| 0 | 13150 Complex Eyelid, Nose, Ear, Lip 1.0 cm > ED Charge | 553 | 4504759 | 3596324 |
| 0 | 13150 Repair Complex Eyelid, Nose, Ear, Lip 1.0 cm or less ED PRO FEE | 342 | 9813606 | 3596246 |
| 0 | 99143 Conscious Sedation <5Yrs ED Charge | 77 | 4504590 | 3650293 |
| 0 | 99143 Conscious Sedation <5Yrs ED PRO FEE | 97 | 9813977 | 5175390 |
| 0 | 99144 Conscious Sedation ED PRO FEE | 80 | 9814728 | 3596582 |
| 0 | 99145 Cons Sedation Ea Addtl 1 ED Charge | 25.5 | 4506092 | 3650295 |
| 0 | 99145 Mod Sed Monitor Pt’s Level of Consciousn/Physiological Status; each Addtl 15 Min ED PRO FEE | 32 | 9815479 | 3596651 |
| 0 | AIRWAY NASAL LATEX FREE 28 FR | 11.75 | 2727143 | 4983730 |
| 0 | AIRWAY NASAL LATEX FREE 30 FR | 11.75 | 2727143 | 4983885 |
| 0 | AIRWAY NASAL LATEX FREE 32FR | 11.75 | 2727143 | 5339224 |
| 0 | ANESTHESIA CIRCUIT/MASK | 42 | 2702775 | 6390982 |
| 0 | Anesthesia Mask-POM | 35 | 2704691 | 22153634 |
| 0 | Anesthesia Unit Charge – Kane | 66 | 3702607 | 9547370 |
| 0 | ANTI REFLUX VALVE | 22.5 | 2705066 | 22511438 |
| 0 | ANTI-EMBOLISM STCKING THIGH LG/RE | 67.5 | 2704518 | 4983220 |
| 0 | APPLICATION TOURNIQUET C-A-T BLK | 82.25 | 2708881 | 23371818 |
| 0 | ARGYLE TROCAR CATH KIT | 102 | 2724088 | 4983828 |
| 0 | B/H PED EMER SYST 7700 BAW | 120 | 2709006 | 5021065 |
| 0 | B/H PED EMER SYST 7700 BIN | 120 | 2709006 | 5021067 |
| 0 | B/H PED EMER SYST 7700 BIO | 120 | 2709006 | 5021064 |
| 0 | B/H PED EMER SYST 7700 BIV | 120 | 2709006 | 5021066 |
| 0 | B/H PED EMER SYST 7700 GAW | 120 | 2709006 | 5021073 |
| 0 | B/H PED EMER SYST 7700 GIN | 120 | 2709006 | 5021075 |
| 0 | B/H PED EMER SYST 7700 GIO | 120 | 2709006 | 5021072 |
| 0 | B/H PED EMER SYST 7700 GIV | 120 | 2709006 | 5021074 |
| 0 | B/H PED EMER SYST 7700 OAW | 120 | 2709006 | 5021069 |
| 0 | B/H PED EMER SYST 7700 OIN | 120 | 2709006 | 5021071 |
| 0 | B/H PED EMER SYST 7700 OIO | 120 | 2709006 | 5021068 |
| 0 | B/H PED EMER SYST 7700 OIV | 120 | 2709006 | 5021070 |
| 0 | B/H PED EMER SYST 7700 PAW | 120 | 2709006 | 5021053 |
| 0 | B/H PED EMER SYST 7700 PIN | 120 | 2709006 | 5021055 |
| 0 | B/H PED EMER SYST 7700 PIO | 120 | 2709006 | 5021052 |
| 0 | B/H PED EMER SYST 7700 PIV | 120 | 2709006 | 5021054 |
| 0 | B/H PED EMER SYST 7700 RAW | 120 | 2709006 | 5021049 |
| 0 | B/H PED EMER SYST 7700 RIN | 120 | 2709006 | 5021051 |
| 0 | B/H PED EMER SYST 7700 RIO | 120 | 2709006 | 5021048 |
| 0 | B/H PED EMER SYST 7700 RIV | 120 | 2709006 | 5021050 |
| 0 | B/H PED EMER SYST 7700 WAW | 120 | 2709006 | 5021061 |
| 0 | B/H PED EMER SYST 7700 WIN | 120 | 2709006 | 5021063 |
| 0 | B/H PED EMER SYST 7700 WIO | 120 | 2709006 | 5021060 |
| 0 | B/H PED EMER SYST 7700 WIV | 120 | 2709006 | 5021062 |
| 0 | B/H PED EMER SYST 7700 YAW | 120 | 2709006 | 5021057 |
| 0 | B/H PED EMER SYST 7700 YIN | 120 | 2709006 | 5021059 |
| 0 | B/H PED EMER SYST 7700 YIO | 120 | 2709006 | 5021056 |
| 0 | B/H PED EMER SYST 7700 YIV | 120 | 2709006 | 5021058 |
| 0 | BARD FOLEY CATHETER 10FR PEDIATRIC | 69.75 | 2723006 | 4983847 |
| 0 | BARD FOLEY CATHETER 14FR | 69.75 | 2723006 | 4983848 |
| 0 | BARD FOLEY CATHETER 22FR | 69.75 | 2723006 | 4983852 |
| 0 | Bill Surgical Path Lvl II | 66 | 3005120 | 3193515 |
| 0 | BINDER ABDOMINAL 12 INCH 4-PANEL | 48.75 | 2704975 | 4983736 |
| 0 | BINDER ABDOMINAL 12 INCH 4-PANEL / LG | 48.75 | 2704975 | 4983737 |
| 0 | BLANKET BAIR HUGGER FULL BODY | 210 | 2723398 | 4983738 |
| 0 | CANNULA INFANT RAM | 41.25 | 2702481 | 22553466 |
| 0 | CANNULA ORAL/NASAL ADULT DIVIDED CA/25 | 12 | 2705956 | 4983741 |
| 0 | CANOPY, PED AEROSOL, W/2 36IN | 87.75 | 0 | 4983870 |
| 0 | CAREFUSION BONE MARROW NEEDLE DIN1515X | 60 | 2709206 | 5424501 |
| 0 | CAREFUSION BONE MARROW NEEDLE DIN1518X | 60 | 2709206 | 5424502 |
| 0 | CAST TAPE SCOTCHCAST WHITE 2X4YD | 76.25 | 2702396 | 4983742 |
| 0 | CAST TAPE SCOTCHCAST WHITE 3X4YD | 76.25 | 2702396 | 4983743 |
| 0 | CAST TAPE SCOTCHCAST WHITE 4X4YD | 76.25 | 2702396 | 4983744 |
| 0 | CATH TRAY FOLEY 16FR 5CC LTX W/BAG | 97 | 2727512 | 4983221 |
| 0 | CATHETER FOLEY LTX RD TIP2WAY30CC24 | 97 | 2727512 | 4983222 |
| 0 | CATHETER FOLEY SIL 2WAY 12FR 5CC LF | 69.75 | 2723006 | 4983223 |
| 0 | CATHETER FOLEY SIL 2WAY 16FR 5CC LF | 69.75 | 2723006 | 4983224 |
| 0 | CATHETER FOLEY SIL 2WAY 18FR 5CC LF | 69.75 | 2723006 | 4983225 |
| 0 | CATHETER FOLEY SIL 2WAY 30CC 22FR | 69.75 | 2723006 | 4983226 |
| 0 | CATHETER FOLEY SIL 2WAY 5CC 20FR | 69.75 | 2723006 | 4983227 |
| 0 | CATHETER FOLEY SIL PEDI 2WAY3CC 8FR | 69.75 | 2723006 | 4983228 |
| 0 | CATHETER TROCAR STERILE 32FR | 45 | 2721786 | 5947232 |
| 0 | CIRCUIT ADULT ANESTHESIA UNILIMB 60 | 42 | 2702775 | 4983371 |
| 0 | Closed Treatment of Scapula Fracture | 357 | 9818818 | 7142611 |
| 0 | Closed Treatment of Scapula Fracture, without manipulation | 145 | 4509569 | 7142612 |
| 0 | Conscious Sedation >5Yrs ED Charge | 64 | 4505341 | 3650294 |
| 0 | CONVERTERS INSTRANETICS DISP MAGNETIC INSTRUMENT DRAPE | 53.25 | 2728455 | 4983859 |
| 0 | CT Maxillofacial w/o Contrast | 767.4 | 0 | 630094 |
| 0 | CT PE Chest/ Abdomen w/ Contrast | 747 | 0 | 1005192 |
| 0 | CUP TENDER TOUCH VACUUM EXTRACTION | 46.5 | 2709047 | 4983745 |
| 0 | CUP ULTRA TOUCH SILICONE V.E. 60MM | 46.5 | 2709047 | 4983746 |
| 0 | D RX BAG NACL .9P 250ML | 26.75 | 2582039 | 4983886 |
| 0 | D RX BAG NACL .9P 500ML | 26.75 | 2582039 | 4983887 |
| 0 | D RX CHLORIDE SODIUM 3P INJ USP | 26.75 | 2582039 | 4983888 |
| 0 | D RX DEX 5P NACL 45P 500ML CS/24 | 26.75 | 2582039 | 4983889 |
| 0 | D RX DEXTROSE 10P 500 ML | 26.75 | 2582039 | 4983890 |
| 0 | D RX DEXTROSE 5% & 0.2% SODIUM CHL | 26.75 | 2582039 | 4983891 |
| 0 | D RX DEXTROSE 5% & 0.45% 1000ML | 26.75 | 2582039 | 4983892 |
| 0 | D RX DEXTROSE 5% 0.9% SODIUM 1000 | 26.75 | 2582039 | 4983893 |
| 0 | D RX DEXTROSE 5% INJECTION USP 1000 | 26.75 | 2582039 | 4983894 |
| 0 | D RX DEXTROSE 5P INJ USP 500ML | 26.75 | 2582039 | 4983895 |
| 0 | D RX HETASTARCH 6% IN 0.9% | 26.75 | 2582039 | 4983849 |
| 0 | D RX INJECTION 5P DEXTROSE AND 0.2P | 26.75 | 2582039 | 4983850 |
| 0 | D RX LACTATED RINGERS & 5% DEXTROSE | 26.75 | 2582039 | 4983851 |
| 0 | D RX LACTATED RINGERS INJ USP 1000M | 26.75 | 2582039 | 4983853 |
| 0 | D RX SODIUM CHLORIDE INJ 0.45% USP(2B1314X) | 26.75 | 2582039 | 4983846 |
| 0 | D RX SODIUM CHLORIDE INJ 0.9% 1000M | 26.75 | 2582039 | 4983858 |
| 0 | D RX TRAVENOL 0.9P NACL INJ 100ML | 26.75 | 2582039 | 4983788 |
| 0 | D RX TRAVENOL 5% DEX INJ USP | 26.75 | 2582039 | 4983829 |
| 0 | DELIVERY CHARGE | 646 | 7222926 | 3762114 |
| 0 | DISPOSABLE RESUSCITATOR BAG | 93.25 | 2702942 | 6390981 |
| 0 | DISPOSABLE SENSOR | 53.25 | 2705886 | 6390983 |
| 0 | DRAIN CHEST LATEX FREE | 118.75 | 2727630 | 4983754 |
| 0 | DRESSING CLEAR ABSORBENT ACRYLIC OVERALL SIZE 4.5 X 6.8 L/F | 18.29 | 2709914 | 5021080 |
| 0 | DRESSING DUODERM CGF 4X4 | 23.5 | 2708841 | 4983756 |
| 0 | DRESSING DUODERM CGF 6X6 | 23.5 | 2708841 | 4983757 |
| 0 | DRESSING DUODERM CGF 8X8 | 23.5 | 2708841 | 4983758 |
| 0 | Drug Detection Panel, Umbilical Cord Tissue, Qualitative ARUP | 189 | 3002778 | 22543730 |
| 0 | Drug Pan 9, Ser/Pla, Scrn w/Rflx to Conf ARUP | 111.56 | 3006808 | 1763985 |
| 0 | ELECTRODE DEFIB PADS-ADULT/CHILD | 70 | 2706106 | 4983467 |
| 0 | ELECTRODE DEFIB PADS-PEDIACTRIC | 70 | 2706106 | 4983470 |
| 0 | ENDOSCOPIC GIA ROTICULATOR 45-2.5 | 560 | 2726378 | 4983766 |
| 0 | EPIDURAL YELLOW STRIPE TUBING | 32.25 | 2703729 | 4983549 |
| 0 | EPISTAXIS, INFL, UNILATRL, W/O AIRWAY 5.5CM | 128.5 | 2703590 | 23384560 |
| 0 | EPISTAXIS, NON INFL, RAPID-PAC, 5.5CM | 125 | 2704341 | 23384561 |
| 0 | ESOPHAGEAL AUDITORY THERMOMETER W/ADAPTER | 40 | 2705861 | 5947224 |
| 0 | Evaluation Charge | 88 | 4347507 | 691677 |
| 0 | EXCERCISER VOLUMETRIC CAPA 2500ML | 23.5 | 2708209 | 4983767 |
| 0 | FINGER CLIP SENSOR PEDIATRIC | 53.25 | 2705886 | 4983768 |
| 0 | FLEX MASK/3/TODDLER | 42 | 2702775 | 4983869 |
| 0 | FLEX MASK/5/ADULT LARGE | 42 | 2702775 | 4983868 |
| 0 | FLOWTRON CALF GARMENT DVT10 | 210 | 2725531 | 4983823 |
| 0 | FLOWTRON CALF GARMENT DVT20 | 210 | 2725531 | 4983824 |
| 0 | FLOWTRON GARMENT | 210 | 2725531 | 6390987 |
| 0 | FOLEY 6 FRENCH 100% SILICONE 1.5CC | 69.75 | 2723006 | 4983769 |
| 0 | GARMENT FLOWTRON DVT LG THIGH | 210 | 2725531 | 4983770 |
| 0 | HOLDER TUBE ENDOTRACH ADULT | 16 | 2701769 | 4983772 |
| 0 | INSTRUMENT ENDOSCOPIC UNIVER 12MM | 460.77 | 2706117 | 4983773 |
| 0 | INTRAUTERINE PRESSURE SYSTEM | 153.75 | 2708785 | 4983774 |
| 0 | Iodide, Serum or Plasma ARUP | 179.13 | 3008111 | 1763938 |
| 0 | KATZ EXTRACTOR | 175.5 | 2707201 | 23041960 |
| 0 | KCH Recovery | 245 | 7105937 | 3884244 |
| 0 | KENDALL 16G ILLINOIS STERNAL NEEDLE 8881245164 | 38.75 | 2709828 | 5424504 |
| 0 | KIT TUBE GASTRIC 34FR | 198 | 2703226 | 4983236 |
| 0 | LABOR ROOM 01 HOUR CHARGE | 240 | 7211001 | 3504698 |
| 0 | LABOR ROOM 02 HOURS CHARGE | 266 | 7211002 | 3504699 |
| 0 | LABOR ROOM 03 HOURS CHARGE | 293 | 7211003 | 3504700 |
| 0 | LABOR ROOM 04 HOURS CHARGE | 320 | 7211004 | 3504701 |
| 0 | LABOR ROOM 05 HOURS CHARGE | 346 | 7211005 | 3504702 |
| 0 | LABOR ROOM 06 HOURS CHARGE | 373 | 7211006 | 3504703 |
| 0 | LABOR ROOM 07 HOURS CHARGE | 399 | 7211007 | 3504704 |
| 0 | LABOR ROOM 10 HOURS CHARGE | 479 | 7211010 | 3504707 |
| 0 | LABOR ROOM 11 HOURS CHARGE | 506 | 7211011 | 3532192 |
| 0 | LABOR ROOM 12 HOURS CHARGE | 533 | 7211012 | 3532194 |
| 0 | LABOR ROOM 13 HOURS CHARGE | 559 | 7211013 | 3532195 |
| 0 | LABOR ROOM 14 HOURS CHARGE | 586 | 7211014 | 3762103 |
| 0 | LABOR ROOM 15 HOURS CHARGE | 612 | 7211015 | 3762104 |
| 0 | LABOR ROOM 16 HOURS CHARGE | 639 | 7211016 | 3762105 |
| 0 | LABOR ROOM 17 HOURS CHARGE | 666 | 7211017 | 3762106 |
| 0 | LABOR ROOM 18 HOURS CHARGE | 692 | 7211018 | 3762107 |
| 0 | LABOR ROOM 19 HOURS CHARGE | 719 | 7211019 | 3762108 |
| 0 | LABOR ROOM 20 HOURS CHARGE | 745 | 7211020 | 3762109 |
| 0 | LABOR ROOM 21 HOURS CHARGE | 772 | 7211021 | 3762110 |
| 0 | LABOR ROOM 22 HOURS CHARGE | 798 | 7211022 | 3762111 |
| 0 | LABOR ROOM 23 HOURS CHARGE | 825 | 7211023 | 3762112 |
| 0 | LABOR ROOM 24 HOURS CHARGE | 852 | 7211024 | 3762113 |
| 0 | LABOR ROOM 8 HOURS CHARGE | 426 | 7211008 | 3504705 |
| 0 | LABOR ROOM 9 HOURS CHARGE | 453 | 7211009 | 3504706 |
| 0 | LED Vaginal Speculum | 15.75 | 2702634 | 22724989 |
| 0 | LENS MORGAN MEDI-FLOW | 170.64 | 2706450 | 23012869 |
| 0 | LIGACLIP ERCA ENDOSCOPIC CLIP APPLIER | 525 | 2725627 | 4983861 |
| 0 | LMA DISPOSABLE | 110 | 2702555 | 6390984 |
| 0 | LMA SIZE 2 STD | 110 | 2702555 | 5339228 |
| 0 | LMA SIZE 3 STD | 110 | 2702555 | 5339229 |
| 0 | LMA SIZE 4 STD | 110 | 2702555 | 5339230 |
| 0 | LMA SIZE 5 STD | 110 | 2702555 | 5339231 |
| 0 | LUMBAR PUNCTURE TRAY | 121 | 2723462 | 6390986 |
| 0 | Major Each Addl 15 Minutes BCE | 252 | 3601424 | 22113511 |
| 0 | Major first 60 Minutes BCE | 1532 | 3601100 | 22113506 |
| 0 | MASK ANESTHESIA FACE CHILD SM ADULT | 12 | 2706707 | 4983775 |
| 0 | MEDC INFU-STAT DISP 1000 ML PRESSURE INFUSER | 103.25 | 2701959 | 4983906 |
| 0 | MEDC LACERATION TRAY | 33.25 | 2705808 | 4983827 |
| 0 | MEDC TRAY CENT LINE TEG CHG TAPE | 23.75 | 2709461 | 4983790 |
| 0 | MICROBORE EXTENSION SETS | 13.75 | 2702658 | 4983825 |
| 0 | Mist Tent Treatment | 87.75 | 2702511 | 1161580 |
| 0 | MOUTHPIECE ACAPELLA DM BLUE | 198.65 | 2708586 | 4983239 |
| 0 | N RX KIT EPIDURAL CATHETERIZATION | 165 | 2707783 | 4983240 |
| 0 | NASAL AIRWAY | 11.75 | 2727143 | 6390985 |
| 0 | NASAL ATOMIZER | 23.5 | 2706024 | 23156738 |
| 0 | NEO-TEE RESUSCITATOR | 93.25 | 2702942 | 4983348 |
| 0 | Nicotine and Metabolites, Urine ARUP | 155.63 | 3008702 | 5146973 |
| 0 | Nitrous Oxide, Per Hour | 17 | 2794716 | 6726656 |
| 0 | OBSTETRICAL VACCUUM DELIVERY KIT 60MM | 76.76 | 2709047 | 4983864 |
| 0 | Office/OP Established Visit Level 4 99214 | 137 | 9836204 | 1264828 |
| 0 | ORTHOGLASS 5 IN. | 76.25 | 2702396 | 4983826 |
| 0 | OT EVALUATION MODERATE COMPLEXITY – Evaluation Charge | 88 | 4347507 | 1230411 |
| 0 | OT REEVALUATION – Reevaluation Charge | 66 | 4348258 | 1230419 |
| 0 | OXYGEN THERAPY DAILY CHARGE | 281 | 2794212 | 5308993 |
| 0 | Oxygen Therapy ED KCH | 37 | 2793677 | 4582734 |
| 0 | OXYGEN, 1-12 HOURS CHARGE | 140 | 2793461 | 3776193 |
| 0 | Oxygen, Per Hour | 37 | 0 | 1819173 |
| 0 | PACK DRESSING CHANGE W GUARDIVA | 60 | 2708277 | 22053289 |
| 0 | Paraffin Bath Charge – Paraffin Bath Charge | 20 | 4207018 | 1230143 |
| 0 | Pediatric Urine Bag | 21 | 2701883 | 22724988 |
| 0 | PENCIL ROCKERSWITCH | 23.5 | 2705467 | 4983793 |
| 0 | PLUG MESH LARGE PERFIX 1.6X1.90 | 582.5 | 2704809 | 4983794 |
| 0 | PLUG MESH MEDIUM PERFIX | 582.5 | 2704809 | 4983795 |
| 0 | PLUG ULTRAPRO HERNIA LARGE | 582.5 | 2704809 | 4983796 |
| 0 | PLUG ULTRAPRO HERNIA MEDIUM | 582.5 | 2704809 | 4983797 |
| 0 | Pneumothorax Kit-Thoracic Vent Procedure Tray | 440 | 2728672 | 9299426 |
| 0 | POCKETPEAK PEAK FLOW METER | 33.5 | 2707148 | 4983798 |
| 0 | PRECISE SKIN STAPLER | 134.75 | 2727277 | 4983882 |
| 0 | PREMIE SKIN TEMP PROBE | 91 | 2706775 | 23169281 |
| 0 | PT Evaluation Charge – PT Evaluation Charge | 88 | 4207001 | 1230396 |
| 0 | PT RE-EVALUATION – Reevaluation Charge | 44 | 4207002 | 1230363 |
| 0 | PUMP HARMONY BREAST | 42.75 | 2709798 | 4983863 |
| 0 | Reevaluation Charge | 66 | 4348258 | 691993 |
| 0 | RESUSCITATOR ADULT DISPOSABLE BAG | 93.25 | 2702942 | 4983241 |
| 0 | Rhino Rocket | 40 | 2703582 | 22023797 |
| 0 | ROOM/BED: Bed Hold | 86 | 1206000 | 3884194 |
| 0 | ROOM/BED: Isolation | 1659 | 1204169 | 867367 |
| 0 | ROOM/BED: Nursery | 623 | 1703684 | 1101854 |
| 0 | ROOM/BED: Obstetrics | 1256 | 1222933 | 1101862 |
| 0 | ROOM/BED: Private | 1256 | 1201431 | 867360 |
| 0 | ROOM/BED: SNF | 190 | 1295930 | 3884193 |
| 0 | ROOM/BED: Swing | 250 | 1295179 | 867362 |
| 0 | ROOM/BED: Telemetry | 1659 | 2002182 | 867366 |
| 0 | SENSOR DOLPHIN NELLCOR COMPATIBLE | 53.25 | 2705886 | 4983242 |
| 0 | SENSOR OXISENSOR 2 NEONATAL/ADULT | 53.25 | 2705886 | 4983243 |
| 0 | SEPERATOR ACCESS SYSTEM 11X150MM | 532.5 | 2728631 | 4983860 |
| 0 | SHOWER PROTECTION GLOVE | 35 | 2709110 | 23218806 |
| 0 | SLEEVE FLOWTRON THIGH UP TO 28IN | 210 | 2725531 | 4983800 |
| 0 | SMARTSITE BURETTE INFUSION SET | 33.25 | 2703947 | 5339267 |
| 0 | Smoking and Tobacco Cessation Counseling, Asymptomatic, >10 Minutes | 25 | 9831150 | 5126978 |
| 0 | Smoking and Tobacco Cessation Counseling, Asymptomatic, 3-10 Minutes | 15 | 9839921 | 5126977 |
| 0 | SOFT CERVICAL COLLAR LG | 27.25 | 2703793 | 5424508 |
| 0 | SOFT CERVICAL COLLAR MED | 27.25 | 2703793 | 5424509 |
| 0 | SOFT CERVICAL COLLAR SM | 27.25 | 2703793 | 5424510 |
| 0 | SOFT CERVICAL COLLAR XSM | 27.25 | 2703793 | 5424511 |
| 0 | SPUR II PED RESUSCITATOR | 93.25 | 2702942 | 4983862 |
| 0 | STAPLER SKIN DISP VISTA PRECISE | 134.75 | 2727277 | 4983809 |
| 0 | STOCKING ANTI EMBOL/GP REG LGTH XLG | 67.5 | 2704518 | 4983245 |
| 0 | STOCKING TED KNEE LENGTH EXLG REG | 67.5 | 2704518 | 4983810 |
| 0 | STOCKING TED KNEE LENGTH LARGE REG | 67.5 | 2704518 | 4983811 |
| 0 | STOCKING TED THIGH LENGTH XXL REGULAR | 67.5 | 2704518 | 4983812 |
| 0 | STOCKING TED THIGH LENGTH XXL SHORT | 67.5 | 2704518 | 4983813 |
| 0 | STOCKING TED THIGH W/BELT XLG-LONG | 67.5 | 2704518 | 4983814 |
| 0 | STOCKING TED THIGH W/BELT XLG-REG | 67.5 | 2704518 | 4983815 |
| 0 | SURGICAL SNOW ABSORBABLE HEMOSTAT | 285.75 | 2708130 | 23371817 |
| 0 | SYSTEM NON-THREADED SEPARATOR | 532.5 | 2728631 | 4983246 |
| 0 | Tetanus Toxoid POC | 100 | 9508692 | 667679 |
| 0 | Tetanus-Diphtheria Toxoids 7 yrs and Older POC | 100 | 9503537 | 667687 |
| 0 | TRACH CARE W CLEAR T-PIECE 14 FR (CLOSED TRACHAEL SUCTION SYSTEM) | 47.75 | 2722422 | 4983874 |
| 0 | TRAY CATHETER FOLEY 5CC 18FR | 97 | 2727512 | 4983247 |
| 0 | TRAY CIRCUMCISION ADD A CLAMP | 60.75 | 2725562 | 4983818 |
| 0 | TRAY LUBRISIL LATEXFREE FOLEY 16 FR | 97 | 2727512 | 4983248 |
| 0 | TRAY SCRUB SKIN WET WRAP LATEX FREE | 15 | 2721269 | 4983822 |
| 0 | TRAY TURKEL SAFETY PRECISION | 150 | 2727843 | 4983819 |
| 0 | Tricyclic Antidepressant Detection ARUP | 116.56 | 3003586 | 5146979 |
| 0 | TROCAR Z THREAD 12X100 | 255.63 | 2727092 | 4983250 |
| 0 | TruClose Thoracic Vent Set | 718.4 | 2704374 | 22381647 |
| 0 | TUBING INSUFLATION HI-LOW 20 LTR | 60.75 | 2706868 | 4983820 |
| 0 | Upper GI Endoscopy w/ Removal Esophagus KCH charge | 425 | 9872551 | 5178972 |
| 0 | US Breast Left | 243.2 | 0 | 627718 |
| 0 | US Breast Right | 243.2 | 0 | 627720 |
| 0 | VENTILATOR CIRCUIT UNIT | 130 | 2709598 | 23450640 |
| 0 | VERSAPORT BLADELESS 12MM STANDARD LENGTH W/ FIXATION L/F | 366 | 2723922 | 5021079 |
| 0 | X RX KIT TRIPLE LUMEN CATHETERS 7X1 | 220.11 | 2707968 | 4983907 |
| 0 | X RX TRAY LUMBAR PUNCTURE ADULT | 121 | 2723462 | 4983821 |
| 0 | X RX TRAY LUMBAR PUNCTURE INFANT 22G | 121 | 2723462 | 5339252 |
| 0 | X RX TRAY PARACENTESIS 8FR 4-3/4 | 80.25 | 2727092 | 4983251 |
| 0 | XR Hip 1 View Left | 214.4 | 0 | 630469 |
| 0 | XR Hip 1 View Right | 214.4 | 0 | 630465 |
| 0 | XR Hip Bilateral w/Pelvis | 247 | 3207558 | 1007976 |
| 0 | XR Hip Complete Left | 219.4 | 0 | 630453 |
| 0 | XR Hip Complete Left | 241 | 3206807 | 823580 |
| 0 | XR Hip Complete Right | 219.4 | 0 | 630449 |
| 0 | XR Hip Complete Right | 241 | 3206807 | 823582 |
| 0 | XR Pelvis + Hips Infant/Child | 219.4 | 0 | 630287 |
| 0 | XR Pelvis + Hips Infant/Child | 241 | 3209811 | 1008037 |
| 0 | XR Spine Scoliosis Supine + Standing | 378 | 0 | 630012 |
| 0 | XR Spine Scoliosis Supine + Standing | 416 | 3206687 | 1163889 |
| 1470 | 01470 Digital Block Lower Ext ED PRO FEE | 188 | 9811470 | 3556471 |
| 1810 | 01810 Digital Block Upper Extr ED Pro Fee | 188 | 9811810 | 3556478 |
| 10021 | 10021 ED Pro Fee | 97 | 9814308 | 3556481 |
| 10021 | 10021 Fine Needle Aspiration ED Charge | 179 | 4505059 | 3596205 |
| 10022 | 10022 Fine Needle Aspiration, with Imaging Guidance, ED Fee | 440 | 4504961 | 21859820 |
| 10022 | 10022 Fine Needle Aspiration, with Imaging Guidance, Pro Fee | 98 | 9815712 | 21859821 |
| 10060 | 10060 Incis/Drain Absc ED Pro Fee | 140 | 9812022 | 3556482 |
| 10060 | 10060 Incision/Drainage Of Abs ED Charge | 138 | 4507444 | 3596206 |
| 10060 | Drain Skin Abscess, Simple/Single Charge | 126 | 9835946 | 713671 |
| 10061 | 10061 INCISION AND DRAINAGE ED Charge | 158 | 4502345 | 5175391 |
| 10061 | 10061 INCISION AND DRAINAGE ED Profee Charge | 263 | 9818318 | 5208984 |
| 10061 | Drain Skin Abscess, Complex/Multiple Charge | 203 | 9835290 | 713673 |
| 10080 | 10080 Incision and Drainage of Pilonidal Cyst; Simple ED Charge | 138 | 4507274 | 12042182 |
| 10080 | 10080 Incision and Drainage of Pilonidal Cyst; Simple, ED PRO FEE | 152 | 9818025 | 12042187 |
| 10120 | 10120 REMOVAL FOREIGN BODY ED Charge | 307 | 4503215 | 5175378 |
| 10120 | 10120 Remove Foreign Body ED Pro Fee | 118 | 9813966 | 3556483 |
| 10120 | Incision & Removal of Foreign Body, Subcutaneous Tissues; Simple Charge | 155 | 9831597 | 729091 |
| 10121 | 10121 REMOVAL FOREIGN BODY COMPLICAT | 1700 | 4506857 | 22440736 |
| 10121 | 10121 REMOVAL FOREIGN BODY, COMPLICATED- PROF CHG | 276 | 9817608 | 9205686 |
| 10121 | Incision & Removal of Foreign Body, Subcutaneous Tissues; Complicated Charge | 205 | 9833758 | 729093 |
| 10140 | 10140 Incision & Drainage of hematoma, seroma or fluid collection, ED Charge | 400 | 4508880 | 22409866 |
| 10140 | 10140 Incision & Drainage of hematoma, seroma or fluid collection, ED Pro Fee | 129 | 9819631 | 22409867 |
| 10140 | Drainage of Skin Lesion Charge | 175 | 9831014 | 713679 |
| 10160 | 10160 Aspiration Of Abcess/Hem ED Charge | 158 | 4507927 | 3596207 |
| 10160 | 10160 CYST ASPIRATION ED Pro Fee | 110 | 9818678 | 3556484 |
| 10160 | Puncture Aspirtn of Abscess, Hematoma, Bulla, or Cyst Charge | 128 | 9832041 | 729095 |
| 11010 | 11010 DEBRIDEMENT, SKIN SUBQ, MUSCLES ED Pro Fee | 382 | 9812734 | 3556485 |
| 11010 | 11010 Debridement Skin, Fx ED Charge | 492 | 4503485 | 3596208 |
| 11010 | Debride Skin/Tissue, Fx Charge | 275 | 9839334 | 713681 |
| 11042 | 11042 Debridement of Tissue ED Charge | 307 | 4504130 | 3596209 |
| 11042 | 11042 DEBRIDEMENT OF TISSUE ED Pro Fee | 89 | 9814881 | 3556491 |
| 11043 | 11043 Debridement Tissue/Muscle ED Charge | 307 | 4507552 | 3596210 |
| 11043 | 11043 Debridement; Skin, Subcutaneous Tissue, And Muscle ED Pro Fee | 308 | 9818303 | 3556493 |
| 11055 | Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion | 56.75 | 9833344 | 7876609 |
| 11056 | Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions | 70 | 9834095 | 7876610 |
| 11100 | Biopsy of skin, subcutaneous tissue; single lesion | 125 | 9831091 | 7693341 |
| 11100 | Biopsy of skin, subq. tissue &/or mucous memb. (incl. simple clos.); single lesion Charge | 50 | 9834131 | 750102 |
| 11101 | Biopsy, Skin Subq/Mucous, Ea Add’l Charge | 31 | 9833380 | 713689 |
| 11200 | Removal of Skin Tags, Mult Fibrocutaneous Tags, Any Area; Up to & w/15 Lesions Charge | 86 | 9834490 | 729105 |
| 11201 | Removal of Skin Tags, Mult Fibrocutaneous Tags, Any Area; each Addtl Ten Lesions Charge | 20 | 9835992 | 729107 |
| 11301 | Shave (Epi)Dermal Lesion, Single, Trunk, Arms or Legs; Diam 0.6 to 1.0 cm Charge | 130 | 9831878 | 713805 |
| 11306 | Shave (Epi)Dermal Lesion, Single, Scalp, Neck, Hands, Feet, Genital; Diam 0.6 to 1.0 cm Charge | 145 | 9831127 | 713813 |
| 11310 | Shave (Epi)Dermal Lesion, Single, Face/Ears/Eyelids/Nose/Lips/Mucous Membrane; Diam 0.5 cm > Charge | 80 | 9833252 | 713819 |
| 11400 | 11400 Excision Benign Lesion ED Charge | 492 | 4509757 | 3596212 |
| 11400 | 11400 Remove Lesion, Trunk/Arm/Leg <.5 cm ED Pro Fee | 127 | 9811025 | 3556497 |
| 11400 | Remove Lesion, Trunk/Arm/Leg <.5 cm Charge | 123 | 9839300 | 713695 |
| 11401 | Remove Lesion, Trunk/Arm/Leg .6 to 1.0 cm Charge | 143 | 9839301 | 713697 |
| 11402 | Remove Lesion, Trunk/Arm/Leg 1.1 to 2.0 cm Charge | 163 | 9839302 | 713699 |
| 11403 | Remove Lesion, Trunk/Arm/Leg 2.1 to 3.0 cm Charge | 183 | 9839303 | 713701 |
| 11404 | Remove Lesion, Trunk/Arm/Leg 3.1 to 4.0 cm Charge | 195 | 9837081 | 713703 |
| 11406 | Remove Lesion, Trunk/Arm/Leg >4.0 cm Charge | 290 | 9831393 | 713705 |
| 11420 | Remove Lesion, Scalp/Neck/Hand/Foot < .5 cm Charge | 119 | 9839306 | 713707 |
| 11421 | Remove Lesion, Scalp/Neck/Hand/Foot .6 to 1.0 cm Charge | 153 | 9839307 | 713709 |
| 11422 | Remove Lesion, Scalp/Neck/Hand/Foot 1.1 to 2.0 cm Charge | 169 | 9839308 | 713711 |
| 11440 | Remove Lesion, Face/Lid/Ear/Nose/Lip <.5 cm Charge | 144 | 9839312 | 713719 |
| 11441 | Remove Lesion, Face/Lid/Ear/Nose/Lip .6 to 1.0 cm Charge | 166 | 9839313 | 713721 |
| 11442 | Remove Lesion, Face/Lid/Ear/Nose/Lip 1.1 to 2.0 cm Charge | 186 | 9839314 | 713723 |
| 11443 | Remove Lesion, Face/Lid/Ear/Nose/Lip 2.1 to 3.0 cm Charge | 229 | 9839315 | 713725 |
| 11600 | Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 0.5 cm or Less Charge | 170 | 9838779 | 729109 |
| 11601 | Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 0.6 to 1.0 cm Charge | 208 | 9838780 | 729111 |
| 11602 | Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 1.1 to 2.0 cm Charge | 207 | 9838781 | 729113 |
| 11604 | Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 3.1 to 4.0 cm Charge | 342 | 9834509 | 729117 |
| 11606 | Remove Malig Lesion w/Margins, Trunk, Arms, or Legs; Diam 4.0+ cm Charge | 352 | 9835260 | 713841 |
| 11620 | Remove Malig Lesion w/Margins, Scalp, Neck, Hands, Feet, Genital; Diam 0.5 cm > Charge | 164 | 9838782 | 713843 |
| 11621 | Remove Malig Lesion w/Margins, Scalp, Neck, Hands, Feet, Genital; Diam 0.6 to 1.0 cm Charge | 194 | 9838783 | 713845 |
| 11622 | Remove Malig Lesion w/Margins, Scalp, Neck, Hands, Feet, Genital; Diam 1.1 to 2.0 cm Charge | 220 | 9838784 | 713847 |
| 11623 | Remove Malig Lesion w/Margins, Scalp, Neck, Hands, Feet, Genital; Diam 2.1 to 3.0 cm Charge | 265 | 9832629 | 713849 |
| 11640 | Excise, Malign Lesion w/Margins, Face, Ears, Eyelids, Nose, Lips; Excised diam 0.5 cm or Less Charge | 174 | 9838785 | 729119 |
| 11641 | Excise, Malign Lesion w/Margins, Face, Ears, Eyelids, Nose, Lips; Excised diam 0.6 to 1.0 cm Charge | 225 | 9838786 | 729121 |
| 11642 | Excise, Malign Lesion w/Margins, Face, Ears, Eyelids, Nose, Lips; Excised diam 1.1 to 2.0 cm Charge | 281 | 9838484 | 729123 |
| 11643 | Remove Malig Lesion w/Margins, Face, Ears, Eyelids, Nose, Lips; Diam 2.1 to 3.0 cm Charge | 225 | 9831663 | 713861 |
| 11730 | 11730 NAIL AVULSION ED Charge | 98 | 4503314 | 3596214 |
| 11730 | 11730 NAIL AVULSION ED TECH | 84 | 9818854 | 3556498 |
| 11740 | 11740 EVAC SUBUNGAL HEMATOMA ED Charge | 43 | 4505410 | 3596215 |
| 11740 | 11740 Evacuation Of Subungual Hematoma ED Pro Fee | 40 | 9816161 | 3556503 |
| 11740 | Evac of Subungual Hematoma Charge | 44 | 9831174 | 729133 |
| 11750 | Excise of Nail & matrix, Part. or Complete, for Permanent Removal Charge | 172 | 9831472 | 749077 |
| 11765 | 11765 WEDGE EXCISION TOE NAIL ED Charge | 98 | 4506455 | 3596216 |
| 11765 | 11765 WEDGE EXCISION TOE NAIL ED Pro Fee | 66 | 9817957 | 3556508 |
| 12001 | 12001 Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 2.5 cm > ED Charge | 133 | 4505351 | 3596218 |
| 12001 | 12001 Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 2.5 cm > ED Pro Fee | 136 | 9819959 | 3556517 |
| 12001 | Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 2.5 cm > Charge | 174 | 9839959 | 713867 |
| 12001 | Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 2.5 cm or less Charge | 110 | 9831967 | 7389378 |
| 12002 | 12002 Rep Smple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 2.6 cm to 7.5 ED PRO FEE | 150 | 9811344 | 3556518 |
| 12002 | 12002 Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 2.6 cm to 7.5 cm ED Ch | 133 | 4505650 | 3596225 |
| 12002 | Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 2.6 cm to 7.5 cm Charge | 183.6 | 9831344 | 713869 |
| 12004 | 12004 Rep Smpl Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 7.6 cm to 12.5 ED PRO FEE | 179 | 9812095 | 3596197 |
| 12004 | 12004 Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 7.6 cm to 12.5 cm ED C | 133 | 4506401 | 3596227 |
