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CPT/HCPCSDescriptionPriceCDMBill Item ID
013150 Complex Eyelid, Nose, Ear, Lip 1.0 cm > ED Charge55345047593596324
013150 Repair Complex Eyelid, Nose, Ear, Lip 1.0 cm or less ED PRO FEE34298136063596246
099143 Conscious Sedation <5Yrs ED Charge7745045903650293
099143 Conscious Sedation <5Yrs ED PRO FEE9798139775175390
099144 Conscious Sedation ED PRO FEE8098147283596582
099145 Cons Sedation Ea Addtl 1 ED Charge25.545060923650295
099145 Mod Sed Monitor Pt’s Level of Consciousn/Physiological Status; each Addtl 15 Min ED PRO FEE3298154793596651
0AIRWAY NASAL LATEX FREE 28 FR11.7527271434983730
0AIRWAY NASAL LATEX FREE 30 FR11.7527271434983885
0AIRWAY NASAL LATEX FREE 32FR11.7527271435339224
0Anesthesia Mask-POM35270469122153634
0Anesthesia Unit Charge – Kane6637026079547370
0ANTI REFLUX VALVE22.5270506622511438
0ARGYLE TROCAR CATH KIT10227240884983828
0B/H PED EMER SYST 7700 BAW12027090065021065
0B/H PED EMER SYST 7700 BIN12027090065021067
0B/H PED EMER SYST 7700 BIO12027090065021064
0B/H PED EMER SYST 7700 BIV12027090065021066
0B/H PED EMER SYST 7700 GAW12027090065021073
0B/H PED EMER SYST 7700 GIN12027090065021075
0B/H PED EMER SYST 7700 GIO12027090065021072
0B/H PED EMER SYST 7700 GIV12027090065021074
0B/H PED EMER SYST 7700 OAW12027090065021069
0B/H PED EMER SYST 7700 OIN12027090065021071
0B/H PED EMER SYST 7700 OIO12027090065021068
0B/H PED EMER SYST 7700 OIV12027090065021070
0B/H PED EMER SYST 7700 PAW12027090065021053
0B/H PED EMER SYST 7700 PIN12027090065021055
0B/H PED EMER SYST 7700 PIO12027090065021052
0B/H PED EMER SYST 7700 PIV12027090065021054
0B/H PED EMER SYST 7700 RAW12027090065021049
0B/H PED EMER SYST 7700 RIN12027090065021051
0B/H PED EMER SYST 7700 RIO12027090065021048
0B/H PED EMER SYST 7700 RIV12027090065021050
0B/H PED EMER SYST 7700 WAW12027090065021061
0B/H PED EMER SYST 7700 WIN12027090065021063
0B/H PED EMER SYST 7700 WIO12027090065021060
0B/H PED EMER SYST 7700 WIV12027090065021062
0B/H PED EMER SYST 7700 YAW12027090065021057
0B/H PED EMER SYST 7700 YIN12027090065021059
0B/H PED EMER SYST 7700 YIO12027090065021056
0B/H PED EMER SYST 7700 YIV12027090065021058
0BARD FOLEY CATHETER 14FR69.7527230064983848
0BARD FOLEY CATHETER 22FR69.7527230064983852
0Bill Surgical Path Lvl II6630051203193515
0BINDER ABDOMINAL 12 INCH 4-PANEL48.7527049754983736
0BINDER ABDOMINAL 12 INCH 4-PANEL / LG48.7527049754983737
0CANNULA INFANT RAM41.25270248122553466
0CANOPY, PED AEROSOL, W/2 36IN87.7504983870
0CAST TAPE SCOTCHCAST WHITE 2X4YD76.2527023964983742
0CAST TAPE SCOTCHCAST WHITE 3X4YD76.2527023964983743
0CAST TAPE SCOTCHCAST WHITE 4X4YD76.2527023964983744
0CATH TRAY FOLEY 16FR 5CC LTX W/BAG9727275124983221
0CATHETER FOLEY LTX RD TIP2WAY30CC249727275124983222
0CATHETER FOLEY SIL 2WAY 12FR 5CC LF69.7527230064983223
0CATHETER FOLEY SIL 2WAY 16FR 5CC LF69.7527230064983224
0CATHETER FOLEY SIL 2WAY 18FR 5CC LF69.7527230064983225
0CATHETER FOLEY SIL 2WAY 30CC 22FR69.7527230064983226
0CATHETER FOLEY SIL 2WAY 5CC 20FR69.7527230064983227
0CATHETER FOLEY SIL PEDI 2WAY3CC 8FR69.7527230064983228
0Closed Treatment of Scapula Fracture35798188187142611
0Closed Treatment of Scapula Fracture, without manipulation14545095697142612
0Conscious Sedation >5Yrs ED Charge6445053413650294
0CT Maxillofacial w/o Contrast767.40630094
0CT PE Chest/ Abdomen w/ Contrast74701005192
0CUP ULTRA TOUCH SILICONE V.E. 60MM46.527090474983746
0D RX BAG NACL .9P 250ML26.7525820394983886
0D RX BAG NACL .9P 500ML26.7525820394983887
0D RX CHLORIDE SODIUM 3P INJ USP26.7525820394983888
0D RX DEX 5P NACL 45P 500ML CS/2426.7525820394983889
0D RX DEXTROSE 10P 500 ML26.7525820394983890
0D RX DEXTROSE 5% & 0.2% SODIUM CHL26.7525820394983891
0D RX DEXTROSE 5% & 0.45% 1000ML26.7525820394983892
0D RX DEXTROSE 5% 0.9% SODIUM 100026.7525820394983893
0D RX DEXTROSE 5% INJECTION USP 100026.7525820394983894
0D RX DEXTROSE 5P INJ USP 500ML26.7525820394983895
0D RX HETASTARCH 6% IN 0.9%26.7525820394983849
0D RX INJECTION 5P DEXTROSE AND 0.2P26.7525820394983850
0D RX LACTATED RINGERS & 5% DEXTROSE26.7525820394983851
0D RX LACTATED RINGERS INJ USP 1000M26.7525820394983853
0D RX SODIUM CHLORIDE INJ 0.45% USP(2B1314X)26.7525820394983846
0D RX SODIUM CHLORIDE INJ 0.9% 1000M26.7525820394983858
0D RX TRAVENOL 0.9P NACL INJ 100ML26.7525820394983788
0D RX TRAVENOL 5% DEX INJ USP26.7525820394983829
0DELIVERY CHARGE64672229263762114
0DISPOSABLE SENSOR53.2527058866390983
0DRAIN CHEST LATEX FREE118.7527276304983754
0DRESSING DUODERM CGF 4X423.527088414983756
0DRESSING DUODERM CGF 6X623.527088414983757
0DRESSING DUODERM CGF 8X823.527088414983758
0Drug Detection Panel, Umbilical Cord Tissue, Qualitative ARUP189300277822543730
0Drug Pan 9, Ser/Pla, Scrn w/Rflx to Conf ARUP111.5630068081763985
0ENDOSCOPIC GIA ROTICULATOR 45-2.556027263784983766
0EPISTAXIS, INFL, UNILATRL, W/O AIRWAY 5.5CM128.5270359023384560
0EPISTAXIS, NON INFL, RAPID-PAC, 5.5CM125270434123384561
0Evaluation Charge884347507691677
0EXCERCISER VOLUMETRIC CAPA 2500ML23.527082094983767
0FLEX MASK/3/TODDLER4227027754983869
0FLEX MASK/5/ADULT LARGE4227027754983868
0FLOWTRON CALF GARMENT DVT1021027255314983823
0FLOWTRON CALF GARMENT DVT2021027255314983824
0FLOWTRON GARMENT21027255316390987
0FOLEY 6 FRENCH 100% SILICONE 1.5CC69.7527230064983769
0Iodide, Serum or Plasma ARUP179.1330081111763938
0KATZ EXTRACTOR175.5270720123041960
0KCH Recovery24571059373884244
0KENDALL 16G ILLINOIS STERNAL NEEDLE 888124516438.7527098285424504
0KIT TUBE GASTRIC 34FR19827032264983236
0LABOR ROOM 01 HOUR CHARGE24072110013504698
0LABOR ROOM 02 HOURS CHARGE26672110023504699
0LABOR ROOM 03 HOURS CHARGE29372110033504700
0LABOR ROOM 04 HOURS CHARGE32072110043504701
0LABOR ROOM 05 HOURS CHARGE34672110053504702
0LABOR ROOM 06 HOURS CHARGE37372110063504703
0LABOR ROOM 07 HOURS CHARGE39972110073504704
0LABOR ROOM 10 HOURS CHARGE47972110103504707
0LABOR ROOM 11 HOURS CHARGE50672110113532192
0LABOR ROOM 12 HOURS CHARGE53372110123532194
0LABOR ROOM 13 HOURS CHARGE55972110133532195
0LABOR ROOM 14 HOURS CHARGE58672110143762103
0LABOR ROOM 15 HOURS CHARGE61272110153762104
0LABOR ROOM 16 HOURS CHARGE63972110163762105
0LABOR ROOM 17 HOURS CHARGE66672110173762106
0LABOR ROOM 18 HOURS CHARGE69272110183762107
0LABOR ROOM 19 HOURS CHARGE71972110193762108
0LABOR ROOM 20 HOURS CHARGE74572110203762109
0LABOR ROOM 21 HOURS CHARGE77272110213762110
0LABOR ROOM 22 HOURS CHARGE79872110223762111
0LABOR ROOM 23 HOURS CHARGE82572110233762112
0LABOR ROOM 24 HOURS CHARGE85272110243762113
0LABOR ROOM 8 HOURS CHARGE42672110083504705
0LABOR ROOM 9 HOURS CHARGE45372110093504706
0LED Vaginal Speculum15.75270263422724989
0LENS MORGAN MEDI-FLOW170.64270645023012869
0LMA DISPOSABLE11027025556390984
0LMA SIZE 2 STD11027025555339228
0LMA SIZE 3 STD11027025555339229
0LMA SIZE 4 STD11027025555339230
0LMA SIZE 5 STD11027025555339231
0LUMBAR PUNCTURE TRAY12127234626390986
0Major Each Addl 15 Minutes BCE252360142422113511
0Major first 60 Minutes BCE1532360110022113506
0MEDC LACERATION TRAY33.2527058084983827
0MEDC TRAY CENT LINE TEG CHG TAPE23.7527094614983790
0MICROBORE EXTENSION SETS13.7527026584983825
0Mist Tent Treatment87.7527025111161580
0MOUTHPIECE ACAPELLA DM BLUE198.6527085864983239
0NASAL AIRWAY11.7527271436390985
0NASAL ATOMIZER23.5270602423156738
0NEO-TEE RESUSCITATOR93.2527029424983348
0Nicotine and Metabolites, Urine ARUP155.6330087025146973
0Nitrous Oxide, Per Hour1727947166726656
0Office/OP Established Visit Level 4 9921413798362041264828
0ORTHOGLASS 5 IN.76.2527023964983826
0OT EVALUATION MODERATE COMPLEXITY – Evaluation Charge8843475071230411
0OT REEVALUATION – Reevaluation Charge6643482581230419
0Oxygen Therapy ED KCH3727936774582734
0OXYGEN, 1-12 HOURS CHARGE14027934613776193
0Oxygen, Per Hour3701819173
0Paraffin Bath Charge – Paraffin Bath Charge2042070181230143
0Pediatric Urine Bag21270188322724988
0PENCIL ROCKERSWITCH23.527054674983793
0PLUG MESH LARGE PERFIX 1.6X1.90582.527048094983794
0PLUG MESH MEDIUM PERFIX582.527048094983795
0PLUG ULTRAPRO HERNIA LARGE582.527048094983796
0Pneumothorax Kit-Thoracic Vent Procedure Tray44027286729299426
0PRECISE SKIN STAPLER134.7527272774983882
0PREMIE SKIN TEMP PROBE91270677523169281
0PT Evaluation Charge – PT Evaluation Charge8842070011230396
0PT RE-EVALUATION – Reevaluation Charge4442070021230363
0PUMP HARMONY BREAST42.7527097984983863
0Reevaluation Charge664348258691993
0Rhino Rocket40270358222023797
0ROOM/BED: Bed Hold8612060003884194
0ROOM/BED: Isolation16591204169867367
0ROOM/BED: Nursery62317036841101854
0ROOM/BED: Obstetrics125612229331101862
0ROOM/BED: Private12561201431867360
0ROOM/BED: SNF19012959303884193
0ROOM/BED: Swing2501295179867362
0ROOM/BED: Telemetry16592002182867366
0SEPERATOR ACCESS SYSTEM 11X150MM532.527286314983860
0SLEEVE FLOWTRON THIGH UP TO 28IN21027255314983800
0Smoking and Tobacco Cessation Counseling, Asymptomatic, >10 Minutes2598311505126978
0Smoking and Tobacco Cessation Counseling, Asymptomatic, 3-10 Minutes1598399215126977
0SOFT CERVICAL COLLAR LG27.2527037935424508
0SOFT CERVICAL COLLAR MED27.2527037935424509
0SOFT CERVICAL COLLAR SM27.2527037935424510
0SOFT CERVICAL COLLAR XSM27.2527037935424511
0SPUR II PED RESUSCITATOR93.2527029424983862
0Tetanus Toxoid POC1009508692667679
0Tetanus-Diphtheria Toxoids 7 yrs and Older POC1009503537667687
0TRAY CATHETER FOLEY 5CC 18FR9727275124983247
0Tricyclic Antidepressant Detection ARUP116.5630035865146979
0TROCAR Z THREAD 12X100255.6327270924983250
0TruClose Thoracic Vent Set718.4270437422381647
0TUBING INSUFLATION HI-LOW 20 LTR60.7527068684983820
0Upper GI Endoscopy w/ Removal Esophagus KCH charge42598725515178972
0US Breast Left243.20627718
0US Breast Right243.20627720
0VENTILATOR CIRCUIT UNIT130270959823450640
0X RX KIT TRIPLE LUMEN CATHETERS 7X1220.1127079684983907
0X RX TRAY PARACENTESIS 8FR 4-3/480.2527270924983251
0XR Hip 1 View Left214.40630469
0XR Hip 1 View Right214.40630465
0XR Hip Bilateral w/Pelvis24732075581007976
0XR Hip Complete Left219.40630453
0XR Hip Complete Left2413206807823580
0XR Hip Complete Right219.40630449
0XR Hip Complete Right2413206807823582
0XR Pelvis + Hips Infant/Child219.40630287
0XR Pelvis + Hips Infant/Child24132098111008037
0XR Spine Scoliosis Supine + Standing3780630012
0XR Spine Scoliosis Supine + Standing41632066871163889
147001470 Digital Block Lower Ext ED PRO FEE18898114703556471
181001810 Digital Block Upper Extr ED Pro Fee18898118103556478
1002110021 ED Pro Fee9798143083556481
1002110021 Fine Needle Aspiration ED Charge17945050593596205
1002210022 Fine Needle Aspiration, with Imaging Guidance, ED Fee440450496121859820
1002210022 Fine Needle Aspiration, with Imaging Guidance, Pro Fee98981571221859821
1006010060 Incis/Drain Absc ED Pro Fee14098120223556482
1006010060 Incision/Drainage Of Abs ED Charge13845074443596206
10060Drain Skin Abscess, Simple/Single Charge1269835946713671
1006110061 INCISION AND DRAINAGE ED Charge15845023455175391
1006110061 INCISION AND DRAINAGE ED Profee Charge26398183185208984
10061Drain Skin Abscess, Complex/Multiple Charge2039835290713673
1008010080 Incision and Drainage of Pilonidal Cyst; Simple ED Charge138450727412042182
1008010080 Incision and Drainage of Pilonidal Cyst; Simple, ED PRO FEE152981802512042187
1012010120 REMOVAL FOREIGN BODY ED Charge30745032155175378
1012010120 Remove Foreign Body ED Pro Fee11898139663556483
10120Incision & Removal of Foreign Body, Subcutaneous Tissues; Simple Charge1559831597729091
1012110121 REMOVAL FOREIGN BODY COMPLICAT1700450685722440736
10121Incision & Removal of Foreign Body, Subcutaneous Tissues; Complicated Charge2059833758729093
1014010140 Incision & Drainage of hematoma, seroma or fluid collection, ED Charge400450888022409866
1014010140 Incision & Drainage of hematoma, seroma or fluid collection, ED Pro Fee129981963122409867
10140Drainage of Skin Lesion Charge1759831014713679
1016010160 Aspiration Of Abcess/Hem ED Charge15845079273596207
1016010160 CYST ASPIRATION ED Pro Fee11098186783556484
10160Puncture Aspirtn of Abscess, Hematoma, Bulla, or Cyst Charge1289832041729095
1101011010 DEBRIDEMENT, SKIN SUBQ, MUSCLES ED Pro Fee38298127343556485
1101011010 Debridement Skin, Fx ED Charge49245034853596208
11010Debride Skin/Tissue, Fx Charge2759839334713681
1104211042 Debridement of Tissue ED Charge30745041303596209
1104211042 DEBRIDEMENT OF TISSUE ED Pro Fee8998148813556491
1104311043 Debridement Tissue/Muscle ED Charge30745075523596210
1104311043 Debridement; Skin, Subcutaneous Tissue, And Muscle ED Pro Fee30898183033556493
11055Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion56.7598333447876609
11056Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions7098340957876610
11100Biopsy of skin, subcutaneous tissue; single lesion12598310917693341
11100Biopsy of skin, subq. tissue &/or mucous memb. (incl. simple clos.); single lesion Charge509834131750102
11101Biopsy, Skin Subq/Mucous, Ea Add’l Charge319833380713689
11200Removal of Skin Tags, Mult Fibrocutaneous Tags, Any Area; Up to & w/15 Lesions Charge869834490729105
11201Removal of Skin Tags, Mult Fibrocutaneous Tags, Any Area; each Addtl Ten Lesions Charge209835992729107
11301Shave (Epi)Dermal Lesion, Single, Trunk, Arms or Legs; Diam 0.6 to 1.0 cm Charge1309831878713805
11306Shave (Epi)Dermal Lesion, Single, Scalp, Neck, Hands, Feet, Genital; Diam 0.6 to 1.0 cm Charge1459831127713813
11310Shave (Epi)Dermal Lesion, Single, Face/Ears/Eyelids/Nose/Lips/Mucous Membrane; Diam 0.5 cm > Charge809833252713819
1140011400 Excision Benign Lesion ED Charge49245097573596212
1140011400 Remove Lesion, Trunk/Arm/Leg <.5 cm ED Pro Fee12798110253556497
11400Remove Lesion, Trunk/Arm/Leg <.5 cm Charge1239839300713695
11401Remove Lesion, Trunk/Arm/Leg .6 to 1.0 cm Charge1439839301713697
11402Remove Lesion, Trunk/Arm/Leg 1.1 to 2.0 cm Charge1639839302713699
11403Remove Lesion, Trunk/Arm/Leg 2.1 to 3.0 cm Charge1839839303713701
11404Remove Lesion, Trunk/Arm/Leg 3.1 to 4.0 cm Charge1959837081713703
11406Remove Lesion, Trunk/Arm/Leg >4.0 cm Charge2909831393713705
11420Remove Lesion, Scalp/Neck/Hand/Foot < .5 cm Charge1199839306713707
11421Remove Lesion, Scalp/Neck/Hand/Foot .6 to 1.0 cm Charge1539839307713709
11422Remove Lesion, Scalp/Neck/Hand/Foot 1.1 to 2.0 cm Charge1699839308713711
11440Remove Lesion, Face/Lid/Ear/Nose/Lip <.5 cm Charge1449839312713719
11441Remove Lesion, Face/Lid/Ear/Nose/Lip .6 to 1.0 cm Charge1669839313713721
11442Remove Lesion, Face/Lid/Ear/Nose/Lip 1.1 to 2.0 cm Charge1869839314713723
11443Remove Lesion, Face/Lid/Ear/Nose/Lip 2.1 to 3.0 cm Charge2299839315713725
11600Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 0.5 cm or Less Charge1709838779729109
11601Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 0.6 to 1.0 cm Charge2089838780729111
11602Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 1.1 to 2.0 cm Charge2079838781729113
11604Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 3.1 to 4.0 cm Charge3429834509729117
11606Remove Malig Lesion w/Margins, Trunk, Arms, or Legs; Diam 4.0+ cm Charge3529835260713841
11620Remove Malig Lesion w/Margins, Scalp, Neck, Hands, Feet, Genital; Diam 0.5 cm > Charge1649838782713843
11621Remove Malig Lesion w/Margins, Scalp, Neck, Hands, Feet, Genital; Diam 0.6 to 1.0 cm Charge1949838783713845
11622Remove Malig Lesion w/Margins, Scalp, Neck, Hands, Feet, Genital; Diam 1.1 to 2.0 cm Charge2209838784713847
11623Remove Malig Lesion w/Margins, Scalp, Neck, Hands, Feet, Genital; Diam 2.1 to 3.0 cm Charge2659832629713849
11640Excise, Malign Lesion w/Margins, Face, Ears, Eyelids, Nose, Lips; Excised diam 0.5 cm or Less Charge1749838785729119
11641Excise, Malign Lesion w/Margins, Face, Ears, Eyelids, Nose, Lips; Excised diam 0.6 to 1.0 cm Charge2259838786729121
11642Excise, Malign Lesion w/Margins, Face, Ears, Eyelids, Nose, Lips; Excised diam 1.1 to 2.0 cm Charge2819838484729123
11643Remove Malig Lesion w/Margins, Face, Ears, Eyelids, Nose, Lips; Diam 2.1 to 3.0 cm Charge2259831663713861
1173011730 NAIL AVULSION ED Charge9845033143596214
1173011730 NAIL AVULSION ED TECH8498188543556498
1174011740 EVAC SUBUNGAL HEMATOMA ED Charge4345054103596215
1174011740 Evacuation Of Subungual Hematoma ED Pro Fee4098161613556503
11740Evac of Subungual Hematoma Charge449831174729133
11750Excise of Nail & matrix, Part. or Complete, for Permanent Removal Charge1729831472749077
1176511765 WEDGE EXCISION TOE NAIL ED Charge9845064553596216
1176511765 WEDGE EXCISION TOE NAIL ED Pro Fee6698179573556508
1200112001 Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 2.5 cm > ED Charge13345053513596218
1200112001 Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 2.5 cm > ED Pro Fee13698199593556517
12001Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 2.5 cm > Charge1749839959713867
12001Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 2.5 cm or less Charge11098319677389378
1200212002 Rep Smple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 2.6 cm to 7.5 ED PRO FEE15098113443556518
1200212002 Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 2.6 cm to 7.5 cm ED Ch13345056503596225
12002Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 2.6 cm to 7.5 cm Charge183.69831344713869
1200412004 Rep Smpl Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 7.6 cm to 12.5 ED PRO FEE17998120953596197
1200412004 Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 7.6 cm to 12.5 cm ED C13345064013596227
12004Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 7.6 cm to 12.5 cm Charge2169832095713871
1200512005 Rep Smpl Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 12.6 cm to 20.0 ED PRO FEE22498175755208985
1200512005 Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 12.6 cm to 20.0 cm ED13345068243596228
12005Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 12.6 cm to 20.0 cm Charge2689831345713873
1200612006 Rep Smpl Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 20.1 cm to 30.0 ED PRO FEE29098142363596201
1200612006 Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 20.1 cm to 30.0 cm ED Charge13345036703596233
12006Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 20.1 cm to 30.0 cm Charge333.459831346713875
1200712007 Rep Smpl Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 30.0+ ED PRO FEE25498199853596202
1200712007 Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 30.0+ cm ED Charge13345014753596259
12007Repair Simple Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 30.0+ cm Charge377.559831348713877
1201112011 Rep Smpl Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 2.5 cm > ED PRO FEE14198128463596203
1201112011 Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 2.5 cm > ED Charge13345071523596260
12011Repair Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 2.5 cm > Charge182.79831349713879
1201312013 Rep Smpl Face, Ears, Eyelids, Nose, Lips and/or Mucous Membrane; 2.6 cm to 5.0 ED PRO FEE16198176933596211
1201312013 Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 2.6 cm to 5.0 cm ED Charge13345079033596261
12013Repair Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 2.6 cm to 5.0 cm Charge200.259831350713881
1201412014 Rep Smpl Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 5.1 cm to 7.5 ED PRO FEE19698184443596213
1201412014 Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 5.1 cm to 7.5 cm ED Charge13345086543596262
12014Repair Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 5.1 cm to 7.5 cm Charge237.159831351713883
1201512015 Rep Smpl Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 7.6 cm to 12.5 ED PRO FEE24798171813596217
1201512015 Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 7.6 cm to 12.5 cm ED Charge13345079323596264
12015Repair Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 7.6 cm to 12.5 cm Charge297.99831352713885
1201612016 Rep Smpl Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 12.6 cm to 20.0 ED PRO FEE29498130463596219
1201612016 Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 12.6 cm to 20.0 cm ED Charge13345037973596263
