|$54.57|$37.53|$37.53
"CPT® 80184"|"HB PHENOBARBITAL ASSAY"|301.00|$125.00|$24.50|$100.00|$88.00|$50.00|$44.00|$28.00||$50.00|$100.00|$71.00||$38.13|$47.50|$76.63|$55.00|||$56.00|$52.00|$24.50|$43.75|$56.25|$62.50|$46.88|$46.09|$31.70|$31.70
"CPT® 80186"|"HB PHENYTOIN, FREE ASSAY"|301.00|$156.00|$28.95|$124.80|$109.00|$62.40|$54.91|$34.94||$62.40|$124.80|$88.61||$47.58|$59.28|$95.63|$55.00|||$56.00|$52.00|$28.95|$54.60|$70.20|$78.00|$58.50|$57.52|$39.56|$39.56
"CPT® 84100"|"HB PHOSPHORUS ASSAY"|301.00|$80.00|$10.02|$64.00|$56.00|$32.00|$28.16|$17.92||$32.00|$64.00|$45.44||$24.40|$30.40|$49.04|$55.00|||$56.00|$52.00|$10.02|$28.00|$36.00|$40.00|$30.00|$29.50|$20.29|$20.29
"CPT® 84105"|"HB PHOSPHORUS, URINE"|301.00|$75.00|$11.13|$60.00|$52.00|$30.00|$26.40|$16.80||$30.00|$60.00|$42.60||$22.88|$28.50|$45.98|$55.00|||$56.00|$52.00|$11.13|$26.25|$33.75|$37.50|$28.13|$27.65|$19.02|$19.02
"CPT® 82950"|"HB POST GLUCOSE DOSE ASSAY"|301.00|$58.00|$10.02|$56.00|$41.00|$23.20|$20.42|$12.99||$23.20|$46.40|$32.94||$17.69|$22.04|$35.55|$55.00|||$56.00|$52.00|$10.02|$20.30|$26.10|$29.00|$21.75|$21.38|$14.71|$14.71
"CPT® 84132"|"HB POTASSIUM ASSAY"|301.00|$57.00|$9.47|$56.00|$40.00|$22.80|$20.06|$12.77||$22.80|$45.60|$32.38||$17.39|$21.66|$34.94|$55.00|||$56.00|$52.00|$9.47|$19.95|$25.65|$28.50|$21.38|$21.02|$14.46|$14.46
"CPT® 84133"|"HB POTASSIUM, URINE"|301.00|$59.00|$8.91|$56.00|$41.00|$23.60|$20.77|$13.22||$23.60|$47.20|$33.51||$18.00|$22.42|$36.17|$55.00|||$56.00|$52.00|$8.91|$20.65|$26.55|$29.50|$22.13|$21.75|$14.96|$14.96
"CPT® 84134"|"HB PREALBUMIN ASSAY"|301.00|$57.00|$12.77|$56.00|$40.00|$22.80|$20.06|$12.77||$22.80|$45.60|$32.38||$17.39|$21.66|$34.94|$55.00|||$56.00|$52.00|$30.63|$19.95|$25.65|$28.50|$21.38|$21.02|$14.46|$14.46
"CPT® 84145"|"HB PROCALCITONIN ASSAY"|301.00|$166.00|$37.18|$132.80|$116.00|$66.40|$58.43|$37.18||$66.40|$132.80|$94.29||$50.63|$63.08|$101.76|$55.00|||$56.00|$52.00|$56.81|$58.10|$74.70|$83.00|$62.25|$61.20|$42.10|$42.10
"CPT® 84144"|"HB PROGESTERONE ASSAY"|301.00|$50.00|$11.20|$50.00|$35.00|$20.00|$17.60|$11.20||$20.00|$40.00|$28.40||$15.25|$19.00|$30.65|$50.00|||$50.00|$50.00|$44.00|$17.50|$22.50|$25.00|$18.75|$18.44|$12.68|$12.68
"CPT® 84146"|"HB PROLACTIN ASSAY"|301.00|$137.00|$30.69|$109.60|$96.00|$54.80|$48.22|$30.69||$54.80|$109.60|$77.82||$41.79|$52.06|$83.98|$55.00|||$56.00|$52.00|$41.21|$47.78|$61.43|$68.25|$51.38|$50.51|$34.74|$34.74
"HCPCS G0103"|"HB PROSTATE SPECIFIC ANTIGEN SCREEN"|301.00|$188.00|$38.99|$150.40|$132.00|$75.20|$66.18|$42.11||$75.20|$150.40|$106.78||$57.34|$71.44|$115.24|$74.49|||$56.00|$52.00|$38.99|$65.80|$84.60|$94.00|$70.50|$69.32|$47.68|$47.68
"CPT® 84153"|"HB PROSTATE SPECIFIC ANTIGEN, TOTAL"|301.00|$185.00|$38.99|$148.00|$130.00|$74.00|$65.12|$41.44||$74.00|$148.00|$105.08||$56.43|$70.30|$113.41|$55.00|||$56.00|$52.00|$38.99|$64.75|$83.25|$92.50|$69.38|$68.21|$46.92|$46.92
"CPT® 84154"|"HB PROSTATE SPECIFIC ANTIGEN, FREE"|301.00|$103.00|$23.07|$82.40|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$55.00|||$56.00|$52.00|$38.99|$36.05|$46.35|$51.50|$38.63|$37.98|$26.12|$26.12
"CPT® 84157"|"HB PROTEIN, TOTAL, OTHER"|301.00|$88.00|$7.80|$70.40|$62.00|$35.20|$30.98|$19.71||$35.20|$70.40|$49.98||$26.84|$33.44|$53.94|$55.00|||$56.00|$52.00|$7.80|$30.80|$39.60|$44.00|$33.00|$32.45|$22.32|$22.32
"CPT® 84155"|"HB PROTEIN, TOTAL, SERUM"|301.00|$51.00|$7.80|$51.00|$36.00|$20.40|$17.95|$11.42||$20.40|$40.80|$28.97||$15.56|$19.38|$31.26|$51.00|||$51.00|$51.00|$7.80|$17.85|$22.95|$25.50|$19.13|$18.80|$12.93|$12.93
"CPT® 84156"|"HB PROTEIN, TOTAL, URINE"|301.00|$59.00|$7.80|$56.00|$41.00|$23.60|$20.77|$13.22||$23.60|$47.20|$33.51||$18.00|$22.42|$36.17|$55.00|||$56.00|$52.00|$7.80|$20.65|$26.55|$29.50|$22.13|$21.75|$14.96|$14.96
"HCPCS G0480"|"HB SALICYLATE ASSAY"|301.00|$129.00|$28.90|$124.19|$90.00|$51.60|$45.41|$28.90||$51.60|$103.20|$73.27||$39.35|$49.02|$79.08|$51.11|||$56.00|$52.00|$124.19|$47.43|$60.98|$67.75|$48.38|$47.56|$32.71|$32.71
"CPT® 84450"|"HB SGOT (AST)"|301.00|$48.00|$10.75|$48.00|$34.00|$19.20|$16.90|$10.75||$19.20|$38.40|$27.26||$14.64|$18.24|$29.42|$48.00|||$48.00|$48.00|$11.13|$16.80|$21.60|$24.00|$18.00|$17.70|$12.17|$12.17
"CPT® 84460"|"HB SGPT (ALT)"|301.00|$48.00|$10.75|$48.00|$34.00|$19.20|$16.90|$10.75||$19.20|$38.40|$27.26||$14.64|$18.24|$29.42|$48.00|||$48.00|$48.00|$11.13|$16.80|$21.60|$24.00|$18.00|$17.70|$12.17|$12.17
"CPT® 84295"|"HB SODIUM ASSAY"|301.00|$107.00|$10.02|$85.60|$75.00|$42.80|$37.66|$23.97||$42.80|$85.60|$60.78||$32.64|$40.66|$65.59|$55.00|||$56.00|$52.00|$10.02|$37.45|$48.15|$53.50|$40.13|$39.45|$27.14|$27.14
"CPT® 84300"|"HB SODIUM, URINE"|301.00|$59.00|$10.58|$56.00|$41.00|$23.60|$20.77|$13.22||$23.60|$47.20|$33.51||$18.00|$22.42|$36.17|$55.00|||$56.00|$52.00|$10.58|$20.65|$26.55|$29.50|$22.13|$21.75|$14.96|$14.96
"CPT® 84315"|"HB SPECIFIC GRAVITY, BODY FLUID"|301.00|$30.00|$5.57|$30.00|$21.00|$12.00|$10.56|$6.72||$12.00|$24.00|$17.04||$9.15|$11.40|$18.39|$30.00|||$30.00|$30.00|$5.57|$10.50|$13.50|$15.00|$11.25|$11.06|$7.61|$7.61
"CPT® 84481"|"HB T3, FREE"|301.00|$57.00|$12.77|$56.00|$40.00|$22.80|$20.06|$12.77||$22.80|$45.60|$32.38||$17.39|$21.66|$34.94|$55.00|||$56.00|$52.00|$35.64|$19.95|$25.65|$28.50|$21.38|$21.02|$14.46|$14.46
"CPT® 84480"|"HB T3, TOTAL"|301.00|$166.00|$30.08|$132.80|$116.00|$66.40|$58.43|$37.18||$66.40|$132.80|$94.29||$50.63|$63.08|$101.76|$55.00|||$56.00|$52.00|$30.08|$58.10|$74.70|$83.00|$62.25|$61.20|$42.10|$42.10
"CPT® 84436"|"HB T4"|301.00|$150.00|$14.48|$120.00|$105.00|$60.00|$52.80|$33.60||$60.00|$120.00|$85.20||$45.75|$57.00|$91.95|$55.00|||$56.00|$52.00|$14.48|$52.50|$67.50|$75.00|$56.25|$55.31|$38.04|$38.04
"CPT® 84439"|"HB T4, FREE"|301.00|$138.00|$18.93|$110.40|$97.00|$55.20|$48.58|$30.91||$55.20|$110.40|$78.38||$42.09|$52.44|$84.59|$55.00|||$56.00|$52.00|$18.93|$48.30|$62.10|$69.00|$51.75|$50.88|$35.00|$35.00
"CPT® 84403"|"HB TESTOSTERONE, TOTAL"|301.00|$318.00|$52.00|$254.40|$223.00|$127.20|$111.94|$71.23||$127.20|$254.40|$180.62||$96.99|$120.84|$194.93|$55.00|||$56.00|$52.00|$54.57|$111.30|$143.10|$159.00|$119.25|$117.25|$80.64|$80.64
"CPT® 80198"|"HB THEOPHYLLINE ASSAY"|301.00|$125.00|$28.00|$100.00|$88.00|$50.00|$44.00|$28.00||$50.00|$100.00|$71.00||$38.13|$47.50|$76.63|$55.00|||$56.00|$52.00|$30.08|$43.75|$56.25|$62.50|$46.88|$46.09|$31.70|$31.70
"CPT® 84443"|"HB THYROID STIMULATING HORMONE (TSH)"|301.00|$186.00|$35.64|$148.80|$130.00|$74.40|$65.47|$41.66||$74.40|$148.80|$105.65||$56.73|$70.68|$114.02|$55.00|||$56.00|$52.00|$35.64|$65.10|$83.70|$93.00|$69.75|$68.58|$47.17|$47.17
"CPT® 80200"|"HB TOBRAMYCIN ASSAY"|301.00|$158.00|$33.98|$126.40|$111.00|$63.20|$55.62|$35.39||$63.20|$126.40|$89.74||$48.19|$60.04|$96.85|$55.00|||$56.00|$52.00|$33.98|$55.30|$71.10|$79.00|$59.25|$58.25|$40.07|$40.07
"CPT® 84466"|"HB TRANSFERRIN"|301.00|$69.00|$15.46|$56.00|$48.00|$27.60|$24.29|$15.46||$27.60|$55.20|$39.19||$21.05|$26.22|$42.30|$55.00|||$56.00|$52.00|$27.29|$24.15|$31.05|$34.50|$25.88|$25.44|$17.50|$17.50
"CPT® 84478"|"HB TRIGLYCERIDES"|301.00|$62.00|$12.26|$56.00|$43.00|$24.80|$21.82|$13.89||$24.80|$49.60|$35.22||$18.91|$23.56|$38.01|$55.00|||$56.00|$52.00|$12.26|$21.70|$27.90|$31.00|$23.25|$22.86|$15.72|$15.72
"CPT® 84484"|"HB TROPONIN"|301.00|$195.00|$20.61|$156.00|$136.00|$78.00|$68.64|$43.68||$78.00|$156.00|$110.76||$59.48|$74.10|$119.54|$55.00|||$56.00|$52.00|$20.61|$68.25|$87.75|$97.50|$73.13|$71.90|$49.45|$49.45
"CPT® 84520"|"HB UREA NITROGEN ASSAY"|301.00|$48.00|$8.36|$48.00|$34.00|$19.20|$16.90|$10.75||$19.20|$38.40|$27.26||$14.64|$18.24|$29.42|$48.00|||$48.00|$48.00|$8.36|$16.80|$21.60|$24.00|$18.00|$17.70|$12.17|$12.17
"CPT® 84540"|"HB UREA NITROGEN, URINE"|301.00|$59.00|$10.02|$56.00|$41.00|$23.60|$20.77|$13.22||$23.60|$47.20|$33.51||$18.00|$22.42|$36.17|$55.00|||$56.00|$52.00|$10.02|$20.65|$26.55|$29.50|$22.13|$21.75|$14.96|$14.96
"CPT® 84550"|"HB URIC ACID ASSAY"|301.00|$90.00|$9.47|$72.00|$63.00|$36.00|$31.68|$20.16||$36.00|$72.00|$51.12||$27.45|$34.20|$55.17|$55.00|||$56.00|$52.00|$9.47|$31.50|$40.50|$45.00|$33.75|$33.18|$22.82|$22.82
"CPT® 84560"|"HB URIC ACID, URINE (24 HR)"|301.00|$59.00|$10.02|$56.00|$41.00|$23.60|$20.77|$13.22||$23.60|$47.20|$33.51||$18.00|$22.42|$36.17|$55.00|||$56.00|$52.00|$10.02|$20.65|$26.55|$29.50|$22.13|$21.75|$14.96|$14.96
"CPT® 80164"|"HB VALPROATE ASSAY"|301.00|$158.00|$28.95|$126.40|$111.00|$63.20|$55.62|$35.39||$63.20|$126.40|$89.74||$48.19|$60.04|$96.85|$55.00|||$56.00|$52.00|$28.95|$55.30|$71.10|$79.00|$59.25|$58.25|$40.07|$40.07
"CPT® 80202"|"HB VANCOMYCIN ASSAY"|301.00|$133.00|$28.95|$106.40|$93.00|$53.20|$46.82|$29.79||$53.20|$106.40|$75.54||$40.57|$50.54|$81.53|$55.00|||$56.00|$52.00|$28.95|$46.55|$59.85|$66.50|$49.88|$49.04|$33.73|$33.73
"CPT® 82607"|"HB VITAMIN B12 ASSAY"|301.00|$154.00|$31.74|$123.20|$108.00|$61.60|$54.21|$34.50||$61.60|$123.20|$87.47||$46.97|$58.52|$94.40|$55.00|||$56.00|$52.00|$31.74|$53.90|$69.30|$77.00|$57.75|$56.78|$39.05|$39.05
"CPT® 80176"|"HB LIDOCAINE, SERUM"|301.00|$290.00|$31.19|$232.00|$203.00|$116.00|$102.08|$64.96||$116.00|$232.00|$164.72||$88.45|$110.20|$177.77|$55.00|||$56.00|$52.00|$31.19|$72.10|$98.02|$108.92|$108.75|$106.92|$73.54|$73.54
"CPT® 80299"|"HB METHOTREXATE, SERUM"|301.00|$676.00|$28.95|$540.80|$473.00|$270.40|$237.95|$151.42||$270.40|$540.80|$383.97||$206.18|$256.88|$414.39|$55.00|||$56.00|$52.00|$28.95|$236.60|$304.20|$338.00|$253.50|$249.24|$171.43|$171.43
"CPT® 82043"|"HB MICROALBUMIN, URINE"|301.00|$82.00|$12.26|$65.60|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$55.00|||$56.00|$52.00|$12.26|$28.70|$36.90|$41.00|$30.75|$30.23|$20.80|$20.80
"CPT® 84153"|"HB PROSTATE HEALTH INDEX, TOTAL PSA"|301.00|$61.00|$13.66|$56.00|$43.00|$24.40|$21.47|$13.66||$24.40|$48.80|$34.65||$18.61|$23.18|$37.39|$55.00|||$56.00|$52.00|$38.99|$21.35|$27.45|$30.50|$22.88|$22.49|$15.47|$15.47
"CPT® 84154"|"HB PROSTATE HEALTH INDEX, FREE PSA"|301.00|$102.00|$22.85|$81.60|$71.00|$40.80|$35.90|$22.85||$40.80|$81.60|$57.94||$31.11|$38.76|$62.53|$55.00|||$56.00|$52.00|$38.99|$35.70|$45.90|$51.00|$38.25|$37.61|$25.87|$25.87
"CPT® 80180"|"HB MYCOPHENOLIC ACID, EIA"|301.00|$296.00|$38.43|$236.80|$207.00|$118.40|$104.19|$66.30||$118.40|$236.80|$168.13||$90.28|$112.48|$181.45|$55.00|||$56.00|$52.00|$38.43|$108.85|$139.95|$155.50|$111.00|$109.14|$75.07|$75.07
"CPT® 84560"|"HB URIC ACID, BODY FLUID"|301.00|$18.00|$4.03|$18.00|$13.00|$7.20|$6.34|$4.03||$7.20|$14.40|$10.22||$5.49|$6.84|$11.03|$18.00|||$18.00|$18.00|$10.02|$6.30|$8.10|$9.00|$6.75|$6.64|$4.56|$4.56
"CPT® 83520"|"HB ANTI-MULLERIAN HORMONE"|301.00|$212.00|$27.29|$169.60|$148.00|$84.80|$74.62|$47.49||$84.80|$169.60|$120.42||$64.66|$80.56|$129.96|$55.00|||$56.00|$52.00|$27.29|$57.26|$77.25|$85.83|$79.50|$78.16|$53.76|$53.76
"CPT® 83010"|"HB HAPTOGLOBIN"|301.00|$98.00|$21.95|$78.40|$69.00|$39.20|$34.50|$21.95||$39.20|$78.40|$55.66||$29.89|$37.24|$60.07|$55.00|||$56.00|$52.00|$26.73|$26.39|$35.63|$39.59|$36.75|$36.13|$24.85|$24.85
"CPT® 84145"|"HB PROCALCITONIN"|301.00|$245.00|$52.00|$196.00|$172.00|$98.00|$86.24|$54.88||$98.00|$196.00|$139.16||$74.73|$93.10|$150.19|$55.00|||$56.00|$52.00|$56.81|$66.08|$89.18|$99.09|$91.88|$90.33|$62.13|$62.13
"CPT® 80185"|"HB PHENYTOIN LEVEL"|301.00|$39.00|$8.74|$39.00|$27.00|$15.60|$13.73|$8.74||$15.60|$31.20|$22.15||$11.90|$14.82|$23.91|$39.00|||$39.00|$39.00|$27.84|$13.65|$17.55|$19.50|$14.63|$14.38|$9.89|$9.89
"CPT® 82010"|"HB BETA-HYDROXYBUTYRATE"|301.00|$381.00|$17.27|$304.80|$267.00|$152.40|$134.11|$85.34||$152.40|$304.80|$216.41||$116.21|$144.78|$233.55|$55.00|||$56.00|$52.00|$17.27|$102.90|$138.82|$154.25|$142.88|$140.47|$96.62|$96.62
"CPT® 84703"|"HB BETA-HCG, QUALITATIVE, SERUM"|301.00|$64.00|$14.34|$71.00|$45.00|$25.60|$22.53|$14.34||$25.60|$51.20|$36.35||$19.52|$24.32|$39.23|$55.00|||$56.00|$52.00|$16.16|$50.50|$63.90|$71.00|$24.00|$23.60|$16.23|$16.23
"CPT® 82239"|"HB BILE ACIDS, TOTAL"|301.00|$120.00|$26.88|$96.00|$84.00|$48.00|$42.24|$26.88||$48.00|$96.00|$68.16||$36.60|$45.60|$73.56|$55.00|||$56.00|$52.00|$36.20|$33.60|$45.00|$50.00|$45.00|$44.24|$30.43|$30.43
"CPT® 84145"|"HB PROCALCITONIN"|301.00|$195.00|$43.68|$156.00|$136.00|$78.00|$68.64|$43.68||$78.00|$156.00|$110.76||$59.48|$74.10|$119.54|$55.00|||$56.00|$52.00|$56.81|$68.25|$87.75|$97.50|$73.13|$71.90|$49.45|$49.45
"CPT® 82810"|"HB BLOOD GASES WITH O2 SATURATION"|301.00|$167.00|$18.38|$133.60|$117.00|$66.80|$58.78|$37.41||$66.80|$133.60|$94.86||$50.94|$63.46|$102.37|$55.00|||$56.00|$52.00|$18.38|$58.45|$75.15|$83.50|$62.63|$61.57|$42.35|$42.35
"CPT® 82810"|"HB BLOOD GASES, O2 SATURATION ONLY, DIRECT MEASURE"|301.00|$47.00|$10.53|$47.00|$33.00|$18.80|$16.54|$10.53||$18.80|$37.60|$26.70||$14.34|$17.86|$28.81|$47.00|||$47.00|$47.00|$18.38|$16.45|$21.15|$23.50|$17.63|$17.33|$11.92|$11.92
"CPT® 82805"|"HB BLOOD GASES, PRE-OXYGENATOR"|301.00|$167.00|$37.41|$133.60|$117.00|$66.80|$58.78|$37.41||$66.80|$133.60|$94.86||$50.94|$63.46|$102.37|$55.00|||$56.00|$52.00|$60.14|$58.45|$75.15|$83.50|$62.63|$61.57|$42.35|$42.35
"CPT® 82805"|"HB BLOOD GASES, POST-OXYGENATOR"|301.00|$167.00|$37.41|$133.60|$117.00|$66.80|$58.78|$37.41||$66.80|$133.60|$94.86||$50.94|$63.46|$102.37|$55.00|||$56.00|$52.00|$60.14|$58.45|$75.15|$83.50|$62.63|$61.57|$42.35|$42.35
"CPT® 82803"|"HB BLOOD GASES ANY COMBINATION"|301.00|$292.00|$41.21|$233.60|$204.00|$116.80|$102.78|$65.41||$116.80|$233.60|$165.86||$89.06|$110.96|$179.00|$55.00|||$56.00|$52.00|$41.21|$102.20|$131.40|$146.00|$109.50|$107.66|$74.05|$74.05
"CPT® 82805"|"HB ECMO PRE-OXYGENATOR"|301.00|$67.00|$15.01|$60.14|$47.00|$26.80|$23.58|$15.01||$26.80|$53.60|$38.06||$20.44|$25.46|$41.07|$55.00|||$56.00|$52.00|$60.14|$23.45|$30.15|$33.50|$25.13|$24.70|$16.99|$16.99
"CPT® 82805"|"HB ECMO POST-OXYGENATOR"|301.00|$67.00|$15.01|$60.14|$47.00|$26.80|$23.58|$15.01||$26.80|$53.60|$38.06||$20.44|$25.46|$41.07|$55.00|||$56.00|$52.00|$60.14|$23.45|$30.15|$33.50|$25.13|$24.70|$16.99|$16.99
"CPT® 82330"|"HB CALCIUM, IONIZED (BG)"|301.00|$236.00|$28.95|$188.80|$165.00|$94.40|$83.07|$52.86||$94.40|$188.80|$134.05||$71.98|$89.68|$144.67|$55.00|||$56.00|$52.00|$28.95|$82.60|$106.20|$118.00|$88.50|$87.01|$59.85|$59.85
"CPT® 82375"|"HB CARBOXYHEMOGLOBIN, QUANT (BG)"|301.00|$37.00|$8.29|$37.00|$26.00|$14.80|$13.02|$8.29||$14.80|$29.60|$21.02||$11.29|$14.06|$22.68|$37.00|||$37.00|$37.00|$26.18|$12.95|$16.65|$18.50|$13.88|$13.64|$9.38|$9.38
"CPT® 82947"|"HB GLUCOSE, BLOOD, (BG)"|301.00|$61.00|$8.36|$56.00|$43.00|$24.40|$21.47|$13.66||$24.40|$48.80|$34.65||$18.61|$23.18|$37.39|$55.00|||$56.00|$52.00|$8.36|$21.35|$27.45|$30.50|$22.88|$22.49|$15.47|$15.47
"CPT® 82947"|"HB GLUCOSE, BLOOD, (MOD-59) (BG)"|301.00|$61.00|$8.36|$56.00|$43.00|$24.40|$21.47|$13.66||$24.40|$48.80|$34.65||$18.61|$23.18|$37.39|$55.00|||$56.00|$52.00|$8.36|$21.35|$27.45|$30.50|$22.88|$22.49|$15.47|$15.47
"CPT® 83050"|"HB HEMOGLOBIN, METHEMOGLOBIN, QUANT (BG)"|301.00|$37.00|$8.29|$37.00|$26.00|$14.80|$13.02|$8.29||$14.80|$29.60|$21.02||$11.29|$14.06|$22.68|$37.00|||$37.00|$37.00|$15.59|$12.95|$16.65|$18.50|$13.88|$13.64|$9.38|$9.38
"CPT® 83605"|"HB LACTIC ACID (BG)"|301.00|$254.00|$22.83|$203.20|$178.00|$101.60|$89.41|$56.90||$101.60|$203.20|$144.27||$77.47|$96.52|$155.70|$55.00|||$56.00|$52.00|$22.83|$88.90|$114.30|$127.00|$95.25|$93.65|$64.41|$64.41
"CPT® 82800"|"HB PH, BLOOD (BG)"|301.00|$81.00|$17.82|$64.80|$57.00|$32.40|$28.51|$18.14||$32.40|$64.80|$46.01||$24.71|$30.78|$49.65|$55.00|||$56.00|$52.00|$17.82|$28.35|$36.45|$40.50|$30.38|$29.86|$20.54|$20.54
"CPT® 83986"|"HB PH, BODY FLUID, NOS (BG)"|301.00|$133.00|$7.80|$106.40|$93.00|$53.20|$46.82|$29.79||$53.20|$106.40|$75.54||$40.57|$50.54|$81.53|$55.00|||$56.00|$52.00|$7.80|$46.55|$59.85|$66.50|$49.88|$49.04|$33.73|$33.73
"CPT® 84132"|"HB POTASSIUM, BLOOD (BG)"|301.00|$57.00|$9.47|$56.00|$40.00|$22.80|$20.06|$12.77||$22.80|$45.60|$32.38||$17.39|$21.66|$34.94|$55.00|||$56.00|$52.00|$9.47|$19.95|$25.65|$28.50|$21.38|$21.02|$14.46|$14.46
"CPT® 84132"|"HB POTASSIUM, BLOOD (MOD-59) (BG)"|301.00|$57.00|$9.47|$56.00|$40.00|$22.80|$20.06|$12.77||$22.80|$45.60|$32.38||$17.39|$21.66|$34.94|$55.00|||$56.00|$52.00|$9.47|$19.95|$25.65|$28.50|$21.38|$21.02|$14.46|$14.46
"CPT® 84295"|"HB SODIUM, BLOOD (BG)"|301.00|$107.00|$10.02|$85.60|$75.00|$42.80|$37.66|$23.97||$42.80|$85.60|$60.78||$32.64|$40.66|$65.59|$55.00|||$56.00|$52.00|$10.02|$37.45|$48.15|$53.50|$40.13|$39.45|$27.14|$27.14
"CPT® 84295"|"HB SODIUM, BLOOD (MOD-59) (BG)"|301.00|$107.00|$10.02|$85.60|$75.00|$42.80|$37.66|$23.97||$42.80|$85.60|$60.78||$32.64|$40.66|$65.59|$55.00|||$56.00|$52.00|$10.02|$37.45|$48.15|$53.50|$40.13|$39.45|$27.14|$27.14
"CPT® 82570"|"HB ASSAY OF URINE CREATININE"|301.00|$79.00|$11.13|$63.20|$55.00|$31.60|$27.81|$17.70||$31.60|$63.20|$44.87||$24.10|$30.02|$48.43|$55.00|||$56.00|$52.00|$11.13|$27.65|$35.55|$39.50|$29.63|$29.13|$20.03|$20.03
"CPT® 83036"|"HB GLYCOSYLATED HEMOGLOBIN TEST"|301.00|$134.00|$20.61|$107.20|$94.00|$53.60|$47.17|$30.02||$53.60|$107.20|$76.11||$40.87|$50.92|$82.14|$55.00|||$56.00|$52.00|$20.61|$46.90|$60.30|$67.00|$50.25|$49.41|$33.98|$33.98
"CPT® 83498"|"HB 17 HYDROXYPROGESTERONE"|301.00|$434.00|$52.00|$347.20|$304.00|$173.60|$152.77|$97.22||$173.60|$347.20|$246.51||$132.37|$164.92|$266.04|$55.00|||$56.00|$52.00|$57.36|$112.70|$153.30|$170.33|$162.75|$160.02|$110.06|$110.06
"CPT® 83497"|"HB 5-HIAA, URINE, 24 HR"|301.00|$508.00|$27.29|$406.40|$356.00|$203.20|$178.82|$113.79||$203.20|$406.40|$288.54||$154.94|$193.04|$311.40|$55.00|||$56.00|$52.00|$27.29|$130.20|$177.60|$197.33|$190.50|$187.30|$128.83|$128.83
"CPT® 83915"|"HB 5-NUCLEOTIDASE"|301.00|$253.00|$23.39|$202.40|$177.00|$101.20|$89.06|$56.67||$101.20|$202.40|$143.70||$77.17|$96.14|$155.09|$55.00|||$56.00|$52.00|$23.39|$68.39|$92.25|$102.50|$94.88|$93.28|$64.16|$64.16
"CPT® 84066"|"HB ACID PHOSPHATASE, PROSTATIC, RIA"|301.00|$158.00|$20.61|$126.40|$111.00|$63.20|$55.62|$35.39||$63.20|$126.40|$89.74||$48.19|$60.04|$96.85|$55.00|||$56.00|$52.00|$20.61|$27.86|$41.70|$46.33|$59.25|$58.25|$40.07|$40.07
"CPT® 82024"|"HB ACTH"|301.00|$554.00|$52.00|$443.20|$388.00|$221.60|$195.01|$124.10||$221.60|$443.20|$314.67||$168.97|$210.52|$339.60|$55.00|||$56.00|$52.00|$81.86|$80.78|$128.10|$142.33|$207.75|$204.26|$140.49|$140.49
"CPT® 84311"|"HB ADENOSINE DEAMINASE, FLUID"|301.00|$286.00|$15.03|$228.80|$200.00|$114.40|$100.67|$64.06||$114.40|$228.80|$162.45||$87.23|$108.68|$175.32|$55.00|||$56.00|$52.00|$15.03|$73.22|$99.90|$111.00|$107.25|$105.45|$72.53|$72.53
"CPT® 82042"|"HB ALBUMIN, CSF"|301.00|$160.00|$11.13|$128.00|$112.00|$64.00|$56.32|$35.84||$64.00|$128.00|$90.88||$48.80|$60.80|$98.08|$55.00|||$56.00|$52.00|$11.13|$21.84|$35.40|$39.33|$60.00|$58.99|$40.58|$40.58
"CPT® 82040"|"HB ALBUMIN, SERUM"|301.00|$131.00|$10.58|$104.80|$92.00|$52.40|$46.11|$29.34||$52.40|$104.80|$74.41||$39.96|$49.78|$80.30|$55.00|||$56.00|$52.00|$10.58|$19.25|$30.45|$33.83|$49.13|$48.30|$33.22|$33.22
"CPT® 82085"|"HB ALDOLASE"|301.00|$212.00|$20.61|$169.60|$148.00|$84.80|$74.62|$47.49||$84.80|$169.60|$120.42||$64.66|$80.56|$129.96|$55.00|||$56.00|$52.00|$20.61|$54.60|$74.40|$82.67|$79.50|$78.16|$53.76|$53.76
"CPT® 82088"|"HB ALDOSTERONE, SERUM"|301.00|$743.00|$52.00|$594.40|$520.00|$297.20|$261.54|$166.43||$297.20|$594.40|$422.02||$226.62|$282.34|$455.46|$55.00|||$56.00|$52.00|$86.31|$190.61|$259.95|$288.83|$278.63|$273.94|$188.42|$188.42
"CPT® 82088"|"HB ALDOSTERONE, URINE"|301.00|$728.00|$52.00|$582.40|$510.00|$291.20|$256.26|$163.07||$291.20|$582.40|$413.50||$222.04|$276.64|$446.26|$55.00|||$56.00|$52.00|$86.31|$189.56|$257.70|$286.33|$273.00|$268.41|$184.62|$184.62
"CPT® 84080"|"HB ALKALINE PHOSPHATASE ISOENZYMES"|301.00|$87.00|$19.49|$69.60|$61.00|$34.80|$30.62|$19.49||$34.80|$69.60|$49.42||$26.54|$33.06|$53.33|$55.00|||$56.00|$52.00|$31.19|$23.52|$31.72|$35.25|$32.63|$32.08|$22.06|$22.06
"CPT® 82106"|"HB ALPHA FETOPROTEIN, AMNIOTIC FLUID"|301.00|$339.00|$35.64|$271.20|$237.00|$135.60|$119.33|$75.94||$135.60|$271.20|$192.55||$103.40|$128.82|$207.81|$55.00|||$56.00|$52.00|$35.64|$90.93|$122.85|$136.50|$127.13|$124.99|$85.97|$85.97
"CPT® 82105"|"HB ALPHA FETOPROTEIN, SERUM"|301.00|$360.00|$35.64|$288.00|$252.00|$144.00|$126.72|$80.64||$144.00|$288.00|$204.48||$109.80|$136.80|$220.68|$55.00|||$56.00|$52.00|$35.64|$60.20|$91.50|$101.67|$135.00|$132.73|$91.30|$91.30
"CPT® 82103"|"HB ALPHA-1-ANTITRYPSIN, TOTAL"|301.00|$247.00|$28.40|$197.60|$173.00|$98.80|$86.94|$55.33||$98.80|$197.60|$140.30||$75.34|$93.86|$151.41|$55.00|||$56.00|$52.00|$28.40|$104.09|$130.05|$144.50|$92.63|$91.07|$62.64|$62.64
"CPT® 82104"|"HB ALPHA-1-ANTITRYPSIN PHENOTYPE"|301.00|$127.00|$28.45|$101.60|$89.00|$50.80|$44.70|$28.45||$50.80|$101.60|$72.14||$38.74|$48.26|$77.85|$55.00|||$56.00|$52.00|$30.63|$37.87|$50.10|$55.67|$47.63|$46.82|$32.21|$32.21
"CPT® 80150"|"HB AMIKACIN LEVEL"|301.00|$376.00|$31.74|$300.80|$263.00|$150.40|$132.35|$84.22||$150.40|$300.80|$213.57||$114.68|$142.88|$230.49|$55.00|||$56.00|$52.00|$31.74|$47.32|$78.90|$87.67|$141.00|$138.63|$95.35|$95.35
"CPT® 82139"|"HB AMINO ACID PROFILE, QUANTITATIVE"|301.00|$1389.00|$35.64|$1111.20|$972.00|$555.60|$488.93|$311.14||$555.60|$1111.20|$788.95||$423.65|$527.82|$851.46|$55.00|||$56.00|$52.00|$35.64|$355.95|$485.55|$539.50|$520.88|$512.12|$352.25|$352.25
"CPT® 82135"|"HB AMINOLEVULINIC ACID, URINE"|301.00|$354.00|$35.09|$283.20|$248.00|$141.60|$124.61|$79.30||$141.60|$283.20|$201.07||$107.97|$134.52|$217.00|$55.00|||$56.00|$52.00|$35.09|$90.58|$123.60|$137.33|$132.75|$130.52|$89.77|$89.77
"CPT® 82542"|"HB AMIODARONE ASSAY"|301.00|$296.00|$38.43|$236.80|$207.00|$118.40|$104.19|$66.30||$118.40|$236.80|$168.13||$90.28|$112.48|$181.45|$55.00|||$56.00|$52.00|$38.43|$77.28|$105.00|$116.67|$111.00|$109.14|$75.07|$75.07
"CPT® 82157"|"HB ANDROSTENEDIONE LEVEL"|301.00|$467.00|$52.00|$373.60|$327.00|$186.80|$164.38|$104.61||$186.80|$373.60|$265.26||$142.44|$177.46|$286.27|$55.00|||$56.00|$52.00|$61.82|$121.73|$165.45|$183.83|$175.13|$172.18|$118.43|$118.43
"CPT® 82164"|"HB ANGIOTENSIN CONVERTING ENZYME"|301.00|$249.00|$31.19|$199.20|$174.00|$99.60|$87.65|$55.78||$99.60|$199.20|$141.43||$75.95|$94.62|$152.64|$55.00|||$56.00|$52.00|$31.19|$63.91|$87.15|$96.83|$93.38|$91.81|$63.15|$63.15
"CPT® 82164"|"HB ANGIOTENSIN CONVERTING ENZYME, CSF"|301.00|$249.00|$31.19|$199.20|$174.00|$99.60|$87.65|$55.78||$99.60|$199.20|$141.43||$75.95|$94.62|$152.64|$55.00|||$56.00|$52.00|$31.19|$47.39|$69.45|$77.17|$93.38|$91.81|$63.15|$63.15
"CPT® 84588"|"HB ANTIDIURETIC HORMONE VASOPRESSIN"|301.00|$272.00|$52.00|$217.60|$190.00|$108.80|$95.74|$60.93||$108.80|$217.60|$154.50||$82.96|$103.36|$166.74|$55.00|||$56.00|$52.00|$71.84|$73.43|$99.07|$110.09|$102.00|$100.29|$68.98|$68.98
"CPT® 82172"|"HB APOLIPOPROTEIN A-1"|301.00|$143.00|$32.03|$114.40|$100.00|$57.20|$50.34|$32.03||$57.20|$114.40|$81.22||$43.62|$54.34|$87.66|$55.00|||$56.00|$52.00|$32.85|$38.57|$52.05|$57.83|$53.63|$52.72|$36.26|$36.26
"CPT® 82172"|"HB APOLIPOPROTEIN B"|301.00|$143.00|$32.03|$114.40|$100.00|$57.20|$50.34|$32.03||$57.20|$114.40|$81.22||$43.62|$54.34|$87.66|$55.00|||$56.00|$52.00|$32.85|$38.57|$52.05|$57.83|$53.63|$52.72|$36.26|$36.26
"CPT® 82175"|"HB ARSENIC LEVEL"|301.00|$312.00|$40.10|$249.60|$218.00|$124.80|$109.82|$69.89||$124.80|$249.60|$177.22||$95.16|$118.56|$191.26|$55.00|||$56.00|$52.00|$40.10|$60.76|$88.50|$98.33|$117.00|$115.03|$79.12|$79.12
"CPT® 82175"|"HB ARSENIC, URINE"|301.00|$312.00|$40.10|$249.60|$218.00|$124.80|$109.82|$69.89||$124.80|$249.60|$177.22||$95.16|$118.56|$191.26|$55.00|||$56.00|$52.00|$40.10|$80.08|$109.20|$121.33|$117.00|$115.03|$79.12|$79.12
"CPT® 82180"|"HB VITAMIN C LEVEL"|301.00|$261.00|$21.17|$208.80|$183.00|$104.40|$91.87|$58.46||$104.40|$208.80|$148.25||$79.61|$99.18|$159.99|$55.00|||$56.00|$52.00|$21.17|$58.00|$79.73|$88.58|$97.88|$96.23|$66.19|$66.19
"HCPCS G0480"|"HB BARBITURATE PANEL"|301.00|$186.00|$41.66|$148.80|$130.00|$74.40|$65.47|$41.66||$74.40|$148.80|$105.65||$56.73|$70.68|$114.02|$73.69|||$56.00|$52.00|$124.19|$48.69|$66.83|$74.25|$69.75|$68.58|$47.17|$47.17
"HCPCS G0480"|"HB CLONAZEPAM, SERUM"|301.00|$212.00|$43.58|$169.60|$148.00|$84.80|$74.62|$47.49||$84.80|$169.60|$120.42||$64.66|$80.56|$129.96|$83.99|||$56.00|$52.00|$108.06|$43.58|$63.38|$70.42|$79.50|$78.16|$53.76|$53.76
"CPT® 82232"|"HB BETA-2 MICROGLOBULIN"|301.00|$360.00|$34.53|$288.00|$252.00|$144.00|$126.72|$80.64||$144.00|$288.00|$204.48||$109.80|$136.80|$220.68|$55.00|||$56.00|$52.00|$34.53|$92.12|$125.70|$139.67|$135.00|$132.73|$91.30|$91.30
"CPT® 82010"|"HB BETA-HYDROXYBUTYRATE"|301.00|$119.00|$17.27|$95.20|$83.00|$47.60|$41.89|$26.66||$47.60|$95.20|$67.59||$36.30|$45.22|$72.95|$55.00|||$56.00|$52.00|$17.27|$30.45|$41.55|$46.17|$44.63|$43.88|$30.18|$30.18
"CPT® 83789"|"HB BILE ACIDS, FRACTIONATED"|301.00|$198.00|$38.43|$166.33|$139.00|$79.20|$69.70|$44.35||$79.20|$158.40|$112.46||$60.39|$75.24|$121.37|$55.00|||$56.00|$52.00|$38.43|$125.86|$149.70|$166.33|$74.25|$73.00|$50.21|$50.21
"CPT® 82300"|"HB CADMIUM"|301.00|$257.00|$49.01|$205.60|$180.00|$102.80|$90.46|$57.57||$102.80|$205.60|$145.98||$78.39|$97.66|$157.54|$55.00|||$56.00|$52.00|$49.01|$65.31|$89.25|$99.17|$96.38|$94.76|$65.18|$65.18
"CPT® 82300"|"HB CADMIUM, UIRNE"|301.00|$252.00|$49.01|$201.60|$176.00|$100.80|$88.70|$56.45||$100.80|$201.60|$143.14||$76.86|$95.76|$154.48|$55.00|||$56.00|$52.00|$49.01|$106.68|$133.20|$148.00|$94.50|$92.91|$63.91|$63.91
"CPT® 82308"|"HB CALCITONIN"|301.00|$494.00|$52.00|$395.20|$346.00|$197.60|$173.89|$110.66||$197.60|$395.20|$280.59||$150.67|$187.72|$302.82|$55.00|||$56.00|$52.00|$56.81|$126.70|$172.80|$192.00|$185.25|$182.14|$125.28|$125.28
"CPT® 82365"|"HB CALCULI (STONE) ANALYSIS"|301.00|$169.00|$27.29|$135.20|$118.00|$67.60|$59.49|$37.86||$67.60|$135.20|$95.99||$51.55|$64.22|$103.60|$55.00|||$56.00|$52.00|$27.29|$43.47|$59.25|$65.83|$63.38|$62.31|$42.86|$42.86
"CPT® 83993"|"HB CALPROTECTIN"|301.00|$214.00|$41.76|$171.20|$150.00|$85.60|$75.33|$47.94||$85.60|$171.20|$121.55||$65.27|$81.32|$131.18|$55.00|||$56.00|$52.00|$41.76|$55.02|$75.00|$83.33|$80.25|$78.90|$54.27|$54.27
"CPT® 82379"|"HB CARNITINE, FREE AND TOTAL"|301.00|$581.00|$35.64|$464.80|$407.00|$232.40|$204.51|$130.14||$232.40|$464.80|$330.01||$177.21|$220.78|$356.15|$55.00|||$56.00|$52.00|$35.64|$149.03|$203.25|$225.83|$217.88|$214.21|$147.34|$147.34
"CPT® 82380"|"HB CAROTENE"|301.00|$273.00|$19.49|$218.40|$191.00|$109.20|$96.10|$61.15||$109.20|$218.40|$155.06||$83.27|$103.74|$167.35|$55.00|||$56.00|$52.00|$19.49|$74.55|$100.35|$111.50|$102.38|$100.66|$69.23|$69.23
"CPT® 82384"|"HB CATECHOLAMINES, FRACTIONATED"|301.00|$344.00|$52.00|$275.20|$241.00|$137.60|$121.09|$77.06||$137.60|$275.20|$195.39||$104.92|$130.72|$210.87|$55.00|||$56.00|$52.00|$53.46|$88.20|$120.30|$133.67|$129.00|$126.83|$87.24|$87.24
"CPT® 82384"|"HB CATECHOLAMINES, FRACTIONATED, URINE, 24 HR"|301.00|$461.00|$52.00|$368.80|$323.00|$184.40|$162.27|$103.26||$184.40|$368.80|$261.85||$140.61|$175.18|$282.59|$55.00|||$56.00|$52.00|$53.46|$118.23|$161.25|$179.17|$172.88|$169.97|$116.91|$116.91
"CPT® 82390"|"HB CERULOPLASMIN"|301.00|$373.00|$22.83|$298.40|$261.00|$149.20|$131.30|$83.55||$149.20|$298.40|$211.86||$113.77|$141.74|$228.65|$55.00|||$56.00|$52.00|$22.83|$95.55|$130.35|$144.83|$139.88|$137.53|$94.59|$94.59
"CPT® 82495"|"HB CHROMIUM, BLOOD"|301.00|$411.00|$42.89|$328.80|$288.00|$164.40|$144.67|$92.06||$164.40|$328.80|$233.45||$125.36|$156.18|$251.94|$55.00|||$56.00|$52.00|$42.89|$112.21|$151.05|$167.83|$154.13|$151.54|$104.23|$104.23
"CPT® 82507"|"HB CITRIC ACID, URINE"|301.00|$223.00|$49.95|$178.40|$156.00|$89.20|$78.50|$49.95||$89.20|$178.40|$126.66||$68.02|$84.74|$136.70|$55.00|||$56.00|$52.00|$59.03|$60.97|$82.05|$91.17|$83.63|$82.22|$56.55|$56.55
"CPT® 83018"|"HB COBALT, BLOOD"|301.00|$217.00|$46.77|$173.60|$152.00|$86.80|$76.38|$48.61||$86.80|$173.60|$123.26||$66.19|$82.46|$133.02|$55.00|||$56.00|$52.00|$46.77|$58.66|$79.12|$87.92|$81.38|$80.01|$55.03|$55.03
"CPT® 80307"|"HB COMPREHENSIVE DRUG SCREEN, SERUM"|301.00|$226.00|$50.62|$180.80|$158.00|$90.40|$79.55|$50.62||$90.40|$180.80|$128.37||$68.93|$85.88|$138.54|$55.00|||$56.00|$52.00|$54.13|$61.78|$84.00|$93.34|$84.75|$83.33|$57.31|$57.31
"CPT® 80307"|"HB COMPREHENSIVE DRUG SCREEN, URINE"|301.00|$226.00|$50.62|$180.80|$158.00|$90.40|$79.55|$50.62||$90.40|$180.80|$128.37||$68.93|$85.88|$138.54|$55.00|||$56.00|$52.00|$54.13|$61.78|$84.00|$93.34|$84.75|$83.33|$57.31|$57.31
"CPT® 82525"|"HB COPPER"|301.00|$293.00|$26.18|$234.40|$205.00|$117.20|$103.14|$65.63||$117.20|$234.40|$166.42||$89.37|$111.34|$179.61|$55.00|||$56.00|$52.00|$26.18|$74.83|$102.15|$113.50|$109.88|$108.03|$74.30|$74.30
"CPT® 82525"|"HB COPPER"|301.00|$293.00|$26.18|$234.40|$205.00|$117.20|$103.14|$65.63||$117.20|$234.40|$166.42||$89.37|$111.34|$179.61|$55.00|||$56.00|$52.00|$26.18|$45.15|$70.35|$78.17|$109.88|$108.03|$74.30|$74.30
"CPT® 82552"|"HB CREATINE KINASE ISOENZYMES"|301.00|$86.00|$19.26|$68.80|$60.00|$34.40|$30.27|$19.26||$34.40|$68.80|$48.85||$26.23|$32.68|$52.72|$55.00|||$56.00|$52.00|$28.40|$23.24|$31.35|$34.83|$32.25|$31.71|$21.81|$21.81
"CPT® 82570"|"HB CREATININE, OTHER SOURCE"|301.00|$79.00|$11.13|$63.20|$55.00|$31.60|$27.81|$17.70||$31.60|$63.20|$44.87||$24.10|$30.02|$48.43|$55.00|||$56.00|$52.00|$11.13|$12.46|$19.28|$21.42|$29.63|$29.13|$20.03|$20.03
"CPT® 82570"|"HB CREATININE, URINE, RANDOM"|301.00|$79.00|$11.13|$63.20|$55.00|$31.60|$27.81|$17.70||$31.60|$63.20|$44.87||$24.10|$30.02|$48.43|$55.00|||$56.00|$52.00|$11.13|$18.13|$25.35|$28.17|$29.63|$29.13|$20.03|$20.03
"CPT® 82595"|"HB CRYOGLOBULINS"|301.00|$185.00|$13.92|$148.00|$130.00|$74.00|$65.12|$41.44||$74.00|$148.00|$105.08||$56.43|$70.30|$113.41|$55.00|||$56.00|$52.00|$13.92|$47.39|$64.65|$71.83|$69.38|$68.21|$46.92|$46.92
"CPT® 82610"|"HB CYSTATIN C"|301.00|$158.00|$28.95|$126.40|$111.00|$63.20|$55.62|$35.39||$63.20|$126.40|$89.74||$48.19|$60.04|$96.85|$55.00|||$56.00|$52.00|$28.95|$42.56|$57.45|$63.83|$59.25|$58.25|$40.07|$40.07
"HCPCS G0480"|"HB DESIPRAMINE"|301.00|$501.00|$52.00|$400.80|$351.00|$200.40|$176.35|$112.22||$200.40|$400.80|$284.57||$152.81|$190.38|$307.11|$198.50|||$56.00|$52.00|$124.19|$128.38|$177.00|$196.67|$187.88|$184.72|$127.05|$127.05
"CPT® 82627"|"HB DHEA SULFATE"|301.00|$333.00|$47.34|$266.40|$233.00|$133.20|$117.22|$74.59||$133.20|$266.40|$189.14||$101.57|$126.54|$204.13|$55.00|||$56.00|$52.00|$47.34|$85.47|$116.55|$129.50|$124.88|$122.78|$84.45|$84.45
"HCPCS G0480"|"HB DIHYDROTESTOSTERONE"|301.00|$284.00|$52.00|$227.20|$199.00|$113.60|$99.97|$63.62||$113.60|$227.20|$161.31||$86.62|$107.92|$174.09|$112.52|||$56.00|$52.00|$124.19|$73.78|$101.40|$112.67|$106.50|$104.71|$72.02|$72.02
"HCPCS G0483"|"HB DRUG SCREEN, LC-MS/MS"|301.00|$589.00|$52.00|$471.20|$412.00|$235.60|$207.33|$131.94||$235.60|$471.20|$334.55||$179.65|$223.82|$361.06|$233.36|||$56.00|$52.00|$334.68|$161.10|$219.00|$243.34|$220.88|$217.16|$149.37|$149.37
"HCPCS G0480"|"HB DRUG CONFIRMATION, AMPHETAMINES, URINE"|301.00|$259.00|$52.00|$207.20|$181.00|$103.60|$91.17|$58.02||$103.60|$207.20|$147.11||$79.00|$98.42|$158.77|$102.62|||$56.00|$52.00|$124.19|$71.96|$97.50|$108.33|$97.13|$95.49|$65.68|$65.68
"HCPCS G0480"|"HB DRUG CONFIRMATION, CANNABINOIDS, URINE"|301.00|$182.00|$40.77|$145.60|$127.00|$72.80|$64.06|$40.77||$72.80|$145.60|$103.38||$55.51|$69.16|$111.57|$72.11|||$56.00|$52.00|$124.19|$50.33|$68.25|$75.83|$68.25|$67.10|$46.16|$46.16
"HCPCS G0480"|"HB DRUG CONFIRMATION, COCAINE, URINE"|301.00|$153.00|$34.27|$122.40|$107.00|$61.20|$53.86|$34.27||$61.20|$122.40|$86.90||$46.67|$58.14|$93.79|$60.62|||$56.00|$52.00|$115.40|$42.32|$57.38|$63.75|$57.38|$56.41|$38.80|$38.80
"HCPCS G6056"|"HB DRUG CONFIRMATION, OPIATES, URINE"|301.00|$206.00|$46.14|$164.80|$144.00|$82.40|$72.51|$46.14||$82.40|$164.80|$117.01||$62.83|$78.28|$126.28|$81.62|||$56.00|$52.00|$47.03|$53.69|$72.97|$81.09|$77.25|$75.95|$52.24|$52.24
"CPT® 83992"|"HB DRUG CONFIRMATION, PCP, URINE"|301.00|$360.00|$31.19|$288.00|$252.00|$144.00|$126.72|$80.64||$144.00|$288.00|$204.48||$109.80|$136.80|$220.68|$142.63|||$56.00|$52.00|$31.19|$97.58|$132.90|$147.67|$135.00|$132.73|$91.30|$91.30
"CPT® 80307"|"HB DRUG SCREEN, COMPREHENSIVE, SERUM & URINE"|301.00|$469.00|$52.00|$375.20|$328.00|$187.60|$165.09|$105.06||$187.60|$375.20|$266.39||$143.05|$178.22|$287.50|$55.00|||$56.00|$52.00|$93.62|$101.12|$145.28|$161.42|$175.88|$172.92|$118.94|$118.94
"CPT® 80307"|"HB DRUG SCREEN, URINE"|301.00|$436.00|$52.00|$348.80|$305.00|$174.40|$153.47|$97.66||$174.40|$348.80|$247.65||$132.98|$165.68|$267.27|$55.00|||$56.00|$52.00|$90.29|$98.70|$140.10|$155.67|$163.50|$160.75|$110.57|$110.57
"CPT® 82668"|"HB ERYTHROPOETIN"|301.00|$308.00|$39.54|$246.40|$216.00|$123.20|$108.42|$68.99||$123.20|$246.40|$174.94||$93.94|$117.04|$188.80|$55.00|||$56.00|$52.00|$39.54|$78.68|$107.40|$119.33|$115.50|$113.56|$78.11|$78.11
"CPT® 82542"|"HB ESSENTIAL FATTY ACID PROFILE"|301.00|$386.00|$38.43|$308.80|$270.00|$154.40|$135.87|$86.46||$154.40|$308.80|$219.25||$117.73|$146.68|$236.62|$55.00|||$56.00|$52.00|$38.43|$104.30|$140.70|$156.33|$144.75|$142.32|$97.89|$97.89
"CPT® 82670"|"HB ESTRADIOL, FREE"|301.00|$125.00|$28.00|$100.00|$88.00|$50.00|$44.00|$28.00||$50.00|$100.00|$71.00||$38.13|$47.50|$76.63|$55.00|||$56.00|$52.00|$59.03|$31.99|$43.65|$48.50|$46.88|$46.09|$31.70|$31.70
"CPT® 82677"|"HB ESTRIOL"|301.00|$300.00|$51.23|$240.00|$210.00|$120.00|$105.60|$67.20||$120.00|$240.00|$170.40||$91.50|$114.00|$183.90|$55.00|||$56.00|$52.00|$51.23|$82.04|$110.40|$122.67|$112.50|$110.61|$76.08|$76.08
"CPT® 82671"|"HB ESTROGEN, FRACTIONATED"|301.00|$329.00|$52.00|$263.20|$230.00|$131.60|$115.81|$73.70||$131.60|$263.20|$186.87||$100.35|$125.02|$201.68|$55.00|||$56.00|$52.00|$68.49|$82.95|$113.55|$126.17|$123.38|$121.30|$83.43|$83.43
"CPT® 80168"|"HB ETHOSUXIMIDE"|301.00|$155.00|$34.53|$124.00|$108.00|$62.00|$54.56|$34.72||$62.00|$124.00|$88.04||$47.28|$58.90|$95.02|$55.00|||$56.00|$52.00|$34.53|$41.93|$56.55|$62.83|$58.13|$57.15|$39.31|$39.31
"CPT® 82693"|"HB ETHYLENE GLYCOL"|301.00|$153.00|$31.74|$122.40|$107.00|$61.20|$53.86|$34.27||$61.20|$122.40|$86.90||$46.67|$58.14|$93.79|$55.00|||$56.00|$52.00|$31.74|$41.23|$55.65|$61.83|$57.38|$56.41|$38.80|$38.80
"CPT® 80169"|"HB EVEROLIMUS LEVEL"|301.00|$360.00|$28.95|$288.00|$252.00|$144.00|$126.72|$80.64||$144.00|$288.00|$204.48||$109.80|$136.80|$220.68|$55.00|||$56.00|$52.00|$28.95|$98.49|$133.87|$148.75|$135.00|$132.73|$91.30|$91.30
"CPT® 83630"|"HB FECAL LACTOFERRIN"|301.00|$198.00|$41.76|$158.40|$139.00|$79.20|$69.70|$44.35||$79.20|$158.40|$112.46||$60.39|$75.24|$121.37|$55.00|||$56.00|$52.00|$41.76|$56.14|$75.00|$83.33|$74.25|$73.00|$50.21|$50.21
"CPT® 82705"|"HB FECAL FAT, QUALITATIVE"|301.00|$110.00|$10.58|$88.00|$77.00|$44.00|$38.72|$24.64||$44.00|$88.00|$62.48||$33.55|$41.80|$67.43|$55.00|||$56.00|$52.00|$10.58|$28.42|$38.70|$43.00|$41.25|$40.56|$27.90|$27.90
"CPT® 82710"|"HB FECAL FAT, QUANTITATIVE"|301.00|$363.00|$35.64|$290.40|$254.00|$145.20|$127.78|$81.31||$145.20|$290.40|$206.18||$110.72|$137.94|$222.52|$55.00|||$56.00|$52.00|$35.64|$99.33|$133.65|$148.50|$136.13|$133.84|$92.06|$92.06
"CPT® 80299"|"HB FLECAINIDE"|301.00|$201.00|$28.95|$160.80|$141.00|$80.40|$70.75|$45.02||$80.40|$160.80|$114.17||$61.31|$76.38|$123.21|$55.00|||$56.00|$52.00|$28.95|$54.18|$73.12|$81.25|$75.38|$74.11|$50.97|$50.97
"CPT® 82747"|"HB FOLATE, RBC"|301.00|$292.00|$36.75|$233.60|$204.00|$116.80|$102.78|$65.41||$116.80|$233.60|$165.86||$89.06|$110.96|$179.00|$55.00|||$56.00|$52.00|$36.75|$55.44|$81.30|$90.33|$109.50|$107.66|$74.05|$74.05
"CPT® 83001"|"HB FOLLICAL STIMULATING HORMONE"|301.00|$355.00|$39.54|$284.00|$248.00|$142.00|$124.96|$79.52||$142.00|$284.00|$201.64||$108.28|$134.90|$217.62|$55.00|||$56.00|$52.00|$39.54|$51.45|$81.75|$90.83|$133.13|$130.89|$90.03|$90.03
"CPT® 82985"|"HB FRUCTOSAMINE"|301.00|$122.00|$27.33|$97.60|$85.00|$48.80|$42.94|$27.33||$48.80|$97.60|$69.30||$37.21|$46.36|$74.79|$55.00|||$56.00|$52.00|$31.74|$31.78|$43.20|$48.00|$45.75|$44.98|$30.94|$30.94
"CPT® 82960"|"HB G-6-PD, QUALITATIVE"|301.00|$53.00|$11.87|$53.00|$37.00|$21.20|$18.66|$11.87||$21.20|$42.40|$30.10||$16.17|$20.14|$32.49|$53.00|||$53.00|$52.00|$12.81|$16.56|$21.68|$24.08|$19.88|$19.54|$13.44|$13.44
"CPT® 80299"|"HB GABAPENTIN"|301.00|$316.00|$28.95|$252.80|$221.00|$126.40|$111.23|$70.78||$126.40|$252.80|$179.49||$96.38|$120.08|$193.71|$55.00|||$56.00|$52.00|$28.95|$78.68|$108.00|$120.00|$118.50|$116.51|$80.14|$80.14
"CPT® 84378"|"HB GALASTOSE-1-PHOSPHATE, RBC"|301.00|$268.00|$24.50|$214.40|$188.00|$107.20|$94.34|$60.03||$107.20|$214.40|$152.22||$81.74|$101.84|$164.28|$55.00|||$56.00|$52.00|$24.50|$73.08|$98.40|$109.33|$100.50|$98.81|$67.96|$67.96
"CPT® 82943"|"HB GLUCAGON"|301.00|$80.00|$17.92|$64.00|$56.00|$32.00|$28.16|$17.92||$32.00|$64.00|$45.44||$24.40|$30.40|$49.04|$55.00|||$56.00|$52.00|$30.08|$21.84|$29.40|$32.67|$30.00|$29.50|$20.29|$20.29
"CPT® 83519"|"HB GLUTAMIC ACID DECARBOXYLASE"|301.00|$383.00|$28.40|$306.40|$268.00|$153.20|$134.82|$85.79||$153.20|$306.40|$217.54||$116.82|$145.54|$234.78|$55.00|||$56.00|$52.00|$28.40|$54.53|$87.15|$96.83|$143.63|$141.21|$97.13|$97.13
"CPT® 83010"|"HB HAPTOGLOBIN"|301.00|$209.00|$26.73|$167.20|$146.00|$83.60|$73.57|$46.82||$83.60|$167.20|$118.71||$63.75|$79.42|$128.12|$55.00|||$56.00|$52.00|$26.73|$53.55|$73.05|$81.17|$78.38|$77.06|$53.00|$53.00
"CPT® 82175"|"HB HEAVY METAL PANEL, ARSENIC, BLOOD"|301.00|$312.00|$40.10|$249.60|$218.00|$124.80|$109.82|$69.89||$124.80|$249.60|$177.22||$95.16|$118.56|$191.26|$55.00|||$56.00|$52.00|$40.10|$61.04|$88.80|$98.67|$117.00|$115.03|$79.12|$79.12
"CPT® 83655"|"HB HEAVY METAL PANEL, LEAD, BLOOD"|301.00|$123.00|$25.62|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$25.62|$33.25|$44.85|$49.83|$46.13|$45.35|$31.19|$31.19
"CPT® 83825"|"HB HEAVY METAL PANEL, MERCURY, BLOOD"|301.00|$181.00|$34.53|$144.80|$127.00|$72.40|$63.71|$40.54||$72.40|$144.80|$102.81||$55.21|$68.78|$110.95|$55.00|||$56.00|$52.00|$34.53|$46.27|$63.15|$70.17|$67.88|$66.73|$45.90|$45.90
"CPT® 83090"|"HB HOMOCYSTEINE"|301.00|$160.00|$35.64|$128.00|$112.00|$64.00|$56.32|$35.84||$64.00|$128.00|$90.88||$48.80|$60.80|$98.08|$55.00|||$56.00|$52.00|$35.64|$40.32|$55.20|$61.33|$60.00|$58.99|$40.58|$40.58
"CPT® 83003"|"HB HUMAN GROWTH HORMONE"|301.00|$229.00|$35.09|$183.20|$160.00|$91.60|$80.61|$51.30||$91.60|$183.20|$130.07||$69.85|$87.02|$140.38|$55.00|||$56.00|$52.00|$35.09|$58.59|$79.95|$88.83|$85.88|$84.43|$58.07|$58.07
"CPT® 83525"|"HB INSULIN, TOTAL"|301.00|$261.00|$23.94|$208.80|$183.00|$104.40|$91.87|$58.46||$104.40|$208.80|$148.25||$79.61|$99.18|$159.99|$55.00|||$56.00|$52.00|$23.94|$66.71|$91.05|$101.17|$97.88|$96.23|$66.19|$66.19
"CPT® 84305"|"HB INSULIN-LIKE GROWTH FACTOR I"|301.00|$654.00|$45.11|$523.20|$458.00|$261.60|$230.21|$146.50||$261.60|$523.20|$371.47||$199.47|$248.52|$400.90|$55.00|||$56.00|$52.00|$45.11|$167.58|$228.60|$254.00|$245.25|$241.13|$165.85|$165.85
"CPT® 84600"|"HB ISOPROPANOL INCLUDING ACETONE"|301.00|$161.00|$33.98|$128.80|$113.00|$64.40|$56.67|$36.06||$64.40|$128.80|$91.45||$49.11|$61.18|$98.69|$55.00|||$56.00|$52.00|$33.98|$43.75|$58.95|$65.50|$60.38|$59.36|$40.83|$40.83
"CPT® 82542"|"HB KETAMINE AND METABOLITE"|301.00|$286.00|$38.43|$228.80|$200.00|$114.40|$100.67|$64.06||$114.40|$228.80|$162.45||$87.23|$108.68|$175.32|$55.00|||$56.00|$52.00|$38.43|$118.02|$147.90|$164.33|$107.25|$105.45|$72.53|$72.53
"CPT® 80235"|"HB LACOSAMIDE LEVEL"|301.00|$248.00|$52.00|$198.40|$174.00|$99.20|$87.30|$55.55||$99.20|$198.40|$140.86||$75.64|$94.24|$152.02|$55.00|||$56.00|$52.00|$59.40|$67.80|$92.18|$102.42|$93.00|$91.44|$62.89|$62.89
"CPT® 80169"|"HB LAMACTIL LEVEL"|301.00|$369.00|$28.95|$295.20|$258.00|$147.60|$129.89|$82.66||$147.60|$295.20|$209.59||$112.55|$140.22|$226.20|$55.00|||$56.00|$52.00|$28.95|$55.13|$88.13|$97.92|$138.38|$136.05|$93.58|$93.58
"CPT® 83655"|"HB LEAD, URINE"|301.00|$131.00|$25.62|$104.80|$92.00|$52.40|$46.11|$29.34||$52.40|$104.80|$74.41||$39.96|$49.78|$80.30|$55.00|||$56.00|$52.00|$25.62|$33.81|$46.05|$51.17|$49.13|$48.30|$33.22|$33.22
"CPT® 83655"|"HB LEAD, PLASMA"|301.00|$179.00|$25.62|$143.20|$125.00|$71.60|$63.01|$40.10||$71.60|$143.20|$101.67||$54.60|$68.02|$109.73|$55.00|||$56.00|$52.00|$25.62|$45.54|$62.18|$69.08|$67.13|$66.00|$45.39|$45.39
"CPT® 83655"|"HB LEAD, URINE, 24 HR"|301.00|$174.00|$25.62|$139.20|$122.00|$69.60|$61.25|$38.98||$69.60|$139.20|$98.83||$53.07|$66.12|$106.66|$55.00|||$56.00|$52.00|$25.62|$45.22|$61.50|$68.33|$65.25|$64.15|$44.13|$44.13
"CPT® 83002"|"HB LEUTINIZING HORMONE"|301.00|$373.00|$38.99|$298.40|$261.00|$149.20|$131.30|$83.55||$149.20|$298.40|$211.86||$113.77|$141.74|$228.65|$55.00|||$56.00|$52.00|$38.99|$47.11|$78.45|$87.17|$139.88|$137.53|$94.59|$94.59
"CPT® 83700"|"HB LIPOPROTEIN ELECTROPHORESIS"|301.00|$128.00|$23.94|$102.40|$90.00|$51.20|$45.06|$28.67||$51.20|$102.40|$72.70||$39.04|$48.64|$78.46|$55.00|||$56.00|$52.00|$23.94|$32.20|$44.10|$49.00|$48.00|$47.19|$32.46|$32.46
"CPT® 83735"|"HB MAGNESIUM, RBC"|301.00|$92.00|$13.92|$73.60|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$55.00|||$56.00|$52.00|$13.92|$40.32|$50.10|$55.67|$34.50|$33.92|$23.33|$23.33
"CPT® 83785"|"HB MANGANESE"|301.00|$166.00|$37.18|$132.80|$116.00|$66.40|$58.43|$37.18||$66.40|$132.80|$94.29||$50.63|$63.08|$101.76|$55.00|||$56.00|$52.00|$52.35|$45.50|$61.20|$68.00|$62.25|$61.20|$42.10|$42.10
"CPT® 83825"|"HB MERCURY, URINE"|301.00|$181.00|$34.53|$144.80|$127.00|$72.40|$63.71|$40.54||$72.40|$144.80|$102.81||$55.21|$68.78|$110.95|$55.00|||$56.00|$52.00|$34.53|$47.67|$64.65|$71.83|$67.88|$66.73|$45.90|$45.90
"CPT® 83825"|"HB MERCURY, BLOOD"|301.00|$176.00|$34.53|$140.80|$123.00|$70.40|$61.95|$39.42||$70.40|$140.80|$99.97||$53.68|$66.88|$107.89|$55.00|||$56.00|$52.00|$34.53|$62.44|$80.10|$89.00|$66.00|$64.89|$44.63|$44.63
"CPT® 83825"|"HB MERCURY, URINE, 24 HR"|301.00|$246.00|$34.53|$196.80|$172.00|$98.40|$86.59|$55.10||$98.40|$196.80|$139.73||$75.03|$93.48|$150.80|$55.00|||$56.00|$52.00|$34.53|$67.34|$90.60|$100.67|$92.25|$90.70|$62.39|$62.39
"CPT® 83835"|"HB METANEPHRINES, FREE, PLASMA"|301.00|$311.00|$35.64|$248.80|$218.00|$124.40|$109.47|$69.66||$124.40|$248.80|$176.65||$94.86|$118.18|$190.64|$55.00|||$56.00|$52.00|$35.64|$56.77|$84.15|$93.50|$116.63|$114.67|$78.87|$78.87
"CPT® 83835"|"HB METANEPHRINES, URINE, 24 HR"|301.00|$311.00|$35.64|$248.80|$218.00|$124.40|$109.47|$69.66||$124.40|$248.80|$176.65||$94.86|$118.18|$190.64|$55.00|||$56.00|$52.00|$35.64|$79.73|$108.75|$120.83|$116.63|$114.67|$78.87|$78.87
"CPT® 83835"|"HB METANEPHRINES, URINE, RANDOM"|301.00|$311.00|$35.64|$248.80|$218.00|$124.40|$109.47|$69.66||$124.40|$248.80|$176.65||$94.86|$118.18|$190.64|$55.00|||$56.00|$52.00|$35.64|$79.73|$108.75|$120.83|$116.63|$114.67|$78.87|$78.87
"CPT® 84600"|"HB METHANOL"|301.00|$161.00|$33.98|$128.80|$113.00|$64.40|$56.67|$36.06||$64.40|$128.80|$91.45||$49.11|$61.18|$98.69|$55.00|||$56.00|$52.00|$33.98|$43.75|$58.95|$65.50|$60.38|$59.36|$40.83|$40.83
"CPT® 80299"|"HB METHOTREXATE"|301.00|$316.00|$28.95|$252.80|$221.00|$126.40|$111.23|$70.78||$126.40|$252.80|$179.49||$96.38|$120.08|$193.71|$55.00|||$56.00|$52.00|$28.95|$78.68|$108.00|$120.00|$118.50|$116.51|$80.14|$80.14
"CPT® 82043"|"HB MICROALBUMIN"|301.00|$225.00|$12.26|$180.00|$158.00|$90.00|$79.20|$50.40||$90.00|$180.00|$127.80||$68.63|$85.50|$137.93|$55.00|||$56.00|$52.00|$12.26|$24.61|$43.25|$48.06|$84.38|$82.96|$57.06|$57.06
"CPT® 83873"|"HB MYELIN BASIC PROTEIN, CSF"|301.00|$339.00|$36.20|$271.20|$237.00|$135.60|$119.33|$75.94||$135.60|$271.20|$192.55||$103.40|$128.82|$207.81|$55.00|||$56.00|$52.00|$36.20|$86.73|$118.35|$131.50|$127.13|$124.99|$85.97|$85.97
"CPT® 83874"|"HB MYOGLOBIN"|301.00|$225.00|$27.29|$180.00|$158.00|$90.00|$79.20|$50.40||$90.00|$180.00|$127.80||$68.63|$85.50|$137.93|$55.00|||$56.00|$52.00|$27.29|$58.59|$79.65|$88.50|$84.38|$82.96|$57.06|$57.06
"HCPCS G0480"|"HB NICOTINE AND METABOLITES"|301.00|$375.00|$52.00|$300.00|$262.00|$150.00|$132.00|$84.00||$150.00|$300.00|$213.00||$114.38|$142.50|$229.88|$148.58|||$56.00|$52.00|$124.19|$102.51|$139.35|$154.84|$140.63|$138.26|$95.10|$95.10
"HCPCS G0480"|"HB NORTRIPTYLINE"|301.00|$170.00|$38.08|$136.00|$119.00|$68.00|$59.84|$38.08||$68.00|$136.00|$96.56||$51.85|$64.60|$104.21|$67.35|||$56.00|$52.00|$124.19|$47.50|$64.28|$71.42|$63.75|$62.68|$43.11|$43.11
"CPT® 82523"|"HB N-TELOPEPTIDE, SERUM"|301.00|$246.00|$39.54|$196.80|$172.00|$98.40|$86.59|$55.10||$98.40|$196.80|$139.73||$75.03|$93.48|$150.80|$55.00|||$56.00|$52.00|$39.54|$66.57|$89.77|$99.75|$92.25|$90.70|$62.39|$62.39
"CPT® 83918"|"HB ORGANIC ACIDS, URINE"|301.00|$182.00|$35.09|$145.60|$127.00|$72.80|$64.06|$40.77||$72.80|$145.60|$103.38||$55.51|$69.16|$111.57|$55.00|||$56.00|$52.00|$35.09|$93.94|$114.30|$127.00|$68.25|$67.10|$46.16|$46.16
"CPT® 83937"|"HB OSTEOCALCIN"|301.00|$181.00|$40.54|$144.80|$127.00|$72.40|$63.71|$40.54||$72.40|$144.80|$102.81||$55.21|$68.78|$110.95|$55.00|||$56.00|$52.00|$63.48|$49.35|$66.45|$73.83|$67.88|$66.73|$45.90|$45.90
"CPT® 83945"|"HB OXALATE, 24 HR URINE"|301.00|$231.00|$27.29|$184.80|$162.00|$92.40|$81.31|$51.74||$92.40|$184.80|$131.21||$70.46|$87.78|$141.60|$55.00|||$56.00|$52.00|$27.29|$38.57|$58.65|$65.17|$86.63|$85.17|$58.58|$58.58
"CPT® 83519"|"HB PANCREATIC POLYPEPTIDE"|301.00|$383.00|$28.40|$306.40|$268.00|$153.20|$134.82|$85.79||$153.20|$306.40|$217.54||$116.82|$145.54|$234.78|$55.00|||$56.00|$52.00|$28.40|$82.81|$117.45|$130.50|$143.63|$141.21|$97.13|$97.13
"CPT® 83970"|"HB PARATHYROID HORMONE LEVEL, INTACT"|301.00|$567.00|$52.00|$453.60|$397.00|$226.80|$199.58|$127.01||$226.80|$453.60|$322.06||$172.94|$215.46|$347.57|$55.00|||$56.00|$52.00|$85.81|$63.49|$110.55|$122.83|$212.63|$209.05|$143.79|$143.79
"CPT® 83986"|"HB PH, BODY FLUID"|301.00|$112.00|$7.80|$89.60|$78.00|$44.80|$39.42|$25.09||$44.80|$89.60|$63.62||$34.16|$42.56|$68.66|$55.00|||$56.00|$52.00|$7.80|$28.56|$39.00|$43.33|$42.00|$41.29|$28.40|$28.40
"CPT® 80186"|"HB PHENTOIN, FREE"|301.00|$274.00|$28.95|$219.20|$192.00|$109.60|$96.45|$61.38||$109.60|$219.20|$155.63||$83.57|$104.12|$167.96|$55.00|||$56.00|$52.00|$28.95|$47.46|$71.40|$79.33|$102.75|$101.02|$69.49|$69.49
"CPT® 84105"|"HB PHOSPHORUS, URINE"|301.00|$114.00|$11.13|$91.20|$80.00|$45.60|$40.13|$25.54||$45.60|$91.20|$64.75||$34.77|$43.32|$69.88|$55.00|||$56.00|$52.00|$11.13|$31.50|$42.30|$47.00|$42.75|$42.03|$28.91|$28.91
"CPT® 83051"|"HB PLASMA HEMOGLOBIN"|301.00|$232.00|$15.59|$185.60|$162.00|$92.80|$81.66|$51.97||$92.80|$185.60|$131.78||$70.76|$88.16|$142.22|$55.00|||$56.00|$52.00|$15.59|$59.36|$81.00|$90.00|$87.00|$85.54|$58.84|$58.84
"CPT® 84110"|"HB PORPHOBILINOGEN, URINE"|301.00|$232.00|$17.82|$185.60|$162.00|$92.80|$81.66|$51.97||$92.80|$185.60|$131.78||$70.76|$88.16|$142.22|$55.00|||$56.00|$52.00|$17.82|$59.36|$81.00|$90.00|$87.00|$85.54|$58.84|$58.84
"CPT® 82542"|"HB PORPHYRINS, FRACTIONATED, PLASMA"|301.00|$161.00|$36.06|$128.80|$113.00|$64.40|$56.67|$36.06||$64.40|$128.80|$91.45||$49.11|$61.18|$98.69|$55.00|||$56.00|$52.00|$38.43|$42.77|$57.90|$64.33|$60.38|$59.36|$40.83|$40.83
"CPT® 84120"|"HB PORPHYRINS, FRACTIONED, URINE"|301.00|$487.00|$31.19|$389.60|$341.00|$194.80|$171.42|$109.09||$194.80|$389.60|$276.62||$148.54|$185.06|$298.53|$55.00|||$56.00|$52.00|$31.19|$133.21|$179.25|$199.17|$182.63|$179.56|$123.50|$123.50
"CPT® 84134"|"HB PREALBUMIN"|301.00|$161.00|$30.63|$128.80|$113.00|$64.40|$56.67|$36.06||$64.40|$128.80|$91.45||$49.11|$61.18|$98.69|$55.00|||$56.00|$52.00|$30.63|$41.23|$56.25|$62.50|$60.38|$59.36|$40.83|$40.83
"CPT® 84144"|"HB PREGESTERONE"|301.00|$361.00|$44.00|$288.80|$253.00|$144.40|$127.07|$80.86||$144.40|$288.80|$205.05||$110.11|$137.18|$221.29|$55.00|||$56.00|$52.00|$44.00|$49.07|$79.65|$88.50|$135.38|$133.10|$91.55|$91.55
"CPT® 80188"|"HB PRIMIDONE"|301.00|$274.00|$35.09|$219.20|$192.00|$109.60|$96.45|$61.38||$109.60|$219.20|$155.63||$83.57|$104.12|$167.96|$55.00|||$56.00|$52.00|$35.09|$67.90|$93.30|$103.67|$102.75|$101.02|$69.49|$69.49
"CPT® 84145"|"HB PROCALCITONIN"|301.00|$344.00|$52.00|$275.20|$241.00|$137.60|$121.09|$77.06||$137.60|$275.20|$195.39||$104.92|$130.72|$210.87|$55.00|||$56.00|$52.00|$56.81|$91.49|$123.83|$137.59|$129.00|$126.83|$87.24|$87.24
"CPT® 83519"|"HB PROCOLLAGEN TYPE I INTACT N TERMINAL PROPEPTIDE"|301.00|$340.00|$28.40|$272.00|$238.00|$136.00|$119.68|$76.16||$136.00|$272.00|$193.12||$103.70|$129.20|$208.42|$55.00|||$56.00|$52.00|$28.40|$91.84|$123.90|$137.67|$127.50|$125.36|$86.22|$86.22
"CPT® 84146"|"HB PROLACTIN"|301.00|$411.00|$41.21|$328.80|$288.00|$164.40|$144.67|$92.06||$164.40|$328.80|$233.45||$125.36|$156.18|$251.94|$55.00|||$56.00|$52.00|$41.21|$63.77|$99.15|$110.17|$154.13|$151.54|$104.23|$104.23
"CPT® 84165"|"HB PROTEIN ELECTROPHORESIS, SERUM"|301.00|$259.00|$22.83|$207.20|$181.00|$103.60|$91.17|$58.02||$103.60|$207.20|$147.11||$79.00|$98.42|$158.77|$55.00|||$56.00|$52.00|$22.83|$70.00|$94.42|$104.92|$97.13|$95.49|$65.68|$65.68
"CPT® 84166"|"HB PROTEIN ELECTROPHORESIS, URINE"|301.00|$306.00|$37.86|$244.80|$214.00|$122.40|$107.71|$68.54||$122.40|$244.80|$173.81||$93.33|$116.28|$187.58|$55.00|||$56.00|$52.00|$37.86|$78.26|$106.80|$118.67|$114.75|$112.82|$77.60|$77.60
"CPT® 83519"|"HB PTH-RELATED PROTEIN"|301.00|$383.00|$28.40|$306.40|$268.00|$153.20|$134.82|$85.79||$153.20|$306.40|$217.54||$116.82|$145.54|$234.78|$55.00|||$56.00|$52.00|$28.40|$97.93|$133.65|$148.50|$143.63|$141.21|$97.13|$97.13
"CPT® 84210"|"HB PYRUVIC ACID"|301.00|$301.00|$22.83|$240.80|$211.00|$120.40|$105.95|$67.42||$120.40|$240.80|$170.97||$91.81|$114.38|$184.51|$55.00|||$56.00|$52.00|$22.83|$77.35|$105.45|$117.17|$112.88|$110.98|$76.33|$76.33
"CPT® 80194"|"HB QUINIDINE"|301.00|$68.00|$15.23|$56.00|$48.00|$27.20|$23.94|$15.23||$27.20|$54.40|$38.62||$20.74|$25.84|$41.68|$26.94|||$56.00|$52.00|$31.19|$18.41|$24.83|$27.59|$25.50|$25.07|$17.24|$17.24
"CPT® 84244"|"HB RENIN"|301.00|$352.00|$46.77|$281.60|$246.00|$140.80|$123.90|$78.85||$140.80|$281.60|$199.94||$107.36|$133.76|$215.78|$55.00|||$56.00|$52.00|$46.77|$90.16|$123.00|$136.67|$132.00|$129.78|$89.27|$89.27
"CPT® 84255"|"HB SELENIUM"|301.00|$614.00|$52.00|$491.20|$430.00|$245.60|$216.13|$137.54||$245.60|$491.20|$348.75||$187.27|$233.32|$376.38|$55.00|||$56.00|$52.00|$54.02|$59.78|$110.10|$122.33|$230.25|$226.38|$155.71|$155.71
"CPT® 84260"|"HB SEROTONIN"|301.00|$743.00|$52.00|$594.40|$520.00|$297.20|$261.54|$166.43||$297.20|$594.40|$422.02||$226.62|$282.34|$455.46|$55.00|||$56.00|$52.00|$65.72|$190.61|$259.95|$288.83|$278.63|$273.94|$188.42|$188.42
"CPT® 84270"|"HB SEX HORMONE BINDING GLOBULIN"|301.00|$161.00|$36.06|$128.80|$113.00|$64.40|$56.67|$36.06||$64.40|$128.80|$91.45||$49.11|$61.18|$98.69|$55.00|||$56.00|$52.00|$46.22|$41.23|$56.25|$62.50|$60.38|$59.36|$40.83|$40.83
"CPT® 84307"|"HB SOMATOSTATIN"|301.00|$186.00|$38.99|$164.33|$130.00|$74.40|$65.47|$41.66||$74.40|$148.80|$105.65||$56.73|$70.68|$114.02|$55.00|||$56.00|$52.00|$38.99|$125.02|$147.90|$164.33|$69.75|$68.58|$47.17|$47.17
"CPT® 84479"|"HB T3 UPTAKE"|301.00|$134.00|$13.92|$107.20|$94.00|$53.60|$47.17|$30.02||$53.60|$107.20|$76.11||$40.87|$50.92|$82.14|$55.00|||$56.00|$52.00|$13.92|$24.78|$36.60|$40.67|$50.25|$49.41|$33.98|$33.98
"CPT® 84481"|"HB T3, FREE"|301.00|$427.00|$35.64|$341.60|$299.00|$170.80|$150.30|$95.65||$170.80|$341.60|$242.54||$130.24|$162.26|$261.75|$55.00|||$56.00|$52.00|$35.64|$52.29|$88.05|$97.83|$160.13|$157.43|$108.29|$108.29
"CPT® 84482"|"HB T3, REVERSE"|301.00|$176.00|$33.41|$140.80|$123.00|$70.40|$61.95|$39.42||$70.40|$140.80|$99.97||$53.68|$66.88|$107.89|$55.00|||$56.00|$52.00|$33.41|$44.80|$61.20|$68.00|$66.00|$64.89|$44.63|$44.63
"CPT® 84436"|"HB T4, TOTAL"|301.00|$191.00|$14.48|$152.80|$134.00|$76.40|$67.23|$42.78||$76.40|$152.80|$108.49||$58.26|$72.58|$117.08|$55.00|||$56.00|$52.00|$14.48|$34.37|$51.15|$56.83|$71.63|$70.42|$48.44|$48.44
"CPT® 80197"|"HB TACROLIMUS (PROGRAF)"|301.00|$475.00|$28.95|$380.00|$332.00|$190.00|$167.20|$106.40||$190.00|$380.00|$269.80||$144.88|$180.50|$291.18|$55.00|||$56.00|$52.00|$28.95|$116.13|$160.05|$177.83|$178.13|$175.13|$120.46|$120.46
"CPT® 84270"|"HB TESTOSTERONE BIO/SHBG"|301.00|$221.00|$46.22|$176.80|$155.00|$88.40|$77.79|$49.50||$88.40|$176.80|$125.53||$67.41|$83.98|$135.47|$55.00|||$56.00|$52.00|$46.22|$60.24|$81.08|$90.08|$82.88|$81.48|$56.05|$56.05
"CPT® 84403"|"HB TESTOSTERONE BIO/SHBG"|301.00|$321.00|$52.00|$256.80|$225.00|$128.40|$112.99|$71.90||$128.40|$256.80|$182.33||$97.91|$121.98|$196.77|$55.00|||$56.00|$52.00|$54.57|$75.39|$104.85|$116.50|$120.38|$118.35|$81.41|$81.41
"CPT® 84403"|"HB TESTOSTERONE, LEVEL"|301.00|$321.00|$52.00|$256.80|$225.00|$128.40|$112.99|$71.90||$128.40|$256.80|$182.33||$97.91|$121.98|$196.77|$55.00|||$56.00|$52.00|$54.57|$81.83|$111.75|$124.17|$120.38|$118.35|$81.41|$81.41
"CPT® 84403"|"HB TESTOSTERONE, TOTAL"|301.00|$321.00|$49.07|$256.80|$225.00|$128.40|$112.99|$71.90||$128.40|$256.80|$182.33||$97.91|$121.98|$196.77|$55.00|||$56.00|$52.00|$54.57|$49.07|$76.65|$85.17|$120.38|$118.35|$81.41|$81.41
"CPT® 84425"|"HB THIAMINE (VITAMIN B-1)"|301.00|$284.00|$45.11|$227.20|$199.00|$113.60|$99.97|$63.62||$113.60|$227.20|$161.31||$86.62|$107.92|$174.09|$55.00|||$56.00|$52.00|$45.11|$72.80|$99.30|$110.33|$106.50|$104.71|$72.02|$72.02
"CPT® 82657"|"HB THIOPURINE METHYLTRANSFERASE, RBC"|301.00|$198.00|$38.43|$158.40|$139.00|$79.20|$69.70|$44.35||$79.20|$158.40|$112.46||$60.39|$75.24|$121.37|$55.00|||$56.00|$52.00|$38.43|$50.82|$69.30|$77.00|$74.25|$73.00|$50.21|$50.21
"CPT® 84445"|"HB THYROID STIMULATING IMMUNOGLOULIN"|301.00|$404.00|$52.00|$323.20|$283.00|$161.60|$142.21|$90.50||$161.60|$323.20|$229.47||$123.22|$153.52|$247.65|$55.00|||$56.00|$52.00|$107.48|$74.48|$110.10|$122.33|$151.50|$148.95|$102.45|$102.45
"CPT® 84436"|"HB THYROXINE"|301.00|$191.00|$14.48|$152.80|$134.00|$76.40|$67.23|$42.78||$76.40|$152.80|$108.49||$58.26|$72.58|$117.08|$55.00|||$56.00|$52.00|$14.48|$48.93|$66.75|$74.17|$71.63|$70.42|$48.44|$48.44
"CPT® 84120"|"HB UROPORPHYRINOGEN"|301.00|$487.00|$31.19|$389.60|$341.00|$194.80|$171.42|$109.09||$194.80|$389.60|$276.62||$148.54|$185.06|$298.53|$55.00|||$56.00|$52.00|$31.19|$133.21|$179.25|$199.17|$182.63|$179.56|$123.50|$123.50
"CPT® 84585"|"HB VANILLYL MANDELIC ACID, URINE, 24 HR"|301.00|$249.00|$32.85|$199.20|$174.00|$99.60|$87.65|$55.78||$99.60|$199.20|$141.43||$75.95|$94.62|$152.64|$55.00|||$56.00|$52.00|$32.85|$63.91|$87.15|$96.83|$93.38|$91.81|$63.15|$63.15
"CPT® 84586"|"HB VASOACTIVE INTESTINAL PEPTIDE"|301.00|$314.00|$52.00|$251.20|$220.00|$125.60|$110.53|$70.34||$125.60|$251.20|$178.35||$95.77|$119.32|$192.48|$55.00|||$56.00|$52.00|$74.63|$81.34|$110.70|$123.00|$117.75|$115.77|$79.63|$79.63
"CPT® 84207"|"HB VITAMIN B6"|301.00|$310.00|$52.00|$248.00|$217.00|$124.00|$109.12|$69.44||$124.00|$248.00|$176.08||$94.55|$117.80|$190.03|$55.00|||$56.00|$52.00|$59.58|$79.38|$108.30|$120.33|$116.25|$114.30|$78.62|$78.62
"CPT® 82652"|"HB VITAMIN D 1-25 DIHYDROXY"|301.00|$569.00|$52.00|$455.20|$398.00|$227.60|$200.29|$127.46||$227.60|$455.20|$323.19||$173.55|$216.22|$348.80|$55.00|||$56.00|$52.00|$81.30|$145.67|$198.75|$220.83|$213.38|$209.79|$144.30|$144.30
"CPT® 82306"|"HB VITAMIN D 25-HYDROXY D2 & D3"|301.00|$218.00|$48.83|$174.40|$153.00|$87.20|$76.74|$48.83||$87.20|$174.40|$123.82||$66.49|$82.84|$133.63|$55.00|||$56.00|$52.00|$62.93|$64.26|$85.20|$94.67|$81.75|$80.38|$55.28|$55.28
"CPT® 84446"|"HB VITAMIN E (ALPHA/GAMMATOCOPHEROL) LEVEL"|301.00|$172.00|$30.08|$137.60|$120.00|$68.80|$60.54|$38.53||$68.80|$137.60|$97.70||$52.46|$65.36|$105.44|$55.00|||$56.00|$52.00|$30.08|$67.48|$85.20|$94.67|$64.50|$63.42|$43.62|$43.62
"CPT® 84597"|"HB VITAMIN K"|301.00|$537.00|$28.95|$429.60|$376.00|$214.80|$189.02|$120.29||$214.80|$429.60|$305.02||$163.79|$204.06|$329.18|$55.00|||$56.00|$52.00|$28.95|$142.59|$193.05|$214.50|$201.38|$197.99|$136.18|$136.18
"CPT® 84620"|"HB XYLOSE TOLERANCE"|301.00|$238.00|$25.07|$190.40|$167.00|$95.20|$83.78|$53.31||$95.20|$190.40|$135.18||$72.59|$90.44|$145.89|$55.00|||$56.00|$52.00|$25.07|$63.98|$86.40|$96.00|$89.25|$87.75|$60.36|$60.36
"CPT® 84630"|"HB ZINC"|301.00|$125.00|$23.94|$100.00|$88.00|$50.00|$44.00|$28.00||$50.00|$100.00|$71.00||$38.13|$47.50|$76.63|$55.00|||$56.00|$52.00|$23.94|$34.23|$46.05|$51.17|$46.88|$46.09|$31.70|$31.70
"CPT® 84630"|"HB ZINC, SERUM"|301.00|$272.00|$23.94|$217.60|$190.00|$108.80|$95.74|$60.93||$108.80|$217.60|$154.50||$82.96|$103.36|$166.74|$55.00|||$56.00|$52.00|$23.94|$56.28|$80.70|$89.67|$102.00|$100.29|$68.98|$68.98
