2019 Charge Schedules 12.20.2018.Xlsx
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DESCRIPTION 2019 Charge HCHC ALTER G INITIAL REVIEW WITH COMP ANALYSIS RETAIL 200 HCHC ALTER G INITIAL REVIEW WITH COMP ANALYSIS RETAIL 200 HCHG REMOVAL IVC FILTER INCLUDING IMAGING 6849.7 HCHG REMOVAL IVF INCLUDING IMAGING 6849.7 HCHG REPOSITIONING IVC FILTER INCLUCING IMAGING 6812.9 HCHG #LEAD URINE 113.2 HCHG #MERCURY URINE 103.2 HCHG =E GRADIENT STRIP 30.9 HCHG 10 ML ABLAVAR PER ML 37.1 HCHG 10 ML EOVIST PER ML 39.8 HCHG 11 - DEOXYCORTISOL 135.3 HCHG 14 3 3 PROTEIN CSF 347 HCHG 15 ML ABLAVAR PER ML 37.1 HCHG 16S RDNA SEQUENCING 535.5 HCHG 17 OH PREGNENOLONE 87.7 HCHG 17/OH PROGESTERONE 66.2 HCHG 1ST 100 SQ CM OR 1% BODY INF EPIDRM AUTGRFT FACE NCK HF G 828.8 HCHG 1ST 100 SQ CM OR 1% BODY INF EPIDRM AUTGRFT TRNK ARM LEG 828.8 HCHG 21 HYDROXYLASE ANTIBODY 297.3 HCHG 2TS AFP 139.6 HCHG 2TS ESTRIOL 197.8 HCHG 2TS HCG 95.2 HCHG 2TS INHIBIN A 130 HCHG 30 MINUTE MASSAGE RETAIL 50 HCHG 3D SENSOR VEST PR4270 12818 HCHG 5 NUCLEOTIDASE 219.2 HCHG 5HIAA QUANT 99.5 HCHG 60 MINUTE MASSAGE RETAIL 85 HCHG 68 KD (HSP-70) ANTIBODY 607.9 HCHG 6MP 681 HCHG 90 MINUTE MASSAGE RETAIL 125 HCHG A1A PHENOTYPE 82.4 HCHG AAA REPAIR EXPOSE ILIAC ART ABD INCIS UNILAT 7550.3 HCHG ABD PILLOW PR20 75 HCHG ABD RETRACTION SYSTEM 98.2 HCHG ABDOMINAL DOPPLER COMPLETE 1127.4 HCHG ABDOMINAL DOPPLER LTD STUDY 375.8 HCHG ABLAT INCOMP VEIN EXTREM CHEM ADHSV W GUIDE SUBSQ VEINS 2614.8 HCHG ABLAT ONE OR MORE LIVER TUMORS PERC RADIOFR 3530 HCHG ABLATE L/R ATRIAL FIBRIL W/ ISOLATED PULM VEIN 14818.5 HCHG ABO GROUP 19.9 HCHG ABO MBC 42 HCHG ABORTION W D AND C AND/OR EVACUATION 3285.8 HCHG ABSCESS OR CYST INJECTION 250.6 HCHG ABY SCREEN 86.1 HCHG ACCESS VENOUS ADVANCED 280.9 HCHG ACETAMINOPHEN 119.8 HCHG ACETYLCHOLINE RECEP BIND 180 HCHG ACETYLCHOLINE RECEPTOR MOD ABY 247.5 HCHG ACETYLCHOLINES AMNIOTIC 354.5 HCHG ACETYLCHOLINESTERASE RBC 147.7 HCHG ACHR GANGLIONIC NEURONAL ABY SERUM 264 HCHG ACOUSTIC IMMITTANCE TESTING W TYMPANOMETRY/ACOUSTIC REFLEX TH* 106.7 HCHG ACT. PROTEIN C RESIST 158.6 HCHG ACTH 53.5 HCHG ACTH STIMULATION PANEL 141.7 HCHG ACTIGRAPHY TESTING 3 DAY 476.9 HCHG ACTINOMYCES CULTURE 59.5 HCHG ACTIVATED CLOTTING TM CV 30.2 HCHG ACTIVATED PTT 42.8 HCHG ACTIVE CORD 298.1 HCHG ACTIVITY THERAPY/SESSION 45MIN OR> 247.6 HCHG ACUPUNCT W STIM EA ADDL 15 MIN 69.8 HCHG ACUPUNCT W STIM INITIAL 15 MIN 139.6 HCHG ACUPUNCT WO STIM EA