84460 - Alanine Aminotransferase
82040 - Albumin Level
82140 - Ammonia Level
82150 - Amylase Level
87075 - Anaerobic Culture
86870 - Antibody ID - Red Cross
86850 - Antibody Screen GL
86256 - Antineutrophil Cytophasmic Antibodies (ANCA)
86225 - Antinuclear Antibody (ANA) Panel, Quantitative
86038 - Antinuclear Antibody (ANA) Screen
84450 - Aspartate Aminotransferase
83090 - Assay of Homocysteine
83921 - Assay pf Methylmalonic Acid, Serum
81003 - Automated urinalysis test
83880 - B-Type Natriuretic Peptide
80048 - Basic metabolic panel
84702 - Beta Human Chorionic Gonadotropin Quantitative
82247 - Bilirubin Total
87040 - Blood Culture
85610 - Blood test, clotting time
84443 - Blood test, thyroid stimulating hormone (TSH)
86901 - Blood typing serologic RH(D)
86140 - C-Reactive Protein
82330 - Calcium Ionized
82310 - Calcium Level Total
95992 - Canalith Repositioning Charge
80156 - Carbamazepine Level
82378 - Carcinoembryonic Antigen
87205 - Cerebrospinal Fluid Culture
87491 - Chlam/GC Nucleic Acid Screen
82465 - Cholesterol
45378 - Colonoscopy, diagnostic, including collection of specimen(s)
45380 - Colonoscopy, with biopsy, single or multiple
45385 - Colonoscopy, with removal of polyp(s) by snare technique
85025 - Complete blood cell count, with differential white blood cells, automated
85027 - Complete blood count, automated
80053 - Comprehensive Metabolic Panel
82533 - Cortisol AM
87631 - Covid-19, Influenza A/B, RSV Panel
82550 - Creatine Kinase
82565 - Creatinine
89060 - Crystal Exam, Synovial Fluid
74178 - CT - Abdomen and Pelvis w/ + w/o Contrast
74177 - CT - Abdomen and Pelvis w/ Contrast
74176 - CT - Abdomen and Pelvis w/o Contrast
74170 - CT - Abdomen w/ + w/o Contrast
74160 - CT - Abdomen w/ Contrast
74150 - CT - Abdomen w/o Contrast
74175 - CT - Angiography Abdomen
74174 - CT - Angiography Abdomen + Pelvis
71275 - CT - Angiography Chest w/ + w/o Contrast
71270 - CT - Chest/Thorax w/ + w/o Contrast
71260 - CT - Chest/Thorax w/ Contrast
71250 - CT - Chest/Thorax w/o contrast
70470 - CT - Head or Brain w/ + w/o Contrast
70450 - CT - Head or Brain w/o Contrast
73701 - CT - Lower extremity w/ Contrast
73702 - CT - Lower Extremity w/+w/o Contrast
73700 - CT - Lower extremity w/o Contrast
70486 - CT - Maxillofacial w/ + w/o Contrast
70488 - CT - Maxillofacial w/ + w/o Contrast
70480 - CT - Orbit, sella, or posterior fossa or outer, middle, or inner ear, w/o Contrast
70481 - CT - Orbit, sella, or posterior fossa or outer, middle, or inner ear; w/ contrast
72194 - CT - Pelvis w/ + w/o Contrast
72193 - CT - Pelvis w/ Contrast
72192 - CT - Pelvis w/o Contrast
70490 - CT - Soft Tissue Neck w/o Contrast
72127 - CT - Spine Cervical w/ + w/o Contrast
72125 - CT - Spine Cervical w/o Contrast
72133 - CT - Spine Lumbar w/ + w/o Contrast
72131 - CT - Spine Lumbar w/o Contrast
72129 - CT - Spine Thoracic w/ + w/o Contrast
72128 - CT - Spine Thoracic w/o Contrast
73202 - CT - Upper Extremity w/+w/o Contrast, bilateral, left or right
73200 - CT - Upper extremity w/o contrast
87076 - Culture ID
85379 - D-Dimer
80162 - Digoxin Level
86880 - Direct Antiglobulin Test
97032 - E-STIM Manual/15min Units
G0283 - Electrical Stimulation Unattended Charge
93005 - Electrocardiogram (ECG), with at least 12 leads, without interpretation and report
80051 - Electrolyte Panel
82670 - Estradiol Level
80320 - Ethanol Level
82728 - Ferritin
G0008 - Flu vaccination
82746 - Folate Level
83001 - Follicle Stimulating Hormone
97116 - Gait Training Units
82977 - Gamma Glutamyl Transferase
87507 - GI Panel - Bio Fire
87329 - Giardia
82947 - Glucose Level
87081 - Group A Strep Culture
