"Billing Code"|"Service Description"|"Revenue Code"|"Gross Charge"|"De-identified Minimum Negotiated Charge"|"De-identified Maximum Negotiated Charge"|"Discounted Cash Price"|"Negotiated Charge: VWH AETNA _236_"|"Negotiated Charge: VWH AETNA NM EMPLOYEES _438_"|"Negotiated Charge: VWH CIGNA _239_"|"Negotiated Charge: VWH CIGNA STATE OF ILLINOIS _242_"|"Negotiated Charge: VWH HUMANA _247_"|"Negotiated Charge: VWH AETNA PERSONAL CARE _257_"|"Negotiated Charge: VWH UHC CORE _368_"|"Negotiated Charge: VWH UHC HMO/PPO _534_"|"Negotiated Charge: Health Alliance"|"Negotiated Charge: BCBS PPO"|"Negotiated Charge: BCBS HMO"|"Negotiated Charge: BCBS Blue Choice"
"MS-DRG V37 (FY 2020) 001"|"Heart Transplant Or Implant Of Heart Assist System With McC"|0.00|$1189002.00|$0.00|$0.00|$832301.00||||||||||||
"MS-DRG V37 (FY 2020) 003"|"Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures"|0.00|$791961.00|$144816.00|$673166.85|$554373.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$222474.00|$256379.85||$144816.00|$673166.85
"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|$477335.00|$128653.50|$533190.06|$334134.00|$392561.18|$236603.16|$481204.02|$366568.16|$432550.45|$533190.06|$244800.00|$264000.00|$160137.00||$128653.50|$405734.75
"MS-DRG V37 (FY 2020) 005"|"Liver Transplant With McC Or Intestinal Transplant"|0.00|$405433.00|$0.00|$0.00|$283803.00||||||||||||
"MS-DRG V37 (FY 2020) 006"|"Liver Transplant Without McC"|0.00|$543331.00|$0.00|$0.00|$380332.00||||||||||||
"MS-DRG V37 (FY 2020) 007"|"Lung Transplant"|0.00|$711905.00|$0.00|$0.00|$498334.00||||||||||||
"MS-DRG V37 (FY 2020) 008"|"Simultaneous Pancreas And Kidney Transplant"|0.00|$491431.00|$0.00|$0.00|$344002.00||||||||||||
"MS-DRG V37 (FY 2020) 011"|"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC"|0.00|$268025.00|$67721.40|$227821.25|$187618.00|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$90436.19|$67721.40||$70468.50|$227821.25
"MS-DRG V37 (FY 2020) 012"|"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc"|0.00|$218514.00|$51730.65|$185736.90|$152960.00|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$147717.45|$51730.65||$53659.50|$185736.90
"MS-DRG V37 (FY 2020) 013"|"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/McC"|0.00|$86078.00|$30600.00|$73166.30|$60255.00|$64475.85|$30844.06|$62730.65|$47786.51|$56388.08|$69507.62|$30600.00|$33000.00|$36726.75||$38790.00|$73166.30
"MS-DRG V37 (FY 2020) 014"|"Allogeneic Bone Marrow Transplant"|0.00|$293441.00|$23666.62|$249424.85|$205409.00|$66666.50|$23666.62|$48133.20|$36666.59|$43266.57|$53333.21|$66666.50|$66666.50|$172513.80||$155806.50|$249424.85
"MS-DRG V37 (FY 2020) 016"|"Autologous Bone Marrow Transplant With Cc/McC"|0.00|$145334.00|$24600.36|$123533.90|$101734.00|$69296.74|$24600.36|$50032.24|$38113.20|$44973.55|$55437.38|$56100.00|$60500.00|$90803.70||$110551.50|$123533.90
"MS-DRG V37 (FY 2020) 020"|"Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC"|0.00|$531421.00|$82105.50|$451707.85|$371995.00|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$163094.11|$139321.35||$82105.50|$451707.85
"MS-DRG V37 (FY 2020) 021"|"Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc"|0.00|$301364.00|$0.00|$0.00|$210955.00||||||||||||
"MS-DRG V37 (FY 2020) 022"|"Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/McC"|0.00|$351515.00|$0.00|$0.00|$246060.00||||||||||||
"MS-DRG V37 (FY 2020) 023"|"Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With McC Or Chemotherapy Implant Or Epilepsy With Neurostimulator"|0.00|$271844.00|$45901.50|$231067.40|$190291.00|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$111802.19|$76441.05||$45901.50|$231067.40
"MS-DRG V37 (FY 2020) 024"|"Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without McC"|0.00|$236071.00|$17693.63|$200660.35|$165250.00|$141352.19|$85712.97|$177163.43|$134619.17|$159805.88|$194611.85|$17693.63|$19052.86|$53088.75||$26506.50|$200660.35
"MS-DRG V37 (FY 2020) 025"|"Craniotomy And Endovascular Intracranial Procedures With McC"|0.00|$213675.00|$20400.00|$181623.75|$149572.00|$124248.84|$74886.87|$152305.01|$116021.83|$136905.75|$168759.04|$20400.00|$22000.00|$60637.95||$42669.00|$181623.75
"MS-DRG V37 (FY 2020) 026"|"Craniotomy And Endovascular Intracranial Procedures With Cc"|0.00|$174434.00|$10200.00|$148268.90|$122104.00|$72474.60|$58721.08|$119427.05|$90976.23|$107351.97|$132329.06|$10200.00|$11000.00|$41283.00||$24567.00|$148268.90
"MS-DRG V37 (FY 2020) 027"|"Craniotomy And Endovascular Intracranial Procedures Without Cc/McC"|0.00|$169882.00|$10200.00|$144399.70|$118917.00|$59529.66|$60929.97|$123919.45|$94398.50|$111390.25|$137306.88|$10200.00|$11000.00|$33909.30||$12283.50|$144399.70
"MS-DRG V37 (FY 2020) 028"|"Spinal Procedures With McC"|0.00|$245743.00|$10200.00|$208881.55|$172020.00|$68942.51|$24474.62|$49776.50|$37918.40|$44743.73|$55154.01|$10200.00|$11000.00|$78570.00||$60124.50|$208881.55
"MS-DRG V37 (FY 2020) 029"|"Spinal Procedures With Cc Or Spinal Neurostimulators"|0.00|$152016.00|$29092.50|$160193.91|$106411.00|$117942.76|$71086.09|$144575.00|$110133.31|$129957.29|$160193.91|$56100.00|$60500.00|$44482.50||$29092.50|$129213.60
"MS-DRG V37 (FY 2020) 030"|"Spinal Procedures Without Cc/McC"|0.00|$81225.00|$15516.00|$69041.25|$56858.00|$48441.15|$17196.63|$34974.51|$26642.65|$31438.33|$38752.93|$37864.45|$40836.76|$31820.85||$15516.00|$69041.25
"MS-DRG V37 (FY 2020) 031"|"Ventricular Shunt Procedures With McC"|0.00|$140072.00|$30600.00|$119061.20|$98050.00|$103476.57|$49725.56|$101131.84|$77039.50|$90906.60|$112057.43|$30600.00|$33000.00|$58942.35||$46548.00|$119061.20
"MS-DRG V37 (FY 2020) 032"|"Ventricular Shunt Procedures With Cc"|0.00|$112828.00|$10200.00|$102129.36|$78980.00|$52429.14|$45319.88|$92171.73|$70213.95|$82852.45|$102129.36|$10200.00|$11000.00|$29864.70||$19395.00|$95903.80
"MS-DRG V37 (FY 2020) 033"|"Ventricular Shunt Procedures Without Cc/McC"|0.00|$98944.00|$5100.00|$84102.40|$69261.00|$40780.59|$31453.02|$63969.21|$48730.03|$57501.42|$70880.01|$5100.00|$5500.00|$23229.45||$10990.50|$84102.40
"MS-DRG V37 (FY 2020) 034"|"Carotid Artery Stent Procedures With McC"|0.00|$134271.00|$20400.00|$129979.68|$93990.00|$94198.02|$57678.56|$117306.67|$89361.03|$105446.07|$129979.68|$20400.00|$22000.00|$53657.10||$30385.50|$114130.35
"MS-DRG V37 (FY 2020) 035"|"Carotid Artery Stent Procedures With Cc"|0.00|$134642.00|$13576.50|$114445.70|$94249.00|$50447.55|$17908.92|$36423.12|$27746.15|$32740.47|$40358.04|$37543.17|$40490.26|$31550.85||$13576.50|$114445.70
"MS-DRG V37 (FY 2020) 036"|"Carotid Artery Stent Procedures Without Cc/McC"|0.00|$128939.00|$0.00|$0.00|$90257.00||||||||||||
"MS-DRG V37 (FY 2020) 037"|"Extracranial Procedures With McC"|0.00|$182724.00|$0.00|$0.00|$127907.00||||||||||||
"MS-DRG V37 (FY 2020) 038"|"Extracranial Procedures With Cc"|0.00|$113341.00|$13576.50|$96339.85|$79339.00|$39278.01|$19971.94|$40618.93|$30942.41|$36512.02|$45007.13|$26622.87|$28712.72|$22373.55||$13576.50|$96339.85
"MS-DRG V37 (FY 2020) 039"|"Extracranial Procedures Without Cc/McC"|0.00|$76473.00|$5100.00|$65002.05|$53531.00|$26994.30|$25768.49|$52408.03|$39923.01|$47109.18|$58069.86|$5100.00|$5500.00|$15376.50||$7758.00|$65002.05
"MS-DRG V37 (FY 2020) 040"|"Peripheral, Cranial Nerve And Other Nervous System Procedures With McC"|0.00|$186486.00|$43555.35|$158513.10|$130540.00|$93799.86|$43555.35|$88582.89|$67480.05|$79626.46|$98152.81|$122691.01|$122691.01|$53430.30||$45901.50|$158513.10
"MS-DRG V37 (FY 2020) 041"|"Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator"|0.00|$121118.00|$25213.50|$102950.30|$84783.00|$55713.96|$30478.10|$61986.34|$47219.53|$55719.03|$68682.93|$25500.00|$27500.00|$31739.85||$25213.50|$102950.30
"MS-DRG V37 (FY 2020) 042"|"Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/McC"|0.00|$89215.00|$15300.00|$124323.08|$62450.00|$44672.13|$55168.37|$112201.59|$85472.11|$100857.13|$124323.08|$15300.00|$16500.00|$25446.15||$15516.00|$75832.75
"MS-DRG V37 (FY 2020) 052"|"Spinal Disorders And Injuries With Cc/McC"|0.00|$44031.00|$20400.00|$60254.39|$30822.00|$43728.87|$26737.94|$54379.60|$41424.90|$48881.38|$60254.39|$20400.00|$22000.00|$24908.85||$27153.00|$37426.35
"MS-DRG V37 (FY 2020) 053"|"Spinal Disorders And Injuries Without Cc/McC"|0.00|$54826.00|$14561.06|$46602.10|$38378.00|$26925.57|$19433.95|$39524.82|$30108.93|$35528.54|$43794.79|$14561.06|$14561.06|$15337.35||$18102.00|$46602.10
"MS-DRG V37 (FY 2020) 054"|"Nervous System Neoplasms With McC"|0.00|$55914.00|$15738.25|$47526.90|$39140.00|$32369.46|$15738.25|$32008.43|$24383.15|$28772.13|$35466.40|$21940.21|$23662.49|$18438.30||$24567.00|$47526.90
"MS-DRG V37 (FY 2020) 055"|"Nervous System Neoplasms Without McC"|0.00|$50847.00|$14085.90|$47603.43|$35593.00|$24728.58|$21124.04|$42962.10|$32727.38|$38618.28|$47603.43|$33522.36|$36153.82|$14085.90||$19395.00|$43219.95
"MS-DRG V37 (FY 2020) 056"|"Degenerative Nervous System Disorders With McC"|0.00|$59398.00|$14192.93|$50488.30|$41579.00|$39980.00|$14192.93|$28865.56|$21989.00|$25947.03|$31984.00|$24332.00|$24332.00|$29528.55||$35557.50|$50488.30
"MS-DRG V37 (FY 2020) 057"|"Degenerative Nervous System Disorders Without McC"|0.00|$25644.00|$14435.57|$32530.80|$17951.00|$29961.54|$14435.57|$29359.04|$22364.93|$26390.62|$32530.80|$29546.00|$29546.00|$17066.70||$25213.50|$21797.40
"MS-DRG V37 (FY 2020) 058"|"Multiple Sclerosis And Cerebellar Ataxia With McC"|0.00|$61629.00|$17292.09|$52384.65|$43140.00|$41159.79|$17292.09|$35168.66|$26790.53|$31612.82|$38968.00|$48710.00|$48710.00|$23445.45||$31678.50|$52384.65
"MS-DRG V37 (FY 2020) 059"|"Multiple Sclerosis And Cerebellar Ataxia With Cc"|0.00|$48502.00|$13797.88|$41226.70|$33951.00|$26698.05|$13797.88|$28062.15|$21377.00|$25224.84|$31093.80|$14724.50|$14724.50|$15207.75||$23274.00|$41226.70
"MS-DRG V37 (FY 2020) 060"|"Multiple Sclerosis And Cerebellar Ataxia Without Cc/McC"|0.00|$42508.00|$10441.30|$36131.80|$29756.00|$21699.72|$10441.30|$21235.48|$16176.60|$19088.39|$23529.60|$14708.20|$15862.77|$12360.60||$19395.00|$36131.80
"MS-DRG V37 (FY 2020) 061"|"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With McC"|0.00|$103440.00|$0.00|$0.00|$72408.00||||||||||||
"MS-DRG V37 (FY 2020) 062"|"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc"|0.00|$94756.00|$5100.00|$80542.60|$66329.00|$47096.64|$32229.05|$65547.51|$49932.31|$58920.11|$72628.80|$5100.00|$5500.00|$26827.20||$20688.00|$80542.60
"MS-DRG V37 (FY 2020) 063"|"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/McC"|0.00|$86794.00|$0.00|$0.00|$60756.00||||||||||||
"MS-DRG V37 (FY 2020) 064"|"Intracranial Hemorrhage Or Cerebral Infarction With McC"|0.00|$16704.00|$14198.40|$59237.01|$11693.00|$45338.10|$26286.45|$53461.40|$40725.45|$48056.01|$59237.01|$40800.00|$44000.00|$25825.50||$28446.00|$14198.40
"MS-DRG V37 (FY 2020) 065"|"Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours"|0.00|$36423.00|$13745.70|$41491.42|$25496.00|$24131.34|$18411.87|$37445.99|$28525.36|$33659.92|$41491.42|$16356.36|$17640.32|$13745.70||$18748.50|$30959.55
"MS-DRG V37 (FY 2020) 066"|"Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC"|0.00|$5033.00|$4278.05|$38594.03|$3523.00|$16848.33|$17126.13|$34831.10|$26533.40|$31309.40|$38594.03|$11419.90|$12316.34|$9597.15||$12930.00|$4278.05
"MS-DRG V37 (FY 2020) 067"|"Nonspecific Cva And Precerebral Occlusion Without Infarction With McC"|0.00|$51686.00|$0.00|$0.00|$36180.00||||||||||||
"MS-DRG V37 (FY 2020) 068"|"Nonspecific Cva And Precerebral Occlusion Without Infarction Without McC"|0.00|$47291.00|$9409.94|$40197.35|$33104.00|$21059.82|$9409.94|$19137.88|$14578.71|$17202.89|$21205.40|$14274.47|$15395.00|$11996.10||$13576.50|$40197.35
"MS-DRG V37 (FY 2020) 069"|"Transient Ischemia Without Thrombolytic"|0.00|$41215.00|$10612.35|$35032.75|$28850.00|$20857.88|$14153.79|$28785.99|$22407.00|$25849.93|$31895.80|$14019.19|$15103.00|$10612.35||$12930.00|$35032.75
"MS-DRG V37 (FY 2020) 070"|"Nonspecific Cerebrovascular Disorders With McC"|0.00|$44527.00|$18276.39|$41186.20|$31169.00|$39730.68|$18276.39|$37170.55|$28315.51|$33412.30|$41186.20|$26929.69|$29043.63|$22631.40||$29092.50|$37847.95
"MS-DRG V37 (FY 2020) 071"|"Nonspecific Cerebrovascular Disorders With Cc"|0.00|$44893.00|$13035.69|$38159.05|$31425.00|$19628.34|$13035.69|$26511.84|$20195.99|$23831.30|$29375.99|$13304.20|$14348.57|$13645.80||$21334.50|$38159.05
"MS-DRG V37 (FY 2020) 072"|"Nonspecific Cerebrovascular Disorders Without Cc/McC"|0.00|$38418.00|$4865.94|$32655.30|$26893.00|$13706.75|$4865.94|$9896.28|$7538.72|$8895.69|$10965.40|$12388.56|$13361.04|$10411.20||$14869.50|$32655.30
"MS-DRG V37 (FY 2020) 073"|"Cranial And Peripheral Nerve Disorders With McC"|0.00|$52593.00|$15300.00|$55559.80|$36815.00|$34350.78|$24654.71|$50142.71|$38197.36|$45072.89|$55559.80|$15300.00|$16500.00|$19566.90||$23920.50|$44704.05
"MS-DRG V37 (FY 2020) 074"|"Cranial And Peripheral Nerve Disorders Without McC"|0.00|$12820.00|$10897.00|$32858.24|$8974.00|$24136.08|$11664.73|$23723.65|$18072.04|$21325.00|$26286.58|$32719.16|$32858.24|$13748.40||$18748.50|$10897.00
"MS-DRG V37 (FY 2020) 075"|"Viral Meningitis With Cc/McC"|0.00|$45525.00|$20400.00|$54661.42|$31868.00|$38536.20|$24256.03|$49331.95|$37579.77|$44344.09|$54661.42|$20400.00|$22000.00|$21951.00||$30385.50|$38696.25
"MS-DRG V37 (FY 2020) 076"|"Viral Meningitis Without Cc/McC"|0.00|$29145.00|$13242.15|$35233.60|$20402.00|$27650.32|$15634.94|$31798.34|$25169.29|$28532.80|$35233.60|$18507.47|$19927.32|$13242.15||$19395.00|$24773.25
"MS-DRG V37 (FY 2020) 077"|"Hypertensive Encephalopathy With McC"|0.00|$41875.00|$16678.92|$37586.21|$29312.00|$36306.03|$16678.92|$33921.55|$25840.57|$30491.82|$37586.21|$24608.44|$26540.17|$20680.65||$25860.00|$35593.75
"MS-DRG V37 (FY 2020) 078"|"Hypertensive Encephalopathy With Cc"|0.00|$44294.00|$0.00|$0.00|$31006.00||||||||||||
"MS-DRG V37 (FY 2020) 079"|"Hypertensive Encephalopathy Without Cc/McC"|0.00|$39400.00|$0.00|$0.00|$27580.00||||||||||||
"MS-DRG V37 (FY 2020) 080"|"Nontraumatic Stupor And Coma With McC"|0.00|$51361.00|$0.00|$0.00|$35953.00||||||||||||
"MS-DRG V37 (FY 2020) 081"|"Nontraumatic Stupor And Coma Without McC"|0.00|$24342.00|$6591.31|$20690.70|$17039.00|$18296.40|$6591.31|$13405.37|$10211.85|$12049.99|$14853.60|$12401.41|$13374.90|$10422.00||$16162.50|$20690.70
"MS-DRG V37 (FY 2020) 082"|"Traumatic Stupor And Coma >1 Hour With McC"|0.00|$67437.00|$20456.23|$57623.04|$47206.00|$53516.97|$20456.23|$41603.83|$31692.67|$37397.37|$46098.45|$57623.04|$57623.04|$30484.35||$27153.00|$57321.45
"MS-DRG V37 (FY 2020) 083"|"Traumatic Stupor And Coma >1 Hour With Cc"|0.00|$21303.00|$11797.92|$31798.29|$14912.00|$31798.29|$11797.92|$23994.60|$18278.43|$21568.54|$26586.80|$21553.07|$23244.95|$18112.95||$21334.50|$18107.55
"MS-DRG V37 (FY 2020) 084"|"Traumatic Stupor And Coma >1 Hour Without Cc/McC"|0.00|$34596.00|$10771.09|$29406.60|$24217.00|$21429.54|$10771.09|$21906.21|$16687.58|$19691.34|$24272.83|$14525.07|$15665.27|$12206.70||$13576.50|$29406.60
"MS-DRG V37 (FY 2020) 085"|"Traumatic Stupor And Coma <1 Hour With McC"|0.00|$89632.00|$21166.48|$76187.20|$62742.00|$54661.68|$21166.48|$43048.33|$32793.09|$38695.81|$47699.02|$59623.76|$59623.76|$31136.40||$29739.00|$76187.20
"MS-DRG V37 (FY 2020) 086"|"Traumatic Stupor And Coma <1 Hour With Cc"|0.00|$45824.00|$17184.15|$64433.80|$32077.00|$30167.73|$28592.53|$58151.49|$44298.25|$52271.93|$64433.80|$30600.00|$33000.00|$17184.15||$19395.00|$38950.40
"MS-DRG V37 (FY 2020) 087"|"Traumatic Stupor And Coma <1 Hour Without Cc/McC"|0.00|$33292.00|$11183.68|$28298.20|$23304.00|$20443.62|$11183.68|$22745.37|$17326.80|$20445.61|$25202.62|$13856.81|$14944.55|$11645.10||$12930.00|$28298.20
"MS-DRG V37 (FY 2020) 088"|"Concussion With McC"|0.00|$58505.00|$0.00|$0.00|$40954.00||||||||||||
"MS-DRG V37 (FY 2020) 089"|"Concussion With Cc"|0.00|$49941.00|$14326.20|$67579.99|$34959.00|$25150.44|$29988.65|$60990.94|$46461.27|$54824.31|$67579.99|$40800.00|$44000.00|$14326.20||$17455.50|$42449.85
"MS-DRG V37 (FY 2020) 090"|"Concussion Without Cc/McC"|0.00|$31514.00|$0.00|$0.00|$22060.00||||||||||||
"MS-DRG V37 (FY 2020) 091"|"Other Disorders Of Nervous System With McC"|0.00|$60638.00|$18418.38|$51542.30|$42447.00|$39153.38|$18418.38|$37551.92|$28590.96|$33779.80|$41533.60|$26594.31|$28680.65|$22260.15||$27153.00|$51542.30
"MS-DRG V37 (FY 2020) 092"|"Other Disorders Of Nervous System With Cc"|0.00|$21302.00|$13312.35|$43101.41|$14911.00|$23370.57|$19126.28|$38899.03|$29632.23|$34966.03|$43101.41|$31681.42|$34168.36|$13312.35||$19395.00|$18106.70
"MS-DRG V37 (FY 2020) 093"|"Other Disorders Of Nervous System Without Cc/McC"|0.00|$33038.00|$10547.55|$28082.30|$23127.00|$18516.81|$12202.33|$24817.14|$18905.03|$22307.93|$27498.22|$12550.80|$13536.02|$10547.55||$14223.00|$28082.30
"MS-DRG V37 (FY 2020) 094"|"Bacterial And Tuberculous Infections Of Nervous System With McC"|0.00|$108516.00|$0.00|$0.00|$75961.00||||||||||||
"MS-DRG V37 (FY 2020) 095"|"Bacterial And Tuberculous Infections Of Nervous System With Cc"|0.00|$79943.00|$15300.00|$67951.55|$55960.00|$59439.60|$22415.80|$45589.30|$34728.68|$40979.85|$50514.42|$15300.00|$16500.00|$33858.00||$37497.00|$67951.55
"MS-DRG V37 (FY 2020) 096"|"Bacterial And Tuberculous Infections Of Nervous System Without Cc/McC"|0.00|$78348.00|$25500.00|$71461.70|$54844.00|$55256.55|$31711.12|$64494.17|$49129.92|$57973.32|$71461.70|$25500.00|$27500.00|$31475.25||$27153.00|$66595.80
"MS-DRG V37 (FY 2020) 097"|"Non-Bacterial Infection Of Nervous System Except Viral Meningitis With McC"|0.00|$151989.00|$50660.10|$151775.25|$106392.00|$88936.62|$53880.28|$109581.72|$83476.42|$98502.12|$121420.18|$151775.25|$151775.25|$50660.10||$56245.50|$129190.65
"MS-DRG V37 (FY 2020) 098"|"Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc"|0.00|$70115.00|$20400.00|$78074.01|$49080.00|$50028.33|$34645.37|$70461.77|$53675.89|$63337.54|$78074.01|$20400.00|$22000.00|$28497.15||$36204.00|$59597.75
"MS-DRG V37 (FY 2020) 099"|"Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/McC"|0.00|$61005.00|$18863.55|$51854.25|$42704.00|$33116.01|$21016.48|$42743.28|$32560.66|$38421.55|$47360.96|$22446.23|$24208.22|$18863.55||$25213.50|$51854.25
"MS-DRG V37 (FY 2020) 100"|"Seizures With McC"|0.00|$62130.00|$19943.48|$52810.50|$43491.00|$44404.32|$19943.48|$40561.06|$30898.32|$36460.02|$44943.01|$30097.51|$32460.12|$25293.60||$27799.50|$52810.50
"MS-DRG V37 (FY 2020) 101"|"Seizures Without McC"|0.00|$41677.00|$11974.50|$35425.45|$29174.00|$21021.90|$14091.55|$28659.43|$21831.97|$25761.72|$31755.59|$14248.77|$15367.28|$11974.50||$16809.00|$35425.45
"MS-DRG V37 (FY 2020) 102"|"Headaches With McC"|0.00|$58949.00|$15547.95|$50106.65|$41264.00|$27295.29|$20958.02|$42624.37|$32470.11|$38314.71|$47229.24|$18500.91|$19953.20|$15547.95||$19395.00|$50106.65
"MS-DRG V37 (FY 2020) 103"|"Headaches Without McC"|0.00|$39599.00|$11180.70|$33659.15|$27719.00|$19645.60|$13908.64|$28310.22|$21562.37|$25453.71|$31350.80|$13329.48|$14375.55|$11180.70||$14869.50|$33659.15
"MS-DRG V37 (FY 2020) 113"|"Orbital Procedures With Cc/McC"|0.00|$138990.00|$0.00|$0.00|$97293.00||||||||||||
"MS-DRG V37 (FY 2020) 114"|"Orbital Procedures Without Cc/McC"|0.00|$209185.00|$14869.50|$177807.25|$146430.00|$123210.11|$74260.77|$151031.73|$115051.88|$135761.26|$167348.19|$15300.00|$16500.00|$19514.25||$14869.50|$177807.25
"MS-DRG V37 (FY 2020) 115"|"Extraocular Procedures Except Orbit"|0.00|$70793.00|$14272.41|$60174.05|$49555.00|$34443.21|$14272.41|$29027.23|$22112.19|$26092.33|$32163.13|$23345.81|$25178.42|$19619.55||$22627.50|$60174.05
"MS-DRG V37 (FY 2020) 116"|"Intraocular Procedures With Cc/McC"|0.00|$141704.00|$25342.20|$120448.40|$99193.00|$44489.64|$50374.34|$102451.37|$78044.69|$92092.75|$113519.52|$61200.00|$66000.00|$25342.20||$26506.50|$120448.40
"MS-DRG V37 (FY 2020) 117"|"Intraocular Procedures Without Cc/McC"|0.00|$46853.00|$13576.50|$39825.05|$32797.00|$24621.93|$16702.59|$33969.69|$25877.22|$30535.09|$37639.56|$16688.89|$17998.94|$14025.15||$13576.50|$39825.05
"MS-DRG V37 (FY 2020) 121"|"Acute Major Eye Infections With Cc/McC"|0.00|$33283.00|$11815.56|$28290.55|$23298.00|$28172.19|$11815.56|$24030.50|$18305.78|$21600.83|$26626.62|$19095.28|$20594.23|$16047.45||$27153.00|$28290.55
"MS-DRG V37 (FY 2020) 123"|"Neurological Eye Disorders"|0.00|$45182.00|$10331.55|$43334.45|$31627.00|$18137.61|$19229.65|$39109.30|$29792.43|$35155.07|$43334.45|$12293.78|$13258.82|$10331.55||$12930.00|$38404.70
"MS-DRG V37 (FY 2020) 124"|"Other Disorders Of The Eye With McC"|0.00|$35479.00|$0.00|$0.00|$24835.00||||||||||||
"MS-DRG V37 (FY 2020) 125"|"Other Disorders Of The Eye Without McC"|0.00|$34098.00|$8840.85|$28983.30|$23869.00|$19798.98|$8840.85|$17980.53|$13697.09|$16162.54|$19923.00|$13419.87|$14473.31|$11277.90||$16162.50|$28983.30
"MS-DRG V37 (FY 2020) 129"|"Major Head & Neck Procedures W Cc/McC Or Major Device"|0.00|$190272.00|$25500.00|$159810.80|$133190.00|$117660.70|$70916.06|$144229.26|$109869.96|$129646.52|$159810.80|$25500.00|$27500.00||||
"MS-DRG V37 (FY 2020) 130"|"Major Head & Neck Procedures W/O Cc/McC"|0.00|$122970.00|$0.00|$0.00|$86079.00||||||||||||
"MS-DRG V37 (FY 2020) 131"|"Cranial/Facial Procedures W Cc/McC"|0.00|$160125.00|$0.00|$0.00|$112088.00||||||||||||
"MS-DRG V37 (FY 2020) 132"|"Cranial/Facial Procedures W/O Cc/McC"|0.00|$111648.00|$5100.00|$82296.20|$78154.00|$17578.90|$36518.97|$74272.30|$56578.64|$66762.81|$82296.20|$5100.00|$5500.00||||
"MS-DRG V37 (FY 2020) 133"|"Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/McC"|0.00|$93272.00|$21122.96|$47600.98|$65290.00|$31630.10|$21122.96|$42959.90|$32725.67|$38616.30|$47600.98|$31630.10|$31630.10||||
"MS-DRG V37 (FY 2020) 134"|"Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/McC"|0.00|$55946.00|$11512.31|$34943.27|$39162.00|$11512.31|$15506.11|$31536.31|$24023.53|$28347.74|$34943.27|$11512.31|$11512.31||||
"MS-DRG V37 (FY 2020) 135"|"Sinus And Mastoid Procedures With Cc/McC"|0.00|$97225.00|$0.00|$0.00|$68058.00||||||||||||
"MS-DRG V37 (FY 2020) 136"|"Sinus And Mastoid Procedures Without Cc/McC"|0.00|$56986.00|$0.00|$0.00|$39890.00||||||||||||
"MS-DRG V37 (FY 2020) 137"|"Mouth Procedures With Cc/McC"|0.00|$52514.00|$0.00|$0.00|$36760.00||||||||||||
"MS-DRG V37 (FY 2020) 138"|"Mouth Procedures Without Cc/McC"|0.00|$47313.00|$6716.89|$40216.05|$33119.00|$18920.75|$6716.89|$13660.78|$10406.41|$12279.58|$15136.60|$13543.56|$14606.71|$11381.85||$12930.00|$40216.05
"MS-DRG V37 (FY 2020) 139"|"Salivary Gland Procedures"|0.00|$85263.00|$0.00|$0.00|$59684.00||||||||||||
"MS-DRG V37 (FY 2020) 146"|"Ear, Nose, Mouth And Throat Malignancy With McC"|0.00|$52762.00|$13553.22|$44847.70|$36933.00|$38178.02|$13553.22|$27564.54|$20997.91|$24777.52|$30542.43|$32659.72|$35223.46|$27446.85||$32325.00|$44847.70
"MS-DRG V37 (FY 2020) 147"|"Ear, Nose, Mouth And Throat Malignancy With Cc"|0.00|$55800.00|$10983.47|$47430.00|$39060.00|$30836.07|$10983.47|$22338.17|$17016.64|$20079.62|$24751.47|$20900.87|$22541.56|$17564.85||$21981.00|$47430.00
"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|$11498.00|$8940.43|$20147.40|$8049.00|$17431.35|$8940.43|$18183.05|$13851.34|$16344.59|$20147.40|$11815.07|$12742.54|$9929.25||$12930.00|$9773.30
"MS-DRG V37 (FY 2020) 150"|"Epistaxis With McC"|0.00|$29119.00|$0.00|$0.00|$20383.00||||||||||||
"MS-DRG V37 (FY 2020) 151"|"Epistaxis Without McC"|0.00|$35070.00|$9949.50|$29809.50|$24549.00|$17466.90|$12525.22|$25473.81|$19405.26|$22898.17|$28225.81|$23678.34|$25537.06|$9949.50||$13576.50|$29809.50
"MS-DRG V37 (FY 2020) 152"|"Otitis Media And Uri With McC"|0.00|$34125.00|$6902.64|$29006.25|$23888.00|$19444.00|$6902.64|$14038.57|$10694.20|$12619.15|$15555.20|$17299.32|$18657.29|$14538.15||$20041.50|$29006.25
"MS-DRG V37 (FY 2020) 153"|"Otitis Media And Uri Without McC"|0.00|$25354.00|$8564.83|$21550.90|$17748.00|$16841.22|$8564.83|$17419.16|$13269.44|$15657.94|$19301.00|$11415.08|$12311.15|$9593.10||$14869.50|$21550.90
"MS-DRG V37 (FY 2020) 154"|"Other Ear, Nose, Mouth And Throat Diagnoses With McC"|0.00|$40941.00|$15300.00|$49545.99|$28659.00|$36557.25|$21986.08|$44715.28|$34062.88|$40194.21|$49545.99|$15300.00|$16500.00|$20823.75||$25213.50|$34799.85
"MS-DRG V37 (FY 2020) 155"|"Other Ear, Nose, Mouth And Throat Diagnoses With Cc"|0.00|$36950.00|$12241.80|$38244.20|$25865.00|$21491.16|$16970.89|$34515.38|$26292.90|$31025.63|$38244.20|$14566.84|$15710.31|$12241.80||$18102.00|$31407.50
"MS-DRG V37 (FY 2020) 156"|"Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/McC"|0.00|$23086.00|$7201.48|$19623.10|$16160.00|$15585.12|$7201.48|$14646.35|$11157.23|$13165.52|$16228.67|$10563.69|$11392.92|$8877.60||$13576.50|$19623.10
"MS-DRG V37 (FY 2020) 157"|"Dental And Oral Diseases With McC"|0.00|$46635.00|$15534.03|$43757.75|$32644.00|$37265.88|$15534.03|$31593.11|$24066.77|$28398.77|$35006.20|$43757.75|$43757.75|$21227.40||$27799.50|$39639.75
"MS-DRG V37 (FY 2020) 158"|"Dental And Oral Diseases With Cc"|0.00|$25333.00|$9731.38|$23643.80|$17733.00|$23643.80|$9731.38|$19791.66|$15629.48|$17761.09|$21929.81|$15889.16|$17117.19|$12002.85||$17455.50|$21533.05
"MS-DRG V37 (FY 2020) 159"|"Dental And Oral Diseases Without Cc/McC"|0.00|$21394.00|$6077.00|$18184.90|$14976.00|$15542.46|$6077.00|$12359.37|$9415.05|$11109.77|$13694.60|$10534.77|$11361.74|$8853.30||$12930.00|$18184.90
"MS-DRG V37 (FY 2020) 163"|"Major Chest Procedures With McC"|0.00|$190604.00|$35700.00|$169425.26|$133423.00|$124739.33|$75182.45|$152906.26|$116479.87|$137446.24|$169425.26|$35700.00|$38500.00|$66974.85||$58831.50|$162013.40
"MS-DRG V37 (FY 2020) 164"|"Major Chest Procedures With Cc"|0.00|$147036.00|$28446.00|$137789.05|$102925.00|$62468.46|$61143.96|$124354.62|$94729.95|$111781.38|$137789.05|$71400.00|$77000.00|$35629.20||$28446.00|$124980.60
"MS-DRG V37 (FY 2020) 165"|"Major Chest Procedures Without Cc/McC"|0.00|$113762.00|$10200.00|$96697.70|$79633.00|$45233.82|$42619.71|$86680.02|$66030.49|$77915.98|$96044.34|$10200.00|$11000.00|$25833.60||$16809.00|$96697.70
"MS-DRG V37 (FY 2020) 166"|"Other Respiratory System O.R. Procedures With McC"|0.00|$128422.00|$25500.00|$109158.70|$89895.00|$89815.89|$41529.69|$84463.08|$64341.72|$75923.22|$93587.92|$25500.00|$27500.00|$51182.55||$51720.00|$109158.70
"MS-DRG V37 (FY 2020) 167"|"Other Respiratory System O.R. Procedures With Cc"|0.00|$102445.00|$21938.69|$87078.25|$71712.00|$44573.31|$21938.69|$45229.96|$34358.44|$40814.74|$49635.10|$31281.02|$33726.36|$25135.65||$23920.50|$87078.25
"MS-DRG V37 (FY 2020) 168"|"Other Respiratory System O.R. Procedures Without Cc/McC"|0.00|$83490.00|$5100.00|$70966.50|$58443.00|$32454.78|$25126.07|$51101.46|$38927.71|$45934.71|$56622.12|$5100.00|$5500.00|$18482.85||$13576.50|$70966.50
"MS-DRG V37 (FY 2020) 175"|"Pulmonary Embolism With McC Or Acute Cor Pulmonale"|0.00|$14775.00|$12558.75|$43725.35|$10342.00|$17758.30|$17758.30|$43725.35|$43725.35|$19925.76|$17758.30|$21770.00|$21770.00|$20846.70||$26506.50|$12558.75
"MS-DRG V37 (FY 2020) 176"|"Pulmonary Embolism Without McC"|0.00|$16109.00|$10529.93|$29389.64|$11276.00|$21670.79|$10529.93|$23470.54|$17669.87|$21440.12|$24962.20|$29291.35|$29389.64|$11970.45||$16809.00|$13692.65
"MS-DRG V37 (FY 2020) 177"|"Respiratory Infections And Inflammations With McC"|0.00|$37742.00|$14933.21|$42065.25|$26419.00|$42065.25|$14933.21|$30371.12|$23135.90|$27300.38|$33652.19|$42065.25|$42065.25|$24911.55||$34911.00|$32080.70
"MS-DRG V37 (FY 2020) 178"|"Respiratory Infections And Inflammations With Cc"|0.00|$52662.00|$15099.50|$44762.70|$36863.00|$28579.83|$15099.50|$30709.37|$23393.56|$27604.43|$34026.99|$19371.58|$20892.22|$16279.65||$25860.00|$44762.70
"MS-DRG V37 (FY 2020) 179"|"Respiratory Infections And Inflammations Without Cc/McC"|0.00|$29735.00|$11759.85|$39302.20|$20814.00|$20653.70|$17438.71|$35478.30|$27024.61|$31894.09|$39302.20|$14005.99|$15105.30|$11759.85||$19395.00|$25274.75
"MS-DRG V37 (FY 2020) 180"|"Respiratory Neoplasms With McC"|0.00|$58623.00|$20721.41|$49829.55|$41036.00|$41194.49|$20721.41|$42154.64|$32110.48|$37895.43|$46699.83|$27928.66|$30120.88|$23460.30||$31678.50|$49829.55
"MS-DRG V37 (FY 2020) 181"|"Respiratory Neoplasms With Cc"|0.00|$48353.00|$10814.76|$41100.05|$33847.00|$26565.33|$10814.76|$21995.03|$16755.21|$19771.14|$24371.22|$18006.14|$19419.59|$15132.15||$21334.50|$41100.05
"MS-DRG V37 (FY 2020) 182"|"Respiratory Neoplasms Without Cc/McC"|0.00|$33303.00|$1047.72|$28307.55|$23312.00|$3749.75|$1331.16|$2707.32|$2062.37|$2433.59|$2999.80|$1047.72|$1047.72|$10631.25||$14223.00|$28307.55
"MS-DRG V37 (FY 2020) 183"|"Major Chest Trauma With McC"|0.00|$54153.00|$0.00|$0.00|$37907.00||||||||||||
"MS-DRG V37 (FY 2020) 184"|"Major Chest Trauma With Cc"|0.00|$60096.00|$12797.43|$51081.60|$42067.00|$24642.41|$12797.43|$26038.85|$19833.91|$23409.05|$28843.02|$16709.56|$18021.10|$14031.90||$20041.50|$51081.60
"MS-DRG V37 (FY 2020) 185"|"Major Chest Trauma Without Cc/McC"|0.00|$28648.00|$5487.44|$24350.80|$20054.00|$15457.50|$5487.44|$11160.33|$8501.63|$10031.93|$12366.00|$13988.53|$15086.61|$10443.60||$15516.00|$24350.80
"MS-DRG V37 (FY 2020) 186"|"Pleural Effusion With McC"|0.00|$20913.00|$10200.00|$65463.61|$14639.00|$36573.84|$29049.54|$59080.92|$45006.24|$53107.38|$65463.61|$10200.00|$11000.00|$20833.20||$27799.50|$17776.05
"MS-DRG V37 (FY 2020) 187"|"Pleural Effusion With Cc"|0.00|$47189.00|$13934.70|$42981.22|$33032.00|$24463.14|$19072.98|$38790.53|$29549.59|$34868.52|$42981.22|$33162.52|$35765.74|$13934.70||$20688.00|$40110.65
"MS-DRG V37 (FY 2020) 188"|"Pleural Effusion Without Cc/McC"|0.00|$38373.00|$0.00|$0.00|$26861.00||||||||||||
"MS-DRG V37 (FY 2020) 189"|"Pulmonary Edema And Respiratory Failure"|0.00|$70995.00|$14342.68|$60345.75|$49696.00|$29027.76|$14342.68|$29170.09|$22220.98|$26220.74|$32321.40|$39350.38|$40401.75|$16534.80||$23274.00|$60345.75
"MS-DRG V37 (FY 2020) 190"|"Chronic Obstructive Pulmonary Disease With McC"|0.00|$31681.00|$14862.37|$33492.61|$22177.00|$26636.43|$14862.37|$30227.08|$23026.18|$27170.88|$33492.61|$18054.33|$19471.57|$15172.65||$23274.00|$26928.85
"MS-DRG V37 (FY 2020) 191"|"Chronic Obstructive Pulmonary Disease With Cc"|0.00|$20259.00|$10395.88|$23824.00|$14181.00|$21232.61|$10395.88|$21876.40|$16581.48|$19800.98|$23824.00|$14774.62|$15927.35|$11921.85||$18748.50|$17220.15
"MS-DRG V37 (FY 2020) 192"|"Chronic Obstructive Pulmonary Disease Without Cc/McC"|0.00|$23962.00|$6756.38|$20367.70|$16773.00|$16469.13|$6756.38|$13741.11|$10467.60|$12351.77|$15225.60|$11162.87|$12039.14|$9381.15||$15516.00|$20367.70
"MS-DRG V37 (FY 2020) 193"|"Simple Pneumonia And Pleurisy With McC"|0.00|$26763.00|$14594.15|$41023.13|$18734.00|$31293.08|$14594.15|$30417.82|$23097.16|$27463.98|$33333.38|$40988.25|$41023.13|$17694.45||$26506.50|$22748.55
"MS-DRG V37 (FY 2020) 194"|"Simple Pneumonia And Pleurisy With Cc"|0.00|$16321.00|$10843.17|$24471.01|$11425.00|$20461.73|$10843.17|$22104.25|$16834.19|$19876.27|$24471.01|$13893.31|$14983.57|$11650.50||$20041.50|$13872.85
"MS-DRG V37 (FY 2020) 195"|"Simple Pneumonia And Pleurisy Without Cc/McC"|0.00|$25751.00|$8581.89|$23042.26|$18026.00|$15760.50|$8581.89|$17453.83|$13295.85|$15689.10|$19339.39|$21365.12|$23042.26|$8977.50||$16162.50|$21888.35
"MS-DRG V37 (FY 2020) 196"|"Interstitial Lung Disease With McC"|0.00|$57632.00|$17944.41|$50547.50|$40342.00|$41145.57|$17944.41|$36495.31|$27801.13|$32805.34|$40437.99|$50547.50|$50547.50|$23437.35||$31032.00|$48987.20
"MS-DRG V37 (FY 2020) 197"|"Interstitial Lung Disease With Cc"|0.00|$110835.00|$13575.60|$94209.75|$77584.00|$23832.72|$35349.56|$71893.90|$54766.82|$64624.87|$79660.84|$20400.00|$22000.00|$13575.60||$20688.00|$94209.75
"MS-DRG V37 (FY 2020) 198"|"Interstitial Lung Disease Without Cc/McC"|0.00|$33106.00|$0.00|$0.00|$23174.00||||||||||||
"MS-DRG V37 (FY 2020) 199"|"Pneumothorax With McC"|0.00|$20983.00|$16360.38|$46085.50|$14688.00|$42366.12|$16360.38|$33273.72|$25347.03|$29909.52|$36868.41|$46085.50|$46085.50|$24132.60||$32971.50|$17835.55
"MS-DRG V37 (FY 2020) 200"|"Pneumothorax With Cc"|0.00|$39954.00|$12815.07|$33960.90|$27968.00|$25477.50|$12815.07|$26063.31|$19854.34|$23428.10|$28879.01|$17268.80|$18624.38|$14512.50||$20688.00|$33960.90
"MS-DRG V37 (FY 2020) 201"|"Pneumothorax Without Cc/McC"|0.00|$23884.00|$8475.55|$20301.40|$16719.00|$16815.15|$8475.55|$17237.57|$13131.11|$15494.71|$19099.80|$11397.41|$12292.09|$9578.25||$14869.50|$20301.40
"MS-DRG V37 (FY 2020) 202"|"Bronchitis And Asthma With Cc/McC"|0.00|$30603.00|$12275.56|$33458.04|$21422.00|$22884.72|$12275.56|$24966.04|$19018.45|$22441.78|$27663.20|$31022.80|$33458.04|$13035.60||$19395.00|$26012.55
"MS-DRG V37 (FY 2020) 203"|"Bronchitis And Asthma Without Cc/McC"|0.00|$10576.00|$8977.79|$20231.61|$7403.00|$16720.35|$8977.79|$18259.02|$13909.23|$16412.91|$20231.61|$11333.15|$12222.79|$9524.25||$14869.50|$8989.60
"MS-DRG V37 (FY 2020) 204"|"Respiratory Signs And Symptoms"|0.00|$37782.00|$10698.75|$32114.70|$26447.00|$18782.25|$12522.74|$25468.75|$19401.39|$22893.63|$28220.20|$12730.72|$13730.06|$10698.75||$13576.50|$32114.70
"MS-DRG V37 (FY 2020) 205"|"Other Respiratory System Diagnoses With McC"|0.00|$68245.00|$11938.95|$58008.25|$47772.00|$33630.75|$11938.95|$24281.42|$18496.91|$21826.38|$26904.61|$33630.75|$33630.75|$22711.05||$26506.50|$58008.25
"MS-DRG V37 (FY 2020) 206"|"Other Respiratory System Diagnoses Without McC"|0.00|$37290.00|$11936.70|$32280.58|$26103.00|$20964.17|$14322.88|$29141.31|$22197.27|$26197.80|$32280.58|$14216.43|$15332.26|$11936.70||$16162.50|$31696.50
"MS-DRG V37 (FY 2020) 207"|"Respiratory System Diagnosis With Ventilator Support >96 Hours"|0.00|$261018.00|$76933.50|$221865.30|$182713.00|$86446.96|$86446.96|$86446.96|$86446.96|$86446.96|$86446.96|$113085.03|$113085.03|$77306.40||$76933.50|$221865.30
"MS-DRG V37 (FY 2020) 208"|"Respiratory System Diagnosis With Ventilator Support <=96 Hours"|0.00|$110617.00|$7872.09|$94024.45|$77432.00|$64690.39|$34165.53|$69485.81|$53886.12|$62409.38|$76992.61|$7872.09|$8456.47|$34321.05||$31678.50|$94024.45
"MS-DRG V37 (FY 2020) 215"|"Other Heart Assist System Implant"|0.00|$430455.00|$30385.50|$365886.75|$301318.00|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$194219.30|$150631.65||$30385.50|$365886.75
"MS-DRG V37 (FY 2020) 216"|"Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With McC"|0.00|$390637.00|$91803.00|$332041.45|$273446.00|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$113912.47|$140806.35||$91803.00|$332041.45
"MS-DRG V37 (FY 2020) 217"|"Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc"|0.00|$57209.00|$0.00|$0.00|$40046.00||||||||||||
"MS-DRG V37 (FY 2020) 219"|"Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With McC"|0.00|$280698.00|$42557.40|$238593.30|$196489.00|$85530.27|$42557.40|$107452.17|$107452.17|$116870.53|$85530.27|$118165.99|$118165.99|$108743.85||$57538.50|$238593.30
"MS-DRG V37 (FY 2020) 220"|"Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc"|0.00|$272195.00|$38143.50|$231365.75|$190536.00|$90380.70|$90380.70|$138388.09|$138388.09|$90380.70|$90380.70|$79970.52|$79970.52|$72898.65||$38143.50|$231365.75
"MS-DRG V37 (FY 2020) 221"|"Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/McC"|0.00|$211554.00|$15406.38|$387413.50|$148088.00|$285163.93|$171902.64|$349708.53|$266383.39|$314374.88|$387413.50|$15406.38|$16613.46|$61456.05||$25213.50|$179820.90
"MS-DRG V37 (FY 2020) 222"|"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With McC"|0.00|$337250.00|$60771.00|$286662.50|$236075.00|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$272942.70|$113684.85||$60771.00|$286662.50
"MS-DRG V37 (FY 2020) 223"|"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without McC"|0.00|$217300.00|$0.00|$0.00|$152110.00||||||||||||
"MS-DRG V37 (FY 2020) 224"|"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With McC"|0.00|$331853.00|$48487.50|$282075.05|$232297.00|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$124831.93|$99389.70||$48487.50|$282075.05
"MS-DRG V37 (FY 2020) 225"|"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without McC"|0.00|$255482.00|$20400.00|$217159.70|$178837.00|$118446.88|$71389.91|$145192.94|$110604.06|$130512.79|$160878.61|$20400.00|$22000.00|$75961.80||$27153.00|$217159.70
"MS-DRG V37 (FY 2020) 226"|"Cardiac Defibrillator Implant Without Cardiac Catheterization With McC"|0.00|$323047.00|$35700.00|$274589.95|$226133.00|$159089.95|$95886.20|$195013.46|$148556.01|$175296.05|$216081.42|$35700.00|$38500.00|$89259.30||$40729.50|$274589.95
"MS-DRG V37 (FY 2020) 227"|"Cardiac Defibrillator Implant Without Cardiac Catheterization Without McC"|0.00|$193081.00|$10200.00|$164118.85|$135157.00|$109902.37|$66240.00|$134719.03|$102625.31|$121097.87|$149273.17|$10200.00|$11000.00|$70900.65||$20688.00|$164118.85
"MS-DRG V37 (FY 2020) 228"|"Other Cardiothoracic Procedures With McC"|0.00|$277720.00|$53659.50|$236062.00|$194404.00|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$94747.11|$83906.55||$53659.50|$236062.00
"MS-DRG V37 (FY 2020) 229"|"Other Cardiothoracic Procedures Without McC"|0.00|$216354.00|$0.00|$0.00|$151448.00||||||||||||
"MS-DRG V37 (FY 2020) 231"|"Coronary Bypass With Ptca With McC"|0.00|$422275.00|$69175.50|$358933.75|$295592.00|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$201620.75|$114617.70||$69175.50|$358933.75
"MS-DRG V37 (FY 2020) 232"|"Coronary Bypass With Ptca Without McC"|0.00|$228278.00|$0.00|$0.00|$159795.00||||||||||||
"MS-DRG V37 (FY 2020) 233"|"Coronary Bypass With Cardiac Catheterization With McC"|0.00|$337882.00|$73701.00|$287199.70|$236517.00|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$158232.17|$105201.45||$73701.00|$287199.70
"MS-DRG V37 (FY 2020) 234"|"Coronary Bypass With Cardiac Catheterization Without McC"|0.00|$317636.00|$52366.50|$269990.60|$222345.00|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$127554.35|$71784.90||$52366.50|$269990.60
"MS-DRG V37 (FY 2020) 235"|"Coronary Bypass Without Cardiac Catheterization With McC"|0.00|$262182.00|$55599.00|$222854.70|$183527.00|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$88692.69|$81407.70||$55599.00|$222854.70
"MS-DRG V37 (FY 2020) 236"|"Coronary Bypass Without Cardiac Catheterization Without McC"|0.00|$252612.00|$20400.00|$214720.20|$176828.00|$154896.60|$93358.75|$189873.23|$144640.31|$170675.54|$210385.86|$20400.00|$22000.00|$55090.80||$38790.00|$214720.20
"MS-DRG V37 (FY 2020) 239"|"Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC"|0.00|$155577.00|$25500.00|$132240.45|$108904.00|$90374.52|$32082.99|$65250.43|$49706.01|$58653.07|$72299.63|$25500.00|$27500.00|$64917.45||$67236.00|$132240.45
"MS-DRG V37 (FY 2020) 240"|"Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc"|0.00|$45888.00|$30120.01|$67876.10|$32122.00|$66123.00|$30120.01|$61258.18|$46664.84|$55064.45|$67876.10|$40800.00|$44000.00|$37663.65||$45255.00|$39004.80
"MS-DRG V37 (FY 2020) 241"|"Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/McC"|0.00|$64451.00|$0.00|$0.00|$45116.00||||||||||||
"MS-DRG V37 (FY 2020) 242"|"Permanent Cardiac Pacemaker Implant With McC"|0.00|$134967.00|$33618.00|$166863.00|$94477.00|$122852.89|$74045.51|$150593.90|$114718.33|$135367.66|$166863.00|$91800.00|$99000.00|$50253.75||$33618.00|$114721.95
"MS-DRG V37 (FY 2020) 243"|"Permanent Cardiac Pacemaker Implant With Cc"|0.00|$103278.00|$20041.50|$87786.30|$72295.00|$60022.62|$35195.74|$71581.11|$54528.56|$64343.72|$79314.23|$25500.00|$27500.00|$34190.10||$20041.50|$87786.30
"MS-DRG V37 (FY 2020) 244"|"Permanent Cardiac Pacemaker Implant Without Cc/McC"|0.00|$102164.00|$10200.00|$86839.40|$71515.00|$48957.09|$36788.57|$74820.65|$56996.32|$67255.67|$82903.75|$10200.00|$11000.00|$27886.95||$14223.00|$86839.40
"MS-DRG V37 (FY 2020) 245"|"Aicd Generator Procedures"|0.00|$310899.00|$20400.00|$264264.15|$217629.00|$175424.10|$105731.03|$215036.01|$163808.60|$193294.16|$238267.03|$20400.00|$22000.00|$73089.00||$30385.50|$264264.15
"MS-DRG V37 (FY 2020) 246"|"Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With McC Or 4+ Arteries Or Stents"|0.00|$124411.00|$25213.50|$105749.35|$87088.00|$74079.09|$43809.70|$89100.17|$67874.11|$80091.45|$98725.94|$25500.00|$27500.00|$42196.95||$25213.50|$105749.35
"MS-DRG V37 (FY 2020) 247"|"Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without McC"|0.00|$102513.00|$10319.02|$87136.05|$71759.00|$47203.42|$36615.64|$74573.01|$56790.83|$67060.68|$82545.28|$10319.02|$11126.95|$26840.70||$13576.50|$87136.05
"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|$81921.00|$0.00|$0.00|$57345.00||||||||||||
"MS-DRG V37 (FY 2020) 250"|"Percutaneous Cardiovascular Procedures Without Coronary Artery Stent With McC"|0.00|$94342.00|$15300.00|$80190.70|$66039.00|$59790.36|$29696.07|$60395.93|$46007.96|$54289.39|$66920.68|$15300.00|$16500.00|$34057.80||$23920.50|$80190.70
"MS-DRG V37 (FY 2020) 251"|"Percutaneous Cardiovascular Procedures Without Coronary Artery Stent Without McC"|0.00|$79134.00|$10200.00|$67263.90|$55394.00|$39337.26|$29357.05|$59706.43|$45482.73|$53669.62|$66156.69|$10200.00|$11000.00|$22407.30||$13576.50|$67263.90
"MS-DRG V37 (FY 2020) 252"|"Other Vascular Procedures With McC"|0.00|$137025.00|$20400.00|$116471.25|$95918.00|$78700.59|$44166.82|$89826.51|$68427.41|$80744.37|$99530.78|$20400.00|$22000.00|$44829.45||$33618.00|$116471.25
"MS-DRG V37 (FY 2020) 253"|"Other Vascular Procedures With Cc"|0.00|$125614.00|$20400.00|$106771.90|$87930.00|$62892.69|$45514.81|$92568.07|$70515.85|$83208.71|$102568.47|$20400.00|$22000.00|$35824.95||$26506.50|$106771.90
"MS-DRG V37 (FY 2020) 254"|"Other Vascular Procedures Without Cc/McC"|0.00|$94532.00|$10212.64|$97811.02|$66172.00|$42893.78|$43401.99|$88282.51|$67249.44|$79359.38|$97811.02|$10212.64|$11013.49|$24428.25||$13576.50|$80352.20
"MS-DRG V37 (FY 2020) 255"|"Upper Limb And Toe Amputation For Circulatory System Disorders With McC"|0.00|$60956.00|$34330.50|$84499.23|$42669.00|$60269.10|$37496.55|$76260.52|$58093.21|$68549.98|$84499.23|$66300.00|$71500.00|$34330.50||$42022.50|$51812.60
"MS-DRG V37 (FY 2020) 256"|"Upper Limb And Toe Amputation For Circulatory System Disorders With Cc"|0.00|$69243.00|$10659.26|$58856.55|$48470.00|$30026.02|$10659.26|$21678.79|$16514.33|$19486.88|$24020.82|$26394.76|$28466.71|$22181.85||$32325.00|$58856.55
"MS-DRG V37 (FY 2020) 257"|"Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/McC"|0.00|$29814.00|$0.00|$0.00|$20870.00||||||||||||
"MS-DRG V37 (FY 2020) 258"|"Cardiac Pacemaker Device Replacement With McC"|0.00|$73655.00|$32325.00|$62606.75|$51558.00|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$32868.79|$43217.55||$32325.00|$62606.75
"MS-DRG V37 (FY 2020) 259"|"Cardiac Pacemaker Device Replacement Without McC"|0.00|$133038.00|$0.00|$0.00|$93127.00||||||||||||
"MS-DRG V37 (FY 2020) 260"|"Cardiac Pacemaker Revision Except Device Replacement With McC"|0.00|$165748.00|$0.00|$0.00|$116024.00||||||||||||
"MS-DRG V37 (FY 2020) 261"|"Cardiac Pacemaker Revision Except Device Replacement With Cc"|0.00|$86431.00|$20400.00|$73466.35|$60502.00|$47193.81|$27751.47|$56440.92|$42995.16|$50734.30|$62538.41|$20400.00|$22000.00|$26882.55||$20688.00|$73466.35
"MS-DRG V37 (FY 2020) 262"|"Cardiac Pacemaker Revision Except Device Replacement Without Cc/McC"|0.00|$45387.00|$0.00|$0.00|$31771.00||||||||||||
"MS-DRG V37 (FY 2020) 263"|"Vein Ligation And Stripping"|0.00|$70281.00|$5100.00|$74518.66|$49197.00|$54635.61|$33067.69|$67253.08|$51231.58|$60453.25|$74518.66|$5100.00|$5500.00|$31121.55||$28446.00|$59738.85
"MS-DRG V37 (FY 2020) 264"|"Other Circulatory System O.R. Procedures"|0.00|$139681.00|$42022.50|$118728.85|$97777.00|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$48803.14|$43845.30||$42022.50|$118728.85
"MS-DRG V37 (FY 2020) 265"|"Aicd Lead Procedures"|0.00|$150948.00|$0.00|$0.00|$105664.00||||||||||||
"MS-DRG V37 (FY 2020) 266"|"Endovascular Cardiac Valve Replacement And Supplement Procedures With McC"|0.00|$275818.00|$15300.00|$234445.30|$193073.00|$159860.96|$96350.88|$195958.61|$149275.94|$176145.64|$217128.63|$15300.00|$16500.00|$95812.20||$20688.00|$234445.30
"MS-DRG V37 (FY 2020) 267"|"Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC"|0.00|$263942.00|$10200.00|$224350.70|$184759.00|$154071.47|$92861.45|$188861.76|$143869.80|$169766.40|$209265.15|$10200.00|$11000.00|$75612.15||$10990.50|$224350.70
"MS-DRG V37 (FY 2020) 268"|"Aortic And Heart Assist Procedures Except Pulsation Balloon With McC"|0.00|$324451.00|$5100.00|$275783.35|$227116.00|$155283.19|$55125.56|$112114.45|$85405.76|$100778.82|$124226.55|$5100.00|$5500.00|$93887.10||$40729.50|$275783.35
"MS-DRG V37 (FY 2020) 269"|"Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC"|0.00|$219519.00|$10200.00|$186591.15|$153663.00|$119655.66|$72118.47|$146674.66|$111732.82|$131844.74|$162520.42|$10200.00|$11000.00|$58247.10||$10344.00|$186591.15
"MS-DRG V37 (FY 2020) 270"|"Other Major Cardiovascular Procedures With McC"|0.00|$209732.00|$10200.00|$178272.20|$146812.00|$122803.92|$50928.45|$103578.32|$78903.18|$93105.75|$114768.21|$10200.00|$11000.00|$69951.60||$42669.00|$178272.20
"MS-DRG V37 (FY 2020) 271"|"Other Major Cardiovascular Procedures With Cc"|0.00|$154281.00|$27799.50|$131138.85|$107997.00|$40992.90|$40992.90|$62946.46|$62946.46|$62946.46|$40992.90|$62946.46|$62946.46|$48122.10||$27799.50|$131138.85
"MS-DRG V37 (FY 2020) 272"|"Other Major Cardiovascular Procedures Without Cc/McC"|0.00|$120377.00|$12930.00|$121136.44|$84264.00|$63724.56|$53754.33|$109325.66|$83281.31|$98271.97|$121136.44|$15300.00|$16500.00|$36298.80||$12930.00|$102320.45
"MS-DRG V37 (FY 2020) 273"|"Percutaneous And Other Intracardiac Procedures With McC"|0.00|$169057.00|$27799.50|$143698.45|$118340.00|$90941.64|$55650.43|$113181.92|$86218.93|$101738.31|$125409.33|$51000.00|$55000.00|$51802.20||$27799.50|$143698.45
"MS-DRG V37 (FY 2020) 274"|"Percutaneous And Other Intracardiac Procedures Without McC"|0.00|$149060.00|$5100.00|$126701.00|$104342.00|$77863.98|$48792.89|$99235.07|$75594.57|$89201.59|$109955.74|$5100.00|$5500.00|$44352.90||$10344.00|$126701.00
"MS-DRG V37 (FY 2020) 280"|"Acute Myocardial Infarction, Discharged Alive With McC"|0.00|$66970.00|$18701.30|$56924.50|$46879.00|$18701.30|$18701.30|$18701.30|$18701.30|$18701.30|$18701.30|$24510.09|$24510.09|$21953.70||$26506.50|$56924.50
"MS-DRG V37 (FY 2020) 281"|"Acute Myocardial Infarction, Discharged Alive With Cc"|0.00|$32339.00|$12583.35|$37281.20|$22637.00|$22090.77|$16543.55|$33646.28|$25630.84|$30244.37|$37281.20|$14973.25|$16148.63|$12583.35||$16162.50|$27488.15
"MS-DRG V37 (FY 2020) 282"|"Acute Myocardial Infarction, Discharged Alive Without Cc/McC"|0.00|$51911.00|$9794.25|$44645.53|$36338.00|$17228.87|$19804.83|$40324.87|$30711.20|$36259.41|$44645.53|$11704.99|$12623.25|$9794.25||$11637.00|$44124.35
"MS-DRG V37 (FY 2020) 283"|"Acute Myocardial Infarction, Expired With McC"|0.00|$67914.00|$18748.50|$57726.90|$47540.00|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$19339.58|$25172.10||$18748.50|$57726.90
"MS-DRG V37 (FY 2020) 284"|"Acute Myocardial Infarction, Expired With Cc"|0.00|$45835.00|$0.00|$0.00|$32084.00||||||||||||
"MS-DRG V37 (FY 2020) 286"|"Circulatory Disorders Except Ami, With Cardiac Catheterization With McC"|0.00|$93481.00|$5100.00|$79458.85|$65437.00|$52474.17|$33296.03|$67717.43|$51585.32|$60870.66|$75033.19|$5100.00|$5500.00|$29890.35||$34264.50|$79458.85
"MS-DRG V37 (FY 2020) 287"|"Circulatory Disorders Except Ami, With Cardiac Catheterization Without McC"|0.00|$65085.00|$14869.50|$55322.25|$45560.00|$27255.00|$21628.35|$43987.74|$33508.67|$39540.22|$48739.88|$36947.20|$39847.50|$15525.00||$14869.50|$55322.25
"MS-DRG V37 (FY 2020) 288"|"Acute And Subacute Endocarditis With McC"|0.00|$89911.00|$15300.00|$76424.35|$62938.00|$63539.70|$23317.85|$47423.86|$36126.24|$42628.94|$52547.23|$15300.00|$16500.00|$36193.50||$45901.50|$76424.35
"MS-DRG V37 (FY 2020) 289"|"Acute And Subacute Endocarditis With Cc"|0.00|$47375.00|$16818.08|$40268.75|$33162.00|$38929.62|$16818.08|$34204.56|$26056.12|$30746.23|$37899.80|$26386.73|$28458.05|$22175.10||$34264.50|$40268.75
"MS-DRG V37 (FY 2020) 290"|"Acute And Subacute Endocarditis Without Cc/McC"|0.00|$31358.00|$13818.60|$38929.62|$21951.00|$38929.62|$16818.08|$34204.56|$26056.12|$30746.23|$37899.80|$26386.73|$28458.05|$13818.60||$23274.00|$26654.30
"MS-DRG V37 (FY 2020) 291"|"Heart Failure And Shock With McC"|0.00|$25902.00|$17024.42|$38364.80|$18131.00|$31779.33|$17024.42|$34624.23|$26375.81|$31123.46|$38364.80|$21540.22|$23231.09|$18102.15||$25860.00|$22016.70
"MS-DRG V37 (FY 2020) 292"|"Heart Failure And Shock With Cc"|0.00|$15450.00|$12083.85|$42475.59|$10815.00|$21213.87|$18848.57|$38334.22|$29201.97|$34458.34|$42475.59|$14378.89|$15507.61|$12083.85||$20041.50|$13132.50
"MS-DRG V37 (FY 2020) 293"|"Heart Failure And Shock Without Cc/McC"|0.00|$14034.00|$8810.10|$23138.80|$9824.00|$15466.62|$10267.87|$20882.76|$15907.92|$18771.36|$23138.80|$10483.37|$11306.30|$8810.10||$14869.50|$11928.90
"MS-DRG V37 (FY 2020) 294"|"Deep Vein Thrombophlebitis With Cc/McC"|0.00|$38418.00|$17308.35|$44727.38|$26893.00|$30385.77|$19847.85|$40366.48|$30750.09|$36285.14|$44727.38|$41191.30|$44424.76|$17308.35||$21334.50|$32655.30
"MS-DRG V37 (FY 2020) 296"|"Cardiac Arrest, Unexplained With McC"|0.00|$101097.00|$0.00|$0.00|$70768.00||||||||||||
"MS-DRG V37 (FY 2020) 297"|"Cardiac Arrest, Unexplained With Cc"|0.00|$69372.00|$0.00|$0.00|$48560.00||||||||||||
"MS-DRG V37 (FY 2020) 299"|"Peripheral Vascular Disorders With McC"|0.00|$6286.00|$5343.10|$55000.00|$4400.00|$36294.18|$24157.88|$49132.31|$37427.66|$44164.67|$54440.22|$51000.00|$55000.00|$20673.90||$25213.50|$5343.10
"MS-DRG V37 (FY 2020) 300"|"Peripheral Vascular Disorders With Cc"|0.00|$35986.00|$14069.70|$36112.24|$25190.00|$24700.14|$14426.94|$29341.55|$22351.59|$26374.87|$32511.40|$33483.80|$36112.24|$14069.70||$20041.50|$30588.10
"MS-DRG V37 (FY 2020) 301"|"Peripheral Vascular Disorders Without Cc/McC"|0.00|$14205.00|$10023.75|$24115.25|$9944.00|$17837.39|$10505.01|$22105.66|$16763.59|$19994.87|$24115.25|$12463.36|$13435.30|$10023.75||$14223.00|$12074.25
"MS-DRG V37 (FY 2020) 302"|"Atherosclerosis With McC"|0.00|$41444.00|$0.00|$0.00|$29011.00||||||||||||
"MS-DRG V37 (FY 2020) 303"|"Atherosclerosis Without McC"|0.00|$19845.00|$9004.17|$20291.00|$13892.00|$16030.68|$9004.17|$18312.63|$13950.07|$16461.09|$20291.00|$10865.69|$11718.63|$9131.40||$12283.50|$16868.25
"MS-DRG V37 (FY 2020) 304"|"Hypertension With McC"|0.00|$43682.00|$14790.60|$46385.00|$30577.00|$25965.72|$20583.38|$41862.49|$31889.68|$37629.83|$46385.00|$35199.44|$37962.54|$14790.60||$18748.50|$37129.70
"MS-DRG V37 (FY 2020) 305"|"Hypertension Without McC"|0.00|$10650.00|$9052.50|$37472.24|$7455.00|$17502.45|$13302.69|$27054.97|$20609.75|$24319.51|$29977.80|$35589.78|$37472.24|$9969.75||$14223.00|$9052.50
"MS-DRG V37 (FY 2020) 306"|"Cardiac Congenital And Valvular Disorders With McC"|0.00|$51782.00|$9544.93|$44014.70|$36247.00|$26887.00|$9544.93|$19412.42|$14787.88|$17449.67|$21509.60|$24155.44|$26051.60|$20299.95||$23920.50|$44014.70
"MS-DRG V37 (FY 2020) 307"|"Cardiac Congenital And Valvular Disorders Without McC"|0.00|$41652.00|$11723.40|$41028.83|$29156.00|$20581.08|$18206.55|$37028.52|$28207.32|$33284.64|$41028.83|$13949.98|$15045.03|$11723.40||$15516.00|$35404.20
"MS-DRG V37 (FY 2020) 308"|"Cardiac Arrhythmia And Conduction Disorders With McC"|0.00|$23726.00|$13124.40|$29575.99|$16608.00|$28423.41|$13124.40|$26692.32|$20333.49|$23993.53|$29575.99|$19265.56|$20777.87|$16190.55||$22627.50|$20167.10
"MS-DRG V37 (FY 2020) 309"|"Cardiac Arrhythmia And Conduction Disorders With Cc"|0.00|$6524.00|$5545.40|$20979.60|$4567.00|$17760.78|$9309.72|$18934.08|$14423.48|$17019.71|$20979.60|$12038.36|$12983.36|$10116.90||$15516.00|$5545.40
"MS-DRG V37 (FY 2020) 310"|"Cardiac Arrhythmia And Conduction Disorders Without Cc/McC"|0.00|$25635.00|$7538.40|$21789.75|$17944.00|$13234.08|$8294.16|$16868.65|$12850.06|$15163.09|$18691.00|$8970.14|$9674.28|$7538.40||$12283.50|$21789.75
"MS-DRG V37 (FY 2020) 311"|"Angina Pectoris"|0.00|$14555.00|$9409.50|$27673.00|$10188.00|$16518.90|$12279.91|$24974.89|$19025.19|$22449.73|$27673.00|$11196.61|$12075.53|$9409.50||$12283.50|$12371.75
"MS-DRG V37 (FY 2020) 312"|"Syncope And Collapse"|0.00|$13429.00|$11302.20|$37174.61|$9400.00|$19841.64|$16496.27|$33550.05|$25557.56|$30157.92|$37174.61|$13448.78|$14504.49|$11302.20||$14869.50|$11414.65
"MS-DRG V37 (FY 2020) 313"|"Chest Pain"|0.00|$11845.00|$9730.80|$23716.41|$8292.00|$17082.96|$10524.19|$21404.05|$16305.02|$19239.94|$23716.41|$11578.93|$12487.86|$9730.80||$10990.50|$10068.25
"MS-DRG V37 (FY 2020) 314"|"Other Circulatory System Diagnoses With McC"|0.00|$9921.00|$8432.85|$42143.76|$6945.00|$42143.76|$14961.06|$30427.81|$23179.07|$27351.31|$33715.01|$33467.74|$36094.91|$28125.90||$31032.00|$8432.85
"MS-DRG V37 (FY 2020) 315"|"Other Circulatory System Diagnoses With Cc"|0.00|$42492.00|$13165.20|$36118.20|$29744.00|$23112.24|$15200.67|$30915.14|$23550.33|$27789.36|$34254.99|$15665.61|$16895.34|$13165.20||$18102.00|$36118.20
"MS-DRG V37 (FY 2020) 316"|"Other Circulatory System Diagnoses Without Cc/McC"|0.00|$31326.00|$10118.25|$27283.40|$21928.00|$17763.15|$12107.05|$24623.28|$18757.34|$22133.68|$27283.40|$12039.97|$12985.09|$10118.25||$12283.50|$26627.10
"MS-DRG V37 (FY 2020) 319"|"Other Endovascular Cardiac Valve Procedures With McC"|0.00|$135088.00|$0.00|$0.00|$94562.00||||||||||||
"MS-DRG V37 (FY 2020) 320"|"Other Endovascular Cardiac Valve Procedures Without McC"|0.00|$89801.00|$0.00|$0.00|$62861.00||||||||||||
"MS-DRG V37 (FY 2020) 326"|"Stomach, Esophageal And Duodenal Procedures With McC"|0.00|$197581.00|$62710.50|$167943.85|$138307.00|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$79436.98|$72598.95||$62710.50|$167943.85
"MS-DRG V37 (FY 2020) 327"|"Stomach, Esophageal And Duodenal Procedures With Cc"|0.00|$129850.00|$10200.00|$114710.99|$90895.00|$61847.52|$50903.01|$103526.66|$78863.80|$93059.27|$114710.99|$10200.00|$11000.00|$35229.60||$30385.50|$110372.50
"MS-DRG V37 (FY 2020) 328"|"Stomach, Esophageal And Duodenal Procedures Without Cc/McC"|0.00|$75891.00|$5100.00|$64507.35|$53124.00|$39472.35|$22348.67|$45452.73|$34624.66|$40857.12|$50363.14|$5100.00|$5500.00|$22484.25||$14869.50|$64507.35
"MS-DRG V37 (FY 2020) 329"|"Major Small And Large Bowel Procedures With McC"|0.00|$92130.00|$55778.45|$78310.50|$64491.00|$55778.45|$55778.45|$73740.99|$73740.99|$73103.72|$55778.45|$73961.32|$73961.32|$65479.05||$65943.00|$78310.50
"MS-DRG V37 (FY 2020) 330"|"Major Small And Large Bowel Procedures With Cc"|0.00|$83666.00|$34276.50|$78876.71|$58566.00|$60611.49|$34947.45|$71570.97|$54435.33|$64474.50|$78876.71|$41403.42|$44643.58|$34276.50||$36204.00|$71116.10
"MS-DRG V37 (FY 2020) 331"|"Major Small And Large Bowel Procedures Without Cc/McC"|0.00|$80329.00|$10200.00|$68279.65|$56230.00|$40529.37|$28780.41|$58533.64|$44589.33|$52615.43|$64857.21|$10200.00|$11000.00|$23086.35||$21334.50|$68279.65
"MS-DRG V37 (FY 2020) 332"|"Rectal Resection With McC"|0.00|$121758.00|$0.00|$0.00|$85231.00||||||||||||
"MS-DRG V37 (FY 2020) 333"|"Rectal Resection With Cc"|0.00|$116674.00|$0.00|$0.00|$81672.00||||||||||||
"MS-DRG V37 (FY 2020) 334"|"Rectal Resection Without Cc/McC"|0.00|$117789.00|$10200.00|$100120.65|$82452.00|$38138.04|$41814.60|$85042.59|$64783.17|$76444.13|$94230.04|$10200.00|$11000.00|$21724.20||$16162.50|$100120.65
"MS-DRG V37 (FY 2020) 335"|"Peritoneal Adhesiolysis With McC"|0.00|$149878.00|$52520.40|$127396.30|$104915.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$114814.00|$52520.40||$60124.50|$127396.30
"MS-DRG V37 (FY 2020) 336"|"Peritoneal Adhesiolysis With Cc"|0.00|$62736.00|$20400.00|$105517.17|$43915.00|$54104.73|$46823.32|$95229.28|$72543.08|$85600.83|$105517.17|$20400.00|$22000.00|$30819.15||$38143.50|$53325.60
"MS-DRG V37 (FY 2020) 337"|"Peritoneal Adhesiolysis Without Cc/McC"|0.00|$75888.00|$20400.00|$64504.80|$53122.00|$38692.62|$24764.70|$50366.53|$38367.85|$45274.04|$55807.76|$20400.00|$22000.00|$22040.10||$23920.50|$64504.80
"MS-DRG V37 (FY 2020) 338"|"Appendectomy With Complicated Principal Diagnosis With McC"|0.00|$83834.00|$0.00|$0.00|$58684.00||||||||||||
"MS-DRG V37 (FY 2020) 339"|"Appendectomy With Complicated Principal Diagnosis With Cc"|0.00|$73435.00|$22882.50|$62419.75|$51404.00|$40270.85|$27032.29|$55373.44|$42145.12|$49835.15|$61171.64|$25760.40|$27777.72|$22882.50||$25860.00|$62419.75
"MS-DRG V37 (FY 2020) 340"|"Appendectomy With Complicated Principal Diagnosis Without Cc/McC"|0.00|$66309.00|$15516.00|$56362.65|$46416.00|$29113.08|$22351.35|$45458.17|$34628.80|$40861.97|$50369.16|$20400.00|$22000.00|$16583.40||$15516.00|$56362.65
"MS-DRG V37 (FY 2020) 341"|"Appendectomy Without Complicated Principal Diagnosis With McC"|0.00|$98659.00|$5112.64|$83860.15|$69061.00|$54902.57|$29025.80|$59044.11|$44976.40|$53077.21|$65413.90|$5112.64|$5513.49|$31268.70||$27799.50|$83860.15
"MS-DRG V37 (FY 2020) 342"|"Appendectomy Without Complicated Principal Diagnosis With Cc"|0.00|$64272.00|$10200.00|$54631.20|$44990.00|$33964.47|$22817.05|$46405.29|$35350.31|$41713.36|$51418.65|$10200.00|$11000.00|$19346.85||$17455.50|$54631.20
"MS-DRG V37 (FY 2020) 343"|"Appendectomy Without Complicated Principal Diagnosis Without Cc/McC"|0.00|$42651.00|$10990.50|$38498.54|$29856.00|$26292.78|$17083.77|$34744.93|$26467.72|$31231.95|$38498.54|$17821.40|$19220.36|$14976.90||$10990.50|$36253.35
"MS-DRG V37 (FY 2020) 344"|"Minor Small And Large Bowel Procedures With McC"|0.00|$92927.00|$28310.63|$78987.95|$65049.00|$66381.33|$28310.63|$57578.14|$43861.45|$51756.55|$63798.48|$30600.00|$33000.00|$37812.15||$45255.00|$78987.95
"MS-DRG V37 (FY 2020) 345"|"Minor Small And Large Bowel Procedures With Cc"|0.00|$34701.00|$14081.76|$37391.49|$24291.00|$37391.49|$14081.76|$28639.52|$21816.80|$25743.83|$31733.50|$25344.17|$27333.65|$21298.95||$27799.50|$29495.85
"MS-DRG V37 (FY 2020) 346"|"Minor Small And Large Bowel Procedures Without Cc/McC"|0.00|$46720.00|$17153.47|$39712.00|$32704.00|$30217.50|$17153.47|$34886.71|$26575.71|$31359.39|$38655.60|$20481.60|$22089.38|$17212.50||$20041.50|$39712.00
"MS-DRG V37 (FY 2020) 347"|"Anal And Stomal Procedures With McC"|0.00|$89777.00|$25512.64|$76310.45|$62844.00|$58348.55|$31855.09|$64798.37|$49359.82|$58249.66|$71789.79|$25512.64|$27513.49|$33231.60||$36204.00|$76310.45
"MS-DRG V37 (FY 2020) 348"|"Anal And Stomal Procedures With Cc"|0.00|$56477.00|$18122.40|$48005.45|$39534.00|$31832.14|$20918.92|$42567.76|$32423.38|$38269.70|$47148.61|$43153.90|$46541.14|$18122.40||$21334.50|$48005.45
"MS-DRG V37 (FY 2020) 349"|"Anal And Stomal Procedures Without Cc/McC"|0.00|$35169.00|$12283.50|$29893.65|$24618.00|$23209.41|$12342.54|$25102.24|$19122.21|$22564.22|$27814.13|$15731.48|$16966.37|$13220.55||$12283.50|$29893.65
"MS-DRG V37 (FY 2020) 350"|"Inguinal And Femoral Hernia Procedures With McC"|0.00|$139917.00|$10200.00|$118929.45|$97942.00|$58121.88|$22921.81|$46618.38|$35512.60|$41904.88|$51654.68|$10200.00|$11000.00|$33107.40||$33618.00|$118929.45
"MS-DRG V37 (FY 2020) 351"|"Inguinal And Femoral Hernia Procedures With Cc"|0.00|$66291.00|$0.00|$0.00|$46404.00||||||||||||
"MS-DRG V37 (FY 2020) 352"|"Inguinal And Femoral Hernia Procedures Without Cc/McC"|0.00|$58576.00|$12930.00|$85133.53|$41003.00|$26232.81|$37762.57|$76916.97|$58574.61|$69170.60|$85133.53|$30731.66|$33140.44|$14890.50||$12930.00|$49789.60
"MS-DRG V37 (FY 2020) 353"|"Hernia Procedures Except Inguinal And Femoral With McC"|0.00|$117106.00|$0.00|$0.00|$81974.00||||||||||||
"MS-DRG V37 (FY 2020) 354"|"Hernia Procedures Except Inguinal And Femoral With Cc"|0.00|$56245.00|$20400.00|$64293.10|$39372.00|$42257.10|$28530.12|$58024.54|$44201.55|$52157.81|$64293.10|$20400.00|$22000.00|$24070.50||$23274.00|$47808.25
"MS-DRG V37 (FY 2020) 355"|"Hernia Procedures Except Inguinal And Femoral Without Cc/McC"|0.00|$63559.00|$15516.00|$54025.15|$44491.00|$32213.04|$19022.49|$38687.95|$29471.46|$34776.31|$42867.54|$43668.38|$47096.28|$18349.20||$15516.00|$54025.15
"MS-DRG V37 (FY 2020) 356"|"Other Digestive System O.R. Procedures With McC"|0.00|$152726.00|$49134.00|$129817.10|$106908.00|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$61692.75|$57933.90||$49134.00|$129817.10
"MS-DRG V37 (FY 2020) 357"|"Other Digestive System O.R. Procedures With Cc"|0.00|$108996.00|$29739.00|$92646.60|$76297.00|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$31354.82|$30424.95||$29739.00|$92646.60
"MS-DRG V37 (FY 2020) 358"|"Other Digestive System O.R. Procedures Without Cc/McC"|0.00|$62347.00|$12264.37|$52994.95|$43643.00|$31734.30|$12264.37|$24943.25|$19001.09|$22421.30|$27637.94|$21509.70|$23198.18|$18076.50||$18102.00|$52994.95
"MS-DRG V37 (FY 2020) 368"|"Major Esophageal Disorders With McC"|0.00|$38205.00|$12930.11|$36422.75|$26744.00|$36422.75|$12930.11|$26297.25|$20032.53|$23638.35|$29138.19|$31201.11|$33650.35|$26221.05||$29739.00|$32474.25
"MS-DRG V37 (FY 2020) 369"|"Major Esophageal Disorders With Cc"|0.00|$40659.00|$12798.51|$34560.15|$28461.00|$25520.16|$12798.51|$26029.51|$19828.57|$23397.72|$28841.57|$17297.72|$18655.56|$14536.80||$20041.50|$34560.15
"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|$52363.00|$23053.48|$51951.39|$36654.00|$40960.71|$23053.48|$46886.14|$35716.60|$42145.56|$51951.39|$40800.00|$44000.00|$23332.05||$33618.00|$44508.55
"MS-DRG V37 (FY 2020) 372"|"Major Gastrointestinal Disorders And Peritoneal Infections With Cc"|0.00|$48552.00|$13872.60|$41269.20|$33986.00|$24354.12|$14215.04|$28910.53|$22023.25|$25987.44|$32033.81|$16507.37|$17803.17|$13872.60||$24567.00|$41269.20
"MS-DRG V37 (FY 2020) 373"|"Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/McC"|0.00|$32881.00|$10037.25|$27948.85|$23017.00|$17620.95|$10529.06|$21413.97|$16312.60|$19248.87|$23727.39|$11943.58|$12881.14|$10037.25||$18748.50|$27948.85
"MS-DRG V37 (FY 2020) 374"|"Digestive Malignancy With McC"|0.00|$29210.00|$10200.00|$73709.15|$20447.00|$49009.23|$32708.48|$66522.55|$50675.05|$59796.56|$73709.15|$10200.00|$11000.00|$27916.65||$35557.50|$24828.50
"MS-DRG V37 (FY 2020) 375"|"Digestive Malignancy With Cc"|0.00|$50359.00|$14340.09|$42805.15|$35251.00|$28556.13|$14340.09|$29164.84|$22216.99|$26216.04|$32315.59|$19355.51|$20874.89|$16266.15||$23274.00|$42805.15
"MS-DRG V37 (FY 2020) 376"|"Digestive Malignancy Without Cc/McC"|0.00|$56918.00|$0.00|$0.00|$39843.00||||||||||||
"MS-DRG V37 (FY 2020) 377"|"Gastrointestinal Hemorrhage With McC"|0.00|$17093.00|$11625.71|$60885.64|$11965.00|$43106.35|$26329.64|$55858.35|$42349.38|$50541.30|$60885.64|$11625.71|$12520.56|$24285.15||$28446.00|$14529.05
"MS-DRG V37 (FY 2020) 378"|"Gastrointestinal Hemorrhage With Cc"|0.00|$26984.00|$13408.20|$33540.93|$18889.00|$23538.84|$14883.81|$30270.73|$23059.42|$27210.13|$33540.93|$15954.76|$17207.19|$13408.20||$19395.00|$22936.40
"MS-DRG V37 (FY 2020) 379"|"Gastrointestinal Hemorrhage Without Cc/McC"|0.00|$12437.00|$8600.85|$32676.91|$8706.00|$15107.90|$14484.54|$29510.09|$22475.72|$26533.38|$32676.91|$10264.45|$11069.85|$8600.85||$13576.50|$10571.45
"MS-DRG V37 (FY 2020) 380"|"Complicated Peptic Ulcer With McC"|0.00|$67743.00|$25421.85|$57581.55|$47420.00|$26237.23|$26237.23|$26237.23|$26237.23|$26237.23|$26237.23|$28449.91|$28449.91|$25421.85||$31678.50|$57581.55
"MS-DRG V37 (FY 2020) 381"|"Complicated Peptic Ulcer With Cc"|0.00|$107780.00|$14305.95|$91613.00|$75446.00|$25114.89|$19495.93|$39650.79|$30204.92|$35641.78|$43934.43|$17023.02|$18359.30|$14305.95||$20688.00|$91613.00
"MS-DRG V37 (FY 2020) 382"|"Complicated Peptic Ulcer Without Cc/McC"|0.00|$35886.00|$6272.59|$30503.10|$25120.00|$17669.23|$6272.59|$12757.18|$9718.10|$11467.34|$14135.40|$12341.97|$13310.80|$10372.05||$15516.00|$30503.10
"MS-DRG V37 (FY 2020) 383"|"Uncomplicated Peptic Ulcer With McC"|0.00|$34951.00|$0.00|$0.00|$24466.00||||||||||||
"MS-DRG V37 (FY 2020) 384"|"Uncomplicated Peptic Ulcer Without McC"|0.00|$43922.00|$12047.40|$37333.70|$30745.00|$21493.14|$15442.28|$32116.58|$24378.55|$29011.73|$35152.45|$14949.50|$16115.67|$12047.40||$16162.50|$37333.70
"MS-DRG V37 (FY 2020) 385"|"Inflammatory Bowel Disease With McC"|0.00|$56704.00|$20289.26|$48198.40|$39693.00|$38372.67|$20289.26|$41264.28|$31434.01|$37092.12|$45722.18|$26009.22|$28050.91|$21857.85||$32325.00|$48198.40
"MS-DRG V37 (FY 2020) 386"|"Inflammatory Bowel Disease With Cc"|0.00|$49752.00|$13412.25|$42289.20|$34826.00|$23545.95|$14410.62|$29308.32|$22326.28|$26345.03|$32474.59|$31919.16|$34424.78|$13412.25||$22627.50|$42289.20
"MS-DRG V37 (FY 2020) 387"|"Inflammatory Bowel Disease Without Cc/McC"|0.00|$62688.00|$9632.25|$53284.80|$43882.00|$16909.95|$10954.26|$22278.76|$16971.37|$20026.20|$24685.60|$11461.66|$12361.39|$9632.25||$16809.00|$53284.80
"MS-DRG V37 (FY 2020) 388"|"Gastrointestinal Obstruction With McC"|0.00|$49432.00|$10983.54|$42017.20|$34602.00|$30939.49|$10983.54|$22338.32|$17016.73|$20079.74|$24751.58|$24285.56|$26191.94|$20409.30||$30385.50|$42017.20
"MS-DRG V37 (FY 2020) 389"|"Gastrointestinal Obstruction With Cc"|0.00|$27265.00|$9287.98|$23175.25|$19086.00|$19476.66|$9287.98|$18889.87|$14389.78|$16979.95|$20930.59|$13201.40|$14237.69|$11094.30||$20688.00|$23175.25
"MS-DRG V37 (FY 2020) 390"|"Gastrointestinal Obstruction Without Cc/McC"|0.00|$29592.00|$7865.10|$25153.20|$20714.00|$13807.62|$8976.81|$18257.05|$13907.73|$16411.09|$20229.42|$9358.89|$10093.55|$7865.10||$15516.00|$25153.20
"MS-DRG V37 (FY 2020) 391"|"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC"|0.00|$45032.00|$13622.01|$38277.20|$31522.00|$29492.28|$13622.01|$27704.41|$21104.50|$24903.30|$30697.41|$19990.04|$21559.23|$16799.40||$23920.50|$38277.20
"MS-DRG V37 (FY 2020) 392"|"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC"|0.00|$23190.00|$10319.40|$23865.58|$16233.00|$18116.28|$10590.41|$21538.69|$16407.60|$19360.97|$23865.58|$12279.32|$13243.23|$10319.40||$16809.00|$19711.50
"MS-DRG V37 (FY 2020) 393"|"Other Digestive System Diagnoses With McC"|0.00|$43671.00|$20992.00|$47305.79|$30570.00|$39190.32|$20992.00|$42693.47|$32522.75|$38376.86|$47305.79|$26563.43|$28648.62|$22323.60||$27799.50|$37120.35
"MS-DRG V37 (FY 2020) 394"|"Other Digestive System Diagnoses With Cc"|0.00|$13993.00|$11894.05|$30936.78|$9795.00|$22244.82|$13728.24|$27920.48|$21269.06|$25097.49|$30936.78|$15077.67|$16261.25|$12671.10||$19395.00|$11894.05
"MS-DRG V37 (FY 2020) 395"|"Other Digestive System Diagnoses Without Cc/McC"|0.00|$28581.00|$8738.88|$24293.85|$20007.00|$15406.52|$8738.88|$17784.59|$13546.06|$15989.34|$19696.98|$10449.42|$11269.54|$8770.95||$14223.00|$24293.85
"MS-DRG V37 (FY 2020) 405"|"Pancreas, Liver And Shunt Procedures With McC"|0.00|$207276.00|$35700.00|$176184.60|$145093.00|$109149.39|$65786.18|$133796.03|$101922.19|$120268.14|$148250.44|$35700.00|$38500.00|$77361.75||$61417.50|$176184.60
"MS-DRG V37 (FY 2020) 406"|"Pancreas, Liver And Shunt Procedures With Cc"|0.00|$158301.00|$30600.00|$136831.96|$110811.00|$68184.90|$60719.23|$123490.83|$94071.98|$111004.92|$136831.96|$30600.00|$33000.00|$38839.50||$32971.50|$134555.85
"MS-DRG V37 (FY 2020) 407"|"Pancreas, Liver And Shunt Procedures Without Cc/McC"|0.00|$137528.00|$10200.00|$116898.80|$96270.00|$50149.20|$39230.82|$79787.66|$60780.07|$71720.54|$88407.41|$10200.00|$11000.00|$28566.00||$23920.50|$116898.80
"MS-DRG V37 (FY 2020) 408"|"Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With McC"|0.00|$107861.00|$0.00|$0.00|$75503.00||||||||||||
"MS-DRG V37 (FY 2020) 409"|"Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc"|0.00|$59297.00|$0.00|$0.00|$41508.00||||||||||||
"MS-DRG V37 (FY 2020) 410"|"Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/McC"|0.00|$104449.00|$0.00|$0.00|$73114.00||||||||||||
"MS-DRG V37 (FY 2020) 411"|"Cholecystectomy With C.D.E. With McC"|0.00|$102442.00|$0.00|$0.00|$71709.00||||||||||||
"MS-DRG V37 (FY 2020) 412"|"Cholecystectomy With C.D.E. With Cc"|0.00|$196759.00|$0.00|$0.00|$137731.00||||||||||||
"MS-DRG V37 (FY 2020) 413"|"Cholecystectomy With C.D.E. Without Cc/McC"|0.00|$109138.00|$10200.00|$92767.30|$76397.00|$41034.18|$38743.95|$78797.45|$60025.76|$70830.43|$87310.18|$10200.00|$11000.00|$23373.90||$23274.00|$92767.30
"MS-DRG V37 (FY 2020) 414"|"Cholecystectomy Except By Laparoscope Without C.D.E. With McC"|0.00|$175811.00|$0.00|$0.00|$123068.00||||||||||||
"MS-DRG V37 (FY 2020) 415"|"Cholecystectomy Except By Laparoscope Without C.D.E. With Cc"|0.00|$92528.00|$19091.72|$78648.80|$64770.00|$48156.03|$19091.72|$38828.76|$29578.68|$34902.83|$43023.53|$32640.44|$35202.67|$27430.65||$31678.50|$78648.80
"MS-DRG V37 (FY 2020) 416"|"Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/McC"|0.00|$65647.00|$19199.70|$105608.47|$45953.00|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$105608.47|$19199.70||$19395.00|$55799.95
"MS-DRG V37 (FY 2020) 417"|"Laparoscopic Cholecystectomy Without C.D.E. With McC"|0.00|$65141.00|$15300.00|$83644.73|$45599.00|$57436.95|$37117.40|$75489.37|$57505.76|$67856.78|$83644.73|$15300.00|$16500.00|$32717.25||$32971.50|$55369.85
"MS-DRG V37 (FY 2020) 418"|"Laparoscopic Cholecystectomy Without C.D.E. With Cc"|0.00|$72823.00|$20400.00|$70738.02|$50976.00|$40007.97|$31390.03|$63841.07|$48632.41|$57386.25|$70738.02|$20400.00|$22000.00|$22789.35||$22627.50|$61899.55
"MS-DRG V37 (FY 2020) 419"|"Laparoscopic Cholecystectomy Without C.D.E. Without Cc/McC"|0.00|$47193.00|$10200.00|$63071.85|$33035.00|$31170.24|$27988.18|$56922.37|$43361.92|$51167.03|$63071.85|$10200.00|$11000.00|$17755.20||$15516.00|$40114.05
"MS-DRG V37 (FY 2020) 420"|"Hepatobiliary Diagnostic Procedures With McC"|0.00|$68323.00|$0.00|$0.00|$47826.00||||||||||||
"MS-DRG V37 (FY 2020) 421"|"Hepatobiliary Diagnostic Procedures With Cc"|0.00|$66786.00|$10200.00|$56768.10|$46750.00|$45240.93|$22908.42|$46591.20|$35491.93|$41880.47|$51624.60|$10200.00|$11000.00|$25770.15||$24567.00|$56768.10
"MS-DRG V37 (FY 2020) 422"|"Hepatobiliary Diagnostic Procedures Without Cc/McC"|0.00|$91271.00|$0.00|$0.00|$63890.00||||||||||||
"MS-DRG V37 (FY 2020) 423"|"Other Hepatobiliary Or Pancreas O.R. Procedures With McC"|0.00|$132021.00|$54306.00|$112217.85|$92415.00|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$74668.74|$56416.50||$54306.00|$112217.85
"MS-DRG V37 (FY 2020) 424"|"Other Hepatobiliary Or Pancreas O.R. Procedures With Cc"|0.00|$78775.00|$0.00|$0.00|$55142.00||||||||||||
"MS-DRG V37 (FY 2020) 425"|"Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/McC"|0.00|$93641.00|$0.00|$0.00|$65549.00||||||||||||
"MS-DRG V37 (FY 2020) 432"|"Cirrhosis And Alcoholic Hepatitis With McC"|0.00|$42897.00|$20400.00|$50640.26|$30028.00|$44605.77|$22471.67|$45702.81|$34815.16|$41081.92|$50640.26|$20400.00|$22000.00|$25408.35||$30385.50|$36462.45
"MS-DRG V37 (FY 2020) 433"|"Cirrhosis And Alcoholic Hepatitis With Cc"|0.00|$28710.00|$13884.75|$34235.33|$20097.00|$24375.45|$15191.98|$30897.41|$23536.80|$27773.42|$34235.33|$16521.82|$17818.76|$13884.75||$21334.50|$24403.50
"MS-DRG V37 (FY 2020) 434"|"Cirrhosis And Alcoholic Hepatitis Without Cc/McC"|0.00|$29956.00|$8364.60|$25462.60|$20969.00|$14684.52|$9654.54|$19635.32|$14957.66|$17650.06|$21756.60|$9953.25|$10734.57|$8364.60||$14223.00|$25462.60
"MS-DRG V37 (FY 2020) 435"|"Malignancy Of Hepatobiliary System Or Pancreas With McC"|0.00|$20423.00|$17359.55|$59365.84|$14296.00|$41549.99|$26341.96|$53585.75|$40818.36|$48170.71|$59365.84|$25512.64|$27513.49|$23662.80||$31032.00|$17359.55
"MS-DRG V37 (FY 2020) 436"|"Malignancy Of Hepatobiliary System Or Pancreas With Cc"|0.00|$16811.00|$5270.35|$21981.00|$11768.00|$18066.50|$6413.61|$13044.01|$9936.58|$11725.15|$14453.20|$5270.35|$5270.35|$15122.70||$21981.00|$14289.35
"MS-DRG V37 (FY 2020) 437"|"Malignancy Of Hepatobiliary System Or Pancreas Without Cc/McC"|0.00|$55500.00|$0.00|$0.00|$38850.00||||||||||||
"MS-DRG V37 (FY 2020) 438"|"Disorders Of Pancreas Except Malignancy With McC"|0.00|$39479.00|$19316.66|$43566.18|$27635.00|$37840.94|$19316.66|$39337.67|$29962.13|$35367.27|$43566.18|$25673.04|$27687.99|$21550.05||$29739.00|$33557.15
"MS-DRG V37 (FY 2020) 439"|"Disorders Of Pancreas Except Malignancy With Cc"|0.00|$40492.00|$11399.40|$34418.20|$28344.00|$20020.91|$11532.38|$23506.02|$17901.99|$21136.34|$26024.20|$13594.52|$14661.32|$11399.40||$20041.50|$34418.20
"MS-DRG V37 (FY 2020) 440"|"Disorders Of Pancreas Except Malignancy Without Cc/McC"|0.00|$28304.00|$8179.65|$24058.40|$19813.00|$14359.83|$10036.59|$20412.39|$15549.61|$18348.55|$22617.60|$9733.18|$10497.22|$8179.65||$15516.00|$24058.40
"MS-DRG V37 (FY 2020) 441"|"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC"|0.00|$48729.00|$15559.01|$43828.04|$34110.00|$43828.04|$15559.01|$31643.87|$24105.44|$28444.40|$35062.44|$43828.04|$43828.04|$25429.95||$30385.50|$41419.65
"MS-DRG V37 (FY 2020) 442"|"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc"|0.00|$24488.00|$12576.60|$42069.81|$17142.00|$24651.05|$18668.49|$37967.99|$29475.75|$34099.65|$42069.81|$16571.88|$17853.50|$12576.60||$20688.00|$20814.80
"MS-DRG V37 (FY 2020) 443"|"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/McC"|0.00|$29918.00|$8947.80|$25430.30|$20943.00|$15708.36|$9337.59|$18990.76|$14466.66|$17070.66|$21042.40|$10647.22|$11483.01|$8947.80||$15516.00|$25430.30
"MS-DRG V37 (FY 2020) 444"|"Disorders Of The Biliary Tract With McC"|0.00|$9324.00|$7925.40|$51105.12|$6527.00|$39559.19|$22676.26|$46130.40|$35139.13|$41469.20|$51105.12|$10212.64|$11013.49|$22528.80||$28446.00|$7925.40
"MS-DRG V37 (FY 2020) 445"|"Disorders Of The Biliary Tract With Cc"|0.00|$50665.00|$14536.80|$51828.69|$35466.00|$25520.16|$22999.01|$46775.40|$35632.23|$42046.04|$51828.69|$15300.00|$16500.00|$14536.80||$19395.00|$43065.25
"MS-DRG V37 (FY 2020) 446"|"Disorders Of The Biliary Tract Without Cc/McC"|0.00|$2656.00|$2257.60|$19737.40|$1859.00|$19343.94|$8758.51|$17813.02|$13569.47|$16011.97|$19737.40|$13111.44|$14140.67|$11018.70||$14223.00|$2257.60
"MS-DRG V37 (FY 2020) 453"|"Combined Anterior And Posterior Spinal Fusion With McC"|0.00|$390259.00|$48487.50|$331720.15|$273181.00|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$142628.53|$124113.60||$48487.50|$331720.15
"MS-DRG V37 (FY 2020) 454"|"Combined Anterior And Posterior Spinal Fusion With Cc"|0.00|$276408.00|$24567.00|$234946.80|$193486.00|$162807.05|$98126.54|$199569.94|$152026.94|$179391.82|$221130.12|$30600.00|$33000.00|$82324.35||$24567.00|$234946.80
"MS-DRG V37 (FY 2020) 455"|"Combined Anterior And Posterior Spinal Fusion Without Cc/McC"|0.00|$180202.00|$15516.00|$153171.70|$126141.00|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$72209.95|$64678.50||$15516.00|$153171.70
"MS-DRG V37 (FY 2020) 456"|"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With McC"|0.00|$379839.00|$40800.00|$322863.15|$265887.00|$200382.56|$120773.93|$245630.23|$187114.45|$220795.07|$272166.47|$40800.00|$44000.00|$116074.35||$61417.50|$322863.15
"MS-DRG V37 (FY 2020) 457"|"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Cc"|0.00|$324935.00|$33618.00|$276194.75|$227454.00|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$97013.12|$87777.00||$33618.00|$276194.75
"MS-DRG V37 (FY 2020) 458"|"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/McC"|0.00|$188959.00|$10200.00|$160615.15|$132271.00|$111296.74|$67080.44|$136428.24|$103927.36|$122634.29|$151167.05|$10200.00|$11000.00|$67734.90||$19395.00|$160615.15
"MS-DRG V37 (FY 2020) 459"|"Spinal Fusion Except Cervical With McC"|0.00|$218238.00|$30600.00|$245867.54|$152767.00|$214519.44|$109103.76|$221895.43|$215134.10|$197001.38|$245867.54|$30600.00|$33000.00|$90879.30||$44608.50|$185502.30
"MS-DRG V37 (FY 2020) 460"|"Spinal Fusion Except Cervical Without McC"|0.00|$187923.00|$10200.00|$159734.55|$131546.00|$93204.99|$57391.89|$116723.76|$88916.99|$104922.02|$129333.80|$10200.00|$11000.00|$53091.45||$17455.50|$159734.55
"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|$105951.00|$16809.00|$90058.35|$74166.00|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$33703.75|$42446.70||$16809.00|$90058.35
"MS-DRG V37 (FY 2020) 463"|"Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With McC"|0.00|$212107.00|$64003.50|$180290.95|$148475.00|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$78793.40|$72432.90||$64003.50|$180290.95
"MS-DRG V37 (FY 2020) 464"|"Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Cc"|0.00|$131246.00|$15312.64|$151955.09|$91872.00|$111868.50|$67428.44|$137147.57|$104473.48|$123283.77|$151955.09|$15312.64|$16513.49|$40155.75||$35557.50|$111559.10
"MS-DRG V37 (FY 2020) 465"|"Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Without Cc/McC"|0.00|$82128.00|$5100.00|$69808.80|$57490.00|$43693.32|$23466.24|$47725.62|$36356.10|$42900.19|$52881.58|$5100.00|$5500.00|$24888.60||$16809.00|$69808.80
"MS-DRG V37 (FY 2020) 466"|"Revision Of Hip Or Knee Replacement With McC"|0.00|$203680.00|$45255.00|$173128.00|$142576.00|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$58934.22|$72157.50||$45255.00|$173128.00
"MS-DRG V37 (FY 2020) 467"|"Revision Of Hip Or Knee Replacement With Cc"|0.00|$154300.00|$20400.00|$131155.00|$108010.00|$84755.94|$54806.58|$111465.71|$84911.56|$100195.66|$123507.71|$20400.00|$22000.00|$48278.70||$21334.50|$131155.00
"MS-DRG V37 (FY 2020) 468"|"Revision Of Hip Or Knee Replacement Without Cc/McC"|0.00|$119985.00|$5100.00|$101987.25|$83990.00|$66454.80|$44221.60|$89937.99|$68512.33|$80844.55|$99654.27|$5100.00|$5500.00|$37854.00||$12283.50|$101987.25
"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|$126638.00|$20041.50|$107642.30|$88647.00|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$40115.36|$41639.40||$20041.50|$107642.30
"MS-DRG V37 (FY 2020) 470"|"Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without McC"|0.00|$92755.00|$5100.00|$78841.75|$64928.00|$45027.63|$32511.69|$66122.32|$50370.19|$59436.81|$73265.70|$5100.00|$5500.00|$25648.65||$11637.00|$78841.75
"MS-DRG V37 (FY 2020) 471"|"Cervical Spinal Fusion With McC"|0.00|$246393.00|$43962.00|$266274.49|$172475.00|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$266274.49|$67726.80||$43962.00|$209434.05
"MS-DRG V37 (FY 2020) 472"|"Cervical Spinal Fusion With Cc"|0.00|$145839.00|$16162.50|$123963.15|$102087.00|$35508.80|$35508.80|$35508.80|$35508.80|$35508.80|$35508.80|$46243.72|$46243.72|$41218.20||$16162.50|$123963.15
"MS-DRG V37 (FY 2020) 473"|"Cervical Spinal Fusion Without Cc/McC"|0.00|$121518.00|$5100.00|$103290.30|$85063.00|$60202.74|$38237.88|$77768.27|$59241.77|$69905.24|$86169.81|$5100.00|$5500.00|$34292.70||$10344.00|$103290.30
"MS-DRG V37 (FY 2020) 474"|"Amputation For Musculoskeletal System And Connective Tissue Disorders With McC"|0.00|$163193.00|$0.00|$0.00|$114235.00||||||||||||
"MS-DRG V37 (FY 2020) 475"|"Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc"|0.00|$16564.00|$14079.40|$53352.63|$11595.00|$51988.32|$23675.23|$48150.72|$36679.93|$43282.28|$53352.63|$35700.00|$38500.00|$29613.60||$37497.00|$14079.40
"MS-DRG V37 (FY 2020) 476"|"Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/McC"|0.00|$81590.00|$0.00|$0.00|$57113.00||||||||||||
"MS-DRG V37 (FY 2020) 477"|"Biopsies Of Musculoskeletal System And Connective Tissue With McC"|0.00|$120401.00|$31062.21|$102340.85|$84281.00|$79558.53|$31062.21|$63174.32|$48124.48|$56786.87|$69999.27|$45900.00|$49500.00|$45318.15||$52366.50|$102340.85
"MS-DRG V37 (FY 2020) 478"|"Biopsies Of Musculoskeletal System And Connective Tissue With Cc"|0.00|$92009.00|$30600.00|$78207.65|$64406.00|$55858.53|$34602.46|$70374.59|$53609.44|$63259.16|$77977.35|$30600.00|$33000.00|$31818.15||$33618.00|$78207.65
"MS-DRG V37 (FY 2020) 479"|"Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/McC"|0.00|$75372.00|$18315.63|$64066.20|$52760.00|$42880.41|$18315.63|$37250.31|$28376.28|$33484.02|$41274.58|$29064.60|$31346.12|$24425.55||$21334.50|$64066.20
"MS-DRG V37 (FY 2020) 480"|"Hip And Femur Procedures Except Major Joint With McC"|0.00|$66123.00|$35700.00|$155306.98|$46286.00|$114344.77|$68917.51|$140164.58|$106773.55|$125992.79|$155306.98|$35700.00|$38500.00|$40830.75||$40083.00|$56204.55
"MS-DRG V37 (FY 2020) 481"|"Hip And Femur Procedures Except Major Joint With Cc"|0.00|$98293.00|$15300.00|$87738.28|$68805.00|$49663.35|$38933.89|$79183.77|$60320.06|$71177.68|$87738.28|$15300.00|$16500.00|$28289.25||$27799.50|$83549.05
"MS-DRG V37 (FY 2020) 482"|"Hip And Femur Procedures Except Major Joint Without Cc/McC"|0.00|$73325.00|$21334.50|$65274.71|$51328.00|$39029.16|$28965.69|$58910.41|$44876.37|$52954.12|$65274.71|$30600.00|$33000.00|$22231.80||$21334.50|$62326.25
"MS-DRG V37 (FY 2020) 483"|"Major Joint Or Limb Reattachment Procedures Of Upper Extremities"|0.00|$105357.00|$5160.16|$89553.45|$73750.00|$56572.57|$38501.95|$78408.18|$59720.71|$70494.45|$86836.36|$5160.16|$5564.18|$32215.05||$9051.00|$89553.45
"MS-DRG V37 (FY 2020) 485"|"Knee Procedures With Principal Diagnosis Of Infection With McC"|0.00|$124085.00|$40800.00|$105472.25|$86860.00|$80760.12|$42356.74|$86145.12|$65623.00|$77435.18|$95451.66|$40800.00|$44000.00|$46002.60||$51720.00|$105472.25
"MS-DRG V37 (FY 2020) 486"|"Knee Procedures With Principal Diagnosis Of Infection With Cc"|0.00|$89920.00|$25500.00|$82670.25|$62944.00|$50917.08|$36684.96|$74609.89|$56835.84|$67066.24|$82670.25|$25500.00|$27500.00|$29003.40||$33618.00|$76432.00
"MS-DRG V37 (FY 2020) 487"|"Knee Procedures With Principal Diagnosis Of Infection Without Cc/McC"|0.00|$81722.00|$10200.00|$69463.70|$57205.00|$38875.11|$29011.42|$59003.42|$44947.18|$53037.69|$65377.69|$10200.00|$11000.00|$22144.05||$23274.00|$69463.70
"MS-DRG V37 (FY 2020) 488"|"Knee Procedures Without Principal Diagnosis Of Infection With Cc/McC"|0.00|$94816.00|$10200.00|$87447.62|$66371.00|$46798.02|$38804.93|$78921.48|$60120.25|$70941.89|$87447.62|$10200.00|$11000.00|$26657.10||$20041.50|$80593.60
"MS-DRG V37 (FY 2020) 489"|"Knee Procedures Without Principal Diagnosis Of Infection Without Cc/McC"|0.00|$62441.00|$0.00|$0.00|$43709.00||||||||||||
"MS-DRG V37 (FY 2020) 492"|"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC"|0.00|$118938.00|$15053.15|$101097.30|$83257.00|$42403.16|$15053.15|$30615.09|$23321.77|$27519.66|$33922.54|$42403.16|$42403.16|$46820.70||$40083.00|$101097.30
"MS-DRG V37 (FY 2020) 493"|"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc"|0.00|$58075.00|$25860.00|$122625.46|$40652.00|$55107.24|$54415.08|$110669.49|$84305.01|$99479.92|$122625.46|$35700.00|$38500.00|$31390.20||$25860.00|$49363.75
"MS-DRG V37 (FY 2020) 494"|"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/McC"|0.00|$15050.00|$10200.00|$63349.18|$10535.00|$43890.03|$28111.27|$57172.62|$43552.56|$51392.05|$63349.18|$10200.00|$11000.00|$25000.65||$17455.50|$12792.50
"MS-DRG V37 (FY 2020) 495"|"Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With McC"|0.00|$127778.00|$0.00|$0.00|$89445.00||||||||||||
"MS-DRG V37 (FY 2020) 496"|"Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc"|0.00|$86824.00|$15300.00|$76768.68|$60777.00|$47058.72|$34066.14|$69283.74|$52778.49|$62278.59|$76768.68|$15300.00|$16500.00|$26805.60||$21981.00|$73800.40
"MS-DRG V37 (FY 2020) 497"|"Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/McC"|0.00|$45199.00|$0.00|$0.00|$31639.00||||||||||||
"MS-DRG V37 (FY 2020) 498"|"Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/McC"|0.00|$107940.00|$10200.00|$122303.06|$75558.00|$61247.91|$54272.02|$110378.51|$84083.38|$99218.36|$122303.06|$10200.00|$11000.00|$34888.05||$36204.00|$91749.00
"MS-DRG V37 (FY 2020) 499"|"Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/McC"|0.00|$48199.00|$0.00|$0.00|$33739.00||||||||||||
"MS-DRG V37 (FY 2020) 500"|"Soft Tissue Procedures With McC"|0.00|$85519.00|$36362.94|$82500.00|$59863.00|$74747.43|$36362.94|$73954.96|$56336.90|$66477.55|$81944.57|$76500.00|$82500.00|$42577.65||$47841.00|$72691.15
"MS-DRG V37 (FY 2020) 501"|"Soft Tissue Procedures With Cc"|0.00|$63585.00|$5100.00|$94431.51|$44510.00|$41356.50|$41904.02|$85224.41|$64921.67|$76607.57|$94431.51|$5100.00|$5500.00|$23557.50||$26506.50|$54047.25
"MS-DRG V37 (FY 2020) 502"|"Soft Tissue Procedures Without Cc/McC"|0.00|$66083.00|$15516.00|$56170.55|$46258.00|$31539.96|$18864.87|$38367.37|$29227.24|$34488.13|$42512.32|$21377.97|$23056.11|$17965.80||$15516.00|$56170.55
"MS-DRG V37 (FY 2020) 503"|"Foot Procedures With McC"|0.00|$102309.00|$22146.01|$86962.65|$71616.00|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$22146.01|$35487.45||$43962.00|$86962.65
"MS-DRG V37 (FY 2020) 504"|"Foot Procedures With Cc"|0.00|$82817.00|$23347.48|$70394.45|$57972.00|$42041.43|$23347.48|$47484.07|$36172.11|$42683.05|$52613.95|$30600.00|$33000.00|$23947.65||$25213.50|$70394.45
"MS-DRG V37 (FY 2020) 505"|"Foot Procedures Without Cc/McC"|0.00|$32085.00|$5100.00|$109717.28|$22460.00|$42041.43|$48687.05|$99019.86|$75430.61|$89008.12|$109717.28|$5100.00|$5500.00|$23947.65||$25213.50|$27272.25
"MS-DRG V37 (FY 2020) 506"|"Major Thumb Or Joint Procedures"|0.00|$72154.00|$15132.88|$61330.90|$50508.00|$34974.09|$15132.88|$30777.23|$23445.30|$27665.39|$34102.23|$23705.64|$25566.50|$19921.95||$24567.00|$61330.90
"MS-DRG V37 (FY 2020) 507"|"Major Shoulder Or Elbow Joint Procedures With Cc/McC"|0.00|$76654.00|$0.00|$0.00|$53658.00||||||||||||
"MS-DRG V37 (FY 2020) 508"|"Major Shoulder Or Elbow Joint Procedures Without Cc/McC"|0.00|$59031.00|$10200.00|$117707.11|$41322.00|$33511.80|$52232.57|$106230.62|$80923.64|$95489.89|$117707.11|$10200.00|$11000.00|$19089.00||$14869.50|$50176.35
"MS-DRG V37 (FY 2020) 509"|"Arthroscopy"|0.00|$137777.00|$20400.00|$117110.45|$96444.00|$39669.06|$51210.97|$104152.89|$79340.85|$93622.26|$115404.87|$20400.00|$22000.00|$22596.30||$26506.50|$117110.45
"MS-DRG V37 (FY 2020) 510"|"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With McC"|0.00|$111260.00|$0.00|$0.00|$77882.00||||||||||||
"MS-DRG V37 (FY 2020) 511"|"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc"|0.00|$107843.00|$21981.00|$101327.79|$75490.00|$49225.58|$44964.25|$91448.35|$70215.63|$82172.70|$101327.79|$42406.66|$45713.53|$26574.75||$21981.00|$91666.55
"MS-DRG V37 (FY 2020) 512"|"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/McC"|0.00|$71210.00|$5100.00|$60528.50|$49847.00|$36881.94|$22070.27|$44886.51|$34193.35|$40348.14|$49735.77|$5100.00|$5500.00|$21008.70||$13576.50|$60528.50
"MS-DRG V37 (FY 2020) 513"|"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/McC"|0.00|$96607.00|$21046.50|$82115.95|$67625.00|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$26063.15|$21046.50||$25860.00|$82115.95
"MS-DRG V37 (FY 2020) 514"|"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/McC"|0.00|$51612.00|$0.00|$0.00|$36128.00||||||||||||
"MS-DRG V37 (FY 2020) 515"|"Other Musculoskeletal System And Connective Tissue O.R. Procedures With McC"|0.00|$120798.00|$21555.79|$102678.30|$84559.00|$60704.85|$21555.79|$43891.66|$33431.23|$39460.87|$48612.19|$50422.85|$54380.62|$42349.50||$41376.00|$102678.30
"MS-DRG V37 (FY 2020) 516"|"Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc"|0.00|$104290.00|$23920.50|$98330.67|$73003.00|$46478.07|$43634.25|$88743.44|$67602.32|$79770.74|$98330.67|$40800.00|$44000.00|$26474.85||$23920.50|$88646.50
"MS-DRG V37 (FY 2020) 517"|"Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/McC"|0.00|$77574.00|$5100.00|$65937.90|$54302.00|$33101.79|$26304.02|$53497.15|$40752.68|$48088.12|$59276.62|$5100.00|$5500.00|$18855.45||$13576.50|$65937.90
"MS-DRG V37 (FY 2020) 518"|"Back And Neck Procedures Except Spinal Fusion With McC Or Disc Device Or Neurostimulator"|0.00|$186912.00|$15419.44|$158875.20|$130838.00|$85025.85|$44382.72|$90381.16|$68832.96|$81270.57|$100060.92|$15419.44|$16627.44|$48388.05||$27153.00|$158875.20
"MS-DRG V37 (FY 2020) 519"|"Back And Neck Procedures Except Spinal Fusion With Cc"|0.00|$102358.00|$5100.00|$87004.30|$71651.00|$46397.49|$29980.12|$60973.62|$46447.99|$54808.66|$67560.75|$5100.00|$5500.00|$26428.95||$20688.00|$87004.30
"MS-DRG V37 (FY 2020) 520"|"Back And Neck Procedures Except Spinal Fusion Without Cc/McC"|0.00|$86354.00|$5100.00|$73400.90|$60448.00|$33592.38|$28860.04|$58695.61|$44712.68|$52761.00|$65036.66|$5100.00|$5500.00|$19134.90||$12930.00|$73400.90
"MS-DRG V37 (FY 2020) 533"|"Fractures Of Femur With McC"|0.00|$41185.00|$0.00|$0.00|$28830.00||||||||||||
"MS-DRG V37 (FY 2020) 534"|"Fractures Of Femur Without McC"|0.00|$36558.00|$0.00|$0.00|$25591.00||||||||||||
"MS-DRG V37 (FY 2020) 535"|"Fractures Of Hip And Pelvis With McC"|0.00|$30141.00|$9330.04|$26281.75|$21099.00|$26281.75|$9330.04|$18975.44|$14454.96|$17056.85|$21025.40|$19819.76|$21375.59|$16656.30||$24567.00|$25619.85
"MS-DRG V37 (FY 2020) 536"|"Fractures Of Hip And Pelvis Without McC"|0.00|$15802.00|$10416.60|$30650.22|$11061.00|$18286.92|$13601.08|$27661.82|$21072.02|$24865.00|$30650.22|$24789.96|$26735.94|$10416.60||$18748.50|$13431.70
"MS-DRG V37 (FY 2020) 537"|"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC"|0.00|$40195.00|$0.00|$0.00|$28136.00||||||||||||
"MS-DRG V37 (FY 2020) 538"|"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/McC"|0.00|$19973.00|$9738.90|$46859.18|$13981.00|$17097.18|$20793.82|$42290.43|$32215.70|$38014.52|$46859.18|$11588.57|$12498.26|$9738.90||$16809.00|$16977.05
"MS-DRG V37 (FY 2020) 539"|"Osteomyelitis With McC"|0.00|$105687.00|$0.00|$0.00|$73981.00||||||||||||
"MS-DRG V37 (FY 2020) 540"|"Osteomyelitis With Cc"|0.00|$38243.00|$8357.52|$32506.55|$26770.00|$23542.25|$8357.52|$16997.51|$12948.24|$15278.90|$18833.79|$20807.70|$22441.07|$17486.55||$27799.50|$32506.55
"MS-DRG V37 (FY 2020) 541"|"Osteomyelitis Without Cc/McC"|0.00|$22032.00|$6259.09|$20041.50|$15422.00|$17631.24|$6259.09|$12729.74|$9697.18|$11442.70|$14105.00|$13503.40|$14563.40|$11348.10||$20041.50|$18727.20
"MS-DRG V37 (FY 2020) 542"|"Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With McC"|0.00|$67660.00|$24196.85|$57511.00|$47362.00|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24196.85|$24371.55||$32325.00|$57511.00
"MS-DRG V37 (FY 2020) 543"|"Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc"|0.00|$50580.00|$14084.55|$47478.43|$35406.00|$24726.21|$21068.58|$42849.27|$32641.43|$38516.87|$47478.43|$16759.57|$18075.17|$14084.55||$22627.50|$42993.00
"MS-DRG V37 (FY 2020) 544"|"Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/McC"|0.00|$30073.00|$0.00|$0.00|$21051.00||||||||||||
"MS-DRG V37 (FY 2020) 545"|"Connective Tissue Disorders With McC"|0.00|$90604.00|$27438.03|$77013.40|$63423.00|$59238.15|$27438.03|$55803.42|$42509.55|$50161.22|$61832.05|$35700.00|$38500.00|$33743.25||$35557.50|$77013.40
"MS-DRG V37 (FY 2020) 546"|"Connective Tissue Disorders With Cc"|0.00|$46614.00|$10620.04|$39621.90|$32630.00|$28596.42|$10620.04|$21598.99|$16453.54|$19415.20|$23932.42|$19382.82|$20904.35|$16289.10||$22627.50|$39621.90
"MS-DRG V37 (FY 2020) 547"|"Connective Tissue Disorders Without Cc/McC"|0.00|$41784.00|$11245.50|$35516.40|$29249.00|$19742.10|$13790.28|$28046.66|$21365.18|$25210.89|$31076.60|$26762.62|$28863.46|$11245.50||$16162.50|$35516.40
"MS-DRG V37 (FY 2020) 548"|"Septic Arthritis With McC"|0.00|$76872.00|$0.00|$0.00|$53810.00||||||||||||
"MS-DRG V37 (FY 2020) 549"|"Septic Arthritis With Cc"|0.00|$34329.00|$12186.68|$29551.53|$24030.00|$29551.53|$12186.68|$24785.29|$18880.78|$22279.29|$27462.93|$20030.20|$21602.54|$16833.15||$25860.00|$29179.65
"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|$53936.00|$13506.21|$45845.60|$37755.00|$38045.40|$13506.21|$27468.79|$20924.99|$24691.47|$30436.31|$26073.48|$28120.21|$21911.85||$27799.50|$45845.60
"MS-DRG V37 (FY 2020) 552"|"Medical Back Problems Without McC"|0.00|$23679.00|$12717.00|$35521.47|$16575.00|$22325.40|$15762.67|$32058.13|$24421.02|$28816.80|$35521.47|$15132.29|$16320.15|$12717.00||$18748.50|$20127.15
"MS-DRG V37 (FY 2020) 553"|"Bone Diseases And Arthropathies With McC"|0.00|$27164.00|$17122.05|$1287041.40|$19015.00|$948000.60|$571124.67|$1161554.83|$885413.96|$1044081.75|$1287041.40|$27165.52|$29276.30|$17122.05||$25213.50|$23089.40
"MS-DRG V37 (FY 2020) 554"|"Bone Diseases And Arthropathies Without McC"|0.00|$20176.00|$5100.00|$69872.84|$14123.00|$45027.63|$31006.08|$63060.23|$48037.62|$56684.36|$69872.84|$5100.00|$5500.00|$10670.40||$18102.00|$17149.60
"MS-DRG V37 (FY 2020) 555"|"Signs And Symptoms Of Musculoskeletal System And Connective Tissue With McC"|0.00|$54406.00|$0.00|$0.00|$38084.00||||||||||||
"MS-DRG V37 (FY 2020) 556"|"Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without McC"|0.00|$32129.00|$10885.05|$35656.20|$22490.00|$19109.31|$15822.46|$32179.72|$24513.65|$28926.09|$35656.20|$12952.40|$13969.15|$10885.05||$16809.00|$27309.65
"MS-DRG V37 (FY 2020) 557"|"Tendonitis, Myositis And Bursitis With McC"|0.00|$58240.00|$18817.65|$61495.02|$40768.00|$33035.43|$21830.77|$44399.40|$33822.27|$39910.26|$49196.02|$29546.00|$61495.02|$18817.65||$29739.00|$49504.00
"MS-DRG V37 (FY 2020) 558"|"Tendonitis, Myositis And Bursitis Without McC"|0.00|$23260.00|$9161.68|$23836.03|$16282.00|$22913.84|$9161.68|$18633.01|$14746.87|$16719.61|$20646.01|$23729.16|$23836.03|$11587.05||$20041.50|$19771.00
"MS-DRG V37 (FY 2020) 559"|"Aftercare, Musculoskeletal System And Connective Tissue With McC"|0.00|$42309.00|$14271.18|$40200.49|$29616.00|$40200.49|$14271.18|$29024.76|$22110.28|$26090.12|$32160.39|$20856.00|$20856.00|$25216.65||$31032.00|$35962.65
"MS-DRG V37 (FY 2020) 560"|"Aftercare, Musculoskeletal System And Connective Tissue With Cc"|0.00|$44894.00|$9972.94|$38159.90|$31426.00|$25510.68|$9972.94|$20282.96|$15451.01|$18232.20|$22474.20|$14910.00|$14910.00|$14531.40||$23920.50|$38159.90