"CPT® 84630"|"HB ZINC, URINE"|301.00|$266.00|$23.94|$212.80|$186.00|$106.40|$93.63|$59.58||$106.40|$212.80|$151.09||$81.13|$101.08|$163.06|$55.00|||$56.00|$52.00|$23.94|$69.30|$94.20|$104.67|$99.75|$98.07|$67.46|$67.46
"CPT® 82105"|"HB AFP MATERNAL SERUM"|301.00|$353.00|$35.64|$282.40|$247.00|$141.20|$124.26|$79.07||$141.20|$282.40|$200.50||$107.67|$134.14|$216.39|$55.00|||$56.00|$52.00|$35.64|$91.63|$124.65|$138.50|$132.38|$130.15|$89.52|$89.52
"CPT® 81227"|"HB CYTOCHROME P2 C9 SEQUENCE GENOTYPE"|301.00|$3817.00|$52.00|$3053.60|$2672.00|$1526.80|$1343.58|$855.01||$1526.80|$3053.60|$2168.06||$1164.19|$1450.46|$2339.82|$55.00|||$56.00|$52.00|$271.76|$597.73|$926.70|$1029.67|$1431.38|$1407.33|$967.99|$967.99
"CPT® 83080"|"HB TAY SACHS DISEASE SCREENING"|301.00|$341.00|$35.64|$272.80|$239.00|$136.40|$120.03|$76.38||$136.40|$272.80|$193.69||$104.01|$129.58|$209.03|$55.00|||$56.00|$52.00|$35.64|$61.67|$91.65|$101.83|$127.88|$125.73|$86.48|$86.48
"CPT® 83020"|"HB HEMOGLOBIN FRACTIONATION WITH INTERPRETATION"|301.00|$204.00|$27.29|$163.20|$143.00|$81.60|$71.81|$45.70||$81.60|$163.20|$115.87||$62.22|$77.52|$125.05|$55.00|||$56.00|$52.00|$27.29|$51.24|$70.20|$78.00|$76.50|$75.21|$51.73|$51.73
"CPT® 83021"|"HB HEMOGLOBIN A2 & F QUANTITATION"|301.00|$200.00|$38.43|$160.00|$140.00|$80.00|$70.40|$44.80||$80.00|$160.00|$113.60||$61.00|$76.00|$122.60|$55.00|||$56.00|$52.00|$38.43|$50.96|$69.60|$77.33|$75.00|$73.74|$50.72|$50.72
"CPT® 85810"|"HB VISCOSITY, PLASMA"|301.00|$224.00|$24.50|$179.20|$157.00|$89.60|$78.85|$50.18||$89.60|$179.20|$127.23||$68.32|$85.12|$137.31|$55.00|||$56.00|$52.00|$24.50|$55.44|$76.20|$84.67|$84.00|$82.59|$56.81|$56.81
"CPT® 83519"|"HB ACETYLCHOLINE RECEPTOR BINDING, AUTOANTIBODIES"|301.00|$432.00|$28.40|$345.60|$302.00|$172.80|$152.06|$96.77||$172.80|$345.60|$245.38||$131.76|$164.16|$264.82|$55.00|||$56.00|$52.00|$28.40|$110.60|$150.90|$167.67|$162.00|$159.28|$109.56|$109.56
"CPT® 83519"|"HB ACETYLCHOLINE RECEPTOR BLOCKING, AUTOANTIBODIES"|301.00|$432.00|$28.40|$345.60|$302.00|$172.80|$152.06|$96.77||$172.80|$345.60|$245.38||$131.76|$164.16|$264.82|$55.00|||$56.00|$52.00|$28.40|$110.60|$150.90|$167.67|$162.00|$159.28|$109.56|$109.56
"CPT® 83519"|"HB ACETYLCHOLINE RECEPTOR MODULATING, AUTOANTIBODIES"|301.00|$432.00|$28.40|$345.60|$302.00|$172.80|$152.06|$96.77||$172.80|$345.60|$245.38||$131.76|$164.16|$264.82|$55.00|||$56.00|$52.00|$28.40|$110.60|$150.90|$167.67|$162.00|$159.28|$109.56|$109.56
"CPT® 82785"|"HB ALLERGEN, IGE, EACH"|301.00|$310.00|$35.09|$248.00|$217.00|$124.00|$109.12|$69.44||$124.00|$248.00|$176.08||$94.55|$117.80|$190.03|$55.00|||$56.00|$52.00|$35.09|$82.39|$111.53|$123.92|$116.25|$114.30|$78.62|$78.62
"CPT® 82785"|"HB CHILDHOOD ALLERGY PANEL, IGE, TOTAL"|301.00|$210.00|$35.09|$168.00|$147.00|$84.00|$73.92|$47.04||$84.00|$168.00|$119.28||$64.05|$79.80|$128.73|$55.00|||$56.00|$52.00|$35.09|$48.58|$67.80|$75.33|$78.75|$77.43|$53.26|$53.26
"CPT® 82785"|"HB RESPIRATORY ALLERGY PANEL, MIDWEST, IGE TOTAL"|301.00|$210.00|$35.09|$168.00|$147.00|$84.00|$73.92|$47.04||$84.00|$168.00|$119.28||$64.05|$79.80|$128.73|$55.00|||$56.00|$52.00|$35.09|$56.70|$76.50|$85.00|$78.75|$77.43|$53.26|$53.26
"CPT® 82785"|"HB FOOD ALLERGY PANEL, IGE, TOTAL"|301.00|$210.00|$35.09|$168.00|$147.00|$84.00|$73.92|$47.04||$84.00|$168.00|$119.28||$64.05|$79.80|$128.73|$55.00|||$56.00|$52.00|$35.09|$48.58|$67.80|$75.33|$78.75|$77.43|$53.26|$53.26
"CPT® 82397"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, CLA"|301.00|$111.00|$24.86|$88.80|$78.00|$44.40|$39.07|$24.86||$44.40|$88.80|$63.05||$33.86|$42.18|$68.04|$55.00|||$56.00|$52.00|$30.08|$30.03|$40.50|$45.00|$41.63|$40.93|$28.15|$28.15
"CPT® 82787"|"HB IMMUNOGLOBULIN, IGG SUBCLASS 1,2,3,4"|301.00|$88.00|$16.71|$70.40|$62.00|$35.20|$30.98|$19.71||$35.20|$70.40|$49.98||$26.84|$33.44|$53.94|$55.00|||$56.00|$52.00|$16.71|$22.68|$30.90|$34.33|$33.00|$32.45|$22.32|$22.32
"CPT® 82787"|"HB IMMUNOGLOBULIN, IGG SUBCLASS 4"|301.00|$88.00|$16.71|$70.40|$62.00|$35.20|$30.98|$19.71||$35.20|$70.40|$49.98||$26.84|$33.44|$53.94|$55.00|||$56.00|$52.00|$16.71|$22.68|$30.90|$34.33|$33.00|$32.45|$22.32|$22.32
"CPT® 83519"|"HB MUSK ANTIBODY"|301.00|$383.00|$28.40|$306.40|$268.00|$153.20|$134.82|$85.79||$153.20|$306.40|$217.54||$116.82|$145.54|$234.78|$55.00|||$56.00|$52.00|$28.40|$96.81|$132.45|$147.17|$143.63|$141.21|$97.13|$97.13
"CPT® 80180"|"HB MYCOPHENOLIC ACID & METABOLITE"|301.00|$296.00|$38.43|$236.80|$207.00|$118.40|$104.19|$66.30||$118.40|$236.80|$168.13||$90.28|$112.48|$181.45|$55.00|||$56.00|$52.00|$38.43|$80.99|$110.10|$122.33|$111.00|$109.14|$75.07|$75.07
"CPT® 83519"|"HB PARANEOPLASTIC-MAYO AB-RIA"|301.00|$57.00|$12.77|$56.00|$40.00|$22.80|$20.06|$12.77||$22.80|$45.60|$32.38||$17.39|$21.66|$34.94|$55.00|||$56.00|$52.00|$28.40|$15.33|$20.70|$23.00|$21.38|$21.02|$14.46|$14.46
"CPT® 83520"|"HB PARANEOPLASTIC-MAYO STRI AB"|301.00|$57.00|$12.77|$56.00|$40.00|$22.80|$20.06|$12.77||$22.80|$45.60|$32.38||$17.39|$21.66|$34.94|$55.00|||$56.00|$52.00|$27.29|$15.33|$20.70|$23.00|$21.38|$21.02|$14.46|$14.46
"HCPCS G0480"|"HB ACETAMINOPHEN LEVEL"|301.00|$381.00|$52.00|$304.80|$267.00|$152.40|$134.11|$85.34||$152.40|$304.80|$216.41||$116.21|$144.78|$233.55|$150.95|||$56.00|$52.00|$124.19|$98.56|$135.60|$150.67|$142.88|$140.47|$96.62|$96.62
"CPT® 82040"|"HB ALBUMIN LEVEL"|301.00|$131.00|$10.58|$104.80|$92.00|$52.40|$46.11|$29.34||$52.40|$104.80|$74.41||$39.96|$49.78|$80.30|$55.00|||$56.00|$52.00|$10.58|$20.37|$31.65|$35.17|$49.13|$48.30|$33.22|$33.22
"CPT® 82042"|"HB ALBUMIN, BODY FLUID"|301.00|$160.00|$11.13|$128.00|$112.00|$64.00|$56.32|$35.84||$64.00|$128.00|$90.88||$48.80|$60.80|$98.08|$55.00|||$56.00|$52.00|$11.13|$35.00|$49.50|$55.00|$60.00|$58.99|$40.58|$40.58
"CPT® 84075"|"HB ALKALINE PHOSPHATASE LEVEL"|301.00|$130.00|$11.13|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$11.13|$33.46|$45.60|$50.67|$48.75|$47.93|$32.97|$32.97
"CPT® 82140"|"HB AMMONIA LEVEL"|301.00|$354.00|$30.63|$283.20|$248.00|$141.60|$124.61|$79.30||$141.60|$283.20|$201.07||$107.97|$134.52|$217.00|$55.00|||$56.00|$52.00|$30.63|$48.58|$78.60|$87.33|$132.75|$130.52|$89.77|$89.77
"CPT® 82150"|"HB AMYLASE, BODY FLUID"|301.00|$209.00|$13.92|$167.20|$146.00|$83.60|$73.57|$46.82||$83.60|$167.20|$118.71||$63.75|$79.42|$128.12|$55.00|||$56.00|$52.00|$13.92|$53.55|$73.05|$81.17|$78.38|$77.06|$53.00|$53.00
"CPT® 82150"|"HB AMYLASE, SERUM"|301.00|$209.00|$13.92|$167.20|$146.00|$83.60|$73.57|$46.82||$83.60|$167.20|$118.71||$63.75|$79.42|$128.12|$55.00|||$56.00|$52.00|$13.92|$30.03|$47.85|$53.17|$78.38|$77.06|$53.00|$53.00
"CPT® 82150"|"HB AMYLASE, URINE, 24 HR"|301.00|$209.00|$13.92|$167.20|$146.00|$83.60|$73.57|$46.82||$83.60|$167.20|$118.71||$63.75|$79.42|$128.12|$55.00|||$56.00|$52.00|$13.92|$32.83|$50.85|$56.50|$78.38|$77.06|$53.00|$53.00
"CPT® 82150"|"HB AMYLASE, URINE, RANDOM"|301.00|$209.00|$13.92|$167.20|$146.00|$83.60|$73.57|$46.82||$83.60|$167.20|$118.71||$63.75|$79.42|$128.12|$55.00|||$56.00|$52.00|$13.92|$32.83|$50.85|$56.50|$78.38|$77.06|$53.00|$53.00
"CPT® 80047"|"HB BASIC METABOLIC PANEL W/IONIZED CALCIUM"|301.00|$498.00|$17.82|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$55.00|||$56.00|$52.00|$17.82|$119.53|$163.73|$181.92|$186.75|$183.61|$126.29|$126.29
"CPT® 80048"|"HB BASIC METABOLIC PANEL W/TOTAL CALCIUM"|301.00|$250.00|$17.82|$200.00|$175.00|$100.00|$88.00|$56.00||$100.00|$200.00|$142.00||$76.25|$95.00|$153.25|$55.00|||$56.00|$52.00|$17.82|$30.94|$51.90|$57.67|$93.75|$92.18|$63.40|$63.40
"CPT® 84702"|"HB BETA HCG, QUANTITATIVE"|301.00|$318.00|$31.74|$254.40|$223.00|$127.20|$111.94|$71.23||$127.20|$254.40|$180.62||$96.99|$120.84|$194.93|$55.00|||$56.00|$52.00|$31.74|$81.34|$111.00|$123.33|$119.25|$117.25|$80.64|$80.64
"CPT® 82248"|"HB BILIRUBIN, DIRECT"|301.00|$78.00|$10.58|$62.40|$55.00|$31.20|$27.46|$17.47||$31.20|$62.40|$44.30||$23.79|$29.64|$47.81|$55.00|||$56.00|$52.00|$10.58|$28.14|$36.00|$40.00|$29.25|$28.76|$19.78|$19.78
"CPT® 82247"|"HB BILIRUBIN, TOTAL"|301.00|$132.00|$10.58|$105.60|$92.00|$52.80|$46.46|$29.57||$52.80|$105.60|$74.98||$40.26|$50.16|$80.92|$55.00|||$56.00|$52.00|$10.58|$20.44|$31.80|$35.33|$49.50|$48.67|$33.48|$33.48
"CPT® 82247"|"HB BILIRUBIN, TOTAL, NEONATAL"|301.00|$132.00|$10.58|$105.60|$92.00|$52.80|$46.46|$29.57||$52.80|$105.60|$74.98||$40.26|$50.16|$80.92|$55.00|||$56.00|$52.00|$10.58|$33.88|$46.20|$51.33|$49.50|$48.67|$33.48|$33.48
"CPT® 82310"|"HB CALCIUM LEVEL"|301.00|$131.00|$11.13|$104.80|$92.00|$52.40|$46.11|$29.34||$52.40|$104.80|$74.41||$39.96|$49.78|$80.30|$55.00|||$56.00|$52.00|$11.13|$20.37|$31.65|$35.17|$49.13|$48.30|$33.22|$33.22
"CPT® 82340"|"HB CALCIUM, 24 HR URINE"|301.00|$181.00|$12.81|$144.80|$127.00|$72.40|$63.71|$40.54||$72.40|$144.80|$102.81||$55.21|$68.78|$110.95|$55.00|||$56.00|$52.00|$12.81|$46.27|$63.15|$70.17|$67.88|$66.73|$45.90|$45.90
"CPT® 82330"|"HB CALCIUM, IONIZED"|301.00|$274.00|$28.95|$219.20|$192.00|$109.60|$96.45|$61.38||$109.60|$219.20|$155.63||$83.57|$104.12|$167.96|$55.00|||$56.00|$52.00|$28.95|$42.98|$66.60|$74.00|$102.75|$101.02|$69.49|$69.49
"CPT® 82310"|"HB CALCIUM, URINE, RANDOM"|301.00|$131.00|$11.13|$104.80|$92.00|$52.40|$46.11|$29.34||$52.40|$104.80|$74.41||$39.96|$49.78|$80.30|$55.00|||$56.00|$52.00|$11.13|$33.81|$46.05|$51.17|$49.13|$48.30|$33.22|$33.22
"CPT® 80156"|"HB CARBAMAZEPINE LEVEL"|301.00|$351.00|$30.63|$280.80|$246.00|$140.40|$123.55|$78.62||$140.40|$280.80|$199.37||$107.06|$133.38|$215.16|$55.00|||$56.00|$52.00|$30.63|$85.89|$118.35|$131.50|$131.63|$129.41|$89.01|$89.01
"CPT® 82375"|"HB CARBON MONOXIDE LEVEL"|301.00|$233.00|$26.18|$186.40|$163.00|$93.20|$82.02|$52.19||$93.20|$186.40|$132.34||$71.07|$88.54|$142.83|$55.00|||$56.00|$52.00|$26.18|$59.71|$81.45|$90.50|$87.38|$85.91|$59.09|$59.09
"CPT® 82378"|"HB CARCINOEMBYONIC ANTIGEN"|301.00|$377.00|$40.10|$301.60|$264.00|$150.80|$132.70|$84.45||$150.80|$301.60|$214.14||$114.99|$143.26|$231.10|$55.00|||$56.00|$52.00|$40.10|$50.19|$82.05|$91.17|$141.38|$139.00|$95.61|$95.61
"CPT® 82435"|"HB CHLORIDE LEVEL"|301.00|$117.00|$9.47|$93.60|$82.00|$46.80|$41.18|$26.21||$46.80|$93.60|$66.46||$35.69|$44.46|$71.72|$55.00|||$56.00|$52.00|$9.47|$17.99|$28.05|$31.17|$43.88|$43.14|$29.67|$29.67
"CPT® 82436"|"HB CHLORIDE, URINE"|301.00|$95.00|$10.58|$76.00|$66.00|$38.00|$33.44|$21.28||$38.00|$76.00|$53.96||$28.98|$36.10|$58.24|$55.00|||$56.00|$52.00|$10.58|$24.26|$33.08|$36.75|$35.63|$35.03|$24.09|$24.09
"CPT® 82436"|"HB CHLORIDE, URINE, 24 HR"|301.00|$95.00|$10.58|$76.00|$66.00|$38.00|$33.44|$21.28||$38.00|$76.00|$53.96||$28.98|$36.10|$58.24|$55.00|||$56.00|$52.00|$10.58|$24.26|$33.08|$36.75|$35.63|$35.03|$24.09|$24.09
"CPT® 82465"|"HB CHOLESTEROL, TOTAL"|301.00|$137.00|$9.47|$109.60|$96.00|$54.80|$48.22|$30.69||$54.80|$109.60|$77.82||$41.79|$52.06|$83.98|$55.00|||$56.00|$52.00|$9.47|$20.76|$32.48|$36.08|$51.38|$50.51|$34.74|$34.74
"CPT® 80053"|"HB COMPREHENSIVE METABOLIC PANEL"|301.00|$350.00|$22.28|$280.00|$245.00|$140.00|$123.20|$78.40||$140.00|$280.00|$198.80||$106.75|$133.00|$214.55|$55.00|||$56.00|$52.00|$22.28|$38.50|$67.50|$75.00|$131.25|$129.05|$88.76|$88.76
"CPT® 82533"|"HB CORTISOL LEVEL, AM"|301.00|$392.00|$34.53|$313.60|$274.00|$156.80|$137.98|$87.81||$156.80|$313.60|$222.66||$119.56|$148.96|$240.30|$55.00|||$56.00|$52.00|$34.53|$54.04|$87.30|$97.00|$147.00|$144.53|$99.41|$99.41
"CPT® 82533"|"HB CORTISOL LEVEL, TOTAL"|301.00|$392.00|$34.53|$313.60|$274.00|$156.80|$137.98|$87.81||$156.80|$313.60|$222.66||$119.56|$148.96|$240.30|$55.00|||$56.00|$52.00|$34.53|$54.04|$87.30|$97.00|$147.00|$144.53|$99.41|$99.41
"CPT® 80400"|"HB CORTROSYN STIMULATION TEST"|301.00|$574.00|$52.00|$459.20|$402.00|$229.60|$202.05|$128.58||$229.60|$459.20|$326.03||$175.07|$218.12|$351.86|$227.42|||$56.00|$52.00|$120.29|$137.62|$190.50|$211.67|$215.25|$211.63|$145.57|$145.57
"CPT® 82550"|"HB CREATINE KINASE, TOTAL"|301.00|$191.00|$13.92|$152.80|$134.00|$76.40|$67.23|$42.78||$76.40|$152.80|$108.49||$58.26|$72.58|$117.08|$55.00|||$56.00|$52.00|$13.92|$48.93|$66.75|$74.17|$71.63|$70.42|$48.44|$48.44
"CPT® 82575"|"HB CREATININE CLEARANCE, 24 HR"|301.00|$245.00|$20.04|$196.00|$172.00|$98.00|$86.24|$54.88||$98.00|$196.00|$139.16||$74.73|$93.10|$150.19|$55.00|||$56.00|$52.00|$20.04|$43.75|$65.25|$72.50|$91.88|$90.33|$62.13|$62.13
"CPT® 82565"|"HB CREATININE, SERUM"|301.00|$131.00|$10.58|$104.80|$92.00|$52.40|$46.11|$29.34||$52.40|$104.80|$74.41||$39.96|$49.78|$80.30|$55.00|||$56.00|$52.00|$10.58|$18.97|$30.15|$33.50|$49.13|$48.30|$33.22|$33.22
"CPT® 82570"|"HB CREATININE, URINE 24 HR"|301.00|$79.00|$11.13|$63.20|$55.00|$31.60|$27.81|$17.70||$31.60|$63.20|$44.87||$24.10|$30.02|$48.43|$55.00|||$56.00|$52.00|$11.13|$29.33|$37.35|$41.50|$29.63|$29.13|$20.03|$20.03
"CPT® 80162"|"HB DIGOXIN LEVEL"|301.00|$351.00|$28.40|$280.80|$246.00|$140.40|$123.55|$78.62||$140.40|$280.80|$199.37||$107.06|$133.38|$215.16|$55.00|||$56.00|$52.00|$28.40|$45.57|$75.15|$83.50|$131.63|$129.41|$89.01|$89.01
"CPT® 80051"|"HB ELECTROLYTE LEVELS"|301.00|$274.00|$15.03|$219.20|$192.00|$109.60|$96.45|$61.38||$109.60|$219.20|$155.63||$83.57|$104.12|$167.96|$55.00|||$56.00|$52.00|$15.03|$28.11|$49.73|$55.25|$102.75|$101.02|$69.49|$69.49
"HCPCS G0480"|"HB ETHANOL LEVEL"|301.00|$407.00|$52.00|$325.60|$285.00|$162.80|$143.26|$91.17||$162.80|$325.60|$231.18||$124.14|$154.66|$249.49|$161.25|||$56.00|$52.00|$124.19|$98.81|$137.93|$153.25|$152.63|$150.06|$103.22|$103.22
"CPT® 82746"|"HB FOLIC ACID LEVEL"|301.00|$244.00|$31.19|$195.20|$171.00|$97.60|$85.89|$54.66||$97.60|$195.20|$138.59||$74.42|$92.72|$149.57|$55.00|||$56.00|$52.00|$31.19|$35.28|$56.10|$62.33|$91.50|$89.96|$61.88|$61.88
"CPT® 82977"|"HB GAMMA GLUTAMYL TRANSPEPTIDASE (GGT)"|301.00|$187.00|$15.03|$149.60|$131.00|$74.80|$65.82|$41.89||$74.80|$149.60|$106.22||$57.04|$71.06|$114.63|$55.00|||$56.00|$52.00|$15.03|$20.09|$35.55|$39.50|$70.13|$68.95|$47.42|$47.42
"CPT® 80170"|"HB GENTAMICIN LEVEL"|301.00|$366.00|$34.53|$292.80|$256.00|$146.40|$128.83|$81.98||$146.40|$292.80|$207.89||$111.63|$139.08|$224.36|$55.00|||$56.00|$52.00|$34.53|$53.62|$84.90|$94.33|$137.25|$134.94|$92.82|$92.82
"CPT® 82952"|"HB GLUCOSE, GTT, EACH ADDITIONAL"|301.00|$119.00|$8.36|$95.20|$83.00|$47.60|$41.89|$26.66||$47.60|$95.20|$67.59||$36.30|$45.22|$72.95|$55.00|||$56.00|$52.00|$8.36|$51.80|$64.42|$71.59|$44.63|$43.88|$30.18|$30.18
"CPT® 82947"|"HB GLUCOSE LEVEL, BLOOD"|301.00|$130.00|$8.36|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$8.36|$14.70|$25.50|$28.33|$48.75|$47.93|$32.97|$32.97
"CPT® 82951"|"HB GLUCOSE TOLERANCE TEST, 3 SPECIMENS"|301.00|$298.00|$27.29|$238.40|$209.00|$119.20|$104.90|$66.75||$119.20|$238.40|$169.26||$90.89|$113.24|$182.67|$55.00|||$56.00|$52.00|$27.29|$76.30|$104.10|$115.67|$111.75|$109.87|$75.57|$75.57
"CPT® 82950"|"HB GLUCOSE, POST GLUCOSE DOSE"|301.00|$137.00|$10.02|$109.60|$96.00|$54.80|$48.22|$30.69||$54.80|$109.60|$77.82||$41.79|$52.06|$83.98|$55.00|||$56.00|$52.00|$10.02|$34.76|$47.48|$52.75|$51.38|$50.51|$34.74|$34.74
"CPT® 80076"|"HB HEPATIC FUNCTION PANEL"|301.00|$477.00|$17.27|$381.60|$334.00|$190.80|$167.90|$106.85||$190.80|$381.60|$270.94||$145.49|$181.26|$292.40|$55.00|||$56.00|$52.00|$17.27|$45.33|$82.73|$91.92|$178.88|$175.87|$120.97|$120.97
"CPT® 83550"|"HB IRON BINDING CAPACITY"|301.00|$181.00|$18.38|$144.80|$127.00|$72.40|$63.71|$40.54||$72.40|$144.80|$102.81||$55.21|$68.78|$110.95|$55.00|||$56.00|$52.00|$18.38|$46.27|$63.15|$70.17|$67.88|$66.73|$45.90|$45.90
"CPT® 83605"|"HB LACTIC ACID LEVEL"|301.00|$254.00|$22.83|$203.20|$178.00|$101.60|$89.41|$56.90||$101.60|$203.20|$144.27||$77.47|$96.52|$155.70|$55.00|||$56.00|$52.00|$22.83|$65.10|$88.80|$98.67|$95.25|$93.65|$64.41|$64.41
"CPT® 82951"|"HB LACTOSE TOLERANCE"|301.00|$298.00|$27.29|$238.40|$209.00|$119.20|$104.90|$66.75||$119.20|$238.40|$169.26||$90.89|$113.24|$182.67|$55.00|||$56.00|$52.00|$27.29|$76.30|$104.10|$115.67|$111.75|$109.87|$75.57|$75.57
"CPT® 83690"|"HB LIPASE LEVEL"|301.00|$221.00|$14.48|$176.80|$155.00|$88.40|$77.79|$49.50||$88.40|$176.80|$125.53||$67.41|$83.98|$135.47|$55.00|||$56.00|$52.00|$14.48|$32.24|$51.08|$56.75|$82.88|$81.48|$56.05|$56.05
"CPT® 80061"|"HB LIPID PANEL"|301.00|$210.00|$41.21|$168.00|$147.00|$84.00|$73.92|$47.04||$84.00|$168.00|$119.28||$64.05|$79.80|$128.73|$55.00|||$56.00|$52.00|$41.21|$48.30|$67.50|$75.00|$78.75|$77.43|$53.26|$53.26
"CPT® 80178"|"HB LITHIUM LEVEL"|301.00|$194.00|$13.92|$155.20|$136.00|$77.60|$68.29|$43.46||$77.60|$155.20|$110.19||$59.17|$73.72|$118.92|$55.00|||$56.00|$52.00|$13.92|$47.74|$65.70|$73.00|$72.75|$71.53|$49.20|$49.20
"CPT® 83735"|"HB MAGNESIUM LEVEL"|301.00|$92.00|$13.92|$73.60|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$55.00|||$56.00|$52.00|$13.92|$20.44|$28.80|$32.00|$34.50|$33.92|$23.33|$23.33
"CPT® 83050"|"HB METHEMOGLOBIN LEVEL"|301.00|$188.00|$15.59|$150.40|$132.00|$75.20|$66.18|$42.11||$75.20|$150.40|$106.78||$57.34|$71.44|$115.24|$55.00|||$56.00|$52.00|$15.59|$48.16|$65.70|$73.00|$70.50|$69.32|$47.68|$47.68
"CPT® 80184"|"HB PHENOBARBITAL LEVEL"|301.00|$370.00|$24.50|$296.00|$259.00|$148.00|$130.24|$82.88||$148.00|$296.00|$210.16||$112.85|$140.60|$226.81|$55.00|||$56.00|$52.00|$24.50|$46.90|$78.00|$86.67|$138.75|$136.42|$93.83|$93.83
"CPT® 80185"|"HB PHENYTOIN LEVEL"|301.00|$280.00|$27.84|$224.00|$196.00|$112.00|$98.56|$62.72||$112.00|$224.00|$159.04||$85.40|$106.40|$171.64|$55.00|||$56.00|$52.00|$27.84|$42.00|$66.00|$73.33|$105.00|$103.24|$71.01|$71.01
"CPT® 84100"|"HB PHOSPHORUS LEVEL"|301.00|$80.00|$10.02|$64.00|$56.00|$32.00|$28.16|$17.92||$32.00|$64.00|$45.44||$24.40|$30.40|$49.04|$55.00|||$56.00|$52.00|$10.02|$14.00|$21.00|$23.33|$30.00|$29.50|$20.29|$20.29
"CPT® 84105"|"HB PHOSPHORUS, URINE, 24 HR"|301.00|$114.00|$11.13|$91.20|$80.00|$45.60|$40.13|$25.54||$45.60|$91.20|$64.75||$34.77|$43.32|$69.88|$55.00|||$56.00|$52.00|$11.13|$31.50|$42.30|$47.00|$42.75|$42.03|$28.91|$28.91
"CPT® 84132"|"HB POTASSIUM LEVEL"|301.00|$119.00|$9.47|$95.20|$83.00|$47.60|$41.89|$26.66||$47.60|$95.20|$67.59||$36.30|$45.22|$72.95|$55.00|||$56.00|$52.00|$9.47|$18.13|$28.35|$31.50|$44.63|$43.88|$30.18|$30.18
"CPT® 84133"|"HB POTASSIUM, BODY FLUID"|301.00|$158.00|$8.91|$126.40|$111.00|$63.20|$55.62|$35.39||$63.20|$126.40|$89.74||$48.19|$60.04|$96.85|$55.00|||$56.00|$52.00|$8.91|$22.26|$35.70|$39.67|$59.25|$58.25|$40.07|$40.07
"CPT® 84133"|"HB POTASSIUM, URINE"|301.00|$158.00|$8.91|$126.40|$111.00|$63.20|$55.62|$35.39||$63.20|$126.40|$89.74||$48.19|$60.04|$96.85|$55.00|||$56.00|$52.00|$8.91|$22.26|$35.70|$39.67|$59.25|$58.25|$40.07|$40.07
"CPT® 84133"|"HB POTASSIUM, URINE, 24 HR"|301.00|$158.00|$8.91|$126.40|$111.00|$63.20|$55.62|$35.39||$63.20|$126.40|$89.74||$48.19|$60.04|$96.85|$55.00|||$56.00|$52.00|$8.91|$22.26|$35.70|$39.67|$59.25|$58.25|$40.07|$40.07
"CPT® 84153"|"HB PROSTATE SPECIFIC ANTIGEN, TOTAL"|301.00|$272.00|$38.99|$217.60|$190.00|$108.80|$95.74|$60.93||$108.80|$217.60|$154.50||$82.96|$103.36|$166.74|$55.00|||$56.00|$52.00|$38.99|$40.04|$63.30|$70.33|$102.00|$100.29|$68.98|$68.98
"CPT® 84157"|"HB PROTEIN, TOTAL, CSF"|301.00|$131.00|$7.80|$104.80|$92.00|$52.40|$46.11|$29.34||$52.40|$104.80|$74.41||$39.96|$49.78|$80.30|$55.00|||$56.00|$52.00|$7.80|$17.57|$28.65|$31.83|$49.13|$48.30|$33.22|$33.22
"CPT® 84155"|"HB PROTEIN, TOTAL, SERUM"|301.00|$131.00|$7.80|$104.80|$92.00|$52.40|$46.11|$29.34||$52.40|$104.80|$74.41||$39.96|$49.78|$80.30|$55.00|||$56.00|$52.00|$7.80|$17.57|$28.65|$31.83|$49.13|$48.30|$33.22|$33.22
"CPT® 84157"|"HB PROTEIN, TOTAL, BODY FLUID"|301.00|$131.00|$7.80|$104.80|$92.00|$52.40|$46.11|$29.34||$52.40|$104.80|$74.41||$39.96|$49.78|$80.30|$55.00|||$56.00|$52.00|$7.80|$17.57|$28.65|$31.83|$49.13|$48.30|$33.22|$33.22
"CPT® 80069"|"HB RENAL FUNCTION PANEL"|301.00|$380.00|$18.38|$304.00|$266.00|$152.00|$133.76|$85.12||$152.00|$304.00|$215.84||$115.90|$144.40|$232.94|$55.00|||$56.00|$52.00|$18.38|$35.18|$64.88|$72.08|$142.50|$140.11|$96.37|$96.37
"HCPCS G0480"|"HB SALYCYLATE LEVEL"|301.00|$286.00|$52.00|$228.80|$200.00|$114.40|$100.67|$64.06||$114.40|$228.80|$162.45||$87.23|$108.68|$175.32|$113.31|||$56.00|$52.00|$124.19|$66.40|$93.68|$104.08|$107.25|$105.45|$72.53|$72.53
"CPT® 84450"|"HB SGOT (ALT)"|301.00|$187.00|$11.13|$149.60|$131.00|$74.80|$65.82|$41.89||$74.80|$149.60|$106.22||$57.04|$71.06|$114.63|$55.00|||$56.00|$52.00|$11.13|$22.89|$38.55|$42.83|$70.13|$68.95|$47.42|$47.42
"CPT® 84460"|"HB SGPT (AST)"|301.00|$187.00|$11.13|$149.60|$131.00|$74.80|$65.82|$41.89||$74.80|$149.60|$106.22||$57.04|$71.06|$114.63|$55.00|||$56.00|$52.00|$11.13|$22.89|$38.55|$42.83|$70.13|$68.95|$47.42|$47.42
"CPT® 84295"|"HB SODIUM LEVEL"|301.00|$120.00|$10.02|$96.00|$84.00|$48.00|$42.24|$26.88||$48.00|$96.00|$68.16||$36.60|$45.60|$73.56|$55.00|||$56.00|$52.00|$10.02|$18.20|$28.50|$31.67|$45.00|$44.24|$30.43|$30.43
"CPT® 84300"|"HB SODIUM, URINE"|301.00|$118.00|$10.58|$94.40|$83.00|$47.20|$41.54|$26.43||$47.20|$94.40|$67.02||$35.99|$44.84|$72.33|$55.00|||$56.00|$52.00|$10.58|$18.06|$28.20|$31.33|$44.25|$43.51|$29.92|$29.92
"CPT® 84300"|"HB SODIUM, URINE, 24 HR"|301.00|$118.00|$10.58|$94.40|$83.00|$47.20|$41.54|$26.43||$47.20|$94.40|$67.02||$35.99|$44.84|$72.33|$55.00|||$56.00|$52.00|$10.58|$18.06|$28.20|$31.33|$44.25|$43.51|$29.92|$29.92
"CPT® 84480"|"HB T3, TOTAL"|301.00|$302.00|$30.08|$241.60|$211.00|$120.80|$106.30|$67.65||$120.80|$241.60|$171.54||$92.11|$114.76|$185.13|$55.00|||$56.00|$52.00|$30.08|$44.94|$70.80|$78.67|$113.25|$111.35|$76.59|$76.59
"CPT® 84439"|"HB T4, FREE"|301.00|$138.00|$18.93|$110.40|$97.00|$55.20|$48.58|$30.91||$55.20|$110.40|$78.38||$42.09|$52.44|$84.59|$55.00|||$56.00|$52.00|$18.93|$30.66|$43.20|$48.00|$51.75|$50.88|$35.00|$35.00
"CPT® 80198"|"HB THEOPHYLLINE LEVEL"|301.00|$376.00|$30.08|$300.80|$263.00|$150.40|$132.35|$84.22||$150.40|$300.80|$213.57||$114.68|$142.88|$230.49|$55.00|||$56.00|$52.00|$30.08|$47.32|$78.90|$87.67|$141.00|$138.63|$95.35|$95.35
"CPT® 84443"|"HB THYROID STIMULATING HORMONE"|301.00|$186.00|$35.64|$148.80|$130.00|$74.40|$65.47|$41.66||$74.40|$148.80|$105.65||$56.73|$70.68|$114.02|$55.00|||$56.00|$52.00|$35.64|$38.22|$54.90|$61.00|$69.75|$68.58|$47.17|$47.17
"CPT® 80200"|"HB TOBRAMYCIN LEVEL"|301.00|$277.00|$33.98|$221.60|$194.00|$110.80|$97.50|$62.05||$110.80|$221.60|$157.34||$84.49|$105.26|$169.80|$55.00|||$56.00|$52.00|$33.98|$45.99|$70.05|$77.83|$103.88|$102.13|$70.25|$70.25
"CPT® 84466"|"HB TRANSFERRIN LEVEL"|301.00|$282.00|$27.29|$225.60|$197.00|$112.80|$99.26|$63.17||$112.80|$225.60|$160.18||$86.01|$107.16|$172.87|$55.00|||$56.00|$52.00|$27.29|$40.74|$64.80|$72.00|$105.75|$103.97|$71.52|$71.52
"CPT® 84478"|"HB TRIGLYCERIDE LEVEL"|301.00|$145.00|$12.26|$116.00|$102.00|$58.00|$51.04|$32.48||$58.00|$116.00|$82.36||$44.23|$55.10|$88.89|$55.00|||$56.00|$52.00|$12.26|$19.95|$32.25|$35.83|$54.38|$53.46|$36.77|$36.77
"CPT® 84484"|"HB TROPONIN I LEVEL"|301.00|$195.00|$20.61|$156.00|$136.00|$78.00|$68.64|$43.68||$78.00|$156.00|$110.76||$59.48|$74.10|$119.54|$55.00|||$56.00|$52.00|$20.61|$73.29|$93.15|$103.50|$73.13|$71.90|$49.45|$49.45
"CPT® 84520"|"HB UREA NITROGEN LEVEL"|301.00|$131.00|$8.36|$104.80|$92.00|$52.40|$46.11|$29.34||$52.40|$104.80|$74.41||$39.96|$49.78|$80.30|$55.00|||$56.00|$52.00|$8.36|$18.97|$30.15|$33.50|$49.13|$48.30|$33.22|$33.22
"CPT® 84540"|"HB UREA NITROGEN, URINE, 24 HR"|301.00|$137.00|$10.02|$109.60|$96.00|$54.80|$48.22|$30.69||$54.80|$109.60|$77.82||$41.79|$52.06|$83.98|$55.00|||$56.00|$52.00|$10.02|$34.76|$47.48|$52.75|$51.38|$50.51|$34.74|$34.74
"CPT® 84560"|"HB URIC ACID, BODY FLUID"|301.00|$177.00|$10.02|$141.60|$124.00|$70.80|$62.30|$39.65||$70.80|$141.60|$100.54||$53.99|$67.26|$108.50|$55.00|||$56.00|$52.00|$10.02|$22.19|$37.05|$41.17|$66.38|$65.26|$44.89|$44.89
"CPT® 84560"|"HB URIC ACID, URINE, 24 HR"|301.00|$177.00|$10.02|$141.60|$124.00|$70.80|$62.30|$39.65||$70.80|$141.60|$100.54||$53.99|$67.26|$108.50|$55.00|||$56.00|$52.00|$10.02|$22.19|$37.05|$41.17|$66.38|$65.26|$44.89|$44.89
"CPT® 80164"|"HB VALPROIC ACID LEVEL"|301.00|$379.00|$28.95|$303.20|$265.00|$151.60|$133.41|$84.90||$151.60|$303.20|$215.27||$115.60|$144.02|$232.33|$55.00|||$56.00|$52.00|$28.95|$47.53|$79.35|$88.17|$142.13|$139.74|$96.11|$96.11
"CPT® 80202"|"HB VANCOMYCIN LEVEL"|301.00|$312.00|$28.95|$249.60|$218.00|$124.80|$109.82|$69.89||$124.80|$249.60|$177.22||$95.16|$118.56|$191.26|$55.00|||$56.00|$52.00|$28.95|$42.84|$69.30|$77.00|$117.00|$115.03|$79.12|$79.12
"CPT® 82607"|"HB VITAMIN B12 LEVEL"|301.00|$154.00|$31.74|$123.20|$108.00|$61.60|$54.21|$34.50||$61.60|$123.20|$87.47||$46.97|$58.52|$94.40|$55.00|||$56.00|$52.00|$31.74|$59.22|$75.00|$83.33|$57.75|$56.78|$39.05|$39.05
"CPT® 83970"|"HB PARATHYROID HORMONE, INTRAOPERATIVE"|301.00|$383.00|$52.00|$306.40|$268.00|$153.20|$134.82|$85.79||$153.20|$306.40|$217.54||$116.82|$145.54|$234.78|$55.00|||$56.00|$52.00|$87.44|$103.46|$139.58|$155.09|$143.63|$141.21|$97.13|$97.13
"CPT® 83970"|"HB PARATHYROID HORMONE, INTACT"|301.00|$383.00|$52.00|$306.40|$268.00|$153.20|$134.82|$85.79||$153.20|$306.40|$217.54||$116.82|$145.54|$234.78|$55.00|||$56.00|$52.00|$87.44|$103.46|$139.58|$155.09|$143.63|$141.21|$97.13|$97.13
"CPT® 83930"|"HB OSMOLALITY, SERUM"|301.00|$159.00|$13.92|$127.20|$111.00|$63.60|$55.97|$35.62||$63.60|$127.20|$90.31||$48.50|$60.42|$97.47|$55.00|||$56.00|$52.00|$13.92|$25.13|$38.85|$43.17|$59.63|$58.62|$40.32|$40.32
"CPT® 82731"|"HB FETAL FIBRONECTIN"|301.00|$532.00|$52.00|$425.60|$372.00|$212.80|$187.26|$119.17||$212.80|$425.60|$302.18||$162.26|$202.16|$326.12|$55.00|||$56.00|$52.00|$136.44|$133.84|$183.30|$203.67|$199.50|$196.15|$134.92|$134.92
"CPT® 84703"|"HB PREGNANCY TEST, SERUM"|301.00|$197.00|$16.16|$157.60|$138.00|$78.80|$69.34|$44.13||$78.80|$157.60|$111.90||$60.09|$74.86|$120.76|$55.00|||$56.00|$52.00|$16.16|$50.47|$68.85|$76.50|$73.88|$72.63|$49.96|$49.96
"CPT® 81025"|"HB PREGNANCY TEST, URINE"|301.00|$217.00|$13.37|$173.60|$152.00|$86.80|$76.38|$48.61||$86.80|$173.60|$123.26||$66.19|$82.46|$133.02|$55.00|||$56.00|$52.00|$13.37|$35.49|$53.55|$59.50|$81.38|$80.01|$55.03|$55.03
"CPT® 83986"|"HB PH, BODY FLUID"|301.00|$114.00|$7.80|$91.20|$80.00|$45.60|$40.13|$25.54||$45.60|$91.20|$64.75||$34.77|$43.32|$69.88|$55.00|||$56.00|$52.00|$7.80|$28.98|$39.60|$44.00|$42.75|$42.03|$28.91|$28.91
"CPT® 83935"|"HB OSMOLALITY, URINE"|301.00|$209.00|$14.48|$167.20|$146.00|$83.60|$73.57|$46.82||$83.60|$167.20|$118.71||$63.75|$79.42|$128.12|$55.00|||$56.00|$52.00|$14.48|$28.63|$46.35|$51.50|$78.38|$77.06|$53.00|$53.00
"CPT® 82272"|"HB OCCULT BLOOD, DIAGNOSTIC"|301.00|$81.00|$6.68|$64.80|$57.00|$32.40|$28.51|$18.14||$32.40|$64.80|$46.01||$24.71|$30.78|$49.65|$55.00|||$56.00|$52.00|$6.68|$21.84|$29.48|$32.75|$30.38|$29.86|$20.54|$20.54
"CPT® 82803"|"HB BLOOD GAS, POC"|301.00|$403.00|$41.21|$322.40|$282.00|$161.20|$141.86|$90.27||$161.20|$322.40|$228.90||$122.92|$153.14|$247.04|$55.00|||$56.00|$52.00|$41.21|$103.25|$140.85|$156.50|$151.13|$148.59|$102.20|$102.20
"CPT® 82803"|"HB BLOOD GAS, CORD BLOOD, POC"|301.00|$403.00|$41.21|$322.40|$282.00|$161.20|$141.86|$90.27||$161.20|$322.40|$228.90||$122.92|$153.14|$247.04|$55.00|||$56.00|$52.00|$41.21|$103.25|$140.85|$156.50|$151.13|$148.59|$102.20|$102.20
"CPT® 82800"|"HB BLOOD GAS, VENOUS PH, POC"|301.00|$123.00|$17.82|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$17.82|$31.57|$43.05|$47.83|$46.13|$45.35|$31.19|$31.19
"CPT® 82565"|"HB CREATININE. POC"|301.00|$30.00|$6.72|$30.00|$21.00|$12.00|$10.56|$6.72||$12.00|$24.00|$17.04||$9.15|$11.40|$18.39|$30.00|||$30.00|$30.00|$10.58|$7.98|$10.80|$12.00|$11.25|$11.06|$7.61|$7.61
"CPT® 82962"|"HB GLUCOSE, WHOLE BLOOD, POC"|301.00|$50.00|$5.01|$50.00|$35.00|$20.00|$17.60|$11.20||$20.00|$40.00|$28.40||$15.25|$19.00|$30.65|$50.00|||$50.00|$50.00|$5.01|$9.10|$13.50|$15.00|$18.75|$18.44|$12.68|$12.68
"CPT® 82552"|"HB CREATINE KINASE MB LEVEL"|301.00|$259.00|$28.40|$207.20|$181.00|$103.60|$91.17|$58.02||$103.60|$207.20|$147.11||$79.00|$98.42|$158.77|$55.00|||$56.00|$52.00|$28.40|$67.41|$91.65|$101.83|$97.13|$95.49|$65.68|$65.68
"CPT® 84484"|"HB TROPONIN I LEVEL"|301.00|$195.00|$20.61|$156.00|$136.00|$78.00|$68.64|$43.68||$78.00|$156.00|$110.76||$59.48|$74.10|$119.54|$55.00|||$56.00|$52.00|$20.61|$73.29|$93.15|$103.50|$73.13|$71.90|$49.45|$49.45
"CPT® 81025"|"HB PREGNANCY TEST, URINE (POCT)"|301.00|$217.00|$13.37|$173.60|$152.00|$86.80|$76.38|$48.61||$86.80|$173.60|$123.26||$66.19|$82.46|$133.02|$55.00|||$56.00|$52.00|$13.37|$35.49|$53.55|$59.50|$81.38|$80.01|$55.03|$55.03
"CPT® 84112"|"HB EVAL AMNIOTIC FLUID PROTEIN"|301.00|$106.00|$23.74|$126.29|$74.00|$42.40|$37.31|$23.74||$42.40|$84.80|$60.21||$32.33|$40.28|$64.98|$55.00|||$56.00|$52.00|$126.29|$99.65|$108.30|$120.33|$39.75|$39.08|$26.88|$26.88
"CPT® 83013"|"HB HELICOBACTER PYLORI; BREATH TEST ANALYSIS FOR UREASE ACTIVITY; NON-RADIOACTIVE ISOTOPE"|301.00|$791.00|$52.00|$632.80|$554.00|$316.40|$278.43|$177.18||$316.40|$632.80|$449.29||$241.26|$300.58|$484.88|$55.00|||$56.00|$52.00|$124.71|$153.88|$197.85|$219.83|$296.63|$291.64|$200.60|$200.60
"CPT® 83014"|"HB HELICOBACTER PYLORI; DRUG ADMINISTRATION"|301.00|$680.00|$16.71|$544.00|$476.00|$272.00|$239.36|$152.32||$272.00|$544.00|$386.24||$207.40|$258.40|$416.84|$269.42|||$56.00|$52.00|$16.71|$127.75|$164.25|$182.50|$255.00|$250.72|$172.45|$172.45
"CPT® 86703"|"HB ANTI-HIV I & II"|302.00|$151.00|$28.95|$120.80|$106.00|$60.40|$53.15|$33.82||$60.40|$120.80|$85.77||$46.06|$57.38|$92.56|$55.00|||$56.00|$52.00|$28.95|$52.85|$67.95|$75.50|$56.63|$55.67|$38.29|$38.29
"CPT® 86689"|"HB VIROLOGY TESTING"|302.00|$351.00|$41.21|$280.80|$246.00|$140.40|$123.55|$78.62||$140.40|$280.80|$199.37||$107.06|$133.38|$215.16|$55.00|||$56.00|$52.00|$41.21|$122.85|$157.95|$175.50|$131.63|$129.41|$89.01|$89.01
"CPT® 86803"|"HB ANTI-HCV 2.0"|302.00|$324.00|$30.08|$259.20|$227.00|$129.60|$114.05|$72.58||$129.60|$259.20|$184.03||$98.82|$123.12|$198.61|$55.00|||$56.00|$52.00|$30.08|$113.40|$145.80|$162.00|$121.50|$119.46|$82.17|$82.17
"CPT® 86359"|"HB T CELLS, TOTAL COUNT, TCM"|302.00|$220.00|$49.28|$176.00|$154.00|$88.00|$77.44|$49.28||$88.00|$176.00|$124.96||$67.10|$83.60|$134.86|$55.00|||$56.00|$52.00|$80.19|$77.00|$99.00|$110.00|$82.50|$81.11|$55.79|$55.79
"CPT® 86360"|"HB ABSOLUTE CD4 & CD8 COUNT INCLUDING RATIO, TCM"|302.00|$323.00|$52.00|$258.40|$226.00|$129.20|$113.70|$72.35||$129.20|$258.40|$183.46||$98.52|$122.74|$198.00|$55.00|||$56.00|$52.00|$99.68|$113.05|$145.35|$161.50|$121.13|$119.09|$81.91|$81.91
"CPT® 86359"|"HB T CELLS, TOTAL COUNT, PB, QTB"|302.00|$220.00|$49.28|$176.00|$154.00|$88.00|$77.44|$49.28||$88.00|$176.00|$124.96||$67.10|$83.60|$134.86|$55.00|||$56.00|$52.00|$80.19|$77.00|$99.00|$110.00|$82.50|$81.11|$55.79|$55.79
"CPT® 86360"|"HB ABSOLUTE CD4 & CD8 COUNT INCLUDING RATIO, PB, QTB"|302.00|$323.00|$52.00|$258.40|$226.00|$129.20|$113.70|$72.35||$129.20|$258.40|$183.46||$98.52|$122.74|$198.00|$55.00|||$56.00|$52.00|$99.68|$113.05|$145.35|$161.50|$121.13|$119.09|$81.91|$81.91
"CPT® 86355"|"HB B CELLS, TOTAL COUNT, PB, QTB"|302.00|$309.00|$52.00|$247.20|$216.00|$123.60|$108.77|$69.22||$123.60|$247.20|$175.51||$94.25|$117.42|$189.42|$55.00|||$56.00|$52.00|$80.19|$108.15|$139.05|$154.50|$115.88|$113.93|$78.36|$78.36
"CPT® 86357"|"HB NK CELLS, TOTAL COUNT, PB, QTB"|302.00|$309.00|$52.00|$247.20|$216.00|$123.60|$108.77|$69.22||$123.60|$247.20|$175.51||$94.25|$117.42|$189.42|$55.00|||$56.00|$52.00|$80.19|$108.15|$139.05|$154.50|$115.88|$113.93|$78.36|$78.36
"CPT® 86359"|"HB T CELLS, TOTAL COUNT, NON-PB, QTB"|302.00|$220.00|$49.28|$176.00|$154.00|$88.00|$77.44|$49.28||$88.00|$176.00|$124.96||$67.10|$83.60|$134.86|$55.00|||$56.00|$52.00|$80.19|$77.00|$99.00|$110.00|$82.50|$81.11|$55.79|$55.79
"CPT® 86356"|"HB ADDITIONAL MARKERS, LYMPHOCYTES, NON-PB, QTB"|302.00|$155.00|$34.72|$124.00|$108.00|$62.00|$54.56|$34.72||$62.00|$124.00|$88.04||$47.28|$58.90|$95.02|$55.00|||$56.00|$52.00|$56.81|$54.25|$69.75|$77.50|$58.13|$57.15|$39.31|$39.31
"CPT® 86355"|"HB B CELLS, TOTAL COUNT, NON-PB, QTB"|302.00|$309.00|$52.00|$247.20|$216.00|$123.60|$108.77|$69.22||$123.60|$247.20|$175.51||$94.25|$117.42|$189.42|$55.00|||$56.00|$52.00|$80.19|$108.15|$139.05|$154.50|$115.88|$113.93|$78.36|$78.36
"CPT® 86357"|"HB NK CELLS, TOTAL COUNT, NON-PB, QTB"|302.00|$309.00|$52.00|$247.20|$216.00|$123.60|$108.77|$69.22||$123.60|$247.20|$175.51||$94.25|$117.42|$189.42|$55.00|||$56.00|$52.00|$80.19|$108.15|$139.05|$154.50|$115.88|$113.93|$78.36|$78.36
"CPT® 86812"|"HB HLA B27 BY FLOW CYTOMETRY"|302.00|$119.00|$26.66|$95.20|$83.00|$47.60|$41.89|$26.66||$47.60|$95.20|$67.59||$36.30|$45.22|$72.95|$55.00|||$56.00|$52.00|$54.57|$41.65|$53.55|$59.50|$44.63|$43.88|$30.18|$30.18
"CPT® 86367"|"HB STEM CELLS, TOTAL"|302.00|$510.00|$52.00|$408.00|$357.00|$204.00|$179.52|$114.24||$204.00|$408.00|$289.68||$155.55|$193.80|$312.63|$55.00|||$56.00|$52.00|$80.19|$178.50|$229.50|$255.00|$191.25|$188.04|$129.34|$129.34
"CPT® 86367"|"HB STEM CELLS, TOTAL, PRODUCT (MOD 59)"|302.00|$316.00|$52.00|$252.80|$221.00|$126.40|$111.23|$70.78||$126.40|$252.80|$179.49||$96.38|$120.08|$193.71|$55.00|||$56.00|$52.00|$80.19|$110.60|$142.20|$158.00|$118.50|$116.51|$80.14|$80.14
"CPT® 86359"|"HB T CELLS, TOTAL COUNT, PRODUCT"|302.00|$220.00|$49.28|$176.00|$154.00|$88.00|$77.44|$49.28||$88.00|$176.00|$124.96||$67.10|$83.60|$134.86|$55.00|||$56.00|$52.00|$80.19|$77.00|$99.00|$110.00|$82.50|$81.11|$55.79|$55.79
"CPT® 86355"|"HB B CELLS, TOTAL COUNT, CD20 B CELL MONITORING"|302.00|$524.00|$52.00|$419.20|$367.00|$209.60|$184.45|$117.38||$209.60|$419.20|$297.63||$159.82|$199.12|$321.21|$55.00|||$56.00|$52.00|$80.19|$183.40|$235.80|$262.00|$196.50|$193.20|$132.89|$132.89
"CPT® 86356"|"HB T REGULATORY PANEL 4/25/127"|302.00|$526.00|$52.00|$420.80|$368.00|$210.40|$185.15|$117.82||$210.40|$420.80|$298.77||$160.43|$199.88|$322.44|$55.00|||$56.00|$52.00|$56.81|$184.10|$236.70|$263.00|$197.25|$193.94|$133.39|$133.39
"CPT® 86356"|"HB T REGULATORY PANEL 4/25/FOXP3"|302.00|$578.00|$52.00|$462.40|$405.00|$231.20|$203.46|$129.47||$231.20|$462.40|$328.30||$176.29|$219.64|$354.31|$55.00|||$56.00|$52.00|$56.81|$202.30|$260.10|$289.00|$216.75|$213.11|$146.58|$146.58
"CPT® 86157"|"HB ABO ANTIBODY TITRATION, IGM"|302.00|$63.00|$14.11|$56.00|$44.00|$25.20|$22.18|$14.11||$25.20|$50.40|$35.78||$19.22|$23.94|$38.62|$55.00|||$56.00|$52.00|$17.27|$22.05|$28.35|$31.50|$23.63|$23.23|$15.98|$15.98
"CPT® 86850"|"HB ANTIBODY SCREEN"|302.00|$127.00|$8.36|$101.60|$89.00|$50.80|$44.70|$28.45||$50.80|$101.60|$72.14||$38.74|$48.26|$77.85|$55.00|||$56.00|$52.00|$8.36|$44.45|$57.15|$63.50|$47.63|$46.82|$32.21|$32.21
"CPT® 86156"|"HB COLD AGGLUTININ SCREEN"|302.00|$122.00|$13.92|$97.60|$85.00|$48.80|$42.94|$27.33||$48.80|$97.60|$69.30||$37.21|$46.36|$74.79|$55.00|||$56.00|$52.00|$13.92|$42.70|$54.90|$61.00|$45.75|$44.98|$30.94|$30.94
"CPT® 86921"|"HB CROSSMATCH, INCUBATION, EACH UNIT"|302.00|$24.00|$5.38|$24.00|$17.00|$9.60|$8.45|$5.38||$9.60|$19.20|$13.63||$7.32|$9.12|$14.71|$24.00|||$24.00|$24.00|$24.00|$8.40|$10.80|$12.00|$9.00|$8.85|$6.09|$6.09
"CPT® 86813"|"HB HUMAN LEUKOCYTE ANTIGEN (HLA) TYPE MATCHING"|302.00|$1657.00|$52.00|$1325.60|$1160.00|$662.80|$583.26|$371.17||$662.80|$1325.60|$941.18||$505.39|$629.66|$1015.74|$55.00|||$56.00|$52.00|$123.08|$579.95|$745.65|$828.50|$621.38|$610.94|$420.22|$420.22
"CPT® 86978"|"HB PLASMA PRETREATMENT, ABSORPTION"|302.00|$239.00|$52.00|$191.20|$167.00|$95.60|$84.13|$53.54||$95.60|$191.20|$135.75||$72.90|$90.82|$146.51|$55.00|||$56.00|$52.00|$52.91|$83.65|$107.55|$119.50|$89.63|$88.12|$60.61|$60.61
"CPT® 86978"|"HB PLASMA PRETREATMENT, EACH ALLOABSORPTION"|302.00|$211.00|$47.26|$168.80|$148.00|$84.40|$74.27|$47.26||$84.40|$168.80|$119.85||$64.36|$80.18|$129.34|$55.00|||$56.00|$52.00|$52.91|$73.85|$94.95|$105.50|$79.13|$77.80|$53.51|$53.51
"CPT® 86978"|"HB PLASMA PRETREATMENT, EACH AUTOABSORPTION"|302.00|$211.00|$47.26|$168.80|$148.00|$84.40|$74.27|$47.26||$84.40|$168.80|$119.85||$64.36|$80.18|$129.34|$55.00|||$56.00|$52.00|$52.91|$73.85|$94.95|$105.50|$79.13|$77.80|$53.51|$53.51
"CPT® 86975"|"HB PLASMA PRETREATMENT, INCUBATION WITH DRUGS"|302.00|$129.00|$28.90|$103.20|$90.00|$51.60|$45.41|$28.90||$51.60|$103.20|$73.27||$39.35|$49.02|$79.08|$51.11|||$56.00|$52.00|$47.34|$45.15|$58.05|$64.50|$48.38|$47.56|$32.71|$32.71
"CPT® 86977"|"HB PLASMA PRETREATMENT, INCUBATION WITH INHIBITORS"|302.00|$129.00|$28.90|$103.20|$90.00|$51.60|$45.41|$28.90||$51.60|$103.20|$73.27||$39.35|$49.02|$79.08|$51.11|||$56.00|$52.00|$52.91|$45.15|$58.05|$64.50|$48.38|$47.56|$32.71|$32.71
"CPT® 86970"|"HB RBC PRETREATMENT, ENZYME"|302.00|$129.00|$28.90|$103.20|$90.00|$51.60|$45.41|$28.90||$51.60|$103.20|$73.27||$39.35|$49.02|$79.08|$55.00|||$56.00|$52.00|$44.00|$45.15|$58.05|$64.50|$48.38|$47.56|$32.71|$32.71
"CPT® 86904"|"HB ANTIGEN SCREENING, PATIENT SERUM, EACH ANTIGEN"|302.00|$105.00|$20.04|$84.00|$74.00|$42.00|$36.96|$23.52||$42.00|$84.00|$59.64||$32.03|$39.90|$64.37|$41.60|||$56.00|$52.00|$20.04|$36.75|$47.25|$52.50|$39.38|$38.71|$26.63|$26.63
"CPT® 86905"|"HB LEA ANTIGEN TYPING, PATIENT"|302.00|$85.00|$8.36|$68.00|$59.00|$34.00|$29.92|$19.04||$34.00|$68.00|$48.28||$25.93|$32.30|$52.11|$55.00|||$56.00|$52.00|$8.36|$22.96|$30.98|$34.42|$31.88|$31.34|$21.56|$21.56
"CPT® 86905"|"HB LEB ANTIGEN TYPING, PATIENT"|302.00|$95.00|$8.36|$76.00|$66.00|$38.00|$33.44|$21.28||$38.00|$76.00|$53.96||$28.98|$36.10|$58.24|$55.00|||$56.00|$52.00|$8.36|$25.52|$34.43|$38.25|$35.63|$35.03|$24.09|$24.09
"CPT® 86905"|"HB M ANTIGEN TYPING, PATIENT"|302.00|$85.00|$8.36|$68.00|$59.00|$34.00|$29.92|$19.04||$34.00|$68.00|$48.28||$25.93|$32.30|$52.11|$55.00|||$56.00|$52.00|$8.36|$22.96|$30.98|$34.42|$31.88|$31.34|$21.56|$21.56
"CPT® 86905"|"HB N ANTIGEN TYPING, PATIENT"|302.00|$85.00|$8.36|$68.00|$59.00|$34.00|$29.92|$19.04||$34.00|$68.00|$48.28||$25.93|$32.30|$52.11|$55.00|||$56.00|$52.00|$8.36|$22.96|$30.98|$34.42|$31.88|$31.34|$21.56|$21.56
"CPT® 86832"|"HB HLA CLASS I ANTIBODY ID HIGH RESOLUTION - HLA MATCHED PLATELET"|302.00|$6019.00|$52.00|$4815.20|$4213.00|$2407.60|$2118.69|$1348.26||$2407.60|$4815.20|$3418.79||$1835.80|$2287.22|$3689.65|$55.00|||$56.00|$52.00|$268.97|$2106.65|$2708.55|$3009.50|$2257.13|$2219.21|$1526.42|$1526.42
"CPT® 86850"|"HB ANTIBODY SCREEN , COLD SO"|302.00|$127.00|$8.36|$101.60|$89.00|$50.80|$44.70|$28.45||$50.80|$101.60|$72.14||$38.74|$48.26|$77.85|$55.00|||$56.00|$52.00|$8.36|$44.45|$57.15|$63.50|$47.63|$46.82|$32.21|$32.21
"CPT® 86850"|"HB ANTIBODY SCREEN SO"|302.00|$127.00|$8.36|$101.60|$89.00|$50.80|$44.70|$28.45||$50.80|$101.60|$72.14||$38.74|$48.26|$77.85|$55.00|||$56.00|$52.00|$8.36|$44.45|$57.15|$63.50|$47.63|$46.82|$32.21|$32.21
"CPT® 86978"|"HB PLASMA PRETREATMENT, ALLOABSORPTION SO"|302.00|$211.00|$47.26|$168.80|$148.00|$84.40|$74.27|$47.26||$84.40|$168.80|$119.85||$64.36|$80.18|$129.34|$55.00|||$56.00|$52.00|$52.91|$73.85|$94.95|$105.50|$79.13|$77.80|$53.51|$53.51
"CPT® 86978"|"HB PLASMA PRETREATMENT, AUTOABSORPTION SO"|302.00|$190.00|$42.56|$152.00|$133.00|$76.00|$66.88|$42.56||$76.00|$152.00|$107.92||$57.95|$72.20|$116.47|$55.00|||$56.00|$52.00|$52.91|$66.50|$85.50|$95.00|$71.25|$70.05|$48.18|$48.18
"CPT® 86972"|"HB ANTIBODY ADSORPTION REST SO"|302.00|$650.00|$52.00|$520.00|$455.00|$260.00|$228.80|$145.60||$260.00|$520.00|$369.20||$198.25|$247.00|$398.45|$257.53|||$56.00|$52.00|$61.82|$227.50|$292.50|$325.00|$243.75|$239.66|$164.84|$164.84
"CPT® 86308"|"HB HETEROPHILE ANTIBODY SCREEN"|302.00|$153.00|$11.13|$122.40|$107.00|$61.20|$53.86|$34.27||$61.20|$122.40|$86.90||$46.67|$58.14|$93.79|$55.00|||$56.00|$52.00|$11.13|$53.55|$68.85|$76.50|$57.38|$56.41|$38.80|$38.80
"CPT® 86403"|"HB CRYPTOCOCCAL ANTIGEN SCREEN"|302.00|$208.00|$21.72|$166.40|$146.00|$83.20|$73.22|$46.59||$83.20|$166.40|$118.14||$63.44|$79.04|$127.50|$55.00|||$56.00|$52.00|$21.72|$52.36|$71.70|$79.67|$78.00|$76.69|$52.75|$52.75
"CPT® 86403"|"HB CRYPTOCOCCAL ANTIGEN SCREEN, CSF"|302.00|$208.00|$21.72|$166.40|$146.00|$83.20|$73.22|$46.59||$83.20|$166.40|$118.14||$63.44|$79.04|$127.50|$55.00|||$56.00|$52.00|$21.72|$52.36|$71.70|$79.67|$78.00|$76.69|$52.75|$52.75
"CPT® 86406"|"HB CRYTOCOCCAL TITER"|302.00|$389.00|$22.28|$311.20|$272.00|$155.60|$136.93|$87.14||$155.60|$311.20|$220.95||$118.65|$147.82|$238.46|$55.00|||$56.00|$52.00|$22.28|$98.00|$134.18|$149.09|$145.88|$143.42|$98.65|$98.65
"CPT® 86703"|"HB HIV-1 & HIV-2 ANTIBODY, RAPID TEST"|302.00|$140.00|$28.95|$112.00|$98.00|$56.00|$49.28|$31.36||$56.00|$112.00|$79.52||$42.70|$53.20|$85.82|$55.00|||$56.00|$52.00|$28.95|$49.00|$63.00|$70.00|$52.50|$51.62|$35.50|$35.50
"CPT® 86255"|"HB ANTIPARIETAL CELL ANTIBODY"|302.00|$240.00|$25.62|$192.00|$168.00|$96.00|$84.48|$53.76||$96.00|$192.00|$136.32||$73.20|$91.20|$147.12|$55.00|||$56.00|$52.00|$25.62|$84.00|$108.00|$120.00|$90.00|$88.49|$60.86|$60.86
"CPT® 86255"|"HB ANTI NEUTROPHIL CYTOPLASMIC ANTIBODY BY IF"|302.00|$148.00|$25.62|$118.40|$104.00|$59.20|$52.10|$33.15||$59.20|$118.40|$84.06||$45.14|$56.24|$90.72|$55.00|||$56.00|$52.00|$25.62|$51.80|$66.60|$74.00|$55.50|$54.57|$37.53|$37.53
"CPT® 86255"|"HB ANTIMITOCHONDRIAL ANTIBODY"|302.00|$276.00|$25.62|$220.80|$193.00|$110.40|$97.15|$61.82||$110.40|$220.80|$156.77||$84.18|$104.88|$169.19|$55.00|||$56.00|$52.00|$25.62|$96.60|$124.20|$138.00|$103.50|$101.76|$69.99|$69.99
"CPT® 86038"|"HB ANTINUCLEAR ANTIBODY (ANA)"|302.00|$190.00|$25.62|$152.00|$133.00|$76.00|$66.88|$42.56||$76.00|$152.00|$107.92||$57.95|$72.20|$116.47|$55.00|||$56.00|$52.00|$25.62|$47.95|$65.63|$72.92|$71.25|$70.05|$48.18|$48.18
"CPT® 86039"|"HB ANA TITER"|302.00|$307.00|$23.39|$245.60|$215.00|$122.80|$108.06|$68.77||$122.80|$245.60|$174.38||$93.64|$116.66|$188.19|$55.00|||$56.00|$52.00|$23.39|$77.35|$105.90|$117.67|$115.13|$113.19|$77.86|$77.86
"CPT® 86255"|"HB ANTISMOOTH MUSCLE ANTIBODY"|302.00|$276.00|$25.62|$220.80|$193.00|$110.40|$97.15|$61.82||$110.40|$220.80|$156.77||$84.18|$104.88|$169.19|$55.00|||$56.00|$52.00|$25.62|$96.60|$124.20|$138.00|$103.50|$101.76|$69.99|$69.99
"CPT® 86146"|"HB BETA 2 GLYCOPROTEIN IGA ANTIBODY"|302.00|$65.00|$14.56|$56.00|$46.00|$26.00|$22.88|$14.56||$26.00|$52.00|$36.92||$19.83|$24.70|$39.85|$55.00|||$56.00|$52.00|$54.02|$22.75|$29.25|$32.50|$24.38|$23.97|$16.48|$16.48
"CPT® 86146"|"HB BETA 2 GLYCOPROTEIN IGG ANTIBODY"|302.00|$65.00|$14.56|$56.00|$46.00|$26.00|$22.88|$14.56||$26.00|$52.00|$36.92||$19.83|$24.70|$39.85|$55.00|||$56.00|$52.00|$54.02|$22.75|$29.25|$32.50|$24.38|$23.97|$16.48|$16.48
"CPT® 86146"|"HB BETA 2 GLYCOPROTEIN IGM ANTIBODY"|302.00|$65.00|$14.56|$56.00|$46.00|$26.00|$22.88|$14.56||$26.00|$52.00|$36.92||$19.83|$24.70|$39.85|$55.00|||$56.00|$52.00|$54.02|$22.75|$29.25|$32.50|$24.38|$23.97|$16.48|$16.48
"CPT® 86304"|"HB CA125"|302.00|$307.00|$44.00|$245.60|$215.00|$122.80|$108.06|$68.77||$122.80|$245.60|$174.38||$93.64|$116.66|$188.19|$55.00|||$56.00|$52.00|$44.00|$107.45|$138.15|$153.50|$115.13|$113.19|$77.86|$77.86
"CPT® 86147"|"HB CARDIOLIPIN ANTIBODY, EACH IG CLASS"|302.00|$184.00|$41.22|$147.20|$129.00|$73.60|$64.77|$41.22||$73.60|$147.20|$104.51||$56.12|$69.92|$112.79|$55.00|||$56.00|$52.00|$54.02|$46.27|$63.37|$70.42|$69.00|$67.84|$46.66|$46.66
"CPT® 86160"|"HB COMPLEMENT ANTIGEN, EACH"|302.00|$145.00|$25.62|$116.00|$102.00|$58.00|$51.04|$32.48||$58.00|$116.00|$82.36||$44.23|$55.10|$88.89|$55.00|||$56.00|$52.00|$25.62|$36.61|$50.10|$55.67|$54.38|$53.46|$36.77|$36.77
"CPT® 86162"|"HB COMPLEMENT: CH50"|302.00|$204.00|$42.89|$163.20|$143.00|$81.60|$71.81|$45.70||$81.60|$163.20|$115.87||$62.22|$77.52|$125.05|$55.00|||$56.00|$52.00|$42.89|$71.40|$91.80|$102.00|$76.50|$75.21|$51.73|$51.73
"CPT® 86200"|"HB CYCLIC CITRULLINATED PEPTIDE ANTIBODY"|302.00|$64.00|$14.34|$56.00|$45.00|$25.60|$22.53|$14.34||$25.60|$51.20|$36.35||$19.52|$24.32|$39.23|$55.00|||$56.00|$52.00|$27.29|$22.40|$28.80|$32.00|$24.00|$23.60|$16.23|$16.23
"CPT® 86644"|"HB CYTOMEGALOVIRUS ANTIBODY, IGG"|302.00|$268.00|$30.63|$214.40|$188.00|$107.20|$94.34|$60.03||$107.20|$214.40|$152.22||$81.74|$101.84|$164.28|$55.00|||$56.00|$52.00|$30.63|$93.80|$120.60|$134.00|$100.50|$98.81|$67.96|$67.96
"CPT® 86645"|"HB CYTOMEGALOVIRUS ANIBODY, IGM"|302.00|$268.00|$35.64|$214.40|$188.00|$107.20|$94.34|$60.03||$107.20|$214.40|$152.22||$81.74|$101.84|$164.28|$55.00|||$56.00|$52.00|$35.64|$93.80|$120.60|$134.00|$100.50|$98.81|$67.96|$67.96
"CPT® 86225"|"HB DS DNA ANTIBODY"|302.00|$240.00|$28.95|$192.00|$168.00|$96.00|$84.48|$53.76||$96.00|$192.00|$136.32||$73.20|$91.20|$147.12|$55.00|||$56.00|$52.00|$28.95|$60.48|$82.80|$92.00|$90.00|$88.49|$60.86|$60.86
"CPT® 86256"|"HB DS DNA ANTIBODY TITER BY IFA"|302.00|$98.00|$21.95|$78.40|$69.00|$39.20|$34.50|$21.95||$39.20|$78.40|$55.66||$29.89|$37.24|$60.07|$55.00|||$56.00|$52.00|$25.62|$34.30|$44.10|$49.00|$36.75|$36.13|$24.85|$24.85
"CPT® 86235"|"HB EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY"|302.00|$147.00|$32.93|$117.60|$103.00|$58.80|$51.74|$32.93||$58.80|$117.60|$83.50||$44.84|$55.86|$90.11|$55.00|||$56.00|$52.00|$37.86|$51.45|$66.15|$73.50|$55.13|$54.20|$37.28|$37.28
"CPT® 86256"|"HB FLUORESCENT ANTIBODY TITER"|302.00|$98.00|$21.95|$78.40|$69.00|$39.20|$34.50|$21.95||$39.20|$78.40|$55.66||$29.89|$37.24|$60.07|$55.00|||$56.00|$52.00|$25.62|$24.71|$33.83|$37.59|$36.75|$36.13|$24.85|$24.85
"CPT® 86677"|"HB H. PYLORI IGG ANTIBODY"|302.00|$375.00|$30.63|$300.00|$262.00|$150.00|$132.00|$84.00||$150.00|$300.00|$213.00||$114.38|$142.50|$229.88|$55.00|||$56.00|$52.00|$30.63|$131.25|$168.75|$187.50|$140.63|$138.26|$95.10|$95.10
"CPT® 86704"|"HB HEPATITIS B CORE ANTIBODY (TOTAL)"|302.00|$231.00|$25.62|$184.80|$162.00|$92.40|$81.31|$51.74||$92.40|$184.80|$131.21||$70.46|$87.78|$141.60|$55.00|||$56.00|$52.00|$25.62|$80.85|$103.95|$115.50|$86.63|$85.17|$58.58|$58.58
"CPT® 86709"|"HB HEPATITIS A IGM ANTIBODY"|302.00|$314.00|$23.94|$251.20|$220.00|$125.60|$110.53|$70.34||$125.60|$251.20|$178.35||$95.77|$119.32|$192.48|$55.00|||$56.00|$52.00|$23.94|$109.90|$141.30|$157.00|$117.75|$115.77|$79.63|$79.63
"CPT® 86705"|"HB HEPATITIS B CORE ANTIBODY IGM"|302.00|$330.00|$25.07|$264.00|$231.00|$132.00|$116.16|$73.92||$132.00|$264.00|$187.44||$100.65|$125.40|$202.29|$55.00|||$56.00|$52.00|$25.07|$115.50|$148.50|$165.00|$123.75|$121.67|$83.69|$83.69
"CPT® 86706"|"HB HEPATITIS B SURFACE ANTIBODY"|302.00|$153.00|$22.83|$122.40|$107.00|$61.20|$53.86|$34.27||$61.20|$122.40|$86.90||$46.67|$58.14|$93.79|$55.00|||$56.00|$52.00|$22.83|$53.55|$68.85|$76.50|$57.38|$56.41|$38.80|$38.80
"CPT® 87340"|"HB HEPATITIS B SURFACE ANTIGEN"|302.00|$113.00|$21.72|$90.40|$79.00|$45.20|$39.78|$25.31||$45.20|$90.40|$64.18||$34.47|$42.94|$69.27|$55.00|||$56.00|$52.00|$21.72|$38.50|$49.50|$55.00|$42.38|$41.66|$28.66|$28.66
"CPT® 86803"|"HB HEPATITIS C ANTIBODY"|302.00|$314.00|$30.08|$251.20|$220.00|$125.60|$110.53|$70.34||$125.60|$251.20|$178.35||$95.77|$119.32|$192.48|$55.00|||$56.00|$52.00|$30.08|$63.98|$92.10|$102.33|$117.75|$115.77|$79.63|$79.63
"CPT® 87389"|"HB HIV ANTIGEN/ANTIBODY COMBINATION"|302.00|$41.00|$9.18|$41.00|$29.00|$16.40|$14.43|$9.18||$16.40|$32.80|$23.29||$12.51|$15.58|$25.13|$41.00|||$41.00|$41.00|$40.00|$14.00|$18.00|$20.00|$15.38|$15.12|$10.40|$10.40
"CPT® 86305"|"HB HUMAN EPIDIDYMIS PROTEIN (HE4)"|302.00|$284.00|$44.00|$227.20|$199.00|$113.60|$99.97|$63.62||$113.60|$227.20|$161.31||$86.62|$107.92|$174.09|$55.00|||$56.00|$52.00|$44.00|$99.40|$127.80|$142.00|$106.50|$104.71|$72.02|$72.02
"CPT® 86335"|"HB IMMUNOFIXELECTROPHB -UR/CSF"|302.00|$572.00|$52.00|$457.60|$400.00|$228.80|$201.34|$128.13||$228.80|$457.60|$324.90||$174.46|$217.36|$350.64|$55.00|||$56.00|$52.00|$62.37|$200.20|$257.40|$286.00|$214.50|$210.90|$145.06|$145.06
"CPT® 86618"|"HB LYMES IGG/IGM ANTIBODIES, EACH"|302.00|$148.00|$33.15|$118.40|$104.00|$59.20|$52.10|$33.15||$59.20|$118.40|$84.06||$45.14|$56.24|$90.72|$55.00|||$56.00|$52.00|$36.20|$51.80|$66.60|$74.00|$55.50|$54.57|$37.53|$37.53
"CPT® 80195"|"HB RAPAMYCIN BY IMX"|302.00|$191.00|$28.95|$152.80|$134.00|$76.40|$67.23|$42.78||$76.40|$152.80|$108.49||$58.26|$72.58|$117.08|$55.00|||$56.00|$52.00|$28.95|$66.85|$85.95|$95.50|$71.63|$70.42|$48.44|$48.44
"CPT® 86235"|"HB SJOGRENS ANTIBODIES"|302.00|$174.00|$37.86|$139.20|$122.00|$69.60|$61.25|$38.98||$69.60|$139.20|$98.83||$53.07|$66.12|$106.66|$55.00|||$56.00|$52.00|$37.86|$60.90|$78.30|$87.00|$65.25|$64.15|$44.13|$44.13
"CPT® 86592"|"HB SYPHILIS TEST, QUALITATIVE"|302.00|$84.00|$8.91|$67.20|$59.00|$33.60|$29.57|$18.82||$33.60|$67.20|$47.71||$25.62|$31.92|$51.49|$55.00|||$56.00|$52.00|$8.91|$29.40|$37.80|$42.00|$31.50|$30.97|$21.30|$21.30
"CPT® 86800"|"HB THYROGLOBULIN ANTIBODIES"|302.00|$317.00|$33.98|$253.60|$222.00|$126.80|$111.58|$71.01||$126.80|$253.60|$180.06||$96.69|$120.46|$194.32|$55.00|||$56.00|$52.00|$33.98|$110.95|$142.65|$158.50|$118.88|$116.88|$80.39|$80.39
"CPT® 86376"|"HB THYROID PEROXIDASE ANTIBODY"|302.00|$318.00|$30.63|$254.40|$223.00|$127.20|$111.94|$71.23||$127.20|$254.40|$180.62||$96.99|$120.84|$194.93|$55.00|||$56.00|$52.00|$30.63|$111.30|$143.10|$159.00|$119.25|$117.25|$80.64|$80.64
"CPT® 86777"|"HB TOXOPLASMA ANTIBODY, IGG"|302.00|$268.00|$30.63|$214.40|$188.00|$107.20|$94.34|$60.03||$107.20|$214.40|$152.22||$81.74|$101.84|$164.28|$55.00|||$56.00|$52.00|$30.63|$93.80|$120.60|$134.00|$100.50|$98.81|$67.96|$67.96
"CPT® 86778"|"HB TOXOPLASMA ANTIBODY, IGM"|302.00|$221.00|$30.63|$176.80|$155.00|$88.40|$77.79|$49.50||$88.40|$176.80|$125.53||$67.41|$83.98|$135.47|$55.00|||$56.00|$52.00|$30.63|$77.35|$99.45|$110.50|$82.88|$81.48|$56.05|$56.05
"CPT® 86780"|"HB TPA SYPHILIS CONFIRMATION"|302.00|$58.00|$12.99|$56.00|$41.00|$23.20|$20.42|$12.99||$23.20|$46.40|$32.94||$17.69|$22.04|$35.55|$55.00|||$56.00|$52.00|$27.84|$20.13|$25.88|$28.75|$21.75|$21.38|$14.71|$14.71
"CPT® 86480"|"HB TUBERCULOSIS IMMUNITY ASSAY"|302.00|$212.00|$47.49|$169.60|$148.00|$84.80|$74.62|$47.49||$84.80|$169.60|$120.42||$64.66|$80.56|$129.96|$55.00|||$56.00|$52.00|$131.42|$74.20|$95.40|$106.00|$79.50|$78.16|$53.76|$53.76
"CPT® 86701"|"HB HIV-1 ANTIBODY, MULTISPOT"|302.00|$174.00|$18.93|$139.20|$122.00|$69.60|$61.25|$38.98||$69.60|$139.20|$98.83||$53.07|$66.12|$106.66|$55.00|||$56.00|$52.00|$18.93|$60.90|$78.30|$87.00|$65.25|$64.15|$44.13|$44.13
"CPT® 86702"|"HB HIV-2 ANTIBODY, MULTISPOT"|302.00|$174.00|$28.40|$139.20|$122.00|$69.60|$61.25|$38.98||$69.60|$139.20|$98.83||$53.07|$66.12|$106.66|$55.00|||$56.00|$52.00|$28.40|$60.90|$78.30|$87.00|$65.25|$64.15|$44.13|$44.13
"CPT® 86235"|"HB JO-1 ANTIBODY, QUANTITATIVE"|302.00|$58.00|$12.99|$56.00|$41.00|$23.20|$20.42|$12.99||$23.20|$46.40|$32.94||$17.69|$22.04|$35.55|$55.00|||$56.00|$52.00|$37.62|$14.53|$19.88|$22.08|$21.75|$21.38|$14.71|$14.71
"CPT® 86235"|"HB RNP/SM ANTIBODY, QUANTITATIVE"|302.00|$58.00|$12.99|$56.00|$41.00|$23.20|$20.42|$12.99||$23.20|$46.40|$32.94||$17.69|$22.04|$35.55|$55.00|||$56.00|$52.00|$37.62|$14.53|$19.88|$22.08|$21.75|$21.38|$14.71|$14.71
"CPT® 86235"|"HB SCL-70 ANTIBODY, QUANTITATIVE"|302.00|$58.00|$12.99|$56.00|$41.00|$23.20|$20.42|$12.99||$23.20|$46.40|$32.94||$17.69|$22.04|$35.55|$55.00|||$56.00|$52.00|$37.62|$14.53|$19.88|$22.08|$21.75|$21.38|$14.71|$14.71
"CPT® 86235"|"HB SM ANTIBODY, QUANTITATIVE"|302.00|$58.00|$12.99|$56.00|$41.00|$23.20|$20.42|$12.99||$23.20|$46.40|$32.94||$17.69|$22.04|$35.55|$55.00|||$56.00|$52.00|$37.62|$14.53|$19.88|$22.08|$21.75|$21.38|$14.71|$14.71
"CPT® 86235"|"HB SSA(RO) ANTIBODY, QUANTITATIVE"|302.00|$58.00|$12.99|$56.00|$41.00|$23.20|$20.42|$12.99||$23.20|$46.40|$32.94||$17.69|$22.04|$35.55|$55.00|||$56.00|$52.00|$37.62|$14.53|$19.88|$22.08|$21.75|$21.38|$14.71|$14.71
"CPT® 86235"|"HB SSB(LA) ANTIBODY, QUANTITATIVE"|302.00|$58.00|$12.99|$56.00|$41.00|$23.20|$20.42|$12.99||$23.20|$46.40|$32.94||$17.69|$22.04|$35.55|$55.00|||$56.00|$52.00|$37.62|$14.53|$19.88|$22.08|$21.75|$21.38|$14.71|$14.71
"CPT® 86780"|"HB SYPHILIS ANTIBODY, TREPONEMAL W/ REFLEX"|302.00|$87.00|$19.49|$69.60|$61.00|$34.80|$30.62|$19.49||$34.80|$69.60|$49.42||$26.54|$33.06|$53.33|$55.00|||$56.00|$52.00|$27.84|$30.45|$39.15|$43.50|$32.63|$32.08|$22.06|$22.06
"CPT® 86663"|"HB EBV PANEL, EARLY ANTIGEN (EA)"|302.00|$58.00|$12.99|$56.00|$41.00|$23.20|$20.42|$12.99||$23.20|$46.40|$32.94||$17.69|$22.04|$35.55|$55.00|||$56.00|$52.00|$27.84|$14.53|$19.88|$22.08|$21.75|$21.38|$14.71|$14.71
"CPT® 86664"|"HB EBV PANEL, NUCLEAR ANTIGEN (NA)"|302.00|$58.00|$12.99|$56.00|$41.00|$23.20|$20.42|$12.99||$23.20|$46.40|$32.94||$17.69|$22.04|$35.55|$55.00|||$56.00|$52.00|$32.30|$14.53|$19.88|$22.08|$21.75|$21.38|$14.71|$14.71
"CPT® 86665"|"HB EBV PANEL, VIRAL CAPSID (VCA)"|302.00|$58.00|$12.99|$56.00|$41.00|$23.20|$20.42|$12.99||$23.20|$46.40|$32.94||$17.69|$22.04|$35.55|$55.00|||$56.00|$52.00|$37.81|$14.53|$19.88|$22.08|$21.75|$21.38|$14.71|$14.71
"CPT® 86695"|"HB HERPES SIMPLEX 1 ANTIBODIES, IGG"|302.00|$86.00|$19.26|$68.80|$60.00|$34.40|$30.27|$19.26||$34.40|$68.80|$48.85||$26.23|$32.68|$52.72|$55.00|||$56.00|$52.00|$27.84|$21.56|$29.55|$32.83|$32.25|$31.71|$21.81|$21.81
"CPT® 86696"|"HB HERPES SIMPLEX 2 ANTIBODIES, IGG"|302.00|$86.00|$19.26|$68.80|$60.00|$34.40|$30.27|$19.26||$34.40|$68.80|$48.85||$26.23|$32.68|$52.72|$55.00|||$56.00|$52.00|$41.21|$21.56|$29.55|$32.83|$32.25|$31.71|$21.81|$21.81
"CPT® 86735"|"HB MUMPS ANTIBODY, IGG"|302.00|$53.00|$11.87|$53.00|$37.00|$21.20|$18.66|$11.87||$21.20|$42.40|$30.10||$16.17|$20.14|$32.49|$53.00|||$53.00|$52.00|$27.84|$13.37|$18.30|$20.33|$19.88|$19.54|$13.44|$13.44
"CPT® 86762"|"HB RUBELLA ANTIBODY, IGG"|302.00|$53.00|$11.87|$53.00|$37.00|$21.20|$18.66|$11.87||$21.20|$42.40|$30.10||$16.17|$20.14|$32.49|$53.00|||$53.00|$52.00|$30.63|$13.37|$18.30|$20.33|$19.88|$19.54|$13.44|$13.44
"CPT® 86765"|"HB RUBEOLA ANTIBODY, IGG"|302.00|$53.00|$11.87|$53.00|$37.00|$21.20|$18.66|$11.87||$21.20|$42.40|$30.10||$16.17|$20.14|$32.49|$53.00|||$53.00|$52.00|$27.29|$13.37|$18.30|$20.33|$19.88|$19.54|$13.44|$13.44
"CPT® 86777"|"HB TOXOPLASMA ANTIBODY, IGG"|302.00|$68.00|$15.23|$56.00|$48.00|$27.20|$23.94|$15.23||$27.20|$54.40|$38.62||$20.74|$25.84|$41.68|$55.00|||$56.00|$52.00|$30.63|$17.15|$23.47|$26.09|$25.50|$25.07|$17.24|$17.24
"CPT® 86787"|"HB VARICELLA ZOSTER ANTIBODY, IGG"|302.00|$58.00|$12.99|$56.00|$41.00|$23.20|$20.42|$12.99||$23.20|$46.40|$32.94||$17.69|$22.04|$35.55|$55.00|||$56.00|$52.00|$27.29|$14.53|$19.88|$22.08|$21.75|$21.38|$14.71|$14.71
"CPT® 86665"|"HB EBV PANEL, VIRAL CAPSID (VCA), IGM"|302.00|$82.00|$18.37|$65.60|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$55.00|||$56.00|$52.00|$38.43|$20.65|$28.27|$31.42|$30.75|$30.23|$20.80|$20.80
"CPT® 86701"|"HB HIV-1 AB DIFFERENTIATION"|302.00|$280.00|$18.93|$224.00|$196.00|$112.00|$98.56|$62.72||$112.00|$224.00|$159.04||$85.40|$106.40|$171.64|$55.00|||$56.00|$52.00|$18.93|$70.63|$96.67|$107.42|$105.00|$103.24|$71.01|$71.01
"CPT® 86702"|"HB HIV-2 AB DIFFERENTIATION"|302.00|$280.00|$28.40|$224.00|$196.00|$112.00|$98.56|$62.72||$112.00|$224.00|$159.04||$85.40|$106.40|$171.64|$55.00|||$56.00|$52.00|$28.40|$70.63|$96.67|$107.42|$105.00|$103.24|$71.01|$71.01
"CPT® 86593"|"HB RPR TITER"|302.00|$12.00|$2.69|$12.00|$8.00|$4.80|$4.22|$2.69||$4.80|$9.60|$6.82||$3.66|$4.56|$7.36|$12.00|||$12.00|$12.00|$8.16|$2.91|$3.98|$4.42|$4.50|$4.42|$3.04|$3.04
"CPT® 86146"|"HB BETA 2 GLYCOPROTEIN IGA ANTIBODY"|302.00|$82.00|$18.37|$65.60|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$55.00|||$56.00|$52.00|$53.51|$20.65|$28.27|$31.42|$30.75|$30.23|$20.80|$20.80
"CPT® 86146"|"HB BETA 2 GLYCOPROTEIN IGG ANTIBODY"|302.00|$82.00|$18.37|$65.60|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$55.00|||$56.00|$52.00|$53.51|$20.65|$28.27|$31.42|$30.75|$30.23|$20.80|$20.80
"CPT® 86146"|"HB BETA 2 GLYCOPROTEIN IGM ANTIBODY"|302.00|$82.00|$18.37|$65.60|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$55.00|||$56.00|$52.00|$53.51|$20.65|$28.27|$31.42|$30.75|$30.23|$20.80|$20.80
"CPT® 86147"|"HB CARDIOLIPIN ANTIBODY, EACH IG CLASS"|302.00|$82.00|$18.37|$65.60|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$55.00|||$56.00|$52.00|$53.51|$20.65|$28.27|$31.42|$30.75|$30.23|$20.80|$20.80
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGG"|302.00|$165.00|$35.28|$132.00|$115.00|$66.00|$58.08|$36.96||$66.00|$132.00|$42.13||$42.13|$42.13|$42.13|$55.00|||$42.13|$42.13|$35.28|$39.55|$54.75|$60.83|$61.88|$60.84|$41.84|$41.84
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGM"|302.00|$165.00|$35.28|$132.00|$115.00|$66.00|$58.08|$36.96||$66.00|$132.00|$42.13||$42.13|$42.13|$42.13|$55.00|||$42.13|$42.13|$35.28|$39.55|$54.75|$60.83|$61.88|$60.84|$41.84|$41.84
"CPT® 86769"|"HB COVID-19 ANTIBODIES, TOTAL IGG & IGM"|302.00|$165.00|$30.45|$132.00|$115.00|$66.00|$58.08|$36.96||$66.00|$132.00|$42.13||$42.13|$42.13|$42.13|$55.00|||$42.13|$42.13|$30.45|$32.55|$47.25|$52.50|$61.88|$60.84|$41.84|$41.84
