85060,CHG BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT,54.00 88142,CHG CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN,30.00 88141,CHG CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN,56.00 88108,CHG CYTP CONCENTRATION SMEARS & INTERPRETATION,56.00 88173,CHG CYTP EVAL FINE NEEDLE ASPIRATE INTERP & REPORT,175.00 88104,CHG CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ,168.00 88311,CHG DECALCIFICATION PROCEDURE,26.00 88342,CHG IMHISTOCHEM/CYTCHM 1ST ANTIBODY STAIN PROCEDURE,80.00 88341,CHG IMHISTOCHEM/CYTCHM EA ADDL ANTIBODY SLIDE,100.00 88300,CHG LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY,15.00 88302,CHG LEVEL II SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,25.00 88304,CHG LEVEL III SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,35.00 88305,CHG LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,95.00 88307,CHG LEVEL V SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,325.00 88309,CHG LEVEL VI SURG PATHOLOGY GROSS&MICROSCOPIC EXAM,525.00 76512,CHG OPHTHALMIC ULTRASOUND DX B-SCAN W/WO A-SCAN,75.00 88331,CHG PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1 SPEC,100.00 88312,CHG SPECIAL STAIN GROUP 1 MICROORGANISMS I&R,64.00 76700,CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION,95.00 76705,CHG US ABDOMINAL REAL TIME W/IMAGE LIMITED,70.00 76604,CHG US CHEST REAL TIME W/IMAGE DOCUMENTATION,70.00 76942,CHG US GUIDANCE NEEDLE PLACEMENT IMG S&I,80.00 76882,CHG US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG,60.00 76815,CHG US PREGNANT UTERUS LIMITED 1/> FETUSES,75.00 76775,CHG US RETROPERITONEAL REAL TIME W/IMAGE LIMITED,70.00 76937,CHG US VASC ACCESS SITS VSL PATENCY NDL ENTRY,40.00 49083,PR ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE,815.00 42830,PR ADENOIDECTOMY PRIMARY ,320.00 17110,PR DESTRUCTION BENIGN LESIONS UP TO 14,280.00 38222,PR DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS,385.00 16020,PR DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL,200.00 64636,PR DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL,440.00 64633,PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,995.00 64635,PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL,1075.00 93971,PR DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY,65.00 93308,PR ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD,75.00 99284,PR EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY,220.00 99281,PR EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB,62.00 99282,PR EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY,100.00 99283,PR EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY,125.00 99285,PR EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNCJ,515.00 11443,PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM,560.00 11426,PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G > 4.0CM,825.00 11406,PR EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM,785.00 11404,PR EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM,555.00 46320,PR EXC THROMBOSED HEMORRHOID XTRNL,570.00 21552,PR EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM/>,1080.00 24075,PR EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM,1250.00 27630,PR EXCISION LESION TENDON SHEATH/CAPSULE LEG&/ANK,1315.00 11604,PR EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM,770.00 11626,PR EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM,1000.00 11624,PR EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM,825.00 11606,PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM,1090.00 20103,PR EXPLORATION PENETRATING WOUND SPX EXTREMITY,1380.00 99239,PR HOSPITAL DISCHARGE DAY MANAGEMENT > 30 MIN,235.00 99238,PR HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN/<,160.00 56405,PR I&D VULVA/PERINEAL ABSCESS,335.00 90473,PR IM ADM INTRANSL/ORAL 1 VACCINE,19.00 90474,PR IM ADM INTRANSL/ORAL EA VACCINE,15.00 90471,PR IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE,19.00 90472,PR IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE,26.24 0011A,PR IMM ADMN SARSCOV2 100 MCG/0.5 ML 1ST DOSE,40.00 0012A,PR IMM ADMN SARSCOV2 100 MCG/0.5 ML 2ND DOSE,40.00 0124A,PR IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML BOOSTER DOSE,40.00 0134A,PR IMM ADMN SARSCOV2 BIVALENT 50 MCG/0.5 ML BOOSTER DOSE,40.00 0013A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE 100MCG/O.5ML DOSAGE, THIRD DOSE",40.00 0071A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE 10MCG/0.2ML DOSAGE TRIS-SUCROSE, FIRST DOSE",40.00 0072A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE 10MCG/0.2ML DOSAGE TRIS-SUCROSE, SECOND DOSE",40.00 0073A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE 10MCG/0.2ML DOSAGE TRIS-SUCROSE, THIRD DOSE",40.00 0064A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE 50MCG/O.25ML DOSAGE, BOOSTER DOSE",40.00 0054A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE MRNA-LNP 30MCG/0.3ML DOSAGE TRIS-SUCROSE, BOOSTER DOSE",40.00 0051A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE MRNA-LNP 30MCG/0.3ML DOSAGE TRIS-SUCROSE, FIRST DOSE",40.00 0052A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE MRNA-LNP 30MCG/0.3ML DOSAGE TRIS-SUCROSE, SECOND DOSE",40.00 0053A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE MRNA-LNP 30MCG/0.3ML DOSAGE TRIS-SUCROSE, THIRD DOSE",40.00 10061,PR INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE,565.00 10060,PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE,280.00 10120,PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE,405.00 41010,PR INCISION LINGUAL FRENUM FRENOTOMY,520.00 99221,PR INITIAL HOSPITAL CARE/DAY 30 MINUTES,190.00 99222,PR INITIAL HOSPITAL CARE/DAY 50 MINUTES,260.00 99223,PR INITIAL HOSPITAL CARE/DAY 70 MINUTES,380.00 99306,PR INITIAL NURSING FACILITY CARE HI MDM 45 MINUTES,365.00 99305,PR INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES,205.00 99304,PR INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN,205.00 99218,PR INITIAL OBSERVATION CARE/DAY 30 MINUTES,295.00 99219,PR INITIAL OBSERVATION CARE/DAY 50 MINUTES,295.00 99220,PR INITIAL OBSERVATION CARE/DAY 70 MINUTES,405.00 38792,PR INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE,215.00 27096,PR INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA,450.00 20550,PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS,145.00 64415,PR INJECTION AA&/STRD BRACHIAL PLEXUS W/IMG GDN,135.00 64405,PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE,215.00 64420,PR INJECTION AA&/STRD INTERCOSTAL NRV SINGLE LVL,300.00 64450,PR INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH,250.00 64418,PR INJECTION AA&/STRD SUPRASCAPULAR NERVE,235.00 20551,PR INJECTION SINGLE TENDON ORIGIN/INSERTION,135.00 20552,PR INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,135.00 20553,PR INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES,150.00 20526,PR INJECTION THERAPEUTIC CARPAL TUNNEL,225.00 11981,PR INSERTION DRUG DELIVERY IMPLANT,275.00 31500,PR INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE,327.85 63030,PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR,2340.00 31575,PR LARYNGOSCOPY FLEXIBLE DIAGNOSTIC,295.00 31515,PR LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION,535.00 31525,PR LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN,650.00 69620,PR MYRINGOPLASTY,1825.00 69420,PR MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ,300.00 69421,PR MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ ANES,370.00 31231,PR NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX,500.00 31237,PR NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRDMT SPX,640.00 92511,PR NASOPHARYNGOSCOPY W/ENDOSCOPE SPX,275.00 97607,PR NEG PRESSURE WOUND THERAPY NON DME ,780.00 42826,PR TONSILLECTOMY PRIMARY/SECONDARY AGE 12/>,650.00 24605,PR TREATMENT CLOSED ELBOW DISLOCATION REQ ANES,1160.00 12020,PR TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE,760.00 69436,PR TYMPANOSTOMY GENERAL ANESTHESIA,400.00 69433,PR TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA,550.00 ,"PR UICC ANE ANESTH, UPPER LEG", 99499,PR UNLISTED EVALUATION AND MANAGEMENT SERVICE,58.97 ,GLIDESCOPE - SZ 4 MAC,80.00 94002,HB CONTINUOUS VENTILATION INITIATION,235.00 93005,HB ELECTROCARDIOGRAM,146.98 82951,HB GTT 3 SPECIMENS,106.77 84134,HB PREALBUMIN,152.27 84480,HB TRIIODOTHYRONINE (T3) SERUM,133.06 81050,HB 24 HOUR VOL MEASURE,31.30 74019,HB ABDOMEN; 2 VIEWS,221.67 74018,HB ABDOMEN; SINGLE VIEW,128.72 49083,HB ABDOMINAL PARACENTESIS W/ IMAGING GUIDANCE,275.00 86360,HB ABSOLUTE CD4 AND CD8 WITH RATIO,191.38 ,HB ACMH 15 G HYDROMARK COIL,150.00 ,HB ACMH 15G ILLINOIS BONE MARROW NDLE,56.04 ,"HB ACMH 18"" SINGLE BLADDER (RED)",48.96 ,"HB ACMH 18"" SINGLE BLADDER (RED)",48.96 ,HB ACMH 19.1 SQ. INPROMOGRAN MATRIX WOUND DRESS,67.48 ,HB ACMH 19.1 SQ. INPROMOGRAN MATRIX WOUND DRESS,67.48 ,"HB ACMH 24"" SINGLE BLADDER (YELLOW)",47.50 ,"HB ACMH 24"" SINGLE BLADDER (YELLOW)",47.50 ,HB ACMH 2XPROMOGRAN PRISMA MATRIX WOUND DRESSING,84.56 ,HB ACMH 2XPROMOGRAN PRISMA MATRIX WOUND DRESSING,84.56 ,HB ACMH 3 WAY CATH COUDE 24 FR,50.00 ,"HB ACMH 34"" SINGLE BLADDER (PURPLE)",47.50 ,"HB ACMH 34"" SINGLE BLADDER (PURPLE)",47.50 ,HB ACMH 3-WAY CATH 24FR COUDE TIP,45.50 ,HB ACMH 3-WAY CATH 24FR COUDE TIP,45.50 ,HB ACMH 4.0 MM NEURO MATCH HEAD,274.56 ,HB ACMH 4.0 MM NEURO MATCH HEAD,274.56 ,HB ACMH 4-0 FIBER LOOP BLUE,87.50 ,HB ACMH 4-0 FIBER LOOP BLUE,87.50 ,HB ACMH 500 ML CANNISTER,73.00 ,HB ACMH 500 ML CANNISTER,73.00 94762,HB ACMH ABG/HYPOXIA/SUPP OXYGEN,75.00 ,HB ACMH ACAPELLA,89.25 ,HB ACMH ACAPELLA,89.25 ,HB ACMH ACCU PAP MANOMETER,44.73 ,HB ACMH ACCU PAP MANOMETER,44.73 ,HB ACMH ADULT AMBU BAG,40.32 ,HB ACMH ADULT AMBU BAG,40.32 ,HB ACMH ADULT AMBU BAG,40.32 ,HB ACMH ADULT CO2 TUBING,45.40 ,HB ACMH ADULT CO2 TUBING,45.40 28800,HB ACMH AMPUTATION FOOT MIDTARSAL,11951.00 86036,HB ACMH ANCA SCREEN EACH ANTIBODY,35.00 ,HB ACMH ANGIO CATH 12G,43.72 ,HB ACMH ANGIO CATH 12G,43.72 ,"HB ACMH ANGIO CATH 16G X 3.25""",50.86 ,"HB ACMH ANGIO CATH 16G X 5.25""",35.75 0064U,HB ACMH ANTIBODY TOTAL PALLIDUM,60.00 82172,HB ACMH APOLIPOPROTEIN EACH,75.00 ,HB ACMH AQUACELL AG HYDROFIBER,90.00 ,HB ACMH ARTH SHAVER 4.0 AGG PLUS,97.12 ,HB ACMH ARTH SHAVER 4.0 AGG PLUS,97.12 ,HB ACMH ARTHRO CASSETTE TUBING,180.60 ,HB ACMH ARTHRO CASSETTE TUBING,180.60 20605,"HB ACMH ARTHROCENTESIS, ASPIRATION OR INJECTION INTERMEDIATE JOINT OR BURSA",200.00 20610,"HB ACMH ARTHROCENTESIS, ASPIRATION OR INJECTION OF MAJOR JOINT OR BURSA",225.00 20600,"HB ACMH ARTHROCENTESIS, ASPIRATION OR INJECTION OF SMALL JOINT OR BURSA",200.00 86063,HB ACMH ASO SCREEN,60.28 ,HB ACMH AVAFLEX 10G 20MM BALLOON,3312.50 ,HB ACMH AVAFLEX 10G 20MM BALLOON,3312.50 ,HB ACMH BAIR PAWS - FLEX GOWN,46.15 ,HB ACMH BAIR PAWS - FLEX GOWN,46.15 ,HB ACMH BAIR-HUGGER SPINAL UNDERBODY