| 12004 | Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 7.6 cm to 12.5 cm Charge | 216 | 9832095 | 713871 |
| 12005 | 12005 Rep Smpl Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 12.6 cm to 20.0 ED PRO FEE | 224 | 9817575 | 5208985 |
| 12005 | 12005 Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 12.6 cm to 20.0 cm ED | 133 | 4506824 | 3596228 |
| 12005 | Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 12.6 cm to 20.0 cm Charge | 268 | 9831345 | 713873 |
| 12006 | 12006 Rep Smpl Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 20.1 cm to 30.0 ED PRO FEE | 290 | 9814236 | 3596201 |
| 12006 | 12006 Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 20.1 cm to 30.0 cm ED Charge | 133 | 4503670 | 3596233 |
| 12006 | Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 20.1 cm to 30.0 cm Charge | 333.45 | 9831346 | 713875 |
| 12007 | 12007 Rep Smpl Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 30.0+ ED PRO FEE | 254 | 9819985 | 3596202 |
| 12007 | 12007 Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 30.0+ cm ED Charge | 133 | 4501475 | 3596259 |
| 12007 | Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 30.0+ cm Charge | 377.55 | 9831348 | 713877 |
| 12011 | 12011 Rep Smpl Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 2.5 cm > ED PRO FEE | 141 | 9812846 | 3596203 |
| 12011 | 12011 Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 2.5 cm > ED Charge | 133 | 4507152 | 3596260 |
| 12011 | Repair Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 2.5 cm > Charge | 182.7 | 9831349 | 713879 |
| 12013 | 12013 Rep Smpl Face, Ears, Eyelids, Nose, Lips and/or Mucous Membrane; 2.6 cm to 5.0 ED PRO FEE | 161 | 9817693 | 3596211 |
| 12013 | 12013 Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 2.6 cm to 5.0 cm ED Charge | 133 | 4507903 | 3596261 |
| 12013 | Repair Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 2.6 cm to 5.0 cm Charge | 200.25 | 9831350 | 713881 |
| 12014 | 12014 Rep Smpl Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 5.1 cm to 7.5 ED PRO FEE | 196 | 9818444 | 3596213 |
| 12014 | 12014 Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 5.1 cm to 7.5 cm ED Charge | 133 | 4508654 | 3596262 |
| 12014 | Repair Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 5.1 cm to 7.5 cm Charge | 237.15 | 9831351 | 713883 |
| 12015 | 12015 Rep Smpl Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 7.6 cm to 12.5 ED PRO FEE | 247 | 9817181 | 3596217 |
| 12015 | 12015 Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 7.6 cm to 12.5 cm ED Charge | 133 | 4507932 | 3596264 |
| 12015 | Repair Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 7.6 cm to 12.5 cm Charge | 297.9 | 9831352 | 713885 |
| 12016 | 12016 Rep Smpl Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 12.6 cm to 20.0 ED PRO FEE | 294 | 9813046 | 3596219 |
| 12016 | 12016 Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 12.6 cm to 20.0 cm ED Charge | 133 | 4503797 | 3596263 |
| 12016 | Repair Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 12.6 cm to 20.0 cm Charge | 353.25 | 9831353 | 713887 |
| 12017 | Repair Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 20.1 cm to 30.0 cm Charge | 318.15 | 9831354 | 713889 |
| 12018 | Repair Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 30.0+ cm Charge | 378.9 | 9831355 | 713891 |
| 12020 | Treatmement of Superficial Wound Dehiscence; Simple Closure Charge | 180 | 9836823 | 729143 |
| 12020 | Treatment of superficial wound dehiscence; simple closure, ED Charge | 589 | 4509572 | 22545206 |
| 12020 | Treatment of superficial wound dehiscence; simple closure, Pro Fee | 282 | 9811298 | 22545207 |
| 12031 | 12031 Clos of Wounds of Scalp, Axillae, Trunk, Extrem (Exclude Hands and Feet) 2.5 cm ED PRO FEE | 170 | 9819195 | 3596266 |
| 12031 | 12031 Layer Closure of Wounds of Scalp, Axillae, Trunk, Extremities(Exclude Hands and Feet) 2.5 cm o | 362 | 4509405 | 3596220 |
| 12031 | 12031 Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and | 290 | 9838346 | 8459544 |
| 12032 | 12032 Clos of Wounds of Scalp, Axillae, Trunk, Extrem(Excl Hands and Ft) 2.6 cm to 07.5 ED PRO FEE | 362 | 4506102 | 3596267 |
| 12032 | 12032 Lay Clos of Wounds of Scalp, Axillae, Trunk, Extremities(Excl Hands and Feet) 2.6cm ED PRO FEE | 227 | 9819946 | 3596221 |
| 12032 | Layer Closure of Wounds of Scalp, Axillae, Trunk, Extremities(Exclude Hands and Feet) 2.6 cm to 07.5 | 325 | 9832053 | 881129 |
| 12034 | 12034 Closure of Wounds of Scalp, Axillae, Trunk, Extremities(Exclude Hands and Feet) 7.6 cm to 12.5 | 362 | 4506853 | 3596268 |
| 12034 | 12034 Lay Clos of Wounds of Scalp, Axillae, Trunk, Extremities(Excl Hands and Feet) 7.6cm ED PRO FEE | 239 | 9815340 | 3596222 |
| 12034 | Layer Closure of Wounds of Scalp, Axillae, Trunk, Extremities(Exclude Hands and Feet) 7.6 cm to 12.5 | 286.65 | 9871203 | 881137 |
| 12035 | 12035 Closure of Wounds of Scalp, Axillae, Trunk, Extremities(Exclude Hands and Feet) 12.6 cm to 20 | 362 | 4507604 | 3596269 |
| 12035 | 12035 Lay Clos of Wounds of Scalp, Axillae, Trunk, Extremitie(Excl Hands and Feet) 12.6cm ED PRO FEE | 285 | 9816100 | 3596223 |
| 12036 | 12036 Closure of Wounds of Scalp, Axillae, Trunk, Extremities(Exclude Hands and Feet) 20.1 cm to 30 | 362 | 4505430 | 3596282 |
| 12036 | 12036 Lay Clos of Wounds of Scalp, Axillae, Trunk, Extremitie(Excl Hands and Feet) 20.1cm ED PRO FEE | 359 | 9816181 | 3596224 |
| 12041 | 12041 Closure of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 2.5 cm > ED Charge | 133 | 4508355 | 3596283 |
| 12041 | 12041 Lay Clos of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 2.5cm or Less Charge ED PRO FEE | 186 | 9811749 | 3596226 |
| 12041 | Layer Closure of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 2.5 cm or Less Charge Tech Chg | 245 | 9832575 | 1731849 |
| 12042 | 12042 Lay Clos of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 2.6 cm to 7.5 cm ED PRO FEE | 232 | 9816851 | 3596229 |
| 12042 | Closure of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 2.6 cm to 7.5 cm Charge | 362 | 4509106 | 3596284 |
| 12042 | Layer Closure of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 2.6 cm to 7.5 cm Charge | 483 | 9838435 | 729147 |
| 12044 | 12044 Closure of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 7.6 cm to 12.5 cm ED Charge | 362 | 4506971 | 3596285 |
| 12044 | 12044 Lay Clos of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 7.6 cm to 12.5 ED PRO FEE | 269 | 9816220 | 3596231 |
| 12044 | Layer Closure of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 7.6 cm to 12.5 cm Charge | 380 | 9833715 | 729149 |
| 12045 | 12045 Closure of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 12.6 cm to 20 cm ED Charge | 362 | 4506149 | 3596286 |
| 12045 | 12045 Lay Clos of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 12.6 cm to 20.0 ED PRO FEE | 321 | 9816900 | 3596230 |
| 12051 | 12051 Closure of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 2.5 cm > ED Charge | 362 | 4502198 | 3596287 |
| 12051 | 12051 Lay Clos of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 2.5 cm or Less ED PRO FEE | 198 | 9817602 | 3596232 |
| 12052 | 12052 Closure of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 2.6 cm to 5.0 cm ED Charge | 362 | 4502949 | 3596288 |
| 12052 | 12052 Lay Clos of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 2.6 cm to 05.0 ED PRO FEE | 242 | 9818353 | 3596234 |
| 12052 | Layer Closure of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 2.6 cm to 05.0 cm Charge | 297.9 | 9832052 | 881178 |
| 12053 | 12053 Closure of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 5.1 cm to 7.5 cm ED Charge | 362 | 4502563 | 3596289 |
| 12053 | 12053 Lay Clos of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 5.1 cm to 07.5 ED PRO FEE | 255 | 9813838 | 3596235 |
| 12054 | 12054 Closure of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 7.6 cm to 12.5 cm ED Charge | 133 | 4504589 | 3596290 |
| 12054 | 12054 Lay Clos of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 7.6 cm to 12.5 ED PRO FEE | 282 | 9816912 | 3596236 |
| 12055 | 12055 Closure of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 12.6 cm to 20.cm ED Charge | 362 | 4504647 | 3596291 |
| 12055 | 12055 Lay Clos of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 12.6 cm to 20.0 ED PRO FEE | 361 | 9815398 | 3596237 |
| 13100 | 13100 Repair Complex Trunk 1.1 to 2.5 cm ED Charge | 553 | 4509857 | 3596292 |
| 13100 | 13100 Repair Complex Trunk 1.1 to 2.5 cm ED PRO FEE | 317 | 9813403 | 5175384 |
| 13101 | 13101 Repair Complex Trunk 02.6 to 07.5 cm ED PRO FEE | 331 | 9812670 | 3596238 |
| 13101 | 13101 Repair Complex Trunk 2.6 to 7.5 cm ED Charge | 553 | 4501004 | 3596293 |
| 13102 | 13102 Repair Complex Trunk Each Additional 5cm or Less ED Charge | 313 | 4504905 | 5175385 |
| 13102 | 13102 Repair Complex Trunk Each Additional 5cm or Less ED PRO FEE | 100 | 9813421 | 3596239 |
| 13120 | 13120 Repair Complex, Scalp, Arms, and/or Legs; 1.1 cm to 2.5 cm ED Charge | 362 | 4501755 | 3596294 |
| 13120 | 13120 Repair Complex, Scalp, Arms, and/or Legs; 1.1 cm to 2.5 cm ED PRO FEE | 268 | 9819104 | 3596240 |
| 13121 | 13121 Repair Complex, Scalp, Arms, and/or Legs; 2.6 cm to 7.5 cm ED Charge | 362 | 4502506 | 3596295 |
| 13121 | 13121 Repair Complex, Scalp, Arms, and/or Legs; 2.6 cm to 7.5 cm ED PRO FEE | 500 | 9819855 | 3596241 |
| 13121 | Repair Complex, Scalp, Arms, and/or Legs; 2.6 cm to 7.5 cm Charge | 385 | 9831689 | 729155 |
| 13122 | 13122 Repair Complex, Scalp, Arms, and/or Leg Each Additional 5cm > ED Charge | 133 | 4505779 | 3596296 |
| 13122 | 13122 Repair Complex, Scalp, Arms, and/or Leg Each Additional 5cm or Less ED PRO FEE | 132 | 9811353 | 3596242 |
| 13122 | Repair Complex, Scalp, Arms, and/or Leg Each Additional 5cm or Less Charge | 112 | 9831413 | 881242 |
| 13131 | 13131 Complex Forehead/Cheek/Mouth/Neck/Axillae/Genitalia/Hands/Feet 1.1 to 2.5 cm ED Charge | 362 | 4503257 | 3596320 |
| 13131 | 13131 Repair Complex Forehead/Cheek/Mouth/Neck/Axillae/Genitalia/Hands/Feet 01.1 to 02.5 ED PRO FEE | 311 | 9812104 | 3596243 |
| 13132 | 13132 Complex Forehead/Cheek/Mouth/Neck/Axillae/Genitalia/Hands/Feet 2.6 to 7.5 cm ED Charge | 553 | 4504008 | 3596321 |
| 13132 | 13132 Repair Complex Forehead/Cheek/Mouth/Neck/Axillae/Genitalia/Hands/Feet 02.6 to 07.5 ED PRO FEE | 492 | 9812855 | 3596244 |
| 13133 | 13133 Complex Forehead/Cheek/Mouth/Neck/Axillae/Genitalia/Hands/Feet Each Additional 5cm> ED Charge | 362 | 4508284 | 3596323 |
| 13133 | 13133 Rep Compl Forehead/Cheek/Mouth/Neck/Axillae/Genitalia/Hands/Feet Each Addl 5cm ED PRO FEE | 179 | 9817533 | 3983142 |
| 13151 | 13151 Complex Eyelid, Nose, Ear, Lip 1.1 cm to 2.5 cm ED Charge | 553 | 4505510 | 3596326 |
| 13151 | 13151 Repair Complex Eyelid, Nose, Ear, Lip 01.1 cm to 02.5 cm ED PRO FEE | 383 | 9814357 | 3596247 |
| 13152 | 13152 Complex Eyelid, Nose, Ear, Lip 2.6 cm to 7.5 cm ED Charge | 553 | 4506261 | 3596328 |
| 13152 | 13152 Repair Complex Eyelid, Nose, Ear, Lip 02.6 cm to 07.5 cm ED PRO FEE | 558 | 9815108 | 3596248 |
| 13153 | 13153 Repair Complex Eyelid, Nose, Ear, Lip Each Additional 5cm or Less ED Charge | 313 | 4504154 | 5175386 |
| 13153 | 13153 Repair Complex Eyelid, Nose, Ear, Lip Each Additional 5cm or Less ED PRO FEE | 196 | 9811945 | 3596249 |
| 14001 | Adj tissue xfer/rearrangement,trunk defect 10.1cm-30.0cm Tech Chg | 842.4 | 9871400 | 1403578 |
| 16000 | 16000 BURN TREATMENT ED Charge | 98 | 4505953 | 3596330 |
| 16000 | 16000 First Degree Burn ED PRO FEE | 63 | 9814598 | 3596250 |
| 16020 | 16020 Burn Care, Small ED Charge | 167 | 4501713 | 3596331 |
| 16020 | 16020 Dress and/or debridement of partial-thickness burns,initial or subsequent;(< 5%) ED PRO FEE | 82 | 9819561 | 3596251 |
| 16020 | Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% | 93.6 | 9836020 | 749804 |
| 16025 | 16025 BURN CARE NO ANETH,MED ED Charge | 167 | 4508708 | 3596333 |
| 16025 | 16025 Dress and/or debridement of partial-thickness burns, initial or subsequent; medium ED PRO FEE | 155 | 9819459 | 3596252 |
| 16025 | Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole fa | 115 | 9833068 | 749806 |
| 16030 | 16030 Burn Treatment, Large ED Charge | 167 | 4509805 | 3596335 |
| 16030 | 16030 Dress and/or debridement of partial-thickness burns, initial or subsequent; large ED PRO FEE | 174 | 9811222 | 3596253 |
| 17000 | Destruction Benign/Premalig Lesion Charge | 85 | 9834615 | 713765 |
| 17003 | Destruction Benign/Premalig 2-14 Lesions, each Charge | 35 | 9835366 | 753175 |
| 17004 | Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), pr | 192 | 9838551 | 1137625 |
| 17110 | Destruction (eg, laser/electro/cryo/chemosurgery/curettement), of warts; up to 14 lesions Charge | 107 | 9834616 | 753176 |
| 17111 | Destruction (laser/electro/cryo/chemosurgery/curette), of warts; 15 or more lesions Charge | 128 | 9835367 | 753177 |
| 19000 | Breast Aspiration, Puncture Charge | 180 | 9839460 | 723129 |
| 19120 | 19120 Excis Of Cyst, Fibroadenoma, Or Oth Benign Or Malig Tumor Aberrant Breast Tiss, Duc ED PRO FEE | 540 | 9819185 | 3596254 |
| 19120 | 19120 Removal Of Breast Lesion ED Charge | 2837 | 4509936 | 3596337 |
| 20520 | 20520 Removal of Foreign Body In Muscle or Tendon Sheath; Simple ED Charge | 492 | 4503145 | 3597050 |
| 20520 | 20520 Removal of Foreign Body In Muscle or Tendon Sheath; Simple ED PRO FEE | 200 | 9813896 | 3596255 |
| 20526 | Inj, Therapeutic (eg, Local Anesthetic, Corticosteroid), Carpal Tunnel Charge | 318 | 4507816 | 729193 |
| 20526 | Injection, therapeutic (eg, local anesthetic, cort – 205262 | 86 | 9818567 | 22136320 |
| 20550 | 20550 Inj Plantar Fascia, Tend ED Charge | 291 | 4502207 | 3597051 |
| 20550 | 20550 Inj(s); Single Tendon Sheath, or Ligament, Aponeurosis (eg, Planterar “”Fascia””) ED PRO FEE | 57 | 9812206 | 3596256 |
| 20550 | Inj(s); Single Tendon Sheath, or Ligament, Aponeurosis (eg, Planterar “”Fascia””) Charge | 69 | 9832550 | 729195 |
| 20552 | 20552 Inj(s); Single or Mult Trigger Point(S), One or Two Muscle(s) ED PRO FEE | 47 | 9814562 | 3596297 |
| 20552 | 20552 TRIGGER POINT INJ 1 0R 2 ED Charge | 291 | 4503811 | 3597052 |
| 20552 | Inj(s); Single or Mult Trigger Point(S), One or Two Muscle(s) Charge | 63 | 9832158 | 729199 |
| 20553 | Inj(s); Single or Mult Trigger Point(S), Three or More Muscle(s) Charge | 68.4 | 9832287 | 729201 |
| 20600 | 20600 Arthrocentesis, Aspirtn and/or Inj; Small Joint or Bursa (eg, Fingers, toes) ED PRO FEE | 55 | 9815469 | 3596300 |
| 20600 | 20600 ARTHROCENTESIS;SM JOINT ED Charge | 291 | 4504718 | 3597053 |
| 20600 | Arthrocentesis, Aspirtn and/or Inj; Small Joint or Bursa (eg, Fingers, toes) Charge | 63 | 9835400 | 729203 |
| 20605 | 20605 Arthrocentesis Intermed Joint, Wrist, Elbow, Ankle ED PRO FEE | 59 | 9816782 | 3596301 |
| 20605 | 20605 ARTHROCENTESIS, INTERM. ED Charge | 291 | 4506031 | 3597054 |
| 20605 | Arthrocentesis Intermed Joint, Wrist, Elbow, Ankle Charge | 68 | 9835401 | 713767 |
| 20610 | 20610 Arthrocentesis Bursa ED PRO FEE | 67 | 9811750 | 3596302 |
| 20610 | Arthrocentesis Major Joint, Shoulder, Hip, Knee Charge | 83 | 9835402 | 713769 |
| 20610 | Aspir/Inj Mj Jnt ED Charge | 248 | 4509382 | 3597055 |
| 21337 | 21337 Closed Treatment Of Nasal Septal Fracture, With Or Without Stabilization ED PRO FEE | 142 | 9811337 | 3596303 |
| 21337 | 21337 Nasal Septum Fx ED Charge | 1877 | 4501337 | 3597056 |
| 21480 | 21480 Closed Treatment Of Temporomandibular Dislocation; Initial Or Subseq ED PRO FEE | 49 | 9813832 | 3596304 |
| 21480 | 21480 Temporomandibular Disloc ED Charge | 119 | 4504583 | 3597057 |
| 23500 | 23500 Closed Trtmt of Clavicular Fx; w/o Manipulation Charge ED PRO FEE | 256 | 9815704 | 3596305 |
| 23500 | 23500 TX OF CLAVICAL FX W\\OUT ED Charge | 167 | 4504953 | 3597058 |
| 23500 | Closed Trtmt of Clavicular Fx; w/o Manipulation Charge | 236 | 9832350 | 729381 |
| 23505 | 23505 CLAVICLE FX W/MANIP ED Charge | 2131 | 4502696 | 3597059 |
| 23505 | 23505 Closed Trtmt of Clavicular Fx; w/Manipulation Charge ED PRO FEE | 420 | 9813447 | 3596306 |
| 23575 | Closed Treatment of Scapular Fx w/manipulation Charge | 345 | 9834077 | 1241616 |
| 23600 | 23600 Closed Trtmt of Proximal Humeral (Surgical or Anatomical Neck) Fx; w/o Manip ED PRO FEE | 359 | 9814958 | 3596309 |
| 23600 | 23600 CLOSED TX HUMERAL FX ED Charge | 167 | 4505709 | 3597060 |
| 23600 | Closed Trtmt of Proximal Humeral (Surgical or Anatomical Neck) Fx; w/o Manipulation Charge | 268.75 | 9837684 | 729403 |
| 23605 | 23605 Closed Treat Of Proximal Humeral (Surgical Or Anatomical Neck) Fracture; With Manip ED PRO FEE | 474 | 9811467 | 3596310 |
| 23605 | 23605 HUMERAL FX W/MANIP ED Charge | 2131 | 4502218 | 3597061 |
| 23605 | Closed Treatment of proximal humerus w/manip Charge | 520 | 9832360 | 1241608 |
| 23620 | Closed Treatment of Greater Humeral Tuberosity Fracture, w/out Manipulation | 145 | 4507273 | 11199206 |
| 23620 | Closed Treatment of Greater Humeral Tuberosity Fracture, w/out Manipulation, Pro Fee | 375 | 9818024 | 11199219 |
| 23650 | 23650 Closed Trtmt of Shoulder Dislocation, w/Manipulation; w/o Anesthesia Charge ED PRO FEE | 343 | 9816717 | 3596311 |
| 23650 | 23650 TX SHLDR DISLOC W MANIP ED Charge | 167 | 4505966 | 3597062 |
| 23650 | Closed Trtmt of Shoulder Dislocation, w/Manipulation; w/o Anesthesia Charge | 351 | 9831611 | 729411 |
| 23655 | 23655 Closed Trtmt of Shoulder Dislocation, w/Manipulation; Requiring Anesthesia ED PRO FEE | 485 | 9818428 | 3596312 |
| 23655 | 23655 SHLDR DISLOC W/ANESTH ED Charge | 800 | 4509179 | 3597063 |
| 24200 | 24200 Removal of Foreign Body, Upper Arm or Elbow Area; Subcutaneous ED PRO FEE | 184 | 9813318 | 3596313 |
| 24200 | 24200, REMOVAL FOREIGN BODY ED Charge | 492 | 4502567 | 3597064 |
| 24500 | Closed treatment of humeral shaft fracture; w/o manipulation | 145 | 4503840 | 8415385 |
| 24500 | Closed treatment of humeral shaft fracture; w/o manipulation; Pro Fee | 403 | 9814591 | 8415386 |
| 24505 | Closed treatment of humeral shaft fracture; w/manipulation w/ or w/o skeletal traction | 145 | 4505342 | 8415387 |
| 24505 | Closed treatment of humeral shaft fracture; w/manipulation w/ or w/o skeletal traction; Pro Fee | 565 | 9816093 | 8415388 |
| 24530 | Humeral supracondylar or transcondylar fracture closed treatment of with or without intercondylar e | 310 | 9831049 | 1163514 |
| 24535 | 24535 Clos Trtmnt Of Supracondylar Or Transcondylar Humer Fract, With Or W/O Intercond ED PRO FEE | 851 | 9819736 | 3596314 |
| 24535 | 24535 Humeral Fx, Supracondyla ED Charge | 566 | 4501579 | 4740187 |
| 24560 | Closed Trtmt of Humeral Epicondylar Fx, Medial or Lateral; w/o Manipulation Charge | 260 | 9839371 | 729541 |
| 24565 | 24565 Closed Trtmt of Humeral Epicondylar Fx, Medial or Lateral; w/Manipulation ED PRO FEE | 621 | 9818683 | 3596315 |
| 24565 | 24565, HUMERAL EPICONDYLAR FX ED Charge | 167 | 4509434 | 4740188 |
| 24576 | 24576 Closed Trtmt of Humeral Condylar Fx, Medial or Lateral; w/o Manipulation ED PRO FEE | 362 | 9817007 | 3596317 |
| 24576 | 24576 CONDYLAR FRACTURE ED Charge | 167 | 4506256 | 4740194 |
| 24576 | Closed Trtmt of Humeral Condylar Fx, Medial or Lateral; w/o Manipulation Charge | 325 | 9831505 | 729547 |
| 24577 | 24577 Closed Trtmt of Humeral Condylar Fx, Medial or Lateral; w/Manipulation ED PRO FEE | 652 | 9815210 | 3596318 |
| 24577 | 24577 HUMERUS FRACTURE ED Charge | 167 | 4504459 | 4740195 |
| 24605 | 24605 Trtmnt clsd elbow w/anes ED Charge | 1719 | 4504605 | 4740197 |
| 24605 | 24605 Trtmt of Closed Elbow Dislocation; Requiring Anesthesia ED PRO FEE | 607 | 9814605 | 3596322 |
| 24620 | Treat elbow fracture | 639 | 9832462 | 1241602 |
| 24640 | 24640 Closed Trtmt of Radial Head Subluxation In Child, Nursemaid Elbow, w/Manip ED PRO FEE | 115 | 9814871 | 3596319 |
| 24640 | 24640 NS MAID ELBOW W/MANIP ED Charge | 167 | 4504120 | 4740198 |
| 24640 | Closed Trtmt of Radial Head Subluxation In Child, Nursemaid Elbow, w/Manipulation Charge | 139 | 9834871 | 729559 |
| 24650 | 24650 Closed Trtmt of Radial Head or Neck Fx; w/o Manipulation ED PRO FEE | 270 | 9811436 | 3596325 |
| 24650 | 24650 TX RADIAL HEAD FX ED Charge | 167 | 4509429 | 4740204 |
| 24655 | 24655 Closed Trtmt of Radial Head or Neck Fx; w/Manipulation ED PRO FEE | 512 | 9816724 | 3596327 |
| 24655 | 24655 RADIAL FX TX W/MANIP ED Charge | 566 | 4507475 | 4740206 |
| 24655 | Closed Treatment of Radial Head or Neck Fracture with manipulation | 494 | 9872465 | 1241613 |
| 24670 | 24670 TX OF FX ULNAR PROXIMAL ED Charge | 167 | 4509121 | 5175381 |
| 24670 | Closed Treatment of Ulnar Fx Prox End (eg: Olecranon Process), w/o Manipulation, ED PRO FEE | 370 | 9819872 | 5175382 |
| 25000 | Incision Tendon Sheath | 2123 | 3609619 | 22108631 |
| 25111 | Excise of Ganglion, Wrist (Dorsal or Volar); Primary Charge | 375 | 9831927 | 729623 |
| 25500 | 25500 Closed Trtmt of Radial Shaft Fx; w/o Manipulation ED PRO FEE | 285 | 9813113 | 3596332 |
| 25500 | 25500 TX RADIAL SHFT FX W\\OUT ED Charge | 167 | 4502362 | 3634328 |
| 25500 | Closed Trtmt of Radial Shaft Fx; w/o Manipulation Charge | 215 | 9837832 | 729725 |
| 25505 | 25505 Closed Trtmt of Radial Shaft Fx; w/Manipulation ED PRO FEE | 584 | 9811877 | 3596334 |
| 25505 | 25505 RADIAL SHAFT FX/W MANIP ED Charge | 566 | 4501126 | 3634329 |
| 25505 | Closed Treatment Of Radial Shaft Fracture; With Manipulation | 511 | 9835664 | 1299537 |
| 25530 | Closed treatment of ulnar shaft fracture; w/o manipulation | 145 | 4502664 | 9039368 |
| 25530 | Closed treatment of ulnar shaft fracture; w/o manipulation; Pro Fee | 294 | 9813415 | 9039374 |
| 25530 | Closed Trtmt of Ulnar Shaft Fx; w/o Manipulation Charge | 288 | 9836415 | 729731 |
| 25535 | Closed treatment of ulnar shaft fracture; w/manipulation | 152 | 4504166 | 9039379 |
| 25535 | Closed treatment of ulnar shaft fracture; w/manipulation; Pro Fee | 550 | 9814917 | 9039380 |
| 25535 | Closed Trtmt of Ulnar Shaft Fx; w/Manipulation Charge | 504 | 9837166 | 729733 |
| 25560 | 25560 Closed Trtmt of Radial & Ulnar Shaft Fxs; w/o Manipulation ED PRO FEE | 357 | 9815334 | 3596338 |
| 25560 | 25560 Radial/Ulnar Fx W/Out Ma ED Charge | 167 | 4506085 | 3634330 |
| 25560 | Closed Trtmt of Radial & Ulnar Shaft Fxs; w/o Manipulation Charge | 290 | 9832528 | 729737 |
| 25565 | 25565 Closed Trtmt of Radial & Ulnar Shaft Fxs; w/Manipulation ED PRO FEE | 614 | 9816373 | 3596339 |
| 25565 | 25565 RADIAL & ULNAR FRACTURE ED Charge | 566 | 4505622 | 3634331 |
| 25565 | Closed Trtmt of Radial & Ulnar Shaft Fxs; w/Manipulation Charge | 596 | 9832527 | 729739 |
| 25600 | 25600 Closed trtmnt of dist radial fract (eg, Colles or Smith type) w/o manipualtion ED PRO FEE | 449 | 9812179 | 3596342 |
| 25600 | 25600 TX DISTAL RADIAL FRAC ED Charge | 167 | 4509532 | 3634332 |
| 25600 | Closed treatment of distal radial fracture (eg, Colles or Smith type) w/o manipualtion charge | 320 | 9832561 | 881953 |
| 25605 | 25605 Closed treatment of distal radial fracture (eg, Colles or Smith type) w/ manip ED PRO FEE | 662 | 9818970 | 3596343 |
| 25605 | 25605 Tx Distal Radial Fx ED Charge | 566 | 4508219 | 3634333 |
| 25622 | Closed Treatment of Carpal Scaphoid (Navicular) Fracture W/out Manipulation, ED Fee | 145 | 4506289 | 22082737 |
| 25622 | Closed Treatment of Carpal Scaphoid (Navicular) Fracture W/out Manipulation, Pro Fee | 405 | 9818542 | 22082741 |
| 25624 | Closed Treatment of Carpal Scaphoid (Navicular) Fracture W/Manipulation, ED Fee | 490 | 4509293 | 22082738 |
| 25624 | Closed Treatment of Carpal Scaphoid (Navicular) Fracture W/Manipulation, Pro Fee | 634 | 9811358 | 22082742 |
| 25630 | 25630 Carpal bone fx, clsd tx ED Charge | 167 | 4507443 | 3634334 |
| 25630 | 25630 Closed Trtmnt Of Carpal Bone Fract (Excl Carpal Scaphoid (Navicular)); W/O Mani ED PRO FEE | 324 | 9818194 | 3596344 |
| 25630 | Closed treatment of carpal bone fracture (excluding carpal scaphoid); wo manipulation, each bone | 336 | 9832563 | 1164282 |
| 25690 | 25690 Closed Trtmt of Lunate Dislocation, w/ Manipulation ED PRO FEE | 612 | 9811460 | 3596345 |
| 25690 | 25690 LUNATE DISLOC W\\MANIP ED Charge | 2131 | 4509387 | 3634335 |
| 26010 | 26010 Drainage Of Finger Absce ED Charge | 158 | 4506940 | 3634336 |
| 26010 | 26010 Drainage of Finger Abscess; Simple ED PRO FEE | 202 | 9816189 | 3596352 |
| 26055 | Trigger Finger Release | 1654 | 3602767 | 1184946 |
| 26418 | 26418 REP EXTENSOR TENDON, EA ED Charge | 1912 | 4504304 | 3634337 |
| 26418 | 26418 Rep, Extensor Tendon, Finger, Primary or Secondary; w/o Free Graft, each Tendon ED PRO FEE | 921 | 9815055 | 3596353 |
| 26600 | 26600 Closed Trtmt of Metacarpal Fx, Single; w/o Manipulation, each Bone ED PRO FEE | 254 | 9812962 | 3596354 |
| 26600 | 26600 CLSD TX METACARP FX ED Charge | 167 | 4502211 | 3634338 |
| 26600 | Closed Trtmt of Metacarpal Fx, Single; w/o Manipulation, each Bone Charge | 221 | 9832962 | 729897 |
| 26605 | 26605 Closed Trtmt of Metacarpal Fx, Single; w/Manipulation, each Bone ED PRO FEE | 357 | 9818626 | 3597007 |
| 26605 | 26605 FX METACARPLE W/MANIPULA ED Charge | 167 | 4509377 | 3634339 |
| 26605 | Closed Trtmt of Metacarpal Fx, Single; w/Manipulation, each Bone Charge | 300 | 9832526 | 729899 |
| 26700 | 26700 Clos Trtmt of Metacarpophalangeal Dislocation, Single, w/Manip; w/o Anesth ED PRO FEE | 345 | 9813018 | 3596355 |
| 26700 | 26700 CLSD TX METACARP DISLOC ED Charge | 167 | 4503769 | 3634340 |
| 26700 | Closed Trtmt of Metacarpophalangeal Dislocation, Single, w/Manipulation; w/o Anesthesia Charge | 351 | 9837279 | 729911 |
| 26705 | 26705 Clos Trtmt of Metacarpophalangeal Dislocation, Single, w/Manip; Requiring Anesth ED PRO FEE | 466 | 9816801 | 3596356 |
| 26705 | 26705 Knuckle Dislocation Trea ED Charge | 167 | 4506050 | 3634341 |
| 26720 | 26720 Clos tx of phalangeal shaft fx, prox or midlle phalanx, finger or thumb: w/o manip ED PRO FEE | 204 | 9816986 | 3596357 |