"CPT® 86022"|"HB PLATELET ANTIBODIES"|302.00|$1022.00|$38.99|$817.60|$715.00|$408.80|$359.74|$228.93||$408.80|$817.60|$580.50||$311.71|$388.36|$626.49|$55.00|||$56.00|$52.00|$38.99|$357.70|$459.90|$511.00|$383.25|$376.81|$259.18|$259.18
"CPT® 86022"|"HB HEPARIN INDUCED THROMBOCYTOPENIA"|302.00|$902.00|$38.99|$721.60|$631.00|$360.80|$317.50|$202.05||$360.80|$721.60|$512.34||$275.11|$342.76|$552.93|$55.00|||$56.00|$52.00|$38.99|$227.15|$311.03|$345.59|$338.25|$332.57|$228.75|$228.75
"CPT® 86603"|"HB ADENOVIRUS ANTIBODY"|302.00|$258.00|$27.29|$206.40|$181.00|$103.20|$90.82|$57.79||$103.20|$206.40|$146.54||$78.69|$98.04|$158.15|$55.00|||$56.00|$52.00|$27.29|$90.30|$116.10|$129.00|$96.75|$95.12|$65.43|$65.43
"CPT® 86235"|"HB ANTICENTROMERE AUTOANTIBODIES"|302.00|$120.00|$26.88|$96.00|$84.00|$48.00|$42.24|$26.88||$48.00|$96.00|$68.16||$36.60|$45.60|$73.56|$55.00|||$56.00|$52.00|$37.86|$30.24|$41.40|$46.00|$45.00|$44.24|$30.43|$30.43
"CPT® 86215"|"HB ANTIDEOXYRIBONUCLEASE-B ANTIBODIES"|302.00|$94.00|$21.06|$75.20|$66.00|$37.60|$33.09|$21.06||$37.60|$75.20|$53.39||$28.67|$35.72|$57.62|$55.00|||$56.00|$52.00|$27.84|$32.90|$42.30|$47.00|$35.25|$34.66|$23.84|$23.84
"CPT® 86060"|"HB ANTI-STREPTOLYSIN TITER"|302.00|$85.00|$15.59|$68.00|$59.00|$34.00|$29.92|$19.04||$34.00|$68.00|$48.28||$25.93|$32.30|$52.11|$55.00|||$56.00|$52.00|$15.59|$29.75|$38.25|$42.50|$31.88|$31.34|$21.56|$21.56
"CPT® 86622"|"HB BRUCELLA ABORTUS ANTIBODIES"|302.00|$106.00|$18.93|$84.80|$74.00|$42.40|$37.31|$23.74||$42.40|$84.80|$60.21||$32.33|$40.28|$64.98|$55.00|||$56.00|$52.00|$18.93|$37.10|$47.70|$53.00|$39.75|$39.08|$26.88|$26.88
"CPT® 86301"|"HB CANCER ANTIGEN 19-9"|302.00|$94.00|$21.06|$75.20|$66.00|$37.60|$33.09|$21.06||$37.60|$75.20|$53.39||$28.67|$35.72|$57.62|$55.00|||$56.00|$52.00|$44.00|$32.90|$42.30|$47.00|$35.25|$34.66|$23.84|$23.84
"CPT® 86300"|"HB CANCER ANTIGEN 27.29"|302.00|$94.00|$21.06|$75.20|$66.00|$37.60|$33.09|$21.06||$37.60|$75.20|$53.39||$28.67|$35.72|$57.62|$55.00|||$56.00|$52.00|$44.00|$32.90|$42.30|$47.00|$35.25|$34.66|$23.84|$23.84
"CPT® 86316"|"HB CHROMOGRANIN A"|302.00|$204.00|$44.00|$163.20|$143.00|$81.60|$71.81|$45.70||$81.60|$163.20|$115.87||$62.22|$77.52|$125.05|$55.00|||$56.00|$52.00|$44.00|$71.40|$91.80|$102.00|$76.50|$75.21|$51.73|$51.73
"CPT® 86658"|"HB COXSACKIE B VIRUS ANTIBODY PANEL"|302.00|$110.00|$24.64|$88.00|$77.00|$44.00|$38.72|$24.64||$44.00|$88.00|$62.48||$33.55|$41.80|$67.43|$55.00|||$56.00|$52.00|$27.84|$38.50|$49.50|$55.00|$41.25|$40.56|$27.90|$27.90
"CPT® 86658"|"HB COXSACKIE B VIRUS ANTIBODY PANEL, CEREBRAL SPINAL FLUID"|302.00|$33.00|$7.39|$33.00|$23.00|$13.20|$11.62|$7.39||$13.20|$26.40|$18.74||$10.07|$12.54|$20.23|$33.00|||$33.00|$33.00|$27.84|$11.55|$14.85|$16.50|$12.38|$12.17|$8.37|$8.37
"CPT® 86658"|"HB COXSACKIE B VIRUS ANTIBODY PANEL, CEREBRAL SPINAL FLUID"|302.00|$32.00|$7.17|$32.00|$22.00|$12.80|$11.26|$7.17||$12.80|$25.60|$18.18||$9.76|$12.16|$19.62|$32.00|||$32.00|$32.00|$27.84|$11.20|$14.40|$16.00|$12.00|$11.80|$8.12|$8.12
"CPT® 86003"|"HB CHILDHOOD ALLERGY PANEL, IGE, EACH"|302.00|$75.00|$11.13|$60.00|$52.00|$30.00|$26.40|$16.80||$30.00|$60.00|$42.60||$22.88|$28.50|$45.98|$55.00|||$56.00|$52.00|$11.13|$26.25|$33.75|$37.50|$28.13|$27.65|$19.02|$19.02
"CPT® 86003"|"HB FOOD ALLERGY PANEL, IGE, EACH"|302.00|$75.00|$11.13|$60.00|$52.00|$30.00|$26.40|$16.80||$30.00|$60.00|$42.60||$22.88|$28.50|$45.98|$55.00|||$56.00|$52.00|$11.13|$26.25|$33.75|$37.50|$28.13|$27.65|$19.02|$19.02
"CPT® 86255"|"HB ENDOMYSIAL IGA ANTIBODIES"|302.00|$106.00|$23.74|$84.80|$74.00|$42.40|$37.31|$23.74||$42.40|$84.80|$60.21||$32.33|$40.28|$64.98|$55.00|||$56.00|$52.00|$25.62|$26.53|$36.37|$40.42|$39.75|$39.08|$26.88|$26.88
"CPT® 86753"|"HB ENTAMOEBA HISTOLYTICA ANTIBODIES"|302.00|$139.00|$26.18|$111.20|$97.00|$55.60|$48.93|$31.14||$55.60|$111.20|$78.95||$42.40|$52.82|$85.21|$55.00|||$56.00|$52.00|$26.18|$34.93|$47.85|$53.17|$52.13|$51.25|$35.25|$35.25
"CPT® 86753"|"HB FDA, CHAGAS"|302.00|$116.00|$25.98|$92.80|$81.00|$46.40|$40.83|$25.98||$46.40|$92.80|$65.89||$35.38|$44.08|$71.11|$55.00|||$56.00|$52.00|$26.18|$40.60|$52.20|$58.00|$43.50|$42.77|$29.42|$29.42
"CPT® 86403"|"HB FDA, CMV TOTAL WITH REFLEX"|302.00|$174.00|$21.72|$139.20|$122.00|$69.60|$61.25|$38.98||$69.60|$139.20|$98.83||$53.07|$66.12|$106.66|$55.00|||$56.00|$52.00|$21.72|$60.90|$78.30|$87.00|$65.25|$64.15|$44.13|$44.13
"CPT® 86790"|"HB FDA, HTLV I/II ANTIBODY SCREEN"|302.00|$116.00|$25.98|$92.80|$81.00|$46.40|$40.83|$25.98||$46.40|$92.80|$65.89||$35.38|$44.08|$71.11|$55.00|||$56.00|$52.00|$27.29|$40.60|$52.20|$58.00|$43.50|$42.77|$29.42|$29.42
"CPT® 86592"|"HB FDA, RPR"|302.00|$104.00|$8.91|$83.20|$73.00|$41.60|$36.61|$23.30||$41.60|$83.20|$59.07||$31.72|$39.52|$63.75|$55.00|||$56.00|$52.00|$8.91|$36.23|$46.58|$51.75|$39.00|$38.34|$26.37|$26.37
"CPT® 86703"|"HB FDA, HIV 1/2+O ANTIBODY SCREEN"|302.00|$87.00|$19.49|$69.60|$61.00|$34.80|$30.62|$19.49||$34.80|$69.60|$49.42||$26.54|$33.06|$53.33|$55.00|||$56.00|$52.00|$28.95|$30.45|$39.15|$43.50|$32.63|$32.08|$22.06|$22.06
"CPT® 86704"|"HB FDA, HEPATITIS B CORE ANTIBODY"|302.00|$87.00|$19.49|$69.60|$61.00|$34.80|$30.62|$19.49||$34.80|$69.60|$49.42||$26.54|$33.06|$53.33|$55.00|||$56.00|$52.00|$25.62|$30.45|$39.15|$43.50|$32.63|$32.08|$22.06|$22.06
"CPT® 86803"|"HB FDA, HEPATITIS C ANTIBODY"|302.00|$87.00|$19.49|$69.60|$61.00|$34.80|$30.62|$19.49||$34.80|$69.60|$49.42||$26.54|$33.06|$53.33|$55.00|||$56.00|$52.00|$30.08|$30.45|$39.15|$43.50|$32.63|$32.08|$22.06|$22.06
"CPT® 86317"|"HB HEPATITIS B SURFACE ANTIBODY, QUANTITATIVE"|302.00|$110.00|$24.64|$88.00|$77.00|$44.00|$38.72|$24.64||$44.00|$88.00|$62.48||$33.55|$41.80|$67.43|$55.00|||$56.00|$52.00|$31.74|$38.50|$49.50|$55.00|$41.25|$40.56|$27.90|$27.90
"CPT® 86317"|"HB HEPATITIS B SURFACE ANTIBODY, QUANTITATIVE, END POINT"|302.00|$297.00|$31.74|$237.60|$208.00|$118.80|$104.54|$66.53||$118.80|$237.60|$168.70||$90.59|$112.86|$182.06|$55.00|||$56.00|$52.00|$31.74|$74.76|$102.38|$113.75|$111.38|$109.50|$75.32|$75.32
"CPT® 86707"|"HB HEPATITIS B VIRUS E ANTIGEN/ANTIBODY"|302.00|$42.00|$9.41|$42.00|$29.00|$16.80|$14.78|$9.41||$16.80|$33.60|$23.86||$12.81|$15.96|$25.75|$42.00|||$42.00|$42.00|$24.50|$14.70|$18.90|$21.00|$15.75|$15.49|$10.65|$10.65
"CPT® 86817"|"HB HLA DR TISSUE TYPING"|302.00|$1942.00|$52.00|$1553.60|$1359.00|$776.80|$683.58|$435.01||$776.80|$1553.60|$1103.06||$592.31|$737.96|$1190.45|$769.42|||$56.00|$52.00|$136.44|$679.70|$873.90|$971.00|$728.25|$716.02|$492.49|$492.49
"CPT® 86807"|"HB HLA RAPID ANTIBODY SCREEN"|302.00|$888.00|$52.00|$710.40|$622.00|$355.20|$312.58|$198.91||$355.20|$710.40|$504.38||$270.84|$337.44|$544.34|$55.00|||$56.00|$52.00|$84.09|$223.65|$306.23|$340.25|$333.00|$327.41|$225.20|$225.20
"CPT® 86687"|"HB HUMAN T-CELL LYMPHOTROPIC VIRUS TYPE I/II ANTIBODY"|302.00|$199.00|$17.82|$159.20|$139.00|$79.60|$70.05|$44.58||$79.60|$159.20|$113.03||$60.70|$75.62|$121.99|$55.00|||$56.00|$52.00|$17.82|$69.65|$89.55|$99.50|$74.63|$73.37|$50.47|$50.47
"CPT® 86352"|"HB IMMUNE CELL FUNCTION"|302.00|$385.00|$52.00|$308.00|$270.00|$154.00|$135.52|$86.24||$154.00|$308.00|$218.68||$117.43|$146.30|$236.01|$55.00|||$56.00|$52.00|$287.90|$134.75|$173.25|$192.50|$144.38|$141.95|$97.64|$97.64
"CPT® 86376"|"HB LIVER-KIDNEY MICROSOME ANTIBODIES"|302.00|$145.00|$30.63|$116.00|$102.00|$58.00|$51.04|$32.48||$58.00|$116.00|$82.36||$44.23|$55.10|$88.89|$55.00|||$56.00|$52.00|$30.63|$50.75|$65.25|$72.50|$54.38|$53.46|$36.77|$36.77
"CPT® 86618"|"HB LYME DISEASE ANTIBODY"|302.00|$147.00|$32.93|$117.60|$103.00|$58.80|$51.74|$32.93||$58.80|$117.60|$83.50||$44.84|$55.86|$90.11|$55.00|||$56.00|$52.00|$36.20|$51.45|$66.15|$73.50|$55.13|$54.20|$37.28|$37.28
"CPT® 86617"|"HB LYME IGG, IGM CONFIRMATION"|302.00|$55.00|$12.32|$55.00|$38.00|$22.00|$19.36|$12.32||$22.00|$44.00|$31.24||$16.78|$20.90|$33.72|$55.00|||$55.00|$52.00|$32.85|$19.25|$24.75|$27.50|$20.63|$20.28|$13.95|$13.95
"CPT® 86738"|"HB MYCOPLASMA PNEUMONIAE IGG AND IGM ANTIBODIES"|302.00|$98.00|$21.95|$78.40|$69.00|$39.20|$34.50|$21.95||$39.20|$78.40|$55.66||$29.89|$37.24|$60.07|$55.00|||$56.00|$52.00|$27.84|$34.30|$44.10|$49.00|$36.75|$36.13|$24.85|$24.85
"CPT® 86316"|"HB NEURON SPECIFIC ENOLASE"|302.00|$92.00|$20.61|$73.60|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$55.00|||$56.00|$52.00|$44.00|$32.20|$41.40|$46.00|$34.50|$33.92|$23.33|$23.33
"CPT® 86747"|"HB PARVOVIRUS B19 IGG, IGM ANTIBODIES"|302.00|$125.00|$28.00|$100.00|$88.00|$50.00|$44.00|$28.00||$50.00|$100.00|$71.00||$38.13|$47.50|$76.63|$55.00|||$56.00|$52.00|$31.74|$43.75|$56.25|$62.50|$46.88|$46.09|$31.70|$31.70
"CPT® 86658"|"HB POLIO ANTIBODIES"|302.00|$68.00|$15.23|$56.00|$48.00|$27.20|$23.94|$15.23||$27.20|$54.40|$38.62||$20.74|$25.84|$41.68|$55.00|||$56.00|$52.00|$27.84|$23.80|$30.60|$34.00|$25.50|$25.07|$17.24|$17.24
"CPT® 86638"|"HB Q FEVER PHASE I ANTIBODIES, IGG/ IGM"|302.00|$68.00|$15.23|$56.00|$48.00|$27.20|$23.94|$15.23||$27.20|$54.40|$38.62||$20.74|$25.84|$41.68|$55.00|||$56.00|$52.00|$25.62|$23.80|$30.60|$34.00|$25.50|$25.07|$17.24|$17.24
"CPT® 86638"|"HB Q FEVER PHASE II ANTIBODIES, IGG/ IGM"|302.00|$68.00|$15.23|$56.00|$48.00|$27.20|$23.94|$15.23||$27.20|$54.40|$38.62||$20.74|$25.84|$41.68|$55.00|||$56.00|$52.00|$25.62|$23.80|$30.60|$34.00|$25.50|$25.07|$17.24|$17.24
"CPT® 86382"|"HB RABIES ANTIBODY TITER"|302.00|$932.00|$35.64|$745.60|$652.00|$372.80|$328.06|$208.77||$372.80|$745.60|$529.38||$284.26|$354.16|$571.32|$55.00|||$56.00|$52.00|$35.64|$326.20|$419.40|$466.00|$349.50|$343.63|$236.36|$236.36
"CPT® 86317"|"HB STREPTOCOCCUS PNEUMONIAE IGG AB (MOD 59)"|302.00|$40.00|$8.96|$40.00|$28.00|$16.00|$14.08|$8.96||$16.00|$32.00|$22.72||$12.20|$15.20|$24.52|$40.00|||$40.00|$40.00|$27.58|$9.94|$13.65|$15.17|$15.00|$14.75|$10.14|$10.14
"CPT® 86671"|"HB SACCHAROMYCES CEREVISIAE IGG, IGA ANTIBODIES"|302.00|$248.00|$26.18|$198.40|$174.00|$99.20|$87.30|$55.55||$99.20|$198.40|$140.86||$75.64|$94.24|$152.02|$55.00|||$56.00|$52.00|$26.18|$86.80|$111.60|$124.00|$93.00|$91.44|$62.89|$62.89
"CPT® 86317"|"HB STREPTOCOCCUS PNEUMONIAE IGG ANTIBODIES"|302.00|$40.00|$8.96|$40.00|$28.00|$16.00|$14.08|$8.96||$16.00|$32.00|$22.72||$12.20|$15.20|$24.52|$40.00|||$40.00|$40.00|$31.74|$14.00|$18.00|$20.00|$15.00|$14.75|$10.14|$10.14
"CPT® 86255"|"HB PARANEOPLAST-MAYO AB SCREEN"|302.00|$63.00|$14.11|$56.00|$44.00|$25.20|$22.18|$14.11||$25.20|$50.40|$35.78||$19.22|$23.94|$38.62|$55.00|||$56.00|$52.00|$25.62|$22.05|$28.35|$31.50|$23.63|$23.23|$15.98|$15.98
"CPT® 86003"|"HB RESPIRATORY ALLERGY PANEL, MIDWEST, IGE EACH"|302.00|$52.00|$11.13|$52.00|$36.00|$20.80|$18.30|$11.65||$20.80|$41.60|$29.54||$15.86|$19.76|$31.88|$52.00|||$52.00|$52.00|$11.13|$18.20|$23.40|$26.00|$19.50|$19.17|$13.19|$13.19
"CPT® 86003"|"HB ALLERGEN SPECIFIC IGE, EACH"|302.00|$52.00|$11.13|$52.00|$36.00|$20.80|$18.30|$11.65||$20.80|$41.60|$29.54||$15.86|$19.76|$31.88|$52.00|||$52.00|$52.00|$11.13|$18.20|$23.40|$26.00|$19.50|$19.17|$13.19|$13.19
"CPT® 86666"|"HB A.PHAGOCYTOPHILUM/ E.CHAFFEENSIS ANTIBODY PANEL"|302.00|$152.00|$21.72|$121.60|$106.00|$60.80|$53.50|$34.05||$60.80|$121.60|$86.34||$46.36|$57.76|$93.18|$55.00|||$56.00|$52.00|$21.72|$56.84|$72.30|$80.33|$57.00|$56.04|$38.55|$38.55
"CPT® 83516"|"HB ACTIN SMOOTH MUSCLE AB,IGG"|302.00|$142.00|$24.50|$113.60|$99.00|$56.80|$49.98|$31.81||$56.80|$113.60|$80.66||$43.31|$53.96|$87.05|$55.00|||$56.00|$52.00|$24.50|$57.19|$71.93|$79.92|$53.25|$52.36|$36.01|$36.01
"CPT® 86606"|"HB ASPERGILLUS ANTIBODIES, EACH"|302.00|$69.00|$15.46|$56.00|$48.00|$27.60|$24.29|$15.46||$27.60|$55.20|$39.19||$21.05|$26.22|$42.30|$55.00|||$56.00|$52.00|$31.74|$25.83|$32.85|$36.50|$25.88|$25.44|$17.50|$17.50
"CPT® 86753"|"HB BABESIA MICROTI IGG/IGM ANTIBODIES, IFA, EACH"|302.00|$155.00|$26.18|$124.00|$108.00|$62.00|$54.56|$34.72||$62.00|$124.00|$88.04||$47.28|$58.90|$95.02|$55.00|||$56.00|$52.00|$26.18|$57.68|$73.42|$81.59|$58.13|$57.15|$39.31|$39.31
"CPT® 86611"|"HB BARTONELLA SPECIES AB, IGG/IGM, EACH"|302.00|$62.00|$13.89|$56.00|$43.00|$24.80|$21.82|$13.89||$24.80|$49.60|$35.22||$18.91|$23.56|$38.01|$55.00|||$56.00|$52.00|$21.72|$23.24|$29.55|$32.83|$23.25|$22.86|$15.72|$15.72
"CPT® 86612"|"HB BLASTOMYCES ANTIBODY, ID"|302.00|$194.00|$27.29|$155.20|$136.00|$77.60|$68.29|$43.46||$77.60|$155.20|$110.19||$59.17|$73.72|$118.92|$55.00|||$56.00|$52.00|$27.29|$72.17|$91.87|$102.09|$72.75|$71.53|$49.20|$49.20
"CPT® 86615"|"HB BORDETELLA PERTUSSIS IGG ANTIBODIES, EACH"|302.00|$146.00|$27.84|$116.80|$102.00|$58.40|$51.39|$32.70||$58.40|$116.80|$82.93||$44.53|$55.48|$89.50|$55.00|||$56.00|$52.00|$27.84|$54.53|$69.37|$77.09|$54.75|$53.83|$37.03|$37.03
"CPT® 86161"|"HB C1 INHIBITOR,PROTEIN"|302.00|$204.00|$25.62|$163.20|$143.00|$81.60|$71.81|$45.70||$81.60|$163.20|$115.87||$62.22|$77.52|$125.05|$55.00|||$56.00|$52.00|$25.62|$75.81|$96.53|$107.25|$76.50|$75.21|$51.73|$51.73
"CPT® 86160"|"HB C2 COMPLEMENT COMPONENT"|302.00|$312.00|$25.62|$249.60|$218.00|$124.80|$109.82|$69.89||$124.80|$249.60|$177.22||$95.16|$118.56|$191.26|$55.00|||$56.00|$52.00|$25.62|$116.34|$148.05|$164.50|$117.00|$115.03|$79.12|$79.12
"CPT® 86160"|"HB C4A LEVEL"|302.00|$512.00|$25.62|$409.60|$358.00|$204.80|$180.22|$114.69||$204.80|$409.60|$290.82||$156.16|$194.56|$313.86|$55.00|||$56.00|$52.00|$25.62|$191.45|$243.53|$270.59|$192.00|$188.77|$129.84|$129.84
"CPT® 86147"|"HB CARDIOLIPIN IGA"|302.00|$130.00|$29.12|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$54.02|$48.16|$61.35|$68.17|$48.75|$47.93|$32.97|$32.97
"CPT® 86631"|"HB CHLAMYDIA ANTIBODY, IGA, IGG"|302.00|$104.00|$23.30|$83.20|$73.00|$41.60|$36.61|$23.30||$41.60|$83.20|$59.07||$31.72|$39.52|$63.75|$55.00|||$56.00|$52.00|$25.07|$36.23|$46.58|$51.75|$39.00|$38.34|$26.37|$26.37
"CPT® 86632"|"HB CHLAMYDIA ANTIBODY, IGM"|302.00|$104.00|$23.30|$83.20|$73.00|$41.60|$36.61|$23.30||$41.60|$83.20|$59.07||$31.72|$39.52|$63.75|$55.00|||$56.00|$52.00|$26.73|$36.23|$46.58|$51.75|$39.00|$38.34|$26.37|$26.37
"CPT® 86235"|"HB CHROMATIN(NUCLEOSOMAL)ANTIBODY"|302.00|$463.00|$37.86|$370.40|$324.00|$185.20|$162.98|$103.71||$185.20|$370.40|$262.98||$141.22|$175.94|$283.82|$55.00|||$56.00|$52.00|$37.86|$173.32|$220.42|$244.92|$173.63|$170.71|$117.42|$117.42
"CPT® 86635"|"HB COCCIDIOIDES ANTIBODY, ID"|302.00|$224.00|$24.50|$179.20|$157.00|$89.60|$78.85|$50.18||$89.60|$179.20|$127.23||$68.32|$85.12|$137.31|$55.00|||$56.00|$52.00|$24.50|$83.51|$106.27|$118.09|$84.00|$82.59|$56.81|$56.81
"CPT® 86658"|"HB COXSACKIE A ANTIBODY PANEL"|302.00|$77.00|$17.25|$61.60|$54.00|$30.80|$27.10|$17.25||$30.80|$61.60|$43.74||$23.49|$29.26|$47.20|$55.00|||$56.00|$52.00|$27.84|$28.91|$36.75|$40.83|$28.88|$28.39|$19.53|$19.53
"CPT® 86684"|"HB HAEMOPHILUS INFLUENZA B ANTIBODY, IGG"|302.00|$327.00|$33.41|$261.60|$229.00|$130.80|$115.10|$73.25||$130.80|$261.60|$185.74||$99.74|$124.26|$200.45|$55.00|||$56.00|$52.00|$33.41|$122.22|$155.48|$172.75|$122.63|$120.56|$82.93|$82.93
"CPT® 87521"|"HB HEPATITIS C RNA, QUALITATIVE, PCR"|302.00|$1101.00|$52.00|$880.80|$771.00|$440.40|$387.55|$246.62||$440.40|$880.80|$625.37||$335.81|$418.38|$674.91|$55.00|||$56.00|$52.00|$74.63|$410.17|$519.83|$577.58|$412.88|$405.94|$279.21|$279.21
"CPT® 86343"|"HB LEUKOCYTE HISTAMINE RELEASE"|302.00|$856.00|$26.18|$684.80|$599.00|$342.40|$301.31|$191.74||$342.40|$684.80|$486.21||$261.08|$325.28|$524.73|$55.00|||$56.00|$52.00|$26.18|$320.32|$407.40|$452.67|$321.00|$315.61|$217.08|$217.08
"CPT® 86331"|"HB HYPERSENSITIVITY PNEUMONITIS, GEL DIFFUSION"|302.00|$160.00|$25.62|$128.00|$112.00|$64.00|$56.32|$35.84||$64.00|$128.00|$90.88||$48.80|$60.80|$98.08|$55.00|||$56.00|$52.00|$25.62|$59.29|$75.53|$83.92|$60.00|$58.99|$40.58|$40.58
"CPT® 86606"|"HB HYPERSENSITIVITY PNEUMONITIS, ASPERGILLUS AB"|302.00|$177.00|$31.74|$141.60|$124.00|$70.80|$62.30|$39.65||$70.80|$141.60|$100.54||$53.99|$67.26|$108.50|$55.00|||$56.00|$52.00|$31.74|$65.94|$83.92|$93.25|$66.38|$65.26|$44.89|$44.89
"CPT® 86609"|"HB HYPERSENSITIVITY PNEUMONITIS, BACTERIAL AB"|302.00|$164.00|$27.29|$131.20|$115.00|$65.60|$57.73|$36.74||$65.60|$131.20|$93.15||$50.02|$62.32|$100.53|$55.00|||$56.00|$52.00|$27.29|$61.25|$77.93|$86.59|$61.50|$60.47|$41.59|$41.59
"CPT® 86713"|"HB LEGIONELLA PNEUMOPHILA IGM"|302.00|$363.00|$32.30|$290.40|$254.00|$145.20|$127.78|$81.31||$145.20|$290.40|$206.18||$110.72|$137.94|$222.52|$55.00|||$56.00|$52.00|$32.30|$135.66|$172.58|$191.75|$136.13|$133.84|$92.06|$92.06
"CPT® 86765"|"HB RUBEOLA ANTIBODY"|302.00|$156.00|$27.29|$124.80|$109.00|$62.40|$54.91|$34.94||$62.40|$124.80|$88.61||$47.58|$59.28|$95.63|$55.00|||$56.00|$52.00|$27.29|$58.17|$74.03|$82.25|$58.50|$57.52|$39.56|$39.56
"CPT® 86738"|"HB MYCOPLASMA PNEUMONIAE, IGA"|302.00|$838.00|$27.84|$670.40|$587.00|$335.20|$294.98|$187.71||$335.20|$670.40|$475.98||$255.59|$318.44|$513.69|$55.00|||$56.00|$52.00|$27.84|$313.81|$399.07|$443.42|$314.25|$308.97|$212.52|$212.52
"CPT® 86255"|"HB MYOCARDIAL ANTIBODY SCREEN"|302.00|$217.00|$25.62|$173.60|$152.00|$86.80|$76.38|$48.61||$86.80|$173.60|$123.26||$66.19|$82.46|$133.02|$55.00|||$56.00|$52.00|$25.62|$81.13|$103.20|$114.67|$81.38|$80.01|$55.03|$55.03
"CPT® 86148"|"HB PHOSPHATIDYLSERINE ANTIBODIES, EACH"|302.00|$187.00|$33.98|$149.60|$131.00|$74.80|$65.82|$41.89||$74.80|$149.60|$106.22||$57.04|$71.06|$114.63|$55.00|||$56.00|$52.00|$33.98|$70.00|$89.02|$98.92|$70.13|$68.95|$47.42|$47.42
"CPT® 86023"|"HB PLATELET ANTIBODIES, DIRECT"|302.00|$1823.00|$26.18|$1458.40|$1276.00|$729.20|$641.70|$408.35||$729.20|$1458.40|$1035.46||$556.02|$692.74|$1117.50|$55.00|||$56.00|$52.00|$26.18|$321.02|$480.68|$534.09|$683.63|$672.14|$462.31|$462.31
"CPT® 86022"|"HB PLATELET ANTIBODIES, EACH"|302.00|$195.00|$38.99|$693.25|$136.00|$78.00|$68.64|$43.68||$78.00|$156.00|$110.76||$59.48|$74.10|$119.54|$55.00|||$56.00|$52.00|$38.99|$568.68|$623.92|$693.25|$73.13|$71.90|$49.45|$49.45
"CPT® 86255"|"HB RETICULIN IGA SCREEN"|302.00|$220.00|$25.62|$176.00|$154.00|$88.00|$77.44|$49.28||$88.00|$176.00|$124.96||$67.10|$83.60|$134.86|$55.00|||$56.00|$52.00|$25.62|$81.97|$104.33|$115.92|$82.50|$81.11|$55.79|$55.79
"CPT® 86226"|"HB SS DNA ANTIBODY, IGG"|302.00|$276.00|$25.62|$220.80|$193.00|$110.40|$97.15|$61.82||$110.40|$220.80|$156.77||$84.18|$104.88|$169.19|$55.00|||$56.00|$52.00|$25.62|$103.11|$131.17|$145.75|$103.50|$101.76|$69.99|$69.99
"CPT® 86255"|"HB STRIATED MUSCLE ANTIBODY"|302.00|$186.00|$25.62|$148.80|$130.00|$74.40|$65.47|$41.66||$74.40|$148.80|$105.65||$56.73|$70.68|$114.02|$55.00|||$56.00|$52.00|$25.62|$46.83|$64.13|$71.25|$69.75|$68.58|$47.17|$47.17
"CPT® 84432"|"HB THYROGLOBULIN PANEL, THYROGLOBULIN"|302.00|$82.00|$18.37|$65.60|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$55.00|||$56.00|$52.00|$33.98|$32.83|$41.33|$45.92|$30.75|$30.23|$20.80|$20.80
"CPT® 86800"|"HB THYROGLOBULIN PANEL, THYROGLOBULIN AB"|302.00|$89.00|$19.94|$71.20|$62.00|$35.60|$31.33|$19.94||$35.60|$71.20|$50.55||$27.15|$33.82|$54.56|$55.00|||$56.00|$52.00|$33.98|$33.32|$42.38|$47.09|$33.38|$32.81|$22.57|$22.57
"CPT® 86682"|"HB TOXOCARA ANTIBODIES"|302.00|$439.00|$27.29|$351.20|$307.00|$175.60|$154.53|$98.34||$175.60|$351.20|$249.35||$133.90|$166.82|$269.11|$55.00|||$56.00|$52.00|$27.29|$164.29|$208.95|$232.17|$164.63|$161.86|$111.33|$111.33
"CPT® 86753"|"HB TRYPANOSOMA CRUZI ANTIBODY, TOTAL"|302.00|$785.00|$26.18|$628.00|$550.00|$314.00|$276.32|$175.84||$314.00|$628.00|$445.88||$239.43|$298.30|$481.21|$55.00|||$56.00|$52.00|$26.18|$294.14|$374.02|$415.59|$294.38|$289.43|$199.08|$199.08
"CPT® 86788"|"HB WEST NILE VIRUS ANTIBODY, IGM"|302.00|$197.00|$35.64|$157.60|$138.00|$78.80|$69.34|$44.13||$78.80|$157.60|$111.90||$60.09|$74.86|$120.76|$55.00|||$56.00|$52.00|$35.64|$73.40|$93.38|$103.75|$73.88|$72.63|$49.96|$49.96
"CPT® 86789"|"HB WEST NILE VIRUS ANTIBODY, IGG"|302.00|$175.00|$30.63|$140.00|$122.00|$70.00|$61.60|$39.20||$70.00|$140.00|$99.40||$53.38|$66.50|$107.28|$55.00|||$56.00|$52.00|$30.63|$64.96|$82.72|$91.92|$65.63|$64.52|$44.38|$44.38
"CPT® 83519"|"HB MUSK ANTIBODY, BILL ONLY"|302.00|$1408.00|$28.40|$1126.40|$986.00|$563.20|$495.62|$315.39||$563.20|$1126.40|$799.74||$429.44|$535.04|$863.10|$55.00|||$56.00|$52.00|$28.40|$492.80|$633.60|$704.00|$528.00|$519.13|$357.07|$357.07
"CPT® 86336"|"HB QUADRUPLE MARKER TEST, INHIBIN A"|302.00|$146.00|$32.70|$116.80|$102.00|$58.40|$51.39|$32.70||$58.40|$116.80|$82.93||$44.53|$55.48|$89.50|$55.00|||$56.00|$52.00|$32.85|$36.89|$50.47|$56.09|$54.75|$53.83|$37.03|$37.03
"CPT® 86336"|"HB SEQUENTIAL SCREEN- SECOND TRIMESTER, INHIBIN A"|302.00|$120.00|$26.88|$96.00|$84.00|$48.00|$42.24|$26.88||$48.00|$96.00|$68.16||$36.60|$45.60|$73.56|$55.00|||$56.00|$52.00|$32.85|$30.24|$41.40|$46.00|$45.00|$44.24|$30.43|$30.43
"CPT® 86140"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, CRP"|302.00|$184.00|$11.13|$147.20|$129.00|$73.60|$64.77|$41.22||$73.60|$147.20|$104.51||$56.12|$69.92|$112.79|$55.00|||$56.00|$52.00|$11.13|$64.40|$82.80|$92.00|$69.00|$67.84|$46.66|$46.66
"CPT® 86787"|"HB VARICELLA ZOSTER VIRUS ANTIBODY-IGM"|302.00|$45.00|$10.08|$45.00|$31.00|$18.00|$15.84|$10.08||$18.00|$36.00|$25.56||$13.73|$17.10|$27.59|$45.00|||$45.00|$45.00|$27.29|$15.75|$20.25|$22.50|$16.88|$16.59|$11.41|$11.41
"CPT® 86735"|"HB MUMPS IGM ANTIBODY"|302.00|$52.00|$11.65|$52.00|$36.00|$20.80|$18.30|$11.65||$20.80|$41.60|$29.54||$15.86|$19.76|$31.88|$52.00|||$52.00|$52.00|$27.84|$18.20|$23.40|$26.00|$19.50|$19.17|$13.19|$13.19
"CPT® 86710"|"HB INFLUENZA A AND B ANTIBODIES, CF"|302.00|$58.00|$12.99|$56.00|$41.00|$23.20|$20.42|$12.99||$23.20|$46.40|$32.94||$17.69|$22.04|$35.55|$55.00|||$56.00|$52.00|$28.95|$20.13|$25.88|$28.75|$21.75|$21.38|$14.71|$14.71
"CPT® 87801"|"HB DONOR, HIV1, HBV, HCV-NAT"|302.00|$918.00|$52.00|$734.40|$643.00|$367.20|$323.14|$205.63||$367.20|$734.40|$521.42||$279.99|$348.84|$562.73|$55.00|||$56.00|$52.00|$148.68|$312.73|$402.08|$446.75|$344.25|$338.47|$232.80|$232.80
"CPT® 86021"|"HB ANCA SCREEN WITH MPO AND PR3, WITH REFLEX"|302.00|$310.00|$31.74|$248.00|$217.00|$124.00|$109.12|$69.44||$124.00|$248.00|$176.08||$94.55|$117.80|$190.03|$55.00|||$56.00|$52.00|$31.74|$108.50|$139.50|$155.00|$116.25|$114.30|$78.62|$78.62
"CPT® 86021"|"HB ANCA VASCULITIDES"|302.00|$443.00|$31.74|$354.40|$310.00|$177.20|$155.94|$99.23||$177.20|$354.40|$251.62||$135.12|$168.34|$271.56|$55.00|||$56.00|$52.00|$31.74|$155.05|$199.35|$221.50|$166.13|$163.33|$112.34|$112.34
"CPT® 86611"|"HB BARTONELLA HENSELAE IGG & IGM ANTIBODIES"|302.00|$206.00|$21.72|$164.80|$144.00|$82.40|$72.51|$46.14||$82.40|$164.80|$117.01||$62.83|$78.28|$126.28|$55.00|||$56.00|$52.00|$21.72|$72.10|$92.70|$103.00|$77.25|$75.95|$52.24|$52.24
"CPT® 86615"|"HB BORDETELLA PERTUSSIS/PARAPERTUSSIS, IGG & IGA"|302.00|$208.00|$27.84|$166.40|$146.00|$83.20|$73.22|$46.59||$83.20|$166.40|$118.14||$63.44|$79.04|$127.50|$55.00|||$56.00|$52.00|$27.84|$72.80|$93.60|$104.00|$78.00|$76.69|$52.75|$52.75
"CPT® 86161"|"HB C1 ESTER INHIBITOR FUNCTIONAL"|302.00|$389.00|$25.62|$311.20|$272.00|$155.60|$136.93|$87.14||$155.60|$311.20|$220.95||$118.65|$147.82|$238.46|$55.00|||$56.00|$52.00|$25.62|$136.15|$175.05|$194.50|$145.88|$143.42|$98.65|$98.65
"CPT® 86300"|"HB CANCER ANTIGEN 15-3, BREAST"|302.00|$304.00|$44.00|$243.20|$213.00|$121.60|$107.01|$68.10||$121.60|$243.20|$172.67||$92.72|$115.52|$186.35|$55.00|||$56.00|$52.00|$44.00|$106.40|$136.80|$152.00|$114.00|$112.08|$77.09|$77.09
"CPT® 86152"|"HB CIRCULATING TUMOR CELLS, BREAST"|302.00|$2045.00|$52.00|$1636.00|$1432.00|$818.00|$719.84|$458.08||$818.00|$1636.00|$1161.56||$623.73|$777.10|$1253.59|$55.00|||$56.00|$52.00|$520.68|$715.58|$920.03|$1022.25|$766.88|$753.99|$518.61|$518.61
"CPT® 86152"|"HB CIRCULATING TUMOR CELLS, COLON"|302.00|$2045.00|$52.00|$1636.00|$1432.00|$818.00|$719.84|$458.08||$818.00|$1636.00|$1161.56||$623.73|$777.10|$1253.59|$55.00|||$56.00|$52.00|$520.68|$715.58|$920.03|$1022.25|$766.88|$753.99|$518.61|$518.61
"CPT® 86152"|"HB CIRCULATING TUMOR CELLS, PROSTATE"|302.00|$2045.00|$52.00|$1636.00|$1432.00|$818.00|$719.84|$458.08||$818.00|$1636.00|$1161.56||$623.73|$777.10|$1253.59|$55.00|||$56.00|$52.00|$520.68|$715.58|$920.03|$1022.25|$766.88|$753.99|$518.61|$518.61
"CPT® 86682"|"HB CYSTICERCUS IGG, CSF"|302.00|$1071.00|$27.29|$856.80|$750.00|$428.40|$376.99|$239.90||$428.40|$856.80|$608.33||$326.66|$406.98|$656.52|$55.00|||$56.00|$52.00|$27.29|$374.85|$481.95|$535.50|$401.63|$394.88|$271.61|$271.61
"CPT® 86648"|"HB DIPHTHERIA IGG ANTIBODIES"|302.00|$410.00|$32.30|$328.00|$287.00|$164.00|$144.32|$91.84||$164.00|$328.00|$232.88||$125.05|$155.80|$251.33|$55.00|||$56.00|$52.00|$32.30|$143.50|$184.50|$205.00|$153.75|$151.17|$103.98|$103.98
"CPT® 86658"|"HB ECHOVIRUS ANTIBODY PANEL SEROTYPE, BLOOD"|302.00|$156.00|$27.84|$124.80|$109.00|$62.40|$54.91|$34.94||$62.40|$124.80|$88.61||$47.58|$59.28|$95.63|$55.00|||$56.00|$52.00|$27.84|$54.60|$70.20|$78.00|$58.50|$57.52|$39.56|$39.56
"CPT® 86658"|"HB ECHOVIRUS ANTIBODY PANEL SEROTYPE, CSF"|302.00|$246.00|$27.84|$196.80|$172.00|$98.40|$86.59|$55.10||$98.40|$196.80|$139.73||$75.03|$93.48|$150.80|$55.00|||$56.00|$52.00|$27.84|$86.10|$110.70|$123.00|$92.25|$90.70|$62.39|$62.39
"CPT® 86666"|"HB EHRLICIA CHAFFEENSIS AB, IGG & IGM, IFA"|302.00|$371.00|$21.72|$296.80|$260.00|$148.40|$130.59|$83.10||$148.40|$296.80|$210.73||$113.16|$140.98|$227.42|$55.00|||$56.00|$52.00|$21.72|$129.85|$166.95|$185.50|$139.13|$136.79|$94.09|$94.09
"CPT® 86148"|"HB PHOSPHATYDYLSERINE ABS IGG, IGM, IGA"|302.00|$315.00|$33.98|$252.00|$220.00|$126.00|$110.88|$70.56||$126.00|$252.00|$178.92||$96.08|$119.70|$193.10|$55.00|||$56.00|$52.00|$33.98|$110.25|$141.75|$157.50|$118.13|$116.14|$79.88|$79.88
"CPT® 86023"|"HB PLATELET AUTOANTIBODIES (DIRECT)"|302.00|$3055.00|$26.18|$2444.00|$2138.00|$1222.00|$1075.36|$684.32||$1222.00|$2444.00|$1735.24||$931.78|$1160.90|$1872.72|$55.00|||$56.00|$52.00|$26.18|$1069.25|$1374.75|$1527.50|$1145.63|$1126.38|$774.75|$774.75
"CPT® 86762"|"HB RUBELLA IGM ANTIBODIES"|302.00|$260.00|$30.63|$208.00|$182.00|$104.00|$91.52|$58.24||$104.00|$208.00|$147.68||$79.30|$98.80|$159.38|$55.00|||$56.00|$52.00|$30.63|$91.00|$117.00|$130.00|$97.50|$95.86|$65.94|$65.94
"CPT® 86762"|"HB RUBELLA TITER IGG, SEMI-QUANT"|302.00|$250.00|$30.63|$200.00|$175.00|$100.00|$88.00|$56.00||$100.00|$200.00|$142.00||$76.25|$95.00|$153.25|$55.00|||$56.00|$52.00|$30.63|$87.50|$112.50|$125.00|$93.75|$92.18|$63.40|$63.40
"CPT® 86774"|"HB TETANUS ANTIBODY, IGG"|302.00|$410.00|$31.19|$328.00|$287.00|$164.00|$144.32|$91.84||$164.00|$328.00|$232.88||$125.05|$155.80|$251.33|$55.00|||$56.00|$52.00|$31.19|$143.50|$184.50|$205.00|$153.75|$151.17|$103.98|$103.98
"CPT® 86008"|"HB ALPHA-GAL PANEL, IGE"|302.00|$362.00|$52.00|$289.60|$253.00|$144.80|$127.42|$81.09||$144.80|$289.60|$205.62||$110.41|$137.56|$221.91|$55.00|||$56.00|$52.00|$65.73|$69.86|$102.00|$113.33|$135.75|$133.47|$91.80|$91.80
"CPT® 86003"|"HB ALLERGEN: COCKROACH AMERICAN"|302.00|$261.00|$11.13|$208.80|$183.00|$104.40|$91.87|$58.46||$104.40|$208.80|$148.25||$79.61|$99.18|$159.99|$55.00|||$56.00|$52.00|$11.13|$65.73|$90.00|$100.00|$97.88|$96.23|$66.19|$66.19
"CPT® 86003"|"HB ALLERGEN: BEAN BLACK"|302.00|$442.00|$11.13|$353.60|$309.00|$176.80|$155.58|$99.01||$176.80|$353.60|$251.06||$134.81|$167.96|$270.95|$55.00|||$56.00|$52.00|$11.13|$111.37|$152.47|$169.42|$165.75|$162.97|$112.09|$112.09
"CPT® 86003"|"HB ALLERGEN: BREWERS YEAST"|302.00|$261.00|$11.13|$208.80|$183.00|$104.40|$91.87|$58.46||$104.40|$208.80|$148.25||$79.61|$99.18|$159.99|$55.00|||$56.00|$52.00|$11.13|$65.73|$90.00|$100.00|$97.88|$96.23|$66.19|$66.19
"CPT® 86003"|"HB ALLERGEN: CARELESS WEED"|302.00|$442.00|$11.13|$353.60|$309.00|$176.80|$155.58|$99.01||$176.80|$353.60|$251.06||$134.81|$167.96|$270.95|$55.00|||$56.00|$52.00|$11.13|$111.37|$152.47|$169.42|$165.75|$162.97|$112.09|$112.09
"CPT® 86003"|"HB ALLERGEN: CEDAR RED"|302.00|$442.00|$11.13|$353.60|$309.00|$176.80|$155.58|$99.01||$176.80|$353.60|$251.06||$134.81|$167.96|$270.95|$55.00|||$56.00|$52.00|$11.13|$111.37|$152.47|$169.42|$165.75|$162.97|$112.09|$112.09
"CPT® 86003"|"HB ALLERGEN: CLOVER RED"|302.00|$442.00|$11.13|$353.60|$309.00|$176.80|$155.58|$99.01||$176.80|$353.60|$251.06||$134.81|$167.96|$270.95|$55.00|||$56.00|$52.00|$11.13|$111.37|$152.47|$169.42|$165.75|$162.97|$112.09|$112.09
"CPT® 86003"|"HB ALLERGEN: ELM CHINESE"|302.00|$261.00|$11.13|$208.80|$183.00|$104.40|$91.87|$58.46||$104.40|$208.80|$148.25||$79.61|$99.18|$159.99|$55.00|||$56.00|$52.00|$11.13|$65.73|$90.00|$100.00|$97.88|$96.23|$66.19|$66.19
"CPT® 86003"|"HB ALLERGEN: EPIDERMOPHYTON FLOCCOSUM"|302.00|$442.00|$11.13|$353.60|$309.00|$176.80|$155.58|$99.01||$176.80|$353.60|$251.06||$134.81|$167.96|$270.95|$55.00|||$56.00|$52.00|$11.13|$111.37|$152.47|$169.42|$165.75|$162.97|$112.09|$112.09
"CPT® 86003"|"HB ALLERGEN: FUSARIUM OXYSPORUM/VASINFECTUM"|302.00|$442.00|$11.13|$353.60|$309.00|$176.80|$155.58|$99.01||$176.80|$353.60|$251.06||$134.81|$167.96|$270.95|$55.00|||$56.00|$52.00|$11.13|$111.37|$152.47|$169.42|$165.75|$162.97|$112.09|$112.09
"CPT® 86003"|"HB ALLERGEN: GLIOCLADIUM FIMBRIATUM"|302.00|$442.00|$11.13|$353.60|$309.00|$176.80|$155.58|$99.01||$176.80|$353.60|$251.06||$134.81|$167.96|$270.95|$55.00|||$56.00|$52.00|$11.13|$111.37|$152.47|$169.42|$165.75|$162.97|$112.09|$112.09
"CPT® 86003"|"HB ALLERGEN: HEMP WESTERN WATER"|302.00|$261.00|$11.13|$208.80|$183.00|$104.40|$91.87|$58.46||$104.40|$208.80|$148.25||$79.61|$99.18|$159.99|$55.00|||$56.00|$52.00|$11.13|$65.73|$90.00|$100.00|$97.88|$96.23|$66.19|$66.19
"CPT® 86003"|"HB ALLERGEN: HICKORY WHITE"|302.00|$442.00|$11.13|$353.60|$309.00|$176.80|$155.58|$99.01||$176.80|$353.60|$251.06||$134.81|$167.96|$270.95|$55.00|||$56.00|$52.00|$11.13|$111.37|$152.47|$169.42|$165.75|$162.97|$112.09|$112.09
"CPT® 86003"|"HB ALLERGEN: MULBERRY RED TREE"|302.00|$261.00|$11.13|$208.80|$183.00|$104.40|$91.87|$58.46||$104.40|$208.80|$148.25||$79.61|$99.18|$159.99|$55.00|||$56.00|$52.00|$11.13|$65.73|$90.00|$100.00|$97.88|$96.23|$66.19|$66.19
"CPT® 86003"|"HB ALLERGEN: OAT GRASS FALSE"|302.00|$663.00|$11.13|$530.40|$464.00|$265.20|$233.38|$148.51||$265.20|$530.40|$376.58||$202.22|$251.94|$406.42|$55.00|||$56.00|$52.00|$11.13|$166.95|$228.60|$254.00|$248.63|$244.45|$168.14|$168.14
"CPT® 86003"|"HB ALLERGEN: PAECILOMYCES VARIOTII"|302.00|$442.00|$11.13|$353.60|$309.00|$176.80|$155.58|$99.01||$176.80|$353.60|$251.06||$134.81|$167.96|$270.95|$55.00|||$56.00|$52.00|$11.13|$111.37|$152.47|$169.42|$165.75|$162.97|$112.09|$112.09
"CPT® 86003"|"HB ALLERGEN: BEAN PINTO"|302.00|$261.00|$11.13|$208.80|$183.00|$104.40|$91.87|$58.46||$104.40|$208.80|$148.25||$79.61|$99.18|$159.99|$55.00|||$56.00|$52.00|$11.13|$65.73|$90.00|$100.00|$97.88|$96.23|$66.19|$66.19
"CPT® 86003"|"HB ALLERGEN: SMUT CORN"|302.00|$442.00|$11.13|$353.60|$309.00|$176.80|$155.58|$99.01||$176.80|$353.60|$251.06||$134.81|$167.96|$270.95|$55.00|||$56.00|$52.00|$11.13|$111.37|$152.47|$169.42|$165.75|$162.97|$112.09|$112.09
"CPT® 86003"|"HB ALLERGEN: SMUT JOHNSON"|302.00|$261.00|$11.13|$208.80|$183.00|$104.40|$91.87|$58.46||$104.40|$208.80|$148.25||$79.61|$99.18|$159.99|$55.00|||$56.00|$52.00|$11.13|$65.73|$90.00|$100.00|$97.88|$96.23|$66.19|$66.19
"CPT® 86003"|"HB ALLERGEN: SMUT OAT"|302.00|$442.00|$11.13|$353.60|$309.00|$176.80|$155.58|$99.01||$176.80|$353.60|$251.06||$134.81|$167.96|$270.95|$55.00|||$56.00|$52.00|$11.13|$111.37|$152.47|$169.42|$165.75|$162.97|$112.09|$112.09
"CPT® 86003"|"HB ALLERGEN: TILAPIA"|302.00|$442.00|$11.13|$353.60|$309.00|$176.80|$155.58|$99.01||$176.80|$353.60|$251.06||$134.81|$167.96|$270.95|$55.00|||$56.00|$52.00|$11.13|$111.37|$152.47|$169.42|$165.75|$162.97|$112.09|$112.09
"CPT® 86003"|"HB ALLERGEN: TREE OF HEAVEN"|302.00|$442.00|$11.13|$353.60|$309.00|$176.80|$155.58|$99.01||$176.80|$353.60|$251.06||$134.81|$167.96|$270.95|$55.00|||$56.00|$52.00|$11.13|$111.37|$152.47|$169.42|$165.75|$162.97|$112.09|$112.09
"CPT® 86003"|"HB ALLERGEN: WILLOW BLACK"|302.00|$261.00|$11.13|$208.80|$183.00|$104.40|$91.87|$58.46||$104.40|$208.80|$148.25||$79.61|$99.18|$159.99|$55.00|||$56.00|$52.00|$11.13|$65.73|$90.00|$100.00|$97.88|$96.23|$66.19|$66.19
"CPT® 86003"|"HB ALLERGEN: WALNUT BLACK TREE"|302.00|$261.00|$11.13|$208.80|$183.00|$104.40|$91.87|$58.46||$104.40|$208.80|$148.25||$79.61|$99.18|$159.99|$55.00|||$56.00|$52.00|$11.13|$65.73|$90.00|$100.00|$97.88|$96.23|$66.19|$66.19
"CPT® 86332"|"HB IMMUNE COMPLEXES, C3D CIRCULATING"|302.00|$307.00|$51.80|$245.60|$215.00|$122.80|$108.06|$68.77||$122.80|$245.60|$174.38||$93.64|$116.66|$188.19|$55.00|||$56.00|$52.00|$51.80|$77.35|$105.90|$117.67|$115.13|$113.19|$77.86|$77.86
"CPT® 86606"|"HB ASPERGILLUS FUMIGATUS PRECIP AB IGG"|302.00|$323.00|$31.74|$258.40|$226.00|$129.20|$113.70|$72.35||$129.20|$258.40|$183.46||$98.52|$122.74|$198.00|$55.00|||$56.00|$52.00|$31.74|$81.41|$111.45|$123.83|$121.13|$119.09|$81.91|$81.91
"CPT® 86003"|"HB ALLERGEN: CURVULARIA SPICIFERA/BIPOLARIS IGE"|302.00|$214.00|$11.13|$171.20|$150.00|$85.60|$75.33|$47.94||$85.60|$171.20|$121.55||$65.27|$81.32|$131.18|$55.00|||$56.00|$52.00|$11.13|$54.04|$73.95|$82.17|$80.25|$78.90|$54.27|$54.27
"CPT® 86003"|"HB ALLERGEN: PENICILLIN G IGG"|302.00|$125.00|$11.13|$100.00|$88.00|$50.00|$44.00|$28.00||$50.00|$100.00|$71.00||$38.13|$47.50|$76.63|$55.00|||$56.00|$52.00|$11.13|$31.64|$43.28|$48.09|$46.88|$46.09|$31.70|$31.70
"CPT® 86615"|"HB BORDETELLA PERTUSSIS IGG/IGA/IGM, EACH"|302.00|$209.00|$27.84|$167.20|$146.00|$83.60|$73.57|$46.82||$83.60|$167.20|$118.71||$63.75|$79.42|$128.12|$55.00|||$56.00|$52.00|$27.84|$52.64|$72.08|$80.09|$78.38|$77.06|$53.00|$53.00
"CPT® 86645"|"HB CMV IGM AB, QUANT"|302.00|$229.00|$35.64|$183.20|$160.00|$91.60|$80.61|$51.30||$91.60|$183.20|$130.07||$69.85|$87.02|$140.38|$55.00|||$56.00|$52.00|$35.64|$57.61|$78.90|$87.67|$85.88|$84.43|$58.07|$58.07
"CPT® 86641"|"HB CRYPTOCOCCUS AB,QUANT"|302.00|$304.00|$30.63|$243.20|$213.00|$121.60|$107.01|$68.10||$121.60|$243.20|$172.67||$92.72|$115.52|$186.35|$55.00|||$56.00|$52.00|$30.63|$76.51|$104.77|$116.42|$114.00|$112.08|$77.09|$77.09
"CPT® 86331"|"HB HYPERSENSITIVITY PNEUNONITIS PANEL, GEL DIFFUSION"|302.00|$155.00|$25.62|$124.00|$108.00|$62.00|$54.56|$34.72||$62.00|$124.00|$88.04||$47.28|$58.90|$95.02|$55.00|||$56.00|$52.00|$25.62|$38.99|$53.40|$59.33|$58.13|$57.15|$39.31|$39.31
"CPT® 86602"|"HB HYPERSENSITIVITY PNEUNONITIS PANEL, ACTINOMYCES AB"|302.00|$134.00|$21.72|$107.20|$94.00|$53.60|$47.17|$30.02||$53.60|$107.20|$76.11||$40.87|$50.92|$82.14|$55.00|||$56.00|$52.00|$21.72|$33.74|$46.20|$51.33|$50.25|$49.41|$33.98|$33.98
"CPT® 86606"|"HB HYPERSENSITIVITY PNEUNONITIS PANEL 1, ASPERGILLUS AB"|302.00|$191.00|$31.74|$152.80|$134.00|$76.40|$67.23|$42.78||$76.40|$152.80|$108.49||$58.26|$72.58|$117.08|$55.00|||$56.00|$52.00|$31.74|$48.23|$66.00|$73.33|$71.63|$70.42|$48.44|$48.44
"CPT® 86609"|"HB HYPERSENSITIVITY PNEUNONITIS PANEL, BACTERIA NOS"|302.00|$166.00|$27.29|$132.80|$116.00|$66.40|$58.43|$37.18||$66.40|$132.80|$94.29||$50.63|$63.08|$101.76|$55.00|||$56.00|$52.00|$27.29|$41.86|$57.30|$63.67|$62.25|$61.20|$42.10|$42.10
"CPT® 86671"|"HB HYPERSENSITIVITY PNEUNONITIS PANEL, FUNGUS NOS"|302.00|$158.00|$26.18|$126.40|$111.00|$63.20|$55.62|$35.39||$63.20|$126.40|$89.74||$48.19|$60.04|$96.85|$55.00|||$56.00|$52.00|$26.18|$39.83|$54.53|$60.59|$59.25|$58.25|$40.07|$40.07
"CPT® 86617"|"HB LYME DISEASE IGG/IGM BY WESTERN BLOT"|302.00|$139.00|$31.14|$111.20|$97.00|$55.60|$48.93|$31.14||$55.60|$111.20|$78.95||$42.40|$52.82|$85.21|$55.00|||$56.00|$52.00|$32.85|$34.93|$47.85|$53.17|$52.13|$51.25|$35.25|$35.25
"CPT® 86710"|"HB PARAINFLUENZA ANTIBODIES"|302.00|$191.00|$28.95|$152.80|$134.00|$76.40|$67.23|$42.78||$76.40|$152.80|$108.49||$58.26|$72.58|$117.08|$55.00|||$56.00|$52.00|$28.95|$48.23|$66.00|$73.33|$71.63|$70.42|$48.44|$48.44
"CPT® 86645"|"HB PRENATAL INF. DISEASE AB, CMV IGM"|302.00|$129.00|$28.90|$103.20|$90.00|$51.60|$45.41|$28.90||$51.60|$103.20|$73.27||$39.35|$49.02|$79.08|$55.00|||$56.00|$52.00|$35.64|$32.34|$44.32|$49.25|$48.38|$47.56|$32.71|$32.71
"CPT® 86694"|"HB PRENATAL INF. DISEASE AB, HERPES SIMPLEX"|302.00|$113.00|$25.31|$90.40|$79.00|$45.20|$39.78|$25.31||$45.20|$90.40|$64.18||$34.47|$42.94|$69.27|$55.00|||$56.00|$52.00|$30.63|$28.49|$39.00|$43.33|$42.38|$41.66|$28.66|$28.66
"CPT® 86762"|"HB PRENATAL INF. DISEASE AB, RUBELLA"|302.00|$113.00|$25.31|$90.40|$79.00|$45.20|$39.78|$25.31||$45.20|$90.40|$64.18||$34.47|$42.94|$69.27|$55.00|||$56.00|$52.00|$30.63|$28.49|$39.00|$43.33|$42.38|$41.66|$28.66|$28.66
"CPT® 86778"|"HB PRENATAL INF. DISEASE AB, TOXOPLASMA IGM"|302.00|$113.00|$25.31|$90.40|$79.00|$45.20|$39.78|$25.31||$45.20|$90.40|$64.18||$34.47|$42.94|$69.27|$55.00|||$56.00|$52.00|$30.63|$28.49|$39.00|$43.33|$42.38|$41.66|$28.66|$28.66
"CPT® 86003"|"HB ALLERGEN SPECIFIC"|302.00|$15.00|$3.36|$15.00|$10.00|$6.00|$5.28|$3.36||$6.00|$12.00|$8.52||$4.58|$5.70|$9.20|$15.00|||$15.00|$15.00|$10.21|$3.78|$5.18|$5.75|$5.63|$5.53|$3.80|$3.80
"CPT® 86003"|"HB ALLERGEN SPECIFIC ADDTL"|302.00|$15.00|$3.36|$15.00|$10.00|$6.00|$5.28|$3.36||$6.00|$12.00|$8.52||$4.58|$5.70|$9.20|$15.00|||$15.00|$15.00|$10.21|$3.78|$5.18|$5.75|$5.63|$5.53|$3.80|$3.80
"CPT® 86255"|"HB ADRENAL ANTIBODY SCREEN"|302.00|$144.00|$25.62|$115.20|$101.00|$57.60|$50.69|$32.26||$57.60|$115.20|$81.79||$43.92|$54.72|$88.27|$55.00|||$56.00|$52.00|$25.62|$36.33|$49.73|$55.25|$54.00|$53.09|$36.52|$36.52
"CPT® 86256"|"HB ADRENAL ANTIBODY TITER"|302.00|$100.00|$22.40|$80.00|$70.00|$40.00|$35.20|$22.40||$40.00|$80.00|$56.80||$30.50|$38.00|$61.30|$55.00|||$56.00|$52.00|$25.62|$25.27|$34.57|$38.42|$37.50|$36.87|$25.36|$25.36
"CPT® 86003"|"HB ALLERGEN PROFILE, EGG WHITE, IGE"|302.00|$125.00|$11.13|$100.00|$88.00|$50.00|$44.00|$28.00||$50.00|$100.00|$71.00||$38.13|$47.50|$76.63|$55.00|||$56.00|$52.00|$11.13|$31.64|$43.28|$48.09|$46.88|$46.09|$31.70|$31.70
"CPT® 86003"|"HB ALLERGEN PROFILE, MILK, IGE"|302.00|$125.00|$11.13|$100.00|$88.00|$50.00|$44.00|$28.00||$50.00|$100.00|$71.00||$38.13|$47.50|$76.63|$55.00|||$56.00|$52.00|$11.13|$31.64|$43.28|$48.09|$46.88|$46.09|$31.70|$31.70
"CPT® 86003"|"HB ALLERGEN: CARAWAY SEED"|302.00|$229.00|$11.13|$183.20|$160.00|$91.60|$80.61|$51.30||$91.60|$183.20|$130.07||$69.85|$87.02|$140.38|$55.00|||$56.00|$52.00|$11.13|$57.61|$78.90|$87.67|$85.88|$84.43|$58.07|$58.07
"CPT® 86003"|"HB ALLERGEN: POLLOCK WHITE, IGE"|302.00|$155.00|$11.13|$124.00|$108.00|$62.00|$54.56|$34.72||$62.00|$124.00|$88.04||$47.28|$58.90|$95.02|$55.00|||$56.00|$52.00|$11.13|$38.99|$53.40|$59.33|$58.13|$57.15|$39.31|$39.31
"CPT® 86003"|"HB ALLERGEN: POPLAR WHITE, IGE"|302.00|$155.00|$11.13|$124.00|$108.00|$62.00|$54.56|$34.72||$62.00|$124.00|$88.04||$47.28|$58.90|$95.02|$55.00|||$56.00|$52.00|$11.13|$38.99|$53.40|$59.33|$58.13|$57.15|$39.31|$39.31
"CPT® 86003"|"HB ALLERGEN: RED SNAPPER"|302.00|$155.00|$11.13|$124.00|$108.00|$62.00|$54.56|$34.72||$62.00|$124.00|$88.04||$47.28|$58.90|$95.02|$55.00|||$56.00|$52.00|$11.13|$38.99|$53.40|$59.33|$58.13|$57.15|$39.31|$39.31
"CPT® 86003"|"HB ALLERGEN: RHODOTORULA, IGE"|302.00|$229.00|$11.13|$183.20|$160.00|$91.60|$80.61|$51.30||$91.60|$183.20|$130.07||$69.85|$87.02|$140.38|$55.00|||$56.00|$52.00|$11.13|$57.61|$78.90|$87.67|$85.88|$84.43|$58.07|$58.07
"CPT® 86003"|"HB ALLERGEN: SNAIL/ESCARGOT, IGE"|302.00|$229.00|$11.13|$183.20|$160.00|$91.60|$80.61|$51.30||$91.60|$183.20|$130.07||$69.85|$87.02|$140.38|$55.00|||$56.00|$52.00|$11.13|$57.61|$78.90|$87.67|$85.88|$84.43|$58.07|$58.07
"CPT® 86160"|"HB COMPLEMENT ANTIGEN, C1Q"|302.00|$289.00|$25.62|$231.20|$202.00|$115.60|$101.73|$64.74||$115.60|$231.20|$164.15||$88.15|$109.82|$177.16|$55.00|||$56.00|$52.00|$25.62|$72.70|$99.53|$110.58|$108.38|$106.55|$73.29|$73.29
"CPT® 86341"|"HB ISLET CELL ANTIBODY"|302.00|$337.00|$41.76|$269.60|$236.00|$134.80|$118.62|$75.49||$134.80|$269.60|$191.42||$102.79|$128.06|$206.58|$55.00|||$56.00|$52.00|$41.76|$65.59|$95.55|$106.17|$126.38|$124.25|$85.46|$85.46
"CPT® 86353"|"HB MITOGEN OR ANTIGEN INDUCED BLASTOGENESIS"|302.00|$766.00|$52.00|$612.80|$536.00|$306.40|$269.63|$171.58||$306.40|$612.80|$435.09||$233.63|$291.08|$469.56|$55.00|||$56.00|$52.00|$104.13|$192.85|$264.07|$293.42|$287.25|$282.42|$194.26|$194.26
"CPT® 86353"|"HB MITOGEN OR ANTIGEN INDUCED BLASTOGENESIS, ADDTL"|302.00|$766.00|$52.00|$612.80|$536.00|$306.40|$269.63|$171.58||$306.40|$612.80|$435.09||$233.63|$291.08|$469.56|$55.00|||$56.00|$52.00|$104.13|$192.85|$264.07|$293.42|$287.25|$282.42|$194.26|$194.26
"CPT® 86255"|"HB OVARIAN ANTIBODY SCREEN"|302.00|$238.00|$25.62|$190.40|$167.00|$95.20|$83.78|$53.31||$95.20|$190.40|$135.18||$72.59|$90.44|$145.89|$55.00|||$56.00|$52.00|$25.62|$59.92|$82.05|$91.17|$89.25|$87.75|$60.36|$60.36
"CPT® 86256"|"HB OVARIAN ANTIBODY TITER"|302.00|$198.00|$25.62|$158.40|$139.00|$79.20|$69.70|$44.35||$79.20|$158.40|$112.46||$60.39|$75.24|$121.37|$55.00|||$56.00|$52.00|$25.62|$49.00|$67.20|$74.67|$74.25|$73.00|$50.21|$50.21
"CPT® 86403"|"HB STREPTOCOCCUS GROUP B ANTIGEN, LA"|302.00|$187.00|$21.72|$149.60|$131.00|$74.80|$65.82|$41.89||$74.80|$149.60|$106.22||$57.04|$71.06|$114.63|$55.00|||$56.00|$52.00|$21.72|$47.11|$64.50|$71.67|$70.13|$68.95|$47.42|$47.42
"CPT® 86317"|"HB STREPTOCOCCUS PNEUMONIAE IGG AB, 23 SEROTYPES"|302.00|$55.00|$12.32|$55.00|$38.00|$22.00|$19.36|$12.32||$22.00|$44.00|$31.24||$16.78|$20.90|$33.72|$55.00|||$55.00|$52.00|$31.74|$13.93|$19.05|$21.17|$20.63|$20.28|$13.95|$13.95
"CPT® 83516"|"HB ANTI-IGE RECEPTOR ANTIBODY"|302.00|$296.00|$24.50|$236.80|$207.00|$118.40|$104.19|$66.30||$118.40|$236.80|$168.13||$90.28|$112.48|$181.45|$55.00|||$56.00|$52.00|$24.50|$79.94|$107.85|$119.83|$111.00|$109.14|$75.07|$75.07
"CPT® 86704"|"HB HEPATITIS B CORE ANTIBODY, TOTAL"|302.00|$38.00|$8.51|$38.00|$27.00|$15.20|$13.38|$8.51||$15.20|$30.40|$21.58||$11.59|$14.44|$23.29|$38.00|||$38.00|$38.00|$25.04|$9.59|$13.13|$14.59|$14.25|$14.01|$9.64|$9.64
"CPT® 86705"|"HB HEPATITIS B CORE ANTIBODY, IGM"|302.00|$37.00|$8.29|$37.00|$26.00|$14.80|$13.02|$8.29||$14.80|$29.60|$21.02||$11.29|$14.06|$22.68|$37.00|||$37.00|$37.00|$24.36|$9.31|$12.75|$14.17|$13.88|$13.64|$9.38|$9.38
"CPT® 86331"|"HB NEUROSPORA SITOPHILA/MONILIA GEL DIFFUSION"|302.00|$136.00|$25.62|$108.80|$95.00|$54.40|$47.87|$30.46||$54.40|$108.80|$77.25||$41.48|$51.68|$83.37|$55.00|||$56.00|$52.00|$25.62|$34.30|$46.95|$52.17|$51.00|$50.14|$34.49|$34.49
"CPT® 86756"|"HB RSV ANTIBODY, QUANT"|302.00|$88.00|$19.71|$70.40|$62.00|$35.20|$30.98|$19.71||$35.20|$70.40|$49.98||$26.84|$33.44|$53.94|$55.00|||$56.00|$52.00|$27.29|$22.12|$30.30|$33.67|$33.00|$32.45|$22.32|$22.32
"CPT® 86356"|"HB T-CELL PROFILE, MONONUCLEAR CELL AG"|302.00|$64.00|$14.34|$56.00|$45.00|$25.60|$22.53|$14.34||$25.60|$51.20|$36.35||$19.52|$24.32|$39.23|$55.00|||$56.00|$52.00|$46.44|$16.03|$21.97|$24.42|$24.00|$23.60|$16.23|$16.23
"CPT® 86359"|"HB T-CELL PROFILE, T-CELLS, TOTAL"|302.00|$164.00|$36.74|$131.20|$115.00|$65.60|$57.73|$36.74||$65.60|$131.20|$93.15||$50.02|$62.32|$100.53|$55.00|||$56.00|$52.00|$80.19|$41.30|$56.55|$62.83|$61.50|$60.47|$41.59|$41.59
"CPT® 86360"|"HB T-CELL PROFILE, T-CELLS, ABSOLUTE"|302.00|$204.00|$45.70|$163.20|$143.00|$81.60|$71.81|$45.70||$81.60|$163.20|$115.87||$62.22|$77.52|$125.05|$55.00|||$56.00|$52.00|$99.68|$51.24|$70.20|$78.00|$76.50|$75.21|$51.73|$51.73
"CPT® 86631"|"HB CHLAMYDIA TRACHOMATIS IGG"|302.00|$243.00|$25.07|$194.40|$170.00|$97.20|$85.54|$54.43||$97.20|$194.40|$138.02||$74.12|$92.34|$148.96|$55.00|||$56.00|$52.00|$25.07|$61.08|$83.63|$92.92|$91.13|$89.59|$61.62|$61.62
"CPT® 86632"|"HB CHLAMYDIA TRACHOMATIS IGM"|302.00|$362.00|$26.73|$289.60|$253.00|$144.80|$127.42|$81.09||$144.80|$289.60|$205.62||$110.41|$137.56|$221.91|$55.00|||$56.00|$52.00|$26.73|$91.07|$124.73|$138.59|$135.75|$133.47|$91.80|$91.80
"CPT® 86631"|"HB CHLAMYDOPHILA PNEUMONIAE AB, IGG, IGA"|302.00|$172.00|$25.07|$137.60|$120.00|$68.80|$60.54|$38.53||$68.80|$137.60|$97.70||$52.46|$65.36|$105.44|$55.00|||$56.00|$52.00|$25.07|$43.33|$59.33|$65.92|$64.50|$63.42|$43.62|$43.62
"CPT® 86632"|"HB CHLAMYDOPHILA PNEUMONIAE AB, IGM"|302.00|$182.00|$26.73|$145.60|$127.00|$72.80|$64.06|$40.77||$72.80|$145.60|$103.38||$55.51|$69.16|$111.57|$55.00|||$56.00|$52.00|$26.73|$45.71|$62.63|$69.59|$68.25|$67.10|$46.16|$46.16
"CPT® 86641"|"HB CRYPTOCOCCUS AB,QUANT"|302.00|$758.00|$30.63|$606.40|$531.00|$303.20|$266.82|$169.79||$303.20|$606.40|$430.54||$231.19|$288.04|$464.65|$55.00|||$56.00|$52.00|$30.63|$190.82|$261.30|$290.33|$284.25|$279.47|$192.23|$192.23
"CPT® 86003"|"HB ALLERGEN: ORANGE ROUGHY IGE"|302.00|$217.00|$11.13|$173.60|$152.00|$86.80|$76.38|$48.61||$86.80|$173.60|$123.26||$66.19|$82.46|$133.02|$55.00|||$56.00|$52.00|$11.13|$54.67|$74.85|$83.17|$81.38|$80.01|$55.03|$55.03
"CPT® 86331"|"HB HYPERSENSITIVITY PNEUMONITIS PANEL, GEL DIFFUSION (Q)"|302.00|$31.00|$6.94|$31.00|$22.00|$12.40|$10.91|$6.94||$12.40|$24.80|$17.61||$9.46|$11.78|$19.00|$31.00|||$31.00|$31.00|$22.04|$7.84|$10.72|$11.92|$11.63|$11.43|$7.86|$7.86
"CPT® 86606"|"HB HYPERSENSITIVITY PNEUMONITIS PANEL 1, ASPERGILLUS AB (Q)"|302.00|$38.00|$8.51|$38.00|$27.00|$15.20|$13.38|$8.51||$15.20|$30.40|$21.58||$11.59|$14.44|$23.29|$38.00|||$38.00|$38.00|$27.08|$9.59|$13.13|$14.59|$14.25|$14.01|$9.64|$9.64
"CPT® 86609"|"HB HYPERSENSITIVITY PNEUMONITIS PANEL, BACTERIA NOS (Q)"|302.00|$33.00|$7.39|$33.00|$23.00|$13.20|$11.62|$7.39||$13.20|$26.40|$18.74||$10.07|$12.54|$20.23|$33.00|||$33.00|$33.00|$23.60|$8.40|$11.48|$12.75|$12.38|$12.17|$8.37|$8.37
"CPT® 86788"|"HB WEST NILE VIRUS ANTIBODY, IGM, CSF"|302.00|$68.00|$15.23|$56.00|$48.00|$27.20|$23.94|$15.23||$27.20|$54.40|$38.62||$20.74|$25.84|$41.68|$55.00|||$56.00|$52.00|$35.64|$17.15|$23.47|$26.09|$25.50|$25.07|$17.24|$17.24
"CPT® 86789"|"HB WEST NILE VIRUS ANTIBODY, IGG, CSF"|302.00|$68.00|$15.23|$56.00|$48.00|$27.20|$23.94|$15.23||$27.20|$54.40|$38.62||$20.74|$25.84|$41.68|$55.00|||$56.00|$52.00|$30.63|$17.15|$23.47|$26.09|$25.50|$25.07|$17.24|$17.24
"CPT® 86481"|"HB T-SPOT TB TEST"|302.00|$238.00|$52.00|$190.40|$167.00|$95.20|$83.78|$53.31||$95.20|$190.40|$135.18||$72.59|$90.44|$145.89|$55.00|||$56.00|$52.00|$158.72|$83.30|$107.10|$119.00|$89.25|$87.75|$60.36|$60.36
"CPT® 86336"|"HB INTEGRATED SCREEN, 2ND TRIMESTER, INHIBIN A (IG)"|302.00|$480.00|$32.85|$384.00|$336.00|$192.00|$168.96|$107.52||$192.00|$384.00|$272.64||$146.40|$182.40|$294.24|$55.00|||$56.00|$52.00|$32.85|$120.75|$165.37|$183.75|$180.00|$176.98|$121.73|$121.73
"CPT® 86711"|"HB JCV ANTIBODY W/ REFLEX TO INHIBITION ASSAY"|302.00|$5258.00|$30.63|$4206.40|$3681.00|$2103.20|$1850.82|$1177.79||$2103.20|$4206.40|$2986.54||$1603.69|$1998.04|$3223.15|$55.00|||$56.00|$52.00|$30.63|$1323.98|$1812.90|$2014.33|$1971.75|$1938.62|$1333.43|$1333.43
"CPT® 86711"|"HB JCV ANTIBODY INHIBITION ASSAY"|302.00|$2035.00|$30.63|$1628.00|$1424.00|$814.00|$716.32|$455.84||$814.00|$1628.00|$1155.88||$620.68|$773.30|$1247.46|$55.00|||$56.00|$52.00|$30.63|$512.47|$701.70|$779.67|$763.13|$750.30|$516.08|$516.08
"CPT® 87662"|"HB ZIKA VIRUS RNA, QUAL, RT-PCR PANEL"|302.00|$1345.00|$52.00|$1076.00|$941.00|$538.00|$473.44|$301.28||$538.00|$1076.00|$763.96||$410.23|$511.10|$824.49|$55.00|||$56.00|$52.00|$370.77|$447.48|$575.33|$639.25|$504.38|$495.90|$341.09|$341.09
"CPT® 86003"|"HB ALPHA-GAL PANEL, BEEF IGE"|302.00|$82.00|$11.13|$65.60|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$55.00|||$56.00|$52.00|$11.13|$20.51|$27.97|$31.09|$30.75|$30.23|$20.80|$20.80
"CPT® 86003"|"HB ALPHA-GAL PANEL, PORK IGE"|302.00|$82.00|$11.13|$65.60|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$55.00|||$56.00|$52.00|$11.13|$20.51|$27.97|$31.09|$30.75|$30.23|$20.80|$20.80
"CPT® 86003"|"HB ALPHA-GAL PANEL, LAMB IGE"|302.00|$82.00|$11.13|$65.60|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$55.00|||$56.00|$52.00|$11.13|$20.51|$27.97|$31.09|$30.75|$30.23|$20.80|$20.80
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGG (Q)"|302.00|$165.00|$35.28|$132.00|$115.00|$66.00|$58.08|$36.96||$66.00|$132.00|$42.13||$42.13|$42.13|$42.13|$55.00|||$42.13|$42.13|$35.28|$39.55|$54.75|$60.83|$61.88|$60.84|$41.84|$41.84
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGG (V)"|302.00|$165.00|$35.28|$132.00|$115.00|$66.00|$58.08|$36.96||$66.00|$132.00|$42.13||$42.13|$42.13|$42.13|$55.00|||$42.13|$42.13|$35.28|$39.55|$54.75|$60.83|$61.88|$60.84|$41.84|$41.84
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGM (V)"|302.00|$165.00|$35.28|$132.00|$115.00|$66.00|$58.08|$36.96||$66.00|$132.00|$42.13||$42.13|$42.13|$42.13|$55.00|||$42.13|$42.13|$35.28|$39.55|$54.75|$60.83|$61.88|$60.84|$41.84|$41.84
"CPT® 86255"|"HB NEOCOMPLETE PARANEOPLASTIC W/ RECOMBX, IFA, EA AB"|302.00|$415.00|$25.62|$332.00|$290.00|$166.00|$146.08|$92.96||$166.00|$332.00|$235.72||$126.58|$157.70|$254.40|$55.00|||$56.00|$52.00|$25.62|$116.94|$157.20|$174.67|$155.63|$153.01|$105.24|$105.24
"CPT® 86341"|"HB NEOCOMPLETE PARANEOPLASTIC W/ RECOMBX, ISLET CELL"|302.00|$727.00|$41.76|$581.60|$509.00|$290.80|$255.90|$162.85||$290.80|$581.60|$412.94||$221.74|$276.26|$445.65|$55.00|||$56.00|$52.00|$41.76|$204.82|$275.32|$305.92|$272.63|$268.04|$184.37|$184.37
"CPT® 86140"|"HB C REACTIVE PROTEIN"|302.00|$88.00|$11.13|$70.40|$62.00|$35.20|$30.98|$19.71||$35.20|$70.40|$49.98||$26.84|$33.44|$53.94|$55.00|||$56.00|$52.00|$11.13|$30.80|$39.60|$44.00|$33.00|$32.45|$22.32|$22.32
"CPT® 86141"|"HB C REACTIVE PROTEIN, HIGH SENSITIVITY"|302.00|$153.00|$27.29|$122.40|$107.00|$61.20|$53.86|$34.27||$61.20|$122.40|$86.90||$46.67|$58.14|$93.79|$55.00|||$56.00|$52.00|$27.29|$53.55|$68.85|$76.50|$57.38|$56.41|$38.80|$38.80
"CPT® 86431"|"HB RHEUMATOID FACTOR"|302.00|$45.00|$10.08|$45.00|$31.00|$18.00|$15.84|$10.08||$18.00|$36.00|$25.56||$13.73|$17.10|$27.59|$45.00|||$45.00|$45.00|$12.26|$15.75|$20.25|$22.50|$16.88|$16.59|$11.41|$11.41
"CPT® 86316"|"HB PROSTATE HEALTH INDEX, P2PSA"|302.00|$649.00|$44.00|$519.20|$454.00|$259.60|$228.45|$145.38||$259.60|$519.20|$368.63||$197.95|$246.62|$397.84|$55.00|||$56.00|$52.00|$44.00|$227.15|$292.05|$324.50|$243.38|$239.29|$164.59|$164.59
"CPT® 86580"|"HB TB INTRADERMAL TEST"|302.00|$8.00|$1.79|$8.00|$6.00|$3.20|$2.82|$1.79||$3.20|$6.40|$4.54||$2.44|$3.04|$4.90|$8.00|||$8.00|$8.00|$8.00|$2.80|$3.60|$4.00|$3.00|$2.95|$2.03|$2.03
"CPT® 86341"|"HB ALLO ISLET CELL PROCESS"|302.00|$106113.00|$41.76|$84890.40|$74279.00|$42445.20|$37351.78|$23769.31||$42445.20|$84890.40|$60272.18||$32364.47|$40322.94|$65047.27|$55.00|||$56.00|$52.00|$41.76|$36425.03|$46832.18|$52035.75|$39792.38|$39123.86|$26910.26|$26910.26
"CPT® 86156"|"HB COLD AGGLUTININ SCREEN"|302.00|$194.00|$13.92|$155.20|$136.00|$77.60|$68.29|$43.46||$77.60|$155.20|$110.19||$59.17|$73.72|$118.92|$55.00|||$56.00|$52.00|$13.92|$35.98|$53.10|$59.00|$72.75|$71.53|$49.20|$49.20
"CPT® 86941"|"HB HEMOLYSIS/AGGLUTININ, INCUBATED"|302.00|$128.00|$25.62|$102.40|$90.00|$51.20|$45.06|$28.67||$51.20|$102.40|$72.70||$39.04|$48.64|$78.46|$55.00|||$56.00|$52.00|$25.62|$42.28|$54.90|$61.00|$48.00|$47.19|$32.46|$32.46
"CPT® 86886"|"HB ANTIBODY TITER"|302.00|$203.00|$11.13|$162.40|$142.00|$81.20|$71.46|$45.47||$81.20|$162.40|$115.30||$61.92|$77.14|$124.44|$55.00|||$56.00|$52.00|$11.13|$55.37|$74.55|$82.83|$76.13|$74.85|$51.48|$51.48
"CPT® 86341"|"HB INSULINOMA ASSOCIATED 2 ANTIBODY"|302.00|$163.00|$32.83|$130.40|$114.00|$65.20|$57.38|$36.51||$65.20|$130.40|$92.58||$49.72|$61.94|$99.92|$55.00|||$56.00|$52.00|$41.76|$32.83|$47.40|$52.67|$61.13|$60.10|$41.34|$41.34
"CPT® 86360"|"HB CD4 AND CD8 COUNT, INCLUDING RATIO"|302.00|$78.00|$17.47|$127.67|$55.00|$31.20|$27.46|$17.47||$31.20|$62.40|$44.30||$23.79|$29.64|$47.81|$55.00|||$56.00|$52.00|$92.45|$101.78|$114.90|$127.67|$29.25|$28.76|$19.78|$19.78
"CPT® 86357"|"HB NATURAL KILLER CELLS, TOTAL COUNT"|302.00|$616.00|$52.00|$492.80|$431.00|$246.40|$216.83|$137.98||$246.40|$492.80|$349.89||$187.88|$234.08|$377.61|$55.00|||$56.00|$52.00|$80.19|$120.68|$175.50|$195.00|$231.00|$227.12|$156.22|$156.22
"CPT® 86357"|"HB NATURAL KILLER CELLS, TOTAL COUNT"|302.00|$78.00|$17.47|$105.33|$55.00|$31.20|$27.46|$17.47||$31.20|$62.40|$44.30||$23.79|$29.64|$47.81|$55.00|||$56.00|$52.00|$79.46|$83.02|$94.80|$105.33|$29.25|$28.76|$19.78|$19.78
"CPT® 86359"|"HB T CELLS, TOTAL COUNT"|302.00|$616.00|$52.00|$492.80|$431.00|$246.40|$216.83|$137.98||$246.40|$492.80|$349.89||$187.88|$234.08|$377.61|$55.00|||$56.00|$52.00|$80.19|$120.68|$175.50|$195.00|$231.00|$227.12|$156.22|$156.22
"CPT® 86255"|"HB NEUROMYELTITIS OPTICA IGG SERUM/CSF"|302.00|$615.00|$25.62|$492.00|$430.00|$246.00|$216.48|$137.76||$246.00|$492.00|$349.32||$187.58|$233.70|$377.00|$55.00|||$56.00|$52.00|$25.62|$154.77|$211.95|$235.50|$230.63|$226.75|$155.96|$155.96
"CPT® 86603"|"HB ADENOVIRUS ANTIBODY"|302.00|$436.00|$27.29|$348.80|$305.00|$174.40|$153.47|$97.66||$174.40|$348.80|$247.65||$132.98|$165.68|$267.27|$55.00|||$56.00|$52.00|$27.29|$58.52|$95.40|$106.00|$163.50|$160.75|$110.57|$110.57
"CPT® 86003"|"HB ALERGEN, D PTERONYSSINUS, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB FOOD ALLERGY PANEL, IGE, EACH"|302.00|$75.00|$11.13|$60.00|$52.00|$30.00|$26.40|$16.80||$30.00|$60.00|$42.60||$22.88|$28.50|$45.98|$55.00|||$56.00|$52.00|$11.13|$16.17|$22.95|$25.50|$28.13|$27.65|$19.02|$19.02
"CPT® 86003"|"HB ALLERGEN PANEL - NUTS (FX1 & RFX22)"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$19.53|$30.15|$33.50|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN PANEL - SEAFOOD (FX2)"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$19.53|$30.15|$33.50|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, ALTERNARIA TENUIS, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, BIRCH TREE, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, BOX ELDER/MAPLE TREE, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, CAT EPITH./DANDER, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, CLADOSPORIUM, IGE"|302.00|$65.00|$11.13|$56.00|$46.00|$26.00|$22.88|$14.56||$26.00|$52.00|$36.92||$19.83|$24.70|$39.85|$55.00|||$56.00|$52.00|$11.13|$20.23|$26.55|$29.50|$24.38|$23.97|$16.48|$16.48
"CPT® 86003"|"HB ALLERGEN, CODFISH/WHITEFISH, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, COMMON/SHORT RAGWEED, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, CORN, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, COW MILD, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, D FARINAE, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, DOG DANDER, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, DOG EPITHELIUM, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, EGG WHITE, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, ELM TREE, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, FEATHER MIX, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, FUMIGATUS, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, GERMAN COCKROACH, IGE"|302.00|$65.00|$11.13|$56.00|$46.00|$26.00|$22.88|$14.56||$26.00|$52.00|$36.92||$19.83|$24.70|$39.85|$55.00|||$56.00|$52.00|$11.13|$20.23|$26.55|$29.50|$24.38|$23.97|$16.48|$16.48
"CPT® 86005"|"HB ALLERGEN, GLUTEN, RAST"|302.00|$371.00|$16.71|$296.80|$260.00|$148.40|$130.59|$83.10||$148.40|$296.80|$210.73||$113.16|$140.98|$227.42|$146.99|||$56.00|$52.00|$16.71|$93.38|$127.88|$142.09|$139.13|$136.79|$94.09|$94.09
"CPT® 86003"|"HB ALLERGEN, JUNE/KENTUCKY GRASS, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, OAK TREE, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, ORCHARD GRASS, IGE"|302.00|$65.00|$11.13|$56.00|$46.00|$26.00|$22.88|$14.56||$26.00|$52.00|$36.92||$19.83|$24.70|$39.85|$55.00|||$56.00|$52.00|$11.13|$20.23|$26.55|$29.50|$24.38|$23.97|$16.48|$16.48
"CPT® 86003"|"HB ALLERGEN, PEA, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, PEANUT, IGE"|302.00|$123.00|$11.13|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$11.13|$24.29|$35.25|$39.17|$46.13|$45.35|$31.19|$31.19
"CPT® 86003"|"HB ALLERGEN, ROUGH MARSHELDER, IGE"|302.00|$65.00|$11.13|$56.00|$46.00|$26.00|$22.88|$14.56||$26.00|$52.00|$36.92||$19.83|$24.70|$39.85|$55.00|||$56.00|$52.00|$11.13|$20.23|$26.55|$29.50|$24.38|$23.97|$16.48|$16.48
"CPT® 86003"|"HB ALLERGEN, SHRIMP, IGE"|302.00|$125.00|$11.13|$100.00|$88.00|$50.00|$44.00|$28.00||$50.00|$100.00|$71.00||$38.13|$47.50|$76.63|$55.00|||$56.00|$52.00|$11.13|$24.43|$35.55|$39.50|$46.88|$46.09|$31.70|$31.70
"CPT® 86003"|"HB ALLERGEN, SOYBEAN, IGE"|302.00|$125.00|$11.13|$100.00|$88.00|$50.00|$44.00|$28.00||$50.00|$100.00|$71.00||$38.13|$47.50|$76.63|$55.00|||$56.00|$52.00|$11.13|$24.43|$35.55|$39.50|$46.88|$46.09|$31.70|$31.70
