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2019 Charge Schedules 12.20.2018.Xlsx DESCRIPTION 2019 Charge HCHG =E GRADIENT STRIP 39.70 HCHG 10 ML ABLAVAR PER ML 37.10 HCHG 10 ML EOVIST PER ML 39.80 HCHG 11 - DEOXYCORTISOL 135.30 HCHG 14 3 3 PROTEIN CSF 347.00 HCHG 15 ML ABLAVAR PER ML 37.10 HCHG 17 OH PREGNENOLONE 87.70 HCHG 17/OH PROGESTERONE 66.20 HCHG 21 HYDROXYLASE ANTIBODY 297.30 HCHG 2TS AFP 139.60 HCHG 2TS ESTRIOL 197.80 HCHG 2TS HCG 95.20 HCHG 2TS INHIBIN A 130.00 HCHG 3D SENSOR VEST PR4270 12,818.00 HCHG 5HIAA QUANT 99.50 HCHG A1A PHENOTYPE 82.40 HCHG ABD PILLOW PR20 75.00 HCHG ABD RETRACTION SYSTEM 98.20 HCHG ABDOMINAL DOPPLER LTD STUDY 453.40 HCHG ABO GROUP 36.30 HCHG ABY SCREEN 97.90 HCHG ACCESS VENOUS ADVANCED 280.90 HCHG ACETAMINOPHEN 153.80 HCHG ACETYLCHOLINE RECEP BIND 180.00 HCHG ACETYLCHOLINE RECEPTOR MOD ABY 247.50 HCHG ACETYLCHOLINESTERASE RBC 147.70 HCHG ACHR GANGLIONIC NEURONAL ABY SERUM 264.00 HCHG ACT. PROTEIN C RESIST 158.60 HCHG ACTH 53.50 HCHG ACTH STIMULATION PANEL 182.00 HCHG ACTIVATED PTT 55.00 HCHG ACTIVE CORD 298.10 HCHG ACUTE HEPATITIS PANEL 239.50 HCHG ACYLCARNITINES QUANT PLASMA 150.50 HCHG ACYLGLYCINES,QUANT,URINE 484.80 HCHG ADAPTOR/EXT PACING/NEUROSTIMULATOR LEAD PR527 1,663.50 HCHG ADDL DISC SUSCEPT 58.00 HCHG ADENOVIRUS IGG 267.10 HCHG ADENOVIRUS PCR 245.70 HCHG ADHESION BARRIER PR250 787.50 HCHG ADHESION BARRIER PR275 862.50 HCHG ADHESION BARRIER PR300 945.00 HCHG ADHESION BARRIER PR330 1,038.00 HCHG ADMIN OF PNEUMOCOCCAL VACCINE 16.30 HCHG ADMIN OF SEASONAL INFLUENZA VACCINE 16.30 HCHG ADMIN SET PEDS FILTER & SYRINGE 29.30 HCHG ADMIN SET-PLTS & CRYO 291.20 HCHG ADMINISTRATION SET 4C2160 10.90 HCHG ADPTR EPG 199.30 HCHG ADPTR GENERIC 855.70 HCHG ADPTR INTERLINK 6.30 HCHG ADPTR LEAD DF-1 CNNCTR TO TERM 137.50 HCHG ADPTR LEAD PLUG 1,166.50 HCHG ADPTR LEAD PR1 7.50 HCHG ADPTR LEAD PR100 315.00 HCHG ADPTR LEAD PR1000 3,150.00 HCHG ADPTR LEAD PR110 345.00 HCHG ADPTR LEAD PR1200 3,780.00 HCHG ADPTR LEAD PR150 465.00 HCHG ADPTR LEAD PR160 504.00 HCHG ADPTR LEAD PR176 571.00 HCHG ADPTR LEAD PR192 603.00 HCHG ADPTR LEAD PR210 660.00 HCHG ADPTR LEAD PR230 720.00 HCHG ADPTR LEAD PR250 787.50 HCHG ADPTR LEAD PR275 862.50 HCHG ADPTR LEAD PR30 105.00 HCHG ADPTR LEAD PR300 945.00 HCHG ADPTR LEAD PR330 1,038.00 HCHG ADPTR LEAD PR362 1,138.50 HCHG ADPTR LEAD PR397 1,251.00 HCHG ADPTR LEAD PR482 1,513.50 HCHG ADPTR LEAD PR50 165.00 HCHG ADPTR LEAD PR527 1,663.50 HCHG