ADDL 15 MIN 64.6 HCHG ACUPUNCT WO STIM INITIAL 15 MIN 128.6 HCHG ACUPUNCTURE FOLLOW UP VISIT RETAIL 90 HCHG ACUPUNCTURE INITIAL CONSULT RETAIL 130 HCHG ACUPUNCTURE WO STIM EA ADDL 15 MIN 64.6 HCHG ACUPUNCTURE WO STIM INITIAL 15 MIN 128.6 HCHG ACUTE HEPATITIS PANEL 210.6 HCHG ACYLCARNITINES QUANT PLASMA 150.5 HCHG ACYLGLYCINES,QUANT,URINE 484.8 HCHG ADAMTS13 ACTIVITY AND INHIBITOR PROFILE 429.4 HCHG ADAMTS13 INHIBITOR ASSAY 881.5 HCHG ADAMTS13 INHIBITOR BETHESDA TITER 881.5 HCHG ADAPTOR/EXT PACING/NEUROSTIMULATOR LEAD PR527 1663.5 HCHG ADDL 100 SQ CM OR 1% BODY INF EPIDRM AUTGRFT FACE NCK HF G 414.3 HCHG ADDL 100 SQ CM OR 1% BODY INF EPIDRM AUTGRFT TRUNK ARM LEG 414.3 HCHG ADDL DISC SUSCEPT 45.2 HCHG ADDTL CELLS - CHR. STUDY 87.5 HCHG ADENOVIRUS IGG 267.1 HCHG ADENOVIRUS PCR 245.7 HCHG ADHESION BARRIER PR250 787.5 HCHG ADHESION BARRIER PR275 862.5 HCHG ADHESION BARRIER PR300 945 HCHG ADHESION BARRIER PR330 1038 HCHG ADJ GASTRIC BAND DIAM SUBQ 381.6 HCHG ADMIN HEPAT B VAC 12.9 HCHG ADMIN OF PNEUMOCOCCAL VACCINE 12.9 HCHG ADMIN OF SEASONAL INFLUENZA VACCINE 12.9 HCHG ADMIN SET PEDS FILTER & SYRINGE 29.3 HCHG ADMIN SET-PLTS & CRYO 291.2 HCHG ADMINISTRATION SET 4C2160 10.9 HCHG ADPTR EPG 199.3 HCHG ADPTR GENERIC 855.7 HCHG ADPTR INTERLINK 6.3 HCHG ADPTR LEAD DF-1 CNNCTR TO TERM 137.5 HCHG ADPTR LEAD PLUG 1166.5 HCHG ADPTR LEAD PR1 7.5 HCHG ADPTR LEAD PR100 315 HCHG ADPTR LEAD PR1000 3150 HCHG ADPTR LEAD PR110 345 HCHG ADPTR LEAD PR1200 3780 HCHG ADPTR LEAD PR150 465 HCHG ADPTR LEAD PR160 504 HCHG ADPTR LEAD PR176 571 HCHG ADPTR LEAD PR192 603 HCHG ADPTR LEAD PR210 660 HCHG ADPTR LEAD PR230 720 HCHG ADPTR LEAD PR250 787.5 HCHG ADPTR LEAD PR275 862.5 HCHG ADPTR LEAD PR30 105 HCHG ADPTR LEAD PR300 945 HCHG ADPTR LEAD PR330 1038 HCHG ADPTR LEAD PR362 1138.5 HCHG ADPTR LEAD PR397 1251 HCHG ADPTR LEAD PR482 1513.5 HCHG ADPTR LEAD PR50 165 HCHG ADPTR LEAD PR527 1663.5 HCHG ADPTR LEAD PR527 1663.5 HCHG ADPTR LEAD PR582 1828.5 HCHG ADPTR LEAD PR60 195 HCHG ADPTR LEAD PR637 2001 HCHG ADPTR LEAD PR697 2188.5 HCHG ADPTR LEAD PR762 2398.5 HCHG ADPTR LEAD PR80 255 HCHG ADPTR LEAD PR90 285 HCHG ADPTR PR1 3.7 HCHG ADPTR PR10 33.4 HCHG ADPTR PR100 325.9 HCHG ADPTR PR110 335 HCHG ADPTR PR120 375 HCHG ADPTR PR130 405 HCHG ADPTR PR140 435 HCHG ADPTR PR176 552 HCHG ADPTR PR20 73.7 HCHG ADPTR PR210 660 HCHG ADPTR PR230 720 HCHG ADPTR PR250 787.5 HCHG ADPTR PR30 99.4 HCHG ADPTR PR300 945 HCHG ADPTR PR40 125.6 HCHG