"CPT® 86003"|"HB ALLERGEN, TOMATO, IGE"|302.00|$125.00|$11.13|$100.00|$88.00|$50.00|$44.00|$28.00||$50.00|$100.00|$71.00||$38.13|$47.50|$76.63|$55.00|||$56.00|$52.00|$11.13|$24.43|$35.55|$39.50|$46.88|$46.09|$31.70|$31.70
"CPT® 86003"|"HB ALLERGEN, WHEAT, IGE"|302.00|$125.00|$11.13|$100.00|$88.00|$50.00|$44.00|$28.00||$50.00|$100.00|$71.00||$38.13|$47.50|$76.63|$55.00|||$56.00|$52.00|$11.13|$24.43|$35.55|$39.50|$46.88|$46.09|$31.70|$31.70
"CPT® 86003"|"HB ALLERGEN SPECIFIC IGE, EACH"|302.00|$75.00|$11.13|$60.00|$52.00|$30.00|$26.40|$16.80||$30.00|$60.00|$42.60||$22.88|$28.50|$45.98|$55.00|||$56.00|$52.00|$11.13|$18.90|$25.88|$28.75|$28.13|$27.65|$19.02|$19.02
"CPT® 86003"|"HB CHILDHOOD ALLERGY PANEL, IGE, EACH"|302.00|$75.00|$11.13|$60.00|$52.00|$30.00|$26.40|$16.80||$30.00|$60.00|$42.60||$22.88|$28.50|$45.98|$55.00|||$56.00|$52.00|$11.13|$20.93|$28.05|$31.17|$28.13|$27.65|$19.02|$19.02
"CPT® 86003"|"HB RESPIRATORY ALLERGY PANEL, MIDWEST, IGE EACH"|302.00|$52.00|$11.13|$52.00|$36.00|$20.80|$18.30|$11.65||$20.80|$41.60|$29.54||$15.86|$19.76|$31.88|$52.00|||$52.00|$52.00|$11.13|$13.09|$17.93|$19.92|$19.50|$19.17|$13.19|$13.19
"CPT® 86021"|"HB ANCA VASCULITIDES"|302.00|$886.00|$31.74|$708.80|$620.00|$354.40|$311.87|$198.46||$354.40|$708.80|$503.25||$270.23|$336.68|$543.12|$55.00|||$56.00|$52.00|$31.74|$189.14|$269.10|$299.00|$332.25|$326.67|$224.69|$224.69
"CPT® 86021"|"HB ANTI NEUTROPHIL CYTOPLASMIC AB BY IF"|302.00|$861.00|$31.74|$688.80|$603.00|$344.40|$303.07|$192.86||$344.40|$688.80|$489.05||$262.61|$327.18|$527.79|$55.00|||$56.00|$52.00|$31.74|$102.27|$174.15|$193.50|$322.88|$317.45|$218.35|$218.35
"CPT® 86060"|"HB ANTI STREPTOLYSIN O ANTIBODY"|302.00|$220.00|$15.59|$176.00|$154.00|$88.00|$77.44|$49.28||$88.00|$176.00|$124.96||$67.10|$83.60|$134.86|$55.00|||$56.00|$52.00|$15.59|$43.12|$62.70|$69.67|$82.50|$81.11|$55.79|$55.79
"CPT® 86215"|"HB ANTI-DNASE B ANTIBODIES,STREPTOCOCCAL"|302.00|$429.00|$27.84|$343.20|$300.00|$171.60|$151.01|$96.10||$171.60|$343.20|$243.67||$130.85|$163.02|$262.98|$55.00|||$56.00|$52.00|$27.84|$83.79|$121.95|$135.50|$160.88|$158.17|$108.79|$108.79
"CPT® 86255"|"HB ANTIMITOCHONDRIAL ANTIBODY SCREEN"|302.00|$394.00|$25.62|$315.20|$276.00|$157.60|$138.69|$88.26||$157.60|$315.20|$223.79||$120.17|$149.72|$241.52|$55.00|||$56.00|$52.00|$25.62|$77.14|$112.20|$124.67|$147.75|$145.27|$99.92|$99.92
"CPT® 86256"|"HB ANTIMITOCHONDRIAL ANTIBODY TITER, EACH"|302.00|$109.00|$24.42|$87.20|$76.00|$43.60|$38.37|$24.42||$43.60|$87.20|$61.91||$33.25|$41.42|$66.82|$55.00|||$56.00|$52.00|$25.62|$27.37|$37.50|$41.67|$40.88|$40.19|$27.64|$27.64
"CPT® 86651"|"HB ARBOVIRUS ANTIBODIES, IGG, CALIFORNIA ENCEPHALITIS"|302.00|$199.00|$27.84|$159.20|$139.00|$79.60|$70.05|$44.58||$79.60|$159.20|$113.03||$60.70|$75.62|$121.99|$55.00|||$56.00|$52.00|$27.84|$41.09|$58.95|$65.50|$74.63|$73.37|$50.47|$50.47
"CPT® 86652"|"HB ARBOVIRUS ANTIBODIES, IGG, EASTERN EQUINE ENCEPHALITIS"|302.00|$199.00|$27.84|$159.20|$139.00|$79.60|$70.05|$44.58||$79.60|$159.20|$113.03||$60.70|$75.62|$121.99|$55.00|||$56.00|$52.00|$27.84|$41.09|$58.95|$65.50|$74.63|$73.37|$50.47|$50.47
"CPT® 86653"|"HB ARBOVIRUS ANTIBODIES, IGG, ST. LOUIS ENCEPHALITIS"|302.00|$199.00|$27.84|$159.20|$139.00|$79.60|$70.05|$44.58||$79.60|$159.20|$113.03||$60.70|$75.62|$121.99|$55.00|||$56.00|$52.00|$27.84|$41.09|$58.95|$65.50|$74.63|$73.37|$50.47|$50.47
"CPT® 86654"|"HB ARBOVIRUS ANTIBODIES, IGG, WESTERN EQUINE ENCEPHALITIS"|302.00|$199.00|$27.84|$159.20|$139.00|$79.60|$70.05|$44.58||$79.60|$159.20|$113.03||$60.70|$75.62|$121.99|$55.00|||$56.00|$52.00|$27.84|$41.09|$58.95|$65.50|$74.63|$73.37|$50.47|$50.47
"CPT® 86651"|"HB ARBOVIRUS ANTIBODIES, IGM, EASTERN EQUINE ENCEPHALITIS"|302.00|$156.00|$27.84|$124.80|$109.00|$62.40|$54.91|$34.94||$62.40|$124.80|$88.61||$47.58|$59.28|$95.63|$55.00|||$56.00|$52.00|$27.84|$39.27|$53.77|$59.75|$58.50|$57.52|$39.56|$39.56
"CPT® 86653"|"HB ARBOVIRUS ANTIBODIES, IGM, ST. LOUIS ENCEPHALITIS"|302.00|$156.00|$27.84|$124.80|$109.00|$62.40|$54.91|$34.94||$62.40|$124.80|$88.61||$47.58|$59.28|$95.63|$55.00|||$56.00|$52.00|$27.84|$39.27|$53.77|$59.75|$58.50|$57.52|$39.56|$39.56
"CPT® 86654"|"HB ARBOVIRUS ANTIBODIES, IGM, WESTERN EQUINE ENCEPHALITIS"|302.00|$156.00|$27.84|$124.80|$109.00|$62.40|$54.91|$34.94||$62.40|$124.80|$88.61||$47.58|$59.28|$95.63|$55.00|||$56.00|$52.00|$27.84|$39.27|$53.77|$59.75|$58.50|$57.52|$39.56|$39.56
"CPT® 86652"|"HB ARBOVIRUS ANTIBODIES, IGM, WESTERN EQUINE ENCEPHALITIS"|302.00|$156.00|$27.84|$124.80|$109.00|$62.40|$54.91|$34.94||$62.40|$124.80|$88.61||$47.58|$59.28|$95.63|$55.00|||$56.00|$52.00|$27.84|$39.27|$53.77|$59.75|$58.50|$57.52|$39.56|$39.56
"CPT® 86146"|"HB B-2 GLYCOPROTEIN ANTOBODY IGA"|302.00|$417.00|$52.00|$333.60|$292.00|$166.80|$146.78|$93.41||$166.80|$333.60|$236.86||$127.19|$158.46|$255.62|$55.00|||$56.00|$52.00|$54.02|$58.31|$93.75|$104.17|$156.38|$153.75|$105.75|$105.75
"CPT® 86146"|"HB B-2 GLYCOPROTEIN ANTOBODY IGG"|302.00|$184.00|$41.22|$147.20|$129.00|$73.60|$64.77|$41.22||$73.60|$147.20|$104.51||$56.12|$69.92|$112.79|$55.00|||$56.00|$52.00|$54.02|$42.00|$58.80|$65.33|$69.00|$67.84|$46.66|$46.66
"CPT® 86146"|"HB B-2 GLYCOPROTEIN ANTOBODY IGM"|302.00|$417.00|$52.00|$333.60|$292.00|$166.80|$146.78|$93.41||$166.80|$333.60|$236.86||$127.19|$158.46|$255.62|$55.00|||$56.00|$52.00|$54.02|$58.31|$93.75|$104.17|$156.38|$153.75|$105.75|$105.75
"CPT® 86611"|"HB BARTONELLA HENSELAE IGG ANTIBODIES"|302.00|$169.00|$21.72|$135.20|$118.00|$67.60|$59.49|$37.86||$67.60|$135.20|$95.99||$51.55|$64.22|$103.60|$55.00|||$56.00|$52.00|$21.72|$32.83|$47.85|$53.17|$63.38|$62.31|$42.86|$42.86
"CPT® 86611"|"HB BARTONELLA HENSELAE IGM ANTIBODIES"|302.00|$169.00|$21.72|$135.20|$118.00|$67.60|$59.49|$37.86||$67.60|$135.20|$95.99||$51.55|$64.22|$103.60|$55.00|||$56.00|$52.00|$21.72|$32.83|$47.85|$53.17|$63.38|$62.31|$42.86|$42.86
"CPT® 86615"|"HB BORDETELLA PERTUSSIS/PARAPERTUSSIS, IGG AND IGA"|302.00|$212.00|$27.84|$169.60|$148.00|$84.80|$74.62|$47.49||$84.80|$169.60|$120.42||$64.66|$80.56|$129.96|$55.00|||$56.00|$52.00|$27.84|$42.00|$60.90|$67.67|$79.50|$78.16|$53.76|$53.76
"CPT® 86618"|"HB BORRELIA BURGDORFERI ANTIBODUES, IGG/IGM"|302.00|$205.00|$36.20|$164.00|$144.00|$82.00|$72.16|$45.92||$82.00|$164.00|$116.44||$62.53|$77.90|$125.67|$55.00|||$56.00|$52.00|$36.20|$41.79|$60.15|$66.83|$76.88|$75.58|$51.99|$51.99
"CPT® 86622"|"HB BRUCELLA ABORTUS ANTIBODIES"|302.00|$133.00|$18.93|$106.40|$93.00|$53.20|$46.82|$29.79||$53.20|$106.40|$75.54||$40.57|$50.54|$81.53|$55.00|||$56.00|$52.00|$18.93|$27.51|$39.45|$43.83|$49.88|$49.04|$33.73|$33.73
"CPT® 86161"|"HB C1 ESTERASE INHIBITOR"|302.00|$374.00|$25.62|$299.20|$262.00|$149.60|$131.65|$83.78||$149.60|$299.20|$212.43||$114.07|$142.12|$229.26|$55.00|||$56.00|$52.00|$25.62|$73.50|$106.80|$118.67|$140.25|$137.89|$94.85|$94.85
"CPT® 86160"|"HB C1Q NON BINDING ASSAY"|302.00|$366.00|$25.62|$292.80|$256.00|$146.40|$128.83|$81.98||$146.40|$292.80|$207.89||$111.63|$139.08|$224.36|$55.00|||$56.00|$52.00|$25.62|$72.94|$105.60|$117.33|$137.25|$134.94|$92.82|$92.82
"CPT® 86301"|"HB CA 19-9"|302.00|$426.00|$44.00|$340.80|$298.00|$170.40|$149.95|$95.42||$170.40|$340.80|$241.97||$129.93|$161.88|$261.14|$55.00|||$56.00|$52.00|$44.00|$83.30|$121.20|$134.67|$159.75|$157.07|$108.03|$108.03
"CPT® 86304"|"HB CANCER ANTIGEN 125"|302.00|$505.00|$44.00|$404.00|$354.00|$202.00|$177.76|$113.12||$202.00|$404.00|$286.84||$154.03|$191.90|$309.57|$55.00|||$56.00|$52.00|$44.00|$63.35|$105.75|$117.50|$189.38|$186.19|$128.07|$128.07
"CPT® 86300"|"HB CANCER ANTIGEN 15-3"|302.00|$412.00|$44.00|$329.60|$288.00|$164.80|$145.02|$92.29||$164.80|$329.60|$234.02||$125.66|$156.56|$252.56|$55.00|||$56.00|$52.00|$44.00|$80.64|$117.30|$130.33|$154.50|$151.90|$104.48|$104.48
"CPT® 86628"|"HB CANDIDA ALBICANS ANTIBODIES, IGA, IGG, IGM"|302.00|$190.00|$25.62|$152.00|$133.00|$76.00|$66.88|$42.56||$76.00|$152.00|$107.92||$57.95|$72.20|$116.47|$55.00|||$56.00|$52.00|$25.62|$37.10|$54.00|$60.00|$71.25|$70.05|$48.18|$48.18
"CPT® 86147"|"HB CARDIOLIPIN ANTIBODIES, IGA"|302.00|$417.00|$46.29|$333.60|$292.00|$166.80|$146.78|$93.41||$166.80|$333.60|$236.86||$127.19|$158.46|$255.62|$55.00|||$56.00|$52.00|$54.02|$46.29|$80.87|$89.86|$156.38|$153.75|$105.75|$105.75
"CPT® 86147"|"HB CARDIOLIPIN ANTIBODIES, IGA, IGG, IGM"|302.00|$408.00|$52.00|$326.40|$286.00|$163.20|$143.62|$91.39||$163.20|$326.40|$231.74||$124.44|$155.04|$250.10|$55.00|||$56.00|$52.00|$54.02|$79.86|$116.16|$129.07|$153.00|$150.43|$103.47|$103.47
"CPT® 86147"|"HB CARDIOLIPIN ANTIBODIES, IGG"|302.00|$417.00|$46.29|$333.60|$292.00|$166.80|$146.78|$93.41||$166.80|$333.60|$236.86||$127.19|$158.46|$255.62|$55.00|||$56.00|$52.00|$54.02|$46.29|$80.87|$89.86|$156.38|$153.75|$105.75|$105.75
"CPT® 86147"|"HB CARDIOLIPIN ANTIBODIES, IGM"|302.00|$417.00|$46.29|$333.60|$292.00|$166.80|$146.78|$93.41||$166.80|$333.60|$236.86||$127.19|$158.46|$255.62|$55.00|||$56.00|$52.00|$54.02|$46.29|$80.87|$89.86|$156.38|$153.75|$105.75|$105.75
"CPT® 86200"|"HB CCP ANTIBODY"|302.00|$383.00|$27.29|$306.40|$268.00|$153.20|$134.82|$85.79||$153.20|$306.40|$217.54||$116.82|$145.54|$234.78|$55.00|||$56.00|$52.00|$27.29|$74.69|$108.75|$120.83|$143.63|$141.21|$97.13|$97.13
"CPT® 86631"|"HB CHLAMYDIA ANTIBODIES, IGG"|302.00|$104.00|$23.30|$83.20|$73.00|$41.60|$36.61|$23.30||$41.60|$83.20|$59.07||$31.72|$39.52|$63.75|$55.00|||$56.00|$52.00|$25.07|$26.15|$35.78|$39.75|$39.00|$38.34|$26.37|$26.37
"CPT® 86632"|"HB CHLAMYDIA ANTIBODIES, IGM"|302.00|$104.00|$23.30|$83.20|$73.00|$41.60|$36.61|$23.30||$41.60|$83.20|$59.07||$31.72|$39.52|$63.75|$55.00|||$56.00|$52.00|$26.73|$26.15|$35.78|$39.75|$39.00|$38.34|$26.37|$26.37
"CPT® 86316"|"HB CHROMOGRANIN A"|302.00|$339.00|$44.00|$271.20|$237.00|$135.60|$119.33|$75.94||$135.60|$271.20|$192.55||$103.40|$128.82|$207.81|$55.00|||$56.00|$52.00|$44.00|$66.29|$96.45|$107.17|$127.13|$124.99|$85.97|$85.97
"CPT® 86152"|"HB CIRCULATING TUMOR CELL BREA"|302.00|$1113.00|$52.00|$890.40|$779.00|$445.20|$391.78|$249.31||$445.20|$890.40|$632.18||$339.47|$422.94|$682.27|$55.00|||$56.00|$52.00|$520.68|$280.35|$383.85|$426.50|$417.38|$410.36|$282.26|$282.26
"CPT® 86152"|"HB CIRCULATING TUMOR CELL COLO"|302.00|$1113.00|$52.00|$890.40|$779.00|$445.20|$391.78|$249.31||$445.20|$890.40|$632.18||$339.47|$422.94|$682.27|$55.00|||$56.00|$52.00|$520.68|$280.35|$383.85|$426.50|$417.38|$410.36|$282.26|$282.26
"CPT® 86152"|"HB CIRCULATING TUMOR CELL PROS"|302.00|$1113.00|$52.00|$890.40|$779.00|$445.20|$391.78|$249.31||$445.20|$890.40|$632.18||$339.47|$422.94|$682.27|$55.00|||$56.00|$52.00|$520.68|$280.35|$383.85|$426.50|$417.38|$410.36|$282.26|$282.26
"CPT® 86157"|"HB COLD AGGLUTININS"|302.00|$248.00|$17.27|$198.40|$174.00|$99.20|$87.30|$55.55||$99.20|$198.40|$140.86||$75.64|$94.24|$152.02|$55.00|||$56.00|$52.00|$17.27|$50.40|$72.60|$80.67|$93.00|$91.44|$62.89|$62.89
"CPT® 86160"|"HB COMPLEMENT C3 ANTIGEN"|302.00|$374.00|$25.62|$299.20|$262.00|$149.60|$131.65|$83.78||$149.60|$299.20|$212.43||$114.07|$142.12|$229.26|$55.00|||$56.00|$52.00|$25.62|$73.50|$106.80|$118.67|$140.25|$137.89|$94.85|$94.85
"CPT® 86704"|"HB ANTI-HBC"|302.00|$239.00|$25.62|$191.20|$167.00|$95.60|$84.13|$53.54||$95.60|$191.20|$135.75||$72.90|$90.82|$146.51|$55.00|||$56.00|$52.00|$25.62|$83.65|$107.55|$119.50|$89.63|$88.12|$60.61|$60.61
"CPT® 86160"|"HB COMPLEMENT C4 ANTIGEN"|302.00|$374.00|$25.62|$299.20|$262.00|$149.60|$131.65|$83.78||$149.60|$299.20|$212.43||$114.07|$142.12|$229.26|$55.00|||$56.00|$52.00|$25.62|$73.50|$106.80|$118.67|$140.25|$137.89|$94.85|$94.85
"CPT® 86162"|"HB COMPLEMENT CH50"|302.00|$398.00|$42.89|$318.40|$279.00|$159.20|$140.10|$89.15||$159.20|$318.40|$226.06||$121.39|$151.24|$243.97|$55.00|||$56.00|$52.00|$42.89|$78.26|$113.70|$126.33|$149.25|$146.74|$100.93|$100.93
"CPT® 86638"|"HB COXIELLA BURNETII IGG ANTIBODIES, PHASE 1& 2"|302.00|$500.00|$25.62|$400.00|$350.00|$200.00|$176.00|$112.00||$200.00|$400.00|$284.00||$152.50|$190.00|$306.50|$55.00|||$56.00|$52.00|$25.62|$102.48|$147.30|$163.67|$187.50|$184.35|$126.80|$126.80
"CPT® 86658"|"HB COXSACKIE B ANTIBODIES, SERUM"|302.00|$214.00|$27.84|$171.20|$150.00|$85.60|$75.33|$47.94||$85.60|$171.20|$121.55||$65.27|$81.32|$131.18|$55.00|||$56.00|$52.00|$27.84|$35.98|$54.60|$60.67|$80.25|$78.90|$54.27|$54.27
"CPT® 86682"|"HB CYSTICERCUS IGG, CSF"|302.00|$214.00|$27.29|$171.20|$150.00|$85.60|$75.33|$47.94||$85.60|$171.20|$121.55||$65.27|$81.32|$131.18|$55.00|||$56.00|$52.00|$27.29|$41.86|$60.90|$67.67|$80.25|$78.90|$54.27|$54.27
"CPT® 86644"|"HB CYTOMEGALOVIRUS ANTIBODY, IGG"|302.00|$419.00|$30.63|$335.20|$293.00|$167.60|$147.49|$93.86||$167.60|$335.20|$237.99||$127.80|$159.22|$256.85|$55.00|||$56.00|$52.00|$30.63|$82.25|$119.55|$132.83|$157.13|$154.49|$106.26|$106.26
"CPT® 86645"|"HB CYTOMEGALOVIRUS ANTIBODY, IGM"|302.00|$455.00|$35.64|$364.00|$318.00|$182.00|$160.16|$101.92||$182.00|$364.00|$258.44||$138.78|$172.90|$278.92|$55.00|||$56.00|$52.00|$35.64|$89.25|$129.75|$144.17|$170.63|$167.76|$115.39|$115.39
"CPT® 86790"|"HB DENGUE FEVER IGM ANTIBODY"|302.00|$212.00|$27.29|$169.60|$148.00|$84.80|$74.62|$47.49||$84.80|$169.60|$120.42||$64.66|$80.56|$129.96|$55.00|||$56.00|$52.00|$27.29|$41.44|$60.30|$67.00|$79.50|$78.16|$53.76|$53.76
"CPT® 86648"|"HB DIPHTHERIA IGG ANTIBODIES"|302.00|$246.00|$32.30|$196.80|$172.00|$98.40|$86.59|$55.10||$98.40|$196.80|$139.73||$75.03|$93.48|$150.80|$55.00|||$56.00|$52.00|$32.30|$48.02|$69.90|$77.67|$92.25|$90.70|$62.39|$62.39
"CPT® 86753"|"HB E. HISTOLYTICA ANTIBODIES"|302.00|$396.00|$26.18|$316.80|$277.00|$158.40|$139.39|$88.70||$158.40|$316.80|$224.93||$120.78|$150.48|$242.75|$55.00|||$56.00|$52.00|$26.18|$80.92|$116.40|$129.33|$148.50|$146.01|$100.43|$100.43
"CPT® 86658"|"HB ECHOVIRUS ANTIBODY PANEL SEROTYPE, BLOOD"|302.00|$214.00|$27.84|$171.20|$150.00|$85.60|$75.33|$47.94||$85.60|$171.20|$121.55||$65.27|$81.32|$131.18|$55.00|||$56.00|$52.00|$27.84|$41.86|$60.90|$67.67|$80.25|$78.90|$54.27|$54.27
"CPT® 86666"|"HB EHRLICIA CHAFFEENSIS AB IGG AND IGM, IFA"|302.00|$156.00|$21.72|$124.80|$109.00|$62.40|$54.91|$34.94||$62.40|$124.80|$88.61||$47.58|$59.28|$95.63|$55.00|||$56.00|$52.00|$21.72|$31.92|$45.90|$51.00|$58.50|$57.52|$39.56|$39.56
"CPT® 86255"|"HB ENDOMYSIAL ANTIBODY"|302.00|$560.00|$25.62|$448.00|$392.00|$224.00|$197.12|$125.44||$224.00|$448.00|$318.08||$170.80|$212.80|$343.28|$55.00|||$56.00|$52.00|$25.62|$111.16|$161.10|$179.00|$210.00|$206.47|$142.02|$142.02
"CPT® 86803"|"HB EXPOSURE HEPATITIS  C ANTIBODY"|302.00|$371.00|$30.08|$296.80|$260.00|$148.40|$130.59|$83.10||$148.40|$296.80|$210.73||$113.16|$140.98|$227.42|$55.00|||$56.00|$52.00|$30.08|$46.97|$78.15|$86.83|$139.13|$136.79|$94.09|$94.09
"CPT® 86705"|"HB EXPOSURE HEPATITIS B CORE IGM"|302.00|$336.00|$25.07|$268.80|$235.00|$134.40|$118.27|$75.26||$134.40|$268.80|$190.85||$102.48|$127.68|$205.97|$55.00|||$56.00|$52.00|$25.07|$44.45|$72.75|$80.83|$126.00|$123.88|$85.21|$85.21
"CPT® 86706"|"HB EXPOSURE HEPATITIS BS ANTIBODY"|302.00|$309.00|$22.83|$247.20|$216.00|$123.60|$108.77|$69.22||$123.60|$247.20|$175.51||$94.25|$117.42|$189.42|$55.00|||$56.00|$52.00|$22.83|$37.03|$62.85|$69.83|$115.88|$113.93|$78.36|$78.36
"CPT® 87340"|"HB EXPOSURE HEPATITIS BS ANTIGEN"|302.00|$272.00|$21.72|$217.60|$190.00|$108.80|$95.74|$60.93||$108.80|$217.60|$154.50||$82.96|$103.36|$166.74|$55.00|||$56.00|$52.00|$21.72|$33.92|$56.18|$62.42|$102.00|$100.29|$68.98|$68.98
"CPT® 86612"|"HB FUNGAL ANTIBODIES PANEL (2731)"|302.00|$212.00|$27.29|$169.60|$148.00|$84.80|$74.62|$47.49||$84.80|$169.60|$120.42||$64.66|$80.56|$129.96|$55.00|||$56.00|$52.00|$27.29|$41.44|$60.30|$67.00|$79.50|$78.16|$53.76|$53.76
"CPT® 86635"|"HB FUNGAL ANTIBODIES PANEL (2732)"|302.00|$157.00|$24.50|$125.60|$110.00|$62.80|$55.26|$35.17||$62.80|$125.60|$89.18||$47.89|$59.66|$96.24|$55.00|||$56.00|$52.00|$24.50|$34.51|$48.75|$54.17|$58.88|$57.89|$39.82|$39.82
"CPT® 86698"|"HB FUNGAL ANTIBODIES PANEL (2733)"|302.00|$202.00|$26.73|$161.60|$141.00|$80.80|$71.10|$45.25||$80.80|$161.60|$114.74||$61.61|$76.76|$123.83|$55.00|||$56.00|$52.00|$26.73|$39.62|$57.60|$64.00|$75.75|$74.48|$51.23|$51.23
"CPT® 86677"|"HB HELICOBACTER PYLORI ANTIBODIES, IGG"|302.00|$498.00|$30.63|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$55.00|||$56.00|$52.00|$30.63|$62.86|$104.70|$116.33|$186.75|$183.61|$126.29|$126.29
"CPT® 86692"|"HB HEP DELTA IGM ABS"|302.00|$365.00|$36.20|$292.00|$255.00|$146.00|$128.48|$81.76||$146.00|$292.00|$207.32||$111.33|$138.70|$223.75|$55.00|||$56.00|$52.00|$36.20|$73.99|$106.65|$118.50|$136.88|$134.58|$92.56|$92.56
"CPT® 86708"|"HB HEPATITIS A IGG"|302.00|$327.00|$26.18|$261.60|$229.00|$130.80|$115.10|$73.25||$130.80|$261.60|$185.74||$99.74|$124.26|$200.45|$55.00|||$56.00|$52.00|$26.18|$46.69|$74.55|$82.83|$122.63|$120.56|$82.93|$82.93
"CPT® 86709"|"HB HEPATITIS A IGM"|302.00|$321.00|$23.94|$256.80|$225.00|$128.40|$112.99|$71.90||$128.40|$256.80|$182.33||$97.91|$121.98|$196.77|$55.00|||$56.00|$52.00|$23.94|$46.27|$73.65|$81.83|$120.38|$118.35|$81.41|$81.41
"CPT® 86317"|"HB HEPATITIS B SURFACE ANTIBODY, QUANT"|302.00|$228.00|$31.74|$182.40|$160.00|$91.20|$80.26|$51.07||$91.20|$182.40|$129.50||$69.54|$86.64|$139.76|$55.00|||$56.00|$52.00|$31.74|$40.60|$60.60|$67.33|$85.50|$84.06|$57.82|$57.82
"CPT® 87350"|"HB HEPATITIS BE AG/AB"|302.00|$245.00|$24.50|$196.00|$172.00|$98.00|$86.24|$54.88||$98.00|$196.00|$139.16||$74.73|$93.10|$150.19|$55.00|||$56.00|$52.00|$24.50|$53.10|$74.78|$83.08|$91.88|$90.33|$62.13|$62.13
"CPT® 86707"|"HB HEPATITIS BE AG/AB"|302.00|$387.00|$24.50|$309.60|$271.00|$154.80|$136.22|$86.69||$154.80|$309.60|$219.82||$118.04|$147.06|$237.23|$55.00|||$56.00|$52.00|$24.50|$75.53|$109.95|$122.17|$145.13|$142.69|$98.14|$98.14
"CPT® 86706"|"HB HEPATITIS BS ANTIBODY"|302.00|$317.00|$22.83|$253.60|$222.00|$126.80|$111.58|$71.01||$126.80|$253.60|$180.06||$96.69|$120.46|$194.32|$55.00|||$56.00|$52.00|$22.83|$37.59|$64.05|$71.17|$118.88|$116.88|$80.39|$80.39
"CPT® 86694"|"HB HERPES SIMPLEX VIRUS TYPES 1 & 2 IGM AB"|302.00|$234.00|$30.63|$187.20|$164.00|$93.60|$82.37|$52.42||$93.60|$187.20|$132.91||$71.37|$88.92|$143.44|$55.00|||$56.00|$52.00|$30.63|$45.78|$66.60|$74.00|$87.75|$86.28|$59.34|$59.34
"CPT® 86696"|"HB HERPES SIMPLEX VIRUS TYPE 2 IGM AB"|302.00|$234.00|$41.21|$187.20|$164.00|$93.60|$82.37|$52.42||$93.60|$187.20|$132.91||$71.37|$88.92|$143.44|$55.00|||$56.00|$52.00|$41.21|$59.01|$80.77|$89.75|$87.75|$86.28|$59.34|$59.34
"CPT® 87385"|"HB HISTOPLASMA ANTIGEN,URINE"|302.00|$363.00|$25.62|$290.40|$254.00|$145.20|$127.78|$81.31||$145.20|$290.40|$206.18||$110.72|$137.94|$222.52|$55.00|||$56.00|$52.00|$25.62|$90.65|$123.60|$137.33|$136.13|$133.84|$92.06|$92.06
"CPT® 86812"|"HB HLA-B27 BY FLOW CYTOMETRY"|302.00|$762.00|$52.00|$609.60|$533.00|$304.80|$268.22|$170.69||$304.80|$609.60|$432.82||$232.41|$289.56|$467.11|$55.00|||$56.00|$52.00|$54.57|$149.38|$217.20|$241.33|$285.75|$280.95|$193.24|$193.24
"CPT® 86790"|"HB HTLV, IGG"|302.00|$212.00|$27.29|$169.60|$148.00|$84.80|$74.62|$47.49||$84.80|$169.60|$120.42||$64.66|$80.56|$129.96|$55.00|||$56.00|$52.00|$27.29|$42.84|$61.80|$68.67|$79.50|$78.16|$53.76|$53.76
"CPT® 86305"|"HB HUMAN EPIDIDYMIS PROTEIN 4"|302.00|$449.00|$44.00|$359.20|$314.00|$179.60|$158.05|$100.58||$179.60|$359.20|$255.03||$136.95|$170.62|$275.24|$55.00|||$56.00|$52.00|$44.00|$111.44|$153.08|$170.09|$168.38|$165.55|$113.87|$113.87
"CPT® 86140"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, CRP"|302.00|$184.00|$11.13|$147.20|$129.00|$73.60|$64.77|$41.22||$73.60|$147.20|$104.51||$56.12|$69.92|$112.79|$55.00|||$56.00|$52.00|$11.13|$46.27|$63.37|$70.42|$69.00|$67.84|$46.66|$46.66
"CPT® 86335"|"HB IMMUNOFIXATION ELECTROPHORESIS, RANDOM URINE"|302.00|$481.00|$52.00|$384.80|$337.00|$192.40|$169.31|$107.74||$192.40|$384.80|$273.21||$146.71|$182.78|$294.85|$55.00|||$56.00|$52.00|$62.37|$93.59|$136.35|$151.50|$180.38|$177.34|$121.98|$121.98
"CPT® 86710"|"HB INFLUENZA A ANTIBODY, CF"|302.00|$58.00|$12.99|$104.08|$41.00|$23.20|$20.42|$12.99||$23.20|$46.40|$32.94||$17.69|$22.04|$35.55|$55.00|||$56.00|$52.00|$28.95|$83.41|$93.68|$104.08|$21.75|$21.38|$14.71|$14.71
"CPT® 86710"|"HB INFLUENZA B ANTIBODY, CF"|302.00|$58.00|$12.99|$104.08|$41.00|$23.20|$20.42|$12.99||$23.20|$46.40|$32.94||$17.69|$22.04|$35.55|$55.00|||$56.00|$52.00|$28.95|$83.41|$93.68|$104.08|$21.75|$21.38|$14.71|$14.71
"CPT® 86336"|"HB INHIBIN A"|302.00|$236.00|$32.85|$188.80|$165.00|$94.40|$83.07|$52.86||$94.40|$188.80|$134.05||$71.98|$89.68|$144.67|$55.00|||$56.00|$52.00|$32.85|$53.48|$75.00|$83.33|$88.50|$87.01|$59.85|$59.85
"CPT® 86340"|"HB INTRINSIC FACTOR BLOCKING AUTOAB"|302.00|$346.00|$31.74|$276.80|$242.00|$138.40|$121.79|$77.50||$138.40|$276.80|$196.53||$105.53|$131.48|$212.10|$55.00|||$56.00|$52.00|$31.74|$67.90|$98.70|$109.67|$129.75|$127.57|$87.75|$87.75
"CPT® 86341"|"HB ISLET CELL IGG CYTO AUTOAB"|302.00|$318.00|$41.76|$254.40|$223.00|$127.20|$111.94|$71.23||$127.20|$254.40|$180.62||$96.99|$120.84|$194.93|$55.00|||$56.00|$52.00|$41.76|$62.86|$91.20|$101.33|$119.25|$117.25|$80.64|$80.64
"CPT® 86713"|"HB LEGIONELLA PNEUM AB"|302.00|$726.00|$32.30|$580.80|$508.00|$290.40|$255.55|$162.62||$290.40|$580.80|$412.37||$221.43|$275.88|$445.04|$55.00|||$56.00|$52.00|$32.30|$150.78|$216.00|$240.00|$272.25|$267.68|$184.11|$184.11
"CPT® 86376"|"HB LIVER-KIDNEY MICROSOME AUTOANTIBODIES"|302.00|$302.00|$30.63|$241.60|$211.00|$120.80|$106.30|$67.65||$120.80|$241.60|$171.54||$92.11|$114.76|$185.13|$55.00|||$56.00|$52.00|$30.63|$58.94|$85.80|$95.33|$113.25|$111.35|$76.59|$76.59
"CPT® 86617"|"HB LYME CONFIRMATION IGG&IGM"|302.00|$248.00|$32.85|$198.40|$174.00|$99.20|$87.30|$55.55||$99.20|$198.40|$140.86||$75.64|$94.24|$152.02|$55.00|||$56.00|$52.00|$32.85|$38.36|$59.70|$66.33|$93.00|$91.44|$62.89|$62.89
"CPT® 86618"|"HB LYMES IGG/IGM ANTIBODIES, EACH"|302.00|$148.00|$33.15|$118.40|$104.00|$59.20|$52.10|$33.15||$59.20|$118.40|$84.06||$45.14|$56.24|$90.72|$55.00|||$56.00|$52.00|$36.20|$37.45|$51.23|$56.92|$55.50|$54.57|$37.53|$37.53
"CPT® 86618"|"HB LYME DISEASE ANTIBODIES, CSF"|302.00|$419.00|$36.20|$335.20|$293.00|$167.60|$147.49|$93.86||$167.60|$335.20|$237.99||$127.80|$159.22|$256.85|$55.00|||$56.00|$52.00|$36.20|$82.25|$119.55|$132.83|$157.13|$154.49|$106.26|$106.26
"CPT® 86735"|"HB MUMPS ANTIBODY, IGG"|302.00|$398.00|$20.41|$318.40|$279.00|$159.20|$140.10|$89.15||$159.20|$318.40|$226.06||$121.39|$151.24|$243.97|$55.00|||$56.00|$52.00|$20.41|$32.54|$64.71|$71.90|$149.25|$146.74|$100.93|$100.93
"CPT® 86738"|"HB MYCOPLASMA PHEUMONIAE IGG & IGM ABS"|302.00|$195.00|$27.84|$156.00|$136.00|$78.00|$68.64|$43.68||$78.00|$156.00|$110.76||$59.48|$74.10|$119.54|$55.00|||$56.00|$52.00|$27.84|$38.29|$55.65|$61.83|$73.13|$71.90|$49.45|$49.45
"CPT® 86738"|"HB MYCOPLASMA PHEUMONIAE IGG & IGM ABS"|302.00|$195.00|$27.84|$156.00|$136.00|$78.00|$68.64|$43.68||$78.00|$156.00|$110.76||$59.48|$74.10|$119.54|$55.00|||$56.00|$52.00|$27.84|$38.29|$55.65|$61.83|$73.13|$71.90|$49.45|$49.45
"CPT® 86316"|"HB NEURON SPECIFIC ENOLASE"|302.00|$331.00|$44.00|$264.80|$232.00|$132.40|$116.51|$74.14||$132.40|$264.80|$188.01||$100.96|$125.78|$202.90|$55.00|||$56.00|$52.00|$44.00|$65.73|$95.25|$105.83|$124.13|$122.04|$83.94|$83.94
"CPT® 86255"|"HB PARANEOPLASTIC-MAYO AB SCREEN"|302.00|$63.00|$14.11|$56.00|$44.00|$25.20|$22.18|$14.11||$25.20|$50.40|$35.78||$19.22|$23.94|$38.62|$55.00|||$56.00|$52.00|$25.62|$15.75|$21.60|$24.00|$23.63|$23.23|$15.98|$15.98
"CPT® 86255"|"HB PARIETAL CELL ANTIBODY SCREEN"|302.00|$566.00|$25.62|$452.80|$396.00|$226.40|$199.23|$126.78||$226.40|$452.80|$321.49||$172.63|$215.08|$346.96|$55.00|||$56.00|$52.00|$25.62|$81.59|$129.83|$144.25|$212.25|$208.68|$143.54|$143.54
"CPT® 86747"|"HB PARVOVIRUS IGG, IGM ANTIBODIES"|302.00|$248.00|$31.74|$198.40|$174.00|$99.20|$87.30|$55.55||$99.20|$198.40|$140.86||$75.64|$94.24|$152.02|$55.00|||$56.00|$52.00|$31.74|$48.44|$70.50|$78.33|$93.00|$91.44|$62.89|$62.89
"CPT® 86148"|"HB PHOSPHATYDLSERINE ABS IGG, IGM, IGA"|302.00|$239.00|$33.95|$191.20|$167.00|$95.60|$84.13|$53.54||$95.60|$191.20|$135.75||$72.90|$90.82|$146.51|$55.00|||$56.00|$52.00|$33.98|$33.95|$54.30|$60.33|$89.63|$88.12|$60.61|$60.61
"CPT® 86023"|"HB PLATELET AUTOANTIBODIES (DIRECT)"|302.00|$185.00|$26.18|$148.00|$130.00|$74.00|$65.12|$41.44||$74.00|$148.00|$105.08||$56.43|$70.30|$113.41|$55.00|||$56.00|$52.00|$26.18|$38.43|$55.05|$61.17|$69.38|$68.21|$46.92|$46.92
"CPT® 86255"|"HB PURKINJE CELL (YO) AUTOANTIBODIES"|302.00|$472.00|$25.62|$377.60|$330.00|$188.80|$166.14|$105.73||$188.80|$377.60|$268.10||$143.96|$179.36|$289.34|$55.00|||$56.00|$52.00|$25.62|$57.68|$97.20|$108.00|$177.00|$174.03|$119.70|$119.70
"CPT® 86638"|"HB Q FEVER PHASE I ANTIBODIES, IGG/IGM"|302.00|$68.00|$15.23|$93.33|$48.00|$27.20|$23.94|$15.23||$27.20|$54.40|$38.62||$20.74|$25.84|$41.68|$55.00|||$56.00|$52.00|$25.62|$73.64|$84.00|$93.33|$25.50|$25.07|$17.24|$17.24
"CPT® 86638"|"HB Q FEVER PHASE II ANTIBODIES, IGG/IGM"|302.00|$68.00|$15.23|$93.33|$48.00|$27.20|$23.94|$15.23||$27.20|$54.40|$38.62||$20.74|$25.84|$41.68|$55.00|||$56.00|$52.00|$25.62|$73.64|$84.00|$93.33|$25.50|$25.07|$17.24|$17.24
"CPT® 86790"|"HB RABIES ANTIBODY, IGG"|302.00|$208.00|$27.29|$166.40|$146.00|$83.20|$73.22|$46.59||$83.20|$166.40|$118.14||$63.44|$79.04|$127.50|$55.00|||$56.00|$52.00|$27.29|$41.16|$59.70|$66.33|$78.00|$76.69|$52.75|$52.75
"CPT® 86431"|"HB RHEUMATOID FACTOR, QUANTITATIVE"|302.00|$223.00|$12.26|$178.40|$156.00|$89.20|$78.50|$49.95||$89.20|$178.40|$126.66||$68.02|$84.74|$136.70|$55.00|||$56.00|$52.00|$12.26|$22.61|$40.95|$45.50|$83.63|$82.22|$56.55|$56.55
"CPT® 86762"|"HB RUBELLA ANTIBODIES, IGG"|302.00|$197.00|$24.26|$157.60|$138.00|$78.80|$69.34|$44.13||$78.80|$157.60|$111.90||$60.09|$74.86|$120.76|$55.00|||$56.00|$52.00|$30.63|$24.26|$40.73|$45.25|$73.88|$72.63|$49.96|$49.96
"CPT® 86317"|"HB RUBELLA ANTIBODY TITER, IGG"|302.00|$211.00|$31.74|$168.80|$148.00|$84.40|$74.27|$47.26||$84.40|$168.80|$119.85||$64.36|$80.18|$129.34|$55.00|||$56.00|$52.00|$31.74|$38.57|$57.15|$63.50|$79.13|$77.80|$53.51|$53.51
"CPT® 86671"|"HB SACCHAROMYCES CEREVISAE ANTIBODIES, IGA"|302.00|$184.00|$26.18|$147.20|$129.00|$73.60|$64.77|$41.22||$73.60|$147.20|$104.51||$56.12|$69.92|$112.79|$55.00|||$56.00|$52.00|$26.18|$38.08|$54.60|$60.67|$69.00|$67.84|$46.66|$46.66
"CPT® 86671"|"HB SACCHAROMYCES CEREVISAE ANTIBODIES, IGG"|302.00|$184.00|$26.18|$147.20|$129.00|$73.60|$64.77|$41.22||$73.60|$147.20|$104.51||$56.12|$69.92|$112.79|$55.00|||$56.00|$52.00|$26.18|$38.08|$54.60|$60.67|$69.00|$67.84|$46.66|$46.66
"CPT® 86255"|"HB SMOOTH MUSCLE ANTIBODY"|302.00|$566.00|$25.62|$452.80|$396.00|$226.40|$199.23|$126.78||$226.40|$452.80|$321.49||$172.63|$215.08|$346.96|$55.00|||$56.00|$52.00|$25.62|$81.59|$129.83|$144.25|$212.25|$208.68|$143.54|$143.54
"CPT® 86255"|"HB STRIATIONAL TOTAL AUTOANTIBODIES LF"|302.00|$566.00|$25.62|$452.80|$396.00|$226.40|$199.23|$126.78||$226.40|$452.80|$321.49||$172.63|$215.08|$346.96|$55.00|||$56.00|$52.00|$25.62|$68.15|$115.43|$128.25|$212.25|$208.68|$143.54|$143.54
"CPT® 86682"|"HB STRONGYLOIDES ANTIBODY IGG"|302.00|$214.00|$27.29|$171.20|$150.00|$85.60|$75.33|$47.94||$85.60|$171.20|$121.55||$65.27|$81.32|$131.18|$55.00|||$56.00|$52.00|$27.29|$56.98|$77.10|$85.67|$80.25|$78.90|$54.27|$54.27
"CPT® 86780"|"HB SYPHILIS ANTIBODY, TREPONEMAL W/ REFLEX"|302.00|$255.00|$27.84|$204.00|$178.00|$102.00|$89.76|$57.12||$102.00|$204.00|$144.84||$77.78|$96.90|$156.32|$55.00|||$56.00|$52.00|$27.84|$64.26|$87.98|$97.75|$95.63|$94.02|$64.67|$64.67
"CPT® 86774"|"HB TETANUS ANTIBODY, IGG"|302.00|$266.00|$31.19|$212.80|$186.00|$106.40|$93.63|$59.58||$106.40|$212.80|$151.09||$81.13|$101.08|$163.06|$55.00|||$56.00|$52.00|$31.19|$43.82|$66.90|$74.33|$99.75|$98.07|$67.46|$67.46
"CPT® 86376"|"HB THYROID PEROXIDASE ANTIBODIES"|302.00|$302.00|$30.63|$241.60|$211.00|$120.80|$106.30|$67.65||$120.80|$241.60|$171.54||$92.11|$114.76|$185.13|$55.00|||$56.00|$52.00|$30.63|$50.82|$77.10|$85.67|$113.25|$111.35|$76.59|$76.59
"CPT® 86777"|"HB TOXOPLASMA ANTIBODY IGG"|302.00|$363.00|$30.63|$290.40|$254.00|$145.20|$127.78|$81.31||$145.20|$290.40|$206.18||$110.72|$137.94|$222.52|$55.00|||$56.00|$52.00|$30.63|$71.89|$104.25|$115.83|$136.13|$133.84|$92.06|$92.06
"CPT® 86778"|"HB TOXOPLASMA ANTIBODY IGM"|302.00|$382.00|$30.63|$305.60|$267.00|$152.80|$134.46|$85.57||$152.80|$305.60|$216.98||$116.51|$145.16|$234.17|$55.00|||$56.00|$52.00|$30.63|$74.31|$108.23|$120.25|$143.25|$140.84|$96.88|$96.88
"CPT® 86780"|"HB TREPONEMA PALLIDUM ANTIBODY ASSAY"|302.00|$412.00|$27.84|$329.60|$288.00|$164.80|$145.02|$92.29||$164.80|$329.60|$234.02||$125.66|$156.56|$252.56|$55.00|||$56.00|$52.00|$27.84|$78.12|$114.60|$127.33|$154.50|$151.90|$104.48|$104.48
"CPT® 86480"|"HB TUBERCULOSIS IMMUNITY"|302.00|$957.00|$52.00|$765.60|$670.00|$382.80|$336.86|$214.37||$382.80|$765.60|$543.58||$291.89|$363.66|$586.64|$55.00|||$56.00|$52.00|$131.42|$165.32|$248.90|$276.55|$358.88|$352.85|$242.70|$242.70
"CPT® 86787"|"HB VARICELLA ZOSTER ANTIBODY"|302.00|$276.00|$27.29|$220.80|$193.00|$110.40|$97.15|$61.82||$110.40|$220.80|$156.77||$84.18|$104.88|$169.19|$55.00|||$56.00|$52.00|$27.29|$32.48|$55.50|$61.67|$103.50|$101.76|$69.99|$69.99
"CPT® 86787"|"HB VARICELLA-ZOSTER IGM ANTIBODIES"|302.00|$212.00|$27.29|$169.60|$148.00|$84.80|$74.62|$47.49||$84.80|$169.60|$120.42||$64.66|$80.56|$129.96|$55.00|||$56.00|$52.00|$27.29|$49.56|$69.00|$76.67|$79.50|$78.16|$53.76|$53.76
"CPT® 86592"|"HB VDRL, CSF"|302.00|$183.00|$8.91|$146.40|$128.00|$73.20|$64.42|$40.99||$73.20|$146.40|$103.94||$55.82|$69.54|$112.18|$55.00|||$56.00|$52.00|$8.91|$24.01|$39.45|$43.83|$68.63|$67.47|$46.41|$46.41
"CPT® 86592"|"HB VDRL, SERUM"|302.00|$183.00|$8.91|$146.40|$128.00|$73.20|$64.42|$40.99||$73.20|$146.40|$103.94||$55.82|$69.54|$112.18|$55.00|||$56.00|$52.00|$8.91|$24.01|$39.45|$43.83|$68.63|$67.47|$46.41|$46.41
"CPT® 86905"|"HB WEAK D ANTIGEN TEST"|302.00|$123.00|$8.36|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$8.36|$31.57|$43.05|$47.83|$46.13|$45.35|$31.19|$31.19
"CPT® 86850"|"HB ANTIBODY SCREEN"|302.00|$201.00|$8.36|$160.80|$141.00|$80.40|$70.75|$45.02||$80.40|$160.80|$114.17||$61.31|$76.38|$123.21|$55.00|||$56.00|$52.00|$8.36|$51.31|$70.05|$77.83|$75.38|$74.11|$50.97|$50.97
"CPT® 86850"|"HB CAMPYLOBACTER ANTIGEN"|302.00|$340.00|$8.36|$272.00|$238.00|$136.00|$119.68|$76.16||$136.00|$272.00|$193.12||$103.70|$129.20|$208.42|$55.00|||$56.00|$52.00|$8.36|$91.84|$123.90|$137.67|$127.50|$125.36|$86.22|$86.22
"CPT® 86850"|"HB ANTIBODY SCREEN, PEG"|302.00|$141.00|$8.36|$112.80|$99.00|$56.40|$49.63|$31.58||$56.40|$112.80|$80.09||$43.01|$53.58|$86.43|$55.00|||$56.00|$52.00|$8.36|$38.01|$51.30|$57.00|$52.88|$51.99|$35.76|$35.76
"CPT® 86880"|"HB DIRECT ANTIGLOBULIN TEST"|302.00|$118.00|$11.13|$94.40|$83.00|$47.20|$41.54|$26.43||$47.20|$94.40|$67.02||$35.99|$44.84|$72.33|$55.00|||$56.00|$52.00|$11.13|$50.26|$62.70|$69.67|$44.25|$43.51|$29.92|$29.92
"CPT® 86905"|"HB ANTIGEN TYPING, IGG, EACH ANTIGEN"|302.00|$123.00|$8.36|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$8.36|$31.57|$43.05|$47.83|$46.13|$45.35|$31.19|$31.19
"CPT® 86885"|"HB INDIRECT ANTIGLOBULIN TEST"|302.00|$93.00|$12.26|$74.40|$65.00|$37.20|$32.74|$20.83||$37.20|$74.40|$52.82||$28.37|$35.34|$57.01|$55.00|||$56.00|$52.00|$12.26|$23.31|$31.95|$35.50|$34.88|$34.29|$23.58|$23.58
"CPT® 86922"|"HB CROSSMATCH, ONE UNIT"|302.00|$322.00|$52.00|$257.60|$225.00|$128.80|$113.34|$72.13||$128.80|$257.60|$182.90||$98.21|$122.36|$197.39|$55.00|||$56.00|$52.00|$56.25|$88.06|$118.50|$131.67|$120.75|$118.72|$81.66|$81.66
"CPT® 86256"|"HB CULTURE, LEGIONELLA"|302.00|$607.00|$25.62|$485.60|$425.00|$242.80|$213.66|$135.97||$242.80|$485.60|$344.78||$185.14|$230.66|$372.09|$55.00|||$56.00|$52.00|$25.62|$118.65|$172.65|$191.83|$227.63|$223.80|$153.94|$153.94
"CPT® 86140"|"HB C-REACTIVE PROTEIN"|302.00|$253.00|$11.13|$202.40|$177.00|$101.20|$89.06|$56.67||$101.20|$202.40|$143.70||$77.17|$96.14|$155.09|$55.00|||$56.00|$52.00|$11.13|$38.71|$60.45|$67.17|$94.88|$93.28|$64.16|$64.16
"CPT® 87450"|"HB CRYPTOCOCCAL ANTIGEN, CSF"|302.00|$315.00|$20.61|$252.00|$220.00|$126.00|$110.88|$70.56||$126.00|$252.00|$178.92||$96.08|$119.70|$193.10|$55.00|||$56.00|$52.00|$20.61|$68.78|$96.68|$107.42|$118.13|$116.14|$79.88|$79.88
"CPT® 86703"|"HB HIV SCREEN"|302.00|$385.00|$28.95|$308.00|$270.00|$154.00|$135.52|$86.24||$154.00|$308.00|$218.68||$117.43|$146.30|$236.01|$55.00|||$56.00|$52.00|$28.95|$47.95|$80.25|$89.17|$144.38|$141.95|$97.64|$97.64
"CPT® 86308"|"HB MONONUCLEOSIS SCREEN"|302.00|$201.00|$11.13|$160.80|$141.00|$80.40|$70.75|$45.02||$80.40|$160.80|$114.17||$61.31|$76.38|$123.21|$55.00|||$56.00|$52.00|$11.13|$26.67|$43.65|$48.50|$75.38|$74.11|$50.97|$50.97
"CPT® 86038"|"HB ANTINUCLEAR ANTIBODY"|302.00|$383.00|$25.62|$306.40|$268.00|$153.20|$134.82|$85.79||$153.20|$306.40|$217.54||$116.82|$145.54|$234.78|$55.00|||$56.00|$52.00|$25.62|$72.45|$106.35|$118.17|$143.63|$141.21|$97.13|$97.13
"CPT® 86039"|"HB ANTINUCLEAR ANTIBODY TITER"|302.00|$294.00|$23.39|$235.20|$206.00|$117.60|$103.49|$65.86||$117.60|$235.20|$166.99||$89.67|$111.72|$180.22|$55.00|||$56.00|$52.00|$23.39|$48.58|$74.10|$82.33|$110.25|$108.40|$74.56|$74.56
"CPT® 86225"|"HB DNA ANTIBODY SCREEN"|302.00|$317.00|$28.95|$253.60|$222.00|$126.80|$111.58|$71.01||$126.80|$253.60|$180.06||$96.69|$120.46|$194.32|$55.00|||$56.00|$52.00|$28.95|$63.91|$92.25|$102.50|$118.88|$116.88|$80.39|$80.39
"CPT® 86225"|"HB DSDNA, QUANTITATIVE"|302.00|$317.00|$28.95|$253.60|$222.00|$126.80|$111.58|$71.01||$126.80|$253.60|$180.06||$96.69|$120.46|$194.32|$55.00|||$56.00|$52.00|$28.95|$48.79|$76.05|$84.50|$118.88|$116.88|$80.39|$80.39
"CPT® 86235"|"HB JO-1 ANTIBODIES"|302.00|$336.00|$37.86|$268.80|$235.00|$134.40|$118.27|$75.26||$134.40|$268.80|$190.85||$102.48|$127.68|$205.97|$55.00|||$56.00|$52.00|$37.86|$67.69|$97.65|$108.50|$126.00|$123.88|$85.21|$85.21
"CPT® 86765"|"HB RUBEOLA ANTIBODY"|302.00|$238.00|$27.29|$190.40|$167.00|$95.20|$83.78|$53.31||$95.20|$190.40|$135.18||$72.59|$90.44|$145.89|$55.00|||$56.00|$52.00|$27.29|$48.58|$69.90|$77.67|$89.25|$87.75|$60.36|$60.36
"CPT® 86235"|"HB SCL 70"|302.00|$336.00|$37.86|$268.80|$235.00|$134.40|$118.27|$75.26||$134.40|$268.80|$190.85||$102.48|$127.68|$205.97|$55.00|||$56.00|$52.00|$37.86|$67.69|$97.65|$108.50|$126.00|$123.88|$85.21|$85.21
"CPT® 86235"|"HB SSA ANTIBODY"|302.00|$336.00|$37.86|$268.80|$235.00|$134.40|$118.27|$75.26||$134.40|$268.80|$190.85||$102.48|$127.68|$205.97|$55.00|||$56.00|$52.00|$37.86|$67.69|$97.65|$108.50|$126.00|$123.88|$85.21|$85.21
"CPT® 86235"|"HB SSB ANTIBODY"|302.00|$336.00|$37.86|$268.80|$235.00|$134.40|$118.27|$75.26||$134.40|$268.80|$190.85||$102.48|$127.68|$205.97|$55.00|||$56.00|$52.00|$37.86|$67.69|$97.65|$108.50|$126.00|$123.88|$85.21|$85.21
"CPT® 86825"|"HB FINAL FLOW CROSSMATCH"|302.00|$872.00|$52.00|$697.60|$610.00|$348.80|$306.94|$195.33||$348.80|$697.60|$495.30||$265.96|$331.36|$534.54|$55.00|||$56.00|$52.00|$170.40|$305.20|$392.40|$436.00|$327.00|$321.51|$221.14|$221.14
"CPT® 86826"|"HB FINAL FLOW CROSSMATCH"|302.00|$309.00|$52.00|$247.20|$216.00|$123.60|$108.77|$69.22||$123.60|$247.20|$175.51||$94.25|$117.42|$189.42|$55.00|||$56.00|$52.00|$56.81|$108.15|$139.05|$154.50|$115.88|$113.93|$78.36|$78.36
"CPT® 86832"|"HB POST FLOW HUMAN LYMPHOCYTE ANTIGEN HIGH DEFINITION SINGLE GROUP"|302.00|$896.00|$52.00|$716.80|$627.00|$358.40|$315.39|$200.70||$358.40|$716.80|$508.93||$273.28|$340.48|$549.25|$55.00|||$56.00|$52.00|$268.97|$313.60|$403.20|$448.00|$336.00|$330.36|$227.23|$227.23
"CPT® 86832"|"HB PRE FLOW HUMAN LYMPHOCYTE ANTIGEN HIGH DEFINITION SINGLE GROUP"|302.00|$896.00|$52.00|$716.80|$627.00|$358.40|$315.39|$200.70||$358.40|$716.80|$508.93||$273.28|$340.48|$549.25|$55.00|||$56.00|$52.00|$268.97|$313.60|$403.20|$448.00|$336.00|$330.36|$227.23|$227.23
"CPT® 86828"|"HB POST FLOW SCREENING CLASS I/II"|302.00|$526.00|$52.00|$420.80|$368.00|$210.40|$185.15|$117.82||$210.40|$420.80|$298.77||$160.43|$199.88|$322.44|$55.00|||$56.00|$52.00|$84.09|$184.10|$236.70|$263.00|$197.25|$193.94|$133.39|$133.39
"CPT® 86828"|"HB PRE FLOW SCREENING CLASS I/II"|302.00|$526.00|$52.00|$420.80|$368.00|$210.40|$185.15|$117.82||$210.40|$420.80|$298.77||$160.43|$199.88|$322.44|$55.00|||$56.00|$52.00|$84.09|$184.10|$236.70|$263.00|$197.25|$193.94|$133.39|$133.39
"CPT® 86828"|"HB POST HUMAN LYMPHOCYTE ANTIGEN ANTIBODY SCREEN LUMINEX"|302.00|$522.00|$52.00|$417.60|$365.00|$208.80|$183.74|$116.93||$208.80|$417.60|$296.50||$159.21|$198.36|$319.99|$55.00|||$56.00|$52.00|$84.09|$182.70|$234.90|$261.00|$195.75|$192.46|$132.38|$132.38
"CPT® 86828"|"HB PRE HUMAN LYMPHOCYTE ANTIGEN ANTIBODY SCREEN LUMINEX"|302.00|$522.00|$52.00|$417.60|$365.00|$208.80|$183.74|$116.93||$208.80|$417.60|$296.50||$159.21|$198.36|$319.99|$55.00|||$56.00|$52.00|$84.09|$182.70|$234.90|$261.00|$195.75|$192.46|$132.38|$132.38
"CPT® 86832"|"HB HUMAN LYMPHOCYTE ANTIGEN ANTIBODY CLASS I SINGLE ANTIGEN C1Q"|302.00|$1741.00|$52.00|$1392.80|$1219.00|$696.40|$612.83|$389.98||$696.40|$1392.80|$988.89||$531.01|$661.58|$1067.23|$55.00|||$56.00|$52.00|$268.97|$438.55|$600.45|$667.17|$652.88|$641.91|$441.52|$441.52
"CPT® 86833"|"HB HUMAN LYMPHOCYTE ANTIGEN ANTIBODY CLASS II SINGLE ANTIGEN C1Q"|302.00|$1556.00|$52.00|$1244.80|$1089.00|$622.40|$547.71|$348.54||$622.40|$1244.80|$883.81||$474.58|$591.28|$953.83|$55.00|||$56.00|$52.00|$244.47|$392.00|$536.70|$596.33|$583.50|$573.70|$394.60|$394.60
"CPT® 86805"|"HB T CELL ANTI-HUMAN GLOBULIN CROSSMATCH"|302.00|$785.00|$52.00|$628.00|$550.00|$314.00|$276.32|$175.84||$314.00|$628.00|$445.88||$239.43|$298.30|$481.21|$55.00|||$56.00|$52.00|$110.82|$274.75|$353.25|$392.50|$294.38|$289.43|$199.08|$199.08
"CPT® 86805"|"HB POST T CELL ANTI HUMAN GLOBULIN CROSSMATCH CYTOTOXICITY"|302.00|$1484.00|$52.00|$1187.20|$1039.00|$593.60|$522.37|$332.42||$593.60|$1187.20|$842.91||$452.62|$563.92|$909.69|$55.00|||$56.00|$52.00|$110.82|$519.40|$667.80|$742.00|$556.50|$547.15|$376.34|$376.34
"CPT® 86805"|"HB PRE T CELL ANTI HUMAN GLOBULIN CROSSMATCH CYTOTOXICITY"|302.00|$1484.00|$52.00|$1187.20|$1039.00|$593.60|$522.37|$332.42||$593.60|$1187.20|$842.91||$452.62|$563.92|$909.69|$55.00|||$56.00|$52.00|$110.82|$519.40|$667.80|$742.00|$556.50|$547.15|$376.34|$376.34
"CPT® 86832"|"HB LUMINEX HLA CLASS I SPECIFICITY (TEPNEL)"|302.00|$1285.00|$52.00|$1028.00|$899.00|$514.00|$452.32|$287.84||$514.00|$1028.00|$729.88||$391.93|$488.30|$787.71|$55.00|||$56.00|$52.00|$268.97|$449.75|$578.25|$642.50|$481.88|$473.78|$325.88|$325.88
"CPT® 86833"|"HB LUMINEXHLA CLASS I SA SPECIFICITY (ONE LAMBDA), BATCHED"|302.00|$1025.00|$52.00|$820.00|$718.00|$410.00|$360.80|$229.60||$410.00|$820.00|$582.20||$312.63|$389.50|$628.33|$55.00|||$56.00|$52.00|$244.47|$358.75|$461.25|$512.50|$384.38|$377.92|$259.94|$259.94
"CPT® 86833"|"HB LUMINEX HLA CLASS II SA SPECIFICITY FULL PANEL (ONE LAMBDA), BATCHED"|302.00|$1150.00|$52.00|$920.00|$805.00|$460.00|$404.80|$257.60||$460.00|$920.00|$653.20||$350.75|$437.00|$704.95|$55.00|||$56.00|$52.00|$244.47|$402.50|$517.50|$575.00|$431.25|$424.01|$291.64|$291.64
"CPT® 86832"|"HB POST LUMINEX HLA CLASS I SA SPEC TEPNEL"|302.00|$1285.00|$52.00|$1028.00|$899.00|$514.00|$452.32|$287.84||$514.00|$1028.00|$729.88||$391.93|$488.30|$787.71|$55.00|||$56.00|$52.00|$268.97|$449.75|$578.25|$642.50|$481.88|$473.78|$325.88|$325.88
"CPT® 86833"|"HB POST LUMINEX HLA CLASS II SA FP OL BATCH"|302.00|$1035.00|$52.00|$828.00|$724.00|$414.00|$364.32|$231.84||$414.00|$828.00|$587.88||$315.68|$393.30|$634.46|$55.00|||$56.00|$52.00|$244.47|$362.25|$465.75|$517.50|$388.13|$381.60|$262.48|$262.48
"CPT® 86832"|"HB POST LUMIMEX HLA CLASS I SA OL BATCHED"|302.00|$1156.00|$52.00|$924.80|$809.00|$462.40|$406.91|$258.94||$462.40|$924.80|$656.61||$352.58|$439.28|$708.63|$55.00|||$56.00|$52.00|$268.97|$404.60|$520.20|$578.00|$433.50|$426.22|$293.16|$293.16
"CPT® 86769"|"HB REF COVID-19 ANTIBODIES, IGG (Q)"|302.00|$165.00|$36.96|$132.00|$115.00|$66.00|$58.08|$36.96||$66.00|$132.00|$42.13||$42.13|$42.13|$42.13|$55.00|||$42.13|$42.13|$47.85|$57.75|$74.25|$82.50|$61.88|$60.84|$41.84|$41.84
"CPT® 87899"|"HB H. INFLUENZAE B ANTIGEN"|304.00|$143.00|$25.62|$114.40|$100.00|$57.20|$50.34|$32.03||$57.20|$114.40|$81.22||$43.62|$54.34|$87.66|$55.00|||$56.00|$52.00|$25.62|$35.77|$48.75|$54.17|$53.63|$52.72|$36.26|$36.26
"CPT® 87522"|"HB HEPATITIS C, RT-PCR, QUANT"|304.00|$236.00|$52.00|$188.80|$165.00|$94.40|$83.07|$52.86||$94.40|$188.80|$134.05||$71.98|$89.68|$144.67|$55.00|||$56.00|$52.00|$90.77|$59.15|$80.63|$89.59|$88.50|$87.01|$59.85|$59.85
"CPT® 87903"|"HB HIV-1 PHENOSENSE"|304.00|$2544.00|$52.00|$2035.20|$1781.00|$1017.60|$895.49|$569.86||$1017.60|$2035.20|$1444.99||$775.92|$966.72|$1559.47|$55.00|||$56.00|$52.00|$1035.23|$635.92|$867.00|$963.34|$954.00|$937.97|$645.16|$645.16
"CPT® 87900"|"HB HIV-1 PHENOSENSE GT, INF. AGT DRUG PHENOTYPE"|304.00|$447.00|$52.00|$357.60|$313.00|$178.80|$157.34|$100.13||$178.80|$357.60|$253.90||$136.34|$169.86|$274.01|$55.00|||$56.00|$52.00|$276.21|$111.72|$152.32|$169.25|$167.63|$164.81|$113.36|$113.36
"CPT® 87901"|"HB HIV-1 PHENOSENSE GT, INF. AGT GENOTYPE"|304.00|$989.00|$52.00|$791.20|$692.00|$395.60|$348.13|$221.54||$395.60|$791.20|$561.75||$301.65|$375.82|$606.26|$55.00|||$56.00|$52.00|$545.18|$247.14|$336.98|$374.42|$370.88|$364.64|$250.81|$250.81
"CPT® 87903"|"HB HIV-1 PHENOSENSE GT, HIV PHENOTYPE W/ CULTURE"|304.00|$1873.00|$52.00|$1498.40|$1311.00|$749.20|$659.30|$419.55||$749.20|$1498.40|$1063.86||$571.27|$711.74|$1148.15|$55.00|||$56.00|$52.00|$1035.23|$468.20|$638.33|$709.25|$702.38|$690.58|$474.99|$474.99
"CPT® 87904"|"HB HIV-1 PHENOSENSE GT, HIV PHENOTYPE W/CULTURE, ADDTL"|304.00|$91.00|$20.38|$72.80|$64.00|$36.40|$32.03|$20.38||$36.40|$72.80|$51.69||$27.76|$34.58|$55.78|$55.00|||$56.00|$52.00|$55.13|$22.79|$31.05|$34.50|$34.13|$33.55|$23.08|$23.08
"CPT® 87903"|"HB HIV-1 PHENOSENSE INTEGRASE"|304.00|$1109.00|$52.00|$887.20|$776.00|$443.60|$390.37|$248.42||$443.60|$887.20|$629.91||$338.25|$421.42|$679.82|$55.00|||$56.00|$52.00|$825.08|$277.13|$377.85|$419.83|$415.88|$408.89|$281.24|$281.24
"CPT® 87798"|"HB CANDIDA AURIS SCREEN BY PCR"|305.00|$120.00|$26.88|$96.00|$84.00|$48.00|$42.24|$26.88||$48.00|$96.00|$68.16||$36.60|$45.60|$73.56|$55.00|||$56.00|$52.00|$74.63|$31.04|$42.00|$46.67|$45.00|$44.24|$30.43|$30.43
"CPT® 85027"|"HB CBC W/O DIFFERENTIAL"|305.00|$104.00|$13.92|$83.20|$73.00|$41.60|$36.61|$23.30||$41.60|$83.20|$59.07||$31.72|$39.52|$63.75|$55.00|||$56.00|$52.00|$13.92|$36.40|$46.80|$52.00|$39.00|$38.34|$26.37|$26.37
"CPT® 85027"|"HB CBC AND PLATELET, BILL ONLY"|305.00|$109.00|$13.92|$87.20|$76.00|$43.60|$38.37|$24.42||$43.60|$87.20|$61.91||$33.25|$41.42|$66.82|$55.00|||$56.00|$52.00|$13.92|$38.15|$49.05|$54.50|$40.88|$40.19|$27.64|$27.64
"HCPCS G0307"|"HB CBC W/O PLATELET COUNT"|305.00|$39.00|$8.74|$39.00|$27.00|$15.60|$13.73|$8.74||$15.60|$31.20|$22.15||$11.90|$14.82|$23.91|$15.45|||$39.00|$39.00|$13.92|$13.65|$17.55|$19.50|$14.63|$14.38|$9.89|$9.89
"CPT® 85025"|"HB CBC, PLATELET COUNT, DIFFERENTIAL"|305.00|$137.00|$16.71|$109.60|$96.00|$54.80|$48.22|$30.69||$54.80|$109.60|$77.82||$41.79|$52.06|$83.98|$55.00|||$56.00|$52.00|$16.71|$47.78|$61.43|$68.25|$51.38|$50.51|$34.74|$34.74
"CPT® 85007"|"HB DIFFERENTIAL, MANUAL"|305.00|$41.00|$7.25|$41.00|$29.00|$16.40|$14.43|$9.18||$16.40|$32.80|$23.29||$12.51|$15.58|$25.13|$41.00|||$41.00|$41.00|$7.25|$14.35|$18.45|$20.50|$15.38|$15.12|$10.40|$10.40
"CPT® 85441"|"HB HEINZ BODY, DIRECT"|305.00|$81.00|$8.91|$64.80|$57.00|$32.40|$28.51|$18.14||$32.40|$64.80|$46.01||$24.71|$30.78|$49.65|$55.00|||$56.00|$52.00|$8.91|$28.35|$36.45|$40.50|$30.38|$29.86|$20.54|$20.54
"CPT® 85013"|"HB HEMATOCRIT, BODY FLUID"|305.00|$60.00|$5.01|$56.00|$42.00|$24.00|$21.12|$13.44||$24.00|$48.00|$34.08||$18.30|$22.80|$36.78|$55.00|||$56.00|$52.00|$5.01|$21.00|$27.00|$30.00|$22.50|$22.12|$15.22|$15.22
"CPT® 85018"|"HB HEMOGLOBIN"|305.00|$45.00|$5.01|$45.00|$31.00|$18.00|$15.84|$10.08||$18.00|$36.00|$25.56||$13.73|$17.10|$27.59|$45.00|||$45.00|$45.00|$5.01|$15.75|$20.25|$22.50|$16.88|$16.59|$11.41|$11.41
"CPT® 85014"|"HB HEMATOCRIT"|305.00|$44.00|$5.01|$44.00|$31.00|$17.60|$15.49|$9.86||$17.60|$35.20|$24.99||$13.42|$16.72|$26.97|$44.00|||$44.00|$44.00|$5.01|$15.40|$19.80|$22.00|$16.50|$16.22|$11.16|$11.16
"CPT® 85049"|"HB PLATELET COUNT"|305.00|$79.00|$9.47|$63.20|$55.00|$31.60|$27.81|$17.70||$31.60|$63.20|$44.87||$24.10|$30.02|$48.43|$55.00|||$56.00|$52.00|$9.47|$27.65|$35.55|$39.50|$29.63|$29.13|$20.03|$20.03
"CPT® 85049"|"HB PLATELET COUNT (MOD 91)"|305.00|$79.00|$9.47|$63.20|$55.00|$31.60|$27.81|$17.70||$31.60|$63.20|$44.87||$24.10|$30.02|$48.43|$55.00|||$56.00|$52.00|$9.47|$27.65|$35.55|$39.50|$29.63|$29.13|$20.03|$20.03
"CPT® 85055"|"HB RETICULATED PLATELET COUNT"|305.00|$37.00|$8.29|$37.00|$26.00|$14.80|$13.02|$8.29||$14.80|$29.60|$21.02||$11.29|$14.06|$22.68|$37.00|||$37.00|$37.00|$37.00|$12.95|$16.65|$18.50|$13.88|$13.64|$9.38|$9.38
"CPT® 85045"|"HB RETICULOCYTE COUNT"|305.00|$59.00|$8.36|$56.00|$41.00|$23.60|$20.77|$13.22||$23.60|$47.20|$33.51||$18.00|$22.42|$36.17|$55.00|||$56.00|$52.00|$8.36|$20.65|$26.55|$29.50|$22.13|$21.75|$14.96|$14.96
"CPT® 85651"|"HB SEDIMENTATION RATE"|305.00|$70.00|$7.25|$56.00|$49.00|$28.00|$24.64|$15.68||$28.00|$56.00|$39.76||$21.35|$26.60|$42.91|$55.00|||$56.00|$52.00|$7.25|$24.50|$31.50|$35.00|$26.25|$25.81|$17.75|$17.75
"CPT® 85999"|"HB SEZARY CELL PREP"|305.00|$252.00|$19.05|$201.60|$176.00|$100.80|$88.70|$56.45||$100.80|$201.60|$143.14||$76.86|$95.76|$154.48|$55.00|||$56.00|$52.00|$19.05|$88.20|$113.40|$126.00|$94.50|$92.91|$63.91|$63.91
"CPT® 85660"|"HB SICKLE CELL SCREEN"|305.00|$87.00|$11.70|$69.60|$61.00|$34.80|$30.62|$19.49||$34.80|$69.60|$49.42||$26.54|$33.06|$53.33|$55.00|||$56.00|$52.00|$11.70|$30.45|$39.15|$43.50|$32.63|$32.08|$22.06|$22.06
"CPT® 85810"|"HB VISCOSITY"|305.00|$167.00|$24.50|$133.60|$117.00|$66.80|$58.78|$37.41||$66.80|$133.60|$94.86||$50.94|$63.46|$102.37|$55.00|||$56.00|$52.00|$24.50|$58.45|$75.15|$83.50|$62.63|$61.57|$42.35|$42.35
"CPT® 85652"|"HB SEDIMENTATION RATE, AUTOMATED"|305.00|$27.00|$5.57|$27.00|$19.00|$10.80|$9.50|$6.05||$10.80|$21.60|$15.34||$8.24|$10.26|$16.55|$27.00|||$27.00|$27.00|$5.57|$9.45|$12.15|$13.50|$10.13|$9.95|$6.85|$6.85
"CPT® 85046"|"HB RETICULOCYTE HEMOGLOBIN EQUIVALENT"|305.00|$59.00|$11.70|$56.00|$41.00|$23.60|$20.77|$13.22||$23.60|$47.20|$33.51||$18.00|$22.42|$36.17|$55.00|||$56.00|$52.00|$11.70|$15.89|$21.45|$23.83|$22.13|$21.75|$14.96|$14.96
"CPT® 85025"|"HB CBC ABSOLUTE NEUTROPHIL CT"|305.00|$133.00|$16.71|$106.40|$93.00|$53.20|$46.82|$29.79||$53.20|$106.40|$75.54||$40.57|$50.54|$81.53|$55.00|||$56.00|$52.00|$16.71|$46.55|$59.85|$66.50|$49.88|$49.04|$33.73|$33.73
"CPT® 87653"|"HB GROUP B STREPTOCOCCUS PCR"|305.00|$386.00|$52.00|$308.80|$270.00|$154.40|$135.87|$86.46||$154.40|$308.80|$219.25||$117.73|$146.68|$236.62|$55.00|||$56.00|$52.00|$74.63|$96.43|$131.48|$146.08|$144.75|$142.32|$97.89|$97.89
"CPT® 85730"|"HB ACTIVATED PARTIAL THROMBOPLASTIN TIME"|305.00|$146.00|$12.81|$116.80|$102.00|$58.40|$51.39|$32.70||$58.40|$116.80|$82.93||$44.53|$55.48|$89.50|$55.00|||$56.00|$52.00|$12.81|$51.10|$65.70|$73.00|$54.75|$53.83|$37.03|$37.03
"CPT® 85307"|"HB ACTIVATED PROTEIN C RESISTANCE"|305.00|$377.00|$32.30|$301.60|$264.00|$150.80|$132.70|$84.45||$150.80|$301.60|$214.14||$114.99|$143.26|$231.10|$55.00|||$56.00|$52.00|$32.30|$131.95|$169.65|$188.50|$141.38|$139.00|$95.61|$95.61
"CPT® 85520"|"HB ANTI XA ASSAY"|305.00|$361.00|$27.84|$288.80|$253.00|$144.40|$127.07|$80.86||$144.40|$288.80|$205.05||$110.11|$137.18|$221.29|$55.00|||$56.00|$52.00|$27.84|$126.35|$162.45|$180.50|$135.38|$133.10|$91.55|$91.55
"CPT® 85300"|"HB ANTITHROMBIN III ACTIVITY"|305.00|$419.00|$25.07|$335.20|$293.00|$167.60|$147.49|$93.86||$167.60|$335.20|$237.99||$127.80|$159.22|$256.85|$55.00|||$56.00|$52.00|$25.07|$146.65|$188.55|$209.50|$157.13|$154.49|$106.26|$106.26
"CPT® 85730"|"HB APTT MIXING STUDY"|305.00|$151.00|$12.81|$120.80|$106.00|$60.40|$53.15|$33.82||$60.40|$120.80|$85.77||$46.06|$57.38|$92.56|$55.00|||$56.00|$52.00|$12.81|$52.85|$67.95|$75.50|$56.63|$55.67|$38.29|$38.29
"CPT® 85732"|"HB APTT SUBSTITUTION, PLASMA, EACH"|305.00|$55.00|$12.32|$55.00|$38.00|$22.00|$19.36|$12.32||$22.00|$44.00|$31.24||$16.78|$20.90|$33.72|$55.00|||$55.00|$52.00|$13.92|$19.25|$24.75|$27.50|$20.63|$20.28|$13.95|$13.95
"CPT® 85379"|"HB D-DIMER, QUANTITATIVE"|305.00|$108.00|$21.72|$86.40|$76.00|$43.20|$38.02|$24.19||$43.20|$86.40|$61.34||$32.94|$41.04|$66.20|$55.00|||$56.00|$52.00|$21.72|$37.80|$48.60|$54.00|$40.50|$39.82|$27.39|$27.39
"CPT® 85210"|"HB FACTOR II ASSAY"|305.00|$442.00|$27.29|$353.60|$309.00|$176.80|$155.58|$99.01||$176.80|$353.60|$251.06||$134.81|$167.96|$270.95|$55.00|||$56.00|$52.00|$27.29|$154.70|$198.90|$221.00|$165.75|$162.97|$112.09|$112.09
"CPT® 85220"|"HB FACTOR V ASSAY"|305.00|$381.00|$37.31|$304.80|$267.00|$152.40|$134.11|$85.34||$152.40|$304.80|$216.41||$116.21|$144.78|$233.55|$55.00|||$56.00|$52.00|$37.31|$133.35|$171.45|$190.50|$142.88|$140.47|$96.62|$96.62
"CPT® 85230"|"HB FACTOR VII ASSAY"|305.00|$466.00|$37.86|$372.80|$326.00|$186.40|$164.03|$104.38||$186.40|$372.80|$264.69||$142.13|$177.08|$285.66|$55.00|||$56.00|$52.00|$37.86|$163.10|$209.70|$233.00|$174.75|$171.81|$118.18|$118.18
"CPT® 85240"|"HB FACTOR VIII ASSAY"|305.00|$466.00|$37.86|$372.80|$326.00|$186.40|$164.03|$104.38||$186.40|$372.80|$264.69||$142.13|$177.08|$285.66|$55.00|||$56.00|$52.00|$37.86|$163.10|$209.70|$233.00|$174.75|$171.81|$118.18|$118.18
"CPT® 85240"|"HB FACTOR VIII INHIBITOR ASSAY"|305.00|$517.00|$37.86|$413.60|$362.00|$206.80|$181.98|$115.81||$206.80|$413.60|$293.66||$157.69|$196.46|$316.92|$55.00|||$56.00|$52.00|$37.86|$180.95|$232.65|$258.50|$193.88|$190.62|$131.11|$131.11
"CPT® 85335"|"HB FACTOR VIII INHIBITOR ASSAY, BETHESDA TITER"|305.00|$345.00|$27.29|$276.00|$241.00|$138.00|$121.44|$77.28||$138.00|$276.00|$195.96||$105.23|$131.10|$211.49|$55.00|||$56.00|$52.00|$27.29|$120.75|$155.25|$172.50|$129.38|$127.20|$87.49|$87.49
"CPT® 85250"|"HB FACTOR IX ASSAY"|305.00|$381.00|$40.10|$304.80|$267.00|$152.40|$134.11|$85.34||$152.40|$304.80|$216.41||$116.21|$144.78|$233.55|$55.00|||$56.00|$52.00|$40.10|$133.35|$171.45|$190.50|$142.88|$140.47|$96.62|$96.62
"CPT® 85250"|"HB FACTOR IX INHIBITOR ASSAY"|305.00|$544.00|$40.10|$435.20|$381.00|$217.60|$191.49|$121.86||$217.60|$435.20|$308.99||$165.92|$206.72|$333.47|$55.00|||$56.00|$52.00|$40.10|$190.40|$244.80|$272.00|$204.00|$200.57|$137.96|$137.96
"CPT® 85335"|"HB FACTOR IX INHIBITOR ASSAY, BETHESDA TITER"|305.00|$363.00|$27.29|$290.40|$254.00|$145.20|$127.78|$81.31||$145.20|$290.40|$206.18||$110.72|$137.94|$222.52|$55.00|||$56.00|$52.00|$27.29|$127.05|$163.35|$181.50|$136.13|$133.84|$92.06|$92.06
"CPT® 85260"|"HB FACTOR X ASSAY"|305.00|$395.00|$37.86|$316.00|$276.00|$158.00|$139.04|$88.48||$158.00|$316.00|$224.36||$120.48|$150.10|$242.14|$55.00|||$56.00|$52.00|$37.86|$138.25|$177.75|$197.50|$148.13|$145.64|$100.17|$100.17
"CPT® 85270"|"HB FACTOR XI ASSAY"|305.00|$381.00|$37.86|$304.80|$267.00|$152.40|$134.11|$85.34||$152.40|$304.80|$216.41||$116.21|$144.78|$233.55|$55.00|||$56.00|$52.00|$37.86|$133.35|$171.45|$190.50|$142.88|$140.47|$96.62|$96.62
"CPT® 85280"|"HB FACTOR XII ASSAY"|305.00|$404.00|$41.21|$323.20|$283.00|$161.60|$142.21|$90.50||$161.60|$323.20|$229.47||$123.22|$153.52|$247.65|$55.00|||$56.00|$52.00|$41.21|$141.40|$181.80|$202.00|$151.50|$148.95|$102.45|$102.45
"CPT® 85291"|"HB FACTOR XIII ASSAY"|305.00|$229.00|$18.93|$183.20|$160.00|$91.60|$80.61|$51.30||$91.60|$183.20|$130.07||$69.85|$87.02|$140.38|$55.00|||$56.00|$52.00|$18.93|$80.15|$103.05|$114.50|$85.88|$84.43|$58.07|$58.07
"CPT® 85362"|"HB FIBRIN SPLIT PRODUCTS"|305.00|$248.00|$14.48|$198.40|$174.00|$99.20|$87.30|$55.55||$99.20|$198.40|$140.86||$75.64|$94.24|$152.02|$55.00|||$56.00|$52.00|$14.48|$86.80|$111.60|$124.00|$93.00|$91.44|$62.89|$62.89
"CPT® 85384"|"HB FIBRINOGEN"|305.00|$56.00|$12.54|$56.00|$39.00|$22.40|$19.71|$12.54||$22.40|$44.80|$31.81||$17.08|$21.28|$34.33|$55.00|||$56.00|$52.00|$17.82|$19.60|$25.20|$28.00|$21.00|$20.65|$14.20|$14.20
"CPT® 85576"|"HB PLATELET AGGREGATION EACH AGENT"|305.00|$154.00|$34.50|$123.20|$108.00|$61.60|$54.21|$34.50||$61.60|$123.20|$87.47||$46.97|$58.52|$94.40|$55.00|||$56.00|$52.00|$45.66|$53.90|$69.30|$77.00|$57.75|$56.78|$39.05|$39.05
"CPT® 85576"|"HB PLATELET ASPIRIN ASSAY"|305.00|$314.00|$45.66|$251.20|$220.00|$125.60|$110.53|$70.34||$125.60|$251.20|$178.35||$95.77|$119.32|$192.48|$55.00|||$56.00|$52.00|$45.66|$109.90|$141.30|$157.00|$117.75|$115.77|$79.63|$79.63
"CPT® 85576"|"HB PLATELET FUNCTION, COLLAGEN/ADP"|305.00|$170.00|$38.08|$136.00|$119.00|$68.00|$59.84|$38.08||$68.00|$136.00|$96.56||$51.85|$64.60|$104.21|$55.00|||$56.00|$52.00|$45.66|$59.50|$76.50|$85.00|$63.75|$62.68|$43.11|$43.11
"CPT® 85576"|"HB PLATELET FUNCTION, COLLAGEN/EPI"|305.00|$170.00|$38.08|$136.00|$119.00|$68.00|$59.84|$38.08||$68.00|$136.00|$96.56||$51.85|$64.60|$104.21|$55.00|||$56.00|$52.00|$45.66|$59.50|$76.50|$85.00|$63.75|$62.68|$43.11|$43.11
"CPT® 85576"|"HB PLATELET MAPPING, TEG, ADP"|305.00|$895.00|$45.66|$716.00|$626.00|$358.00|$315.04|$200.48||$358.00|$716.00|$508.36||$272.98|$340.10|$548.64|$55.00|||$56.00|$52.00|$45.66|$313.25|$402.75|$447.50|$335.63|$329.99|$226.97|$226.97
"CPT® 85576"|"HB PLATELET MAPPING, TEG, ARACHIDONICA ACID"|305.00|$895.00|$45.66|$716.00|$626.00|$358.00|$315.04|$200.48||$358.00|$716.00|$508.36||$272.98|$340.10|$548.64|$55.00|||$56.00|$52.00|$45.66|$313.25|$402.75|$447.50|$335.63|$329.99|$226.97|$226.97
"CPT® 85576"|"HB PLATELET RESPONSE TO PLAVIX (P2Y12) ASSAY"|305.00|$508.00|$45.66|$406.40|$356.00|$203.20|$178.82|$113.79||$203.20|$406.40|$288.54||$154.94|$193.04|$311.40|$55.00|||$56.00|$52.00|$45.66|$177.80|$228.60|$254.00|$190.50|$187.30|$128.83|$128.83
"CPT® 85303"|"HB PROTEIN C ACTIVITY"|305.00|$390.00|$29.52|$312.00|$273.00|$156.00|$137.28|$87.36||$156.00|$312.00|$221.52||$118.95|$148.20|$239.07|$55.00|||$56.00|$52.00|$29.52|$136.50|$175.50|$195.00|$146.25|$143.79|$98.90|$98.90
"CPT® 85302"|"HB PROTEIN C ANTIGEN"|305.00|$395.00|$25.62|$316.00|$276.00|$158.00|$139.04|$88.48||$158.00|$316.00|$224.36||$120.48|$150.10|$242.14|$55.00|||$56.00|$52.00|$25.62|$138.25|$177.75|$197.50|$148.13|$145.64|$100.17|$100.17
"CPT® 85306"|"HB PROTEIN S ACTIVITY, FREE"|305.00|$584.00|$32.30|$467.20|$409.00|$233.60|$205.57|$130.82||$233.60|$467.20|$331.71||$178.12|$221.92|$357.99|$55.00|||$56.00|$52.00|$32.30|$204.40|$262.80|$292.00|$219.00|$215.32|$148.10|$148.10
"CPT® 85306"|"HB PROTEIN S ANTIGEN"|305.00|$584.00|$32.30|$467.20|$409.00|$233.60|$205.57|$130.82||$233.60|$467.20|$331.71||$178.12|$221.92|$357.99|$55.00|||$56.00|$52.00|$32.30|$204.40|$262.80|$292.00|$219.00|$215.32|$148.10|$148.10
"CPT® 85610"|"HB PROTHROMBIN TIME"|305.00|$101.00|$8.36|$80.80|$71.00|$40.40|$35.55|$22.62||$40.40|$80.80|$57.37||$30.81|$38.38|$61.91|$55.00|||$56.00|$52.00|$8.36|$35.35|$45.45|$50.50|$37.88|$37.24|$25.61|$25.61
"CPT® 85610"|"HB PROTHROMBIN TIME MIXING STUDY"|305.00|$105.00|$8.36|$84.00|$74.00|$42.00|$36.96|$23.52||$42.00|$84.00|$59.64||$32.03|$39.90|$64.37|$55.00|||$56.00|$52.00|$8.36|$36.75|$47.25|$52.50|$39.38|$38.71|$26.63|$26.63
"CPT® 85611"|"HB PROTHROMBIN SUBSTITUTION, PLASMA, EACH"|305.00|$55.00|$8.36|$55.00|$38.00|$22.00|$19.36|$12.32||$22.00|$44.00|$31.24||$16.78|$20.90|$33.72|$55.00|||$55.00|$52.00|$8.36|$19.25|$24.75|$27.50|$20.63|$20.28|$13.95|$13.95
"CPT® 85245"|"HB RISTOCETIN COFACTOR"|305.00|$728.00|$48.45|$582.40|$510.00|$291.20|$256.26|$163.07||$291.20|$582.40|$413.50||$222.04|$276.64|$446.26|$55.00|||$56.00|$52.00|$48.45|$254.80|$327.60|$364.00|$273.00|$268.41|$184.62|$184.62
"CPT® 85613"|"HB RUSSELL VIPER VENOM (LUPUS ANTICOAGULANT)"|305.00|$213.00|$20.04|$170.40|$149.00|$85.20|$74.98|$47.71||$85.20|$170.40|$120.98||$64.97|$80.94|$130.57|$55.00|||$56.00|$52.00|$20.04|$74.55|$95.85|$106.50|$79.88|$78.53|$54.02|$54.02
"CPT® 85670"|"HB THROMBIN TIME"|305.00|$47.00|$10.53|$47.00|$33.00|$18.80|$16.54|$10.53||$18.80|$37.60|$26.70||$14.34|$17.86|$28.81|$47.00|||$47.00|$47.00|$12.26|$16.45|$21.15|$23.50|$17.63|$17.33|$11.92|$11.92
"CPT® 85396"|"HB THROMBOELASTOGRAM ANALYSIS"|305.00|$204.00|$20.60|$163.20|$143.00|$81.60|$71.81|$45.70||$81.60|$163.20|$115.87||$62.22|$77.52|$125.05|$55.00|||$56.00|$52.00|$20.60|$71.40|$91.80|$102.00|$76.50|$75.21|$51.73|$51.73
"CPT® 85246"|"HB VON WILLEBRAND ANTIGEN"|305.00|$187.00|$41.89|$149.60|$131.00|$74.80|$65.82|$41.89||$74.80|$149.60|$106.22||$57.04|$71.06|$114.63|$55.00|||$56.00|$52.00|$48.45|$65.45|$84.15|$93.50|$70.13|$68.95|$47.42|$47.42