12016Repair Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 12.6 cm to 20.0 cm Charge353.259831353713887
12017Repair Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 20.1 cm to 30.0 cm Charge318.159831354713889
12018Repair Simple Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 30.0+ cm Charge378.99831355713891
12020Treatmement of Superficial Wound Dehiscence; Simple Closure Charge1809836823729143
12020Treatment of superficial wound dehiscence; simple closure, ED Charge589450957222545206
12020Treatment of superficial wound dehiscence; simple closure, Pro Fee282981129822545207
1203112031 Clos of Wounds of Scalp, Axillae, Trunk, Extrem (Exclude Hands and Feet) 2.5 cm ED PRO FEE17098191953596266
1203112031 Layer Closure of Wounds of Scalp, Axillae, Trunk, Extremities(Exclude Hands and Feet) 2.5 cm o36245094053596220
1203112031 Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and29098383468459544
1203212032 Clos of Wounds of Scalp, Axillae, Trunk, Extrem(Excl Hands and Ft) 2.6 cm to 07.5 ED PRO FEE36245061023596267
1203212032 Lay Clos of Wounds of Scalp, Axillae, Trunk, Extremities(Excl Hands and Feet) 2.6cm ED PRO FEE22798199463596221
12032Layer Closure of Wounds of Scalp, Axillae, Trunk, Extremities(Exclude Hands and Feet) 2.6 cm to 07.53259832053881129
1203412034 Closure of Wounds of Scalp, Axillae, Trunk, Extremities(Exclude Hands and Feet) 7.6 cm to 12.536245068533596268
1203412034 Lay Clos of Wounds of Scalp, Axillae, Trunk, Extremities(Excl Hands and Feet) 7.6cm ED PRO FEE23998153403596222
12034Layer Closure of Wounds of Scalp, Axillae, Trunk, Extremities(Exclude Hands and Feet) 7.6 cm to 12.5286.659871203881137
1203512035 Closure of Wounds of Scalp, Axillae, Trunk, Extremities(Exclude Hands and Feet) 12.6 cm to 2036245076043596269
1203512035 Lay Clos of Wounds of Scalp, Axillae, Trunk, Extremitie(Excl Hands and Feet) 12.6cm ED PRO FEE28598161003596223
1203612036 Closure of Wounds of Scalp, Axillae, Trunk, Extremities(Exclude Hands and Feet) 20.1 cm to 3036245054303596282
1203612036 Lay Clos of Wounds of Scalp, Axillae, Trunk, Extremitie(Excl Hands and Feet) 20.1cm ED PRO FEE35998161813596224
1204112041 Closure of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 2.5 cm > ED Charge13345083553596283
1204112041 Lay Clos of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 2.5cm or Less Charge ED PRO FEE18698117493596226
12041Layer Closure of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 2.5 cm or Less Charge Tech Chg24598325751731849
1204212042 Lay Clos of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 2.6 cm to 7.5 cm ED PRO FEE23298168513596229
12042Closure of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 2.6 cm to 7.5 cm Charge36245091063596284
12042Layer Closure of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 2.6 cm to 7.5 cm Charge4839838435729147
1204412044 Closure of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 7.6 cm to 12.5 cm ED Charge36245069713596285
1204412044 Lay Clos of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 7.6 cm to 12.5 ED PRO FEE26998162203596231
12044Layer Closure of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 7.6 cm to 12.5 cm Charge3809833715729149
1204512045 Closure of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 12.6 cm to 20 cm ED Charge36245061493596286
1204512045 Lay Clos of Wounds of Neck, Hands, Feet and/or Ext Genitalia; 12.6 cm to 20.0 ED PRO FEE32198169003596230
1205112051 Closure of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 2.5 cm > ED Charge36245021983596287
1205112051 Lay Clos of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 2.5 cm or Less ED PRO FEE19898176023596232
1205212052 Closure of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 2.6 cm to 5.0 cm ED Charge36245029493596288
1205212052 Lay Clos of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 2.6 cm to 05.0 ED PRO FEE24298183533596234
12052Layer Closure of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 2.6 cm to 05.0 cm Charge297.99832052881178
1205312053 Closure of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 5.1 cm to 7.5 cm ED Charge36245025633596289
1205312053 Lay Clos of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 5.1 cm to 07.5 ED PRO FEE25598138383596235
1205412054 Closure of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 7.6 cm to 12.5 cm ED Charge13345045893596290
1205412054 Lay Clos of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 7.6 cm to 12.5 ED PRO FEE28298169123596236
1205512055 Closure of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 12.6 cm to ED Charge36245046473596291
1205512055 Lay Clos of Wounds of Face, Ear, Eyelid, Nose, Lip, Mucous Membrane 12.6 cm to 20.0 ED PRO FEE36198153983596237
1310013100 Repair Complex Trunk 1.1 to 2.5 cm ED Charge55345098573596292
1310013100 Repair Complex Trunk 1.1 to 2.5 cm ED PRO FEE31798134035175384
1310113101 Repair Complex Trunk 02.6 to 07.5 cm ED PRO FEE33198126703596238
1310113101 Repair Complex Trunk 2.6 to 7.5 cm ED Charge55345010043596293
1310213102 Repair Complex Trunk Each Additional 5cm or Less ED Charge31345049055175385
1310213102 Repair Complex Trunk Each Additional 5cm or Less ED PRO FEE10098134213596239
1312013120 Repair Complex, Scalp, Arms, and/or Legs; 1.1 cm to 2.5 cm ED Charge36245017553596294
1312013120 Repair Complex, Scalp, Arms, and/or Legs; 1.1 cm to 2.5 cm ED PRO FEE26898191043596240
1312113121 Repair Complex, Scalp, Arms, and/or Legs; 2.6 cm to 7.5 cm ED Charge36245025063596295
1312113121 Repair Complex, Scalp, Arms, and/or Legs; 2.6 cm to 7.5 cm ED PRO FEE50098198553596241
13121Repair Complex, Scalp, Arms, and/or Legs; 2.6 cm to 7.5 cm Charge3859831689729155
1312213122 Repair Complex, Scalp, Arms, and/or Leg Each Additional 5cm > ED Charge13345057793596296
1312213122 Repair Complex, Scalp, Arms, and/or Leg Each Additional 5cm or Less ED PRO FEE13298113533596242
13122Repair Complex, Scalp, Arms, and/or Leg Each Additional 5cm or Less Charge1129831413881242
1313113131 Complex Forehead/Cheek/Mouth/Neck/Axillae/Genitalia/Hands/Feet 1.1 to 2.5 cm ED Charge36245032573596320
1313113131 Repair Complex Forehead/Cheek/Mouth/Neck/Axillae/Genitalia/Hands/Feet 01.1 to 02.5 ED PRO FEE31198121043596243
1313213132 Complex Forehead/Cheek/Mouth/Neck/Axillae/Genitalia/Hands/Feet 2.6 to 7.5 cm ED Charge55345040083596321
1313213132 Repair Complex Forehead/Cheek/Mouth/Neck/Axillae/Genitalia/Hands/Feet 02.6 to 07.5 ED PRO FEE49298128553596244
1313313133 Complex Forehead/Cheek/Mouth/Neck/Axillae/Genitalia/Hands/Feet Each Additional 5cm> ED Charge36245082843596323
1313313133 Rep Compl Forehead/Cheek/Mouth/Neck/Axillae/Genitalia/Hands/Feet Each Addl 5cm ED PRO FEE17998175333983142
1315113151 Complex Eyelid, Nose, Ear, Lip 1.1 cm to 2.5 cm ED Charge55345055103596326
1315113151 Repair Complex Eyelid, Nose, Ear, Lip 01.1 cm to 02.5 cm ED PRO FEE38398143573596247
1315213152 Complex Eyelid, Nose, Ear, Lip 2.6 cm to 7.5 cm ED Charge55345062613596328
1315213152 Repair Complex Eyelid, Nose, Ear, Lip 02.6 cm to 07.5 cm ED PRO FEE55898151083596248
1315313153 Repair Complex Eyelid, Nose, Ear, Lip Each Additional 5cm or Less ED Charge31345041545175386
1315313153 Repair Complex Eyelid, Nose, Ear, Lip Each Additional 5cm or Less ED PRO FEE19698119453596249
14001Adj tissue xfer/rearrangement,trunk defect 10.1cm-30.0cm Tech Chg842.498714001403578
1600016000 BURN TREATMENT ED Charge9845059533596330
1600016000 First Degree Burn ED PRO FEE6398145983596250
1602016020 Burn Care, Small ED Charge16745017133596331
1602016020 Dress and/or debridement of partial-thickness burns,initial or subsequent;(< 5%) ED PRO FEE8298195613596251
16020Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5%93.69836020749804
1602516025 BURN CARE NO ANETH,MED ED Charge16745087083596333
1602516025 Dress and/or debridement of partial-thickness burns, initial or subsequent; medium ED PRO FEE15598194593596252
16025Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole fa1159833068749806
1603016030 Burn Treatment, Large ED Charge16745098053596335
1603016030 Dress and/or debridement of partial-thickness burns, initial or subsequent; large ED PRO FEE17498112223596253
17000Destruction Benign/Premalig Lesion Charge859834615713765
17003Destruction Benign/Premalig 2-14 Lesions, each Charge359835366753175
17004Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), pr19298385511137625
17110Destruction (eg, laser/electro/cryo/chemosurgery/curettement), of warts; up to 14 lesions Charge1079834616753176
17111Destruction (laser/electro/cryo/chemosurgery/curette), of warts; 15 or more lesions Charge1289835367753177
19000Breast Aspiration, Puncture Charge1809839460723129
1912019120 Excis Of Cyst, Fibroadenoma, Or Oth Benign Or Malig Tumor Aberrant Breast Tiss, Duc ED PRO FEE54098191853596254
1912019120 Removal Of Breast Lesion ED Charge283745099363596337
2052020520 Removal of Foreign Body In Muscle or Tendon Sheath; Simple ED Charge49245031453597050
2052020520 Removal of Foreign Body In Muscle or Tendon Sheath; Simple ED PRO FEE20098138963596255
20526Inj, Therapeutic (eg, Local Anesthetic, Corticosteroid), Carpal Tunnel Charge3184507816729193
20526Injection, therapeutic (eg, local anesthetic, cort – 20526286981856722136320
2055020550 Inj Plantar Fascia, Tend ED Charge29145022073597051
2055020550 Inj(s); Single Tendon Sheath, or Ligament, Aponeurosis (eg, Planterar “”Fascia””) ED PRO FEE5798122063596256
20550Inj(s); Single Tendon Sheath, or Ligament, Aponeurosis (eg, Planterar “”Fascia””) Charge699832550729195
2055220552 Inj(s); Single or Mult Trigger Point(S), One or Two Muscle(s) ED PRO FEE4798145623596297
2055220552 TRIGGER POINT INJ 1 0R 2 ED Charge29145038113597052
20552Inj(s); Single or Mult Trigger Point(S), One or Two Muscle(s) Charge639832158729199
20553Inj(s); Single or Mult Trigger Point(S), Three or More Muscle(s) Charge68.49832287729201
2060020600 Arthrocentesis, Aspirtn and/or Inj; Small Joint or Bursa (eg, Fingers, toes) ED PRO FEE5598154693596300
2060020600 ARTHROCENTESIS;SM JOINT ED Charge29145047183597053
20600Arthrocentesis, Aspirtn and/or Inj; Small Joint or Bursa (eg, Fingers, toes) Charge639835400729203
2060520605 Arthrocentesis Intermed Joint, Wrist, Elbow, Ankle ED PRO FEE5998167823596301
2060520605 ARTHROCENTESIS, INTERM. ED Charge29145060313597054
20605Arthrocentesis Intermed Joint, Wrist, Elbow, Ankle Charge689835401713767
2061020610 Arthrocentesis Bursa ED PRO FEE6798117503596302
20610Arthrocentesis Major Joint, Shoulder, Hip, Knee Charge839835402713769
20610Aspir/Inj Mj Jnt ED Charge24845093823597055
2133721337 Closed Treatment Of Nasal Septal Fracture, With Or Without Stabilization ED PRO FEE14298113373596303
2133721337 Nasal Septum Fx ED Charge187745013373597056
2148021480 Closed Treatment Of Temporomandibular Dislocation; Initial Or Subseq ED PRO FEE4998138323596304
2148021480 Temporomandibular Disloc ED Charge11945045833597057
2350023500 Closed Trtmt of Clavicular Fx; w/o Manipulation Charge ED PRO FEE25698157043596305
2350023500 TX OF CLAVICAL FX W\\OUT ED Charge16745049533597058
23500Closed Trtmt of Clavicular Fx; w/o Manipulation Charge2369832350729381
2350523505 CLAVICLE FX W/MANIP ED Charge213145026963597059
2350523505 Closed Trtmt of Clavicular Fx; w/Manipulation Charge ED PRO FEE42098134473596306
23575Closed Treatment of Scapular Fx w/manipulation Charge34598340771241616
2360023600 Closed Trtmt of Proximal Humeral (Surgical or Anatomical Neck) Fx; w/o Manip ED PRO FEE35998149583596309
2360023600 CLOSED TX HUMERAL FX ED Charge16745057093597060
23600Closed Trtmt of Proximal Humeral (Surgical or Anatomical Neck) Fx; w/o Manipulation Charge268.759837684729403
2360523605 Closed Treat Of Proximal Humeral (Surgical Or Anatomical Neck) Fracture; With Manip ED PRO FEE47498114673596310
2360523605 HUMERAL FX W/MANIP ED Charge213145022183597061
23605Closed Treatment of proximal humerus w/manip Charge52098323601241608
23620Closed Treatment of Greater Humeral Tuberosity Fracture, w/out Manipulation145450727311199206
23620Closed Treatment of Greater Humeral Tuberosity Fracture, w/out Manipulation, Pro Fee375981802411199219
2365023650 Closed Trtmt of Shoulder Dislocation, w/Manipulation; w/o Anesthesia Charge ED PRO FEE34398167173596311
2365023650 TX SHLDR DISLOC W MANIP ED Charge16745059663597062
23650Closed Trtmt of Shoulder Dislocation, w/Manipulation; w/o Anesthesia Charge3519831611729411
2365523655 Closed Trtmt of Shoulder Dislocation, w/Manipulation; Requiring Anesthesia ED PRO FEE48598184283596312
2365523655 SHLDR DISLOC W/ANESTH ED Charge80045091793597063
2420024200 Removal of Foreign Body, Upper Arm or Elbow Area; Subcutaneous ED PRO FEE18498133183596313
2420024200, REMOVAL FOREIGN BODY ED Charge49245025673597064
24500Closed treatment of humeral shaft fracture; w/o manipulation14545038408415385
24500Closed treatment of humeral shaft fracture; w/o manipulation; Pro Fee40398145918415386
24505Closed treatment of humeral shaft fracture; w/manipulation w/ or w/o skeletal traction14545053428415387
24505Closed treatment of humeral shaft fracture; w/manipulation w/ or w/o skeletal traction; Pro Fee56598160938415388
24530Humeral supracondylar or transcondylar fracture closed treatment of with or without intercondylar e31098310491163514
2453524535 Clos Trtmnt Of Supracondylar Or Transcondylar Humer Fract, With Or W/O Intercond ED PRO FEE85198197363596314
2453524535 Humeral Fx, Supracondyla ED Charge56645015794740187
24560Closed Trtmt of Humeral Epicondylar Fx, Medial or Lateral; w/o Manipulation Charge2609839371729541
2456524565 Closed Trtmt of Humeral Epicondylar Fx, Medial or Lateral; w/Manipulation ED PRO FEE62198186833596315
2456524565, HUMERAL EPICONDYLAR FX ED Charge16745094344740188
2457624576 Closed Trtmt of Humeral Condylar Fx, Medial or Lateral; w/o Manipulation ED PRO FEE36298170073596317
2457624576 CONDYLAR FRACTURE ED Charge16745062564740194
24576Closed Trtmt of Humeral Condylar Fx, Medial or Lateral; w/o Manipulation Charge3259831505729547
2457724577 Closed Trtmt of Humeral Condylar Fx, Medial or Lateral; w/Manipulation ED PRO FEE65298152103596318
2457724577 HUMERUS FRACTURE ED Charge16745044594740195
2460524605 Trtmnt clsd elbow w/anes ED Charge171945046054740197
2460524605 Trtmt of Closed Elbow Dislocation; Requiring Anesthesia ED PRO FEE60798146053596322
24620Treat elbow fracture63998324621241602
2464024640 Closed Trtmt of Radial Head Subluxation In Child, Nursemaid Elbow, w/Manip ED PRO FEE11598148713596319
2464024640 NS MAID ELBOW W/MANIP ED Charge16745041204740198
24640Closed Trtmt of Radial Head Subluxation In Child, Nursemaid Elbow, w/Manipulation Charge1399834871729559
2465024650 Closed Trtmt of Radial Head or Neck Fx; w/o Manipulation ED PRO FEE27098114363596325
2465024650 TX RADIAL HEAD FX ED Charge16745094294740204
2465524655 Closed Trtmt of Radial Head or Neck Fx; w/Manipulation ED PRO FEE51298167243596327
2465524655 RADIAL FX TX W/MANIP ED Charge56645074754740206
24655Closed Treatment of Radial Head or Neck Fracture with manipulation49498724651241613
2467024670 TX OF FX ULNAR PROXIMAL ED Charge16745091215175381
24670Closed Treatment of Ulnar Fx Prox End (eg: Olecranon Process), w/o Manipulation, ED PRO FEE37098198725175382
25000Incision Tendon Sheath2123360961922108631
25111Excise of Ganglion, Wrist (Dorsal or Volar); Primary Charge3759831927729623
2550025500 Closed Trtmt of Radial Shaft Fx; w/o Manipulation ED PRO FEE28598131133596332
2550025500 TX RADIAL SHFT FX W\\OUT ED Charge16745023623634328
25500Closed Trtmt of Radial Shaft Fx; w/o Manipulation Charge2159837832729725
2550525505 Closed Trtmt of Radial Shaft Fx; w/Manipulation ED PRO FEE58498118773596334
2550525505 RADIAL SHAFT FX/W MANIP ED Charge56645011263634329
25505Closed Treatment Of Radial Shaft Fracture; With Manipulation51198356641299537
25530Closed treatment of ulnar shaft fracture; w/o manipulation14545026649039368
25530Closed treatment of ulnar shaft fracture; w/o manipulation; Pro Fee29498134159039374
25530Closed Trtmt of Ulnar Shaft Fx; w/o Manipulation Charge2889836415729731
25535Closed treatment of ulnar shaft fracture; w/manipulation15245041669039379
25535Closed treatment of ulnar shaft fracture; w/manipulation; Pro Fee55098149179039380
25535Closed Trtmt of Ulnar Shaft Fx; w/Manipulation Charge5049837166729733
2556025560 Closed Trtmt of Radial & Ulnar Shaft Fxs; w/o Manipulation ED PRO FEE35798153343596338
2556025560 Radial/Ulnar Fx W/Out Ma ED Charge16745060853634330
25560Closed Trtmt of Radial & Ulnar Shaft Fxs; w/o Manipulation Charge2909832528729737
2556525565 Closed Trtmt of Radial & Ulnar Shaft Fxs; w/Manipulation ED PRO FEE61498163733596339
2556525565 RADIAL & ULNAR FRACTURE ED Charge56645056223634331
25565Closed Trtmt of Radial & Ulnar Shaft Fxs; w/Manipulation Charge5969832527729739
2560025600 Closed trtmnt of dist radial fract (eg, Colles or Smith type) w/o manipualtion ED PRO FEE44998121793596342
2560025600 TX DISTAL RADIAL FRAC ED Charge16745095323634332
25600Closed treatment of distal radial fracture (eg, Colles or Smith type) w/o manipualtion charge3209832561881953
2560525605 Closed treatment of distal radial fracture (eg, Colles or Smith type) w/ manip ED PRO FEE66298189703596343
2560525605 Tx Distal Radial Fx ED Charge56645082193634333
25622Closed Treatment of Carpal Scaphoid (Navicular) Fracture W/out Manipulation, ED Fee145450628922082737
25622Closed Treatment of Carpal Scaphoid (Navicular) Fracture W/out Manipulation, Pro Fee405981854222082741
25624Closed Treatment of Carpal Scaphoid (Navicular) Fracture W/Manipulation, ED Fee490450929322082738
25624Closed Treatment of Carpal Scaphoid (Navicular) Fracture W/Manipulation, Pro Fee634981135822082742
2563025630 Carpal bone fx, clsd tx ED Charge16745074433634334
2563025630 Closed Trtmnt Of Carpal Bone Fract (Excl Carpal Scaphoid (Navicular)); W/O Mani ED PRO FEE32498181943596344
25630Closed treatment of carpal bone fracture (excluding carpal scaphoid); wo manipulation, each bone33698325631164282
2569025690 Closed Trtmt of Lunate Dislocation, w/ Manipulation ED PRO FEE61298114603596345
2569025690 LUNATE DISLOC W\\MANIP ED Charge213145093873634335
2601026010 Drainage Of Finger Absce ED Charge15845069403634336
2601026010 Drainage of Finger Abscess; Simple ED PRO FEE20298161893596352
26055Trigger Finger Release165436027671184946
2641826418 REP EXTENSOR TENDON, EA ED Charge191245043043634337
2641826418 Rep, Extensor Tendon, Finger, Primary or Secondary; w/o Free Graft, each Tendon ED PRO FEE92198150553596353
2660026600 Closed Trtmt of Metacarpal Fx, Single; w/o Manipulation, each Bone ED PRO FEE25498129623596354
2660026600 CLSD TX METACARP FX ED Charge16745022113634338
26600Closed Trtmt of Metacarpal Fx, Single; w/o Manipulation, each Bone Charge2219832962729897
2660526605 Closed Trtmt of Metacarpal Fx, Single; w/Manipulation, each Bone ED PRO FEE35798186263597007
2660526605 FX METACARPLE W/MANIPULA ED Charge16745093773634339
26605Closed Trtmt of Metacarpal Fx, Single; w/Manipulation, each Bone Charge3009832526729899
2670026700 Clos Trtmt of Metacarpophalangeal Dislocation, Single, w/Manip; w/o Anesth ED PRO FEE34598130183596355
2670026700 CLSD TX METACARP DISLOC ED Charge16745037693634340
26700Closed Trtmt of Metacarpophalangeal Dislocation, Single, w/Manipulation; w/o Anesthesia Charge3519837279729911
2670526705 Clos Trtmt of Metacarpophalangeal Dislocation, Single, w/Manip; Requiring Anesth ED PRO FEE46698168013596356
2670526705 Knuckle Dislocation Trea ED Charge16745060503634341
2672026720 Clos tx of phalangeal shaft fx, prox or midlle phalanx, finger or thumb: w/o manip ED PRO FEE20498169863596357
2672026720 PHALANGEAL SHAFT FX, EA ED Charge16745077373634342
26720Closed tx of phalangeal shaft fx, proximal or midlle phalanx, finger or thumb: without manipulation,2119832672884264
2672526725 Clos Trtmnt Of Phalangeal Shaft Fract, Prox Or Middle Phalanx, Finger Or Thumb; Wi ED PRO FEE38098127053596358
2672526725, PHALANGEAL FX W/MANIP ED Charge16745019543634343
2674226742 Closed Treatment Of Articular Fracture, Involving Metacarpophalangeal Or Interphalangeal ED Ch43198168154740217