"MS-DRG V37 (FY 2020) 561"|"Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC"|0.00|$25624.00|$7188.77|$21780.40|$17937.00|$18749.07|$7188.77|$14620.49|$11137.50|$13142.27|$16200.00|$11838.23|$11838.23|$10679.85||$17455.50|$21780.40
"MS-DRG V37 (FY 2020) 562"|"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With McC"|0.00|$31398.00|$0.00|$0.00|$21979.00||||||||||||
"MS-DRG V37 (FY 2020) 563"|"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without McC"|0.00|$36363.00|$9562.82|$30908.55|$25454.00|$20637.96|$9562.82|$19448.85|$14815.64|$17482.43|$21549.99|$13988.53|$15086.61|$11755.80||$19395.00|$30908.55
"MS-DRG V37 (FY 2020) 564"|"Other Musculoskeletal System And Connective Tissue Diagnoses With McC"|0.00|$51407.00|$15371.47|$43695.95|$35985.00|$35877.06|$15371.47|$31262.41|$23814.87|$28101.56|$34639.80|$24317.68|$26226.59|$20436.30||$29739.00|$43695.95
"MS-DRG V37 (FY 2020) 565"|"Other Musculoskeletal System And Connective Tissue Diagnoses With Cc"|0.00|$32868.00|$13081.90|$27937.80|$23008.00|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13081.90|$13585.05||$21981.00|$27937.80
"MS-DRG V37 (FY 2020) 566"|"Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC"|0.00|$26504.00|$9759.67|$22528.40|$18553.00|$17810.55|$9759.67|$19849.23|$15120.60|$17842.30|$21993.60|$16979.47|$16979.47|$10145.25||$16162.50|$22528.40
"MS-DRG V37 (FY 2020) 570"|"Skin Debridement With McC"|0.00|$76886.00|$25500.00|$67220.31|$53820.00|$67220.31|$27328.76|$55581.16|$42340.23|$49961.44|$61585.78|$25500.00|$27500.00|$38290.05||$47194.50|$65353.10
"MS-DRG V37 (FY 2020) 571"|"Skin Debridement With Cc"|0.00|$56603.00|$14384.02|$48112.55|$39622.00|$38697.36|$14384.02|$29254.24|$22285.09|$26296.40|$32414.66|$26229.30|$28288.26|$22042.80||$31032.00|$48112.55
"MS-DRG V37 (FY 2020) 572"|"Skin Debridement Without Cc/McC"|0.00|$42997.00|$14102.32|$36547.45|$30098.00|$26131.62|$14102.32|$28681.29|$21848.62|$25781.37|$31779.80|$17712.17|$19102.55|$14885.10||$19395.00|$36547.45
"MS-DRG V37 (FY 2020) 573"|"Skin Graft For Skin Ulcer Or Cellulitis With McC"|0.00|$105608.00|$0.00|$0.00|$73926.00||||||||||||
"MS-DRG V37 (FY 2020) 574"|"Skin Graft For Skin Ulcer Or Cellulitis With Cc"|0.00|$99617.00|$0.00|$0.00|$69732.00||||||||||||
"MS-DRG V37 (FY 2020) 575"|"Skin Graft For Skin Ulcer Or Cellulitis Without Cc/McC"|0.00|$41464.00|$0.00|$0.00|$29025.00||||||||||||
"MS-DRG V37 (FY 2020) 576"|"Skin Graft Except For Skin Ulcer Or Cellulitis With McC"|0.00|$124161.00|$0.00|$0.00|$86913.00||||||||||||
"MS-DRG V37 (FY 2020) 577"|"Skin Graft Except For Skin Ulcer Or Cellulitis With Cc"|0.00|$149600.00|$0.00|$0.00|$104720.00||||||||||||
"MS-DRG V37 (FY 2020) 578"|"Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/McC"|0.00|$90235.00|$12510.51|$76699.75|$63164.00|$35240.83|$12510.51|$25443.86|$19382.45|$22871.32|$28192.67|$26195.56|$28251.88|$21528.45||$18102.00|$76699.75
"MS-DRG V37 (FY 2020) 579"|"Other Skin, Subcutaneous Tissue And Breast Procedures With McC"|0.00|$102330.00|$22562.98|$86980.50|$71631.00|$63557.58|$22562.98|$45888.57|$34956.68|$41248.89|$50846.07|$25500.00|$27500.00|$39525.30||$45255.00|$86980.50
"MS-DRG V37 (FY 2020) 580"|"Other Skin, Subcutaneous Tissue And Breast Procedures With Cc"|0.00|$65967.00|$20497.17|$56071.95|$46177.00|$37927.11|$20497.17|$41687.15|$31756.13|$37472.23|$46190.72|$25707.22|$27725.20|$21641.85||$25860.00|$56071.95
"MS-DRG V37 (FY 2020) 581"|"Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/McC"|0.00|$102784.00|$10200.00|$87366.40|$71949.00|$29674.77|$38366.62|$78030.06|$59441.22|$70140.63|$86459.91|$10200.00|$11000.00|$17008.65||$14869.50|$87366.40
"MS-DRG V37 (FY 2020) 582"|"Mastectomy For Malignancy With Cc/McC"|0.00|$113231.00|$13800.99|$96246.35|$79262.00|$38768.46|$13800.99|$28068.43|$21381.78|$25230.50|$31100.76|$26277.49|$28340.24|$22161.60||$14869.50|$96246.35
"MS-DRG V37 (FY 2020) 583"|"Mastectomy For Malignancy Without Cc/McC"|0.00|$71954.00|$10990.50|$154601.65|$50368.00|$113825.47|$68604.53|$139527.98|$106288.66|$125420.62|$154601.65|$15300.00|$16500.00|$20811.60||$10990.50|$61160.90
"MS-DRG V37 (FY 2020) 584"|"Breast Biopsy, Local Excision And Other Breast Procedures With Cc/McC"|0.00|$191148.00|$15300.00|$162475.80|$133804.00|$43235.91|$53974.37|$109773.20|$83622.23|$98674.27|$121632.36|$15300.00|$16500.00|$24709.05||$21981.00|$162475.80
"MS-DRG V37 (FY 2020) 585"|"Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/McC"|0.00|$85578.00|$5100.00|$72741.30|$59905.00|$41157.42|$30380.89|$61788.70|$47068.97|$55541.38|$68463.94|$5100.00|$5500.00|$23521.05||$14223.00|$72741.30
"MS-DRG V37 (FY 2020) 592"|"Skin Ulcers With McC"|0.00|$59798.00|$0.00|$0.00|$41859.00||||||||||||
"MS-DRG V37 (FY 2020) 593"|"Skin Ulcers With Cc"|0.00|$40253.00|$0.00|$0.00|$28177.00||||||||||||
"MS-DRG V37 (FY 2020) 594"|"Skin Ulcers Without Cc/McC"|0.00|$24209.00|$0.00|$0.00|$16946.00||||||||||||
"MS-DRG V37 (FY 2020) 595"|"Major Skin Disorders With McC"|0.00|$47063.00|$0.00|$0.00|$32944.00||||||||||||
"MS-DRG V37 (FY 2020) 596"|"Major Skin Disorders Without McC"|0.00|$31385.00|$8272.13|$26677.25|$21970.00|$23301.75|$8272.13|$16823.88|$12815.97|$15122.85|$18641.40|$15890.51|$17137.89|$13354.20||$21334.50|$26677.25
"MS-DRG V37 (FY 2020) 597"|"Malignant Breast Disorders With McC"|0.00|$71044.00|$13337.21|$60387.40|$49731.00|$37569.50|$13337.21|$27125.17|$20663.21|$24382.60|$30055.59|$26291.95|$28355.83|$22095.45||$29739.00|$60387.40
"MS-DRG V37 (FY 2020) 598"|"Malignant Breast Disorders With Cc"|0.00|$51390.00|$13883.99|$43681.50|$35973.00|$26335.44|$13883.99|$28237.27|$21510.37|$25382.26|$31287.80|$17850.32|$19251.54|$15001.20||$21334.50|$43681.50
"MS-DRG V37 (FY 2020) 599"|"Malignant Breast Disorders Without Cc/McC"|0.00|$42915.00|$9061.20|$36477.75|$30040.00|$15907.44|$15234.99|$30984.86|$23603.41|$27852.05|$34332.25|$10782.16|$11628.54|$9061.20||$16162.50|$36477.75
"MS-DRG V37 (FY 2020) 600"|"Non-Malignant Breast Disorders With Cc/McC"|0.00|$27846.00|$0.00|$0.00|$19492.00||||||||||||
"MS-DRG V37 (FY 2020) 601"|"Non-Malignant Breast Disorders Without Cc/McC"|0.00|$17436.00|$2779.84|$18102.00|$12205.00|$7830.49|$2779.84|$5653.61|$4306.77|$5082.01|$6264.39|$7830.49|$7830.49|$9282.60||$18102.00|$14820.60
"MS-DRG V37 (FY 2020) 602"|"Cellulitis With McC"|0.00|$40182.00|$12363.04|$34154.70|$28127.00|$34056.05|$12363.04|$25195.30|$19188.85|$22654.84|$27896.00|$23107.62|$24921.19|$19394.10||$29739.00|$34154.70
"MS-DRG V37 (FY 2020) 603"|"Cellulitis Without McC"|0.00|$27619.00|$7581.83|$23476.15|$19333.00|$20170.21|$7581.83|$15903.23|$12066.15|$14374.69|$17379.41|$13913.23|$15001.31|$11404.80||$20688.00|$23476.15
"MS-DRG V37 (FY 2020) 604"|"Trauma To The Skin, Subcutaneous Tissue And Breast With McC"|0.00|$48755.00|$0.00|$0.00|$34128.00||||||||||||
"MS-DRG V37 (FY 2020) 605"|"Trauma To The Skin, Subcutaneous Tissue And Breast Without McC"|0.00|$33781.00|$6672.97|$28713.85|$23647.00|$18796.98|$6672.97|$13571.41|$10338.34|$12199.25|$15037.61|$14605.39|$15751.89|$12274.20||$17455.50|$28713.85
"MS-DRG V37 (FY 2020) 606"|"Minor Skin Disorders With McC"|0.00|$53819.00|$0.00|$0.00|$37673.00||||||||||||
"MS-DRG V37 (FY 2020) 607"|"Minor Skin Disorders Without McC"|0.00|$21604.00|$8943.35|$20154.00|$15123.00|$19566.72|$8943.35|$18188.99|$13855.88|$16349.95|$20154.00|$13262.44|$14303.52|$11145.60||$18748.50|$18363.40
"MS-DRG V37 (FY 2020) 614"|"Adrenal And Pituitary Procedures With Cc/McC"|0.00|$181229.00|$20688.00|$154044.65|$126860.00|$106773.04|$64353.90|$130883.10|$99703.19|$117649.78|$145022.81|$45900.00|$49500.00|$32221.80||$20688.00|$154044.65
"MS-DRG V37 (FY 2020) 615"|"Adrenal And Pituitary Procedures Without Cc/McC"|0.00|$115685.00|$10200.00|$98332.25|$80980.00|$37306.17|$43544.49|$88560.88|$67463.27|$79606.67|$98128.37|$10200.00|$11000.00|$21250.35||$11637.00|$98332.25
"MS-DRG V37 (FY 2020) 616"|"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With McC"|0.00|$143019.00|$53105.07|$121566.15|$100113.00|$94534.56|$53105.07|$108005.18|$82275.41|$97084.96|$119673.31|$66300.00|$71500.00|$53848.80||$64650.00|$121566.15
"MS-DRG V37 (FY 2020) 617"|"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc"|0.00|$51312.00|$21124.22|$48208.17|$35918.00|$48208.17|$21124.22|$42962.41|$32727.61|$38618.56|$47603.76|$32675.78|$35240.78|$27460.35||$37497.00|$43615.20
"MS-DRG V37 (FY 2020) 618"|"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/McC"|0.00|$88802.00|$0.00|$0.00|$62161.00||||||||||||
"MS-DRG V37 (FY 2020) 619"|"O.R. Procedures For Obesity With McC"|0.00|$138173.00|$5100.00|$117447.05|$96721.00|$72548.07|$49510.45|$100694.47|$76706.33|$90513.47|$111572.85|$5100.00|$5500.00|$41324.85||$18102.00|$117447.05
"MS-DRG V37 (FY 2020) 620"|"O.R. Procedures For Obesity With Cc"|0.00|$114593.00|$10200.00|$102373.15|$80215.00|$41738.07|$45428.10|$92391.78|$70381.53|$83050.22|$102373.15|$10200.00|$11000.00|$23774.85||$11637.00|$97404.05
"MS-DRG V37 (FY 2020) 621"|"O.R. Procedures For Obesity Without Cc/McC"|0.00|$82181.00|$9051.00|$69853.85|$57527.00|$37851.94|$29018.18|$59040.10|$44971.57|$53076.55|$65400.53|$10225.28|$11026.98|$21551.40||$9051.00|$69853.85
"MS-DRG V37 (FY 2020) 622"|"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With McC"|0.00|$112185.00|$0.00|$0.00|$78530.00||||||||||||
"MS-DRG V37 (FY 2020) 623"|"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc"|0.00|$57202.00|$20433.29|$48621.70|$40041.00|$44387.73|$20433.29|$41557.30|$31657.24|$37355.50|$46046.86|$30086.27|$32447.99|$25284.15||$34264.50|$48621.70
"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|$113598.00|$0.00|$0.00|$79519.00||||||||||||
"MS-DRG V37 (FY 2020) 626"|"Thyroid, Parathyroid And Thyroglossal Procedures With Cc"|0.00|$147564.00|$10200.00|$129506.16|$103295.00|$39159.51|$57468.39|$116879.28|$89035.47|$105061.86|$129506.16|$10200.00|$11000.00|$22306.05||$14869.50|$125429.40
"MS-DRG V37 (FY 2020) 627"|"Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/McC"|0.00|$68055.00|$9051.00|$110444.18|$47638.00|$28008.66|$49009.63|$99675.88|$75930.39|$89597.88|$110444.18|$10200.00|$11000.00|$15954.30||$9051.00|$57846.75
"MS-DRG V37 (FY 2020) 628"|"Other Endocrine, Nutritional And Metabolic O.R. Procedures With McC"|0.00|$83798.00|$41504.63|$71228.30|$58659.00|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$41504.63|$49924.35||$47841.00|$71228.30
"MS-DRG V37 (FY 2020) 629"|"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc"|0.00|$66583.00|$27621.07|$62244.49|$46608.00|$55619.16|$27621.07|$56175.65|$42793.10|$50495.87|$62244.49|$35700.00|$38500.00|$31681.80||$39436.50|$56595.55
"MS-DRG V37 (FY 2020) 630"|"Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/McC"|0.00|$62687.00|$15516.00|$163125.73|$43881.00|$163125.73|$57909.67|$117776.79|$89719.16|$105868.60|$130500.57|$43000.44|$46374.54|$18993.15||$15516.00|$53283.95
"MS-DRG V37 (FY 2020) 637"|"Diabetes With McC"|0.00|$50159.00|$15245.38|$42944.53|$35111.00|$32580.39|$15245.38|$31005.95|$23619.51|$27871.01|$34355.64|$42944.53|$42944.53|$18558.45||$24567.00|$42635.15
"MS-DRG V37 (FY 2020) 638"|"Diabetes With Cc"|0.00|$32454.00|$11871.90|$30471.22|$22718.00|$20841.78|$12879.20|$26193.63|$19953.60|$23545.28|$29023.40|$28253.36|$30471.22|$11871.90||$18748.50|$27585.90
"MS-DRG V37 (FY 2020) 639"|"Diabetes Without Cc/McC"|0.00|$24257.00|$8225.55|$27272.60|$16980.00|$14440.41|$12102.24|$24613.51|$18749.91|$22124.90|$27272.60|$19575.60|$21112.24|$8225.55||$13576.50|$20618.45
"MS-DRG V37 (FY 2020) 640"|"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With McC"|0.00|$9567.00|$8131.95|$49086.19|$6697.00|$29098.86|$21782.04|$44300.30|$33746.76|$39821.18|$49086.19|$19723.38|$11000.00|$16575.30||$21334.50|$8131.95
"MS-DRG V37 (FY 2020) 641"|"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without McC"|0.00|$15722.00|$8175.49|$18423.59|$11005.00|$17846.10|$8175.49|$16627.29|$12666.20|$14946.18|$18423.59|$12096.19|$13045.73|$10165.50||$16809.00|$13363.70
"MS-DRG V37 (FY 2020) 642"|"Inborn And Other Disorders Of Metabolism"|0.00|$62226.00|$11737.85|$52892.10|$43558.00|$30522.38|$11737.85|$23883.88|$18192.30|$21471.96|$26455.20|$20695.04|$22319.43|$17381.25||$21334.50|$52892.10
"MS-DRG V37 (FY 2020) 643"|"Endocrine Disorders With McC"|0.00|$92258.00|$16536.86|$78419.30|$64581.00|$39420.21|$16536.86|$33632.66|$25620.42|$30232.14|$37266.07|$46582.61|$46582.61|$22454.55||$32325.00|$78419.30
"MS-DRG V37 (FY 2020) 644"|"Endocrine Disorders With Cc"|0.00|$51069.00|$13747.05|$43408.65|$35748.00|$24133.71|$14441.95|$29372.03|$22374.83|$26402.30|$32545.20|$16357.97|$17642.05|$13747.05||$22627.50|$43408.65
"MS-DRG V37 (FY 2020) 645"|"Endocrine Disorders Without Cc/McC"|0.00|$27030.00|$10365.30|$37919.93|$18921.00|$18196.86|$16826.99|$34222.75|$26069.97|$30762.54|$37919.93|$12333.94|$13302.14|$10365.30||$17455.50|$22975.50
"MS-DRG V37 (FY 2020) 652"|"Kidney Transplant"|0.00|$222409.00|$0.00|$0.00|$155686.00||||||||||||
"MS-DRG V37 (FY 2020) 653"|"Major Bladder Procedures With McC"|0.00|$237464.00|$65943.00|$201844.40|$166225.00|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$94720.27|$73564.20||$65943.00|$201844.40
"MS-DRG V37 (FY 2020) 654"|"Major Bladder Procedures With Cc"|0.00|$177974.00|$25500.00|$151277.90|$124582.00|$68734.74|$62784.18|$127690.60|$97271.22|$114780.04|$141485.41|$25500.00|$27500.00|$39152.70||$36204.00|$151277.90
"MS-DRG V37 (FY 2020) 655"|"Major Bladder Procedures Without Cc/McC"|0.00|$39242.00|$5100.00|$94893.05|$27469.00|$49298.37|$42108.80|$85640.97|$65238.99|$76981.96|$94893.05|$5100.00|$5500.00|$28081.35||$23274.00|$33355.70
"MS-DRG V37 (FY 2020) 656"|"Kidney And Ureter Procedures For Neoplasm With McC"|0.00|$177632.00|$36204.00|$150987.20|$124342.00|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$37496.90|$44302.95||$36204.00|$150987.20
"MS-DRG V37 (FY 2020) 657"|"Kidney And Ureter Procedures For Neoplasm With Cc"|0.00|$123401.00|$10200.00|$104890.85|$86381.00|$45838.17|$41872.88|$85161.12|$64873.42|$76550.63|$94361.32|$10200.00|$11000.00|$26110.35||$20688.00|$104890.85
"MS-DRG V37 (FY 2020) 658"|"Kidney And Ureter Procedures For Neoplasm Without Cc/McC"|0.00|$116003.00|$10200.00|$98602.55|$81202.00|$37424.67|$38537.21|$78377.07|$59705.55|$70452.52|$86844.37|$10200.00|$11000.00|$21317.85||$13576.50|$98602.55
"MS-DRG V37 (FY 2020) 659"|"Kidney And Ureter Procedures For Non-Neoplasm With McC"|0.00|$100884.00|$10200.00|$85751.40|$70619.00|$63155.76|$24673.67|$50181.31|$38226.76|$45107.59|$55602.57|$10200.00|$11000.00|$35974.80||$38143.50|$85751.40
"MS-DRG V37 (FY 2020) 660"|"Kidney And Ureter Procedures For Non-Neoplasm With Cc"|0.00|$32784.00|$19485.90|$45600.26|$22949.00|$34208.58|$20235.15|$41154.30|$31350.19|$36993.26|$45600.26|$23186.78|$25006.91|$19485.90||$20041.50|$27866.40
"MS-DRG V37 (FY 2020) 661"|"Kidney And Ureter Procedures For Non-Neoplasm Without Cc/McC"|0.00|$30819.00|$12283.50|$35734.77|$21573.00|$25226.28|$15857.32|$32250.60|$24567.65|$28989.82|$35734.77|$17098.52|$18440.73|$14369.40||$12283.50|$26196.15
"MS-DRG V37 (FY 2020) 662"|"Minor Bladder Procedures With McC"|0.00|$75063.00|$0.00|$0.00|$52544.00||||||||||||
"MS-DRG V37 (FY 2020) 663"|"Minor Bladder Procedures With Cc"|0.00|$84881.00|$21531.15|$72148.85|$59417.00|$37799.13|$30214.86|$61450.95|$46811.67|$55237.77|$68089.71|$45900.00|$49500.00|$21531.15||$23920.50|$72148.85
"MS-DRG V37 (FY 2020) 664"|"Minor Bladder Procedures Without Cc/McC"|0.00|$62301.00|$0.00|$0.00|$43611.00||||||||||||
"MS-DRG V37 (FY 2020) 665"|"Prostatectomy With McC"|0.00|$118331.00|$40995.45|$100581.35|$82832.00|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$44741.23|$40995.45||$49134.00|$100581.35
"MS-DRG V37 (FY 2020) 666"|"Prostatectomy With Cc"|0.00|$74554.00|$0.00|$0.00|$52188.00||||||||||||
"MS-DRG V37 (FY 2020) 667"|"Prostatectomy Without Cc/McC"|0.00|$51849.00|$12930.00|$44071.65|$36294.00|$23579.13|$17153.49|$34886.76|$26575.75|$31359.44|$38655.68|$15982.07|$17236.64|$13431.15||$12930.00|$44071.65
"MS-DRG V37 (FY 2020) 668"|"Transurethral Procedures With McC"|0.00|$131614.00|$0.00|$0.00|$92130.00||||||||||||
"MS-DRG V37 (FY 2020) 669"|"Transurethral Procedures With Cc"|0.00|$65241.00|$19354.51|$55454.85|$45669.00|$36306.03|$19354.51|$39363.21|$29985.81|$35383.27|$43615.74|$24608.44|$26540.17|$20680.65||$23920.50|$55454.85
"MS-DRG V37 (FY 2020) 670"|"Transurethral Procedures Without Cc/McC"|0.00|$48654.00|$0.00|$0.00|$34058.00||||||||||||
"MS-DRG V37 (FY 2020) 671"|"Urethral Procedures With Cc/McC"|0.00|$93200.00|$20400.00|$79527.49|$65240.00|$42107.79|$35290.37|$71773.60|$54675.14|$64516.69|$79527.49|$20400.00|$22000.00|$23985.45||$25213.50|$79220.00
"MS-DRG V37 (FY 2020) 672"|"Urethral Procedures Without Cc/McC"|0.00|$69959.00|$0.00|$0.00|$48971.00||||||||||||
"MS-DRG V37 (FY 2020) 673"|"Other Kidney And Urinary Tract Procedures With McC"|0.00|$104938.00|$36840.00|$89197.30|$73457.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$36840.00|$46751.85||$49780.50|$89197.30
"MS-DRG V37 (FY 2020) 674"|"Other Kidney And Urinary Tract Procedures With Cc"|0.00|$89215.00|$10200.00|$75832.75|$62450.00|$56415.48|$31512.18|$64089.49|$48821.66|$57609.51|$71013.28|$10200.00|$11000.00|$32135.40||$38143.50|$75832.75
"MS-DRG V37 (FY 2020) 675"|"Other Kidney And Urinary Tract Procedures Without Cc/McC"|0.00|$54838.00|$0.00|$0.00|$38387.00||||||||||||
"MS-DRG V37 (FY 2020) 682"|"Renal Failure With McC"|0.00|$51129.00|$15048.82|$43459.65|$35790.00|$35295.27|$15048.82|$31846.92|$24126.75|$28845.24|$34622.40|$24558.60|$26475.17|$19847.70||$27799.50|$43459.65
"MS-DRG V37 (FY 2020) 683"|"Renal Failure With Cc"|0.00|$16302.00|$9849.05|$22195.00|$11411.00|$20810.97|$9849.05|$20031.00|$15259.08|$18005.70|$22195.00|$14105.80|$15213.08|$11854.35||$20041.50|$13856.70
"MS-DRG V37 (FY 2020) 684"|"Renal Failure Without Cc/McC"|0.00|$16278.00|$8201.25|$19823.59|$11395.00|$14397.75|$8796.75|$17890.79|$13628.72|$16081.91|$19823.59|$9758.88|$10524.94|$8201.25||$14223.00|$13836.30
"MS-DRG V37 (FY 2020) 686"|"Kidney And Urinary Tract Neoplasms With McC"|0.00|$58786.00|$24351.60|$49968.10|$41150.00|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$24351.60|$25288.20||$32325.00|$49968.10
"MS-DRG V37 (FY 2020) 687"|"Kidney And Urinary Tract Neoplasms With Cc"|0.00|$41865.00|$2536.66|$35585.25|$29306.00|$7145.50|$2536.66|$5159.05|$3930.03|$4637.43|$5716.40|$7145.50|$7145.50|$14145.30||$21334.50|$35585.25
"MS-DRG V37 (FY 2020) 688"|"Kidney And Urinary Tract Neoplasms Without Cc/McC"|0.00|$29110.00|$9251.55|$24743.50|$20377.00|$16241.61|$10333.90|$21017.05|$16010.23|$18892.07|$23287.60|$11008.66|$11872.82|$9251.55||$12283.50|$24743.50
"MS-DRG V37 (FY 2020) 689"|"Kidney And Urinary Tract Infections With McC"|0.00|$19924.00|$15002.55|$24567.00|$13947.00|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15496.47|$15002.55||$24567.00|$16935.40
"MS-DRG V37 (FY 2020) 690"|"Kidney And Urinary Tract Infections Without McC"|0.00|$16636.00|$8889.65|$20032.98|$11645.00|$18775.14|$8889.65|$18079.76|$13772.69|$16251.74|$20032.98|$12725.90|$13724.87|$10694.70||$18748.50|$14140.60
"MS-DRG V37 (FY 2020) 693"|"Urinary Stones With McC"|0.00|$36285.00|$0.00|$0.00|$25400.00||||||||||||
"MS-DRG V37 (FY 2020) 694"|"Urinary Stones Without McC"|0.00|$28233.00|$9845.55|$23998.05|$19763.00|$17293.04|$9995.70|$20340.66|$15493.19|$18286.99|$22529.21|$11728.12|$12648.61|$9845.55||$13576.50|$23998.05
"MS-DRG V37 (FY 2020) 695"|"Kidney And Urinary Tract Signs And Symptoms With McC"|0.00|$24936.00|$0.00|$0.00|$17455.00||||||||||||
"MS-DRG V37 (FY 2020) 696"|"Kidney And Urinary Tract Signs And Symptoms Without McC"|0.00|$20300.00|$9310.95|$22273.98|$14210.00|$16345.89|$9884.15|$20102.29|$15313.38|$18069.80|$22273.98|$11079.34|$11949.05|$9310.95||$14869.50|$17255.00
"MS-DRG V37 (FY 2020) 697"|"Urethral Stricture"|0.00|$19888.00|$0.00|$0.00|$13922.00||||||||||||
"MS-DRG V37 (FY 2020) 698"|"Other Kidney And Urinary Tract Diagnoses With McC"|0.00|$11759.00|$9995.15|$38478.86|$8231.00|$38078.79|$17075.02|$34727.16|$26454.22|$31215.99|$38478.86|$24395.54|$24395.54|$21690.45||$30385.50|$9995.15
"MS-DRG V37 (FY 2020) 699"|"Other Kidney And Urinary Tract Diagnoses With Cc"|0.00|$12007.00|$10205.95|$27098.38|$8405.00|$24297.24|$12024.92|$24456.28|$18630.16|$21983.55|$27098.38|$16468.81|$17761.59|$13840.20||$21334.50|$10205.95
"MS-DRG V37 (FY 2020) 700"|"Other Kidney And Urinary Tract Diagnoses Without Cc/McC"|0.00|$12957.00|$8110.72|$18277.61|$9070.00|$17651.76|$8110.72|$16495.53|$12565.85|$14827.70|$18277.61|$11964.47|$12903.66|$10054.80||$15516.00|$11013.45
"MS-DRG V37 (FY 2020) 707"|"Major Male Pelvic Procedures With Cc/McC"|0.00|$106562.00|$10200.00|$90577.70|$74593.00|$45518.22|$37439.25|$76144.02|$58004.46|$68445.27|$84370.12|$10200.00|$11000.00|$25928.10||$16162.50|$90577.70
"MS-DRG V37 (FY 2020) 708"|"Major Male Pelvic Procedures Without Cc/McC"|0.00|$103667.00|$9051.00|$88116.95|$72567.00|$35346.18|$36491.52|$74216.54|$56536.17|$66712.69|$82234.43|$10200.00|$11000.00|$20133.90||$9051.00|$88116.95
"MS-DRG V37 (FY 2020) 709"|"Penis Procedures With Cc/McC"|0.00|$58323.00|$0.00|$0.00|$40826.00||||||||||||
"MS-DRG V37 (FY 2020) 710"|"Penis Procedures Without Cc/McC"|0.00|$53509.00|$10990.50|$45482.65|$37456.00|$37917.63|$19461.66|$39581.12|$30151.83|$35579.15|$43857.20|$25700.79|$27718.27|$21598.65||$10990.50|$45482.65
"MS-DRG V37 (FY 2020) 711"|"Testes Procedures With Cc/McC"|0.00|$121011.00|$28759.05|$102859.35|$84708.00|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$32302.31|$28759.05||$34264.50|$102859.35
"MS-DRG V37 (FY 2020) 712"|"Testes Procedures Without Cc/McC"|0.00|$39079.00|$0.00|$0.00|$27355.00||||||||||||
"MS-DRG V37 (FY 2020) 713"|"Transurethral Prostatectomy With Cc/McC"|0.00|$62111.00|$15903.61|$52794.35|$43478.00|$35350.92|$15903.61|$32344.77|$24639.40|$29074.46|$35839.10|$23961.06|$25841.97|$20136.60||$18102.00|$52794.35
"MS-DRG V37 (FY 2020) 714"|"Transurethral Prostatectomy Without Cc/McC"|0.00|$58472.00|$10344.00|$49701.20|$40930.00|$22005.45|$16930.45|$34433.18|$26230.27|$30951.71|$38153.10|$14915.42|$16086.26|$12534.75||$10344.00|$49701.20
"MS-DRG V37 (FY 2020) 715"|"Other Male Reproductive System O.R. Procedures For Malignancy With Cc/McC"|0.00|$95373.00|$0.00|$0.00|$66761.00||||||||||||
"MS-DRG V37 (FY 2020) 716"|"Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/McC"|0.00|$139270.00|$0.00|$0.00|$97489.00||||||||||||
"MS-DRG V37 (FY 2020) 717"|"Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/McC"|0.00|$122668.00|$18452.87|$104267.80|$85868.00|$42624.45|$18452.87|$37529.46|$28588.93|$33734.89|$41583.90|$28891.10|$31159.01|$24279.75||$23920.50|$104267.80
"MS-DRG V37 (FY 2020) 718"|"Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/McC"|0.00|$59444.00|$0.00|$0.00|$41611.00||||||||||||
"MS-DRG V37 (FY 2020) 722"|"Malignancy, Male Reproductive System With McC"|0.00|$54954.00|$0.00|$0.00|$38468.00||||||||||||
"MS-DRG V37 (FY 2020) 723"|"Malignancy, Male Reproductive System With Cc"|0.00|$71303.00|$0.00|$0.00|$49912.00||||||||||||
"MS-DRG V37 (FY 2020) 724"|"Malignancy, Male Reproductive System Without Cc/McC"|0.00|$54621.00|$8766.90|$46427.85|$38235.00|$15390.78|$19390.31|$39436.00|$30041.30|$35448.71|$43696.44|$10431.96|$11250.86|$8766.90||$11637.00|$46427.85
"MS-DRG V37 (FY 2020) 725"|"Benign Prostatic Hypertrophy With McC"|0.00|$67206.00|$0.00|$0.00|$47044.00||||||||||||
"MS-DRG V37 (FY 2020) 726"|"Benign Prostatic Hypertrophy Without McC"|0.00|$10633.00|$7418.63|$17616.21|$7443.00|$17616.21|$7418.63|$15088.00|$11493.62|$13562.47|$16717.98|$11940.37|$12877.67|$10034.55||$16162.50|$9038.05
"MS-DRG V37 (FY 2020) 727"|"Inflammation Of The Male Reproductive System With McC"|0.00|$50982.00|$5318.46|$43334.70|$35687.00|$14981.50|$5318.46|$10816.64|$8239.82|$9722.99|$11985.19|$14981.50|$14981.50|$19144.35||$28446.00|$43334.70
"MS-DRG V37 (FY 2020) 728"|"Inflammation Of The Male Reproductive System Without McC"|0.00|$33945.00|$10847.25|$28853.25|$23762.00|$19042.95|$12354.51|$25126.61|$19140.75|$22586.11|$27841.09|$12907.42|$13920.64|$10847.25||$18748.50|$28853.25
"MS-DRG V37 (FY 2020) 729"|"Other Male Reproductive System Diagnoses With Cc/McC"|0.00|$36561.00|$0.00|$0.00|$25593.00||||||||||||
"MS-DRG V37 (FY 2020) 730"|"Other Male Reproductive System Diagnoses Without Cc/McC"|0.00|$33969.00|$0.00|$0.00|$23778.00||||||||||||
"MS-DRG V37 (FY 2020) 734"|"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/McC"|0.00|$144407.00|$0.00|$0.00|$101085.00||||||||||||
"MS-DRG V37 (FY 2020) 735"|"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/McC"|0.00|$109356.00|$5100.00|$92952.60|$76549.00|$33499.95|$38821.36|$78955.05|$60145.84|$70972.09|$87484.82|$5100.00|$5500.00|$19082.25||$10990.50|$92952.60
"MS-DRG V37 (FY 2020) 736"|"Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With McC"|0.00|$142907.00|$0.00|$0.00|$100035.00||||||||||||
"MS-DRG V37 (FY 2020) 737"|"Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc"|0.00|$121482.00|$20400.00|$103259.70|$85037.00|$48779.34|$37572.71|$76415.34|$58211.13|$68689.15|$84670.73|$20400.00|$22000.00|$27785.70||$27153.00|$103259.70
"MS-DRG V37 (FY 2020) 738"|"Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/McC"|0.00|$100638.00|$16809.00|$85542.30|$70447.00|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$20782.78|$19934.10||$16809.00|$85542.30
"MS-DRG V37 (FY 2020) 739"|"Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With McC"|0.00|$153320.00|$0.00|$0.00|$107324.00||||||||||||
"MS-DRG V37 (FY 2020) 740"|"Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc"|0.00|$107970.00|$15300.00|$91774.50|$75579.00|$42660.00|$31778.52|$64631.24|$49234.31|$58096.52|$71613.57|$15300.00|$16500.00|$24300.00||$18102.00|$91774.50
"MS-DRG V37 (FY 2020) 741"|"Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/McC"|0.00|$88537.00|$5100.00|$75256.45|$61976.00|$30324.15|$30008.06|$61030.40|$46491.30|$54859.73|$67623.71|$5100.00|$5500.00|$17273.25||$10344.00|$75256.45
"MS-DRG V37 (FY 2020) 742"|"Uterine And Adnexa Procedures For Non-Malignancy With Cc/McC"|0.00|$84663.00|$10200.00|$75817.86|$59264.00|$40692.90|$33644.22|$68425.63|$52124.79|$61507.26|$75817.86|$10200.00|$11000.00|$23179.50||$18102.00|$71963.55
"MS-DRG V37 (FY 2020) 743"|"Uterine And Adnexa Procedures For Non-Malignancy Without Cc/McC"|0.00|$64113.00|$10990.50|$54496.05|$44879.00|$12738.38|$11940.20|$28975.01|$28975.01|$14466.26|$12738.38|$17066.03|$17066.03|$15286.05||$10990.50|$54496.05
"MS-DRG V37 (FY 2020) 744"|"D&C, Conization, Laparoscopy And Tubal Interruption With Cc/McC"|0.00|$63734.00|$5100.00|$54173.90|$44614.00|$42517.80|$22417.59|$45592.86|$34731.39|$40983.06|$50518.40|$5100.00|$5500.00|$24219.00||$28446.00|$54173.90
"MS-DRG V37 (FY 2020) 745"|"D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/McC"|0.00|$55554.00|$11000.00|$49241.86|$38888.00|$27740.85|$21851.13|$44440.79|$33853.79|$39947.45|$49241.86|$18802.91|$11000.00|$15801.75||$14223.00|$47220.90
"MS-DRG V37 (FY 2020) 746"|"Vagina, Cervix And Vulva Procedures With Cc/McC"|0.00|$58936.00|$10200.00|$51698.21|$41255.00|$38142.78|$22941.09|$46657.67|$35542.51|$41940.18|$51698.21|$10200.00|$11000.00|$21726.90||$20688.00|$50095.60
"MS-DRG V37 (FY 2020) 747"|"Vagina, Cervix And Vulva Procedures Without Cc/McC"|0.00|$32074.00|$9697.50|$27262.90|$22452.00|$22230.60|$10037.01|$20413.27|$15550.29|$18349.34|$22618.60|$15068.03|$16250.85|$12663.00||$9697.50|$27262.90
"MS-DRG V37 (FY 2020) 748"|"Female Reproductive System Reconstructive Procedures"|0.00|$75121.00|$10344.00|$98682.99|$52585.00|$31954.71|$43790.62|$89061.38|$67844.56|$80056.56|$98682.99|$30600.00|$33000.00|$18202.05||$10344.00|$63852.85
"MS-DRG V37 (FY 2020) 749"|"Other Female Reproductive System O.R. Procedures With Cc/McC"|0.00|$95370.00|$33525.52|$81064.50|$66759.00|$64320.42|$33525.52|$68827.88|$52371.98|$61965.82|$75968.19|$36118.12|$38945.94|$36549.90||$36204.00|$81064.50
"MS-DRG V37 (FY 2020) 750"|"Other Female Reproductive System O.R. Procedures Without Cc/McC"|0.00|$55525.00|$5100.00|$58251.59|$38868.00|$34741.83|$25849.17|$52572.08|$40047.96|$47256.61|$58251.59|$5100.00|$5500.00|$19789.65||$14869.50|$47196.25
"MS-DRG V37 (FY 2020) 754"|"Malignancy, Female Reproductive System With McC"|0.00|$44827.00|$14103.43|$39727.77|$31379.00|$39727.77|$14103.43|$28683.43|$21850.28|$25783.31|$31782.22|$29252.54|$31548.83|$24583.50||$32325.00|$38102.95
"MS-DRG V37 (FY 2020) 755"|"Malignancy, Female Reproductive System With Cc"|0.00|$44911.00|$5100.00|$75468.73|$31438.00|$26724.12|$33489.27|$68110.49|$51884.76|$61224.01|$75468.73|$5100.00|$5500.00|$15222.60||$21334.50|$38174.35
"MS-DRG V37 (FY 2020) 756"|"Malignancy, Female Reproductive System Without Cc/McC"|0.00|$101211.00|$12367.35|$86029.35|$70848.00|$21711.57|$35930.07|$73074.59|$55666.29|$65686.14|$80969.05|$15300.00|$16500.00|$12367.35||$13576.50|$86029.35
"MS-DRG V37 (FY 2020) 757"|"Infections, Female Reproductive System With McC"|0.00|$45238.00|$16059.58|$38452.30|$31667.00|$36073.77|$16059.58|$32661.89|$24880.95|$29359.51|$36190.46|$24451.01|$26370.38|$20548.35||$30385.50|$38452.30
"MS-DRG V37 (FY 2020) 758"|"Infections, Female Reproductive System With Cc"|0.00|$39003.00|$10536.19|$33152.55|$27302.00|$22917.90|$10536.19|$21428.43|$16323.60|$19261.84|$23743.41|$15533.89|$16753.28|$13054.50||$23274.00|$33152.55
"MS-DRG V37 (FY 2020) 759"|"Infections, Female Reproductive System Without Cc/McC"|0.00|$22478.00|$6067.88|$19106.30|$15735.00|$16191.84|$6067.88|$12340.79|$9400.89|$11093.06|$13674.00|$10974.92|$11836.44|$9223.20||$17455.50|$19106.30
"MS-DRG V37 (FY 2020) 760"|"Menstrual And Other Female Reproductive System Disorders With Cc/McC"|0.00|$37361.00|$12455.10|$31756.85|$26153.00|$21865.62|$12926.37|$26289.64|$20026.74|$23631.59|$29129.80|$14820.65|$15984.05|$12455.10||$16809.00|$31756.85
"MS-DRG V37 (FY 2020) 761"|"Menstrual And Other Female Reproductive System Disorders Without Cc/McC"|0.00|$21055.00|$5560.92|$17896.75|$14738.00|$13983.00|$5560.92|$11309.75|$8615.48|$10166.26|$12531.60|$9477.76|$10221.75|$7965.00||$11637.00|$17896.75
"MS-DRG V37 (FY 2020) 768"|"Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C"|0.00|$31524.00|$4080.00|$26795.40|$22067.00|$23219.24|$8242.85|$16764.29|$12770.58|$15069.28|$18575.40|$4080.00|$4400.00|$15805.80||$20041.50|$26795.40
"MS-DRG V37 (FY 2020) 769"|"Postpartum And Post Abortion Diagnoses With O.R. Procedures"|0.00|$82692.00|$10200.00|$70288.20|$57884.00|$38403.48|$30677.29|$62391.51|$47528.20|$56083.23|$69131.88|$10200.00|$11000.00|$21875.40||$18748.50|$70288.20
"MS-DRG V37 (FY 2020) 770"|"Abortion With D&C, Aspiration Curettage Or Hysterotomy"|0.00|$21616.00|$11637.00|$26517.19|$15131.00|$21047.97|$11767.06|$23931.77|$18230.58|$21512.06|$26517.19|$14266.44|$15386.33|$11989.35||$11637.00|$18373.60
"MS-DRG V37 (FY 2020) 776"|"Postpartum And Post Abortion Diagnoses Without O.R. Procedures"|0.00|$18998.00|$5902.61|$16627.00|$13299.00|$16627.00|$5902.61|$12004.68|$9144.86|$10790.92|$13301.60|$12350.00|$13319.46|$10378.80||$16162.50|$16148.30
"MS-DRG V37 (FY 2020) 779"|"Abortion Without D&C"|0.00|$22479.00|$7206.47|$20299.75|$15735.00|$20299.75|$7206.47|$14656.42|$11164.87|$13174.55|$16239.81|$16712.99|$18024.93|$14045.40||$12930.00|$19107.15
"MS-DRG V37 (FY 2020) 783"|"Cesarean Section With Sterilization With McC"|0.00|$51606.00|$5285.00|$44382.99|$36124.00|$44382.99|$16773.95|$34114.79|$25987.77|$30665.53|$37800.35|$5285.00|$5700.00|$25281.45||$31032.00|$43865.10
"MS-DRG V37 (FY 2020) 784"|"Cesarean Section With Sterilization With Cc"|0.00|$28702.00|$5285.00|$36126.00|$20091.00|$25949.13|$16030.93|$32603.70|$24836.64|$29307.24|$36126.00|$5285.00|$5700.00|$14781.15||$21334.50|$24396.70
"MS-DRG V37 (FY 2020) 785"|"Cesarean Section With Sterilization Without Cc/McC"|0.00|$35777.00|$5285.00|$33201.30|$25044.00|$21692.61|$14733.10|$29964.20|$22825.90|$26934.57|$33201.30|$5285.00|$5700.00|$12356.55||$17455.50|$30410.45
"MS-DRG V37 (FY 2020) 786"|"Cesarean Section Without Sterilization With McC"|0.00|$38181.00|$5285.00|$38561.81|$26727.00|$37709.07|$17111.83|$34802.04|$26511.28|$31283.28|$38561.81|$5285.00|$5700.00|$21479.85||$27799.50|$32453.85
"MS-DRG V37 (FY 2020) 787"|"Cesarean Section Without Sterilization With Cc"|0.00|$54164.00|$5285.00|$46039.40|$37915.00|$25185.99|$16284.58|$33119.59|$25229.64|$29770.93|$36697.60|$5285.00|$5700.00|$14346.45||$22627.50|$46039.40
"MS-DRG V37 (FY 2020) 788"|"Cesarean Section Without Sterilization Without Cc/McC"|0.00|$39578.00|$5407.08|$41481.12|$27705.00|$21109.37|$18393.00|$37514.56|$28560.28|$33749.87|$41481.12|$5407.08|$5830.20|$11975.85||$19395.00|$33641.30
"MS-DRG V37 (FY 2020) 789"|"Neonates, Died Or Transferred To Another Acute Care Facility"|0.00|$6702.00|$1113.00|$23199.75|$4691.00|$17986.00|$6385.06|$12985.91|$9892.31|$11672.92|$14388.80|$1113.00|$1200.00|$23199.75||$11637.00|$5696.70
"MS-DRG V37 (FY 2020) 790"|"Extreme Immaturity Or Respiratory Distress Syndrome, Neonate"|0.00|$13635.00|$11589.75|$134310.27|$9544.00|$134310.27|$57786.21|$117525.70|$89527.91|$105642.92|$130222.39|$81600.00|$88000.00|$76505.85||$115723.50|$11589.75
"MS-DRG V37 (FY 2020) 791"|"Prematurity With Major Problems"|0.00|$92926.00|$32171.38|$90623.50|$65048.00|$90623.50|$32171.38|$65430.15|$49842.93|$58814.66|$72498.80|$56100.00|$60500.00|$52250.40||$85984.50|$78987.10
"MS-DRG V37 (FY 2020) 792"|"Prematurity Without Major Problems"|0.00|$5156.00|$2991.24|$55599.00|$3609.00|$8426.00|$2991.24|$6083.57|$4634.30|$5468.47|$6740.80|$4452.00|$4800.00|$31526.55||$55599.00|$4382.60
"MS-DRG V37 (FY 2020) 793"|"Full Term Neonate With Major Problems"|0.00|$11800.00|$2226.00|$53671.95|$8260.00|$21798.75|$7738.59|$15738.69|$11989.32|$14147.40|$17439.00|$2226.00|$2400.00|$53671.95||$30385.50|$10030.00
"MS-DRG V37 (FY 2020) 794"|"Neonate With Other Significant Problems"|0.00|$6564.00|$1972.22|$21981.00|$4595.00|$5555.50|$1972.22|$4011.07|$3055.53|$3605.52|$4444.40|$2226.00|$2400.00|$18997.20||$21981.00|$5579.40
"MS-DRG V37 (FY 2020) 795"|"Normal Newborn"|0.00|$4547.00|$1738.62|$20041.50|$3183.00|$4514.85|$1738.62|$3535.99|$2693.63|$3178.48|$3918.00|$2226.00|$2400.00|$2571.75||$20041.50|$3864.95
"MS-DRG V37 (FY 2020) 796"|"Vaginal Delivery With Sterilization And/Or D&C With McC"|0.00|$42289.00|$4080.00|$35945.65|$29602.00|$25309.23|$9077.07|$18460.86|$14062.99|$16594.29|$20455.25|$4080.00|$4400.00|$14416.65||$23274.00|$35945.65
"MS-DRG V37 (FY 2020) 797"|"Vaginal Delivery With Sterilization And/Or D&C With Cc"|0.00|$42228.00|$4080.00|$35893.80|$29560.00|$21801.63|$12436.88|$25294.09|$19268.34|$22736.65|$28026.67|$4080.00|$4400.00|$12418.65||$15516.00|$35893.80
"MS-DRG V37 (FY 2020) 798"|"Vaginal Delivery With Sterilization And/Or D&C Without Cc/McC"|0.00|$38922.00|$4080.00|$33083.70|$27245.00|$19607.01|$10639.28|$21638.15|$16483.37|$19450.37|$23975.81|$4080.00|$4400.00|$11168.55||$13576.50|$33083.70
"MS-DRG V37 (FY 2020) 799"|"Splenectomy With McC"|0.00|$151604.00|$0.00|$0.00|$106123.00||||||||||||
"MS-DRG V37 (FY 2020) 800"|"Splenectomy With Cc"|0.00|$62592.00|$0.00|$0.00|$43814.00||||||||||||
"MS-DRG V37 (FY 2020) 801"|"Splenectomy Without Cc/McC"|0.00|$101716.00|$5100.00|$86458.60|$71201.00|$39898.95|$36109.10|$73438.70|$55943.61|$66013.48|$81372.52|$5100.00|$5500.00|$22727.25||$16809.00|$86458.60
"MS-DRG V37 (FY 2020) 802"|"Other O.R. Procedures Of The Blood And Blood Forming Organs With McC"|0.00|$118578.00|$47512.97|$100791.30|$83005.00|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$47512.97|$50067.45||$48487.50|$100791.30
"MS-DRG V37 (FY 2020) 803"|"Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc"|0.00|$110277.00|$25213.50|$93735.45|$77194.00|$47336.12|$29011.09|$59002.80|$45519.75|$53006.57|$65377.06|$32265.52|$34776.30|$25444.80||$25213.50|$93735.45
"MS-DRG V37 (FY 2020) 804"|"Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/McC"|0.00|$87632.00|$10200.00|$74487.20|$61342.00|$32331.54|$31109.24|$63270.02|$48197.37|$56872.93|$70105.31|$10200.00|$11000.00|$18416.70||$12930.00|$74487.20
"MS-DRG V37 (FY 2020) 805"|"Vaginal Delivery Without Sterilization Or D&C With McC"|0.00|$13062.00|$4080.00|$22923.50|$9143.00|$22923.50|$8137.87|$16550.75|$12607.93|$14877.36|$18338.80|$4080.00|$4400.00|$13861.80||$18748.50|$11102.70
"MS-DRG V37 (FY 2020) 806"|"Vaginal Delivery Without Sterilization Or D&C With Cc"|0.00|$16997.00|$4080.00|$17393.43|$11898.00|$17393.43|$7483.85|$15220.67|$11594.69|$13681.72|$16865.00|$4080.00|$4400.00|$9907.65||$14869.50|$14447.45
"MS-DRG V37 (FY 2020) 807"|"Vaginal Delivery Without Sterilization Or D&C Without Cc/McC"|0.00|$17513.00|$4080.00|$15194.07|$12259.00|$15194.07|$5894.45|$11988.08|$9132.20|$10775.99|$13283.20|$4080.00|$4400.00|$8654.85||$13576.50|$14886.05
"MS-DRG V37 (FY 2020) 808"|"Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With McC"|0.00|$65775.00|$18562.81|$55908.75|$46042.00|$51616.23|$18562.81|$37753.03|$28759.23|$33935.91|$41831.60|$34985.79|$37732.12|$29401.65||$34264.50|$55908.75
"MS-DRG V37 (FY 2020) 809"|"Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders With Cc"|0.00|$36221.00|$9946.15|$30787.85|$25355.00|$28017.14|$9946.15|$20228.39|$15409.43|$18183.14|$22413.71|$28017.14|$28017.14|$16492.95||$22627.50|$30787.85
"MS-DRG V37 (FY 2020) 810"|"Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders Without Cc/McC"|0.00|$40144.00|$12969.45|$34122.40|$28101.00|$22768.59|$14251.15|$28983.94|$22079.21|$26053.45|$32115.20|$15432.68|$16644.13|$12969.45||$16162.50|$34122.40
"MS-DRG V37 (FY 2020) 811"|"Red Blood Cell Disorders With McC"|0.00|$46883.00|$16868.05|$47515.53|$32818.00|$32649.12|$16868.05|$34306.22|$26133.56|$30837.57|$38012.41|$44259.54|$47515.53|$18597.60||$23274.00|$39850.55
"MS-DRG V37 (FY 2020) 812"|"Red Blood Cell Disorders Without McC"|0.00|$12365.00|$9626.92|$21694.40|$8656.00|$20848.89|$9626.92|$19579.18|$14914.91|$17599.58|$21694.40|$14131.50|$15240.80|$11875.95||$17455.50|$10510.25
"MS-DRG V37 (FY 2020) 813"|"Coagulation Disorders"|0.00|$6360.00|$5406.00|$51717.63|$4452.00|$36609.39|$22949.75|$46675.16|$35555.89|$41955.92|$51717.63|$20400.00|$22000.00|$20853.45||$23274.00|$5406.00
"MS-DRG V37 (FY 2020) 814"|"Reticuloendothelial And Immunity Disorders With McC"|0.00|$67087.00|$15300.00|$57023.95|$46961.00|$44811.96|$23815.88|$48436.76|$36897.83|$43539.41|$53669.55|$15300.00|$16500.00|$25524.45||$29092.50|$57023.95
"MS-DRG V37 (FY 2020) 815"|"Reticuloendothelial And Immunity Disorders With Cc"|0.00|$46710.00|$13398.75|$39703.50|$32697.00|$23522.25|$14642.45|$29779.80|$22685.44|$26768.82|$32997.00|$15943.52|$17195.06|$13398.75||$18748.50|$39703.50
"MS-DRG V37 (FY 2020) 816"|"Reticuloendothelial And Immunity Disorders Without Cc/McC"|0.00|$35791.00|$8922.15|$30422.35|$25054.00|$15663.33|$9068.27|$18442.98|$14049.36|$16578.26|$20435.42|$10616.70|$11450.09|$8922.15||$14223.00|$30422.35
"MS-DRG V37 (FY 2020) 817"|"Other Antepartum Diagnoses With O.R. Procedures With McC"|0.00|$66219.00|$10200.00|$56286.15|$46353.00|$54552.66|$23505.23|$47804.88|$36416.44|$42971.41|$52969.40|$10200.00|$11000.00|$31074.30||$26506.50|$56286.15
"MS-DRG V37 (FY 2020) 818"|"Other Antepartum Diagnoses With O.R. Procedures With Cc"|0.00|$53978.00|$17772.75|$45881.30|$37785.00|$31201.05|$19162.15|$38971.97|$29687.81|$35031.58|$43182.23|$21148.26|$22808.36|$17772.75||$19395.00|$45881.30
"MS-DRG V37 (FY 2020) 819"|"Other Antepartum Diagnoses With O.R. Procedures Without Cc/McC"|0.00|$54395.00|$11637.00|$68091.90|$38076.00|$23650.23|$30215.83|$61452.95|$46813.18|$55239.58|$68091.90|$15300.00|$16500.00|$13471.65||$11637.00|$46235.75
"MS-DRG V37 (FY 2020) 820"|"Lymphoma And Leukemia With Major O.R. Procedures With McC"|0.00|$336608.00|$0.00|$0.00|$235626.00||||||||||||
"MS-DRG V37 (FY 2020) 821"|"Lymphoma And Leukemia With Major O.R. Procedures With Cc"|0.00|$165050.00|$23920.50|$140292.50|$115535.00|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$33645.23|$29093.85||$23920.50|$140292.50
"MS-DRG V37 (FY 2020) 822"|"Lymphoma And Leukemia With Major O.R. Procedures Without Cc/McC"|0.00|$99700.00|$5100.00|$84745.00|$69790.00|$29662.92|$33986.10|$69121.00|$52654.50|$62132.32|$76588.37|$5100.00|$5500.00|$16896.60||$11637.00|$84745.00
"MS-DRG V37 (FY 2020) 823"|"Lymphoma And Non-Acute Leukemia With Other Procedures With McC"|0.00|$178146.00|$60710.85|$151424.10|$124702.00|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$68194.77|$60710.85||$66589.50|$151424.10
"MS-DRG V37 (FY 2020) 824"|"Lymphoma And Non-Acute Leukemia With Other Procedures With Cc"|0.00|$119137.00|$15300.00|$101266.45|$83396.00|$55995.99|$32872.44|$66855.95|$50929.05|$60096.28|$74078.61|$15300.00|$16500.00|$31896.45||$34264.50|$101266.45
"MS-DRG V37 (FY 2020) 825"|"Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/McC"|0.00|$83605.00|$5100.00|$73482.21|$58524.00|$33196.59|$32607.78|$66317.70|$50519.03|$59612.47|$73482.21|$5100.00|$5500.00|$18909.45||$15516.00|$71064.25
"MS-DRG V37 (FY 2020) 826"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With McC"|0.00|$223403.00|$64003.50|$189892.55|$156382.00|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$156162.09|$67996.80||$64003.50|$189892.55
"MS-DRG V37 (FY 2020) 827"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc"|0.00|$120293.00|$15479.44|$102249.05|$84205.00|$43603.94|$15479.44|$31482.02|$23982.15|$28298.96|$34883.13|$43603.94|$43603.94|$33717.60||$31678.50|$102249.05
"MS-DRG V37 (FY 2020) 828"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without Cc/McC"|0.00|$110407.00|$15300.00|$93845.95|$77285.00|$39761.49|$34473.61|$70112.51|$53409.80|$63023.55|$77686.99|$15300.00|$16500.00|$22648.95||$18102.00|$93845.95
"MS-DRG V37 (FY 2020) 829"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/McC"|0.00|$94944.00|$15300.00|$80702.40|$66461.00|$65586.76|$23283.32|$47353.63|$36072.72|$42565.81|$52469.40|$15300.00|$16500.00|$43276.95||$40083.00|$80702.40
"MS-DRG V37 (FY 2020) 830"|"Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/McC"|0.00|$99292.00|$14869.50|$84398.20|$69504.00|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$17615.55|$19932.75||$14869.50|$84398.20
"MS-DRG V37 (FY 2020) 831"|"Other Antepartum Diagnoses Without O.R. Procedures With McC"|0.00|$25837.00|$4837.60|$21981.00|$18086.00|$18178.49|$6960.06|$14155.34|$11492.05|$12686.30|$15684.60|$11106.10|$4837.60|$15134.85||$21981.00|$21961.45
"MS-DRG V37 (FY 2020) 832"|"Other Antepartum Diagnoses Without O.R. Procedures With Cc"|0.00|$19209.00|$2640.00|$18262.00|$13446.00|$18262.00|$6483.03|$13185.16|$10044.09|$11852.04|$14609.60|$11753.15|$2640.00|$10527.30||$16162.50|$16327.65
"MS-DRG V37 (FY 2020) 833"|"Other Antepartum Diagnoses Without O.R. Procedures Without Cc/McC"|0.00|$9073.00|$4822.89|$12703.20|$6351.00|$12703.20|$4822.89|$9808.74|$7472.03|$8817.00|$10868.40|$8078.59|$7920.00|$7236.00||$12283.50|$7712.05
"MS-DRG V37 (FY 2020) 834"|"Acute Leukemia Without Major O.R. Procedures With McC"|0.00|$255118.00|$64650.00|$216850.30|$178583.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$113043.00|$81676.35||$64650.00|$216850.30
"MS-DRG V37 (FY 2020) 835"|"Acute Leukemia Without Major O.R. Procedures With Cc"|0.00|$81727.00|$27153.00|$222279.46|$57209.00|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$222279.46|$28534.95||$27153.00|$69467.95
"MS-DRG V37 (FY 2020) 836"|"Acute Leukemia Without Major O.R. Procedures Without Cc/McC"|0.00|$53835.00|$0.00|$0.00|$37684.00||||||||||||
"MS-DRG V37 (FY 2020) 837"|"Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With McC"|0.00|$111936.00|$45567.21|$128358.24|$78355.00|$128358.24|$45567.21|$92674.65|$70597.05|$83304.49|$102686.60|$122400.00|$128358.24|$76937.85||$74347.50|$95145.60
"MS-DRG V37 (FY 2020) 838"|"Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent"|0.00|$25523.00|$7907.14|$35557.50|$17866.00|$22273.50|$7907.14|$16081.48|$12250.44|$14455.52|$17818.80|$22273.50|$22273.50|$30493.80||$35557.50|$21694.55
"MS-DRG V37 (FY 2020) 839"|"Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/McC"|0.00|$33438.00|$11596.58|$32666.25|$23407.00|$32666.25|$11596.58|$23585.03|$17966.46|$21200.44|$26133.00|$23875.92|$25750.15|$20065.05||$28446.00|$28422.30
"MS-DRG V37 (FY 2020) 840"|"Lymphoma And Non-Acute Leukemia With McC"|0.00|$113011.00|$30271.29|$96059.35|$79108.00|$76212.09|$30271.29|$61565.71|$46899.10|$55340.95|$68216.85|$35700.00|$38500.00|$43411.95||$43315.50|$96059.35
"MS-DRG V37 (FY 2020) 841"|"Lymphoma And Non-Acute Leukemia With Cc"|0.00|$66370.00|$20844.28|$86491.88|$46459.00|$38706.02|$38312.15|$78342.19|$59616.03|$70524.24|$86491.88|$20844.28|$22473.84|$21880.80||$25860.00|$56414.50
"MS-DRG V37 (FY 2020) 842"|"Lymphoma And Non-Acute Leukemia Without Cc/McC"|0.00|$59611.00|$14786.55|$50669.35|$41728.00|$25958.61|$21162.02|$43039.36|$32786.21|$38687.72|$47689.03|$17594.90|$18976.07|$14786.55||$18102.00|$50669.35
"MS-DRG V37 (FY 2020) 843"|"Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With McC"|0.00|$54096.00|$16760.22|$45981.60|$37867.00|$45107.36|$16760.22|$34098.35|$25973.43|$30653.68|$37773.18|$30580.83|$32981.23|$25689.15||$34264.50|$45981.60
"MS-DRG V37 (FY 2020) 844"|"Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc"|0.00|$56387.00|$7846.95|$47928.95|$39471.00|$22104.00|$7846.95|$15959.09|$12157.20|$14345.51|$17683.20|$18963.55|$20452.16|$15936.75||$22627.50|$47928.95
"MS-DRG V37 (FY 2020) 845"|"Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/McC"|0.00|$54084.00|$10999.03|$45971.40|$37859.00|$20083.38|$10999.03|$22369.78|$17040.68|$20108.01|$24786.44|$13612.63|$14681.21|$11439.90||$16809.00|$45971.40
"MS-DRG V37 (FY 2020) 846"|"Chemotherapy Without Acute Leukemia As Secondary Diagnosis With McC"|0.00|$71874.00|$28657.86|$64580.97|$50312.00|$63276.63|$28657.86|$58284.33|$44399.43|$52391.30|$64580.97|$35700.00|$38500.00|$36043.65||$38143.50|$61092.90
"MS-DRG V37 (FY 2020) 847"|"Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc"|0.00|$41439.00|$15716.39|$35417.20|$29007.00|$31644.24|$15716.39|$31964.03|$24349.32|$28732.22|$35417.20|$21448.65|$23132.34|$18025.20||$23274.00|$35223.15
"MS-DRG V37 (FY 2020) 848"|"Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/McC"|0.00|$64841.00|$13891.50|$55114.85|$45389.00|$24387.30|$23700.98|$48203.10|$36719.82|$43329.38|$53410.62|$25500.00|$27500.00|$13891.50||$19395.00|$55114.85
"MS-DRG V37 (FY 2020) 849"|"Radiotherapy"|0.00|$77275.00|$27432.58|$65683.75|$54092.00|$58953.75|$27432.58|$55792.42|$42501.13|$50151.31|$61819.82|$40800.00|$44000.00|$33581.25||$40083.00|$65683.75
"MS-DRG V37 (FY 2020) 853"|"Infectious And Parasitic Diseases With O.R. Procedures With McC"|0.00|$68402.00|$40800.00|$130550.86|$47881.00|$117187.02|$57932.00|$117822.15|$89753.71|$105909.37|$130550.86|$40800.00|$44000.00|$66752.10||$62064.00|$58141.70
"MS-DRG V37 (FY 2020) 854"|"Infectious And Parasitic Diseases With O.R. Procedures With Cc"|0.00|$69677.00|$20400.00|$59225.45|$48774.00|$49637.28|$23937.41|$48683.85|$37086.02|$43761.55|$53943.31|$20400.00|$22000.00|$28274.40||$34264.50|$59225.45
"MS-DRG V37 (FY 2020) 855"|"Infectious And Parasitic Diseases With O.R. Procedures Without Cc/McC"|0.00|$49796.00|$17677.51|$42326.60|$34857.00|$35431.50|$17677.51|$35952.52|$27387.66|$32317.44|$39836.59|$24015.68|$25900.88|$20182.50||$21334.50|$42326.60
"MS-DRG V37 (FY 2020) 856"|"Postoperative Or Post-Traumatic Infections With O.R. Procedures With McC"|0.00|$129408.00|$32776.40|$109996.80|$90586.00|$32776.40|$32776.40|$61663.28|$61663.28|$61663.28|$32776.40|$66704.15|$66704.15|$61366.95||$58185.00|$109996.80
"MS-DRG V37 (FY 2020) 857"|"Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc"|0.00|$75467.00|$27468.45|$64146.95|$52827.00|$48222.39|$28097.65|$57144.98|$43531.52|$51367.17|$63318.51|$30600.00|$33000.00|$27468.45||$33618.00|$64146.95
"MS-DRG V37 (FY 2020) 858"|"Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/McC"|0.00|$46680.00|$12406.59|$39678.00|$32676.00|$31957.08|$12406.59|$25232.45|$19221.41|$22681.26|$27958.41|$21660.70|$23361.03|$18203.40||$22627.50|$39678.00
"MS-DRG V37 (FY 2020) 862"|"Postoperative And Post-Traumatic Infections With McC"|0.00|$53768.00|$12010.38|$45702.80|$37638.00|$33832.02|$12010.38|$24426.71|$18607.60|$21956.99|$27065.62|$30181.04|$32550.21|$25363.80||$32325.00|$45702.80
"MS-DRG V37 (FY 2020) 863"|"Postoperative And Post-Traumatic Infections Without McC"|0.00|$41725.00|$10848.81|$35466.25|$29208.00|$23164.38|$10848.81|$22064.31|$16808.02|$19833.43|$24448.00|$15700.95|$16933.46|$13194.90||$21981.00|$35466.25
"MS-DRG V37 (FY 2020) 864"|"Fever And Inflammatory Conditions"|0.00|$31767.00|$11812.50|$31212.02|$22237.00|$20737.50|$13850.34|$28168.83|$21458.25|$25320.75|$31212.02|$14056.00|$15159.38|$11812.50||$17455.50|$27001.95
"MS-DRG V37 (FY 2020) 865"|"Viral Illness With McC"|0.00|$53558.00|$19013.24|$51243.88|$37491.00|$35049.93|$19013.24|$38669.05|$29457.04|$34759.32|$42846.60|$47514.10|$51243.88|$19965.15||$25213.50|$45524.30
"MS-DRG V37 (FY 2020) 866"|"Viral Illness Without McC"|0.00|$29262.00|$10127.71|$24872.70|$20483.00|$19841.64|$10127.71|$20597.74|$15690.80|$18515.15|$22822.99|$13448.78|$14504.49|$11302.20||$17455.50|$24872.70
"MS-DRG V37 (FY 2020) 867"|"Other Infectious And Parasitic Diseases Diagnoses With McC"|0.00|$66709.00|$21935.24|$56702.65|$46696.00|$52839.15|$21935.24|$44611.85|$33984.11|$40101.23|$49431.41|$30600.00|$33000.00|$30098.25||$35557.50|$56702.65
"MS-DRG V37 (FY 2020) 868"|"Other Infectious And Parasitic Diseases Diagnoses With Cc"|0.00|$2889.00|$2455.65|$39162.80|$2022.00|$25092.71|$17376.87|$35352.48|$26928.77|$31781.00|$39162.80|$17014.78|$18350.27|$14288.40||$22627.50|$2455.65
"MS-DRG V37 (FY 2020) 869"|"Other Infectious And Parasitic Diseases Diagnoses Without Cc/McC"|0.00|$31876.00|$0.00|$0.00|$22313.00||||||||||||
"MS-DRG V37 (FY 2020) 870"|"Septicemia Or Severe Sepsis With Mv >96 Hours"|0.00|$272129.00|$80166.00|$231309.65|$190490.00|$140131.42|$84459.58|$171773.98|$130852.77|$154406.28|$190331.29|$107100.00|$115500.00|$86734.80||$80166.00|$231309.65
"MS-DRG V37 (FY 2020) 871"|"Septicemia Or Severe Sepsis Without Mv >96 Hours With McC"|0.00|$34307.00|$20102.74|$56627.25|$24015.00|$44276.34|$20102.74|$40884.87|$31144.99|$36751.09|$45301.80|$56627.25|$56627.25|$25220.70||$31032.00|$29160.95
"MS-DRG V37 (FY 2020) 872"|"Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC"|0.00|$22333.00|$13511.98|$30449.40|$15633.00|$24211.92|$13511.98|$27480.55|$20933.96|$24702.12|$30449.40|$16410.98|$17699.22|$13791.60||$22627.50|$18983.05
"MS-DRG V37 (FY 2020) 876"|"O.R. Procedures With Principal Diagnosis Of Mental Illness"|0.00|$86934.00|$15300.00|$255349.76|$60854.00|$188001.24|$113311.47|$230453.09|$175552.96|$207152.45|$255349.76|$15300.00|$16500.00|$44027.55||$45255.00|$73893.90
"MS-DRG V37 (FY 2020) 880"|"Acute Adjustment Reaction And Psychosocial Dysfunction"|0.00|$33097.00|$9777.96|$28132.45|$23168.00|$27543.50|$9777.96|$19886.39|$15148.93|$17875.73|$22034.81|$19872.77|$21432.76|$11658.60||$16809.00|$28132.45
"MS-DRG V37 (FY 2020) 881"|"Depressive Neuroses"|0.00|$28372.00|$9537.62|$25213.50|$19860.00|$18993.18|$9537.62|$19397.62|$14776.58|$17436.37|$21493.20|$12873.69|$13884.26|$10818.90||$25213.50|$24116.20
"MS-DRG V37 (FY 2020) 882"|"Neuroses Except Depressive"|0.00|$24792.00|$8994.84|$21073.20|$17354.00|$19505.10|$8994.84|$18293.66|$13935.63|$16444.03|$20270.00|$13220.67|$14258.48|$11110.50||$20688.00|$21073.20
"MS-DRG V37 (FY 2020) 883"|"Disorders Of Personality And Impulse Control"|0.00|$26549.00|$7881.04|$32971.50|$18584.00|$22200.00|$7881.04|$16028.39|$12210.00|$14407.80|$17760.00|$22200.00|$22200.00|$21307.05||$32971.50|$22566.65
"MS-DRG V37 (FY 2020) 884"|"Organic Disturbances And Intellectual Disability"|0.00|$48338.00|$19491.30|$73801.75|$33837.00|$34218.06|$26199.63|$53284.86|$40590.97|$47897.35|$59041.40|$73801.75|$73801.75|$19491.30||$29092.50|$41087.30
"MS-DRG V37 (FY 2020) 885"|"Psychoses"|0.00|$33870.00|$12218.76|$38143.50|$23709.00|$29319.27|$12218.76|$24850.51|$18930.45|$22337.93|$27535.20|$19872.77|$21432.76|$16700.85||$38143.50|$28789.50
"MS-DRG V37 (FY 2020) 886"|"Behavioral And Developmental Disorders"|0.00|$41606.00|$0.00|$0.00|$29124.00||||||||||||
"MS-DRG V37 (FY 2020) 887"|"Other Mental Disorder Diagnoses"|0.00|$32889.00|$14562.45|$145767.50|$23022.00|$25565.19|$51747.51|$105244.15|$80172.13|$94603.11|$116614.00|$145767.50|$145767.50|$14562.45||$19395.00|$27955.65
"MS-DRG V37 (FY 2020) 894"|"Alcohol, Drug Abuse Or Dependence, Left Ama"|0.00|$19126.00|$4526.70|$16257.10|$13388.00|$12751.25|$4526.70|$9206.39|$7013.19|$8275.56|$10201.00|$8795.04|$9485.44|$7391.25||$12930.00|$16257.10
"MS-DRG V37 (FY 2020) 895"|"Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy"|0.00|$20354.00|$6902.62|$57538.50|$14248.00|$19444.00|$6902.62|$14038.57|$10694.21|$12619.16|$15555.20|$19444.00|$19444.00|$21492.00||$57538.50|$17300.90
"MS-DRG V37 (FY 2020) 896"|"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC"|0.00|$141058.00|$13965.01|$119899.30|$98741.00|$39338.00|$13965.01|$28402.01|$21635.95|$25530.38|$31470.40|$28545.73|$30786.53|$23989.50||$31678.50|$119899.30
"MS-DRG V37 (FY 2020) 897"|"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC"|0.00|$22153.00|$8104.04|$21981.00|$15507.00|$19564.35|$8104.04|$16482.01|$12555.54|$14815.53|$18262.60|$9953.12|$10615.15|$11144.25||$21981.00|$18830.05
"MS-DRG V37 (FY 2020) 901"|"Wound Debridements For Injuries With McC"|0.00|$112380.00|$56892.00|$110407.01|$78666.00|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$110407.01|$57539.70||$56892.00|$95523.00
"MS-DRG V37 (FY 2020) 902"|"Wound Debridements For Injuries With Cc"|0.00|$86239.00|$0.00|$0.00|$60367.00||||||||||||
"MS-DRG V37 (FY 2020) 903"|"Wound Debridements For Injuries Without Cc/McC"|0.00|$56538.00|$0.00|$0.00|$39577.00||||||||||||
"MS-DRG V37 (FY 2020) 904"|"Skin Grafts For Injuries With Cc/McC"|0.00|$99902.00|$45901.50|$84916.70|$69931.00|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$53315.69|$50238.90||$45901.50|$84916.70
"MS-DRG V37 (FY 2020) 905"|"Skin Grafts For Injuries Without Cc/McC"|0.00|$43101.00|$20400.00|$76468.69|$30171.00|$38913.03|$33932.99|$69012.98|$52572.23|$62035.22|$76468.69|$20400.00|$22000.00|$22229.10||$21334.50|$36635.85
"MS-DRG V37 (FY 2020) 906"|"Hand Procedures For Injuries"|0.00|$39141.00|$13895.17|$39141.21|$27399.00|$39141.21|$13895.17|$28259.96|$21527.65|$25402.68|$31312.98|$28815.60|$31077.59|$24216.30||$18102.00|$33269.85
"MS-DRG V37 (FY 2020) 907"|"Other O.R. Procedures For Injuries With McC"|0.00|$89310.00|$44608.50|$75913.50|$62517.00|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$55587.10|$53420.85||$44608.50|$75913.50
"MS-DRG V37 (FY 2020) 908"|"Other O.R. Procedures For Injuries With Cc"|0.00|$80836.00|$25213.50|$68710.60|$56585.00|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40|$27545.40||$25213.50|$68710.60
"MS-DRG V37 (FY 2020) 909"|"Other O.R. Procedures For Injuries Without Cc/McC"|0.00|$61846.00|$10200.00|$67306.50|$43292.00|$32585.13|$29867.28|$60744.14|$46273.22|$54602.41|$67306.50|$10200.00|$11000.00|$18557.10||$15516.00|$52569.10
"MS-DRG V37 (FY 2020) 913"|"Traumatic Injury With McC"|0.00|$61314.00|$0.00|$0.00|$42920.00||||||||||||
"MS-DRG V37 (FY 2020) 914"|"Traumatic Injury Without McC"|0.00|$39494.00|$3219.85|$33569.90|$27646.00|$9070.00|$3219.85|$6548.55|$4988.50|$5886.43|$7256.00|$9070.00|$9070.00|$11996.10||$16162.50|$33569.90
"MS-DRG V37 (FY 2020) 915"|"Allergic Reactions With McC"|0.00|$72077.00|$18091.26|$61265.45|$50454.00|$40233.12|$18091.26|$36793.98|$28028.67|$33073.83|$40768.98|$27270.25|$29410.92|$22917.60||$23920.50|$61265.45
"MS-DRG V37 (FY 2020) 916"|"Allergic Reactions Without McC"|0.00|$23603.00|$6748.04|$20062.55|$16522.00|$15578.01|$6748.04|$13724.12|$10454.68|$12336.51|$15206.80|$10558.87|$11387.72|$8873.55||$11637.00|$20062.55
"MS-DRG V37 (FY 2020) 917"|"Poisoning And Toxic Effects Of Drugs With McC"|0.00|$43424.00|$14226.31|$36910.40|$30397.00|$14226.31|$14226.31|$22268.88|$22268.88|$22268.88|$14226.31|$22268.88|$22268.88|$19946.25||$22627.50|$36910.40
"MS-DRG V37 (FY 2020) 918"|"Poisoning And Toxic Effects Of Drugs Without McC"|0.00|$20577.00|$10116.62|$22798.00|$14404.00|$18749.07|$10116.62|$20575.19|$15673.63|$18494.87|$22798.00|$12708.23|$13705.81|$10679.85||$14869.50|$17490.45
"MS-DRG V37 (FY 2020) 919"|"Complications Of Treatment With McC"|0.00|$46320.00|$20126.20|$46047.41|$32424.00|$46047.41|$20126.20|$40932.66|$31734.15|$36764.55|$45354.73|$31074.46|$33494.51|$24764.40||$27153.00|$39372.00
"MS-DRG V37 (FY 2020) 920"|"Complications Of Treatment With Cc"|0.00|$27291.00|$12880.71|$29026.83|$19104.00|$24347.01|$12880.71|$26196.70|$19955.93|$23548.01|$29026.83|$16502.55|$17797.97|$13868.55||$18748.50|$23197.35
"MS-DRG V37 (FY 2020) 921"|"Complications Of Treatment Without Cc/McC"|0.00|$25492.00|$5660.50|$21668.20|$17844.00|$15945.02|$5660.50|$11512.31|$8769.73|$10348.33|$12756.01|$11106.65|$11978.51|$9333.90||$13576.50|$21668.20
"MS-DRG V37 (FY 2020) 922"|"Other Injury, Poisoning And Toxic Effect Diagnoses With McC"|0.00|$53079.00|$20400.00|$53854.60|$37155.00|$37626.12|$23898.03|$48603.80|$37025.05|$43689.54|$53854.60|$20400.00|$22000.00|$21432.60||$26506.50|$45117.15
"MS-DRG V37 (FY 2020) 923"|"Other Injury, Poisoning And Toxic Effect Diagnoses Without McC"|0.00|$31450.00|$6568.67|$26732.50|$22015.00|$18503.24|$6568.67|$13359.34|$10176.77|$12008.61|$14802.59|$14945.95|$16119.18|$12560.40||$17455.50|$26732.50
"MS-DRG V37 (FY 2020) 928"|"Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC"|0.00|$171293.00|$0.00|$0.00|$119905.00||||||||||||
"MS-DRG V37 (FY 2020) 934"|"Full Thickness Burn Without Skin Graft Or Inhalation Injury"|0.00|$15704.00|$0.00|$0.00|$10993.00||||||||||||
"MS-DRG V37 (FY 2020) 935"|"Non-Extensive Burns"|0.00|$39851.00|$0.00|$0.00|$27896.00||||||||||||
"MS-DRG V37 (FY 2020) 939"|"O.R. Procedures With Diagnoses Of Other Contact With Health Services With McC"|0.00|$116529.00|$17583.50|$99049.65|$81570.00|$49530.95|$17583.50|$35761.36|$27242.03|$32145.61|$39624.78|$49530.95|$49530.95|$45713.70||$42669.00|$99049.65
"MS-DRG V37 (FY 2020) 940"|"O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc"|0.00|$86876.00|$22627.50|$119113.12|$60813.00|$68184.90|$52856.47|$107499.61|$81890.25|$96630.50|$119113.12|$35700.00|$38500.00|$29937.60||$22627.50|$73844.60
"MS-DRG V37 (FY 2020) 941"|"O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/McC"|0.00|$82343.00|$10200.00|$69991.55|$57640.00|$45615.39|$23434.33|$47660.75|$36306.67|$42841.85|$52809.66|$10200.00|$11000.00|$25983.45||$14223.00|$69991.55
"MS-DRG V37 (FY 2020) 945"|"Rehabilitation With Cc/McC"|0.00|$62086.00|$7918.48|$52773.10|$43460.00|$22305.50|$7918.48|$16104.59|$12268.02|$14476.27|$17844.40|$10428.00|$10428.00|$20043.45||$32325.00|$52773.10
"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|$54097.00|$14234.38|$45982.45|$37868.00|$28205.37|$14234.38|$28949.88|$22053.22|$26022.82|$32077.40|$38235.54|$40096.75|$16066.35||$22627.50|$45982.45
"MS-DRG V37 (FY 2020) 948"|"Signs And Symptoms Without McC"|0.00|$22937.00|$10605.60|$40344.10|$16056.00|$18618.72|$17902.70|$36410.55|$27736.58|$32729.17|$40344.10|$12619.88|$13610.52|$10605.60||$16809.00|$19496.45
"MS-DRG V37 (FY 2020) 949"|"Aftercare With Cc/McC"|0.00|$10197.00|$8667.45|$38300.20|$7138.00|$26238.27|$16995.73|$34565.92|$26331.39|$31071.04|$38300.20|$22594.00|$22594.00|$14945.85||$27799.50|$8667.45
"MS-DRG V37 (FY 2020) 950"|"Aftercare Without Cc/McC"|0.00|$19960.00|$9975.15|$28803.60|$13972.00|$17511.93|$12781.63|$25995.26|$19802.48|$23366.93|$28803.60|$19956.00|$19956.00|$9975.15||$19395.00|$16966.00
"MS-DRG V37 (FY 2020) 951"|"Other Factors Influencing Health Status"|0.00|$18451.00|$4080.00|$15683.35|$12916.00|$15194.07|$6217.67|$12645.46|$9632.96|$11366.89|$14011.59|$4080.00|$4400.00|$7535.70||$11637.00|$15683.35
"MS-DRG V37 (FY 2020) 955"|"Craniotomy For Multiple Significant Trauma"|0.00|$351947.00|$47194.50|$299154.95|$246363.00|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$103895.07|$84888.00||$47194.50|$299154.95
"MS-DRG V37 (FY 2020) 956"|"Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma"|0.00|$149262.00|$30600.00|$170413.83|$104483.00|$125467.18|$75621.18|$153798.47|$117159.53|$138248.22|$170413.83|$30600.00|$33000.00|$51958.80||$38790.00|$126872.70
"MS-DRG V37 (FY 2020) 957"|"Other O.R. Procedures For Multiple Significant Trauma With McC"|0.00|$259595.00|$58831.50|$220655.75|$181716.00|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$101759.86|$100180.80||$58831.50|$220655.75
"MS-DRG V37 (FY 2020) 958"|"Other O.R. Procedures For Multiple Significant Trauma With Cc"|0.00|$144226.00|$35700.00|$151994.78|$100958.00|$111906.15|$67447.74|$137175.29|$104496.41|$123305.77|$151994.78|$35700.00|$38500.00|$56772.90||$43315.50|$122592.10
"MS-DRG V37 (FY 2020) 959"|"Other O.R. Procedures For Multiple Significant Trauma Without Cc/McC"|0.00|$44230.00|$0.00|$0.00|$30961.00||||||||||||
"MS-DRG V37 (FY 2020) 963"|"Other Multiple Significant Trauma With McC"|0.00|$96965.00|$5100.00|$82420.25|$67876.00|$64563.54|$23364.78|$47519.31|$36198.96|$42714.75|$52653.01|$5100.00|$5500.00|$36776.70||$33618.00|$82420.25
"MS-DRG V37 (FY 2020) 964"|"Other Multiple Significant Trauma With Cc"|0.00|$52318.00|$17417.56|$44470.30|$36623.00|$35275.08|$17417.56|$35423.86|$26984.96|$31842.21|$39250.81|$23909.66|$25786.53|$20093.40||$25213.50|$44470.30
"MS-DRG V37 (FY 2020) 965"|"Other Multiple Significant Trauma Without Cc/McC"|0.00|$29498.00|$0.00|$0.00|$20649.00||||||||||||
"MS-DRG V37 (FY 2020) 969"|"Hiv With Extensive O.R. Procedures With McC"|0.00|$274789.00|$0.00|$0.00|$192352.00||||||||||||
"MS-DRG V37 (FY 2020) 970"|"Hiv With Extensive O.R. Procedures Without McC"|0.00|$227982.00|$0.00|$0.00|$159587.00||||||||||||
"MS-DRG V37 (FY 2020) 974"|"Hiv With Major Related Condition With McC"|0.00|$113521.00|$36256.95|$108163.20|$79465.00|$63651.09|$47997.48|$97617.28|$74362.20|$87747.41|$108163.20|$56100.00|$60500.00|$36256.95||$40729.50|$96492.85
"MS-DRG V37 (FY 2020) 975"|"Hiv With Major Related Condition With Cc"|0.00|$48779.00|$17267.85|$82880.23|$34145.00|$30314.67|$36778.16|$74799.43|$56980.16|$67236.59|$82880.23|$40800.00|$44000.00|$17267.85||$25860.00|$41462.15
"MS-DRG V37 (FY 2020) 976"|"Hiv With Major Related Condition Without Cc/McC"|0.00|$28020.00|$0.00|$0.00|$19614.00||||||||||||
"MS-DRG V37 (FY 2020) 977"|"Hiv With Or Without Other Related Condition"|0.00|$48157.00|$17830.80|$90161.39|$33710.00|$31302.96|$40009.16|$81370.68|$61985.95|$73143.45|$90161.39|$56100.00|$60500.00|$17830.80||$23274.00|$40933.45
"MS-DRG V37 (FY 2020) 981"|"Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC"|0.00|$156420.00|$20400.00|$132957.00|$109494.00|$109204.86|$41880.76|$85177.09|$64885.62|$76565.03|$94379.06|$20400.00|$22000.00|$62205.30||$54306.00|$132957.00
"MS-DRG V37 (FY 2020) 982"|"Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc"|0.00|$23281.00|$19788.85|$84976.92|$16297.00|$60231.18|$37708.54|$76691.68|$58421.64|$68937.54|$84976.92|$30600.00|$33000.00|$34306.20||$30385.50|$19788.85
"MS-DRG V37 (FY 2020) 983"|"Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC"|0.00|$77018.00|$14869.50|$65465.30|$53913.00|$39218.76|$22793.30|$46357.02|$35313.55|$41669.95|$51365.14|$35700.00|$38500.00|$22339.80||$14869.50|$65465.30
"MS-DRG V37 (FY 2020) 987"|"Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With McC"|0.00|$128480.00|$42810.07|$109208.00|$89936.00|$77311.77|$42810.07|$87067.21|$66325.42|$78263.99|$96473.36|$66300.00|$71500.00|$44038.35||$49780.50|$109208.00
"MS-DRG V37 (FY 2020) 988"|"Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc"|0.00|$60623.00|$15361.90|$51529.55|$42436.00|$39841.22|$15361.90|$31254.49|$23807.07|$28097.36|$34622.10|$27011.40|$29131.62|$22689.45||$27799.50|$51529.55
"MS-DRG V37 (FY 2020) 989"|"Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/McC"|0.00|$55067.00|$10200.00|$54972.54|$38547.00|$26446.83|$24394.11|$49612.71|$37793.63|$44596.50|$54972.54|$10200.00|$11000.00|$15064.65||$14869.50|$46806.95
"MS-DRG V37 (FY 2020) 998"|"Principal Diagnosis Invalid As Discharge Diagnosis"|0.00|$19080.00|$4080.00|$15263.80|$13356.00|$15194.07|$6773.33|$13775.56|$10493.87|$12382.75|$15263.80|$4080.00|$4400.00||||
"MS-DRG V37 (FY 2020) 999"|"Ungroupable"|0.00|$40113.00|$0.00|$0.00|$28079.00||||||||||||
"Custom 11100000"|"HB MEDICAL/SURGICAL PRIVATE ROOM"|111.00|$1738.00|$1033.94|$1312.54|$1217.00|||||||||$1216.60|$1216.43|$1312.54|$1033.94
"Custom 11100001"|"HB TELEMETRY MEDICAL/SURGICAL ROOM"|111.00|$1930.00|$1148.16|$1457.54|$1351.00|||||||||$1351.00|$1350.81|$1457.54|$1148.16
"Custom 11100007"|"HB ROOM AND BOARD SWING BED"|111.00|$1390.00|$826.91|$1049.73|$973.00|||||||||$973.00|$972.86|$1049.73|$826.91
"Custom 11200000"|"HB OBSTETRICS PRIVATE ROOM"|112.00|$1992.00|$1185.04|$1504.36|$1394.00|||||||||$1394.40|$1394.20|$1504.36|$1185.04
"Custom 12100000"|"HB MEDICAL/SURGICAL SEMI-PRIVATE ROOM"|121.00|$2735.00|$1627.05|$2065.47|$1914.00|||||||||$1914.50|$1914.23|$2065.47|$1627.05
"Custom 12200000"|"HB OBSTETRICS SEMI-PRIVATE ROOM"|122.00|$2735.00|$1627.05|$2065.47|$1914.00|||||||||$1914.50|$1914.23|$2065.47|$1627.05
"Custom 12500000"|"HB HOSPICE PRIVATE ROOM"|125.00|$1021.00|$607.39|$771.06|$715.00|||||||||$714.70|$714.60|$771.06|$607.39
"Custom 16400001"|"HB ISOLATION MED/SURG ROOM"|164.00|$1586.00|$943.51|$1197.75|$1110.00|||||||||$1110.20|$1110.04|$1197.75|$943.51
"Custom 17000000"|"HB NEWBORN CARE ROOM"|170.00|$1427.00|$848.92|$1077.67|$999.00|||||||||$998.90|$998.76|$1077.67|$848.92
"Custom 17200005"|"HB BOARDER BABY R&B PRIVATE"|172.00|$1681.00|$1000.03|$1269.49|$1177.00|||||||||$1176.70|$1176.53|$1269.49|$1000.03
"Custom 17200006"|"HB NURSERY LEVEL II"|172.00|$1558.00|$926.85|$1176.60|$1091.00|||||||||$1090.60|$1090.44|$1176.60|$926.85
"Custom 20000000"|"HB ICU ROOM"|200.00|$3979.00|$2367.11|$3004.94|$2785.00|||||||||$2785.30|$2784.90|$3004.94|$2367.11
"Custom 20000003"|"HB R&B TELEMETRY OB"|200.00|$2424.00|$1442.04|$1830.60|$1697.00|||||||||$1696.80|$1696.56|$1830.60|$1442.04
"Custom 20600002"|"HB TELEMETRY ROOM & BOARD"|206.00|$2123.00|$1262.97|$1603.29|$1486.00|||||||||$1486.10|$1485.89|$1603.29|$1262.97
"Custom 20600003"|"HB R&B TELEMETRY MED/SURG"|206.00|$2379.00|$1415.27|$1796.62|$1665.00|||||||||$1665.30|$1665.06|$1796.62|$1415.27
"CPT® 96360"|"HB HYDRATION IV INFUSION INITIAL; 31 MINUTES TO 1 HOUR"|260.00|$636.00|$225.78|$508.80|$445.00|$443.93|$225.78|$459.19|$445.20|$407.68|$508.80|$277.30|$295.74|$445.20|$445.14|$480.31|$378.36
"CPT® 96361"|"HB HYDRATE IV INFUSION EACH ADDITIONAL HOUR; ADD-ON"|260.00|$294.00|$104.37|$235.20|$206.00|$205.21|$104.37|$212.27|$205.80|$188.45|$235.20|$128.18|$136.71|$205.80|$205.77|$222.03|$174.90
"CPT® 96365"|"HB IV INFUSION, MEDICINE (TX/PX/D); INTIAL UP TO 1 HOUR"|260.00|$701.00|$248.86|$560.80|$491.00|$489.30|$248.86|$506.12|$490.70|$449.34|$560.80|$305.64|$325.97|$490.70|$490.63|$529.40|$417.02
"CPT® 96366"|"HB IV INFUSION, MEDICINE (TX/PX/D); EACH ADDITIONAL HOUR (ADD-ON)"|260.00|$312.00|$110.76|$249.60|$218.00|$217.78|$110.76|$225.26|$218.40|$199.99|$249.60|$136.03|$145.08|$218.40|$218.37|$235.62|$185.61
"CPT® 96367"|"HB IV INFUSION, MEDICINE (TX/PX/D), ADDL SEQUENTIAL NEW MED; UP TO 1 HOUR"|260.00|$350.00|$124.25|$280.00|$245.00|$244.30|$124.25|$252.70|$245.00|$224.35|$280.00|$152.60|$162.75|$245.00|$244.97|$264.32|$208.22
"CPT® 96368"|"HB THER/DIAG CONCURRENT INF"|260.00|$344.00|$122.12|$275.20|$241.00|$240.11|$122.12|$248.37|$240.80|$220.50|$275.20|$149.98|$159.96|$240.80|$240.77|$259.79|$204.65
"CPT® 96374"|"HB INJECTION IV PUSH; INITIAL DRUG"|260.00|$283.00|$100.47|$226.40|$198.00|$197.53|$100.47|$204.33|$198.10|$181.40|$226.40|$123.39|$131.60|$198.10|$198.07|$213.72|$168.36
"CPT® 96375"|"HB INJECTION IV PUSH; EACH ADDITIONAL NEW DRUG"|260.00|$233.00|$82.72|$186.40|$163.00|$162.63|$82.72|$168.23|$163.10|$149.35|$186.40|$101.59|$108.35|$163.10|$163.08|$175.96|$138.61
"CPT® 96376"|"HB IV PUSH, ADDITIONAL, SAME MEDICINE,SEQUENTIAL"|260.00|$233.00|$82.72|$186.40|$163.00|$162.63|$82.72|$168.23|$163.10|$149.35|$186.40|$101.59|$108.35|$163.10|$163.08|$175.96|$138.61
"CPT® 96523"|"HB IRRIG DRUG DELIVERY DEVICE"|260.00|$204.00|$72.42|$163.20|$143.00|$142.39|$72.42|$147.29|$142.80|$130.76|$163.20|$88.94|$94.86|$142.80|$142.78|$154.06|$121.36
"Custom 27000279"|"HB ANES EPIDURAL TRAY"|270.00|$614.00|$217.97|$491.20|$430.00|$428.57|$217.97|$443.31|$429.80|$393.57|$491.20|$267.70|$285.51|$429.80|$429.74|$463.69|$365.27
"Custom 27000304"|"HB ANES WARM FULL BODY BLANKET"|270.00|$41.00|$14.56|$32.80|$29.00|$28.62|$14.56|$29.60|$28.70|$26.28|$32.80|$17.88|$19.07|$28.70|$28.70|$30.96|$24.39
"Custom 27000305"|"HB ANES WARM LOWR BODY BLANKET"|270.00|$51.00|$18.11|$40.80|$36.00|$35.60|$18.11|$36.82|$35.70|$32.69|$40.80|$22.24|$23.72|$35.70|$35.69|$38.52|$30.34
"Custom 27000309"|"HB ANES WARM SM UPPR BODY BLNKT"|270.00|$47.00|$16.69|$37.60|$33.00|$32.81|$16.69|$33.93|$32.90|$30.13|$37.60|$20.49|$21.86|$32.90|$32.90|$35.49|$27.96
"Custom 27000879"|"HB LACERATION TRAY"|270.00|$88.00|$31.24|$70.40|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$61.60|$61.59|$66.46|$52.35
"Custom 27001038"|"HB OXYGEN"|270.00|$267.00|$94.79|$213.60|$187.00|$186.37|$94.79|$192.77|$186.90|$171.15|$213.60|$116.41|$124.16|$186.90|$186.87|$201.64|$158.84
"Custom 27001046"|"HB OXYGEN THERAPY PER DAY"|270.00|$503.00|$178.57|$402.40|$352.00|$351.09|$178.57|$363.17|$352.10|$322.42|$402.40|$219.31|$233.90|$352.10|$352.05|$379.87|$299.23
"Custom 27001246"|"HB SHOULDER IMMOBILIZER"|270.00|$213.00|$75.62|$170.40|$149.00|$148.67|$75.62|$153.79|$149.10|$136.53|$170.40|$92.87|$99.05|$149.10|$149.08|$160.86|$126.71
"Custom 27001559"|"HB UMBILICAL VESSEL CATH 3.5FR"|270.00|$571.00|$202.71|$456.80|$400.00|$398.56|$202.71|$412.26|$399.70|$366.01|$456.80|$248.96|$265.52|$399.70|$399.64|$431.22|$339.69
"Custom 27001560"|"HB UMBILICAL VESSEL CATH 5.0FR"|270.00|$579.00|$205.55|$463.20|$405.00|$404.14|$205.55|$418.04|$405.30|$371.14|$463.20|$252.44|$269.24|$405.30|$405.24|$437.26|$344.45
"Custom 27001590"|"HB VENTIMASK DAILY INIT"|270.00|$320.00|$113.60|$256.00|$224.00|$223.36|$113.60|$231.04|$224.00|$205.12|$256.00|$139.52|$148.80|$224.00|$223.97|$241.66|$190.37
"Custom 27001656"|"HB BIOPATCH ANTIMICR 1IN X 4MM"|270.00|$71.00|$25.21|$56.80|$50.00|$49.56|$25.21|$51.26|$49.70|$45.51|$56.80|$30.96|$33.02|$49.70|$49.69|$53.62|$42.24
"Custom 27001797"|"HB NIPPLE SHIELDS, EACH"|270.00|$42.00|$14.91|$33.60|$29.00|$29.32|$14.91|$30.32|$29.40|$26.92|$33.60|$18.31|$19.53|$29.40|$29.40|$31.72|$24.99
"Custom 27001799"|"HB BOOT HEAL SOFTCARE SUSPEN"|270.00|$333.00|$118.22|$266.40|$233.00|$232.43|$118.22|$240.43|$233.10|$213.45|$266.40|$145.19|$154.85|$233.10|$233.07|$251.48|$198.10
"Custom 27001801"|"HB CATH URI FOLEY 20FRX5ML 2WAY"|270.00|$334.00|$118.57|$267.20|$234.00|$233.13|$118.57|$241.15|$233.80|$214.09|$267.20|$145.62|$155.31|$233.80|$233.77|$252.24|$198.70
"Custom 27001831"|"HB MICROPUNCTURE SET"|270.00|$222.00|$78.81|$177.60|$155.00|$154.96|$78.81|$160.28|$155.40|$142.30|$177.60|$96.79|$103.23|$155.40|$155.38|$167.65|$132.07
"Custom 27001846"|"HB BUBBLE CPAP CIRCUIT"|270.00|$345.00|$122.48|$276.00|$241.00|$240.81|$122.48|$249.09|$241.50|$221.15|$276.00|$150.42|$160.43|$241.50|$241.47|$260.54|$205.24
"Custom 27001860"|"HB OPTIFLOW PEDIATRIC CANNULA"|270.00|$456.00|$161.88|$364.80|$319.00|$318.29|$161.88|$329.23|$319.20|$292.30|$364.80|$198.82|$212.04|$319.20|$319.15|$344.37|$271.27
"Custom 27001861"|"HB META NEB CIRCUIT"|270.00|$542.00|$192.41|$433.60|$379.00|$378.32|$192.41|$391.32|$379.40|$347.42|$433.60|$236.31|$252.03|$379.40|$379.35|$409.32|$322.44
"Custom 27100012"|"HB AIRCAST WALKING BRACE"|271.00|$565.00|$200.58|$452.00|$396.00|$394.37|$200.58|$407.93|$395.50|$362.17|$452.00|$246.34|$262.73|$395.50|$395.44|$426.69|$336.12
"Custom 27100013"|"HB BLANKET MEDITHERM F/COOLING"|271.00|$372.00|$132.06|$297.60|$260.00|$259.66|$132.06|$268.58|$260.40|$238.45|$297.60|$162.19|$172.98|$260.40|$260.36|$280.93|$221.30
"Custom 27100016"|"HB COCK UP SPLINT LOOP LOCK"|271.00|$272.00|$96.56|$217.60|$190.00|$189.86|$96.56|$196.38|$190.40|$174.35|$217.60|$118.59|$126.48|$190.40|$190.37|$205.41|$161.81
"Custom 27100017"|"HB COLOSTOMY BAG"|271.00|$45.00|$15.98|$36.00|$31.00|$31.41|$15.98|$32.49|$31.50|$28.85|$36.00|$19.62|$20.93|$31.50|$31.50|$33.98|$26.77
"Custom 27100018"|"HB COMPRESSED AIR"|271.00|$92.00|$32.66|$73.60|$64.00|$64.22|$32.66|$66.42|$64.40|$58.97|$73.60|$40.11|$42.78|$64.40|$64.39|$69.48|$54.73
"Custom 27100021"|"HB DON JOY ULTRASLING"|271.00|$404.00|$143.42|$323.20|$283.00|$281.99|$143.42|$291.69|$282.80|$258.96|$323.20|$176.14|$187.86|$282.80|$282.76|$305.10|$240.34
"Custom 27100022"|"HB HEATED/COOLED AEROSOL INITIAL"|271.00|$163.00|$57.87|$130.40|$114.00|$113.77|$57.87|$117.69|$114.10|$104.48|$130.40|$71.07|$75.80|$114.10|$114.08|$123.10|$96.97
"Custom 27100043"|"HB TEGADERM (ALL SIZES)"|271.00|$32.00|$11.36|$25.60|$22.00|$22.34|$11.36|$23.10|$22.40|$20.51|$25.60|$13.95|$14.88|$22.40|$22.40|$24.17|$19.04
"Custom 27100044"|"HB XEROFORM 5X9"|271.00|$33.00|$11.72|$26.40|$23.00|$23.03|$11.72|$23.83|$23.10|$21.15|$26.40|$14.39|$15.35|$23.10|$23.10|$24.92|$19.63
"Custom 27103011"|"HB BINDER ABDOMINAL SZ 46-62IN"|271.00|$353.00|$125.32|$282.40|$247.00|$246.39|$125.32|$254.87|$247.10|$226.27|$282.40|$153.91|$164.15|$247.10|$247.06|$266.59|$210.00
"Custom 27103012"|"HB BLANKET 810 MEDITHERM 25X64"|271.00|$909.00|$322.70|$727.20|$636.00|$634.48|$322.70|$656.30|$636.30|$582.67|$727.20|$396.32|$422.69|$636.30|$636.21|$686.48|$540.76
"Custom 27103061"|"HB MASK BPAP CPAP NSL CNTOUR HD STRP SM DISP"|271.00|$278.00|$98.69|$222.40|$195.00|$194.04|$98.69|$200.72|$194.60|$178.20|$222.40|$121.21|$129.27|$194.60|$194.57|$209.95|$165.38
"Custom 27103073"|"HB PAD TEMP THRP 15INX22IN K PAD"|271.00|$508.00|$180.34|$406.40|$356.00|$354.58|$180.34|$366.78|$355.60|$325.63|$406.40|$221.49|$236.22|$355.60|$355.55|$383.64|$302.21
"Custom 27103087"|"HB SCD SLEEVE KNEE LARGE"|271.00|$360.00|$127.80|$288.00|$252.00|$251.28|$127.80|$259.92|$252.00|$230.76|$288.00|$156.96|$167.40|$252.00|$251.96|$271.87|$214.16
"Custom 27103094"|"HB SHOE POST OP MALE MEDIUM"|271.00|$220.00|$78.10|$176.00|$154.00|$153.56|$78.10|$158.84|$154.00|$141.02|$176.00|$95.92|$102.30|$154.00|$153.98|$166.14|$130.88
"Custom 27103101"|"HB SLEEVE COMPRESSION KNEE LENGTH SCD EXPRESS MEDIUM"|271.00|$209.00|$74.20|$167.20|$146.00|$145.88|$74.20|$150.90|$146.30|$133.97|$167.20|$91.12|$97.19|$146.30|$146.28|$157.84|$124.33
"Custom 27103121"|"HB VEST 535 RAPRROUND LG 46-54IN"|271.00|$1333.00|$473.22|$1066.40|$933.00|$930.43|$473.22|$962.43|$933.10|$854.45|$1066.40|$581.19|$619.85|$933.10|$932.97|$1006.68|$793.00
"Custom 27103128"|"HB SPLINT WR HND ELB FRDM AD MED"|271.00|$283.00|$100.47|$226.40|$198.00|$197.53|$100.47|$204.33|$198.10|$181.40|$226.40|$123.39|$131.60|$198.10|$198.07|$213.72|$168.36
"Custom 27103131"|"HB PEP THER SYS VBRTRY ACAPELLA DH GRN W/MOUTHPC"|271.00|$726.00|$257.73|$580.80|$508.00|$506.75|$257.73|$524.17|$508.20|$465.37|$580.80|$316.54|$337.59|$508.20|$508.13|$548.28|$431.90
"Custom 27103133"|"HB MASK BIPAP CPAP MED FULL FACE PERFORMATRAK DISP"|271.00|$536.00|$190.28|$428.80|$375.00|$374.13|$190.28|$386.99|$375.20|$343.58|$428.80|$233.70|$249.24|$375.20|$375.15|$404.79|$318.87
"Custom 27103134"|"HB MASK BIPAP CPAP LRG FULL FACE PERFORMATRAK DISP"|271.00|$536.00|$190.28|$428.80|$375.00|$374.13|$190.28|$386.99|$375.20|$343.58|$428.80|$233.70|$249.24|$375.20|$375.15|$404.79|$318.87
"Custom 27103135"|"HB MASK FACE LG FULL BIPAP W/ HDGR PERFORMATRAK DISP ADLT"|271.00|$540.00|$191.70|$432.00|$378.00|$376.92|$191.70|$389.88|$378.00|$346.14|$432.00|$235.44|$251.10|$378.00|$377.95|$407.81|$321.25
"Custom 27103186"|"HB PAD PRO DEFIB ADLT MONIT ELECT"|271.00|$336.00|$119.28|$268.80|$235.00|$234.53|$119.28|$242.59|$235.20|$215.38|$268.80|$146.50|$156.24|$235.20|$235.17|$253.75|$199.89
"Custom 27103187"|"HB SPLINT 76003 3INX15FT SCTCHCST"|271.00|$1135.00|$402.93|$908.00|$794.00|$792.23|$402.93|$819.47|$794.50|$727.54|$908.00|$494.86|$527.78|$794.50|$794.39|$857.15|$675.21
"Custom 27103188"|"HB SPLINT 76004 4INX15FT SCTCHCST"|271.00|$1331.00|$472.51|$1064.80|$932.00|$929.04|$472.51|$960.98|$931.70|$853.17|$1064.80|$580.32|$618.92|$931.70|$931.57|$1005.17|$791.81
"Custom 27103190"|"HB WRAP KNEE W/GEL BAG"|271.00|$809.00|$287.20|$647.20|$566.00|$564.68|$287.20|$584.10|$566.30|$518.57|$647.20|$352.72|$376.19|$566.30|$566.22|$610.96|$481.27
"Custom 27103192"|"HB WRAP UNIV. W/LNG STRP 2 GEL BG"|271.00|$541.00|$192.06|$432.80|$379.00|$377.62|$192.06|$390.60|$378.70|$346.78|$432.80|$235.88|$251.57|$378.70|$378.65|$408.56|$321.84
"Custom 27103193"|"HB WRAP SHOULDER W/GEL BAG"|271.00|$935.00|$331.93|$748.00|$654.00|$652.63|$331.93|$675.07|$654.50|$599.34|$748.00|$407.66|$434.78|$654.50|$654.41|$706.11|$556.23
"Custom 27103196"|"HB BREASTPUMP HARMONY MANUAL NAT EXPR"|271.00|$368.00|$130.64|$294.40|$258.00|$256.86|$130.64|$265.70|$257.60|$235.89|$294.40|$160.45|$171.12|$257.60|$257.56|$277.91|$218.92
"Custom 27103200"|"HB RESUSCITATOR MNL SPUR II AD MED MASK W/TB RESERVOIR LF DISPO"|271.00|$354.00|$125.67|$283.20|$248.00|$247.09|$125.67|$255.59|$247.80|$226.91|$283.20|$154.34|$164.61|$247.80|$247.76|$267.34|$210.59
"Custom 27103223"|"HB BOOT TRAC BUCK MED"|271.00|$619.00|$219.75|$495.20|$433.00|$432.06|$219.75|$446.92|$433.30|$396.78|$495.20|$269.88|$287.84|$433.30|$433.24|$467.47|$368.24
"Custom 27103243"|"HB PAD TEMP THRP 15INX22IN K PAD"|271.00|$508.00|$180.34|$406.40|$356.00|$354.58|$180.34|$366.78|$355.60|$325.63|$406.40|$221.49|$236.22|$355.60|$355.55|$383.64|$302.21
"Custom 27200031"|"HB ARTERIAL LINE"|272.00|$557.00|$197.74|$445.60|$390.00|$388.79|$197.74|$402.15|$389.90|$357.04|$445.60|$242.85|$259.01|$389.90|$389.84|$420.65|$331.36
"Custom 27200432"|"HB ANESCATH SET RADIAL ART 20G"|272.00|$84.00|$29.82|$67.20|$59.00|$58.63|$29.82|$60.65|$58.80|$53.84|$67.20|$36.62|$39.06|$58.80|$58.79|$63.44|$49.97
"Custom 27200466"|"HB BREAST LOCALIZATON NEEDLE"|272.00|$187.00|$66.39|$149.60|$131.00|$130.53|$66.39|$135.01|$130.90|$119.87|$149.60|$81.53|$86.96|$130.90|$130.88|$141.22|$111.25
"HCPCS C1751"|"HB CATH,INF,PERCENT/MIDLINE"|272.00|$699.00|$248.15|$559.20|$489.00|$487.90|$248.15|$504.68|$489.30|$448.06|$559.20|$304.76|$325.04|$489.30|$489.23|$527.88|$415.84
"HCPCS C1751"|"HB CATH SWAN GANZ 4FR"|272.00|$1422.00|$504.81|$1137.60|$995.00|$992.56|$504.81|$1026.68|$995.40|$911.50|$1137.60|$619.99|$661.23|$995.40|$995.26|$1073.89|$845.95
"Custom 27201266"|"HB BANDAGE CONFORM 1-4 IN"|272.00|$725.00|$257.38|$580.00|$507.00|$506.05|$257.38|$523.45|$507.50|$464.73|$580.00|$316.10|$337.13|$507.50|$507.43|$547.52|$431.30
"Custom 27201281"|"HB CATH UMBILICAL ARTERY 8FR"|272.00|$668.00|$237.14|$534.40|$468.00|$466.26|$237.14|$482.30|$467.60|$428.19|$534.40|$291.25|$310.62|$467.60|$467.53|$504.47|$397.39
"Custom 27201284"|"HB CATHETER COUDE FOLEY"|272.00|$267.00|$94.79|$213.60|$187.00|$186.37|$94.79|$192.77|$186.90|$171.15|$213.60|$116.41|$124.16|$186.90|$186.87|$201.64|$158.84
"Custom 27201298"|"HB CATHETER, FOLEY 22 FR. 5CC"|272.00|$125.00|$44.38|$100.00|$88.00|$87.25|$44.38|$90.25|$87.50|$80.13|$100.00|$54.50|$58.13|$87.50|$87.49|$94.40|$74.36
"Custom 27201313"|"HB CATHETER, UMBILICAL ARTERY 8FR"|272.00|$714.00|$253.47|$571.20|$500.00|$498.37|$253.47|$515.51|$499.80|$457.67|$571.20|$311.30|$332.01|$499.80|$499.73|$539.21|$424.76
"Custom 27201319"|"HB DRESSING GUAZE AQUAPHOR 3X8"|272.00|$42.00|$14.91|$33.60|$29.00|$29.32|$14.91|$30.32|$29.40|$26.92|$33.60|$18.31|$19.53|$29.40|$29.40|$31.72|$24.99
"Custom 27201320"|"HB DRESSING RESTORE PLUS 4X4"|272.00|$84.00|$29.82|$67.20|$59.00|$58.63|$29.82|$60.65|$58.80|$53.84|$67.20|$36.62|$39.06|$58.80|$58.79|$63.44|$49.97
"Custom 27201321"|"HB DRESSING RESTORE PLUS 6X6"|272.00|$152.00|$53.96|$121.60|$106.00|$106.10|$53.96|$109.74|$106.40|$97.43|$121.60|$66.27|$70.68|$106.40|$106.38|$114.79|$90.42
"Custom 27201330"|"HB INTRAOSSEOUS NEEDLE 15G"|272.00|$406.00|$144.13|$324.80|$284.00|$283.39|$144.13|$293.13|$284.20|$260.25|$324.80|$177.02|$188.79|$284.20|$284.16|$306.61|$241.53
"Custom 27201334"|"HB KIT CATH ACTIFLOW 4CM"|272.00|$1524.00|$541.02|$1219.20|$1067.00|$1063.75|$541.02|$1100.33|$1066.80|$976.88|$1219.20|$664.46|$708.66|$1066.80|$1066.65|$1150.92|$906.63
"Custom 27201343"|"HB OSTOMY KIT GENTLE TOUCH"|272.00|$101.00|$35.86|$80.80|$71.00|$70.50|$35.86|$72.92|$70.70|$64.74|$80.80|$44.04|$46.97|$70.70|$70.69|$76.28|$60.08
"Custom 27201364"|"HB TRAY LACERATION/FACIAL"|272.00|$95.00|$33.73|$76.00|$66.00|$66.31|$33.73|$68.59|$66.50|$60.90|$76.00|$41.42|$44.18|$66.50|$66.49|$71.74|$56.52
"Custom 27201366"|"HB TUBE AIRWAY SUCT PORT SZ4 KING"|272.00|$1224.00|$434.52|$979.20|$857.00|$854.35|$434.52|$883.73|$856.80|$784.58|$979.20|$533.66|$569.16|$856.80|$856.68|$924.36|$728.16
"Custom 27201372"|"HB US CORE BIOPSY NEEDLE"|272.00|$1976.00|$701.48|$1580.80|$1383.00|$1379.25|$701.48|$1426.67|$1383.20|$1266.62|$1580.80|$861.54|$918.84|$1383.20|$1383.00|$1492.28|$1175.52
"Custom 27201378"|"HB XEROFORM 4X3"|272.00|$70.00|$24.85|$56.00|$49.00|$48.86|$24.85|$50.54|$49.00|$44.87|$56.00|$30.52|$32.55|$49.00|$48.99|$52.86|$41.64
"Custom 27201379"|"HB XEROFORM DRESSING 2X2"|272.00|$73.00|$25.92|$58.40|$51.00|$50.95|$25.92|$52.71|$51.10|$46.79|$58.40|$31.83|$33.95|$51.10|$51.09|$55.13|$43.43
"Custom 27201380"|"HB YUEH CATHETER"|272.00|$273.00|$96.92|$218.40|$191.00|$190.55|$96.92|$197.11|$191.10|$174.99|$218.40|$119.03|$126.95|$191.10|$191.07|$206.17|$162.41
"HCPCS C1726"|"HB CATH BAL RELIANT REL46 STNT"|272.00|$480.00|$170.40|$384.00|$336.00|$335.04|$170.40|$346.56|$336.00|$307.68|$384.00|$209.28|$223.20|$336.00|$335.95|$362.50|$285.55
"HCPCS C1729"|"HB CATHETR THORACIC 28R ANGLED"|272.00|$175.00|$62.13|$140.00|$122.00|$122.15|$62.13|$126.35|$122.50|$112.18|$140.00|$76.30|$81.38|$122.50|$122.48|$132.16|$104.11
"HCPCS C1729"|"HB CATH THOR 32FRX16IN TROC TIP"|272.00|$197.00|$69.94|$157.60|$138.00|$137.51|$69.94|$142.23|$137.90|$126.28|$157.60|$85.89|$91.61|$137.90|$137.88|$148.77|$117.20
"HCPCS A7048"|"HB PLEURX DRAIN KIT W/1000ML BTL"|272.00|$814.00|$288.97|$651.20|$570.00|$568.17|$288.97|$587.71|$569.80|$521.77|$651.20|$354.90|$378.51|$569.80|$569.72|$614.73|$484.25
"Custom 27201565"|"HB MIDLINE MAX BARRIER CATHETER POWERGLIDE 18GA X 10CM"|272.00|$1113.00|$395.12|$890.40|$779.00|$776.87|$395.12|$803.59|$779.10|$713.43|$890.40|$485.27|$517.55|$779.10|$778.99|$840.54|$662.12
"Custom 27203007"|"HB SPONGE HEMOSTATIC SURGICEL 4 X 8 IN CELLULOSE LF STERILE"|272.00|$1337.00|$474.64|$1069.60|$936.00|$933.23|$474.64|$965.31|$935.90|$857.02|$1069.60|$582.93|$621.71|$935.90|$935.77|$1009.70|$795.38
"Custom 27203016"|"HB CATHETER NASAL EPISTAXIS 2 CUFF EPISTAT SILICONE STERILE"|272.00|$1886.00|$669.53|$1508.80|$1320.00|$1316.43|$669.53|$1361.69|$1320.20|$1208.93|$1508.80|$822.30|$876.99|$1320.20|$1320.01|$1424.31|$1121.98
"Custom 27203017"|"HB CRICOTHYROTOMY KIT EMERGENCY MELKER 6 MM X 7.5 CM"|272.00|$2963.00|$1051.87|$2370.40|$2074.00|$2068.17|$1051.87|$2139.29|$2074.10|$1899.28|$2370.40|$1291.87|$1377.80|$2074.10|$2073.80|$2237.66|$1762.69
"Custom 27203028"|"HB NEEDLE SET INTRAOSSEOUS EZ-IO AD ADULT W/STABILIZER 15G X 25MM"|272.00|$2995.00|$1063.23|$2396.00|$2096.00|$2090.51|$1063.23|$2162.39|$2096.50|$1919.80|$2396.00|$1305.82|$1392.68|$2096.50|$2096.20|$2261.82|$1781.73
"Custom 27203031"|"HB APPLICATOR ADHESIVE SKIN TOPICAL DERMABOND ADVANCED"|272.00|$699.00|$248.15|$559.20|$489.00|$487.90|$248.15|$504.68|$489.30|$448.06|$559.20|$304.76|$325.04|$489.30|$489.23|$527.88|$415.84
"Custom 27203032"|"HB DRESSING 3.5X10IN SURGICAL HYDROFIBER AQUACEL AG SILVER"|272.00|$653.00|$231.82|$522.40|$457.00|$455.79|$231.82|$471.47|$457.10|$418.57|$522.40|$284.71|$303.65|$457.10|$457.03|$493.15|$388.47
"Custom 27203034"|"HB BLADE LARYNGOSCOPE VIDEO RANGER STAT GLIDESCOPE SZ 3 20 X 82 MM"|272.00|$334.00|$118.57|$267.20|$234.00|$233.13|$118.57|$241.15|$233.80|$214.09|$267.20|$145.62|$155.31|$233.80|$233.77|$252.24|$198.70
"Custom 27203065"|"HB HANDPIECE BX US GUID MINMLY INVASV BRST BX ATEC STD 12X20X9"|272.00|$2100.00|$745.50|$1680.00|$1470.00|$1465.80|$745.50|$1516.20|$1470.00|$1346.10|$1680.00|$915.60|$976.50|$1470.00|$1469.79|$1585.92|$1249.29
"Custom 27203083"|"HB GUN BIOPSY NEEDLE SOFT TISSUE COAXIAL INTRODUCER ACHIEVE 14 G X 11 CM"|272.00|$1054.00|$374.17|$843.20|$738.00|$735.69|$374.17|$760.99|$737.80|$675.61|$843.20|$459.54|$490.11|$737.80|$737.69|$795.98|$627.02
"Custom 27203103"|"HB CATH URETH FOL 2W COUD TIP BARDX IC 18FR 5ML LTX"|272.00|$288.00|$102.24|$230.40|$202.00|$201.02|$102.24|$207.94|$201.60|$184.61|$230.40|$125.57|$133.92|$201.60|$201.57|$217.50|$171.33
"Custom 27203197"|"HB NEEDLE SET INTRAOSSEOUS EZ-IO LD BARIATRIC W/STABILIZER 15G X 45MM"|272.00|$2995.00|$1063.23|$2396.00|$2096.00|$2090.51|$1063.23|$2162.39|$2096.50|$1919.80|$2396.00|$1305.82|$1392.68|$2096.50|$2096.20|$2261.82|$1781.73
"HCPCS C1751"|"HB TRAY ARROW M LUM CATHETER CV 7FR"|272.00|$1759.00|$624.45|$1407.20|$1231.00|$1227.78|$624.45|$1270.00|$1231.30|$1127.52|$1407.20|$766.92|$817.94|$1231.30|$1231.12|$1328.40|$1046.43
"Custom 27203227"|"HB CATH FOLEY COUDE LF 16FRX10ML"|272.00|$220.00|$78.10|$176.00|$154.00|$153.56|$78.10|$158.84|$154.00|$141.02|$176.00|$95.92|$102.30|$154.00|$153.98|$166.14|$130.88
"Custom 27203236"|"HB PUMP KT BRST DBL SYM/LACTNA"|272.00|$637.00|$226.14|$509.60|$446.00|$444.63|$226.14|$459.91|$445.90|$408.32|$509.60|$277.73|$296.21|$445.90|$445.84|$481.06|$378.95
"Custom 27203238"|"HB BLADE GLIDESCOPE TITANUM SPECTRUM LOPRO S4"|272.00|$893.00|$317.02|$714.40|$625.00|$623.31|$317.02|$644.75|$625.10|$572.41|$714.40|$389.35|$415.25|$625.10|$625.01|$674.39|$531.25
"Custom 27203239"|"HB BLADE GLIDESCOPE TITANIUM SPECTRUM LOPRO S3"|272.00|$893.00|$317.02|$714.40|$625.00|$623.31|$317.02|$644.75|$625.10|$572.41|$714.40|$389.35|$415.25|$625.10|$625.01|$674.39|$531.25
"Custom 27203242"|"HB ADHESIVE SKIN TOPICAL LIQUIBAND EXCEED"|272.00|$326.00|$115.73|$260.80|$228.00|$227.55|$115.73|$235.37|$228.20|$208.97|$260.80|$142.14|$151.59|$228.20|$228.17|$246.20|$193.94
"Custom 27203262"|"HB CATHETER INTRAUTERINE PRESSURE IUP MONITOR EXTERNAL KOALA LF W/SENSOR TIP"|272.00|$550.00|$195.25|$440.00|$385.00|$383.90|$195.25|$397.10|$385.00|$352.55|$440.00|$239.80|$255.75|$385.00|$384.95|$415.36|$327.20
"HCPCS C1729"|"HB CATH DRNGE THOR SHRP TIP TRCR ARGY 28FRX40CM STRL"|272.00|$328.00|$116.44|$262.40|$230.00|$228.94|$116.44|$236.82|$229.60|$210.25|$262.40|$143.01|$152.52|$229.60|$229.57|$247.71|$195.13
"Custom 27203278"|"HB SPONGE HEMOSTATIC SURGICEL 2 X 3 IN CELLULOSE LF STERILE"|272.00|$837.00|$297.14|$669.60|$586.00|$584.23|$297.14|$604.31|$585.90|$536.52|$669.60|$364.93|$389.21|$585.90|$585.82|$632.10|$497.93
"Custom 27203288"|"HB HANDPIECE BX BRST MAMMO-ATEC MINMLY STEREOTCT 9GX20MMX12CM"|272.00|$2100.00|$745.50|$1680.00|$1470.00|$1465.80|$745.50|$1516.20|$1470.00|$1346.10|$1680.00|$915.60|$976.50|$1470.00|$1469.79|$1585.92|$1249.29
"Custom 27203297"|"HB LUMBAR PUNC TY MNOMTR 4 SPEC VI 1% LIDO AD 20 G X 3.5IN LF"|272.00|$223.00|$79.17|$178.40|$156.00|$155.65|$79.17|$161.01|$156.10|$142.94|$178.40|$97.23|$103.70|$156.10|$156.08|$168.41|$132.66
"Custom 27203302"|"HB PUMP KT BRST 2 SYM STRL"|272.00|$674.00|$239.27|$539.20|$472.00|$470.45|$239.27|$486.63|$471.80|$432.03|$539.20|$293.86|$313.41|$471.80|$471.73|$509.00|$400.96
"Custom 27203307"|"HB DRAIN SYS CHST DRY CTRL H2O SEAL SGL CHMBR AD OASIS 2000ML"|272.00|$685.00|$243.18|$548.00|$479.00|$478.13|$243.18|$494.57|$479.50|$439.09|$548.00|$298.66|$318.53|$479.50|$479.43|$517.31|$407.51
"Custom 27203319"|"HB TRAY FOLEY CATHETER 16FR SURESTEP LUBRI-SIL TEMP SENSING"|272.00|$633.00|$224.72|$506.40|$443.00|$441.83|$224.72|$457.03|$443.10|$405.75|$506.40|$275.99|$294.35|$443.10|$443.04|$478.04|$376.57
"Custom 27203329"|"HB NDL BRST LOC FLEXSTRAND HAWK II 20 G X 7.5CM"|272.00|$744.00|$264.12|$595.20|$521.00|$519.31|$264.12|$537.17|$520.80|$476.90|$595.20|$324.38|$345.96|$520.80|$520.73|$561.87|$442.61
"Custom 27203380"|"HB DRESS MEPILEX BORDERAG 4INX4IN"|272.00|$217.00|$77.04|$173.60|$152.00|$151.47|$77.04|$156.67|$151.90|$139.10|$173.60|$94.61|$100.91|$151.90|$151.88|$163.88|$129.09
"Custom 27203381"|"HB DRESS MEPILEX BORDERAG 4INX8IN"|272.00|$435.00|$154.43|$348.00|$304.00|$303.63|$154.43|$314.07|$304.50|$278.84|$348.00|$189.66|$202.28|$304.50|$304.46|$328.51|$258.78
"HCPCS C1729"|"HB TRAY PARCNTSIS/THORACOCENTESIS"|272.00|$631.00|$224.01|$504.80|$442.00|$440.44|$224.01|$455.58|$441.70|$404.47|$504.80|$275.12|$293.42|$441.70|$441.64|$476.53|$375.38
"Custom 27203390"|"HB SUT ABSORBABLE BRAIDED COATED UNDYED PS-2 5-0 18IN VICRYL"|272.00|$251.00|$89.11|$200.80|$176.00|$175.20|$89.11|$181.22|$175.70|$160.89|$200.80|$109.44|$116.72|$175.70|$175.67|$189.56|$149.32
"Custom 27203394"|"HB NDL BX SFT TISS COAX AUTO 10MM SAMP NTCH ACHVE 14 G X 9CM LF"|272.00|$928.00|$329.44|$742.40|$650.00|$647.74|$329.44|$670.02|$649.60|$594.85|$742.40|$404.61|$431.52|$649.60|$649.51|$700.83|$552.07
"Custom 27203402"|"HB BLDE GLIDESCOPE SPECTRUM SU DVM S3"|272.00|$893.00|$317.02|$714.40|$625.00|$623.31|$317.02|$644.75|$625.10|$572.41|$714.40|$389.35|$415.25|$625.10|$625.01|$674.39|$531.25
"Custom 27203408"|"HB EPIDURAL TRAY PERIFIX CONTIN HUSTEAD 18GA 3.5IN LUER LOCK/SY"|272.00|$426.00|$151.23|$340.80|$298.00|$297.35|$151.23|$307.57|$298.20|$273.07|$340.80|$185.74|$198.09|$298.20|$298.16|$321.72|$253.43
"Custom 27203415"|"HB PEP THER SYS VBRTRY ACAPELLA DH"|272.00|$856.00|$303.88|$684.80|$599.00|$597.49|$303.88|$618.03|$599.20|$548.70|$684.80|$373.22|$398.04|$599.20|$599.11|$646.45|$509.23
"Custom 27203421"|"HB TUBE ENDOSCOPIC 20FRX20CC GASTROSTOMY BALLOON TRI FUNNEL REPLACEMENT"|272.00|$2984.00|$1059.32|$2387.20|$2089.00|$2082.83|$1059.32|$2154.45|$2088.80|$1912.74|$2387.20|$1301.02|$1387.56|$2088.80|$2088.50|$2253.52|$1775.18
"Custom 27203423"|"HB CATHETER KIT CENTRAL VENOUS UMBILICAL SINGLE LUMEN NEO-SERT 5 FR"|272.00|$1074.00|$381.27|$859.20|$752.00|$749.65|$381.27|$775.43|$751.80|$688.43|$859.20|$468.26|$499.41|$751.80|$751.69|$811.08|$638.92
"Custom 27203424"|"HB DRSNG KT VAC GRNUFM TRAC PD SM"|272.00|$856.00|$303.88|$684.80|$599.00|$597.49|$303.88|$618.03|$599.20|$548.70|$684.80|$373.22|$398.04|$599.20|$599.11|$646.45|$509.23
"Custom 27203447"|"HB DRAINAGE SYSTEM DRY SUCTION WATER SEAL SINGLE CHAMBER OASIS PEDIATRIC STERILE W/ AUTOTRANSFUSION CAPABILITY"|272.00|$907.00|$321.99|$725.60|$635.00|$633.09|$321.99|$654.85|$634.90|$581.39|$725.60|$395.45|$421.76|$634.90|$634.81|$684.97|$539.57
"Custom 27203448"|"HB SET PUMP SAPPHIRE EPIDURAL"|272.00|$243.00|$86.27|$194.40|$170.00|$169.61|$86.27|$175.45|$170.10|$155.76|$194.40|$105.95|$113.00|$170.10|$170.08|$183.51|$144.56
"Custom 27203454"|"HB PATCH NOVII"|272.00|$925.00|$328.38|$740.00|$648.00|$645.65|$328.38|$667.85|$647.50|$592.93|$740.00|$403.30|$430.13|$647.50|$647.41|$698.56|$550.28
"HCPCS L4350"|"HB AIRCAST ANKLE BRACE"|274.00|$187.00|$66.39|$149.60|$131.00|$130.53|$66.39|$135.01|$130.90|$119.87|$149.60|$81.53|$86.96|$130.90|$130.88|$141.22|$111.25
"HCPCS L3808"|"HB CUSTOM WRIST HAND FINGER ORTHOSIS"|274.00|$704.00|$249.92|$563.20|$493.00|$491.39|$249.92|$508.29|$492.80|$451.26|$563.20|$306.94|$327.36|$492.80|$492.73|$531.66|$418.81
"HCPCS L1940"|"HB Y1 CUSTOM MOLDED PLASTIC AFO"|274.00|$4016.00|$1425.68|$3212.80|$2811.00|$2803.17|$1425.68|$2899.55|$2811.20|$2574.26|$3212.80|$1750.98|$1867.44|$2811.20|$2810.80|$3032.88|$2389.12
"HCPCS L2182"|"HB QUICKLOCK POST-OP KNEE BRACE"|274.00|$1880.00|$667.40|$1504.00|$1316.00|$1312.24|$667.40|$1357.36|$1316.00|$1205.08|$1504.00|$819.68|$874.20|$1316.00|$1315.81|$1419.78|$1118.41
"HCPCS L3650"|"HB IMMOBILIZER, ARM"|274.00|$249.00|$88.40|$199.20|$174.00|$173.80|$88.40|$179.78|$174.30|$159.61|$199.20|$108.56|$115.79|$174.30|$174.28|$188.04|$148.13
"HCPCS L3908"|"HB SPLINT, COCK-UP"|274.00|$174.00|$61.77|$139.20|$122.00|$121.45|$61.77|$125.63|$121.80|$111.53|$139.20|$75.86|$80.91|$121.80|$121.78|$131.40|$103.51
"HCPCS L1830"|"HB IMMOBILIZER KNEE SUPER SMALL 16 IN"|274.00|$268.00|$95.14|$214.40|$188.00|$187.06|$95.14|$193.50|$187.60|$171.79|$214.40|$116.85|$124.62|$187.60|$187.57|$202.39|$159.43
"HCPCS L0120"|"HB COLLAR STIFFNECK SELECT"|274.00|$336.00|$119.28|$268.80|$235.00|$234.53|$119.28|$242.59|$235.20|$215.38|$268.80|$146.50|$156.24|$235.20|$235.17|$253.75|$199.89
"HCPCS L1830"|"HB SPLINT 79-80027 20 LG KNEE"|274.00|$278.00|$98.69|$222.40|$195.00|$194.04|$98.69|$200.72|$194.60|$178.20|$222.40|$121.21|$129.27|$194.60|$194.57|$209.95|$165.38
"HCPCS L3650"|"HB IMMOB SHOULDER MED 36-40IN ML"|274.00|$298.00|$105.79|$238.40|$209.00|$208.00|$105.79|$215.16|$208.60|$191.02|$238.40|$129.93|$138.57|$208.60|$208.57|$225.05|$177.28
"HCPCS L1830"|"HB SPLINT 79-80023 20IN KNEE SM"|274.00|$278.00|$98.69|$222.40|$195.00|$194.04|$98.69|$200.72|$194.60|$178.20|$222.40|$121.21|$129.27|$194.60|$194.57|$209.95|$165.38
"HCPCS L4350"|"HB BRACE ANKLE AIR STIRRUP LARGE LEFT PLASTIC FOAM"|274.00|$468.00|$166.14|$374.40|$328.00|$326.66|$166.14|$337.90|$327.60|$299.99|$374.40|$204.05|$217.62|$327.60|$327.55|$353.43|$278.41
"HCPCS L0120"|"HB COLLAR CERVICAL EXTRICATION TRACH STIFNECK ADULT PLASTIC FOAM"|274.00|$246.00|$87.33|$196.80|$172.00|$171.71|$87.33|$177.61|$172.20|$157.69|$196.80|$107.26|$114.39|$172.20|$172.18|$185.78|$146.35
"HCPCS A4648"|"HB MARKER BRST BX SITE IDENTFR SEC SHP"|278.00|$2100.00|$745.50|$1680.00|$1470.00|$1465.80|$745.50|$1516.20|$1470.00|$1346.10|$1680.00|$915.60|$976.50|$1470.00|$1469.79|$1585.92|$1249.29
"HCPCS A4648"|"HB MARKER ULTRA TISS BRST SENOMARK F/EVIVA 9G BIODUR COIL 108"|278.00|$1176.00|$417.48|$940.80|$823.00|$820.85|$417.48|$849.07|$823.20|$753.82|$940.80|$512.74|$546.84|$823.20|$823.08|$888.12|$699.60