"CPT® 85396"|"HB THROMBOELASTOGRAM, RAPID - NATIVE"|305.00|$802.00|$20.60|$641.60|$561.00|$320.80|$282.30|$179.65||$320.80|$641.60|$455.54||$244.61|$304.76|$491.63|$55.00|||$56.00|$52.00|$20.60|$280.70|$360.90|$401.00|$300.75|$295.70|$203.39|$203.39
"CPT® 85396"|"HB THROMBOELASTOGRAM, RAPID - NATIVE W/ HEPARINASE"|305.00|$1008.00|$20.60|$806.40|$706.00|$403.20|$354.82|$225.79||$403.20|$806.40|$572.54||$307.44|$383.04|$617.90|$55.00|||$56.00|$52.00|$20.60|$352.80|$453.60|$504.00|$378.00|$371.65|$255.63|$255.63
"CPT® 85520"|"HB ANTI-XA ASSAY-APIXABAN"|305.00|$434.00|$27.84|$347.20|$304.00|$173.60|$152.77|$97.22||$173.60|$347.20|$246.51||$132.37|$164.92|$266.04|$55.00|||$56.00|$52.00|$27.84|$151.90|$195.30|$217.00|$162.75|$160.02|$110.06|$110.06
"CPT® 85520"|"HB ANTI XA ASSAY ARIXTRA"|305.00|$434.00|$27.84|$347.20|$304.00|$173.60|$152.77|$97.22||$173.60|$347.20|$246.51||$132.37|$164.92|$266.04|$55.00|||$56.00|$52.00|$27.84|$151.90|$195.30|$217.00|$162.75|$160.02|$110.06|$110.06
"CPT® 85520"|"HB ANTI XA LOVENOX"|305.00|$434.00|$27.84|$347.20|$304.00|$173.60|$152.77|$97.22||$173.60|$347.20|$246.51||$132.37|$164.92|$266.04|$55.00|||$56.00|$52.00|$27.84|$151.90|$195.30|$217.00|$162.75|$160.02|$110.06|$110.06
"CPT® 85520"|"HB ANTI XA ASSAY FRAGMIN"|305.00|$434.00|$27.84|$347.20|$304.00|$173.60|$152.77|$97.22||$173.60|$347.20|$246.51||$132.37|$164.92|$266.04|$55.00|||$56.00|$52.00|$27.84|$151.90|$195.30|$217.00|$162.75|$160.02|$110.06|$110.06
"CPT® 85520"|"HB ANTI XA ASSAY RIVAROXABAN"|305.00|$434.00|$27.84|$347.20|$304.00|$173.60|$152.77|$97.22||$173.60|$347.20|$246.51||$132.37|$164.92|$266.04|$55.00|||$56.00|$52.00|$27.84|$151.90|$195.30|$217.00|$162.75|$160.02|$110.06|$110.06
"CPT® 85670"|"HB DIRECT THROMBIN INHIBITOR ASSAY"|305.00|$297.00|$12.26|$237.60|$208.00|$118.80|$104.54|$66.53||$118.80|$237.60|$168.70||$90.59|$112.86|$182.06|$55.00|||$56.00|$52.00|$12.26|$80.22|$108.22|$120.25|$111.38|$109.50|$75.32|$75.32
"CPT® 85290"|"HB FACTOR XIII ANTIGEN"|305.00|$244.00|$34.53|$195.20|$171.00|$97.60|$85.89|$54.66||$97.60|$195.20|$138.59||$74.42|$92.72|$149.57|$55.00|||$56.00|$52.00|$34.53|$65.80|$88.80|$98.67|$91.50|$89.96|$61.88|$61.88
"CPT® 85396"|"HB THROMBOELASTOMETRY, EXTEM"|305.00|$319.00|$20.60|$255.20|$223.00|$127.60|$112.29|$71.46||$127.60|$255.20|$181.19||$97.30|$121.22|$195.55|$55.00|||$56.00|$52.00|$20.60|$111.65|$143.55|$159.50|$119.63|$117.62|$80.90|$80.90
"CPT® 85396"|"HB THROMBOELASTOMETRY, INTEM"|305.00|$319.00|$20.60|$255.20|$223.00|$127.60|$112.29|$71.46||$127.60|$255.20|$181.19||$97.30|$121.22|$195.55|$55.00|||$56.00|$52.00|$20.60|$111.65|$143.55|$159.50|$119.63|$117.62|$80.90|$80.90
"CPT® 85396"|"HB THROMBOELASTOMETRY, FIBTEM"|305.00|$500.00|$20.60|$400.00|$350.00|$200.00|$176.00|$112.00||$200.00|$400.00|$284.00||$152.50|$190.00|$306.50|$55.00|||$56.00|$52.00|$20.60|$175.00|$225.00|$250.00|$187.50|$184.35|$126.80|$126.80
"CPT® 85396"|"HB THROMBOELASTOMETRY, HEPTEM"|305.00|$428.00|$20.60|$342.40|$300.00|$171.20|$150.66|$95.87||$171.20|$342.40|$243.10||$130.54|$162.64|$262.36|$55.00|||$56.00|$52.00|$20.60|$149.80|$192.60|$214.00|$160.50|$157.80|$108.54|$108.54
"CPT® 85396"|"HB THROMBOELASTOMETRY, APTEM"|305.00|$428.00|$20.60|$342.40|$300.00|$171.20|$150.66|$95.87||$171.20|$342.40|$243.10||$130.54|$162.64|$262.36|$55.00|||$56.00|$52.00|$20.60|$149.80|$192.60|$214.00|$160.50|$157.80|$108.54|$108.54
"CPT® 85397"|"HB ADAMTS 13 ACTIVITY"|305.00|$1290.00|$48.45|$1032.00|$903.00|$516.00|$454.08|$288.96||$516.00|$1032.00|$732.72||$393.45|$490.20|$790.77|$55.00|||$56.00|$52.00|$48.45|$361.20|$483.75|$537.50|$483.75|$475.62|$327.14|$327.14
"CPT® 85385"|"HB FIBRINOGEN ANTIGEN"|305.00|$190.00|$17.82|$152.00|$133.00|$76.00|$66.88|$42.56||$76.00|$152.00|$107.92||$57.95|$72.20|$116.47|$55.00|||$56.00|$52.00|$17.82|$66.50|$85.50|$95.00|$71.25|$70.05|$48.18|$48.18
"CPT® 85301"|"HB ANTITHROMBIN III ANTIGEN"|305.00|$237.00|$22.83|$189.60|$166.00|$94.80|$83.42|$53.09||$94.80|$189.60|$134.62||$72.29|$90.06|$145.28|$55.00|||$56.00|$52.00|$22.83|$95.76|$120.38|$133.75|$88.88|$87.38|$60.10|$60.10
"CPT® 85549"|"HB MURAMIDASE (LYSOZYME), SERUM"|305.00|$204.00|$39.54|$163.20|$143.00|$81.60|$71.81|$45.70||$81.60|$163.20|$115.87||$62.22|$77.52|$125.05|$55.00|||$56.00|$52.00|$39.54|$82.11|$103.27|$114.75|$76.50|$75.21|$51.73|$51.73
"CPT® 85415"|"HB PLASMINOGEN ACTIVATOR INHIBITOR(PAI-1) ACTIVITY"|305.00|$579.00|$36.20|$463.20|$405.00|$231.60|$203.81|$129.70||$231.60|$463.20|$328.87||$176.60|$220.02|$354.93|$55.00|||$56.00|$52.00|$36.20|$107.10|$158.18|$175.75|$217.13|$213.48|$146.83|$146.83
"CPT® 85240"|"HB VW PANEL-FACTOR VIII, 1-STAGE"|305.00|$479.00|$37.86|$383.20|$335.00|$191.60|$168.61|$107.30||$191.60|$383.20|$272.07||$146.10|$182.02|$293.63|$55.00|||$56.00|$52.00|$37.86|$193.97|$243.75|$270.83|$179.63|$176.61|$121.47|$121.47
"CPT® 85245"|"HB VW PANEL-FACTOR VIII, VW FACTOR, RISTOCETIN COFACTOR"|305.00|$382.00|$48.45|$305.60|$267.00|$152.80|$134.46|$85.57||$152.80|$305.60|$216.98||$116.51|$145.16|$234.17|$55.00|||$56.00|$52.00|$48.45|$154.63|$194.33|$215.92|$143.25|$140.84|$96.88|$96.88
"CPT® 85246"|"HB VW PANEL-FACTOR VIII, VW FACTOR ANTIGEN"|305.00|$382.00|$48.45|$305.60|$267.00|$152.80|$134.46|$85.57||$152.80|$305.60|$216.98||$116.51|$145.16|$234.17|$55.00|||$56.00|$52.00|$48.45|$154.63|$194.33|$215.92|$143.25|$140.84|$96.88|$96.88
"CPT® 85247"|"HB VW PANEL-FACTOR VIII, VW FACTOR, MULTIMETRIC ANALYSIS"|305.00|$382.00|$48.45|$305.60|$267.00|$152.80|$134.46|$85.57||$152.80|$305.60|$216.98||$116.51|$145.16|$234.17|$55.00|||$56.00|$52.00|$48.45|$154.63|$194.33|$215.92|$143.25|$140.84|$96.88|$96.88
"CPT® 85730"|"HB VW PANEL-PARTIAL THROMBOPLASTIN TIME"|305.00|$171.00|$12.81|$136.80|$120.00|$68.40|$60.19|$38.30||$68.40|$136.80|$97.13||$52.16|$64.98|$104.82|$55.00|||$56.00|$52.00|$12.81|$69.30|$87.08|$96.75|$64.13|$63.05|$43.37|$43.37
"CPT® 85247"|"HB VONWILLEBRAND FACTOR, MULTIMERIC ANALYSIS"|305.00|$508.00|$48.45|$406.40|$356.00|$203.20|$178.82|$113.79||$203.20|$406.40|$288.54||$154.94|$193.04|$311.40|$55.00|||$56.00|$52.00|$48.45|$205.45|$258.23|$286.92|$190.50|$187.30|$128.83|$128.83
"CPT® 85305"|"HB PROTEIN S ANTIGEN, TOTAL"|305.00|$76.00|$17.02|$60.80|$53.00|$30.40|$26.75|$17.02||$30.40|$60.80|$43.17||$23.18|$28.88|$46.59|$55.00|||$56.00|$52.00|$24.50|$20.44|$27.60|$30.67|$28.50|$28.02|$19.27|$19.27
"CPT® 85245"|"HB RISTOCETIN COFACTOR"|305.00|$127.00|$28.45|$101.60|$89.00|$50.80|$44.70|$28.45||$50.80|$101.60|$72.14||$38.74|$48.26|$77.85|$55.00|||$56.00|$52.00|$48.45|$34.30|$46.28|$51.42|$47.63|$46.82|$32.21|$32.21
"CPT® 85549"|"HB LYSOZYME, SERUM"|305.00|$341.00|$39.54|$272.80|$239.00|$136.40|$120.03|$76.38||$136.40|$272.80|$193.69||$104.01|$129.58|$209.03|$55.00|||$56.00|$52.00|$39.54|$119.35|$153.45|$170.50|$127.88|$125.73|$86.48|$86.48
"CPT® 85420"|"HB PLASMINOGEN ACTIVITY"|305.00|$558.00|$13.92|$446.40|$391.00|$223.20|$196.42|$124.99||$223.20|$446.40|$316.94||$170.19|$212.04|$342.05|$55.00|||$56.00|$52.00|$13.92|$150.57|$203.17|$225.75|$209.25|$205.73|$141.51|$141.51
"CPT® 83520"|"HB PROTHROMBIN TIME 1 + 2"|305.00|$831.00|$27.29|$664.80|$582.00|$332.40|$292.51|$186.14||$332.40|$664.80|$472.01||$253.46|$315.78|$509.40|$55.00|||$56.00|$52.00|$27.29|$224.28|$302.62|$336.25|$311.63|$306.39|$210.74|$210.74
"CPT® 83520"|"HB TUMOR NECROSIS FACTOR-ALPHA, HS"|305.00|$863.00|$27.29|$690.40|$604.00|$345.20|$303.78|$193.31||$345.20|$690.40|$490.18||$263.22|$327.94|$529.02|$55.00|||$56.00|$52.00|$27.29|$233.03|$314.40|$349.33|$323.63|$318.19|$218.86|$218.86
"CPT® 85705"|"HB DILUTE PROTHROMBIN TIME"|305.00|$212.00|$20.61|$169.60|$148.00|$84.80|$74.62|$47.49||$84.80|$169.60|$120.42||$64.66|$80.56|$129.96|$55.00|||$56.00|$52.00|$20.61|$57.26|$77.25|$85.83|$79.50|$78.16|$53.76|$53.76
"CPT® 85240"|"HB FACTOR VIII INHIBITOR PANEL, FACTOR VIII ASSAY"|305.00|$104.00|$23.30|$83.20|$73.00|$41.60|$36.61|$23.30||$41.60|$83.20|$59.07||$31.72|$39.52|$63.75|$55.00|||$56.00|$52.00|$37.86|$28.07|$37.87|$42.09|$39.00|$38.34|$26.37|$26.37
"CPT® 85730"|"HB FACTOR VIII INHIBITOR PANEL, PTT"|305.00|$39.00|$8.74|$39.00|$27.00|$15.60|$13.73|$8.74||$15.60|$31.20|$22.15||$11.90|$14.82|$23.91|$39.00|||$39.00|$39.00|$12.81|$10.50|$14.18|$15.75|$14.63|$14.38|$9.89|$9.89
"CPT® 85732"|"HB FACTOR VIII INHIBITOR PANEL, PTT SUBSTITUTION"|305.00|$41.00|$9.18|$41.00|$29.00|$16.40|$14.43|$9.18||$16.40|$32.80|$23.29||$12.51|$15.58|$25.13|$41.00|||$41.00|$41.00|$13.92|$11.06|$14.92|$16.59|$15.38|$15.12|$10.40|$10.40
"CPT® 85540"|"HB LEUKOCYTE ALKALINE PHOSPHATASE SCORE"|305.00|$54.00|$12.10|$54.00|$38.00|$21.60|$19.01|$12.10||$21.60|$43.20|$30.67||$16.47|$20.52|$33.10|$54.00|||$54.00|$52.00|$18.38|$14.49|$19.57|$21.75|$20.25|$19.91|$13.69|$13.69
"CPT® 82542"|"HB HEPARIN INDUCED PLATELET W/REFLEX SEROTONIN"|305.00|$1154.00|$38.43|$923.20|$808.00|$461.60|$406.21|$258.50||$461.60|$923.20|$655.47||$351.97|$438.52|$707.40|$55.00|||$56.00|$52.00|$38.43|$403.90|$519.30|$577.00|$432.75|$425.48|$292.65|$292.65
"CPT® 85335"|"HB ADAMTS13 EVALUATION, INHIBITOR (REFLEX)"|305.00|$1283.00|$27.29|$1026.40|$898.00|$513.20|$451.62|$287.39||$513.20|$1026.40|$728.74||$391.32|$487.54|$786.48|$55.00|||$56.00|$52.00|$27.29|$359.24|$481.12|$534.59|$481.13|$473.04|$325.37|$325.37
"CPT® 85347"|"HB ACTIVATED CLOTTING TIME"|305.00|$76.00|$8.91|$60.80|$53.00|$30.40|$26.75|$17.02||$30.40|$60.80|$43.17||$23.18|$28.88|$46.59|$55.00|||$56.00|$52.00|$8.91|$26.60|$34.20|$38.00|$28.50|$28.02|$19.27|$19.27
"CPT® 85347"|"HB ACTIVATED CLOTTING TIME, HEMOCHRON (POC)"|305.00|$104.00|$8.91|$83.20|$73.00|$41.60|$36.61|$23.30||$41.60|$83.20|$59.07||$31.72|$39.52|$63.75|$55.00|||$56.00|$52.00|$8.91|$36.40|$46.80|$52.00|$39.00|$38.34|$26.37|$26.37
"CPT® 85018"|"HB HEMOGLOBIN, TOTAL, AVOXIMETER (POC)"|305.00|$53.00|$5.01|$53.00|$37.00|$21.20|$18.66|$11.87||$21.20|$42.40|$30.10||$16.17|$20.14|$32.49|$53.00|||$53.00|$52.00|$5.01|$18.38|$23.63|$26.25|$19.88|$19.54|$13.44|$13.44
"CPT® 85014"|"HB HEMATOCRIT, BLOOD (BG)"|305.00|$44.00|$5.01|$44.00|$31.00|$17.60|$15.49|$9.86||$17.60|$35.20|$24.99||$13.42|$16.72|$26.97|$44.00|||$44.00|$44.00|$5.01|$15.40|$19.80|$22.00|$16.50|$16.22|$11.16|$11.16
"CPT® 85014"|"HB HEMATOCRIT, BLOOD (MOD-59) (BG)"|305.00|$44.00|$5.01|$44.00|$31.00|$17.60|$15.49|$9.86||$17.60|$35.20|$24.99||$13.42|$16.72|$26.97|$44.00|||$44.00|$44.00|$5.01|$15.40|$19.80|$22.00|$16.50|$16.22|$11.16|$11.16
"CPT® 85018"|"HB HEMOGLOBIN, BLOOD (BG)"|305.00|$47.00|$5.01|$47.00|$33.00|$18.80|$16.54|$10.53||$18.80|$37.60|$26.70||$14.34|$17.86|$28.81|$47.00|||$47.00|$47.00|$5.01|$16.45|$21.15|$23.50|$17.63|$17.33|$11.92|$11.92
"CPT® 85018"|"HB HEMOGLOBIN, BLOOD (MOD 59) (BG)"|305.00|$47.00|$5.01|$47.00|$33.00|$18.80|$16.54|$10.53||$18.80|$37.60|$26.70||$14.34|$17.86|$28.81|$47.00|||$47.00|$47.00|$5.01|$16.45|$21.15|$23.50|$17.63|$17.33|$11.92|$11.92
"CPT® 85549"|"HB LYSOZYME, SERUM"|305.00|$366.00|$39.54|$292.80|$256.00|$146.40|$128.83|$81.98||$146.40|$292.80|$207.89||$111.63|$139.08|$224.36|$55.00|||$56.00|$52.00|$39.54|$100.10|$134.70|$149.67|$137.25|$134.94|$92.82|$92.82
"CPT® 85307"|"HB ACTIVATED PROTEIN C RESISTANCE"|305.00|$177.00|$32.30|$141.60|$124.00|$70.80|$62.30|$39.65||$70.80|$141.60|$100.54||$53.99|$67.26|$108.50|$55.00|||$56.00|$52.00|$32.30|$43.75|$60.15|$66.83|$66.38|$65.26|$44.89|$44.89
"CPT® 85520"|"HB ANTI XA ASSAY-UNFRACTIONATED HEPARIN"|305.00|$434.00|$27.84|$347.20|$304.00|$173.60|$152.77|$97.22||$173.60|$347.20|$246.51||$132.37|$164.92|$266.04|$55.00|||$56.00|$52.00|$27.84|$117.11|$158.03|$175.59|$162.75|$160.02|$110.06|$110.06
"CPT® 85210"|"HB FACTOR II ACTIVITY"|305.00|$452.00|$27.29|$361.60|$316.00|$180.80|$159.10|$101.25||$180.80|$361.60|$256.74||$137.86|$171.76|$277.08|$55.00|||$56.00|$52.00|$27.29|$121.52|$164.10|$182.33|$169.50|$166.65|$114.63|$114.63
"CPT® 85220"|"HB FACTOR V ASSAY"|305.00|$452.00|$37.31|$361.60|$316.00|$180.80|$159.10|$101.25||$180.80|$361.60|$256.74||$137.86|$171.76|$277.08|$55.00|||$56.00|$52.00|$37.31|$121.52|$164.10|$182.33|$169.50|$166.65|$114.63|$114.63
"CPT® 85230"|"HB FACTOR VII ASSAY"|305.00|$637.00|$37.86|$509.60|$446.00|$254.80|$224.22|$142.69||$254.80|$509.60|$361.82||$194.29|$242.06|$390.48|$55.00|||$56.00|$52.00|$37.86|$171.43|$231.45|$257.17|$238.88|$234.86|$161.54|$161.54
"CPT® 85240"|"HB FACTOR VIII ASSAY"|305.00|$671.00|$37.86|$536.80|$470.00|$268.40|$236.19|$150.30||$268.40|$536.80|$381.13||$204.66|$254.98|$411.32|$55.00|||$56.00|$52.00|$37.86|$165.97|$228.15|$253.50|$251.63|$247.40|$170.17|$170.17
"CPT® 85250"|"HB FACTOR IX ASSAY"|305.00|$671.00|$40.10|$536.80|$470.00|$268.40|$236.19|$150.30||$268.40|$536.80|$381.13||$204.66|$254.98|$411.32|$55.00|||$56.00|$52.00|$40.10|$165.97|$228.15|$253.50|$251.63|$247.40|$170.17|$170.17
"CPT® 85260"|"HB FACTOR X ASSAY"|305.00|$637.00|$37.86|$509.60|$446.00|$254.80|$224.22|$142.69||$254.80|$509.60|$361.82||$194.29|$242.06|$390.48|$55.00|||$56.00|$52.00|$37.86|$171.43|$231.45|$257.17|$238.88|$234.86|$161.54|$161.54
"CPT® 85270"|"HB FACTOR XI ASSAY"|305.00|$671.00|$37.86|$536.80|$470.00|$268.40|$236.19|$150.30||$268.40|$536.80|$381.13||$204.66|$254.98|$411.32|$55.00|||$56.00|$52.00|$37.86|$165.97|$228.15|$253.50|$251.63|$247.40|$170.17|$170.17
"CPT® 85280"|"HB FACTOR XII ASSAY"|305.00|$738.00|$41.21|$590.40|$517.00|$295.20|$259.78|$165.31||$295.20|$590.40|$419.18||$225.09|$280.44|$452.39|$55.00|||$56.00|$52.00|$41.21|$198.66|$268.20|$298.00|$276.75|$272.10|$187.16|$187.16
"CPT® 85290"|"HB FACTOR XIII ASSAY"|305.00|$240.00|$34.53|$192.00|$168.00|$96.00|$84.48|$53.76||$96.00|$192.00|$136.32||$73.20|$91.20|$147.12|$55.00|||$56.00|$52.00|$34.53|$59.36|$81.60|$90.67|$90.00|$88.49|$60.86|$60.86
"CPT® 85335"|"HB FACTOR XIII INHIBITOR TEST"|305.00|$114.00|$25.54|$91.20|$80.00|$45.60|$40.13|$25.54||$45.60|$91.20|$64.75||$34.77|$43.32|$69.88|$55.00|||$56.00|$52.00|$27.29|$28.42|$39.00|$43.33|$42.75|$42.03|$28.91|$28.91
"CPT® 85613"|"HB LUPUS ANTICOAGULANT"|305.00|$224.00|$20.04|$179.20|$157.00|$89.60|$78.85|$50.18||$89.60|$179.20|$127.23||$68.32|$85.12|$137.31|$55.00|||$56.00|$52.00|$20.04|$55.44|$76.20|$84.67|$84.00|$82.59|$56.81|$56.81
"CPT® 85730"|"HB PARTIAL THROMBOPLASTIN TIME"|305.00|$152.00|$12.81|$121.60|$106.00|$60.80|$53.50|$34.05||$60.80|$121.60|$86.34||$46.36|$57.76|$93.18|$55.00|||$56.00|$52.00|$12.81|$37.52|$51.60|$57.33|$57.00|$56.04|$38.55|$38.55
"CPT® 85576"|"HB PLATELET AGGREGATION"|305.00|$490.00|$45.66|$392.00|$343.00|$196.00|$172.48|$109.76||$196.00|$392.00|$278.32||$149.45|$186.20|$300.37|$55.00|||$56.00|$52.00|$45.66|$132.37|$178.57|$198.42|$183.75|$180.66|$124.26|$124.26
"CPT® 85303"|"HB PROTEIN C ACTIVITY"|305.00|$606.00|$29.52|$484.80|$424.00|$242.40|$213.31|$135.74||$242.40|$484.80|$344.21||$184.83|$230.28|$371.48|$55.00|||$56.00|$52.00|$29.52|$149.94|$206.10|$229.00|$227.25|$223.43|$153.68|$153.68
"CPT® 85302"|"HB PROTEIN C ANTIGEN, TOTAL"|305.00|$449.00|$25.62|$359.20|$314.00|$179.60|$158.05|$100.58||$179.60|$359.20|$255.03||$136.95|$170.62|$275.24|$55.00|||$56.00|$52.00|$25.62|$111.23|$152.85|$169.83|$168.38|$165.55|$113.87|$113.87
"CPT® 85305"|"HB PROTEIN S ACTIVITY W/REFLEX"|305.00|$530.00|$24.50|$424.00|$371.00|$212.00|$186.56|$118.72||$212.00|$424.00|$301.04||$161.65|$201.40|$324.89|$55.00|||$56.00|$52.00|$24.50|$107.10|$154.50|$171.67|$198.75|$195.41|$134.41|$134.41
"CPT® 85306"|"HB PROTEIN S ANTIGEN, FREE"|305.00|$177.00|$32.30|$141.60|$124.00|$70.80|$62.30|$39.65||$70.80|$141.60|$100.54||$53.99|$67.26|$108.50|$55.00|||$56.00|$52.00|$32.30|$82.39|$101.55|$112.83|$66.38|$65.26|$44.89|$44.89
"CPT® 85611"|"HB PROTHROMBIN TIME MIXING STUDY"|305.00|$605.00|$8.36|$484.00|$424.00|$242.00|$212.96|$135.52||$242.00|$484.00|$343.64||$184.53|$229.90|$370.87|$55.00|||$56.00|$52.00|$8.36|$163.31|$220.35|$244.83|$226.88|$223.06|$153.43|$153.43
"CPT® 85300"|"HB THROMBIN III ACTIVITY"|305.00|$389.00|$25.07|$311.20|$272.00|$155.60|$136.93|$87.14||$155.60|$311.20|$220.95||$118.65|$147.82|$238.46|$55.00|||$56.00|$52.00|$25.07|$96.08|$132.08|$146.75|$145.88|$143.42|$98.65|$98.65
"CPT® 85245"|"HB VON WILLEBRAND FACTOR ACTIVITY"|305.00|$165.00|$36.96|$145.50|$115.00|$66.00|$58.08|$36.96||$66.00|$132.00|$93.72||$50.33|$62.70|$101.15|$55.00|||$56.00|$52.00|$48.45|$110.67|$130.95|$145.50|$61.88|$60.84|$41.84|$41.84
"CPT® 85441"|"HB HEINZ BODY TEST"|305.00|$170.00|$8.91|$136.00|$119.00|$68.00|$59.84|$38.08||$68.00|$136.00|$96.56||$51.85|$64.60|$104.21|$55.00|||$56.00|$52.00|$8.91|$45.50|$61.50|$68.33|$63.75|$62.68|$43.11|$43.11
"CPT® 85660"|"HB SICKLE CELL SCREEN"|305.00|$28.00|$6.27|$28.00|$20.00|$11.20|$9.86|$6.27||$11.20|$22.40|$15.90||$8.54|$10.64|$17.16|$28.00|||$28.00|$28.00|$11.70|$7.00|$9.60|$10.67|$10.50|$10.32|$7.10|$7.10
"CPT® 85461"|"HB FETAL HEMORRHAGE SCREEN"|305.00|$98.00|$13.92|$78.40|$69.00|$39.20|$34.50|$21.95||$39.20|$78.40|$55.66||$29.89|$37.24|$60.07|$55.00|||$56.00|$52.00|$13.92|$23.94|$33.00|$36.67|$36.75|$36.13|$24.85|$24.85
"CPT® 85027"|"HB CBC W/O DIFFERENTIAL"|305.00|$141.00|$13.92|$112.80|$99.00|$56.40|$49.63|$31.58||$56.40|$112.80|$80.09||$43.01|$53.58|$86.43|$55.00|||$56.00|$52.00|$13.92|$19.67|$31.65|$35.17|$52.88|$51.99|$35.76|$35.76
"CPT® 85025"|"HB CBC W/ AUTOMATED DIFFERENTIAL"|305.00|$164.00|$16.71|$131.20|$115.00|$65.60|$57.73|$36.74||$65.60|$131.20|$93.15||$50.02|$62.32|$100.53|$55.00|||$56.00|$52.00|$16.71|$21.28|$35.10|$39.00|$61.50|$60.47|$41.59|$41.59
"CPT® 85048"|"HB WHITE BLOOD CELL COUNT"|305.00|$95.00|$5.57|$76.00|$66.00|$38.00|$33.44|$21.28||$38.00|$76.00|$53.96||$28.98|$36.10|$58.24|$55.00|||$56.00|$52.00|$5.57|$15.02|$23.18|$25.75|$35.63|$35.03|$24.09|$24.09
"CPT® 85007"|"HB DIFFERENTIAL, MANUAL"|305.00|$93.00|$7.25|$74.40|$65.00|$37.20|$32.74|$20.83||$37.20|$74.40|$52.82||$28.37|$35.34|$57.01|$55.00|||$56.00|$52.00|$7.25|$12.11|$19.95|$22.17|$34.88|$34.29|$23.58|$23.58
"CPT® 85041"|"HB RED BLOOD CELL COUNT"|305.00|$60.00|$6.12|$56.00|$42.00|$24.00|$21.12|$13.44||$24.00|$48.00|$34.08||$18.30|$22.80|$36.78|$55.00|||$56.00|$52.00|$6.12|$11.20|$16.50|$18.33|$22.50|$22.12|$15.22|$15.22
"CPT® 85018"|"HB HEMOGLOBIN"|305.00|$77.00|$5.01|$61.60|$54.00|$30.80|$27.10|$17.25||$30.80|$61.60|$43.74||$23.49|$29.26|$47.20|$55.00|||$56.00|$52.00|$5.01|$10.99|$17.55|$19.50|$28.88|$28.39|$19.53|$19.53
"CPT® 85014"|"HB HEMATOCRIT"|305.00|$68.00|$5.01|$56.00|$48.00|$27.20|$23.94|$15.23||$27.20|$54.40|$38.62||$20.74|$25.84|$41.68|$55.00|||$56.00|$52.00|$5.01|$10.36|$16.20|$18.00|$25.50|$25.07|$17.24|$17.24
"CPT® 85049"|"HB PLATELET COUNT"|305.00|$111.00|$9.47|$88.80|$78.00|$44.40|$39.07|$24.86||$44.40|$88.80|$63.05||$33.86|$42.18|$68.04|$55.00|||$56.00|$52.00|$9.47|$14.77|$24.15|$26.83|$41.63|$40.93|$28.15|$28.15
"CPT® 85045"|"HB RETICULOCYTE COUNT, AUTOMATED"|305.00|$167.00|$8.36|$133.60|$117.00|$66.80|$58.78|$37.41||$66.80|$133.60|$94.86||$50.94|$63.46|$102.37|$55.00|||$56.00|$52.00|$8.36|$41.37|$56.85|$63.17|$62.63|$61.57|$42.35|$42.35
"CPT® 85032"|"HB EOSINOPHIL COUNT"|305.00|$108.00|$8.91|$86.40|$76.00|$43.20|$38.02|$24.19||$43.20|$86.40|$61.34||$32.94|$41.04|$66.20|$55.00|||$56.00|$52.00|$8.91|$20.16|$29.70|$33.00|$40.50|$39.82|$27.39|$27.39
"CPT® 85652"|"HB SEDIMENTATION RATE"|305.00|$126.00|$5.57|$100.80|$88.00|$50.40|$44.35|$28.22||$50.40|$100.80|$71.57||$38.43|$47.88|$77.24|$55.00|||$56.00|$52.00|$5.57|$20.02|$30.90|$34.33|$47.25|$46.46|$31.95|$31.95
"CPT® 85610"|"HB PROTHROMBIN TIME"|305.00|$105.00|$8.36|$84.00|$74.00|$42.00|$36.96|$23.52||$42.00|$84.00|$59.64||$32.03|$39.90|$64.37|$55.00|||$56.00|$52.00|$8.36|$21.35|$30.75|$34.17|$39.38|$38.71|$26.63|$26.63
"CPT® 85730"|"HB PARTIAL THROMBOPLASTIN TIME"|305.00|$152.00|$12.81|$121.60|$106.00|$60.80|$53.50|$34.05||$60.80|$121.60|$86.34||$46.36|$57.76|$93.18|$55.00|||$56.00|$52.00|$12.81|$31.64|$45.30|$50.33|$57.00|$56.04|$38.55|$38.55
"CPT® 85384"|"HB FIBRINOGEN"|305.00|$189.00|$17.82|$151.20|$132.00|$75.60|$66.53|$42.34||$75.60|$151.20|$107.35||$57.65|$71.82|$115.86|$55.00|||$56.00|$52.00|$17.82|$46.83|$64.35|$71.50|$70.88|$69.68|$47.93|$47.93
"CPT® 85670"|"HB THROMBIN TIME"|305.00|$138.00|$12.26|$110.40|$97.00|$55.20|$48.58|$30.91||$55.20|$110.40|$78.38||$42.09|$52.44|$84.59|$55.00|||$56.00|$52.00|$12.26|$34.30|$47.10|$52.33|$51.75|$50.88|$35.00|$35.00
"CPT® 85378"|"HB D-DIMER, QUANTITATIVE"|305.00|$116.00|$15.03|$92.80|$81.00|$46.40|$40.83|$25.98||$46.40|$92.80|$65.89||$35.38|$44.08|$71.11|$55.00|||$56.00|$52.00|$15.03|$54.04|$66.60|$74.00|$43.50|$42.77|$29.42|$29.42
"CPT® 85362"|"HB FIBRIN SPLIT PRODUCTS"|305.00|$197.00|$14.48|$157.60|$138.00|$78.80|$69.34|$44.13||$78.80|$157.60|$111.90||$60.09|$74.86|$120.76|$55.00|||$56.00|$52.00|$14.48|$48.79|$67.05|$74.50|$73.88|$72.63|$49.96|$49.96
"CPT® 85576"|"HB COLLAGEN ADP"|305.00|$565.00|$45.66|$452.00|$396.00|$226.00|$198.88|$126.56||$226.00|$452.00|$320.92||$172.33|$214.70|$346.35|$55.00|||$56.00|$52.00|$45.66|$137.27|$189.45|$210.50|$211.88|$208.32|$143.28|$143.28
"CPT® 85576"|"HB COLLAGEN EPINEPHRINE"|305.00|$565.00|$45.66|$452.00|$396.00|$226.00|$198.88|$126.56||$226.00|$452.00|$320.92||$172.33|$214.70|$346.35|$55.00|||$56.00|$52.00|$45.66|$137.27|$189.45|$210.50|$211.88|$208.32|$143.28|$143.28
"CPT® 85576"|"HB PLATELET ASPIRIN ASSAY"|305.00|$565.00|$45.66|$452.00|$396.00|$226.00|$198.88|$126.56||$226.00|$452.00|$320.92||$172.33|$214.70|$346.35|$55.00|||$56.00|$52.00|$45.66|$137.27|$189.45|$210.50|$211.88|$208.32|$143.28|$143.28
"CPT® 85576"|"HB PLAVIX P2Y12 ASSAY"|305.00|$565.00|$45.66|$452.00|$396.00|$226.00|$198.88|$126.56||$226.00|$452.00|$320.92||$172.33|$214.70|$346.35|$55.00|||$56.00|$52.00|$45.66|$137.27|$189.45|$210.50|$211.88|$208.32|$143.28|$143.28
"CPT® 85013"|"HB FLUID HEMATOCRIT"|305.00|$77.00|$5.01|$61.60|$54.00|$30.80|$27.10|$17.25||$30.80|$61.60|$43.74||$23.49|$29.26|$47.20|$55.00|||$56.00|$52.00|$5.01|$17.71|$24.75|$27.50|$28.88|$28.39|$19.53|$19.53
"CPT® 85610"|"HB PROTHROMBIN TIME, WHOLE BLOOD, POC"|305.00|$105.00|$8.36|$84.00|$74.00|$42.00|$36.96|$23.52||$42.00|$84.00|$59.64||$32.03|$39.90|$64.37|$55.00|||$56.00|$52.00|$8.36|$25.83|$35.55|$39.50|$39.38|$38.71|$26.63|$26.63
"CPT® 85018"|"HB HEMOGLOBIN"|305.00|$77.00|$5.01|$61.60|$54.00|$30.80|$27.10|$17.25||$30.80|$61.60|$43.74||$23.49|$29.26|$47.20|$55.00|||$56.00|$52.00|$5.01|$10.99|$17.55|$19.50|$28.88|$28.39|$19.53|$19.53
"CPT® 87801"|"HB BACTERIAL/FUNGAL DNA SCREEN"|306.00|$586.00|$52.00|$468.80|$410.00|$234.40|$206.27|$131.26||$234.40|$468.80|$332.85||$178.73|$222.68|$359.22|$55.00|||$56.00|$52.00|$148.68|$146.62|$199.88|$222.08|$219.75|$216.06|$148.61|$148.61
"CPT® 87149"|"HB KPC PCR CONFIRMATION"|306.00|$448.00|$42.32|$358.40|$314.00|$179.20|$157.70|$100.35||$179.20|$358.40|$254.46||$136.64|$170.24|$274.62|$55.00|||$56.00|$52.00|$42.32|$112.00|$152.70|$169.67|$168.00|$165.18|$113.61|$113.61
"CPT® 87081"|"HB MRSA SCREEN BY CULTURE"|306.00|$41.00|$9.18|$41.00|$29.00|$16.40|$14.43|$9.18||$16.40|$32.80|$23.29||$12.51|$15.58|$25.13|$41.00|||$41.00|$41.00|$13.92|$14.00|$18.00|$20.00|$15.38|$15.12|$10.40|$10.40
"CPT® 87641"|"HB MRSA SCREEN BY PCR"|306.00|$205.00|$45.92|$164.00|$144.00|$82.00|$72.16|$45.92||$82.00|$164.00|$116.44||$62.53|$77.90|$125.67|$55.00|||$56.00|$52.00|$74.63|$69.34|$94.13|$104.58|$76.88|$75.58|$51.99|$51.99
"CPT® 87077"|"HB ORGANISM ID"|306.00|$48.00|$10.75|$48.00|$34.00|$19.20|$16.90|$10.75||$19.20|$38.40|$27.26||$14.64|$18.24|$29.42|$48.00|||$48.00|$48.00|$17.27|$16.45|$21.15|$23.50|$18.00|$17.70|$12.17|$12.17
"CPT® 87153"|"HB ORGANISM ID BY 16 S SEQ"|306.00|$548.00|$52.00|$438.40|$384.00|$219.20|$192.90|$122.75||$219.20|$438.40|$311.26||$167.14|$208.24|$335.92|$55.00|||$56.00|$52.00|$244.47|$186.55|$239.85|$266.50|$205.50|$202.05|$138.97|$138.97
"CPT® 87152"|"HB PFGE STRAIN TYPING"|306.00|$942.00|$11.13|$753.60|$659.00|$376.80|$331.58|$211.01||$376.80|$753.60|$535.06||$287.31|$357.96|$577.45|$373.22|||$56.00|$52.00|$11.13|$329.70|$423.90|$471.00|$353.25|$347.32|$238.89|$238.89
"CPT® 87070"|"HB PRE-PROSTATE RECTAL BIOPSY CULTURE"|306.00|$62.00|$13.89|$56.00|$43.00|$24.80|$21.82|$13.89||$24.80|$49.60|$35.22||$18.91|$23.56|$38.01|$55.00|||$56.00|$52.00|$18.38|$21.00|$27.00|$30.00|$23.25|$22.86|$15.72|$15.72
"CPT® 87184"|"HB SUSCEPTIBILITY, KIRBY BAUER"|306.00|$14.00|$3.14|$14.00|$10.00|$5.60|$4.93|$3.14||$5.60|$11.20|$7.95||$4.27|$5.32|$8.58|$14.00|||$14.00|$14.00|$14.00|$4.90|$6.30|$7.00|$5.25|$5.16|$3.55|$3.55
"CPT® 87081"|"HB VRE SCREENING CULTURE"|306.00|$26.00|$5.82|$26.00|$18.00|$10.40|$9.15|$5.82||$10.40|$20.80|$14.77||$7.93|$9.88|$15.94|$26.00|||$26.00|$26.00|$13.92|$8.93|$11.48|$12.75|$9.75|$9.59|$6.59|$6.59
"CPT® 87152"|"HB PULSED FIELD GEL ELECTROPHORES"|306.00|$260.00|$11.13|$208.00|$182.00|$104.00|$91.52|$58.24||$104.00|$208.00|$147.68||$79.30|$98.80|$159.38|$103.01|||$56.00|$52.00|$11.13|$88.55|$113.85|$126.50|$97.50|$95.86|$65.94|$65.94
"CPT® 87798"|"HB NOROVIRUS RNA, QUALITATIVE PCR"|306.00|$894.00|$52.00|$715.20|$626.00|$357.60|$314.69|$200.26||$357.60|$715.20|$507.79||$272.67|$339.72|$548.02|$55.00|||$56.00|$52.00|$74.63|$304.50|$391.50|$435.00|$335.25|$329.62|$226.72|$226.72
"CPT® 87081"|"HB BACTERIAL CULTURE SCREEN FOR ESBL"|306.00|$123.00|$13.92|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$13.92|$42.00|$54.00|$60.00|$46.13|$45.35|$31.19|$31.19
"CPT® 87631"|"HB INFLUENZA A, B, RSV (RAPID PCR)"|306.00|$868.00|$52.00|$694.40|$608.00|$347.20|$305.54|$194.43||$347.20|$694.40|$493.02||$264.74|$329.84|$532.08|$55.00|||$56.00|$52.00|$271.76|$216.83|$295.65|$328.50|$325.50|$320.03|$220.12|$220.12
"CPT® 87641"|"HB RESPIRATORY STAPHYLOCOCCUS PCR SCREEN"|306.00|$999.00|$52.00|$799.20|$699.00|$399.60|$351.65|$223.78||$399.60|$799.20|$567.43||$304.70|$379.62|$612.39|$55.00|||$56.00|$52.00|$74.63|$249.69|$340.43|$378.25|$374.63|$368.33|$253.35|$253.35
"CPT® 87081"|"HB MRSA DE-ISOLATION SCREEN"|306.00|$85.00|$13.92|$68.00|$59.00|$34.00|$29.92|$19.04||$34.00|$68.00|$48.28||$25.93|$32.30|$52.11|$55.00|||$56.00|$52.00|$13.92|$21.10|$28.80|$32.00|$31.88|$31.34|$21.56|$21.56
"CPT® 87081"|"HB CABARPENEM RESISTANT ENTEROBACTERIACEAE SCREEN"|306.00|$123.00|$13.92|$98.40|$86.00|$49.20|$43.30|$27.55||$49.20|$98.40|$69.86||$37.52|$46.74|$75.40|$55.00|||$56.00|$52.00|$13.92|$42.00|$54.00|$60.00|$46.13|$45.35|$31.19|$31.19
"CPT® 87483"|"HB CSF MENINGITIS PANEL, NAT"|306.00|$1854.00|$52.00|$1483.20|$1298.00|$741.60|$652.61|$415.30||$741.60|$1483.20|$1053.07||$565.47|$704.52|$1136.50|$55.00|||$56.00|$52.00|$523.16|$631.40|$811.80|$902.00|$695.25|$683.57|$470.17|$470.17
"CPT® 87640"|"HB MRSA WOUND SCREEN, S. AUREUS AMPLIFIED PROBE"|306.00|$255.00|$52.00|$204.00|$178.00|$102.00|$89.76|$57.12||$102.00|$204.00|$144.84||$77.78|$96.90|$156.32|$55.00|||$56.00|$52.00|$74.63|$71.40|$95.62|$106.25|$95.63|$94.02|$64.67|$64.67
"CPT® 87641"|"HB MRSA WOUND SCREEN, MRSA AMPLIFIED PROBE"|306.00|$255.00|$52.00|$204.00|$178.00|$102.00|$89.76|$57.12||$102.00|$204.00|$144.84||$77.78|$96.90|$156.32|$55.00|||$56.00|$52.00|$74.63|$71.40|$95.62|$106.25|$95.63|$94.02|$64.67|$64.67
"CPT® 87799"|"HB BK VIRUS, QUANTITATIVE, PCR"|306.00|$166.00|$37.18|$132.80|$116.00|$66.40|$58.43|$37.18||$66.40|$132.80|$94.29||$50.63|$63.08|$101.76|$55.00|||$56.00|$52.00|$90.77|$56.53|$72.68|$80.75|$62.25|$61.20|$42.10|$42.10
"CPT® 87491"|"HB CHLAMYDIA TRACHOMATIS, PCR"|306.00|$176.00|$39.42|$140.80|$123.00|$70.40|$61.95|$39.42||$70.40|$140.80|$99.97||$53.68|$66.88|$107.89|$55.00|||$56.00|$52.00|$74.63|$60.03|$77.18|$85.75|$66.00|$64.89|$44.63|$44.63
"CPT® 87497"|"HB CYTOMEGALOVIRUS, QUANTITATIVE, PCR"|306.00|$507.00|$52.00|$405.60|$355.00|$202.80|$178.46|$113.57||$202.80|$405.60|$287.98||$154.64|$192.66|$310.79|$55.00|||$56.00|$52.00|$90.77|$172.73|$222.08|$246.75|$190.13|$186.93|$128.58|$128.58
"CPT® 87798"|"HB EPSTEIN-BARR VIRUS, QUALITATIVE, BLOOD, PCR"|306.00|$97.00|$21.73|$77.60|$68.00|$38.80|$34.14|$21.73||$38.80|$77.60|$55.10||$29.59|$36.86|$59.46|$55.00|||$56.00|$52.00|$74.63|$33.08|$42.53|$47.25|$36.38|$35.76|$24.60|$24.60
"CPT® 87798"|"HB EPSTEIN-BARR VIRUS, QUALITATIVE, CSF, PCR"|306.00|$97.00|$21.73|$77.60|$68.00|$38.80|$34.14|$21.73||$38.80|$77.60|$55.10||$29.59|$36.86|$59.46|$55.00|||$56.00|$52.00|$74.63|$33.08|$42.53|$47.25|$36.38|$35.76|$24.60|$24.60
"CPT® 87517"|"HB HEPATITIS B, QUANTITATIVE, PCR"|306.00|$720.00|$52.00|$576.00|$504.00|$288.00|$253.44|$161.28||$288.00|$576.00|$408.96||$219.60|$273.60|$441.36|$55.00|||$56.00|$52.00|$90.77|$245.35|$315.45|$350.50|$270.00|$265.46|$182.59|$182.59
"CPT® 87902"|"HB HEPATITIS C GENOTYPE"|306.00|$952.00|$52.00|$761.60|$666.00|$380.80|$335.10|$213.25||$380.80|$761.60|$540.74||$290.36|$361.76|$583.58|$55.00|||$56.00|$52.00|$545.18|$324.10|$416.70|$463.00|$357.00|$351.00|$241.43|$241.43
"CPT® 87522"|"HB HEPATITIS C, QUANTITATIVE, PCR"|306.00|$780.00|$52.00|$624.00|$546.00|$312.00|$274.56|$174.72||$312.00|$624.00|$443.04||$237.90|$296.40|$478.14|$55.00|||$56.00|$52.00|$90.77|$265.65|$341.55|$379.50|$292.50|$287.59|$197.81|$197.81
"CPT® 87529"|"HB HERPES SIMPLEX VIRUS, QUALITATIVE, PCR"|306.00|$94.00|$21.06|$75.20|$66.00|$37.60|$33.09|$21.06||$37.60|$75.20|$53.39||$28.67|$35.72|$57.62|$55.00|||$56.00|$52.00|$74.63|$31.85|$40.95|$45.50|$35.25|$34.66|$23.84|$23.84
"CPT® 87901"|"HB HIV GENOTYPE"|306.00|$1141.00|$52.00|$912.80|$799.00|$456.40|$401.63|$255.58||$456.40|$912.80|$648.09||$348.01|$433.58|$699.43|$55.00|||$56.00|$52.00|$545.18|$388.50|$499.50|$555.00|$427.88|$420.69|$289.36|$289.36
"CPT® 87536"|"HB HIV, QUANTITATIVE, PCR"|306.00|$261.00|$52.00|$208.80|$183.00|$104.40|$91.87|$58.46||$104.40|$208.80|$148.25||$79.61|$99.18|$159.99|$55.00|||$56.00|$52.00|$180.42|$88.90|$114.30|$127.00|$97.88|$96.23|$66.19|$66.19
"CPT® 87631"|"HB INFLUENZA A & B AND RESPIRATORY SYNCYTIAL VIRUS, PCR"|306.00|$289.00|$52.00|$271.76|$202.00|$115.60|$101.73|$64.74||$115.60|$231.20|$164.15||$88.15|$109.82|$177.16|$55.00|||$56.00|$52.00|$271.76|$98.35|$126.45|$140.50|$108.38|$106.55|$73.29|$73.29
"CPT® 87591"|"HB NEISSERIA GONORRHOEAE, PCR"|306.00|$166.00|$37.18|$132.80|$116.00|$66.40|$58.43|$37.18||$66.40|$132.80|$94.29||$50.63|$63.08|$101.76|$55.00|||$56.00|$52.00|$74.63|$56.53|$72.68|$80.75|$62.25|$61.20|$42.10|$42.10
"CPT® 87633"|"HB RESPIRATORY VIRUS PANEL, PCR"|306.00|$1157.00|$52.00|$925.60|$810.00|$462.80|$407.26|$259.17||$462.80|$925.60|$657.18||$352.89|$439.66|$709.24|$55.00|||$56.00|$52.00|$794.40|$288.82|$393.90|$437.67|$433.88|$426.59|$293.42|$293.42
"CPT® 87798"|"HB MULTIPLEX RT-PCR PANEL-ZIKA VIRUS"|306.00|$559.00|$52.00|$447.20|$391.00|$223.60|$196.77|$125.22||$223.60|$447.20|$317.51||$170.50|$212.42|$342.67|$55.00|||$56.00|$52.00|$74.63|$190.40|$244.80|$272.00|$209.63|$206.10|$141.76|$141.76
"CPT® 87798"|"HB MULTIPLEX RT-PCR PANEL-CHIKUGUNYA VIRUS"|306.00|$559.00|$52.00|$447.20|$391.00|$223.60|$196.77|$125.22||$223.60|$447.20|$317.51||$170.50|$212.42|$342.67|$55.00|||$56.00|$52.00|$74.63|$190.40|$244.80|$272.00|$209.63|$206.10|$141.76|$141.76
"CPT® 87798"|"HB MULTIPLEX RT-PCR PANEL-DENGUE VIRUS"|306.00|$559.00|$52.00|$447.20|$391.00|$223.60|$196.77|$125.22||$223.60|$447.20|$317.51||$170.50|$212.42|$342.67|$55.00|||$56.00|$52.00|$74.63|$190.40|$244.80|$272.00|$209.63|$206.10|$141.76|$141.76
"CPT® 87624"|"HB HUMAN PAPILLOMA VIRUS, AMPLIFIED PROBE SCREENING"|306.00|$141.00|$31.58|$112.80|$99.00|$56.40|$49.63|$31.58||$56.40|$112.80|$80.09||$43.01|$53.58|$86.43|$55.00|||$56.00|$52.00|$74.63|$35.21|$48.00|$53.33|$52.88|$51.99|$35.76|$35.76
"CPT® 87149"|"HB AFB IDENTIFICATION, NUCLEIC ACID PROBE"|306.00|$454.00|$42.32|$363.20|$318.00|$181.60|$159.81|$101.70||$181.60|$363.20|$257.87||$138.47|$172.52|$278.30|$55.00|||$56.00|$52.00|$42.32|$154.70|$198.90|$221.00|$170.25|$167.39|$115.13|$115.13
"CPT® 87188"|"HB AFB SENSITIVITY, EACH"|306.00|$183.00|$13.92|$146.40|$128.00|$73.20|$64.42|$40.99||$73.20|$146.40|$103.94||$55.82|$69.54|$112.18|$55.00|||$56.00|$52.00|$13.92|$62.30|$80.10|$89.00|$68.63|$67.47|$46.41|$46.41
"CPT® 87168"|"HB ARTHROPOD IDENTIFICATION"|306.00|$162.00|$8.91|$129.60|$113.00|$64.80|$57.02|$36.29||$64.80|$129.60|$92.02||$49.41|$61.56|$99.31|$55.00|||$56.00|$52.00|$8.91|$55.13|$70.88|$78.75|$60.75|$59.73|$41.08|$41.08
"CPT® 87305"|"HB ASPERGILLUS GALACTOMANNAN"|306.00|$184.00|$25.62|$147.20|$129.00|$73.60|$64.77|$41.22||$73.60|$147.20|$104.51||$56.12|$69.92|$112.79|$55.00|||$56.00|$52.00|$25.62|$62.65|$80.55|$89.50|$69.00|$67.84|$46.66|$46.66
"CPT® 87040"|"HB BLOOD CULTURE"|306.00|$211.00|$21.72|$168.80|$148.00|$84.40|$74.27|$47.26||$84.40|$168.80|$119.85||$64.36|$80.18|$129.34|$55.00|||$56.00|$52.00|$21.72|$71.93|$92.48|$102.75|$79.13|$77.80|$53.51|$53.51
"CPT® 87040"|"HB BLOOD CULTURE (MOD 59)"|306.00|$221.00|$21.72|$176.80|$155.00|$88.40|$77.79|$49.50||$88.40|$176.80|$125.53||$67.41|$83.98|$135.47|$55.00|||$56.00|$52.00|$21.72|$75.25|$96.75|$107.50|$82.88|$81.48|$56.05|$56.05
"CPT® 87070"|"HB BODY FLUID CULTURE"|306.00|$144.00|$18.38|$115.20|$101.00|$57.60|$50.69|$32.26||$57.60|$115.20|$81.79||$43.92|$54.72|$88.27|$55.00|||$56.00|$52.00|$18.38|$49.00|$63.00|$70.00|$54.00|$53.09|$36.52|$36.52
"CPT® 87070"|"HB BONE MARROW CULTURE"|306.00|$308.00|$18.38|$246.40|$216.00|$123.20|$108.42|$68.99||$123.20|$246.40|$174.94||$93.94|$117.04|$188.80|$55.00|||$56.00|$52.00|$18.38|$104.83|$134.78|$149.75|$115.50|$113.56|$78.11|$78.11
"CPT® 87070"|"HB BONE MARROW CULTURE, AUTOLOGOUS"|306.00|$25.00|$5.60|$25.00|$18.00|$10.00|$8.80|$5.60||$10.00|$20.00|$14.20||$7.63|$9.50|$15.33|$25.00|||$25.00|$25.00|$18.38|$8.58|$11.03|$12.25|$9.38|$9.22|$6.34|$6.34
"CPT® 87493"|"HB C. DIFFICILE PCR"|306.00|$218.00|$48.83|$174.40|$153.00|$87.20|$76.74|$48.83||$87.20|$174.40|$123.82||$66.49|$82.84|$133.63|$55.00|||$56.00|$52.00|$74.63|$83.41|$108.53|$120.58|$81.75|$80.38|$55.28|$55.28
"CPT® 87493"|"HB C. DIFFICILE PCR (MOD 59)"|306.00|$202.00|$45.25|$161.60|$141.00|$80.80|$71.10|$45.25||$80.80|$161.60|$114.74||$61.61|$76.76|$123.83|$55.00|||$56.00|$52.00|$74.63|$68.78|$88.43|$98.25|$75.75|$74.48|$51.23|$51.23
"CPT® 87206"|"HB CALCOFLUOR WHITE STAIN"|306.00|$36.00|$8.06|$36.00|$25.00|$14.40|$12.67|$8.06||$14.40|$28.80|$20.45||$10.98|$13.68|$22.07|$36.00|||$36.00|$36.00|$11.13|$12.25|$15.75|$17.50|$13.50|$13.27|$9.13|$9.13
"CPT® 87110"|"HB CHLAMYDIA CULTURE"|306.00|$252.00|$41.76|$201.60|$176.00|$100.80|$88.70|$56.45||$100.80|$201.60|$143.14||$76.86|$95.76|$154.48|$55.00|||$56.00|$52.00|$41.76|$85.75|$110.25|$122.50|$94.50|$92.91|$63.91|$63.91
"CPT® 87015"|"HB CONCENTRATION, MICROBIOLOGY"|306.00|$40.00|$8.96|$40.00|$28.00|$16.00|$14.08|$8.96||$16.00|$32.00|$22.72||$12.20|$15.20|$24.52|$40.00|||$40.00|$40.00|$13.92|$13.48|$17.33|$19.25|$15.00|$14.75|$10.14|$10.14
"CPT® 87015"|"HB CONCENTRATION, MICROBIOLOGY (MOD 59)"|306.00|$44.00|$9.86|$44.00|$31.00|$17.60|$15.49|$9.86||$17.60|$35.20|$24.99||$13.42|$16.72|$26.97|$44.00|||$44.00|$44.00|$13.92|$15.05|$19.35|$21.50|$16.50|$16.22|$11.16|$11.16
"CPT® 87328"|"HB CRYPTOSPORIDIUM ANTIGEN"|306.00|$138.00|$25.62|$110.40|$97.00|$55.20|$48.58|$30.91||$55.20|$110.40|$78.38||$42.09|$52.44|$84.59|$55.00|||$56.00|$52.00|$25.62|$46.90|$60.30|$67.00|$51.75|$50.88|$35.00|$35.00
"CPT® 87328"|"HB CRYPTOSPORIDIUM ANTIGEN (MOD 59)"|306.00|$153.00|$25.62|$122.40|$107.00|$61.20|$53.86|$34.27||$61.20|$122.40|$86.90||$46.67|$58.14|$93.79|$55.00|||$56.00|$52.00|$25.62|$52.15|$67.05|$74.50|$57.38|$56.41|$38.80|$38.80
"CPT® 87206"|"HB CRYPTOSPORIDIUM EXAM"|306.00|$148.00|$11.13|$118.40|$104.00|$59.20|$52.10|$33.15||$59.20|$118.40|$84.06||$45.14|$56.24|$90.72|$55.00|||$56.00|$52.00|$11.13|$50.40|$64.80|$72.00|$55.50|$54.57|$37.53|$37.53
"CPT® 87077"|"HB CULTURE ID, AEROBIC"|306.00|$54.00|$12.10|$54.00|$38.00|$21.60|$19.01|$12.10||$21.60|$43.20|$30.67||$16.47|$20.52|$33.10|$54.00|||$54.00|$52.00|$17.27|$18.38|$23.63|$26.25|$20.25|$19.91|$13.69|$13.69
"CPT® 87076"|"HB CULTURE ID, ANAEROBIC"|306.00|$136.00|$17.27|$108.80|$95.00|$54.40|$47.87|$30.46||$54.40|$108.80|$77.25||$41.48|$51.68|$83.37|$55.00|||$56.00|$52.00|$17.27|$46.38|$59.63|$66.25|$51.00|$50.14|$34.49|$34.49
"CPT® 87075"|"HB CULTURE, ANAEROBIC"|306.00|$276.00|$20.04|$220.80|$193.00|$110.40|$97.15|$61.82||$110.40|$220.80|$156.77||$84.18|$104.88|$169.19|$55.00|||$56.00|$52.00|$20.04|$93.98|$120.83|$134.25|$103.50|$101.76|$69.99|$69.99
"CPT® 87075"|"HB CULTURE, ANAEROBIC (MOD 59)"|306.00|$306.00|$20.04|$244.80|$214.00|$122.40|$107.71|$68.54||$122.40|$244.80|$173.81||$93.33|$116.28|$187.58|$55.00|||$56.00|$52.00|$20.04|$104.13|$133.88|$148.75|$114.75|$112.82|$77.60|$77.60
"CPT® 87206"|"HB CYCLOSPORA EXAM"|306.00|$26.00|$5.82|$26.00|$18.00|$10.40|$9.15|$5.82||$10.40|$20.80|$14.77||$7.93|$9.88|$15.94|$26.00|||$26.00|$26.00|$11.13|$8.93|$11.48|$12.75|$9.75|$9.59|$6.59|$6.59
"CPT® 87070"|"HB EYE CULTURE"|306.00|$240.00|$18.38|$192.00|$168.00|$96.00|$84.48|$53.76||$96.00|$192.00|$136.32||$73.20|$91.20|$147.12|$55.00|||$56.00|$52.00|$18.38|$81.73|$105.08|$116.75|$90.00|$88.49|$60.86|$60.86
"CPT® 87103"|"HB FUNGAL BLOOD CULTURE"|306.00|$122.00|$18.93|$97.60|$85.00|$48.80|$42.94|$27.33||$48.80|$97.60|$69.30||$37.21|$46.36|$74.79|$55.00|||$56.00|$52.00|$18.93|$41.65|$53.55|$59.50|$45.75|$44.98|$30.94|$30.94
"CPT® 87102"|"HB FUNGAL CSF CULTURE"|306.00|$114.00|$17.82|$91.20|$80.00|$45.60|$40.13|$25.54||$45.60|$91.20|$64.75||$34.77|$43.32|$69.88|$55.00|||$56.00|$52.00|$17.82|$38.85|$49.95|$55.50|$42.75|$42.03|$28.91|$28.91
"CPT® 87102"|"HB FUNGAL CULTURE, OTHER"|306.00|$102.00|$17.82|$81.60|$71.00|$40.80|$35.90|$22.85||$40.80|$81.60|$57.94||$31.11|$38.76|$62.53|$55.00|||$56.00|$52.00|$17.82|$34.83|$44.78|$49.75|$38.25|$37.61|$25.87|$25.87
"CPT® 87101"|"HB FUNGAL DERM CULTURE"|306.00|$106.00|$16.16|$84.80|$74.00|$42.40|$37.31|$23.74||$42.40|$84.80|$60.21||$32.33|$40.28|$64.98|$55.00|||$56.00|$52.00|$16.16|$36.05|$46.35|$51.50|$39.75|$39.08|$26.88|$26.88
"CPT® 87106"|"HB FUNGAL ID, YEAST"|306.00|$98.00|$21.72|$78.40|$69.00|$39.20|$34.50|$21.95||$39.20|$78.40|$55.66||$29.89|$37.24|$60.07|$55.00|||$56.00|$52.00|$21.72|$33.43|$42.98|$47.75|$36.75|$36.13|$24.85|$24.85
"CPT® 87220"|"HB FUNGAL KOH PREP"|306.00|$85.00|$8.91|$68.00|$59.00|$34.00|$29.92|$19.04||$34.00|$68.00|$48.28||$25.93|$32.30|$52.11|$55.00|||$56.00|$52.00|$8.91|$28.88|$37.13|$41.25|$31.88|$31.34|$21.56|$21.56
"CPT® 87186"|"HB FUNGAL SUSCEPTIBILITY"|306.00|$258.00|$18.38|$206.40|$181.00|$103.20|$90.82|$57.79||$103.20|$206.40|$146.54||$78.69|$98.04|$158.15|$55.00|||$56.00|$52.00|$18.38|$88.03|$113.18|$125.75|$96.75|$95.12|$65.43|$65.43
"CPT® 87081"|"HB GC CULTURE"|306.00|$90.00|$13.92|$72.00|$63.00|$36.00|$31.68|$20.16||$36.00|$72.00|$51.12||$27.45|$34.20|$55.17|$55.00|||$56.00|$52.00|$13.92|$30.63|$39.38|$43.75|$33.75|$33.18|$22.82|$22.82
"CPT® 87329"|"HB GIARDIA ANTIGEN"|306.00|$138.00|$25.62|$110.40|$97.00|$55.20|$48.58|$30.91||$55.20|$110.40|$78.38||$42.09|$52.44|$84.59|$55.00|||$56.00|$52.00|$25.62|$46.90|$60.30|$67.00|$51.75|$50.88|$35.00|$35.00
"CPT® 87205"|"HB GRAM STAIN"|306.00|$65.00|$8.91|$56.00|$46.00|$26.00|$22.88|$14.56||$26.00|$52.00|$36.92||$19.83|$24.70|$39.85|$55.00|||$56.00|$52.00|$8.91|$22.05|$28.35|$31.50|$24.38|$23.97|$16.48|$16.48
"CPT® 87205"|"HB GRAM STAIN (MOD 59)"|306.00|$72.00|$8.91|$57.60|$50.00|$28.80|$25.34|$16.13||$28.80|$57.60|$40.90||$21.96|$27.36|$44.14|$55.00|||$56.00|$52.00|$8.91|$24.50|$31.50|$35.00|$27.00|$26.55|$18.26|$18.26
"CPT® 87081"|"HB GROUP B STREP CULTURE"|306.00|$41.00|$9.18|$41.00|$29.00|$16.40|$14.43|$9.18||$16.40|$32.80|$23.29||$12.51|$15.58|$25.13|$41.00|||$41.00|$41.00|$13.92|$14.00|$18.00|$20.00|$15.38|$15.12|$10.40|$10.40
"CPT® 87205"|"HB H. PYLORI SCREEN, BIOPSY"|306.00|$55.00|$8.91|$55.00|$38.00|$22.00|$19.36|$12.32||$22.00|$44.00|$31.24||$16.78|$20.90|$33.72|$55.00|||$55.00|$52.00|$8.91|$18.73|$24.08|$26.75|$20.63|$20.28|$13.95|$13.95
"CPT® 87254"|"HB HERPES SHELL VIAL ISOLATION, EACH"|306.00|$131.00|$29.34|$104.80|$92.00|$52.40|$46.11|$29.34||$52.40|$104.80|$74.41||$39.96|$49.78|$80.30|$55.00|||$56.00|$52.00|$41.21|$44.63|$57.38|$63.75|$49.13|$48.30|$33.22|$33.22
"CPT® 87206"|"HB ISOSPORA EXAM"|306.00|$117.00|$11.13|$93.60|$82.00|$46.80|$41.18|$26.21||$46.80|$93.60|$66.46||$35.69|$44.46|$71.72|$55.00|||$56.00|$52.00|$11.13|$39.73|$51.08|$56.75|$43.88|$43.14|$29.67|$29.67
"CPT® 87206"|"HB ISOSPORA EXAM (MOD 59)"|306.00|$130.00|$11.13|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$11.13|$44.28|$56.93|$63.25|$48.75|$47.93|$32.97|$32.97
"CPT® 87071"|"HB IV CATHETER CULTURE"|306.00|$279.00|$20.04|$223.20|$195.00|$111.60|$98.21|$62.50||$111.60|$223.20|$158.47||$85.10|$106.02|$171.03|$55.00|||$56.00|$52.00|$20.04|$95.03|$122.18|$135.75|$104.63|$102.87|$70.75|$70.75
"CPT® 87071"|"HB IV CATHETER CULTURE (MOD 59)"|306.00|$310.00|$20.04|$248.00|$217.00|$124.00|$109.12|$69.44||$124.00|$248.00|$176.08||$94.55|$117.80|$190.03|$55.00|||$56.00|$52.00|$20.04|$105.53|$135.68|$150.75|$116.25|$114.30|$78.62|$78.62
"CPT® 87070"|"HB LEGIONELLA CULTURE"|306.00|$240.00|$18.38|$192.00|$168.00|$96.00|$84.48|$53.76||$96.00|$192.00|$136.32||$73.20|$91.20|$147.12|$55.00|||$56.00|$52.00|$18.38|$81.73|$105.08|$116.75|$90.00|$88.49|$60.86|$60.86
"CPT® 87899"|"HB LEGIONELLA ANTIGEN, URINE"|306.00|$290.00|$25.62|$232.00|$203.00|$116.00|$102.08|$64.96||$116.00|$232.00|$164.72||$88.45|$110.20|$177.77|$55.00|||$56.00|$52.00|$25.62|$98.88|$127.13|$141.25|$108.75|$106.92|$73.54|$73.54
"CPT® 87899"|"HB LEGIONELLA ANTIGEN, URINE (MOD 59)"|306.00|$322.00|$25.62|$257.60|$225.00|$128.80|$113.34|$72.13||$128.80|$257.60|$182.90||$98.21|$122.36|$197.39|$55.00|||$56.00|$52.00|$25.62|$109.73|$141.08|$156.75|$120.75|$118.72|$81.66|$81.66
"CPT® 87015"|"HB MALARIA EXAM, THICK SMEAR"|306.00|$157.00|$13.92|$125.60|$110.00|$62.80|$55.26|$35.17||$62.80|$125.60|$89.18||$47.89|$59.66|$96.24|$55.00|||$56.00|$52.00|$13.92|$39.27|$53.55|$59.50|$58.88|$57.89|$39.82|$39.82
"CPT® 87207"|"HB MALARIA EXAM, THIN SMEAR"|306.00|$74.00|$12.81|$59.20|$52.00|$29.60|$26.05|$16.58||$29.60|$59.20|$42.03||$22.57|$28.12|$45.36|$55.00|||$56.00|$52.00|$12.81|$18.48|$25.20|$28.00|$27.75|$27.28|$18.77|$18.77
"CPT® 87206"|"HB MICROSPORIDIA EXAM"|306.00|$36.00|$8.06|$36.00|$25.00|$14.40|$12.67|$8.06||$14.40|$28.80|$20.45||$10.98|$13.68|$22.07|$36.00|||$36.00|$36.00|$11.13|$12.25|$15.75|$17.50|$13.50|$13.27|$9.13|$9.13
"CPT® 87116"|"HB MYCOBACTERIA CULTURE"|306.00|$153.00|$22.83|$122.40|$107.00|$61.20|$53.86|$34.27||$61.20|$122.40|$86.90||$46.67|$58.14|$93.79|$55.00|||$56.00|$52.00|$22.83|$52.15|$67.05|$74.50|$57.38|$56.41|$38.80|$38.80
"CPT® 87206"|"HB MYCOBACTERIA SMEAR"|306.00|$106.00|$11.13|$84.80|$74.00|$42.40|$37.31|$23.74||$42.40|$84.80|$60.21||$32.33|$40.28|$64.98|$55.00|||$56.00|$52.00|$11.13|$36.05|$46.35|$51.50|$39.75|$39.08|$26.88|$26.88
"CPT® 87206"|"HB MYCOBACTERIA SMEAR (MOD 59)"|306.00|$117.00|$11.13|$93.60|$82.00|$46.80|$41.18|$26.21||$46.80|$93.60|$66.46||$35.69|$44.46|$71.72|$55.00|||$56.00|$52.00|$11.13|$39.73|$51.08|$56.75|$43.88|$43.14|$29.67|$29.67
"CPT® 87116"|"HB MYCOBACTERIUM CSF CULTURE"|306.00|$156.00|$22.83|$124.80|$109.00|$62.40|$54.91|$34.94||$62.40|$124.80|$88.61||$47.58|$59.28|$95.63|$55.00|||$56.00|$52.00|$22.83|$53.20|$68.40|$76.00|$58.50|$57.52|$39.56|$39.56
"CPT® 87116"|"HB MYCOBACTERIUM BLOOD CULTURE"|306.00|$183.00|$22.83|$146.40|$128.00|$73.20|$64.42|$40.99||$73.20|$146.40|$103.94||$55.82|$69.54|$112.18|$55.00|||$56.00|$52.00|$22.83|$62.30|$80.10|$89.00|$68.63|$67.47|$46.41|$46.41
"CPT® 87556"|"HB MYCOBACTERIUM TUBERCULOSIS, AMPLIFIED"|306.00|$1417.00|$52.00|$1133.60|$992.00|$566.80|$498.78|$317.41||$566.80|$1133.60|$804.86||$432.19|$538.46|$868.62|$55.00|||$56.00|$52.00|$74.63|$482.48|$620.33|$689.25|$531.38|$522.45|$359.35|$359.35
"CPT® 87081"|"HB NASAL CULTURE, STAPH AUREUS"|306.00|$26.00|$5.82|$26.00|$18.00|$10.40|$9.15|$5.82||$10.40|$20.80|$14.77||$7.93|$9.88|$15.94|$26.00|||$26.00|$26.00|$13.92|$8.93|$11.48|$12.75|$9.75|$9.59|$6.59|$6.59
"CPT® 87081"|"HB NASAL CULTURE, STAPH AUREUS (MOD 59)"|306.00|$26.00|$5.82|$26.00|$18.00|$10.40|$9.15|$5.82||$10.40|$20.80|$14.77||$7.93|$9.88|$15.94|$26.00|||$26.00|$26.00|$13.92|$8.93|$11.48|$12.75|$9.75|$9.59|$6.59|$6.59
"CPT® 87177"|"HB OVA & PARASITE EXAM"|306.00|$235.00|$18.93|$188.00|$164.00|$94.00|$82.72|$52.64||$94.00|$188.00|$133.48||$71.68|$89.30|$144.06|$55.00|||$56.00|$52.00|$18.93|$80.15|$103.05|$114.50|$88.13|$86.64|$59.60|$59.60
"CPT® 87177"|"HB OVA & PARASITE EXAM (MOD 59)"|306.00|$262.00|$18.93|$209.60|$183.00|$104.80|$92.22|$58.69||$104.80|$209.60|$148.82||$79.91|$99.56|$160.61|$55.00|||$56.00|$52.00|$18.93|$89.25|$114.75|$127.50|$98.25|$96.60|$66.44|$66.44
"CPT® 87172"|"HB PIN WORM TEST"|306.00|$98.00|$8.91|$78.40|$69.00|$39.20|$34.50|$21.95||$39.20|$78.40|$55.66||$29.89|$37.24|$60.07|$55.00|||$56.00|$52.00|$8.91|$33.43|$42.98|$47.75|$36.75|$36.13|$24.85|$24.85
"CPT® 87281"|"HB PNEUMOCYSTIS, DFA"|306.00|$268.00|$25.62|$214.40|$188.00|$107.20|$94.34|$60.03||$107.20|$214.40|$152.22||$81.74|$101.84|$164.28|$55.00|||$56.00|$52.00|$25.62|$91.35|$117.45|$130.50|$100.50|$98.81|$67.96|$67.96
"CPT® 87070"|"HB RESPIRATORY CULTURE"|306.00|$136.00|$18.38|$108.80|$95.00|$54.40|$47.87|$30.46||$54.40|$108.80|$77.25||$41.48|$51.68|$83.37|$55.00|||$56.00|$52.00|$18.38|$46.38|$59.63|$66.25|$51.00|$50.14|$34.49|$34.49
"CPT® 87280"|"HB RESPIRATORY SYNCYTIAL VIRUS, DFA"|306.00|$122.00|$25.62|$97.60|$85.00|$48.80|$42.94|$27.33||$48.80|$97.60|$69.30||$37.21|$46.36|$74.79|$55.00|||$56.00|$52.00|$25.62|$41.65|$53.55|$59.50|$45.75|$44.98|$30.94|$30.94
"CPT® 87070"|"HB SPINAL FLUID CULTURE"|306.00|$144.00|$18.38|$115.20|$101.00|$57.60|$50.69|$32.26||$57.60|$115.20|$81.79||$43.92|$54.72|$88.27|$55.00|||$56.00|$52.00|$18.38|$49.00|$63.00|$70.00|$54.00|$53.09|$36.52|$36.52
"CPT® 87070"|"HB SPINAL FLUID CULTURE (MOD 59)"|306.00|$161.00|$18.38|$128.80|$113.00|$64.40|$56.67|$36.06||$64.40|$128.80|$91.45||$49.11|$61.18|$98.69|$55.00|||$56.00|$52.00|$18.38|$54.78|$70.43|$78.25|$60.38|$59.36|$40.83|$40.83
"CPT® 87070"|"HB STEM CELL CULTURE, CFR"|306.00|$35.00|$7.84|$35.00|$24.00|$14.00|$12.32|$7.84||$14.00|$28.00|$19.88||$10.68|$13.30|$21.46|$35.00|||$35.00|$35.00|$18.38|$11.90|$15.30|$17.00|$13.13|$12.90|$8.88|$8.88
"CPT® 87070"|"HB STERILITY CULTURE"|306.00|$154.00|$18.38|$123.20|$108.00|$61.60|$54.21|$34.50||$61.60|$123.20|$87.47||$46.97|$58.52|$94.40|$55.00|||$56.00|$52.00|$18.38|$52.50|$67.50|$75.00|$57.75|$56.78|$39.05|$39.05
"CPT® 87045"|"HB STOOL CULTURE"|306.00|$160.00|$20.04|$128.00|$112.00|$64.00|$56.32|$35.84||$64.00|$128.00|$90.88||$48.80|$60.80|$98.08|$55.00|||$56.00|$52.00|$20.04|$54.43|$69.98|$77.75|$60.00|$58.99|$40.58|$40.58
"CPT® 87046"|"HB STOOL CULTURE, ADDITIONAL PATHOGEN"|306.00|$28.00|$6.27|$28.00|$20.00|$11.20|$9.86|$6.27||$11.20|$22.40|$15.90||$8.54|$10.64|$17.16|$28.00|||$28.00|$28.00|$20.04|$9.45|$12.15|$13.50|$10.50|$10.32|$7.10|$7.10
"CPT® 87899"|"HB STREP PNEUMONIAE ANTIGEN"|306.00|$201.00|$25.62|$160.80|$141.00|$80.40|$70.75|$45.02||$80.40|$160.80|$114.17||$61.31|$76.38|$123.21|$55.00|||$56.00|$52.00|$25.62|$68.43|$87.98|$97.75|$75.38|$74.11|$50.97|$50.97
"CPT® 87184"|"HB SUSCEPTIBILITY, DISC"|306.00|$85.00|$14.48|$68.00|$59.00|$34.00|$29.92|$19.04||$34.00|$68.00|$48.28||$25.93|$32.30|$52.11|$55.00|||$56.00|$52.00|$14.48|$28.88|$37.13|$41.25|$31.88|$31.34|$21.56|$21.56
"CPT® 87184"|"HB SUSCEPTIBILITY, DISC (MOD 59)"|306.00|$94.00|$14.48|$75.20|$66.00|$37.60|$33.09|$21.06||$37.60|$75.20|$53.39||$28.67|$35.72|$57.62|$55.00|||$56.00|$52.00|$14.48|$31.85|$40.95|$45.50|$35.25|$34.66|$23.84|$23.84
"CPT® 87184"|"HB SUSCEPTIBILITY, DISC, 1-2 DRUGS"|306.00|$44.00|$9.86|$44.00|$31.00|$17.60|$15.49|$9.86||$17.60|$35.20|$24.99||$13.42|$16.72|$26.97|$44.00|||$44.00|$44.00|$14.48|$15.05|$19.35|$21.50|$16.50|$16.22|$11.16|$11.16
"CPT® 87181"|"HB SUSCEPTIBILITY, GRADIENT STRIP, EACH"|306.00|$32.00|$7.17|$32.00|$22.00|$12.80|$11.26|$7.17||$12.80|$25.60|$18.18||$9.76|$12.16|$19.62|$32.00|||$32.00|$32.00|$10.02|$10.85|$13.95|$15.50|$12.00|$11.80|$8.12|$8.12
"CPT® 87186"|"HB SUSCEPTIBILITY, MICROTITER"|306.00|$258.00|$18.38|$206.40|$181.00|$103.20|$90.82|$57.79||$103.20|$206.40|$146.54||$78.69|$98.04|$158.15|$55.00|||$56.00|$52.00|$18.38|$88.03|$113.18|$125.75|$96.75|$95.12|$65.43|$65.43
"CPT® 87186"|"HB SUSCEPTIBILITY, MICROTITER (MOD 59)"|306.00|$258.00|$18.38|$206.40|$181.00|$103.20|$90.82|$57.79||$103.20|$206.40|$146.54||$78.69|$98.04|$158.15|$55.00|||$56.00|$52.00|$18.38|$88.03|$113.18|$125.75|$96.75|$95.12|$65.43|$65.43
"CPT® 87081"|"HB THROAT CULTURE, STREP"|306.00|$90.00|$13.92|$72.00|$63.00|$36.00|$31.68|$20.16||$36.00|$72.00|$51.12||$27.45|$34.20|$55.17|$55.00|||$56.00|$52.00|$13.92|$30.63|$39.38|$43.75|$33.75|$33.18|$22.82|$22.82
"CPT® 87070"|"HB TISSUE BIOPSY CULTURE"|306.00|$144.00|$18.38|$115.20|$101.00|$57.60|$50.69|$32.26||$57.60|$115.20|$81.79||$43.92|$54.72|$88.27|$55.00|||$56.00|$52.00|$18.38|$49.00|$63.00|$70.00|$54.00|$53.09|$36.52|$36.52
"CPT® 87086"|"HB URINE CULTURE"|306.00|$98.00|$17.27|$78.40|$69.00|$39.20|$34.50|$21.95||$39.20|$78.40|$55.66||$29.89|$37.24|$60.07|$55.00|||$56.00|$52.00|$17.27|$33.43|$42.98|$47.75|$36.75|$36.13|$24.85|$24.85
"CPT® 87088"|"HB URINE ORGANISM ID"|306.00|$74.00|$16.58|$59.20|$52.00|$29.60|$26.05|$16.58||$29.60|$59.20|$42.03||$22.57|$28.12|$45.36|$55.00|||$56.00|$52.00|$17.27|$25.20|$32.40|$36.00|$27.75|$27.28|$18.77|$18.77
"CPT® 87252"|"HB VIRUS CULTURE"|306.00|$206.00|$46.14|$164.80|$144.00|$82.40|$72.51|$46.14||$82.40|$164.80|$117.01||$62.83|$78.28|$126.28|$55.00|||$56.00|$52.00|$55.13|$70.18|$90.23|$100.25|$77.25|$75.95|$52.24|$52.24
"CPT® 87254"|"HB VIRUS SHELL VIAL CULTURE"|306.00|$135.00|$30.24|$108.00|$94.00|$54.00|$47.52|$30.24||$54.00|$108.00|$76.68||$41.18|$51.30|$82.76|$55.00|||$56.00|$52.00|$41.21|$46.03|$59.18|$65.75|$50.63|$49.77|$34.24|$34.24
"CPT® 87210"|"HB WET PREP, TRICHOMONAS"|306.00|$51.00|$8.91|$51.00|$36.00|$20.40|$17.95|$11.42||$20.40|$40.80|$28.97||$15.56|$19.38|$31.26|$51.00|||$51.00|$51.00|$8.91|$17.33|$22.28|$24.75|$19.13|$18.80|$12.93|$12.93
"CPT® 87169"|"HB WORM IDENTIFICATION"|306.00|$195.00|$8.91|$156.00|$136.00|$78.00|$68.64|$43.68||$78.00|$156.00|$110.76||$59.48|$74.10|$119.54|$55.00|||$56.00|$52.00|$8.91|$66.33|$85.28|$94.75|$73.13|$71.90|$49.45|$49.45
"CPT® 87070"|"HB WOUND CULTURE"|306.00|$144.00|$18.38|$115.20|$101.00|$57.60|$50.69|$32.26||$57.60|$115.20|$81.79||$43.92|$54.72|$88.27|$55.00|||$56.00|$52.00|$18.38|$49.00|$63.00|$70.00|$54.00|$53.09|$36.52|$36.52
"CPT® 87070"|"HB WOUND CULTURE (MOD 59)"|306.00|$161.00|$18.38|$128.80|$113.00|$64.40|$56.67|$36.06||$64.40|$128.80|$91.45||$49.11|$61.18|$98.69|$55.00|||$56.00|$52.00|$18.38|$54.78|$70.43|$78.25|$60.38|$59.36|$40.83|$40.83
"CPT® 87798"|"HB MALARIA ANTIGEN, RAPID"|306.00|$260.00|$52.00|$208.00|$182.00|$104.00|$91.52|$58.24||$104.00|$208.00|$147.68||$79.30|$98.80|$159.38|$55.00|||$56.00|$52.00|$74.63|$88.55|$113.85|$126.50|$97.50|$95.86|$65.94|$65.94
"CPT® 87529"|"HB HERPES SIMPLEX VIRUS TYPE 1, PCR"|306.00|$280.00|$52.00|$224.00|$196.00|$112.00|$98.56|$62.72||$112.00|$224.00|$159.04||$85.40|$106.40|$171.64|$55.00|||$56.00|$52.00|$74.63|$95.38|$122.63|$136.25|$105.00|$103.24|$71.01|$71.01
"CPT® 87529"|"HB HERPES SIMPLEX VIRUS TYPE 2, PCR"|306.00|$280.00|$52.00|$224.00|$196.00|$112.00|$98.56|$62.72||$112.00|$224.00|$159.04||$85.40|$106.40|$171.64|$55.00|||$56.00|$52.00|$74.63|$95.38|$122.63|$136.25|$105.00|$103.24|$71.01|$71.01
"CPT® 87081"|"HB SURVEILLANCE CULTURE"|306.00|$58.00|$12.99|$56.00|$41.00|$23.20|$20.42|$12.99||$23.20|$46.40|$32.94||$17.69|$22.04|$35.55|$55.00|||$56.00|$52.00|$13.92|$19.60|$25.20|$28.00|$21.75|$21.38|$14.71|$14.71
"CPT® 87147"|"HB CULTURE ID BY IMMUNOLOGIC METHOD"|306.00|$108.00|$11.13|$86.40|$76.00|$43.20|$38.02|$24.19||$43.20|$86.40|$61.34||$32.94|$41.04|$66.20|$55.00|||$56.00|$52.00|$11.13|$36.75|$47.25|$52.50|$40.50|$39.82|$27.39|$27.39
"CPT® 87798"|"HB RESPIRATORY VIRUS PANEL, BORDETELLA"|306.00|$91.00|$20.38|$74.63|$64.00|$36.40|$32.03|$20.38||$36.40|$72.80|$51.69||$27.76|$34.58|$55.78|$55.00|||$56.00|$52.00|$74.63|$42.17|$55.05|$61.17|$34.13|$33.55|$23.08|$23.08
"CPT® 87486"|"HB RESPIRATORY VIRUS PANEL, CHLAMYDIA PNEUMONIAE"|306.00|$91.00|$20.38|$72.80|$64.00|$36.40|$32.03|$20.38||$36.40|$72.80|$51.69||$27.76|$34.58|$55.78|$55.00|||$56.00|$52.00|$63.88|$22.54|$30.75|$34.17|$34.13|$33.55|$23.08|$23.08
"CPT® 87581"|"HB RESPIRATORY VIRUS PANEL, MYCOPLASMA PNEUMONIAE"|306.00|$91.00|$20.38|$72.80|$64.00|$36.40|$32.03|$20.38||$36.40|$72.80|$51.69||$27.76|$34.58|$55.78|$55.00|||$56.00|$52.00|$63.88|$22.54|$30.75|$34.17|$34.13|$33.55|$23.08|$23.08
"CPT® 87040"|"HB BLOOD PRODUCT CULTURE"|306.00|$121.00|$21.72|$96.80|$85.00|$48.40|$42.59|$27.10||$48.40|$96.80|$68.73||$36.91|$45.98|$74.17|$55.00|||$56.00|$52.00|$21.72|$41.13|$52.88|$58.75|$45.38|$44.61|$30.69|$30.69
"CPT® 87081"|"HB CANDIDA AURIS CULTURE"|306.00|$91.00|$13.92|$72.80|$64.00|$36.40|$32.03|$20.38||$36.40|$72.80|$51.69||$27.76|$34.58|$55.78|$55.00|||$56.00|$52.00|$13.92|$23.63|$31.95|$35.50|$34.13|$33.55|$23.08|$23.08
"CPT® 87798"|"HB PNEUMONIA PANEL, BACTERIA DETECTION, EACH PCR"|306.00|$183.00|$40.99|$146.40|$128.00|$73.20|$64.42|$40.99||$73.20|$146.40|$103.94||$55.82|$69.54|$112.18|$55.00|||$56.00|$52.00|$74.63|$47.32|$64.05|$71.17|$68.63|$67.47|$46.41|$46.41
"CPT® 87541"|"HB PNEUMONIA PANEL, LEGIONELLA PNEUMOPHILA PCR"|306.00|$167.00|$37.41|$133.60|$117.00|$66.80|$58.78|$37.41||$66.80|$133.60|$94.86||$50.94|$63.46|$102.37|$55.00|||$56.00|$52.00|$74.63|$43.30|$58.58|$65.08|$62.63|$61.57|$42.35|$42.35
"CPT® 87581"|"HB PNEUMONIA PANEL, MYCOPLASMA PNEUMONIAE PCR"|306.00|$167.00|$37.41|$133.60|$117.00|$66.80|$58.78|$37.41||$66.80|$133.60|$94.86||$50.94|$63.46|$102.37|$55.00|||$56.00|$52.00|$74.63|$43.30|$58.58|$65.08|$62.63|$61.57|$42.35|$42.35
"CPT® 87486"|"HB PNEUMONIA PANEL, CHLAMYDOPHILA PNEUMONIAE PCR"|306.00|$167.00|$37.41|$133.60|$117.00|$66.80|$58.78|$37.41||$66.80|$133.60|$94.86||$50.94|$63.46|$102.37|$55.00|||$56.00|$52.00|$74.63|$43.30|$58.58|$65.08|$62.63|$61.57|$42.35|$42.35
"CPT® 87632"|"HB PNEUMONIA PANEL, VIRUS DETECTION, MULTIPLEX PCR"|306.00|$747.00|$52.00|$597.60|$523.00|$298.80|$262.94|$167.33||$298.80|$597.60|$424.30||$227.84|$283.86|$457.91|$55.00|||$56.00|$52.00|$452.18|$193.48|$261.82|$290.92|$280.13|$275.42|$189.44|$189.44
"CPT® 87150"|"HB PNEUMONIA PANEL, ANTIMICROBIAL RESISTENCE GENES PCR"|306.00|$167.00|$37.41|$133.60|$117.00|$66.80|$58.78|$37.41||$66.80|$133.60|$94.86||$50.94|$63.46|$102.37|$55.00|||$56.00|$52.00|$74.63|$43.30|$58.58|$65.08|$62.63|$61.57|$42.35|$42.35
"CPT® 87798"|"HB PNEUMOCYSTIS JIROVECII PCR"|306.00|$360.00|$52.00|$288.00|$252.00|$144.00|$126.72|$80.64||$144.00|$288.00|$204.48||$109.80|$136.80|$220.68|$55.00|||$56.00|$52.00|$74.63|$126.00|$162.00|$180.00|$135.00|$132.73|$91.30|$91.30
"CPT® 87469"|"HB CMV, SALIVA, NEONATES, PCR"|306.00|$216.00|$48.38|$172.80|$151.00|$86.40|$76.03|$48.38||$86.40|$172.80|$122.69||$65.88|$82.08|$132.41|$85.58|||$56.00|$52.00|$52.20|$60.48|$81.00|$90.00|$81.00|$79.64|$54.78|$54.78
"CPT® 87799"|"HB ADENOVIRUS, QUANTITATIVE, PCR"|306.00|$724.00|$52.00|$579.20|$507.00|$289.60|$254.85|$162.18||$289.60|$579.20|$411.23||$220.82|$275.12|$443.81|$55.00|||$56.00|$52.00|$90.77|$246.58|$317.03|$352.25|$271.50|$266.94|$183.61|$183.61
"CPT® 87798"|"HB BORDETELLA PERTUSSIS/PARAPERTUSSIS POLYMERASE CHAIN REACTION"|306.00|$438.00|$52.00|$350.40|$307.00|$175.20|$154.18|$98.11||$175.20|$350.40|$248.78||$133.59|$166.44|$268.49|$55.00|||$56.00|$52.00|$74.63|$149.10|$191.70|$213.00|$164.25|$161.49|$111.08|$111.08
"CPT® 87798"|"HB BORDETELLA PERTUSSIS/PARAPERTUSSIS POLYMERASE CHAIN REACTION"|306.00|$438.00|$52.00|$350.40|$307.00|$175.20|$154.18|$98.11||$175.20|$350.40|$248.78||$133.59|$166.44|$268.49|$55.00|||$56.00|$52.00|$74.63|$149.10|$191.70|$213.00|$164.25|$161.49|$111.08|$111.08
"CPT® 87496"|"HB CMV, PCR"|306.00|$442.00|$52.00|$353.60|$309.00|$176.80|$155.58|$99.01||$176.80|$353.60|$251.06||$134.81|$167.96|$270.95|$55.00|||$56.00|$52.00|$74.63|$150.50|$193.50|$215.00|$165.75|$162.97|$112.09|$112.09
"CPT® 87496"|"HB CMV, PCR, URINE"|306.00|$254.00|$52.00|$203.20|$178.00|$101.60|$89.41|$56.90||$101.60|$203.20|$144.27||$77.47|$96.52|$155.70|$55.00|||$56.00|$52.00|$74.63|$86.45|$111.15|$123.50|$95.25|$93.65|$64.41|$64.41
"CPT® 87337"|"HB ENTAMOEBA HISTOLYTICA ANTIGEN"|306.00|$106.00|$23.74|$84.80|$74.00|$42.40|$37.31|$23.74||$42.40|$84.80|$60.21||$32.33|$40.28|$64.98|$55.00|||$56.00|$52.00|$25.62|$26.32|$35.92|$39.92|$39.75|$39.08|$26.88|$26.88
"CPT® 87798"|"HB FDA, WEST NILE VIRUS"|306.00|$144.00|$32.26|$115.20|$101.00|$57.60|$50.69|$32.26||$57.60|$115.20|$81.79||$43.92|$54.72|$88.27|$55.00|||$56.00|$52.00|$74.63|$49.00|$63.00|$70.00|$54.00|$53.09|$36.52|$36.52