2674226742 FINGER FX W/MANIPULATION- PROF CHG16745060643634344
2675026750 Clos Trtmnt Of Articular Fract, Involv Metacarpophalangeal Or Interphalang Joint ED PRO FEE21398172795175383
2675026750 TX FRAC DISTAL PHALANGEA ED Charge16745065283634345
2675526755 Closed Trtmt of Distal Phalangeal Fx, Finger or Thumb; w/Manipulation, each ED PRO FEE39898168363596361
2675526755 Distal Phalangeal Fx Tx ED Charge16745075873634346
2676526765 Open Trtmt of Dist Phalang Fx, Finger or Thumb, w/ or w/o Inter or Ext Fixation, ea ED PRO FEE63698128373596362
2676526765 Open Tx Phalangeal Fx ED Charge291145020863634347
2677026770 Closed Trtmt of Interphalang Joint Dislocation, Single, w/Manip; w/o Anesthesia ED PRO FEE29698150573596363
2677026770 FINGER DISLOCATION TX ED Charge16745043063634349
26770Closed Trtmt of Interphalangeal Joint Dislocation, Single, w/Manipulation; w/o Anesthesia Charge3019836719729927
27220Acetabulum (hip socket) fracture(s) – closed treatment of; wo manipulation Charge50098385591185346
2725227252 Closed Trtmt of Hip Dislocation, Traumatic; Requiring Anesthesia ED PRO FEE100498190683596364
2725227252, HIP DISLOCATION W/ANES ED Charge171945083173634350
2726627266 Clos Trtmt of Post Hip Arthroplasty Dislocat; Requiring Regional or General Anesth ED PRO FEE78298119243596365
2726627266 DISLOCATION HIP TX W/ANE ED Charge171945011733634352
2752027520 Closed Trtmt of Patellar Fx, w/o Manipulation ED PRO FEE35898184493596366
2752027520 Closed Tx Patellar Fx ED Charge16745076983634353
2756027560 Closed tx of patellar dislocation; without anesthesia ED PRO FEE40098182553596367
2756027560 Clsd Tx Patellar Disloca ED Charge16745075043634354
2756227562 Closed tx of patellar dislocation; with anesthesia ED PRO FEE59398187133596368
2756227562 PATELLAR DISLOCATION TX ED Charge171945079624740212
27613Biopsy, Soft Tissue of Leg or Ankle Area; Superficial Charge3529832710730157
2775027750 Closed Trtmt of Tibial Shaft Fx (With or w/o Fibular Fx); w/o Manipulation ED PRO FEE39198128043596369
2775027750 FX TIBIA W/OUT MANIP ED Charge16745020533634355
2775227752 Closed Treatment Of Tibial Shaft Fracture (With Or W/O Fibular Fract); With Manip ED PRO FEE65098145003596370
2775227752 Tibia Fx Clsd Tx W/Manip ED Charge213145052513634356
27756Fracture and/or Dislocation Procedures on the Leg (Tibia and Fibula) and Ankle Joint64498795953486184
27756Reduction of Simple FX KCH charge64498795954308219
27760Closed Treatment of Medial Malleolus Fracture; without manipulation14545049717605367
27760Closed Treatment of Medial Malleolus Fracture; without manipulation, PRO FEE43198157227605368
27762Closed Treatment of Medial Malleolus Fracture; with manipulation184345064737605369
27762Closed Treatment of Medial Malleolus Fracture; with manipulation, PRO FEE61598172247605370
2778027780 Closed Trtmt of Proximal Fibula or Shaft Fx; w/o Manipulation ED PRO FEE32498119493596371
2778027780 TX OF PROXIMAL FIBULA FX ED Charge16745011983634357
27780Closed Trtmt of Proximal Fibula or Shaft Fx; w/o Manipulation Charge326.259832778730225
2778627786 Closed Trtmt of Distal Fibular Fx (Lateral Malleolus); w/o Manipulation ED PRO FEE32998187813596372
2778627786 Tx Distal Fibular Frac ED Charge16745080303634358
27786Closed Trtmt of Distal Fibular Fx (Lateral Malleolus); w/o Manipulation Charge2639831536730231
2778827788 ANKLE FX W/MANIPULATION ED Charge16745023093634359
2778827788 Closed Trtmt of Distal Fibular Fx (Lateral Malleolus); w/Manipulation ED PRO FEE50698130603596373
2780827808 Closed Treatment of Bimalleolar Ankle Fracture, w/o Manipulation ED Pro Fee443981953113398196
2780827808 Closed Treatment of Bimalleolar Ankle Fracture, w/o Manipulation, ED Fee145450878013398191
2781027810 Closed Treatment of Bimalleolar Ankle Fracture, w/ Manipulation, ED Fee149450796521254731
2781027810 Closed Treatment of Bimalleolar Ankle Fracture, w/ Manipulation, ED PRO FEE627981721421254733
2781827818 Closed Treatment of Trimalleolar Ankle Fracture, ED Fee490450253422045691
2781827818 Closed Treatment of Trimalleolar Ankle Fracture, Pro Fee642981328522045693
2784227842 Closed Treatment Of Ankle Dislocation; Req Anesthesia, w/ Or w/o Percutaneous Skel ED PRO FEE63198189463597033
2784227842 TX ANKLE DIS W ANESTHESI ED Charge171945081953650297
28008Plantar Fascia Release212636027211059693
2819028190 Foreign Body Rremoval ED Charge92045080593634360
2819028190 Removal of Foreign Body, Foot; Subcutaneous ED PRO FEE29098188103596374
2845028450 FRACTURE TX TARSAL BONE ED Charge16745084733634361
2845028450 Trtmt of Tarsal Bone Fx (Except Talus & Calcaneus); w/o Manipulation, each ED PRO FEE24298177223596375
2847028470 Closed Trtmt of Metatarsal Fx; w/o Manipulation, each ED PRO FEE26598131573596376
2847028470 FX TRMT METARS W/O MANIP ED Charge16745024063634362
28470Closed Trtmt of Metatarsal Fx; w/o Manipulation, each Charge2449832847730373
2847528475 Closed Trtmt of Metatarsal Fx; w/Manipulation, each ED PRO FEE34698183453596377
2847528475 Metatarsal Fx Treatment ED Charge16745090963634363
2849028490 Fracture Tx, Great Toe ED Charge16745084833634365
2849528495 Closed Trtmt of Fx Great to e, Phalanx or Phalanges; w/Manipulation ED PRO FEE22398190893596379
2849528495, Great Toe Fx W/Manipula ED Charge16745098403634367
2851028510 Closed Trtmt of Fx, Phalanx or Phalanges, Other Than Great to e; w/o Manipul, ea ED PRO FEE14398147333596380
2851028510 FX PHALANX/PHALAGES, EA ED Charge16745054843634369
28510Closed Trtmt of Fx, Phalanx or Phalanges, Other Than Great toe; w/o Manipulation, each Charge1249832851730389
2851528515 Closed Trtmt of Fx, Phalanx or Phalanges, Other Than Great to e; w/Manipul, ea ED PRO FEE18198199513596381
2851528515 Tx Of Toe Fracture ED Charge16745092003634370
2863028630 Closed Trtmt of Metatarsophalangeal Joint Dislocation; w/o Anesthesia ED PRO FEE15098114963596382
2863028630 MP JOINT DISLOCATION ED Charge16745022474740213
2866028660 Closed Trtmt of Interphalangeal Joint Dislocation; w/o Anesthesia ED PRO FEE11398110653596383
2866028660 TOE DISLOCATION ED Charge16745018163634372
29049Application, cast; figure-of-eight104.498329041164274
29065Applic, Cast; Shoulder to Hand (Long Arm) Charge969831667730445
29075Applic, Cast; Elbow to Finger (Short Arm) Charge979832033730447
2908529085 Applic, Cast; Hand & Lower Forearm (Gauntlet) ED PRO FEE30598190853596384
2908529085 Casting hand, forearm ED Charge12545090853634377
2910529105 Applic of Long Arm Splint (Shoulder to Hand) ED PRO FEE7898127003596385
2910529105 Long Arm Splint ED Charge12545027003634378
2912529125 APPLY FOREARM SPLINT – ED PF5598120653596386
2912529125 SHORT ARM SPINT APPLIC. ED Charge12545013143634379
29125Application of Short Arm Splint; Static7998318733021726
2913029130 App Of Finger Splint ED Charge12545092233634380
2913029130 Applic of Finger Splint; Static ED PRO FEE3898199743596387
29130Applic of Finger Splint; Static Charge469832910730455
2920029200 STRAPPING; THORAX ED Charge12545085143650208
2924029240 STRAPPING OF SHOULDER – ED TECH/CCCPF5998126283596389
2924029240 STRAPPING OF SHOULDER ED Charge12545026283650209
2926029260 SPLINTING OF ELBOW\\WRIST ED Charge12545034513650210
2926029260 Strapping; Elbow or Wrist ED PRO FEE4898142023596390
2928029280 STRAPPING OF HAND/FINGER ED Charge12545086363650298
2928029280 Strapping; Hand or Finger ED PRO FEE5298178853596391
29345Applic of Long Leg Cast (Thigh to toes); Charge1429831183730471
29355Application Of Long Leg Cast (Thigh To Toes); Walker Or Ambulatory Type14698316781299578
29405Applic of Short Leg Cast (Below Knee to toes); Charge99.459832308730477
29405Application of Short Leg Cast (below knee to toes), ED Charge304450137123240331
29405Application of Short Leg Cast (below knee to toes), PRO Fee90981212223240332
2950529505 Applic of Long Leg Splint (Thigh to Ankle or to es) ED PRO FEE6398191533596392
2950529505 LONG LEG SPLINT THGH DWN ED Charge12545016433650212
2951529515 Applic of Short Leg Splint (Calf to Foot) ED PRO FEE6798156743596393
2951529515 Splinting From Leg To Ft ED Charge12545049233650213
29515Applic of Short Leg Splint (Calf to Foot) Charge789839737730487
2952029520 STRAPPING, HIP ED Charge12545082263650214
2952029520 Strapping; Hip ED PRO FEE5398189773596394
2953029530 STRAPPING KNEE ED TECH12545095753650215
2953029530 Strapping; Knee ED PRO FEE4698188243596473
2954029540 STRAPPING OF ANKLE/FOOT ED Charge12545071243650216
2954029540 Strapping; Ankle and/or Foot ED PRO FEE4698178753596474
2955029550 Strapping; Toes ED PRO FEE4998131713596475
2955029550 STRAPPING-TOES ED Charge12545024203650217
2958029580 STRAPPING UNNA BOOT – ED PF12545064253650218
29705Removal or bivalving; full arm or full leg cast12298311991164259
2979929799 Unlisted Procedure, Casting Or Strapping ED PRO FEE5598145713596476
2979929799 Unlisted Procedure, Casting or Strapping, ED Charge12545038205175393
3030030300 FOREIGN BODY REMOVAL ED Charge7345089573650220
30300Removal foreign body, intranasal15698111683596477
30300Removal foreign body, intranasal; procedure charge2129832427749800
3090130901 CONTROL OF NOSELBEED-CCC PF8798165713596478
3090130901 Epistaxis Simple, Anter ED Charge11945058203650221
30901Control Nasal Hemorrhage, Anterior, Simple (Limited Cautery and/or Packing) Any Method Charge1259831161730573
3090330903 Control nasal hemorrhage, anterior, complex (cautery and/or packing) any method ED PRO FEE11398144643596481
3090330903 NASAL HEMORRHAGE, COMPLX ED Charge11945037133650222
3090530905 Control nasal hemorrhage, posterior, w/ post. nasal pks and/or cautery, any method ED PRO FEE15198184023596482
3090530905 EPISTAXIS, POSTERIOR ED Charge11945076513650223
3150031500 INTUBATION, ENDOTRAC ER ED Charge24845028163650224
3150031500 Intubation, Endotracheal, Emergency Procedure ED PRO FEE15998135673596487
3172031720 Cath Aspiration, Nasotra ED Charge4745062573650225
3255132551 Tube thoracostomy, incl. water seal (eg, abscess, hemothorax, empyema), when perf. ED PRO FEE30298154683596491
32551Insertion of Chest Tube61345047171308757
32551Tube thoracostomy, includes water seal (eg, for abscess, hemothorax, empyema), when performed (separ2429873202884285
3255432421 Thoracentesis ED Charge61345041723650226
3255432421 Thoracentesis, puncture of pleural cavity for aspiration, initial or subsequent ED PRO FEE10998149233596488
32554Thoracentisis KCH charge19798375744308235
32555Thoracentesis, Needle or Catheter, with Imaging Guidance, ED Charge664450731122452931
32555Thoracentesis, Needle or Catheter, with Imaging Guidance, Pro Fee170981806222452934
3520635206 Repair Blood Vessel, Direct; Upper Extremity ED PRO FEE113398150283596496
3520635206, REPAIR BLOOD VESSEL ED Charge342845042773650264
36415Bill Venipuncture1630032565282975
36415COLLECTION: Venous Draw163003256796180
36415Venipuncture Charge14.39833030667653
36416Collection of Capillary Blood6300118422166584
36430TRANSFUSION BLOOD CHARGE360.7376165113824182
3655636556 Ins. of Non-Tunneled Centrally Inserted Cent. Venous Catheter; Age 5 or Older ED PRO FEE17398166933596499
3655636556 Insert Nontunnel Cv Cath ED Charge123345059423650265
36556Central Line Placement KCH Charge15098791864308252
36600COLLECTION: Arterial Draw483004007796176
4080440804 Foreign Body Removal, Mo ED Charge7345052303650266
4080440804 Removal Of Embedded Foreign Body, Vestibule Of Mouth; Simple ED PRO FEE19998159813596504
40810Exc Les-vestibule Mouth; Wo Re12598318611902013
4125041250 Repair Of Laceration 2.5 Cm Or Less; Floor Of Mouth And/Or Anterior 2/3 Of Tongue ED PRO FEE22498177323596509
4125041250 Repair Tongue Laceration ED Charge11945069813650267
4180041800 Drainage Of Abscess, Cyst, Hematoma From Dentoalveolar Structures ED PRO FEE21098176913596510
4180041800 I&D Of Abscess Gum ED Charge15845084423650268
42700Incision and Drainage abscess, peritonsillar, ED Charge300450212122371856
42700Incision and Drainage abscess, peritonsillar, ED PRO Fee207981287222371857
4280942809 FB REMOVAL PHARYNX ED Charge7345067733650269
4280942809 Removal Of Foreign Body From Pharynx ED PRO FEE15398160223596511
4296042960 Control Oropharyngeal Hemorrhage, Primary Or Sec. (Eg, Posttonsillectomy); Simple ED PRO FEE24898188123596512
4296042960 Control Tonsil Hemorrage ED Charge11945080613650270
4320043200 Esophagoscopy, Rigid/Flexible; Diagnostic, w/ or w/o Collection Of Specimen By Bru ED PRO FEE14698115253596513
4320043200 ESOPHAGOSCOPY,DIAGNOSTIC ED Charge94045094553650271
43235Upper GI Endoscopy, diagnositic w/wo collection of specimen KCH charge34998710594308246
43239Upper GI Endoscopy, diagnositic w/biopsy, single or multiple KCH charge39698710604308245
4324743247 Egd/Foreign Body Removal ED Charge80045039083650272
4324743247 Upper Gastrointestinal Endoscopy Incl. Esophagus, Stomach, And Either The Duodenum ED PRO FEE31298146593596516
43247Upper GI Endoscopy w/ Removal of Foreign Body KCH charge22598784224308243
43251Upper GI Endoscopy w/ Removal KCH charge40098786374308241
4375343753 Gastric Lavage ED Charge7345029373650273
45330Sigmoidoscopy, Flexible diagnositc w/wo collection of specimen KCH charge28598748284308222
45331Sigmoidoscopy, Flexible diagnositc w/biopsy, single or multiple KCH charge50098793884308221
45333Sigmoidoscopy, flexible diagnostic w/removal of tumor , polyp or lesion by hot biopsy forceps KCH ch50098745334308224
45378Colonoscopy KCH Charge80098724784308189
45380Colonoscopy w/ Cold Forcep96698716004308190
45385Colonoscopy w/ Polypectomy124098716014308191
4590045900 Reduction Of Procidentia (Separate Procedure) Under Anesthesia ED PRO FEE23098187043596519
4590045900 REDUCTION OF PROCIDENTIA ED Charge61945079533650274
4604046040 I&D of Ischiorectal and/or Perirectal Abscess ED PRO FEE53598112323596522
4604046040 I&D Of Perirectal Absces ED Charge271445095653650275
4605046050 Incision and Drainage of perianal abscess, superficial, ED Charge450450788322128460
4605046050 Incision and Drainage of perianal abscess, superficial, ED PRO Fee145981863422128465
4608346083 INC OF THROMBOSED HEMORR ED Charge21745096973650299
4608346083 Incision of Thrombosed Hemorrhoid, Ext ED PRO FEE13098162193596985
46083Incision of Thrombosed Hemorrhoid, Ext Charge1609833363730699
46320Enucleation or Excise of Ext Thrombotic Hemorrhoid Charge1769873333730709
4660046600 Anoscopy; Diagnostic w/ or w/out Collection of Specimen ED Charge6345069175175388
4660046600 Anoscopy; Diagnostic w/ or w/out Collection of Specimen ED Pro Fee6498176685175387
46600Anoscopy Charge769837869667654
46608Anoscopy, with removal of foreign body59945034697590623
46608Anoscopy, with removal of foreign body, PRO FEE11798142207590624
4908249082 ABD PARACENTESIS ED Charge61345081873650276
4908249082 Abdominal Pracentesis ED PRO FEE9998150695175379
49082Abdominal Paracentesis9898150695178971
5110151101 Asp Bladder By Intracath ED Charge12345052713650277
5170051700 Bladder Irrigation ED Charge21745077633650278
51703Insertion of Bladder Catheter, Complicated, ED Charge107450656822543260
51703Insertion of Bladder Catheter, Complicated, Pro Fee121981882122544969
5500055000 Punct. Aspiration Of Hydrocele, Tunica Vaginalis, w/ or w/o Injection of Medication ED Charge44045056565175389
5500055000 Punct. Aspiration Of Hydrocele, Tunica Vaginalis, w/ or w/o Injection Of Medication ED PRO FEE11798125783596527
5640556405 Incision and Drainage of vulva or perineal abscess, ED Charge152450619322157706
5640556405 Incision and Drainage of vulva or perineal abscess, ED PRO Fee162981544222157711
5642056420 I&D Bartholin’s Gland Abscess ED PRO FEE13298155823596533
5642056420, I&D BARTHOLINS GLAND ED Charge17645048313650279
57500Biopsy, Single or Multiple, or Local Excision of Lesion1549831281667637
57511Cryocautery Cervix Charge2119831322667640
5830158301 IUD REMOVAL ED Charge17645070733650280
5830158301 IUD, Remove ED PRO FEE9898178243596530
58600Tubal Ligation KCH charge55098713734308238
58605Tubal Ligation Postpartum KCH charge39398714414308239
58611Tubal Ligation w/ C-Section KCH charge10898717114308240
59025Fetal Nonstress Test1357613297888552
59160Postpartum Curettage KCH charge31798714234308218
59200Insert Cervical Dilator Charge3454502839667650
59200Insertion drug delivery implant6098120882789640
59300Episiotomy (Non-attending)20098755794308250
59400OB Package KCH charge225098793954308212
59409OB (Delivery Only) KCH charge95098713424308211
59425Antepartum (4-6 visits)45698742504308183
59426Antepartum (7 or more visits)86398322984308185
59430Postpartum care only (separate procedure) KCH charge15298733264308217
59510C-Section KCH280598715304308192
59514C-Section (Delivery only) KCH Charge192598711114308251
59812Treatment Incomplete Abortion, Surgical; Any Trimester Charge4009871336723243
59812Treatment of incomplete abortion, any trimester (D & C) KCH charge40098713364308237
6227062270 Lumbar Puncture ED Charge43445089383650281
6227062270 Lumbar Puncture ED PRO FEE9898196893596535
62270Lumbar puncture KCH charge20098786864308204
6445064450 INJ ANES OTHR PERIPH NERV ED CHARGE697450238921083916
64450INJ ANES OTH PERIPH NERVE67981314022534757
64718Cubital Tunnel Release181736088681184898
64721Carpal Tunnel Release181736020161184546
6520565205 FB REMOVE EYE SUPERFSL ED Charge11845083703650282
6520565205 Foreign Body Remove, Superficial Conjunctival ED PRO FEE4898176193596537
65205Removal of foreign body, external eye; conjunctival superficial619835418667655
6522065220 FB REMOVAL EYE-CORNEA ED Charge11845076773650283
6522065220 Foreign Body Remove, Corneal, w/o Slit Lamp ED PRO FEE5198169263596540
65220Foreign Body Remove, Corneal, w/o Slit Lamp Charge579832131667657
6522265222 Fb Removal, Eye W/Slit L ED Charge11845094063650284
6522265222 Foreign Body Remove, Corneal, w/Slit Lamp ED PRO FEE8798186555175395
65222Foreign Body Remove, Corneal, w/Slit Lamp Charge729832132667658
65426Excision of Pterygium, w/Graft2150360473223556130
66821YAG Laser48849053471380035
66986Intraocular Lens Exchange229736019701184883
6793867938 REMOVAL FB EYELID ED Charge22645029383650285
6793867938 Removal Of Embedded Foreign Body, Eyelid ED PRO FEE10198136893596544
6920069200 CLEAR OUTER EAR CANAL – ED PF7298157773596547
6920069200 FOREIGN BODY REMOVAL EAR ED Charge7345050263650286
69200Removal foreign body from external auditory canal; without general anesthesia Charge559832317749802
69205Removal Foreign Body From Ext Auditory Canal; w/General Anesthesia Charge989834667730857
69209Removal of Impacted Cerumen using Irrigation/Lavage, Unilateral, ED Charge77450731922543285
69209Removal of Impacted Cerumen using Irrigation/Lavage, Unilateral, Pro Fee29981807022544966
6921069210 CERUMEN REMOVAL ED Charge7745040653650287
6921069210 Ear Lavage ED PRO FEE4998130963596550
69210Cerumen removal with Instrumentation579837292667660
70100XR Mandible Partial Less Than 4 Views219.40630337
70100XR Mandible Partial Less Than 4 Views24132012281008013
70110XR Mandible Complete Minimum 4 Views224.40630339
70110XR Mandible Complete Minimum 4 Views2473201979823600
70130XR Mastoids Complete224.40630320
70130XR Mastoids Complete24732034811021649
70130XR Mastoids Complete Bilateral234.40630325
70130XR Mastoids Complete Bilateral25832034811008017
70130XR Mastoids Complete Left224.40630323
70130XR Mastoids Complete Left24732034811021647
70140XR Facial Bones < 3 Views219.40630666
70140XR Facial Bones < 3 Views2413204232823524
70150XR Facial Bones Minimum 3 Views224.40630663
70150XR Facial Bones Minimum 3 Views2473204983823526
70160XR Nasal Bones Minimum 3 Views224.40630309
70160XR Nasal Bones Minimum 3 Views2473205734823602
70200XR Orbits Complete Bilateral234.40630301
70200XR Orbits Complete Bilateral2583206485823606
70200XR Orbits Complete Left224.40630299
70200XR Orbits Complete Left24732064851163868
70200XR Orbits Complete Right224.40630297
70200XR Orbits Complete Right24732064851163870
70220XR Sinuses Paranasal Complete224.40630100
70220XR Sinuses Paranasal Complete2473207236823631
70240XR Sella Turcica224.40630156
70240XR Sella Turcica24732079871008063
70250XR Skull < 4 Views224.40630096