"CPT® 88720"|"HB TRANSCUTANEOUS BILIRUBIN"|300.00|$148.00|$52.54|$118.40|$104.00|$103.30|$52.54|$106.86|$103.60|$94.87|$118.40|$64.53|$68.82|$103.60|$103.59|$111.77|$88.05
"HCPCS P9612"|"HB CATHETERIZE FOR URINE SPECIMEN"|300.00|$275.00|$97.63|$220.00|$192.00|$191.95|$97.63|$198.55|$192.50|$176.28|$220.00|$119.90|$127.88|$192.50|$192.47|$207.68|$163.60
"CPT® 36415"|"HB SPECIMEN AQUISITION WITH SHIPPING FEE"|300.00|$29.00|$0.00|$23.20|$20.00|$0.00|$0.00|$20.94|$20.30|$18.59|$23.20|$12.64|$13.49|$20.30|$20.30|$21.90|$17.25
"CPT® 86692"|"HB HEPATITIS DELTA AGENT ANTBDY"|300.00|$99.00|$35.15|$79.20|$69.00|$69.10|$35.15|$71.48|$69.30|$63.46|$79.20|$43.16|$46.04|$69.30|$69.29|$74.76|$58.90
"CPT® 86694"|"HB HERPES SIMPLEX NES ANTBDY"|300.00|$153.00|$54.32|$122.40|$107.00|$106.79|$54.32|$110.47|$107.10|$98.07|$122.40|$66.71|$71.15|$107.10|$107.08|$115.55|$91.02
"CPT® 86695"|"HB HERPES SIMPLEX TYPE 1 TEST"|300.00|$98.00|$34.79|$78.40|$69.00|$68.40|$34.79|$70.76|$68.60|$62.82|$78.40|$42.73|$45.57|$68.60|$68.59|$74.01|$58.30
"CPT® 86696"|"HB HERPES SIMPLEX TYPE 2 TEST"|300.00|$98.00|$34.79|$78.40|$69.00|$68.40|$34.79|$70.76|$68.60|$62.82|$78.40|$42.73|$45.57|$68.60|$68.59|$74.01|$58.30
"CPT® 86698"|"HB HISTOPLASMA ANTIBODY"|300.00|$124.00|$44.02|$99.20|$87.00|$86.55|$44.02|$89.53|$86.80|$79.48|$99.20|$54.06|$57.66|$86.80|$86.79|$93.64|$73.77
"CPT® 86703"|"HB HIV-1/HIV-2 1 RESULT ANTBDY"|300.00|$190.00|$67.45|$152.00|$133.00|$132.62|$67.45|$137.18|$133.00|$121.79|$152.00|$82.84|$88.35|$133.00|$132.98|$143.49|$113.03
"CPT® 86704"|"HB HEP B CORE ANTIBODY TOTAL"|300.00|$116.00|$41.18|$92.80|$81.00|$80.97|$41.18|$83.75|$81.20|$74.36|$92.80|$50.58|$53.94|$81.20|$81.19|$87.60|$69.01
"CPT® 86705"|"HB HEP B CORE ANTIBODY IGM"|300.00|$169.00|$60.00|$135.20|$118.00|$117.96|$60.00|$122.02|$118.30|$108.33|$135.20|$73.68|$78.59|$118.30|$118.28|$127.63|$100.54
"CPT® 86706"|"HB HEP B SURFACE ANTIBODY"|300.00|$111.00|$39.41|$88.80|$78.00|$77.48|$39.41|$80.14|$77.70|$71.15|$88.80|$48.40|$51.62|$77.70|$77.69|$83.83|$66.03
"CPT® 86707"|"HB HEPATITIS BE ANTIBODY"|300.00|$108.00|$38.34|$86.40|$76.00|$75.38|$38.34|$77.98|$75.60|$69.23|$86.40|$47.09|$50.22|$75.60|$75.59|$81.56|$64.25
"CPT® 86708"|"HB HEPATITIS A ANTIBODY"|300.00|$245.00|$86.98|$196.00|$172.00|$171.01|$86.98|$176.89|$171.50|$157.05|$196.00|$106.82|$113.93|$171.50|$171.48|$185.02|$145.75
"CPT® 86709"|"HB HEPATITIS A IGM ANTIBODY"|300.00|$131.00|$46.51|$104.80|$92.00|$91.44|$46.51|$94.58|$91.70|$83.97|$104.80|$57.12|$60.92|$91.70|$91.69|$98.93|$77.93
"CPT® 86710"|"HB INFLUENZA VIRUS ANTIBODY"|300.00|$88.00|$31.24|$70.40|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$61.60|$61.59|$66.46|$52.35
"CPT® 86713"|"HB LEGIONELLA ANTIBODY"|300.00|$158.00|$56.09|$126.40|$111.00|$110.28|$56.09|$114.08|$110.60|$101.28|$126.40|$68.89|$73.47|$110.60|$110.58|$119.32|$93.99
"CPT® 86720"|"HB LEPTOSPIRA ANTIBODY"|300.00|$153.00|$54.32|$122.40|$107.00|$106.79|$54.32|$110.47|$107.10|$98.07|$122.40|$66.71|$71.15|$107.10|$107.08|$115.55|$91.02
"CPT® 86727"|"HB LYMPH CHORIOMENINGITIS AB"|300.00|$147.00|$52.19|$117.60|$103.00|$102.61|$52.19|$106.13|$102.90|$94.23|$117.60|$64.09|$68.36|$102.90|$102.89|$111.01|$87.45
"CPT® 86735"|"HB MUMPS ANTIBODY"|300.00|$146.00|$51.83|$116.80|$102.00|$101.91|$51.83|$105.41|$102.20|$93.59|$116.80|$63.66|$67.89|$102.20|$102.19|$110.26|$86.86
"CPT® 86738"|"HB MYCOPLASMA ANTIBODY"|300.00|$106.00|$37.63|$84.80|$74.00|$73.99|$37.63|$76.53|$74.20|$67.95|$84.80|$46.22|$49.29|$74.20|$74.19|$80.05|$63.06
"CPT® 86741"|"HB NEISSERIA MENINGITIDIS"|300.00|$128.00|$45.44|$102.40|$90.00|$89.34|$45.44|$92.42|$89.60|$82.05|$102.40|$55.81|$59.52|$89.60|$89.59|$96.67|$76.15
"CPT® 86747"|"HB PARVOVIRUS ANTIBODY"|300.00|$119.00|$42.25|$95.20|$83.00|$83.06|$42.25|$85.92|$83.30|$76.28|$95.20|$51.88|$55.34|$83.30|$83.29|$89.87|$70.79
"CPT® 86753"|"HB PROTOZOA ANTIBODY NOS"|300.00|$160.00|$56.80|$128.00|$112.00|$111.68|$56.80|$115.52|$112.00|$102.56|$128.00|$69.76|$74.40|$112.00|$111.98|$120.83|$95.18
"CPT® 86756"|"HB RESPIRATORY VIRUS ANTIBODY"|300.00|$146.00|$51.83|$116.80|$102.00|$101.91|$51.83|$105.41|$102.20|$93.59|$116.80|$63.66|$67.89|$102.20|$102.19|$110.26|$86.86
"CPT® 86762"|"HB RUBELLA ANTIBODY"|300.00|$167.00|$59.29|$133.60|$117.00|$116.57|$59.29|$120.57|$116.90|$107.05|$133.60|$72.81|$77.66|$116.90|$116.88|$126.12|$99.35
"CPT® 86765"|"HB RUBEOLA ANTIBODY"|300.00|$137.00|$48.64|$109.60|$96.00|$95.63|$48.64|$98.91|$95.90|$87.82|$109.60|$59.73|$63.71|$95.90|$95.89|$103.46|$81.50
"CPT® 86774"|"HB TETANUS ANTIBODY"|300.00|$50.00|$17.75|$40.00|$35.00|$34.90|$17.75|$36.10|$35.00|$32.05|$40.00|$21.80|$23.25|$35.00|$35.00|$37.76|$29.75
"CPT® 86777"|"HB TOXOPLASMA ANTIBODY"|300.00|$121.00|$42.96|$96.80|$85.00|$84.46|$42.96|$87.36|$84.70|$77.56|$96.80|$52.76|$56.27|$84.70|$84.69|$91.38|$71.98
"CPT® 86778"|"HB TOXOPLASMA ANTIBODY IGM"|300.00|$172.00|$61.06|$137.60|$120.00|$120.06|$61.06|$124.18|$120.40|$110.25|$137.60|$74.99|$79.98|$120.40|$120.38|$129.89|$102.32
"CPT® 86780"|"HB TREPONEMA PALLIDUM"|300.00|$35.00|$12.43|$28.00|$24.00|$24.43|$12.43|$25.27|$24.50|$22.44|$28.00|$15.26|$16.28|$24.50|$24.50|$26.43|$20.82
"CPT® 86787"|"HB VARICELLA-ZOSTER ANTIBODY"|300.00|$130.00|$46.15|$104.00|$91.00|$90.74|$46.15|$93.86|$91.00|$83.33|$104.00|$56.68|$60.45|$91.00|$90.99|$98.18|$77.34
"CPT® 86788"|"HB WEST NILE VIRUS AB IGM"|300.00|$113.00|$40.12|$90.40|$79.00|$78.87|$40.12|$81.59|$79.10|$72.43|$90.40|$49.27|$52.55|$79.10|$79.09|$85.34|$67.22
"CPT® 86789"|"HB WEST NILE VIRUS ANTIBODY"|300.00|$113.00|$40.12|$90.40|$79.00|$78.87|$40.12|$81.59|$79.10|$72.43|$90.40|$49.27|$52.55|$79.10|$79.09|$85.34|$67.22
"CPT® 86790"|"HB VIRUS ANTIBODY NOS"|300.00|$125.00|$44.38|$100.00|$88.00|$87.25|$44.38|$90.25|$87.50|$80.13|$100.00|$54.50|$58.13|$87.50|$87.49|$94.40|$74.36
"CPT® 86800"|"HB THYROGLOBULIN ANTIBODY"|300.00|$136.00|$48.28|$108.80|$95.00|$94.93|$48.28|$98.19|$95.20|$87.18|$108.80|$59.30|$63.24|$95.20|$95.19|$102.71|$80.91
"CPT® 86803"|"HB HEPATITIS C AB TEST"|300.00|$192.00|$68.16|$153.60|$134.00|$134.02|$68.16|$138.62|$134.40|$123.07|$153.60|$83.71|$89.28|$134.40|$134.38|$145.00|$114.22
"CPT® 86804"|"HB HEP C AB TEST CONFIRM"|300.00|$288.00|$102.24|$230.40|$202.00|$201.02|$102.24|$207.94|$201.60|$184.61|$230.40|$125.57|$133.92|$201.60|$201.57|$217.50|$171.33
"CPT® 86832"|"HB HLA CLASS I HIGH DEFIN QUAL"|300.00|$740.00|$262.70|$592.00|$518.00|$516.52|$262.70|$534.28|$518.00|$474.34|$592.00|$322.64|$344.10|$518.00|$517.93|$558.85|$440.23
"CPT® 86850"|"HB RBC ANTIBODY SCREEN"|300.00|$199.00|$70.65|$159.20|$139.00|$138.90|$70.65|$143.68|$139.30|$127.56|$159.20|$86.76|$92.54|$139.30|$139.28|$150.28|$118.39
"CPT® 86860"|"HB RBC ANTIBODY ELUTION"|300.00|$196.00|$69.58|$156.80|$137.00|$136.81|$69.58|$141.51|$137.20|$125.64|$156.80|$85.46|$91.14|$137.20|$137.18|$148.02|$116.60
"CPT® 86870"|"HB RBC ANTIBODY IDENTIFICATION"|300.00|$301.00|$106.86|$240.80|$211.00|$210.10|$106.86|$217.32|$210.70|$192.94|$240.80|$131.24|$139.97|$210.70|$210.67|$227.32|$179.06
"CPT® 86880"|"HB COOMBS TEST DIRECT"|300.00|$45.00|$15.98|$36.00|$31.00|$31.41|$15.98|$32.49|$31.50|$28.85|$36.00|$19.62|$20.93|$31.50|$31.50|$33.98|$26.77
"CPT® 86886"|"HB COOMBS TEST INDIRECT TITER"|300.00|$358.00|$127.09|$286.40|$251.00|$249.88|$127.09|$258.48|$250.60|$229.48|$286.40|$156.09|$166.47|$250.60|$250.56|$270.36|$212.97
"CPT® 86890"|"HB AUTOLOGOUS BLOOD PROCESS"|300.00|$298.00|$105.79|$238.40|$209.00|$208.00|$105.79|$215.16|$208.60|$191.02|$238.40|$129.93|$138.57|$208.60|$208.57|$225.05|$177.28
"CPT® 86900"|"HB BLOOD TYPING SEROLOGIC ABO"|300.00|$18.00|$6.39|$14.40|$13.00|$12.56|$6.39|$13.00|$12.60|$11.54|$14.40|$7.85|$8.37|$12.60|$12.60|$13.59|$10.71
"CPT® 86901"|"HB BLOOD TYPING SEROLOGIC RH(D)"|300.00|$18.00|$6.39|$14.40|$13.00|$12.56|$6.39|$13.00|$12.60|$11.54|$14.40|$7.85|$8.37|$12.60|$12.60|$13.59|$10.71
"CPT® 86905"|"HB BLOOD TYPING RBC ANTIGENS"|300.00|$107.00|$37.99|$85.60|$75.00|$74.69|$37.99|$77.25|$74.90|$68.59|$85.60|$46.65|$49.76|$74.90|$74.89|$80.81|$63.65
"CPT® 86920"|"HB COMPATIBILITY TEST SPIN"|300.00|$265.00|$94.08|$212.00|$186.00|$184.97|$94.08|$191.33|$185.50|$169.87|$212.00|$115.54|$123.23|$185.50|$185.47|$200.13|$157.65
"CPT® 86922"|"HB COMPATIBILITY TEST ANTIGLOB"|300.00|$279.00|$99.05|$223.20|$195.00|$194.74|$99.05|$201.44|$195.30|$178.84|$223.20|$121.64|$129.74|$195.30|$195.27|$210.70|$165.98
"CPT® 86927"|"HB PLASMA FRESH FROZEN"|300.00|$129.00|$45.80|$103.20|$90.00|$90.04|$45.80|$93.14|$90.30|$82.69|$103.20|$56.24|$59.99|$90.30|$90.29|$97.42|$76.74
"CPT® 86941"|"HB HEMOLYSINS/AGGLUTININS"|300.00|$109.00|$38.70|$87.20|$76.00|$76.08|$38.70|$78.70|$76.30|$69.87|$87.20|$47.52|$50.69|$76.30|$76.29|$82.32|$64.84
"CPT® 86945"|"HB BLOOD PRODUCT/IRRADIATION"|300.00|$60.00|$21.30|$48.00|$42.00|$41.88|$21.30|$43.32|$42.00|$38.46|$48.00|$26.16|$27.90|$42.00|$41.99|$45.31|$35.69
"CPT® 86970"|"HB RBC PRETX INCUBATJ W/CHEMICL"|300.00|$134.00|$47.57|$107.20|$94.00|$93.53|$47.57|$96.75|$93.80|$85.89|$107.20|$58.42|$62.31|$93.80|$93.79|$101.20|$79.72
"CPT® 86972"|"HB RBC PRETX INCUBATJ W/DENSITY"|300.00|$180.00|$63.90|$144.00|$126.00|$125.64|$63.90|$129.96|$126.00|$115.38|$144.00|$78.48|$83.70|$126.00|$125.98|$135.94|$107.08
"CPT® 87015"|"HB SPECIMEN INFECT AGNT CONCNTJ"|300.00|$60.00|$21.30|$48.00|$42.00|$41.88|$21.30|$43.32|$42.00|$38.46|$48.00|$26.16|$27.90|$42.00|$41.99|$45.31|$35.69
"CPT® 87040"|"HB BLOOD CULTURE FOR BACTERIA"|300.00|$177.00|$62.84|$141.60|$124.00|$123.55|$62.84|$127.79|$123.90|$113.46|$141.60|$77.17|$82.31|$123.90|$123.88|$133.67|$105.30
"CPT® 87045"|"HB FECES CULTURE AEROBIC BACT"|300.00|$142.00|$50.41|$113.60|$99.00|$99.12|$50.41|$102.52|$99.40|$91.02|$113.60|$61.91|$66.03|$99.40|$99.39|$107.24|$84.48
"CPT® 87046"|"HB STOOL CULTR AEROBIC BACT EA"|300.00|$63.00|$22.37|$50.40|$44.00|$43.97|$22.37|$45.49|$44.10|$40.38|$50.40|$27.47|$29.30|$44.10|$44.09|$47.58|$37.48
"CPT® 87070"|"HB CULTURE OTHR SPECIMN AEROBIC"|300.00|$216.00|$76.68|$172.80|$151.00|$150.77|$76.68|$155.95|$151.20|$138.46|$172.80|$94.18|$100.44|$151.20|$151.18|$163.12|$128.50
"CPT® 87071"|"HB CULTURE AEROBIC QUANT OTHER"|300.00|$125.00|$44.38|$100.00|$88.00|$87.25|$44.38|$90.25|$87.50|$80.13|$100.00|$54.50|$58.13|$87.50|$87.49|$94.40|$74.36
"CPT® 87075"|"HB CULTR BACTERIA EXCEPT BLOOD"|300.00|$94.00|$33.37|$75.20|$66.00|$65.61|$33.37|$67.87|$65.80|$60.25|$75.20|$40.98|$43.71|$65.80|$65.79|$70.99|$55.92
"CPT® 87076"|"HB CULTURE ANAEROBE IDENT EACH"|300.00|$338.00|$119.99|$270.40|$237.00|$235.92|$119.99|$244.04|$236.60|$216.66|$270.40|$147.37|$157.17|$236.60|$236.57|$255.26|$201.08
"CPT® 87077"|"HB CULTURE AEROBIC IDENTIFY"|300.00|$199.00|$70.65|$159.20|$139.00|$138.90|$70.65|$143.68|$139.30|$127.56|$159.20|$86.76|$92.54|$139.30|$139.28|$150.28|$118.39
"CPT® 87081"|"HB CULTURE SCREEN ONLY"|300.00|$137.00|$48.64|$109.60|$96.00|$95.63|$48.64|$98.91|$95.90|$87.82|$109.60|$59.73|$63.71|$95.90|$95.89|$103.46|$81.50
"CPT® 87086"|"HB URINE CULTURE/COLONY COUNT"|300.00|$141.00|$50.06|$112.80|$99.00|$98.42|$50.06|$101.80|$98.70|$90.38|$112.80|$61.48|$65.57|$98.70|$98.69|$106.48|$83.88
"CPT® 87088"|"HB URINE BACTERIA CULTURE"|300.00|$125.00|$44.38|$100.00|$88.00|$87.25|$44.38|$90.25|$87.50|$80.13|$100.00|$54.50|$58.13|$87.50|$87.49|$94.40|$74.36
"CPT® 87101"|"HB SKIN FUNGI CULTURE"|300.00|$30.00|$10.65|$24.00|$21.00|$20.94|$10.65|$21.66|$21.00|$19.23|$24.00|$13.08|$13.95|$21.00|$21.00|$22.66|$17.85
"CPT® 87102"|"HB FUNGUS ISOLATION CULTURE"|300.00|$124.00|$44.02|$99.20|$87.00|$86.55|$44.02|$89.53|$86.80|$79.48|$99.20|$54.06|$57.66|$86.80|$86.79|$93.64|$73.77
"CPT® 87103"|"HB BLOOD FUNGUS CULTURE"|300.00|$101.00|$35.86|$80.80|$71.00|$70.50|$35.86|$72.92|$70.70|$64.74|$80.80|$44.04|$46.97|$70.70|$70.69|$76.28|$60.08
"CPT® 87106"|"HB FUNGI IDENTIFICATION YEAST"|300.00|$120.00|$42.60|$96.00|$84.00|$83.76|$42.60|$86.64|$84.00|$76.92|$96.00|$52.32|$55.80|$84.00|$83.99|$90.62|$71.39
"CPT® 87109"|"HB MYCOPLASMA"|300.00|$248.00|$88.04|$198.40|$174.00|$173.10|$88.04|$179.06|$173.60|$158.97|$198.40|$108.13|$115.32|$173.60|$173.58|$187.29|$147.54
"CPT® 87110"|"HB CHLAMYDIA CULTURE"|300.00|$58.00|$20.59|$46.40|$41.00|$40.48|$20.59|$41.88|$40.60|$37.18|$46.40|$25.29|$26.97|$40.60|$40.59|$43.80|$34.50
"CPT® 87116"|"HB MYCOBACTERIA CULTURE"|300.00|$167.00|$59.29|$133.60|$117.00|$116.57|$59.29|$120.57|$116.90|$107.05|$133.60|$72.81|$77.66|$116.90|$116.88|$126.12|$99.35
"CPT® 87140"|"HB CULTURE TYPE IMMUNOFLUORESC"|300.00|$58.00|$20.59|$46.40|$41.00|$40.48|$20.59|$41.88|$40.60|$37.18|$46.40|$25.29|$26.97|$40.60|$40.59|$43.80|$34.50
"CPT® 87168"|"HB MACROSCOPIC EXAM ARTHROPOD"|300.00|$58.00|$20.59|$46.40|$41.00|$40.48|$20.59|$41.88|$40.60|$37.18|$46.40|$25.29|$26.97|$40.60|$40.59|$43.80|$34.50
"CPT® 87172"|"HB PINWORM EXAM"|300.00|$77.00|$27.34|$61.60|$54.00|$53.75|$27.34|$55.59|$53.90|$49.36|$61.60|$33.57|$35.81|$53.90|$53.89|$58.15|$45.81
"CPT® 87177"|"HB OVA AND PARASITES SMEARS"|300.00|$71.00|$25.21|$56.80|$50.00|$49.56|$25.21|$51.26|$49.70|$45.51|$56.80|$30.96|$33.02|$49.70|$49.69|$53.62|$42.24
"CPT® 87181"|"HB MICROBE SUSCEPTIBLE DIFFUSE"|300.00|$35.00|$12.43|$28.00|$24.00|$24.43|$12.43|$25.27|$24.50|$22.44|$28.00|$15.26|$16.28|$24.50|$24.50|$26.43|$20.82
"CPT® 87184"|"HB MICROBE SUSCEPTIBLE DISK"|300.00|$122.00|$43.31|$97.60|$85.00|$85.16|$43.31|$88.08|$85.40|$78.20|$97.60|$53.19|$56.73|$85.40|$85.39|$92.13|$72.58
"CPT® 87185"|"HB MICROBE SUSCEPTIBLE ENZYME"|300.00|$44.00|$15.62|$35.20|$31.00|$30.71|$15.62|$31.77|$30.80|$28.20|$35.20|$19.18|$20.46|$30.80|$30.80|$33.23|$26.18
"CPT® 87186"|"HB MICROBE SUSCEPTIBLE MIC"|300.00|$123.00|$43.67|$98.40|$86.00|$85.85|$43.67|$88.81|$86.10|$78.84|$98.40|$53.63|$57.20|$86.10|$86.09|$92.89|$73.17
"CPT® 87205"|"HB SMEAR GRAM STAIN"|300.00|$105.00|$37.28|$84.00|$74.00|$73.29|$37.28|$75.81|$73.50|$67.31|$84.00|$45.78|$48.83|$73.50|$73.49|$79.30|$62.46
"CPT® 87206"|"HB SMEAR FLUORESCENT/ACID STAI"|300.00|$64.00|$22.72|$51.20|$45.00|$44.67|$22.72|$46.21|$44.80|$41.02|$51.20|$27.90|$29.76|$44.80|$44.79|$48.33|$38.07
"CPT® 87207"|"HB SMEAR SPECIAL STAIN"|300.00|$163.00|$57.87|$130.40|$114.00|$113.77|$57.87|$117.69|$114.10|$104.48|$130.40|$71.07|$75.80|$114.10|$114.08|$123.10|$96.97
"CPT® 87209"|"HB SMEAR COMPLEX STAIN"|300.00|$133.00|$47.22|$106.40|$93.00|$92.83|$47.22|$96.03|$93.10|$85.25|$106.40|$57.99|$61.85|$93.10|$93.09|$100.44|$79.12
"CPT® 87210"|"HB SMEAR WET MOUNT SALINE/INK"|300.00|$99.00|$35.15|$79.20|$69.00|$69.10|$35.15|$71.48|$69.30|$63.46|$79.20|$43.16|$46.04|$69.30|$69.29|$74.76|$58.90
"CPT® 87220"|"HB TISSUE EXAM FOR FUNGI"|300.00|$120.00|$42.60|$96.00|$84.00|$83.76|$42.60|$86.64|$84.00|$76.92|$96.00|$52.32|$55.80|$84.00|$83.99|$90.62|$71.39
"CPT® 87252"|"HB VIRUS INOCULATION TISSUE"|300.00|$329.00|$116.80|$263.20|$230.00|$229.64|$116.80|$237.54|$230.30|$210.89|$263.20|$143.44|$152.99|$230.30|$230.27|$248.46|$195.72
"CPT® 87255"|"HB GENET VIRUS ISOLATE HSV"|300.00|$173.00|$61.42|$138.40|$121.00|$120.75|$61.42|$124.91|$121.10|$110.89|$138.40|$75.43|$80.45|$121.10|$121.08|$130.65|$102.92
"CPT® 87270"|"HB CHLAMYDIA TRACHOMATIS AG IF"|300.00|$188.00|$66.74|$150.40|$132.00|$131.22|$66.74|$135.74|$131.60|$120.51|$150.40|$81.97|$87.42|$131.60|$131.58|$141.98|$111.84
"CPT® 87271"|"HB CYTOMEGALOVIRUS DFA"|300.00|$271.00|$96.21|$216.80|$190.00|$189.16|$96.21|$195.66|$189.70|$173.71|$216.80|$118.16|$126.02|$189.70|$189.67|$204.66|$161.22
"CPT® 87280"|"HB RESPIRATORY SYNCYTIAL AG IF"|300.00|$232.00|$82.36|$185.60|$162.00|$161.94|$82.36|$167.50|$162.40|$148.71|$185.60|$101.15|$107.88|$162.40|$162.38|$175.21|$138.02
"CPT® 87328"|"HB CRYPTOSPORIDIUM AG IA"|300.00|$146.00|$51.83|$116.80|$102.00|$101.91|$51.83|$105.41|$102.20|$93.59|$116.80|$63.66|$67.89|$102.20|$102.19|$110.26|$86.86
"CPT® 87329"|"HB GIARDIA AG IA"|300.00|$68.00|$24.14|$54.40|$48.00|$47.46|$24.14|$49.10|$47.60|$43.59|$54.40|$29.65|$31.62|$47.60|$47.59|$51.35|$40.45
"CPT® 87338"|"HB HPYLORI STOOL IA"|300.00|$246.00|$87.33|$196.80|$172.00|$171.71|$87.33|$177.61|$172.20|$157.69|$196.80|$107.26|$114.39|$172.20|$172.18|$185.78|$146.35
"CPT® 87340"|"HB HEPATITIS B SURFACE AG IA"|300.00|$138.00|$48.99|$110.40|$97.00|$96.32|$48.99|$99.64|$96.60|$88.46|$110.40|$60.17|$64.17|$96.60|$96.59|$104.22|$82.10
"CPT® 87350"|"HB HEPATITIS BE AG IA"|300.00|$108.00|$38.34|$86.40|$76.00|$75.38|$38.34|$77.98|$75.60|$69.23|$86.40|$47.09|$50.22|$75.60|$75.59|$81.56|$64.25
"CPT® 87385"|"HB HISTOPLASMA CAPSUL AG IA"|300.00|$123.00|$43.67|$98.40|$86.00|$85.85|$43.67|$88.81|$86.10|$78.84|$98.40|$53.63|$57.20|$86.10|$86.09|$92.89|$73.17
"CPT® 87420"|"HB RESP SYNCYTIAL AG IA"|300.00|$110.00|$39.05|$88.00|$77.00|$76.78|$39.05|$79.42|$77.00|$70.51|$88.00|$47.96|$51.15|$77.00|$76.99|$83.07|$65.44
"CPT® 87449"|"HB AG DETECT NOS IA MULT"|300.00|$108.00|$38.34|$86.40|$76.00|$75.38|$38.34|$77.98|$75.60|$69.23|$86.40|$47.09|$50.22|$75.60|$75.59|$81.56|$64.25
"CPT® 87450"|"HB AG DETECT NOS IA SINGLE"|300.00|$124.00|$44.02|$99.20|$87.00|$86.55|$44.02|$89.53|$86.80|$79.48|$99.20|$54.06|$57.66|$86.80|$86.79|$93.64|$73.77
"CPT® 87471"|"HB BARTONELLA DNA AMP PROBE"|300.00|$889.00|$315.60|$711.20|$622.00|$620.52|$315.60|$641.86|$622.30|$569.85|$711.20|$387.60|$413.39|$622.30|$622.21|$671.37|$528.87
"CPT® 87476"|"HB LYME DIS DNA AMP PROBE"|300.00|$444.00|$157.62|$355.20|$311.00|$309.91|$157.62|$320.57|$310.80|$284.60|$355.20|$193.58|$206.46|$310.80|$310.76|$335.31|$264.14
"CPT® 87480"|"HB CANDIDA DNA DIR PROBE"|300.00|$181.00|$64.26|$144.80|$127.00|$126.34|$64.26|$130.68|$126.70|$116.02|$144.80|$78.92|$84.17|$126.70|$126.68|$136.69|$107.68
"CPT® 87481"|"HB CANDIDA DNA AMP PROBE"|300.00|$111.00|$39.41|$88.80|$78.00|$77.48|$39.41|$80.14|$77.70|$71.15|$88.80|$48.40|$51.62|$77.70|$77.69|$83.83|$66.03
"CPT® 87491"|"HB CHYLMD TRACH DNA AMP PROBE"|300.00|$139.00|$49.35|$111.20|$97.00|$97.02|$49.35|$100.36|$97.30|$89.10|$111.20|$60.60|$64.64|$97.30|$97.29|$104.97|$82.69
"CPT® 87496"|"HB CYTOMEG DNA AMP PROBE"|300.00|$362.00|$128.51|$289.60|$253.00|$252.68|$128.51|$261.36|$253.40|$232.04|$289.60|$157.83|$168.33|$253.40|$253.36|$273.38|$215.35
"CPT® 87497"|"HB CYTOMEG DNA QUANT"|300.00|$489.00|$173.60|$391.20|$342.00|$341.32|$173.60|$353.06|$342.30|$313.45|$391.20|$213.20|$227.39|$342.30|$342.25|$369.29|$290.91
"CPT® 87498"|"HB ENTEROVIRUS PROBE&REVRS TRNS"|300.00|$348.00|$123.54|$278.40|$244.00|$242.90|$123.54|$251.26|$243.60|$223.07|$278.40|$151.73|$161.82|$243.60|$243.57|$262.81|$207.03
"CPT® 87502"|"HB INFLUENZA DNA AMP PROBE"|300.00|$535.00|$189.93|$428.00|$374.00|$373.43|$189.93|$386.27|$374.50|$342.94|$428.00|$233.26|$248.78|$374.50|$374.45|$404.03|$318.27
"CPT® 87510"|"HB GARDNER VAG DNA DIR PROBE"|300.00|$178.00|$63.19|$142.40|$125.00|$124.24|$63.19|$128.52|$124.60|$114.10|$142.40|$77.61|$82.77|$124.60|$124.58|$134.43|$105.89
"CPT® 87511"|"HB GARDNER VAG DNA AMP PROBE"|300.00|$113.00|$40.12|$90.40|$79.00|$78.87|$40.12|$81.59|$79.10|$72.43|$90.40|$49.27|$52.55|$79.10|$79.09|$85.34|$67.22
"CPT® 87512"|"HB GARDNER VAG DNA QUANT"|300.00|$133.00|$47.22|$106.40|$93.00|$92.83|$47.22|$96.03|$93.10|$85.25|$106.40|$57.99|$61.85|$93.10|$93.09|$100.44|$79.12
"CPT® 87521"|"HB HEPATITIS C PROBE&RVRS TRNSC"|300.00|$695.00|$246.73|$556.00|$486.00|$485.11|$246.73|$501.79|$486.50|$445.50|$556.00|$303.02|$323.18|$486.50|$486.43|$524.86|$413.46
"CPT® 87522"|"HB HEPATITIS C REVRS TRNSCRPJ"|300.00|$585.00|$207.68|$468.00|$410.00|$408.33|$207.68|$422.37|$409.50|$374.99|$468.00|$255.06|$272.03|$409.50|$409.44|$441.79|$348.02
"CPT® 36415"|"HB ROUTINE VENIPUNCTURE"|300.00|$33.00|$0.00|$26.40|$23.00|$0.00|$0.00|$23.83|$23.10|$21.15|$26.40|$14.39|$15.35|$23.10|$23.10|$24.92|$19.63
"CPT® 36416"|"HB CAPILLARY BLOOD DRAW"|300.00|$7.00|$0.00|$5.60|$5.00|$0.00|$0.00|$5.05|$4.90|$4.49|$5.60|$3.05|$3.26|$4.90|$4.90|$5.29|$4.16
"CPT® 36591"|"HB DRAW BLOOD OFF VENOUS DEVICE"|300.00|$173.00|$61.42|$138.40|$121.00|$120.75|$61.42|$124.91|$121.10|$110.89|$138.40|$75.43|$80.45|$121.10|$121.08|$130.65|$102.92
"CPT® 36592"|"HB COLLECT BLOOD FROM PICC"|300.00|$156.00|$55.38|$124.80|$109.00|$108.89|$55.38|$112.63|$109.20|$100.00|$124.80|$68.02|$72.54|$109.20|$109.18|$117.81|$92.80
"CPT® 36600"|"HB WITHDRAWAL OF ARTERIAL BLOOD"|300.00|$167.00|$59.29|$133.60|$117.00|$116.57|$59.29|$120.57|$116.90|$107.05|$133.60|$72.81|$77.66|$116.90|$116.88|$126.12|$99.35
"CPT® 80048"|"HB BASIC METABOLIC PANEL"|300.00|$250.00|$88.75|$200.00|$175.00|$174.50|$88.75|$180.50|$175.00|$160.25|$200.00|$109.00|$116.25|$175.00|$174.98|$188.80|$148.73
"CPT® 80050"|"HB GENERAL HEALTH PANEL"|300.00|$273.00|$96.92|$218.40|$191.00|$190.55|$96.92|$197.11|$191.10|$174.99|$218.40|$119.03|$126.95|$191.10|$191.07|$206.17|$162.41
"CPT® 80051"|"HB ELECTROLYTE PANEL"|300.00|$101.00|$35.86|$80.80|$71.00|$70.50|$35.86|$72.92|$70.70|$64.74|$80.80|$44.04|$46.97|$70.70|$70.69|$76.28|$60.08
"CPT® 80053"|"HB COMPREHEN METABOLIC PANEL"|300.00|$350.00|$124.25|$280.00|$245.00|$244.30|$124.25|$252.70|$245.00|$224.35|$280.00|$152.60|$162.75|$245.00|$244.97|$264.32|$208.22
"CPT® 80055"|"HB OBSTETRIC PANEL"|300.00|$180.00|$63.90|$144.00|$126.00|$125.64|$63.90|$129.96|$126.00|$115.38|$144.00|$78.48|$83.70|$126.00|$125.98|$135.94|$107.08
"CPT® 80061"|"HB LIPID PANEL"|300.00|$210.00|$74.55|$168.00|$147.00|$146.58|$74.55|$151.62|$147.00|$134.61|$168.00|$91.56|$97.65|$147.00|$146.98|$158.59|$124.93
"CPT® 80069"|"HB RENAL FUNCTION PANEL"|300.00|$198.00|$70.29|$158.40|$139.00|$138.20|$70.29|$142.96|$138.60|$126.92|$158.40|$86.33|$92.07|$138.60|$138.58|$149.53|$117.79
"CPT® 80074"|"HB ACUTE HEPATITIS PANEL"|300.00|$411.00|$145.91|$328.80|$288.00|$286.88|$145.91|$296.74|$287.70|$263.45|$328.80|$179.20|$191.12|$287.70|$287.66|$310.39|$244.50
"CPT® 80076"|"HB HEPATIC FUNCTION PANEL"|300.00|$238.00|$84.49|$190.40|$167.00|$166.12|$84.49|$171.84|$166.60|$152.56|$190.40|$103.77|$110.67|$166.60|$166.58|$179.74|$141.59
"CPT® 80150"|"HB ASSAY OF AMIKACIN"|300.00|$157.00|$55.74|$125.60|$110.00|$109.59|$55.74|$113.35|$109.90|$100.64|$125.60|$68.45|$73.01|$109.90|$109.88|$118.57|$93.40
"CPT® 80156"|"HB ASSAY CARBAMAZEPINE TOTAL"|300.00|$266.00|$94.43|$212.80|$186.00|$185.67|$94.43|$192.05|$186.20|$170.51|$212.80|$115.98|$123.69|$186.20|$186.17|$200.88|$158.24
"CPT® 80157"|"HB ASSAY CARBAMAZEPINE FREE"|300.00|$101.00|$35.86|$80.80|$71.00|$70.50|$35.86|$72.92|$70.70|$64.74|$80.80|$44.04|$46.97|$70.70|$70.69|$76.28|$60.08
"CPT® 80158"|"HB DRUG ASSAY CYCLOSPORINE"|300.00|$210.00|$74.55|$168.00|$147.00|$146.58|$74.55|$151.62|$147.00|$134.61|$168.00|$91.56|$97.65|$147.00|$146.98|$158.59|$124.93
"CPT® 80162"|"HB ASSAY OF DIGOXIN TOTAL"|300.00|$196.00|$69.58|$156.80|$137.00|$136.81|$69.58|$141.51|$137.20|$125.64|$156.80|$85.46|$91.14|$137.20|$137.18|$148.02|$116.60
"CPT® 80164"|"HB ASSAY DIPROPYLACETIC ACD TOT"|300.00|$266.00|$94.43|$212.80|$186.00|$185.67|$94.43|$192.05|$186.20|$170.51|$212.80|$115.98|$123.69|$186.20|$186.17|$200.88|$158.24
"CPT® 80170"|"HB ASSAY OF GENTAMICIN"|300.00|$196.00|$69.58|$156.80|$137.00|$136.81|$69.58|$141.51|$137.20|$125.64|$156.80|$85.46|$91.14|$137.20|$137.18|$148.02|$116.60
"CPT® 80176"|"HB ASSAY OF LIDOCAINE"|300.00|$151.00|$53.61|$120.80|$106.00|$105.40|$53.61|$109.02|$105.70|$96.79|$120.80|$65.84|$70.22|$105.70|$105.68|$114.04|$89.83
"CPT® 80178"|"HB ASSAY OF LITHIUM"|300.00|$87.00|$30.89|$69.60|$61.00|$60.73|$30.89|$62.81|$60.90|$55.77|$69.60|$37.93|$40.46|$60.90|$60.89|$65.70|$51.76
"CPT® 80180"|"HB DRUG SCRN QUAN MYCOPHENOLATE"|300.00|$170.00|$60.35|$136.00|$119.00|$118.66|$60.35|$122.74|$119.00|$108.97|$136.00|$74.12|$79.05|$119.00|$118.98|$128.38|$101.13
"CPT® 80183"|"HB DRUG SCRN QUANT OXCARBAZEPIN"|300.00|$226.00|$80.23|$180.80|$158.00|$157.75|$80.23|$163.17|$158.20|$144.87|$180.80|$98.54|$105.09|$158.20|$158.18|$170.68|$134.45
"CPT® 80184"|"HB ASSAY OF PHENOBARBITAL"|300.00|$134.00|$47.57|$107.20|$94.00|$93.53|$47.57|$96.75|$93.80|$85.89|$107.20|$58.42|$62.31|$93.80|$93.79|$101.20|$79.72
"CPT® 80185"|"HB ASSAY OF PHENYTOIN TOTAL"|300.00|$266.00|$94.43|$212.80|$186.00|$185.67|$94.43|$192.05|$186.20|$170.51|$212.80|$115.98|$123.69|$186.20|$186.17|$200.88|$158.24
"CPT® 80186"|"HB ASSAY OF PHENYTOIN FREE"|300.00|$110.00|$39.05|$88.00|$77.00|$76.78|$39.05|$79.42|$77.00|$70.51|$88.00|$47.96|$51.15|$77.00|$76.99|$83.07|$65.44
"CPT® 80188"|"HB ASSAY OF PRIMIDONE"|300.00|$81.00|$28.76|$64.80|$57.00|$56.54|$28.76|$58.48|$56.70|$51.92|$64.80|$35.32|$37.67|$56.70|$56.69|$61.17|$48.19
"CPT® 80192"|"HB ASSAY OF PROCAINAMIDE WITH METABOLITES"|300.00|$167.00|$59.29|$133.60|$117.00|$116.57|$59.29|$120.57|$116.90|$107.05|$133.60|$72.81|$77.66|$116.90|$116.88|$126.12|$99.35
"CPT® 80194"|"HB ASSAY OF QUINIDINE"|300.00|$27.00|$9.59|$21.60|$19.00|$18.85|$9.59|$19.49|$18.90|$17.31|$21.60|$11.77|$12.56|$18.90|$18.90|$20.39|$16.06
"CPT® 80195"|"HB ASSAY OF SIROLIMUS"|300.00|$172.00|$61.06|$137.60|$120.00|$120.06|$61.06|$124.18|$120.40|$110.25|$137.60|$74.99|$79.98|$120.40|$120.38|$129.89|$102.32
"CPT® 80197"|"HB ASSAY OF TACROLIMUS"|300.00|$244.00|$86.62|$195.20|$171.00|$170.31|$86.62|$176.17|$170.80|$156.40|$195.20|$106.38|$113.46|$170.80|$170.78|$184.27|$145.16
"CPT® 80198"|"HB ASSAY OF THEOPHYLLINE"|300.00|$155.00|$55.03|$124.00|$108.00|$108.19|$55.03|$111.91|$108.50|$99.36|$124.00|$67.58|$72.08|$108.50|$108.48|$117.06|$92.21
"CPT® 80200"|"HB ASSAY OF TOBRAMYCIN"|300.00|$163.00|$57.87|$130.40|$114.00|$113.77|$57.87|$117.69|$114.10|$104.48|$130.40|$71.07|$75.80|$114.10|$114.08|$123.10|$96.97
"CPT® 80201"|"HB ASSAY OF TOPIRAMATE"|300.00|$165.00|$58.58|$132.00|$115.00|$115.17|$58.58|$119.13|$115.50|$105.77|$132.00|$71.94|$76.73|$115.50|$115.48|$124.61|$98.16
"CPT® 80202"|"HB ASSAY OF VANCOMYCIN"|300.00|$260.00|$92.30|$208.00|$182.00|$181.48|$92.30|$187.72|$182.00|$166.66|$208.00|$113.36|$120.90|$182.00|$181.97|$196.35|$154.67
"CPT® 80299"|"HB QUANTITATIVE ASSAY DRUG"|300.00|$257.00|$91.24|$205.60|$180.00|$179.39|$91.24|$185.55|$179.90|$164.74|$205.60|$112.05|$119.51|$179.90|$179.87|$194.09|$152.89
"HCPCS G0480"|"HB DRUG SCREEN QUANTALCOHOLS"|300.00|$348.00|$123.54|$278.40|$244.00|$242.90|$123.54|$251.26|$243.60|$223.07|$278.40|$151.73|$161.82|$243.60|$243.57|$262.81|$207.03
"HCPCS G0480"|"HB ALCOHOLS BIOMARKERS 1OR 2"|300.00|$132.00|$46.86|$105.60|$92.00|$92.14|$46.86|$95.30|$92.40|$84.61|$105.60|$57.55|$61.38|$92.40|$92.39|$99.69|$78.53
"HCPCS G0480"|"HB ALKALOIDS NOS"|300.00|$259.00|$91.95|$207.20|$181.00|$180.78|$91.95|$187.00|$181.30|$166.02|$207.20|$112.92|$120.44|$181.30|$181.27|$195.60|$154.08
"HCPCS G0480"|"HB DRUG SCREEN AMPHETAMINES 1/2"|300.00|$160.00|$56.80|$128.00|$112.00|$111.68|$56.80|$115.52|$112.00|$102.56|$128.00|$69.76|$74.40|$112.00|$111.98|$120.83|$95.18
"HCPCS G0480"|"HB AMPHETAMINES 5 OR MORE"|300.00|$251.00|$89.11|$200.80|$176.00|$175.20|$89.11|$181.22|$175.70|$160.89|$200.80|$109.44|$116.72|$175.70|$175.67|$189.56|$149.32
"HCPCS G0480"|"HB ANABOLIC STEROID 1 OR 2"|300.00|$253.00|$89.82|$202.40|$177.00|$176.59|$89.82|$182.67|$177.10|$162.17|$202.40|$110.31|$117.65|$177.10|$177.07|$191.07|$150.51
"HCPCS G0480"|"HB ANALGESICS NON-OPIOID 1 OR 2"|300.00|$342.00|$121.41|$273.60|$239.00|$238.72|$121.41|$246.92|$239.40|$219.22|$273.60|$149.11|$159.03|$239.40|$239.37|$258.28|$203.46
"HCPCS G0480"|"HB ANALGESICS NON-OPIOID 6/MORE"|300.00|$198.00|$70.29|$158.40|$139.00|$138.20|$70.29|$142.96|$138.60|$126.92|$158.40|$86.33|$92.07|$138.60|$138.58|$149.53|$117.79
"CPT® G0483"|"HB ANTIDEPRESSANTS CLASS 6/MORE"|300.00|$198.00|$70.29|$158.40|$139.00|$138.20|$70.29|$142.96|$138.60|$126.92|$158.40|$86.33|$92.07|$138.60|$138.58|$149.53|$117.79
"HCPCS G0480"|"HB ANTIDEPRESSANT TRICYCLIC 1/2"|300.00|$175.00|$62.13|$140.00|$122.00|$122.15|$62.13|$126.35|$122.50|$112.18|$140.00|$76.30|$81.38|$122.50|$122.48|$132.16|$104.11
"HCPCS G0480"|"HB ANTIDEPRESSANT NOT SPECIFIED"|300.00|$244.00|$86.62|$195.20|$171.00|$170.31|$86.62|$176.17|$170.80|$156.40|$195.20|$106.38|$113.46|$170.80|$170.78|$184.27|$145.16
"HCPCS G0480"|"HB ANTIEPILEPTICS NOS 1-3"|300.00|$155.00|$55.03|$124.00|$108.00|$108.19|$55.03|$111.91|$108.50|$99.36|$124.00|$67.58|$72.08|$108.50|$108.48|$117.06|$92.21
"CPT® G0481"|"HB ANTIEPILEPTICS NOS 7/MORE"|300.00|$198.00|$70.29|$158.40|$139.00|$138.20|$70.29|$142.96|$138.60|$126.92|$158.40|$86.33|$92.07|$138.60|$138.58|$149.53|$117.79
"HCPCS G0480"|"HB ANTIPSYCHOTICS NOS 1-3"|300.00|$82.00|$29.11|$65.60|$57.00|$57.24|$29.11|$59.20|$57.40|$52.56|$65.60|$35.75|$38.13|$57.40|$57.39|$61.93|$48.78
"CPT® G0481"|"HB ANTIPSYCHOTICS NOS 7/MORE"|300.00|$198.00|$70.29|$158.40|$139.00|$138.20|$70.29|$142.96|$138.60|$126.92|$158.40|$86.33|$92.07|$138.60|$138.58|$149.53|$117.79
"HCPCS G0480"|"HB DRUG SCREENING BARBITURATES"|300.00|$165.00|$58.58|$132.00|$115.00|$115.17|$58.58|$119.13|$115.50|$105.77|$132.00|$71.94|$76.73|$115.50|$115.48|$124.61|$98.16
"HCPCS G0480"|"HB BENZODIAZEPINES1-12"|300.00|$166.00|$58.93|$132.80|$116.00|$115.87|$58.93|$119.85|$116.20|$106.41|$132.80|$72.38|$77.19|$116.20|$116.18|$125.36|$98.75
"HCPCS G0480"|"HB DRUG SCREENING BUPRENORPHINE"|300.00|$171.00|$60.71|$136.80|$120.00|$119.36|$60.71|$123.46|$119.70|$109.61|$136.80|$74.56|$79.52|$119.70|$119.68|$129.14|$101.73
"HCPCS G0480"|"HB CANNABINOIDS NATURAL"|300.00|$156.00|$55.38|$124.80|$109.00|$108.89|$55.38|$112.63|$109.20|$100.00|$124.80|$68.02|$72.54|$109.20|$109.18|$117.81|$92.80
"HCPCS G0480"|"HB DRUG SCREENING COCAINE"|300.00|$166.00|$58.93|$132.80|$116.00|$115.87|$58.93|$119.85|$116.20|$106.41|$132.80|$72.38|$77.19|$116.20|$116.18|$125.36|$98.75
"HCPCS G0480"|"HB DRUG SCREENING FENTANYL"|300.00|$248.00|$88.04|$198.40|$174.00|$173.10|$88.04|$179.06|$173.60|$158.97|$198.40|$108.13|$115.32|$173.60|$173.58|$187.29|$147.54
"HCPCS G0480"|"HB GABAPENTIN NON-BLOOD"|300.00|$171.00|$60.71|$136.80|$120.00|$119.36|$60.71|$123.46|$119.70|$109.61|$136.80|$74.56|$79.52|$119.70|$119.68|$129.14|$101.73
"HCPCS G0480"|"HB HEROIN METABOLITE"|300.00|$204.00|$72.42|$163.20|$143.00|$142.39|$72.42|$147.29|$142.80|$130.76|$163.20|$88.94|$94.86|$142.80|$142.78|$154.06|$121.36
"HCPCS G0480"|"HB KETAMINE AND NORKETAMINE"|300.00|$192.00|$68.16|$153.60|$134.00|$134.02|$68.16|$138.62|$134.40|$123.07|$153.60|$83.71|$89.28|$134.40|$134.38|$145.00|$114.22
"HCPCS G0480"|"HB DRUG SCREENING METHADONE"|300.00|$153.00|$54.32|$122.40|$107.00|$106.79|$54.32|$110.47|$107.10|$98.07|$122.40|$66.71|$71.15|$107.10|$107.08|$115.55|$91.02
"HCPCS G0480"|"HB METHYLENEDIOXYAMPHETAMINES"|300.00|$196.00|$69.58|$156.80|$137.00|$136.81|$69.58|$141.51|$137.20|$125.64|$156.80|$85.46|$91.14|$137.20|$137.18|$148.02|$116.60
"HCPCS G0480"|"HB METHYLPHENIDATE"|300.00|$145.00|$51.48|$116.00|$102.00|$101.21|$51.48|$104.69|$101.50|$92.95|$116.00|$63.22|$67.43|$101.50|$101.49|$109.50|$86.26
"HCPCS G0480"|"HB OPIATES 1 OR MORE"|300.00|$115.00|$40.83|$92.00|$80.00|$80.27|$40.83|$83.03|$80.50|$73.72|$92.00|$50.14|$53.48|$80.50|$80.49|$86.85|$68.41
"HCPCS G0480"|"HB OPIOIDS & OPIATE ANALOGS 1/2"|300.00|$210.00|$74.55|$168.00|$147.00|$146.58|$74.55|$151.62|$147.00|$134.61|$168.00|$91.56|$97.65|$147.00|$146.98|$158.59|$124.93
"HCPCS G0480"|"HB OPIOID &OPIATE ANALOG 5/MORE"|300.00|$198.00|$70.29|$158.40|$139.00|$138.20|$70.29|$142.96|$138.60|$126.92|$158.40|$86.33|$92.07|$138.60|$138.58|$149.53|$117.79
"HCPCS G0480"|"HB DRUG SCREENING OXYCODONE"|300.00|$284.00|$100.82|$227.20|$199.00|$198.23|$100.82|$205.05|$198.80|$182.04|$227.20|$123.82|$132.06|$198.80|$198.77|$214.48|$168.95
"HCPCS G0480"|"HB DRUG SCREENING PREGABALIN"|300.00|$226.00|$80.23|$180.80|$158.00|$157.75|$80.23|$163.17|$158.20|$144.87|$180.80|$98.54|$105.09|$158.20|$158.18|$170.68|$134.45
"HCPCS G0480"|"HB DRUG SCREENING PROPOXYPHENE"|300.00|$210.00|$74.55|$168.00|$147.00|$146.58|$74.55|$151.62|$147.00|$134.61|$168.00|$91.56|$97.65|$147.00|$146.98|$158.59|$124.93
"HCPCS G0480"|"HB SEDATIVE HYPNOTICS"|300.00|$201.00|$71.36|$160.80|$141.00|$140.30|$71.36|$145.12|$140.70|$128.84|$160.80|$87.64|$93.47|$140.70|$140.68|$151.80|$119.57
"HCPCS G0480"|"HB SKEL MUSC RELAXANT 3 OR MORE"|300.00|$198.00|$70.29|$158.40|$139.00|$138.20|$70.29|$142.96|$138.60|$126.92|$158.40|$86.33|$92.07|$138.60|$138.58|$149.53|$117.79
"HCPCS G0480"|"HB STIMULANTS SYNTHETIC"|300.00|$198.00|$70.29|$158.40|$139.00|$138.20|$70.29|$142.96|$138.60|$126.92|$158.40|$86.33|$92.07|$138.60|$138.58|$149.53|$117.79
"HCPCS G0480"|"HB DRUG SCREENING TAPENTADOL"|300.00|$171.00|$60.71|$136.80|$120.00|$119.36|$60.71|$123.46|$119.70|$109.61|$136.80|$74.56|$79.52|$119.70|$119.68|$129.14|$101.73
"HCPCS G0480"|"HB DRUG SCREENING TRAMADOL"|300.00|$163.00|$57.87|$130.40|$114.00|$113.77|$57.87|$117.69|$114.10|$104.48|$130.40|$71.07|$75.80|$114.10|$114.08|$123.10|$96.97
"CPT® G0481"|"HB DRUG/SUBSTANCE NOS 7/MORE"|300.00|$181.00|$64.26|$144.80|$127.00|$126.34|$64.26|$130.68|$126.70|$116.02|$144.80|$78.92|$84.17|$126.70|$126.68|$136.69|$107.68
"CPT® 81001"|"HB URINALYSIS AUTO W/SCOPE"|300.00|$85.00|$30.18|$68.00|$59.00|$59.33|$30.18|$61.37|$59.50|$54.49|$68.00|$37.06|$39.53|$59.50|$59.49|$64.19|$50.57
"CPT® 81002"|"HB URINALYSIS NONAUTO W/O SCOPE"|300.00|$87.00|$30.89|$69.60|$61.00|$60.73|$30.89|$62.81|$60.90|$55.77|$69.60|$37.93|$40.46|$60.90|$60.89|$65.70|$51.76
"CPT® 81003"|"HB URINALYSIS AUTO W/O SCOPE"|300.00|$79.00|$28.05|$63.20|$55.00|$55.14|$28.05|$57.04|$55.30|$50.64|$63.20|$34.44|$36.74|$55.30|$55.29|$59.66|$47.00
"CPT® 81015"|"HB MICROSCOPIC EXAM OF URINE"|300.00|$52.00|$18.46|$41.60|$36.00|$36.30|$18.46|$37.54|$36.40|$33.33|$41.60|$22.67|$24.18|$36.40|$36.39|$39.27|$30.93
"CPT® 81025"|"HB URINE PREGNANCY TEST"|300.00|$145.00|$51.48|$116.00|$102.00|$101.21|$51.48|$104.69|$101.50|$92.95|$116.00|$63.22|$67.43|$101.50|$101.49|$109.50|$86.26
"CPT® 81050"|"HB URINALYSIS VOLUME MEASURE"|300.00|$34.00|$12.07|$27.20|$24.00|$23.73|$12.07|$24.55|$23.80|$21.79|$27.20|$14.82|$15.81|$23.80|$23.80|$25.68|$20.23
"CPT® 81250"|"HB G6PC GENE"|300.00|$580.00|$205.90|$464.00|$406.00|$404.84|$205.90|$418.76|$406.00|$371.78|$464.00|$252.88|$269.70|$406.00|$405.94|$438.02|$345.04
"CPT® 81332"|"HB SERPINA1 GENE"|300.00|$691.00|$245.31|$552.80|$484.00|$482.32|$245.31|$498.90|$483.70|$442.93|$552.80|$301.28|$321.32|$483.70|$483.63|$521.84|$411.08
"CPT® 81403"|"HB MOPATH PROCEDURE LEVEL 4"|300.00|$1098.00|$389.79|$878.40|$769.00|$766.40|$389.79|$792.76|$768.60|$703.82|$878.40|$478.73|$510.57|$768.60|$768.49|$829.21|$653.20
"CPT® 81405"|"HB MOPATH PROCEDURE LEVEL 6"|300.00|$1666.00|$591.43|$1332.80|$1166.00|$1162.87|$591.43|$1202.85|$1166.20|$1067.91|$1332.80|$726.38|$774.69|$1166.20|$1166.03|$1258.16|$991.10
"CPT® 81406"|"HB MOPATH PROCEDURE LEVEL 7"|300.00|$2186.00|$776.03|$1748.80|$1530.00|$1525.83|$776.03|$1578.29|$1530.20|$1401.23|$1748.80|$953.10|$1016.49|$1530.20|$1529.98|$1650.87|$1300.45
"CPT® 81479"|"HB UNLISTED MOLECULAR PATHOLOGY"|300.00|$5627.00|$1997.59|$4501.60|$3939.00|$3927.65|$1997.59|$4062.69|$3938.90|$3606.91|$4501.60|$2453.37|$2616.56|$3938.90|$3938.34|$4249.51|$3347.50
"CPT® 82009"|"HB TEST FOR ACETONE/KETONES"|300.00|$50.00|$17.75|$40.00|$35.00|$34.90|$17.75|$36.10|$35.00|$32.05|$40.00|$21.80|$23.25|$35.00|$35.00|$37.76|$29.75
"CPT® 82010"|"HB ACETONE ASSAY"|300.00|$141.00|$50.06|$112.80|$99.00|$98.42|$50.06|$101.80|$98.70|$90.38|$112.80|$61.48|$65.57|$98.70|$98.69|$106.48|$83.88
"CPT® 82017"|"HB ACYLCARNITINES QUANT"|300.00|$345.00|$122.48|$276.00|$241.00|$240.81|$122.48|$249.09|$241.50|$221.15|$276.00|$150.42|$160.43|$241.50|$241.47|$260.54|$205.24
"CPT® 82040"|"HB ASSAY OF SERUM ALBUMIN"|300.00|$241.00|$85.56|$192.80|$169.00|$168.22|$85.56|$174.00|$168.70|$154.48|$192.80|$105.08|$112.07|$168.70|$168.68|$182.00|$143.37
"CPT® 82042"|"HB ASSAY OF URINE ALBUMIN"|300.00|$135.00|$47.93|$108.00|$94.00|$94.23|$47.93|$97.47|$94.50|$86.54|$108.00|$58.86|$62.78|$94.50|$94.49|$101.95|$80.31
"CPT® 82043"|"HB MICROALBUMIN QUANTITATIVE"|300.00|$111.00|$39.41|$88.80|$78.00|$77.48|$39.41|$80.14|$77.70|$71.15|$88.80|$48.40|$51.62|$77.70|$77.69|$83.83|$66.03
"CPT® 82085"|"HB ASSAY OF ALDOLASE"|300.00|$81.00|$28.76|$64.80|$57.00|$56.54|$28.76|$58.48|$56.70|$51.92|$64.80|$35.32|$37.67|$56.70|$56.69|$61.17|$48.19
"CPT® 82088"|"HB ASSAY OF ALDOSTERONE"|300.00|$339.00|$120.35|$271.20|$237.00|$236.62|$120.35|$244.76|$237.30|$217.30|$271.20|$147.80|$157.64|$237.30|$237.27|$256.01|$201.67
"CPT® 82103"|"HB ALPHA-1-ANTITRYPSIN TOTAL"|300.00|$128.00|$45.44|$102.40|$90.00|$89.34|$45.44|$92.42|$89.60|$82.05|$102.40|$55.81|$59.52|$89.60|$89.59|$96.67|$76.15
"CPT® 82104"|"HB ALPHA-1-ANTITRYPSIN PHENO"|300.00|$116.00|$41.18|$92.80|$81.00|$80.97|$41.18|$83.75|$81.20|$74.36|$92.80|$50.58|$53.94|$81.20|$81.19|$87.60|$69.01
"CPT® 82105"|"HB ALPHA-FETOPROTEIN SERUM"|300.00|$195.00|$69.23|$156.00|$136.00|$136.11|$69.23|$140.79|$136.50|$125.00|$156.00|$85.02|$90.68|$136.50|$136.48|$147.26|$116.01
"CPT® 82106"|"HB ALPHA-FETOPROTEIN AMNIOTIC"|300.00|$193.00|$68.52|$154.40|$135.00|$134.71|$68.52|$139.35|$135.10|$123.71|$154.40|$84.15|$89.75|$135.10|$135.08|$145.75|$114.82
"CPT® 82131"|"HB AMINO ACIDS SINGLE QUANT"|300.00|$240.00|$85.20|$192.00|$168.00|$167.52|$85.20|$173.28|$168.00|$153.84|$192.00|$104.64|$111.60|$168.00|$167.98|$181.25|$142.78
"CPT® 82135"|"HB ASSAY AMINOLEVULINIC ACID"|300.00|$241.00|$85.56|$192.80|$169.00|$168.22|$85.56|$174.00|$168.70|$154.48|$192.80|$105.08|$112.07|$168.70|$168.68|$182.00|$143.37
"CPT® 82139"|"HB AMINO ACIDS QUAN 6 OR MORE"|300.00|$814.00|$288.97|$651.20|$570.00|$568.17|$288.97|$587.71|$569.80|$521.77|$651.20|$354.90|$378.51|$569.80|$569.72|$614.73|$484.25
"CPT® 82140"|"HB ASSAY OF AMMONIA"|300.00|$86.00|$30.53|$68.80|$60.00|$60.03|$30.53|$62.09|$60.20|$55.13|$68.80|$37.50|$39.99|$60.20|$60.19|$64.95|$51.16
"CPT® 82150"|"HB ASSAY OF AMYLASE"|300.00|$213.00|$75.62|$170.40|$149.00|$148.67|$75.62|$153.79|$149.10|$136.53|$170.40|$92.87|$99.05|$149.10|$149.08|$160.86|$126.71
"CPT® 82157"|"HB ASSAY OF ANDROSTENEDIONE"|300.00|$56.00|$19.88|$44.80|$39.00|$39.09|$19.88|$40.43|$39.20|$35.90|$44.80|$24.42|$26.04|$39.20|$39.19|$42.29|$33.31
"CPT® 82164"|"HB ANGIOTENSIN I ENZYME TEST"|300.00|$134.00|$47.57|$107.20|$94.00|$93.53|$47.57|$96.75|$93.80|$85.89|$107.20|$58.42|$62.31|$93.80|$93.79|$101.20|$79.72
"CPT® 82172"|"HB ASSAY OF APOLIPOPROTEIN"|300.00|$132.00|$46.86|$105.60|$92.00|$92.14|$46.86|$95.30|$92.40|$84.61|$105.60|$57.55|$61.38|$92.40|$92.39|$99.69|$78.53
"CPT® 82175"|"HB ASSAY OF ARSENIC"|300.00|$165.00|$58.58|$132.00|$115.00|$115.17|$58.58|$119.13|$115.50|$105.77|$132.00|$71.94|$76.73|$115.50|$115.48|$124.61|$98.16
"CPT® 82180"|"HB ASSAY OF ASCORBIC ACID"|300.00|$242.00|$85.91|$193.60|$169.00|$168.92|$85.91|$174.72|$169.40|$155.12|$193.60|$105.51|$112.53|$169.40|$169.38|$182.76|$143.97
"CPT® 82232"|"HB ASSAY OF BETA-2 PROTEIN"|300.00|$152.00|$53.96|$121.60|$106.00|$106.10|$53.96|$109.74|$106.40|$97.43|$121.60|$66.27|$70.68|$106.40|$106.38|$114.79|$90.42
"CPT® 82239"|"HB BILE ACIDS TOTAL"|300.00|$132.00|$46.86|$105.60|$92.00|$92.14|$46.86|$95.30|$92.40|$84.61|$105.60|$57.55|$61.38|$92.40|$92.39|$99.69|$78.53
"CPT® 82247"|"HB BILIRUBIN TOTAL"|300.00|$164.00|$58.22|$131.20|$115.00|$114.47|$58.22|$118.41|$114.80|$105.12|$131.20|$71.50|$76.26|$114.80|$114.78|$123.85|$97.56
"CPT® 82248"|"HB BILIRUBIN DIRECT"|300.00|$78.00|$27.69|$62.40|$55.00|$54.44|$27.69|$56.32|$54.60|$50.00|$62.40|$34.01|$36.27|$54.60|$54.59|$58.91|$46.40
"CPT® 82270"|"HB OCCULT BLOOD FECES"|300.00|$67.00|$23.79|$53.60|$47.00|$46.77|$23.79|$48.37|$46.90|$42.95|$53.60|$29.21|$31.16|$46.90|$46.89|$50.60|$39.86
"CPT® 82271"|"HB OCCULT BLOOD OTHER SOURCES"|300.00|$99.00|$35.15|$79.20|$69.00|$69.10|$35.15|$71.48|$69.30|$63.46|$79.20|$43.16|$46.04|$69.30|$69.29|$74.76|$58.90
"CPT® 82272"|"HB OCCULT BLD FECES 1-3 TESTS"|300.00|$67.00|$23.79|$53.60|$47.00|$46.77|$23.79|$48.37|$46.90|$42.95|$53.60|$29.21|$31.16|$46.90|$46.89|$50.60|$39.86
"CPT® 82274"|"HB ASSAY TEST FOR BLOOD FECAL"|300.00|$79.00|$28.05|$63.20|$55.00|$55.14|$28.05|$57.04|$55.30|$50.64|$63.20|$34.44|$36.74|$55.30|$55.29|$59.66|$47.00
"CPT® 82300"|"HB ASSAY OF CADMIUM"|300.00|$71.00|$25.21|$56.80|$50.00|$49.56|$25.21|$51.26|$49.70|$45.51|$56.80|$30.96|$33.02|$49.70|$49.69|$53.62|$42.24
"CPT® 82306"|"HB VITAMIN D 25 HYDROXY"|300.00|$218.00|$77.39|$174.40|$153.00|$152.16|$77.39|$157.40|$152.60|$139.74|$174.40|$95.05|$101.37|$152.60|$152.58|$164.63|$129.69
"CPT® 82308"|"HB ASSAY OF CALCITONIN"|300.00|$248.00|$88.04|$198.40|$174.00|$173.10|$88.04|$179.06|$173.60|$158.97|$198.40|$108.13|$115.32|$173.60|$173.58|$187.29|$147.54
"CPT® 82310"|"HB ASSAY OF CALCIUM_CALCIUM; TOTAL"|300.00|$111.00|$39.41|$88.80|$78.00|$77.48|$39.41|$80.14|$77.70|$71.15|$88.80|$48.40|$51.62|$77.70|$77.69|$83.83|$66.03
"CPT® 82330"|"HB ASSAY OF CALCIUM_CALCIUM; IONIZED"|300.00|$94.00|$33.37|$75.20|$66.00|$65.61|$33.37|$67.87|$65.80|$60.25|$75.20|$40.98|$43.71|$65.80|$65.79|$70.99|$55.92
"CPT® 82340"|"HB ASSAY OF CALCIUM IN URINE"|300.00|$111.00|$39.41|$88.80|$78.00|$77.48|$39.41|$80.14|$77.70|$71.15|$88.80|$48.40|$51.62|$77.70|$77.69|$83.83|$66.03
"CPT® 82365"|"HB CALCULUS SPECTROSCOPY"|300.00|$126.00|$44.73|$100.80|$88.00|$87.95|$44.73|$90.97|$88.20|$80.77|$100.80|$54.94|$58.59|$88.20|$88.19|$95.16|$74.96
"CPT® 82374"|"HB ASSAY BLOOD CARBON DIOXIDE"|300.00|$58.00|$20.59|$46.40|$41.00|$40.48|$20.59|$41.88|$40.60|$37.18|$46.40|$25.29|$26.97|$40.60|$40.59|$43.80|$34.50
"CPT® 82375"|"HB ASSAY CARBOXYHB QUANT"|300.00|$153.00|$54.32|$122.40|$107.00|$106.79|$54.32|$110.47|$107.10|$98.07|$122.40|$66.71|$71.15|$107.10|$107.08|$115.55|$91.02
"CPT® 82378"|"HB CARCINOEMBRYONIC ANTIGEN"|300.00|$156.00|$55.38|$124.80|$109.00|$108.89|$55.38|$112.63|$109.20|$100.00|$124.80|$68.02|$72.54|$109.20|$109.18|$117.81|$92.80
"CPT® 82379"|"HB ASSAY OF CARNITINE"|300.00|$279.00|$99.05|$223.20|$195.00|$194.74|$99.05|$201.44|$195.30|$178.84|$223.20|$121.64|$129.74|$195.30|$195.27|$210.70|$165.98
"CPT® 82380"|"HB ASSAY OF CAROTENE"|300.00|$67.00|$23.79|$53.60|$47.00|$46.77|$23.79|$48.37|$46.90|$42.95|$53.60|$29.21|$31.16|$46.90|$46.89|$50.60|$39.86
"CPT® 82384"|"HB ASSAY THREE CATECHOLAMINES"|300.00|$253.00|$89.82|$202.40|$177.00|$176.59|$89.82|$182.67|$177.10|$162.17|$202.40|$110.31|$117.65|$177.10|$177.07|$191.07|$150.51
"CPT® 82390"|"HB ASSAY OF CERULOPLASMIN"|300.00|$102.00|$36.21|$81.60|$71.00|$71.20|$36.21|$73.64|$71.40|$65.38|$81.60|$44.47|$47.43|$71.40|$71.39|$77.03|$60.68
"CPT® 82397"|"HB CHEMILUMINESCENT ASSAY"|300.00|$44.00|$15.62|$35.20|$31.00|$30.71|$15.62|$31.77|$30.80|$28.20|$35.20|$19.18|$20.46|$30.80|$30.80|$33.23|$26.18
"CPT® 82435"|"HB ASSAY OF BLOOD CHLORIDE"|300.00|$35.00|$12.43|$28.00|$24.00|$24.43|$12.43|$25.27|$24.50|$22.44|$28.00|$15.26|$16.28|$24.50|$24.50|$26.43|$20.82
"CPT® 82436"|"HB ASSAY OF URINE CHLORIDE"|300.00|$59.00|$20.95|$47.20|$41.00|$41.18|$20.95|$42.60|$41.30|$37.82|$47.20|$25.72|$27.44|$41.30|$41.29|$44.56|$35.10
"CPT® 82465"|"HB ASSAY BLD/SERUM CHOLESTEROL"|300.00|$58.00|$20.59|$46.40|$41.00|$40.48|$20.59|$41.88|$40.60|$37.18|$46.40|$25.29|$26.97|$40.60|$40.59|$43.80|$34.50
"CPT® 82480"|"HB ASSAY SERUM CHOLINESTERASE"|300.00|$76.00|$26.98|$60.80|$53.00|$53.05|$26.98|$54.87|$53.20|$48.72|$60.80|$33.14|$35.34|$53.20|$53.19|$57.40|$45.21
"CPT® 82495"|"HB ASSAY OF CHROMIUM"|300.00|$201.00|$71.36|$160.80|$141.00|$140.30|$71.36|$145.12|$140.70|$128.84|$160.80|$87.64|$93.47|$140.70|$140.68|$151.80|$119.57
"CPT® 82507"|"HB ASSAY OF CITRATE"|300.00|$98.00|$34.79|$78.40|$69.00|$68.40|$34.79|$70.76|$68.60|$62.82|$78.40|$42.73|$45.57|$68.60|$68.59|$74.01|$58.30
"CPT® 82523"|"HB COLLAGEN CROSSLINKS"|300.00|$189.00|$67.10|$151.20|$132.00|$131.92|$67.10|$136.46|$132.30|$121.15|$151.20|$82.40|$87.89|$132.30|$132.28|$142.73|$112.44
"CPT® 82525"|"HB ASSAY OF COPPER"|300.00|$110.00|$39.05|$88.00|$77.00|$76.78|$39.05|$79.42|$77.00|$70.51|$88.00|$47.96|$51.15|$77.00|$76.99|$83.07|$65.44
"CPT® 82530"|"HB CORTISOL FREE"|300.00|$220.00|$78.10|$176.00|$154.00|$153.56|$78.10|$158.84|$154.00|$141.02|$176.00|$95.92|$102.30|$154.00|$153.98|$166.14|$130.88
"CPT® 82533"|"HB TOTAL CORTISOL"|300.00|$141.00|$50.06|$112.80|$99.00|$98.42|$50.06|$101.80|$98.70|$90.38|$112.80|$61.48|$65.57|$98.70|$98.69|$106.48|$83.88
"CPT® 82540"|"HB ASSAY OF CREATINE"|300.00|$237.00|$84.14|$189.60|$166.00|$165.43|$84.14|$171.11|$165.90|$151.92|$189.60|$103.33|$110.21|$165.90|$165.88|$178.98|$140.99
"CPT® 82542"|"HB COL CHROMOTOGRAPHY QUAL/QUAN"|300.00|$262.00|$93.01|$209.60|$183.00|$182.88|$93.01|$189.16|$183.40|$167.94|$209.60|$114.23|$121.83|$183.40|$183.37|$197.86|$155.86
"CPT® 82550"|"HB ASSAY OF CK (CPK)"|300.00|$98.00|$34.79|$78.40|$69.00|$68.40|$34.79|$70.76|$68.60|$62.82|$78.40|$42.73|$45.57|$68.60|$68.59|$74.01|$58.30
"CPT® 82552"|"HB ASSAY OF CPK IN BLOOD"|300.00|$165.00|$58.58|$132.00|$115.00|$115.17|$58.58|$119.13|$115.50|$105.77|$132.00|$71.94|$76.73|$115.50|$115.48|$124.61|$98.16
"CPT® 82553"|"HB CREATINE MB FRACTION"|300.00|$427.00|$151.59|$341.60|$299.00|$298.05|$151.59|$308.29|$298.90|$273.71|$341.60|$186.17|$198.56|$298.90|$298.86|$322.47|$254.02
"CPT® 82565"|"HB ASSAY OF CREATININE"|300.00|$134.00|$47.57|$107.20|$94.00|$93.53|$47.57|$96.75|$93.80|$85.89|$107.20|$58.42|$62.31|$93.80|$93.79|$101.20|$79.72
"CPT® 82570"|"HB ASSAY OF URINE CREATININE"|300.00|$79.00|$28.05|$63.20|$55.00|$55.14|$28.05|$57.04|$55.30|$50.64|$63.20|$34.44|$36.74|$55.30|$55.29|$59.66|$47.00
"CPT® 82575"|"HB CREATININE CLEARANCE TEST"|300.00|$238.00|$84.49|$190.40|$167.00|$166.12|$84.49|$171.84|$166.60|$152.56|$190.40|$103.77|$110.67|$166.60|$166.58|$179.74|$141.59
"CPT® 82595"|"HB ASSAY OF CRYOGLOBULIN"|300.00|$88.00|$31.24|$70.40|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$61.60|$61.59|$66.46|$52.35
"CPT® 82607"|"HB VITAMIN B-12"|300.00|$154.00|$54.67|$123.20|$108.00|$107.49|$54.67|$111.19|$107.80|$98.71|$123.20|$67.14|$71.61|$107.80|$107.78|$116.30|$91.61
"CPT® 82626"|"HB DEHYDROEPIANDROSTERONE_DEHYDROEPIANDROSTERONE (DHEA)"|300.00|$120.00|$42.60|$96.00|$84.00|$83.76|$42.60|$86.64|$84.00|$76.92|$96.00|$52.32|$55.80|$84.00|$83.99|$90.62|$71.39
"CPT® 82627"|"HB DEHYDROEPIANDROSTERONE_DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S)"|300.00|$211.00|$74.91|$168.80|$148.00|$147.28|$74.91|$152.34|$147.70|$135.25|$168.80|$92.00|$98.12|$147.70|$147.68|$159.35|$125.52
"CPT® 82633"|"HB DESOXYCORTICOSTERONE"|300.00|$336.00|$119.28|$268.80|$235.00|$234.53|$119.28|$242.59|$235.20|$215.38|$268.80|$146.50|$156.24|$235.20|$235.17|$253.75|$199.89
"CPT® 82634"|"HB DEOXYCORTISOL"|300.00|$162.00|$57.51|$129.60|$113.00|$113.08|$57.51|$116.96|$113.40|$103.84|$129.60|$70.63|$75.33|$113.40|$113.38|$122.34|$96.37
"CPT® 82652"|"HB VIT D 1 25-DIHYDROXY"|300.00|$274.00|$97.27|$219.20|$192.00|$191.25|$97.27|$197.83|$191.80|$175.63|$219.20|$119.46|$127.41|$191.80|$191.77|$206.92|$163.00
"CPT® 82656"|"HB PANCREATIC ELASTASE FECAL"|300.00|$86.00|$30.53|$68.80|$60.00|$60.03|$30.53|$62.09|$60.20|$55.13|$68.80|$37.50|$39.99|$60.20|$60.19|$64.95|$51.16
"CPT® 82657"|"HB ENZYME CELL ACTIVITY"|300.00|$133.00|$47.22|$106.40|$93.00|$92.83|$47.22|$96.03|$93.10|$85.25|$106.40|$57.99|$61.85|$93.10|$93.09|$100.44|$79.12
"CPT® 82668"|"HB ASSAY OF ERYTHROPOIETIN"|300.00|$208.00|$73.84|$166.40|$146.00|$145.18|$73.84|$150.18|$145.60|$133.33|$166.40|$90.69|$96.72|$145.60|$145.58|$157.08|$123.74
"CPT® 82670"|"HB ASSAY OF ESTRADIOL"|300.00|$240.00|$85.20|$192.00|$168.00|$167.52|$85.20|$173.28|$168.00|$153.84|$192.00|$104.64|$111.60|$168.00|$167.98|$181.25|$142.78
"CPT® 82672"|"HB ASSAY OF ESTROGEN TOTAL"|300.00|$195.00|$69.23|$156.00|$136.00|$136.11|$69.23|$140.79|$136.50|$125.00|$156.00|$85.02|$90.68|$136.50|$136.48|$147.26|$116.01
"CPT® 82677"|"HB ASSAY OF ESTRIOL"|300.00|$137.00|$48.64|$109.60|$96.00|$95.63|$48.64|$98.91|$95.90|$87.82|$109.60|$59.73|$63.71|$95.90|$95.89|$103.46|$81.50
"CPT® 82679"|"HB ASSAY OF ESTRONE"|300.00|$133.00|$47.22|$106.40|$93.00|$92.83|$47.22|$96.03|$93.10|$85.25|$106.40|$57.99|$61.85|$93.10|$93.09|$100.44|$79.12
"CPT® 82693"|"HB ASSAY OF ETHYLENE GLYCOL"|300.00|$163.00|$57.87|$130.40|$114.00|$113.77|$57.87|$117.69|$114.10|$104.48|$130.40|$71.07|$75.80|$114.10|$114.08|$123.10|$96.97
"CPT® 82705"|"HB FATS/LIPIDS FECES QUAL"|300.00|$78.00|$27.69|$62.40|$55.00|$54.44|$27.69|$56.32|$54.60|$50.00|$62.40|$34.01|$36.27|$54.60|$54.59|$58.91|$46.40
"CPT® 82710"|"HB FATS/LIPIDS FECES QUANT"|300.00|$213.00|$75.62|$170.40|$149.00|$148.67|$75.62|$153.79|$149.10|$136.53|$170.40|$92.87|$99.05|$149.10|$149.08|$160.86|$126.71
"CPT® 82726"|"HB LONG CHAIN FATTY ACIDS"|300.00|$318.00|$112.89|$254.40|$223.00|$221.96|$112.89|$229.60|$222.60|$203.84|$254.40|$138.65|$147.87|$222.60|$222.57|$240.15|$189.18
"CPT® 82728"|"HB ASSAY OF FERRITIN"|300.00|$165.00|$58.58|$132.00|$115.00|$115.17|$58.58|$119.13|$115.50|$105.77|$132.00|$71.94|$76.73|$115.50|$115.48|$124.61|$98.16
"CPT® 82731"|"HB ASSAY OF FETAL FIBRONECTIN"|300.00|$606.00|$215.13|$484.80|$424.00|$422.99|$215.13|$437.53|$424.20|$388.45|$484.80|$264.22|$281.79|$424.20|$424.14|$457.65|$360.51
"CPT® 82746"|"HB ASSAY OF FOLIC ACID SERUM"|300.00|$138.00|$48.99|$110.40|$97.00|$96.32|$48.99|$99.64|$96.60|$88.46|$110.40|$60.17|$64.17|$96.60|$96.59|$104.22|$82.10
"CPT® 82747"|"HB ASSAY OF FOLIC ACID RBC"|300.00|$64.00|$22.72|$51.20|$45.00|$44.67|$22.72|$46.21|$44.80|$41.02|$51.20|$27.90|$29.76|$44.80|$44.79|$48.33|$38.07
"CPT® 82784"|"HB ASSAY IGA/IGD/IGG/IGM EACH"|300.00|$103.00|$36.57|$82.40|$72.00|$71.89|$36.57|$74.37|$72.10|$66.02|$82.40|$44.91|$47.90|$72.10|$72.09|$77.79|$61.27
"CPT® 82785"|"HB ASSAY OF IGE"|300.00|$117.00|$41.54|$93.60|$82.00|$81.67|$41.54|$84.47|$81.90|$75.00|$93.60|$51.01|$54.41|$81.90|$81.89|$88.36|$69.60
"CPT® 82787"|"HB IGG 1 2 3 OR 4 EACH"|300.00|$84.00|$29.82|$67.20|$59.00|$58.63|$29.82|$60.65|$58.80|$53.84|$67.20|$36.62|$39.06|$58.80|$58.79|$63.44|$49.97
"CPT® 82803"|"HB BLOOD GASES ANY COMBINATION"|300.00|$269.00|$95.50|$215.20|$188.00|$187.76|$95.50|$194.22|$188.30|$172.43|$215.20|$117.28|$125.09|$188.30|$188.27|$203.15|$160.03
"CPT® 82941"|"HB ASSAY OF GASTRIN"|300.00|$166.00|$58.93|$132.80|$116.00|$115.87|$58.93|$119.85|$116.20|$106.41|$132.80|$72.38|$77.19|$116.20|$116.18|$125.36|$98.75
"CPT® 82943"|"HB ASSAY OF GLUCAGON"|300.00|$145.00|$51.48|$116.00|$102.00|$101.21|$51.48|$104.69|$101.50|$92.95|$116.00|$63.22|$67.43|$101.50|$101.49|$109.50|$86.26
"CPT® 82945"|"HB GLUCOSE OTHER FLUID"|300.00|$91.00|$32.31|$72.80|$64.00|$63.52|$32.31|$65.70|$63.70|$58.33|$72.80|$39.68|$42.32|$63.70|$63.69|$68.72|$54.14
"CPT® 82947"|"HB ASSAY GLUCOSE BLOOD QUANT"|300.00|$66.00|$23.43|$52.80|$46.00|$46.07|$23.43|$47.65|$46.20|$42.31|$52.80|$28.78|$30.69|$46.20|$46.19|$49.84|$39.26
"CPT® 82950"|"HB GLUCOSE TEST"|300.00|$82.00|$29.11|$65.60|$57.00|$57.24|$29.11|$59.20|$57.40|$52.56|$65.60|$35.75|$38.13|$57.40|$57.39|$61.93|$48.78
"CPT® 82951"|"HB GLUCOSE TOLERANCE TEST (GTT)"|300.00|$252.00|$89.46|$201.60|$176.00|$175.90|$89.46|$181.94|$176.40|$161.53|$201.60|$109.87|$117.18|$176.40|$176.37|$190.31|$149.91
"CPT® 82952"|"HB GTT-ADDED SAMPLES"|300.00|$86.00|$30.53|$68.80|$60.00|$60.03|$30.53|$62.09|$60.20|$55.13|$68.80|$37.50|$39.99|$60.20|$60.19|$64.95|$51.16
"CPT® 82955"|"HB ASSAY OF G6PD ENZYME"|300.00|$131.00|$46.51|$104.80|$92.00|$91.44|$46.51|$94.58|$91.70|$83.97|$104.80|$57.12|$60.92|$91.70|$91.69|$98.93|$77.93
"CPT® 82962"|"HB GLUCOSE BLOOD TEST"|300.00|$50.00|$17.75|$40.00|$35.00|$34.90|$17.75|$36.10|$35.00|$32.05|$40.00|$21.80|$23.25|$35.00|$35.00|$37.76|$29.75
"CPT® 82977"|"HB ASSAY OF GGT"|300.00|$108.00|$38.34|$86.40|$76.00|$75.38|$38.34|$77.98|$75.60|$69.23|$86.40|$47.09|$50.22|$75.60|$75.59|$81.56|$64.25
"CPT® 82985"|"HB ASSAY OF GLYCATED PROTEIN"|300.00|$67.00|$23.79|$53.60|$47.00|$46.77|$23.79|$48.37|$46.90|$42.95|$53.60|$29.21|$31.16|$46.90|$46.89|$50.60|$39.86
"CPT® 83001"|"HB ASSAY OF GONADOTROPIN (FSH)"|300.00|$236.00|$83.78|$188.80|$165.00|$164.73|$83.78|$170.39|$165.20|$151.28|$188.80|$102.90|$109.74|$165.20|$165.18|$178.23|$140.40
"CPT® 83002"|"HB ASSAY OF GONADOTROPIN (LH)"|300.00|$142.00|$50.41|$113.60|$99.00|$99.12|$50.41|$102.52|$99.40|$91.02|$113.60|$61.91|$66.03|$99.40|$99.39|$107.24|$84.48
"CPT® 83003"|"HB ASSAY GROWTH HORMONE (HGH)"|300.00|$158.00|$56.09|$126.40|$111.00|$110.28|$56.09|$114.08|$110.60|$101.28|$126.40|$68.89|$73.47|$110.60|$110.58|$119.32|$93.99
"CPT® 83010"|"HB ASSAY OF HAPTOGLOBIN QUANT"|300.00|$131.00|$46.51|$104.80|$92.00|$91.44|$46.51|$94.58|$91.70|$83.97|$104.80|$57.12|$60.92|$91.70|$91.69|$98.93|$77.93
"CPT® 83013"|"HB H PYLORI (C-13) BREATH"|300.00|$47.00|$16.69|$37.60|$33.00|$32.81|$16.69|$33.93|$32.90|$30.13|$37.60|$20.49|$21.86|$32.90|$32.90|$35.49|$27.96
"CPT® 83018"|"HB QUANTITATIVE SCREEN METALS"|300.00|$154.00|$54.67|$123.20|$108.00|$107.49|$54.67|$111.19|$107.80|$98.71|$123.20|$67.14|$71.61|$107.80|$107.78|$116.30|$91.61
"CPT® 83033"|"HB FETAL HEMOGLOBIN ASSAY QUAL"|300.00|$125.00|$44.38|$100.00|$88.00|$87.25|$44.38|$90.25|$87.50|$80.13|$100.00|$54.50|$58.13|$87.50|$87.49|$94.40|$74.36
"CPT® 83036"|"HB GLYCOSYLATED HEMOGLOBIN TEST"|300.00|$134.00|$47.57|$107.20|$94.00|$93.53|$47.57|$96.75|$93.80|$85.89|$107.20|$58.42|$62.31|$93.80|$93.79|$101.20|$79.72
"CPT® 83050"|"HB BLOOD METHEMOGLOBIN ASSAY"|300.00|$191.00|$67.81|$152.80|$134.00|$133.32|$67.81|$137.90|$133.70|$122.43|$152.80|$83.28|$88.82|$133.70|$133.68|$144.24|$113.63
"CPT® 83051"|"HB ASSAY OF PLASMA HEMOGLOBIN"|300.00|$110.00|$39.05|$88.00|$77.00|$76.78|$39.05|$79.42|$77.00|$70.51|$88.00|$47.96|$51.15|$77.00|$76.99|$83.07|$65.44
"CPT® 83070"|"HB ASSAY OF HEMOSIDERIN QUAL"|300.00|$58.00|$20.59|$46.40|$41.00|$40.48|$20.59|$41.88|$40.60|$37.18|$46.40|$25.29|$26.97|$40.60|$40.59|$43.80|$34.50
"CPT® 83080"|"HB ASSAY OF B HEXOSAMINIDASE"|300.00|$92.00|$32.66|$73.60|$64.00|$64.22|$32.66|$66.42|$64.40|$58.97|$73.60|$40.11|$42.78|$64.40|$64.39|$69.48|$54.73
"CPT® 83088"|"HB ASSAY OF HISTAMINE"|300.00|$416.00|$147.68|$332.80|$291.00|$290.37|$147.68|$300.35|$291.20|$266.66|$332.80|$181.38|$193.44|$291.20|$291.16|$314.16|$247.48
"CPT® 83090"|"HB ASSAY OF HOMOCYSTINE"|300.00|$260.00|$92.30|$208.00|$182.00|$181.48|$92.30|$187.72|$182.00|$166.66|$208.00|$113.36|$120.90|$182.00|$181.97|$196.35|$154.67
"CPT® 83150"|"HB ASSAY OF HOMOVANILLIC ACID"|300.00|$207.00|$73.49|$165.60|$145.00|$144.49|$73.49|$149.45|$144.90|$132.69|$165.60|$90.25|$96.26|$144.90|$144.88|$156.33|$123.14
"CPT® 83497"|"HB ASSAY OF 5-HIAA"|300.00|$150.00|$53.25|$120.00|$105.00|$104.70|$53.25|$108.30|$105.00|$96.15|$120.00|$65.40|$69.75|$105.00|$104.99|$113.28|$89.24
"CPT® 83498"|"HB ASSAY OF PROGESTERONE 17-D"|300.00|$220.00|$78.10|$176.00|$154.00|$153.56|$78.10|$158.84|$154.00|$141.02|$176.00|$95.92|$102.30|$154.00|$153.98|$166.14|$130.88
"CPT® 83516"|"HB IMMUNOASSAY NONANTIBODY"|300.00|$179.00|$63.55|$143.20|$125.00|$124.94|$63.55|$129.24|$125.30|$114.74|$143.20|$78.04|$83.24|$125.30|$125.28|$135.18|$106.49
"CPT® 83519"|"HB RIA NONANTIBODY"|300.00|$95.00|$33.73|$76.00|$66.00|$66.31|$33.73|$68.59|$66.50|$60.90|$76.00|$41.42|$44.18|$66.50|$66.49|$71.74|$56.52
"CPT® 83520"|"HB IMMUNOASSAY ANALYTE QUANTITATIVE NOS"|300.00|$533.00|$189.22|$426.40|$373.00|$372.03|$189.22|$384.83|$373.10|$341.65|$426.40|$232.39|$247.85|$373.10|$373.05|$402.52|$317.08
"CPT® 83525"|"HB ASSAY OF INSULIN TOTAL"|300.00|$152.00|$53.96|$121.60|$106.00|$106.10|$53.96|$109.74|$106.40|$97.43|$121.60|$66.27|$70.68|$106.40|$106.38|$114.79|$90.42
"CPT® 83540"|"HB ASSAY OF IRON"|300.00|$90.00|$31.95|$72.00|$63.00|$62.82|$31.95|$64.98|$63.00|$57.69|$72.00|$39.24|$41.85|$63.00|$62.99|$67.97|$53.54
"CPT® 83550"|"HB IRON BINDING TEST"|300.00|$207.00|$73.49|$165.60|$145.00|$144.49|$73.49|$149.45|$144.90|$132.69|$165.60|$90.25|$96.26|$144.90|$144.88|$156.33|$123.14
"CPT® 83605"|"HB ASSAY OF LACTIC ACID"|300.00|$254.00|$90.17|$203.20|$178.00|$177.29|$90.17|$183.39|$177.80|$162.81|$203.20|$110.74|$118.11|$177.80|$177.77|$191.82|$151.10
"CPT® 83615"|"HB LACTATE (LD) (LDH) ENZYME"|300.00|$92.00|$32.66|$73.60|$64.00|$64.22|$32.66|$66.42|$64.40|$58.97|$73.60|$40.11|$42.78|$64.40|$64.39|$69.48|$54.73
"CPT® 83625"|"HB ASSAY OF LDH ENZYMES"|300.00|$100.00|$35.50|$80.00|$70.00|$69.80|$35.50|$72.20|$70.00|$64.10|$80.00|$43.60|$46.50|$70.00|$69.99|$75.52|$59.49
"CPT® 83655"|"HB ASSAY OF LEAD"|300.00|$99.00|$35.15|$79.20|$69.00|$69.10|$35.15|$71.48|$69.30|$63.46|$79.20|$43.16|$46.04|$69.30|$69.29|$74.76|$58.90
"CPT® 83661"|"HB L/S RATIO FETAL LUNG"|300.00|$475.00|$168.63|$380.00|$332.00|$331.55|$168.63|$342.95|$332.50|$304.48|$380.00|$207.10|$220.88|$332.50|$332.45|$358.72|$282.58
"CPT® 83690"|"HB ASSAY OF LIPASE"|300.00|$235.00|$83.43|$188.00|$164.00|$164.03|$83.43|$169.67|$164.50|$150.64|$188.00|$102.46|$109.28|$164.50|$164.48|$177.47|$139.80
"CPT® 83695"|"HB ASSAY OF LIPOPROTEIN(A)"|300.00|$157.00|$55.74|$125.60|$110.00|$109.59|$55.74|$113.35|$109.90|$100.64|$125.60|$68.45|$73.01|$109.90|$109.88|$118.57|$93.40
"CPT® 83698"|"HB ASSAY LIPOPROTEIN PLA2"|300.00|$176.00|$62.48|$140.80|$123.00|$122.85|$62.48|$127.07|$123.20|$112.82|$140.80|$76.74|$81.84|$123.20|$123.18|$132.92|$104.70
"CPT® 83700"|"HB LIPOPRO BLD ELECTROPHORETIC"|300.00|$193.00|$68.52|$154.40|$135.00|$134.71|$68.52|$139.35|$135.10|$123.71|$154.40|$84.15|$89.75|$135.10|$135.08|$145.75|$114.82
"CPT® 83701"|"HB LIPOPROTEIN BLD HR FRACTION"|300.00|$66.00|$23.43|$52.80|$46.00|$46.07|$23.43|$47.65|$46.20|$42.31|$52.80|$28.78|$30.69|$46.20|$46.19|$49.84|$39.26
"CPT® 83704"|"HB LIPOPROTEIN BLD BY NMR"|300.00|$24.00|$8.52|$19.20|$17.00|$16.75|$8.52|$17.33|$16.80|$15.38|$19.20|$10.46|$11.16|$16.80|$16.80|$18.12|$14.28
"CPT® 83718"|"HB ASSAY OF LIPOPROTEIN"|300.00|$88.00|$31.24|$70.40|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$61.60|$61.59|$66.46|$52.35
"CPT® 83721"|"HB ASSAY OF BLOOD LIPOPROTEIN LDL"|300.00|$90.00|$31.95|$72.00|$63.00|$62.82|$31.95|$64.98|$63.00|$57.69|$72.00|$39.24|$41.85|$63.00|$62.99|$67.97|$53.54
"CPT® 83735"|"HB ASSAY OF MAGNESIUM"|300.00|$92.00|$32.66|$73.60|$64.00|$64.22|$32.66|$66.42|$64.40|$58.97|$73.60|$40.11|$42.78|$64.40|$64.39|$69.48|$54.73
"CPT® 83785"|"HB ASSAY OF MANGANESE"|300.00|$102.00|$36.21|$81.60|$71.00|$71.20|$36.21|$73.64|$71.40|$65.38|$81.60|$44.47|$47.43|$71.40|$71.39|$77.03|$60.68
"CPT® 82542"|"HB MASS SPECTROMETRY QUAL/QUAN"|300.00|$461.00|$163.66|$368.80|$323.00|$321.78|$163.66|$332.84|$322.70|$295.50|$368.80|$201.00|$214.37|$322.70|$322.65|$348.15|$274.25
"CPT® 83825"|"HB ASSAY OF MERCURY"|300.00|$98.00|$34.79|$78.40|$69.00|$68.40|$34.79|$70.76|$68.60|$62.82|$78.40|$42.73|$45.57|$68.60|$68.59|$74.01|$58.30
"CPT® 83835"|"HB ASSAY OF METANEPHRINES"|300.00|$255.00|$90.53|$204.00|$178.00|$177.99|$90.53|$184.11|$178.50|$163.46|$204.00|$111.18|$118.58|$178.50|$178.47|$192.58|$151.70
"CPT® 83872"|"HB ASSAY SYNOVIAL FLUID MUCIN"|300.00|$63.00|$22.37|$50.40|$44.00|$43.97|$22.37|$45.49|$44.10|$40.38|$50.40|$27.47|$29.30|$44.10|$44.09|$47.58|$37.48
"CPT® 83873"|"HB ASSAY OF CSF PROTEIN"|300.00|$154.00|$54.67|$123.20|$108.00|$107.49|$54.67|$111.19|$107.80|$98.71|$123.20|$67.14|$71.61|$107.80|$107.78|$116.30|$91.61
"CPT® 83874"|"HB ASSAY OF MYOGLOBIN"|300.00|$189.00|$67.10|$151.20|$132.00|$131.92|$67.10|$136.46|$132.30|$121.15|$151.20|$82.40|$87.89|$132.30|$132.28|$142.73|$112.44
"CPT® 83880"|"HB ASSAY OF NATRIURETIC PEPTIDE"|300.00|$210.00|$74.55|$168.00|$147.00|$146.58|$74.55|$151.62|$147.00|$134.61|$168.00|$91.56|$97.65|$147.00|$146.98|$158.59|$124.93
"CPT® 83883"|"HB ASSAY NEPHELOMETRY NOT SPEC"|300.00|$176.00|$62.48|$140.80|$123.00|$122.85|$62.48|$127.07|$123.20|$112.82|$140.80|$76.74|$81.84|$123.20|$123.18|$132.92|$104.70
"CPT® 83915"|"HB ASSAY OF NUCLEOTIDASE"|300.00|$59.00|$20.95|$47.20|$41.00|$41.18|$20.95|$42.60|$41.30|$37.82|$47.20|$25.72|$27.44|$41.30|$41.29|$44.56|$35.10
"CPT® 83916"|"HB OLIGOCLONAL BANDS"|300.00|$88.00|$31.24|$70.40|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$61.60|$61.59|$66.46|$52.35
"CPT® 83921"|"HB ORGANIC ACID SINGLE QUANT"|300.00|$291.00|$103.31|$232.80|$204.00|$203.12|$103.31|$210.10|$203.70|$186.53|$232.80|$126.88|$135.32|$203.70|$203.67|$219.76|$173.12
"CPT® 83930"|"HB ASSAY OF BLOOD OSMOLALITY"|300.00|$71.00|$25.21|$56.80|$50.00|$49.56|$25.21|$51.26|$49.70|$45.51|$56.80|$30.96|$33.02|$49.70|$49.69|$53.62|$42.24
"CPT® 83935"|"HB ASSAY OF URINE OSMOLALITY"|300.00|$56.00|$19.88|$44.80|$39.00|$39.09|$19.88|$40.43|$39.20|$35.90|$44.80|$24.42|$26.04|$39.20|$39.19|$42.29|$33.31
"CPT® 83937"|"HB ASSAY OF OSTEOCALCIN"|300.00|$287.00|$101.89|$229.60|$201.00|$200.33|$101.89|$207.21|$200.90|$183.97|$229.60|$125.13|$133.46|$200.90|$200.87|$216.74|$170.74
"CPT® 83945"|"HB ASSAY OF OXALATE"|300.00|$98.00|$34.79|$78.40|$69.00|$68.40|$34.79|$70.76|$68.60|$62.82|$78.40|$42.73|$45.57|$68.60|$68.59|$74.01|$58.30
"CPT® 83970"|"HB ASSAY OF PARATHORMONE"|300.00|$271.00|$96.21|$216.80|$190.00|$189.16|$96.21|$195.66|$189.70|$173.71|$216.80|$118.16|$126.02|$189.70|$189.67|$204.66|$161.22
"CPT® 83986"|"HB ASSAY PH BODY FLUID NOS"|300.00|$41.00|$14.56|$32.80|$29.00|$28.62|$14.56|$29.60|$28.70|$26.28|$32.80|$17.88|$19.07|$28.70|$28.70|$30.96|$24.39
"CPT® 83992"|"HB ASSAY FOR PHENCYCLIDINE"|300.00|$148.00|$52.54|$118.40|$104.00|$103.30|$52.54|$106.86|$103.60|$94.87|$118.40|$64.53|$68.82|$103.60|$103.59|$111.77|$88.05
"CPT® 83993"|"HB ASSAY FOR CALPROTECTIN FECAL"|300.00|$278.00|$98.69|$222.40|$195.00|$194.04|$98.69|$200.72|$194.60|$178.20|$222.40|$121.21|$129.27|$194.60|$194.57|$209.95|$165.38
"CPT® 84030"|"HB ASSAY OF BLOOD PKU"|300.00|$131.00|$46.51|$104.80|$92.00|$91.44|$46.51|$94.58|$91.70|$83.97|$104.80|$57.12|$60.92|$91.70|$91.69|$98.93|$77.93
"CPT® 84075"|"HB ASSAY ALKALINE PHOSPHATASE ALKALINE"|300.00|$101.00|$35.86|$80.80|$71.00|$70.50|$35.86|$72.92|$70.70|$64.74|$80.80|$44.04|$46.97|$70.70|$70.69|$76.28|$60.08
"CPT® 84080"|"HB ASSAY ALKALINE PHOSPHATASES"|300.00|$86.00|$30.53|$68.80|$60.00|$60.03|$30.53|$62.09|$60.20|$55.13|$68.80|$37.50|$39.99|$60.20|$60.19|$64.95|$51.16
"CPT® 84081"|"HB ASSAY PHOSPHATIDYLGLYCEROL"|300.00|$243.00|$86.27|$194.40|$170.00|$169.61|$86.27|$175.45|$170.10|$155.76|$194.40|$105.95|$113.00|$170.10|$170.08|$183.51|$144.56
"CPT® 84100"|"HB ASSAY OF PHOSPHORUS"|300.00|$80.00|$28.40|$64.00|$56.00|$55.84|$28.40|$57.76|$56.00|$51.28|$64.00|$34.88|$37.20|$56.00|$55.99|$60.42|$47.59
"CPT® 84105"|"HB ASSAY OF URINE PHOSPHORUS"|300.00|$40.00|$14.20|$32.00|$28.00|$27.92|$14.20|$28.88|$28.00|$25.64|$32.00|$17.44|$18.60|$28.00|$28.00|$30.21|$23.80
"CPT® 84110"|"HB ASSAY OF PORPHOBILINOGEN"|300.00|$218.00|$77.39|$174.40|$153.00|$152.16|$77.39|$157.40|$152.60|$139.74|$174.40|$95.05|$101.37|$152.60|$152.58|$164.63|$129.69
"CPT® 84120"|"HB ASSAY OF URINE PORPHYRINS"|300.00|$127.00|$45.09|$101.60|$89.00|$88.65|$45.09|$91.69|$88.90|$81.41|$101.60|$55.37|$59.06|$88.90|$88.89|$95.91|$75.55
"CPT® 84132"|"HB ASSAY OF SERUM POTASSIUM"|300.00|$80.00|$28.40|$64.00|$56.00|$55.84|$28.40|$57.76|$56.00|$51.28|$64.00|$34.88|$37.20|$56.00|$55.99|$60.42|$47.59
"CPT® 84133"|"HB ASSAY OF URINE POTASSIUM"|300.00|$59.00|$20.95|$47.20|$41.00|$41.18|$20.95|$42.60|$41.30|$37.82|$47.20|$25.72|$27.44|$41.30|$41.29|$44.56|$35.10
"CPT® 84134"|"HB ASSAY OF PREALBUMIN"|300.00|$184.00|$65.32|$147.20|$129.00|$128.43|$65.32|$132.85|$128.80|$117.94|$147.20|$80.22|$85.56|$128.80|$128.78|$138.96|$109.46
"CPT® 84140"|"HB ASSAY OF PREGNENOLONE"|300.00|$176.00|$62.48|$140.80|$123.00|$122.85|$62.48|$127.07|$123.20|$112.82|$140.80|$76.74|$81.84|$123.20|$123.18|$132.92|$104.70
"CPT® 84143"|"HB ASSAY OF 17-HYDROXYPREGNENO"|300.00|$155.00|$55.03|$124.00|$108.00|$108.19|$55.03|$111.91|$108.50|$99.36|$124.00|$67.58|$72.08|$108.50|$108.48|$117.06|$92.21
"CPT® 84144"|"HB ASSAY OF PROGESTERONE"|300.00|$155.00|$55.03|$124.00|$108.00|$108.19|$55.03|$111.91|$108.50|$99.36|$124.00|$67.58|$72.08|$108.50|$108.48|$117.06|$92.21
"CPT® 84146"|"HB ASSAY OF PROLACTIN"|300.00|$167.00|$59.29|$133.60|$117.00|$116.57|$59.29|$120.57|$116.90|$107.05|$133.60|$72.81|$77.66|$116.90|$116.88|$126.12|$99.35
"CPT® 84150"|"HB ASSAY OF PROSTAGLANDIN"|300.00|$724.00|$257.02|$579.20|$507.00|$505.35|$257.02|$522.73|$506.80|$464.08|$579.20|$315.66|$336.66|$506.80|$506.73|$546.76|$430.71
"CPT® 84153"|"HB ASSAY OF PSA TOTAL"|300.00|$207.00|$73.49|$165.60|$145.00|$144.49|$73.49|$149.45|$144.90|$132.69|$165.60|$90.25|$96.26|$144.90|$144.88|$156.33|$123.14
"CPT® 84154"|"HB ASSAY OF PSA FREE"|300.00|$134.00|$47.57|$107.20|$94.00|$93.53|$47.57|$96.75|$93.80|$85.89|$107.20|$58.42|$62.31|$93.80|$93.79|$101.20|$79.72
"CPT® 84155"|"HB ASSAY OF PROTEIN SERUM"|300.00|$29.00|$10.30|$23.20|$20.00|$20.24|$10.30|$20.94|$20.30|$18.59|$23.20|$12.64|$13.49|$20.30|$20.30|$21.90|$17.25
"CPT® 84156"|"HB ASSAY OF PROTEIN URINE"|300.00|$146.00|$51.83|$116.80|$102.00|$101.91|$51.83|$105.41|$102.20|$93.59|$116.80|$63.66|$67.89|$102.20|$102.19|$110.26|$86.86
"CPT® 84157"|"HB ASSAY OF PROTEIN OTHER"|300.00|$164.00|$58.22|$131.20|$115.00|$114.47|$58.22|$118.41|$114.80|$105.12|$131.20|$71.50|$76.26|$114.80|$114.78|$123.85|$97.56
"CPT® 84163"|"HB PAPPA SERUM"|300.00|$327.00|$116.09|$261.60|$229.00|$228.25|$116.09|$236.09|$228.90|$209.61|$261.60|$142.57|$152.06|$228.90|$228.87|$246.95|$194.53
"CPT® 84165"|"HB PROTEIN E-PHORESIS SERUM"|300.00|$74.00|$26.27|$59.20|$52.00|$51.65|$26.27|$53.43|$51.80|$47.43|$59.20|$32.26|$34.41|$51.80|$51.79|$55.88|$44.02
"CPT® 84166"|"HB PROTEIN E-PHORESIS/URINE/CSF"|300.00|$88.00|$31.24|$70.40|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$61.60|$61.59|$66.46|$52.35
"CPT® 84181"|"HB WESTERN BLOT TEST"|300.00|$162.00|$57.51|$129.60|$113.00|$113.08|$57.51|$116.96|$113.40|$103.84|$129.60|$70.63|$75.33|$113.40|$113.38|$122.34|$96.37
"CPT® 84202"|"HB ASSAY RBC PROTOPORPHYRIN"|300.00|$156.00|$55.38|$124.80|$109.00|$108.89|$55.38|$112.63|$109.20|$100.00|$124.80|$68.02|$72.54|$109.20|$109.18|$117.81|$92.80
"CPT® 84207"|"HB ASSAY OF VITAMIN B-6"|300.00|$336.00|$119.28|$268.80|$235.00|$234.53|$119.28|$242.59|$235.20|$215.38|$268.80|$146.50|$156.24|$235.20|$235.17|$253.75|$199.89
"CPT® 84210"|"HB ASSAY OF PYRUVATE"|300.00|$90.00|$31.95|$72.00|$63.00|$62.82|$31.95|$64.98|$63.00|$57.69|$72.00|$39.24|$41.85|$63.00|$62.99|$67.97|$53.54
"CPT® 84244"|"HB ASSAY OF RENIN"|300.00|$191.00|$67.81|$152.80|$134.00|$133.32|$67.81|$137.90|$133.70|$122.43|$152.80|$83.28|$88.82|$133.70|$133.68|$144.24|$113.63
"CPT® 84252"|"HB ASSAY OF VITAMIN B-2"|300.00|$277.00|$98.34|$221.60|$194.00|$193.35|$98.34|$199.99|$193.90|$177.56|$221.60|$120.77|$128.81|$193.90|$193.87|$209.19|$164.79
"CPT® 84255"|"HB ASSAY OF SELENIUM"|300.00|$111.00|$39.41|$88.80|$78.00|$77.48|$39.41|$80.14|$77.70|$71.15|$88.80|$48.40|$51.62|$77.70|$77.69|$83.83|$66.03
"CPT® 84260"|"HB ASSAY OF SEROTONIN"|300.00|$141.00|$50.06|$112.80|$99.00|$98.42|$50.06|$101.80|$98.70|$90.38|$112.80|$61.48|$65.57|$98.70|$98.69|$106.48|$83.88
"CPT® 84275"|"HB ASSAY OF SIALIC ACID"|300.00|$281.00|$99.76|$224.80|$197.00|$196.14|$99.76|$202.88|$196.70|$180.12|$224.80|$122.52|$130.67|$196.70|$196.67|$212.21|$167.17
"CPT® 84295"|"HB ASSAY OF SERUM SODIUM"|300.00|$58.00|$20.59|$46.40|$41.00|$40.48|$20.59|$41.88|$40.60|$37.18|$46.40|$25.29|$26.97|$40.60|$40.59|$43.80|$34.50
"CPT® 84300"|"HB ASSAY OF URINE SODIUM"|300.00|$59.00|$20.95|$47.20|$41.00|$41.18|$20.95|$42.60|$41.30|$37.82|$47.20|$25.72|$27.44|$41.30|$41.29|$44.56|$35.10
"CPT® 84305"|"HB ASSAY OF SOMATOMEDIN"|300.00|$234.00|$83.07|$187.20|$164.00|$163.33|$83.07|$168.95|$163.80|$149.99|$187.20|$102.02|$108.81|$163.80|$163.78|$176.72|$139.21
"CPT® 84311"|"HB SPECTROPHOTOMETRY"|300.00|$109.00|$38.70|$87.20|$76.00|$76.08|$38.70|$78.70|$76.30|$69.87|$87.20|$47.52|$50.69|$76.30|$76.29|$82.32|$64.84
"CPT® 84376"|"HB SUGARS SINGLE QUAL"|300.00|$36.00|$12.78|$28.80|$25.00|$25.13|$12.78|$25.99|$25.20|$23.08|$28.80|$15.70|$16.74|$25.20|$25.20|$27.19|$21.42
"CPT® 84378"|"HB SUGARS SINGLE QUANT"|300.00|$174.00|$61.77|$139.20|$122.00|$121.45|$61.77|$125.63|$121.80|$111.53|$139.20|$75.86|$80.91|$121.80|$121.78|$131.40|$103.51
"CPT® 84392"|"HB ASSAY OF URINE SULFATE"|300.00|$51.00|$18.11|$40.80|$36.00|$35.60|$18.11|$36.82|$35.70|$32.69|$40.80|$22.24|$23.72|$35.70|$35.69|$38.52|$30.34
"CPT® 84402"|"HB ASSAY OF FREE TESTOSTERONE"|300.00|$156.00|$55.38|$124.80|$109.00|$108.89|$55.38|$112.63|$109.20|$100.00|$124.80|$68.02|$72.54|$109.20|$109.18|$117.81|$92.80
"CPT® 84403"|"HB ASSAY OF TOTAL TESTOSTERONE"|300.00|$197.00|$69.94|$157.60|$138.00|$137.51|$69.94|$142.23|$137.90|$126.28|$157.60|$85.89|$91.61|$137.90|$137.88|$148.77|$117.20
"CPT® 84425"|"HB ASSAY OF VITAMIN B-1"|300.00|$188.00|$66.74|$150.40|$132.00|$131.22|$66.74|$135.74|$131.60|$120.51|$150.40|$81.97|$87.42|$131.60|$131.58|$141.98|$111.84
"CPT® 84430"|"HB ASSAY OF THIOCYANATE"|300.00|$67.00|$23.79|$53.60|$47.00|$46.77|$23.79|$48.37|$46.90|$42.95|$53.60|$29.21|$31.16|$46.90|$46.89|$50.60|$39.86
"CPT® 84432"|"HB ASSAY OF THYROGLOBULIN"|300.00|$115.00|$40.83|$92.00|$80.00|$80.27|$40.83|$83.03|$80.50|$73.72|$92.00|$50.14|$53.48|$80.50|$80.49|$86.85|$68.41
"CPT® 84436"|"HB ASSAY OF TOTAL THYROXINE"|300.00|$47.00|$16.69|$37.60|$33.00|$32.81|$16.69|$33.93|$32.90|$30.13|$37.60|$20.49|$21.86|$32.90|$32.90|$35.49|$27.96
"CPT® 84439"|"HB ASSAY OF FREE THYROXINE"|300.00|$138.00|$48.99|$110.40|$97.00|$96.32|$48.99|$99.64|$96.60|$88.46|$110.40|$60.17|$64.17|$96.60|$96.59|$104.22|$82.10
"CPT® 84442"|"HB ASSAY OF THYROID ACTIVITY"|300.00|$182.00|$64.61|$145.60|$127.00|$127.04|$64.61|$131.40|$127.40|$116.66|$145.60|$79.35|$84.63|$127.40|$127.38|$137.45|$108.27
"CPT® 84443"|"HB ASSAY THYROID STIM HORMONE"|300.00|$186.00|$66.03|$148.80|$130.00|$129.83|$66.03|$134.29|$130.20|$119.23|$148.80|$81.10|$86.49|$130.20|$130.18|$140.47|$110.65
"CPT® 84445"|"HB ASSAY OF TSI GLOBULIN"|300.00|$493.00|$175.02|$394.40|$345.00|$344.11|$175.02|$355.95|$345.10|$316.01|$394.40|$214.95|$229.25|$345.10|$345.05|$372.31|$293.29
"CPT® 84450"|"HB TRANSFERASE (AST) (SGOT)"|300.00|$80.00|$28.40|$64.00|$56.00|$55.84|$28.40|$57.76|$56.00|$51.28|$64.00|$34.88|$37.20|$56.00|$55.99|$60.42|$47.59
"CPT® 84460"|"HB ALANINE AMINO (ALT) (SGPT)"|300.00|$167.00|$59.29|$133.60|$117.00|$116.57|$59.29|$120.57|$116.90|$107.05|$133.60|$72.81|$77.66|$116.90|$116.88|$126.12|$99.35
"CPT® 84466"|"HB ASSAY OF TRANSFERRIN"|300.00|$102.00|$36.21|$81.60|$71.00|$71.20|$36.21|$73.64|$71.40|$65.38|$81.60|$44.47|$47.43|$71.40|$71.39|$77.03|$60.68
"CPT® 84478"|"HB ASSAY OF TRIGLYCERIDES"|300.00|$220.00|$78.10|$176.00|$154.00|$153.56|$78.10|$158.84|$154.00|$141.02|$176.00|$95.92|$102.30|$154.00|$153.98|$166.14|$130.88
"CPT® 84479"|"HB ASSAY OF THYROID (T3 OR T4)"|300.00|$133.00|$47.22|$106.40|$93.00|$92.83|$47.22|$96.03|$93.10|$85.25|$106.40|$57.99|$61.85|$93.10|$93.09|$100.44|$79.12
"CPT® 84480"|"HB ASSAY TRIIODOTHYRONINE (T3)"|300.00|$133.00|$47.22|$106.40|$93.00|$92.83|$47.22|$96.03|$93.10|$85.25|$106.40|$57.99|$61.85|$93.10|$93.09|$100.44|$79.12
"CPT® 84481"|"HB FREE ASSAY (FT-3)"|300.00|$237.00|$84.14|$189.60|$166.00|$165.43|$84.14|$171.11|$165.90|$151.92|$189.60|$103.33|$110.21|$165.90|$165.88|$178.98|$140.99
"CPT® 84482"|"HB T3 REVERSE"|300.00|$127.00|$45.09|$101.60|$89.00|$88.65|$45.09|$91.69|$88.90|$81.41|$101.60|$55.37|$59.06|$88.90|$88.89|$95.91|$75.55
"CPT® 84484"|"HB ASSAY OF TROPONIN QUANT"|300.00|$195.00|$69.23|$156.00|$136.00|$136.11|$69.23|$140.79|$136.50|$125.00|$156.00|$85.02|$90.68|$136.50|$136.48|$147.26|$116.01
"CPT® 84520"|"HB ASSAY OF UREA NITROGEN"|300.00|$123.00|$43.67|$98.40|$86.00|$85.85|$43.67|$88.81|$86.10|$78.84|$98.40|$53.63|$57.20|$86.10|$86.09|$92.89|$73.17
"CPT® 84540"|"HB ASSAY OF URINE/UREA-N"|300.00|$60.00|$21.30|$48.00|$42.00|$41.88|$21.30|$43.32|$42.00|$38.46|$48.00|$26.16|$27.90|$42.00|$41.99|$45.31|$35.69
"CPT® 84550"|"HB ASSAY OF BLOOD/URIC ACID"|300.00|$90.00|$31.95|$72.00|$63.00|$62.82|$31.95|$64.98|$63.00|$57.69|$72.00|$39.24|$41.85|$63.00|$62.99|$67.97|$53.54
"CPT® 84560"|"HB ASSAY OF URINE/URIC ACID"|300.00|$78.00|$27.69|$62.40|$55.00|$54.44|$27.69|$56.32|$54.60|$50.00|$62.40|$34.01|$36.27|$54.60|$54.59|$58.91|$46.40
"CPT® 84585"|"HB ASSAY OF URINE VMA"|300.00|$189.00|$67.10|$151.20|$132.00|$131.92|$67.10|$136.46|$132.30|$121.15|$151.20|$82.40|$87.89|$132.30|$132.28|$142.73|$112.44
"CPT® 84586"|"HB ASSAY OF VIP"|300.00|$377.00|$133.84|$301.60|$264.00|$263.15|$133.84|$272.19|$263.90|$241.66|$301.60|$164.37|$175.31|$263.90|$263.86|$284.71|$224.28
"CPT® 84588"|"HB ASSAY OF VASOPRESSIN"|300.00|$154.00|$54.67|$123.20|$108.00|$107.49|$54.67|$111.19|$107.80|$98.71|$123.20|$67.14|$71.61|$107.80|$107.78|$116.30|$91.61
"CPT® 84590"|"HB ASSAY OF VITAMIN A"|300.00|$160.00|$56.80|$128.00|$112.00|$111.68|$56.80|$115.52|$112.00|$102.56|$128.00|$69.76|$74.40|$112.00|$111.98|$120.83|$95.18
"CPT® 84591"|"HB ASSAY OF NOS VITAMIN"|300.00|$89.00|$31.60|$71.20|$62.00|$62.12|$31.60|$64.26|$62.30|$57.05|$71.20|$38.80|$41.39|$62.30|$62.29|$67.21|$52.95
"CPT® 84597"|"HB ASSAY OF VITAMIN K"|300.00|$130.00|$46.15|$104.00|$91.00|$90.74|$46.15|$93.86|$91.00|$83.33|$104.00|$56.68|$60.45|$91.00|$90.99|$98.18|$77.34
"CPT® 84600"|"HB ASSAY OF VOLATILES"|300.00|$99.00|$35.15|$79.20|$69.00|$69.10|$35.15|$71.48|$69.30|$63.46|$79.20|$43.16|$46.04|$69.30|$69.29|$74.76|$58.90
"CPT® 84620"|"HB XYLOSE TOLERANCE TEST"|300.00|$166.00|$58.93|$132.80|$116.00|$115.87|$58.93|$119.85|$116.20|$106.41|$132.80|$72.38|$77.19|$116.20|$116.18|$125.36|$98.75
"CPT® 84630"|"HB ASSAY OF ZINC"|300.00|$122.00|$43.31|$97.60|$85.00|$85.16|$43.31|$88.08|$85.40|$78.20|$97.60|$53.19|$56.73|$85.40|$85.39|$92.13|$72.58
"CPT® 84702"|"HB CHORIONIC GONADOTROPIN TEST"|300.00|$287.00|$101.89|$229.60|$201.00|$200.33|$101.89|$207.21|$200.90|$183.97|$229.60|$125.13|$133.46|$200.90|$200.87|$216.74|$170.74
"CPT® 84703"|"HB CHORIONIC GONADOTROPIN ASSAY"|300.00|$131.00|$46.51|$104.80|$92.00|$91.44|$46.51|$94.58|$91.70|$83.97|$104.80|$57.12|$60.92|$91.70|$91.69|$98.93|$77.93
"CPT® 84999"|"HB CLINICAL CHEMISTRY TEST"|300.00|$127.00|$45.09|$101.60|$89.00|$88.65|$45.09|$91.69|$88.90|$81.41|$101.60|$55.37|$59.06|$88.90|$88.89|$95.91|$75.55
"CPT® 85007"|"HB BL SMEAR W/DIFF WBC COUNT"|300.00|$131.00|$46.51|$104.80|$92.00|$91.44|$46.51|$94.58|$91.70|$83.97|$104.80|$57.12|$60.92|$91.70|$91.69|$98.93|$77.93
"CPT® 85014"|"HB HEMATOCRIT"|300.00|$30.00|$10.65|$24.00|$21.00|$20.94|$10.65|$21.66|$21.00|$19.23|$24.00|$13.08|$13.95|$21.00|$21.00|$22.66|$17.85
"CPT® 85018"|"HB HEMOGLOBIN"|300.00|$30.00|$10.65|$24.00|$21.00|$20.94|$10.65|$21.66|$21.00|$19.23|$24.00|$13.08|$13.95|$21.00|$21.00|$22.66|$17.85
"CPT® 85025"|"HB COMPLETE CBC W/AUTO DIFF WBC"|300.00|$137.00|$48.64|$109.60|$96.00|$95.63|$48.64|$98.91|$95.90|$87.82|$109.60|$59.73|$63.71|$95.90|$95.89|$103.46|$81.50
"CPT® 85041"|"HB AUTOMATED RBC COUNT"|300.00|$52.00|$18.46|$41.60|$36.00|$36.30|$18.46|$37.54|$36.40|$33.33|$41.60|$22.67|$24.18|$36.40|$36.39|$39.27|$30.93
"CPT® 85044"|"HB MANUAL RETICULOCYTE COUNT"|300.00|$64.00|$22.72|$51.20|$45.00|$44.67|$22.72|$46.21|$44.80|$41.02|$51.20|$27.90|$29.76|$44.80|$44.79|$48.33|$38.07
"CPT® 85045"|"HB AUTOMATED RETICULOCYTE COUNT"|300.00|$84.00|$29.82|$67.20|$59.00|$58.63|$29.82|$60.65|$58.80|$53.84|$67.20|$36.62|$39.06|$58.80|$58.79|$63.44|$49.97
"CPT® 85049"|"HB AUTOMATED PLATELET COUNT"|300.00|$95.00|$33.73|$76.00|$66.00|$66.31|$33.73|$68.59|$66.50|$60.90|$76.00|$41.42|$44.18|$66.50|$66.49|$71.74|$56.52
"CPT® 85210"|"HB CLOT FACTOR II PROTHROM SPEC"|300.00|$280.00|$99.40|$224.00|$196.00|$195.44|$99.40|$202.16|$196.00|$179.48|$224.00|$122.08|$130.20|$196.00|$195.97|$211.46|$166.57
"CPT® 85220"|"HB BLOOD CLOT FACTOR V TEST"|300.00|$211.00|$74.91|$168.80|$148.00|$147.28|$74.91|$152.34|$147.70|$135.25|$168.80|$92.00|$98.12|$147.70|$147.68|$159.35|$125.52
"CPT® 85230"|"HB CLOT FACTOR VII PROCONVERTIN"|300.00|$280.00|$99.40|$224.00|$196.00|$195.44|$99.40|$202.16|$196.00|$179.48|$224.00|$122.08|$130.20|$196.00|$195.97|$211.46|$166.57
"CPT® 85240"|"HB CLOT FACTOR VIII AHG 1 STAGE"|300.00|$280.00|$99.40|$224.00|$196.00|$195.44|$99.40|$202.16|$196.00|$179.48|$224.00|$122.08|$130.20|$196.00|$195.97|$211.46|$166.57
"CPT® 85245"|"HB CLOT FACTOR VIII VW RISTOCTN"|300.00|$264.00|$93.72|$211.20|$185.00|$184.27|$93.72|$190.61|$184.80|$169.22|$211.20|$115.10|$122.76|$184.80|$184.77|$199.37|$157.05
"CPT® 85246"|"HB CLOT FACTOR VIII VW ANTIGEN"|300.00|$264.00|$93.72|$211.20|$185.00|$184.27|$93.72|$190.61|$184.80|$169.22|$211.20|$115.10|$122.76|$184.80|$184.77|$199.37|$157.05
"CPT® 85247"|"HB CLOT FACTOR VIII MULTIMETRIC"|300.00|$322.00|$114.31|$257.60|$225.00|$224.76|$114.31|$232.48|$225.40|$206.40|$257.60|$140.39|$149.73|$225.40|$225.37|$243.17|$191.56
"CPT® 85250"|"HB CLOT FACTOR IX PTC/CHRSTMAS"|300.00|$280.00|$99.40|$224.00|$196.00|$195.44|$99.40|$202.16|$196.00|$179.48|$224.00|$122.08|$130.20|$196.00|$195.97|$211.46|$166.57
"CPT® 85260"|"HB CLOT FACTOR X STUART-POWER"|300.00|$280.00|$99.40|$224.00|$196.00|$195.44|$99.40|$202.16|$196.00|$179.48|$224.00|$122.08|$130.20|$196.00|$195.97|$211.46|$166.57
"CPT® 85270"|"HB CLOT FACTOR XI PTA"|300.00|$200.00|$71.00|$160.00|$140.00|$139.60|$71.00|$144.40|$140.00|$128.20|$160.00|$87.20|$93.00|$140.00|$139.98|$151.04|$118.98
"CPT® 85280"|"HB CLOT FACTOR XII HAGEMAN"|300.00|$142.00|$50.41|$113.60|$99.00|$99.12|$50.41|$102.52|$99.40|$91.02|$113.60|$61.91|$66.03|$99.40|$99.39|$107.24|$84.48
"CPT® 85291"|"HB CLOT FACTOR XIII FIBRIN SCRN"|300.00|$229.00|$81.30|$183.20|$160.00|$159.84|$81.30|$165.34|$160.30|$146.79|$183.20|$99.84|$106.49|$160.30|$160.28|$172.94|$136.23
"CPT® 85300"|"HB ANTITHROMBIN III ACTIVITY"|300.00|$246.00|$87.33|$196.80|$172.00|$171.71|$87.33|$177.61|$172.20|$157.69|$196.80|$107.26|$114.39|$172.20|$172.18|$185.78|$146.35
"CPT® 85301"|"HB ANTITHROMBIN III ANTIGEN"|300.00|$160.00|$56.80|$128.00|$112.00|$111.68|$56.80|$115.52|$112.00|$102.56|$128.00|$69.76|$74.40|$112.00|$111.98|$120.83|$95.18
"CPT® 85302"|"HB CLOT INHIBIT PROT C ANTIGEN"|300.00|$305.00|$108.28|$244.00|$214.00|$212.89|$108.28|$220.21|$213.50|$195.51|$244.00|$132.98|$141.83|$213.50|$213.47|$230.34|$181.44
"CPT® 85303"|"HB CLOT INHIBIT PROT C ACTIVITY"|300.00|$285.00|$101.18|$228.00|$200.00|$198.93|$101.18|$205.77|$199.50|$182.69|$228.00|$124.26|$132.53|$199.50|$199.47|$215.23|$169.55
"CPT® 85305"|"HB CLOT INHIBIT PROT S TOTAL"|300.00|$142.00|$50.41|$113.60|$99.00|$99.12|$50.41|$102.52|$99.40|$91.02|$113.60|$61.91|$66.03|$99.40|$99.39|$107.24|$84.48
"CPT® 85306"|"HB CLOT INHIBIT PROT S FREE"|300.00|$512.00|$181.76|$409.60|$358.00|$357.38|$181.76|$369.66|$358.40|$328.19|$409.60|$223.23|$238.08|$358.40|$358.35|$386.66|$304.59
"CPT® 85307"|"HB ASSAY ACTIVATED PROTEIN C"|300.00|$345.00|$122.48|$276.00|$241.00|$240.81|$122.48|$249.09|$241.50|$221.15|$276.00|$150.42|$160.43|$241.50|$241.47|$260.54|$205.24
"CPT® 85335"|"HB FACTOR INHIBITOR TEST"|300.00|$190.00|$67.45|$152.00|$133.00|$132.62|$67.45|$137.18|$133.00|$121.79|$152.00|$82.84|$88.35|$133.00|$132.98|$143.49|$113.03
"CPT® 85347"|"HB COAGULATION TIME ACTIVATED"|300.00|$129.00|$45.80|$103.20|$90.00|$90.04|$45.80|$93.14|$90.30|$82.69|$103.20|$56.24|$59.99|$90.30|$90.29|$97.42|$76.74
"CPT® 85379"|"HB FIBRIN DEGRADATION QUANT"|300.00|$182.00|$64.61|$145.60|$127.00|$127.04|$64.61|$131.40|$127.40|$116.66|$145.60|$79.35|$84.63|$127.40|$127.38|$137.45|$108.27
"CPT® 85384"|"HB FIBRINOGEN ACTIVITY"|300.00|$108.00|$38.34|$86.40|$76.00|$75.38|$38.34|$77.98|$75.60|$69.23|$86.40|$47.09|$50.22|$75.60|$75.59|$81.56|$64.25
"CPT® 85385"|"HB FIBRINOGEN ANTIGEN"|300.00|$210.00|$74.55|$168.00|$147.00|$146.58|$74.55|$151.62|$147.00|$134.61|$168.00|$91.56|$97.65|$147.00|$146.98|$158.59|$124.93
"CPT® 85415"|"HB PLASMINOGEN ACTIVATOR"|300.00|$238.00|$84.49|$190.40|$167.00|$166.12|$84.49|$171.84|$166.60|$152.56|$190.40|$103.77|$110.67|$166.60|$166.58|$179.74|$141.59
"CPT® 85460"|"HB KLEIHAUER-BETKE STAIN"|300.00|$202.00|$71.71|$161.60|$141.00|$141.00|$71.71|$145.84|$141.40|$129.48|$161.60|$88.07|$93.93|$141.40|$141.38|$152.55|$120.17
"CPT® 85461"|"HB FETAL SCRN/RFX KLEIHAUER"|300.00|$58.00|$20.59|$46.40|$41.00|$40.48|$20.59|$41.88|$40.60|$37.18|$46.40|$25.29|$26.97|$40.60|$40.59|$43.80|$34.50
"CPT® 85520"|"HB HEPARIN ASSAY"|300.00|$207.00|$73.49|$165.60|$145.00|$144.49|$73.49|$149.45|$144.90|$132.69|$165.60|$90.25|$96.26|$144.90|$144.88|$156.33|$123.14
"CPT® 85549"|"HB MURAMIDASE"|300.00|$132.00|$46.86|$105.60|$92.00|$92.14|$46.86|$95.30|$92.40|$84.61|$105.60|$57.55|$61.38|$92.40|$92.39|$99.69|$78.53
"CPT® 85576"|"HB BLOOD PLATELET AGGREGATION"|300.00|$58.00|$20.59|$46.40|$41.00|$40.48|$20.59|$41.88|$40.60|$37.18|$46.40|$25.29|$26.97|$40.60|$40.59|$43.80|$34.50
"CPT® 85611"|"HB PROTHROMBIN TEST"|300.00|$90.00|$31.95|$72.00|$63.00|$62.82|$31.95|$64.98|$63.00|$57.69|$72.00|$39.24|$41.85|$63.00|$62.99|$67.97|$53.54
"CPT® 85613"|"HB RUSSELL VIPER VENOM DILUTED"|300.00|$67.00|$23.79|$53.60|$47.00|$46.77|$23.79|$48.37|$46.90|$42.95|$53.60|$29.21|$31.16|$46.90|$46.89|$50.60|$39.86
"CPT® 85651"|"HB RBC SED RATE NONAUTOMATED"|300.00|$158.00|$56.09|$126.40|$111.00|$110.28|$56.09|$114.08|$110.60|$101.28|$126.40|$68.89|$73.47|$110.60|$110.58|$119.32|$93.99
"CPT® 85652"|"HB RBC SED RATE AUTOMATED"|300.00|$85.00|$30.18|$68.00|$59.00|$59.33|$30.18|$61.37|$59.50|$54.49|$68.00|$37.06|$39.53|$59.50|$59.49|$64.19|$50.57
"CPT® 85660"|"HB RBC SICKLE CELL TEST"|300.00|$101.00|$35.86|$80.80|$71.00|$70.50|$35.86|$72.92|$70.70|$64.74|$80.80|$44.04|$46.97|$70.70|$70.69|$76.28|$60.08
"CPT® 85670"|"HB THROMBIN TIME PLASMA"|300.00|$66.00|$23.43|$52.80|$46.00|$46.07|$23.43|$47.65|$46.20|$42.31|$52.80|$28.78|$30.69|$46.20|$46.19|$49.84|$39.26
"CPT® 85705"|"HB THROMBOPLASTIN INHIBITION"|300.00|$138.00|$48.99|$110.40|$97.00|$96.32|$48.99|$99.64|$96.60|$88.46|$110.40|$60.17|$64.17|$96.60|$96.59|$104.22|$82.10
"CPT® 85730"|"HB THROMBOPLASTIN TIME PARTIAL PLASMA OR WHOLE BLOOD"|300.00|$58.00|$20.59|$46.40|$41.00|$40.48|$20.59|$41.88|$40.60|$37.18|$46.40|$25.29|$26.97|$40.60|$40.59|$43.80|$34.50
"CPT® 85732"|"HB THROMBOPLASTIN TIME PARTIAL SUBSTITUTION"|300.00|$93.00|$33.02|$74.40|$65.00|$64.91|$33.02|$67.15|$65.10|$59.61|$74.40|$40.55|$43.25|$65.10|$65.09|$70.23|$55.33
"CPT® 85810"|"HB BLOOD VISCOSITY EXAMINATION"|300.00|$167.00|$59.29|$133.60|$117.00|$116.57|$59.29|$120.57|$116.90|$107.05|$133.60|$72.81|$77.66|$116.90|$116.88|$126.12|$99.35
"CPT® 86001"|"HB ALLERGEN SPECIFIC IGG"|300.00|$50.00|$17.75|$40.00|$35.00|$34.90|$17.75|$36.10|$35.00|$32.05|$40.00|$21.80|$23.25|$35.00|$35.00|$37.76|$29.75
"CPT® 86003"|"HB ALLERGEN SPECIFIC IGE"|300.00|$58.00|$20.59|$46.40|$41.00|$40.48|$20.59|$41.88|$40.60|$37.18|$46.40|$25.29|$26.97|$40.60|$40.59|$43.80|$34.50
"CPT® 86021"|"HB WBC ANTIBODY IDENTIFICATION"|300.00|$244.00|$86.62|$195.20|$171.00|$170.31|$86.62|$176.17|$170.80|$156.40|$195.20|$106.38|$113.46|$170.80|$170.78|$184.27|$145.16
"CPT® 86022"|"HB PLATELET ANTIBODIES WITH REFLEX"|300.00|$711.00|$252.41|$568.80|$498.00|$496.28|$252.41|$513.34|$497.70|$455.75|$568.80|$310.00|$330.62|$497.70|$497.63|$536.95|$422.97
"CPT® 86023"|"HB IMMUNOGLOBULIN ASSAY"|300.00|$150.00|$53.25|$120.00|$105.00|$104.70|$53.25|$108.30|$105.00|$96.15|$120.00|$65.40|$69.75|$105.00|$104.99|$113.28|$89.24
"CPT® 86038"|"HB ANTINUCLEAR ANTIBODIES"|300.00|$107.00|$37.99|$85.60|$75.00|$74.69|$37.99|$77.25|$74.90|$68.59|$85.60|$46.65|$49.76|$74.90|$74.89|$80.81|$63.65
"CPT® 86039"|"HB ANTINUCLEAR ANTIBODIES (ANA)"|300.00|$130.00|$46.15|$104.00|$91.00|$90.74|$46.15|$93.86|$91.00|$83.33|$104.00|$56.68|$60.45|$91.00|$90.99|$98.18|$77.34
"CPT® 86060"|"HB ANTISTREPTOLYSIN O TITER"|300.00|$84.00|$29.82|$67.20|$59.00|$58.63|$29.82|$60.65|$58.80|$53.84|$67.20|$36.62|$39.06|$58.80|$58.79|$63.44|$49.97
"CPT® 86140"|"HB C-REACTIVE PROTEIN"|300.00|$113.00|$40.12|$90.40|$79.00|$78.87|$40.12|$81.59|$79.10|$72.43|$90.40|$49.27|$52.55|$79.10|$79.09|$85.34|$67.22
"CPT® 86141"|"HB C-REACTIVE PROTEIN HS"|300.00|$100.00|$35.50|$80.00|$70.00|$69.80|$35.50|$72.20|$70.00|$64.10|$80.00|$43.60|$46.50|$70.00|$69.99|$75.52|$59.49
"CPT® 86146"|"HB BETA-2 GLYCOPROTEIN ANTIBODY"|300.00|$151.00|$53.61|$120.80|$106.00|$105.40|$53.61|$109.02|$105.70|$96.79|$120.80|$65.84|$70.22|$105.70|$105.68|$114.04|$89.83
"CPT® 86147"|"HB CARDIOLIPIN ANTIBODY EA IG"|300.00|$150.00|$53.25|$120.00|$105.00|$104.70|$53.25|$108.30|$105.00|$96.15|$120.00|$65.40|$69.75|$105.00|$104.99|$113.28|$89.24
"CPT® 86148"|"HB ANTI-PHOSPHOLIPID ANTIBODY"|300.00|$176.00|$62.48|$140.80|$123.00|$122.85|$62.48|$127.07|$123.20|$112.82|$140.80|$76.74|$81.84|$123.20|$123.18|$132.92|$104.70
"CPT® 86156"|"HB COLD AGGLUTININ SCREEN"|300.00|$146.00|$51.83|$116.80|$102.00|$101.91|$51.83|$105.41|$102.20|$93.59|$116.80|$63.66|$67.89|$102.20|$102.19|$110.26|$86.86
"CPT® 86160"|"HB COMPLEMENT ANTIGEN"|300.00|$106.00|$37.63|$84.80|$74.00|$73.99|$37.63|$76.53|$74.20|$67.95|$84.80|$46.22|$49.29|$74.20|$74.19|$80.05|$63.06
"CPT® 86161"|"HB COMPLEMENT/FUNCTION ACTIVITY"|300.00|$155.00|$55.03|$124.00|$108.00|$108.19|$55.03|$111.91|$108.50|$99.36|$124.00|$67.58|$72.08|$108.50|$108.48|$117.06|$92.21
"CPT® 86162"|"HB COMPLEMENT TOTAL (CH50)"|300.00|$192.00|$68.16|$153.60|$134.00|$134.02|$68.16|$138.62|$134.40|$123.07|$153.60|$83.71|$89.28|$134.40|$134.38|$145.00|$114.22
"CPT® 86200"|"HB CCP ANTIBODY"|300.00|$210.00|$74.55|$168.00|$147.00|$146.58|$74.55|$151.62|$147.00|$134.61|$168.00|$91.56|$97.65|$147.00|$146.98|$158.59|$124.93
"CPT® 86215"|"HB DEOXYRIBONUCLEASE ANTIBODY"|300.00|$84.00|$29.82|$67.20|$59.00|$58.63|$29.82|$60.65|$58.80|$53.84|$67.20|$36.62|$39.06|$58.80|$58.79|$63.44|$49.97
"CPT® 86225"|"HB DNA ANTIBODY NATIVE"|300.00|$113.00|$40.12|$90.40|$79.00|$78.87|$40.12|$81.59|$79.10|$72.43|$90.40|$49.27|$52.55|$79.10|$79.09|$85.34|$67.22
"CPT® 86226"|"HB DNA ANTIBODY SINGLE STRAND"|300.00|$68.00|$24.14|$54.40|$48.00|$47.46|$24.14|$49.10|$47.60|$43.59|$54.40|$29.65|$31.62|$47.60|$47.59|$51.35|$40.45
"CPT® 86235"|"HB NUCLEAR ANTIGEN ANTIBODY"|300.00|$240.00|$85.20|$192.00|$168.00|$167.52|$85.20|$173.28|$168.00|$153.84|$192.00|$104.64|$111.60|$168.00|$167.98|$181.25|$142.78
"CPT® 86255"|"HB FLUORESCENT ANTIBODY SCREEN"|300.00|$135.00|$47.93|$108.00|$94.00|$94.23|$47.93|$97.47|$94.50|$86.54|$108.00|$58.86|$62.78|$94.50|$94.49|$101.95|$80.31
"CPT® 86256"|"HB FLUORESCENT ANTIBODY TITER"|300.00|$111.00|$39.41|$88.80|$78.00|$77.48|$39.41|$80.14|$77.70|$71.15|$88.80|$48.40|$51.62|$77.70|$77.69|$83.83|$66.03
"CPT® 86300"|"HB IMMUNOASSAY TUMOR CA 15-3"|300.00|$188.00|$66.74|$150.40|$132.00|$131.22|$66.74|$135.74|$131.60|$120.51|$150.40|$81.97|$87.42|$131.60|$131.58|$141.98|$111.84
"CPT® 86304"|"HB IMMUNOASSAY TUMOR CA 125"|300.00|$178.00|$63.19|$142.40|$125.00|$124.24|$63.19|$128.52|$124.60|$114.10|$142.40|$77.61|$82.77|$124.60|$124.58|$134.43|$105.89
"CPT® 86305"|"HB HUMAN EPIDIDYMIS PROTEIN 4"|300.00|$374.00|$132.77|$299.20|$262.00|$261.05|$132.77|$270.03|$261.80|$239.73|$299.20|$163.06|$173.91|$261.80|$261.76|$282.44|$222.49
"CPT® 86308"|"HB HETEROPHILE ANTIBODY SCREEN"|300.00|$149.00|$52.90|$119.20|$104.00|$104.00|$52.90|$107.58|$104.30|$95.51|$119.20|$64.96|$69.29|$104.30|$104.29|$112.52|$88.64
"CPT® 86316"|"HB IMMUNOASSAY TUMOR OTHER"|300.00|$167.00|$59.29|$133.60|$117.00|$116.57|$59.29|$120.57|$116.90|$107.05|$133.60|$72.81|$77.66|$116.90|$116.88|$126.12|$99.35
"CPT® 86317"|"HB IMMUNOASSAY INFECTIOUS AGENT"|300.00|$84.00|$29.82|$67.20|$59.00|$58.63|$29.82|$60.65|$58.80|$53.84|$67.20|$36.62|$39.06|$58.80|$58.79|$63.44|$49.97
"CPT® 86331"|"HB IMMUNODIFFUSION OUCHTERLONY"|300.00|$74.00|$26.27|$59.20|$52.00|$51.65|$26.27|$53.43|$51.80|$47.43|$59.20|$32.26|$34.41|$51.80|$51.79|$55.88|$44.02
"CPT® 86334"|"HB IMMUNOFIX E-PHORESIS SERUM"|300.00|$139.00|$49.35|$111.20|$97.00|$97.02|$49.35|$100.36|$97.30|$89.10|$111.20|$60.60|$64.64|$97.30|$97.29|$104.97|$82.69
"CPT® 86335"|"HB IMMUNFIX E-PHORSIS/URINE/CSF"|300.00|$88.00|$31.24|$70.40|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$61.60|$61.59|$66.46|$52.35
"CPT® 86336"|"HB INHIBIN A"|300.00|$91.00|$32.31|$72.80|$64.00|$63.52|$32.31|$65.70|$63.70|$58.33|$72.80|$39.68|$42.32|$63.70|$63.69|$68.72|$54.14
"CPT® 86337"|"HB INSULIN ANTIBODIES"|300.00|$239.00|$84.85|$191.20|$167.00|$166.82|$84.85|$172.56|$167.30|$153.20|$191.20|$104.20|$111.14|$167.30|$167.28|$180.49|$142.18
"CPT® 86340"|"HB INTRINSIC FACTOR ANTIBODY"|300.00|$155.00|$55.03|$124.00|$108.00|$108.19|$55.03|$111.91|$108.50|$99.36|$124.00|$67.58|$72.08|$108.50|$108.48|$117.06|$92.21
"CPT® 86341"|"HB ISLET CELL ANTIBODY"|300.00|$256.00|$90.88|$204.80|$179.00|$178.69|$90.88|$184.83|$179.20|$164.10|$204.80|$111.62|$119.04|$179.20|$179.17|$193.33|$152.29
"CPT® 86355"|"HB B CELLS TOTAL COUNT"|300.00|$126.00|$44.73|$100.80|$88.00|$87.95|$44.73|$90.97|$88.20|$80.77|$100.80|$54.94|$58.59|$88.20|$88.19|$95.16|$74.96
"CPT® 86356"|"HB MONONUCLEAR CELL ANTIGEN"|300.00|$229.00|$81.30|$183.20|$160.00|$159.84|$81.30|$165.34|$160.30|$146.79|$183.20|$99.84|$106.49|$160.30|$160.28|$172.94|$136.23
"CPT® 86357"|"HB NK CELLS TOTAL COUNT"|300.00|$126.00|$44.73|$100.80|$88.00|$87.95|$44.73|$90.97|$88.20|$80.77|$100.80|$54.94|$58.59|$88.20|$88.19|$95.16|$74.96
"CPT® 86359"|"HB T CELLS TOTAL COUNT"|300.00|$145.00|$51.48|$116.00|$102.00|$101.21|$51.48|$104.69|$101.50|$92.95|$116.00|$63.22|$67.43|$101.50|$101.49|$109.50|$86.26
"CPT® 86360"|"HB T CELL ABSOLUTE COUNT/RATIO"|300.00|$147.00|$52.19|$117.60|$103.00|$102.61|$52.19|$106.13|$102.90|$94.23|$117.60|$64.09|$68.36|$102.90|$102.89|$111.01|$87.45
"CPT® 86361"|"HB T CELL ABSOLUTE COUNT"|300.00|$145.00|$51.48|$116.00|$102.00|$101.21|$51.48|$104.69|$101.50|$92.95|$116.00|$63.22|$67.43|$101.50|$101.49|$109.50|$86.26
"CPT® 86376"|"HB MICROSOMAL ANTIBODY EACH"|300.00|$29.00|$10.30|$23.20|$20.00|$20.24|$10.30|$20.94|$20.30|$18.59|$23.20|$12.64|$13.49|$20.30|$20.30|$21.90|$17.25
"CPT® 86382"|"HB NEUTRALIZATION TEST VIRAL"|300.00|$89.00|$31.60|$71.20|$62.00|$62.12|$31.60|$64.26|$62.30|$57.05|$71.20|$38.80|$41.39|$62.30|$62.29|$67.21|$52.95
"CPT® 86403"|"HB PARTICLE AGGLUT ANTBDY SCRN"|300.00|$228.00|$80.94|$182.40|$160.00|$159.14|$80.94|$164.62|$159.60|$146.15|$182.40|$99.41|$106.02|$159.60|$159.58|$172.19|$135.64
"CPT® 86406"|"HB PARTICLE AGGLUT ANTBDY TITR"|300.00|$306.00|$108.63|$244.80|$214.00|$213.59|$108.63|$220.93|$214.20|$196.15|$244.80|$133.42|$142.29|$214.20|$214.17|$231.09|$182.04
"CPT® 86430"|"HB RHEUMATOID FACTOR TEST QUAL"|300.00|$221.00|$78.46|$176.80|$155.00|$154.26|$78.46|$159.56|$154.70|$141.66|$176.80|$96.36|$102.77|$154.70|$154.68|$166.90|$131.47
"CPT® 86431"|"HB RHEUMATOID FACTOR QUANT"|300.00|$84.00|$29.82|$67.20|$59.00|$58.63|$29.82|$60.65|$58.80|$53.84|$67.20|$36.62|$39.06|$58.80|$58.79|$63.44|$49.97
"CPT® 86480"|"HB TB TEST CELL IMMUN MEASURE"|300.00|$176.00|$62.48|$140.80|$123.00|$122.85|$62.48|$127.07|$123.20|$112.82|$140.80|$76.74|$81.84|$123.20|$123.18|$132.92|$104.70
"CPT® 86481"|"HB TB AG RESPONSE T-CELL SUSP"|300.00|$249.00|$88.40|$199.20|$174.00|$173.80|$88.40|$179.78|$174.30|$159.61|$199.20|$108.56|$115.79|$174.30|$174.28|$188.04|$148.13
"CPT® 86592"|"HB SYPHILIS TEST NON-TREP QUAL"|300.00|$123.00|$43.67|$98.40|$86.00|$85.85|$43.67|$88.81|$86.10|$78.84|$98.40|$53.63|$57.20|$86.10|$86.09|$92.89|$73.17
"CPT® 86593"|"HB SYPHILIS TEST NON-TREP QUANT"|300.00|$98.00|$34.79|$78.40|$69.00|$68.40|$34.79|$70.76|$68.60|$62.82|$78.40|$42.73|$45.57|$68.60|$68.59|$74.01|$58.30
"CPT® 86602"|"HB ANTINOMYCES ANTIBODY"|300.00|$92.00|$32.66|$73.60|$64.00|$64.22|$32.66|$66.42|$64.40|$58.97|$73.60|$40.11|$42.78|$64.40|$64.39|$69.48|$54.73
"CPT® 86603"|"HB ADENOVIRUS ANTIBODY"|300.00|$95.00|$33.73|$76.00|$66.00|$66.31|$33.73|$68.59|$66.50|$60.90|$76.00|$41.42|$44.18|$66.50|$66.49|$71.74|$56.52
"CPT® 86606"|"HB ASPERGILLUS ANTIBODY"|300.00|$137.00|$48.64|$109.60|$96.00|$95.63|$48.64|$98.91|$95.90|$87.82|$109.60|$59.73|$63.71|$95.90|$95.89|$103.46|$81.50
"CPT® 86609"|"HB BACTERIUM ANTIBODY"|300.00|$69.00|$24.50|$55.20|$48.00|$48.16|$24.50|$49.82|$48.30|$44.23|$55.20|$30.08|$32.09|$48.30|$48.29|$52.11|$41.05
"CPT® 86612"|"HB BLASTOMYCES ANTIBODY"|300.00|$102.00|$36.21|$81.60|$71.00|$71.20|$36.21|$73.64|$71.40|$65.38|$81.60|$44.47|$47.43|$71.40|$71.39|$77.03|$60.68
"CPT® 86615"|"HB BORDETELLA ANTIBODY"|300.00|$69.00|$24.50|$55.20|$48.00|$48.16|$24.50|$49.82|$48.30|$44.23|$55.20|$30.08|$32.09|$48.30|$48.29|$52.11|$41.05
"CPT® 86617"|"HB LYME DISEASE ANTIBODY CONFIRMATORY TEST"|300.00|$126.00|$44.73|$100.80|$88.00|$87.95|$44.73|$90.97|$88.20|$80.77|$100.80|$54.94|$58.59|$88.20|$88.19|$95.16|$74.96
"CPT® 86618"|"HB LYME DISEASE ANTIBODY"|300.00|$137.00|$48.64|$109.60|$96.00|$95.63|$48.64|$98.91|$95.90|$87.82|$109.60|$59.73|$63.71|$95.90|$95.89|$103.46|$81.50
"CPT® 86631"|"HB CHLAMYDIA ANTIBODY"|300.00|$45.00|$15.98|$36.00|$31.00|$31.41|$15.98|$32.49|$31.50|$28.85|$36.00|$19.62|$20.93|$31.50|$31.50|$33.98|$26.77
"CPT® 86632"|"HB CHLAMYDIA IGM ANTIBODY"|300.00|$45.00|$15.98|$36.00|$31.00|$31.41|$15.98|$32.49|$31.50|$28.85|$36.00|$19.62|$20.93|$31.50|$31.50|$33.98|$26.77
"CPT® 86635"|"HB COCCIDIOIDES ANTIBODY"|300.00|$49.00|$17.40|$39.20|$34.00|$34.20|$17.40|$35.38|$34.30|$31.41|$39.20|$21.36|$22.79|$34.30|$34.30|$37.00|$29.15
"CPT® 86641"|"HB CRYPTOCOCCUS ANTIBODY"|300.00|$124.00|$44.02|$99.20|$87.00|$86.55|$44.02|$89.53|$86.80|$79.48|$99.20|$54.06|$57.66|$86.80|$86.79|$93.64|$73.77
"CPT® 86644"|"HB CMV ANTIBODY"|300.00|$184.00|$65.32|$147.20|$129.00|$128.43|$65.32|$132.85|$128.80|$117.94|$147.20|$80.22|$85.56|$128.80|$128.78|$138.96|$109.46
"CPT® 86645"|"HB CMV ANTIBODY IGM"|300.00|$184.00|$65.32|$147.20|$129.00|$128.43|$65.32|$132.85|$128.80|$117.94|$147.20|$80.22|$85.56|$128.80|$128.78|$138.96|$109.46
"CPT® 86648"|"HB DIPHTHERIA ANTIBODY"|300.00|$158.00|$56.09|$126.40|$111.00|$110.28|$56.09|$114.08|$110.60|$101.28|$126.40|$68.89|$73.47|$110.60|$110.58|$119.32|$93.99
"CPT® 86651"|"HB ENCEPHALITIS CALIFORN ANTBDY"|300.00|$50.00|$17.75|$40.00|$35.00|$34.90|$17.75|$36.10|$35.00|$32.05|$40.00|$21.80|$23.25|$35.00|$35.00|$37.76|$29.75
"CPT® 86652"|"HB ENCEPHALTIS EAST EQNE ANBDY"|300.00|$50.00|$17.75|$40.00|$35.00|$34.90|$17.75|$36.10|$35.00|$32.05|$40.00|$21.80|$23.25|$35.00|$35.00|$37.76|$29.75
"CPT® 86653"|"HB ENCEPHALTIS ST LOUIS ANTBODY"|300.00|$50.00|$17.75|$40.00|$35.00|$34.90|$17.75|$36.10|$35.00|$32.05|$40.00|$21.80|$23.25|$35.00|$35.00|$37.76|$29.75
"CPT® 86654"|"HB ENCEPHALTIS WEST EQNE ANTBDY"|300.00|$50.00|$17.75|$40.00|$35.00|$34.90|$17.75|$36.10|$35.00|$32.05|$40.00|$21.80|$23.25|$35.00|$35.00|$37.76|$29.75