ADPTR LEAD PR527 1,663.50 HCHG ADPTR LEAD PR582 1,828.50 HCHG ADPTR LEAD PR60 195.00 HCHG ADPTR LEAD PR637 2,001.00 HCHG ADPTR LEAD PR697 2,188.50 HCHG ADPTR LEAD PR762 2,398.50 HCHG ADPTR LEAD PR80 255.00 HCHG ADPTR LEAD PR90 285.00 HCHG ADPTR PR1 3.70 HCHG ADPTR PR10 33.40 HCHG ADPTR PR100 325.90 HCHG ADPTR PR110 335.00 HCHG ADPTR PR120 375.00 HCHG ADPTR PR130 405.00 HCHG ADPTR PR140 435.00 HCHG ADPTR PR176 552.00 HCHG ADPTR PR20 73.70 HCHG ADPTR PR210 660.00 HCHG ADPTR PR230 720.00 HCHG ADPTR PR250 787.50 HCHG ADPTR PR30 99.40 HCHG ADPTR PR300 945.00 HCHG ADPTR PR40 125.60 HCHG ADPTR PR437 1,378.50 HCHG ADPTR PR482 1,513.50 HCHG ADPTR PR5 20.60 HCHG ADPTR PR50 165.00 HCHG ADPTR PR60 195.00 HCHG ADPTR PR637 2,001.00 HCHG ADPTR PR70 225.00 HCHG ADPTR SEALING OF ATTAIN SHEATH 240.80 HCHG AEROCHAMBER 18.70 HCHG AEROCHAMBER MAX 25.20 HCHG AEROCHAMBER PR20 75.00 HCHG AEROCHAMBER PR5 17.80 HCHG AEROMONAS PLATE STL 76.40 HCHG AEROSOL MASK 1.60 HCHG AEROSOL MASK PR1 4.70 HCHG AEROSOL MASK PR2 9.10 HCHG AEROSOL MASK PR4 27.10 HCHG AEROSOL MASK PR5 24.30 HCHG AFB BLOOD CULTURE 88.60 HCHG AFB CONCENTRATION 55.00 HCHG AFB CULTURE 88.60 HCHG AFB SMEAR (AFS) 42.80 HCHG AFFINITY PER SQ CM PR150 465.00 HCHG AFFINITY PER SQ CM PR210 660.00 HCHG AFO ANKLE GAUNTLET PREFAB OTS PR1 7.50 HCHG AFO ANKLE GAUNTLET PREFAB OTS PR10 45.00 HCHG AFO ANKLE GAUNTLET PREFAB OTS PR20 75.00 HCHG AFO ANKLE GAUNTLET PREFAB OTS PR5 27.30 HCHG AFO CUSTOM FABRICATED 149.00 HCHG AFO MULTILIG ANKLE SUPPORT PREFAB OTS PR10 46.60 HCHG AFO MULTILIG ANKLE SUPPORT PREFAB OTS PR20 73.70 HCHG AFO MULTILIG ANKLE SUPPORT PREFAB OTS PR30 105.00 HCHG AFO MULTILIG ANKLE SUPPORT PREFAB OTS PR5 22.50 HCHG AFO PLASTIC PREFAB PR10 45.20 HCHG AFO PLASTIC PREFAB PR20 75.00 HCHG AFO PLASTIC PREFAB PR30 105.00 HCHG AFO PLASTIC PREFAB PR40 135.00 HCHG AFO/TLSO 2,442.30 HCHG AFP TUMOR MARKER SERUM 143.20 HCHG AFP-MATERNAL (Q) 145.20 HCHG AFP-PRENATAL 72.10 HCHG AIR GAS POSTERIOR VITRECTOMY 14.00 HCHG AIRWAY COMBITUBE 191.40 HCHG AIRWAY NASAL 6.70 HCHG AIRWAY ORAL 16.80 HCHG AIRWAY OVASSAPIAN FIBEROPTIC 16.90 HCHG AIRWAY PR1 8.60 HCHG AIRWAY PR10 44.80 HCHG AIRWAY PR140 435.00 HCHG AIRWAY PR160 504.00 HCHG AIRWAY PR176 552.00 HCHG AIRWAY PR192 603.00 HCHG AIRWAY PR20 75.00 HCHG AIRWAY PR30 105.00 HCHG AIRWAY PR40 132.90 HCHG AIRWAY PR5 24.20 HCHG AIRWAY PR50 165.00 HCHG AIRWAY PR70 225.00 HCHG AIRWAY PR80 255.00 HCHG AIRWAY PR90 285.00 HCHG AIRWAY TUBE ADPTR