70250XR Skull < 4 Views2473208738823633
70260XR Skull Complete3780630092
70260XR Skull Complete41632094891008072
70328XR TMJ Open and Closed Left219.40629928
70328XR TMJ Open and Closed Left24132016191021671
70328XR TMJ Open and Closed Right219.40629922
70328XR TMJ Open and Closed Right24132016191021673
70360XR Neck Soft Tissue214.40630307
70360XR Neck Soft Tissue2363202370823604
70450CT Head or Brain w/o Contrast767.40629966
70450CT Head or Brain w/o Contrast8443507112821336
70450CT Head or Brain w/o Contrast – BCE84435071126934609
70460CT Head or Brain w/ Contrast1201.70629962
70460CT Head or Brain w/ Contrast13223507863821334
70470CT Head or Brain w/ + w/o Contrast13360629958
70470CT Head or Brain w/ + w/o Contrast14703508614821332
70480CT IAC w/o Contrast767.401161168
70480CT IAC w/o Contrast84435099081163590
70480CT Orbit Sella etc. w/o Contrast767.40630104
70480CT Orbit Sella etc. w/o Contrast8443508668821352
70481CT IAC w/ + w/o Contrast1201.701161167
70481CT IAC w/ + w/o Contrast132235011441163587
70481CT Orbit Sella etc. w/ Contrast1201.70630102
70481CT Orbit Sella etc. w/ Contrast13223505728821350
70482CT Orbit Sella etc. w/ + w/o Contrast13360630098
70482CT Orbit Sella etc. w/ + w/o Contrast147035047851005187
70486CT Maxillofacial w/o Contrast8443509365821348
70486CT Sinus w/o Contrast84435031552214002
70486CT Sinus w/o Contrast – BCE84431556934610
70487CT Maxillofacial w/ Contrast1201.70630090
70487CT Maxillofacial w/ Contrast13223500487821346
70487CT Sinus w/ Contrast1201.703778207
70487CT Sinus w/ Contrast132235039053778210
70488CT Maxillofacial w/ + w/o Contrast13360630086
70488CT Maxillofacial w/ + w/o Contrast147035046081005185
70488CT Sinus w/ + w/o Contrast133603778206
70488CT Sinus w/ + w/o Contrast147035046083778208
70490CT Soft Tissue Neck w/o Contrast767.40630160
70490CT Soft Tissue Neck w/o Contrast8443505655821370
70491CT Soft Tissue Neck w/ Contrast1201.70630158
70491CT Soft Tissue Neck w/ Contrast13223504904821368
70492CT Soft Tissue Neck w/ + w/o Contrast13360630154
70492CT Soft Tissue Neck w/ + w/o Contrast14703504153821366
70540MRI Face Neck Orbit w/o Contrast241161000011005420
70542MRI Face Neck Orbit w/ Contrast24496100002821408
70543MRI Face Neck Orbit w/ + w/o Contrast25496100003821406
70544MRA Head w/o Contrast204661000491005367
70545MRA Head w/ Contrast20846100050821394
70546MRA Head w/ + w/o Contrast218161000511005365
70547MRA Neck w/o Contrast21256105843821396
70548MRA Neck w/ Contrast222561065941005378
70549MRA Neck w/ + w/o Contrast292561073451005376
70551MRI Brain w/o Contrast24116100004821402
70552MRI Brain w/ Contrast24496100005821400
70553MRI Brain w/ + w/o Contrast25496100006821398
71010XR Chest 1 View214.40629716
71020XR Chest 2 Views219.40629718
71020XR Chest 2 Views -BCE24132046236934611
71045XR Chest 1 View2363203121823510
71046XR Chest 2 Views2413204623823512
71048XR Chest 4 Views224.40629724
71048XR Chest 4 Views24732060731007896
71100XR Ribs 2 Views Left219.40630229
71100XR Ribs 2 Views Left2413206876823610
71100XR Ribs 2 Views Right219.40630227
71100XR Ribs 2 Views Right2413206876823612
71101XR Ribs Min 3 Views Left w/ PA Chest224.402213977
71101XR Ribs Min 3 Views Left w/ PA Chest24732076272214275
71101XR Ribs Min 3 Views Right w/ PA Chest224.402213978
71101XR Ribs Min 3 Views Right w/ PA Chest24732076272214278
71110XR Ribs 3 Views Bilateral234.40787869
71110XR Ribs 3 Views Bilateral2583208378823614
71111XR Ribs w/ PA Chest Bilateral3780630225
71111XR Ribs w/ PA Chest Bilateral41632091291008048
71120XR Sternum Minimum 2 Views219.40629974
71120XR Sternum Minimum 2 Views2413209880823653
71130XR Sternoclavicular Joint(s)214.40629976
71130XR Sternoclavicular Joint(s)2363201430823651
71250CT Chest W/O Contrast767.40853280
71250CT Chest W/O Contrast84435019001005143
71260CT Chest W/Contrast1201.70853279
71260CT Chest W/Contrast132235011491005140
71270CT Chest W/WO Contrast13360853278
71270CT Chest W/WO Contrast147035026511005146
71275CT Angio Chest132235057721005115
71550MRI Chest w/o Contrast242561000071005415
71551MRI Chest w/ Contrast262561000081005413
71552MRI Chest w/ + w/o Contrast27256100009821404
71555MRA Chest w/ Contrast228861000562214029
71555MRA Chest w/o Contrast224761000522214032
72020XR Spine 1 View Cervical214.40629692
72020XR Spine 1 View Cervical23632029321021660
72020XR Spine 1 View Lumbar214.40630080
72020XR Spine 1 View Lumbar23632029321021662
72020XR Spine 1 View Thoracic214.40630076
72020XR Spine 1 View Thoracic23632029321021664
72040XR Spine Cervical 2 or 3 Views224.40629600
72040XR Spine Cervical 2 or 3 Views2473203683823635
72050XR Spine Cervical Comp w/ Oblique4163204434823637
72050XR Spine Cervical Comp w/ Obliques3780629602
72070XR Spine Thoracic 2 Views219.40630002
72070XR Spine Thoracic 2 Views2413205185823647
72072XR Spine Thoracic 3 Views224.40629997
72072XR Spine Thoracic 3 Views2473205936823649
72081XR Spine Entire 1 View235320418822200642
72082XR Spine Entire 2-3 Views246320493922200645
72082XR Spine Entire Survey AP/Lat3780630054
72082XR Spine Entire Survey AP/Lat41632021811021666
72083XR Spine Entire 4-5 Views330320569022200648
72084XR Spine Entire Min 6 Views416320644122200651
72100XR Spine Lumbosacral 2 or 3 Views224.40630048
72100XR Spine Lumbosacral 2 or 3 Views2473207438823641
72110XR Spine Lumbosacral Minimum 4 Views3780630022
72110XR Spine Lumbosacral Minimum 4 Views4163208189823643
72125CT Spine Cervical w/o Contrast767.40629610
72125CT Spine Cervical w/o Contrast8443509114821372
72126CT Spine Cervical w/ Contrast1201.70629608
72126CT Spine Cervical w/ Contrast132235062491005215
72127CT Spine Thoracic w/ + w/o Contrast13360630164
72127CT Spine Thoracic w/ + w/o Contrast147035061581005221
72128CT Spine Thoracic w/o Contrast767.40630172
72128CT Spine Thoracic w/o Contrast8443509865821376
72129CT Spine Thoracic w/ Contrast1201.70630168
72129CT Spine Thoracic w/ Contrast132235054071005223
72131CT Spine Lumbar w/o Contrast767.40630056
72131CT Spine Lumbar w/o Contrast8443506110821374
72132CT Spine Lumbar w/ Contrast1201.70630052
72132CT Spine Lumbar w/ Contrast132235068611005219
72133CT Spine Lumbar w/ + w/o Contrast13360630049
72133CT Spine Lumbar w/ + w/o Contrast147035070381005217
72141MRI Spine Cervical w/o Contrast21386100010821441
72142MRI Spine Cervical w/ Contrast22376100011821439
72146MRI Spine Thoracic w/o Contrast21386100013821449
72147MRI Spine Thoracic w/ Contrast22376100014821447
72148MRI Spine Lumbar w/o Contrast21386100016821445
72149MRI Spine Lumbar w/ Contrast22376100017821443
72156MRI Spine Cervical w/ + w/o Contrast240661000121005501
72157MRI Spine Thoracic w/ + w/o Contrast240661000151005505
72158MRI Spine Lumbar w/ + w/o Contrast240661000181005503
72159MRA Spine w/ Contrast228261000572214146
72159MRA Spine w/o Contrast2244610005320006172
72170XR Pelvis 1 or 2 Views214.40630285
72170XR Pelvis 1 or 2 Views2363208940823608
72192CT Pelvis w/o Contrast767.40630114
72192CT Pelvis w/o Contrast8443504108821361
72193CT Pelvis w/ Contrast1201.70630112
72193CT Pelvis w/ Contrast13223505610821359
72194CT Pelvis w/ + w/o Contrast13360630108
72194CT Pelvis w/ + w/o Contrast14703504859821357
72195MRI Pelvis w/o Contrast21326100019821434
72196MRI Pelvis w/ Contrast22216100020821432
72197MRI Pelvis w/ + w/o Contrast239661000211005497
72198MRA Pelvis w/ Contrast228261000582214131
72198MRA Pelvis w/o Contrast224461000541021594
72202XR Sacroiliac Joints24732015551319992
72202XR Sacroiliac Joints Minimum 3 Views224.40630196
72202XR Sacroiliac Joints Minimum 3 Views24732015551021658
72220XR Sacrum and Coccyx224.401161111
72220XR Sacrum and Coccyx24732023061163877
73000XR Clavicle Left219.40629752
73000XR Clavicle Left2413203057823516
73000XR Clavicle Right219.40629754
73000XR Clavicle Right2413203057823518
73010XR Scapula Left219.40630165
73010XR Scapula Left2413203808823619
73010XR Scapula Right219.40630162
73010XR Scapula Right2413203808823621
73020XR Shoulder 1 View Left214.40630146
73020XR Shoulder 1 View Left2363204559823623
73020XR Shoulder 1 View Right214.40630142
73020XR Shoulder 1 View Right2363204559823625
73030XR Shoulder Complete Left224.40630126
73030XR Shoulder Complete Left2473205310823627
73030XR Shoulder Complete Right224.40630121
73030XR Shoulder Complete Right2473205310823629
73050XR AC Joints w/ or w/o weights Bilateral224.401319559
73050XR AC Joints w/ or w/o weights Bilateral24732068121319951
73060XR Humerus Left219.40630429
73060XR Humerus Left2413207563823588
73060XR Humerus Right219.40630427
73060XR Humerus Right2413207563823590
73070XR Elbow 2 Views Left219.40630689
73070XR Elbow 2 Views Left2413208314823520
73070XR Elbow 2 Views Right219.40630687
73070XR Elbow 2 Views Right2413208314823522
73080XR Elbow Complete Right224.40630679
73080XR Elbow Complete Right224.40630683
73080XR Elbow Complete Right24732090651007932
73080XR Elbow Complete Right24732090651007934
73090XR Forearm 2 Views Left219.40630523
73090XR Forearm 2 Views Left2413209816823562
73090XR Forearm 2 Views Right219.40630519
73090XR Forearm 2 Views Right2413209816823564
73092XR UE Infant Min 2 Views Left219.402213984
73092XR UE Infant Min 2 Views Left24132015502214296
73092XR UE Infant Min 2 Views Right219.402213985
73092XR UE Infant Min 2 Views Right24132015502214299
73100XR Wrist 2 Views Left219.40613632
73100XR Wrist 2 Views Left2413202301823685
73100XR Wrist 2 Views Right219.40613634
73100XR Wrist 2 Views Right2413202301823683
73110XR Wrist Complete Left224.40611596
73110XR Wrist Complete Left2473203052823681
73110XR Wrist Complete Right224.40611594
73110XR Wrist Complete Right2473203052823679
73120XR Hand 2 Views Left219.40630493
73120XR Hand 2 Views Left2413203803823568
73120XR Hand 2 Views Right219.40630489
73120XR Hand 2 Views Right2413203803823570
73130XR Hand Complete Left224.40630479
73130XR Hand Complete Left2473204554823572
73130XR Hand Complete Right224.40630473
73130XR Hand Complete Right2473204554823574
73140XR Finger 2nd Digit Left224.40630649
73140XR Finger 2nd Digit Left2473205305823532
73140XR Finger 2nd Digit Right224.40630647
73140XR Finger 2nd Digit Right2473205305823534
73140XR Finger 3rd Digit Left224.40630641
73140XR Finger 3rd Digit Left2473205305823536
73140XR Finger 3rd Digit Right224.40630633
73140XR Finger 3rd Digit Right2473205305823538
73140XR Finger 4th Digit Left224.40630625
73140XR Finger 4th Digit Left2473205305823540
73140XR Finger 4th Digit Right224.40630622
73140XR Finger 4th Digit Right2473205305823542
73140XR Finger 5th Digit Left224.40630618
73140XR Finger 5th Digit Left2473205305823544
73140XR Finger 5th Digit Right224.40630609
73140XR Finger 5th Digit Right2473205305823546
73140XR Finger Thumb Left224.40630603
73140XR Finger Thumb Left2473205305823548
73140XR Finger Thumb Right224.40630599
73140XR Finger Thumb Right2473205305823550
73200CT Elbow w/o Contrast Left767.40629834
73200CT Elbow w/o Contrast Left84435098201021533
73200CT Elbow w/o Contrast Right767.40629836
73200CT Elbow w/o Contrast Right84435098201021535
73200CT Forearm w/o Contrast Left767.40629904
73200CT Forearm w/o Contrast Left84435098201286803
73200CT Forearm w/o Contrast Right767.40629906
73200CT Forearm w/o Contrast Right84435098201286805
73200CT Hand w/o Contrast Left767.40629950
73200CT Hand w/o Contrast Left84435098201286821
73200CT Hand w/o Contrast Right767.40629954
73200CT Hand w/o Contrast Right84435098201286823
73200CT Humerus w/o Contrast Left767.40635588
73200CT Humerus w/o Contrast Left84435098201286839
73200CT Humerus w/o Contrast Right767.40630024
73200CT Humerus w/o Contrast Right84435098201286841
73200CT Shoulder w/o Contrast Left767.40630148
73200CT Shoulder w/o Contrast Left84435098201021573
73200CT Shoulder w/o Contrast Right767.40630152
73200CT Shoulder w/o Contrast Right84435098201021575
73200CT Wrist w/o Contrast Left767.40630261
73200CT Wrist w/o Contrast Left84435098201021580
73200CT Wrist w/o Contrast Right767.40630263
73200CT Wrist w/o Contrast Right84435098201021582
73201CT Elbow w/ Contrast Left1201.70629828
73201CT Elbow w/ Contrast Left132235018951284628
73201CT Elbow w/ Contrast Right1201.70629832
73201CT Elbow w/ Contrast Right132235018951284630
73201CT Forearm w/ Contrast Left1201.70629894
73201CT Forearm w/ Contrast Left132235018951286797
73201CT Forearm w/ Contrast Right1201.70629898
73201CT Forearm w/ Contrast Right132235018951286799
73201CT Hand w/ Contrast Left1201.70629940
73201CT Hand w/ Contrast Left132235018951286815
73201CT Hand w/ Contrast Right1201.70629944
73201CT Hand w/ Contrast Right132235018951286817
73201CT Humerus w/ Contrast Left1201.70630014
73201CT Humerus w/ Contrast Left132235018951286833
73201CT Humerus w/ Contrast Right1201.70630016
73201CT Humerus w/ Contrast Right132235018951286835
73201CT Shoulder w/ Contrast Left1201.70630138
73201CT Shoulder w/ Contrast Left132235018951286857
73201CT Shoulder w/ Contrast Right1201.70630140
73201CT Shoulder w/ Contrast Right132235018951286859
73201CT Wrist w/ Contrast Left1201.70630255
73201CT Wrist w/ Contrast Left132235018951286893
73201CT Wrist w/ Contrast Right1201.70630257
73201CT Wrist w/ Contrast Right132235018951286895
73202CT Elbow w/ + w/o Contrast Left13360629822
73202CT Elbow w/ + w/o Contrast Left147035026461284622
73202CT Elbow w/ + w/o Contrast Right13360629824
73202CT Elbow w/ + w/o Contrast Right147035026461284624
73202CT Forearm w/ + w/o Contrast Left13360629886
73202CT Forearm w/ + w/o Contrast Left147035026461286789
73202CT Forearm w/ + w/o Contrast Right13360629888
73202CT Forearm w/ + w/o Contrast Right147035026461286793
73202CT Hand w/ + w/o Contrast Left13360629930
73202CT Hand w/ + w/o Contrast Left147035026461286809
73202CT Hand w/ + w/o Contrast Right13360629938
73202CT Hand w/ + w/o Contrast Right147035026461286811
73202CT Humerus w/ + w/o Contrast Left13360630004
73202CT Humerus w/ + w/o Contrast Left147035026461286827
73202CT Humerus w/ + w/o Contrast Right13360630008
73202CT Humerus w/ + w/o Contrast Right147035026461286829
73202CT Shoulder w/ + w/o Contrast Left13360630132
73202CT Shoulder w/ + w/o Contrast Left147035026461286851
73202CT Shoulder w/ + w/o Contrast Right13360630134
73202CT Shoulder w/ + w/o Contrast Right147035026461286853
73202CT Wrist w/ + w/o Contrast Left13360630249
73202CT Wrist w/ + w/o Contrast Left147035026461286887
73202CT Wrist w/ + w/o Contrast Right13360630251
73202CT Wrist w/ + w/o Contrast Right147035026461286889
73218MRI UE Non Joint w/o Contrast Left139761000341007537
73218MRI UE Non Joint w/o Contrast Right139761000221007539
73219MRI UE Non Joint w/ Contrast Left145661000351007528
73219MRI UE Non Joint w/ Contrast Right145661000231007530
73220MRI UE Non Joint w/ + w/o Contrast Left157361000361007524
73220MRI UE Non Joint w/ + w/o Contrast Right157361000241007526
73221MRI UE Joint w/o Contrast Left13976100037821455
73221MRI UE Joint w/o Contrast Right13976100025821457
73222MRI UE Joint w/ Contrast Left145661000381007515
73222MRI UE Joint w/ Contrast Right145661000261007517
73223MRI UE Joint w/ + w/o Contrast Left157361000391005509
73223MRI UE Joint w/ + w/o Contrast Right157361000271005511
73225MRA Upper Extremity Left222161000641005387
73225MRA Upper Extremity Right222161000601005389
73501XR Hip 1 View Left2363206056823576
73501XR Hip 1 View Lt w/ Pelvis236320719222200615
73501XR Hip 1 View Right2363206056823578
73501XR Hip 1 View Rt w/ Pelvis236320794322200618
73502XR Hip 2-3 Views Lt w/ Pelvis247320869422200621
73502XR Hip 2-3 Views Rt w/ Pelvis247320944522200624
73503XR Hip Min 4 Views Lt w/ Pelvis330320124422200627
73503XR Hip Min 4 Views Rt w/ Pelvis330320199522200630
73521XR Hips Bil w/ Pelvis 2 Views247320274622200633
73522XR Hips Bil w/ Pelvis 3-4 Views289320349722200636
73523XR Hips Bil w/ Pelvis Min 5 Views330320424822200639
73550XR Hip Bilateral w/Pelvis224.40630461
73551XR Femur 1 View Left23632049992160505
73551XR Femur 1 View Right23632057502160508
73552XR Femur 2 Views Left24732065012214248
73552XR Femur 2 Views Right24732072522214251
73552XR Femur Left219.40630655
73552XR Femur Left2473201570823528
73552XR Femur Right219.40630651
73552XR Femur Right2473201570823530
73560XR Knee One or Two Views Left219.40630361
73560XR Knee One or Two Views Left2413202321823596
73560XR Knee One or Two Views Right219.40630355
73560XR Knee One or Two Views Right2413202321823598
73562XR Knee 3 Views Left224.40630403
73562XR Knee 3 Views Left2473203562823592
73562XR Knee 3 Views Right224.40630395
73562XR Knee 3 Views Right2473203562823594
73564XR Knee Complete Left224.40630373
73564XR Knee Complete Left25232030721007996
73564XR Knee Complete Right224.40630369
73564XR Knee Complete Right25232030721007998
73565XR Knee Standing AP Bilateral214.40630351
73565XR Knee Standing AP Bilateral23632034761008002
73590XR Tib/Fib 2 Views Bilateral224.401003649
73590XR Tib/Fib 2 Views Bilateral24732038231008110
73590XR Tibia/Fibula 2 Views24132038232214290
73590XR Tibia/Fibula 2 Views24132038232214293
73590XR Tibia/Fibula 2 Views Left219.402213982
73590XR Tibia/Fibula 2 Views Right219.402213983
73592XR LE Infant Min 2 Views Left219.402213972
73592XR LE Infant Min 2 Views Left24132045742214260
73592XR LE Infant Min 2 Views Right219.402213973
73592XR LE Infant Min 2 Views Right24132045742214263
73600XR Ankle 2 Views Left219.40625718
73600XR Ankle 2 Views Left24132053251007853
73600XR Ankle 2 Views Right219.40625720
73600XR Ankle 2 Views Right24132053251007855
73610XR Ankle Complete Left224.40625724
73610XR Ankle Complete Left2473206076823492
73610XR Ankle Complete Right224.40625726
73610XR Ankle Complete Right2473206076823494
73620XR Foot 2 Views Left219.40630559
73620XR Foot 2 Views Left2413206827823554
73620XR Foot 2 Views Right219.40630555
73620XR Foot 2 Views Right2413206827823556
73630XR Foot Complete Left224.40630548
73630XR Foot Complete Left2473207578823558
73630XR Foot Complete Right224.40630533
73630XR Foot Complete Right2473207578823560
73650XR Calcaneous Left219.40629618
73650XR Calcaneous Left2413208329823496
73650XR Calcaneous Right219.40629620
73650XR Calcaneous Right2413208329823498
73660XR Toes 2nd Digit Left224.40629918
73660XR Toes 2nd Digit Left2473209080823659
73660XR Toes 2nd Digit Right224.40629912
73660XR Toes 2nd Digit Right2473209080823661
73660XR Toes 3rd Digit Left224.40629908
73660XR Toes 3rd Digit Left2473209080823663
73660XR Toes 3rd Digit Right224.40629899
73660XR Toes 3rd Digit Right2473209080823665
73660XR Toes 4th Digit Left224.40629896
73660XR Toes 4th Digit Left2473209080823667
73660XR Toes 4th Digit Right224.40629890
73660XR Toes 4th Digit Right2473209080823669
73660XR Toes 5th Digit Left224.40629882
73660XR Toes 5th Digit Left2473209080823671
73660XR Toes 5th Digit Right224.40629876
73660XR Toes 5th Digit Right2473209080823673
73660XR Toes Great Left224.40629866
73660XR Toes Great Left2473209080823675
73660XR Toes Great Right224.40629858
73660XR Toes Great Right2473209080823677
73700CT Ankle w/o Contrast Left767.40625694
73700CT Ankle w/o Contrast Left84435064061021529
73700CT Ankle w/o Contrast Right767.40625696
73700CT Ankle w/o Contrast Right84435064061021531
73700CT Femur w/o Contrast Left767.40629852
73700CT Femur w/o Contrast Left84435064061286777
73700CT Femur w/o Contrast Right767.40629854
73700CT Femur w/o Contrast Right84435064061286779
73700CT Foot w/o Contrast Left767.40629878
73700CT Foot w/o Contrast Left84435064061021545
73700CT Foot w/o Contrast Right767.40629880
73700CT Foot w/o Contrast Right84435064061021547
73700CT Hip w/o Contrast Left767.40629992
73700CT Hip w/o Contrast Left84435064061021557
73700CT Hip w/o Contrast Right767.40629996
73700CT Hip w/o Contrast Right84435064061021559
73700CT Knee w/o Contrast Left767.40630044
73700CT Knee w/o Contrast Left84435064061021569
73700CT Knee w/o Contrast Right767.40630046
73700CT Knee w/o Contrast Right84435064061021571
73700CT Tibia/Fibula w/o Contrast Left767.40630203
73700CT Tibia/Fibula w/o Contrast Left84435064061286881
73700CT Tibia/Fibula w/o Contrast Right767.40630205
73700CT Tibia/Fibula w/o Contrast Right84435064061286883
73701CT Ankle w/ Contrast Left1201.70625688