"CPT® 86658"|"HB ENTEROVIRUS ANTIBODY"|300.00|$23.00|$8.17|$18.40|$16.00|$16.05|$8.17|$16.61|$16.10|$14.74|$18.40|$10.03|$10.70|$16.10|$16.10|$17.37|$13.68
"CPT® 86663"|"HB EPSTEIN-BARR ANTIBODY"|300.00|$63.00|$22.37|$50.40|$44.00|$43.97|$22.37|$45.49|$44.10|$40.38|$50.40|$27.47|$29.30|$44.10|$44.09|$47.58|$37.48
"CPT® 86664"|"HB EPSTEIN-BARR NUCLEAR ANTIGEN"|300.00|$115.00|$40.83|$92.00|$80.00|$80.27|$40.83|$83.03|$80.50|$73.72|$92.00|$50.14|$53.48|$80.50|$80.49|$86.85|$68.41
"CPT® 86665"|"HB EPSTEIN-BARR CAPSID VCA"|300.00|$141.00|$50.06|$112.80|$99.00|$98.42|$50.06|$101.80|$98.70|$90.38|$112.80|$61.48|$65.57|$98.70|$98.69|$106.48|$83.88
"CPT® 86671"|"HB FUNGUS NES ANTIBODY"|300.00|$166.00|$58.93|$132.80|$116.00|$115.87|$58.93|$119.85|$116.20|$106.41|$132.80|$72.38|$77.19|$116.20|$116.18|$125.36|$98.75
"CPT® 86677"|"HB HELICOBACTER PYLORI ANTIBODY"|300.00|$168.00|$59.64|$134.40|$118.00|$117.26|$59.64|$121.30|$117.60|$107.69|$134.40|$73.25|$78.12|$117.60|$117.58|$126.87|$99.94
"CPT® 86682"|"HB HELMINTH ANTIBODY"|300.00|$109.00|$38.70|$87.20|$76.00|$76.08|$38.70|$78.70|$76.30|$69.87|$87.20|$47.52|$50.69|$76.30|$76.29|$82.32|$64.84
"CPT® 86684"|"HB HEMOPHILUS INFLUENZA ANTIBDY"|300.00|$88.00|$31.24|$70.40|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$61.60|$61.59|$66.46|$52.35
"CPT® 86689"|"HB HTLV/HIV CONFIRMJ ANTIBODY"|300.00|$279.00|$99.05|$223.20|$195.00|$194.74|$99.05|$201.44|$195.30|$178.84|$223.20|$121.64|$129.74|$195.30|$195.27|$210.70|$165.98
"CPT® 87529"|"HB HSV DNA AMP PROBE"|300.00|$180.00|$63.90|$144.00|$126.00|$125.64|$63.90|$129.96|$126.00|$115.38|$144.00|$78.48|$83.70|$126.00|$125.98|$135.94|$107.08
"CPT® 87535"|"HB HIV-1 PROBE&REVERSE TRNSCRPJ"|300.00|$432.00|$153.36|$345.60|$302.00|$301.54|$153.36|$311.90|$302.40|$276.91|$345.60|$188.35|$200.88|$302.40|$302.36|$326.25|$257.00
"CPT® 87536"|"HB HIV-1 QUANT&REVRSE TRNSCRPJ"|300.00|$622.00|$220.81|$497.60|$435.00|$434.16|$220.81|$449.08|$435.40|$398.70|$497.60|$271.19|$289.23|$435.40|$435.34|$469.73|$370.03
"CPT® 87538"|"HB HIV-2 PROBE&REVRSE TRNSCRIPJ"|300.00|$1064.00|$377.72|$851.20|$745.00|$742.67|$377.72|$768.21|$744.80|$682.02|$851.20|$463.90|$494.76|$744.80|$744.69|$803.53|$632.97
"CPT® 87556"|"HB M.TUBERCULO DNA AMP PROBE"|300.00|$417.00|$148.04|$333.60|$292.00|$291.07|$148.04|$301.07|$291.90|$267.30|$333.60|$181.81|$193.91|$291.90|$291.86|$314.92|$248.07
"CPT® 87591"|"HB N.GONORRHOEAE DNA AMP PROB"|300.00|$72.00|$25.56|$57.60|$50.00|$50.26|$25.56|$51.98|$50.40|$46.15|$57.60|$31.39|$33.48|$50.40|$50.39|$54.37|$42.83
"CPT® 87624"|"HB HPV HIGH-RISK TYPES"|300.00|$222.00|$78.81|$177.60|$155.00|$154.96|$78.81|$160.28|$155.40|$142.30|$177.60|$96.79|$103.23|$155.40|$155.38|$167.65|$132.07
"CPT® 87625"|"HB HPV TYPES 16 & 18 ONLY"|300.00|$300.00|$106.50|$240.00|$210.00|$209.40|$106.50|$216.60|$210.00|$192.30|$240.00|$130.80|$139.50|$210.00|$209.97|$226.56|$178.47
"CPT® 87633"|"HB RESP VIRUS 12-25 TARGETS"|300.00|$1299.00|$461.15|$1039.20|$909.00|$906.70|$461.15|$937.88|$909.30|$832.66|$1039.20|$566.36|$604.04|$909.30|$909.17|$981.00|$772.78
"CPT® 87641"|"HB MR-STAPH DNA AMP PROBE"|300.00|$206.00|$73.13|$164.80|$144.00|$143.79|$73.13|$148.73|$144.20|$132.05|$164.80|$89.82|$95.79|$144.20|$144.18|$155.57|$122.55
"CPT® 87660"|"HB TRICHOMONAS VAGIN DIR PROBE"|300.00|$184.00|$65.32|$147.20|$129.00|$128.43|$65.32|$132.85|$128.80|$117.94|$147.20|$80.22|$85.56|$128.80|$128.78|$138.96|$109.46
"CPT® 87798"|"HB DETECT AGENT NOS DNA AMP"|300.00|$348.00|$123.54|$278.40|$244.00|$242.90|$123.54|$251.26|$243.60|$223.07|$278.40|$151.73|$161.82|$243.60|$243.57|$262.81|$207.03
"CPT® 87799"|"HB DETECT AGENT NOS DNA QUANT"|300.00|$425.00|$150.88|$340.00|$298.00|$296.65|$150.88|$306.85|$297.50|$272.43|$340.00|$185.30|$197.63|$297.50|$297.46|$320.96|$252.83
"CPT® 87804"|"HB INFLUENZA ASSAY W/OPTIC"|300.00|$85.00|$30.18|$68.00|$59.00|$59.33|$30.18|$61.37|$59.50|$54.49|$68.00|$37.06|$39.53|$59.50|$59.49|$64.19|$50.57
"CPT® 87807"|"HB RSV ASSAY W/OPTIC"|300.00|$110.00|$39.05|$88.00|$77.00|$76.78|$39.05|$79.42|$77.00|$70.51|$88.00|$47.96|$51.15|$77.00|$76.99|$83.07|$65.44
"CPT® 87880"|"HB STREP A ASSAY W/OPTIC"|300.00|$85.00|$30.18|$68.00|$59.00|$59.33|$30.18|$61.37|$59.50|$54.49|$68.00|$37.06|$39.53|$59.50|$59.49|$64.19|$50.57
"CPT® 87899"|"HB AGENT NOS ASSAY W/OPTIC"|300.00|$197.00|$69.94|$157.60|$138.00|$137.51|$69.94|$142.23|$137.90|$126.28|$157.60|$85.89|$91.61|$137.90|$137.88|$148.77|$117.20
"CPT® 87902"|"HB GENOTYPE DNA/RNA HEP C"|300.00|$1096.00|$389.08|$876.80|$767.00|$765.01|$389.08|$791.31|$767.20|$702.54|$876.80|$477.86|$509.64|$767.20|$767.09|$827.70|$652.01
"CPT® 88182"|"HB CELL MARKER STUDY"|300.00|$203.00|$72.07|$162.40|$142.00|$141.69|$72.07|$146.57|$142.10|$130.12|$162.40|$88.51|$94.40|$142.10|$142.08|$153.31|$120.76
"CPT® 88233"|"HB TISSUE CULTURE SKIN/BIOPSY"|300.00|$203.00|$72.07|$162.40|$142.00|$141.69|$72.07|$146.57|$142.10|$130.12|$162.40|$88.51|$94.40|$142.10|$142.08|$153.31|$120.76
"CPT® 88262"|"HB CHROMOSOME ANALYSIS 15-20"|300.00|$400.00|$142.00|$320.00|$280.00|$279.20|$142.00|$288.80|$280.00|$256.40|$320.00|$174.40|$186.00|$280.00|$279.96|$302.08|$237.96
"CPT® 88267"|"HB CHROMOSOME ANALYS PLACENTA"|300.00|$1017.00|$361.04|$813.60|$712.00|$709.87|$361.04|$734.27|$711.90|$651.90|$813.60|$443.41|$472.91|$711.90|$711.80|$768.04|$605.01
"CPT® 88313"|"HB SPECIAL STAINS GROUP 2"|300.00|$201.00|$71.36|$160.80|$141.00|$140.30|$71.36|$145.12|$140.70|$128.84|$160.80|$87.64|$93.47|$140.70|$140.68|$151.80|$119.57
"CPT® 88319"|"HB ENZYME HISTOCHEMISTRY"|300.00|$276.00|$97.98|$220.80|$193.00|$192.65|$97.98|$199.27|$193.20|$176.92|$220.80|$120.34|$128.34|$193.20|$193.17|$208.44|$164.19
"CPT® 88365"|"HB INSITU HYBRIDIZATION (FISH)"|300.00|$270.00|$95.85|$216.00|$189.00|$188.46|$95.85|$194.94|$189.00|$173.07|$216.00|$117.72|$125.55|$189.00|$188.97|$203.90|$160.62
"CPT® 88720"|"HB BILIRUBIN TOTAL TRANSCUT"|300.00|$148.00|$52.54|$118.40|$104.00|$103.30|$52.54|$106.86|$103.60|$94.87|$118.40|$64.53|$68.82|$103.60|$103.59|$111.77|$88.05
"CPT® 89050"|"HB BODY FLUID CELL COUNT"|300.00|$253.00|$89.82|$202.40|$177.00|$176.59|$89.82|$182.67|$177.10|$162.17|$202.40|$110.31|$117.65|$177.10|$177.07|$191.07|$150.51
"CPT® 89051"|"HB BODY FLUID CELL COUNT WITH DIFFERENTIAL"|300.00|$108.00|$38.34|$86.40|$76.00|$75.38|$38.34|$77.98|$75.60|$69.23|$86.40|$47.09|$50.22|$75.60|$75.59|$81.56|$64.25
"CPT® 89055"|"HB LEUKOCYTE ASSESSMENT FECAL"|300.00|$83.00|$29.47|$66.40|$58.00|$57.93|$29.47|$59.93|$58.10|$53.20|$66.40|$36.19|$38.60|$58.10|$58.09|$62.68|$49.38
"CPT® 89060"|"HB EXAM SYNOVIAL FLUID CRYSTALS"|300.00|$64.00|$22.72|$51.20|$45.00|$44.67|$22.72|$46.21|$44.80|$41.02|$51.20|$27.90|$29.76|$44.80|$44.79|$48.33|$38.07
"CPT® 89190"|"HB NASAL SMEAR FOR EOSINOPHILS"|300.00|$117.00|$41.54|$93.60|$82.00|$81.67|$41.54|$84.47|$81.90|$75.00|$93.60|$51.01|$54.41|$81.90|$81.89|$88.36|$69.60
"CPT® 89251"|"HB CULTR OOCYTE/EMBRYO <4 DAYS"|300.00|$509.00|$180.70|$407.20|$356.00|$355.28|$180.70|$367.50|$356.30|$326.27|$407.20|$221.92|$236.69|$356.30|$356.25|$384.40|$302.80
"CPT® 89321"|"HB SEMEN ANAL SPERM DETECTION"|300.00|$96.00|$34.08|$76.80|$67.00|$67.01|$34.08|$69.31|$67.20|$61.54|$76.80|$41.86|$44.64|$67.20|$67.19|$72.50|$57.11
"CPT® 99000"|"HB SPECIMEN HANDLING OFFICE-LAB"|300.00|$63.00|$7.00|$50.40|$44.00|$7.00|$22.37|$45.49|$44.10|$40.38|$50.40|$27.47|$29.30|$44.10|$44.09|$47.58|$37.48
"HCPCS G0103"|"HB PSA SCREENING"|300.00|$207.00|$73.49|$165.60|$145.00|$144.49|$73.49|$149.45|$144.90|$132.69|$165.60|$90.25|$96.26|$144.90|$144.88|$156.33|$123.14
"CPT® 80307"|"HB DRUG SCREEN CLASS LIST A"|300.00|$467.00|$165.79|$373.60|$327.00|$325.97|$165.79|$337.17|$326.90|$299.35|$373.60|$203.61|$217.16|$326.90|$326.85|$352.68|$277.82
"HCPCS G0452"|"HB MOLECULAR PATHOLOGY INTERPR"|300.00|$1.00|$0.36|$0.80|$1.00|$0.70|$0.36|$0.72|$0.70|$0.64|$0.80|$0.44|$0.47|$0.70|$0.70|$0.76|$0.59
"CPT® 86906"|"HB BLOOD TYPE-RH PHENOTYPING"|300.00|$169.00|$60.00|$135.20|$118.00|$117.96|$60.00|$122.02|$118.30|$108.33|$135.20|$73.68|$78.59|$118.30|$118.28|$127.63|$100.54
"CPT® 87389"|"HB HIV1 AG W/HIV1 AND HIV2 AB"|300.00|$187.00|$66.39|$149.60|$131.00|$130.53|$66.39|$135.01|$130.90|$119.87|$149.60|$81.53|$86.96|$130.90|$130.88|$141.22|$111.25
"CPT® 80159"|"HB CLOZAPINE"|300.00|$164.00|$58.22|$131.20|$115.00|$114.47|$58.22|$118.41|$114.80|$105.12|$131.20|$71.50|$76.26|$114.80|$114.78|$123.85|$97.56
"CPT® 88350"|"HB IMMUNOFLUOR ANTB ADDL STAIN"|300.00|$44.00|$15.62|$35.20|$31.00|$30.71|$15.62|$31.77|$30.80|$28.20|$35.20|$19.18|$20.46|$30.80|$30.80|$33.23|$26.18
"CPT® 87389"|"HB HIV1 AG W/HIV1  HIV2 AB -2"|300.00|$123.00|$43.67|$98.40|$86.00|$85.85|$43.67|$88.81|$86.10|$78.84|$98.40|$53.63|$57.20|$86.10|$86.09|$92.89|$73.17
"CPT® 81162"|"HB BRCA1&2 SEQ & FULL DUP/DEL"|300.00|$6135.00|$2177.93|$4908.00|$4294.00|$4282.23|$2177.93|$4429.47|$4294.50|$3932.54|$4908.00|$2674.86|$2852.78|$4294.50|$4293.89|$4633.15|$3649.71
"CPT® 81225"|"HB CYP2C19 GENE COM VARIANTS"|300.00|$1166.00|$413.93|$932.80|$816.00|$813.87|$413.93|$841.85|$816.20|$747.41|$932.80|$508.38|$542.19|$816.20|$816.08|$880.56|$693.65
"CPT® 81226"|"HB CYP2D6 GENE COM VARIANTS"|300.00|$1381.00|$490.26|$1104.80|$967.00|$963.94|$490.26|$997.08|$966.70|$885.22|$1104.80|$602.12|$642.17|$966.70|$966.56|$1042.93|$821.56
"CPT® 82075"|"HB ALCOHOL BREATH TEST - ABH"|300.00|$27.00|$9.59|$21.60|$19.00|$18.85|$9.59|$19.49|$18.90|$17.31|$21.60|$11.77|$12.56|$18.90|$18.90|$20.39|$16.06
"CPT® 84143"|"HB 17-HYDROXYPREGNENOLONE"|300.00|$149.00|$52.90|$119.20|$104.00|$104.00|$52.90|$107.58|$104.30|$95.51|$119.20|$64.96|$69.29|$104.30|$104.29|$112.52|$88.64
"CPT® 86885"|"HB COOMBS"|300.00|$87.00|$30.89|$69.60|$61.00|$60.73|$30.89|$62.81|$60.90|$55.77|$69.60|$37.93|$40.46|$60.90|$60.89|$65.70|$51.76
"CPT® 86906"|"HB BLOOD TYPE-RH PHENOTYPING"|300.00|$169.00|$60.00|$135.20|$118.00|$117.96|$60.00|$122.02|$118.30|$108.33|$135.20|$73.68|$78.59|$118.30|$118.28|$127.63|$100.54
"CPT® 86978"|"HB RBC ABSORPTION EA"|300.00|$279.00|$99.05|$223.20|$195.00|$194.74|$99.05|$201.44|$195.30|$178.84|$223.20|$121.64|$129.74|$195.30|$195.27|$210.70|$165.98
"CPT® 87389"|"HB HIV1 AG W/HIV1 AND HIV2 AB"|300.00|$187.00|$66.39|$149.60|$131.00|$130.53|$66.39|$135.01|$130.90|$119.87|$149.60|$81.53|$86.96|$130.90|$130.88|$141.22|$111.25
"CPT® 87631"|"HB INFLUENZA A/B AND RSV, PCR"|300.00|$397.00|$140.94|$317.60|$278.00|$277.11|$140.94|$286.63|$277.90|$254.48|$317.60|$173.09|$184.61|$277.90|$277.86|$299.81|$236.18
"CPT® 87902"|"HB HEPATITIS C RNA GENOTYPE"|300.00|$458.00|$162.59|$366.40|$321.00|$319.68|$162.59|$330.68|$320.60|$293.58|$366.40|$199.69|$212.97|$320.60|$320.55|$345.88|$272.46
"CPT® 88350"|"HB IMMUNOFLUOR ANTB ADDL STAIN"|300.00|$44.00|$15.62|$35.20|$31.00|$30.71|$15.62|$31.77|$30.80|$28.20|$35.20|$19.18|$20.46|$30.80|$30.80|$33.23|$26.18
"CPT® 89310"|"HB SEMEN ANALYSIS"|300.00|$334.00|$118.57|$267.20|$234.00|$233.13|$118.57|$241.15|$233.80|$214.09|$267.20|$145.62|$155.31|$233.80|$233.77|$252.24|$198.70
"CPT® 89398"|"HB STRICT CRIT SPERM MORPH"|300.00|$63.00|$22.37|$50.40|$44.00|$43.97|$22.37|$45.49|$44.10|$40.38|$50.40|$27.47|$29.30|$44.10|$44.09|$47.58|$37.48
"Custom 30000744"|"HB BHS CANNABINOIDS NATURAL"|300.00|$168.00|$59.64|$134.40|$118.00|$117.26|$59.64|$121.30|$117.60|$107.69|$134.40|$73.25|$78.12|$117.60|$117.58|$126.87|$99.94
"CPT® 80081"|"HB OBSTETRIC PANEL WITH HIV"|300.00|$379.00|$134.55|$303.20|$265.00|$264.54|$134.55|$273.64|$265.30|$242.94|$303.20|$165.24|$176.24|$265.30|$265.26|$286.22|$225.47
"CPT® 80155"|"HB CAFFEINE"|300.00|$223.00|$79.17|$178.40|$156.00|$155.65|$79.17|$161.01|$156.10|$142.94|$178.40|$97.23|$103.70|$156.10|$156.08|$168.41|$132.66
"CPT® 80174"|"HB ASSAY OF IMIPRAMINE"|300.00|$163.00|$57.87|$130.40|$114.00|$113.77|$57.87|$117.69|$114.10|$104.48|$130.40|$71.07|$75.80|$114.10|$114.08|$123.10|$96.97
"CPT® 80306"|"HB BHS CANNABINOIDS NATURAL"|300.00|$179.00|$63.55|$143.20|$125.00|$124.94|$63.55|$129.24|$125.30|$114.74|$143.20|$78.04|$83.24|$125.30|$125.28|$135.18|$106.49
"CPT® 80307"|"HB DRUG SCREEN ONE/MULT CLASS"|300.00|$443.00|$157.27|$354.40|$310.00|$309.21|$157.27|$319.85|$310.10|$283.96|$354.40|$193.15|$206.00|$310.10|$310.06|$334.55|$263.54
"HCPCS G0480"|"HB DRUG SCREENING SKELETAL MUSCLE RELAXANTS 1 OR 2"|300.00|$77.00|$27.34|$61.60|$54.00|$53.75|$27.34|$55.59|$53.90|$49.36|$61.60|$33.57|$35.81|$53.90|$53.89|$58.15|$45.81
"CPT® 81208"|"HB BCR/ABL1 OTHER BREAKPNT QUAL/QUANT"|300.00|$959.00|$340.45|$767.20|$671.00|$669.38|$340.45|$692.40|$671.30|$614.72|$767.20|$418.12|$445.94|$671.30|$671.20|$724.24|$570.51
"CPT® 81219"|"HB CALRETICULIN FS MUTATION"|300.00|$1220.00|$433.10|$976.00|$854.00|$851.56|$433.10|$880.84|$854.00|$782.02|$976.00|$531.92|$567.30|$854.00|$853.88|$921.34|$725.78
"CPT® 81265"|"HB COMP ANALY STR MARKERS PAT&COMP SPEC"|300.00|$235.00|$83.43|$188.00|$164.00|$164.03|$83.43|$169.67|$164.50|$150.64|$188.00|$102.46|$109.28|$164.50|$164.48|$177.47|$139.80
"CPT® 81276"|"HB KRAS GENE CODON 61"|300.00|$457.00|$162.24|$365.60|$320.00|$318.99|$162.24|$329.95|$319.90|$292.94|$365.60|$199.25|$212.51|$319.90|$319.85|$345.13|$271.87
"CPT® 81292"|"HB MLH1 GENE ANALY FULL SEQ ANALY"|300.00|$2436.00|$864.78|$1948.80|$1705.00|$1700.33|$864.78|$1758.79|$1705.20|$1561.48|$1948.80|$1062.10|$1132.74|$1705.20|$1704.96|$1839.67|$1449.18
"CPT® 81294"|"HB MLH1 GENE DUP/DELETE VAR"|300.00|$1200.00|$426.00|$960.00|$840.00|$837.60|$426.00|$866.40|$840.00|$769.20|$960.00|$523.20|$558.00|$840.00|$839.88|$906.24|$713.88
"CPT® 81295"|"HB MSH2 GENE ANALY FULL SEQ ANALY"|300.00|$2436.00|$864.78|$1948.80|$1705.00|$1700.33|$864.78|$1758.79|$1705.20|$1561.48|$1948.80|$1062.10|$1132.74|$1705.20|$1704.96|$1839.67|$1449.18
"CPT® 81297"|"HB MSH2 GENE DUP/DELETE VAR"|300.00|$1200.00|$426.00|$960.00|$840.00|$837.60|$426.00|$866.40|$840.00|$769.20|$960.00|$523.20|$558.00|$840.00|$839.88|$906.24|$713.88
"CPT® 81298"|"HB MSH6 GENE ANALY FULL SEQ ANALY"|300.00|$2436.00|$864.78|$1948.80|$1705.00|$1700.33|$864.78|$1758.79|$1705.20|$1561.48|$1948.80|$1062.10|$1132.74|$1705.20|$1704.96|$1839.67|$1449.18
"CPT® 81300"|"HB MSH6 GENE DUP/DELETE VAR"|300.00|$1200.00|$426.00|$960.00|$840.00|$837.60|$426.00|$866.40|$840.00|$769.20|$960.00|$523.20|$558.00|$840.00|$839.88|$906.24|$713.88
"CPT® 81317"|"HB PMS2 GENE ANALY FULL SEQ"|300.00|$2436.00|$864.78|$1948.80|$1705.00|$1700.33|$864.78|$1758.79|$1705.20|$1561.48|$1948.80|$1062.10|$1132.74|$1705.20|$1704.96|$1839.67|$1449.18
"CPT® 81319"|"HB PMS2 GENE DUP/DELET VAR"|300.00|$1200.00|$426.00|$960.00|$840.00|$837.60|$426.00|$866.40|$840.00|$769.20|$960.00|$523.20|$558.00|$840.00|$839.88|$906.24|$713.88
"CPT® 81372"|"HB HLA I TYPING LOW RES COMP"|300.00|$674.00|$239.27|$539.20|$472.00|$470.45|$239.27|$486.63|$471.80|$432.03|$539.20|$293.86|$313.41|$471.80|$471.73|$509.00|$400.96
"CPT® 81408"|"HB MOLECULAR PATHOLOGY PROC LEVEL 9"|300.00|$94.00|$33.37|$75.20|$66.00|$65.61|$33.37|$67.87|$65.80|$60.25|$75.20|$40.98|$43.71|$65.80|$65.79|$70.99|$55.92
"CPT® 82154"|"HB ANDROSTANEDIOL GLUCURONIDE"|300.00|$261.00|$92.66|$208.80|$183.00|$182.18|$92.66|$188.44|$182.70|$167.30|$208.80|$113.80|$121.37|$182.70|$182.67|$197.11|$155.27
"CPT® 82441"|"HB CHLORINATED HYDROCARBNS SCREEN"|300.00|$181.00|$64.26|$144.80|$127.00|$126.34|$64.26|$130.68|$126.70|$116.02|$144.80|$78.92|$84.17|$126.70|$126.68|$136.69|$107.68
"CPT® 82492"|"HB COL CHROMOTOGRAPHY QUAL/QUAN"|300.00|$94.00|$33.37|$75.20|$66.00|$65.61|$33.37|$67.87|$65.80|$60.25|$75.20|$40.98|$43.71|$65.80|$65.79|$70.99|$55.92
"CPT® 83864"|"HB MUCOPOLYSACCHARIDES ACID QUANT"|300.00|$347.00|$123.19|$277.60|$243.00|$242.21|$123.19|$250.53|$242.90|$222.43|$277.60|$151.29|$161.36|$242.90|$242.87|$262.05|$206.43
"CPT® 84410"|"HB ASSAY BIOVLBL TESTOSTERONE DIRECT MEASUREMENT"|300.00|$584.00|$207.32|$467.20|$409.00|$407.63|$207.32|$421.65|$408.80|$374.34|$467.20|$254.62|$271.56|$408.80|$408.74|$441.04|$347.42
"CPT® 86688"|"HB ANTIBODY HTLV-II"|300.00|$214.00|$75.97|$171.20|$150.00|$149.37|$75.97|$154.51|$149.80|$137.17|$171.20|$93.30|$99.51|$149.80|$149.78|$161.61|$127.31
"CPT® 86793"|"HB ANTIBODY YERSINIA"|300.00|$174.00|$61.77|$139.20|$122.00|$121.45|$61.77|$125.63|$121.80|$111.53|$139.20|$75.86|$80.91|$121.80|$121.78|$131.40|$103.51
"CPT® 86940"|"HB HEMOLYSINS/AGGLUTININS AUTO"|300.00|$69.00|$24.50|$55.20|$48.00|$48.16|$24.50|$49.82|$48.30|$44.23|$55.20|$30.08|$32.09|$48.30|$48.29|$52.11|$41.05
"CPT® 86976"|"HB PRETREAT SERUM BY DILUTION"|300.00|$90.00|$31.95|$72.00|$63.00|$62.82|$31.95|$64.98|$63.00|$57.69|$72.00|$39.24|$41.85|$63.00|$62.99|$67.97|$53.54
"CPT® 87143"|"HB CULT TYPING GAS/HIGH PRES LIQ CHROMATOGRAPHY"|300.00|$63.00|$22.37|$50.40|$44.00|$43.97|$22.37|$45.49|$44.10|$40.38|$50.40|$27.47|$29.30|$44.10|$44.09|$47.58|$37.48
"CPT® 87150"|"HB CULTURE TYPE NA PRB AMP EA ORGANISM"|300.00|$139.00|$49.35|$111.20|$97.00|$97.02|$49.35|$100.36|$97.30|$89.10|$111.20|$60.60|$64.64|$97.30|$97.29|$104.97|$82.69
"CPT® 87274"|"HB INFECT AG IF HSV 1"|300.00|$133.00|$47.22|$106.40|$93.00|$92.83|$47.22|$96.03|$93.10|$85.25|$106.40|$57.99|$61.85|$93.10|$93.09|$100.44|$79.12
"CPT® 88248"|"HB CHROMOSOME ANALY BREAKAGE 50-100 COUNT 20 CELLS 2 KARYOTYPES"|300.00|$1304.00|$462.92|$1043.20|$913.00|$910.19|$462.92|$941.49|$912.80|$835.86|$1043.20|$568.54|$606.36|$912.80|$912.67|$984.78|$775.75
"CPT® 88373"|"HB MA IN SITU HYBRD CMPTR PER SPEC EA SGL PRB STN PROC"|300.00|$454.00|$161.17|$363.20|$318.00|$316.89|$161.17|$327.79|$317.80|$291.01|$363.20|$197.94|$211.11|$317.80|$317.75|$342.86|$270.08
"CPT® G0483"|"HB DRUG SCREEN, LC-MS/MS"|300.00|$660.00|$234.30|$528.00|$462.00|$460.68|$234.30|$476.52|$462.00|$423.06|$528.00|$287.76|$306.90|$462.00|$461.93|$498.43|$392.63
"CPT® 81105"|"HB HPA-1 GENOTYPING"|300.00|$249.00|$88.40|$199.20|$174.00|$173.80|$88.40|$179.78|$174.30|$159.61|$199.20|$108.56|$115.79|$174.30|$174.28|$188.04|$148.13
"CPT® 81120"|"HB IDH1 COMMON VARIANTS"|300.00|$1633.00|$579.72|$1306.40|$1143.00|$1139.83|$579.72|$1179.03|$1143.10|$1046.75|$1306.40|$711.99|$759.35|$1143.10|$1142.94|$1233.24|$971.47
"CPT® 81121"|"HB IDH2 COMMON VARIANTS"|300.00|$1633.00|$579.72|$1306.40|$1143.00|$1139.83|$579.72|$1179.03|$1143.10|$1046.75|$1306.40|$711.99|$759.35|$1143.10|$1142.94|$1233.24|$971.47
"CPT® 81259"|"HB HBA1/HBA2 FULL GENE SEQUENCE"|300.00|$862.00|$306.01|$689.60|$603.00|$601.68|$306.01|$622.36|$603.40|$552.54|$689.60|$375.83|$400.83|$603.40|$603.31|$650.98|$512.80
"CPT® 81283"|"HB IFNL3 GENE"|300.00|$233.00|$82.72|$186.40|$163.00|$162.63|$82.72|$168.23|$163.10|$149.35|$186.40|$101.59|$108.35|$163.10|$163.08|$175.96|$138.61
"CPT® 81364"|"HB HBB FULL GENE SEQUENCE"|300.00|$633.00|$224.72|$506.40|$443.00|$441.83|$224.72|$457.03|$443.10|$405.75|$506.40|$275.99|$294.35|$443.10|$443.04|$478.04|$376.57
"CPT® 86008"|"HB ALLG SPEC IGE RECOMB EA"|300.00|$32.00|$11.36|$25.60|$22.00|$22.34|$11.36|$23.10|$22.40|$20.51|$25.60|$13.95|$14.88|$22.40|$22.40|$24.17|$19.04
"CPT® 83876"|"HB ASSAY OF MYELOPE ROXIDASE (MPO)"|300.00|$125.00|$44.38|$100.00|$88.00|$87.25|$44.38|$90.25|$87.50|$80.13|$100.00|$54.50|$58.13|$87.50|$87.49|$94.40|$74.36
"CPT® 82777"|"HB GALECTIN-3"|300.00|$243.00|$86.27|$194.40|$170.00|$169.61|$86.27|$175.45|$170.10|$155.76|$194.40|$105.95|$113.00|$170.10|$170.08|$183.51|$144.56
"CPT® Q0114"|"HB FERN TEST"|300.00|$81.00|$28.76|$64.80|$57.00|$56.54|$28.76|$58.48|$56.70|$51.92|$64.80|$35.32|$37.67|$56.70|$56.69|$61.17|$48.19
"HCPCS G0480"|"HB ANALGESICS NON-OPIOID 1 OR 2"|300.00|$306.00|$108.63|$244.80|$214.00|$213.59|$108.63|$220.93|$214.20|$196.15|$244.80|$133.42|$142.29|$214.20|$214.17|$231.09|$182.04
"HCPCS G0480"|"HB ANTIDEPRESSANT TRICYCLIC 1/2"|300.00|$258.00|$91.59|$206.40|$181.00|$180.08|$91.59|$186.28|$180.60|$165.38|$206.40|$112.49|$119.97|$180.60|$180.57|$194.84|$153.48
"CPT® 81422"|"HB CHROMOSOMAL MICRODELETION(S) GENOMIC SEQUENCE ANALYSIS"|300.00|$1074.00|$381.27|$859.20|$752.00|$749.65|$381.27|$775.43|$751.80|$688.43|$859.20|$468.26|$499.41|$751.80|$751.69|$811.08|$638.92
"CPT® 87507"|"HB IADNA-DNA/RNA PROBE TQ 12-25"|300.00|$942.00|$334.41|$753.60|$659.00|$657.52|$334.41|$680.12|$659.40|$603.82|$753.60|$410.71|$438.03|$659.40|$659.31|$711.40|$560.40
"CPT® 87651"|"HB IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ"|300.00|$150.00|$53.25|$120.00|$105.00|$104.70|$53.25|$108.30|$105.00|$96.15|$120.00|$65.40|$69.75|$105.00|$104.99|$113.28|$89.24
"CPT® 89325"|"HB SPERM ANTIBODY TEST"|300.00|$159.00|$56.45|$127.20|$111.00|$110.98|$56.45|$114.80|$111.30|$101.92|$127.20|$69.32|$73.94|$111.30|$111.28|$120.08|$94.59
"CPT® 81596"|"HB NFCT DS CHRNC HCV 6 BIOCHEM ASSAY SRM ALG LVR"|300.00|$156.00|$55.38|$124.80|$109.00|$108.89|$55.38|$112.63|$109.20|$100.00|$124.80|$68.02|$72.54|$109.20|$109.18|$117.81|$92.80
"CPT® 81329"|"HB SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS"|300.00|$310.00|$110.05|$248.00|$217.00|$216.38|$110.05|$223.82|$217.00|$198.71|$248.00|$135.16|$144.15|$217.00|$216.97|$234.11|$184.42
"CPT® 82642"|"HB DIHYDROTESTOSTERONE (DHT)"|300.00|$70.00|$24.85|$56.00|$49.00|$48.86|$24.85|$50.54|$49.00|$44.87|$56.00|$30.52|$32.55|$49.00|$48.99|$52.86|$41.64
"CPT® 83722"|"HB DIR MEAS LIPOPROTEIN SMALL DENSE LDL CHOLESTEROL"|300.00|$76.00|$26.98|$60.80|$53.00|$53.05|$26.98|$54.87|$53.20|$48.72|$60.80|$33.14|$35.34|$53.20|$53.19|$57.40|$45.21
"CPT® 87662"|"HB IADNA DNA/RNA ZIKA VIRUS AMPLIFIED PROBE TQ"|300.00|$1184.00|$420.32|$947.20|$829.00|$826.43|$420.32|$854.85|$828.80|$758.94|$947.20|$516.22|$550.56|$828.80|$828.68|$894.16|$704.36
"CPT® 82978"|"HB ASSAY OF GLUTATHIONE"|300.00|$111.00|$39.41|$88.80|$78.00|$77.48|$39.41|$80.14|$77.70|$71.15|$88.80|$48.40|$51.62|$77.70|$77.69|$83.83|$66.03
"CPT® 85055"|"HB RETICULATED PLATELET ASSAY"|300.00|$190.00|$67.45|$152.00|$133.00|$132.62|$67.45|$137.18|$133.00|$121.79|$152.00|$82.84|$88.35|$133.00|$132.98|$143.49|$113.03
"CPT® 87635"|"HB POCT CORONAVIRUS (COVID-19) TEST"|300.00|$165.00|$51.31|$132.00|$115.00|$51.31|$58.58|$51.31|$115.50|$105.77|$132.00|$51.31|$51.31|$115.50|$115.48|$124.61|$98.16
"HCPCS C9803"|"HB CLINIC VISIT FOR COVID-19 SPECIMEN COLLECTION – ANY SOURCE - NCR, WR"|300.00|$30.00|$15.98|$36.00|$21.00|$31.41|$15.98|$32.49|$31.50|$28.85|$36.00|$19.62|$20.93|$21.00|$21.00|$22.66|$17.85
"CPT® 81450"|"HB GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE"|300.00|$3244.00|$1151.62|$2595.20|$2271.00|$2264.31|$1151.62|$2342.17|$2270.80|$2079.40|$2595.20|$1414.38|$1508.46|$2270.80|$2270.48|$2449.87|$1929.86
"HCPCS G0480"|"HB DRUG SCREEN STEREOISOMER ANALYSIS 1 DRUG CLASS"|300.00|$263.00|$93.37|$210.40|$184.00|$183.57|$93.37|$189.89|$184.10|$168.58|$210.40|$114.67|$122.30|$184.10|$184.07|$198.62|$156.46
"HCPCS G0480"|"HB DRUG SCREENING CANNABINOIDS SYNTHETIC 7/MORE"|300.00|$263.00|$93.37|$210.40|$184.00|$183.57|$93.37|$189.89|$184.10|$168.58|$210.40|$114.67|$122.30|$184.10|$184.07|$198.62|$156.46
"CPT® 80145"|"HB DRUG ASSAY ADALIMUMAB"|300.00|$474.00|$168.27|$379.20|$332.00|$330.85|$168.27|$342.23|$331.80|$303.83|$379.20|$206.66|$220.41|$331.80|$331.75|$357.96|$281.98
"CPT® 87563"|"HB M. GENITALIUM AMP PROBE"|300.00|$38.00|$13.49|$30.40|$27.00|$26.52|$13.49|$27.44|$26.60|$24.36|$30.40|$16.57|$17.67|$26.60|$26.60|$28.70|$22.61
"CPT® 80235"|"HB DRUG ASSAY LACOSAMIDE"|300.00|$167.00|$59.29|$133.60|$117.00|$116.57|$59.29|$120.57|$116.90|$107.05|$133.60|$72.81|$77.66|$116.90|$116.88|$126.12|$99.35
"CPT® 80285"|"HB DRUG ASSAY VORICONAZOLE"|300.00|$172.00|$61.06|$137.60|$120.00|$120.06|$61.06|$124.18|$120.40|$110.25|$137.60|$74.99|$79.98|$120.40|$120.38|$129.89|$102.32
"CPT® 87635"|"HB SARS-COV-2 RNA, QUAL RT-PCR"|300.00|$165.00|$51.31|$132.00|$115.00|$51.31|$58.58|$51.31|$115.50|$105.77|$132.00|$51.31|$51.31|$115.50|$115.48|$124.61|$98.16
"CPT® 87635"|"HB RAPID CORONAVIRUS (COVID 19) ASSAY"|300.00|$165.00|$58.58|$132.00|$115.00|$115.17|$58.58|$100.00|$115.50|$105.77|$132.00|$100.00|$100.00|$115.50|$115.48|$124.61|$98.16
"CPT® 87635"|"HB CORONAVIRUS NCOV-19 BY PCR (2019)"|300.00|$165.00|$51.31|$132.00|$115.00|$51.31|$58.58|$51.31|$115.50|$105.77|$132.00|$51.31|$51.31|$115.50|$115.48|$124.61|$98.16
"CPT® 87635"|"HB CORONAVIRUS SARS-COV-2 BY MULTIPLEX PCR"|300.00|$165.00|$58.58|$132.00|$115.00|$115.17|$58.58|$100.00|$115.50|$105.77|$132.00|$100.00|$100.00|$115.50|$115.48|$124.61|$98.16
"CPT® 83593"|"HB 17 KETOSTEROID FRACTIONATION"|300.00|$370.00|$131.35|$296.00|$259.00|$258.26|$131.35|$267.14|$259.00|$237.17|$296.00|$161.32|$172.05|$259.00|$258.96|$279.42|$220.11
"CPT® 89310"|"HB SEMEN ANALYSIS"|300.00|$125.00|$44.38|$100.00|$88.00|$87.25|$44.38|$90.25|$87.50|$80.13|$100.00|$54.50|$58.13|$87.50|$87.49|$94.40|$74.36
"CPT® 80048"|"HB METABOLIC PANEL TOTAL CA"|301.00|$250.00|$88.75|$200.00|$175.00|$174.50|$88.75|$180.50|$175.00|$160.25|$200.00|$109.00|$116.25|$175.00|$174.98|$188.80|$148.73
"CPT® 80051"|"HB ELECTROLYTE PANEL"|301.00|$173.00|$61.42|$138.40|$121.00|$120.75|$61.42|$124.91|$121.10|$110.89|$138.40|$75.43|$80.45|$121.10|$121.08|$130.65|$102.92
"CPT® 80053"|"HB COMPREHEN METABOLIC PANEL"|301.00|$350.00|$124.25|$280.00|$245.00|$244.30|$124.25|$252.70|$245.00|$224.35|$280.00|$152.60|$162.75|$245.00|$244.97|$264.32|$208.22
"CPT® 80158"|"HB DRUG ASSAY CYCLOSPORINE"|301.00|$210.00|$74.55|$168.00|$147.00|$146.58|$74.55|$151.62|$147.00|$134.61|$168.00|$91.56|$97.65|$147.00|$146.98|$158.59|$124.93
"CPT® 80165"|"HB DIPROPYLACETIC ACID FREE"|301.00|$187.00|$66.39|$149.60|$131.00|$130.53|$66.39|$135.01|$130.90|$119.87|$149.60|$81.53|$86.96|$130.90|$130.88|$141.22|$111.25
"CPT® 80169"|"HB DRUG ASSAY EVEROLIMUS"|301.00|$304.00|$107.92|$243.20|$213.00|$212.19|$107.92|$219.49|$212.80|$194.86|$243.20|$132.54|$141.36|$212.80|$212.77|$229.58|$180.85
"CPT® 80171"|"HB DRUG SCREEN QUANT GABAPENTIN"|301.00|$163.00|$57.87|$130.40|$114.00|$113.77|$57.87|$117.69|$114.10|$104.48|$130.40|$71.07|$75.80|$114.10|$114.08|$123.10|$96.97
"CPT® 80175"|"HB DRUG SCREEN QUAN LAMOTRIGINE"|301.00|$144.00|$51.12|$115.20|$101.00|$100.51|$51.12|$103.97|$100.80|$92.30|$115.20|$62.78|$66.96|$100.80|$100.79|$108.75|$85.67
"CPT® 80177"|"HB DRUG SCRN QUAN LEVETIRACETAM"|301.00|$141.00|$50.06|$112.80|$99.00|$98.42|$50.06|$101.80|$98.70|$90.38|$112.80|$61.48|$65.57|$98.70|$98.69|$106.48|$83.88
"CPT® 80198"|"HB ASSAY OF THEOPHYLLINE"|301.00|$152.00|$53.96|$121.60|$106.00|$106.10|$53.96|$109.74|$106.40|$97.43|$121.60|$66.27|$70.68|$106.40|$106.38|$114.79|$90.42
"CPT® 80203"|"HB DRUG SCREEN QUANT ZONISAMIDE"|301.00|$331.00|$117.51|$264.80|$232.00|$231.04|$117.51|$238.98|$231.70|$212.17|$264.80|$144.32|$153.92|$231.70|$231.67|$249.97|$196.91
"CPT® G0480"|"HB DRUG SCREEN QUANTALCOHOLS"|301.00|$342.00|$121.41|$273.60|$239.00|$238.72|$121.41|$246.92|$239.40|$219.22|$273.60|$149.11|$159.03|$239.40|$239.37|$258.28|$203.46
"CPT® G0480"|"HB ANTIPSYCHOTICS NOS 1-3"|301.00|$226.00|$80.23|$180.80|$158.00|$157.75|$80.23|$163.17|$158.20|$144.87|$180.80|$98.54|$105.09|$158.20|$158.18|$170.68|$134.45
"CPT® 80345"|"HB DRUG SCREENING BARBITURATES"|301.00|$109.00|$38.70|$87.20|$76.00|$76.08|$38.70|$78.70|$76.30|$69.87|$87.20|$47.52|$50.69|$76.30|$76.29|$82.32|$64.84
"CPT® 81205"|"HB BCKDHB GENE"|301.00|$705.00|$250.28|$564.00|$493.00|$492.09|$250.28|$509.01|$493.50|$451.91|$564.00|$307.38|$327.83|$493.50|$493.43|$532.42|$419.40
"CPT® 81224"|"HB CFTR GENE INTRON POLY T"|301.00|$1327.00|$471.09|$1061.60|$929.00|$926.25|$471.09|$958.09|$928.90|$850.61|$1061.60|$578.57|$617.06|$928.90|$928.77|$1002.15|$789.43
"CPT® 81227"|"HB CYP2C9 GENE COM VARIANTS"|301.00|$3557.00|$1262.74|$2845.60|$2490.00|$2482.79|$1262.74|$2568.15|$2489.90|$2280.04|$2845.60|$1550.85|$1654.01|$2489.90|$2489.54|$2686.25|$2116.06
"CPT® 81376"|"HB HLA II TYPING 1 LOCUS LR"|301.00|$312.00|$110.76|$249.60|$218.00|$217.78|$110.76|$225.26|$218.40|$199.99|$249.60|$136.03|$145.08|$218.40|$218.37|$235.62|$185.61
"CPT® 81503"|"HB ONCO (OVAR) FIVE PROTEINS"|301.00|$2052.00|$728.46|$1641.60|$1436.00|$1432.30|$728.46|$1481.54|$1436.40|$1315.33|$1641.60|$894.67|$954.18|$1436.40|$1436.19|$1549.67|$1220.73
"CPT® 82010"|"HB ACETONE ASSAY"|301.00|$146.00|$51.83|$116.80|$102.00|$101.91|$51.83|$105.41|$102.20|$93.59|$116.80|$63.66|$67.89|$102.20|$102.19|$110.26|$86.86
"CPT® 82024"|"HB ASSAY OF ACTH"|301.00|$292.00|$103.66|$233.60|$204.00|$203.82|$103.66|$210.82|$204.40|$187.17|$233.60|$127.31|$135.78|$204.40|$204.37|$220.52|$173.71
"CPT® 82030"|"HB ASSAY OF ADP & AMP"|301.00|$289.00|$102.60|$231.20|$202.00|$201.72|$102.60|$208.66|$202.30|$185.25|$231.20|$126.00|$134.39|$202.30|$202.27|$218.25|$171.93
"CPT® 82040"|"HB ASSAY OF SERUM ALBUMIN"|301.00|$82.00|$29.11|$65.60|$57.00|$57.24|$29.11|$59.20|$57.40|$52.56|$65.60|$35.75|$38.13|$57.40|$57.39|$61.93|$48.78
"CPT® 82042"|"HB ASSAY OF URINE ALBUMIN"|301.00|$135.00|$47.93|$108.00|$94.00|$94.23|$47.93|$97.47|$94.50|$86.54|$108.00|$58.86|$62.78|$94.50|$94.49|$101.95|$80.31
"CPT® 82043"|"HB MICROALBUMIN QUANTITATIVE"|301.00|$111.00|$39.41|$88.80|$78.00|$77.48|$39.41|$80.14|$77.70|$71.15|$88.80|$48.40|$51.62|$77.70|$77.69|$83.83|$66.03
"CPT® 82088"|"HB ASSAY OF ALDOSTERONE"|301.00|$339.00|$120.35|$271.20|$237.00|$236.62|$120.35|$244.76|$237.30|$217.30|$271.20|$147.80|$157.64|$237.30|$237.27|$256.01|$201.67
"CPT® 82104"|"HB ALPHA-1-ANTITRYPSIN PHENO"|301.00|$116.00|$41.18|$92.80|$81.00|$80.97|$41.18|$83.75|$81.20|$74.36|$92.80|$50.58|$53.94|$81.20|$81.19|$87.60|$69.01
"CPT® 82108"|"HB ASSAY OF ALUMINUM"|301.00|$159.00|$56.45|$127.20|$111.00|$110.98|$56.45|$114.80|$111.30|$101.92|$127.20|$69.32|$73.94|$111.30|$111.28|$120.08|$94.59
"CPT® 82143"|"HB AMNIOTIC FLUID SCAN"|301.00|$308.00|$109.34|$246.40|$216.00|$214.98|$109.34|$222.38|$215.60|$197.43|$246.40|$134.29|$143.22|$215.60|$215.57|$232.60|$183.23
"CPT® 82150"|"HB ASSAY OF AMYLASE"|301.00|$151.00|$53.61|$120.80|$106.00|$105.40|$53.61|$109.02|$105.70|$96.79|$120.80|$65.84|$70.22|$105.70|$105.68|$114.04|$89.83
"CPT® 82164"|"HB ANGIOTENSIN I ENZYME TEST"|301.00|$134.00|$47.57|$107.20|$94.00|$93.53|$47.57|$96.75|$93.80|$85.89|$107.20|$58.42|$62.31|$93.80|$93.79|$101.20|$79.72
"CPT® 82232"|"HB ASSAY OF BETA-2 PROTEIN"|301.00|$152.00|$53.96|$121.60|$106.00|$106.10|$53.96|$109.74|$106.40|$97.43|$121.60|$66.27|$70.68|$106.40|$106.38|$114.79|$90.42
"CPT® 82239"|"HB BILE ACIDS TOTAL"|301.00|$97.00|$34.44|$77.60|$68.00|$67.71|$34.44|$70.03|$67.90|$62.18|$77.60|$42.29|$45.11|$67.90|$67.89|$73.25|$57.71
"CPT® 82247"|"HB BILIRUBIN TOTAL"|301.00|$164.00|$58.22|$131.20|$115.00|$114.47|$58.22|$118.41|$114.80|$105.12|$131.20|$71.50|$76.26|$114.80|$114.78|$123.85|$97.56
"CPT® 82248"|"HB BILIRUBIN DIRECT"|301.00|$78.00|$27.69|$62.40|$55.00|$54.44|$27.69|$56.32|$54.60|$50.00|$62.40|$34.01|$36.27|$54.60|$54.59|$58.91|$46.40
"CPT® 82270"|"HB OCCULT BLOOD FECES"|301.00|$55.00|$19.53|$44.00|$38.00|$38.39|$19.53|$39.71|$38.50|$35.26|$44.00|$23.98|$25.58|$38.50|$38.49|$41.54|$32.72
"CPT® 82274"|"HB ASSAY TEST FOR BLOOD FECAL"|301.00|$79.00|$28.05|$63.20|$55.00|$55.14|$28.05|$57.04|$55.30|$50.64|$63.20|$34.44|$36.74|$55.30|$55.29|$59.66|$47.00
"CPT® 82300"|"HB ASSAY OF CADMIUM"|301.00|$62.00|$22.01|$49.60|$43.00|$43.28|$22.01|$44.76|$43.40|$39.74|$49.60|$27.03|$28.83|$43.40|$43.39|$46.82|$36.88
"CPT® 82310"|"HB ASSAY OF CALCIUM TOTAL"|301.00|$86.00|$30.53|$68.80|$60.00|$60.03|$30.53|$62.09|$60.20|$55.13|$68.80|$37.50|$39.99|$60.20|$60.19|$64.95|$51.16
"CPT® 82373"|"HB ASSAY C-D TRANSFER MEASURE"|301.00|$308.00|$109.34|$246.40|$216.00|$214.98|$109.34|$222.38|$215.60|$197.43|$246.40|$134.29|$143.22|$215.60|$215.57|$232.60|$183.23
"CPT® 82374"|"HB ASSAY BLOOD CARBON DIOXIDE"|301.00|$58.00|$20.59|$46.40|$41.00|$40.48|$20.59|$41.88|$40.60|$37.18|$46.40|$25.29|$26.97|$40.60|$40.59|$43.80|$34.50
"CPT® 82375"|"HB ASSAY CARBOXYHB QUANT"|301.00|$38.00|$13.49|$30.40|$27.00|$26.52|$13.49|$27.44|$26.60|$24.36|$30.40|$16.57|$17.67|$26.60|$26.60|$28.70|$22.61
"CPT® 82379"|"HB ASSAY OF CARNITINE"|301.00|$279.00|$99.05|$223.20|$195.00|$194.74|$99.05|$201.44|$195.30|$178.84|$223.20|$121.64|$129.74|$195.30|$195.27|$210.70|$165.98
"CPT® 82390"|"HB ASSAY OF CERULOPLASMIN"|301.00|$102.00|$36.21|$81.60|$71.00|$71.20|$36.21|$73.64|$71.40|$65.38|$81.60|$44.47|$47.43|$71.40|$71.39|$77.03|$60.68
"CPT® 82435"|"HB ASSAY OF BLOOD CHLORIDE"|301.00|$44.00|$15.62|$35.20|$31.00|$30.71|$15.62|$31.77|$30.80|$28.20|$35.20|$19.18|$20.46|$30.80|$30.80|$33.23|$26.18
"CPT® 82438"|"HB ASSAY OTHER FLUID CHLORIDES"|301.00|$120.00|$42.60|$96.00|$84.00|$83.76|$42.60|$86.64|$84.00|$76.92|$96.00|$52.32|$55.80|$84.00|$83.99|$90.62|$71.39
"CPT® 82482"|"HB ASSAY RBC CHOLINESTERASE"|301.00|$81.00|$28.76|$64.80|$57.00|$56.54|$28.76|$58.48|$56.70|$51.92|$64.80|$35.32|$37.67|$56.70|$56.69|$61.17|$48.19
"CPT® 82495"|"HB ASSAY OF CHROMIUM"|301.00|$201.00|$71.36|$160.80|$141.00|$140.30|$71.36|$145.12|$140.70|$128.84|$160.80|$87.64|$93.47|$140.70|$140.68|$151.80|$119.57
"CPT® 82528"|"HB ASSAY OF CORTICOSTERONE"|301.00|$271.00|$96.21|$216.80|$190.00|$189.16|$96.21|$195.66|$189.70|$173.71|$216.80|$118.16|$126.02|$189.70|$189.67|$204.66|$161.22
"CPT® 82530"|"HB CORTISOL FREE"|301.00|$220.00|$78.10|$176.00|$154.00|$153.56|$78.10|$158.84|$154.00|$141.02|$176.00|$95.92|$102.30|$154.00|$153.98|$166.14|$130.88
"CPT® 82540"|"HB ASSAY OF CREATINE"|301.00|$237.00|$84.14|$189.60|$166.00|$165.43|$84.14|$171.11|$165.90|$151.92|$189.60|$103.33|$110.21|$165.90|$165.88|$178.98|$140.99
"CPT® 82542"|"HB COL CHROMOTOGRAPHY QUAL/QUAN"|301.00|$198.00|$70.29|$158.40|$139.00|$138.20|$70.29|$142.96|$138.60|$126.92|$158.40|$86.33|$92.07|$138.60|$138.58|$149.53|$117.79
"CPT® 82550"|"HB ASSAY OF CK (CPK)"|301.00|$125.00|$44.38|$100.00|$88.00|$87.25|$44.38|$90.25|$87.50|$80.13|$100.00|$54.50|$58.13|$87.50|$87.49|$94.40|$74.36
"CPT® 82553"|"HB CREATINE MB FRACTION"|301.00|$427.00|$151.59|$341.60|$299.00|$298.05|$151.59|$308.29|$298.90|$273.71|$341.60|$186.17|$198.56|$298.90|$298.86|$322.47|$254.02
"CPT® 82565"|"HB ASSAY OF CREATININE"|301.00|$82.00|$29.11|$65.60|$57.00|$57.24|$29.11|$59.20|$57.40|$52.56|$65.60|$35.75|$38.13|$57.40|$57.39|$61.93|$48.78
"CPT® 82570"|"HB ASSAY OF URINE CREATININE"|301.00|$79.00|$28.05|$63.20|$55.00|$55.14|$28.05|$57.04|$55.30|$50.64|$63.20|$34.44|$36.74|$55.30|$55.29|$59.66|$47.00
"CPT® 82575"|"HB CREATININE CLEARANCE TEST"|301.00|$238.00|$84.49|$190.40|$167.00|$166.12|$84.49|$171.84|$166.60|$152.56|$190.40|$103.77|$110.67|$166.60|$166.58|$179.74|$141.59
"CPT® 82585"|"HB ASSAY OF CRYOFIBRINOGEN"|301.00|$88.00|$31.24|$70.40|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$61.60|$61.59|$66.46|$52.35
"CPT® 82610"|"HB CYSTATIN C"|301.00|$192.00|$68.16|$153.60|$134.00|$134.02|$68.16|$138.62|$134.40|$123.07|$153.60|$83.71|$89.28|$134.40|$134.38|$145.00|$114.22
"CPT® 82656"|"HB PANCREATIC ELASTASE FECAL"|301.00|$86.00|$30.53|$68.80|$60.00|$60.03|$30.53|$62.09|$60.20|$55.13|$68.80|$37.50|$39.99|$60.20|$60.19|$64.95|$51.16
"CPT® 82657"|"HB ENZYME CELL ACTIVITY"|301.00|$373.00|$132.42|$298.40|$261.00|$260.35|$132.42|$269.31|$261.10|$239.09|$298.40|$162.63|$173.45|$261.10|$261.06|$281.69|$221.90
"CPT® 82664"|"HB ELECTROPHORETIC TEST"|301.00|$66.00|$23.43|$52.80|$46.00|$46.07|$23.43|$47.65|$46.20|$42.31|$52.80|$28.78|$30.69|$46.20|$46.19|$49.84|$39.26
"CPT® 82671"|"HB ASSAY OF ESTROGENS"|301.00|$191.00|$67.81|$152.80|$134.00|$133.32|$67.81|$137.90|$133.70|$122.43|$152.80|$83.28|$88.82|$133.70|$133.68|$144.24|$113.63
"CPT® 82679"|"HB ASSAY OF ESTRONE"|301.00|$209.00|$74.20|$167.20|$146.00|$145.88|$74.20|$150.90|$146.30|$133.97|$167.20|$91.12|$97.19|$146.30|$146.28|$157.84|$124.33
"CPT® 82693"|"HB ASSAY OF ETHYLENE GLYCOL"|301.00|$380.00|$134.90|$304.00|$266.00|$265.24|$134.90|$274.36|$266.00|$243.58|$304.00|$165.68|$176.70|$266.00|$265.96|$286.98|$226.06
"CPT® 82705"|"HB FATS/LIPIDS FECES QUAL"|301.00|$78.00|$27.69|$62.40|$55.00|$54.44|$27.69|$56.32|$54.60|$50.00|$62.40|$34.01|$36.27|$54.60|$54.59|$58.91|$46.40
"CPT® 82710"|"HB FATS/LIPIDS FECES QUANT"|301.00|$213.00|$75.62|$170.40|$149.00|$148.67|$75.62|$153.79|$149.10|$136.53|$170.40|$92.87|$99.05|$149.10|$149.08|$160.86|$126.71
"CPT® 82726"|"HB LONG CHAIN FATTY ACIDS"|301.00|$182.00|$64.61|$145.60|$127.00|$127.04|$64.61|$131.40|$127.40|$116.66|$145.60|$79.35|$84.63|$127.40|$127.38|$137.45|$108.27
"CPT® 82728"|"HB ASSAY OF FERRITIN"|301.00|$165.00|$58.58|$132.00|$115.00|$115.17|$58.58|$119.13|$115.50|$105.77|$132.00|$71.94|$76.73|$115.50|$115.48|$124.61|$98.16
"CPT® 82785"|"HB ASSAY OF IGE"|301.00|$117.00|$41.54|$93.60|$82.00|$81.67|$41.54|$84.47|$81.90|$75.00|$93.60|$51.01|$54.41|$81.90|$81.89|$88.36|$69.60
"CPT® 82803"|"HB BLOOD GASES ANY COMBINATION"|301.00|$224.00|$79.52|$179.20|$157.00|$156.35|$79.52|$161.73|$156.80|$143.58|$179.20|$97.66|$104.16|$156.80|$156.78|$169.16|$133.26
"CPT® 82943"|"HB ASSAY OF GLUCAGON"|301.00|$145.00|$51.48|$116.00|$102.00|$101.21|$51.48|$104.69|$101.50|$92.95|$116.00|$63.22|$67.43|$101.50|$101.49|$109.50|$86.26
"CPT® 82945"|"HB GLUCOSE OTHER FLUID"|301.00|$125.00|$44.38|$100.00|$88.00|$87.25|$44.38|$90.25|$87.50|$80.13|$100.00|$54.50|$58.13|$87.50|$87.49|$94.40|$74.36
"CPT® 82947"|"HB ASSAY GLUCOSE BLOOD QUANT"|301.00|$105.00|$37.28|$84.00|$74.00|$73.29|$37.28|$75.81|$73.50|$67.31|$84.00|$45.78|$48.83|$73.50|$73.49|$79.30|$62.46
"CPT® 82951"|"HB GLUCOSE TOLERANCE TEST (GTT)"|301.00|$252.00|$89.46|$201.60|$176.00|$175.90|$89.46|$181.94|$176.40|$161.53|$201.60|$109.87|$117.18|$176.40|$176.37|$190.31|$149.91
"CPT® 82952"|"HB GTT-ADDED SAMPLES"|301.00|$87.00|$30.89|$69.60|$61.00|$60.73|$30.89|$62.81|$60.90|$55.77|$69.60|$37.93|$40.46|$60.90|$60.89|$65.70|$51.76
"CPT® 82955"|"HB ASSAY OF G6PD ENZYME"|301.00|$172.00|$61.06|$137.60|$120.00|$120.06|$61.06|$124.18|$120.40|$110.25|$137.60|$74.99|$79.98|$120.40|$120.38|$129.89|$102.32
"CPT® 82962"|"HB GLUCOSE BLOOD TEST"|301.00|$50.00|$17.75|$40.00|$35.00|$34.90|$17.75|$36.10|$35.00|$32.05|$40.00|$21.80|$23.25|$35.00|$35.00|$37.76|$29.75
"CPT® 83003"|"HB ASSAY GROWTH HORMONE (HGH)"|301.00|$84.00|$29.82|$67.20|$59.00|$58.63|$29.82|$60.65|$58.80|$53.84|$67.20|$36.62|$39.06|$58.80|$58.79|$63.44|$49.97
"CPT® 83013"|"HB H PYLORI (C-13) BREATH"|301.00|$137.00|$48.64|$109.60|$96.00|$95.63|$48.64|$98.91|$95.90|$87.82|$109.60|$59.73|$63.71|$95.90|$95.89|$103.46|$81.50
"CPT® 83014"|"HB H PYLORI DRUG ADMIN"|301.00|$50.00|$17.75|$40.00|$35.00|$34.90|$17.75|$36.10|$35.00|$32.05|$40.00|$21.80|$23.25|$35.00|$35.00|$37.76|$29.75
"CPT® 83018"|"HB QUANTITATIVE SCREEN METALS"|301.00|$154.00|$54.67|$123.20|$108.00|$107.49|$54.67|$111.19|$107.80|$98.71|$123.20|$67.14|$71.61|$107.80|$107.78|$116.30|$91.61
"CPT® 83021"|"HB HEMOGLOBIN CHROMOTOGRAPHY"|301.00|$77.00|$27.34|$61.60|$54.00|$53.75|$27.34|$55.59|$53.90|$49.36|$61.60|$33.57|$35.81|$53.90|$53.89|$58.15|$45.81
"CPT® 83036"|"HB GLYCOSYLATED HEMOGLOBIN TEST"|301.00|$134.00|$47.57|$107.20|$94.00|$93.53|$47.57|$96.75|$93.80|$85.89|$107.20|$58.42|$62.31|$93.80|$93.79|$101.20|$79.72
"CPT® 83069"|"HB ASSAY OF URINE HEMOGLOBIN"|301.00|$39.00|$13.85|$31.20|$27.00|$27.22|$13.85|$28.16|$27.30|$25.00|$31.20|$17.00|$18.14|$27.30|$27.30|$29.45|$23.20
"CPT® 83080"|"HB ASSAY OF B HEXOSAMINIDASE"|301.00|$352.00|$124.96|$281.60|$246.00|$245.70|$124.96|$254.14|$246.40|$225.63|$281.60|$153.47|$163.68|$246.40|$246.36|$265.83|$209.40
"CPT® 83088"|"HB ASSAY OF HISTAMINE"|301.00|$447.00|$158.69|$357.60|$313.00|$312.01|$158.69|$322.73|$312.90|$286.53|$357.60|$194.89|$207.86|$312.90|$312.86|$337.57|$265.92
"CPT® 83090"|"HB ASSAY OF HOMOCYSTINE"|301.00|$214.00|$75.97|$171.20|$150.00|$149.37|$75.97|$154.51|$149.80|$137.17|$171.20|$93.30|$99.51|$149.80|$149.78|$161.61|$127.31
"CPT® 83491"|"HB ASSAY OF CORTICOSTEROIDS 17"|301.00|$172.00|$61.06|$137.60|$120.00|$120.06|$61.06|$124.18|$120.40|$110.25|$137.60|$74.99|$79.98|$120.40|$120.38|$129.89|$102.32
"CPT® 83505"|"HB ASSAY TOTAL HYDROXYPROLINE"|301.00|$237.00|$84.14|$189.60|$166.00|$165.43|$84.14|$171.11|$165.90|$151.92|$189.60|$103.33|$110.21|$165.90|$165.88|$178.98|$140.99
"CPT® 83516"|"HB IMMUNOASSAY NONANTIBODY"|301.00|$179.00|$63.55|$143.20|$125.00|$124.94|$63.55|$129.24|$125.30|$114.74|$143.20|$78.04|$83.24|$125.30|$125.28|$135.18|$106.49
"CPT® 83519"|"HB RIA NONANTIBODY"|301.00|$95.00|$33.73|$76.00|$66.00|$66.31|$33.73|$68.59|$66.50|$60.90|$76.00|$41.42|$44.18|$66.50|$66.49|$71.74|$56.52
"CPT® 83520"|"HB IMMUNOASSAY ANALYTE QUANTITATIVE NOS"|301.00|$160.00|$56.80|$128.00|$112.00|$111.68|$56.80|$115.52|$112.00|$102.56|$128.00|$69.76|$74.40|$112.00|$111.98|$120.83|$95.18
"CPT® 83525"|"HB ASSAY OF INSULIN TOTAL"|301.00|$152.00|$53.96|$121.60|$106.00|$106.10|$53.96|$109.74|$106.40|$97.43|$121.60|$66.27|$70.68|$106.40|$106.38|$114.79|$90.42
"CPT® 83527"|"HB ASSAY OF INSULIN FREE"|301.00|$76.00|$26.98|$60.80|$53.00|$53.05|$26.98|$54.87|$53.20|$48.72|$60.80|$33.14|$35.34|$53.20|$53.19|$57.40|$45.21
"CPT® 83540"|"HB ASSAY OF IRON"|301.00|$90.00|$31.95|$72.00|$63.00|$62.82|$31.95|$64.98|$63.00|$57.69|$72.00|$39.24|$41.85|$63.00|$62.99|$67.97|$53.54
"CPT® 83550"|"HB IRON BINDING TEST"|301.00|$127.00|$45.09|$101.60|$89.00|$88.65|$45.09|$91.69|$88.90|$81.41|$101.60|$55.37|$59.06|$88.90|$88.89|$95.91|$75.55
"CPT® 83586"|"HB ASSAY 17- KETOSTEROIDS"|301.00|$67.00|$23.79|$53.60|$47.00|$46.77|$23.79|$48.37|$46.90|$42.95|$53.60|$29.21|$31.16|$46.90|$46.89|$50.60|$39.86
"CPT® 83605"|"HB ASSAY OF LACTIC ACID"|301.00|$254.00|$90.17|$203.20|$178.00|$177.29|$90.17|$183.39|$177.80|$162.81|$203.20|$110.74|$118.11|$177.80|$177.77|$191.82|$151.10
"CPT® 83615"|"HB LACTATE (LD) (LDH) ENZYME"|301.00|$92.00|$32.66|$73.60|$64.00|$64.22|$32.66|$66.42|$64.40|$58.97|$73.60|$40.11|$42.78|$64.40|$64.39|$69.48|$54.73
"CPT® 83630"|"HB LACTOFERRIN FECAL (QUAL)"|301.00|$101.00|$35.86|$80.80|$71.00|$70.50|$35.86|$72.92|$70.70|$64.74|$80.80|$44.04|$46.97|$70.70|$70.69|$76.28|$60.08
"CPT® 83631"|"HB LACTOFERRIN FECAL (QUANT)"|301.00|$300.00|$106.50|$240.00|$210.00|$209.40|$106.50|$216.60|$210.00|$192.30|$240.00|$130.80|$139.50|$210.00|$209.97|$226.56|$178.47
"CPT® 83632"|"HB PLACENTAL LACTOGEN"|301.00|$297.00|$105.44|$237.60|$208.00|$207.31|$105.44|$214.43|$207.90|$190.38|$237.60|$129.49|$138.11|$207.90|$207.87|$224.29|$176.69
"CPT® 83664"|"HB LAMELLAR BDY FETAL LUNG"|301.00|$39.00|$13.85|$31.20|$27.00|$27.22|$13.85|$28.16|$27.30|$25.00|$31.20|$17.00|$18.14|$27.30|$27.30|$29.45|$23.20
"CPT® 83690"|"HB ASSAY OF LIPASE"|301.00|$76.00|$26.98|$60.80|$53.00|$53.05|$26.98|$54.87|$53.20|$48.72|$60.80|$33.14|$35.34|$53.20|$53.19|$57.40|$45.21
"CPT® 83695"|"HB ASSAY OF LIPOPROTEIN(A)"|301.00|$157.00|$55.74|$125.60|$110.00|$109.59|$55.74|$113.35|$109.90|$100.64|$125.60|$68.45|$73.01|$109.90|$109.88|$118.57|$93.40
"CPT® 83721"|"HB ASSAY OF BLOOD LIPOPROTEIN LDL"|301.00|$157.00|$55.74|$125.60|$110.00|$109.59|$55.74|$113.35|$109.90|$100.64|$125.60|$68.45|$73.01|$109.90|$109.88|$118.57|$93.40
"CPT® 83735"|"HB ASSAY OF MAGNESIUM"|301.00|$92.00|$32.66|$73.60|$64.00|$64.22|$32.66|$66.42|$64.40|$58.97|$73.60|$40.11|$42.78|$64.40|$64.39|$69.48|$54.73
"CPT® 83789"|"HB MASS SPECTROMETRY QUAL/QUAN"|301.00|$339.00|$120.35|$271.20|$237.00|$236.62|$120.35|$244.76|$237.30|$217.30|$271.20|$147.80|$157.64|$237.30|$237.27|$256.01|$201.67
"CPT® 83835"|"HB ASSAY OF METANEPHRINES"|301.00|$291.00|$103.31|$232.80|$204.00|$203.12|$103.31|$210.10|$203.70|$186.53|$232.80|$126.88|$135.32|$203.70|$203.67|$219.76|$173.12
"CPT® 83880"|"HB ASSAY OF NATRIURETIC PEPTIDE"|301.00|$210.00|$74.55|$168.00|$147.00|$146.58|$74.55|$151.62|$147.00|$134.61|$168.00|$91.56|$97.65|$147.00|$146.98|$158.59|$124.93
"CPT® 83883"|"HB ASSAY NEPHELOMETRY NOT SPEC"|301.00|$305.00|$108.28|$244.00|$214.00|$212.89|$108.28|$220.21|$213.50|$195.51|$244.00|$132.98|$141.83|$213.50|$213.47|$230.34|$181.44
"CPT® 83885"|"HB ASSAY OF NICKEL"|301.00|$126.00|$44.73|$100.80|$88.00|$87.95|$44.73|$90.97|$88.20|$80.77|$100.80|$54.94|$58.59|$88.20|$88.19|$95.16|$74.96
"CPT® 83918"|"HB ORGANIC ACIDS TOTAL QUANT"|301.00|$110.00|$39.05|$88.00|$77.00|$76.78|$39.05|$79.42|$77.00|$70.51|$88.00|$47.96|$51.15|$77.00|$76.99|$83.07|$65.44
"CPT® 83970"|"HB ASSAY OF PARATHORMONE"|301.00|$251.00|$89.11|$200.80|$176.00|$175.20|$89.11|$181.22|$175.70|$160.89|$200.80|$109.44|$116.72|$175.70|$175.67|$189.56|$149.32
"CPT® 83986"|"HB ASSAY PH BODY FLUID NOS"|301.00|$41.00|$14.56|$32.80|$29.00|$28.62|$14.56|$29.60|$28.70|$26.28|$32.80|$17.88|$19.07|$28.70|$28.70|$30.96|$24.39
"CPT® 83992"|"HB ASSAY FOR PHENCYCLIDINE"|301.00|$44.00|$15.62|$35.20|$31.00|$30.71|$15.62|$31.77|$30.80|$28.20|$35.20|$19.18|$20.46|$30.80|$30.80|$33.23|$26.18
"CPT® 84030"|"HB ASSAY OF BLOOD PKU"|301.00|$181.00|$64.26|$144.80|$127.00|$126.34|$64.26|$130.68|$126.70|$116.02|$144.80|$78.92|$84.17|$126.70|$126.68|$136.69|$107.68
"CPT® 84066"|"HB ASSAY PROSTATE PHOSPHATASE"|301.00|$84.00|$29.82|$67.20|$59.00|$58.63|$29.82|$60.65|$58.80|$53.84|$67.20|$36.62|$39.06|$58.80|$58.79|$63.44|$49.97
"CPT® 84075"|"HB ASSAY ALKALINE PHOSPHATASE"|301.00|$94.00|$33.37|$75.20|$66.00|$65.61|$33.37|$67.87|$65.80|$60.25|$75.20|$40.98|$43.71|$65.80|$65.79|$70.99|$55.92
"CPT® 84110"|"HB ASSAY OF PORPHOBILINOGEN"|301.00|$144.00|$51.12|$115.20|$101.00|$100.51|$51.12|$103.97|$100.80|$92.30|$115.20|$62.78|$66.96|$100.80|$100.79|$108.75|$85.67
"CPT® 84112"|"HB EVAL AMNIOTIC FLUID PROTEIN"|301.00|$156.00|$55.38|$124.80|$109.00|$108.89|$55.38|$112.63|$109.20|$100.00|$124.80|$68.02|$72.54|$109.20|$109.18|$117.81|$92.80
"CPT® 84132"|"HB ASSAY OF SERUM POTASSIUM"|301.00|$80.00|$28.40|$64.00|$56.00|$55.84|$28.40|$57.76|$56.00|$51.28|$64.00|$34.88|$37.20|$56.00|$55.99|$60.42|$47.59
"CPT® 84145"|"HB PROCALCITONIN (PCT)"|301.00|$352.00|$124.96|$281.60|$246.00|$245.70|$124.96|$254.14|$246.40|$225.63|$281.60|$153.47|$163.68|$246.40|$246.36|$265.83|$209.40
"CPT® 84155"|"HB ASSAY OF PROTEIN SERUM"|301.00|$29.00|$10.30|$23.20|$20.00|$20.24|$10.30|$20.94|$20.30|$18.59|$23.20|$12.64|$13.49|$20.30|$20.30|$21.90|$17.25
"CPT® 84156"|"HB ASSAY OF PROTEIN URINE"|301.00|$29.00|$10.30|$23.20|$20.00|$20.24|$10.30|$20.94|$20.30|$18.59|$23.20|$12.64|$13.49|$20.30|$20.30|$21.90|$17.25
"CPT® 84157"|"HB ASSAY OF PROTEIN OTHER"|301.00|$79.00|$28.05|$63.20|$55.00|$55.14|$28.05|$57.04|$55.30|$50.64|$63.20|$34.44|$36.74|$55.30|$55.29|$59.66|$47.00
"CPT® 84165"|"HB PROTEIN E-PHORESIS SERUM"|301.00|$74.00|$26.27|$59.20|$52.00|$51.65|$26.27|$53.43|$51.80|$47.43|$59.20|$32.26|$34.41|$51.80|$51.79|$55.88|$44.02
"CPT® 84166"|"HB PROTEIN E-PHORESIS/URINE/CSF"|301.00|$88.00|$31.24|$70.40|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$61.60|$61.59|$66.46|$52.35
"CPT® 84182"|"HB PROTEIN WESTERN BLOT TEST"|301.00|$477.00|$169.34|$381.60|$334.00|$332.95|$169.34|$344.39|$333.90|$305.76|$381.60|$207.97|$221.81|$333.90|$333.85|$360.23|$283.77
"CPT® 84202"|"HB ASSAY RBC PROTOPORPHYRIN"|301.00|$153.00|$54.32|$122.40|$107.00|$106.79|$54.32|$110.47|$107.10|$98.07|$122.40|$66.71|$71.15|$107.10|$107.08|$115.55|$91.02
"CPT® 84206"|"HB ASSAY OF PROINSULIN"|301.00|$233.00|$82.72|$186.40|$163.00|$162.63|$82.72|$168.23|$163.10|$149.35|$186.40|$101.59|$108.35|$163.10|$163.08|$175.96|$138.61
"CPT® 84207"|"HB ASSAY OF VITAMIN B-6"|301.00|$305.00|$108.28|$244.00|$214.00|$212.89|$108.28|$220.21|$213.50|$195.51|$244.00|$132.98|$141.83|$213.50|$213.47|$230.34|$181.44
"CPT® 84210"|"HB ASSAY OF PYRUVATE"|301.00|$90.00|$31.95|$72.00|$63.00|$62.82|$31.95|$64.98|$63.00|$57.69|$72.00|$39.24|$41.85|$63.00|$62.99|$67.97|$53.54
"CPT® 84220"|"HB ASSAY OF PYRUVATE KINASE"|301.00|$82.00|$29.11|$65.60|$57.00|$57.24|$29.11|$59.20|$57.40|$52.56|$65.60|$35.75|$38.13|$57.40|$57.39|$61.93|$48.78
"CPT® 84238"|"HB ASSAY NONENDOCRINE RECEPTOR"|301.00|$131.00|$46.51|$104.80|$92.00|$91.44|$46.51|$94.58|$91.70|$83.97|$104.80|$57.12|$60.92|$91.70|$91.69|$98.93|$77.93
"CPT® 84244"|"HB ASSAY OF RENIN"|301.00|$178.00|$63.19|$142.40|$125.00|$124.24|$63.19|$128.52|$124.60|$114.10|$142.40|$77.61|$82.77|$124.60|$124.58|$134.43|$105.89
"CPT® 84270"|"HB ASSAY OF SEX HORMONE GLOBUL"|301.00|$141.00|$50.06|$112.80|$99.00|$98.42|$50.06|$101.80|$98.70|$90.38|$112.80|$61.48|$65.57|$98.70|$98.69|$106.48|$83.88
"CPT® 84295"|"HB ASSAY OF SERUM SODIUM"|301.00|$77.00|$27.34|$61.60|$54.00|$53.75|$27.34|$55.59|$53.90|$49.36|$61.60|$33.57|$35.81|$53.90|$53.89|$58.15|$45.81
"CPT® 84302"|"HB ASSAY OF SWEAT SODIUM"|301.00|$86.00|$30.53|$68.80|$60.00|$60.03|$30.53|$62.09|$60.20|$55.13|$68.80|$37.50|$39.99|$60.20|$60.19|$64.95|$51.16
"CPT® 84305"|"HB ASSAY OF SOMATOMEDIN"|301.00|$218.00|$77.39|$174.40|$153.00|$152.16|$77.39|$157.40|$152.60|$139.74|$174.40|$95.05|$101.37|$152.60|$152.58|$164.63|$129.69
"CPT® 84307"|"HB ASSAY OF SOMATOSTATIN"|301.00|$191.00|$67.81|$152.80|$134.00|$133.32|$67.81|$137.90|$133.70|$122.43|$152.80|$83.28|$88.82|$133.70|$133.68|$144.24|$113.63
"CPT® 84311"|"HB SPECTROPHOTOMETRY"|301.00|$109.00|$38.70|$87.20|$76.00|$76.08|$38.70|$78.70|$76.30|$69.87|$87.20|$47.52|$50.69|$76.30|$76.29|$82.32|$64.84
"CPT® 84315"|"HB BODY FLUID SPECIFIC GRAVITY"|301.00|$29.00|$10.30|$23.20|$20.00|$20.24|$10.30|$20.94|$20.30|$18.59|$23.20|$12.64|$13.49|$20.30|$20.30|$21.90|$17.25
"CPT® 84376"|"HB SUGARS SINGLE QUAL"|301.00|$123.00|$43.67|$98.40|$86.00|$85.85|$43.67|$88.81|$86.10|$78.84|$98.40|$53.63|$57.20|$86.10|$86.09|$92.89|$73.17
"CPT® 84425"|"HB ASSAY OF VITAMIN B-1"|301.00|$179.00|$63.55|$143.20|$125.00|$124.94|$63.55|$129.24|$125.30|$114.74|$143.20|$78.04|$83.24|$125.30|$125.28|$135.18|$106.49
"CPT® 84432"|"HB ASSAY OF THYROGLOBULIN"|301.00|$115.00|$40.83|$92.00|$80.00|$80.27|$40.83|$83.03|$80.50|$73.72|$92.00|$50.14|$53.48|$80.50|$80.49|$86.85|$68.41
"CPT® 84436"|"HB ASSAY OF TOTAL THYROXINE"|301.00|$47.00|$16.69|$37.60|$33.00|$32.81|$16.69|$33.93|$32.90|$30.13|$37.60|$20.49|$21.86|$32.90|$32.90|$35.49|$27.96
"CPT® 84439"|"HB ASSAY OF FREE THYROXINE"|301.00|$138.00|$48.99|$110.40|$97.00|$96.32|$48.99|$99.64|$96.60|$88.46|$110.40|$60.17|$64.17|$96.60|$96.59|$104.22|$82.10
"CPT® 84443"|"HB ASSAY THYROID STIM HORMONE"|301.00|$186.00|$66.03|$148.80|$130.00|$129.83|$66.03|$134.29|$130.20|$119.23|$148.80|$81.10|$86.49|$130.20|$130.18|$140.47|$110.65
"CPT® 84446"|"HB ASSAY OF VITAMIN E"|301.00|$156.00|$55.38|$124.80|$109.00|$108.89|$55.38|$112.63|$109.20|$100.00|$124.80|$68.02|$72.54|$109.20|$109.18|$117.81|$92.80
"CPT® 84449"|"HB ASSAY OF TRANSCORTIN"|301.00|$200.00|$71.00|$160.00|$140.00|$139.60|$71.00|$144.40|$140.00|$128.20|$160.00|$87.20|$93.00|$140.00|$139.98|$151.04|$118.98
"CPT® 84460"|"HB ALANINE AMINO (ALT) (SGPT)"|301.00|$167.00|$59.29|$133.60|$117.00|$116.57|$59.29|$120.57|$116.90|$107.05|$133.60|$72.81|$77.66|$116.90|$116.88|$126.12|$99.35
"CPT® 84466"|"HB ASSAY OF TRANSFERRIN"|301.00|$102.00|$36.21|$81.60|$71.00|$71.20|$36.21|$73.64|$71.40|$65.38|$81.60|$44.47|$47.43|$71.40|$71.39|$77.03|$60.68
"CPT® 84479"|"HB ASSAY OF THYROID (T3 OR T4)"|301.00|$138.00|$48.99|$110.40|$97.00|$96.32|$48.99|$99.64|$96.60|$88.46|$110.40|$60.17|$64.17|$96.60|$96.59|$104.22|$82.10
"CPT® 84480"|"HB ASSAY TRIIODOTHYRONINE (T3)"|301.00|$148.00|$52.54|$118.40|$104.00|$103.30|$52.54|$106.86|$103.60|$94.87|$118.40|$64.53|$68.82|$103.60|$103.59|$111.77|$88.05
"CPT® 84481"|"HB FREE ASSAY (FT-3)"|301.00|$175.00|$62.13|$140.00|$122.00|$122.15|$62.13|$126.35|$122.50|$112.18|$140.00|$76.30|$81.38|$122.50|$122.48|$132.16|$104.11
"CPT® 84484"|"HB ASSAY OF TROPONIN QUANT"|301.00|$195.00|$69.23|$156.00|$136.00|$136.11|$69.23|$140.79|$136.50|$125.00|$156.00|$85.02|$90.68|$136.50|$136.48|$147.26|$116.01
"CPT® 84510"|"HB ASSAY OF TYROSINE"|301.00|$175.00|$62.13|$140.00|$122.00|$122.15|$62.13|$126.35|$122.50|$112.18|$140.00|$76.30|$81.38|$122.50|$122.48|$132.16|$104.11
"CPT® 84520"|"HB ASSAY OF UREA NITROGEN"|301.00|$78.00|$27.69|$62.40|$55.00|$54.44|$27.69|$56.32|$54.60|$50.00|$62.40|$34.01|$36.27|$54.60|$54.59|$58.91|$46.40
"CPT® 84560"|"HB ASSAY OF URINE/URIC ACID"|301.00|$82.00|$29.11|$65.60|$57.00|$57.24|$29.11|$59.20|$57.40|$52.56|$65.60|$35.75|$38.13|$57.40|$57.39|$61.93|$48.78
"CPT® 84585"|"HB ASSAY OF URINE VMA"|301.00|$189.00|$67.10|$151.20|$132.00|$131.92|$67.10|$136.46|$132.30|$121.15|$151.20|$82.40|$87.89|$132.30|$132.28|$142.73|$112.44
"CPT® 84590"|"HB ASSAY OF VITAMIN A"|301.00|$160.00|$56.80|$128.00|$112.00|$111.68|$56.80|$115.52|$112.00|$102.56|$128.00|$69.76|$74.40|$112.00|$111.98|$120.83|$95.18
"CPT® 84591"|"HB ASSAY OF NOS VITAMIN"|301.00|$1188.00|$421.74|$950.40|$832.00|$829.22|$421.74|$857.74|$831.60|$761.51|$950.40|$517.97|$552.42|$831.60|$831.48|$897.18|$706.74
"CPT® 84630"|"HB ASSAY OF ZINC"|301.00|$122.00|$43.31|$97.60|$85.00|$85.16|$43.31|$88.08|$85.40|$78.20|$97.60|$53.19|$56.73|$85.40|$85.39|$92.13|$72.58
"CPT® 84681"|"HB ASSAY OF C-PEPTIDE"|301.00|$160.00|$56.80|$128.00|$112.00|$111.68|$56.80|$115.52|$112.00|$102.56|$128.00|$69.76|$74.40|$112.00|$111.98|$120.83|$95.18
"CPT® 84703"|"HB CHORIONIC GONADOTROPIN ASSAY"|301.00|$129.00|$45.80|$103.20|$90.00|$90.04|$45.80|$93.14|$90.30|$82.69|$103.20|$56.24|$59.99|$90.30|$90.29|$97.42|$76.74
"CPT® 86658"|"HB ENTEROVIRUS ANTIBODY"|301.00|$80.00|$28.40|$64.00|$56.00|$55.84|$28.40|$57.76|$56.00|$51.28|$64.00|$34.88|$37.20|$56.00|$55.99|$60.42|$47.59
"CPT® 86828"|"HB HLA CLASS I&II ANTIBODY QUAL"|301.00|$458.00|$162.59|$366.40|$321.00|$319.68|$162.59|$330.68|$320.60|$293.58|$366.40|$199.69|$212.97|$320.60|$320.55|$345.88|$272.46
"CPT® 87798"|"HB DETECT AGENT NOS DNA AMP"|301.00|$204.00|$72.42|$163.20|$143.00|$142.39|$72.42|$147.29|$142.80|$130.76|$163.20|$88.94|$94.86|$142.80|$142.78|$154.06|$121.36
"CPT® 89055"|"HB LEUKOCYTE ASSESSMENT FECAL"|301.00|$78.00|$27.69|$62.40|$55.00|$54.44|$27.69|$56.32|$54.60|$50.00|$62.40|$34.01|$36.27|$54.60|$54.59|$58.91|$46.40
"HCPCS G0431"|"HB DRUGS OF ABUSE SCREEN, QUALITATIVE"|301.00|$171.00|$60.71|$136.80|$120.00|$119.36|$60.71|$123.46|$119.70|$109.61|$136.80|$74.56|$79.52|$119.70|$119.68|$129.14|$101.73
"CPT® 80307"|"HB DRUG SCREEN ONE/MULT CLASS"|301.00|$358.00|$127.09|$286.40|$251.00|$249.88|$127.09|$258.48|$250.60|$229.48|$286.40|$156.09|$166.47|$250.60|$250.56|$270.36|$212.97
"CPT® 82800"|"HB GASES, BLOOD, PTT"|301.00|$110.00|$39.05|$88.00|$77.00|$76.78|$39.05|$79.42|$77.00|$70.51|$88.00|$47.96|$51.15|$77.00|$76.99|$83.07|$65.44
"CPT® 82805"|"HB CORD BLOOD GAS VENOUS"|301.00|$257.00|$91.24|$205.60|$180.00|$179.39|$91.24|$185.55|$179.90|$164.74|$205.60|$112.05|$119.51|$179.90|$179.87|$194.09|$152.89
"CPT® 82805"|"HB CORD BLOOD GAS ARTERIAL"|301.00|$257.00|$91.24|$205.60|$180.00|$179.39|$91.24|$185.55|$179.90|$164.74|$205.60|$112.05|$119.51|$179.90|$179.87|$194.09|$152.89
"CPT® 82810"|"HB PULMONARY 02 SATURATION"|301.00|$79.00|$28.05|$63.20|$55.00|$55.14|$28.05|$57.04|$55.30|$50.64|$63.20|$34.44|$36.74|$55.30|$55.29|$59.66|$47.00
"CPT® 82810"|"HB SV02"|301.00|$105.00|$37.28|$84.00|$74.00|$73.29|$37.28|$75.81|$73.50|$67.31|$84.00|$45.78|$48.83|$73.50|$73.49|$79.30|$62.46
"CPT® 82810"|"HB FEMORAL 02 SATURATION"|301.00|$77.00|$27.34|$61.60|$54.00|$53.75|$27.34|$55.59|$53.90|$49.36|$61.60|$33.57|$35.81|$53.90|$53.89|$58.15|$45.81
"CPT® 82810"|"HB AORTA 02 SATURATION"|301.00|$79.00|$28.05|$63.20|$55.00|$55.14|$28.05|$57.04|$55.30|$50.64|$63.20|$34.44|$36.74|$55.30|$55.29|$59.66|$47.00
"CPT® 83498"|"HB NEWBORN METABOLIC SCREEN. CAH"|301.00|$74.00|$26.27|$59.20|$52.00|$51.65|$26.27|$53.43|$51.80|$47.43|$59.20|$32.26|$34.41|$51.80|$51.79|$55.88|$44.02
"CPT® 83789"|"HB NEWBORN METABOLIC SCREEN, FATTY, ORGANIC & AMINO ACIDS, MS"|301.00|$61.00|$21.66|$48.80|$43.00|$42.58|$21.66|$44.04|$42.70|$39.10|$48.80|$26.60|$28.37|$42.70|$42.69|$46.07|$36.29
"CPT® 81479"|"HB NEWBORN METABOLIC SCREEN, TREC SCID"|301.00|$40.00|$14.20|$32.00|$28.00|$27.92|$14.20|$28.88|$28.00|$25.64|$32.00|$17.44|$18.60|$28.00|$28.00|$30.21|$23.80
"CPT® 82261"|"HB NEWBORN METABOLIC SCREEN. BIOTINIDASE"|301.00|$58.00|$20.59|$46.40|$41.00|$40.48|$20.59|$41.88|$40.60|$37.18|$46.40|$25.29|$26.97|$40.60|$40.59|$43.80|$34.50
"CPT® 83516"|"HB NEWBORN METABOLIC SCREEN, CYSTIC FIBROSIS"|301.00|$36.00|$12.78|$28.80|$25.00|$25.13|$12.78|$25.99|$25.20|$23.08|$28.80|$15.70|$16.74|$25.20|$25.20|$27.19|$21.42
"CPT® 83021"|"HB NEWBORN METABOLIC SCREEN, HEMOGLOBINOPATHIES"|301.00|$50.00|$17.75|$40.00|$35.00|$34.90|$17.75|$36.10|$35.00|$32.05|$40.00|$21.80|$23.25|$35.00|$35.00|$37.76|$29.75
"CPT® 84443"|"HB NEWBORN METABOLIC SCREEN, TSH/T4"|301.00|$48.00|$17.04|$38.40|$34.00|$33.50|$17.04|$34.66|$33.60|$30.77|$38.40|$20.93|$22.32|$33.60|$33.60|$36.25|$28.56
"CPT® 82776"|"HB NEWBORN METABOLIC SCREEN, URIDYLTRANSFERASE"|301.00|$33.00|$11.72|$26.40|$23.00|$23.03|$11.72|$23.83|$23.10|$21.15|$26.40|$14.39|$15.35|$23.10|$23.10|$24.92|$19.63
"CPT® 83013"|"HB HELICOBACTER PYLORI; BREATH TEST ANALYSIS FOR UREASE ACTIVITY; NON-RADIOACTIVE ISOTOPE"|301.00|$89.00|$31.60|$71.20|$62.00|$62.12|$31.60|$64.26|$62.30|$57.05|$71.20|$38.80|$41.39|$62.30|$62.29|$67.21|$52.95
"CPT® 83014"|"HB HELICOBACTER PYLORI; DRUG ADMINISTRATION"|301.00|$50.00|$17.75|$40.00|$35.00|$34.90|$17.75|$36.10|$35.00|$32.05|$40.00|$21.80|$23.25|$35.00|$35.00|$37.76|$29.75
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGG"|302.00|$165.00|$42.13|$132.00|$115.00|$115.17|$58.58|$42.13|$115.50|$105.77|$132.00|$42.13|$42.13|$115.50|$115.48|$124.61|$98.16
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGM"|302.00|$165.00|$42.13|$132.00|$115.00|$115.17|$58.58|$42.13|$115.50|$105.77|$132.00|$42.13|$42.13|$115.50|$115.48|$124.61|$98.16
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGG (Q)"|302.00|$165.00|$42.13|$132.00|$115.00|$115.17|$58.58|$42.13|$115.50|$105.77|$132.00|$42.13|$42.13|$115.50|$115.48|$124.61|$98.16
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGG (V)"|302.00|$165.00|$42.13|$132.00|$115.00|$115.17|$58.58|$42.13|$115.50|$105.77|$132.00|$42.13|$42.13|$115.50|$115.48|$124.61|$98.16
"CPT® 86769"|"HB COVID-19 ANTIBODIES, IGM (V)"|302.00|$165.00|$42.13|$132.00|$115.00|$115.17|$58.58|$42.13|$115.50|$105.77|$132.00|$42.13|$42.13|$115.50|$115.48|$124.61|$98.16
"CPT® 87635"|"HB SARS-COV-2 BY NAAT"|302.00|$165.00|$58.58|$132.00|$115.00|$115.17|$58.58|$100.00|$115.50|$105.77|$132.00|$100.00|$100.00|$115.50|$115.48|$124.61|$98.16
"CPT® 82595"|"HB ASSAY OF CRYOGLOBULIN"|302.00|$88.00|$31.24|$70.40|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$61.60|$61.59|$66.46|$52.35
"CPT® 83519"|"HB RIA NONANTIBODY"|302.00|$177.00|$62.84|$141.60|$124.00|$123.55|$62.84|$127.79|$123.90|$113.46|$141.60|$77.17|$82.31|$123.90|$123.88|$133.67|$105.30
"CPT® 86001"|"HB ALLERGEN SPECIFIC IGG"|302.00|$49.00|$17.40|$39.20|$34.00|$34.20|$17.40|$35.38|$34.30|$31.41|$39.20|$21.36|$22.79|$34.30|$34.30|$37.00|$29.15
"CPT® 86003"|"HB ALLERGEN SPECIFIC IGE"|302.00|$57.00|$20.24|$45.60|$40.00|$39.79|$20.24|$41.15|$39.90|$36.54|$45.60|$24.85|$26.51|$39.90|$39.89|$43.05|$33.91
"CPT® 86005"|"HB ALLERGEN SPECIFIC IGE QUALITATIVE"|302.00|$35.00|$12.43|$28.00|$24.00|$24.43|$12.43|$25.27|$24.50|$22.44|$28.00|$15.26|$16.28|$24.50|$24.50|$26.43|$20.82
"CPT® 86038"|"HB ANTINUCLEAR ANTIBODIES"|302.00|$105.00|$37.28|$84.00|$74.00|$73.29|$37.28|$75.81|$73.50|$67.31|$84.00|$45.78|$48.83|$73.50|$73.49|$79.30|$62.46
"CPT® 86060"|"HB ANTISTREPTOLYSIN O TITER"|302.00|$38.00|$13.49|$30.40|$27.00|$26.52|$13.49|$27.44|$26.60|$24.36|$30.40|$16.57|$17.67|$26.60|$26.60|$28.70|$22.61
"CPT® 86140"|"HB C-REACTIVE PROTEIN"|302.00|$44.00|$15.62|$35.20|$31.00|$30.71|$15.62|$31.77|$30.80|$28.20|$35.20|$19.18|$20.46|$30.80|$30.80|$33.23|$26.18
"CPT® 86141"|"HB C-REACTIVE PROTEIN HS"|302.00|$170.00|$60.35|$136.00|$119.00|$118.66|$60.35|$122.74|$119.00|$108.97|$136.00|$74.12|$79.05|$119.00|$118.98|$128.38|$101.13
"CPT® 86147"|"HB CARDIOLIPIN ANTIBODY EA IG"|302.00|$38.00|$13.49|$30.40|$27.00|$26.52|$13.49|$27.44|$26.60|$24.36|$30.40|$16.57|$17.67|$26.60|$26.60|$28.70|$22.61
"CPT® 86152"|"HB CELL ENUMERATION & ID"|302.00|$964.00|$342.22|$771.20|$675.00|$672.87|$342.22|$696.01|$674.80|$617.92|$771.20|$420.30|$448.26|$674.80|$674.70|$728.01|$573.48
"CPT® 86153"|"HB CELL ENUMERATION PHYS INTERP"|302.00|$756.00|$268.38|$604.80|$529.00|$527.69|$268.38|$545.83|$529.20|$484.60|$604.80|$329.62|$351.54|$529.20|$529.12|$570.93|$449.74
"CPT® 86160"|"HB COMPLEMENT ANTIGEN"|302.00|$116.00|$41.18|$92.80|$81.00|$80.97|$41.18|$83.75|$81.20|$74.36|$92.80|$50.58|$53.94|$81.20|$81.19|$87.60|$69.01
"CPT® 86161"|"HB COMPLEMENT/FUNCTION ACTIVITY"|302.00|$162.00|$57.51|$129.60|$113.00|$113.08|$57.51|$116.96|$113.40|$103.84|$129.60|$70.63|$75.33|$113.40|$113.38|$122.34|$96.37
"CPT® 86162"|"HB COMPLEMENT TOTAL (CH50)"|302.00|$193.00|$68.52|$154.40|$135.00|$134.71|$68.52|$139.35|$135.10|$123.71|$154.40|$84.15|$89.75|$135.10|$135.08|$145.75|$114.82
"CPT® 86200"|"HB CCP ANTIBODY"|302.00|$146.00|$51.83|$116.80|$102.00|$101.91|$51.83|$105.41|$102.20|$93.59|$116.80|$63.66|$67.89|$102.20|$102.19|$110.26|$86.86
"CPT® 86225"|"HB DNA ANTIBODY NATIVE"|302.00|$113.00|$40.12|$90.40|$79.00|$78.87|$40.12|$81.59|$79.10|$72.43|$90.40|$49.27|$52.55|$79.10|$79.09|$85.34|$67.22
"CPT® 86235"|"HB NUCLEAR ANTIGEN ANTIBODY"|302.00|$240.00|$85.20|$192.00|$168.00|$167.52|$85.20|$173.28|$168.00|$153.84|$192.00|$104.64|$111.60|$168.00|$167.98|$181.25|$142.78
"CPT® 86255"|"HB FLUORESCENT ANTIBODY SCREEN"|302.00|$347.00|$123.19|$277.60|$243.00|$242.21|$123.19|$250.53|$242.90|$222.43|$277.60|$151.29|$161.36|$242.90|$242.87|$262.05|$206.43
"CPT® 86300"|"HB IMMUNOASSAY TUMOR CA 15-3"|302.00|$195.00|$69.23|$156.00|$136.00|$136.11|$69.23|$140.79|$136.50|$125.00|$156.00|$85.02|$90.68|$136.50|$136.48|$147.26|$116.01
"CPT® 86301"|"HB IMMUNOASSAY TUMOR CA 19-9"|302.00|$205.00|$72.78|$164.00|$144.00|$143.09|$72.78|$148.01|$143.50|$131.41|$164.00|$89.38|$95.33|$143.50|$143.48|$154.82|$121.95
"CPT® 86308"|"HB HETEROPHILE ANTIBODY SCREEN"|302.00|$99.00|$35.15|$79.20|$69.00|$69.10|$35.15|$71.48|$69.30|$63.46|$79.20|$43.16|$46.04|$69.30|$69.29|$74.76|$58.90
"CPT® 86316"|"HB IMMUNOASSAY TUMOR OTHER"|302.00|$167.00|$59.29|$133.60|$117.00|$116.57|$59.29|$120.57|$116.90|$107.05|$133.60|$72.81|$77.66|$116.90|$116.88|$126.12|$99.35
"CPT® 86332"|"HB IMMUNE COMPLEX ASSAY"|302.00|$286.00|$101.53|$228.80|$200.00|$199.63|$101.53|$206.49|$200.20|$183.33|$228.80|$124.70|$132.99|$200.20|$200.17|$215.99|$170.14
"CPT® 86335"|"HB IMMUNFIX E-PHORSIS/URINE/CSF"|302.00|$88.00|$31.24|$70.40|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$61.60|$61.59|$66.46|$52.35
"CPT® 86340"|"HB INTRINSIC FACTOR ANTIBODY"|302.00|$155.00|$55.03|$124.00|$108.00|$108.19|$55.03|$111.91|$108.50|$99.36|$124.00|$67.58|$72.08|$108.50|$108.48|$117.06|$92.21
"CPT® 86343"|"HB LEUKOCYTE HISTAMINE RELEASE"|302.00|$64.00|$22.72|$51.20|$45.00|$44.67|$22.72|$46.21|$44.80|$41.02|$51.20|$27.90|$29.76|$44.80|$44.79|$48.33|$38.07
"CPT® 86352"|"HB CELL FUNCTION ASSAY W/STIM"|302.00|$502.00|$178.21|$401.60|$351.00|$350.40|$178.21|$362.44|$351.40|$321.78|$401.60|$218.87|$233.43|$351.40|$351.35|$379.11|$298.64
"CPT® 86353"|"HB LYMPHOCYTE TRANSFORMATION"|302.00|$690.00|$244.95|$552.00|$483.00|$481.62|$244.95|$498.18|$483.00|$442.29|$552.00|$300.84|$320.85|$483.00|$482.93|$521.09|$410.48
"CPT® 86376"|"HB MICROSOMAL ANTIBODY EACH"|302.00|$200.00|$71.00|$160.00|$140.00|$139.60|$71.00|$144.40|$140.00|$128.20|$160.00|$87.20|$93.00|$140.00|$139.98|$151.04|$118.98
"CPT® 86403"|"HB PARTICLE AGGLUT ANTBDY SCRN"|302.00|$40.00|$14.20|$32.00|$28.00|$27.92|$14.20|$28.88|$28.00|$25.64|$32.00|$17.44|$18.60|$28.00|$28.00|$30.21|$23.80
"CPT® 86406"|"HB PARTICLE AGGLUT ANTBDY TITR"|302.00|$363.00|$128.87|$290.40|$254.00|$253.37|$128.87|$262.09|$254.10|$232.68|$290.40|$158.27|$168.80|$254.10|$254.06|$274.14|$215.95
"CPT® 86431"|"HB RHEUMATOID FACTOR QUANT"|302.00|$42.00|$14.91|$33.60|$29.00|$29.32|$14.91|$30.32|$29.40|$26.92|$33.60|$18.31|$19.53|$29.40|$29.40|$31.72|$24.99
"CPT® 86592"|"HB SYPHILIS TEST NON-TREP QUAL"|302.00|$91.00|$32.31|$72.80|$64.00|$63.52|$32.31|$65.70|$63.70|$58.33|$72.80|$39.68|$42.32|$63.70|$63.69|$68.72|$54.14
"CPT® 86611"|"HB BARTONELLA ANTIBODY"|302.00|$39.00|$13.85|$31.20|$27.00|$27.22|$13.85|$28.16|$27.30|$25.00|$31.20|$17.00|$18.14|$27.30|$27.30|$29.45|$23.20
"CPT® 86618"|"HB LYME DISEASE ANTIBODY"|302.00|$138.00|$48.99|$110.40|$97.00|$96.32|$48.99|$99.64|$96.60|$88.46|$110.40|$60.17|$64.17|$96.60|$96.59|$104.22|$82.10
"CPT® 86622"|"HB BRUCELLA ANTIBODY"|302.00|$60.00|$21.30|$48.00|$42.00|$41.88|$21.30|$43.32|$42.00|$38.46|$48.00|$26.16|$27.90|$42.00|$41.99|$45.31|$35.69
"CPT® 86628"|"HB CANDIDA ANTIBODY"|302.00|$52.00|$18.46|$41.60|$36.00|$36.30|$18.46|$37.54|$36.40|$33.33|$41.60|$22.67|$24.18|$36.40|$36.39|$39.27|$30.93
"CPT® 86638"|"HB Q FEVER ANTIBODY"|302.00|$112.00|$39.76|$89.60|$78.00|$78.18|$39.76|$80.86|$78.40|$71.79|$89.60|$48.83|$52.08|$78.40|$78.39|$84.58|$66.63
"CPT® 86641"|"HB CRYPTOCOCCUS ANTIBODY"|302.00|$124.00|$44.02|$99.20|$87.00|$86.55|$44.02|$89.53|$86.80|$79.48|$99.20|$54.06|$57.66|$86.80|$86.79|$93.64|$73.77
"CPT® 86648"|"HB DIPHTHERIA ANTIBODY"|302.00|$90.00|$31.95|$72.00|$63.00|$62.82|$31.95|$64.98|$63.00|$57.69|$72.00|$39.24|$41.85|$63.00|$62.99|$67.97|$53.54
"CPT® 86664"|"HB EPSTEIN-BARR NUCLEAR ANTIGEN"|302.00|$141.00|$50.06|$112.80|$99.00|$98.42|$50.06|$101.80|$98.70|$90.38|$112.80|$61.48|$65.57|$98.70|$98.69|$106.48|$83.88
"CPT® 86665"|"HB EPSTEIN-BARR CAPSID VCA"|302.00|$141.00|$50.06|$112.80|$99.00|$98.42|$50.06|$101.80|$98.70|$90.38|$112.80|$61.48|$65.57|$98.70|$98.69|$106.48|$83.88
"CPT® 86666"|"HB EHRLICHIA ANTIBODY"|302.00|$102.00|$36.21|$81.60|$71.00|$71.20|$36.21|$73.64|$71.40|$65.38|$81.60|$44.47|$47.43|$71.40|$71.39|$77.03|$60.68
"CPT® 86674"|"HB GIARDIA LAMBLIA ANTIBODY"|302.00|$87.00|$30.89|$69.60|$61.00|$60.73|$30.89|$62.81|$60.90|$55.77|$69.60|$37.93|$40.46|$60.90|$60.89|$65.70|$51.76
"CPT® 86677"|"HB HELICOBACTER PYLORI ANTIBODY"|302.00|$144.00|$51.12|$115.20|$101.00|$100.51|$51.12|$103.97|$100.80|$92.30|$115.20|$62.78|$66.96|$100.80|$100.79|$108.75|$85.67
"CPT® 86682"|"HB HELMINTH ANTIBODY"|302.00|$203.00|$72.07|$162.40|$142.00|$141.69|$72.07|$146.57|$142.10|$130.12|$162.40|$88.51|$94.40|$142.10|$142.08|$153.31|$120.76
"CPT® 86687"|"HB HTLV-I ANTIBODY"|302.00|$147.00|$52.19|$117.60|$103.00|$102.61|$52.19|$106.13|$102.90|$94.23|$117.60|$64.09|$68.36|$102.90|$102.89|$111.01|$87.45
"CPT® 86692"|"HB HEPATITIS DELTA AGENT ANTBDY"|302.00|$149.00|$52.90|$119.20|$104.00|$104.00|$52.90|$107.58|$104.30|$95.51|$119.20|$64.96|$69.29|$104.30|$104.29|$112.52|$88.64
"CPT® 86701"|"HB HIV-1ANTIBODY"|302.00|$90.00|$31.95|$72.00|$63.00|$62.82|$31.95|$64.98|$63.00|$57.69|$72.00|$39.24|$41.85|$63.00|$62.99|$67.97|$53.54
"CPT® 86702"|"HB HIV-2 ANTIBODY"|302.00|$175.00|$62.13|$140.00|$122.00|$122.15|$62.13|$126.35|$122.50|$112.18|$140.00|$76.30|$81.38|$122.50|$122.48|$132.16|$104.11
"CPT® 86703"|"HB HIV-1/HIV-2 1 RESULT ANTBDY"|302.00|$162.00|$57.51|$129.60|$113.00|$113.08|$57.51|$116.96|$113.40|$103.84|$129.60|$70.63|$75.33|$113.40|$113.38|$122.34|$96.37
"CPT® 86706"|"HB HEP B SURFACE ANTIBODY"|302.00|$214.00|$75.97|$171.20|$150.00|$149.37|$75.97|$154.51|$149.80|$137.17|$171.20|$93.30|$99.51|$149.80|$149.78|$161.61|$127.31
"CPT® 86708"|"HB HEPATITIS A ANTIBODY"|302.00|$116.00|$41.18|$92.80|$81.00|$80.97|$41.18|$83.75|$81.20|$74.36|$92.80|$50.58|$53.94|$81.20|$81.19|$87.60|$69.01
"CPT® 86709"|"HB HEPATITIS A IGM ANTIBODY"|302.00|$292.00|$103.66|$233.60|$204.00|$203.82|$103.66|$210.82|$204.40|$187.17|$233.60|$127.31|$135.78|$204.40|$204.37|$220.52|$173.71
"CPT® 86711"|"HB JOHN CUNNINGHAM ANTIBODY"|302.00|$1454.00|$516.17|$1163.20|$1018.00|$1014.89|$516.17|$1049.79|$1017.80|$932.01|$1163.20|$633.94|$676.11|$1017.80|$1017.65|$1098.06|$864.98
"CPT® 86720"|"HB LEPTOSPIRA ANTIBODY"|302.00|$153.00|$54.32|$122.40|$107.00|$106.79|$54.32|$110.47|$107.10|$98.07|$122.40|$66.71|$71.15|$107.10|$107.08|$115.55|$91.02
"CPT® 86738"|"HB MYCOPLASMA ANTIBODY"|302.00|$91.00|$32.31|$72.80|$64.00|$63.52|$32.31|$65.70|$63.70|$58.33|$72.80|$39.68|$42.32|$63.70|$63.69|$68.72|$54.14
"CPT® 86753"|"HB PROTOZOA ANTIBODY NOS"|302.00|$164.00|$58.22|$131.20|$115.00|$114.47|$58.22|$118.41|$114.80|$105.12|$131.20|$71.50|$76.26|$114.80|$114.78|$123.85|$97.56
"CPT® 86757"|"HB RICKETTSIA ANTIBODY"|302.00|$57.00|$20.24|$45.60|$40.00|$39.79|$20.24|$41.15|$39.90|$36.54|$45.60|$24.85|$26.51|$39.90|$39.89|$43.05|$33.91
"CPT® 86765"|"HB RUBEOLA ANTIBODY"|302.00|$137.00|$48.64|$109.60|$96.00|$95.63|$48.64|$98.91|$95.90|$87.82|$109.60|$59.73|$63.71|$95.90|$95.89|$103.46|$81.50
"CPT® 86768"|"HB SALMONELLA ANTIBODY"|302.00|$137.00|$48.64|$109.60|$96.00|$95.63|$48.64|$98.91|$95.90|$87.82|$109.60|$59.73|$63.71|$95.90|$95.89|$103.46|$81.50
"CPT® 86774"|"HB TETANUS ANTIBODY"|302.00|$50.00|$17.75|$40.00|$35.00|$34.90|$17.75|$36.10|$35.00|$32.05|$40.00|$21.80|$23.25|$35.00|$35.00|$37.76|$29.75
"CPT® 86777"|"HB TOXOPLASMA ANTIBODY"|302.00|$159.00|$56.45|$127.20|$111.00|$110.98|$56.45|$114.80|$111.30|$101.92|$127.20|$69.32|$73.94|$111.30|$111.28|$120.08|$94.59
"CPT® 86780"|"HB TREPONEMA PALLIDUM"|302.00|$57.00|$20.24|$45.60|$40.00|$39.79|$20.24|$41.15|$39.90|$36.54|$45.60|$24.85|$26.51|$39.90|$39.89|$43.05|$33.91
"CPT® 86800"|"HB THYROGLOBULIN ANTIBODY"|302.00|$136.00|$48.28|$108.80|$95.00|$94.93|$48.28|$98.19|$95.20|$87.18|$108.80|$59.30|$63.24|$95.20|$95.19|$102.71|$80.91
"CPT® 86803"|"HB HEPATITIS C AB TEST"|302.00|$170.00|$60.35|$136.00|$119.00|$118.66|$60.35|$122.74|$119.00|$108.97|$136.00|$74.12|$79.05|$119.00|$118.98|$128.38|$101.13
"CPT® 86812"|"HB HLA TYPING A B OR C_HLA TYPING; A, B, OR C SINGLE ANTIGEN"|302.00|$111.00|$39.41|$88.80|$78.00|$77.48|$39.41|$80.14|$77.70|$71.15|$88.80|$48.40|$51.62|$77.70|$77.69|$83.83|$66.03
"CPT® 86849"|"HB IMMUNOLOGY PROCEDURE"|302.00|$2689.00|$954.60|$2151.20|$1882.00|$1876.92|$954.60|$1941.46|$1882.30|$1723.65|$2151.20|$1172.40|$1250.39|$1882.30|$1882.03|$2030.73|$1599.69
"CPT® 86975"|"HB RBC SERUM PRETX INCUBJ DRUGS"|302.00|$144.00|$51.12|$115.20|$101.00|$100.51|$51.12|$103.97|$100.80|$92.30|$115.20|$62.78|$66.96|$100.80|$100.79|$108.75|$85.67
"CPT® 86977"|"HB RBC SERUM PRETX INCUBJ/INHIB"|302.00|$132.00|$46.86|$105.60|$92.00|$92.14|$46.86|$95.30|$92.40|$84.61|$105.60|$57.55|$61.38|$92.40|$92.39|$99.69|$78.53
"CPT® 87340"|"HB HEPATITIS B SURFACE AG IA"|302.00|$149.00|$52.90|$119.20|$104.00|$104.00|$52.90|$107.58|$104.30|$95.51|$119.20|$64.96|$69.29|$104.30|$104.29|$112.52|$88.64
"HCPCS G0452"|"HB MOLECULAR PATHOLOGY INTERPR"|302.00|$425.00|$150.88|$340.00|$298.00|$296.65|$150.88|$306.85|$297.50|$272.43|$340.00|$185.30|$197.63|$297.50|$297.46|$320.96|$252.83
"CPT® 86902"|"HB ANTIGEN SCREEN 1-HBC"|302.00|$105.00|$37.28|$84.00|$74.00|$73.29|$37.28|$75.81|$73.50|$67.31|$84.00|$45.78|$48.83|$73.50|$73.49|$79.30|$62.46
"CPT® 86902"|"HB ANTIGEN SCREEN 2-HBC"|302.00|$105.00|$37.28|$84.00|$74.00|$73.29|$37.28|$75.81|$73.50|$67.31|$84.00|$45.78|$48.83|$73.50|$73.49|$79.30|$62.46
"CPT® 86902"|"HB ANTIGEN SCREEN 3-HBC"|302.00|$105.00|$37.28|$84.00|$74.00|$73.29|$37.28|$75.81|$73.50|$67.31|$84.00|$45.78|$48.83|$73.50|$73.49|$79.30|$62.46
"CPT® 86921"|"HB TYPE AND CROSSMATCH PREWARM"|302.00|$271.00|$96.21|$216.80|$190.00|$189.16|$96.21|$195.66|$189.70|$173.71|$216.80|$118.16|$126.02|$189.70|$189.67|$204.66|$161.22
"CPT® 86931"|"HB THAW CRYO"|302.00|$48.00|$17.04|$38.40|$34.00|$33.50|$17.04|$34.66|$33.60|$30.77|$38.40|$20.93|$22.32|$33.60|$33.60|$36.25|$28.56
"CPT® 86971"|"HB CHEM TRMNT RBC TYPING AB SCRN"|302.00|$132.00|$46.86|$105.60|$92.00|$92.14|$46.86|$95.30|$92.40|$84.61|$105.60|$57.55|$61.38|$92.40|$92.39|$99.69|$78.53
"CPT® 86999"|"HB CELL SEPERATION"|302.00|$94.00|$33.37|$75.20|$66.00|$65.61|$33.37|$67.87|$65.80|$60.25|$75.20|$40.98|$43.71|$65.80|$65.79|$70.99|$55.92
"CPT® 86794"|"HB ZIKA VIRUS IGM ANTIBODY"|302.00|$135.00|$47.93|$108.00|$94.00|$94.23|$47.93|$97.47|$94.50|$86.54|$108.00|$58.86|$62.78|$94.50|$94.49|$101.95|$80.31
"CPT® 86769"|"HB COVID ANTIBODIES (IGG, IGM, IGA)"|302.00|$165.00|$42.13|$132.00|$115.00|$115.17|$58.58|$42.13|$115.50|$105.77|$132.00|$42.13|$42.13|$115.50|$115.48|$124.61|$98.16
"CPT® 86022"|"HB HIT AB, REFLEX SEROTONIN RELEASE ASSAY"|302.00|$460.00|$163.30|$368.00|$322.00|$321.08|$163.30|$332.12|$322.00|$294.86|$368.00|$200.56|$213.90|$322.00|$321.95|$347.39|$273.65
"CPT® 86022"|"HB HIT AB HEPARIN INDUCED THROMBOCYTOPENIA ANTIBODY"|302.00|$460.00|$163.30|$368.00|$322.00|$321.08|$163.30|$332.12|$322.00|$294.86|$368.00|$200.56|$213.90|$322.00|$321.95|$347.39|$273.65
"CPT® 86769"|"HB REF COVID-19 ANTIBODIES, IGG (Q)"|302.00|$165.00|$42.13|$132.00|$115.00|$115.17|$58.58|$42.13|$115.50|$105.77|$132.00|$42.13|$42.13|$115.50|$115.48|$124.61|$98.16
"CPT® 85002"|"HB BLEEDING TIME TEST"|305.00|$81.00|$28.76|$64.80|$57.00|$56.54|$28.76|$58.48|$56.70|$51.92|$64.80|$35.32|$37.67|$56.70|$56.69|$61.17|$48.19
"CPT® 85007"|"HB BL SMEAR W/DIFF WBC COUNT"|305.00|$53.00|$18.82|$42.40|$37.00|$36.99|$18.82|$38.27|$37.10|$33.97|$42.40|$23.11|$24.65|$37.10|$37.09|$40.03|$31.53
"CPT® 85014"|"HB HEMATOCRIT"|305.00|$44.00|$15.62|$35.20|$31.00|$30.71|$15.62|$31.77|$30.80|$28.20|$35.20|$19.18|$20.46|$30.80|$30.80|$33.23|$26.18
"CPT® 85018"|"HB HEMOGLOBIN"|305.00|$46.00|$16.33|$36.80|$32.00|$32.11|$16.33|$33.21|$32.20|$29.49|$36.80|$20.06|$21.39|$32.20|$32.20|$34.74|$27.37
"CPT® 85025"|"HB COMPLETE CBC W/AUTO DIFF WBC"|305.00|$137.00|$48.64|$109.60|$96.00|$95.63|$48.64|$98.91|$95.90|$87.82|$109.60|$59.73|$63.71|$95.90|$95.89|$103.46|$81.50
"CPT® 85027"|"HB COMPLETE CBC AUTOMATED"|305.00|$58.00|$20.59|$46.40|$41.00|$40.48|$20.59|$41.88|$40.60|$37.18|$46.40|$25.29|$26.97|$40.60|$40.59|$43.80|$34.50
"CPT® 85041"|"HB AUTOMATED RBC COUNT"|305.00|$40.00|$14.20|$32.00|$28.00|$27.92|$14.20|$28.88|$28.00|$25.64|$32.00|$17.44|$18.60|$28.00|$28.00|$30.21|$23.80
"CPT® 85048"|"HB AUTOMATED LEUKOCYTE COUNT"|305.00|$39.00|$13.85|$31.20|$27.00|$27.22|$13.85|$28.16|$27.30|$25.00|$31.20|$17.00|$18.14|$27.30|$27.30|$29.45|$23.20
"CPT® 85049"|"HB AUTOMATED PLATELET COUNT"|305.00|$60.00|$21.30|$48.00|$42.00|$41.88|$21.30|$43.32|$42.00|$38.46|$48.00|$26.16|$27.90|$42.00|$41.99|$45.31|$35.69
"CPT® 85220"|"HB BLOOD CLOT FACTOR V TEST"|305.00|$211.00|$74.91|$168.80|$148.00|$147.28|$74.91|$152.34|$147.70|$135.25|$168.80|$92.00|$98.12|$147.70|$147.68|$159.35|$125.52
"CPT® 85230"|"HB CLOT FACTOR VII PROCONVERTIN"|305.00|$241.00|$85.56|$192.80|$169.00|$168.22|$85.56|$174.00|$168.70|$154.48|$192.80|$105.08|$112.07|$168.70|$168.68|$182.00|$143.37
"CPT® 85240"|"HB CLOT FACTOR VIII AHG 1 STAGE"|305.00|$478.00|$169.69|$382.40|$335.00|$333.64|$169.69|$345.12|$334.60|$306.40|$382.40|$208.41|$222.27|$334.60|$334.55|$360.99|$284.36
"CPT® 85300"|"HB ANTITHROMBIN III ACTIVITY"|305.00|$269.00|$95.50|$215.20|$188.00|$187.76|$95.50|$194.22|$188.30|$172.43|$215.20|$117.28|$125.09|$188.30|$188.27|$203.15|$160.03
"CPT® 85303"|"HB CLOT INHIBIT PROT C ACTIVITY"|305.00|$282.00|$100.11|$225.60|$197.00|$196.84|$100.11|$203.60|$197.40|$180.76|$225.60|$122.95|$131.13|$197.40|$197.37|$212.97|$167.76
"CPT® 85307"|"HB ASSAY ACTIVATED PROTEIN C"|305.00|$241.00|$85.56|$192.80|$169.00|$168.22|$85.56|$174.00|$168.70|$154.48|$192.80|$105.08|$112.07|$168.70|$168.68|$182.00|$143.37
"CPT® 85335"|"HB FACTOR INHIBITOR TEST"|305.00|$316.00|$112.18|$252.80|$221.00|$220.57|$112.18|$228.15|$221.20|$202.56|$252.80|$137.78|$146.94|$221.20|$221.17|$238.64|$187.99
"CPT® 85362"|"HB FIBRIN DEGRADATION PRODUCTS"|305.00|$189.00|$67.10|$151.20|$132.00|$131.92|$67.10|$136.46|$132.30|$121.15|$151.20|$82.40|$87.89|$132.30|$132.28|$142.73|$112.44
"CPT® 85379"|"HB FIBRIN DEGRADATION QUANT"|305.00|$122.00|$43.31|$97.60|$85.00|$85.16|$43.31|$88.08|$85.40|$78.20|$97.60|$53.19|$56.73|$85.40|$85.39|$92.13|$72.58
"CPT® 85397"|"HB CLOTTING FUNCT ACTIVITY"|305.00|$213.00|$75.62|$170.40|$149.00|$148.67|$75.62|$153.79|$149.10|$136.53|$170.40|$92.87|$99.05|$149.10|$149.08|$160.86|$126.71
"CPT® 85410"|"HB FIBRINOLYTIC ANTIPLASMIN"|305.00|$188.00|$66.74|$150.40|$132.00|$131.22|$66.74|$135.74|$131.60|$120.51|$150.40|$81.97|$87.42|$131.60|$131.58|$141.98|$111.84
"CPT® 85420"|"HB FIBRINOLYTIC PLASMINOGEN TISSUE EXCEPT ANTIGEN ASSAY"|305.00|$147.00|$52.19|$117.60|$103.00|$102.61|$52.19|$106.13|$102.90|$94.23|$117.60|$64.09|$68.36|$102.90|$102.89|$111.01|$87.45
"CPT® 85460"|"HB HEMOGLOBIN FETAL KLEIHAUER-BETKE STAIN"|305.00|$117.00|$41.54|$93.60|$82.00|$81.67|$41.54|$84.47|$81.90|$75.00|$93.60|$51.01|$54.41|$81.90|$81.89|$88.36|$69.60
"CPT® 85540"|"HB WBC ALKALINE PHOSPHATASE"|305.00|$239.00|$84.85|$191.20|$167.00|$166.82|$84.85|$172.56|$167.30|$153.20|$191.20|$104.20|$111.14|$167.30|$167.28|$180.49|$142.18
"CPT® 85557"|"HB RBC OSMOTIC FRAGILITY RBC"|305.00|$141.00|$50.06|$112.80|$99.00|$98.42|$50.06|$101.80|$98.70|$90.38|$112.80|$61.48|$65.57|$98.70|$98.69|$106.48|$83.88
"CPT® 85576"|"HB BLOOD PLATELET AGGREGATION"|305.00|$289.00|$102.60|$231.20|$202.00|$201.72|$102.60|$208.66|$202.30|$185.25|$231.20|$126.00|$134.39|$202.30|$202.27|$218.25|$171.93
"CPT® 85597"|"HB PHOSPHOLIPID PLTLT NEUTRALIZ"|305.00|$86.00|$30.53|$68.80|$60.00|$60.03|$30.53|$62.09|$60.20|$55.13|$68.80|$37.50|$39.99|$60.20|$60.19|$64.95|$51.16
"CPT® 85598"|"HB HEXAGNAL PHOSPH PLTLT NEUTRL"|305.00|$102.00|$36.21|$81.60|$71.00|$71.20|$36.21|$73.64|$71.40|$65.38|$81.60|$44.47|$47.43|$71.40|$71.39|$77.03|$60.68
"CPT® 85610"|"HB PROTHROMBIN TIME"|305.00|$62.00|$22.01|$49.60|$43.00|$43.28|$22.01|$44.76|$43.40|$39.74|$49.60|$27.03|$28.83|$43.40|$43.39|$46.82|$36.88
"CPT® 85613"|"HB RUSSELL VIPER VENOM DILUTED"|305.00|$58.00|$20.59|$46.40|$41.00|$40.48|$20.59|$41.88|$40.60|$37.18|$46.40|$25.29|$26.97|$40.60|$40.59|$43.80|$34.50
"CPT® 85660"|"HB RBC SICKLE CELL TEST"|305.00|$160.00|$56.80|$128.00|$112.00|$111.68|$56.80|$115.52|$112.00|$102.56|$128.00|$69.76|$74.40|$112.00|$111.98|$120.83|$95.18
"CPT® 85670"|"HB THROMBIN TIME PLASMA"|305.00|$65.00|$23.08|$52.00|$46.00|$45.37|$23.08|$46.93|$45.50|$41.67|$52.00|$28.34|$30.23|$45.50|$45.49|$49.09|$38.67
"CPT® 85705"|"HB THROMBOPLASTIN INHIBITION"|305.00|$138.00|$48.99|$110.40|$97.00|$96.32|$48.99|$99.64|$96.60|$88.46|$110.40|$60.17|$64.17|$96.60|$96.59|$104.22|$82.10
"CPT® 85732"|"HB THROMBOPLASTIN TIME PARTIAL SUBSTITUTION EACH"|305.00|$93.00|$33.02|$74.40|$65.00|$64.91|$33.02|$67.15|$65.10|$59.61|$74.40|$40.55|$43.25|$65.10|$65.09|$70.23|$55.33
"CPT® 85027"|"HB COMPLETE CBC AUTOMATED"|305.00|$99.00|$35.15|$79.20|$69.00|$69.10|$35.15|$71.48|$69.30|$63.46|$79.20|$43.16|$46.04|$69.30|$69.29|$74.76|$58.90
"CPT® 85610"|"HB PROTHROMBIN TIME"|305.00|$98.00|$34.79|$78.40|$69.00|$68.40|$34.79|$70.76|$68.60|$62.82|$78.40|$42.73|$45.57|$68.60|$68.59|$74.01|$58.30
"CPT® 85610"|"HB PROTHROMBIN TIME"|305.00|$98.00|$34.79|$78.40|$69.00|$68.40|$34.79|$70.76|$68.60|$62.82|$78.40|$42.73|$45.57|$68.60|$68.59|$74.01|$58.30
"CPT® 87483"|"HB CSF MENINGITIS PANEL, NAT"|305.00|$436.00|$154.78|$348.80|$305.00|$304.33|$154.78|$314.79|$305.20|$279.48|$348.80|$190.10|$202.74|$305.20|$305.16|$329.27|$259.38
"CPT® 85046"|"HB BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS"|305.00|$73.00|$25.92|$58.40|$51.00|$50.95|$25.92|$52.71|$51.10|$46.79|$58.40|$31.83|$33.95|$51.10|$51.09|$55.13|$43.43
"CPT® 87045"|"HB FECES CULTURE AEROBIC BACT"|306.00|$142.00|$50.41|$113.60|$99.00|$99.12|$50.41|$102.52|$99.40|$91.02|$113.60|$61.91|$66.03|$99.40|$99.39|$107.24|$84.48
"CPT® 87046"|"HB STOOL CULTR AEROBIC BACT EA"|306.00|$26.00|$9.23|$20.80|$18.00|$18.15|$9.23|$18.77|$18.20|$16.67|$20.80|$11.34|$12.09|$18.20|$18.20|$19.64|$15.47
"CPT® 87070"|"HB CULTURE OTHR SPECIMN AEROBIC"|306.00|$216.00|$76.68|$172.80|$151.00|$150.77|$76.68|$155.95|$151.20|$138.46|$172.80|$94.18|$100.44|$151.20|$151.18|$163.12|$128.50
"CPT® 87077"|"HB CULTURE AEROBIC IDENTIFY"|306.00|$82.00|$29.11|$65.60|$57.00|$57.24|$29.11|$59.20|$57.40|$52.56|$65.60|$35.75|$38.13|$57.40|$57.39|$61.93|$48.78
"CPT® 87081"|"HB CULTURE SCREEN ONLY"|306.00|$214.00|$75.97|$171.20|$150.00|$149.37|$75.97|$154.51|$149.80|$137.17|$171.20|$93.30|$99.51|$149.80|$149.78|$161.61|$127.31
"CPT® 87101"|"HB SKIN FUNGI CULTURE"|306.00|$124.00|$44.02|$99.20|$87.00|$86.55|$44.02|$89.53|$86.80|$79.48|$99.20|$54.06|$57.66|$86.80|$86.79|$93.64|$73.77
"CPT® 87102"|"HB FUNGUS ISOLATION CULTURE"|306.00|$124.00|$44.02|$99.20|$87.00|$86.55|$44.02|$89.53|$86.80|$79.48|$99.20|$54.06|$57.66|$86.80|$86.79|$93.64|$73.77
"CPT® 87106"|"HB FUNGI IDENTIFICATION YEAST"|306.00|$124.00|$44.02|$99.20|$87.00|$86.55|$44.02|$89.53|$86.80|$79.48|$99.20|$54.06|$57.66|$86.80|$86.79|$93.64|$73.77
"CPT® 87116"|"HB MYCOBACTERIA CULTURE"|306.00|$167.00|$59.29|$133.60|$117.00|$116.57|$59.29|$120.57|$116.90|$107.05|$133.60|$72.81|$77.66|$116.90|$116.88|$126.12|$99.35
"CPT® 87149"|"HB DNA/RNA DIRECT PROBE"|306.00|$55.00|$19.53|$44.00|$38.00|$38.39|$19.53|$39.71|$38.50|$35.26|$44.00|$23.98|$25.58|$38.50|$38.49|$41.54|$32.72
"CPT® 87153"|"HB DNA/RNA SEQUENCING"|306.00|$179.00|$63.55|$143.20|$125.00|$124.94|$63.55|$129.24|$125.30|$114.74|$143.20|$78.04|$83.24|$125.30|$125.28|$135.18|$106.49
"CPT® 87158"|"HB CULTURE TYPING ADDED METHOD"|306.00|$15.00|$5.33|$12.00|$10.00|$10.47|$5.33|$10.83|$10.50|$9.62|$12.00|$6.54|$6.98|$10.50|$10.50|$11.33|$8.92
"CPT® 87168"|"HB MACROSCOPIC EXAM ARTHROPOD"|306.00|$58.00|$20.59|$46.40|$41.00|$40.48|$20.59|$41.88|$40.60|$37.18|$46.40|$25.29|$26.97|$40.60|$40.59|$43.80|$34.50
"CPT® 87169"|"HB MACROSCOPIC EXAM PARASITE"|306.00|$181.00|$64.26|$144.80|$127.00|$126.34|$64.26|$130.68|$126.70|$116.02|$144.80|$78.92|$84.17|$126.70|$126.68|$136.69|$107.68
"CPT® 87177"|"HB OVA AND PARASITES SMEARS"|306.00|$71.00|$25.21|$56.80|$50.00|$49.56|$25.21|$51.26|$49.70|$45.51|$56.80|$30.96|$33.02|$49.70|$49.69|$53.62|$42.24
"CPT® 87186"|"HB MICROBE SUSCEPTIBLE MIC"|306.00|$148.00|$52.54|$118.40|$104.00|$103.30|$52.54|$106.86|$103.60|$94.87|$118.40|$64.53|$68.82|$103.60|$103.59|$111.77|$88.05
"CPT® 87188"|"HB MICROBE SUSCEPT MACROBROTH"|306.00|$135.00|$47.93|$108.00|$94.00|$94.23|$47.93|$97.47|$94.50|$86.54|$108.00|$58.86|$62.78|$94.50|$94.49|$101.95|$80.31
"CPT® 87205"|"HB SMEAR GRAM STAIN"|306.00|$80.00|$28.40|$64.00|$56.00|$55.84|$28.40|$57.76|$56.00|$51.28|$64.00|$34.88|$37.20|$56.00|$55.99|$60.42|$47.59
"CPT® 87206"|"HB SMEAR FLUORESCENT/ACID STAI"|306.00|$74.00|$26.27|$59.20|$52.00|$51.65|$26.27|$53.43|$51.80|$47.43|$59.20|$32.26|$34.41|$51.80|$51.79|$55.88|$44.02
"CPT® 87209"|"HB SMEAR COMPLEX STAIN"|306.00|$133.00|$47.22|$106.40|$93.00|$92.83|$47.22|$96.03|$93.10|$85.25|$106.40|$57.99|$61.85|$93.10|$93.09|$100.44|$79.12
"CPT® 87210"|"HB SMEAR WET MOUNT SALINE/INK"|306.00|$91.00|$32.31|$72.80|$64.00|$63.52|$32.31|$65.70|$63.70|$58.33|$72.80|$39.68|$42.32|$63.70|$63.69|$68.72|$54.14
"CPT® 87253"|"HB VIRUS INOCULATE TISSUE ADDL"|306.00|$55.00|$19.53|$44.00|$38.00|$38.39|$19.53|$39.71|$38.50|$35.26|$44.00|$23.98|$25.58|$38.50|$38.49|$41.54|$32.72
"CPT® 87254"|"HB VIRUS INOCULATION SHELL VIA"|306.00|$53.00|$18.82|$42.40|$37.00|$36.99|$18.82|$38.27|$37.10|$33.97|$42.40|$23.11|$24.65|$37.10|$37.09|$40.03|$31.53
"CPT® 87265"|"HB PERTUSSIS AG IF"|306.00|$219.00|$77.75|$175.20|$153.00|$152.86|$77.75|$158.12|$153.30|$140.38|$175.20|$95.48|$101.84|$153.30|$153.28|$165.39|$130.28
"CPT® 87278"|"HB LEGION PNEUMOPHILIA AG IF"|306.00|$271.00|$96.21|$216.80|$190.00|$189.16|$96.21|$195.66|$189.70|$173.71|$216.80|$118.16|$126.02|$189.70|$189.67|$204.66|$161.22
"CPT® 87281"|"HB PNEUMOCYSTIS CARINII AG IF"|306.00|$233.00|$82.72|$186.40|$163.00|$162.63|$82.72|$168.23|$163.10|$149.35|$186.40|$101.59|$108.35|$163.10|$163.08|$175.96|$138.61
"CPT® 87290"|"HB VARICELLA ZOSTER AG IF"|306.00|$115.00|$40.83|$92.00|$80.00|$80.27|$40.83|$83.03|$80.50|$73.72|$92.00|$50.14|$53.48|$80.50|$80.49|$86.85|$68.41
"CPT® 87299"|"HB ANTIBODY DETECTION NOS IF"|306.00|$90.00|$31.95|$72.00|$63.00|$62.82|$31.95|$64.98|$63.00|$57.69|$72.00|$39.24|$41.85|$63.00|$62.99|$67.97|$53.54
"CPT® 87301"|"HB ADENOVIRUS AG IA"|306.00|$79.00|$28.05|$63.20|$55.00|$55.14|$28.05|$57.04|$55.30|$50.64|$63.20|$34.44|$36.74|$55.30|$55.29|$59.66|$47.00
"CPT® 87305"|"HB ASPERGILLUS AG IA"|306.00|$175.00|$62.13|$140.00|$122.00|$122.15|$62.13|$126.35|$122.50|$112.18|$140.00|$76.30|$81.38|$122.50|$122.48|$132.16|$104.11
"CPT® 87324"|"HB CLOSTRIDIUM AG IA"|306.00|$221.00|$78.46|$176.80|$155.00|$154.26|$78.46|$159.56|$154.70|$141.66|$176.80|$96.36|$102.77|$154.70|$154.68|$166.90|$131.47
"CPT® 87329"|"HB GIARDIA AG IA"|306.00|$68.00|$24.14|$54.40|$48.00|$47.46|$24.14|$49.10|$47.60|$43.59|$54.40|$29.65|$31.62|$47.60|$47.59|$51.35|$40.45
"CPT® 87335"|"HB E COLI 0157 AG IA"|306.00|$206.00|$73.13|$164.80|$144.00|$143.79|$73.13|$148.73|$144.20|$132.05|$164.80|$89.82|$95.79|$144.20|$144.18|$155.57|$122.55
"CPT® 87337"|"HB ENTAMOEB HIST GROUP AG IA"|306.00|$82.00|$29.11|$65.60|$57.00|$57.24|$29.11|$59.20|$57.40|$52.56|$65.60|$35.75|$38.13|$57.40|$57.39|$61.93|$48.78
"CPT® 87427"|"HB SHIGA-LIKE TOXIN AG IA"|306.00|$47.00|$16.69|$37.60|$33.00|$32.81|$16.69|$33.93|$32.90|$30.13|$37.60|$20.49|$21.86|$32.90|$32.90|$35.49|$27.96
"CPT® 87449"|"HB AG DETECT NOS IA MULT"|306.00|$283.00|$100.47|$226.40|$198.00|$197.53|$100.47|$204.33|$198.10|$181.40|$226.40|$123.39|$131.60|$198.10|$198.07|$213.72|$168.36
"CPT® 87450"|"HB AG DETECT NOS IA SINGLE"|306.00|$80.00|$28.40|$64.00|$56.00|$55.84|$28.40|$57.76|$56.00|$51.28|$64.00|$34.88|$37.20|$56.00|$55.99|$60.42|$47.59
"CPT® 87476"|"HB LYME DIS DNA AMP PROBE"|306.00|$355.00|$126.03|$284.00|$248.00|$247.79|$126.03|$256.31|$248.50|$227.56|$284.00|$154.78|$165.08|$248.50|$248.46|$268.10|$211.19
"CPT® 87486"|"HB CHYLMD PNEUM DNA AMP PROBE"|306.00|$94.00|$33.37|$75.20|$66.00|$65.61|$33.37|$67.87|$65.80|$60.25|$75.20|$40.98|$43.71|$65.80|$65.79|$70.99|$55.92
"CPT® 87493"|"HB C DIFF AMPLIFIED PROBE"|306.00|$191.00|$67.81|$152.80|$134.00|$133.32|$67.81|$137.90|$133.70|$122.43|$152.80|$83.28|$88.82|$133.70|$133.68|$144.24|$113.63
"CPT® 87496"|"HB CYTOMEG DNA AMP PROBE"|306.00|$362.00|$128.51|$289.60|$253.00|$252.68|$128.51|$261.36|$253.40|$232.04|$289.60|$157.83|$168.33|$253.40|$253.36|$273.38|$215.35
"CPT® 87498"|"HB ENTEROVIRUS PROBE&REVRS TRNS"|306.00|$348.00|$123.54|$278.40|$244.00|$242.90|$123.54|$251.26|$243.60|$223.07|$278.40|$151.73|$161.82|$243.60|$243.57|$262.81|$207.03
"CPT® 87502"|"HB INFLUENZA DNA AMP PROBE"|306.00|$339.00|$120.35|$271.20|$237.00|$236.62|$120.35|$244.76|$237.30|$217.30|$271.20|$147.80|$157.64|$237.30|$237.27|$256.01|$201.67
"CPT® 87503"|"HB INFLUENZA DNA AMP PROB ADDL"|306.00|$87.00|$30.89|$69.60|$61.00|$60.73|$30.89|$62.81|$60.90|$55.77|$69.60|$37.93|$40.46|$60.90|$60.89|$65.70|$51.76
"CPT® 87511"|"HB GARDNER VAG DNA AMP PROBE"|306.00|$193.00|$68.52|$154.40|$135.00|$134.71|$68.52|$139.35|$135.10|$123.71|$154.40|$84.15|$89.75|$135.10|$135.08|$145.75|$114.82
"CPT® 87516"|"HB HEPATITIS B DNA AMP PROBE"|306.00|$136.00|$48.28|$108.80|$95.00|$94.93|$48.28|$98.19|$95.20|$87.18|$108.80|$59.30|$63.24|$95.20|$95.19|$102.71|$80.91
"CPT® 87517"|"HB HEPATITIS B DNA QUANT"|306.00|$343.00|$121.77|$274.40|$240.00|$239.41|$121.77|$247.65|$240.10|$219.86|$274.40|$149.55|$159.50|$240.10|$240.07|$259.03|$204.05
"CPT® 87522"|"HB HEPATITIS C REVRS TRNSCRPJ"|306.00|$775.00|$275.13|$620.00|$542.00|$540.95|$275.13|$559.55|$542.50|$496.78|$620.00|$337.90|$360.38|$542.50|$542.42|$585.28|$461.05
"CPT® 87530"|"HB HSV DNA QUANT"|306.00|$274.00|$97.27|$219.20|$192.00|$191.25|$97.27|$197.83|$191.80|$175.63|$219.20|$119.46|$127.41|$191.80|$191.77|$206.92|$163.00
"CPT® 87532"|"HB HHV-6 DNA AMP PROBE"|306.00|$549.00|$194.90|$439.20|$384.00|$383.20|$194.90|$396.38|$384.30|$351.91|$439.20|$239.36|$255.29|$384.30|$384.25|$414.60|$326.60
"CPT® 87533"|"HB HHV-6 DNA QUANT"|306.00|$674.00|$239.27|$539.20|$472.00|$470.45|$239.27|$486.63|$471.80|$432.03|$539.20|$293.86|$313.41|$471.80|$471.73|$509.00|$400.96
"CPT® 87535"|"HB HIV-1 PROBE&REVERSE TRNSCRPJ"|306.00|$293.00|$104.02|$234.40|$205.00|$204.51|$104.02|$211.55|$205.10|$187.81|$234.40|$127.75|$136.25|$205.10|$205.07|$221.27|$174.31
"CPT® 87536"|"HB HIV-1 QUANT&REVRSE TRNSCRPJ"|306.00|$622.00|$220.81|$497.60|$435.00|$434.16|$220.81|$449.08|$435.40|$398.70|$497.60|$271.19|$289.23|$435.40|$435.34|$469.73|$370.03
"CPT® 87556"|"HB M.TUBERCULO DNA AMP PROBE"|306.00|$365.00|$129.58|$292.00|$255.00|$254.77|$129.58|$263.53|$255.50|$233.97|$292.00|$159.14|$169.73|$255.50|$255.46|$275.65|$217.14
"CPT® 87581"|"HB M.PNEUMON DNA AMP PROBE"|306.00|$496.00|$176.08|$396.80|$347.00|$346.21|$176.08|$358.11|$347.20|$317.94|$396.80|$216.26|$230.64|$347.20|$347.15|$374.58|$295.07
"CPT® 87591"|"HB N.GONORRHOEAE DNA AMP PROB"|306.00|$155.00|$55.03|$124.00|$108.00|$108.19|$55.03|$111.91|$108.50|$99.36|$124.00|$67.58|$72.08|$108.50|$108.48|$117.06|$92.21
"CPT® 87623"|"HB HPV LOW-RISK TYPES"|306.00|$222.00|$78.81|$177.60|$155.00|$154.96|$78.81|$160.28|$155.40|$142.30|$177.60|$96.79|$103.23|$155.40|$155.38|$167.65|$132.07
"CPT® 87625"|"HB HPV TYPES 16 & 18 ONLY"|306.00|$222.00|$78.81|$177.60|$155.00|$154.96|$78.81|$160.28|$155.40|$142.30|$177.60|$96.79|$103.23|$155.40|$155.38|$167.65|$132.07
"CPT® 87633"|"HB RESP VIRUS 12-25 TARGETS"|306.00|$768.00|$272.64|$614.40|$538.00|$536.06|$272.64|$554.50|$537.60|$492.29|$614.40|$334.85|$357.12|$537.60|$537.52|$579.99|$456.88
"CPT® 87640"|"HB STAPH A DNA AMP PROBE"|306.00|$198.00|$70.29|$158.40|$139.00|$138.20|$70.29|$142.96|$138.60|$126.92|$158.40|$86.33|$92.07|$138.60|$138.58|$149.53|$117.79
"CPT® 87641"|"HB MR-STAPH DNA AMP PROBE"|306.00|$206.00|$73.13|$164.80|$144.00|$143.79|$73.13|$148.73|$144.20|$132.05|$164.80|$89.82|$95.79|$144.20|$144.18|$155.57|$122.55
"CPT® 87653"|"HB STREP B DNA AMP PROBE"|306.00|$100.00|$35.50|$80.00|$70.00|$69.80|$35.50|$72.20|$70.00|$64.10|$80.00|$43.60|$46.50|$70.00|$69.99|$75.52|$59.49
"CPT® 87660"|"HB TRICHOMONAS VAGIN DIR PROBE"|306.00|$106.00|$37.63|$84.80|$74.00|$73.99|$37.63|$76.53|$74.20|$67.95|$84.80|$46.22|$49.29|$74.20|$74.19|$80.05|$63.06
"CPT® 87661"|"HB TRICHOMONAS VAGINALIS AMPLIF"|306.00|$137.00|$48.64|$109.60|$96.00|$95.63|$48.64|$98.91|$95.90|$87.82|$109.60|$59.73|$63.71|$95.90|$95.89|$103.46|$81.50
"CPT® 87799"|"HB DETECT AGENT NOS DNA QUANT"|306.00|$337.00|$119.64|$269.60|$236.00|$235.23|$119.64|$243.31|$235.90|$216.02|$269.60|$146.93|$156.71|$235.90|$235.87|$254.50|$200.48
"CPT® 87800"|"HB DETECT AGNT MULT DNA DIREC"|306.00|$342.00|$121.41|$273.60|$239.00|$238.72|$121.41|$246.92|$239.40|$219.22|$273.60|$149.11|$159.03|$239.40|$239.37|$258.28|$203.46
"CPT® 87801"|"HB DETECT AGNT MULT DNA AMPLI"|306.00|$414.00|$146.97|$331.20|$290.00|$288.97|$146.97|$298.91|$289.80|$265.37|$331.20|$180.50|$192.51|$289.80|$289.76|$312.65|$246.29
"CPT® 87804"|"HB INFLUENZA ASSAY W/OPTIC"|306.00|$85.00|$30.18|$68.00|$59.00|$59.33|$30.18|$61.37|$59.50|$54.49|$68.00|$37.06|$39.53|$59.50|$59.49|$64.19|$50.57
"CPT® 87880"|"HB STREP A ASSAY W/OPTIC"|306.00|$85.00|$30.18|$68.00|$59.00|$59.33|$30.18|$61.37|$59.50|$54.49|$68.00|$37.06|$39.53|$59.50|$59.49|$64.19|$50.57
"CPT® 87900"|"HB PHENOTYPE INFECT AGENT DRUG"|306.00|$827.00|$293.59|$661.60|$579.00|$577.25|$293.59|$597.09|$578.90|$530.11|$661.60|$360.57|$384.56|$578.90|$578.82|$624.55|$491.98
"CPT® 87901"|"HB GENOTYPE DNA HIV REVERSE T"|306.00|$1214.00|$430.97|$971.20|$850.00|$847.37|$430.97|$876.51|$849.80|$778.17|$971.20|$529.30|$564.51|$849.80|$849.68|$916.81|$722.21
"CPT® 87902"|"HB GENOTYPE DNA/RNA HEP C"|306.00|$254.00|$90.17|$203.20|$178.00|$177.29|$90.17|$183.39|$177.80|$162.81|$203.20|$110.74|$118.11|$177.80|$177.77|$191.82|$151.10
"CPT® 87903"|"HB PHENOTYPE DNA HIV W/CULTURE"|306.00|$2036.00|$722.78|$1628.80|$1425.00|$1421.13|$722.78|$1469.99|$1425.20|$1305.08|$1628.80|$887.70|$946.74|$1425.20|$1425.00|$1537.59|$1211.22
"CPT® 87904"|"HB PHENOTYPE DNA HIV W/CLT ADD"|306.00|$211.00|$74.91|$168.80|$148.00|$147.28|$74.91|$152.34|$147.70|$135.25|$168.80|$92.00|$98.12|$147.70|$147.68|$159.35|$125.52
"CPT® 87906"|"HB GENOTYPE DNA/RNA HIV"|306.00|$1193.00|$423.52|$954.40|$835.00|$832.71|$423.52|$861.35|$835.10|$764.71|$954.40|$520.15|$554.75|$835.10|$834.98|$900.95|$709.72
"CPT® 87910"|"HB GENOTYPE CYTOMEGALOVIRUS"|306.00|$2371.00|$841.71|$1896.80|$1660.00|$1654.96|$841.71|$1711.86|$1659.70|$1519.81|$1896.80|$1033.76|$1102.52|$1659.70|$1659.46|$1790.58|$1410.51
"CPT® 87912"|"HB GENOTYPE DNA HEPATITIS B"|306.00|$1869.00|$663.50|$1495.20|$1308.00|$1304.56|$663.50|$1349.42|$1308.30|$1198.03|$1495.20|$814.88|$869.09|$1308.30|$1308.11|$1411.47|$1111.87
"CPT® 87999"|"HB HIV-1 TROFILE"|306.00|$6027.00|$2139.59|$4821.60|$4219.00|$4206.85|$2139.59|$4351.49|$4218.90|$3863.31|$4821.60|$2627.77|$2802.56|$4218.90|$4218.30|$4551.59|$3585.46
"CPT® 87107"|"HB FUNGI IDENTIFICATION MOLD"|306.00|$29.00|$10.30|$23.20|$20.00|$20.24|$10.30|$20.94|$20.30|$18.59|$23.20|$12.64|$13.49|$20.30|$20.30|$21.90|$17.25
"CPT® 87176"|"HB TISSUE HOMOGENIZATION CULTURE"|306.00|$17.00|$6.04|$13.60|$12.00|$11.87|$6.04|$12.27|$11.90|$10.90|$13.60|$7.41|$7.91|$11.90|$11.90|$12.84|$10.11
"CPT® 87185"|"HB SUSCEP STDY/ENZYME"|306.00|$31.00|$11.01|$24.80|$22.00|$21.64|$11.01|$22.38|$21.70|$19.87|$24.80|$13.52|$14.42|$21.70|$21.70|$23.41|$18.44
"CPT® 87190"|"HB MIC SUSCEPT MYCOBACTERIA"|306.00|$197.00|$69.94|$157.60|$138.00|$137.51|$69.94|$142.23|$137.90|$126.28|$157.60|$85.89|$91.61|$137.90|$137.88|$148.77|$117.20
"CPT® 87338"|"HB HPYLORI STOOL EIA"|306.00|$298.00|$105.79|$238.40|$209.00|$208.00|$105.79|$215.16|$208.60|$191.02|$238.40|$129.93|$138.57|$208.60|$208.57|$225.05|$177.28
"CPT® 87420"|"HB RSV ANTIGEN"|306.00|$188.00|$66.74|$150.40|$132.00|$131.22|$66.74|$135.74|$131.60|$120.51|$150.40|$81.97|$87.42|$131.60|$131.58|$141.98|$111.84
"CPT® 87425"|"HB ROTOVIRUS ANTIGEN"|306.00|$216.00|$76.68|$172.80|$151.00|$150.77|$76.68|$155.95|$151.20|$138.46|$172.80|$94.18|$100.44|$151.20|$151.18|$163.12|$128.50
"CPT® 87430"|"HB STREP SCREEN THROAT"|306.00|$67.00|$23.79|$53.60|$47.00|$46.77|$23.79|$48.37|$46.90|$42.95|$53.60|$29.21|$31.16|$46.90|$46.89|$50.60|$39.86
"CPT® 87430"|"HB STREPTOCOCCUS, GROUP A"|306.00|$67.00|$23.79|$53.60|$47.00|$46.77|$23.79|$48.37|$46.90|$42.95|$53.60|$29.21|$31.16|$46.90|$46.89|$50.60|$39.86
"CPT® 87430"|"HB STREP SCREEN ROC"|306.00|$67.00|$23.79|$53.60|$47.00|$46.77|$23.79|$48.37|$46.90|$42.95|$53.60|$29.21|$31.16|$46.90|$46.89|$50.60|$39.86
"CPT® 87500"|"HB VRE BY PCR"|306.00|$206.00|$73.13|$164.80|$144.00|$143.79|$73.13|$148.73|$144.20|$132.05|$164.80|$89.82|$95.79|$144.20|$144.18|$155.57|$122.55