| 26720 | 26720 PHALANGEAL SHAFT FX, EA ED Charge | 167 | 4507737 | 3634342 |
| 26720 | Closed tx of phalangeal shaft fx, proximal or midlle phalanx, finger or thumb: without manipulation, | 211 | 9832672 | 884264 |
| 26725 | 26725 Clos Trtmnt Of Phalangeal Shaft Fract, Prox Or Middle Phalanx, Finger Or Thumb; Wi ED PRO FEE | 380 | 9812705 | 3596358 |
| 26725 | 26725, PHALANGEAL FX W/MANIP ED Charge | 167 | 4501954 | 3634343 |
| 26742 | 26742 Closed Treatment Of Articular Fracture, Involving Metacarpophalangeal Or Interphalangeal ED Ch | 431 | 9816815 | 4740217 |
| 26742 | 26742 FINGER FX W/MANIPULATION- PROF CHG | 167 | 4506064 | 3634344 |
| 26750 | 26750 Clos Trtmnt Of Articular Fract, Involv Metacarpophalangeal Or Interphalang Joint ED PRO FEE | 213 | 9817279 | 5175383 |
| 26750 | 26750 TX FRAC DISTAL PHALANGEA ED Charge | 167 | 4506528 | 3634345 |
| 26755 | 26755 Closed Trtmt of Distal Phalangeal Fx, Finger or Thumb; w/Manipulation, each ED PRO FEE | 398 | 9816836 | 3596361 |
| 26755 | 26755 Distal Phalangeal Fx Tx ED Charge | 167 | 4507587 | 3634346 |
| 26765 | 26765 Open Trtmt of Dist Phalang Fx, Finger or Thumb, w/ or w/o Inter or Ext Fixation, ea ED PRO FEE | 636 | 9812837 | 3596362 |
| 26765 | 26765 Open Tx Phalangeal Fx ED Charge | 2911 | 4502086 | 3634347 |
| 26770 | 26770 Closed Trtmt of Interphalang Joint Dislocation, Single, w/Manip; w/o Anesthesia ED PRO FEE | 296 | 9815057 | 3596363 |
| 26770 | 26770 FINGER DISLOCATION TX ED Charge | 167 | 4504306 | 3634349 |
| 26770 | Closed Trtmt of Interphalangeal Joint Dislocation, Single, w/Manipulation; w/o Anesthesia Charge | 301 | 9836719 | 729927 |
| 27220 | Acetabulum (hip socket) fracture(s) – closed treatment of; wo manipulation Charge | 500 | 9838559 | 1185346 |
| 27252 | 27252 Closed Trtmt of Hip Dislocation, Traumatic; Requiring Anesthesia ED PRO FEE | 1004 | 9819068 | 3596364 |
| 27252 | 27252, HIP DISLOCATION W/ANES ED Charge | 1719 | 4508317 | 3634350 |
| 27266 | 27266 Clos Trtmt of Post Hip Arthroplasty Dislocat; Requiring Regional or General Anesth ED PRO FEE | 782 | 9811924 | 3596365 |
| 27266 | 27266 DISLOCATION HIP TX W/ANE ED Charge | 1719 | 4501173 | 3634352 |
| 27520 | 27520 Closed Trtmt of Patellar Fx, w/o Manipulation ED PRO FEE | 358 | 9818449 | 3596366 |
| 27520 | 27520 Closed Tx Patellar Fx ED Charge | 167 | 4507698 | 3634353 |
| 27560 | 27560 Closed tx of patellar dislocation; without anesthesia ED PRO FEE | 400 | 9818255 | 3596367 |
| 27560 | 27560 Clsd Tx Patellar Disloca ED Charge | 167 | 4507504 | 3634354 |
| 27562 | 27562 Closed tx of patellar dislocation; with anesthesia ED PRO FEE | 593 | 9818713 | 3596368 |
| 27562 | 27562 PATELLAR DISLOCATION TX ED Charge | 1719 | 4507962 | 4740212 |
| 27613 | Biopsy, Soft Tissue of Leg or Ankle Area; Superficial Charge | 352 | 9832710 | 730157 |
| 27750 | 27750 Closed Trtmt of Tibial Shaft Fx (With or w/o Fibular Fx); w/o Manipulation ED PRO FEE | 391 | 9812804 | 3596369 |
| 27750 | 27750 FX TIBIA W/OUT MANIP ED Charge | 167 | 4502053 | 3634355 |
| 27752 | 27752 Closed Treatment Of Tibial Shaft Fracture (With Or W/O Fibular Fract); With Manip ED PRO FEE | 650 | 9814500 | 3596370 |
| 27752 | 27752 Tibia Fx Clsd Tx W/Manip ED Charge | 2131 | 4505251 | 3634356 |
| 27756 | Fracture and/or Dislocation Procedures on the Leg (Tibia and Fibula) and Ankle Joint | 644 | 9879595 | 3486184 |
| 27756 | Reduction of Simple FX KCH charge | 644 | 9879595 | 4308219 |
| 27760 | Closed Treatment of Medial Malleolus Fracture; without manipulation | 145 | 4504971 | 7605367 |
| 27760 | Closed Treatment of Medial Malleolus Fracture; without manipulation, PRO FEE | 431 | 9815722 | 7605368 |
| 27762 | Closed Treatment of Medial Malleolus Fracture; with manipulation | 1843 | 4506473 | 7605369 |
| 27762 | Closed Treatment of Medial Malleolus Fracture; with manipulation, PRO FEE | 615 | 9817224 | 7605370 |
| 27780 | 27780 Closed Trtmt of Proximal Fibula or Shaft Fx; w/o Manipulation ED PRO FEE | 324 | 9811949 | 3596371 |
| 27780 | 27780 TX OF PROXIMAL FIBULA FX ED Charge | 167 | 4501198 | 3634357 |
| 27780 | Closed Trtmt of Proximal Fibula or Shaft Fx; w/o Manipulation Charge | 326.25 | 9832778 | 730225 |
| 27786 | 27786 Closed Trtmt of Distal Fibular Fx (Lateral Malleolus); w/o Manipulation ED PRO FEE | 329 | 9818781 | 3596372 |
| 27786 | 27786 Tx Distal Fibular Frac ED Charge | 167 | 4508030 | 3634358 |
| 27786 | Closed Trtmt of Distal Fibular Fx (Lateral Malleolus); w/o Manipulation Charge | 263 | 9831536 | 730231 |
| 27788 | 27788 ANKLE FX W/MANIPULATION ED Charge | 167 | 4502309 | 3634359 |
| 27788 | 27788 Closed Trtmt of Distal Fibular Fx (Lateral Malleolus); w/Manipulation ED PRO FEE | 506 | 9813060 | 3596373 |
| 27808 | 27808 Closed Treatment of Bimalleolar Ankle Fracture, w/o Manipulation ED Pro Fee | 443 | 9819531 | 13398196 |
| 27808 | 27808 Closed Treatment of Bimalleolar Ankle Fracture, w/o Manipulation, ED Fee | 145 | 4508780 | 13398191 |
| 27810 | 27810 Closed Treatment of Bimalleolar Ankle Fracture, w/ Manipulation, ED Fee | 149 | 4507965 | 21254731 |
| 27810 | 27810 Closed Treatment of Bimalleolar Ankle Fracture, w/ Manipulation, ED PRO FEE | 627 | 9817214 | 21254733 |
| 27818 | 27818 Closed Treatment of Trimalleolar Ankle Fracture, ED Fee | 490 | 4502534 | 22045691 |
| 27818 | 27818 Closed Treatment of Trimalleolar Ankle Fracture, Pro Fee | 642 | 9813285 | 22045693 |
| 27842 | 27842 Closed Treatment Of Ankle Dislocation; Req Anesthesia, w/ Or w/o Percutaneous Skel ED PRO FEE | 631 | 9818946 | 3597033 |
| 27842 | 27842 TX ANKLE DIS W ANESTHESI ED Charge | 1719 | 4508195 | 3650297 |
| 28008 | Plantar Fascia Release | 2126 | 3602721 | 1059693 |
| 28190 | 28190 Foreign Body Rremoval ED Charge | 920 | 4508059 | 3634360 |
| 28190 | 28190 Removal of Foreign Body, Foot; Subcutaneous ED PRO FEE | 290 | 9818810 | 3596374 |
| 28450 | 28450 FRACTURE TX TARSAL BONE ED Charge | 167 | 4508473 | 3634361 |
| 28450 | 28450 Trtmt of Tarsal Bone Fx (Except Talus & Calcaneus); w/o Manipulation, each ED PRO FEE | 242 | 9817722 | 3596375 |
| 28470 | 28470 Closed Trtmt of Metatarsal Fx; w/o Manipulation, each ED PRO FEE | 265 | 9813157 | 3596376 |
| 28470 | 28470 FX TRMT METARS W/O MANIP ED Charge | 167 | 4502406 | 3634362 |
| 28470 | Closed Trtmt of Metatarsal Fx; w/o Manipulation, each Charge | 244 | 9832847 | 730373 |
| 28475 | 28475 Closed Trtmt of Metatarsal Fx; w/Manipulation, each ED PRO FEE | 346 | 9818345 | 3596377 |
| 28475 | 28475 Metatarsal Fx Treatment ED Charge | 167 | 4509096 | 3634363 |
| 28490 | 28490 CLOSED TX FRACT, TOE, PHALANX OR PHALANGES; W/O MANIP-PROF CHG | 181 | 9819234 | 3596378 |
| 28490 | 28490 Fracture Tx, Great Toe ED Charge | 167 | 4508483 | 3634365 |
| 28495 | 28495 Closed Trtmt of Fx Great to e, Phalanx or Phalanges; w/Manipulation ED PRO FEE | 223 | 9819089 | 3596379 |
| 28495 | 28495, Great Toe Fx W/Manipula ED Charge | 167 | 4509840 | 3634367 |
| 28510 | 28510 Closed Trtmt of Fx, Phalanx or Phalanges, Other Than Great to e; w/o Manipul, ea ED PRO FEE | 143 | 9814733 | 3596380 |
| 28510 | 28510 FX PHALANX/PHALAGES, EA ED Charge | 167 | 4505484 | 3634369 |
| 28510 | Closed Trtmt of Fx, Phalanx or Phalanges, Other Than Great toe; w/o Manipulation, each Charge | 124 | 9832851 | 730389 |
| 28515 | 28515 Closed Trtmt of Fx, Phalanx or Phalanges, Other Than Great to e; w/Manipul, ea ED PRO FEE | 181 | 9819951 | 3596381 |
| 28515 | 28515 Tx Of Toe Fracture ED Charge | 167 | 4509200 | 3634370 |
| 28630 | 28630 Closed Trtmt of Metatarsophalangeal Joint Dislocation; w/o Anesthesia ED PRO FEE | 150 | 9811496 | 3596382 |
| 28630 | 28630 MP JOINT DISLOCATION ED Charge | 167 | 4502247 | 4740213 |
| 28660 | 28660 Closed Trtmt of Interphalangeal Joint Dislocation; w/o Anesthesia ED PRO FEE | 113 | 9811065 | 3596383 |
| 28660 | 28660 TOE DISLOCATION ED Charge | 167 | 4501816 | 3634372 |
| 29049 | Application, cast; figure-of-eight | 104.4 | 9832904 | 1164274 |
| 29065 | Applic, Cast; Shoulder to Hand (Long Arm) Charge | 96 | 9831667 | 730445 |
| 29075 | Applic, Cast; Elbow to Finger (Short Arm) Charge | 97 | 9832033 | 730447 |
| 29085 | 29085 Applic, Cast; Hand & Lower Forearm (Gauntlet) ED PRO FEE | 305 | 9819085 | 3596384 |
| 29085 | 29085 Casting hand, forearm ED Charge | 125 | 4509085 | 3634377 |
| 29105 | 29105 Applic of Long Arm Splint (Shoulder to Hand) ED PRO FEE | 78 | 9812700 | 3596385 |
| 29105 | 29105 Long Arm Splint ED Charge | 125 | 4502700 | 3634378 |
| 29125 | 29125 APPLY FOREARM SPLINT – ED PF | 55 | 9812065 | 3596386 |
| 29125 | 29125 SHORT ARM SPINT APPLIC. ED Charge | 125 | 4501314 | 3634379 |
| 29125 | Application of Short Arm Splint; Static | 79 | 9831873 | 3021726 |
| 29130 | 29130 App Of Finger Splint ED Charge | 125 | 4509223 | 3634380 |
| 29130 | 29130 Applic of Finger Splint; Static ED PRO FEE | 38 | 9819974 | 3596387 |
| 29130 | Applic of Finger Splint; Static Charge | 46 | 9832910 | 730455 |
| 29200 | 29200 STRAPPING; THORAX ED Charge | 125 | 4508514 | 3650208 |
| 29240 | 29240 STRAPPING OF SHOULDER – ED TECH/CCCPF | 59 | 9812628 | 3596389 |
| 29240 | 29240 STRAPPING OF SHOULDER ED Charge | 125 | 4502628 | 3650209 |
| 29260 | 29260 SPLINTING OF ELBOW\\WRIST ED Charge | 125 | 4503451 | 3650210 |
| 29260 | 29260 Strapping; Elbow or Wrist ED PRO FEE | 48 | 9814202 | 3596390 |
| 29280 | 29280 STRAPPING OF HAND/FINGER ED Charge | 125 | 4508636 | 3650298 |
| 29280 | 29280 Strapping; Hand or Finger ED PRO FEE | 52 | 9817885 | 3596391 |
| 29345 | Applic of Long Leg Cast (Thigh to toes); Charge | 142 | 9831183 | 730471 |
| 29355 | Application Of Long Leg Cast (Thigh To Toes); Walker Or Ambulatory Type | 146 | 9831678 | 1299578 |
| 29405 | Applic of Short Leg Cast (Below Knee to toes); Charge | 99.45 | 9832308 | 730477 |
| 29405 | Application of Short Leg Cast (below knee to toes), ED Charge | 304 | 4501371 | 23240331 |
| 29405 | Application of Short Leg Cast (below knee to toes), PRO Fee | 90 | 9812122 | 23240332 |
| 29505 | 29505 Applic of Long Leg Splint (Thigh to Ankle or to es) ED PRO FEE | 63 | 9819153 | 3596392 |
| 29505 | 29505 LONG LEG SPLINT THGH DWN ED Charge | 125 | 4501643 | 3650212 |
| 29515 | 29515 Applic of Short Leg Splint (Calf to Foot) ED PRO FEE | 67 | 9815674 | 3596393 |
| 29515 | 29515 Splinting From Leg To Ft ED Charge | 125 | 4504923 | 3650213 |
| 29515 | Applic of Short Leg Splint (Calf to Foot) Charge | 78 | 9839737 | 730487 |
| 29520 | 29520 STRAPPING, HIP ED Charge | 125 | 4508226 | 3650214 |
| 29520 | 29520 Strapping; Hip ED PRO FEE | 53 | 9818977 | 3596394 |
| 29530 | 29530 STRAPPING KNEE ED TECH | 125 | 4509575 | 3650215 |
| 29530 | 29530 Strapping; Knee ED PRO FEE | 46 | 9818824 | 3596473 |
| 29540 | 29540 STRAPPING OF ANKLE/FOOT ED Charge | 125 | 4507124 | 3650216 |
| 29540 | 29540 Strapping; Ankle and/or Foot ED PRO FEE | 46 | 9817875 | 3596474 |
| 29550 | 29550 Strapping; Toes ED PRO FEE | 49 | 9813171 | 3596475 |
| 29550 | 29550 STRAPPING-TOES ED Charge | 125 | 4502420 | 3650217 |
| 29580 | 29580 STRAPPING UNNA BOOT – ED PF | 125 | 4506425 | 3650218 |
| 29705 | Removal or bivalving; full arm or full leg cast | 122 | 9831199 | 1164259 |
| 29799 | 29799 Unlisted Procedure, Casting Or Strapping ED PRO FEE | 55 | 9814571 | 3596476 |
| 29799 | 29799 Unlisted Procedure, Casting or Strapping, ED Charge | 125 | 4503820 | 5175393 |
| 30300 | 30300 FOREIGN BODY REMOVAL ED Charge | 73 | 4508957 | 3650220 |
| 30300 | Removal foreign body, intranasal | 156 | 9811168 | 3596477 |
| 30300 | Removal foreign body, intranasal; procedure charge | 212 | 9832427 | 749800 |
| 30901 | 30901 CONTROL OF NOSELBEED-CCC PF | 87 | 9816571 | 3596478 |
| 30901 | 30901 Epistaxis Simple, Anter ED Charge | 119 | 4505820 | 3650221 |
| 30901 | Control Nasal Hemorrhage, Anterior, Simple (Limited Cautery and/or Packing) Any Method Charge | 125 | 9831161 | 730573 |
| 30903 | 30903 Control nasal hemorrhage, anterior, complex (cautery and/or packing) any method ED PRO FEE | 113 | 9814464 | 3596481 |
| 30903 | 30903 NASAL HEMORRHAGE, COMPLX ED Charge | 119 | 4503713 | 3650222 |
| 30905 | 30905 Control nasal hemorrhage, posterior, w/ post. nasal pks and/or cautery, any method ED PRO FEE | 151 | 9818402 | 3596482 |
| 30905 | 30905 EPISTAXIS, POSTERIOR ED Charge | 119 | 4507651 | 3650223 |
| 31500 | 31500 INTUBATION, ENDOTRAC ER ED Charge | 248 | 4502816 | 3650224 |
| 31500 | 31500 Intubation, Endotracheal, Emergency Procedure ED PRO FEE | 159 | 9813567 | 3596487 |
| 31720 | 31720 Cath Aspiration, Nasotra ED Charge | 47 | 4506257 | 3650225 |
| 32551 | 32551 Tube thoracostomy, incl. water seal (eg, abscess, hemothorax, empyema), when perf. ED PRO FEE | 302 | 9815468 | 3596491 |
| 32551 | Insertion of Chest Tube | 613 | 4504717 | 1308757 |
| 32551 | Tube thoracostomy, includes water seal (eg, for abscess, hemothorax, empyema), when performed (separ | 242 | 9873202 | 884285 |
| 32554 | 32421 Thoracentesis ED Charge | 613 | 4504172 | 3650226 |
| 32554 | 32421 Thoracentesis, puncture of pleural cavity for aspiration, initial or subsequent ED PRO FEE | 109 | 9814923 | 3596488 |
| 32554 | Thoracentisis KCH charge | 197 | 9837574 | 4308235 |
| 32555 | Thoracentesis, Needle or Catheter, with Imaging Guidance, ED Charge | 664 | 4507311 | 22452931 |
| 32555 | Thoracentesis, Needle or Catheter, with Imaging Guidance, Pro Fee | 170 | 9818062 | 22452934 |
| 35206 | 35206 Repair Blood Vessel, Direct; Upper Extremity ED PRO FEE | 1133 | 9815028 | 3596496 |
| 35206 | 35206, REPAIR BLOOD VESSEL ED Charge | 3428 | 4504277 | 3650264 |
| 36415 | Bill Venipuncture | 16 | 3003256 | 5282975 |
| 36415 | COLLECTION: Venous Draw | 16 | 3003256 | 796180 |
| 36415 | Venipuncture | 16 | 3003256 | 5332978 |
| 36415 | Venipuncture Charge | 14.3 | 9833030 | 667653 |
| 36416 | Collection of Capillary Blood | 6 | 3001184 | 22166584 |
| 36430 | TRANSFUSION BLOOD CHARGE | 360.73 | 7616511 | 3824182 |
| 36556 | 36556 Ins. of Non-Tunneled Centrally Inserted Cent. Venous Catheter; Age 5 or Older ED PRO FEE | 173 | 9816693 | 3596499 |
| 36556 | 36556 Insert Nontunnel Cv Cath ED Charge | 1233 | 4505942 | 3650265 |
| 36556 | Central Line Placement KCH Charge | 150 | 9879186 | 4308252 |
| 36600 | COLLECTION: Arterial Draw | 48 | 3004007 | 796176 |
| 40804 | 40804 Foreign Body Removal, Mo ED Charge | 73 | 4505230 | 3650266 |
| 40804 | 40804 Removal Of Embedded Foreign Body, Vestibule Of Mouth; Simple ED PRO FEE | 199 | 9815981 | 3596504 |
| 40810 | Exc Les-vestibule Mouth; Wo Re | 125 | 9831861 | 1902013 |
| 41250 | 41250 Repair Of Laceration 2.5 Cm Or Less; Floor Of Mouth And/Or Anterior 2/3 Of Tongue ED PRO FEE | 224 | 9817732 | 3596509 |
| 41250 | 41250 Repair Tongue Laceration ED Charge | 119 | 4506981 | 3650267 |
| 41800 | 41800 Drainage Of Abscess, Cyst, Hematoma From Dentoalveolar Structures ED PRO FEE | 210 | 9817691 | 3596510 |
| 41800 | 41800 I&D Of Abscess Gum ED Charge | 158 | 4508442 | 3650268 |
| 42700 | Incision and Drainage abscess, peritonsillar, ED Charge | 300 | 4502121 | 22371856 |
| 42700 | Incision and Drainage abscess, peritonsillar, ED PRO Fee | 207 | 9812872 | 22371857 |
| 42809 | 42809 FB REMOVAL PHARYNX ED Charge | 73 | 4506773 | 3650269 |
| 42809 | 42809 Removal Of Foreign Body From Pharynx ED PRO FEE | 153 | 9816022 | 3596511 |
| 42960 | 42960 Control Oropharyngeal Hemorrhage, Primary Or Sec. (Eg, Posttonsillectomy); Simple ED PRO FEE | 248 | 9818812 | 3596512 |
| 42960 | 42960 Control Tonsil Hemorrage ED Charge | 119 | 4508061 | 3650270 |
| 43200 | 43200 Esophagoscopy, Rigid/Flexible; Diagnostic, w/ or w/o Collection Of Specimen By Bru ED PRO FEE | 146 | 9811525 | 3596513 |
| 43200 | 43200 ESOPHAGOSCOPY,DIAGNOSTIC ED Charge | 940 | 4509455 | 3650271 |
| 43235 | Upper GI Endoscopy, diagnositic w/wo collection of specimen KCH charge | 349 | 9871059 | 4308246 |
| 43239 | Upper GI Endoscopy, diagnositic w/biopsy, single or multiple KCH charge | 396 | 9871060 | 4308245 |
| 43247 | 43247 Egd/Foreign Body Removal ED Charge | 800 | 4503908 | 3650272 |
| 43247 | 43247 Upper Gastrointestinal Endoscopy Incl. Esophagus, Stomach, And Either The Duodenum ED PRO FEE | 312 | 9814659 | 3596516 |
| 43247 | Upper GI Endoscopy w/ Removal of Foreign Body KCH charge | 225 | 9878422 | 4308243 |
| 43251 | Upper GI Endoscopy w/ Removal KCH charge | 400 | 9878637 | 4308241 |
| 43753 | 43753 Gastric Lavage ED Charge | 73 | 4502937 | 3650273 |
| 45330 | Sigmoidoscopy, Flexible diagnositc w/wo collection of specimen KCH charge | 285 | 9874828 | 4308222 |
| 45331 | Sigmoidoscopy, Flexible diagnositc w/biopsy, single or multiple KCH charge | 500 | 9879388 | 4308221 |
| 45333 | Sigmoidoscopy, flexible diagnostic w/removal of tumor , polyp or lesion by hot biopsy forceps KCH ch | 500 | 9874533 | 4308224 |
| 45378 | Colonoscopy KCH Charge | 800 | 9872478 | 4308189 |
| 45380 | Colonoscopy w/ Cold Forcep | 966 | 9871600 | 4308190 |
| 45385 | Colonoscopy w/ Polypectomy | 1240 | 9871601 | 4308191 |
| 45900 | 45900 Reduction Of Procidentia (Separate Procedure) Under Anesthesia ED PRO FEE | 230 | 9818704 | 3596519 |
| 45900 | 45900 REDUCTION OF PROCIDENTIA ED Charge | 619 | 4507953 | 3650274 |
| 46040 | 46040 I&D of Ischiorectal and/or Perirectal Abscess ED PRO FEE | 535 | 9811232 | 3596522 |
| 46040 | 46040 I&D Of Perirectal Absces ED Charge | 2714 | 4509565 | 3650275 |
| 46050 | 46050 Incision and Drainage of perianal abscess, superficial, ED Charge | 450 | 4507883 | 22128460 |
| 46050 | 46050 Incision and Drainage of perianal abscess, superficial, ED PRO Fee | 145 | 9818634 | 22128465 |
| 46083 | 46083 INC OF THROMBOSED HEMORR ED Charge | 217 | 4509697 | 3650299 |
| 46083 | 46083 Incision of Thrombosed Hemorrhoid, Ext ED PRO FEE | 130 | 9816219 | 3596985 |
| 46083 | Incision of Thrombosed Hemorrhoid, Ext Charge | 160 | 9833363 | 730699 |
| 46320 | Enucleation or Excise of Ext Thrombotic Hemorrhoid Charge | 176 | 9873333 | 730709 |
| 46600 | 46600 Anoscopy; Diagnostic w/ or w/out Collection of Specimen ED Charge | 63 | 4506917 | 5175388 |
| 46600 | 46600 Anoscopy; Diagnostic w/ or w/out Collection of Specimen ED Pro Fee | 64 | 9817668 | 5175387 |
| 46600 | Anoscopy Charge | 76 | 9837869 | 667654 |
| 46608 | Anoscopy, with removal of foreign body | 599 | 4503469 | 7590623 |
| 46608 | Anoscopy, with removal of foreign body, PRO FEE | 117 | 9814220 | 7590624 |
| 49082 | 49082 ABD PARACENTESIS ED Charge | 613 | 4508187 | 3650276 |
| 49082 | 49082 Abdominal Pracentesis ED PRO FEE | 99 | 9815069 | 5175379 |
| 49082 | Abdominal Paracentesis | 98 | 9815069 | 5178971 |
| 51101 | 51101 Asp Bladder By Intracath ED Charge | 123 | 4505271 | 3650277 |
| 51700 | 51700 Bladder Irrigation ED Charge | 217 | 4507763 | 3650278 |
| 51701 | INSERTION OF NON INDWELLING BLADDER CATHETER LEG STRAIGHT CATH | 44 | 7614149 | 787848 |
| 51702 | INSERTION OF TEMP INDWELLING BLADDER CATHETER | 55 | 7614900 | 787112 |
| 51703 | Insertion of Bladder Catheter, Complicated, ED Charge | 107 | 4506568 | 22543260 |
| 51703 | Insertion of Bladder Catheter, Complicated, Pro Fee | 121 | 9818821 | 22544969 |
| 55000 | 55000 Punct. Aspiration Of Hydrocele, Tunica Vaginalis, w/ or w/o Injection of Medication ED Charge | 440 | 4505656 | 5175389 |
| 55000 | 55000 Punct. Aspiration Of Hydrocele, Tunica Vaginalis, w/ or w/o Injection Of Medication ED PRO FEE | 117 | 9812578 | 3596527 |
| 56405 | 56405 Incision and Drainage of vulva or perineal abscess, ED Charge | 152 | 4506193 | 22157706 |
| 56405 | 56405 Incision and Drainage of vulva or perineal abscess, ED PRO Fee | 162 | 9815442 | 22157711 |
| 56420 | 56420 I&D Bartholin’s Gland Abscess ED PRO FEE | 132 | 9815582 | 3596533 |
| 56420 | 56420, I&D BARTHOLINS GLAND ED Charge | 176 | 4504831 | 3650279 |
| 57500 | Biopsy, Single or Multiple, or Local Excision of Lesion | 154 | 9831281 | 667637 |
| 57511 | Cryocautery Cervix Charge | 211 | 9831322 | 667640 |
| 58301 | 58301 IUD REMOVAL ED Charge | 176 | 4507073 | 3650280 |
| 58301 | 58301 IUD, Remove ED PRO FEE | 98 | 9817824 | 3596530 |
| 58600 | Tubal Ligation KCH charge | 550 | 9871373 | 4308238 |
| 58605 | Tubal Ligation Postpartum KCH charge | 393 | 9871441 | 4308239 |
| 58611 | Tubal Ligation w/ C-Section KCH charge | 108 | 9871711 | 4308240 |
| 59025 | Fetal Nonstress Test | 135 | 7613297 | 888552 |
| 59160 | Postpartum Curettage KCH charge | 317 | 9871423 | 4308218 |
| 59200 | Insert Cervical Dilator Charge | 345 | 4502839 | 667650 |
| 59200 | Insertion drug delivery implant | 60 | 9812088 | 2789640 |
| 59300 | Episiotomy (Non-attending) | 200 | 9875579 | 4308250 |
| 59400 | OB Package KCH charge | 2250 | 9879395 | 4308212 |
| 59409 | OB (Delivery Only) KCH charge | 950 | 9871342 | 4308211 |
| 59425 | Antepartum (4-6 visits) | 456 | 9874250 | 4308183 |
| 59426 | Antepartum (7 or more visits) | 863 | 9832298 | 4308185 |
| 59430 | Postpartum care only (separate procedure) KCH charge | 152 | 9873326 | 4308217 |
| 59510 | C-Section KCH | 2805 | 9871530 | 4308192 |
| 59514 | C-Section (Delivery only) KCH Charge | 1925 | 9871111 | 4308251 |
| 59812 | Treatment Incomplete Abortion, Surgical; Any Trimester Charge | 400 | 9871336 | 723243 |
| 59812 | Treatment of incomplete abortion, any trimester (D & C) KCH charge | 400 | 9871336 | 4308237 |
| 62270 | 62270 Lumbar Puncture ED Charge | 434 | 4508938 | 3650281 |
| 62270 | 62270 Lumbar Puncture ED PRO FEE | 98 | 9819689 | 3596535 |
| 62270 | Lumbar puncture KCH charge | 200 | 9878686 | 4308204 |
| 64450 | 64450 INJ ANES OTHR PERIPH NERV ED CHARGE | 697 | 4502389 | 21083916 |
| 64450 | INJ ANES OTH PERIPH NERVE | 67 | 9813140 | 22534757 |
| 64718 | Cubital Tunnel Release | 1817 | 3608868 | 1184898 |
| 64721 | Carpal Tunnel Release | 1817 | 3602016 | 1184546 |
| 65205 | 65205 FB REMOVE EYE SUPERFSL ED Charge | 118 | 4508370 | 3650282 |
| 65205 | 65205 Foreign Body Remove, Superficial Conjunctival ED PRO FEE | 48 | 9817619 | 3596537 |
| 65205 | Removal of foreign body, external eye; conjunctival superficial | 61 | 9835418 | 667655 |
| 65220 | 65220 FB REMOVAL EYE-CORNEA ED Charge | 118 | 4507677 | 3650283 |
| 65220 | 65220 Foreign Body Remove, Corneal, w/o Slit Lamp ED PRO FEE | 51 | 9816926 | 3596540 |
| 65220 | Foreign Body Remove, Corneal, w/o Slit Lamp Charge | 57 | 9832131 | 667657 |
| 65222 | 65222 Fb Removal, Eye W/Slit L ED Charge | 118 | 4509406 | 3650284 |
| 65222 | 65222 Foreign Body Remove, Corneal, w/Slit Lamp ED PRO FEE | 87 | 9818655 | 5175395 |
| 65222 | Foreign Body Remove, Corneal, w/Slit Lamp Charge | 72 | 9832132 | 667658 |
| 65426 | Excision of Pterygium, w/Graft | 2150 | 3604732 | 23556130 |
| 66821 | YAG Laser | 488 | 4905347 | 1380035 |
| 66986 | Intraocular Lens Exchange | 2297 | 3601970 | 1184883 |
| 67938 | 67938 REMOVAL FB EYELID ED Charge | 226 | 4502938 | 3650285 |
| 67938 | 67938 Removal Of Embedded Foreign Body, Eyelid ED PRO FEE | 101 | 9813689 | 3596544 |
| 69200 | 69200 CLEAR OUTER EAR CANAL – ED PF | 72 | 9815777 | 3596547 |
| 69200 | 69200 FOREIGN BODY REMOVAL EAR ED Charge | 73 | 4505026 | 3650286 |
| 69200 | Removal foreign body from external auditory canal; without general anesthesia Charge | 55 | 9832317 | 749802 |
| 69205 | Removal Foreign Body From Ext Auditory Canal; w/General Anesthesia Charge | 98 | 9834667 | 730857 |
| 69209 | Removal of Impacted Cerumen using Irrigation/Lavage, Unilateral, ED Charge | 77 | 4507319 | 22543285 |
| 69209 | Removal of Impacted Cerumen using Irrigation/Lavage, Unilateral, Pro Fee | 29 | 9818070 | 22544966 |
| 69210 | 69210 CERUMEN REMOVAL ED Charge | 77 | 4504065 | 3650287 |
| 69210 | 69210 Ear Lavage ED PRO FEE | 49 | 9813096 | 3596550 |
| 69210 | Cerumen removal with Instrumentation | 57 | 9837292 | 667660 |
| 70100 | XR Mandible Partial Less Than 4 Views | 219.4 | 0 | 630337 |
| 70100 | XR Mandible Partial Less Than 4 Views | 241 | 3201228 | 1008013 |
| 70110 | XR Mandible Complete Minimum 4 Views | 224.4 | 0 | 630339 |
| 70110 | XR Mandible Complete Minimum 4 Views | 247 | 3201979 | 823600 |
| 70130 | XR Mastoids Complete | 224.4 | 0 | 630320 |
| 70130 | XR Mastoids Complete | 247 | 3203481 | 1021649 |
| 70130 | XR Mastoids Complete Bilateral | 234.4 | 0 | 630325 |
| 70130 | XR Mastoids Complete Bilateral | 258 | 3203481 | 1008017 |
| 70130 | XR Mastoids Complete Left | 224.4 | 0 | 630323 |
| 70130 | XR Mastoids Complete Left | 247 | 3203481 | 1021647 |
| 70140 | XR Facial Bones < 3 Views | 219.4 | 0 | 630666 |
| 70140 | XR Facial Bones < 3 Views | 241 | 3204232 | 823524 |
| 70150 | XR Facial Bones Minimum 3 Views | 224.4 | 0 | 630663 |
| 70150 | XR Facial Bones Minimum 3 Views | 247 | 3204983 | 823526 |
| 70160 | XR Nasal Bones Minimum 3 Views | 224.4 | 0 | 630309 |
| 70160 | XR Nasal Bones Minimum 3 Views | 247 | 3205734 | 823602 |
| 70200 | XR Orbits Complete Bilateral | 234.4 | 0 | 630301 |
| 70200 | XR Orbits Complete Bilateral | 258 | 3206485 | 823606 |
| 70200 | XR Orbits Complete Left | 224.4 | 0 | 630299 |
| 70200 | XR Orbits Complete Left | 247 | 3206485 | 1163868 |
| 70200 | XR Orbits Complete Right | 224.4 | 0 | 630297 |
| 70200 | XR Orbits Complete Right | 247 | 3206485 | 1163870 |
| 70220 | XR Sinuses Paranasal Complete | 224.4 | 0 | 630100 |
| 70220 | XR Sinuses Paranasal Complete | 247 | 3207236 | 823631 |
| 70240 | XR Sella Turcica | 224.4 | 0 | 630156 |
| 70240 | XR Sella Turcica | 247 | 3207987 | 1008063 |
| 70250 | XR Skull < 4 Views | 224.4 | 0 | 630096 |
| 70250 | XR Skull < 4 Views | 247 | 3208738 | 823633 |
| 70260 | XR Skull Complete | 378 | 0 | 630092 |
| 70260 | XR Skull Complete | 416 | 3209489 | 1008072 |
| 70328 | XR TMJ Open and Closed Left | 219.4 | 0 | 629928 |
| 70328 | XR TMJ Open and Closed Left | 241 | 3201619 | 1021671 |
| 70328 | XR TMJ Open and Closed Right | 219.4 | 0 | 629922 |
| 70328 | XR TMJ Open and Closed Right | 241 | 3201619 | 1021673 |
| 70360 | XR Neck Soft Tissue | 214.4 | 0 | 630307 |
| 70360 | XR Neck Soft Tissue | 236 | 3202370 | 823604 |
| 70450 | CT Head or Brain w/o Contrast | 767.4 | 0 | 629966 |
| 70450 | CT Head or Brain w/o Contrast | 844 | 3507112 | 821336 |
| 70450 | CT Head or Brain w/o Contrast – BCE | 844 | 3507112 | 6934609 |
