Epic Charge Code Description Epic Price HC PBB FNA BIOPSY W/O IMAGE GUIDE EA ADDL LESION $587.00 HC FNA BIOPSY W/US GUIDANCE 1ST LESION $1,540.00 HC FNA BIOPSY W/US GUIDANCE EA ADDL LESION $610.25 HC FNA BIOPSY W/FLUORO GUIDANCE 1ST LESION $1,540.00 HC FNA BIOPSY W/FLUORO GUIDANCE EA ADDL LESION $610.25 HC FNA BIOPSY W/CT GUIDANCE 1ST LESION $1,540.00 HC FNA BIOPSY W/CT GUIDANCE EA ADDL LESION $610.25 HC FNA BIOPSY W/MR GUIDANCE 1ST LESION $1,540.00 HC FNA BIOPSY W/MR GUIDANCE EA ADDL LESION $610.25 HC FNA BIOPSY W/O IMAGE GUIDE 1ST LESION $788.00 HC IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE $1,205.50 HC PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE $3,652.00 HC PLACEMENT SOFT TISSUE LOCALIZATION DEVICE PERQ EA ADDL W/IMAGE $1,995.00 HC PBB ACNE SURGERY $597.00 HC DRAIN SKIN ABSCESS SIMPLE $441.00 HC DRAIN SKIN ABSCESS COMPLIC $842.75 HC DRAIN PILONIDAL CYST SIMPL $1,552.75 HC REMOVE FOREIGN BODY SIMPLE $842.75 HC REMOVE FOREIGN BODY COMPLIC $1,945.00 HC DRAINAGE OF HEMATOMA/FLUID $1,945.00 HC PUNCTURE DRAINAGE OF LESION $842.75 HC COMPLEX DRAINAGE, WOUND $3,148.75 HC DEBRIDEMENT, INFECTED SKIN, UP TO 10% BSA $1,127.00 HC DEBRIDE ASSOC OPEN FX/DISLO SKIN/MUS/BONE $2,717.50 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM $938.75 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,=<20 SQ CM $1,453.65 HC DEBRIDEMENT BONE 1ST 2.0CM TRUNK,ARM,LEG $431.25 HC SHAVE SKIN LESION SINGLE 0.5CM/< SCALP,NECK,HAND,FEET,GENITALIA $331.25 HC SHAVE SKIN LESION SINGLE 0.6 - 1.0CM SCALP,NECK,HAND,FEET GENITALIA $331.25 HC SHAVE SKIN LESION SINGLE 1.1 - 2.0CM SCALP,NECK,HAND,FEET,GENETALIAPOD $331.25 HC SHAVE SKIN LESION SINGLE > 2.0 CM SCALP,NECK,HAND,FEET,GENITALIA $431.25 HC SHAVE SKIN LESION SINGLE =/<0.5CM FACE,EAR,EYELID,NOSE,LIPS,MUC MEM $331.25 HC SHAVE SKIN LESION SINGLE 0.6 - 1.0CM FACE,EAR,EYELID,NOSE,LIP,MUC MEM $331.25 HC SHAVE SKIN LESION SINGLE 1.1 - 2.0CM FACE,EAR,EYELID,NOSE,LIP,MUC MEM $431.25 HC SHAVE SKIN LESION SINGLE > 2.0 CM FACE,EAR,EYELID,NOSE,LIP,MUC MEM $431.25 HC PBB EXC BENIGN LESION +MARGIN <0.5CM TRNK/EXTR $1,736.50 HC EXC SKIN BENIG 0.6-1 CM TRUNK,ARM,LEG $1,250.00 HC PBB EXC SKIN BENIG >4 CM TRUNK,ARM,LEG $2,850.00 HC EXC BENIGN LESION =<1.5CM SCALP,NECK,HAND,FEET,GENITALIA $2,240.00 HC PBB EXC SKIN BENIG 0.6-1 CM REMAINDR BODY $1,250.00 HC PBB EXC SKIN BENIGN 1.1-2 CMS SCALP,NECK,HAND,FEET,GENITALIA $2,240.00 HC PBB EXC SKIN BENIG 2.1-3 CM REMAINDR BODY $2,250.00 HC PBB EXC BENIGN LESION =<0.5CM FACE/EYL/E/N/LIP/MM $1,250.00 HC PBB EXC BENIGN LESION 0.6 TO 1.0CM FACE/EYL/E/N/LIP/MM SKIN $1,250.00 HC PBB EXC BENIGN LESION 1.1-2.0CM FACE/EYELID/EAR/NOSE/LIP/MUC MEM $1,250.00 HC PBB EXCISION BENIGN LESIONS >4.0CM FACE,EAR,EYELID,NOSE,LIP,MUC MEM $3,179.25 HC EXC MALIG LESION =< 0.5CM TRNK/ARMS/LEGS $1,250.00 HC PBB EXC SKIN MALIG 0.6-1 CM TRUNK,ARM,LEG $1,192.00 HC PBB EXC SKIN MALIG 1.1-2 CM TRUNK,ARM,LEG $1,250.00 HC PBB EXC SKIN MALIG 2. 1-3 CM TRUNK,ARM,LEG $1,050.00 HC PBB EXC MALIG LESION SCALP/NECK/HAND/FEET/GEN 1.1-2.0CM $1,402.50 HC PBB EXC SKIN MALIG 3.1-4 CM SCALP,NECK,HAND,FEET,GENIT $1,945.00 HC PBB EXC MALIG LESION =/< 0.5CM FACE,EAR,EYLID,NOSE,LIP $1,250.00 HC PBB EXC MALIGNANT LESION 0.6-1.0CM FACE,EAR,EYELID,NOSE,LIP $1,736.50 HC PBB EXC MALIGNANT LESION 0.1 TO 2.0CM FACE,EAR,EYELID,NOSE,LIP $1,736.50 HC PBB EXC SKIN MALIG 2.1-3 CM FACE,EAR,EYELID,NOSE,LIP $2,240.00 HC PBB EXC SKIN MALIG 3.1-4 CM FACE,EAR,EYELID,NOSE,LIP $2,240.00 HC PBB EXC SKIN MALIG >4 CM FACE,EAR,EYELID,NOSE,LIP $2,898.65 HC TRIM NONDYSTROPHIC NAILS $839.50 HC DEBRIDE NAIL ANY METHOD 1-5 OST $863.40 HC DEBRIDEMENT OF NAILS, 6 OR MORE $863.40 HC REMOVAL OF NAIL PLATE $441.25 HC REMOVAL OF NAIL PLATE EACH ADDL $220.50 HC DRAIN BLOOD FROM UNDER NAIL $165.00 HC REMOVAL OF NAIL BED $843.00 HC BIOPSY OF NAIL UNIT $778.75 HC RECONSTRUC OF NAIL BED $745.55 HC EXCISION OF NAIL FOLD, TOE $525.50 HC INJECTION INTO SKIN LESIONS, UP TO 7 $331.25 HC INJECT INTRALESIONAL MORE THAN 7 LESIONS $331.25 HC IMPLANON REMOVAL CAPSULE $925.00 HC INSERT NEXPLANON NONBIO DRUG $334.00 HC REMOVE NONBIO DRUG NEXPLANON $839.50 HC REMOVE/REINSERT NONBIO DRUG NEXPLANON $508.50 HC REPAIR SUPERFICIAL WND SIMPLE =/< 2.5CM SCALP,N,AX,GEN,TRUNK,EXTREM $331.25 HC REPAIR SUPERFICIAL WND SIMPLE 2.6-7.5CM SCALP,N,AX,GEN,TRUNK,EXTREM $331.25 HC REPAIR SUPERFICIAL WND SIMPLE 7.6-12.5CM SCALP,N,AX,GEN,TRUNK,EXTREM $331.25 HC REPAIR SUPERFICIAL WND SIMPLE 12.6-20CM SCALP,N,AX,GEN,TRUNK,EXTREM $525.50 HC REPAIR SUPERFICIAL WND SIMPLE 20.1-30CM SCALP,N,AX,GEN,TRUNK,EXTREM $525.50 HC REPAIR SUPERFICIAL WND SIMPLE >30CM SCALP,N,AX,GEN,TRUNK,EXTREM $331.25 HC REPAIR SUPERFICIAL WND SIMPLE =/< 2.5CM FACE,EAR,EYELID,NOSE,LIP,MM $331.25 HC REPAIR SUPERFICIAL WND SIMPLE 2.6-5.0CM FACE,EAR,EYEL,NOSE,LIP,MM $331.25 HC REPAIR SUPERFICIAL WND SIMPLE 5.1-7.5CM FACE,EAR,EYEL,NOSE,LIP,MM $331.25 HC REPAIR SUPERFICIAL WND SIMPLE 7.6-12.5CM FACE,EAR,EYEL,NOSE,LIP,MM $331.25 HC REPAIR SUPERFICIAL WD SIMPLE 12.6-20CM FACE,EAR,EYEL,NOSE,LIP,MM $525.50 HC REPAIR SUPERFICIAL WND SIMPLE 20.1-30CM FACE,EAR,EYEL,LIP,NOSE,MM $525.50 HC REPAIR SUPERFICIAL WND SIMPLE >30CM FACE,EAR,EYEL,LIP,NOSE,MM $331.25 HC CLOSURE SUPERF WND DEHIS SIMPLE $745.55 HC CLOSURE SUPERFICIAL SPLIT WND W/PACKING $525.50 HC REPAIR WND INTERM <2.5CM SCALP,AX,TRUNK,EXTREM $750.00 HC REPAIR INTMD WND 2.6-7.5CM SCALP,AX,TRUNK,EXTREM $750.00 HC REPAIR WND INTMD 7.6-12.5CM SCALP,AX,TRUNK, EXTREM $750.00 HC REPAIR INTMD WND 12.6-20CM SCALP,AX,TRUNK,EXTREM $750.00 HC REPAIR INTRMD WND 20.0-30CM SCALP,AX,TRUNK,EXTREM $750.00 HC REPAIR INTMD WND >30CM SCALP,AX,TRUNK,EXTREM $2,450.00 HC REPAIR INTMD WND =/<2.5CM NECK,HAND,FEET,GENT $750.00 HC REPAIR INTMD WND 2.6-7.5CM NECK,HAND,FEET,GENT $750.00 HC REPAIR INTRMD WND 7.6-12.5 CM NECK,HAND,FEET,GENT $750.00 HC REPAIR INTMD WND 12.6-20CM NECK,HAND,FEET,GENT $750.00 HC REPAIR INTMD 20.1-30CM NECK,HAND,FEET,GENT $750.00 HC REPAIR INTMD WND >30CM NECK,HAND,FEET,GENT $2,450.00 HC REPAIR INTRMD WND =/< 2.5CM FACE,EAR,EYEL,NOSE,LIP,MM $750.00 HC REPAIR INTRMD WND 2.5-5CM FACE,EAR,EYEL,NOSE,LIP,MM $750.00 HC REPAIR INTRMD WND 5.1-7.5CM FACE,EAR,EYEL,NOSE,LIP,MM $750.00 HC REPAIR INTRMD WND 7.6-12.5CM FACE,EAR,EYEL,NOSE,LIP,MM $750.00 HC REPAIR INTRMD WND 12.6-20CM FACE,EAR,EYEL,NOSE,LIP,MM $750.00 HC REPAIR INTRMD WND 20.1-30CM FACE,EAR,EYEL,NOSE,LIP,MM $750.00 HC REPAIR INTRMD WND >30CM FACE,EAR,EYEL,NOSE,LIP,MM $750.00 HC REPAIR COMPLEX WND 1.1-2.5CM TRUNK $910.75 HC REPAIR COMPLEX WND 2.6-7.5CM TRUNK $910.75 HC REPAIR COMPLEX WND EA ADD =<5CM TRUNK $256.50 HC REPAIR COMPLEX WND 1.1-2.5CM SCALP,ARM,LEG $910.75 HC REPAIR COMPLEX WND 2.6-7.5CM SCALP,ARM,LEG $910.75 HC REPAIR COMPLEX WND =/<5CM EA ADDL SCALP,ARM,LEG $256.50 HC REPAIR CMPLEX WND 1.1-2.5CM HEAD,FACE,HAND $910.75 HC REPAIR CMPLEX WND 2.6-7.5CM HEAD,FACE,HAND $910.75 HC REPAIR COMPLEX WND EA ADDL =/>5CM FACE,HAND,FEET $424.75 HC RECMPL WND LID,NOS,EAR 1.1-2.5 CM $910.75 HC RECMPL WND LID,NOS,EAR 2.5-7.5 CM $910.75 HC REPAIR WND COMPLEX EA ADD =/<5CM EYEL,NOSE,EAR,LIP $256.50 HC REPAIR WND SECONDARY COMPLEX/ENTENS DEHSN $2,450.00 HC WOUND PREP, PED, TRK/ARM/LG 1ST 100 CM $2,450.00 HC WOUND PREP, PED, TRK/ARM/LG ADDL 100 CM $817.00 HC WND PREP PED, FACE/NCK/HND/FT/GEN 1ST 100 CM $940.50 HC APPL SKIN SUB INIT =/< 25SQ CM TRUNK/ARM/LEG FC $2,450.00 HC APPLY SKIN SUB EA ADD =/< 25SQ CM TRUNK/ARM/LEG FC $1,224.55 HC APPLY SKIN SUB INIT 100SQ CM TRUNK,ARM,LEG $4,470.75 HC APPLY SKIN SUB ADD 100SQ CM TRUNK/ARM/LEG $2,800.00 HC APPLY SKIN SUB INIT 25SQ CM FACE,HAND,NECK,HF,GENT $2,450.00 HC APPLY SKIN SUB ADD 25SQ CM FACE,SCALP,NK,HF,G,DIGITS $1,224.55 HC APPLY SKIN SUB INIT 100SQ CM F,S,NK,HF,GEN,DIGITS $2,450.00 HC APPLY SKIN SUB ADD 100SQ CM F,S,NK,HF,GEN,DIGITS $1,224.55 HC REMOVE SUTURES W/ANESTH SAME SURGEON $745.55 HC REMOVE SUTURES W/ANESTH DIFF SURGEON $2,434.00 HC DRESSING CHNG NOT FOR BURN W/ANESTH/SED $745.55 HC INITIAL RX BURN(S) 1ST DEGREE $178.50 HC DRESS/DEBRID <5% BODY SM $491.25 HC DRESS/DEBRID 5-10% BODY MED $491.25 HC DRESS/DEBRID PART THCK +10% BODY LG $938.75 HC DESTRUC BENIGN/PREMAL,FIRST LESION $169.00 HC PBB DESTRUCT BENIGN/PREMAL 2ND-14 LESIONS $133.00 HC DESTRUC BENIGN/PREMAL,15+ LESIONS $310.75 HC DESTRUCTION OF CUTANEOUS VASC LESIONS <10SQ $525.50 HC DESTRUCT CUTANEOUS VASC LESIONS 10-50SQ CM $863.40 HC DESTRUCT CUTANEOUS VASC LESIONS +50SQ CM $2,450.00 HC DESTRUCTION BENIGN LESIONS UP TO 14 $863.40 HC DESTRUCTION BENIGN LESIONS 15 OR MORE $331.25 HC CHEMICAL CAUTERIZATION OF GRANULATION TISSUE $434.75 HC PBB DESTRUCT MALIGNANT LESION =/<0.5 TRUNK,EXTREM $331.25 HC PBB DESTRUCT MALIGNANT LESION 0.6-1.0 TRUNK/EXTREM $331.25 HC PBB DESTRUCT MALIG LESION 1.1-2.0 TRNK/EXTREM $331.25 HC PBB DESTRUCT MALIG LESION 2.1-3.0 TRNK/EXTREM $331.25 HC PBB DESTRUCT MAL LESION 3.1 -4.0CM TRNK/EXTREM $525.50 HC PBB DESTRUCT MAL LESION >4.0CM TRUNK,EXTREM $525.50 HC PBB DESTRUCT MALIG LES =/<0.5 SCLP,NCK,H,F,GEN $331.25 HC PBB DESTRUCT MALIG LES 0.6-1.0CM SCLP,NCK,H,F,GEN $331.25 HC PBB DESTRUCT MALIG LES 1.1-2.0CM SCLP/NCK/H/F/GEN UMA SKIN $331.25 HC PBB DESTRUCT MALIG LES 2.1-3.0CM SCLP,NCK,H,F,GEN $525.50 HC PBB DESTRUCT MALIGN LES 3.1-4.0CM SCLP,NCK,H,F,GEN $525.50 HC PBB DESTRUCT MALIG LES >4.0CM SCLP/NCK/H/F/GEN $525.50 HC PBB DESTRUCT MALIG LES=<0.5 FACE/EAR/EYE/NOS/LIP/MOUTH $331.25 HC PBB DESTRUCT MALIG LES 0.6-1.0CM FACE/EAR/EYE/NOS/LIP/MOUTH $525.50 HC PBB DESTRUCT MALIG LES 1.1-2.0CM FACE/EAR/EYE/NOS/LIP/MOUTH $525.50 HC PBB DESTRUCT MALIG LES2.1-3.0CM FACE/EAR/EYE/NOS/LIP/MOUTH $525.50 HC PBB DESTRUCT MALIG LES 3.1-4.0CM F/E/E/NOS/LIP/MOUTH $745.55 HC PBB DESTRUCT MALIG LES >4.0CM F/E/E/NOS/LIP/MOUTH $745.55 HC CRYOTHERAPY ACNE $65.75 HC PUNC/ASPIR BREAST CYST $925.00 HC PUCT/ASPIR BREAST CYST,EACH ADDN $233.50 HC INJ FOR GALACTOGRAM SGL/MULT DUCT $326.00 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE $1,945.00 HC BX BREAST W DEVICE ADDL LESION STEREOTACT GUIDE $1,094.25 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE $1,945.00 HC BX BREAST W DEVICE ADDL LESION ULTRASOUND GUIDE $1,027.00 HC BX BREAST W DEVICE 1ST LESION MAGNETIC RES GUIDE $1,945.00 HC BX BREAST W DEVICE ADDL LESION MAGNET RES GUIDE $1,256.25 HC BIOPSY OF BREAST, NEEDLE CORE $1,945.00 HC BIOPSY OF BREAST, INCISIONAL $4,245.75 HC PERQ DEVICE PLACEMT BREAST LOC 1ST LES W GUIDNCE $1,238.00 HC PERQ DEVICE PLACEMT BREAST LOC EA LES W GUIDNCE $553.00 HC PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GUID $1,301.75 HC PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC $584.50 HC PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG $1,515.50 HC PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE $629.50 HC PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID $1,084.50 HC PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID $1,084.50 HC EXPLORE WOUND CHEST $2,684.25 HC EXPLORE WOUND ABDOMEN $2,450.00 HC EXPLORE PENETRATING WOUND $848.25 HC NEEDLE BIOPSY,MUSCLE $1,945.00 HC BONE BIOPSY,TROCAR/NEEDLE SUPERF $1,945.00 HC BONE BIOPSY,TROCAR/NEEDLE DEEP $1,945.00 HC PBB BONE BIOPSY,EXCISIONAL DEEP $3,620.00 HC NEPHRO TUBE CHANGE $1,284.00 HC INJECT SINUS TRACT THERAPUTIC $2,023.00 HC INJECT SINUS TRACT FOR DX W XRAY $230.25 HC REMOVAL OF FOREIGN BODY $2,075.00 HC INJECTION THER CARPAL TUNNEL $244.75 HC INJECT TENDON SHEATH/LIGAMENT $244.75 HC PBB INJECT SINGLE TENDON ORIGIN $392.65 HC INJECT TRIGGER POINT, 1 OR 2 $371.25 HC TRIG POINT INJ,SGL/MULT,3+MUSC $371.25 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US $392.65 HC ARTHROCNT ASPIR&/INJ SMALL LEFT JT/BURSAW/US REC RPRT $474.00 HC ARTHROCNT ASPIR&/INJ SMALL RIGHT JT/BURSAW/US REC RPRT $474.00 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US $392.65 HC ARTHROCENTESIS ASPIR&/INJ LEFT INTERM JT/BURS W/US $937.50 HC ARTHROCENTESIS ASPIR&/INJ RIGHT INTERM JT/BURS W/US $937.50 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US $392.65 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US $585.00 HC ASPIRAT/INJECTION GANGLION CYST(S) $244.75 HC PBB ASP/INJECT TX BONE CYST $915.00 HC STEINMAN PIN TREATMENT $4,627.50 HC APPLY/REMOVE CRANIAL FIXATION DEVICE $3,710.75 HC PBB REMOVAL OF FIXATION DEVICE $733.25 HC REMOVAL SUPERFICIAL IMPLANT $2,262.75 HC PBB REMOVAL OF IMPLANT DEEP $2,898.65 HC REPLANTATION DIGIT COMPLETE $1,970.25 HC ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE $8,549.50 HC ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD $8,549.50 HC PBB EXCISE TUMOR SOFT TISS FACE/SCALP SUBQ 2CM/> $2,063.25 HC PBB EXCISE BENIGN TUMOR/CYST OF MAX/ZYGOMA $6,636.50 HC INTERDENTAL FIXATION $2,023.00 HC CLOSED TX NOSE FX W/O STABILIZATION $2,023.00 HC CLOSED RX NOSE FX W STABILIZATN $3,135.50 HC TREAT MOUTH ROOF FX $3,275.00 HC CLOSED RX DENTAL RIDGE FX $3,275.00 HC MANDIBLE REDUCTION CLOSED $1,172.25 HC TREAT JAW FX INTERDENTAL FIXATION $6,063.25 HC REDUCE TEMPOROMANDIBL DISLOC $407.75 HC INTERDENTAL WIRING $2,023.00 HC I&D DEEP ABSC/HEMATOMA NECK/CHEST $2,324.75 HC BIOPSY SOFT TISSUE NECK/CHEST $1,945.00 HC BIOPSY SOFT TISSUE OF BACK/FLANK $1,784.00 HC PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC $4,464.00 HC PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL $4,548.00 HC PERQ VERTEBROPLASTY CERVICOTHOR/LUMBOSACRAL EACH ADDL $2,514.00 HC PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION $8,583.75 HC PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR $8,583.75 HC PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH $2,332.75 HC BIOPSY SOFT TISSUE SHOULDER $1,784.00 HC INJ PROC SHOULDER ARTHROGRAPHY/CT/MRI $223.75 HC CLOSED TX CLAV FX W/O MANIPULATION $215.00 HC TREAT CLAVICLE DISLOCATION $490.50 HC CLOSED TX PROX HUMERUS FRACTURE $235.75 HC CLOSED RX SHLDR DISLOCATION $602.00 HC CLOSED RX SHLDR DISLOC,GR TUB FX $1,970.25 HC PBB INCIS/DRAIN ARM/ELBOW INFECT BURSA $2,050.00 HC BIOPSY SOFT TISSUE ARM/ELBOW $1,784.00 HC EXC TUMOR SOFT TISS ARM SUBFASCIAL <5CM $2,324.75 HC PBB REMOVAL OF ARM FOREIGN BODY $2,350.00 HC INJECTION FOR ELBOW ARTHROGRAM $233.50 HC INJECTION FOR ELBOW ARTHROGRAM BI $350.25 HC TENOTOMY ELBOW LATERAL/MEDIAL PERC $4,110.00 HC CLOSED TX HUMERAL SHAFT FX W/O MANIP $323.50 HC CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ $2,250.00 HC CLOSED RX HUMERAL SUPRACONDYLAR FX $265.25 HC CLOSED RX HUM SUPRACONDYLR FX,MANIPU $2,225.00 HC CLOSED TX HUMERAL EPIDONDYLAR FX W/O MANIP $220.50 HC CLOSED TX HUMERAL CONDYLAR FX W/O MANIP $234.25 HC CLOSED RX MONTEGGIA FX/DISLOC ELBOW $1,755.00 HC CLOSED RX RADIAL HEAD DISLOC,CHILD $323.45 HC CLOSED TX RADIAL HEAD/NECK FX W/O MANIP $337.75 HC CLOSED TX ULNAR FRACTURE PROX END W/O MANIPULATE $225.00 HC CLOSED TX ULNAR FRACTURE PROX END W MANIPULATION $2,225.00 HC BIOPSY SOFT TISSUE FOREARM/WRIST $1,945.00 HC PBB EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM $1,945.00 HC INJECTION FOR WRIST ARTHROGRAM $326.75 HC REPAIR FOREARM TENDON/MUSCLE $3,350.00 HC CLOSED RX RADIAL SHAFT FX $389.25 HC CLOSED RX ULNA SHAFT FX $375.75 HC CLOSED TX RADIAL/ULNAR SHAFT FX W/O MANIP $400.75 HC CLOSED RX RAD/ULNA SHAFT FX,MANIP $1,970.25 HC CLOSED RX DIST RAD/ULNA FX $373.25 HC CLOSED RX DIST RAD/ULNA FX,MANIPUL $1,970.25 HC CLOSED RX ULNA STYLOID FX $363.00 HC TREAT WRIST DISLOCATION $1,970.25 HC DRAIN FINGER ABSCESS,SIMPLE $331.25 HC EXCISION PARTIAL DISTAL PHALANX FINGER $1,970.25 HC REPAIR HAND TENDON $2,014.00 HC REPAIR FINGER TENDON $2,014.00 HC CLOSED RX METACARPAL FX $333.00 HC CLOSED RX METACARPAL FX,MANIP $364.25 HC CLOSED RX MC-P DISLOCATIOM $444.00 HC TREAT KNUCKLE DISLOCATION $1,970.25 HC CLOSE RX PROX/MID FING SHFT FX $436.00 HC PBB CLOSE RX PROX/MID FING SHFT FX,MANIP $249.75 HC CLOSE RX FINGR ARTICULAR FX $260.25 HC CLOSE RX FINGR ARTICULAR FX,MANIP $1,970.25 HC CLOSE RX DIST FINGR FX $249.75 HC TREAT FINGER DISLOCATION $490.75 HC AMPUTATE METACARPAL BONE $3,350.00 HC AMPUTATION FINGER/THUMB $3,935.25 HC P HAND/FINGER SURGERY UNLISTED $323.45 HC BIOPSY SACROILIAC JOINT $1,970.25 HC INJECTION HIP ARTHROGRAM $242.00 HC INJECTION,SACROILIAC JOINT $619.75 HC CLOSED RX TRAUMATIC HIP DISLOCATN $361.75 HC I AND D DEEP ABSCESS THIGH/KNEE $2,898.65 HC EXPLORATION OF KNEE JOINT $3,150.00 HC BIOPSY SOFT TISSUE THIGH/KNEE SUPERFICIAL $1,784.00 HC INJ OF CONTRAST FOR KNEE ARTHRO CT/MRI $457.00 HC CLOSED RX CONDYLAR FX $434.00 HC CLOSED RX FEMUR,DISTAL+MANIP $1,970.25 HC CLOSED TX FEM EPIPHY DIST SEP W/O MANIP $410.25 HC CLOSED RX TIBIAL PLATEAU FX $240.25 HC CLOSED RX TIB PLAT FX+MANIP $3,350.00 HC CLOSED TX KNEE FX W/WO MANIP $537.75 HC CLOSED RX KNEE DISLOCATN $628.00 HC CLOSED TX KNEECAP DISLOCATION $628.00 HC FASCIOTOMY EA AREA $3,150.00 HC BIOPSY SOFT TISSUE LEG/ANKLE SUPERFICIAL $1,784.00 HC INJECTION FOR ANKLE ARTHROGRAM $239.00 HC INJECTION FOR ANKLE ARTHROGRAM BI $358.50 HC CLOSED RX TIBIA SHAFT FX $273.25 HC CLOSED RX TIBIA SHAFT FX,MANIPULATN $1,970.25 HC CLOSED RX MED MALLEOLUS FX $506.50 HC TRTMNT PROX FIBULA FX CLOSED W/MANIPULATION $1,970.25 HC CLOSED RX DIST FIBULA FX $346.75 HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANIP $499.75 HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W MANIP $1,755.00 HC CLOSED TX WT BEARING ARTIC DIST TIBIAL FX W/O MANIPUL $508.00 HC CLOSED RX WEIGHT BEAR DIST TIB,MANIP $1,970.25 HC PBB BIOPSY, TOE JOINT LINING $3,967.75 HC REMV FOOT FOREIGN BODY,SUBCUTANEOUS $915.00 HC REMOVAL OF FOOT FOREIGN BODY,DEEP $1,945.00 HC REMOVAL OF FOOT FOREIGN BODY,COMPLEX $1,945.00 HC TREAT HEEL FRACTURE $323.45 HC TREAT MIDFOOT FRACTURE $1,985.75 HC CLOSED TX METATARSAL FX W/O MANIP EA $215.00 HC TREAT METATARSAL FRACTURE $599.00 HC CLOSED TX GREAT TOE FX W/O MANIP $337.75 HC CLOSED RX TOE FX $215.00 HC CLOSED RX TOE FX,MANIPULATN $333.00 HC TREAT FOOT DISLOCATION $343.50 HC CLOSED RX MT-PHAL TOE DISLOCATION $345.50 HC HALO PLACEMENT $356.50 HC APPLY LONG ARM CAST $344.75 HC APPLY FOREARM CAST $344.75 HC APPLICATION OF GAUNTLET (LOWER ARM/HAND) $208.50 HC OT APPLICATION FOR CONTRACTURE $208.50 HC APPLY LONG ARM SPLINT $208.50 HC APPLY FOREARM SPLINT,STATIC $165.00 HC APPL:SHORT ARM DYNAMIC SPLINT $165.00 HC APPLY FINGER SPLINT,STATIC $90.75 HC APPLICATION:DYNAMIC FINGER SPLINT $90.75 HC STRAPPING OF ELBOW OR WRIST $143.00 HC STRAPPING OF HAND OR FINGER $90.75 HC APPLY LONG LEG CAST $344.75 HC PT APPLY LONG LEG CAST,CYLINDER $344.75 HC APPLY SHORT LEG CAST $344.75 HC APPLY SHORT LEG CAST,WALKER $344.75 HC PBB ADDITION OF WALKER TO CAST ORTHO $208.50 HC APPLY RIGID LEG CAST $708.25 HC APPLY LONG LEG SPLINT $208.50 HC APPLY LOWER LEG SPLINT $208.50 HC PBB STRAPPING; ANKLE &/OR FOOT $208.50 HC PBB STRAPPING OF TOES $69.25 HC STRAPPING UNNA BOOT $401.50 HC STRAPPING UNNA BOOT BI $602.25 HC APPL MLT-LAYER VENOUS WOUND COMPRESS BELOW KNEE $401.50 HC APPL MLT-LAYER VENOUS WOUND COMPRESS BELOW KNEE BI $602.25 HC PT REMOVAL OF CAST $344.75 HC OT REMV/REVISN FULL ARM/LEG CAST $344.75 HC PBB INTRANASAL BIOPSY $2,023.00 HC EXC NOSE SKIN FOR RHINOPHYMA $3,135.50 HC REMOVE NASAL FOREIGN BODY $165.00 HC CTRL NOSEBLEED,ANTER,SIMPLE $165.00 HC CTRL NOSEBLEED,ANTER,SIMPLE BI $247.50 HC CTRL NOSEBLEED,ANTER,COMPLEX $458.00 HC CTRL NOSEBLEED,POST,W/PACKS &/OR CAUT $225.00 HC NASAL ENDOSCOPY,DX $252.75 HC NASAL/SINUS EGD DX $579.75 HC NASAL/SINUS ENDOSCOPY,BX/RMV POLYP/DEBRID $2,054.00 HC NASAL/SINUS ENDOSCOPY SURG $2,054.00 HC INSERT EMERGENCY ENDOTRACH AIRWAY $648.75 HC TRACH TUBE CHANGE $309.25 HC LARYNGOSCOPY ASPIRATION $708.25 HC PBB LARYNGOSCOPY,DIRECT,DX,OP MICROSCOP $3,183.75 HC LARYNGOSCOPY,FLEX FIBER,DIAGNOSTIC $280.00 HC REMOVE FB LARYNX $1,094.25 HC LARYNGOSCOPY,FLEX/RIGID+STROBOSCOPY $1,094.25 HC TRACHEOSTOMY, PLANNED $3,838.50 HC TRACHEOSTOMY,EMERG,XTRACH $1,681.85 HC CRICOTHYROIDOTOMY $1,121.25 HC VISUALIZATION OF WINDPIPE $676.50 HC BRONCHOSCOPY,DIAGNOSTIC $3,543.00 HC TRACHAEL DILATION ENDOBRONCHIAL $6,608.75 HC BRONCHOSCOPY AND STENT PLACEMENT $6,800.00 HC INTRO WINDPIPE WIRE/TUBE $1,985.60 HC THORACOTOMY W/EXPLORATION $2,964.75 HC EXPLORE REPAIR CHEST $2,964.75 HC OPEN CHEST HEART MASSAGE $1,590.50 HC CT GUIDED PLEURA NEEDLE BIOPSY $1,945.00 HC PLEURA NEEDLE BIOPSY $1,945.00 HC US GUIDED PLEURA NEEDLE BIOPSY $1,945.00 HC CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG $2,545.00 HC INSERTION INDWELLING TUNNELED PLEURAL CATHETER $6,279.00 HC TUBE THORACOSTOMY INCLUDES WATER SEAL $2,446.75 HC PBB REMOVAL OF INDWELLING TUNNELED PLEURAL CATHETER WITH CUFF $2,022.00 HC THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING $1,052.50 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING $1,551.25 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING $1,551.25 HC PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING $2,266.25 HC PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING $2,446.75 HC TREAT PLEURODESIS W/AGENT $945.75 HC ABLATE PULMONARY TUMORS PERQ CRYOABLATION $8,819.25 HC PERQ RADIOFREQ ABLATION TX, PUL TUMOR $6,256.50 HC PERICARDIOCENTESIS W/IMAGE GUIDANCE WHEN PERFORMED $2,446.00 HC PERQ PERICARDIAL DRAINAGE 6+ YRS W/O CONGENITAL CARD ANOM $2,446.00 HC PERICARDIAL DRAINAGE <5 YRS W/CONGENITAL CARD ANOM $2,446.00 HC INCISE HEART SAC $2,624.00 HC EP INSER HART PACER XVENOUS ATRIAL $17,492.50 HC EP INSER HART PACER XVENOUS VENTR $17,492.50 HC INSERT/REPLACE PGEN W/LEADS;A/V $17,492.50 HC EP INSER HEART TEMP PACER ONE CHMBR $12,964.25 HC EP INSER HEART TEMP PACER DUAL CHMBR $12,964.25 HC EP INSERT PULSE GENER DUAL CHMBR $17,492.50 HC EP UPGRADE OF PACEMAKER SYSTEM $17,492.50 HC EP RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE $5,095.00 HC EP INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB $12,964.25 HC EP INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB $12,964.25 HC EP RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB $4,756.75 HC EP RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB $4,816.25 HC EP INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS $31,155.25 HC EP RELOCATION OF SKIN POCKET FOR PACEMAKER $2,498.50 HC EP RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR $2,498.50 HC EP INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN $17,492.50 HC INSERT LEAD L VENT PACING AT TIME OF INSERT OF PACG PM/ICD $7,054.50 HC EP REPOSIT PREV IMPLANTED CARDIAC ELECTRODE $4,724.25 HC EP REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD $12,964.25 HC EP REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS $17,492.50 HC EP REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD $31,155.25 HC EP INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS $40,879.00 HC EP INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS $56,725.25 HC EP REMV PERM PACER GENERATOR $10,636.25 HC EP REMV TRANSVEN PACER ELECTRODE,1 LEAD $4,605.50 HC EP REMV TRANSVEN PACER ELECTRODE,2 LEAD $4,605.50 HC EP REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY $4,756.75 HC EP RMVL SNGL/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ $4,756.75 HC EP INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR $56,725.25 HC EP RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD $40,879.00 HC EP RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD $40,879.00 HC EP RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD $56,725.25 HC EP INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD $56,725.25 HC EP RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE $5,968.00 HC INSERT/REPLACE LEADLESS PACEMAKER R VENT $23,167.25 HC TRANSCATH REMOVAL OF PERMANENT LEADLESS PM R VENTRI $3,100.00 HC INSERT SUBQ CARDIAC RHYTHM MONITOR W/PROGRAM $12,964.25 HC REMOVE SUBQ CARDIAC RHYTHM MONITOR $2,434.25 HC CATH PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT $10,935.00 HC CATH REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH $11,664.00 HC CATH REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH $2,683.75 HC CATH TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS $5,034.25 HC CATH TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS $2,964.75 HC REPLACE TRICUSPID VALVE $14,625.00 HC CATH TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH $12,081.00 HC ARTERIAL ENDARTERECTOMY $2,085.00 HC ENDOVASCULAR TAA REPAIR $15,534.75 HC ECMO INITIAL DAY VENOUS $9,432.25 HC ECMO INITIAL DAY ARTERY $9,432.25 HC ECMO DAY W/CIRCUIT CHANGE VENOUS $7,898.75 HC ECMO EA ADDL DAY VENOUS $5,752.25 HC ECMO DAY W/CIRCUIT CHANGE ARTERY $7,898.75 HC ECMO EA ADDL DAY ARTERY $5,752.25 HC CATH INSERT INTRA-AORTIC BALLOON ASST DEVICE $4,252.25 HC IABP INSERTION $1,135.00 HC CATH INSJ PERQ VAD W/IMAGING ARTERY ACCESS ONLY $6,252.25 HC CATH REMOVAL PERCUTANEOUS VAD DIFFERENT SESSION $1,401.25 HC THROMBECTOMY VC,ILIAC,FEMPOP VEIN $9,560.50 HC ENDOVASC ILIAC REPR W/GRFT NO RUPTURE $23,766.00 HC ENDOVASC ILIAC REPR W/GRFT W/RUPTURE $23,766.00 HC REPAIR ANEURYSM/PSEUDOANEURYSM $11,654.50 HC BLOOD VESSEL LESION REPAIR $5,278.50 HC THROMBECTOMY ART/VEN GRAFT $6,795.00 HC THROMBECTOMY W/GRAFT REVIS $6,795.00 HC VASC INJECTION RX EXTREMITY PSEUDOANEURYSM $1,499.25 HC INJECTION PROC,EXTREMITY,VENOGRAPHY $1,288.75 HC PLACE CATH IN VEIN,SVC,IVC $2,241.75 HC PLACE CATH IN VEIN,SELECT $3,159.25 HC PLACE CATH IN VEIN,SUBSELECT $3,538.00 HC PLACE CATH IN RT HRT,MAIN PULM ART $2,788.00 HC PLACE CATH IN LT/RT PULM ART $3,030.75 HC PLACE CATH AORTA $3,538.00 HC PLACE CATH CAROT/VERT ART $2,184.50 HC PLACE CATH EXTREM ARTERY $2,886.00 HC PLACE CATH AORTA VIA TRANSLUMBAR $3,244.00 HC PLACE CATH AORTA $3,538.00 HC PLACE CATH SELECTIVE ART,NECK $2,495.75 HC PLACE CATH SUBSELECT ART,NECK $2,816.00 HC PLACE CATH SUBSUBSELECT ART,NECK $2,843.75 HC PLACE CATH ADDN SUBSELEC ART,NECK $1,287.50 HC NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART $9,621.25 HC SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART $10,847.00 HC SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART $11,721.00 HC SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART BI $18,191.50 HC SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART BI $20,292.75 HC SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY $11,545.50 HC SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY $13,645.50 HC SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC $2,187.75 HC SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC BI $3,192.75 HC SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT $1,049.00 HC PLACE CATH SELECT ART,ABD/PEL $2,495.75 HC PLACE CATH SUBSELECT ART,ABD/PEL $2,816.00 HC PLACE CATH SUBSUBSELECT ART,ABD/PEL $2,843.75 HC PLACE CATH ADDN SUBSEL ART,ABD/PEL $1,287.50 HC SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UNI $9,777.50 HC SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BILAT $11,143.75 HC SUPSLCTV CATH 2ND+ORD RENL&ACCES ARTERY/S&I UNI $10,119.25 HC SUPSLCTV CATH 2ND+ORD RENL&ACCES ARTER/S&I BILAT $11,482.75 HC PERIPH IV INSERTION <3 YRS $247.00 HC VNPNXR 3 YEARS/> PHYS/QHP SKILL $247.00 HC COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE $11.75 HC COLLECTION CAPILLARY BLOOD SPECIMEN - DRAW CHARGE $11.75 HC VEIN ACCESS CUTDOWN < 1 YEAR $275.00 HC VEIN ACCESS CUT DOWN>1 YR $1,177.00 HC BLOOD TRANSFUSION SERVICE $639.75 HC BLOOD ADMINISTRATION PUSH 2 YRS OR UNDER $639.75 HC EXCHANGE TRANSFUSION $496.25 HC EXCHANGE TRANSFUSION PARTIAL NB $574.50 HC BLOOD TRANSFUSION INTRAUTERINE FETAL $862.25 HC INJECTION THERAPY VEIN,ONE VEIN $525.50 HC INJECTION THERAPY VEIN,MULT VEINS $525.50 HC PERCUT PORTAL VEIN CATH $3,797.00 HC VENOUS SELECT SAMPLING W CATH $754.00 HC INSERT UMBILICAL VEIN CATH NEWBORN $1,443.75 HC THER APHERESIS,WHITE BLOOD CELLS $1,832.65 HC THER APHERESIS,RED BLOOD CELLS $1,870.50 HC THER APHERESIS,PLATELETS $921.50 HC THER APHERESIS,PLASMA PHERESIS $2,460.00 HC INSERT NON-TUNNEL CV CATH < 5 Y/O $2,446.75 HC INSERT NON-TUNNELED CV CATH +5 YRS $2,446.75 HC INSERT TUNNELED CV CATH W/O PORT OR PUMP < 5 Y/O $5,745.25 HC INSERT TUNNELED CV CATH W/O PORT OR PUMP $5,189.00 HC INSERT TUNNELED CV CATH WITH PORT <5 YRS $6,109.75 HC INSERT TUNNELED CV CATH WITH PORT +5 YRS $6,511.25 HC INSERT TUNNELED CV CATH WITH PUMP $6,724.75 HC INSERT PICC LINE W/O IMAGE GUIDE <5 YRS $1,443.75 HC INSERT PICC LINE W/O IMAGE GUIDE +5 YRS $2,165.65 HC INSERT PICC W/ SUB-Q PORT <5 Y/O $7,747.75 HC INSERT PICC W/ SUB-Q PORT $7,222.75 HC INSERT PICC LINE W/IMAGE GUIDE <5 YRS $1,650.00 HC INSERT PICC LINE W/IMAGE GUIDE +5 YRS $2,446.75 HC REPAIR CV CATH W/O SUBQ PORT OR PUMP $945.75 HC REPAIR CV CATH W SUBQ PORT OR PUMP $2,446.75 HC REPLACE CV CATH, CATHETER ONLY W SUBQ PUMP OR PORT $3,317.25 HC REPLACE CV CATH, COMPLETE, NON-TUNNELED, W/O SUBQ PORT OR PUMP $2,446.75 HC REPLACE CV CATH, COMPLETE, TUNNELED, W/O SUBQ PORT OR PUMP $3,692.75 HC REPLACE CV CATH, COMPLETE, NON-TUNNELED, W SUBQ PORT OR PUMP $4,784.25 HC REPLACE PICC LINE W/IMAGE GUIDE SAME ACCESS $2,165.65 HC REPLACE PICC W PORT OR PUMP $3,179.75 HC REMOVAL TUNNELED CV CATH W/O SUBQ PORT OR PUMP $1,042.00 HC REMOVAL TUNNELED CV CATH W SUBQ PORT OR PUMP $1,534.50 HC COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE - DRAW CHARGE $165.00 HC COLLECT BLOOD FROM CATHETER VENOUS NOS - DRAW CHARGE $165.00 HC DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH $465.00 HC MECH REMOV PERICATH OBSTR CV DEV VIA VEN ACCESS $3,078.75 HC MECH REMOV INTRALUM OBSTR CV DEV THRU LUMEN $2,446.00 HC REPOSITION VENOUS CATHETER $2,446.00 HC CONTRAST INJ CENT VEN CATH, INC FLOURO $391.00 HC ARTERIAL PUNC FOR BLOOD GASES $165.00 HC INSERT CATH,ART,PERCUT,SHORTTERM $564.75 HC INSERT NEEDLE,INTRAOSSEOUS INFUSN $680.50 HC AV FUSION DIRECT ANY SITE $4,450.00 HC DISTAL REVASC LIGATION DIALYSIS ACCESS $9,551.00 HC CANNULA DECLOT W/O BALL00N CATH $1,009.25 HC CANNULA DECLOT W/BALLOON CATH $6,619.50 HC INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S&I $2,165.65 HC INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP $6,853.50 HC INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT $13,555.00 HC PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH $7,594.75 HC PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP $13,555.00 HC PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT $23,167.25 HC TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S&I $6,158.50 HC TCAT PLMT IV STENT CTR DIALYSIS SEG W/IMG S&I $6,369.75 HC DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S&I $7,312.50 HC INSERT TRANSVEN INTRAHEP PORTOSYS SHUNT $14,449.00 HC REVIS TRANSVEN INTRAHEP PORTOSYS SHUNT $5,989.75 HC PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST $13,886.65 HC PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ $5,865.50 HC SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL $6,656.00 HC PERCUT MECH THROMBECTOMY, VENOUS $6,853.50 HC PERCUT MECH THROMBECTOMY, VENOUS, REPEAT $6,853.50 HC INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I $14,782.25 HC REDO ENDOVASC VENACAVA FILTER $11,824.75 HC RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I $10,005.25 HC THROMBOLYTIC THERAPY, STROKE $727.75 HC PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING $9,970.00 HC BIOPSY TRANSCATHETER $5,661.00 HC THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX $7,871.75 HC THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX $7,871.75 HC THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX $2,446.75 HC CESSATION THROMBOLYTIC THRPY W/CATHETER REMOVAL $2,446.75 HC TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ $19,679.00 HC TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ $10,245.00 HC TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE $16,553.25 HC TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE $18,392.50 HC REVASCULARIZE ILIAC ARTERY,ANGIOPLASTY, INITIAL VESSEL $8,967.25 HC REVASCULARIZE ILIAC ARTERY,ANGIOPLASTY/STENT, INITIAL VESSEL $18,122.50 HC REVASCULARIZE ILIAC ARTERY,ANGIOPLASTY, EA ADD VESSEL $3,374.50 HC REVASCULARIZE ILIAC ARTERY,ANGIOPLASTY/STENT, EA ADD VESSEL $4,754.50 HC REVASCULARIZE FEM/POP ARTERY,ANGIOPLASTY $9,033.25 HC REVASCULARIZE FEM/POP ARTERY,ANGIOPLASTY/ATHERECTOMY $18,122.50 HC REVASCULARIZE FEM/POP ARTERY,ANGIOPLASTY/STENT $18,122.50 HC REVASCULARIZE FEM/POP ARTERY,ANGIOPLASTY/STENT/ATHERECTOMY $27,468.75 HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY INITIAL $18,122.50 HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY/ATHERECTOMY INITIAL $27,468.75 HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY/STENT INITIAL $27,468.75 HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY/STENT/ATHERECTOMY INIT $27,468.75 HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY EA ADD $3,405.00 HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY/ATHERECTOMY EA ADD $3,758.00 HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY/STENT EA ADD $7,285.00 HC ATHREC/STENT TIB-PERON ART ADD VSL +/- PTA $4,524.00 HC OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL $14,801.25 HC OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL $6,154.50 HC OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST $13,555.00 HC OPEN/PERQ PLACEMT INTRAVASC STENT SAME EA ADDL $5,748.75 HC VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I $20,703.00 HC VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I $21,046.25 HC VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT $21,467.50 HC VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE $22,651.50 HC TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART $6,853.50 HC TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART $5,122.00 HC TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN $6,853.50 HC TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN $1,402.00 HC INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL $1,736.50 HC INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL $1,134.00 HC LIGATE/BAND A/V FISTULA $4,900.00 HC TEMPORAL ARTERY PROCEDURE $1,945.00 HC INJECTION FOR SPLEEN X-RAY $927.75 HC CHG BONE MARROW; ASPIRATION ONLY $1,945.00 HC DIAGNOSTIC BONE MARROW BIOPSIES $1,945.00 HC DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS $2,898.65 HC LYMPH NODE ABSCESS DRAINAGE;SIMPLE $2,898.65 HC BI LYMPH NODE NEEDLE BIOPSY EXCISIONS $6,018.25 HC US BIOPSY/EXCISION OF LYMPH NODES $6,018.25 HC NEEDLE BIOPSY, LYMPH NODE(S) $1,945.00 HC INJECTION FOR LYMPHATIC XRAY $278.50 HC IDENTIFY SENTINEL NODE $707.75 HC LIP BIOPSY $309.25 HC DRAIN MOUTH ABSC/CYST/HEMATOMA,SIMPL $915.00 HC BIOPSY MOUTH LESION $639.00 HC EXCISE/REPAIR MOUTH LESION $2,075.00 HC EXCISE LIP OR CHEEK FOLD $2,360.00 HC CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL $639.00 HC FRENOTOMY $2,075.00 HC PBB BIOPSY TONGUE $759.00 HC TONGUE LACERATION REPAIR =/<2.5CM $416.25 HC DRAINAGE OF GUM LESION $181.50 HC BIOPSY SALIVARY GLADN,NEEDLE $1,601.00 HC PBB BIOPSY OF SALIVARY GLAND $3,135.50 HC SIALOGRAPHY INJECTION PROCEDURE $429.00 HC INC/DRAIN PERITONSIL ABSCESS $309.25 HC I AND ABSCESS RETRO/PARAPHARYNG $6,636.50 HC PBB ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC - ESOPHAGOSCOPY $1,178.90 HC PBB ESOPHAGOSCOPY W/LESION REMOVAL $2,266.25 HC ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT - ERCP $3,748.75 HC EGD ENDOSCOPIC STENT PLACEMENT W/WIRE& DILATION - EGD $5,800.00 HC ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT - ERCP $4,237.25 HC ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL&WIRE - ERCP $6,744.25 HC DILATE ESOPHAGUS,OVER GUIDE - ESOPHAGEAL DILATION $2,225.25 HC PLACEMENT NG/OG TUBE BY PHYSICIAN $545.50 HC GASTRIC INTUBATION/ASPIRATION, THERAPEUTIC $379.65 HC REPOSITION GASTROSTOMY TUBE - GASTROSTOMY TUBE, CHANGE / REPOSITION $1,165.25 HC CHANGE GASTRO TUBE W/O TRACT REVISION $560.00 HC CHANGE GASTRO TUBE W/TRACT REVISION PEC $560.00 HC INSERT TUBE-BOWEL,ENTERAL ALIMENT - JEJUNOSTOMY TUBE INSERTION $1,376.25 HC SB SCOPE,PLACE TRANSENDOSCOPIC STENT - ENTEROSCOPY $5,976.00 HC SB SCOPE,PLACE PERCUT JEJUN TUBE - ENTEROSCOPY $2,266.25 HC INTRO LONG GI TUBE $1,295.50 HC PBB PROCTOSIGMOIDOSCOPY,RIGID,DIAGNOS $2,056.00 HC COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT - COLONOSCOPY $5,800.00 HC I&D PERIRECTAL ABSCESS $2,660.50 HC PBB I&D PERIANAL ABSCESS,SUPERFICIAL $2,025.00 HC INCISE EXTERNAL HEMORRHOID $368.25 HC PBB LIGATION HEMORRHOID(S) $1,515.00 HC HEMORRHOIDECTOMY EXTERNAL $3,502.00 HC HEMORRHOIDECTOMY $3,502.00 HC PBB EXCISION THROMBOSED HEMORRHOID, EXTERNAL $3,788.00 HC ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD $242.00 HC REPAIR ANORECTAL FISTULA W/PLUG $2,350.00 HC PBB DESTRUCT,ANAL LESION(S),SIMPLE,CHEM $525.50 HC DESTRUCTION OF ANAL LESION(S) ELECTRODESICCATION $1,568.50 HC CRYOSURGERY, ANAL LESION(S) $187.25 HC NEEDLE BIOPSY LIVER $1,945.00 HC BIOPSY LIVER W/OTHER PROCEDURE $2,415.50 HC LIVER BIOPSY $2,579.75 HC ABLATION OPEN 1 OR MORE TUMORS $18,436.25 HC ABLAT,OPEN,1+ LIVER TUMOR(S),PERCUT RF $6,256.50 HC ABLATION 1/> LIVER TUMOR PERQ CRYOABLATION $13,731.25 HC CHOLECYSTOSTOMY,PERCUTANEOUS, COMPLETE $5,543.50 HC NJX CHOLANGIO PRQ W/IMG GID RS&I EXISTING ACCESS $5,543.50 HC NJX CHOLANGIO PRQ W/IMG GID RS&I NEW ACCESS $5,543.50 HC PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I EXTERNL $5,543.50 HC PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I INT-EXT $5,543.50 HC CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH $5,543.50 HC EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS&I $5,543.50 HC REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS&I $2,913.00 HC PLMT BILE DUCT STENT PRQ EXISTING ACCESS $5,183.25 HC PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH $6,256.50 HC PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH $6,256.50 HC PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW $5,543.50 HC BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT $1,371.25 HC ENDOLUMINAL BX BILIARY TREE PRQ ANY METH SNG/MLT $1,526.00 HC REMOVAL BILIARY DUCT &/GLBLDR CALCULI PERQ RS&I $1,826.25 HC BILIARY ENDOSCOPY PERCUT,BIOPSY $5,543.50 HC BILIARY ENDOSCOPY PERCUT,DIL STRICT $5,543.50 HC BILIARY ENDOSCOPY PERCUT,DIL+STENT $6,042.25 HC CHOLEDOCHAL STENT PLACEMENT $2,698.75 HC US GUIDED PERCUTANEOUS NEEDLE BIOPSY PANCREAS $3,208.75 HC OPEN LAPAROTOMY AT BEDSIDE $872.00 HC ABSCESS DRAIN SUBDIAPHRAGM $8,101.00 HC ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE $1,178.90 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE $1,475.75 HC PERITONEAL LAVAGE W/WO IMAGING GUIDANCE $1,178.90 HC PERCUT BIOPSY, ABDOMINAL MASS $1,945.00 HC SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID $2,551.50 HC AIR/CONTRAST INJECT INTO ABDOMEN $1,073.25 HC IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ $3,295.50 HC IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ $2,924.25 HC IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL $2,531.25 HC PLACE INTERST RAD THER GUIDE, INTRAABD/INTRAPELV/RETROPER,1+,PERC $4,027.00 HC INSERTION TUNNEL INTRAPERITONEAL CATH W IMAGE GUIDANCE $7,152.75 HC INSERTION TUNNEL INTRAPERITONEAL CATH W SUBQ PORT $6,795.00 HC INSERT TUNNEL INTRAPERITONEAL CAHT DIALYSIS OPEN $6,391.75 HC REMOVAL TUNNELED INTRAPERITONEAL CATHETER $4,520.00 HC DRAINAGE CATHETER EXCHANGE $2,644.50 HC CONTRAST INJ,ABSCESS/CYST VIA CATH TUBE $793.50 HC INSERT ABDOMEN-VENOUS SHUNT $4,526.75 HC REVISE ABDOMEN-VENOUS SHUNT $5,543.50 HC REMOVAL OF ABD-VENOUS SHUNT $3,436.50 HC INSERT GASTROSTOMY TUBE PERCUTANEOUS $2,266.25 HC INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERCUTANEOUS $2,266.25 HC INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS $2,795.25 HC CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS $2,266.25 HC REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS $1,178.90 HC REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERCUTANEOUS $1,178.90 HC REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS $1,178.90 HC OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE $1,178.90 HC CONTRAST INJECTION PERCUTANEOUOS RADIOLOGIC EVAL GI TUBE $618.00 HC REMOVAL OF KIDNEY STONE $6,038.00 HC NEPHROSTOLITHOTOMY PERCU $11,476.00 HC BIOPSY OF KIDNEY,PERCUTANEOUS $1,945.00 HC CHANGE URETER STENT, PERCUT $5,189.25 HC REMOVE URETER STENT, PERCUT $3,838.25 HC CHANGE URETERAL STENT VIA TRANSURETH $8,585.00 HC REMOVE URETERAL STENT VIA TRANSURETH $2,657.35 HC RMVL & RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH $2,638.25 HC REMOVE RENAL TUBE W/FLUORO $968.00 HC PERCUT DRAIN/INJECT RENAL CYST $1,512.25 HC RBG WHITAKER TEST,INTRARENAL PRESS MONI $1,695.75 HC NJX PX ANTEGRDE NFROSGRM &/URTRGRM NEW ACCESS $1,303.25 HC NJX PX ANTEGRDE NFROSGRM &/URTRGRM EXSTNG ACESS $1,021.00 HC PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I $3,460.75 HC PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS&I $4,390.50 HC CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ $2,657.35 HC EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS&I $2,609.75 HC DILATION NEPHROSTOMY EXISTING ACCESS $2,609.75 HC DILATION NEPHROSTOMY NEW ACCESS $4,390.00 HC PERC RADIOFREQ ABLATE RENAL TUMOR $6,427.50 HC ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY $11,612.50 HC ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC $1,366.00 HC INJEC URETER CATH $427.00 HC CHANGE OF URETER TUBE/STENT VIA ILEAL CONDUIT $3,480.00 HC INJ OF BLADDER/URETER FOR XRAY IMAGING $743.00 HC PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT $4,976.25 HC PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH $4,976.25 HC PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH $4,976.25 HC URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS&I $1,980.00 HC BALLOON DILAT URETERAL STRICTURE W/IMG GID RS&I $2,349.50 HC ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER $2,657.35 HC INJECTION FOR BLADDER X-RAY $221.50 HC INJECT FOR RETROGRADE URETHOCYSTO $248.00 HC IRRIGATION OF BLADDER $352.50 HC INSERT,NON-INDWELLING BLADDER CATHETER $165.00 HC INSERT,NON-INDWELLING BLADDER CATHETER $165.00 HC INSERT,TEMP INDWELLING BLAD CATH,SIMPLE $165.00 HC INSERT,TEMP INDWELLING BLAD CATH,COMP $262.75 HC CHANGE OF BLADDER TUBE,SIMPLE $578.50 HC CHANGE CYSTOSTOMY TUBE COMPLEX $1,211.50 HC PBB ENDO INJ IMPLANT MATERIAL URETHRA/BLADDER NCK $4,390.50 HC CYSTOMETROGRAM SIMPLE MANOMETER $352.50 HC CYSTOMETROGRAM COMPLEX $565.50 HC CYSTOMETROGRAM W/UP $905.00 HC CYSTOMETROGRAM W/VP $905.00 HC CYSTOMETROGRAM W/UP & VP $937.00 HC UROFLOWMETRY SIMPLE $165.00 HC UROFLOWMETRY COMPLEX $207.50 HC PBB ANAL/URINARY MUSCLE STUDY $397.00 HC PBB NEEDLE, EMG STUDY ANAL OR URETHRAL $352.50 HC URINARY REFLEX STUDY $181.00 HC INTRA-ABDOM VOIDING PRESS STUDY $270.00 HC MEAS,POST-VOID RES,US,NON-IMAGING $84.75 HC CYSTOSCOPY $905.00 HC CYSTOSCOPY DILAT STRICTURE $2,657.35 HC PBB CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER $3,040.00 HC CYSTO WITH URETERAL STENT INSERT $4,390.50 HC CYSTO W/PASSAGE TO KIDNEY $4,390.00 HC MEATOTOMY $2,657.35 HC PBB URETHERAL DILATION $207.50 HC DESCTRUCTION OF PENIS LESION(S) SIMPLE $839.50 HC EXCISION OF PENILE LESION(S) $2,105.00 HC DESTRUCTION OF PENIS LESION(S) EXTENSIVE $1,568.50 HC CIRCUMCISION W/CLAMP,OTHER DEVICE W/REG BLOCK $4,239.20 HC CIRCUMCISION NEONATE OTHER THAN CLAMP =/< 28DAYS $1,695.75 HC LYSIS EXCISE PENILE POST CIRCUMCISION ADHESIONS $2,250.00 HC PBB FRENULOTOMY OF PENIS $2,319.50 HC IRRIGAT CORPUS CAVERN,PRIAPISM $699.00 HC REVISION OF PENIS $2,609.75 HC PREPUTIAL STRETCHING $495.00 HC PUNC ASP HYDROCELE/TUNICA VAGINALIS W/WO INJ $1,159.00 HC DRAINAGE SCROTAL WALL ABSCESS $1,945.00 HC VASECTOMY $1,695.75 HC BIOPSY OF PROSTATE,NEEDLE/PUNCH $2,609.75 HC CT GUIDED BIOPSY PROSTATE $2,609.75 HC US GUIDED BIOPSY PROSTATE $2,609.75 HC I&D OF VULVA/PERINEUM ABSCESS $409.50 HC I&D BARTHOLIN GLAND ABSCESS $249.00 HC BARTHOLIN GLAND MARSUPIALIZATION $3,325.00 HC DESTRUCTION,LESION(S),VULVA,SIMPLE $2,525.00 HC BIOPSY VULVA/PERINEUM,ONE LESN $974.00 HC BIOPSY VULVA/PERINEUM EA ADDL LESION $213.75 HC I&D VAGINAL HEMATOMA NON-OB $3,567.50 HC DESTRUCTION VAG LESION(S) ANY METHOD F $3,542.00 HC DESTRUCTION VAGINAL LESIONS EXTENSIVE $3,554.00 HC VAGINAL BIOPSY $960.50 HC VAGINAL BIOPSY EXTENSIVE REQ SUTURE OBDT $3,122.00 HC EXCISION VAGINAL CYST OR TUMOR $3,542.00 HC FIT/INSERT INTRAVAG SUPPORT DEVICE $249.00 HC PBB FITTING OF DIAPHRAGM/CAP $249.00 HC TREAT VAGINAL BLEEDING $249.00 HC REPAIR OF VAGINA $3,516.00 HC PBB COLPOSCOPY,ENTIRE VAGINA $525.00 HC EXAM/BIOPSY OF VAG W/SCOPE $960.50 HC COLPOSCOPY,CERVIX W/ADJ VAGINA $249.00 HC COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAGE $746.25 HC COLPOSCOPY W/BIOPSY $452.75 HC COLPOSCOPY W/CURETTAGE $438.00 HC COLPOSCOPY W/ELECTRODE BIOPSY CERVIX $3,209.50 HC COLPOSCOPY W/ELECTRODE CONIZATION CERVIX $3,209.50 HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION $1,500.25 HC ENDOCERVICAL CURETTAGE $974.00 HC CRYOCAUTERY OF CERVIX $409.50 HC LOOP ELECTRODE EXCISION LEEP $3,874.00 HC DILAT & CURETTAGE W/SUCTION $3,861.00 HC BIOPSY OF UTERUS LINING $356.75 HC ENDOMETRIAL BIOPSY DONE W/COLPOSCOPY $162.50 HC D & C W/O SUCTION $3,861.00 HC MYOMECTOMY 1-4 MYOMAS 250GM/< VAGINAL $3,850.00 HC INSERT INTRAUTERINE DEVICE $183.50 HC REMOVE INTRAUTERINE DEVICE $406.00 HC CATH/INJECT HYSTEROSALPINGOGRAM $287.00 HC REOPEN FALLOPIAN TUBE,TRANSCERV CATH $3,542.00 HC HYSTEROSCOPY DIAG $3,874.00 HC HYSTEROSCOPY W/REMOVE ADHESIONS/POLYPS $3,542.00 HC HYSTEROSCOPY STERILIZE ESSURE $6,407.00 HC HYSTEROSCOPY PROCEDURE $546.00 HC AMNIOCENTESIS DIAGNOSTIC L&D TR $1,410.75 HC AMNIOCENTESIS FLUID REDUCE INCLUDES US L&D $1,437.75 HC PBB CHORION VILLUS BIOPSY $864.00 HC FETAL NON-STRESS TEST $357.00 HC AMNIOINFUSION (US INCLUDED) $604.25 HC INSERT CERVICAL DILATOR $406.00 HC OBSTETRICAL CARE,VAG DELIV ONLY $3,542.00 HC EXTERNAL CEPHALIC VERSION $3,542.00 HC DELIVER PLACENTA $3,542.00 HC TREATMENT OF MISCARRIAGE $4,100.00 HC CARE OF MISCARRIAGE $3,861.00 HC REMOVE CERCLAGE SUTURE $3,542.00 HC BIOPSY OF THYROID,PERCUT $915.00 HC CT GUIDED PERCUTANEOUS BIOPSY THYROID $915.00 HC US GUIDED THYROID BIOPSY $915.00 HC SUBDURAL TAP FONTANELLE $937.50 HC VENTRICULOSTOMY PLCMNT $1,218.25 HC CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION $628.00 HC BRAIN SHUNT TUBE/RESERV INJECTN $937.50 HC INSERT ICP MONITOR CATH/DEVICE $706.50 HC ICP MONITOR PROCEDURE $706.50 HC ENDOVASC TEMP BALLOON OCCLUS,HEAD/NCK $13,555.00 HC PERM OCCLUSION/EMBOLIZATION,PERCUT,CNS $4,371.25 HC PERCUT CATH OCCLUSN NON CNS LESN $13,555.00 HC INTRACRANIAL BALLOON ANGIOPLASTY $10,104.50 HC INTRACRANIAL BALLOON ANGIOPLSTY W/STENT $15,568.50 HC IC ANGIOPLASTY VASOSPASM INIT VESSEL $17,012.25 HC IC ANGIOPLASTY VASOSPASM ADDL VSL SAME TERR SP $7,871.75 HC IC ANGIOPLASTY VASOSPASM ADDL VSL DIFF TERR SP $10,044.75 HC PERQ ART TRLUML M-THROMBEC &/NFS INTRACRANIAL $6,071.75 HC EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST $9,498.50 HC EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL $5,735.75 HC PTA CEREBRAL VESSEL VASOSPASM $8,609.50 HC CSF SHUNT REPROGRAM $513.75 HC PBB PERCUT ASPIRATION VERTEBRAL DISC $876.00 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC $1,259.00 HC SPINAL PUNCTURE,THERAPEUTIC DRAINAGE $1,445.50 HC INJ,LUMB EPIDUR,BLOOD/CLOT PATCH $1,259.00 HC PERC LUMBAR DISC ASPIRATION $2,579.00 HC MYELOGRAPHY VIA LUMBAR INJECTION RS&I CERVICAL $1,427.50 HC MYELOGRAPHY VIA LUMBAR INJECTION RS&I THORACIC $1,427.50 HC MYELOGRAPHY VIA LUMBAR INJECT RS&I LUMBOSACRAL $1,427.50 HC MYELOGRAPHY VIA LUMBAR INJECTION RS&I 2+ REGIONS $1,858.00 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN $937.50 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN $937.50 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN $1,358.00 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $937.50 HC DX LUMBAR PUNCTURE W/FLUORO OR CT $1,259.00 HC THERAPEUTIC SPINAL PUNC DRAIN CSF W/FLUORO OR CT $1,445.50 HC PBB BACLOFEN PUMP ELECT ANALY W/O REPROGRAM $513.75 HC PBB BACLOFEN PUMP ELECT ANALY W/REPROGRAM $588.50 HC PBB BACLOFEN PUMP ELECT ANALY W/REPROGRAM & REFILL $684.25 HC INJECT NERV BLCK,TRIGEMINAL $614.00 HC INJECT NERV BLCK,GREAT OCCIPTL $839.50 HC INJ,ANES AGENT,BRACHIAL PLEXUS,SINGLE $1,680.25 HC INJECT NERV BLCK,AXILLARY NERV $1,680.25 HC PBB INJECT NERV BLCK,SUPRASCAP N. $1,358.35 HC INJECT NERV BLCK,INTERCOSTAL,ONE $1,358.35 HC PBB INJECT NERV BLCK,INTERCOST,MULTPL $1,680.25 HC PBB INJECT NERV BLCK,ILIOINGU/ILIOHYP $1,358.35 HC INJ,ANES AGENT,SCIATIC NERVE,SINGLE $1,358.35 HC NERVE BLOCK INJ SCIATIC CONT INF BY CATH $1,680.25 HC INJ,ANES AGENT,FEMORAL NERVE,SINGLE $1,358.35 HC INJECT NERV BLCK,OTHR PERIPH NERV $1,358.35 HC INJECT ANES/STEROID PLANTAR COMMON DIGITAL NERVE $285.50 HC INJECT ANES/STEROID FORAMEN CERV/THORACIC W IMG GUIDE ,1 LEVEL $1,419.25 HC INJECT ANES/STEROID FORAMEN CERV/THORACIC W IMG GUIDE ,1 LEVEL BI $1,920.00 HC INJECT ANES/STEROID FORAMEN CERV/THORACIC W IMG GUIDE ,EA ADD LEVEL $369.00 HC INJECT ANES/STEROID FORAMEN CERV/THORACIC W IMG GUIDE BI,EA ADD LEVEL $520.00 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL $1,419.25 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE BI,1 LEVEL $1,920.00 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,EA ADD LEVEL $369.00 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE BI,EA ADD LEVEL $520.00 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,CERV/THORAC, 1ST LEVEL $1,419.25 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,CERV/THORAC, 1ST LEVEL BI $1,820.00 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,CERV/THORAC BI, 2ND LEVEL $520.00 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,CERV/THORAC, 2ND LEVEL $369.00 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,CERV/THORAC BI, ADD LEVEL $520.00 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,CERV/THORAC, ADD LEVEL $369.00 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL $1,575.25 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL BI $1,981.00 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC BI, 2ND LEVEL $520.00 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 2ND LEVEL $369.00 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC BI, ADD LEVEL $520.00 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, ADD LEVEL $369.00 HC INJECTION ANES STELLATE GANGLION CRV SYMPATHETIC $1,814.00 HC INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC $2,133.00 HC PBB INJECT NERV BLCK,CELIAC PLEXUS $1,218.25 HC PBB IMPLANT NEUROELECTRODES $9,083.25 HC PBB INJ-FACIAL MUSCLES (BOTOX) $665.00 HC PBB CHEMODENERV MUSCLE MIGRAINE $506.00 HC PBB CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA $655.00 HC PBB CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG $710.00 HC PBB INJ NERVE NEUROLYTIC AGENT $1,218.25 HC DESTROY C/T FACET JNT W/IMAG $2,579.00 HC DESTROY C/T FACET JNT,ADDL $1,023.75 HC DESTROY L/S FACET JNT W/IMAG $2,579.00 HC DESTROY L/S FACET JNT, ADDL $1,023.75 HC PBB DESTRUCT BY NEURO AGENT; OTHER PERIPH NERVE $1,218.25 HC CHEMODENERV 1 EXTREM 1-4 MUSCLES $898.25 HC CHEMODENERV EA ADD EXTREM 1-4 MUSCLES $296.50 HC CHEMODENERV 1 EXT 5 OR MORE MUSCLE $898.25 HC CHEMODENERV EA ADD EXTREM 5/GRTR MUSCLES $361.75 HC PBB EXCISE CUTANEOUS NEUROFIBROMA $2,447.00 HC REMV F.B.,EYE,SUPERF CONJUNC $238.00 HC REMV F.B.,EYE,CORNEA,NO SLIT $330.00 HC REMV F.B.,EYE,CORNEA,SLIT LAMP $238.00 HC REPAIR EYE WOUND $4,373.00 HC REMOVAL CORNEA EPITHELIUM $1,216.50 HC DRAINAGE OF EYE $3,032.00 HC DRAINAGE OF EYE FLUID $3,032.00 HC DRAINAGE OF BLOOD FROM EYE $3,032.00 HC DESTRUC,CILIARY BODY,CYCLOPHOTOCOAG $3,875.00 HC REVISION OF IRIS $812.00 HC INJECT INTRAVITREAL PHARMCOLOGIC $465.00 HC TREATMENT OF RETINA (CRYO/LASER) $618.25 HC TREATMENT OF RETINA DETACHMENT HEAT/LASER $995.00 HC TREAT RETINOPATHY PHOTOCOAGULATION $1,053.75 HC DRAIN EYELID ABSCESS $425.50 HC INCISION OF EYELID FOLD $2,719.25 HC INCISIONAL BIOPSY EYELID SKIN & LID MARGIN $442.25 HC EXCISION OF EYELID LESION $808.25 HC DESTRUCTION OF LESION EYELID MARGIN =<1CM $808.25 HC EYELID CLOSURE BY SUTURE $1,216.50 HC REPAIR EYELID DEFECT $2,799.00 HC REMOVE EYELID FOREIGN BODY $474.25 HC PBB BIOPSY OF EYELID LINING $2,454.75 HC REMOVE EYELID LINING LESION UP TO 1CM $2,454.75 HC DRAIN EXT EAR ABSC/BLOOD,SIMPLE $915.00 HC BIOPSY OF EXTERNAL EAR $639.00 HC BIOPSY EXTERNAL EAR CANAL $2,406.25 HC REMV EXT CANAL FOREIGN BODY $375.00 HC REMV EXT CANAL F.B.,GEN ANESTH $2,240.00 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT $839.50 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION BI $1,050.00 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT $839.50 HC DEBRIDE MASTOID CAVITY,SIMPLE $311.50 HC PBB MYRINGOTOMY W/WO P. E. TUBE $425.00 HC CREATE EARDRUM OPENING $676.50 HC CISTERNOGRAPHY,POS CONTRAST - FL CISTERNOGRAM $1,037.75 HC X-RAY JAW <4 VW - XR MANDIBLE < 4 VIEWS $162.50 HC X-RAY JAW 4+ VW - XR MANDIBLE 4+ VIEWS $175.00 HC X-RAY MASTOIDS <3 VW - XR MASTOIDS 1-2 VIEWS $175.00 HC X-RAY MASTOIDS 3+ VW - XR MASTOIDS 3+ VIEWS $287.00 HC X-RAY FACIAL BONES <3 VW - XR FACIAL BONES 1-2 VIEWS $256.50 HC X-RAY FACIAL BONES 3+ VW - XR FACIAL BONES 3+ VIEWS $327.00 HC X-RAY NASAL BONES - XR NASAL BONES $184.75 HC X-RAY OPTIC FORAMEN - XR OPTIC FORAMINA $155.00 HC X-RAY OPTIC FORAMEN - XR OPTIC FORAMINA BI $234.25 HC X-RAY ORBITS - XR ORBITS COMPLETE 4+ VIEWS $335.75 HC X-RAY SINUSES <3 VW - XR PARANASAL SINUSES 1-2 VIEWS $369.50 HC X-RAY SINUSES <3 VW - XR SINUSES WATERS VIEW ONLY $369.50 HC X-RAY SINUSES 3+ VW - XR PARANASAL SINUSES 3+ VIEWS $604.00 HC X-RAY EXAM SELLA - XR SELLA TURCICA $166.00 HC X-RAY SKULL <4 VW - XR SKULL 1-3 VIEWS $326.50 HC X-RAY SKULL 4+ VW - XR SKULL COMPLETE 4+ VIEWS $410.25 HC X-RAY TMJ BILAT - XR TEMPOROMANDIBULAR JOINT OPEN AND CLOSED BIL $235.50 HC MRI, TMJ - MR TEMPOROMANDIBULAR JOINTS WO IV CONTRAST $1,022.75 HC PANORAMIC X-RAY OF JAWS - XR PANOREX $282.75 HC X-RAY NECK SOFT TISSUE - XR NECK SOFT TISSUE $301.75 HC X-RAY SIALOGRAM - XR SIALOGRAM WITH DUCT $514.00 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST $1,927.25 HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST $2,196.75 HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST $2,602.00 HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O - CT AUDITORY CANALS WO CONT $2,966.25 HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O - CT ORBITS/SELLA WO IV CONT $2,966.25 HC CT SCAN SKULL CONTRAST - CT AUDITORY CANALS/POSTERIOR FOSSA W IV CNT $3,381.00 HC CT SCAN SKULL CONTRAST - CT ORBITS/SELLA W IV CONTRAST $3,381.00 HC CT SCAN SKULL COMBO - CT AUDITORY CANALS / POSTERIOR FOSSA W WO CONT $4,004.50 HC CT SCAN SKULL COMBO - CT ORBITS/SELLA W AND WO IV CONTRAST $4,004.50 HC CT SCAN,MAXILLOFACIAL W/O CONTRAST - CT SINUS FACIAL BONES WO CONT $2,966.25 HC CT SCAN,MAXILLOFACIAL W/O CONTRAST - CT SINUS WO CONTRAST $2,966.25 HC CT SCAN, FACE/JAW CONTRAST - CT SINUS FACIAL BONES W CONTRAST $3,381.00 HC CT SCAN, FACE/JAW CONTRAST - CT SINUS W CONTRAST $3,381.00 HC CT SCANS FACE/JAW COMBO - CT SINUS FACIAL BONES W WO CONTRAST $4,004.50 HC CT SCANS FACE/JAW COMBO - CT SINUS W WO CONTRAST $4,004.50 HC CT SCAN,SOFT TISSUE NECK,W/O CONTRAST - CT SOFT TISSUE NECK WO CONT $1,460.75 HC CT NECK TISSUE CONTRAST - CT 4D PARATHYROID W CONTRAST $1,885.25 HC CT NECK TISSUE CONTRAST - CT SOFT TISSUE NECK W CONTRAST $1,885.25 HC CT NECK TISSUE COMBO - CT 4D PARATHYROID W WO CONTRAST $1,972.00 HC CT NECK TISSUE COMBO - CT SOFT TISSUE NECK W WO CONTRAST $1,972.00 HC CT ANGIO,HEAD COMBO - CT HEAD ANGIO W AND WO IV CONTRAST $1,959.50 HC CT ANGIO,HEAD COMBO - CT HEAD NECK ANGIO W AND WO IV CONTRAST $1,959.50 HC CT ANGIO,NECK COMBO - CT NECK ANGIO W AND WO IV CONTRAST $1,879.00 HC MRI, FACE, NECK - MR ORBIT FACE NECK WO IV CONTRAST $4,147.75 HC MRI, FACE, NECK - MRI NECK SOFT TISSUE ONLY WO CONTRAST $4,147.75 HC MRI, FACE, NECK W/CONTRAST - MR ORBIT FACE NECK W IV CONTRAST $4,625.25 HC MRI, FACE, NECK W/CONTRAST - MRI NECK SOFT TISSUE W CONTRAST $4,625.25 HC MRI, FACE, NECK, COMBO - MR ORBIT FACE NECK W AND WO IV CONTRAST $5,062.50 HC MRI, FACE, NECK, COMBO - MRI NECK SOFT TISSUE ONLY W WO CONTRAST $5,062.50 HC MR ANGIO, HEAD - MR HEAD ANGIO WO IV CONTRAST $4,852.50 HC MR ANGIO, HEAD W/CONTRAST - MR HEAD ANGIO W IV CONTRAST $5,287.50 HC MR ANGIO, HEAD, COMBO - MR HEAD ANGIO W AND WO IV CONTRAST $5,722.25 HC MR ANGIO, NECK - MR NECK ANGIO WO IV CONTRAST $4,852.50 HC MR ANGIO, NECK W/CONTRAST - MR NECK ANGIO W IV CONTRAST $5,287.50 HC MR ANGIO, NECK, COMBO - MR NECK ANGIO W AND WO IV CONTRAST $5,722.25 HC MRI BRAIN - MR PITUITARY WO IV CONTRAST $4,147.75 HC MRI BRAIN - MRI BRAIN WO CONTRAST $4,147.75 HC MRI BRAIN CONTRAST - MRI BRAIN W CONTRAST $4,604.25 HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST $5,062.50 HC FUNC MRI BRAIN - MR BRAIN NEUROFUNCTIONAL TEST W/O PHYSICIAN ADMIN $1,994.75 HC FUNC MRI BRAIN - MR BRAIN NEUROFUNCTIONAL TEST W/ PHYSICIAN ADMIN $2,009.25 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW $368.00 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS $463.25 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS BI $634.50 HC XRAY CHEST 3 VIEWS $634.50 HC RADIOLOGIC EXAM CHEST 4+ VIEWS - XR CHEST 4+ VIEWS $558.25 HC X-RAY RIBS 2 VW UNILAT - XR RIBS 2 VIEWS LEFT $256.50 HC X-RAY RIBS 2 VW UNILAT - XR RIBS 2 VIEWS RIGHT $256.50 HC X-RAY RIBS, CHEST 3+ VW - XR RIBS 2 VWS LT W/ CHEST ANTEROPOSTERIOR $280.75 HC X-RAY RIBS, CHEST 3+ VW - XR RIBS 2 VWS RT W/ CHEST ANTEROPOSTERIOR $280.75 HC X-RAY RIBS 3 VW BILAT - XR RIBS 3 VIEWS BI $223.75 HC X-RAY RIBS, CHEST 4+ VW - XR RIBS 3 VWS BIL W/ CHEST POSTEROANTERIOR $324.75 HC X-RAY STERNUM 2+ VW - XR STERNUM 2+ VIEWS $280.75 HC X-RAY STERNO-CLAVICLUAR JT - XR STERNOCLAVICULAR JOINTS 3+ VIEWS $343.25 HC CT SCAN,THORAX,W/O CONTRAST - CT CHEST WO CONTRAST DX $1,959.50 HC CAT SCAN OF CHEST CONTRAST - CT CHEST W CONTRAST DX $2,903.75 HC CAT SCAN OF CHEST COMBO - CT CHEST W WO CONTRAST DX $3,439.50 HC CT THORAX LOW DOSE LUNG CA SCREENING W/O CONTRAST $252.00 HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT $2,903.75 HC MRI, CHEST - MRI CHEST WO CONTRAST $1,655.25 HC MRI, CHEST, W/CONTRAST - MRI CHEST W CONTRAST $1,846.50 HC MRI, CHEST, COMBO - MRI CHEST W WO CONTRAST $2,020.00 HC X-RAY SPINE ONE VIEW - XR SPINE $358.75 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS - XR CERVICAL SPINE 2-3 VIEWS $512.00 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS - XR CERVICAL SPINE COMP 4-5 VIEWS $587.75 HC RADEX SPINE CERVICAL 6 OR MORE VIEWS - XR C-SPINE COMPLETE 6+ VIEWS $582.00 HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2 VIEWS $286.75 HC X-RAY THORACIC SPINE+SWIM 3 VW - XR THORACIC SPINE 3 VIEWS $188.50 HC X-RAY THORACIC SPINE 4 VW - XR THORACIC SPINE COMPLETE 4+ VIEWS $297.00 HC RADEX X-RAY EXAM THORACOLMB 2+ VW - XR THORACOLUMBAR SPINE 2 VIEWS $250.25 HC RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW - XR ENTIRE SPINE 1 V $194.75 HC RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW - XR SCOLIOSIS 1 VW $194.75 HC RADEX X-RAY EXAM ENTIRE SPI 2/3 VW - XR ENTIRE SPINE 2 OR 3 VW $454.50 HC RADEX X-RAY EXAM ENTIRE SPI 2/3 VW - XR SPINE SURVEY AP AND LATERAL $454.50 HC RADEX X-RAY EXAM ENTIRE SPI 4/5 VW - XR ENTIRE SPINE 4 OR 5 VW $512.00 HC RADEX X-RAY EXAM ENTIRE SPI 6/> VW - XR ENTIRE SPINE 6+ VW $624.25 HC X-RAY LUMBAR SPINE 2/3 VW - XR LUMBAR SPINE 2-3 VIEWS $251.50 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS $365.75 HC X-RAY LUMBAR SPINE 6+ VW - XR LUMBAR SPINE 6+ VWS INCLUDING BENDING $383.50 HC X-RAY LUMBAR SPINE FLEX/EXTEN - XR LUMBAR SPINE 2 OR 3 VIEWS W/ FLEX EXT $325.50 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST - CT CERVICAL SPINE WO CONTRAST $4,187.75 HC CT SCAN CERV SPINE CONTRAST - CT CERVICAL SPINE W CONTRAST $3,673.50 HC CT SCAN CERV SP COMBO - CT CERVICAL SPINE W WO CONTRAST $4,959.75 HC CT SCAN,THORACIC SPINE,W/O CONTRAST - CT THORACIC SPINE WO CONTRAST $2,926.75 HC CT SCAN DORSAL SP CONTRAST - CT THORACIC SPINE W CONTRAST $3,336.50 HC CT SCAN DORSAL SP COMBO - CT THORACIC SPINE W WO CONTRAST $3,951.25 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST - CT LUMBAR SPINE WO CONTRAST $1,902.00 HC CT SCAN LUMBAR SP CONTRAST - CT LUMBAR SPINE W CONTRAST $2,168.00 HC CT SCAN LUMBAR SP COMBO - CT LUMBAR SPINE W WO CONTRAST $2,568.00 HC MRI, CERV SPINE - MRI CERVICAL SPINE WO CONTRAST $4,108.75 HC MRI, CERV SPINE - MRI COMPLETE SPINE WO CONTRAST $4,108.75 HC MRI, CERV SPINE CONTRAST - MRI CERVICAL SPINE W CONTRAST $4,561.25 HC MRI, DORSAL SPINE - MRI COMPLETE SPINE WO CONTRAST $4,506.75 HC MRI, DORSAL SPINE - MRI THORACIC SPINE WO CONTRAST $4,506.75 HC MRI, DORSAL SPINE CONTRAST - MRI THORACIC SPINE W CONTRAST $5,003.25 HC MRI, LUMBAR SPINE - MRI COMPLETE SPINE WO CONTRAST $2,495.25 HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST $2,495.25 HC MRI, LUMBAR SPINE CONTRAST - MRI LUMBAR SPINE W CONTRAST $2,770.75 HC MRI, CERV SPINE COMBO - MRI CERVICAL SPINE W WO CONTRAST $5,016.25 HC MRI, DORSAL SPINE COMBO - MRI THORACIC SPINE W WO CONTRAST $5,501.00 HC MRI, LUMBAR SPINE COMBO - MRI LUMBAR SPINE W WO CONTRAST $3,046.25 HC X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS $517.25 HC X-RAY PELVIS 1/2 VW - XR PELVIS BI 1-2 VIEWS $650.75 HC X-RAY PELVIS 3+ VW - XR PELVIS 3+ VIEWS $650.75 HC CT ANGIO, PELVIS, COMBO, INCL IMG - CT PELVIS ANGIO W AND WO IV CONT $2,268.75 HC CT SCAN,PELVIS,W/O CONTRAST - CT PELVIS WO CONTRAST $2,093.25 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST $2,386.00 HC CT SCAN OF PELVIS COMBO - CT PELVIS W WO CONTRAST $2,827.00 HC MRI, PELVIS, W/O CONTRAST - MRI PELVIS WO CONTRAST $3,498.00 HC MRI, PELVIS W/CONTRAST - MRI PELVIS W CONTRAST $3,883.75 HC MRI, PELVIS, COMBO - MRI PELVIS W WO CONTRAST $4,269.25 HC X-RAY SACROILIAC JTS <3 VW - XR SACROILIAC JOINTS 1-2 VIEWS $296.00 HC X-RAY SACROILIAC JTS 3+ VW - XR SACROILIAC JOINTS 3+ VIEWS $347.75 HC X-RAY SACRUM/COCCYX 2+ VW - XR SACRUM COCCYX 2+ VIEWS $134.00 HC MYELOGRAPHY OF ENTIRE SPINE - FL CERVICAL LUMBAR SPINE MYELOGRAM $1,508.00 HC MYELOGRAPHY OF ENTIRE SPINE - FL CERVICAL THORACIC LUMBAR SPINE MYEL $1,508.00 HC X-RAY CLAVICLE - XR CLAVICLE BI $450.00 HC X-RAY CLAVICLE - XR CLAVICLE LEFT $340.25 HC X-RAY CLAVICLE - XR CLAVICLE RIGHT $340.25 HC X-RAY SCAPULA - XR SCAPULA LEFT $428.25 HC X-RAY SCAPULA - XR SCAPULA RIGHT $428.25 HC X-RAY SHOULDER 1 VW - XR SHOULDER 1 VIEW BI $464.50 HC X-RAY SHOULDER 1 VW - XR SHOULDER 1 VIEW LEFT $397.50 HC X-RAY SHOULDER 1 VW - XR SHOULDER 1 VIEW RIGHT $397.50 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS BI $590.75 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS LEFT $428.25 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS RIGHT $428.25 HC ARTHROGRAM OF SHOULDER - XR CT SHOULDER ARTHROGRAM BI $975.00 HC ARTHROGRAM OF SHOULDER - XR MRI SHOULDER ARTHROGRAM BI $975.00 HC ARTHROGRAM OF SHOULDER - XR SHOULDER ARTHROGRAM LEFT $675.00 HC ARTHROGRAM OF SHOULDER - XR SHOULDER ARTHROGRAM RIGHT $675.00 HC X-RAY AC JTS - XR ACROMIOCLAVICULAR JOINTS BI $321.00 HC X-RAY HUMERUS - XR HUMERUS BI $391.75 HC X-RAY HUMERUS - XR HUMERUS LEFT $341.00 HC X-RAY HUMERUS - XR HUMERUS RIGHT $341.00 HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS BI $340.25 HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS LEFT $269.00 HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS RIGHT $269.00 HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS BI $367.00 HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS LEFT $327.25 HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS RIGHT $327.25 HC ARTHROGRAM OF ELBOW - XR ELBOW ARTHROGRAM LEFT $1,058.75 HC ARTHROGRAM OF ELBOW - XR ELBOW ARTHROGRAM RIGHT $1,058.75 HC X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS BI $384.75 HC X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS LEFT $259.25 HC X-RAY FOREARM 2 VW - XR FOREARM 2 VIEWS RIGHT $259.25 HC X-RAY ARM, INFANT - XR UPPER EXTREMITY 2+ VIEWS INFANT BI $350.00 HC X-RAY ARM, INFANT - XR UPPER EXTREMITY 2+ VIEWS INFANT LEFT $175.00 HC X-RAY ARM, INFANT - XR UPPER EXTREMITY 2+ VIEWS INFANT RIGHT $175.00 HC X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS BI $481.50 HC X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS LEFT $318.25 HC X-RAY WRIST 2 VW - XR WRIST 1-2 VIEWS RIGHT $318.25 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS BI $544.50 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS LEFT $363.00 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS RIGHT $363.00 HC ARTHROGRAM OF WRIST - XR WRIST ARTHROGRAM LEFT $1,140.25 HC ARTHROGRAM OF WRIST - XR WRIST ARTHROGRAM RIGHT $1,140.25 HC X-RAY HAND 2 VW - XR HAND 1-2 VIEWS BI $193.75 HC X-RAY HAND 2 VW - XR HAND 1-2 VIEWS LEFT $175.00 HC X-RAY HAND 2 VW - XR HAND 1-2 VIEWS RIGHT $175.00 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS BI $215.75 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS LEFT $145.00 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS RIGHT $145.00 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS BI $455.50 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS LEFT $303.75 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS RIGHT $303.75 HC CT SCAN UPPER EXTREMITY W/O DYE - CT ELBOW BI WO IV CONTRAST $4,133.00 HC CT SCAN UPPER EXTREMITY W/O DYE - CT ELBOW LEFT WO IV CONTRAST $2,818.75 HC CT SCAN UPPER EXTREMITY W/O DYE - CT ELBOW RIGHT WO IV CONTRAST $2,818.75 HC CT SCAN UPPER EXTREMITY W/O DYE - CT HAND