73701CT Ankle w/ Contrast Left132235071571021525
73701CT Ankle w/ Contrast Right1201.70625690
73701CT Ankle w/ Contrast Right132235071571021527
73701CT Femur w/ Contrast Left1201.70629846
73701CT Femur w/ Contrast Left132235071571286771
73701CT Femur w/ Contrast Right1201.70629848
73701CT Femur w/ Contrast Right132235071571286773
73701CT Foot w/ Contrast Left1201.70629870
73701CT Foot w/ Contrast Left132235071571021541
73701CT Foot w/ Contrast Right1201.70629872
73701CT Foot w/ Contrast Right132235071571021543
73701CT Hip w/ Contrast Left1201.70629984
73701CT Hip w/ Contrast Left132235071571021553
73701CT Hip w/ Contrast Right1201.70629988
73701CT Hip w/ Contrast Right132235071571021555
73701CT Knee w/ Contrast Left1201.70630038
73701CT Knee w/ Contrast Left132235071571021565
73701CT Knee w/ Contrast Right1201.70630040
73701CT Knee w/ Contrast Right132235071571021567
73701CT Tibia/Fibula w/ Contrast Left1201.70630194
73701CT Tibia/Fibula w/ Contrast Left132235071571286875
73701CT Tibia/Fibula w/ Contrast Right1201.70630198
73701CT Tibia/Fibula w/ Contrast Right132235071571286877
73702CT Ankle w/ + w/o Contrast Left13360625682
73702CT Ankle w/ + w/o Contrast Left147035033971021521
73702CT Ankle w/ + w/o Contrast Right13360625684
73702CT Ankle w/ + w/o Contrast Right147035033971021523
73702CT Femur w/ + w/o Contrast Left13360629840
73702CT Femur w/ + w/o Contrast Left147035033971286765
73702CT Femur w/ + w/o Contrast Right13360629842
73702CT Femur w/ + w/o Contrast Right147035033971286767
73702CT Foot w/ + w/o Contrast Left13360629862
73702CT Foot w/ + w/o Contrast Left147035033971021537
73702CT Foot w/ + w/o Contrast Right13360629864
73702CT Foot w/ + w/o Contrast Right147035033971021539
73702CT Hip w/ + w/o Contrast Left13360629972
73702CT Hip w/ + w/o Contrast Left147035037021021549
73702CT Hip w/ + w/o Contrast Right13360629980
73702CT Hip w/ + w/o Contrast Right147035037021021551
73702CT Knee w/ + w/o Contrast Left13360630030
73702CT Knee w/ + w/o Contrast Left147035033971021561
73702CT Knee w/ + w/o Contrast Right13360630034
73702CT Knee w/ + w/o Contrast Right147035033971021563
73702CT Tibia/Fibula w/ + w/o Contrast Left13360630184
73702CT Tibia/Fibula w/ + w/o Contrast Left147035033971286869
73702CT Tibia/Fibula w/ + w/o Contrast Right13360630188
73702CT Tibia/Fibula w/ + w/o Contrast Right147035033971286871
73718MRI LE Non Joint w/o Contrast Left139761000401005472
73718MRI LE Non Joint w/o Contrast Right139761000281005474
73719MRI LE Non Joint w/ Contrast Left145661000411005468
73719MRI LE Non Joint w/ Contrast Right145661000291005470
73720MRI LE Non Joint w/ + w/o Contrast Left157361000421005464
73720MRI LE Non Joint w/ + w/o Contrast Right157361000301005466
73721MRI LE Joint w/o Contrast Left13976100043821420
73722MRI LE Joint w/ Contrast Left145661000441005460
73722MRI LE Joint w/ Contrast Right145661000321005462
73723MRI LE Joint w/ + w/o Contrast Left15736100045821414
73723MRI LE Joint w/ + w/o Contrast Right15736100033821416
73725MRA Lower Extremity Left225161000651005372
73725MRA Lower Extremity Right225161000611005374
74018XR Abdomen 1 View2363209831823483
74019XR Abdomen 1 View214.40796083
74019XR Abdomen 2 View2413201598823486
74019XR Abdomen 2 Views219.40625630
74022XR Abdomen Complete w/ Decub/Erect3780625618
74022XR Abdomen Complete w/ Decub/Erect4163202349823490
74150CT Abdomen w/o Contrast767.40625600
74150CT Abdomen w/o Contrast8443503857821330
74160CT Abdomen w/ Contrast1201.70625598
74160CT Abdomen w/ Contrast13223502606821328
74170CT Abdomen w/ + w/o Contrast13360615590
74170CT Abdomen w/ + w/o Contrast14703501855821326
74176CT Abdomen/Pelvis w/o Contrast1069.190885755
74176CT Abdomen/Pelvis w/o Contrast117635056511005112
74177CT Abdomen/Pelvis w/ Contrast1674.280885753
74177CT Abdomen/Pelvis w/ Contrast184235064021005109
74178CT Abdomen/Pelvis w + w/o Contrast1724.030885754
74178CT Abdomen/Pelvis w + w/o Contrast189635071531005106
74181MRI Abdomen w/o Contrast244961000461005395
74182MRI Abdomen w/ Contrast262561000471005393
74183MRI Abdomen w/ + w/o Contrast272561000481005391
74185MRA Abdomen w/ Contrast228261000592214011
74185MRA Abdomen w/o Contrast224461000552214014
74249XR Fluoro UGI w/ Air w/ Small Bowel712.20613602
74249XR Upper GI w/ Air w/ Small Bowel78332077591008128
74250XR Small Bowel Series429.801319574
74250XR Small Bowel Series47332053531319995
74400XR Fluoro IVP920.80630417
74400XR IVP920.801319570
74400XR IVP101332083571007987
74400XR IVP101332083571319984
74420XR Fluoro Urography Retrograde911.60613610
74420XR Urography Retrograde920.801319576
74420XR Urography Retrograde100332098591008134
74420XR Urography Retrograde101332098591320000
74430XR Cystogram Non Voiding920.801319563
74430XR Cystogram Non Voiding101332044301319963
76010XR Child Nose-Rectum For FB23632051731007907
76010XR Child Nose-Rectum For FB214.40853148
76536US Head/Neck Soft Tissue372.30631151
76536US Head/Neck Soft Tissue4104023530823428
76641US Breast Left26840241351007730
76641US Breast Right26840241351007735
76700US Abdomen Complete3060625608
76700US Abdomen Complete3374028950823404
76705US Abdomen Limited2450625610
76705US Abdomen Limited2704029701823406
76706US AAA Screening121402208011849858
76770US Renal372.30853416
76770US Renal41040257831007818
76770US Retroperitoneal Complete372.30630892
76770US Retroperitoneal Complete4104029648823461
76801US Pregnancy < 14 weeks372.30630921
76801US Pregnancy < 14 weeks4104029696823452
76801US Pregnancy Multi Gest < 14 weeks25840213001319945
76802US Preg Each Addl Gest < 14 Weeks84402132911137643
76802US Pregnancy Multi Gest < 14 weeks243.201319557
76805US Pregnancy > 14 weeks372.30630919
76805US Pregnancy > 14 weeks41040220511007800
76805US Pregnancy Multi Gest > 14 weeks32340228021136396
76810US Preg Each Addl Gest > 14 Weeks159402126511137648
76810US Pregnancy Multi Gest > 14 weeks372.301136351
76815US Pregnancy Limited1800630906
76815US Pregnancy Limited19840220291007813
76816US Pregnancy Follow Up2250630910
76816US Pregnancy Follow Up24840226181007811
76817US Pregnancy Transvaginal243.20630903
76817US Pregnancy Transvaginal2684023369823456
76818US Fetal Biophysical Profile w/ Non-Str372.30631102
76818US Fetal Biophysical Profile w/ Non-Str41040265341007761
76830US Transvaginal372.30630827
76830US TRANSVAGINAL4104024281823467
76856US Pelvis Non-OB Complete372.30630929
76856US Pelvis Non-OB Complete4104028641823448
76857US Pelvis Non-OB Limited243.20630925
76857US Pelvis Non-OB Limited2684024784823450
76870US Scrotum (Contents)372.30630851
76870US Scrotum (Contents)4104022779823463
76881US Extremity Non-Vasc Real-time Complete372.301235866
76881US Extremity Non-Vasc Real-time Complete41040278901235869
76882US Extremity Non-Vasc Real-time Limited243.201235868
76882US Extremity Non-Vasc Real-time Limited26840229001235872
76882US Soft Tissue Mass243.203778202
76882US Soft Tissue Mass26840218963778203
76942US Guidance Needle Placement20001075661
76942US Guidance Needle Placement22040287011075662
77073XR Bone Length Studies Scanograms224.40627646
77073XR Bone Length Studies Scanograms24732059241007879
77074XR Bone Survey Limited (Mets)36801160277
77074XR Bone Survey Limited (Mets)40532066751160961
77074XR Bone Survey Long Bone433.440627662
77074XR Bone Survey Long Bone47732066751007888
77075XR Bone Survey Complete37801319561
77075XR Bone Survey Complete41632000611319957
80048BMP 5643001535910512
80050General Health Panel 120030077623579544
80051Electrolyte Panel533009538633610
80053CMP 78030030371200257
80055Prenatal Reflexive Panel ARUP140.9730085135095119
80061Cholesterol Test3698380394404192
80061Lipid Panel 310230016771657586
80069Renal Panel 56630052121200258
80074Hepatitis Panel, Acute ARUP110.1630028581764004
80076Hepatic Panel 16230052121414277
80150Amikacin, Trough Level ARUP48.26300906712750983
80156Carbamazepine, Total ARUP73.630046815095057
80158Cyclosporine A ARUP89.1930076621763944
80159Clozapine ARUP55.46300147420951742
80162Digoxin Level1013005432633719
80164Valproic Acid ARUP68.8930039071763605
80164Valproic Acid, Free and Total ARUP122.26300372723074379
80168Ethosuximide ARUP47.4630026831764043
80169Everolimus by Tandem Mass Spectrometry ARUP155.46300147822034146
80170Gentamicin, Trough Level ARUP48.26300120120112147
80175Lamotrigine ARUP100.0330029391763920
80178Lithium, Serum or Plasma ARUP71.2930061835095102
80180Mycophenolic Acid and Metabolites ARUP240.9300153222034147
80183Oxcarbazepine Metabolite ARUP119.4230078601763841
80184Phenobarbital ARUP68.830069345146975
80184Phenobarbital, Free and Total, Ser/Pla ARUP68.830069345095114
80185Phenytoin Lvl1013007685858788
80195Sirolimus by Tandem Mass Spectrometry ARUP142.9230066091763722
80197Tacrolimus ARUP82.283002991763702
80198Theophylline ARUP69.5330099381763687
80200Tobramycin, Peak Level ARUP69.3830077261763649
80200Tobramycin, Random Level ARUP69.3830077265095135
80200Tobramycin, Trough Level ARUP52.2630012991763647
80201Topiramate ARUP87.8630016651763645
80202Vancomycin, Peak Level ARUP51.46300212622119194
80202Vancomycin, Trough Level ARUP72.6530018845095143
80299Amiodarone and Metabolite ARUP111.7730058581763683
80299Flecainide ARUP109.0630097921764060
80299Gabapentin Level ARUP57.4830048887228611
80299Keppra (Levetiracetam) ARUP160.7930061702669545
80299Zonisamide Quantitative ARUP11430091686980616
80307Cotinine Screen, Urine ARUP59.46300209122048195
80307Drugs of Abuse 9 Panel, Urine-Screen Only ARUP63.86300366823259987
80307Pain Management Drug Panel by High-Resolution Time-of-Flight or Tandem Mass Spectrometry and Enzyme95.46300424023383531
80307Pain Management Drug Screen with Interpretation by High-Reso157.46300434423383350
80307Pain Management Panel, Screen with Reflex to Quantitation ARUP87.46300418123384421
80307UDS 311130068081042631
80320Alcohol, Urine, Quantitative ARUP83.46300343923244752
80320Ethanol Level823003238633725
80323Nicotine and Metabolites, Ser/Pla ARUP155.6330087025095111
80327DHT, LC-MS/MS ARUP81.4630010661763970
80329Acetaminophen Level1543002487857776
80376Laxatives Panel (Qual), Urine Test311300228022119084
81000UA Complete 22430017361042632
81002Urine Dipstick POC17.799831380607619
81003UA Dipstick 21730022735208971
81025Urine Pregnancy Test POC179837183607621
81220Cystic Fibrosis (CFTR) 165 Pathogenic Variants ARUP331.46300346622442290
81220Cystic Fibrosis (CFTR) 32 Mutations ARUP201.4630015221763948
81240Bill Prothrombin (F2) G20210A Mutation3530059445405007
81240Prothrombin (F2) G20210A Mutation ARUP31.4630059441773547
81240Prothrombin (F2) G20210A Mutation ARUP31.4630059445095123
81241Factor V Leiden (F5) R506Q Mutation ARUP31.4630062241764051
81243Fragile X (FMR1) with Reflex to Methylation Analysis ARUP136.46300429123394011
81256Hemochromatosis (HFE) 3 Mutations ARUP256.4630084231764044
81257BILL Alpha Thalassemia, 7 Deletions ARUP46930091347018645
81270JAK2 Gene, V617F Mutation, Qualitative ARUP331.4630037311763932
81291MTHFR 2 Mutations ARUP151.4630079381763879
81335TPMT Genotyping, 4 Variants ARUP456.46300141516899496
81401Apolipoprotein E (APOE) Genotyping, Alzheimer Disease Risk ARUP171.46300421723532548
81401BILL Beta Globin (HBB) Mutations ARUP29330092127018640
81403Y Chromosome Microdeletion ARUP281.46300379922891024
81404BILL Beta Globin Full Gene Sequencing ARUP61230089837018641
81405BILL Alpha Thalassemia HBA1 and HBA2 Seq ARUP69530091307018646
81406Wilson Disease (ATP7B) Sequencing ARUP1181.46300157322030452
81420Non-Invasive Prenatal Testing For Fetal Aneuploidy ARUP606.46300427223095460
81479BILL Hemoglobin Lepore (HBD/HBB) 3 Mut ARUP28830088317018648
82009Acetone, Quantitative ARUP70.230013495094972
82010Beta-Hydroxybutyric Acid ARUP6030037091763777
82017Carnitine Panel ARUP251.46300193222107610
82024Adrenocorticotropic Hormone ARUP85.6730089781763567
82040Albumin Level353006500633634
82042Albumin, Body Fluid ARUP72.4230012351763573
82042Albumin, CSF ARUP72.4230012351763574
82043Bill Microalbumin Urine6330052455422975
82043Microalbumin, Urine ARUP56.9630052455095107
82085Aldolase, Serum ARUP63.6630085471763575
82088Aldosterone ARUP108.2630088302436936
82088Aldosterone Renin ACT Ratio ARUP77.46300189216899476
82088Aldosterone, Urine ARUP74.66300245016899459
82103Alpha-1-Antitrypsin (Serpina 1) Enzyeme Concentration and 2 Mutations w/ Reflex to Alpha-1-Antitryps354300289422485107
82103Alpha-1-Antitrypsin ARUP208.2130011921763677
82103Alpha-1-Antitrypsin Phenotype ARUP95.4630078921763679
82105Alpha Fetoprotein Tumor Marker ARUP49.4630015761763675
82105Maternal Serum Screen AFP, hCG, EST, INH ARUP81.8430038042465195
82108Aluminum, Serum ARUP47.46300214322118897
82131Methionine QN P1273300189022146566
82131Tryptophan, Plasma ARUP211.46300198722045457
82139Amino Acids Quantitative, Plasma ARUP177.9230061261763681
82140Ammonia, Plasma ARUP72.530017355094973
82150Amylase Level493003989631567
82150Amylase, Body Fluid ARUP42.6630096261763686
82164Angiotensin Converting Enzyme, Serum ARUP81.8930017091763698
82172Apolipoprotein B ARUP51.46300152920954704
82172Apolipoprotein B/A Ratio ARUP71.46300145620954282
82175Arsenic, Blood ARUP74.330048561763725
82175Arsenic, Fractionated, Urine ARUP74.330048561763760
82175Heavy Metals Panel 3, Urine with Reflex ARUP75.4630087411764050
82175Heavy Metals Panel 4, Blood ARUP95.4630015461764048
82180Vitamin C (Ascorbic Acid) Plasma ARUP65.86300202716899480
82232Beta-2-Microglobulin, Serum or Plasma ARUP99.9230020775094977
82239Bile Acids, Total ARUP5430094531763780
82247Bilirubin Total383005491633672
82247Neonatal Bili3830054911019625
82247Neonatal Bilirubin 13830054913770221
82248Bilirubin Direct383006242633670
82261Biotinidase, Serum ARUP59.46300350223358248
82270Stool for Occult Blood Screening POC339838226607615
82271Gastric Occult Blood39.623003400997686
82272Occult Blood Stool443006993633788
82300Cadmium, Blood ARUP87.330047221763808
8230625-Hydroxyvitamin D2 and D3, Serum ARUP83.4630028211763547
82306Vitamin D, 25-Hydroxy ARUP92.2630028701763571
82308Calcitonin ARUP63.4630012491763811
82310Bill Calcium for Parathyroid Hormone, Intact3930077445404977
82310Calcium for Parathyroid Hormone, Intact3930077441773247
82310Calcium Level Total393007744633690
82330Calcium, Ionized, Serum ARUP72.3130025391763812
82340Calcium, Urine ARUP72.0430022195095044
82340Supersaturation Profile, Urine ARUP226.46300352923252269
82365Calculi (STONE) Analysis ARUP107.530020371763816
82374Carbon Dioxide Level333005749633626
82375Carboxyhemoglobin Quantitation ARUP127.58300464023566530
82378Carcinoembryonic Antigen ARUP70.9830084951763825
82379Carnitine, Free & Total (Includes Carnitine, Esterified) ARUP79300870014777394
82384Catecholamines Panel, Plasma ARUP90.0230018255095060
82384Catecholamines Panel, Urine Free ARUP73.8630023001763831
82390Ceruloplasmin ARUP75.5330086951763836
82390Wilson Disease Screening Panel, Serum ARUP111.46300313922573614
82397Leptin Quant by CIA ARUP109.46300131916899455
82435Chloride Level233009246633621
82436Chloride, Urine ARUP77.4730024301763844
82436Electrolytes, Urine ARUP69300391823003651
82465Cholesterol Total333009997633705
82495Chromium, Serum ARUP51.46300900114777393
82507Citric Acid, Serum ARUP83.630038295095063
82507Citric Acid, Urine ARUP83.630038291763858
82507Kidney Stone Risk Panel, Urine ARUP85.8630029131763925
82523N-Telopeptide, Cross-Linked, Urine ARUP69.46300299116899387
82525Copper, RBC ARUP97.46300220722099325
82525Copper, Serum ARUP78.8630056021763881
82525Copper, Serum Free (Direct) ARUP125.4230075655095065
82530Cortisol Urine Free ARUP53.4630097529894373
82530Cortisol, Free ARUP145300879914277371
82530Cortisol, Urine Free by LC-MS/MS ARUP53.4630024561763888
82533Cortisol by LC-MS/MS, Serum or Plasma ARUP70.730014005095066
82533Cortisol, Saliva ARUP87.9430012361763884
82533Cortisol, Serum or Plasma ARUP70.730014001763887
82542Fatty Acids Profile, Essential Serum or Plasma ARUP413.46300372423306746
82550Creatine Kinase703002151633712
82552Creatine Kinase Isoenzymes ARUP61.06300397816899454
82553Creatine Kinase, MB ARUP49.06300826711921368
82553Creatine Kinase-MB533002902785969
82570Bill Creatinine Urine7530022085422976
82570Creatinine Body Fluid ARUP67.9230022085095067
82570Creatinine, 24-Hour Urine ARUP39.4930089487228610
82575Creatinine Clearance, Urine ARUP74.7330087535095068
82585Cryofibrinogen ARUP42.2630035931763894
82595Cryoglobulin Qualitative with Rflx ARUP41.4630032011763895
82607Vitamin B12 ARUP78.630093051763579
82610Cystatin C ARUP111.4630015191763946
82626Dehydroepiandrosterone by TMS ARUP192.9730084131763964
82627DHEA Sulfate, Serum ARUP80.5230067601763969
82652Vitamin D, 1,25-Dihydroxy ARUP111.830021181763572
82657Leukocyte Lysosomal Enzyme ARUP773.4630026431763910
82657Thiopurine Methyltransferase, RBC ARUP303.8630018341763682
82668Erythropoietin ARUP91.430098171764028
82670Estradiol by TMS ARUP94.2430038091764029
82670Estradiol, Adult Premenopausal Female ARUP94.2430038091764030
82670Estradiol, Free ARUP234.4630023241764031
82671Estrogens, Fractionated by TMS ARUP121.2530023821764034
82677Estriol, Serum ARUP92.1830085335095072
82679Estrone by TMS ARUP105.5730038841764036
82705Fat, Fecal Qualitative ARUP79.5730081151764056
82710Fat, Fecal Quantitative 48-Hour Collection ARUP121.46300414523393904
82710Fat, Fecal Quantitative 72-Hour Collection ARUP141.46300128716071380
82726Very Long-Chain and Branched-Chain Fatty Acids Profile ARUP160.46300317422283273
82728Ferritin ARUP75.5230054095095075
82731Fetal Fibronectin ARUP251.46300826014777399
82746Folate, Serum ARUP71.8430011055095078
82747Folate, RBC ARUP51.4630022461764064
82784Celiac Reflexive Panel ARUP44.6630030341763832
82784Immunoglobulin A ARUP44.6630090221763975
82784Immunoglobulin G ARUP73.0130025251763973
82784Immunoglobulin M ARUP72.9430030671763963
82784Immunoglobulins, Quantitative ARUP60.6630036641763961
82785Immunoglobulin E ARUP82.6530096981763974
82787Immunoglobulin G Subclasses (1, 2, 3, 4) ARUP108.2630032611763971
82800Venous pH4222294382195
82803ABG 714730051551200260
82941Gastrin Level ARUP49.4630092781764074
82945Glucose Body Fluid ARUP38.6630086111764072
82945Glucose Cerebrospinal Fluid353009643633604
82945Glucose, CSF3530096433798980
82947Fasting Glucose 13030059062013630
82947Glucose Level303005906633594
82948Blood Glucose POC498380342435622
82950.GTT 2 Hour (75gm)3030046291277519
82950Gluc 1 Hr OB3030046292446661
82950Glucose 1 Hour303004629633597
82950Glucose 2 Hour303004629633599
82950OB GTT (1 Hr)3030046295300980
82951.GTT- Fasting OB8930046291296916
82951.GTT Glucose Fasting8930007503324334
82951Lactose Tolerance ARUP75.46300258522704397
82952Glucose 3 Hour303004629633600
82977Gamma Glutamyl Transferase, Serum/Plasma ARUP67.3830074081764073
82985Fructosamine ARUP46.66300172516899481
83001Follicle Stimulating Hormone ARUP83.7130081595146972
83002Luteinizing Hormone, Serum ARUP82.4830089105095103
83003Growth Hormone ARUP93.7630097671764065
83010Haptoglobin ARUP72.4430021391764061
83018Cobalt, Serum or Plasma ARUP59.46300303122493767
83018Iodine, Urine ARUP196.46800868214777391
83018Titanium Quantitative, Serum or Plasma ARUP152.46300163722030447
83018Titanium, Urine ARUP175.46300114722030449
83021Hemoglobin Evaluation ARUP73.4630039521764042
83021Hemoglobin S, Evaluation (Sickle Cell) ARUP275.46300103617219389
83036Hemoglobin A1C ARUP73.430013565095084
83036Hemoglobin A1c POC42.029838038684349
83090Bill Homocysteine, Total8730036355404986
83090Homocysteine, Total ARUP78.9130036351763997
83090Homocysteine, Total NLL78.9130036351773548
834975-Hydroxyindoleacetic Acid (HIAA), Urine ARUP53.8630031991763549
8349817-Hydroxyprogesterone ARUP84.0530085891763542
8349817-Hydroxyprogesterone Qnt by MS/MS, Ser ARUP84.0530017775094971
83516Aquaporin-4 Receptor Antibody ARUP401.4630017051763723
83516Bill Saccharomyces cerevisiae Ab (gASCA), IgG4230068905405014
83516Centromere Ab, IgG ARUP87.0630062411763834
83516Deamidated Gliadin Peptide (DGP) Ab, IgA ARUP99.6930068901772121
83516Deamidated Gliadin Peptide (DGP) Ab, IgG ARUP31.4630068901772122
83516F-Actin (SM) Ab, IgG by ELISA with Reflex to Titer(0051174) ARUP100.6630086061764049