BLANKET,58.84 ,HB ACMH BAIR-HUGGER SPINAL UNDERBODY BLANKET,58.84 ,HB ACMH BALLOON DILATOR,71.42 ,HB ACMH BALLOON DILATOR,71.42 ,HB ACMH BED CUSHION,62.04 ,HB ACMH BED CUSHION,62.04 ,HB ACMH BIPAP MASK LARGE,75.20 ,HB ACMH BIPAP MASK MED (TRI-ANIM),70.78 ,HB ACMH BIPAP MASK MED (TRI-ANIM),70.78 ,HB ACMH BIPAP MASK SMALL,80.58 ,HB ACMH BLADDER EVACUATOR,86.38 ,HB ACMH BLADDER EVACUATOR,86.38 ,HB ACMH BLADELESS TROCAR 12MM SLEEVE,125.25 ,HB ACMH BLADELESS TROCAR 12MM SLEEVE,125.25 ,HB ACMH BLADELESS TROCAR 5MM SLEEVE,269.11 ,HB ACMH BLADELESS TROCAR 5MM SLEEVE,269.11 ,HB ACMH BLAKE BULB 100ML,44.95 ,HB ACMH BLAKE BULB 100ML,44.95 ,HB ACMH BLAKE DRAIN 19FR,135.52 ,HB ACMH BLAKE DRAIN 19FR,135.52 ,HB ACMH BLEED STOP,20.00 36430,HB ACMH BLOOD ADMIN FEE 0-2 HOURS,155.85 36430,HB ACMH BLOOD ADMIN FEE 2-4 HOURS,207.77 36430,HB ACMH BLOOD ADMIN FEE 4-6 HOURS,311.63 ,HB ACMH BONE MARROW BIOPSY TRAY,165.00 94010,HB ACMH BREATHING CAPACITY TEST,55.00 ,HB ACMH BREVI-KATH,127.42 82370,HB ACMH CALCULUS X RAY DIFFRACTION,130.78 ,HB ACMH CASTING SUPPLIES,35.00 ,HB ACMH CASTING SUPPLIES,35.00 ,HB ACMH CAUTERY CORD DISP,46.32 ,HB ACMH CAUTERY CORD DISP,46.32 ,HB ACMH CHEEK RETRACTOR-CHILD/SMALL CLEAR,47.37 ,HB ACMH CHEEK RETRACTOR-CHILD/SMALL CLEAR,47.37 ,HB ACMH CHEST PAD,39.15 ,HB ACMH CHEST PAD,39.15 ,HB ACMH CHEST TROCAR- 12FR,30.00 ,HB ACMH CHEST TUBE 32 FR,32.00 ,HB ACMH CHEST TUBE TROCAR 24FR,37.62 ,HB ACMH CHEST TUBE TROCAR 24FR,37.62 ,"HB ACMH CHIBA NEEDLE 22GX6""",38.17 ,"HB ACMH CHOLANG CATH 4.5 FR 18""",122.88 ,"HB ACMH CHOLANG CATH 4.5 FR 18""",122.88 ,HB ACMH CHOLANGIO-NASHVILLE,69.80 ,HB ACMH CHOLANGIO-NASHVILLE,69.80 ,HB ACMH CIRUIT PASSIVE,16.50 ,HB ACMH CIRUIT PASSIVE,16.50 ,HB ACMH CLOSESURE SYSTEM-CARTER THOMASOM,169.20 ,HB ACMH CLOSESURE SYSTEM-CARTER THOMASOM,169.20 94729,HB ACMH CO/MEMBRANCE DIFFUSING CAPACITY-PF,392.40 ,HB ACMH COBLATOR EVAC 70 XTRA HP,453.00 ,HB ACMH COBLATOR EVAC 70 XTRA HP,453.00 ,HB ACMH COFLEX TLC CALAMINE TWO LAYER STAN,25.32 ,HB ACMH COFLEX TLC CALAMINE TWO LAYER STAN,25.32 ,HB ACMH COLORADO CAUTERY TIP,147.00 ,HB ACMH COLORADO CAUTERY TIP,147.00 82542,HB ACMH COLUMN CHROMOTOGRAPHY,188.50 86160,HB ACMH COMPLEMENT ANTIGEN EA COMPONENT,125.36 ,HB ACMH CORE BIOSPY NEEDLE 10 G,405.00 ,HB ACMH CORE BIOSPY NEEDLE 13 G,395.00 ,HB ACMH CT FRONT LOAD SYRINGE,46.35 ,HB ACMH CT FRONT LOAD SYRINGE,46.35 ,HB ACMH CTR KIT,255.62 ,HB ACMH CTR KIT,255.62 87150,HB ACMH CULTYP NUC ACID AMP PRB CULT/ISOLATE EA ORG,44.00 ,HB ACMH CUTTING LOOP 26FR,130.86 ,HB ACMH CUTTING LOOP 26FR,130.86 ,HB ACMH CVC KIT 7 FR TRIPLE LUMEN,234.36 ,HB ACMH CVC KIT 7 FR TRIPLE LUMEN,234.36 ,HB ACMH CYSTO PACK,28.82 ,HB ACMH CYSTO PACK,28.82 ,HB ACMH DERMATA DRAPE,50.00 ,HB ACMH DIALATION CATHETER,259.08 ,HB ACMH DIALATION CATHETER,259.08 88314,HB ACMH DIGOXIN,107.21 ,HB ACMH DISP. SUCTION IRRIGATOR,124.55 ,HB ACMH DISP. SUCTION IRRIGATOR,124.55 H0048,HB ACMH DOT CUSTODY HANDLING,42.80 ,HB ACMH DUETTE CATH 16 FR,32.50 ,HB ACMH EAR TUBES 1.27MM (GRACE MEDIDAL),48.00 ,HB ACMH EAR TUBES 1.27MM (GRACE MEDIDAL),48.00 ,HB ACMH EAR TUBES 1.32MM 4.8MM SILICONE,119.17 ,HB ACMH EAR TUBES 1.32MM 4.8MM SILICONE,119.17 ,HB ACMH EAR TUBES MODIFIED 1.27MM 7 TUBE,75.00 ,HB ACMH EGIA HANDLE STANDARD,769.66 ,HB ACMH EGIA HANDLE STANDARD,769.66 80051,HB ACMH ELECTROLYTE PANEL,30.00 ,HB ACMH ENDO GIA 45-2.5MM RELOAD,797.46 ,HB ACMH ENDO GIA 45-2.5MM RELOAD,797.46 ,HB ACMH ENDO NEEDLE 25G 5MM (OLYMPUS),72.32 ,HB ACMH ENDO NEEDLE 25G 5MM (OLYMPUS),72.32 ,HB ACMH ENDO POUCH 10MM,144.76 ,HB ACMH ENDO POUCH 10MM,144.76 ,HB ACMH ENDO TATOO INK,76.00 ,HB ACMH ENDO TATOO INK,76.00 ,HB ACMH ENDOFORM 2X2,28.57 ,HB ACMH ENDOFORM 2X2,28.57 82657,HB ACMH ENZYME CELL ACTIVITY,95.00 15110,HB ACMH EPIDRM AGRFT T/A/L 1ST 100 CM AND 1 PERCENT BDY INFT/CHILD,1650.00 ,HB ACMH EPIDURAL E KATH 12 IN,61.00 ,HB ACMH EPIDURAL TRAY,45.02 ,HB ACMH ET TUBE- LONG FILTERLINE CO2,34.30 28039,HB ACMH EXCISION FOOT SC 1.5/>,900.00 28039,HB ACMH EXCISION FOOT SC 1.5/>,900.00 ,HB ACMH EZ CLIP,79.00 ,HB ACMH EZ CLIP,79.00 ,HB ACMH EZ CLIP APPLICATOR HANDLE 2300MM,106.75 ,HB ACMH EZ CLIP APPLICATOR HANDLE 2300MM,106.75 89125,HB ACMH FAT STAIN FECES URINE/RESPIR SECRETIONS,45.05 ,HB ACMH FINGER TOURNIQUET,20.00 ,HB ACMH FLOOR PAD -YELLOW,44.37 ,HB ACMH FLOOR PAD -YELLOW,44.37 ,HB ACMH FLOSEAL KIT,299.31 ,HB ACMH FLOSEAL KIT,299.31 ,HB ACMH FLOSEAL KIT,299.31 77003,HB ACMH FLUORO GUIDE AND LOCAL NDL/CATH FOR SPINE INJECTION,0.00 77002,HB ACMH FLUOROSCOPIC GUIDANCE FOR NEEDLE PLACEMENT,156.00 76000,"HB ACMH FLUOROSCOPY, UP TO ONE HOUR",91.50 ,HB ACMH FOLEY CATH TRAY 16FR,44.91 ,HB ACMH FOLEY CATH TRAY 16FR,44.91 ,HB ACMH FOLEY CATH TRAY 18FR,45.35 ,HB ACMH FOLEY CATH TRAY 18FR,45.35 ,HB ACMH GLIDE WIRE BOSTON SCI,172.75 ,HB ACMH GLIDE WIRE BOSTON SCI,172.75 ,HB ACMH GLIDESCOPE - SZ 2 LO PRO,91.00 ,HB ACMH GLIDESCOPE SZ 3 (LOPRO),80.00 ,HB ACMH GLIDESCOPE SZ 3 (LOPRO),80.00 ,HB ACMH GLIDESCOPE SZ 4 (LOPRO),80.00 ,HB ACMH GLIDESCOPE SZ 4 (LOPRO),80.00 ,HB ACMH GLYCINE 3000ML,10.11 ,HB ACMH GLYCINE 3000ML,10.11 ,HB ACMH GRANUFOAM,80.00 ,HB ACMH GRANUFOAM,80.00 ,HB ACMH GROUNDING PADS,82.98 ,HB ACMH GS BFLEX 5.8 BRONCHOSCOP,510.00 ,HB ACMH GS BFLEX 5.8 BRONCHOSCOP,510.00 ,HB ACMH GYNE PACK,22.09 ,HB ACMH GYNE PACK,22.09 ,HB ACMH HAND WRIST INTERNAL BRACE LIG AUG REPAIR,2300.00 ,HB ACMH HAND WRIST INTERNAL BRACE LIG AUG REPAIR,2300.00 ,HB ACMH HANDHELD DISP CAUTERY,22.13 ,HB ACMH HANDHELD DISP CAUTERY,22.13 ,HB ACMH HERNIA TACKER,1534.25 ,HB ACMH HERNIA TACKER,1534.25 ,HB ACMH HET BIPOLAR FORCEPS,2975.00 ,HB ACMH HET BIPOLAR FORCEPS,2975.00 73525,"HB ACMH HIP ARTHROGRAM, S AND I",275.00 93225,HB ACMH HOLTER MONITOR RECORDING,294.29 ,HB ACMH HOSPICE ROOM CHARGE,500.00 ,HB ACMH HOT BIOPSY FORCEPS (SINGLE USE),48.65 ,HB ACMH HOT BIOPSY FORCEPS (SINGLE USE),48.65 ,HB ACMH HSG CATHETER,60.00 ,HB ACMH HSG CATHETER,60.00 ,HB ACMH HYDROFERA BLUE READY,41.39 ,HB ACMH HYDROFERA BLUE READY,41.39 64492,HB ACMH INJ PARAVERT FACET JNT W/IMAGE GUIDE C/T 3RD AND ADDL LEVELS,250.00 64491,HB ACMH INJ PARAVERT FACET JNT W/IMAGE GUIDE C/T SECOND LEVEL,275.00 64490,HB ACMH INJ PARAVERT FACET JNT W/IMAGE GUIDE C/T SINGLE LEVEL,550.00 64495,HB ACMH INJ PARAVERT FACET JNT W/IMAGE GUIDE L/S 3RD AND ADDL LEVELS,250.00 64494,HB ACMH INJ PARAVERT FACET JNT W/IMAGE GUIDE L/S SECOND LEVEL,250.00 64493,HB ACMH INJ PARAVERT FACET JNT W/IMAGE GUIDE L/S SINGLE LEVEL,550.00 64484,"HB ACMH INJ TRANSFORAMEN EPI LUMB/SACR INCL IMAGING, EA ADDL LEVEL",145.00 64483,"HB ACMH INJ TRANSFORAMEN EPIDURAL LUMB/SACR INCL IMAGING, SINGLE LVL",550.00 62321,"HB ACMH INJECTION(S), EPIDURAL/ SUBARACHNOID; CERVICAL OR THORACIC; W/IMG",600.00 62323,"HB ACMH INJECTION(S), EPIDURAL/ SUBARACHNOID; LUMBAR OR SACRAL; W/IMG",550.00 27096,"HB ACMH INJECTION, SACROILIAC JOINT W/ ANESTHETIC/ STEROID/ OTHER AGENT",400.00 ,HB ACMH INSUFFLATION TUBING,88.27 ,HB ACMH INSUFFLATION TUBING,88.27 ,HB ACMH IO NEEDLE 15MM PINK,204.90 ,HB ACMH IO NEEDLE 25MM BLUE,204.90 ,HB ACMH IO NEEDLE 25MM BLUE,204.90 ,HB ACMH IO NEEDLE 45MM YELLOW,205.00 ,HB ACMH IRRIGATION TUBING CO2,57.00 ,HB ACMH IRRIGATION TUBING CO2,57.00 83520,HB ACMH KAPPA FREE LIGHT CHAIN,50.00 ,HB ACMH KING AIRWAY SZ 2,110.06 ,HB ACMH KING AIRWAY SZ 2.5,110.06 ,HB ACMH KING AIRWAY SZ 3,109.84 ,HB ACMH KING AIRWAY SZ 4,114.00 ,HB ACMH KING AIRWAY SZ 5,109.07 ,HB ACMH KNEE ARTHRO PACK KIMBERLY CLARK,64.58 ,HB ACMH KNEE ARTHRO PACK KIMBERLY CLARK,64.58 ,"HB ACMH K-WIRE W/DBL TRCR TIP .045 X 6.84""",40.00 ,"HB ACMH K-WIRE W/DBL TRCR TIP .045 X 6.84""",40.00 ,HB ACMH LAP CHOLE PACK III,141.34 ,HB ACMH LAP CHOLE PACK III,141.34 49321,HB ACMH LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE,4422.00 ,HB ACMH LAP-PELVIC DRAPE,44.90 ,HB ACMH LAP-PELVIC DRAPE,44.90 ,HB ACMH LG PA STOCKINGS,96.69 ,HB ACMH LG PA STOCKINGS,96.69 ,HB ACMH LG PRONEVIEW CUSHION INSERT,50.00 ,HB ACMH LG PRONEVIEW CUSHION INSERT,50.00 ,HB ACMH LIGASURE IMPACT,1548.18 ,HB ACMH LIGASURE IMPACT,1548.18 ,HB ACMH LIGASURE LAP 5MM BLUNT TIP,814.67 ,HB ACMH LIGASURE LAP 5MM BLUNT TIP,814.67 ,HB ACMH LMA FAST TRACK SZ 3,223.26 ,HB ACMH LMA FAST TRACK SZ 3,223.26 ,HB ACMH LMA FAST TRACK SZ 4,226.20 ,HB ACMH LMA FAST TRACK SZ 4,226.20 ,HB ACMH LUMBAR PUNCTURE KIT,36.65 ,HB ACMH LUMEN CATH URO,82.80 ,HB ACMH LUMEN CATH URO,82.80 94200,HB ACMH LUNG FUNCTION TEST,35.00 ,HB ACMH MAMMOSTAR 14 G,145.00 ,HB ACMH MED PA STOCKINGS,238.74 ,HB ACMH MED PA STOCKINGS,238.74 ,HB ACMH MED SURG PRIVATE,917.00 ,HB ACMH MED SURG SEMI-PRIVATE,917.00 ,HB ACMH MEROCEL-NASAL PACKING,41.00 ,HB ACMH MID LINE IV CATHETER 3FR,207.69 ,HB ACMH MIDDLE EAR FLUID COLLECTOR,95.00 ,"HB ACMH MIDLINE (3 FR S/L GRO SAFETY, BASIC)",207.69 ,"HB ACMH MIDLINE (3 FR S/L GRO SAFETY, BASIC)",207.69 J7298,HB ACMH MIRENA - PROVIDER SUPPLIED,325.00 80299,HB ACMH MITOTANE,70.00 ,HB ACMH MORGAN LENS,51.90 ,HB ACMH NEG PRESS WOUND THERAPY DRSG SET,100.00 ,HB ACMH NEG PRESS WOUND THERAPY DRSG SET,100.00 ,HB ACMH NEG PRESS WOUND THERAPY DRSG SET,100.00 ,HB ACMH NEPTUNE 2 4-PORT MANIFOLD,56.78 ,HB ACMH NEPTUNE 2 4-PORT MANIFOLD,56.78 ,HB ACMH NEWTRODE ELECTRODE LITHOTRON,222.00 ,HB ACMH NEWTRODE ELECTRODE LITHOTRON,222.00 80323,HB ACMH NICOTINE & METABOLITE SERUM,45.00 ,HB ACMH NOZ- STOP KIT,112.50 ,HB ACMH NS 3000 CC BAG,31.51 ,HB ACMH NS 3000 CC BAG,31.51 ,HB ACMH NS 3000 CC BAG,31.51 ,HB ACMH NU-TRACH ADULT,288.68 ,HB ACMH NU-TRACH PEDI,237.68 G0378,HB ACMH OBSERVATION ROOM 1ST HOUR & ADDT'L HOURS, 38531,HB ACMH OPEN BIOPSY/EXCISION INGUINOFEMORAL NODES,4070.00 ,HB ACMH OPHTHALMOLOGY PACK,427.05 ,HB ACMH OPHTHALMOLOGY PACK,427.05 ,HB ACMH ORTHO PACK,136.47 ,HB ACMH ORTHO PACK,136.47 ,HB ACMH ORTHO-AVG-MED BLADE 25X9MM,137.64 ,HB ACMH ORTHO-AVG-MED BLADE 25X9MM,137.64 ,HB ACMH ORTHO-LONG/MED BLADE31X9,119.16 ,HB ACMH ORTHO-LONG/MED BLADE31X9,119.16 G0463,HB ACMH OUT PT CLINIC VISIT NEW OR EST,44.00 G0463,HB ACMH OUT PT MH NEW OR EST,10.00 99211,HB ACMH OUTPATIENT TREATMENT CHARGE,75.00 ,HB ACMH OXI FOREHEAD SENSOR,48.00 ,HB ACMH PATERNITY TESTING COLLECTION,25.00 ,HB ACMH PED NASAL CO2 TUBING,34.85 ,HB ACMH PEDS AMBU BAG,40.32 ,HB ACMH PELVIC STABILIZER DEVICE,223.50 ,HB ACMH PHENOL APPLICATORS,35.00 ,HB ACMH PHENOL APPLICATORS,35.00 ,HB ACMH PICC TRAY 5 FR TRIPLE LUMEN,327.60 ,HB ACMH PICC TRAY 5 FR TRIPLE LUMEN,327.60 ,HB ACMH PLEUR-VAC CHEST TUBE,90.00 ,HB ACMH PLEUR-VAC CHEST TUBE,90.00 80047,HB ACMH POC BASIC METABOLIC PANEL,55.00 80047,HB ACMH POC BASIC METABOLIC PANEL,55.00 82803,HB ACMH POC BLOOD GAS ANY COMBO,28.00 82803,HB ACMH POC BLOOD GAS ANY COMBO,28.00 85014,HB ACMH POC HEMATOCRIT,22.26 85014,HB ACMH POC HEMATOCRIT,22.26 83605,HB ACMH POC LACTIC ACID,111.47 83605,HB ACMH POC LACTIC ACID,111.47 C9803,HB ACMH POC SPECIMEN COLLECT COVID-19,22.95 C9803,HB ACMH POC SPECIMEN COLLECT COVID-19,22.95 ,HB ACMH POLYP SNARES 15MM (OLYMPUS),35.00 ,HB ACMH POLYP SNARES 15MM (OLYMPUS),35.00 ,HB ACMH POLYP TRAPS,20.40 ,HB ACMH POLYP TRAPS,20.40 ,HB ACMH PORTED DOUBLE ELBOW BIPAP,73.00 ,HB ACMH POWER PROVENA CATHETER,225.00 ,HB ACMH POWERLOC 20G KIT,46.56 ,HB ACMH POWERLOC 20G KIT,46.56 ,HB ACMH POWERLOC 22G KIT,46.56 ,HB ACMH POWERLOC 22G KIT,46.56 ,HB ACMH POWERPICC PROVENA CATHETER,225.00 ,HB ACMH POWERPICC PROVENA CATHETER,225.00 27536,HB ACMH PR OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ,10953.00 ,HB ACMH PRESSURE BAG 1000CC,47.95 ,HB ACMH PRESSURE BAG 1000CC,47.95 ,HB ACMH PROMAGRAM MATRIX,30.00 ,HB ACMH PROMOGRAM PRISMA,15.00 ,HB ACMH PROSTATE BX GUN 20CM,112.50 ,HB ACMH PROSTATE BX GUN 20CM,112.50 ,HB ACMH PROSTATE BX NEEDLE GUIDE,41.78 ,HB ACMH PROSTATE BX NEEDLE GUIDE,41.78 55706,HB ACMH PROSTRATE SATURATION SAMPLING,975.00 94727,HB ACMH PULM FUNCTION TEST BY GAS-PF,297.19 ,HB ACMH RAPID RHINO NASAL PACKING,85.14 26433,HB ACMH REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF,4269.00 0099U,HB ACMH RESPIRATORY PANEL,875.00 31720,HB ACMH RESPIRATORY TREATMENT 3 CONSEC DAYS,140.00 ,HB ACMH RESPITE PRIVATE CARE BED CHARGE,273.00 ,HB ACMH RESPITE ROOM CHARGE,450.00 ,HB ACMH RF 5MM ACTIVE TIP NEEDLE,93.29 ,HB ACMH ROLLER BALL ELECTRODE,168.43 ,HB ACMH ROLLER BALL ELECTRODE,168.43 ,HB ACMH ROTH NET-3.0,141.00 ,HB ACMH ROTH NET-3.0,141.00 49572,HB ACMH RPR EPIGASTRIC HERNIA INCARCERATED,7648.00 ,HB ACMH SAM SPLINT,47.55 ,HB ACMH SAW BLADE 25X9.4X0.6,50.00 ,HB ACMH SAW BLADE 25X9.4X0.6,50.00 ,HB ACMH SCISSORS CURVED W/ MONOPOLAR CAUTERY 5MM,403.27 ,HB ACMH SCISSORS CURVED W/ MONOPOLAR CAUTERY 5MM,403.27 ,HB ACMH SHOULDER DRAPE BEACH CHAIR,47.52 ,HB ACMH SHOULDER DRAPE BEACH CHAIR,47.52 ,HB ACMH SHOULDER KIT,670.00 ,HB ACMH SHOULDER KIT,670.00 ,HB ACMH SILICONE CATH 20 FR,45.00 ,HB ACMH SILICONE CATH 24FR 5CC,20.00 ,HB ACMH SKILLED NURSING FACILITY,707.00 ,HB ACMH SORBAFIX,1478.25 ,HB ACMH SORBAFIX,1478.25 ,HB ACMH SP CATH 16 FR,30.00 ,HB ACMH SP CATH-22FR,28.75 ,HB ACMH SP CATH-22FR,28.75 ,HB ACMH SP CATH-24FR,31.18 ,HB ACMH SP CATH-24FR,31.18 ,HB ACMH SPINAL EPIDURAL TRAY,50.00 94010,HB ACMH SPIROMETRY,271.33 94060,HB ACMH SPIROMETRY PRE AND POST BRONCHODILATION,441.51 ,HB ACMH SPO2 SENSOR (ADULT),58.92 ,HB ACMH SPO2 SENSOR (ADULT),58.92 ,HB ACMH STERILE UNIVERSAL SPINE DRAPE 99X135,31.10 ,HB ACMH STERILE UNIVERSAL SPINE DRAPE 99X135,31.10 ,HB ACMH STIMU QUICK NEEDLE 21G 150MM,25.18 ,HB ACMH STONE BASKET URO,311.64 ,HB ACMH STONE BASKET URO,311.64 ,HB ACMH STR CHEST TUBE INSERTION TRAY,34.55 ,HB ACMH STR CHEST TUBE INSERTION TRAY,34.55 ,HB ACMH STRATAFIX SYMMETRIC 45CM VIOLET,47.93 ,HB ACMH STRATAFIX SYMMETRIC 45CM VIOLET,47.93 ,HB ACMH SURGICEL,130.57 ,HB ACMH SURGIFOAM 100 CM,78.40 ,HB ACMH SUTURE PDO 2T11 2 36X36 CM,73.12 ,HB ACMH SUTURE PDO 2T11 2 36X36 CM,73.12 ,HB ACMH SWIFTSET SKIN ADHESIVE,66.92 ,HB ACMH SWIFTSET SKIN ADHESIVE,66.92 ,HB ACMH THORACENTESIS BOTTLE,50.00 ,HB ACMH THORACENTESIS BOTTLE,50.00 ,HB ACMH THORACENTESIS TRAY SAFE-T,95.78 ,HB ACMH TOTAL JOINT PACK,172.02 ,HB ACMH TOTAL JOINT PACK,172.02 ,HB ACMH TOUGHY NEEDLE 18GX6,45.00 ,HB ACMH TOURNIQUET-COMBAT,26.00 G0390,HB ACMH TRAUMA ACTIVATION,750.00 ,HB ACMH TRAUMA ACTIVATION NPN,750.00 ,HB ACMH TRAXTION HEX SNARE,70.00 ,HB ACMH TRAXTION HEX SNARE,70.00 ,HB ACMH TRAY CVC DRESS W/BIOPATCH,26.18 ,HB ACMH TRAY CVC DRESS W/BIOPATCH,26.18 27810,HB ACMH TREATMENT OF ANKLE FRAC,1145.00 ,"HB ACMH TUOHY NEEDLE 18GX6""",45.47 ,HB ACMH TUR DRAPE-LINGEMAN,153.49 ,HB ACMH TUR DRAPE-LINGEMAN,153.49 ,HB ACMH TUR TUBING,48.90 ,HB ACMH TUR TUBING,48.90 ,HB ACMH TUR TUBING,48.90 69436,HB ACMH TYMPANOSTOMY GENERAL ANESTHESIA,400.00 69436,HB ACMH TYMPANOSTOMY GENERAL ANESTHESIA,400.00 76817,HB ACMH ULTRASOUND - PREGNANT UTERUS,150.00 ,HB ACMH URETERAL ACCESS SHEATH SET 13F/15F,355.89 ,HB ACMH URETERAL ACCESS SHEATH SET 13F/15F,355.89 ,HB ACMH URETERAL CATH 5FR,42.32 ,HB ACMH URETERAL CATH 5FR,42.32 ,HB ACMH URGOK2,62.02 ,HB ACMH URGOK2,62.02 ,HB ACMH UROLOCK II ADAPTER,52.41 ,HB ACMH UROLOCK II ADAPTER,52.41 ,HB ACMH VAPOTHERM CIRCUITS,170.10 ,HB ACMH VAPOTHERM CIRCUITS,170.10 ,HB ACMH VARESS INSUFFLATION NEEDLE,71.42 ,HB ACMH VARESS INSUFFLATION NEEDLE,71.42 ,HB ACMH VENOM NEEDLE 100MM 18G,127.80 ,HB ACMH VENOM NEEDLE 100MM 20G,117.84 ,HB ACMH VENOM NEEDLE 150MM 18G,127.80 ,HB ACMH VENOM NEEDLE 150MM 20G,113.13 ,HB ACMH WATER JEL STERILE BURN DRESSING 4X4,31.00 ,HB ACMH WATER JEL STERILE BURN DRESSING 4X4,31.00 99211,HB ACMH WEIGHT LOSS VISIT PER 30 MIN,40.00 ,HB ACMH WILSON RETRACTOR,135.75 ,HB ACMH WILSON RETRACTOR,135.75 66989,HB ACMH XCAPSL CTRC RMVL INSJ IO LENS PRSTH CPLX INSJ 1+,2000.00 10040,HB ACNE SURGERY,140.00 87077,HB ADDITIONAL BACTERIAL IDENTIFICATION,75.75 82024,HB ADRENOCORTICOTROPIC HORMONE,403.17 82105,HB AFP ALPHA-FETOPROTEIN,175.12 84460,HB ALANINE AMINOTRASFERASE (ALT),25.00 82040,"HB ALBUMIN, SERUM",51.70 82140,HB AMMONIA,152.11 28820,HB AMPUTATION TOE METATASOPHALANGEAL JOINT,1000.00 82150,"HB AMYLASE, SERUM",67.70 87075,HB ANAEROBIC ISOLATION,61.13 82164,HB ANGIOTENSIN-1 CONVERTING ENZYME,152.35 73610,HB ANKLE COMPLETE (3 VIEW MINIMUM),201.98 73600,"HB ANKLE ANTERIOR POSTERIOR AND LATERAL, 2 VIEWS",169.40 87186,"HB ANTIBIOTIC SENSITIVITY PROFILE, ROUTINE",90.26 86038,HB ANTINUCLEAR ANTIBODIES,126.19 85300,"HB ANTI-THROMBIN III, PLASMA",61.13 86800,HB ANTITHYROGLOBULIN,165.99 29130,"HB APPLICATION OF FINGER SPLINT, STATIC",75.00 20611,"HB ARTHROCENTESIS, ASPIRATION OR INJ MAJOR JOINT OR BURSA W/US GUIDANCE",155.00 20605,"HB ARTHROCENTESIS, ASPIRATION OR INJECTION INTERMEDIATE JOINT OR BURSA",200.00 20605,"HB ARTHROCENTESIS, ASPIRATION OR INJECTION INTERMEDIATE JOINT OR BURSA",200.00 20610,"HB ARTHROCENTESIS, ASPIRATION OR INJECTION OF MAJOR JOINT OR BURSA",225.00 20610,"HB ARTHROCENTESIS, ASPIRATION OR INJECTION OF MAJOR JOINT OR BURSA",225.00 20610,"HB ARTHROCENTESIS, ASPIRATION OR INJECTION OF MAJOR JOINT OR BURSA",225.00 20610,"HB ARTHROCENTESIS, ASPIRATION OR INJECTION OF MAJOR JOINT OR BURSA",225.00 20600,"HB ARTHROCENTESIS, ASPIRATION OR INJECTION OF SMALL JOINT OR BURSA",200.00 20606,"HB ARTHROCENTESIS, ASPIRATION, INJ INTERMED JOINT OR BURSA W/US GUIDANCE",250.00 84450,HB ASPARTATE AMINOTRANFERASE (AST),53.91 88173,HB ASPIRATION EVALUATION AND REPORT,491.20 20612,"HB ASPIRATION/INJECTION GANGLION CYST(S), ANY LOCATION",30.94 11730,"HB AVULSION,NAIL PLATE,PARTIAL/COMPLETE,SIMPLE,SINGLE",150.00 11730,"HB AVULSION,NAIL PLATE,PARTIAL/COMPLETE,SIMPLE,SINGLE",150.00 80048,HB BASIC METABOLIC PANEL,45.00 92524,HB BEHAVIORAL AND QUALITATIVE ANALYSIS OF VOICE AND RESONANCE,263.76 86146,"HB BETA 2 GLYCOPROTEIN ANTIBODY, EACH",265.52 82248,"HB BILIRUBIN, DIRECT",52.48 82247,"HB BILIRUBIN, TOTAL (MACRO OR MICRO)",52.48 69100,"HB BIOPSY, EXTERNAL EAR",120.00 11755,"HB BIOPSY, NAIL UNIT",140.00 42800,"HB BIOPSY, OROPHARYNX",290.00 55700,"HB BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE",1850.00 55700,"HB BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE",1850.00 55700,"HB BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE",1850.00 40808,"HB BIOPSY, VESTIBULE OF MOUTH",210.00 51700,"HB BLADDER IRRIGATION, SIMPLE, LAVAGE AND/ OR INSTILLATION",80.00 51700,"HB BLADDER IRRIGATION, SIMPLE, LAVAGE AND/ OR INSTILLATION",80.00 36591,HB BLOOD DRAW FROM IMPLANTABLE VENOUS ACCESS DEVICE,39.01 82805,HB BLOOD GAS W/MEASURED 02 SATURATION,205.40 82803,HB BLOOD GASES,28.00 86900,"HB BLOOD TYPING, ABO",59.81 84520,HB BLOOD UREA NITROGEN,41.16 83880,HB B-NATRIURETIC PEPTIDE,175.00 77080,"HB BONE DENSITOMETRY(DEXA), 1+ SITES, AXIAL",367.53 78306,"HB BONE IMAGING, WHOLE BODY",975.67 77075,"HB BONE SURVEY, COMPLETE",629.11 19100,"HB BREAST BIOPSY, PERCUTANEOUS, NEEDLE CORE",772.92 31635,HB BRONCHOSCOPY W/REMOVAL OF FOREIGN BODY,450.00 16020,"HB BURN TRTMT, DRESSING/DEBRIDEMENT, SM LESS TH 5 PERCENT TBSA",135.00 16020,"HB BURN TRTMT, DRESSING/DEBRIDEMENT, SM LESS TH 5 PERCENT TBSA",135.00 16020,"HB BURN TRTMT, DRESSING/DEBRIDEMENT, SM LESS TH 5 PERCENT TBSA",135.00 87493,HB C.DIFFICILE TOXIN A AND B,60.00 82310,"HB CALCIUM, SERUM",53.78 82340,"HB CALCIUM, URINE QUANTITATIVE, 24 HOUR",63.00 95992,HB CANALITH REPOSITIONING PROCEDURE PER DAY,132.93 86304,HB CANCER ANTIGEN 125-SERUM,217.13 80156,HB CARBAMAZEPINE ASSAY,151.93 86301,HB CARBOHYDRATE ANTIGEN 19.9,217.13 82374,HB CARBON DIOXIDE (CO2 CONTENT),51.03 82375,HB CARBOXY HEMOGLOBIN,40.00 86147,HB CARDIOLIPIN (PHOSPHOLIPID) ANTIBODY,265.52 92950,HB CARDIOPULMONARY RESUSCITATION,425.00 92960,"HB CARDIOVERSION, ELECTIVE, EXTERNAL",415.00 29075,"HB CAST, SYNTHETIC, THUMB SPICA, ADULT",95.00 85025,HB CBC WITH AUTOMATED DIFFERENTIAL,43.50 81342,HB CCHS GENE REARRANGEMENT ANALYSIS (T CELL ANTIGEN RECEPTOR GAMMA),325.00 82378,HB CEA CARCINOEMRYONIC ANTIGEN,198.05 82390,HB CERULOPLASMIN,35.00 72040,HB CERVICAL SPINE 3 VIEWS OR LESS,228.97 72050,HB CERVICAL SPINE 4 OR 5 VIEWS,307.62 72052,"HB CERVICAL SPINE COMPLETE, 6 OR MORE VIEWS",407.92 51705,HB CHANGE OF CYSTOSTOMY TUBE - SIMPLE,130.00 51705,HB CHANGE OF CYSTOSTOMY TUBE - SIMPLE,130.00 51705,HB CHANGE OF CYSTOSTOMY TUBE - SIMPLE,130.00 17250,HB CHEMICAL CAUTERIZATION OF GRANULATION TISSUE,70.82 96417,"HB CHEMO ADMIN, IV, ADDL SEQUENTIAL, UP TO 1 HR",140.00 96413,"HB CHEMO ADMIN, IV, INITIAL OR SINGLE, UP TO 1 HOUR",265.38 96401,"HB CHEMO ADMIN, SUBCUTANEOUS OR IM, NON-HORMONAL",138.20 96415,"HB CHEMO ADMINISTRATION, EACH ADDITIONAL HOUR",69.10 96411,"HB CHEMO ADMINISTRATION, IV PUSH, EACH ADDITIONAL",104.47 96409,"HB CHEMO ADMINISTRATION, IV PUSH, SINGLE OR INITIAL",138.20 96416,HB CHEMO IV INFUSION GREATER THAN 8 HRS,345.45 94667,HB CHEST WALL MANIPULATION-INITIAL,105.85 94668,HB CHEST WALL MANIPULATION-SUBSEQUENT,122.36 71046,HB CHEST; 2 VIEW,166.91 71047,HB CHEST; 3 VIEW,75.00 71045,HB CHEST; SINGLE VIEW,122.43 87491,HB CHLAMYDIA BY PCR,143.88 82435,"HB CHLORIDE, SERUM",47.97 54161,"HB CIRCUMCISION W/O CLAMP OR OTHER DEVICE, NOT NEWBORN",349.04 54161,"HB CIRCUMCISION W/O CLAMP OR OTHER DEVICE, NOT NEWBORN",349.04 73000,HB CLAVICLE,169.40 80186,HB CLINICAL PHENYTOIN FREE,143.51 87081,HB CLO TEST,75.75 27810,HB CLOSED TRTMT BIMALLEOLAR ANKLE FRACTURE W/MANIP,990.00 23605,HB CLOSED TRTMT PROXIMAL HUMERAL FRACTURE W/MANIP,1110.00 23655,HB CLOSED TRTMT SHOULDER DISLOCATION W/MANIP W/ANESTH,1105.00 23655,HB CLOSED TRTMT SHOULDER DISLOCATION W/MANIP W/ANESTH,1105.00 23650,HB CLOSED TRTMT SHOULDER DISLOCATION W/MANIP W/O ANES,780.00 26770,HB CLSD TRTMT INTERPHALANGEAL JOINT DISL W/MANIP W/O ANES,500.00 25560,HB CLSD TRTMT RADIAL AND ULNAR SHAFT FRACTURE W/O MANIP,685.00 25560,HB CLSD TRTMT RADIAL AND ULNAR SHAFT FRACTURE W/O MANIP,685.00 86644,HB CMV IGG ANTIBODY DETECTION,150.23 86645,HB CMV IGM ANTIBODY DETECTION,175.86 36416,HB COLLECTION OF CAPILLARY BLOOD SPECIMEN,12.00 36415,HB COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE,19.99 