| 70460 | CT Head or Brain w/ Contrast | 1201.7 | 0 | 629962 |
| 70460 | CT Head or Brain w/ Contrast | 1322 | 3507863 | 821334 |
| 70470 | CT Head or Brain w/ + w/o Contrast | 1336 | 0 | 629958 |
| 70470 | CT Head or Brain w/ + w/o Contrast | 1470 | 3508614 | 821332 |
| 70480 | CT IAC w/o Contrast | 767.4 | 0 | 1161168 |
| 70480 | CT IAC w/o Contrast | 844 | 3509908 | 1163590 |
| 70480 | CT Orbit Sella etc. w/o Contrast | 767.4 | 0 | 630104 |
| 70480 | CT Orbit Sella etc. w/o Contrast | 844 | 3508668 | 821352 |
| 70481 | CT IAC w/ + w/o Contrast | 1201.7 | 0 | 1161167 |
| 70481 | CT IAC w/ + w/o Contrast | 1322 | 3501144 | 1163587 |
| 70481 | CT Orbit Sella etc. w/ Contrast | 1201.7 | 0 | 630102 |
| 70481 | CT Orbit Sella etc. w/ Contrast | 1322 | 3505728 | 821350 |
| 70482 | CT Orbit Sella etc. w/ + w/o Contrast | 1336 | 0 | 630098 |
| 70482 | CT Orbit Sella etc. w/ + w/o Contrast | 1470 | 3504785 | 1005187 |
| 70486 | CT Maxillofacial w/o Contrast | 844 | 3509365 | 821348 |
| 70486 | CT Sinus w/o Contrast | 844 | 3503155 | 2214002 |
| 70486 | CT Sinus w/o Contrast – BCE | 844 | 3155 | 6934610 |
| 70487 | CT Maxillofacial w/ Contrast | 1201.7 | 0 | 630090 |
| 70487 | CT Maxillofacial w/ Contrast | 1322 | 3500487 | 821346 |
| 70487 | CT Sinus w/ Contrast | 1201.7 | 0 | 3778207 |
| 70487 | CT Sinus w/ Contrast | 1322 | 3503905 | 3778210 |
| 70488 | CT Maxillofacial w/ + w/o Contrast | 1336 | 0 | 630086 |
| 70488 | CT Maxillofacial w/ + w/o Contrast | 1470 | 3504608 | 1005185 |
| 70488 | CT Sinus w/ + w/o Contrast | 1336 | 0 | 3778206 |
| 70488 | CT Sinus w/ + w/o Contrast | 1470 | 3504608 | 3778208 |
| 70490 | CT Soft Tissue Neck w/o Contrast | 767.4 | 0 | 630160 |
| 70490 | CT Soft Tissue Neck w/o Contrast | 844 | 3505655 | 821370 |
| 70491 | CT Soft Tissue Neck w/ Contrast | 1201.7 | 0 | 630158 |
| 70491 | CT Soft Tissue Neck w/ Contrast | 1322 | 3504904 | 821368 |
| 70492 | CT Soft Tissue Neck w/ + w/o Contrast | 1336 | 0 | 630154 |
| 70492 | CT Soft Tissue Neck w/ + w/o Contrast | 1470 | 3504153 | 821366 |
| 70540 | MRI Face Neck Orbit w/o Contrast | 2411 | 6100001 | 1005420 |
| 70542 | MRI Face Neck Orbit w/ Contrast | 2449 | 6100002 | 821408 |
| 70543 | MRI Face Neck Orbit w/ + w/o Contrast | 2549 | 6100003 | 821406 |
| 70544 | MRA Head w/o Contrast | 2046 | 6100049 | 1005367 |
| 70545 | MRA Head w/ Contrast | 2084 | 6100050 | 821394 |
| 70546 | MRA Head w/ + w/o Contrast | 2181 | 6100051 | 1005365 |
| 70547 | MRA Neck w/o Contrast | 2125 | 6105843 | 821396 |
| 70548 | MRA Neck w/ Contrast | 2225 | 6106594 | 1005378 |
| 70549 | MRA Neck w/ + w/o Contrast | 2925 | 6107345 | 1005376 |
| 70551 | MRI Brain w/o Contrast | 2411 | 6100004 | 821402 |
| 70552 | MRI Brain w/ Contrast | 2449 | 6100005 | 821400 |
| 70553 | MRI Brain w/ + w/o Contrast | 2549 | 6100006 | 821398 |
| 71010 | XR Chest 1 View | 214.4 | 0 | 629716 |
| 71020 | XR Chest 2 Views | 219.4 | 0 | 629718 |
| 71020 | XR Chest 2 Views -BCE | 241 | 3204623 | 6934611 |
| 71045 | XR Chest 1 View | 236 | 3203121 | 823510 |
| 71046 | XR Chest 2 Views | 241 | 3204623 | 823512 |
| 71048 | XR Chest 4 Views | 224.4 | 0 | 629724 |
| 71048 | XR Chest 4 Views | 247 | 3206073 | 1007896 |
| 71100 | XR Ribs 2 Views Left | 219.4 | 0 | 630229 |
| 71100 | XR Ribs 2 Views Left | 241 | 3206876 | 823610 |
| 71100 | XR Ribs 2 Views Right | 219.4 | 0 | 630227 |
| 71100 | XR Ribs 2 Views Right | 241 | 3206876 | 823612 |
| 71101 | XR Ribs Min 3 Views Left w/ PA Chest | 224.4 | 0 | 2213977 |
| 71101 | XR Ribs Min 3 Views Left w/ PA Chest | 247 | 3207627 | 2214275 |
| 71101 | XR Ribs Min 3 Views Right w/ PA Chest | 224.4 | 0 | 2213978 |
| 71101 | XR Ribs Min 3 Views Right w/ PA Chest | 247 | 3207627 | 2214278 |
| 71110 | XR Ribs 3 Views Bilateral | 234.4 | 0 | 787869 |
| 71110 | XR Ribs 3 Views Bilateral | 258 | 3208378 | 823614 |
| 71111 | XR Ribs w/ PA Chest Bilateral | 378 | 0 | 630225 |
| 71111 | XR Ribs w/ PA Chest Bilateral | 416 | 3209129 | 1008048 |
| 71120 | XR Sternum Minimum 2 Views | 219.4 | 0 | 629974 |
| 71120 | XR Sternum Minimum 2 Views | 241 | 3209880 | 823653 |
| 71130 | XR Sternoclavicular Joint(s) | 214.4 | 0 | 629976 |
| 71130 | XR Sternoclavicular Joint(s) | 236 | 3201430 | 823651 |
| 71250 | CT Chest W/O Contrast | 767.4 | 0 | 853280 |
| 71250 | CT Chest W/O Contrast | 844 | 3501900 | 1005143 |
| 71260 | CT Chest W/Contrast | 1201.7 | 0 | 853279 |
| 71260 | CT Chest W/Contrast | 1322 | 3501149 | 1005140 |
| 71270 | CT Chest W/WO Contrast | 1336 | 0 | 853278 |
| 71270 | CT Chest W/WO Contrast | 1470 | 3502651 | 1005146 |
| 71275 | CT Angio Chest | 1322 | 3505772 | 1005115 |
| 71550 | MRI Chest w/o Contrast | 2425 | 6100007 | 1005415 |
| 71551 | MRI Chest w/ Contrast | 2625 | 6100008 | 1005413 |
| 71552 | MRI Chest w/ + w/o Contrast | 2725 | 6100009 | 821404 |
| 71555 | MRA Chest w/ Contrast | 2288 | 6100056 | 2214029 |
| 71555 | MRA Chest w/o Contrast | 2247 | 6100052 | 2214032 |
| 72020 | XR Spine 1 View Cervical | 214.4 | 0 | 629692 |
| 72020 | XR Spine 1 View Cervical | 236 | 3202932 | 1021660 |
| 72020 | XR Spine 1 View Lumbar | 214.4 | 0 | 630080 |
| 72020 | XR Spine 1 View Lumbar | 236 | 3202932 | 1021662 |
| 72020 | XR Spine 1 View Thoracic | 214.4 | 0 | 630076 |
| 72020 | XR Spine 1 View Thoracic | 236 | 3202932 | 1021664 |
| 72040 | XR Spine Cervical 2 or 3 Views | 224.4 | 0 | 629600 |
| 72040 | XR Spine Cervical 2 or 3 Views | 247 | 3203683 | 823635 |
| 72050 | XR Spine Cervical Comp w/ Oblique | 416 | 3204434 | 823637 |
| 72050 | XR Spine Cervical Comp w/ Obliques | 378 | 0 | 629602 |
| 72070 | XR Spine Thoracic 2 Views | 219.4 | 0 | 630002 |
| 72070 | XR Spine Thoracic 2 Views | 241 | 3205185 | 823647 |
| 72072 | XR Spine Thoracic 3 Views | 224.4 | 0 | 629997 |
| 72072 | XR Spine Thoracic 3 Views | 247 | 3205936 | 823649 |
| 72081 | XR Spine Entire 1 View | 235 | 3204188 | 22200642 |
| 72082 | XR Spine Entire 2-3 Views | 246 | 3204939 | 22200645 |
| 72082 | XR Spine Entire Survey AP/Lat | 378 | 0 | 630054 |
| 72082 | XR Spine Entire Survey AP/Lat | 416 | 3202181 | 1021666 |
| 72083 | XR Spine Entire 4-5 Views | 330 | 3205690 | 22200648 |
| 72084 | XR Spine Entire Min 6 Views | 416 | 3206441 | 22200651 |
| 72100 | XR Spine Lumbosacral 2 or 3 Views | 224.4 | 0 | 630048 |
| 72100 | XR Spine Lumbosacral 2 or 3 Views | 247 | 3207438 | 823641 |
| 72110 | XR Spine Lumbosacral Minimum 4 Views | 378 | 0 | 630022 |
| 72110 | XR Spine Lumbosacral Minimum 4 Views | 416 | 3208189 | 823643 |
| 72125 | CT Spine Cervical w/o Contrast | 767.4 | 0 | 629610 |
| 72125 | CT Spine Cervical w/o Contrast | 844 | 3509114 | 821372 |
| 72126 | CT Spine Cervical w/ Contrast | 1201.7 | 0 | 629608 |
| 72126 | CT Spine Cervical w/ Contrast | 1322 | 3506249 | 1005215 |
| 72127 | CT Spine Thoracic w/ + w/o Contrast | 1336 | 0 | 630164 |
| 72127 | CT Spine Thoracic w/ + w/o Contrast | 1470 | 3506158 | 1005221 |
| 72128 | CT Spine Thoracic w/o Contrast | 767.4 | 0 | 630172 |
| 72128 | CT Spine Thoracic w/o Contrast | 844 | 3509865 | 821376 |
| 72129 | CT Spine Thoracic w/ Contrast | 1201.7 | 0 | 630168 |
| 72129 | CT Spine Thoracic w/ Contrast | 1322 | 3505407 | 1005223 |
| 72131 | CT Spine Lumbar w/o Contrast | 767.4 | 0 | 630056 |
| 72131 | CT Spine Lumbar w/o Contrast | 844 | 3506110 | 821374 |
| 72132 | CT Spine Lumbar w/ Contrast | 1201.7 | 0 | 630052 |
| 72132 | CT Spine Lumbar w/ Contrast | 1322 | 3506861 | 1005219 |
| 72133 | CT Spine Lumbar w/ + w/o Contrast | 1336 | 0 | 630049 |
| 72133 | CT Spine Lumbar w/ + w/o Contrast | 1470 | 3507038 | 1005217 |
| 72141 | MRI Spine Cervical w/o Contrast | 2138 | 6100010 | 821441 |
| 72142 | MRI Spine Cervical w/ Contrast | 2237 | 6100011 | 821439 |
| 72146 | MRI Spine Thoracic w/o Contrast | 2138 | 6100013 | 821449 |
| 72147 | MRI Spine Thoracic w/ Contrast | 2237 | 6100014 | 821447 |
| 72148 | MRI Spine Lumbar w/o Contrast | 2138 | 6100016 | 821445 |
| 72149 | MRI Spine Lumbar w/ Contrast | 2237 | 6100017 | 821443 |
| 72156 | MRI Spine Cervical w/ + w/o Contrast | 2406 | 6100012 | 1005501 |
| 72157 | MRI Spine Thoracic w/ + w/o Contrast | 2406 | 6100015 | 1005505 |
| 72158 | MRI Spine Lumbar w/ + w/o Contrast | 2406 | 6100018 | 1005503 |
| 72159 | MRA Spine w/ Contrast | 2282 | 6100057 | 2214146 |
| 72159 | MRA Spine w/o Contrast | 2244 | 6100053 | 20006172 |
| 72170 | XR Pelvis 1 or 2 Views | 214.4 | 0 | 630285 |
| 72170 | XR Pelvis 1 or 2 Views | 236 | 3208940 | 823608 |
| 72192 | CT Pelvis w/o Contrast | 767.4 | 0 | 630114 |
| 72192 | CT Pelvis w/o Contrast | 844 | 3504108 | 821361 |
| 72193 | CT Pelvis w/ Contrast | 1201.7 | 0 | 630112 |
| 72193 | CT Pelvis w/ Contrast | 1322 | 3505610 | 821359 |
| 72194 | CT Pelvis w/ + w/o Contrast | 1336 | 0 | 630108 |
| 72194 | CT Pelvis w/ + w/o Contrast | 1470 | 3504859 | 821357 |
| 72195 | MRI Pelvis w/o Contrast | 2132 | 6100019 | 821434 |
| 72196 | MRI Pelvis w/ Contrast | 2221 | 6100020 | 821432 |
| 72197 | MRI Pelvis w/ + w/o Contrast | 2396 | 6100021 | 1005497 |
| 72198 | MRA Pelvis w/ Contrast | 2282 | 6100058 | 2214131 |
| 72198 | MRA Pelvis w/o Contrast | 2244 | 6100054 | 1021594 |
| 72202 | XR Sacroiliac Joints | 247 | 3201555 | 1319992 |
| 72202 | XR Sacroiliac Joints Minimum 3 Views | 224.4 | 0 | 630196 |
| 72202 | XR Sacroiliac Joints Minimum 3 Views | 247 | 3201555 | 1021658 |
| 72220 | XR Sacrum and Coccyx | 224.4 | 0 | 1161111 |
| 72220 | XR Sacrum and Coccyx | 247 | 3202306 | 1163877 |
| 73000 | XR Clavicle Left | 219.4 | 0 | 629752 |
| 73000 | XR Clavicle Left | 241 | 3203057 | 823516 |
| 73000 | XR Clavicle Right | 219.4 | 0 | 629754 |
| 73000 | XR Clavicle Right | 241 | 3203057 | 823518 |
| 73010 | XR Scapula Left | 219.4 | 0 | 630165 |
| 73010 | XR Scapula Left | 241 | 3203808 | 823619 |
| 73010 | XR Scapula Right | 219.4 | 0 | 630162 |
| 73010 | XR Scapula Right | 241 | 3203808 | 823621 |
| 73020 | XR Shoulder 1 View Left | 214.4 | 0 | 630146 |
| 73020 | XR Shoulder 1 View Left | 236 | 3204559 | 823623 |
| 73020 | XR Shoulder 1 View Right | 214.4 | 0 | 630142 |
| 73020 | XR Shoulder 1 View Right | 236 | 3204559 | 823625 |
| 73030 | XR Shoulder Complete Left | 224.4 | 0 | 630126 |
| 73030 | XR Shoulder Complete Left | 247 | 3205310 | 823627 |
| 73030 | XR Shoulder Complete Right | 224.4 | 0 | 630121 |
| 73030 | XR Shoulder Complete Right | 247 | 3205310 | 823629 |
| 73050 | XR AC Joints w/ or w/o weights Bilateral | 224.4 | 0 | 1319559 |
| 73050 | XR AC Joints w/ or w/o weights Bilateral | 247 | 3206812 | 1319951 |
| 73060 | XR Humerus Left | 219.4 | 0 | 630429 |
| 73060 | XR Humerus Left | 241 | 3207563 | 823588 |
| 73060 | XR Humerus Right | 219.4 | 0 | 630427 |
| 73060 | XR Humerus Right | 241 | 3207563 | 823590 |
| 73070 | XR Elbow 2 Views Left | 219.4 | 0 | 630689 |
| 73070 | XR Elbow 2 Views Left | 241 | 3208314 | 823520 |
| 73070 | XR Elbow 2 Views Right | 219.4 | 0 | 630687 |
| 73070 | XR Elbow 2 Views Right | 241 | 3208314 | 823522 |
| 73080 | XR Elbow Complete Right | 224.4 | 0 | 630679 |
| 73080 | XR Elbow Complete Right | 224.4 | 0 | 630683 |
| 73080 | XR Elbow Complete Right | 247 | 3209065 | 1007932 |
| 73080 | XR Elbow Complete Right | 247 | 3209065 | 1007934 |
| 73090 | XR Forearm 2 Views Left | 219.4 | 0 | 630523 |
| 73090 | XR Forearm 2 Views Left | 241 | 3209816 | 823562 |
| 73090 | XR Forearm 2 Views Right | 219.4 | 0 | 630519 |
| 73090 | XR Forearm 2 Views Right | 241 | 3209816 | 823564 |
| 73092 | XR UE Infant Min 2 Views Left | 219.4 | 0 | 2213984 |
| 73092 | XR UE Infant Min 2 Views Left | 241 | 3201550 | 2214296 |
| 73092 | XR UE Infant Min 2 Views Right | 219.4 | 0 | 2213985 |
| 73092 | XR UE Infant Min 2 Views Right | 241 | 3201550 | 2214299 |
| 73100 | XR Wrist 2 Views Left | 219.4 | 0 | 613632 |
| 73100 | XR Wrist 2 Views Left | 241 | 3202301 | 823685 |
| 73100 | XR Wrist 2 Views Right | 219.4 | 0 | 613634 |
| 73100 | XR Wrist 2 Views Right | 241 | 3202301 | 823683 |
| 73110 | XR Wrist Complete Left | 224.4 | 0 | 611596 |
| 73110 | XR Wrist Complete Left | 247 | 3203052 | 823681 |
| 73110 | XR Wrist Complete Right | 224.4 | 0 | 611594 |
| 73110 | XR Wrist Complete Right | 247 | 3203052 | 823679 |
| 73120 | XR Hand 2 Views Left | 219.4 | 0 | 630493 |
| 73120 | XR Hand 2 Views Left | 241 | 3203803 | 823568 |
| 73120 | XR Hand 2 Views Right | 219.4 | 0 | 630489 |
| 73120 | XR Hand 2 Views Right | 241 | 3203803 | 823570 |
| 73130 | XR Hand Complete Left | 224.4 | 0 | 630479 |
| 73130 | XR Hand Complete Left | 247 | 3204554 | 823572 |
| 73130 | XR Hand Complete Right | 224.4 | 0 | 630473 |
| 73130 | XR Hand Complete Right | 247 | 3204554 | 823574 |
| 73140 | XR Finger 2nd Digit Left | 224.4 | 0 | 630649 |
| 73140 | XR Finger 2nd Digit Left | 247 | 3205305 | 823532 |
| 73140 | XR Finger 2nd Digit Right | 224.4 | 0 | 630647 |
| 73140 | XR Finger 2nd Digit Right | 247 | 3205305 | 823534 |
| 73140 | XR Finger 3rd Digit Left | 224.4 | 0 | 630641 |
| 73140 | XR Finger 3rd Digit Left | 247 | 3205305 | 823536 |
| 73140 | XR Finger 3rd Digit Right | 224.4 | 0 | 630633 |
| 73140 | XR Finger 3rd Digit Right | 247 | 3205305 | 823538 |
| 73140 | XR Finger 4th Digit Left | 224.4 | 0 | 630625 |
| 73140 | XR Finger 4th Digit Left | 247 | 3205305 | 823540 |
| 73140 | XR Finger 4th Digit Right | 224.4 | 0 | 630622 |
| 73140 | XR Finger 4th Digit Right | 247 | 3205305 | 823542 |
| 73140 | XR Finger 5th Digit Left | 224.4 | 0 | 630618 |
| 73140 | XR Finger 5th Digit Left | 247 | 3205305 | 823544 |
| 73140 | XR Finger 5th Digit Right | 224.4 | 0 | 630609 |
| 73140 | XR Finger 5th Digit Right | 247 | 3205305 | 823546 |
| 73140 | XR Finger Thumb Left | 224.4 | 0 | 630603 |
| 73140 | XR Finger Thumb Left | 247 | 3205305 | 823548 |
| 73140 | XR Finger Thumb Right | 224.4 | 0 | 630599 |
| 73140 | XR Finger Thumb Right | 247 | 3205305 | 823550 |
| 73200 | CT Elbow w/o Contrast Left | 767.4 | 0 | 629834 |
| 73200 | CT Elbow w/o Contrast Left | 844 | 3509820 | 1021533 |
| 73200 | CT Elbow w/o Contrast Right | 767.4 | 0 | 629836 |
| 73200 | CT Elbow w/o Contrast Right | 844 | 3509820 | 1021535 |
| 73200 | CT Forearm w/o Contrast Left | 767.4 | 0 | 629904 |
| 73200 | CT Forearm w/o Contrast Left | 844 | 3509820 | 1286803 |
| 73200 | CT Forearm w/o Contrast Right | 767.4 | 0 | 629906 |
| 73200 | CT Forearm w/o Contrast Right | 844 | 3509820 | 1286805 |
| 73200 | CT Hand w/o Contrast Left | 767.4 | 0 | 629950 |
| 73200 | CT Hand w/o Contrast Left | 844 | 3509820 | 1286821 |
| 73200 | CT Hand w/o Contrast Right | 767.4 | 0 | 629954 |
| 73200 | CT Hand w/o Contrast Right | 844 | 3509820 | 1286823 |
| 73200 | CT Humerus w/o Contrast Left | 767.4 | 0 | 635588 |
| 73200 | CT Humerus w/o Contrast Left | 844 | 3509820 | 1286839 |
| 73200 | CT Humerus w/o Contrast Right | 767.4 | 0 | 630024 |
| 73200 | CT Humerus w/o Contrast Right | 844 | 3509820 | 1286841 |
| 73200 | CT Shoulder w/o Contrast Left | 767.4 | 0 | 630148 |
| 73200 | CT Shoulder w/o Contrast Left | 844 | 3509820 | 1021573 |
| 73200 | CT Shoulder w/o Contrast Right | 767.4 | 0 | 630152 |
| 73200 | CT Shoulder w/o Contrast Right | 844 | 3509820 | 1021575 |
| 73200 | CT Wrist w/o Contrast Left | 767.4 | 0 | 630261 |
| 73200 | CT Wrist w/o Contrast Left | 844 | 3509820 | 1021580 |
| 73200 | CT Wrist w/o Contrast Right | 767.4 | 0 | 630263 |
| 73200 | CT Wrist w/o Contrast Right | 844 | 3509820 | 1021582 |
| 73201 | CT Elbow w/ Contrast Left | 1201.7 | 0 | 629828 |
| 73201 | CT Elbow w/ Contrast Left | 1322 | 3501895 | 1284628 |
| 73201 | CT Elbow w/ Contrast Right | 1201.7 | 0 | 629832 |
| 73201 | CT Elbow w/ Contrast Right | 1322 | 3501895 | 1284630 |
| 73201 | CT Forearm w/ Contrast Left | 1201.7 | 0 | 629894 |
| 73201 | CT Forearm w/ Contrast Left | 1322 | 3501895 | 1286797 |
| 73201 | CT Forearm w/ Contrast Right | 1201.7 | 0 | 629898 |
| 73201 | CT Forearm w/ Contrast Right | 1322 | 3501895 | 1286799 |
| 73201 | CT Hand w/ Contrast Left | 1201.7 | 0 | 629940 |
| 73201 | CT Hand w/ Contrast Left | 1322 | 3501895 | 1286815 |
| 73201 | CT Hand w/ Contrast Right | 1201.7 | 0 | 629944 |
| 73201 | CT Hand w/ Contrast Right | 1322 | 3501895 | 1286817 |
| 73201 | CT Humerus w/ Contrast Left | 1201.7 | 0 | 630014 |
| 73201 | CT Humerus w/ Contrast Left | 1322 | 3501895 | 1286833 |
| 73201 | CT Humerus w/ Contrast Right | 1201.7 | 0 | 630016 |
| 73201 | CT Humerus w/ Contrast Right | 1322 | 3501895 | 1286835 |
| 73201 | CT Shoulder w/ Contrast Left | 1201.7 | 0 | 630138 |
| 73201 | CT Shoulder w/ Contrast Left | 1322 | 3501895 | 1286857 |
| 73201 | CT Shoulder w/ Contrast Right | 1201.7 | 0 | 630140 |
| 73201 | CT Shoulder w/ Contrast Right | 1322 | 3501895 | 1286859 |
| 73201 | CT Wrist w/ Contrast Left | 1201.7 | 0 | 630255 |
| 73201 | CT Wrist w/ Contrast Left | 1322 | 3501895 | 1286893 |
| 73201 | CT Wrist w/ Contrast Right | 1201.7 | 0 | 630257 |
| 73201 | CT Wrist w/ Contrast Right | 1322 | 3501895 | 1286895 |
| 73202 | CT Elbow w/ + w/o Contrast Left | 1336 | 0 | 629822 |
| 73202 | CT Elbow w/ + w/o Contrast Left | 1470 | 3502646 | 1284622 |
| 73202 | CT Elbow w/ + w/o Contrast Right | 1336 | 0 | 629824 |
| 73202 | CT Elbow w/ + w/o Contrast Right | 1470 | 3502646 | 1284624 |
| 73202 | CT Forearm w/ + w/o Contrast Left | 1336 | 0 | 629886 |
| 73202 | CT Forearm w/ + w/o Contrast Left | 1470 | 3502646 | 1286789 |
| 73202 | CT Forearm w/ + w/o Contrast Right | 1336 | 0 | 629888 |
| 73202 | CT Forearm w/ + w/o Contrast Right | 1470 | 3502646 | 1286793 |
| 73202 | CT Hand w/ + w/o Contrast Left | 1336 | 0 | 629930 |
| 73202 | CT Hand w/ + w/o Contrast Left | 1470 | 3502646 | 1286809 |
| 73202 | CT Hand w/ + w/o Contrast Right | 1336 | 0 | 629938 |
| 73202 | CT Hand w/ + w/o Contrast Right | 1470 | 3502646 | 1286811 |
| 73202 | CT Humerus w/ + w/o Contrast Left | 1336 | 0 | 630004 |
| 73202 | CT Humerus w/ + w/o Contrast Left | 1470 | 3502646 | 1286827 |
| 73202 | CT Humerus w/ + w/o Contrast Right | 1336 | 0 | 630008 |
| 73202 | CT Humerus w/ + w/o Contrast Right | 1470 | 3502646 | 1286829 |
| 73202 | CT Shoulder w/ + w/o Contrast Left | 1336 | 0 | 630132 |
| 73202 | CT Shoulder w/ + w/o Contrast Left | 1470 | 3502646 | 1286851 |
| 73202 | CT Shoulder w/ + w/o Contrast Right | 1336 | 0 | 630134 |
| 73202 | CT Shoulder w/ + w/o Contrast Right | 1470 | 3502646 | 1286853 |
| 73202 | CT Wrist w/ + w/o Contrast Left | 1336 | 0 | 630249 |
| 73202 | CT Wrist w/ + w/o Contrast Left | 1470 | 3502646 | 1286887 |
| 73202 | CT Wrist w/ + w/o Contrast Right | 1336 | 0 | 630251 |
| 73202 | CT Wrist w/ + w/o Contrast Right | 1470 | 3502646 | 1286889 |
| 73218 | MRI UE Non Joint w/o Contrast Left | 1397 | 6100034 | 1007537 |
| 73218 | MRI UE Non Joint w/o Contrast Right | 1397 | 6100022 | 1007539 |
| 73219 | MRI UE Non Joint w/ Contrast Left | 1456 | 6100035 | 1007528 |
| 73219 | MRI UE Non Joint w/ Contrast Right | 1456 | 6100023 | 1007530 |
| 73220 | MRI UE Non Joint w/ + w/o Contrast Left | 1573 | 6100036 | 1007524 |
| 73220 | MRI UE Non Joint w/ + w/o Contrast Right | 1573 | 6100024 | 1007526 |
| 73221 | MRI UE Joint w/o Contrast Left | 1397 | 6100037 | 821455 |
| 73221 | MRI UE Joint w/o Contrast Right | 1397 | 6100025 | 821457 |
| 73222 | MRI UE Joint w/ Contrast Left | 1456 | 6100038 | 1007515 |
| 73222 | MRI UE Joint w/ Contrast Right | 1456 | 6100026 | 1007517 |
| 73223 | MRI UE Joint w/ + w/o Contrast Left | 1573 | 6100039 | 1005509 |
| 73223 | MRI UE Joint w/ + w/o Contrast Right | 1573 | 6100027 | 1005511 |
| 73225 | MRA Upper Extremity Left | 2221 | 6100064 | 1005387 |
| 73225 | MRA Upper Extremity Right | 2221 | 6100060 | 1005389 |
| 73501 | XR Hip 1 View Left | 236 | 3206056 | 823576 |
| 73501 | XR Hip 1 View Lt w/ Pelvis | 236 | 3207192 | 22200615 |
| 73501 | XR Hip 1 View Right | 236 | 3206056 | 823578 |
| 73501 | XR Hip 1 View Rt w/ Pelvis | 236 | 3207943 | 22200618 |
| 73502 | XR Hip 2-3 Views Lt w/ Pelvis | 247 | 3208694 | 22200621 |
| 73502 | XR Hip 2-3 Views Rt w/ Pelvis | 247 | 3209445 | 22200624 |
| 73503 | XR Hip Min 4 Views Lt w/ Pelvis | 330 | 3201244 | 22200627 |
| 73503 | XR Hip Min 4 Views Rt w/ Pelvis | 330 | 3201995 | 22200630 |
| 73521 | XR Hips Bil w/ Pelvis 2 Views | 247 | 3202746 | 22200633 |
| 73522 | XR Hips Bil w/ Pelvis 3-4 Views | 289 | 3203497 | 22200636 |
| 73523 | XR Hips Bil w/ Pelvis Min 5 Views | 330 | 3204248 | 22200639 |
| 73550 | XR Hip Bilateral w/Pelvis | 224.4 | 0 | 630461 |
| 73551 | XR Femur 1 View Left | 236 | 3204999 | 2160505 |
| 73551 | XR Femur 1 View Right | 236 | 3205750 | 2160508 |
| 73552 | XR Femur 2 Views Left | 247 | 3206501 | 2214248 |
| 73552 | XR Femur 2 Views Right | 247 | 3207252 | 2214251 |
| 73552 | XR Femur Left | 219.4 | 0 | 630655 |
| 73552 | XR Femur Left | 247 | 3201570 | 823528 |
| 73552 | XR Femur Right | 219.4 | 0 | 630651 |
| 73552 | XR Femur Right | 247 | 3201570 | 823530 |
| 73560 | XR Knee One or Two Views Left | 219.4 | 0 | 630361 |
| 73560 | XR Knee One or Two Views Left | 241 | 3202321 | 823596 |
| 73560 | XR Knee One or Two Views Right | 219.4 | 0 | 630355 |
| 73560 | XR Knee One or Two Views Right | 241 | 3202321 | 823598 |
| 73562 | XR Knee 3 Views Left | 224.4 | 0 | 630403 |
| 73562 | XR Knee 3 Views Left | 247 | 3203562 | 823592 |
| 73562 | XR Knee 3 Views Right | 224.4 | 0 | 630395 |
| 73562 | XR Knee 3 Views Right | 247 | 3203562 | 823594 |
| 73564 | XR Knee Complete Left | 224.4 | 0 | 630373 |
| 73564 | XR Knee Complete Left | 252 | 3203072 | 1007996 |
| 73564 | XR Knee Complete Right | 224.4 | 0 | 630369 |
| 73564 | XR Knee Complete Right | 252 | 3203072 | 1007998 |
| 73565 | XR Knee Standing AP Bilateral | 214.4 | 0 | 630351 |
| 73565 | XR Knee Standing AP Bilateral | 236 | 3203476 | 1008002 |
| 73590 | XR Tib/Fib 2 Views Bilateral | 224.4 | 0 | 1003649 |
| 73590 | XR Tib/Fib 2 Views Bilateral | 247 | 3203823 | 1008110 |
| 73590 | XR Tibia/Fibula 2 Views | 241 | 3203823 | 2214290 |
| 73590 | XR Tibia/Fibula 2 Views | 241 | 3203823 | 2214293 |
| 73590 | XR Tibia/Fibula 2 Views Left | 219.4 | 0 | 2213982 |
| 73590 | XR Tibia/Fibula 2 Views Right | 219.4 | 0 | 2213983 |
| 73592 | XR LE Infant Min 2 Views Left | 219.4 | 0 | 2213972 |
| 73592 | XR LE Infant Min 2 Views Left | 241 | 3204574 | 2214260 |
| 73592 | XR LE Infant Min 2 Views Right | 219.4 | 0 | 2213973 |
| 73592 | XR LE Infant Min 2 Views Right | 241 | 3204574 | 2214263 |
| 73600 | XR Ankle 2 Views Left | 219.4 | 0 | 625718 |
| 73600 | XR Ankle 2 Views Left | 241 | 3205325 | 1007853 |
| 73600 | XR Ankle 2 Views Right | 219.4 | 0 | 625720 |
| 73600 | XR Ankle 2 Views Right | 241 | 3205325 | 1007855 |
| 73610 | XR Ankle Complete Left | 224.4 | 0 | 625724 |
| 73610 | XR Ankle Complete Left | 247 | 3206076 | 823492 |
| 73610 | XR Ankle Complete Right | 224.4 | 0 | 625726 |
| 73610 | XR Ankle Complete Right | 247 | 3206076 | 823494 |
| 73620 | XR Foot 2 Views Left | 219.4 | 0 | 630559 |
| 73620 | XR Foot 2 Views Left | 241 | 3206827 | 823554 |
| 73620 | XR Foot 2 Views Right | 219.4 | 0 | 630555 |
| 73620 | XR Foot 2 Views Right | 241 | 3206827 | 823556 |
| 73630 | XR Foot Complete Left | 224.4 | 0 | 630548 |
| 73630 | XR Foot Complete Left | 247 | 3207578 | 823558 |
| 73630 | XR Foot Complete Right | 224.4 | 0 | 630533 |
| 73630 | XR Foot Complete Right | 247 | 3207578 | 823560 |
| 73650 | XR Calcaneous Left | 219.4 | 0 | 629618 |
| 73650 | XR Calcaneous Left | 241 | 3208329 | 823496 |
| 73650 | XR Calcaneous Right | 219.4 | 0 | 629620 |
| 73650 | XR Calcaneous Right | 241 | 3208329 | 823498 |
| 73660 | XR Toes 2nd Digit Left | 224.4 | 0 | 629918 |
| 73660 | XR Toes 2nd Digit Left | 247 | 3209080 | 823659 |
| 73660 | XR Toes 2nd Digit Right | 224.4 | 0 | 629912 |
| 73660 | XR Toes 2nd Digit Right | 247 | 3209080 | 823661 |
| 73660 | XR Toes 3rd Digit Left | 224.4 | 0 | 629908 |
| 73660 | XR Toes 3rd Digit Left | 247 | 3209080 | 823663 |
| 73660 | XR Toes 3rd Digit Right | 224.4 | 0 | 629899 |
| 73660 | XR Toes 3rd Digit Right | 247 | 3209080 | 823665 |
| 73660 | XR Toes 4th Digit Left | 224.4 | 0 | 629896 |
| 73660 | XR Toes 4th Digit Left | 247 | 3209080 | 823667 |
| 73660 | XR Toes 4th Digit Right | 224.4 | 0 | 629890 |
| 73660 | XR Toes 4th Digit Right | 247 | 3209080 | 823669 |
| 73660 | XR Toes 5th Digit Left | 224.4 | 0 | 629882 |
| 73660 | XR Toes 5th Digit Left | 247 | 3209080 | 823671 |
| 73660 | XR Toes 5th Digit Right | 224.4 | 0 | 629876 |
| 73660 | XR Toes 5th Digit Right | 247 | 3209080 | 823673 |
| 73660 | XR Toes Great Left | 224.4 | 0 | 629866 |
| 73660 | XR Toes Great Left | 247 | 3209080 | 823675 |
| 73660 | XR Toes Great Right | 224.4 | 0 | 629858 |
| 73660 | XR Toes Great Right | 247 | 3209080 | 823677 |
| 73700 | CT Ankle w/o Contrast Left | 767.4 | 0 | 625694 |
| 73700 | CT Ankle w/o Contrast Left | 844 | 3506406 | 1021529 |
| 73700 | CT Ankle w/o Contrast Right | 767.4 | 0 | 625696 |
| 73700 | CT Ankle w/o Contrast Right | 844 | 3506406 | 1021531 |
| 73700 | CT Femur w/o Contrast Left | 767.4 | 0 | 629852 |
| 73700 | CT Femur w/o Contrast Left | 844 | 3506406 | 1286777 |
| 73700 | CT Femur w/o Contrast Right | 767.4 | 0 | 629854 |
| 73700 | CT Femur w/o Contrast Right | 844 | 3506406 | 1286779 |
| 73700 | CT Foot w/o Contrast Left | 767.4 | 0 | 629878 |
| 73700 | CT Foot w/o Contrast Left | 844 | 3506406 | 1021545 |
| 73700 | CT Foot w/o Contrast Right | 767.4 | 0 | 629880 |
| 73700 | CT Foot w/o Contrast Right | 844 | 3506406 | 1021547 |
| 73700 | CT Hip w/o Contrast Left | 767.4 | 0 | 629992 |
| 73700 | CT Hip w/o Contrast Left | 844 | 3506406 | 1021557 |
| 73700 | CT Hip w/o Contrast Right | 767.4 | 0 | 629996 |
| 73700 | CT Hip w/o Contrast Right | 844 | 3506406 | 1021559 |
| 73700 | CT Knee w/o Contrast Left | 767.4 | 0 | 630044 |
| 73700 | CT Knee w/o Contrast Left | 844 | 3506406 | 1021569 |
| 73700 | CT Knee w/o Contrast Right | 767.4 | 0 | 630046 |
| 73700 | CT Knee w/o Contrast Right | 844 | 3506406 | 1021571 |
| 73700 | CT Tibia/Fibula w/o Contrast Left | 767.4 | 0 | 630203 |
| 73700 | CT Tibia/Fibula w/o Contrast Left | 844 | 3506406 | 1286881 |
| 73700 | CT Tibia/Fibula w/o Contrast Right | 767.4 | 0 | 630205 |