83516F-Actin (Smooth Muscle) Antibody, IgG ARUP100.6630086065095073
83516Gastric Parietal Cell Ab, IgG ARUP61.46300317622452930
83516Gliadin Peptide Antibody, IgA ARUP45.4630068901764076
83516Gliadin Peptide Antibody, IgG ARUP46.4630068901764075
83516Glutamic Acid Decarboxylase Antibody ARUP152.9130052281764066
83516Histone Antibody, IgG ARUP47.46300287722511434
83516Laminaribioside Carbohydrate Ab ALCA IgG4230068905149019
83516Mannobioside Carbohydrate Ab (AMCA), IgG4230068905149018
83516Mitochondrial M2 Ab, IgG ARUP45.4630094251763883
83516MPO/PR-3 (ANCA) Antibodies ARUP69.8630021141861618
83516Neuronal Nuclear (Hu, Ri, Yo and Amphiphysin) Antibodies IgG by Immunoblot ARUP243300943311428203
83516Ribosomal P Protein Antibody ARUP63.46300296522511468
83516RNA Polymerase III Antibody, IgG ARUP153.6230090315095128
83516Saccharomyces cerevisiae Ab (gASCA), IgG4230068905149017
83516Tissue Trans. Ab, IgA with Reflex ARUP43.4630029581763658
83516Tissue Transglutaminase Antibody, IgA ARUP43.6630020291763655
83516Tissue Transglutaminase Antibody, IgG ARUP71.4630050471763652
8351921-Hydroxylase Antibody ARUP115.3630060631763545
83519Acetylcholine Receptor Ab Reflex Panel ARUP142.2630019371763560
83519Acetylcholine Receptor Antibodies and Striated Muscle Antibodies Reflexive Panels, and Titin Antibod310300270422687235
83519Melanocyte Stimulation Hormone, Alpha (a-MSH) ARUP211.46300227022046140
83519Pancreatic Polypeptide ARUP151.46300148922026112
83519Parathyroid Hormone-Related Peptide ARUP118.7730071871763833
83519Thyroid Stimulating Hormone Receptor Ab ARUP109.730022591763666
83519Trypsin-Like Immunoreactivity ARUP59.46300113922026111
83520Adiponectin ARUP231.46300331923203437
83520Anti-Mullerian Hormone ARUP129.4630019371763700
83520Cytokine Panel, TH1 by MAFD ARUP256.46300-73918297370
83520Cytokine Panel, TH2 by MAFD ARUP256.46300-97628297369
83520Pancreatic Elastase, Fecal ARUP25530016418758502
83520Tryptase ARUP20930088601763618
83525Bill Total Insulin8830031975405024
83525Insulin, Fasting ARUP43.4630013811763943
83525Insulin, Random ARUP79.9130031971763942
83525Total Insulin ARUP79.9130031975099063
83527Bill Insulin Free6530096655404995
83527Insulin Free ARUP59.4630096655099062
83540Bill Iron, Serum or Plasma7630096615404997
83540Iron, Plasma or Serum ARUP69.0930096615095098
83540Iron, Serum or Plasma ARUP69.0930096615099070
83550Bill Iron Binding Capacity Total5630018855404996
83550Iron Binding Capacity Total ARUP50.5530018855099071
83605Lactic Acid413008517633772
83615Lactate Dehydrogenase Body Fluid ARUP66.7130044721763923
83615Lactate Dehydrogenase, Plasma or Serum ARUP66.7130044725095101
83655Lead, Blood (Capillary) ARUP79.7330044611763919
83655Lead, Blood (Venous) ARUP79.7330044611763918
83690Lipase Level363006613633776
83690Lipase, Fluid ARUP41.4630099251763909
83698Lipoprotein-Associated Phospholipase A2 (PLAC) ARUP156.46300139220954300
83700Lipoprotein Electrophoresis ARUP100.2630020701763908
83701Bill VAP Cholesterol6730096286340979
83704LipoProfile by NMR, Particle Analysis Only ARUP86.46300352122914233
83721Cholesterol Low Density Lipids573006694633704
83735Magnesium Level513002856633781
83735Magnesium, RBC ARUP85.23300917414777387
83735Magnesium, Urine ARUP44.26300867414777386
83785Manganese, Whole Blood ARUP51.46300955014777380
83825Mercury, Blood ARUP45.46300222516899382
83825Mercury, Urine ARUP83.830076095095106
83835Metanephrines Fractionated by HPLC-MS/MS, Ur ARUP6830095248758506
83835Metanephrines, Plasma (Free) ARUP14530027441763886
83864MPS Screen, Urine ARUP271.4630027891763880
83874Myoglobin, Serum ARUP100.630027191763864
83874Myoglobin, Urine ARUP48.6630032071763862
83880NT Pro-BNP2453009576853229
83883Bill Free Urinary Kappa Light Chains5230060275404983
83883Free Urinary Kappa Light Chains ARUP47.2630060271770260
83883Free Urinary Lambda Light Chain ARUP47.2630060271770262
83883Kappa Free Light Chains, Urine ARUP47.2630060275095099
83883Kappa-Lambda Quant FLC with Ratio ARUP150.6630088875095100
83921MMA Serum/Plasma, Vitamin B12 Deficiency ARUP318.0330031661763882
83930Osmolality, Serum or Plasma ARUP74.2430021281763848
83935Osmolality, Urine ARUP79.7330014041763847
83945Oxalate, Total, Urine ARUP84.2630035681763843
83970Bill Parathyroid Hormone, Intact11730080515405001
83970Parathyroid Hormone Intact ARUP106.6730080515095113
83970Parathyroid Hormone, CAP ARUP106.6730080515146974
83970Parathyroid Hormone, Intact ARUP106.6730080511773248
83986pH Body Fluid ARUP38.2630088021763821
83986Ph, Fecal ARUP38.2630036451763820
83993Calprotectin, Fecal ARUP210.46923031763817
84030Newborn Screening Test 115830036075813123
84075Alkaline Phosphatase393004358633642
84075Alkaline Phosphatase Isoenzymes ARUP59.0630038901763577
84080Bone Specific Alkaline Phosphatase ARUP104.66300813611427371
84100Phosphorus Level393009504633803
84100Phosphorus, Inorganic, Plasma or Serum ARUP66.4730095045095115
84105Phosphorus, Urine ARUP76.4430028691763815
84120Porphyrins and Porphobilinogen (PBG), Urine ARUP109.06300975111428216
84132Potassium Level353005109633616
84133Potassium Urine ARUP77.3530055695095118
84134Prealbumin, Serum ARUP75.4730037261763809
84140Pregnenolone by MS/MS, Serum ARUP118.2230064361763807
84144Progesterone ARUP74.6730090135095120
84145Procalcitonin ARUP211.46300452323382695
84146Prolactin ARUP86.0830058601763801
84152Prostate Specific Antigen, Complexed ARUP178.46300148921686032
84153Bill Prostate Specific Ag, Reflex12630071095405005
84153Prostate Specific Ag, Reflex ARUP45.4630071092247555
84153Prostate Specific Antigen ARUP73.230066115095121
84153Prostate Specific Antigen, Total ARUP45.4630066111773371
84153PSA Ultra Sensitive ARUP114.9230071095095124
84154Bill Prostate Specific Antigen, Free, Reflex11130033735405006
84154Prostate Specific Antigen, Free ARUP47.4230033731773372
84154Prostate Specific Antigen, Free, Reflex5230033732247556
84155Protein Total413002299633818
84156Bence Jones Prot Detect w/ Reflex ARUP93.4630034547954617
84156Bence Jones Protein, Quantitative, Urine ARUP117.4630039581763774
84156Bill Total Protein8030025655405025
84156Total Protein ARUP72.4130025651770259
84156Total Protein, Urine ARUP40.6630025655095136
84157Protein, Total, CSF ARUP41.86300943311428280
84157Total Protein, Body Fluid ARUP68.6330019931763636
84165Protein Electrophoresis, Serum ARUP82.7330073621763789
84166Protein Electrophoresis CSF ARUP82.230053845095122
84206Proinsulin ARUP70.6630035521763803
84207Vitamin B6 (Pyridoxal 5-Phosphate) ARUP9330045141763576
84238Soluble Transferrin Receptor ARUP55.46300232416899457
84244Renin Activity ARUP98.6630037861763775
84252Vitamin B2 (Riboflavin) ARUP228300863814277372
84255Selenium, Serum or Plasma ARUP51.46300900014777381
84260Serotonin, Serum ARUP123.8730065461763727
84270Bill Sex Hormone Binding Globulin8530014913274278
84270Sex Hormone Binding Globulin ARUP77.6830014911763726
84270Sex Hormone Binding Globulin ARUP77.6830014911773508
84270Sex Hormone Binding Globulin ARUP77.6830014911773515
84295Sodium Level373008113633611
84300Sodium, Urine ARUP77.8330094241763716
84302Sodium, Fecal ARUP47.86300149520111692
84305IGF-1 (Insulin-Like Growth Factor I) w/calculated Z-score ARUP96.9530093241763978
84311Cholesterol, Fluid ARUP40.6630023881763849
84311Phospholipids, Serum ARUP64.26300120216899486
84402Testosterone Free by LC-MS/MS ARUP102.830091905095131
84402Testosterone Free, Adult Male ARUP74.4630042901763696
84403Bill Testosterone, LC-MS/MS11230087455405017
84403Testosterone, Adult Male ARUP82.5930088641763695
84403Testosterone, Adult Male ARUP82.5930088641773513
84403Testosterone, LC-MS/MS ARUP102.1530087451773505
84403Testosterone, LC-MS/MS ARUP102.1530087455095133
84425Vitamin B1 (Thiamine), Plasma ARUP101.530082711763583
84425Vitamin B1 (Thiamine), Whole Blood ARUP60.2630016991763581
84432Thyroglobulin by LC-MS/MS, Serum/Plasma ARUP82.930013335146978
84436Thyroxine ARUP82.0530096151763662
84439Thyroxine Free ARUP72.7230052311763660
84442Thyroxine Binding Globulin ARUP49.46300319422409226
84443Bill Thyroid Stimulating Hormone12830015275405023
84443Thyroid Stimulating Hormone1283001527633844
84443Thyroid Stimulating Hormone ARUP116.0430015275148975
84445Thyroid Stimulating Immunoglobulins ARUP122.4630089291763664
84446Vitamin E, Serum or Plasma ARUP102.9230079141763568
84450Aspartate Aminotransferase393002278633633
84450AST 1393002278795476
84460Alanine Aminotransferase383003029633632
84460ALT 1383003029792289
84466Transferrin, Serum ARUP43.4630083161763626
84478Bill Triglycerides4430037806340984
84478Triglycerides, Fluid ARUP40.66300228322171861
84479T3 Uptake ARUP93.8230063311763704
84480Triiodothyronine, Total (Total T3) ARUP70.9930033161763619
84481Triiodothyronine, Free (Free T3) ARUP74.1730097645095137
84482Triiodothyronine, Reverse ARUP78.0630016581763622
84484Troponin I503004637908527
84484Troponin T ARUP91.46300377523012882
84520Blood Urea Nitrogen303005282633605
84540Urea Nitrogen, Urine ARUP77.5130060715095138
84550Uric Acid, Serum or Plasma ARUP67.9230060335095140
84560Uric Acid, Body Fluid ARUP71.4830037105095139
84560Uric Acid, Urine ARUP71.4830037101763609
84585Vanillylmandelic Acid (VMA), Ur ARUP55.8630019889830316
84586Vasoactive Intestinal Polypeptide ARUP69.4630020381763594
84588Arginine Vasopressin Hormone ARUP111.9230091391763724
84590Vitamin A (Retinol), Serum or Plasma ARUP102.3230043541763586
84591Niacin (Vitamin B3) ARUP111.4630024761763857
84597Vitamin K1, Serum ARUP105.4630012761763566
84630Zinc, RBC ARUP103.46300241622107669
84630Zinc, Serum ARUP83.930051591763538
84681C-Peptide ARUP99.9230060551763800
84702Beta-hCG, Serum Quant Tumor Marker ARUP86.0730061861763776
84702Beta-hCG, Serum Quantitative ARUP68.9730030145094978
84703Beta-hCG, Serum Qualitative ARUP43.46300297322593127
84703Pregnancy Serum Test5730067842493908
84703Pregnancy Urine Test5730067842493907
84999Electrolyte and Osmolality Profile, Fecal ARUP109.06300467623394004
84999Osmolality, Fecal ARUP63.463001170120111677
84999Potassium, Fecal ARUP47.86300118120112107
85007.Man Diff 122030096134184784
85025CBC w/ Auto Differential3430090373116413
85025CBC w/ Auto Differential 13430090374742180
85027BILL Hemogram3430090375281305
85045Reticulocytes, Percent and Absolute ARUP71.7930097885095127
85049Platelet Count343005176633807
85240Bill Factor VIII, Activity18830036305404982
85240Factor VIII, Activity ARUP170.8630036301773543
85240Factor VIII:C, Activity ARUP170.8630036301764055
85240Von Willebrand Panel ARUP236.6730067471763552
85247Von Willebrand Multimeric Panel ARUP266.9330090231763556
85250Factor IX, Activity ARUP79.46300302122260311
85270Factor XI, Activity ARUP138.9530066255095074
85300Antithrombin, Enzymatic (Activity) ARUP101.9130027371763720
85300Antithrombin, Enzymatic (Activity) ARUP101.9130027375138596
85300Bill Antithrombin, Enzymatic (Activity)11230027375404972
85301Antithrombin Antigen ARUP83.0830067705138597
85301Antithrombin, Antigen ARUP83.0830067701763718
85301Bill Antithrombin Antigen9130067705404973
85302Protein C, Total Antigen ARUP51.4630095031763793
85303Protein C, Functional ARUP107.9130084941763795
85303Protein C, Functional with Reflex to Protein C, Total and Protein S, Free with Reflex to Protein S,159300357223074405
85305Protein S, Total Antigen ARUP51.4630096801763787
85306Protein S, Functional ARUP119.2130075111763788
85307APC Resistance ARUP31.4630096021773544
85307Bill APC Resistance3530096025404974
85384Fibrinogen ARUP74.7330039115095077
85384Fibrinogen Panel ARUP100.66300125620954706
85460Kleihauer-Betke ARUP86.1930018301763924
85520Heparin Anti-Xa, LMWH ARUP121.4630020191764040
85525Bill PTT-D Heparin Neutralized4430097345405010
85525PTT-D Heparin Neutralized ARUP40.1730097341772929
85549Lysozyme, Serum ARUP52.2630019281763897
85597Bill Platelet Neutralization (PTT-D, Confirm)4430098855405003
85597Platelet Neutralization (PTT-D, Confirm)4430098851772930
85598Bill Hexagonal Phospholipid Neutral Reflex9330099635404985
85598Hexagonal Phospholipid Neutral Reflex AR9330099631772928
85610Bill Prothrombin Time4130031285405008
85610Coaguchek PT3030031282013555
85610Prothrombin Time413003128633793
85610Prothrombin Time ARUP37.1230031281772933
85610Prothrombin/INR POC183009948714167
85610Protime Test27.2398380374404191
85613Bill dRVVT Confirmation9330054905404981
85613dRVVT 1:1 Mix ARUP84.2330054901772938
85613dRVVT Confirmation ARUP84.2330054901772931
85613dRVVT Reflex to 1:1 Mix and Confirm ARUP84.2330054905095069
85613dRVVT Screen ARUP84.2330054901772937
85635Bill Reptilase Time4130097945405011
85635Reptilase Time ARUP37.1230097941772935
85651Sedimentation Rate273003879633830
85670Bill Thrombin Time4130098815405019
85670Thrombin Time ARUP37.1230098811772934
85730Bill Partial Thromboplastin Time4430046305405002
85730Partial Thromboplastin Time443004630633794
85730Partial Thromboplastin Time ARUP40.1730046301773546
85730PTT-LA Screen (PTT-D) ARUP40.1730046301772932
85732Bill PTT-D 1:1 Mix4430095825405009
85732PTT-D 1:1 Mix ARUP40.1730095821772936
85810Viscosity, Serum ARUP98.0530078555095144
86001Allergen, Fungi and Molds, Trichophyton rubrum IgG ARUP53.19300313822379253
86001Stachybotrys chartarum/atra Panel III ARUP124.31300229722057932
86003Allergen, Animal, Dog/Cat Epi Profile ARUP49.06300389416899412
86003Allergen, Food, Broccoli ARUP40.26300304822300199
86003Allergen, Food, Casein ARUP40.26300959412925387
86003Allergen, Food, Common Adult Profile ARUP153.9230082491763595
86003Allergen, Food, Comprehensive Profile 1 ARUP260.26300200016899458
86003Allergen, Food, Cucumber IgE ARUP40.26300271522299971
86003Allergen, Food, Milk (Cow’s) ARUP40.2630097711763607
86003Allergen, Food, Peanut ARUP40.2630090001763610
86003Allergen, Food, Zucchini IgE ARUP46.42300277022300184
86003Allergens, Food, Profile 13 ARUP145.86300270322378470
86003Allergens, Food, Profile 8 ARUP101.86300216222107647
86003Allergens, Inhalens/Foods Comp Profile ARUP286.6630079519845923
86003Allergens, Latex/Cross-Reactive Food Panel IgE ARUP131.46300455023532396
86003Allergens, Pediatric Foods Profile 1 ARUP75.46300239222147083
86022Platelet Abs, Indirect with Reflex ARUP245.0630044945146976
86022Platelet Antibodies, Indirect ARUP245.0630044945095116
86022Platelet Antibody Identification ARUP245.0630044945095117
86023Platelet Assoc Abs, Direct Assay ARUP131.3530074995146977
86038Anti-nuclear Ab (ANA) Reflex ARUP41.0630032271763703
86038Anti-Nuclear Ab, IgG w/Rflx to IFA ARUP74.4430053811763705
86039Antinuclear Antibody (ANA) with HEp-2 Substrate, IgG by IFA ARUP102.9130051001763688
86060Antistreptolysin O Screen ARUP72.8530060601763717
86140C-Reactive Protein333003156633716
86140C-Reactive Protein, Neonatal ARUP77.46300339223171841
86141CRP, High Sensitivity ARUP77.5930071001763892
86146Beta-2 Glycoprotein 1 Ab G/M/A ARUP120300777614277370
86147Antiphospholipid Syndrome Reflexive Panel ARUP319.46300808511428295
86147Cardiolipin Ab IgG, IgM, IGA ARUP9030090208758500
86147Cardiolipin Antibodies, IgA, IgG, IgM ARUP9030090201763827
86147Cardiolipin Antibody IgA ARUP48.26300420523549612
86147Cardiolipin Antibody, IgG ARUP111.6630094985095059
86160Complement Component 3 ARUP73.930074021763873
86160Complement Component 4 ARUP31.4630074021763876
86162Complement Activity, Total EIA ARUP93.0630022411763869
86200Cyclic Citrullinated Peptide Ab, IgG ARU6830048837228622
86200Cyclic Citrullinated Peptide Ab, IgG ARUP104.0930048831763941
86215DNase-B Ab ARUP5030082721763979
86225dsDNA Ab IgG, ELISA w/Reflex to dsDNA ARUP4930066488759393
86225dsDNA Ab, IgG w/ Reflex to IFA Titer ARUP88.3530066481764006
86235Extractable Nuclear Ag Abs 5 ARUP255.4230086891764047
86235JO-1 Antibody ARUP109.0630088921763927
86235Ribonucleic Protein (ENA) Antibody, IgG ARUP101.4230074001763767
86235Scleroderma (Scl-70) (ENA) Ab, IgG ARUP5430081508758501
86235Scleroderma (Scl-70) (ENA) Antibody, IgG ARUP5430081501763730
86235Smith (ENA) Ab IgG ARUP5430082908758496
86235Smith (ENA) Ab, IgG ARUP101.4230082901763719
86235SSA (Ro) (ENA) Ab IgG ARUP5430079798758497
86235SSA 52 and 60 (Ro)(ENA) Antibodies, IgG ARUP101.4230079761763712
86235SSB (La) (ENA) Ab IgG ARUP5430092038758498
86235SSB (La) (ENA) Ab, IgG ARUP101.4230092031763709
86255Anti-Neutrophil Cyto Ab, IgG ARUP126.130079945094975
86255Anti-Neutrophil Cytoplasmic Ab ARUP99.1730095471763701
86255Atypical ANCA ARUP99.1730095475099056
86255Bill Atypical ANCA10930095475404975
86255Glomerular Basement Membrane Antibody, IgG (IFA) ARUP111.46300167216071381
86255Neuron Specific Enolase ARUP123.9230086431763860
86255Neuronal Nuclear Ab, Anti-Hu ARUP123.9230086435095110
86255Paraneoplastic Antibodies by IFA with Reflex ARUP79.46300378523282996
86256.Smooth Muscle Antibody Titer, IgG ARUP85.0630024431861588
86256DsDNA Ab IgG by IFA ARUP6530094518758499
86256Endomysial Antibody, IgA Titer ARUP103.4630084391861578
86256Epstein-Barr Virus Antibody Panel 1 ARUP9130088551764020
86300CA 15-3, Cancer Antigen – Breast ARUP110.1430018431763806
86300Cancer Antigen 27.29 ARUP110.1430018431763819
86301Cancer Antigen-GI (CA 19-9) ARUP96.6130035451763822
86304Cancer Antigen 125 ARUP72.7830098871763818
86308Mono Screen 13630091363770180
86308Mononucleosis Screen363009136633785
86316Chromogranin A ARUP92.6630088691763850
86317Humoral Immunity Panel I ARUP230.6130083205095092
86317Humoral Immunity Panel II ARUP230.6130083205146981
86317Streptococcus pneumoniae Ab, IgG ARUP(14 Serotypes)81.8630099709830310
86317Toxoplasma gondii Ab, IgG and IgM ARUP65300100820111674
86331Hyper Pneumo Extended Panel ARUP117.9230072001763982
86331Hypersensitivity Pneumonitis I ARUP117.9230081275095093
86332Immune Complex Panel ARUP252.26300181722164917
86334Immunofix Electrophoresis Gel ARUP105.630028175095094
86334Serum Protein Electrophoresis Reflex ARUP49.4630024232029039
86335Beta-2 Transferrin ARUP131.46300374223168908
86335Bill IFE Interpretation12530049345404994
86335IFE Interpretation ARUP113.3230049341770253
86340Intrinsic Factor Blocking Antibody ARUP98.5630019411763940
86341IA-2 Antibody ARUP263.46300148916899472
86341Islet Cell Antibody, IgG ARUP105.9130048181763934
86352Bill Urticaria-Inducing Activity18930094925405029
86352Urticaria-Induced Basophil Activation ARUP171.4630094925095141
86352Urticaria-Inducing Activity ARUP171.4630094925148976
86355Lymphocyte Subset Panel 5 – Total Lymphocyte Enumeration ARUP169.46300163620112118
86356CD57+ NK Cells, Peripheral Blood by Flow Cytometry ARUP251.46300374822941789
86356PNH, High Sensitivity, RBC and WBC ARUP635.46300256922452929
86361Lymphocyte Subset Pan 1-CD4 Abs Cnt Only ARUP77.4630013751763900
86376Bill Thyroid Peroxidase (TPO) Antibody8530044425405022
86376Liver-Kidney Microsome Abs, IgG ARUP50.6630026491763907
86376Thyroglobulin Antibody ARUP77.5930044421773555
86376Thyroid Peroxidase (TPO) Ab ARUP77.5930044421763671
86376Thyroid Peroxidase (TPO) Antibody ARUP77.5930044425148973
86376Thyroid Peroxidase Ab ARUP5430044428758493
86382Rabies Antibody Screen (RFFIT) (2014351) ARUP96.46300343422956685
86431Lupus Comprehensive Reflexive Panel ARUP8330082508758490
86431Rheumatoid Factor ARUP43.4630031177228623
86431Rheumatoid Factor ARUP75.3630031171763770
86480Quantiferon TB Gold In-Tube ARUP111.46300245216899368
86480QuantiFERON-TB Gold Plus, 4-Tube ARUP111.46300403023375893
86580TB Skin Test POC995047352673222
86592.RPR with Reflex to Titer ARUP10.0830032326634697
86592Bill Treponema pallidum (VDRL) Titer, Serum8130046195405026
86592RPR with Reflex to Titer and TP-PA Conf ARUP73.4230046195194975
86592Treponema pallidum (VDRL) Titer, Serum A8130046191773672
86593.Rapid Plasma Reagin (RPR) Titer ARUP28.430047345194991
86593Bill Treponema pallidum (VDRL), Serum6630083895405027
86593Treponema pallidum (VDRL), Serum ARUP59.8630083891773673
86606Aspergillus Antibody by CF ARUP52300268822563957
86606Aspergillus fumigatus Antibody, IgG by ELISA ARUP100.46300291722563972
86611Bartonella henselae (Cat Scratch) Antibodies, IgG & IgM by IFA ARUP61.06300345523324439
86615Bordetella pertussis Ab, IgG by ELISA w/ Reflex to Immunoblot ARUP61300382623197179