85027,HB COMPLETE BLOOD COUNT,67.53 13121,HB COMPLEX REPAIR - SCALP/ARMS/LEGS 2.6-7.5CM,660.00 13121,HB COMPLEX REPAIR - SCALP/ARMS/LEGS 2.6-7.5CM,660.00 13101,HB COMPLEX WOUND REPAIR-TRUNK 2.6-7.5CM,650.00 13101,HB COMPLEX WOUND REPAIR-TRUNK 2.6-7.5CM,650.00 80053,HB COMPREHENSIVE METABOLIC PANEL,68.75 94003,HB CONTINUOUS VENTILATION SUBSEQUENT DAY,170.00 30903,"HB CONTROL NASAL HEMORRHAGE, ANTERIOR; COMPLEX",200.00 30901,"HB CONTROL NASAL HEMORRHAGE, ANTERIOR; SIMPLE",140.00 30901,"HB CONTROL NASAL HEMORRHAGE, ANTERIOR; SIMPLE",140.00 30901,"HB CONTROL NASAL HEMORRHAGE, ANTERIOR; SIMPLE",140.00 82533,"HB CORTISOL, SERUM",170.20 86769,"HB COVID-19 (NOVEL CORONAVIRUS) SEROLOGY, IGG",40.00 86140,HB C-REACTIVE PROTEIN,54.02 82550,HB CREATINE PHOSPHOKINASE-CPK,68.00 82565,"HB CREATININE, BLOOD",53.51 86920,"HB CROSS-MATCH, IMMEDIATE SPIN",56.10 74178,HB CT ABDOMEN AND PELVIS W AND W/O CONTRAST,2289.05 74177,HB CT ABDOMEN AND PELVIS W/CONTRAST,1210.00 74176,HB CT ABDOMEN AND PELVIS W/O CONTRAST,1260.00 74170,"HB CT ABDOMEN, WITH AND WITHOUT CONTRAST",1889.91 74160,"HB CT ABDOMEN, WITH CONTRAST",1620.41 74150,"HB CT ABDOMEN, WITHOUT CONTRAST",896.97 74174,HB CT ANGIO ABDOMEN AND PELVIS W AND WO CONTRAST W/IMG POST PROCESSING,2327.75 75635,"HB CT ANGIO, ABDOMINAL AORTA AND BILATERAL ILIOFEMORAL LE RUNOFF",2483.73 70496,"HB CT ANGIO, HEAD, W AND WO CONTRAST AND W/ IMG POST PROCESSING",2486.14 70498,"HB CT ANGIO, NECK, W AND WO CONTRAST AND W/ IMG POST PROCESSING",2486.14 71275,HB CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST,2324.01 70470,"HB CT BRAIN, WITH AND WITHOUT CONTRAST",420.00 70450,"HB CT BRAIN, WITHOUT CONTRAST",1260.00 72125,"HB CT CERVICAL SPINE, WITHOUT CONTRAST",500.00 71270,"HB CT CHEST, WITH AND WITHOUT CONTRAST",500.00 71260,"HB CT CHEST, WITH CONTRAST",1260.00 71250,"HB CT CHEST, WITHOUT CONTRAST",1201.28 70491,HB CT LARYNX OR SOFT TISSUE WITH CONTRAST,1260.00 73700,"HB CT LOWER EXTREMITY, WITHOUT CONTRAST",300.00 72132,"HB CT LUMBAR SPINE, WITH CONTRAST",1520.63 72131,"HB CT LUMBAR SPINE, WITHOUT CONTRAST",1206.33 70487,HB CT MAXILLOFACIAL WITH CONTRAST,1583.04 70486,HB CT MAXILLOFACIAL WITHOUT CONTRAST,1271.14 70480,HB CT ORBIT/ SELLA/ POSTERIOR FOSSA/ EAR WITHOUT CONTRAST,1271.14 72193,"HB CT PELVIS, WITH CONTRAST",850.00 72192,"HB CT PELVIS, WITHOUT CONTRAST",275.00 72128,"HB CT THORACIC SPINE, WITHOUT CONTRAST",1211.28 73200,"HB CT UPPER EXTREMITY, WITHOUT CONTRAST",1196.31 87040,"HB CULTURE, BLOOD",107.72 87070,"HB CULTURE, ROUTINE",89.88 93017,HB CV STRESS TEST EXERCISE,587.97 86200,HB CYCLIC CITRULLINATED PEPTIDE ANTIBODY,135.16 80158,HB CYCLOSPORINE ASSAY,190.00 82610,HB CYSTATIN C,75.00 52332,HB CYSTOURETHROSCOPY W/ INSERTION OF INDWELLING URETERAL STENT,410.00 52332,HB CYSTOURETHROSCOPY W/ INSERTION OF INDWELLING URETERAL STENT,410.00 11044,"HB DEBRIDEMENT, BONE, UP TO 20 SQ CM",600.00 11044,"HB DEBRIDEMENT, BONE, UP TO 20 SQ CM",600.00 69220,"HB DEBRIDEMENT, MASTOID CAVITY, SIMPLE (ROUTINE CLEANING)",130.00 69220,"HB DEBRIDEMENT, MASTOID CAVITY, SIMPLE (ROUTINE CLEANING)",130.00 11043,"HB DEBRIDEMENT, MUSCLE/FASCIA, UP TO 20 SQ CM",400.00 11043,"HB DEBRIDEMENT, MUSCLE/FASCIA, UP TO 20 SQ CM",400.00 11042,"HB DEBRIDEMENT, SUBCUTANEOUS TISSUE, UP TO 20 SQ CM",91.66 11042,"HB DEBRIDEMENT, SUBCUTANEOUS TISSUE, UP TO 20 SQ CM",91.66 88311,HB DECALCIFICATION,39.53 64633,"HB DESTR BY NEUROLYTIC W/IMG CERV/THORACIC, SINGLE FACET JNT",900.00 64636,HB DESTR BY NEUROLYTIC W/IMG LUMBAR/SACRAL EA ADDL FACET JNT,600.00 64635,HB DESTR BY NEUROLYTIC W/IMG LUMBAR/SACRAL SINGLE FACET JNT,900.00 17004,"HB DESTRUCTION, ANY METHOD, 15 OR MORE LESIONS",245.00 17000,"HB DESTRUCTION, ANY METHOD, 1ST LESION",120.00 17000,"HB DESTRUCTION, ANY METHOD, 1ST LESION",120.00 17000,"HB DESTRUCTION, ANY METHOD, 1ST LESION",120.00 17003,"HB DESTRUCTION, ANY METHOD, 2-14 LESIONS, EA",10.00 17003,"HB DESTRUCTION, ANY METHOD, 2-14 LESIONS, EA",10.00 17003,"HB DESTRUCTION, ANY METHOD, 2-14 LESIONS, EA",10.00 17111,"HB DESTRUCTION, ANY METHOD, BENIGN LESION S, 15 OR MORE",200.00 17111,"HB DESTRUCTION, ANY METHOD, BENIGN LESION S, 15 OR MORE",200.00 17110,"HB DESTRUCTION, ANY METHOD, BENIGN LESION S, UP TO 14",175.00 17110,"HB DESTRUCTION, ANY METHOD, BENIGN LESION S, UP TO 14",175.00 82627,"HB DHEA-S, DEHYDROEPIANDROS SULFATE",150.00 G0108,HB DIABETES SELF MNGMT TRAINING - INDIV - PER 30 MIN,34.72 38222,HB DIAGNOSTIC BONE MARROW BIOPSY(IES) AND ASPIRATION(S),204.00 77062,"HB DIAGNOSTIC BREAST TOMOSYNTHESIS, BILATERAL",50.00 77061,"HB DIAGNOSTIC BREAST TOMOSYNTHESIS, UNILATERAL",480.00 77066,HB DIGITAL DIAGNOSTIC BILATERAL MAMMOGRAM,425.00 77065,HB DIGITAL DIAGNOSTIC UNILATERAL MAMMOGRAM,335.00 77067,HB DIGITAL SCREENING MAMMOGRAM,355.00 80162,HB DIGOXIN LEVEL,138.60 53660,HB DILATION OF FEMALE URETHRA; INITIAL,106.00 53660,HB DILATION OF FEMALE URETHRA; INITIAL,106.00 G0480,"HB DRUG TEST, DEFINITIVE, 1-7 DRUG CLASSES",125.00 93978,"HB DUPLEX SCAN AORTA/ IVC/ ILIAC/ BYPASS GRAFTS, COMPLETE",1129.79 93976,HB DUPLEX SCAN ART/VEN FLOW AB/PELV/SCROTAL/RENAL; LTD (PV),921.97 93970,HB DUPLEX SCAN EXTREMITY VEINS INCL COMPR RESP COMPL BILATERAL,1129.79 93971,HB DUPLEX SCAN EXTREMITY VEINS INCL COMPR RESP LTD UNILATERAL,731.55 93925,HB DUPLEX SCAN LE ARTERIES/ARTERIAL BYPASS GRAFTS; COMPL BILATERAL,1128.30 93880,HB DUPLEX SCAN OF EXTRACRANIAL ARTERIES; COMPLETE BILATERAL,1129.79 86664,HB EBV IGG AB TO NUCLEAR AG,159.74 93308,"HB ECHOCARD, 2D-TRANSTHOR, W/WO M-MODE NONCONG, LTD OR F-UP",734.18 73070,"HB ELBOW ANTERIOR POSTERIOR AND LATERAL, 2 VIEWS",169.40 73080,"HB ELBOW COMPLETE, 3 VIEW MINIMUM",207.20 97014,HB ELECTRICAL STIMULATION - UNATTENDED,50.18 80051,HB ELECTROLYTE PANEL,73.22 99281,"HB ER VISIT, LEVEL 1, BRIEF (99281)",97.19 99282,"HB ER VISIT, LEVEL 2, LIMITED (99282)",350.00 99283,"HB ER VISIT, LEVEL 3, INTERMEDIATE (99283)",450.00 99284,"HB ER VISIT, LEVEL 4, COMPLEX - MODERATE (99284)",500.00 99285,"HB ER VISIT, LEVEL 5, COMPLEX - HIGH (99285)",525.00 99292,"HB ER VISIT, LEVEL 6, CRITICAL CARE EACH ADDL 30 MINUTES (99292)",195.00 99291,"HB ER VISIT, LEVEL 6, CRITICAL CARE INITIAL 30-74 MINUTES (99291)",440.00 82668,HB ERYTHROPOETIN,196.16 82670,"HB ESTRADIOL, SERUM",100.00 92610,HB EVAL OF SWALLOWING AND ORAL FUNCTION,388.04 92523,HB EVAL SPEECH SOUND PRODUCTION/COMPREHENSION/EXPRESSION,552.46 92522,HB EVALUATION OF SPEECH SOUND PRODUCTION,271.95 89060,HB EXAM OF SYNOVIAL FLUID (CRYSTAL IDENTIFICATION),74.62 11442,HB EXC BENIGN LESION-FACE/EAR/EYE/NOSE/LIP/MM 1.1-2CM,350.00 11443,HB EXC BENIGN LESION-FACE/EAR/EYE/NOSE/LIP/MM 2.1-3CM,425.00 11443,HB EXC BENIGN LESION-FACE/EAR/EYE/NOSE/LIP/MM 2.1-3CM,425.00 11444,HB EXC BENIGN LESION-FACE/EAR/EYE/NOSE/LIP/MM 3.1-4CM,560.00 11440,HB EXC BENIGN LESION-FACE/EAR/EYE/NOSE/LIP/MM TO .5CM,250.00 11440,HB EXC BENIGN LESION-FACE/EAR/EYE/NOSE/LIP/MM TO .5CM,250.00 11642,HB EXC MALIGNANT LES-FACE/EAR/EYE/NOSE/LIP/MM 1.1-2CM,300.00 21552,"HB EXC TUMOR SOFT TISSUE NECK/THORAX, SUBCUT 3 CM OR GR",1080.00 21552,"HB EXC TUMOR SOFT TISSUE NECK/THORAX, SUBCUT 3 CM OR GR",1080.00 67840,HB EXCISE EYELID LESION (NOT CHALAZION),405.00 67840,HB EXCISE EYELID LESION (NOT CHALAZION),405.00 11421,HB EXCISION BENIGN LESION-SCLP/NK/HD/FT/GEN .6-1CM,245.00 11421,HB EXCISION BENIGN LESION-SCLP/NK/HD/FT/GEN .6-1CM,245.00 11426,HB EXCISION BENIGN LESION-SCLP/NK/HD/FT/GEN +4CM,660.00 11422,HB EXCISION BENIGN LESION-SCLP/NK/HD/FT/GEN 1.1-2CM,300.00 11422,HB EXCISION BENIGN LESION-SCLP/NK/HD/FT/GEN 1.1-2CM,300.00 11423,HB EXCISION BENIGN LESION-SCLP/NK/HD/FT/GEN 2.1-3CM,385.00 11423,HB EXCISION BENIGN LESION-SCLP/NK/HD/FT/GEN 2.1-3CM,385.00 11424,HB EXCISION BENIGN LESION-SCLP/NK/HD/FT/GEN 3.1-4CM,425.00 11420,HB EXCISION BENIGN LESION-SCLP/NK/HD/FT/GEN TO .5CM,200.00 11420,HB EXCISION BENIGN LESION-SCLP/NK/HD/FT/GEN TO .5CM,200.00 11406,HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS +4CM,595.00 11406,HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS +4CM,595.00 11402,HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS 1.1-2CM,395.00 11403,HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS 2.1-3CM,350.00 11403,HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS 2.1-3CM,350.00 11404,HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS 3.1-4CM,350.00 11404,HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS 3.1-4CM,350.00 11400,HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS TO .5CM,200.00 11400,HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS TO .5CM,200.00 11621,HB EXCISION MALIGNANT LESION-SCLP/NK/HD/FT/GEN .6-1CM,365.00 11626,HB EXCISION MALIGNANT LESION-SCLP/NK/HD/FT/GEN +4CM,700.00 11622,HB EXCISION MALIGNANT LESION-SCLP/NK/HD/FT/GEN 1.1-2CM,400.00 11624,HB EXCISION MALIGNANT LESION-SCLP/NK/HD/FT/GEN 3.1-4CM,570.00 11606,HB EXCISION MALIGNANT LESION-TRUNK/ARMS/LEGS +4CM,725.00 11606,HB EXCISION MALIGNANT LESION-TRUNK/ARMS/LEGS +4CM,725.00 11602,HB EXCISION MALIGNANT LESION-TRUNK/ARMS/LEGS 1.1-2CM,400.00 11603,HB EXCISION MALIGNANT LESION-TRUNK/ARMS/LEGS 2.1-3CM,445.00 11604,HB EXCISION MALIGNANT LESION-TRUNK/ARMS/LEGS 3.1-4CM,520.00 46320,"HB EXCISION OF THROMBOSED HEMORRHOID, EXTERNAL",300.00 11750,"HB EXCISION, NAIL AND MATRIX, PARTIAL/COMPLETE, PERM",250.00 11750,"HB EXCISION, NAIL AND MATRIX, PARTIAL/COMPLETE, PERM",250.00 20103,HB EXPLORATION OF PENETRATING WOUND; EXTREMITY,775.00 86235,"HB EXTRACTABLE NUCLEAR ANTIGEN, ANTIBODY",48.00 70030,"HB EYE, FOREIGN BODY",60.00 A9552,"HB F-18 FDG, PER DOSE",369.67 70140,HB FACIAL BONES 2 VIEWS OR LESS,166.91 70150,HB FACIAL BONES COMPLETE (3 VIEWS OR MORE),243.25 85240,HB FACTOR ASSAY,141.89 85250,HB FACTOR IX ASSAY,141.91 85220,HB FACTOR V ASSAY,141.89 85270,HB FACTOR XI ASSAY,40.00 73551,HB FEMUR; 1 VIEW,75.00 73552,HB FEMUR; 2 OR MORE VIEWS,158.42 82728,HB FERRITIN,142.16 85384,HB FIBRINOGEN,88.66 10005,"HB FINE NEEDLE ASPIRATION BIOPSY, W/US; 1ST LESION",175.00 73140,HB FINGER MINIMUM OF 2 VIEWS,212.77 88185,"HB FLOW CYTOMETRY, EACH ADDITIONAL MARKER",60.00 88184,"HB FLOW CYTOMETRY, FIRST MARKER",150.00 86256,HB FLUORESCENT ANTIBODY TITER,125.82 77003,HB FLUORO GUIDE AND LOCAL NDL/CATH FOR SPINE INJECTION,0.00 77002,HB FLUOROSCOPIC GUIDANCE FOR NEEDLE PLACEMENT,156.00 77001,HB FLUOROSCOPIC GUIDANCE-CV DEVICE PLACEMENT/REMOVAL,465.81 76000,"HB FLUOROSCOPY, UP TO ONE HOUR",91.50 82746,HB FOLIC ACID,153.44 73620,"HB FOOT ANTERIOR POSTERIOR, 2 VIEWS",161.25 73630,HB FOOT COMPLETE (3 VIEW MINIMUM),191.08 73090,"HB FOREARM ANTERIOR POSTERIOR AND LATERAL, 2 VIEWS",160.53 84154,HB FREE PROSTATIC ANTIGEN,192.00 84439,HB FREE THYROXINE,78.67 84481,HB FREE TRIIODOTHYRONINE,176.85 88331,HB FROZEN SECTION - INITIAL,100.77 83001,"HB FSH, FOLLICLE STIMULATING HORMONE",194.04 97116,HB GAIT TRAINING (15 MINUTES),104.00 82977,HB GAMMA-GLUTAMYL