BI WO IV CONTRAST $4,133.00 HC CT SCAN UPPER EXTREMITY W/O DYE - CT HAND LEFT WO IV CONTRAST $2,818.75 HC CT SCAN UPPER EXTREMITY W/O DYE - CT HAND RIGHT WO IV CONTRAST $2,818.75 HC CT SCAN UPPER EXTREMITY W/O DYE - CT JOINT SC WO IV CONT $2,818.75 HC CT SCAN UPPER EXTREMITY W/O DYE - CT RADIUS ULNA LEFT WO IV CONT $2,818.75 HC CT SCAN UPPER EXTREMITY W/O DYE - CT RADIUS ULNA RIGHT WO IV CONT $2,818.75 HC CT SCAN UPPER EXTREMITY W/O DYE - CT SHOULDER BI WO IV CONTRAST $4,133.00 HC CT SCAN UPPER EXTREMITY W/O DYE - CT SHOULDER LEFT WO IV CONTRAST $2,818.75 HC CT SCAN UPPER EXTREMITY W/O DYE - CT SHOULDER RIGHT WO IV CONTRAST $2,818.75 HC CT SCAN UPPER EXTREMITY W/O DYE - CT UPPER EXT BI WO IV CONTRAST $4,133.00 HC CT SCAN UPPER EXTREMITY W/O DYE - CT UPPER EXT LEFT WO IV CONTRAST $2,818.75 HC CT SCAN UPPER EXTREMITY W/O DYE - CT UPPER EXT RIGHT WO IV CONTRAST $2,818.75 HC CT SCAN UPPER EXTREMITY W/O DYE - CT WRIST LEFT WO IV CONTRAST $2,818.75 HC CT SCAN UPPER EXTREMITY W/O DYE - CT WRIST RIGHT WO IV CONTRAST $2,818.75 HC CT SCAN OF ARM CONTRAST - CT ELBOW ARTHROGRAM LEFT $3,213.00 HC CT SCAN OF ARM CONTRAST - CT ELBOW ARTHROGRAM RIGHT $3,213.00 HC CT SCAN OF ARM CONTRAST - CT ELBOW BI W IV CONTRAST $4,821.00 HC CT SCAN OF ARM CONTRAST - CT ELBOW LEFT W IV CONTRAST $3,213.00 HC CT SCAN OF ARM CONTRAST - CT ELBOW RIGHT W IV CONTRAST $3,213.00 HC CT SCAN OF ARM CONTRAST - CT HAND BI W IV CONTRAST $4,821.00 HC CT SCAN OF ARM CONTRAST - CT HAND LEFT W IV CONTRAST $3,213.00 HC CT SCAN OF ARM CONTRAST - CT HAND RIGHT W IV CONTRAST $3,213.00 HC CT SCAN OF ARM CONTRAST - CT RADIUS ULNA LEFT W IV CONTRAST $3,213.00 HC CT SCAN OF ARM CONTRAST - CT RADIUS ULNA RIGHT W IV CONTRAST $3,213.00 HC CT SCAN OF ARM CONTRAST - CT SHOULDER ARTHROGRAM LEFT $3,213.00 HC CT SCAN OF ARM CONTRAST - CT SHOULDER ARTHROGRAM LT W FL GUIDED INJ $3,213.00 HC CT SCAN OF ARM CONTRAST - CT SHOULDER ARTHROGRAM RIGHT $3,213.00 HC CT SCAN OF ARM CONTRAST - CT SHOULDER ARTHROGRAM RT W FL GUIDED INJ $3,213.00 HC CT SCAN OF ARM CONTRAST - CT SHOULDER BI W IV CONTRAST $4,821.00 HC CT SCAN OF ARM CONTRAST - CT SHOULDER LEFT W IV CONTRAST $3,213.00 HC CT SCAN OF ARM CONTRAST - CT SHOULDER RIGHT W IV CONTRAST $3,213.00 HC CT SCAN OF ARM CONTRAST - CT UPPER EXTREMITY BI W IV CONTRAST $4,821.00 HC CT SCAN OF ARM CONTRAST - CT UPPER EXTREMITY LEFT W IV CONTRAST $3,213.00 HC CT SCAN OF ARM CONTRAST - CT UPPER EXTREMITY RIGHT W IV CONTRAST $3,213.00 HC CT SCAN OF ARM CONTRAST - CT UPPER EXTREMITY SC JOINT BI W IV CONTRAST $4,821.00 HC CT SCAN OF ARM CONTRAST - CT WRIST ARTHROGRAM LEFT $3,213.00 HC CT SCAN OF ARM CONTRAST - CT WRIST ARTHROGRAM RIGHT $3,213.00 HC CT SCAN OF ARM CONTRAST - CT WRIST BI W IV CONTRAST $4,821.00 HC CT SCAN OF ARM CONTRAST - CT WRIST LEFT W IV CONTRAST $3,213.00 HC CT SCAN OF ARM CONTRAST - CT WRIST RIGHT W IV CONTRAST $3,213.00 HC CT SCAN OF ARM COMBO - CT ELBOW LEFT W AND WO IV CONTRAST $3,805.25 HC CT SCAN OF ARM COMBO - CT ELBOW RIGHT W AND WO IV CONTRAST $3,805.25 HC CT SCAN OF ARM COMBO - CT HAND LEFT W AND WO IV CONTRAST $3,805.25 HC CT SCAN OF ARM COMBO - CT HAND RIGHT W AND WO IV CONTRAST $3,805.25 HC CT SCAN OF ARM COMBO - CT SHOULDER BI W AND WO IV CONTRAST $5,238.00 HC CT SCAN OF ARM COMBO - CT SHOULDER LEFT W AND WO IV CONTRAST $3,805.25 HC CT SCAN OF ARM COMBO - CT SHOULDER RIGHT W AND WO IV CONTRAST $3,805.25 HC CT SCAN OF ARM COMBO - CT UPPER EXTREMITY BI W AND WO IV CONTRAST $5,238.00 HC CT SCAN OF ARM COMBO - CT UPPER EXTREMITY LEFT W AND WO IV CONTRAST $3,805.25 HC CT SCAN OF ARM COMBO - CT UPPER EXTREMITY RIGHT W AND WO IV CONTRAST $3,805.25 HC CT SCAN OF ARM COMBO - CT WRIST BI W AND WO IV CONTRAST $5,238.00 HC CT SCAN OF ARM COMBO - CT WRIST LEFT W AND WO IV CONTRAST $3,805.25 HC CT SCAN OF ARM COMBO - CT WRIST RIGHT W AND WO IV CONTRAST $3,805.25 HC CT ANGIO,UPPER EXTREM,COMBO - CT UPPER EXT LT ANGIO W AND WO IV CONT $3,628.00 HC CT ANGIO,UPPER EXTREM,COMBO - CT UPPER EXT RT ANGIO W AND WO IV CONT $3,628.00 HC MRI, UPPER EXTREMITY W/O CONTRAST - MR CLAVICLE WO IV CONTRACT $1,592.50 HC MRI, UPPER EXTREMITY W/O CONTRAST - MR HAND BI WO IV CONTRAST $2,198.00 HC MRI, UPPER EXTREMITY W/O CONTRAST - MR HAND LEFT WO IV CONTRAST $1,592.50 HC MRI, UPPER EXTREMITY W/O CONTRAST - MR HAND RIGHT WO IV CONTRAST $1,592.50 HC MRI, UPPER EXTREMITY W/O CONTRAST - MR HUMERUS LEFT WO IV CONTRAST $1,592.50 HC MRI, UPPER EXTREMITY W/O CONTRAST - MR HUMERUS RIGHT WO IV CONTRAST $1,592.50 HC MRI, UPPER EXTREMITY W/O CONTRAST - MR RADIUS ULNA LT WO IV CONTRAST $1,592.50 HC MRI, UPPER EXTREMITY W/O CONTRAST - MR RADIUS ULNA RT WO IV CONTRAST $1,592.50 HC MRI, UPPER EXTREMITY W/CONTRAST - MR CLAVICLE W IV CONTRAST $1,768.50 HC MRI, UPPER EXTREMITY W/CONTRAST - MR HAND BI W IV CONTRAST $2,198.00 HC MRI, UPPER EXTREMITY W/CONTRAST - MR HAND LEFT W IV CONTRAST $1,768.50 HC MRI, UPPER EXTREMITY W/CONTRAST - MR HAND RIGHT W IV CONTRAST $1,768.50 HC MRI, UPPER EXTREMITY W/CONTRAST - MR HUMERUS LEFT W IV CONTRAST $1,768.50 HC MRI, UPPER EXTREMITY W/CONTRAST - MR HUMERUS RIGHT W IV CONTRAST $1,768.50 HC MRI, UPPER EXTREMITY W/CONTRAST - MR RADIUS ULNA LEFT W IV CONTRAST $1,768.50 HC MRI, UPPER EXTREMITY W/CONTRAST - MR RADIUS ULNA RIGHT W IV CONTRAST $1,768.50 HC MRI UPPER EXTREMITY COMBO - MR CLAVICLE W AND WO IV CONTRAST $1,943.50 HC MRI UPPER EXTREMITY COMBO - MR FOREARM LEFT W AND WO IV CONTRAST $1,943.50 HC MRI UPPER EXTREMITY COMBO - MR FOREARM RIGHT W AND WO IV CONTRAST $1,943.50 HC MRI UPPER EXTREMITY COMBO - MR HAND BI W AND WO IV CONTRAST $2,365.00 HC MRI UPPER EXTREMITY COMBO - MR HAND LEFT W AND WO IV CONTRAST $1,943.50 HC MRI UPPER EXTREMITY COMBO - MR HAND RIGHT W AND WO IV CONTRAST $1,943.50 HC MRI UPPER EXTREMITY COMBO - MR HUMERUS LEFT W AND WO IV CONTRAST $1,943.50 HC MRI UPPER EXTREMITY COMBO - MR HUMERUS RIGHT W AND WO IV CONTRAST $1,943.50 HC MRI UPPER EXTREMITY COMBO - MR UPPER EXTREMITY BI W AND WO IV CONTRAST $2,365.00 HC MRI, JOINT UPPER EXTREM - MR BRACHIAL PLEXUS WO IV CONTRAST $1,592.50 HC MRI, JOINT UPPER EXTREM - MR ELBOW BI WO IV CONTRAST $2,031.00 HC MRI, JOINT UPPER EXTREM - MR ELBOW LEFT WO IV CONTRAST $1,592.50 HC MRI, JOINT UPPER EXTREM - MR ELBOW RIGHT WO IV CONTRAST $1,592.50 HC MRI, JOINT UPPER EXTREM - MR SHOULDER BI WO IV CONTRAST $2,031.00 HC MRI, JOINT UPPER EXTREM - MR SHOULDER LEFT WO IV CONTRAST $1,592.50 HC MRI, JOINT UPPER EXTREM - MR SHOULDER RIGHT WO IV CONTRAST $1,592.50 HC MRI, JOINT UPPER EXTREM - MR WRIST BI WO IV CONTRAST $2,031.00 HC MRI, JOINT UPPER EXTREM - MR WRIST LEFT WO IV CONTRAST $1,592.50 HC MRI, JOINT UPPER EXTREM - MR WRIST RIGHT WO IV CONTRAST $1,592.50 HC MRI JOINT UPR EXTREM W/DYE - MR ELBOW ARTHROGRAM LEFT $1,768.50 HC MRI JOINT UPR EXTREM W/DYE - MR ELBOW ARTHROGRAM RIGHT $1,768.50 HC MRI JOINT UPR EXTREM W/DYE - MR ELBOW BI W IV CONTRAST $2,198.00 HC MRI JOINT UPR EXTREM W/DYE - MR ELBOW LEFT W IV CONTRAST $1,768.50 HC MRI JOINT UPR EXTREM W/DYE - MR ELBOW RIGHT W IV CONTRAST $1,768.50 HC MRI JOINT UPR EXTREM W/DYE - MR SHLDR ARTHROGRAM LT W FL GUIDED INJ $1,768.50 HC MRI JOINT UPR EXTREM W/DYE - MR SHLDR ARTHROGRAM RT W FL GUIDED INJ $1,768.50 HC MRI JOINT UPR EXTREM W/DYE - MR SHOULDER ARTHROGRAM LEFT $1,768.50 HC MRI JOINT UPR EXTREM W/DYE - MR SHOULDER ARTHROGRAM RIGHT $1,768.50 HC MRI JOINT UPR EXTREM W/DYE - MR SHOULDER BI W IV CONTRAST $2,198.00 HC MRI JOINT UPR EXTREM W/DYE - MR SHOULDER LEFT W IV CONTRAST $1,768.50 HC MRI JOINT UPR EXTREM W/DYE - MR SHOULDER RIGHT W IV CONTRAST $1,768.50 HC MRI JOINT UPR EXTREM W/DYE - MR STERNOCLAVIC JOINT W IV CONTRAST $1,768.50 HC MRI JOINT UPR EXTREM W/DYE - MR WRIST ARTHROGRAM LEFT $1,768.50 HC MRI JOINT UPR EXTREM W/DYE - MR WRIST ARTHROGRAM RIGHT $1,768.50 HC MRI JOINT UPR EXTREM W/DYE - MR WRIST BI W IV CONTRAST $2,198.00 HC MRI JOINT UPR EXTREM W/DYE - MR WRIST LEFT W IV CONTRAST $1,768.50 HC MRI JOINT UPR EXTREM W/DYE - MR WRIST RIGHT W IV CONTRAST $1,768.50 HC MRI JOINT UPR EXTR W/O&W/DYE - MR ELBOW BI W AND WO IV CONTRAST $2,365.00 HC MRI JOINT UPR EXTR W/O&W/DYE - MR ELBOW LT W AND WO IV CONTRAST $1,943.50 HC MRI JOINT UPR EXTR W/O&W/DYE - MR ELBOW RT W AND WO IV CONTRAST $1,943.50 HC MRI JOINT UPR EXTR W/O&W/DYE - MR SHOULDER BI W AND WO IV CONTRAST $2,365.00 HC MRI JOINT UPR EXTR W/O&W/DYE - MR SHOULDER LT W AND WO IV CONTRAST $1,943.50 HC MRI JOINT UPR EXTR W/O&W/DYE - MR SHOULDER RT W AND WO IV CONTRAST $1,943.50 HC MRI JOINT UPR EXTR W/O&W/DYE - MR STERNOCLAVIC JOINT W AND WO IV CONTRAST $1,943.50 HC MRI JOINT UPR EXTR W/O&W/DYE - MR WRIST BI W AND WO IV CONTRAST $2,365.00 HC MRI JOINT UPR EXTR W/O&W/DYE - MR WRIST LT W AND WO IV CONTRAST $1,943.50 HC MRI JOINT UPR EXTR W/O&W/DYE - MR WRIST RT W AND WO IV CONTRAST $1,943.50 HC X-RAY EXAM HIP UNI 1 VIEW - XR HIP 1 VW LEFT $223.75 HC X-RAY EXAM HIP UNI 1 VIEW - XR HIP 1 VW RIGHT $223.75 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW LEFT $258.25 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW RIGHT $258.25 HC X-RAY EXAM HIP UNI 4+ VIEWS - XR HIP 4+ VW LEFT $292.75 HC X-RAY EXAM HIP UNI 4+ VIEWS - XR HIP 4+ VW RIGHT $292.75 HC X-RAY EXAM HIPS BI 2 VWS - XR HIPS BILAT 2 VW W/ OR W/O PELVIS $484.25 HC X-RAY EXAM HIPS BI 3-4 VWS - XR HIPS BILAT 3-4 VW W/ OR W/O PELVIS $530.50 HC X-RAY EXAM HIPS BI 5+ VWS - XR HIPS BILAT 5+ VW W/ OR W/O PELVIS $576.50 HC ARTHROGRAM OF HIP - XR CT HIP ARTHROGRAM BILAT $830.00 HC ARTHROGRAM OF HIP - XR HIP ARTHROGRAM LEFT $557.75 HC ARTHROGRAM OF HIP - XR HIP ARTHROGRAM RIGHT $557.75 HC ARTHROGRAM OF HIP - XR MR HIP ARTHROGRAM BILAT $830.00 HC RADIOLOGIC EXAMINATION FEMUR 1 VIEW - XR FEMUR 1 VW BI $499.25 HC RADIOLOGIC EXAMINATION FEMUR 1 VIEW - XR FEMUR 1 VW LEFT $358.00 HC RADIOLOGIC EXAMINATION FEMUR 1 VIEW - XR FEMUR 1 VW RIGHT $358.00 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS - XR FEMUR 2+ VW BILAT $547.25 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS - XR FEMUR 2+ VW LT $454.00 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS - XR FEMUR 2+ VW RT $454.00 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS BILAT $852.25 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS LEFT $569.00 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS RIGHT $569.00 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS BI $912.75 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS LEFT $610.25 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS RIGHT $610.25 HC X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS BI $1,127.25 HC X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS LEFT $753.25 HC X-RAY KNEE 4+ VIEW - XR KNEE 4+ VIEWS RIGHT $753.25 HC X-RAY KNEE BILAT STANDING - XR KNEES ANTEROPOSTERIOR STANDING BILAT $569.00 HC ARTHROGRAM OF KNEE JOINT - XR KNEE ARTHROGRAM LEFT $1,886.75 HC ARTHROGRAM OF KNEE JOINT - XR KNEE ARTHROGRAM RIGHT $1,886.75 HC X-RAY TIB + FIB, 2VW - XR TIBIA FIBULA 2 VIEWS BI $666.00 HC X-RAY TIB + FIB, 2VW - XR TIBIA FIBULA 2 VIEWS LEFT $444.00 HC X-RAY TIB + FIB, 2VW - XR TIBIA FIBULA 2 VIEWS RIGHT $444.00 HC X-RAY LEG, INFANT - XR LOWER EXTREMITY 2+ VIEWS INFANT $120.00 HC X-RAY LEG, INFANT - XR LOWER EXTREMITY 2+ VIEWS INFANT LEFT $120.00 HC X-RAY LEG, INFANT - XR LOWER EXTREMITY 2+ VIEWS INFANT RIGHT $120.00 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS BI $366.50 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS LEFT $244.75 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS RIGHT $244.75 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS BI $391.50 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS LEFT $261.75 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS RIGHT $261.75 HC ARTHROGRAM OF ANKLE - XR ANKLE ARTHROGRAM LEFT $939.00 HC ARTHROGRAM OF ANKLE - XR ANKLE ARTHROGRAM RIGHT $939.00 HC ARTHROGRAM OF ANKLE - XR ANKLE ARTHROGRAM RIGHT $939.00 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS BI $230.50 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS LEFT $153.75 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS RIGHT $153.75 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS BI $234.75 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS LEFT $156.75 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS RIGHT $156.75 HC X-RAY HEEL - XR CALCANEUS 2 VIEWS BI $581.50 HC X-RAY HEEL - XR CALCANEUS 2 VIEWS LEFT $389.75 HC X-RAY HEEL - XR CALCANEUS 2 VIEWS RIGHT $389.75 HC X-RAY TOE(S) - XR TOES 2+ VIEWS BI $258.75 HC X-RAY TOE(S) - XR TOES 2+ VIEWS LEFT $171.75 HC X-RAY TOE(S) - XR TOES 2+ VIEWS RIGHT $171.75 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT ANKLE BI WO IV CONTRAST $3,348.50 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT ANKLE LEFT WO IV CONTRAST $2,282.25 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT ANKLE RIGHT WO IV CONTRAST $2,282.25 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FEMUR BI WO IV CONTRAST $3,348.50 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FEMUR LEFT WO IV CONTRAST $2,282.25 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FEMUR RIGHT WO IV CONTRAST $2,282.25 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FOOT BI WO IV CONTRAST $3,348.50 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FOOT LEFT WO IV CONTRAST $2,282.25 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FOOT RIGHT WO IV CONTRAST $2,282.25 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT HIP BI WO IV CONTRAST $3,348.50 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT HIP LEFT WO IV CONTRAST $2,282.25 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT HIP RIGHT WO IV CONTRAST $2,282.25 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT KNEE BI WO IV CONTRAST $3,348.50 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT KNEE LEFT WO IV CONTRAST $2,282.25 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT KNEE RIGHT WO IV CONTRAST $2,282.25 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT LOWER EXTREMITY BI WO IV CONTRAST $3,348.50 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT LOWER EXTREMITY WO IV CONTRAST $2,282.25 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT TIBIA FIBULA BIL WO IV CONT $3,348.50 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT TIBIA FIBULA LT WO IV CONT $2,282.25 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT TIBIA FIBULA RT WO IV CONT $2,282.25 HC CT SCAN OF LEG CONTRAST - CT ANKLE BI W IV CONTRAST $3,905.25 HC CT SCAN OF LEG CONTRAST - CT ANKLE LEFT W IV CONTRAST $2,602.00 HC CT SCAN OF LEG CONTRAST - CT ANKLE RIGHT W IV CONTRAST $2,602.00 HC CT SCAN OF LEG CONTRAST - CT FEMUR LEFT W IV CONTRAST $2,602.00 HC CT SCAN OF LEG CONTRAST - CT FEMUR RIGHT W IV CONTRAST $2,602.00 HC CT SCAN OF LEG CONTRAST - CT FOOT BI W IV CONTRAST $3,905.25 HC CT SCAN OF LEG CONTRAST - CT FOOT LEFT W IV CONTRAST $2,602.00 HC CT SCAN OF LEG CONTRAST - CT FOOT RIGHT W IV CONTRAST $2,602.00 HC CT SCAN OF LEG CONTRAST - CT HIP ARTHROGRAM LEFT $2,602.00 HC CT SCAN OF LEG CONTRAST - CT HIP ARTHROGRAM RIGHT $2,602.00 HC CT SCAN OF LEG CONTRAST - CT HIP BI W IV CONTRAST $3,905.25 HC CT SCAN OF LEG CONTRAST - CT HIP LEFT W IV CONTRAST $2,602.00 HC CT SCAN OF LEG CONTRAST - CT HIP RIGHT W IV CONTRAST $2,602.00 HC CT SCAN OF LEG CONTRAST - CT JOINT SI W IV CONTRAST $2,602.00 HC CT SCAN OF LEG CONTRAST - CT KNEE ARTHROGRAM RIGHT $2,602.00 HC CT SCAN OF LEG CONTRAST - CT KNEE BI W IV CONTRAST $3,905.25 HC CT SCAN OF LEG CONTRAST - CT KNEE LEFT W IV CONTRAST $2,602.00 HC CT SCAN OF LEG CONTRAST - CT KNEE RIGHT W IV CONTRAST $2,602.00 HC CT SCAN OF LEG CONTRAST - CT LOWER EXTREMITY BI W IV CONTRAST $3,905.25 HC CT SCAN OF LEG CONTRAST - CT LOWER EXTREMITY W IV CONTRAST $2,602.00 HC CT SCAN OF LEG CONTRAST - CT TIBIA FIBULA RIGHT W IV CONTRAST $2,602.00 HC CT SCAN OF LEG COMBO - CT ANKLE BI W AND WO IV CONTRAST $4,243.00 HC CT SCAN OF LEG COMBO - CT ANKLE LEFT W AND WO IV CONTRAST $3,081.75 HC CT SCAN OF LEG COMBO - CT ANKLE RIGHT W AND WO IV CONTRAST $3,081.75 HC CT SCAN OF LEG COMBO - CT FOOT BI W AND WO IV CONTRAST $4,243.00 HC CT SCAN OF LEG COMBO - CT FOOT LEFT W AND WO IV CONTRAST $3,081.75 HC CT SCAN OF LEG COMBO - CT FOOT RIGHT W AND WO IV CONTRAST $3,081.75 HC CT SCAN OF LEG COMBO - CT HIP BI W AND WO IV CONTRAST $4,243.00 HC CT SCAN OF LEG COMBO - CT HIP LEFT W AND WO IV CONTRAST $3,081.75 HC CT SCAN OF LEG COMBO - CT HIP RIGHT W AND WO IV CONTRAST $3,081.75 HC CT SCAN OF LEG COMBO - CT KNEE BI W AND WO IV CONTRAST $4,243.00 HC CT SCAN OF LEG COMBO - CT KNEE LEFT W AND WO IV CONTRAST $3,081.75 HC CT SCAN OF LEG COMBO - CT KNEE RIGHT W AND WO IV CONTRAST $3,081.75 HC CT SCAN OF LEG COMBO - CT LOWER EXTREMITY BI W AND WO IV CONTRAST $4,243.00 HC CT SCAN OF LEG COMBO - CT LOWER EXTREMITY LEFT W AND WO IV CONTRAST $3,081.75 HC CT SCAN OF LEG COMBO - CT LOWER EXTREMITY RIGHT W AND WO IV CONTRAST $3,081.75 HC CT SCAN OF LEG COMBO - CT SI JOINT W AND WO IV CONTRAST $3,081.75 HC CT ANGIO LWR EXTR W/O&W/DYE - CT LOWER EXT LT ANGIO W AND WO IV CONT $2,936.75 HC CT ANGIO LWR EXTR W/O&W/DYE - CT LOWER EXT RT ANGIO W AND WO IV CONT $2,936.75 HC MRI, LOWER EXTREM - MR FEMUR BI WO IV CONTRAST $2,118.75 HC MRI, LOWER EXTREM - MR FEMUR LEFT WO IV CONTRAST $1,662.00 HC MRI, LOWER EXTREM - MR FEMUR RIGHT WO IV CONTRAST $1,662.00 HC MRI, LOWER EXTREM - MR FOOT BI WO IV CONTRAST $2,118.75 HC MRI, LOWER EXTREM - MR FOOT LEFT WO IV CONTRAST $1,662.00 HC MRI, LOWER EXTREM - MR FOOT RIGHT WO IV CONTRAST $1,662.00 HC MRI, LOWER EXTREM - MR TIBIA FIBULA BI WO IV CONTRAST $2,118.75 HC MRI, LOWER EXTREM - MR TIBIA FIBULA LEFT WO IV CONTRAST $1,662.00 HC MRI, LOWER EXTREM - MR TIBIA FIBULA RIGHT WO IV CONTRAST $1,662.00 HC MRI, LOWER EXTREM - MRI ANKLE LEFT W WO CONTRAST $1,662.00 HC MRI, LOWER EXTREM - MRI ANKLE RIGHT W WO CONTRAST $1,662.00 HC MRI, LOWER EXTREM - MRI LUMBAR PLEXUS WO IV CONTRAST $1,662.00 HC MRI, LOWER EXTREM W/CONTRAST - MR FEMUR BI W IV CONTRAST $2,293.50 HC MRI, LOWER EXTREM W/CONTRAST - MR FEMUR LEFT W IV CONTRAST $1,844.75 HC MRI, LOWER EXTREM W/CONTRAST - MR FEMUR RIGHT W IV CONTRAST $1,844.75 HC MRI, LOWER EXTREM W/CONTRAST - MR FOOT BI W IV CONTRAST $2,293.50 HC MRI, LOWER EXTREM W/CONTRAST - MR FOOT LEFT W IV CONTRAST $1,844.75 HC MRI, LOWER EXTREM W/CONTRAST - MR FOOT RIGHT W IV CONTRAST $1,844.75 HC MRI, LOWER EXTREM W/CONTRAST - MR LUMBAR PLEXUS W IV CONTRAST $1,844.75 HC MRI, LOWER EXTREM W/CONTRAST - MR TIBIA FIBULA BI W IV CONTRAST $2,293.50 HC MRI, LOWER EXTREM W/CONTRAST - MR TIBIA FIBULA LEFT W IV CONTRAST $1,844.75 HC MRI, LOWER EXTREM W/CONTRAST - MR TIBIA FIBULA RIGHT W IV CONTRAST $1,844.75 HC MRI LWR EXTREMITY W/O&W/DYE - MR FEMUR BI W AND WO IV CONT $2,028.25 HC MRI LWR EXTREMITY W/O&W/DYE - MR FEMUR LT W AND WO IV CONT $1,525.50 HC MRI LWR EXTREMITY W/O&W/DYE - MR FEMUR RT W AND WO IV CONT $1,525.50 HC MRI LWR EXTREMITY W/O&W/DYE - MR FOOT BI W AND WO IV CONT $2,028.25 HC MRI LWR EXTREMITY W/O&W/DYE - MR FOOT LT W AND WO IV CONT $1,525.50 HC MRI LWR EXTREMITY W/O&W/DYE - MR FOOT RT W AND WO IV CONT $1,525.50 HC MRI LWR EXTREMITY W/O&W/DYE - MR LUMBAR PLEXUS W AND WO IV CONT $1,525.50 HC MRI LWR EXTREMITY W/O&W/DYE - MR TIBIA FIBULA BI W AND WO IV CONT $2,028.25 HC MRI LWR EXTREMITY W/O&W/DYE - MR TIBIA FIBULA LT W AND WO IV CONT $1,525.50 HC MRI LWR EXTREMITY W/O&W/DYE - MR TIBIA FIBULA RT W AND WO IV CONT $1,525.50 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE BI WO CONT $2,118.75 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE LT WO CONT $1,662.00 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE RT WO CONT $1,662.00 HC MRI JNT OF LWR EXTRE W/O DYE - MRI HIP LT WO CONT $1,662.00 HC MRI JNT OF LWR EXTRE W/O DYE - 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COMBO - MR ANKLE BI W AND WO IV CONTRAST $2,468.25 HC MRI, JOINT OF LEG. COMBO - MR ANKLE LEFT W AND WO IV CONTRAST $2,028.25 HC MRI, JOINT OF LEG. COMBO - MR ANKLE RIGHT W AND WO IV CONTRAST $2,028.25 HC MRI, JOINT OF LEG. COMBO - MR HIP BI W AND WO IV CONTRAST $2,468.25 HC MRI, JOINT OF LEG. COMBO - MR HIP LEFT W AND WO IV CONTRAST $2,028.25 HC MRI, JOINT OF LEG. COMBO - MR HIP RIGHT W AND WO IV CONTRAST $2,028.25 HC MRI, JOINT OF LEG. COMBO - MR KNEE BI W AND WO IV CONTRAST $2,468.25 HC MRI, JOINT OF LEG. COMBO - MR KNEE LEFT W AND WO IV CONTRAST $2,028.25 HC MRI, JOINT OF LEG. COMBO - MR KNEE RIGHT W AND WO IV CONTRAST $2,028.25 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW $464.00 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR COLON MOTILITY $464.00 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS $590.25 HC RADIOLOGIC EXAM ABDOMEN 3+ VIEWS - XR ABDOMEN 3+ VIEWS $716.50 HC X-RAY ABDOMEN,COMP ACUTE SERIES - XR ABDOMEN 2 VWS WITH CHEST 1 VIEW $889.00 HC CT ABDOMEN W/O DYE - CT ABDOMEN WO CONTRAST $3,485.00 HC CT ABDOMEN W/DYE - CT ABDOMEN W CONTRAST $3,971.75 HC CT ABDOMEN W/O & W/DYE - CT ABDOMEN W WO CONTRAST $4,706.25 HC CT ANGIO ABD&PELV W/O&W/DYE - CT ANGIOGRAM ABDOMEN PELVIS W CONTRAST $7,808.25 HC CT ANGIO ABDOM W/O & W/DYE - CT ANGIOGRAM ABDOMEN W CONTRAST $4,484.25 HC CT ABD & PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST $5,980.25 HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST $6,467.00 HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST $6,954.00 HC MRI, ABDOMEN (MRI) - MRI ABDOMEN WO CONTRAST MRCP $4,056.25 HC MRI, ABDOMEN W/CONTRAST - 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CT HEART CALCIUM SCORING WO CONTRAST $3,344.50 HC CT HRT W/3D IMAGE - CT HEART STRUCTURE MORPHOLOGY WITH CONTRAST $3,648.50 HC CT HRT W/3D IMAGE CONGEN - CT HRT STRUCT MORPH CONG HRT DIS W/ CONT $3,736.25 HC CT ANGIO HRT W/3D IMAGE - CT HEART CORONARY ANGIOGRAM $4,330.50 HC X-RAY CONTRAST EXAM OF AORTA $4,157.00 HC CONTRAST EXAM THORACIC AORTA - IR AORTAGRAM THORACIC SERIALOGRAM $6,565.00 HC CONTRAST EXAM ABDOMINL AORTA - IR AORTAGRAM ABDOMNL SERIALOGRAM $4,157.00 HC X-RAY AORTA LEG ARTERIES - IR ANGIO ABDOM AORTA & BILAT ILIOFEMORAL $4,157.00 HC CT ANGIO ABDOMINAL ARTERIES - CT ANGIO AORTA & BILAT ILIOFEMORAL RUN $4,120.75 HC ANGIO SPINAL SELECTV - IR ANGIOGRAM SPINAL SELECTIVE $6,565.00 HC ANGIO EXTREMITY UNILAT - IR ANGIOGRAM EXTREMITY LEFT $4,514.50 HC ANGIO EXTREMITY UNILAT - IR ANGIOGRAM EXTREMITY RIGHT $4,514.50 HC ANGIO EXTERMITY BILAT - IR ANGIOGRAM EXTREMITY BI $4,918.50 HC ANGIO VISCERAL SELECTV/SUBSELEC - IR ANGIO VISCERAL SELECTIVE $5,501.50 HC ANGIO ADRENAL UNILAT SELECT - 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IR CATHETER OBSTRUCTION REMOVAL $429.00 HC REMOVE CVA LUMEN OBSTRUCT $322.00 HC XRAY ENDOVASC THOR AO RPR $2,297.00 HC VASCULAR BIOPSY - IR TRANSCATHETER BIOPSY $2,216.50 HC XRAY CONTROL CATHETER CHANGE $468.75 HC XRAY CONTROL CATHETER CHANGE - IR NEPHROSTOMY TUBE CHANGE $468.75 HC ABSCESS DRAINAGE UNDER X-RAY - CT GUIDANCE FOR ABSCESS DRAIN $1,155.50 HC ABSCESS DRAINAGE UNDER X-RAY - RAD GUIDANCE FOR ABSCESS DRAIN $1,155.50 HC ABSCESS DRAINAGE UNDER X-RAY - US GUIDED ABSCESS DRAIN $1,155.50 HC FLUOROSCOPY <1 HR PHYS/QHP - FL LESS THAN 1 HOUR INTRAOPERATIVE $543.75 HC FLUOROSCOPY <1 HR PHYS/QHP - FL SNIFF TEST $566.00 HC X-RAY NOSE-RECTUM CHILD F.B. - XR ABDOMEN CHILD $194.00 HC X-RAY NOSE-RECTUM CHILD F.B. - XR NOSE TO RECTUM FOREIGN BODY PEDS $194.00 HC X-RAY FISTULA,ABSCESS,SINUS TRACT - FL FISTULA SINUS TRACT $746.25 HC X-RAY EXAM, BREAST SPECIMEN - MAMMO BREAST SPECIMEN $722.00 HC X-RAY TOMOGRAM - FL TOMOGRAPHY LIMITED $645.00 HC 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION - CT 3D RECONSTRUCT $1,177.50 HC 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION - 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US FOOT LEFT $475.75 HC US COMPL JOINT R-T W/IMG - US FOOT RIGHT $475.75 HC US COMPL JOINT R-T W/IMG - US HAND LEFT $475.75 HC US COMPL JOINT R-T W/IMG - US HAND RIGHT $475.75 HC US COMPL JOINT R-T W/IMG - US HEEL LEFT $475.75 HC US COMPL JOINT R-T W/IMG - US HEEL RIGHT $475.75 HC US COMPL JOINT R-T W/IMG - US KNEE LEFT $475.75 HC US COMPL JOINT R-T W/IMG - US KNEE RIGHT $475.75 HC US COMPL JOINT R-T W/IMG - US SHOULDER LEFT $475.75 HC US COMPL JOINT R-T W/IMG - US SHOULDER RIGHT $475.75 HC US COMPL JOINT R-T W/IMG - US TOE LEFT $475.75 HC US COMPL JOINT R-T W/IMG - US TOE RIGHT $475.75 HC US COMPL JOINT R-T W/IMG - US WRIST LEFT $475.75 HC US COMPL JOINT R-T W/IMG - US WRIST RIGHT $475.75 HC US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG $324.75 HC US LMTD JT/NONVASC XTR STRUX - US KNEE LEFT LIMITED $324.75 HC US LMTD JT/NONVASC XTR STRUX - US KNEE RIGHT LIMITED $324.75 HC US LMTD JT/NONVASC XTR STRUX - US WRIST LEFT LIMITED $324.75 HC US LMTD JT/NONVASC XTR STRUX - US WRIST RIGHT LIMITED $324.75 HC US EXAM INFANT HIPS DYNAMIC - US HIP PEDIATRIC LMTD BIL MANIPULATION $619.75 HC US EXAM INFANT HIPS DYNAMIC - US HIP PEDIATRIC LMTD LT MANIPULATION $619.75 HC US EXAM INFANT HIPS DYNAMIC - US HIP PEDIATRIC LMTD RT MANIPULATION $619.75 HC US EXAM INFANT HIPS DYNAMIC - XR INFANT HIPS WITH MANIPULATION $619.75 HC US EXAM INFANT HIPS STATIC - US HIP PEDIATRIC LMT BI WO MANIPULATION $250.00 HC US EXAM INFANT HIPS STATIC - US HIP PEDIATRIC LMT LT WO MANIPULATION $250.00 HC US EXAM INFANT HIPS STATIC - US HIP PEDIATRIC LMT RT WO MANIPULATION $250.00 HC US EXAM INFANT HIPS STATIC - XR INFANT HIPS WITHOUT MANIPULATION $250.00 HC ECHO GUIDE FOR ARTERY REPAIR - CV US GROIN PSEUDOANEURYSM $1,567.75 HC US ECHO GUIDE 4 ARTERY RPR - US GUIDE ARTERIOVENOUS FISTULA TRT $1,567.75 HC CHG US GUIDE, VASCULAR ACCESS $405.00 HC US GUIDE, VASCULAR ACCESS - US GUIDANCE INSERT IV $405.00 HC US GUIDE, TISSUE ABLATION - US GUIDANCE TISSUE ABLATION $580.25 HC US GUIDE, TISSUE ABLATION - US GUIDED CRYOABLATION LIVER $580.25 HC US GUIDE, TISSUE ABLATION - US GUIDED CRYOABLATION RENAL BI $580.25 HC US GUIDE, TISSUE ABLATION - US GUIDED CRYOABLATION RENAL LEFT $580.25 HC US GUIDE, TISSUE ABLATION - US GUIDED CRYOABLATION RENAL RIGHT $580.25 HC US GUIDE, TISSUE ABLATION - US GUIDED RF ABLATION LIVER $580.25 HC US GUIDE, TISSUE ABLATION - US GUIDED RF ABLATION RENAL BI $580.25 HC US GUIDE, TISSUE ABLATION - US GUIDED RF ABLATION RENAL LEFT $580.25 HC US GUIDE, TISSUE ABLATION - US GUIDED RF ABLATION RENAL RIGHT $580.25 HC SONO GUIDE INTRAUTER XFUSN $179.75 HC US GUIDANCE NEEDLE PLACEMENT $1,079.00 HC SONO GUIDE CHOR VILL SAMPLING $308.00 HC SONO GUIDE AMNIOCENTESIS $465.75 HC SONO GUIDE RADIOELEMT APPLIC - US GUIDE INTERSTITIAL RADIOELMNT APPL $215.00 HC GI ENDOSCOPIC ULTRASOUND - US GI ENDOSCOPIC $460.00 HC ULTRASONIC GUIDANCE, INTRAOPERATIVE - US INTRAOPERATIVE $591.50 HC ULTRASONIC GUIDANCE, INTRAOPERATIVE - US PROSTATE WITH BIOPSY $591.50 HC FLUOROGUIDE FOR VEIN DEVICE - FL GUIDED VENOUS ACCESS $698.75 HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED FINE NEEDLE ASPIRATION $411.50 HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED NEEDLE PLACEMENT $411.50 HC FLUORSCOPIC GUIDANCE SPINAL INJECTION - IR DISC ASPIRATION $458.00 HC CT GUIDANCE NEEDLE PLACEMENT - CT GUIDANCE FOR NEEDLE PLACEMENT $2,321.25 HC CT GUIDANCE TISSUE ABLATION - CT GUIDED CRYOABLATION $1,865.00 HC CT GUIDANCE TISSUE ABLATION - CT GUIDED CRYOABLATION RENAL BI $1,865.00 HC CT GUIDANCE TISSUE ABLATION - CT GUIDED CRYOABLATION RENAL LEFT $1,865.00 HC CT GUIDANCE TISSUE ABLATION - CT GUIDED CRYOABLATION RENAL RIGHT $1,865.00 HC CT GUIDANCE TISSUE ABLATION - CT GUIDED RADIOFREQUENCY ABLATION $1,865.00 HC CT GUIDANCE TISSUE ABLATION - CT GUIDED RF ABLATION LIVER $1,865.00 HC CT GUIDANCE TISSUE ABLATION - CT GUIDED RF ABLATION RENAL BI $1,865.00 HC CT GUIDANCE TISSUE ABLATION - CT GUIDED RF ABLATION RENAL LEFT $1,865.00 HC CT GUIDANCE TISSUE ABLATION - CT GUIDED RF ABLATION RENAL RIGHT $1,865.00 HC CT GUIDANCE $407.00 HC MRI ONE BREAST - MRI BREAST LEFT WO CONTRAST $2,857.75 HC MRI ONE BREAST - MRI BREAST RIGHT WO CONTRAST $2,857.75 HC MAMMARY DUCTOGRAM, SINGLE - MAMMO BREAST DUCTOGRAM RIGHT $389.75 HC MAMMARY DUCTOGRAM, MULTIPLE - MAMMO BREAST DUCTOGRAM MULTIPLE RIGHT $476.50 HC BREAST TOMOSYNTHESIS UNI - MAMMO BREAST DIAGNOSTIC TOMOSYNTHESIS LT $755.00 HC BREAST TOMOSYNTHESIS UNI - MAMMO BREAST DIAGNOSTIC TOMOSYNTHESIS RT $755.00 HC BREAST TOMOSYNTHESIS BI - MAMMO BREAST DIAGNOSTIC TOMOSYNTHESIS BIL $920.00 HC BREAST TOMOSYNTHESIS BI - MAMMO BREAST SCREENING TOMOSYNTHESIS BILAT $920.00 HC BREAST TOMOSYNTHESIS BI - MAMMO BREAST SCREENING TOMOSYNTHESIS LEFT $920.00 HC BREAST TOMOSYNTHESIS BI - MAMMO BREAST SCREENING TOMOSYNTHESIS RIGHT $920.00 HC DX MAMMO INCL CAD UNI - MAMMO ADDITIONAL VIEWS LEFT $269.75 HC DX MAMMO INCL CAD UNI - MAMMO ADDITIONAL VIEWS RIGHT $269.75 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC LEFT $269.75 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC RIGHT $269.75 HC DX MAMMO INCL CAD UNI - MG BREAST LEFT POST BIOPSY CLIP $269.75 HC DX MAMMO INCL CAD UNI - MG BREAST RIGHT POST BIOPSY CLIP $269.75 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BI $324.75 HC DX MAMMO INCL CAD BI - MG BREAST BI POST BIOPSY CLIP $324.75 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BI $252.25 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING LEFT $252.25 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING RIGHT $252.25 HC X-RAY STRESS VIEW - XR ANKLE STRESS LEFT W CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR ANKLE STRESS LEFT WO CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR ANKLE STRESS RIGHT W CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR ANKLE STRESS RIGHT WO CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR ELBOW LEFT STRESS W CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR ELBOW STRESS LEFT WO CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR ELBOW STRESS RIGHT W CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR ELBOW STRESS RIGHT WO CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR HIP STRESS LEFT W CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR HIP STRESS LEFT WO CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR HIP STRESS RIGHT W CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR HIP STRESS RIGHT WO CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR KNEE STRESS LEFT W CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR KNEE STRESS LEFT WO CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR KNEE STRESS RIGHT W CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR KNEE STRESS RIGHT WO CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR SHOULDER STRESS LEFT W CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR SHOULDER STRESS LEFT WO CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR SHOULDER STRESS RIGHT W CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR SHOULDER STRESS RIGHT WO CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR WRIST STRESS LEFT W CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR WRIST STRESS LEFT WO CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR WRIST STRESS RIGHT W CONTRALATERAL JOINT $174.00 HC X-RAY STRESS VIEW - XR WRIST STRESS RIGHT WO CONTRALATERAL JOINT $174.00 HC X-RAYS FOR BONE AGE - XR BONE AGE EXTENDED $238.75 HC X-RAYS FOR BONE AGE - XR BONE AGE HAND WRIST $238.75 HC X-RAYS, BONE LENGTH STUDIES - CT LOWER EXTREMITY LEG LENGTH EVAL $161.75 HC X-RAYS, BONE LENGTH STUDIES - XR LOWER EXTREMITY LEG LENGTH EVAL $161.75 HC X-RAYS, BONE SURVEY, LIMITED - XR BONE SURVEY LIMITED $190.25 HC X-RAYS, BONE SURVEY COMPLETE - XR BONE SURVEY COMPLETE $280.00 HC X-RAYS, BONE SURVEY, INFANT - XR BONE SURVEY INFANT $119.50 HC JOINT SURVEY, SINGLE VIEW - XR JOINT ANTEROPOSTERIOR 2+ JOINTS $223.50 HC DXA BONE DENSITY AXIAL - DEXA BONE DENSITY $183.25 HC DXA BONE DENSITY AXIAL - XR BONE DENSITY WITH SPECT LUMBAR $183.25 HC DXA BONE DENSITY/PERIPHERAL - DEXA BONE DENSITY EXTREMITY $120.00 HC DXA BONE DENSITY STUDY - DEXA BONE DENSITY AXIAL SKELETON W VFA $382.50 HC FRACTURE ASSESSMENT VIA DXA - DEXA BONE DENSITY SPINE FRACTURE $119.75 HC THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX $494.00 HC SET RADIATION THERAPY SIMPLE $993.00 HC SET RADIATION THERAPY FIELD INTERMEDIATE $502.75 HC SET RADIATION THERAPY FIELD COMPLEX $502.75 HC SIMULATION 3-D $2,980.00 HC RADIATION THERAPY DOSE PLAN - NM THERAPY SIR SPHERES $580.50 HC RADIOTHERAPY DOSE PLAN IMRT $1,957.00 HC TELETHERAPY ISODOSE PLN SMPL W/DOSIMETRY 504.00 HC TELETHERAPY ISODOSE PLN COMPLEX W/BASIC DOSIMETRY 904.00 HC SPECIAL BEAM PLAN $502.75 HC SPECIAL DOSIMETRY-TLD/MICRO $190.00 HC TREATMENT DEVICES-SIMP $482.00 HC TREATMENT DEVICES-INTERM $250.00 HC TREATMENT DEVICES-COMP $502.75 HC CONTINUING PHYSICS CONSULT $355.00 HC MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN 1751.00 HC SPECIAL PHYSICS CONSULT $634.00 HC RADIATION TRMT-SUPER/ORTHO $427.80 HC RAD TRMT 1 SITE 1 PORT 1-5MEV $427.80 HC RAD TRMT 2 AREAS 1-5MEV $354.75 HC RAD TRMT 2+ AREAS TO 5MEV $354.75 HC PORT FILM $182.00 HC RADIATION TX MANAGEMENT X5 $632.00 HC SPECIAL TRMT PROC-RAD $1,100.00 HC HYPERTHERMIA-SUPERFICIAL $579.00 HC INFUSION OF RAD SOLU $354.75 HC Y90 ADMIN I A PUSH TECH $2,309.75 HC SURF APPL OF RADIO $427.80 HC RADIOELEMENT HANDLING $412.75 HC THYROID UPTAKE MEASUREMENT - NM THYROID UPTAKE $603.75 HC THYROID IMAGING W/BLOOD FLOW - NM THYROID SCAN $603.75 HC THYROID IMAGING W/BLOOD FLOW - NM THYROID UPTAKE STIMULATION SUPPRES $810.25 HC THYROID MET IMAGING BODY - NM THYROID WHOLE BODY TUMOR $1,965.50 HC THYROID MET UPTAKE - NM THYROID CANCER UPTAKE $440.25 HC PARATHYROID PLANAR IMAGING - NM PARATHYROID $1,031.25 HC PARATHYROID PLANAR IMAGING W/WO SUBTRACTION - NM PARATHYROID SPECT $1,915.25 HC PARATHYRD PLANAR W/SPECT&CT - NM/CT PARATHYROID SPECT $2,762.75 HC BONE MARROW IMAGING, LTD - NM BONE MARROW LIMITED $964.00 HC BONE MARROW IMAGING, BODY - NM BONE MARROW WHOLE BODY $1,649.75 HC LYMPHATICS & LYMPH GLANDS IMAGING - NM LYMPH NODE MELANOMA $961.75 HC LYMPHATICS & LYMPH GLANDS IMAGING - NM LYMPHOSCINTIGRAM $961.75 HC LIVER IMAGING - NM LIVER $1,479.75 HC LIVER AND SPLEEN IMAGING - NM LIVER SPLEEN $954.25 HC LIVER & SPLEEN IMAGE, FLOW - NM LIVER SPLEEN WITH VASCULAR FLOW $868.50 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER - NM LIVER FUNCTION $1,681.00 HC HEPATOBIL SYST IMAGE W/DRUG - NM HEPATOBILIARY $2,330.00 HC HEPATOBIL SYST IMAGE W/DRUG - NM HEPATOBILIARY W CHOLECYSTOKININ $2,330.00 HC SERIAL SALIVARY IMAGING - NM SERIAL SALIVARY GLAND $879.00 HC ESOPHAGEAL MOTILITY STUDY, IMAGING - NM ESOPHAGUS MOTILITY $1,501.25 HC GASTROESOPHAGEAL REFLUX EXAM - NM ESOPHAGUS GASTROESOPHAGEAL REFLUX $1,554.00 HC GASTRIC EMPTYING IMAGING STUDY - NM GASTRIC EMPTYING SOLID $1,596.25 HC GASTRIC EMPTY W/SM BOWEL TRANSIT $2,088.00 HC GASTRIC EMPTY W/SM BOWEL COLON TRANSIT $2,550.00 HC BREATH TEST,ACQUIRE/ANALYZE - NM BREATH TEST ACQUIRE ANALYZE $231.25 HC BREATH TEST,ANALYZE - NM UREA BREATH TEST ANALYZE $272.00 HC ACUTE GI BLOOD LOSS IMAGING - NM GASTROINTESTINAL BLEEDING $1,985.75 HC BOWEL IMAGING - NM MECKELS DIVERTICULUM $1,371.50 HC BONE IMAGING, LIMITED AREA - NM BONE LIMITED $607.25 HC BONE IMAGING, MULTIPLE AREAS - NM BONE MULTIPLE AREAS $1,821.25 HC BONE IMAGING, WHOLE BODY - NM BONE WHOLE BODY $1,777.75 HC BONE IMAGING, 3 PHASE - NM BONE WHOLE BODY 3 PHASE $1,891.75 HC CARDIAC SHUNT IMAGING - NM HEART SHUNT DETECTION $1,088.00 HC VASCULAR FLOW IMAGING,NONCARDIAC - NM VESSELS FLOW $578.50 HC HT MUSCLE IMAGE SPECT SING - NM HEART PERFUSION SPECT REST $4,072.75 HC HT MUSCLE IMAGE SPECT SING - STRESS TEST DOBUTAMINE W MYOCARD PERF $4,072.75 HC HT MUSCLE IMAGE SPECT SING - STRESS TEST EXERCISE W MYOCARD PERF $4,072.75 HC HT MUSCLE IMAGE SPECT SING - STRESS TEST REGADENOSON W MYOCARD PERF $4,072.75 HC HT MUSCLE IMAGE SPECT MULT - NM HEART PERFUSION SPECT STRESS & REST $4,072.75 HC HT MUSCLE IMAGE SPECT MULT - STRESS TEST ADENOSINE W MYOCARD PERF $4,072.75 HC HT MUSCLE IMAGE SPECT MULT - STRESS TEST DOBUTAMINE W MYOCARD PERF $4,072.75 HC HT MUSCLE IMAGE SPECT MULT - STRESS TEST EXERCISE W MYOCARD PERF $4,072.75 HC HT MUSCLE IMAGE SPECT MULT - STRESS TEST REGADENOSON W MYOCARD PERF $4,072.75 HC HT MUSCLE IMAGE PLANAR SING - NM HEART PERFUSION SINGLE $2,689.50 HC HT MUSC IMAGE PLANAR MULT - NM HEART PERFUSION MULTIPLE $3,591.50 HC HEART MUSCLE IMAGING (PET) - NM PET MYOCARDIAL METABOLIC EVALUATION $1,908.50 HC GATED HEART PLANAR SINGLE - NM HEART BLOOD POOL EJECT FRAC WALL MUGA $1,668.00 HC GATED HEART PLANAR SINGLE - NM HEART BLOOD POOL MUGA WITH RVEF $1,668.00 HC GATED HEART MULTIPLE - NM HEART BLOOD POOL EJECT FRAC WALL MUGA MULT $1,954.50 HC GATED HEART, MULTIPLE - STRESS ADENOSINE W NM BLD PL MUGA $1,954.50 HC GATED HEART, MULTIPLE - STRESS DIPYRIDAMOLE W NM BLD PL MUGA $1,954.50 HC GATED HEART, MULTIPLE - STRESS DOBUTAMINE W NM BLD PL MUGA $1,954.50 HC GATED HEART, MULTIPLE - STRESS EXERCISE W NM BLD PL MUGA $1,954.50 HC GATED HEART, MULTIPLE - STRESS REGADENOSON W NM BLD PL MUGA $1,954.50 HC HEART FIRST PASS SINGLE - NM HEART BLOOD POOL FIRST PASS $925.00 HC HEART IMAGE (PET) SINGLE - NM PET MYOCARDIAL PERFUSION SINGLE $2,164.00 HC HEART FIRST PASS ADD-ON - NM HEART BLOOD POOL MUGA WITH RVEF $483.00 HC LUNG VENTILATION IMAGING - NM LUNG VENT GAS REBREATH WASHOUT MULT $1,017.00 HC LUNG VENTILATION IMAGING - NM LUNG VENT GAS REBREATH WASHOUT SINGLE $1,017.00 HC LUNG VENTILATION IMAGING - NM LUNG VENTILATION AEROSOL MULTIPLE $1,017.00 HC LUNG VENTILATION IMAGING - NM LUNG VENTILATION AEROSOL SINGLE $1,017.00 HC LUNG VENTILATION IMAGING - NM LUNG VENTILATION GASEOUS $1,017.00 HC LUNG PERFUSION IMAGING - NM LUNG PERFUSION PARTICULATE $1,207.50 HC LUNG VENTILAT&PERFUS IMAGING - NM LUNG VENTILATION PERFUSION $1,203.00 HC LUNG VENTILAT&PERFUS IMAGING - NM LUNG VENTILATION PERFUSION AEROSOL $1,203.00 HC LUNG PERFUSION DIFFERENTIAL - NM QUANT DIFF PULMONARY PERFUSION $1,381.75 HC LUNG PERF&VENTILAT DIFERENTL - NM QUANT DIFF PULMONARY PERFUSE VENT $1,912.00 HC BRAIN IMAGE W/FLOW < 4 VIEWS - NM BRAIN WITH FLOW LESS THAN 4 VIEWS $603.75 HC BRAIN IMAGE 4+ VIEWS - NM BRAIN 4 OR MORE VIEWS $961.75 HC BRAIN IMAGING (PET) - PT BRAIN METABOLIC $2,164.00 HC BRAIN IMAGING (PET) - PET BRAIN PERFUSION $1,267.25 HC CSF FLUID SCAN CISTERNOGRAPHY - NM BRAIN CISTERNOGRAM $1,498.50 HC CSF SHUNT EVALUATION - NM SHUNT PATENCY $1,178.50 HC CSF LEAKAGE IMAGING - NM BRAIN CEREBROSPINAL FLUID LEAK $1,908.50 HC KIDNEY IMAGING MORPHOL - NM KIDNEY CORTEX $1,719.75 HC K FLOW/FUNCT IMAGE W/O DRUG - NM KIDNEY FLOW/FUNCT WO PHARMACOL INT $2,303.50 HC K FLOW/FUNCT IMAGE W/DRUG - NM KIDNEY FLOW/FUNCT W PHARMACOL INTER $1,339.75 HC K FLOW/FUNCT IMAGE W/DRUG - NM KIDNEY FLOW/FUNCTION WITH CAPTOPRIL $1,339.75 HC K FLOW/FUNCT IMAGE MULTIPLE - NM KIDNEY FLOW/FUNC W/WO PHARMACOL INT $1,634.50 HC RENAL FUNCTION STUDY - NM KIDNEY GFR $1,655.50 HC URETERAL REFLUX STUDY - NM CYSTOGRAM REFLUX $1,115.00 HC TESTICULAR IMAGING & FLOW - NM TESTICLE $702.50 HC TESTICULAR IMAGING & FLOW - NM TESTICLE WITH FLOW $702.50 HC TUMOR IMAGING, LIMITED AREA - AMYLOID LIMITED PLANAR $1,646.50 HC TUMOR IMAGING, LIMITED AREA - NM ABSCESS/TUMOR LOCALIZATION LIMITED $1,646.50 HC TUMOR IMAGING, LIMITED AREA - NM PROSTATE TUMOR LOCAL LMTD W PROSTAS $1,646.50 HC TUMOR IMAGING, LIMITED AREA - NM TUMOR LOCALIZATION LIMITED $1,646.50 HC TUMOR IMAGING, MULT AREAS - NM ABSCESS LOCALIZATION $1,844.25 HC TUMOR IMAGING, MULT AREAS - NM TUMOR LOCALIZATION MULTIPLE AREAS $2,078.25 HC TUMOR IMAGING, MULT AREAS - NM TUMOR OCTREOSCAN $2,078.25 HC TUMOR IMAGING WHOLE BODY - NM ABSCESS LOCALIZATION WHOLE BODY $1,752.00 HC TUMOR IMAGING WHOLE BODY - NM TUMOR LOCALIZATION WHOLE BODY $2,620.25 HC RENAL IMAGING SPECT - NM KIDNEY MORPHOLOGY SPECT $2,794.00 HC TUMOR IMAGING (3D) - AMYLOID COMPLETE SPECT $2,794.00 HC TUMOR IMAGING (3D) - BRAIN IMAGING COMP WITH SPEC $1,850.00 HC TUMOR IMAGING (3D) - BRAIN SCAN SPECT DATSCAN $1,850.00 HC TUMOR IMAGING (3D) - CEREBRAL SPINAL FLUID SPECT $1,562.00 HC TUMOR IMAGING (3D) - NM TUMOR LOCALIZATION SPECT $2,794.00 HC TUMOR IMAGING (3D) - SPECT BONE IMAGING $2,342.00 HC TUMOR IMAGING (3D) - SPECT LIVER IMAGING $2,309.00 HC TUMOR IMAGING (3D) - SPECT RENAL SCAN $2,887.00 HC TUMOR IMAGING WHOLE BODY - NM TUMOR LOCAL WHOLE BODY MULT DAYS $3,543.75 HC IV INJ LOCALIZE NON IMAGE PROBE $603.75 HC PET IMAGING LIMITED AREA CHEST HEAD/NECK - PT/CT CHEST $1,908.50 HC PET IMAGING LIMITED AREA CHEST HEAD/NECK - PT/CT HEAD NECK $1,908.50 HC PET IMAGING SKULL BASE TO MID-THIGH - PT/CT SKULL - THIGH $2,164.00 HC PET IMAGING WHOLE BODY $2,164.00 HC PET IMAGING CT FOR ATTENUATION LIMITED AREA - PT/CT LOWER EXTREMITY $2,204.00 HC PET IMAGE W/CT SKULL-THIGH - PT/CT BONE SKULL BASE TO MID THIGH $2,204.00 HC PET IMAGING FOR CT ATTENUATION WHOLE BODY - PT/CT BONE WHOLE BODY $2,204.00 HC ABSCESS SPECT/CT $1,908.00 HC TUMOR SPECT/CT $1,908.00 HC TUMOR SPECT TWO VIEW $1,908.00 HC ABSCESS SPECT/CT TWO VIEW $2,165.00 HC TUMOR SPECT/CT TWO VIEW $2,165.00 HC TUMOR QUANTIFICATION ADD ON $158.00 HC NUCLEAR THERAPY, ORAL - NM THERAPY POLY VERA LEUKEMIA IV $1,140.50 HC NUCLEAR THERAPY, ORAL - NM THYROID THERAPY ABLATION BASIC $1,140.50 HC NUCLEAR THERAPY, ORAL - NM THYROID THERAPY I 131 $1,140.50 HC NUCLEAR THERAPY, ORAL - NM THYROID THERAPY METASTATIC $1,140.50 HC NUCLEAR THERAPY, ORAL - NM THYROID THERAPY TUMOR ABLATION $1,140.50 HC NUCLEAR RX IV ADMIN - NM BONE TREATMENT THERAPY $429.00 HC NUCLEAR RX INTRACAV ADMIN - NM THERAPY INTRACAVITARY RADIOCOLLOID $429.00 HC NUCLR RX INTERSTIT COLLOID - NM THERAPY INTERSTITIAL RADIOCOLLOID $429.00 HC RADIOPHARM THER BY IV $429.00 HC NUCLEAR RX INTRA-ARTERIAL - NM RADIOPHARM THERAPY BY INT-ART PARTIC $1,779.50 HC BASIC METABOLIC PANEL CALCIUM IONIZED - POCT $101.25 HC BASIC METABOLIC PANEL $91.25 HC GENERAL HEALTH PANEL - BUNDLED CHARGE $380.00 HC ELECTROLYTE PANEL $64.75 HC METABOLIC PANEL,COMPREHENSIVE $140.00 HC LIPID PANEL $106.50 HC RENAL FUNCTION PANEL $129.00 HC HEPATITIS PANEL,ACUTE $224.00 HC HEPATIC FUNCTION PANEL $107.00 HC ASSAY OF AMIKACIN - AMIKACIN PEAK $56.00 HC ASSAY OF AMIKACIN - AMIKACIN RANDOM $56.00 HC ASSAY OF AMIKACIN - AMIKACIN TROUGH $56.00 HC CAFFEINE LEVEL $89.75 HC ASSAY OF CARBAMAZEPINE TOTAL - CARBAMAZEPINE HYPERSENSITIVITY $221.00 HC ASSAY OF CARBAMAZEPINE TOTAL - CARBAMAZEPINE TOTAL $60.00 HC ASSAY OF ASSAY CARBAMAZEPINE, FREE - CARBAMAZEPINE FREE $46.00 HC ASSAY OF CYCLOSPORINE - CYCLOSPORINE $208.25 HC CLOZAPINE LEVEL $73.00 HC DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL - DIGOXIN $136.25 HC DRUG SCREEN QUANT DIPROPYLACETIC ACID TOTAL - VALPROIC ACID TOTAL $76.00 HC VALPORIC ACID, FREE $76.00 HC ASSAY OF ETHOSUXIMIDE - ETHOSUXIMIDE LEVEL $61.25 HC EVEROLIMUS BY TANDEM MASS SPECTROMETRY $175.25 HC ASSAY OF GENTAMICIN - GENTAMICIN PEAK $74.50 HC ASSAY OF GENTAMICIN - GENTAMICIN RANDOM $74.50 HC ASSAY OF GENTAMICIN - GENTAMICIN TROUGH $74.50 HC GABAPENTIN $73.50 HC ASSAY OF HALOPERIDOL - HALOPERIDOL LEVEL $76.00 HC LAMOTRIGINE $65.00 HC ASSAY OF LIDOCAINE - LIDOCAINE LEVEL $140.00 HC KEPPRA (LEVETIRACETAM) $122.50 HC ASSAY OF LITHIUM - LITHIUM $109.25 HC MYCOPHENOLIC ACID & METABOLITES $202.00 HC OXCARBAZEPINE METABOLITE $82.00 HC ASSAY OF PHENOBARBITAL - PHENOBARBITAL $129.00 HC ASSAY OF PHENYTOIN, TOTAL - PHENYTOIN TOTAL $142.00 HC ASSAY OF PHENYTOIN, FREE - PHENYTOIN FREE $59.00 HC ASSAY OF PRIMIDONE - PRIMIDONE LEVEL $33.00 HC ASSAY OF PROCAINAMIDE W METABOLITES - PROCAINAMIDE + NAPA $74.75 HC ASSAY OF QUINIDINE - QUINIDINE LEVEL $79.50 HC ASSAY OF SIROLIMUS - SIROLIMUS (RAPAMUNE) $141.50 HC ASSAY OF TACROLIMUS - TACROLIMUS (PROGRAF) $427.00 HC ASSAY OF THEOPHYLLINE - THEOPHYLLINE $90.25 HC TIAGABINE, SERUM OR PLASMA $122.50 HC ASSAY OF TOBRAMYCIN - TOBRAMYCIN PEAK $94.50 HC ASSAY OF TOBRAMYCIN - TOBRAMYCIN RANDOM $94.50 HC ASSAY OF TOBRAMYCIN - TOBRAMYCIN TROUGH $94.50 HC ASSAY OF TOPIRAMATE - TOPIRAMATE LEVEL $150.75 HC ASSAY OF VANCOMYCIN $231.75 HC DRUG ASSAY VEDOLIZUMAB $58.00 HC QUANTITATION DRUG NOS - ACYCLOVIR (ZOVIRAX) SERUM OR PLASMA $141.25 HC QUANTITATION DRUG NOS - ADALIMUMAB $220.00 HC QUANTITATION DRUG NOS - AMIODARONE LEVEL $62.00 HC QUANTITATION DRUG NOS - ANTIMICROBIAL LEV-RIFABUTIN $164.00 HC QUANTITATION DRUG NOS - CARBAMAZEPINE 10-11 EPOXIDE $40.00 HC QUANTITATION DRUG NOS - DEXAMETHASONE SERUM OR PLASMA $112.00 HC QUANTITATION DRUG NOS - DIGITOXIN LEVEL $65.00 HC QUANTITATION DRUG NOS - FLECAINIDE LEVEL $64.00 HC QUANTITATION DRUG NOS - FLUCONOZOLE LEVEL $82.75 HC QUANTITATION DRUG NOS - HYDROXYCHLOROQUINE, WHOLE BLOOD $270.00 HC QUANTITATION DRUG NOS - INFLIXIMAB ACTIVITY $222.00 HC QUANTITATION DRUG NOS - ISAVUCONAZOLE LEVEL $164.00 HC QUANTITATION DRUG NOS - ITRACONAZOLE LEVEL $115.00 HC QUANTITATION DRUG NOS - LEFLUNOMIDE $144.00 HC QUANTITATION DRUG NOS - MERCAP & METAB QNT,BLD $164.00 HC QUANTITATION DRUG NOS - METFORMIN QUANT,SERUM/PLASMA $123.25 HC QUANTITATION DRUG NOS - METHOTREXATE LEVEL $135.00 HC QUANTITATION DRUG NOS - MEXILETINE $107.00 HC QUANTITATION DRUG NOS - POSACONAZOLE LEVEL $137.00 HC QUANTITATION DRUG NOS - RIFAMPIN BY HPLC SERUM OR PLASMA $164.00 HC QUANTITATION DRUG NOS - SULFONAMIDES (SULFAS) $60.00 HC QUANTITATION DRUG NOS - VORICONAZOLE $137.00 HC QUANTITATION DRUG NOS - WARFARIN $120.00 HC QUANTITATION DRUG NOS -CLOZAPINE & METABOLITE SERUM OR PLASMA $149.00 HC DRUG PANEL 9A, UR-SCN W/ REFLX TO CONF/QT $214.00 HC DRUG SCREEN PANEL, SER/PLAS, W/ RFLX TO CONF/QT $316.00 HC DRUG TEST OF PRSMV CHEM ANLYZR $100.50 HC DRUG TEST OF PRSMV CHEM ANLYZR - BUNDLED CHARGE $100.50 HC DRUG TEST PRSMV CHEM ANLYZR - AMPHETAMINE SCRN $79.25 HC DRUG TEST PRSMV CHEM ANLYZR - BARBITURATE SCRN, URINE $79.25 HC DRUG TEST PRSMV CHEM ANLYZR - CANNABINOID SCREEN, URINE $79.25 HC DRUG TEST PRSMV CHEM ANLYZR - COCAINE URINE QUAL $79.25 HC DRUG TEST PRSMV CHEM ANLYZR - DIURETIC SCR, UR $239.00 HC DRUG TEST PRSMV CHEM ANLYZR - DRUGS OF ABUSE, MECON W REF TO CONFIRM $100.50 HC DRUG TEST PRSMV CHEM ANLYZR - FLUNITRAZEPAM/METAB, SER OR PLASMA RFLX $214.00 HC DRUG TEST PRSMV CHEM ANLYZR - GAM-HYDROXY ACID, UR-SCRN W RFLX /QN $234.00 HC DRUG TEST PRSMV CHEM ANLYZR - GAM-OH BUTY ACID,SER/PLAS SCR W RFLX TO CONF/QN $234.00 HC DRUG TEST PRSMV CHEM ANLYZR - HEROIN, SER OR PLASMA - SCR W RFLX /QN $133.00 HC DRUG TEST PRSMV CHEM ANLYZR - OPIATE QUALITATIVE URINE $79.25 HC DRUG TEST PRSMV CHEM ANLYZR - PHENCYCLIDINE (PCP) SCREEN UR $79.25 HC DRUG TEST PRSMV CHEM ANLYZR - TRICYCLIC ANTIDEPRESSANT DETECTION $76.00 HC DRUGS OF ABUSE CONF/QNT-METH & METAB,MECONIUM $193.00 HC PHOSPHATIDYLETHANIOL- PETH $89.00 HC TRAZODONE $63.00 HC ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 1-3 - METHSUXIMIDE & NORMETH $147.00 HC DRUG SCREENING CANNABINOIDS NATURAL - CANNABINOID CONF/QUANT, SER/PLASMA $70.25 HC GABAPENTIN QNITATIVE, UR $200.00 HC HEROIN METABOLITE $116.00 HC DRUG SCREENING PROPOXYPHENE - PROPOXYPHENE SCREEN URINE $54.00 HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3 - CHLOROQUINE LEVEL $142.00 HC QUANTITATION DRUG NOS - ISONIAZID SERUM OR PLASMA $142.00 HC SYNTHETIC CANNABINOID METAB QUAL UR $107.00 HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC $38.75 HC URINALYSIS NONAUTO W/O SCOPE $25.75 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY $25.75 HC URINE PREGNANCY TEST $21.75 HC VOLUME MEASUREMENT FOR TIMED COLLECTION EA $8.75 HC HPA-1 GENOTYPING $300.00 HC HPA-2 GENOTYPING $103.00 HC HPA-3 GENOTYPING $103.00 HC HPA-4 GENOTYPING $103.00 HC HPA-5 GENOTYPING $102.00 HC HPA-6 GENOTYPING $102.00 HC HPA-15 GENOTYPING $102.00 HC IDH1 COMMON VARIANTS $126.50 HC IDH2 COMMON VARIANTS $168.00 HC DUCHENNE/BECKER MUSC DYS DEL/DUP W/RFLX TO SEQ $645.00 HC BRCA1&2 GEN FULL SEQ DUP/DEL, BRCA1 AND BRCA2 SEQUENCING AND DEL/DUP $2,396.00 HC BRCA1&2 GENE FULL SEQ ALYS $1,404.00 HC ABL KINASE DOMAIN MUT IN CML,CELL-BASED $763.00 HC ASPA GENE, ASHKENAZI JEWISH DISEASES $141.00 HC ASPA GENE, CANAVAN DISEASE (ASPA), 4 VARIANTS $141.00 HC APC GENE FULL SEQUENCE $2,275.00 HC APC GENE KNOWN FAM VARIANTS $645.00 HC APC GENE DUP/DELET VARIANTS $516.00 HC AR GENE CHARAC ALLELES, X-CHROMOSOME INACTIVIATION ANALYSIS $366.00 HC ￿BCKDHB GENE, ASHKENAZI JEWISH DISEASES $285.00 HC BCKDHB GENE, MAPLE SYRUP URINE DISEASE, TYPE 1B $285.00 HC BCR-ABL1 GENE REARRANGEMENT, QNITATIVE $420.00 HC BCR/ABL1 P190 $315.00 HC BCR/ABL1 REFLEX P190 $315.00 HC BCR/ABL1 REFLEX P210 $315.00 HC ￿BLM GENE, ASHKENAZI JEWISH DISEASES $118.50 HC BLM GENE, BLOOM SYNDROME $118.50 HC BRAF MUTATION ANALYSIS $376.00 HC BRCA1 GENE KNOWN FAMIL VRNT $562.90 HC BRCA2 GENE KNOWN FAMIL VRNT $562.90 HC CEBPA MUTATION ANALYSIS $517.00 HC CALRETICULIN MUTATION ANALYSIS $490.00 HC CFTR GENE ANALYSIS - CYSTIC FIBROSIS 165 VARIANTS W RFLX TO SEQ & RFLX TO DEL/DUP $1,515.00 HC CFTR GENE COM VARIANTS $1,515.00 HC CFTR GENE COM VARIANTS, CYSTIC FIBROSIS, 165 VARIANTS $1,515.00 HC CFTR GENE COM VARIANTS, CYSTIC FIBROSIS, 165 VARIANTS, FETAL $1,515.00 HC CFTR GENE KNOWN FAM VARIANTS $255.50 HC REFLEX CFTR DEL/DUP BILL $702.00 HC CFTR GENE FULL SEQ $2,137.50 HC CYP2C19 GENE COM VARIANTS $525.00 HC CYP2D6 GENE COM VARIANTS, CYTOCHROME P450 GENOTYPE PANEL $413.00 HC CYP2C9 VARIANT $183.00 HC CHROMOSOMAL MICRO $1,740.00 HC CYTOGEN MICROARRAY TESTING $2,361.75 HC GENOMIC MICROARRAY $1,740.00 HC CYP3A5 GENE COMMON VARIANTS $262.25 HC DPYD GENE COMMON VARIANTS, DIHYDROPYRIMIDINE DEHYDROGENASE (DPYD) $425.00 HC EGFR GENE ANALYSIS COMMON VARIANTS $761.00 HC F9 FULL GENE SEQUENCE $1,795.00 HC ￿F2 GENE, THROMBOTIC RISK, DNA PANEL $128.00 HC F2 GENE ANALYSIS 20210G >A VARIANT - PROTHROMBIN GENE MUTATION $128.00 HC ￿F5 GENE, THROMBOTIC RISK, DNA PANEL $128.00 HC F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT - FACTOR V LEIDEN $128.00 HC ￿FANCC GENE, ASHKENAZI JEWISH DISEASES $109.00 HC FANCC GENE, FANCONI ANEMIA, GROUP C (FANCC) $109.00 HC FMR1 GENE DETECTION - CHROMOSOME ANALYSIS, FRAG X DNA $236.25 HC FRAGILE X STATUS BY MPCR $205.00 HC FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS $248.50 HC FLT3 GENE ANLYS TYROSINE KINASE DOMAIN VARIANTS $124.50 HC G6PD GENE ALYS CMN VARIANT $425.00 HC G6PD KNOWN FAMILIAL VARIANT $562.90 HC ￿G6PC GENE, ASHKENAZI JEWISH DISEASES $256.00 HC G6PC GENE, GLYCOGEN STORAGE DISEASE, TYPE 1A $256.00 HC ￿GBA GENE, ASHKENAZI JEWISH DISEASES $141.00 HC GBA GENE $141.00 HC ￿GJB2 GENE FULL SEQUENCE, HEARING LOSS PANEL (GJB2, GJB6, MTDNA) $326.00 HC GJB2 GENE FULL SEQUENCE, CONNEXIN 26, FULL GENE SEQUENCING $326.00 HC GJB2 GENE KNOWN FAM VARIANTS $92.30 HC GJB6 GENE COM VARIANTS, HEARING LOSS PANEL (GJB2, GJB6, MTDNA) $105.00 HC ￿HEXA GENE, ASHKENAZI JEWISH DISEASES $154.00 HC HEXA GENE, TAY-SACHS DISEASE (HEXA), 7 VARIANTS $154.00 HC HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS - HEMOCHROMATOSIS MUT $135.00 HC HBA1/HBA2 GENE - GENE TEST BETA-THALASSEMIA $454.50 HC HBA1/HBA2 GENE FAM VRNT $562.90 HC ￿IKBKAP GENE, ASHKENAZI JEWISH DISEASES $118.50 HC IKBKAP GENE, DYSAUTONOMIA, FAMILIAL (IKBKAP) $118.50 HC IGH GENE REARRANGEMENT BY PCR $741.25 HC IGK GENE REARRANGEMENT BY PCR (KAPPA) $223.00 HC COMPARATIVE ANAL STR MARKERS PATIENT&COMP SPEC - ADDITIONAL CHARGE $777.00 HC HBA1/HBA2 GENE DUP/DEL VRNTS, ALPHA GLOBIN (HBA1 AND HBA2) DEL/DUP $525.50 HC JAK2 GENE, V617F MUT, QUAL, LEUMETA R W RFLX TO EXONS 12,13 $570.00 HC JAK2 GENE, V617F MUT, QUALITATIVE $503.00 HC HTT GENE DETC ABNOR ALLELES, HUNTINGTON DISEASE MUTATION BY PCR $366.00 HC KIT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS $594.00 HC KIT GENE ANALYSIS D816 VARIANT(S) $495.00 HC KRAS GENE VARIANTS EXON 2 $132.25 HC KRAS GENE ADDL VARIANTS $132.25 HC IFNL3 GENE, IL28B-ASSOCIATED VARIANTS, 2 SNPS $220.25 HC MLH1 GENE, BRAF WITH REFLEX TO MLH1 METHYLATION $165.00 HC MLH1 GENE, MLH1 METHYLATION BY PCR $165.00 HC ￿MCOLN1 GENE, ASHKENAZI JEWISH DISEASES $118.50 HC MCOLN1 GENE, MUCOLIPIDOSIS TYPE IV (MCOLN1) $118.50 HC ￿MTHFR GENE, THROMBOTIC RISK, DNA PANEL $123.00 HC MTHFR GENE $123.00 HC MLH1 GENE FULL SEQ $1,795.00 HC MLH1 GENE KNOWN VARIANTS $496.50 HC MLH1 GENE DUP/DELETE VARIANT $525.50 HC MSH2 GENE FULL SEQ $575.00 HC MSH2 GENE KNOWN VARIANTS $506.60 HC MSH2 GENE DUP/DELETE VARIANT $151.00 HC MSH6 GENE FULL SEQ $1,795.00 HC MSH6 GENE KNOWN VARIANTS $462.00 HC MSH6 GENE DUP/DELETE VARIANT $161.00 HC MICROSATELLITE INSTABILITY TEST $378.00 HC MECP2 GENE FULL SEQ $1,035.00 HC MECP2 GENE KNOWN VARIANT $180.00 HC MECP2 GENE DUP/DELET VARIANT $225.00 HC MYD88 GENE P.LEU265PRO VRNT $342.00 HC NUDT15 GENE ANALYSIS COMMON VARIANTS $200.00 HC NPM1 MUTATION AND FRAGMENT ANALYSIS $384.00 HC NRAS GENE VARIANTS EXON 2&3 $198.75 HC PDGFRA GENE, GASTROINTESTINAL STROMAL TUMOR MUTATION $407.00 HC PML/RARALPHA COMMON BREAKPOINTS QUAL/QUANT $516.00 HC PMS2 GENE FULL SEQ ANALYSIS $1,795.00 HC PMS2 KNOWN FAMILIAL VARIANTS $496.50 HC PMS2 GENE DUP/DELET VARIANTS $305.25 HC PTEN GENE FULL SEQUENCE $900.00 HC PTEN GENE KNOWN FAM VARIANT $203.50 HC PTEN GENE DUP/DELET VARIANT $450.00 HC CHAROT-MARIE-TOOTH & RELATED HEREDIT NEUROPATH $767.50 HC SLCO1B1 GENE COM VARIANTS $262.25 HC SMN1 GENE DOS/DELETION ALYS $205.50 HC SMN1 GENE DOS/DELETION ALYS, SMA COPY NUMBER, FETAL $205.50 HC SMN1 GENE DOS/DELETION ALYS, SPINAL MUSCULAR ATROPHY(SMA) COPY NUMBER $205.50 HC ￿SMPD1 GENE COMMON VARIANTS, ASHKENAZI JEWISH DISEASES $141.00 HC SMPD1 GENE COMMON VARIANTS $141.00 HC ANGELMAN SYNDROME AND PRADER-WILLI SYNDROME BY METHYLATION $268.00 HC ALPHA-1 ANTITRYPSIN S ALLELE $312.00 HC TPMT GENE COM VARIANTS $200.00 HC T-CELL RECEPTOR (TCR) BETA GENE REARRANGEMENT AMPLIFICATION $741.25 HC T-CELL RECEPTOR (TCR) GAMMA GENE REARRANGEMENT ANALYSIS $741.25 HC UDP GLUCURONOSYL 1A1 (UGT1A1) GENO $399.00 HC VKORC1 ALLELE $230.00 HC HBB GENE KNOWN FAM VARIANT $562.90 HC REFLEX BETA GLOBIN DELETION/DUPLICATION BILL $528.00 HC REFLEX BETA GLOBIN FULL GENE SEQUENCING BILL $529.00 HC HLA -A,-B,-C,-DRB1/3/4/5,-DQB $1,911.75 HC HLA DONOR WORKUP $1,911.75 HC HLA SSO1 $1,051.50 HC ABACAVIR HYPERSENSITIVITY $313.75 HC ALLOPURINOL HYPERSENSITIVITY (B5801) $313.75 HC ANKYLOSING SPONDYLITIS $313.75 HC BEHCETS DISEASE $313.75 HC BIRD SHOT RETINOPATHY $313.75 HC CARBAMAZEPINE HYPERSENSITIVITY $313.75 HC MELANOMA VACC ELIGIBILITY $313.75 HC ANTIBIOTIC REFRACTORY LYME ARTHRITIS $300.00 HC CELIAC DISEASE $296.50 HC HLA II TYPING 1 LOCUS LR $296.50 HC HLA SSO2 $300.00 HC MDS IMMUNOTHERAPY CANIDATE $300.00 HC NARCOLEPSY $300.00 HC RHEUMATOID ARTHRITIS $296.50 HC VOGT-KOYANAGI-HARADAS DISEASE $296.50 HC HLA SSOB $895.75 HC HLA SSOC $895.75 HC SSOB LOCUS $895.75 HC SSOC LOCUS $895.75 HC SSP HIGH RESOLUTION B TYPING $895.75 HC SSP HIGH RESOLUTION C TYPING $895.75 HC HLA DP ALPHA 1 HR $806.75 HC HLA DP BETA 1 HR $806.75 HC HLA DQ ALPHA 1 HR $806.75 HC SSODP LOCUS $806.75 HC SSP HIGH RESOLUTION DPA1 TYPING $806.75 HC SSP HIGH RESOLUTION DPB1 TYPING $806.75 HC SSP HIGH RESOLUTION DQA1 TYPING $806.75 HC SSP HIGH RESOLUTION DQB1 TYPING $806.75 HC HLA II TYPING 1 ALLELE HR, CELIAC (HLA-DQ2 AND HLA-DQ8) GENOTYPING $163.00 HC PLATELET ANTIGEN GENOTYPING PANEL $292.00 HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 2 -(APOE) 2 MUTATIONS/CARDIOVASCULAR RISK $144.00 HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 2 - HUNTINGTON DISEASE MUTATION $183.00 HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 2 - SPINAL MUSCULAR ATROPHY DNA $366.00 HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 2 -(TPMT) GENOTYPING $434.00 HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 3 $467.00 HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 4 $555.60 HC MOPATH PROCEDURE LEVEL 4- HEMO A(F8)2 INVER W/ RFLX TO SEQ & TO DEL/DUP $555.60 HC MOPATH PROCEDURE LEVEL 4- JAK2 EXON 12 MUTATION ANALYSIS $555.60 HC MOPATH PROCEDURE LEVEL 4- RHEE ANTIGEN (RHCE) GENOTYPING $555.60 HC MOPATH PROCEDURE LEVEL 4- Y CHROMOSOME MICRODELETION $555.60 HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 $824.49 HC MOPATH PROCEDURE LEVEL 5 - PANCREATITIS, HEREDITARY (PRSS1) SEQ $824.49 HC MOPATH PROCEDURE LEVEL 5 - PANCREATITIS, IDIOPATHIC (SPINK1) SEQ $824.49 HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 $904.05 HC MOPATH PROCEDURE LEVEL 6 - MEN TYPE 2, RET GENE MUTATIONS BY SEQ $904.05 HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 $848.64 HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 - HEMOPHILIA A(F8) DEL/DUP BILL $848.64 HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 - MYOTONIC DYSTROPHY DNA $848.64 HC HEMOPHILIA A(F8) SEQUENCING BILL $1,650.00 HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 9 $2,296.25 HC AORTOPATHY PANEL SPECIMEN $1,525.00 HC AOTOPATHY PANEL INTERPRETATION $1,525.00 HC CAR ION CHNNLPATH INC 10 GNS $1,975.00 HC CAR ION CHNNLPATH INC 2 GNS $1,975.00 HC EXOME SEQUENCE ANALYSIS $5,350.00 HC EXOME SEQUENCE ANALYSIS, EXOME SEQUENCING, TRIO $617.00 HC FETAL CHRMOML ANEUPLOIDY, NIPT FETAL ANEUPLOIDY W/ MICRODELETIONS $2,275.00 HC FETAL CHRMOML ANEUPLOIDY, NIPT FETAL ANEUPLOIDY W/22Q MICRODEL $2,275.00 HC FETAL CHRMOML MICRODELTJ, NIPT FETAL ANEUPLOIDY W/ MICRODELETIONS $1,138.60 HC FETAL CHRMOML MICRODELTJ, NIPT FETAL ANEUPLOIDY W/22Q MICRODEL $262.25 HC HEARING LOSS SEQUENCE ANALYS $12,196.00 HC HRDTRY BRST CA-RLATD DSORDRS, HEREDITARY CANCER PANEL $1,875.00 HC HRDTRY BRST CA-RLATD DSORDRS, HEREDITARY CANCER PANEL $1,875.00 HC HEREDITARY RETINAL DISORDERS, RETINITIS PIGMENTOSA, SEQ AND DEL/DUP $1,515.00 HC ￿HEREDITARY COLON CA DSORDRS, HEREDITARY CANCER PANEL $1,515.00 HC HEREDITARY COLON CA DSORDRS, GASTROINTESTINAL HEREDITARY CANCER PAN $1,515.00 HC HEREDITARY COLON CA DSORDRS, GASTROINTESTINAL HEREDITARY CANCER PAN $802.25 HC HEREDITARY COLON CA DSORDRS, HEREDITARY CANCER PANEL $802.25 HC HEREDTRY NURONDCRN TUM DSRDR, HEREDITARY CANCER PANEL $720.25 HC HEREDTRY NURONDCRN TUM DSRDR, HEREDITARY CANCER PANEL $720.25 HC NOONAN SPECTRUM DISORDERS, NOONAN PANEL SEQUENCING $3,215.50 HC GENETIC TSTG SEVERE INH COND $3,672.00 HC GENOMIC SEQUENCING PROCEDURES AND OTHER MOLECULAR MULTIANALYTE ASSAYS $1,735.00 HC HRDTRY PERPH NEURPHY PANEL, CHARCOT-MARIE-TOOTH (CMT) SEQUENCING $1,515.00 HC MYELOID MELIGNANCIES MUTATION PANEL BY NGS $3,222.00 HC WHOLE MITOCHONDRIAL GENOME, MITOCHONDRIAL DISORDERS (MTDNA) SEQ. $2,303.00 HC WHOLE MITOCHONDRIAL GENOME, MITO DISORDERS PANEL (MTDNA AND NUCLEAR) $1,404.00 HC UNLISTED MOLECULAR PATHOLOGY $605.00 HC UNLISTED MOLECULAR PATHOLOGY - CTRC SEQUENCING $605.00 HC UNLISTED MOLECULAR PATHOLOGY - FLT3 GENE MUTATION $605.00 HC MATERNAL SERUM SCREEN FIRST TRIMESTER $96.00 HC MATERNAL SERUM SCREEN QUAD $289.00 HC KETONE BODIES SERUM QUALITATIVE - ACETONE $75.00 HC KETONE BODIES SERUM QUALITATIVE - ACETONE URINE QUALITATIVE $75.00 HC KETONE BODIES SERUM QUANTITATIVE - ACETONE SERUM QUANTITATIVE $52.00 HC KETONE BODIES SERUM QUANTITATIVE - BETA HYDROXYBUTYRATE $63.75 HC ACETYLCHOLINESTERASE ASSAY - ACETYLCHOLINESTERASE $140.00 HC ACYLCARNITINES,QUANT,EACH SPEC - ACYLCARNITINES, PLASMA, QUANT $53.35 HC ACYLCARNITINES,QUANT,EACH SPEC - ACYLCARNITINES, URINE, QUANT $53.35 HC ASSAY OF ACTH - ACTH $167.75 HC ASSAY OF SERUM ALBUMIN - ALBUMIN $36.25 HC ASSAY OF URINE ALBUMIN - ALBUMIN BODY FLUID $31.00 HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN 24HR URINE $57.50 HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN RANDOM URINE $51.75 HC ASSAY OF ALDOLASE - ALDOLASE $58.75 HC ASSAY OF ALDOSTERONE - ALDOSTERONE $218.01 HC ASSAY OF ALDOSTERONE - ALDOSTERONE,24HR URINE $208.00 HC ALPHA-1-ANTITRYPSIN, TOTAL - ALPHA-1-ANTITRYPSIN $89.00 HC ALPHA-1-ANTITRYPSIN, TOTAL - ALPHA-1-ANTITRYPSIN, STOOL $70.00 HC ALPHA-1-ANTITRYPSIN PHENOTYPE $47.00 HC ALPHA-FETOPROTEIN, SERUM - ALPHA FETOPROTEIN, MATERNAL $105.00 HC ALPHA-FETOPROTEIN, SERUM - ALPHA-FETOPROTEIN MARKER $105.00 HC ALPHA-FETOPROTEIN; AMNIOTIC - ALPHA-FETOPROTEIN, AMNIOTIC FLUID $105.00 HC ALPHA-FETOPROTEIN L3 - ALPHA FETOPROTEIN, L3 PERCENT $198.50 HC ASSAY OF ALUMINUM - ALUMINUM LEVEL $65.00 HC AMINO ACIDS, SINGLE QUANTITATION - CYSTINE URINE QUANTITATIVE $90.25 HC AMINO ACIDS, SINGLE QUANTITATION - PHENYLALANINE, PLASMA $90.25 HC ASSAY, AMINOLEVULINIC ACID - AMINOLEVULINIC ACID 24HR $90.75 HC AMINO ACIDS, 6+ QUANT - AMINO ACID QUANT, CSF $229.00 HC AMINO ACIDS, 6+ QUANT - AMINO ACID QUANT,URINE $53.35 HC AMINO ACIDS, 6+ QUANT - AMINO ACIDS, PLASMA $53.35 HC ASSAY OF AMMONIA - AMMONIA $90.00 HC ASSAY OF AMYLASE - AMYLASE $45.00 HC ASSAY OF AMYLASE - AMYLASE BODY FLUID $45.00 HC ASSAY OF AMYLASE - AMYLASE ISOENZYMES $45.00 HC ASSAY OF AMYLASE - AMYLASE,24 HOUR URINE $111.50 HC ASSAY OF AMYLASE - AMYLASE,RANDOM $45.00 HC ASSAY OF ANDROSTENEDIONE - ANDROSTENEDIONE $82.00 HC ANGIOTENSIN I ENZYME TEST - ANGIOTENSIN CONVERT ENZYME CSF $78.12 HC ANGIOTENSIN I ENZYME TEST - ANGIOTENSIN CONVERTING ENZYME $78.12 HC ASSAY OF APOLIPOPROTEIN - LIPOPROTEIN A (LPA) $104.00 HC ARSENIC ANALYSIS - HAIR $101.48 HC ASSAY OF ARSENIC - ARSENIC,REFLEX TO FRACTIONATED $101.48 HC ASSAY OF ARSENIC - BLOOD $63.00 HC ASSAY OF ASCORBIC ACID - VITAMIN C $52.88 HC BETA-2 PROTEIN - BETA 2 MICROGLOBULIN $93.00 HC BETA-2 PROTEIN - BETA 2 MICROGLOBULIN CSF $93.00 HC BILE ACIDS, TOTAL - BILE ACIDS, TOTAL $63.75 HC BILIRUBIN TOTAL - BILIRUBIN BODY FLUID $30.00 HC BILIRUBIN TOTAL - BILIRUBIN NEONATAL $35.00 HC BILIRUBIN TOTAL - BILIRUBIN TOTAL $30.00 HC BILIRUBIN DIRECT - BILIRUBIN DIRECT $100.50 HC ASSAY BIOTINIDASE - BIOTINIDASE LEVEL $67.25 HC OCCULT BLOOD, GASTRIC $31.25 HC OCCULT BLOOD STOOL $29.50 HC FECAL IMMUNOCHEMICAL TEST $61.25 HC ASSAY OF CADMIUM $72.25 HC ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED - VITAMIN D 25 $111.50 HC ASSAY OF CALCITONIN - CALCITONIN $73.50 HC ASSAY OF CALCIUM, TOTAL - CALCIUM $30.00 HC ASSAY OF CALCIUM, IONIZED - CALCIUM IONIZED $73.16 HC ASSAY OF CALCIUM IN URINE - CALCIUM RANDOM URINE $45.00 HC ASSAY OF CALCIUM IN URINE - CALCIUM TIMED URINE $45.00 HC CALCULUS ASSAY,INFRARED SPECTR - KIDNEY STONE ANALYSIS $109.00 HC ASSAY CARBOHYDRATE DEF TRANSFERRIN - CARBOHYDRATE DEFICIENT TRANS $96.60 HC ASSAY BLOOD CARBON DIOXIDE - CO2 TOTAL $26.13 HC ASSAY BLOOD CARBON MONOXIDE - CARBOXYHEMOGLOBIN $68.45 HC CARCINOEMBRYONIC ANTIGEN - CEA (CARCINOEMBRYONIC ANTIGEN) $101.44 HC ASSAY OF CARNITINE - CARNITINE $87.00 HC ASSAY OF CAROTENE - CAROTENE, SERUM $69.75 HC ASSAY, THREE CATECHOLAMINES - CATECHOLAMINE 24 HR URINE $69.00 HC ASSAY, THREE CATECHOLAMINES - CATECHOLAMINES FRACTIONATED PL $148.00 HC ASSAY OF CERULOPLASMIN - CERULOPLASMIN $54.00 HC CHEMILUMINESCENT ASSAY - ADALIMUMAB $75.54 HC CHEMILUMINESCENT ASSAY - IGF BINDING PROTEIN-3 $75.54 HC CHEMILUMINESCENT ASSAY - INFLIXIMAB NEUTRAL AB $75.54 HC CHEMILUMINESCENT ASSAY - INTERLEUKIN-6 $75.54 HC ASSAY OF BLOOD CHLORIDE - CHLORIDE $88.00 HC ASSAY OF URINE CHLORIDE - CHLORIDE URINE RANDOM $30.00 HC ASSAY OF URINE CHLORIDE - CHLORIDE URINE TIMED $30.00 HC ASSAY OTHER FLUID CHLORIDES - CHLORIDE BODY FLUID $27.15 HC CHLORIDE, STOOL $27.15 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL FLUID $23.28 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL $23.28 HC ASSAY, SERUM CHOLINESTERASE - PSEUDOCHOLINESTERASE $25.00 HC ASSAY, RBC CHOLINESTERASE - CHOLINESTERASE, RBC $72.25 HC ASSAY OF CHROMIUM - CHROMIUM LEVEL $65.00 HC ASSAY OF CITRATE - CITRATE 24 HOUR URINE $148.75 HC ASSAY OF CITRATE - CITRIC ACID, SERUM/PLASMA $148.75 HC ASSAY FOR COLLAGEN CROSS LINKS - C-TELOPEPTIDE, BETA-CROSS-LINKED, SERUM $99.96 HC ASSAY FOR COLLAGEN CROSS LINKS - N-TELOPEPTIDE, SERUM $99.96 HC ASSAY FOR COLLAGEN CROSS LINKS - N-TELOPEPTIDE, URINE $99.96 HC ASSAY OF COPPER - COPPER 24HR URINE $75.00 HC ASSAY OF COPPER - COPPER LIVER TISSUE $75.00 HC ASSAY OF COPPER - COPPER, SERUM $75.00 HC CORTISOL, FREE - CORTISOL, FREE $89.39 HC CORTISOL, FREE - CORTISOL, URINE, FREE $54.00 HC TOTAL CORTISOL - CORTISOL $90.00 HC ASSAY OF CREATINE - CREATINE $24.80 HC ￿COL CHROMOTOGRAPHY QUAL/QUAN $328.00 HC COL-CHR/MS NONDRUG ANALYTE NES QL/QN EA - 18-HYDROXYCORTICOSTERONE $291.00 HC COL-CHR/MS NONDRUG ANALYTE NES QL/QN EA - 4-HYDROXYBUTYRIC ACID, (MNG #NC09) $269.50 HC COL-CHR/MS NONDRUG ANALYTE NES QL/QN EA - 5-METHYLTETRAHYDROFOLATE CSF $240.00 HC COL-CHR/MS NONDRUG ANALYTE NES QL/QN EA - ACYLGLYCINES, QNITATIVE, UR $227.00 HC COL-CHR/MS NONDRUG ANALYTE NES QL/QN EA - COENZYME Q10, TOTAL $238.00 HC COL-CHR/MS NONDRUG ANALYTE NES QL/QN EA - COLUMN CHROMATOGRPH/MASS SPECT $435.00 HC COL-CHR/MS NONDRUG ANALYTE NES QL/QN EA - ISAVUCONAZOLE $170.00 HC COL-CHR/MS NONDRUG ANALYTE NES QL/QN EA - NEOPTERIN/TETRAHYDROBIOPTERIN CSF $275.00 HC COL-CHR/MS NONDRUG ANALYTE NES QL/QN EA - N-METHYLHISTAMINE 24 HR URINE $246.00 HC COL-CHR/MS NONDRUG ANALYTE NES QL/QN EA - PORPHYRINS, FRACTIONATION, PLASMA $172.00 HC COL-CHR/MS NONDRUG ANALYTE NES QL/QN EA - PROMETHEUS THIOPURINE METABOLITES $328.00 HC COL-CHR/MS NONDRUG ANALYTE NES QL/QN EA - PYRIDOXAL 5'-PHOSPHATE, (MGN#NC05) $237.50 HC COL-CHR/MS NONDRUG ANALYTE NES QL/QN EA - SUCCINYLADENOSINE, CSF (MNG #NC06) $264.00 HC ASSAY OF CK (CPK) - CK $128.00 HC ASSAY OF CPK IN BLOOD $37.00 HC CREATINE KINASE, MB $161.00 HC CREATINE, MB FRACTION - CKMB $161.00 HC ASSAY OF CREATININE - CREATININE SERUM $36.50 HC ASSAY OF CREATININE - POCT CREATININE SERUM $36.50 HC ASSAY OF URINE CREATININE - BUNDLED CHARGE $48.75 HC ASSAY OF URINE CREATININE - CREATININE BODY FLUID $48.75 HC ASSAY OF URINE CREATININE - CREATININE RANDOM URINE $48.75 HC ASSAY OF URINE CREATININE - CREATININE, URINE, 24 HOUR $48.75 HC CREATININE CLEARANCE TEST - CREATININE CLEARANCE, URINE $81.75 HC ASSAY OF CRYOFIBRINOGEN - CRYOFIBRINOGEN $58.00 HC ASSAY OF CRYOGLOBULIN - CRYOGLOBULIN $34.59 HC ASSAY OF CYANIDE - CYANIDE LEVEL $80.75 HC VITAMIN B-12 - VITAMIN B12 $90.00 HC CYSTATIN C, SERUM $106.50 HC DEHYDROEPIANDROSTERONE - DHEA $68.00 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE $58.75 HC DESOXYCORTICOSTERONE - DEOXYCORTICOSTERONE $110.96 HC DEOXYCORTISOL - 11-DEOXYCORTISOL $72.00 HC 5-A-DIHYDROTESTOSTERONE (DHT) $73.00 HC ASSAY, DIHYDROXYVITAMIN D W/FRACTIONS, IF PERFORMED - VITAMIN D 1 $73.50 HC PANCREATIC ELASTASE, FECAL, QUAL/SEMI-QUANT - PANCREATIC ELASTASE $178.00 HC ENZYME CELL ACTIVITY $96.60 HC ENZYME CELL ACTIVITY - LYSOSOMAL ACID LIPASE ACTIVITY $96.60 HC ENZYME CELL ACTIVITY - THIOPURINE METHYLTRANSFERASE, RBC $96.60 HC ENZYME CELL ACTIVITY RA $736.00 HC ELECTROPHORETIC TEST - CHYLOMICRON SCREEN, BODY FLUID $111.00 HC ASSAY OF ERYTHROPOIETIN - ERYTHROPOIETIN $98.00 HC ASSAY OF ESTRADIOL - ESTRADIOL $112.25 HC ASSAY OF ESTROGENS - ESTROGENS, FRACTIONATED $87.00 HC ASSAY OF ESTRIOL - ADDITIONAL CHARGE $40.00 HC ASSAY OF ESTRONE - ESTRONE $79.50 HC ASSAY OF ETHYLENE GLYCOL - ETHYLENE GLYCOL $70.00 HC FATS/LIPIDS, FECES, QUALITATIVE - FECAL FAT QUALITATIVE $80.00 HC FATS/LIPIDS, FECES, QUANTITATIVE - FECAL FAT QUANTITATIVE $107.75 HC ASSAY OF BLOOD FATTY ACIDS - FATTY ACIDS, FREE $84.00 HC LONG CHAIN FATTY ACIDS - FATTY ACIDS PROFILE, PEROXISOMAL $161.00 HC LONG CHAIN FATTY ACIDS - FATTY ACIDS, LONG CHAIN $145.00 HC ASSAY OF FERRITIN - FERRITIN $75.75 HC ASSAY OF FETAL FIBRONECTIN - FETAL FIBRONECTIN $465.50 HC BLOOD FOLIC ACID SERUM - FOLATE $99.00 HC ASSAY OF FOLIC ACID, RBC - FOLATE RBC $103.50 HC ￿ASSAY GALACTOSE TRANSFERASE, GALACTOSEMIA (GALT) ENZYM ACT W/9 MUT. $122.00 HC ASSAY GALACTOSE TRANSFERASE - GALACTOSE-1-PHOSPHATE TRANSFERASE $122.00 HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGA $51.70 HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGA CSF $51.70 HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGD $51.70 HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGG $51.70 HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGG CSF $51.70 HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGM $51.70 HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGM CSF $51.70 HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IMMUNOGLOBULINS $51.70 HC ASSAY OF GAMMAGLOBULIN IGE - IMMUNOGLOBULIN IGE $76.00 HC IGG1, 2, 3 OR 4, EACH - IGG 1 $41.00 HC IGG1, 2, 3 OR 4, EACH - IGG 2 $40.00 HC IGG1, 2, 3 OR 4, EACH - IGG 3 $40.00 HC IGG1, 2, 3 OR 4, EACH - IGG 4 $40.00 HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS ARTERIAL $130.35 HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS CAPILLARY $130.35 HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS CORD ARTERIAL $252.50 HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS VENOUS $130.35 HC BLOOD GASES: PH, PO2 & PCO2 - POCT ARTERIAL BLOOD GAS $130.35 HC BLOOD GASES: PH, PO2 & PCO2 - POCT CAPILLARY BLOOD GAS $130.35 HC BLOOD GASES: PH, PO2 & PCO2 - POCT VENOUS BLOOD GAS $130.35 HC BLOOD GASES, O2 SAT ONLY - OXYGEN SATURATION, VENOUS $62.00 HC HEMOGLOBIN-OXYGEN AFFINITY - HEMOGLOBIN-OXYGEN AFFINITY $853.00 HC ASSAY OF GASTRIN - GASTRIN $67.25 HC ASSAY OF GLUCAGON - GLUCAGON $68.50 HC ASSAY GLUCOSE, BODY FLUID - GLUCOSE 24 HOUR URINE $115.75 HC ASSAY GLUCOSE, BODY FLUID - GLUCOSE BODY FLUID $72.00 HC ASSAY GLUCOSE, BODY FLUID - GLUCOSE CSF $72.00 HC ASSAY GLUCOSE, BODY FLUID - GLUCOSE URINE RANDOM $75.25 HC ASSAY GLUCOSE, BODY FLUID - REDUCING SUBSTANCES STOOL $72.00 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - 2 HR PP $96.00 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE FASTING $80.75 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE RANDOM $80.75 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GTT FASTING $34.00 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - POCT GLUCOMETER $75.25 HC GLUCOSE TEST - GTT 1 HOUR $80.75 HC GLUCOSE TOLERANCE TEST (GTT) - BUNDLED CHARGE $79.50 HC GLUCOSE TOLERANCE TEST (GTT) - GTT 2 HOUR $79.50 HC GTT-ADDED SAMPLES - BUNDLED CHARGE $31.50 HC GTT-ADDED SAMPLES - GTT 3 HOUR $31.50 HC ASSAY OF G6PD ENZYME - GLUCOSE 6 PHOSPHATE DEHYDROGENASE $53.85 HC GLUCOSE, ACCUCHECK POC $40.25 HC GLUCOSE, WHOLE BLOOD $40.25 HC ASSAY OF GGT - GAMMA GT $57.50 HC ASSAY OF GGT - POCT GAMMA GLUTAMYL TRANSFERASE (GGT) $58.00 HC ASSAY OF GLUTATHIONE $79.20 HC GLYCATED PROTEIN - ALBUMIN, GLYCATED $76.00 HC GLYCATED PROTEIN - ALPHA-1-ACID GLYCOPROTEIN $102.00 HC GLYCATED PROTEIN - FRUCTOSAMINE $56.75 HC GONADOTROPIN (FSH) - FSH $191.75 HC GONADOTROPIN (LH) - LUTEINIZING HORMONE $251.00 HC ASSAY GROWTH HORMONE (HGH) - GROWTH HORMONE $101.75 HC ASSAY OF HAPTOGLOBIN, QUANT - HAPTOGLOBIN $57.00 HC H. PYLORI;BREATH TEST, NON-ISOTOPE - H PYLORI BREATH TEST $130.00 HC QUANTITATIVE SCREEN, METALS - BISMUTH, BLOOD $122.05 HC QUANTITATIVE SCREEN, METALS - COBALT $122.05 HC QUANTITATIVE SCREEN, METALS - IODINE, SERUM $122.05 HC QUANTITATIVE SCREEN, METALS - IODINE, URINE $122.05 HC QUANTITATIVE SCREEN, METALS - THALLIUM, SERUM $122.05 HC HEMOGLOBIN ELECTROPHORESIS - HEMOGLOBIN ELECTROPHORESIS $71.50 HC HEMOGLOBIN CHROMOTOGRAPHY - HEMOGLOBIN,FETAL $100.30 HC HEMOGLOBIN CHROMOTOGRAPHY - HEMOGLOBINOPATHY EVAL $100.30 HC FETAL HEMOGLOBIN, QUALITATIVE $40.00 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C $73.75 HC GLYCOSYLATED HEMOGLOBIN TEST - POCT GLYCATED HEMOGLOBIN, TOTAL $73.75 HC GLYCOSYLATED HEMOGLOBIN, HOME DEVICE - POCT GLYCOSYLATED HEMOGLOBIN $35.00 HC BLOOD METHEMOGLOBIN, QUANT - METHEMOGLOBIN $41.00 HC ASSAY OF PLASMA HEMOGLOBIN - HEMOGLOBIN PLASMA $35.00 HC BLOOD SULFHEMOGLOBIN ASSAY - SULFHEMOGLOBIN $45.95 HC ASSAY OF URINE HEMOGLOBIN - HEMOGLOBIN (BODY FLUID) $40.00 HC ASSAY OF B HEXOSAMINIDASE - HEXOSIMIDASE A & TOTAL $93.70 HC ASSAY OF B HEXOSAMINIDASE - TAY-SACHS SCREEN $93.70 HC ASSAY OF HISTAMINE - HISTAMINE $164.05 HC ASSAY OF HISTAMINE - HISTAMINE URINE $164.05 HC ASSAY OF HISTAMINE - HISTAMINE WHOLE BLOOD $168.00 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE TOTAL $93.70 HC ASSAY OF FOR HVA - HOMOVANILLIC ACID URINE $112.05 HC ASSAY OF CORTICOSTEROIDS - 17 OH CORTICOSTEROIDS $97.35 HC ASSAY OF 5-HIAA - 5 HIAA QUANT,24HR URINE $71.65 HC ASSAY OF PROGESTERONE 17-D - 17-HYDROXYPROGESTERONE $150.95 HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP $64.05 HC IMMUNOASSAY NONANTIBODY - ACETYCHOLINE BLOCKING AB-R $64.05 HC IMMUNOASSAY NONANTIBODY - ACETYLCHOLINE RECEPTOR MODULATING A $64.05 HC IMMUNOASSAY NONANTIBODY - AMPHIPHYSIN AB IGG $64.05 HC IMMUNOASSAY NONANTIBODY - ANALYTE OTHER THAN INFECTIOUS AGENT $64.05 HC IMMUNOASSAY NONANTIBODY - ANTI-MITOCHONDRIAL FACTOR $64.05 HC IMMUNOASSAY NONANTIBODY - ANTI-SMOOTH MUSCLE ANTIBODY, IGG $64.05 HC IMMUNOASSAY NONANTIBODY - AQUAPORIN-4 RECEPTOR AB $64.05 HC IMMUNOASSAY NONANTIBODY - CHROMATIN AB IGG $64.05 HC IMMUNOASSAY NONANTIBODY - DEAMIDATED GLIADIN PEPTIDE (DGP) $64.05 HC IMMUNOASSAY NONANTIBODY - DESMOGLEIN 1 AB $64.05 HC IMMUNOASSAY NONANTIBODY - DESMOGLEIN 3 AB $64.05 HC IMMUNOASSAY NONANTIBODY - GANGLIOSIDE AB, IGG OR IGM $64.05 HC IMMUNOASSAY NONANTIBODY - GASTRIC PARIETAL CELL AB, IGG $64.05 HC IMMUNOASSAY NONANTIBODY - GLIADIN ANTIBODY IGA $64.05 HC IMMUNOASSAY NONANTIBODY - GLIADIN ANTIBODY IGG $64.05 HC IMMUNOASSAY NONANTIBODY - GLOMERULAR BASEMENT MEMB AB, IGG BY $64.05 HC IMMUNOASSAY NONANTIBODY - HISTONE AB, IGG $64.05 HC IMMUNOASSAY NONANTIBODY - MITOCHONDRIAL ANTIBODIES, M2 $84.00 HC IMMUNOASSAY NONANTIBODY - MYELIN ASSOC GLYCOPRO (MAG) AB, IGM $64.05 HC IMMUNOASSAY NONANTIBODY - MYELOPEROXIDASE ANTIBODY $64.05 HC IMMUNOASSAY NONANTIBODY - NEURONAL NUCLEAR AB, IGG $64.05 HC IMMUNOASSAY NONANTIBODY - PEMPH $124.00 HC IMMUNOASSAY NONANTIBODY - PM/SCL-100 AB, IGG WITH RFLX TO ANA $64.05 HC IMMUNOASSAY NONANTIBODY - PR3(C-ANCA)SCREEN-R $64.05 HC IMMUNOASSAY NONANTIBODY - QUALITATIVE OR SEMIQUANT $64.05 HC IMMUNOASSAY NONANTIBODY - RIBOSOMAL P PROTEIN AB $64.05 HC IMMUNOASSAY NONANTIBODY - RNA POLYMERASE III AB, IGG $64.05 HC IMMUNOASSAY NONANTIBODY - SGPG ANTIBODY IGM $64.05 HC IMMUNOASSAY NONANTIBODY - SIGNAL RECOG PARTICLE (SRP) AB $84.00 HC IMMUNOASSAY NONANTIBODY - SOLUBLE LIVER ANTIGEN AB, IGG $64.05 HC IMMUNOASSAY NONANTIBODY - TISSUE TRANSGLUTAMINASE AB, IGG $64.05 HC IMMUNOASSAY NONANTIBODY - TISSUE TRANSGLUTAMINASE, IGA $64.05 HC RIA NONANTIBODY - 21-HYDROXYLASE AB; $92.00 HC RIA NONANTIBODY - ACETYLCHOLINE RECEPTOR BINDING AB $92.00 HC RIA NONANTIBODY - IGF BINDING PROTEIN-1 $92.00 HC RIA NONANTIBODY - PANCREATIC POLYPEPTIDE $92.00 HC RIA NONANTIBODY - PTH-RELATED PEPTIDE $92.00 HC RIA NONANTIBODY - THYROXINE AB $92.00 HC RIA NONANTIBODY - TRYPSIN-LIKE IMMUNOREACTIVITY $92.00 HC RIA NONANTIBODY - VOLTAGE GATED CALCIUM CHANNEL VGCC AB $92.00 HC RIA NONANTIBODY - VOLTAGE GATED POT CH AB (VGKC AB) $92.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - ADAMTS13 AB $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - ADAMTS13 ANTIBODY (BCW #1299) $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - ADIPONECTIN $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - ADMARK PHOSPHO TAU TOTAL TAU A BETA42 $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - ALPHA-SUBUNIT, PITUITARY GLYCOPROTEIN $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - ANTI-MULLERIAN HORMONE $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - AT1R ANTIBODY $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - B-TYPE NATRURETIC PEPTIDE $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - FIBROBLAST GROWTH FACT 23 PLASMA $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - GRANULOCYTE MACROPHAGE COLONY STIM $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - HUMAN ANTI-MOUSE AB(HAMA) $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - IGA STACHY CHAR $48.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - INHIBIN B $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - INSULIN-LIKE GROWTH FACTOR 2 IGF-2 $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - INTERFERON GAMMA $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - INTERFERON-ALPHA, SER $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - INTERLEUKIN 2 $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - INTERLEUKIN 2 RECEPTOR (CD25), SOLUBLE $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - INTERLEUKIN 5 $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - INTERLEUKIN 6 $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - LEPTIN $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - NEURON SPECIFIC ENOLASE $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - NEURON SPECIFIC ENOLASE, CSF $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - PACREATIC ELASTASE FECAL $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - SOLUBLE IL-2R SIL2R $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - STACHYBOTHRYS CHARTARUM $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - (TRAB) $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - TUMOR NECROSIS FACTOR - ALPHA $95.00 HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS - VON WILLEBRAND FACTOR AG BCW 1282 $128.00 HC IMMUNOASSAY QUANT NOS NONAB - TRYPTASE $95.00 HC ASSAY OF INSULIN,TOTAL $63.50 HC ASSAY OF IRON - IRON $35.95 HC ASSAY OF IRON - IRON,LIVER TISSUE $35.95 HC IRON BINDING TEST - IRON AND IRON BINDING CAPACITY PANEL - SR OR PL $57.00 HC ASSAY 17-(17-KS)KETOSTEROIDS - 17 KETOSTEROIDS,24HR URINE $71.10 HC ASSAY OF LACTIC ACID - LACTATE $59.35 HC ASSAY OF LACTIC ACID - LACTATE CSF $59.35 HC ASSAY OF LACTIC ACID - LACTIC ACID, ARTERIAL, WHOLE BLOOD $59.35 HC ASSAY OF LACTIC ACID - POCT LACTIC ACID (LACTATE) $59.35 HC LACTATE (LD) (LDH) ENZYME - LACTATE DEHYDROGENASE $47.00 HC LACTATE (LD) (LDH) ENZYME - LACTATE DEHYDROGENASE FL $41.75 HC LACTATE (LD) (LDH) ENZYME - LACTATE DEHYDROGENASE, CSF $47.00 HC ASSAY OF LDH ISOENZYMES - LACTATE DEHYDROGENASE ISOENZMS $71.10 HC LACTOFERRIN FECAL $72.00 HC HUMAN PLACENTAL LACTOGEN $198.00 HC ASSAY OF LEAD - LEAD BLOOD $63.00 HC ASSAY OF LEAD - LEAD URINE $63.00 HC ASSAY OF LEAD - LEAD, CAPILLARY BLOOD $63.00 HC ASSAY OF LIPASE - LIPASE $71.50 HC ASSAY OF LIPASE - LIPASE BODY FLUID $50.25 HC LIPOPROTEIN A $71.95 HC LIPOPRO BLOOD, ELECTROPHOR/ QUANT - LIPOPROTEIN ELECTROPHORESIS $62.55 HC ASSAY OF BLOOD LIPOPROTEIN,HDL CHOLEST - HDL CHOLESTEROL $121.25 HC ASSAY OF BLOOD LIPOPROTEIN,LDL CHOLEST - LDL CHOLESTEROL DIRECT $53.00 HC ASSAY OF MAGNESIUM - MAGNESIUM $145.25 HC ASSAY OF MAGNESIUM - MAGNESIUM 24HR URINE $145.25 HC ASSAY OF MAGNESIUM - MAGNESIUM URINE $145.25 HC ASSAY OF MANGANESE - MANGANESE $136.65 HC ASSAY OF MANGANESE - MANGANESE, WHOLE BLOOD $136.65 HC MASS SPECTROMETRY QUAL/QUAN $120.55 HC MASS SPECTROMETRY QUAL/QUAN - CARNITINE, TOTAL $120.55 HC ASSAY OF MERCURY - HEAVY METALS, BLOOD $90.30 HC ASSAY OF MERCURY - MERCURY URINE, RANDOM $90.30 HC ASSAY OF MERCURY - MERCURY, BLOOD $90.30 HC ASSAY OF METANEPHRINES - METANEPHRINES PLASMA $94.10 HC ASSAY OF METANEPHRINES - METANEPHRINES URINE $94.10 HC MUCOPOLYSACCHARIDES - MUCOPOLYSACCHARIDES SCREEN $142.50 HC MUCOPOLYSACCHARIDES - MUCOPOLYSACCHARIDES, QUANTITATIVE $142.50 HC MYELIN BASIC PROTEIN,CSF - MYELIN BASIC PROTEIN CSF $109.00 HC ASSAY OF MYOGLOBIN - MYOGLOBIN SERUM $71.50 HC ASSAY OF MYOGLOBIN - MYOGLOBIN URINE QUANTITATIVE $76.50 HC NATRIURETIC PEPTIDE - B-TYPE NATRIURETIC PEPTIDE (BNP) $117.00 HC NEPHELOMETRY, NOT SPECIFIED $75.55 HC NEPHELOMETRY, NOT SPECIFIED - KAPPA / LAMBDA LIGHT CHAINS, URINE $75.55 HC NEPHELOMETRY, NOT SPECIFIED - RETINOL BINDING PROTEIN $75.55 HC ASSAY OF NICKEL - NICKEL SERUM $121.85 HC ASSAY OF NICKEL - NICKEL URINE RANDOM $72.25 HC 5' NUCLEOTIDASE $65.00 HC OLIGOCLONAL IMMUNOGLOBULIN - OLIGOCLONAL BANDING $51.00 HC ASSAY ORGANIC ACIDS QUANTITATIVE - ORGANIC ACIDS PLASMA/SERUM $153.00 HC ASSAY ORGANIC ACIDS QUANTITATIVE - ORGANIC ACIDS URINE $153.00 HC ASSAY ORGANIC ACIDS QUALITATIVE - ORGANIC ACID ANALYSIS $153.00 HC ASSAY SNGL ORGANIC ACID, QUANTITATIVE - METHYLMALONIC ACID, SERUM $66.00 HC ASSAY SNGL ORGANIC ACID, QUANTITATIVE - METHYLMALONIC ACID, URINE $66.00 HC ASSAY OF BLOOD OSMOLALITY - OSMOLALITY $113.50 HC ASSAY OF URINE OSMOLALITY - OSMOLALITY URINE $113.50 HC ASSAY OF OSTEOCALCIN - OSTEOCALCIN $116.25 HC ASSAY OF OXALATE $72.25 HC ASSAY OF OXALATE - 24 HR URINE $72.25 HC ONCOPROTEIN,HER-2/NEU - HER-2/NEU, SERUM $214.00 HC ONCOPROTEIN DES-GAMMA-CARBOXY $186.00 HC ASSAY OF PARATHORMONE - PTH INTACT $180.25 HC PH BODY FLUID NOS - PH 24 HOUR URINE $26.25 HC PH BODY FLUID NOS - PH BODY FLUID $26.25 HC PH BODY FLUID NOS - POCT VAGINAL PH $26.25 HC CALPROTECTIN, FECAL $226.50 HC ASSAY OF BLOOD PKU - PHENYLALANINE $57.75 HC ASSAY PHOSPHATASE ACID, TOTAL - ACID PHOSPHATASE, TOTAL $41.05 HC ASSAY PHOSPHATASE ACID PROSTATIC - PROSTATIC ACID PHOSPHATASE $53.65 HC ASSAY ALKAL PHOSPHATASE - ALKALINE PHOSPHATASE $52.25 HC ASSAY ALKAL PHOSPHATASE,ISOENZYMES - ALKALINE PHOSPHATASE,ISOENZYMES $82.15 HC ASSAY OF INORGANIC PHOSPHORUS - PHOSPHORUS $53.75 HC ASSAY OF URINE PHOSPHORUS - PHOSPHORUS RANDOM URINE $28.90 HC ASSAY OF URINE PHOSPHORUS - PHOSPHORUS TIMED URINE $28.90 HC ASSAY OF PORPHOBILINOGEN $71.00 HC ASSAY OF URINE PORPHYRINS $67.25 HC PORPHYRINS, FECAL $167.75 HC ASSAY OF SERUM POTASSIUM - POTASSIUM $123.00 HC ASSAY OF SERUM POTASSIUM - POTASSIUM BODY FLUID $123.00 HC ASSAY OF URINE POTASSIUM - POTASSIUM 24 HOUR URINE $23.95 HC ASSAY OF URINE POTASSIUM - POTASSIUM BODY FLUID $23.95 HC ASSAY OF URINE POTASSIUM - POTASSIUM RANDOM URINE $19.00 HC ASSAY OF PREALBUMIN - PREALBUMIN $189.25 HC ASSAY OF 17-HYDROXYPREGNENOLONE - 17-HYDROXYPREGNENOLONE $126.70 HC ASSAY OF PROGESTERONE - PROGESTERONE $95.75 HC PROCALCITONIN $148.85 HC ASSAY OF PROLACTIN - MONOMERIC PROLACTIN $83.75 HC ASSAY OF PROLACTIN - PROLACTIN $83.75 HC ASSAY OF PROLACTIN - PROLACTIN MACROADENOMA $83.75 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - DIAGNOSTIC $170.25 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA, ULTRASENSITIVE $170.25 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - TOTAL $170.25 HC PROSTATE SPECIFIC ANTIGEN, FREE $34.00 HC PROTEIN TOT XCPT REFRACTOMETRY SERUM - PROTEIN TOTAL $75.50 HC PROTEIN TOT XCPT REFRACTOMETRY URINE $20.35 HC PROTEIN TOT XCPT REFRACTOMETRY URINE - PROTEIN 24 HOUR URINE $20.35 HC PROTEIN TOT XCPT REFRACTOMETRY URINE - PROTEIN RANDOM URINE $20.35 HC PROTEIN TOT XCPT REFRACTOMETRY URINE - PROTEIN TIMED URINE $20.35 HC PROTEIN TOT XCPT REFRACTOMETRY OTH SRC - DIALYSATE $75.50 HC PROTEIN TOT XCPT REFRACTOMETRY OTH SRC - PROTEIN BODY FLUID $75.50 HC PROTEIN TOT XCPT REFRACTOMETRY OTH SRC - PROTEIN CSF $75.50 HC PROTEIN E-PHORESIS, SERUM - PROTEIN ELECTROPHORESIS SERUM $59.65 HC PROTEIN E-PHORESIS/URINE/CSF - PROTEIN ELECTROPHORESIS URINE $99.05 HC PROTEIN, WESTERN BLOT TEST, W BAND ID $192.50 HC PROTEIN, WESTERN BLOT TEST, W BAND ID - ANTI RETINAL ANTIBODIES $192.50 HC PROTEIN, WESTERN BLOT TEST, W BAND ID - ANTIRETINAL ANTIBODY $192.50 HC PROTEIN, WESTERN BLOT TEST, W BAND ID - HEAT SHOCK PROTEIN 70, IGG $245.00 HC PROTEIN, WESTERN BLOT TEST, W BAND ID - RECOMBX MATA AB $686.00 HC PROTEIN, WESTERN BLOT TEST, W BAND ID - TA ANTIBODY-R $192.50 HC ASSAY RBC PROTOPORPHYRIN - ERYTHROCYTE PORPHYRIN $88.00 HC ASSAY OF PROINSULIN - PROINSULIN $123.75 HC ASSAY OF VITAMIN B-6 - VITAMIN B6 $63.75 HC ASSAY OF PYRUVATE - PYRUVIC ACID $72.40 HC ASSAY OF PYRUVATE - PYRUVIC ACID CSF $72.40 HC ASSAY OF PYRUVATE KINASE - PYRUVATE KINASE $52.45 HC ASSAY, NON-ENDOCRINE RECEPTOR - ACETYLCHOLINE RECEPTOR, BINDING $68.00 HC ASSAY OF RENIN - RENIN DIRECT ASSAY $140.75 HC ASSAY OF VITAMIN B-2 - VITAMIN B2 $112.45 HC ASSAY OF SELENIUM - SELENIUM SERUM $65.00 HC ASSAY OF SELENIUM - SELENIUM URINE $65.00 HC ASSAY OF SEROTONIN - SEROTONIN SERUM $87.00 HC ASSAY OF SEROTONIN - SEROTONIN WHOLE BLOOD $156.50 HC ASSAY OF SEX HORMONE BINDING GLOBULIN - SEX HORMONE BINDING GLOBULIN $57.00 HC ASSAY OF SILICA - SILICON, SERUM $139.00 HC ASSAY OF SERUM SODIUM - SODIUM $86.50 HC ASSAY OF URINE SODIUM - SODIUM 24 HOUR URINE $27.00 HC ASSAY OF URINE SODIUM - SODIUM RANDOM URINE $27.00 HC ASSAY OF URINE SODIUM - SODIUM TIMED URINE $27.00 HC ASSAY OF SODIUM, OTHER SOURCE - SODIUM BODY FLUID $27.00 HC ASSAY OF SODIUM, OTHER SOURCE - SODIUM STOOL $27.00 HC ASSAY OF SOMATOMEDIN - INSULIN-LIKE GROWTH FACTOR $112.75 HC ASSAY OF SOMATOMEDIN - INSULIN-LIKE GROWTH FACTOR W CALCULATED Z-SCORE $112.75 HC ASSAY OF SOMATOSTATIN - SOMATOSTATIN $101.55 HC SPECTROPHOTOMETRY - ADENOSINE DEAMINASE, PERITONEAL FLUID $40.50 HC SPECTROPHOTOMETRY - ADENOSINE DEAMINASE, PLEURAL FLUID $40.50 HC SPECTROPHOTOMETRY - CHYMOTRYPSIN, FECAL $40.50 HC SPECTROPHOTOMETRY - PORPHYRIN TOTAL $40.50 HC SPECTROPHOTOMETRY - PORPHYRIN TOTAL W RFLX TO PORPHYRINS FRACTIONATION, PLAS $40.50 HC SPECTROPHOTOMETRY -ADENOSINE DEAMINASE, CSF $40.50 HC SUGARS SINGLE QUANTITATIVE, EACH SPECIMEN $54.90 HC ASSAY OF URINE SULFATE - SULFATE, URINE $30.50 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE $141.50 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE, ADULT MALE $141.50 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE, ADULT MALE ED/LC-MS/MS $141.50 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE, FEMALES OR CHILDREN $141.50 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE $84.00 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE, ADULT MALE $84.00 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE, FEMALES OR CHILDREN $84.00 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE, LC-MS/MS, MALES $84.00 HC ASSAY OF VITAMIN B-1 - VITAMIN B1, PLASMA $63.00 HC ASSAY OF VITAMIN B-1 - VITAMIN B1, WHOLE BLOOD $63.00 HC ASSAY OF THIOCYANATE - THIOCYANATE, SERUM $73.50 HC ASSAY OF THYROGLOBULIN - THYROGLOBULIN $89.20 HC ASSAY OF THYROGLOBULIN - THYROGLOBULIN, FINE NEEDLE ASPIRATION (FNA) $89.20 HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE) $50.25 HC ASSAY OF FREE THYROXINE - T4 FREE $84.00 HC ASSAY OF FREE THYROXINE - T4 FREE BY EQUILIBRIUM DIALYSIS $84.00 HC ASSAY OF THYROXINE BNDNG GLOBULIN - THYROXINE BINDING GLOBULIN $82.15 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE $82.25 HC ASSAY OF THYROID STIM IMMUNOGLOBULINS (TSI) - THYROID STIMULATING IM $120.00 HC ASSAY OF VITAMIN E - VITAMIN E (TOCOPHEROL) $78.75 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT) $51.75 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) $51.75 HC ASSAY OF TRANSFERRIN - TRANSFERRIN $190.75 HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES $121.25 HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES BODY FLUID $111.50 HC THYROID HORM UPTAKE/THYR HORM BINDING RATIO - T3 UPTAKE $57.50 HC TRIIODOTHYRONINE TOTAL ASSAY, TT-3 - T3 (THYROID HORMONE) $263.75 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE $94.10 HC TRIIODOTHYRONINE T3 REVERSE - T3 REVERSE $72.25 HC ASSAY OF TROPONIN, QUANT - TROPONIN I $95.00 HC ASSAY TYROSINE - TYROSINE $57.80 HC ASSAY UREA NITROGEN, QUAN - BLOOD UREA NITROGEN $33.50 HC ASSAY UREA NITROGEN, QUAN - POST-DIALYSIS BUN (BLOOD UREA NITROGEN) $33.50 HC ASSAY UREA NITROGEN, QUAN - PRE-DIALYSIS BUN (BLOOD UREA NITROGEN) $33.50 HC ASSAY UREA NITROGEN, QUAN - UREA NITROGEN, BODY FLUID $33.50 HC ASSAY URINE UREA-N - UREA NITROGEN TIMED URINE $47.25 HC ASSAY URINE UREA-N - UREA NITROGEN, URINE $43.00 HC ASSAY OF URIC ACID, BLOOD - URIC ACID $37.25 HC ASSAY OF URIC ACID, BLOOD, OTHER SOURCE - URIC ACID, RANDOM URINE $37.25 HC ASSAY OF URIC ACID, BLOOD, OTHER SOURCE - URIC ACID, URINE $37.25 HC ASSAY OF URIC ACID, BLOOD, OTHER SOURCE - URIC ACID, URINE, 24 HOUR $37.25 HC ASSAY OF URINE VMA - VMA, URINE $66.25 HC ASSAY OF VIP - VASOACTIVE INTESTINAL PEPTIDE (VIP) $78.50 HC ASSAY OF VASOPRESSIN - ARGININE VASOPRESSIN HORMONE $74.00 HC ASSAY OF VITAMIN A - VITAMIN A $62.50 HC ASSAY OF NOS VITAMIN - BIOTIN (VITAMIN B7) $85.30 HC ASSAY OF NOS VITAMIN - NIACIN (VITAMIN B3) $85.30 HC ASSAY OF NOS VITAMIN - PANTOTHENIC ACID (VITAMIN B5) $85.30 HC ASSAY OF VITAMIN K - VITAMIN K $76.20 HC ASSAY OF VOLATILES - VOLATILE COMPOUNDS $199.75 HC ASSAY OF ZINC - ZINC $63.25 HC ASSAY OF ZINC - ZINC, SERUM OR PLASMA $63.25 HC ASSAY OF ZINC - ZINC, WHOLE BLOOD $63.25 HC ASSAY OF C-PEPTIDE - C-PEPTIDE $224.25 HC CHORIONIC GONADOTROPIN, QUANT - HCG (TUMOR MARKER) CSF $83.65 HC CHORIONIC GONADOTROPIN, QUANT - HCG MATERNAL $83.65 HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD $83.65 HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE SERUM $37.75 HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE URINE $37.75 HC CHORIONIC GONADOTROPIN, QUAL - POC HCG QUALITATIVE CLINITEK $37.75 HC CLINICAL CHEMISTRY TEST - OSMOLALITY, FECAL $180.00 HC CLINICAL CHEMISTRY TEST - POTASSIUM, STOOL $180.00 HC BLEEDING TIME TEST - BLEEDING TIME $75.50 HC BLOOD SMEAR,MICRO EXAM,MANUAL DIFF WBC - MANUAL DIFFERENTIAL $45.50 HC MICROHEMATOCRIT SPUN $73.50 HC HEMATOCRIT - HEMATOCRIT $73.50 HC HEMATOCRIT - HEMATOCRIT (BODY FLUID) $73.50 HC HEMATOCRIT - POCT HEMATOCRIT $73.50 HC HEMOGLOBIN - FREE HEMOGLOBIN PLASMA $25.50 HC HEMOGLOBIN - HEMOGLOBIN $25.50 HC HEMOGLOBIN - POCT HEMOGLOBIN $25.50 HC HEMOGLOBIN - TOTAL HEMOGLOBIN $25.50 HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE $68.75 HC COMPLETE CBC - CBC $41.00 HC RETICULOCYTE COUNT, AUTO, W CELL PARAM - HEMOGLOBIN (PG) IN RETIC $39.00 HC LEUKOCYTE (WBC) COUNT - EOSINOPHIL COUNT $27.75 HC LEUKOCYTE (WBC) COUNT - WHITE BLOOD COUNT AND DIFFERENTIAL $27.75 HC PLATELET COUNT - PLATELET COUNT $38.50 HC IMMATURE PLATELET FRACTION $86.75 HC BLOOD SMEAR INTERPRETATION - LAB BLOOD SMEAR INTERPRETATION $236.00 HC BONE MARROW,SMEAR INTERPRETATION - BONE MARROW CELL DIFFERENTIAL $541.00 HC CLOT RETRACTION $51.50 HC CLOT FACTOR II PROTHROM SPEC - FACTOR 2 ACTIVITY $96.75 HC BLOOC CLOT FACTOR V TEST - FACTOR 5 ACTIVITY $316.50 HC CLOT FACTOR VII PROCONVERTIN - FACTOR 7 ACTIVITY $301.75 HC CLOT FACTOR VIII AHG 1 STAGE - FACTOR 8 ACTIVITY $264.00 HC CLOT FACTOR VIII VW RISTOCTN - FACTOR VIII RISTOCETIN COFACTR $317.75 HC CLOT FACTOR VIII VW ANTIGEN - FACTOR 8 CARRIER PANEL $127.45 HC CLOT FACTOR VIII VW ANTIGEN - VON WILLEBRAND ANTIGEN $127.45 HC CLOT FACTOR VIII VW ANTIGEN - VON WILLEBRAND FACTOR COLLAGEN BINDING $127.45 HC VON WILLEBRAND FACTOR QUANTITATIVE MULTIMERS $193.00 HC CLOT FACTOR IX PTC/CHRSTMAS - FACTOR 9 ACTIVITY $218.75 HC CLOT FACTOR X STUART-POWER - FACTOR 10 ACTIVITY $99.45 HC CLOT FACTOR XI PTA - FACTOR 11 ACTIVITY $205.00 HC CLOT FACTOR XII HAGEMAN - FACTOR 12 ACTIVITY $309.25 HC CLOT FACTOR XIII FIBRIN STAB - FACTOR 13 ACTIVITY $310.25 HC FACTOR XIII SCREENING $49.40 HC CLOT FACTOR FLETCHER FACT - PREKALLIKREIN FACTOR ACTIVITY $105.20 HC CLOT FACTOR WGHT KININOGEN - HIGH MOLECULAR WEIGHT KININOGEN $105.20 HC ANTITHROMBIN III TEST,ACTIV - ANTITHROMBIN III $267.50 HC CLOT INHIB PROTEIN C,ANTIGEN - PROTEIN C ANTIGEN TOTAL $235.25 HC CLOT INHIB PROTEIN C,ACTIV - PROTEIN C ACTIVITY $230.50 HC CLOT INHIB PROTEIN S,TOTAL - PROTEIN S ACTIVITY $64.50 HC CLOT INHIB PROTEIN S,TOTAL - PROTEIN S ANTIGEN TOTAL $64.50 HC CLOT INHIB PROTEIN S,FREE - PROTEIN S ANTIGEN FREE $85.15 HC ACTIVATED PROT C (APC) RESISTNCE ASSAY - APC RESISTANCE $80.00 HC FACTOR INHIBITOR TEST - ADAMTS13 INHIBITOR $71.50 HC FACTOR INHIBITOR TEST - FACTOR II INHIBITOR $71.50 HC FACTOR INHIBITOR TEST - FACTOR IX INHIBITOR $71.50 HC FACTOR INHIBITOR TEST - FACTOR V INHIBITOR $71.50 HC FACTOR INHIBITOR TEST - FACTOR VII INHIBITOR $71.50 HC FACTOR INHIBITOR TEST - FACTOR VIII INHIBITOR $71.50 HC FACTOR INHIBITOR TEST - FACTOR X INHIBITOR $71.50 HC FACTOR INHIBITOR TEST - FACTOR XI ACTIVITY $71.50 HC FACTOR INHIBITOR TEST - FACTOR XI INHIBITOR $71.50 HC COAGULATION TIME, ACTIVATED - ACTIVATED CLOTTING TIME $112.00 HC COAGULATION TIME, ACTIVATED - POCT ACTIVATED CLOTTING TIME $112.00 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - D-DIMER,QUANTITATIVE $197.25 HC FIBRINOGEN, ACTIVITY - FIBRINOGEN $48.60 HC FIBRINOGEN, ACTIVITY - FIBRINOGEN,QUANTITATIVE $48.60 HC FIBRINOGEN, ANTIGEN - FIBRINOGEN ANTIGEN $72.30 HC FIBRINOLYSIS $123.25 HC ADAMTS13 ACTIVITY $143.50 HC FIBRINOLYTIC ANTIPLASMIN - ALPHA-2 ANTIPLASMIN $42.80 HC FIBRINOLYTIC PLASMINOGEN,ACTIVTR - PLASMINOGEN ACTIVATOR INHIBITOR $95.50 HC FIBRINOLYTIC PLASMINOGEN - PLASMINOGEN ACTIVITY $78.50 HC HEINZ BODIES; DIRECT - HEINZ BODY STAIN $82.00 HC HEINZ BODIES; INDUCED - HEINZ BODIES, INDUCED $82.00 HC HEMOGLOBIN FETAL,ROSETTE - FETAL BLEED SCREEN $52.00 HC HEPARIN ASSAY - HEPARIN LEVEL $172.00 HC HEPARIN ASSAY - LOW MOLECULAR WGT HEPARIN $104.00 HC HEMOSIDERIN(IRON)STN $73.75 HC MURAMIDASE - LYSOZYME, SERUM $57.00 HC MURAMIDASE - LYSOZYME, URINE $57.00 HC RBC OSMOTIC FRAGILITY - OSMOTIC FRAGILITY RBC $138.50 HC RBG OSMOTIC FRAGILITY $74.20 HC BLOOD PLATELET AGGREGATION - ADP $188.75 HC BLOOD PLATELET AGGREGATION - ARACH ACID $188.75 HC BLOOD PLATELET AGGREGATION - COLLAGEN $188.75 HC BLOOD PLATELET AGGREGATION - EPINEPHRN $188.75 HC BLOOD PLATELET AGGREGATION - PFA 100 COLLAGEN/ADP $139.75 HC BLOOD PLATELET AGGREGATION - PFA 100 COLLAGEN/EPIN $139.75 HC BLOOD PLATELET AGGREGATION - REACTIVITY FOR ASPIRIN $139.75 HC BLOOD PLATELET AGGREGATION - RISTOCETIN $188.75 HC BLOOD PLATELET AGGREGATION - RTEG (HEPARINIZED) $115.50 HC BLOOD PLATELET AGGREGATION - RTEG (NON-HEPARINIZED) $139.75 HC PHOSPHOLIPID NEUTRALIZATION,PLATELET - PLATELET NEUTRALIZATION $168.25 HC STACLOT LUPUS ANTICOAGULANT $168.25 HC PROTHROMBIN TIME - PROTIME-INR $130.75 HC PROTHROMBIN TIME - PROTIME-POC INR I-STAT $130.75 HC PROTHROMBIN TEST,SUBSTI,FRACTN - EQUAL MIX,PT/INR $65.00 HC RUSSELL VIPER VENOM, DILUTED - DRVVT (DILUTE RUSSEL VV TIME) $53.20 HC RBC SED RATE, AUTO - SEDIMENTATION RATE, AUTOMATED $29.25 HC RBC SICKLE CELL TEST - SICKLE CELL SCREEN $69.75 HC THROMBIN TIME, PLASMA - THROMBIN TIME $101.75 HC THROMBOPLAS TIME PARTIAL - APTT $147.50 HC THROMBOPLAS TIME PARTIAL - HEPZYME $147.50 HC THROMBOPLAS TIME PARTIAL - TIME MIXING STUDY DIRECT $147.50 HC THROMBOPLAS TIME PART PLASMA FRAC - PTT MIXING STUDY $140.75 HC BLOOD VISCOSITY EXAMINATION - VISCOSITY, SERUM $55.00 HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FUNGI & MOLDS, ALTERNARIA TENUIS $64.00 HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, INSECTS & VENOM, YLW-FC HRT $86.00 HC ALLERGEN SPEC IGG QUANT,EACH - STACHYBOTRYS CHARTARUM/ATRA IGG $64.00 HC ALLERGEN SPEC IGE - ALLERGEN ALDER, SMOOTH IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN ALMONDS IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN ALMONDS IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN AMPICILLIN IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN ANCHOVY IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN APPLE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN APRICOT IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN ASH, WHITE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN ASPARAGUS IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN ASPEN IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS FUMAGATUS IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS FUMAGATUS IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS NIGER IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN AVOCADO IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BAHIA GRASS IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BANANA IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BARLEY IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BAYLEAF (LAUREL) IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BEAN, GREEN IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BEAN, LIMA IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BEAN, PINTO IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BEEF IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BERMUDA GRASS IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BIRCH IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BLACK BASS IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BLACK WALNUT IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BLACKBERRY IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BLUEBERRY IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BLUEGRASS IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BOTRYTIS CINEREA IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BRAZIL NUT IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BROCCOLI IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BROME, SMOOTH IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN BUMBLEBEE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CABBAGE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CANDIDA ALBICANS IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CANTALOUPE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CARROT IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CASEIN IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CASHEW IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CAT EPITHELLIUM IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CAT HAIR/DANDER,STAN $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CEDAR, MOUNTAIN IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CEDAR, RED IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CELERY IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CEPHALOSPORIUM ACRE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CHEESE, CHEDDAR IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CHICKEN, SERUM PROTEINS IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CHOCOLATE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CINNAMON IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CLADOSPORIUM HERBARUM IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CLAMS IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN COCKLEBUR IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN COCKROACH, AMERICAN IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN COCONUT IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CODFISH IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN COFFEE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CORN IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CRAB IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CRANBERRY IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CRAYFISH (FRESHWATER) IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CUCUMBER IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN CURVULARIA LUNATA IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN D FARINAE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN D PTERONYSSINUS $29.00 HC ALLERGEN SPEC IGE - ALLERGEN DILL IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN DOG DANDER $29.00 HC ALLERGEN SPEC IGE - ALLERGEN DRUG: AMOXICILLOYL IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN EGG WHITE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN EGG YOLK IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN EGG, WHOLE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN EGGPLANT IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN EPICOCCUM PURPURASCEN IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN EUCALYPTUS IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FIRE ANT (INVICTA) IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FLOUNDER IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: BASIL (OCIMUM BASILCUM) IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CATFISH $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CHICKPEA $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CILANTRO (CORIANDER) $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: COCHINEAL EXTRACT $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: FLAXSEED/LINSEED $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: GRAPEFRUIT $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: LOBSTER IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: MINT $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: OCTOPUS $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PEA (PISUM SATIVUM) IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PEAR $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PINE NUT, PIGNOLES $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PISTACHIO $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PUMPKIN $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: SQUID (LOLIGO SPP.) IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: STRAWBERRY IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: SWEET CHESTNUT $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: SWORDFISH $29.00 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: TILAPIA $29.00 HC ALLERGEN SPEC IGE - ALLERGEN GARLIC IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN GINGER IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN GLUTEN IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN GRAPE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN HACKBERRY IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN HADDOCK IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN HALIBUT IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN HAZELNUT/FILBERT IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN HELMINTHOSPORIUM SAT $29.00 HC ALLERGEN SPEC IGE - ALLERGEN HERRING IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN HONEY IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN HONEYBEE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, WHITE FACE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, YELLOW IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN HOUSE DUST: GREER IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN HOUSE DUST: HOLLISTER IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN INSECT: COCKROACH, GERMAN $29.00 HC ALLERGEN SPEC IGE - ALLERGEN JOHNSON GRASS IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN KIWI FRUIT IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN KOCHIA IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN LAMB IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN LAMB'S QUARTER IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN LEMON IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN LENTIL IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN LETTUCE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN LIME IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MACADAMIA NUT IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MACKEREL IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MALT IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MANGO IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MAPLE, BOX ELDER IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MARSHELDER, ROUGH IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MESQUITE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: ALTERNARIA ALTERNATA $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: FUSARIUM PROLIFERATUM $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: MUCOR RACEMOSUS IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: STEMPHYLIUM HERBARUM $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MILK IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MILK IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MILK, GOAT'S IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MIMOSA/ACACIA IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MITE: BLOMIA TROPICALIS $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MOUSE URINE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MUCOR IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MUGWORT IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MUSHROOM IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MUSSEL IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN MUSTARD IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN NETTLE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN NUTMEG IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN OAK DUST IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN OAK, LIVE/VIRGINIA IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN OAK,RED IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN OAT IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN OCCUPATIONAL: LATEX $29.00 HC ALLERGEN SPEC IGE - ALLERGEN ONION IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN ORANGE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN OREGANO IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN OYSTER IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN PAPAYA FOOD IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN PARSLEY IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN PEACH IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN PEANUT IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN PECAN NUT IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN PENICILLIN G IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN PENICILLIN V IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN PENICILLIUM IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, BLACK IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, CHILI IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, GREEN BELL IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN PERCH IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN PHOMA BETAE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN PIGWEED, ROUGH IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN PINEAPPLE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN PLUM IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN POPPY SEED IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN PORK IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN POTATO IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN POTATO, SWEET IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN PRIVET, COMMON IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN RAGWEED, FALSE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN RAGWEED, SHORT/COMMON IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN RAGWEED, WESTERN IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN RASPBERRY IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN REDTOP, BENTGRASS IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN RHIZOPUS NIGRICANS IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN RICE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN RYE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN RYE, PERENNIAL IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN SAGE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN SALMON IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN SARDINE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN SCALLOP IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN SESAME SEED IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN SHEEP SORREL (DOCK) IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN SHRIMP IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN SNAPPER, RED IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN SOYBEAN IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN SPINACH IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN STACHYBOTRYS CHARTARUM IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN STEMPHYLIUM BOTRYOSUM IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN SUGAR, CANE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN SUMMER SQUASH IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN SUNFLOWER SEED IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN SYCAMORE, AMERICAN IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN TEA IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN THISTLE, RUSSIAN IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN THYME IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN TIMOTHY IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN TOMATO IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN TREE: COTTONWOOD IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN TREE: ELM IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN TREE: MULBERRY (MORUS ALBA) IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN TREE: OAK $29.00 HC ALLERGEN SPEC IGE - ALLERGEN TREE: OLIVE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN TREE: PECAN IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN TRICHOPHYTON MENTAGROPHYTE IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN TROUT IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN TUNA IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN TURKEY IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN VANILLA IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN VENOM: EUROPEAN PAPER WASP $29.00 HC ALLERGEN SPEC IGE - ALLERGEN WATERMELON IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN WEED: DANDELION IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN WEED: ENGLISH PLANTAIN IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN WEED: GIANT RAGWEED IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN WEED: GOLDENROD IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN WHEAT IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN WHEY IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN WHITEFISH IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN WILLOW, BLACK IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN WORMWOOD IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN YELLOW JACKET IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN ZUCCHINI IGE $29.00 HC ALLERGEN SPEC IGE - ALLERGEN: MOSQUITO IGE $29.00 HC ALLERGEN SPEC IGE - AUREOBASIDIUM PULLULANS IGE $29.00 HC ALLERGEN, FEATHER MIX EPIDERMALS AND ANIMAL PROTEINS $11.00 HC WBC ANTIBODY IDENTIFICATION - ANTI-NEUTROPHIL ANTIBODY $83.65 HC PLATELET ANTIBODIES - HEPARIN-DEPEND PLATELET AB (SRA), UNFRACTIONATED HEP $102.05 HC PLATELET ANTIBODIES - HEPARIN-INDUCED PLATELET ANTIBODY $102.05 HC PLATELET ANTIBODIES - PLATELET AB IDENT PANEL (BCW 5608) $210.00 HC PLATELET ANTIBODIES - PLATELET AB SCRN BCW 5543. $211.00 HC PLATELET ANTIBODIES - PLATELET ANTIBODIES, INDIRECT $102.05 HC IMMUNOGLOBULIN ASSAY - PLATELET ANTIBODIES, DIRECT $51.00 HC IMMUNOGLOBULIN ASSAY - PLATELET ANTIBODIES, DIRECT IGM $59.00 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES) $82.25 HC ANTINUCLEAR ANTIBODIES TITER - ANA PATTERN $79.25 HC ANTINUCLEAR ANTIBODIES TITER - ANA TITER $79.25 HC ANTINUCLEAR ANTIBODIES TITER - CENTROMERE ANTIBODY $79.25 HC ANTINUCLEAR ANTIBODIES TITER - REFLEX ONLY ANA, IGG BY IFA $79.25 HC ANTISTREPTOLYSIN O TITER - ANTISTREPTOLYSIN O TITER $92.00 HC ANTISTREPTOLYSIN O SCREEN - ANTI-STREPTOLYSIN O $81.00 HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN $28.75 HC IMMUNOASSAY QUANT NOS NONAB - TRYPTASE $28.75 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY - HIGH SENSITIVITY CRP $51.75 HC BETA 2 GLYCOPROTEIN I ANTIBODY,EA - BETA-2 GLYCOPROTEIN ABS IGG $59.75 HC BETA 2 GLYCOPROTEIN I ANTIBODY,EA - BETA-2 GLYCOPROTEIN ABS IGM $59.75 HC ASSAY OF INSULIN,FREE - INSULIN, FREE $121.50 HC CARDIOLIPIN ANTIBODY - CARDIOLIPIN ANTIBODY, IGA $121.50 HC CARDIOLIPIN ANTIBODY - CARDIOLIPIN ANTIBODY, IGG $121.50 HC CARDIOLIPIN ANTIBODY - CARDIOLIPIN ANTIBODY, IGM $121.50 HC COLD AGGLUTININ SCREEN - COLD AGGLUTININ SCREEN $72.00 HC COLD AGGLUTININ, TITER - COLD AGGLUTININ TITER $72.00 HC C-1-ESTERASE INHIBITOR $66.65 HC COMPLEMENT FACTOR B $66.65 HC COMPLEMENT, ANTIGEN - C1Q COMPLEMENT $66.65 HC COMPLEMENT, ANTIGEN - C2 COMPLEMENT $66.65 HC COMPLEMENT, ANTIGEN - C3 COMPLEMENT $66.65 HC COMPLEMENT, ANTIGEN - C4 COMPLEMENT $66.65 HC COMPLEMENT, ANTIGEN - C5 COMPLEMENT $66.65 HC COMPLEMENT, ANTIGEN - C9 COMPLEMENT $66.65 HC COMPLEMENT/FUNCTION ACTIVITY - C1 ESTERASE INHIBITOR, FUNCTIONAL $140.00 HC COMPLEMENT, TOTAL (CH50) - COMPLEMENT TOTAL $69.00 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY $58.75 HC DEOXYRIBONUCLEASE, ANTIBODY - ANTI DNASE B ANTIBODY $61.25 HC DNA ANTIBODY, NATV/2 STRAND - ANTI DNA, DOUBLE STRANDED $82.50 HC DNA ANTIBODY, SINGLE STRAND - DNA ANTIBODY, SINGLE STRAND $62.00 HC NUCLEAR ANTIGEN ANTIBODY - ANTI JO-1 IGG $99.65 HC NUCLEAR ANTIGEN ANTIBODY - EXTRACTABLE NUCLEAR ANTIGEN ANTIBODIES $99.65 HC NUCLEAR ANTIGEN ANTIBODY - RIBONUCLEIC PROTEIN ANTIBODY, IGG $99.65 HC NUCLEAR ANTIGEN ANTIBODY - SCLERODERMA (SCL-70) ANTIBODY $99.65 HC NUCLEAR ANTIGEN ANTIBODY - SJOGRENS SYNDROME-A EXT NU AB $99.65 HC NUCLEAR ANTIGEN ANTIBODY - SJOGRENS SYNDROME-B EXT NUC AB $99.65 HC NUCLEAR ANTIGEN ANTIBODY - SMITH AB $99.65 HC FLUORESCENT ANTIBODY; SCREEN - ANTI-SMOOTH MUSCLE AB TL $59.00 HC FLUORESCENT ANTIBODY; SCREEN - AQUAPORIN 4 RECEP AB IGG $350.00 HC FLUORESCENT ANTIBODY; SCREEN - ENCEPH AUTO CSF $193.00 HC FLUORESCENT ANTIBODY; SCREEN - ENCEPH AUTO SERUM $193.00 HC FLUORESCENT ANTIBODY; SCREEN - GLOMERULAR BASEMENT MEMBRANE AB, IGG $96.00 HC FLUORESCENT ANTIBODY; SCREEN - INFLAMMATORY BOWEL DISEASE PANEL $96.00 HC FLUORESCENT ANTIBODY; SCREEN - MOG $195.00 HC FLUORESCENT ANTIBODY; SCREEN - MUSK ANTIBODY $466.25 HC FLUORESCENT ANTIBODY; SCREEN - N-METH-D-ASP RECEP AB IGG $158.00 HC FLUORESCENT ANTIBODY; SCREEN - N-METHYL-D-ASPART RECEP AB, IGG, CSF $181.00 HC FLUORESCENT ANTIBODY; SCREEN - N-METHYL-D-ASPART RECEP AB,IGG, SER $181.00 HC FLUORESCENT ANTIBODY; SCREEN - PHOSPHOLIPASE A2 RECEP AB IGG $235.00 HC FLUORESCENT ANTIBODY; SCREEN - PHOSPHOLIPASE A2 RECEPTOR (PLA2R) AB $210.00 HC FLUORESCENT ANTIBODY; SCREEN - STRIATED MUSCLE AB, IGG WITH RFLX TO TITER $59.00 HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY $59.00 HC FLUORESCENT ANTIBODY; TITER $50.50 HC FLUORESCENT ANTIBODY; TITER - ANTI-SMOOTH MUSCLE ANTIBODY TITER $152.25 HC FLUORESCENT ANTIBODY; TITER - DSDNA TITER $63.00 HC FLUORESCENT ANTIBODY; TITER - ENDOMYCIAL IGA IFA-R $50.50 HC FLUORESCENT ANTIBODY; TITER - ENDOMYSIAL AB, IGA $37.00 HC FLUORESCENT ANTIBODY; TITER - MOG SERUM $67.50 HC FLUORESCENT ANTIBODY; TITER - PHOSPHOLIPASE A2 RECEPTOR (PLA2R) AB, IGG RFLX TITER $235.00 HC FLUORESCENT ANTIBODY; TITER - REFLEX AQUAPORIN 4 RECEP AB IGG BY IFA CSF TITER $152.25 HC FLUORESCENT ANTIBODY; TITER - STRIATED MUSCLE IGG TITER BILL $235.00 HC HEMAGGLUTINATION INHIBITION - HEMAGGLUTINATION INHIBITION $70.50 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 15-3 - CANCER ANTIGEN 15-3 $139.75 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 15-3 - CANCER ANTIGEN 27.29 $139.75 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 - CANCER ANTIGEN 19-9 $114.00 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 - CA 125 $157.00 HC HETEROPHILE ANTIBODIES,SCREEN - MONONUCLEOSIS SCREEN $108.25 HC AFP TUMOR MARKER CSF $115.65 HC IMMUNOASSY TUMOR OTHER - CHROMOGRANIN A $115.65 HC IMMUNOASSAY INFECTIOUS AGENT $72.00 HC IMMUNOASSAY,INFECT AGENT,QUANT - DIPHTHERIA AB, IGG $83.25 HC IMMUNOASSAY,INFECT AGENT,QUANT - HAEMOPHILUS INFLUENZAE B AB, IGG $83.25 HC IMMUNOASSAY,INFECT AGENT,QUANT - HUMORAL IMMUNE STATUS SURV-R $83.25 HC IMMUNOASSAY,INFECT AGENT,QUANT - STREP PNEUMONIAE ANTIBODY SEROTYPES $72.00 HC IMMUNOASSAY,INFECT AGENT,QUANT - TETANUS ANTIBODY, IGG $83.25 HC IMMUNOASSAY,INFECT AGENT,QUAL - SIMIAN B VIRUS AB $90.45 HC IMMUNOASSAY,INFECT AGENT,QUAL - SIMIAN B VIRUS BY PCR $90.45 HC IA INFECTIOUS AGT ANTIBODY SARS-COV2 COVID 19 $68.00 HC TEICHOIC ACID AB $64.00 HC IMMUNODIFFUSION OUCHTERLONY - HYPER PNEUMO EXTENDED PANEL $66.55 HC IMMUNODIFFUSION OUCHTERLONY - HYPER PNEUMO SEROLOGY $51.00 HC IMMUNE COMPLEX C1Q BINDING $66.25 HC IMMUNOFIX E PHORESIS IGD AND IGE SERUM $120.75 HC IMMUNOFIX E PHORESIS SERUM $120.75 HC IMMUNOFIX E PHORESIS URINE $120.75 HC BETA GLOBULINS % URINE $43.00 HC IMMUNFIX E-PHORSIS/URINE/CSF - BETA 2 TRANSFERRIN $125.00 HC IMMUNOFIXATION ELECTROPHORESIS CSF $61.00 HC IMMUNOFIXATION ELECTROPHORESIS URINE $61.00 HC URINE BETA GLOBULIN $42.00 HC INHIBIN A - ADDITIONAL CHARGE $68.00 HC INSULIN ANTIBODIES - INSULIN ANTIBODY $88.25 HC INTRINSIC FACTOR ANTIBODY - INTRINSIC FACTOR BLOCKING ANTIBODY $60.00 HC ISLET CELL ANTIBODY $92.00 HC ISLET CELL ANTIBODY - 2 AB $92.00 HC ISLET CELL ANTIBODY - CYTOPLASMIC AB, IGG $117.85 HC ISLET CELL ANTIBODY - ENCEPH AUTOIMMUNE CSF $78.00 HC ISLET CELL ANTIBODY - ENCEPH AUTOIMMUNE SERUM $78.00 HC ISLET CELL ANTIBODY - GLUTAMIC ACID DECARBOXYLASE AB $92.00 HC CELL FUNCTION ASSAY WITH STIM $754.80 HC LYMPHOCYTE TRANSFORMATION - LYMPHOCYTE CULTURE, PRIMED $272.35 HC B CELLS, TOTAL COUNT - B CELLS, TOTAL COUNT $209.60 HC MONONUCLEAR CELL ANTIGEN $148.75 HC MONONUCLEAR CELL ANTIGEN - PNH, HIGH SENSITIVITY RBC/WBC $148.75 HC NK CELLS, TOTAL COUNT - NATURAL KILLER CELL COUNT $209.60 HC T CELLS, TOTAL COUNT - T CELLS, TOTAL COUNT $209.60 HC T CELL ABSOLUTE COUNT/RATIO - T-HELPER CELLS CD4/CD8 % $261.00 HC MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB $61.00 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY $73.00 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR $59.00 HC TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON - TB TEST $126.00 HC CANDIDA SKIN TEST $31.75 HC TB INTRADERMAL TEST $32.00 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - RAPID PLASMA REAGIN-SYP $57.75 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL CSF $57.75 HC SYPHILIS TEST, QUANTITATIVE - RPR TITER $57.75 HC SYPHILIS TEST, QUANTITATIVE - TREPONEMA PALLIDUM TITER, CSF $57.75 HC ASPERGILLUS ANTIBODY - ASPERGILLUS ABS $83.65 HC BACTERIUM, ANTIBODY - LISTERIA ANTIBODY $120.00 HC BARTONELLA, ANTIBODY - BARTONELLA HENSELAE AB IGG $62.00 HC BARTONELLA, ANTIBODY - BARTONELLA HENSELAE AB IGM $62.00 HC BARTONELLA, ANTIBODY - BARTONELLA QUINTANA AB IGG $62.00 HC BARTONELLA, ANTIBODY - BARTONELLA QUINTANA AB IGM $62.00 HC BLASTOMYCES, ANTIBODY - BLASTOMYCES ANTIBODIES $65.00 HC LYME DISEASE ANTIBODY, CONFIRMATORY - B. BURGDORFERI ANTIBODIES WB IGG $32.00 HC LYME DISEASE ANTIBODY, CONFIRMATORY - B. BURGDORFERI ANTIBODIES WB IGM $32.00 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES $89.00 HC LYME DISEASE ANTIBODY - B. BURGDORFERI AB W/RFLX TO IGG/IGM BY WESTERN BLOT $170.00 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES, REFLEXIVE PANEL (CSF) $89.00 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES, TOTAL, CSF $89.00 HC BORRELIA ANTIBODY - BORRELIA (RELAPSING FEVER) ANTIBODY $117.00 HC BRUCELLA, ANTIBODY - BRUCELLA SPECIES ANTIBODY $84.50 HC CHLAMYDIA, ANTIBODY - CHLAMYDIA ANTIBODIES $23.00 HC CHLAMYDIA, IGM, ANTIBODY - CHLAMYDIA ANTIBODY, IGM $28.25 HC COCCIDIOIDES, ANTIBODY - COCCIDIOIDES ANTIBODIES $62.00 HC Q FEVER ANTIBODY - Q FEVER ANTIBODY $67.35 HC CMV ANTIBODY - CMV IGG $79.95 HC CMV ANTIBODY, IGM - CYTOMEGALOVIRUS ANTIBODY, IGM $348.00 HC DIPHTHERIA ANTIBODY - ADDITIONAL CHARGE $40.50 HC ENCEPHALITIS CALIFORN ANTBDY - ENCEPHALITIS, CALIFORNIA ANTIBODY IGG $73.25 HC ENCEPHALITIS CALIFORN ANTBDY - ENCEPHALITIS, CALIFORNIA ANTIBODY IGM $73.25 HC ENCEPHALTIS EAST EQNE ANBDY - ENCEPHALITIS, EASTERN EQUINE ANTI IGG $73.25 HC ENCEPHALTIS EAST EQNE ANBDY - ENCEPHALITIS, EASTERN EQUINE ANTI IGM $73.25 HC ENCEPHALTIS ST LOUIS ANTBODY - ENCEPHALITIS, ST. LOUIS ANTIBODY, IGG $73.25 HC ENCEPHALTIS ST LOUIS ANTBODY - ENCEPHALITIS, ST. LOUIS ANTIBODY, IGM $73.25 HC ENCEPHALTIS WEST EQNE ANTBDY - ENCEPHALITIS, WESTERN EQUINE ANTI IGG $73.25 HC ENCEPHALTIS WEST EQNE ANTBDY - ENCEPHALITIS, WESTERN EQUINE ANTI IGM $73.25 HC ENTEROVIRUS ANTIBODY - ENTEROVIRUS PANEL $68.00 HC EPSTEIN-BARR ANTIBODY - EPSTEIN-BARR VIRUS EARLY IGG $72.90 HC EPSTEIN-BARR NUCLEAR ANTIGEN - EPSTEIN-BARR VIRUS NUCLEAR ANTIGEN AB $84.95 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA ANTIBODY PANEL $100.80 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA, IGG $100.80 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA, IGM $100.80 HC EHRLICHIA ANTIBODY - EHRLICHIA CHAFFEENSIS AB IGG $56.55 HC EHRLICHIA ANTIBODY - EHRLICHIA CHAFFEENSIS AB IGM $56.55 HC FRANCISELLA TULARENSIS - TULAREMIA ANTIBODY $95.50 HC FUNGUS NES ANTIBODY - ALLERGEN, FUNGI & MOLDS, FUSARIUM PRO/MON IGG $39.00 HC FUNGUS, ANTIBODY - INFLAMMATORY BOWEL DISEASE PANEL $76.00 HC FUNGUS, ANTIBODY - SACCHAROMYCES CEREVISIAE ANTIBODIES, IGG AND IGA $76.00 HC FUNGUS, ANTIBODY - SPOROTHRIX ANTIBODY $76.00 HC HELICOBACTER PYLORI - HELICOBACTER PYLORI IGG $56.00 HC HELMINTH, ANTIBODY - CYSTICERCOSIS ANTIBODY, IGG $72.25 HC HELMINTH, ANTIBODY - CYSTICERCOSIS ANTIBODY, IGG, CSF $72.25 HC HELMINTH, ANTIBODY - ECHINOCOCCUS ANTIBODY, IGG $72.25 HC HELMINTH, ANTIBODY - FILARIASIS ANTIBODIES, IGG4 $72.25 HC HELMINTH, ANTIBODY - SCHISTOSOMA ANTIBODY, IGG $72.25 HC HELMINTH, ANTIBODY - STRONGYLOIDES, IGG, SER $72.25 HC HELMINTH, ANTIBODY - TOXACARA ANTIBODY $72.25 HC HTLV/HIV CONFIRMATORY TEST - HIV-1 WESTERN BLOT $107.55 HC HTLV/HIV CONFIRMATORY TEST - HTLV-I/HTLV-II AB $107.55 HC HEPATITIS, DELTA AGENT - HEPATITIS DELTA VIRUS $61.25 HC HERPES SIMPLEX TEST, UNSPECIFIED TYPE - HSV NON-SPECIFIC TYPE IGG AB $38.00 HC HERPES SIMPLEX TEST, UNSPECIFIED TYPE - HSV TYPE 1 AND/OR 2AB IGG $38.00 HC HERPES SIMPLEX TEST, UNSPECIFIED TYPE - HSV TYPE 1 AND/OR 2AB IGM $38.00 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGG ANTIBODY $47.75 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG ANTIBODY $47.75 HC HISTOPLASMA - HISTOPLASMA ANTIBODIES $69.40 HC HIV-1 - HIV 1 ANTIBODY EIA $53.75 HC HIV-2 - HIV-2 ANTIBODIES $75.10 HC HIV-1/HIV-2, SINGLE ASSAY - RAPID HIV 1 AND 2 SCREEN $91.25 HC HEP B CORE AB TEST, TOTAL - HEPATITIS B CORE ANTIBODY, TOTAL $92.25 HC HEP B CORE AB TEST, IGM - HEPATITIS B CORE ANTIBODY, IGM $79.25 HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY $67.25 HC HEPATITIS BE AB TEST - HEPATITIS B E ANTIBODY $63.75 HC HEPATITIS A ANTIBODY HAAB - HEPATITIS A ANTIBODY, TOTAL $67.25 HC HEPATITIS ANTIBODY HAAB IGM ANTIBODY - HEPATITIS A ANTIBODY, IGM $110.00 HC STRATIFY JCV ANTIBODY W/INDX $1,413.00 HC LEISHMANIA - LEISHMANIA ANTIBODY $70.00 HC LEPTOSPIRA - LEPTOSPIRA ANTIBODY $128.50 HC LYMPH CHORIOMENINGITIS - LYMPHOCYTIC CHORIOMENINGITIS ANTIBODY $101.75 HC MUMPS - MUMPS IGG ANTIBODY $76.00 HC MUMPS - MUMPS IGM ANTIBODY $76.00 HC MYCOPLASMA - MYCOPLASMA PNEUMONIAE ANTIBODY, IGG $50.00 HC PARVOVIRUS - PARVOVIRUS B19 ANTIBODY, IGG $71.00 HC PARVOVIRUS - PARVOVIRUS B19 ANTIBODY, IGM $71.00 HC PROTOZOA, NOT ELSEWHERE - BABESIA MICROTI, IGG $68.80 HC PROTOZOA, NOT ELSEWHERE - BABESIA MICROTI, IGM $68.80 HC PROTOZOA, NOT ELSEWHERE - ENTAMOEBA HISTOLYTICA AB, IGG $68.80 HC PROTOZOA, NOT ELSEWHERE - TRYPANOSOMA CRUZI ANTIBODY, IGG $88.00 HC PROTOZOA, NOT ELSEWHERE - TRYPANOSOMA CRUZI ANTIBODY, IGM $88.00 HC RICKETTSIA - RICKETTSIA RICKETTSII AB IGG $69.00 HC RICKETTSIA - RICKETTSIA RICKETTSII AB IGM $69.00 HC RICKETTSIA - RICKETTSIA TYPHI AB IGG $69.00 HC RICKETTSIA - RICKETTSIA TYPHI AB IGM $69.00 HC RUBELLA - RUBELLA ANTIBODY, IGM $53.25 HC RUBEOLA - RUBEOLA ANTIBODY IGG $79.25 HC RUBEOLA - RUBEOLA ANTIBODY, IGM $79.25 HC ANTIBODY SEVERE ACUTE RESPIR SYND SARS-COV2 COVID 19 $64.00 HC TOXOPLASMA - TOXOPLASMA GONDII IGG ANTIBODY $79.95 HC TOXOPLASMA, IGM - TOXOPLASMA GONDII ANTIBODY, IGM $80.05 HC ANTIBODY TREPONEMA PALLIDUM - FTA ANTIBODIES, IGG AND IGM $48.50 HC ANTIBODY TREPONEMA PALLIDUM - T. PALLIDUM CONFIRMATORY $48.50 HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGG $71.55 HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGM $71.55 HC WEST NILE VIRUS AB, IGM - WEST NILE VIRUS ANTIBODY, IGM $71.00 HC WEST NILE VIRUS AB, IGM - WEST NILE VIRUS ANTIBODY, IGM CSF $71.00 HC WEST NILE VIRUS AB, IGM - WEST NILE VIRUS ANTIBODY, IGM SERUM $71.00 HC WEST NILE VIRUS ANTIBODY - WEST NILE VIRUS ANTIBODY, IGG $71.00 HC WEST NILE VIRUS ANTIBODY - WEST NILE VIRUS ANTIBODY, IGG CSF $71.00 HC WEST NILE VIRUS ANTIBODY - WEST NILE VIRUS ANTIBODY, IGG SERUM $71.00 HC DENGUE FEVER VIRUS AB, IGG $72.00 HC DENGUE FEVER VIRUS AB, IGM $75.00 HC HEPATITIS E AB, IGG $155.00 HC HEPATITIS E AB, IGM $159.00 HC HUMAN T-LYMPH VIRUS I/II AB W/RFLX $93.00 HC RABIES AB, IGG (VACCINE RESPONSE) $161.00 HC ZIKA M $137.00 HC THYROGLOBULIN ANTIBODY - ANTI-THYROGLOBULIN AB $101.00 HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY $91.00 HC HLA FLOW CROSSMATCH,NON-CYTOTOXIC $188.25 HC HLA FLOW CROSSMATCH,NON-CYTO EA ADDL $118.25 HC HLA PRA $320.95 HC HLA CLASS I PHENOTYPE QUAL $351.75 HC HLA CLASS II PHENOTYPE QUAL $351.75 HC HLA CLASS I HIGH DEF QUAL $1,618.75 HC HLA CLASS II HIGH DEF QUAL $1,629.00 HC IMMUNOLOGY PROCEDURE - TEST SAMPLE PREP AND TREATMENT $155.00 HC RBC ANTIBODY SCREEN - ANTIBODY SCREEN $254.90 HC RBC ANTIBODY ELUTION - ELUTION & ANTIBODY IDENTIFICATION, RBC $723.65 HC RBC ANTIBODY IDENTIFICATION - ANTIBODY IDENTIFICATION $614.25 HC ANTIHUMAN GLOBULIN DIR EA ANTISERUM - DIRECT ANTIGLOBULIN TEST $42.25 HC ANTIHUMAN GLOBULIN DIR EA ANTISERUM - DIRECT ANTIGLOBULIN TEST C3D $42.25 HC ANTIHUMAN GLOBULIN DIR EA ANTISERUM - DIRECT ANTIGLOBULIN TEST IGG $42.25 HC ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL - COOMBS TEST, IND $216.75 HC ANTIHUMAN GLOBULIN INDIRECT EA ANTIBODY TITER - ANTIBODY TITER $129.25 HC BLOOD TYPING SEROLOGIC ABO - ABO/RH TYPE $327.00 HC BLOOD TYPING SEROLOGIC ABO - BLOOD TYPE $119.25 HC BLOOD TYPING SEROLOGIC RH (D) $114.00 HC BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH - BLOOD TYPING, ANTIGEN $409.00 HC BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH - BLOOD TYPING, RBC $411.00 HC CROSSMATCH/UNIT (IS) $273.50 HC CROSSMATCH/COMPAT U BLD $280.00 HC ELECTRONIC CROSSMATCH $129.25 HC IRRADIATION OF BLOOD PRODUCTS EA UNIT $134.00 HC ENZYME PRE-TREATED ANTIBODY ID $190.00 HC ZZAP PRE-TREATED ANTIBODY ID $190.00 HC AB ID NEUTRALIZATION $157.75 HC COLD AUTO ABSORPTION $255.00 HC WARM AUTOLOGOUS ABSORPTION $255.00 HC WARM HOMOLOGOUS ABSORPTION $255.00 HC SPECIMEN INFECT AGNT CONCNTJ. $55.00 HC CULTURES, BLOOD $69.75 HC CUL BACT STOOL AEROBIC ISOL SALMONELLA&SHIGELL $47.00 HC STOOL CULTURE, ADDL PATHOGENS - CAMPYLOBACTER CULTURE, STOOL $45.25 HC STOOL CULTURE, ADDL PATHOGENS - E COLI O157 $45.25 HC STOOL CULTURE, ADDL PATHOGENS - STOOL CULTURE $45.25 HC CULTURE OTHER SPECIMEN AEROBIC $258.50 HC CULTURE OTHER SPECIMEN AEROBIC - THROAT STREP SCN-MICRO $258.50 HC ENVIRONMENTAL CULTURE $52.45 HC CULTURE/ANAEROBE W/IDEN-MICRO $302.25 HC BACTERIAL ID, ANAEROBIC $117.25 HC BACTERIA IDENTIFICATION DEFINITIVE BY MASS SPECTROMETRY $74.00 HC BACTERIA IDENTIFICATION, AEROBIC ISOLATE - CLO TEST $131.75 HC BACTERIA IDENTIFICATION, AEROBIC ISOLATE - ORGANISM ID CULTURE $103.75 HC BACTERIA IDENTIFICATION, AEROBIC ISOLATE - PERFORM ID V/M/R $103.75 HC BACTERIA IDENTIFICATION, ARCANOBACTERIUM HAEMOLYTICUM $103.75 HC BACTERIA IDENTIFICATION, DEFINITIVE AEROBIC BY VITEK $103.75 HC BACTERIA IDENTIFICATION, SCREENING FOR STREP PNEUMONIAE $103.75 HC BACTERIA CULTURE SCREEN - ACANTHAMOEBA CULTURE $59.75 HC BACTERIA CULTURE SCREEN - GC SCREEN/MICRO $59.75 HC BACTERIA CULTURE SCREEN - GROUP B STREP CULTURE $59.75 HC BACTERIA CULTURE SCREEN -MRSA CULTURE $64.75 HC CULTURE/URINE/MICRO $75.75 HC BACTERIAL/URINE/IDENT/EA $59.25 HC CULTURE/FUNGI/ISOL/OTH SRCE $290.50 HC CULTURE/FUNGI/ISOL/BLOOD $290.50 HC FUNGI IDENTIFICATION YEAST $57.35 HC FUNGUS IDENTIFICATION, MOLD - FUNGAL IDENTIFICATION, MOLD $57.35 HC MYCOPLASMA CULTURE - MYCOPLASMA / UREAPLASMA CULTURE $101.75 HC CULTURE AFB $232.25 HC CULTURE AFB BLOOD $166.25 HC MYCOBACTERIA IDENTIFICATION - MYCOBACTERIA IDENTIFICATION $73.05 HC CULTURE TYPING, FLUORESCENT - HERPES SIMPLEX TYPING $59.75 HC CULT TYPE IMMUNOLOGIC $64.25 HC CULT TYPE IMMUNOLOGIC, SEROTYPING, STAPHYLOCOCCUS $64.25 HC CULT TYPE IMMUNOLOGIC, SEROTYPING, STREPTOCOCCUS $64.25 HC MYOBACTERIUM AVIUM COMPLEX, DNA PROBE $242.75 HC MYOBACTERIUM GORDONAE, DNA PROBE $229.25 HC MYOBACTERIUM KANSAII, DNA PROBE $229.25 HC BLOOD CULTURE ID PCR $194.95 HC X-PERT CARBAPENEM RESISTANCE $194.95 HC DNA/RNA SEQUENCING $250.00 HC PINWORM EXAM - PINWORM PREP $75.00 HC HOMOGENIZATION,TISSUE FOR CULTURE $77.50 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION $82.75 HC MIC(MINIMUM INHIB CONC) PER PLATE $222.75 HC ANTIBIOTIC SENS,DISK,EACH - Susceptibility Charge, ESBL TEST $109.25 HC ANTIBIOTIC SENS,DISK,EACH - Susceptibility Charge, P BETA (BETA STREP) $182.25 HC ANTIBIOTIC SENS,DISK,EACH - Susceptibility Charge, SENSITIVITY KB $55.00 HC ANTIBIOTIC SENS,DISK,EACH - Susceptibility Charge, STREPTOCOCCUS $134.25 HC CEFINASE DISC $31.50 HC MICRODASE DISC $31.50 HC MORAXELLA CATARRHALIS DISC $31.50 HC MRS CHROMAGER $31.50 HC PYROLIDONYL $31.50 HC ANTIBIOTIC SENS,MIC,EACH - ANAEROBIC - Susceptibility Charge $222.75 HC ANTIBIOTIC SENS,MIC,EACH - BACT - Susceptibility Charge $222.75 HC ANTIBIOTIC SENS,MIC,EACH - MYCOBACTERIUM MARINUM & MAC SUSCEP $200.00 HC ANTIBIOTIC SENS,MIC,EACH - NOCARDIA SPECIES SUSCEPTIBILITY $240.00 HC ANTIBIOTIC SENS,MIC,EACH - SUSCEPTIBILITY CHARGE $222.75 HC ANTIBIOTIC SENS,MIC,EACH - YEAST - Susceptibility Charge $209.25 HC ANTIBIOTIC SENS,MIC,EACH - YEAST SENSITIFITY, MIC - SUSCEPTIBILITY CHARGE $222.75 HC MYCOBACTERIA RAPID GROWTH SUSCEP $250.00 HC GRAM STAIN $67.75 HC SMEAR,FLUOR STAIN,INTERP - AFB STAIN $66.25 HC SMEAR,FLUOR STAIN,INTERP - FUNGAL STAIN $66.25 HC SMEAR,INCLUSION BODIES/PARASITES,INTERP - MALARIA SMEAR $33.30 HC SMEAR,SPECIAL STAIN $33.30 HC SMEAR COMPLEX STAIN $59.00 HC SMEAR,STAIN,WET MNT,INTERP - INDIA INK CRYPTOCOCCUS $47.75 HC TISSUE EXAM BY KOH - KOH PREP $47.75 HC VIRUS INOCULATION TISSUE $237.25 HC CMV SHELL VIAL $82.50 HC INF AGENT, FLUOR, ADENOVIRUS - ADENOVIRUS ANTIGEN $85.00 HC VARICELLA AG, DFA - VARICELLA ZOSTER DFA $74.75 HC ADENOVIRUS/TYPE 40/41/EIA-R AG $122.25 HC IAAD IA QUAL/SEMIQUAN MULTIPLE STEP ASPERGILLUS - ASPERGILLUS GALACT $121.00 HC CRYPTOCOCCUS AG/EIA SCRN $64.25 HC IAAD IA CRYPTOSPORIDIUM - OVA AND PARASITE SCREEN $76.00 HC IAAD IA GIARDIA - GIARDIA LAMBLIA ANTIGEN $81.00 HC IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP - ENTAMOEBA HYSTOLYTICA EIA $70.00 HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL $57.75 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN $66.50 HC IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION - HEPATITIS B SURFACE $68.00 HC IAAD IA HEPATITIS BE ANTIGEN - HEPATITIS B E ANTIGEN $62.50 HC IAAD IA HEPATITIS DELTA ANTIGEN - HEPATITIS DELTA ANTIGEN BY ELISA $91.80 HC IAAD IA HISTOPLASM CAPSULATUM - HISTOPLASMA ANTIGEN URINE $66.60 HC IAAD IA HISTOPLASM CAPSULATUM - HISTOPLASMA ANTIGEN, SERUM $66.60 HC HIV AG/AB COMBO SCRN $84.25 HC IAAD IA ROTAVIRUS - ROTAVIRUS ANTIGEN STOOL $133.75 HC IAAD IA SHIGA-LIKE TOXIN - SHIGA-LIKE TOXIN ANTIGEN, EIA $55.00 HC RAPID STREP SCRN GRP A $42.75 HC IAAD IA MULT STEP METHOD NOS EACH ORGANISM - 1/3 BETA D GLUCAN $66.60 HC IAAD IA MULT STEP METHOD NOS EACH ORGANISM - LEGIONELLA ANTIGEN, UR $66.60 HC BARTONELLA, DNA, AMP PROBE - BARTONELLA, DNA, AMP PROBE $397.00 HC LYME DIS, DNA, AMP PROBE - LYME DISEASE (BORRELIA BURGDORFERI), PCR $242.50 HC MENINGITIS/ENCEPHALITIS CSF PANEL PCR $700.25 HC CHYLMD TRACH, DNA, AMP PROBE - CHLAMYDIA DNA PCR $108.00 HC C DIFFICILE PCR $282.25 HC CYTOMEG, DNA, AMP PROBE - CYTOMEGALOVIRUS DNA PROBE, AMPLIFIED $194.95 HC CYTOMEG, DNA, QUANT - CMV DNA, QUANTITATIVE, PCR $647.50 HC ENTEROVIRUS PROBE&REVRS TRNS - ENTEROVIRUS DNA PROBE, AMPLIFIED $194.95 HC INFLUENZA A/B PCR $313.50 HC IADNA-DNA/RNA PROBE TQ 12-25 - GASTROINTESTINAL PANEL $783.00 HC HEPATITIS B , DNA, AMP PROBE - HEPATITIS B DNA PROBE, AMPLIFIED $69.00 HC HEPATITIS B , DNA, QUANT - HEPATITIS B DNA, ULTRAQUANTITATIVE, PCR $157.00 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR $767.00 HC HSV, DNA, AMP PROBE - HSV PCR $194.95 HC HHV-6, DNA, QUANT - HHV-6 DNA PROBE, QUANTITATIVE $302.00 HC HIV-1 PROBE&REVERSE TRNSCRPJ - HIV-1 DNA PROBE, AMPLIFIED $100.00 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV RNA, QUANTITATIVE, PCR $377.75 HC MYCOBACTERIA, DNA, DIR PROBE - MYCOBACTERIA DNA PROBE, DIRECT $152.75 HC M.TUBERCULO, DNA, DIR PROBE - M. TUBERCULOSIS DNA PROBE, DI $169.00 HC M.TUBERCULO, DNA, AMP PROBE - M. TUBERCULOSIS DNA PROBE, AMPLIFIED $208.40 HC M.AVIUM-INTRA, DNA, AMP PROB - M. AVIUM-INTRA DNA PROBE, AMPLIFIED $136.00 HC M. GENITALIUM AMP PROBE $53.00 HC M.PNEUMON, DNA, AMP PROBE - MYCOPLASMA PNEUMONIAE PCR $191.00 HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR $108.00 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE, AMP $59.25 HC INFLUENZA A/B/RSV PCR $436.00 HC IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET - ADDITIONAL CHARGE $742.75 HC SARS-COV2 COVID 19 AMPLIFIED PROBE $150.00 HC MRSA, DNA, AMP PROBE - MR STAPH DNA PROBE, AMPLIFIED $90.25 HC STREP B, DNA, AMP PROBE - STREP B DNA PROBE, AMPLIFICATION $285.25 HC DETECT AGENT NOS, DNA, AMP - ZIKA VIRUS RNA BLOOD $194.95 HC DETECT AGENT NOS, DNA, AMP - ZIKA VIRUS RNA URINE $194.95 HC DETECT AGENT NOS, DNA, DIR - STREP B DNA PROBE $467.00 HC DETECT AGENT NOS, DNA, AMP $194.95 HC DETECT AGENT NOS, DNA, AMP - ADENOVIRUS QL $194.95 HC DETECT AGENT NOS, DNA, AMP - COCCIDIOIDES IMMITIS PROBE $194.95 HC DETECT AGENT NOS, DNA, AMP - EHRLICHIA DNA-R $194.95 HC DETECT AGENT NOS, DNA, AMP - EPSTEIN BARR VIRUS DNA, QUANTITATIVE BY PCR $194.95 HC DETECT AGENT NOS, DNA, AMP - HTLV I DNA-R $194.95 HC DETECT AGENT NOS, DNA, AMP - HTLV II DNA-R $194.95 HC DETECT AGENT NOS, DNA, AMP - HUMAN T-LYMPHO VIRUS DNA, QUA $194.95 HC DETECT AGENT NOS, DNA, AMP - MALARIA DETECTION & SPECIATION, QUA $194.95 HC DETECT AGENT NOS, DNA, AMP - MUMPS VIRUS RNA,QUAL REAL-TIME PCR $194.95 HC DETECT AGENT NOS, DNA, AMP - NOROVIRUS DETECTION EACHA $194.95 HC DETECT AGENT NOS, DNA, AMP - PARVOVIRUS PCR-R $194.95 HC DETECT AGENT NOS, DNA, AMP - PCR TOXOPLASMA-R $194.95 HC DETECT AGENT NOS, DNA, AMP - PCR VARICELLA ZOSTER VIRUS-R $194.95 HC DETECT AGENT NOS, DNA, AMP - PNUEMOCYSTIS JIROVECII $194.95 HC DETECT AGENT NOS, DNA, AMP - RUBELLA VIRUS RNA,QUANT,REAL-TIME PCR $197.00 HC DETECT AGENT NOS, DNA, AMP - TROPHERYMA WHIPPLE PCR $194.95 HC DETECT AGENT NOS, DNA, AMP - WEST NILE VIRUS CSF $194.95 HC DETECT AGENT NOS, DNA, AMP - WEST NILE VIRUS RNA SERUM $194.95 HC DETECT AGENT NOS, DNA, AMP -BORDETELLA PERTUSSIS PCR $194.95 HC DETECT AGENT NOS, DNA, QUANT - BK VIRUS, DNA, PLASMA, QUANTITATIVE $115.75 HC DETECT AGENT NOS, DNA, QUANT - BK VIRUS, DNA, URINE, QUANTITATIVE $115.75 HC DETECT AGENT NOS, DNA, QUANT - EPSTEIN-BARR VIRUS DNA, PLASMA, QUANTITATIVE $212.00 HC DETECT AGENT NOS, DNA, QUANT - HHV 8 QUANT PCR $270.00 HC DETECT AGENT NOS, DNA, QUANT - JC VIRUS DNA, CSF ULTRASENT QUANT $377.00 HC DETECT AGENT, MULT ORGS, DNA, DIR - C. TRACHOMATIS / N. GONORRHOEAE $139.00 HC DETECT AGENT, MULT ORGS, DNA, AMP - BORDETELLA PERTUSS/PARAPERTUSS $389.95 HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN $116.50 HC AGENT NOS ASSAY W/OPTIC - SHIGA TOXIN 1 OR 2 $80.35 HC AGENT NOS ASSAY W/OPTIC - STREPTOCOCCUS PHEUMONAE AG, URINE $80.35 HC PHENOTYPE INFECT AGENT DRUG $724.15 HC GENOTYPE DNA HIV REVERSE T $363.00 HC GENOTYPE DNA/RNA HEP C $1,430.25 HC EER HIV PHENOTYPE COMPREHENSIVE $900.00 HC PHENOTYPE DNA HIV W/ CULT EA ADDL D $40.00 HC GENOTYPE DNA/RNA HIV $715.15 HC CMV UL97 GENE MUTATION $1,430.25 HC HEPATITIS B VIRUS GENOTYPING $581.00 HC TROFILE CO-RECEPTOR TROPISM $1,915.00 HC CYTOPATH FL NONGYN SMEARS - LAB CYTOPATH FLUIDS,SMEAR,INTERP $118.00 HC CYTOPATH CONCENTRATE TECH - LAB CYTOPATH FLUIDS,CONCENTRATN,INTERP $201.00 HC CYTOPATH CELL ENHANCE TECH - LAB CYTOPATH, CELL ENHANCE TECH $268.75 HC CYTOPATH C/V THIN LAYER - LAB CYTOPATH CERV/VAG THIN LAYER $55.50 HC CYTOPATH SMEAR OTHER SOURCE - LAB CYTOPATH,OTHR SOURC,SCREEN,INTERP $125.00 HC PAP TBS C/V MANUAL SCREENING $69.00 HC CYTOPATH TBS C/V REDO - LAB CYTOPATH TBS CERV/VAG REDO $69.00 HC CYTP DX EVAL FNA 1ST EA SITE - LAB EVALUATION OF FNA SMEAR, FIRST $240.50 HC CYTOPATH EVAL FNA REPORT - LAB INTERPRETATION OF FNA SMEAR $235.00 HC CYTOPATH C/V AUTO FLUID REDO - LAB CYTOPAT,CER/VAG,THIN LAYER,INTER $32.75 HC FLOWCYTOMETRY/ TECH COMPONENT, 1 MARKER $248.50 HC FLOWCYTOMETRY/ TECH COMPONENT, 1 MARKER - LAB FLOWCYTOMETRY/TECH CMP $248.50 HC FLOWCYTOMETRY/ TECH COMPONENT, 1 MARKER - LYMPHOCYTE T-CELL,% & ABS $248.50 HC FLOWCYTOMETRY/ TECH COMPONENT, 1 MARKER - PNH PROFILE, WBC $248.50 HC FLOWCYTOMETRY/TECH COMPONENT, ADD-ON - BUNDLED CHARGE $116.65 HC FLOWCYTOMETRY/TECH COMPONENT, ADD-ON - LAB FLOWCYTOMETRY/TECH CMP $116.65 HC FLOWCYTOMETRY/TECH COMPONENT, ADD-ON - PNH $116.65 HC FLOWCYTOMETRY READ 2-8 $62.00 HC FLOWCYTOMETRY READ 9-15 $321.20 HC TISSUE CULTURE, LYMPHOCYTE - CHROMOSOME ANALYSIS $647.20 HC TISSUE CULTURE, LYMPHOCYTE - EER CHROMOSOME ANALYSIS PB W/ RFLX TO ARRAY $647.20 HC TISSUE CULTURE, LYMPHOCYTE - EER CHROMOSOME ANALYSIS, PERIPHERAL BLOOD $647.20 HC TISSUE CULTURE SKIN/BIOPSY $781.80 HC TISSUE CULTURE PLACENTA $369.00 HC TISSUE CULTURE FOR NEOPLASTIC DISORDERS $357.00 HC TISSUE CULTURE TUMOR $819.55 HC CELL CRYOPRESERVE/STORAGE $65.35 HC CHROMOSOME ANALYSIS 50-100 $962.10 HC CHROMOSOME ANALYSIS 100 $962.10 HC CHROMOSOME ANALYSIS 5 COUNT CELL $1,321.70 HC CHROMOSOME ANALYSIS 15-20 $423.00 HC CHROMOSOME ANALYSIS 45 $834.95 HC CHROMOSOME ANALYSIS 20-25 $723.05 HC CHROM ANALYSIS PLACENTA $523.00 HC CHROMOSOME ANALYS AMNIOTIC $924.05 HC CYTOGENETICS, DNA PROBE - ALK, FISH $166.45 HC CYTOGENETICS, DNA PROBE - EOSIN FISH $119.00 HC CYTOGENETICS 10-30 $226.00 HC CYTOGEN 25-99 $211.90 HC ￿CYTOGENETICS 100-300 $255.95 HC CYTOGENETICS, 100-300 - BCR/ABL1, FISH $255.95 HC CYTOGENETICS, 100-300 - EOSIN FISH $255.95 HC CHROMOSOME KARYOTYPE STUDY $160.00 HC SURG PATH,GROSS,LEVEL I - LAB SURG PATH,GROSS,LEVEL I $161.25 HC SURG PATH,LEVEL II - LAB SURG PATH,LEVEL II $250.25 HC SURG PATH,LEVEL III - LAB SURG PATH,LEVEL III $413.25 HC SURG PATH,LEVEL IV - LAB SURG PATH,LEVEL IV $543.50 HC SURG PATH,LEVEL V - LAB SURG PATH,LEVEL V $769.25 HC SURG PATH,LEVEL VI - LAB SURG PATH,LEVEL VI $1,278.00 HC DECALCIFY TISSUE - LAB DECALCIFY TISSUE $93.00 HC SPECIAL STAINS,GROUP I - LAB SPECIAL STAINS,GROUP I $102.00 HC SPECIAL STAINS,GROUP II - LAB SPECIAL STAINS,GROUP II $160.60 HC HISTO CHEM STAINS ADD-ON $83.00 HC ENZYME HISTOCHEMISTRY - LAB ENZYME HISTOCHEMISTRY $541.00 HC ENZYME HISTOCHEMISTRY - MYELOPEROXIDASE STAIN $541.00 HC MICROSLIDE CONSULT W SLIDE PREP - LAB MICROSLIDE CONSULT W SLD PREP $254.90 HC COMPREHENSIVE REVIEW OF DATA PRO - LAB COMPREHENSIVE REVIEW OF DATA $254.90 HC PATH CONSULT IN SURG,W FRZ SEC - BUNDLED CHARGE $447.75 HC PATH CONSULT IN SURG,W ADDN FRZ SEC - Block $247.00 HC CILIARY MOTILITY $541.00 HC CYTO EXAM TOUCH PREP INIT SITE $541.00 HC INTRAOP CYTO PATH CONSULT 2 - LAB INTRAOPERATIVE CYTO PATH CONSULT $287.00 HC IMMUNOHISTO ANTB ADDL SLIDE - IMMUNOHISTOCHEMICAL STAIN EA ADDL $100.00 HC IMHISTOCHEM/CYTCHM INIT ANTIBODY STAIN PROCEDURE - BUNDLED CHARGE $319.00 HC IMMUNOFLUORESCENT STUDY,INDIRECT - ANTI RIBONUCLEIC ACID $215.50 HC IMMUNOFLUORESCENT STUDY,INDIRECT - EMB ZONE AB IGA $425.00 HC IMMUNOFLUORESCENT STUDY,INDIRECT - EMB ZONE AB IGG $425.00 HC IMMUNOFLUORESCENT STUDY,INDIRECT - STAIN PEMPH $215.50 HC ELECTRON MICROSCOPY $455.00 HC IMMUNOFLUOR AB ADDL STAIN - PEMPH $228.20 HC IMMUNOHISTOCHEMISTRY II $185.00 HC PDL1 $375.00 HC TUMOR IMMUNOHISTOCHEM/MANUAL, SDHB WITH INTERPRETATION BY IHC $140.00 HC INSITU HYBRID (FISH) $723.65 HC AGGRESSIVE BCELL LYMPH RFLX TISSUE $425.00 HC BCL6 GENE REARRANGEMENT BY FISH $397.00 HC DDIT3 BY FISH $501.00 HC EWSR1 BY FISH $460.00 HC FISH ALK GENE REARRANGEMENTS $540.00 HC FISH MET GENE AMPLIFICATION $425.00 HC IGH BCL2 FUSION $425.00 HC INSITU HYBRIDIZATION (FISH), ROS1 BY IHC WITH FISH CONFIRMATION $633.00 HC INSITU HYBRIDIZATION (FISH), MYC 8Q24 GENE REARRANGEMENT BY FISH $425.00 HC INSITU HYBRID MANUAL EA $185.00 HC M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB - HER-2 / NEU, FISH $723.65 HC MICRODISSECTION MANUAL $132.25 HC BODY FLUID CELL COUNT W DIFF - BODY FLUID CELL COUNT W/DIFF $257.00 HC BODY FLUID CELL COUNT W DIFF - SYNOVIAL FLUID CELL COUNT $257.00 HC LEUKOCYTE COUNT,FECAL - FECAL LEUKOCYTES $47.75 HC EXAM,SYNOVIAL FLUID CRYSTALS - SYNOVIAL FLUID CRYSTAL $48.50 HC SPECIMEN FAT STAIN - FAT QUALITATIVE URINE $81.00 HC SWEAT CHLORIDE $183.75 HC SEMEN ANALYSIS,VOLUME, COUNT, MOTILITY, DIFF - SEMEN ANALYSIS $87.50 HC POST-VASECTOMY SEMEN ANALYSIS DT $68.50 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID $46.67 HC IMMUNIZ,ADMIN,EACH ADDL $46.67 HC IMMUNIZ ADMIN,INTRANASAL/ORAL,1 VAC/TOX $46.67 HC IMMUNIZ ADMIN,INTRANASAL/ORAL,EACH ADDL $46.67 HC PBB MENB-4C VACC 2 DOSE IM $444.21 HC PBB HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE $209.72 HC PBB HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE $75.53 HC PBB HEPA/HEPB VACCINE ADULT IM $66.00 HC PBB HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE $92.65 HC PBB 4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE $293.00 HC PBB 9VHPV VACC 2/3 DOSE SCHED IM USE $540.60 HC PBB IIV3 VACC NO PRESV 0.25 ML IM $62.82 HC PBB FLU VACC IIV3 VACC PRSV FREE 0.5ML IM $53.33 HC PBB PCV13 VACCINE FOR INTRAMUSCULAR USE $543.20 HC PBB FLU VACC LIAV4 VACC INTRANASAL $53.33 HC PBB FLU VACC CCIIV4 VACC PRSV FREE 0.5ML IM $53.33 HC PBB RABIES VACCINE, IM $530.00 HC PBB RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE $273.50 HC PBB FLU VACC RIV4 VACC RECOMBINANT DNA PRSV ANTIBIO FREE 0.5ML $53.33 HC PBB FLU VACC IIV4 VACC PRSV FREE 0.25ML $53.33 HC PBB FLU VACC IIV4 VACC SPLIT PRSV FREE 0.5ML $53.33 HC PBB FLU VACC IIV4 VACC SPLIT 0.25ML $53.33 HC PBB FLU VACC IIV4 VACC SPLIT 0.5ML $53.33 HC PBB AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE $62.82 HC PBB DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE $184.52 HC PBB DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE $225.80 HC PBB DTAP IMMUNIZATION, IM, <7 YO $77.19 HC PBB DT VACCINE UNDER 7 YRS IM $55.91 HC PBB MMR VIRUS IMMUNIZATION, SUBCUT $91.17 HC PBB COMBINED VACCINE,MMR+VARICELLA,SUB-Q $259.00 HC PBB POLIOVIRUS VACCINE INACTIVATED, SUB-Q/IM $42.00 HC PBB TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE $60.00 HC PBB TDAP VACCINE 7 YRS OR OLDER, IM $150.39 HC PBB VAR VACCINE LIVE FOR SUBCUTANEOUS USE $153.81 HC PBB DTAP-HEPB-IPV VACCINE INTRAMUSCULAR $104.00 HC PBB PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE $118.00 HC PBB MENINGOCOCCAL VACCINE FOR SUB-Q $157.00 HC PBB MENINGOCOCCAL VACCINE FOR IM $157.00 HC PBB ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE $277.08 HC PBB HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM $96.86 HC PBB HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM $96.00 HC PBB HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE $182.00 HC PBB HEPB VACC 4 DOSE IMMUNSUP IM $220.00 HC PBB HIB-HEPB VACCINE FOR INTRAMUSCULAR USE $77.00 HC PBB HZV ZOSTER VACCINE RECOMBINANT IM $504.00 HC PBB FLU VACC CCIIV4 VACC ANTIBIO FREE 0.5ML $53.33 HC INTERACTIVE COMPLEXITY ADD-ON $148.25 HC PSYCHIATRIC DIAGNOSTIC EVALUATION $488.25 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES $200.00 HC PSYCHOTHERAPY 30 (16-37 MIN) W/ E&M ADD $145.00 HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES $250.00 HC PSYCHOTHERAPY 45 (38-52 MIN) W/ E&M ADD $219.25 HC PSYCHOTHERAPY 60 MINUTES $295.00 HC PSYCHOTHERAPY 60 (53+ MIN) W/E&M ADD $313.75 HC PSYCHOTHERAPY FOR CRISIS 30-74 MINS $295.00 HC PSYCHOTHERAPY FOR CRISIS EA ADDL 30 MIN $111.50 HC FAMILY PSYCHOTHERAPY,NO PT $226.50 HC FAMILY PSYCHOTHERAPY W PHYS $226.50 HC MULTIP FAMILY-GROUP PSYCHOTHERAPY $358.00 HC GROUP PSYCHOTHERAPY $145.00 HC GROUP PSYCHOTHERAPY 45 MIN $145.00 HC GROUP PSYCHOTHERAPY-30 MIN $115.00 HC GROUP PSYCHOTHERAPY-60 MIN $175.00 HC ELECTROCONVULSIVE THERAPY $1,036.00 HC CONSULTATION WITH FAMILY $149.75 HC OT BIOFEEDBACK TRAINING,ANY MODALITY $114.00 HC PT BIOFEEDBACK TRAINING,ANY MODALITY $114.00 HC PT BIOFEED PF INIT 15 MINS $88.00 HC PT BIOFEED PF ADDL 15 MINS $49.00 HC HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION INPATIENT $1,576.00 HC HEMODIALYSIS, REPEATED EVAL. $1,576.00 HC DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL - CAPD $527.75 HC DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL - CAPD INPATIENT $527.75 HC DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL - CCPD $527.75 HC DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL - CCPD INPATIENT ACUTE $527.75 HC DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL - CCPD INPATIENT CHRONIC $527.75 HC DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL - MISCELLANEOUS DIALYSIS $1,281.00 HC DIALYSIS TRAINING COMPLETE - CAPD $560.00 HC DIALYSIS TRAINING COMPLETE - CCPD $560.00 HC DIALYSIS TRAINING INCOMPLETE - CAPD RETRAINING $560.00 HC DIALYSIS TRAINING INCOMPLETE - CCPD RETRAINING $560.00 HC DIALYSIS PROCEDURE - BACK UP IN CENTER $630.00 HC DIALYSIS PROCEDURE - HEMODIALYSIS $630.00 HC DIALYSIS PROCEDURE - HEMODIALYSIS IP $630.00 HC DIALYSIS PROCEDURE - TRANSIENT/NON-PRIMARY LOCATION $630.00 HC ESOPHAGEAL MOTILITY STUDY, MANOMETRY - MOTILITY STUDY, ESOPHAGEAL $728.45 HC ESOPHGL MOTIL W/ STIMULATION/PERFUSION - MOTILITY STUDY, ESOPHAGEAL $1,460.25 HC ESOPHGASTRO REFLUX TEST-NASAL CATH $2,105.00 HC GESOPH REFLX TEST W/ELCTROD $1,465.00 HC ESOPH IMPED FUNCT TEST > 1HR - ESOPHAGEAL PH MONITORING, 24-HOUR $2,105.00 HC BREATH HYDROGEN/METHANE TEST - BREATH HYDROGEN TEST $735.75 HC GI TRACT CAPSULE ENDOSCOPY - SMALL BOWEL CAPSULE ENTEROSCOPY $2,891.50 HC CAPSULE ENDO ESOPH ONLY (INCLU CAP) $2,262.75 HC GI WIRELESS CAP MEASURE W/INTERP $2,259.50 HC FIBROSCAN $413.00 HC EYE EXAM NEW PATIENT $200.75 HC VISUAL FIELD EXAM,EXTENDED - HUMPHREY VISUAL FIELD - OD - RIGHT EYE $291.50 HC VISUAL FIELD EXAM,EXTENDED - HUMPHREY VISUAL FIELD - OS - LEFT EYE $291.50 HC VISUAL FIELD EXAM,EXTENDED - HUMPHREY VISUAL FIELD - OU - BOTH EYES $291.50 HC PBB EYE EXAM WITH PHOTOS $189.50 HC EAR EXAM MICROSCOPE $83.25 HC SLP SPEECH/HEARING THERAPY, INDIVIDUAL $183.50 HC SLP SPEECH/HEARING THERAPY, INDIVIDUAL 30 MIN $125.00 HC SLP SPEECH/HEARING THERAPY, INDIVIDUAL 45 MIIN $150.00 HC SLP SPEECH/HEARING THERAPY, INDIVIDUAL 60 MIN $183.50 HC SLP SPEECH/HEARING THERAPY, GROUP $216.25 HC NASOPHARYNGOSCOPY $246.00 HC PBB FACIAL NERVE FUNCTION TEST - ELECTRONEURONOGRAPHY $370.50 HC PBB VEMP CERVICAL $375.75 HC PBB VEMP OCULAR $375.75 HC PBB VEMP CERVICAL & OCULAR $463.00 HC SLP LARYNGEAL FUNCTION STUDIES $283.50 HC SLP EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER) $64.00 HC SLP EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE $52.50 HC SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION $109.25 HC SLP BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE $60.50 HC SLP ORAL FUNCTION THERAPY $188.00 HC SLP ORAL FUNCTION THERAPY 30 MIN $233.00 HC SLP ORAL FUNCTION THERAPY 60 MIN $381.25 HC PBB CALORIC VESTIBULAR TEST W/REC BI BITHERMAL $334.25 HC PBB CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL $303.00 HC PBB VESTIBULAR EVALUATION $467.25 HC PBB STVHC PBBS-SPONTANEOUS NYSTAGMUS $165.00 HC PBB POSITIONAL NYSTAGMUS TEST. $165.00 HC PBB OPTOKINETIC NYSTAGMUS TEST $207.50 HC PBB OSCILLATING TRACKING TEST - OSCILLATING TRACKING TEST $207.50 HC PBB SINUSODIAL VERT AXIS ROTAT TST $266.25 HC PBB TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS $297.75 HC PBB PURE TONE HEARING TEST, AIR $79.00 HC PBB PURE TONE AUDIOMETRY, AIR $165.00 HC PBB AUDIOMETRY, AIR & BONE $207.50 HC PBB SPEECH THRESHOLD AUDIOMETRY $90.75 HC PBB SPEECH AUDIOMETRY, COMPLETE $90.75 HC PBB COMPREHENSIVE HEARING TEST $370.50 HC PBB STENGER TEST, PURE TONE $90.75 HC PBB TYMPANOMETRY $90.75 HC PBB ACOUSTIC REFLEX TESTING $90.75 HC PBB ACOUSTIC IMMIT TEST TYMPANOMETRY/ACOUST REFLEX/DECAY $207.50 HC PBB STAGGERED SPONDAIC WORD TEST $233.00 HC PBB STENGER TEST, SPEECH $728.45 HC PBB VISUAL AUDIOMETRY (VRA) $207.50 HC PBB CONDITIONING PLAY AUDIOMETRY $241.75 HC PBB SELECT PICTURE AUDIOMETRY $144.25 HC PBB ELECTROCOCHLEOGRAPHY $389.25 HC PBB EVOKED AUDITORY TEST,LIMITED $349.50 HC PBB EVOKED AUDITORY TEST,COMPREHSV $454.00 HC PBB HEARING AID EXAM, ONE EAR $296.75 HC PBB HEARING AID EXAM, BOTH EARS $362.50 HC PBB HEARING AID CHECK, ONE EAR LEVEL ONE $104.50 HC PBB HEARING AID CHECK, BOTH EARS BINAURAL $143.50 HC PBB ELECTRO HEARING AID TEST, ONE $63.25 HC PBB ELECTRO HEARINGAID TEST, BOTH $92.25 HC PBB EAR PROTECTOR ATTENUATION MEAS $120.00 HC SLP EVAL VOICE PROSTH DEVICE $320.50 HC PBB DX ANAL COCHLEAR IMP,PT <7 YRS,W/PROG $422.25 HC PBB DX ANAL COCHLEAR IMP,PT <7 YRS,REPROG $422.25 HC PBB DX ANAL COCHLEAR IMP,PT >7 YRS,W/PROG $422.25 HC PBB DX ANAL COCHLEAR IMP,PT >7 YRS,REPROG $422.25 HC EVAL,NON-SPEECH GEN AUG/ALT COMMUN DEV $335.50 HC SLP THER SRVC(S),NON-SPEECH GEN DEV, W/PROG $134.00 HC SLP EVAL,SPEECH-GEN AUG/ALT COMM DEV,1ST HR $225.00 HC SLP EVAL,SPEECH-GEN AUG/ALT COMM DEV,ADDL 30 $95.50 HC SLP THER SRVC, SPEECH GEN DEV USE, W/PROG $381.25 HC SLP EVAL,ORAL & PHARYNGEAL SWALLOW FUNCTION $428.50 HC SLP EVAL,ORAL & PHARYNGEAL SWALLOW FUNCTION 30 MIN $203.75 HC SLP EVAL,ORAL & PHARYNGEAL SWALLOW FUNCTION RE-ASSESS $303.00 HC SLP EVAL,ORAL & PHARYNGEAL SWALLOW FUNCTION RE-ASSESS 30 MIN $175.75 HC SLP EVAL,SWALLOW FUNCTION,CINE/VIDEO RECORD $517.25 HC SLP EVAL,SWALLOW FUNCTION,CINE/VIDEO RECORD 30 MIN $256.00 HC SLP ENDOSCOPIC EVAL,SWALLOW,CINE/VIDEO $1,168.25 HC SLP ENDOSCOP EVAL,LARYNG SENS TEST,CINE/VID $618.00 HC SLP EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN $122.00 HC PBB AUDITORY FUNCTION, 60 MIN $207.50 HC PBB AUDITORY FUNCTION, + 15 MIN $49.50 HC PBB TINNITUS ASSESSMENT $207.50 HC PBB EVAL AUDITORY REHAB STATUS, 1ST HOUR $225.00 HC PBB EVAL AUDITORY REHAB STATUS, EA ADD 15 MIN $56.25 HC PBB AUDITORY REHAB, PRE-LINGUAL HEAR LOSS $64.75 HC PBB AUDITORY REHAB POST-LINGUAL HEAR LOSS $64.75 HC EVOKED POTENTIALS: AUTOMATED SCREENING $375.75 HC EVOKED POTENTIALS: BROADBAND HEARING STATUS DETERMINATION $375.75 HC EVOKED POTENTIALS: TONE-BURST THRESHOLD DETERMINATION $463.00 HC EVOKDED POTENTIALS: NEURODIAGNOSTIC $463.00 HC PBB ENT OTHER PROCEDURE OR SERVICE $233.50 HC CATH PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH $18,394.50 HC CATH PRQ TRLUML CORONARY ANGIOPLASTY ADDL BRANCH $3,519.00 HC CATH PRQ TRLUML CORONARY ANGIO/ATHERECT ONE ART/BRNCH $13,555.00 HC CATH PRQ TRLUML CORONARY ANGIO/ATHEREC ADDL ART/BRNCH $4,577.75 HC CATH PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH $13,555.00 HC CATH PRQ TRLUML CORONARY STENT W/ANGIO ADDL ART/BRNCH $3,873.25 HC CATH PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH $23,167.25 HC CATH PRQ TRLUML CORONARY STENT/ATH/ANGIO ADDL BRANCH $4,296.00 HC CATH PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL $13,555.00 HC CATH PRQ TRLUML CORONARY BYP GRFT REVASC ADDL VESSEL $7,871.75 HC CATH PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL $24,314.25 HC CATH PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL $13,555.00 HC CATH PRQ TRLUML CORONRY CHRNIC OCCLUS REVASC ADDL VSL $10,847.00 HC HEART/LUNG RESUSCITATION (CPR) $647.00 HC PACING EXTERNAL P/DAY 9THST $804.75 HC CARDIOVERSION ELECTRIC EXT - CARDIOVERSION EXTERNAL $955.50 HC CARDIOVERSION ELECTRIC EXT - TEE COMPLETE W/ CARDIOVERSION $955.50 HC CARDIOVERSION ELECTRIC EXT - TEE COMPLETE W/ COLOR AND CARDIOVERSION $955.50 HC CARDIOVERSION ELECTRIC EXT - TEE W/ DOPPLER, COLOR AND CARDIOVERSION $955.50 HC CARDIOVERSION ELECTRIC INT - CARDIOVERSION INTERNAL $1,780.25 HC CATH PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY $2,925.50 HC CATH TRANSCATH PLACMT,RAD DELIV DEV,CORONARY $2,507.00 HC CATH THROMBOLYSIS,CORONARY,IA INFUSN $1,830.75 HC CATH THROMBOLYSIS,CORONARY,IV INFUSN $807.50 HC CATH INTRAVASC US,HEART,1ST VESSEL $1,682.00 HC CATH INTRAVASC CORONARY SONO,ADDN VESSEL $647.25 HC CATH PERCUT AORTIC VALVULOPLASTY $6,853.50 HC CATH PERCUT MITRAL VALVULOPLASTY $13,555.00 HC CATH PERCUT PULMONARY VALVULOPLASTY $13,555.00 HC CATH PUL ART BALLOON REPAIR,PERC,1ST VESL $13,555.00 HC CATH PUL ART BALLOON REPAIR,PERC,ADDN VES $2,956.00 HC PBB EKG MPC $253.50 HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD $228.25 HC CARDIAC STRESS TST,TRACING ONLY $1,807.75 HC EXT ECG RECORD CONTIN 48 HR, RECORD - HOLTER MONITOR - 24 HOUR $426.75 HC EXT ECG RECORD CONTIN 48 HR, RECORD - HOLTER MONITOR - 48 HOUR $494.75 HC ECG MONIT/REPRT UP TO 48 HRS - HOLTER MONITOR - 24 HOUR $473.00 HC ECG MONIT/REPRT UP TO 48 HRS - HOLTER MONITOR - 48 HOUR $473.00 HC REMOTE 30 DAY ECG REV/REPORT - CARDIAC EVENT MONITOR $374.25 HC ECG/MONITORING AND ANALYSIS - CARDIAC EVENT MONITOR $677.00 HC EP PERI-PX EVAL&PROGRAM IN PRSN PACEMAKER SYSTEM $101.75 HC PERI-PX PACEMAKER DEVICE EVL - CARD DEVICE IMPLANT/POST-PROC PCMKR $101.75 HC PERI-PX PACEMAKER DEVICE EVL - CARD DVC IMP/POST-PROC PCMKR W PROG $101.75 HC ICM DEVICE EVAL $107.50 HC WCD DEVICE INTERROGATE $130.75 HC ECHO TRANSTHORACIC - CONGENITAL TTE COMPLETE $2,046.25 HC ECHO TRANSTHORACIC - CONGENITAL TTE COMPLETE W/ COLOR $2,046.25 HC ECHO TRANSTHORACIC - CONGENITAL TTE COMPLETE W/ COLOR AND CONTRAST $2,046.25 HC ECHO TRANSTHORACIC - CONGENITAL TTE COMPLETE W/ CONTRAST $2,046.25 HC ECHO TRANSTHORACIC - CONGENITAL TTE COMPLETE W/ DOPPLER AND COLOR $2,046.25 HC ECHO TRANSTHORACIC - CONGENITAL TTE COMPLETE W/ DOPPLER COLOR & CONT $2,046.25 HC ECHO TRANSTHORACIC - CONGENITAL TTE LIMITED $928.75 HC ECHO TRANSTHORACIC - CONGENITAL TTE LIMITED W/ COLOR $928.75 HC ECHO TRANSTHORACIC - CONGENITAL TTE LIMITED W/ DOPPLER AND COLOR $928.75 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE $1,564.25 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE W/ CONTRAST $2,730.50 HC TTE F-UP OR LMTD - TTE LIMITED $557.00 HC TTE F-UP OR LMTD - TTE LIMITED W/ COLOR $557.00 HC TTE F-UP OR LMTD - TTE LIMITED W/ DOPPLER AND COLOR $557.00 HC TTE W/ CONTRAST OR W/O CONTRAST FOLLOWED BY CONTRAST W/ 2D F/U OR LIMITED $1,079.00 HC ECHO TRANSESOPHAGEAL - TEE COMPLETE $2,417.50 HC ECHO TRANSESOPHAGEAL - TEE COMPLETE W/ CARDIOVERSION $2,417.50 HC ECHO TRANSESOPHAGEAL - TEE COMPLETE W/ COLOR $2,417.50 HC ECHO TRANSESOPHAGEAL - TEE COMPLETE W/ DOPPLER & COLOR $2,417.50 HC ECHO TRANSESOPHAGEAL - TEE COMPLETE WITH BUBBLE $2,417.50 HC ECHO TRANSESOPHAGEAL - TEE W/ DOPPLER, COLOR & CARDIOVERSION $2,417.50 HC ECHO TRANSESOPHAGEAL - CONGENITAL TEE COMPLETE $1,950.00 HC ECHO TRANSESOPHAGEAL - CONGENITAL TEE COMPLETE W/ COLOR $1,950.00 HC ECHO TRANSESOPHAGEAL - CONGENITAL TEE COMPLETE W/ DOPPLER & COLOR $1,950.00 HC ECHO TRANSESOPHAGEAL - CONGENITAL TRANSESOPHAGEAL ECHO (TEE) W/BUBBLE $1,950.00 HC DOPPLER ECHO EXAM HEART - CONGENITAL TEE COMPLETE W DPPLR CLR & CONT $334.75 HC DOPPLER ECHO EXAM HEART - CONGENITAL TEE COMPLETE W/ DOPPLER & COLOR $334.75 HC DOPPLER ECHO EXAM HEART - CONGENITAL TTE COMPLETE W/ DOPPLER & COLOR $334.75 HC DOPPLER ECHO EXAM HEART - TEE COMPLETE W/ DOPPLER & COLOR $334.75 HC DOPPLER ECHO EXAM HEART - TEE COMPLETE W/ DOPPLER, COLOR & CONTRAST $334.75 HC DOPPLER ECHO EXAM HEART - TEE W/ DOPPLER, COLOR & CARDIOVERSION $334.75 HC DOPPLER ECHO EXAM HEART - CONGENITAL TTE LIMITED W DPPLR CLR & CONT $302.00 HC DOPPLER ECHO EXAM HEART - CONGENITAL TTE LIMITED W/ DOPPLER & COLOR $302.00 HC DOPPLER ECHO EXAM HEART - TTE LIMITED W/ DOPPLER & COLOR $302.00 HC DOPPLER ECHO EXAM HEART - TTE LIMITED W/ DOPPLER, COLOR & CONTRAST $302.00 HC DOPPLER COLOR FLOW ADD-ON - CONGENITAL TEE COMPLETE W DPLR CLR & CON $430.50 HC DOPPLER COLOR FLOW ADD-ON - CONGENITAL TEE COMPLETE W/ COLOR $430.50 HC DOPPLER COLOR FLOW ADD-ON - CONGENITAL TEE COMPLETE W/ COLOR & CONT $430.50 HC DOPPLER COLOR FLOW ADD-ON - CONGENITAL TEE COMPLETE W/ DOPPLER & CLR $430.50 HC DOPPLER COLOR FLOW ADD-ON - CONGENITAL TTE COMPLETE W/ DOPPLER & CLR $430.50 HC DOPPLER COLOR FLOW ADD-ON - CONGENITAL TTE LIMITED W DOPPLER & COLOR $430.50 HC DOPPLER COLOR FLOW ADD-ON - CONGENITAL TTE LIMITED W DPPLR CLR & CON $430.50 HC DOPPLER COLOR FLOW ADD-ON - CONGENITAL TTE LIMITED W/ COLOR $430.50 HC DOPPLER COLOR FLOW ADD-ON - CONGENITAL TTE LIMITED W/ COLOR & CONT $430.50 HC DOPPLER COLOR FLOW ADD-ON – FETAL ECHO COMPLETE W/ DOPPLER & COLOR $430.50 HC DOPPLER COLOR FLOW ADD-ON – FETAL ECHO FU REPEAT STDY W DPPLR & CLR $430.50 HC DOPPLER COLOR FLOW ADD-ON - TEE COMPLETE W/ COLOR $430.50 HC DOPPLER COLOR FLOW ADD-ON - TEE COMPLETE W/ COLOR & CARDIOVERSION $430.50 HC DOPPLER COLOR FLOW ADD-ON - TEE COMPLETE W/ COLOR & CONTRAST $430.50 HC DOPPLER COLOR FLOW ADD-ON - TEE COMPLETE W/ DOPPLER & COLOR $430.50 HC DOPPLER COLOR FLOW ADD-ON - TEE COMPLETE W/ DOPPLER, COLOR & CONT $430.50 HC DOPPLER COLOR FLOW ADD-ON - TEE W/ DOPPLER, COLOR & CARDIOVERSION $430.50 HC DOPPLER COLOR FLOW ADD-ON - TTE LIMITED W/ COLOR $430.50 HC DOPPLER COLOR FLOW ADD-ON - TTE LIMITED W/ DOPPLER & COLOR $430.50 HC DOPPLER COLOR FLOW ADD-ON - TTE LIMITED W/ DOPPLER, COLOR & CONTRAST $430.50 HC DOPPLER COLOR FLOW VELOCITY MAP ADD ON $430.50 HC STRESS TTE COMPLETE - ECHOCARDIOGRAM DOBUTAMINE STRESS TEST $1,922.00 HC STRESS TTE COMPLETE - ECHOCARDIOGRAM EXERCISE STRESS TEST $770.00 HC CATH ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN $3,187.50 HC MYOCARDIAL STRAIN IMAGING $407.50 HC MYOCARDIAL STRAIN IMAGING ADD ON $407.50 HC CATH RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT $9,537.25 HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP $10,504.50 HC CATH RIGHT & LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP $11,748.50 HC CATH CATH PLACE/CORONARY ANGIO, IMG SUPER/INTERP $11,886.75 HC CATH CATH PLACE/CORONARY ANGIO, IMG SUPER/INTERP, BYPASS ANGIO $12,593.00 HC CATH CATH PLACE/CORONARY ANGIO, IMG SUPER/INTERP,W RIGHT HEART CATH $14,652.00 HC CATH CATH PLACE/CORON ANGIO, IMG SUPER/INTERP, BYPASS ANGIO,W R HEART CATH $17,914.00 HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,W LEFT HEART VENTRICULOGRAPHY $17,167.25 HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP, BYPASS ANGIO,W L HRT VENTRIC $18,797.75 HC CATH CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,R&L HRT CATH, L HRT VENTRIC $19,267.50 HC CATH CATH PLACE/COR ANG,IMG SUPR/INTRP,BYPASS ANG, R&L CATH, L HRT VENTRIC $20,456.75 HC CATH LEFT HEART CATH BY TRANSEPTAL PUNCTURE $11,916.00 HC CATH MEDICATION ADMIN & HEMODYNAMIC MEASURMENT $629.00 HC CATH PHYSIOLOGIC EXERCISE STUDY & HEMODYNAMIC MEASURE $907.75 HC CATH INSERT/PLACE FLOW DIRECT CATH $2,446.75 HC CATH BIOPSY OF HEART LINING $5,989.00 HC CATH RT HEART CATH, CONGENITAL HEART ABNL $10,942.00 HC CATH R/L RETRO HEART CATH, CONG HT ABNL $12,626.75 HC CATH R/L INTACT XSEPTAL HT CATH,CONGEN AB $14,310.00 HC CATH R/L OPEN XSEPTAL HRT CATH,CONGEN ABL $12,123.00 HC CATH INJECT SELECT COR ANGIO DURING CONGENITAL HEART CATH $1,305.50 HC CATH INJECT SELECT COR/GRAFT ANGIO DURING CONGENITAL HEART CATH $1,444.50 HC CATH INJECT SELECT LEFT VENT/ATRIAL ANGIO DURING HEART CATH $1,402.50 HC CATH INJECT SELECT RIGHT VENT/ATRIAL ANGIO DURING HEART CATH $830.50 HC CATH INJECT SUPRAVALVULAR AORTOGRAPHY DURING HEART CATH $726.75 HC CATH INJECT PULMONARY ANGIOGRAPHY DURING HEART CATH $1,440.00 HC CATH HEART FLOW RESERV MEASURE,INIT VESSL $4,494.25 HC CATH HEART FLOW RESERV MEASURE,ADDN VESSL $3,375.75 HC CATH PERC CLOS,CONG INTERATRIAL COMMUN W/IMPL $26,504.50 HC CATH PERC CLOSURE,CONG VSD W/IMPLANT $26,504.50 HC CATH PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS $27,558.00 HC CATH PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER $28,835.00 HC CATH PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE $23,167.25 HC CATH PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE $23,167.25 HC CATH PERQ TRANSCATH CLS PARAVALVR LEAK EACH OCCLS DEV $2,100.00 HC EP BUNDLE OF HIS RECORDING $7,971.50 HC EP INTRA-ATRIAL RECORDING $7,971.50 HC EP RIGHT VENTRICULAR RECORDING $3,664.00 HC EP MAP,TACHYCARDIA SITE W/CATH MANIPUL $2,812.50 HC EP INTRA-ATRIAL PACING $7,971.50 HC EP INTRAVENTRICULAR PACING $7,971.50 HC EP INTRACARD ELECTROPHYS 3-DIMENS MAPPING $4,498.75 HC EP ESOPHAGEAL RECORDING ATRIA+PACING $1,177.50 HC EP INDUC ARRHYTH BY HEART RHYTHM PACING $2,631.50 HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $10,350.50 HC EP COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION $11,373.50 HC EP COMPRE ELECTROPHYSIOL XM W/LEFT ATRIAL PACNG/REC $9,405.50 HC EP COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC $3,171.75 HC EP STIM/PACING HEART POST IV DRUG INFU $1,788.50 HC EP ELECTROPHYSIOLOGIC F/U STUDY $9,806.50 HC EP EVAL CARDIOVERT LEADS,INITIAL $6,126.00 HC EP EVAL CARDIOVERT LEADS/PULS GEN $5,319.50 HC EP EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS $5,643.25 HC EP ABLATE AV NODE FUNCTION $7,357.50 HC EP EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA $47,048.00 HC EP EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA $31,195.25 HC EP ICAR CATHETER ABLATION ARRHYTHMIA ADD ON $10,628.50 HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN $31,195.25 HC EP ABLATE L/R ATRIAL FIBRIL W/ ISOLATED PULM VEIN $10,976.50 HC TILT TABLE EVALUATION - TILT TABLE $1,392.25 HC CATH INTRACARD ECHO, THER/DX INTERVENT $1,547.75 HC EP ANALYZE PACER SYS $513.75 HC MEASURE VENOUS PRESSURE $21.75 HC AMBULATORY BP RECORDING - 24 HOUR BLOOD PRESSURE MONITOR $265.25 HC AMBULATORY BP ANALYSIS $217.25 HC PBB CARDIAC REHAB W/O CONT ECG $293.00 HC PBB OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING $293.00 HC DUPLEX SCAN EXTRACRANIAL,BILAT - CAROTID ULTRASOUND NEUROLOGY $807.00 HC VASC DUPLEX SCAN EXTRACRANIAL,LIMITED $677.50 HC INTRACRANIAL COMPLETE STUDY - US HEAD DOPPLER COMPLETE $424.00 HC VASC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL $284.25 HC UPR/LXTR ART STDY 3+ LEVELS - CV US ANKLE/BRACHIAL INDICES EXTREM LMTD $361.00 HC VASC NON-INVASIVE LOWER EXTREM ART STRESS/REST, COMPLETE,BI $533.50 HC VASC DUPLEX LO EXTREM ART BILAT $938.00 HC VASC DUPLEX LO EXTREM ART UNILAT/LTD $665.25 HC VASC DUPLEX UP EXTREM ART BILAT $974.25 HC VASC DUPLEX UP EXTREM ART UNILAT/LTD $628.75 HC VASC DUPLEX EXTREM VENOUS,BILAT $982.50 HC DUPLEX EXTREM VENOUS,UNI OR LTD $788.00 HC VASC DUPLEX ABD/PEL VASC STUDY,COMPLETE $1,482.50 HC VASC DUPLEX LARGE VESSEL(S),COMPLETE $1,382.25 HC VASC DUPLEX INFERIOR VENA CAVA,LIMITED $999.00 HC VASCULAR STUDY - US AORTA ILIAC VESSELS DOPPLER LIMITED $999.00 HC VASCULAR STUDY - PENILE DUPLEX $1,061.00 HC PENILE VASCULAR STUDY,LTD OR F/U - US PENIS DOPPLER LIMITED $657.00 HC DUP SCAN HEMO COMP BILAT STUDY $938.00 HC DUP SCAN HEMO COMP UNILAT STUDY $635.00 HC DUPLEX HEMODIALYSIS ACCESS - BI $591.00 HC DUPLEX HEMODIALYSIS ACCESS - HEMODIALYSIS ACCESS DUPLEX $591.00 HC RT HIGH FREQ OSCILLATION INTITAL DAY $3,655.25 HC RT VENT MGMT, INPATIENT, INITIAL DAY $3,655.25 HC RT VENTILATOR TRANSPORT $3,655.25 HC RT HIGH FREQ OSCILLAT SUBQ DAY $2,688.25 HC RT VENT MGMT, INPATIENT, SUBQ DAY $2,688.25 HC BREATHING CAPACITY TEST - BREATHING CAPACITY TEST $207.50 HC BREATHING CAPACITY TEST - OFFICE SPIROMETRY $207.50 HC BREATHING CAPACITY TEST - SPIROMETRY WITHOUT BRONCHODILATOR $207.50 HC SPIROMETRY UP TO 2 YRS OLD $346.25 HC SPIROMTRY W/BRNCHDIL INF-2YR $379.65 HC MEAS LUNG VOL THRU 2 YRS $728.45 HC EVAL OF BRONCHOSPASM - SPIROMETRY WITH BRONCHODILATOR $617.75 HC EVAL OF BRONCHOSPASM,PROLONGED - BRONCHIAL CHALLENGE W METHACHOLINE $1,114.25 HC RT NEGATIVE INSPIRATORY FUNCTION $207.50 HC RT VITAL CAPACITY TEST $207.50 HC VITAL CAPACITY TEST - BREATHING CAPACITY TEST $207.50 HC VITAL CAPACITY TEST - PR VITAL CAPACITY TEST $207.50 HC BREATHING RESPONSE TO HYPOXIA $222.00 HC HAST W/REPORT - HIGH ALTITUDE SIMULATION TEST $224.25 HC HIGH ALT SIMUL TEST O2 TITRATE $216.25 HC SURFACTANT ADMINISTRATION $276.00 HC EXERCISE TEST FOR BRONCHOSPASM $165.00 HC PULM STRESS TEST 6 MIN WALK $165.00 HC CARDIOPULMONARY EXERCISE TESTING - COMPLEX STRESS TEST, PULMONARY $1,014.00 HC RT INDUCED SPUTUM INITIAL $295.00 HC RT INDUCED SPUTUM SUBSEQUENT $276.00 HC RT INHALATION TREATMENT INITIAL $295.00 HC RT INHALATION TREATMENT SUBSEQUENT $276.00 HC RT MDI/DPI $295.00 HC AEROSOL PENTAMIDINE TREATMENT $287.50 HC RT CONTINUOUS INHALATION TX, 1ST HR $165.00 HC RT CONTINUOUS