| 73700 | CT Tibia/Fibula w/o Contrast Right | 844 | 3506406 | 1286883 |
| 73701 | CT Ankle w/ Contrast Left | 1201.7 | 0 | 625688 |
| 73701 | CT Ankle w/ Contrast Left | 1322 | 3507157 | 1021525 |
| 73701 | CT Ankle w/ Contrast Right | 1201.7 | 0 | 625690 |
| 73701 | CT Ankle w/ Contrast Right | 1322 | 3507157 | 1021527 |
| 73701 | CT Femur w/ Contrast Left | 1201.7 | 0 | 629846 |
| 73701 | CT Femur w/ Contrast Left | 1322 | 3507157 | 1286771 |
| 73701 | CT Femur w/ Contrast Right | 1201.7 | 0 | 629848 |
| 73701 | CT Femur w/ Contrast Right | 1322 | 3507157 | 1286773 |
| 73701 | CT Foot w/ Contrast Left | 1201.7 | 0 | 629870 |
| 73701 | CT Foot w/ Contrast Left | 1322 | 3507157 | 1021541 |
| 73701 | CT Foot w/ Contrast Right | 1201.7 | 0 | 629872 |
| 73701 | CT Foot w/ Contrast Right | 1322 | 3507157 | 1021543 |
| 73701 | CT Hip w/ Contrast Left | 1201.7 | 0 | 629984 |
| 73701 | CT Hip w/ Contrast Left | 1322 | 3507157 | 1021553 |
| 73701 | CT Hip w/ Contrast Right | 1201.7 | 0 | 629988 |
| 73701 | CT Hip w/ Contrast Right | 1322 | 3507157 | 1021555 |
| 73701 | CT Knee w/ Contrast Left | 1201.7 | 0 | 630038 |
| 73701 | CT Knee w/ Contrast Left | 1322 | 3507157 | 1021565 |
| 73701 | CT Knee w/ Contrast Right | 1201.7 | 0 | 630040 |
| 73701 | CT Knee w/ Contrast Right | 1322 | 3507157 | 1021567 |
| 73701 | CT Tibia/Fibula w/ Contrast Left | 1201.7 | 0 | 630194 |
| 73701 | CT Tibia/Fibula w/ Contrast Left | 1322 | 3507157 | 1286875 |
| 73701 | CT Tibia/Fibula w/ Contrast Right | 1201.7 | 0 | 630198 |
| 73701 | CT Tibia/Fibula w/ Contrast Right | 1322 | 3507157 | 1286877 |
| 73702 | CT Ankle w/ + w/o Contrast Left | 1336 | 0 | 625682 |
| 73702 | CT Ankle w/ + w/o Contrast Left | 1470 | 3503397 | 1021521 |
| 73702 | CT Ankle w/ + w/o Contrast Right | 1336 | 0 | 625684 |
| 73702 | CT Ankle w/ + w/o Contrast Right | 1470 | 3503397 | 1021523 |
| 73702 | CT Femur w/ + w/o Contrast Left | 1336 | 0 | 629840 |
| 73702 | CT Femur w/ + w/o Contrast Left | 1470 | 3503397 | 1286765 |
| 73702 | CT Femur w/ + w/o Contrast Right | 1336 | 0 | 629842 |
| 73702 | CT Femur w/ + w/o Contrast Right | 1470 | 3503397 | 1286767 |
| 73702 | CT Foot w/ + w/o Contrast Left | 1336 | 0 | 629862 |
| 73702 | CT Foot w/ + w/o Contrast Left | 1470 | 3503397 | 1021537 |
| 73702 | CT Foot w/ + w/o Contrast Right | 1336 | 0 | 629864 |
| 73702 | CT Foot w/ + w/o Contrast Right | 1470 | 3503397 | 1021539 |
| 73702 | CT Hip w/ + w/o Contrast Left | 1336 | 0 | 629972 |
| 73702 | CT Hip w/ + w/o Contrast Left | 1470 | 3503702 | 1021549 |
| 73702 | CT Hip w/ + w/o Contrast Right | 1336 | 0 | 629980 |
| 73702 | CT Hip w/ + w/o Contrast Right | 1470 | 3503702 | 1021551 |
| 73702 | CT Knee w/ + w/o Contrast Left | 1336 | 0 | 630030 |
| 73702 | CT Knee w/ + w/o Contrast Left | 1470 | 3503397 | 1021561 |
| 73702 | CT Knee w/ + w/o Contrast Right | 1336 | 0 | 630034 |
| 73702 | CT Knee w/ + w/o Contrast Right | 1470 | 3503397 | 1021563 |
| 73702 | CT Tibia/Fibula w/ + w/o Contrast Left | 1336 | 0 | 630184 |
| 73702 | CT Tibia/Fibula w/ + w/o Contrast Left | 1470 | 3503397 | 1286869 |
| 73702 | CT Tibia/Fibula w/ + w/o Contrast Right | 1336 | 0 | 630188 |
| 73702 | CT Tibia/Fibula w/ + w/o Contrast Right | 1470 | 3503397 | 1286871 |
| 73718 | MRI LE Non Joint w/o Contrast Left | 1397 | 6100040 | 1005472 |
| 73718 | MRI LE Non Joint w/o Contrast Right | 1397 | 6100028 | 1005474 |
| 73719 | MRI LE Non Joint w/ Contrast Left | 1456 | 6100041 | 1005468 |
| 73719 | MRI LE Non Joint w/ Contrast Right | 1456 | 6100029 | 1005470 |
| 73720 | MRI LE Non Joint w/ + w/o Contrast Left | 1573 | 6100042 | 1005464 |
| 73720 | MRI LE Non Joint w/ + w/o Contrast Right | 1573 | 6100030 | 1005466 |
| 73721 | MRI LE Joint w/o Contrast Left | 1397 | 6100043 | 821420 |
| 73722 | MRI LE Joint w/ Contrast Left | 1456 | 6100044 | 1005460 |
| 73722 | MRI LE Joint w/ Contrast Right | 1456 | 6100032 | 1005462 |
| 73723 | MRI LE Joint w/ + w/o Contrast Left | 1573 | 6100045 | 821414 |
| 73723 | MRI LE Joint w/ + w/o Contrast Right | 1573 | 6100033 | 821416 |
| 73725 | MRA Lower Extremity Left | 2251 | 6100065 | 1005372 |
| 73725 | MRA Lower Extremity Right | 2251 | 6100061 | 1005374 |
| 74018 | XR Abdomen 1 View | 236 | 3209831 | 823483 |
| 74019 | XR Abdomen 1 View | 214.4 | 0 | 796083 |
| 74019 | XR Abdomen 2 View | 241 | 3201598 | 823486 |
| 74019 | XR Abdomen 2 Views | 219.4 | 0 | 625630 |
| 74022 | XR Abdomen Complete w/ Decub/Erect | 378 | 0 | 625618 |
| 74022 | XR Abdomen Complete w/ Decub/Erect | 416 | 3202349 | 823490 |
| 74150 | CT Abdomen w/o Contrast | 767.4 | 0 | 625600 |
| 74150 | CT Abdomen w/o Contrast | 844 | 3503857 | 821330 |
| 74160 | CT Abdomen w/ Contrast | 1201.7 | 0 | 625598 |
| 74160 | CT Abdomen w/ Contrast | 1322 | 3502606 | 821328 |
| 74170 | CT Abdomen w/ + w/o Contrast | 1336 | 0 | 615590 |
| 74170 | CT Abdomen w/ + w/o Contrast | 1470 | 3501855 | 821326 |
| 74176 | CT Abdomen/Pelvis w/o Contrast | 1069.19 | 0 | 885755 |
| 74176 | CT Abdomen/Pelvis w/o Contrast | 1176 | 3505651 | 1005112 |
| 74177 | CT Abdomen/Pelvis w/ Contrast | 1674.28 | 0 | 885753 |
| 74177 | CT Abdomen/Pelvis w/ Contrast | 1842 | 3506402 | 1005109 |
| 74178 | CT Abdomen/Pelvis w + w/o Contrast | 1724.03 | 0 | 885754 |
| 74178 | CT Abdomen/Pelvis w + w/o Contrast | 1896 | 3507153 | 1005106 |
| 74181 | MRI Abdomen w/o Contrast | 2449 | 6100046 | 1005395 |
| 74182 | MRI Abdomen w/ Contrast | 2625 | 6100047 | 1005393 |
| 74183 | MRI Abdomen w/ + w/o Contrast | 2725 | 6100048 | 1005391 |
| 74185 | MRA Abdomen w/ Contrast | 2282 | 6100059 | 2214011 |
| 74185 | MRA Abdomen w/o Contrast | 2244 | 6100055 | 2214014 |
| 74249 | XR Fluoro UGI w/ Air w/ Small Bowel | 712.2 | 0 | 613602 |
| 74249 | XR Upper GI w/ Air w/ Small Bowel | 783 | 3207759 | 1008128 |
| 74250 | XR Small Bowel Series | 429.8 | 0 | 1319574 |
| 74250 | XR Small Bowel Series | 473 | 3205353 | 1319995 |
| 74400 | XR Fluoro IVP | 920.8 | 0 | 630417 |
| 74400 | XR IVP | 920.8 | 0 | 1319570 |
| 74400 | XR IVP | 1013 | 3208357 | 1007987 |
| 74400 | XR IVP | 1013 | 3208357 | 1319984 |
| 74420 | XR Fluoro Urography Retrograde | 911.6 | 0 | 613610 |
| 74420 | XR Urography Retrograde | 920.8 | 0 | 1319576 |
| 74420 | XR Urography Retrograde | 1003 | 3209859 | 1008134 |
| 74420 | XR Urography Retrograde | 1013 | 3209859 | 1320000 |
| 74430 | XR Cystogram Non Voiding | 920.8 | 0 | 1319563 |
| 74430 | XR Cystogram Non Voiding | 1013 | 3204430 | 1319963 |
| 76010 | XR Child Nose-Rectum For FB | 236 | 3205173 | 1007907 |
| 76010 | XR Child Nose-Rectum For FB | 214.4 | 0 | 853148 |
| 76536 | US Head/Neck Soft Tissue | 372.3 | 0 | 631151 |
| 76536 | US Head/Neck Soft Tissue | 410 | 4023530 | 823428 |
| 76641 | US Breast Left | 268 | 4024135 | 1007730 |
| 76641 | US Breast Right | 268 | 4024135 | 1007735 |
| 76700 | US Abdomen Complete | 306 | 0 | 625608 |
| 76700 | US Abdomen Complete | 337 | 4028950 | 823404 |
| 76705 | US Abdomen Limited | 245 | 0 | 625610 |
| 76705 | US Abdomen Limited | 270 | 4029701 | 823406 |
| 76706 | US AAA Screening | 121 | 4022080 | 11849858 |
| 76770 | US Renal | 372.3 | 0 | 853416 |
| 76770 | US Renal | 410 | 4025783 | 1007818 |
| 76770 | US Retroperitoneal Complete | 372.3 | 0 | 630892 |
| 76770 | US Retroperitoneal Complete | 410 | 4029648 | 823461 |
| 76801 | US Pregnancy < 14 weeks | 372.3 | 0 | 630921 |
| 76801 | US Pregnancy < 14 weeks | 410 | 4029696 | 823452 |
| 76801 | US Pregnancy Multi Gest < 14 weeks | 258 | 4021300 | 1319945 |
| 76802 | US Preg Each Addl Gest < 14 Weeks | 84 | 4021329 | 11137643 |
| 76802 | US Pregnancy Multi Gest < 14 weeks | 243.2 | 0 | 1319557 |
| 76805 | US Pregnancy > 14 weeks | 372.3 | 0 | 630919 |
| 76805 | US Pregnancy > 14 weeks | 410 | 4022051 | 1007800 |
| 76805 | US Pregnancy Multi Gest > 14 weeks | 323 | 4022802 | 1136396 |
| 76810 | US Preg Each Addl Gest > 14 Weeks | 159 | 4021265 | 11137648 |
| 76810 | US Pregnancy Multi Gest > 14 weeks | 372.3 | 0 | 1136351 |
| 76815 | US Pregnancy Limited | 180 | 0 | 630906 |
| 76815 | US Pregnancy Limited | 198 | 4022029 | 1007813 |
| 76816 | US Pregnancy Follow Up | 225 | 0 | 630910 |
| 76816 | US Pregnancy Follow Up | 248 | 4022618 | 1007811 |
| 76817 | US Pregnancy Transvaginal | 243.2 | 0 | 630903 |
| 76817 | US Pregnancy Transvaginal | 268 | 4023369 | 823456 |
| 76818 | US Fetal Biophysical Profile w/ Non-Str | 372.3 | 0 | 631102 |
| 76818 | US Fetal Biophysical Profile w/ Non-Str | 410 | 4026534 | 1007761 |
| 76830 | US Transvaginal | 372.3 | 0 | 630827 |
| 76830 | US TRANSVAGINAL | 410 | 4024281 | 823467 |
| 76856 | US Pelvis Non-OB Complete | 372.3 | 0 | 630929 |
| 76856 | US Pelvis Non-OB Complete | 410 | 4028641 | 823448 |
| 76857 | US Pelvis Non-OB Limited | 243.2 | 0 | 630925 |
| 76857 | US Pelvis Non-OB Limited | 268 | 4024784 | 823450 |
| 76870 | US Scrotum (Contents) | 372.3 | 0 | 630851 |
| 76870 | US Scrotum (Contents) | 410 | 4022779 | 823463 |
| 76881 | US Extremity Non-Vasc Real-time Complete | 372.3 | 0 | 1235866 |
| 76881 | US Extremity Non-Vasc Real-time Complete | 410 | 4027890 | 1235869 |
| 76882 | US Extremity Non-Vasc Real-time Limited | 243.2 | 0 | 1235868 |
| 76882 | US Extremity Non-Vasc Real-time Limited | 268 | 4022900 | 1235872 |
| 76882 | US Soft Tissue Mass | 243.2 | 0 | 3778202 |
| 76882 | US Soft Tissue Mass | 268 | 4021896 | 3778203 |
| 76942 | US Guidance Needle Placement | 200 | 0 | 1075661 |
| 76942 | US Guidance Needle Placement | 220 | 4028701 | 1075662 |
| 77073 | XR Bone Length Studies Scanograms | 224.4 | 0 | 627646 |
| 77073 | XR Bone Length Studies Scanograms | 247 | 3205924 | 1007879 |
| 77074 | XR Bone Survey Limited (Mets) | 368 | 0 | 1160277 |
| 77074 | XR Bone Survey Limited (Mets) | 405 | 3206675 | 1160961 |
| 77074 | XR Bone Survey Long Bone | 433.44 | 0 | 627662 |
| 77074 | XR Bone Survey Long Bone | 477 | 3206675 | 1007888 |
| 77075 | XR Bone Survey Complete | 378 | 0 | 1319561 |
| 77075 | XR Bone Survey Complete | 416 | 3200061 | 1319957 |
| 80048 | BMP 5 | 64 | 3001535 | 910512 |
| 80050 | General Health Panel 1 | 200 | 3007762 | 3579544 |
| 80051 | Electrolyte Panel | 53 | 3009538 | 633610 |
| 80053 | CMP 7 | 80 | 3003037 | 1200257 |
| 80055 | Prenatal Reflexive Panel ARUP | 140.97 | 3008513 | 5095119 |
| 80061 | Cholesterol Test | 36 | 9838039 | 4404192 |
| 80061 | Lipid Panel 3 | 102 | 3001677 | 1657586 |
| 80069 | Renal Panel 5 | 66 | 3005212 | 1200258 |
| 80074 | Hepatitis Panel, Acute ARUP | 110.16 | 3002858 | 1764004 |
| 80076 | Hepatic Panel 1 | 62 | 3005212 | 1414277 |
| 80150 | Amikacin, Trough Level ARUP | 48.26 | 3009067 | 12750983 |
| 80156 | Carbamazepine, Total ARUP | 73.6 | 3004681 | 5095057 |
| 80158 | Cyclosporine A ARUP | 89.19 | 3007662 | 1763944 |
| 80159 | Clozapine ARUP | 55.46 | 3001474 | 20951742 |
| 80162 | Digoxin Level | 101 | 3005432 | 633719 |
| 80164 | Valproic Acid ARUP | 68.89 | 3003907 | 1763605 |
| 80164 | Valproic Acid, Free and Total ARUP | 122.26 | 3003727 | 23074379 |
| 80168 | Ethosuximide ARUP | 47.46 | 3002683 | 1764043 |
| 80169 | Everolimus by Tandem Mass Spectrometry ARUP | 155.46 | 3001478 | 22034146 |
| 80170 | Gentamicin, Trough Level ARUP | 48.26 | 3001201 | 20112147 |
| 80175 | Lamotrigine ARUP | 100.03 | 3002939 | 1763920 |
| 80178 | Lithium, Serum or Plasma ARUP | 71.29 | 3006183 | 5095102 |
| 80180 | Mycophenolic Acid and Metabolites ARUP | 240.9 | 3001532 | 22034147 |
| 80183 | Oxcarbazepine Metabolite ARUP | 119.42 | 3007860 | 1763841 |
| 80184 | Phenobarbital ARUP | 68.8 | 3006934 | 5146975 |
| 80184 | Phenobarbital, Free and Total, Ser/Pla ARUP | 68.8 | 3006934 | 5095114 |
| 80185 | Phenytoin Lvl | 101 | 3007685 | 858788 |
| 80195 | Sirolimus by Tandem Mass Spectrometry ARUP | 142.92 | 3006609 | 1763722 |
| 80197 | Tacrolimus ARUP | 82.28 | 300299 | 1763702 |
| 80198 | Theophylline ARUP | 69.53 | 3009938 | 1763687 |
| 80200 | Tobramycin, Peak Level ARUP | 69.38 | 3007726 | 1763649 |
| 80200 | Tobramycin, Random Level ARUP | 69.38 | 3007726 | 5095135 |
| 80200 | Tobramycin, Trough Level ARUP | 52.26 | 3001299 | 1763647 |
| 80201 | Topiramate ARUP | 87.86 | 3001665 | 1763645 |
| 80202 | Vancomycin, Peak Level ARUP | 51.46 | 3002126 | 22119194 |
| 80202 | Vancomycin, Trough Level ARUP | 72.65 | 3001884 | 5095143 |
| 80299 | Amiodarone and Metabolite ARUP | 111.77 | 3005858 | 1763683 |
| 80299 | Flecainide ARUP | 109.06 | 3009792 | 1764060 |
| 80299 | Gabapentin Level ARUP | 57.48 | 3004888 | 7228611 |
| 80299 | Keppra (Levetiracetam) ARUP | 160.79 | 3006170 | 2669545 |
| 80299 | Zonisamide Quantitative ARUP | 114 | 3009168 | 6980616 |
| 80307 | Cotinine Screen, Urine ARUP | 59.46 | 3002091 | 22048195 |
| 80307 | Drugs of Abuse 9 Panel, Urine-Screen Only ARUP | 63.86 | 3003668 | 23259987 |
| 80307 | Pain Management Drug Panel by High-Resolution Time-of-Flight or Tandem Mass Spectrometry and Enzyme | 95.46 | 3004240 | 23383531 |
| 80307 | Pain Management Drug Screen with Interpretation by High-Reso | 157.46 | 3004344 | 23383350 |
| 80307 | Pain Management Panel, Screen with Reflex to Quantitation ARUP | 87.46 | 3004181 | 23384421 |
| 80307 | UDS 3 | 111 | 3006808 | 1042631 |
| 80320 | Alcohol, Urine, Quantitative ARUP | 83.46 | 3003439 | 23244752 |
| 80320 | Ethanol Level | 82 | 3003238 | 633725 |
| 80323 | Nicotine and Metabolites, Ser/Pla ARUP | 155.63 | 3008702 | 5095111 |
| 80327 | DHT, LC-MS/MS ARUP | 81.46 | 3001066 | 1763970 |
| 80329 | Acetaminophen Level | 154 | 3002487 | 857776 |
| 80376 | Laxatives Panel (Qual), Urine Test | 311 | 3002280 | 22119084 |
| 81000 | UA Complete 2 | 24 | 3001736 | 1042632 |
| 81002 | Urine Dipstick POC | 17.79 | 9831380 | 607619 |
| 81003 | UA Dipstick 2 | 17 | 3002273 | 5208971 |
| 81025 | Urine Pregnancy Test POC | 17 | 9837183 | 607621 |
| 81220 | Cystic Fibrosis (CFTR) 165 Pathogenic Variants ARUP | 331.46 | 3003466 | 22442290 |
| 81220 | Cystic Fibrosis (CFTR) 32 Mutations ARUP | 201.46 | 3001522 | 1763948 |
| 81240 | Bill Prothrombin (F2) G20210A Mutation | 35 | 3005944 | 5405007 |
| 81240 | Prothrombin (F2) G20210A Mutation ARUP | 31.46 | 3005944 | 1773547 |
| 81240 | Prothrombin (F2) G20210A Mutation ARUP | 31.46 | 3005944 | 5095123 |
| 81241 | Factor V Leiden (F5) R506Q Mutation ARUP | 31.46 | 3006224 | 1764051 |
| 81243 | Fragile X (FMR1) with Reflex to Methylation Analysis ARUP | 136.46 | 3004291 | 23394011 |
| 81256 | Hemochromatosis (HFE) 3 Mutations ARUP | 256.46 | 3008423 | 1764044 |
| 81257 | BILL Alpha Thalassemia, 7 Deletions ARUP | 469 | 3009134 | 7018645 |
| 81270 | JAK2 Gene, V617F Mutation, Qualitative ARUP | 331.46 | 3003731 | 1763932 |
| 81291 | MTHFR 2 Mutations ARUP | 151.46 | 3007938 | 1763879 |
| 81335 | TPMT Genotyping, 4 Variants ARUP | 456.46 | 3001415 | 16899496 |
| 81401 | Apolipoprotein E (APOE) Genotyping, Alzheimer Disease Risk ARUP | 171.46 | 3004217 | 23532548 |
| 81401 | BILL Beta Globin (HBB) Mutations ARUP | 293 | 3009212 | 7018640 |
| 81403 | Y Chromosome Microdeletion ARUP | 281.46 | 3003799 | 22891024 |
| 81404 | BILL Beta Globin Full Gene Sequencing ARUP | 612 | 3008983 | 7018641 |
| 81405 | BILL Alpha Thalassemia HBA1 and HBA2 Seq ARUP | 695 | 3009130 | 7018646 |
| 81406 | Wilson Disease (ATP7B) Sequencing ARUP | 1181.46 | 3001573 | 22030452 |
| 81420 | Non-Invasive Prenatal Testing For Fetal Aneuploidy ARUP | 606.46 | 3004272 | 23095460 |
| 81479 | BILL Hemoglobin Lepore (HBD/HBB) 3 Mut ARUP | 288 | 3008831 | 7018648 |
| 82009 | Acetone, Quantitative ARUP | 70.2 | 3001349 | 5094972 |
| 82010 | Beta-Hydroxybutyric Acid ARUP | 60 | 3003709 | 1763777 |
| 82017 | Carnitine Panel ARUP | 251.46 | 3001932 | 22107610 |
| 82024 | Adrenocorticotropic Hormone ARUP | 85.67 | 3008978 | 1763567 |
| 82040 | Albumin Level | 35 | 3006500 | 633634 |
| 82042 | Albumin, Body Fluid ARUP | 72.42 | 3001235 | 1763573 |
| 82042 | Albumin, CSF ARUP | 72.42 | 3001235 | 1763574 |
| 82043 | Bill Microalbumin Urine | 63 | 3005245 | 5422975 |
| 82043 | Microalbumin, Urine ARUP | 56.96 | 3005245 | 5095107 |
| 82085 | Aldolase, Serum ARUP | 63.66 | 3008547 | 1763575 |
| 82088 | Aldosterone ARUP | 108.26 | 3008830 | 2436936 |
| 82088 | Aldosterone Renin ACT Ratio ARUP | 77.46 | 3001892 | 16899476 |
| 82088 | Aldosterone, Urine ARUP | 74.66 | 3002450 | 16899459 |
| 82103 | Alpha-1-Antitrypsin (Serpina 1) Enzyeme Concentration and 2 Mutations w/ Reflex to Alpha-1-Antitryps | 354 | 3002894 | 22485107 |
| 82103 | Alpha-1-Antitrypsin ARUP | 208.21 | 3001192 | 1763677 |
| 82103 | Alpha-1-Antitrypsin Phenotype ARUP | 95.46 | 3007892 | 1763679 |
| 82105 | Alpha Fetoprotein Tumor Marker ARUP | 49.46 | 3001576 | 1763675 |
| 82105 | Maternal Serum Screen AFP, hCG, EST, INH ARUP | 81.84 | 3003804 | 2465195 |
| 82108 | Aluminum, Serum ARUP | 47.46 | 3002143 | 22118897 |
| 82131 | Methionine QN P1 | 273 | 3001890 | 22146566 |
| 82131 | Tryptophan, Plasma ARUP | 211.46 | 3001987 | 22045457 |
| 82139 | Amino Acids Quantitative, Plasma ARUP | 177.92 | 3006126 | 1763681 |
| 82140 | Ammonia, Plasma ARUP | 72.5 | 3001735 | 5094973 |
| 82150 | Amylase Level | 49 | 3003989 | 631567 |
| 82150 | Amylase, Body Fluid ARUP | 42.66 | 3009626 | 1763686 |
| 82164 | Angiotensin Converting Enzyme, Serum ARUP | 81.89 | 3001709 | 1763698 |
| 82172 | Apolipoprotein B ARUP | 51.46 | 3001529 | 20954704 |
| 82172 | Apolipoprotein B/A Ratio ARUP | 71.46 | 3001456 | 20954282 |
| 82175 | Arsenic, Blood ARUP | 74.3 | 3004856 | 1763725 |
| 82175 | Arsenic, Fractionated, Urine ARUP | 74.3 | 3004856 | 1763760 |
| 82175 | Heavy Metals Panel 3, Urine with Reflex ARUP | 75.46 | 3008741 | 1764050 |
| 82175 | Heavy Metals Panel 4, Blood ARUP | 95.46 | 3001546 | 1764048 |
| 82180 | Vitamin C (Ascorbic Acid) Plasma ARUP | 65.86 | 3002027 | 16899480 |
| 82232 | Beta-2-Microglobulin, Serum or Plasma ARUP | 99.92 | 3002077 | 5094977 |
| 82239 | Bile Acids, Total ARUP | 54 | 3009453 | 1763780 |
| 82247 | Bilirubin Total | 38 | 3005491 | 633672 |
| 82247 | Neonatal Bili | 38 | 3005491 | 1019625 |
| 82247 | Neonatal Bilirubin 1 | 38 | 3005491 | 3770221 |
| 82248 | Bilirubin Direct | 38 | 3006242 | 633670 |
| 82261 | Biotinidase, Serum ARUP | 59.46 | 3003502 | 23358248 |
| 82270 | Stool for Occult Blood Screening POC | 33 | 9838226 | 607615 |
| 82271 | Gastric Occult Blood | 39.62 | 3003400 | 997686 |
| 82272 | Occult Blood Stool | 44 | 3006993 | 633788 |
| 82300 | Cadmium, Blood ARUP | 87.3 | 3004722 | 1763808 |
| 82306 | 25-Hydroxyvitamin D2 and D3, Serum ARUP | 83.46 | 3002821 | 1763547 |
| 82306 | Vitamin D, 25-Hydroxy ARUP | 92.26 | 3002870 | 1763571 |
| 82308 | Calcitonin ARUP | 63.46 | 3001249 | 1763811 |
| 82310 | Bill Calcium for Parathyroid Hormone, Intact | 39 | 3007744 | 5404977 |
| 82310 | Calcium for Parathyroid Hormone, Intact | 39 | 3007744 | 1773247 |
| 82310 | Calcium Level Total | 39 | 3007744 | 633690 |
| 82330 | Calcium, Ionized, Serum ARUP | 72.31 | 3002539 | 1763812 |
| 82340 | Calcium, Urine ARUP | 72.04 | 3002219 | 5095044 |
| 82340 | Supersaturation Profile, Urine ARUP | 226.46 | 3003529 | 23252269 |
| 82365 | Calculi (STONE) Analysis ARUP | 107.5 | 3002037 | 1763816 |
| 82374 | Carbon Dioxide Level | 33 | 3005749 | 633626 |
| 82375 | Carboxyhemoglobin Quantitation ARUP | 127.58 | 3004640 | 23566530 |
| 82378 | Carcinoembryonic Antigen ARUP | 70.98 | 3008495 | 1763825 |
| 82379 | Carnitine, Free & Total (Includes Carnitine, Esterified) ARUP | 79 | 3008700 | 14777394 |
| 82384 | Catecholamines Panel, Plasma ARUP | 90.02 | 3001825 | 5095060 |
| 82384 | Catecholamines Panel, Urine Free ARUP | 73.86 | 3002300 | 1763831 |
| 82390 | Ceruloplasmin ARUP | 75.53 | 3008695 | 1763836 |
| 82390 | Wilson Disease Screening Panel, Serum ARUP | 111.46 | 3003139 | 22573614 |
| 82397 | Leptin Quant by CIA ARUP | 109.46 | 3001319 | 16899455 |
| 82435 | Chloride Level | 23 | 3009246 | 633621 |
| 82436 | Chloride, Urine ARUP | 77.47 | 3002430 | 1763844 |
| 82436 | Electrolytes, Urine ARUP | 69 | 3003918 | 23003651 |
| 82465 | Cholesterol Total | 33 | 3009997 | 633705 |
| 82495 | Chromium, Serum ARUP | 51.46 | 3009001 | 14777393 |
| 82507 | Citric Acid, Serum ARUP | 83.6 | 3003829 | 5095063 |
| 82507 | Citric Acid, Urine ARUP | 83.6 | 3003829 | 1763858 |
| 82507 | Kidney Stone Risk Panel, Urine ARUP | 85.86 | 3002913 | 1763925 |
| 82523 | N-Telopeptide, Cross-Linked, Urine ARUP | 69.46 | 3002991 | 16899387 |
| 82525 | Copper, RBC ARUP | 97.46 | 3002207 | 22099325 |
| 82525 | Copper, Serum ARUP | 78.86 | 3005602 | 1763881 |
| 82525 | Copper, Serum Free (Direct) ARUP | 125.42 | 3007565 | 5095065 |
| 82530 | Cortisol Urine Free ARUP | 53.46 | 3009752 | 9894373 |
| 82530 | Cortisol, Free ARUP | 145 | 3008799 | 14277371 |
| 82530 | Cortisol, Urine Free by LC-MS/MS ARUP | 53.46 | 3002456 | 1763888 |
| 82533 | Cortisol by LC-MS/MS, Serum or Plasma ARUP | 70.7 | 3001400 | 5095066 |
| 82533 | Cortisol, Saliva ARUP | 87.94 | 3001236 | 1763884 |
| 82533 | Cortisol, Serum or Plasma ARUP | 70.7 | 3001400 | 1763887 |
| 82542 | Fatty Acids Profile, Essential Serum or Plasma ARUP | 413.46 | 3003724 | 23306746 |
| 82550 | Creatine Kinase | 70 | 3002151 | 633712 |
| 82552 | Creatine Kinase Isoenzymes ARUP | 61.06 | 3003978 | 16899454 |
| 82553 | Creatine Kinase, MB ARUP | 49.06 | 3008267 | 11921368 |
| 82553 | Creatine Kinase-MB | 53 | 3002902 | 785969 |
| 82565 | Creatinine | 39 | 3003653 | 633606 |
| 82570 | Bill Creatinine Urine | 75 | 3002208 | 5422976 |
| 82570 | Creatinine Body Fluid ARUP | 67.92 | 3002208 | 5095067 |
| 82570 | Creatinine, 24-Hour Urine ARUP | 39.49 | 3008948 | 7228610 |
| 82575 | Creatinine Clearance, Urine ARUP | 74.73 | 3008753 | 5095068 |
| 82585 | Cryofibrinogen ARUP | 42.26 | 3003593 | 1763894 |
| 82595 | Cryoglobulin Qualitative with Rflx ARUP | 41.46 | 3003201 | 1763895 |
| 82607 | Vitamin B12 ARUP | 78.6 | 3009305 | 1763579 |
| 82610 | Cystatin C ARUP | 111.46 | 3001519 | 1763946 |
| 82626 | Dehydroepiandrosterone by TMS ARUP | 192.97 | 3008413 | 1763964 |
| 82627 | DHEA Sulfate, Serum ARUP | 80.52 | 3006760 | 1763969 |
| 82652 | Vitamin D, 1,25-Dihydroxy ARUP | 111.8 | 3002118 | 1763572 |
| 82657 | Leukocyte Lysosomal Enzyme ARUP | 773.46 | 3002643 | 1763910 |
| 82657 | Thiopurine Methyltransferase, RBC ARUP | 303.86 | 3001834 | 1763682 |
| 82668 | Erythropoietin ARUP | 91.4 | 3009817 | 1764028 |
| 82670 | Estradiol by TMS ARUP | 94.24 | 3003809 | 1764029 |
| 82670 | Estradiol, Adult Premenopausal Female ARUP | 94.24 | 3003809 | 1764030 |
| 82670 | Estradiol, Free ARUP | 234.46 | 3002324 | 1764031 |
| 82671 | Estrogens, Fractionated by TMS ARUP | 121.25 | 3002382 | 1764034 |
| 82677 | Estriol, Serum ARUP | 92.18 | 3008533 | 5095072 |
| 82679 | Estrone by TMS ARUP | 105.57 | 3003884 | 1764036 |
| 82705 | Fat, Fecal Qualitative ARUP | 79.57 | 3008115 | 1764056 |
| 82710 | Fat, Fecal Quantitative 48-Hour Collection ARUP | 121.46 | 3004145 | 23393904 |
| 82710 | Fat, Fecal Quantitative 72-Hour Collection ARUP | 141.46 | 3001287 | 16071380 |
| 82726 | Very Long-Chain and Branched-Chain Fatty Acids Profile ARUP | 160.46 | 3003174 | 22283273 |
| 82728 | Ferritin ARUP | 75.52 | 3005409 | 5095075 |
| 82731 | Fetal Fibronectin ARUP | 251.46 | 3008260 | 14777399 |
| 82746 | Folate, Serum ARUP | 71.84 | 3001105 | 5095078 |
| 82747 | Folate, RBC ARUP | 51.46 | 3002246 | 1764064 |
| 82784 | Celiac Reflexive Panel ARUP | 44.66 | 3003034 | 1763832 |
| 82784 | Immunoglobulin A ARUP | 44.66 | 3009022 | 1763975 |
| 82784 | Immunoglobulin G ARUP | 73.01 | 3002525 | 1763973 |
| 82784 | Immunoglobulin M ARUP | 72.94 | 3003067 | 1763963 |
| 82784 | Immunoglobulins, Quantitative ARUP | 60.66 | 3003664 | 1763961 |
| 82785 | Immunoglobulin E ARUP | 82.65 | 3009698 | 1763974 |
| 82787 | Immunoglobulin G Subclasses (1, 2, 3, 4) ARUP | 108.26 | 3003261 | 1763971 |
| 82800 | Venous pH | 42 | 2229 | 4382195 |
| 82803 | ABG 7 | 147 | 3005155 | 1200260 |
| 82941 | Gastrin Level ARUP | 49.46 | 3009278 | 1764074 |
| 82945 | Glucose Body Fluid ARUP | 38.66 | 3008611 | 1764072 |
| 82945 | Glucose Cerebrospinal Fluid | 35 | 3009643 | 633604 |
| 82945 | Glucose, CSF | 35 | 3009643 | 3798980 |
| 82947 | Fasting Glucose 1 | 30 | 3005906 | 2013630 |
| 82947 | Glucose Level | 30 | 3005906 | 633594 |
| 82948 | Blood Glucose POC | 4 | 9838034 | 2435622 |
| 82950 | .GTT 2 Hour (75gm) | 30 | 3004629 | 1277519 |
| 82950 | Gluc 1 Hr OB | 30 | 3004629 | 2446661 |
| 82950 | Glucose 1 Hour | 30 | 3004629 | 633597 |
| 82950 | Glucose 2 Hour | 30 | 3004629 | 633599 |
| 82950 | OB GTT (1 Hr) | 30 | 3004629 | 5300980 |
| 82951 | .GTT- Fasting OB | 89 | 3004629 | 1296916 |
| 82951 | .GTT Glucose Fasting | 89 | 3000750 | 3324334 |
| 82951 | Lactose Tolerance ARUP | 75.46 | 3002585 | 22704397 |
| 82952 | Glucose 3 Hour | 30 | 3004629 | 633600 |
| 82977 | Gamma Glutamyl Transferase, Serum/Plasma ARUP | 67.38 | 3007408 | 1764073 |
| 82985 | Fructosamine ARUP | 46.66 | 3001725 | 16899481 |
| 83001 | Follicle Stimulating Hormone ARUP | 83.71 | 3008159 | 5146972 |
| 83002 | Luteinizing Hormone, Serum ARUP | 82.48 | 3008910 | 5095103 |
| 83003 | Growth Hormone ARUP | 93.76 | 3009767 | 1764065 |
| 83010 | Haptoglobin ARUP | 72.44 | 3002139 | 1764061 |
| 83018 | Cobalt, Serum or Plasma ARUP | 59.46 | 3003031 | 22493767 |
| 83018 | Iodine, Urine ARUP | 196.46 | 8008682 | 14777391 |
| 83018 | Titanium Quantitative, Serum or Plasma ARUP | 152.46 | 3001637 | 22030447 |
| 83018 | Titanium, Urine ARUP | 175.46 | 3001147 | 22030449 |
| 83021 | Hemoglobin Evaluation ARUP | 73.46 | 3003952 | 1764042 |
| 83021 | Hemoglobin S, Evaluation (Sickle Cell) ARUP | 275.46 | 3001036 | 17219389 |
| 83036 | Hemoglobin A1C ARUP | 73.4 | 3001356 | 5095084 |
| 83036 | Hemoglobin A1c POC | 42.02 | 9838038 | 684349 |
| 83090 | Bill Homocysteine, Total | 87 | 3003635 | 5404986 |
| 83090 | Homocysteine, Total ARUP | 78.91 | 3003635 | 1763997 |
| 83090 | Homocysteine, Total NLL | 78.91 | 3003635 | 1773548 |
| 83497 | 5-Hydroxyindoleacetic Acid (HIAA), Urine ARUP | 53.86 | 3003199 | 1763549 |
| 83498 | 17-Hydroxyprogesterone ARUP | 84.05 | 3008589 | 1763542 |