ADPTR PR437 1378.5 HCHG ADPTR PR482 1513.5 HCHG ADPTR PR5 20.6 HCHG ADPTR PR50 165 HCHG ADPTR PR60 195 HCHG ADPTR PR637 2001 HCHG ADPTR PR70 225 HCHG ADPTR SEALING OF ATTAIN SHEATH 240.8 HCHG ADSORPTION WARM AUTO 124.3 HCHG ADSORPTION,REST 124.3 HCHG ADVANCED CARE PLAN 30 MINUTES 267.8 HCHG ADVANCED CARE PLAN EACH ADDL 30 MIN 249.9 HCHG ADVANCED MED/SURG CARE ANC LEV 4 3360 HCHG ADVANCED POST SURG CARE ANC LEV 5 4090 HCHG AEROBIC ID BY SEQUENCING 354.5 HCHG AEROCHAMBER 18.7 HCHG AEROCHAMBER MAX 25.2 HCHG AEROCHAMBER PR20 75 HCHG AEROCHAMBER PR5 17.8 HCHG AEROMONAS PLATE STL 59.5 HCHG AEROSOL MASK 1.6 HCHG AEROSOL MASK PR1 4.7 HCHG AEROSOL MASK PR2 9.1 HCHG AEROSOL MASK PR4 27.1 HCHG AEROSOL MASK PR5 24.3 HCHG AFB BLOOD CULTURE 69 HCHG AFB CONCENTRATION 42.8 HCHG AFB CULTURE 69 HCHG AFB SMEAR (AFS) 33.3 HCHG AFFINITY PER SQ CM PR150 465 HCHG AFFINITY PER SQ CM PR210 660 HCHG AFO ANKLE GAUNTLET PREFAB OTS PR1 7.5 HCHG AFO ANKLE GAUNTLET PREFAB OTS PR10 45 HCHG AFO ANKLE GAUNTLET PREFAB OTS PR20 75 HCHG AFO ANKLE GAUNTLET PREFAB OTS PR5 27.3 HCHG AFO CUSTOM FABRICATED 149 HCHG AFO MULTILIG ANKLE SUPPORT PREFAB OTS PR10 46.6 HCHG AFO MULTILIG ANKLE SUPPORT PREFAB OTS PR20 73.7 HCHG AFO MULTILIG ANKLE SUPPORT PREFAB OTS PR30 105 HCHG AFO MULTILIG ANKLE SUPPORT PREFAB OTS PR5 22.5 HCHG AFO PLASTIC PREFAB PR10 45.2 HCHG AFO PLASTIC PREFAB PR20 75 HCHG AFO PLASTIC PREFAB PR30 105 HCHG AFO PLASTIC PREFAB PR40 135 HCHG AFO/TLSO 2442.3 HCHG AFP TUMOR MARKER SERUM 111.5 HCHG AFP-AMNIOTIC FLUID 97.3 HCHG AFP-MATERNAL (Q) 145.2 HCHG AFP-PRENATAL 72.1 HCHG AIR GAS POSTERIOR VITRECTOMY 14 HCHG AIRWAY COMBITUBE 191.4 HCHG AIRWAY NASAL 6.7 HCHG AIRWAY ORAL 16.8 HCHG AIRWAY OVASSAPIAN FIBEROPTIC 16.9 HCHG AIRWAY PR1 8.6 HCHG AIRWAY PR10 44.8 HCHG AIRWAY PR140 435 HCHG AIRWAY PR160 504 HCHG AIRWAY PR176 552 HCHG AIRWAY PR192 603 HCHG AIRWAY PR20 75 HCHG AIRWAY PR30 105 HCHG AIRWAY PR40 132.9 HCHG AIRWAY PR5 24.2 HCHG AIRWAY PR50 165 HCHG AIRWAY PR70 225 HCHG AIRWAY PR80 255 HCHG AIRWAY PR90 285 HCHG AIRWAY TUBE ADPTR TRANSPORT ON 27.3 HCHG ALA DEHYDRATASE RBC 394.6 HCHG ALBUMIN 35.2 HCHG ALBUMIN BODY FLUID 35.2 HCHG ALBUMIN BODY FLUID HCMC 48.2 HCHG ALBUMIN BODY FLUID MML 138.4 HCHG ALBUMIN CSF 35.2 HCHG ALBUMIN SERUM 35.2 HCHG ALCOHOL AND/OR DRUG ASSESS 660.5 HCHG ALCOHOL AND/OR DRUG ASSESSMENT AFFILIATE ONLY 660.5 HCHG ALCOHOL BIOMARKERS QUANT URINE 242.5 HCHG ALDOLASE 75.2 HCHG ALDOSTERONE 77.1 HCHG