"CPT® 87801"|"HB FDA, HIV-1, HCV, NAT"|306.00|$174.00|$38.98|$148.68|$122.00|$69.60|$61.25|$38.98||$69.60|$139.20|$98.83||$53.07|$66.12|$106.66|$55.00|||$56.00|$52.00|$148.68|$59.15|$76.05|$84.50|$65.25|$64.15|$44.13|$44.13
"CPT® 87340"|"HB FDA, HEPATITIS B SURFACE ANTIGEN"|306.00|$87.00|$19.49|$69.60|$61.00|$34.80|$30.62|$19.49||$34.80|$69.60|$49.42||$26.54|$33.06|$53.33|$55.00|||$56.00|$52.00|$21.72|$29.58|$38.03|$42.25|$32.63|$32.08|$22.06|$22.06
"CPT® 87912"|"HB HEPATITIS B GENOTYPE DRUG RESISTANCE GENOTYPE"|306.00|$2208.00|$52.00|$1766.40|$1546.00|$883.20|$777.22|$494.59||$883.20|$1766.40|$1254.14||$673.44|$839.04|$1353.50|$55.00|||$56.00|$52.00|$545.18|$551.71|$752.25|$835.84|$828.00|$814.09|$559.95|$559.95
"CPT® 87516"|"HB HEPATITIS B VIRAL DNA"|306.00|$249.00|$52.00|$199.20|$174.00|$99.60|$87.65|$55.78||$99.60|$199.20|$141.43||$75.95|$94.62|$152.64|$55.00|||$56.00|$52.00|$74.63|$84.70|$108.90|$121.00|$93.38|$91.81|$63.15|$63.15
"CPT® 87798"|"HB HEPATITIS D VIRUS DNA, QUALITATIVE"|306.00|$194.00|$27.65|$155.20|$136.00|$77.60|$68.29|$43.46||$77.60|$155.20|$110.19||$59.17|$73.72|$118.92|$55.00|||$56.00|$52.00|$66.88|$27.65|$40.35|$44.83|$72.75|$71.53|$49.20|$49.20
"CPT® 87385"|"HB HISTOPLASMA ANTIGEN, URINE"|306.00|$363.00|$25.62|$290.40|$254.00|$145.20|$127.78|$81.31||$145.20|$290.40|$206.18||$110.72|$137.94|$222.52|$55.00|||$56.00|$52.00|$25.62|$123.55|$158.85|$176.50|$136.13|$133.84|$92.06|$92.06
"CPT® 87535"|"HB HIV -1 DNA PCR, NEWBORNS"|306.00|$463.00|$52.00|$370.40|$324.00|$185.20|$162.98|$103.71||$185.20|$370.40|$262.98||$141.22|$175.94|$283.82|$55.00|||$56.00|$52.00|$74.63|$115.74|$157.80|$175.34|$173.63|$170.71|$117.42|$117.42
"CPT® 87533"|"HB HUMAN HERPES VIRUS-6 QUANTITATIVE PCR"|306.00|$724.00|$52.00|$579.20|$507.00|$289.60|$254.85|$162.18||$289.60|$579.20|$411.23||$220.82|$275.12|$443.81|$55.00|||$56.00|$52.00|$88.55|$246.58|$317.03|$352.25|$271.50|$266.94|$183.61|$183.61
"CPT® 87799"|"HB HUMAN HERPES VIRUS-7 QUANTITATIVE PCR"|306.00|$724.00|$52.00|$579.20|$507.00|$289.60|$254.85|$162.18||$289.60|$579.20|$411.23||$220.82|$275.12|$443.81|$55.00|||$56.00|$52.00|$90.77|$246.58|$317.03|$352.25|$271.50|$266.94|$183.61|$183.61
"CPT® 87799"|"HB HUMAN HERPES VIRUS-8 QUANTITATIVE PCR"|306.00|$724.00|$52.00|$579.20|$507.00|$289.60|$254.85|$162.18||$289.60|$579.20|$411.23||$220.82|$275.12|$443.81|$55.00|||$56.00|$52.00|$90.77|$246.58|$317.03|$352.25|$271.50|$266.94|$183.61|$183.61
"CPT® 87491"|"HB FDA, CHLAMYDIA RNA"|306.00|$87.00|$19.49|$74.63|$61.00|$34.80|$30.62|$19.49||$34.80|$69.60|$49.42||$26.54|$33.06|$53.33|$55.00|||$56.00|$52.00|$74.63|$29.58|$38.03|$42.25|$32.63|$32.08|$22.06|$22.06
"CPT® 87591"|"HB FDA, GC RNA"|306.00|$87.00|$19.49|$74.63|$61.00|$34.80|$30.62|$19.49||$34.80|$69.60|$49.42||$26.54|$33.06|$53.33|$55.00|||$56.00|$52.00|$74.63|$29.58|$38.03|$42.25|$32.63|$32.08|$22.06|$22.06
"CPT® 87476"|"HB LYME DISEASE, PCR, FLUID"|306.00|$1495.00|$52.00|$1196.00|$1046.00|$598.00|$526.24|$334.88||$598.00|$1196.00|$849.16||$455.98|$568.10|$916.44|$55.00|||$56.00|$52.00|$74.63|$509.08|$654.53|$727.25|$560.63|$551.21|$379.13|$379.13
"CPT® 87556"|"HB MYCOBACTERIA TUBERCULOSIS COMPLEX PCR"|306.00|$1417.00|$52.00|$1133.60|$992.00|$566.80|$498.78|$317.41||$566.80|$1133.60|$804.86||$432.19|$538.46|$868.62|$55.00|||$56.00|$52.00|$74.63|$482.48|$620.33|$689.25|$531.38|$522.45|$359.35|$359.35
"CPT® 87798"|"HB TOXOPLASMA DNA, PCR"|306.00|$97.00|$21.73|$77.60|$68.00|$38.80|$34.14|$21.73||$38.80|$77.60|$55.10||$29.59|$36.86|$59.46|$55.00|||$56.00|$52.00|$74.63|$33.08|$42.53|$47.25|$36.38|$35.76|$24.60|$24.60
"CPT® 87999"|"HB TROFILE- HIV CORECEPTOR TROPISM ASSAY"|306.00|$6990.00|$19.05|$5592.00|$4893.00|$2796.00|$2460.48|$1565.76||$2796.00|$5592.00|$3970.32||$2131.95|$2656.20|$4284.87|$55.00|||$56.00|$52.00|$19.05|$1126.68|$1614.90|$1794.34|$2621.25|$2577.21|$1772.66|$1772.66
"CPT® 87798"|"HB VARICELLA ZOSTER VIRUS DNA, QUALITATIVE"|306.00|$1160.00|$52.00|$928.00|$812.00|$464.00|$408.32|$259.84||$464.00|$928.00|$658.88||$353.80|$440.80|$711.08|$55.00|||$56.00|$52.00|$74.63|$395.15|$508.05|$564.50|$435.00|$427.69|$294.18|$294.18
"CPT® 87799"|"HB VARICELLA ZOSTER VIRUS QUANTITATIVE PCR"|306.00|$724.00|$52.00|$579.20|$507.00|$289.60|$254.85|$162.18||$289.60|$579.20|$411.23||$220.82|$275.12|$443.81|$55.00|||$56.00|$52.00|$90.77|$246.58|$317.03|$352.25|$271.50|$266.94|$183.61|$183.61
"CPT® 87799"|"HB EPSTEIN-BARR VIRUS, PCR, QUANT"|306.00|$640.00|$52.00|$512.00|$448.00|$256.00|$225.28|$143.36||$256.00|$512.00|$363.52||$195.20|$243.20|$392.32|$55.00|||$56.00|$52.00|$90.77|$218.05|$280.35|$311.50|$240.00|$235.97|$162.30|$162.30
"CPT® 87109"|"HB CULTURE: MYCOPLASMA HOMINS / UREAPLASMA UREALYTICUM"|306.00|$164.00|$32.85|$131.20|$115.00|$65.60|$57.73|$36.74||$65.60|$131.20|$93.15||$50.02|$62.32|$100.53|$55.00|||$56.00|$52.00|$32.85|$60.73|$77.03|$85.58|$61.50|$60.47|$41.59|$41.59
"CPT® 87109"|"HB CULTURE: MYCOPLASMA PNEUMONIAE"|306.00|$270.00|$32.85|$216.00|$189.00|$108.00|$95.04|$60.48||$108.00|$216.00|$153.36||$82.35|$102.60|$165.51|$55.00|||$56.00|$52.00|$32.85|$99.86|$126.68|$140.75|$101.25|$99.55|$68.47|$68.47
"CPT® 87081"|"HB CULTURE:BORDETELLA PERTUSSIS/PARAPERTUSSIS"|306.00|$210.00|$13.92|$168.00|$147.00|$84.00|$73.92|$47.04||$84.00|$168.00|$119.28||$64.05|$79.80|$128.73|$55.00|||$56.00|$52.00|$13.92|$78.16|$99.08|$110.08|$78.75|$77.43|$53.26|$53.26
"CPT® 87496"|"HB CYTOMEGALOVIRUS (CMV) DNA, QUAL PCR"|306.00|$689.00|$52.00|$551.20|$482.00|$275.60|$242.53|$154.34||$275.60|$551.20|$391.35||$210.15|$261.82|$422.36|$55.00|||$56.00|$52.00|$74.63|$256.27|$324.83|$360.92|$258.38|$254.03|$174.73|$174.73
"CPT® 86682"|"HB ECHINOCOCCUS AB IGG EIA"|306.00|$368.00|$27.29|$294.40|$258.00|$147.20|$129.54|$82.43||$147.20|$294.40|$209.02||$112.24|$139.84|$225.58|$55.00|||$56.00|$52.00|$27.29|$137.48|$174.90|$194.33|$138.00|$135.68|$93.32|$93.32
"CPT® 87491"|"HB CHLAMYDIA TRACHOMATIS"|306.00|$189.00|$42.34|$151.20|$132.00|$75.60|$66.53|$42.34||$75.60|$151.20|$107.35||$57.65|$71.82|$115.86|$55.00|||$56.00|$52.00|$74.63|$70.42|$89.25|$99.17|$70.88|$69.68|$47.93|$47.93
"CPT® 87591"|"HB NEISSERIA GONORRHOEAE"|306.00|$189.00|$42.34|$151.20|$132.00|$75.60|$66.53|$42.34||$75.60|$151.20|$107.35||$57.65|$71.82|$115.86|$55.00|||$56.00|$52.00|$74.63|$70.42|$89.25|$99.17|$70.88|$69.68|$47.93|$47.93
"CPT® 87799"|"HB JC POLYOMA VIRUS DNA, QUANT RT/PCR, BLOOD"|306.00|$1273.00|$52.00|$1018.40|$891.00|$509.20|$448.10|$285.15||$509.20|$1018.40|$723.06||$388.27|$483.74|$780.35|$55.00|||$56.00|$52.00|$90.77|$474.36|$601.13|$667.92|$477.38|$469.36|$322.83|$322.83
"CPT® 87801"|"HB LYME DISEASE DNA,QUAL,RT-PCR,TICK"|306.00|$2301.00|$52.00|$1840.80|$1611.00|$920.40|$809.95|$515.42||$920.40|$1840.80|$1306.97||$701.81|$874.38|$1410.51|$55.00|||$56.00|$52.00|$148.68|$857.71|$1086.90|$1207.67|$862.88|$848.38|$583.53|$583.53
"CPT® 87799"|"HB ADENOVIRUS PCR, URINE"|306.00|$639.00|$52.00|$511.20|$447.00|$255.60|$224.93|$143.14||$255.60|$511.20|$362.95||$194.90|$242.82|$391.71|$55.00|||$56.00|$52.00|$90.77|$159.67|$217.73|$241.92|$239.63|$235.60|$162.05|$162.05
"CPT® 87798"|"HB ADENOVIRUS PCR QUAL, FECAL"|306.00|$639.00|$52.00|$511.20|$447.00|$255.60|$224.93|$143.14||$255.60|$511.20|$362.95||$194.90|$242.82|$391.71|$55.00|||$56.00|$52.00|$74.63|$159.67|$217.73|$241.92|$239.63|$235.60|$162.05|$162.05
"CPT® 87496"|"HB CYTOMEGALOVIRUS PCR QUAL, FECAL"|306.00|$552.00|$52.00|$441.60|$386.00|$220.80|$194.30|$123.65||$220.80|$441.60|$313.54||$168.36|$209.76|$338.38|$55.00|||$56.00|$52.00|$74.63|$137.97|$188.10|$209.00|$207.00|$203.52|$139.99|$139.99
"CPT® 87497"|"HB CYTOMEGALOVIRUS PCR QUANT, AQUEOUS FLUID"|306.00|$552.00|$52.00|$441.60|$386.00|$220.80|$194.30|$123.65||$220.80|$441.60|$313.54||$168.36|$209.76|$338.38|$55.00|||$56.00|$52.00|$90.77|$137.97|$188.10|$209.00|$207.00|$203.52|$139.99|$139.99
"CPT® 87910"|"HB CYTOMEGALOVIRUS ANTIVIRAL RESISTANCE"|306.00|$2544.00|$52.00|$2035.20|$1781.00|$1017.60|$895.49|$569.86||$1017.60|$2035.20|$1444.99||$775.92|$966.72|$1559.47|$55.00|||$56.00|$52.00|$545.18|$635.92|$867.00|$963.34|$954.00|$937.97|$645.16|$645.16
"CPT® 87530"|"HB HERPES SIMPLEX VIRUS 1/2 PCR QUANT, BLOOD"|306.00|$708.00|$52.00|$566.40|$496.00|$283.20|$249.22|$158.59||$283.20|$566.40|$402.14||$215.94|$269.04|$434.00|$55.00|||$56.00|$52.00|$90.77|$104.47|$151.65|$168.50|$265.50|$261.04|$179.55|$179.55
"CPT® 87530"|"HB HERPES SIMPLEX VIRUS 1/2 PCR QUANT, AQUEOUS FLUID"|306.00|$708.00|$52.00|$566.40|$496.00|$283.20|$249.22|$158.59||$283.20|$566.40|$402.14||$215.94|$269.04|$434.00|$55.00|||$56.00|$52.00|$90.77|$104.47|$151.65|$168.50|$265.50|$261.04|$179.55|$179.55
"CPT® 87533"|"HB HUMAN HERPES VIRUS 6 PCR QUANT, CSF"|306.00|$708.00|$52.00|$566.40|$496.00|$283.20|$249.22|$158.59||$283.20|$566.40|$402.14||$215.94|$269.04|$434.00|$55.00|||$56.00|$52.00|$88.55|$176.96|$241.28|$268.09|$265.50|$261.04|$179.55|$179.55
"CPT® 87521"|"HB DONOR, HCV-NAT, REFLEX"|306.00|$2989.00|$52.00|$2391.20|$2092.00|$1195.60|$1052.13|$669.54||$1195.60|$2391.20|$1697.75||$911.65|$1135.82|$1832.26|$55.00|||$56.00|$52.00|$74.63|$1017.98|$1308.83|$1454.25|$1120.88|$1102.04|$758.01|$758.01
"CPT® 87265"|"HB BORDETELLA PERTUSSIS/PARAPERTUSSIS, DFA"|306.00|$207.00|$25.62|$165.60|$145.00|$82.80|$72.86|$46.37||$82.80|$165.60|$117.58||$63.14|$78.66|$126.89|$82.01|||$56.00|$52.00|$25.62|$70.53|$90.68|$100.75|$77.63|$76.32|$52.50|$52.50
"CPT® 87498"|"HB ENTEROVIRUS RNA QUAL PCR"|306.00|$1719.00|$52.00|$1375.20|$1203.00|$687.60|$605.09|$385.06||$687.60|$1375.20|$976.39||$524.30|$653.22|$1053.75|$55.00|||$56.00|$52.00|$74.63|$585.55|$752.85|$836.50|$644.63|$633.80|$435.94|$435.94
"CPT® 87278"|"HB LEGIONELLA DETECTION, DFA"|306.00|$802.00|$25.62|$641.60|$561.00|$320.80|$282.30|$179.65||$320.80|$641.60|$455.54||$244.61|$304.76|$491.63|$317.75|||$56.00|$52.00|$25.62|$273.18|$351.23|$390.25|$300.75|$295.70|$203.39|$203.39
"CPT® 87536"|"HB HIV-1, QUANT, RT PCR (GRAPHICAL)"|306.00|$372.00|$52.00|$297.60|$260.00|$148.80|$130.94|$83.33||$148.80|$297.60|$211.30||$113.46|$141.36|$228.04|$55.00|||$56.00|$52.00|$180.42|$92.96|$126.75|$140.83|$139.50|$137.16|$94.34|$94.34
"CPT® 87491"|"HB CHLAMYDIA TRACHOMATIS, CONJUNCTIVAL SWAB, NAA"|306.00|$189.00|$42.34|$151.20|$132.00|$75.60|$66.53|$42.34||$75.60|$151.20|$107.35||$57.65|$71.82|$115.86|$55.00|||$56.00|$52.00|$74.63|$47.32|$64.50|$71.67|$70.88|$69.68|$47.93|$47.93
"CPT® 87522"|"HB HCV QUANTASURE (NGI)"|306.00|$1062.00|$52.00|$849.60|$743.00|$424.80|$373.82|$237.89||$424.80|$849.60|$603.22||$323.91|$403.56|$651.01|$55.00|||$56.00|$52.00|$90.77|$265.30|$361.72|$401.92|$398.25|$391.56|$269.32|$269.32
"CPT® 86677"|"HB HELICOBACTER PYLORI ANTIBODY IGM"|306.00|$131.00|$29.34|$104.80|$92.00|$52.40|$46.11|$29.34||$52.40|$104.80|$74.41||$39.96|$49.78|$80.30|$55.00|||$56.00|$52.00|$30.63|$32.90|$45.08|$50.09|$49.13|$48.30|$33.22|$33.22
"CPT® 86677"|"HB HELICOBACTER PYLORI ANTIBODY, IGA"|306.00|$144.00|$30.63|$115.20|$101.00|$57.60|$50.69|$32.26||$57.60|$115.20|$81.79||$43.92|$54.72|$88.27|$55.00|||$56.00|$52.00|$30.63|$36.33|$49.73|$55.25|$54.00|$53.09|$36.52|$36.52
"CPT® 86022"|"HB HEPARIN PF4 EIA/ REFLEX SRA"|306.00|$223.00|$38.99|$178.40|$156.00|$89.20|$78.50|$49.95||$89.20|$178.40|$126.66||$68.02|$84.74|$136.70|$55.00|||$56.00|$52.00|$38.99|$56.14|$76.88|$85.42|$83.63|$82.22|$56.55|$56.55
"CPT® 86698"|"HB HISTOPLASMA AB,QUANT"|306.00|$216.00|$26.73|$172.80|$151.00|$86.40|$76.03|$48.38||$86.40|$172.80|$122.69||$65.88|$82.08|$132.41|$55.00|||$56.00|$52.00|$26.73|$54.39|$74.47|$82.75|$81.00|$79.64|$54.78|$54.78
"CPT® 87270"|"HB CHLAMYDIA TRACHOMATIS ANTIGEN, DFA"|306.00|$255.00|$25.62|$204.00|$178.00|$102.00|$89.76|$57.12||$102.00|$204.00|$144.84||$77.78|$96.90|$156.32|$101.03|||$56.00|$52.00|$25.62|$63.77|$86.93|$96.59|$95.63|$94.02|$64.67|$64.67
"CPT® 87350"|"HB HEPATITIS BE ANTIGEN"|306.00|$148.00|$24.50|$118.40|$104.00|$59.20|$52.10|$33.15||$59.20|$118.40|$84.06||$45.14|$56.24|$90.72|$55.00|||$56.00|$52.00|$24.50|$37.17|$50.63|$56.25|$55.50|$54.57|$37.53|$37.53
"CPT® 87538"|"HB HIV-2 AMPLIFIED PROBE"|306.00|$1635.00|$52.00|$1308.00|$1144.00|$654.00|$575.52|$366.24||$654.00|$1308.00|$928.68||$498.68|$621.30|$1002.26|$55.00|||$56.00|$52.00|$74.63|$408.49|$556.95|$618.84|$613.13|$602.82|$414.64|$414.64
"CPT® 87624"|"HB HPV DNA, HIGH RISK"|306.00|$351.00|$52.00|$280.80|$246.00|$140.40|$123.55|$78.62||$140.40|$280.80|$199.37||$107.06|$133.38|$215.16|$55.00|||$56.00|$52.00|$74.63|$87.75|$119.63|$132.92|$131.63|$129.41|$89.01|$89.01
"CPT® 87798"|"HB PNEUMOCYSTIS JIROVECII, QUAL, RT-PCR"|306.00|$2197.00|$52.00|$1757.60|$1538.00|$878.80|$773.34|$492.13||$878.80|$1757.60|$1247.90||$670.09|$834.86|$1346.76|$55.00|||$56.00|$52.00|$74.63|$549.05|$748.58|$831.75|$823.88|$810.03|$557.16|$557.16
"CPT® 87799"|"HB PNEUMOCYSTIS JIROVECII, QUANT, RT-PCR"|306.00|$2328.00|$52.00|$1862.40|$1630.00|$931.20|$819.46|$521.47||$931.20|$1862.40|$1322.30||$710.04|$884.64|$1427.06|$55.00|||$56.00|$52.00|$90.77|$581.70|$793.12|$881.25|$873.00|$858.33|$590.38|$590.38
"CPT® 87280"|"HB RESPIRATORY SYNCYTIAL VIRUS, DFA"|306.00|$179.00|$25.62|$143.20|$125.00|$71.60|$63.01|$40.10||$71.60|$143.20|$101.67||$54.60|$68.02|$109.73|$55.00|||$56.00|$52.00|$25.62|$44.77|$61.05|$67.84|$67.13|$66.00|$45.39|$45.39
"CPT® 87491"|"HB VAG SCREEN, CHLAMYDIA TRACHOMATIS, AMP PROBE"|306.00|$386.00|$52.00|$308.80|$270.00|$154.40|$135.87|$86.46||$154.40|$308.80|$219.25||$117.73|$146.68|$236.62|$55.00|||$56.00|$52.00|$74.63|$96.43|$131.48|$146.08|$144.75|$142.32|$97.89|$97.89
"CPT® 87512"|"HB VAG SCREEN, GARDNERELLA VAGINALIS, QUANT"|306.00|$458.00|$52.00|$366.40|$321.00|$183.20|$161.22|$102.59||$183.20|$366.40|$260.14||$139.69|$174.04|$280.75|$55.00|||$56.00|$52.00|$88.55|$114.35|$155.93|$173.25|$171.75|$168.86|$116.15|$116.15
"CPT® 87591"|"HB VAG SCREEN, NEISSERIA GONORRHOEAE, AMP PROBE"|306.00|$460.00|$52.00|$368.00|$322.00|$184.00|$161.92|$103.04||$184.00|$368.00|$261.28||$140.30|$174.80|$281.98|$55.00|||$56.00|$52.00|$74.63|$114.91|$156.68|$174.08|$172.50|$169.60|$116.66|$116.66
"CPT® 87661"|"HB VAG SCREEN, TRICHOMONAS VAGINALIS, AMP PROBE"|306.00|$460.00|$52.00|$368.00|$322.00|$184.00|$161.92|$103.04||$184.00|$368.00|$261.28||$140.30|$174.80|$281.98|$55.00|||$56.00|$52.00|$74.63|$114.91|$156.68|$174.08|$172.50|$169.60|$116.66|$116.66
"CPT® 87799"|"HB VAG SCREEN, QUANT, EA ORGANISM"|306.00|$559.00|$52.00|$447.20|$391.00|$223.60|$196.77|$125.22||$223.60|$447.20|$317.51||$170.50|$212.42|$342.67|$55.00|||$56.00|$52.00|$90.77|$139.72|$190.50|$211.67|$209.63|$206.10|$141.76|$141.76
"CPT® 87481"|"HB VAG SCREEN, CANDIDA SPECIES, AMP PROBE"|306.00|$460.00|$52.00|$368.00|$322.00|$184.00|$161.92|$103.04||$184.00|$368.00|$261.28||$140.30|$174.80|$281.98|$55.00|||$56.00|$52.00|$74.63|$114.91|$156.68|$174.08|$172.50|$169.60|$116.66|$116.66
"CPT® 87899"|"HB NEISSERIA MENINGITIDIS ANTIGEN"|306.00|$143.00|$25.62|$114.40|$100.00|$57.20|$50.34|$32.03||$57.20|$114.40|$81.22||$43.62|$54.34|$87.66|$55.00|||$56.00|$52.00|$25.62|$35.77|$48.75|$54.17|$53.63|$52.72|$36.26|$36.26
"CPT® 87491"|"HB CHLAMYDIA TRACHOMATIS, CONJUNCTIVAL SWAB, NAA"|306.00|$318.00|$52.00|$254.40|$223.00|$127.20|$111.94|$71.23||$127.20|$254.40|$180.62||$96.99|$120.84|$194.93|$55.00|||$56.00|$52.00|$74.63|$79.42|$108.30|$120.34|$119.25|$117.25|$80.64|$80.64
"CPT® 87499"|"HB CLOSTRIDIUM DIFFICILE, GDH ANTIGEN"|306.00|$207.00|$46.37|$165.60|$145.00|$82.80|$72.86|$46.37||$82.80|$165.60|$117.58||$63.14|$78.66|$126.89|$82.01|||$56.00|$52.00|$46.45|$52.96|$72.08|$80.08|$77.63|$76.32|$52.50|$52.50
"CPT® 87324"|"HB CLOSTRIDIUM DIFFICILE, TOXIN"|306.00|$212.00|$25.62|$169.60|$148.00|$84.80|$74.62|$47.49||$84.80|$169.60|$120.42||$64.66|$80.56|$129.96|$55.00|||$56.00|$52.00|$25.62|$53.10|$72.38|$80.42|$79.50|$78.16|$53.76|$53.76
"CPT® 87661"|"HB TRICHOMONAS VAGINALIS RNA, QUAL TMA, MALE URINE"|306.00|$769.00|$52.00|$615.20|$538.00|$307.60|$270.69|$172.26||$307.60|$615.20|$436.79||$234.55|$292.22|$471.40|$55.00|||$56.00|$52.00|$74.63|$192.22|$262.05|$291.17|$288.38|$283.53|$195.02|$195.02
"CPT® 87517"|"HB HEPATITIS B VIRUS DNA QUANT PCR"|306.00|$277.00|$52.00|$221.60|$194.00|$110.80|$97.50|$62.05||$110.80|$221.60|$157.34||$84.49|$105.26|$169.80|$55.00|||$56.00|$52.00|$90.77|$69.27|$94.43|$104.92|$103.88|$102.13|$70.25|$70.25
"CPT® 87425"|"HB ROTAVIRUS ANTIGEN"|306.00|$51.00|$11.42|$51.00|$36.00|$20.40|$17.95|$11.42||$20.40|$40.80|$28.97||$15.56|$19.38|$31.26|$51.00|||$51.00|$51.00|$25.62|$17.85|$22.95|$25.50|$19.13|$18.80|$12.93|$12.93
"CPT® 87210"|"HB WET PREP, VAGINAL (POC)"|306.00|$63.00|$8.91|$56.00|$44.00|$25.20|$22.18|$14.11||$25.20|$50.40|$35.78||$19.22|$23.94|$38.62|$55.00|||$56.00|$52.00|$8.91|$21.35|$27.45|$30.50|$23.63|$23.23|$15.98|$15.98
"CPT® 87210"|"HB KOH PREP (POC)"|306.00|$106.00|$8.91|$84.80|$74.00|$42.40|$37.31|$23.74||$42.40|$84.80|$60.21||$32.33|$40.28|$64.98|$55.00|||$56.00|$52.00|$8.91|$36.05|$46.35|$51.50|$39.75|$39.08|$26.88|$26.88
"CPT® 87880"|"HB POCT STREP A ANTIGEN TEST"|306.00|$76.00|$17.02|$60.80|$53.00|$30.40|$26.75|$17.02||$30.40|$60.80|$43.17||$23.18|$28.88|$46.59|$55.00|||$56.00|$52.00|$25.62|$26.60|$34.20|$38.00|$28.50|$28.02|$19.27|$19.27
"CPT® 87502"|"HB POCT INFLUENZA A/B NAT"|306.00|$149.00|$33.38|$149.00|$104.00|$59.60|$52.45|$33.38||$59.60|$119.20|$84.63||$45.45|$56.62|$91.34|$55.00|||$56.00|$52.00|$149.00|$52.15|$67.05|$74.50|$55.88|$54.94|$37.79|$37.79
"CPT® 87798"|"HB EBOLA VIRUS PCR"|306.00|$3465.00|$52.00|$2772.00|$2426.00|$1386.00|$1219.68|$776.16||$1386.00|$2772.00|$1968.12||$1056.83|$1316.70|$2124.05|$55.00|||$56.00|$52.00|$74.63|$1180.03|$1517.18|$1685.75|$1299.38|$1277.55|$878.72|$878.72
"CPT® 87633"|"HB IRESPIRATORY MULT PCR PANEL"|306.00|$1155.00|$52.00|$924.00|$808.00|$462.00|$406.56|$258.72||$462.00|$924.00|$656.04||$352.28|$438.90|$708.02|$55.00|||$56.00|$52.00|$883.20|$393.40|$505.80|$562.00|$433.13|$425.85|$292.91|$292.91
"CPT® 87040"|"HB BLOOD CULTURE FOR BACTERIA; AEROBIC"|306.00|$460.00|$21.72|$368.00|$322.00|$184.00|$161.92|$103.04||$184.00|$368.00|$261.28||$140.30|$174.80|$281.98|$55.00|||$56.00|$52.00|$21.72|$156.63|$201.38|$223.75|$172.50|$169.60|$116.66|$116.66
"CPT® 87070"|"HB CULTURE OTHER SPECIMEN; AEROBIC"|306.00|$460.00|$18.38|$368.00|$322.00|$184.00|$161.92|$103.04||$184.00|$368.00|$261.28||$140.30|$174.80|$281.98|$55.00|||$56.00|$52.00|$18.38|$156.63|$201.38|$223.75|$172.50|$169.60|$116.66|$116.66
"CPT® 87086"|"HB URINE CULTURE; BACTERIAL; QUANTITATIVE COLONY COUNT"|306.00|$460.00|$17.27|$368.00|$322.00|$184.00|$161.92|$103.04||$184.00|$368.00|$261.28||$140.30|$174.80|$281.98|$55.00|||$56.00|$52.00|$17.27|$156.63|$201.38|$223.75|$172.50|$169.60|$116.66|$116.66
"CPT® 87101"|"HB SKIN FUNGAL CULTURE"|306.00|$460.00|$16.16|$368.00|$322.00|$184.00|$161.92|$103.04||$184.00|$368.00|$261.28||$140.30|$174.80|$281.98|$55.00|||$56.00|$52.00|$16.16|$156.63|$201.38|$223.75|$172.50|$169.60|$116.66|$116.66
"CPT® 87205"|"HB VAGINITIS SCREEN"|306.00|$460.00|$8.91|$368.00|$322.00|$184.00|$161.92|$103.04||$184.00|$368.00|$261.28||$140.30|$174.80|$281.98|$55.00|||$56.00|$52.00|$8.91|$156.63|$201.38|$223.75|$172.50|$169.60|$116.66|$116.66
"CPT® 87210"|"HB SMEAR WET MOUNT"|306.00|$40.00|$8.91|$40.00|$28.00|$16.00|$14.08|$8.96||$16.00|$32.00|$22.72||$12.20|$15.20|$24.52|$40.00|||$40.00|$40.00|$8.91|$13.48|$17.33|$19.25|$15.00|$14.75|$10.14|$10.14
"CPT® 87491"|"HB CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECHNIQUE"|306.00|$460.00|$52.00|$368.00|$322.00|$184.00|$161.92|$103.04||$184.00|$368.00|$261.28||$140.30|$174.80|$281.98|$55.00|||$56.00|$52.00|$74.63|$156.63|$201.38|$223.75|$172.50|$169.60|$116.66|$116.66
"CPT® 87624"|"HB HUMAN PAPILLOMA VIRUS, DIRECT PROBE"|306.00|$228.00|$51.07|$182.40|$160.00|$91.20|$80.26|$51.07||$91.20|$182.40|$129.50||$69.54|$86.64|$139.76|$55.00|||$56.00|$52.00|$74.63|$56.87|$77.55|$86.17|$85.50|$84.06|$57.82|$57.82
"CPT® 87799"|"HB BK VIRUS QUANTITATIVE VIRAL LOAD, BLOOD"|306.00|$560.00|$52.00|$448.00|$392.00|$224.00|$197.12|$125.44||$224.00|$448.00|$318.08||$170.80|$212.80|$343.28|$55.00|||$56.00|$52.00|$90.77|$126.07|$175.95|$195.50|$210.00|$206.47|$142.02|$142.02
"CPT® 87493"|"HB C. DIFFICILE PCR"|306.00|$361.00|$52.00|$288.80|$253.00|$144.40|$127.07|$80.86||$144.40|$288.80|$205.05||$110.11|$137.18|$221.29|$55.00|||$56.00|$52.00|$74.63|$75.81|$107.55|$119.50|$135.38|$133.10|$91.55|$91.55
"CPT® 87491"|"HB CHLAMYDIA TRACHOMATIS PCR"|306.00|$456.00|$52.00|$364.80|$319.00|$182.40|$160.51|$102.14||$182.40|$364.80|$259.01||$139.08|$173.28|$279.53|$55.00|||$56.00|$52.00|$74.63|$102.76|$143.40|$159.33|$171.00|$168.13|$115.64|$115.64
"CPT® 87798"|"HB JC VIRUS DNA, PCR"|306.00|$1042.00|$52.00|$833.60|$729.00|$416.80|$366.78|$233.41||$416.80|$833.60|$591.86||$317.81|$395.96|$638.75|$55.00|||$56.00|$52.00|$74.63|$233.38|$326.10|$362.33|$390.75|$384.19|$264.25|$264.25
"CPT® 87798"|"HB NOROVIRUS RNA, QUALITATIVE PCR"|306.00|$894.00|$52.00|$715.20|$626.00|$357.60|$314.69|$200.26||$357.60|$715.20|$507.79||$272.67|$339.72|$548.02|$55.00|||$56.00|$52.00|$74.63|$223.44|$304.65|$338.50|$335.25|$329.62|$226.72|$226.72
"CPT® 87799"|"HB VARICELLA ZOSTER PCR, QUANTITATIVE, CSF"|306.00|$560.00|$52.00|$448.00|$392.00|$224.00|$197.12|$125.44||$224.00|$448.00|$318.08||$170.80|$212.80|$343.28|$55.00|||$56.00|$52.00|$90.77|$124.39|$174.15|$193.50|$210.00|$206.47|$142.02|$142.02
"CPT® 87798"|"HB VARICELLA ZOSTER PCR, QUALITATIVE"|306.00|$990.00|$52.00|$792.00|$693.00|$396.00|$348.48|$221.76||$396.00|$792.00|$562.32||$301.95|$376.20|$606.87|$55.00|||$56.00|$52.00|$74.63|$229.85|$318.53|$353.92|$371.25|$365.01|$251.06|$251.06
"CPT® 87798"|"HB MULTIPLEX RT-PCR PANEL-ZIKA VIRUS"|306.00|$559.00|$52.00|$447.20|$391.00|$223.60|$196.77|$125.22||$223.60|$447.20|$317.51||$170.50|$212.42|$342.67|$55.00|||$56.00|$52.00|$74.63|$139.72|$190.50|$211.67|$209.63|$206.10|$141.76|$141.76
"CPT® 87798"|"HB MULTIPLEX RT-PCR PANEL-CHIKUGUNYA VIRUS"|306.00|$559.00|$52.00|$447.20|$391.00|$223.60|$196.77|$125.22||$223.60|$447.20|$317.51||$170.50|$212.42|$342.67|$55.00|||$56.00|$52.00|$74.63|$139.72|$190.50|$211.67|$209.63|$206.10|$141.76|$141.76
"CPT® 87798"|"HB MULTIPLEX RT-PCR PANEL-DENGUE VIRUS"|306.00|$559.00|$52.00|$447.20|$391.00|$223.60|$196.77|$125.22||$223.60|$447.20|$317.51||$170.50|$212.42|$342.67|$55.00|||$56.00|$52.00|$74.63|$139.72|$190.50|$211.67|$209.63|$206.10|$141.76|$141.76
"CPT® 87305"|"HB ASPERGILLUS GALACTOMANAN ANTIGEN"|306.00|$163.00|$25.62|$130.40|$114.00|$65.20|$57.38|$36.51||$65.20|$130.40|$92.58||$49.72|$61.94|$99.92|$55.00|||$56.00|$52.00|$25.62|$35.74|$50.18|$55.75|$61.13|$60.10|$41.34|$41.34
"CPT® 87798"|"HB BORDETELLA PERTUSSIS DNA QUAL BY PCR"|306.00|$162.00|$36.29|$129.60|$113.00|$64.80|$57.02|$36.29||$64.80|$129.60|$92.02||$49.41|$61.56|$99.31|$55.00|||$56.00|$52.00|$74.63|$40.43|$55.13|$61.25|$60.75|$59.73|$41.08|$41.08
"CPT® 87497"|"HB CMV, PCR, AMNIOTIC FLUID"|306.00|$590.00|$52.00|$472.00|$413.00|$236.00|$207.68|$132.16||$236.00|$472.00|$335.12||$179.95|$224.20|$361.67|$55.00|||$56.00|$52.00|$90.77|$128.10|$180.30|$200.33|$221.25|$217.53|$149.62|$149.62
"CPT® 87496"|"HB CMV, PCR, URINE"|306.00|$254.00|$52.00|$203.20|$178.00|$101.60|$89.41|$56.90||$101.60|$203.20|$144.27||$77.47|$96.52|$155.70|$55.00|||$56.00|$52.00|$74.63|$63.49|$86.55|$96.17|$95.25|$93.65|$64.41|$64.41
"CPT® 87498"|"HB ENTEROVIRUS RNA QUAL, PCR"|306.00|$458.00|$52.00|$366.40|$321.00|$183.20|$161.22|$102.59||$183.20|$366.40|$260.14||$139.69|$174.04|$280.75|$55.00|||$56.00|$52.00|$74.63|$103.15|$143.93|$159.92|$171.75|$168.86|$116.15|$116.15
"CPT® 87522"|"HB HCV PCR QUANTITATION"|306.00|$190.00|$42.56|$336.50|$133.00|$76.00|$66.88|$42.56||$76.00|$152.00|$107.92||$57.95|$72.20|$116.47|$55.00|||$56.00|$52.00|$90.77|$269.71|$302.85|$336.50|$71.25|$70.05|$48.18|$48.18
"CPT® 87517"|"HB HEPATITIS B VIRUS VIRAL LOAD PCR"|306.00|$590.00|$52.00|$472.00|$413.00|$236.00|$207.68|$132.16||$236.00|$472.00|$335.12||$179.95|$224.20|$361.67|$55.00|||$56.00|$52.00|$90.77|$128.10|$180.30|$200.33|$221.25|$217.53|$149.62|$149.62
"CPT® 87529"|"HB HERPES SIMPLEX VIRUS BY PCR"|306.00|$482.00|$52.00|$385.60|$337.00|$192.80|$169.66|$107.97||$192.80|$385.60|$273.78||$147.01|$183.16|$295.47|$55.00|||$56.00|$52.00|$74.63|$104.79|$147.45|$163.83|$180.75|$177.71|$122.24|$122.24
"CPT® 87529"|"HB HERPES SIMPLEX VIRUS TYPE 1, PCR"|306.00|$389.00|$52.00|$311.20|$272.00|$155.60|$136.93|$87.14||$155.60|$311.20|$220.95||$118.65|$147.82|$238.46|$55.00|||$56.00|$52.00|$74.63|$97.26|$132.60|$147.34|$145.88|$143.42|$98.65|$98.65
"CPT® 87529"|"HB HERPES SIMPLEX VIRUS TYPE 2, PCR"|306.00|$389.00|$52.00|$311.20|$272.00|$155.60|$136.93|$87.14||$155.60|$311.20|$220.95||$118.65|$147.82|$238.46|$55.00|||$56.00|$52.00|$74.63|$97.26|$132.60|$147.34|$145.88|$143.42|$98.65|$98.65
"CPT® 87385"|"HB HISTOPLASMA ANTIGEN URINE LF"|306.00|$353.00|$25.62|$282.40|$247.00|$141.20|$124.26|$79.07||$141.20|$282.40|$200.50||$107.67|$134.14|$216.39|$55.00|||$56.00|$52.00|$25.62|$76.97|$108.23|$120.25|$132.38|$130.15|$89.52|$89.52
"CPT® 86701"|"HB HIV-1 ANTIBODY MULTISPOT"|306.00|$174.00|$18.93|$139.20|$122.00|$69.60|$61.25|$38.98||$69.60|$139.20|$98.83||$53.07|$66.12|$106.66|$55.00|||$56.00|$52.00|$18.93|$43.68|$59.85|$66.50|$65.25|$64.15|$44.13|$44.13
"CPT® 86702"|"HB HIV-2 ANTIBODY MULTISPOT"|306.00|$174.00|$28.40|$139.20|$122.00|$69.60|$61.25|$38.98||$69.60|$139.20|$98.83||$53.07|$66.12|$106.66|$55.00|||$56.00|$52.00|$28.40|$43.68|$59.85|$66.50|$65.25|$64.15|$44.13|$44.13
"CPT® 86701"|"HB EXPOSURE HIV-1 ANTIBODY MULTISPOT"|306.00|$174.00|$18.93|$139.20|$122.00|$69.60|$61.25|$38.98||$69.60|$139.20|$98.83||$53.07|$66.12|$106.66|$55.00|||$56.00|$52.00|$18.93|$43.68|$59.85|$66.50|$65.25|$64.15|$44.13|$44.13
"CPT® 86702"|"HB EXPOSURE HIV-2 ANTIBODY MULTISPOT"|306.00|$174.00|$28.40|$139.20|$122.00|$69.60|$61.25|$38.98||$69.60|$139.20|$98.83||$53.07|$66.12|$106.66|$55.00|||$56.00|$52.00|$28.40|$43.68|$59.85|$66.50|$65.25|$64.15|$44.13|$44.13
"CPT® 87631"|"HB INFLUENZA A/B & RSV BY PCR"|306.00|$321.00|$52.00|$256.80|$225.00|$128.40|$112.99|$71.90||$128.40|$256.80|$182.33||$97.91|$121.98|$196.77|$55.00|||$56.00|$52.00|$229.59|$80.26|$109.43|$121.58|$120.38|$118.35|$81.41|$81.41
"CPT® 87278"|"HB LEGIONELLA DETECTION, DFA"|306.00|$130.00|$25.62|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$51.51|||$56.00|$52.00|$25.62|$31.96|$43.73|$48.58|$48.75|$47.93|$32.97|$32.97
"CPT® 87476"|"HB LYME DISEASE, FLUID"|306.00|$389.00|$52.00|$311.20|$272.00|$155.60|$136.93|$87.14||$155.60|$311.20|$220.95||$118.65|$147.82|$238.46|$55.00|||$56.00|$52.00|$74.63|$98.46|$133.88|$148.75|$145.88|$143.42|$98.65|$98.65
"CPT® 87556"|"HB MYCOBACTERIA TUBERCULOSIS COMPLEX PCR"|306.00|$389.00|$52.00|$311.20|$272.00|$155.60|$136.93|$87.14||$155.60|$311.20|$220.95||$118.65|$147.82|$238.46|$55.00|||$56.00|$52.00|$74.63|$98.46|$133.88|$148.75|$145.88|$143.42|$98.65|$98.65
"CPT® 87556"|"HB MYCOBACTERIUM TUBERCULOSIS PCR"|306.00|$1574.00|$52.00|$1259.20|$1102.00|$629.60|$554.05|$352.58||$629.60|$1259.20|$894.03||$480.07|$598.12|$964.86|$55.00|||$56.00|$52.00|$74.63|$393.44|$536.40|$596.00|$590.25|$580.33|$399.17|$399.17
"CPT® 87591"|"HB NEISSERIA GONORRHOEAE PCR"|306.00|$456.00|$52.00|$364.80|$319.00|$182.40|$160.51|$102.14||$182.40|$364.80|$259.01||$139.08|$173.28|$279.53|$55.00|||$56.00|$52.00|$74.63|$102.76|$143.40|$159.33|$171.00|$168.13|$115.64|$115.64
"CPT® 87281"|"HB PNEUMOCYSTIS JIROVECII, DFA"|306.00|$163.00|$25.62|$130.40|$114.00|$65.20|$57.38|$36.51||$65.20|$130.40|$92.58||$49.72|$61.94|$99.92|$55.00|||$56.00|$52.00|$25.62|$35.74|$50.18|$55.75|$61.13|$60.10|$41.34|$41.34
"CPT® 87798"|"HB VARICELLA ZOSTER VIRUS, PCR"|306.00|$462.00|$52.00|$369.60|$323.00|$184.80|$162.62|$103.49||$184.80|$369.60|$262.42||$140.91|$175.56|$283.21|$55.00|||$56.00|$52.00|$74.63|$115.47|$157.43|$174.92|$173.25|$170.34|$117.16|$117.16
"CPT® 87206"|"HB ACID FAST SMEAR"|306.00|$187.00|$11.13|$149.60|$131.00|$74.80|$65.82|$41.89||$74.80|$149.60|$106.22||$57.04|$71.06|$114.63|$55.00|||$56.00|$52.00|$11.13|$42.14|$58.80|$65.33|$70.13|$68.95|$47.42|$47.42
"CPT® 87149"|"HB AFB IDENTIFICATION CHARGE"|306.00|$594.00|$42.32|$475.20|$416.00|$237.60|$209.09|$133.06||$237.60|$475.20|$337.39||$181.17|$225.72|$364.12|$55.00|||$56.00|$52.00|$42.32|$146.09|$199.87|$222.09|$222.75|$219.01|$150.64|$150.64
"CPT® 87188"|"HB AFB PANEL"|306.00|$154.00|$13.92|$123.20|$108.00|$61.60|$54.21|$34.50||$61.60|$123.20|$87.47||$46.97|$58.52|$94.40|$55.00|||$56.00|$52.00|$13.92|$38.43|$52.43|$58.25|$57.75|$56.78|$39.05|$39.05
"CPT® 87449"|"HB BLASTOMYCES ANTIGEN, URINE"|306.00|$355.00|$25.62|$284.00|$248.00|$142.00|$124.96|$79.52||$142.00|$284.00|$201.64||$108.28|$134.90|$217.62|$55.00|||$56.00|$52.00|$25.62|$80.19|$111.83|$124.25|$133.13|$130.89|$90.03|$90.03
"CPT® 87265"|"HB BORDETELLA PERTUSSIS/PARAPERTUSSIS, DFA"|306.00|$136.00|$25.62|$108.80|$95.00|$54.40|$47.87|$30.46||$54.40|$108.80|$77.25||$41.48|$51.68|$83.37|$53.88|||$56.00|$52.00|$25.62|$33.92|$46.28|$51.42|$51.00|$50.14|$34.49|$34.49
"CPT® 87324"|"HB C. DIFFICILE TOXIN"|306.00|$202.00|$25.62|$161.60|$141.00|$80.80|$71.10|$45.25||$80.80|$161.60|$114.74||$61.61|$76.76|$123.83|$55.00|||$56.00|$52.00|$25.62|$38.26|$55.73|$61.92|$75.75|$74.48|$51.23|$51.23
"CPT® 87046"|"HB CAMPHYLOBACTER ISOLATION"|306.00|$145.00|$20.04|$116.00|$102.00|$58.00|$51.04|$32.48||$58.00|$116.00|$82.36||$44.23|$55.10|$88.89|$55.00|||$56.00|$52.00|$20.04|$31.43|$44.25|$49.17|$54.38|$53.46|$36.77|$36.77
"CPT® 87015"|"HB CONCENTRATION, INFECTIOUS AGENT"|306.00|$130.00|$13.92|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$13.92|$32.94|$44.78|$49.75|$48.75|$47.93|$32.97|$32.97
"CPT® 87449"|"HB C. DIFFICILE, ANTIGEN DETECTION"|306.00|$366.00|$25.62|$292.80|$256.00|$146.40|$128.83|$81.98||$146.40|$292.80|$207.89||$111.63|$139.08|$224.36|$55.00|||$56.00|$52.00|$25.62|$49.46|$79.73|$88.58|$137.25|$134.94|$92.82|$92.82
"CPT® 87070"|"HB CULLTURE, WOUND"|306.00|$293.00|$18.38|$234.40|$205.00|$117.20|$103.14|$65.63||$117.20|$234.40|$166.42||$89.37|$111.34|$179.61|$55.00|||$56.00|$52.00|$18.38|$47.95|$72.75|$80.83|$109.88|$108.03|$74.30|$74.30
"CPT® 87086"|"HB CULTURE, URINE W/COLONY COUNT"|306.00|$294.00|$17.27|$235.20|$206.00|$117.60|$103.49|$65.86||$117.60|$235.20|$166.99||$89.67|$111.72|$180.22|$55.00|||$56.00|$52.00|$17.27|$41.02|$65.40|$72.67|$110.25|$108.40|$74.56|$74.56
"CPT® 87070"|"HB CULTURE, CATHETER TIP"|306.00|$307.00|$18.38|$245.60|$215.00|$122.80|$108.06|$68.77||$122.80|$245.60|$174.38||$93.64|$116.66|$188.19|$55.00|||$56.00|$52.00|$18.38|$48.90|$74.78|$83.08|$115.13|$113.19|$77.86|$77.86
"CPT® 87110"|"HB CULTURE, CHLAMYDIA"|306.00|$424.00|$41.76|$339.20|$297.00|$169.60|$149.25|$94.98||$169.60|$339.20|$240.83||$129.32|$161.12|$259.91|$55.00|||$56.00|$52.00|$41.76|$104.27|$142.65|$158.50|$159.00|$156.33|$107.53|$107.53
"CPT® 87075"|"HB CULTURE, AANAEROBIC"|306.00|$183.00|$20.04|$146.40|$128.00|$73.20|$64.42|$40.99||$73.20|$146.40|$103.94||$55.82|$69.54|$112.18|$55.00|||$56.00|$52.00|$20.04|$39.90|$56.10|$62.33|$68.63|$67.47|$46.41|$46.41
"CPT® 87116"|"HB CULTURE, ACID FAST"|306.00|$355.00|$22.83|$284.00|$248.00|$142.00|$124.96|$79.52||$142.00|$284.00|$201.64||$108.28|$134.90|$217.62|$55.00|||$56.00|$52.00|$22.83|$80.19|$111.83|$124.25|$133.13|$130.89|$90.03|$90.03
"CPT® 87147"|"HB CULTURE, AGGLUTININ/ANTISERUM"|306.00|$130.00|$11.13|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$11.13|$32.38|$44.18|$49.08|$48.75|$47.93|$32.97|$32.97
"CPT® 87081"|"HB CULTURE, BETA STREP"|306.00|$294.00|$13.92|$235.20|$206.00|$117.60|$103.49|$65.86||$117.60|$235.20|$166.99||$89.67|$111.72|$180.22|$55.00|||$56.00|$52.00|$13.92|$36.54|$60.60|$67.33|$110.25|$108.40|$74.56|$74.56
"CPT® 87040"|"HB CULTURE, BLOOD"|306.00|$419.00|$21.72|$335.20|$293.00|$167.60|$147.49|$93.86||$167.60|$335.20|$237.99||$127.80|$159.22|$256.85|$55.00|||$56.00|$52.00|$21.72|$91.28|$128.40|$142.67|$157.13|$154.49|$106.26|$106.26
"CPT® 87103"|"HB CULTURE, BLOOD, FUNGUS"|306.00|$226.00|$18.93|$180.80|$158.00|$90.40|$79.55|$50.62||$90.40|$180.80|$128.37||$68.93|$85.88|$138.54|$55.00|||$56.00|$52.00|$18.93|$55.48|$75.90|$84.34|$84.75|$83.33|$57.31|$57.31
"CPT® 87070"|"HB CULTURE, BONE MARROW"|306.00|$300.00|$18.38|$240.00|$210.00|$120.00|$105.60|$67.20||$120.00|$240.00|$170.40||$91.50|$114.00|$183.90|$55.00|||$56.00|$52.00|$18.38|$66.36|$93.00|$103.33|$112.50|$110.61|$76.08|$76.08
"CPT® 87046"|"HB CULTURE, C. DIFFICILE"|306.00|$272.00|$20.04|$217.60|$190.00|$108.80|$95.74|$60.93||$108.80|$217.60|$154.50||$82.96|$103.36|$166.74|$55.00|||$56.00|$52.00|$20.04|$43.02|$65.93|$73.25|$102.00|$100.29|$68.98|$68.98
"CPT® 87070"|"HB CULTURE, CORNEA"|306.00|$300.00|$18.38|$240.00|$210.00|$120.00|$105.60|$67.20||$120.00|$240.00|$170.40||$91.50|$114.00|$183.90|$55.00|||$56.00|$52.00|$18.38|$41.44|$66.30|$73.67|$112.50|$110.61|$76.08|$76.08
"CPT® 87070"|"HB CULTURE, CSF"|306.00|$307.00|$18.38|$245.60|$215.00|$122.80|$108.06|$68.77||$122.80|$245.60|$174.38||$93.64|$116.66|$188.19|$55.00|||$56.00|$52.00|$18.38|$41.90|$67.28|$74.75|$115.13|$113.19|$77.86|$77.86
"CPT® 87254"|"HB CULTURE, CYTOMEGALOVIRUS"|306.00|$278.00|$41.21|$222.40|$195.00|$111.20|$97.86|$62.27||$111.20|$222.40|$157.90||$84.79|$105.64|$170.41|$55.00|||$56.00|$52.00|$41.21|$68.50|$93.68|$104.08|$104.25|$102.50|$70.50|$70.50
"CPT® 87070"|"HB CULTURE, EAR"|306.00|$300.00|$18.38|$240.00|$210.00|$120.00|$105.60|$67.20||$120.00|$240.00|$170.40||$91.50|$114.00|$183.90|$55.00|||$56.00|$52.00|$18.38|$41.44|$66.30|$73.67|$112.50|$110.61|$76.08|$76.08
"CPT® 87070"|"HB CULTURE, EYE"|306.00|$307.00|$18.38|$245.60|$215.00|$122.80|$108.06|$68.77||$122.80|$245.60|$174.38||$93.64|$116.66|$188.19|$55.00|||$56.00|$52.00|$18.38|$41.90|$67.28|$74.75|$115.13|$113.19|$77.86|$77.86
"CPT® 87070"|"HB CULTURE, FLUID"|306.00|$307.00|$18.38|$245.60|$215.00|$122.80|$108.06|$68.77||$122.80|$245.60|$174.38||$93.64|$116.66|$188.19|$55.00|||$56.00|$52.00|$18.38|$41.90|$67.28|$74.75|$115.13|$113.19|$77.86|$77.86
"CPT® 87102"|"HB CULTURE, FUNGAL"|306.00|$294.00|$17.82|$235.20|$206.00|$117.60|$103.49|$65.86||$117.60|$235.20|$166.99||$89.67|$111.72|$180.22|$55.00|||$56.00|$52.00|$17.82|$46.62|$71.40|$79.33|$110.25|$108.40|$74.56|$74.56
"CPT® 87107"|"HB CULTURE, FUNGUS ID, MOLD"|306.00|$189.00|$21.72|$151.20|$132.00|$75.60|$66.53|$42.34||$75.60|$151.20|$107.35||$57.65|$71.82|$115.86|$55.00|||$56.00|$52.00|$21.72|$47.88|$65.10|$72.33|$70.88|$69.68|$47.93|$47.93
"CPT® 87106"|"HB CULTURE, FUNGUS ID, YEAST"|306.00|$218.00|$21.72|$174.40|$153.00|$87.20|$76.74|$48.83||$87.20|$174.40|$123.82||$66.49|$82.84|$133.63|$55.00|||$56.00|$52.00|$21.72|$35.84|$54.30|$60.33|$81.75|$80.38|$55.28|$55.28
"CPT® 87101"|"HB CULTURE, FUNGUS, SKIN, NAIL, HAIR"|306.00|$220.00|$16.16|$176.00|$154.00|$88.00|$77.44|$49.28||$88.00|$176.00|$124.96||$67.10|$83.60|$134.86|$55.00|||$56.00|$52.00|$16.16|$55.58|$75.60|$84.00|$82.50|$81.11|$55.79|$55.79
"CPT® 87070"|"HB CULTURE, GENITAL"|306.00|$300.00|$18.38|$240.00|$210.00|$120.00|$105.60|$67.20||$120.00|$240.00|$170.40||$91.50|$114.00|$183.90|$55.00|||$56.00|$52.00|$18.38|$41.44|$66.30|$73.67|$112.50|$110.61|$76.08|$76.08
"CPT® 87081"|"HB CULTURE, MRSA SCREEN"|306.00|$294.00|$13.92|$235.20|$206.00|$117.60|$103.49|$65.86||$117.60|$235.20|$166.99||$89.67|$111.72|$180.22|$55.00|||$56.00|$52.00|$13.92|$41.02|$65.40|$72.67|$110.25|$108.40|$74.56|$74.56
"CPT® 87081"|"HB CULTURE, NEISSERIA"|306.00|$294.00|$13.92|$235.20|$206.00|$117.60|$103.49|$65.86||$117.60|$235.20|$166.99||$89.67|$111.72|$180.22|$55.00|||$56.00|$52.00|$13.92|$41.02|$65.40|$72.67|$110.25|$108.40|$74.56|$74.56
"CPT® 87070"|"HB CULTURE, PLACENTA"|306.00|$300.00|$18.38|$240.00|$210.00|$120.00|$105.60|$67.20||$120.00|$240.00|$170.40||$91.50|$114.00|$183.90|$55.00|||$56.00|$52.00|$18.38|$66.36|$93.00|$103.33|$112.50|$110.61|$76.08|$76.08
"CPT® 87070"|"HB CULTURE, RESPIRATORY"|306.00|$307.00|$18.38|$245.60|$215.00|$122.80|$108.06|$68.77||$122.80|$245.60|$174.38||$93.64|$116.66|$188.19|$55.00|||$56.00|$52.00|$18.38|$41.90|$67.28|$74.75|$115.13|$113.19|$77.86|$77.86
"CPT® 87081"|"HB CULTURE, SCREEN"|306.00|$294.00|$13.92|$235.20|$206.00|$117.60|$103.49|$65.86||$117.60|$235.20|$166.99||$89.67|$111.72|$180.22|$55.00|||$56.00|$52.00|$13.92|$44.10|$68.70|$76.33|$110.25|$108.40|$74.56|$74.56
"CPT® 87046"|"HB CULTURE, STOOL, ADDITIONAL PATHOGEN"|306.00|$328.00|$20.04|$262.40|$230.00|$131.20|$115.46|$73.47||$131.20|$262.40|$186.30||$100.04|$124.64|$201.06|$55.00|||$56.00|$52.00|$20.04|$83.86|$113.78|$126.42|$123.00|$120.93|$83.18|$83.18
"CPT® 87081"|"HB CULTURE, THROAT"|306.00|$294.00|$13.92|$235.20|$206.00|$117.60|$103.49|$65.86||$117.60|$235.20|$166.99||$89.67|$111.72|$180.22|$55.00|||$56.00|$52.00|$13.92|$36.82|$60.90|$67.67|$110.25|$108.40|$74.56|$74.56
"CPT® 87070"|"HB CULTURE, TISSUE"|306.00|$307.00|$18.38|$245.60|$215.00|$122.80|$108.06|$68.77||$122.80|$245.60|$174.38||$93.64|$116.66|$188.19|$55.00|||$56.00|$52.00|$18.38|$41.90|$67.28|$74.75|$115.13|$113.19|$77.86|$77.86
"CPT® 87081"|"HB CULTURE, VIBRIO"|306.00|$294.00|$13.92|$235.20|$206.00|$117.60|$103.49|$65.86||$117.60|$235.20|$166.99||$89.67|$111.72|$180.22|$55.00|||$56.00|$52.00|$13.92|$44.10|$68.70|$76.33|$110.25|$108.40|$74.56|$74.56
"CPT® 87252"|"HB CULTURE, VIRUS"|306.00|$487.00|$52.00|$389.60|$341.00|$194.80|$171.42|$109.09||$194.80|$389.60|$276.62||$148.54|$185.06|$298.53|$55.00|||$56.00|$52.00|$55.13|$103.74|$146.70|$163.00|$182.63|$179.56|$123.50|$123.50
"CPT® 87046"|"HB CULTURE, YERSINIA"|306.00|$118.00|$20.04|$94.40|$83.00|$47.20|$41.54|$26.43||$47.20|$94.40|$67.02||$35.99|$44.84|$72.33|$55.00|||$56.00|$52.00|$20.04|$32.10|$42.98|$47.75|$44.25|$43.51|$29.92|$29.92
"CPT® 87206"|"HB CYCLOSPORA EXAM"|306.00|$187.00|$11.13|$149.60|$131.00|$74.80|$65.82|$41.89||$74.80|$149.60|$106.22||$57.04|$71.06|$114.63|$55.00|||$56.00|$52.00|$11.13|$47.81|$64.87|$72.09|$70.13|$68.95|$47.42|$47.42
"CPT® 87153"|"HB DNA/RNA SEQUENCING"|306.00|$561.00|$52.00|$448.80|$393.00|$224.40|$197.47|$125.66||$224.40|$448.80|$318.65||$171.11|$213.18|$343.89|$55.00|||$56.00|$52.00|$244.47|$138.18|$189.00|$210.00|$210.38|$206.84|$142.27|$142.27
"CPT® 87185"|"HB ENZYME DETECTION, EACH ENZYME"|306.00|$54.00|$10.02|$54.00|$38.00|$21.60|$19.01|$12.10||$21.60|$43.20|$30.67||$16.47|$20.52|$33.10|$54.00|||$54.00|$52.00|$10.02|$13.48|$18.38|$20.42|$20.25|$19.91|$13.69|$13.69
"CPT® 87181"|"HB E-TEST, EACH"|306.00|$114.00|$10.02|$91.20|$80.00|$45.60|$40.13|$25.54||$45.60|$91.20|$64.75||$34.77|$43.32|$69.88|$55.00|||$56.00|$52.00|$10.02|$28.14|$38.48|$42.75|$42.75|$42.03|$28.91|$28.91
"CPT® 87801"|"HB BACTERIAL/FUNGAL DNA SCREEN"|306.00|$431.00|$52.00|$344.80|$302.00|$172.40|$151.71|$96.54||$172.40|$344.80|$244.81||$131.46|$163.78|$264.20|$55.00|||$56.00|$52.00|$148.68|$107.69|$146.85|$163.17|$161.63|$158.91|$109.30|$109.30
"CPT® 87329"|"HB GIARDIA ANTIGEN"|306.00|$163.00|$25.62|$130.40|$114.00|$65.20|$57.38|$36.51||$65.20|$130.40|$92.58||$49.72|$61.94|$99.92|$55.00|||$56.00|$52.00|$25.62|$35.74|$50.18|$55.75|$61.13|$60.10|$41.34|$41.34
"CPT® 87338"|"HB H PYLORI AG, STOOL"|306.00|$320.00|$30.63|$256.00|$224.00|$128.00|$112.64|$71.68||$128.00|$256.00|$181.76||$97.60|$121.60|$196.16|$55.00|||$56.00|$52.00|$30.63|$69.41|$97.73|$108.58|$120.00|$117.98|$81.15|$81.15
"CPT® 87205"|"HB H PYLORI AG, TISSUE"|306.00|$113.00|$8.91|$90.40|$79.00|$45.20|$39.78|$25.31||$45.20|$90.40|$64.18||$34.47|$42.94|$69.27|$55.00|||$56.00|$52.00|$8.91|$28.28|$38.55|$42.83|$42.38|$41.66|$28.66|$28.66
"CPT® 87176"|"HB HOMOGENIZATION, TISSUE"|306.00|$65.00|$12.26|$56.00|$46.00|$26.00|$22.88|$14.56||$26.00|$52.00|$36.92||$19.83|$24.70|$39.85|$55.00|||$56.00|$52.00|$12.26|$16.45|$22.35|$24.83|$24.38|$23.97|$16.48|$16.48
"CPT® 87206"|"HB IOSPORA EXAM"|306.00|$187.00|$11.13|$149.60|$131.00|$74.80|$65.82|$41.89||$74.80|$149.60|$106.22||$57.04|$71.06|$114.63|$55.00|||$56.00|$52.00|$11.13|$47.81|$64.87|$72.09|$70.13|$68.95|$47.42|$47.42
"CPT® 87220"|"HB FUNGAL KOH PREP"|306.00|$85.00|$8.91|$68.00|$59.00|$34.00|$29.92|$19.04||$34.00|$68.00|$48.28||$25.93|$32.30|$52.11|$55.00|||$56.00|$52.00|$8.91|$21.10|$28.80|$32.00|$31.88|$31.34|$21.56|$21.56
"CPT® 87206"|"HB CALCOFLUOR WHITE STAIN"|306.00|$36.00|$8.06|$36.00|$25.00|$14.40|$12.67|$8.06||$14.40|$28.80|$20.45||$10.98|$13.68|$22.07|$36.00|||$36.00|$36.00|$11.13|$8.96|$12.22|$13.59|$13.50|$13.27|$9.13|$9.13
"CPT® 87168"|"HB ARTHROPOD IDENTIFICATION"|306.00|$77.00|$8.91|$61.60|$54.00|$30.80|$27.10|$17.25||$30.80|$61.60|$43.74||$23.49|$29.26|$47.20|$55.00|||$56.00|$52.00|$8.91|$19.53|$26.55|$29.50|$28.88|$28.39|$19.53|$19.53
"CPT® 87207"|"HB MICROSPORIA EXAM"|306.00|$66.00|$12.81|$56.00|$46.00|$26.40|$23.23|$14.78||$26.40|$52.80|$37.49||$20.13|$25.08|$40.46|$55.00|||$56.00|$52.00|$12.81|$16.80|$22.80|$25.33|$24.75|$24.33|$16.74|$16.74
"CPT® 87015"|"HB MICROSPORIA STAIN"|306.00|$74.00|$13.92|$59.20|$52.00|$29.60|$26.05|$16.58||$29.60|$59.20|$42.03||$22.57|$28.12|$45.36|$55.00|||$56.00|$52.00|$13.92|$18.76|$25.50|$28.33|$27.75|$27.28|$18.77|$18.77
"CPT® 87254"|"HB MRSA SCREEN"|306.00|$278.00|$41.21|$222.40|$195.00|$111.20|$97.86|$62.27||$111.20|$222.40|$157.90||$84.79|$105.64|$170.41|$55.00|||$56.00|$52.00|$41.21|$69.76|$95.03|$105.58|$104.25|$102.50|$70.50|$70.50
"CPT® 87077"|"HB ORGANISM ID, AEROBIC, EACH ISOLATE"|306.00|$142.00|$16.66|$113.60|$99.00|$56.80|$49.98|$31.81||$56.80|$113.60|$80.66||$43.31|$53.96|$87.05|$55.00|||$56.00|$52.00|$17.27|$16.66|$28.20|$31.33|$53.25|$52.36|$36.01|$36.01
"CPT® 87076"|"HB ORGANISM ID, ANAEROBIC, EACH ISOLATE"|306.00|$183.00|$17.27|$146.40|$128.00|$73.20|$64.42|$40.99||$73.20|$146.40|$103.94||$55.82|$69.54|$112.18|$55.00|||$56.00|$52.00|$17.27|$39.90|$56.10|$62.33|$68.63|$67.47|$46.41|$46.41
"CPT® 87045"|"HB ORGANISM ID, SALMONELLA/SHIGELLA"|306.00|$320.00|$20.04|$256.00|$224.00|$128.00|$112.64|$71.68||$128.00|$256.00|$181.76||$97.60|$121.60|$196.16|$55.00|||$56.00|$52.00|$20.04|$42.81|$69.23|$76.92|$120.00|$117.98|$81.15|$81.15
"CPT® 87209"|"HB OVA & PARASITE TRICHROME STAIN"|306.00|$283.00|$37.86|$226.40|$198.00|$113.20|$99.62|$63.39||$113.20|$226.40|$160.74||$86.32|$107.54|$173.48|$55.00|||$56.00|$52.00|$37.86|$40.25|$63.75|$70.83|$106.13|$104.34|$71.77|$71.77
"CPT® 87169"|"HB PARASITE EXAM"|306.00|$111.00|$8.91|$88.80|$78.00|$44.40|$39.07|$24.86||$44.40|$88.80|$63.05||$33.86|$42.18|$68.04|$55.00|||$56.00|$52.00|$8.91|$24.64|$34.50|$38.33|$41.63|$40.93|$28.15|$28.15
"CPT® 87172"|"HB PINWORM PREP"|306.00|$82.00|$8.91|$65.60|$57.00|$32.80|$28.86|$18.37||$32.80|$65.60|$46.58||$25.01|$31.16|$50.27|$55.00|||$56.00|$52.00|$8.91|$20.72|$28.20|$31.33|$30.75|$30.23|$20.80|$20.80
"CPT® 87299"|"HB RESPIRATORY SYNCYTIAL VIRUS, DFA"|306.00|$165.00|$25.62|$132.00|$115.00|$66.00|$58.08|$36.96||$66.00|$132.00|$93.72||$50.33|$62.70|$101.15|$55.00|||$56.00|$52.00|$25.62|$40.64|$55.58|$61.75|$61.88|$60.84|$41.84|$41.84
"CPT® 87633"|"HB RESPIRATORY VIRUS PANEL, MULTIPLEX BY PCR"|306.00|$1286.00|$52.00|$1028.80|$900.00|$514.40|$452.67|$288.06||$514.40|$1028.80|$730.45||$392.23|$488.68|$788.32|$55.00|||$56.00|$52.00|$850.90|$321.33|$438.15|$486.84|$482.25|$474.15|$326.13|$326.13
"CPT® 87147"|"HB SALMONELLA IDENTIFICATION"|306.00|$130.00|$11.13|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$11.13|$32.38|$44.18|$49.08|$48.75|$47.93|$32.97|$32.97
"CPT® 87197"|"HB SCHLICHTER TEST"|306.00|$426.00|$31.74|$340.80|$298.00|$170.40|$149.95|$95.42||$170.40|$340.80|$241.97||$129.93|$161.88|$261.14|$168.78|||$56.00|$52.00|$31.74|$105.46|$144.08|$160.08|$159.75|$157.07|$108.03|$108.03
"CPT® 87147"|"HB SHIGELLA IDENTIFICATION"|306.00|$130.00|$11.13|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$11.13|$32.38|$44.18|$49.08|$48.75|$47.93|$32.97|$32.97
"CPT® 87147"|"HB STREPTOCOCCUS GROUP A"|306.00|$130.00|$11.13|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$11.13|$32.38|$44.18|$49.08|$48.75|$47.93|$32.97|$32.97
"CPT® 87147"|"HB STREPTOCOCCUS GROUP B"|306.00|$130.00|$11.13|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$11.13|$32.38|$44.18|$49.08|$48.75|$47.93|$32.97|$32.97
"CPT® 87147"|"HB STREPTOCOCCUS GROUP C"|306.00|$130.00|$11.13|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$11.13|$32.38|$44.18|$49.08|$48.75|$47.93|$32.97|$32.97
"CPT® 87147"|"HB STREPTOCOCCUS GROUP F"|306.00|$130.00|$11.13|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$11.13|$32.38|$44.18|$49.08|$48.75|$47.93|$32.97|$32.97
"CPT® 87147"|"HB STREPTOCOCCUS GROUP G"|306.00|$130.00|$11.13|$104.00|$91.00|$52.00|$45.76|$29.12||$52.00|$104.00|$73.84||$39.65|$49.40|$79.69|$55.00|||$56.00|$52.00|$11.13|$32.38|$44.18|$49.08|$48.75|$47.93|$32.97|$32.97
"CPT® 87206"|"HB STREPTOCOCCUS PNEUMONIAE ANTIGEN"|306.00|$187.00|$11.13|$149.60|$131.00|$74.80|$65.82|$41.89||$74.80|$149.60|$106.22||$57.04|$71.06|$114.63|$55.00|||$56.00|$52.00|$11.13|$47.81|$64.87|$72.09|$70.13|$68.95|$47.42|$47.42
"CPT® 87899"|"HB STREPTOCOCCUS PNEUMONIAE ANTIGEN, URINE"|306.00|$163.00|$25.62|$130.40|$114.00|$65.20|$57.38|$36.51||$65.20|$130.40|$92.58||$49.72|$61.94|$99.92|$55.00|||$56.00|$52.00|$25.62|$35.74|$50.18|$55.75|$61.13|$60.10|$41.34|$41.34
"CPT® 87186"|"HB SUSCEPTIBILITY TESTING, GRAM NEGATIVE PANEL"|306.00|$301.00|$18.38|$240.80|$211.00|$120.40|$105.95|$67.42||$120.40|$240.80|$170.97||$91.81|$114.38|$184.51|$55.00|||$56.00|$52.00|$18.38|$65.87|$92.55|$102.83|$112.88|$110.98|$76.33|$76.33
"CPT® 87186"|"HB SUSCEPTIBILITY TESTING, GRAM POSITIVE PANEL"|306.00|$301.00|$18.38|$240.80|$211.00|$120.40|$105.95|$67.42||$120.40|$240.80|$170.97||$91.81|$114.38|$184.51|$55.00|||$56.00|$52.00|$18.38|$65.87|$92.55|$102.83|$112.88|$110.98|$76.33|$76.33
"CPT® 87186"|"HB SUSCEPTIBILITY TESTING, MIC"|306.00|$275.00|$18.38|$220.00|$192.00|$110.00|$96.80|$61.60||$110.00|$220.00|$156.20||$83.88|$104.50|$168.58|$55.00|||$56.00|$52.00|$18.38|$32.73|$55.13|$61.25|$103.13|$101.39|$69.74|$69.74
"CPT® 87186"|"HB SUSCEPTIBILITY TESTING, MIC, FUNGUS"|306.00|$318.00|$18.38|$254.40|$223.00|$127.20|$111.94|$71.23||$127.20|$254.40|$180.62||$96.99|$120.84|$194.93|$55.00|||$56.00|$52.00|$18.38|$78.15|$106.95|$118.84|$119.25|$117.25|$80.64|$80.64
"CPT® 87184"|"HB SUSCEPTIBILITY, DISC METHOD"|306.00|$161.00|$14.48|$128.80|$113.00|$64.40|$56.67|$36.06||$64.40|$128.80|$91.45||$49.11|$61.18|$98.69|$55.00|||$56.00|$52.00|$14.48|$35.04|$49.28|$54.75|$60.38|$59.36|$40.83|$40.83
"CPT® 87210"|"HB TRICHOMONAS WET PREP"|306.00|$51.00|$8.91|$51.00|$36.00|$20.40|$17.95|$11.42||$20.40|$40.80|$28.97||$15.56|$19.38|$31.26|$51.00|||$51.00|$51.00|$8.91|$12.71|$17.33|$19.25|$19.13|$18.80|$12.93|$12.93
"CPT® 87252"|"HB VIRUS ISOLATION, CSF"|306.00|$487.00|$52.00|$389.60|$341.00|$194.80|$171.42|$109.09||$194.80|$389.60|$276.62||$148.54|$185.06|$298.53|$55.00|||$56.00|$52.00|$55.13|$119.91|$164.03|$182.25|$182.63|$179.56|$123.50|$123.50
"CPT® 87254"|"HB VIRUS SHELL VIAL"|306.00|$278.00|$41.21|$222.40|$195.00|$111.20|$97.86|$62.27||$111.20|$222.40|$157.90||$84.79|$105.64|$170.41|$55.00|||$56.00|$52.00|$41.21|$68.50|$93.68|$104.08|$104.25|$102.50|$70.50|$70.50
"CPT® 87081"|"HB VRE SCREEN"|306.00|$294.00|$13.92|$235.20|$206.00|$117.60|$103.49|$65.86||$117.60|$235.20|$166.99||$89.67|$111.72|$180.22|$55.00|||$56.00|$52.00|$13.92|$44.10|$68.70|$76.33|$110.25|$108.40|$74.56|$74.56
"CPT® 87207"|"HB MALARIAL SMEAR"|306.00|$228.00|$12.81|$182.40|$160.00|$91.20|$80.26|$51.07||$91.20|$182.40|$129.50||$69.54|$86.64|$139.76|$55.00|||$56.00|$52.00|$12.81|$40.71|$60.23|$66.92|$85.50|$84.06|$57.82|$57.82
"CPT® 87450"|"HB CRYPTOCOCCAL ANTIGEN, SERUM"|306.00|$315.00|$20.61|$252.00|$220.00|$126.00|$110.88|$70.56||$126.00|$252.00|$178.92||$96.08|$119.70|$193.10|$55.00|||$56.00|$52.00|$20.61|$68.78|$96.68|$107.42|$118.13|$116.14|$79.88|$79.88
"CPT® 87449"|"HB LEGIONELLA ANTIGEN, URINE"|306.00|$355.00|$25.62|$284.00|$248.00|$142.00|$124.96|$79.52||$142.00|$284.00|$201.64||$108.28|$134.90|$217.62|$55.00|||$56.00|$52.00|$25.62|$80.19|$111.83|$124.25|$133.13|$130.89|$90.03|$90.03
"CPT® 87804"|"HB RAPID INFLUENZA A/B TEST"|306.00|$218.00|$25.62|$174.40|$153.00|$87.20|$76.74|$48.83||$87.20|$174.40|$123.82||$66.49|$82.84|$133.63|$86.37|||$56.00|$52.00|$25.62|$47.32|$66.60|$74.00|$81.75|$80.38|$55.28|$55.28
"CPT® 87502"|"HB INFLUENZA A, B (RAPID PCR)"|306.00|$652.00|$52.00|$521.60|$456.00|$260.80|$229.50|$146.05||$260.80|$521.60|$370.34||$198.86|$247.76|$399.68|$55.00|||$56.00|$52.00|$180.42|$163.06|$222.30|$247.00|$244.50|$240.39|$165.35|$165.35
"CPT® 87880"|"HB RAPID STREP TEST"|306.00|$188.00|$25.62|$150.40|$132.00|$75.20|$66.18|$42.11||$75.20|$150.40|$106.78||$57.34|$71.44|$115.24|$55.00|||$56.00|$52.00|$25.62|$40.81|$57.45|$63.83|$70.50|$69.32|$47.68|$47.68
"CPT® 87807"|"HB RESPIRATORY SYNCYTIAL VIRUS TEST; DIRECT OPTIC OBSERVATION"|306.00|$233.00|$25.62|$186.40|$163.00|$93.20|$82.02|$52.19||$93.20|$186.40|$132.34||$71.07|$88.54|$142.83|$55.00|||$56.00|$52.00|$25.62|$50.89|$71.55|$79.50|$87.38|$85.91|$59.09|$59.09
"CPT® 87425"|"HB ROTOVIRUS DETECTION TEST"|306.00|$211.00|$25.62|$168.80|$148.00|$84.40|$74.27|$47.26||$84.40|$168.80|$119.85||$64.36|$80.18|$129.34|$55.00|||$56.00|$52.00|$25.62|$46.03|$64.73|$71.92|$79.13|$77.80|$53.51|$53.51
"CPT® 87205"|"HB GRAM STAIN"|306.00|$116.00|$8.91|$92.80|$81.00|$46.40|$40.83|$25.98||$46.40|$92.80|$65.89||$35.38|$44.08|$71.11|$55.00|||$56.00|$52.00|$8.91|$28.88|$39.38|$43.75|$43.50|$42.77|$29.42|$29.42
"CPT® 87070"|"HB CULTURE/STERILITY"|306.00|$255.00|$18.38|$204.00|$178.00|$102.00|$89.76|$57.12||$102.00|$204.00|$144.84||$77.78|$96.90|$156.32|$55.00|||$56.00|$52.00|$18.38|$38.36|$59.70|$66.33|$95.63|$94.02|$64.67|$64.67
"CPT® 87880"|"HB STREP TEST, RAPID, POC"|306.00|$188.00|$25.41|$150.40|$132.00|$75.20|$66.18|$42.11||$75.20|$150.40|$106.78||$57.34|$71.44|$115.24|$55.00|||$56.00|$52.00|$25.62|$25.41|$40.95|$45.50|$70.50|$69.32|$47.68|$47.68
"CPT® 87999"|"HB HIV-1 TROFILE"|306.00|$578.00|$19.05|$2645.17|$405.00|$231.20|$203.46|$129.47||$231.20|$462.40|$328.30||$176.29|$219.64|$354.31|$55.00|||$56.00|$52.00|$19.05|$1995.91|$2380.65|$2645.17|$216.75|$213.11|$146.58|$146.58
"CPT® 81003"|"HB URINALYSIS W/O MICROSCOPY"|307.00|$53.00|$5.01|$53.00|$37.00|$21.20|$18.66|$11.87||$21.20|$42.40|$30.10||$16.17|$20.14|$32.49|$53.00|||$53.00|$52.00|$5.01|$17.68|$22.73|$25.25|$19.88|$19.54|$13.44|$13.44
"CPT® 81001"|"HB URINALYSIS, COMPLETE"|307.00|$98.00|$6.68|$78.40|$69.00|$39.20|$34.50|$21.95||$39.20|$78.40|$55.66||$29.89|$37.24|$60.07|$55.00|||$56.00|$52.00|$6.68|$32.73|$42.08|$46.75|$36.75|$36.13|$24.85|$24.85
"CPT® 81002"|"HB BENZENE PANEL, URINALYSIS"|307.00|$132.00|$5.57|$105.60|$92.00|$52.80|$46.46|$29.57||$52.80|$105.60|$74.98||$40.26|$50.16|$80.92|$55.00|||$56.00|$52.00|$5.57|$32.76|$44.55|$49.50|$49.50|$48.67|$33.48|$33.48
"CPT® 81003"|"HB KIDNEY STONE, URINALYSIS"|307.00|$8.00|$1.79|$8.00|$6.00|$3.20|$2.82|$1.79||$3.20|$6.40|$4.54||$2.44|$3.04|$4.90|$8.00|||$8.00|$8.00|$5.01|$2.00|$2.70|$3.00|$3.00|$2.95|$2.03|$2.03
"CPT® 81025"|"HB URINE HCG (POC)"|307.00|$63.00|$13.37|$56.00|$44.00|$25.20|$22.18|$14.11||$25.20|$50.40|$35.78||$19.22|$23.94|$38.62|$55.00|||$56.00|$52.00|$13.37|$21.00|$27.00|$30.00|$23.63|$23.23|$15.98|$15.98
"CPT® 81002"|"HB URINALYSIS (POC)"|307.00|$74.00|$5.57|$59.20|$52.00|$29.60|$26.05|$16.58||$29.60|$59.20|$42.03||$22.57|$28.12|$45.36|$55.00|||$56.00|$52.00|$5.57|$18.38|$24.98|$27.75|$27.75|$27.28|$18.77|$18.77
"CPT® 84315"|"HB SPECIFIC GRAVITY, BODY FLUID"|307.00|$174.00|$5.57|$139.20|$122.00|$69.60|$61.25|$38.98||$69.60|$139.20|$98.83||$53.07|$66.12|$106.66|$55.00|||$56.00|$52.00|$5.57|$43.26|$59.40|$66.00|$65.25|$64.15|$44.13|$44.13
"CPT® 81003"|"HB URINALYSIS W/WO MICROSCOPIC"|307.00|$176.00|$5.01|$140.80|$123.00|$70.40|$61.95|$39.42||$70.40|$140.80|$99.97||$53.68|$66.88|$107.89|$55.00|||$56.00|$52.00|$5.01|$14.70|$28.35|$31.51|$66.00|$64.89|$44.63|$44.63
"CPT® 81001"|"HB URINALYSIS W/ MICROSCOPIC"|307.00|$176.00|$6.68|$140.80|$123.00|$70.40|$61.95|$39.42||$70.40|$140.80|$99.97||$53.68|$66.88|$107.89|$55.00|||$56.00|$52.00|$6.68|$17.74|$31.61|$35.12|$66.00|$64.89|$44.63|$44.63
"CPT® 81003"|"HB SPECIFIC GRAVITY, URINE"|307.00|$191.00|$5.01|$152.80|$134.00|$76.40|$67.23|$42.78||$76.40|$152.80|$108.49||$58.26|$72.58|$117.08|$55.00|||$56.00|$52.00|$5.01|$43.86|$60.68|$67.42|$71.63|$70.42|$48.44|$48.44
"CPT® 87624"|"HB HUMAN PAPILLOMA VIRUS, AMPLIFIED PROBE"|309.00|$141.00|$31.58|$112.80|$99.00|$56.40|$49.63|$31.58||$56.40|$112.80|$80.09||$43.01|$53.58|$86.43|$55.00|||$56.00|$52.00|$74.63|$47.95|$61.65|$68.50|$52.88|$51.99|$35.76|$35.76
"CPT® 86886"|"HB ABO ANTIBODY TITRATION, IGG"|309.00|$49.00|$10.98|$49.00|$34.00|$19.60|$17.25|$10.98||$19.60|$39.20|$27.83||$14.95|$18.62|$30.04|$49.00|||$49.00|$49.00|$11.13|$17.15|$22.05|$24.50|$18.38|$18.07|$12.43|$12.43
"CPT® 86900"|"HB ABO BLOOD TYPING"|309.00|$50.00|$6.12|$50.00|$35.00|$20.00|$17.60|$11.20||$20.00|$40.00|$28.40||$15.25|$19.00|$30.65|$50.00|||$50.00|$50.00|$6.12|$17.50|$22.50|$25.00|$18.75|$18.44|$12.68|$12.68
"CPT® 86860"|"HB ANTIBODY  ELUTION"|309.00|$203.00|$45.47|$162.40|$142.00|$81.20|$71.46|$45.47||$81.20|$162.40|$115.30||$61.92|$77.14|$124.44|$55.00|||$56.00|$52.00|$47.34|$71.05|$91.35|$101.50|$76.13|$74.85|$51.48|$51.48
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, EACH PANEL"|309.00|$335.00|$52.00|$268.00|$234.00|$134.00|$117.92|$75.04||$134.00|$268.00|$190.28||$102.18|$127.30|$205.36|$55.00|||$56.00|$52.00|$65.16|$117.25|$150.75|$167.50|$125.63|$123.51|$84.96|$84.96
"CPT® 86886"|"HB ANTIBODY TITRATION, EACH ANTIBODY"|309.00|$49.00|$10.98|$49.00|$34.00|$19.60|$17.25|$10.98||$19.60|$39.20|$27.83||$14.95|$18.62|$30.04|$49.00|||$49.00|$49.00|$11.13|$17.15|$22.05|$24.50|$18.38|$18.07|$12.43|$12.43
"CPT® 86922"|"HB CROSSMATCH, ANTIGLOBULIN, EACH UNIT"|309.00|$143.00|$32.03|$114.40|$100.00|$57.20|$50.34|$32.03||$57.20|$114.40|$81.22||$43.62|$54.34|$87.66|$55.00|||$56.00|$52.00|$56.25|$50.05|$64.35|$71.50|$53.63|$52.72|$36.26|$36.26
"CPT® 86923"|"HB CROSSMATCH, ELECTRONIC, EACH UNIT"|309.00|$137.00|$30.69|$109.60|$96.00|$54.80|$48.22|$30.69||$54.80|$109.60|$77.82||$41.79|$52.06|$83.98|$55.00|||$56.00|$52.00|$42.32|$47.78|$61.43|$68.25|$51.38|$50.51|$34.74|$34.74
"CPT® 86920"|"HB CROSSMATCH, IMMEDIATE SPIN, EACH UNIT"|309.00|$127.00|$28.45|$101.60|$89.00|$50.80|$44.70|$28.45||$50.80|$101.60|$72.14||$38.74|$48.26|$77.85|$55.00|||$56.00|$52.00|$52.91|$44.45|$57.15|$63.50|$47.63|$46.82|$32.21|$32.21
"CPT® 86880"|"HB DIRECT ANTIGLOBULIN TEST (DIRECT COOMBS)"|309.00|$109.00|$11.13|$87.20|$76.00|$43.60|$38.37|$24.42||$43.60|$87.20|$61.91||$33.25|$41.42|$66.82|$55.00|||$56.00|$52.00|$11.13|$38.15|$49.05|$54.50|$40.88|$40.19|$27.64|$27.64
"CPT® 86880"|"HB DIRECT ANTIGLOBULIN TEST (DIRECT COOMBS), C3"|309.00|$109.00|$11.13|$87.20|$76.00|$43.60|$38.37|$24.42||$43.60|$87.20|$61.91||$33.25|$41.42|$66.82|$55.00|||$56.00|$52.00|$11.13|$29.47|$39.75|$44.17|$40.88|$40.19|$27.64|$27.64
"CPT® 86880"|"HB DIRECT ANTIGLOBULIN TEST (DIRECT COOMBS), IGG"|309.00|$109.00|$11.13|$87.20|$76.00|$43.60|$38.37|$24.42||$43.60|$87.20|$61.91||$33.25|$41.42|$66.82|$55.00|||$56.00|$52.00|$11.13|$29.47|$39.75|$44.17|$40.88|$40.19|$27.64|$27.64
"CPT® 85461"|"HB FETAL-MATERNAL HEMORRRHAGE SCREEN, ROSETTE"|309.00|$158.00|$13.92|$126.40|$111.00|$63.20|$55.62|$35.39||$63.20|$126.40|$89.74||$48.19|$60.04|$96.85|$55.00|||$56.00|$52.00|$13.92|$55.30|$71.10|$79.00|$59.25|$58.25|$40.07|$40.07
"CPT® 86960"|"HB PACKING WHOLE BLOOD, EACH UNIT"|309.00|$113.00|$25.31|$90.40|$79.00|$45.20|$39.78|$25.31||$45.20|$90.40|$64.18||$34.47|$42.94|$69.27|$44.77|||$56.00|$52.00|$49.01|$39.55|$50.85|$56.50|$42.38|$41.66|$28.66|$28.66
"CPT® 86901"|"HB RH (D) ANTIGEN TYPING"|309.00|$35.00|$6.12|$35.00|$24.00|$14.00|$12.32|$7.84||$14.00|$28.00|$19.88||$10.68|$13.30|$21.46|$35.00|||$35.00|$35.00|$6.12|$12.25|$15.75|$17.50|$13.13|$12.90|$8.88|$8.88
"CPT® 86885"|"HB WEAK RH(D) ANTIGEN TYPING, PATIENT"|309.00|$62.00|$12.26|$56.00|$43.00|$24.80|$21.82|$13.89||$24.80|$49.60|$35.22||$18.91|$23.56|$38.01|$55.00|||$56.00|$52.00|$12.26|$21.70|$27.90|$31.00|$23.25|$22.86|$15.72|$15.72
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, PEG, EACH PANEL SO"|309.00|$372.00|$52.00|$297.60|$260.00|$148.80|$130.94|$83.33||$148.80|$297.60|$211.30||$113.46|$141.36|$228.04|$55.00|||$56.00|$52.00|$65.16|$130.20|$167.40|$186.00|$139.50|$137.16|$94.34|$94.34
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, PRE WARM, EACH PANEL SO"|309.00|$368.00|$52.00|$294.40|$258.00|$147.20|$129.54|$82.43||$147.20|$294.40|$209.02||$112.24|$139.84|$225.58|$55.00|||$56.00|$52.00|$65.16|$128.80|$165.60|$184.00|$138.00|$135.68|$93.32|$93.32