| 83498 | 17-Hydroxyprogesterone Qnt by MS/MS, Ser ARUP | 84.05 | 3001777 | 5094971 |
| 83516 | Aquaporin-4 Receptor Antibody ARUP | 401.46 | 3001705 | 1763723 |
| 83516 | Bill Saccharomyces cerevisiae Ab (gASCA), IgG | 42 | 3006890 | 5405014 |
| 83516 | Centromere Ab, IgG ARUP | 87.06 | 3006241 | 1763834 |
| 83516 | Deamidated Gliadin Peptide (DGP) Ab, IgA ARUP | 99.69 | 3006890 | 1772121 |
| 83516 | Deamidated Gliadin Peptide (DGP) Ab, IgG ARUP | 31.46 | 3006890 | 1772122 |
| 83516 | F-Actin (SM) Ab, IgG by ELISA with Reflex to Titer(0051174) ARUP | 100.66 | 3008606 | 1764049 |
| 83516 | F-Actin (Smooth Muscle) Antibody, IgG ARUP | 100.66 | 3008606 | 5095073 |
| 83516 | Gastric Parietal Cell Ab, IgG ARUP | 61.46 | 3003176 | 22452930 |
| 83516 | Gliadin Peptide Antibody, IgA ARUP | 45.46 | 3006890 | 1764076 |
| 83516 | Gliadin Peptide Antibody, IgG ARUP | 46.46 | 3006890 | 1764075 |
| 83516 | Glutamic Acid Decarboxylase Antibody ARUP | 152.91 | 3005228 | 1764066 |
| 83516 | Histone Antibody, IgG ARUP | 47.46 | 3002877 | 22511434 |
| 83516 | Laminaribioside Carbohydrate Ab ALCA IgG | 42 | 3006890 | 5149019 |
| 83516 | Mannobioside Carbohydrate Ab (AMCA), IgG | 42 | 3006890 | 5149018 |
| 83516 | Mitochondrial M2 Ab, IgG ARUP | 45.46 | 3009425 | 1763883 |
| 83516 | MPO/PR-3 (ANCA) Antibodies ARUP | 69.86 | 3002114 | 1861618 |
| 83516 | Neuronal Nuclear (Hu, Ri, Yo and Amphiphysin) Antibodies IgG by Immunoblot ARUP | 243 | 3009433 | 11428203 |
| 83516 | Ribosomal P Protein Antibody ARUP | 63.46 | 3002965 | 22511468 |
| 83516 | RNA Polymerase III Antibody, IgG ARUP | 153.62 | 3009031 | 5095128 |
| 83516 | Saccharomyces cerevisiae Ab (gASCA), IgG | 42 | 3006890 | 5149017 |
| 83516 | Tissue Trans. Ab, IgA with Reflex ARUP | 43.46 | 3002958 | 1763658 |
| 83516 | Tissue Transglutaminase Antibody, IgA ARUP | 43.66 | 3002029 | 1763655 |
| 83516 | Tissue Transglutaminase Antibody, IgG ARUP | 71.46 | 3005047 | 1763652 |
| 83519 | 21-Hydroxylase Antibody ARUP | 115.36 | 3006063 | 1763545 |
| 83519 | Acetylcholine Receptor Ab Reflex Panel ARUP | 142.26 | 3001937 | 1763560 |
| 83519 | Acetylcholine Receptor Antibodies and Striated Muscle Antibodies Reflexive Panels, and Titin Antibod | 310 | 3002704 | 22687235 |
| 83519 | Melanocyte Stimulation Hormone, Alpha (a-MSH) ARUP | 211.46 | 3002270 | 22046140 |
| 83519 | Pancreatic Polypeptide ARUP | 151.46 | 3001489 | 22026112 |
| 83519 | Parathyroid Hormone-Related Peptide ARUP | 118.77 | 3007187 | 1763833 |
| 83519 | Thyroid Stimulating Hormone Receptor Ab ARUP | 109.7 | 3002259 | 1763666 |
| 83519 | Trypsin-Like Immunoreactivity ARUP | 59.46 | 3001139 | 22026111 |
| 83520 | Adiponectin ARUP | 231.46 | 3003319 | 23203437 |
| 83520 | Anti-Mullerian Hormone ARUP | 129.46 | 3001937 | 1763700 |
| 83520 | Cytokine Panel, TH1 by MAFD ARUP | 256.46 | 300-7391 | 8297370 |
| 83520 | Cytokine Panel, TH2 by MAFD ARUP | 256.46 | 300-9762 | 8297369 |
| 83520 | Pancreatic Elastase, Fecal ARUP | 255 | 3001641 | 8758502 |
| 83520 | Tryptase ARUP | 209 | 3008860 | 1763618 |
| 83525 | Bill Total Insulin | 88 | 3003197 | 5405024 |
| 83525 | Insulin, Fasting ARUP | 43.46 | 3001381 | 1763943 |
| 83525 | Insulin, Random ARUP | 79.91 | 3003197 | 1763942 |
| 83525 | Total Insulin ARUP | 79.91 | 3003197 | 5099063 |
| 83527 | Bill Insulin Free | 65 | 3009665 | 5404995 |
| 83527 | Insulin Free ARUP | 59.46 | 3009665 | 5099062 |
| 83540 | Bill Iron, Serum or Plasma | 76 | 3009661 | 5404997 |
| 83540 | Iron, Plasma or Serum ARUP | 69.09 | 3009661 | 5095098 |
| 83540 | Iron, Serum or Plasma ARUP | 69.09 | 3009661 | 5099070 |
| 83550 | Bill Iron Binding Capacity Total | 56 | 3001885 | 5404996 |
| 83550 | Iron Binding Capacity Total ARUP | 50.55 | 3001885 | 5099071 |
| 83605 | Lactic Acid | 41 | 3008517 | 633772 |
| 83615 | Lactate Dehydrogenase Body Fluid ARUP | 66.71 | 3004472 | 1763923 |
| 83615 | Lactate Dehydrogenase, Plasma or Serum ARUP | 66.71 | 3004472 | 5095101 |
| 83655 | Lead, Blood (Capillary) ARUP | 79.73 | 3004461 | 1763919 |
| 83655 | Lead, Blood (Venous) ARUP | 79.73 | 3004461 | 1763918 |
| 83690 | Lipase Level | 36 | 3006613 | 633776 |
| 83690 | Lipase, Fluid ARUP | 41.46 | 3009925 | 1763909 |
| 83698 | Lipoprotein-Associated Phospholipase A2 (PLAC) ARUP | 156.46 | 3001392 | 20954300 |
| 83700 | Lipoprotein Electrophoresis ARUP | 100.26 | 3002070 | 1763908 |
| 83701 | Bill VAP Cholesterol | 67 | 3009628 | 6340979 |
| 83704 | LipoProfile by NMR, Particle Analysis Only ARUP | 86.46 | 3003521 | 22914233 |
| 83721 | Cholesterol Low Density Lipids | 57 | 3006694 | 633704 |
| 83735 | Magnesium Level | 51 | 3002856 | 633781 |
| 83735 | Magnesium, RBC ARUP | 85.23 | 3009174 | 14777387 |
| 83735 | Magnesium, Urine ARUP | 44.26 | 3008674 | 14777386 |
| 83785 | Manganese, Whole Blood ARUP | 51.46 | 3009550 | 14777380 |
| 83825 | Mercury, Blood ARUP | 45.46 | 3002225 | 16899382 |
| 83825 | Mercury, Urine ARUP | 83.8 | 3007609 | 5095106 |
| 83835 | Metanephrines Fractionated by HPLC-MS/MS, Ur ARUP | 68 | 3009524 | 8758506 |
| 83835 | Metanephrines, Plasma (Free) ARUP | 145 | 3002744 | 1763886 |
| 83864 | MPS Screen, Urine ARUP | 271.46 | 3002789 | 1763880 |
| 83874 | Myoglobin, Serum ARUP | 100.6 | 3002719 | 1763864 |
| 83874 | Myoglobin, Urine ARUP | 48.66 | 3003207 | 1763862 |
| 83880 | NT Pro-BNP | 245 | 3009576 | 853229 |
| 83883 | Bill Free Urinary Kappa Light Chains | 52 | 3006027 | 5404983 |
| 83883 | Free Urinary Kappa Light Chains ARUP | 47.26 | 3006027 | 1770260 |
| 83883 | Free Urinary Lambda Light Chain ARUP | 47.26 | 3006027 | 1770262 |
| 83883 | Kappa Free Light Chains, Urine ARUP | 47.26 | 3006027 | 5095099 |
| 83883 | Kappa-Lambda Quant FLC with Ratio ARUP | 150.66 | 3008887 | 5095100 |
| 83921 | MMA Serum/Plasma, Vitamin B12 Deficiency ARUP | 318.03 | 3003166 | 1763882 |
| 83930 | Osmolality, Serum or Plasma ARUP | 74.24 | 3002128 | 1763848 |
| 83935 | Osmolality, Urine ARUP | 79.73 | 3001404 | 1763847 |
| 83945 | Oxalate, Total, Urine ARUP | 84.26 | 3003568 | 1763843 |
| 83970 | Bill Parathyroid Hormone, Intact | 117 | 3008051 | 5405001 |
| 83970 | Parathyroid Hormone Intact ARUP | 106.67 | 3008051 | 5095113 |
| 83970 | Parathyroid Hormone, CAP ARUP | 106.67 | 3008051 | 5146974 |
| 83970 | Parathyroid Hormone, Intact ARUP | 106.67 | 3008051 | 1773248 |
| 83986 | pH Body Fluid ARUP | 38.26 | 3008802 | 1763821 |
| 83986 | Ph, Fecal ARUP | 38.26 | 3003645 | 1763820 |
| 83993 | Calprotectin, Fecal ARUP | 210.46 | 92303 | 1763817 |
| 84030 | Newborn Screening Test 1 | 158 | 3003607 | 5813123 |
| 84075 | Alkaline Phosphatase | 39 | 3004358 | 633642 |
| 84075 | Alkaline Phosphatase Isoenzymes ARUP | 59.06 | 3003890 | 1763577 |
| 84080 | Bone Specific Alkaline Phosphatase ARUP | 104.66 | 3008136 | 11427371 |
| 84100 | Phosphorus Level | 39 | 3009504 | 633803 |
| 84100 | Phosphorus, Inorganic, Plasma or Serum ARUP | 66.47 | 3009504 | 5095115 |
| 84105 | Phosphorus, Urine ARUP | 76.44 | 3002869 | 1763815 |
| 84120 | Porphyrins and Porphobilinogen (PBG), Urine ARUP | 109.06 | 3009751 | 11428216 |
| 84132 | Potassium Level | 35 | 3005109 | 633616 |
| 84133 | Potassium Urine ARUP | 77.35 | 3005569 | 5095118 |
| 84134 | Prealbumin, Serum ARUP | 75.47 | 3003726 | 1763809 |
| 84140 | Pregnenolone by MS/MS, Serum ARUP | 118.22 | 3006436 | 1763807 |
| 84144 | Progesterone ARUP | 74.67 | 3009013 | 5095120 |
| 84145 | Procalcitonin ARUP | 211.46 | 3004523 | 23382695 |
| 84146 | Prolactin ARUP | 86.08 | 3005860 | 1763801 |
| 84152 | Prostate Specific Antigen, Complexed ARUP | 178.46 | 3001489 | 21686032 |
| 84153 | Bill Prostate Specific Ag, Reflex | 126 | 3007109 | 5405005 |
| 84153 | Prostate Specific Ag, Reflex ARUP | 45.46 | 3007109 | 2247555 |
| 84153 | Prostate Specific Antigen ARUP | 73.2 | 3006611 | 5095121 |
| 84153 | Prostate Specific Antigen, Total ARUP | 45.46 | 3006611 | 1773371 |
| 84153 | PSA Ultra Sensitive ARUP | 114.92 | 3007109 | 5095124 |
| 84154 | Bill Prostate Specific Antigen, Free, Reflex | 111 | 3003373 | 5405006 |
| 84154 | Prostate Specific Antigen, Free ARUP | 47.42 | 3003373 | 1773372 |
| 84154 | Prostate Specific Antigen, Free, Reflex | 52 | 3003373 | 2247556 |
| 84155 | Protein Total | 41 | 3002299 | 633818 |
| 84156 | Bence Jones Prot Detect w/ Reflex ARUP | 93.46 | 3003454 | 7954617 |
| 84156 | Bence Jones Protein, Quantitative, Urine ARUP | 117.46 | 3003958 | 1763774 |
| 84156 | Bill Total Protein | 80 | 3002565 | 5405025 |
| 84156 | Total Protein ARUP | 72.41 | 3002565 | 1770259 |
| 84156 | Total Protein, Urine ARUP | 40.66 | 3002565 | 5095136 |
| 84157 | Protein, Total, CSF ARUP | 41.86 | 3009433 | 11428280 |
| 84157 | Total Protein, Body Fluid ARUP | 68.63 | 3001993 | 1763636 |
| 84165 | Protein Electrophoresis, Serum ARUP | 82.73 | 3007362 | 1763789 |
| 84166 | Protein Electrophoresis CSF ARUP | 82.2 | 3005384 | 5095122 |
| 84206 | Proinsulin ARUP | 70.66 | 3003552 | 1763803 |
| 84207 | Vitamin B6 (Pyridoxal 5-Phosphate) ARUP | 93 | 3004514 | 1763576 |
| 84238 | Soluble Transferrin Receptor ARUP | 55.46 | 3002324 | 16899457 |
| 84244 | Renin Activity ARUP | 98.66 | 3003786 | 1763775 |
| 84252 | Vitamin B2 (Riboflavin) ARUP | 228 | 3008638 | 14277372 |
| 84255 | Selenium, Serum or Plasma ARUP | 51.46 | 3009000 | 14777381 |
| 84260 | Serotonin, Serum ARUP | 123.87 | 3006546 | 1763727 |
| 84270 | Bill Sex Hormone Binding Globulin | 85 | 3001491 | 3274278 |
| 84270 | Sex Hormone Binding Globulin ARUP | 77.68 | 3001491 | 1763726 |
| 84270 | Sex Hormone Binding Globulin ARUP | 77.68 | 3001491 | 1773508 |
| 84270 | Sex Hormone Binding Globulin ARUP | 77.68 | 3001491 | 1773515 |
| 84295 | Sodium Level | 37 | 3008113 | 633611 |
| 84300 | Sodium, Urine ARUP | 77.83 | 3009424 | 1763716 |
| 84302 | Sodium, Fecal ARUP | 47.86 | 3001495 | 20111692 |
| 84305 | IGF-1 (Insulin-Like Growth Factor I) w/calculated Z-score ARUP | 96.95 | 3009324 | 1763978 |
| 84311 | Cholesterol, Fluid ARUP | 40.66 | 3002388 | 1763849 |
| 84311 | Phospholipids, Serum ARUP | 64.26 | 3001202 | 16899486 |
| 84402 | Testosterone Free by LC-MS/MS ARUP | 102.8 | 3009190 | 5095131 |
| 84402 | Testosterone Free, Adult Male ARUP | 74.46 | 3004290 | 1763696 |
| 84403 | Bill Testosterone, LC-MS/MS | 112 | 3008745 | 5405017 |
| 84403 | Testosterone, Adult Male ARUP | 82.59 | 3008864 | 1763695 |
| 84403 | Testosterone, Adult Male ARUP | 82.59 | 3008864 | 1773513 |
| 84403 | Testosterone, LC-MS/MS ARUP | 102.15 | 3008745 | 1773505 |
| 84403 | Testosterone, LC-MS/MS ARUP | 102.15 | 3008745 | 5095133 |
| 84425 | Vitamin B1 (Thiamine), Plasma ARUP | 101.5 | 3008271 | 1763583 |
| 84425 | Vitamin B1 (Thiamine), Whole Blood ARUP | 60.26 | 3001699 | 1763581 |
| 84432 | Thyroglobulin by LC-MS/MS, Serum/Plasma ARUP | 82.9 | 3001333 | 5146978 |
| 84436 | Thyroxine ARUP | 82.05 | 3009615 | 1763662 |
| 84439 | Thyroxine Free ARUP | 72.72 | 3005231 | 1763660 |
| 84442 | Thyroxine Binding Globulin ARUP | 49.46 | 3003194 | 22409226 |
| 84443 | Bill Thyroid Stimulating Hormone | 128 | 3001527 | 5405023 |
| 84443 | Thyroid Stimulating Hormone | 128 | 3001527 | 633844 |
| 84443 | Thyroid Stimulating Hormone ARUP | 116.04 | 3001527 | 5148975 |
| 84445 | Thyroid Stimulating Immunoglobulins ARUP | 122.46 | 3008929 | 1763664 |
| 84446 | Vitamin E, Serum or Plasma ARUP | 102.92 | 3007914 | 1763568 |
| 84450 | Aspartate Aminotransferase | 39 | 3002278 | 633633 |
| 84450 | AST 1 | 39 | 3002278 | 795476 |
| 84460 | Alanine Aminotransferase | 38 | 3003029 | 633632 |
| 84460 | ALT 1 | 38 | 3003029 | 792289 |
| 84466 | Transferrin, Serum ARUP | 43.46 | 3008316 | 1763626 |
| 84478 | Bill Triglycerides | 44 | 3003780 | 6340984 |
| 84478 | Triglycerides | 44 | 3003780 | 633852 |
| 84478 | Triglycerides, Fluid ARUP | 40.66 | 3002283 | 22171861 |
| 84479 | T3 Uptake ARUP | 93.82 | 3006331 | 1763704 |
| 84480 | Triiodothyronine, Total (Total T3) ARUP | 70.99 | 3003316 | 1763619 |
| 84481 | Triiodothyronine, Free (Free T3) ARUP | 74.17 | 3009764 | 5095137 |
| 84482 | Triiodothyronine, Reverse ARUP | 78.06 | 3001658 | 1763622 |
| 84484 | Troponin I | 50 | 3004637 | 908527 |
| 84484 | Troponin T ARUP | 91.46 | 3003775 | 23012882 |
| 84520 | Blood Urea Nitrogen | 30 | 3005282 | 633605 |
| 84540 | Urea Nitrogen, Urine ARUP | 77.51 | 3006071 | 5095138 |
| 84550 | Uric Acid, Serum or Plasma ARUP | 67.92 | 3006033 | 5095140 |
| 84560 | Uric Acid, Body Fluid ARUP | 71.48 | 3003710 | 5095139 |
| 84560 | Uric Acid, Urine ARUP | 71.48 | 3003710 | 1763609 |
| 84585 | Vanillylmandelic Acid (VMA), Ur ARUP | 55.86 | 3001988 | 9830316 |
| 84586 | Vasoactive Intestinal Polypeptide ARUP | 69.46 | 3002038 | 1763594 |
| 84588 | Arginine Vasopressin Hormone ARUP | 111.92 | 3009139 | 1763724 |
| 84590 | Vitamin A (Retinol), Serum or Plasma ARUP | 102.32 | 3004354 | 1763586 |
| 84591 | Niacin (Vitamin B3) ARUP | 111.46 | 3002476 | 1763857 |
| 84597 | Vitamin K1, Serum ARUP | 105.46 | 3001276 | 1763566 |
| 84630 | Zinc, RBC ARUP | 103.46 | 3002416 | 22107669 |
| 84630 | Zinc, Serum ARUP | 83.9 | 3005159 | 1763538 |
| 84681 | C-Peptide ARUP | 99.92 | 3006055 | 1763800 |
| 84702 | Beta-hCG, Serum Quant Tumor Marker ARUP | 86.07 | 3006186 | 1763776 |
| 84702 | Beta-hCG, Serum Quantitative ARUP | 68.97 | 3003014 | 5094978 |
| 84703 | Beta-hCG, Serum Qualitative ARUP | 43.46 | 3002973 | 22593127 |
| 84703 | Pregnancy Serum Test | 57 | 3006784 | 2493908 |
| 84703 | Pregnancy Urine Test | 57 | 3006784 | 2493907 |
| 84999 | Electrolyte and Osmolality Profile, Fecal ARUP | 109.06 | 3004676 | 23394004 |
| 84999 | Osmolality, Fecal ARUP | 63.46 | 30011701 | 20111677 |
| 84999 | Potassium, Fecal ARUP | 47.86 | 3001181 | 20112107 |
| 85007 | .Man Diff 12 | 20 | 3009613 | 4184784 |
| 85014 | Hematocrit | 18 | 3007535 | 633742 |
| 85018 | Hemoglobin | 18 | 3008286 | 633741 |
| 85025 | CBC w/ Auto Differential | 34 | 3009037 | 3116413 |
| 85025 | CBC w/ Auto Differential 1 | 34 | 3009037 | 4742180 |
| 85027 | BILL Hemogram | 34 | 3009037 | 5281305 |
| 85045 | Reticulocytes, Percent and Absolute ARUP | 71.79 | 3009788 | 5095127 |
| 85049 | Platelet Count | 34 | 3005176 | 633807 |
| 85240 | Bill Factor VIII, Activity | 188 | 3003630 | 5404982 |
| 85240 | Factor VIII, Activity ARUP | 170.86 | 3003630 | 1773543 |
| 85240 | Factor VIII:C, Activity ARUP | 170.86 | 3003630 | 1764055 |
| 85240 | Von Willebrand Panel ARUP | 236.67 | 3006747 | 1763552 |
| 85247 | Von Willebrand Multimeric Panel ARUP | 266.93 | 3009023 | 1763556 |
| 85250 | Factor IX, Activity ARUP | 79.46 | 3003021 | 22260311 |
| 85270 | Factor XI, Activity ARUP | 138.95 | 3006625 | 5095074 |
| 85300 | Antithrombin, Enzymatic (Activity) ARUP | 101.91 | 3002737 | 1763720 |
| 85300 | Antithrombin, Enzymatic (Activity) ARUP | 101.91 | 3002737 | 5138596 |
| 85300 | Bill Antithrombin, Enzymatic (Activity) | 112 | 3002737 | 5404972 |
| 85301 | Antithrombin Antigen ARUP | 83.08 | 3006770 | 5138597 |
| 85301 | Antithrombin, Antigen ARUP | 83.08 | 3006770 | 1763718 |
| 85301 | Bill Antithrombin Antigen | 91 | 3006770 | 5404973 |
| 85302 | Protein C, Total Antigen ARUP | 51.46 | 3009503 | 1763793 |
| 85303 | Protein C, Functional ARUP | 107.91 | 3008494 | 1763795 |
| 85303 | Protein C, Functional with Reflex to Protein C, Total and Protein S, Free with Reflex to Protein S, | 159 | 3003572 | 23074405 |
| 85305 | Protein S, Total Antigen ARUP | 51.46 | 3009680 | 1763787 |
| 85306 | Protein S, Functional ARUP | 119.21 | 3007511 | 1763788 |
| 85307 | APC Resistance ARUP | 31.46 | 3009602 | 1773544 |
| 85307 | Bill APC Resistance | 35 | 3009602 | 5404974 |
| 85379 | D-Dimer | 52 | 3002116 | 633718 |
| 85384 | Fibrinogen ARUP | 74.73 | 3003911 | 5095077 |
| 85384 | Fibrinogen Panel ARUP | 100.66 | 3001256 | 20954706 |
| 85460 | Kleihauer-Betke ARUP | 86.19 | 3001830 | 1763924 |
| 85520 | Heparin Anti-Xa, LMWH ARUP | 121.46 | 3002019 | 1764040 |
| 85525 | Bill PTT-D Heparin Neutralized | 44 | 3009734 | 5405010 |
| 85525 | PTT-D Heparin Neutralized ARUP | 40.17 | 3009734 | 1772929 |
| 85549 | Lysozyme, Serum ARUP | 52.26 | 3001928 | 1763897 |
| 85597 | Bill Platelet Neutralization (PTT-D, Confirm) | 44 | 3009885 | 5405003 |
| 85597 | Platelet Neutralization (PTT-D, Confirm) | 44 | 3009885 | 1772930 |
| 85598 | Bill Hexagonal Phospholipid Neutral Reflex | 93 | 3009963 | 5404985 |
| 85598 | Hexagonal Phospholipid Neutral Reflex AR | 93 | 3009963 | 1772928 |
| 85610 | Bill Prothrombin Time | 41 | 3003128 | 5405008 |
| 85610 | Coaguchek PT | 30 | 3003128 | 2013555 |
| 85610 | Prothrombin Time | 41 | 3003128 | 633793 |
| 85610 | Prothrombin Time ARUP | 37.12 | 3003128 | 1772933 |
| 85610 | Prothrombin/INR POC | 18 | 3009948 | 714167 |
| 85610 | Protime Test | 27.23 | 9838037 | 4404191 |
| 85613 | Bill dRVVT Confirmation | 93 | 3005490 | 5404981 |
| 85613 | dRVVT 1:1 Mix ARUP | 84.23 | 3005490 | 1772938 |
| 85613 | dRVVT Confirmation ARUP | 84.23 | 3005490 | 1772931 |
| 85613 | dRVVT Reflex to 1:1 Mix and Confirm ARUP | 84.23 | 3005490 | 5095069 |
| 85613 | dRVVT Screen ARUP | 84.23 | 3005490 | 1772937 |
| 85635 | Bill Reptilase Time | 41 | 3009794 | 5405011 |
| 85635 | Reptilase Time ARUP | 37.12 | 3009794 | 1772935 |
| 85651 | Sedimentation Rate | 27 | 3003879 | 633830 |
| 85670 | Bill Thrombin Time | 41 | 3009881 | 5405019 |
| 85670 | Thrombin Time ARUP | 37.12 | 3009881 | 1772934 |
| 85730 | Bill Partial Thromboplastin Time | 44 | 3004630 | 5405002 |
| 85730 | Partial Thromboplastin Time | 44 | 3004630 | 633794 |
| 85730 | Partial Thromboplastin Time ARUP | 40.17 | 3004630 | 1773546 |
| 85730 | PTT-LA Screen (PTT-D) ARUP | 40.17 | 3004630 | 1772932 |
| 85732 | Bill PTT-D 1:1 Mix | 44 | 3009582 | 5405009 |
| 85732 | PTT-D 1:1 Mix ARUP | 40.17 | 3009582 | 1772936 |
| 85810 | Viscosity, Serum ARUP | 98.05 | 3007855 | 5095144 |
| 86001 | Allergen, Fungi and Molds, Trichophyton rubrum IgG ARUP | 53.19 | 3003138 | 22379253 |
| 86001 | Stachybotrys chartarum/atra Panel III ARUP | 124.31 | 3002297 | 22057932 |
| 86003 | Allergen, Animal, Dog/Cat Epi Profile ARUP | 49.06 | 3003894 | 16899412 |
| 86003 | Allergen, Food, Broccoli ARUP | 40.26 | 3003048 | 22300199 |
| 86003 | Allergen, Food, Casein ARUP | 40.26 | 3009594 | 12925387 |
| 86003 | Allergen, Food, Common Adult Profile ARUP | 153.92 | 3008249 | 1763595 |
| 86003 | Allergen, Food, Comprehensive Profile 1 ARUP | 260.26 | 3002000 | 16899458 |
| 86003 | Allergen, Food, Cucumber IgE ARUP | 40.26 | 3002715 | 22299971 |
| 86003 | Allergen, Food, Milk (Cow’s) ARUP | 40.26 | 3009771 | 1763607 |
| 86003 | Allergen, Food, Peanut ARUP | 40.26 | 3009000 | 1763610 |
| 86003 | Allergen, Food, Zucchini IgE ARUP | 46.42 | 3002770 | 22300184 |
| 86003 | Allergens, Food, Profile 13 ARUP | 145.86 | 3002703 | 22378470 |
| 86003 | Allergens, Food, Profile 8 ARUP | 101.86 | 3002162 | 22107647 |
| 86003 | Allergens, Inhalens/Foods Comp Profile ARUP | 286.66 | 3007951 | 9845923 |
| 86003 | Allergens, Latex/Cross-Reactive Food Panel IgE ARUP | 131.46 | 3004550 | 23532396 |
| 86003 | Allergens, Pediatric Foods Profile 1 ARUP | 75.46 | 3002392 | 22147083 |
| 86022 | Platelet Abs, Indirect with Reflex ARUP | 245.06 | 3004494 | 5146976 |
| 86022 | Platelet Antibodies, Indirect ARUP | 245.06 | 3004494 | 5095116 |
| 86022 | Platelet Antibody Identification ARUP | 245.06 | 3004494 | 5095117 |
| 86023 | Platelet Assoc Abs, Direct Assay ARUP | 131.35 | 3007499 | 5146977 |
| 86038 | Anti-nuclear Ab (ANA) Reflex ARUP | 41.06 | 3003227 | 1763703 |
| 86038 | Anti-Nuclear Ab, IgG w/Rflx to IFA ARUP | 74.44 | 3005381 | 1763705 |
| 86039 | Antinuclear Antibody (ANA) with HEp-2 Substrate, IgG by IFA ARUP | 102.91 | 3005100 | 1763688 |
| 86060 | Antistreptolysin O Screen ARUP | 72.85 | 3006060 | 1763717 |
| 86140 | C-Reactive Protein | 33 | 3003156 | 633716 |
| 86140 | C-Reactive Protein, Neonatal ARUP | 77.46 | 3003392 | 23171841 |
| 86141 | CRP, High Sensitivity ARUP | 77.59 | 3007100 | 1763892 |
| 86146 | Beta-2 Glycoprotein 1 Ab G/M/A ARUP | 120 | 3007776 | 14277370 |
| 86147 | Antiphospholipid Syndrome Reflexive Panel ARUP | 319.46 | 3008085 | 11428295 |
| 86147 | Cardiolipin Ab IgG, IgM, IGA ARUP | 90 | 3009020 | 8758500 |
| 86147 | Cardiolipin Antibodies, IgA, IgG, IgM ARUP | 90 | 3009020 | 1763827 |
| 86147 | Cardiolipin Antibody IgA ARUP | 48.26 | 3004205 | 23549612 |
| 86147 | Cardiolipin Antibody, IgG ARUP | 111.66 | 3009498 | 5095059 |
| 86160 | Complement Component 3 ARUP | 73.9 | 3007402 | 1763873 |
| 86160 | Complement Component 4 ARUP | 31.46 | 3007402 | 1763876 |
| 86162 | Complement Activity, Total EIA ARUP | 93.06 | 3002241 | 1763869 |
| 86200 | Cyclic Citrullinated Peptide Ab, IgG ARU | 68 | 3004883 | 7228622 |
| 86200 | Cyclic Citrullinated Peptide Ab, IgG ARUP | 104.09 | 3004883 | 1763941 |
| 86215 | DNase-B Ab ARUP | 50 | 3008272 | 1763979 |
| 86225 | dsDNA Ab IgG, ELISA w/Reflex to dsDNA ARUP | 49 | 3006648 | 8759393 |
| 86225 | dsDNA Ab, IgG w/ Reflex to IFA Titer ARUP | 88.35 | 3006648 | 1764006 |
| 86235 | Extractable Nuclear Ag Abs 5 ARUP | 255.42 | 3008689 | 1764047 |
| 86235 | JO-1 Antibody ARUP | 109.06 | 3008892 | 1763927 |
| 86235 | Ribonucleic Protein (ENA) Antibody, IgG ARUP | 101.42 | 3007400 | 1763767 |
| 86235 | Scleroderma (Scl-70) (ENA) Ab, IgG ARUP | 54 | 3008150 | 8758501 |
| 86235 | Scleroderma (Scl-70) (ENA) Antibody, IgG ARUP | 54 | 3008150 | 1763730 |
| 86235 | Smith (ENA) Ab IgG ARUP | 54 | 3008290 | 8758496 |
| 86235 | Smith (ENA) Ab, IgG ARUP | 101.42 | 3008290 | 1763719 |
| 86235 | SSA (Ro) (ENA) Ab IgG ARUP | 54 | 3007979 | 8758497 |
| 86235 | SSA 52 and 60 (Ro)(ENA) Antibodies, IgG ARUP | 101.42 | 3007976 | 1763712 |
| 86235 | SSB (La) (ENA) Ab IgG ARUP | 54 | 3009203 | 8758498 |
| 86235 | SSB (La) (ENA) Ab, IgG ARUP | 101.42 | 3009203 | 1763709 |
| 86255 | Anti-Neutrophil Cyto Ab, IgG ARUP | 126.1 | 3007994 | 5094975 |
| 86255 | Anti-Neutrophil Cytoplasmic Ab ARUP | 99.17 | 3009547 | 1763701 |
| 86255 | Atypical ANCA ARUP | 99.17 | 3009547 | 5099056 |
| 86255 | Bill Atypical ANCA | 109 | 3009547 | 5404975 |
| 86255 | Glomerular Basement Membrane Antibody, IgG (IFA) ARUP | 111.46 | 3001672 | 16071381 |
| 86255 | Neuron Specific Enolase ARUP | 123.92 | 3008643 | 1763860 |
| 86255 | Neuronal Nuclear Ab, Anti-Hu ARUP | 123.92 | 3008643 | 5095110 |
| 86255 | Paraneoplastic Antibodies by IFA with Reflex ARUP | 79.46 | 3003785 | 23282996 |
| 86256 | .Smooth Muscle Antibody Titer, IgG ARUP | 85.06 | 3002443 | 1861588 |
| 86256 | DsDNA Ab IgG by IFA ARUP | 65 | 3009451 | 8758499 |
| 86256 | Endomysial Antibody, IgA Titer ARUP | 103.46 | 3008439 | 1861578 |
| 86256 | Epstein-Barr Virus Antibody Panel 1 ARUP | 91 | 3008855 | 1764020 |
| 86300 | CA 15-3, Cancer Antigen – Breast ARUP | 110.14 | 3001843 | 1763806 |
| 86300 | Cancer Antigen 27.29 ARUP | 110.14 | 3001843 | 1763819 |
| 86301 | Cancer Antigen-GI (CA 19-9) ARUP | 96.61 | 3003545 | 1763822 |
| 86304 | Cancer Antigen 125 ARUP | 72.78 | 3009887 | 1763818 |
| 86308 | Mono Screen 1 | 36 | 3009136 | 3770180 |
| 86308 | Mononucleosis Screen | 36 | 3009136 | 633785 |
| 86316 | Chromogranin A ARUP | 92.66 | 3008869 | 1763850 |
| 86317 | Humoral Immunity Panel I ARUP | 230.61 | 3008320 | 5095092 |
| 86317 | Humoral Immunity Panel II ARUP | 230.61 | 3008320 | 5146981 |
| 86317 | Streptococcus pneumoniae Ab, IgG ARUP(14 Serotypes) | 81.86 | 3009970 | 9830310 |
| 86317 | Toxoplasma gondii Ab, IgG and IgM ARUP | 65 | 3001008 | 20111674 |
| 86331 | Hyper Pneumo Extended Panel ARUP | 117.92 | 3007200 | 1763982 |
| 86331 | Hypersensitivity Pneumonitis I ARUP | 117.92 | 3008127 | 5095093 |
| 86332 | Immune Complex Panel ARUP | 252.26 | 3001817 | 22164917 |
| 86334 | Immunofix Electrophoresis Gel ARUP | 105.6 | 3002817 | 5095094 |
| 86334 | Serum Protein Electrophoresis Reflex ARUP | 49.46 | 3002423 | 2029039 |
| 86335 | Beta-2 Transferrin ARUP | 131.46 | 3003742 | 23168908 |
| 86335 | Bill IFE Interpretation | 125 | 3004934 | 5404994 |
| 86335 | IFE Interpretation ARUP | 113.32 | 3004934 | 1770253 |
| 86340 | Intrinsic Factor Blocking Antibody ARUP | 98.56 | 3001941 | 1763940 |
| 86341 | IA-2 Antibody ARUP | 263.46 | 3001489 | 16899472 |
| 86341 | Islet Cell Antibody, IgG ARUP | 105.91 | 3004818 | 1763934 |
| 86352 | Bill Urticaria-Inducing Activity | 189 | 3009492 | 5405029 |
| 86352 | Urticaria-Induced Basophil Activation ARUP | 171.46 | 3009492 | 5095141 |
| 86352 | Urticaria-Inducing Activity ARUP | 171.46 | 3009492 | 5148976 |
| 86355 | Lymphocyte Subset Panel 5 – Total Lymphocyte Enumeration ARUP | 169.46 | 3001636 | 20112118 |
| 86356 | CD57+ NK Cells, Peripheral Blood by Flow Cytometry ARUP | 251.46 | 3003748 | 22941789 |
| 86356 | PNH, High Sensitivity, RBC and WBC ARUP | 635.46 | 3002569 | 22452929 |
| 86361 | Lymphocyte Subset Pan 1-CD4 Abs Cnt Only ARUP | 77.46 | 3001375 | 1763900 |
| 86376 | Bill Thyroid Peroxidase (TPO) Antibody | 85 | 3004442 | 5405022 |
| 86376 | Liver-Kidney Microsome Abs, IgG ARUP | 50.66 | 3002649 | 1763907 |
| 86376 | Thyroglobulin Antibody ARUP | 77.59 | 3004442 | 1773555 |
| 86376 | Thyroid Peroxidase (TPO) Ab ARUP | 77.59 | 3004442 | 1763671 |
| 86376 | Thyroid Peroxidase (TPO) Antibody ARUP | 77.59 | 3004442 | 5148973 |
| 86376 | Thyroid Peroxidase Ab ARUP | 54 | 3004442 | 8758493 |
| 86382 | Rabies Antibody Screen (RFFIT) (2014351) ARUP | 96.46 | 3003434 | 22956685 |
| 86431 | Lupus Comprehensive Reflexive Panel ARUP | 83 | 3008250 | 8758490 |
| 86431 | Rheumatoid Factor ARUP | 43.46 | 3003117 | 7228623 |
| 86431 | Rheumatoid Factor ARUP | 75.36 | 3003117 | 1763770 |
| 86480 | Quantiferon TB Gold In-Tube ARUP | 111.46 | 3002452 | 16899368 |
| 86480 | QuantiFERON-TB Gold Plus, 4-Tube ARUP | 111.46 | 3004030 | 23375893 |
| 86580 | TB Skin Test POC | 9 | 9504735 | 2673222 |
| 86592 | .RPR with Reflex to Titer ARUP | 10.08 | 3003232 | 6634697 |
| 86592 | Bill Treponema pallidum (VDRL) Titer, Serum | 81 | 3004619 | 5405026 |
| 86592 | RPR with Reflex to Titer and TP-PA Conf ARUP | 73.42 | 3004619 | 5194975 |
| 86592 | Treponema pallidum (VDRL) Titer, Serum A | 81 | 3004619 | 1773672 |