ALDOSTERONE URINE 24 HR 206.2 HCHG ALK PHOS BONE SPECIFIC 125.6 HCHG ALK PHOS ISO 103.9 HCHG ALK PHOSPHATASE 35.2 HCHG ALLODERM PER SQ CM PR10 45 HCHG ALLODERM PER SQ CM PR20 75 HCHG ALLODERM PER SQ CM PR30 105 HCHG ALLODERM PER SQ CM PR50 165 HCHG ALLODERM PER SQ CM PR60 195 HCHG ALLOGRAFT CYMETRA INJECTABLE PER 1CC 481.9 HCHG ALLOGRAFT INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1CC 2876.9 HCHG ALLOGRAFT PR1910 6015 HCHG ALLOMAP 5566 HCHG ALPHA 1 ANTITRYPSIN A1A 88.6 HCHG ALPHA GALACTOSIDASE SERUM 389 HCHG ALPHA GLOBIN GENE ANALYSIS 604.1 HCHG ALPHA GLOBIN GENE SEQUENCE 246.7 HCHG ALPHA SUBUNIT 132.5 HCHG ALPHA-1-ANTITRYPSIN 77.1 HCHG ALPRAZOLAM 136.8 HCHG ALPRAZOLAM UR 306.9 HCHG ALT (SGPT) 35.2 HCHG ALTER G INITIAL RETAIL 150 HCHG ALTER G INITIAL RETAIL 150 HCHG ALTER G SUBSEQ 25 MIN RETAIL 300 HCHG ALTER G SUBSEQ 35 MIN RETAIL 300 HCHG ALTER G SUBSEQ 55 MIN RETAIL 600 HCHG ALTER G SUBSEQ 55 MIN RETAIL 600 HCHG ALTER G SUBSEQ RETAIL 40 HCHG ALTER G SUBSEQ RETAIL 40 HCHG ALUMI HAND 81.1 HCHG ALUMINUM PLASMA 86.4 HCHG AMB 24HR B/P MON;SCAN ANALYSIS W/REPORT 721.9 HCHG AMB CONTRACT ALS EMERG TRANSP LEVEL 1 1101.4 HCHG AMB CONTRACT ALS LEVEL 2 1053.3 HCHG AMB CONTRACT ALS NON-EMERG TRANSP LEVEL 1 1151.4 HCHG AMB CONTRACT BLS EMERGENCY TRANSPORT 1142 HCHG AMB CONTRACT BLS NON EMERG TRANSPORT 361.6 HCHG AMB CONTRACT CONVENT AIR ROTARY WING 5014.8 HCHG AMB CONTRACT GROUND MILEAGE PER MILE 26.5 HCHG AMB CONTRACT NON COVERED AMBULANCE MILES 26.5 HCHG AMB CONTRACT ROTARY WING AIR MILEAGE 83.9 HCHG AMB CONTRACT SPECIALTY CARE TRANSPORT 1290.8 HCHG AMBULATORY/BLADDER IRRIGATION, SIMPLE 548.4 HCHG AMIKACIN KINETICS (AMIKIN) 85.5 HCHG AMINO ACID QUANT BLOOD 427.6 HCHG AMINO ACID QUANT UR RANDOM 290.7 HCHG AMINO ACIDEMIAS (PKU) 62.8 HCHG AMIODARONE 85.2 HCHG AMITRIPTYLINE 88.6 HCHG AMMONIA 96.3 HCHG AMNIO ADDTL CELLS 87.5 HCHG AMNIO CV TISSUE CULTURE MML 1794.2 HCHG AMNIO OR BIODMATRIX INJECTABLE PER 1CC 22.7 HCHG AMNIOCENTESIS DIAGNOSTIC 1342.9 HCHG AMNIOCENTESIS THERAPEUTIC FLUID REDUCTION 1170.2 HCHG AMNIOGRAFT PR637 2001 HCHG AMNIOTIC FLUID WBC 32.6 HCHG AMNISURE 92.7 HCHG AMNISURE PR50 165 HCHG AMOXAPINE 163.9 HCHG AMPA RECEPTOR ABY TITER, SERUM 595.2 HCHG AMPA RECEPTOR ABY TITER, SPINAL FLUID 595.2 HCHG AMPHETAMINE CONFIRM SERUM AFO 359.1 HCHG AMPHETAMINE URINE 329.9 HCHG AMPUTATION OF TOE MTP JT 3680.6 HCHG AMPUTATION TOE W METATARSAL SGL 3533.4 HCHG AMYLASE 45.4 HCHG AMYLASE