"CPT® 87500"|"HB VANCOMYCIN RESISTANCE"|306.00|$206.00|$73.13|$164.80|$144.00|$143.79|$73.13|$148.73|$144.20|$132.05|$164.80|$89.82|$95.79|$144.20|$144.18|$155.57|$122.55
"CPT® 87807"|"HB RSV ASSAY W/OPTIC"|306.00|$110.00|$39.05|$88.00|$77.00|$76.78|$39.05|$79.42|$77.00|$70.51|$88.00|$47.96|$51.15|$77.00|$76.99|$83.07|$65.44
"CPT® 87905"|"HB BACTERIAL VAGINOSIS (BV BLUE)"|306.00|$71.00|$25.21|$56.80|$50.00|$49.56|$25.21|$51.26|$49.70|$45.51|$56.80|$30.96|$33.02|$49.70|$49.69|$53.62|$42.24
"CPT® 81001"|"HB URINALYSIS AUTO W/SCOPE"|307.00|$85.00|$30.18|$68.00|$59.00|$59.33|$30.18|$61.37|$59.50|$54.49|$68.00|$37.06|$39.53|$59.50|$59.49|$64.19|$50.57
"CPT® 81003"|"HB URINALYSIS AUTO W/O SCOPE"|307.00|$79.00|$28.05|$63.20|$55.00|$55.14|$28.05|$57.04|$55.30|$50.64|$63.20|$34.44|$36.74|$55.30|$55.29|$59.66|$47.00
"CPT® 81015"|"HB MICROSCOPIC EXAM OF URINE"|307.00|$60.00|$21.30|$48.00|$42.00|$41.88|$21.30|$43.32|$42.00|$38.46|$48.00|$26.16|$27.90|$42.00|$41.99|$45.31|$35.69
"CPT® 81025"|"HB URINE PREGNANCY TEST"|307.00|$131.00|$46.51|$104.80|$92.00|$91.44|$46.51|$94.58|$91.70|$83.97|$104.80|$57.12|$60.92|$91.70|$91.69|$98.93|$77.93
"CPT® 81005"|"HB REDUCING SUBSTANCES"|307.00|$55.00|$19.53|$44.00|$38.00|$38.39|$19.53|$39.71|$38.50|$35.26|$44.00|$23.98|$25.58|$38.50|$38.49|$41.54|$32.72
"CPT® 83519"|"HB RIA NONANTIBODY"|309.00|$2292.00|$813.66|$1833.60|$1604.00|$1599.82|$813.66|$1654.82|$1604.40|$1469.17|$1833.60|$999.31|$1065.78|$1604.40|$1604.17|$1730.92|$1363.51
"CPT® 84311"|"HB SPECTROPHOTOMETRY"|309.00|$94.00|$33.37|$75.20|$66.00|$65.61|$33.37|$67.87|$65.80|$60.25|$75.20|$40.98|$43.71|$65.80|$65.79|$70.99|$55.92
"CPT® 86985"|"HB SPLIT BLOOD OR PRODUCTS"|309.00|$157.00|$55.74|$125.60|$110.00|$109.59|$55.74|$113.35|$109.90|$100.64|$125.60|$68.45|$73.01|$109.90|$109.88|$118.57|$93.40
"CPT® 89220"|"HB SPUTUM SPECIMEN COLLECTION"|309.00|$74.00|$26.27|$59.20|$52.00|$51.65|$26.27|$53.43|$51.80|$47.43|$59.20|$32.26|$34.41|$51.80|$51.79|$55.88|$44.02
"CPT® 81200"|"HB ASPA GENE"|310.00|$2587.00|$918.39|$2069.60|$1811.00|$1805.73|$918.39|$1867.81|$1810.90|$1658.27|$2069.60|$1127.93|$1202.96|$1810.90|$1810.64|$1953.70|$1539.01
"CPT® 81206"|"HB BCR/ABL1 GENE MAJOR BP"|310.00|$58.00|$20.59|$46.40|$41.00|$40.48|$20.59|$41.88|$40.60|$37.18|$46.40|$25.29|$26.97|$40.60|$40.59|$43.80|$34.50
"CPT® 81207"|"HB BCR/ABL1 GENE MINOR BP"|310.00|$227.00|$80.59|$181.60|$159.00|$158.45|$80.59|$163.89|$158.90|$145.51|$181.60|$98.97|$105.56|$158.90|$158.88|$171.43|$135.04
"CPT® 81210"|"HB BRAF GENE"|310.00|$573.00|$203.42|$458.40|$401.00|$399.95|$203.42|$413.71|$401.10|$367.29|$458.40|$249.83|$266.45|$401.10|$401.04|$432.73|$340.88
"CPT® 81212"|"HB BRCA1&2 185&5385&6174 VAR"|310.00|$1105.00|$392.28|$884.00|$774.00|$771.29|$392.28|$797.81|$773.50|$708.31|$884.00|$481.78|$513.83|$773.50|$773.39|$834.50|$657.36
"CPT® 81220"|"HB CFTR GENE COM VARIANTS"|310.00|$768.00|$272.64|$614.40|$538.00|$536.06|$272.64|$554.50|$537.60|$492.29|$614.40|$334.85|$357.12|$537.60|$537.52|$579.99|$456.88
"CPT® 81229"|"HB CYTOGEN M ARRAY COPY NO&SNP"|310.00|$2515.00|$892.83|$2012.00|$1760.00|$1755.47|$892.83|$1815.83|$1760.50|$1612.12|$2012.00|$1096.54|$1169.48|$1760.50|$1760.25|$1899.33|$1496.17
"CPT® 81235"|"HB EGFR GENE COM VARIANTS"|310.00|$1090.00|$386.95|$872.00|$763.00|$760.82|$386.95|$786.98|$763.00|$698.69|$872.00|$475.24|$506.85|$763.00|$762.89|$823.17|$648.44
"CPT® 81240"|"HB F2 GENE"|310.00|$649.00|$230.40|$519.20|$454.00|$453.00|$230.40|$468.58|$454.30|$416.01|$519.20|$282.96|$301.79|$454.30|$454.24|$490.12|$386.09
"CPT® 81241"|"HB F5 GENE"|310.00|$533.00|$189.22|$426.40|$373.00|$372.03|$189.22|$384.83|$373.10|$341.65|$426.40|$232.39|$247.85|$373.10|$373.05|$402.52|$317.08
"CPT® 81242"|"HB FANCC GENE"|310.00|$345.00|$122.48|$276.00|$241.00|$240.81|$122.48|$249.09|$241.50|$221.15|$276.00|$150.42|$160.43|$241.50|$241.47|$260.54|$205.24
"CPT® 81243"|"HB FMR1 GENE DETECTION"|310.00|$311.00|$110.41|$248.80|$218.00|$217.08|$110.41|$224.54|$217.70|$199.35|$248.80|$135.60|$144.62|$217.70|$217.67|$234.87|$185.01
"CPT® 81244"|"HB FMR1 GENE CHARACTERIZATION"|310.00|$890.00|$315.95|$712.00|$623.00|$621.22|$315.95|$642.58|$623.00|$570.49|$712.00|$388.04|$413.85|$623.00|$622.91|$672.13|$529.46
"CPT® 81245"|"HB FLT3 GENE"|310.00|$275.00|$97.63|$220.00|$192.00|$191.95|$97.63|$198.55|$192.50|$176.28|$220.00|$119.90|$127.88|$192.50|$192.47|$207.68|$163.60
"CPT® 81246"|"HB FLT3 GENE ANALYSIS"|310.00|$108.00|$38.34|$86.40|$76.00|$75.38|$38.34|$77.98|$75.60|$69.23|$86.40|$47.09|$50.22|$75.60|$75.59|$81.56|$64.25
"CPT® 81251"|"HB GBA GENE"|310.00|$148.00|$52.54|$118.40|$104.00|$103.30|$52.54|$106.86|$103.60|$94.87|$118.40|$64.53|$68.82|$103.60|$103.59|$111.77|$88.05
"CPT® 81255"|"HB HEXA GENE"|310.00|$470.00|$166.85|$376.00|$329.00|$328.06|$166.85|$339.34|$329.00|$301.27|$376.00|$204.92|$218.55|$329.00|$328.95|$354.94|$279.60
"CPT® 81256"|"HB HFE GENE"|310.00|$594.00|$210.87|$475.20|$416.00|$414.61|$210.87|$428.87|$415.80|$380.75|$475.20|$258.98|$276.21|$415.80|$415.74|$448.59|$353.37
"CPT® 81257"|"HB HBA1/HBA2 GENE"|310.00|$1464.00|$519.72|$1171.20|$1025.00|$1021.87|$519.72|$1057.01|$1024.80|$938.42|$1171.20|$638.30|$680.76|$1024.80|$1024.65|$1105.61|$870.93
"CPT® 81260"|"HB IKBKAP GENE"|310.00|$2587.00|$918.39|$2069.60|$1811.00|$1805.73|$918.39|$1867.81|$1810.90|$1658.27|$2069.60|$1127.93|$1202.96|$1810.90|$1810.64|$1953.70|$1539.01
"CPT® 81261"|"HB IGH GENE REARRANGE AMP METH"|310.00|$458.00|$162.59|$366.40|$321.00|$319.68|$162.59|$330.68|$320.60|$293.58|$366.40|$199.69|$212.97|$320.60|$320.55|$345.88|$272.46
"CPT® 81262"|"HB IGH GENE REARRANG DIR PROBE"|310.00|$939.00|$333.35|$751.20|$657.00|$655.42|$333.35|$677.96|$657.30|$601.90|$751.20|$409.40|$436.64|$657.30|$657.21|$709.13|$558.61
"CPT® 81263"|"HB IGH VARI REGIONAL MUTATION"|310.00|$712.00|$252.76|$569.60|$498.00|$496.98|$252.76|$514.06|$498.40|$456.39|$569.60|$310.43|$331.08|$498.40|$498.33|$537.70|$423.57
"CPT® 81264"|"HB IGK REARRANGEABN CLONAL POP"|310.00|$494.00|$175.37|$395.20|$346.00|$344.81|$175.37|$356.67|$345.80|$316.65|$395.20|$215.38|$229.71|$345.80|$345.75|$373.07|$293.88
"CPT® 81270"|"HB JAK2 GENE"|310.00|$629.00|$223.30|$503.20|$440.00|$439.04|$223.30|$454.14|$440.30|$403.19|$503.20|$274.24|$292.49|$440.30|$440.24|$475.02|$374.19
"CPT® 81275"|"HB KRAS GENE VARIANTS EXON 2"|310.00|$750.00|$266.25|$600.00|$525.00|$523.50|$266.25|$541.50|$525.00|$480.75|$600.00|$327.00|$348.75|$525.00|$524.93|$566.40|$446.18
"CPT® 81287"|"HB MGMT GENE METHYLATION ANAL"|310.00|$566.00|$200.93|$452.80|$396.00|$395.07|$200.93|$408.65|$396.20|$362.81|$452.80|$246.78|$263.19|$396.20|$396.14|$427.44|$336.71
"CPT® 81288"|"HB MLH1 GENE"|310.00|$1065.00|$378.08|$852.00|$746.00|$743.37|$378.08|$768.93|$745.50|$682.67|$852.00|$464.34|$495.23|$745.50|$745.39|$804.29|$633.57
"CPT® 81290"|"HB MCOLN1 GENE"|310.00|$621.00|$220.46|$496.80|$435.00|$433.46|$220.46|$448.36|$434.70|$398.06|$496.80|$270.76|$288.77|$434.70|$434.64|$468.98|$369.43
"CPT® 81291"|"HB MTHFR GENE"|310.00|$651.00|$231.11|$520.80|$456.00|$454.40|$231.11|$470.02|$455.70|$417.29|$520.80|$283.84|$302.72|$455.70|$455.63|$491.64|$387.28
"CPT® 81301"|"HB MICROSATELLITE INSTABILITY"|310.00|$270.00|$95.85|$216.00|$189.00|$188.46|$95.85|$194.94|$189.00|$173.07|$216.00|$117.72|$125.55|$189.00|$188.97|$203.90|$160.62
"CPT® 81310"|"HB NPM1 GENE"|310.00|$551.00|$195.61|$440.80|$386.00|$384.60|$195.61|$397.82|$385.70|$353.19|$440.80|$240.24|$256.22|$385.70|$385.64|$416.12|$327.79
"CPT® 81315"|"HB PML/RARALPHA COM BREAKPOINTS"|310.00|$722.00|$256.31|$577.60|$505.00|$503.96|$256.31|$521.28|$505.40|$462.80|$577.60|$314.79|$335.73|$505.40|$505.33|$545.25|$429.52
"CPT® 81331"|"HB SNRPN/UBE3A GENE"|310.00|$703.00|$249.57|$562.40|$492.00|$490.69|$249.57|$507.57|$492.10|$450.62|$562.40|$306.51|$326.90|$492.10|$492.03|$530.91|$418.21
"CPT® 81340"|"HB TRB@ GENE REARRANGE AMPLIFY"|310.00|$387.00|$137.39|$309.60|$271.00|$270.13|$137.39|$279.41|$270.90|$248.07|$309.60|$168.73|$179.96|$270.90|$270.86|$292.26|$230.23
"CPT® 81342"|"HB TRG GENE REARRANGEMENT ANAL"|310.00|$610.00|$216.55|$488.00|$427.00|$425.78|$216.55|$440.42|$427.00|$391.01|$488.00|$265.96|$283.65|$427.00|$426.94|$460.67|$362.89
"CPT® 81373"|"HB HLA I TYPING 1 LOCUS LR"|310.00|$865.00|$307.08|$692.00|$606.00|$603.77|$307.08|$624.53|$605.50|$554.47|$692.00|$377.14|$402.23|$605.50|$605.41|$653.25|$514.59
"CPT® 81374"|"HB HLA I TYPING 1 ANTIGEN LR"|310.00|$445.00|$157.98|$356.00|$312.00|$310.61|$157.98|$321.29|$311.50|$285.25|$356.00|$194.02|$206.93|$311.50|$311.46|$336.06|$264.73
"CPT® 81375"|"HB HLA II TYPING AG EQUIV LR"|310.00|$180.00|$63.90|$144.00|$126.00|$125.64|$63.90|$129.96|$126.00|$115.38|$144.00|$78.48|$83.70|$126.00|$125.98|$135.94|$107.08
"CPT® 81377"|"HB HLA II TYPE 1 AG EQUIV LR"|310.00|$1665.00|$591.08|$1332.00|$1166.00|$1162.17|$591.08|$1202.13|$1165.50|$1067.27|$1332.00|$725.94|$774.23|$1165.50|$1165.33|$1257.41|$990.51
"CPT® 81382"|"HB HLA II TYPING 1 LOC HR"|310.00|$387.00|$137.39|$309.60|$271.00|$270.13|$137.39|$279.41|$270.90|$248.07|$309.60|$168.73|$179.96|$270.90|$270.86|$292.26|$230.23
"CPT® 81383"|"HB HLA II TYPING 1 ALLELE HR"|310.00|$499.00|$177.15|$399.20|$349.00|$348.30|$177.15|$360.28|$349.30|$319.86|$399.20|$217.56|$232.04|$349.30|$349.25|$376.84|$296.86
"CPT® 81400"|"HB MOPATH PROCEDURE LEVEL 1"|310.00|$450.00|$159.75|$360.00|$315.00|$314.10|$159.75|$324.90|$315.00|$288.45|$360.00|$196.20|$209.25|$315.00|$314.96|$339.84|$267.71
"CPT® 81401"|"HB MOPATH PROCEDURE LEVEL 2"|310.00|$1491.00|$529.31|$1192.80|$1044.00|$1040.72|$529.31|$1076.50|$1043.70|$955.73|$1192.80|$650.08|$693.32|$1043.70|$1043.55|$1126.00|$887.00
"CPT® 81402"|"HB MOPATH PROCEDURE LEVEL 3"|310.00|$463.00|$164.37|$370.40|$324.00|$323.17|$164.37|$334.29|$324.10|$296.78|$370.40|$201.87|$215.30|$324.10|$324.05|$349.66|$275.44
"CPT® 81403"|"HB MOPATH PROCEDURE LEVEL 4"|310.00|$445.00|$157.98|$356.00|$312.00|$310.61|$157.98|$321.29|$311.50|$285.25|$356.00|$194.02|$206.93|$311.50|$311.46|$336.06|$264.73
"CPT® 81404"|"HB MOPATH PROCEDURE LEVEL 5"|310.00|$1020.00|$362.10|$816.00|$714.00|$711.96|$362.10|$736.44|$714.00|$653.82|$816.00|$444.72|$474.30|$714.00|$713.90|$770.30|$606.80
"CPT® 81405"|"HB MOPATH PROCEDURE LEVEL 6"|310.00|$1786.00|$634.03|$1428.80|$1250.00|$1246.63|$634.03|$1289.49|$1250.20|$1144.83|$1428.80|$778.70|$830.49|$1250.20|$1250.02|$1348.79|$1062.49
"CPT® 81407"|"HB MOPATH PROCEDURE LEVEL 8"|310.00|$1945.00|$690.48|$1556.00|$1362.00|$1357.61|$690.48|$1404.29|$1361.50|$1246.75|$1556.00|$848.02|$904.43|$1361.50|$1361.31|$1468.86|$1157.08
"CPT® 81420"|"HB FETAL CHRMOML ANEUPLOIDY"|310.00|$2544.00|$903.12|$2035.20|$1781.00|$1775.71|$903.12|$1836.77|$1780.80|$1630.70|$2035.20|$1109.18|$1182.96|$1780.80|$1780.55|$1921.23|$1513.43
"CPT® 81479"|"HB UNLISTED MOLECULAR PATHOLOGY"|310.00|$25.00|$8.88|$20.00|$18.00|$17.45|$8.88|$18.05|$17.50|$16.03|$20.00|$10.90|$11.63|$17.50|$17.50|$18.88|$14.87
"CPT® 81507"|"HB FETAL ANEUPLOIDY TRISOM RISK 21 18 13"|310.00|$717.00|$254.54|$573.60|$502.00|$500.47|$254.54|$517.67|$501.90|$459.60|$573.60|$312.61|$333.41|$501.90|$501.83|$541.48|$426.54
"CPT® 81510"|"HB FTL CGEN ABNOR THREE ANAL"|310.00|$644.00|$228.62|$515.20|$451.00|$449.51|$228.62|$464.97|$450.80|$412.80|$515.20|$280.78|$299.46|$450.80|$450.74|$486.35|$383.12
"CPT® 81511"|"HB FTL CGEN ABNOR FOUR ANAL"|310.00|$378.00|$134.19|$302.40|$265.00|$263.84|$134.19|$272.92|$264.60|$242.30|$302.40|$164.81|$175.77|$264.60|$264.56|$285.47|$224.87
"CPT® 81512"|"HB FTL CGEN ABNOR FIVE ANAL"|310.00|$1458.00|$517.59|$1166.40|$1021.00|$1017.68|$517.59|$1052.68|$1020.60|$934.58|$1166.40|$635.69|$677.97|$1020.60|$1020.45|$1101.08|$867.36
"CPT® 81599"|"HB UNLISTED MAAA"|310.00|$967.00|$343.29|$773.60|$677.00|$674.97|$343.29|$698.17|$676.90|$619.85|$773.60|$421.61|$449.66|$676.90|$676.80|$730.28|$575.27
"CPT® 88141"|"HB CYTOPATH C/V INTERPRET"|310.00|$131.00|$46.51|$104.80|$92.00|$91.44|$46.51|$94.58|$91.70|$83.97|$104.80|$57.12|$60.92|$91.70|$91.69|$98.93|$77.93
"CPT® 88142"|"HB CYTOPATH C/V THIN LAYER"|310.00|$193.00|$68.52|$154.40|$135.00|$134.71|$68.52|$139.35|$135.10|$123.71|$154.40|$84.15|$89.75|$135.10|$135.08|$145.75|$114.82
"CPT® 88174"|"HB CYTOPATH C/V AUTO IN FLUID"|310.00|$102.00|$36.21|$81.60|$71.00|$71.20|$36.21|$73.64|$71.40|$65.38|$81.60|$44.47|$47.43|$71.40|$71.39|$77.03|$60.68
"CPT® 88175"|"HB CYTOPATH C/V AUTO FLUID REDO"|310.00|$127.00|$45.09|$101.60|$89.00|$88.65|$45.09|$91.69|$88.90|$81.41|$101.60|$55.37|$59.06|$88.90|$88.89|$95.91|$75.55
"CPT® 88300"|"HB SURGICAL PATH GROSS"|310.00|$122.00|$43.31|$97.60|$85.00|$85.16|$43.31|$88.08|$85.40|$78.20|$97.60|$53.19|$56.73|$85.40|$85.39|$92.13|$72.58
"CPT® 88302"|"HB TISSUE EXAM BY PATHOLOGIST LEVEL II"|310.00|$153.00|$54.32|$122.40|$107.00|$106.79|$54.32|$110.47|$107.10|$98.07|$122.40|$66.71|$71.15|$107.10|$107.08|$115.55|$91.02
"CPT® 88304"|"HB TISSUE EXAM BY PATHOLOGIST LEVEL III"|310.00|$263.00|$93.37|$210.40|$184.00|$183.57|$93.37|$189.89|$184.10|$168.58|$210.40|$114.67|$122.30|$184.10|$184.07|$198.62|$156.46
"CPT® 88305"|"HB TISSUE EXAM BY PATHOLOGIST LEVEL IV"|310.00|$480.00|$170.40|$384.00|$336.00|$335.04|$170.40|$346.56|$336.00|$307.68|$384.00|$209.28|$223.20|$336.00|$335.95|$362.50|$285.55
"CPT® 88307"|"HB TISSUE EXAM BY PATHOLOGIST LEVEL V"|310.00|$405.00|$143.78|$324.00|$284.00|$282.69|$143.78|$292.41|$283.50|$259.61|$324.00|$176.58|$188.33|$283.50|$283.46|$305.86|$240.93
"CPT® 88309"|"HB TISSUE EXAM BY PATHOLOGIST LEVEL VI"|310.00|$476.00|$168.98|$380.80|$333.00|$332.25|$168.98|$343.67|$333.20|$305.12|$380.80|$207.54|$221.34|$333.20|$333.15|$359.48|$283.17
"CPT® 88311"|"HB DECALCIFY TISSUE"|310.00|$242.00|$85.91|$193.60|$169.00|$168.92|$85.91|$174.72|$169.40|$155.12|$193.60|$105.51|$112.53|$169.40|$169.38|$182.76|$143.97
"CPT® 88312"|"HB SPECIAL STAINS GROUP 1"|310.00|$219.00|$77.75|$175.20|$153.00|$152.86|$77.75|$158.12|$153.30|$140.38|$175.20|$95.48|$101.84|$153.30|$153.28|$165.39|$130.28
"CPT® 88313"|"HB SPECIAL STAINS GROUP 2"|310.00|$579.00|$205.55|$463.20|$405.00|$404.14|$205.55|$418.04|$405.30|$371.14|$463.20|$252.44|$269.24|$405.30|$405.24|$437.26|$344.45
"CPT® 88314"|"HB HISTOCHEMICAL STAINS ADD-ON"|310.00|$355.00|$126.03|$284.00|$248.00|$247.79|$126.03|$256.31|$248.50|$227.56|$284.00|$154.78|$165.08|$248.50|$248.46|$268.10|$211.19
"CPT® 88319"|"HB ENZYME HISTOCHEMISTRY"|310.00|$344.00|$122.12|$275.20|$241.00|$240.11|$122.12|$248.37|$240.80|$220.50|$275.20|$149.98|$159.96|$240.80|$240.77|$259.79|$204.65
"CPT® 88325"|"HB COMPREHENSIVE REVIEW OF DATA"|310.00|$470.00|$166.85|$376.00|$329.00|$328.06|$166.85|$339.34|$329.00|$301.27|$376.00|$204.92|$218.55|$329.00|$328.95|$354.94|$279.60
"CPT® 88331"|"HB PATH CONSULT INTRAOP 1 BLOC"|310.00|$264.00|$93.72|$211.20|$185.00|$184.27|$93.72|$190.61|$184.80|$169.22|$211.20|$115.10|$122.76|$184.80|$184.77|$199.37|$157.05
"CPT® 88332"|"HB PATH CONSULT INTRAOP ADDL"|310.00|$201.00|$71.36|$160.80|$141.00|$140.30|$71.36|$145.12|$140.70|$128.84|$160.80|$87.64|$93.47|$140.70|$140.68|$151.80|$119.57
"CPT® 88333"|"HB INTRAOP CYTO PATH CONSULT 1"|310.00|$153.00|$54.32|$122.40|$107.00|$106.79|$54.32|$110.47|$107.10|$98.07|$122.40|$66.71|$71.15|$107.10|$107.08|$115.55|$91.02
"CPT® 88334"|"HB INTRAOP CYTO PATH CONSULT 2"|310.00|$217.00|$77.04|$173.60|$152.00|$151.47|$77.04|$156.67|$151.90|$139.10|$173.60|$94.61|$100.91|$151.90|$151.88|$163.88|$129.09
"CPT® 88341"|"HB IMMUNOHISTO ANTB ADDL SLIDE"|310.00|$336.00|$119.28|$268.80|$235.00|$234.53|$119.28|$242.59|$235.20|$215.38|$268.80|$146.50|$156.24|$235.20|$235.17|$253.75|$199.89
"CPT® 88342"|"HB IMMUNOHISTO ANTB 1ST STAIN"|310.00|$287.00|$101.89|$229.60|$201.00|$200.33|$101.89|$207.21|$200.90|$183.97|$229.60|$125.13|$133.46|$200.90|$200.87|$216.74|$170.74
"CPT® 88344"|"HB IMMUNOHISTO ANTIBODY SLIDE"|310.00|$342.00|$121.41|$273.60|$239.00|$238.72|$121.41|$246.92|$239.40|$219.22|$273.60|$149.11|$159.03|$239.40|$239.37|$258.28|$203.46
"CPT® 88346"|"HB IMMUNOFLUOR ANTB 1ST STAIN"|310.00|$41.00|$14.56|$32.80|$29.00|$28.62|$14.56|$29.60|$28.70|$26.28|$32.80|$17.88|$19.07|$28.70|$28.70|$30.96|$24.39
"CPT® 88348"|"HB ELECTRON MICROSCOPY"|310.00|$1034.00|$367.07|$827.20|$724.00|$721.73|$367.07|$746.55|$723.80|$662.79|$827.20|$450.82|$480.81|$723.80|$723.70|$780.88|$615.13
"CPT® 88358"|"HB ANALYSIS TUMOR"|310.00|$574.00|$203.77|$459.20|$402.00|$400.65|$203.77|$414.43|$401.80|$367.93|$459.20|$250.26|$266.91|$401.80|$401.74|$433.48|$341.47
"CPT® 88360"|"HB TUMOR IMMUNOHISTOCHEM/MANUAL"|310.00|$244.00|$86.62|$195.20|$171.00|$170.31|$86.62|$176.17|$170.80|$156.40|$195.20|$106.38|$113.46|$170.80|$170.78|$184.27|$145.16
"CPT® 88362"|"HB NERVE TEASING PREPARATIONS"|310.00|$446.00|$158.33|$356.80|$312.00|$311.31|$158.33|$322.01|$312.20|$285.89|$356.80|$194.46|$207.39|$312.20|$312.16|$336.82|$265.33
"CPT® 88364"|"HB INSITU HYBRIDIZATION (FISH)"|310.00|$454.00|$161.17|$363.20|$318.00|$316.89|$161.17|$327.79|$317.80|$291.01|$363.20|$197.94|$211.11|$317.80|$317.75|$342.86|$270.08
"CPT® 88365"|"HB INSITU HYBRIDIZATION (FISH) EA SINGLE"|310.00|$469.00|$166.50|$375.20|$328.00|$327.36|$166.50|$338.62|$328.30|$300.63|$375.20|$204.48|$218.09|$328.30|$328.25|$354.19|$279.01
"CPT® 88367"|"HB INSITU HYBRIDIZATION AUTO"|310.00|$354.00|$125.67|$283.20|$248.00|$247.09|$125.67|$255.59|$247.80|$226.91|$283.20|$154.34|$164.61|$247.80|$247.76|$267.34|$210.59
"CPT® 88368"|"HB INSITU HYBRIDIZATION MANUAL"|310.00|$973.00|$345.42|$778.40|$681.00|$679.15|$345.42|$702.51|$681.10|$623.69|$778.40|$424.23|$452.45|$681.10|$681.00|$734.81|$578.84
"CPT® 88369"|"HB M/PHMTRC ALYSISHQUANT/SEMIQ"|310.00|$454.00|$161.17|$363.20|$318.00|$316.89|$161.17|$327.79|$317.80|$291.01|$363.20|$197.94|$211.11|$317.80|$317.75|$342.86|$270.08
"CPT® 88374"|"HB M/PHMTRC ALYS ISHQUANT/SEMIQ (3)"|310.00|$908.00|$322.34|$726.40|$636.00|$633.78|$322.34|$655.58|$635.60|$582.03|$726.40|$395.89|$422.22|$635.60|$635.51|$685.72|$540.17
"CPT® 88377"|"HB M/PHMTRC ALYS ISHQUANT/SEMIQ (4)"|310.00|$1241.00|$440.56|$992.80|$869.00|$866.22|$440.56|$896.00|$868.70|$795.48|$992.80|$541.08|$577.07|$868.70|$868.58|$937.20|$738.27
"CPT® 88381"|"HB MICRODISSECTION MANUAL"|310.00|$218.00|$77.39|$174.40|$153.00|$152.16|$77.39|$157.40|$152.60|$139.74|$174.40|$95.05|$101.37|$152.60|$152.58|$164.63|$129.69
"CPT® 88387"|"HB TISS EXAM MOLECULAR STUDY"|310.00|$71.00|$25.21|$56.80|$50.00|$49.56|$25.21|$51.26|$49.70|$45.51|$56.80|$30.96|$33.02|$49.70|$49.69|$53.62|$42.24
"CPT® 99001"|"HB SPECIMEN HANDLING PT-LAB"|310.00|$47.00|$13.00|$37.60|$33.00|$13.00|$16.69|$33.93|$32.90|$30.13|$37.60|$20.49|$21.86|$32.90|$32.90|$35.49|$27.96
"CPT® 81381"|"HB HLA I TYPING 1 ALLELE OR ALLELLE GROUP"|310.00|$666.00|$236.43|$532.80|$466.00|$464.87|$236.43|$480.85|$466.20|$426.91|$532.80|$290.38|$309.69|$466.20|$466.13|$502.96|$396.20
"CPT® 81479"|"HB UNLISTED MOLECULAR PATHOLOGY"|310.00|$242.00|$85.91|$193.60|$169.00|$168.92|$85.91|$174.72|$169.40|$155.12|$193.60|$105.51|$112.53|$169.40|$169.38|$182.76|$143.97
"CPT® 81400"|"HB MOPATH PROCEDURE LEVEL 1"|310.00|$111.00|$39.41|$88.80|$78.00|$77.48|$39.41|$80.14|$77.70|$71.15|$88.80|$48.40|$51.62|$77.70|$77.69|$83.83|$66.03
"CPT® 81401"|"HB MOPATH PROCEDURE LEVEL 2"|310.00|$659.00|$233.95|$527.20|$461.00|$459.98|$233.95|$475.80|$461.30|$422.42|$527.20|$287.32|$306.44|$461.30|$461.23|$497.68|$392.04
"CPT® 81375"|"HB HLA DRB1-3-5-DQB1"|310.00|$180.00|$63.90|$144.00|$126.00|$125.64|$63.90|$129.96|$126.00|$115.38|$144.00|$78.48|$83.70|$126.00|$125.98|$135.94|$107.08
"CPT® 81305"|"HB MYD88 GENE ANALYSIS P.LEU265 (L265P) VARIANT"|310.00|$397.00|$140.94|$317.60|$278.00|$277.11|$140.94|$286.63|$277.90|$254.48|$317.60|$173.09|$184.61|$277.90|$277.86|$299.81|$236.18
"CPT® 81164"|"HB BRCA1 BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS"|310.00|$1320.00|$468.60|$1056.00|$924.00|$921.36|$468.60|$953.04|$924.00|$846.12|$1056.00|$575.52|$613.80|$924.00|$923.87|$996.86|$785.27
"CPT® 81479"|"HB MOLECULAR PATHOLOGY PROMETHEUS"|310.00|$38.00|$13.49|$30.40|$27.00|$26.52|$13.49|$27.44|$26.60|$24.36|$30.40|$16.57|$17.67|$26.60|$26.60|$28.70|$22.61
"CPT® 81479"|"HB MOLECULAR PATHOLOGY MEDFUSION"|310.00|$222.00|$78.81|$177.60|$155.00|$154.96|$78.81|$160.28|$155.40|$142.30|$177.60|$96.79|$103.23|$155.40|$155.38|$167.65|$132.07
"CPT® 88106"|"HB CYTOPATH FL NONGYN FILTER"|311.00|$235.00|$83.43|$188.00|$164.00|$164.03|$83.43|$169.67|$164.50|$150.64|$188.00|$102.46|$109.28|$164.50|$164.48|$177.47|$139.80
"CPT® 88112"|"HB CYTOPATH CELL ENHANCE TECH"|311.00|$216.00|$76.68|$172.80|$151.00|$150.77|$76.68|$155.95|$151.20|$138.46|$172.80|$94.18|$100.44|$151.20|$151.18|$163.12|$128.50
"CPT® 88120"|"HB CYTP URNE 3-5 PROBES EA SPEC"|311.00|$805.00|$285.78|$644.00|$564.00|$561.89|$285.78|$581.21|$563.50|$516.01|$644.00|$350.98|$374.33|$563.50|$563.42|$607.94|$478.89
"CPT® 88141"|"HB CYTOPATH C/V INTERPRET"|311.00|$176.00|$62.48|$140.80|$123.00|$122.85|$62.48|$127.07|$123.20|$112.82|$140.80|$76.74|$81.84|$123.20|$123.18|$132.92|$104.70
"CPT® 88142"|"HB CYTOPATH C/V THIN LAYER"|311.00|$182.00|$64.61|$145.60|$127.00|$127.04|$64.61|$131.40|$127.40|$116.66|$145.60|$79.35|$84.63|$127.40|$127.38|$137.45|$108.27
"CPT® 88161"|"HB CYTOPATH SMEAR OTHER SOURCE PREP SCREENING INTERPRETATION"|311.00|$70.00|$24.85|$56.00|$49.00|$48.86|$24.85|$50.54|$49.00|$44.87|$56.00|$30.52|$32.55|$49.00|$48.99|$52.86|$41.64
"CPT® 88162"|"HB CYTOPATH SMEAR OTHER SOURCE MULTIPLE STAINS"|311.00|$193.00|$68.52|$154.40|$135.00|$134.71|$68.52|$139.35|$135.10|$123.71|$154.40|$84.15|$89.75|$135.10|$135.08|$145.75|$114.82
"CPT® 88164"|"HB CYTOPATH TBS C/V MANUAL"|311.00|$51.00|$18.11|$40.80|$36.00|$35.60|$18.11|$36.82|$35.70|$32.69|$40.80|$22.24|$23.72|$35.70|$35.69|$38.52|$30.34
"CPT® 88173"|"HB CYTOPATH EVAL FNA REPORT"|311.00|$214.00|$75.97|$171.20|$150.00|$149.37|$75.97|$154.51|$149.80|$137.17|$171.20|$93.30|$99.51|$149.80|$149.78|$161.61|$127.31
"CPT® 88175"|"HB CYTOPATH C/V AUTO FLUID REDO"|311.00|$186.00|$66.03|$148.80|$130.00|$129.83|$66.03|$134.29|$130.20|$119.23|$148.80|$81.10|$86.49|$130.20|$130.18|$140.47|$110.65
"CPT® 88177"|"HB CYTP FNA EVAL EA ADDL"|311.00|$153.00|$54.32|$122.40|$107.00|$106.79|$54.32|$110.47|$107.10|$98.07|$122.40|$66.71|$71.15|$107.10|$107.08|$115.55|$91.02
"CPT® 88182"|"HB CELL MARKER STUDY"|311.00|$213.00|$75.62|$170.40|$149.00|$148.67|$75.62|$153.79|$149.10|$136.53|$170.40|$92.87|$99.05|$149.10|$149.08|$160.86|$126.71
"CPT® 88184"|"HB FLOWCYTOMETRY/ TC 1 MARKER"|311.00|$65.00|$23.08|$52.00|$46.00|$45.37|$23.08|$46.93|$45.50|$41.67|$52.00|$28.34|$30.23|$45.50|$45.49|$49.09|$38.67
"CPT® 88185"|"HB FLOWCYTOMETRY/TC ADD-ON"|311.00|$140.00|$49.70|$112.00|$98.00|$97.72|$49.70|$101.08|$98.00|$89.74|$112.00|$61.04|$65.10|$98.00|$97.99|$105.73|$83.29
"CPT® 88230"|"HB TISSUE CULTURE LYMPHOCYTE"|311.00|$414.00|$146.97|$331.20|$290.00|$288.97|$146.97|$298.91|$289.80|$265.37|$331.20|$180.50|$192.51|$289.80|$289.76|$312.65|$246.29
"CPT® 88233"|"HB TISSUE CULTURE SKIN/BIOPSY"|311.00|$134.00|$47.57|$107.20|$94.00|$93.53|$47.57|$96.75|$93.80|$85.89|$107.20|$58.42|$62.31|$93.80|$93.79|$101.20|$79.72
"CPT® 88235"|"HB TISSUE CULTURE PLACENTA"|311.00|$829.00|$294.30|$663.20|$580.00|$578.64|$294.30|$598.54|$580.30|$531.39|$663.20|$361.44|$385.49|$580.30|$580.22|$626.06|$493.17
"CPT® 88237"|"HB TISSUE CULTURE BONE MARROW"|311.00|$309.00|$109.70|$247.20|$216.00|$215.68|$109.70|$223.10|$216.30|$198.07|$247.20|$134.72|$143.69|$216.30|$216.27|$233.36|$183.82
"CPT® 88239"|"HB TISSUE CULTURE TUMOR"|311.00|$327.00|$116.09|$261.60|$229.00|$228.25|$116.09|$236.09|$228.90|$209.61|$261.60|$142.57|$152.06|$228.90|$228.87|$246.95|$194.53
"CPT® 88249"|"HB CHROMOSOME ANALYSIS 100"|311.00|$241.00|$85.56|$192.80|$169.00|$168.22|$85.56|$174.00|$168.70|$154.48|$192.80|$105.08|$112.07|$168.70|$168.68|$182.00|$143.37
"CPT® 88261"|"HB CHROMOSOME ANALYSIS 5"|311.00|$367.00|$130.29|$293.60|$257.00|$256.17|$130.29|$264.97|$256.90|$235.25|$293.60|$160.01|$170.66|$256.90|$256.86|$277.16|$218.33
"CPT® 88262"|"HB CHROMOSOME ANALYSIS 15-20"|311.00|$403.00|$143.07|$322.40|$282.00|$281.29|$143.07|$290.97|$282.10|$258.32|$322.40|$175.71|$187.40|$282.10|$282.06|$304.35|$239.74
"CPT® 88264"|"HB CHROMOSOME ANALYSIS 20-25"|311.00|$305.00|$108.28|$244.00|$214.00|$212.89|$108.28|$220.21|$213.50|$195.51|$244.00|$132.98|$141.83|$213.50|$213.47|$230.34|$181.44
"CPT® 88269"|"HB CHROMOSOME ANALYS AMNIOTIC"|311.00|$1320.00|$468.60|$1056.00|$924.00|$921.36|$468.60|$953.04|$924.00|$846.12|$1056.00|$575.52|$613.80|$924.00|$923.87|$996.86|$785.27
"CPT® 88271"|"HB CYTOGENETICS DNA PROBE"|311.00|$123.00|$43.67|$98.40|$86.00|$85.85|$43.67|$88.81|$86.10|$78.84|$98.40|$53.63|$57.20|$86.10|$86.09|$92.89|$73.17
"CPT® 88273"|"HB CYTOGENETICS 10-30"|311.00|$397.00|$140.94|$317.60|$278.00|$277.11|$140.94|$286.63|$277.90|$254.48|$317.60|$173.09|$184.61|$277.90|$277.86|$299.81|$236.18
"CPT® 88274"|"HB CYTOGENETICS 25-99"|311.00|$173.00|$61.42|$138.40|$121.00|$120.75|$61.42|$124.91|$121.10|$110.89|$138.40|$75.43|$80.45|$121.10|$121.08|$130.65|$102.92
"CPT® 88275"|"HB CYTOGENETICS 100-300"|311.00|$187.00|$66.39|$149.60|$131.00|$130.53|$66.39|$135.01|$130.90|$119.87|$149.60|$81.53|$86.96|$130.90|$130.88|$141.22|$111.25
"CPT® 88280"|"HB CHROMOSOME KARYOTYPE STUDY"|311.00|$63.00|$22.37|$50.40|$44.00|$43.97|$22.37|$45.49|$44.10|$40.38|$50.40|$27.47|$29.30|$44.10|$44.09|$47.58|$37.48
"CPT® 88285"|"HB CHROMOSOME COUNT ADDITIONAL"|311.00|$140.00|$49.70|$112.00|$98.00|$97.72|$49.70|$101.08|$98.00|$89.74|$112.00|$61.04|$65.10|$98.00|$97.99|$105.73|$83.29
"CPT® 88289"|"HB CHROMOSOME STUDY ADDITIONAL"|311.00|$347.00|$123.19|$277.60|$243.00|$242.21|$123.19|$250.53|$242.90|$222.43|$277.60|$151.29|$161.36|$242.90|$242.87|$262.05|$206.43
"CPT® 88291"|"HB CYTO/MOLECULAR REPORT"|311.00|$982.00|$348.61|$785.60|$687.00|$685.44|$348.61|$709.00|$687.40|$629.46|$785.60|$428.15|$456.63|$687.40|$687.30|$741.61|$584.19
"CPT® 88329"|"HB PATH CONSULT INTROP"|311.00|$162.00|$57.51|$129.60|$113.00|$113.08|$57.51|$116.96|$113.40|$103.84|$129.60|$70.63|$75.33|$113.40|$113.38|$122.34|$96.37
"CPT® 88342"|"HB IMMUNOHISTO ANTB 1ST STAIN"|311.00|$266.00|$94.43|$212.80|$186.00|$185.67|$94.43|$192.05|$186.20|$170.51|$212.80|$115.98|$123.69|$186.20|$186.17|$200.88|$158.24
"HCPCS G0123"|"HB SCREEN CERV/VAG THIN LAYER"|311.00|$122.00|$43.31|$97.60|$85.00|$85.16|$43.31|$88.08|$85.40|$78.20|$97.60|$53.19|$56.73|$85.40|$85.39|$92.13|$72.58
"HCPCS G0124"|"HB SCREEN C/V THIN LAYER BY MD"|311.00|$174.00|$61.77|$139.20|$122.00|$121.45|$61.77|$125.63|$121.80|$111.53|$139.20|$75.86|$80.91|$121.80|$121.78|$131.40|$103.51
"HCPCS G0145"|"HB PAP TEST, LIQUID SCREEN W/IMAGING"|311.00|$126.00|$44.73|$100.80|$88.00|$87.95|$44.73|$90.97|$88.20|$80.77|$100.80|$54.94|$58.59|$88.20|$88.19|$95.16|$74.96
"HCPCS P3000"|"HB SCREEN PAP BY TECH W MD SUPV"|311.00|$1.00|$0.36|$0.80|$1.00|$0.70|$0.36|$0.72|$0.70|$0.64|$0.80|$0.44|$0.47|$0.70|$0.70|$0.76|$0.59
"CPT® 88172"|"HB FNA ADEQUACY-1ST EPISODE"|311.00|$271.00|$96.21|$216.80|$190.00|$189.16|$96.21|$195.66|$189.70|$173.71|$216.80|$118.16|$126.02|$189.70|$189.67|$204.66|$161.22
"CPT® 88177"|"HB FNA ADEQUACY-ADDL EPISODE"|311.00|$264.00|$93.72|$211.20|$185.00|$184.27|$93.72|$190.61|$184.80|$169.22|$211.20|$115.10|$122.76|$184.80|$184.77|$199.37|$157.05
"CPT® 88363"|"HB XM ARCHIVE TISSUE MOLEC ANAL"|312.00|$66.00|$23.43|$52.80|$46.00|$46.07|$23.43|$47.65|$46.20|$42.31|$52.80|$28.78|$30.69|$46.20|$46.19|$49.84|$39.26
"CPT® 88365"|"HB INSITU HYBRIDIZATION (FISH) INITIAL SINGLE PROBE"|312.00|$456.00|$161.88|$364.80|$319.00|$318.29|$161.88|$329.23|$319.20|$292.30|$364.80|$198.82|$212.04|$319.20|$319.15|$344.37|$271.27
"CPT® 88368"|"HB INSITU HYBRIDIZATION MANUAL"|312.00|$404.00|$143.42|$323.20|$283.00|$281.99|$143.42|$291.69|$282.80|$258.96|$323.20|$176.14|$187.86|$282.80|$282.76|$305.10|$240.34
"CPT® 88377"|"HB M/PHMTRC ALYS ISHQUANT/SEMIQ"|312.00|$1689.00|$599.60|$1351.20|$1182.00|$1178.92|$599.60|$1219.46|$1182.30|$1082.65|$1351.20|$736.40|$785.39|$1182.30|$1182.13|$1275.53|$1004.79
"CPT® 88380"|"HB MICRODISSECTION LASER"|312.00|$785.00|$278.68|$628.00|$550.00|$547.93|$278.68|$566.77|$549.50|$503.19|$628.00|$342.26|$365.03|$549.50|$549.42|$592.83|$467.00
"CPT® 88381"|"HB MICRODISSECTION MANUAL"|312.00|$218.00|$77.39|$174.40|$153.00|$152.16|$77.39|$157.40|$152.60|$139.74|$174.40|$95.05|$101.37|$152.60|$152.58|$164.63|$129.69
"CPT® 88399"|"HB SURGICAL PATHOLOGY PROCEDURE"|312.00|$875.00|$310.63|$700.00|$612.00|$610.75|$310.63|$631.75|$612.50|$560.88|$700.00|$381.50|$406.88|$612.50|$612.41|$660.80|$520.54
"CPT® 88300"|"HB HISTOLOGY I-BREAST"|312.00|$106.00|$37.63|$84.80|$74.00|$73.99|$37.63|$76.53|$74.20|$67.95|$84.80|$46.22|$49.29|$74.20|$74.19|$80.05|$63.06
"CPT® 88302"|"HB II-MISC TISSUE"|312.00|$187.00|$66.39|$149.60|$131.00|$130.53|$66.39|$135.01|$130.90|$119.87|$149.60|$81.53|$86.96|$130.90|$130.88|$141.22|$111.25
"CPT® 88304"|"HB HISTOLOGY III"|312.00|$275.00|$97.63|$220.00|$192.00|$191.95|$97.63|$198.55|$192.50|$176.28|$220.00|$119.90|$127.88|$192.50|$192.47|$207.68|$163.60
"CPT® 88307"|"HB HISTOLOGY V-BREAST"|312.00|$549.00|$194.90|$439.20|$384.00|$383.20|$194.90|$396.38|$384.30|$351.91|$439.20|$239.36|$255.29|$384.30|$384.25|$414.60|$326.60
"CPT® 88309"|"HB HISTOLOGY VI-GENITAL/URIN"|312.00|$771.00|$273.71|$616.80|$540.00|$538.16|$273.71|$556.66|$539.70|$494.21|$616.80|$336.16|$358.52|$539.70|$539.62|$582.26|$458.67
"CPT® 88184"|"HB FLOWCYTOMETRY/ TC 1 MARKER"|312.00|$31.00|$11.01|$24.80|$22.00|$21.64|$11.01|$22.38|$21.70|$19.87|$24.80|$13.52|$14.42|$21.70|$21.70|$23.41|$18.44
"CPT® 88185"|"HB FLOWCYTOMETRY/TC ADD-ON"|312.00|$140.00|$49.70|$112.00|$98.00|$97.72|$49.70|$101.08|$98.00|$89.74|$112.00|$61.04|$65.10|$98.00|$97.99|$105.73|$83.29
"CPT® 88233"|"HB TISSUE CULTURE SKIN/BIOPSY"|312.00|$203.00|$72.07|$162.40|$142.00|$141.69|$72.07|$146.57|$142.10|$130.12|$162.40|$88.51|$94.40|$142.10|$142.08|$153.31|$120.76
"CPT® 88237"|"HB TISSUE CULTURE BONE MARROW"|312.00|$536.00|$190.28|$428.80|$375.00|$374.13|$190.28|$386.99|$375.20|$343.58|$428.80|$233.70|$249.24|$375.20|$375.15|$404.79|$318.87
"CPT® 88262"|"HB CHROMOSOME ANALYSIS 15-20"|312.00|$400.00|$142.00|$320.00|$280.00|$279.20|$142.00|$288.80|$280.00|$256.40|$320.00|$174.40|$186.00|$280.00|$279.96|$302.08|$237.96
"CPT® 88264"|"HB CHROMOSOME ANALYSIS 20-25"|312.00|$688.00|$244.24|$550.40|$482.00|$480.22|$244.24|$496.74|$481.60|$441.01|$550.40|$299.97|$319.92|$481.60|$481.53|$519.58|$409.29
"CPT® 88271"|"HB CYTOGENETICS DNA PROBE"|312.00|$264.00|$93.72|$211.20|$185.00|$184.27|$93.72|$190.61|$184.80|$169.22|$211.20|$115.10|$122.76|$184.80|$184.77|$199.37|$157.05
"CPT® 88275"|"HB CYTOGENETICS 100-300"|312.00|$123.00|$43.67|$98.40|$86.00|$85.85|$43.67|$88.81|$86.10|$78.84|$98.40|$53.63|$57.20|$86.10|$86.09|$92.89|$73.17
"CPT® 88305"|"HB TISSUE EXAM BY PATHOLOGIST LEVEL IV"|312.00|$1507.00|$534.99|$1205.60|$1055.00|$1051.89|$534.99|$1088.05|$1054.90|$965.99|$1205.60|$657.05|$700.76|$1054.90|$1054.75|$1138.09|$896.51
"CPT® 88312"|"HB SPECIAL STAINS GROUP 1"|312.00|$137.00|$48.64|$109.60|$96.00|$95.63|$48.64|$98.91|$95.90|$87.82|$109.60|$59.73|$63.71|$95.90|$95.89|$103.46|$81.50
"CPT® 88313"|"HB SPECIAL STAINS GROUP 2"|312.00|$283.00|$100.47|$226.40|$198.00|$197.53|$100.47|$204.33|$198.10|$181.40|$226.40|$123.39|$131.60|$198.10|$198.07|$213.72|$168.36
"CPT® 88314"|"HB HISTOCHEMICAL STAINS ADD-ON"|312.00|$547.00|$194.19|$437.60|$383.00|$381.81|$194.19|$394.93|$382.90|$350.63|$437.60|$238.49|$254.36|$382.90|$382.85|$413.09|$325.41
"CPT® 88319"|"HB ENZYME HISTOCHEMISTRY"|312.00|$198.00|$70.29|$158.40|$139.00|$138.20|$70.29|$142.96|$138.60|$126.92|$158.40|$86.33|$92.07|$138.60|$138.58|$149.53|$117.79
"CPT® 88321"|"HB MICROSLIDE CONSULTATION SLIDES PREPPED"|312.00|$237.00|$84.14|$189.60|$166.00|$165.43|$84.14|$171.11|$165.90|$151.92|$189.60|$103.33|$110.21|$165.90|$165.88|$178.98|$140.99
"CPT® 88323"|"HB MICROSLIDE CONSULTATION SLIDES NEEDING PREP"|312.00|$237.00|$84.14|$189.60|$166.00|$165.43|$84.14|$171.11|$165.90|$151.92|$189.60|$103.33|$110.21|$165.90|$165.88|$178.98|$140.99
"CPT® 88325"|"HB COMPREHENSIVE REVIEW OF DATA"|312.00|$470.00|$166.85|$376.00|$329.00|$328.06|$166.85|$339.34|$329.00|$301.27|$376.00|$204.92|$218.55|$329.00|$328.95|$354.94|$279.60
"CPT® 88331"|"HB PATH CONSULT INTRAOP 1 BLOC"|312.00|$94.00|$33.37|$75.20|$66.00|$65.61|$33.37|$67.87|$65.80|$60.25|$75.20|$40.98|$43.71|$65.80|$65.79|$70.99|$55.92
"CPT® 88332"|"HB PATH CONSULT INTRAOP ADDL"|312.00|$44.00|$15.62|$35.20|$31.00|$30.71|$15.62|$31.77|$30.80|$28.20|$35.20|$19.18|$20.46|$30.80|$30.80|$33.23|$26.18
"CPT® 88333"|"HB INTRAOP CYTO PATH CONSULT 1"|312.00|$377.00|$133.84|$301.60|$264.00|$263.15|$133.84|$272.19|$263.90|$241.66|$301.60|$164.37|$175.31|$263.90|$263.86|$284.71|$224.28
"CPT® 88342"|"HB IMMUNOHISTO ANTB 1ST STAIN"|312.00|$401.00|$142.36|$320.80|$281.00|$279.90|$142.36|$289.52|$280.70|$257.04|$320.80|$174.84|$186.47|$280.70|$280.66|$302.84|$238.55
"CPT® 88346"|"HB IMMUNOFLUOR ANTB 1ST STAIN"|312.00|$70.00|$24.85|$56.00|$49.00|$48.86|$24.85|$50.54|$49.00|$44.87|$56.00|$30.52|$32.55|$49.00|$48.99|$52.86|$41.64
"CPT® 88348"|"HB ELECTRON MICROSCOPY"|312.00|$1106.00|$392.63|$884.80|$774.00|$771.99|$392.63|$798.53|$774.20|$708.95|$884.80|$482.22|$514.29|$774.20|$774.09|$835.25|$657.96
"CPT® 88361"|"HB TUMOR IMMUNOHISTOCHEM/COMPUT"|312.00|$497.00|$176.44|$397.60|$348.00|$346.91|$176.44|$358.83|$347.90|$318.58|$397.60|$216.69|$231.11|$347.90|$347.85|$375.33|$295.67
"CPT® 88362"|"HB NERVE TEASING PREPARATIONS"|312.00|$446.00|$158.33|$356.80|$312.00|$311.31|$158.33|$322.01|$312.20|$285.89|$356.80|$194.46|$207.39|$312.20|$312.16|$336.82|$265.33
"CPT® 88305"|"HB TISSUE EXAM BY PATHOLOGIST LEVEL IV"|314.00|$383.00|$135.97|$306.40|$268.00|$267.33|$135.97|$276.53|$268.10|$245.50|$306.40|$166.99|$178.10|$268.10|$268.06|$289.24|$227.85
"CPT® 62302"|"HB MYELOGRAPHY LUMBAR INJECTION CERVICAL S & I"|320.00|$3559.00|$1263.45|$2847.20|$2491.00|$2484.18|$1263.45|$2569.60|$2491.30|$2281.32|$2847.20|$1551.72|$1654.94|$2491.30|$2490.94|$2687.76|$2117.25
"CPT® 62303"|"HB MYELOGRAPHY LUMBAR INJECTION THORACIC S & I"|320.00|$3187.00|$1131.39|$2549.60|$2231.00|$2224.53|$1131.39|$2301.01|$2230.90|$2042.87|$2549.60|$1389.53|$1481.96|$2230.90|$2230.58|$2406.82|$1895.95
"CPT® 62304"|"HB IR MYELOGRAPHY LUMBARSACRAL"|320.00|$3187.00|$1131.39|$2549.60|$2231.00|$2224.53|$1131.39|$2301.01|$2230.90|$2042.87|$2549.60|$1389.53|$1481.96|$2230.90|$2230.58|$2406.82|$1895.95
"CPT® 62305"|"HB MYELOGRAPHY LUMBAR INJECTION TWO OR MORE REGIONS S & I"|320.00|$5338.00|$1894.99|$4270.40|$3737.00|$3725.92|$1894.99|$3854.04|$3736.60|$3421.66|$4270.40|$2327.37|$2482.17|$3736.60|$3736.07|$4031.26|$3175.58
"CPT® 70030"|"HB X-RAY EYE FOR FOREIGN BODY"|320.00|$517.00|$183.54|$413.60|$362.00|$360.87|$183.54|$373.27|$361.90|$331.40|$413.60|$225.41|$240.41|$361.90|$361.85|$390.44|$307.56
"CPT® 70110"|"HB X-RAY EXAM OF JAW 4/> VIEWS"|320.00|$807.00|$286.49|$645.60|$565.00|$563.29|$286.49|$582.65|$564.90|$517.29|$645.60|$351.85|$375.26|$564.90|$564.82|$609.45|$480.08
"CPT® 70140"|"HB XRAY FACIAL BONES LESS THAN 3 VIEWS"|320.00|$457.00|$162.24|$365.60|$320.00|$318.99|$162.24|$329.95|$319.90|$292.94|$365.60|$199.25|$212.51|$319.90|$319.85|$345.13|$271.87
"CPT® 70150"|"HB XRAY FACIAL BONE COMPLETE; MINIMUM 3 VIEWS"|320.00|$1007.00|$357.49|$805.60|$705.00|$702.89|$357.49|$727.05|$704.90|$645.49|$805.60|$439.05|$468.26|$704.90|$704.80|$760.49|$599.06
"CPT® 70160"|"HB X-RAY EXAM OF NASAL BONES"|320.00|$802.00|$284.71|$641.60|$561.00|$559.80|$284.71|$579.04|$561.40|$514.08|$641.60|$349.67|$372.93|$561.40|$561.32|$605.67|$477.11
"CPT® 70200"|"HB XRAY EYE SOCKETS COMPLETE; MINIMUM OF 4 VIEWS"|320.00|$929.00|$329.80|$743.20|$650.00|$648.44|$329.80|$670.74|$650.30|$595.49|$743.20|$405.04|$431.99|$650.30|$650.21|$701.58|$552.66
"CPT® 70220"|"HB XRAY SINUSES COMPLETE; MINIMUM OF 3 VIEWS"|320.00|$943.00|$334.77|$754.40|$660.00|$658.21|$334.77|$680.85|$660.10|$604.46|$754.40|$411.15|$438.50|$660.10|$660.01|$712.15|$560.99
"CPT® 70250"|"HB XRAY SKULL; LESS THAN 4 VIEWS"|320.00|$544.00|$193.12|$435.20|$381.00|$379.71|$193.12|$392.77|$380.80|$348.70|$435.20|$237.18|$252.96|$380.80|$380.75|$410.83|$323.63
"CPT® 70260"|"HB XRAY SKULL COMPLETE; MINIMUM OF 4 VIEWS"|320.00|$910.00|$323.05|$728.00|$637.00|$635.18|$323.05|$657.02|$637.00|$583.31|$728.00|$396.76|$423.15|$637.00|$636.91|$687.23|$541.36
"CPT® 70360"|"HB X-RAY EXAM OF NECK"|320.00|$512.00|$181.76|$409.60|$358.00|$357.38|$181.76|$369.66|$358.40|$328.19|$409.60|$223.23|$238.08|$358.40|$358.35|$386.66|$304.59
"CPT® 71100"|"HB X-RAY EXAM RIBS UNI 2 VIEWS"|320.00|$738.00|$261.99|$590.40|$517.00|$515.12|$261.99|$532.84|$516.60|$473.06|$590.40|$321.77|$343.17|$516.60|$516.53|$557.34|$439.04
"CPT® 71101"|"HB X-RAY EXAM UNILAT RIBS/CHEST"|320.00|$878.00|$311.69|$702.40|$615.00|$612.84|$311.69|$633.92|$614.60|$562.80|$702.40|$382.81|$408.27|$614.60|$614.51|$663.07|$522.32
"CPT® 71110"|"HB X-RAY EXAM RIBS BIL 3 VIEWS"|320.00|$882.00|$313.11|$705.60|$617.00|$615.64|$313.11|$636.80|$617.40|$565.36|$705.60|$384.55|$410.13|$617.40|$617.31|$666.09|$524.70
"CPT® 71111"|"HB X-RAY EXAM RIBS/CHEST4/> VWS"|320.00|$1109.00|$393.70|$887.20|$776.00|$774.08|$393.70|$800.70|$776.30|$710.87|$887.20|$483.52|$515.69|$776.30|$776.19|$837.52|$659.74
"CPT® 71120"|"HB X-RAY EXAM BREASTBONE 2/>VWS"|320.00|$604.00|$214.42|$483.20|$423.00|$421.59|$214.42|$436.09|$422.80|$387.16|$483.20|$263.34|$280.86|$422.80|$422.74|$456.14|$359.32
"CPT® 71130"|"HB X-RAY STRENOCLAVIC JT 3/>VWS"|320.00|$791.00|$280.81|$632.80|$554.00|$552.12|$280.81|$571.10|$553.70|$507.03|$632.80|$344.88|$367.82|$553.70|$553.62|$597.36|$470.57
"CPT® 72020"|"HB X-RAY EXAM OF SPINE 1 VIEW"|320.00|$540.00|$191.70|$432.00|$378.00|$376.92|$191.70|$389.88|$378.00|$346.14|$432.00|$235.44|$251.10|$378.00|$377.95|$407.81|$321.25
"CPT® 72040"|"HB X-RAY EXAM NECK SPINE 2-3 VW"|320.00|$747.00|$265.19|$597.60|$523.00|$521.41|$265.19|$539.33|$522.90|$478.83|$597.60|$325.69|$347.36|$522.90|$522.83|$564.13|$444.39
"CPT® 72050"|"HB X-RAY EXAM NECK SPINE 4/5VWS"|320.00|$1058.00|$375.59|$846.40|$741.00|$738.48|$375.59|$763.88|$740.60|$678.18|$846.40|$461.29|$491.97|$740.60|$740.49|$799.00|$629.40
"CPT® 72052"|"HB X-RAY EXAM NECK SPINE 6/>VWS"|320.00|$1105.00|$392.28|$884.00|$774.00|$771.29|$392.28|$797.81|$773.50|$708.31|$884.00|$481.78|$513.83|$773.50|$773.39|$834.50|$657.36
"CPT® 72070"|"HB X-RAY EXAM THORAC SPINE 2VWS"|320.00|$783.00|$277.97|$626.40|$548.00|$546.53|$277.97|$565.33|$548.10|$501.90|$626.40|$341.39|$364.10|$548.10|$548.02|$591.32|$465.81
"CPT® 72072"|"HB X-RAY EXAM THORAC SPINE 3VWS"|320.00|$872.00|$309.56|$697.60|$610.00|$608.66|$309.56|$629.58|$610.40|$558.95|$697.60|$380.19|$405.48|$610.40|$610.31|$658.53|$518.75
"CPT® 72080"|"HB X-RAY EXAM THORACOLMB 2/> VW"|320.00|$728.00|$258.44|$582.40|$510.00|$508.14|$258.44|$525.62|$509.60|$466.65|$582.40|$317.41|$338.52|$509.60|$509.53|$549.79|$433.09
"CPT® 72100"|"HB X-RAY EXAM L-S SPINE 2/3 VWS"|320.00|$730.00|$259.15|$584.00|$511.00|$509.54|$259.15|$527.06|$511.00|$467.93|$584.00|$318.28|$339.45|$511.00|$510.93|$551.30|$434.28
"CPT® 72110"|"HB X-RAY EXAM L-2 SPINE 4/>VWS"|320.00|$1020.00|$362.10|$816.00|$714.00|$711.96|$362.10|$736.44|$714.00|$653.82|$816.00|$444.72|$474.30|$714.00|$713.90|$770.30|$606.80
"CPT® 72114"|"HB X-RAY EXAM L-S SPINE BENDING"|320.00|$1310.00|$465.05|$1048.00|$917.00|$914.38|$465.05|$945.82|$917.00|$839.71|$1048.00|$571.16|$609.15|$917.00|$916.87|$989.31|$779.32
"CPT® 72120"|"HB X-RAY SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS"|320.00|$713.00|$253.12|$570.40|$499.00|$497.67|$253.12|$514.79|$499.10|$457.03|$570.40|$310.87|$331.55|$499.10|$499.03|$538.46|$424.16
"CPT® 72170"|"HB XRAY PELVIS 1 OR 2 VIEWS"|320.00|$646.00|$229.33|$516.80|$452.00|$450.91|$229.33|$466.41|$452.20|$414.09|$516.80|$281.66|$300.39|$452.20|$452.14|$487.86|$384.31
"CPT® 72190"|"HB XRAY PELVIS COMPLETE, MINIMUM OF 3 VIEWS"|320.00|$770.00|$273.35|$616.00|$539.00|$537.46|$273.35|$555.94|$539.00|$493.57|$616.00|$335.72|$358.05|$539.00|$538.92|$581.50|$458.07
"CPT® 72202"|"HB X-RAY EXAM SI JOINTS 3/> VWS"|320.00|$774.00|$274.77|$619.20|$542.00|$540.25|$274.77|$558.83|$541.80|$496.13|$619.20|$337.46|$359.91|$541.80|$541.72|$584.52|$460.45
"CPT® 72220"|"HB X-RAY EXAM SACRUM TAILBONE"|320.00|$833.00|$295.72|$666.40|$583.00|$581.43|$295.72|$601.43|$583.10|$533.95|$666.40|$363.19|$387.35|$583.10|$583.02|$629.08|$495.55
"CPT® 73000"|"HB X-RAY EXAM OF COLLAR BONE"|320.00|$613.00|$217.62|$490.40|$429.00|$427.87|$217.62|$442.59|$429.10|$392.93|$490.40|$267.27|$285.05|$429.10|$429.04|$462.94|$364.67
"CPT® 73010"|"HB X-RAY EXAM OF SHOULDER BLADE"|320.00|$561.00|$199.16|$448.80|$393.00|$391.58|$199.16|$405.04|$392.70|$359.60|$448.80|$244.60|$260.87|$392.70|$392.64|$423.67|$333.74
"CPT® 73020"|"HB X-RAY EXAM OF SHOULDER 1 VIEW"|320.00|$466.00|$165.43|$372.80|$326.00|$325.27|$165.43|$336.45|$326.20|$298.71|$372.80|$203.18|$216.69|$326.20|$326.15|$351.92|$277.22
"CPT® 73030"|"HB X-RAY EXAM OF SHOULDER MINIMUM 2 VIEWS"|320.00|$699.00|$248.15|$559.20|$489.00|$487.90|$248.15|$504.68|$489.30|$448.06|$559.20|$304.76|$325.04|$489.30|$489.23|$527.88|$415.84
"CPT® 73040"|"HB SHOULDER ARTHROGRAPHY; S&I"|320.00|$2322.00|$824.31|$1857.60|$1625.00|$1620.76|$824.31|$1676.48|$1625.40|$1488.40|$1857.60|$1012.39|$1079.73|$1625.40|$1625.17|$1753.57|$1381.36
"CPT® 73050"|"HB X-RAY EXAM OF SHOULDERS"|320.00|$857.00|$304.24|$685.60|$600.00|$598.19|$304.24|$618.75|$599.90|$549.34|$685.60|$373.65|$398.51|$599.90|$599.81|$647.21|$509.83
"CPT® 73060"|"HB X-RAY HUMERUS MINIMUM 2 VIEW"|320.00|$694.00|$246.37|$555.20|$486.00|$484.41|$246.37|$501.07|$485.80|$444.85|$555.20|$302.58|$322.71|$485.80|$485.73|$524.11|$412.86
"CPT® 73070"|"HB X-RAY EXAM OF ELBOW 2 VIEWS"|320.00|$412.00|$146.26|$329.60|$288.00|$287.58|$146.26|$297.46|$288.40|$264.09|$329.60|$179.63|$191.58|$288.40|$288.36|$311.14|$245.10
"CPT® 73080"|"HB X-RAY EXAM OF ELBOW 3 VIEWS"|320.00|$648.00|$230.04|$518.40|$454.00|$452.30|$230.04|$467.86|$453.60|$415.37|$518.40|$282.53|$301.32|$453.60|$453.54|$489.37|$385.50
"CPT® 73090"|"HB X-RAY EXAM OF FOREARM 2 VIEWS"|320.00|$579.00|$205.55|$463.20|$405.00|$404.14|$205.55|$418.04|$405.30|$371.14|$463.20|$252.44|$269.24|$405.30|$405.24|$437.26|$344.45
"CPT® 73092"|"HB X-RAY UPPER EXTREMITY INFANT, MINIMUM 2 VIEWS"|320.00|$507.00|$179.99|$405.60|$355.00|$353.89|$179.99|$366.05|$354.90|$324.99|$405.60|$221.05|$235.76|$354.90|$354.85|$382.89|$301.61
"CPT® 73100"|"HB X-RAY EXAM OF WRIST 2 VIEWS"|320.00|$449.00|$159.40|$359.20|$314.00|$313.40|$159.40|$324.18|$314.30|$287.81|$359.20|$195.76|$208.79|$314.30|$314.26|$339.08|$267.11
"CPT® 73110"|"HB X-RAY EXAM OF WRIST 3 VIEWS"|320.00|$552.00|$195.96|$441.60|$386.00|$385.30|$195.96|$398.54|$386.40|$353.83|$441.60|$240.67|$256.68|$386.40|$386.34|$416.87|$328.38
"CPT® 73120"|"HB X-RAY EXAM OF HAND 2 VIEWS"|320.00|$584.00|$207.32|$467.20|$409.00|$407.63|$207.32|$421.65|$408.80|$374.34|$467.20|$254.62|$271.56|$408.80|$408.74|$441.04|$347.42
"CPT® 73130"|"HB X-RAY EXAM OF HAND 3 VIEWS"|320.00|$613.00|$217.62|$490.40|$429.00|$427.87|$217.62|$442.59|$429.10|$392.93|$490.40|$267.27|$285.05|$429.10|$429.04|$462.94|$364.67
"CPT® 73140"|"HB X-RAY EXAM OF FINGER(S) MIN 2 VIEWS"|320.00|$514.00|$182.47|$411.20|$360.00|$358.77|$182.47|$371.11|$359.80|$329.47|$411.20|$224.10|$239.01|$359.80|$359.75|$388.17|$305.78
"CPT® 73523"|"HB X-RAY HIPS, BILATERAL WITH PELVIS, MINIMUM 5 VIEWS"|320.00|$926.00|$328.73|$740.80|$648.00|$646.35|$328.73|$668.57|$648.20|$593.57|$740.80|$403.74|$430.59|$648.20|$648.11|$699.32|$550.88
"CPT® 73503"|"HB X-RAY EXAM HIP UNILATERAL MIN 4 VIEWS"|320.00|$1200.00|$426.00|$960.00|$840.00|$837.60|$426.00|$866.40|$840.00|$769.20|$960.00|$523.20|$558.00|$840.00|$839.88|$906.24|$713.88
"CPT® 73560"|"HB X-RAY EXAM OF KNEE 1 OR 2"|320.00|$624.00|$221.52|$499.20|$437.00|$435.55|$221.52|$450.53|$436.80|$399.98|$499.20|$272.06|$290.16|$436.80|$436.74|$471.24|$371.22
"CPT® 73562"|"HB X-RAY EXAM OF KNEE 3"|320.00|$671.00|$238.21|$536.80|$470.00|$468.36|$238.21|$484.46|$469.70|$430.11|$536.80|$292.56|$312.02|$469.70|$469.63|$506.74|$399.18
"CPT® 73564"|"HB X-RAY EXAM KNEE 4 OR MORE"|320.00|$812.00|$288.26|$649.60|$568.00|$566.78|$288.26|$586.26|$568.40|$520.49|$649.60|$354.03|$377.58|$568.40|$568.32|$613.22|$483.06
"CPT® 73565"|"HB X-RAY EXAM OF KNEES"|320.00|$540.00|$191.70|$432.00|$378.00|$376.92|$191.70|$389.88|$378.00|$346.14|$432.00|$235.44|$251.10|$378.00|$377.95|$407.81|$321.25
"CPT® 73590"|"HB X-RAY EXAM OF LOWER LEG"|320.00|$602.00|$213.71|$481.60|$421.00|$420.20|$213.71|$434.64|$421.40|$385.88|$481.60|$262.47|$279.93|$421.40|$421.34|$454.63|$358.13
"CPT® 73592"|"HB X-RAY EXAM OF LEG INFANT"|320.00|$536.00|$190.28|$428.80|$375.00|$374.13|$190.28|$386.99|$375.20|$343.58|$428.80|$233.70|$249.24|$375.20|$375.15|$404.79|$318.87
"CPT® 73600"|"HB X-RAY EXAM OF ANKLE 2 VIEWS"|320.00|$433.00|$153.72|$346.40|$303.00|$302.23|$153.72|$312.63|$303.10|$277.55|$346.40|$188.79|$201.35|$303.10|$303.06|$327.00|$257.59
"CPT® 73610"|"HB X-RAY EXAM OF ANKLE 3 VIEWS"|320.00|$608.00|$215.84|$486.40|$426.00|$424.38|$215.84|$438.98|$425.60|$389.73|$486.40|$265.09|$282.72|$425.60|$425.54|$459.16|$361.70
"CPT® 73620"|"HB X-RAY EXAM OF FOOT 2 VIEWS"|320.00|$364.00|$129.22|$291.20|$255.00|$254.07|$129.22|$262.81|$254.80|$233.32|$291.20|$158.70|$169.26|$254.80|$254.76|$274.89|$216.54
"CPT® 73630"|"HB X-RAY EXAM OF FOOT 3 VIEWS"|320.00|$666.00|$236.43|$532.80|$466.00|$464.87|$236.43|$480.85|$466.20|$426.91|$532.80|$290.38|$309.69|$466.20|$466.13|$502.96|$396.20
"CPT® 73650"|"HB X-RAY EXAM OF HEEL"|320.00|$525.00|$186.38|$420.00|$368.00|$366.45|$186.38|$379.05|$367.50|$336.53|$420.00|$228.90|$244.13|$367.50|$367.45|$396.48|$312.32
"CPT® 73660"|"HB X-RAY EXAM OF TOE(S)"|320.00|$489.00|$173.60|$391.20|$342.00|$341.32|$173.60|$353.06|$342.30|$313.45|$391.20|$213.20|$227.39|$342.30|$342.25|$369.29|$290.91
"CPT® 74018"|"HB XRAY EXAM ABDOMEN 1 VIEW"|320.00|$600.00|$213.00|$480.00|$420.00|$418.80|$213.00|$433.20|$420.00|$384.60|$480.00|$261.60|$279.00|$420.00|$419.94|$453.12|$356.94
"CPT® 74022"|"HB X-RAY EXAM SERIES ABDOMEN"|320.00|$908.00|$322.34|$726.40|$636.00|$633.78|$322.34|$655.58|$635.60|$582.03|$726.40|$395.89|$422.22|$635.60|$635.51|$685.72|$540.17
"CPT® 74220"|"HB SINGLE CONTRAST X-RAY ESOPHAGUS"|320.00|$965.00|$342.58|$772.00|$676.00|$673.57|$342.58|$696.73|$675.50|$618.57|$772.00|$420.74|$448.73|$675.50|$675.40|$728.77|$574.08
"CPT® 74230"|"HB CINE/VID X-RAY THROAT/ESOPH"|320.00|$890.00|$315.95|$712.00|$623.00|$621.22|$315.95|$642.58|$623.00|$570.49|$712.00|$388.04|$413.85|$623.00|$622.91|$672.13|$529.46
"CPT® 74240"|"HB RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY"|320.00|$958.00|$340.09|$766.40|$671.00|$668.68|$340.09|$691.68|$670.60|$614.08|$766.40|$417.69|$445.47|$670.60|$670.50|$723.48|$569.91
"CPT® 74246"|"HB X-RAY UPPER GI, DOUBLE CONTRAST"|320.00|$1164.00|$413.22|$931.20|$815.00|$812.47|$413.22|$840.41|$814.80|$746.12|$931.20|$507.50|$541.26|$814.80|$814.68|$879.05|$692.46
"CPT® 74250"|"HB RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY"|320.00|$1219.00|$432.75|$975.20|$853.00|$850.86|$432.75|$880.12|$853.30|$781.38|$975.20|$531.48|$566.84|$853.30|$853.18|$920.59|$725.18
"CPT® 74270"|"HB RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY"|320.00|$1364.00|$484.22|$1091.20|$955.00|$952.07|$484.22|$984.81|$954.80|$874.32|$1091.20|$594.70|$634.26|$954.80|$954.66|$1030.09|$811.44
"CPT® 74280"|"HB RADIOLOGIC EXAM COLON DOUBLE CONTRAST"|320.00|$1992.00|$707.16|$1593.60|$1394.00|$1390.42|$707.16|$1438.22|$1394.40|$1276.87|$1593.60|$868.51|$926.28|$1394.40|$1394.20|$1504.36|$1185.04
"CPT® 74300"|"HB X-RAY BILE DUCTS/PANCREAS"|320.00|$1835.00|$651.43|$1468.00|$1284.00|$1280.83|$651.43|$1324.87|$1284.50|$1176.24|$1468.00|$800.06|$853.28|$1284.50|$1284.32|$1385.79|$1091.64
"CPT® 74340"|"HB X-RAY GUIDE FOR GI TUBE"|320.00|$674.00|$239.27|$539.20|$472.00|$470.45|$239.27|$486.63|$471.80|$432.03|$539.20|$293.86|$313.41|$471.80|$471.73|$509.00|$400.96
"CPT® 74400"|"HB UROGRAPHY, INTRAVENOUS; W/ OR W/OUT KUB; W/ OR W/OUT TOMOGRAPHY"|320.00|$1169.00|$415.00|$935.20|$818.00|$815.96|$415.00|$844.02|$818.30|$749.33|$935.20|$509.68|$543.59|$818.30|$818.18|$882.83|$695.44
"CPT® 74420"|"HB UROGRAPHY, RETROGRADE; WITH OR WITHOUT KUB"|320.00|$1622.00|$575.81|$1297.60|$1135.00|$1132.16|$575.81|$1171.08|$1135.40|$1039.70|$1297.60|$707.19|$754.23|$1135.40|$1135.24|$1224.93|$964.93
"CPT® 74430"|"HB CYSTOGRAPHY, MINIMUM 3 VIEWS; S&I"|320.00|$1235.00|$438.43|$988.00|$864.00|$862.03|$438.43|$891.67|$864.50|$791.64|$988.00|$538.46|$574.28|$864.50|$864.38|$932.67|$734.70
"CPT® 74450"|"HB URETHROCYSTOGRAPHY, RETROGRADE; S&I"|320.00|$1142.00|$405.41|$913.60|$799.00|$797.12|$405.41|$824.52|$799.40|$732.02|$913.60|$497.91|$531.03|$799.40|$799.29|$862.44|$679.38
"CPT® 74455"|"HB URETHROCYSTOGRAPHY, VOIDING; S&I"|320.00|$1619.00|$574.75|$1295.20|$1133.00|$1130.06|$574.75|$1168.92|$1133.30|$1037.78|$1295.20|$705.88|$752.84|$1133.30|$1133.14|$1222.67|$963.14
"CPT® 74740"|"HB X-RAY FEMALE GENITAL TRACT"|320.00|$1128.00|$400.44|$902.40|$790.00|$787.34|$400.44|$814.42|$789.60|$723.05|$902.40|$491.81|$524.52|$789.60|$789.49|$851.87|$671.05
"CPT® 75809"|"HB NONVASCULAR SHUNT X-RAY"|320.00|$798.00|$283.29|$638.40|$559.00|$557.00|$283.29|$576.16|$558.60|$511.52|$638.40|$347.93|$371.07|$558.60|$558.52|$602.65|$474.73
"CPT® 75989"|"HB RADIOLOGICAL GUIDANCE, PERCUTANEOUS DRAINAGE; S&I"|320.00|$2764.00|$981.22|$2211.20|$1935.00|$1929.27|$981.22|$1995.61|$1934.80|$1771.72|$2211.20|$1205.10|$1285.26|$1934.80|$1934.52|$2087.37|$1644.30
"CPT® 76000"|"HB FLUOROSCOPY, UP TO 1 HOUR"|320.00|$1182.00|$419.61|$945.60|$827.00|$825.04|$419.61|$853.40|$827.40|$757.66|$945.60|$515.35|$549.63|$827.40|$827.28|$892.65|$703.17
"CPT® 76010"|"HB X-RAY NOSE TO RECTUM"|320.00|$328.00|$116.44|$262.40|$230.00|$228.94|$116.44|$236.82|$229.60|$210.25|$262.40|$143.01|$152.52|$229.60|$229.57|$247.71|$195.13
"CPT® 76080"|"HB X-RAY ABSCESS/FISTULA/SINUS STUDY S&I"|320.00|$1058.00|$375.59|$846.40|$741.00|$738.48|$375.59|$763.88|$740.60|$678.18|$846.40|$461.29|$491.97|$740.60|$740.49|$799.00|$629.40
"CPT® 76098"|"HB X-RAY EXAM BREAST SPECIMEN"|320.00|$886.00|$314.53|$708.80|$620.00|$618.43|$314.53|$639.69|$620.20|$567.93|$708.80|$386.30|$411.99|$620.20|$620.11|$669.11|$527.08
"CPT® 76377"|"HB 3D RENDERING WITH INDEPENDENT WORKSTATION"|320.00|$792.00|$281.16|$633.60|$554.00|$552.82|$281.16|$571.82|$554.40|$507.67|$633.60|$345.31|$368.28|$554.40|$554.32|$598.12|$471.16
"CPT® 77001"|"HB FLUOROSCOPIC GUIDANCE, CVA DEVICE PLACEMENT/REPLACE/REMOVAL"|320.00|$1511.00|$536.41|$1208.80|$1058.00|$1054.68|$536.41|$1090.94|$1057.70|$968.55|$1208.80|$658.80|$702.62|$1057.70|$1057.55|$1141.11|$898.89
"CPT® 77002"|"HB FLUOROSCOPIC GUIDANCE, NEEDLE PLACEMENT"|320.00|$983.00|$348.97|$786.40|$688.00|$686.13|$348.97|$709.73|$688.10|$630.10|$786.40|$428.59|$457.10|$688.10|$688.00|$742.36|$584.79
"CPT® 77072"|"HB X-RAYS FOR BONE AGE"|320.00|$518.00|$183.89|$414.40|$363.00|$361.56|$183.89|$374.00|$362.60|$332.04|$414.40|$225.85|$240.87|$362.60|$362.55|$391.19|$308.16
"CPT® 77074"|"HB X-RAYS BONE SURVEY LIMITED"|320.00|$1280.00|$454.40|$1024.00|$896.00|$893.44|$454.40|$924.16|$896.00|$820.48|$1024.00|$558.08|$595.20|$896.00|$895.87|$966.66|$761.47
"CPT® 77075"|"HB X-RAYS BONE SURVEY COMPLETE"|320.00|$1663.00|$590.37|$1330.40|$1164.00|$1160.77|$590.37|$1200.69|$1164.10|$1065.98|$1330.40|$725.07|$773.30|$1164.10|$1163.93|$1255.90|$989.32
"CPT® 77076"|"HB X-RAYS BONE SURVEY INFANT"|320.00|$1402.00|$497.71|$1121.60|$981.00|$978.60|$497.71|$1012.24|$981.40|$898.68|$1121.60|$611.27|$651.93|$981.40|$981.26|$1058.79|$834.05
"CPT® 77080"|"HB DXA BONE DENSITY STUDY, 1 OR MORE SITES, AXIAL SKELETON"|320.00|$713.00|$253.12|$570.40|$499.00|$497.67|$253.12|$514.79|$499.10|$457.03|$570.40|$310.87|$331.55|$499.10|$499.03|$538.46|$424.16
"CPT® 77081"|"HB DXA BONE DENSITY/PERIPHERAL"|320.00|$413.00|$146.62|$330.40|$289.00|$288.27|$146.62|$298.19|$289.10|$264.73|$330.40|$180.07|$192.05|$289.10|$289.06|$311.90|$245.69
"CPT® 77085"|"HB DXA BONE DENSITY STUDY"|320.00|$1075.00|$381.63|$860.00|$752.00|$750.35|$381.63|$776.15|$752.50|$689.08|$860.00|$468.70|$499.88|$752.50|$752.39|$811.84|$639.52
"CPT® 77086"|"HB FRACTURE ASSESSMENT VIA DXA"|320.00|$364.00|$129.22|$291.20|$255.00|$254.07|$129.22|$262.81|$254.80|$233.32|$291.20|$158.70|$169.26|$254.80|$254.76|$274.89|$216.54
"CPT® 73560"|"HB X-RAY KNEE 1 OR 2 VIEWS"|320.00|$624.00|$221.52|$499.20|$437.00|$435.55|$221.52|$450.53|$436.80|$399.98|$499.20|$272.06|$290.16|$436.80|$436.74|$471.24|$371.22
"CPT® 73562"|"HB X-RAY KNEE 3 VIEWS"|320.00|$671.00|$238.21|$536.80|$470.00|$468.36|$238.21|$484.46|$469.70|$430.11|$536.80|$292.56|$312.02|$469.70|$469.63|$506.74|$399.18
"CPT® 73564"|"HB X-RAY KNEE 4 OR MORE VIEWS"|320.00|$812.00|$288.26|$649.60|$568.00|$566.78|$288.26|$586.26|$568.40|$520.49|$649.60|$354.03|$377.58|$568.40|$568.32|$613.22|$483.06
"CPT® 73590"|"HB X-RAY TIBIA/FIBULA 2 VIEW"|320.00|$602.00|$213.71|$481.60|$421.00|$420.20|$213.71|$434.64|$421.40|$385.88|$481.60|$262.47|$279.93|$421.40|$421.34|$454.63|$358.13
"CPT® 74425"|"HCPF CONT X-RAY UT ANTEGRADE"|320.00|$1148.00|$407.54|$918.40|$804.00|$801.30|$407.54|$828.86|$803.60|$735.87|$918.40|$500.53|$533.82|$803.60|$803.49|$866.97|$682.95
"CPT® 73551"|"HB X-RAY EXAM OF FEMUR 1 VIEW"|320.00|$478.00|$169.69|$382.40|$335.00|$333.64|$169.69|$345.12|$334.60|$306.40|$382.40|$208.41|$222.27|$334.60|$334.55|$360.99|$284.36
"CPT® 72081"|"HB X-RAY EXAM ENTIRE SPINE 1 VIEW"|320.00|$688.00|$244.24|$550.40|$482.00|$480.22|$244.24|$496.74|$481.60|$441.01|$550.40|$299.97|$319.92|$481.60|$481.53|$519.58|$409.29
"CPT® 72082"|"HB X-RAY EXAM ENTIRE SPI 2/3 VW"|320.00|$923.00|$327.67|$738.40|$646.00|$644.25|$327.67|$666.41|$646.10|$591.64|$738.40|$402.43|$429.20|$646.10|$646.01|$697.05|$549.09
"CPT® 73501"|"HB X-RAY HIP UNILATERAL WITH PELVIS 1 VIEW"|320.00|$596.00|$211.58|$476.80|$417.00|$416.01|$211.58|$430.31|$417.20|$382.04|$476.80|$259.86|$277.14|$417.20|$417.14|$450.10|$354.56
"CPT® 73502"|"HB X-RAY EXAM HIP UNILATERAL 2-3 VIEWS"|320.00|$586.00|$208.03|$468.80|$410.00|$409.03|$208.03|$423.09|$410.20|$375.63|$468.80|$255.50|$272.49|$410.20|$410.14|$442.55|$348.61
"CPT® 73521"|"HB X-RAY EXAM HIPS BILATERAL 2 VIEWS"|320.00|$1005.00|$356.78|$804.00|$704.00|$701.49|$356.78|$725.61|$703.50|$644.21|$804.00|$438.18|$467.33|$703.50|$703.40|$758.98|$597.87
"CPT® 73522"|"HB X-RAY EXAM HIPS BILATERAL 3-4 VIEWS"|320.00|$1264.00|$448.72|$1011.20|$885.00|$882.27|$448.72|$912.61|$884.80|$810.22|$1011.20|$551.10|$587.76|$884.80|$884.67|$954.57|$751.95
"CPT® 73552"|"HB X-RAY EXAM OF FEMUR MIN 2 VIEWS"|320.00|$673.00|$238.92|$538.40|$471.00|$469.75|$238.92|$485.91|$471.10|$431.39|$538.40|$293.43|$312.95|$471.10|$471.03|$508.25|$400.37
"CPT® 74019"|"HB X-RAY EXAM ABDOMEN 2 VIEWS"|320.00|$647.00|$229.69|$517.60|$453.00|$451.61|$229.69|$467.13|$452.90|$414.73|$517.60|$282.09|$300.86|$452.90|$452.84|$488.61|$384.90
"CPT® 74021"|"HB XRAY EXAM ABDOMEN 3+ VIEWS"|320.00|$750.00|$266.25|$600.00|$525.00|$523.50|$266.25|$541.50|$525.00|$480.75|$600.00|$327.00|$348.75|$525.00|$524.93|$566.40|$446.18
"CPT® 74221"|"HB RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY"|320.00|$965.00|$342.58|$772.00|$676.00|$673.57|$342.58|$696.73|$675.50|$618.57|$772.00|$420.74|$448.73|$675.50|$675.40|$728.77|$574.08
"CPT® 74248"|"HB RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY"|320.00|$1219.00|$432.75|$975.20|$853.00|$850.86|$432.75|$880.12|$853.30|$781.38|$975.20|$531.48|$566.84|$853.30|$853.18|$920.59|$725.18
"CPT® 74251"|"HB RADEX SM INT W/MLT SRL IMGES VIA ENTEROCLSS TUBE"|320.00|$1623.00|$576.17|$1298.40|$1136.00|$1132.85|$576.17|$1171.81|$1136.10|$1040.34|$1298.40|$707.63|$754.70|$1136.10|$1135.94|$1225.69|$965.52
"CPT® 73525"|"HB CONTRAST X-RAY OF HIP"|322.00|$1050.00|$372.75|$840.00|$735.00|$732.90|$372.75|$758.10|$735.00|$673.05|$840.00|$457.80|$488.25|$735.00|$734.90|$792.96|$624.65
"CPT® 73615"|"HB CONTRAST X-RAY OF ANKLE LT"|322.00|$1288.00|$457.24|$1030.40|$902.00|$899.02|$457.24|$929.94|$901.60|$825.61|$1030.40|$561.57|$598.92|$901.60|$901.47|$972.70|$766.23
"CPT® 73115"|"HB WRIST ARTHROGRAM"|322.00|$1644.00|$583.62|$1315.20|$1151.00|$1147.51|$583.62|$1186.97|$1150.80|$1053.80|$1315.20|$716.78|$764.46|$1150.80|$1150.64|$1241.55|$978.02
"CPT® 71045"|"HB X-RAY CHEST SINGLE VIEW"|324.00|$603.00|$214.07|$482.40|$422.00|$420.89|$214.07|$435.37|$422.10|$386.52|$482.40|$262.91|$280.40|$422.10|$422.04|$455.39|$358.72
"CPT® 71046"|"HB-XRAY EXAM CHEST 2 VIEWS"|324.00|$755.00|$268.03|$604.00|$528.00|$526.99|$268.03|$545.11|$528.50|$483.96|$604.00|$329.18|$351.08|$528.50|$528.42|$570.18|$449.15
"CPT® 79445"|"HB NUCLEAR RX INTRA-ARTERIAL"|330.00|$1216.00|$431.68|$972.80|$851.00|$848.77|$431.68|$877.95|$851.20|$779.46|$972.80|$530.18|$565.44|$851.20|$851.08|$918.32|$723.40
"CPT® 96401"|"HB CHEMO ANTI-NEOPL SQ/IM"|331.00|$289.00|$102.60|$231.20|$202.00|$201.72|$102.60|$208.66|$202.30|$185.25|$231.20|$126.00|$134.39|$202.30|$202.27|$218.25|$171.93
"CPT® 96402"|"HB CHEMO HORMON ANTINEOPL SQ/IM"|331.00|$289.00|$102.60|$231.20|$202.00|$201.72|$102.60|$208.66|$202.30|$185.25|$231.20|$126.00|$134.39|$202.30|$202.27|$218.25|$171.93
"CPT® 96409"|"HB CHEMO IV PUSH SNGL DRUG"|331.00|$697.00|$247.44|$557.60|$488.00|$486.51|$247.44|$503.23|$487.90|$446.78|$557.60|$303.89|$324.11|$487.90|$487.83|$526.37|$414.65
"CPT® 96411"|"HB CHEMO IV PUSH ADDL DRUG"|331.00|$462.00|$164.01|$369.60|$323.00|$322.48|$164.01|$333.56|$323.40|$296.14|$369.60|$201.43|$214.83|$323.40|$323.35|$348.90|$274.84
"CPT® 96413"|"HB CHEMO IV INFUSION 1 HR"|335.00|$1356.00|$481.38|$1084.80|$949.00|$946.49|$481.38|$979.03|$949.20|$869.20|$1084.80|$591.22|$630.54|$949.20|$949.06|$1024.05|$806.68
"CPT® 96415"|"HB CHEMO IV INFUSION ADDL HR"|335.00|$524.00|$186.02|$419.20|$367.00|$365.75|$186.02|$378.33|$366.80|$335.88|$419.20|$228.46|$243.66|$366.80|$366.75|$395.72|$311.73
"CPT® 96416"|"HB CHEMO PROLONG INFUSE W/PUMP"|335.00|$1241.00|$440.56|$992.80|$869.00|$866.22|$440.56|$896.00|$868.70|$795.48|$992.80|$541.08|$577.07|$868.70|$868.58|$937.20|$738.27
"CPT® 96417"|"HB CHEMO IV INFUS EACH ADDL SEQ"|335.00|$462.00|$164.01|$369.60|$323.00|$322.48|$164.01|$333.56|$323.40|$296.14|$369.60|$201.43|$214.83|$323.40|$323.35|$348.90|$274.84
"CPT® 96549"|"HB CHEMOTHERAPY UNSPECIFIED"|335.00|$337.00|$119.64|$269.60|$236.00|$235.23|$119.64|$243.31|$235.90|$216.02|$269.60|$146.93|$156.71|$235.90|$235.87|$254.50|$200.48
"HCPCS G0498"|"HB CHEMO EXTEND IV INFUS W/PUMP"|335.00|$719.00|$255.25|$575.20|$503.00|$501.86|$255.25|$519.12|$503.30|$460.88|$575.20|$313.48|$334.34|$503.30|$503.23|$542.99|$427.73
"CPT® 78012"|"HB THYROID UPTAKE MEASUREMENT"|340.00|$1282.00|$455.11|$1025.60|$897.00|$894.84|$455.11|$925.60|$897.40|$821.76|$1025.60|$558.95|$596.13|$897.40|$897.27|$968.17|$762.66
"CPT® 78014"|"HB THYROID IMAGING W/BLOOD FLOW SINGLE OR MULTIPLE"|340.00|$1710.00|$607.05|$1368.00|$1197.00|$1193.58|$607.05|$1234.62|$1197.00|$1096.11|$1368.00|$745.56|$795.15|$1197.00|$1196.83|$1291.39|$1017.28
"CPT® 78070"|"HB PARATHYROID PLANAR IMAGING"|340.00|$3411.00|$1210.91|$2728.80|$2388.00|$2380.88|$1210.91|$2462.74|$2387.70|$2186.45|$2728.80|$1487.20|$1586.12|$2387.70|$2387.36|$2575.99|$2029.20
"CPT® 78195"|"HB LYMPHATICS AND LYMPH NODES IMAGING"|340.00|$1732.00|$614.86|$1385.60|$1212.00|$1208.94|$614.86|$1250.50|$1212.40|$1110.21|$1385.60|$755.15|$805.38|$1212.40|$1212.23|$1308.01|$1030.37
"CPT® 78216"|"HB LIVER & SPLEEN IMAGE/FLOW"|340.00|$754.00|$267.67|$603.20|$528.00|$526.29|$267.67|$544.39|$527.80|$483.31|$603.20|$328.74|$350.61|$527.80|$527.72|$569.42|$448.55
"CPT® 78226"|"HB HEPATOBILIARY SYSTEM IMAGING"|340.00|$2693.00|$956.02|$2154.40|$1885.00|$1879.71|$956.02|$1944.35|$1885.10|$1726.21|$2154.40|$1174.15|$1252.25|$1885.10|$1884.83|$2033.75|$1602.07
"CPT® 78227"|"HB HEPATOBIL SYST IMAGE W/DRUG"|340.00|$2961.00|$1051.16|$2368.80|$2073.00|$2066.78|$1051.16|$2137.84|$2072.70|$1898.00|$2368.80|$1291.00|$1376.87|$2072.70|$2072.40|$2236.15|$1761.50
"CPT® 78264"|"HB GASTRIC EMPTYING IMAG STUDY"|340.00|$1890.00|$670.95|$1512.00|$1323.00|$1319.22|$670.95|$1364.58|$1323.00|$1211.49|$1512.00|$824.04|$878.85|$1323.00|$1322.81|$1427.33|$1124.36
"CPT® 78278"|"HB ACUTE GI BLOOD LOSS IMAGING"|340.00|$1575.00|$559.13|$1260.00|$1102.00|$1099.35|$559.13|$1137.15|$1102.50|$1009.58|$1260.00|$686.70|$732.38|$1102.50|$1102.34|$1189.44|$936.97
"CPT® 78290"|"HB MECKELS DIVERT EXAM"|340.00|$1652.00|$586.46|$1321.60|$1156.00|$1153.10|$586.46|$1192.74|$1156.40|$1058.93|$1321.60|$720.27|$768.18|$1156.40|$1156.23|$1247.59|$982.77
"CPT® 78306"|"HB BONE IMAGING WHOLE BODY"|340.00|$3120.00|$1107.60|$2496.00|$2184.00|$2177.76|$1107.60|$2252.64|$2184.00|$1999.92|$2496.00|$1360.32|$1450.80|$2184.00|$2183.69|$2356.22|$1856.09
"CPT® 78315"|"HB BONE/JOINT IMAGING, 3 PHASE STUDY"|340.00|$2346.00|$832.83|$1876.80|$1642.00|$1637.51|$832.83|$1693.81|$1642.20|$1503.79|$1876.80|$1022.86|$1090.89|$1642.20|$1641.97|$1771.70|$1395.64
"CPT® 78451"|"HB HT MUSCLE IMAGE SPECT SING"|340.00|$3680.00|$1306.40|$2944.00|$2576.00|$2568.64|$1306.40|$2656.96|$2576.00|$2358.88|$2944.00|$1604.48|$1711.20|$2576.00|$2575.63|$2779.14|$2189.23
"CPT® 78452"|"HB HT MUSCLE IMAGE SPECT MULT"|340.00|$5819.00|$2065.75|$4655.20|$4073.00|$4061.66|$2065.75|$4201.32|$4073.30|$3729.98|$4655.20|$2537.08|$2705.84|$4073.30|$4072.72|$4394.51|$3461.72
"CPT® 78472"|"HB GATED HEART PLANAR SINGLE"|340.00|$2568.00|$911.64|$2054.40|$1798.00|$1792.46|$911.64|$1854.10|$1797.60|$1646.09|$2054.40|$1119.65|$1194.12|$1797.60|$1797.34|$1939.35|$1527.70
"CPT® 78582"|"HB LUNG VENTILAT&PERFUS IMAGING"|340.00|$858.00|$304.59|$686.40|$601.00|$598.88|$304.59|$619.48|$600.60|$549.98|$686.40|$374.09|$398.97|$600.60|$600.51|$647.96|$510.42
"CPT® 78707"|"HB K FLOW/FUNCT IMAGE W/O DRUG"|340.00|$2872.00|$1019.56|$2297.60|$2010.00|$2004.66|$1019.56|$2073.58|$2010.40|$1840.95|$2297.60|$1252.19|$1335.48|$2010.40|$2010.11|$2168.93|$1708.55
"CPT® 78709"|"HB K FLOW/FUNCT IMAGE MULTIPLE"|340.00|$3448.00|$1224.04|$2758.40|$2414.00|$2406.70|$1224.04|$2489.46|$2413.60|$2210.17|$2758.40|$1503.33|$1603.32|$2413.60|$2413.26|$2603.93|$2051.22
"CPT® 78802"|"HB RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING"|340.00|$3757.00|$1333.74|$3005.60|$2630.00|$2622.39|$1333.74|$2712.55|$2629.90|$2408.24|$3005.60|$1638.05|$1747.01|$2629.90|$2629.52|$2837.29|$2235.04
"CPT® 78803"|"HB RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING"|340.00|$4647.00|$1649.69|$3717.60|$3253.00|$3243.61|$1649.69|$3355.13|$3252.90|$2978.73|$3717.60|$2026.09|$2160.86|$3252.90|$3252.44|$3509.41|$2764.50
"CPT® 78804"|"HB RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING"|340.00|$5177.00|$1837.84|$4141.60|$3624.00|$3613.55|$1837.84|$3737.79|$3623.90|$3318.46|$4141.60|$2257.17|$2407.31|$3623.90|$3623.38|$3909.67|$3079.80
"CPT® 78830"|"HB RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMAGING"|340.00|$3894.00|$1382.37|$3115.20|$2726.00|$2718.01|$1382.37|$2811.47|$2725.80|$2496.05|$3115.20|$1697.78|$1810.71|$2725.80|$2725.41|$2940.75|$2316.54
"CPT® 78831"|"HB RP LOCLZJ TUM SPECT 2 AREA 1D IMG/1 AREA IMG>2+D"|340.00|$3894.00|$1382.37|$3115.20|$2726.00|$2718.01|$1382.37|$2811.47|$2725.80|$2496.05|$3115.20|$1697.78|$1810.71|$2725.80|$2725.41|$2940.75|$2316.54
"CPT® 78832"|"HB RP LOCLZJ TUM SPECT CT 2AREA 1D IMG/1 AR IMG>2+D"|340.00|$4416.00|$1567.68|$3532.80|$3091.00|$3082.37|$1567.68|$3188.35|$3091.20|$2830.66|$3532.80|$1925.38|$2053.44|$3091.20|$3090.76|$3334.96|$2627.08
"CPT® 78429"|"HB MYOCRD IMG PET METAB EVAL SINGLE STUDY CNCRNT CT"|340.00|$4416.00|$1567.68|$3532.80|$3091.00|$3082.37|$1567.68|$3188.35|$3091.20|$2830.66|$3532.80|$1925.38|$2053.44|$3091.20|$3090.76|$3334.96|$2627.08
"CPT® 78452"|"HCPF CVNM SPECT REST&STRESS"|340.00|$209.00|$74.20|$167.20|$146.00|$145.88|$74.20|$150.90|$146.30|$133.97|$167.20|$91.12|$97.19|$146.30|$146.28|$157.84|$124.33
"CPT® 78300"|"HB BONE IMAGING LIMITED AREA"|341.00|$2592.00|$920.16|$2073.60|$1814.00|$1809.22|$920.16|$1871.42|$1814.40|$1661.47|$2073.60|$1130.11|$1205.28|$1814.40|$1814.14|$1957.48|$1541.98
"CPT® 78305"|"HB BONE IMAGING MULTIPLE AREAS"|341.00|$2024.00|$718.52|$1619.20|$1417.00|$1412.75|$718.52|$1461.33|$1416.80|$1297.38|$1619.20|$882.46|$941.16|$1416.80|$1416.60|$1528.52|$1204.08
"CPT® 78580"|"HB LUNG PERFUSION IMAGING"|341.00|$966.00|$342.93|$772.80|$676.00|$674.27|$342.93|$697.45|$676.20|$619.21|$772.80|$421.18|$449.19|$676.20|$676.10|$729.52|$574.67
"CPT® 78610"|"HB BRAIN FLOW IMAGING ONLY"|341.00|$1672.00|$593.56|$1337.60|$1170.00|$1167.06|$593.56|$1207.18|$1170.40|$1071.75|$1337.60|$728.99|$777.48|$1170.40|$1170.23|$1262.69|$994.67
"CPT® 78708"|"HB K FLOW/FUNCT IMAGE W/DRUG"|341.00|$2922.00|$1037.31|$2337.60|$2045.00|$2039.56|$1037.31|$2109.68|$2045.40|$1873.00|$2337.60|$1273.99|$1358.73|$2045.40|$2045.11|$2206.69|$1738.30
"CPT® 78071"|"HB PARATHYROID PLANAR IMAGING WITH SPECT"|341.00|$2719.00|$965.25|$2175.20|$1903.00|$1897.86|$965.25|$1963.12|$1903.30|$1742.88|$2175.20|$1185.48|$1264.34|$1903.30|$1903.03|$2053.39|$1617.53
"CPT® 78202"|"HB NM LIVER SCAN W/VASC FLOW"|341.00|$710.00|$252.05|$568.00|$497.00|$495.58|$252.05|$512.62|$497.00|$455.11|$568.00|$309.56|$330.15|$497.00|$496.93|$536.19|$422.38
"HCPCS A4641"|"HB RADIOPHARM DX AGENT NOC"|343.00|$1296.00|$460.08|$1036.80|$907.00|$904.61|$460.08|$935.71|$907.20|$830.74|$1036.80|$565.06|$602.64|$907.20|$907.07|$978.74|$770.99
"HCPCS A9500"|"HB TC99M SESTAMIBI (MIBI)"|343.00|$517.00|$183.54|$413.60|$362.00|$360.87|$183.54|$373.27|$361.90|$331.40|$413.60|$225.41|$240.41|$361.90|$361.85|$390.44|$307.56
"HCPCS A9502"|"HB IC_TETROFOSMIN DOSE (MYOVIEW)"|343.00|$405.00|$143.78|$324.00|$284.00|$282.69|$143.78|$292.41|$283.50|$259.61|$324.00|$176.58|$188.33|$283.50|$283.46|$305.86|$240.93
"HCPCS A9503"|"HB TC99M MEDRONATE (MDP)"|343.00|$192.00|$68.16|$153.60|$134.00|$134.02|$68.16|$138.62|$134.40|$123.07|$153.60|$83.71|$89.28|$134.40|$134.38|$145.00|$114.22
"HCPCS A9505"|"HB TL201 THALLIUM PER MCI"|343.00|$260.00|$92.30|$208.00|$182.00|$181.48|$92.30|$187.72|$182.00|$166.66|$208.00|$113.36|$120.90|$182.00|$181.97|$196.35|$154.67
"HCPCS A9512"|"HB TC99M PERTECHNETATE PER MCI"|343.00|$54.00|$19.17|$43.20|$38.00|$37.69|$19.17|$38.99|$37.80|$34.61|$43.20|$23.54|$25.11|$37.80|$37.79|$40.78|$32.12
"HCPCS A9516"|"HB IODINE I-123 SOD IODIDE MIC PER 100 UCI"|343.00|$260.00|$92.30|$208.00|$182.00|$181.48|$92.30|$187.72|$182.00|$166.66|$208.00|$113.36|$120.90|$182.00|$181.97|$196.35|$154.67
"HCPCS A9537"|"HB TC99M MEBROFENIN (CHOLETEC)"|343.00|$322.00|$114.31|$257.60|$225.00|$224.76|$114.31|$232.48|$225.40|$206.40|$257.60|$140.39|$149.73|$225.40|$225.37|$243.17|$191.56
"HCPCS A9538"|"HB TC99M PYROPHOSPHATE (PYP)"|343.00|$320.00|$113.60|$256.00|$224.00|$223.36|$113.60|$231.04|$224.00|$205.12|$256.00|$139.52|$148.80|$224.00|$223.97|$241.66|$190.37
"HCPCS A9539"|"HB TC99M PENTETATE (DTPA)"|343.00|$615.00|$218.33|$492.00|$430.00|$429.27|$218.33|$444.03|$430.50|$394.22|$492.00|$268.14|$285.98|$430.50|$430.44|$464.45|$365.86
"HCPCS A9540"|"HB TC99M MAA"|343.00|$177.00|$62.84|$141.60|$124.00|$123.55|$62.84|$127.79|$123.90|$113.46|$141.60|$77.17|$82.31|$123.90|$123.88|$133.67|$105.30
"HCPCS A9541"|"HB TC99M SULFUR COLLOID"|343.00|$983.00|$348.97|$786.40|$688.00|$686.13|$348.97|$709.73|$688.10|$630.10|$786.40|$428.59|$457.10|$688.10|$688.00|$742.36|$584.79
"HCPCS A9551"|"HB TC99M SUCCIMER (DMSA)"|343.00|$871.00|$309.21|$696.80|$610.00|$607.96|$309.21|$628.86|$609.70|$558.31|$696.80|$379.76|$405.02|$609.70|$609.61|$657.78|$518.16
"HCPCS A9556"|"HB GA67 GALLIUM PER MCI"|343.00|$515.00|$182.83|$412.00|$360.00|$359.47|$182.83|$371.83|$360.50|$330.12|$412.00|$224.54|$239.48|$360.50|$360.45|$388.93|$306.37
"HCPCS A9558"|"HB XE133 XENON PER 10MCI"|343.00|$616.00|$218.68|$492.80|$431.00|$429.97|$218.68|$444.75|$431.20|$394.86|$492.80|$268.58|$286.44|$431.20|$431.14|$465.20|$366.46
"HCPCS A9560"|"HB TC99M LABELED RBC"|343.00|$233.00|$82.72|$186.40|$163.00|$162.63|$82.72|$168.23|$163.10|$149.35|$186.40|$101.59|$108.35|$163.10|$163.08|$175.96|$138.61
"HCPCS A9562"|"HB TC99M MERTIATIDE (MAG3)"|343.00|$742.00|$263.41|$593.60|$519.00|$517.92|$263.41|$535.72|$519.40|$475.62|$593.60|$323.51|$345.03|$519.40|$519.33|$560.36|$441.42
"HCPCS A9569"|"HB TECHNETIUM TC-99M AUTO WBC"|343.00|$3736.00|$1326.28|$2988.80|$2615.00|$2607.73|$1326.28|$2697.39|$2615.20|$2394.78|$2988.80|$1628.90|$1737.24|$2615.20|$2614.83|$2821.43|$2222.55
"HCPCS A9567"|"HB TECHNETIUM TC-99M AEROSOL"|343.00|$464.00|$164.72|$371.20|$325.00|$323.87|$164.72|$335.01|$324.80|$297.42|$371.20|$202.30|$215.76|$324.80|$324.75|$350.41|$276.03
"CPT® 75571"|"HB CT HRT W/O DYE W/CA TEST"|350.00|$192.00|$68.16|$153.60|$134.00|$134.02|$68.16|$138.62|$134.40|$123.07|$153.60|$83.71|$89.28|$105.60|$134.38|$145.00|$114.22
"CPT® 77012"|"HCPF CT SCAN FOR NEEDLE BIOPSY"|350.00|$3186.00|$1131.03|$2548.80|$2230.00|$2223.83|$1131.03|$2300.29|$2230.20|$2042.23|$2548.80|$1389.10|$1481.49|$1500.00|$2229.88|$2406.07|$1895.35
"HCPCS G0297"|"HB CT LOW DOSE FOR LUNG SCREENING"|350.00|$937.00|$332.64|$749.60|$656.00|$654.03|$332.64|$676.51|$655.90|$600.62|$749.60|$408.53|$435.71|$515.35|$655.81|$707.62|$557.42
"CPT® 0042T"|"HB CT PERFUSION W/CONTRAST,CBF"|350.00|$1428.00|$506.94|$1142.40|$1000.00|$996.74|$506.94|$1031.02|$999.60|$915.35|$1142.40|$622.61|$664.02|$785.40|$999.46|$1078.43|$849.52
"CPT® 70450"|"HB CT HEAD/BRAIN WITHOUT CONTRAST"|351.00|$2774.00|$984.77|$2219.20|$1942.00|$1936.25|$984.77|$2002.83|$1941.80|$1778.13|$2219.20|$1209.46|$1289.91|$1500.00|$1941.52|$2094.92|$1650.25
"CPT® 70460"|"HB CT HEAD/BRAIN W/DYE"|351.00|$3276.00|$1162.98|$2620.80|$2293.00|$2286.65|$1162.98|$2365.27|$2293.20|$2099.92|$2620.80|$1428.34|$1523.34|$1500.00|$2292.87|$2474.04|$1948.89
"CPT® 70470"|"HB CT HEAD/BRAIN W/O & W/DYE"|351.00|$4212.00|$1495.26|$3369.60|$2948.00|$2939.98|$1495.26|$3041.06|$2948.40|$2699.89|$3369.60|$1836.43|$1958.58|$1500.00|$2947.98|$3180.90|$2505.72
"CPT® 70480"|"HB CT ORBIT/EAR/FOSSA W/O DYE"|351.00|$3687.00|$1308.89|$2949.60|$2581.00|$2573.53|$1308.89|$2662.01|$2580.90|$2363.37|$2949.60|$1607.53|$1714.46|$1500.00|$2580.53|$2784.42|$2193.40
"CPT® 70481"|"HB CT ORBIT/EAR/FOSSA W/DYE"|351.00|$4005.00|$1421.78|$3204.00|$2804.00|$2795.49|$1421.78|$2891.61|$2803.50|$2567.21|$3204.00|$1746.18|$1862.33|$1500.00|$2803.10|$3024.58|$2382.57
"CPT® 70482"|"HB CT ORBIT/EAR/FOSSA W/O&W/DYE"|351.00|$4276.00|$1500.00|$3420.80|$2993.00|$2984.65|$1517.98|$3087.27|$2993.20|$2740.92|$3420.80|$1864.34|$1988.34|$1500.00|$2992.77|$3229.24|$2543.79
"CPT® 70486"|"HB CT MAXILLOFACIAL WITHOUT CONTRAST"|351.00|$2921.00|$1036.96|$2336.80|$2045.00|$2038.86|$1036.96|$2108.96|$2044.70|$1872.36|$2336.80|$1273.56|$1358.27|$1500.00|$2044.41|$2205.94|$1737.70
"CPT® 70487"|"HB CT MAXILLOFACIAL W/DYE"|351.00|$3545.00|$1258.48|$2836.00|$2482.00|$2474.41|$1258.48|$2559.49|$2481.50|$2272.35|$2836.00|$1545.62|$1648.43|$1500.00|$2481.15|$2677.18|$2108.92
"CPT® 70488"|"HB CT MAXILLOFACIAL W/O & W/DYE"|351.00|$4099.00|$1455.15|$3279.20|$2869.00|$2861.10|$1455.15|$2959.48|$2869.30|$2627.46|$3279.20|$1787.16|$1906.04|$1500.00|$2868.89|$3095.56|$2438.50
"CPT® 70496"|"HB CT ANGIOGRAPHY HEAD"|351.00|$4099.00|$1455.15|$3279.20|$2869.00|$2861.10|$1455.15|$2959.48|$2869.30|$2627.46|$3279.20|$1787.16|$1906.04|$1500.00|$2868.89|$3095.56|$2438.50
"CPT® 70498"|"HB CT ANGIOGRAPHY NECK"|351.00|$4269.00|$1500.00|$3415.20|$2988.00|$2979.76|$1515.50|$3082.22|$2988.30|$2736.43|$3415.20|$1861.28|$1985.09|$1500.00|$2987.87|$3223.95|$2539.63
"CPT® 76380"|"HB CT LIMITED FOLLOW-UP STUDY"|352.00|$1182.00|$419.61|$945.60|$827.00|$825.04|$419.61|$853.40|$827.40|$757.66|$945.60|$515.35|$549.63|$650.10|$827.28|$892.65|$703.17
"CPT® 70490"|"HB CT SOFT TISSUE NECK WITHOUT CONTRAST"|352.00|$2877.00|$1021.34|$2301.60|$2014.00|$2008.15|$1021.34|$2077.19|$2013.90|$1844.16|$2301.60|$1254.37|$1337.81|$1500.00|$2013.61|$2172.71|$1711.53
"CPT® 70491"|"HB CT SOFT TISSUE NECK W/DYE"|352.00|$3644.00|$1293.62|$2915.20|$2551.00|$2543.51|$1293.62|$2630.97|$2550.80|$2335.80|$2915.20|$1588.78|$1694.46|$1500.00|$2550.44|$2751.95|$2167.82
"CPT® 70492"|"HB CT SFT TSUE NCK W/O & W/DYE"|352.00|$4152.00|$1473.96|$3321.60|$2906.00|$2898.10|$1473.96|$2997.74|$2906.40|$2661.43|$3321.60|$1810.27|$1930.68|$1500.00|$2905.98|$3135.59|$2470.02
"CPT® 71250"|"HB CT THORAX W/O DYE"|352.00|$2928.00|$1039.44|$2342.40|$2050.00|$2043.74|$1039.44|$2114.02|$2049.60|$1876.85|$2342.40|$1276.61|$1361.52|$1500.00|$2049.31|$2211.23|$1741.87
"CPT® 71260"|"HB CT THORAX W/DYE"|352.00|$3558.00|$1263.09|$2846.40|$2491.00|$2483.48|$1263.09|$2568.88|$2490.60|$2280.68|$2846.40|$1551.29|$1654.47|$1500.00|$2490.24|$2687.00|$2116.65
"CPT® 71270"|"HB CT THORAX W/O & W/DYE"|352.00|$3830.00|$1359.65|$3064.00|$2681.00|$2673.34|$1359.65|$2765.26|$2681.00|$2455.03|$3064.00|$1669.88|$1780.95|$1500.00|$2680.62|$2892.42|$2278.47
"CPT® 71275"|"HB CT ANGIOGRAPHY CHEST"|352.00|$3928.00|$1394.44|$3142.40|$2750.00|$2741.74|$1394.44|$2836.02|$2749.60|$2517.85|$3142.40|$1712.61|$1826.52|$1500.00|$2749.21|$2966.43|$2336.77
"CPT® 72125"|"HB CT NECK SPINE W/O DYE"|352.00|$3551.00|$1260.61|$2840.80|$2486.00|$2478.60|$1260.61|$2563.82|$2485.70|$2276.19|$2840.80|$1548.24|$1651.22|$1500.00|$2485.34|$2681.72|$2112.49
"CPT® 72126"|"HB CT NECK SPINE W/DYE"|352.00|$3921.00|$1391.96|$3136.80|$2745.00|$2736.86|$1391.96|$2830.96|$2744.70|$2513.36|$3136.80|$1709.56|$1823.27|$1500.00|$2744.31|$2961.14|$2332.60
"CPT® 72128"|"HB CT CHEST SPINE W/O DYE"|352.00|$3151.00|$1118.61|$2520.80|$2206.00|$2199.40|$1118.61|$2275.02|$2205.70|$2019.79|$2520.80|$1373.84|$1465.22|$1500.00|$2205.38|$2379.64|$1874.53
"CPT® 72129"|"HB CT CHEST SPINE W/DYE"|352.00|$3305.00|$1173.28|$2644.00|$2314.00|$2306.89|$1173.28|$2386.21|$2313.50|$2118.51|$2644.00|$1440.98|$1536.83|$1500.00|$2313.17|$2495.94|$1966.14
"CPT® 72131"|"HB CT LUMBAR SPINE W/O DYE"|352.00|$3457.00|$1227.24|$2765.60|$2420.00|$2412.99|$1227.24|$2495.95|$2419.90|$2215.94|$2765.60|$1507.25|$1607.51|$1500.00|$2419.55|$2610.73|$2056.57
"CPT® 72132"|"HB CT LUMBAR SPINE W/DYE"|352.00|$3930.00|$1395.15|$3144.00|$2751.00|$2743.14|$1395.15|$2837.46|$2751.00|$2519.13|$3144.00|$1713.48|$1827.45|$1500.00|$2750.61|$2967.94|$2337.96
"CPT® 72133"|"HB CT LUMBAR SPINE W/O & W/DYE"|352.00|$4167.00|$1479.29|$3333.60|$2917.00|$2908.57|$1479.29|$3008.57|$2916.90|$2671.05|$3333.60|$1816.81|$1937.66|$1500.00|$2916.48|$3146.92|$2478.95
"CPT® 72191"|"HB CT ANGIOGRAPH PELV W/O&W/DYE"|352.00|$3792.00|$1346.16|$3033.60|$2654.00|$2646.82|$1346.16|$2737.82|$2654.40|$2430.67|$3033.60|$1653.31|$1763.28|$1500.00|$2654.02|$2863.72|$2255.86
"CPT® 72192"|"HB CT PELVIS W/O DYE"|352.00|$2418.00|$858.39|$1934.40|$1693.00|$1687.76|$858.39|$1745.80|$1692.60|$1549.94|$1934.40|$1054.25|$1124.37|$1329.90|$1692.36|$1826.07|$1438.47
"CPT® 72193"|"HB CT PELVIS W/DYE"|352.00|$3260.00|$1157.30|$2608.00|$2282.00|$2275.48|$1157.30|$2353.72|$2282.00|$2089.66|$2608.00|$1421.36|$1515.90|$1500.00|$2281.67|$2461.95|$1939.37
"CPT® 72194"|"HB CT PELVIS W/O & W/DYE"|352.00|$3720.00|$1320.60|$2976.00|$2604.00|$2596.56|$1320.60|$2685.84|$2604.00|$2384.52|$2976.00|$1621.92|$1729.80|$1500.00|$2603.63|$2809.34|$2213.03
"CPT® 73200"|"HB CT UPPER EXTREMITY WITHOUT CONTRAST"|352.00|$2873.00|$1019.92|$2298.40|$2011.00|$2005.35|$1019.92|$2074.31|$2011.10|$1841.59|$2298.40|$1252.63|$1335.95|$1500.00|$2010.81|$2169.69|$1709.15
"CPT® 73201"|"HB CT UPPER EXTREMITY WITH CONTRAST"|352.00|$3152.00|$1118.96|$2521.60|$2206.00|$2200.10|$1118.96|$2275.74|$2206.40|$2020.43|$2521.60|$1374.27|$1465.68|$1500.00|$2206.08|$2380.39|$1875.12
"CPT® 73202"|"HB CT UPPER EXTREMITY WITH AND WITHOUT CONTRAST"|352.00|$4225.00|$1499.88|$3380.00|$2958.00|$2949.05|$1499.88|$3050.45|$2957.50|$2708.23|$3380.00|$1842.10|$1964.63|$1500.00|$2957.08|$3190.72|$2513.45
"CPT® 73206"|"HB CT ANGIOGRAPHY UPPER EXTREMITY WITH CONTRAST"|352.00|$3392.00|$1204.16|$2713.60|$2374.00|$2367.62|$1204.16|$2449.02|$2374.40|$2174.27|$2713.60|$1478.91|$1577.28|$1500.00|$2374.06|$2561.64|$2017.90
"CPT® 73700"|"HB CT LOWER EXTREMITY WITHOUT CONTRAST"|352.00|$2941.00|$1044.06|$2352.80|$2059.00|$2052.82|$1044.06|$2123.40|$2058.70|$1885.18|$2352.80|$1282.28|$1367.57|$1500.00|$2058.41|$2221.04|$1749.60
"CPT® 73701"|"HB CT LOWER EXTREMITY WITH CONTRAST"|352.00|$3336.00|$1184.28|$2668.80|$2335.00|$2328.53|$1184.28|$2408.59|$2335.20|$2138.38|$2668.80|$1454.50|$1551.24|$1500.00|$2334.87|$2519.35|$1984.59
"CPT® 73706"|"HB CT ANGIOGRAPHY LOWER EXTREMITY W/ AND W/OUT CONTRAST"|352.00|$3767.00|$1337.29|$3013.60|$2637.00|$2629.37|$1337.29|$2719.77|$2636.90|$2414.65|$3013.60|$1642.41|$1751.66|$1500.00|$2636.52|$2844.84|$2240.99
"CPT® 74150"|"HB CT ABDOMEN W/O DYE"|352.00|$2888.00|$1025.24|$2310.40|$2022.00|$2015.82|$1025.24|$2085.14|$2021.60|$1851.21|$2310.40|$1259.17|$1342.92|$1500.00|$2021.31|$2181.02|$1718.07
"CPT® 74160"|"HB CT ABDOMEN W/DYE"|352.00|$3589.00|$1274.10|$2871.20|$2512.00|$2505.12|$1274.10|$2591.26|$2512.30|$2300.55|$2871.20|$1564.80|$1668.89|$1500.00|$2511.94|$2710.41|$2135.10
"CPT® 74170"|"HB CT ABDOMEN W/O & W/DYE"|352.00|$4102.00|$1456.21|$3281.60|$2871.00|$2863.20|$1456.21|$2961.64|$2871.40|$2629.38|$3281.60|$1788.47|$1907.43|$1500.00|$2870.99|$3097.83|$2440.28
"CPT® 74174"|"HB CT ANGIO ABD&PELV W/O&W/DYE"|352.00|$6076.00|$1500.00|$4860.80|$4253.00|$4241.05|$2156.98|$4386.87|$4253.20|$3894.72|$4860.80|$2649.14|$2825.34|$1500.00|$4252.59|$4588.60|$3614.61
"CPT® 74175"|"HB CT ANGIO ABDOM W/O & W/DYE"|352.00|$4834.00|$1500.00|$3867.20|$3384.00|$3374.13|$1716.07|$3490.15|$3383.80|$3098.59|$3867.20|$2107.62|$2247.81|$1500.00|$3383.32|$3650.64|$2875.75
"CPT® 74176"|"HB CT ABD & PELVIS W/O CONTRAST"|352.00|$5384.00|$1500.00|$4307.20|$3769.00|$3758.03|$1911.32|$3887.25|$3768.80|$3451.14|$4307.20|$2347.42|$2503.56|$1500.00|$3768.26|$4066.00|$3202.94
"CPT® 74177"|"HB CT ABD & PELV W/CONTRAST"|352.00|$6783.00|$1500.00|$5426.40|$4748.00|$4734.53|$2407.97|$4897.33|$4748.10|$4347.90|$5426.40|$2957.39|$3154.10|$1500.00|$4747.42|$5122.52|$4035.21
"CPT® 74178"|"HB CT ABD & PELV 1/> REGNS"|352.00|$7966.00|$1500.00|$6372.80|$5576.00|$5560.27|$2827.93|$5751.45|$5576.20|$5106.21|$6372.80|$3473.18|$3704.19|$1500.00|$5575.40|$6015.92|$4738.97
"CPT® 75635"|"HB CT ANGIO ABDOMINAL ARTERIES"|352.00|$4360.00|$1500.00|$3488.00|$3052.00|$3043.28|$1547.80|$3147.92|$3052.00|$2794.76|$3488.00|$1900.96|$2027.40|$1500.00|$3051.56|$3292.67|$2593.76
"CPT® 64832"|"HB SUTURE NERVE HAND/FOOT ADDTL"|360.00|$6770.00|$2403.35|$5416.00|$4739.00|$4725.46|$2403.35|$4887.94|$4739.00|$4339.57|$5416.00|$2951.72|$3148.05|$4739.00|$4738.32|$5112.70|$4027.47
"CPT® 64836"|"HB SUTURE 1 NERVE ULNAR MOTOR"|360.00|$13538.00|$4805.99|$10830.40|$9477.00|$9449.52|$4805.99|$9774.44|$9476.60|$8677.86|$10830.40|$5902.57|$6295.17|$9476.60|$9475.25|$10223.90|$8053.76
"CPT® 64864"|"HB REPAIR OF FACIAL NERVE"|360.00|$6385.00|$2266.68|$5108.00|$4470.00|$4456.73|$2266.68|$4609.97|$4469.50|$4092.79|$5108.00|$2783.86|$2969.03|$4469.50|$4468.86|$4821.95|$3798.44
"CPT® 13160"|"HB LATE CLOSURE OF WOUND"|360.00|$9787.00|$3474.39|$7829.60|$6851.00|$6831.33|$3474.39|$7066.21|$6850.90|$6273.47|$7829.60|$4267.13|$4550.96|$6850.90|$6849.92|$7391.14|$5822.29
"CPT® 15002"|"HB WOUND PREP TRK/ARM/LEG"|360.00|$4976.00|$1766.48|$3980.80|$3483.00|$3473.25|$1766.48|$3592.67|$3483.20|$3189.62|$3980.80|$2169.54|$2313.84|$3483.20|$3482.70|$3757.88|$2960.22
"CPT® 15004"|"HB WOUND PREP F/N/HF/G"|360.00|$6792.00|$2411.16|$5433.60|$4754.00|$4740.82|$2411.16|$4903.82|$4754.40|$4353.67|$5433.60|$2961.31|$3158.28|$4754.40|$4753.72|$5129.32|$4040.56
"CPT® 15050"|"HB SKIN PINCH GRAFT"|360.00|$8758.00|$3109.09|$7006.40|$6131.00|$6113.08|$3109.09|$6323.28|$6130.60|$5613.88|$7006.40|$3818.49|$4072.47|$6130.60|$6129.72|$6614.04|$5210.13
"CPT® 15120"|"HB SKN SPLT A-GRFT FAC/NCK/HF/G"|360.00|$13747.00|$4880.19|$10997.60|$9623.00|$9595.41|$4880.19|$9925.33|$9622.90|$8811.83|$10997.60|$5993.69|$6392.36|$9622.90|$9621.53|$10381.73|$8178.09
"CPT® 15750"|"HB NEUROVASCULAR PEDICLE FLAP"|360.00|$30118.00|$10691.89|$24094.40|$21083.00|$21022.36|$10691.89|$21745.20|$21082.60|$19305.64|$24094.40|$13131.45|$14004.87|$15000.00|$21079.59|$22745.11|$17917.20
"CPT® 20694"|"HB REMOVE BONE FIXATION DEVICE"|360.00|$5958.00|$2115.09|$4766.40|$4171.00|$4158.68|$2115.09|$4301.68|$4170.60|$3819.08|$4766.40|$2597.69|$2770.47|$4170.60|$4170.00|$4499.48|$3544.41
"CPT® 20900"|"HB REMOVL BONE FOR GRAFT/MINOR"|360.00|$8064.00|$2862.72|$6451.20|$5645.00|$5628.67|$2862.72|$5822.21|$5644.80|$5169.02|$6451.20|$3515.90|$3749.76|$5644.80|$5643.99|$6089.93|$4797.27
"CPT® 20902"|"HB REMOVL BONE FOR GRAFT/MAJOR"|360.00|$8424.00|$2990.52|$6739.20|$5897.00|$5879.95|$2990.52|$6082.13|$5896.80|$5399.78|$6739.20|$3672.86|$3917.16|$5896.80|$5895.96|$6361.80|$5011.44
"CPT® 20924"|"HB REMOVAL OF TENDON FOR GRAFT"|360.00|$9694.00|$3441.37|$7755.20|$6786.00|$6766.41|$3441.37|$6999.07|$6785.80|$6213.85|$7755.20|$4226.58|$4507.71|$6785.80|$6784.83|$7320.91|$5766.96
"CPT® 23071"|"HB EXC SHOULDER LES SC 3 CM/>"|360.00|$7628.00|$2707.94|$6102.40|$5340.00|$5324.34|$2707.94|$5507.42|$5339.60|$4889.55|$6102.40|$3325.81|$3547.02|$5339.60|$5338.84|$5760.67|$4537.90
"CPT® 23350"|"HB INJECTION FOR SHOULDER X-RAY"|360.00|$948.00|$336.54|$758.40|$664.00|$661.70|$336.54|$684.46|$663.60|$607.67|$758.40|$413.33|$440.82|$663.60|$663.51|$715.93|$563.97
"CPT® 23412"|"HB REPAIR ROTATOR CUFF CHRONIC"|360.00|$27878.00|$9896.69|$22302.40|$19515.00|$19458.84|$9896.69|$20127.92|$19514.60|$17869.80|$22302.40|$12154.81|$12963.27|$15000.00|$19511.81|$21053.47|$16584.62
"CPT® 23430"|"HB REPAIR BICEPS TENDON"|360.00|$21063.00|$7477.37|$16850.40|$14744.00|$14701.97|$7477.37|$15207.49|$14744.10|$13501.38|$16850.40|$9183.47|$9794.30|$14744.10|$14741.99|$15906.78|$12530.38
"CPT® 23455"|"HB REPAIR SHOULDER CAPSULE"|360.00|$32526.00|$11546.73|$26020.80|$22768.00|$22703.15|$11546.73|$23483.77|$22768.20|$20849.17|$26020.80|$14181.34|$15124.59|$15000.00|$22764.95|$24563.64|$19349.72
"CPT® 23515"|"HB TREAT CLAVICLE FRACTURE/OPEN"|360.00|$16907.00|$6001.99|$13525.60|$11835.00|$11801.09|$6001.99|$12206.85|$11834.90|$10837.39|$13525.60|$7371.45|$7861.76|$11834.90|$11833.21|$12768.17|$10057.97
"CPT® 23585"|"HB TREAT SCAPULA FRACTURE"|360.00|$19335.00|$6863.93|$15468.00|$13534.00|$13495.83|$6863.93|$13959.87|$13534.50|$12393.74|$15468.00|$8430.06|$8990.78|$13534.50|$13532.57|$14601.79|$11502.39
"CPT® 24000"|"HB EXPLORATORY ELBOW SURGERY"|360.00|$7887.00|$2799.89|$6309.60|$5521.00|$5505.13|$2799.89|$5694.41|$5520.90|$5055.57|$6309.60|$3438.73|$3667.46|$5520.90|$5520.11|$5956.26|$4691.98
"CPT® 24073"|"HB EX ARM/ELBOW TUM DEEP 5 CM/>"|360.00|$13642.00|$4842.91|$10913.60|$9549.00|$9522.12|$4842.91|$9849.52|$9549.40|$8744.52|$10913.60|$5947.91|$6343.53|$9549.40|$9548.04|$10302.44|$8115.63
"CPT® 24076"|"HB EX ARM/ELBOW TUM DEEP < 5 CM"|360.00|$4969.00|$1764.00|$3975.20|$3478.00|$3468.36|$1764.00|$3587.62|$3478.30|$3185.13|$3975.20|$2166.48|$2310.59|$3478.30|$3477.80|$3752.59|$2956.06
"CPT® 24101"|"HB EXPLORE/TREAT ELBOW JOINT"|360.00|$11459.00|$4067.95|$9167.20|$8021.00|$7998.38|$4067.95|$8273.40|$8021.30|$7345.22|$9167.20|$4996.12|$5328.44|$8021.30|$8020.15|$8653.84|$6816.96
"CPT® 24102"|"HB REMOVE ELBOW JOINT LINING"|360.00|$6403.00|$2273.07|$5122.40|$4482.00|$4469.29|$2273.07|$4622.97|$4482.10|$4104.32|$5122.40|$2791.71|$2977.40|$4482.10|$4481.46|$4835.55|$3809.14
"CPT® 24105"|"HB REMOVAL OF ELBOW BURSA"|360.00|$10079.00|$3578.05|$8063.20|$7055.00|$7035.14|$3578.05|$7277.04|$7055.30|$6460.64|$8063.20|$4394.44|$4686.74|$7055.30|$7054.29|$7611.66|$5996.00
"CPT® 24120"|"HB REMOVE ELBOW LESION"|360.00|$11216.00|$3981.68|$8972.80|$7851.00|$7828.77|$3981.68|$8097.95|$7851.20|$7189.46|$8972.80|$4890.18|$5215.44|$7851.20|$7850.08|$8470.32|$6672.40
"CPT® 24149"|"HB RADICAL RESECTION OF ELBOW"|360.00|$21824.00|$7747.52|$17459.20|$15277.00|$15233.15|$7747.52|$15756.93|$15276.80|$13989.18|$17459.20|$9515.26|$10148.16|$15000.00|$15274.62|$16481.48|$12983.10
"CPT® 24301"|"HB MUSCLE/TENDON TRANSFER"|360.00|$26566.00|$9430.93|$21252.80|$18596.00|$18543.07|$9430.93|$19180.65|$18596.20|$17028.81|$21252.80|$11582.78|$12353.19|$15000.00|$18593.54|$20062.64|$15804.11
"CPT® 24305"|"HB ARM TENDON LENGTHENING"|360.00|$16504.00|$5858.92|$13203.20|$11553.00|$11519.79|$5858.92|$11915.89|$11552.80|$10579.06|$13203.20|$7195.74|$7674.36|$11552.80|$11551.15|$12463.82|$9818.23
"CPT® 24332"|"HB TENOLYSIS TRICEPS"|360.00|$13156.00|$4670.38|$10524.80|$9209.00|$9182.89|$4670.38|$9498.63|$9209.20|$8433.00|$10524.80|$5736.02|$6117.54|$9209.20|$9207.88|$9935.41|$7826.50
"CPT® 24340"|"HB REPAIR OF BICEPS TENDON"|360.00|$17140.00|$6084.70|$13712.00|$11998.00|$11963.72|$6084.70|$12375.08|$11998.00|$10986.74|$13712.00|$7473.04|$7970.10|$11998.00|$11996.29|$12944.13|$10196.59
"CPT® 24341"|"HB REPAIR ARM TENDON/MUSCLE"|360.00|$21208.00|$7528.84|$16966.40|$14846.00|$14803.18|$7528.84|$15312.18|$14845.60|$13594.33|$16966.40|$9246.69|$9861.72|$14845.60|$14843.48|$16016.28|$12616.64
"CPT® 24342"|"HB REPAIR OF RUPTURED TENDON"|360.00|$28311.00|$10050.41|$22648.80|$19818.00|$19761.08|$10050.41|$20440.54|$19817.70|$18147.35|$22648.80|$12343.60|$13164.62|$15000.00|$19814.87|$21380.47|$16842.21
"CPT® 24343"|"HB REPR ELBOW LAT LIGMNT W/TISS"|360.00|$18794.00|$6671.87|$15035.20|$13156.00|$13118.21|$6671.87|$13569.27|$13155.80|$12046.95|$15035.20|$8194.18|$8739.21|$13155.80|$13153.92|$14193.23|$11180.55
"CPT® 24345"|"HB REPR ELBW MED LIGMNT W/TISSU"|360.00|$18794.00|$6671.87|$15035.20|$13156.00|$13118.21|$6671.87|$13569.27|$13155.80|$12046.95|$15035.20|$8194.18|$8739.21|$13155.80|$13153.92|$14193.23|$11180.55
"CPT® 24346"|"HB RECONSTRUCT ELBOW MED LIGMNT"|360.00|$32764.00|$11631.22|$26211.20|$22935.00|$22869.27|$11631.22|$23655.61|$22934.80|$21001.72|$26211.20|$14285.10|$15235.26|$15000.00|$22931.52|$24743.37|$19491.30
"CPT® 24358"|"HB REPAIR ELBOW W/DEB OPEN"|360.00|$13777.00|$4890.84|$11021.60|$9644.00|$9616.35|$4890.84|$9946.99|$9643.90|$8831.06|$11021.60|$6006.77|$6406.31|$9643.90|$9642.52|$10404.39|$8195.94
"CPT® 24359"|"HB REPAIR ELBOW DEB/ATTCH OPEN"|360.00|$16597.00|$5891.94|$13277.60|$11618.00|$11584.71|$5891.94|$11983.03|$11617.90|$10638.68|$13277.60|$7236.29|$7717.61|$11617.90|$11616.24|$12534.05|$9873.56
"CPT® 24575"|"HB TREAT  EPICONDYLAR FX-OPEN"|360.00|$15640.00|$5552.20|$12512.00|$10948.00|$10916.72|$5552.20|$11292.08|$10948.00|$10025.24|$12512.00|$6819.04|$7272.60|$10948.00|$10946.44|$11811.33|$9304.24
"CPT® 24579"|"HB TREAT CONDYLAR FX-OPEN"|360.00|$22050.00|$7827.75|$17640.00|$15435.00|$15390.90|$7827.75|$15920.10|$15435.00|$14134.05|$17640.00|$9613.80|$10253.25|$15000.00|$15432.80|$16652.16|$13117.55
"CPT® 24665"|"HB TREAT RAD FRACT - CLSD W/MANIP"|360.00|$14831.00|$5265.01|$11864.80|$10382.00|$10352.04|$5265.01|$10707.98|$10381.70|$9506.67|$11864.80|$6466.32|$6896.42|$10381.70|$10380.22|$11200.37|$8822.96
"CPT® 24666"|"HB TRT RAD HD/NK FRCT ONP/WPROS"|360.00|$20513.00|$7282.12|$16410.40|$14359.00|$14318.07|$7282.12|$14810.39|$14359.10|$13148.83|$16410.40|$8943.67|$9538.55|$14359.10|$14357.05|$15491.42|$12203.18
"CPT® 24685"|"HB TRT ULNR FRACT- OPN/PROX/W/FIX"|360.00|$16792.00|$5961.16|$13433.60|$11754.00|$11720.82|$5961.16|$12123.82|$11754.40|$10763.67|$13433.60|$7321.31|$7808.28|$11754.40|$11752.72|$12681.32|$9989.56
"CPT® 25000"|"HB INCISION OF TENDON SHEATH"|360.00|$13052.00|$4633.46|$10441.60|$9136.00|$9110.30|$4633.46|$9423.54|$9136.40|$8366.33|$10441.60|$5690.67|$6069.18|$9136.40|$9135.09|$9856.87|$7764.63
"CPT® 25001"|"HB INCISE FLEXOR CARPI RADIALIS"|360.00|$10034.00|$3562.07|$8027.20|$7024.00|$7003.73|$3562.07|$7244.55|$7023.80|$6431.79|$8027.20|$4374.82|$4665.81|$7023.80|$7022.80|$7577.68|$5969.23
"CPT® 25085"|"HB INCISION OF WRIST CAPSULE"|360.00|$13558.00|$4813.09|$10846.40|$9491.00|$9463.48|$4813.09|$9788.88|$9490.60|$8690.68|$10846.40|$5911.29|$6304.47|$9490.60|$9489.24|$10239.00|$8065.65
"CPT® 25101"|"HB EXPLORE/TREAT WRIST JOINT"|360.00|$5642.00|$2002.91|$4513.60|$3949.00|$3938.12|$2002.91|$4073.52|$3949.40|$3616.52|$4513.60|$2459.91|$2623.53|$3949.40|$3948.84|$4260.84|$3356.43
"CPT® 25105"|"HB REMOVE WRIST JOINT LINING"|360.00|$13346.00|$4737.83|$10676.80|$9342.00|$9315.51|$4737.83|$9635.81|$9342.20|$8554.79|$10676.80|$5818.86|$6205.89|$9342.20|$9340.87|$10078.90|$7939.54
"CPT® 25109"|"HB EXCISE TENDON FOREARM/WRIST"|360.00|$9190.00|$3262.45|$7352.00|$6433.00|$6414.62|$3262.45|$6635.18|$6433.00|$5890.79|$7352.00|$4006.84|$4273.35|$6433.00|$6432.08|$6940.29|$5467.13
"CPT® 25112"|"HB REREMOVE WRIST TENDON LESION"|360.00|$12690.00|$4504.95|$10152.00|$8883.00|$8857.62|$4504.95|$9162.18|$8883.00|$8134.29|$10152.00|$5532.84|$5900.85|$8883.00|$8881.73|$9583.49|$7549.28
"CPT® 25115"|"HB REMOVAL WRIST/FOREARM LES/RADICAL"|360.00|$21303.00|$7562.57|$17042.40|$14912.00|$14869.49|$7562.57|$15380.77|$14912.10|$13655.22|$17042.40|$9288.11|$9905.90|$14912.10|$14909.97|$16088.03|$12673.15
"CPT® 25116"|"HB REMOVAL WRST/FOREARM LES/RADICAL W/WO"|360.00|$17498.00|$6211.79|$13998.40|$12249.00|$12213.60|$6211.79|$12633.56|$12248.60|$11216.22|$13998.40|$7629.13|$8136.57|$12248.60|$12246.85|$13214.49|$10409.56
"CPT® 25118"|"HB EXCISE WRIST TENDON SHEATH"|360.00|$12049.00|$4277.40|$9639.20|$8434.00|$8410.20|$4277.40|$8699.38|$8434.30|$7723.41|$9639.20|$5253.36|$5602.79|$8434.30|$8433.10|$9099.40|$7167.95
"CPT® 25130"|"HB REMOVAL OF WRIST LESION"|360.00|$10997.00|$3903.94|$8797.60|$7698.00|$7675.91|$3903.94|$7939.83|$7697.90|$7049.08|$8797.60|$4794.69|$5113.61|$7697.90|$7696.80|$8304.93|$6542.12
"CPT® 25135"|"HB REMOVE & GRAFT WRIST LESION"|360.00|$18447.00|$6548.69|$14757.60|$12913.00|$12876.01|$6548.69|$13318.73|$12912.90|$11824.53|$14757.60|$8042.89|$8577.86|$12912.90|$12911.06|$13931.17|$10974.12
"CPT® 25210"|"HB REMOVAL OF WRIST BONE"|360.00|$16013.00|$5684.62|$12810.40|$11209.00|$11177.07|$5684.62|$11561.39|$11209.10|$10264.33|$12810.40|$6981.67|$7446.05|$11209.10|$11207.50|$12093.02|$9526.13
"CPT® 25215"|"HB REMOVAL OF WRIST BONES"|360.00|$21436.00|$7609.78|$17148.80|$15005.00|$14962.33|$7609.78|$15476.79|$15005.20|$13740.48|$17148.80|$9346.10|$9967.74|$15000.00|$15003.06|$16188.47|$12752.28
"CPT® 25230"|"HB PARTIAL REMOVAL OF RADIUS"|360.00|$15692.00|$5570.66|$12553.60|$10984.00|$10953.02|$5570.66|$11329.62|$10984.40|$10058.57|$12553.60|$6841.71|$7296.78|$10984.40|$10982.83|$11850.60|$9335.17
"CPT® 25240"|"HB PARTIAL REMOVAL OF ULNA"|360.00|$16196.00|$5749.58|$12956.80|$11337.00|$11304.81|$5749.58|$11693.51|$11337.20|$10381.64|$12956.80|$7061.46|$7531.14|$11337.20|$11335.58|$12231.22|$9635.00
"CPT® 25246"|"HB INJECTION FOR WRIST X-RAY"|360.00|$328.00|$116.44|$262.40|$230.00|$228.94|$116.44|$236.82|$229.60|$210.25|$262.40|$143.01|$152.52|$229.60|$229.57|$247.71|$195.13
"CPT® 25248"|"HB REMOVE FOREARM FOREIGN BODY"|360.00|$10164.00|$3608.22|$8131.20|$7115.00|$7094.47|$3608.22|$7338.41|$7114.80|$6515.12|$8131.20|$4431.50|$4726.26|$7114.80|$7113.78|$7675.85|$6046.56
"CPT® 25260"|"HB REPAIR FLEXOR-TENDON/MSCLE"|360.00|$14338.00|$5089.99|$11470.40|$10037.00|$10007.92|$5089.99|$10352.04|$10036.60|$9190.66|$11470.40|$6251.37|$6667.17|$10036.60|$10035.17|$10828.06|$8529.68
"CPT® 25272"|"HB REPAIR FORARM TENDON/MUSCLE"|360.00|$12752.00|$4526.96|$10201.60|$8926.00|$8900.90|$4526.96|$9206.94|$8926.40|$8174.03|$10201.60|$5559.87|$5929.68|$8926.40|$8925.12|$9630.31|$7586.16
"CPT® 25275"|"HB REPAIR FOREARM TENDON SHEATH"|360.00|$21676.00|$7694.98|$17340.80|$15173.00|$15129.85|$7694.98|$15650.07|$15173.20|$13894.32|$17340.80|$9450.74|$10079.34|$15000.00|$15171.03|$16369.72|$12895.05
"CPT® 25280"|"HB REVISE WRIST/FOREARM TENDON"|360.00|$13390.00|$4753.45|$10712.00|$9373.00|$9346.22|$4753.45|$9667.58|$9373.00|$8582.99|$10712.00|$5838.04|$6226.35|$9373.00|$9371.66|$10112.13|$7965.71
"CPT® 25290"|"HB INCISE WRIST/FOREARM TENDON"|360.00|$7862.00|$2791.01|$6289.60|$5503.00|$5487.68|$2791.01|$5676.36|$5503.40|$5039.54|$6289.60|$3427.83|$3655.83|$5503.40|$5502.61|$5937.38|$4677.10
"CPT® 25295"|"HB RELEASE WRIST/FOREARM TENDON"|360.00|$15582.00|$5531.61|$12465.60|$10907.00|$10876.24|$5531.61|$11250.20|$10907.40|$9988.06|$12465.60|$6793.75|$7245.63|$10907.40|$10905.84|$11767.53|$9269.73
"CPT® 25310"|"HB TENDN TRANSPLT ARM/WRIST EA"|360.00|$20723.00|$7356.67|$16578.40|$14506.00|$14464.65|$7356.67|$14962.01|$14506.10|$13283.44|$16578.40|$9035.23|$9636.20|$14506.10|$14504.03|$15650.01|$12328.11
"CPT® 25320"|"HB REPAIR/REVISE WRIST JOINT"|360.00|$27100.00|$9620.50|$21680.00|$18970.00|$18915.80|$9620.50|$19566.20|$18970.00|$17371.10|$21680.00|$11815.60|$12601.50|$15000.00|$18967.29|$20465.92|$16121.79
"CPT® 25337"|"HB RECONSTRUCT ULNA/RADIOULNAR"|360.00|$24636.00|$8745.78|$19708.80|$17245.00|$17195.93|$8745.78|$17787.19|$17245.20|$15791.68|$19708.80|$10741.30|$11455.74|$15000.00|$17242.74|$18605.11|$14655.96
"CPT® 25390"|"HB SHORTEN RADIUS OR ULNA"|360.00|$22318.00|$7922.89|$17854.40|$15623.00|$15577.96|$7922.89|$16113.60|$15622.60|$14305.84|$17854.40|$9730.65|$10377.87|$15000.00|$15620.37|$16854.55|$13276.98
"CPT® 25405"|"HB REPAIR/GRAFT RADIUS OR ULNA INCLUDES OBTAINING GRAFT"|360.00|$31440.00|$11161.20|$25152.00|$22008.00|$21945.12|$11161.20|$22699.68|$22008.00|$20153.04|$25152.00|$13707.84|$14619.60|$15000.00|$22004.86|$23743.49|$18703.66
"CPT® 25425"|"HB REPAIR/GRAFT RADIUS OR ULNA WITH AUTOGRADT"|360.00|$21737.00|$7716.64|$17389.60|$15216.00|$15172.43|$7716.64|$15694.11|$15215.90|$13933.42|$17389.60|$9477.33|$10107.71|$15000.00|$15213.73|$16415.78|$12931.34
"CPT® 25440"|"HB REPAIR/GRAFT WRIST BONE"|360.00|$32421.00|$11509.46|$25936.80|$22695.00|$22629.86|$11509.46|$23407.96|$22694.70|$20781.86|$25936.80|$14135.56|$15075.77|$15000.00|$22691.46|$24484.34|$19287.25
"CPT® 25447"|"HB REPAIR WRIST JOINTS"|360.00|$21737.00|$7716.64|$17389.60|$15216.00|$15172.43|$7716.64|$15694.11|$15215.90|$13933.42|$17389.60|$9477.33|$10107.71|$15000.00|$15213.73|$16415.78|$12931.34