| 86593 | .Rapid Plasma Reagin (RPR) Titer ARUP | 28.4 | 3004734 | 5194991 |
| 86593 | Bill Treponema pallidum (VDRL), Serum | 66 | 3008389 | 5405027 |
| 86593 | Treponema pallidum (VDRL), Serum ARUP | 59.86 | 3008389 | 1773673 |
| 86606 | Aspergillus Antibody by CF ARUP | 52 | 3002688 | 22563957 |
| 86606 | Aspergillus fumigatus Antibody, IgG by ELISA ARUP | 100.46 | 3002917 | 22563972 |
| 86611 | Bartonella henselae (Cat Scratch) Antibodies, IgG & IgM by IFA ARUP | 61.06 | 3003455 | 23324439 |
| 86615 | Bordetella pertussis Ab, IgG by ELISA w/ Reflex to Immunoblot ARUP | 61 | 3003826 | 23197179 |
| 86617 | Lyme Abs, IgG and IgM by Western Blot ARUP | 87.46 | 3003889 | 1763903 |
| 86618 | Lyme Disease Acute Reflexive Panel ARUP | 111.05 | 3006911 | 1763901 |
| 86622 | Brucella Ab (Total) by Agglutination ARUP | 71 | 3009774 | 5950971 |
| 86628 | Candida albicans Ab IgA, IgG, and IgM by ELISA ARUP | 96.06 | 3001674 | 20954263 |
| 86631 | Chlamydia Ab Panel, IgG by IFA ARUP | 110.56 | 3005276 | 5095061 |
| 86631 | Chlamydia Ab Panel, IgG/IgM by IFA ARUP | 103.46 | 3003024 | 16899420 |
| 86632 | Chlamydia Ab Panel, IgM by IFA ARUP | 110.56 | 3004947 | 5095062 |
| 86635 | Coccidioides Ab, IgG by ELISA ARUP | 98.42 | 3003220 | 1763861 |
| 86635 | Coccidioides Ab, IgM by ELISA ARUP | 89.37 | 3002906 | 1763863 |
| 86635 | Coccidioides Antibodies Panel, Serum ARUP | 95.46 | 3003616 | 23358249 |
| 86638 | C. Burnetii Abs IgG/IgM, Reflex to Titer ARUP | 103.46 | 3004040 | 16899498 |
| 86644 | Cytomegalovirus Antibody, IgG ARUP | 81.1 | 3005691 | 1763955 |
| 86645 | Cytomegalovirus Antibody, IgM ARUP | 86.12 | 3006185 | 1763957 |
| 86658 | Coxsackie A Antibodies (Serotypes 2, 4, 7, 9, 10 and 16), Serum ARUP | 120 | 3001471 | 22035014 |
| 86663 | EBV Ab to Early (D) Ag, IgG ARUP | 86.02 | 3009478 | 1764010 |
| 86664 | Epstein-Barr Virus Ab Nuclear Antigen ARUP | 90.08 | 3009773 | 5095071 |
| 86665 | EBV Ab to Viral Capsid Ag, IgG ARUP | 82.2 | 3009886 | 1764013 |
| 86665 | EBV Ab to Viral Capsid Ag, IgM ARUP | 82.11 | 3009649 | 1764014 |
| 86665 | Epstein-Barr Virus Ab Panel 1 ARUP | 91 | 3008855 | 8758507 |
| 86668 | Francisella tularensis Antibodies, IgG and IgM ARUP | 89.96 | 3003954 | 22985147 |
| 86671 | Bill Chitobioside Carbohydrate Ab (ACCA), IgA | 42 | 3009884 | 5404980 |
| 86671 | Bill S. cerevisiae Antibody, IgA | 83 | 3009979 | 5405012 |
| 86671 | Bill S. cerevisiae Antibody, IgG | 83 | 3009919 | 5405013 |
| 86671 | Chitobioside Carbohydrate Ab (ACCA), IgA | 42 | 3009884 | 5149020 |
| 86671 | S. cerevisiae Antibody, IgA ARUP | 75.73 | 3009979 | 5099055 |
| 86671 | S. cerevisiae Antibody, IgG ARUP | 75.73 | 3009919 | 5099054 |
| 86671 | Saccharomyces cerevisiae Antibodies, IgG & IgA ARUP | 103.46 | 3008843 | 14777385 |
| 86677 | H Pylori | 77 | 3004955 | 1019516 |
| 86677 | Helicobacter Pylori Ab, IgM ARUP | 47.46 | 3002222 | 16899395 |
| 86677 | Helicobacter pylori Abs, IgG and IgA ARUP | 63.46 | 3001186 | 1764046 |
| 86677 | Helicobacter pylori Antibody, IgG ARUP | 47.46 | 3008929 | 7228612 |
| 86689 | HTLV I/II Antibodies Conf, Western Blot ARUP(0020642) | 135.46 | 3003540 | 1763987 |
| 86692 | Hepatitis D Virus Antibody ARUP | 99.76 | 3008310 | 5095085 |
| 86694 | Bill HSV Type 1/2 Combined Ab, IgG | 82 | 3003345 | 5404991 |
| 86694 | Bill HSV Type 1/2 Combined Ab, IgM | 82 | 3007944 | 5404993 |
| 86694 | HSV 1 and/or 2 Abs, IgM by ELISA ARUP | 47.46 | 3003167 | 16899408 |
| 86694 | HSV Type 1,2 Combined Ab, IgG ARUP | 74.54 | 3003345 | 5095091 |
| 86694 | HSV Type 1/2 Combined Ab, IgG ARUP | 74.54 | 3003345 | 1772386 |
| 86694 | HSV Type 1/2 Combined Ab, IgG ARUP | 74.54 | 3003345 | 5138577 |
| 86694 | HSV Type 1/2 Combined Ab, IgM by ELISA A | 82 | 3007944 | 1772387 |
| 86694 | HSV Type 1/2 Combined Ab, IgM by ELISA A | 82 | 3007944 | 5138578 |
| 86695 | HSV 1 Glycoprotein G Ab, IgG ARUP | 84.05 | 3003003 | 1763996 |
| 86696 | HSV 2 Glycoprotein G Ab, IgG ARUP | 87.81 | 3002666 | 1763989 |
| 86703 | HIV-1,-2 w/Reflex to HIV-1 Western Blot ARUP | 98.71 | 3005370 | 5095088 |
| 86705 | Hepatitis B Virus Core Antibodies, Total ARUP | 78.81 | 3001128 | 1764035 |
| 86705 | Hepatitis B Virus Core Antibody, IgM ARUP | 78.81 | 3001128 | 1764033 |
| 86706 | Hepatitis B Virus Surface Antibody ARUP | 76.93 | 3002107 | 1764025 |
| 86708 | Hepatitis A Virus Antibodies, Total ARUP | 89.79 | 3008611 | 1764039 |
| 86709 | Hepatitis A Virus Antibody, IgM ARUP | 82.5 | 3008216 | 1764038 |
| 86710 | Influenza A, B Virus Abs, IgG, IgM ARUP | 195.32 | 3009011 | 1763953 |
| 86735 | Mumps Virus Ab, IgG ARUP | 73.5 | 3003181 | 1763878 |
| 86735 | Mumps Virus Ab, IgM ARUP | 43.46 | 3003320 | 1763877 |
| 86738 | Mycoplasma pneumoniae Ab, IgG ARUP | 94.5 | 3001292 | 5095108 |
| 86738 | Mycoplasma pneumoniae Ab, IgM ARUP | 89.71 | 3006130 | 1763874 |
| 86747 | Parvovirus B19 Abs, IgG and IgM ARUP | 92.69 | 3001190 | 1763823 |
| 86757 | Rocky Mountain Spotted Fever IgG and IgM ARUP | 73.06 | 3002050 | 1763766 |
| 86762 | Rubella Antibody, IgG ARUP | 15.12 | 3001871 | 1763759 |
| 86765 | Measles (Rubeola) Antibody, IgG ARUP | 80.66 | 3003237 | 1763896 |
| 86765 | Occupation Screen – MMR/VZV Ab Assessment Panel, IgG ARUP | 83.06 | 30011463 | 21686033 |
| 86778 | Toxoplasma gondii Ab, IgM ARUP | 45.46 | 3003336 | 1763628 |
| 86780 | Treponema pallidum Ab by TP-PA ARUP | 52.26 | 3002568 | 1763624 |
| 86787 | Bill Varicella-Zoster Virus Ab, IgG | 92 | 3004392 | 5405030 |
| 86787 | Varicella-Zoster Virus Ab, IgG ARUP | 83.37 | 3004392 | 1763600 |
| 86787 | Varicella-Zoster Virus Ab, IgG ARUP | 83.37 | 3004392 | 1773654 |
| 86790 | Hantavirus Antibodies, ELISA w/Reflex ARUP | 369.54 | 3004176 | 1764063 |
| 86790 | Hepatitis E IgG ARUP | 139.27 | 3008390 | 5095086 |
| 86790 | Hepatitis E IgM ARUP | 140.32 | 3008104 | 5095087 |
| 86790 | Herpesvirus 6 (HHV-6) Antibodies, IgG and IgM with Reflex to IgM Titer ARUP | 127 | 3002425 | 22099323 |
| 86790 | Herpesvirus 6 Ab, IgM Screen w/Reflex to Titer by IFA ARUP | 91.46 | 3003593 | 22747120 |
| 86790 | Herpesvirus 6 Antibody IgG ARUP | 131.46 | 3002883 | 22425174 |
| 86790 | HTLV I/II Antibodies w/Reflex to Confirm ARUP(0051164) | 47.46 | 3003925 | 1763986 |
| 86790 | Rabies Ab,(Vaccine Response) IgG ARUP | 97 | 3008527 | 14277373 |
| 86790 | West Nile Virus Ab IgG, Serum ARUP | 113.67 | 3003621 | 1763550 |
| 86790 | West Nile Virus Ab IgM, Serum ARUP | 78.62 | 3002101 | 1763546 |
| 86800 | Bill Thyroglobulin Antibody | 94 | 3002014 | 5405021 |
| 86800 | Thyroglobulin Antibody ARUP | 85.83 | 3002014 | 1763676 |
| 86800 | Thyroglobulin Antibody ARUP | 85.83 | 3002014 | 5148974 |
| 86800 | Thyroglobulin, Serum or Plasma Reflex ARUP | 85.83 | 3002014 | 5095134 |
| 86800 | Thyroid Peroxidase (TPO) Antibody ARUP | 85.83 | 3002014 | 1773554 |
| 86803 | Hepatitis C Virus Antibody by CIA ARUP | 98.48 | 3004656 | 1764012 |
| 86812 | Ankylosing Spondylitis (HLAB27) ARUP | 119.82 | 3002376 | 5094974 |
| 86812 | HLA-B27 ARUP | 119.82 | 3002376 | 1763998 |
| 86850 | Antibody Screen 1 | 49 | 3007623 | 997512 |
| 86850 | Antibody Screen RBC, Reflex to Ident ARUP | 51.9 | 3007623 | 5138972 |
| 86850 | Post-Transfusion Reaction ABSC 1 | 49 | 3007623 | 3730983 |
| 86850 | Pre-Transfusion Reaction ABSC 1 | 49 | 3007623 | 3730986 |
| 86850 | REF Antibody Screen | 49 | 3007623 | 1422360 |
| 86880 | Direct Antiglobulin Test 2 | 41 | 3008374 | 3730981 |
| 86880 | Post-Transfusion Reaction DAT 2 | 41 | 3008374 | 3730984 |
| 86880 | Pre-Transfusion Reaction DAT 2 | 41 | 3008374 | 3730987 |
| 86900 | ABO/Rh. | 23 | 3009001 | 1137981 |
| 86900 | ABO/Rh. Neonatal | 23 | 3009001 | 6344971 |
| 86900 | ABORH Prenatal ARUP | 65.02 | 3009001 | 5138971 |
| 86900 | Post-Transfusion Reaction ABO/Rh | 23 | 3009001 | 1138160 |
| 86900 | Pre-Transfusion Reaction ABO/Rh | 23 | 3009001 | 1138164 |
| 86900 | Reference ABO/Rh | 23 | 3009001 | 1165544 |
| 86901 | BLOOD TYPING, RH | 30 | 3009001 | 4662845 |
| 86905 | P1 Antigen Typing-Patient ARUP | 123.46 | 3002976 | 22493768 |
| 86922 | Compatible – Crossmatch IS Interp | 210 | 3001313 | 2171550 |
| 86922 | Compatible – X-Match AHG Tube Interp | 210 | 3001313 | 4662835 |
| 86922 | Crossmatch | 210 | 3001313 | 1481845 |
| 86923 | Compatible – Computer XM Interp | 210 | 3001313 | 1779651 |
| 87015 | Bill Only AFB Concentration | 88 | 3002679 | 22249687 |
| 87040 | Culture, Blood ARUP | 91.2 | 3002815 | 5151051 |
| 87045 | Culture, Stool ARUP | 95.24 | 3003566 | 5151038 |
| 87046 | Stool Culture, Campylobacter ARUP | 77.86 | 3002387 | 22077989 |
| 87070 | Cerebrospinal Fluid (CSF) Culture and Gram Stain ARUP | 78.66 | 3009818 | 11428268 |
| 87070 | Culture, Body Fluid ARUP | 88.63 | 3002636 | 5194971 |
| 87070 | Culture, Respiratory ARUP | 88.63 | 3002636 | 5194972 |
| 87070 | Culture, Sterility ARUP | 73.46 | 3002801 | 22452879 |
| 87070 | Culture, Wound ARUP | 88.63 | 3002636 | 5194973 |
| 87070 | Eye Culture, ARUP | 83.86 | 3009141 | 11427372 |
| 87075 | Anaerobe Culture and Gram Stain ARUP | 104.26 | 3008280 | 11185317 |
| 87076 | Bill Only Anaerobic organism ID by MALDI-TOF | 134 | 3002240 | 22119138 |
| 87077 | Bill Only Bacterial Identification | 96 | 3009890 | 13175375 |
| 87077 | Bill Only Bacterial Identification by MALDI | 96 | 3009892 | 13175371 |
| 87081 | Staphylococcus Serveillance Cutlure ARUP | 80 | 3009587 | 8758503 |
| 87081 | Streptococcus (Group A) Culture ARUP | 71.06 | 3001818 | 22107241 |
| 87088 | Culture, Urine ARUP | 73.35 | 3005819 | 5151039 |
| 87101 | Culture, Fungal – Skin, Hair or Nails ARUP | 87.56 | 3009606 | 1763928 |
| 87102 | Culture, Fungal ARUP | 82.52 | 3001513 | 1763906 |
| 87116 | Blood Culture, Acid-Fast Bacillus (AFB) ARUP | 102.5 | 3002409 | 5151037 |
| 87116 | Culture, Acid Fast Bacilli ARUP | 104.26 | 3002448 | 1763898 |
| 87147 | Bill Only E coli O157 Latex | 35 | 3002758 | 22510152 |
| 87147 | Bill Only Salmonella Serotyping | 51 | 3002980 | 22560972 |
| 87147 | Bill Only Staph Latex | 54 | 3002038 | 22053930 |
| 87147 | Bill Only Strep A Latex ARUP | 105.06 | 3001759 | 22096493 |
| 87147 | Bill Only Strep B Latex ARUP | 63.46 | 3002132 | 22097428 |
| 87147 | Bill Only Strep C Latex | 70 | 3002007 | 22130001 |
| 87147 | Bill Only Strep G Latex | 70 | 3002214 | 22130002 |
| 87147 | Bill Only Susceptibility – Penicillin Binding Protein 2a | 105 | 3009769 | 13175374 |
| 87147 | PBP2A Normal Flora Use | 178 | 3003572 | 23039150 |
| 87153 | Bill Only DNA Sequencing-Bacterial Indentification | 252 | 3003075 | 22544053 |
| 87172 | Pinworm ARUP | 51.46 | 3003782 | 23108716 |
| 87177 | Ova and Parasite Exam, Fecal. ARUP | 90.03 | 3007321 | 1763845 |
| 87181 | Bill Only Susceptibility – Single Drug by Etest | 116 | 3001952 | 22065853 |
| 87184 | Bill Only Susceptibility – Automated Disk Diffusion ARUP | 83.86 | 3007923 | 14781415 |
| 87184 | Bill Only Susceptibility – Disk Diffusion | 91 | 3002738 | 22249685 |
| 87184 | Bill Only Susceptibility – ESBL by Disk Diffusion | 91 | 3009611 | 13175372 |
| 87185 | Bill Only Susceptibility – Beta – Lactamase | 73 | 3001787 | 22032187 |
| 87186 | Bill Only Susceptibility – Automated Broth Dilution | 98 | 3009941 | 13175373 |
| 87186 | Bill Only Susceptibility – Broth Dilution Panel | 131 | 3009394 | 13175379 |
| 87186 | Bill Only Susceptibility – Nonfermenter by Broth Dilution ARUP | 114 | 3008126 | 14781416 |
| 87186 | Susceptibility – AFB/Nocardia by Broth Dilution | 98 | 3002865 | 22626326 |
| 87186 | Susceptibility – Anaerobe by Broth Dilution | 121 | 3002751 | 22626047 |
| 87207 | Parasites Smear (Giemsa Stain), Blood ARUP | 157.06 | 3009699 | 5095112 |
| 87252 | Culture, Herpes Simplex Virus ARUP | 67.06 | 3009553 | 1763931 |
| 87252 | Varicella-Zoster Virus Culture ARUP | 79.06 | 3009553 | 13175410 |
| 87290 | Varicella-Zoster Virus and Herpes Simplex Virus DFA with Reflex to Varivella-Zoster Virus Culture an | 174 | 3009433 | 12952059 |
| 87301 | LDL Subclasses (0050021) ARUP | 110.66 | 3003927 | 23027647 |
| 87324 | Clostridium difficile Toxins (A/B) EIA ARUP | 76.15 | 3002071 | 5095064 |
| 87328 | Cryptosporidium Antigen by EIA ARUP | 55.46 | 300-8665 | 8297368 |
| 87329 | Giardia Antigen by EIA ARUP | 89.72 | 3005888 | 1764080 |
| 87338 | Helicobacter pylori Ag, Fecal by EIA ARUP | 112.78 | 3009837 | 5095083 |
| 87340 | Hepatitis B Surface Ag w/ Reflex to Conf ARUP | 74.27 | 3007364 | 1764037 |
| 87340 | Hepatitis B Surface Ag w/Rflx, Prenatal ARUP | 12.6 | 3003983 | 6634698 |
| 87389 | HIV Combo Antigen/Antibody (HIV-1/O/2) by ELISA, Reflexive Panel ARUP | 70 | 3002538 | 22247601 |
| 87420 | Respiratory Syncytial Virus | 63 | 3006121 | 1079524 |
| 87425 | Rotavirus Antigen by EIA ARUP | 82.37 | 3003122 | 5095129 |
| 87427 | E Coli Shiga-Like Toxin by EIA ARUP | 85.94 | 3005698 | 5095070 |
| 87430 | Strep A Screen | 91 | 3001615 | 1077554 |
| 87449 | Legionella Pneumophila Antigen, Urine ARUP | 98.19 | 3009581 | 1763915 |
| 87476 | Borrelia Species by PCR (Lyme Disease) ARUP | 183.92 | 3008109 | 5095041 |
| 87480 | Bill Candida Species DNA Probe | 87 | 3006016 | 5404979 |
| 87480 | Candida Species DNA Probe ARUP | 79.09 | 3006016 | 5100997 |
| 87491 | Bill C. trachomatis by DNA Probe | 102 | 3004580 | 5404976 |
| 87491 | C. trachomatis Amplified ARUP | 46.73 | 3004580 | 1770312 |
| 87491 | Chlamydia Trach and N.gonorrhoeae (TMA) ARUP | 93.46 | 3009347 | 9830318 |
| 87491 | Chlamydia trachomatis Amplified Detect ARUP | 92.8 | 3004580 | 1763837 |
| 87493 | C. difficile toxin B gene (tcdB), RT-PCR ARUP | 171.46 | 3001026 | 1763802 |
| 87495 | Cytomegalovirus by PCR, Whole Bld/Bn Mrw ARUP | 151.46 | 3002510 | 1763960 |
| 87495 | Cytomegalovirus by Qualitative PCR, Saliva ARUP | 151.46 | 3009626 | 12951223 |
| 87496 | Cytomegalovirus by PCR ARUP | 151.46 | 3008388 | 1763959 |
| 87497 | Cytomegalovirus DNA Quantitation by PCR ARUP | 291.46 | 3003203 | 1763962 |
| 87498 | Enterovirus Detection by RT-PCR ARUP | 221.46 | 3001697 | 1764018 |
| 87505 | Gastrointestinal Parasite Panel by PCR ARUP | 281.46 | 3003509 | 23113958 |
| 87506 | Gastrointestinal Bacterial Panel by PCR ARUP | 311.46 | 3003289 | 22746458 |
| 87506 | Gastrointestinal Viral Panel by PCR ARUP | 281.46 | 3003489 | 22746455 |
| 87507 | Bill Combined GI Bacterial and Viral Panel, Stool, by PCR | 652 | 3003628 | 23136540 |
| 87510 | Bill Gardnerella vaginalis DNA Probe | 87 | 3005737 | 5404984 |
| 87510 | Gardnerella vaginalis DNA Probe ARUP | 79.09 | 3005737 | 5100998 |
| 87517 | Hepatitis B Virus (HBV) by Quantitative NAAT ARUP | 177.92 | 3008118 | 1764026 |
| 87522 | Hepatitis C RNA Qnt w/ Genotype Reflex ARUP | 240.13 | 3009086 | 1764022 |
| 87522 | Hepatitis C Virus (HCV) by Quantitative NAAT ARUP | 240.13 | 3009086 | 1764008 |
| 87529 | Herpes Simplex Virus By PCR ARUP | 95.3 | 3001321 | 1764001 |
| 87529 | HSV Subtype by PCR ARUP | 229.46 | 3003772 | 22861788 |
| 87535 | Human Immunodeficiency Virus 1 (HIV-1) by Qualitative PCR ARUP | 275.32 | 3004709 | 23548320 |
| 87536 | HIV 1 Quant PCR ARUP | 191.46 | 3002997 | 22392314 |
| 87581 | Mycoplasma pneumoniae by PCR ARUP | 159.46 | 3003950 | 1763870 |
| 87591 | Bill N. gonorrhoeae DNA Probe | 96 | 3004096 | 5405000 |
| 87591 | N. gonorrhoeae Amplified ARUP | 46.73 | 3007845 | 1770313 |
| 87591 | Neisseria gonorrhoeae, Amplified Detect ARUP | 46.73 | 3007845 | 5095109 |
| 87631 | Respiratory Virus Mini Panel by RT-PCR ARUP | 258.26 | 3009362 | 5095126 |
| 87633 | Respiratory Virus Panel ARUP | 771.46 | 3001898 | 21580067 |
| 87641 | Bill Only Susceptibility – MecA Gene Detection by PCR | 121 | 3002842 | 22249686 |
| 87653 | Streptococcus Group B by PCR ARUP | 175 | 3002338 | 5194974 |
| 87660 | Bill Trichomonas vaginalis DNA Probe | 87 | 3006129 | 5405028 |
| 87660 | Trichomonas vaginalis DNA Probe ARUP | 79.09 | 3006129 | 5100999 |
| 87798 | Bill Malaria Speciation PCR, P. falciparum | 92 | 3008001 | 5404998 |
| 87798 | Bordetella Pertussis, PCR ARUP | 127.28 | 3009610 | 5095032 |
| 87798 | JC Virus by PCR ARUP | 282.76 | 3003279 | 22855792 |
| 87798 | Malaria Speciation PCR, P. falciparum AR | 92 | 3008001 | 5099120 |
| 87798 | Malaria Speciation PCR, P. knowlesi ARUP | 83.59 | 3008001 | 5099121 |
| 87798 | Malaria Speciation PCR, P. malariae ARUP | 83.59 | 3008001 | 5099123 |
| 87798 | Malaria Speciation PCR, P. ovale ARUP | 83.59 | 3008001 | 5099124 |
| 87798 | Malaria Speciation PCR, P. vivax ARUP | 83.59 | 3008001 | 5099122 |
| 87798 | Varicella-Zoster Virus by PCR ARUP | 131.46 | 3003894 | 1763598 |
| 87798 | West Nile Virus RNA by RT-PCR ARUP | 318.92 | 3008197 | 5095145 |
| 87799 | BK Virus, Quantitative by PCR ARUP (0090067) | 261.46 | 3003634 | 16899398 |
| 87799 | Epstein-Barr Virus by Quantitative PCR ARUP | 238 | 3007938 | 1764027 |
| 87799 | Epstein-Barr Virus Qt PCR ARUP | 238 | 3007938 | 8758505 |
| 87801 | Bill Only Blood Culture Rapid Identification by Film Array | 321 | 3001964 | 22065851 |
| 87804 | Influenza A + B Rapid | 58 | 3004235 | 853224 |
| 87804 | Rapid Flu A&B POC | 108 | 9838035 | 2913534 |
| 87807 | RSV POC | 22 | 9838036 | 4370178 |
| 87880 | Rapid Strep POC | 22 | 9871792 | 684345 |
| 87899 | Streptococcus pneumoniae Ag, Urine ARUP | 139.61 | 3001923 | 5095130 |
| 87902 | HCV Genotyping by PCR and Sequencing ARUP | 191.46 | 3008124 | 1764058 |
| 88112 | Bill Cytopathology, selective cellular enhancement technique with interpretation (e.g. liquid based | 162 | 3001953 | 22211352 |
| 88184 | .Technical Leuk/Lymph Pheno, 15 markers ARUP | 401.46 | 3009133 | 13093370 |
| 88184 | Leukemia/Lymphoma Phenotype Whole Blood ARUP | 626.46 | 3003394 | 1763912 |
| 88188 | .Prof Leuk/Lymph Pheno 9-15 markers ARUP | 116.46 | 3008851 | 13093369 |
| 88262 | Chromosome Analysis Peripheral Blood ARUP | 406.46 | 3001213 | 1763852 |
| 88271 | Chromosome FISH, CLL Panel ARUP | 771.46 | 3002166 | 22163409 |
| 88300 | Bill Surgical Path Lvl I | 53 | 3005246 | 3193514 |
| 88304 | Bill Surgical Path Lvl III | 70 | 3005419 | 3193516 |
| 88305 | Bill Surgical Path Lvl IV | 73 | 3004945 | 3193517 |
| 88307 | Bill Surgical Path Lvl V | 84 | 3005256 | 3193518 |
| 88309 | Bill Surgical Path Lvl VI | 114 | 3004919 | 3193519 |
| 88312 | Bill Special Stain Grp I | 68 | 3004927 | 3193522 |
| 88313 | Bill Special Stain Grp II | 67 | 3001365 | 3193523 |
| 88341 | Bill Immunohistochemistry, additional single antibody stain procedure | 74 | 3003716 | 23125260 |
| 88342 | Bill Immunohistochemistry | 259 | 3003430 | 22799119 |
| 89050 | CSF Cell Count 1 | 43 | 3001850 | 1019598 |
| 89051 | Cell Count, Body Fluid ARUP | 50.26 | 300-1299 | 8297371 |
| 89055 | Fecal WBC | 44 | 3007514 | 1279774 |
| 89055 | Lactoferrin, Fecal by ELISA ARUP | 69.46 | 3001692 | 1763921 |
| 89310 | Post Vasectomy Semen Examination | 53 | 3003319 | 23230446 |
| 90384 | RHIG | 304.75 | 3002923 | 857628 |
| 90471 | 90471 Immunization Admin. ED Charge | 28 | 4501812 | 3650288 |
| 90471 | 90471 Immunization administration; 1 vaccine | 28 | 9824802 | 1169530 |
| 90471 | VFC – Immunization administration; 1 vaccine | 20 | 9834802 | 3067557 |
| 90472 | 90472 Each additional vaccine | 17 | 9824803 | 1169531 |
| 90472 | VFC – Each additional vaccine | 15 | 9834803 | 3067556 |
| 90473 | IMM ADM >8 1ST ORL/N NSG Charge | 18 | 9823991 | 859123 |
| 90473 | VFC – IMM ADM>8 1st ORL/N | 23 | 9823991 | 3067558 |
| 90474 | IMM ADM >8 EA ADD OR Charge | 9 | 9824742 | 859127 |
| 90632 | Hepatitis A Adult Vaccine | 99.25 | 9501840 | 667665 |
| 90633 | 58160-0825-52 Hepatitis A Peds/Adol Vaccine 2 Dose Sched Charge | 47 | 9501746 | 667666 |
| 90636 | Hepatitis A-Hepatitis B Adult Vaccine Charge | 148.25 | 9507118 | 667667 |
| 90648 | Hemophilus influenza b vaccine (Hib), PRP-T conjugate (4 dose schedule), for IM Use POC | 24.5 | 9501395 | 749823 |
| 90649 | Human Papilloma virus (HPV) Vaccine POC | 304.25 | 9509064 | 784548 |
| 90660 | Flu Vaccine Live Intranasal POC | 36.75 | 9509248 | 667671 |
| 90662 | Influenza Vaccine, Split Virus | 30 | 9502414 | 3486194 |
| 90670 | Pneumococcal conjugate vaccine, 13 valent, for intramuscular use | 248.5 | 9503240 | 1165947 |
| 90675 | Rabies Vaccine IM Charge | 472 | 9501675 | 667674 |
| 90680 | Rotavirus vaccine, pentavalent, 3 dose schedule, live, for oral use POC | 126.75 | 9509294 | 749829 |
| 90681 | Rotavirus vaccine, human, attenuated, 2 dose schedule, live, for oral use | 126.75 | 9503916 | 1787560 |
| 90687 | VFC Flu Vaccine Split 6-35 Months IM POC | 36 | 9509452 | 667669 |
| 90688 | Flu Vaccine split (0.5ml dosage) IM POC | 28.75 | 9503554 | 667670 |
| 90691 | Typhoid vaccine, Vi capsular polysaccharide (ViCPs) IM use | 93 | 9503302 | 1229856 |
| 90696 | Diphtheria, tetanus toxoids, acellular pertussis vaccine and poliovirus vaccine, inactivated (DTaP-I | 76.25 | 9506367 | 1787562 |
| 90698 | Diphtheria, tetanus toxoids, acellular pertussis vaccine, haemophilus influenza Type B, and poliovir | 135.25 | 9505616 | 1229742 |
| 90700 | DTaP Diphtheria/Pertussis, acellular/Tetanus Vaccine DTaP Under 7 yrs | 34.5 | 9503842 | 667676 |
| 90707 | MMR Measles/Mumps/Rubella Virus Vaccine POC | 104 | 9507597 | 667682 |
| 90713 | IPV Inactivated Poliovirus Vaccine POC | 46.75 | 9501284 | 667685 |
| 90715 | Tetanus, diphtheria toxoids & acellular pertussis vaccine (TdaP), 7 years or older, IM use POC | 43.5 | 9509071 | 755159 |
| 90716 | Varicella Virus Vaccine POC | 179.5 | 9502786 | 667686 |
| 90723 | Diphth/HepB/Pertussis,Acel/Polio/Tetanus Vaccine POC | 112.5 | 9504865 | 667690 |
| 90732 | Pneumococcal 23-Valent Adult Vaccine POC [CHAS] | 138 | 9509120 | 667692 |
| 90733 | Meningococcal Vaccine POC | 175.5 | 9503211 | 667693 |
| 90736 | Zoster (shingles) vaccine, live, subcutaneous injection POC | 307 | 9509073 | 757310 |
| 90744 | Hepatitis B Vaccine, Pediatric 3 Dose Sched POC | 34.75 | 9501980 | 667694 |
| 90746 | Hepatitis B Vaccine, Adult | 84.25 | 9501386 | 667695 |
| 90748 | Hepatitis B & Hemophilus influenza b vaccine (HepB-Hib), IM use POC | 35 | 9506541 | 667697 |
| 92511 | 92511 Nasopharyngoscopy w/Endoscope ED PRO FEE | 82 | 9813503 | 3596560 |
| 92511 | 92511 Nasopharyngoscopy w/Endoscope Tech | 120 | 4502752 | 5175380 |
| 92587 | Newborn Hearing Screen | 105 | 0 | 3776197 |
| 92587 | Newborn Hearing Screen KCH | 105 | 4711500 | 9490197 |
| 92950 | 92950 Cardiopulmonary Resuscitation ER; ED PRO FEE | 260 | 9814275 | 3596561 |
| 92950 | 92950 CPR ED Charge | 248 | 4502773 | 3650289 |
| 92953 | 92953 TemporaryTranscutaneous Pacing ED PRO FEE | 24 | 9812186 | 3596576 |
| 92953 | 92953 Transcutaneous pacing ED Charge | 248 | 4501435 | 3650290 |
| 92960 | 92960 Cardioversion – Electrical, External ED Charge | 593 | 4503524 | 3650291 |
| 92960 | 92960 Cardioversion, Elective, Electrical Conversion Of Arrhythmia; Ext ED PRO FEE | 191 | 9813524 | 3596567 |
| 93005 | EKG 12 Lead – NSG | 147 | 7304435 | 777365 |
| 93005 | EKG 12 Lead (Nursing) | 147 | 7304435 | 2279614 |
| 93005 | EKG POC | 32 | 9833633 | 1319719 |
| 93224 | Cardiac Holter | 168 | 9831400 | 3488178 |
| 93225 | Electrocardiographic Monitoring For 24 Hours By Continuous Original Ecg Waveform Record & Storage W/ | 56 | 9871411 | 3494245 |
| 93880 | US Carotid Duplex Bilateral | 588.1 | 0 | 629660 |
| 93880 | US Carotid Duplex Bilateral | 647 | 4026388 | 823412 |
| 93922 | Ankle/ Brachial Indices Study Technical Charge | 111 | 9831567 | 1279819 |
| 93922 | US Ankle Brachial Index | 252.8 | 0 | 1297710 |
| 93922 | US Ankle Brachial Index | 278 | 4021567 | 1297711 |
| 93970 | US LE Venous Duplex Bilateral | 588.1 | 0 | 631029 |
| 93970 | US LE Venous Duplex Bilateral | 647 | 4025032 | 823442 |
| 93971 | US LE Venous Duplex Left | 372.3 | 0 | 631023 |
| 93971 | US LE Venous Duplex Left | 410 | 4027139 | 823444 |
| 93971 | US LE Venous Duplex Right | 372.3 | 0 | 631019 |
| 93971 | US LE Venous Duplex Right | 410 | 4027139 | 823446 |
| 94060 | Bronchodilation Responsiveness, Spirometry Pre and Post Bronchodilator Admin Charge | 76 | 9835605 | 713795 |
| 94640 | Aerosol Treatment with Peak Flow Charge | 42 | 2704333 | 2158590 |
| 94640 | Airway Inhalation Treatment. | 23 | 9831311 | 22483363 |
| 94664 | Inhalations, Aerosol/Vapor, Initial Charge | 18 | 9831089 | 713757 |
| 95115 | Allergy Injection Single POC | 18 | 9828794 | 2435614 |
| 95117 | Allergy Injection Multi POC | 23 | 9829545 | 2435615 |
| 96360 | 96360 – HYDRATION, FIRST HOUR | 209 | 4509493 | 22283161 |
| 96360 | IV Hydration 1ST Hour Charge | 91.8 | 9705449 | 859131 |
| 96360 | IV HYDRATION/ELECTROLYTES CHARGE | 209 | 7619493 | 3824180 |
| 96361 | IV HYDRATION ADDITIONAL HOUR Tech Chg | 23.85 | 9704698 | 1739523 |
| 96361 | IV HYDRATION/ELECTROLYTES, EA ADD’L HR CHARGE | 55 | 7611726 | 5178973 |
| 96361 | IV THERAPY HYDRATION, EACH ADDITIONAL HOUR | 55 | 4501726 | 22283162 |
| 96365 | INFUSION THERAPY, DRUG CHARGE | 209 | 7617991 | 3824179 |
| 96365 | IV Infusion First Hour Charge – Valley | 100 | 9705450 | 5016972 |
| 96366 | INFUSION THERAPY, EA ADD’L HR CHARGE | 55 | 7618742 | 3824183 |
| 96366 | IV Infusion Each Additional Charge – Valley | 40 | 9704699 | 5016971 |
| 96367 | 96367 – IV tx, sequential infusion | 86 | 4502477 | 22283165 |
| 96367 | SEQUENTIAL DRUG CHARGE | 86 | 7612477 | 3824184 |
| 96368 | CONCURRENT DRUG CHARGE | 86 | 7613228 | 3824185 |
| 96372 | IM/SQ INJECTION CHARGE | 50 | 7612267 | 4746178 |
| 96372 | SQ/IM ADMIN THERAPEUTIC INJECTION TX RM | 25 | 9822667 | 859155 |
| 96374 | IV PUSH CHARGE | 117 | 7613979 | 3824181 |
| 96374 | IV Push, Initial Drug – Valley | 60 | 9835125 | 22392074 |
| 96374 | IVP INJECTION therapeutic or diagnostic ER | 117 | 4503979 | 22283169 |
| 96375 | DIFFERENT DRUG CHARGE | 50 | 7614730 | 3824187 |
| 96375 | IV Injection, add new drug THERAPEUTIC OR DIAGNOSTIC | 50 | 4504730 | 22283170 |
| 96375 | IV Push, Sequential, New Drug – Valley | 25 | 9835876 | 22392076 |
| 96376 | 96376 – IV Push, add same drug | 50 | 4505481 | 22283171 |
| 96376 | SAME DRUG > 30 MIN CHARGE | 50 | 7615481 | 3824188 |
| 96523 | Irrigation of Venous Drug Delivery Device | 61 | 7611216 | 7226609 |