TRANSPEPTIDASE,75.15 87510,HB GARDNERELLA V,40.00 78264,HB GASTRIC EMPTYING SOLID,1162.90 82271,HB GASTROCULT,33.95 82947,HB GLUCOSE,39.21 82945,HB GLUCOSE - MISC FLUID,15.00 82945,"HB GLUCOSE, CSF",39.21 73120,HB HAND 2 VIEWS,161.25 73130,HB HAND 3 VIEWS OR MORE,193.83 99001,HB HANDLING,22.95 83010,HB HAPTOGLOBIN,131.34 84702,"HB HCG, QUANT-SERUM,HUM CHOR GON",97.00 87902,HB HCV GENOTYPING - PROBE,475.00 87522,HB HCV QUANTITATIVE PCR - REPORT,447.20 85014,HB HEMATOCRIT,22.26 83036,HB HEMOGLOBIN A1C,50.00 83051,HB HEMOGLOBIN PLASMA,76.29 85018,"HB HEMOGLOBIN, BLOOD",22.26 86706,HB HEP B SURFACE ANTIBODY - QUALIT,112.16 80076,HB HEPATIC FUNCTION PANEL,85.34 86708,HB HEPATITIS A ANTIBODY IGG/IGM,129.34 86709,"HB HEPATITIS A ANTIBODY, IGM CLASS",117.53 86704,HB HEPATITIS B CORE ANTIBODY,125.82 87340,HB HEPATITIS B SURFACE ANTIGEN,100.99 86803,HB HEPATITIS C ANTIBODY,148.95 80074,HB HEPATITIS PANEL,440.17 78226,HB HEPATOBILIARY IMAGING,1370.96 78227,HB HEPATOBILIARY IMAGING W/PHARMACOLOGIC INTERVENTION,1667.90 86141,HB HIGH SENSITIVITY C-REACTIVE PROTEIN,135.16 83718,HB HIGH-DENSITY LIPOPROTEIN CHOLESTEROL,85.49 73525,"HB HIP ARTHROGRAM, S AND I",275.00 73521,"HB HIP, BILATERAL, W/PELVIS WHEN PERFORMED; 2 VIEWS",75.00 73501,"HB HIP, UNILATERAL, W/PELVIS WHEN PERFORMED; 1 VIEW",147.74 73502,"HB HIP, UNILATERAL, W/PELVIS WHEN PERFORMED; 2-3 VIEWS",228.97 87389,HB HIV ANTIGEN/ANTIBODY COMBO,75.00 83090,HB HOMOCYSTEINE,176.09 87529,HB HSV 1/2 QUALITATIVE PCR,366.43 87624,"HB HUMAN PAPILLOMAVIRUS, HIGH RISK",45.00 73060,HB HUMERUS MINIMUM OF 2 VIEWS,169.32 74740,"HB HYSTEROSALPINGOGRAPHY, S AND I",497.81 82784,HB IGA GAMMAGLOBULIN,50.00 82785,HB IGE GAMMAGLOBULIN IGE,171.89 0011A,HB IMM ADMN SARSCOV2 100MCG/0.5ML DIL RECON FIRST DOSE,40.00 0011A,HB IMM ADMN SARSCOV2 100MCG/0.5ML DIL RECON FIRST DOSE,40.00 0012A,HB IMM ADMN SARSCOV2 100MCG/0.5ML DIL RECON SECOND DOSE,40.00 0012A,HB IMM ADMN SARSCOV2 100MCG/0.5ML DIL RECON SECOND DOSE,40.00 0001A,HB IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON FIRST DOSE,40.00 0002A,HB IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON SECOND DOSE,40.00 0031A,"HB IMM ADMN SARSCOV2, AD26, PF 0.5ML SINGLE DOSE - JANSSEN",40.00 90472,"HB IMMUNIZATION ADMINISTRATION, EACH ADDITIONAL",25.00 90472,"HB IMMUNIZATION ADMINISTRATION, EACH ADDITIONAL",25.00 90472,"HB IMMUNIZATION ADMINISTRATION, EACH ADDITIONAL",25.00 90471,"HB IMMUNIZATION ADMINISTRATION, SINGLE",19.00 90471,"HB IMMUNIZATION ADMINISTRATION, SINGLE",19.00 90471,"HB IMMUNIZATION ADMINISTRATION, SINGLE",19.00 88342,"HB IMMUNOCYTOCHEMISTRY, 1ST ANTIBODY",295.17 88341,HB IMMUNOHISTOCHEMISTRY ADDITIONAL STAIN,140.00 56405,HB INCISION AND DRAINAGE OF VULVA OR PERINEAL ABSCESS,315.00 10061,"HB INCISION AND DRAINAGE, ABSCESS, COMPLICATED OR MULTIPLE",480.00 10060,"HB INCISION AND DRAINAGE, ABSCESS, SIMPLE OR SINGLE",245.00 10060,"HB INCISION AND DRAINAGE, ABSCESS, SIMPLE OR SINGLE",245.00 10060,"HB INCISION AND DRAINAGE, ABSCESS, SIMPLE OR SINGLE",245.00 10060,"HB INCISION AND DRAINAGE, ABSCESS, SIMPLE OR SINGLE",245.00 10080,"HB INCISION AND DRAINAGE, PILONIDAL CYST, SIMPLE",265.00 10120,"HB INCISION AND REMOVAL FOREIGN BODY, SUBCUT, SIMPLE",275.00 10120,"HB INCISION AND REMOVAL FOREIGN BODY, SUBCUT, SIMPLE",275.00 11106,HB INCISIONAL BIOPSY SKIN SINGLE LESION,145.00 94640,HB INHALATION TRTMT FOR ACUTE AIRWAY OBSTRUCTION,40.00 94640,HB INHALATION TRTMT FOR ACUTE AIRWAY OBSTRUCTION,40.00 64492,HB INJ PARAVERT FACET JNT W/IMAGE GUIDE C/T 3RD AND ADDL LEVELS,250.00 64491,HB INJ PARAVERT FACET JNT W/IMAGE GUIDE C/T SECOND LEVEL,275.00 64490,HB INJ PARAVERT FACET JNT W/IMAGE GUIDE C/T SINGLE LEVEL,550.00 64495,HB INJ PARAVERT FACET JNT W/IMAGE GUIDE L/S 3RD AND ADDL LEVELS,250.00 64494,HB INJ PARAVERT FACET JNT W/IMAGE GUIDE L/S SECOND LEVEL,250.00 64493,HB INJ PARAVERT FACET JNT W/IMAGE GUIDE L/S SINGLE LEVEL,550.00 64484,"HB INJ TRANSFORAMEN EPI LUMB/SACR INCL IMAGING, EA ADDL LEVEL",145.00 64483,"HB INJ TRANSFORAMEN EPIDURAL LUMB/SACR INCL IMAGING, SINGLE LVL",550.00 64425,"HB INJ, ANESTHETIC AGENT, ILIOINGUINAL ILIOHYPOGASTRIC NERVES",350.00 64450,"HB INJ, ANESTHETIC AGENT, OTHER PERIPHERAL NERVE OR BRANCH",115.00 64451,HB INJECTION AA AND/OR STRD NERVES NRVTG SI JOINT W/IMG,205.00 62321,"HB INJECTION(S), EPIDURAL/ SUBARACHNOID; CERVICAL OR THORACIC; W/IMG",600.00 62323,"HB INJECTION(S), EPIDURAL/ SUBARACHNOID; LUMBAR OR SACRAL; W/IMG",550.00 20550,"HB INJECTION(S), SINGLE TENDON SHEATH OR LIGAMENT",200.00 20551,"HB INJECTION(S), TENDON ORIGIN/INSERTION",100.00 64405,"HB INJECTION, ANESTHETIC AGENT, GREATER OCCIPITAL NERVE",350.00 64420,"HB INJECTION, ANESTHETIC AGENT, INTERCOSTAL NERVE, SINGLE",175.00 64418,"HB INJECTION, ANESTHETIC AGENT, SUPRASCAPULAR NERVE",200.00 11901,"HB INJECTION, INTRALESIONAL, OVER 7 LESIONS",158.00 11900,"HB INJECTION, INTRALESIONAL, UP TO AND INCL 7 LESIONS",75.00 27096,"HB INJECTION, SACROILIAC JOINT W/ ANESTHETIC/ STEROID/ OTHER AGENT",400.00 20552,"HB INJECTION, SINGLE/MULTIPLE TRIGGER PTS, 1-2 MUSCLES",200.00 20552,"HB INJECTION, SINGLE/MULTIPLE TRIGGER PTS, 1-2 MUSCLES",200.00 20552,"HB INJECTION, SINGLE/MULTIPLE TRIGGER PTS, 1-2 MUSCLES",200.00 20553,"HB INJECTION, SINGLE/MULTIPLE TRIGGER PTS, 3+ MUSCLES",200.00 96372,"HB INJECTION, SUBCUTANEOUS OR INTRAMUSCULAR",55.00 96372,"HB INJECTION, SUBCUTANEOUS OR INTRAMUSCULAR",55.00 96372,"HB INJECTION, SUBCUTANEOUS OR INTRAMUSCULAR",55.00 20526,"HB INJECTION, THERAPEUTIC, CARPAL TUNNEL",350.00 11981,HB INSERT DRUG DELIVERY IMPLANT,238.53 51701,HB INSERT NON-INDWELLING BLADDER CATH (STRAIGHT),49.58 51702,HB INSERT TEMP INDWELLING BLADDER CATHETER; SIMPLE - EG FOLEY,70.00 51702,HB INSERT TEMP INDWELLING BLADDER CATHETER; SIMPLE - EG FOLEY,70.00 58300,HB INSERTION OF INTRAUTERINE DEVICE (IUD),56.87 83525,"HB INSULIN ASSAY, SERUM",119.40 12052,HB INTERM REPAIR-FACE/EAR/EYE/NOSE/LIP/MM 2.6-5CM,515.00 12052,HB INTERM REPAIR-FACE/EAR/EYE/NOSE/LIP/MM 2.6-5CM,515.00 12032,HB INTERM WOUND REPAIR-SCLP/AX/TK/EXT 2.6-7.5CM,494.00 12032,HB INTERM WOUND REPAIR-SCLP/AX/TK/EXT 2.6-7.5CM,494.00 12031,HB INTERM WOUND REPAIR-SCLP/AX/TK/EXT TO 2.5CM,400.00 12031,HB INTERM WOUND REPAIR-SCLP/AX/TK/EXT TO 2.5CM,400.00 82330,HB IONIZED CALCIUM,142.58 97033,HB IONTOPHORESIS (15 MINUTES),114.13 83550,HB IRON BINDING CAPACITY,78.67 83540,"HB IRON, SERUM",67.59 96523,HB IRRIGATION OF IMPLANTED VENOUS ACCESS DEVICE,75.00 58301,HB IUD REMOVAL,180.00 58301,HB IUD REMOVAL,180.00 M0245,"HB IV INFUSION, BAMLANIVIMAB AND ETESEVIMAB, INFUSION AND POST ADMIN MONITOR",540.00 M0243,"HB IV INFUSION, CASIRIVIMAB AND IMDEVIMAB, INFUSION AND POST ADMIN MONITOR",900.00 96361,"HB IV INFUSION, HYDRATION; EACH ADDITIONAL HOUR",35.00 96360,"HB IV INFUSION, HYDRATION; INITIAL, UP TO ONE HOUR",115.00 96367,"HB IV INFUSION, SEQUENTIAL, UP TO ONE HOUR",75.00 M0247,"HB IV INFUSION, SOTROVIMAB, INFUSION AND POST ADMIN MONITOR",540.00 96366,"HB IV INFUSION, THER/PROPH/DIAG; EACH ADDITIONAL HOUR",55.00 96366,"HB IV INFUSION, THER/PROPH/DIAG; EACH ADDITIONAL HOUR",55.00 96365,"HB IV INFUSION, THER/PROPH/DIAG; INITIAL, TO ONE HOUR",180.00 96365,"HB IV INFUSION, THER/PROPH/DIAG; INITIAL, TO ONE HOUR",180.00 96375,"HB IV PUSH, EACH SEQUENTIAL, NEW DRUG",45.00 96375,"HB IV PUSH, EACH SEQUENTIAL, NEW DRUG",45.00 96376,"HB IV PUSH, EACH SEQUENTIAL, SAME DRUG",35.00 96374,"HB IV PUSH, SINGLE OR INITIAL",98.00 86022,HB JCHC PLATELET ANTIBODY,191.68 73560,"HB KNEE ANTERIOR POSTERIOR AND LATERAL, 1 OR 2 VIEWS",177.59 73562,"HB KNEE ANTERIOR POSTERIOR, LATERAL AND OBLIQUE, 3 VIEWS",223.65 73564,"HB KNEE COMPLETE, INCL STANDING OR PATELLAR, 4 OR MORE VIEWS",250.00 83605,HB LACTIC ACID (LACTATE),111.47 83615,HB LACTIC DEHYDROGENASE (LDH),63.04 80175,HB LAMOTRIGINE,142.91 31575,"HB LARYNGOSCOPY, FLEXIBLE FIBEROPTIC, DIAGNOSTIC",165.00 83655,"HB LEAD, BLOOD",90.00 80177,HB LEVETIRACETAM,142.91 83002,"HB LH, LUTENIZING HORMONE",193.32 83690,HB LIPASE,71.84 80061,HB LIPID PANEL,68.75 80178,HB LITHIUM,69.03 83721,HB LOW DENSITY CHOLESTEROL MEASURED,79.80 71271,HB LOW DOSE CT FOR LUNG CANCER SCREENING,565.00 72100,HB LUMBAR SPINE 2 OR 3 VIEWS,207.20 72110,HB LUMBAR SPINE 4 VIEWS OR MORE,283.05 72120,"HB LUMBAR SPINE BENDING VIEWS ONLY, 2 OR 3 VIEWS",100.00 72114,"HB LUMBAR SPINE COMPLETE, INCLUDING BENDING VIEWS, 6 VIEW MIN",396.81 78582,HB LUNG VENTILATION AND PERFUSION IMAGING,1313.36 78195,HB LYMPHOSCINTIGRAPHY,750.00 83735,HB MAGNESIUM,69.93 70110,HB MANDIBLE COMPLETE (4 VIEW MINIMUM),223.65 97140,"HB MANUAL THERAPY TECHNIQUES, PER 15 MINUTES",109.45 97140,"HB MANUAL THERAPY TECHNIQUES, PER 15 MINUTES - OT",109.45 51798,HB MEASURE POST-VOIDING RESIDUAL URINE/BLADDER CAPACITY BY US,30.00 51798,HB MEASURE POST-VOIDING RESIDUAL URINE/BLADDER CAPACITY BY US,30.00 97012,HB MECHANICAL TRACTION THERAPY - PT,59.92 97802,"HB MEDICAL NUTRITION THERAPY, INITIAL, EACH 15 MIN",26.78 97803,"HB MEDICAL NUTRITION THERAPY, REASSESSMENT, EA 15 MIN",26.78 82043,HB MICROALBUMIN,60.44 88360,"HB MORPHOMETRIC ANALYSIS, TUMOR IHC",190.00 70544,"HB MRA HEAD, WITHOUT CONTRAST",3083.75 74181,"HB MRI ABDOMEN, WITHOUT CONTRAST",2844.95 74183,"HB MRI ABDOMEN, WITHOUT THEN WITH CONTRAST, ADDL SEQ",4367.47 70553,"HB MRI BRAIN AND BRAIN STEM, WITH AND WITHOUT CONTRAST",1200.00 70551,"HB MRI BRAIN AND BRAIN STEM, WITHOUT CONTRAST",3083.75 72156,"HB MRI CERVICAL SPINE, WITH AND WITHOUT CONTRAST",4079.06 72141,"HB MRI CERVICAL SPINE, WITHOUT CONTRAST",2820.20 73723,"HB MRI LOWER EXT JOINT, W/O THEN W/CONTRAST, ADDL SEQ",4044.93 73721,"HB MRI LOWER EXT JOINT, WITHOUT CONTRAST",1961.24 73720,"HB MRI LOWER EXTREMITY, WITH AND WITHOUT CONTRAST",4389.15 73718,"HB MRI LOWER EXTREMITY, WITHOUT CONTRAST",6167.48 72158,"HB MRI LUMBAR SPINE, WITH AND WITHOUT CONTRAST",4054.29 72148,"HB MRI LUMBAR SPINE, WITHOUT CONTRAST",1500.00 70543,"HB MRI ORBIT/FACE/NECK, WITH AND WITHOUT CONTRAST",2000.00 72195,"HB MRI PELVIS, WITHOUT CONTRAST",3083.75 72197,"HB MRI PELVIS, WITHOUT THEN WITH CONTRAST",4348.86 72157,"HB MRI THORACIC SPINE, WITH AND WITHOUT CONTRAST",3710.08 72146,"HB MRI THORACIC SPINE, WITHOUT CONTRAST",1500.00 73223,"HB MRI UPPER EXT JOINT, W/O THEN W/CONTRAST, ADDL SEQ",4048.02 73221,"HB MRI UPPER EXT JOINT, WITHOUT CONTRAST",1200.00 73220,"HB MRI UPPER EXTREMITY, WITH AND WITHOUT CONTRAST",2000.00 73218,"HB MRI UPPER EXTREMITY, WITHOUT CONTRAST",3083.75 86735,HB MUMPS IGG ANTIBODY DETECTION,137.67 78452,"HB MYOCARDIAL PERFUSION REST AND STRESS, SPECT",1832.00 69420,HB MYRINGOTOMY,300.00 70160,"HB NASAL BONES, MINIMUM OF 3 VIEWS",201.98 31231,"HB NASAL ENDOSCOPY, DIAGNOSTIC",165.00 31237,"HB NASAL/SINUS ENDOSCOPY, SURGICAL; W/BIOPSY",529.00 31237,"HB NASAL/SINUS ENDOSCOPY, SURGICAL; W/BIOPSY",529.00 92511,HB NASOPHARYNGOSCOPY WITH ENDOSCOPE,95.00 70360,"HB NECK, SOFT TISSUE",153.20 20560,HB NEEDLE INSERTION WO