"CPT® 25515"|"HB TREATMENT RADIUS FX-OPEN"|360.00|$14457.00|$5132.24|$11565.60|$10120.00|$10090.99|$5132.24|$10437.95|$10119.90|$9266.94|$11565.60|$6303.25|$6722.51|$10119.90|$10118.45|$10917.93|$8600.47
"CPT® 25525"|"HB TREATMENT FRACTURE/DISLOCATION RADIUS"|360.00|$7685.00|$2728.18|$6148.00|$5380.00|$5364.13|$2728.18|$5548.57|$5379.50|$4926.09|$6148.00|$3350.66|$3573.53|$5379.50|$5378.73|$5803.71|$4571.81
"CPT® 25545"|"HB TREAT FRACTURE OF ULNA/OPEN"|360.00|$16224.00|$5759.52|$12979.20|$11357.00|$11324.35|$5759.52|$11713.73|$11356.80|$10399.58|$12979.20|$7073.66|$7544.16|$11356.80|$11355.18|$12252.36|$9651.66
"CPT® 25575"|"HB TREATM RAD AND ULNA FX-BOTH"|360.00|$20542.00|$7292.41|$16433.60|$14379.00|$14338.32|$7292.41|$14831.32|$14379.40|$13167.42|$16433.60|$8956.31|$9552.03|$14379.40|$14377.35|$15513.32|$12220.44
"CPT® 25606"|"HB TREAT FX DISTAL RADIAL"|360.00|$15120.00|$5367.60|$12096.00|$10584.00|$10553.76|$5367.60|$10916.64|$10584.00|$9691.92|$12096.00|$6592.32|$7030.80|$10584.00|$10582.49|$11418.62|$8994.89
"CPT® 25607"|"HB TREAT FX RAD EXTRA-ARTICUL"|360.00|$18024.00|$6398.52|$14419.20|$12617.00|$12580.75|$6398.52|$13013.33|$12616.80|$11553.38|$14419.20|$7858.46|$8381.16|$12616.80|$12615.00|$13611.72|$10722.48
"CPT® 25608"|"HB TREAT FX RAD INTRA-ARTICUL"|360.00|$17193.00|$6103.52|$13754.40|$12035.00|$12000.71|$6103.52|$12413.35|$12035.10|$11020.71|$13754.40|$7496.15|$7994.75|$12035.10|$12033.38|$12984.15|$10228.12
"CPT® 25609"|"HB TREAT FX RADIAL 3+ FRAG"|360.00|$18000.00|$6390.00|$14400.00|$12600.00|$12564.00|$6390.00|$12996.00|$12600.00|$11538.00|$14400.00|$7848.00|$8370.00|$12600.00|$12598.20|$13593.60|$10708.20
"CPT® 25628"|"HB TREAT WRIST BONE FRACTURE INTERNAL FIXATION"|360.00|$18975.00|$6736.13|$15180.00|$13282.00|$13244.55|$6736.13|$13699.95|$13282.50|$12162.98|$15180.00|$8273.10|$8823.38|$13282.50|$13280.60|$14329.92|$11288.23
"CPT® 25645"|"HB TREAT WRIST BONE FRACTURE EACH BONE"|360.00|$11243.00|$3991.27|$8994.40|$7870.00|$7847.61|$3991.27|$8117.45|$7870.10|$7206.76|$8994.40|$4901.95|$5228.00|$7870.10|$7868.98|$8490.71|$6688.46
"CPT® 25651"|"HB PIN ULNAR STYLOID FRACTURE"|360.00|$8192.00|$2908.16|$6553.60|$5734.00|$5718.02|$2908.16|$5914.62|$5734.40|$5251.07|$6553.60|$3571.71|$3809.28|$5734.40|$5733.58|$6186.60|$4873.42
"CPT® 25652"|"HB TREAT FRACTURE ULNAR STYLOID"|360.00|$13927.00|$4944.09|$11141.60|$9749.00|$9721.05|$4944.09|$10055.29|$9748.90|$8927.21|$11141.60|$6072.17|$6476.06|$9748.90|$9747.51|$10517.67|$8285.17
"CPT® 25810"|"HB FUSION/GRAFT OF WRIST JOINT WITH AUTOGRAFT"|360.00|$29444.00|$10452.62|$23555.20|$20611.00|$20551.91|$10452.62|$21258.57|$20610.80|$18873.60|$23555.20|$12837.58|$13691.46|$15000.00|$20607.86|$22236.11|$17516.24
"CPT® 25825"|"HB FUSE HAND BONES WITH GRAFT"|360.00|$26406.00|$9374.13|$21124.80|$18484.00|$18431.39|$9374.13|$19065.13|$18484.20|$16926.25|$21124.80|$11513.02|$12278.79|$15000.00|$18481.56|$19941.81|$15708.93
"CPT® 26020"|"HB DRAIN HAND TENDON SHEATH"|360.00|$4108.00|$1458.34|$3286.40|$2876.00|$2867.38|$1458.34|$2965.98|$2875.60|$2633.23|$3286.40|$1791.09|$1910.22|$2875.60|$2875.19|$3102.36|$2443.85
"CPT® 26034"|"HB TREAT HAND BONE LESION"|360.00|$6438.00|$2285.49|$5150.40|$4507.00|$4493.72|$2285.49|$4648.24|$4506.60|$4126.76|$5150.40|$2806.97|$2993.67|$4506.60|$4505.96|$4861.98|$3829.97
"CPT® 26035"|"HB DECOMPRESS FINGERS/HAND"|360.00|$27327.00|$9701.09|$21861.60|$19129.00|$19074.25|$9701.09|$19730.09|$19128.90|$17516.61|$21861.60|$11914.57|$12707.06|$15000.00|$19126.17|$20637.35|$16256.83
"CPT® 26055"|"HB INCISE FINGER TENDON SHEATH"|360.00|$11398.00|$4046.29|$9118.40|$7979.00|$7955.80|$4046.29|$8229.36|$7978.60|$7306.12|$9118.40|$4969.53|$5300.07|$7978.60|$7977.46|$8607.77|$6780.67
"CPT® 26075"|"HB EXPLORE/TREAT FINGER JOINT EACH"|360.00|$11710.00|$4157.05|$9368.00|$8197.00|$8173.58|$4157.05|$8454.62|$8197.00|$7506.11|$9368.00|$5105.56|$5445.15|$8197.00|$8195.83|$8843.39|$6966.28
"CPT® 26080"|"HB EXPLORE/TREAT LOOSE FINGER JOINT"|360.00|$9860.00|$3500.30|$7888.00|$6902.00|$6882.28|$3500.30|$7118.92|$6902.00|$6320.26|$7888.00|$4298.96|$4584.90|$6902.00|$6901.01|$7446.27|$5865.71
"CPT® 26110"|"HB BIOPSY FINGER JOINT LINING EACH"|360.00|$9410.00|$3340.55|$7528.00|$6587.00|$6568.18|$3340.55|$6794.02|$6587.00|$6031.81|$7528.00|$4102.76|$4375.65|$6587.00|$6586.06|$7106.43|$5598.01
"CPT® 26111"|"HB EXC HAND LES SC 1.5 CM/>"|360.00|$12211.00|$4334.91|$9768.80|$8548.00|$8523.28|$4334.91|$8816.34|$8547.70|$7827.25|$9768.80|$5324.00|$5678.12|$8547.70|$8546.48|$9221.75|$7264.32
"CPT® 26113"|"HB EXC HAND TUM DEEP 1.5 CM/>"|360.00|$15812.00|$5613.26|$12649.60|$11068.00|$11036.78|$5613.26|$11416.26|$11068.40|$10135.49|$12649.60|$6894.03|$7352.58|$11068.40|$11066.82|$11941.22|$9406.56
"CPT® 26115"|"HB EXC HAND LES SC < 1.5 CM"|360.00|$10404.00|$3693.42|$8323.20|$7283.00|$7261.99|$3693.42|$7511.69|$7282.80|$6668.96|$8323.20|$4536.14|$4837.86|$7282.80|$7281.76|$7857.10|$6189.34
"CPT® 26116"|"HB EXC HAND TUM DEEP < 1.5 CM"|360.00|$15424.00|$5475.52|$12339.20|$10797.00|$10765.95|$5475.52|$11136.13|$10796.80|$9886.78|$12339.20|$6724.86|$7172.16|$10796.80|$10795.26|$11648.20|$9175.74
"CPT® 26121"|"HB REL PALM ONLY CONTRACTURE"|360.00|$18456.00|$6551.88|$14764.80|$12919.00|$12882.29|$6551.88|$13325.23|$12919.20|$11830.30|$14764.80|$8046.82|$8582.04|$12919.20|$12917.35|$13937.97|$10979.47
"CPT® 26123"|"HB RELEASE PALM CONTRACT/PARTL"|360.00|$24221.00|$8598.46|$19376.80|$16955.00|$16906.26|$8598.46|$17487.56|$16954.70|$15525.66|$19376.80|$10560.36|$11262.77|$15000.00|$16952.28|$18291.70|$14409.07
"CPT® 26125"|"HB REL PALM CONTRACT/PARTIAL EA ADDL"|360.00|$7267.00|$2579.79|$5813.60|$5087.00|$5072.37|$2579.79|$5246.77|$5086.90|$4658.15|$5813.60|$3168.41|$3379.16|$5086.90|$5086.17|$5488.04|$4323.14
"CPT® 26140"|"HB REVISE INTRPHAL FINGER JT EA"|360.00|$4460.00|$1583.30|$3568.00|$3122.00|$3113.08|$1583.30|$3220.12|$3122.00|$2858.86|$3568.00|$1944.56|$2073.90|$3122.00|$3121.55|$3368.19|$2653.25
"CPT® 26145"|"HB TENDON EXCISION PALM/FINGER"|360.00|$15168.00|$5384.64|$12134.40|$10618.00|$10587.26|$5384.64|$10951.30|$10617.60|$9722.69|$12134.40|$6613.25|$7053.12|$10617.60|$10616.08|$11454.87|$9023.44
"CPT® 26160"|"HB REMOVE TENDON SHEATH LESION"|360.00|$11028.00|$3914.94|$8822.40|$7720.00|$7697.54|$3914.94|$7962.22|$7719.60|$7068.95|$8822.40|$4808.21|$5128.02|$7719.60|$7718.50|$8328.35|$6560.56
"CPT® 26170"|"HB REMOVAL OF PALM TENDON EACH"|360.00|$9760.00|$3464.80|$7808.00|$6832.00|$6812.48|$3464.80|$7046.72|$6832.00|$6256.16|$7808.00|$4255.36|$4538.40|$6832.00|$6831.02|$7370.75|$5806.22
"CPT® 26180"|"HB REMOVAL OF FINGER TENDON"|360.00|$11728.00|$4163.44|$9382.40|$8210.00|$8186.14|$4163.44|$8467.62|$8209.60|$7517.65|$9382.40|$5113.41|$5453.52|$8209.60|$8208.43|$8856.99|$6976.99
"CPT® 26200"|"HB REMOVE HAND BONE LESION"|360.00|$11488.00|$4078.24|$9190.40|$8042.00|$8018.62|$4078.24|$8294.34|$8041.60|$7363.81|$9190.40|$5008.77|$5341.92|$8041.60|$8040.45|$8675.74|$6834.21
"CPT® 26210"|"HB REMOVAL OF FINGER LESION"|360.00|$10932.00|$3880.86|$8745.60|$7652.00|$7630.54|$3880.86|$7892.90|$7652.40|$7007.41|$8745.60|$4766.35|$5083.38|$7652.40|$7651.31|$8255.85|$6503.45
"CPT® 26215"|"HB REMOVE/GRAFT FINGER LESION"|360.00|$17325.00|$6150.38|$13860.00|$12128.00|$12092.85|$6150.38|$12508.65|$12127.50|$11105.33|$13860.00|$7553.70|$8056.13|$12127.50|$12125.77|$13083.84|$10306.64
"CPT® 26230"|"HB PARTIAL REMOVAL OF HAND BONE"|360.00|$17873.00|$6344.92|$14298.40|$12511.00|$12475.35|$6344.92|$12904.31|$12511.10|$11456.59|$14298.40|$7792.63|$8310.95|$12511.10|$12509.31|$13497.69|$10632.65
"CPT® 26235"|"HB PARTIAL REMOVAL FINGER BONE MIDDLE"|360.00|$11710.00|$4157.05|$9368.00|$8197.00|$8173.58|$4157.05|$8454.62|$8197.00|$7506.11|$9368.00|$5105.56|$5445.15|$8197.00|$8195.83|$8843.39|$6966.28
"CPT® 26236"|"HB PARTIAL REMOVAL FINGER BONE DISTAL"|360.00|$12866.00|$4567.43|$10292.80|$9006.00|$8980.47|$4567.43|$9289.25|$9006.20|$8247.11|$10292.80|$5609.58|$5982.69|$9006.20|$9004.91|$9716.40|$7653.98
"CPT® 26320"|"HB REMOVAL OF IMPLANT FROM HAND"|360.00|$8980.00|$3187.90|$7184.00|$6286.00|$6268.04|$3187.90|$6483.56|$6286.00|$5756.18|$7184.00|$3915.28|$4175.70|$6286.00|$6285.10|$6781.70|$5342.20
"CPT® 26340"|"HB MANIPULATE FINGER W/ANESTH"|360.00|$6252.00|$2219.46|$5001.60|$4376.00|$4363.90|$2219.46|$4513.94|$4376.40|$4007.53|$5001.60|$2725.87|$2907.18|$4376.40|$4375.77|$4721.51|$3719.31
"CPT® 26350"|"HB REPAIR FINGER/HAND TENDON"|360.00|$18236.00|$6473.78|$14588.80|$12765.00|$12728.73|$6473.78|$13166.39|$12765.20|$11689.28|$14588.80|$7950.90|$8479.74|$12765.20|$12763.38|$13771.83|$10848.60
"CPT® 26356"|"HB REPAIR FLEXOR TENDON ZN 2"|360.00|$23272.00|$8261.56|$18617.60|$16290.00|$16243.86|$8261.56|$16802.38|$16290.40|$14917.35|$18617.60|$10146.59|$10821.48|$15000.00|$16288.07|$17575.01|$13844.51
"CPT® 26370"|"HB REPAIR PROFUNDUS TENDON REPAIR"|360.00|$21518.00|$7638.89|$17214.40|$15063.00|$15019.56|$7638.89|$15536.00|$15062.60|$13793.04|$17214.40|$9381.85|$10005.87|$15000.00|$15060.45|$16250.39|$12801.06
"CPT® 26390"|"HB REVISE HAND/FINGER TENDON"|360.00|$6447.00|$2288.69|$5157.60|$4513.00|$4500.01|$2288.69|$4654.73|$4512.90|$4132.53|$5157.60|$2810.89|$2997.86|$4512.90|$4512.26|$4868.77|$3835.32
"CPT® 26410"|"HB REPAIR HAND TENDON"|360.00|$13893.00|$4932.02|$11114.40|$9725.00|$9697.31|$4932.02|$10030.75|$9725.10|$8905.41|$11114.40|$6057.35|$6460.25|$9725.10|$9723.71|$10491.99|$8264.95
"CPT® 26416"|"HB GRAFT HAND OR FINGER TENDON"|360.00|$14842.00|$5268.91|$11873.60|$10389.00|$10359.72|$5268.91|$10715.92|$10389.40|$9513.72|$11873.60|$6471.11|$6901.53|$10389.40|$10387.92|$11208.68|$8829.51
"CPT® 26418"|"HB REPAIR EXTENSOR FINGER TENDON"|360.00|$11813.00|$4193.62|$9450.40|$8269.00|$8245.47|$4193.62|$8528.99|$8269.10|$7572.13|$9450.40|$5150.47|$5493.05|$8269.10|$8267.92|$8921.18|$7027.55
"CPT® 26437"|"HB REALIGNMENT OF TENDONS"|360.00|$13892.00|$4931.66|$11113.60|$9724.00|$9696.62|$4931.66|$10030.02|$9724.40|$8904.77|$11113.60|$6056.91|$6459.78|$9724.40|$9723.01|$10491.24|$8264.35
"CPT® 26440"|"HB RELEASE PALM/FINGER TENDON"|360.00|$12260.00|$4352.30|$9808.00|$8582.00|$8557.48|$4352.30|$8851.72|$8582.00|$7858.66|$9808.00|$5345.36|$5700.90|$8582.00|$8580.77|$9258.75|$7293.47
"CPT® 26445"|"HB RELEASE HAND/FINGER TENDON"|360.00|$10768.00|$3822.64|$8614.40|$7538.00|$7516.06|$3822.64|$7774.50|$7537.60|$6902.29|$8614.40|$4694.85|$5007.12|$7537.60|$7536.52|$8131.99|$6405.88
"CPT® 26449"|"HB RELEASE FOREARM/HAND TENDON"|360.00|$16152.00|$5733.96|$12921.60|$11306.00|$11274.10|$5733.96|$11661.74|$11306.40|$10353.43|$12921.60|$7042.27|$7510.68|$11306.40|$11304.78|$12197.99|$9608.82
"CPT® 26471"|"HB FUSION OF FINGER TENDONS EACH JOINT"|360.00|$4086.00|$1450.53|$3268.80|$2860.00|$2852.03|$1450.53|$2950.09|$2860.20|$2619.13|$3268.80|$1781.50|$1899.99|$2860.20|$2859.79|$3085.75|$2430.76
"CPT® 26480"|"HB TRANSPLANT HAND TENDON"|360.00|$18063.00|$6412.37|$14450.40|$12644.00|$12607.97|$6412.37|$13041.49|$12644.10|$11578.38|$14450.40|$7875.47|$8399.30|$12644.10|$12642.29|$13641.18|$10745.68
"CPT® 26483"|"HB TRANSPLANT/GRAFT HAND TENDON"|360.00|$23343.00|$8286.77|$18674.40|$16340.00|$16293.41|$8286.77|$16853.65|$16340.10|$14962.86|$18674.40|$10177.55|$10854.50|$15000.00|$16337.77|$17628.63|$13886.75
"CPT® 26500"|"HB RECONSTRUCT TENDON PULLEY"|360.00|$12158.00|$4316.09|$9726.40|$8511.00|$8486.28|$4316.09|$8778.08|$8510.60|$7793.28|$9726.40|$5300.89|$5653.47|$8510.60|$8509.38|$9181.72|$7232.79
"CPT® 26502"|"HB HAND TENDN RECONSTRCTION"|360.00|$6566.00|$2330.93|$5252.80|$4596.00|$4583.07|$2330.93|$4740.65|$4596.20|$4208.81|$5252.80|$2862.78|$3053.19|$4596.20|$4595.54|$4958.64|$3906.11
"CPT® 26516"|"HB FUSION OF KNUCKLE JOINT"|360.00|$17368.00|$6165.64|$13894.40|$12158.00|$12122.86|$6165.64|$12539.70|$12157.60|$11132.89|$13894.40|$7572.45|$8076.12|$12157.60|$12155.86|$13116.31|$10332.22
"CPT® 26520"|"HB RELEASE KNUCKLE CONTRACTURE"|360.00|$13893.00|$4932.02|$11114.40|$9725.00|$9697.31|$4932.02|$10030.75|$9725.10|$8905.41|$11114.40|$6057.35|$6460.25|$9725.10|$9723.71|$10491.99|$8264.95
"CPT® 26525"|"HB RELEASE FINGER CONTRACTURE"|360.00|$13893.00|$4932.02|$11114.40|$9725.00|$9697.31|$4932.02|$10030.75|$9725.10|$8905.41|$11114.40|$6057.35|$6460.25|$9725.10|$9723.71|$10491.99|$8264.95
"CPT® 26536"|"HB REVISE/IMPLANT FINGER JOINT"|360.00|$22120.00|$7852.60|$17696.00|$15484.00|$15439.76|$7852.60|$15970.64|$15484.00|$14178.92|$17696.00|$9644.32|$10285.80|$15000.00|$15481.79|$16705.02|$13159.19
"CPT® 26540"|"HB REPAIR HAND JOINT"|360.00|$17368.00|$6165.64|$13894.40|$12158.00|$12122.86|$6165.64|$12539.70|$12157.60|$11132.89|$13894.40|$7572.45|$8076.12|$12157.60|$12155.86|$13116.31|$10332.22
"CPT® 26541"|"HB REPAIR HAND JOINT WITH GRAFT"|360.00|$20842.00|$7398.91|$16673.60|$14589.00|$14547.72|$7398.91|$15047.92|$14589.40|$13359.72|$16673.60|$9087.11|$9691.53|$14589.40|$14587.32|$15739.88|$12398.91
"CPT® 26546"|"HB REPAIR NONUNION HAND"|360.00|$16736.00|$5941.28|$13388.80|$11715.00|$11681.73|$5941.28|$12083.39|$11715.20|$10727.78|$13388.80|$7296.90|$7782.24|$11715.20|$11713.53|$12639.03|$9956.25
"CPT® 26548"|"HB RECONSTRUCT FINGER JOINT"|360.00|$17367.00|$6165.29|$13893.60|$12157.00|$12122.17|$6165.29|$12538.97|$12156.90|$11132.25|$13893.60|$7572.01|$8075.66|$12156.90|$12155.16|$13115.56|$10331.63
"CPT® 26565"|"HB CORRECT METACARPAL FLAW"|360.00|$19635.00|$6970.43|$15708.00|$13744.00|$13705.23|$6970.43|$14176.47|$13744.50|$12586.04|$15708.00|$8560.86|$9130.28|$13744.50|$13742.54|$14828.35|$11680.86
"CPT® 26591"|"HB REPAIR MUSCLES OF HAND"|360.00|$9534.00|$3384.57|$7627.20|$6674.00|$6654.73|$3384.57|$6883.55|$6673.80|$6111.29|$7627.20|$4156.82|$4433.31|$6673.80|$6672.85|$7200.08|$5671.78
"CPT® 26842"|"HB FUSION THUMB WITH GRAFT"|360.00|$5565.00|$1975.58|$4452.00|$3895.00|$3884.37|$1975.58|$4017.93|$3895.50|$3567.17|$4452.00|$2426.34|$2587.73|$3895.50|$3894.94|$4202.69|$3310.62
"CPT® 26843"|"HB FUSION OF HAND JOINT"|360.00|$18447.00|$6548.69|$14757.60|$12913.00|$12876.01|$6548.69|$13318.73|$12912.90|$11824.53|$14757.60|$8042.89|$8577.86|$12912.90|$12911.06|$13931.17|$10974.12
"CPT® 26844"|"HB FUSION/GRAFT OF HAND JOINT"|360.00|$18447.00|$6548.69|$14757.60|$12913.00|$12876.01|$6548.69|$13318.73|$12912.90|$11824.53|$14757.60|$8042.89|$8577.86|$12912.90|$12911.06|$13931.17|$10974.12
"CPT® 26850"|"HB FUSION OF KNUCKLE"|360.00|$18074.00|$6416.27|$14459.20|$12652.00|$12615.65|$6416.27|$13049.43|$12651.80|$11585.43|$14459.20|$7880.26|$8404.41|$12651.80|$12649.99|$13649.48|$10752.22
"CPT® 26852"|"HB FUSION OF KNUCKLE WITH GRAFT"|360.00|$19728.00|$7003.44|$15782.40|$13810.00|$13770.14|$7003.44|$14243.62|$13809.60|$12645.65|$15782.40|$8601.41|$9173.52|$13809.60|$13807.63|$14898.59|$11736.19
"CPT® 26860"|"HB FUSION OF FINGER JOINT"|360.00|$18096.00|$6424.08|$14476.80|$12667.00|$12631.01|$6424.08|$13065.31|$12667.20|$11599.54|$14476.80|$7889.86|$8414.64|$12667.20|$12665.39|$13666.10|$10765.31
"CPT® 26862"|"HB FUSION/GRAFT OF FINGER JOINT"|360.00|$19823.00|$7037.17|$15858.40|$13876.00|$13836.45|$7037.17|$14312.21|$13876.10|$12706.54|$15858.40|$8642.83|$9217.70|$13876.10|$13874.12|$14970.33|$11792.70
"CPT® 26910"|"HB AMPUTATE METACARPAL BONE"|360.00|$5560.00|$1973.80|$4448.00|$3892.00|$3880.88|$1973.80|$4014.32|$3892.00|$3563.96|$4448.00|$2424.16|$2585.40|$3892.00|$3891.44|$4198.91|$3307.64
"CPT® 27093"|"HB INJECTION PROCEDURE HIP ARTHROGRAPHY WITHOUT ANESTHESIA"|360.00|$646.00|$229.33|$516.80|$452.00|$450.91|$229.33|$466.41|$452.20|$414.09|$516.80|$281.66|$300.39|$452.20|$452.14|$487.86|$384.31
"CPT® 27345"|"HB REMOVAL OF KNEE CYST"|360.00|$5556.00|$1972.38|$4444.80|$3889.00|$3878.09|$1972.38|$4011.43|$3889.20|$3561.40|$4444.80|$2422.42|$2583.54|$3889.20|$3888.64|$4195.89|$3305.26
"CPT® 27347"|"HB REMOVE KNEE CYST"|360.00|$13826.00|$4908.23|$11060.80|$9678.00|$9650.55|$4908.23|$9982.37|$9678.20|$8862.47|$11060.80|$6028.14|$6429.09|$9678.20|$9676.82|$10441.40|$8225.09
"CPT® 27355"|"HB REMOVE FEMUR LESION"|360.00|$7161.00|$2542.16|$5728.80|$5013.00|$4998.38|$2542.16|$5170.24|$5012.70|$4590.20|$5728.80|$3122.20|$3329.87|$5012.70|$5011.98|$5407.99|$4260.08
"CPT® 27385"|"HB REPAIR OF THIGH MUSCLE"|360.00|$16442.00|$5836.91|$13153.60|$11509.00|$11476.52|$5836.91|$11871.12|$11509.40|$10539.32|$13153.60|$7168.71|$7645.53|$11509.40|$11507.76|$12417.00|$9781.35
"CPT® 27418"|"HB REPAIR DEGENERATED KNEECAP"|360.00|$22260.00|$7902.30|$17808.00|$15582.00|$15537.48|$7902.30|$16071.72|$15582.00|$14268.66|$17808.00|$9705.36|$10350.90|$15000.00|$15579.77|$16810.75|$13242.47
"CPT® 27620"|"HB ARTHROTOMY ANKLE W/WO BIOPSY"|360.00|$9476.00|$3363.98|$7580.80|$6633.00|$6614.25|$3363.98|$6841.67|$6633.20|$6074.12|$7580.80|$4131.54|$4406.34|$6633.20|$6632.25|$7156.28|$5637.27
"CPT® 27630"|"HB REMOVAL OF TENDON LESION"|360.00|$10161.00|$3607.16|$8128.80|$7113.00|$7092.38|$3607.16|$7336.24|$7112.70|$6513.20|$8128.80|$4430.20|$4724.87|$7112.70|$7111.68|$7673.59|$6044.78
"CPT® 27635"|"HB REMOVE LOWER LEG BONE LESION"|360.00|$15071.00|$5350.21|$12056.80|$10550.00|$10519.56|$5350.21|$10881.26|$10549.70|$9660.51|$12056.80|$6570.96|$7008.02|$10549.70|$10548.19|$11381.62|$8965.74
"CPT® 27640"|"HB PARTIAL REMOVAL OF TIBIA"|360.00|$18383.00|$6525.97|$14706.40|$12868.00|$12831.33|$6525.97|$13272.53|$12868.10|$11783.50|$14706.40|$8014.99|$8548.10|$12868.10|$12866.26|$13882.84|$10936.05
"CPT® 27641"|"HB PARTIAL REMOVAL OF FIBULA"|360.00|$7184.00|$2550.32|$5747.20|$5029.00|$5014.43|$2550.32|$5186.85|$5028.80|$4604.94|$5747.20|$3132.22|$3340.56|$5028.80|$5028.08|$5425.36|$4273.76
"CPT® 27648"|"HB INJECTION FOR ANKLE X-RAY"|360.00|$195.00|$69.23|$156.00|$136.00|$136.11|$69.23|$140.79|$136.50|$125.00|$156.00|$85.02|$90.68|$136.50|$136.48|$147.26|$116.01
"CPT® 27650"|"HB REPAIR ACHILLES TENDON"|360.00|$20974.00|$7445.77|$16779.20|$14682.00|$14639.85|$7445.77|$15143.23|$14681.80|$13444.33|$16779.20|$9144.66|$9752.91|$14681.80|$14679.70|$15839.56|$12477.43
"CPT® 27654"|"HB REPAIR OF ACHILLES TENDON"|360.00|$19172.00|$6806.06|$15337.60|$13420.00|$13382.06|$6806.06|$13842.18|$13420.40|$12289.25|$15337.60|$8358.99|$8914.98|$13420.40|$13418.48|$14478.69|$11405.42
"CPT® 27658"|"HB REPAIR TENDON FLEXR W/O GRFT"|360.00|$10636.00|$3775.78|$8508.80|$7445.00|$7423.93|$3775.78|$7679.19|$7445.20|$6817.68|$8508.80|$4637.30|$4945.74|$7445.20|$7444.14|$8032.31|$6327.36
"CPT® 27659"|"HB REPAIR TENDON FLEXR W/WO GRFT"|360.00|$4426.00|$1571.23|$3540.80|$3098.00|$3089.35|$1571.23|$3195.57|$3098.20|$2837.07|$3540.80|$1929.74|$2058.09|$3098.20|$3097.76|$3342.52|$2633.03
"CPT® 27676"|"HB REPAIR DISLOC PERNEAL TENDON"|360.00|$13927.00|$4944.09|$11141.60|$9749.00|$9721.05|$4944.09|$10055.29|$9748.90|$8927.21|$11141.60|$6072.17|$6476.06|$9748.90|$9747.51|$10517.67|$8285.17
"CPT® 27680"|"HB RELEASE OF LOWER LEG TENDON"|360.00|$11914.00|$4229.47|$9531.20|$8340.00|$8315.97|$4229.47|$8601.91|$8339.80|$7636.87|$9531.20|$5194.50|$5540.01|$8339.80|$8338.61|$8997.45|$7087.64
"CPT® 27685"|"HB REVISION OF LOWER LEG TENDON"|360.00|$13027.00|$4624.59|$10421.60|$9119.00|$9092.85|$4624.59|$9405.49|$9118.90|$8350.31|$10421.60|$5679.77|$6057.56|$9118.90|$9117.60|$9837.99|$7749.76
"CPT® 27687"|"HB REVISION OF CALF TENDON"|360.00|$12245.00|$4346.98|$9796.00|$8572.00|$8547.01|$4346.98|$8840.89|$8571.50|$7849.05|$9796.00|$5338.82|$5693.93|$8571.50|$8570.28|$9247.42|$7284.55
"CPT® 27690"|"HB TRANSPLANT SINGLE TENDONHC TRANSPLANT SINGLE TEND/SUP"|360.00|$19104.00|$6781.92|$15283.20|$13373.00|$13334.59|$6781.92|$13793.09|$13372.80|$12245.66|$15283.20|$8329.34|$8883.36|$13372.80|$13370.89|$14427.34|$11364.97
"CPT® 27691"|"HB TRANSPLANT SINGLE TEND/DEEP"|360.00|$18105.00|$6427.28|$14484.00|$12674.00|$12637.29|$6427.28|$13071.81|$12673.50|$11605.31|$14484.00|$7893.78|$8418.83|$12673.50|$12671.69|$13672.90|$10770.66
"CPT® 27695"|"HB REPAIR ANKLE LIGAMENT"|360.00|$14132.00|$5016.86|$11305.60|$9892.00|$9864.14|$5016.86|$10203.30|$9892.40|$9058.61|$11305.60|$6161.55|$6571.38|$9892.40|$9890.99|$10672.49|$8407.13
"CPT® 27698"|"HB REPAIR ANKLE LIGAMENT 2ND"|360.00|$17472.00|$6202.56|$13977.60|$12230.00|$12195.46|$6202.56|$12614.78|$12230.40|$11199.55|$13977.60|$7617.79|$8124.48|$12230.40|$12228.65|$13194.85|$10394.09
"CPT® 27724"|"HB REPAIR/GRAFT OF TIBIA"|360.00|$7326.00|$2600.73|$5860.80|$5128.00|$5113.55|$2600.73|$5289.37|$5128.20|$4695.97|$5860.80|$3194.14|$3406.59|$5128.20|$5127.47|$5532.60|$4358.24
"CPT® 27766"|"HB OPTX MEDIAL ANKLE FX"|360.00|$18183.00|$6454.97|$14546.40|$12728.00|$12691.73|$6454.97|$13128.13|$12728.10|$11655.30|$14546.40|$7927.79|$8455.10|$12728.10|$12726.28|$13731.80|$10817.07
"CPT® 27780"|"HB TREATMENT FIBULA FX CLOSED"|360.00|$616.00|$218.68|$492.80|$431.00|$429.97|$218.68|$444.75|$431.20|$394.86|$492.80|$268.58|$286.44|$431.20|$431.14|$465.20|$366.46
"CPT® 27814"|"HB TREATMENT BIMALLEOLAR ANKLE FX"|360.00|$23035.00|$8177.43|$18428.00|$16124.00|$16078.43|$8177.43|$16631.27|$16124.50|$14765.44|$18428.00|$10043.26|$10711.28|$15000.00|$16122.20|$17396.03|$13703.52
"CPT® 27822"|"HB TREATMENT TRIMA ANKLE FX OPEN"|360.00|$17621.00|$6255.46|$14096.80|$12335.00|$12299.46|$6255.46|$12722.36|$12334.70|$11295.06|$14096.80|$7682.76|$8193.77|$12334.70|$12332.94|$13307.38|$10482.73
"CPT® 27823"|"HB OPEN TRMNT ANKLE FRACTUR"|360.00|$22882.00|$8123.11|$18305.60|$16017.00|$15971.64|$8123.11|$16520.80|$16017.40|$14667.36|$18305.60|$9976.55|$10640.13|$15000.00|$16015.11|$17280.49|$13612.50
"CPT® 27827"|"HB TREATMENT ARTICULAR FX TIBIA"|360.00|$32851.00|$11662.11|$26280.80|$22996.00|$22930.00|$11662.11|$23718.42|$22995.70|$21057.49|$26280.80|$14323.04|$15275.72|$15000.00|$22992.41|$24809.08|$19543.06
"CPT® 27829"|"HB TREAT LOWER LEG JOINT"|360.00|$14935.00|$5301.93|$11948.00|$10454.00|$10424.63|$5301.93|$10783.07|$10454.50|$9573.34|$11948.00|$6511.66|$6944.78|$10454.50|$10453.01|$11278.91|$8884.83
"CPT® 28035"|"HB DECOMPRESSION OF TIBIA NERVE"|360.00|$15651.00|$5556.11|$12520.80|$10956.00|$10924.40|$5556.11|$11300.02|$10955.70|$10032.29|$12520.80|$6823.84|$7277.72|$10955.70|$10954.13|$11819.64|$9310.78
"CPT® 28050"|"HB ARTHROTOMY W/BIOPSY FOOT JT"|360.00|$6858.00|$2434.59|$5486.40|$4801.00|$4786.88|$2434.59|$4951.48|$4800.60|$4395.98|$5486.40|$2990.09|$3188.97|$4800.60|$4799.91|$5179.16|$4079.82
"CPT® 28060"|"HB PARTIAL REMOVAL FOOT FASCIA"|360.00|$5041.00|$1789.56|$4032.80|$3529.00|$3518.62|$1789.56|$3639.60|$3528.70|$3231.28|$4032.80|$2197.88|$2344.07|$3528.70|$3528.20|$3806.96|$2998.89
"CPT® 28062"|"HB REMOVAL OF FOOT FASCIA"|360.00|$5508.00|$1955.34|$4406.40|$3856.00|$3844.58|$1955.34|$3976.78|$3855.60|$3530.63|$4406.40|$2401.49|$2561.22|$3855.60|$3855.05|$4159.64|$3276.71
"CPT® 28080"|"HB EXCISION INTERDGITAL NEURO"|360.00|$7574.00|$2688.77|$6059.20|$5302.00|$5286.65|$2688.77|$5468.43|$5301.80|$4854.93|$6059.20|$3302.26|$3521.91|$5301.80|$5301.04|$5719.88|$4505.77
"CPT® 28090"|"HB EXCISION LESION TENDON FOOT"|360.00|$7326.00|$2600.73|$5860.80|$5128.00|$5113.55|$2600.73|$5289.37|$5128.20|$4695.97|$5860.80|$3194.14|$3406.59|$5128.20|$5127.47|$5532.60|$4358.24
"CPT® 28104"|"HB EXCISION BONE TARSAL/META"|360.00|$7479.00|$2655.05|$5983.20|$5235.00|$5220.34|$2655.05|$5399.84|$5235.30|$4794.04|$5983.20|$3260.84|$3477.74|$5235.30|$5234.55|$5648.14|$4449.26
"CPT® 28110"|"HB OSTECTOMY PART EXC 5TH META"|360.00|$8156.00|$2895.38|$6524.80|$5709.00|$5692.89|$2895.38|$5888.63|$5709.20|$5228.00|$6524.80|$3556.02|$3792.54|$5709.20|$5708.38|$6159.41|$4852.00
"CPT® 28116"|"HB REVISION OF FOOT"|360.00|$11934.00|$4236.57|$9547.20|$8354.00|$8329.93|$4236.57|$8616.35|$8353.80|$7649.69|$9547.20|$5203.22|$5549.31|$8353.80|$8352.61|$9012.56|$7099.54
"CPT® 28119"|"HB REMOVAL OF HEEL SPUR"|360.00|$8585.00|$3047.68|$6868.00|$6010.00|$5992.33|$3047.68|$6198.37|$6009.50|$5502.99|$6868.00|$3743.06|$3992.03|$6009.50|$6008.64|$6483.39|$5107.22
"CPT® 28120"|"HB PART REMOVAL OF ANKLE/HEEL"|360.00|$12813.00|$4548.62|$10250.40|$8969.00|$8943.47|$4548.62|$9250.99|$8969.10|$8213.13|$10250.40|$5586.47|$5958.05|$8969.10|$8967.82|$9676.38|$7622.45
"CPT® 28122"|"HB PART EXCISION TARSAL/METATA"|360.00|$11918.00|$4230.89|$9534.40|$8343.00|$8318.76|$4230.89|$8604.80|$8342.60|$7639.44|$9534.40|$5196.25|$5541.87|$8342.60|$8341.41|$9000.47|$7090.02
"CPT® 28124"|"HB PART EXCISION  PHALANX TOE"|360.00|$7953.00|$2823.32|$6362.40|$5567.00|$5551.19|$2823.32|$5742.07|$5567.10|$5097.87|$6362.40|$3467.51|$3698.15|$5567.10|$5566.30|$6006.11|$4731.24
"CPT® 28200"|"HB REPAIR OF FOOT TENDON"|360.00|$8408.00|$2984.84|$6726.40|$5886.00|$5868.78|$2984.84|$6070.58|$5885.60|$5389.53|$6726.40|$3665.89|$3909.72|$5885.60|$5884.76|$6349.72|$5001.92
"CPT® 28230"|"HB INCISION OF FOOT TENDON(S)"|360.00|$6292.00|$2233.66|$5033.60|$4404.00|$4391.82|$2233.66|$4542.82|$4404.40|$4033.17|$5033.60|$2743.31|$2925.78|$4404.40|$4403.77|$4751.72|$3743.11
"CPT® 28232"|"HB TENOTMOY FLEXOR TOE OPEN"|360.00|$7701.00|$2733.86|$6160.80|$5391.00|$5375.30|$2733.86|$5560.12|$5390.70|$4936.34|$6160.80|$3357.64|$3580.97|$5390.70|$5389.93|$5815.80|$4581.32
"CPT® 28234"|"HB INCISION OF FOOT TENDON"|360.00|$5858.00|$2079.59|$4686.40|$4101.00|$4088.88|$2079.59|$4229.48|$4100.60|$3754.98|$4686.40|$2554.09|$2723.97|$4100.60|$4100.01|$4423.96|$3484.92
"CPT® 28238"|"HB RECONSTRUCTION TIBIAL TEND"|360.00|$13022.00|$4622.81|$10417.60|$9115.00|$9089.36|$4622.81|$9401.88|$9115.40|$8347.10|$10417.60|$5677.59|$6055.23|$9115.40|$9114.10|$9834.21|$7746.79
"CPT® 28240"|"HB RELEASE OF BIG TOE"|360.00|$5576.00|$1979.48|$4460.80|$3903.00|$3892.05|$1979.48|$4025.87|$3903.20|$3574.22|$4460.80|$2431.14|$2592.84|$3903.20|$3902.64|$4211.00|$3317.16
"CPT® 28250"|"HB REVISION OF FOOT FASCIA"|360.00|$8953.00|$3178.32|$7162.40|$6267.00|$6249.19|$3178.32|$6464.07|$6267.10|$5738.87|$7162.40|$3903.51|$4163.15|$6267.10|$6266.20|$6761.31|$5326.14
"CPT® 28270"|"HB RELEASE OF FOOT CONTRACTURE"|360.00|$7348.00|$2608.54|$5878.40|$5144.00|$5128.90|$2608.54|$5305.26|$5143.60|$4710.07|$5878.40|$3203.73|$3416.82|$5143.60|$5142.87|$5549.21|$4371.33
"CPT® 28285"|"HB CORRECTION HAMMERTOE"|360.00|$6330.00|$2247.15|$5064.00|$4431.00|$4418.34|$2247.15|$4570.26|$4431.00|$4057.53|$5064.00|$2759.88|$2943.45|$4431.00|$4430.37|$4780.42|$3765.72
"CPT® 28288"|"HB OSTECTOMY PART METATARSAL HD"|360.00|$7173.00|$2546.42|$5738.40|$5021.00|$5006.75|$2546.42|$5178.91|$5021.10|$4597.89|$5738.40|$3127.43|$3335.45|$5021.10|$5020.38|$5417.05|$4267.22
"CPT® 28289"|"HB REPAIR HALLUX RIGIDUS"|360.00|$8957.00|$3179.74|$7165.60|$6270.00|$6251.99|$3179.74|$6466.95|$6269.90|$5741.44|$7165.60|$3905.25|$4165.01|$6269.90|$6269.00|$6764.33|$5328.52
"CPT® 28292"|"HB CORRECTION HALX VALG KEL/MC/MA"|360.00|$14548.00|$5164.54|$11638.40|$10184.00|$10154.50|$5164.54|$10503.66|$10183.60|$9325.27|$11638.40|$6342.93|$6764.82|$10183.60|$10182.15|$10986.65|$8654.61
"CPT® 28296"|"HB CORRECTION HALX VALG MIT/CHEV"|360.00|$16106.00|$5717.63|$12884.80|$11274.00|$11241.99|$5717.63|$11628.53|$11274.20|$10323.95|$12884.80|$7022.22|$7489.29|$11274.20|$11272.59|$12163.25|$9581.46
"CPT® 28299"|"HB CORRECTION HALX VALG DOUBLE"|360.00|$16383.00|$5815.97|$13106.40|$11468.00|$11435.33|$5815.97|$11828.53|$11468.10|$10501.50|$13106.40|$7142.99|$7618.10|$11468.10|$11466.46|$12372.44|$9746.25
"CPT® 28300"|"HB INCISION OF HEEL BONE"|360.00|$11650.00|$4135.75|$9320.00|$8155.00|$8131.70|$4135.75|$8411.30|$8155.00|$7467.65|$9320.00|$5079.40|$5417.25|$8155.00|$8153.84|$8798.08|$6930.59
"CPT® 28306"|"HB OSTEOTOMY METATARSAL"|360.00|$12180.00|$4323.90|$9744.00|$8526.00|$8501.64|$4323.90|$8793.96|$8526.00|$7807.38|$9744.00|$5310.48|$5663.70|$8526.00|$8524.78|$9198.34|$7245.88
"CPT® 28308"|"HB OSTEOTOMY METATARSAL OTH"|360.00|$8195.00|$2909.23|$6556.00|$5736.00|$5720.11|$2909.23|$5916.79|$5736.50|$5253.00|$6556.00|$3573.02|$3810.68|$5736.50|$5735.68|$6188.86|$4875.21
"CPT® 28313"|"HB REPAIR DEFORMITY OF TOE"|360.00|$5326.00|$1890.73|$4260.80|$3728.00|$3717.55|$1890.73|$3845.37|$3728.20|$3413.97|$4260.80|$2322.14|$2476.59|$3728.20|$3727.67|$4022.20|$3168.44
"CPT® 28315"|"HB REMOVAL OF SESAMOID BONE"|360.00|$6581.00|$2336.26|$5264.80|$4607.00|$4593.54|$2336.26|$4751.48|$4606.70|$4218.42|$5264.80|$2869.32|$3060.17|$4606.70|$4606.04|$4969.97|$3915.04
"CPT® 28485"|"HB TREATMENT METATARSAL FX OPEN"|360.00|$9373.00|$3327.42|$7498.40|$6561.00|$6542.35|$3327.42|$6767.31|$6561.10|$6008.09|$7498.40|$4086.63|$4358.45|$6561.10|$6560.16|$7078.49|$5576.00
"CPT® 28615"|"HB TREAT TARSOMET  JT DIS OPEN"|360.00|$8786.00|$3119.03|$7028.80|$6150.00|$6132.63|$3119.03|$6343.49|$6150.20|$5631.83|$7028.80|$3830.70|$4085.49|$6150.20|$6149.32|$6635.19|$5226.79
"CPT® 28730"|"HB ARTHRODESIS MIDTARSAL/TARSO"|360.00|$9384.00|$3331.32|$7507.20|$6569.00|$6550.03|$3331.32|$6775.25|$6568.80|$6015.14|$7507.20|$4091.42|$4363.56|$6568.80|$6567.86|$7086.80|$5582.54
"CPT® 28740"|"HB FUSION OF FOOT BONE"|360.00|$9825.00|$3487.88|$7860.00|$6878.00|$6857.85|$3487.88|$7093.65|$6877.50|$6297.83|$7860.00|$4283.70|$4568.63|$6877.50|$6876.52|$7419.84|$5844.89
"CPT® 28750"|"HB ARTHRODESIS METATARSOPHA TOE"|360.00|$16860.00|$5985.30|$13488.00|$11802.00|$11768.28|$5985.30|$12172.92|$11802.00|$10807.26|$13488.00|$7350.96|$7839.90|$11802.00|$11800.31|$12732.67|$10030.01
"CPT® 28755"|"HB ARTHRODESIS TOE INTERPHA JT"|360.00|$10541.00|$3742.06|$8432.80|$7379.00|$7357.62|$3742.06|$7610.60|$7378.70|$6756.78|$8432.80|$4595.88|$4901.57|$7378.70|$7377.65|$7960.56|$6270.84
"CPT® 28825"|"HB PARTIAL AMPUTATION OF TOE"|360.00|$11241.00|$3990.56|$8992.80|$7869.00|$7846.22|$3990.56|$8116.00|$7868.70|$7205.48|$8992.80|$4901.08|$5227.07|$7868.70|$7867.58|$8489.20|$6687.27
"CPT® 29806"|"HB ARTHROSCOPY SHOULDER CAPSUL"|360.00|$33768.00|$11987.64|$27014.40|$23638.00|$23570.06|$11987.64|$24380.50|$23637.60|$21645.29|$27014.40|$14722.85|$15702.12|$15000.00|$23634.22|$25501.59|$20088.58
"CPT® 29807"|"HB ARTHROSCOPY SHOULD RPR SLAP"|360.00|$32076.00|$11386.98|$25660.80|$22453.00|$22389.05|$11386.98|$23158.87|$22453.20|$20560.72|$25660.80|$13985.14|$14915.34|$15000.00|$22449.99|$24223.80|$19082.01
"CPT® 29822"|"HB ARTHRO/SURG SHLD DEBRD LIMIT"|360.00|$22959.00|$8150.45|$18367.20|$16071.00|$16025.38|$8150.45|$16576.40|$16071.30|$14716.72|$18367.20|$10010.12|$10675.94|$15000.00|$16069.00|$17338.64|$13658.31
"CPT® 29823"|"HB ARTHRO/SURG SHLD DEBRD EXTEN"|360.00|$26338.00|$9349.99|$21070.40|$18437.00|$18383.92|$9349.99|$19016.04|$18436.60|$16882.66|$21070.40|$11483.37|$12247.17|$15000.00|$18433.97|$19890.46|$15668.48
"CPT® 29824"|"HB ARTHRO/SURG SHLD MUMFORD PRO"|360.00|$21948.00|$7791.54|$17558.40|$15364.00|$15319.70|$7791.54|$15846.46|$15363.60|$14068.67|$17558.40|$9569.33|$10205.82|$15000.00|$15361.41|$16575.13|$13056.87
"CPT® 29826"|"HB ARTHRO/SURG SHLD DECOMPRESS"|360.00|$26338.00|$9349.99|$21070.40|$18437.00|$18383.92|$9349.99|$19016.04|$18436.60|$16882.66|$21070.40|$11483.37|$12247.17|$15000.00|$18433.97|$19890.46|$15668.48
"CPT® 29827"|"HB ARTHROSCOP ROTATOR CUFF REPR"|360.00|$35454.00|$12586.17|$28363.20|$24818.00|$24746.89|$12586.17|$25597.79|$24817.80|$22726.01|$28363.20|$15457.94|$16486.11|$15000.00|$24814.25|$26774.86|$21091.58
"CPT® 29828"|"HB ARTHROSCOPY BICEPS TENODESIS"|360.00|$31066.00|$11028.43|$24852.80|$21746.00|$21684.07|$11028.43|$22429.65|$21746.20|$19913.31|$24852.80|$13544.78|$14445.69|$15000.00|$21743.09|$23461.04|$18481.16
"CPT® 29834"|"HB ARTHROSCOPY/SURGERY  ELBOW"|360.00|$19246.00|$6832.33|$15396.80|$13472.00|$13433.71|$6832.33|$13895.61|$13472.20|$12336.69|$15396.80|$8391.26|$8949.39|$13472.20|$13470.28|$14534.58|$11449.45
"CPT® 29835"|"HB ARTHROSCOPY/SUR ELBOW PARTIAL"|360.00|$20277.00|$7198.34|$16221.60|$14194.00|$14153.35|$7198.34|$14639.99|$14193.90|$12997.56|$16221.60|$8840.77|$9428.81|$14193.90|$14191.87|$15313.19|$12062.79
"CPT® 29837"|"HB ARTHROSCOPY ELBOW DEBRID LMTD"|360.00|$21043.00|$7470.27|$16834.40|$14730.00|$14688.01|$7470.27|$15193.05|$14730.10|$13488.56|$16834.40|$9174.75|$9785.00|$14730.10|$14728.00|$15891.67|$12518.48
"CPT® 29838"|"HB ARTHROSCOPY ELBOW DEBRID EXT"|360.00|$22959.00|$8150.45|$18367.20|$16071.00|$16025.38|$8150.45|$16576.40|$16071.30|$14716.72|$18367.20|$10010.12|$10675.94|$15000.00|$16069.00|$17338.64|$13658.31
"CPT® 29844"|"HB ARTHROSCOPY WRIST PARTIAL"|360.00|$19584.00|$6952.32|$15667.20|$13709.00|$13669.63|$6952.32|$14139.65|$13708.80|$12553.34|$15667.20|$8538.62|$9106.56|$13708.80|$13706.84|$14789.84|$11650.52
"CPT® 29846"|"HB ARTHROSCOPY WRIST EXCISION"|360.00|$21273.00|$7551.92|$17018.40|$14891.00|$14848.55|$7551.92|$15359.11|$14891.10|$13635.99|$17018.40|$9275.03|$9891.95|$14891.10|$14888.97|$16065.37|$12655.31
"CPT® 29847"|"HB ARTHROSCOPY WRIST INTERNAL"|360.00|$22623.00|$8031.17|$18098.40|$15836.00|$15790.85|$8031.17|$16333.81|$15836.10|$14501.34|$18098.40|$9863.63|$10519.70|$15000.00|$15833.84|$17084.89|$13458.42
"CPT® 29848"|"HB WRIST ENDOSCOPY/SURGERY"|360.00|$19584.00|$6952.32|$15667.20|$13709.00|$13669.63|$6952.32|$14139.65|$13708.80|$12553.34|$15667.20|$8538.62|$9106.56|$13708.80|$13706.84|$14789.84|$11650.52
"CPT® 29851"|"HB ENDOSCOPY/SURGERY WRIST W/REL"|360.00|$32076.00|$11386.98|$25660.80|$22453.00|$22389.05|$11386.98|$23158.87|$22453.20|$20560.72|$25660.80|$13985.14|$14915.34|$15000.00|$22449.99|$24223.80|$19082.01
"CPT® 29873"|"HB ARTHROSCOPY KNEE  LAT RELEASE"|360.00|$20596.00|$7311.58|$16476.80|$14417.00|$14376.01|$7311.58|$14870.31|$14417.20|$13202.04|$16476.80|$8979.86|$9577.14|$14417.20|$14415.14|$15554.10|$12252.56
"CPT® 29874"|"HB ARTHROSCOPY KNEE  REMOVAL"|360.00|$21580.00|$7660.90|$17264.00|$15106.00|$15062.84|$7660.90|$15580.76|$15106.00|$13832.78|$17264.00|$9408.88|$10034.70|$15000.00|$15103.84|$16297.22|$12837.94
"CPT® 29875"|"HB ARTHROSCOPY KNEE SYNOV LMTD"|360.00|$19916.00|$7070.18|$15932.80|$13941.00|$13901.37|$7070.18|$14379.35|$13941.20|$12766.16|$15932.80|$8683.38|$9260.94|$13941.20|$13939.21|$15040.56|$11848.03
"CPT® 29877"|"HB ARTHROSCOPY KNEE DEBRIDEMENT"|360.00|$23635.00|$8390.43|$18908.00|$16544.00|$16497.23|$8390.43|$17064.47|$16544.50|$15150.04|$18908.00|$10304.86|$10990.28|$15000.00|$16542.14|$17849.15|$14060.46
"CPT® 29879"|"HB ARTHROSCOPY KNEE ABRASION"|360.00|$26338.00|$9349.99|$21070.40|$18437.00|$18383.92|$9349.99|$19016.04|$18436.60|$16882.66|$21070.40|$11483.37|$12247.17|$15000.00|$18433.97|$19890.46|$15668.48
"CPT® 29880"|"HB ARTHROSCOPY KNEE MED OR LAT"|360.00|$27014.00|$9589.97|$21611.20|$18910.00|$18855.77|$9589.97|$19504.11|$18909.80|$17315.97|$21611.20|$11778.10|$12561.51|$15000.00|$18907.10|$20400.97|$16070.63
"CPT® 29881"|"HB ARTHROSCOP KNEE MED AND LAT"|360.00|$24986.00|$8870.03|$19988.80|$17490.00|$17440.23|$8870.03|$18039.89|$17490.20|$16016.03|$19988.80|$10893.90|$11618.49|$15000.00|$17487.70|$18869.43|$14864.17
"CPT® 29882"|"HB ARTHRO MENISCUS MED OR LAT"|360.00|$29423.00|$10445.17|$23538.40|$20596.00|$20537.25|$10445.17|$21243.41|$20596.10|$18860.14|$23538.40|$12828.43|$13681.70|$15000.00|$20593.16|$22220.25|$17503.74
"CPT® 29883"|"HB ARTHRO MENISCUS MED AND LAT"|360.00|$30391.00|$10788.81|$24312.80|$21274.00|$21212.92|$10788.81|$21942.30|$21273.70|$19480.63|$24312.80|$13250.48|$14131.82|$15000.00|$21270.66|$22951.28|$18079.61
"CPT® 29884"|"HB ARTHROSCOPY KNEE LYSIS ADHE"|360.00|$8907.00|$3161.99|$7125.60|$6235.00|$6217.09|$3161.99|$6430.85|$6234.90|$5709.39|$7125.60|$3883.45|$4141.76|$6234.90|$6234.01|$6726.57|$5298.77
"CPT® 29888"|"HB ARTHROSCOPICALLY KNEE AIDED"|360.00|$42545.00|$15000.00|$34036.00|$29781.00|$29696.41|$15103.48|$30717.49|$29781.50|$27271.35|$34036.00|$18549.62|$19783.43|$15000.00|$29777.25|$32129.98|$25310.02
"CPT® 29891"|"HB ARTHROSCOPY ANKLE INCL DRILL"|360.00|$25325.00|$8990.38|$20260.00|$17728.00|$17676.85|$8990.38|$18284.65|$17727.50|$16233.33|$20260.00|$11041.70|$11776.13|$15000.00|$17724.97|$19125.44|$15065.84
"CPT® 29894"|"HB ARTHROSCOPY ANKLE  REMOVAL"|360.00|$20259.00|$7191.95|$16207.20|$14181.00|$14140.78|$7191.95|$14627.00|$14181.30|$12986.02|$16207.20|$8832.92|$9420.44|$14181.30|$14179.27|$15299.60|$12052.08
"CPT® 29895"|"HB ANKLE ARTHRSCOPY SURGERY"|360.00|$20052.00|$7118.46|$16041.60|$14036.00|$13996.30|$7118.46|$14477.54|$14036.40|$12853.33|$16041.60|$8742.67|$9324.18|$14036.40|$14034.39|$15143.27|$11928.93
"CPT® 29897"|"HB ARTHROSCOPY ANKLE  DEBRI LMTD"|360.00|$21802.00|$7739.71|$17441.60|$15261.00|$15217.80|$7739.71|$15741.04|$15261.40|$13975.08|$17441.60|$9505.67|$10137.93|$15000.00|$15259.22|$16464.87|$12970.01
"CPT® 29898"|"HB ARTHROSCOPY ANKLE  DEBRI EXT"|360.00|$22959.00|$8150.45|$18367.20|$16071.00|$16025.38|$8150.45|$16576.40|$16071.30|$14716.72|$18367.20|$10010.12|$10675.94|$15000.00|$16069.00|$17338.64|$13658.31
"CPT® 29906"|"HB SUBTALAR ARTHRO W/DEB"|360.00|$25325.00|$8990.38|$20260.00|$17728.00|$17676.85|$8990.38|$18284.65|$17727.50|$16233.33|$20260.00|$11041.70|$11776.13|$15000.00|$17724.97|$19125.44|$15065.84
"CPT® 37618"|"HB LIGATION OF EXTREMITY ARTERY"|360.00|$4515.00|$1602.83|$3612.00|$3160.00|$3151.47|$1602.83|$3259.83|$3160.50|$2894.12|$3612.00|$1968.54|$2099.48|$3160.50|$3160.05|$3409.73|$2685.97
"CPT® 44500"|"HB INTRO LONG GASTROINTESTINAL TUBE"|360.00|$1101.00|$390.86|$880.80|$771.00|$768.50|$390.86|$794.92|$770.70|$705.74|$880.80|$480.04|$511.97|$770.70|$770.59|$831.48|$654.98
"CPT® 51600"|"HB INJECTION CYSTOGRAPHY/VOIDING URETHROCYSTOGRAPHY"|360.00|$1349.00|$478.90|$1079.20|$944.00|$941.60|$478.90|$973.98|$944.30|$864.71|$1079.20|$588.16|$627.29|$944.30|$944.17|$1018.76|$802.52
"CPT® 64615"|"HB CHEMODENERV MUSC MIGRAINE"|360.00|$234.00|$83.07|$187.20|$164.00|$163.33|$83.07|$168.95|$163.80|$149.99|$187.20|$102.02|$108.81|$163.80|$163.78|$176.72|$139.21
"CPT® 64702"|"HB REVISE FINGER/TOE NERVE"|360.00|$12725.00|$4517.38|$10180.00|$8908.00|$8882.05|$4517.38|$9187.45|$8907.50|$8156.73|$10180.00|$5548.10|$5917.13|$8907.50|$8906.23|$9609.92|$7570.10
"CPT® 64704"|"HB REVISE HAND/FOOT NERVE"|360.00|$9747.00|$3460.19|$7797.60|$6823.00|$6803.41|$3460.19|$7037.33|$6822.90|$6247.83|$7797.60|$4249.69|$4532.36|$6822.90|$6821.93|$7360.93|$5798.49
"CPT® 64708"|"HB REVISE ARM/LEG NERVE"|360.00|$13538.00|$4805.99|$10830.40|$9477.00|$9449.52|$4805.99|$9774.44|$9476.60|$8677.86|$10830.40|$5902.57|$6295.17|$9476.60|$9475.25|$10223.90|$8053.76
"CPT® 64718"|"HB REVISE ULNAR NERVE AT ELBOW"|360.00|$16245.00|$5766.98|$12996.00|$11372.00|$11339.01|$5766.98|$11728.89|$11371.50|$10413.05|$12996.00|$7082.82|$7553.93|$11371.50|$11369.88|$12268.22|$9664.15
"CPT® 64719"|"HB REVISE ULNAR NERVE AT WRIST"|360.00|$14182.00|$5034.61|$11345.60|$9927.00|$9899.04|$5034.61|$10239.40|$9927.40|$9090.66|$11345.60|$6183.35|$6594.63|$9927.40|$9925.98|$10710.25|$8436.87
"CPT® 64721"|"HB CARPAL TUNNEL SURGERY"|360.00|$11641.00|$4132.56|$9312.80|$8149.00|$8125.42|$4132.56|$8404.80|$8148.70|$7461.88|$9312.80|$5075.48|$5413.07|$8148.70|$8147.54|$8791.28|$6925.23
"CPT® 64722"|"HB RELIEVE PRESSURE ON NERVE(S)"|360.00|$10628.00|$3772.94|$8502.40|$7440.00|$7418.34|$3772.94|$7673.42|$7439.60|$6812.55|$8502.40|$4633.81|$4942.02|$7439.60|$7438.54|$8026.27|$6322.60
"CPT® 64727"|"HB INTERNAL NERVE REVISION"|360.00|$5157.00|$1830.74|$4125.60|$3610.00|$3599.59|$1830.74|$3723.35|$3609.90|$3305.64|$4125.60|$2248.45|$2398.01|$3609.90|$3609.38|$3894.57|$3067.90
"CPT® 64772"|"HB INCISION OF SPINAL NERVE"|360.00|$9892.00|$3511.66|$7913.60|$6924.00|$6904.62|$3511.66|$7142.02|$6924.40|$6340.77|$7913.60|$4312.91|$4599.78|$6924.40|$6923.41|$7470.44|$5884.75
"CPT® 64774"|"HB REMOVE SKIN NERVE LESION"|360.00|$6538.00|$2320.99|$5230.40|$4577.00|$4563.52|$2320.99|$4720.44|$4576.60|$4190.86|$5230.40|$2850.57|$3040.17|$4576.60|$4575.95|$4937.50|$3889.46
"CPT® 64776"|"HB REMOVE DIGIT NERVE LESION"|360.00|$6498.00|$2306.79|$5198.40|$4549.00|$4535.60|$2306.79|$4691.56|$4548.60|$4165.22|$5198.40|$2833.13|$3021.57|$4548.60|$4547.95|$4907.29|$3865.66
"CPT® 64782"|"HB REMOVE LIMB NERVE LESION"|360.00|$11312.00|$4015.76|$9049.60|$7918.00|$7895.78|$4015.76|$8167.26|$7918.40|$7250.99|$9049.60|$4932.03|$5260.08|$7918.40|$7917.27|$8542.82|$6729.51
"CPT® 64784"|"HB REMOVE NERVE LESION"|360.00|$14038.00|$4983.49|$11230.40|$9827.00|$9798.52|$4983.49|$10135.44|$9826.60|$8998.36|$11230.40|$6120.57|$6527.67|$9826.60|$9825.20|$10601.50|$8351.21
"CPT® 64787"|"HB IMPLANT NERVE END"|360.00|$11857.00|$4209.24|$9485.60|$8300.00|$8276.19|$4209.24|$8560.75|$8299.90|$7600.34|$9485.60|$5169.65|$5513.51|$8299.90|$8298.71|$8954.41|$7053.73
"CPT® 64834"|"HB REPAIR OF HAND OR FOOT NERVE"|360.00|$10395.00|$3690.23|$8316.00|$7276.00|$7255.71|$3690.23|$7505.19|$7276.50|$6663.20|$8316.00|$4532.22|$4833.68|$7276.50|$7275.46|$7850.30|$6183.99
"CPT® 64840"|"HB REPAIR OF LEG NERVE"|360.00|$5543.00|$1967.77|$4434.40|$3880.00|$3869.01|$1967.77|$4002.05|$3880.10|$3553.06|$4434.40|$2416.75|$2577.50|$3880.10|$3879.55|$4186.07|$3297.53
"CPT® 64857"|"HB REPAIR ARM/LEG NERVE"|360.00|$16245.00|$5766.98|$12996.00|$11372.00|$11339.01|$5766.98|$11728.89|$11371.50|$10413.05|$12996.00|$7082.82|$7553.93|$11371.50|$11369.88|$12268.22|$9664.15
"CPT® 64910"|"HB NERVE REPAIR W/ALLOGRAFT"|360.00|$13896.00|$4933.08|$11116.80|$9727.00|$9699.41|$4933.08|$10032.91|$9727.20|$8907.34|$11116.80|$6058.66|$6461.64|$9727.20|$9725.81|$10494.26|$8266.73
"Custom 36000366"|"HB EVD/BOLT INSERTION"|360.00|$4304.00|$1527.92|$3443.20|$3013.00|$3004.19|$1527.92|$3107.49|$3012.80|$2758.86|$3443.20|$1876.54|$2001.36|$3012.80|$3012.37|$3250.38|$2560.45
"Custom 36000391"|"HB OR LEVEL 1 FIRST 15 MINUTES"|360.00|$2860.00|$1015.30|$2288.00|$2002.00|$1996.28|$1015.30|$2064.92|$2002.00|$1833.26|$2288.00|$1246.96|$1329.90|$2002.00|$2001.71|$2159.87|$1701.41
"Custom 36000392"|"HB OR LEVEL 1 EACH ADDITIONAL MINUTE"|360.00|$35.00|$12.43|$28.00|$24.00|$24.43|$12.43|$25.27|$24.50|$22.44|$28.00|$15.26|$16.28|$24.50|$24.50|$26.43|$20.82
"Custom 36000393"|"HB OR LEVEL 2 FIRST 15 MINUTES"|360.00|$4862.00|$1726.01|$3889.60|$3403.00|$3393.68|$1726.01|$3510.36|$3403.40|$3116.54|$3889.60|$2119.83|$2260.83|$3403.40|$3402.91|$3671.78|$2892.40
"Custom 36000394"|"HB OR LEVEL 2 EACH ADDITIONAL MINUTE"|360.00|$48.00|$17.04|$38.40|$34.00|$33.50|$17.04|$34.66|$33.60|$30.77|$38.40|$20.93|$22.32|$33.60|$33.60|$36.25|$28.56
"Custom 36000395"|"HB OR LEVEL 3 FIRST 15 MINUTES"|360.00|$5221.00|$1853.46|$4176.80|$3655.00|$3644.26|$1853.46|$3769.56|$3654.70|$3346.66|$4176.80|$2276.36|$2427.77|$3654.70|$3654.18|$3942.90|$3105.97
"Custom 36000396"|"HB OR LEVEL 3 EACH ADDITIONAL MINUTE"|360.00|$56.00|$19.88|$44.80|$39.00|$39.09|$19.88|$40.43|$39.20|$35.90|$44.80|$24.42|$26.04|$39.20|$39.19|$42.29|$33.31
"Custom 36000397"|"HB OR LEVEL 4 FIRST 15 MINUTES"|360.00|$5291.00|$1878.31|$4232.80|$3704.00|$3693.12|$1878.31|$3820.10|$3703.70|$3391.53|$4232.80|$2306.88|$2460.32|$3703.70|$3703.17|$3995.76|$3147.62
"Custom 36000398"|"HB OR LEVEL 4 EACH ADDITIONAL MINUTE"|360.00|$56.00|$19.88|$44.80|$39.00|$39.09|$19.88|$40.43|$39.20|$35.90|$44.80|$24.42|$26.04|$39.20|$39.19|$42.29|$33.31
"Custom 36000399"|"HB OR LEVEL 5 FIRST 15 MINUTES"|360.00|$5821.00|$2066.46|$4656.80|$4075.00|$4063.06|$2066.46|$4202.76|$4074.70|$3731.26|$4656.80|$2537.96|$2706.77|$4074.70|$4074.12|$4396.02|$3462.91
"Custom 36000407"|"HB OR LEVEL 5 EACH ADDITIONAL MINUTE"|360.00|$62.00|$22.01|$49.60|$43.00|$43.28|$22.01|$44.76|$43.40|$39.74|$49.60|$27.03|$28.83|$43.40|$43.39|$46.82|$36.88
"Custom 36000408"|"HB OR LEVEL 6 FIRST 15 MINUTES"|360.00|$6403.00|$2273.07|$5122.40|$4482.00|$4469.29|$2273.07|$4622.97|$4482.10|$4104.32|$5122.40|$2791.71|$2977.40|$4482.10|$4481.46|$4835.55|$3809.14
"Custom 36000409"|"HB OR LEVEL 6 EACH ADDITIONAL MINUTE"|360.00|$67.00|$23.79|$53.60|$47.00|$46.77|$23.79|$48.37|$46.90|$42.95|$53.60|$29.21|$31.16|$46.90|$46.89|$50.60|$39.86
"Custom 36000410"|"HB OR LEVEL 7 FIRST 15 MINUTES"|360.00|$7044.00|$2500.62|$5635.20|$4931.00|$4916.71|$2500.62|$5085.77|$4930.80|$4515.20|$5635.20|$3071.18|$3275.46|$4930.80|$4930.10|$5319.63|$4190.48
"Custom 36000411"|"HB OR LEVEL 7 EACH ADDITIONAL MINUTE"|360.00|$74.00|$26.27|$59.20|$52.00|$51.65|$26.27|$53.43|$51.80|$47.43|$59.20|$32.26|$34.41|$51.80|$51.79|$55.88|$44.02
"CPT® 24430"|"HB REPAIR OF HUMERUS"|360.00|$21493.00|$7630.02|$17194.40|$15045.00|$15002.11|$7630.02|$15517.95|$15045.10|$13777.01|$17194.40|$9370.95|$9994.25|$15000.00|$15042.95|$16231.51|$12786.19
"CPT® 24615"|"HB OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION"|360.00|$17330.00|$6152.15|$13864.00|$12131.00|$12096.34|$6152.15|$12512.26|$12131.00|$11108.53|$13864.00|$7555.88|$8058.45|$12131.00|$12129.27|$13087.62|$10309.62
"CPT® 28008"|"HB INCISION OF FOOT FASCIA"|360.00|$5266.00|$1869.43|$4212.80|$3686.00|$3675.67|$1869.43|$3802.05|$3686.20|$3375.51|$4212.80|$2295.98|$2448.69|$3686.20|$3685.67|$3976.88|$3132.74
"CPT® 58805"|"HB DRAINAGE OVARIAN CYSTS BD PRCH"|360.00|$3729.00|$1323.80|$2983.20|$2610.00|$2602.84|$1323.80|$2692.34|$2610.30|$2390.29|$2983.20|$1625.84|$1733.99|$2610.30|$2609.93|$2816.14|$2218.38
"CPT® 62326"|"HB EPIDURAL INJ-CONT INF-LS"|360.00|$1954.00|$693.67|$1563.20|$1368.00|$1363.89|$693.67|$1410.79|$1367.80|$1252.51|$1563.20|$851.94|$908.61|$1367.80|$1367.60|$1475.66|$1162.43
"CPT® 62369"|"HB ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG&REFILL"|360.00|$1301.00|$461.86|$1040.80|$911.00|$908.10|$461.86|$939.32|$910.70|$833.94|$1040.80|$567.24|$604.97|$910.70|$910.57|$982.52|$773.96
"CPT® 64713"|"HB REVISION OF ARM NERVE(S)"|360.00|$23578.00|$8370.19|$18862.40|$16505.00|$16457.44|$8370.19|$17023.32|$16504.60|$15113.50|$18862.40|$10280.01|$10963.77|$15000.00|$16502.24|$17806.11|$14026.55
"CPT® 64821"|"HB REMOVE SYMPATHETIC NERVES"|360.00|$10148.00|$3602.54|$8118.40|$7104.00|$7083.30|$3602.54|$7326.86|$7103.60|$6504.87|$8118.40|$4424.53|$4718.82|$7103.60|$7102.59|$7663.77|$6037.05
"CPT® 26418"|"HCPF REPAIR EXTENSOR FINGER TENDON"|360.00|$3156.00|$1120.38|$2524.80|$2209.00|$2202.89|$1120.38|$2278.63|$2209.20|$2023.00|$2524.80|$1376.02|$1467.54|$2209.20|$2208.88|$2383.41|$1877.50
"CPT® 27780"|"HCPF TREATMENT FIBULA FX CLOSED"|360.00|$1238.00|$439.49|$990.40|$867.00|$864.12|$439.49|$893.84|$866.60|$793.56|$990.40|$539.77|$575.67|$866.60|$866.48|$934.94|$736.49
"CPT® 19020"|"HCPF INCISION OF BREAST LESION"|361.00|$578.00|$205.19|$462.40|$405.00|$403.44|$205.19|$417.32|$404.60|$370.50|$462.40|$252.01|$268.77|$404.60|$404.54|$436.51|$343.85
"CPT® 49082"|"HCPF ABD PARACENTESIS-WO IMAG"|361.00|$236.00|$83.78|$188.80|$165.00|$164.73|$83.78|$170.39|$165.20|$151.28|$188.80|$102.90|$109.74|$165.20|$165.18|$178.23|$140.40
"CPT® 38221"|"HCPF BONE MARROW BIOPSY"|361.00|$277.00|$98.34|$221.60|$194.00|$193.35|$98.34|$199.99|$193.90|$177.56|$221.60|$120.77|$128.81|$193.90|$193.87|$209.19|$164.79
"CPT® 36593"|"HCPF DECLOT VASCULAR DEVICE"|361.00|$165.00|$58.58|$132.00|$115.00|$115.17|$58.58|$119.13|$115.50|$105.77|$132.00|$71.94|$76.73|$115.50|$115.48|$124.61|$98.16
"CPT® 36561"|"HCPF INSERT TUNN CVC W/PORT"|361.00|$869.00|$308.50|$695.20|$608.00|$606.56|$308.50|$627.42|$608.30|$557.03|$695.20|$378.88|$404.09|$608.30|$608.21|$656.27|$516.97
"CPT® 36558"|"HCPF INSERT TUNN CVC W/O PORT"|361.00|$500.00|$177.50|$400.00|$350.00|$349.00|$177.50|$361.00|$350.00|$320.50|$400.00|$218.00|$232.50|$350.00|$349.95|$377.60|$297.45
"CPT® 32555"|"HCPF THOROCENTESIS W/ IMAGING"|361.00|$174.00|$61.77|$139.20|$122.00|$121.45|$61.77|$125.63|$121.80|$111.53|$139.20|$75.86|$80.91|$121.80|$121.78|$131.40|$103.51
"CPT® 28660"|"HCPF TX INTERPHALANG DIS W/O A"|361.00|$576.00|$204.48|$460.80|$403.00|$402.05|$204.48|$415.87|$403.20|$369.22|$460.80|$251.14|$267.84|$403.20|$403.14|$435.00|$342.66
"CPT® 28630"|"HCPF TX METATARSAL DISLO W/O A"|361.00|$615.00|$218.33|$492.00|$430.00|$429.27|$218.33|$444.03|$430.50|$394.22|$492.00|$268.14|$285.98|$430.50|$430.44|$464.45|$365.86
"CPT® 28190"|"HCPF REMOVAL FOOT FOREIGN BODY"|361.00|$1026.00|$364.23|$820.80|$718.00|$716.15|$364.23|$740.77|$718.20|$657.67|$820.80|$447.34|$477.09|$718.20|$718.10|$774.84|$610.37
"CPT® 26010"|"HCPF DRAIN FINGER ABSCESS SIMP"|361.00|$580.00|$205.90|$464.00|$406.00|$404.84|$205.90|$418.76|$406.00|$371.78|$464.00|$252.88|$269.70|$406.00|$405.94|$438.02|$345.04
"CPT® 23500"|"HCPF TREAT CLAVICLE FRACTURE"|361.00|$908.00|$322.34|$726.40|$636.00|$633.78|$322.34|$655.58|$635.60|$582.03|$726.40|$395.89|$422.22|$635.60|$635.51|$685.72|$540.17
"CPT® 21310"|"HCPF TREATMENT NOSE FRACTURE"|361.00|$464.00|$164.72|$371.20|$325.00|$323.87|$164.72|$335.01|$324.80|$297.42|$371.20|$202.30|$215.76|$324.80|$324.75|$350.41|$276.03
"CPT® 20600"|"HCPF DRAIN/INJECT JNT/BURSA SM"|361.00|$314.00|$111.47|$251.20|$220.00|$219.17|$111.47|$226.71|$219.80|$201.27|$251.20|$136.90|$146.01|$219.80|$219.77|$237.13|$186.80
"CPT® 12007"|"HCPF SIMPLE REP LAC OVER 30CM"|361.00|$1392.00|$494.16|$1113.60|$974.00|$971.62|$494.16|$1005.02|$974.40|$892.27|$1113.60|$606.91|$647.28|$974.40|$974.26|$1051.24|$828.10
"CPT® 11200"|"HCPF REMOVAL SKIN TAG UP TO 15"|361.00|$245.00|$86.98|$196.00|$172.00|$171.01|$86.98|$176.89|$171.50|$157.05|$196.00|$106.82|$113.93|$171.50|$171.48|$185.02|$145.75
"CPT® 11042"|"HCPF DEB SUBQ TISSUE 20SQCM/<"|361.00|$522.00|$185.31|$417.60|$365.00|$364.36|$185.31|$376.88|$365.40|$334.60|$417.60|$227.59|$242.73|$365.40|$365.35|$394.21|$310.54
"CPT® 11000"|"HCPF DEBRIDE INFECTED SKIN"|361.00|$199.00|$70.65|$159.20|$139.00|$138.90|$70.65|$143.68|$139.30|$127.56|$159.20|$86.76|$92.54|$139.30|$139.28|$150.28|$118.39
"CPT® 10140"|"HCPF DRAINAGE HEMATOMA/FLUD"|361.00|$514.00|$182.47|$411.20|$360.00|$358.77|$182.47|$371.11|$359.80|$329.47|$411.20|$224.10|$239.01|$359.80|$359.75|$388.17|$305.78
"CPT® 10121"|"HCPF REMOVE FOREIGN BODY COMP"|361.00|$870.00|$308.85|$696.00|$609.00|$607.26|$308.85|$628.14|$609.00|$557.67|$696.00|$379.32|$404.55|$609.00|$608.91|$657.02|$517.56
"CPT® 10081"|"HCPF DRAIN PILONID CYST COMPLX"|361.00|$830.00|$294.65|$664.00|$581.00|$579.34|$294.65|$599.26|$581.00|$532.03|$664.00|$361.88|$385.95|$581.00|$580.92|$626.82|$493.77
"CPT® 10021"|"HCPF FNA W/O IMAGE"|361.00|$126.00|$44.73|$100.80|$88.00|$87.95|$44.73|$90.97|$88.20|$80.77|$100.80|$54.94|$58.59|$88.20|$88.19|$95.16|$74.96
"CPT® 11732"|"HCPF REMOVE NAIL PLATE ADD-ON"|361.00|$88.00|$31.24|$70.40|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$61.60|$61.59|$66.46|$52.35
"CPT® 12021"|"HCPF CLOSURE OF SPLIT WOUND SIMPLE WITH PACKING"|361.00|$390.00|$138.45|$312.00|$273.00|$272.22|$138.45|$281.58|$273.00|$249.99|$312.00|$170.04|$181.35|$273.00|$272.96|$294.53|$232.01
"CPT® 11043"|"HCPF DEB MUSC/FASCIA 20 SQ CM/<"|361.00|$460.00|$163.30|$368.00|$322.00|$321.08|$163.30|$332.12|$322.00|$294.86|$368.00|$200.56|$213.90|$322.00|$321.95|$347.39|$273.65
"CPT® 38220"|"HCPF BONE MARROW ASPIRATION"|361.00|$240.00|$85.20|$192.00|$168.00|$167.52|$85.20|$173.28|$168.00|$153.84|$192.00|$104.64|$111.60|$168.00|$167.98|$181.25|$142.78
"CPT® 51720"|"HCPF TREATMENT OF BLADDER LESION"|361.00|$125.00|$44.38|$100.00|$88.00|$87.25|$44.38|$90.25|$87.50|$80.13|$100.00|$54.50|$58.13|$87.50|$87.49|$94.40|$74.36
"CPT® 57200"|"HCPF SUTURE VAGINAL INJURY; NON-OB"|361.00|$764.00|$271.22|$611.20|$535.00|$533.27|$271.22|$551.61|$534.80|$489.72|$611.20|$333.10|$355.26|$534.80|$534.72|$576.97|$454.50
"CPT® 10004"|"HCPF FNA BX W/O IMG GDN EA ADDL"|361.00|$63.00|$22.37|$50.40|$44.00|$43.97|$22.37|$45.49|$44.10|$40.38|$50.40|$27.47|$29.30|$44.10|$44.09|$47.58|$37.48
"CPT® 25660"|"HCPF DISLOCATION WRIST, RADIO OR INTERCARPLE; WITH MANIPULATION"|361.00|$1640.00|$582.20|$1312.00|$1148.00|$1144.72|$582.20|$1184.08|$1148.00|$1051.24|$1312.00|$715.04|$762.60|$1148.00|$1147.84|$1238.53|$975.64
"CPT® 26720"|"HCPF FRACTURE FINGER, EACH; WITHOUT MANIPULATION"|361.00|$396.00|$140.58|$316.80|$277.00|$276.41|$140.58|$285.91|$277.20|$253.84|$316.80|$172.66|$184.14|$277.20|$277.16|$299.06|$235.58
"CPT® 12018"|"HCPF SIMPLAC F/EEN/MM OVR 30C"|361.00|$1999.00|$709.65|$1599.20|$1399.00|$1395.30|$709.65|$1443.28|$1399.30|$1281.36|$1599.20|$871.56|$929.54|$1399.30|$1399.10|$1509.64|$1189.21
"CPT® 12037"|"HCPF INTMD RPR S/TR/EXT >30.0 CM"|361.00|$1684.00|$597.82|$1347.20|$1179.00|$1175.43|$597.82|$1215.85|$1178.80|$1079.44|$1347.20|$734.22|$783.06|$1178.80|$1178.63|$1271.76|$1001.81
"CPT® 12045"|"HCPF INTMD RPR N-HF/GENIT12.6-20"|361.00|$1197.00|$424.94|$957.60|$838.00|$835.51|$424.94|$864.23|$837.90|$767.28|$957.60|$521.89|$556.61|$837.90|$837.78|$903.97|$712.10
"CPT® 11719"|"HCPF TRIM NAIL(S) ANY NUMBER"|361.00|$45.00|$15.98|$36.00|$31.00|$31.41|$15.98|$32.49|$31.50|$28.85|$36.00|$19.62|$20.93|$31.50|$31.50|$33.98|$26.77
"CPT® 12017"|"HCPF RPR FE/E/EN/L/M 20.1-30.0 CM"|361.00|$1654.00|$587.17|$1323.20|$1158.00|$1154.49|$587.17|$1194.19|$1157.80|$1060.21|$1323.20|$721.14|$769.11|$1157.80|$1157.63|$1249.10|$983.96
"CPT® 12036"|"HCPF INTMD RPR S/A/T/EXT 20.1-30"|361.00|$1493.00|$530.02|$1194.40|$1045.00|$1042.11|$530.02|$1077.95|$1045.10|$957.01|$1194.40|$650.95|$694.25|$1045.10|$1044.95|$1127.51|$888.19
"CPT® 12044"|"HCPF INTMD RPR N-HF/GENIT7.6-12.5"|361.00|$1026.00|$364.23|$820.80|$718.00|$716.15|$364.23|$740.77|$718.20|$657.67|$820.80|$447.34|$477.09|$718.20|$718.10|$774.84|$610.37
"CPT® 12055"|"HCPF INTMD RPR FACE/MM 12.6-20 CM"|361.00|$1509.00|$535.70|$1207.20|$1056.00|$1053.28|$535.70|$1089.50|$1056.30|$967.27|$1207.20|$657.92|$701.69|$1056.30|$1056.15|$1139.60|$897.70
"CPT® 13131"|"HCPF COMPLEX SUTURE, HEAD, HANDS, FEET, 1.1 TO 2.5 CM"|361.00|$377.00|$133.84|$301.60|$264.00|$263.15|$133.84|$272.19|$263.90|$241.66|$301.60|$164.37|$175.31|$263.90|$263.86|$284.71|$224.28
"CPT® 13132"|"HCPF COMPLEX SUTURE, HEAD, HANDS, FEET, 2.6 TO 7.5 CM"|361.00|$1346.00|$477.83|$1076.80|$942.00|$939.51|$477.83|$971.81|$942.20|$862.79|$1076.80|$586.86|$625.89|$942.20|$942.07|$1016.50|$800.74
"CPT® 13133"|"HCPF REPAIR WOUND/LESION ADD-ON"|361.00|$319.00|$113.25|$255.20|$223.00|$222.66|$113.25|$230.32|$223.30|$204.48|$255.20|$139.08|$148.34|$223.30|$223.27|$240.91|$189.77
"CPT® 13152"|"HCPF CMPLX RPR E/N/E/L 2.6-7.5 CM"|361.00|$735.00|$260.93|$588.00|$514.00|$513.03|$260.93|$530.67|$514.50|$471.14|$588.00|$320.46|$341.78|$514.50|$514.43|$555.07|$437.25
"CPT® 13153"|"HCPF CMPLX RPR E/N/E/L ADDL 5CM/<"|361.00|$458.00|$162.59|$366.40|$321.00|$319.68|$162.59|$330.68|$320.60|$293.58|$366.40|$199.69|$212.97|$320.60|$320.55|$345.88|$272.46
"CPT® 17250"|"HCPF CHEMICAL CAUTERY TISSUE"|361.00|$112.00|$39.76|$89.60|$78.00|$78.18|$39.76|$80.86|$78.40|$71.79|$89.60|$48.83|$52.08|$78.40|$78.39|$84.58|$66.63
"CPT® 20103"|"HCPF EXPLORE WOUND EXTREMITY"|361.00|$676.00|$239.98|$540.80|$473.00|$471.85|$239.98|$488.07|$473.20|$433.32|$540.80|$294.74|$314.34|$473.20|$473.13|$510.52|$402.15
"CPT® 21315"|"HCPF CLOSED TX NOSE FX W/O STABLJ"|361.00|$393.00|$139.52|$314.40|$275.00|$274.31|$139.52|$283.75|$275.10|$251.91|$314.40|$171.35|$182.75|$275.10|$275.06|$296.79|$233.80
"CPT® 21325"|"HCPF OPEN RX NOSE FRACTURE"|361.00|$1452.00|$515.46|$1161.60|$1016.00|$1013.50|$515.46|$1048.34|$1016.40|$930.73|$1161.60|$633.07|$675.18|$1016.40|$1016.25|$1096.55|$863.79
"CPT® 21480"|"HCPF REDUCT DISLOCATED JAW; INITIAL OR SUBSEQUENT"|361.00|$90.00|$31.95|$72.00|$63.00|$62.82|$31.95|$64.98|$63.00|$57.69|$72.00|$39.24|$41.85|$63.00|$62.99|$67.97|$53.54
"CPT® 23605"|"HCPF HUMERUS PROXIMAL FRACTURE; WITH MANIPULATION; W/ OR W/O TRACTION"|361.00|$702.00|$249.21|$561.60|$491.00|$490.00|$249.21|$506.84|$491.40|$449.98|$561.60|$306.07|$326.43|$491.40|$491.33|$530.15|$417.62
"CPT® 23665"|"HCPF SHOULDER DISLOCATION W/FRACTURE, GREATER HUMERAL TUBEROSITY; W/MANIPULATION"|361.00|$604.00|$214.42|$483.20|$423.00|$421.59|$214.42|$436.09|$422.80|$387.16|$483.20|$263.34|$280.86|$422.80|$422.74|$456.14|$359.32
"CPT® 24565"|"HCPF HUMERUS EPICONDYLAR FRACTURE, WITH MANIPULATION"|361.00|$798.00|$283.29|$638.40|$559.00|$557.00|$283.29|$576.16|$558.60|$511.52|$638.40|$347.93|$371.07|$558.60|$558.52|$602.65|$474.73
"CPT® 25635"|"HCPF FRACTURE WRIST CARPAL, EXCLUDING NAVICULAR; WITH MANIPULATION , EACH BONE"|361.00|$537.00|$190.64|$429.60|$376.00|$374.83|$190.64|$387.71|$375.90|$344.22|$429.60|$234.13|$249.71|$375.90|$375.85|$405.54|$319.46
"CPT® 25650"|"HCPF FRACTURE WRIST, ULNAR STYLOID"|361.00|$1266.00|$449.43|$1012.80|$886.00|$883.67|$449.43|$914.05|$886.20|$811.51|$1012.80|$551.98|$588.69|$886.20|$886.07|$956.08|$753.14
"CPT® 25675"|"HCPF DISLOCATION DISTAL RADIOULNAR WITH MANIPULATION"|361.00|$10940.00|$3883.70|$8752.00|$7658.00|$7636.12|$3883.70|$7898.68|$7658.00|$7012.54|$8752.00|$4769.84|$5087.10|$7658.00|$7656.91|$8261.89|$6508.21
"CPT® 26080"|"HCPF EXPLORE/TREAT LOOSE FINGER JOINT"|361.00|$1538.00|$545.99|$1230.40|$1077.00|$1073.52|$545.99|$1110.44|$1076.60|$985.86|$1230.40|$670.57|$715.17|$1076.60|$1076.45|$1161.50|$914.96
"CPT® 26605"|"HCPF FRACTURE METACARPAL, SINGLE; WITH MANIPULATION, EACH BONE"|361.00|$1551.00|$550.61|$1240.80|$1086.00|$1082.60|$550.61|$1119.82|$1085.70|$994.19|$1240.80|$676.24|$721.22|$1085.70|$1085.54|$1171.32|$922.69
"CPT® 26750"|"HCPF FRACTURE FINGER, DISTAL; WITHOUT MANIPULATION"|361.00|$772.00|$274.06|$617.60|$540.00|$538.86|$274.06|$557.38|$540.40|$494.85|$617.60|$336.59|$358.98|$540.40|$540.32|$583.01|$459.26
"CPT® 26989"|"HCPF HAND/FINGER SURGERY"|361.00|$1270.00|$450.85|$1016.00|$889.00|$886.46|$450.85|$916.94|$889.00|$814.07|$1016.00|$553.72|$590.55|$889.00|$888.87|$959.10|$755.52
"CPT® 27301"|"HCPF DRAIN THIGH/KNEE LESION"|361.00|$1348.00|$478.54|$1078.40|$944.00|$940.90|$478.54|$973.26|$943.60|$864.07|$1078.40|$587.73|$626.82|$943.60|$943.47|$1018.01|$801.93
"CPT® 27502"|"HCPF FRACTURE FEMORAL SHAFT, WITH MANIPULATION, WITH OR W/O TRACTION"|361.00|$1350.00|$479.25|$1080.00|$945.00|$942.30|$479.25|$974.70|$945.00|$865.35|$1080.00|$588.60|$627.75|$945.00|$944.87|$1019.52|$803.12
"CPT® 27550"|"HCPF DISLOCATION KNEE; WITHOUT ANESTHESIA"|361.00|$1512.00|$536.76|$1209.60|$1058.00|$1055.38|$536.76|$1091.66|$1058.40|$969.19|$1209.60|$659.23|$703.08|$1058.40|$1058.25|$1141.86|$899.49
"CPT® 27768"|"HCPF FRACTURE POSTERIOR ANKLE; WITH MANIPULATION"|361.00|$1282.00|$455.11|$1025.60|$897.00|$894.84|$455.11|$925.60|$897.40|$821.76|$1025.60|$558.95|$596.13|$897.40|$897.27|$968.17|$762.66
"CPT® 27788"|"HCPF FRACTURE DISTAL LATERAL ANKLE; WITH MANIPULATION"|361.00|$1172.00|$416.06|$937.60|$820.00|$818.06|$416.06|$846.18|$820.40|$751.25|$937.60|$510.99|$544.98|$820.40|$820.28|$885.09|$697.22
"CPT® 28192"|"HCPF REMOVAL FOOT FOREIGN BODY DEEP"|361.00|$610.00|$216.55|$488.00|$427.00|$425.78|$216.55|$440.42|$427.00|$391.01|$488.00|$265.96|$283.65|$427.00|$426.94|$460.67|$362.89
"CPT® 28435"|"HCPF FRACTURE TALUS ANKLE; WITH MANIPULATION"|361.00|$1008.00|$357.84|$806.40|$706.00|$703.58|$357.84|$727.78|$705.60|$646.13|$806.40|$439.49|$468.72|$705.60|$705.50|$761.24|$599.66
"CPT® 28470"|"HCPF FRACTURE METATARSAL; WITHOUT MANIPULATION"|361.00|$1009.00|$358.20|$807.20|$706.00|$704.28|$358.20|$728.50|$706.30|$646.77|$807.20|$439.92|$469.19|$706.30|$706.20|$762.00|$600.25
"CPT® 28490"|"HCPF FRACTURE BIG TOE; WITHOUT MANIPULATION"|361.00|$554.00|$196.67|$443.20|$388.00|$386.69|$196.67|$399.99|$387.80|$355.11|$443.20|$241.54|$257.61|$387.80|$387.74|$418.38|$329.57
"CPT® 28510"|"HCPF FRACTURE NON-GREAT TOE WITHOUT MANIPULATION"|361.00|$522.00|$185.31|$417.60|$365.00|$364.36|$185.31|$376.88|$365.40|$334.60|$417.60|$227.59|$242.73|$365.40|$365.35|$394.21|$310.54
"CPT® 29131"|"HCPF APPLICATION FINGER SPLINT; DYNAMIC"|361.00|$344.00|$122.12|$275.20|$241.00|$240.11|$122.12|$248.37|$240.80|$220.50|$275.20|$149.98|$159.96|$240.80|$240.77|$259.79|$204.65
"CPT® 29540"|"HCPF STRAPPING OF ANKLE AND/OR FT"|361.00|$174.00|$61.77|$139.20|$122.00|$121.45|$61.77|$125.63|$121.80|$111.53|$139.20|$75.86|$80.91|$121.80|$121.78|$131.40|$103.51
"CPT® 31505"|"HCPF DIAGNOSTIC LARYNGOSCOPY INDIRECT"|361.00|$440.00|$156.20|$352.00|$308.00|$307.12|$156.20|$317.68|$308.00|$282.04|$352.00|$191.84|$204.60|$308.00|$307.96|$332.29|$261.76
"CPT® 31530"|"HCPF LARYNGOSCOPY DIRECT OR W/FB RM"|361.00|$1080.00|$383.40|$864.00|$756.00|$753.84|$383.40|$779.76|$756.00|$692.28|$864.00|$470.88|$502.20|$756.00|$755.89|$815.62|$642.49
"CPT® 31603"|"HCPF TRACHEOSTOMY; TRANSTRACHEAL; EMERGENCY PROCEDURE"|361.00|$895.00|$317.73|$716.00|$626.00|$624.71|$317.73|$646.19|$626.50|$573.70|$716.00|$390.22|$416.18|$626.50|$626.41|$675.90|$532.44
"CPT® 31605"|"HCPF TRACHEOSTOMY; CRICOTHYROID MEMBRANE"|361.00|$895.00|$317.73|$716.00|$626.00|$624.71|$317.73|$646.19|$626.50|$573.70|$716.00|$390.22|$416.18|$626.50|$626.41|$675.90|$532.44
"CPT® 35226"|"HCPF REPAIR BLOOD VESSEL LESION LOWER EXTRIMITY"|361.00|$1556.00|$552.38|$1244.80|$1089.00|$1086.09|$552.38|$1123.43|$1089.20|$997.40|$1244.80|$678.42|$723.54|$1089.20|$1089.04|$1175.09|$925.66
"CPT® 40652"|"HCPF REPAIR LIP FULL THICKNESS; HALF VERTICAL HEIGHT"|361.00|$1769.00|$628.00|$1415.20|$1238.00|$1234.76|$628.00|$1277.22|$1238.30|$1133.93|$1415.20|$771.28|$822.59|$1238.30|$1238.12|$1335.95|$1052.38
"CPT® 40654"|"HCPF REPAIR LIP FULL THICKNESS; COMPLEX"|361.00|$1631.00|$579.01|$1304.80|$1142.00|$1138.44|$579.01|$1177.58|$1141.70|$1045.47|$1304.80|$711.12|$758.42|$1141.70|$1141.54|$1231.73|$970.28
"CPT® 40805"|"HCPF REMOVAL FOREIGN BODY,MOUTH,COMPLEX"|361.00|$386.00|$137.03|$308.80|$270.00|$269.43|$137.03|$278.69|$270.20|$247.43|$308.80|$168.30|$179.49|$270.20|$270.16|$291.51|$229.63
"CPT® 40831"|"HCPF REPAIR MOUTH LACERATION; OVER 2.5CM OR COMPLEX"|361.00|$546.00|$193.83|$436.80|$382.00|$381.11|$193.83|$394.21|$382.20|$349.99|$436.80|$238.06|$253.89|$382.20|$382.15|$412.34|$324.82
"CPT® 41899"|"HCPF UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES"|361.00|$1105.00|$392.28|$884.00|$774.00|$771.29|$392.28|$797.81|$773.50|$708.31|$884.00|$481.78|$513.83|$773.50|$773.39|$834.50|$657.36
"CPT® 42809"|"HCPF REMOVE PHARYNX FOREIGN BODY"|361.00|$195.00|$69.23|$156.00|$136.00|$136.11|$69.23|$140.79|$136.50|$125.00|$156.00|$85.02|$90.68|$136.50|$136.48|$147.26|$116.01
"CPT® 42960"|"HCPF CONTROL THROAT BLEEDING SIMPLE"|361.00|$720.00|$255.60|$576.00|$504.00|$502.56|$255.60|$519.84|$504.00|$461.52|$576.00|$313.92|$334.80|$504.00|$503.93|$543.74|$428.33
"CPT® 51100"|"HCPF ASPRTN BLDDR TROCAR/INTRACTHTR"|361.00|$118.00|$41.89|$94.40|$83.00|$82.36|$41.89|$85.20|$82.60|$75.64|$94.40|$51.45|$54.87|$82.60|$82.59|$89.11|$70.20
"CPT® 51700"|"HCPF IRRIGATION OF BLADDER"|361.00|$618.00|$219.39|$494.40|$433.00|$431.36|$219.39|$446.20|$432.60|$396.14|$494.40|$269.45|$287.37|$432.60|$432.54|$466.71|$367.65
"CPT® 51701"|"HCPF INSERT NON-DWELLING BLADDER CATHETER"|361.00|$72.00|$25.56|$57.60|$50.00|$50.26|$25.56|$51.98|$50.40|$46.15|$57.60|$31.39|$33.48|$50.40|$50.39|$54.37|$42.83
"CPT® 51702"|"HCPF INSERT BLADDER CATHETER; SIMPLE"|361.00|$524.00|$186.02|$419.20|$367.00|$365.75|$186.02|$378.33|$366.80|$335.88|$419.20|$228.46|$243.66|$366.80|$366.75|$395.72|$311.73
"CPT® 51703"|"HCPF INSERT BLADDER CATH COMPLEX"|361.00|$849.00|$301.40|$679.20|$594.00|$592.60|$301.40|$612.98|$594.30|$544.21|$679.20|$370.16|$394.79|$594.30|$594.22|$641.16|$505.07
"CPT® 51710"|"HCPF CHANGE OF BLADDER TBE,CMPLICTD"|361.00|$837.00|$297.14|$669.60|$586.00|$584.23|$297.14|$604.31|$585.90|$536.52|$669.60|$364.93|$389.21|$585.90|$585.82|$632.10|$497.93
"CPT® 54235"|"HCPF PENILE INJECTION"|361.00|$184.00|$65.32|$147.20|$129.00|$128.43|$65.32|$132.85|$128.80|$117.94|$147.20|$80.22|$85.56|$128.80|$128.78|$138.96|$109.46
"CPT® 54700"|"HCPF DRAINAGE OF SCROTUM"|361.00|$1062.00|$377.01|$849.60|$743.00|$741.28|$377.01|$766.76|$743.40|$680.74|$849.60|$463.03|$493.83|$743.40|$743.29|$802.02|$631.78
"CPT® 57010"|"HCPF EXPLOR VAG/DRAIN PELVIC ABSCES"|361.00|$777.00|$275.84|$621.60|$544.00|$542.35|$275.84|$560.99|$543.90|$498.06|$621.60|$338.77|$361.31|$543.90|$543.82|$586.79|$462.24
"CPT® 58301"|"HCPF REMOVE INTRAUTERINE DEVICE"|361.00|$263.00|$93.37|$210.40|$184.00|$183.57|$93.37|$189.89|$184.10|$168.58|$210.40|$114.67|$122.30|$184.10|$184.07|$198.62|$156.46
"CPT® 64400"|"HB N BLOCK INJ TRIGEMINAL"|370.00|$768.00|$272.64|$614.40|$538.00|$536.06|$272.64|$554.50|$537.60|$492.29|$614.40|$334.85|$357.12|$537.60|$537.52|$579.99|$456.88
"CPT® 64415"|"HB NERVE BLOCK BRACHIAL PLEXUS"|370.00|$3000.00|$1065.00|$2400.00|$2100.00|$2094.00|$1065.00|$2166.00|$2100.00|$1923.00|$2400.00|$1308.00|$1395.00|$2100.00|$2099.70|$2265.60|$1784.70
"CPT® 64420"|"HB N BLOCK INJ INTERCOST SNG"|370.00|$2580.00|$915.90|$2064.00|$1806.00|$1800.84|$915.90|$1862.76|$1806.00|$1653.78|$2064.00|$1124.88|$1199.70|$1806.00|$1805.74|$1948.42|$1534.84
"CPT® 64421"|"HB INTERCOSTAL NERVE BLOCK; MULTIPLE"|370.00|$1632.00|$579.36|$1305.60|$1142.00|$1139.14|$579.36|$1178.30|$1142.40|$1046.11|$1305.60|$711.55|$758.88|$1142.40|$1142.24|$1232.49|$970.88
"CPT® 64447"|"HB FEMORAL NERVE BLOCK; SINGLE"|370.00|$1632.00|$579.36|$1305.60|$1142.00|$1139.14|$579.36|$1178.30|$1142.40|$1046.11|$1305.60|$711.55|$758.88|$1142.40|$1142.24|$1232.49|$970.88
"CPT® 64450"|"HB OTHER PERIPHERAL NERVE OR BRANCH BLOCK"|370.00|$1700.00|$603.50|$1360.00|$1190.00|$1186.60|$603.50|$1227.40|$1190.00|$1089.70|$1360.00|$741.20|$790.50|$1190.00|$1189.83|$1283.84|$1011.33
"CPT® 64479"|"HB NERVE BLOCK CERVICAL OR THORACIC; SINGLE LEVEL"|370.00|$1651.00|$586.11|$1320.80|$1156.00|$1152.40|$586.11|$1192.02|$1155.70|$1058.29|$1320.80|$719.84|$767.72|$1155.70|$1155.53|$1246.84|$982.18
"CPT® 64483"|"HB INJ FORAMEN EPIDURAL L/S"|370.00|$3408.00|$1209.84|$2726.40|$2386.00|$2378.78|$1209.84|$2460.58|$2385.60|$2184.53|$2726.40|$1485.89|$1584.72|$2385.60|$2385.26|$2573.72|$2027.42
"CPT® 64484"|"HB INJ FORAMEN EPIDURAL ADD-ON W/IMAGING GUIDANCE; LUMBAR OR SACRAL"|370.00|$3408.00|$1209.84|$2726.40|$2386.00|$2378.78|$1209.84|$2460.58|$2385.60|$2184.53|$2726.40|$1485.89|$1584.72|$2385.60|$2385.26|$2573.72|$2027.42
"Custom 37000028"|"HB FIBEROPTIC INTUBATION"|370.00|$616.00|$218.68|$492.80|$431.00|$429.97|$218.68|$444.75|$431.20|$394.86|$492.80|$268.58|$286.44|$431.20|$431.14|$465.20|$366.46
"Custom 37000029"|"HB GLIDESCOPE INTUBATION"|370.00|$773.00|$274.42|$618.40|$541.00|$539.55|$274.42|$558.11|$541.10|$495.49|$618.40|$337.03|$359.45|$541.10|$541.02|$583.77|$459.86
"Custom 37000044"|"HB GENERAL ANESTHESIA"|370.00|$33.00|$11.72|$26.40|$23.00|$23.03|$11.72|$23.83|$23.10|$21.15|$26.40|$14.39|$15.35|$23.10|$23.10|$24.92|$19.63
"Custom 37000045"|"HB REGIONAL ANESTHESIA"|370.00|$33.00|$11.72|$26.40|$23.00|$23.03|$11.72|$23.83|$23.10|$21.15|$26.40|$14.39|$15.35|$23.10|$23.10|$24.92|$19.63
"Custom 37000046"|"HB MONITORED ANESTHESIA CARE (MAC)"|370.00|$24.00|$8.52|$19.20|$17.00|$16.75|$8.52|$17.33|$16.80|$15.38|$19.20|$10.46|$11.16|$16.80|$16.80|$18.12|$14.28
"Custom 37000047"|"HB EPIDURAL"|370.00|$2670.00|$947.85|$2136.00|$1869.00|$1863.66|$947.85|$1927.74|$1869.00|$1711.47|$2136.00|$1164.12|$1241.55|$1869.00|$1868.73|$2016.38|$1588.38
"CPT® 99151"|"HB MODERATE SEDATION SAME PHYS/QHP, INITIAL 15 MIN; LESS THAN 5 YEARS"|372.00|$425.00|$150.88|$340.00|$298.00|$296.65|$150.88|$306.85|$297.50|$272.43|$340.00|$185.30|$197.63|$297.50|$297.46|$320.96|$252.83
"HCPCS 99152"|"HB MODERATE SEDATION SAME PHYS/QHP, INITIAL 15 MIN; 5 YEARS & OLDER"|372.00|$425.00|$150.88|$340.00|$298.00|$296.65|$150.88|$306.85|$297.50|$272.43|$340.00|$185.30|$197.63|$297.50|$297.46|$320.96|$252.83
"CPT® 99153"|"HB MODERATE SEDATION SAME PHYS/QHP, EACH ADDL 15 MIN, ADD ON"|372.00|$161.00|$57.16|$128.80|$113.00|$112.38|$57.16|$116.24|$112.70|$103.20|$128.80|$70.20|$74.87|$112.70|$112.68|$121.59|$95.78
"CPT® 99155"|"HB MODERATE SEDATION OTHER PHYS/QHP, INITIAL 15 MIN; LESS THAN 5 YEARS"|372.00|$468.00|$166.14|$374.40|$328.00|$326.66|$166.14|$337.90|$327.60|$299.99|$374.40|$204.05|$217.62|$327.60|$327.55|$353.43|$278.41
"CPT® 99156"|"HB MODERATE SEDATION OTHER PHYS/QHP, INITIAL 15 MIN; 5 YEARS & OLDER"|372.00|$415.00|$147.33|$332.00|$290.00|$289.67|$147.33|$299.63|$290.50|$266.02|$332.00|$180.94|$192.98|$290.50|$290.46|$313.41|$246.88
"CPT® 99157"|"HB MODERATE SEDATION OTHER PHYS/QHP, EACH ADDL 15 MIN, ADD ON"|372.00|$207.00|$73.49|$165.60|$145.00|$144.49|$73.49|$149.45|$144.90|$132.69|$165.60|$90.25|$96.26|$144.90|$144.88|$156.33|$123.14
"HCPCS P9011"|"HB BLOOD SPLIT UNIT"|390.00|$401.00|$142.36|$320.80|$281.00|$279.90|$142.36|$289.52|$280.70|$257.04|$320.80|$174.84|$186.47|$280.70|$280.66|$302.84|$238.55
"HCPCS P9012"|"HB CRYOPRECIPITATE EACH UNIT"|390.00|$598.00|$212.29|$478.40|$419.00|$417.40|$212.29|$431.76|$418.60|$383.32|$478.40|$260.73|$278.07|$418.60|$418.54|$451.61|$355.75
"HCPCS P9016"|"HB RBC LEUKOCYTES REDUCED"|390.00|$691.00|$245.31|$552.80|$484.00|$482.32|$245.31|$498.90|$483.70|$442.93|$552.80|$301.28|$321.32|$483.70|$483.63|$521.84|$411.08
"HCPCS P9017"|"HB PLASMA 1 DONOR FRZ W/IN 8 HR"|390.00|$305.00|$108.28|$244.00|$214.00|$212.89|$108.28|$220.21|$213.50|$195.51|$244.00|$132.98|$141.83|$213.50|$213.47|$230.34|$181.44
"HCPCS P9021"|"HB RED BLOOD CELLS UNIT"|390.00|$487.00|$172.89|$389.60|$341.00|$339.93|$172.89|$351.61|$340.90|$312.17|$389.60|$212.33|$226.46|$340.90|$340.85|$367.78|$289.72
"HCPCS P9022"|"HB WASHED RED BLOOD CELLS UNIT"|390.00|$780.00|$276.90|$624.00|$546.00|$544.44|$276.90|$563.16|$546.00|$499.98|$624.00|$340.08|$362.70|$546.00|$545.92|$589.06|$464.02
"HCPCS P9035"|"HB PLATELET PHERES LEUKOREDUCED"|390.00|$2159.00|$766.45|$1727.20|$1511.00|$1506.98|$766.45|$1558.80|$1511.30|$1383.92|$1727.20|$941.32|$1003.94|$1511.30|$1511.08|$1630.48|$1284.39
"HCPCS P9037"|"HB PLATE PHERES LEUKOREDU IRRAD"|390.00|$3048.00|$1082.04|$2438.40|$2134.00|$2127.50|$1082.04|$2200.66|$2133.60|$1953.77|$2438.40|$1328.93|$1417.32|$2133.60|$2133.30|$2301.85|$1813.26
"HCPCS P9039"|"HB RBC DEGLYCEROLIZED"|390.00|$970.00|$344.35|$776.00|$679.00|$677.06|$344.35|$700.34|$679.00|$621.77|$776.00|$422.92|$451.05|$679.00|$678.90|$732.54|$577.05
"HCPCS P9040"|"HB RBC LEUKOREDUCED IRRADIATED"|390.00|$1273.00|$451.92|$1018.40|$891.00|$888.55|$451.92|$919.11|$891.10|$815.99|$1018.40|$555.03|$591.95|$891.10|$890.97|$961.37|$757.31
"HCPCS P9044"|"HB CRYOPRECIPITATEREDUCEDPLASMA"|390.00|$280.00|$99.40|$224.00|$196.00|$195.44|$99.40|$202.16|$196.00|$179.48|$224.00|$122.08|$130.20|$196.00|$195.97|$211.46|$166.57
"HCPCS P9034"|"HB BLOOD, PHERESIS"|390.00|$1119.00|$397.25|$895.20|$783.00|$781.06|$397.25|$807.92|$783.30|$717.28|$895.20|$487.88|$520.34|$783.30|$783.19|$845.07|$665.69
"HCPCS P9038"|"HB IRRIATED PACKED CELLS"|390.00|$679.00|$241.05|$543.20|$475.00|$473.94|$241.05|$490.24|$475.30|$435.24|$543.20|$296.04|$315.74|$475.30|$475.23|$512.78|$403.94
"HCPCS P9052"|"HB HLA MATCHED PHERESIS PLATELETS"|390.00|$1413.00|$501.62|$1130.40|$989.00|$986.27|$501.62|$1020.19|$989.10|$905.73|$1130.40|$616.07|$657.05|$989.10|$988.96|$1067.10|$840.59
"HCPCS P9073"|"HB PLATELETS, APHERESIS LR EACH UNIT PATHOGEN REDUCED"|390.00|$1866.00|$662.43|$1492.80|$1306.00|$1302.47|$662.43|$1347.25|$1306.20|$1196.11|$1492.80|$813.58|$867.69|$1306.20|$1306.01|$1409.20|$1110.08
"HCPCS P9017"|"HB PLASMA, THAWED, CONVALESCENT COVID"|390.00|$322.00|$114.31|$257.60|$225.00|$224.76|$114.31|$232.48|$225.40|$206.40|$257.60|$140.39|$149.73|$225.40|$225.37|$243.17|$191.56
"CPT® 36430"|"HB BLOOD TRANSFUSION SERVICE"|391.00|$994.00|$352.87|$795.20|$696.00|$693.81|$352.87|$717.67|$695.80|$637.15|$795.20|$433.38|$462.21|$695.80|$695.70|$750.67|$591.33
"CPT® 77061"|"HB BREAST TOMOSYNTHESIS UNI"|401.00|$114.00|$40.47|$91.20|$80.00|$79.57|$40.47|$82.31|$79.80|$73.07|$91.20|$49.70|$53.01|$79.80|$79.79|$86.09|$67.82
"CPT® 77062"|"HB BREAST TOMOSYNTHESIS BILAT"|401.00|$126.00|$44.73|$100.80|$88.00|$87.95|$44.73|$90.97|$88.20|$80.77|$100.80|$54.94|$58.59|$88.20|$88.19|$95.16|$74.96
"HCPCS G0279"|"HB TOMOSYNTHESIS, MAMMO"|401.00|$114.00|$40.47|$91.20|$80.00|$79.57|$40.47|$82.31|$79.80|$73.07|$91.20|$49.70|$53.01|$79.80|$79.79|$86.09|$67.82
"CPT® 77065"|"HB DIAGNOSTIC MAMMOGRAPHY INCL CAD UNILATERAL"|401.00|$521.00|$184.96|$416.80|$365.00|$363.66|$184.96|$376.16|$364.70|$333.96|$416.80|$227.16|$242.27|$364.70|$364.65|$393.46|$309.94
"CPT® 77066"|"HB DIAGNOSTIC MAMMOGRAPHY INCL CAD BILATERAL"|401.00|$576.00|$204.48|$460.80|$403.00|$402.05|$204.48|$415.87|$403.20|$369.22|$460.80|$251.14|$267.84|$403.20|$403.14|$435.00|$342.66
"CPT® 51798"|"HB US URINE CAPACITY MEASURE"|402.00|$165.00|$58.58|$132.00|$115.00|$115.17|$58.58|$119.13|$115.50|$105.77|$132.00|$71.94|$76.73|$115.50|$115.48|$124.61|$98.16
"CPT® 76506"|"HB ECHO EXAM OF HEAD"|402.00|$1577.00|$559.84|$1261.60|$1104.00|$1100.75|$559.84|$1138.59|$1103.90|$1010.86|$1261.60|$687.57|$733.31|$1103.90|$1103.74|$1190.95|$938.16
"CPT® 76536"|"HB US EXAM OF HEAD AND NECK"|402.00|$1506.00|$534.63|$1204.80|$1054.00|$1051.19|$534.63|$1087.33|$1054.20|$965.35|$1204.80|$656.62|$700.29|$1054.20|$1054.05|$1137.33|$895.92
"CPT® 76604"|"HB US EXAM CHEST"|402.00|$1166.00|$413.93|$932.80|$816.00|$813.87|$413.93|$841.85|$816.20|$747.41|$932.80|$508.38|$542.19|$816.20|$816.08|$880.56|$693.65
"CPT® 76641"|"HB ULTRASOUND BREAST COMPLETE"|402.00|$596.00|$211.58|$476.80|$417.00|$416.01|$211.58|$430.31|$417.20|$382.04|$476.80|$259.86|$277.14|$417.20|$417.14|$450.10|$354.56
"CPT® 76642"|"HB ULTRASOUND BREAST LIMITED"|402.00|$492.00|$174.66|$393.60|$344.00|$343.42|$174.66|$355.22|$344.40|$315.37|$393.60|$214.51|$228.78|$344.40|$344.35|$371.56|$292.69
"CPT® 76700"|"HB US EXAM ABDOM COMPLETE"|402.00|$1987.00|$705.39|$1589.60|$1391.00|$1386.93|$705.39|$1434.61|$1390.90|$1273.67|$1589.60|$866.33|$923.96|$1390.90|$1390.70|$1500.58|$1182.07
"CPT® 76705"|"HB US EXAM ABDOMINAL, LIMITED"|402.00|$1799.00|$638.65|$1439.20|$1259.00|$1255.70|$638.65|$1298.88|$1259.30|$1153.16|$1439.20|$784.36|$836.54|$1259.30|$1259.12|$1358.60|$1070.23
"CPT® 76770"|"HB US EXAM ABDO BACK WALL COMP"|402.00|$1652.00|$586.46|$1321.60|$1156.00|$1153.10|$586.46|$1192.74|$1156.40|$1058.93|$1321.60|$720.27|$768.18|$1156.40|$1156.23|$1247.59|$982.77
"CPT® 76775"|"HB US EXAM ABDO BACK WALL LIM"|402.00|$1471.00|$522.21|$1176.80|$1030.00|$1026.76|$522.21|$1062.06|$1029.70|$942.91|$1176.80|$641.36|$684.02|$1029.70|$1029.55|$1110.90|$875.10
"CPT® 76776"|"HB US EXAM K TRANSPL W/DOPPLER"|402.00|$1388.00|$492.74|$1110.40|$972.00|$968.82|$492.74|$1002.14|$971.60|$889.71|$1110.40|$605.17|$645.42|$971.60|$971.46|$1048.22|$825.72
"CPT® 76800"|"HB US EXAM SPINAL CANAL"|402.00|$1749.00|$620.90|$1399.20|$1224.00|$1220.80|$620.90|$1262.78|$1224.30|$1121.11|$1399.20|$762.56|$813.29|$1224.30|$1224.13|$1320.84|$1040.48
"CPT® 76801"|"HB US OB, LESS THAN 14 WEEKS, SINGLE/FIRST GESTATION"|402.00|$1055.00|$374.53|$844.00|$738.00|$736.39|$374.53|$761.71|$738.50|$676.26|$844.00|$459.98|$490.58|$738.50|$738.39|$796.74|$627.62
"CPT® 76802"|"HB US OB, LESS THAN 14 WEEKS, EACH ADD'L GESTATION"|402.00|$918.00|$325.89|$734.40|$643.00|$640.76|$325.89|$662.80|$642.60|$588.44|$734.40|$400.25|$426.87|$642.60|$642.51|$693.27|$546.12
"CPT® 76805"|"HB US OB, 14 WEEKS OR MORE, SINGLE/FIRST GESTATION"|402.00|$1352.00|$479.96|$1081.60|$946.00|$943.70|$479.96|$976.14|$946.40|$866.63|$1081.60|$589.47|$628.68|$946.40|$946.26|$1021.03|$804.30
"CPT® 76810"|"HB US OB, 14 WEEKS OR MORE, EACH ADD'L GESTATION"|402.00|$1791.00|$635.81|$1432.80|$1254.00|$1250.12|$635.81|$1293.10|$1253.70|$1148.03|$1432.80|$780.88|$832.82|$1253.70|$1253.52|$1352.56|$1065.47
"CPT® 76811"|"HB US OB, DETAILED FETAL ANTOMIC EXAM, SINGLE/FIRST FETUS"|402.00|$1526.00|$541.73|$1220.80|$1068.00|$1065.15|$541.73|$1101.77|$1068.20|$978.17|$1220.80|$665.34|$709.59|$1068.20|$1068.05|$1152.44|$907.82
"CPT® 76812"|"HB US OB, DETAILED FETAL ANTOMIC EXAM, EACH ADD'L GESTATION"|402.00|$1297.00|$460.44|$1037.60|$908.00|$905.31|$460.44|$936.43|$907.90|$831.38|$1037.60|$565.49|$603.11|$907.90|$907.77|$979.49|$771.59
"CPT® 76815"|"HB US OB, LIMITED, 1 OR MORE FETUSES"|402.00|$806.00|$286.13|$644.80|$564.00|$562.59|$286.13|$581.93|$564.20|$516.65|$644.80|$351.42|$374.79|$564.20|$564.12|$608.69|$479.49
"CPT® 76816"|"HB OB US FOLLOW-UP PER FETUS"|402.00|$930.00|$330.15|$744.00|$651.00|$649.14|$330.15|$671.46|$651.00|$596.13|$744.00|$405.48|$432.45|$651.00|$650.91|$702.34|$553.26
"CPT® 76817"|"HB TRANSVAGINAL US OBSTETRIC"|402.00|$840.00|$298.20|$672.00|$588.00|$586.32|$298.20|$606.48|$588.00|$538.44|$672.00|$366.24|$390.60|$588.00|$587.92|$634.37|$499.72
"CPT® 76818"|"HB FETAL BIOPHYS PROFILE W/NST"|402.00|$1580.00|$560.90|$1264.00|$1106.00|$1102.84|$560.90|$1140.76|$1106.00|$1012.78|$1264.00|$688.88|$734.70|$1106.00|$1105.84|$1193.22|$939.94
"CPT® 76819"|"HB FETAL BIOPHYSICAL PROFILE; WITHOUT NON-STRESS TEST"|402.00|$1256.00|$445.88|$1004.80|$879.00|$876.69|$445.88|$906.83|$879.20|$805.10|$1004.80|$547.62|$584.04|$879.20|$879.07|$948.53|$747.19
"CPT® 76830"|"HB TRANSVAGINAL US NON-OB"|402.00|$1210.00|$429.55|$968.00|$847.00|$844.58|$429.55|$873.62|$847.00|$775.61|$968.00|$527.56|$562.65|$847.00|$846.88|$913.79|$719.83
"CPT® 76831"|"HB ECHO EXAM UTERUS"|402.00|$1569.00|$557.00|$1255.20|$1098.00|$1095.16|$557.00|$1132.82|$1098.30|$1005.73|$1255.20|$684.08|$729.59|$1098.30|$1098.14|$1184.91|$933.40
"CPT® 76856"|"HB US EXAM PELVIC COMPLETE"|402.00|$1692.00|$600.66|$1353.60|$1184.00|$1181.02|$600.66|$1221.62|$1184.40|$1084.57|$1353.60|$737.71|$786.78|$1184.40|$1184.23|$1277.80|$1006.57
"CPT® 76857"|"HB US PELVIC, NONOBSTETRIC, LIMITED OR FOLLOW-UP"|402.00|$967.00|$343.29|$773.60|$677.00|$674.97|$343.29|$698.17|$676.90|$619.85|$773.60|$421.61|$449.66|$676.90|$676.80|$730.28|$575.27
"CPT® 76870"|"HB US EXAM SCROTUM"|402.00|$1544.00|$548.12|$1235.20|$1081.00|$1077.71|$548.12|$1114.77|$1080.80|$989.70|$1235.20|$673.18|$717.96|$1080.80|$1080.65|$1166.03|$918.53
"CPT® 76872"|"HB US TRANSRECTAL"|402.00|$1216.00|$431.68|$972.80|$851.00|$848.77|$431.68|$877.95|$851.20|$779.46|$972.80|$530.18|$565.44|$851.20|$851.08|$918.32|$723.40
"CPT® 76881"|"HB US XTR NON-VASC COMPLETE"|402.00|$1423.00|$505.17|$1138.40|$996.00|$993.25|$505.17|$1027.41|$996.10|$912.14|$1138.40|$620.43|$661.70|$996.10|$995.96|$1074.65|$846.54
"CPT® 76882"|"HB US EXTREMITY, LIMITED, NON-VASCULAR"|402.00|$869.00|$308.50|$695.20|$608.00|$606.56|$308.50|$627.42|$608.30|$557.03|$695.20|$378.88|$404.09|$608.30|$608.21|$656.27|$516.97
"CPT® 76885"|"HB US EXAM INFANT HIPS DYNAMIC"|402.00|$1430.00|$507.65|$1144.00|$1001.00|$998.14|$507.65|$1032.46|$1001.00|$916.63|$1144.00|$623.48|$664.95|$1001.00|$1000.86|$1079.94|$850.71
"CPT® 76886"|"HB US EXAM INFANT HIPS STATIC"|402.00|$1219.00|$432.75|$975.20|$853.00|$850.86|$432.75|$880.12|$853.30|$781.38|$975.20|$531.48|$566.84|$853.30|$853.18|$920.59|$725.18
"CPT® 76937"|"HB US GUIDE VASCULAR ACCESS"|402.00|$1449.00|$514.40|$1159.20|$1014.00|$1011.40|$514.40|$1046.18|$1014.30|$928.81|$1159.20|$631.76|$673.79|$1014.30|$1014.16|$1094.28|$862.01
"CPT® 76942"|"HB US GUIDANCE NEEDLE PLACEMENT; S&I"|402.00|$1912.00|$678.76|$1529.60|$1338.00|$1334.58|$678.76|$1380.46|$1338.40|$1225.59|$1529.60|$833.63|$889.08|$1338.40|$1338.21|$1443.94|$1137.45
"CPT® 76946"|"HB US GUIDANCE, AMNIOCENTESIS; S&I"|402.00|$1178.00|$418.19|$942.40|$825.00|$822.24|$418.19|$850.52|$824.60|$755.10|$942.40|$513.61|$547.77|$824.60|$824.48|$889.63|$700.79
"CPT® 76970"|"HB ULTRASOUND EXAM FOLLOW-UP"|402.00|$659.00|$233.95|$527.20|$461.00|$459.98|$233.95|$475.80|$461.30|$422.42|$527.20|$287.32|$306.44|$461.30|$461.23|$497.68|$392.04
"CPT® 76998"|"HB US GUIDE INTRAOP"|402.00|$2358.00|$837.09|$1886.40|$1651.00|$1645.88|$837.09|$1702.48|$1650.60|$1511.48|$1886.40|$1028.09|$1096.47|$1650.60|$1650.36|$1780.76|$1402.77
"CPT® 76999"|"HB ECHO EXAMINATION PROCEDURE"|402.00|$929.00|$329.80|$743.20|$650.00|$648.44|$329.80|$670.74|$650.30|$595.49|$743.20|$405.04|$431.99|$650.30|$650.21|$701.58|$552.66
"CPT® 76706"|"HB ULTRASOUND EXAM AAA SCREEN"|402.00|$956.00|$339.38|$764.80|$669.00|$667.29|$339.38|$690.23|$669.20|$612.80|$764.80|$416.82|$444.54|$669.20|$669.10|$721.97|$568.72
"CPT® 76882"|"HCPF US XTR NON-VASC LMTD"|402.00|$869.00|$308.50|$695.20|$608.00|$606.56|$308.50|$627.42|$608.30|$557.03|$695.20|$378.88|$404.09|$608.30|$608.21|$656.27|$516.97
"CPT® 51798"|"HCPF US URINE CAPACITY MEASURE"|402.00|$46.00|$16.33|$36.80|$32.00|$32.11|$16.33|$33.21|$32.20|$29.49|$36.80|$20.06|$21.39|$32.20|$32.20|$34.74|$27.37
"CPT® 77063"|"HB BREAST TOMOSYNTHESIS BILAT SCREENING DIGITAL"|403.00|$140.00|$49.70|$112.00|$98.00|$97.72|$49.70|$101.08|$98.00|$89.74|$112.00|$61.04|$65.10|$98.00|$97.99|$105.73|$83.29
"CPT® 77067"|"HB SCREENING MAMMOGRAPHY BILATERAL INCL CAD"|403.00|$587.00|$208.39|$469.60|$411.00|$409.73|$208.39|$423.81|$410.90|$376.27|$469.60|$255.93|$272.96|$410.90|$410.84|$443.30|$349.21
"CPT® 31502"|"HB CHANGE OF WINDPIPE AIRWAY"|410.00|$776.00|$275.48|$620.80|$543.00|$541.65|$275.48|$560.27|$543.20|$497.42|$620.80|$338.34|$360.84|$543.20|$543.12|$586.04|$461.64
"CPT® 94002"|"HB VENT MGMT INPAT INIT DAY"|410.00|$2778.00|$986.19|$2222.40|$1945.00|$1939.04|$986.19|$2005.72|$1944.60|$1780.70|$2222.40|$1211.21|$1291.77|$1944.60|$1944.32|$2097.95|$1652.63
"CPT® 94003"|"HB VENT MGMT INPAT SUBQ DAY"|410.00|$1001.00|$355.36|$800.80|$701.00|$698.70|$355.36|$722.72|$700.70|$641.64|$800.80|$436.44|$465.47|$700.70|$700.60|$755.96|$595.49
"CPT® 94640"|"HB AIRWAY INHALATION TREATMENT"|410.00|$209.00|$74.20|$167.20|$146.00|$145.88|$74.20|$150.90|$146.30|$133.97|$167.20|$91.12|$97.19|$146.30|$146.28|$157.84|$124.33
"CPT® 94642"|"HB AEROSOL INHALATION TREATMENT"|410.00|$275.00|$97.63|$220.00|$192.00|$191.95|$97.63|$198.55|$192.50|$176.28|$220.00|$119.90|$127.88|$192.50|$192.47|$207.68|$163.60
"CPT® 94644"|"HB CBT 1ST HOUR"|410.00|$284.00|$100.82|$227.20|$199.00|$198.23|$100.82|$205.05|$198.80|$182.04|$227.20|$123.82|$132.06|$198.80|$198.77|$214.48|$168.95
"CPT® 94645"|"HB CBT EACH ADDL HOUR"|410.00|$284.00|$100.82|$227.20|$199.00|$198.23|$100.82|$205.05|$198.80|$182.04|$227.20|$123.82|$132.06|$198.80|$198.77|$214.48|$168.95
"CPT® 94660"|"HB POS AIRWAY PRESSURE CPAP"|410.00|$425.00|$150.88|$340.00|$298.00|$296.65|$150.88|$306.85|$297.50|$272.43|$340.00|$185.30|$197.63|$297.50|$297.46|$320.96|$252.83
"CPT® 94664"|"HB EVALUATE PT USE OF INHALER"|410.00|$336.00|$119.28|$268.80|$235.00|$234.53|$119.28|$242.59|$235.20|$215.38|$268.80|$146.50|$156.24|$235.20|$235.17|$253.75|$199.89
"CPT® 94667"|"HB CHEST WALL MANIPULATION INITIAL"|410.00|$199.00|$70.65|$159.20|$139.00|$138.90|$70.65|$143.68|$139.30|$127.56|$159.20|$86.76|$92.54|$139.30|$139.28|$150.28|$118.39
"CPT® 94668"|"HB CHEST WALL MANIPULATION SUBSEQUENT"|410.00|$110.00|$39.05|$88.00|$77.00|$76.78|$39.05|$79.42|$77.00|$70.51|$88.00|$47.96|$51.15|$77.00|$76.99|$83.07|$65.44
"CPT® 94669"|"HB MECHANICAL CHEST WALL OSCILL"|410.00|$128.00|$45.44|$102.40|$90.00|$89.34|$45.44|$92.42|$89.60|$82.05|$102.40|$55.81|$59.52|$89.60|$89.59|$96.67|$76.15
"HCPCS G0237"|"HB THERAPEUTIC STRENGTH/ENDURANCE RESPIRATORY MUSCLE, INDIVIDUAL; EACH 15 MINUTES"|410.00|$86.00|$30.53|$68.80|$60.00|$60.03|$30.53|$62.09|$60.20|$55.13|$68.80|$37.50|$39.99|$60.20|$60.19|$64.95|$51.16
"HCPCS G0238"|"HB OTH RESP PROC, INDIV"|410.00|$94.00|$33.37|$75.20|$66.00|$65.61|$33.37|$67.87|$65.80|$60.25|$75.20|$40.98|$43.71|$65.80|$65.79|$70.99|$55.92
"HCPCS G0239"|"HB OTH RESP PROC, GROUP"|410.00|$187.00|$66.39|$149.60|$131.00|$130.53|$66.39|$135.01|$130.90|$119.87|$149.60|$81.53|$86.96|$130.90|$130.88|$141.22|$111.25
"Custom 41000031"|"HB VENTIMASK DAILY"|410.00|$230.00|$81.65|$184.00|$161.00|$160.54|$81.65|$166.06|$161.00|$147.43|$184.00|$100.28|$106.95|$161.00|$160.98|$173.70|$136.83
"CPT® 94002"|"HB HOME VENT INITIAL - CPT 94002"|410.00|$900.00|$319.50|$720.00|$630.00|$628.20|$319.50|$649.80|$630.00|$576.90|$720.00|$392.40|$418.50|$630.00|$629.91|$679.68|$535.41
"CPT® 94003"|"HB HOME VENT SUBQ - CPT 94003"|410.00|$900.00|$319.50|$720.00|$630.00|$628.20|$319.50|$649.80|$630.00|$576.90|$720.00|$392.40|$418.50|$630.00|$629.91|$679.68|$535.41
"CPT® 94660"|"HB HOME CPAP-BIPAP"|410.00|$375.00|$133.13|$300.00|$262.00|$261.75|$133.13|$270.75|$262.50|$240.38|$300.00|$163.50|$174.38|$262.50|$262.46|$283.20|$223.09
"CPT® 97010"|"HB HOT OR COLD PACKS THERAPY"|420.00|$78.00|$0.00|$78.00|$55.00|$54.44|$0.00|$56.32|$54.60|$50.00|$62.40|$34.01|$36.27|$78.00|$54.59|$58.91|$46.40
"CPT® 97012"|"HB MECHANICAL TRACTION THERAPY"|420.00|$192.00|$68.16|$153.60|$134.00|$134.02|$68.16|$138.62|$134.40|$123.07|$153.60|$83.71|$89.28|$140.00|$134.38|$145.00|$114.22
"CPT® 97026"|"HB INFRARED THERAPY"|420.00|$29.00|$10.30|$29.00|$20.00|$20.24|$10.30|$20.94|$20.30|$18.59|$23.20|$12.64|$13.49|$29.00|$20.30|$21.90|$17.25
"CPT® 97032"|"HB ELECTRICAL STIMULATION"|420.00|$126.00|$44.73|$126.00|$88.00|$87.95|$44.73|$90.97|$88.20|$80.77|$100.80|$54.94|$58.59|$126.00|$88.19|$95.16|$74.96
"CPT® 97033"|"HB IONTOPHORESIS ELECTRIC CURRENT THERAPY"|420.00|$48.00|$17.04|$48.00|$34.00|$33.50|$17.04|$34.66|$33.60|$30.77|$38.40|$20.93|$22.32|$48.00|$33.60|$36.25|$28.56
"CPT® 97035"|"HB ULTRASOUND THERAPY"|420.00|$193.00|$68.52|$154.40|$135.00|$134.71|$68.52|$139.35|$135.10|$123.71|$154.40|$84.15|$89.75|$140.00|$135.08|$145.75|$114.82
"CPT® 97110"|"HB THERAPEUTIC EXERCISES"|420.00|$186.00|$66.03|$148.80|$130.00|$129.83|$66.03|$134.29|$130.20|$119.23|$148.80|$81.10|$86.49|$140.00|$130.18|$140.47|$110.65
"CPT® 97112"|"HB NEUROMUSCULAR REEDUCATION"|420.00|$189.00|$67.10|$151.20|$132.00|$131.92|$67.10|$136.46|$132.30|$121.15|$151.20|$82.40|$87.89|$140.00|$132.28|$142.73|$112.44
"CPT® 97113"|"HB AQUATIC THERAPY/EXERCISES"|420.00|$230.00|$81.65|$184.00|$161.00|$160.54|$81.65|$166.06|$161.00|$147.43|$184.00|$100.28|$106.95|$140.00|$160.98|$173.70|$136.83
"CPT® 97116"|"HB GAIT TRAINING THERAPY"|420.00|$190.00|$67.45|$152.00|$133.00|$132.62|$67.45|$137.18|$133.00|$121.79|$152.00|$82.84|$88.35|$140.00|$132.98|$143.49|$113.03
"CPT® 97124"|"HB MASSAGE THERAPY"|420.00|$23.00|$8.17|$23.00|$16.00|$16.05|$8.17|$16.61|$16.10|$14.74|$18.40|$10.03|$10.70|$23.00|$16.10|$17.37|$13.68
"CPT® 97542"|"HB WHEELCHAIR MNGMENT TRAINING"|420.00|$124.00|$44.02|$124.00|$87.00|$86.55|$44.02|$89.53|$86.80|$79.48|$99.20|$54.06|$57.66|$124.00|$86.79|$93.64|$73.77
"CPT® 97545"|"HB WORK HARDENING"|420.00|$784.00|$140.00|$627.20|$549.00|$547.23|$278.32|$566.05|$548.80|$502.54|$627.20|$341.82|$364.56|$140.00|$548.72|$592.08|$466.40
"CPT® 97761"|"HB PROSTHETIC TRAINING INITIAL ENCTR"|420.00|$200.00|$71.00|$160.00|$140.00|$139.60|$71.00|$144.40|$140.00|$128.20|$160.00|$87.20|$93.00|$140.00|$139.98|$151.04|$118.98
"CPT® 97763"|"HB ORTHC/PROSTC MGMT SBSQ ENC"|420.00|$264.00|$93.72|$211.20|$185.00|$184.27|$93.72|$190.61|$184.80|$169.22|$211.20|$115.10|$122.76|$140.00|$184.77|$199.37|$157.05
"HCPCS G8978"|"HB MOBILITY CURRENT STATUS"|420.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8979"|"HB MOBILITY GOAL STATUS"|420.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8980"|"HB MOBILITY D/C STATUS"|420.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8981"|"HB BODY POS CURRENT STATUS"|420.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8982"|"HB BODY POS GOAL STATUS"|420.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8983"|"HB BODY POS D/C STATUS"|420.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8984"|"HB CARRY CURRENT STATUS"|420.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8985"|"HB CARRY GOAL STATUS"|420.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8986"|"HB CARRY D/C STATUS"|420.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8987"|"HB SELF CARE CURRENT STATUS"|420.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8988"|"HB SELF CARE GOAL STATUS"|420.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8989"|"HB SELF CARE D/C STATUS"|420.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8990"|"HB OTHER PT/OT CURRENT STATUS"|420.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8991"|"HB OTHER PT/OT GOAL STATUS"|420.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8992"|"HB OTHER PT/OT  D/C STATUS"|420.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8993"|"HB SUB PT/OT CURRENT STATUS"|420.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8994"|"HB SUB PT/OT GOAL STATUS"|420.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8995"|"HB SUB PT/OT D/C STATUS"|420.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"CPT® 97598"|"HCPF SLCTV WND DEBR ADD 20CM/<"|420.00|$493.00|$140.00|$394.40|$345.00|$344.11|$175.02|$355.95|$345.10|$316.01|$394.40|$214.95|$229.25|$140.00|$345.05|$372.31|$293.29
"CPT® 97546"|"HB BTW-WORK HARD EA ADDL HOUR"|420.00|$123.00|$43.67|$123.00|$86.00|$85.85|$43.67|$88.81|$86.10|$78.84|$98.40|$53.63|$57.20|$123.00|$86.09|$92.89|$73.17
"CPT® 97124"|"HB MASSAGE THERAPY BY MT"|420.00|$23.00|$8.17|$23.00|$16.00|$16.05|$8.17|$16.61|$16.10|$14.74|$18.40|$10.03|$10.70|$23.00|$16.10|$17.37|$13.68
"CPT® 97014"|"HB ELECTRIC STIMULATION THERAPY UNATTENDED"|421.00|$116.00|$41.18|$116.00|$81.00|$80.97|$41.18|$83.75|$81.20|$74.36|$92.80|$50.58|$53.94|$116.00|$81.19|$87.60|$69.01
"CPT® 97140"|"HB MANUAL THERAPY 1/> REGIONS"|421.00|$240.00|$85.20|$192.00|$168.00|$167.52|$85.20|$173.28|$168.00|$153.84|$192.00|$104.64|$111.60|$140.00|$167.98|$181.25|$142.78
"CPT® 97530"|"HB THERAPEUTIC ACTIVITIES"|421.00|$189.00|$67.10|$151.20|$132.00|$131.92|$67.10|$136.46|$132.30|$121.15|$151.20|$82.40|$87.89|$140.00|$132.28|$142.73|$112.44
"CPT® 97535"|"HB SELF CARE MNGMENT TRAINING"|421.00|$211.00|$74.91|$168.80|$148.00|$147.28|$74.91|$152.34|$147.70|$135.25|$168.80|$92.00|$98.12|$140.00|$147.68|$159.35|$125.52
"CPT® 97760"|"HB ORTHOTIC MGMT AND TRAINING INITIAL ENCTR"|421.00|$202.00|$71.71|$161.60|$141.00|$141.00|$71.71|$145.84|$141.40|$129.48|$161.60|$88.07|$93.93|$140.00|$141.38|$152.55|$120.17
"CPT® 97022"|"HB WHIRLPOOL THERAPY"|421.00|$249.00|$88.40|$199.20|$174.00|$173.80|$88.40|$179.78|$174.30|$159.61|$199.20|$108.56|$115.79|$140.00|$174.28|$188.04|$148.13
"CPT® G0283"|"HB ELECTRIC STIMULATION THERAPY UNATTENDED – NON WOUND"|421.00|$177.00|$62.84|$141.60|$124.00|$123.55|$62.84|$127.79|$123.90|$113.46|$141.60|$77.17|$82.31|$140.00|$123.88|$133.67|$105.30
"CPT® 97150"|"HB GROUP THERAPEUTIC PROCEDURES"|423.00|$116.00|$41.18|$116.00|$81.00|$80.97|$41.18|$83.75|$81.20|$74.36|$92.80|$50.58|$53.94|$116.00|$81.19|$87.60|$69.01
"CPT® 97161"|"HB PT EVAL LOW COMPLEX"|424.00|$329.00|$116.80|$263.20|$230.00|$229.64|$116.80|$237.54|$230.30|$210.89|$263.20|$143.44|$152.99|$140.00|$230.27|$248.46|$195.72
"CPT® 97162"|"HB PT EVAL MOD COMPLEX"|424.00|$394.00|$139.87|$315.20|$276.00|$275.01|$139.87|$284.47|$275.80|$252.55|$315.20|$171.78|$183.21|$140.00|$275.76|$297.55|$234.39
"CPT® 97163"|"HB PT EVAL HIGH COMPLEX"|424.00|$500.00|$140.00|$400.00|$350.00|$349.00|$177.50|$361.00|$350.00|$320.50|$400.00|$218.00|$232.50|$140.00|$349.95|$377.60|$297.45
"CPT® 95852"|"HB RANGE MOTION MEASURE,EACH HAND"|430.00|$111.00|$39.41|$111.00|$78.00|$77.48|$39.41|$80.14|$77.70|$71.15|$88.80|$48.40|$51.62|$111.00|$77.69|$83.83|$66.03
"CPT® 97129"|"HB THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES"|430.00|$88.00|$31.24|$88.00|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$88.00|$61.59|$66.46|$52.35
"CPT® 97130"|"HB THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES"|430.00|$88.00|$31.24|$88.00|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$88.00|$61.59|$66.46|$52.35
"CPT® 97018"|"HB PARAFFIN BATH THERAPY"|430.00|$138.00|$48.99|$138.00|$97.00|$96.32|$48.99|$99.64|$96.60|$88.46|$110.40|$60.17|$64.17|$138.00|$96.59|$104.22|$82.10
"CPT® 97165"|"HB OT EVAL LOW COMPLEX"|434.00|$390.00|$138.45|$312.00|$273.00|$272.22|$138.45|$281.58|$273.00|$249.99|$312.00|$170.04|$181.35|$140.00|$272.96|$294.53|$232.01
"CPT® 97166"|"HB OT EVAL MOD COMPLEX"|434.00|$428.00|$140.00|$342.40|$300.00|$298.74|$151.94|$309.02|$299.60|$274.35|$342.40|$186.61|$199.02|$140.00|$299.56|$323.23|$254.62
"CPT® 97167"|"HB OT EVAL HIGH COMPLEX"|434.00|$617.00|$140.00|$493.60|$432.00|$430.67|$219.04|$445.47|$431.90|$395.50|$493.60|$269.01|$286.91|$140.00|$431.84|$465.96|$367.05
"HCPCS G8995"|"HB SUB PT/OT D/C STATUS"|439.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8996"|"HB SWALLOW CURRENT STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8997"|"HB SWALLOW GOAL STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8998"|"HB SWALLOW D/C STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8999"|"HB MOTOR SPEECH CURRENT STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9158"|"HB MOTOR SPEECH D/C STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9159"|"HB LANG COMP CURRENT STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9160"|"HB LANG COMP GOAL STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9161"|"HB LANG COMP D/C STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9162"|"HB LANG EXPRESS CURRENT STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9163"|"HB LANG EXPRESS GOAL STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9164"|"HB LANG EXPRESS D/C STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9165"|"HB ATTEN CURRENT STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9166"|"HB ATTEN GOAL STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9167"|"HB ATTEN D/C STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9168"|"HB MEMORY CURRENT STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9169"|"HB MEMORY GOAL STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9170"|"HB MEMORY D/C STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9171"|"HB VOICE CURRENT STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9172"|"HB VOICE GOAL STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9173"|"HB VOICE D/C STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9174"|"HB SPEECH LANG CURRENT STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9175"|"HB SPEECH LANG GOAL STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"CPT® 92507"|"HB SPEECH/HEARING THERAPY INDIVIDUAL"|440.00|$399.00|$140.00|$319.20|$279.00|$278.50|$141.65|$288.08|$279.30|$255.76|$319.20|$173.96|$185.54|$140.00|$279.26|$301.32|$237.37
"CPT® 92526"|"HB ORAL FUNCTION THERAPY"|440.00|$580.00|$140.00|$464.00|$406.00|$404.84|$205.90|$418.76|$406.00|$371.78|$464.00|$252.88|$269.70|$140.00|$405.94|$438.02|$345.04
"HCPCS G9176"|"HB SPEECH LANG D/C STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G9186"|"HB MOTOR SPEECH GOAL STATUS"|440.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"CPT® 96125"|"HB STANDARDIZED COGNITIVE PERFORMANCE TESTING"|440.00|$310.00|$110.05|$248.00|$217.00|$216.38|$110.05|$223.82|$217.00|$198.71|$248.00|$135.16|$144.15|$140.00|$216.97|$234.11|$184.42