TRANSPORT ON 27.30 HCHG ALBUMIN 40.00 HCHG ALBUMIN BODY FLUID 45.20 HCHG ALBUMIN BODY FLUID HCMC 48.20 HCHG ALBUMIN BODY FLUID MML 138.40 HCHG ALBUMIN CSF 45.20 HCHG ALBUMIN SERUM 45.20 HCHG ALCOHOL AND/OR DRUG ASSESS 419.60 HCHG ALCOHOL AND/OR DRUG ASSESSMENT AFFILIATE ONLY 419.60 HCHG ALDOLASE 75.20 HCHG ALDOSTERONE 77.10 HCHG ALDOSTERONE URINE 24 HR 206.20 HCHG ALK PHOS BONE SPECIFIC 125.60 HCHG ALK PHOS ISO 103.90 HCHG ALK PHOSPHATASE 40.00 HCHG ALLODERM PER SQ CM PR10 45.00 HCHG ALLODERM PER SQ CM PR20 75.00 HCHG ALLODERM PER SQ CM PR30 105.00 HCHG ALLODERM PER SQ CM PR50 165.00 HCHG ALLODERM PER SQ CM PR60 195.00 HCHG ALLOGRAFT CYMETRA INJECTABLE PER 1CC 481.90 HCHG ALLOGRAFT INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1CC 2,876.90 HCHG ALLOGRAFT PR1910 6,015.00 HCHG ALLOMAP 5,566.00 HCHG ALPHA 1 ANTITRYPSIN A1A 113.80 HCHG ALPHA SUBUNIT 132.50 HCHG ALPHA-1-ANTITRYPSIN 77.10 HCHG ALPRAZOLAM 136.80 HCHG ALPRAZOLAM UR 306.90 HCHG ALT (SGPT) 40.00 HCHG ALUMI HAND 81.10 HCHG ALUMINUM PLASMA 86.40 HCHG AMBULATORY/BLADDER IRRIGATION, SIMPLE 253.70 HCHG AMINO ACID QUANT BLOOD 427.60 HCHG AMINO ACID QUANT UR RANDOM 290.70 HCHG AMINO ACIDEMIAS (PKU) 62.80 HCHG AMIODARONE 85.20 HCHG AMITRIPTYLINE 88.60 HCHG AMMONIA 123.70 HCHG AMNIO ADDTL CELLS 87.50 HCHG AMNIO OR BIODMATRIX INJECTABLE PER 1CC 22.70 HCHG AMNIOCENTESIS DIAGNOSTIC 843.10 HCHG AMNIOCENTESIS THERAPEUTIC FLUID REDUCTION 994.70 HCHG AMNIOGRAFT PR637 2,001.00 HCHG AMNISURE 119.10 HCHG AMNISURE PR50 165.00 HCHG AMPA RECEPTOR ABY TITER, SERUM 595.20 HCHG AMPA RECEPTOR ABY TITER, SPINAL FLUID 595.20 HCHG AMYLASE 58.30 HCHG AMYLASE BODY FLUID 58.30 HCHG AMYLASE BODY FLUID HCMC 63.70 HCHG AMYLASE BODY FLUID MML 152.70 HCHG AMYLASE PANCREATIC BODY FLUID 424.80 HCHG AMYLASE PANCREATIC CYST 618.80 HCHG AMYLASE URINE 58.30 HCHG AMYLOID PROTEIN ID 3,150.20 HCHG ANA 104.10 HCHG ANAEROBE IDENT 67.30 HCHG ANAEROBIC CULTURE 76.40 HCHG ANALYZE 100-300 171.90 HCHG ANALYZE 10-30 139.00 HCHG ANALYZE 25-99 150.00 HCHG ANALYZE 25-99 1 150.00 HCHG ANAPLASMA PHAGOCYTOPHILUM ABY IGG 109.10 HCHG ANCA 218.50 HCHG ANCA TITER 218.50 HCHG ANCHOR ARROW PR130 405.00 HCHG ANCHOR ARROW PR140 435.00 HCHG ANCHOR ARROW PR230 720.00 HCHG ANCHOR ARROW PR230 720.00 HCHG ANCHOR ARROW PR250 787.50 HCHG ANCHOR ARROW PR250 787.50 HCHG ANCHOR ARROW PR300 945.00 HCHG ANCHOR ARROW PR300 945.00 HCHG ANCHOR ARROW PR330 1,038.00 HCHG ANCHOR ARROW PR330 1,038.00 HCHG ANCHOR SCREW