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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

1);SELECT PG_SLEEP(5)-- - 1

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)

Laboratory & Pathology

Medicine & Surgery

Occupational Therapy

Patient Visits for Evaluation & Management

Physical Therapy

Radiology

Speech Therapy


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Laboratory & Pathology

Medicine & Surgery

Occupational Therapy

Patient Visits for Evaluation & Management

Physical Therapy

Radiology

Speech Therapy


Prices by Insurances

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Aetna

Aetna Better Health

Blue Cross and Blue Shield

Christian Health Aid

Medicare

ProviDrs Care Network

Self-Pay / Uninsured

Sunflower

Sunflower Commercial Exchange

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Nucleic Acid Screen

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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