"CPT® 92523"|"HB SPEECH SOUND LANG COMPREHEN"|444.00|$632.00|$140.00|$505.60|$442.00|$441.14|$224.36|$456.30|$442.40|$405.11|$505.60|$275.55|$293.88|$140.00|$442.34|$477.29|$375.98
"CPT® 92610"|"HB EVALUATE SWALLOWING FUNCTION"|444.00|$795.00|$140.00|$636.00|$556.00|$554.91|$282.23|$573.99|$556.50|$509.60|$636.00|$346.62|$369.68|$140.00|$556.42|$600.38|$472.95
"CPT® 92611"|"HB MOTION FLUOROSCOPY/SWALLOW"|444.00|$1002.00|$140.00|$801.60|$701.00|$699.40|$355.71|$723.44|$701.40|$642.28|$801.60|$436.87|$465.93|$140.00|$701.30|$756.71|$596.09
"CPT® 22310"|"HB CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING"|450.00|$736.00|$261.28|$588.80|$515.00|$513.73|$261.28|$531.39|$515.20|$471.78|$588.80|$320.90|$342.24|$515.20|$515.13|$555.83|$437.85
"CPT® 23600"|"HB TREAT HUMERUS FRACTURE WITHOUT MANIPULATION"|450.00|$780.00|$276.90|$624.00|$546.00|$544.44|$276.90|$563.16|$546.00|$499.98|$624.00|$340.08|$362.70|$546.00|$545.92|$589.06|$464.02
"CPT® 23655"|"HB TREAT SHOULDER DISLOCATION WITH MANIPULATION & ANESTHESIA"|450.00|$2815.00|$999.33|$2252.00|$1970.00|$1964.87|$999.33|$2032.43|$1970.50|$1804.42|$2252.00|$1227.34|$1308.98|$1970.50|$1970.22|$2125.89|$1674.64
"CPT® 23931"|"HB DRAINAGE OF ARM BURSA"|450.00|$419.00|$148.75|$335.20|$293.00|$292.46|$148.75|$302.52|$293.30|$268.58|$335.20|$182.68|$194.84|$293.30|$293.26|$316.43|$249.26
"CPT® 24500"|"HB TREAT HUMERUS FRACTURE WITHOUT MANIPULATION."|450.00|$854.00|$303.17|$683.20|$598.00|$596.09|$303.17|$616.59|$597.80|$547.41|$683.20|$372.34|$397.11|$597.80|$597.71|$644.94|$508.04
"CPT® 24535"|"HB TREAT FX SUPRA/TRANS CONDYLAR W/MANIPULATION"|450.00|$746.00|$264.83|$596.80|$522.00|$520.71|$264.83|$538.61|$522.20|$478.19|$596.80|$325.26|$346.89|$522.20|$522.13|$563.38|$443.80
"CPT® 24605"|"HB TREAT ELBOW DISLOCATION WITH ANESTHESIA"|450.00|$2134.00|$757.57|$1707.20|$1494.00|$1489.53|$757.57|$1540.75|$1493.80|$1367.89|$1707.20|$930.42|$992.31|$1493.80|$1493.59|$1611.60|$1269.52
"CPT® 24620"|"HB TREAT ELBOW FRACTURE MONTEGGIA TYPE WITH MANIPULATION"|450.00|$2226.00|$790.23|$1780.80|$1558.00|$1553.75|$790.23|$1607.17|$1558.20|$1426.87|$1780.80|$970.54|$1035.09|$1558.20|$1557.98|$1681.08|$1324.25
"CPT® 24650"|"HB TREAT RADIUS FRACTURE W/O MANIPULATION"|450.00|$662.00|$235.01|$529.60|$463.00|$462.08|$235.01|$477.96|$463.40|$424.34|$529.60|$288.63|$307.83|$463.40|$463.33|$499.94|$393.82
"CPT® 24655"|"HB TREAT RADIUS FRACTURE WITH MANIPULATION"|450.00|$746.00|$264.83|$596.80|$522.00|$520.71|$264.83|$538.61|$522.20|$478.19|$596.80|$325.26|$346.89|$522.20|$522.13|$563.38|$443.80
"CPT® 24675"|"HB TREAT ULNAR FRACTURE WITH MANIPULATION"|450.00|$1144.00|$406.12|$915.20|$801.00|$798.51|$406.12|$825.97|$800.80|$733.30|$915.20|$498.78|$531.96|$800.80|$800.69|$863.95|$680.57
"CPT® 25560"|"HB TREAT FRACTURE RADIUS & ULNA W/O MANIPULATION"|450.00|$686.00|$243.53|$548.80|$480.00|$478.83|$243.53|$495.29|$480.20|$439.73|$548.80|$299.10|$318.99|$480.20|$480.13|$518.07|$408.10
"CPT® 25600"|"HB TREAT FRACTURE RADIUS & ULNA W/O MANIPULATION COLLES SMITH TYPE"|450.00|$792.00|$281.16|$633.60|$554.00|$552.82|$281.16|$571.82|$554.40|$507.67|$633.60|$345.31|$368.28|$554.40|$554.32|$598.12|$471.16
"CPT® 25624"|"HB TREAT WRIST BONE FRACTURE WITH MANIPULATION"|450.00|$1935.00|$686.93|$1548.00|$1354.00|$1350.63|$686.93|$1397.07|$1354.50|$1240.34|$1548.00|$843.66|$899.78|$1354.50|$1354.31|$1461.31|$1151.13
"CPT® 26432"|"HB REPAIR FINGER TENDON WITH OR W/O PERCUTANEOUS PINNING"|450.00|$9064.00|$3217.72|$7251.20|$6345.00|$6326.67|$3217.72|$6544.21|$6344.80|$5810.02|$7251.20|$3951.90|$4214.76|$6344.80|$6343.89|$6845.13|$5392.17
"CPT® 26433"|"HB REPAIR FINGER TENDON W/O GRAFT"|450.00|$12158.00|$4316.09|$9726.40|$8511.00|$8486.28|$4316.09|$8778.08|$8510.60|$7793.28|$9726.40|$5300.89|$5653.47|$8510.60|$8509.38|$9181.72|$7232.79
"CPT® 26746"|"HB TREAT FINGER FRACTURE EACH W/INTERNAL FIX"|450.00|$19196.00|$6814.58|$15356.80|$13437.00|$13398.81|$6814.58|$13859.51|$13437.20|$12304.64|$15356.80|$8369.46|$8926.14|$9800.00|$13435.28|$14496.82|$11419.70
"CPT® 26765"|"HB TREAT FINGER FRACTURE EACH"|450.00|$14994.00|$5322.87|$11995.20|$10496.00|$10465.81|$5322.87|$10825.67|$10495.80|$9611.15|$11995.20|$6537.38|$6972.21|$9800.00|$10494.30|$11323.47|$8919.93
"CPT® 26775"|"HB TREAT FINGER DISLOCATION W/ANESTHESIA"|450.00|$3443.00|$1222.27|$2754.40|$2410.00|$2403.21|$1222.27|$2485.85|$2410.10|$2206.96|$2754.40|$1501.15|$1601.00|$2410.10|$2409.76|$2600.15|$2048.24
"CPT® 26785"|"HB TREAT FINGER DISLOCATION SINGLE"|450.00|$12402.00|$4402.71|$9921.60|$8681.00|$8656.60|$4402.71|$8954.24|$8681.40|$7949.68|$9921.60|$5407.27|$5766.93|$8681.40|$8680.16|$9365.99|$7377.95
"CPT® 27252"|"HB TREAT HIP DISLOCATION W/ANESTHESIA"|450.00|$1647.00|$584.69|$1317.60|$1153.00|$1149.61|$584.69|$1189.13|$1152.90|$1055.73|$1317.60|$718.09|$765.86|$1152.90|$1152.74|$1243.81|$979.80
"CPT® 27266"|"HB TREAT HIP DISLOCATION CLSD"|450.00|$2675.00|$949.63|$2140.00|$1872.00|$1867.15|$949.63|$1931.35|$1872.50|$1714.68|$2140.00|$1166.30|$1243.88|$1872.50|$1872.23|$2020.16|$1591.36
"CPT® 27510"|"HB CLSD TX OF FEMORAL FX W/MANI"|450.00|$841.00|$298.56|$672.80|$589.00|$587.02|$298.56|$607.20|$588.70|$539.08|$672.80|$366.68|$391.07|$588.70|$588.62|$635.12|$500.31
"CPT® 27760"|"HB CLTX MEDIAL ANKLE FX"|450.00|$920.00|$326.60|$736.00|$644.00|$642.16|$326.60|$664.24|$644.00|$589.72|$736.00|$401.12|$427.80|$644.00|$643.91|$694.78|$547.31
"CPT® 27786"|"HB TX FX DISTAL FIBULA W/O MANIPULATION"|450.00|$742.00|$263.41|$593.60|$519.00|$517.92|$263.41|$535.72|$519.40|$475.62|$593.60|$323.51|$345.03|$519.40|$519.33|$560.36|$441.42
"CPT® 28430"|"HB TREATMENT OF ANKLE FRACTURE WO MANIPULATION"|450.00|$734.00|$260.57|$587.20|$514.00|$512.33|$260.57|$529.95|$513.80|$470.49|$587.20|$320.02|$341.31|$513.80|$513.73|$554.32|$436.66
"CPT® 28450"|"HB TREAT MIDFOOT FRACTURE EACH WO MANIPULATION EA"|450.00|$434.00|$154.07|$347.20|$304.00|$302.93|$154.07|$313.35|$303.80|$278.19|$347.20|$189.22|$201.81|$303.80|$303.76|$327.76|$258.19
"CPT® 64831"|"HB REPAIR OF DIGIT NERVE"|450.00|$12827.00|$4553.59|$10261.60|$8979.00|$8953.25|$4553.59|$9261.09|$8978.90|$8222.11|$10261.60|$5592.57|$5964.56|$8978.90|$8977.62|$9686.95|$7630.78
"CPT® 65220"|"HB REMOVE FB EYE CORNEAL W/OSL"|450.00|$204.00|$72.42|$163.20|$143.00|$142.39|$72.42|$147.29|$142.80|$130.76|$163.20|$88.94|$94.86|$142.80|$142.78|$154.06|$121.36
"CPT® 67938"|"HB REMOVE EYELID FOREIGN BODY"|450.00|$943.00|$334.77|$754.40|$660.00|$658.21|$334.77|$680.85|$660.10|$604.46|$754.40|$411.15|$438.50|$660.10|$660.01|$712.15|$560.99
"CPT® 69200"|"HB CLEAR OUTER EAR CANAL WO GEN ANESTHESIA"|450.00|$220.00|$78.10|$176.00|$154.00|$153.56|$78.10|$158.84|$154.00|$141.02|$176.00|$95.92|$102.30|$154.00|$153.98|$166.14|$130.88
"CPT® 99281"|"HB ED VISIT LEVEL 1"|450.00|$325.00|$115.38|$260.00|$227.00|$226.85|$115.38|$234.65|$227.50|$208.33|$260.00|$141.70|$151.13|$227.50|$227.47|$245.44|$193.34
"CPT® 99282"|"HB ED VISIT LEVEL 2"|450.00|$571.00|$202.71|$456.80|$400.00|$398.56|$202.71|$412.26|$399.70|$366.01|$456.80|$248.96|$265.52|$399.70|$399.64|$431.22|$339.69
"CPT® 99283"|"HB ED VISIT LEVEL 3"|450.00|$1181.00|$419.26|$944.80|$827.00|$824.34|$419.26|$852.68|$826.70|$757.02|$944.80|$514.92|$549.17|$826.70|$826.58|$891.89|$702.58
"CPT® 99284"|"HB ED VISIT LEVEL 4"|450.00|$2008.00|$712.84|$1606.40|$1406.00|$1401.58|$712.84|$1449.78|$1405.60|$1287.13|$1606.40|$875.49|$933.72|$1405.60|$1405.40|$1516.44|$1194.56
"CPT® 99285"|"HB ED VISIT LEVEL 5"|450.00|$3089.00|$1096.60|$2471.20|$2162.00|$2156.12|$1096.60|$2230.26|$2162.30|$1980.05|$2471.20|$1346.80|$1436.39|$2162.30|$2161.99|$2332.81|$1837.65
"CPT® 99291"|"HB CRITICAL CARE FIRST HOUR"|450.00|$4875.00|$1730.63|$3900.00|$3412.00|$3402.75|$1730.63|$3519.75|$3412.50|$3124.88|$3900.00|$2125.50|$2266.88|$3412.50|$3412.01|$3681.60|$2900.14
"CPT® 99292"|"HB CRITICAL CARE ADDL 30 MIN"|450.00|$861.00|$305.66|$688.80|$603.00|$600.98|$305.66|$621.64|$602.70|$551.90|$688.80|$375.40|$400.37|$602.70|$602.61|$650.23|$512.21
"CPT® 24200"|"HB REMVAL FOREIGN BDY ARM/ELBW"|450.00|$1669.00|$592.50|$1335.20|$1168.00|$1164.96|$592.50|$1205.02|$1168.30|$1069.83|$1335.20|$727.68|$776.09|$1168.30|$1168.13|$1260.43|$992.89
"CPT® 23540"|"HB CLSD TX  ACLAV DISLOC; WO MANIP"|450.00|$651.00|$231.11|$520.80|$456.00|$454.40|$231.11|$470.02|$455.70|$417.29|$520.80|$283.84|$302.72|$455.70|$455.63|$491.64|$387.28
"CPT® 23570"|"HB CL TX SCAPULAR FX; WO MANIP"|450.00|$626.00|$222.23|$500.80|$438.00|$436.95|$222.23|$451.97|$438.20|$401.27|$500.80|$272.94|$291.09|$438.20|$438.14|$472.76|$372.41
"CPT® 23625"|"HB CL TX GR TUBEROSITY FX; W MANI"|450.00|$2608.00|$925.84|$2086.40|$1826.00|$1820.38|$925.84|$1882.98|$1825.60|$1671.73|$2086.40|$1137.09|$1212.72|$1825.60|$1825.34|$1969.56|$1551.50
"CPT® 24560"|"HB TX FX HUMERAL EPICOND W/O M"|450.00|$395.00|$140.23|$316.00|$276.00|$275.71|$140.23|$285.19|$276.50|$253.20|$316.00|$172.22|$183.68|$276.50|$276.46|$298.30|$234.99
"CPT® 24576"|"HB TX FX HUMRAL COND FX W/O M"|450.00|$395.00|$140.23|$316.00|$276.00|$275.71|$140.23|$285.19|$276.50|$253.20|$316.00|$172.22|$183.68|$276.50|$276.46|$298.30|$234.99
"CPT® 25500"|"HB TX FX RADIAL SHAFT W/O M"|450.00|$710.00|$252.05|$568.00|$497.00|$495.58|$252.05|$512.62|$497.00|$455.11|$568.00|$309.56|$330.15|$497.00|$496.93|$536.19|$422.38
"CPT® 25530"|"HB TX FX ULNA SHAFT W/O MANIPULATION"|450.00|$640.00|$227.20|$512.00|$448.00|$446.72|$227.20|$462.08|$448.00|$410.24|$512.00|$279.04|$297.60|$448.00|$447.94|$483.33|$380.74
"CPT® 25622"|"HB TX FX CLSD CARP SCAPH W/O M"|450.00|$758.00|$269.09|$606.40|$531.00|$529.08|$269.09|$547.28|$530.60|$485.88|$606.40|$330.49|$352.47|$530.60|$530.52|$572.44|$450.93
"CPT® 25630"|"HCPF TX FX CLSD CARP BNE W/O MANIPULATION"|450.00|$1207.00|$428.49|$965.60|$845.00|$842.49|$428.49|$871.45|$844.90|$773.69|$965.60|$526.25|$561.26|$844.90|$844.78|$911.53|$718.04
"CPT® 27520"|"HB TREAT KNEECAP FRACTURE"|450.00|$966.00|$342.93|$772.80|$676.00|$674.27|$342.93|$697.45|$676.20|$619.21|$772.80|$421.18|$449.19|$676.20|$676.10|$729.52|$574.67
"CPT® 27530"|"HB TREAT KNEE FRACTURE"|450.00|$1146.00|$406.83|$916.80|$802.00|$799.91|$406.83|$827.41|$802.20|$734.59|$916.80|$499.66|$532.89|$802.20|$802.09|$865.46|$681.76
"CPT® 27530"|"HCPF TREAT KNEE FRACTURE"|450.00|$1602.00|$568.71|$1281.60|$1121.00|$1118.20|$568.71|$1156.64|$1121.40|$1026.88|$1281.60|$698.47|$744.93|$1121.40|$1121.24|$1209.83|$953.03
"CPT® 27562"|"HB CLOSED RX KNEECAP DISLOC+ANESTH"|450.00|$1647.00|$584.69|$1317.60|$1153.00|$1149.61|$584.69|$1189.13|$1152.90|$1055.73|$1317.60|$718.09|$765.86|$1152.90|$1152.74|$1243.81|$979.80
"CPT® 27750"|"HB TX FX TIBIA SHAFT W/O MANIPULATION"|450.00|$1092.00|$387.66|$873.60|$764.00|$762.22|$387.66|$788.42|$764.40|$699.97|$873.60|$476.11|$507.78|$764.40|$764.29|$824.68|$649.63
"CPT® 27808"|"HB TX FX BIMALLEOLAR W/O MANIPULATION"|450.00|$451.00|$160.11|$360.80|$316.00|$314.80|$160.11|$325.62|$315.70|$289.09|$360.80|$196.64|$209.72|$315.70|$315.65|$340.60|$268.30
"CPT® 27824"|"HCPF TREAT LOWER LEG FRACTURE"|450.00|$1352.00|$479.96|$1081.60|$946.00|$943.70|$479.96|$976.14|$946.40|$866.63|$1081.60|$589.47|$628.68|$946.40|$946.26|$1021.03|$804.30
"CPT® 22310"|"HCPF CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING"|450.00|$625.00|$221.88|$500.00|$438.00|$436.25|$221.88|$451.25|$437.50|$400.63|$500.00|$272.50|$290.63|$437.50|$437.44|$472.00|$371.81
"CPT® 23540"|"HCPF CLSD TX  ACLAV DISLOC; WO MANIP"|450.00|$992.00|$352.16|$793.60|$694.00|$692.42|$352.16|$716.22|$694.40|$635.87|$793.60|$432.51|$461.28|$694.40|$694.30|$749.16|$590.14
"CPT® 23570"|"HCPF CL TX SCAPULAR FX; WO MANIP"|450.00|$940.00|$333.70|$752.00|$658.00|$656.12|$333.70|$678.68|$658.00|$602.54|$752.00|$409.84|$437.10|$658.00|$657.91|$709.89|$559.21
"CPT® 23600"|"HCPF TREAT HUMERUS FRACTURE WITHOUT MANIPULATION"|450.00|$1362.00|$483.51|$1089.60|$953.00|$950.68|$483.51|$983.36|$953.40|$873.04|$1089.60|$593.83|$633.33|$953.40|$953.26|$1028.58|$810.25
"CPT® 23625"|"HCPF CL TX GR TUBEROSITY FX; W MANI"|450.00|$1108.00|$393.34|$886.40|$776.00|$773.38|$393.34|$799.98|$775.60|$710.23|$886.40|$483.09|$515.22|$775.60|$775.49|$836.76|$659.15
"CPT® 23931"|"HCPF DRAINAGE OF ARM BURSA"|450.00|$418.00|$148.39|$334.40|$293.00|$291.76|$148.39|$301.80|$292.60|$267.94|$334.40|$182.25|$194.37|$292.60|$292.56|$315.67|$248.67
"CPT® 24200"|"HCPF REMVAL FOREIGN BDY ARM/ELBW"|450.00|$372.00|$132.06|$297.60|$260.00|$259.66|$132.06|$268.58|$260.40|$238.45|$297.60|$162.19|$172.98|$260.40|$260.36|$280.93|$221.30
"CPT® 24535"|"HCPF TREAT FX SUPRA/TRANS CONDYLAR W/MANIPULATION"|450.00|$955.00|$339.03|$764.00|$668.00|$666.59|$339.03|$689.51|$668.50|$612.16|$764.00|$416.38|$444.08|$668.50|$668.40|$721.22|$568.13
"CPT® 24560"|"HCPF CL TX HUMERUS FX W/O MANIP"|450.00|$1223.00|$434.17|$978.40|$856.00|$853.65|$434.17|$883.01|$856.10|$783.94|$978.40|$533.23|$568.70|$856.10|$855.98|$923.61|$727.56
"CPT® 24576"|"HCPF CL TX C HUMERUS FX WO MANIP"|450.00|$1204.00|$427.42|$963.20|$843.00|$840.39|$427.42|$869.29|$842.80|$771.76|$963.20|$524.94|$559.86|$842.80|$842.68|$909.26|$716.26
"CPT® 24605"|"HCPF TREAT ELBOW DISLOCATION WITH ANESTHESIA"|450.00|$1891.00|$671.31|$1512.80|$1324.00|$1319.92|$671.31|$1365.30|$1323.70|$1212.13|$1512.80|$824.48|$879.32|$1323.70|$1323.51|$1428.08|$1124.96
"CPT® 24650"|"HCPF TREAT RADIUS FRACTURE W/O MANIPULATION"|450.00|$1067.00|$378.79|$853.60|$747.00|$744.77|$378.79|$770.37|$746.90|$683.95|$853.60|$465.21|$496.16|$746.90|$746.79|$805.80|$634.76
"CPT® 25500"|"HCPF CL TX OF RADIAL SHAFT FX; WO M"|450.00|$1081.00|$383.76|$864.80|$757.00|$754.54|$383.76|$780.48|$756.70|$692.92|$864.80|$471.32|$502.67|$756.70|$756.59|$816.37|$643.09
"CPT® 25530"|"HCPF CL TX ULNAR SHAFT FX; WO MANIP"|450.00|$1016.00|$360.68|$812.80|$711.00|$709.17|$360.68|$733.55|$711.20|$651.26|$812.80|$442.98|$472.44|$711.20|$711.10|$767.28|$604.42
"CPT® 25560"|"HCPF TREAT FRACTURE RADIUS & ULNA W/O MANIPULATION"|450.00|$1078.00|$382.69|$862.40|$755.00|$752.44|$382.69|$778.32|$754.60|$691.00|$862.40|$470.01|$501.27|$754.60|$754.49|$814.11|$641.30
"CPT® 25600"|"HCPF TREAT FRACTURE RADIUS & ULNA W/O MANIPULATION COLLES SMITH TYPE"|450.00|$1177.00|$417.84|$941.60|$824.00|$821.55|$417.84|$849.79|$823.90|$754.46|$941.60|$513.17|$547.31|$823.90|$823.78|$888.87|$700.20
"CPT® 25622"|"HCPF TX FX CLSD CARP SCAPH W/O M"|450.00|$1138.00|$403.99|$910.40|$797.00|$794.32|$403.99|$821.64|$796.60|$729.46|$910.40|$496.17|$529.17|$796.60|$796.49|$859.42|$677.00
"CPT® 25624"|"HCPF TREAT WRIST BONE FRACTURE WITH MANIPULATION"|450.00|$816.00|$289.68|$652.80|$571.00|$569.57|$289.68|$589.15|$571.20|$523.06|$652.80|$355.78|$379.44|$571.20|$571.12|$616.24|$485.44
"CPT® 26775"|"HCPF TREAT FINGER DISLOCATION W/ANESTHESIA"|450.00|$1460.00|$518.30|$1168.00|$1022.00|$1019.08|$518.30|$1054.12|$1022.00|$935.86|$1168.00|$636.56|$678.90|$1022.00|$1021.85|$1102.59|$868.55
"CPT® 27252"|"HCPF TREAT HIP DISLOCATION W/ANESTHESIA"|450.00|$1376.00|$488.48|$1100.80|$963.00|$960.45|$488.48|$993.47|$963.20|$882.02|$1100.80|$599.94|$639.84|$963.20|$963.06|$1039.16|$818.58
"CPT® 27510"|"HCPF CLSD TX OF FEMORAL FX W/MANI"|450.00|$1519.00|$539.25|$1215.20|$1063.00|$1060.26|$539.25|$1096.72|$1063.30|$973.68|$1215.20|$662.28|$706.34|$1063.30|$1063.15|$1147.15|$903.65
"CPT® 27520"|"HCPF CLO TX PATELLA FX WO/MANIP"|450.00|$1348.00|$478.54|$1078.40|$944.00|$940.90|$478.54|$973.26|$943.60|$864.07|$1078.40|$587.73|$626.82|$943.60|$943.47|$1018.01|$801.93
"CPT® 27562"|"HCPF CL TX PATELLAR DISLOC W/ANES"|450.00|$1541.00|$547.06|$1232.80|$1079.00|$1075.62|$547.06|$1112.60|$1078.70|$987.78|$1232.80|$671.88|$716.57|$1078.70|$1078.55|$1163.76|$916.74
"CPT® 27750"|"HCPF CLO TX TIBIAL SHAFT FX;WO MAN"|450.00|$1726.00|$612.73|$1380.80|$1208.00|$1204.75|$612.73|$1246.17|$1208.20|$1106.37|$1380.80|$752.54|$802.59|$1208.20|$1208.03|$1303.48|$1026.80
"CPT® 27760"|"HCPF CLTX MEDIAL ANKLE FX"|450.00|$1346.00|$477.83|$1076.80|$942.00|$939.51|$477.83|$971.81|$942.20|$862.79|$1076.80|$586.86|$625.89|$942.20|$942.07|$1016.50|$800.74
"CPT® 27786"|"HCPF TX FX DISTAL FIBULA W/O MANIPULATION"|450.00|$1351.00|$479.61|$1080.80|$946.00|$943.00|$479.61|$975.42|$945.70|$865.99|$1080.80|$589.04|$628.22|$945.70|$945.56|$1020.28|$803.71
"CPT® 27808"|"HCPF TX FX BIMALLEOLAR W/O MANIPULATION"|450.00|$908.00|$322.34|$726.40|$636.00|$633.78|$322.34|$655.58|$635.60|$582.03|$726.40|$395.89|$422.22|$635.60|$635.51|$685.72|$540.17
"CPT® 27899"|"HCPF LEG/ANKLE SURGERY PROCEDURE"|450.00|$569.00|$202.00|$455.20|$398.00|$397.16|$202.00|$410.82|$398.30|$364.73|$455.20|$248.08|$264.59|$398.30|$398.24|$429.71|$338.50
"CPT® 28430"|"HCPF TREATMENT OF ANKLE FRACTURE WO MANIPULATION"|450.00|$1154.00|$409.67|$923.20|$808.00|$805.49|$409.67|$833.19|$807.80|$739.71|$923.20|$503.14|$536.61|$807.80|$807.68|$871.50|$686.51
"CPT® 28450"|"HCPF TREAT MIDFOOT FRACTURE EACH WO MANIPULATION EA"|450.00|$583.00|$206.97|$466.40|$408.00|$406.93|$206.97|$420.93|$408.10|$373.70|$466.40|$254.19|$271.10|$408.10|$408.04|$440.28|$346.83
"CPT® 94010"|"HB SPIROMETRY TIMED VITAL CAPACITY WITH OR WITHOUT MAXIMAL VOLUNTARY VENTILATION"|460.00|$542.00|$192.41|$433.60|$379.00|$378.32|$192.41|$391.32|$379.40|$347.42|$433.60|$236.31|$252.03|$379.40|$379.35|$409.32|$322.44
"CPT® 94060"|"HB BRONCHODILATION RESPONSIVENESS, PRE/POST BRONCHODILATOR"|460.00|$890.00|$315.95|$712.00|$623.00|$621.22|$315.95|$642.58|$623.00|$570.49|$712.00|$388.04|$413.85|$623.00|$622.91|$672.13|$529.46
"CPT® 94070"|"HB BRONCHOSPASM PROVOCATION EVAL; MULTIPLE SPIROMETRIC, WITH ADMINISTERED AGENTS"|460.00|$1490.00|$528.95|$1192.00|$1043.00|$1040.02|$528.95|$1075.78|$1043.00|$955.09|$1192.00|$649.64|$692.85|$1043.00|$1042.85|$1125.25|$886.40
"CPT® 94150"|"HB VITAL CAPACITY TEST"|460.00|$165.00|$58.58|$132.00|$115.00|$115.17|$58.58|$119.13|$115.50|$105.77|$132.00|$71.94|$76.73|$115.50|$115.48|$124.61|$98.16
"CPT® 94375"|"HB RESPIRATORY FLOW VOLUME LOOP"|460.00|$344.00|$122.12|$275.20|$241.00|$240.11|$122.12|$248.37|$240.80|$220.50|$275.20|$149.98|$159.96|$240.80|$240.77|$259.79|$204.65
"CPT® 94726"|"HB LUNG VOLUMES PLETHYSMOGRAPHY"|460.00|$451.00|$160.11|$360.80|$316.00|$314.80|$160.11|$325.62|$315.70|$289.09|$360.80|$196.64|$209.72|$315.70|$315.65|$340.60|$268.30
"CPT® 94727"|"HB PULM FUNCTION TEST BY GAS"|460.00|$474.00|$168.27|$379.20|$332.00|$330.85|$168.27|$342.23|$331.80|$303.83|$379.20|$206.66|$220.41|$331.80|$331.75|$357.96|$281.98
"CPT® 94729"|"HB CO/MEMBANE DIFFUSE CAPACITY"|460.00|$679.00|$241.05|$543.20|$475.00|$473.94|$241.05|$490.24|$475.30|$435.24|$543.20|$296.04|$315.74|$475.30|$475.23|$512.78|$403.94
"CPT® 94760"|"HB PULSE OXIMETRY; SINGLE"|460.00|$101.00|$35.86|$80.80|$71.00|$70.50|$35.86|$72.92|$70.70|$64.74|$80.80|$44.04|$46.97|$70.70|$70.69|$76.28|$60.08
"CPT® 94761"|"HB PULSE OXIMETRY W/EXERCISE; MULTIPLE"|460.00|$306.00|$108.63|$244.80|$214.00|$213.59|$108.63|$220.93|$214.20|$196.15|$244.80|$133.42|$142.29|$214.20|$214.17|$231.09|$182.04
"CPT® 94762"|"HB PULSE OXIMETRY; CONTINOUS OVERNIGHT"|460.00|$390.00|$138.45|$312.00|$273.00|$272.22|$138.45|$281.58|$273.00|$249.99|$312.00|$170.04|$181.35|$273.00|$272.96|$294.53|$232.01
"CPT® 94770"|"HB EXHALED CARBON DIOXIDE TEST"|460.00|$392.00|$139.16|$313.60|$274.00|$273.62|$139.16|$283.02|$274.40|$251.27|$313.60|$170.91|$182.28|$274.40|$274.36|$296.04|$233.20
"CPT® 94772"|"HB BREATH RECORDING INFANT"|460.00|$3319.00|$1178.25|$2655.20|$2323.00|$2316.66|$1178.25|$2396.32|$2323.30|$2127.48|$2655.20|$1447.08|$1543.34|$2323.30|$2322.97|$2506.51|$1974.47
"CPT® 94780"|"HB CAR SEAT TEST FIRST 60 MINUTES"|460.00|$98.00|$34.79|$78.40|$69.00|$68.40|$34.79|$70.76|$68.60|$62.82|$78.40|$42.73|$45.57|$68.60|$68.59|$74.01|$58.30
"CPT® 94618"|"HB PULMONARY STRESS TESTING"|460.00|$350.00|$124.25|$280.00|$245.00|$244.30|$124.25|$252.70|$245.00|$224.35|$280.00|$152.60|$162.75|$245.00|$244.97|$264.32|$208.22
"CPT® 95992"|"HB CANALITH REPOSITIONING PROCEDURE"|470.00|$221.00|$78.46|$176.80|$155.00|$154.26|$78.46|$159.56|$154.70|$141.66|$176.80|$96.36|$102.77|$154.70|$154.68|$166.90|$131.47
"CPT® 92950"|"HB HEART/LUNG RESUSCITATION CPR"|480.00|$1254.00|$445.17|$1003.20|$878.00|$875.29|$445.17|$905.39|$877.80|$803.81|$1003.20|$546.74|$583.11|$877.80|$877.67|$947.02|$746.00
"CPT® 92960"|"HB CARDIOVERSION ELECTRIC EXT"|480.00|$2128.00|$755.44|$1702.40|$1490.00|$1485.34|$755.44|$1536.42|$1489.60|$1364.05|$1702.40|$927.81|$989.52|$1489.60|$1489.39|$1607.07|$1265.95
"CPT® 92961"|"HB CARDIOVERSION ELECTRIC INT"|480.00|$1176.00|$417.48|$940.80|$823.00|$820.85|$417.48|$849.07|$823.20|$753.82|$940.80|$512.74|$546.84|$823.20|$823.08|$888.12|$699.60
"CPT® 93016"|"HCPF CARDIOVASCULAR STRESS MD SUPV"|480.00|$59.00|$20.95|$47.20|$41.00|$41.18|$20.95|$42.60|$41.30|$37.82|$47.20|$25.72|$27.44|$41.30|$41.29|$44.56|$35.10
"CPT® 93303"|"HB ECHO CONG HEART-COMPLETE"|480.00|$2770.00|$983.35|$2216.00|$1939.00|$1933.46|$983.35|$1999.94|$1939.00|$1775.57|$2216.00|$1207.72|$1288.05|$1939.00|$1938.72|$2091.90|$1647.87
"CPT® 93304"|"HB ECHO CONG HEART LTD PED"|480.00|$2327.00|$826.09|$1861.60|$1629.00|$1624.25|$826.09|$1680.09|$1628.90|$1491.61|$1861.60|$1014.57|$1082.06|$1628.90|$1628.67|$1757.35|$1384.33
"CPT® 93306"|"HB TTE W/DOPPLER COMPLETE"|480.00|$4955.00|$1759.03|$3964.00|$3468.00|$3458.59|$1759.03|$3577.51|$3468.50|$3176.16|$3964.00|$2160.38|$2304.08|$3468.50|$3468.00|$3742.02|$2947.73
"CPT® 93307"|"HB TTE W/O DOPPLER COMPLETE"|480.00|$2239.00|$794.85|$1791.20|$1567.00|$1562.82|$794.85|$1616.56|$1567.30|$1435.20|$1791.20|$976.20|$1041.14|$1567.30|$1567.08|$1690.89|$1331.98
"CPT® 93308"|"HB TTE F-UP OR LMTD"|480.00|$1551.00|$550.61|$1240.80|$1086.00|$1082.60|$550.61|$1119.82|$1085.70|$994.19|$1240.80|$676.24|$721.22|$1085.70|$1085.54|$1171.32|$922.69
"CPT® 93312"|"HB ECHO TRANSESOPHAGEAL WITH IMAGING (2D); WITH OR WITHOUT M-MODE RECORDING"|480.00|$3057.00|$1085.24|$2445.60|$2140.00|$2133.79|$1085.24|$2207.15|$2139.90|$1959.54|$2445.60|$1332.85|$1421.51|$2139.90|$2139.59|$2308.65|$1818.61
"CPT® 93320"|"HB DOPPLER ECHO PULSE/CONTINUOUS WAVE WITH SPECTRAL; COMPLETE; ADD-ON"|480.00|$1233.00|$437.72|$986.40|$863.00|$860.63|$437.72|$890.23|$863.10|$790.35|$986.40|$537.59|$573.35|$863.10|$862.98|$931.16|$733.51
"CPT® 93321"|"HB LIMITED DOPPLER - ADD ON"|480.00|$1043.00|$370.27|$834.40|$730.00|$728.01|$370.27|$753.05|$730.10|$668.56|$834.40|$454.75|$485.00|$730.10|$730.00|$787.67|$620.48
"CPT® 93351"|"HB STRESS TTE COMPLETE"|480.00|$5336.00|$1894.28|$4268.80|$3735.00|$3724.53|$1894.28|$3852.59|$3735.20|$3420.38|$4268.80|$2326.50|$2481.24|$3735.20|$3734.67|$4029.75|$3174.39
"CPT® 93306"|"HCPF TTE W/DOPPLER COMPLETE"|480.00|$244.00|$86.62|$195.20|$171.00|$170.31|$86.62|$176.17|$170.80|$156.40|$195.20|$106.38|$113.46|$170.80|$170.78|$184.27|$145.16
"CPT® 93308"|"HCPF ECHO DOPPLER CONT LMTD"|480.00|$80.00|$28.40|$64.00|$56.00|$55.84|$28.40|$57.76|$56.00|$51.28|$64.00|$34.88|$37.20|$56.00|$55.99|$60.42|$47.59
"CPT® 93325"|"HCPF DOPPLER COLOR FLOW ADD-ON"|480.00|$1027.00|$364.59|$821.60|$719.00|$716.85|$364.59|$741.49|$718.90|$658.31|$821.60|$447.77|$477.56|$718.90|$718.80|$775.59|$610.96
"CPT® 0296T"|"HB EXT ECG RECORDING"|480.00|$398.00|$141.29|$318.40|$279.00|$277.80|$141.29|$287.36|$278.60|$255.12|$318.40|$173.53|$185.07|$278.60|$278.56|$300.57|$236.77
"HCPCS C9601"|"HB PERC DRUG-EL COR STENT BRAN"|480.00|$16452.00|$5840.46|$13161.60|$11516.00|$11483.50|$5840.46|$11878.34|$11516.40|$10545.73|$13161.60|$7173.07|$7650.18|$11516.40|$11514.75|$12424.55|$9787.29
"HCPCS C9604"|"HB PERC D-E COR REVASC T CABG S"|480.00|$21585.00|$7662.68|$17268.00|$15109.00|$15066.33|$7662.68|$15584.37|$15109.50|$13835.99|$17268.00|$9411.06|$10037.03|$15109.50|$15107.34|$16300.99|$12840.92
"HCPCS C9605"|"HB PERC D-E COR REVASC T CABG B"|480.00|$15644.00|$5553.62|$12515.20|$10951.00|$10919.51|$5553.62|$11294.97|$10950.80|$10027.80|$12515.20|$6820.78|$7274.46|$10950.80|$10949.24|$11814.35|$9306.62
"HCPCS C9607"|"HB PERC D-E COR REVASC CHRO SIN"|480.00|$35148.00|$12477.54|$28118.40|$24604.00|$24533.30|$12477.54|$25376.86|$24603.60|$22529.87|$28118.40|$15324.53|$16343.82|$24603.60|$24600.09|$26543.77|$20909.55
"CPT® 93307"|"HCPF ECHO 2D COMP W/CONRAST"|480.00|$174.00|$61.77|$139.20|$122.00|$121.45|$61.77|$125.63|$121.80|$111.53|$139.20|$75.86|$80.91|$121.80|$121.78|$131.40|$103.51
"CPT® 33210"|"HB INSERT ELECTRD/PM CATH SNGL"|481.00|$14213.00|$5045.62|$11370.40|$9949.00|$9920.67|$5045.62|$10261.79|$9949.10|$9110.53|$11370.40|$6196.87|$6609.05|$9949.10|$9947.68|$10733.66|$8455.31
"CPT® 92953"|"HB TEMPORARY EXTERNAL PACING"|481.00|$710.00|$252.05|$568.00|$497.00|$495.58|$252.05|$512.62|$497.00|$455.11|$568.00|$309.56|$330.15|$497.00|$496.93|$536.19|$422.38
"CPT® 92977"|"HB THROMBOLYSIS - INTRAVENOUS"|481.00|$384.00|$136.32|$307.20|$269.00|$268.03|$136.32|$277.25|$268.80|$246.14|$307.20|$167.42|$178.56|$268.80|$268.76|$290.00|$228.44
"CPT® 93503"|"HB INSERT/PLACE HEART CATHETER"|481.00|$2496.00|$886.08|$1996.80|$1747.00|$1742.21|$886.08|$1802.11|$1747.20|$1599.94|$1996.80|$1088.26|$1160.64|$1747.20|$1746.95|$1884.98|$1484.87
"HCPCS C9602"|"HB PERC D-E COR STENT ATHER S"|481.00|$23645.00|$8393.98|$18916.00|$16552.00|$16504.21|$8393.98|$17071.69|$16551.50|$15156.45|$18916.00|$10309.22|$10994.93|$16551.50|$16549.14|$17856.70|$14066.41
"HCPCS C9603"|"HB PERC D-E COR STENT ATHER BR"|481.00|$18548.00|$6584.54|$14838.40|$12984.00|$12946.50|$6584.54|$13391.66|$12983.60|$11889.27|$14838.40|$8086.93|$8624.82|$12983.60|$12981.75|$14007.45|$11034.21
"HCPCS C9606"|"HB PERC D-E COR REVASC W AMI S"|481.00|$23104.00|$8201.92|$18483.20|$16173.00|$16126.59|$8201.92|$16681.09|$16172.80|$14809.66|$18483.20|$10073.34|$10743.36|$16172.80|$16170.49|$17448.14|$13744.57
"HCPCS C9608"|"HB PERC D-E COR REVASC CHRO ADD"|481.00|$16801.00|$5964.36|$13440.80|$11761.00|$11727.10|$5964.36|$12130.32|$11760.70|$10769.44|$13440.80|$7325.24|$7812.47|$11760.70|$11759.02|$12688.12|$9994.91
"HCPCS C9600"|"HB PERC DRUG-EL COR STENT SING"|481.00|$22570.00|$8012.35|$18056.00|$15799.00|$15753.86|$8012.35|$16295.54|$15799.00|$14467.37|$18056.00|$9840.52|$10495.05|$15799.00|$15796.74|$17044.86|$13426.89
"CPT® 33016"|"HB PERICARDIOCENTESIS W/IMAGING"|481.00|$854.00|$303.17|$683.20|$598.00|$596.09|$303.17|$616.59|$597.80|$547.41|$683.20|$372.34|$397.11|$597.80|$597.71|$644.94|$508.04
"CPT® 93017"|"HB CARDIOVASCULAR STRESS TEST"|482.00|$1050.00|$372.75|$840.00|$735.00|$732.90|$372.75|$758.10|$735.00|$673.05|$840.00|$457.80|$488.25|$735.00|$734.90|$792.96|$624.65
"CPT® 93018"|"HCPF CARDIOVASCULAR STRESS REP"|482.00|$39.00|$13.85|$31.20|$27.00|$27.22|$13.85|$28.16|$27.30|$25.00|$31.20|$17.00|$18.14|$27.30|$27.30|$29.45|$23.20
"CPT® 93325"|"HB DOPPLER COLOR FLOW ADD-ON"|483.00|$1027.00|$364.59|$821.60|$719.00|$716.85|$364.59|$741.49|$718.90|$658.31|$821.60|$447.77|$477.56|$718.90|$718.80|$775.59|$610.96
"CPT® 93350"|"HB ECHO STRESS TRANSTHORACIC"|483.00|$4728.00|$1678.44|$3782.40|$3310.00|$3300.14|$1678.44|$3413.62|$3309.60|$3030.65|$3782.40|$2061.41|$2198.52|$3309.60|$3309.13|$3570.59|$2812.69
"HCPCS C8921"|"HB TTE W OR W/O FOL W/CONT, COM"|483.00|$2770.00|$983.35|$2216.00|$1939.00|$1933.46|$983.35|$1999.94|$1939.00|$1775.57|$2216.00|$1207.72|$1288.05|$1939.00|$1938.72|$2091.90|$1647.87
"HCPCS C8925"|"HB 2D TEE W OR W/O FOL W/CON,IN"|483.00|$2611.00|$926.91|$2088.80|$1828.00|$1822.48|$926.91|$1885.14|$1827.70|$1673.65|$2088.80|$1138.40|$1214.12|$1827.70|$1827.44|$1971.83|$1553.28
"CPT® 36571"|"HB INSERTION CVA DEVICE"|490.00|$3311.00|$1175.41|$2648.80|$2318.00|$2311.08|$1175.41|$2390.54|$2317.70|$2122.35|$2648.80|$1443.60|$1539.62|$2317.70|$2317.37|$2500.47|$1969.71
"CPT® 23615"|"HB OPEN TX PROXIMAL HUMERAL FRACTURE"|490.00|$18996.00|$6743.58|$15196.80|$13297.00|$13259.21|$6743.58|$13715.11|$13297.20|$12176.44|$15196.80|$8282.26|$8833.14|$13297.20|$13295.30|$14345.78|$11300.72
"CPT® 25023"|"HB DCMPRN FASCIOTOMY FOREARM/WRST W/ DBRDMNT"|490.00|$14347.00|$5093.19|$11477.60|$10043.00|$10014.21|$5093.19|$10358.53|$10042.90|$9196.43|$11477.60|$6255.29|$6671.36|$10042.90|$10041.47|$10834.85|$8535.03
"CPT® 25136"|"HB EXCISION CYST/TUMOR CARPAL BONES W/ ALLOGRAFT"|490.00|$18447.00|$6548.69|$14757.60|$12913.00|$12876.01|$6548.69|$13318.73|$12912.90|$11824.53|$14757.60|$8042.89|$8577.86|$12912.90|$12911.06|$13931.17|$10974.12
"CPT® 25999"|"HB UNLISTED PROCEDURE FOREARM/WRIST"|490.00|$1077.00|$382.34|$861.60|$754.00|$751.75|$382.34|$777.59|$753.90|$690.36|$861.60|$469.57|$500.81|$753.90|$753.79|$813.35|$640.71
"CPT® 26686"|"HB OPEN TX CARP/MTCRPL DISLOC CMPLX MULT"|490.00|$21701.00|$7703.86|$17360.80|$15191.00|$15147.30|$7703.86|$15668.12|$15190.70|$13910.34|$17360.80|$9461.64|$10090.97|$15000.00|$15188.53|$16388.60|$12909.92
"CPT® 28102"|"HB EXCISION CYST/TMR TALUS/CALCANEOUS W/ ILIAC AUTOGRFT"|490.00|$8425.00|$2990.88|$6740.00|$5898.00|$5880.65|$2990.88|$6082.85|$5897.50|$5400.43|$6740.00|$3673.30|$3917.63|$5897.50|$5896.66|$6362.56|$5012.03
"CPT® 28291"|"HB HALLUS RIGIDUS W/ CHILECTOM FIRST MP JT W IMPLT"|490.00|$9849.00|$3496.40|$7879.20|$6894.00|$6874.60|$3496.40|$7110.98|$6894.30|$6313.21|$7879.20|$4294.16|$4579.79|$6894.30|$6893.32|$7437.96|$5859.17
"CPT® 29856"|"HB ARTHROSCOP TX TIBIAL FX PROX UNICONDYLAR BICONDYLAR"|490.00|$31739.00|$11267.35|$25391.20|$22217.00|$22153.82|$11267.35|$22915.56|$22217.30|$20344.70|$25391.20|$13838.20|$14758.64|$15000.00|$22214.13|$23969.29|$18881.53
"CPT® 34111"|"HB EMBLCTMY/THRMBCTMY W/WO CATH RADIAL/ULNAR ARTERY"|490.00|$23047.00|$8181.69|$18437.60|$16133.00|$16086.81|$8181.69|$16639.93|$16132.90|$14773.13|$18437.60|$10048.49|$10716.86|$15000.00|$16130.60|$17405.09|$13710.66
"CPT® 62368"|"HB ANALYZE SP INF PUMP W/REPROG"|510.00|$771.00|$273.71|$616.80|$540.00|$538.16|$273.71|$556.66|$539.70|$494.21|$616.80|$336.16|$358.52|$539.70|$539.62|$582.26|$458.67
"CPT® 64505"|"HB IR INJECTIO0N, ANESTHETIC AGENT; SPHENOPALATINE GANGLION (SPG)"|510.00|$573.00|$203.42|$458.40|$401.00|$399.95|$203.42|$413.71|$401.10|$367.29|$458.40|$249.83|$266.45|$401.10|$401.04|$432.73|$340.88
"CPT® 64510"|"HB N BLOCK STELLATE GANGLION"|510.00|$1696.00|$602.08|$1356.80|$1187.00|$1183.81|$602.08|$1224.51|$1187.20|$1087.14|$1356.80|$739.46|$788.64|$1187.20|$1187.03|$1280.82|$1008.95
"CPT® 99201"|"HB OFFICE/OUTPATIENT VISIT NEW LEVEL 1"|510.00|$205.00|$72.78|$164.00|$144.00|$143.09|$72.78|$148.01|$143.50|$131.41|$164.00|$89.38|$95.33|$143.50|$143.48|$154.82|$121.95
"CPT® 99202"|"HB OFFICE/OUTPATIENT VISIT NEW LEVEL 2"|510.00|$289.00|$102.60|$231.20|$202.00|$201.72|$102.60|$208.66|$202.30|$185.25|$231.20|$126.00|$134.39|$202.30|$202.27|$218.25|$171.93
"CPT® 99203"|"HB OFFICE/OUTPATIENT VISIT NEW LEVEL 3"|510.00|$381.00|$135.26|$304.80|$267.00|$265.94|$135.26|$275.08|$266.70|$244.22|$304.80|$166.12|$177.17|$266.70|$266.66|$287.73|$226.66
"CPT® 99204"|"HB OFFICE/OUTPATIENT VISIT NEW LEVEL 4"|510.00|$486.00|$172.53|$388.80|$340.00|$339.23|$172.53|$350.89|$340.20|$311.53|$388.80|$211.90|$225.99|$340.20|$340.15|$367.03|$289.12
"CPT® 99205"|"HB OFFICE/OUTPATIENT VISIT NEW LEVEL 5"|510.00|$637.00|$226.14|$509.60|$446.00|$444.63|$226.14|$459.91|$445.90|$408.32|$509.60|$277.73|$296.21|$445.90|$445.84|$481.06|$378.95
"CPT® 99211"|"HB OFFICE/OUTPATIENT VISIT ESTABLISHED LEVEL 1"|510.00|$209.00|$74.20|$167.20|$146.00|$145.88|$74.20|$150.90|$146.30|$133.97|$167.20|$91.12|$97.19|$146.30|$146.28|$157.84|$124.33
"CPT® 99212"|"HB OFFICE/OUTPATIENT VISIT ESTABLISHED LEVEL 2"|510.00|$287.00|$101.89|$229.60|$201.00|$200.33|$101.89|$207.21|$200.90|$183.97|$229.60|$125.13|$133.46|$200.90|$200.87|$216.74|$170.74
"CPT® 99213"|"HB OFFICE/OUTPATIENT VISIT ESTABLISHED LEVEL 3"|510.00|$307.00|$108.99|$245.60|$215.00|$214.29|$108.99|$221.65|$214.90|$196.79|$245.60|$133.85|$142.76|$214.90|$214.87|$231.85|$182.63
"CPT® 99214"|"HB OFFICE/OUTPATIENT VISIT ESTABLISHED LEVEL 4"|510.00|$376.00|$133.48|$300.80|$263.00|$262.45|$133.48|$271.47|$263.20|$241.02|$300.80|$163.94|$174.84|$263.20|$263.16|$283.96|$223.68
"CPT® 99215"|"HB OFFICE/OUTPATIENT VISIT ESTABLISHED LEVEL 5"|510.00|$483.00|$171.47|$386.40|$338.00|$337.13|$171.47|$348.73|$338.10|$309.60|$386.40|$210.59|$224.60|$338.10|$338.05|$364.76|$287.34
"CPT® 99212"|"HCPF ESTABLISHED PATIENT LEVEL 2"|510.00|$209.00|$74.20|$167.20|$146.00|$145.88|$74.20|$150.90|$146.30|$133.97|$167.20|$91.12|$97.19|$146.30|$146.28|$157.84|$124.33
"CPT® 99213"|"HCPF ESTABLISHED PATIENT LEVEL 3"|510.00|$302.00|$107.21|$241.60|$211.00|$210.80|$107.21|$218.04|$211.40|$193.58|$241.60|$131.67|$140.43|$211.40|$211.37|$228.07|$179.66
"CPT® 99214"|"HCPF ESTABLISHED PATIENT LEVEL 4"|510.00|$382.00|$135.61|$305.60|$267.00|$266.64|$135.61|$275.80|$267.40|$244.86|$305.60|$166.55|$177.63|$267.40|$267.36|$288.49|$227.25
"CPT® 99215"|"HCPF ESTABLISHED PATIENT LEVEL 5"|510.00|$492.00|$174.66|$393.60|$344.00|$343.42|$174.66|$355.22|$344.40|$315.37|$393.60|$214.51|$228.78|$344.40|$344.35|$371.56|$292.69
"CPT® 99202"|"HCPF NEW PATIENT LEVEL 2"|510.00|$302.00|$107.21|$241.60|$211.00|$210.80|$107.21|$218.04|$211.40|$193.58|$241.60|$131.67|$140.43|$211.40|$211.37|$228.07|$179.66
"CPT® 99203"|"HCPF NEW PATIENT LEVEL 3"|510.00|$418.00|$148.39|$334.40|$293.00|$291.76|$148.39|$301.80|$292.60|$267.94|$334.40|$182.25|$194.37|$292.60|$292.56|$315.67|$248.67
"CPT® 99204"|"HCPF NEW PATIENT LEVEL 4"|510.00|$586.00|$208.03|$468.80|$410.00|$409.03|$208.03|$423.09|$410.20|$375.63|$468.80|$255.50|$272.49|$410.20|$410.14|$442.55|$348.61
"CPT® 99205"|"HCPF NEW PATIENT LEVEL 5"|510.00|$715.00|$253.83|$572.00|$500.00|$499.07|$253.83|$516.23|$500.50|$458.32|$572.00|$311.74|$332.48|$500.50|$500.43|$539.97|$425.35
"CPT® 99211"|"HCPF ESTABLISHED PATIENT LEVEL 1"|510.00|$144.00|$51.12|$115.20|$101.00|$100.51|$51.12|$103.97|$100.80|$92.30|$115.20|$62.78|$66.96|$100.80|$100.79|$108.75|$85.67
"CPT® 69209"|"HB REMOVAL IMPACTED CERUMEN, IRRIGATION/LAVAGE, UNILATERAL"|510.00|$189.00|$67.10|$151.20|$132.00|$131.92|$67.10|$136.46|$132.30|$121.15|$151.20|$82.40|$87.89|$132.30|$132.28|$142.73|$112.44
"CPT® 64430"|"HB N BLOCK INJ PUDENDAL"|510.00|$1004.00|$356.42|$803.20|$703.00|$700.79|$356.42|$724.89|$702.80|$643.56|$803.20|$437.74|$466.86|$702.80|$702.70|$758.22|$597.28
"CPT® 64446"|"HB N BLOCK INJ SCIATIC CONT"|510.00|$3599.00|$1277.65|$2879.20|$2519.00|$2512.10|$1277.65|$2598.48|$2519.30|$2306.96|$2879.20|$1569.16|$1673.54|$2519.30|$2518.94|$2717.96|$2141.05
"CPT® 95990"|"HB SPIN/BRAIN PUMP REFIL/MAIN"|510.00|$695.00|$246.73|$556.00|$486.00|$485.11|$246.73|$501.79|$486.50|$445.50|$556.00|$303.02|$323.18|$486.50|$486.43|$524.86|$413.46
"CPT® 99354"|"HCPF PROLNGD ATTEND FIRST HR"|510.00|$341.00|$121.06|$272.80|$239.00|$238.02|$121.06|$246.20|$238.70|$218.58|$272.80|$148.68|$158.57|$238.70|$238.67|$257.52|$202.86
"HCPCS G0175"|"HB OPPS SERVICE, SCHED TEAM CONF"|510.00|$778.00|$276.19|$622.40|$545.00|$543.04|$276.19|$561.72|$544.60|$498.70|$622.40|$339.21|$361.77|$544.60|$544.52|$587.55|$462.83
"CPT® 64405"|"HB OCCIPITAL NERVE BLOCK"|510.00|$906.00|$321.63|$724.80|$634.00|$632.39|$321.63|$654.13|$634.20|$580.75|$724.80|$395.02|$421.29|$634.20|$634.11|$684.21|$538.98
"CPT® 63663"|"HB REVISE/REMOVE NEUROELECTRODE"|511.00|$7225.00|$2564.88|$5780.00|$5058.00|$5043.05|$2564.88|$5216.45|$5057.50|$4631.23|$5780.00|$3150.10|$3359.63|$5057.50|$5056.78|$5456.32|$4298.15
"CPT® 98925"|"HB OSTEOPATH MANJ 1-2 REGIONS"|516.00|$185.00|$65.68|$148.00|$130.00|$129.13|$65.68|$133.57|$129.50|$118.59|$148.00|$80.66|$86.03|$129.50|$129.48|$139.71|$110.06
"CPT® 99355"|"HCPF PROLNGD ATTEND ADDTL 30 MN"|516.00|$341.00|$121.06|$272.80|$239.00|$238.02|$121.06|$246.20|$238.70|$218.58|$272.80|$148.68|$158.57|$238.70|$238.67|$257.52|$202.86
"CPT® 98926"|"HCPF OSTEOPATHIC MANIPULATION 3-4"|530.00|$252.00|$89.46|$201.60|$176.00|$175.90|$89.46|$181.94|$176.40|$161.53|$201.60|$109.87|$117.18|$176.40|$176.37|$190.31|$149.91
"CPT® 98927"|"HCPF OSTEOPATHIC MANIPULATION 5-6"|530.00|$309.00|$109.70|$247.20|$216.00|$215.68|$109.70|$223.10|$216.30|$198.07|$247.20|$134.72|$143.69|$216.30|$216.27|$233.36|$183.82
"CPT® 98928"|"HCPF OSTEOPATHIC MANIPULATION 7-8"|530.00|$358.00|$127.09|$286.40|$251.00|$249.88|$127.09|$258.48|$250.60|$229.48|$286.40|$156.09|$166.47|$250.60|$250.56|$270.36|$212.97
"CPT® 98929"|"HCPF OSTEOPATHIC MANIPULATION"|530.00|$398.00|$141.29|$318.40|$279.00|$277.80|$141.29|$287.36|$278.60|$255.12|$318.40|$173.53|$185.07|$278.60|$278.56|$300.57|$236.77
"CPT® 70336"|"HB MAGNETIC IMAGE JAW JOINT"|610.00|$4316.00|$1532.18|$3452.80|$3021.00|$3012.57|$1532.18|$3116.15|$3021.20|$2766.56|$3452.80|$1881.78|$2006.94|$1800.00|$3020.77|$3259.44|$2567.59
"CPT® 70540"|"HB MRI ORBIT/FACE/NECK W/O DYE"|610.00|$4653.00|$1651.82|$3722.40|$3257.00|$3247.79|$1651.82|$3359.47|$3257.10|$2982.57|$3722.40|$2028.71|$2163.65|$1800.00|$3256.63|$3513.95|$2768.07
"CPT® 70542"|"HB MRI ORBIT/FACE/NECK W/DYE"|610.00|$5402.00|$1800.00|$4321.60|$3781.00|$3770.60|$1917.71|$3900.24|$3781.40|$3462.68|$4321.60|$2355.27|$2511.93|$1800.00|$3780.86|$4079.59|$3213.65
"CPT® 70543"|"HB MRI ORBT/FAC/NCK W/O &W/DYE"|610.00|$5702.00|$1800.00|$4561.60|$3991.00|$3980.00|$2024.21|$4116.84|$3991.40|$3654.98|$4561.60|$2486.07|$2651.43|$1800.00|$3990.83|$4306.15|$3392.12
"CPT® 70544"|"HB MRA HEAD WITHOUT CONTRAST"|610.00|$4424.00|$1570.52|$3539.20|$3097.00|$3087.95|$1570.52|$3194.13|$3096.80|$2835.78|$3539.20|$1928.86|$2057.16|$1800.00|$3096.36|$3341.00|$2631.84
"CPT® 70546"|"HB MRA HEAD WITH AND WITHOUT CONTRAST"|610.00|$6402.00|$1800.00|$5121.60|$4481.00|$4468.60|$2272.71|$4622.24|$4481.40|$4103.68|$5121.60|$2791.27|$2976.93|$1800.00|$4480.76|$4834.79|$3808.55
"CPT® 70547"|"HB MRA NECK WITHOUT CONTRAST"|610.00|$3788.00|$1344.74|$3030.40|$2652.00|$2644.02|$1344.74|$2734.94|$2651.60|$2428.11|$3030.40|$1651.57|$1761.42|$1800.00|$2651.22|$2860.70|$2253.48
"CPT® 70549"|"HB MRA NECK WITH AND WITHOUT CONTRAST"|610.00|$4899.00|$1739.15|$3919.20|$3429.00|$3419.50|$1739.15|$3537.08|$3429.30|$3140.26|$3919.20|$2135.96|$2278.04|$1800.00|$3428.81|$3699.72|$2914.42
"CPT® 71550"|"HB MRI CHEST W/O DYE"|610.00|$3290.00|$1167.95|$2632.00|$2303.00|$2296.42|$1167.95|$2375.38|$2303.00|$2108.89|$2632.00|$1434.44|$1529.85|$1800.00|$2302.67|$2484.61|$1957.22
"CPT® 71551"|"HB MRI CHEST W/DYE"|610.00|$4168.00|$1479.64|$3334.40|$2918.00|$2909.26|$1479.64|$3009.30|$2917.60|$2671.69|$3334.40|$1817.25|$1938.12|$1800.00|$2917.18|$3147.67|$2479.54
"CPT® 71552"|"HB MRI CHEST W/O & W/DYE"|610.00|$4901.00|$1739.86|$3920.80|$3431.00|$3420.90|$1739.86|$3538.52|$3430.70|$3141.54|$3920.80|$2136.84|$2278.97|$1800.00|$3430.21|$3701.24|$2915.60
"CPT® 72141"|"HB MRI NECK SPINE W/O DYE"|610.00|$4676.00|$1659.98|$3740.80|$3273.00|$3263.85|$1659.98|$3376.07|$3273.20|$2997.32|$3740.80|$2038.74|$2174.34|$1800.00|$3272.73|$3531.32|$2781.75
"CPT® 72142"|"HB MRI NECK SPINE W/DYE"|610.00|$5084.00|$1800.00|$4067.20|$3559.00|$3548.63|$1804.82|$3670.65|$3558.80|$3258.84|$4067.20|$2216.62|$2364.06|$1800.00|$3558.29|$3839.44|$3024.47
"CPT® 72146"|"HB MRI CHEST SPINE W/O DYE"|610.00|$4270.00|$1515.85|$3416.00|$2989.00|$2980.46|$1515.85|$3082.94|$2989.00|$2737.07|$3416.00|$1861.72|$1985.55|$1800.00|$2988.57|$3224.70|$2540.22
"CPT® 72147"|"HB MRI CHEST SPINE W/DYE"|610.00|$4598.00|$1632.29|$3678.40|$3219.00|$3209.40|$1632.29|$3319.76|$3218.60|$2947.32|$3678.40|$2004.73|$2138.07|$1800.00|$3218.14|$3472.41|$2735.35
"CPT® 72148"|"HB MRI LUMBAR SPINE W/O DYE"|610.00|$4302.00|$1527.21|$3441.60|$3011.00|$3002.80|$1527.21|$3106.04|$3011.40|$2757.58|$3441.60|$1875.67|$2000.43|$1800.00|$3010.97|$3248.87|$2559.26
"CPT® 72149"|"HB MRI LUMBAR SPINE W/DYE"|610.00|$4678.00|$1660.69|$3742.40|$3275.00|$3265.24|$1660.69|$3377.52|$3274.60|$2998.60|$3742.40|$2039.61|$2175.27|$1800.00|$3274.13|$3532.83|$2782.94
"CPT® 72156"|"HB MRI NECK SPINE W/O & W/DYE"|610.00|$5766.00|$1800.00|$4612.80|$4036.00|$4024.67|$2046.93|$4163.05|$4036.20|$3696.01|$4612.80|$2513.98|$2681.19|$1800.00|$4035.62|$4354.48|$3430.19
"CPT® 72157"|"HB MRI CHEST SPINE W/O & W/DYE"|610.00|$5265.00|$1800.00|$4212.00|$3685.00|$3674.97|$1869.08|$3801.33|$3685.50|$3374.87|$4212.00|$2295.54|$2448.23|$1800.00|$3684.97|$3976.13|$3132.15
"CPT® 72158"|"HB MRI LUMBAR SPINE W/O & W/DYE"|610.00|$5277.00|$1800.00|$4221.60|$3694.00|$3683.35|$1873.34|$3809.99|$3693.90|$3382.56|$4221.60|$2300.77|$2453.81|$1800.00|$3693.37|$3985.19|$3139.29
"CPT® 72195"|"HB MRI PELVIS W/O DYE"|610.00|$4053.00|$1438.82|$3242.40|$2837.00|$2828.99|$1438.82|$2926.27|$2837.10|$2597.97|$3242.40|$1767.11|$1884.65|$1800.00|$2836.69|$3060.83|$2411.13
"CPT® 72196"|"HB MRI PELVIS W/DYE"|610.00|$4426.00|$1571.23|$3540.80|$3098.00|$3089.35|$1571.23|$3195.57|$3098.20|$2837.07|$3540.80|$1929.74|$2058.09|$1800.00|$3097.76|$3342.52|$2633.03
"CPT® 72197"|"HB MRI PELVIS W/O & W/DYE"|610.00|$5343.00|$1800.00|$4274.40|$3740.00|$3729.41|$1896.77|$3857.65|$3740.10|$3424.86|$4274.40|$2329.55|$2484.50|$1800.00|$3739.57|$4035.03|$3178.55
"CPT® 73218"|"HB MRI UPPER EXTREMITY W/O DYE"|610.00|$3927.00|$1394.09|$3141.60|$2749.00|$2741.05|$1394.09|$2835.29|$2748.90|$2517.21|$3141.60|$1712.17|$1826.06|$1800.00|$2748.51|$2965.67|$2336.17
"CPT® 73220"|"HB MRI UPPR EXTREMITY W/O&W/DYE"|610.00|$4583.00|$1626.97|$3666.40|$3208.00|$3198.93|$1626.97|$3308.93|$3208.10|$2937.70|$3666.40|$1998.19|$2131.10|$1800.00|$3207.64|$3461.08|$2726.43
"CPT® 73221"|"HB MRI JOINT UPR EXTREM W/O DYE"|610.00|$4026.00|$1429.23|$3220.80|$2818.00|$2810.15|$1429.23|$2906.77|$2818.20|$2580.67|$3220.80|$1755.34|$1872.09|$1800.00|$2817.80|$3040.44|$2395.07
"CPT® 73222"|"HB MRI JOINT UPR EXTREM W/DYE"|610.00|$4291.00|$1523.31|$3432.80|$3004.00|$2995.12|$1523.31|$3098.10|$3003.70|$2750.53|$3432.80|$1870.88|$1995.32|$1800.00|$3003.27|$3240.56|$2552.72
"CPT® 73223"|"HB MRI JOINT UPR EXTR W/O&W/DYE"|610.00|$4848.00|$1721.04|$3878.40|$3394.00|$3383.90|$1721.04|$3500.26|$3393.60|$3107.57|$3878.40|$2113.73|$2254.32|$1800.00|$3393.12|$3661.21|$2884.08
"CPT® 73718"|"HB MRI LOWER EXTREMITY W/O DYE"|610.00|$3849.00|$1366.40|$3079.20|$2694.00|$2686.60|$1366.40|$2778.98|$2694.30|$2467.21|$3079.20|$1678.16|$1789.79|$1800.00|$2693.92|$2906.76|$2289.77
"CPT® 73720"|"HB MRI LOWER EXTREMITY W/ AND W/OUT CONTRAST"|610.00|$4544.00|$1613.12|$3635.20|$3181.00|$3171.71|$1613.12|$3280.77|$3180.80|$2912.70|$3635.20|$1981.18|$2112.96|$1800.00|$3180.35|$3431.63|$2703.23
"CPT® 73721"|"HB MRI JNT OF LWR EXTRE W/O DYE"|610.00|$4300.00|$1526.50|$3440.00|$3010.00|$3001.40|$1526.50|$3104.60|$3010.00|$2756.30|$3440.00|$1874.80|$1999.50|$1800.00|$3009.57|$3247.36|$2558.07
"CPT® 73722"|"HB MRI JOINT OF LWR EXTR W/DYE"|610.00|$4528.00|$1607.44|$3622.40|$3170.00|$3160.54|$1607.44|$3269.22|$3169.60|$2902.45|$3622.40|$1974.21|$2105.52|$1800.00|$3169.15|$3419.55|$2693.71
"CPT® 73723"|"HB MRI JOINT LWR EXTR W/O&W/DYE"|610.00|$4965.00|$1762.58|$3972.00|$3476.00|$3465.57|$1762.58|$3584.73|$3475.50|$3182.57|$3972.00|$2164.74|$2308.73|$1800.00|$3475.00|$3749.57|$2953.68
"CPT® 74181"|"HB MRI ABDOMEN W/O DYE"|610.00|$4149.00|$1472.90|$3319.20|$2904.00|$2896.00|$1472.90|$2995.58|$2904.30|$2659.51|$3319.20|$1808.96|$1929.29|$1800.00|$2903.89|$3133.32|$2468.24
"CPT® 74182"|"HB MRI ABDOMEN W/DYE"|610.00|$4228.00|$1500.94|$3382.40|$2960.00|$2951.14|$1500.94|$3052.62|$2959.60|$2710.15|$3382.40|$1843.41|$1966.02|$1800.00|$2959.18|$3192.99|$2515.24
"CPT® 74183"|"HB MRI ABDOMEN W/O & W/DYE"|610.00|$4916.00|$1745.18|$3932.80|$3441.00|$3431.37|$1745.18|$3549.35|$3441.20|$3151.16|$3932.80|$2143.38|$2285.94|$1800.00|$3440.71|$3712.56|$2924.53
"CPT® 74185"|"HB MRA ABDOMEN WITH AND W/O CONTRAST"|610.00|$3893.00|$1382.02|$3114.40|$2725.00|$2717.31|$1382.02|$2810.75|$2725.10|$2495.41|$3114.40|$1697.35|$1810.25|$1800.00|$2724.71|$2939.99|$2315.95
"CPT® 71555"|"HB MRA CHEST WITH AND W/O CONTRAST"|610.00|$4175.00|$1482.13|$3340.00|$2922.00|$2914.15|$1482.13|$3014.35|$2922.50|$2676.18|$3340.00|$1820.30|$1941.38|$1800.00|$2922.08|$3152.96|$2483.71
"CPT® 72198"|"HB MRA PELVIS WITH AND W/O CONTRAST"|610.00|$4232.00|$1502.36|$3385.60|$2962.00|$2953.94|$1502.36|$3055.50|$2962.40|$2712.71|$3385.60|$1845.15|$1967.88|$1800.00|$2961.98|$3196.01|$2517.62
"CPT® 73225"|"HB MRA UPPER EXTREMITY WITH AND W/O CONTRAST"|610.00|$3584.00|$1272.32|$2867.20|$2509.00|$2501.63|$1272.32|$2587.65|$2508.80|$2297.34|$2867.20|$1562.62|$1666.56|$1800.00|$2508.44|$2706.64|$2132.12
"CPT® 70549"|"HCPF MRA QMRA NOVA CAR W/O/W C"|610.00|$4899.00|$1739.15|$3919.20|$3429.00|$3419.50|$1739.15|$3537.08|$3429.30|$3140.26|$3919.20|$2135.96|$2278.04|$1800.00|$3428.81|$3699.72|$2914.42
"CPT® 70551"|"HB MRI BRAIN STEM W/O DYE"|611.00|$4663.00|$1655.37|$3730.40|$3264.00|$3254.77|$1655.37|$3366.69|$3264.10|$2988.98|$3730.40|$2033.07|$2168.30|$1800.00|$3263.63|$3521.50|$2774.02
"CPT® 70552"|"HB MRI BRAIN STEM W/DYE"|611.00|$4810.00|$1707.55|$3848.00|$3367.00|$3357.38|$1707.55|$3472.82|$3367.00|$3083.21|$3848.00|$2097.16|$2236.65|$1800.00|$3366.52|$3632.51|$2861.47
"CPT® 70553"|"HB MRI BRAIN STEM W/O & W/DYE"|611.00|$6038.00|$1800.00|$4830.40|$4227.00|$4214.52|$2143.49|$4359.44|$4226.60|$3870.36|$4830.40|$2632.57|$2807.67|$1800.00|$4226.00|$4559.90|$3592.01
"HCPCS C8913"|"HB MRI GUIDANCE NEEDLE PLACEMENT; S&I"|616.00|$3253.00|$1154.82|$2602.40|$2277.00|$2270.59|$1154.82|$2348.67|$2277.10|$2085.17|$2602.40|$1418.31|$1512.65|$2277.10|$2276.77|$2456.67|$1935.21
"HCPCS C8914"|"HB MRA W/O FOL W/CONT, LWR EXT"|616.00|$4515.00|$1602.83|$3612.00|$3160.00|$3151.47|$1602.83|$3259.83|$3160.50|$2894.12|$3612.00|$1968.54|$2099.48|$3160.50|$3160.05|$3409.73|$2685.97
"HCPCS C8912"|"HB MRA LWR EXT W/CONTRAST"|616.00|$3535.00|$1254.93|$2828.00|$2474.00|$2467.43|$1254.93|$2552.27|$2474.50|$2265.94|$2828.00|$1541.26|$1643.78|$2474.50|$2474.15|$2669.63|$2102.97
"CPT® 90384"|"HB RH IMMUNE GLOBULIN"|636.00|$315.00|$111.83|$252.00|$220.00|$219.87|$111.83|$227.43|$220.50|$201.92|$252.00|$137.34|$146.48||$220.47|$237.89|$187.39
"HCPCS Q9966"|"HB OMNIPAQUE 240 50ML VIAL"|636.00|$10.00|$3.55|$8.00|$7.00|$6.98|$3.55|$7.22|$7.00|$6.41|$8.00|$4.36|$4.65||$7.00|$7.55|$5.95
"CPT® 90651"|"HB 9VHPV VACC 2/3 DOSE SCHED IM USE"|636.00|$379.00|$134.55|$303.20|$265.00|$264.54|$134.55|$273.64|$265.30|$242.94|$303.20|$165.24|$176.24||$265.26|$286.22|$225.47
"Custom 71000026"|"HB L&D EXTENDED RECOVERY"|710.00|$2940.00|$1043.70|$2352.00|$2058.00|$2052.12|$1043.70|$2122.68|$2058.00|$1884.54|$2352.00|$1281.84|$1367.10|$2058.00|$2057.71|$2220.29|$1749.01
"Custom 71000035"|"HB RECOVERY PHASE I BASIC"|710.00|$22.00|$7.81|$17.60|$15.00|$15.36|$7.81|$15.88|$15.40|$14.10|$17.60|$9.59|$10.23|$15.40|$15.40|$16.61|$13.09
"Custom 71000036"|"HB RECOVERY PHASE I INTERMEDIATE"|710.00|$39.00|$13.85|$31.20|$27.00|$27.22|$13.85|$28.16|$27.30|$25.00|$31.20|$17.00|$18.14|$27.30|$27.30|$29.45|$23.20
"Custom 71000037"|"HB RECOVERY PHASE I COMPLEX"|710.00|$48.00|$17.04|$38.40|$34.00|$33.50|$17.04|$34.66|$33.60|$30.77|$38.40|$20.93|$22.32|$33.60|$33.60|$36.25|$28.56
"Custom 71000038"|"HB RECOVERY PHASE II"|710.00|$7.00|$2.49|$5.60|$5.00|$4.89|$2.49|$5.05|$4.90|$4.49|$5.60|$3.05|$3.26|$4.90|$4.90|$5.29|$4.16
"CPT® 59200"|"HB INSERT CERVICAL DILATOR"|720.00|$315.00|$111.83|$252.00|$220.00|$219.87|$111.83|$227.43|$220.50|$201.92|$252.00|$137.34|$146.48|$220.50|$220.47|$237.89|$187.39
"CPT® 59414"|"HB DELIVER PLACENTA"|720.00|$3098.00|$1099.79|$2478.40|$2169.00|$2162.40|$1099.79|$2236.76|$2168.60|$1985.82|$2478.40|$1350.73|$1440.57|$2168.60|$2168.29|$2339.61|$1843.00
"CPT® 59300"|"HCPF EPISIOTOMY OR VAGINAL REPAIR"|720.00|$541.00|$192.06|$432.80|$379.00|$377.62|$192.06|$390.60|$378.70|$346.78|$432.80|$235.88|$251.57|$378.70|$378.65|$408.56|$321.84
"CPT® 59414"|"HCPF DELIVER PLACENTA"|720.00|$366.00|$129.93|$292.80|$256.00|$255.47|$129.93|$264.25|$256.20|$234.61|$292.80|$159.58|$170.19|$256.20|$256.16|$276.40|$217.73
"Custom 72100001"|"HB LABOR LEVEL 1 ROUTINE LABOR"|721.00|$1776.00|$630.48|$1420.80|$1243.00|$1239.65|$630.48|$1282.27|$1243.20|$1138.42|$1420.80|$774.34|$825.84|$1243.20|$1243.02|$1341.24|$1056.54
"Custom 72100002"|"HB LABOR LEVEL 2 HIGH-RISK LABOR"|721.00|$2350.00|$834.25|$1880.00|$1645.00|$1640.30|$834.25|$1696.70|$1645.00|$1506.35|$1880.00|$1024.60|$1092.75|$1645.00|$1644.77|$1774.72|$1398.02
"Custom 72200009"|"HB DELIVERY LEVEL 1 NORMAL DELIVERY"|722.00|$1581.00|$561.26|$1264.80|$1107.00|$1103.54|$561.26|$1141.48|$1106.70|$1013.42|$1264.80|$689.32|$735.17|$1106.70|$1106.54|$1193.97|$940.54
"Custom 72200010"|"HB DELIVERY LEVEL 2 COMPLEX DELIVERY"|722.00|$1983.00|$703.97|$1586.40|$1388.00|$1384.13|$703.97|$1431.73|$1388.10|$1271.10|$1586.40|$864.59|$922.10|$1388.10|$1387.90|$1497.56|$1179.69
"CPT® 54150"|"HB CIRCUMCISION W/REGIONL BLOCK"|723.00|$1500.00|$532.50|$1200.00|$1050.00|$1047.00|$532.50|$1083.00|$1050.00|$961.50|$1200.00|$654.00|$697.50|$1050.00|$1049.85|$1132.80|$892.35
"CPT® 93005"|"HB ELECTROCARDIOGRAM TRACING"|730.00|$349.00|$123.90|$279.20|$244.00|$243.60|$123.90|$251.98|$244.30|$223.71|$279.20|$152.16|$162.29|$244.30|$244.27|$263.56|$207.62
"CPT® 93010"|"HCPF ELECTROCARDIOGRAM REPORT"|730.00|$70.00|$24.85|$56.00|$49.00|$48.86|$24.85|$50.54|$49.00|$44.87|$56.00|$30.52|$32.55|$49.00|$48.99|$52.86|$41.64
"CPT® 93225"|"HB HOLTER MONITORING/HOOK-UP"|731.00|$1008.00|$357.84|$806.40|$706.00|$703.58|$357.84|$727.78|$705.60|$646.13|$806.40|$439.49|$468.72|$705.60|$705.50|$761.24|$599.66
"CPT® 93270"|"HB REMOTE CARDIAC EVENT MONITOR/30 DAYS"|731.00|$596.00|$211.58|$476.80|$417.00|$416.01|$211.58|$430.31|$417.20|$382.04|$476.80|$259.86|$277.14|$417.20|$417.14|$450.10|$354.56
"CPT® 95782"|"HB POLYSOM <6 YRS 4/> PARAMTRS"|740.00|$5729.00|$2033.80|$4583.20|$4010.00|$3998.84|$2033.80|$4136.34|$4010.30|$3672.29|$4583.20|$2497.84|$2663.99|$4010.30|$4009.73|$4326.54|$3408.18
"CPT® 95783"|"HB POLYSOM <6 YRS CPAP/BILVL"|740.00|$6435.00|$2284.43|$5148.00|$4504.00|$4491.63|$2284.43|$4646.07|$4504.50|$4124.84|$5148.00|$2805.66|$2992.28|$4504.50|$4503.86|$4859.71|$3828.18
"CPT® 95805"|"HB MULTIPLE SLEEP LATENCY TEST"|740.00|$4208.00|$1493.84|$3366.40|$2946.00|$2937.18|$1493.84|$3038.18|$2945.60|$2697.33|$3366.40|$1834.69|$1956.72|$2945.60|$2945.18|$3177.88|$2503.34
"CPT® 95810"|"HB POLYSOM 6/> YRS 4/> PARAM"|740.00|$5700.00|$2023.50|$4560.00|$3990.00|$3978.60|$2023.50|$4115.40|$3990.00|$3653.70|$4560.00|$2485.20|$2650.50|$3990.00|$3989.43|$4304.64|$3390.93
"CPT® 95811"|"HB POLYSOM 6/>YRS CPAP 4/> PARM"|740.00|$7113.00|$2525.12|$5690.40|$4979.00|$4964.87|$2525.12|$5135.59|$4979.10|$4559.43|$5690.40|$3101.27|$3307.55|$4979.10|$4978.39|$5371.74|$4231.52
"CPT® 95812"|"HB EEG 41-60 MINUTES"|740.00|$726.00|$257.73|$580.80|$508.00|$506.75|$257.73|$524.17|$508.20|$465.37|$580.80|$316.54|$337.59|$508.20|$508.13|$548.28|$431.90
"CPT® 95813"|"HB EEG OVER 1 HOUR"|740.00|$960.00|$340.80|$768.00|$672.00|$670.08|$340.80|$693.12|$672.00|$615.36|$768.00|$418.56|$446.40|$672.00|$671.90|$724.99|$571.10
"CPT® 95816"|"HB EEG AWAKE AND DROWSY"|740.00|$1092.00|$387.66|$873.60|$764.00|$762.22|$387.66|$788.42|$764.40|$699.97|$873.60|$476.11|$507.78|$764.40|$764.29|$824.68|$649.63
"CPT® 95819"|"HB EEG AWAKE AND ASLEEP"|740.00|$1192.00|$423.16|$953.60|$834.00|$832.02|$423.16|$860.62|$834.40|$764.07|$953.60|$519.71|$554.28|$834.40|$834.28|$900.20|$709.12
"CPT® 95822"|"HB EEG COMA OR SLEEP ONLY"|740.00|$766.00|$271.93|$612.80|$536.00|$534.67|$271.93|$553.05|$536.20|$491.01|$612.80|$333.98|$356.19|$536.20|$536.12|$578.48|$455.69
"CPT® 95824"|"HB EEG CEREBRAL DEATH ONLY"|740.00|$1218.00|$432.39|$974.40|$853.00|$850.16|$432.39|$879.40|$852.60|$780.74|$974.40|$531.05|$566.37|$852.60|$852.48|$919.83|$724.59
"HCPCS G0399"|"HB HOME SLEEP TEST/TYPE 3 PORTA"|740.00|$1552.00|$550.96|$1241.60|$1086.00|$1083.30|$550.96|$1120.54|$1086.40|$994.83|$1241.60|$676.67|$721.68|$1086.40|$1086.24|$1172.07|$923.28
"HCPCS G0400"|"HB HOME SLEEP TEST/TYPE 4 PORTA"|740.00|$517.00|$183.54|$413.60|$362.00|$360.87|$183.54|$373.27|$361.90|$331.40|$413.60|$225.41|$240.41|$361.90|$361.85|$390.44|$307.56
"CPT® 95957"|"HB DIGITAL ANALYSIS OF EEG"|740.00|$580.00|$205.90|$464.00|$406.00|$404.84|$205.90|$418.76|$406.00|$371.78|$464.00|$252.88|$269.70|$406.00|$405.94|$438.02|$345.04
"CPT® 95700"|"HB EEG CONT REC W/VID EEG TECH"|740.00|$800.00|$284.00|$640.00|$560.00|$558.40|$284.00|$577.60|$560.00|$512.80|$640.00|$348.80|$372.00|$560.00|$559.92|$604.16|$475.92
"CPT® 95705"|"HB EEG W/O VID 2-12 HR UNMNTR"|740.00|$3849.00|$1366.40|$3079.20|$2694.00|$2686.60|$1366.40|$2778.98|$2694.30|$2467.21|$3079.20|$1678.16|$1789.79|$2694.30|$2693.92|$2906.76|$2289.77
"CPT® 95706"|"HB EEG WO VID 2-12HR INTMT MNTR"|740.00|$3849.00|$1366.40|$3079.20|$2694.00|$2686.60|$1366.40|$2778.98|$2694.30|$2467.21|$3079.20|$1678.16|$1789.79|$2694.30|$2693.92|$2906.76|$2289.77
"CPT® 95707"|"HB EEG W/O VID 2-12HR CONT MNTR"|740.00|$4234.00|$1503.07|$3387.20|$2964.00|$2955.33|$1503.07|$3056.95|$2963.80|$2713.99|$3387.20|$1846.02|$1968.81|$2963.80|$2963.38|$3197.52|$2518.81
"CPT® 95708"|"HB EEG WO VID EA 12-26HR UNMNTR"|740.00|$3849.00|$1366.40|$3079.20|$2694.00|$2686.60|$1366.40|$2778.98|$2694.30|$2467.21|$3079.20|$1678.16|$1789.79|$2694.30|$2693.92|$2906.76|$2289.77
"CPT® 95709"|"HB EEG W/O VID EA 12-26HR INTMT"|740.00|$3849.00|$1366.40|$3079.20|$2694.00|$2686.60|$1366.40|$2778.98|$2694.30|$2467.21|$3079.20|$1678.16|$1789.79|$2694.30|$2693.92|$2906.76|$2289.77
"CPT® 95710"|"HB EEG W/O VID EA 12-26HR CONT"|740.00|$4234.00|$1503.07|$3387.20|$2964.00|$2955.33|$1503.07|$3056.95|$2963.80|$2713.99|$3387.20|$1846.02|$1968.81|$2963.80|$2963.38|$3197.52|$2518.81
"CPT® 95711"|"HB VEEG 2-12 HR UNMONITORED"|740.00|$3849.00|$1366.40|$3079.20|$2694.00|$2686.60|$1366.40|$2778.98|$2694.30|$2467.21|$3079.20|$1678.16|$1789.79|$2694.30|$2693.92|$2906.76|$2289.77
"CPT® 95712"|"HB VEEG 2-12 HR INTMT MNTR"|740.00|$3849.00|$1366.40|$3079.20|$2694.00|$2686.60|$1366.40|$2778.98|$2694.30|$2467.21|$3079.20|$1678.16|$1789.79|$2694.30|$2693.92|$2906.76|$2289.77
"CPT® 95713"|"HB VEEG 2-12 HR CONT MNTR"|740.00|$4234.00|$1503.07|$3387.20|$2964.00|$2955.33|$1503.07|$3056.95|$2963.80|$2713.99|$3387.20|$1846.02|$1968.81|$2963.80|$2963.38|$3197.52|$2518.81
"CPT® 95714"|"HB VEEG EA 12-26 HR UNMNTR"|740.00|$3849.00|$1366.40|$3079.20|$2694.00|$2686.60|$1366.40|$2778.98|$2694.30|$2467.21|$3079.20|$1678.16|$1789.79|$2694.30|$2693.92|$2906.76|$2289.77
"CPT® 95715"|"HB VEEG EA 12-26HR INTMT MNTR"|740.00|$3849.00|$1366.40|$3079.20|$2694.00|$2686.60|$1366.40|$2778.98|$2694.30|$2467.21|$3079.20|$1678.16|$1789.79|$2694.30|$2693.92|$2906.76|$2289.77
"CPT® 95716"|"HB VEEG EA 12-26HR CONT MNTR"|740.00|$4234.00|$1503.07|$3387.20|$2964.00|$2955.33|$1503.07|$3056.95|$2963.80|$2713.99|$3387.20|$1846.02|$1968.81|$2963.80|$2963.38|$3197.52|$2518.81
"CPT® 43752"|"HCPF NASAL/OROGASTRIC W/TUBE PLMT"|750.00|$211.00|$74.91|$168.80|$148.00|$147.28|$74.91|$152.34|$147.70|$135.25|$168.80|$92.00|$98.12|$147.70|$147.68|$159.35|$125.52
"CPT® 91037"|"HB GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD"|750.00|$950.00|$337.25|$760.00|$665.00|$663.10|$337.25|$685.90|$665.00|$608.95|$760.00|$414.20|$441.75|$665.00|$664.91|$717.44|$565.16
"CPT® 43200"|"HB ESOPHAGOSCOPY FLEXIBLE BRUSH"|750.00|$1278.00|$453.69|$1022.40|$895.00|$892.04|$453.69|$922.72|$894.60|$819.20|$1022.40|$557.21|$594.27|$894.60|$894.47|$965.15|$760.28
"CPT® 43202"|"HB ESOPHAGOSCOPY FLEX BIOPSY"|750.00|$2537.00|$900.64|$2029.60|$1776.00|$1770.83|$900.64|$1831.71|$1775.90|$1626.22|$2029.60|$1106.13|$1179.71|$1775.90|$1775.65|$1915.94|$1509.26
"CPT® 43205"|"HB ESOPHAGUS ENDOSCOPY/LIGATION"|750.00|$2768.00|$982.64|$2214.40|$1938.00|$1932.06|$982.64|$1998.50|$1937.60|$1774.29|$2214.40|$1206.85|$1287.12|$1937.60|$1937.32|$2090.39|$1646.68
"CPT® 43211"|"HB ESOPHAGOSCOP MUCOSAL RESECT"|750.00|$6174.00|$2191.77|$4939.20|$4322.00|$4309.45|$2191.77|$4457.63|$4321.80|$3957.53|$4939.20|$2691.86|$2870.91|$4321.80|$4321.18|$4662.60|$3672.91
"CPT® 43214"|"HB ESOPHAGOSC DILATE BALLOON 30"|750.00|$3166.00|$1123.93|$2532.80|$2216.00|$2209.87|$1123.93|$2285.85|$2216.20|$2029.41|$2532.80|$1380.38|$1472.19|$2216.20|$2215.88|$2390.96|$1883.45
"CPT® 43220"|"HB ESOPHAGOSCOPY BALLOON <30MM"|750.00|$3703.00|$1314.57|$2962.40|$2592.00|$2584.69|$1314.57|$2673.57|$2592.10|$2373.62|$2962.40|$1614.51|$1721.90|$2592.10|$2591.73|$2796.51|$2202.91
"CPT® 43229"|"HB ESOPHAGOSCOPY LESION ABLATE"|750.00|$3022.00|$1072.81|$2417.60|$2115.00|$2109.36|$1072.81|$2181.88|$2115.40|$1937.10|$2417.60|$1317.59|$1405.23|$2115.40|$2115.10|$2282.21|$1797.79
"CPT® 43233"|"HB EGD BALLOON DIL ESOPH30 MM/>"|750.00|$3703.00|$1314.57|$2962.40|$2592.00|$2584.69|$1314.57|$2673.57|$2592.10|$2373.62|$2962.40|$1614.51|$1721.90|$2592.10|$2591.73|$2796.51|$2202.91
"CPT® 43235"|"HB EGD DIAGNOSTIC BRUSH WASH"|750.00|$2537.00|$900.64|$2029.60|$1776.00|$1770.83|$900.64|$1831.71|$1775.90|$1626.22|$2029.60|$1106.13|$1179.71|$1775.90|$1775.65|$1915.94|$1509.26
"CPT® 43236"|"HB UPPR GI SCOPE W/SUBMUC INJ"|750.00|$3666.00|$1301.43|$2932.80|$2566.00|$2558.87|$1301.43|$2646.85|$2566.20|$2349.91|$2932.80|$1598.38|$1704.69|$2566.20|$2565.83|$2768.56|$2180.90
"CPT® 43239"|"HB EGD BIOPSY SINGLE/MULTIPLE"|750.00|$2356.00|$836.38|$1884.80|$1649.00|$1644.49|$836.38|$1701.03|$1649.20|$1510.20|$1884.80|$1027.22|$1095.54|$1649.20|$1648.96|$1779.25|$1401.58
"CPT® 43240"|"HB EGD W/TRANSMURAL DRAIN CYST"|750.00|$4366.00|$1549.93|$3492.80|$3056.00|$3047.47|$1549.93|$3152.25|$3056.20|$2798.61|$3492.80|$1903.58|$2030.19|$3056.20|$3055.76|$3297.20|$2597.33
"CPT® 43241"|"HB EGD TUBE/CATH INSERTION"|750.00|$2198.00|$780.29|$1758.40|$1539.00|$1534.20|$780.29|$1586.96|$1538.60|$1408.92|$1758.40|$958.33|$1022.07|$1538.60|$1538.38|$1659.93|$1307.59
"CPT® 43242"|"HB EGD EUS W/FINE NEEDLE ASPIRATION/BIOPSY"|750.00|$7240.00|$2570.20|$5792.00|$5068.00|$5053.52|$2570.20|$5227.28|$5068.00|$4640.84|$5792.00|$3156.64|$3366.60|$5068.00|$5067.28|$5467.65|$4307.08
"CPT® 43243"|"HB EGD INJECTION VARICES"|750.00|$3666.00|$1301.43|$2932.80|$2566.00|$2558.87|$1301.43|$2646.85|$2566.20|$2349.91|$2932.80|$1598.38|$1704.69|$2566.20|$2565.83|$2768.56|$2180.90
"CPT® 43244"|"HB EGD VARICES LIGATION"|750.00|$3703.00|$1314.57|$2962.40|$2592.00|$2584.69|$1314.57|$2673.57|$2592.10|$2373.62|$2962.40|$1614.51|$1721.90|$2592.10|$2591.73|$2796.51|$2202.91
"CPT® 43245"|"HB EGD DILATE STRICTURE"|750.00|$3703.00|$1314.57|$2962.40|$2592.00|$2584.69|$1314.57|$2673.57|$2592.10|$2373.62|$2962.40|$1614.51|$1721.90|$2592.10|$2591.73|$2796.51|$2202.91
"CPT® 43246"|"HB EGD PLACE GASTROSTOMY TUBE"|750.00|$7240.00|$2570.20|$5792.00|$5068.00|$5053.52|$2570.20|$5227.28|$5068.00|$4640.84|$5792.00|$3156.64|$3366.60|$5068.00|$5067.28|$5467.65|$4307.08
"CPT® 43247"|"HB EGD REMOVE FOREIGN BODY"|750.00|$2537.00|$900.64|$2029.60|$1776.00|$1770.83|$900.64|$1831.71|$1775.90|$1626.22|$2029.60|$1106.13|$1179.71|$1775.90|$1775.65|$1915.94|$1509.26
"CPT® 43248"|"HB EGD GUIDE WIRE INSERTION"|750.00|$2537.00|$900.64|$2029.60|$1776.00|$1770.83|$900.64|$1831.71|$1775.90|$1626.22|$2029.60|$1106.13|$1179.71|$1775.90|$1775.65|$1915.94|$1509.26
"CPT® 43249"|"HB ESOPH EGD DILATION <30 MM"|750.00|$3138.00|$1113.99|$2510.40|$2197.00|$2190.32|$1113.99|$2265.64|$2196.60|$2011.46|$2510.40|$1368.17|$1459.17|$2196.60|$2196.29|$2369.82|$1866.80
"CPT® 43250"|"HB EGD CAUTERY TUMOR POLYP"|750.00|$4366.00|$1549.93|$3492.80|$3056.00|$3047.47|$1549.93|$3152.25|$3056.20|$2798.61|$3492.80|$1903.58|$2030.19|$3056.20|$3055.76|$3297.20|$2597.33
"CPT® 43251"|"HB EGD REMOVE LESION SNARE"|750.00|$3703.00|$1314.57|$2962.40|$2592.00|$2584.69|$1314.57|$2673.57|$2592.10|$2373.62|$2962.40|$1614.51|$1721.90|$2592.10|$2591.73|$2796.51|$2202.91
"CPT® 43253"|"HB EGD US TRANSMURAL INJXN/MARK"|750.00|$4366.00|$1549.93|$3492.80|$3056.00|$3047.47|$1549.93|$3152.25|$3056.20|$2798.61|$3492.80|$1903.58|$2030.19|$3056.20|$3055.76|$3297.20|$2597.33
"CPT® 43254"|"HB EGD ENDO MUCOSAL RESECTION"|750.00|$7240.00|$2570.20|$5792.00|$5068.00|$5053.52|$2570.20|$5227.28|$5068.00|$4640.84|$5792.00|$3156.64|$3366.60|$5068.00|$5067.28|$5467.65|$4307.08
"CPT® 43255"|"HB EGD CONTROL BLEEDING ANY"|750.00|$3703.00|$1314.57|$2962.40|$2592.00|$2584.69|$1314.57|$2673.57|$2592.10|$2373.62|$2962.40|$1614.51|$1721.90|$2592.10|$2591.73|$2796.51|$2202.91
"CPT® 43259"|"HB EGD US EXAM DUODENUM/JEJUNUM"|750.00|$4366.00|$1549.93|$3492.80|$3056.00|$3047.47|$1549.93|$3152.25|$3056.20|$2798.61|$3492.80|$1903.58|$2030.19|$3056.20|$3055.76|$3297.20|$2597.33
"CPT® 43260"|"HB ERCP W/SPECIMEN COLLECTION"|750.00|$10185.00|$3615.68|$8148.00|$7130.00|$7109.13|$3615.68|$7353.57|$7129.50|$6528.59|$8148.00|$4440.66|$4736.03|$7129.50|$7128.48|$7691.71|$6059.06
"CPT® 43261"|"HB ERCP W/ BIOPSY, SINGLE OR MULTIPLE"|750.00|$11981.00|$4253.26|$9584.80|$8387.00|$8362.74|$4253.26|$8650.28|$8386.70|$7679.82|$9584.80|$5223.72|$5571.17|$8386.70|$8385.50|$9048.05|$7127.50
"CPT® 43262"|"HB ERCP W/SPHINCTEROTOMY"|750.00|$11981.00|$4253.26|$9584.80|$8387.00|$8362.74|$4253.26|$8650.28|$8386.70|$7679.82|$9584.80|$5223.72|$5571.17|$8386.70|$8385.50|$9048.05|$7127.50
"CPT® 43263"|"HB ERCP SPHINCTER PRESSURE MEAS"|750.00|$5180.00|$1838.90|$4144.00|$3626.00|$3615.64|$1838.90|$3739.96|$3626.00|$3320.38|$4144.00|$2258.48|$2408.70|$3626.00|$3625.48|$3911.94|$3081.58
"CPT® 43264"|"HB ERCP REMOVE DUCT CALCULI"|750.00|$10185.00|$3615.68|$8148.00|$7130.00|$7109.13|$3615.68|$7353.57|$7129.50|$6528.59|$8148.00|$4440.66|$4736.03|$7129.50|$7128.48|$7691.71|$6059.06
"CPT® 43265"|"HB ERCP LITHOTRIPSY CALCULI"|750.00|$8076.00|$2866.98|$6460.80|$5653.00|$5637.05|$2866.98|$5830.87|$5653.20|$5176.72|$6460.80|$3521.14|$3755.34|$5653.20|$5652.39|$6099.00|$4804.41
"CPT® 43266"|"HB EGD ENDOSCOPIC STENT PLACE"|750.00|$9620.00|$3415.10|$7696.00|$6734.00|$6714.76|$3415.10|$6945.64|$6734.00|$6166.42|$7696.00|$4194.32|$4473.30|$6734.00|$6733.04|$7265.02|$5722.94
"CPT® 43270"|"HB EGD LESION ABLATION"|750.00|$4366.00|$1549.93|$3492.80|$3056.00|$3047.47|$1549.93|$3152.25|$3056.20|$2798.61|$3492.80|$1903.58|$2030.19|$3056.20|$3055.76|$3297.20|$2597.33
"CPT® 43273"|"HB ENDOSCOPIC PANCREATOSCOPY"|750.00|$4484.00|$1591.82|$3587.20|$3139.00|$3129.83|$1591.82|$3237.45|$3138.80|$2874.24|$3587.20|$1955.02|$2085.06|$3138.80|$3138.35|$3386.32|$2667.53
"CPT® 43274"|"HB ERCP DUCT STENT PLACEMENT"|750.00|$13118.00|$4656.89|$10494.40|$9183.00|$9156.36|$4656.89|$9471.20|$9182.60|$8408.64|$10494.40|$5719.45|$6099.87|$9182.60|$9181.29|$9906.71|$7803.90
"CPT® 43275"|"HB ERCP REMOVE FORGN BODY DUCT"|750.00|$10185.00|$3615.68|$8148.00|$7130.00|$7109.13|$3615.68|$7353.57|$7129.50|$6528.59|$8148.00|$4440.66|$4736.03|$7129.50|$7128.48|$7691.71|$6059.06
"CPT® 43276"|"HB ERCP STENT EXCHANGE W/DILATE"|750.00|$13118.00|$4656.89|$10494.40|$9183.00|$9156.36|$4656.89|$9471.20|$9182.60|$8408.64|$10494.40|$5719.45|$6099.87|$9182.60|$9181.29|$9906.71|$7803.90
"CPT® 43277"|"HB ERCP EA DUCT/AMPULLA DILATE"|750.00|$3478.00|$1234.69|$2782.40|$2435.00|$2427.64|$1234.69|$2511.12|$2434.60|$2229.40|$2782.40|$1516.41|$1617.27|$2434.60|$2434.25|$2626.59|$2069.06
"CPT® 43450"|"HB DILATE ESOPHAGUS 1/MULT PASS"|750.00|$2537.00|$900.64|$2029.60|$1776.00|$1770.83|$900.64|$1831.71|$1775.90|$1626.22|$2029.60|$1106.13|$1179.71|$1775.90|$1775.65|$1915.94|$1509.26
"CPT® 43499"|"HB ESOPHAGUS SURGERY PROCEDURE"|750.00|$2306.00|$818.63|$1844.80|$1614.00|$1609.59|$818.63|$1664.93|$1614.20|$1478.15|$1844.80|$1005.42|$1072.29|$1614.20|$1613.97|$1741.49|$1371.84
"CPT® 43752"|"HB NASAL/OROGASTRIC W/TUBE PLMT"|750.00|$654.00|$232.17|$523.20|$458.00|$456.49|$232.17|$472.19|$457.80|$419.21|$523.20|$285.14|$304.11|$457.80|$457.73|$493.90|$389.06
"CPT® 43753"|"HB TX GASTRO INTUB W/ASP"|750.00|$210.00|$74.55|$168.00|$147.00|$146.58|$74.55|$151.62|$147.00|$134.61|$168.00|$91.56|$97.65|$147.00|$146.98|$158.59|$124.93
"CPT® 44360"|"HB ENTEROSCOPY DIAGNOSTIC WITHOUT ILEUM"|750.00|$2240.00|$795.20|$1792.00|$1568.00|$1563.52|$795.20|$1617.28|$1568.00|$1435.84|$1792.00|$976.64|$1041.60|$1568.00|$1567.78|$1691.65|$1332.58
"CPT® 44361"|"HB SMALL BOWEL ENDOSCOPY/BIOPSY WITHOUT ILEUM"|750.00|$2209.00|$784.20|$1767.20|$1546.00|$1541.88|$784.20|$1594.90|$1546.30|$1415.97|$1767.20|$963.12|$1027.19|$1546.30|$1546.08|$1668.24|$1314.13
"CPT® 44363"|"HB SMALL BOWEL ENDOSCOPY  WITHOUT ILEUM; FOREIGN BODY REMOVE"|750.00|$1668.00|$592.14|$1334.40|$1168.00|$1164.26|$592.14|$1204.30|$1167.60|$1069.19|$1334.40|$727.25|$775.62|$1167.60|$1167.43|$1259.67|$992.29
"CPT® 44364"|"HB SMALL BOWEL ENDOSCOPY WITHOUT ILEUM POLYP SNARE"|750.00|$2209.00|$784.20|$1767.20|$1546.00|$1541.88|$784.20|$1594.90|$1546.30|$1415.97|$1767.20|$963.12|$1027.19|$1546.30|$1546.08|$1668.24|$1314.13
"CPT® 44365"|"HB SMALL BOWEL ENDOSCOPY WITHOUT ILEUM W/HOT BIOPSY"|750.00|$2209.00|$784.20|$1767.20|$1546.00|$1541.88|$784.20|$1594.90|$1546.30|$1415.97|$1767.20|$963.12|$1027.19|$1546.30|$1546.08|$1668.24|$1314.13
"CPT® 44366"|"HB SMALL BOWEL ENDOSCOPY WITHOUT ILEUM CONTROL BLEEDING"|750.00|$3828.00|$1358.94|$3062.40|$2680.00|$2671.94|$1358.94|$2763.82|$2679.60|$2453.75|$3062.40|$1669.01|$1780.02|$2679.60|$2679.22|$2890.91|$2277.28
"CPT® 44369"|"HB SMALL BOWEL ENDOSCOPY WITHOUT ILEUM ABLATE TUMOR"|750.00|$2209.00|$784.20|$1767.20|$1546.00|$1541.88|$784.20|$1594.90|$1546.30|$1415.97|$1767.20|$963.12|$1027.19|$1546.30|$1546.08|$1668.24|$1314.13
"CPT® 44370"|"HB SMALL BOWEL ENDOSCOPY/STENT"|750.00|$3061.00|$1086.66|$2448.80|$2143.00|$2136.58|$1086.66|$2210.04|$2142.70|$1962.10|$2448.80|$1334.60|$1423.37|$2142.70|$2142.39|$2311.67|$1820.99
"CPT® 44372"|"HB SMALL BOWEL ENDOSCOPY WITHOUT ILEUM W/PLACEMENT OF J TUBE"|750.00|$3942.00|$1399.41|$3153.60|$2759.00|$2751.52|$1399.41|$2846.12|$2759.40|$2526.82|$3153.60|$1718.71|$1833.03|$2759.40|$2759.01|$2977.00|$2345.10
"CPT® 44373"|"HB SMALL BOWEL ENDOSCOPY WITHOUT ILEUM W/GTUBE TO JTUBE"|750.00|$2593.00|$920.52|$2074.40|$1815.00|$1809.91|$920.52|$1872.15|$1815.10|$1662.11|$2074.40|$1130.55|$1205.75|$1815.10|$1814.84|$1958.23|$1542.58
"CPT® 44376"|"HB SMALL BOWEL ENDOSCOPY DIAGNOSTIC WITH ILEUM"|750.00|$3187.00|$1131.39|$2549.60|$2231.00|$2224.53|$1131.39|$2301.01|$2230.90|$2042.87|$2549.60|$1389.53|$1481.96|$2230.90|$2230.58|$2406.82|$1895.95
"CPT® 44377"|"HB SMALL BOWEL ENDOSCOPY/BIOPSY WITH ILEUM"|750.00|$2317.00|$822.54|$1853.60|$1622.00|$1617.27|$822.54|$1672.87|$1621.90|$1485.20|$1853.60|$1010.21|$1077.41|$1621.90|$1621.67|$1749.80|$1378.38
"CPT® 44380"|"HB SMALL BOWEL ENDOSCOPY THROUGH STOMA DIAGNOSTIC"|750.00|$3478.00|$1234.69|$2782.40|$2435.00|$2427.64|$1234.69|$2511.12|$2434.60|$2229.40|$2782.40|$1516.41|$1617.27|$2434.60|$2434.25|$2626.59|$2069.06
"CPT® 44381"|"HB ILEOSCOPY/STOMA;BALLOON DILAT"|750.00|$2556.00|$907.38|$2044.80|$1789.00|$1784.09|$907.38|$1845.43|$1789.20|$1638.40|$2044.80|$1114.42|$1188.54|$1789.20|$1788.94|$1930.29|$1520.56
"CPT® 44382"|"HB SMALL BOWEL ENDOSCOPY THROUGH STOMA BIOPSY"|750.00|$2556.00|$907.38|$2044.80|$1789.00|$1784.09|$907.38|$1845.43|$1789.20|$1638.40|$2044.80|$1114.42|$1188.54|$1789.20|$1788.94|$1930.29|$1520.56
"CPT® 44384"|"HB ILEOSCOPY THROUGH STOMA WITH STENT"|750.00|$2783.00|$987.97|$2226.40|$1948.00|$1942.53|$987.97|$2009.33|$1948.10|$1783.90|$2226.40|$1213.39|$1294.10|$1948.10|$1947.82|$2101.72|$1655.61
"CPT® 44385"|"HB ENDOSCOPY OF BOWEL POUCH"|750.00|$814.00|$288.97|$651.20|$570.00|$568.17|$288.97|$587.71|$569.80|$521.77|$651.20|$354.90|$378.51|$569.80|$569.72|$614.73|$484.25
"CPT® 44386"|"HB ENDOSCOPY BOWEL POUCH/BIOP"|750.00|$946.00|$335.83|$756.80|$662.00|$660.31|$335.83|$683.01|$662.20|$606.39|$756.80|$412.46|$439.89|$662.20|$662.11|$714.42|$562.78
"CPT® 44388"|"HB COLONOSCOPY THRU STOMA SPX"|750.00|$2562.00|$909.51|$2049.60|$1793.00|$1788.28|$909.51|$1849.76|$1793.40|$1642.24|$2049.60|$1117.03|$1191.33|$1793.40|$1793.14|$1934.82|$1524.13
"CPT® 44389"|"HB COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE"|750.00|$6604.00|$2344.42|$5283.20|$4623.00|$4609.59|$2344.42|$4768.09|$4622.80|$4233.16|$5283.20|$2879.34|$3070.86|$4622.80|$4622.14|$4987.34|$3928.72
"CPT® 44394"|"HB COLON THRU STOMA W/SNARE"|750.00|$2399.00|$851.65|$1919.20|$1679.00|$1674.50|$851.65|$1732.08|$1679.30|$1537.76|$1919.20|$1045.96|$1115.54|$1679.30|$1679.06|$1811.72|$1427.17
"CPT® 44404"|"HB COLONOSCOPY W/INJECTION"|750.00|$2803.00|$995.07|$2242.40|$1962.00|$1956.49|$995.07|$2023.77|$1962.10|$1796.72|$2242.40|$1222.11|$1303.40|$1962.10|$1961.82|$2116.83|$1667.50
"CPT® 44405"|"HB COLONOSCOPY W/DILATION"|750.00|$1890.00|$670.95|$1512.00|$1323.00|$1319.22|$670.95|$1364.58|$1323.00|$1211.49|$1512.00|$824.04|$878.85|$1323.00|$1322.81|$1427.33|$1124.36
"CPT® 44408"|"HB DECOMPRESS/VOLVULUS VIA STOMA"|750.00|$2099.00|$745.15|$1679.20|$1469.00|$1465.10|$745.15|$1515.48|$1469.30|$1345.46|$1679.20|$915.16|$976.04|$1469.30|$1469.09|$1585.16|$1248.70
"CPT® 44799"|"HB UNLISTED PX SMALL INTESTINE"|750.00|$3478.00|$1234.69|$2782.40|$2435.00|$2427.64|$1234.69|$2511.12|$2434.60|$2229.40|$2782.40|$1516.41|$1617.27|$2434.60|$2434.25|$2626.59|$2069.06
"CPT® 45330"|"HB DIAGNOSTIC SIGMOIDOSCOPY"|750.00|$3329.00|$1181.80|$2663.20|$2330.00|$2323.64|$1181.80|$2403.54|$2330.30|$2133.89|$2663.20|$1451.44|$1547.99|$2330.30|$2329.97|$2514.06|$1980.42
"CPT® 45331"|"HB SIGMOIDOSCOPY AND BIOPSY"|750.00|$1676.00|$594.98|$1340.80|$1173.00|$1169.85|$594.98|$1210.07|$1173.20|$1074.32|$1340.80|$730.74|$779.34|$1173.20|$1173.03|$1265.72|$997.05
"CPT® 45332"|"HB SIGMOIDOSCOPY W/FB REMOVAL"|750.00|$3298.00|$1170.79|$2638.40|$2309.00|$2302.00|$1170.79|$2381.16|$2308.60|$2114.02|$2638.40|$1437.93|$1533.57|$2308.60|$2308.27|$2490.65|$1961.98
"CPT® 45333"|"HB SIGMOIDOSCOPY & POLYPECTOMY"|750.00|$3298.00|$1170.79|$2638.40|$2309.00|$2302.00|$1170.79|$2381.16|$2308.60|$2114.02|$2638.40|$1437.93|$1533.57|$2308.60|$2308.27|$2490.65|$1961.98
"CPT® 45334"|"HB SIGMOIDOSCOPY FOR BLEEDING"|750.00|$3454.00|$1226.17|$2763.20|$2418.00|$2410.89|$1226.17|$2493.79|$2417.80|$2214.01|$2763.20|$1505.94|$1606.11|$2417.80|$2417.45|$2608.46|$2054.78
"CPT® 45335"|"HB SIGMOIDOSCOPY W/SUBMUC INJ"|750.00|$2979.00|$1057.55|$2383.20|$2085.00|$2079.34|$1057.55|$2150.84|$2085.30|$1909.54|$2383.20|$1298.84|$1385.24|$2085.30|$2085.00|$2249.74|$1772.21
"CPT® 45337"|"HB SIGMOIDOSCOPY & DECOMPRESS"|750.00|$1258.00|$446.59|$1006.40|$881.00|$878.08|$446.59|$908.28|$880.60|$806.38|$1006.40|$548.49|$584.97|$880.60|$880.47|$950.04|$748.38
"CPT® 45338"|"HB SIGMOIDOSCOPY W/TUMR REMOVE"|750.00|$3454.00|$1226.17|$2763.20|$2418.00|$2410.89|$1226.17|$2493.79|$2417.80|$2214.01|$2763.20|$1505.94|$1606.11|$2417.80|$2417.45|$2608.46|$2054.78
"CPT® 45340"|"HB SIG W/TNDSC BALLOON DILATION"|750.00|$4554.00|$1616.67|$3643.20|$3188.00|$3178.69|$1616.67|$3287.99|$3187.80|$2919.11|$3643.20|$1985.54|$2117.61|$3187.80|$3187.34|$3439.18|$2709.17
"CPT® 45341"|"HB SIGMOIDOSCOPY W/ULTRASOUND"|750.00|$3454.00|$1226.17|$2763.20|$2418.00|$2410.89|$1226.17|$2493.79|$2417.80|$2214.01|$2763.20|$1505.94|$1606.11|$2417.80|$2417.45|$2608.46|$2054.78
"CPT® 45342"|"HB SIGMOIDOSCOPY W/US GUIDE BX"|750.00|$4422.00|$1569.81|$3537.60|$3095.00|$3086.56|$1569.81|$3192.68|$3095.40|$2834.50|$3537.60|$1927.99|$2056.23|$3095.40|$3094.96|$3339.49|$2630.65
"CPT® 45346"|"HB SIGMOIDOSCOPY W/ABLATION"|750.00|$3298.00|$1170.79|$2638.40|$2309.00|$2302.00|$1170.79|$2381.16|$2308.60|$2114.02|$2638.40|$1437.93|$1533.57|$2308.60|$2308.27|$2490.65|$1961.98
"CPT® 45347"|"HB SIGMOIDOSCOPY W/PLCMT STENT"|750.00|$21862.00|$7761.01|$17489.60|$15303.00|$15259.68|$7761.01|$15784.36|$15303.40|$14013.54|$17489.60|$9531.83|$10165.83|$15000.00|$15301.21|$16510.18|$13005.70
"CPT® 45350"|"HB SGMDSC W/BAND LIGATION"|750.00|$3298.00|$1170.79|$2638.40|$2309.00|$2302.00|$1170.79|$2381.16|$2308.60|$2114.02|$2638.40|$1437.93|$1533.57|$2308.60|$2308.27|$2490.65|$1961.98
"CPT® 45378"|"HB DIAGNOSTIC COLONOSCOPY"|750.00|$3000.00|$1065.00|$2400.00|$2100.00|$2094.00|$1065.00|$2166.00|$2100.00|$1923.00|$2400.00|$1308.00|$1395.00|$2100.00|$2099.70|$2265.60|$1784.70
"CPT® 45379"|"HB COLONOSCOPY W/FB REMOVAL"|750.00|$6012.00|$2134.26|$4809.60|$4208.00|$4196.38|$2134.26|$4340.66|$4208.40|$3853.69|$4809.60|$2621.23|$2795.58|$4208.40|$4207.80|$4540.26|$3576.54
"CPT® 45380"|"HB COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE"|750.00|$3066.00|$1088.43|$2452.80|$2146.00|$2140.07|$1088.43|$2213.65|$2146.20|$1965.31|$2452.80|$1336.78|$1425.69|$2146.20|$2145.89|$2315.44|$1823.96
"CPT® 45381"|"HB COLONOSCOPY SUBMUCOUS NJX"|750.00|$2562.00|$909.51|$2049.60|$1793.00|$1788.28|$909.51|$1849.76|$1793.40|$1642.24|$2049.60|$1117.03|$1191.33|$1793.40|$1793.14|$1934.82|$1524.13
"CPT® 45382"|"HB COLONOSCOPY W/CONTROL BLEED"|750.00|$2562.00|$909.51|$2049.60|$1793.00|$1788.28|$909.51|$1849.76|$1793.40|$1642.24|$2049.60|$1117.03|$1191.33|$1793.40|$1793.14|$1934.82|$1524.13
"CPT® 45384"|"HB COLONOSCOPY WITH HOT BIOPSY/BIPOLAR CAUTERY"|750.00|$2562.00|$909.51|$2049.60|$1793.00|$1788.28|$909.51|$1849.76|$1793.40|$1642.24|$2049.60|$1117.03|$1191.33|$1793.40|$1793.14|$1934.82|$1524.13
"CPT® 45385"|"HB COLONOSCOPY WITH POLYP SNARE"|750.00|$3066.00|$1088.43|$2452.80|$2146.00|$2140.07|$1088.43|$2213.65|$2146.20|$1965.31|$2452.80|$1336.78|$1425.69|$2146.20|$2145.89|$2315.44|$1823.96
"CPT® 45386"|"HB COLONOSCOPY W/BALLOON DILAT"|750.00|$6604.00|$2344.42|$5283.20|$4623.00|$4609.59|$2344.42|$4768.09|$4622.80|$4233.16|$5283.20|$2879.34|$3070.86|$4622.80|$4622.14|$4987.34|$3928.72
"CPT® 45388"|"HB COLONOSCOPY W/ABLATION"|750.00|$2562.00|$909.51|$2049.60|$1793.00|$1788.28|$909.51|$1849.76|$1793.40|$1642.24|$2049.60|$1117.03|$1191.33|$1793.40|$1793.14|$1934.82|$1524.13
"CPT® 45389"|"HB COLONOSCOPY WITH STENT PLACEMENT"|750.00|$4817.00|$1710.04|$3853.60|$3372.00|$3362.27|$1710.04|$3477.87|$3371.90|$3087.70|$3853.60|$2100.21|$2239.91|$3371.90|$3371.42|$3637.80|$2865.63
"CPT® 45390"|"HB COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION"|750.00|$4504.00|$1598.92|$3603.20|$3153.00|$3143.79|$1598.92|$3251.89|$3152.80|$2887.06|$3603.20|$1963.74|$2094.36|$3152.80|$3152.35|$3401.42|$2679.43
"CPT® 45391"|"HB COLONOSCOPY W/ENDOSCOPE US"|750.00|$4719.00|$1675.25|$3775.20|$3303.00|$3293.86|$1675.25|$3407.12|$3303.30|$3024.88|$3775.20|$2057.48|$2194.34|$3303.30|$3302.83|$3563.79|$2807.33
"CPT® 45392"|"HB COLONOSCOPY W/ENDOSCOPIC FNB"|750.00|$4504.00|$1598.92|$3603.20|$3153.00|$3143.79|$1598.92|$3251.89|$3152.80|$2887.06|$3603.20|$1963.74|$2094.36|$3152.80|$3152.35|$3401.42|$2679.43
"CPT® 45393"|"HB COLON W/DECOMPRESSION VOLVULUS"|750.00|$4274.00|$1517.27|$3419.20|$2992.00|$2983.25|$1517.27|$3085.83|$2991.80|$2739.63|$3419.20|$1863.46|$1987.41|$2991.80|$2991.37|$3227.72|$2542.60
"CPT® 45398"|"HB COLONOSCOPY W/BAND LIGATION"|750.00|$4719.00|$1675.25|$3775.20|$3303.00|$3293.86|$1675.25|$3407.12|$3303.30|$3024.88|$3775.20|$2057.48|$2194.34|$3303.30|$3302.83|$3563.79|$2807.33
"CPT® 45905"|"HB DILATION OF ANAL SPHINCTER"|750.00|$1773.00|$629.42|$1418.40|$1241.00|$1237.55|$629.42|$1280.11|$1241.10|$1136.49|$1418.40|$773.03|$824.45|$1241.10|$1240.92|$1338.97|$1054.76
"CPT® 45910"|"HB DILATION OF RECTAL NARROWING"|750.00|$1947.00|$691.19|$1557.60|$1363.00|$1359.01|$691.19|$1405.73|$1362.90|$1248.03|$1557.60|$848.89|$905.36|$1362.90|$1362.71|$1470.37|$1158.27
"CPT® 46040"|"HB INCISION DRAINAGE RECTAL ABSCESS"|750.00|$2998.00|$1064.29|$2398.40|$2099.00|$2092.60|$1064.29|$2164.56|$2098.60|$1921.72|$2398.40|$1307.13|$1394.07|$2098.60|$2098.30|$2264.09|$1783.51
"CPT® 46083"|"HB INCISE EXTERNAL HEMORRHOID"|750.00|$1094.00|$388.37|$875.20|$766.00|$763.61|$388.37|$789.87|$765.80|$701.25|$875.20|$476.98|$508.71|$765.80|$765.69|$826.19|$650.82
"CPT® 49450"|"HB REPLACE G/C TUBE PERC"|750.00|$1710.00|$607.05|$1368.00|$1197.00|$1193.58|$607.05|$1234.62|$1197.00|$1096.11|$1368.00|$745.56|$795.15|$1197.00|$1196.83|$1291.39|$1017.28
"CPT® 49451"|"HB REPLACE DUOD/JEJ TUBE PERC"|750.00|$1456.00|$516.88|$1164.80|$1019.00|$1016.29|$516.88|$1051.23|$1019.20|$933.30|$1164.80|$634.82|$677.04|$1019.20|$1019.05|$1099.57|$866.17
"CPT® 49465"|"HB FLUORO EXAM OF G/COLON TUBE"|750.00|$2331.00|$827.51|$1864.80|$1632.00|$1627.04|$827.51|$1682.98|$1631.70|$1494.17|$1864.80|$1016.32|$1083.92|$1631.70|$1631.47|$1760.37|$1386.71
"CPT® 91010"|"HB ESOPHAGUS MOTILITY STUDY"|750.00|$1191.00|$422.81|$952.80|$834.00|$831.32|$422.81|$859.90|$833.70|$763.43|$952.80|$519.28|$553.82|$833.70|$833.58|$899.44|$708.53
"CPT® 91034"|"HB GASTROESOPHAGEAL REFLUX TEST"|750.00|$1136.00|$403.28|$908.80|$795.00|$792.93|$403.28|$820.19|$795.20|$728.18|$908.80|$495.30|$528.24|$795.20|$795.09|$857.91|$675.81
"CPT® 91035"|"HB G-ESOPH REFLX TST W/ELECTROD"|750.00|$1349.00|$478.90|$1079.20|$944.00|$941.60|$478.90|$973.98|$944.30|$864.71|$1079.20|$588.16|$627.29|$944.30|$944.17|$1018.76|$802.52
"CPT® 91038"|"HB ESOPH IMPED FUNCT TEST > 1HR"|750.00|$1416.00|$502.68|$1132.80|$991.00|$988.37|$502.68|$1022.35|$991.20|$907.66|$1132.80|$617.38|$658.44|$991.20|$991.06|$1069.36|$842.38
"CPT® 91065"|"HB BREATH HYDROGEN/METHANE TEST"|750.00|$1529.00|$542.80|$1223.20|$1070.00|$1067.24|$542.80|$1103.94|$1070.30|$980.09|$1223.20|$666.64|$710.99|$1070.30|$1070.15|$1154.70|$909.60
"CPT® 91110"|"HB CAPSULE ENDOSCOPY"|750.00|$2791.00|$990.81|$2232.80|$1954.00|$1948.12|$990.81|$2015.10|$1953.70|$1789.03|$2232.80|$1216.88|$1297.82|$1953.70|$1953.42|$2107.76|$1660.37
"CPT® 91122"|"HB ANAL PRESSURE RECORD"|750.00|$1396.00|$495.58|$1116.80|$977.00|$974.41|$495.58|$1007.91|$977.20|$894.84|$1116.80|$608.66|$649.14|$977.20|$977.06|$1054.26|$830.48
"HCPCS G0104"|"HB CA SCREEN;FLEXI SIGMOIDSCOPE"|750.00|$3329.00|$1181.80|$2663.20|$2330.00|$2323.64|$1181.80|$2403.54|$2330.30|$2133.89|$2663.20|$1451.44|$1547.99|$2330.30|$2329.97|$2514.06|$1980.42
"HCPCS G0105"|"HB COLORECTAL SCRN; HI RISK IND"|750.00|$4182.00|$1484.61|$3345.60|$2927.00|$2919.04|$1484.61|$3019.40|$2927.40|$2680.66|$3345.60|$1823.35|$1944.63|$2927.40|$2926.98|$3158.25|$2487.87
"HCPCS G0121"|"HB COLON CA SCRN NOT HI RSK IND"|750.00|$3066.00|$1088.43|$2452.80|$2146.00|$2140.07|$1088.43|$2213.65|$2146.20|$1965.31|$2452.80|$1336.78|$1425.69|$2146.20|$2145.89|$2315.44|$1823.96
"CPT® 31632"|"HB BRONCHOSCOPY TRANSBRONCHIAL LUNG BIOPSY ADDL"|750.00|$2882.00|$1023.11|$2305.60|$2017.00|$2011.64|$1023.11|$2080.80|$2017.40|$1847.36|$2305.60|$1256.55|$1340.13|$2017.40|$2017.11|$2176.49|$1714.50
"CPT® 31652"|"HB BROCHOSCOPY EBUS WITH SAMPLING 1 OR 2 NODES"|750.00|$3216.00|$1141.68|$2572.80|$2251.00|$2244.77|$1141.68|$2321.95|$2251.20|$2061.46|$2572.80|$1402.18|$1495.44|$2251.20|$2250.88|$2428.72|$1913.20
"CPT® 31653"|"HB BROCHOSCOPY EBUS WITH SAMPLING 3 OR MORE NODES"|750.00|$3687.00|$1308.89|$2949.60|$2581.00|$2573.53|$1308.89|$2662.01|$2580.90|$2363.37|$2949.60|$1607.53|$1714.46|$2580.90|$2580.53|$2784.42|$2193.40
"CPT® 31654"|"HB BROCHOSCOPY EBUS WITH PERIPHERAL LESIONS-ADD-ON"|750.00|$2929.00|$1039.80|$2343.20|$2050.00|$2044.44|$1039.80|$2114.74|$2050.30|$1877.49|$2343.20|$1277.04|$1361.99|$2050.30|$2050.01|$2211.98|$1742.46
"CPT® 36516"|"HB APHERESIS SELECTIVE"|750.00|$8800.00|$3124.00|$7040.00|$6160.00|$6142.40|$3124.00|$6353.60|$6160.00|$5640.80|$7040.00|$3836.80|$4092.00|$6160.00|$6159.12|$6645.76|$5235.12
"CPT® 43194"|"HB ESOPHAGOSCP RIG TRNSO REM FB"|750.00|$6344.00|$2252.12|$5075.20|$4441.00|$4428.11|$2252.12|$4580.37|$4440.80|$4066.50|$5075.20|$2765.98|$2949.96|$4440.80|$4440.17|$4790.99|$3774.05
"CPT® 43206"|"HB ESOPH OPTICAL ENDOMICROSCOPY"|750.00|$8133.00|$2887.22|$6506.40|$5693.00|$5676.83|$2887.22|$5872.03|$5693.10|$5213.25|$6506.40|$3545.99|$3781.85|$5693.10|$5692.29|$6142.04|$4838.32
"CPT® 43215"|"HB ESOPHAGOSCOPY FLEX REMOVE FB"|750.00|$4648.00|$1650.04|$3718.40|$3254.00|$3244.30|$1650.04|$3355.86|$3253.60|$2979.37|$3718.40|$2026.53|$2161.32|$3253.60|$3253.14|$3510.17|$2765.10
"CPT® 43231"|"HB ESOPHAGOSCOP ULTRASOUND EXAM"|750.00|$5188.00|$1841.74|$4150.40|$3632.00|$3621.22|$1841.74|$3745.74|$3631.60|$3325.51|$4150.40|$2261.97|$2412.42|$3631.60|$3631.08|$3917.98|$3086.34
"CPT® 43252"|"HB EGD OPTICAL ENDOMICROSCOPY"|750.00|$3125.00|$1109.38|$2500.00|$2188.00|$2181.25|$1109.38|$2256.25|$2187.50|$2003.13|$2500.00|$1362.50|$1453.13|$2187.50|$2187.19|$2360.00|$1859.06
"CPT® 43999"|"HB STOMACH SURGERY PROCEDURE"|750.00|$1572.00|$558.06|$1257.60|$1100.00|$1097.26|$558.06|$1134.98|$1100.40|$1007.65|$1257.60|$685.39|$730.98|$1100.40|$1100.24|$1187.17|$935.18
"CPT® 45305"|"HB PROCTOSIGMOIDOSCOPY W/BX"|750.00|$5654.00|$2007.17|$4523.20|$3958.00|$3946.49|$2007.17|$4082.19|$3957.80|$3624.21|$4523.20|$2465.14|$2629.11|$3957.80|$3957.23|$4269.90|$3363.56
"CPT® 45915"|"HB REMOVE RECTAL OBSTRUCTION"|750.00|$4952.00|$1757.96|$3961.60|$3466.00|$3456.50|$1757.96|$3575.34|$3466.40|$3174.23|$3961.60|$2159.07|$2302.68|$3466.40|$3465.90|$3739.75|$2945.94
"CPT® 45990"|"HB SURG DX EXAM ANORECTAL"|750.00|$5761.00|$2045.16|$4608.80|$4033.00|$4021.18|$2045.16|$4159.44|$4032.70|$3692.80|$4608.80|$2511.80|$2678.87|$4032.70|$4032.12|$4350.71|$3427.22
"CPT® 46604"|"HB ANOSCOPY AND DILATION"|750.00|$6210.00|$2204.55|$4968.00|$4347.00|$4334.58|$2204.55|$4483.62|$4347.00|$3980.61|$4968.00|$2707.56|$2887.65|$4347.00|$4346.38|$4689.79|$3694.33
"CPT® 46706"|"HB REPR OF ANAL FISTULA W/GLUE"|750.00|$6400.00|$2272.00|$5120.00|$4480.00|$4467.20|$2272.00|$4620.80|$4480.00|$4102.40|$5120.00|$2790.40|$2976.00|$4480.00|$4479.36|$4833.28|$3807.36
"CPT® 47379"|"HB LAPAROSCOPE PROCEDURE LIVER"|750.00|$6641.00|$2357.56|$5312.80|$4649.00|$4635.42|$2357.56|$4794.80|$4648.70|$4256.88|$5312.80|$2895.48|$3088.07|$4648.70|$4648.04|$5015.28|$3950.73
"CPT® 47540"|"HB PERQ PLMT BILE DUCT STENT-NEW ACCESS W CATH"|750.00|$23783.00|$8442.97|$19026.40|$16648.00|$16600.53|$8442.97|$17171.33|$16648.10|$15244.90|$19026.40|$10369.39|$11059.10|$15000.00|$16645.72|$17960.92|$14148.51
"CPT® 47562"|"HB LAPAROSCOPIC CHOLECYSTECTOMY"|750.00|$13313.00|$4726.12|$10650.40|$9319.00|$9292.47|$4726.12|$9611.99|$9319.10|$8533.63|$10650.40|$5804.47|$6190.55|$9319.10|$9317.77|$10053.98|$7919.90
"CPT® 47563"|"HB LAPARO CHOLECYSTECTOMY/GRAPH"|750.00|$14192.00|$5038.16|$11353.60|$9934.00|$9906.02|$5038.16|$10246.62|$9934.40|$9097.07|$11353.60|$6187.71|$6599.28|$9934.40|$9932.98|$10717.80|$8442.82
"CPT® 48999"|"HB PANCREAS SURGERY PROCEDURE"|750.00|$6172.00|$2191.06|$4937.60|$4320.00|$4308.06|$2191.06|$4456.18|$4320.40|$3956.25|$4937.60|$2690.99|$2869.98|$4320.40|$4319.78|$4661.09|$3671.72
"CPT® 49320"|"HB DIAG LAPARO SEPARATE PROC"|750.00|$10346.00|$3672.83|$8276.80|$7242.00|$7221.51|$3672.83|$7469.81|$7242.20|$6631.79|$8276.80|$4510.86|$4810.89|$7242.20|$7241.17|$7813.30|$6154.84
"CPT® 91040"|"HB ESOPH BALLOON DISTENSION TST"|750.00|$6051.00|$2148.11|$4840.80|$4236.00|$4223.60|$2148.11|$4368.82|$4235.70|$3878.69|$4840.80|$2638.24|$2813.72|$4235.70|$4235.09|$4569.72|$3599.74
"CPT® 43191"|"HB ESOPHAGOSCOPY RIGID TRNSO DX"|750.00|$3398.00|$1206.29|$2718.40|$2379.00|$2371.80|$1206.29|$2453.36|$2378.60|$2178.12|$2718.40|$1481.53|$1580.07|$2378.60|$2378.26|$2566.17|$2021.47
"CPT® 43192"|"HB ESOPHAGOSCP RIG TRNSO INJECT"|750.00|$4843.00|$1719.27|$3874.40|$3390.00|$3380.41|$1719.27|$3496.65|$3390.10|$3104.36|$3874.40|$2111.55|$2252.00|$3390.10|$3389.62|$3657.43|$2881.10
"CPT® 43193"|"HB ESOPHAGOSCP RIG TRNSO BIOPSY"|750.00|$4265.00|$1514.08|$3412.00|$2986.00|$2976.97|$1514.08|$3079.33|$2985.50|$2733.87|$3412.00|$1859.54|$1983.23|$2985.50|$2985.07|$3220.93|$2537.25
"CPT® 43196"|"HB ESOPHAGOSCP GUIDE WIRE DILAT"|750.00|$6211.00|$2204.91|$4968.80|$4348.00|$4335.28|$2204.91|$4484.34|$4347.70|$3981.25|$4968.80|$2708.00|$2888.12|$4347.70|$4347.08|$4690.55|$3694.92
"CPT® 43197"|"HB ESOPHAGOSCOPY FLEX DX BRUSH"|750.00|$3147.00|$1117.19|$2517.60|$2203.00|$2196.61|$1117.19|$2272.13|$2202.90|$2017.23|$2517.60|$1372.09|$1463.36|$2202.90|$2202.59|$2376.61|$1872.15
"CPT® 43198"|"HB ESOPHAGOSC FLEX TRNSN BIOPSY"|750.00|$3782.00|$1342.61|$3025.60|$2647.00|$2639.84|$1342.61|$2730.60|$2647.40|$2424.26|$3025.60|$1648.95|$1758.63|$2647.40|$2647.02|$2856.17|$2249.91
"CPT® 43201"|"HB ESOPH SCOPE W/SUBMUCOUS INJ"|750.00|$4125.00|$1464.38|$3300.00|$2888.00|$2879.25|$1464.38|$2978.25|$2887.50|$2644.13|$3300.00|$1798.50|$1918.13|$2887.50|$2887.09|$3115.20|$2453.96
"CPT® 43216"|"HB ESOPHAGOSCOPY LESION REMOVAL"|750.00|$4682.00|$1662.11|$3745.60|$3277.00|$3268.04|$1662.11|$3380.40|$3277.40|$3001.16|$3745.60|$2041.35|$2177.13|$3277.40|$3276.93|$3535.85|$2785.32
"CPT® 43217"|"HB ESOPHAGOSCOPY SNARE LES REMV"|750.00|$4202.00|$1491.71|$3361.60|$2941.00|$2933.00|$1491.71|$3033.84|$2941.40|$2693.48|$3361.60|$1832.07|$1953.93|$2941.40|$2940.98|$3173.35|$2499.77
"CPT® 43226"|"HB ESOPH ENDOSCOPY DILATION"|750.00|$5184.00|$1840.32|$4147.20|$3629.00|$3618.43|$1840.32|$3742.85|$3628.80|$3322.94|$4147.20|$2260.22|$2410.56|$3628.80|$3628.28|$3914.96|$3083.96
"CPT® 43227"|"HB ESOPHAGOSCOPY CONTROL BLEED"|750.00|$4995.00|$1773.23|$3996.00|$3496.00|$3486.51|$1773.23|$3606.39|$3496.50|$3201.80|$3996.00|$2177.82|$2322.68|$3496.50|$3496.00|$3772.22|$2971.53
"CPT® 43257"|"HB EGD W/THRML TXMNT GERD"|750.00|$6093.00|$2163.02|$4874.40|$4265.00|$4252.91|$2163.02|$4399.15|$4265.10|$3905.61|$4874.40|$2656.55|$2833.25|$4265.10|$4264.49|$4601.43|$3624.73
"CPT® 43453"|"HB DILATE ESOPHAGUS"|750.00|$3352.00|$1189.96|$2681.60|$2346.00|$2339.70|$1189.96|$2420.14|$2346.40|$2148.63|$2681.60|$1461.47|$1558.68|$2346.40|$2346.06|$2531.43|$1994.10
"CPT® 44391"|"HB COLONOSCOPY FOR BLEEDING"|750.00|$4107.00|$1457.99|$3285.60|$2875.00|$2866.69|$1457.99|$2965.25|$2874.90|$2632.59|$3285.60|$1790.65|$1909.76|$2874.90|$2874.49|$3101.61|$2443.25
"CPT® 44392"|"HB COLONOSCOPY & POLYPECTOMY"|750.00|$3507.00|$1244.99|$2805.60|$2455.00|$2447.89|$1244.99|$2532.05|$2454.90|$2247.99|$2805.60|$1529.05|$1630.76|$2454.90|$2454.55|$2648.49|$2086.31
"CPT® 44401"|"HB COLONOSCOPY WITH ABLATION"|750.00|$3712.00|$1317.76|$2969.60|$2598.00|$2590.98|$1317.76|$2680.06|$2598.40|$2379.39|$2969.60|$1618.43|$1726.08|$2598.40|$2598.03|$2803.30|$2208.27
"CPT® 78258"|"HB ESOPHAGEAL MOTILITY STUDY"|750.00|$607.00|$215.49|$485.60|$425.00|$423.69|$215.49|$438.25|$424.90|$389.09|$485.60|$264.65|$282.26|$424.90|$424.84|$458.41|$361.10
"CPT® 91013"|"HB ESOPHGL MOTIL W/STIM/PERFUS"|750.00|$1962.00|$696.51|$1569.60|$1373.00|$1369.48|$696.51|$1416.56|$1373.40|$1257.64|$1569.60|$855.43|$912.33|$1373.40|$1373.20|$1481.70|$1167.19
"CPT® 96570"|"HB PHOTODYNMC TX 30 MIN ADD-ON"|750.00|$3215.00|$1141.33|$2572.00|$2250.00|$2244.07|$1141.33|$2321.23|$2250.50|$2060.82|$2572.00|$1401.74|$1494.98|$2250.50|$2250.18|$2427.97|$1912.60
"CPT® 91040"|"HB ESOPH BALLOON DISTENSION TST"|750.00|$6051.00|$2148.11|$4840.80|$4236.00|$4223.60|$2148.11|$4368.82|$4235.70|$3878.69|$4840.80|$2638.24|$2813.72|$4235.70|$4235.09|$4569.72|$3599.74
"HCPCS 0397T"|"HB ERCP W/ OPTICAL ENDOMICROSCOPY"|750.00|$7865.00|$2792.08|$6292.00|$5506.00|$5489.77|$2792.08|$5678.53|$5505.50|$5041.47|$6292.00|$3429.14|$3657.23|$5505.50|$5504.71|$5939.65|$4678.89
"CPT® 43762"|"HB RPLC GTUBE NO REVJ TRC"|750.00|$695.00|$246.73|$556.00|$486.00|$485.11|$246.73|$501.79|$486.50|$445.50|$556.00|$303.02|$323.18|$486.50|$486.43|$524.86|$413.46
"CPT® 43763"|"HB RPLC GTUBE REVJ GSTRST TRC"|750.00|$973.00|$345.42|$778.40|$681.00|$679.15|$345.42|$702.51|$681.10|$623.69|$778.40|$424.23|$452.45|$681.10|$681.00|$734.81|$578.84
"CPT® 46083"|"HCPF INCISE EXTERNAL HEMORRHOID"|750.00|$832.00|$295.36|$665.60|$582.00|$580.74|$295.36|$600.70|$582.40|$533.31|$665.60|$362.75|$386.88|$582.40|$582.32|$628.33|$494.96
"CPT® 49450"|"HCPF REPLACE G/C TUBE PERC"|750.00|$260.00|$92.30|$208.00|$182.00|$181.48|$92.30|$187.72|$182.00|$166.66|$208.00|$113.36|$120.90|$182.00|$181.97|$196.35|$154.67
"CPT® 45320"|"HB PROCTOSGMDSC RIGID ABLATION LESION"|750.00|$7919.00|$2811.25|$6335.20|$5543.00|$5527.46|$2811.25|$5717.52|$5543.30|$5076.08|$6335.20|$3452.68|$3682.34|$5543.30|$5542.51|$5980.43|$4711.01
"CPT® 46999"|"HCPF ANUS SURGERY PROCEDURE"|750.00|$524.00|$186.02|$419.20|$367.00|$365.75|$186.02|$378.33|$366.80|$335.88|$419.20|$228.46|$243.66|$366.80|$366.75|$395.72|$311.73
"CPT® 43763"|"HCPF RPLC GTUBE REVJ GSTRST TRC"|750.00|$593.00|$210.52|$474.40|$415.00|$413.91|$210.52|$428.15|$415.10|$380.11|$474.40|$258.55|$275.75|$415.10|$415.04|$447.83|$352.78
"CPT® 75984"|"HB PERCUTANEOUS TUBE/CATHETER CHANGE; S&I"|761.00|$3791.00|$1345.81|$3032.80|$2654.00|$2646.12|$1345.81|$2737.10|$2653.70|$2430.03|$3032.80|$1652.88|$1762.82|$2653.70|$2653.32|$2862.96|$2255.27
"CPT® 10021"|"HB FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE"|761.00|$126.00|$44.73|$100.80|$88.00|$87.95|$44.73|$90.97|$88.20|$80.77|$100.80|$54.94|$58.59|$88.20|$88.19|$95.16|$74.96
"CPT® 10060"|"HB DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE"|761.00|$1188.00|$421.74|$950.40|$832.00|$829.22|$421.74|$857.74|$831.60|$761.51|$950.40|$517.97|$552.42|$831.60|$831.48|$897.18|$706.74
"CPT® 10061"|"HB DRAINAGE OF SKIN ABSCESS COMPLICATED & MULTIPLE"|761.00|$1611.00|$571.91|$1288.80|$1128.00|$1124.48|$571.91|$1163.14|$1127.70|$1032.65|$1288.80|$702.40|$749.12|$1127.70|$1127.54|$1216.63|$958.38
"CPT® 10080"|"HB DRAINAGE OF PILONIDAL CYST SIMPLE"|761.00|$688.00|$244.24|$550.40|$482.00|$480.22|$244.24|$496.74|$481.60|$441.01|$550.40|$299.97|$319.92|$481.60|$481.53|$519.58|$409.29
"CPT® 10120"|"HB INCISION & REMOVAL FOREIGN BODY SUBCUTANEOUS TISSUE SIMPLE"|761.00|$720.00|$255.60|$576.00|$504.00|$502.56|$255.60|$519.84|$504.00|$461.52|$576.00|$313.92|$334.80|$504.00|$503.93|$543.74|$428.33
"CPT® 10121"|"HB INCISION & REMOVAL FOREIGN BODY SUBCUTANEOUS TISSUE COMPICATED"|761.00|$3345.00|$1187.48|$2676.00|$2342.00|$2334.81|$1187.48|$2415.09|$2341.50|$2144.15|$2676.00|$1458.42|$1555.43|$2341.50|$2341.17|$2526.14|$1989.94
"CPT® 10140"|"HB INCISION & DRAINAGE HEMATOMA, SEROMA OR FLUID COLLECTION"|761.00|$1780.00|$631.90|$1424.00|$1246.00|$1242.44|$631.90|$1285.16|$1246.00|$1140.98|$1424.00|$776.08|$827.70|$1246.00|$1245.82|$1344.26|$1058.92
"CPT® 10160"|"HB PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST"|761.00|$522.00|$185.31|$417.60|$365.00|$364.36|$185.31|$376.88|$365.40|$334.60|$417.60|$227.59|$242.73|$365.40|$365.35|$394.21|$310.54
"CPT® 11000"|"HB DEBRIDEMENT INFECTED SKIN, UPTO 10% BODY SURFACE"|761.00|$659.00|$233.95|$527.20|$461.00|$459.98|$233.95|$475.80|$461.30|$422.42|$527.20|$287.32|$306.44|$461.30|$461.23|$497.68|$392.04
"CPT® 11005"|"HB DEBRIDE ABDOM WALL"|761.00|$4142.00|$1470.41|$3313.60|$2899.00|$2891.12|$1470.41|$2990.52|$2899.40|$2655.02|$3313.60|$1805.91|$1926.03|$2899.40|$2898.99|$3128.04|$2464.08
"CPT® 11010"|"HB DEBRIDE SKIN AT FX SITE"|761.00|$6259.00|$2221.95|$5007.20|$4381.00|$4368.78|$2221.95|$4519.00|$4381.30|$4012.02|$5007.20|$2728.92|$2910.44|$4381.30|$4380.67|$4726.80|$3723.48
"CPT® 11012"|"HB DEB SKIN BONE AT FX SITE"|761.00|$8494.00|$3015.37|$6795.20|$5946.00|$5928.81|$3015.37|$6132.67|$5945.80|$5444.65|$6795.20|$3703.38|$3949.71|$5945.80|$5944.95|$6414.67|$5053.08
"CPT® 11042"|"HB DEB SUBQ TISSUE 20 SQ CM/<"|761.00|$844.00|$299.62|$675.20|$591.00|$589.11|$299.62|$609.37|$590.80|$541.00|$675.20|$367.98|$392.46|$590.80|$590.72|$637.39|$502.10
"CPT® 11043"|"HB DEB MUSC/FASCIA 20 SQ CM/<"|761.00|$886.00|$314.53|$708.80|$620.00|$618.43|$314.53|$639.69|$620.20|$567.93|$708.80|$386.30|$411.99|$620.20|$620.11|$669.11|$527.08
"CPT® 11044"|"HB DEB BONE 20 SQ CM/<"|761.00|$5541.00|$1967.06|$4432.80|$3879.00|$3867.62|$1967.06|$4000.60|$3878.70|$3551.78|$4432.80|$2415.88|$2576.57|$3878.70|$3878.15|$4184.56|$3296.34
"CPT® 11200"|"HB REMOVAL OF SKIN TAGS <W/15"|761.00|$202.00|$71.71|$161.60|$141.00|$141.00|$71.71|$145.84|$141.40|$129.48|$161.60|$88.07|$93.93|$141.40|$141.38|$152.55|$120.17
"CPT® 11400"|"HB EXC TR-EXT B9+MARG 0.5 CM<"|761.00|$4071.00|$1445.21|$3256.80|$2850.00|$2841.56|$1445.21|$2939.26|$2849.70|$2609.51|$3256.80|$1774.96|$1893.02|$2849.70|$2849.29|$3074.42|$2421.84
"CPT® 11401"|"HB EXC TR-EXT B9+MARG 0.6-1 CM"|761.00|$3137.00|$1113.64|$2509.60|$2196.00|$2189.63|$1113.64|$2264.91|$2195.90|$2010.82|$2509.60|$1367.73|$1458.71|$2195.90|$2195.59|$2369.06|$1866.20
"CPT® 11402"|"HB EXC TR-EXT B9+MARG 1.1-2 CM"|761.00|$4298.00|$1525.79|$3438.40|$3009.00|$3000.00|$1525.79|$3103.16|$3008.60|$2755.02|$3438.40|$1873.93|$1998.57|$3008.60|$3008.17|$3245.85|$2556.88
"CPT® 11403"|"HB EXC TR-EXT B9+MARG 2.1-3CM/<"|761.00|$5190.00|$1842.45|$4152.00|$3633.00|$3622.62|$1842.45|$3747.18|$3633.00|$3326.79|$4152.00|$2262.84|$2413.35|$3633.00|$3632.48|$3919.49|$3087.53
"CPT® 11406"|"HB EXC TR-EXT B9+MARG >4.0 CM"|761.00|$7307.00|$2593.99|$5845.60|$5115.00|$5100.29|$2593.99|$5275.65|$5114.90|$4683.79|$5845.60|$3185.85|$3397.76|$5114.90|$5114.17|$5518.25|$4346.93
"CPT® 11420"|"HB EXC H-F-NK-SP B9+MARG 0.5/<"|761.00|$4502.00|$1598.21|$3601.60|$3151.00|$3142.40|$1598.21|$3250.44|$3151.40|$2885.78|$3601.60|$1962.87|$2093.43|$3151.40|$3150.95|$3399.91|$2678.24
"CPT® 11421"|"HB EXC H-F-NK-SP B9+MARG 0.6-1"|761.00|$4548.00|$1614.54|$3638.40|$3184.00|$3174.50|$1614.54|$3283.66|$3183.60|$2915.27|$3638.40|$1982.93|$2114.82|$3183.60|$3183.15|$3434.65|$2705.61
"CPT® 11422"|"HB EXC H-F-NK-SP B9+MARG 1.1-2"|761.00|$5231.00|$1857.01|$4184.80|$3662.00|$3651.24|$1857.01|$3776.78|$3661.70|$3353.07|$4184.80|$2280.72|$2432.42|$3661.70|$3661.18|$3950.45|$3111.92
"CPT® 11622"|"HB EXC S/N/H/F/G MAL+MRG 1.1-2"|761.00|$3350.00|$1189.25|$2680.00|$2345.00|$2338.30|$1189.25|$2418.70|$2345.00|$2147.35|$2680.00|$1460.60|$1557.75|$2345.00|$2344.67|$2529.92|$1992.92
"CPT® 11623"|"HB EXC S/N/H/F/G MAL+MRG 2.1-3"|761.00|$4966.00|$1762.93|$3972.80|$3476.00|$3466.27|$1762.93|$3585.45|$3476.20|$3183.21|$3972.80|$2165.18|$2309.19|$3476.20|$3475.70|$3750.32|$2954.27
"CPT® 11719"|"HB TRIM NAIL(S) ANY NUMBER"|761.00|$143.00|$50.77|$114.40|$100.00|$99.81|$50.77|$103.25|$100.10|$91.66|$114.40|$62.35|$66.50|$100.10|$100.09|$107.99|$85.07
"CPT® 11721"|"HB DEBRIDE NAIL 6 OR MORE"|761.00|$239.00|$84.85|$191.20|$167.00|$166.82|$84.85|$172.56|$167.30|$153.20|$191.20|$104.20|$111.14|$167.30|$167.28|$180.49|$142.18
"CPT® 11730"|"HB REMOVAL OF NAIL PLATE"|761.00|$527.00|$187.09|$421.60|$369.00|$367.85|$187.09|$380.49|$368.90|$337.81|$421.60|$229.77|$245.06|$368.90|$368.85|$397.99|$313.51
"CPT® 11732"|"HB REMOVE NAIL PLATE ADD-ON"|761.00|$141.00|$50.06|$112.80|$99.00|$98.42|$50.06|$101.80|$98.70|$90.38|$112.80|$61.48|$65.57|$98.70|$98.69|$106.48|$83.88