86677 - Helicobacter IgG
85018 - Hemoglobin
83036 - Hemoglobin A1c
86706 - Hep B Surface Antibody
87340 - Hepatitis B Surface Antigen
86803 - Hepatitis C Total Ab
80074 - Hepatitis Panel RML
49505 - Hernia repair, femoral/inguinal/lumbar, age 5 years or older; reducible
49561 - Hernia repair, incisional/ventral, incarcerated or strangulated
49560 - Hernia repair, incisional/ventral; reducible
87529 - Herpes Simplex 1 or 2 AB
97167 - High Complex Units
97163 - High Complex Units
86703 - HIV Screen
86301 - Immunoassay for tumor antigen
86335 - Immunoelectrophoresis Random, Urine
84165 - Immunoelectrophoresis, Serum
82784 - Immunoglobulins, Quant Serum
87502 - Influenza A and B MOL
51701 - Insertion of non-indwelling bladder catheter
51702 - Insertion of temporary indwelling bladder catheter
97033 - Iontophoresis Charges
83540 - Iron Level
80069 - Kidney function panel test
83615 - Lactate Dehydrogenase
83605 - Lactic Acid
80175 - Lamotrigine
83721 - LDL Direct
80177 - Levetiracetam
83690 - Lipase Level
80061 - Lipid Panel Screen
80076 - Liver function blood test panel
97165 - Low Complex Units
97161 - Low Complex Units
83002 - Luteinizing Hormone
83735 - Magnesium Level
85007 - Manual Differential
97140 - Manual Therapy Charge Units
81001 - Manual urinalysis test with examination using microscope
86765 - Measles, IgG
97012 - Mechanical Traction Provided Units
82043 - Microalbumin Level Urine
82570 - Microalbumin/Creatinine Ratio, Urine
97166 - Moderate Complex Units
97162 - Moderate Complex Units
80363 - Morphine Confirmation
86735 - Mumps Ab, IgG/IgM
97112 - Neuromuscular Reeducation Units
83930 - Osmolality, Serum
83935 - Osmolality, Urine
87209 - Ova and Parasite Exam
80185 - Phenytoin Level
84100 - Phosphorus Level
97110 - Physical therapy, therapeutic exercise
84132 - Potassium Level
84134 - Prealbumin Level
84144 - Progesterone Level
84146 - Prolactin Level
G0103 - Prostate Specific Antigen Screen
84156 - Protein 24 Hour Urine
84166 - Protein electrophoresis, Urine Random
84155 - Protein Total
84154 - PSA (Prostate Specific Antigen)
87493 - Rapid Clostridium Difficile Toxin A/B with QC
86308 - Rapid Mono Screen with QC
82274 - Rapid Occult Blood Diagnostic Stool
82270 - Rapid Occult Blood Screen Stool
81025 - Rapid Pregnancy Test Urine with QC
84703 - Rapid Pregnancy Test with QC
87807 - Rapid Respiratory Synctial Virus Screen with QC
87880 - Rapid Strep A Screen with QC
87077 - Rapid Urease Test with QC
87633 - Respiratory Virus Panel-PCR
85045 - Reticulocyte Count Automated
86431 - Rheumatoid Factor
86762 - Rubella IgG
85652 - Sedimentation Rate
97535 - Self Care, Home Management Charges
86334 - Serum Protein Electrophoresis(SPEP)
87070 - Shigella typing
92524 - Speech Behavral Qualit Analys Voice Units
92521 - Speech Eval of Speech Fluency Units
92522 - Speech Eval Speech Production Units
92523 - Speech Sound Language Comprehen Eval Units
87045 - Stool Culture with Shiga toxin
92610 - Swallow Evaluation Charge
80197 - Tacrolimus (Prograf)
87086 - Tease mount
84403 - Testosterone Level Total
80349 - THC GC/MS Confirmaiton
97530 - Therapeutic Activities Charge
80299 - Therapeutic Drug Assay
85730 - Thromboplastin time, partial (PTT); plasma or whole blood
86376 - Thyroglobulin Ab screen
84432 - Thyroglobulin, Tumor Marker
84436 - Thyroxine
84439 - Thyroxine Free
92507 - Treatment of Speech, Language, Voice Units
92526 - Treatment of Swallowing Dysfunction Unit
84478 - Triglycerides
84481 - Triiodothyronine Free
84482 - Triiodothyronine Reverse T3
84484 - Troponin-I
86900 - Type and Screen GL
81015 - UA Microscopic
97035 - Ultrasound Units
84550 - Uric Acid