86617Lyme Abs, IgG and IgM by Western Blot ARUP87.4630038891763903
86618Lyme Disease Acute Reflexive Panel ARUP111.0530069111763901
86622Brucella Ab (Total) by Agglutination ARUP7130097745950971
86628Candida albicans Ab IgA, IgG, and IgM by ELISA ARUP96.06300167420954263
86631Chlamydia Ab Panel, IgG by IFA ARUP110.5630052765095061
86631Chlamydia Ab Panel, IgG/IgM by IFA ARUP103.46300302416899420
86632Chlamydia Ab Panel, IgM by IFA ARUP110.5630049475095062
86635Coccidioides Ab, IgG by ELISA ARUP98.4230032201763861
86635Coccidioides Ab, IgM by ELISA ARUP89.3730029061763863
86635Coccidioides Antibodies Panel, Serum ARUP95.46300361623358249
86638C. Burnetii Abs IgG/IgM, Reflex to Titer ARUP103.46300404016899498
86644Cytomegalovirus Antibody, IgG ARUP81.130056911763955
86645Cytomegalovirus Antibody, IgM ARUP86.1230061851763957
86658Coxsackie A Antibodies (Serotypes 2, 4, 7, 9, 10 and 16), Serum ARUP120300147122035014
86663EBV Ab to Early (D) Ag, IgG ARUP86.0230094781764010
86664Epstein-Barr Virus Ab Nuclear Antigen ARUP90.0830097735095071
86665EBV Ab to Viral Capsid Ag, IgG ARUP82.230098861764013
86665EBV Ab to Viral Capsid Ag, IgM ARUP82.1130096491764014
86665Epstein-Barr Virus Ab Panel 1 ARUP9130088558758507
86668Francisella tularensis Antibodies, IgG and IgM ARUP89.96300395422985147
86671Bill Chitobioside Carbohydrate Ab (ACCA), IgA4230098845404980
86671Bill S. cerevisiae Antibody, IgA8330099795405012
86671Bill S. cerevisiae Antibody, IgG8330099195405013
86671Chitobioside Carbohydrate Ab (ACCA), IgA4230098845149020
86671S. cerevisiae Antibody, IgA ARUP75.7330099795099055
86671S. cerevisiae Antibody, IgG ARUP75.7330099195099054
86671Saccharomyces cerevisiae Antibodies, IgG & IgA ARUP103.46300884314777385
86677H Pylori7730049551019516
86677Helicobacter Pylori Ab, IgM ARUP47.46300222216899395
86677Helicobacter pylori Abs, IgG and IgA ARUP63.4630011861764046
86677Helicobacter pylori Antibody, IgG ARUP47.4630089297228612
86689HTLV I/II Antibodies Conf, Western Blot ARUP(0020642)135.4630035401763987
86692Hepatitis D Virus Antibody ARUP99.7630083105095085
86694Bill HSV Type 1/2 Combined Ab, IgG8230033455404991
86694Bill HSV Type 1/2 Combined Ab, IgM8230079445404993
86694HSV 1 and/or 2 Abs, IgM by ELISA ARUP47.46300316716899408
86694HSV Type 1,2 Combined Ab, IgG ARUP74.5430033455095091
86694HSV Type 1/2 Combined Ab, IgG ARUP74.5430033451772386
86694HSV Type 1/2 Combined Ab, IgG ARUP74.5430033455138577
86694HSV Type 1/2 Combined Ab, IgM by ELISA A8230079441772387
86694HSV Type 1/2 Combined Ab, IgM by ELISA A8230079445138578
86695HSV 1 Glycoprotein G Ab, IgG ARUP84.0530030031763996
86696HSV 2 Glycoprotein G Ab, IgG ARUP87.8130026661763989
86703HIV-1,-2 w/Reflex to HIV-1 Western Blot ARUP98.7130053705095088
86705Hepatitis B Virus Core Antibodies, Total ARUP78.8130011281764035
86705Hepatitis B Virus Core Antibody, IgM ARUP78.8130011281764033
86706Hepatitis B Virus Surface Antibody ARUP76.9330021071764025
86708Hepatitis A Virus Antibodies, Total ARUP89.7930086111764039
86709Hepatitis A Virus Antibody, IgM ARUP82.530082161764038
86710Influenza A, B Virus Abs, IgG, IgM ARUP195.3230090111763953
86735Mumps Virus Ab, IgG ARUP73.530031811763878
86735Mumps Virus Ab, IgM ARUP43.4630033201763877
86738Mycoplasma pneumoniae Ab, IgG ARUP94.530012925095108
86738Mycoplasma pneumoniae Ab, IgM ARUP89.7130061301763874
86747Parvovirus B19 Abs, IgG and IgM ARUP92.6930011901763823
86757Rocky Mountain Spotted Fever IgG and IgM ARUP73.0630020501763766
86762Rubella Antibody, IgG ARUP15.1230018711763759
86765Measles (Rubeola) Antibody, IgG ARUP80.6630032371763896
86765Occupation Screen – MMR/VZV Ab Assessment Panel, IgG ARUP83.063001146321686033
86778Toxoplasma gondii Ab, IgM ARUP45.4630033361763628
86780Treponema pallidum Ab by TP-PA ARUP52.2630025681763624
86787Bill Varicella-Zoster Virus Ab, IgG9230043925405030
86787Varicella-Zoster Virus Ab, IgG ARUP83.3730043921763600
86787Varicella-Zoster Virus Ab, IgG ARUP83.3730043921773654
86790Hantavirus Antibodies, ELISA w/Reflex ARUP369.5430041761764063
86790Hepatitis E IgG ARUP139.2730083905095086
86790Hepatitis E IgM ARUP140.3230081045095087
86790Herpesvirus 6 (HHV-6) Antibodies, IgG and IgM with Reflex to IgM Titer ARUP127300242522099323
86790Herpesvirus 6 Ab, IgM Screen w/Reflex to Titer by IFA ARUP91.46300359322747120
86790Herpesvirus 6 Antibody IgG ARUP131.46300288322425174
86790HTLV I/II Antibodies w/Reflex to Confirm ARUP(0051164)47.4630039251763986
86790Rabies Ab,(Vaccine Response) IgG ARUP97300852714277373
86790West Nile Virus Ab IgG, Serum ARUP113.6730036211763550
86790West Nile Virus Ab IgM, Serum ARUP78.6230021011763546
86800Bill Thyroglobulin Antibody9430020145405021
86800Thyroglobulin Antibody ARUP85.8330020141763676
86800Thyroglobulin Antibody ARUP85.8330020145148974
86800Thyroglobulin, Serum or Plasma Reflex ARUP85.8330020145095134
86800Thyroid Peroxidase (TPO) Antibody ARUP85.8330020141773554
86803Hepatitis C Virus Antibody by CIA ARUP98.4830046561764012
86812Ankylosing Spondylitis (HLAB27) ARUP119.8230023765094974
86812HLA-B27 ARUP119.8230023761763998
86850Antibody Screen 1493007623997512
86850Antibody Screen RBC, Reflex to Ident ARUP51.930076235138972
86850Post-Transfusion Reaction ABSC 14930076233730983
86850Pre-Transfusion Reaction ABSC 14930076233730986
86850REF Antibody Screen4930076231422360
86880Direct Antiglobulin Test 24130083743730981
86880Post-Transfusion Reaction DAT 24130083743730984
86880Pre-Transfusion Reaction DAT 24130083743730987
86900ABO/Rh. Neonatal2330090016344971
86900ABORH Prenatal ARUP65.0230090015138971
86900Post-Transfusion Reaction ABO/Rh2330090011138160
86900Pre-Transfusion Reaction ABO/Rh2330090011138164
86900Reference ABO/Rh2330090011165544
86901BLOOD TYPING, RH3030090014662845
86905P1 Antigen Typing-Patient ARUP123.46300297622493768
86922Compatible – Crossmatch IS Interp21030013132171550
86922Compatible – X-Match AHG Tube Interp21030013134662835
86923Compatible – Computer XM Interp21030013131779651
87015Bill Only AFB Concentration88300267922249687
87040Culture, Blood ARUP91.230028155151051
87045Culture, Stool ARUP95.2430035665151038
87046Stool Culture, Campylobacter ARUP77.86300238722077989
87070Cerebrospinal Fluid (CSF) Culture and Gram Stain ARUP78.66300981811428268
87070Culture, Body Fluid ARUP88.6330026365194971
87070Culture, Respiratory ARUP88.6330026365194972
87070Culture, Sterility ARUP73.46300280122452879
87070Culture, Wound ARUP88.6330026365194973
87070Eye Culture, ARUP83.86300914111427372
87075Anaerobe Culture and Gram Stain ARUP104.26300828011185317
87076Bill Only Anaerobic organism ID by MALDI-TOF134300224022119138
87077Bill Only Bacterial Identification96300989013175375
87077Bill Only Bacterial Identification by MALDI96300989213175371
87081Staphylococcus Serveillance Cutlure ARUP8030095878758503
87081Streptococcus (Group A) Culture ARUP71.06300181822107241
87088Culture, Urine ARUP73.3530058195151039
87101Culture, Fungal – Skin, Hair or Nails ARUP87.5630096061763928
87102Culture, Fungal ARUP82.5230015131763906
87116Blood Culture, Acid-Fast Bacillus (AFB) ARUP102.530024095151037
87116Culture, Acid Fast Bacilli ARUP104.2630024481763898
87147Bill Only E coli O157 Latex35300275822510152
87147Bill Only Salmonella Serotyping51300298022560972
87147Bill Only Staph Latex54300203822053930
87147Bill Only Strep A Latex ARUP105.06300175922096493
87147Bill Only Strep B Latex ARUP63.46300213222097428
87147Bill Only Strep C Latex70300200722130001
87147Bill Only Strep G Latex70300221422130002
87147Bill Only Susceptibility – Penicillin Binding Protein 2a105300976913175374
87147PBP2A Normal Flora Use178300357223039150
87153Bill Only DNA Sequencing-Bacterial Indentification252300307522544053
87172Pinworm ARUP51.46300378223108716
87177Ova and Parasite Exam, Fecal. ARUP90.0330073211763845
87181Bill Only Susceptibility – Single Drug by Etest116300195222065853
87184Bill Only Susceptibility – Automated Disk Diffusion ARUP83.86300792314781415
87184Bill Only Susceptibility – Disk Diffusion91300273822249685
87184Bill Only Susceptibility – ESBL by Disk Diffusion91300961113175372
87185Bill Only Susceptibility – Beta – Lactamase73300178722032187
87186Bill Only Susceptibility – Automated Broth Dilution98300994113175373
87186Bill Only Susceptibility – Broth Dilution Panel131300939413175379
87186Bill Only Susceptibility – Nonfermenter by Broth Dilution ARUP114300812614781416
87186Susceptibility – AFB/Nocardia by Broth Dilution98300286522626326
87186Susceptibility – Anaerobe by Broth Dilution121300275122626047
87207Parasites Smear (Giemsa Stain), Blood ARUP157.0630096995095112
87252Culture, Herpes Simplex Virus ARUP67.0630095531763931
87252Varicella-Zoster Virus Culture ARUP79.06300955313175410
87290Varicella-Zoster Virus and Herpes Simplex Virus DFA with Reflex to Varivella-Zoster Virus Culture an174300943312952059
87301LDL Subclasses (0050021) ARUP110.66300392723027647
87324Clostridium difficile Toxins (A/B) EIA ARUP76.1530020715095064
87328Cryptosporidium Antigen by EIA ARUP55.46300-86658297368
87329Giardia Antigen by EIA ARUP89.7230058881764080
87338Helicobacter pylori Ag, Fecal by EIA ARUP112.7830098375095083
87340Hepatitis B Surface Ag w/ Reflex to Conf ARUP74.2730073641764037
87340Hepatitis B Surface Ag w/Rflx, Prenatal ARUP12.630039836634698
87389HIV Combo Antigen/Antibody (HIV-1/O/2) by ELISA, Reflexive Panel ARUP70300253822247601
87420Respiratory Syncytial Virus6330061211079524
87425Rotavirus Antigen by EIA ARUP82.3730031225095129
87427E Coli Shiga-Like Toxin by EIA ARUP85.9430056985095070
87430Strep A Screen9130016151077554
87449Legionella Pneumophila Antigen, Urine ARUP98.1930095811763915
87476Borrelia Species by PCR (Lyme Disease) ARUP183.9230081095095041
87480Bill Candida Species DNA Probe8730060165404979
87480Candida Species DNA Probe ARUP79.0930060165100997
87491Bill C. trachomatis by DNA Probe10230045805404976
87491C. trachomatis Amplified ARUP46.7330045801770312
87491Chlamydia Trach and N.gonorrhoeae (TMA) ARUP93.4630093479830318
87491Chlamydia trachomatis Amplified Detect ARUP92.830045801763837
87493C. difficile toxin B gene (tcdB), RT-PCR ARUP171.4630010261763802
87495Cytomegalovirus by PCR, Whole Bld/Bn Mrw ARUP151.4630025101763960
87495Cytomegalovirus by Qualitative PCR, Saliva ARUP151.46300962612951223
87496Cytomegalovirus by PCR ARUP151.4630083881763959
87497Cytomegalovirus DNA Quantitation by PCR ARUP291.4630032031763962
87498Enterovirus Detection by RT-PCR ARUP221.4630016971764018
87505Gastrointestinal Parasite Panel by PCR ARUP281.46300350923113958
87506Gastrointestinal Bacterial Panel by PCR ARUP311.46300328922746458
87506Gastrointestinal Viral Panel by PCR ARUP281.46300348922746455
87507Bill Combined GI Bacterial and Viral Panel, Stool, by PCR652300362823136540
87510Bill Gardnerella vaginalis DNA Probe8730057375404984
87510Gardnerella vaginalis DNA Probe ARUP79.0930057375100998
87517Hepatitis B Virus (HBV) by Quantitative NAAT ARUP177.9230081181764026
87522Hepatitis C RNA Qnt w/ Genotype Reflex ARUP240.1330090861764022
87522Hepatitis C Virus (HCV) by Quantitative NAAT ARUP240.1330090861764008
87529Herpes Simplex Virus By PCR ARUP95.330013211764001
87529HSV Subtype by PCR ARUP229.46300377222861788
87535Human Immunodeficiency Virus 1 (HIV-1) by Qualitative PCR ARUP275.32300470923548320
87536HIV 1 Quant PCR ARUP191.46300299722392314
87581Mycoplasma pneumoniae by PCR ARUP159.4630039501763870
87591Bill N. gonorrhoeae DNA Probe9630040965405000
87591N. gonorrhoeae Amplified ARUP46.7330078451770313
87591Neisseria gonorrhoeae, Amplified Detect ARUP46.7330078455095109
87631Respiratory Virus Mini Panel by RT-PCR ARUP258.2630093625095126
87633Respiratory Virus Panel ARUP771.46300189821580067
87641Bill Only Susceptibility – MecA Gene Detection by PCR121300284222249686
87653Streptococcus Group B by PCR ARUP17530023385194974
87660Bill Trichomonas vaginalis DNA Probe8730061295405028
87660Trichomonas vaginalis DNA Probe ARUP79.0930061295100999
87798Bill Malaria Speciation PCR, P. falciparum9230080015404998
87798Bordetella Pertussis, PCR ARUP127.2830096105095032
87798JC Virus by PCR ARUP282.76300327922855792
87798Malaria Speciation PCR, P. falciparum AR9230080015099120
87798Malaria Speciation PCR, P. knowlesi ARUP83.5930080015099121
87798Malaria Speciation PCR, P. malariae ARUP83.5930080015099123
87798Malaria Speciation PCR, P. ovale ARUP83.5930080015099124
87798Malaria Speciation PCR, P. vivax ARUP83.5930080015099122
87798Varicella-Zoster Virus by PCR ARUP131.4630038941763598
87798West Nile Virus RNA by RT-PCR ARUP318.9230081975095145
87799BK Virus, Quantitative by PCR ARUP (0090067)261.46300363416899398
87799Epstein-Barr Virus by Quantitative PCR ARUP23830079381764027
87799Epstein-Barr Virus Qt PCR ARUP23830079388758505
87801Bill Only Blood Culture Rapid Identification by Film Array321300196422065851
87804Influenza A + B Rapid583004235853224
87804Rapid Flu A&B POC10898380352913534
87807RSV POC2298380364370178
87880Rapid Strep POC229871792684345
87899Streptococcus pneumoniae Ag, Urine ARUP139.6130019235095130
87902HCV Genotyping by PCR and Sequencing ARUP191.4630081241764058
88112Bill Cytopathology, selective cellular enhancement technique with interpretation (e.g. liquid based162300195322211352
88184.Technical Leuk/Lymph Pheno, 15 markers ARUP401.46300913313093370
88184Leukemia/Lymphoma Phenotype Whole Blood ARUP626.4630033941763912
88188.Prof Leuk/Lymph Pheno 9-15 markers ARUP116.46300885113093369
88262Chromosome Analysis Peripheral Blood ARUP406.4630012131763852
88271Chromosome FISH, CLL Panel ARUP771.46300216622163409
88300Bill Surgical Path Lvl I5330052463193514
88304Bill Surgical Path Lvl III7030054193193516
88305Bill Surgical Path Lvl IV7330049453193517
88307Bill Surgical Path Lvl V8430052563193518
88309Bill Surgical Path Lvl VI11430049193193519
88312Bill Special Stain Grp I6830049273193522
88313Bill Special Stain Grp II6730013653193523
88341Bill Immunohistochemistry, additional single antibody stain procedure74300371623125260
88342Bill Immunohistochemistry259300343022799119
89050CSF Cell Count 14330018501019598
89051Cell Count, Body Fluid ARUP50.26300-12998297371
89055Fecal WBC4430075141279774
89055Lactoferrin, Fecal by ELISA ARUP69.4630016921763921
89310Post Vasectomy Semen Examination53300331923230446
9047190471 Immunization Admin. ED Charge2845018123650288
9047190471 Immunization administration; 1 vaccine2898248021169530
90471VFC – Immunization administration; 1 vaccine2098348023067557
9047290472 Each additional vaccine1798248031169531
90472VFC – Each additional vaccine1598348033067556
90473IMM ADM >8 1ST ORL/N NSG Charge189823991859123
90473VFC – IMM ADM>8 1st ORL/N2398239913067558
90474IMM ADM >8 EA ADD OR Charge99824742859127
90632Hepatitis A Adult Vaccine99.259501840667665
9063358160-0825-52 Hepatitis A Peds/Adol Vaccine 2 Dose Sched Charge479501746667666
90636Hepatitis A-Hepatitis B Adult Vaccine Charge148.259507118667667
90648Hemophilus influenza b vaccine (Hib), PRP-T conjugate (4 dose schedule), for IM Use POC24.59501395749823
90649Human Papilloma virus (HPV) Vaccine POC304.259509064784548
90660Flu Vaccine Live Intranasal POC36.759509248667671
90662Influenza Vaccine, Split Virus3095024143486194
90670Pneumococcal conjugate vaccine, 13 valent, for intramuscular use248.595032401165947
90675Rabies Vaccine IM Charge4729501675667674
90680Rotavirus vaccine, pentavalent, 3 dose schedule, live, for oral use POC126.759509294749829
90681Rotavirus vaccine, human, attenuated, 2 dose schedule, live, for oral use126.7595039161787560
90687VFC Flu Vaccine Split 6-35 Months IM POC369509452667669
90688Flu Vaccine split (0.5ml dosage) IM POC28.759503554667670
90691Typhoid vaccine, Vi capsular polysaccharide (ViCPs) IM use9395033021229856
90696Diphtheria, tetanus toxoids, acellular pertussis vaccine and poliovirus vaccine, inactivated (DTaP-I76.2595063671787562
90698Diphtheria, tetanus toxoids, acellular pertussis vaccine, haemophilus influenza Type B, and poliovir135.2595056161229742
90700DTaP Diphtheria/Pertussis, acellular/Tetanus Vaccine DTaP Under 7 yrs34.59503842667676
90707MMR Measles/Mumps/Rubella Virus Vaccine POC1049507597667682
90713IPV Inactivated Poliovirus Vaccine POC46.759501284667685
90715Tetanus, diphtheria toxoids & acellular pertussis vaccine (TdaP), 7 years or older, IM use POC43.59509071755159
90716Varicella Virus Vaccine POC179.59502786667686
90723Diphth/HepB/Pertussis,Acel/Polio/Tetanus Vaccine POC112.59504865667690
90732Pneumococcal 23-Valent Adult Vaccine POC [CHAS]1389509120667692
90733Meningococcal Vaccine POC175.59503211667693
90736Zoster (shingles) vaccine, live, subcutaneous injection POC3079509073757310
90744Hepatitis B Vaccine, Pediatric 3 Dose Sched POC34.759501980667694
90746Hepatitis B Vaccine, Adult84.259501386667695
90748Hepatitis B & Hemophilus influenza b vaccine (HepB-Hib), IM use POC359506541667697
9251192511 Nasopharyngoscopy w/Endoscope ED PRO FEE8298135033596560
9251192511 Nasopharyngoscopy w/Endoscope Tech12045027525175380
92587Newborn Hearing Screen10503776197
92587Newborn Hearing Screen KCH10547115009490197
9295092950 Cardiopulmonary Resuscitation ER; ED PRO FEE26098142753596561
9295092950 CPR ED Charge24845027733650289
9295392953 TemporaryTranscutaneous Pacing ED PRO FEE2498121863596576
9295392953 Transcutaneous pacing ED Charge24845014353650290
9296092960 Cardioversion – Electrical, External ED Charge59345035243650291
9296092960 Cardioversion, Elective, Electrical Conversion Of Arrhythmia; Ext ED PRO FEE19198135243596567
93005EKG 12 Lead – NSG1477304435777365
93005EKG 12 Lead (Nursing)14773044352279614
93005EKG POC3298336331319719
93224Cardiac Holter16898314003488178
93225Electrocardiographic Monitoring For 24 Hours By Continuous Original Ecg Waveform Record & Storage W/5698714113494245
93880US Carotid Duplex Bilateral588.10629660
93880US Carotid Duplex Bilateral6474026388823412
93922Ankle/ Brachial Indices Study Technical Charge11198315671279819
93922US Ankle Brachial Index252.801297710
93922US Ankle Brachial Index27840215671297711
93970US LE Venous Duplex Bilateral588.10631029
93970US LE Venous Duplex Bilateral6474025032823442
93971US LE Venous Duplex Left372.30631023
93971US LE Venous Duplex Left4104027139823444
93971US LE Venous Duplex Right372.30631019
93971US LE Venous Duplex Right4104027139823446
94060Bronchodilation Responsiveness, Spirometry Pre and Post Bronchodilator Admin Charge769835605713795
94640Aerosol Treatment with Peak Flow Charge4227043332158590
94640Airway Inhalation Treatment.23983131122483363
94664Inhalations, Aerosol/Vapor, Initial Charge189831089713757
95115Allergy Injection Single POC1898287942435614
95117Allergy Injection Multi POC2398295452435615
9636096360 – HYDRATION, FIRST HOUR209450949322283161
96360IV Hydration 1ST Hour Charge91.89705449859131
96361IV HYDRATION ADDITIONAL HOUR Tech Chg23.8597046981739523
96365INFUSION THERAPY, DRUG CHARGE20976179913824179
96365IV Infusion First Hour Charge – Valley10097054505016972
96366IV Infusion Each Additional Charge – Valley4097046995016971
9636796367 – IV tx, sequential infusion86450247722283165
96367SEQUENTIAL DRUG CHARGE8676124773824184
96368CONCURRENT DRUG CHARGE8676132283824185
96372IM/SQ INJECTION CHARGE5076122674746178
96374IV PUSH CHARGE11776139793824181
96374IV Push, Initial Drug – Valley60983512522392074
96374IVP INJECTION therapeutic or diagnostic ER117450397922283169
96375DIFFERENT DRUG CHARGE5076147303824187
96375IV Injection, add new drug THERAPEUTIC OR DIAGNOSTIC50450473022283170
96375IV Push, Sequential, New Drug – Valley25983587622392076
9637696376 – IV Push, add same drug50450548122283171
96376SAME DRUG > 30 MIN CHARGE5076154813824188
96523Irrigation of Venous Drug Delivery Device6176112167226609
96523Port Cath Flush (Irrigation of Venous Access Device)25983356422484943
97010Yes – Other Thermal Charge2042070101273694
97014UNATTENDED ELECTRICAL THERAPY – Unattended Electrical Therapy Charge2442070141230068
97022PT Whirlpool Full Body – Whirlpool Full Body Charge4342048993601631
97026Yes – Infrared-Light Therapy Charge3242070262937633
97032Attended E-Stim Charges244207032692259