"CPT® 86886"|"HB ANTIBODY TITRATION, EACH ANTIBODY SO"|309.00|$49.00|$10.98|$49.00|$34.00|$19.60|$17.25|$10.98||$19.60|$39.20|$27.83||$14.95|$18.62|$30.04|$49.00|||$49.00|$49.00|$11.13|$17.15|$22.05|$24.50|$18.38|$18.07|$12.43|$12.43
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION, SELECT CELLS, PRE WARM, EACH PANEL SO"|309.00|$372.00|$52.00|$297.60|$260.00|$148.80|$130.94|$83.33||$148.80|$297.60|$211.30||$113.46|$141.36|$228.04|$55.00|||$56.00|$52.00|$65.16|$130.20|$167.40|$186.00|$139.50|$137.16|$94.34|$94.34
"CPT® 89051"|"HB CELL COUNT, BODY FLUID OR CSF W/DIFFERENTIAL"|309.00|$279.00|$11.70|$223.20|$195.00|$111.60|$98.21|$62.50||$111.60|$223.20|$158.47||$85.10|$106.02|$171.03|$100.00|||$56.00|$52.00|$11.70|$97.65|$125.55|$139.50|$104.63|$102.87|$70.75|$70.75
"CPT® 89050"|"HB EOSINOPHILS, BODY FLUID"|309.00|$126.00|$10.02|$100.80|$88.00|$50.40|$44.35|$28.22||$50.40|$100.80|$71.57||$38.43|$47.88|$77.24|$100.00|||$56.00|$52.00|$10.02|$44.10|$56.70|$63.00|$47.25|$46.46|$31.95|$31.95
"CPT® 89050"|"HB FLUID CELL COUNT ONLY"|309.00|$126.00|$10.02|$100.80|$88.00|$50.40|$44.35|$28.22||$50.40|$100.80|$71.57||$38.43|$47.88|$77.24|$100.00|||$56.00|$52.00|$10.02|$44.10|$56.70|$63.00|$47.25|$46.46|$31.95|$31.95
"CPT® 89060"|"HB FLUID CRYSTAL ANALYSIS"|309.00|$132.00|$15.03|$105.60|$92.00|$52.80|$46.46|$29.57||$52.80|$105.60|$74.98||$40.26|$50.16|$80.92|$100.00|||$56.00|$52.00|$15.03|$46.20|$59.40|$66.00|$49.50|$48.67|$33.48|$33.48
"CPT® 88240"|"HB PARATHYROID PROCESS"|309.00|$1476.00|$21.17|$1180.80|$1033.00|$590.40|$519.55|$330.62||$590.40|$1180.80|$838.37||$450.18|$560.88|$904.79|$100.00|||$56.00|$52.00|$21.17|$516.60|$664.20|$738.00|$553.50|$544.20|$374.31|$374.31
"CPT® 88241"|"HB PARATHYROID INJECTION PREP"|309.00|$788.00|$21.17|$630.40|$552.00|$315.20|$277.38|$176.51||$315.20|$630.40|$447.58||$240.34|$299.44|$483.04|$312.21|||$56.00|$52.00|$21.17|$275.80|$354.60|$394.00|$295.50|$290.54|$199.84|$199.84
"CPT® 87999"|"HB ENDOTOXIN DIAD"|309.00|$867.00|$19.05|$693.60|$607.00|$346.80|$305.18|$194.21||$346.80|$693.60|$492.46||$264.44|$329.46|$531.47|$55.00|||$56.00|$52.00|$19.05|$295.23|$379.58|$421.75|$325.13|$319.66|$219.87|$219.87
"CPT® 84311"|"HB ADENOSINE DEAMINASE"|309.00|$92.00|$15.03|$73.60|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$55.00|||$56.00|$52.00|$15.03|$32.20|$41.40|$46.00|$34.50|$33.92|$23.33|$23.33
"CPT® 84078"|"HB ALKALINE PHOSPHATASE BONE SPECIFIC"|309.00|$99.00|$15.59|$79.20|$69.00|$39.60|$34.85|$22.18||$39.60|$79.20|$56.23||$30.20|$37.62|$60.69|$55.00|||$56.00|$52.00|$15.59|$34.65|$44.55|$49.50|$37.13|$36.50|$25.11|$25.11
"CPT® 86003"|"HB ALLERGEN PANEL CENTRAL MIDWEST REGION"|309.00|$42.00|$9.41|$42.00|$29.00|$16.80|$14.78|$9.41||$16.80|$33.60|$23.86||$12.81|$15.96|$25.75|$42.00|||$42.00|$42.00|$11.13|$14.70|$18.90|$21.00|$15.75|$15.49|$10.65|$10.65
"CPT® 82657"|"HB ALPHA GALACTOSIDASE LEUKOCYTE"|309.00|$570.00|$38.43|$456.00|$399.00|$228.00|$200.64|$127.68||$228.00|$456.00|$323.76||$173.85|$216.60|$349.41|$55.00|||$56.00|$52.00|$38.43|$199.50|$256.50|$285.00|$213.75|$210.16|$144.55|$144.55
"CPT® 82139"|"HB AMINO ACID PROFILE QUANTITATIVE"|309.00|$211.00|$35.64|$168.80|$148.00|$84.40|$74.27|$47.26||$84.40|$168.80|$119.85||$64.36|$80.18|$129.34|$55.00|||$56.00|$52.00|$35.64|$73.85|$94.95|$105.50|$79.13|$77.80|$53.51|$53.51
"CPT® 84588"|"HB ANTIDIURETIC HORMONE"|309.00|$120.00|$26.88|$96.00|$84.00|$48.00|$42.24|$26.88||$48.00|$96.00|$68.16||$36.60|$45.60|$73.56|$55.00|||$56.00|$52.00|$71.84|$42.00|$54.00|$60.00|$45.00|$44.24|$30.43|$30.43
"CPT® 82657"|"HB ARYLSULFATASE A LEUKOCYTES"|309.00|$417.00|$38.43|$333.60|$292.00|$166.80|$146.78|$93.41||$166.80|$333.60|$236.86||$127.19|$158.46|$255.62|$55.00|||$56.00|$52.00|$38.43|$145.95|$187.65|$208.50|$156.38|$153.75|$105.75|$105.75
"CPT® 82010"|"HB BETA-HYDROXYBUTYRATE"|309.00|$92.00|$17.27|$73.60|$64.00|$36.80|$32.38|$20.61||$36.80|$73.60|$52.26||$28.06|$34.96|$56.40|$55.00|||$56.00|$52.00|$17.27|$32.20|$41.40|$46.00|$34.50|$33.92|$23.33|$23.33
"CPT® 83519"|"HB GLUTAMIC DECARBOXYLASE ANTIBODY"|309.00|$289.00|$28.40|$231.20|$202.00|$115.60|$101.73|$64.74||$115.60|$231.20|$164.15||$88.15|$109.82|$177.16|$55.00|||$56.00|$52.00|$28.40|$101.15|$130.05|$144.50|$108.38|$106.55|$73.29|$73.29
"CPT® 86692"|"HB HEPATITIS D VIRUS ANTIBODY"|309.00|$107.00|$23.97|$85.60|$75.00|$42.80|$37.66|$23.97||$42.80|$85.60|$60.78||$32.64|$40.66|$65.59|$55.00|||$56.00|$52.00|$36.20|$37.45|$48.15|$53.50|$40.13|$39.45|$27.14|$27.14
"CPT® 86336"|"HB INHIBIN A"|309.00|$240.00|$32.85|$192.00|$168.00|$96.00|$84.48|$53.76||$96.00|$192.00|$136.32||$73.20|$91.20|$147.12|$55.00|||$56.00|$52.00|$32.85|$84.00|$108.00|$120.00|$90.00|$88.49|$60.86|$60.86
"CPT® 86340"|"HB INTRINSIC FACTOR BLOCKING ANTIBODY"|309.00|$111.00|$24.86|$88.80|$78.00|$44.40|$39.07|$24.86||$44.40|$88.80|$63.05||$33.86|$42.18|$68.04|$55.00|||$56.00|$52.00|$31.74|$38.85|$49.95|$55.50|$41.63|$40.93|$28.15|$28.15
"CPT® 83873"|"HB MYELIN BASIC PROTEIN, CSF"|309.00|$106.00|$23.74|$84.80|$74.00|$42.40|$37.31|$23.74||$42.40|$84.80|$60.21||$32.33|$40.28|$64.98|$55.00|||$56.00|$52.00|$36.20|$37.10|$47.70|$53.00|$39.75|$39.08|$26.88|$26.88
"CPT® 83519"|"HB PANCREATIC POLYPEPTIDE"|309.00|$321.00|$28.40|$256.80|$225.00|$128.40|$112.99|$71.90||$128.40|$256.80|$182.33||$97.91|$121.98|$196.77|$55.00|||$56.00|$52.00|$28.40|$112.35|$144.45|$160.50|$120.38|$118.35|$81.41|$81.41
"CPT® 83519"|"HB PARATHYROID HORMONE RELATED PROTEIN"|309.00|$289.00|$28.40|$231.20|$202.00|$115.60|$101.73|$64.74||$115.60|$231.20|$164.15||$88.15|$109.82|$177.16|$55.00|||$56.00|$52.00|$28.40|$101.15|$130.05|$144.50|$108.38|$106.55|$73.29|$73.29
"CPT® 84210"|"HB PYRUVIC ACID"|309.00|$166.00|$22.83|$132.80|$116.00|$66.40|$58.43|$37.18||$66.40|$132.80|$94.29||$50.63|$63.08|$101.76|$55.00|||$56.00|$52.00|$22.83|$58.10|$74.70|$83.00|$62.25|$61.20|$42.10|$42.10
"CPT® 84260"|"HB SEROTONIN (5-HYDROXYTRYPTAMINE)"|309.00|$122.00|$27.33|$97.60|$85.00|$48.80|$42.94|$27.33||$48.80|$97.60|$69.30||$37.21|$46.36|$74.79|$55.00|||$56.00|$52.00|$65.72|$42.70|$54.90|$61.00|$45.75|$44.98|$30.94|$30.94
"CPT® 84270"|"HB SEX HORMONE BINDING GLOBULIN"|309.00|$61.00|$13.66|$56.00|$43.00|$24.40|$21.47|$13.66||$24.40|$48.80|$34.65||$18.61|$23.18|$37.39|$55.00|||$56.00|$52.00|$46.22|$21.35|$27.45|$30.50|$22.88|$22.49|$15.47|$15.47
"CPT® 84307"|"HB SOMATOSTATIN (SOMATOTROPIN RELEASE INHIBITING FACTOR)"|309.00|$444.00|$38.99|$355.20|$311.00|$177.60|$156.29|$99.46||$177.60|$355.20|$252.19||$135.42|$168.72|$272.17|$55.00|||$56.00|$52.00|$38.99|$155.40|$199.80|$222.00|$166.50|$163.70|$112.60|$112.60
"CPT® 84425"|"HB VITAMIN B1 (THIAMINE) LEVEL"|309.00|$81.00|$18.14|$64.80|$57.00|$32.40|$28.51|$18.14||$32.40|$64.80|$46.01||$24.71|$30.78|$49.65|$55.00|||$56.00|$52.00|$45.11|$28.35|$36.45|$40.50|$30.38|$29.86|$20.54|$20.54
"CPT® 86341"|"HB AUTO ISLET CELL PROCESS"|309.00|$105076.00|$41.76|$84060.80|$73553.00|$42030.40|$36986.75|$23537.02||$42030.40|$84060.80|$59683.17||$32048.18|$39928.88|$64411.59|$55.00|||$56.00|$52.00|$41.76|$36069.43|$46374.98|$51527.75|$39403.50|$38741.52|$26647.27|$26647.27
"CPT® 82657"|"HB ALPHA GALACTOSIDASE LEUKOCYTE"|309.00|$260.00|$38.43|$208.00|$182.00|$104.00|$91.52|$58.24||$104.00|$208.00|$147.68||$79.30|$98.80|$159.38|$55.00|||$56.00|$52.00|$38.43|$70.28|$94.80|$105.33|$97.50|$95.86|$65.94|$65.94
"CPT® 82657"|"HB ARYLSULFATASE A LEUKOCYTES"|309.00|$301.00|$38.43|$240.80|$211.00|$120.40|$105.95|$67.42||$120.40|$240.80|$170.97||$91.81|$114.38|$184.51|$55.00|||$56.00|$52.00|$38.43|$81.34|$109.72|$121.92|$112.88|$110.98|$76.33|$76.33
"CPT® 86870"|"HB ANTIBODY IDENTIFICATION PANEL"|309.00|$363.00|$52.00|$290.40|$254.00|$145.20|$127.78|$81.31||$145.20|$290.40|$206.18||$110.72|$137.94|$222.52|$55.00|||$56.00|$52.00|$65.16|$67.41|$99.45|$110.50|$136.13|$133.84|$92.06|$92.06
"CPT® 86860"|"HB ANTIBODY ELUTION"|309.00|$279.00|$47.34|$223.20|$195.00|$111.60|$98.21|$62.50||$111.60|$223.20|$158.47||$85.10|$106.02|$171.03|$55.00|||$56.00|$52.00|$47.34|$71.33|$97.35|$108.17|$104.63|$102.87|$70.75|$70.75
"CPT® 86923"|"HB CROSSMATCH, ELECTRONIC"|309.00|$135.00|$30.24|$108.00|$94.00|$54.00|$47.52|$30.24||$54.00|$108.00|$76.68||$41.18|$51.30|$82.76|$55.00|||$56.00|$52.00|$42.32|$36.05|$48.75|$54.17|$50.63|$49.77|$34.24|$34.24
"CPT® 86920"|"HB CROSSMATCH, IMMEDIATE SPIN"|309.00|$195.00|$43.68|$156.00|$136.00|$78.00|$68.64|$43.68||$78.00|$156.00|$110.76||$59.48|$74.10|$119.54|$55.00|||$56.00|$52.00|$52.91|$48.65|$66.75|$74.17|$73.13|$71.90|$49.45|$49.45
"CPT® 88350"|"HB IMF-IGG STAIN, ADDITIONAL"|310.00|$328.00|$67.00|$262.40|$230.00|$131.20|$115.46|$73.47||$131.20|$262.40|$186.30||$100.04|$124.64|$201.06|$100.00|||$72.00|$67.00|$67.94|$120.58|$155.03|$172.25|$123.00|$120.93|$83.18|$83.18
"CPT® 88350"|"HB IMF-IGA STAIN, ADDITIONAL"|310.00|$332.00|$67.00|$265.60|$232.00|$132.80|$116.86|$74.37||$132.80|$265.60|$188.58||$101.26|$126.16|$203.52|$100.00|||$72.00|$67.00|$67.94|$121.98|$156.83|$174.25|$124.50|$122.41|$84.20|$84.20
"CPT® 88350"|"HB IMF-IGM STAIN, ADDITIONAL"|310.00|$331.00|$67.00|$264.80|$232.00|$132.40|$116.51|$74.14||$132.40|$264.80|$188.01||$100.96|$125.78|$202.90|$100.00|||$72.00|$67.00|$67.94|$121.63|$156.38|$173.75|$124.13|$122.04|$83.94|$83.94
"CPT® 88350"|"HB IMF-ALBUMIN STAIN, ADDITIONAL"|310.00|$271.00|$60.70|$216.80|$190.00|$108.40|$95.39|$60.70||$108.40|$216.80|$153.93||$82.66|$102.98|$166.12|$100.00|||$72.00|$67.00|$67.94|$99.58|$128.03|$142.25|$101.63|$99.92|$68.73|$68.73
"CPT® 88350"|"HB IMF-C1Q STAIN, ADDITIONAL"|310.00|$271.00|$60.70|$216.80|$190.00|$108.40|$95.39|$60.70||$108.40|$216.80|$153.93||$82.66|$102.98|$166.12|$100.00|||$72.00|$67.00|$67.94|$99.58|$128.03|$142.25|$101.63|$99.92|$68.73|$68.73
"CPT® 88350"|"HB IMF-C3 STAIN, ADDITIONAL"|310.00|$271.00|$60.70|$216.80|$190.00|$108.40|$95.39|$60.70||$108.40|$216.80|$153.93||$82.66|$102.98|$166.12|$100.00|||$72.00|$67.00|$67.94|$99.58|$128.03|$142.25|$101.63|$99.92|$68.73|$68.73
"CPT® 88350"|"HB IMF-C4D STAIN, ADDITIONAL"|310.00|$362.00|$67.00|$289.60|$253.00|$144.80|$127.42|$81.09||$144.80|$289.60|$205.62||$110.41|$137.56|$221.91|$100.00|||$72.00|$67.00|$67.94|$133.00|$171.00|$190.00|$135.75|$133.47|$91.80|$91.80
"CPT® 88350"|"HB IMF-FIBRINOGEN STAIN, ADDITIONAL"|310.00|$328.00|$67.00|$262.40|$230.00|$131.20|$115.46|$73.47||$131.20|$262.40|$186.30||$100.04|$124.64|$201.06|$100.00|||$72.00|$67.00|$67.94|$120.58|$155.03|$172.25|$123.00|$120.93|$83.18|$83.18
"CPT® 88350"|"HB IMF-KAPPA STAIN, ADDITIONAL"|310.00|$352.00|$67.00|$281.60|$246.00|$140.80|$123.90|$78.85||$140.80|$281.60|$199.94||$107.36|$133.76|$215.78|$100.00|||$72.00|$67.00|$67.94|$129.33|$166.28|$184.75|$132.00|$129.78|$89.27|$89.27
"CPT® 88350"|"HB IMF-LAMBDA STAIN, ADDITIONAL"|310.00|$271.00|$60.70|$216.80|$190.00|$108.40|$95.39|$60.70||$108.40|$216.80|$153.93||$82.66|$102.98|$166.12|$100.00|||$72.00|$67.00|$67.94|$99.58|$128.03|$142.25|$101.63|$99.92|$68.73|$68.73
"CPT® 81206"|"HB BCR/ABL MAJOR, QUALITATIVE, PCR"|310.00|$412.00|$55.00|$347.49|$288.00|$164.80|$145.02|$92.29||$164.80|$329.60|$234.02||$125.66|$156.56|$252.56|$55.00|||$72.00|$67.00|$347.49|$144.20|$185.40|$206.00|$154.50|$151.90|$104.48|$104.48
"CPT® 81207"|"HB BCR/ABL MINOR, QUALITATIVE, PCR"|310.00|$729.00|$55.00|$583.20|$510.00|$291.60|$256.61|$163.30||$291.60|$583.20|$414.07||$222.35|$277.02|$446.88|$55.00|||$72.00|$67.00|$306.84|$255.15|$328.05|$364.50|$273.38|$268.78|$184.87|$184.87
"CPT® 81206"|"HB BCR/ABL MAJOR, QUANTITATIVE, PCR"|310.00|$551.00|$55.00|$440.80|$386.00|$220.40|$193.95|$123.42||$220.40|$440.80|$312.97||$168.06|$209.38|$337.76|$55.00|||$72.00|$67.00|$347.49|$192.85|$247.95|$275.50|$206.63|$203.15|$139.73|$139.73
"CPT® 81235"|"HB EPIDERMAL GROWTH FACTOR RECEPTOR ANALYSIS"|310.00|$1686.00|$55.00|$1348.80|$1180.00|$674.40|$593.47|$377.66||$674.40|$1348.80|$957.65||$514.23|$640.68|$1033.52|$55.00|||$72.00|$67.00|$512.33|$590.10|$758.70|$843.00|$632.25|$621.63|$427.57|$427.57
"CPT® 81246"|"HB FLT3 EXON 20, PCR"|310.00|$116.00|$25.98|$92.80|$81.00|$46.40|$40.83|$25.98||$46.40|$92.80|$65.89||$35.38|$44.08|$71.11|$55.00|||$72.00|$67.00|$88.67|$29.12|$39.90|$44.33|$43.50|$42.77|$29.42|$29.42
"CPT® 81245"|"HB FLT3 EXONS 14 & 15, PCR"|310.00|$295.00|$55.00|$236.00|$206.00|$118.00|$103.84|$66.08||$118.00|$236.00|$167.56||$89.98|$112.10|$180.84|$55.00|||$72.00|$67.00|$213.45|$74.20|$101.62|$112.92|$110.63|$108.77|$74.81|$74.81
"CPT® 81120"|"HB ISOCITRATE DEHYDROGENASE 1 MUTATION ANALYSIS"|310.00|$769.00|$55.00|$615.20|$538.00|$307.60|$270.69|$172.26||$307.60|$615.20|$436.79||$234.55|$292.22|$471.40|$55.00|||$72.00|$67.00|$170.91|$193.69|$265.20|$294.67|$288.38|$283.53|$195.02|$195.02
"CPT® 81121"|"HB ISOCITRATE DEHYDROGENASE 2 MUTATION ANALYSIS"|310.00|$1122.00|$55.00|$897.60|$785.00|$448.80|$394.94|$251.33||$448.80|$897.60|$637.30||$342.21|$426.36|$687.79|$55.00|||$72.00|$67.00|$249.25|$282.45|$386.77|$429.75|$420.75|$413.68|$284.54|$284.54
"CPT® 81270"|"HB JAK 2 QUANTITATIVE MUTATION ASSAY"|310.00|$553.00|$55.00|$442.40|$387.00|$221.20|$194.66|$123.87||$221.20|$442.40|$314.10||$168.67|$210.14|$338.99|$55.00|||$72.00|$67.00|$194.34|$193.55|$248.85|$276.50|$207.38|$203.89|$140.24|$140.24
"CPT® 81275"|"HB KRAS MUTATION ANALYSIS"|310.00|$954.00|$55.00|$763.20|$668.00|$381.60|$335.81|$213.70||$381.60|$763.20|$541.87||$290.97|$362.52|$584.80|$55.00|||$72.00|$67.00|$306.84|$333.90|$429.30|$477.00|$357.75|$351.74|$241.93|$241.93
"CPT® 81310"|"HB NPM1 NUCLEOPHOSMIN GENE MUTATION"|310.00|$592.00|$55.00|$473.60|$414.00|$236.80|$208.38|$132.61||$236.80|$473.60|$336.26||$180.56|$224.96|$362.90|$55.00|||$72.00|$67.00|$383.69|$207.20|$266.40|$296.00|$222.00|$218.27|$150.13|$150.13
"CPT® 81315"|"HB PML/RAR QUANTITATIVE ASSAY, PCR"|310.00|$1341.00|$55.00|$1072.80|$939.00|$536.40|$472.03|$300.38||$536.40|$1072.80|$761.69||$409.01|$509.58|$822.03|$55.00|||$72.00|$67.00|$439.37|$469.35|$603.45|$670.50|$502.88|$494.43|$340.08|$340.08
"CPT® 81342"|"HB T- CELL RECEPTOR GENE REARANGEMENT, PCR"|310.00|$1295.00|$55.00|$1036.00|$906.00|$518.00|$455.84|$290.08||$518.00|$1036.00|$735.56||$394.98|$492.10|$793.84|$55.00|||$72.00|$67.00|$427.13|$453.25|$582.75|$647.50|$485.63|$477.47|$328.41|$328.41
"CPT® 81219"|"HB CALRETICULIN FS MUTATION"|310.00|$855.00|$55.00|$684.00|$598.00|$342.00|$300.96|$191.52||$342.00|$684.00|$485.64||$260.78|$324.90|$524.12|$55.00|||$72.00|$67.00|$257.84|$299.25|$384.75|$427.50|$320.63|$315.24|$216.83|$216.83
"CPT® 88387"|"HB MACRO EXAM, DISSECT, PREP"|310.00|$155.00|$15.00|$124.00|$108.00|$62.00|$54.56|$34.72||$62.00|$124.00|$88.04||$47.28|$58.90|$95.02|$100.00|||$72.00|$67.00|$15.00|$56.88|$73.13|$81.25|$58.13|$57.15|$39.31|$39.31
"CPT® 81276"|"HB KRAS GENE CODON 61"|310.00|$192.00|$43.01|$192.00|$134.00|$76.80|$67.58|$43.01||$76.80|$153.60|$109.06||$58.56|$72.96|$117.70|$55.00|||$72.00|$67.00|$192.00|$67.20|$86.40|$96.00|$72.00|$70.79|$48.69|$48.69
"CPT® 81208"|"HB BCR/ABL OTHER BREAKPOINT, QUALITATIVE, PCR"|310.00|$382.00|$55.00|$340.80|$267.00|$152.80|$134.46|$85.57||$152.80|$305.60|$216.98||$116.51|$145.16|$234.17|$55.00|||$72.00|$67.00|$340.80|$130.38|$167.63|$186.25|$143.25|$140.84|$96.88|$96.88
"CPT® 81207"|"HB BCR/ABL P190 QUANTITATIVE ASSAY"|310.00|$4211.00|$55.00|$3368.80|$2948.00|$1684.40|$1482.27|$943.26||$1684.40|$3368.80|$2391.85||$1284.36|$1600.18|$2581.34|$55.00|||$72.00|$67.00|$306.84|$1473.85|$1894.95|$2105.50|$1579.13|$1552.60|$1067.91|$1067.91
"CPT® 85097"|"HB BONE MARROW ASPIRATE SMEAR"|310.00|$486.00|$49.58|$388.80|$340.00|$194.40|$171.07|$108.86||$194.40|$388.80|$276.05||$148.23|$184.68|$297.92|$55.00|||$72.00|$67.00|$49.58|$170.10|$218.70|$243.00|$182.25|$179.19|$123.25|$123.25
"CPT® 85097"|"HB BONE MARROW TOUCH PREP"|310.00|$211.00|$47.26|$168.80|$148.00|$84.40|$74.27|$47.26||$84.40|$168.80|$119.85||$64.36|$80.18|$129.34|$55.00|||$72.00|$67.00|$49.58|$73.85|$94.95|$105.50|$79.13|$77.80|$53.51|$53.51
"CPT® 80502"|"HB COMPREHENSIVE BLOOD SMEAR REVIEW"|310.00|$141.00|$31.58|$112.80|$99.00|$56.40|$49.63|$31.58||$56.40|$112.80|$80.09||$43.01|$53.58|$86.43|$55.86|||$72.00|$67.00|$68.07|$51.80|$66.60|$74.00|$52.88|$51.99|$35.76|$35.76
"CPT® 88333"|"HB TOUCH PREP, HEMATOPATHOLOGY TISSUE"|310.00|$151.00|$33.82|$120.80|$106.00|$60.40|$53.15|$33.82||$60.40|$120.80|$85.77||$46.06|$57.38|$92.56|$100.00|||$72.00|$67.00|$56.22|$55.48|$71.33|$79.25|$56.63|$55.67|$38.29|$38.29
"CPT® 88020"|"HB AUTOPSY, GROSS & MICROSCOPIC, ADULT"|310.00|$4235.00|$67.00|$3388.00|$2964.00|$1694.00|$1490.72|$948.64||$1694.00|$3388.00|$2405.48||$1291.68|$1609.30|$2596.06|$100.00|||$72.00|$67.00|$390.63|$1580.60|$2032.20|$2258.00|$1588.13|$1561.44|$1074.00|$1074.00
"CPT® 88029"|"HB AUTOPSY, GROSS & MICROSCOPIC, PERINATAL"|310.00|$4235.00|$67.00|$3388.00|$2964.00|$1694.00|$1490.72|$948.64||$1694.00|$3388.00|$2405.48||$1291.68|$1609.30|$2596.06|$100.00|||$72.00|$67.00|$226.91|$1580.60|$2032.20|$2258.00|$1588.13|$1561.44|$1074.00|$1074.00
"CPT® 88027"|"HB AUTOPSY, SPECIAL"|310.00|$4840.00|$67.00|$3872.00|$3388.00|$1936.00|$1703.68|$1084.16||$1936.00|$3872.00|$2749.12||$1476.20|$1839.20|$2966.92|$1917.61|||$72.00|$67.00|$403.20|$1806.18|$2322.23|$2580.25|$1815.00|$1784.51|$1227.42|$1227.42
"CPT® 88037"|"HB AUTOPSY, BRAIN ONLY"|310.00|$4235.00|$67.00|$3388.00|$2964.00|$1694.00|$1490.72|$948.64||$1694.00|$3388.00|$2405.48||$1291.68|$1609.30|$2596.06|$1677.91|||$72.00|$67.00|$100.89|$1580.60|$2032.20|$2258.00|$1588.13|$1561.44|$1074.00|$1074.00
"CPT® 88099"|"HB AUTOPSY, BRAIN REMOVAL ONLY"|310.00|$1210.00|$19.05|$968.00|$847.00|$484.00|$425.92|$271.04||$484.00|$968.00|$687.28||$369.05|$459.80|$741.73|$479.40|||$72.00|$67.00|$19.05|$451.68|$580.73|$645.25|$453.75|$446.13|$306.86|$306.86
"CPT® 88037"|"HB AUTOPSY, DISEMBODIED ORGAN OR GROUP OF ORGANS"|310.00|$3630.00|$67.00|$2904.00|$2541.00|$1452.00|$1277.76|$813.12||$1452.00|$2904.00|$2061.84||$1107.15|$1379.40|$2225.19|$1438.21|||$72.00|$67.00|$100.89|$1354.85|$1741.95|$1935.50|$1361.25|$1338.38|$920.57|$920.57
"CPT® 80037"|"HB AUTOPSY, DISEMBODIED ORGAN(S) - TECHNICAL ONLY"|310.00|$3689.00|$67.00|$2951.20|$2582.00|$1475.60|$1298.53|$826.34||$1475.60|$2951.20|$2095.35||$1125.15|$1401.82|$2261.36|$1461.58|||$72.00|$67.00|$1069.81|$1291.15|$1660.05|$1844.50|$1383.38|$1360.13|$935.53|$935.53
"CPT® 88037"|"HB AUTOPSY, BRAIN ONLY, TECHNICAL ONLY"|310.00|$1393.00|$67.00|$1114.40|$975.00|$557.20|$490.34|$312.03||$557.20|$1114.40|$791.22||$424.87|$529.34|$853.91|$551.91|||$72.00|$67.00|$100.89|$487.55|$626.85|$696.50|$522.38|$513.60|$353.26|$353.26
"CPT® 88275"|"HB INSIGHT, FISH, BILL ONLY"|310.00|$243.00|$54.43|$194.40|$170.00|$97.20|$85.54|$54.43||$97.20|$194.40|$138.02||$74.12|$92.34|$148.96|$100.00|||$72.00|$67.00|$85.20|$85.05|$109.35|$121.50|$91.13|$89.59|$61.62|$61.62
"CPT® 88350"|"HB ANTIENTEROCYTE ANTIBODY, IMF, ADDT'L"|310.00|$1285.00|$67.00|$1028.00|$899.00|$514.00|$452.32|$287.84||$514.00|$1028.00|$729.88||$391.93|$488.30|$787.71|$100.00|||$72.00|$67.00|$67.94|$472.33|$607.28|$674.75|$481.88|$473.78|$325.88|$325.88
"CPT® 88350"|"HB IBS, SGI DIAGNOSTIC, BILL ONLY, IFA, ADDT'L"|310.00|$400.00|$67.00|$320.00|$280.00|$160.00|$140.80|$89.60||$160.00|$320.00|$227.20||$122.00|$152.00|$245.20|$100.00|||$72.00|$67.00|$67.94|$147.00|$189.00|$210.00|$150.00|$147.48|$101.44|$101.44
"CPT® 88240"|"HB FREEZE/STORE CELLS, EACH LINE"|310.00|$169.00|$21.17|$135.20|$118.00|$67.60|$59.49|$37.86||$67.60|$135.20|$95.99||$51.55|$64.22|$103.60|$100.00|||$72.00|$67.00|$21.17|$59.15|$76.05|$84.50|$63.38|$62.31|$42.86|$42.86
"CPT® 88237"|"HB TISSUE CULTURE, BONE MARROW/BONE CORE/BODY FLUID"|310.00|$443.00|$67.00|$354.40|$310.00|$177.20|$155.94|$99.23||$177.20|$354.40|$251.62||$135.12|$168.34|$271.56|$100.00|||$72.00|$67.00|$267.86|$155.05|$199.35|$221.50|$166.13|$163.33|$112.34|$112.34
"CPT® 88239"|"HB TISSUE CULTURE, LYMPH NODE/SOLID TUMOR"|310.00|$485.00|$67.00|$388.00|$340.00|$194.00|$170.72|$108.64||$194.00|$388.00|$275.48||$147.93|$184.30|$297.31|$100.00|||$72.00|$67.00|$312.41|$169.75|$218.25|$242.50|$181.88|$178.82|$123.00|$123.00
"CPT® 88237"|"HB TISSUE CULTURE, PERIPHERAL BLOOD"|310.00|$443.00|$67.00|$354.40|$310.00|$177.20|$155.94|$99.23||$177.20|$354.40|$251.62||$135.12|$168.34|$271.56|$100.00|||$72.00|$67.00|$267.86|$155.05|$199.35|$221.50|$166.13|$163.33|$112.34|$112.34
"CPT® 88261"|"HB CHROMOSOME ANALYSIS, 5 CELLS"|310.00|$1004.00|$67.00|$803.20|$703.00|$401.60|$353.41|$224.90||$401.60|$803.20|$570.27||$306.22|$381.52|$615.45|$100.00|||$72.00|$67.00|$374.22|$351.40|$451.80|$502.00|$376.50|$370.17|$254.61|$254.61
"CPT® 88285"|"HB CHROMOSOME ANALYSIS, ADDITIONAL CELLS"|310.00|$202.00|$40.10|$161.60|$141.00|$80.80|$71.10|$45.25||$80.80|$161.60|$114.74||$61.61|$76.76|$123.83|$100.00|||$72.00|$67.00|$40.10|$70.70|$90.90|$101.00|$75.75|$74.48|$51.23|$51.23
"CPT® 88280"|"HB CHROMOSOME ANALYSIS, ADDITIONAL KARYOTYPE"|310.00|$60.00|$13.44|$60.00|$42.00|$24.00|$21.12|$13.44||$24.00|$48.00|$34.08||$18.30|$22.80|$36.78|$60.00|||$60.00|$60.00|$52.91|$21.00|$27.00|$30.00|$22.50|$22.12|$15.22|$15.22
"CPT® 88262"|"HB CHROMOSOME ANALYSIS, BLOOD, 15-20 CELLS"|310.00|$868.00|$67.00|$694.40|$608.00|$347.20|$305.54|$194.43||$347.20|$694.40|$493.02||$264.74|$329.84|$532.08|$100.00|||$72.00|$67.00|$263.96|$303.80|$390.60|$434.00|$325.50|$320.03|$220.12|$220.12
"CPT® 88264"|"HB CHROMOSOME ANALYSIS, BLOOD, 20-25 CELLS"|310.00|$969.00|$67.00|$775.20|$678.00|$387.60|$341.09|$217.06||$387.60|$775.20|$550.39||$295.55|$368.22|$594.00|$100.00|||$72.00|$67.00|$263.96|$339.15|$436.05|$484.50|$363.38|$357.27|$245.74|$245.74
"CPT® 88262"|"HB CHROMOSOME ANALYSIS, BONE MARROW, BONE CORE, BODY FLUID 15-20 CELLS"|310.00|$868.00|$67.00|$694.40|$608.00|$347.20|$305.54|$194.43||$347.20|$694.40|$493.02||$264.74|$329.84|$532.08|$100.00|||$72.00|$67.00|$263.96|$303.80|$390.60|$434.00|$325.50|$320.03|$220.12|$220.12
"CPT® 88264"|"HB CHROMOSOME ANALYSIS, BONE MARROW, BONE CORE, BODY FLUID 20-25 CELLS"|310.00|$969.00|$67.00|$775.20|$678.00|$387.60|$341.09|$217.06||$387.60|$775.20|$550.39||$295.55|$368.22|$594.00|$100.00|||$72.00|$67.00|$263.96|$339.15|$436.05|$484.50|$363.38|$357.27|$245.74|$245.74
"CPT® 88264"|"HB CHROMOSOME ANALYSIS, LYMPH NODE/SOLID TUMOR 20-25 CELLS"|310.00|$969.00|$67.00|$775.20|$678.00|$387.60|$341.09|$217.06||$387.60|$775.20|$550.39||$295.55|$368.22|$594.00|$100.00|||$72.00|$67.00|$263.96|$339.15|$436.05|$484.50|$363.38|$357.27|$245.74|$245.74
"CPT® 88262"|"HB CHROMOSOME ANALYSIS, LYMPH NODE/SOLID TUMOR 15-20 CELLS"|310.00|$868.00|$67.00|$694.40|$608.00|$347.20|$305.54|$194.43||$347.20|$694.40|$493.02||$264.74|$329.84|$532.08|$100.00|||$72.00|$67.00|$263.96|$303.80|$390.60|$434.00|$325.50|$320.03|$220.12|$220.12
"CPT® 88366"|"HB FISH, CCND3/IGH MULTIPLEX"|310.00|$914.00|$67.00|$731.20|$640.00|$365.60|$321.73|$204.74||$365.60|$731.20|$519.15||$278.77|$347.32|$560.28|$100.00|||$72.00|$67.00|$309.03|$335.83|$431.78|$479.75|$342.75|$336.99|$231.79|$231.79
"CPT® 88366"|"HB FISH,CEP 3/7/11 MULTIPLEX"|310.00|$1178.00|$67.00|$942.40|$825.00|$471.20|$414.66|$263.87||$471.20|$942.40|$669.10||$359.29|$447.64|$722.11|$100.00|||$72.00|$67.00|$309.03|$432.95|$556.65|$618.50|$441.75|$434.33|$298.74|$298.74
"CPT® 88366"|"HB FISH,CEP 5/9/15 MULTIPLEX"|310.00|$1178.00|$67.00|$942.40|$825.00|$471.20|$414.66|$263.87||$471.20|$942.40|$669.10||$359.29|$447.64|$722.11|$100.00|||$72.00|$67.00|$309.03|$432.95|$556.65|$618.50|$441.75|$434.33|$298.74|$298.74
"CPT® 88366"|"HB FISH, CMYC/IGH MULTIPLEX"|310.00|$908.00|$67.00|$726.40|$636.00|$363.20|$319.62|$203.39||$363.20|$726.40|$515.74||$276.94|$345.04|$556.60|$100.00|||$72.00|$67.00|$309.03|$333.73|$429.08|$476.75|$340.50|$334.78|$230.27|$230.27
"CPT® 88366"|"HB FISH, DEL(13Q), -13  MULTIPLEX"|310.00|$902.00|$67.00|$721.60|$631.00|$360.80|$317.50|$202.05||$360.80|$721.60|$512.34||$275.11|$342.76|$552.93|$100.00|||$72.00|$67.00|$309.03|$331.45|$426.15|$473.50|$338.25|$332.57|$228.75|$228.75
"CPT® 88366"|"HB FISH, FGFR3/IGH MULTIPLEX"|310.00|$908.00|$67.00|$726.40|$636.00|$363.20|$319.62|$203.39||$363.20|$726.40|$515.74||$276.94|$345.04|$556.60|$100.00|||$72.00|$67.00|$309.03|$333.73|$429.08|$476.75|$340.50|$334.78|$230.27|$230.27
"CPT® 88366"|"HB FISH, IGH BREAK APART MULTIPLEX"|310.00|$898.00|$67.00|$718.40|$629.00|$359.20|$316.10|$201.15||$359.20|$718.40|$510.06||$273.89|$341.24|$550.47|$100.00|||$72.00|$67.00|$309.03|$330.05|$424.35|$471.50|$336.75|$331.09|$227.73|$227.73
"CPT® 88366"|"HB FISH ,IGH/CCND1-XT MULTIPLEX"|310.00|$935.00|$67.00|$748.00|$654.00|$374.00|$329.12|$209.44||$374.00|$748.00|$531.08||$285.18|$355.30|$573.16|$100.00|||$72.00|$67.00|$309.03|$343.35|$441.45|$490.50|$350.63|$344.73|$237.12|$237.12
"CPT® 88366"|"HB FISH, IGH/MAF T(14;16) MULTIPLEX"|310.00|$908.00|$67.00|$726.40|$636.00|$363.20|$319.62|$203.39||$363.20|$726.40|$515.74||$276.94|$345.04|$556.60|$100.00|||$72.00|$67.00|$309.03|$333.73|$429.08|$476.75|$340.50|$334.78|$230.27|$230.27
"CPT® 88366"|"HB FISH,IGH/MAFB MULTIPLEX"|310.00|$914.00|$67.00|$731.20|$640.00|$365.60|$321.73|$204.74||$365.60|$731.20|$519.15||$278.77|$347.32|$560.28|$100.00|||$72.00|$67.00|$309.03|$335.83|$431.78|$479.75|$342.75|$336.99|$231.79|$231.79
"CPT® 88366"|"HB FISH, MM1Q MULTIPLEX"|310.00|$862.00|$67.00|$689.60|$603.00|$344.80|$303.42|$193.09||$344.80|$689.60|$489.62||$262.91|$327.56|$528.41|$100.00|||$72.00|$67.00|$309.03|$316.75|$407.25|$452.50|$323.25|$317.82|$218.60|$218.60
"CPT® 88366"|"HB FISH, TP53/CEP17 MULTIPLEX"|310.00|$928.00|$67.00|$742.40|$650.00|$371.20|$326.66|$207.87||$371.20|$742.40|$527.10||$283.04|$352.64|$568.86|$100.00|||$72.00|$67.00|$309.03|$341.08|$438.53|$487.25|$348.00|$342.15|$235.34|$235.34
"CPT® 88366"|"HB FISH, ALK BREAK APART PARAFFIN TISSUE"|310.00|$1605.00|$67.00|$1284.00|$1124.00|$642.00|$564.96|$359.52||$642.00|$1284.00|$911.64||$489.53|$609.90|$983.87|$100.00|||$72.00|$67.00|$309.03|$589.93|$758.48|$842.75|$601.88|$591.76|$407.03|$407.03
"CPT® 88366"|"HB FISH, BCL2 BREAK APART PARAFFIN TISSUE"|310.00|$1493.00|$67.00|$1194.40|$1045.00|$597.20|$525.54|$334.43||$597.20|$1194.40|$848.02||$455.37|$567.34|$915.21|$100.00|||$72.00|$67.00|$309.03|$548.63|$705.38|$783.75|$559.88|$550.47|$378.62|$378.62
"CPT® 88366"|"HB FISH, BCL6 BREAK APART PARAFFIN TISSUE"|310.00|$1481.00|$67.00|$1184.80|$1037.00|$592.40|$521.31|$331.74||$592.40|$1184.80|$841.21||$451.71|$562.78|$907.85|$100.00|||$72.00|$67.00|$309.03|$544.08|$699.53|$777.25|$555.38|$546.04|$375.58|$375.58
"CPT® 88366"|"HB FISH, MYC BREAK APART PARAFFIN TISSUE"|310.00|$1527.00|$67.00|$1221.60|$1069.00|$610.80|$537.50|$342.05||$610.80|$1221.60|$867.34||$465.74|$580.26|$936.05|$100.00|||$72.00|$67.00|$309.03|$561.23|$721.58|$801.75|$572.63|$563.00|$387.25|$387.25
"CPT® 88366"|"HB FISH, GLIOMA PARAFFIN TISSUE"|310.00|$1528.00|$67.00|$1222.40|$1070.00|$611.20|$537.86|$342.27||$611.20|$1222.40|$867.90||$466.04|$580.64|$936.66|$100.00|||$72.00|$67.00|$309.03|$561.58|$722.03|$802.25|$573.00|$563.37|$387.50|$387.50
"CPT® 88366"|"HB FISH, HER2 PARAFFIN TISSUE"|310.00|$1551.00|$67.00|$1240.80|$1086.00|$620.40|$545.95|$347.42||$620.40|$1240.80|$880.97||$473.06|$589.38|$950.76|$100.00|||$72.00|$67.00|$309.03|$569.98|$732.83|$814.25|$581.63|$571.85|$393.33|$393.33
"CPT® 88366"|"HB FISH, EGFR PARAFFIN TISSUE"|310.00|$1533.00|$67.00|$1226.40|$1073.00|$613.20|$539.62|$343.39||$613.20|$1226.40|$870.74||$467.57|$582.54|$939.73|$100.00|||$72.00|$67.00|$309.03|$563.33|$724.28|$804.75|$574.88|$565.22|$388.77|$388.77
"CPT® 88366"|"HB FISH, PTEN PARAFFIN TISSUE"|310.00|$1533.00|$67.00|$1226.40|$1073.00|$613.20|$539.62|$343.39||$613.20|$1226.40|$870.74||$467.57|$582.54|$939.73|$100.00|||$72.00|$67.00|$309.03|$563.33|$724.28|$804.75|$574.88|$565.22|$388.77|$388.77
"HCPCS 88366"|"HB FISH ROS1 PET, PROBE & ANALYSIS"|310.00|$2220.00|$67.00|$1776.00|$1554.00|$888.00|$781.44|$497.28||$888.00|$1776.00|$1260.96||$677.10|$843.60|$1360.86|$100.00|||$72.00|$67.00|$309.03|$777.00|$999.00|$1110.00|$832.50|$818.51|$562.99|$562.99
"CPT® 88366"|"HB FISH MDM2 PET PROBE & ANALYSIS"|310.00|$1917.00|$67.00|$1533.60|$1342.00|$766.80|$674.78|$429.41||$766.80|$1533.60|$1088.86||$584.69|$728.46|$1175.12|$100.00|||$72.00|$67.00|$309.03|$670.95|$862.65|$958.50|$718.88|$706.80|$486.15|$486.15
"CPT® 88366"|"HB FISH, AML1/ETO T(8;21) MULTIPLEX"|310.00|$783.00|$67.00|$626.40|$548.00|$313.20|$275.62|$175.39||$313.20|$626.40|$444.74||$238.82|$297.54|$479.98|$100.00|||$72.00|$67.00|$309.03|$287.70|$369.90|$411.00|$293.63|$288.69|$198.57|$198.57
"CPT® 88366"|"HB FISH, BCR/ABL, T(9;22) MULTIPLEX"|310.00|$774.00|$67.00|$619.20|$542.00|$309.60|$272.45|$173.38||$309.60|$619.20|$439.63||$236.07|$294.12|$474.46|$100.00|||$72.00|$67.00|$309.03|$284.38|$365.63|$406.25|$290.25|$285.37|$196.29|$196.29
"CPT® 88366"|"HB FISH, CBFB BAP, INV(16) MULTIPLEX"|310.00|$799.00|$67.00|$639.20|$559.00|$319.60|$281.25|$178.98||$319.60|$639.20|$453.83||$243.70|$303.62|$489.79|$100.00|||$72.00|$67.00|$309.03|$293.65|$377.55|$419.50|$299.63|$294.59|$202.63|$202.63
"CPT® 88366"|"HB FISH, CCND1 BAP, 11Q13 MULTIPLEX"|310.00|$803.00|$67.00|$642.40|$562.00|$321.20|$282.66|$179.87||$321.20|$642.40|$456.10||$244.92|$305.14|$492.24|$100.00|||$72.00|$67.00|$309.03|$295.05|$379.35|$421.50|$301.13|$296.07|$203.64|$203.64
"CPT® 88366"|"HB FISH, CCND1/IGH, T(11;14) MULTIPLEX"|310.00|$810.00|$67.00|$648.00|$567.00|$324.00|$285.12|$181.44||$324.00|$648.00|$460.08||$247.05|$307.80|$496.53|$100.00|||$72.00|$67.00|$309.03|$297.68|$382.73|$425.25|$303.75|$298.65|$205.42|$205.42
"CPT® 88366"|"HB FISH, CEP X/Y MULTIPLEX"|310.00|$668.00|$67.00|$534.40|$468.00|$267.20|$235.14|$149.63||$267.20|$534.40|$379.42||$203.74|$253.84|$409.48|$100.00|||$72.00|$67.00|$309.03|$245.53|$315.68|$350.75|$250.50|$246.29|$169.40|$169.40
"CPT® 88366"|"HB FISH, CRLF2 MULTIPLEX"|310.00|$677.00|$67.00|$541.60|$474.00|$270.80|$238.30|$151.65||$270.80|$541.60|$384.54||$206.49|$257.26|$415.00|$100.00|||$72.00|$67.00|$309.03|$248.85|$319.95|$355.50|$253.88|$249.61|$171.69|$171.69
"CPT® 88366"|"HB FISH, DEL(4Q), CHIC2 MULTIPLEX"|310.00|$849.00|$67.00|$679.20|$594.00|$339.60|$298.85|$190.18||$339.60|$679.20|$482.23||$258.95|$322.62|$520.44|$100.00|||$72.00|$67.00|$309.03|$312.03|$401.18|$445.75|$318.38|$313.03|$215.31|$215.31
"CPT® 88366"|"HB FISH, DEL(5Q), -5 MULTIPLEX"|310.00|$729.00|$67.00|$583.20|$510.00|$291.60|$256.61|$163.30||$291.60|$583.20|$414.07||$222.35|$277.02|$446.88|$100.00|||$72.00|$67.00|$309.03|$267.93|$344.48|$382.75|$273.38|$268.78|$184.87|$184.87
"CPT® 88366"|"HB FISH, DEL(7Q), -7 MULTIPLEX"|310.00|$1034.00|$67.00|$827.20|$724.00|$413.60|$363.97|$231.62||$413.60|$827.20|$587.31||$315.37|$392.92|$633.84|$100.00|||$72.00|$67.00|$309.03|$379.93|$488.48|$542.75|$387.75|$381.24|$262.22|$262.22
"CPT® 88366"|"HB FISH, EVI1 BAP, INV(3) MULTIPLEX"|310.00|$789.00|$67.00|$631.20|$552.00|$315.60|$277.73|$176.74||$315.60|$631.20|$448.15||$240.65|$299.82|$483.66|$100.00|||$72.00|$67.00|$309.03|$289.98|$372.83|$414.25|$295.88|$290.90|$200.09|$200.09
"CPT® 88366"|"HB FISH, MLL BAP 11Q MULTIPLEX"|310.00|$773.00|$67.00|$618.40|$541.00|$309.20|$272.10|$173.15||$309.20|$618.40|$439.06||$235.77|$293.74|$473.85|$100.00|||$72.00|$67.00|$309.03|$284.03|$365.18|$405.75|$289.88|$285.01|$196.03|$196.03
"CPT® 88366"|"HB FISH, MYB, 6Q MULTIPLEX"|310.00|$738.00|$67.00|$590.40|$517.00|$295.20|$259.78|$165.31||$295.20|$590.40|$419.18||$225.09|$280.44|$452.39|$100.00|||$72.00|$67.00|$309.03|$271.25|$348.75|$387.50|$276.75|$272.10|$187.16|$187.16
"CPT® 88366"|"HB FISH, P53/ATM/13/CEP12 MULTIPLEX"|310.00|$651.00|$67.00|$520.80|$456.00|$260.40|$229.15|$145.82||$260.40|$520.80|$369.77||$198.56|$247.38|$399.06|$100.00|||$72.00|$67.00|$309.03|$239.23|$307.58|$341.75|$244.13|$240.02|$165.09|$165.09
"CPT® 88366"|"HB FISH, ALK BAP MULTI"|310.00|$994.00|$67.00|$795.20|$696.00|$397.60|$349.89|$222.66||$397.60|$795.20|$564.59||$303.17|$377.72|$609.32|$100.00|||$72.00|$67.00|$309.03|$356.30|$458.10|$509.00|$372.75|$366.49|$252.08|$252.08
"CPT® 88366"|"HB FISH, ATM/CEP11 MULTI"|310.00|$798.00|$67.00|$638.40|$559.00|$319.20|$280.90|$178.75||$319.20|$638.40|$453.26||$243.39|$303.24|$489.17|$100.00|||$72.00|$67.00|$309.03|$285.95|$367.65|$408.50|$299.25|$294.22|$202.37|$202.37
"CPT® 88366"|"HB FISH, BCL2/IGH MULTI"|310.00|$798.00|$67.00|$638.40|$559.00|$319.20|$280.90|$178.75||$319.20|$638.40|$453.26||$243.39|$303.24|$489.17|$100.00|||$72.00|$67.00|$309.03|$285.95|$367.65|$408.50|$299.25|$294.22|$202.37|$202.37
"CPT® 88366"|"HB FISH, BCL6 BAP MULTI"|310.00|$690.00|$67.00|$552.00|$483.00|$276.00|$242.88|$154.56||$276.00|$552.00|$391.92||$210.45|$262.20|$422.97|$100.00|||$72.00|$67.00|$309.03|$247.28|$317.93|$353.25|$258.75|$254.40|$174.98|$174.98
"CPT® 88366"|"HB FISH, +4+10+17 MULTI"|310.00|$638.00|$67.00|$510.40|$447.00|$255.20|$224.58|$142.91||$255.20|$510.40|$362.38||$194.59|$242.44|$391.09|$100.00|||$72.00|$67.00|$309.03|$228.73|$294.08|$326.75|$239.25|$235.23|$161.80|$161.80
"CPT® 88366"|"HB FISH, MYC BAP MULTI"|310.00|$690.00|$67.00|$552.00|$483.00|$276.00|$242.88|$154.56||$276.00|$552.00|$391.92||$210.45|$262.20|$422.97|$100.00|||$72.00|$67.00|$309.03|$247.28|$317.93|$353.25|$258.75|$254.40|$174.98|$174.98
"CPT® 88366"|"HB FISH, DEL(20Q), TRISOMY 8 MULTI"|310.00|$627.00|$67.00|$501.60|$439.00|$250.80|$220.70|$140.45||$250.80|$501.60|$356.14||$191.24|$238.26|$384.35|$100.00|||$72.00|$67.00|$309.03|$224.70|$288.90|$321.00|$235.13|$231.17|$159.01|$159.01
"CPT® 88366"|"HB FISH, EWSR1 BAP MULTI"|310.00|$579.00|$67.00|$463.20|$405.00|$231.60|$203.81|$129.70||$231.60|$463.20|$328.87||$176.60|$220.02|$354.93|$100.00|||$72.00|$67.00|$309.03|$207.38|$266.63|$296.25|$217.13|$213.48|$146.83|$146.83
"CPT® 88366"|"HB FISH, FGFR1 MULTI"|310.00|$579.00|$67.00|$463.20|$405.00|$231.60|$203.81|$129.70||$231.60|$463.20|$328.87||$176.60|$220.02|$354.93|$100.00|||$72.00|$67.00|$309.03|$207.38|$266.63|$296.25|$217.13|$213.48|$146.83|$146.83
"CPT® 88366"|"HB FISH, FOX01 BAP MULTI"|310.00|$579.00|$67.00|$463.20|$405.00|$231.60|$203.81|$129.70||$231.60|$463.20|$328.87||$176.60|$220.02|$354.93|$100.00|||$72.00|$67.00|$309.03|$207.38|$266.63|$296.25|$217.13|$213.48|$146.83|$146.83
"CPT® 88366"|"HB FISH, GLIO 1Q PET MULTI"|310.00|$1623.00|$67.00|$1298.40|$1136.00|$649.20|$571.30|$363.55||$649.20|$1298.40|$921.86||$495.02|$616.74|$994.90|$100.00|||$72.00|$67.00|$309.03|$581.70|$747.90|$831.00|$608.63|$598.40|$411.59|$411.59
"CPT® 88366"|"HB FISH, GLIO 19 PET MULTI"|310.00|$1623.00|$67.00|$1298.40|$1136.00|$649.20|$571.30|$363.55||$649.20|$1298.40|$921.86||$495.02|$616.74|$994.90|$100.00|||$72.00|$67.00|$309.03|$581.70|$747.90|$831.00|$608.63|$598.40|$411.59|$411.59
"CPT® 88366"|"HB FISH, MALT1 BAP MULTI"|310.00|$690.00|$67.00|$552.00|$483.00|$276.00|$242.88|$154.56||$276.00|$552.00|$391.92||$210.45|$262.20|$422.97|$100.00|||$72.00|$67.00|$309.03|$247.28|$317.93|$353.25|$258.75|$254.40|$174.98|$174.98
"CPT® 88366"|"HB FISH, MALT1/IGH MULTI"|310.00|$798.00|$67.00|$638.40|$559.00|$319.20|$280.90|$178.75||$319.20|$638.40|$453.26||$243.39|$303.24|$489.17|$100.00|||$72.00|$67.00|$309.03|$285.95|$367.65|$408.50|$299.25|$294.22|$202.37|$202.37
"CPT® 88366"|"HB FISH, P16/CEP 9 MULTI"|310.00|$683.00|$67.00|$546.40|$478.00|$273.20|$240.42|$152.99||$273.20|$546.40|$387.94||$208.32|$259.54|$418.68|$100.00|||$72.00|$67.00|$309.03|$244.65|$314.55|$349.50|$256.13|$251.82|$173.21|$173.21
"CPT® 88366"|"HB FISH, P2RY8 MULTI"|310.00|$573.00|$67.00|$458.40|$401.00|$229.20|$201.70|$128.35||$229.20|$458.40|$325.46||$174.77|$217.74|$351.25|$100.00|||$72.00|$67.00|$309.03|$205.45|$264.15|$293.50|$214.88|$211.27|$145.31|$145.31
"CPT® 88366"|"HB FISH, ATM/TP53 MULTI"|310.00|$873.00|$67.00|$698.40|$611.00|$349.20|$307.30|$195.55||$349.20|$698.40|$495.86||$266.27|$331.74|$535.15|$100.00|||$72.00|$67.00|$309.03|$312.73|$402.08|$446.75|$327.38|$321.88|$221.39|$221.39
"CPT® 88366"|"HB FISH, CEP 12/13 MULTI"|310.00|$873.00|$67.00|$698.40|$611.00|$349.20|$307.30|$195.55||$349.20|$698.40|$495.86||$266.27|$331.74|$535.15|$100.00|||$72.00|$67.00|$309.03|$312.73|$402.08|$446.75|$327.38|$321.88|$221.39|$221.39
"CPT® 88366"|"HB FISH, PDGFRB MULTI"|310.00|$694.00|$67.00|$555.20|$486.00|$277.60|$244.29|$155.46||$277.60|$555.20|$394.19||$211.67|$263.72|$425.42|$100.00|||$72.00|$67.00|$309.03|$248.68|$319.73|$355.25|$260.25|$255.88|$176.00|$176.00
"CPT® 88366"|"HB FISH, PML/RARA MULTI"|310.00|$690.00|$67.00|$552.00|$483.00|$276.00|$242.88|$154.56||$276.00|$552.00|$391.92||$210.45|$262.20|$422.97|$100.00|||$72.00|$67.00|$309.03|$247.28|$317.93|$353.25|$258.75|$254.40|$174.98|$174.98
"CPT® 88366"|"HB FISH, RARA 17Q12 MULTI"|310.00|$643.00|$67.00|$514.40|$450.00|$257.20|$226.34|$144.03||$257.20|$514.40|$365.22||$196.12|$244.34|$394.16|$100.00|||$72.00|$67.00|$309.03|$230.30|$296.10|$329.00|$241.13|$237.07|$163.06|$163.06
"CPT® 88366"|"HB FISH, SS18 MULTI"|310.00|$798.00|$67.00|$638.40|$559.00|$319.20|$280.90|$178.75||$319.20|$638.40|$453.26||$243.39|$303.24|$489.17|$100.00|||$72.00|$67.00|$309.03|$285.95|$367.65|$408.50|$299.25|$294.22|$202.37|$202.37
"CPT® 88366"|"HB FISH, TCRAD MULTI"|310.00|$798.00|$67.00|$638.40|$559.00|$319.20|$280.90|$178.75||$319.20|$638.40|$453.26||$243.39|$303.24|$489.17|$100.00|||$72.00|$67.00|$309.03|$285.95|$367.65|$408.50|$299.25|$294.22|$202.37|$202.37
"CPT® 88366"|"HB FISH, TCRB MULTI"|310.00|$798.00|$67.00|$638.40|$559.00|$319.20|$280.90|$178.75||$319.20|$638.40|$453.26||$243.39|$303.24|$489.17|$100.00|||$72.00|$67.00|$309.03|$285.95|$367.65|$408.50|$299.25|$294.22|$202.37|$202.37
"CPT® 88366"|"HB FISH, TEL/AML MULTI"|310.00|$690.00|$67.00|$552.00|$483.00|$276.00|$242.88|$154.56||$276.00|$552.00|$391.92||$210.45|$262.20|$422.97|$100.00|||$72.00|$67.00|$309.03|$247.28|$317.93|$353.25|$258.75|$254.40|$174.98|$174.98
"CPT® 88366"|"HB FISH, TFE3 PET MULTIPLEX"|310.00|$1201.00|$67.00|$960.80|$841.00|$480.40|$422.75|$269.02||$480.40|$960.80|$682.17||$366.31|$456.38|$736.21|$100.00|||$72.00|$67.00|$309.03|$336.28|$450.38|$500.42|$450.38|$442.81|$304.57|$304.57
"CPT® 88366"|"HB FISH, BCL2 BAP, MULTIPLEX"|310.00|$699.00|$67.00|$559.20|$489.00|$279.60|$246.05|$156.58||$279.60|$559.20|$397.03||$213.20|$265.62|$428.49|$100.00|||$72.00|$67.00|$309.03|$244.65|$314.55|$349.50|$262.13|$257.72|$177.27|$177.27
"CPT® 88365"|"HB IN SITU HYBRIDIZATION"|310.00|$1320.00|$67.00|$1056.00|$924.00|$528.00|$464.64|$295.68||$528.00|$1056.00|$749.76||$402.60|$501.60|$809.16|$100.00|||$72.00|$67.00|$206.57|$360.99|$490.73|$545.25|$495.00|$486.68|$334.75|$334.75
"CPT® 85097"|"HB BONE MARROW SMEAR"|310.00|$252.00|$49.58|$201.60|$176.00|$100.80|$88.70|$56.45||$100.80|$201.60|$143.14||$76.86|$95.76|$154.48|$55.00|||$72.00|$67.00|$49.58|$66.99|$90.67|$100.75|$94.50|$92.91|$63.91|$63.91
"CPT® 85097"|"HB BONE MARROW SMEAR INTERPRETATION"|310.00|$252.00|$49.58|$201.60|$176.00|$100.80|$88.70|$56.45||$100.80|$201.60|$143.14||$76.86|$95.76|$154.48|$55.00|||$72.00|$67.00|$49.58|$66.99|$90.67|$100.75|$94.50|$92.91|$63.91|$63.91
"CPT® 88112"|"HB CYTOLOGY CELL ENRICHMENT"|310.00|$362.00|$67.00|$289.60|$253.00|$144.80|$127.42|$81.09||$144.80|$289.60|$205.62||$110.41|$137.56|$221.91|$100.00|||$72.00|$67.00|$67.91|$97.58|$133.05|$147.83|$135.75|$133.47|$91.80|$91.80
"CPT® 88333"|"HB INTRAOPERATIVE TOUCH PREPARATION, 1ST"|310.00|$252.00|$56.22|$201.60|$176.00|$100.80|$88.70|$56.45||$100.80|$201.60|$143.14||$76.86|$95.76|$154.48|$100.00|||$72.00|$67.00|$56.22|$67.87|$92.55|$102.84|$94.50|$92.91|$63.91|$63.91
"CPT® 88334"|"HB INTRAOPERATIVE TOUCH PREPARATION, ADDITIONAL SITE"|310.00|$180.00|$35.06|$144.00|$126.00|$72.00|$63.36|$40.32||$72.00|$144.00|$102.24||$54.90|$68.40|$110.34|$100.00|||$72.00|$67.00|$35.06|$48.30|$65.92|$73.25|$67.50|$66.37|$45.65|$45.65
"CPT® 88112"|"HB CYTOLOGY CELL ENRICHMENT"|310.00|$362.00|$67.00|$289.60|$253.00|$144.80|$127.42|$81.09||$144.80|$289.60|$205.62||$110.41|$137.56|$221.91|$100.00|||$72.00|$67.00|$67.91|$97.58|$133.05|$147.83|$135.75|$133.47|$91.80|$91.80
"CPT® 88365"|"HB FISH, HER2/NEU"|310.00|$1320.00|$67.00|$1056.00|$924.00|$528.00|$464.64|$295.68||$528.00|$1056.00|$749.76||$402.60|$501.60|$809.16|$100.00|||$72.00|$67.00|$206.57|$360.99|$490.73|$545.25|$495.00|$486.68|$334.75|$334.75
"CPT® 88271"|"HB FISH, MOLECULAR CYTOGENETICS, DNA"|310.00|$175.00|$39.20|$140.00|$122.00|$70.00|$61.60|$39.20||$70.00|$140.00|$99.40||$53.38|$66.50|$107.28|$100.00|||$72.00|$67.00|$45.11|$47.32|$63.82|$70.92|$65.63|$64.52|$44.38|$44.38
"CPT® 88275"|"HB INTERPHASE IN SITU HYBRIDIZATION"|310.00|$264.00|$59.14|$211.20|$185.00|$105.60|$92.93|$59.14||$105.60|$211.20|$149.95||$80.52|$100.32|$161.83|$100.00|||$72.00|$67.00|$85.20|$71.19|$96.07|$106.75|$99.00|$97.34|$66.95|$66.95
"CPT® 88182"|"HB CELL CYCLE ANALYSIS"|310.00|$405.00|$67.00|$324.00|$284.00|$162.00|$142.56|$90.72||$162.00|$324.00|$230.04||$123.53|$153.90|$248.27|$100.00|||$72.00|$67.00|$119.09|$110.85|$150.68|$167.42|$151.88|$149.32|$102.71|$102.71
"CPT® 81207"|"HB BCR/ABL P190 QUANTITATIVE ASSAY"|310.00|$4211.00|$55.00|$3368.80|$2948.00|$1684.40|$1482.27|$943.26||$1684.40|$3368.80|$2391.85||$1284.36|$1600.18|$2581.34|$55.00|||$72.00|$67.00|$306.84|$1060.43|$1452.00|$1613.33|$1579.13|$1552.60|$1067.91|$1067.91
"CPT® 81206"|"HB BCR/ABL MAJOR, QUALITATIVE, PCR"|310.00|$412.00|$55.00|$329.60|$288.00|$164.80|$145.02|$92.29||$164.80|$329.60|$234.02||$125.66|$156.56|$252.56|$55.00|||$72.00|$67.00|$294.33|$103.81|$142.13|$157.92|$154.50|$151.90|$104.48|$104.48
"CPT® 81207"|"HB BCR/ABL MINOR, QUALITATIVE, PCR"|310.00|$729.00|$55.00|$583.20|$510.00|$291.60|$256.61|$163.30||$291.60|$583.20|$414.07||$222.35|$277.02|$446.88|$55.00|||$72.00|$67.00|$306.84|$183.54|$251.32|$279.25|$273.38|$268.78|$184.87|$184.87
"CPT® 81206"|"HB BCR/ABL MAJOR, QUANTITATIVE, PCR"|310.00|$551.00|$55.00|$440.80|$386.00|$220.40|$193.95|$123.42||$220.40|$440.80|$312.97||$168.06|$209.38|$337.76|$55.00|||$72.00|$67.00|$347.49|$138.74|$189.98|$211.09|$206.63|$203.15|$139.73|$139.73
"CPT® 81270"|"HB JAK2 MUTATION ANALYSIS"|310.00|$553.00|$55.00|$442.40|$387.00|$221.20|$194.66|$123.87||$221.20|$442.40|$314.10||$168.67|$210.14|$338.99|$55.00|||$72.00|$67.00|$194.34|$139.30|$190.72|$211.92|$207.38|$203.89|$140.24|$140.24
"CPT® 81275"|"HB KRAS MUTATION ANALYSIS"|310.00|$954.00|$55.00|$763.20|$668.00|$381.60|$335.81|$213.70||$381.60|$763.20|$541.87||$290.97|$362.52|$584.80|$55.00|||$72.00|$67.00|$306.84|$240.24|$328.95|$365.50|$357.75|$351.74|$241.93|$241.93
"CPT® 88275"|"HB BCR/ABL FISH"|310.00|$487.00|$67.00|$389.60|$341.00|$194.80|$171.42|$109.09||$194.80|$389.60|$276.62||$148.54|$185.06|$298.53|$100.00|||$72.00|$67.00|$85.20|$116.69|$161.55|$179.50|$182.63|$179.56|$123.50|$123.50
"CPT® 88267"|"HB CHROMOSOME ANALYSIS, AMNIOTIC FLUID"|310.00|$699.00|$67.00|$559.20|$489.00|$279.60|$246.05|$156.58||$279.60|$559.20|$397.03||$213.20|$265.62|$428.49|$276.94|||$72.00|$67.00|$380.90|$164.01|$228.15|$253.50|$262.13|$257.72|$177.27|$177.27
"CPT® 88262"|"HB CHROMOSOME ANALYSIS, POC"|310.00|$2322.00|$67.00|$1857.60|$1625.00|$928.80|$817.34|$520.13||$928.80|$1857.60|$1318.90||$708.21|$882.36|$1423.39|$100.00|||$72.00|$67.00|$263.96|$556.50|$770.40|$856.00|$870.75|$856.12|$588.86|$588.86
"CPT® 88271"|"HB FISH, HER2 PARAFFIN TISSUE, PROBE"|310.00|$133.00|$29.79|$106.40|$93.00|$53.20|$46.82|$29.79||$53.20|$106.40|$75.54||$40.57|$50.54|$81.53|$100.00|||$72.00|$67.00|$45.11|$35.98|$48.52|$53.92|$49.88|$49.04|$33.73|$33.73
"CPT® 88275"|"HB FISH, HER2 PARAFFIN TISSUE, ANALYSIS"|310.00|$243.00|$54.43|$194.40|$170.00|$97.20|$85.54|$54.43||$97.20|$194.40|$138.02||$74.12|$92.34|$148.96|$100.00|||$72.00|$67.00|$85.20|$65.52|$88.42|$98.25|$91.13|$89.59|$61.62|$61.62
"CPT® 88346"|"HB IBS SGI DIAGNOSTIC, BILL ONLY, IFA 1ST"|310.00|$400.00|$67.00|$320.00|$280.00|$160.00|$140.80|$89.60||$160.00|$320.00|$227.20||$122.00|$152.00|$245.20|$100.00|||$72.00|$67.00|$86.84|$109.41|$148.73|$165.25|$150.00|$147.48|$101.44|$101.44
"CPT® 88350"|"HB IBS, SGI DIAGNOSTIC, BILL ONLY, IFA, ADDT'L"|310.00|$400.00|$67.00|$320.00|$280.00|$160.00|$140.80|$89.60||$160.00|$320.00|$227.20||$122.00|$152.00|$245.20|$100.00|||$72.00|$67.00|$67.94|$109.41|$148.73|$165.25|$150.00|$147.48|$101.44|$101.44
"CPT® 38207"|"HB HPC CRYO STORAGE"|310.00|$4123.00|$67.00|$3298.40|$2886.00|$1649.20|$1451.30|$923.55||$1649.20|$3298.40|$2341.86||$1257.52|$1566.74|$2527.40|$1633.53|||$72.00|$67.00|$1195.67|$1443.05|$1855.35|$2061.50|$1546.13|$1520.15|$1045.59|$1045.59
"CPT® 38207"|"HB HPC CRYO STORAGE-LC"|310.00|$2621.00|$67.00|$2096.80|$1835.00|$1048.40|$922.59|$587.10||$1048.40|$2096.80|$1488.73||$799.41|$995.98|$1606.67|$1038.44|||$72.00|$67.00|$748.93|$903.88|$1162.13|$1291.25|$982.88|$966.36|$664.69|$664.69
"CPT® 38208"|"HB INFUSION PREP"|310.00|$2373.00|$67.00|$1898.40|$1661.00|$949.20|$835.30|$531.55||$949.20|$1898.40|$1347.86||$723.77|$901.74|$1454.65|$940.18|||$72.00|$67.00|$688.17|$830.55|$1067.85|$1186.50|$889.88|$874.93|$601.79|$601.79
"CPT® 38208"|"HB THAW INFUSION PREP"|310.00|$2636.00|$67.00|$2108.80|$1845.00|$1054.40|$927.87|$590.46||$1054.40|$2108.80|$1497.25||$803.98|$1001.68|$1615.87|$1044.38|||$72.00|$67.00|$764.44|$922.60|$1186.20|$1318.00|$988.50|$971.89|$668.49|$668.49
"CPT® 38209"|"HB HPC C PROCESSING-LC"|310.00|$2900.00|$67.00|$2320.00|$2030.00|$1160.00|$1020.80|$649.60||$1160.00|$2320.00|$1647.20||$884.50|$1102.00|$1777.70|$1148.98|||$72.00|$67.00|$828.68|$1000.13|$1285.88|$1428.75|$1087.50|$1069.23|$735.44|$735.44
"CPT® 38209"|"HB HPCC PROCESSING"|310.00|$3675.00|$67.00|$2940.00|$2572.00|$1470.00|$1293.60|$823.20||$1470.00|$2940.00|$2087.40||$1120.88|$1396.50|$2252.78|$1456.04|||$72.00|$67.00|$1065.75|$1286.25|$1653.75|$1837.50|$1378.13|$1354.97|$931.98|$931.98
"CPT® 38210"|"HB CELL SELECTION LARGE"|310.00|$34061.00|$67.00|$27248.80|$23843.00|$13624.40|$11989.47|$7629.66||$13624.40|$27248.80|$19346.65||$10388.61|$12943.18|$20879.39|$13494.97|||$72.00|$67.00|$9877.69|$11921.35|$15327.45|$17030.50|$12772.88|$12558.29|$8637.87|$8637.87
"CPT® 38210"|"HB CELL SELECTION LARGE-LC"|310.00|$23334.00|$67.00|$18667.20|$16334.00|$9333.60|$8213.57|$5226.82||$9333.60|$18667.20|$13253.71||$7116.87|$8866.92|$14303.74|$9244.93|||$72.00|$67.00|$6667.97|$8047.55|$10346.85|$11496.50|$8750.25|$8603.25|$5917.50|$5917.50
"CPT® 38210"|"HB CELL SELECTION NORMAL"|310.00|$28863.00|$67.00|$23090.40|$20204.00|$11545.20|$10159.78|$6465.31||$11545.20|$23090.40|$16394.18||$8803.22|$10967.94|$17693.02|$11435.52|||$72.00|$67.00|$8370.27|$10102.05|$12988.35|$14431.50|$10823.63|$10641.79|$7319.66|$7319.66
"CPT® 38210"|"HB CELL SELECTION NORMAL- LC"|310.00|$20475.00|$67.00|$16380.00|$14332.00|$8190.00|$7207.20|$4586.40||$8190.00|$16380.00|$11629.80||$6244.88|$7780.50|$12551.18|$8112.20|||$72.00|$67.00|$5850.90|$7061.43|$9078.98|$10087.75|$7678.13|$7549.13|$5192.46|$5192.46
"CPT® 38212"|"HB SALVAGE RBC MARROW-LC"|310.00|$1115.00|$67.00|$892.00|$780.00|$446.00|$392.48|$249.76||$446.00|$892.00|$633.32||$340.08|$423.70|$683.50|$441.76|||$72.00|$67.00|$318.71|$384.65|$494.55|$549.50|$418.13|$411.10|$282.76|$282.76
"CPT® 38212"|"HB SLVG RBC MARROW PREP"|310.00|$1155.00|$67.00|$924.00|$808.00|$462.00|$406.56|$258.72||$462.00|$924.00|$656.04||$352.28|$438.90|$708.02|$457.61|||$72.00|$67.00|$334.95|$404.25|$519.75|$577.50|$433.13|$425.85|$292.91|$292.91
"CPT® 38214"|"HB PLASMA DEPLETION"|310.00|$1960.00|$67.00|$1568.00|$1372.00|$784.00|$689.92|$439.04||$784.00|$1568.00|$1113.28||$597.80|$744.80|$1201.48|$776.55|||$72.00|$67.00|$568.40|$686.00|$882.00|$980.00|$735.00|$722.65|$497.06|$497.06
"CPT® 38214"|"HB PLASMA DEPLETION-LC"|310.00|$569.00|$67.00|$455.20|$398.00|$227.60|$200.29|$127.46||$227.60|$455.20|$323.19||$173.55|$216.22|$348.80|$225.44|||$72.00|$67.00|$162.55|$196.18|$252.23|$280.25|$213.38|$209.79|$144.30|$144.30
"CPT® 38215"|"HB HPC A PROC/POOL"|310.00|$1790.00|$67.00|$1432.00|$1253.00|$716.00|$630.08|$400.96||$716.00|$1432.00|$1016.72||$545.95|$680.20|$1097.27|$709.20|||$72.00|$67.00|$519.10|$626.50|$805.50|$895.00|$671.25|$659.97|$453.94|$453.94
"CPT® 38215"|"HB HPCA PROC/POOL-LC"|310.00|$1648.00|$67.00|$1318.40|$1154.00|$659.20|$580.10|$369.15||$659.20|$1318.40|$936.06||$502.64|$626.24|$1010.22|$652.94|||$72.00|$67.00|$470.96|$568.40|$730.80|$812.00|$618.00|$607.62|$417.93|$417.93
"CPT® 38215"|"HB HPCA PROCESSING"|310.00|$1575.00|$67.00|$1260.00|$1102.00|$630.00|$554.40|$352.80||$630.00|$1260.00|$894.60||$480.38|$598.50|$965.48|$624.02|||$72.00|$67.00|$456.75|$551.25|$708.75|$787.50|$590.63|$580.70|$399.42|$399.42
"CPT® 38215"|"HB HPCA PROCESSING-LC"|310.00|$1339.00|$67.00|$1071.20|$937.00|$535.60|$471.33|$299.94||$535.60|$1071.20|$760.55||$408.40|$508.82|$820.81|$530.51|||$72.00|$67.00|$382.66|$461.83|$593.78|$659.75|$502.13|$493.69|$339.57|$339.57
"CPT® 38215"|"HB HPCM PROC WITH SEP"|310.00|$2976.00|$67.00|$2380.80|$2083.00|$1190.40|$1047.55|$666.62||$1190.40|$2380.80|$1690.37||$907.68|$1130.88|$1824.29|$1179.09|||$72.00|$67.00|$863.04|$1041.60|$1339.20|$1488.00|$1116.00|$1097.25|$754.71|$754.71
"CPT® 38215"|"HB HPCM PROC WITH SEP-LC"|310.00|$2585.00|$67.00|$2068.00|$1809.00|$1034.00|$909.92|$579.04||$1034.00|$2068.00|$1468.28||$788.43|$982.30|$1584.61|$1024.18|||$72.00|$67.00|$738.78|$891.63|$1146.38|$1273.75|$969.38|$953.09|$655.56|$655.56
"CPT® 38215"|"HB HPCM PROC WO SEP"|310.00|$1631.00|$67.00|$1304.80|$1142.00|$652.40|$574.11|$365.34||$652.40|$1304.80|$926.41||$497.46|$619.78|$999.80|$646.20|||$72.00|$67.00|$472.99|$570.85|$733.95|$815.50|$611.63|$601.35|$413.62|$413.62
"CPT® 38215"|"HB HPCM PROC WO SEP-LC"|310.00|$1468.00|$67.00|$1174.40|$1028.00|$587.20|$516.74|$328.83||$587.20|$1174.40|$833.82||$447.74|$557.84|$899.88|$581.62|||$72.00|$67.00|$419.49|$506.28|$650.93|$723.25|$550.50|$541.25|$372.28|$372.28
"CPT® 38208"|"HB INFUSION PREP FRESH LC"|310.00|$1053.00|$67.00|$842.40|$737.00|$421.20|$370.66|$235.87||$421.20|$842.40|$598.10||$321.17|$400.14|$645.49|$417.20|||$72.00|$67.00|$300.88|$363.13|$466.88|$518.75|$394.88|$388.24|$267.04|$267.04
"CPT® 38208"|"HB INFUSION PREP FRZN- LC"|310.00|$1208.00|$67.00|$966.40|$846.00|$483.20|$425.22|$270.59||$483.20|$966.40|$686.14||$368.44|$459.04|$740.50|$478.61|||$72.00|$67.00|$345.25|$416.68|$535.73|$595.25|$453.00|$445.39|$306.35|$306.35
"CPT® 38215"|"HB MUD PROCESSING"|310.00|$2310.00|$67.00|$1848.00|$1617.00|$924.00|$813.12|$517.44||$924.00|$1848.00|$1312.08||$704.55|$877.80|$1416.03|$915.22|||$72.00|$67.00|$669.90|$808.50|$1039.50|$1155.00|$866.25|$851.70|$585.82|$585.82
"CPT® 38215"|"HB MUD PROCESSING-LC"|310.00|$1922.00|$67.00|$1537.60|$1345.00|$768.80|$676.54|$430.53||$768.80|$1537.60|$1091.70||$586.21|$730.36|$1178.19|$761.50|||$72.00|$67.00|$549.26|$662.90|$852.30|$947.00|$720.75|$708.64|$487.42|$487.42
"CPT® 38215"|"HB THAW INF PREP WO WASH-LC"|310.00|$1354.00|$67.00|$1083.20|$948.00|$541.60|$476.61|$303.30||$541.60|$1083.20|$769.07||$412.97|$514.52|$830.00|$536.45|||$72.00|$67.00|$387.01|$467.08|$600.53|$667.25|$507.75|$499.22|$343.37|$343.37
"CPT® 38215"|"HB HPCM DOUBLE BUFFY - LC"|310.00|$4259.00|$67.00|$3407.20|$2981.00|$1703.60|$1499.17|$954.02||$1703.60|$3407.20|$2419.11||$1299.00|$1618.42|$2610.77|$1687.42|||$72.00|$67.00|$1216.99|$1468.78|$1888.43|$2098.25|$1597.13|$1570.29|$1080.08|$1080.08
"CPT® 0538T"|"HB KITE PROCESSING"|310.00|$788.00|$67.00|$630.40|$552.00|$315.20|$277.38|$176.51||$315.20|$630.40|$447.58||$240.34|$299.44|$483.04|$312.21|||$72.00|$67.00|$228.52|$275.80|$354.60|$394.00|$295.50|$290.54|$199.84|$199.84
"CPT® 87999"|"HB ENDOTOXIN RESEARCH"|310.00|$150.00|$19.05|$120.00|$105.00|$60.00|$52.80|$33.60||$60.00|$120.00|$85.20||$45.75|$57.00|$91.95|$55.00|||$72.00|$67.00|$19.05|$52.50|$67.50|$75.00|$56.25|$55.31|$38.04|$38.04
"CPT® 88184"|"HB FLOW CYTOMETRY, 1ST MARKER, LLP"|311.00|$218.00|$48.83|$174.40|$153.00|$87.20|$76.74|$48.83||$87.20|$174.40|$123.82||$66.49|$82.84|$133.63|$100.00|||$72.00|$67.00|$119.15|$80.15|$103.05|$114.50|$81.75|$80.38|$55.28|$55.28
"CPT® 88185"|"HB FLOW CYTOMETRY, EACH ADDITIONAL MARKER, LLP"|311.00|$40.00|$8.96|$42.00|$28.00|$16.00|$14.08|$8.96||$16.00|$32.00|$22.72||$12.20|$15.20|$24.52|$40.00|||$40.00|$40.00|$42.00|$14.70|$18.90|$21.00|$15.00|$14.75|$10.14|$10.14
"CPT® 88184"|"HB FETAL HEMOGLOBIN, FLOW CYTOMETRY"|311.00|$827.00|$67.00|$661.60|$579.00|$330.80|$291.10|$185.25||$330.80|$661.60|$469.74||$252.24|$314.26|$506.95|$100.00|||$72.00|$67.00|$119.15|$303.98|$390.83|$434.25|$310.13|$304.91|$209.73|$209.73
"CPT® 88363"|"HB EXAMINE/SELECT TISSUE-MOLECULAR DIAGNOSTICS"|311.00|$161.00|$19.55|$128.80|$113.00|$64.40|$56.67|$36.06||$64.40|$128.80|$91.45||$49.11|$61.18|$98.69|$100.00|||$72.00|$67.00|$19.55|$59.15|$76.05|$84.50|$60.38|$59.36|$40.83|$40.83
"CPT® 88363"|"HB EXAMINE/SELECT TISSUE-MOLECULAR DIAGNOSTICS"|311.00|$161.00|$19.55|$128.80|$113.00|$64.40|$56.67|$36.06||$64.40|$128.80|$91.45||$49.11|$61.18|$98.69|$100.00|||$72.00|$67.00|$19.55|$59.15|$76.05|$84.50|$60.38|$59.36|$40.83|$40.83
"CPT® 88112"|"HB CYTOLOGY CELL ENRICHMENT"|311.00|$553.00|$67.00|$442.40|$387.00|$221.20|$194.66|$123.87||$221.20|$442.40|$314.10||$168.67|$210.14|$338.99|$100.00|||$72.00|$67.00|$67.91|$203.18|$261.23|$290.25|$207.38|$203.89|$140.24|$140.24
"CPT® 88173"|"HB FINE NEEDLE ASPIRATE"|311.00|$731.00|$67.00|$584.80|$512.00|$292.40|$257.31|$163.74||$292.40|$584.80|$415.21||$222.96|$277.78|$448.10|$100.00|||$72.00|$67.00|$127.47|$268.63|$345.38|$383.75|$274.13|$269.52|$185.38|$185.38
"CPT® 88172"|"HB FINE NEEDLE ASPIRATE TECHNICAL ADEQUACY EVALUATION, 1ST"|311.00|$461.00|$31.71|$368.80|$323.00|$184.40|$162.27|$103.26||$184.40|$368.80|$261.85||$140.61|$175.18|$282.59|$100.00|||$72.00|$67.00|$31.71|$169.40|$217.80|$242.00|$172.88|$169.97|$116.91|$116.91
"CPT® 88177"|"HB FINE NEEDLE ASPIRATE TECHNICAL ADEQUACY EVALUATION,ADDITIONAL"|311.00|$99.00|$11.70|$99.00|$69.00|$39.60|$34.85|$22.18||$39.60|$79.20|$56.23||$30.20|$37.62|$60.69|$99.00|||$72.00|$67.00|$11.70|$36.40|$46.80|$52.00|$37.13|$36.50|$25.11|$25.11
"CPT® 88108"|"HB FLUID/BRUSH CONCENTRATION"|311.00|$553.00|$67.00|$442.40|$387.00|$221.20|$194.66|$123.87||$221.20|$442.40|$314.10||$168.67|$210.14|$338.99|$100.00|||$72.00|$67.00|$77.37|$203.18|$261.23|$290.25|$207.38|$203.89|$140.24|$140.24
"CPT® 88104"|"HB FLUID/BRUSH DIRECT SMEARS"|311.00|$497.00|$67.00|$397.60|$348.00|$198.80|$174.94|$111.33||$198.80|$397.60|$282.30||$151.59|$188.86|$304.66|$100.00|||$72.00|$67.00|$72.92|$182.70|$234.90|$261.00|$186.38|$183.24|$126.04|$126.04
"CPT® 88333"|"HB INTRAOPERATIVE TOUCH PREPARATION, 1ST"|311.00|$306.00|$56.22|$244.80|$214.00|$122.40|$107.71|$68.54||$122.40|$244.80|$173.81||$93.33|$116.28|$187.58|$100.00|||$72.00|$67.00|$56.22|$112.53|$144.68|$160.75|$114.75|$112.82|$77.60|$77.60
"CPT® 88334"|"HB INTRAOPERATIVE TOUCH PREPARATION, ADDITIONAL SITE"|311.00|$306.00|$35.06|$244.80|$214.00|$122.40|$107.71|$68.54||$122.40|$244.80|$173.81||$93.33|$116.28|$187.58|$100.00|||$72.00|$67.00|$35.06|$112.53|$144.68|$160.75|$114.75|$112.82|$77.60|$77.60
"CPT® 88142"|"HB PAP TEST, LIQUID, DIAGNOSTIC"|311.00|$183.00|$40.99|$146.40|$128.00|$73.20|$64.42|$40.99||$73.20|$146.40|$103.94||$55.82|$69.54|$112.18|$100.00|||$72.00|$67.00|$42.89|$67.20|$86.40|$96.00|$68.63|$67.47|$46.41|$46.41
"CPT® 88175"|"HB PAP TEST, LIQUID DIAGNOSTIC W/IMAGING"|311.00|$181.00|$40.54|$144.80|$127.00|$72.40|$63.71|$40.54||$72.40|$144.80|$102.81||$55.21|$68.78|$110.95|$100.00|||$72.00|$67.00|$56.25|$66.50|$85.50|$95.00|$67.88|$66.73|$45.90|$45.90
"HCPCS G0123"|"HB PAP TEST, LIQUID SCREEN"|311.00|$119.00|$26.66|$95.20|$83.00|$47.60|$41.89|$26.66||$47.60|$95.20|$67.59||$36.30|$45.22|$72.95|$47.15|||$72.00|$67.00|$42.89|$41.65|$53.55|$59.50|$44.63|$43.88|$30.18|$30.18
"HCPCS G0145"|"HB PAP TEST, LIQUID SCREEN W/IMAGING"|311.00|$132.00|$29.57|$105.60|$92.00|$52.80|$46.46|$29.57||$52.80|$105.60|$74.98||$40.26|$50.16|$80.92|$52.30|||$72.00|$67.00|$56.25|$46.20|$59.40|$66.00|$49.50|$48.67|$33.48|$33.48
"CPT® 88173"|"HB SUBMITTED FINE NEEDLE ASPIRATE SLIDES"|311.00|$653.00|$67.00|$522.40|$457.00|$261.20|$229.86|$146.27||$261.20|$522.40|$370.90||$199.17|$248.14|$400.29|$100.00|||$72.00|$67.00|$127.47|$239.93|$308.48|$342.75|$244.88|$240.76|$165.60|$165.60
"CPT® 88235"|"HB CHROMOSOME ANALYSIS, AMNIOTIC FLUID"|311.00|$1451.00|$67.00|$1160.80|$1016.00|$580.40|$510.75|$325.02||$580.40|$1160.80|$824.17||$442.56|$551.38|$889.46|$100.00|||$72.00|$67.00|$311.85|$507.85|$652.95|$725.50|$544.13|$534.98|$367.97|$367.97
"CPT® 88267"|"HB CHROMOSOME ANALYSIS, AMNIOTIC FLUID"|311.00|$868.00|$67.00|$694.40|$608.00|$347.20|$305.54|$194.43||$347.20|$694.40|$493.02||$264.74|$329.84|$532.08|$343.90|||$72.00|$67.00|$380.90|$303.80|$390.60|$434.00|$325.50|$320.03|$220.12|$220.12