80305 - Urine Drug Screen
87660 - Vaginitis Panel
80164 - Valproic Acid
80202 - Vanco Level
36415 - Venous Draw
82607 - Vitamin B12 Level
82306 - Vitamin D 25 Hydroxy Level
82652 - Vitamin D,1,25-Dihydroxy
74018 - X-Ray - Abdomen 1 View
74019 - X-Ray - Abdomen 2 Views
74022 - X-Ray - Abdomen Series w/ Chest 1 View
74021 - X-Ray - Abdomen, 3 or more views
73600 - X-Ray - Ankle, 2 Views, bilateral, left or right
73610 - X-Ray - Ankle, 3 or more views, bilateral, left or right
73650 - X-Ray - Calcaneus, bilateral, left or right
71045 - X-Ray - Chest 1 View
71046 - X-Ray - Chest 2 Views
71047 - X-Ray - Chest, 3 Views
71048 - X-Ray - Chest, 4 or more views
73000 - X-Ray - Clavicle Complete, bilateral, right or left
73000 - X-Ray - Clavicle Complete, bilateral, right or left
73070 - X-Ray - Elbow, 2 views, bilateral, left or right
76010 - X-Ray - Examination from nose to rectum for foreign body, single view, child
70140 - X-Ray - Facial Bones less than 3 Views
73552 - X-Ray - Femur, Min 2 Views, left or right
73140 - X-Ray - Finger(s) 2 views
73620 - X-Ray - Foot, 2 Views, bilateral, left or right
73630 - X-Ray - Foot, 3 or more views, bilateral, left or right
73090 - X-Ray - Forearm, 2 Views, bilateral, left or right
73130 - X-Ray - Hand 3 or more views, bilateral, left, or right
73120 - X-Ray - Hand, 2 Views, bilateral, left or right
73501 - X-Ray - Hip w/pelvis, 1 View, left or right
73502 - X-Ray - Hip w/pelvis, 2-3 View,left or right
73503 - X-Ray - Hip w/pelvis, 4 or more views
73521 - X-Ray - Hips, bilateral, w/ Pelvis 2 Views
73522 - X-Ray - Hips, bilateral, w/ Pelvis 3-4 Views
73060 - X-Ray - Humerus, 2 or mor views, bilateral, left or right
73560 - X-Ray - Knee 1 or 2 Views, bilateral, left or right
73562 - X-Ray - Knee, 3 Views, bilateral, left or right
73592 - X-Ray - Lower Extremity Infant, bilateral, left or right
70100 - X-Ray - Mandible Partial Less Than 4 Views
70160 - X-Ray - Nasal Bones, minimum 3 views
70360 - X-Ray - Neck, Soft Tissue
70200 - X-Ray - Orbits Complete Left or Right
72170 - X-Ray - Pelvis 1 or 2 Views
72190 - X-Ray - Pelvis Complete, minimum 3 Views
71110 - X-Ray - Ribs, 3 Views, Bilateral
71111 - X-Ray - Ribs, bilateral, w/ posteroanterior chest, minimum of 4 views
71100 - X-Ray - Ribs, unilateral, 2 views
71101 - X-Ray - Ribs, unilateral, w/ posteroanterior chest, minimum of 3 views
72220 - X-Ray - Sacrum/Coccyx Minimum 2 Views
73010 - X-Ray - Scapula Complete, left or right
73020 - X-Ray - Shoulder 1 View, bilateral, left or right
73030 - X-Ray - Shoulder 2 or more views, bilateral, left or right
70220 - X-Ray - Sinuses Paranasal Complete
70210 - X-Ray - Sinuses Paranasal, less than 3 Views
70260 - X-Ray - Skull Complete
70250 - X-Ray - Skull, less than 4 Views
72040 - X-Ray - Spine Cervical 2 or 3 Views
72050 - X-Ray - Spine Cervical 4 or 5 Views
72081 - X-Ray - Spine Entire 1 View
72082 - X-Ray - Spine Entire 2-3 Views
72083 - X-Ray - Spine Entire 4-5 Views
72084 - X-Ray - Spine Entire Min 6 Views
72100 - X-Ray - Spine Lumbosacral 2 or 3 Views
72020 - X-Ray - Spine Single View Specify Level
72070 - X-Ray - Spine Thoracic 2 Views
72110 - X-Ray - Spine, Lumbosacral, minimum 4 Views
71120 - X-Ray - Sternum, minimum 2 Views
71130 - X-Ray - Sternum, w/ sternoclavicular joints, minimum of 3 views
73590 - X-Ray - Tibia/Fibula, 2 views, left or right
73660 - X-Ray - Toe(s)
74400 - X-Ray - Urography, intravenous, w/ or w/o KUB
73100 - X-Ray - Wrist, 2 Views, bilateral, left or right
73110 - X-Ray - Wrist, 3 or more views, bilateral, left or right
70150 - X-Ray - Zygomatic Arches, less than 3 views