| 96523 | Port Cath Flush (Irrigation of Venous Access Device) | 25 | 9833564 | 22484943 |
| 97010 | Yes – Other Thermal Charge | 20 | 4207010 | 1273694 |
| 97014 | UNATTENDED ELECTRICAL THERAPY – Unattended Electrical Therapy Charge | 24 | 4207014 | 1230068 |
| 97022 | PT Whirlpool Full Body – Whirlpool Full Body Charge | 43 | 4204899 | 3601631 |
| 97026 | Yes – Infrared-Light Therapy Charge | 32 | 4207026 | 2937633 |
| 97032 | Attended E-Stim Charges | 24 | 4207032 | 692259 |
| 97033 | Iontophoresis Charges | 29 | 4207033 | 692258 |
| 97034 | Contrast baths – Thermal Modalities Provided | 19 | 4207034 | 1230153 |
| 97035 | Ultrasound Charges | 25 | 4207035 | 692237 |
| 97110 | Therapeutic Exercise Charges | 44 | 4207110 | 692217 |
| 97110 | Therapeutic Exercise Charges | 44 | 4349760 | 691306 |
| 97112 | Neuromuscular Reeducation Charges | 34 | 4207112 | 692238 |
| 97116 | Gait Training Charges | 29 | 4207116 | 692247 |
| 97116 | Gait Training Charges | 29 | 4349467 | 2619694 |
| 97124 | Massage Charge Units | 33 | 4207124 | 692251 |
| 97140 | Joint Mobilization Charges | 46 | 4207265 | 2937604 |
| 97140 | Myofacial Release Charges | 46 | 4207250 | 2937615 |
| 97161 | 97161 PT eval, low complexity 20 min. | 88 | 4207001 | 22616933 |
| 97161 | PT Low Complex Units | 88 | 4207001 | 22615494 |
| 97162 | 97162 PT eval, mod complexity 30 min. | 88 | 4205563 | 22616934 |
| 97162 | PT Moderate Complex Units | 88 | 4205563 | 22615496 |
| 97163 | 97163 PT eval, high complexity 45 min. | 88 | 4206314 | 22616935 |
| 97163 | PT High Complex Units | 88 | 4206314 | 22615498 |
| 97165 | 97165 OT eval, low complexity 30 min. | 88 | 4347507 | 22616937 |
| 97165 | OT Low Complex Units | 88 | 4347507 | 22615566 |
| 97166 | 97166 OT eval, mod complexity 45 min. | 88 | 4344061 | 22616938 |
| 97166 | OT Moderate Complex Units | 88 | 4344061 | 22615568 |
| 97167 | 97167 OT eval, high complexity 60 min. | 88 | 4344812 | 22616939 |
| 97167 | OT High Complex Units | 88 | 4344812 | 22615570 |
| 97530 | Functional Training Charges | 45 | 4201957 | 5543179 |
| 97530 | Therapeutic Activities Charge | 45 | 4207530 | 692245 |
| 97530 | Therapeutic Activities Charges | 45 | 4349009 | 691304 |
| 97535 | ADL Training Charges | 44 | 4348716 | 691327 |
| 97545 | PT Work Hardening – PT Work Hardening Charge | 145 | 4207545 | 3601625 |
| 97597 | Selective Debridement, total wound surface area, first 20 sq cm or less – Selective Debridement Charge | 90 | 4207601 | 2734847 |
| 97597 | Wound Debridement Less than 20 cm Tech Chg | 80 | 9832222 | 1739533 |
| 97602 | PT Wound Care Non Selective Charge – PT Wound Care Non Selective Charge | 83 | 4207105 | 20731357 |
| 97602 | Yes – Non-Selective Debridement Charge | 83 | 4207105 | 2734769 |
| 97760 | Orthotic Mgmt and Training Charges | 36 | 4207504 | 692243 |
| 97761 | Prosthetic Training Charges | 44 | 4207520 | 692241 |
| 99056 | Service(s) typically provided in the office, provided out of the office at request of patient, in ad | 25 | 9837850 | 8022192 |
| 99058 | Service(s) provided on an emergency basis in the office which disrupts other scheduled office servic | 32 | 9838601 | 8022193 |
| 99060 | Service(s) provided on an emergency basis, out of the office, which disrupts other scheduled office | 35 | 9839352 | 8022194 |
| 99195 | Phlebotomy | 105 | 7612172 | 1735760 |
| 99195 | Therapeutic Phlebotomy | 105 | 7612172 | 1416263 |
| 99195 | Therapeutic Phelbotomy Charge | 105 | 9832172 | 1274583 |
| 99201 | Office/OP New Visit Level 1 99201 | 56 | 9838235 | 1264811 |
| 99202 | Office/OP New Visit Level 2 99202 | 95 | 9837484 | 1264813 |
| 99203 | Office/OP New Visit Level 3 99203 | 138 | 9838986 | 1264815 |
| 99204 | Office/OP New Visit Level 4 99204 | 212 | 9839616 | 1264817 |
| 99205 | Office/OP New Visit Level 5 99205 | 263 | 9836072 | 1264819 |
| 99211 | Office/OP Established Visit Level 1 99211 | 25 | 9823951 | 1264822 |
| 99212 | Office/OP Established Visit Level 2 99212 | 56 | 9834702 | 1264824 |
| 99213 | Office/OP Established Visit Level 3 99213 | 92 | 9835453 | 1264826 |
| 99215 | Office/OP Established Visit Level 5 99215 | 184 | 9836955 | 1264830 |
| 99217 | Observation Care Discharge – 99217 | 97 | 9878822 | 631663 |
| 99217 | Observation Discharge KCH charge | 97 | 9878822 | 4308213 |
| 99218 | Initial Observation Care Level 1 – 99218 | 92 | 9871385 | 631645 |
| 99218 | Initial observation Care per day (low complexity) | 80 | 9871385 | 4308202 |
| 99219 | Initial Observation Care Level 2 – 99219 | 138 | 9879573 | 631646 |
| 99219 | Initial Observation Care per day (moderate) | 138 | 9879573 | 4308203 |
| 99220 | Initial Obervation Care per day (complex complexity) | 215 | 9871662 | 4308201 |
| 99220 | Initial Observation Care Level 3 – 99220 | 215 | 9871662 | 631647 |
| 99221 | Initial Hospital Care Level 1 – 99221 | 103 | 9872413 | 631636 |
| 99221 | Initial hospital care per day (low complexity) | 103 | 9872413 | 4308196 |
| 99222 | Initial Hospital Care Level 2 – 99222 | 158 | 9873164 | 631637 |
| 99222 | Initial hospital care per day (moderate complexity) | 158 | 9873164 | 4308197 |
| 99223 | Initial Hospital Care Level 3 – 99223 | 215 | 9873915 | 631638 |
| 99223 | Initial hospital care per day (high complexity) | 215 | 9873915 | 4308195 |
| 99225 | Subsequent observation care, per day | 72.5 | 9877513 | 1298111 |
| 99225 | Subsequent observation care, per day (moderate complexity) KCH charge | 72.5 | 9877513 | 4308232 |
| 99231 | Subsequent Hospital Care Level 1 – 99231 | 60 | 9874666 | 631719 |
| 99231 | Subsquent hospital care, per day (low complexity) KCH charge | 60 | 9874666 | 4308233 |
| 99232 | Subsequent Hospital Care Level 2 – 99232 | 78 | 9875417 | 631720 |
| 99232 | Subsequent Hospital care, per day (moderate complexity) KCH charge | 78 | 9875417 | 4308228 |
| 99233 | Subsequent Hospital Care Level 3 – 99233 | 112 | 9876168 | 631721 |
| 99233 | Subsequent hospital care, per day (high complexity) KCH charge | 112 | 9876168 | 4308227 |
| 99234 | Observation or inpatient hospital care (low complexity) KCH charge | 161 | 9872871 | 4308214 |
| 99234 | Observation/ Same Day Inpatient Care Level 1 – 99234 | 202 | 9873620 | 631660 |
| 99235 | Observation or inpatient hospital care (moderate complexity) KCH charge | 245 | 9873621 | 4308215 |
| 99235 | Observation/Inpatient, Admit-D/C Same Day Care Level 2 – 99235 | 245 | 9873621 | 631661 |
| 99236 | Observation or inpatient hospital care same day admit and discharge (high complexity) KCH charge | 305 | 9873622 | 4308216 |
| 99236 | Observation/ Same Day Inpatient Care Level 3 – 99236 | 305 | 9873622 | 631662 |
| 99238 | Hospital Discharge | 97 | 9876919 | 4308193 |
| 99238 | Hospital Discharge Management 30 min or Less – 99238 | 97 | 9876919 | 631634 |
| 99239 | Hospital Discharge (Greater than 30 min) | 132 | 9876920 | 4308194 |
| 99239 | Hospital Discharge Management More Than 30 min – 99239 | 132 | 9876920 | 631635 |
| 99241 | Office/Other Outpatient Consultation Level 1 – 99241 | 63 | 9879241 | 631664 |
| 99242 | 99242 Consult Level 2 ED PRO FEE | 154 | 9814876 | 4076275 |
| 99242 | Office/Other Outpatient Consultation Level 2 – 99242 | 102 | 9879172 | 631665 |
| 99243 | 99243 Consult Level 3 ED PRO FEE | 216 | 9814125 | 4076278 |
| 99243 | Office/Other Outpatient Consultation Level 3 – 99243 | 138 | 9878421 | 631666 |
| 99244 | 99244 Consult Level 4 ED PRO FEE | 340 | 9813864 | 4076280 |
| 99244 | Office Consultation Level 4 – 99244 | 203 | 9878847 | 631667 |
| 99251 | Initial Inpatient Consultation Level 1 – 99251 | 77 | 9874896 | 631639 |
| 99252 | Initial Inpatient Consultation Level 2 – 99252 | 116 | 9874895 | 631640 |
| 99253 | Initial Inpatient Consult Level 3 – 99253 | 176 | 9878996 | 631641 |
| 99254 | Initial Inpatient Consultation Level 4 – 99254 | 246 | 9878997 | 631642 |
| 99255 | Initial Inpatient Consultation Level 5 – 99255 | 299 | 9878998 | 631643 |
| 99281 | 99281 – ED Level 1 | 121 | 4500001 | 22283175 |
| 99281 | 99281 – Level 1 – Lynx Visit Level | 121 | 4500001 | 1181482 |
| 99281 | 99281 – Level 1 BCE | 121 | 4500001 | 9495374 |
| 99281 | 99281 Visit Level 1 ED PRO FEE | 53 | 9813597 | 4076264 |
| 99282 | 99282 – ED Level 2 | 187 | 4500002 | 22283176 |
| 99282 | 99282 – Level 2 – Lynx Visit Level | 187 | 4500002 | 1181481 |
| 99282 | 99282 Visit Level 2 ED PRO Fee | 104 | 9814348 | 4076266 |
| 99283 | 99283 – ED Level 3 | 333 | 4500003 | 22283177 |
| 99283 | 99283 – Level 3 – Lynx Visit Level | 333 | 4500003 | 1181480 |
| 99283 | 99283 Visit Level 3 ED PRO Fee | 154 | 9815099 | 4076267 |
| 99284 | 99284 – ED Level 4 | 743 | 4500004 | 22283178 |
| 99284 | 99284 – Level 4 – Lynx Visit Level | 743 | 4500004 | 1181479 |
| 99284 | 99284 Visit Level 4 ED PRO Fee | 294 | 9815850 | 4076269 |
| 99285 | 99285 – ED Level 5 | 1036 | 4500005 | 22283179 |
| 99285 | 99285 – Level 5 – Lynx Visit Level | 1036 | 4500005 | 1181478 |
| 99285 | 99285 Visit Level 5 ED PRO FEE | 431 | 9816601 | 5175397 |
| 99291 | 99291 – Critical Care – Lynx Visit Level | 1439 | 4501010 | 1181477 |
| 99291 | 99291 Critical Care for First 30 – 74 min ED Pro Fee | 507 | 9817352 | 4076271 |
| 99291 | Critical Care Services Evaluation and Treatment for First 30 – 74 Minutes | 306 | 9879929 | 853531 |
| 99291 | H: 99291 – ED Critical Care | 1439 | 4501010 | 22283180 |
| 99292 | 99292 Critical Care for Each add 30 min ED PRO FEE | 254 | 9818103 | 4076273 |
| 99292 | Add’l 30 Min Increments CC > 74 | 344 | 4500092 | 1071599 |
| 99292 | Critical Care Services Evaluation and Treatment for Each Additional 30 Minutes – 99292 | 153 | 9879930 | 631605 |
| 99292 | Critical Care, each 30 min | 344 | 4500092 | 22283181 |
| 99304 | Initial Nursing facility care (History, Examination and MDM) | 78.3 | 9871545 | 1127536 |
| 99304 | Initial nursing facility care, per day ( low complexity) | 78.3 | 9871545 | 4308198 |
| 99305 | Initial Nursing facility care (History, Examination and MDM of moderate complexity) | 103.95 | 9871546 | 1127537 |
| 99305 | Initial nursing facility care, per day ( moderate complexity) | 103.95 | 9871546 | 4308199 |
| 99306 | Initial eval mgmnt of pt an annual nsg facility assessment. Physician spends 45 minutes | 129 | 9878199 | 1165594 |
| 99306 | Initial nursing facility care, per day (high complexity) | 129 | 9878199 | 4308200 |
| 99307 | Subsequent nursing facility care (History, Examination and MDM | 41 | 9874373 | 1127538 |
| 99307 | Subsequent nursing facility care, per day ( straightforward medical decision) KCH charge | 41 | 9874373 | 4308230 |
| 99308 | Subsequent nursing facility care (History, Examination and MDM of low complexity | 67 | 9875124 | 1127539 |
| 99308 | Subsequent nursing facility care, per day ( low complexity) KCH charge | 67 | 9875124 | 4308229 |
| 99309 | Subsequent eval mgmnt of pt an annual nsg facility assessment. Physician spends 25 minutes | 95 | 9874374 | 1165579 |
| 99309 | Subsequent nursing facility care, per day (moderate complexity) KCH charge | 95 | 9874374 | 4308231 |
| 99315 | Nursing Facility Discharge Management 30 min or Less – 99315 | 73.5 | 9871233 | 631658 |
| 99315 | SNF Discharge KCH charge | 73.5 | 9871233 | 4308225 |
| 99316 | Nursing Facility Discharge Management More Than 30 min – 99316 | 97 | 9871234 | 631659 |
| 99316 | SNF Discharge (Greater than 30 min) KCH charge | 97 | 9871234 | 4308226 |
| 99324 | Domiciliary or rest home visit for the evaluation and management of a new patient, 20min | 79 | 9879324 | 1165578 |
| 99325 | Domiciliary or rest home visit for the evaluation and management of a new patient, 30min | 114 | 9879325 | 1169526 |
| 99326 | Domiciliary or rest home visit for the evaluation and management of a new patient, 45min | 195 | 9879326 | 1165577 |
| 99327 | Domiciliary or rest home visit for the evaluation and management of a new patient, 60min | 259 | 9879327 | 1165576 |
| 99328 | Domiciliary or rest home visit for the evaluation and management of a new patient, 75min | 301 | 9879328 | 1165575 |
| 99334 | Domiciliary or rest home visit for est patients (History, Examination and MDM) | 85 | 9879334 | 1127541 |
| 99335 | Domiciliary or rest home visit for est patients (History, Examination and MDM of low complexity) | 132 | 9879335 | 1127542 |
| 99336 | Domiciliary or rest home visit for the evaluation and management of established patient,40min | 132 | 9879336 | 1165574 |
| 99337 | Domiciliary or rest home visit for the evaluation and management of established patient,60min | 268 | 9879337 | 1165570 |
| 99342 | Home Visit, New Patient, Expanded | 96 | 9874312 | 6842989 |
| 99343 | Home Visit, New Patient, Detailed | 157 | 9875063 | 6842990 |
| 99344 | Home Visit, New Patient, Comprehensive | 218 | 9875814 | 6842991 |
| 99348 | Home Visit, Established Patient, Expanded | 101 | 9876565 | 6842992 |
| 99349 | Home Visit, Established Patient, Detailed | 153 | 9877316 | 6842993 |
| 99350 | Home Visit, Established Patient, Comprehensive | 212 | 9878067 | 6842994 |
| 99350 | Instructional Program Charge | 278 | 4201647 | 1273579 |
| 99354 | Prolonged Physician Service Outpatient with Direct Patient Contact First Hour – 99354 | 121 | 9832559 | 621589 |
| 99355 | Prolonged Physician Service Outpatient with Direct Patient Contact Each Addl 30 Minutes – 99355 | 121 | 9832560 | 631712 |
| 99381 | Preventive Medicine < 1 year New – 99381 | 100 | 9838583 | 631705 |
| 99382 | Preventive Medicine 1-4 years New – 99382 | 110 | 9839937 | 631693 |
| 99383 | Preventive Medicine 5-11 years New – 99383 | 125 | 9833178 | 631701 |
| 99384 | Preventive Medicine 12-17 years New – 99384 | 125 | 9836995 | 631695 |
| 99385 | Preventive Medicine 18-39 years New – 99385 | 126 | 9835493 | 631697 |
| 99386 | Preventive Medicine 40-64 years New – 99386 | 135 | 9832964 | 631699 |
| 99387 | Preventive Medicine 65+ years New – 99387 | 155 | 9836244 | 631703 |
| 99391 | Preventive Medicine < 1 year Established – 99391 | 100 | 9831926 | 631704 |
| 99392 | Preventive Medicine 1-4 years Established – 99392 | 111 | 9832677 | 631692 |
| 99393 | Preventive Medicine 5-11 years Established | 110 | 9833428 | 853578 |
| 99393 | Preventive Medicine 5-11 years Established – 99393 | 110 | 9833428 | 631700 |
| 99394 | Preventive Medicine 12-17 years Established – 99394 | 121 | 9834179 | 631694 |
| 99395 | Preventive Medicine 18-39 years Established – 99395 | 122 | 9834930 | 631696 |
| 99396 | Preventive Medicine 40-64 years Established – 99396 | 135 | 9835681 | 631698 |
| 99397 | Preventive Medicine 65+ years Established – 99397 | 150 | 9836432 | 631702 |
| 99401 | Preventive Medicine Counseling And/Or Risk Factor Reduction Intervention(S), Individual;15 Min | 48 | 9839401 | 1303642 |
| 99402 | Preventive Medicine Counseling And/Or Risk Factor Reduction Intervention(S) Provided To An Individua | 80 | 9839402 | 3488463 |
| 99403 | Preventive Medicine Counseling And/Or Risk Factor Reduction Intervention(S), Individual; 45 Min | 111 | 9839403 | 3494238 |
| 99404 | Preventive Medicine Counseling And/Or Risk Factor Reduction Intervention(S), Individual; 60 Min | 145 | 9839404 | 3494241 |
| 99406 | Smoking and Tobacco Cessation Counseling, Symptomatic, 3-10 Minutes | 15 | 9831901 | 5126975 |
| 99407 | Smoking and Tobacco Cessation Counseling, Symptomatic, >10 Minutes | 25 | 9832652 | 5126976 |
| 99460 | Newborn Admit KCH charge | 196 | 9871911 | 4308206 |
| 99462 | Newborn Sugsequent KCH charge | 78 | 9871912 | 4308210 |
| 99463 | Newborn Same Day Discharge KCH charge | 265 | 9871913 | 4308208 |
| 99464 | Attendence at delivery (other than delivering physician) and initial stabilization of newborn | 247 | 9871914 | 4308186 |
| 99465 | Newborn Resuscitation KCH charge | 483 | 9871915 | 4308207 |
| 0191T | Insert Anterior Segment Drainage Device, Internal Approach | 4700 | 3605638 | 22796347 |
| A0420 | Ambulance Mileage Four | 44.1 | 5425818 | 3136248 |
| A0425 | Ambulance Mileage One | 31.65 | 5424316 | 3136245 |
| A0427 | Ambulance Option 1 – Ambulance Charge Options | 1018 | 5424370 | 4908222 |
| A4314 | Insertion Tray With Drainage Bag With Indwelling Catheter, Foley Type, Two-Way Latex With Coating | 52.5 | 9703006 | 1287754 |
| A4465 | Ace Wrap | 70.2 | 9704301 | 1902148 |
| A4570 | Splint | 25 | 9701608 | 1287756 |
| A4614 | Peak Flow Meter Charge | 15 | 9705705 | 858491 |
| C1783 | iStent Trabecular Micro-Bypass Stent | 3550 | 2726389 | 22796555 |
| G0008 | Administration Of Influenza Virus Vaccine When No Physician Fee Schedule Service On The Same Day | 25 | 9839258 | 1298124 |
| G0008 | Administration, Influenza Virus Vaccine | 40.25 | 4507921 | 9412279 |
| G0008 | G0008 Admin Influenza Virus Vaccine POC | 25 | 9839258 | 1713521 |
| G0009 | Administration of Pneumococcal Vaccine | 12 | 9832813 | 22484748 |
| G0010 | Administration of Hepatitis B Vaccine | 12 | 9832062 | 22484753 |
| G0103 | PSA, Total, Medicare Screening ARUP | 73.19 | 3005529 | 5095125 |
| G0105 | Colocrectal cancer screening, colomoscopy (high risk individual) | 800 | 9872479 | 4308187 |
| G0121 | Colocrectal cancer screening, colonoscopy (not high risk) | 800 | 9872480 | 4308188 |
| G0378 | Observation Each Addl Hour KCH | 12 | 7621001 | 5292986 |
| G0378 | Observation first hour | 986 | 7621000 | 8180381 |
| G0378 | ROOM/BED: Observation w/Telemetry 1st HR BCE | 1299 | 7622000 | 9628941 |
| G0378 | ROOM/BED: Observation w/Telemetry 2nd + HRs BCE | 16 | 7622001 | 9628943 |
| G0402 | Initial preventive exam | 110 | 9839310 | 1167786 |
| G0403 | Ekg For Welcome To Medicare Ex | 38 | 9832706 | 3488319 |
| G0438 | Annual Wellness Visit, Initial (AWV) | 175 | 9832213 | 1298121 |
| G0439 | Annual Wellness Visit, Subsequent (AWV) | 175 | 9832831 | 1298122 |
| G0480 | Salicylate Level | 54 | 3009187 | 633829 |
| J0171 | Adrenalin epinephrine inject | 9 | 9506757 | 1413449 |
| J0561 | INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITS | 18 | 9506920 | 1413451 |
| J0595 | Butorphanol tartrate 1 mg | 113.5 | 9503404 | 1167804 |
| J0696 | Injection, Ceftriaxone Sodium, Per 250 MG Charge | 4.5 | 9501547 | 788058 |
| J0696 | Rocephin IV Infusion/Push 250mg | 4.5 | 9501547 | 5019103 |
| J0702 | Injection, Betamethasone acet&sod phosp 6mg/ml 5ml Vial | 12 | 9501927 | 1167801 |
| J0744 | Ciprofloxacin iv | 50 | 9503805 | 1230199 |
| J0780 | Prochlorperazine injection | 5.2 | 9501815 | 1296787 |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 8 | 9506556 | 1683792 |
| J1000 | Depo-Estradiol Injection, up to 5 mg | 10 | 9506999 | 667824 |
| J1020 | Methylprednisolone Acetate 20 mg Injection | 13 | 9501582 | 2997565 |
| J1050 | Depo-Provera Injection 150 mg Charge | 123.75 | 9503084 | 667834 |
| J1071 | Injection, testosterone cypionate 1mg | 37.25 | 9505667 | 1167792 |
| J1100 | Injection, Dexamethosone Sodium Phosphate, Up to 4mg/mL Charge | 4.5 | 9506639 | 749774 |
| J1200 | Diphenhydramine, up to 50mg | 4.5 | 9507771 | 1170060 |
| J1380 | Estradiol Valerate Injection 40 mg Charge | 62.5 | 9508526 | 667822 |
| J1380 | Injection, Estradiol Valerate, up to 10 mg Charge | 15.75 | 9507671 | 749113 |
| J1580 | Garamycin gentamicin inj, up to 80 mg | 25 | 9508110 | 1167772 |
| J1644 | HEPARIN PER 1000 UNI | 19.9 | 9508479 | 1170064 |
| J1650 | Inj enoxaparin sodium per 10mg | 86 | 9501650 | 1167768 |
| J1885 | Injection, ketorolac tromethamine charge per 15 mg | 4.75 | 9506179 | 785968 |
| J1885 | TORADOL 60MG IM/IV | 4.75 | 9501462 | 2482410 |
| J1940 | Furosemide Injection 20 mg Charge | 4.5 | 9505362 | 667906 |
| J1956 | Levofloxacin Injection 250 mg Charge | 162.5 | 9505986 | 667908 |
| J2060 | Lorazepam injection, per 2 mg | 25 | 9506516 | 1296799 |
| J2250 | INJECTION, MIDAZOLAM HYDROCHLORIDE, PER 1 MG | 31 | 9502250 | 3486193 |
| J2270 | MORPHINE SULFATE 10 | 13.25 | 9502256 | 1170068 |
| J2300 | Injection nalbuphine hydrochloride, per 10 mg | 19.9 | 9503356 | 1296804 |
| J2310 | Naloxone 1 mg | 24.25 | 9507917 | 3692196 |
| J2405 | Medication Charge | 6.5 | 9502363 | 1247273 |
| J2405 | ZOFRAN 4 MG IV | 4.5 | 9502363 | 1170069 |
| J2550 | Injection, Promethazine HCL, up to 50 mg Charge | 4.5 | 9502379 | 785970 |
| J2710 | INJECTION, NEOSTIGMINE METHYLSULFATE, UP TO 0.5 MG | 8 | 9508620 | 3486209 |
| J2765 | Metoclopramide hcl injection | 5.5 | 9506759 | 1167747 |
| J2930 | Injection, Methylprednisolone 125mg/2ml #25 | 16 | 9504550 | 1240720 |
| J3010 | INJECTION, FENTANYL CITRATE, 0.1 MG | 25 | 9505411 | 3486201 |
| J3030 | Imitrex, sumatriptan succinate, per 6 mg | 79.75 | 9506755 | 1170079 |
| J3301 | Injection, Kenalog, triamcinolone acetonide, 40mg/1ml #1 | 4.5 | 9509829 | 788039 |
| J3360 | Diazepam Injection 5 mg Charge | 12 | 9508840 | 667968 |
| J3370 | Vancomycin Hcl To 500 Mg | 12.75 | 9501073 | 1685669 |
| J3410 | HYDROXYZINE 25MG INJ | 21 | 9507500 | 1170088 |
| J3420 | Injection, Vitamin B-12 Cyanocobalamin, 1ml/1000 mcg | 11.5 | 9509753 | 788040 |
| J7120 | Lactated ringers infusion, up to 1000 cc | 10.15 | 9838808 | 1413423 |
| J7321 | HyAlgan Injection Per Dose | 296.5 | 9504651 | 1357549 |
| J7325 | Synvisc per 1 mg | 40.75 | 9501824 | 1167856 |
| J7506 | PREDNISONE, ORAL, PER 5MG | 5 | 9501554 | 3486186 |
| J7509 | METHYLPREDNISOLONE ORAL, PER 4 MG | 50.25 | 9506933 | 3486204 |
| J7611 | Albuterol non-comp con | 12 | 9503165 | 1230144 |
| J7626 | PULMICORT .25+ MG IN | 6.5 | 9508497 | 1170090 |
| J7644 | IPRATROPIUM 0.002 | 4.5 | 9507746 | 1170092 |
| J9260 | Methotrexate sodium injection | 4.5 | 9505217 | 1240740 |
| L0120 | COLLAR PERFIT ACE ADJUSTABLE ADULT | 27.25 | 2703793 | 4983229 |
| L1830 | IMMOBILIZER KNEE 16 IN | 125 | 2704301 | 4983179 |
| L1830 | IMMOBILIZER KNEE 20 IN | 125 | 2704301 | 4983180 |
| L1830 | IMMOBILIZER KNEE 24 IN | 125 | 2704301 | 4983181 |
| L1902 | ANKLE LACE-UP L | 54 | 2703081 | 4983169 |
| L1902 | ANKLE LACE-UP M | 54 | 2703081 | 4983170 |
| L1902 | ANKLE LACE-UP S | 54 | 2703081 | 4983171 |
| L1902 | ANKLE LACE-UP XL | 54 | 2703081 | 4983172 |
| L1902 | ANKLE LACE-UP XS | 54 | 2703081 | 4983173 |
| L1902 | ANKLE LACE-UP XXL | 54 | 2703081 | 4983174 |
| L3650 | CLAVICLE L/XL | 28 | 2706554 | 4983177 |
| L3650 | CLAVICLE S/M | 28 | 2706554 | 4983178 |
| L3670 | DELUXE SLING AND SWATHE LARGE | 58.75 | 2701297 | 4983750 |
| L3670 | DELUXE SLING AND SWATHE MEDIUM | 58.75 | 2701297 | 4983751 |
| L3670 | DELUXE SLING AND SWATHE SMALL | 58.75 | 2701297 | 4983752 |
| L3670 | DELUXE SLING AND SWATHE X-LARGE | 58.75 | 2701297 | 4983753 |
| L3702 | TENNIS ELBOW STRP L | 30 | 2703839 | 4983183 |
| L3702 | TENNIS ELBOW STRP M | 30 | 2703839 | 4983184 |
| L3702 | TENNIS ELBOW STRP S | 30 | 2703839 | 4983185 |
| L3702 | TENNIS ELBOW STRP XL | 30 | 2703839 | 4983186 |
| L3702 | TENNIS ELBOW STRP XS | 30 | 2703839 | 4983187 |
| L3908 | APOLLO UNIV WRIST BRACE LT | 46.8 | 2702359 | 4983175 |
| L3908 | APOLLO UNIV WRIST BRACE RT | 46.8 | 2702359 | 4983176 |
| L3908 | SPLINT WRIST COCK UP 8 INCH WITH / LG | 46.8 | 2702359 | 4983801 |
| L3908 | SPLINT WRIST COCK UP 8 INCH WITH /X LG | 46.8 | 2702359 | 4983802 |
| L3908 | SPLINT WRIST COCK-UP 8 INCH WITH / SM | 46.8 | 2702359 | 4983803 |
| L3908 | SPLINT WRIST COCK-UP 8 INCH WITH /MD | 46.8 | 2702359 | 4983804 |
| L3908 | WRIST BRACE LEFT- MED | 46.8 | 2702359 | 5339253 |
| L3908 | WRIST BRACE LEFT-LG | 46.8 | 2702359 | 5339256 |
| L3908 | WRIST BRACE RT SM | 46.8 | 2702359 | 5339244 |
| L3908 | WRIST COCK UP-LT S | 46.8 | 2702359 | 5339251 |
| L3908 | WRIST COCK UP-LT XL | 46.8 | 2702359 | 5339259 |
| L3908 | WRIST COCK UP-RT LG | 46.8 | 2702359 | 5339246 |
| L3908 | WRIST COCK UP-RT M | 46.8 | 2702359 | 5339245 |
| L3908 | WRIST COCK UP-RT XL | 46.8 | 2702359 | 5339249 |
| L3908 | WRIST LACER LT M | 46.8 | 2702359 | 4983198 |
| L3908 | WRIST LACER RT L | 46.8 | 2702359 | 4983201 |
| L3908 | WRIST LACER 8 LT L | 46.8 | 2702359 | 4983197 |
| L3908 | WRIST LACER 8 LT S | 46.8 | 2702359 | 4983199 |
| L3908 | WRIST LACER 8 LT XL | 46.8 | 2702359 | 4983200 |
| L3908 | WRIST LACER 8 RT M | 46.8 | 2702359 | 4983202 |
| L3908 | WRIST LACER 8 RT S | 46.8 | 2702359 | 4983203 |
| L3908 | WRIST LACER 8 RT XL | 46.8 | 2702359 | 4983204 |
| L3908 | WRIST LACER TSPICA LT L | 46.8 | 2702359 | 4983205 |
| L3908 | WRIST LACER TSPICA LT M | 46.8 | 2702359 | 4983206 |
| L3908 | WRIST LACER TSPICA LT S | 46.8 | 2702359 | 4983207 |
| L3908 | WRIST LACER TSPICA LT XL | 46.8 | 2702359 | 4983208 |
| L3908 | WRIST LACER TSPICA RT L | 46.8 | 2702359 | 4983209 |
| L3908 | WRIST LACER TSPICA RT M | 46.8 | 2702359 | 4983210 |
| L3908 | WRIST LACER TSPICA RT S | 46.8 | 2702359 | 4983211 |
| L3908 | WRIST LACER TSPICA RT XL | 46.8 | 2702359 | 4983212 |
| L3908 | WRIST MATE 8 INCH LT XS | 46.8 | 2702359 | 4983213 |
| L3908 | WRIST MATE 8 INCH RT XS | 46.8 | 2702359 | 4983214 |
| L4350 | (NOT IN USE REPL 500048) AIRCAST ANKLE BRACE RIGHT TRAINING 9 INCH-USE 500048 | 89.48 | 2707305 | 4983218 |
| L4350 | AIR ANKLE SPLINT UNIV LG | 89.48 | 2707305 | 4983219 |
| L4350 | AIR ANKLE SPLINT UNIV MED | 89.48 | 2707305 | 4983216 |
| L4350 | AIRAST ANKLE BRACE LEFT SMALL 8.75 INCH | 89.48 | 2707305 | 4983215 |
| L4350 | AIRCAST ANKLE BRACE RIGHT SMALL 8.75 INCH | 89.48 | 2707305 | 4983217 |
| L4360 | WALKER BOOT AIR TALL LG | 172 | 2702454 | 4983192 |
| L4360 | WALKER BOOT AIR LOW TOP SM | 172 | 2702454 | 4983191 |
| L4360 | WALKER BOOT AIR TALL MED | 172 | 2702454 | 4983193 |
| L4360 | WALKER BOOT AIR TALL SM | 172 | 2702454 | 4983194 |
| L4360 | WALKER MINI NYLON L | 172 | 2702454 | 4983188 |
| L4360 | WALKER MINI NYLON M | 172 | 2702454 | 4983189 |
| L4360 | WALKER MINI NYLON S | 172 | 2702454 | 4983190 |
| L4360 | WALKER VECTRA AIR TALL XL | 172 | 2702454 | 4983195 |
| L4360 | WALKER VECTRA LITE TALL XS | 172 | 2702454 | 4983196 |
| P9016 | RBC CPD AS1 500 LR | 242 | 3819249 | 857663 |
| Q0091 | Non-Medicare Pap Collection | 44 | 9831041 | 1789577 |
| Q2038 | Influenza Virus Vaccine, IM, Fluzone | 58.5 | 9505057 | 1902233 |
| Q3014 | Consult to TeleHealth | 33 | 4504855 | 22648771 |
| S0164 | INJECTION, PANTOPRAZOLE SODIUM, 40 MG | 111.5 | 9506704 | 3486203 |
| V2632 | AcrySof IQ IOL | 350 | 2721234 | 5339214 |