"CPT® 11740"|"HB DRAIN BLOOD FROM UNDER NAIL"|761.00|$194.00|$68.87|$155.20|$136.00|$135.41|$68.87|$140.07|$135.80|$124.35|$155.20|$84.58|$90.21|$135.80|$135.78|$146.51|$115.41
"CPT® 20526"|"HB INJECTION, THERAPEUTIC (EG, LOCAL ANESTHETIC, CORTICOSTEROID), CARPAL TUNNEL"|761.00|$1560.00|$553.80|$1248.00|$1092.00|$1088.88|$553.80|$1126.32|$1092.00|$999.96|$1248.00|$680.16|$725.40|$1092.00|$1091.84|$1178.11|$928.04
"CPT® 25111"|"HB REMOVE WRIST TENDON LESION"|761.00|$9408.00|$3339.84|$7526.40|$6586.00|$6566.78|$3339.84|$6792.58|$6585.60|$6030.53|$7526.40|$4101.89|$4374.72|$6585.60|$6584.66|$7104.92|$5596.82
"CPT® 61210"|"HB PIERCE SKULL IMPLANT DEVICE"|761.00|$3638.00|$1291.49|$2910.40|$2547.00|$2539.32|$1291.49|$2626.64|$2546.60|$2331.96|$2910.40|$1586.17|$1691.67|$2546.60|$2546.24|$2747.42|$2164.25
"CPT® 12046"|"HB INTERMEDIATE REPAIR NECK HANDS FEET GENITALS 20.1-30 CM"|761.00|$985.00|$349.68|$788.00|$690.00|$687.53|$349.68|$711.17|$689.50|$631.39|$788.00|$429.46|$458.03|$689.50|$689.40|$743.87|$585.98
"CPT® 15740"|"HB GRAFT-ISLAND PEDICLE FLAP"|761.00|$18959.00|$6730.45|$15167.20|$13271.00|$13233.38|$6730.45|$13688.40|$13271.30|$12152.72|$15167.20|$8266.12|$8815.94|$9800.00|$13269.40|$14317.84|$11278.71
"CPT® 20690"|"HB APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM"|761.00|$6068.00|$2154.14|$4854.40|$4248.00|$4235.46|$2154.14|$4381.10|$4247.60|$3889.59|$4854.40|$2645.65|$2821.62|$4247.60|$4246.99|$4582.55|$3609.85
"CPT® 23462"|"HB REPAIR SHOULDER ANTERIOR"|761.00|$30976.00|$9800.00|$24780.80|$21683.00|$21621.25|$10996.48|$22364.67|$21683.20|$19855.62|$24780.80|$13505.54|$14403.84|$9800.00|$21680.10|$23393.08|$18427.62
"CPT® 24147"|"HB PARTIAL REMOVAL OF ELBOW"|761.00|$12124.00|$4304.02|$9699.20|$8487.00|$8462.55|$4304.02|$8753.53|$8486.80|$7771.48|$9699.20|$5286.06|$5637.66|$8486.80|$8485.59|$9156.04|$7212.57
"CPT® 24164"|"HB REMOVE RADIUS HEAD IMPLANT"|761.00|$15155.00|$5380.03|$12124.00|$10608.00|$10578.19|$5380.03|$10941.91|$10608.50|$9714.36|$12124.00|$6607.58|$7047.08|$9800.00|$10606.98|$11445.06|$9015.71
"CPT® 24344"|"HB RECONSTRUCT ELBOW LAT LIGMNT"|761.00|$24703.00|$8769.57|$19762.40|$17292.00|$17242.69|$8769.57|$17835.57|$17292.10|$15834.62|$19762.40|$10770.51|$11486.90|$9800.00|$17289.63|$18655.71|$14695.81
"CPT® 25040"|"HB EXPLORE/TREATMENT WRIST JOINT"|761.00|$14666.00|$5206.43|$11732.80|$10266.00|$10236.87|$5206.43|$10588.85|$10266.20|$9400.91|$11732.80|$6394.38|$6819.69|$9800.00|$10264.73|$11075.76|$8724.80
"CPT® 25066"|"HB BIOPSY FOREARM/WRIST DEEP"|761.00|$9564.00|$3395.22|$7651.20|$6695.00|$6675.67|$3395.22|$6905.21|$6694.80|$6130.52|$7651.20|$4169.90|$4447.26|$6694.80|$6693.84|$7222.73|$5689.62
"CPT® 25071"|"HB EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM/>"|761.00|$12593.00|$4470.52|$10074.40|$8815.00|$8789.91|$4470.52|$9092.15|$8815.10|$8072.11|$10074.40|$5490.55|$5855.75|$8815.10|$8813.84|$9510.23|$7491.58
"CPT® 25107"|"HB REMOVE WRIST JOINT CARTILAGE"|761.00|$18012.00|$6394.26|$14409.60|$12608.00|$12572.38|$6394.26|$13004.66|$12608.40|$11545.69|$14409.60|$7853.23|$8375.58|$9800.00|$12606.60|$13602.66|$10715.34
"CPT® 25110"|"HB REM WRST/FORARM TENDN LESION"|761.00|$9086.00|$3225.53|$7268.80|$6360.00|$6342.03|$3225.53|$6560.09|$6360.20|$5824.13|$7268.80|$3961.50|$4224.99|$6360.20|$6359.29|$6861.75|$5405.26
"CPT® 25120"|"HB EXCISION BONE CYST"|761.00|$17216.00|$6111.68|$13772.80|$12051.00|$12016.77|$6111.68|$12429.95|$12051.20|$11035.46|$13772.80|$7506.18|$8005.44|$9800.00|$12049.48|$13001.52|$10241.80
"CPT® 25263"|"HB REPAIR FOREARM TENDON/MUSCLE"|761.00|$15941.00|$5659.06|$12752.80|$11159.00|$11126.82|$5659.06|$11509.40|$11158.70|$10218.18|$12752.80|$6950.28|$7412.57|$9800.00|$11157.11|$12038.64|$9483.30
"CPT® 25270"|"HB REPAIR EXTENSOR-TENDON/MSCLE"|761.00|$11158.00|$3961.09|$8926.40|$7811.00|$7788.28|$3961.09|$8056.08|$7810.60|$7152.28|$8926.40|$4864.89|$5188.47|$7810.60|$7809.48|$8426.52|$6637.89
"CPT® 25312"|"HB TENDN TRNSPLT ARM/WRST EA W/GRFT"|761.00|$22318.00|$7922.89|$17854.40|$15623.00|$15577.96|$7922.89|$16113.60|$15622.60|$14305.84|$17854.40|$9730.65|$10377.87|$9800.00|$15620.37|$16854.55|$13276.98
"CPT® 25350"|"HB OSTEOTOMY RADIUS THIRD"|761.00|$15941.00|$5659.06|$12752.80|$11159.00|$11126.82|$5659.06|$11509.40|$11158.70|$10218.18|$12752.80|$6950.28|$7412.57|$9800.00|$11157.11|$12038.64|$9483.30
"CPT® 25400"|"HB REPAIR RADIUS/ULNA W/O GRAFT"|761.00|$18839.00|$6687.85|$15071.20|$13187.00|$13149.62|$6687.85|$13601.76|$13187.30|$12075.80|$15071.20|$8213.80|$8760.14|$9800.00|$13185.42|$14227.21|$11207.32
"CPT® 25430"|"HB INSERTION VASCULAR CARPAL"|761.00|$6814.00|$2418.97|$5451.20|$4770.00|$4756.17|$2418.97|$4919.71|$4769.80|$4367.77|$5451.20|$2970.90|$3168.51|$4769.80|$4769.12|$5145.93|$4053.65
"CPT® 25442"|"HB RECONSTRUCT WRIST JOINT W/PROSTHETIC REPLACEMENT; DISTAL ULNA"|761.00|$29886.00|$9800.00|$23908.80|$20920.00|$20860.43|$10609.53|$21577.69|$20920.20|$19156.93|$23908.80|$13030.30|$13896.99|$9800.00|$20917.21|$22569.91|$17779.18
"CPT® 25520"|"HB TREATMENT RADIUS FX-CLOSED"|761.00|$8906.00|$3161.63|$7124.80|$6234.00|$6216.39|$3161.63|$6430.13|$6234.20|$5708.75|$7124.80|$3883.02|$4141.29|$6234.20|$6233.31|$6725.81|$5298.18
"CPT® 25526"|"HB TREAT FRACTURE OF RADIUS"|761.00|$18053.00|$6408.82|$14442.40|$12637.00|$12600.99|$6408.82|$13034.27|$12637.10|$11571.97|$14442.40|$7871.11|$8394.65|$9800.00|$12635.29|$13633.63|$10739.73
"CPT® 25685"|"HB TREAT WRIST FRACTURE/OPN"|761.00|$14034.00|$4982.07|$11227.20|$9824.00|$9795.73|$4982.07|$10132.55|$9823.80|$8995.79|$11227.20|$6118.82|$6525.81|$9800.00|$9822.40|$10598.48|$8348.83
"CPT® 26070"|"HB EXPLORE/TREAT HAND JOINT"|761.00|$11710.00|$4157.05|$9368.00|$8197.00|$8173.58|$4157.05|$8454.62|$8197.00|$7506.11|$9368.00|$5105.56|$5445.15|$8197.00|$8195.83|$8843.39|$6966.28
"CPT® 26105"|"HB BIOPSY METACRPL JOINT EA"|761.00|$8980.00|$3187.90|$7184.00|$6286.00|$6268.04|$3187.90|$6483.56|$6286.00|$5756.18|$7184.00|$3915.28|$4175.70|$6286.00|$6285.10|$6781.70|$5342.20
"CPT® 26135"|"HB REVISE METACRPL FINGER JT EA"|761.00|$14834.00|$5266.07|$11867.20|$10384.00|$10354.13|$5266.07|$10710.15|$10383.80|$9508.59|$11867.20|$6467.62|$6897.81|$9800.00|$10382.32|$11202.64|$8824.75
"CPT® 26185"|"HB SESAMOIDECTOMY, THUMB OR FINGER"|761.00|$13132.00|$4661.86|$10505.60|$9192.00|$9166.14|$4661.86|$9481.30|$9192.40|$8417.61|$10505.60|$5725.55|$6106.38|$9192.40|$9191.09|$9917.29|$7812.23
"CPT® 26426"|"HB REPAIR EXT TENDON SEC W/BAND"|761.00|$17368.00|$6165.64|$13894.40|$12158.00|$12122.86|$6165.64|$12539.70|$12157.60|$11132.89|$13894.40|$7572.45|$8076.12|$9800.00|$12155.86|$13116.31|$10332.22
"CPT® 26474"|"HB TENODESIS OF DISTAL JOINT"|761.00|$10420.00|$3699.10|$8336.00|$7294.00|$7273.16|$3699.10|$7523.24|$7294.00|$6679.22|$8336.00|$4543.12|$4845.30|$7294.00|$7292.96|$7869.18|$6198.86
"CPT® 26478"|"HB LENGTHENING OF HAND TENDON"|761.00|$12630.00|$4483.65|$10104.00|$8841.00|$8815.74|$4483.65|$9118.86|$8841.00|$8095.83|$10104.00|$5506.68|$5872.95|$8841.00|$8839.74|$9538.18|$7513.59
"CPT® 26567"|"HB OSTEOTOMY-PHALANX FINGER"|761.00|$13893.00|$4932.02|$11114.40|$9725.00|$9697.31|$4932.02|$10030.75|$9725.10|$8905.41|$11114.40|$6057.35|$6460.25|$9725.10|$9723.71|$10491.99|$8264.95
"CPT® 26568"|"HB OSTEOPLASTY-LENGTH META/PHAN"|761.00|$22578.00|$8015.19|$18062.40|$15805.00|$15759.44|$8015.19|$16301.32|$15804.60|$14472.50|$18062.40|$9844.01|$10498.77|$9800.00|$15802.34|$17050.91|$13431.65
"CPT® 27380"|"HB SUTURE INFRAPATELLAR TENDON"|761.00|$13406.00|$4759.13|$10724.80|$9384.00|$9357.39|$4759.13|$9679.13|$9384.20|$8593.25|$10724.80|$5845.02|$6233.79|$9384.20|$9382.86|$10124.21|$7975.23
"CPT® 27420"|"HB REVISION UNSTABLE KNEECAP"|761.00|$20237.00|$7184.14|$16189.60|$14166.00|$14125.43|$7184.14|$14611.11|$14165.90|$12971.92|$16189.60|$8823.33|$9410.21|$9800.00|$14163.88|$15282.98|$12038.99
"CPT® 27422"|"HB RECONSTRUCT PATELLA W/EXTENSOR"|761.00|$19983.00|$7093.97|$15986.40|$13988.00|$13948.13|$7093.97|$14427.73|$13988.10|$12809.10|$15986.40|$8712.59|$9292.10|$9800.00|$13986.10|$15091.16|$11887.89
"CPT® 27524"|"HB TREATMENT FX PATELLA OPEN"|761.00|$16754.00|$5947.67|$13403.20|$11728.00|$11694.29|$5947.67|$12096.39|$11727.80|$10739.31|$13403.20|$7304.74|$7790.61|$9800.00|$11726.12|$12652.62|$9966.95
"CPT® 27536"|"HB BICONDYLAR OPEN TX TIBIAL FRACTURE"|761.00|$20666.00|$7336.43|$16532.80|$14466.00|$14424.87|$7336.43|$14920.85|$14466.20|$13246.91|$16532.80|$9010.38|$9609.69|$9800.00|$14464.13|$15606.96|$12294.20
"CPT® 27570"|"HB MANIPULA JOINT KNEE W/ANESTH"|761.00|$4910.00|$1743.05|$3928.00|$3437.00|$3427.18|$1743.05|$3545.02|$3437.00|$3147.31|$3928.00|$2140.76|$2283.15|$3437.00|$3436.51|$3708.03|$2920.96
"CPT® 27600"|"HB DECOMPRESSION LOWER LEG"|761.00|$7597.00|$2696.94|$6077.60|$5318.00|$5302.71|$2696.94|$5485.03|$5317.90|$4869.68|$6077.60|$3312.29|$3532.61|$5317.90|$5317.14|$5737.25|$4519.46
"CPT® 27612"|"HB EXPLORATION ANKLE JOINT"|761.00|$16632.00|$5904.36|$13305.60|$11642.00|$11609.14|$5904.36|$12008.30|$11642.40|$10661.11|$13305.60|$7251.55|$7733.88|$9800.00|$11640.74|$12560.49|$9894.38
"CPT® 27638"|"HB REMOVE/GRAFT LEG BONE LESION W ALLOGRAFT"|761.00|$18104.00|$6426.92|$14483.20|$12673.00|$12636.59|$6426.92|$13071.09|$12672.80|$11604.66|$14483.20|$7893.34|$8418.36|$9800.00|$12670.99|$13672.14|$10770.07
"CPT® 27792"|"HB TREATMENT FIBULAR FX"|761.00|$15183.00|$5389.97|$12146.40|$10628.00|$10597.73|$5389.97|$10962.13|$10628.10|$9732.30|$12146.40|$6619.79|$7060.10|$9800.00|$10626.58|$11466.20|$9032.37
"CPT® 28022"|"HB EXPLORATION  FOOT JOINT"|761.00|$6698.00|$2377.79|$5358.40|$4689.00|$4675.20|$2377.79|$4835.96|$4688.60|$4293.42|$5358.40|$2920.33|$3114.57|$4688.60|$4687.93|$5058.33|$3984.64
"CPT® 28039"|"HB EXC FOOT/TOE TUM 1.5 CM/>"|761.00|$9434.00|$3349.07|$7547.20|$6604.00|$6584.93|$3349.07|$6811.35|$6603.80|$6047.19|$7547.20|$4113.22|$4386.81|$6603.80|$6602.86|$7124.56|$5612.29
"CPT® 28070"|"HB REMOVAL OF FOOT JOINT LINING"|761.00|$6509.00|$2310.70|$5207.20|$4556.00|$4543.28|$2310.70|$4699.50|$4556.30|$4172.27|$5207.20|$2837.92|$3026.69|$4556.30|$4555.65|$4915.60|$3872.20
"CPT® 28086"|"HB SYNOVECTOMY TENDON FT FLEXOR"|761.00|$8108.00|$2878.34|$6486.40|$5676.00|$5659.38|$2878.34|$5853.98|$5675.60|$5197.23|$6486.40|$3535.09|$3770.22|$5675.60|$5674.79|$6123.16|$4823.45
"CPT® 28092"|"HB EXCISION LESION TENDON TOE"|761.00|$6107.00|$2167.99|$4885.60|$4275.00|$4262.69|$2167.99|$4409.25|$4274.90|$3914.59|$4885.60|$2662.65|$2839.76|$4274.90|$4274.29|$4612.01|$3633.05
"CPT® 28100"|"HB EXCISION BONE CYST/TUMOR"|761.00|$7851.00|$2787.11|$6280.80|$5496.00|$5480.00|$2787.11|$5668.42|$5495.70|$5032.49|$6280.80|$3423.04|$3650.72|$5495.70|$5494.91|$5929.08|$4670.56
"CPT® 28108"|"HB EXCISION BONE CYST PHALNGS FT"|761.00|$5552.00|$1970.96|$4441.60|$3886.00|$3875.30|$1970.96|$4008.54|$3886.40|$3558.83|$4441.60|$2420.67|$2581.68|$3886.40|$3885.84|$4192.87|$3302.88
"CPT® 28113"|"HB OSTECTOMY CMPLT EXCIS 5TH HD"|761.00|$8005.00|$2841.78|$6404.00|$5604.00|$5587.49|$2841.78|$5779.61|$5603.50|$5131.21|$6404.00|$3490.18|$3722.33|$5603.50|$5602.70|$6045.38|$4762.17
"CPT® 28208"|"HB REPAIR TENDON EXTENSOR FOOT"|761.00|$5579.00|$1980.55|$4463.20|$3905.00|$3894.14|$1980.55|$4028.04|$3905.30|$3576.14|$4463.20|$2432.44|$2594.24|$3905.30|$3904.74|$4213.26|$3318.95
"CPT® 28297"|"HB CORRECTION HALX VALG LAPIDUS"|761.00|$12474.00|$4428.27|$9979.20|$8732.00|$8706.85|$4428.27|$9006.23|$8731.80|$7995.83|$9979.20|$5438.66|$5800.41|$8731.80|$8730.55|$9420.36|$7420.78
"CPT® 28310"|"HB REVISION OF BIG TOE"|761.00|$6029.00|$2140.30|$4823.20|$4220.00|$4208.24|$2140.30|$4352.94|$4220.30|$3864.59|$4823.20|$2628.64|$2803.49|$4220.30|$4219.70|$4553.10|$3586.65
"CPT® 28320"|"HB REPAIR NONUNION OT MALUNION, TARSAL BONES"|761.00|$8316.00|$2952.18|$6652.80|$5821.00|$5804.57|$2952.18|$6004.15|$5821.20|$5330.56|$6652.80|$3625.78|$3866.94|$5821.20|$5820.37|$6280.24|$4947.19
"CPT® 28322"|"HB REPAIR NON/MALUN MATATARSAL"|761.00|$7484.00|$2656.82|$5987.20|$5239.00|$5223.83|$2656.82|$5403.45|$5238.80|$4797.24|$5987.20|$3263.02|$3480.06|$5238.80|$5238.05|$5651.92|$4452.23
"CPT® 28415"|"HB OPEN TREATMENT CALCANEAL FRACTURE"|761.00|$19847.00|$7045.69|$15877.60|$13893.00|$13853.21|$7045.69|$14329.53|$13892.90|$12721.93|$15877.60|$8653.29|$9228.86|$9800.00|$13890.92|$14988.45|$11806.98
"CPT® 28445"|"HB TREATMENT TALUS FX OPEN"|761.00|$18524.00|$6576.02|$14819.20|$12967.00|$12929.75|$6576.02|$13374.33|$12966.80|$11873.88|$14819.20|$8076.46|$8613.66|$9800.00|$12964.95|$13989.32|$11019.93
"CPT® 28446"|"HB OSTEOCHONDRAL TALUS AUTOGRFT"|761.00|$19847.00|$7045.69|$15877.60|$13893.00|$13853.21|$7045.69|$14329.53|$13892.90|$12721.93|$15877.60|$8653.29|$9228.86|$9800.00|$13890.92|$14988.45|$11806.98
"CPT® 28725"|"HB FUSION OF FOOT BONES; ARTHRODESIS; SUBTALAR"|761.00|$19318.00|$6857.89|$15454.40|$13523.00|$13483.96|$6857.89|$13947.60|$13522.60|$12382.84|$15454.40|$8422.65|$8982.87|$9800.00|$13520.67|$14588.95|$11492.28
"CPT® 29819"|"HB ARTHROSCOPY SHOULD REMOVAL"|761.00|$20934.00|$7431.57|$16747.20|$14654.00|$14611.93|$7431.57|$15114.35|$14653.80|$13418.69|$16747.20|$9127.22|$9734.31|$9800.00|$14651.71|$15809.36|$12453.64
"CPT® 29825"|"HB SHOULDER ARTHROSCOPY"|761.00|$22623.00|$8031.17|$18098.40|$15836.00|$15790.85|$8031.17|$16333.81|$15836.10|$14501.34|$18098.40|$9863.63|$10519.70|$9800.00|$15833.84|$17084.89|$13458.42
"CPT® 29840"|"HB ARTHROSCOPY WRIST W/WO SYNOVIAL BIOPSY"|761.00|$13506.00|$4794.63|$10804.80|$9454.00|$9427.19|$4794.63|$9751.33|$9454.20|$8657.35|$10804.80|$5888.62|$6280.29|$9454.20|$9452.85|$10199.73|$8034.72
"CPT® 29866"|"HB ARTHSC IMPLNT KNEE W/SCOPE"|761.00|$32076.00|$9800.00|$25660.80|$22453.00|$22389.05|$11386.98|$23158.87|$22453.20|$20560.72|$25660.80|$13985.14|$14915.34|$9800.00|$22449.99|$24223.80|$19082.01
"CPT® 29892"|"HB ANKLE ARTHROSCOPY/SURGERY"|761.00|$27688.00|$9800.00|$22150.40|$19382.00|$19326.22|$9829.24|$19990.74|$19381.60|$17748.01|$22150.40|$12071.97|$12874.92|$9800.00|$19378.83|$20909.98|$16471.59
"CPT® 29901"|"HB ARTHROSCOPY METACARPO JOINT"|761.00|$19584.00|$6952.32|$15667.20|$13709.00|$13669.63|$6952.32|$14139.65|$13708.80|$12553.34|$15667.20|$8538.62|$9106.56|$9800.00|$13706.84|$14789.84|$11650.52
"CPT® 29999"|"HB ARTHROSCOPY OF JOINT"|761.00|$17870.00|$6343.85|$14296.00|$12509.00|$12473.26|$6343.85|$12902.14|$12509.00|$11454.67|$14296.00|$7791.32|$8309.55|$9800.00|$12507.21|$13495.42|$10630.86
"CPT® 50590"|"HB FRAGMENT KIDNEY STONE/ ESWL"|761.00|$11064.00|$3927.72|$8851.20|$7745.00|$7722.67|$3927.72|$7988.21|$7744.80|$7092.02|$8851.20|$4823.90|$5144.76|$7744.80|$7743.69|$8355.53|$6581.97
"CPT® 11750"|"HB REMOVAL OF NAIL BED"|761.00|$2416.00|$857.68|$1932.80|$1691.00|$1686.37|$857.68|$1744.35|$1691.20|$1548.66|$1932.80|$1053.38|$1123.44|$1691.20|$1690.96|$1824.56|$1437.28
"CPT® 11755"|"HB BIOPSY NAIL UNIT"|761.00|$1646.00|$584.33|$1316.80|$1152.00|$1148.91|$584.33|$1188.41|$1152.20|$1055.09|$1316.80|$717.66|$765.39|$1152.20|$1152.04|$1243.06|$979.21
"CPT® 11760"|"HB REPAIR OF NAIL BED"|761.00|$668.00|$237.14|$534.40|$468.00|$466.26|$237.14|$482.30|$467.60|$428.19|$534.40|$291.25|$310.62|$467.60|$467.53|$504.47|$397.39
"CPT® 11762"|"HB RECONSTRUCTION OF NAIL BED"|761.00|$3142.00|$1115.41|$2513.60|$2199.00|$2193.12|$1115.41|$2268.52|$2199.40|$2014.02|$2513.60|$1369.91|$1461.03|$2199.40|$2199.09|$2372.84|$1869.18
"CPT® 11765"|"HB EXCISION OF NAIL FOLD TOE"|761.00|$394.00|$139.87|$315.20|$276.00|$275.01|$139.87|$284.47|$275.80|$252.55|$315.20|$171.78|$183.21|$275.80|$275.76|$297.55|$234.39
"CPT® 12001"|"HB RPR S/N/AX/GEN/TRNK 2.5CM/<"|761.00|$438.00|$155.49|$350.40|$307.00|$305.72|$155.49|$316.24|$306.60|$280.76|$350.40|$190.97|$203.67|$306.60|$306.56|$330.78|$260.57
"CPT® 12002"|"HB RPR S/N/AX/GEN/TRNK2.6-7.5CM"|761.00|$453.00|$160.82|$362.40|$317.00|$316.19|$160.82|$327.07|$317.10|$290.37|$362.40|$197.51|$210.65|$317.10|$317.05|$342.11|$269.49
"CPT® 12004"|"HB RPR S/N/AX/GEN/TRK7.6-12.5CM"|761.00|$464.00|$164.72|$371.20|$325.00|$323.87|$164.72|$335.01|$324.80|$297.42|$371.20|$202.30|$215.76|$324.80|$324.75|$350.41|$276.03
"CPT® 12005"|"HB RPR S/N/A/GEN/TRK12.6-20.0CM"|761.00|$628.00|$222.94|$502.40|$440.00|$438.34|$222.94|$453.42|$439.60|$402.55|$502.40|$273.81|$292.02|$439.60|$439.54|$474.27|$373.60
"CPT® 12011"|"HB RPR F/E/E/N/L/M 2.5 CM/<"|761.00|$924.00|$328.02|$739.20|$647.00|$644.95|$328.02|$667.13|$646.80|$592.28|$739.20|$402.86|$429.66|$646.80|$646.71|$697.80|$549.69
"CPT® 12013"|"HB RPR F/E/E/N/L/M 2.6-5.0 CM"|761.00|$1030.00|$365.65|$824.00|$721.00|$718.94|$365.65|$743.66|$721.00|$660.23|$824.00|$449.08|$478.95|$721.00|$720.90|$777.86|$612.75
"CPT® 12014"|"HB RPR F/E/E/N/L/M 5.1-7.5 CM"|761.00|$1182.00|$419.61|$945.60|$827.00|$825.04|$419.61|$853.40|$827.40|$757.66|$945.60|$515.35|$549.63|$827.40|$827.28|$892.65|$703.17
"CPT® 12015"|"HB RPR F/E/E/N/L/M 7.6-12.5 CM"|761.00|$1196.00|$424.58|$956.80|$837.00|$834.81|$424.58|$863.51|$837.20|$766.64|$956.80|$521.46|$556.14|$837.20|$837.08|$903.22|$711.50
"CPT® 12016"|"HB RPR FE/E/EN/L/M 12.6-20.0 CM"|761.00|$1254.00|$445.17|$1003.20|$878.00|$875.29|$445.17|$905.39|$877.80|$803.81|$1003.20|$546.74|$583.11|$877.80|$877.67|$947.02|$746.00
"CPT® 12017"|"HB RPR FE/E/EN/L/M 20.1-30.0 CM"|761.00|$1287.00|$456.89|$1029.60|$901.00|$898.33|$456.89|$929.21|$900.90|$824.97|$1029.60|$561.13|$598.46|$900.90|$900.77|$971.94|$765.64
"CPT® 12020"|"HB CLOSURE OF SPLIT WOUND SIMPLE"|761.00|$790.00|$280.45|$632.00|$553.00|$551.42|$280.45|$570.38|$553.00|$506.39|$632.00|$344.44|$367.35|$553.00|$552.92|$596.61|$469.97
"CPT® 12021"|"HB CLOSURE OF SPLIT WOUND SIMPLE WITH PACKING"|761.00|$790.00|$280.45|$632.00|$553.00|$551.42|$280.45|$570.38|$553.00|$506.39|$632.00|$344.44|$367.35|$553.00|$552.92|$596.61|$469.97
"CPT® 12031"|"HB INTMD RPR S/A/T/EXT 2.5 CM/<"|761.00|$878.00|$311.69|$702.40|$615.00|$612.84|$311.69|$633.92|$614.60|$562.80|$702.40|$382.81|$408.27|$614.60|$614.51|$663.07|$522.32
"CPT® 12032"|"HB INTMD RPR S/A/T/EXT 2.6-7.5"|761.00|$1128.00|$400.44|$902.40|$790.00|$787.34|$400.44|$814.42|$789.60|$723.05|$902.40|$491.81|$524.52|$789.60|$789.49|$851.87|$671.05
"CPT® 12034"|"HB INTMD RPR S/TR/EXT 7.6-12.5"|761.00|$1362.00|$483.51|$1089.60|$953.00|$950.68|$483.51|$983.36|$953.40|$873.04|$1089.60|$593.83|$633.33|$953.40|$953.26|$1028.58|$810.25
"CPT® 12035"|"HB INTMD RPR S/A/T/EXT 12.6-20"|761.00|$1408.00|$499.84|$1126.40|$986.00|$982.78|$499.84|$1016.58|$985.60|$902.53|$1126.40|$613.89|$654.72|$985.60|$985.46|$1063.32|$837.62
"CPT® 12036"|"HB INTMD RPR S/A/T/EXT 20.1-30"|761.00|$1452.00|$515.46|$1161.60|$1016.00|$1013.50|$515.46|$1048.34|$1016.40|$930.73|$1161.60|$633.07|$675.18|$1016.40|$1016.25|$1096.55|$863.79
"CPT® 12037"|"HB INTMD RPR S/TR/EXT >30.0 CM"|761.00|$3025.00|$1073.88|$2420.00|$2118.00|$2111.45|$1073.88|$2184.05|$2117.50|$1939.03|$2420.00|$1318.90|$1406.63|$2117.50|$2117.20|$2284.48|$1799.57
"CPT® 12041"|"HB INTMD RPR N-HF/GENIT 2.5CM/<"|761.00|$1641.00|$582.56|$1312.80|$1149.00|$1145.42|$582.56|$1184.80|$1148.70|$1051.88|$1312.80|$715.48|$763.07|$1148.70|$1148.54|$1239.28|$976.23
"CPT® 12042"|"HB INTMD RPR N-HF/GENIT2.6-7.5"|761.00|$1876.00|$665.98|$1500.80|$1313.00|$1309.45|$665.98|$1354.47|$1313.20|$1202.52|$1500.80|$817.94|$872.34|$1313.20|$1313.01|$1416.76|$1116.03
"CPT® 12044"|"HB INTMD RPR N-HF/GENIT7.6-12.5"|761.00|$2310.00|$820.05|$1848.00|$1617.00|$1612.38|$820.05|$1667.82|$1617.00|$1480.71|$1848.00|$1007.16|$1074.15|$1617.00|$1616.77|$1744.51|$1374.22
"CPT® 12045"|"HB INTMD RPR N-HF/GENIT12.6-20"|761.00|$2628.00|$932.94|$2102.40|$1840.00|$1834.34|$932.94|$1897.42|$1839.60|$1684.55|$2102.40|$1145.81|$1222.02|$1839.60|$1839.34|$1984.67|$1563.40
"CPT® 12051"|"HB INTMD RPR FACE/MM 2.5 CM/<"|761.00|$1154.00|$409.67|$923.20|$808.00|$805.49|$409.67|$833.19|$807.80|$739.71|$923.20|$503.14|$536.61|$807.80|$807.68|$871.50|$686.51
"CPT® 12052"|"HB INTMD RPR FACE/MM 2.6-5.0 CM"|761.00|$1306.00|$463.63|$1044.80|$914.00|$911.59|$463.63|$942.93|$914.20|$837.15|$1044.80|$569.42|$607.29|$914.20|$914.07|$986.29|$776.94
"CPT® 12053"|"HB INTMD RPR FACE/MM 5.1-7.5 CM"|761.00|$1524.00|$541.02|$1219.20|$1067.00|$1063.75|$541.02|$1100.33|$1066.80|$976.88|$1219.20|$664.46|$708.66|$1066.80|$1066.65|$1150.92|$906.63
"CPT® 12054"|"HB INTMD RPR FACE/MM 7.6-12.5CM"|761.00|$1716.00|$609.18|$1372.80|$1201.00|$1197.77|$609.18|$1238.95|$1201.20|$1099.96|$1372.80|$748.18|$797.94|$1201.20|$1201.03|$1295.92|$1020.85
"CPT® 12055"|"HB INTMD RPR FACE/MM 12.6-20 CM"|761.00|$1848.00|$656.04|$1478.40|$1294.00|$1289.90|$656.04|$1334.26|$1293.60|$1184.57|$1478.40|$805.73|$859.32|$1293.60|$1293.42|$1395.61|$1099.38
"CPT® 13121"|"HB CMPLX RPR S/A/L 2.6-7.5 CM"|761.00|$896.00|$318.08|$716.80|$627.00|$625.41|$318.08|$646.91|$627.20|$574.34|$716.80|$390.66|$416.64|$627.20|$627.11|$676.66|$533.03
"CPT® 13131"|"HB COMPLEX SUTURE, HEAD, HANDS, FEET, 1.1 TO 2.5 CM"|761.00|$837.00|$297.14|$669.60|$586.00|$584.23|$297.14|$604.31|$585.90|$536.52|$669.60|$364.93|$389.21|$585.90|$585.82|$632.10|$497.93
"CPT® 13132"|"HB COMPLEX SUTURE, HEAD, HANDS, FEET, 2.6 TO 7.5 CM"|761.00|$1282.00|$455.11|$1025.60|$897.00|$894.84|$455.11|$925.60|$897.40|$821.76|$1025.60|$558.95|$596.13|$897.40|$897.27|$968.17|$762.66
"CPT® 13133"|"HB REPAIR WOUND/LESION ADD-ON"|761.00|$456.00|$161.88|$364.80|$319.00|$318.29|$161.88|$329.23|$319.20|$292.30|$364.80|$198.82|$212.04|$319.20|$319.15|$344.37|$271.27
"CPT® 13151"|"HB CMPLX RPR E/N/E/L 1.1-2.5 CM"|761.00|$1154.00|$409.67|$923.20|$808.00|$805.49|$409.67|$833.19|$807.80|$739.71|$923.20|$503.14|$536.61|$807.80|$807.68|$871.50|$686.51
"CPT® 13152"|"HB CMPLX RPR E/N/E/L 2.6-7.5 CM"|761.00|$1344.00|$477.12|$1075.20|$941.00|$938.11|$477.12|$970.37|$940.80|$861.50|$1075.20|$585.98|$624.96|$940.80|$940.67|$1014.99|$799.55
"CPT® 13153"|"HB CMPLX RPR E/N/E/L ADDL 5CM/<"|761.00|$786.00|$279.03|$628.80|$550.00|$548.63|$279.03|$567.49|$550.20|$503.83|$628.80|$342.70|$365.49|$550.20|$550.12|$593.59|$467.59
"CPT® 14020"|"HB TIS TRNFR S/A/L 10 SQ CM/<"|761.00|$8572.00|$3043.06|$6857.60|$6000.00|$5983.26|$3043.06|$6188.98|$6000.40|$5494.65|$6857.60|$3737.39|$3985.98|$6000.40|$5999.54|$6473.57|$5099.48
"CPT® 14040"|"HB SKIN TISS REA C/C/M <10SQC"|761.00|$8389.00|$2978.10|$6711.20|$5872.00|$5855.52|$2978.10|$6056.86|$5872.30|$5377.35|$6711.20|$3657.60|$3900.89|$5872.30|$5871.46|$6335.37|$4990.62
"CPT® 14041"|"HB SKIN TISS REA C/C/M 10.1-30"|761.00|$8802.00|$3124.71|$7041.60|$6161.00|$6143.80|$3124.71|$6355.04|$6161.40|$5642.08|$7041.60|$3837.67|$4092.93|$6161.40|$6160.52|$6647.27|$5236.31
"CPT® 15240"|"HB SKIN FULL GRFT FACE/GENIT/HF"|761.00|$12691.00|$4505.31|$10152.80|$8884.00|$8858.32|$4505.31|$9162.90|$8883.70|$8134.93|$10152.80|$5533.28|$5901.32|$8883.70|$8882.43|$9584.24|$7549.88
"CPT® 15275"|"HB SKIN SUB GRAFT FACE/NK/HF/G"|761.00|$4794.00|$1701.87|$3835.20|$3356.00|$3346.21|$1701.87|$3461.27|$3355.80|$3072.95|$3835.20|$2090.18|$2229.21|$3355.80|$3355.32|$3620.43|$2851.95
"CPT® 15574"|"HB PEDCLE FH/CH/CH/M/N/AX/G/H/F"|761.00|$16922.00|$6007.31|$13537.60|$11845.00|$11811.56|$6007.31|$12217.68|$11845.40|$10847.00|$13537.60|$7377.99|$7868.73|$9800.00|$11843.71|$12779.49|$10066.90
"CPT® 15620"|"HB DELAY FLAP F/C/C/N/AX/G/H/F"|761.00|$9636.00|$3420.78|$7708.80|$6745.00|$6725.93|$3420.78|$6957.19|$6745.20|$6176.68|$7708.80|$4201.30|$4480.74|$6745.20|$6744.24|$7277.11|$5732.46
"CPT® 15850"|"HB REMOVE SUTURES SAME SURGEON"|761.00|$1801.00|$639.36|$1440.80|$1261.00|$1257.10|$639.36|$1300.32|$1260.70|$1154.44|$1440.80|$785.24|$837.47|$1260.70|$1260.52|$1360.12|$1071.41
"CPT® 15852"|"HB DRESSING CHANGE NOT FOR BURN"|761.00|$1244.00|$441.62|$995.20|$871.00|$868.31|$441.62|$898.17|$870.80|$797.40|$995.20|$542.38|$578.46|$870.80|$870.68|$939.47|$740.06
"CPT® 16000"|"HB INITIAL TREATMENT OF BURN(S)"|761.00|$282.00|$100.11|$225.60|$197.00|$196.84|$100.11|$203.60|$197.40|$180.76|$225.60|$122.95|$131.13|$197.40|$197.37|$212.97|$167.76
"CPT® 16020"|"HB DRESS/DEBRID P-THICK BURN S"|761.00|$364.00|$129.22|$291.20|$255.00|$254.07|$129.22|$262.81|$254.80|$233.32|$291.20|$158.70|$169.26|$254.80|$254.76|$274.89|$216.54
"CPT® 16025"|"HB DRESS/DEBRID P-THICK BURN M"|761.00|$429.00|$152.30|$343.20|$300.00|$299.44|$152.30|$309.74|$300.30|$274.99|$343.20|$187.04|$199.49|$300.30|$300.26|$323.98|$255.21
"CPT® 17110"|"HB DESTRUCT B9 LESION 1-14"|761.00|$3394.00|$1204.87|$2715.20|$2376.00|$2369.01|$1204.87|$2450.47|$2375.80|$2175.55|$2715.20|$1479.78|$1578.21|$2375.80|$2375.46|$2563.15|$2019.09
"CPT® 17999"|"HB UNLISTED, SKIN TISSUE PROCEDURE"|761.00|$3309.00|$1174.70|$2647.20|$2316.00|$2309.68|$1174.70|$2389.10|$2316.30|$2121.07|$2647.20|$1442.72|$1538.69|$2316.30|$2315.97|$2498.96|$1968.52
"CPT® 19000"|"HB PUNCTURE ASPIRATION OF CYST, BREAST"|761.00|$830.00|$294.65|$664.00|$581.00|$579.34|$294.65|$599.26|$581.00|$532.03|$664.00|$361.88|$385.95|$581.00|$580.92|$626.82|$493.77
"CPT® 19001"|"HB PUNCTURE ASPIRATION OF CYST, BREAST EACH ADD'L CYST"|761.00|$276.00|$97.98|$220.80|$193.00|$192.65|$97.98|$199.27|$193.20|$176.92|$220.80|$120.34|$128.34|$193.20|$193.17|$208.44|$164.19
"CPT® 19081"|"HB BX BREAST 1ST LESION STRTCTC"|761.00|$8577.00|$3044.84|$6861.60|$6004.00|$5986.75|$3044.84|$6192.59|$6003.90|$5497.86|$6861.60|$3739.57|$3988.31|$6003.90|$6003.04|$6477.35|$5102.46
"CPT® 19082"|"HB BX BREAST ADD LESION STRTCTC"|761.00|$5784.00|$2053.32|$4627.20|$4049.00|$4037.23|$2053.32|$4176.05|$4048.80|$3707.54|$4627.20|$2521.82|$2689.56|$4048.80|$4048.22|$4368.08|$3440.90
"CPT® 19083"|"HB BX BREAST 1ST LESION US IMAG"|761.00|$9514.00|$3377.47|$7611.20|$6660.00|$6640.77|$3377.47|$6869.11|$6659.80|$6098.47|$7611.20|$4148.10|$4424.01|$6659.80|$6658.85|$7184.97|$5659.88
"CPT® 19084"|"HB BX BREAST ADD LESION US IMAG"|761.00|$4717.00|$1674.54|$3773.60|$3302.00|$3292.47|$1674.54|$3405.67|$3301.90|$3023.60|$3773.60|$2056.61|$2193.41|$3301.90|$3301.43|$3562.28|$2806.14
"CPT® 19281"|"HB PERCUTENEOUS DEVICE BREAST 1ST LESION; MAMMO GUIDED"|761.00|$6457.00|$2292.24|$5165.60|$4520.00|$4506.99|$2292.24|$4661.95|$4519.90|$4138.94|$5165.60|$2815.25|$3002.51|$4519.90|$4519.25|$4876.33|$3841.27
"CPT® 19282"|"HB PERQ DEVICE BREAST EA IMAG"|761.00|$2003.00|$711.07|$1602.40|$1402.00|$1398.09|$711.07|$1446.17|$1402.10|$1283.92|$1602.40|$873.31|$931.40|$1402.10|$1401.90|$1512.67|$1191.58
"CPT® 19285"|"HB PERCUTENEOUS DEVICE BREAST 1ST LESION; ULTRASOUND GUIDED"|761.00|$4086.00|$1450.53|$3268.80|$2860.00|$2852.03|$1450.53|$2950.09|$2860.20|$2619.13|$3268.80|$1781.50|$1899.99|$2860.20|$2859.79|$3085.75|$2430.76
"CPT® 19286"|"HB PERQ DEV BREAST ADD US IMAG"|761.00|$2204.00|$782.42|$1763.20|$1543.00|$1538.39|$782.42|$1591.29|$1542.80|$1412.76|$1763.20|$960.94|$1024.86|$1542.80|$1542.58|$1664.46|$1311.16
"CPT® 20103"|"HB EXPLORE WOUND EXTREMITY"|761.00|$11754.00|$4172.67|$9403.20|$8228.00|$8204.29|$4172.67|$8486.39|$8227.80|$7534.31|$9403.20|$5124.74|$5465.61|$8227.80|$8226.62|$8876.62|$6992.45
"CPT® 20206"|"HB BIOPSY, MUSCLE; PERCUTANEOUS NEEDLE"|761.00|$1058.00|$375.59|$846.40|$741.00|$738.48|$375.59|$763.88|$740.60|$678.18|$846.40|$461.29|$491.97|$740.60|$740.49|$799.00|$629.40
"CPT® 20240"|"HB BONE BIOPSY OPEN; SUPERFICIAL"|761.00|$4830.00|$1714.65|$3864.00|$3381.00|$3371.34|$1714.65|$3487.26|$3381.00|$3096.03|$3864.00|$2105.88|$2245.95|$3381.00|$3380.52|$3647.62|$2873.37
"CPT® 20501"|"HB INJECTION OF SINUS TRACT; DIAGNOSTIC/SINOGRAM"|761.00|$571.00|$202.71|$456.80|$400.00|$398.56|$202.71|$412.26|$399.70|$366.01|$456.80|$248.96|$265.52|$399.70|$399.64|$431.22|$339.69
"CPT® 20520"|"HB REMOVAL FOREIGN BODY MUSCLE/TENDON; SIMPLE"|761.00|$3636.00|$1290.78|$2908.80|$2545.00|$2537.93|$1290.78|$2625.19|$2545.20|$2330.68|$2908.80|$1585.30|$1690.74|$2545.20|$2544.84|$2745.91|$2163.06
"CPT® 20525"|"HB REMOVAL FOREIGN BODY MUSCLE/TENDON; DEEP/COMPLICATED"|761.00|$6381.00|$2265.26|$5104.80|$4467.00|$4453.94|$2265.26|$4607.08|$4466.70|$4090.22|$5104.80|$2782.12|$2967.17|$4466.70|$4466.06|$4818.93|$3796.06
"CPT® 20550"|"HB INJ TENDON SHEATH/LIGAMENT"|761.00|$559.00|$198.45|$447.20|$391.00|$390.18|$198.45|$403.60|$391.30|$358.32|$447.20|$243.72|$259.94|$391.30|$391.24|$422.16|$332.55
"CPT® 20551"|"HB INJ TENDON ORIGIN/INSERTION"|761.00|$573.00|$203.42|$458.40|$401.00|$399.95|$203.42|$413.71|$401.10|$367.29|$458.40|$249.83|$266.45|$401.10|$401.04|$432.73|$340.88
"CPT® 20552"|"HB INJ TRIGGER POINT 1/2 MUSCL"|761.00|$1251.00|$444.11|$1000.80|$876.00|$873.20|$444.11|$903.22|$875.70|$801.89|$1000.80|$545.44|$581.72|$875.70|$875.57|$944.76|$744.22
"CPT® 20553"|"HB INJECTIONS, SINGLE OR MULTIPLE TRIGGER POINTS, 3 OR MORE MUSCLES"|761.00|$1160.00|$411.80|$928.00|$812.00|$809.68|$411.80|$837.52|$812.00|$743.56|$928.00|$505.76|$539.40|$812.00|$811.88|$876.03|$690.08
"CPT® 20600"|"HB ARTHROCENTESIS, ASPIRATION/INJECTION; SMALL JOINT W/O US"|761.00|$508.00|$180.34|$406.40|$356.00|$354.58|$180.34|$366.78|$355.60|$325.63|$406.40|$221.49|$236.22|$355.60|$355.55|$383.64|$302.21
"CPT® 20605"|"HB ARTHROCENTESIS, ASPIRATION/INJECTION; INTERMEDIATE JOINT/BURSA"|761.00|$573.00|$203.42|$458.40|$401.00|$399.95|$203.42|$413.71|$401.10|$367.29|$458.40|$249.83|$266.45|$401.10|$401.04|$432.73|$340.88
"CPT® 20610"|"HB ARTHROCENTESIS, ASPIRATION/INJECTION; MAJOR JOINT/BURSA"|761.00|$634.00|$225.07|$507.20|$444.00|$442.53|$225.07|$457.75|$443.80|$406.39|$507.20|$276.42|$294.81|$443.80|$443.74|$478.80|$377.17
"CPT® 20650"|"HB INSERT AND REMOVE BONE PIN"|761.00|$9424.00|$3345.52|$7539.20|$6597.00|$6577.95|$3345.52|$6804.13|$6596.80|$6040.78|$7539.20|$4108.86|$4382.16|$6596.80|$6595.86|$7117.00|$5606.34
"CPT® 20670"|"HB REMOVAL SUPPORT IMPLANT"|761.00|$5736.00|$2036.28|$4588.80|$4015.00|$4003.73|$2036.28|$4141.39|$4015.20|$3676.78|$4588.80|$2500.90|$2667.24|$4015.20|$4014.63|$4331.83|$3412.35
"CPT® 20680"|"HB REMOVE IMPLANT-DEEP"|761.00|$8338.00|$2959.99|$6670.40|$5837.00|$5819.92|$2959.99|$6020.04|$5836.60|$5344.66|$6670.40|$3635.37|$3877.17|$5836.60|$5835.77|$6296.86|$4960.28
"CPT® 21310"|"HB CLOSED TX NOSE FX W/O MANJ"|761.00|$2030.00|$720.65|$1624.00|$1421.00|$1416.94|$720.65|$1465.66|$1421.00|$1301.23|$1624.00|$885.08|$943.95|$1421.00|$1420.80|$1533.06|$1207.65
"CPT® 21480"|"HB REDUCT DISLOCATED JAW; INITIAL OR SUBSEQUENT"|761.00|$625.00|$221.88|$500.00|$438.00|$436.25|$221.88|$451.25|$437.50|$400.63|$500.00|$272.50|$290.63|$437.50|$437.44|$472.00|$371.81
"CPT® 21550"|"HB BIOPSY OF NECK/CHEST"|761.00|$3142.00|$1115.41|$2513.60|$2199.00|$2193.12|$1115.41|$2268.52|$2199.40|$2014.02|$2513.60|$1369.91|$1461.03|$2199.40|$2199.09|$2372.84|$1869.18
"CPT® 23500"|"HB CLAVICLE FRACTURE; WITHOUT MANIPULATION"|761.00|$486.00|$172.53|$388.80|$340.00|$339.23|$172.53|$350.89|$340.20|$311.53|$388.80|$211.90|$225.99|$340.20|$340.15|$367.03|$289.12
"CPT® 23605"|"HB HUMERUS PROXIMAL FRACTURE; WITH MANIPULATION; W/ OR W/O TRACTION"|761.00|$3394.00|$1204.87|$2715.20|$2376.00|$2369.01|$1204.87|$2450.47|$2375.80|$2175.55|$2715.20|$1479.78|$1578.21|$2375.80|$2375.46|$2563.15|$2019.09
"CPT® 23650"|"HB SHOULDER DISLOCATION; WITH MANIPULATION; W/O ANESTHESIA"|761.00|$1025.00|$363.88|$820.00|$718.00|$715.45|$363.88|$740.05|$717.50|$657.03|$820.00|$446.90|$476.63|$717.50|$717.40|$774.08|$609.77
"CPT® 23665"|"HB SHOULDER DISLOCATION W/FRACTURE, GREATER HUMERAL TUBEROSITY; W/MANIPULATION"|761.00|$1590.00|$564.45|$1272.00|$1113.00|$1109.82|$564.45|$1147.98|$1113.00|$1019.19|$1272.00|$693.24|$739.35|$1113.00|$1112.84|$1200.77|$945.89
"CPT® 24357"|"HB REPAIR TENOTOMY ELBOW; PERCUTANEOUS"|761.00|$13472.00|$4782.56|$10777.60|$9430.00|$9403.46|$4782.56|$9726.78|$9430.40|$8635.55|$10777.60|$5873.79|$6264.48|$9430.40|$9429.05|$10174.05|$8014.49
"CPT® 24505"|"HB HUMERUS SHAFT FRACTURE, WITH MANIPULATION; W/ OR W/O TRACTION"|761.00|$1018.00|$361.39|$814.40|$713.00|$710.56|$361.39|$735.00|$712.60|$652.54|$814.40|$443.85|$473.37|$712.60|$712.50|$768.79|$605.61
"CPT® 24565"|"HB HUMERUS EPICONDYLAR FRACTURE, WITH MANIPULATION"|761.00|$867.00|$307.79|$693.60|$607.00|$605.17|$307.79|$625.97|$606.90|$555.75|$693.60|$378.01|$403.16|$606.90|$606.81|$654.76|$515.78
"CPT® 24600"|"HB ELBOW DISLOCATION; WITHOUT ANESTHESIA"|761.00|$2121.00|$752.96|$1696.80|$1485.00|$1480.46|$752.96|$1531.36|$1484.70|$1359.56|$1696.80|$924.76|$986.27|$1484.70|$1484.49|$1601.78|$1261.78
"CPT® 24640"|"HB ELBOW DISLOCATION RADIAL HEAD; WITH MANIPULATION"|761.00|$864.00|$306.72|$691.20|$605.00|$603.07|$306.72|$623.81|$604.80|$553.82|$691.20|$376.70|$401.76|$604.80|$604.71|$652.49|$513.99
"CPT® 25028"|"HB DRAINAGE OF FOREARM LESION"|761.00|$10784.00|$3828.32|$8627.20|$7549.00|$7527.23|$3828.32|$7786.05|$7548.80|$6912.54|$8627.20|$4701.82|$5014.56|$7548.80|$7547.72|$8144.08|$6415.40
"CPT® 25065"|"HB BIOPSY FOREARM SOFT TISSUES SUPERFICIAL"|761.00|$2042.00|$724.91|$1633.60|$1429.00|$1425.32|$724.91|$1474.32|$1429.40|$1308.92|$1633.60|$890.31|$949.53|$1429.40|$1429.20|$1542.12|$1214.79
"CPT® 25073"|"HB EXC FOREARM TUM DEEP 3 CM/>"|761.00|$17535.00|$6224.93|$14028.00|$12274.00|$12239.43|$6224.93|$12660.27|$12274.50|$11239.94|$14028.00|$7645.26|$8153.78|$9800.00|$12272.75|$13242.43|$10431.57
"CPT® 25075"|"HB EXC FOREARM LES SC < 3 CM"|761.00|$9244.00|$3281.62|$7395.20|$6471.00|$6452.31|$3281.62|$6674.17|$6470.80|$5925.40|$7395.20|$4030.38|$4298.46|$6470.80|$6469.88|$6981.07|$5499.26
"CPT® 25076"|"HB EXC FOREARM TUM DEEP < 3 CM"|761.00|$14188.00|$5036.74|$11350.40|$9932.00|$9903.22|$5036.74|$10243.74|$9931.60|$9094.51|$11350.40|$6185.97|$6597.42|$9800.00|$9930.18|$10714.78|$8440.44
"CPT® 25505"|"HB FRACTURE RADIUS SHAFT; WITH MANIPULATION"|761.00|$1002.00|$355.71|$801.60|$701.00|$699.40|$355.71|$723.44|$701.40|$642.28|$801.60|$436.87|$465.93|$701.40|$701.30|$756.71|$596.09
"CPT® 25535"|"HB FRACTURE ULNAR SHAFT; WITH MANIPULATION"|761.00|$7943.00|$2819.77|$6354.40|$5560.00|$5544.21|$2819.77|$5734.85|$5560.10|$5091.46|$6354.40|$3463.15|$3693.50|$5560.10|$5559.31|$5998.55|$4725.29
"CPT® 25565"|"HB FRACTURE RADIUS & ULNA; WITH MANIPULATION"|761.00|$1320.00|$468.60|$1056.00|$924.00|$921.36|$468.60|$953.04|$924.00|$846.12|$1056.00|$575.52|$613.80|$924.00|$923.87|$996.86|$785.27
"CPT® 25605"|"HB FRACTURE RADIUS/ULNA, COLLES OR SMITH TYPE; WITH MANIPULATION"|761.00|$870.00|$308.85|$696.00|$609.00|$607.26|$308.85|$628.14|$609.00|$557.67|$696.00|$379.32|$404.55|$609.00|$608.91|$657.02|$517.56
"CPT® 25635"|"HB FRACTURE WRIST CARPAL, EXCLUDING NAVICULAR; WITH MANIPULATION , EACH BONE"|761.00|$1189.00|$422.10|$951.20|$832.00|$829.92|$422.10|$858.46|$832.30|$762.15|$951.20|$518.40|$552.89|$832.30|$832.18|$897.93|$707.34
"CPT® 25650"|"HB FRACTURE WRIST, ULNAR STYLOID"|761.00|$872.00|$309.56|$697.60|$610.00|$608.66|$309.56|$629.58|$610.40|$558.95|$697.60|$380.19|$405.48|$610.40|$610.31|$658.53|$518.75
"CPT® 25675"|"HB DISLOCATION DISTAL RADIOULNAR WITH MANIPULATION"|761.00|$6885.00|$2444.18|$5508.00|$4820.00|$4805.73|$2444.18|$4970.97|$4819.50|$4413.29|$5508.00|$3001.86|$3201.53|$4819.50|$4818.81|$5199.55|$4095.89
"CPT® 26010"|"HB DRAINAGE FINGER ABSCESS; SIMPLE"|761.00|$661.00|$234.66|$528.80|$463.00|$461.38|$234.66|$477.24|$462.70|$423.70|$528.80|$288.20|$307.37|$462.70|$462.63|$499.19|$393.23
"CPT® 26011"|"HB DRAINAGE FINGER ABSCESS; COMPLEX"|761.00|$7462.00|$2649.01|$5969.60|$5223.00|$5208.48|$2649.01|$5387.56|$5223.40|$4783.14|$5969.60|$3253.43|$3469.83|$5223.40|$5222.65|$5635.30|$4439.14
"CPT® 26605"|"HB FRACTURE METACARPAL, SINGLE; WITH MANIPULATION, EACH BONE"|761.00|$572.00|$203.06|$457.60|$400.00|$399.26|$203.06|$412.98|$400.40|$366.65|$457.60|$249.39|$265.98|$400.40|$400.34|$431.97|$340.28
"CPT® 26608"|"HB PERCUTANEOUS METACARPAL FX"|761.00|$12350.00|$4384.25|$9880.00|$8645.00|$8620.30|$4384.25|$8916.70|$8645.00|$7916.35|$9880.00|$5384.60|$5742.75|$8645.00|$8643.77|$9326.72|$7347.02
"CPT® 26615"|"HB TREATMENT META FX -OPEN"|761.00|$18248.00|$6478.04|$14598.40|$12774.00|$12737.10|$6478.04|$13175.06|$12773.60|$11696.97|$14598.40|$7956.13|$8485.32|$9800.00|$12771.78|$13780.89|$10855.74
"CPT® 26641"|"HB DISLOCATION, THUMB, WITH MANIPULATION"|761.00|$842.00|$298.91|$673.60|$589.00|$587.72|$298.91|$607.92|$589.40|$539.72|$673.60|$367.11|$391.53|$589.40|$589.32|$635.88|$500.91
"CPT® 26645"|"HB FRACTURE DISLOCATION, THUMB, WITH MANIPULATION"|761.00|$1052.00|$373.46|$841.60|$736.00|$734.30|$373.46|$759.54|$736.40|$674.33|$841.60|$458.67|$489.18|$736.40|$736.29|$794.47|$625.83
"CPT® 26650"|"HB PERCUTANEOUS CARPO FX W/MANI"|761.00|$13954.00|$4953.67|$11163.20|$9768.00|$9739.89|$4953.67|$10074.79|$9767.80|$8944.51|$11163.20|$6083.94|$6488.61|$9767.80|$9766.40|$10538.06|$8301.23
"CPT® 26665"|"HB TREATMENT CARPOMETACARPL FX"|761.00|$21909.00|$7777.70|$17527.20|$15336.00|$15292.48|$7777.70|$15818.30|$15336.30|$14043.67|$17527.20|$9552.32|$10187.69|$9800.00|$15334.11|$16545.68|$13033.66
"CPT® 26670"|"HB DISLOCATION HAND, WITH MANIPULATION, EACH JOINT; WITHOUT ANESTHESIA"|761.00|$405.00|$143.78|$324.00|$284.00|$282.69|$143.78|$292.41|$283.50|$259.61|$324.00|$176.58|$188.33|$283.50|$283.46|$305.86|$240.93
"CPT® 26676"|"HB PIN HAND DISLOCATION"|761.00|$13970.00|$4959.35|$11176.00|$9779.00|$9751.06|$4959.35|$10086.34|$9779.00|$8954.77|$11176.00|$6090.92|$6496.05|$9779.00|$9777.60|$10550.14|$8310.75
"CPT® 26700"|"HB DISLOCATION KNUCLE, WITH MANIPULATION; WITHOUT ANESTHESIA"|761.00|$1604.00|$569.42|$1283.20|$1123.00|$1119.59|$569.42|$1158.09|$1122.80|$1028.16|$1283.20|$699.34|$745.86|$1122.80|$1122.64|$1211.34|$954.22
"CPT® 26706"|"HB PIN KNUCKLE DISLOCATION"|761.00|$3868.00|$1373.14|$3094.40|$2708.00|$2699.86|$1373.14|$2792.70|$2707.60|$2479.39|$3094.40|$1686.45|$1798.62|$2707.60|$2707.21|$2921.11|$2301.07
"CPT® 26720"|"HB FRACTURE FINGER, EACH; WITHOUT MANIPULATION"|761.00|$398.00|$141.29|$318.40|$279.00|$277.80|$141.29|$287.36|$278.60|$255.12|$318.40|$173.53|$185.07|$278.60|$278.56|$300.57|$236.77
"CPT® 26725"|"HB FRACTURE FINGER, WITH MANIPULATION; WITH OR WITHOUT TRACTION"|761.00|$625.00|$221.88|$500.00|$438.00|$436.25|$221.88|$451.25|$437.50|$400.63|$500.00|$272.50|$290.63|$437.50|$437.44|$472.00|$371.81
"CPT® 26727"|"HB PERCUTANEOUS PHALNGL FX W/MANI"|761.00|$14926.00|$5298.73|$11940.80|$10448.00|$10418.35|$5298.73|$10776.57|$10448.20|$9567.57|$11940.80|$6507.74|$6940.59|$9800.00|$10446.71|$11272.12|$8879.48
"CPT® 26742"|"HB FRACTURE FINGER, ARTICULAR; WITH MANIPULATION"|761.00|$1080.00|$383.40|$864.00|$756.00|$753.84|$383.40|$779.76|$756.00|$692.28|$864.00|$470.88|$502.20|$756.00|$755.89|$815.62|$642.49
"CPT® 26750"|"HB FRACTURE FINGER, DISTAL; WITHOUT MANIPULATION"|761.00|$368.00|$130.64|$294.40|$258.00|$256.86|$130.64|$265.70|$257.60|$235.89|$294.40|$160.45|$171.12|$257.60|$257.56|$277.91|$218.92
"CPT® 26755"|"HB FRACTURE FINGER, DISTAL; WITH MANIPULATION"|761.00|$603.00|$214.07|$482.40|$422.00|$420.89|$214.07|$435.37|$422.10|$386.52|$482.40|$262.91|$280.40|$422.10|$422.04|$455.39|$358.72
"CPT® 26756"|"HB PIN FINGER FRACTURE EACH"|761.00|$12326.00|$4375.73|$9860.80|$8628.00|$8603.55|$4375.73|$8899.37|$8628.20|$7900.97|$9860.80|$5374.14|$5731.59|$8628.20|$8626.97|$9308.60|$7332.74
"CPT® 26770"|"HB DISLOCATION FINGER, INTERPHALANGEAL; W/MANIPULATION, W/O ANESTHESIA"|761.00|$405.00|$143.78|$324.00|$284.00|$282.69|$143.78|$292.41|$283.50|$259.61|$324.00|$176.58|$188.33|$283.50|$283.46|$305.86|$240.93
"CPT® 26776"|"HB PIN FINGER DISLOCATION"|761.00|$12972.00|$4605.06|$10377.60|$9080.00|$9054.46|$4605.06|$9365.78|$9080.40|$8315.05|$10377.60|$5655.79|$6031.98|$9080.40|$9079.10|$9796.45|$7717.04
"CPT® 26951"|"HB AMPUTATION FINGER/THUMB WITH DIRECT CLOSER"|761.00|$12697.00|$4507.44|$10157.60|$8888.00|$8862.51|$4507.44|$9167.23|$8887.90|$8138.78|$10157.60|$5535.89|$5904.11|$8887.90|$8886.63|$9588.77|$7553.45
"CPT® 26952"|"HB AMPUTATION FINGER/THUMB WITH V-Y, HOOD"|761.00|$16692.00|$5925.66|$13353.60|$11684.00|$11651.02|$5925.66|$12051.62|$11684.40|$10699.57|$13353.60|$7277.71|$7761.78|$9800.00|$11682.73|$12605.80|$9930.07
"CPT® 27040"|"HB BIOPSY, SOFT TISSUE PELVIS/HIP AREA; SUPERFICIAL"|761.00|$832.00|$295.36|$665.60|$582.00|$580.74|$295.36|$600.70|$582.40|$533.31|$665.60|$362.75|$386.88|$582.40|$582.32|$628.33|$494.96
"CPT® 27096"|"HB INJECTION SACROILIAC JOINT W/FLUORO OR CT INCLUDING ARTHROGRAPHY WHEN PERFORMED"|761.00|$3711.00|$1317.41|$2968.80|$2598.00|$2590.28|$1317.41|$2679.34|$2597.70|$2378.75|$2968.80|$1618.00|$1725.62|$2597.70|$2597.33|$2802.55|$2207.67
"CPT® 27250"|"HB DISLOCATION HIP, TRAUMATIC; WITHOUT ANESTHESIA"|761.00|$480.00|$170.40|$384.00|$336.00|$335.04|$170.40|$346.56|$336.00|$307.68|$384.00|$209.28|$223.20|$336.00|$335.95|$362.50|$285.55
"CPT® 27265"|"HB DISLOCATION HIP, POST ARTHROPLASTY; WITHOUT ANESTHESIA"|761.00|$1534.00|$544.57|$1227.20|$1074.00|$1070.73|$544.57|$1107.55|$1073.80|$983.29|$1227.20|$668.82|$713.31|$1073.80|$1073.65|$1158.48|$912.58
"CPT® 27301"|"HB DRAIN THIGH/KNEE LESION"|761.00|$2543.00|$902.77|$2034.40|$1780.00|$1775.01|$902.77|$1836.05|$1780.10|$1630.06|$2034.40|$1108.75|$1182.50|$1780.10|$1779.85|$1920.47|$1512.83
"CPT® 27337"|"HB EXC THIGH/KNEE LES SC 3 CM/>"|761.00|$13622.00|$4835.81|$10897.60|$9535.00|$9508.16|$4835.81|$9835.08|$9535.40|$8731.70|$10897.60|$5939.19|$6334.23|$9535.40|$9534.04|$10287.33|$8103.73
"CPT® 27502"|"HB FRACTURE FEMORAL SHAFT, WITH MANIPULATION, WITH OR W/O TRACTION"|761.00|$2334.00|$828.57|$1867.20|$1634.00|$1629.13|$828.57|$1685.15|$1633.80|$1496.09|$1867.20|$1017.62|$1085.31|$1633.80|$1633.57|$1762.64|$1388.50
"CPT® 27550"|"HB DISLOCATION KNEE; WITHOUT ANESTHESIA"|761.00|$714.00|$253.47|$571.20|$500.00|$498.37|$253.47|$515.51|$499.80|$457.67|$571.20|$311.30|$332.01|$499.80|$499.73|$539.21|$424.76
"CPT® 27560"|"HB DISCLOCATION PATELLAR; WITHOUT ANESTHESIA"|761.00|$1450.00|$514.75|$1160.00|$1015.00|$1012.10|$514.75|$1046.90|$1015.00|$929.45|$1160.00|$632.20|$674.25|$1015.00|$1014.86|$1095.04|$862.61
"CPT® 27752"|"HB FRACTURE TIBIA; WITH MANIPULATION, WITH OR WITHOUT TRACTION"|761.00|$1912.00|$678.76|$1529.60|$1338.00|$1334.58|$678.76|$1380.46|$1338.40|$1225.59|$1529.60|$833.63|$889.08|$1338.40|$1338.21|$1443.94|$1137.45
"CPT® 27762"|"HB FRACTURE MEDIAL ANKLE; WITH MANIPULATION; WITH OR WITHOUT TRACTION"|761.00|$4465.00|$1585.08|$3572.00|$3126.00|$3116.57|$1585.08|$3223.73|$3125.50|$2862.07|$3572.00|$1946.74|$2076.23|$3125.50|$3125.05|$3371.97|$2656.23
"CPT® 27768"|"HB FRACTURE POSTERIOR ANKLE; WITH MANIPULATION"|761.00|$2312.00|$820.76|$1849.60|$1618.00|$1613.78|$820.76|$1669.26|$1618.40|$1481.99|$1849.60|$1008.03|$1075.08|$1618.40|$1618.17|$1746.02|$1375.41
"CPT® 27784"|"HB TREATMENT FIBULA FRACTURE"|761.00|$15582.00|$5531.61|$12465.60|$10907.00|$10876.24|$5531.61|$11250.20|$10907.40|$9988.06|$12465.60|$6793.75|$7245.63|$9800.00|$10905.84|$11767.53|$9269.73
"CPT® 27788"|"HB FRACTURE DISTAL LATERAL ANKLE; WITH MANIPULATION"|761.00|$921.00|$326.96|$736.80|$645.00|$642.86|$326.96|$664.96|$644.70|$590.36|$736.80|$401.56|$428.27|$644.70|$644.61|$695.54|$547.90
"CPT® 27810"|"HB FRACTURE BIMALLEOLAR ANKLE WITH MANIPULATION"|761.00|$1031.00|$366.01|$824.80|$722.00|$719.64|$366.01|$744.38|$721.70|$660.87|$824.80|$449.52|$479.42|$721.70|$721.60|$778.61|$613.34
"CPT® 27818"|"HB FRACTURE TRIMALLEOLAR ANKLE; WITH MANIPULATION"|761.00|$934.00|$331.57|$747.20|$654.00|$651.93|$331.57|$674.35|$653.80|$598.69|$747.20|$407.22|$434.31|$653.80|$653.71|$705.36|$555.64
"CPT® 27840"|"HB DISLOCATIN ANKLE; WITHOUT ANESTHESIA"|761.00|$1065.00|$378.08|$852.00|$746.00|$743.37|$378.08|$768.93|$745.50|$682.67|$852.00|$464.34|$495.23|$745.50|$745.39|$804.29|$633.57
"CPT® 28190"|"HB REMOVAL FOREIGNBODY, FOOT; SUBQUTANEOUS"|761.00|$1008.00|$357.84|$806.40|$706.00|$703.58|$357.84|$727.78|$705.60|$646.13|$806.40|$439.49|$468.72|$705.60|$705.50|$761.24|$599.66
"CPT® 28192"|"HB REMOVAL FOOT FOREIGN BODY DEEP"|761.00|$1947.00|$691.19|$1557.60|$1363.00|$1359.01|$691.19|$1405.73|$1362.90|$1248.03|$1557.60|$848.89|$905.36|$1362.90|$1362.71|$1470.37|$1158.27
"CPT® 28435"|"HB FRACTURE TALUS ANKLE; WITH MANIPULATION"|761.00|$1949.00|$691.90|$1559.20|$1364.00|$1360.40|$691.90|$1407.18|$1364.30|$1249.31|$1559.20|$849.76|$906.29|$1364.30|$1364.11|$1471.88|$1159.46
"CPT® 28470"|"HB FRACTURE METATARSAL; WITHOUT MANIPULATION"|761.00|$596.00|$211.58|$476.80|$417.00|$416.01|$211.58|$430.31|$417.20|$382.04|$476.80|$259.86|$277.14|$417.20|$417.14|$450.10|$354.56
"CPT® 28490"|"HB FRACTURE BIG TOE; WITHOUT MANIPULATION"|761.00|$468.00|$166.14|$374.40|$328.00|$326.66|$166.14|$337.90|$327.60|$299.99|$374.40|$204.05|$217.62|$327.60|$327.55|$353.43|$278.41
"CPT® 28495"|"HB FRACTURE BIG TOE; WITH MANIPULATION"|761.00|$534.00|$189.57|$427.20|$374.00|$372.73|$189.57|$385.55|$373.80|$342.29|$427.20|$232.82|$248.31|$373.80|$373.75|$403.28|$317.68
"CPT® 28505"|"HB TREAT BIG TOE FRACTURE"|761.00|$9780.00|$3471.90|$7824.00|$6846.00|$6826.44|$3471.90|$7061.16|$6846.00|$6268.98|$7824.00|$4264.08|$4547.70|$6846.00|$6845.02|$7385.86|$5818.12
"CPT® 28510"|"HB FRACTURE NON-GREAT TOE WITHOUT MANIPULATION"|761.00|$442.00|$156.91|$353.60|$309.00|$308.52|$156.91|$319.12|$309.40|$283.32|$353.60|$192.71|$205.53|$309.40|$309.36|$333.80|$262.95
"CPT® 28515"|"HB FRACTURE NON-GREAT TOE WITH MANIPULATION"|761.00|$893.00|$317.02|$714.40|$625.00|$623.31|$317.02|$644.75|$625.10|$572.41|$714.40|$389.35|$415.25|$625.10|$625.01|$674.39|$531.25
"CPT® 28540"|"HB DISLOCATON TARSAL BONE; WITHOUT ANESTHESIA"|761.00|$326.00|$115.73|$260.80|$228.00|$227.55|$115.73|$235.37|$228.20|$208.97|$260.80|$142.14|$151.59|$228.20|$228.17|$246.20|$193.94
"CPT® 28630"|"HB DISLOCATION METATARSOPHALANGEAL TOE; WITHOUT ANESTHESIA"|761.00|$509.00|$180.70|$407.20|$356.00|$355.28|$180.70|$367.50|$356.30|$326.27|$407.20|$221.92|$236.69|$356.30|$356.25|$384.40|$302.80
"CPT® 28660"|"HB DISLOCATION INTERPHALANGEAL TOE; WITHOUT ANESTHESIA"|761.00|$394.00|$139.87|$315.20|$276.00|$275.01|$139.87|$284.47|$275.80|$252.55|$315.20|$171.78|$183.21|$275.80|$275.76|$297.55|$234.39
"CPT® 29105"|"HB APPLY LONG ARM SPLINT"|761.00|$349.00|$123.90|$279.20|$244.00|$243.60|$123.90|$251.98|$244.30|$223.71|$279.20|$152.16|$162.29|$244.30|$244.27|$263.56|$207.62
"CPT® 29125"|"HB APPLICATION, SPLINT; FOREARM TO HAND-STATIC"|761.00|$329.00|$116.80|$263.20|$230.00|$229.64|$116.80|$237.54|$230.30|$210.89|$263.20|$143.44|$152.99|$230.30|$230.27|$248.46|$195.72
"CPT® 29130"|"HB APPLICATION, SPLINT; FINGER-STATIC"|761.00|$310.00|$110.05|$248.00|$217.00|$216.38|$110.05|$223.82|$217.00|$198.71|$248.00|$135.16|$144.15|$217.00|$216.97|$234.11|$184.42
"CPT® 29240"|"HB STRAPPING OF SHOULDER"|761.00|$264.00|$93.72|$211.20|$185.00|$184.27|$93.72|$190.61|$184.80|$169.22|$211.20|$115.10|$122.76|$184.80|$184.77|$199.37|$157.05
"CPT® 29405"|"HB APPLICATION, CAST; BELOW KNEES TO TOES-SHORT LEG"|761.00|$484.00|$171.82|$387.20|$339.00|$337.83|$171.82|$349.45|$338.80|$310.24|$387.20|$211.02|$225.06|$338.80|$338.75|$365.52|$287.93
"CPT® 29505"|"HB APPLICATION LONG LEG SPLINT"|761.00|$349.00|$123.90|$279.20|$244.00|$243.60|$123.90|$251.98|$244.30|$223.71|$279.20|$152.16|$162.29|$244.30|$244.27|$263.56|$207.62
"CPT® 29515"|"HB APPLICATION LOWER LEG SPLINT"|761.00|$284.00|$100.82|$227.20|$199.00|$198.23|$100.82|$205.05|$198.80|$182.04|$227.20|$123.82|$132.06|$198.80|$198.77|$214.48|$168.95
"CPT® 29705"|"HB REMOVAL/REVISON CAST; FULL ARM OR FULL LEG CAST"|761.00|$443.00|$157.27|$354.40|$310.00|$309.21|$157.27|$319.85|$310.10|$283.96|$354.40|$193.15|$206.00|$310.10|$310.06|$334.55|$263.54
"CPT® 29730"|"HB WINDOWING OF CAST"|761.00|$392.00|$139.16|$313.60|$274.00|$273.62|$139.16|$283.02|$274.40|$251.27|$313.60|$170.91|$182.28|$274.40|$274.36|$296.04|$233.20
"CPT® 30300"|"HB REMOVE NASAL FOREIGN BODY"|761.00|$632.00|$224.36|$505.60|$442.00|$441.14|$224.36|$456.30|$442.40|$405.11|$505.60|$275.55|$293.88|$442.40|$442.34|$477.29|$375.98
"CPT® 30901"|"HB CONTROL NASAL HEMORRHAGE, ANTERIOR, SIMPLE"|761.00|$940.00|$333.70|$752.00|$658.00|$656.12|$333.70|$678.68|$658.00|$602.54|$752.00|$409.84|$437.10|$658.00|$657.91|$709.89|$559.21
"CPT® 30903"|"HB CONTROL NASAL HEMORRHAGE, ANTERIOR, COMPLEX"|761.00|$965.00|$342.58|$772.00|$676.00|$673.57|$342.58|$696.73|$675.50|$618.57|$772.00|$420.74|$448.73|$675.50|$675.40|$728.77|$574.08
"CPT® 30905"|"HB CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH NASAL PACKS/CAUTERY"|761.00|$605.00|$214.78|$484.00|$424.00|$422.29|$214.78|$436.81|$423.50|$387.81|$484.00|$263.78|$281.33|$423.50|$423.44|$456.90|$359.91
"CPT® 31500"|"HB INSERT EMERGENCY AIRWAY"|761.00|$642.00|$227.91|$513.60|$449.00|$448.12|$227.91|$463.52|$449.40|$411.52|$513.60|$279.91|$298.53|$449.40|$449.34|$484.84|$381.93
"CPT® 31505"|"HB DIAGNOSTIC LARYNGOSCOPY INDIRECT"|761.00|$317.00|$112.54|$253.60|$222.00|$221.27|$112.54|$228.87|$221.90|$203.20|$253.60|$138.21|$147.41|$221.90|$221.87|$239.40|$188.58
"CPT® 31575"|"HB LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; DIAGNOSTIC"|761.00|$594.00|$210.87|$475.20|$416.00|$414.61|$210.87|$428.87|$415.80|$380.75|$475.20|$258.98|$276.21|$415.80|$415.74|$448.59|$353.37
"CPT® 31600"|"HB TRACHEOSTOMY; PLANNED"|761.00|$5090.00|$1806.95|$4072.00|$3563.00|$3552.82|$1806.95|$3674.98|$3563.00|$3262.69|$4072.00|$2219.24|$2366.85|$3563.00|$3562.49|$3843.97|$3028.04
"CPT® 31605"|"HB TRACHEOSTOMY; CRICOTHYROID MEMBRANE"|761.00|$2008.00|$712.84|$1606.40|$1406.00|$1401.58|$712.84|$1449.78|$1405.60|$1287.13|$1606.40|$875.49|$933.72|$1405.60|$1405.40|$1516.44|$1194.56
"CPT® 31622"|"HB BRONCHOSCOPY, INCLUDING FLUORO; DIAGNOSTIC"|761.00|$2905.00|$1031.28|$2324.00|$2033.00|$2027.69|$1031.28|$2097.41|$2033.50|$1862.11|$2324.00|$1266.58|$1350.83|$2033.50|$2033.21|$2193.86|$1728.18
"CPT® 31624"|"HB BRONCHOSCOPY WITH LAVAGE, INCLUDING FLUORO"|761.00|$2925.00|$1038.38|$2340.00|$2047.00|$2041.65|$1038.38|$2111.85|$2047.50|$1874.93|$2340.00|$1275.30|$1360.13|$2047.50|$2047.21|$2208.96|$1740.08
"CPT® 32405"|"HB BIOPSY, LUNG, PERCUTANEOUS NEEDLE"|761.00|$1804.00|$640.42|$1443.20|$1263.00|$1259.19|$640.42|$1302.49|$1262.80|$1156.36|$1443.20|$786.54|$838.86|$1262.80|$1262.62|$1362.38|$1073.20
"CPT® 32551"|"HB INSERTION OF CHEST TUBE"|761.00|$1629.00|$578.30|$1303.20|$1140.00|$1137.04|$578.30|$1176.14|$1140.30|$1044.19|$1303.20|$710.24|$757.49|$1140.30|$1140.14|$1230.22|$969.09
"CPT® 32552"|"HB REMOVAL INDWELLING TUNNELED PLEURAL CATHETER"|761.00|$3594.00|$1275.87|$2875.20|$2516.00|$2508.61|$1275.87|$2594.87|$2515.80|$2303.75|$2875.20|$1566.98|$1671.21|$2515.80|$2515.44|$2714.19|$2138.07
"CPT® 32554"|"HB THORACENTESIS, NEEDLE/CATHETER WITHOUT IMAGING"|761.00|$1030.00|$365.65|$824.00|$721.00|$718.94|$365.65|$743.66|$721.00|$660.23|$824.00|$449.08|$478.95|$721.00|$720.90|$777.86|$612.75
"CPT® 32555"|"HB THORACENTESIS, NEEDLE/CATHETER WITH IMAGING"|761.00|$1913.00|$679.12|$1530.40|$1339.00|$1335.27|$679.12|$1381.19|$1339.10|$1226.23|$1530.40|$834.07|$889.55|$1339.10|$1338.91|$1444.70|$1138.04
"CPT® 32557"|"HB PLEURAL DRAINAGE CATHETER WITH IMAGING"|761.00|$757.00|$268.74|$605.60|$530.00|$528.39|$268.74|$546.55|$529.90|$485.24|$605.60|$330.05|$352.01|$529.90|$529.82|$571.69|$450.34
"CPT® 32561"|"HB CHEST TUBE FIBRINOLYSIS INITIAL"|761.00|$1836.00|$651.78|$1468.80|$1285.00|$1281.53|$651.78|$1325.59|$1285.20|$1176.88|$1468.80|$800.50|$853.74|$1285.20|$1285.02|$1386.55|$1092.24
"CPT® 35206"|"HB REPAIR BLOOD VESSEL LESION UPPER EXTRIMITY"|761.00|$20538.00|$7290.99|$16430.40|$14377.00|$14335.52|$7290.99|$14828.44|$14376.60|$13164.86|$16430.40|$8954.57|$9550.17|$9800.00|$14374.55|$15510.30|$12218.06
"CPT® 35207"|"HB REPAIR BLOOD VESSEL LESION HAND FINGER"|761.00|$20770.00|$7373.35|$16616.00|$14539.00|$14497.46|$7373.35|$14995.94|$14539.00|$13313.57|$16616.00|$9055.72|$9658.05|$9800.00|$14536.92|$15685.50|$12356.07
"CPT® 35226"|"HB REPAIR BLOOD VESSEL LESION LOWER EXTRIMITY"|761.00|$2491.00|$884.31|$1992.80|$1744.00|$1738.72|$884.31|$1798.50|$1743.70|$1596.73|$1992.80|$1086.08|$1158.32|$1743.70|$1743.45|$1881.20|$1481.90
"CPT® 36510"|"HB UMBILICAL VEIN CATH; NEWBORN"|761.00|$651.00|$231.11|$520.80|$456.00|$454.40|$231.11|$470.02|$455.70|$417.29|$520.80|$283.84|$302.72|$455.70|$455.63|$491.64|$387.28
"CPT® 36555"|"HB INSERT NON-TUNNEL CV CATH, YOUNGER THAN 5 YEARS"|761.00|$1377.00|$488.84|$1101.60|$964.00|$961.15|$488.84|$994.19|$963.90|$882.66|$1101.60|$600.37|$640.31|$963.90|$963.76|$1039.91|$819.18
"CPT® 36556"|"HB INSERT NON-TUNNEL CV CATH, >5 YEARS"|761.00|$2737.00|$971.64|$2189.60|$1916.00|$1910.43|$971.64|$1976.11|$1915.90|$1754.42|$2189.60|$1193.33|$1272.71|$1915.90|$1915.63|$2066.98|$1628.24
"CPT® 36558"|"HB INSERT TUNNEL CV CATH"|761.00|$3424.00|$1215.52|$2739.20|$2397.00|$2389.95|$1215.52|$2472.13|$2396.80|$2194.78|$2739.20|$1492.86|$1592.16|$2396.80|$2396.46|$2585.80|$2036.94
"CPT® 36560"|"HB INSERT TUNNEL CV CATH; WITH PORT, YOUNGER THAN 5 YEARS"|761.00|$5591.00|$1984.81|$4472.80|$3914.00|$3902.52|$1984.81|$4036.70|$3913.70|$3583.83|$4472.80|$2437.68|$2599.82|$3913.70|$3913.14|$4222.32|$3326.09
"CPT® 36568"|"HB INSJ PICC <5 YR W/O IMAGING"|761.00|$1656.00|$587.88|$1324.80|$1159.00|$1155.89|$587.88|$1195.63|$1159.20|$1061.50|$1324.80|$722.02|$770.04|$1159.20|$1159.03|$1250.61|$985.15
"CPT® 36569"|"HB INSJ PICC 5 YR + W/O IMAGING"|761.00|$2710.00|$962.05|$2168.00|$1897.00|$1891.58|$962.05|$1956.62|$1897.00|$1737.11|$2168.00|$1181.56|$1260.15|$1897.00|$1896.73|$2046.59|$1612.18
"CPT® 36580"|"HB CATH EXCHANGE CENTRAL NON-TUNNELED"|761.00|$2662.00|$945.01|$2129.60|$1863.00|$1858.08|$945.01|$1921.96|$1863.40|$1706.34|$2129.60|$1160.63|$1237.83|$1863.40|$1863.13|$2010.34|$1583.62
"CPT® 36589"|"HB REMOVE TUNNELLED CV W/OUT SUBQ PORT"|761.00|$1527.00|$542.09|$1221.60|$1069.00|$1065.85|$542.09|$1102.49|$1068.90|$978.81|$1221.60|$665.77|$710.06|$1068.90|$1068.75|$1153.19|$908.41
"CPT® 36590"|"HB REMOVE TUNNELLED CV WITH SUBQ PORT/PUMP"|761.00|$3387.00|$1202.39|$2709.60|$2371.00|$2364.13|$1202.39|$2445.41|$2370.90|$2171.07|$2709.60|$1476.73|$1574.96|$2370.90|$2370.56|$2557.86|$2014.93
"CPT® 36593"|"HB DECLOT VASCULAR IMPLANTED DEVICE OR CATHETER"|761.00|$706.00|$250.63|$564.80|$494.00|$492.79|$250.63|$509.73|$494.20|$452.55|$564.80|$307.82|$328.29|$494.20|$494.13|$533.17|$420.00
"CPT® 36598"|"HB CONTRAST INJECT FOR EVAL CV DEVICE, INCLUDING FLUORO"|761.00|$858.00|$304.59|$686.40|$601.00|$598.88|$304.59|$619.48|$600.60|$549.98|$686.40|$374.09|$398.97|$600.60|$600.51|$647.96|$510.42
"CPT® 36620"|"HB ARTERIAL LINE INSERT/CANNULATION"|761.00|$274.00|$97.27|$219.20|$192.00|$191.25|$97.27|$197.83|$191.80|$175.63|$219.20|$119.46|$127.41|$191.80|$191.77|$206.92|$163.00
"CPT® 36680"|"HB INSERT NEEDLE BONE CAVITY"|761.00|$341.00|$121.06|$272.80|$239.00|$238.02|$121.06|$246.20|$238.70|$218.58|$272.80|$148.68|$158.57|$238.70|$238.67|$257.52|$202.86
"CPT® 37195"|"HB THROMBOLYTIC THERAPY STROKE"|761.00|$798.00|$283.29|$638.40|$559.00|$557.00|$283.29|$576.16|$558.60|$511.52|$638.40|$347.93|$371.07|$558.60|$558.52|$602.65|$474.73
"CPT® 37799"|"HB UNLISTED VASCULAR SURGERY PROCEDURE"|761.00|$1565.00|$555.58|$1252.00|$1096.00|$1092.37|$555.58|$1129.93|$1095.50|$1003.17|$1252.00|$682.34|$727.73|$1095.50|$1095.34|$1181.89|$931.02
"CPT® 38220"|"HB BONE MARROW ASPIRATION"|761.00|$1250.00|$443.75|$1000.00|$875.00|$872.50|$443.75|$902.50|$875.00|$801.25|$1000.00|$545.00|$581.25|$875.00|$874.88|$944.00|$743.63
"CPT® 38792"|"HB RADIOACTIVE TRACER IDENTIFICATION SENTINEL NODE"|761.00|$1283.00|$455.47|$1026.40|$898.00|$895.53|$455.47|$926.33|$898.10|$822.40|$1026.40|$559.39|$596.60|$898.10|$897.97|$968.92|$763.26
"CPT® 40650"|"HB REPAIR LIP FULL THICKNESS; VERMILION ONLY"|761.00|$1654.00|$587.17|$1323.20|$1158.00|$1154.49|$587.17|$1194.19|$1157.80|$1060.21|$1323.20|$721.14|$769.11|$1157.80|$1157.63|$1249.10|$983.96
"CPT® 40652"|"HB REPAIR LIP FULL THICKNESS; HALF VERTICAL HEIGHT"|761.00|$2021.00|$717.46|$1616.80|$1415.00|$1410.66|$717.46|$1459.16|$1414.70|$1295.46|$1616.80|$881.16|$939.77|$1414.70|$1414.50|$1526.26|$1202.29
"CPT® 40654"|"HB REPAIR LIP FULL THICKNESS; COMPLEX"|761.00|$1654.00|$587.17|$1323.20|$1158.00|$1154.49|$587.17|$1194.19|$1157.80|$1060.21|$1323.20|$721.14|$769.11|$1157.80|$1157.63|$1249.10|$983.96
"CPT® 40800"|"HB DRAINAGE OF MOUTH LESION; SIMPLE"|761.00|$644.00|$228.62|$515.20|$451.00|$449.51|$228.62|$464.97|$450.80|$412.80|$515.20|$280.78|$299.46|$450.80|$450.74|$486.35|$383.12
"CPT® 40830"|"HB REPAIR MOUTH LACERATION; 2.5CM OR LESS"|761.00|$676.00|$239.98|$540.80|$473.00|$471.85|$239.98|$488.07|$473.20|$433.32|$540.80|$294.74|$314.34|$473.20|$473.13|$510.52|$402.15
"CPT® 40831"|"HB REPAIR MOUTH LACERATION; OVER 2.5CM OR COMPLEX"|761.00|$968.00|$343.64|$774.40|$678.00|$675.66|$343.64|$698.90|$677.60|$620.49|$774.40|$422.05|$450.12|$677.60|$677.50|$731.03|$575.86
"CPT® 41010"|"HB INCISION OF TONGUE FOLD"|761.00|$1690.00|$599.95|$1352.00|$1183.00|$1179.62|$599.95|$1220.18|$1183.00|$1083.29|$1352.00|$736.84|$785.85|$1183.00|$1182.83|$1276.29|$1005.38
"CPT® 41250"|"HB REPAIR TONGUE LACERATION; 2.5CM OR LESS"|761.00|$420.00|$149.10|$336.00|$294.00|$293.16|$149.10|$303.24|$294.00|$269.22|$336.00|$183.12|$195.30|$294.00|$293.96|$317.18|$249.86
"CPT® 41252"|"HB REPAIR TONGUE LACERATION; OVER 2.6CM OR COMPLEX"|761.00|$1223.00|$434.17|$978.40|$856.00|$853.65|$434.17|$883.01|$856.10|$783.94|$978.40|$533.23|$568.70|$856.10|$855.98|$923.61|$727.56
"CPT® 41800"|"HB DRAINAGE OF GUM LESION"|761.00|$710.00|$252.05|$568.00|$497.00|$495.58|$252.05|$512.62|$497.00|$455.11|$568.00|$309.56|$330.15|$497.00|$496.93|$536.19|$422.38
"CPT® 42700"|"HB DRAINAGE OF TONSIL ABSCESS"|761.00|$544.00|$193.12|$435.20|$381.00|$379.71|$193.12|$392.77|$380.80|$348.70|$435.20|$237.18|$252.96|$380.80|$380.75|$410.83|$323.63
"CPT® 42809"|"HB REMOVE PHARYNX FOREIGN BODY"|761.00|$443.00|$157.27|$354.40|$310.00|$309.21|$157.27|$319.85|$310.10|$283.96|$354.40|$193.15|$206.00|$310.10|$310.06|$334.55|$263.54
"CPT® 42960"|"HB CONTROL THROAT BLEEDING SIMPLE"|761.00|$297.00|$105.44|$237.60|$208.00|$207.31|$105.44|$214.43|$207.90|$190.38|$237.60|$129.49|$138.11|$207.90|$207.87|$224.29|$176.69
"CPT® 46050"|"HB INCISION OF ANAL ABSCESS"|761.00|$1852.00|$657.46|$1481.60|$1296.00|$1292.70|$657.46|$1337.14|$1296.40|$1187.13|$1481.60|$807.47|$861.18|$1296.40|$1296.21|$1398.63|$1101.75
"CPT® 46320"|"HB REMOVAL OF HEMORRHOID CLOT"|761.00|$537.00|$190.64|$429.60|$376.00|$374.83|$190.64|$387.71|$375.90|$344.22|$429.60|$234.13|$249.71|$375.90|$375.85|$405.54|$319.46
"CPT® 47000"|"HB NEEDLE BIOPSY OF LIVER; PERCUTANEOUS"|761.00|$4131.00|$1466.51|$3304.80|$2892.00|$2883.44|$1466.51|$2982.58|$2891.70|$2647.97|$3304.80|$1801.12|$1920.92|$2891.70|$2891.29|$3119.73|$2457.53
"CPT® 49082"|"HB ABDOMEN PARACENTESIS WITHOUT IMAGING"|761.00|$1463.00|$519.37|$1170.40|$1024.00|$1021.17|$519.37|$1056.29|$1024.10|$937.78|$1170.40|$637.87|$680.30|$1024.10|$1023.95|$1104.86|$870.34
"CPT® 49083"|"HB ABD PARACENTESIS W/IMAGING"|761.00|$1903.00|$675.57|$1522.40|$1332.00|$1328.29|$675.57|$1373.97|$1332.10|$1219.82|$1522.40|$829.71|$884.90|$1332.10|$1331.91|$1437.15|$1132.09
"CPT® 49084"|"HB PERITONEAL LAVAGE"|761.00|$1363.00|$483.87|$1090.40|$954.00|$951.37|$483.87|$984.09|$954.10|$873.68|$1090.40|$594.27|$633.80|$954.10|$953.96|$1029.34|$810.85
"CPT® 49406"|"HB IMAGE-GUIDED FLUID COLLECTION DRAINAGE, CATHETER; PERITONEAL/RETROPERITONEAL, PERCUTANEOUS"|761.00|$1921.00|$681.96|$1536.80|$1345.00|$1340.86|$681.96|$1386.96|$1344.70|$1231.36|$1536.80|$837.56|$893.27|$1344.70|$1344.51|$1450.74|$1142.80
"CPT® 51610"|"HB INJECTION FOR BLADDER X-RAY_INJECTION PROCEDURE FOR RETROGRADE URETHROCYSTOGRAPHY"|761.00|$1318.00|$467.89|$1054.40|$923.00|$919.96|$467.89|$951.60|$922.60|$844.84|$1054.40|$574.65|$612.87|$922.60|$922.47|$995.35|$784.08
"CPT® 51700"|"HB IRRIGATION OF BLADDER"|761.00|$453.00|$160.82|$362.40|$317.00|$316.19|$160.82|$327.07|$317.10|$290.37|$362.40|$197.51|$210.65|$317.10|$317.05|$342.11|$269.49
"CPT® 51701"|"HB INSERT NON-DWELLING BLADDER CATHETER"|761.00|$284.00|$100.82|$227.20|$199.00|$198.23|$100.82|$205.05|$198.80|$182.04|$227.20|$123.82|$132.06|$198.80|$198.77|$214.48|$168.95
"CPT® 51702"|"HB INSERT BLADDER CATHETER; SIMPLE"|761.00|$349.00|$123.90|$279.20|$244.00|$243.60|$123.90|$251.98|$244.30|$223.71|$279.20|$152.16|$162.29|$244.30|$244.27|$263.56|$207.62
"CPT® 51703"|"HB INSERT BLADDER CATH COMPLEX"|761.00|$546.00|$193.83|$436.80|$382.00|$381.11|$193.83|$394.21|$382.20|$349.99|$436.80|$238.06|$253.89|$382.20|$382.15|$412.34|$324.82
"CPT® 51705"|"HB CHANGE OF CYSTOSTOMY TUBE; SIMPLE"|761.00|$370.00|$131.35|$296.00|$259.00|$258.26|$131.35|$267.14|$259.00|$237.17|$296.00|$161.32|$172.05|$259.00|$258.96|$279.42|$220.11
"CPT® 52000"|"HB CYSTOSCOPY"|761.00|$1808.00|$641.84|$1446.40|$1266.00|$1261.98|$641.84|$1305.38|$1265.60|$1158.93|$1446.40|$788.29|$840.72|$1265.60|$1265.42|$1365.40|$1075.58
"CPT® 54161"|"HB CIRCUM 28 DAYS OR OLDER"|761.00|$6046.00|$2146.33|$4836.80|$4232.00|$4220.11|$2146.33|$4365.21|$4232.20|$3875.49|$4836.80|$2636.06|$2811.39|$4232.20|$4231.60|$4565.94|$3596.77
"CPT® 54220"|"HB TREATMENT OF PENIS LESION"|761.00|$463.00|$164.37|$370.40|$324.00|$323.17|$164.37|$334.29|$324.10|$296.78|$370.40|$201.87|$215.30|$324.10|$324.05|$349.66|$275.44
"CPT® 54235"|"HB PENILE INJECTION"|761.00|$307.00|$108.99|$245.60|$215.00|$214.29|$108.99|$221.65|$214.90|$196.79|$245.60|$133.85|$142.76|$214.90|$214.87|$231.85|$182.63
"CPT® 54700"|"HB DRAINAGE OF SCROTUM"|761.00|$4096.00|$1454.08|$3276.80|$2867.00|$2859.01|$1454.08|$2957.31|$2867.20|$2625.54|$3276.80|$1785.86|$1904.64|$2867.20|$2866.79|$3093.30|$2436.71
"CPT® 55700"|"HB BIOPSY OF PROSTATE_BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH"|761.00|$6640.00|$2357.20|$5312.00|$4648.00|$4634.72|$2357.20|$4794.08|$4648.00|$4256.24|$5312.00|$2895.04|$3087.60|$4648.00|$4647.34|$5014.53|$3950.14
"CPT® 57180"|"HB TREAT VAGINAL BLEEDING"|761.00|$742.00|$263.41|$593.60|$519.00|$517.92|$263.41|$535.72|$519.40|$475.62|$593.60|$323.51|$345.03|$519.40|$519.33|$560.36|$441.42
"CPT® 58100"|"HB BIOPSY OF UTERUS LINING"|761.00|$436.00|$154.78|$348.80|$305.00|$304.33|$154.78|$314.79|$305.20|$279.48|$348.80|$190.10|$202.74|$305.20|$305.16|$329.27|$259.38
"CPT® 58301"|"HB REMOVE INTRAUTERINE DEVICE"|761.00|$595.00|$211.23|$476.00|$416.00|$415.31|$211.23|$429.59|$416.50|$381.40|$476.00|$259.42|$276.68|$416.50|$416.44|$449.34|$353.97
"CPT® 58340"|"HB CATHETER FOR SONOHYSTEROGRAPHY OR HYSTEROSALPINGOGRAPHY"|761.00|$381.00|$135.26|$304.80|$267.00|$265.94|$135.26|$275.08|$266.70|$244.22|$304.80|$166.12|$177.17|$266.70|$266.66|$287.73|$226.66
"CPT® 59000"|"HB AMNIOCENTESIS DIAGNOSTIC"|761.00|$757.00|$268.74|$605.60|$530.00|$528.39|$268.74|$546.55|$529.90|$485.24|$605.60|$330.05|$352.01|$529.90|$529.82|$571.69|$450.34
"CPT® 59412"|"HB ANTEPARTUM MANIPULATION"|761.00|$2316.00|$822.18|$1852.80|$1621.00|$1616.57|$822.18|$1672.15|$1621.20|$1484.56|$1852.80|$1009.78|$1076.94|$1621.20|$1620.97|$1749.04|$1377.79
"CPT® 60100"|"HB BIOPSY OF THYROID"|761.00|$1600.00|$568.00|$1280.00|$1120.00|$1116.80|$568.00|$1155.20|$1120.00|$1025.60|$1280.00|$697.60|$744.00|$1120.00|$1119.84|$1208.32|$951.84
"CPT® 60300"|"HB ASPIR/INJ THYROID CYST"|761.00|$924.00|$328.02|$739.20|$647.00|$644.95|$328.02|$667.13|$646.80|$592.28|$739.20|$402.86|$429.66|$646.80|$646.71|$697.80|$549.69
"CPT® 61070"|"HB CSF COLLECT VIA SHUNT"|761.00|$1497.00|$531.44|$1197.60|$1048.00|$1044.91|$531.44|$1080.83|$1047.90|$959.58|$1197.60|$652.69|$696.11|$1047.90|$1047.75|$1130.53|$890.57
"CPT® 62270"|"HB SPINAL TAP/LUMBAR PUNCTURE"|761.00|$1451.00|$515.11|$1160.80|$1016.00|$1012.80|$515.11|$1047.62|$1015.70|$930.09|$1160.80|$632.64|$674.72|$1015.70|$1015.55|$1095.80|$863.20
"CPT® 62272"|"HB SPINAL PUNCTURE DRAINAGE"|761.00|$615.00|$218.33|$492.00|$430.00|$429.27|$218.33|$444.03|$430.50|$394.22|$492.00|$268.14|$285.98|$430.50|$430.44|$464.45|$365.86
"CPT® 62273"|"HB INJECT EPIDURAL BLOOD PATCH"|761.00|$1449.00|$514.40|$1159.20|$1014.00|$1011.40|$514.40|$1046.18|$1014.30|$928.81|$1159.20|$631.76|$673.79|$1014.30|$1014.16|$1094.28|$862.01
"CPT® 62290"|"HB DISKOGRAM LMB EA(62290)"|761.00|$10919.00|$3876.25|$8735.20|$7643.00|$7621.46|$3876.25|$7883.52|$7643.30|$6999.08|$8735.20|$4760.68|$5077.34|$7643.30|$7642.21|$8246.03|$6495.71
"CPT® 64480"|"HB INJ TRNSFOR C/T EA ADD(64480)"|761.00|$915.00|$324.83|$732.00|$640.00|$638.67|$324.83|$660.63|$640.50|$586.52|$732.00|$398.94|$425.48|$640.50|$640.41|$691.01|$544.33
"CPT® 64490"|"HB PARAVERT FACET INJ CERVICAL OR THORASIC; SINGLE LEVEL"|761.00|$3634.00|$1290.07|$2907.20|$2544.00|$2536.53|$1290.07|$2623.75|$2543.80|$2329.39|$2907.20|$1584.42|$1689.81|$2543.80|$2543.44|$2744.40|$2161.87
"CPT® 64491"|"HB INJ PARAVERT F JNT C/T 2 LEV"|761.00|$2354.00|$835.67|$1883.20|$1648.00|$1643.09|$835.67|$1699.59|$1647.80|$1508.91|$1883.20|$1026.34|$1094.61|$1647.80|$1647.56|$1777.74|$1400.39
"CPT® 64492"|"HB INJ PARAVERT F JNT C/T 3 LEV"|761.00|$973.00|$345.42|$778.40|$681.00|$679.15|$345.42|$702.51|$681.10|$623.69|$778.40|$424.23|$452.45|$681.10|$681.00|$734.81|$578.84
"CPT® 64493"|"HB INJ PARAVERT F JNT L/S 1 LEV"|761.00|$3304.00|$1172.92|$2643.20|$2313.00|$2306.19|$1172.92|$2385.49|$2312.80|$2117.86|$2643.20|$1440.54|$1536.36|$2312.80|$2312.47|$2495.18|$1965.55
"CPT® 64494"|"HB PARAVERT FACET INJ LUMBAR OR SACRAL; 2ND LEVEL"|761.00|$2354.00|$835.67|$1883.20|$1648.00|$1643.09|$835.67|$1699.59|$1647.80|$1508.91|$1883.20|$1026.34|$1094.61|$1647.80|$1647.56|$1777.74|$1400.39
"CPT® 64495"|"HB PARAVERT FACET INJ LUMBAR OR SACRAL; THIRD LEVEL; ADD-ON"|761.00|$2118.00|$751.89|$1694.40|$1483.00|$1478.36|$751.89|$1529.20|$1482.60|$1357.64|$1694.40|$923.45|$984.87|$1482.60|$1482.39|$1599.51|$1260.00
"CPT® 65205"|"HB REMOVE FOREIGN BODY FROM EYE; CONJUNCTIVAL SUPERFICIAL"|761.00|$1000.00|$355.00|$800.00|$700.00|$698.00|$355.00|$722.00|$700.00|$641.00|$800.00|$436.00|$465.00|$700.00|$699.90|$755.20|$594.90
"CPT® 65222"|"HB REMOVE FOREIGN BODY FROM EYE; CORNEAL, W/SLIT LAMP"|761.00|$263.00|$93.37|$210.40|$184.00|$183.57|$93.37|$189.89|$184.10|$168.58|$210.40|$114.67|$122.30|$184.10|$184.07|$198.62|$156.46
"CPT® 69000"|"HB DRAIN EXTERNAL EAR; SIMPLE"|761.00|$532.00|$188.86|$425.60|$372.00|$371.34|$188.86|$384.10|$372.40|$341.01|$425.60|$231.95|$247.38|$372.40|$372.35|$401.77|$316.49
"CPT® 69210"|"HB REMOVE IMPACTED EAR WAX, UNILATERAL"|761.00|$231.00|$82.01|$184.80|$162.00|$161.24|$82.01|$166.78|$161.70|$148.07|$184.80|$100.72|$107.42|$161.70|$161.68|$174.45|$137.42
"CPT® 97606"|"HB NEG PRESS WOUND TX >50 CM"|761.00|$446.00|$158.33|$356.80|$312.00|$311.31|$158.33|$322.01|$312.20|$285.89|$356.80|$194.46|$207.39|$312.20|$312.16|$336.82|$265.33
"CPT® 36660"|"HB UAC INSERTION; ALINE"|761.00|$949.00|$336.90|$759.20|$664.00|$662.40|$336.90|$685.18|$664.30|$608.31|$759.20|$413.76|$441.29|$664.30|$664.21|$716.68|$564.56
"CPT® 0232T"|"HB NJX PLATELET PLASMA"|761.00|$3376.00|$1198.48|$2700.80|$2363.00|$2356.45|$1198.48|$2437.47|$2363.20|$2164.02|$2700.80|$1471.94|$1569.84|$2363.20|$2362.86|$2549.56|$2008.38
"HCPCS G0260"|"HB INJ FOR SACROILIAC JT ANESTH"|761.00|$1320.00|$468.60|$1056.00|$924.00|$921.36|$468.60|$953.04|$924.00|$846.12|$1056.00|$575.52|$613.80|$924.00|$923.87|$996.86|$785.27
"CPT® 32562"|"HB LYSE CHEST FIBRIN SUBQ DAY"|761.00|$1709.00|$606.70|$1367.20|$1196.00|$1192.88|$606.70|$1233.90|$1196.30|$1095.47|$1367.20|$745.12|$794.69|$1196.30|$1196.13|$1290.64|$1016.68
"CPT® 36901"|"HB INTRO CATH DIALYSIS CIRCUIT; S&I"|761.00|$2608.00|$925.84|$2086.40|$1826.00|$1820.38|$925.84|$1882.98|$1825.60|$1671.73|$2086.40|$1137.09|$1212.72|$1825.60|$1825.34|$1969.56|$1551.50
"CPT® 36902"|"HB INTRO CATH DIALYS CIRCUIT W TRANSLU BALLO ANGIO; S&I"|761.00|$2739.00|$972.35|$2191.20|$1917.00|$1911.82|$972.35|$1977.56|$1917.30|$1755.70|$2191.20|$1194.20|$1273.64|$1917.30|$1917.03|$2068.49|$1629.43
"CPT® 36903"|"HB INTRO CATH DIALYS CIRCUIT W TRANSCA PLMT STENT; S&I"|761.00|$2739.00|$972.35|$2191.20|$1917.00|$1911.82|$972.35|$1977.56|$1917.30|$1755.70|$2191.20|$1194.20|$1273.64|$1917.30|$1917.03|$2068.49|$1629.43
"CPT® 36904"|"HB THRMBC/NFS DIALYSIS CIRCUIT; S&I"|761.00|$2869.00|$1018.50|$2295.20|$2008.00|$2002.56|$1018.50|$2071.42|$2008.30|$1839.03|$2295.20|$1250.88|$1334.09|$2008.30|$2008.01|$2166.67|$1706.77
"CPT® 36905"|"HB THRMBC/NFS DIALYS CIRCUIT W TRANSLU BALLO ANGIO; S&I"|761.00|$2869.00|$1018.50|$2295.20|$2008.00|$2002.56|$1018.50|$2071.42|$2008.30|$1839.03|$2295.20|$1250.88|$1334.09|$2008.30|$2008.01|$2166.67|$1706.77
"CPT® 36906"|"HB THRMBC/NFS DIALYS CIRCUIT W TRANSCA PLMT STENT; S&I"|761.00|$2869.00|$1018.50|$2295.20|$2008.00|$2002.56|$1018.50|$2071.42|$2008.30|$1839.03|$2295.20|$1250.88|$1334.09|$2008.30|$2008.01|$2166.67|$1706.77
"CPT® 37246"|"HB TRANSLUMINAL BALLOON ANGIOPLASTY INITIAL ARTERY"|761.00|$10056.00|$3569.88|$8044.80|$7039.00|$7019.09|$3569.88|$7260.43|$7039.20|$6445.90|$8044.80|$4384.42|$4676.04|$7039.20|$7038.19|$7594.29|$5982.31
"CPT® 37247"|"HB TRANSLUMINAL BALLOON ANGIOPLASTY EACH ADDL ARTERY"|761.00|$5028.00|$1784.94|$4022.40|$3520.00|$3509.54|$1784.94|$3630.22|$3519.60|$3222.95|$4022.40|$2192.21|$2338.02|$3519.60|$3519.10|$3797.15|$2991.16
"CPT® 37248"|"HB TRANSLUMINAL BALLOON ANGIOPLASTY INITIAL VEIN"|761.00|$11987.00|$4255.39|$9589.60|$8391.00|$8366.93|$4255.39|$8654.61|$8390.90|$7683.67|$9589.60|$5226.33|$5573.96|$8390.90|$8389.70|$9052.58|$7131.07
"CPT® 37249"|"HB TRANSLUMINAL BALLOON ANGIOPLASTY EACH ADDL VEIN"|761.00|$5028.00|$1784.94|$4022.40|$3520.00|$3509.54|$1784.94|$3630.22|$3519.60|$3222.95|$4022.40|$2192.21|$2338.02|$3519.60|$3519.10|$3797.15|$2991.16
"CPT® 50431"|"HB NJX PX NFROSGRM &/URTRGRM - EXISTING ACCESS"|761.00|$3611.00|$1281.91|$2888.80|$2528.00|$2520.48|$1281.91|$2607.14|$2527.70|$2314.65|$2888.80|$1574.40|$1679.12|$2527.70|$2527.34|$2727.03|$2148.18
"CPT® 47531"|"HB INJECTION FOR CHOLANGIOGRAM; EXISTING ACCESS"|761.00|$865.00|$307.08|$692.00|$606.00|$603.77|$307.08|$624.53|$605.50|$554.47|$692.00|$377.14|$402.23|$605.50|$605.41|$653.25|$514.59
"CPT® 62323"|"HB INJECTION INCLU NEEDLE/CATH PLCT INTERLAMINAR LMBR/SAC W/ FLOURO (AKA HB62323)"|761.00|$2245.00|$796.98|$1796.00|$1572.00|$1567.01|$796.98|$1620.89|$1571.50|$1439.05|$1796.00|$978.82|$1043.93|$1571.50|$1571.28|$1695.42|$1335.55
"CPT® 64418"|"HB INJECTION, ANESTHETIC AGENT; SUPRASCAPULAR NERVE"|761.00|$1140.00|$404.70|$912.00|$798.00|$795.72|$404.70|$823.08|$798.00|$730.74|$912.00|$497.04|$530.10|$798.00|$797.89|$860.93|$678.19
"CPT® 27842"|"HB CLOSED TREATMENT ANKLE DISLOCATION W ANES"|761.00|$1553.00|$551.32|$1242.40|$1087.00|$1083.99|$551.32|$1121.27|$1087.10|$995.47|$1242.40|$677.11|$722.15|$1087.10|$1086.94|$1172.83|$923.88
"CPT® 40805"|"HB REM EMBED FB MOUTH VESTIB;COMP"|761.00|$3274.00|$1162.27|$2619.20|$2292.00|$2285.25|$1162.27|$2363.83|$2291.80|$2098.63|$2619.20|$1427.46|$1522.41|$2291.80|$2291.47|$2472.52|$1947.70
"CPT® 51100"|"HB DRAIN BLADDER BY NEEDLE"|761.00|$424.00|$150.52|$339.20|$297.00|$295.95|$150.52|$306.13|$296.80|$271.78|$339.20|$184.86|$197.16|$296.80|$296.76|$320.20|$252.24
"CPT® 31527"|"HB LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR"|761.00|$3606.00|$1280.13|$2884.80|$2524.00|$2516.99|$1280.13|$2603.53|$2524.20|$2311.45|$2884.80|$1572.22|$1676.79|$2524.20|$2523.84|$2723.25|$2145.21
"CPT® 31830"|"HB REVISION TRACHEOSTOMY SCAR"|761.00|$5206.00|$1848.13|$4164.80|$3644.00|$3633.79|$1848.13|$3758.73|$3644.20|$3337.05|$4164.80|$2269.82|$2420.79|$3644.20|$3643.68|$3931.57|$3097.05
"CPT® 32601"|"HB THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX"|761.00|$7564.00|$2685.22|$6051.20|$5295.00|$5279.67|$2685.22|$5461.21|$5294.80|$4848.52|$6051.20|$3297.90|$3517.26|$5294.80|$5294.04|$5712.33|$4499.82
"CPT® 32609"|"HB THORACOSCOPY WITH BIOPSYIES OF PLEURA"|761.00|$8318.00|$2952.89|$6654.40|$5823.00|$5805.96|$2952.89|$6005.60|$5822.60|$5331.84|$6654.40|$3626.65|$3867.87|$5822.60|$5821.77|$6281.75|$4948.38
"CPT® 76975"|"HB GI ENDOSCOPIC US S&I"|761.00|$1836.00|$651.78|$1468.80|$1285.00|$1281.53|$651.78|$1325.59|$1285.20|$1176.88|$1468.80|$800.50|$853.74|$1285.20|$1285.02|$1386.55|$1092.24
"CPT® 38222"|"HB DX BONE MARROW BX & ASPIR"|761.00|$2499.00|$887.15|$1999.20|$1749.00|$1744.30|$887.15|$1804.28|$1749.30|$1601.86|$1999.20|$1089.56|$1162.04|$1749.30|$1749.05|$1887.24|$1486.66
"CPT® 42180"|"HB REPAIR LACERATION PALATE </2 CM"|761.00|$1352.00|$479.96|$1081.60|$946.00|$943.70|$479.96|$976.14|$946.40|$866.63|$1081.60|$589.47|$628.68|$946.40|$946.26|$1021.03|$804.30
"CPT® 64417"|"HB INJECTION, ANESTHETIC AGENT; AXILLARY NERVE"|761.00|$3959.00|$1405.45|$3167.20|$2771.00|$2763.38|$1405.45|$2858.40|$2771.30|$2537.72|$3167.20|$1726.12|$1840.94|$2771.30|$2770.90|$2989.84|$2355.21
"CPT® 97602"|"HB WOUND(S) CARE NON-SELECTIVE"|761.00|$229.00|$81.30|$183.20|$160.00|$159.84|$81.30|$165.34|$160.30|$146.79|$183.20|$99.84|$106.49|$160.30|$160.28|$172.94|$136.23
"CPT® 29126"|"HB APPLY FOREARM SPLINT,DYNAMIC"|761.00|$285.00|$101.18|$228.00|$200.00|$198.93|$101.18|$205.77|$199.50|$182.69|$228.00|$124.26|$132.53|$199.50|$199.47|$215.23|$169.55
"CPT® 12056"|"HB INTERMEDIATE REPAIR FACE EARS EYELIDS NOSE LIPS MOUTH 20.1-30 CM"|761.00|$1980.00|$702.90|$1584.00|$1386.00|$1382.04|$702.90|$1429.56|$1386.00|$1269.18|$1584.00|$863.28|$920.70|$1386.00|$1385.80|$1495.30|$1177.90
"CPT® 26600"|"HB TX FX METACARPAL FX W/O MANIPULATION"|761.00|$358.00|$127.09|$286.40|$251.00|$249.88|$127.09|$258.48|$250.60|$229.48|$286.40|$156.09|$166.47|$250.60|$250.56|$270.36|$212.97
"CPT® 56420"|"HB DRAINAGE OF GLAND ABSCESS"|761.00|$627.00|$222.59|$501.60|$439.00|$437.65|$222.59|$452.69|$438.90|$401.91|$501.60|$273.37|$291.56|$438.90|$438.84|$473.51|$373.00
"CPT® 62355"|"HB REMOVE SPINAL CANAL C361ATHETER"|761.00|$2000.00|$710.00|$1600.00|$1400.00|$1396.00|$710.00|$1444.00|$1400.00|$1282.00|$1600.00|$872.00|$930.00|$1400.00|$1399.80|$1510.40|$1189.80
"CPT® 11600"|"HB EXC TR-EXT MLG+MAR 0.5 < CM"|761.00|$2396.00|$850.58|$1916.80|$1677.00|$1672.41|$850.58|$1729.91|$1677.20|$1535.84|$1916.80|$1044.66|$1114.14|$1677.20|$1676.96|$1809.46|$1425.38
"CPT® 11900"|"HB INJECTION, INTRALESIONAL, UP TO & INCLUDE 7 LESIONS"|761.00|$544.00|$193.12|$435.20|$381.00|$379.71|$193.12|$392.77|$380.80|$348.70|$435.20|$237.18|$252.96|$380.80|$380.75|$410.83|$323.63
"CPT® 12047"|"HB INTMD WND REPAIR N-HG/GENIT"|761.00|$5004.00|$1776.42|$4003.20|$3503.00|$3492.79|$1776.42|$3612.89|$3502.80|$3207.56|$4003.20|$2181.74|$2326.86|$3502.80|$3502.30|$3779.02|$2976.88
"CPT® 36561"|"HB INSERT TUNNEL CV CATH; WITH PORT"|761.00|$6291.00|$2233.31|$5032.80|$4404.00|$4391.12|$2233.31|$4542.10|$4403.70|$4032.53|$5032.80|$2742.88|$2925.32|$4403.70|$4403.07|$4750.96|$3742.52
"CPT® 38221"|"HB BONE MARROW BIOPSY"|761.00|$1250.00|$443.75|$1000.00|$875.00|$872.50|$443.75|$902.50|$875.00|$801.25|$1000.00|$545.00|$581.25|$875.00|$874.88|$944.00|$743.63
"CPT® 38505"|"HB NEEDLE BIOPSY LYMPH NODES"|761.00|$1690.00|$599.95|$1352.00|$1183.00|$1179.62|$599.95|$1220.18|$1183.00|$1083.29|$1352.00|$736.84|$785.85|$1183.00|$1182.83|$1276.29|$1005.38
"CPT® 62370"|"HB ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP"|761.00|$692.00|$245.66|$553.60|$484.00|$483.02|$245.66|$499.62|$484.40|$443.57|$553.60|$301.71|$321.78|$484.40|$484.33|$522.60|$411.67
"CPT® 56405"|"HB I & D OF VULVA/PERINEUM"|761.00|$670.00|$237.85|$536.00|$469.00|$467.66|$237.85|$483.74|$469.00|$429.47|$536.00|$292.12|$311.55|$469.00|$468.93|$505.98|$398.58
"CPT® 64616"|"HB CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA"|761.00|$1136.00|$403.28|$908.80|$795.00|$792.93|$403.28|$820.19|$795.20|$728.18|$908.80|$495.30|$528.24|$795.20|$795.09|$857.91|$675.81
"CPT® 64425"|"HB N BLOCK INJ ILIO-ING/HYPOGI"|761.00|$486.00|$172.53|$388.80|$340.00|$339.23|$172.53|$350.89|$340.20|$311.53|$388.80|$211.90|$225.99|$340.20|$340.15|$367.03|$289.12
"CPT® 64445"|"HB SCIATIC NERVE BLOCK; SINGLE"|761.00|$1004.00|$356.42|$803.20|$703.00|$700.79|$356.42|$724.89|$702.80|$643.56|$803.20|$437.74|$466.86|$702.80|$702.70|$758.22|$597.28
"CPT® 10004"|"HB FNA BX W/O IMG GDN EA ADDL"|761.00|$63.00|$22.37|$50.40|$44.00|$43.97|$22.37|$45.49|$44.10|$40.38|$50.40|$27.47|$29.30|$44.10|$44.09|$47.58|$37.48
"CPT® 10005"|"HB FNA BX W/US GDN 1ST LES"|761.00|$2121.00|$752.96|$1696.80|$1485.00|$1480.46|$752.96|$1531.36|$1484.70|$1359.56|$1696.80|$924.76|$986.27|$1484.70|$1484.49|$1601.78|$1261.78
"CPT® 10006"|"HB FNA BX W/US GDN EA ADDL"|761.00|$1060.00|$376.30|$848.00|$742.00|$739.88|$376.30|$765.32|$742.00|$679.46|$848.00|$462.16|$492.90|$742.00|$741.89|$800.51|$630.59
"CPT® 11102"|"HB TANGNTL BX SKIN SINGLE LES"|761.00|$371.00|$131.71|$296.80|$260.00|$258.96|$131.71|$267.86|$259.70|$237.81|$296.80|$161.76|$172.52|$259.70|$259.66|$280.18|$220.71
"CPT® 11103"|"HB TANGNTL BX SKIN EA SEP/ADDL"|761.00|$185.00|$65.68|$148.00|$130.00|$129.13|$65.68|$133.57|$129.50|$118.59|$148.00|$80.66|$86.03|$129.50|$129.48|$139.71|$110.06
"CPT® 11104"|"HB PUNCH BX SKIN SINGLE LESION"|761.00|$371.00|$131.71|$296.80|$260.00|$258.96|$131.71|$267.86|$259.70|$237.81|$296.80|$161.76|$172.52|$259.70|$259.66|$280.18|$220.71
"CPT® 11105"|"HB PUNCH BX SKIN EA SEP/ADDL"|761.00|$185.00|$65.68|$148.00|$130.00|$129.13|$65.68|$133.57|$129.50|$118.59|$148.00|$80.66|$86.03|$129.50|$129.48|$139.71|$110.06
"CPT® 11106"|"HB INCAL BX SKN SINGLE LES"|761.00|$387.00|$137.39|$309.60|$271.00|$270.13|$137.39|$279.41|$270.90|$248.07|$309.60|$168.73|$179.96|$270.90|$270.86|$292.26|$230.23
"CPT® 11107"|"HB INCAL BX SKN EA SEP/ADDL"|761.00|$194.00|$68.87|$155.20|$136.00|$135.41|$68.87|$140.07|$135.80|$124.35|$155.20|$84.58|$90.21|$135.80|$135.78|$146.51|$115.41
"CPT® 27369"|"HB NJX CNTRST KNE ARTHG/CT/MRI"|761.00|$142.00|$50.41|$113.60|$99.00|$99.12|$50.41|$102.52|$99.40|$91.02|$113.60|$61.91|$66.03|$99.40|$99.39|$107.24|$84.48
"CPT® 36572"|"HB INSJ PICC W/IMAGING <5 YR"|761.00|$2231.00|$792.01|$1784.80|$1562.00|$1557.24|$792.01|$1610.78|$1561.70|$1430.07|$1784.80|$972.72|$1037.42|$1561.70|$1561.48|$1684.85|$1327.22
"CPT® 36573"|"HB INSJ PICC W/IMAGING 5 YR+"|761.00|$3285.00|$1166.18|$2628.00|$2300.00|$2292.93|$1166.18|$2371.77|$2299.50|$2105.69|$2628.00|$1432.26|$1527.53|$2299.50|$2299.17|$2480.83|$1954.25
"CPT® 64611"|"HB CHEMODENERV PAROTID&SUBMANDIBL SALIVARY GLNDS"|761.00|$522.00|$185.31|$417.60|$365.00|$364.36|$185.31|$376.88|$365.40|$334.60|$417.60|$227.59|$242.73|$365.40|$365.35|$394.21|$310.54
"CPT® 12046"|"HCPF INTERMEDIATE REPAIR NECK HANDS FEET GENITALS >30 CM"|761.00|$1546.00|$548.83|$1236.80|$1082.00|$1079.11|$548.83|$1116.21|$1082.20|$990.99|$1236.80|$674.06|$718.89|$1082.20|$1082.05|$1167.54|$919.72
"CPT® 12047"|"HCPF INTERMEDIATE REPAIR NECK HANDS FEET GENITALS 20.1-30 CM"|761.00|$1754.00|$622.67|$1403.20|$1228.00|$1224.29|$622.67|$1266.39|$1227.80|$1124.31|$1403.20|$764.74|$815.61|$1227.80|$1227.62|$1324.62|$1043.45
"CPT® 12056"|"HCPF INTERMEDIATE REPAIR FACE EARS EYELIDS NOSE LIPS MOUTH 20.1-30 CM"|761.00|$1974.00|$700.77|$1579.20|$1382.00|$1377.85|$700.77|$1425.23|$1381.80|$1265.33|$1579.20|$860.66|$917.91|$1381.80|$1381.60|$1490.76|$1174.33
"CPT® 12057"|"HCPF INTERMEDIATE REPAIR FACE EARS EYELIDS NOSE LIPS MOUTH >30 CM"|761.00|$2122.00|$753.31|$1697.60|$1485.00|$1481.16|$753.31|$1532.08|$1485.40|$1360.20|$1697.60|$925.19|$986.73|$1485.40|$1485.19|$1602.53|$1262.38
"HCPCS G0378"|"HB HOSPITAL OBSERVATION PER HR"|762.00|$72.00|$25.56|$57.60|$50.00|$50.26|$25.56|$51.98|$50.40|$46.15|$57.60|$31.39|$33.48|$50.40|$50.39|$54.37|$42.83
"HCPCS G0379"|"HB DIRECT REFER HOSPITAL OBSERVATION"|762.00|$460.00|$163.30|$368.00|$322.00|$321.08|$163.30|$332.12|$322.00|$294.86|$368.00|$200.56|$213.90|$322.00|$321.95|$347.39|$273.65
"HCPCS G0378"|"HB HOSPITAL OBSERVATION PER HR, TELEMETRY"|762.00|$88.00|$31.24|$70.40|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$61.60|$61.59|$66.46|$52.35
"HCPCS G0378"|"HB HOSPITAL OBSERVATION PER HR, CARVE-OUT"|762.00|$72.00|$25.56|$57.60|$50.00|$50.26|$25.56|$51.98|$50.40|$46.15|$57.60|$31.39|$33.48|$50.40|$50.39|$54.37|$42.83
"HCPCS G0378"|"HB HOSPITAL OBSERVATION PER HR, TELEMETRY, CARVE-OUT"|762.00|$88.00|$31.24|$70.40|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$61.60|$61.59|$66.46|$52.35
"CPT® 90460"|"HB IM ADMIN 1ST/ONLY COMPONENT"|771.00|$80.00|$28.40|$64.00|$56.00|$55.84|$28.40|$57.76|$56.00|$51.28|$64.00|$34.88|$37.20|$56.00|$55.99|$60.42|$47.59
"CPT® 90461"|"HB IM ADMIN EACH ADDL COMPONENT"|771.00|$40.00|$14.20|$32.00|$28.00|$27.92|$14.20|$28.88|$28.00|$25.64|$32.00|$17.44|$18.60|$28.00|$28.00|$30.21|$23.80
"CPT® 90471"|"HB IMMUNIZATION ADMIN"|771.00|$95.00|$33.73|$76.00|$66.00|$66.31|$33.73|$68.59|$66.50|$60.90|$76.00|$41.42|$44.18|$66.50|$66.49|$71.74|$56.52
"CPT® 90472"|"HB IMMUNIZATION ADMIN EACH ADD"|771.00|$95.00|$33.73|$76.00|$66.00|$66.31|$33.73|$68.59|$66.50|$60.90|$76.00|$41.42|$44.18|$66.50|$66.49|$71.74|$56.52
"CPT® 90473"|"HB IMMUNE ADMIN ORAL/NASAL"|771.00|$75.00|$26.63|$60.00|$52.00|$52.35|$26.63|$54.15|$52.50|$48.08|$60.00|$32.70|$34.88|$52.50|$52.49|$56.64|$44.62
"HCPCS G0008"|"HB ADMIN INFLUENZA VIRUS VAC"|771.00|$95.00|$33.73|$76.00|$66.00|$66.31|$33.73|$68.59|$66.50|$60.90|$76.00|$41.42|$44.18|$66.50|$66.49|$71.74|$56.52
"HCPCS G0009"|"HB ADMIN PNEUMOCOCCAL VACCINE"|771.00|$95.00|$33.73|$76.00|$66.00|$66.31|$33.73|$68.59|$66.50|$60.90|$76.00|$41.42|$44.18|$66.50|$66.49|$71.74|$56.52
"HCPCS G0010"|"HB ADMIN HEPATITIS B VACCINE"|771.00|$78.00|$27.69|$62.40|$55.00|$54.44|$27.69|$56.32|$54.60|$50.00|$62.40|$34.01|$36.27|$54.60|$54.59|$58.91|$46.40
"HCPCS Q3014"|"HB TELEHEALTH FACILITY FEE"|780.00|$100.00|$35.50|$80.00|$70.00|$69.80|$35.50|$72.20|$70.00|$64.10|$80.00|$43.60|$46.50|$70.00|$69.99|$75.52|$59.49
"CPT® 90945"|"HB DIALYSIS PERITONEAL NON-ESRD ONE EVAL"|802.00|$1180.00|$418.90|$944.00|$826.00|$823.64|$418.90|$851.96|$826.00|$756.38|$944.00|$514.48|$548.70|$826.00|$825.88|$891.14|$701.98
"CPT® 90935"|"HB HEMODIALYSIS NON-ESRD ONE EVAL"|809.00|$1981.00|$703.26|$1584.80|$1387.00|$1382.74|$703.26|$1430.28|$1386.70|$1269.82|$1584.80|$863.72|$921.17|$1386.70|$1386.50|$1496.05|$1178.50
"CPT® 90945"|"HB DIALYSIS CRRT IP ONE EVAL"|809.00|$3089.00|$1096.60|$2471.20|$2162.00|$2156.12|$1096.60|$2230.26|$2162.30|$1980.05|$2471.20|$1346.80|$1436.39|$2162.30|$2161.99|$2332.81|$1837.65
"CPT® G0257"|"HB UNSCHEDULED HEMODIALYSIS ESRD ONE EVAL"|809.00|$2179.00|$773.55|$1743.20|$1525.00|$1520.94|$773.55|$1573.24|$1525.30|$1396.74|$1743.20|$950.04|$1013.24|$1525.30|$1525.08|$1645.58|$1296.29
"CPT® 90945"|"HB DIALYSIS CRRT OP ONE EVAL"|880.00|$3089.00|$1096.60|$2471.20|$2162.00|$2156.12|$1096.60|$2230.26|$2162.30|$1980.05|$2471.20|$1346.80|$1436.39|$2162.30|$2161.99|$2332.81|$1837.65
"CPT® 59025"|"HB FETAL NON-STRESS TEST"|920.00|$375.00|$133.13|$300.00|$262.00|$261.75|$133.13|$270.75|$262.50|$240.38|$300.00|$163.50|$174.38|$262.50|$262.46|$283.20|$223.09
"CPT® 92534"|"HB OPTOKINETIC NYSTAGMUS TEST"|920.00|$301.00|$106.86|$240.80|$211.00|$210.10|$106.86|$217.32|$210.70|$192.94|$240.80|$131.24|$139.97|$210.70|$210.67|$227.32|$179.06
"CPT® 95250"|"HB GLUCOSE MONITORING- CONT"|920.00|$440.00|$156.20|$352.00|$308.00|$307.12|$156.20|$317.68|$308.00|$282.04|$352.00|$191.84|$204.60|$308.00|$307.96|$332.29|$261.76
"CPT® 95800"|"HB SLEEP STUDY UNATTENDED"|920.00|$1493.00|$530.02|$1194.40|$1045.00|$1042.11|$530.02|$1077.95|$1045.10|$957.01|$1194.40|$650.95|$694.25|$1045.10|$1044.95|$1127.51|$888.19
"CPT® 95970"|"HB EA NEURSTIM PG/CPLX-NO REPR"|920.00|$179.00|$63.55|$143.20|$125.00|$124.94|$63.55|$129.24|$125.30|$114.74|$143.20|$78.04|$83.24|$125.30|$125.28|$135.18|$106.49
"CPT® 95971"|"HB EA NEUROSTIM PG;SMPLE- REPR"|920.00|$319.00|$113.25|$255.20|$223.00|$222.66|$113.25|$230.32|$223.30|$204.48|$255.20|$139.08|$148.34|$223.30|$223.27|$240.91|$189.77
"CPT® 93880"|"HB EXTRACRANIAL BILAT STUDY"|921.00|$2620.00|$930.10|$2096.00|$1834.00|$1828.76|$930.10|$1891.64|$1834.00|$1679.42|$2096.00|$1142.32|$1218.30|$1834.00|$1833.74|$1978.62|$1558.64
"CPT® 93922"|"HB UPR/L XTREMITY ART 2 LEVELS"|921.00|$383.00|$135.97|$306.40|$268.00|$267.33|$135.97|$276.53|$268.10|$245.50|$306.40|$166.99|$178.10|$268.10|$268.06|$289.24|$227.85
"CPT® 93923"|"HB UPR/LXTR ART STDY 3+ LVLS"|921.00|$324.00|$115.02|$259.20|$227.00|$226.15|$115.02|$233.93|$226.80|$207.68|$259.20|$141.26|$150.66|$226.80|$226.77|$244.68|$192.75
"CPT® 93924"|"HB LWR XTR VASC STDY BILAT"|921.00|$860.00|$305.30|$688.00|$602.00|$600.28|$305.30|$620.92|$602.00|$551.26|$688.00|$374.96|$399.90|$602.00|$601.91|$649.47|$511.61
"CPT® 93925"|"HB LOWER EXTREMITY STUDY COMP BILAT STUDY"|921.00|$2063.00|$732.37|$1650.40|$1444.00|$1439.97|$732.37|$1489.49|$1444.10|$1322.38|$1650.40|$899.47|$959.30|$1444.10|$1443.89|$1557.98|$1227.28
"CPT® 93926"|"HB LOWER EXTREMITY STUDY UNILATERAL OR LIMITED"|921.00|$1502.00|$533.21|$1201.60|$1051.00|$1048.40|$533.21|$1084.44|$1051.40|$962.78|$1201.60|$654.87|$698.43|$1051.40|$1051.25|$1134.31|$893.54
"CPT® 93930"|"HB UPPER EXTREMITY STUDY COMP BILAT STUDY"|921.00|$2059.00|$730.95|$1647.20|$1441.00|$1437.18|$730.95|$1486.60|$1441.30|$1319.82|$1647.20|$897.72|$957.44|$1441.30|$1441.09|$1554.96|$1224.90
"CPT® 93931"|"HB UPPER EXTREMITY STUDY UNILATERAL OR LIMITED"|921.00|$1301.00|$461.86|$1040.80|$911.00|$908.10|$461.86|$939.32|$910.70|$833.94|$1040.80|$567.24|$604.97|$910.70|$910.57|$982.52|$773.96
"CPT® 93970"|"HB US DOPP VENUS EXT BIL"|921.00|$2945.00|$1045.48|$2356.00|$2062.00|$2055.61|$1045.48|$2126.29|$2061.50|$1887.75|$2356.00|$1284.02|$1369.43|$2061.50|$2061.21|$2224.06|$1751.98
"CPT® 93971"|"HB US DOPP VENUS EXT UNI"|921.00|$1876.00|$665.98|$1500.80|$1313.00|$1309.45|$665.98|$1354.47|$1313.20|$1202.52|$1500.80|$817.94|$872.34|$1313.20|$1313.01|$1416.76|$1116.03
"CPT® 93975"|"HB ARTERIAL DUPLEX ABDOMEN/PELVIC/RETROPERITONEAL; COMPLETE"|921.00|$2103.00|$746.57|$1682.40|$1472.00|$1467.89|$746.57|$1518.37|$1472.10|$1348.02|$1682.40|$916.91|$977.90|$1472.10|$1471.89|$1588.19|$1251.07
"CPT® 93976"|"HB ARTERIAL DUPLEX ABDOMEN/PELVIC/RETROPERITONEAL; LIMITED"|921.00|$1307.00|$463.99|$1045.60|$915.00|$912.29|$463.99|$943.65|$914.90|$837.79|$1045.60|$569.85|$607.76|$914.90|$914.77|$987.05|$777.53
"CPT® 93978"|"HB DUPLEX SCAN AORTA/IVC/ILIAC VASCULATURE OR BYPASS GRAFTS; COMPLETE"|921.00|$1730.00|$614.15|$1384.00|$1211.00|$1207.54|$614.15|$1249.06|$1211.00|$1108.93|$1384.00|$754.28|$804.45|$1211.00|$1210.83|$1306.50|$1029.18
"CPT® 36514"|"HB APHERESIS PLASMA"|940.00|$5512.00|$1956.76|$4409.60|$3858.00|$3847.38|$1956.76|$3979.66|$3858.40|$3533.19|$4409.60|$2403.23|$2563.08|$3858.40|$3857.85|$4162.66|$3279.09
"CPT® 96372"|"HB THER/PROPH/DIAG INJ SC/IM"|940.00|$144.00|$51.12|$115.20|$101.00|$100.51|$51.12|$103.97|$100.80|$92.30|$115.20|$62.78|$66.96|$100.80|$100.79|$108.75|$85.67
"CPT® 99195"|"HB PHLEBOTOMY"|940.00|$417.00|$148.04|$333.60|$292.00|$291.07|$148.04|$301.07|$291.90|$267.30|$333.60|$181.81|$193.91|$291.90|$291.86|$314.92|$248.07
"CPT® 99406"|"HB SMOKING AND TOBACCO USE COUNSELING - 3-10 MINUTES"|940.00|$52.00|$18.46|$41.60|$36.00|$36.30|$18.46|$37.54|$36.40|$33.33|$41.60|$22.67|$24.18|$36.40|$36.39|$39.27|$30.93
"CPT® 97802"|"HB MEDICAL NUTRITION INDIV IN"|942.00|$85.00|$30.18|$68.00|$59.00|$59.33|$30.18|$61.37|$59.50|$54.49|$68.00|$37.06|$39.53|$59.50|$59.49|$64.19|$50.57
"CPT® 97803"|"HB MED NUTRITION INDIV SUBSEQ"|942.00|$85.00|$30.18|$68.00|$59.00|$59.33|$30.18|$61.37|$59.50|$54.49|$68.00|$37.06|$39.53|$59.50|$59.49|$64.19|$50.57
"CPT® 97804"|"HB MEDICAL NUTRITION GROUP"|942.00|$130.00|$46.15|$104.00|$91.00|$90.74|$46.15|$93.86|$91.00|$83.33|$104.00|$56.68|$60.45|$91.00|$90.99|$98.18|$77.34
"HCPCS G0108"|"HB DIAB MANAGE TRN  PER INDIV"|942.00|$132.00|$46.86|$105.60|$92.00|$92.14|$46.86|$95.30|$92.40|$84.61|$105.60|$57.55|$61.38|$92.40|$92.39|$99.69|$78.53
"HCPCS G0109"|"HB DIAB MANAGE TRN IND/GROUP"|942.00|$82.00|$29.11|$65.60|$57.00|$57.24|$29.11|$59.20|$57.40|$52.56|$65.60|$35.75|$38.13|$57.40|$57.39|$61.93|$48.78
"HCPCS S9460"|"HB DIAB MGMT PROG IP/RN/15MIN"|942.00|$88.00|$31.24|$70.40|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$61.60|$61.59|$66.46|$52.35
"HCPCS S9465"|"HB DIAB MGMT PROG IP/RD/15MIN"|942.00|$88.00|$31.24|$70.40|$62.00|$61.42|$31.24|$63.54|$61.60|$56.41|$70.40|$38.37|$40.92|$61.60|$61.59|$66.46|$52.35
"CPT® 93797"|"HB CARDIAC REHAB"|943.00|$219.00|$77.75|$175.20|$153.00|$152.86|$77.75|$158.12|$153.30|$140.38|$175.20|$95.48|$101.84|$153.30|$153.28|$165.39|$130.28
"CPT® 93798"|"HB CARDIAC REHAB/MONITOR"|943.00|$300.00|$106.50|$240.00|$210.00|$209.40|$106.50|$216.60|$210.00|$192.30|$240.00|$130.80|$139.50|$210.00|$209.97|$226.56|$178.47
"CPT® 93668"|"HB PERIPHERAL ART DISEASE REHAB, EA"|943.00|$68.00|$24.14|$54.40|$48.00|$47.46|$24.14|$49.10|$47.60|$43.59|$54.40|$29.65|$31.62|$47.60|$47.59|$51.35|$40.45
"HCPCS G0424"|"HB PULMONARY REHAB W EXER"|948.00|$119.00|$42.25|$95.20|$83.00|$83.06|$42.25|$85.92|$83.30|$76.28|$95.20|$51.88|$55.34|$83.30|$83.29|$89.87|$70.79
"HCPCS G8907"|"HB PT DOC NO EVENTS ON DISCHARG"|960.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8909"|"HB PT DOC NO BURN PRIOR TO D/C"|960.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8911"|"HB PT DOC NO FALL IN ASC"|960.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8916"|"HB PT W IV AB GIVEN ON TIME"|960.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8917"|"HB PT W IV AB NOT GIVEN ON TIME"|960.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"HCPCS G8918"|"HB PT W/O PREOP ORDER IV AB PRO"|960.00|$0.00|$0.00|$0.01|$0.00|$0.01|$0.00|$0.01|$0.01|$0.01|$0.01|$0.00|$0.00|$0.00|$0.00|$0.00|$0.00
"CPT® 99221"|"HCPF INTL INPATIENT CARE LEVEL I"|960.00|$280.00|$99.40|$224.00|$196.00|$195.44|$99.40|$202.16|$196.00|$179.48|$224.00|$122.08|$130.20|$196.00|$195.97|$211.46|$166.57
"CPT® 99222"|"HCPF SC HOSP NEW PT INTL 50MIN"|960.00|$380.00|$134.90|$304.00|$266.00|$265.24|$134.90|$274.36|$266.00|$243.58|$304.00|$165.68|$176.70|$266.00|$265.96|$286.98|$226.06
"CPT® 99223"|"HCPF SC HOSP NEW PT INTL 70MIN"|960.00|$558.00|$198.09|$446.40|$391.00|$389.48|$198.09|$402.88|$390.60|$357.68|$446.40|$243.29|$259.47|$390.60|$390.54|$421.40|$331.95
"CPT® 99224"|"HCPF SUBSEQ OBS SVC, LEVEL I"|960.00|$111.00|$39.41|$88.80|$78.00|$77.48|$39.41|$80.14|$77.70|$71.15|$88.80|$48.40|$51.62|$77.70|$77.69|$83.83|$66.03
"CPT® 99225"|"HCPF SUBSEQ OBS SVC LEVEL II"|960.00|$199.00|$70.65|$159.20|$139.00|$138.90|$70.65|$143.68|$139.30|$127.56|$159.20|$86.76|$92.54|$139.30|$139.28|$150.28|$118.39
"CPT® 99226"|"HCPF SUBSEQ OBS SVC LEVEL III"|960.00|$285.00|$101.18|$228.00|$200.00|$198.93|$101.18|$205.77|$199.50|$182.69|$228.00|$124.26|$132.53|$199.50|$199.47|$215.23|$169.55
"CPT® 99231"|"HCPF SC HOSP EST PT 15MIN"|960.00|$109.00|$38.70|$87.20|$76.00|$76.08|$38.70|$78.70|$76.30|$69.87|$87.20|$47.52|$50.69|$76.30|$76.29|$82.32|$64.84
"CPT® 99232"|"HCPF SC HOSP EST PT 25MIN"|960.00|$197.00|$69.94|$157.60|$138.00|$137.51|$69.94|$142.23|$137.90|$126.28|$157.60|$85.89|$91.61|$137.90|$137.88|$148.77|$117.20
"CPT® 99233"|"HCPF SC HOSP EST PT 35MIN"|960.00|$285.00|$101.18|$228.00|$200.00|$198.93|$101.18|$205.77|$199.50|$182.69|$228.00|$124.26|$132.53|$199.50|$199.47|$215.23|$169.55
"CPT® 99251"|"HCPF INPATIENT CONSULTATION LEVEL 1"|960.00|$57.00|$20.24|$45.60|$40.00|$39.79|$20.24|$41.15|$39.90|$36.54|$45.60|$24.85|$26.51|$39.90|$39.89|$43.05|$33.91
"CPT® 99253"|"HCPF INPATIENT CONSULTATION LVL III"|960.00|$84.00|$29.82|$67.20|$59.00|$58.63|$29.82|$60.65|$58.80|$53.84|$67.20|$36.62|$39.06|$58.80|$58.79|$63.44|$49.97
"CPT® 99254"|"HCPF INPATIENT CONSULTATION LVL IV"|960.00|$185.00|$65.68|$148.00|$130.00|$129.13|$65.68|$133.57|$129.50|$118.59|$148.00|$80.66|$86.03|$129.50|$129.48|$139.71|$110.06
"CPT® 99255"|"HCPF INPATIENT CONSULTATION LVL V"|960.00|$599.00|$212.65|$479.20|$419.00|$418.10|$212.65|$432.48|$419.30|$383.96|$479.20|$261.16|$278.54|$419.30|$419.24|$452.36|$356.35
"CPT® 99356"|"HCPF SC INP/OBS PROLONG 60MIN"|960.00|$252.00|$89.46|$201.60|$176.00|$175.90|$89.46|$181.94|$176.40|$161.53|$201.60|$109.87|$117.18|$176.40|$176.37|$190.31|$149.91
"CPT® 99406"|"HCPF SMOKING AND TOBACCO USE COUNSELING - 3-10 MINUTES"|960.00|$23.00|$8.17|$18.40|$16.00|$16.05|$8.17|$16.61|$16.10|$14.74|$18.40|$10.03|$10.70|$16.10|$16.10|$17.37|$13.68
"CPT® 99407"|"HCPF TOBACCO USE CESS INTENS>10 M"|960.00|$44.00|$15.62|$35.20|$31.00|$30.71|$15.62|$31.77|$30.80|$28.20|$35.20|$19.18|$20.46|$30.80|$30.80|$33.23|$26.18
"CPT® 38222"|"HCPF DX BONE MARROW BX & ASPIR"|960.00|$2272.00|$806.56|$1817.60|$1590.00|$1585.86|$806.56|$1640.38|$1590.40|$1456.35|$1817.60|$990.59|$1056.48|$1590.40|$1590.17|$1715.81|$1351.61
"CPT® 26600"|"HCPF CL TX MTC FX 1, W/O MANIPULATION"|981.00|$860.00|$305.30|$688.00|$602.00|$600.28|$305.30|$620.92|$602.00|$551.26|$688.00|$374.96|$399.90|$602.00|$601.91|$649.47|$511.61
"CPT® 27842"|"HCPF CLOSED TREATMENT ANKLE DISLOCATION W ANES"|981.00|$1565.00|$555.58|$1252.00|$1096.00|$1092.37|$555.58|$1129.93|$1095.50|$1003.17|$1252.00|$682.34|$727.73|$1095.50|$1095.34|$1181.89|$931.02
"CPT® 36420"|"HCPF VENOUS CUTDOWN <1 Y/O"|981.00|$228.00|$80.94|$182.40|$160.00|$159.14|$80.94|$164.62|$159.60|$146.15|$182.40|$99.41|$106.02|$159.60|$159.58|$172.19|$135.64
"CPT® 36425"|"HCPF VENOUS CUTDOWN >1 Y/O"|981.00|$493.00|$175.02|$394.40|$345.00|$344.11|$175.02|$355.95|$345.10|$316.01|$394.40|$214.95|$229.25|$345.10|$345.05|$372.31|$293.29
"CPT® 36680"|"HCPF INSERT INTRAOSSEOUS INFUSION"|981.00|$314.00|$111.47|$251.20|$220.00|$219.17|$111.47|$226.71|$219.80|$201.27|$251.20|$136.90|$146.01|$219.80|$219.77|$237.13|$186.80
"CPT® 41251"|"HCPF REPAIR TONGUE LACER,POST 1/3"|981.00|$764.00|$271.22|$611.20|$535.00|$533.27|$271.22|$551.61|$534.80|$489.72|$611.20|$333.10|$355.26|$534.80|$534.72|$576.97|$454.50
"CPT® 92960"|"HCPF IND CARDIOVERSION"|981.00|$705.00|$250.28|$564.00|$493.00|$492.09|$250.28|$509.01|$493.50|$451.91|$564.00|$307.38|$327.83|$493.50|$493.43|$532.42|$419.40
"CPT® 43246"|"HCPF EGD PLACE GASTROSTOMY TUBE"|981.00|$340.00|$120.70|$272.00|$238.00|$237.32|$120.70|$245.48|$238.00|$217.94|$272.00|$148.24|$158.10|$238.00|$237.97|$256.77|$202.27
"CPT® 93303"|"HCPF ECHO CONG HEART COMPLETE"|985.00|$254.00|$90.17|$203.20|$178.00|$177.29|$90.17|$183.39|$177.80|$162.81|$203.20|$110.74|$118.11|$177.80|$177.77|$191.82|$151.10
"CPT® 93320"|"HCPF DOPPLER W SPECTRAL DISP-COMPL"|985.00|$67.00|$23.79|$53.60|$47.00|$46.77|$23.79|$48.37|$46.90|$42.95|$53.60|$29.21|$31.16|$46.90|$46.89|$50.60|$39.86