INJECTION 1 OR 2 MUSCLES,40.00 20561,HB NEEDLE INSERTION WO INJECTION 3 OR MORE MUSCLES,55.00 97605,"HB NEGATIVE PRESSURE WOUND THERAPY, UP TO 50 SQ CM",45.00 97605,"HB NEGATIVE PRESSURE WOUND THERAPY, UP TO 50 SQ CM",45.00 97112,HB NEUROMUSCULAR RE-EDUCATION (15 MIN) - OT,122.01 97112,HB NEUROMUSCULAR RE-EDUCATION (15 MINUTES),122.01 ,HB NO ACCOMMODATION CHARGE,0.00 97167,HB OCCUPATIONAL THERAPY EVAL; HIGH COMPLEXITY,570.00 97165,HB OCCUPATIONAL THERAPY EVAL; LOW COMPLEXITY,310.00 97166,HB OCCUPATIONAL THERAPY EVAL; MODERATE COMPLEXITY,440.00 97168,HB OCCUPATIONAL THERAPY RE-EVALUATION,105.00 74300,HB OPERATIVE CHOLANGIOGRAM SINGLE SET,276.78 97760,"HB ORTHOTIC MGMT/TRAINING, INITIAL, PER 15 MIN - OT",138.09 73650,HB OS CALCIS (HEEL) 2 VIEW MINIMUM,166.69 83935,"HB OSMOLALITY, URINE",71.11 94762,HB OXIMETRY CONTINUOUS OVERNIGHT MONITORING,70.00 83970,HB PARATHYROID HORMONE,430.80 78070,HB PARATHYROID PLANAR IMAGING,1214.10 11056,"HB PARING/CURETTE BENIGN HYPERKERATOTIC LESIONS, 2-4",60.00 11057,"HB PARING/CURETTE BENIGN HYPERKERATOTIC LESIONS, 4+",75.00 11055,"HB PARING/CUTTING BENIGN HYPERKERATOTIC LESION,SINGLE",65.00 85730,HB PARTIAL THROMBOPLASTIN TIME (PTT),54.39 72170,"HB PELVIS ANTERIOR POSTERIOR ONLY, 1 OR 2 VIEWS",144.62 43762,HB PERQ REPLACEMENT GTUBE NOT REQ REVISION OF GASTROSTOMY TRACT,95.00 43762,HB PERQ REPLACEMENT GTUBE NOT REQ REVISION OF GASTROSTOMY TRACT,95.00 78815,"HB PET/CT, TUMOR IMAGING, SKULL TO MID THIGH",6571.69 78816,"HB PET/CT, TUMOR IMAGING, WHOLE BODY",6571.69 83986,HB PH - MISC FLUID,15.00 80185,HB PHENYTOIN ASSAY,138.35 84075,"HB PHOSPHATASE, ALKALINE",54.02 84100,"HB PHOSPHORUS (INORGANIC), SERUM",49.56 97163,HB PHYSICAL THERAPY EVAL; HIGH COMPLEXITY,390.00 97161,HB PHYSICAL THERAPY EVAL; LOW COMPLEXITY,230.00 97162,HB PHYSICAL THERAPY EVAL; MODERATE COMPLEXITY,312.00 97164,HB PHYSICAL THERAPY RE-EVALUATION,100.00 36680,HB PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION,155.00 85049,HB PLATELET COUNT,46.73 84132,HB POTASSIUM,47.97 84703,HB PREGNANCY TEST,78.36 84144,"HB PROGESTERONE, SERUM",95.00 84146,"HB PROLACTIN, SERUM",202.30 84153,HB PROSTATE SPECIFIC ANTIGEN,192.00 G0103,HB PROSTATIC SPECIFIC AB-SCREENING,192.04 85303,"HB PROTEIN C, FUNCTIONAL",135.87 84165,HB PROTEIN ELP - SERUM,112.16 84166,HB PROTEIN ELP - URINE,186.21 84155,"HB PROTEIN, SERUM",38.27 84157,"HB PROTEIN, TOTAL, ANY SOURCE",15.00 84156,"HB PROTEIN, URINE QUANTITATIVE RANDOM",38.27 85610,HB PROTHROMBIN TIME,36.56 11105,HB PUNCH BIOPSY SKIN EA SEPARATE ADDL LESION,60.00 11104,HB PUNCH BIOPSY SKIN SINGLE LESION,125.00 11104,HB PUNCH BIOPSY SKIN SINGLE LESION,125.00 11104,HB PUNCH BIOPSY SKIN SINGLE LESION,125.00 10160,HB PUNCTURE ASPIRATION-ABSCESS/HEMATOMA/BULLA/CYST,57.14 64461,"HB PVB, THORACIC, SINGLE INJECTION SITE, INCL IMAGING",225.00 64625,HB RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN,900.00 64625,HB RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN,900.00 A9503,"HB RADIOPHARM TC-99M MEDRONATE (MDP), UP TO 30 MCI",169.95 A9500,"HB RADIOPHARM TC-99M SESTAMIBI (MIBI), PER DOSE",602.55 87880,HB RAPID STREP,125.24 P9021,HB RED BLOOD CELLS,540.00 P9016,"HB RED BLOOD CELLS, L/R",407.65 69209,HB REMOVAL IMPACTED CERUMEN BY IRRIGATION/LAVAGE,35.00 69209,HB REMOVAL IMPACTED CERUMEN BY IRRIGATION/LAVAGE,35.00 69200,HB REMOVAL OF FOREIGN BODY FROM EXTERNAL AUDITORY CANAL,120.00 69200,HB REMOVAL OF FOREIGN BODY FROM EXTERNAL AUDITORY CANAL,120.00 69200,HB REMOVAL OF FOREIGN BODY FROM EXTERNAL AUDITORY CANAL,120.00 69210,"HB REMOVAL OF IMPACTED CERUMEN, ONE OR BOTH EARS",85.00 69210,"HB REMOVAL OF IMPACTED CERUMEN, ONE OR BOTH EARS",85.00 69210,"HB REMOVAL OF IMPACTED CERUMEN, ONE OR BOTH EARS",85.00 11200,"HB REMOVAL OF SKIN TAGS, ANY AREA, UP TO 15",23.80 11200,"HB REMOVAL OF SKIN TAGS, ANY AREA, UP TO 15",23.80 11200,"HB REMOVAL OF SKIN TAGS, ANY AREA, UP TO 15",23.80 11983,"HB REMOVAL W/REINSERTION, DRUG DELIVERY IMPLANT",526.47 11983,"HB REMOVAL W/REINSERTION, DRUG DELIVERY IMPLANT",526.47 36590,"HB REMOVE TUNNELED CENTRAL VENOUS DEVICE, W PORT OR PUMP",450.00 36590,"HB REMOVE TUNNELED CENTRAL VENOUS DEVICE, W PORT OR PUMP",450.00 93975,HB RENAL ARTERY DOPPLER ULTRASOUND,560.00 80069,HB RENAL FUNCTION PANEL,90.65 35206,"HB REPAIR BLOOD VESSEL, DIRECT; UPPER EXTREMITY",1865.00 85635,HB REPTILASE TIME,25.00 88313,HB RETIC STAIN,195.00 85046,HB RETICULOCYTE CELLULAR HEMOGLOBIN,24.00 86431,HB RHEUMATOID FACTOR,59.25 71111,"HB RIBS, BILATERAL, 4 VIEW MINIMUM, INCLUDES PA CHEST",80.00 71110,"HB RIBS, BILATERAL, THREE VIEWS",224.11 71101,"HB RIBS, UNILATERAL, 3 VIEWS, INCLUDES PA CHEST",214.60 71100,"HB RIBS, UNILATERAL, TWO VIEWS",176.42 95851,HB ROM AND GIRTH MEASUREMENTS (EXCLUDE HAND) - PT,55.00 72202,HB SACROILIAC JOINTS 3 VIEWS OR MORE,205.08 72220,"HB SACRUM AND/OR COCCYX, 2 VIEW MINIMUM",170.13 73010,HB SCAPULA,180.31 77063,"HB SCREENING BREAST TOMOSYNTHESIS, BILATERAL",50.00 85651,HB SEDIMENTATION RATE,37.05 97535,HB SELF-CARE/HOME MGMT TRAINING (ADL'S) - 15 MIN,126.93 84270,HB SEX HORMONE BINDING GLOBULIN,226.89 11311,HB SHAVE SKIN LESION-FACE/EAR/EYE/NOSE/LIP/MM .6-1CM,167.00 11312,HB SHAVE SKIN LESION-FACE/EAR/EYE/NOSE/LIP/MM 1.1-2CM,195.00 11310,HB SHAVE SKIN LESION-FACE/EAR/EYE/NOSE/LIP/MM TO .5CM,130.00 11306,HB SHAVE SKIN LESION-SCLP/NK/HD/FT/GEN .6-1CM,135.00 11305,HB SHAVE SKIN LESION-SCLP/NK/HD/FT/GEN UP TO .5CM,96.44 11301,HB SHAVE SKIN LESION-TRUNK/ARMS/LEGS .6-1CM,135.00 11302,HB SHAVE SKIN LESION-TRUNK/ARMS/LEGS 1.1-2CM,145.00 11300,HB SHAVE SKIN LESION-TRUNK/ARMS/LEGS UP TO .5CM,90.00 11300,HB SHAVE SKIN LESION-TRUNK/ARMS/LEGS UP TO .5CM,90.00 73020,HB SHOULDER 1 VIEW,131.96 73030,HB SHOULDER 2 VIEWS OR MORE,172.14 12013,HB SIMPLE REPAIR-FACE/EAR/EYE/NOSE/LIP/MM 2.6-5CM,145.00 12011,HB SIMPLE REPAIR-FACE/EAR/EYE/NOSE/LIP/MM UP TO 2.5CM,135.00 12002,HB SIMPLE WOUND REPAIR-SCLP/NK/AX/GEN/TK/EXT 2.6-7.5CM,145.00 12004,HB SIMPLE WOUND REPAIR-SCLP/NK/AX/GEN/TK/EXT 7.6-12.5CM,200.00 12001,HB SIMPLE WOUND REPAIR-SCLP/NK/AX/GEN/TK/EXT TO 2.5CM,115.00 12001,HB SIMPLE WOUND REPAIR-SCLP/NK/AX/GEN/TK/EXT TO 2.5CM,115.00 70220,"HB SINUS COMPLETE STUDY, 3 VIEW MINIMUM",75.00 80195,HB SIROLIMUS,142.91 15275,"HB SKIN SUB GRAFT FC/NK/HND/FT/G UP TO 100SQ CM, 1ST 25",250.00 15271,"HB SKIN SUB GRAFT TRNK/ARM/LEG UP TO 100SQ CM, 1ST 25",220.00 15271,"HB SKIN SUB GRAFT TRNK/ARM/LEG UP TO 100SQ CM, 1ST 25",220.00 70250,HB SKULL 3 VIEWS OR LESS,204.70 87205,HB SMEAR - GRAM STAIN,44.52 84295,HB SODIUM,50.22 84238,HB SOLUBLE TRANSFERRIN RECEPTOR,62.00 C9803,HB SPECIMEN COLLECT COVID-19,22.95 72081,"HB SPINE, ENTIRE THORACIC AND LUMBAR, INCL SKULL, CERVICAL AND SACRAL; 1 VIEW",75.00 72082,"HB SPINE, ENTIRE THORACIC AND LUMBAR, INCL SKULL, CERVICAL AND SACRAL; 2 OR 3 VIEWS",291.39 72020,"HB SPINE, SINGLE VIEW",131.96 29105,"HB SPLINT APPLICATION, LONG ARM",125.00 29125,"HB SPLINT APPLICATION, SHORT ARM",100.00 29125,"HB SPLINT APPLICATION, SHORT ARM",100.00 29515,"HB SPLINT APPLICATION, SHORT LEG",125.00 87641,HB STAPH AUREUS PCR (MRSA/MSSA),89.88 71120,HB STERNUM MINIMUM OF 2 VIEWS,182.80 93922,"HB STUDY OF UPPER/LOWER EXTREMITY ARTERIES, LIMITED",570.21 88302,HB SURG PATH - GROSS AND MICRO EXAM - LEVEL 2,75.00 88304,HB SURG PATH - GROSS AND MICRO EXAM - LEVEL 3,100.00 88305,HB SURG PATH - GROSS AND MICRO EXAM - LEVEL 4,155.00 88307,HB SURG PATH - GROSS AND MICRO EXAM - LEVEL 5,550.00 88309,HB SURG PATH - GROSS AND MICRO EXAM - LEVEL 6,840.00 88300,HB SURG PATH - GROSS EXAM ONLY - LEVEL 1,86.68 86780,HB SYPHILIS IGG,40.00 86592,"HB SYPHILIS TEST, NON-TREPONEMAL AB (RPR)",44.52 80197,HB TACROLIMUS,143.19 11103,HB TANGENTIAL BIOPSY SKIN EA SEPARATE ADDL LESION,50.00 11102,HB TANGENTIAL BIOPSY SKIN SINGLE LESION,95.00 11102,HB TANGENTIAL BIOPSY SKIN SINGLE LESION,95.00 11102,HB TANGENTIAL BIOPSY SKIN SINGLE LESION,95.00 A9540,"HB TC-99M MACROAGGREGATED ALBUMIN (MAA), PER DOSE",262.65 A9537,"HB TC-99M MEBROFENIN, PER DOSE",247.20 A9539,"HB TC-99M PENTETATE (DTPA), PER DOSE",386.25 A9520,HB TC-99M TILMANOCEPT (LYMPHOSEEK) PER DOSE,440.33 84403,"HB TESTOSTERONE, TOTAL-SERUM",150.00 80198,HB THEOPHYLLINE,147.71 97530,HB THERAPEUTIC ACTIVITY-FUNCTIONAL TRAINING PER 15MIN,128.04 97530,HB THERAPEUTIC ACTIVITY-FUNCTIONAL TRAINING PER 15MIN-OT,128.04 97110,HB THERAPEUTIC EXERCISE (15 MINUTES),117.13 97110,HB THERAPEUTIC EXERCISE (15 MINUTES) - OT,117.13 97129,"HB THERAPEUTIC INTERV FOR COGNITIVE FUNCTION, INITIAL 15 MIN - OT",175.00 72070,HB THORACIC SPINE 2 VIEWS,185.95 72072,HB THORACIC SPINE 3 VIEWS,220.98 78014,HB THYROID IMG I-123 PLUS UPTAKE SINGLE OR MULTIPLE,1006.09 84443,"HB THYROID STIMULATING HORMONE (TSH), SERUM",75.00 84436,"HB THYROXINE (T-4), TOTAL",71.78 73590,"HB TIBIA/FIBULA ANTERIOR POSTERIOR AND LATERAL, 2 VIEWS",154.23 73660,HB TOE MINIMUM OF 2 VIEWS,191.08 82465,HB TOTAL CHOLESTEROL,45.00 76872,HB TRANSRECTAL ULTRASOUND,405.00 93306,"HB TRANSTHORACIC ECHO, 2D, W/DOPPLER AND COLOR FLOW",1219.69 92526,HB TREATMENT OF SWALLOWING AND /OR ORAL FUNCTION,225.75 87661,HB TRICHOMONAS,55.00 84478,HB TRIGLYCERIDES,60.08 84484,HB TROPONIN T HIGH SENSITIVITY,102.74 92507,"HB TRTMT OF SPEECH, LANGUAGE, COMM",216.31 12020,HB TRTMT SUPERFICIAL WOUND DEHISCENCE; SIMPLE CLOSURE,490.00 69433,HB TYMPANOSTOMY (W/ VENT TUBE INSERT) LOCAL ANESTHESIA,350.00 76706,HB U/S SCREENING FOR ABDOMINAL AORTIC ANEURYSM,865.81 83630,"HB UICC LACTOFERRIN, FECAL",204.84 84145,HB UICC PROCALCITONIN,279.47 86789,HB UICC WEST NILE IGG,30.00 U0001,HB UICC 2019 NOVEL CORONAVIRUS REAL TIME RT-PCR DIAGNOSTIC PANEL,60.00 83497,HB UICC 5-HIAA,72.98 82010,HB UICC ACETONE (KETONE),83.67 82009,HB UICC ACETONE QUAL,47.14 80145,HB UICC ADALIMUMAB LEVEL,48.00 87206,HB UICC AFB CULTURE SMEAR,24.54 94640,HB UICC AIRWAY INHALATION TREATMENT (RT),40.00 82042,HB UICC ALBUMIN BODY FLUID,25.00 80320,"HB UICC ALCOHOL, BLOOD",112.82 82085,HB UICC ALDOLASE,101.31 82088,HB UICC ALDOSTERONE,425.35 84080,HB UICC ALK PHOS ISOENZYME,154.35 86003,HB UICC ALLERGEN SPECIFIC IGE,25.00 80329,"HB UICC ANALGESICS, NON-OPIOID 1 OR 2",74.14 86850,HB UICC ANTIBODY SCRN,59.81 82175,HB UICC ARSENIC,55.00 36600,HB UICC ARTERIAL COLLECTION,119.11 84590,HB UICC ASSAY OF VITAMIN A,121.03 84425,"HB UICC B1, VITAMIN, PLASMA",221.63 80345,HB UICC BARTIURATES URINE,758.93 86611,HB UICC BARTONELLA ATBY,66.59 81206,HB UICC BCR/ABL1 MAJOR,581.75 80346,HB UICC BENZODIAZEPINE,193.03 82232,HB UICC BETA-2-MICROGLOBULIN,141.89 84157,HB UICC BF PROTEIN,40.00 87799,HB UICC BK VIRUS DNA QUANT BY PCR,447.05 86901,HB UICC BLOOD RH,35.79 85060,HB UICC BLOOD SMEAR REVIEW,80.62 89051,HB UICC BODY FLUID/DIFF CELL COUN,57.54 86615,HB UICC BORDETELLA PERTUSSIS EACH AB,25.00 82075,HB UICC BREATH ALCOHOL TEST,42.80 83789,HB UICC C MASS SPECTROMETRY QUANT,188.47 86300,HB UICC CA 15-3,217.13 83993,HB UICC CALPROTECTIN FECAL,204.83 87480,HB UICC