76805 - Abdominal ultrasound of pregnant uterus (greater or equal to 14 weeks 0 days) single or first fetus
55700 - Biopsy of prostate gland
43239 - Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope
- Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities
- Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC)
43235 - Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope
93000 - Electrocardiogram, routine, with interpretation and report
90846 - Family psychotherapy, not including patient, 50 min
90853 - Group psychotherapy
99385 - Initial new patient preventive medicine evaluation (18-39 years)
99386 - Initial new patient preventive medicine evaluation (40-64 years)
62323 - Injection of substance into spinal canal of lower back or sacrum using imaging guidance
64483 - Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance
93452 - Insertion of catheter into left heart for diagnosis
- Major joint replacement or reattachment of lower extremity without major comorbid conditions or complications (MCC)
77066 - Mammography of both breasts
77065 - Mammography of one breast
77067 - Mammography, screening, bilateral
70553 - MRI scan of brain before and after contrast
73721 - MRI scan of leg joint
72148 - MRI scan of lower spinal canal
99204 - New patient office of other outpatient visit, typically 45 min
99205 - New patient office of other outpatient visit, typically 60 min
99203 - New patient office or other outpatient visit, typically 30 min
80055 - Obstetric blood test panel
99243 - Patient office consultation, typically 40 min
99244 - Patient office consultation, typically 60 min
90832 - Psychotherapy, 30 min
90834 - Psychotherapy, 45 min
90837 - Psychotherapy, 60 min
19120 - Removal of 1 or more breast growth, open procedure
66984 - Removal of cataract with insertion of lens
47562 - Removal of gallbladder using an endoscope
29881 - Removal of one knee cartilage using an endoscope
66821 - Removal of recurring cataract in lens capsule using laser
42820 - Removal of tonsils and adenoid glands patient younger than age 12
59510 - Routine obstetric care for cesarean delivery, including pre-and post-delivery care
59610 - Routine obstetric care for vaginal delivery after prior cesarean delivery including pre-and post-delivery care
59400 - Routine obstetric care for vaginal delivery, including pre-and post-delivery care
29826 - Shaving of shoulder bone using an endoscope
95810 - Sleep study
- Spinal fusion except cervical without major comorbid conditions or complications (MCC)
55866 - Surgical removal of prostate and surrounding lymph nodes using an endoscope
45391 - Ultrasound examination of lower large bowel using an endoscope
76700 - Ultrasound of abdomen
76830 - Ultrasound pelvis through vagina
- Uterine and adnexa procedures for non-malignancy without comorbid conditions (CC) or major comorbid conditions or complications (MCC)
Aetna
Aetna Better Health
Blue Cross Blue Shield
Christian Health Aid
Medicare
ProviDrs Care Network
Self-Pay / Uninsured
Sunflower Commercial
Sunflower-Ambetter
Update insurance
Bacteria Culture with Gram Stain
Bacteria Culture
Stool Culture with Shiga Toxin
Testosterone, Free
B12 and Folate
Affirm Vaginitis Panel, 3
Affirm Vaginitis Panel, 2
Urine 24hr Protein
Immuno-electrophoresis Serum
Immuno-electrophoresis Serum
Immuno-electrophoresis Serum
Immunofixation
Gram Stain
Thyroglobulin
Anesthesiology Charge
Surgery Drugs
Doctors Fee - Billed separately
Infection agent detection by nucleic acid
Infectious agent detected by nucleic acid
Infectious agent detected by nucleic acid
Pathologists Fee - Billed separately
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