"CPT® 88280"|"HB CHROMOSOME ANALYSIS, AMNIOTIC FLUID"|311.00|$277.00|$52.91|$221.60|$194.00|$110.80|$97.50|$62.05||$110.80|$221.60|$157.34||$84.49|$105.26|$169.80|$100.00|||$72.00|$67.00|$52.91|$96.95|$124.65|$138.50|$103.88|$102.13|$70.25|$70.25
"CPT® 88235"|"HB CHROMOSOME ANALYSIS, CHORIONIC VILLI SAMPLING"|311.00|$1451.00|$67.00|$1160.80|$1016.00|$580.40|$510.75|$325.02||$580.40|$1160.80|$824.17||$442.56|$551.38|$889.46|$100.00|||$72.00|$67.00|$311.85|$391.79|$528.60|$587.33|$544.13|$534.98|$367.97|$367.97
"CPT® 88264"|"HB CHROMOSOME ANALYSIS, HEMATOLOGIC, BLOOD"|311.00|$2445.00|$67.00|$1956.00|$1712.00|$978.00|$860.64|$547.68||$978.00|$1956.00|$1388.76||$745.73|$929.10|$1498.79|$100.00|||$72.00|$67.00|$263.96|$855.75|$1100.25|$1222.50|$916.88|$901.47|$620.05|$620.05
"CPT® 88237"|"HB CHROMOSOME ANALYSIS, HEMATOLOGIC, BLOOD"|311.00|$1041.00|$67.00|$832.80|$729.00|$416.40|$366.43|$233.18||$416.40|$832.80|$591.29||$317.51|$395.58|$638.13|$100.00|||$72.00|$67.00|$267.86|$364.35|$468.45|$520.50|$390.38|$383.82|$264.00|$264.00
"CPT® 88273"|"HB CHROMOSOME ANOMALIES, MISCELLANEOUS, FISH"|311.00|$786.00|$67.00|$628.80|$550.00|$314.40|$276.67|$176.06||$314.40|$628.80|$446.45||$239.73|$298.68|$481.82|$100.00|||$72.00|$67.00|$67.94|$275.10|$353.70|$393.00|$294.75|$289.80|$199.33|$199.33
"CPT® 88271"|"HB CHROMOSOME ANOMALIES, MISCELLANEOUS, FISH"|311.00|$133.00|$29.79|$106.40|$93.00|$53.20|$46.82|$29.79||$53.20|$106.40|$75.54||$40.57|$50.54|$81.53|$100.00|||$72.00|$67.00|$45.11|$46.55|$59.85|$66.50|$49.88|$49.04|$33.73|$33.73
"CPT® 88271"|"HB DIGEORGE MUTATION ANALYSIS, FISH"|311.00|$133.00|$29.79|$106.40|$93.00|$53.20|$46.82|$29.79||$53.20|$106.40|$75.54||$40.57|$50.54|$81.53|$100.00|||$72.00|$67.00|$45.11|$46.55|$59.85|$66.50|$49.88|$49.04|$33.73|$33.73
"CPT® 88273"|"HB DIGEORGE MUTATION ANALYSIS, FISH"|311.00|$786.00|$67.00|$628.80|$550.00|$314.40|$276.67|$176.06||$314.40|$628.80|$446.45||$239.73|$298.68|$481.82|$100.00|||$72.00|$67.00|$67.94|$275.10|$353.70|$393.00|$294.75|$289.80|$199.33|$199.33
"CPT® 88184"|"HB PLASMA CELL LABELING INDEX, FLOW CYTOMETRY, 1ST MARKER"|311.00|$224.00|$50.18|$179.20|$157.00|$89.60|$78.85|$50.18||$89.60|$179.20|$127.23||$68.32|$85.12|$137.31|$100.00|||$72.00|$67.00|$119.15|$82.25|$105.75|$117.50|$84.00|$82.59|$56.81|$56.81
"CPT® 88185"|"HB PLASMA CELL LABELING INDEX, FLOW CYTOMETRY, ADDT'L MARKER"|311.00|$108.00|$24.19|$100.00|$76.00|$43.20|$38.02|$24.19||$43.20|$86.40|$61.34||$32.94|$41.04|$66.20|$100.00|||$72.00|$67.00|$72.39|$39.73|$51.08|$56.75|$40.50|$39.82|$27.39|$27.39
"CPT® 88230"|"HB CHROMOSOME FAMILIAL STUDIES, TISSUE CULTURE, BILL ONLY"|311.00|$511.00|$67.00|$408.80|$358.00|$204.40|$179.87|$114.46||$204.40|$408.80|$290.25||$155.86|$194.18|$313.24|$100.00|||$72.00|$67.00|$246.69|$178.85|$229.95|$255.50|$191.63|$188.41|$129.59|$129.59
"CPT® 88262"|"HB CHROMOSOME FAMILIAL STUDIES, KARYOTYPE 15-20, BILL ONLY"|311.00|$836.00|$67.00|$668.80|$585.00|$334.40|$294.27|$187.26||$334.40|$668.80|$474.85||$254.98|$317.68|$512.47|$100.00|||$72.00|$67.00|$263.96|$292.60|$376.20|$418.00|$313.50|$308.23|$212.01|$212.01
"CPT® 88271"|"HB INSIGHT, FISH, BILL ONLY"|311.00|$133.00|$29.79|$106.40|$93.00|$53.20|$46.82|$29.79||$53.20|$106.40|$75.54||$40.57|$50.54|$81.53|$100.00|||$72.00|$67.00|$45.11|$46.55|$59.85|$66.50|$49.88|$49.04|$33.73|$33.73
"CPT® 88161"|"HB PAP SMEAR, SCREENING"|311.00|$273.00|$61.15|$218.40|$191.00|$109.20|$96.10|$61.15||$109.20|$218.40|$155.06||$83.27|$103.74|$167.35|$100.00|||$72.00|$67.00|$61.79|$73.40|$100.13|$111.25|$102.38|$100.66|$69.23|$69.23
"CPT® 88160"|"HB PAP SMEAR, SCREENING, INTERPRETATION"|311.00|$272.00|$60.93|$217.60|$190.00|$108.80|$95.74|$60.93||$108.80|$217.60|$154.50||$82.96|$103.36|$166.74|$107.77|||$72.00|$67.00|$71.81|$74.38|$101.10|$112.34|$102.00|$100.29|$68.98|$68.98
"CPT® 88164"|"HB PAP SMEAR (BETHESDA SYSTEM)"|311.00|$121.00|$22.28|$96.80|$85.00|$48.40|$42.59|$27.10||$48.40|$96.80|$68.73||$36.91|$45.98|$74.17|$47.94|||$72.00|$67.00|$22.28|$33.04|$44.92|$49.92|$45.38|$44.61|$30.69|$30.69
"CPT® 88155"|"HB PAP SMEAR, HORMONE EVALUATION"|311.00|$294.00|$12.81|$235.20|$206.00|$117.60|$103.49|$65.86||$117.60|$235.20|$166.99||$89.67|$111.72|$180.22|$116.48|||$72.00|$67.00|$12.81|$80.40|$109.28|$121.42|$110.25|$108.40|$74.56|$74.56
"CPT® 88162"|"HB PAP SMEAR, EXTENDED STUDY"|311.00|$239.00|$53.54|$191.20|$167.00|$95.60|$84.13|$53.54||$95.60|$191.20|$135.75||$72.90|$90.82|$146.51|$94.69|||$72.00|$67.00|$101.30|$65.45|$88.95|$98.83|$89.63|$88.12|$60.61|$60.61
"CPT® 88174"|"HB PAP TEST, LIQUID SCREEN W/IMAGING"|311.00|$301.00|$45.11|$240.80|$211.00|$120.40|$105.95|$67.42||$120.40|$240.80|$170.97||$91.81|$114.38|$184.51|$119.26|||$72.00|$67.00|$45.11|$82.39|$111.97|$124.42|$112.88|$110.98|$76.33|$76.33
"CPT® 88175"|"HB PAP TEST, LIQUID DIAGNOSTIC W/IMAGING"|311.00|$361.00|$56.25|$288.80|$253.00|$144.40|$127.07|$80.86||$144.40|$288.80|$205.05||$110.11|$137.18|$221.29|$100.00|||$72.00|$67.00|$56.25|$98.77|$134.25|$149.17|$135.38|$133.10|$91.55|$91.55
"CPT® 88104"|"HB FLUID/BRUSH DIRECT SMEARS"|311.00|$442.00|$67.00|$353.60|$309.00|$176.80|$155.58|$99.01||$176.80|$353.60|$251.06||$134.81|$167.96|$270.95|$100.00|||$72.00|$67.00|$72.92|$119.00|$162.30|$180.33|$165.75|$162.97|$112.09|$112.09
"CPT® 88106"|"HB FLUID, FILTER PREPARATION"|311.00|$314.00|$67.00|$251.20|$220.00|$125.60|$110.53|$70.34||$125.60|$251.20|$178.35||$95.77|$119.32|$192.48|$100.00|||$72.00|$67.00|$86.28|$85.86|$116.70|$129.67|$117.75|$115.77|$79.63|$79.63
"CPT® 88108"|"HB FLUID, CYTOSPIN PREPARATION"|311.00|$475.00|$67.00|$380.00|$332.00|$190.00|$167.20|$106.40||$190.00|$380.00|$269.80||$144.88|$180.50|$291.18|$100.00|||$72.00|$67.00|$77.37|$127.72|$174.23|$193.58|$178.13|$175.13|$120.46|$120.46
"CPT® 88125"|"HB CYTOPATHOLOGY, FORENSIC"|311.00|$648.00|$15.57|$518.40|$454.00|$259.20|$228.10|$145.15||$259.20|$518.40|$368.06||$197.64|$246.24|$397.22|$256.74|||$72.00|$67.00|$15.57|$177.20|$240.90|$267.67|$243.00|$238.92|$164.33|$164.33
"CPT® 88130"|"HB BARR BODY IDENTIFICATION"|311.00|$135.00|$30.24|$108.00|$94.00|$54.00|$47.52|$30.24||$54.00|$108.00|$76.68||$41.18|$51.30|$82.76|$53.49|||$72.00|$67.00|$31.74|$36.99|$50.25|$55.84|$50.63|$49.77|$34.24|$34.24
"CPT® 88141"|"HB PAP TEST, PATHOLOGIST REVIEW"|311.00|$276.00|$32.12|$220.80|$193.00|$110.40|$97.15|$61.82||$110.40|$220.80|$156.77||$84.18|$104.88|$169.19|$100.00|||$72.00|$67.00|$32.12|$75.53|$102.67|$114.09|$103.50|$101.76|$69.99|$69.99
"CPT® 88172"|"HB FINE NEEDLE ASPIRATE TECHNICAL ADEQUACY EVALUATION, 1ST"|311.00|$729.00|$31.71|$583.20|$510.00|$291.60|$256.61|$163.30||$291.60|$583.20|$414.07||$222.35|$277.02|$446.88|$100.00|||$72.00|$67.00|$31.71|$196.18|$267.60|$297.34|$273.38|$268.78|$184.87|$184.87
"CPT® 88177"|"HB FINE NEEDLE ASPIRATE TECHNICAL ADEQUACY EVALUATION,ADDITIONAL"|311.00|$112.00|$11.70|$100.00|$78.00|$44.80|$39.42|$25.09||$44.80|$89.60|$63.62||$34.16|$42.56|$68.66|$100.00|||$72.00|$67.00|$11.70|$30.27|$41.25|$45.84|$42.00|$41.29|$28.40|$28.40
"CPT® 88173"|"HB FINE NEEDLE ASPIRATE"|311.00|$729.00|$67.00|$583.20|$510.00|$291.60|$256.61|$163.30||$291.60|$583.20|$414.07||$222.35|$277.02|$446.88|$100.00|||$72.00|$67.00|$127.47|$196.18|$267.60|$297.34|$273.38|$268.78|$184.87|$184.87
"CPT® 88184"|"HB FLOW CYTOMETRY , 1ST MARKER"|311.00|$223.00|$49.95|$178.40|$156.00|$89.20|$78.50|$49.95||$89.20|$178.40|$126.66||$68.02|$84.74|$136.70|$100.00|||$72.00|$67.00|$119.15|$60.90|$82.80|$92.00|$83.63|$82.22|$56.55|$56.55
"CPT® 88185"|"HB FLOW CYTOMETRY, EACH ADDITIONAL MARKER"|311.00|$100.00|$22.40|$100.00|$70.00|$40.00|$35.20|$22.40||$40.00|$80.00|$56.80||$30.50|$38.00|$61.30|$100.00|||$72.00|$67.00|$71.63|$27.30|$37.12|$41.25|$37.50|$36.87|$25.36|$25.36
"CPT® 88184"|"HB FETAL HEMOGLOBIN BY FLOW CYTOMETRY"|311.00|$151.00|$33.50|$120.80|$106.00|$60.40|$53.15|$33.82||$60.40|$120.80|$85.77||$46.06|$57.38|$92.56|$100.00|||$72.00|$67.00|$93.05|$33.50|$47.78|$53.08|$56.63|$55.67|$38.29|$38.29
"CPT® 88271"|"HB BCR/ABL FISH"|311.00|$175.00|$39.20|$140.00|$122.00|$70.00|$61.60|$39.20||$70.00|$140.00|$99.40||$53.38|$66.50|$107.28|$100.00|||$72.00|$67.00|$45.11|$41.93|$58.05|$64.50|$65.63|$64.52|$44.38|$44.38
"CPT® 88262"|"HB CHROMOSOME ANALYSIS, 2 KARYOTYPES"|311.00|$1545.00|$67.00|$1236.00|$1082.00|$618.00|$543.84|$346.08||$618.00|$1236.00|$877.56||$471.23|$587.10|$947.09|$100.00|||$72.00|$67.00|$263.96|$364.35|$506.25|$562.50|$579.38|$569.64|$391.81|$391.81
"CPT® 88235"|"HB CHROMOSOME ANALYSIS, AMNIOTIC FLUID"|311.00|$1836.00|$67.00|$1468.80|$1285.00|$734.40|$646.27|$411.26||$734.40|$1468.80|$1042.85||$559.98|$697.68|$1125.47|$100.00|||$72.00|$67.00|$311.85|$431.48|$600.00|$666.67|$688.50|$676.93|$465.61|$465.61
"CPT® 88280"|"HB CHROMOSOME ANALYSIS, AMNIOTIC FLUID"|311.00|$181.00|$40.54|$144.80|$127.00|$72.40|$63.71|$40.54||$72.40|$144.80|$102.81||$55.21|$68.78|$110.95|$100.00|||$72.00|$67.00|$52.91|$42.35|$58.95|$65.50|$67.88|$66.73|$45.90|$45.90
"CPT® 88230"|"HB CHROMOSOME ANALYSIS, FAMILIAL STUDIES"|311.00|$1443.00|$67.00|$1154.40|$1010.00|$577.20|$507.94|$323.23||$577.20|$1154.40|$819.62||$440.12|$548.34|$884.56|$100.00|||$72.00|$67.00|$246.69|$340.41|$472.95|$525.50|$541.13|$532.03|$365.94|$365.94
"CPT® 88273"|"HB CHROMOSOME ANOMALIES, MISCELLANEOUS, FISH"|311.00|$193.00|$43.23|$154.40|$135.00|$77.20|$67.94|$43.23||$77.20|$154.40|$109.62||$58.87|$73.34|$118.31|$100.00|||$72.00|$67.00|$67.94|$52.15|$70.35|$78.17|$72.38|$71.16|$48.94|$48.94
"CPT® 88271"|"HB CHROMOSOME ANOMALIES, MISCELLANEOUS, FISH"|311.00|$438.00|$45.11|$350.40|$307.00|$175.20|$154.18|$98.11||$175.20|$350.40|$248.78||$133.59|$166.44|$268.49|$100.00|||$72.00|$67.00|$45.11|$118.23|$159.53|$177.25|$164.25|$161.49|$111.08|$111.08
"CPT® 88184"|"HB PLASMA CELL LABELING INDEX, FLOW CYTOMETRY, 1ST MARKER"|311.00|$107.00|$23.97|$100.00|$75.00|$42.80|$37.66|$23.97||$42.80|$85.60|$60.78||$32.64|$40.66|$65.59|$100.00|||$72.00|$67.00|$88.50|$29.30|$39.83|$44.25|$40.13|$39.45|$27.14|$27.14
"CPT® 88185"|"HB PLASMA CELL LABELING INDEX, FLOW CYTOMETRY, ADDT'L MARKER"|311.00|$54.00|$12.10|$54.00|$38.00|$21.60|$19.01|$12.10||$21.60|$43.20|$30.67||$16.47|$20.52|$33.10|$54.00|||$54.00|$54.00|$44.33|$14.67|$19.95|$22.17|$20.25|$19.91|$13.69|$13.69
"CPT® 88233"|"HB TISSUE CULTURE SKIN/BIOPSY"|311.00|$310.00|$67.00|$248.00|$217.00|$124.00|$109.12|$69.44||$124.00|$248.00|$176.08||$94.55|$117.80|$190.03|$100.00|||$72.00|$67.00|$213.31|$98.49|$119.40|$132.67|$116.25|$114.30|$78.62|$78.62
"CPT® 88346"|"HB IMMUNOFLUORESCENT STAIN, DIRECT"|312.00|$171.00|$38.30|$136.80|$120.00|$68.40|$60.19|$38.30||$68.40|$136.80|$97.13||$52.16|$64.98|$104.82|$100.00|||$72.00|$67.00|$86.84|$62.83|$80.78|$89.75|$64.13|$63.05|$43.37|$43.37
"CPT® 88342"|"HB IMMUNOPEROXIDASE STAIN-1ST IP"|312.00|$425.00|$67.00|$340.00|$298.00|$170.00|$149.60|$95.20||$170.00|$340.00|$241.40||$129.63|$161.50|$260.53|$100.00|||$72.00|$67.00|$109.68|$156.28|$200.93|$223.25|$159.38|$156.70|$107.78|$107.78
"CPT® 88341"|"HB IMMUNOPEROXIDASE STAIN-ADDITIONAL IP"|312.00|$363.00|$67.00|$290.40|$254.00|$145.20|$127.78|$81.31||$145.20|$290.40|$206.18||$110.72|$137.94|$222.52|$100.00|||$72.00|$67.00|$96.90|$133.35|$171.45|$190.50|$136.13|$133.84|$92.06|$92.06
"CPT® 88342"|"HB IMMUNOPEROXIDASE STAIN ONLY, BLOCK"|312.00|$507.00|$67.00|$405.60|$355.00|$202.80|$178.46|$113.57||$202.80|$405.60|$287.98||$154.64|$192.66|$310.79|$100.00|||$72.00|$67.00|$109.68|$186.38|$239.63|$266.25|$190.13|$186.93|$128.58|$128.58
"CPT® 88365"|"HB IN SITU HYBRIDIZATION, PER SPECIMEN, 1ST PROBE"|312.00|$440.00|$67.00|$352.00|$308.00|$176.00|$154.88|$98.56||$176.00|$352.00|$249.92||$134.20|$167.20|$269.72|$100.00|||$72.00|$67.00|$206.57|$161.70|$207.90|$231.00|$165.00|$162.23|$111.58|$111.58
"CPT® 88364"|"HB IN SITU HYBRIDIZATION, EACH ADDTL PROBE"|312.00|$492.00|$67.00|$393.60|$344.00|$196.80|$173.18|$110.21||$196.80|$393.60|$279.46||$150.06|$186.96|$301.60|$100.00|||$72.00|$67.00|$156.45|$180.78|$232.43|$258.25|$184.50|$181.40|$124.77|$124.77
"CPT® 88342"|"HB IMMUNOPEROXIDASE STAIN - TECHNICAL ONLY"|312.00|$392.00|$67.00|$313.60|$274.00|$156.80|$137.98|$87.81||$156.80|$313.60|$222.66||$119.56|$148.96|$240.30|$100.00|||$72.00|$67.00|$109.68|$137.20|$176.40|$196.00|$147.00|$144.53|$99.41|$99.41
"CPT® 88342"|"HB IP-ACTH STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-ACTH STAIN, ADDITIONAL IP"|312.00|$373.00|$67.00|$298.40|$261.00|$149.20|$131.30|$83.55||$149.20|$298.40|$211.86||$113.77|$141.74|$228.65|$100.00|||$72.00|$67.00|$96.90|$137.03|$176.18|$195.75|$139.88|$137.53|$94.59|$94.59
"CPT® 88342"|"HB IP-ACTIN STAIN, SMOOTH MUSCLE STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-ACTIN STAIN, SMOOTH MUSCLE, ADDITIONAL IP"|312.00|$413.00|$67.00|$330.40|$289.00|$165.20|$145.38|$92.51||$165.20|$330.40|$234.58||$125.97|$156.94|$253.17|$100.00|||$72.00|$67.00|$96.90|$151.73|$195.08|$216.75|$154.88|$152.27|$104.74|$104.74
"CPT® 88342"|"HB IP-AE1/3 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-AE1/3 STAIN, ADDITIONAL IP"|312.00|$398.00|$67.00|$318.40|$279.00|$159.20|$140.10|$89.15||$159.20|$318.40|$226.06||$121.39|$151.24|$243.97|$100.00|||$72.00|$67.00|$96.90|$146.30|$188.10|$209.00|$149.25|$146.74|$100.93|$100.93
"CPT® 88342"|"HB IP-ALK-1 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-ALK-1 STAIN, ADDITIONAL IP"|312.00|$475.00|$67.00|$380.00|$332.00|$190.00|$167.20|$106.40||$190.00|$380.00|$269.80||$144.88|$180.50|$291.18|$100.00|||$72.00|$67.00|$96.90|$174.48|$224.33|$249.25|$178.13|$175.13|$120.46|$120.46
"CPT® 88342"|"HB IP-ALPHA-SYNUCLEIN, STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-ALPHA-SYNUCLEIN, STAIN, ADDITIONAL IP"|312.00|$483.00|$67.00|$386.40|$338.00|$193.20|$170.02|$108.19||$193.20|$386.40|$274.34||$147.32|$183.54|$296.08|$100.00|||$72.00|$67.00|$96.90|$177.45|$228.15|$253.50|$181.13|$178.08|$122.49|$122.49
"CPT® 88342"|"HB IP-ANDROGEN RECEPTOR STAIN, 1ST IP"|312.00|$453.00|$67.00|$362.40|$317.00|$181.20|$159.46|$101.47||$181.20|$362.40|$257.30||$138.17|$172.14|$277.69|$100.00|||$72.00|$67.00|$109.68|$166.43|$213.98|$237.75|$169.88|$167.02|$114.88|$114.88
"CPT® 88341"|"HB IP-ANDROGEN RECEPTOR STAIN, ADDITIONAL IP"|312.00|$453.00|$67.00|$362.40|$317.00|$181.20|$159.46|$101.47||$181.20|$362.40|$257.30||$138.17|$172.14|$277.69|$100.00|||$72.00|$67.00|$96.90|$166.43|$213.98|$237.75|$169.88|$167.02|$114.88|$114.88
"CPT® 88342"|"HB IP-BCL-1 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-BCL-1 STAIN, ADD"|312.00|$419.00|$67.00|$335.20|$293.00|$167.60|$147.49|$93.86||$167.60|$335.20|$237.99||$127.80|$159.22|$256.85|$100.00|||$72.00|$67.00|$96.90|$154.00|$198.00|$220.00|$157.13|$154.49|$106.26|$106.26
"CPT® 88342"|"HB IP-BCL-2 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-BCL-2 STAIN, ADDITIONAL"|312.00|$537.00|$67.00|$429.60|$376.00|$214.80|$189.02|$120.29||$214.80|$429.60|$305.02||$163.79|$204.06|$329.18|$100.00|||$72.00|$67.00|$96.90|$197.40|$253.80|$282.00|$201.38|$197.99|$136.18|$136.18
"CPT® 88342"|"HB IP-BCL-6 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-BCL-6 STAIN, ADDITIONAL"|312.00|$445.00|$67.00|$356.00|$312.00|$178.00|$156.64|$99.68||$178.00|$356.00|$252.76||$135.73|$169.10|$272.79|$100.00|||$72.00|$67.00|$96.90|$163.63|$210.38|$233.75|$166.88|$164.07|$112.85|$112.85
"CPT® 88342"|"HB IP-BER-EP4 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-BER-EP4 STAIN, ADDITIONAL IP"|312.00|$376.00|$67.00|$300.80|$263.00|$150.40|$132.35|$84.22||$150.40|$300.80|$213.57||$114.68|$142.88|$230.49|$100.00|||$72.00|$67.00|$96.90|$138.25|$177.75|$197.50|$141.00|$138.63|$95.35|$95.35
"CPT® 88342"|"HB IP-BETA-CATENIN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-BETA-CATENIN STAIN, ADDITIONAL IP"|312.00|$382.00|$67.00|$305.60|$267.00|$152.80|$134.46|$85.57||$152.80|$305.60|$216.98||$116.51|$145.16|$234.17|$100.00|||$72.00|$67.00|$96.90|$140.35|$180.45|$200.50|$143.25|$140.84|$96.88|$96.88
"CPT® 88342"|"HB IP-BRST-2 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-BRST-2 STAIN, ADDITIONAL IP"|312.00|$410.00|$67.00|$328.00|$287.00|$164.00|$144.32|$91.84||$164.00|$328.00|$232.88||$125.05|$155.80|$251.33|$100.00|||$72.00|$67.00|$96.90|$150.68|$193.73|$215.25|$153.75|$151.17|$103.98|$103.98
"CPT® 88342"|"HB IP-BRST-3 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-BRST-3 STAIN, ADDITIONAL IP"|312.00|$399.00|$67.00|$319.20|$279.00|$159.60|$140.45|$89.38||$159.60|$319.20|$226.63||$121.70|$151.62|$244.59|$100.00|||$72.00|$67.00|$96.90|$146.65|$188.55|$209.50|$149.63|$147.11|$101.19|$101.19
"CPT® 88342"|"HB IP-CA125 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CA125 STAIN, ADDITIONAL IP"|312.00|$407.00|$67.00|$325.60|$285.00|$162.80|$143.26|$91.17||$162.80|$325.60|$231.18||$124.14|$154.66|$249.49|$100.00|||$72.00|$67.00|$96.90|$149.63|$192.38|$213.75|$152.63|$150.06|$103.22|$103.22
"CPT® 88342"|"HB IP-CA19.9 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CA19.9 STAIN, ADDITIONAL IP"|312.00|$412.00|$67.00|$329.60|$288.00|$164.80|$145.02|$92.29||$164.80|$329.60|$234.02||$125.66|$156.56|$252.56|$100.00|||$72.00|$67.00|$96.90|$151.38|$194.63|$216.25|$154.50|$151.90|$104.48|$104.48
"CPT® 88342"|"HB IP-CAIX STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CAIX STAIN, ADDITIONAL IP"|312.00|$281.00|$62.94|$224.80|$197.00|$112.40|$98.91|$62.94||$112.40|$224.80|$159.61||$85.71|$106.78|$172.25|$100.00|||$72.00|$67.00|$96.90|$103.25|$132.75|$147.50|$105.38|$103.60|$71.26|$71.26
"CPT® 88342"|"HB IP-CALCITONIN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CALCITONIN STAIN, ADDITIONAL IP"|312.00|$371.00|$67.00|$296.80|$260.00|$148.40|$130.59|$83.10||$148.40|$296.80|$210.73||$113.16|$140.98|$227.42|$100.00|||$72.00|$67.00|$96.90|$136.33|$175.28|$194.75|$139.13|$136.79|$94.09|$94.09
"CPT® 88342"|"HB IP-CALDESMON STAIN, 1ST IP"|312.00|$193.00|$43.23|$185.25|$135.00|$77.20|$67.94|$43.23||$77.20|$154.40|$109.62||$58.87|$73.34|$118.31|$100.00|||$72.00|$67.00|$109.68|$129.68|$166.73|$185.25|$72.38|$71.16|$48.94|$48.94
"CPT® 88341"|"HB IP-CALDESMON STAIN, ADDITIONAL IP"|312.00|$193.00|$43.23|$154.40|$135.00|$77.20|$67.94|$43.23||$77.20|$154.40|$109.62||$58.87|$73.34|$118.31|$100.00|||$72.00|$67.00|$96.90|$89.43|$114.98|$127.75|$72.38|$71.16|$48.94|$48.94
"CPT® 88342"|"HB IP-CALPONIN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CALPONIN STAIN, ADDITIONAL IP"|312.00|$370.00|$67.00|$296.00|$259.00|$148.00|$130.24|$82.88||$148.00|$296.00|$210.16||$112.85|$140.60|$226.81|$100.00|||$72.00|$67.00|$96.90|$135.98|$174.83|$194.25|$138.75|$136.42|$93.83|$93.83
"CPT® 88342"|"HB IP-CALRETININ STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CALRETININ STAIN, ADDITIONAL IP"|312.00|$428.00|$67.00|$342.40|$300.00|$171.20|$150.66|$95.87||$171.20|$342.40|$243.10||$130.54|$162.64|$262.36|$100.00|||$72.00|$67.00|$96.90|$157.33|$202.28|$224.75|$160.50|$157.80|$108.54|$108.54
"CPT® 88342"|"HB IP-CAM 5.2 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CAM 5.2 STAIN, ADDITIONAL IP"|312.00|$396.00|$67.00|$316.80|$277.00|$158.40|$139.39|$88.70||$158.40|$316.80|$224.93||$120.78|$150.48|$242.75|$100.00|||$72.00|$67.00|$96.90|$145.60|$187.20|$208.00|$148.50|$146.01|$100.43|$100.43
"CPT® 88342"|"HB IP-CEA-MONOCLONAL STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CEA-MONOCLONAL STAIN, ADDITIONAL IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$96.90|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88342"|"HB IP-CEA-POLYCLONAL STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CEA-POLYCLONAL STAIN, ADDITIONAL IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$96.90|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88342"|"HB IP-CD10 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD10 STAIN, ADDITIONAL IP"|312.00|$410.00|$67.00|$328.00|$287.00|$164.00|$144.32|$91.84||$164.00|$328.00|$232.88||$125.05|$155.80|$251.33|$100.00|||$72.00|$67.00|$96.90|$150.68|$193.73|$215.25|$153.75|$151.17|$103.98|$103.98
"CPT® 88342"|"HB IP-CD117-CKIT STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD117-CKIT STAIN, ADDITIONAL IP"|312.00|$372.00|$67.00|$297.60|$260.00|$148.80|$130.94|$83.33||$148.80|$297.60|$211.30||$113.46|$141.36|$228.04|$100.00|||$72.00|$67.00|$96.90|$136.68|$175.73|$195.25|$139.50|$137.16|$94.34|$94.34
"CPT® 88342"|"HB IP-CD15 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD15 STAIN, ADDITIONAL IP"|312.00|$389.00|$67.00|$311.20|$272.00|$155.60|$136.93|$87.14||$155.60|$311.20|$220.95||$118.65|$147.82|$238.46|$100.00|||$72.00|$67.00|$96.90|$142.80|$183.60|$204.00|$145.88|$143.42|$98.65|$98.65
"CPT® 88342"|"HB IP-CD163 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD163 STAIN, ADDITIONAL IP"|312.00|$378.00|$67.00|$302.40|$265.00|$151.20|$133.06|$84.67||$151.20|$302.40|$214.70||$115.29|$143.64|$231.71|$100.00|||$72.00|$67.00|$96.90|$138.95|$178.65|$198.50|$141.75|$139.37|$95.86|$95.86
"CPT® 88342"|"HB IP-CD19 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD19 STAIN, ADDITIONAL IP"|312.00|$382.00|$67.00|$305.60|$267.00|$152.80|$134.46|$85.57||$152.80|$305.60|$216.98||$116.51|$145.16|$234.17|$100.00|||$72.00|$67.00|$96.90|$140.35|$180.45|$200.50|$143.25|$140.84|$96.88|$96.88
"CPT® 88342"|"HB IP-CD1A STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD1A STAIN, ADDITIONAL IP"|312.00|$483.00|$67.00|$386.40|$338.00|$193.20|$170.02|$108.19||$193.20|$386.40|$274.34||$147.32|$183.54|$296.08|$100.00|||$72.00|$67.00|$96.90|$177.45|$228.15|$253.50|$181.13|$178.08|$122.49|$122.49
"CPT® 88342"|"HB IP-CD2 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD2 STAIN, ADDITIONAL IP"|312.00|$466.00|$67.00|$372.80|$326.00|$186.40|$164.03|$104.38||$186.40|$372.80|$264.69||$142.13|$177.08|$285.66|$100.00|||$72.00|$67.00|$96.90|$171.33|$220.28|$244.75|$174.75|$171.81|$118.18|$118.18
"CPT® 88342"|"HB IP-CD20 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD20 STAIN, ADDITIONAL IP"|312.00|$433.00|$67.00|$346.40|$303.00|$173.20|$152.42|$96.99||$173.20|$346.40|$245.94||$132.07|$164.54|$265.43|$100.00|||$72.00|$67.00|$96.90|$159.08|$204.53|$227.25|$162.38|$159.65|$109.81|$109.81
"CPT® 88342"|"HB IP-CD21 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD21 STAIN, ADDITIONAL IP"|312.00|$450.00|$67.00|$360.00|$315.00|$180.00|$158.40|$100.80||$180.00|$360.00|$255.60||$137.25|$171.00|$275.85|$100.00|||$72.00|$67.00|$96.90|$165.38|$212.63|$236.25|$168.75|$165.92|$114.12|$114.12
"CPT® 88342"|"HB IP-CD22 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD22 STAIN, ADDITIONAL IP"|312.00|$462.00|$67.00|$369.60|$323.00|$184.80|$162.62|$103.49||$184.80|$369.60|$262.42||$140.91|$175.56|$283.21|$100.00|||$72.00|$67.00|$96.90|$169.75|$218.25|$242.50|$173.25|$170.34|$117.16|$117.16
"CPT® 88342"|"HB IP-CD23 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD23 STAIN, ADDITIONAL IP"|312.00|$445.00|$67.00|$356.00|$312.00|$178.00|$156.64|$99.68||$178.00|$356.00|$252.76||$135.73|$169.10|$272.79|$100.00|||$72.00|$67.00|$96.90|$163.63|$210.38|$233.75|$166.88|$164.07|$112.85|$112.85
"CPT® 88342"|"HB IP-CD25 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD25 STAIN, ADDITIONAL IP"|312.00|$455.00|$67.00|$364.00|$318.00|$182.00|$160.16|$101.92||$182.00|$364.00|$258.44||$138.78|$172.90|$278.92|$100.00|||$72.00|$67.00|$96.90|$167.13|$214.88|$238.75|$170.63|$167.76|$115.39|$115.39
"CPT® 88342"|"HB IP-CD3 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD3 STAIN, ADDITIONAL IP"|312.00|$469.00|$67.00|$375.20|$328.00|$187.60|$165.09|$105.06||$187.60|$375.20|$266.39||$143.05|$178.22|$287.50|$100.00|||$72.00|$67.00|$96.90|$172.38|$221.63|$246.25|$175.88|$172.92|$118.94|$118.94
"CPT® 88342"|"HB IP-CD30 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD30 STAIN, ADDITIONAL IP"|312.00|$452.00|$67.00|$361.60|$316.00|$180.80|$159.10|$101.25||$180.80|$361.60|$256.74||$137.86|$171.76|$277.08|$100.00|||$72.00|$67.00|$96.90|$166.08|$213.53|$237.25|$169.50|$166.65|$114.63|$114.63
"CPT® 88342"|"HB IP-CD31 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD31 STAIN, ADDITIONAL IP"|312.00|$495.00|$67.00|$396.00|$346.00|$198.00|$174.24|$110.88||$198.00|$396.00|$281.16||$150.98|$188.10|$303.44|$100.00|||$72.00|$67.00|$96.90|$181.83|$233.78|$259.75|$185.63|$182.51|$125.53|$125.53
"CPT® 88342"|"HB IP-CD34 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD34 STAIN, ADDITIONAL IP"|312.00|$458.00|$67.00|$366.40|$321.00|$183.20|$161.22|$102.59||$183.20|$366.40|$260.14||$139.69|$174.04|$280.75|$100.00|||$72.00|$67.00|$96.90|$168.35|$216.45|$240.50|$171.75|$168.86|$116.15|$116.15
"CPT® 88342"|"HB IP-CD35 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD35 STAIN, ADDITIONAL IP"|312.00|$492.00|$67.00|$393.60|$344.00|$196.80|$173.18|$110.21||$196.80|$393.60|$279.46||$150.06|$186.96|$301.60|$100.00|||$72.00|$67.00|$96.90|$180.78|$232.43|$258.25|$184.50|$181.40|$124.77|$124.77
"CPT® 88342"|"HB IP-CD4 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD4 STAIN, ADDITIONAL IP"|312.00|$462.00|$67.00|$369.60|$323.00|$184.80|$162.62|$103.49||$184.80|$369.60|$262.42||$140.91|$175.56|$283.21|$100.00|||$72.00|$67.00|$96.90|$169.75|$218.25|$242.50|$173.25|$170.34|$117.16|$117.16
"CPT® 88342"|"HB IP-CD43 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD43 STAIN, ADDITIONAL IP"|312.00|$487.00|$67.00|$389.60|$341.00|$194.80|$171.42|$109.09||$194.80|$389.60|$276.62||$148.54|$185.06|$298.53|$100.00|||$72.00|$67.00|$96.90|$179.03|$230.18|$255.75|$182.63|$179.56|$123.50|$123.50
"CPT® 88342"|"HB IP-CD45 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD45 STAIN, ADDITIONAL IP"|312.00|$434.00|$67.00|$347.20|$304.00|$173.60|$152.77|$97.22||$173.60|$347.20|$246.51||$132.37|$164.92|$266.04|$100.00|||$72.00|$67.00|$96.90|$159.43|$204.98|$227.75|$162.75|$160.02|$110.06|$110.06
"CPT® 88342"|"HB IP-CD5 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD5 STAIN, ADDITIONAL IP"|312.00|$103.00|$23.07|$100.00|$72.00|$41.20|$36.26|$23.07||$41.20|$82.40|$58.50||$31.42|$39.14|$63.14|$100.00|||$72.00|$67.00|$96.90|$37.80|$48.60|$54.00|$38.63|$37.98|$26.12|$26.12
"CPT® 88342"|"HB IP-CD56 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD56 STAIN, ADDITIONAL IP"|312.00|$435.00|$67.00|$348.00|$304.00|$174.00|$153.12|$97.44||$174.00|$348.00|$247.08||$132.68|$165.30|$266.66|$100.00|||$72.00|$67.00|$96.90|$159.78|$205.43|$228.25|$163.13|$160.38|$110.32|$110.32
"CPT® 88342"|"HB IP-CD57 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD57 STAIN, ADDITIONAL IP"|312.00|$440.00|$67.00|$352.00|$308.00|$176.00|$154.88|$98.56||$176.00|$352.00|$249.92||$134.20|$167.20|$269.72|$100.00|||$72.00|$67.00|$96.90|$161.70|$207.90|$231.00|$165.00|$162.23|$111.58|$111.58
"CPT® 88342"|"HB IP-CD68-KP1 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD68-KP1 STAIN, ADDITIONAL IP"|312.00|$433.00|$67.00|$346.40|$303.00|$173.20|$152.42|$96.99||$173.20|$346.40|$245.94||$132.07|$164.54|$265.43|$100.00|||$72.00|$67.00|$96.90|$159.08|$204.53|$227.25|$162.38|$159.65|$109.81|$109.81
"CPT® 88342"|"HB IP-CD68-PGM-1 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD68-PGM-1 STAIN, ADDITIONAL IP"|312.00|$434.00|$67.00|$347.20|$304.00|$173.60|$152.77|$97.22||$173.60|$347.20|$246.51||$132.37|$164.92|$266.04|$100.00|||$72.00|$67.00|$96.90|$159.43|$204.98|$227.75|$162.75|$160.02|$110.06|$110.06
"CPT® 88342"|"HB IP-CD7 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD7 STAIN, ADDITIONAL IP"|312.00|$352.00|$67.00|$281.60|$246.00|$140.80|$123.90|$78.85||$140.80|$281.60|$199.94||$107.36|$133.76|$215.78|$100.00|||$72.00|$67.00|$96.90|$129.33|$166.28|$184.75|$132.00|$129.78|$89.27|$89.27
"CPT® 88342"|"HB IP-CD79A STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD79A STAIN, ADDITIONAL IP"|312.00|$390.00|$67.00|$312.00|$273.00|$156.00|$137.28|$87.36||$156.00|$312.00|$221.52||$118.95|$148.20|$239.07|$100.00|||$72.00|$67.00|$96.90|$143.33|$184.28|$204.75|$146.25|$143.79|$98.90|$98.90
"CPT® 88342"|"HB IP-CD8 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CD8 STAIN, ADDITIONAL IP"|312.00|$415.00|$67.00|$332.00|$290.00|$166.00|$146.08|$92.96||$166.00|$332.00|$235.72||$126.58|$157.70|$254.40|$100.00|||$72.00|$67.00|$96.90|$152.43|$195.98|$217.75|$155.63|$153.01|$105.24|$105.24
"CPT® 88342"|"HB IP-CDX-2 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CDX-2 STAIN, ADDITIONAL IP"|312.00|$497.00|$67.00|$397.60|$348.00|$198.80|$174.94|$111.33||$198.80|$397.60|$282.30||$151.59|$188.86|$304.66|$100.00|||$72.00|$67.00|$96.90|$182.70|$234.90|$261.00|$186.38|$183.24|$126.04|$126.04
"CPT® 88342"|"HB IP-CHROMOGRANIN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CHROMOGRANIN STAIN, ADDITIONAL IP"|312.00|$484.00|$67.00|$387.20|$339.00|$193.60|$170.37|$108.42||$193.60|$387.20|$274.91||$147.62|$183.92|$296.69|$100.00|||$72.00|$67.00|$96.90|$177.80|$228.60|$254.00|$181.50|$178.45|$122.74|$122.74
"CPT® 88342"|"HB IP-C-MYC STAIN, 1ST IP"|312.00|$433.00|$67.00|$346.40|$303.00|$173.20|$152.42|$96.99||$173.20|$346.40|$245.94||$132.07|$164.54|$265.43|$100.00|||$72.00|$67.00|$109.68|$159.08|$204.53|$227.25|$162.38|$159.65|$109.81|$109.81
"CPT® 88341"|"HB IP-C-MYC STAIN, ADD"|312.00|$149.00|$33.38|$119.20|$104.00|$59.60|$52.45|$33.38||$59.60|$119.20|$84.63||$45.45|$56.62|$91.34|$100.00|||$72.00|$67.00|$96.90|$54.78|$70.43|$78.25|$55.88|$54.94|$37.79|$37.79
"CPT® 88342"|"HB IP-CYTOKERATIN 19 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CYTOKERATIN 19 STAIN, ADDITIONAL IP"|312.00|$438.00|$67.00|$350.40|$307.00|$175.20|$154.18|$98.11||$175.20|$350.40|$248.78||$133.59|$166.44|$268.49|$100.00|||$72.00|$67.00|$96.90|$161.00|$207.00|$230.00|$164.25|$161.49|$111.08|$111.08
"CPT® 88342"|"HB IP-CYTOKERATIN 20 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CYTOKERATIN 20 STAIN, ADDITIONAL IP"|312.00|$462.00|$67.00|$369.60|$323.00|$184.80|$162.62|$103.49||$184.80|$369.60|$262.42||$140.91|$175.56|$283.21|$100.00|||$72.00|$67.00|$96.90|$169.75|$218.25|$242.50|$173.25|$170.34|$117.16|$117.16
"CPT® 88342"|"HB IP-CYTOKERATIN 5 STAIN, 1ST IP"|312.00|$439.00|$67.00|$351.20|$307.00|$175.60|$154.53|$98.34||$175.60|$351.20|$249.35||$133.90|$166.82|$269.11|$100.00|||$72.00|$67.00|$109.68|$161.35|$207.45|$230.50|$164.63|$161.86|$111.33|$111.33
"CPT® 88341"|"HB IP-CYTOKERATIN 5 STAIN, ADDITIONAL IP"|312.00|$439.00|$67.00|$351.20|$307.00|$175.60|$154.53|$98.34||$175.60|$351.20|$249.35||$133.90|$166.82|$269.11|$100.00|||$72.00|$67.00|$96.90|$161.35|$207.45|$230.50|$164.63|$161.86|$111.33|$111.33
"CPT® 88342"|"HB IP-CYTOKERATIN 5/6 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CYTOKERATIN 5/6 STAIN, ADDITIONAL IP"|312.00|$476.00|$67.00|$380.80|$333.00|$190.40|$167.55|$106.62||$190.40|$380.80|$270.37||$145.18|$180.88|$291.79|$100.00|||$72.00|$67.00|$96.90|$175.00|$225.00|$250.00|$178.50|$175.50|$120.71|$120.71
"CPT® 88342"|"HB IP-CYTOKERATIN 7 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CYTOKERATIN 7 STAIN, ADDITIONAL IP"|312.00|$439.00|$67.00|$351.20|$307.00|$175.60|$154.53|$98.34||$175.60|$351.20|$249.35||$133.90|$166.82|$269.11|$100.00|||$72.00|$67.00|$96.90|$161.35|$207.45|$230.50|$164.63|$161.86|$111.33|$111.33
"CPT® 88342"|"HB IP-CMV STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-CMV STAIN, ADDITIONAL IP"|312.00|$460.00|$67.00|$368.00|$322.00|$184.00|$161.92|$103.04||$184.00|$368.00|$261.28||$140.30|$174.80|$281.98|$100.00|||$72.00|$67.00|$96.90|$169.05|$217.35|$241.50|$172.50|$169.60|$116.66|$116.66
"CPT® 88342"|"HB IP-D2-40 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-D2-40 STAIN, ADDITIONAL IP"|312.00|$366.00|$67.00|$292.80|$256.00|$146.40|$128.83|$81.98||$146.40|$292.80|$207.89||$111.63|$139.08|$224.36|$100.00|||$72.00|$67.00|$96.90|$134.58|$173.03|$192.25|$137.25|$134.94|$92.82|$92.82
"CPT® 88342"|"HB IP-DESMIN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-DESMIN STAIN, ADDITIONAL IP"|312.00|$449.00|$67.00|$359.20|$314.00|$179.60|$158.05|$100.58||$179.60|$359.20|$255.03||$136.95|$170.62|$275.24|$100.00|||$72.00|$67.00|$96.90|$165.03|$212.18|$235.75|$168.38|$165.55|$113.87|$113.87
"CPT® 88342"|"HB IP-E-CADHERIN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-E-CADHERIN STAIN, ADDITIONAL IP"|312.00|$470.00|$67.00|$376.00|$329.00|$188.00|$165.44|$105.28||$188.00|$376.00|$266.96||$143.35|$178.60|$288.11|$100.00|||$72.00|$67.00|$96.90|$172.73|$222.08|$246.75|$176.25|$173.29|$119.19|$119.19
"CPT® 88342"|"HB IP-EPITHELIAL MEMBRANE ANTIGEN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-EPITHELIAL MEMBRANE ANTIGEN STAIN, ADDITIONAL IP"|312.00|$441.00|$67.00|$352.80|$309.00|$176.40|$155.23|$98.78||$176.40|$352.80|$250.49||$134.51|$167.58|$270.33|$100.00|||$72.00|$67.00|$96.90|$162.05|$208.35|$231.50|$165.38|$162.60|$111.84|$111.84
"CPT® 88360"|"HB IP-ER QUANTITATIVE STAIN"|312.00|$333.00|$67.00|$266.40|$233.00|$133.20|$117.22|$74.59||$133.20|$266.40|$189.14||$101.57|$126.54|$204.13|$100.00|||$72.00|$67.00|$101.88|$122.33|$157.28|$174.75|$124.88|$122.78|$84.45|$84.45
"CPT® 88342"|"HB IP-ER STAIN, 1ST IP"|312.00|$507.00|$67.00|$405.60|$355.00|$202.80|$178.46|$113.57||$202.80|$405.60|$287.98||$154.64|$192.66|$310.79|$100.00|||$72.00|$67.00|$109.68|$186.38|$239.63|$266.25|$190.13|$186.93|$128.58|$128.58
"CPT® 88341"|"HB IP-ER STAIN, ADDITIONAL IP"|312.00|$410.00|$67.00|$328.00|$287.00|$164.00|$144.32|$91.84||$164.00|$328.00|$232.88||$125.05|$155.80|$251.33|$100.00|||$72.00|$67.00|$96.90|$150.68|$193.73|$215.25|$153.75|$151.17|$103.98|$103.98
"CPT® 88342"|"HB IP-FACTOR 13A STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-FACTOR 13A STAIN, ADDITIONAL IP"|312.00|$517.00|$67.00|$413.60|$362.00|$206.80|$181.98|$115.81||$206.80|$413.60|$293.66||$157.69|$196.46|$316.92|$100.00|||$72.00|$67.00|$96.90|$190.05|$244.35|$271.50|$193.88|$190.62|$131.11|$131.11
"CPT® 88342"|"HB IP-FACTOR 8 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-FACTOR 8 STAIN, ADDITIONAL IP"|312.00|$432.00|$67.00|$345.60|$302.00|$172.80|$152.06|$96.77||$172.80|$345.60|$245.38||$131.76|$164.16|$264.82|$100.00|||$72.00|$67.00|$96.90|$158.73|$204.08|$226.75|$162.00|$159.28|$109.56|$109.56
"CPT® 88342"|"HB IP-FLI-1 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-FLI-1 STAIN, ADDITIONAL IP"|312.00|$450.00|$67.00|$360.00|$315.00|$180.00|$158.40|$100.80||$180.00|$360.00|$255.60||$137.25|$171.00|$275.85|$100.00|||$72.00|$67.00|$96.90|$165.38|$212.63|$236.25|$168.75|$165.92|$114.12|$114.12
"CPT® 88342"|"HB IP-FSH STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-FSH STAIN, ADDITIONAL IP"|312.00|$395.00|$67.00|$316.00|$276.00|$158.00|$139.04|$88.48||$158.00|$316.00|$224.36||$120.48|$150.10|$242.14|$100.00|||$72.00|$67.00|$96.90|$145.08|$186.53|$207.25|$148.13|$145.64|$100.17|$100.17
"CPT® 88342"|"HB IP-GALECTIN-3 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-GALECTIN-3 STAIN, ADDITIONAL IP"|312.00|$444.00|$67.00|$355.20|$311.00|$177.60|$156.29|$99.46||$177.60|$355.20|$252.19||$135.42|$168.72|$272.17|$100.00|||$72.00|$67.00|$96.90|$163.10|$209.70|$233.00|$166.50|$163.70|$112.60|$112.60
"CPT® 88342"|"HB IP-GASTRIN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-GASTRIN STAIN, ADDITIONAL IP"|312.00|$437.00|$67.00|$349.60|$306.00|$174.80|$153.82|$97.89||$174.80|$349.60|$248.22||$133.29|$166.06|$267.88|$100.00|||$72.00|$67.00|$96.90|$160.65|$206.55|$229.50|$163.88|$161.12|$110.82|$110.82
"CPT® 88342"|"HB IP-GATA 3 STAIN, 1ST IP"|312.00|$398.00|$67.00|$318.40|$279.00|$159.20|$140.10|$89.15||$159.20|$318.40|$226.06||$121.39|$151.24|$243.97|$100.00|||$72.00|$67.00|$109.68|$146.30|$188.10|$209.00|$149.25|$146.74|$100.93|$100.93
"CPT® 88341"|"HB IP-GATA 3 STAIN, ADDITIONAL IP"|312.00|$398.00|$67.00|$318.40|$279.00|$159.20|$140.10|$89.15||$159.20|$318.40|$226.06||$121.39|$151.24|$243.97|$100.00|||$72.00|$67.00|$96.90|$146.30|$188.10|$209.00|$149.25|$146.74|$100.93|$100.93
"CPT® 88342"|"HB IP-GLIAL FIBRILLARY ACIDIC PROTEIN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-GLIAL FIBRILLARY ACIDIC PROTEIN STAIN, ADDITIONAL IP"|312.00|$433.00|$67.00|$346.40|$303.00|$173.20|$152.42|$96.99||$173.20|$346.40|$245.94||$132.07|$164.54|$265.43|$100.00|||$72.00|$67.00|$96.90|$159.08|$204.53|$227.25|$162.38|$159.65|$109.81|$109.81
"CPT® 88342"|"HB IP-GLYPICAN-3 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-GLYPICAN-3 STAIN, ADDITIONAL IP"|312.00|$529.00|$67.00|$423.20|$370.00|$211.60|$186.21|$118.50||$211.60|$423.20|$300.47||$161.35|$201.02|$324.28|$100.00|||$72.00|$67.00|$96.90|$194.43|$249.98|$277.75|$198.38|$195.04|$134.15|$134.15
"CPT® 88342"|"HB IP-GROWTH HORMONE STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-GROWTH HORMONE STAIN, ADDITIONAL IP"|312.00|$373.00|$67.00|$298.40|$261.00|$149.20|$131.30|$83.55||$149.20|$298.40|$211.86||$113.77|$141.74|$228.65|$100.00|||$72.00|$67.00|$96.90|$137.03|$176.18|$195.75|$139.88|$137.53|$94.59|$94.59
"CPT® 88342"|"HB IP-H.PYLORI STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-H.PYLORI STAIN, ADDITIONAL IP"|312.00|$444.00|$67.00|$355.20|$311.00|$177.60|$156.29|$99.46||$177.60|$355.20|$252.19||$135.42|$168.72|$272.17|$100.00|||$72.00|$67.00|$96.90|$163.10|$209.70|$233.00|$166.50|$163.70|$112.60|$112.60
"CPT® 88342"|"HB IP-HBME-1 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-HBME-1 STAIN, ADDITIONAL IP"|312.00|$437.00|$67.00|$349.60|$306.00|$174.80|$153.82|$97.89||$174.80|$349.60|$248.22||$133.29|$166.06|$267.88|$100.00|||$72.00|$67.00|$96.90|$160.65|$206.55|$229.50|$163.88|$161.12|$110.82|$110.82
"CPT® 88342"|"HB IP-HEMOGLOBIN A STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-HEMOGLOBIN A STAIN, ADDITIONAL IP"|312.00|$468.00|$67.00|$374.40|$328.00|$187.20|$164.74|$104.83||$187.20|$374.40|$265.82||$142.74|$177.84|$286.88|$100.00|||$72.00|$67.00|$96.90|$172.03|$221.18|$245.75|$175.50|$172.55|$118.68|$118.68
"CPT® 88360"|"HB IP-HER2/NEU QUANTITATIVE STAIN"|312.00|$567.00|$67.00|$453.60|$397.00|$226.80|$199.58|$127.01||$226.80|$453.60|$322.06||$172.94|$215.46|$347.57|$100.00|||$72.00|$67.00|$101.88|$208.43|$267.98|$297.75|$212.63|$209.05|$143.79|$143.79
"CPT® 88342"|"HB IP-HER2/NEU STAIN, 1ST IP"|312.00|$507.00|$67.00|$405.60|$355.00|$202.80|$178.46|$113.57||$202.80|$405.60|$287.98||$154.64|$192.66|$310.79|$100.00|||$72.00|$67.00|$109.68|$186.38|$239.63|$266.25|$190.13|$186.93|$128.58|$128.58
"CPT® 88341"|"HB IP-HER2/NEU STAIN, ADDITIONAL IP"|312.00|$575.00|$67.00|$460.00|$402.00|$230.00|$202.40|$128.80||$230.00|$460.00|$326.60||$175.38|$218.50|$352.48|$100.00|||$72.00|$67.00|$96.90|$211.23|$271.58|$301.75|$215.63|$212.00|$145.82|$145.82
"CPT® 88342"|"HB IP-HMB45 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-HMB45 STAIN, ADDITIONAL IP"|312.00|$420.00|$67.00|$336.00|$294.00|$168.00|$147.84|$94.08||$168.00|$336.00|$238.56||$128.10|$159.60|$257.46|$100.00|||$72.00|$67.00|$96.90|$154.35|$198.45|$220.50|$157.50|$154.85|$106.51|$106.51
"CPT® 88342"|"HB IP-HMW KERATIN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-HMW KERATIN STAIN, ADDITIONAL IP"|312.00|$443.00|$67.00|$354.40|$310.00|$177.20|$155.94|$99.23||$177.20|$354.40|$251.62||$135.12|$168.34|$271.56|$100.00|||$72.00|$67.00|$96.90|$162.75|$209.25|$232.50|$166.13|$163.33|$112.34|$112.34
"CPT® 88342"|"HB IP-HUMAN PAPILLOMA VIRUS STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-HUMAN PAPILLOMA VIRUS STAIN, ADDITIONAL IP"|312.00|$486.00|$67.00|$388.80|$340.00|$194.40|$171.07|$108.86||$194.40|$388.80|$276.05||$148.23|$184.68|$297.92|$100.00|||$72.00|$67.00|$96.90|$178.68|$229.73|$255.25|$182.25|$179.19|$123.25|$123.25
"CPT® 88342"|"HB IP-IDH1 STAIN, 1ST IP"|312.00|$444.00|$67.00|$355.20|$311.00|$177.60|$156.29|$99.46||$177.60|$355.20|$252.19||$135.42|$168.72|$272.17|$100.00|||$72.00|$67.00|$109.68|$163.10|$209.70|$233.00|$166.50|$163.70|$112.60|$112.60
"CPT® 88341"|"HB IP-IDH1 STAIN, ADDITIONAL IP"|312.00|$444.00|$67.00|$355.20|$311.00|$177.60|$156.29|$99.46||$177.60|$355.20|$252.19||$135.42|$168.72|$272.17|$100.00|||$72.00|$67.00|$96.90|$163.10|$209.70|$233.00|$166.50|$163.70|$112.60|$112.60
"CPT® 88342"|"HB IP-INHIBIN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-INHIBIN STAIN, ADDITIONAL IP"|312.00|$476.00|$67.00|$380.80|$333.00|$190.40|$167.55|$106.62||$190.40|$380.80|$270.37||$145.18|$180.88|$291.79|$100.00|||$72.00|$67.00|$96.90|$175.00|$225.00|$250.00|$178.50|$175.50|$120.71|$120.71
"CPT® 88342"|"HB IP-KAPPA STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-KAPPA STAIN, ADDITIONAL IP"|312.00|$432.00|$67.00|$345.60|$302.00|$172.80|$152.06|$96.77||$172.80|$345.60|$245.38||$131.76|$164.16|$264.82|$100.00|||$72.00|$67.00|$96.90|$158.73|$204.08|$226.75|$162.00|$159.28|$109.56|$109.56
"CPT® 88360"|"HB IP-KI-67 QUANTITATIVE STAIN"|312.00|$333.00|$67.00|$266.40|$233.00|$133.20|$117.22|$74.59||$133.20|$266.40|$189.14||$101.57|$126.54|$204.13|$100.00|||$72.00|$67.00|$101.88|$122.33|$157.28|$174.75|$124.88|$122.78|$84.45|$84.45
"CPT® 88342"|"HB IP-KI-67 STAIN, 1ST IP"|312.00|$507.00|$67.00|$405.60|$355.00|$202.80|$178.46|$113.57||$202.80|$405.60|$287.98||$154.64|$192.66|$310.79|$100.00|||$72.00|$67.00|$109.68|$186.38|$239.63|$266.25|$190.13|$186.93|$128.58|$128.58
"CPT® 88341"|"HB IP-KI-67 STAIN, ADDITIONAL IP"|312.00|$574.00|$67.00|$459.20|$402.00|$229.60|$202.05|$128.58||$229.60|$459.20|$326.03||$175.07|$218.12|$351.86|$100.00|||$72.00|$67.00|$96.90|$210.88|$271.13|$301.25|$215.25|$211.63|$145.57|$145.57
"CPT® 88342"|"HB IP-LAMBDA STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-LAMBDA STAIN, ADDITIONAL IP"|312.00|$432.00|$67.00|$345.60|$302.00|$172.80|$152.06|$96.77||$172.80|$345.60|$245.38||$131.76|$164.16|$264.82|$100.00|||$72.00|$67.00|$96.90|$158.73|$204.08|$226.75|$162.00|$159.28|$109.56|$109.56
"CPT® 88342"|"HB IP-LANA STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-LANA STAIN, ADDITIONAL IP"|312.00|$400.00|$67.00|$320.00|$280.00|$160.00|$140.80|$89.60||$160.00|$320.00|$227.20||$122.00|$152.00|$245.20|$100.00|||$72.00|$67.00|$96.90|$147.00|$189.00|$210.00|$150.00|$147.48|$101.44|$101.44
"CPT® 88342"|"HB IP-LATENT MEMBRANE PROTEIN-1 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-LATENT MEMBRANE PROTEIN-1 STAIN, ADDITIONAL IP"|312.00|$436.00|$67.00|$348.80|$305.00|$174.40|$153.47|$97.66||$174.40|$348.80|$247.65||$132.98|$165.68|$267.27|$100.00|||$72.00|$67.00|$96.90|$160.30|$206.10|$229.00|$163.50|$160.75|$110.57|$110.57
"CPT® 88342"|"HB IP-LEF-1 STAIN, 1ST IP"|312.00|$420.00|$67.00|$336.00|$294.00|$168.00|$147.84|$94.08||$168.00|$336.00|$238.56||$128.10|$159.60|$257.46|$100.00|||$72.00|$67.00|$109.68|$154.35|$198.45|$220.50|$157.50|$154.85|$106.51|$106.51
"CPT® 88341"|"HB IP-LEF-1 STAIN, ADD"|312.00|$420.00|$67.00|$336.00|$294.00|$168.00|$147.84|$94.08||$168.00|$336.00|$238.56||$128.10|$159.60|$257.46|$100.00|||$72.00|$67.00|$96.90|$154.35|$198.45|$220.50|$157.50|$154.85|$106.51|$106.51
"CPT® 88342"|"HB IP-LUTEINIZING HORMONE STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-LUTEINIZING HORMONE STAIN, ADD"|312.00|$405.00|$67.00|$324.00|$284.00|$162.00|$142.56|$90.72||$162.00|$324.00|$230.04||$123.53|$153.90|$248.27|$100.00|||$72.00|$67.00|$96.90|$148.93|$191.48|$212.75|$151.88|$149.32|$102.71|$102.71
"CPT® 88342"|"HB IP-MAMMAGLOBIN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-MAMMAGLOBIN ST, ADD"|312.00|$481.00|$67.00|$384.80|$337.00|$192.40|$169.31|$107.74||$192.40|$384.80|$273.21||$146.71|$182.78|$294.85|$100.00|||$72.00|$67.00|$96.90|$176.75|$227.25|$252.50|$180.38|$177.34|$121.98|$121.98
"CPT® 88342"|"HB IP-MLHB -1 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-MLHB-1 STAIN, ADD"|312.00|$420.00|$67.00|$336.00|$294.00|$168.00|$147.84|$94.08||$168.00|$336.00|$238.56||$128.10|$159.60|$257.46|$100.00|||$72.00|$67.00|$96.90|$154.35|$198.45|$220.50|$157.50|$154.85|$106.51|$106.51
"CPT® 88342"|"HB IP-MNF-116 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-MNF-116 STAIN, ADD"|312.00|$445.00|$67.00|$356.00|$312.00|$178.00|$156.64|$99.68||$178.00|$356.00|$252.76||$135.73|$169.10|$272.79|$100.00|||$72.00|$67.00|$96.90|$163.63|$210.38|$233.75|$166.88|$164.07|$112.85|$112.85
"CPT® 88342"|"HB IP-MSHB -2 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-MSHB-2 STAIN, ADDITIONAL IP"|312.00|$392.00|$67.00|$313.60|$274.00|$156.80|$137.98|$87.81||$156.80|$313.60|$222.66||$119.56|$148.96|$240.30|$100.00|||$72.00|$67.00|$96.90|$144.03|$185.18|$205.75|$147.00|$144.53|$99.41|$99.41
"CPT® 88342"|"HB IP-MSHB -6 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-MSHB-6 STAIN, ADDITIONAL IP"|312.00|$389.00|$67.00|$311.20|$272.00|$155.60|$136.93|$87.14||$155.60|$311.20|$220.95||$118.65|$147.82|$238.46|$100.00|||$72.00|$67.00|$96.90|$142.80|$183.60|$204.00|$145.88|$143.42|$98.65|$98.65
"CPT® 88342"|"HB IP-MUC 1 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-MUC 1 STAIN, ADD"|312.00|$436.00|$67.00|$348.80|$305.00|$174.40|$153.47|$97.66||$174.40|$348.80|$247.65||$132.98|$165.68|$267.27|$100.00|||$72.00|$67.00|$96.90|$160.30|$206.10|$229.00|$163.50|$160.75|$110.57|$110.57
"CPT® 88342"|"HB IP-MUC 2 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-MUC 2 STAIN, ADDITIONAL IP"|312.00|$436.00|$67.00|$348.80|$305.00|$174.40|$153.47|$97.66||$174.40|$348.80|$247.65||$132.98|$165.68|$267.27|$100.00|||$72.00|$67.00|$96.90|$160.30|$206.10|$229.00|$163.50|$160.75|$110.57|$110.57
"CPT® 88342"|"HB IP-MUC 5AC STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-MUC 5AC STAIN, ADDITIONAL IP"|312.00|$441.00|$67.00|$352.80|$309.00|$176.40|$155.23|$98.78||$176.40|$352.80|$250.49||$134.51|$167.58|$270.33|$100.00|||$72.00|$67.00|$96.90|$162.05|$208.35|$231.50|$165.38|$162.60|$111.84|$111.84
"CPT® 88342"|"HB IP-MUC 6 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-MUC 6 STAIN, ADDITIONAL IP"|312.00|$441.00|$67.00|$352.80|$309.00|$176.40|$155.23|$98.78||$176.40|$352.80|$250.49||$134.51|$167.58|$270.33|$100.00|||$72.00|$67.00|$96.90|$162.05|$208.35|$231.50|$165.38|$162.60|$111.84|$111.84
"CPT® 88342"|"HB IP-MULTIPLE MYELOMA ONCOGENE 1 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-MULTIPLE MYELOMA ONCOGENE 1 STAIN, ADDITIONAL IP"|312.00|$395.00|$67.00|$316.00|$276.00|$158.00|$139.04|$88.48||$158.00|$316.00|$224.36||$120.48|$150.10|$242.14|$100.00|||$72.00|$67.00|$96.90|$145.08|$186.53|$207.25|$148.13|$145.64|$100.17|$100.17
"CPT® 88342"|"HB IP-MYELOPEROXIDASE STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-MYELOPEROXIDASE STAIN, ADD"|312.00|$433.00|$67.00|$346.40|$303.00|$173.20|$152.42|$96.99||$173.20|$346.40|$245.94||$132.07|$164.54|$265.43|$100.00|||$72.00|$67.00|$96.90|$159.08|$204.53|$227.25|$162.38|$159.65|$109.81|$109.81
"CPT® 88342"|"HB IP-MYOGENIN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-MYOGENIN STAIN, ADD"|312.00|$455.00|$67.00|$364.00|$318.00|$182.00|$160.16|$101.92||$182.00|$364.00|$258.44||$138.78|$172.90|$278.92|$100.00|||$72.00|$67.00|$96.90|$167.13|$214.88|$238.75|$170.63|$167.76|$115.39|$115.39
"CPT® 88342"|"HB IP-NAPSIN A STAIN, 1ST IP"|312.00|$444.00|$67.00|$355.20|$311.00|$177.60|$156.29|$99.46||$177.60|$355.20|$252.19||$135.42|$168.72|$272.17|$100.00|||$72.00|$67.00|$109.68|$163.10|$209.70|$233.00|$166.50|$163.70|$112.60|$112.60
"CPT® 88341"|"HB IP-NAPSIN A STAIN, ADDITIONAL IP"|312.00|$444.00|$67.00|$355.20|$311.00|$177.60|$156.29|$99.46||$177.60|$355.20|$252.19||$135.42|$168.72|$272.17|$100.00|||$72.00|$67.00|$96.90|$163.10|$209.70|$233.00|$166.50|$163.70|$112.60|$112.60
"CPT® 88342"|"HB IP-NEUROFILAMENT STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-NEUROFILAMENT STAIN, ADDITIONAL IP"|312.00|$432.00|$67.00|$345.60|$302.00|$172.80|$152.06|$96.77||$172.80|$345.60|$245.38||$131.76|$164.16|$264.82|$100.00|||$72.00|$67.00|$96.90|$158.73|$204.08|$226.75|$162.00|$159.28|$109.56|$109.56
"CPT® 88342"|"HB IP-NEURONAL NUCLEI STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-NEURONAL NUCLEIN STAIN, ADDITIONAL IP"|312.00|$432.00|$67.00|$345.60|$302.00|$172.80|$152.06|$96.77||$172.80|$345.60|$245.38||$131.76|$164.16|$264.82|$100.00|||$72.00|$67.00|$96.90|$158.73|$204.08|$226.75|$162.00|$159.28|$109.56|$109.56
"CPT® 88342"|"HB IP-NEURON-SPECIFIC ENOLASE, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-NEURON-SPECIFIC ENOLASE, ADDITIONAL IP"|312.00|$492.00|$67.00|$393.60|$344.00|$196.80|$173.18|$110.21||$196.80|$393.60|$279.46||$150.06|$186.96|$301.60|$100.00|||$72.00|$67.00|$96.90|$180.78|$232.43|$258.25|$184.50|$181.40|$124.77|$124.77
"CPT® 88342"|"HB IP-OCT-4 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-OCT-4 STAIN, ADDITIONAL IP"|312.00|$511.00|$67.00|$408.80|$358.00|$204.40|$179.87|$114.46||$204.40|$408.80|$290.25||$155.86|$194.18|$313.24|$100.00|||$72.00|$67.00|$96.90|$187.78|$241.43|$268.25|$191.63|$188.41|$129.59|$129.59
"CPT® 88342"|"HB IP-P504S STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-P504S STAIN, ADDITIONAL IP"|312.00|$442.00|$67.00|$353.60|$309.00|$176.80|$155.58|$99.01||$176.80|$353.60|$251.06||$134.81|$167.96|$270.95|$100.00|||$72.00|$67.00|$96.90|$162.40|$208.80|$232.00|$165.75|$162.97|$112.09|$112.09
"CPT® 88342"|"HB IP-P53 STAIN, 1ST IP"|312.00|$507.00|$67.00|$405.60|$355.00|$202.80|$178.46|$113.57||$202.80|$405.60|$287.98||$154.64|$192.66|$310.79|$100.00|||$72.00|$67.00|$109.68|$186.38|$239.63|$266.25|$190.13|$186.93|$128.58|$128.58
"CPT® 88341"|"HB IP-P53 STAIN, ADDITIONAL IP"|312.00|$530.00|$67.00|$424.00|$371.00|$212.00|$186.56|$118.72||$212.00|$424.00|$301.04||$161.65|$201.40|$324.89|$100.00|||$72.00|$67.00|$96.90|$194.78|$250.43|$278.25|$198.75|$195.41|$134.41|$134.41
"CPT® 88342"|"HB IP-P57 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-P57 STAIN, ADDITIONAL IP"|312.00|$433.00|$67.00|$346.40|$303.00|$173.20|$152.42|$96.99||$173.20|$346.40|$245.94||$132.07|$164.54|$265.43|$100.00|||$72.00|$67.00|$96.90|$159.08|$204.53|$227.25|$162.38|$159.65|$109.81|$109.81
"CPT® 88342"|"HB IP-P63 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-P63 STAIN, ADDITIONAL IP"|312.00|$433.00|$67.00|$346.40|$303.00|$173.20|$152.42|$96.99||$173.20|$346.40|$245.94||$132.07|$164.54|$265.43|$100.00|||$72.00|$67.00|$96.90|$159.08|$204.53|$227.25|$162.38|$159.65|$109.81|$109.81
"CPT® 88342"|"HB IP-PAX-5 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-PAX-5 STAIN, ADDITIONAL IP"|312.00|$521.00|$67.00|$416.80|$365.00|$208.40|$183.39|$116.70||$208.40|$416.80|$295.93||$158.91|$197.98|$319.37|$100.00|||$72.00|$67.00|$96.90|$191.45|$246.15|$273.50|$195.38|$192.09|$132.13|$132.13
"CPT® 88344"|"HB IP-PIN-4 STAIN, MULTIPLEX"|312.00|$507.00|$67.00|$405.60|$355.00|$202.80|$178.46|$113.57||$202.80|$405.60|$287.98||$154.64|$192.66|$310.79|$100.00|||$72.00|$67.00|$207.69|$186.38|$239.63|$266.25|$190.13|$186.93|$128.58|$128.58
"CPT® 88342"|"HB IP-PLACENTAL ALKALINE PHOSPHATASE STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-PLACENTAL ALKALINE PHOSPHATASE STAIN, ADDITIONAL IP"|312.00|$489.00|$67.00|$391.20|$342.00|$195.60|$172.13|$109.54||$195.60|$391.20|$277.75||$149.15|$185.82|$299.76|$100.00|||$72.00|$67.00|$96.90|$179.73|$231.08|$256.75|$183.38|$180.29|$124.01|$124.01
"CPT® 88342"|"HB IP-PMS-2 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-PMS-2 STAIN, ADDITIONAL IP"|312.00|$384.00|$67.00|$307.20|$269.00|$153.60|$135.17|$86.02||$153.60|$307.20|$218.11||$117.12|$145.92|$235.39|$100.00|||$72.00|$67.00|$96.90|$141.05|$181.35|$201.50|$144.00|$141.58|$97.38|$97.38
"CPT® 88342"|"HB IP-PR STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-PR STAIN, ADDITIONAL IP"|312.00|$575.00|$67.00|$460.00|$402.00|$230.00|$202.40|$128.80||$230.00|$460.00|$326.60||$175.38|$218.50|$352.48|$100.00|||$72.00|$67.00|$96.90|$211.23|$271.58|$301.75|$215.63|$212.00|$145.82|$145.82
"CPT® 88360"|"HB IP-PR, QUANTITATIVE STAIN"|312.00|$333.00|$67.00|$266.40|$233.00|$133.20|$117.22|$74.59||$133.20|$266.40|$189.14||$101.57|$126.54|$204.13|$100.00|||$72.00|$67.00|$101.88|$122.33|$157.28|$174.75|$124.88|$122.78|$84.45|$84.45
"CPT® 88342"|"HB IP-PROLACTIN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-PROLACTIN STAIN, ADDITIONAL IP"|312.00|$375.00|$67.00|$300.00|$262.00|$150.00|$132.00|$84.00||$150.00|$300.00|$213.00||$114.38|$142.50|$229.88|$100.00|||$72.00|$67.00|$96.90|$137.73|$177.08|$196.75|$140.63|$138.26|$95.10|$95.10
"CPT® 88342"|"HB IP-PROSTATE-SPECIFIC ACID PHOSPHATASE, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-PROSTATE-SPECIFIC ACID PHOSPHATASE, ADDITIONAL IP"|312.00|$450.00|$67.00|$360.00|$315.00|$180.00|$158.40|$100.80||$180.00|$360.00|$255.60||$137.25|$171.00|$275.85|$100.00|||$72.00|$67.00|$96.90|$165.38|$212.63|$236.25|$168.75|$165.92|$114.12|$114.12
"CPT® 88342"|"HB IP-PROSTATE-SPECIFIC ANTIGEN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-PROSTATE-SPECIFIC ANTIGEN STAIN, ADDITIONAL IP"|312.00|$373.00|$67.00|$298.40|$261.00|$149.20|$131.30|$83.55||$149.20|$298.40|$211.86||$113.77|$141.74|$228.65|$100.00|||$72.00|$67.00|$96.90|$137.03|$176.18|$195.75|$139.88|$137.53|$94.59|$94.59
"CPT® 88342"|"HB IP-PROSTATE-SPECIFIC MEMBRANE ANTIGEN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-PROSTATE-SPECIFIC MEMBRANE ANTIGEN STAIN, ADDITIONAL IP"|312.00|$475.00|$67.00|$380.00|$332.00|$190.00|$167.20|$106.40||$190.00|$380.00|$269.80||$144.88|$180.50|$291.18|$100.00|||$72.00|$67.00|$96.90|$174.48|$224.33|$249.25|$178.13|$175.13|$120.46|$120.46
"CPT® 88342"|"HB IP-S100 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-S100 STAIN, ADDITIONAL IP"|312.00|$533.00|$67.00|$426.40|$373.00|$213.20|$187.62|$119.39||$213.20|$426.40|$302.74||$162.57|$202.54|$326.73|$100.00|||$72.00|$67.00|$96.90|$195.83|$251.78|$279.75|$199.88|$196.52|$135.17|$135.17
"CPT® 88342"|"HB IP-S100P STAIN, 1ST IP"|312.00|$420.00|$67.00|$336.00|$294.00|$168.00|$147.84|$94.08||$168.00|$336.00|$238.56||$128.10|$159.60|$257.46|$100.00|||$72.00|$67.00|$109.68|$154.35|$198.45|$220.50|$157.50|$154.85|$106.51|$106.51
"CPT® 88341"|"HB IP-S100P STAIN, ADDITIONAL IP"|312.00|$420.00|$67.00|$336.00|$294.00|$168.00|$147.84|$94.08||$168.00|$336.00|$238.56||$128.10|$159.60|$257.46|$100.00|||$72.00|$67.00|$96.90|$154.35|$198.45|$220.50|$157.50|$154.85|$106.51|$106.51
"CPT® 88342"|"HB IP-SMOOTH MUSCLE MYOSIN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-SMOOTH MUSCLE MYOSIN STAIN, ADDITIONAL IP"|312.00|$384.00|$67.00|$307.20|$269.00|$153.60|$135.17|$86.02||$153.60|$307.20|$218.11||$117.12|$145.92|$235.39|$100.00|||$72.00|$67.00|$96.90|$141.05|$181.35|$201.50|$144.00|$141.58|$97.38|$97.38
"CPT® 88342"|"HB IP-SV-40 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-SV-40 STAIN, ADDITIONAL IP"|312.00|$436.00|$67.00|$348.80|$305.00|$174.40|$153.47|$97.66||$174.40|$348.80|$247.65||$132.98|$165.68|$267.27|$100.00|||$72.00|$67.00|$96.90|$160.30|$206.10|$229.00|$163.50|$160.75|$110.57|$110.57
"CPT® 88342"|"HB IP-SYNAPTOPHYSIN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-SYNAPTOPHYSIN STAIN, ADDITIONAL IP"|312.00|$441.00|$67.00|$352.80|$309.00|$176.40|$155.23|$98.78||$176.40|$352.80|$250.49||$134.51|$167.58|$270.33|$100.00|||$72.00|$67.00|$96.90|$162.05|$208.35|$231.50|$165.38|$162.60|$111.84|$111.84
"CPT® 88342"|"HB IP-TCL-1 STAIN, 1ST IP"|312.00|$481.00|$67.00|$384.80|$337.00|$192.40|$169.31|$107.74||$192.40|$384.80|$273.21||$146.71|$182.78|$294.85|$100.00|||$72.00|$67.00|$109.68|$176.75|$227.25|$252.50|$180.38|$177.34|$121.98|$121.98
"CPT® 88341"|"HB IP-TCL-1 STAIN, ADDITIONAL IP"|312.00|$481.00|$67.00|$384.80|$337.00|$192.40|$169.31|$107.74||$192.40|$384.80|$273.21||$146.71|$182.78|$294.85|$100.00|||$72.00|$67.00|$96.90|$176.75|$227.25|$252.50|$180.38|$177.34|$121.98|$121.98
"CPT® 88342"|"HB IP-TERMINAL DEOXYNUCLEOTIDYL TRANSFERASE-1 STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-TERMINAL DEOXYNUCLEOTIDYL TRANSFERASE-1 STAIN, ADDITIONAL IP"|312.00|$509.00|$67.00|$407.20|$356.00|$203.60|$179.17|$114.02||$203.60|$407.20|$289.11||$155.25|$193.42|$312.02|$100.00|||$72.00|$67.00|$96.90|$187.08|$240.53|$267.25|$190.88|$187.67|$129.08|$129.08
"CPT® 88342"|"HB IP-THROMBOMODULIN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.40|$282.86||$151.89|$189.24|$305.27|$100.00|||$72.00|$67.00|$109.68|$183.05|$235.35|$261.50|$186.75|$183.61|$126.29|$126.29
"CPT® 88341"|"HB IP-THROMBOMODULIN STAIN, ADDITIONAL IP"|312.00|$457.00|$67.00|$365.60|$320.00|$182.80|$160.86|$102.37||$182.80|$365.60|$259.58||$139.39|$173.66|$280.14|$100.00|||$72.00|$67.00|$96.90|$168.00|$216.00|$240.00|$171.38|$168.50|$115.90|$115.90
"CPT® 88342"|"HB IP-THYROGLOBULIN STAIN, 1ST IP"|312.00|$498.00|$67.00|$398.40|$349.00|$199.20|$175.30|$111.55||$199.20|$398.