CANDIDA DNA PROBE,40.00 92950,HB UICC CARDIOPULMONARY RESUSCITATION - RT,475.00 82379,HB UICC CARNITINE TOTAL AND FREE,50.00 82384,"HB UICC CATECHOLAMIN-FRACT, URINE, FREE",263.56 85130,HB UICC CHROMOGENIC SUBSTRATE ASSAY,62.00 82552,HB UICC CK ISOENZYMES,139.77 82553,HB UICC CKMB,55.00 87324,HB UICC CLOST DIFF ANTIGEN GDH,125.24 87497,HB UICC CMV DNA QUANT BY PCR,125.00 86880,HB UICC COOMBS,52.79 82525,"HB UICC COPPER, SERUM",129.55 82530,"HB UICC CORTISOL, FREE, URINE",174.44 U0003,HB UICC COV-19 AMP PRP HGH THRUPUT,60.00 87635,HB UICC COVID 19 TESTING,90.00 84681,HB UICC C-PEPTIDE,217.13 82570,"HB UICC CREATININE, URINE",54.02 99292,HB UICC CRITICAL CARE NURSING E AND M EA ADD 30 MIN,95.00 86921,"HB UICC CROSSMATCH, 37-EA UNIT",56.10 86922,"HB UICC CROSSMATCH, AHG-EA UNIT",107.67 87102,HB UICC CULTURE FUNGAL,61.13 87086,HB UICC CULTURE URINE CC,84.28 88271,HB UICC CYTO DNA PROBE,223.62 88108,HB UICC CYTOLOGY CONCENTR FLUIDS SMEAR,218.47 85379,HB UICC D-DIMER,84.59 85007,HB UICC DIFFERENTIAL,40.00 G0279,HB UICC DIG 3D DX BILAT,50.00 94729,HB UICC DLCO,135.00 86225,HB UICC DNA ANTIBODY DS,143.45 80183,HB UICC DRUG SCRN QUANT OXCARBAZEPIN,30.00 80305,HB UICC DRUG TEST PRESUMPT OPTICA,117.35 80307,HB UICC DRUG TEST PRSMV INSTRMNT CHEMISTRY ANALYZERS,95.00 86665,HB UICC EBV ANTIBODY,80.00 87507,HB UICC ENTERIC PANEL,375.00 96375,"HB UICC ER IV PUSH, EA SEQUENTIAL, NEW DRUG",45.00 96376,"HB UICC ER IV PUSH, EA SEQUENTIAL, SAME DRUG",35.00 82672,HB UICC ESTROGEN TOTAL,226.36 82671,"HB UICC ESTROGENS, ESTRONE (E1) AND ESTRADIOL (E2) FRACTIONATED",295.17 94664,HB UICC EVALUATE PT USE OF INHALER (RT),50.00 94375,HB UICC FLOW VOLUME LOOP,65.00 99024,HB UICC FOLLOW UP/POST OP CLINIC VISIT - NO CHG,0.00 99024,HB UICC FOLLOW UP/POST OP CLINIC VISIT - NO CHG,0.00 99024,HB UICC FOLLOW UP/POST OP CLINIC VISIT - NO CHG,0.00 87591,"HB UICC GC, AMP. PROBE",143.88 82945,HB UICC GLUCOSE BODY FLUID,25.00 82950,HB UICC GLUCOSE+ GLU DOSE,49.63 87338,HB UICC H PYLORI-FECES,125.24 94664,HB UICC HB DEMO AND /OR EVAL OF PT USE OF AEROSOL TRTMT DEVICE - RT,96.20 81256,HB UICC HEMOCHROMATOSIS GENE ANALYSIS,115.00 83088,HB UICC HISTAMINE PLASMA,308.22 86698,HB UICC HISTOPLASMA ANTIBODY,60.00 86701,HB UICC HIV-1,69.93 87536,HB UICC HIV-1 RNA BY PCR,475.00 86812,HB UICC HLA-B-27,200.00 96360,HB UICC HYDRATION - ER,115.00 96361,HB UICC HYDRATION EA ADD HOUR - ER,35.00 87798,HB UICC IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM,190.00 87631,HB UICC IADNA RESPIRATRY PROBE AND REV TRNSCR 3-5 TARGETS,180.00 86332,HB UICC IMMUNE COMPLEX DETECT,90.00 90471,"HB UICC IMMUNIZATION ADMINISTRATION, SINGLE - ER",19.00 83519,HB UICC IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY,141.07 83520,"HB UICC IMMUNOASSAY FOR ANALYTE QUANTITATIVE, NOT OTHERWISE SPECIFIED",135.01 86317,HB UICC IMMUNOASSAY OF INFECTIOUS,40.00 86316,HB UICC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE,30.00 86334,HB UICC IMMUNOFIXATION-SERUM,233.39 86335,HB UICC IMMUNOFIXATION-URINE,306.25 83521,HB UICC IMMUNOGLOBULIN LIGHT CHAINS FREE EACH,50.00 87804,HB UICC INFLUENZA,125.24 96367,HB UICC INFUS EACH ADDL SEQ NE - ER,75.00 96365,HB UICC INFUSION - ER,180.00 96368,HB UICC INFUSION CONCURRENT - ER,38.25 96366,HB UICC INFUSION EA ADD HR - ER,55.00 96372,HB UICC INJECTION - ER,55.00 38792,"HB UICC INJECTION PROCEDURE, RADIOACTIVE TRACER FOR ID OF SENTINEL NODE",86.00 84305,HB UICC INSULIN LIKE GROWTH FACTOR 1,221.83 86340,HB UICC INTRINSIC FACTOR AB,153.24 86341,HB UICC ISLET CELL ANTIBODY,119.50 96374,HB UICC IV PUSH SINGLE - ER,98.00 81270,HB UICC JAK2 GENE ANALYSIS P.VAL617PHE VARIANT (JAK2),300.46 80235,HB UICC LACOSAMIDE,75.00 81241,HB UICC LEIDEN VARIANT FACTOR 5 (PROTPCR),637.65 85613,HB UICC LUPUS ANTICOAGULANT,70.93 86618,HB UICC LYMES SEROLOGY,177.79 G0270,"HB UICC MEDICAL NUTRITIONAL THERAPY, REASSES AND SUSEQUENT INTERVENTION, FOLLOW 2ND REFERRAL EA 15 MIN",57.92 83825,HB UICC MERCURY BLOOD,48.00 83835,HB UICC METANEPHRINES,176.85 86376,HB UICC MICROSOMAL ABY EACH,151.85 83921,HB UICC MMA,171.86 86308,HB UICC MONO,54.02 81291,HB UICC MTHFR GENE ANALYSIS,120.00 87563,HB UICC MYCOPLASMA GENITALIUM PCR,145.00 87581,HB UICC MYCOPLASMA PNEMONIAE PCR,158.00 97607,HB UICC NEG PRESURE WOUND THERAPY NON DME LESS THAN /=50 SQ CM,100.00 97607,HB UICC NEG PRESURE WOUND THERAPY NON DME LESS THAN /=50 SQ CM,100.00 83883,HB UICC NEPHELOMETRY NOT SPEC ASSAY,60.00 84591,HB UICC NIACIN VIT B3,55.00 J2805,HB UICC NM GB SINCALIDE 5 MCG,0.00 94761,HB UICC NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE DETER - RT,20.29 82523,HB UICC N-TELOPEPTIDES URINE,65.00 S9470,HB UICC NUTRITIONAL COUNSELING DIET,34.72 81503,HB UICC ONCOLOGY BIOCHEMICAL ASSA,0.00 83918,"HB UICC ORGANIC ACIDS,QUANT,URINE",171.81 94760,HB UICC OXIMETRY SPT CHECK,10.00 97018,HB UICC PARAFFIN BATH THERAPY,37.20 95810,HB UICC PART POLYSOMNOGRAPHY 4+ PARAM W/O INTERP,2244.85 95811,HB UICC PART POLYSOMNOGRAPHY W/CPAP W/O INTERP,2342.53 A4561,HB UICC PESSARY RUBBER ANY TYPE,84.00 82800,HB UICC PH VENOUS,84.49 80184,HB UICC PHENOBARB,119.59 82962,HB UICC POC GLUCOSE BY GLUCOMETER,6.86 82962,HB UICC POC GLUCOSE BY GLUCOMETER,6.86 82962,HB UICC POC GLUCOSE BY GLUCOMETER,6.86 82962,HB UICC POC GLUCOSE BY GLUCOMETER,6.86 82272,"HB UICC POC HEMOCULT DIAG, BLOOD OCCULT BY PEROXIDASE ACTIVITY QUAL, FECES",14.88 82272,"HB UICC POC HEMOCULT DIAG, BLOOD OCCULT BY PEROXIDASE ACTIVITY QUAL, FECES",14.88 82272,"HB UICC POC HEMOCULT DIAG, BLOOD OCCULT BY PEROXIDASE ACTIVITY QUAL, FECES",14.88 82272,"HB UICC POC HEMOCULT DIAG, BLOOD OCCULT BY PEROXIDASE ACTIVITY QUAL, FECES",14.88 82270,HB UICC POC OCCULT BLOOD,20.00 82270,HB UICC POC OCCULT BLOOD,20.00 87804,HB UICC POC RAPID INFLUENZA,49.07 87804,HB UICC POC RAPID INFLUENZA,49.07 87804,HB UICC POC RAPID INFLUENZA,49.07 87804,HB UICC POC RAPID INFLUENZA,49.07 87880,HB UICC POC RAPID STREP SCREEN,35.08 87880,HB UICC POC RAPID STREP SCREEN,35.08 87880,HB UICC POC RAPID STREP SCREEN,35.08 87880,HB UICC POC RAPID STREP SCREEN,35.08 86580,"HB UICC POC SKIN TEST; TUBERCULOSIS, INTRADERMAL TB",17.00 86580,"HB UICC POC SKIN TEST; TUBERCULOSIS, INTRADERMAL TB",17.00 86580,"HB UICC POC SKIN TEST; TUBERCULOSIS, INTRADERMAL TB",17.00 81002,"HB UICC POC URINALYSIS BY DIPSTICK,NON AUTOMATED, WO MICRO",16.03 81002,"HB UICC POC URINALYSIS BY DIPSTICK,NON AUTOMATED, WO MICRO",16.03 81002,"HB UICC POC URINALYSIS BY DIPSTICK,NON AUTOMATED, WO MICRO",16.03 81002,"HB UICC POC URINALYSIS BY DIPSTICK,NON AUTOMATED, WO MICRO",16.03 81025,HB UICC POC URINE PREGNANCY TEST,18.50 81025,HB UICC POC URINE PREGNANCY TEST,18.50 81025,HB UICC POC URINE PREGNANCY TEST,18.50 81025,HB UICC POC URINE PREGNANCY TEST,18.50 83498,"HB UICC PROGESTERONE, 17 OH",283.49 G0416,"HB UICC PROSTATE BIOPSY, ANY MTHD",788.00 97761,HB UICC PROSTHETIC TRAINING INITIAL ENCOUNTER PER 15 MIN - OT,120.85 85306,HB UICC PROTEIN S ACTIVITY,159.95 85305,"HB UICC PROTEIN S AG, TOTAL AND FREE, PLASMA",121.03 81240,HB UICC PROTHROMBIN G20210A,517.39 85041,HB UICC RED BLOOD CELL COUNT (RBC),31.38 84244,HB UICC RENIN,229.59 85044,HB UICC RETICULOCYTE COUNT,44.91 87807,HB UICC RSV ANTIGEN,125.24 86762,HB UICC RUBELLA/IMMUNE STAT,150.23 86765,HB UICC RUBEOLA (MEASLES),134.49 84255,HB UICC SELENIUM SERUM,113.56 89322,HB UICC SEMEN ANALYSIS STRICT MORPHOLOGIC CRITERIA,52.50 51725,HB UICC SIMPLE CYSTOMETROGRAM (CMG),2890.00 95806,HB UICC SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT,360.00 84300,"HB UICC SODIUM, URINE",30.07 88312,HB UICC SPECIAL STAINS GROUP 1,265.02 88313,HB UICC SPECIAL STAINS GROUP 2,109.78 29530,HB UICC STRAPPING KNEE,45.00 29240,HB UICC STRAPPING SHOULDER,50.00 15272,HB UICC SUB GRFT LESS THAN 100SCM EA ADD 25 SCM TRK ARM,50.00 84482,HB UICC T3 REVERSE,164.50 86481,HB UICC TB AG RESPONSE T-CELL SUSP,125.00 86480,HB UICC TB BLOOD TEST,95.00 Q3014,HB UICC TELEHEALTH FACILITY FEE,44.01 84402,HB UICC TESTOSTERONE FREE,265.73 84410,"HB UICC TESTOSTERONE; BIOAVAILABLE, DIRECT MEASUREMENT",265.73 99195,HB UICC THERAPUTIC PHLEBOT LAB,50.15 84432,HB UICC THYROGLOBULIN TUMOR MARKER,167.64 86364,HB UICC TISSUE TRANSGLUTAMINASE (TTGA),33.00 80201,HB UICC TOPAMAX,124.47 84466,HB UICC TRANSFERRIN,133.26 24605,HB UICC TREAT ELBOW DISLOCATION W/ANESTHESIA,1160.00 86780,HB UICC TREPONEMA PALLIDUM AB,138.33 87660,HB UICC TRICHOMONAS DNA PROBE,40.00 84445,HB UICC TSI,400.00 84479,HB UICC T-UPTAKE,67.53 83088,HB UICC URINE 24HR HISTAMINE,308.22 94004,HB UICC VENTILATION ASSIST & MGMT PER DAY,125.00 85810,HB UICC VISCOSITY,108.95 82652,HB UICC VIT D 1.25 DIHYDROXY,401.73 84252,HB UICC VITAMIN B2 (RIBOFLAVIN),60.00 84207,HB UICC VITAMIN B6 PYRIDOXOL,293.17 84446,HB UICC VITAMIN E,148.00 85397,HB UICC VON WILLIBRANDS FACTOR AC,65.00 82465,HB UICC WELLNESS CHOLESTEROL,45.00 86788,HB UICC WEST NILE IGM,35.00 84630,"HB UICC ZINC, SERUM",118.85 76942,HB ULTRASONIC GUIDANCE FOR NEEDLE PLACEMENT,65.00 76942,HB ULTRASOUND GUIDANCE FOR NEEDLE PLACEMENT (IVF),333.35 76641,"HB ULTRASOUND, BREAST, UNILATERAL; COMPLETE",180.00 76642,"HB ULTRASOUND, BREAST, UNILATERAL; LIMITED",310.39 76882,"HB ULTRASOUND, LIMITED, JOINT OR FOCAL EVAL OF OTHER NONVASCULAR EXTREMITY",140.00 76856,"HB ULTRASOUND, PELVIC (NONOBSTETRIC), COMPLETE",390.49 76857,"HB ULTRASOUND, PELVIC (NONOBSTETRIC), LIMITED OR F-UP",218.49 76870,"HB ULTRASOUND, SCROTUM",363.83 76536,"HB ULTRASOUND, SOFT TISSUES OF HEAD AND NECK(THYROID)",320.69 76830,"HB ULTRASOUND, TRANSVAGINAL",397.94 29580,HB UNNA BOOT APPLICATION,70.00 84550,HB URIC ACID,47.14 84560,"HB URIC ACID, URINE QUANTITATIVE, 24 HOUR",49.63 81003,HB URINALYSIS,23.47 81001,HB URINALYSIS +MICROSCOPIC,33.08 81015,HB URINE MICROSCOPIC ONLY,12.00 74420,"HB UROGRAPHY, RETROGRADE",906.13 97035,HB US - 15 MINUTES,46.94 97035,HB US - 15 MINUTES (OT),46.94 76881,HB US COMPL JOINT R-T W/IMAGE DOCUMENTATION,363.33 76700,"HB US EXAM - ABDOMEN, ENTIRE",461.68 76705,"HB US EXAM - ABDOMEN, LIMITED",333.33 76604,HB US EXAM - CHEST,165.00 76770,"HB US EXAM - RETROPERITONEAL, ENTIRE",195.00 76775,"HB US EXAM - RETROPERITONEAL, LIMITED",329.11 19285,"HB US GUIDED PERCUT PLACEMENT LOCAL DEVICE, 1ST LESION",250.00 76801,HB US-FETAL AND MATERNAL EVAL/1ST TRI/TRANSAB/1ST GEST,888.86 80164,HB VALPROIC ACID,141.41 80202,HB VANCOMYCIN ASSAY,141.41 36569,"HB VASC ACC TEAM - INSERT PERIPH CV CATH (PICC), WO PORT, WO IMG, 5 AND OLDER",225.00 55250,"HB VASECTOMY, UNILATERAL OR BILATERAL",575.00 93798,HB VBCH CARDIAC REHAB W/ECG CONTINUOUS MONITORING PER SESSION,222.81 83516,HB VGH IMMUNOASSAY NONANTIBODY,120.42 82607,HB VITAMIN B-12,58.00 82306,"HB VITAMIN D, 25-HYDROXY",308.99 86787,HB VZV ANTIBODY SCREEN,134.49 85048,HB WBC COUNT,26.51 53601,HB WMC DILAT URETHRAL STRIX DILATOR MALE SBSQ,45.24 88365,HB WMC INSITU HYBRIDIZATION FISH - 1ST STAIN,411.62 73110,HB WRIST COMPLETE (3 VIEW MINIMUM),234.43 