PR210 660.00 HCHG ANCHOR SCREW PR250 787.50 HCHG ANCHOR SCREW PR300 945.00 HCHG ANCHOR SCREW PR330 1,038.00 HCHG ANCHOR SCREW PR362 1,138.50 HCHG ANCHOR SCREW PR397 1,251.00 HCHG ANCHOR SCREW PR437 1,378.50 HCHG ANCHOR SCREW PR697 2,188.50 HCHG ANCHOR SCREW PR762 2,398.50 HCHG ANDROSTENEDIONE 118.80 HCHG ANES ARTERIAL CATH FOR SAMPLE MONITOR TRANS 241.80 HCHG ANES BLOCK INJ PERIPH 492.00 HCHG ANES BLOOD PATCH 473.80 HCHG ANES INDUCTION SUPPLIES PR5 23.20 HCHG ANES INSERT NONTUN CVC >5 YRS 784.00 HCHG ANES NS GUIDE 385.80 HCHG ANES US GUIDE 437.90 HCHG ANES US GUIDE FOR VASC ACCESS 342.60 HCHG ANESTH US GUIDE NEEDLE PLACEMENT 437.90 HCHG ANGIO-1-CONVENZ 62.20 HCHG ANGIOTENSION CONV ENZ CSF 187.20 HCHG ANKLE CONTROL ORTHOSIS PREFAB OTS 45.20 HCHG ANKLE CONTROL ORTHOSIS PREFAB OTS PR10 45.00 HCHG ANKLE CONTROL ORTHOSIS PREFAB OTS PR20 75.00 HCHG ANKLE CONTROL ORTHOSIS PREFAB OTS PR5 25.50 HCHG ANNUAL WELLNESS VISIT SUBSEQUENT 115.30 HCHG ANTEPARTUM MANIPULATION,EXTERNAL CEPHALIC 1,210.00 HCHG ANTI HCV 106.60 HCHG ANTI NAUSEA RELIEFBAND PR20 75.00 HCHG ANTIBODY ID-HP 260.90 HCHG ANTIBODY TITERED 45.20 HCHG ANTIDEPRESSANT DRUG SCR UR QT 485.70 HCHG ANTIFUNGAL AGENT PR10 45.00 HCHG ANTIMULLERIAN HORMONE SERUM AMH 327.70 HCHG ANTISTREP O TITER ASO 77.70 HCHG ANTITHROMBIN III 100.70 HCHG AORTIC LOADING SYSTEM PR362 1,138.50 HCHG AORTIC VALSALVA CONDUIT PR1580 4,980.00 HCHG AORTIC VALSALVA CONDUIT PR2100 6,615.00 HCHG AORTIC VALSALVA CONDUIT PR3670 11,078.00 HCHG APLIGRAF PER SQ CM 60.30 HCHG APLIGRAF PER SQ CM PR1 7.50 HCHG APLIGRAF PER SQ CM PR20 75.00 HCHG APOLIPOPROTEIN A-I 92.00 HCHG APOPOLIPOPROTEIN B 76.50 HCHG APPL MULTLAY COMPRS UPR ARM/HAND 172.00 HCHG APPLICATION OF ON BODY INJECTOR TIMED SUBQ INJ 92.00 HCHG APPLICATOR CALGISWAB PR1 7.50 HCHG APPLICATOR PR1 0.70 HCHG APPLIER 20/20 MULTI CLIP 264.30 HCHG APPLIER CLIP 343.70 HCHG APPLIER CLIP ALLPORT 846.00 HCHG APPLIER CLIP ETHICON 552.00 HCHG APPLIER PR100 315.00 HCHG APPLIER PR110 345.00 HCHG APPLIER PR120 375.00 HCHG APPLIER PR160 504.00 HCHG APPLIER PR230 720.00 HCHG APPLIER PR40 135.00 HCHG APPLIER PR437 1,378.50 HCHG APPLIER PR482 1,513.50 HCHG APPLIER PR50 165.00 HCHG APPLIER PR527 1,663.50 HCHG APPLIER PR60 195.00 HCHG APPLIER PR80 255.00 HCHG APPLIER W ANCHORS PR4270 12,818.00 HCHG APPLIER W ANCHORS PR4570 13,775.00 HCHG APPTR SILVER NITRATE 0.40 HCHG AQUAPLAST PR10 45.00 HCHG AQUAPLAST
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