INHALATION TX, EACH ADD HR $90.75 HC RT BIPAP $451.00 HC RT BIPAP SUBSEQ DAY $451.00 HC RT CPAP $451.00 HC RT DEMO &/OR EVAL,PT USE,AEROSOL DEVICE $276.00 HC RT CHEST WALL MANIPULATION, INITIAL $175.75 HC RT CHEST WALL MANIPULATION,SUBSEQUENT $165.00 HC RT MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION $287.50 HC NUTRI ASSEMNT INDIRECT CALIMET PFL $122.75 HC PULM FUNCT TST PLETHYSMOGRAP - BODY PLETHYSMOGRAPHIC LUNG VOLUMES $635.00 HC PULM FUNCT TST PLETHYSMOGRAP - PLETHYSMOGRAPHY $635.00 HC PULM FUNCTION TEST BY GAS - NITROGEN DILUTION LUNG VOLUMES $244.00 HC IMPULSE OSCILLOMETRY PFL $635.00 HC DIFFUSING CAPACITY - CARBON MONOXIDE DIFFUSING CAPACITY $107.25 HC RT NONINVASV OXYGEN SATUR;SINGLE $76.75 HC NONINVASV OXYGEN SATUR,MULTIPLE - PULSE OXIMETRY, WITH EXERCISE $258.00 HC RT NONINVASV OXYGEN SATUT,CONTINUOUS $321.50 HC PBB PED HOME APNEA RECORDIN, DOWNLOAD ONLY $235.00 HC CAR SEAT/BED TESTING W/INTERP & REPORT 60 MIN $98.25 HC CAR SEAT/BED TESTNG W/INTERP & REPORT +30MIN $43.50 HC NITRIC OXIDE EXPIRED GAS DETERMINATION $103.75 HC ALLERGY PATCH TESTS $444.50 HC PBB CONTINUOUS GLUCOSE MONITORING (CGMS) 72 HRS $420.00 HC EEG CONT RECORDING W/ VIDEO MIN 8 CHANNEL $380.00 HC EEG WO VIDEO 2-12HR UNMONITORED $380.00 HC EEG WO VIDEO 12-26HR UNMONITORED $728.00 HC VEEG 2-12 HRS UNMONITORED $380.00 HC VEEG 2-12 HRS INT MONITOR $380.00 HC VEEG 2-12 HRS CONT MONITOR $728.00 HC VEEG 12-26 HRS UNMONITORED $728.00 HC VEEG 12-26 HRS INT MONITOR $728.00 HC VEEG 12-26 HRS CONT MONITOR $1,363.00 HC POLYSOM <6 YRS 4 ADDL PARAM $1,742.50 HC POLYSOM <6 YRS (4+ ADDL PARAM)CPAP/BILEVEL $1,801.25 HC SLEEP STUDY UNATTENDED $482.25 HC ACTIGRAPHY TESTING 3-14 DAYS $182.75 HC MULTIPLE SLEEP LATENCY TEST $1,742.50 HC PBB POLYSOM ANY AGE 1-3 ADDL PARAM $1,742.50 HC POLYSOMNOGRAPHY OVERNIGHT $1,894.00 HC POLYSOMNOGRAPHY W/CPAP $2,670.25 HC EEG,EXTENDED MONITORING,41-60 MINUTES - EEG $883.50 HC EEG >1 HR - EEG $1,140.25 HC EEG,W/AWAKE & DROWSY RECORD - EEG AWAKE OR DROWSY PORTABLE $895.50 HC EEG,W/AWAKE & ASLEEP RECORD - EEG IN COMA $1,004.00 HC EEG,COMA/SLEEP RECORD ONLY - EEG IN COMA $801.75 HC EEG EVAL CEREBRAL DEATH - EEG CEREBRAL DEATH EVAL ONLY $861.75 HC SURGERY ELECTROCORTICOGRAM - ELECTROCORTICOGRAM AT SURGERY $811.00 HC OT LIMB MUSCLE TEST, MANUAL $96.00 HC PT LIMB MUSCLE TEST, MANUAL $96.00 HC OT MUSCLE TEST W/REP HAND $96.00 HC PT MUSCLE TEST W/REP HAND $96.00 HC OT MUSCLE TEST W/REP TOT EVAL;NOT HANDS $119.50 HC PT MUSCLE TEST W/REP TOT EVAL;NOT HANDS $119.50 HC OT MUSCLE TEST W/REP TOTAL EVAL W/HANDS $136.25 HC PT MUSCLE TEST W/REP TOTAL EVAL W/HANDS $136.25 HC RNS ECOG IMPLANTED BRAIN NPGT W/REC I&R <30 DAYS $105.00 HC OT RANGE MOTION MEASURE,EACH EXTREM $96.00 HC PT RANGE MOTION MEASURE,EACH EXTREM $96.00 HC OT ROM HAND $96.00 HC PT ROM HAND $96.00 HC CHOLINESTERASE CHALLENGE - TENSILON TEST $378.50 HC PBB EMG, NEEDLE, ONE LIMB - EMG 1 LIMB $191.50 HC PBB EMG, NEEDLE, TWO LIMBS - EMG 2 LIMBS $281.50 HC PBB EMG, NEEDLE, 3 LIMBS - EMG 3 LIMBS $349.50 HC PBB EMG, NEEDLE, 4 LIMBS - EMG 4 LIMBS $420.50 HC PBB MUSCLE TEST LARYNX $191.50 HC PBB MUSCLE TEST HEMIDIAPHRAGM $207.50 HC PBB EMG,NEEDLE,CRANIAL NERVE SUPP MUS,UNILAT - EMG HEAD OR NECK UNI $207.50 HC PBB EMG, NEEDLE, HEAD OR NECK - EMG HEAD OR NECK BIL $215.25 HC PBB EMG,NEEDLE,THOR PARASPIN MUS,EXC T1/T12 - EMG THORACIC/PARASPINAL $207.50 HC EMG,1 EXTREM,NONPARASPINAL - EMG $100.50 HC EMG,1 EXTREM,NONPARASPINAL - MANUAL MUSCLE TESTING $100.50 HC PBB EMG, NEEDLE, ONE FIBER - EMG ONE FIBER $207.50 HC PBB GUIDE NERV DESTR ELEC STIM $162.75 HC GUIDE NERV DESTR NDL $115.00 HC PBB MUSC TST DONE W/NRV TST LIM $134.25 HC PBB MUSC TST DONE W/NRV TEST COMP $134.25 HC PBB MUSC TST DONE W/NRV TST NON EXT $134.25 HC PBB MOTOR &/ SENS NRVE CNDJ TEST $181.00 HC PBB NERVE CONDUCT 1-2 STUDIES $234.00 HC PBB NERVE CONDUC 3-4 STUDIES $793.50 HC PBB NERVE CONDUC 5-6 STUDIES $859.75 HC PBB NERVE CONDUC 7-8 STUDIES $409.50 HC PBB NERVE CONDUC 9-10 STUDIES $1,388.75 HC PBB NERVE CONDUC 11-12 STUDIES $1,455.00 HC PBB NERVE CONDUC 13+ STUDIES $1,521.00 HC NERVE STIMULATION UPPER LIMBS $822.75 HC SOMATOSENSORY TEST,LOWER LIMBS - SOMATOSENSORY TEST $822.75 HC VISUAL EP TEST CNS W/I&R - VISUAL EVOKED POTENTIAL TEST $1,105.25 HC PBB BLINK REFLEX TEST - BLINK REFLEX ELECTRODIAGNOSTIC TEST $206.50 HC PBB NEUROMUSCULAR JUNCTION TEST $207.50 HC SOMOTO EVOK RESP UP & LWR $1,329.25 HC IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES $240.00 HC DIG ANALYSIS OF EEG $531.25 HC WADA TEST,INCLUDING EEG $1,004.00 HC ELECTRODE STIMULATION BRAIN $1,369.25 HC ELECT ANALY W/O PROGRAM $261.50 HC PBB VNS ELECT ANALY W/PROGRAM $187.50 HC VNS ELECT ANALY IMPLT SMPL CN NPGT PRGRMG $105.00 HC VNS ELECT ANALY IMPLT CPLX CN NPGT PRGRMG $373.00 HC RNS ELECT ANALY IMPLT BRN NPGT PRGRMG 1ST 15 MIN $289.00 HC RNS ELECT ANALY IMPLT BRN NPGT PRGRMG EA ADDL 15 MIN $121.00 HC BACLOFEN REFILL & MAINT W/O REPROGRAM INCL ANALY WHEN DONE $392.65 HC PT CANALITH REPOSITIONING PROCEDURE, PER DAY $117.50 HC FUNCTIONAL BRAIN MAPPING - MR HEAD FUNCTIONAL MOTOR $327.50 HC SLP ASSESSMENT OF APHASIA $393.00 HC DEVELOPMENTAL TEST ADMINISTRATION 1ST HR $375.00 HC DEVELOPMENTAL TEST ADMINISTRATION EA ADDL 30 MIN $200.00 HC SLP STANDARDIZED COGNITIVE PERFORMANCE TESTING $349.75 HC IV INFUSION, HYDRATION, 31-60 MIN $384.75 HC IV INFUSION, HYDRATION, EA ADD HOUR $156.00 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR $441.75 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,EA ADD HOUR $176.50 HC IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR $258.00 HC IV INFUSION, THERAP/PROPH/DIAGNOST,CONCURRENT INFUSION $282.75 HC SUBCUT INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR $348.50 HC SUBCUT INFUSION, THERAP/PROPH/DIAGNOST,EA ADD HOUR $68.00 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT $253.25 HC INTRA ARTERIAL INJECTION $340.00 HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG $340.00 HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG $83.75 HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, SAME DRUG $83.75 HC CHEMOTHER,NON-HORMONE ANTI-NEOPL, SUB-Q/IM $302.00 HC CHEMOTHER HORMON ANTINEOPL SUB-Q/IM $104.00 HC INTRALESIONAL CHEMO ADMIN,<8 LESN $277.75 HC CHEMOTHER, IV PUSH, SNGL DRUG $311.75 HC CHEMOTHER, IV PUSH,EA ADD DRUG $169.25 HC CHEMOTHER, IV INFUSION, 1 HR $519.75 HC CHEMOTHER, IV INFUSION, EA ADD HR $304.00 HC CHEMOTHER PROLONG INFUSE W/PUMP $982.25 HC CHEMOTHER, IV INFUSE, EACH SEQU INFUS $284.00 HC CHEMOTHER,IA PUSH TECHNIQUE $464.50 HC CHEMOTHER,CNS,W/LUMBAR PUNCTURE $907.25 HC REFILL/MAINT, PORTABLE PUMP $275.75 HC REFILL/MAINT SYSTEMIC PUMP/RESVR $477.75 HC IRRIG IMPLANTED DRUG DELIVERY DEVICE $97.50 HC CHEMOTHER INJECT,SUBARACH/INTRAVENT $277.00 HC ULTRAVIOLET LIGHT THERAPY $97.00 HC OT HOT OR COLD PACKS THERAPY $47.25 HC PT HOT OR COLD PACKS THERAPY $47.25 HC PT MECHANICAL TRACTION THERAPY $49.75 HC OT VASOPNEUMATIC DEVICE THERAPY $91.00 HC PT VASOPNEUMATIC DEVICE THERAPY $91.00 HC OT PARAFFIN BATH THERAPY $54.75 HC PT PARAFFIN BATH THERAPY $54.75 HC OT WHIRLPOOL THERAPY $94.00 HC PT WHIRLPOOL THERAPY $94.00 HC OT ELECTRICAL STIMULATION $88.75 HC PT ELECTRICAL STIMULATION $88.75 HC OT ELECTRIC CURRENT THERAPY $85.00 HC PT ELECTRIC CURRENT THERAPY $85.00 HC PT CONTRAST BATH THERAPY $54.75 HC OT ULTRASOUND THERAPY $145.50 HC PT ULTRASOUND THERAPY $145.50 HC OT THERAPEUTIC EXERCISES $164.25 HC PT THERAPEUTIC EXERCISES $164.25 HC OT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN $163.75 HC PT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN $163.75 HC PT GAIT TRAINING THERAPY $158.00 HC OT MASSAGE THERAPY $59.25 HC PT MASSAGE THERAPY $59.25 HC OT COG TRNG INIT 15 MINS $47.00 HC SP COG TRNG INIT 15 MINS $47.00 HC OT COG TRNG ADDL 15 MINS $46.00 HC SP COG TRNG ADDL 15 MINS $46.00 HC OT MANUAL THER TECH,1+REGIONS,EA 15 MIN $94.75 HC PT MANUAL THER TECH,1+REGIONS,EA 15 MIN $94.75 HC OT GROUP THERAPEUTIC PROCEDURES $125.75 HC PT GROUP THERAPEUTIC PROCEDURES $125.75 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $265.75 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $318.50 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $371.50 HC PT PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS $196.25 HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $276.50 HC OT OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS $329.25 HC OT OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS $382.00 HC OT OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS $206.00 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN $164.25 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN $164.25 HC OT SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES $68.50 HC PT SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES $68.50 HC OT SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES $191.00 HC PT SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES $191.00 HC OT COMMUNITY/WORK REINTEGRATION TRAINJ EA 15 MIN $102.00 HC PT COMMUNITY/WORK REINTEGRATION TRAINJ EA 15 MIN $102.00 HC OT WHEELCHAIR MNGEMENT TRAINING, EA 15 MIN $199.50 HC PT WHEELCHAIR MNGEMENT TRAINING, EA 15 MIN $199.50 HC DEBRIDEMENT OPEN WND 1ST =/< 20SQ CM $491.25 HC DEBRIDEMENT OPEN WOUND EA ADDL 20 SQ CM $245.75 HC WOUND DEBRIDEMNT, NON-SELECTIVE, EA $500.00 HC NEG PRESS WND TX 50 SQ CM $1,026.50 HC NEG PRESS WND TX 50 SQ CM $1,026.50 HC OT PHYSICAL PERFORMANCE TEST $120.50 HC PT PHYSICAL PERFORMANCE TEST $120.50 HC OT ORTHOTIC MGMT AND TRAINING, EACH 15 MIN $68.50 HC PT ORTHOTIC MGMT AND TRAINING, EACH 15 MIN $68.50 HC OT PROSTHETIC TRAINING, EACH 15 MIN $68.50 HC PT PROSTHETIC TRAINING, EACH 15 MIN $68.50 HC OT ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN $62.50 HC PT ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN $62.50 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN $115.00 HC MED NUTR THER, SUBSQ, INDIV, EA 15 MIN $97.00 HC MED NUTR THER, GROUP, EA 30 MIN $53.00 HC SELF-MGMT EDUC & TRAIN, 1 PT, EA 30 MIN $54.50 HC SPECIMEN HANDLING $66.25 HC MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS $172.00 HC MOD SED SAME PHYS/QHP INITIAL 15 MINS 5+ YRS $172.00 HC MOD SED SAME PHYS/QHP EACH ADDL 15 MINS $127.75 HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS $172.00 HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5+ YRS $172.00 HC MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS $127.75 HC RT PHYS/QHP ATTN&SUPVJ HYPRBARIC OXYGEN TX /SESSION $2,050.25 HC PHLEBOTOMY $339.00 HC NEW PT FACILITY LEVEL II $166.67 HC NEW PT FACILITY LEVEL III $166.67 HC NEW PT FACILITY LEVEL IV $166.67 HC NEW PT FACILITY LEVEL V $166.67 HC EST PT FACILITY LEVEL I $166.67 HC EST PT FACILITY LEVEL II $166.67 HC EST PT FACILITY LEVEL III $166.67 HC EST PT FACILITY LEVEL IV $166.67 HC EST PT FACILITY LEVEL V $166.67 HC EMERGENCY DEPARTMENT LEVEL 1 VISIT LIMITED/MINOR PROB $302.25 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY $523.25 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY $1,171.75 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY $3,101.00 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC $4,675.75 HC CRITICAL CARE, E/M 30-74 MINUTES $8,194.25 HC CRITICAL CARE, ADDL 30 MIN $1,275.00 HC ADMIN SARSCOV2 30MCG/0.3ML PFIZER 1ST $46.67 HC RBC DNA HEA 35 AG 11 BLD GRP WHL BLD CMN ALLEL $921.50 HC ADMIN SARSCOV2 30MCG/0.3ML PFIZER 2ND $46.67 HC ADMIN SARSCOV2 100MCG/0.5ML MODERNA 1ST $46.67 HC ADMIN SARSCOV2 100MCG/0.5ML MODERNA 2ND $46.67 HC CT PERFUSION W/CONTRAST, CBF $1,125.00 HC ATHERECTOMY, RENAL $13,555.00 HC TRLUML PERIP ATHRC VISCERAL - IR ATHERECTOMY EA ADDL VISCERAL ARTERY $3,803.00 HC ATHERECTOMY, ABD AORTA $13,555.00 HC ATHERECTOMY, BRACH-CEPH $13,555.00 HC ATHERECTOMY, ILIAC ARTERY EACH $23,167.25 HC NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN $214.00 HC HEART SYMPATHETIC IMAGE PLANAR $2,370.00 HC MRI FUS STER ABLAT INTRACRAN INCL NAV $18,750.75 HC CRYOABLAT NERVE UPP EXTREM W/IMAGING RBG $5,256.00 HC CRYOABLAT NERVE LOW EXTREM W/IMAGING $5,256.00 HC CRYOABLAT NERVE,NON EXTREM W/IMAGING $7,884.00 HC LASER DESTRUCT SCAR TISS FIRST 100SQ CM $585.00 HC LASER DESTRUCT SCAR TISSUE EA ADDL 100SQ CM $270.00 HC CATH TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH $10,798.00 HC CATH TMVI W/PROSTHETIC VALVE TRANSTHORACIC EXPOSURE $10,797.25 HC PERQ NJX ALGC CELL&/PRDCT UNI/BI CT LMBR 1ST $18,500.00 HC PERQ INJECT ALLOGENEIC CELL&/PRDCT UNI/BI CT LUMBAR EA ADD LEVEL $9,250.00 HC CT BREAST W/3D RENDERING UNILATERAL W/O CONTRAST $450.50 HC CT BREAST W/3D RENDERING UNILATERAL W/CONTRAST $870.25 HC CT BREAST W/3D RENDERING UNILATERAL WO/W CONTRAST $1,087.75 HC CT BREAST W/3D RENDERING BI W/O CONTRAST $650.00 HC CT BREAST W/3D RENDERING BI W/CONTRAST $1,050.00 HC CT BREAST W/3D RENDERING BI WO/W CONTRAST $1,287.00 HC HLA I TYPING 1 LOCUS HR, HLA-A BY NEXT GENERATION SEQUENCING $895.75 HC EXTERNAL ECG >48<7D RECORDING, INCL CONNECTION & INITIAL RECORDING $105.00 HC EXTERNAL ECG REC>48HR<7D SCANNING ALYS W/REPORT $150.00 HC EXTERNAL ECG >48<15D RECORDING, INCL CONNECTION & INITIAL RECORDING $200.00 HC EXTERNAL ECG REC>48HR<15D SCANNING ALYS W/REPORT $335.85 HC AMPLATZ ANCHOR PERC DRAIN SYS W/LOCK MALECOT 22-100 BOSTON SCI $188.50 HC PARACENTESIS KIT $147.00 HC PERICARDIOCENTESIS PC101/PC801 KIT $312.00 HC PLEURAL DRAIN SET $1,050.00 HC PLEURX PLEURAL CATH 507000/507700 KIT $1,050.00 HC HEMOCATH LT BASIC SET SL18P SL28PC MC101243 $900.00 HC HEMODIALYSIS SPLIT CATH III ASPC18PXL $1,800.00 HC CVC KIT $368.00 HC CVC MULTILUMEN KIT ASK45703P44 $289.00 HC CVC TRAY SPECTRUM 3L 7F/20CM G47833 COOK $300.00 HC IV CATH EXTEND DWELL 18gX8cm EDC88181 ARROW $128.65 HC MIDLINE CATH S4153108D PROVENA MAX BARRIER TRAY $430.28 HC MIDLINE POWERGLIDE PRO CATH F318107T BASIC TRAY BARD $206.25 HC NEO PICC CATHETER 1.9FR ( CATHETER ONLY) $70.00 HC NEO PICC TRAY W/SHEATH (I.V.) 1.9FR $149.00 HC PICC BIOFLO KIT DL 5F 45CM 5F 75019 $500.00 HC PICC BIOFLO KIT SL 4F 75017 5F 75018 $371.00 HC PICC BIOFLO W PASV H965750221 6F 3L HYBRID $406.40 HC PICC BIOFLO W/PASV KIT 1L W/45CM GW 45805 45815 $327.00 HC PICC PER Q CATH 4F 2L TRAY 3254108 BARD T $308.00 HC PICC POWER PROVENA S3385118 5F 3L BARD $312.75 HC POLYURETH PICC CATH ONLY 1.4FR $92.00 HC POWERPICC PROVENA S3385335 3L 5F 135cm GW IR BASIC KIT $334.15 HC POWERPICC PROVENA SOLO S3294355 2L 4F 70 cm GW BASIC KIT $304.00 HC POWERWAND PEDI KIT 3F 94124 MIDLINE CATH T $318.00 HC POWERWAND XL QUICK KIT 4F 94104 MIDLINE CATH $347.50 HC DIALYSIS CATH TRAY 5605200 POWERTRIALYSIS 13 FRENCH 20CM $386.00 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UPPER EXTREMITY ANGIO W IV CONTRAST RIGHT $2,030.25 HC MRA UPPER EXTREMITY BI W/CONTRAST $2,589.75 HC MRA UPPER EXTREMITY BI W/O CONTRAST $2,423.50 HC MRA UPPER EXTREMITY W/O CONTRAST $1,863.50 HC MR ANGIO UPPER EXTREM - MR UPPER EXTREMITY ANGIO W/WO IV CONTRAST LT $2,756.75 HC MR ANGIO UPPER EXTREM - MR UPPER EXTREMITY ANGIO W/WO IV CONTRAST RT $2,756.75 HC MRA UPPER EXTR WO AND W CONTRAST $2,756.75 HC IV PROLONGED INFUS 8+ HRS $894.00 HC COR DE STENT PLACE,PTCA,SGL MAJ ART $18,568.50 HC COR DE STENT PLACE,PTCA,EA ADDL BRANCH $7,958.00 HC COR ATHREC,DE STENT,PTCA,SGL MAJ ART $23,167.25 HC COR ATHREC,DE STENT,PTCA EA ADDL BRANCH CCL $4,366.25 HC REVASC BYPASS GRAFT,ANY METH,SGL VSL,(DES) $18,893.00 HC REVASC BYPASS GRAFT,ANY METH,EA ADDL BR,(DES) $7,871.75 HC REVASC OCCLUS DURING MI SG VSL,(DES) $24,315.50 HC REVASC CHRONIC OCCLUS,ANY METH,SGL VSL,(DES) $24,315.50 HC REVASC CHRONIC OCCLUS,ANY METH,EA ADDL VSL,(DES) $10,845.50 HC RF MAGNETIC GUIDE AV FISTULA CCL $23,910.00 HC SPECIMEN 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DNX6/12 $55.75 HC DIALYSIS NIAGARA 5553200 SLIM CATH BARD $200.00 HC DRAWTEX DRESSING 8x8 EACH 304 $47.50 HC Dream Wear Frame Large 1116747 $45.00 HC Dream Wear Mask Large D1116742 $42.00 HC Dream Wear Mask Medium 1116741 $42.00 HC Dream wear Mask Medium/wide 1116743 $42.00 HC Dream Wear Mask Small 1116740 $42.00 HC Dream Wear Nasal/Headgear Fitpack-Respironics 1116700 $175.00 HC DRESSING AQUACEL 0029964 (SIZE 4X4) $17.00 HC DRESSING AQUACEL AG 0032464 (SIZE 4X4) $27.00 HC DRESSING AQUACEL AG 0041153 (SIZE 6X6) $241.00 HC DRESSING AQUACEL HYDROFIBER 0041154 (SIZE 8X12) $346.00 HC DRESSING FOAM 0068562 HYDROFERA $15.75 HC DRESSING FOAM 0068563 HYDROFERA $22.75 HC DRESSING FOAM 0068564 HYDROFERA $43.00 HC DRESSING MEPIFORM 293499 4X7 $32.00 HC DRESSING MEPILEX AG 0036602 FOAM $157.25 HC DRESSING MEPILEX AG 0036625 FOAM $74.25 HC DRESSING MEPILEX AG 0056331 FOAM $43.75 HC DRESSING PROMOGRAN MATRIX 0046888 HEXAGON $88.75 HC DRESSING PROMOGRAN PRISM MATRIX 4.34 X 4.34 MA028 $27.90 HC DRESSING SILVER FOAM 0069497 MILLIKEN $30.39 HC DRESSING TRITEC SILVER 0069498 MILLIKEN $148.25 HC DRESSING WOUND PLUROGEL PGL050TUBE 50G TUBE $239.75 HC DRESSING WOUND POLYMEM FER1045Z NONADH MEDLINE $32.75 HC DRESSING WOUND POLYMEM FER5045Z NONADH MEDLINE $59.00 HC DRESSING WOUND POLYMEM FER5088Z NONADH MEDLINE $101.50 HC DRESSING WOUND POLYMEM RDMFER1045 NONADH MEDLINE $36.25 HC DRESSING WOUND TUNNELING 0068561 HYDROFERA BLUE $25.50 HC Dry Box Inlet seal 1120613 $10.50 HC DS Filter Pollen Reusable 1032907 $14.00 HC DYN FINGER SPLINT $58.00 HC EAKIN FISTULA WOUND POUCH EACH 3x4-3/10IN CONVATEC 839261 $10.25 HC EAKIN FISTULA WOUND POUCH EACH 4-3/10x6-9/10IN CONVATEC 839262 $13.00 HC EAKIN FISTULA WOUND POUCH EACH 6-3/10x9-7/10IN CONVATEC 839263 $23.65 HC ELLIPTOSPHERE CATHETER $92.50 HC ENDOFORM 2X2 $34.17 HC ENDOSCOPY BASE RATE $227.50 HC ENDOSCOPY BASE RATE ADVANCED $500.50 HC ENDOSCOPY PER MINUTE $36.75 HC EPIDURAL ANESTHESIA TIME - EACH INCREMENTAL 1 MINUTE $3.00 HC EVD CATH SET 821745 CODMAN $780.00 HC FECAL DRAINABLE COLLECTOR LG W/BARRIER BX HOLLISTER 9821 $85.75 HC FEEDING TUBE 5-8FR 125CM SILICONE (NICU) $48.75 HC FEEDING TUBE 5-8FR 60CM SILICONE (NICU) $34.00 HC FEMO STOP GOLD C11165 COMPRESS DEVICE $263.00 HC FOLEY W/URIMETER TEMP SENSOR TRAY 16F P4P16TSD $348.40 HC FORAMEN NEEDLE 3.5/5 TEST $144.00 HC Gas Oxygen "E" Tank 23.4 CF 711205 $7.50 HC Gas Oxygen "H" Tank 246 CF 711205 $19.55 HC GENERAL ANESTHESIA TIME - EACH INCREMENTAL 1 MINUTE $23.00 HC GLOVE/WRIST AMD00 THRU 08 ANGELIC $162.00 HC GLUCAGON EMERG KIT $166.00 HC Grab-N-Go "E" Oxygen Tank 711205 $7.50 HC H5I STANDARD WATER TUB 36803 $54.00 HC Helium (H size) 711205 $137.05 HC HELIUM OXYGEN PER HOUR $42.48 HC HOSPICE SEMI-PRIVATE ROOM DAILY $1,200.00 HC HUMIDAIR STANDARD TUB 37299 $36.00 HC IAB CATH 34/40CC FIBER OPTIC $1,811.25 HC ICU CARD ROOM DAILY $3,151.00 HC ICU ISOLATION PED ROOM DAILY $3,351.00 HC ICU ISOLATION ROOM DAILY $3,351.00 HC ICU PED ROOM DAILY $3,151.00 HC ICU ROOM DAILY $3,151.00 HC Inlet Seal 1064804 $5.40 HC INTERIM COMP ARM SLEEVE INT020 THRU 025 MEDICAL Z $135.00 HC INTERIM COMP FACE MASK INT031 THRU 044 MEDICAL Z $220.00 HC INTERIM COMP GLOVE INT010 THRU 017 MEDICAL Z $185.00 HC INTERIM COMP LEGGINGS INT070 THRU 078 MEDICAL Z $233.00 HC INTERIM COMP STOCKING INT080 THRU 085 MEDICAL Z $128.00 HC INTERIM COMP VEST INT060 THRU 068 MEDICAL Z $245.00 HC INTERMEDIATE ICU ISOLATION PED ROOM DAILY $2,258.00 HC INTERMEDIATE ICU ISOLATION ROOM DAILY $2,258.00 HC INTERMEDIATE ICU ROOM DAILY $2,287.00 HC INTRA ABD PRESS MONITOR DEV ABV331 ABVISER $232.50 HC INTRA-AORTIC BALLOON CATH $1,482.00 HC INTRAOSSEOUS VASC ACCESS SYS EZIO25/45 $332.50 HC IODOSORB GEL TUBE $46.00 HC IPV CIRCUIT, DISP $375.00 HC ISOLATION PED ROOM DAILY $1,400.00 HC ISOLATION ROOM DAILY $1,472.00 HC IT CLAMP $197.50 HC ITI CANNISTER 474000 $36.00 HC ITI NPWT DRSG LARGE 471700 $90.50 HC ITI NPWT DRSG MEDIUM 471701 $83.50 HC ITI NPWT DRSG SMALL 471702 $80.50 HC ITI WHITE FOAM DRESSING 471751 $68.00 HC ITI Y CONNECTOR $77.88 HC KIT DRAIN BOWEL MNGT 4CM 1/BX 36350 $590.00 HC Knob for CPAP/BIPAP 1099581 $17.50 HC Large TrueBlue Nasal Mask $150.00 HC LEG CAST LONG $141.00 HC LEG CAST SHORT $95.00 HC LEG SLEEVE AMD24 THRU 29 ANGELIC $128.00 HC LEG SPLINT LONG CAST MATERIAL $67.00 HC LEG SPLINT SHORT CAST MATERIAL $55.35 HC LONG ARM SPLINT $99.00 HC LONG LEG SPLINT $149.00 HC m ask System AirTouchF20 SMALL 63000 $225.00 HC MAMMOTOME PROBE $500.00 HC Mask AirFit N30i System SMALL 63801 $152.50 HC Mask AirFit N30i System Standard 63800 $152.50 HC MASK FULL AIRFIT F-10 LARGE 63103 $312.50 HC MASK FULL AIRFIT F-10 MEDIUM 63102 $312.50 HC MASK FULL AIRFIT F-10 SMALL 63101 $312.50 HC MASK FULL AIRFIT F-20 FFM LARGE $220.00 HC MASK FULL AIRFIT F-20 FFM MEDIUM $220.00 HC MASK FULL AIRFIT F-20 FFM SMALL $220.00 HC MASK FULL Amara FFM Large 1090204 $200.00 HC MASK FULL Amara FFM Medium 1090203 $200.00 HC MASK FULL Amara FFM Small 1090202 $200.00 HC MASK FULL Amara FFM-Respironic Petite 1090200 $200.00 HC MASK FULL Amara View FFM Large 1090604 $212.50 HC MASK FULL Amara View FFM Medium 1090603 $212.50 HC MASK FULL Amara View FFM-Respironic Small 1090602 $212.50 HC MASK FULL ComfortGel Blue FFM LARGE 1040137 $287.50 HC MASK FULL ComfortGel Blue FFM Medium 1040136 $287.50 HC MASK FULL ComfortGel Blue FFM XLARGE 1062004 $287.50 HC MASK FULL ComfortGel Blue FFM-Respironic SMALL 1040135 $287.50 HC MASK FULL FitLife Over FFM LARGE 1060802 $300.00 HC MASK FULL FitLife Over FFM XLARGE 1089991 $300.00 HC MASK FULL FitLife Over FFM-Respironic Small 1060801 $300.00 HC Mask full quattro mirage ffm LARGE 61203 $312.50 HC Mask full quattro mirage ffm MEDIUM 61202 $312.50 HC Mask full quattro mirage ffm SMALL $312.50 HC Mask full quattro mirage ffm XSMALL 61200 $312.50 HC MASK FULL Simplus FFM- F&P Small 400475 $212.50 HC MASK FULL Simplus FFM Large 400477 $212.50 HC MASK FULL Simplus FFM Medium 400476 $212.50 HC MASK MIRAGE FX STD 62103 $200.00 HC MASK MIRAGE FX WIDE 62118 $200.00 HC Mask Nasal AIRFIT N20 MEDIUM 63501 $141.00 HC Mask Nasal AIRFIT N20 SMALL 63500 $135.00 HC Mask Nasal AIRFIT N20 LARGE 63502 $75.00 HC Mask System AirTouchF20 LARGE 63002 $225.00 HC Mask System AirTouchF20 MEIUM 63001 $225.00 HC MEDELA BREAST PUMP KIT (NICU) $105.09 HC MEDICAL ICU ROOM DAILY $3,151.00 HC MEDIGEL Z 10CM X 10CM $81.00 HC MEDIGEL Z 8X8 DRESSING $126.00 HC MEDIPATCH GEL Z 10CMX15CM $93.00 HC MEDIPATCH GEL Z 20CMX20CM $127.50 HC MEDIPATCH GEL Z 8X8 DRESSING $168.00 HC Medium TrueBlue Nasal Mask $150.00 HC MEPILEX AG BORDER 4X4 295300 $32.55 HC MEPILEX AG DRESSING 4X4 $28.28 HC MEPILEX AG DRESSING 6X6 $56.07 HC MEPILEX AG DRESSING 8x20 287500 $193.00 HC MEPILEX AG DRESSING 8X8 294499EA $117.00 HC MEPITEL SILICONE 4IN X 7.2IN $33.00 HC MEPITEL SILICONE DRESSING $41.00 HC MIC GASTROSTOMY TUBE 0100-12F THRU 28F $239.00 HC MICROSENSOR BASIC KIT 826631 CODMAN $1,059.00 HC MILEX SILICONE VAG DILATORS SET MX20 $341.75 HC MST MICRO INTRO KIT $115.00 HC MW TrueBlue Nasal Mask $150.00 HC NASAL BALLOON-DBLE $148.20 HC NASAL BALLOON-SNGLE $99.45 HC Nasal Mask - F&P Eson2Small 400449 $147.50 HC Nasal Mask - F&P Zest Petite 40039A $150.00 HC Nasal Mask ComfortGel Large 1070037 $150.00 HC Nasal Mask ComfortGel Medium 1070038 $150.00 HC Nasal Mask ComfortGel Small 1070039 $150.00 HC Nasal Mask Easlylife Large 1050004 $135.00 HC Nasal Mask Easylife Medium 1050002 $135.00 HC Nasal Mask Easylife Small 1050001 $135.00 HC Nasal Mask Eson2 LARGE 400451 $147.50 HC Nasal Mask Eson2 Medium 400450 $147.50 HC Nasal Mask MW-Easylife 1050003 $135.00 HC Nasal Mask Zest (STD) 400440A $150.00 HC Nasal Mask Zest Large 40041A $150.00 HC Nasal Mask-Respironic ComfortGel Petite 1070040 $150.00 HC Nasal Mask-Respironic Easylife PETITE 1050000 $135.00 HC Nasal Mask-Respironics Wisp Fabric 1094051 $147.00 HC Nasal Pillows- F&P Brevida 400420S $147.50 HC Nasal Pillows- F&P Opus HC482A $150.00 HC Nasal Pillows Nuance (Gel) 1105167 $147.00 HC Nasal Pillows-Respironic Nuance (Fabric) 1105160 $147.00 HC NASAL RAPID RHINO $102.00 HC Nebulizer Compressor Filter (InnoSpire) 1102088 $24.50 HC Nebulizer Compressor-InnoSpire Essence 1059751 $52.50 HC Nitrous Oxide (G or N size) 711205 $129.00 HC NURSERY 1 ROOM DAILY $1,004.00 HC NURSERY 2 ROOM DAILY $1,305.00 HC NURSERY 3 ROOM DAILY $3,760.00 HC NURSERY 4 ROOM DAILY $5,005.00 HC NUTRILINE TWINFLO 2FR (30CM) DBL LUMEN PICC CATH W/LOCK $236.00 HC O2 Bleed in Adapter(HUDS) 1642 $55.20 HC OB SEMI-PRIVATE ROOM DAILY $1,200.00 HC OR TIME - EACH INCREMENTAL 1 MINUTE - PROCEDURE LEVEL FIVE $146.25 HC OR TIME - EACH INCREMENTAL 1 MINUTE - PROCEDURE LEVEL FOUR $140.00 HC OR TIME - EACH INCREMENTAL 1 MINUTE - PROCEDURE LEVEL ONE $113.00 HC OR TIME - EACH INCREMENTAL 1 MINUTE - PROCEDURE LEVEL THREE $127.00 HC OR TIME - EACH INCREMENTAL 1 MINUTE - PROCEDURE LEVEL TWO $113.00 HC OR TIME - INITIAL BASE CHARGE - PROCEDURE LEVEL ONE $1,997.00 HC OR TIME - INITIAL BASE CHARGE - PROCEDURE LEVEL TWO $3,403.50 HC OR TIME - INITIAL BASE CHARGE - PROCEDURE ROBOTIC $9,075.50 HC OSTOMY DRAINABLE POUCH 2-3/4 BX HOLLISTERv 18014 $30.50 HC OSTOMY DRAINABLE POUCH CUT TO FIT 2-1/2 BX HOLLISTER 8631 $25.45 HC OSTOMY POUCH 1PIECE HIGH OUTPUT BX HOLLISTER 80110 $110.10 HC OSTOMY POUCH 8460 BX UROSTOMY 1 PIECE $76.35 HC OTO-RHINO FB EXTRACTOR $141.50 HC OXYGEN PER HOUR $12.75 HC PACING CATH KIT A107155KS TEMP $402.00 HC PEDI LONG ARM CAST (0-11YRS) $80.00 HC PEDI LONG LEG CAST (0-11YRS) $99.00 HC PEDI SHORT LEG CAST (0-11YRS) $40.00 HC PELURX DRAIN KIT 500ML 507500B $142.50 HC PERCUSSION VEST ADULT SM, MED $364.25 HC PERCUSSION VEST FULL CHILD MED, LG $364.25 HC PERCUSSION VEST WRAP XSM, SM, MED, LG, XLG $170.50 HC PERFUSION TIME $2,500.00 HC PESSARY $158.00 HC Petite TrueBlue Nasal Mask - Respironic $150.00 HC PLEURAVAC $135.00 HC PLEURAVAC DRY $333.85 HC PLEURAVAC WET $333.85 HC PLEURX DRAIN KIT 1000ML 507510 $147.50 HC PORTA-WARM MATTRESS $100.50 HC PRESSURE MATTRESS Z-FLO (NICU) $337.50 HC PREVENA NPWT PRE1055 DRESSING PRE115520CM $590.00 HC PREVENA NPWT PRE1101 13CM PUMP/DRSG/CANISTER KIT $990.00 HC PREVENA NPWT PRE1155 DRESSING 13CM $590.00 HC PREVENA NWPT PRE1001 20CM PUMP/DRSG/CANISTER KIT $990.00 HC PREVENA PLUS NPWT PRE14095 CANISTER $78.00 HC PREVENA PLUS NPWT PRE4000 PUMP ONLY $700.00 HC PREVENA PLUS NPWT PRE4001 PUMP/DRSG/CANISTER KIT $1,300.00 HC PREVENA PLUS NPWT PRE4055 $706.00 HC PRISMA MATRIX 123CM MA123 PROMOGRAN $217.50 HC PRIVATE PSYCH ROOM DAILY $1,400.00 HC PROKERA CORNEAL OCULAR RING $1,636.00 HC PROLACT CR 10ML $120.00 HC PROLACT HM (20KCAL) $140.00 HC PROLACT RTF 24 100ML $309.00 HC PROLACT RTF 26 100ML $433.00 HC PROLACT RTF 28 100ML $556.00 HC PROLACTA +4 20ML $278.00 HC PROLACTA +6 30ML $334.00 HC PROLACTA +8 40ML $445.00 HC PROMOGRAN MATRIX PG004 WND DRESSING $88.50 HC PSYCH SEMI PRIVATE DAILY $1,200.00 HC PULM ARTERY TD CATH 4123705 8F/110CM $560.30 HC PURACOL 4X4.25 $30.31 HC QUIKCLOT TRAUMA PAD 12INX12IN $191.75 HC QUIKCLOT Z FOLD HEM DRSG 3INX4YDS $135.00 HC RECOVERY ROOM TIME - EACH INCREMENTAL 1 MINUTE $8.50 HC REHAB ISOLATION ROOM DAILY $1,400.00 HC REHAB SEMI-PRIVATE ROOM DAILY $1,200.00 HC Respironics Foam Filter (black) 1063091 $4.20 HC RESTING HAND SPLINT $83.00 HC S-5 FILTERS 33974 $38.70 HC S-9 FILTER 36853 $120.00 HC SELECT SILVER ANTIMICROBIAL $17.00 HC SELECT SILVER ENTIRE ROLL $168.70 HC SEMI-PRIVATE PED ROOM DAILY $1,200.00 HC SEMI-PRIVATE ROOM DAILY $1,200.00 HC SHILEY 6.0 CUFFLES TRACHEO TUBE $124.00 HC SHORT ARM DYN SPLINT $86.00 HC SHORT ARM STATIC SPLINT $66.00 HC SHORT LEG SPLINT $76.00 HC SILICONE SILO BAG ALL SIZES $250.00 HC SILVERLON BURN DRESSING 4X66 $312.50 HC SKIN BARRIER 1-1/4 BX HOLLISTER 13906 $19.65 HC SKIN BARRIER 1-3/4 BX HOLLISTER 13904 $19.65 HC SKIN BARRIER 2-1/4 BX HOLLISTER 13905 $19.65 HC SKIN BARRIER 2-1/4 BX HOLLISTER 14203 $10.35 HC SKIN BARRIER 2-3/4 BX HOLLISTER 14204 $10.35 HC SKIN BARRIER CUT TO FIT 2-3/4 BX HOLLISTER 14804 $19.65 HC Small TrueBlue Nasal Mask $150.00 HC SPEAKING VALVE SP $272.00 HC STATIC FINGER SPLINT $39.00 HC STERILE WATER 1 LITER REPLACEMENT $12.75 HC STIMULEN COLLAGEN GEL SACH 5G PKT $26.95 HC STIMULEN POWDER 1G PKT $36.03 HC SURGICEL HEMOSTAT 12X14 1951 $148.00 HC SUTURE PER PACK $17.00 HC SUTURE PER PACK (NICU) $17.00 HC SWAN GANZ CATH $1,030.00 HC System One Water Chamber 1136502 $48.00 HC TELEMETRY INTERMEDIATE PED ROOM DAILY $2,258.00 HC TELEMETRY INTERMEDIATE ROOM DAILY $1,900.00 HC TELEMETRY ISOLATION PED ROOM DAILY $2,100.00 HC TELEMETRY PED ROOM DAILY $1,472.00 HC TELEMETRY ROOM DAILY $1,472.00 HC THORACENTESIS TRAY 4340A $92.85 HC THUMB SPICA 8" $79.00 HC TITANIUM CLIP $195.00 HC TOTAL CONTACT CAST $215.00 HC TOTAL CONTACT CAST $215.00 HC TOTAL CONTACT CAST MATERIAL $86.00 HC TRACH BIVONA 60HA30 TH 55 UNCUFF(PEDI) $376.25 HC TRACH BIVONA 60NFPS30 TH 40 UNCUFF (PEDI) $312.75 HC TRACH BIVONA 60PFP55 UNCUFF (PEDI) $305.75 HC TRACH BIVONA 60PFPS40 TH 60 UNCUFF (PEDI) $305.75 HC TRACH BIVONA 60PFS50 STANDARD TTS CUFFLESS (PEDI) $212.25 HC TRACH BIVONA 60PFSS25 THRU 60PFSS55 UNCUFF (PEDI) $213.75 HC TRACH BIVONA 60SN030 TH 040 UNCUFF (PEDI) $147.25 HC TRACH BIVONA 60SP025 TH 055 UNCUFF (PEDI) $147.25 HC TRACH BIVONA 65P035/65P045 AIRECUF (PEDI) $395.75 HC TRACH BIVONA 670150 TH 70 TTS PORTEX (PEDI) $193.00 HC TRACH BIVONA 67NFP30 FLEX TTS CUFFED (PEDI) $436.50 HC TRACH BIVONA 67NFPS30 TH 40 TTS (PEDI) $436.50 HC TRACH BIVONA 67P030 TH 55 TTS CUFF (PEDI) $376.25 HC TRACH BIVONA 67PFPS40 TH 60 TTS (PEDI) $436.50 HC TRACH BIVONA 67PFSS30 TH 55 TTS (PEDI) $436.50 HC TRACH BIVONA 67SN025 TH 040 TTS (PEDI) $376.25 HC TRACH BIVONA 67SP025 TH 055 TTS CUFF (PEDI) $376.25 HC TRACH INTRO CIAGLIA BLUE RHINO G12513 NO TRACH TUBE $691.00 HC TRACH SHILEY 3.0 TH 4.5NEO CUFF (PEDI) $88.75 HC TRACH SHILEY 3.0 TH 5.5PED CUFF (PEDI) $88.75 HC TRACH SHILEY 4.0 TH 5.5PDC CUFF (PEDI) $109.00 HC TRACH SHILEY 4LPC/6LPC LP CUFF (PEDI) $131.00 HC TRACH SHILEY 5.0 TH 5.5PEF LNG CUFF (PEDI) $131.00 HC TRACH SHILEY 5.0 TH 6.5PDL LNG CUFF (PEDI) $88.75 HC TRACH SHILEY 6.0PLC CUFF(PEDI) $131.00 HC TRACH TUBE CUFFED 8.0 PORTEX $82.07 HC TRACH TUBE CUFFED 9.0MM $82.08 HC TRACH TUBE CUFFLESS SIZE 6 $129.21 HC TRACH TUBE CUFFLESS SIZE 8 $129.21 HC TRACH TUBE DIST/PROX XLT SZ 5-8 $161.25 HC TRACH TUBE FENESTRATED SZ 4 $137.35 HC TRACH TUBE FENESTRATED SZ 6 $137.35 HC TRACH TUBE FENESTRATED SZ 8 $137.93 HC TRACH TUBE FLEX 8PERC $132.75 HC TRACH TUBE LO PRESS 8.0 $134.10 HC TRACH TUBE PORTEX CUFF 503060,70,80 $80.80 HC TRACH TUBE PORTEX CUFFED 6.0 7.0 8.0 $204.00 HC TRACH TUBE SHILEY 6LPC/8LPC LOW PRESSURE $130.95 HC TRACH TUBE SHILEY 8PERC $132.80 HC TRACH TUBE SHILEY CUFFLESS 4CFS/6CFS $124.00 HC TRACH TUBE SHILEY CUFFLESS CFS4,6,8 $102.85 HC TRACH TUBE SHILEY CUFFLESS FEN CFN4,6,8 $109.85 HC TRACH TUBE SHILEY LO PRESS CUFFED 6LPC $131.00 HC TRACH TUBE SHILEY LP CUFF 4LPC/6LPC $135.00 HC TRACH TUBE SHILEY XLTCD/XLTCP EXT LENGTH $161.00 HC TRAUMA ICU ROOM DAILY $3,151.00 HC TRAUMA RESPONS W/HOSP CRITI - ALPHA <30 MIN $4,598.00 HC TRAUMA RESPONS W/HOSP CRITI - LEVEL 1 <30 MIN $3,543.00 HC TRAUMA RESPONS W/HOSP CRITI - LEVEL 2 <30 MIN $2,488.00 HC TRAY BIOPSY COMPREHENSIVE SET $1,680.00 HC TRAY LUMBAR PUNCT ADULT 4301C $336.65 HC TUBE TRACH CUFFED 6.0MM PORTEX $81.75 HC TUBE TRACH CUFFED 7.0 PORTEX $76.23 HC TUBE TRACH CUFFED 9.0MM $82.08 HC TUBE TRACH CUFFLESS SIZE 4 $129.22 HC TUBING 14987 $20.50 HC UAC CATHETER SILASTIC TUBES 3.5-5FR (NICU) $44.06 HC UMBILI VESS CATH 3.5F/5F 4173505/4175005 UTAH (NICU) $57.00 HC UMBILI VESS CATH DBL LUMEN 3.5F/5F ARGYLE $89.25 HC UMBILI VESS CATH SNGL 2.5F/3.5F/5F ARGLYE $85.20 HC UMBILI VESS INSERT TRAY NO CATH 8888160408 $131.85 HC UNNA BOOT DRSG BOX $26.00 HC URI-CATHETER, 5FR (URINE CATHETER TRAY) (NICU) $65.15 HC UROSTOMY 1PIECE CUT TO FIT 2-1/2 BX HOLLISTER 84690 $38.20 HC UROSTOMY POUCH 1-3/4 BX HOLLISTER 18902 $17.90 HC UROSTOMY POUCH 2-1/4 BX HOLLISTER 18903 $17.90 HC UROSTOMY POUCHKINS 1PIECE CUT TO FIT BX HOLLISTER 3797 $26.70 HC UROSTOMY POUCHKINS 1PIECE TRIM TO FIT 1-1/2 BX HOLLISTER 3796 $19.00 HC VAC VIA NPWT KIT VIAKITO77D01 $1,375.60 HC VAC VIA NPWT STARTER KIT VIAKITO7S05 $1,130.50 HC VAC WHITE FOAM LG DRESSING $138.00 HC VAGINAL DILATOR MX201M/MX201L $174.00 HC VASHE WOUND CLEANSER 4OZ EACH 00312 $25.25 HC VERSAJET HAND PIECE $960.00 HC VEST SHORT SLEEVE AMD15 THRU 23 ANGELIC $221.00 HC VIGILEO FLO TRAC SENSOR MHD85 $609.00 HC VPAP S-9 W/HUMIDIFIER 36016 $1,950.00 HC WARD OB ROOM DAILY $795.00 HC White Tubing 1032907 $21.00 HC WIRE,MAMMALOK $138.00 HC WOUND DRAIN COLLECT POUCH LG W/BARRIER BX HOLLISTER 9778 $71.70 HC WOUND DRAIN COLLECT POUCH MED W/BARRIER BX HOLLISTER 9776 $110.35 HC WOUND VAC CANISTER ACTI VAC M8275058 $147.50 HC WOUND VAC CANISTER M8275063 $168.70 HC WOUND VAC CANNISTER HYPE $108.00 HC WOUND VAC SPONGE LARGE M8275053 $147.50 HC WOUND VAC SPONGE MED M8275052 $122.00 HC WOUND VAC SPONGE SM M8275051 $97.00 HC WOUND VAC SPONGE XLG M8275054 $188.60