97033Iontophoresis Charges294207033692258
97034Contrast baths – Thermal Modalities Provided1942070341230153
97035Ultrasound Charges254207035692237
97110Therapeutic Exercise Charges444207110692217
97110Therapeutic Exercise Charges444349760691306
97112Neuromuscular Reeducation Charges344207112692238
97116Gait Training Charges294207116692247
97116Gait Training Charges2943494672619694
97124Massage Charge Units334207124692251
97140Joint Mobilization Charges4642072652937604
97140Myofacial Release Charges4642072502937615
9716197161 PT eval, low complexity 20 min.88420700122616933
97161PT Low Complex Units88420700122615494
9716297162 PT eval, mod complexity 30 min.88420556322616934
97162PT Moderate Complex Units88420556322615496
9716397163 PT eval, high complexity 45 min.88420631422616935
97163PT High Complex Units88420631422615498
9716597165 OT eval, low complexity 30 min.88434750722616937
97165OT Low Complex Units88434750722615566
9716697166 OT eval, mod complexity 45 min.88434406122616938
97166OT Moderate Complex Units88434406122615568
9716797167 OT eval, high complexity 60 min.88434481222616939
97167OT High Complex Units88434481222615570
97530Functional Training Charges4542019575543179
97530Therapeutic Activities Charge454207530692245
97530Therapeutic Activities Charges454349009691304
97535ADL Training Charges444348716691327
97545PT Work Hardening – PT Work Hardening Charge14542075453601625
97597Selective Debridement, total wound surface area, first 20 sq cm or less – Selective Debridement Charge9042076012734847
97597Wound Debridement Less than 20 cm Tech Chg8098322221739533
97602PT Wound Care Non Selective Charge – PT Wound Care Non Selective Charge83420710520731357
97602Yes – Non-Selective Debridement Charge8342071052734769
97760Orthotic Mgmt and Training Charges364207504692243
97761Prosthetic Training Charges444207520692241
99056Service(s) typically provided in the office, provided out of the office at request of patient, in ad2598378508022192
99058Service(s) provided on an emergency basis in the office which disrupts other scheduled office servic3298386018022193
99060Service(s) provided on an emergency basis, out of the office, which disrupts other scheduled office3598393528022194
99195Therapeutic Phlebotomy10576121721416263
99195Therapeutic Phelbotomy Charge10598321721274583
99201Office/OP New Visit Level 1 992015698382351264811
99202Office/OP New Visit Level 2 992029598374841264813
99203Office/OP New Visit Level 3 9920313898389861264815
99204Office/OP New Visit Level 4 9920421298396161264817
99205Office/OP New Visit Level 5 9920526398360721264819
99211Office/OP Established Visit Level 1 992112598239511264822
99212Office/OP Established Visit Level 2 992125698347021264824
99213Office/OP Established Visit Level 3 992139298354531264826
99215Office/OP Established Visit Level 5 9921518498369551264830
99217Observation Care Discharge – 99217979878822631663
99217Observation Discharge KCH charge9798788224308213
99218Initial Observation Care Level 1 – 99218929871385631645
99218Initial observation Care per day (low complexity)8098713854308202
99219Initial Observation Care Level 2 – 992191389879573631646
99219Initial Observation Care per day (moderate)13898795734308203
99220Initial Obervation Care per day (complex complexity)21598716624308201
99220Initial Observation Care Level 3 – 992202159871662631647
99221Initial Hospital Care Level 1 – 992211039872413631636
99221Initial hospital care per day (low complexity)10398724134308196
99222Initial Hospital Care Level 2 – 992221589873164631637
99222Initial hospital care per day (moderate complexity)15898731644308197
99223Initial Hospital Care Level 3 – 992232159873915631638
99223Initial hospital care per day (high complexity)21598739154308195
99225Subsequent observation care, per day72.598775131298111
99225Subsequent observation care, per day (moderate complexity) KCH charge72.598775134308232
99231Subsequent Hospital Care Level 1 – 99231609874666631719
99231Subsquent hospital care, per day (low complexity) KCH charge6098746664308233
99232Subsequent Hospital Care Level 2 – 99232789875417631720
99232Subsequent Hospital care, per day (moderate complexity) KCH charge7898754174308228
99233Subsequent Hospital Care Level 3 – 992331129876168631721
99233Subsequent hospital care, per day (high complexity) KCH charge11298761684308227
99234Observation or inpatient hospital care (low complexity) KCH charge16198728714308214
99234Observation/ Same Day Inpatient Care Level 1 – 992342029873620631660
99235Observation or inpatient hospital care (moderate complexity) KCH charge24598736214308215
99235Observation/Inpatient, Admit-D/C Same Day Care Level 2 – 992352459873621631661
99236Observation or inpatient hospital care same day admit and discharge (high complexity) KCH charge30598736224308216
99236Observation/ Same Day Inpatient Care Level 3 – 992363059873622631662
99238Hospital Discharge9798769194308193
99238Hospital Discharge Management 30 min or Less – 99238979876919631634
99239Hospital Discharge (Greater than 30 min)13298769204308194
99239Hospital Discharge Management More Than 30 min – 992391329876920631635
99241Office/Other Outpatient Consultation Level 1 – 99241639879241631664
9924299242 Consult Level 2 ED PRO FEE15498148764076275
99242Office/Other Outpatient Consultation Level 2 – 992421029879172631665
9924399243 Consult Level 3 ED PRO FEE21698141254076278
99243Office/Other Outpatient Consultation Level 3 – 992431389878421631666
9924499244 Consult Level 4 ED PRO FEE34098138644076280
99244Office Consultation Level 4 – 992442039878847631667
99251Initial Inpatient Consultation Level 1 – 99251779874896631639
99252Initial Inpatient Consultation Level 2 – 992521169874895631640
99253Initial Inpatient Consult Level 3 – 992531769878996631641
99254Initial Inpatient Consultation Level 4 – 992542469878997631642
99255Initial Inpatient Consultation Level 5 – 992552999878998631643
9928199281 – ED Level 1121450000122283175
9928199281 – Level 1 – Lynx Visit Level12145000011181482
9928199281 – Level 1 BCE12145000019495374
9928199281 Visit Level 1 ED PRO FEE5398135974076264
9928299282 – ED Level 2187450000222283176
9928299282 – Level 2 – Lynx Visit Level18745000021181481
9928299282 Visit Level 2 ED PRO Fee10498143484076266
9928399283 – ED Level 3333450000322283177
9928399283 – Level 3 – Lynx Visit Level33345000031181480
9928399283 Visit Level 3 ED PRO Fee15498150994076267
9928499284 – ED Level 4743450000422283178
9928499284 – Level 4 – Lynx Visit Level74345000041181479
9928499284 Visit Level 4 ED PRO Fee29498158504076269
9928599285 – ED Level 51036450000522283179
9928599285 – Level 5 – Lynx Visit Level103645000051181478
9928599285 Visit Level 5 ED PRO FEE43198166015175397
9929199291 – Critical Care – Lynx Visit Level143945010101181477
9929199291 Critical Care for First 30 – 74 min ED Pro Fee50798173524076271
99291Critical Care Services Evaluation and Treatment for First 30 – 74 Minutes3069879929853531
99291H: 99291 – ED Critical Care1439450101022283180
9929299292 Critical Care for Each add 30 min ED PRO FEE25498181034076273
99292Add’l 30 Min Increments CC > 7434445000921071599
99292Critical Care Services Evaluation and Treatment for Each Additional 30 Minutes – 992921539879930631605
99292Critical Care, each 30 min344450009222283181
99304Initial Nursing facility care (History, Examination and MDM)78.398715451127536
99304Initial nursing facility care, per day ( low complexity)78.398715454308198
99305Initial Nursing facility care (History, Examination and MDM of moderate complexity)103.9598715461127537
99305Initial nursing facility care, per day ( moderate complexity)103.9598715464308199
99306Initial eval mgmnt of pt an annual nsg facility assessment. Physician spends 45 minutes12998781991165594
99306Initial nursing facility care, per day (high complexity)12998781994308200
99307Subsequent nursing facility care (History, Examination and MDM4198743731127538
99307Subsequent nursing facility care, per day ( straightforward medical decision) KCH charge4198743734308230
99308Subsequent nursing facility care (History, Examination and MDM of low complexity6798751241127539
99308Subsequent nursing facility care, per day ( low complexity) KCH charge6798751244308229
99309Subsequent eval mgmnt of pt an annual nsg facility assessment. Physician spends 25 minutes9598743741165579
99309Subsequent nursing facility care, per day (moderate complexity) KCH charge9598743744308231
99315Nursing Facility Discharge Management 30 min or Less – 9931573.59871233631658
99315SNF Discharge KCH charge73.598712334308225
99316Nursing Facility Discharge Management More Than 30 min – 99316979871234631659
99316SNF Discharge (Greater than 30 min) KCH charge9798712344308226
99324Domiciliary or rest home visit for the evaluation and management of a new patient, 20min7998793241165578
99325Domiciliary or rest home visit for the evaluation and management of a new patient, 30min11498793251169526
99326Domiciliary or rest home visit for the evaluation and management of a new patient, 45min19598793261165577
99327Domiciliary or rest home visit for the evaluation and management of a new patient, 60min25998793271165576
99328Domiciliary or rest home visit for the evaluation and management of a new patient, 75min30198793281165575
99334Domiciliary or rest home visit for est patients (History, Examination and MDM)8598793341127541
99335Domiciliary or rest home visit for est patients (History, Examination and MDM of low complexity)13298793351127542
99336Domiciliary or rest home visit for the evaluation and management of established patient,40min13298793361165574
99337Domiciliary or rest home visit for the evaluation and management of established patient,60min26898793371165570
99342Home Visit, New Patient, Expanded9698743126842989
99343Home Visit, New Patient, Detailed15798750636842990
99344Home Visit, New Patient, Comprehensive21898758146842991
99348Home Visit, Established Patient, Expanded10198765656842992
99349Home Visit, Established Patient, Detailed15398773166842993
99350Home Visit, Established Patient, Comprehensive21298780676842994
99350Instructional Program Charge27842016471273579
99354Prolonged Physician Service Outpatient with Direct Patient Contact First Hour – 993541219832559621589
99355Prolonged Physician Service Outpatient with Direct Patient Contact Each Addl 30 Minutes – 993551219832560631712
99381Preventive Medicine < 1 year New – 993811009838583631705
99382Preventive Medicine 1-4 years New – 993821109839937631693
99383Preventive Medicine 5-11 years New – 993831259833178631701
99384Preventive Medicine 12-17 years New – 993841259836995631695
99385Preventive Medicine 18-39 years New – 993851269835493631697
99386Preventive Medicine 40-64 years New – 993861359832964631699
99387Preventive Medicine 65+ years New – 993871559836244631703
99391Preventive Medicine < 1 year Established – 993911009831926631704
99392Preventive Medicine 1-4 years Established – 993921119832677631692
99393Preventive Medicine 5-11 years Established1109833428853578
99393Preventive Medicine 5-11 years Established – 993931109833428631700
99394Preventive Medicine 12-17 years Established – 993941219834179631694
99395Preventive Medicine 18-39 years Established – 993951229834930631696
99396Preventive Medicine 40-64 years Established – 993961359835681631698
99397Preventive Medicine 65+ years Established – 993971509836432631702
99401Preventive Medicine Counseling And/Or Risk Factor Reduction Intervention(S), Individual;15 Min4898394011303642
99402Preventive Medicine Counseling And/Or Risk Factor Reduction Intervention(S) Provided To An Individua8098394023488463
99403Preventive Medicine Counseling And/Or Risk Factor Reduction Intervention(S), Individual; 45 Min11198394033494238
99404Preventive Medicine Counseling And/Or Risk Factor Reduction Intervention(S), Individual; 60 Min14598394043494241
99406Smoking and Tobacco Cessation Counseling, Symptomatic, 3-10 Minutes1598319015126975
99407Smoking and Tobacco Cessation Counseling, Symptomatic, >10 Minutes2598326525126976
99460Newborn Admit KCH charge19698719114308206
99462Newborn Sugsequent KCH charge7898719124308210
99463Newborn Same Day Discharge KCH charge26598719134308208
99464Attendence at delivery (other than delivering physician) and initial stabilization of newborn24798719144308186
99465Newborn Resuscitation KCH charge48398719154308207
0191TInsert Anterior Segment Drainage Device, Internal Approach4700360563822796347
A0420Ambulance Mileage Four44.154258183136248
A0425Ambulance Mileage One31.6554243163136245
A0427Ambulance Option 1 – Ambulance Charge Options101854243704908222
A4314Insertion Tray With Drainage Bag With Indwelling Catheter, Foley Type, Two-Way Latex With Coating52.597030061287754
A4465Ace Wrap70.297043011902148
A4614Peak Flow Meter Charge159705705858491
C1783iStent Trabecular Micro-Bypass Stent3550272638922796555
G0008Administration Of Influenza Virus Vaccine When No Physician Fee Schedule Service On The Same Day2598392581298124
G0008Administration, Influenza Virus Vaccine40.2545079219412279
G0008G0008 Admin Influenza Virus Vaccine POC2598392581713521
G0009Administration of Pneumococcal Vaccine12983281322484748
G0010Administration of Hepatitis B Vaccine12983206222484753
G0103PSA, Total, Medicare Screening ARUP73.1930055295095125
G0105Colocrectal cancer screening, colomoscopy (high risk individual)80098724794308187
G0121Colocrectal cancer screening, colonoscopy (not high risk)80098724804308188
G0378Observation Each Addl Hour KCH1276210015292986
G0378Observation first hour98676210008180381
G0378ROOM/BED: Observation w/Telemetry 1st HR BCE129976220009628941
G0378ROOM/BED: Observation w/Telemetry 2nd + HRs BCE1676220019628943
G0402Initial preventive exam11098393101167786
G0403Ekg For Welcome To Medicare Ex3898327063488319
G0438Annual Wellness Visit, Initial (AWV)17598322131298121
G0439Annual Wellness Visit, Subsequent (AWV)17598328311298122
G0480Salicylate Level543009187633829
J0171Adrenalin epinephrine inject995067571413449
J0595Butorphanol tartrate 1 mg113.595034041167804
J0696Injection, Ceftriaxone Sodium, Per 250 MG Charge4.59501547788058
J0696Rocephin IV Infusion/Push 250mg4.595015475019103
J0702Injection, Betamethasone acet&sod phosp 6mg/ml 5ml Vial1295019271167801
J0744Ciprofloxacin iv5095038051230199
J0780Prochlorperazine injection5.295018151296787
J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)895065561683792
J1000Depo-Estradiol Injection, up to 5 mg109506999667824
J1020Methylprednisolone Acetate 20 mg Injection1395015822997565
J1050Depo-Provera Injection 150 mg Charge123.759503084667834
J1071Injection, testosterone cypionate 1mg37.2595056671167792
J1100Injection, Dexamethosone Sodium Phosphate, Up to 4mg/mL Charge4.59506639749774
J1200Diphenhydramine, up to 50mg4.595077711170060
J1380Estradiol Valerate Injection 40 mg Charge62.59508526667822
J1380Injection, Estradiol Valerate, up to 10 mg Charge15.759507671749113
J1580Garamycin gentamicin inj, up to 80 mg2595081101167772
J1644HEPARIN PER 1000 UNI19.995084791170064
J1650Inj enoxaparin sodium per 10mg8695016501167768
J1885Injection, ketorolac tromethamine charge per 15 mg4.759506179785968
J1885TORADOL 60MG IM/IV4.7595014622482410
J1940Furosemide Injection 20 mg Charge4.59505362667906
J1956Levofloxacin Injection 250 mg Charge162.59505986667908
J2060Lorazepam injection, per 2 mg2595065161296799
J2270MORPHINE SULFATE 1013.2595022561170068
J2300Injection nalbuphine hydrochloride, per 10 mg19.995033561296804
J2310Naloxone 1 mg24.2595079173692196
J2405Medication Charge6.595023631247273
J2405ZOFRAN 4 MG IV4.595023631170069
J2550Injection, Promethazine HCL, up to 50 mg Charge4.59502379785970
J2765Metoclopramide hcl injection5.595067591167747
J2930Injection, Methylprednisolone 125mg/2ml #251695045501240720
J3010INJECTION, FENTANYL CITRATE, 0.1 MG2595054113486201
J3030Imitrex, sumatriptan succinate, per 6 mg79.7595067551170079
J3301Injection, Kenalog, triamcinolone acetonide, 40mg/1ml #14.59509829788039
J3360Diazepam Injection 5 mg Charge129508840667968
J3370Vancomycin Hcl To 500 Mg12.7595010731685669
J3410HYDROXYZINE 25MG INJ2195075001170088
J3420Injection, Vitamin B-12 Cyanocobalamin, 1ml/1000 mcg11.59509753788040
J7120Lactated ringers infusion, up to 1000 cc10.1598388081413423
J7321HyAlgan Injection Per Dose296.595046511357549
J7325Synvisc per 1 mg40.7595018241167856
J7506PREDNISONE, ORAL, PER 5MG595015543486186
J7509METHYLPREDNISOLONE ORAL, PER 4 MG50.2595069333486204
J7611Albuterol non-comp con1295031651230144
J7626PULMICORT .25+ MG IN6.595084971170090
J7644IPRATROPIUM 0.0024.595077461170092
J9260Methotrexate sodium injection4.595052171240740
L1830IMMOBILIZER KNEE 16 IN12527043014983179
L1830IMMOBILIZER KNEE 20 IN12527043014983180
L1830IMMOBILIZER KNEE 24 IN12527043014983181
L1902ANKLE LACE-UP L5427030814983169
L1902ANKLE LACE-UP M5427030814983170
L1902ANKLE LACE-UP S5427030814983171
L1902ANKLE LACE-UP XL5427030814983172
L1902ANKLE LACE-UP XS5427030814983173
L1902ANKLE LACE-UP XXL5427030814983174
L3650CLAVICLE L/XL2827065544983177
L3650CLAVICLE S/M2827065544983178
L3670DELUXE SLING AND SWATHE LARGE58.7527012974983750
L3670DELUXE SLING AND SWATHE MEDIUM58.7527012974983751
L3670DELUXE SLING AND SWATHE SMALL58.7527012974983752
L3670DELUXE SLING AND SWATHE X-LARGE58.7527012974983753
L3702TENNIS ELBOW STRP L3027038394983183
L3702TENNIS ELBOW STRP M3027038394983184
L3702TENNIS ELBOW STRP S3027038394983185
L3702TENNIS ELBOW STRP XL3027038394983186
L3702TENNIS ELBOW STRP XS3027038394983187
L3908APOLLO UNIV WRIST BRACE LT46.827023594983175
L3908APOLLO UNIV WRIST BRACE RT46.827023594983176
L3908SPLINT WRIST COCK UP 8 INCH WITH / LG46.827023594983801
L3908SPLINT WRIST COCK UP 8 INCH WITH /X LG46.827023594983802
L3908SPLINT WRIST COCK-UP 8 INCH WITH / SM46.827023594983803
L3908SPLINT WRIST COCK-UP 8 INCH WITH /MD46.827023594983804
L3908WRIST BRACE LEFT- MED46.827023595339253
L3908WRIST BRACE LEFT-LG46.827023595339256
L3908WRIST BRACE RT SM46.827023595339244
L3908WRIST COCK UP-LT S46.827023595339251
L3908WRIST COCK UP-LT XL46.827023595339259
L3908WRIST COCK UP-RT LG46.827023595339246
L3908WRIST COCK UP-RT M46.827023595339245
L3908WRIST COCK UP-RT XL46.827023595339249
L3908WRIST LACER LT M46.827023594983198
L3908WRIST LACER RT L46.827023594983201
L3908WRIST LACER 8 LT L46.827023594983197
L3908WRIST LACER 8 LT S46.827023594983199
L3908WRIST LACER 8 LT XL46.827023594983200
L3908WRIST LACER 8 RT M46.827023594983202
L3908WRIST LACER 8 RT S46.827023594983203
L3908WRIST LACER 8 RT XL46.827023594983204
L3908WRIST LACER TSPICA LT L46.827023594983205
L3908WRIST LACER TSPICA LT M46.827023594983206
L3908WRIST LACER TSPICA LT S46.827023594983207
L3908WRIST LACER TSPICA LT XL46.827023594983208
L3908WRIST LACER TSPICA RT L46.827023594983209
L3908WRIST LACER TSPICA RT M46.827023594983210
L3908WRIST LACER TSPICA RT S46.827023594983211
L3908WRIST LACER TSPICA RT XL46.827023594983212
L3908WRIST MATE 8 INCH LT XS46.827023594983213
L3908WRIST MATE 8 INCH RT XS46.827023594983214
L4350(NOT IN USE REPL 500048) AIRCAST ANKLE BRACE RIGHT TRAINING 9 INCH-USE 50004889.4827073054983218
L4350AIR ANKLE SPLINT UNIV LG89.4827073054983219
L4350AIR ANKLE SPLINT UNIV MED89.4827073054983216
L4350AIRAST ANKLE BRACE LEFT SMALL 8.75 INCH89.4827073054983215
L4350AIRCAST ANKLE BRACE RIGHT SMALL 8.75 INCH89.4827073054983217
L4360WALKER BOOT AIR TALL LG17227024544983192
L4360WALKER BOOT AIR LOW TOP SM17227024544983191
L4360WALKER BOOT AIR TALL MED17227024544983193
L4360WALKER BOOT AIR TALL SM17227024544983194
L4360WALKER MINI NYLON L17227024544983188
L4360WALKER MINI NYLON M17227024544983189
L4360WALKER MINI NYLON S17227024544983190
L4360WALKER VECTRA AIR TALL XL17227024544983195
L4360WALKER VECTRA LITE TALL XS17227024544983196
P9016RBC CPD AS1 500 LR2423819249857663
Q0091Non-Medicare Pap Collection4498310411789577
Q2038Influenza Virus Vaccine, IM, Fluzone58.595050571902233
Q3014Consult to TeleHealth33450485522648771
S0164INJECTION, PANTOPRAZOLE SODIUM, 40 MG111.595067043486203
V2632AcrySof IQ IOL35027212345339214