73100,"HB WRIST ANTERIOR POSTERIOR AND LATERAL, 2 VIEWS",185.63 15271,PR APP SKN SUB GRFT T/A/L AREA/100SQ CM /<1ST 25,390.00 15272,PR APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC,90.00 11730,PR AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1,215.00 11101,PR BIOPSY SKIN SUBQ&/MUCOUS MEMBRANE EA ADDL LESN,74.00 11100,PR BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION,220.00 17111,PR DESTRUCTION BENIGN LESIONS 15/>,320.00 17110,PR DESTRUCTION BENIGN LESIONS UP TO 14,235.00 17004,PR DESTRUCTION PREMALIGNANT LESION 15/>,245.00 17000,PR DESTRUCTION PREMALIGNANT LESION 1ST,143.00 17003,PR DESTRUCTION PREMALIGNANT LESION 2-14 EA,22.00 53661,PR DILAT FEMALE URT W/SUPPOSITORY&/INSTLJ SBSQ,225.00 99337,PR DOM/R-HOME E/M EST PT SIGNIF NEW PROB 60 MINUTES,340.00 26010,PR DRAINAGE FINGER ABSCESS SIMPLE,825.00 11422,PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM,450.00 11750,PR EXCISION NAIL MATRIX PERMANENT REMOVAL,390.00 99348,PR HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES,185.00 99239,PR HOSPITAL DISCHARGE DAY MANAGEMENT > 30 MIN,235.00 99238,PR HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN/<,160.00 56405,PR I&D VULVA/PERINEAL ABSCESS,360.00 90473,PR IM ADM INTRANSL/ORAL 1 VACCINE,19.00 90474,PR IM ADM INTRANSL/ORAL EA VACCINE,15.00 90471,PR IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE,19.00 90472,PR IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE,26.24 0011A,PR IMM ADMN SARSCOV2 100 MCG/0.5 ML 1ST DOSE,40.00 0012A,PR IMM ADMN SARSCOV2 100 MCG/0.5 ML 2ND DOSE,40.00 0111A,PR IMM ADMN SARSCOV2 25 MCG/0.25 ML 1ST DOSE,40.00 0112A,PR IMM ADMN SARSCOV2 25 MCG/0.25 ML 2ND DOSE,40.00 0154A,PR IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML BOOSTER DOSE,40.00 0144A,PR IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML BOOSTER DOSE,40.00 0124A,PR IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML BOOSTER DOSE,40.00 0134A,PR IMM ADMN SARSCOV2 BIVALENT 50 MCG/0.5 ML BOOSTER DOSE,40.00 0013A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE 100MCG/O.5ML DOSAGE, THIRD DOSE",40.00 0071A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE 10MCG/0.2ML DOSAGE TRIS-SUCROSE, FIRST DOSE",40.00 0072A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE 10MCG/0.2ML DOSAGE TRIS-SUCROSE, SECOND DOSE",40.00 0073A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE 10MCG/0.2ML DOSAGE TRIS-SUCROSE, THIRD DOSE",40.00 0081A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE 3MCG/0.2ML DOSAGE TRIS-SUCROSE, FIRST DOSE",40.00 0082A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE 3MCG/0.2ML DOSAGE TRIS-SUCROSE, SECOND DOSE",40.00 0064A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE 50MCG/O.25ML DOSAGE, BOOSTER DOSE",40.00 0054A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE MRNA-LNP 30MCG/0.3ML DOSAGE TRIS-SUCROSE, BOOSTER DOSE",40.00 0051A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE MRNA-LNP 30MCG/0.3ML DOSAGE TRIS-SUCROSE, FIRST DOSE",40.00 0052A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE MRNA-LNP 30MCG/0.3ML DOSAGE TRIS-SUCROSE, SECOND DOSE",40.00 0053A,"PR IMMUNIZATION ADMIN BY INTRAMUSCULAR INJECTION OF SARSCOV2 [COVID-19] VACCINE MRNA-LNP 30MCG/0.3ML DOSAGE TRIS-SUCROSE, THIRD DOSE",40.00 99221,PR INITIAL HOSPITAL CARE/DAY 30 MINUTES,220.00 99222,PR INITIAL HOSPITAL CARE/DAY 50 MINUTES,300.00 99223,PR INITIAL HOSPITAL CARE/DAY 70 MINUTES,380.00 99306,PR INITIAL NURSING FACILITY CARE HI MDM 45 MINUTES,365.00 99305,PR INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES,290.00 99304,PR INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN,205.00 99218,PR INITIAL OBSERVATION CARE/DAY 30 MINUTES,295.00 99219,PR INITIAL OBSERVATION CARE/DAY 50 MINUTES,295.00 99220,PR INITIAL OBSERVATION CARE/DAY 70 MINUTES,405.00 G0402,PR INITIAL PREVENTIVE EXAM,355.00 99381,PR INITIAL PREVENTIVE MEDICINE NEW PATIENT <1YEAR,195.00 99386,PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS,270.00 99387,PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>,295.00 99384,PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR,240.00 99382,PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS,292.00 99385,PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS,235.00 99383,PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS,215.00 58300,PR INSERTION INTRAUTERINE DEVICE IUD,175.00 31500,PR INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE,375.00 ,PR NO CHARGE VISIT,0.00 99315,PR NURSING FACILITY DSCHRG MGMT 30 MIN/< TOT TIME,160.00 99316,PR NURSING FACILITY DSCHRG MGMT 30 MIN+ TOT TIME,230.00 99217,PR OBSERVATION CARE DISCHARGE MANAGEMENT,160.00 99234,PR OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES,300.00 99235,PR OBSERVATION/INPATIENT HOSPITAL CARE 50 MINUTES,375.00 99236,PR OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES,480.00 99215,PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40-54 MIN,277.00 99213,PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN,140.00 99214,PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN,206.00 99212,PR OFFICE/OUTPATIENT ESTABLISHED SF MDM 10-19 MIN,85.00 98925,PR OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS,65.00 98926,PR OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS,85.00 98927,PR OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS,120.00 99394,PR PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS,205.00 99392,PR PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS,190.00 99395,PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS,215.00 99396,PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS,225.00 99393,PR PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS,185.00 99397,PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER,240.00 99391,PR PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y,175.00 G0438,"PR PPPS, INITIAL VISIT",375.00 G0439,"PR PPPS, SUBSEQ VISIT",250.00 99401,PR PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 15 MIN,70.00 99402,PR PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 30 MIN,110.00 11105,PR PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION,145.00 11104,PR PUNCH BIOPSY SKIN SINGLE LESION,210.00 10160,PR PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,342.00 28190,PR REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS,565.00 69209,PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT,53.00 58301,PR REMOVAL INTRAUTERINE DEVICE IUD,260.00 11201,PR REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA EA 10,45.00 11200,PR REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15,195.00 12036,PR REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM,1120.00 99231,PR SBSQ HOSPITAL CARE/DAY 15 MINUTES,80.00 99232,PR SBSQ HOSPITAL CARE/DAY 25 MINUTES,135.00 99233,PR SBSQ HOSPITAL CARE/DAY 35 MINUTES,228.00 99310,PR SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES,295.00 99308,PR SBSQ NURSING FACILITY CARE LOW MDM 15 MINUTES,150.00 99309,PR SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES,200.00 99307,PR SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES,100.00 99224,PR SBSQ OBSERVATION CARE/DAY 15 MINUTES,90.00 99225,PR SBSQ OBSERVATION CARE/DAY 25 MINUTES,160.00 11307,PR SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM,375.00 11300,PR SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM/<,300.00 11301,PR SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM,325.00 11302,PR SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM,345.00 12011,PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<,300.00 12001,PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<,260.00 12004,PR SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM,275.00 12002,PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM,275.00 29580,PR STRAPPING UNNA BOOT,170.00 11102,PR TANGENTIAL BIOPSY SKIN SINGLE LESION,240.00 99496,PR TRANSJ CARE MGMT HIGH MDM F2F 7 CAL D DISCHARGE,275.00 99495,PR TRANSJ CARE MGMT MOD MDM F2F 14 CAL D DISCHARGE,200.00 99499,PR UICC BACK TO SCHOOL PHYSICAL,25.00 99499,PR UICC SPORTS PHYSICAL,20.00 99499,PR UNLISTED EVALUATION AND MANAGEMENT SERVICE,58.97 42826,HB ACMH REMOVAL OF TONSILS AGE 12 AND OVER,0360 27886,HB ACMH AMP LEG THRU TIBIA AND FIBULA RE-AMPUTATION,0360 25820,HB ACMH ARTHODESIS WRIST LIMITED W/O BONE GRAFT,0360 26841,HB ACMH ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ,0360 29883,HB ACMH ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL,0360 29999,HB ACMH ARTHROSCOPY OF JOINT,0360 29826,HB ACMH ARTHROSCOPY SHOULDER,0360 25447,HB ACMH ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS,0360 26531,HB ACMH ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT,0360 55706,"HB ACMH BIOPSY OF PROSTATE, NEEDLE, TRANSPERINEAL",0360 38525,HB ACMH BIOPSY/REMOVAL LYMPH NODES,0360 47001,HB ACMH BX LVR NDL DONE PURPOSE TM OTH MAJOR PX,0360 38525,HB ACMH BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE,0360 58350,HB ACMH CHROMOTUBATION OVIDUCT W MATERIALS,0360 44640,HB ACMH CLOSURE INTESTINAL CUTANEOUS FISTULA,0360 19125,HB ACMH EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES,0360 40816,HB ACMH EXC LESION MUCOSA&SBMCSL VESTIBULE CPLX EXC MUSC,0360 28039,HB ACMH EXCISION FOOT SC 1.5/>,0360 28039,HB ACMH EXCISION FOOT SC 1.5/>,0360 25112,HB ACMH EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT,0360 25120,HB ACMH EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA,0360 57265,HB ACMH EXTENSIVE REPAIR OF VAGINA,0360 43239,"HB ACMH GASTROSCOPY/PANENDO W/BIOPSY, SINGLE OR MULTIPLE",0360 43235,"HB ACMH GASTROSCOPY/PANENDO, DIAGNOSTIC",0360 46260,HB ACMH HEMORRHOIDECTOMY INT & XTRNL 2 OR MORE COLUMN/GRO,0360 46255,"HB ACMH HEMORRHOIDECTOMY, INTERAL AND EXTERNAL, SINGLE COLUMN/GROU",0360 46945,HB ACMH HRHC NTRNL LIG OTH THAN RBBR BAND 1 COL/GRP,0360 64581,HB ACMH INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL NERVE,0360 64590,HB ACMH INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR,0360 54405,HB ACMH INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH,0360 29881,HB ACMH KNEE ARTHROSCOPY/SURGERY MEDIAL OR LATERAL,0360 63030,HB ACMH LAMNOTMY INCL W DCMPRSN NRV ROOT 1 INTRSPC LUMBR,0360 63035,HB ACMH LAMNOTMY W DCMPRSN NRV EA ADDL CRVCL LMBR,0360 63042,HB ACMH LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR,0360 49653,HB ACMH LAP RPR HRNA XCPT INCAL/INGUN NCRC8/STRANGULATED,0360 49652,HB ACMH LAP VENT/ABD HERNIA REPAIR REDUCIBLE,0360 47563,HB ACMH LAPARO CHOLECYSTECTOMY/GRAPH,0360 47379,HB ACMH LAPAROSCOPIC PROCEDURE LIVER,0360 44970,HB ACMH LAPAROSCOPY APPENDECTOMY,0360 58661,HB ACMH LAPAROSCOPY W RMVL ADNEXAL STRUCTURES,0360 49650,"HB ACMH LAPAROSCOPY, SURGICAL;REPAIR INITIAL INGUINAL HERNIA",0360 49329,HB ACMH LAPROSCOPIC PX ABD PERTONEUM,0360 58670,HB ACMH LAPROSCOPY TUBAL CAUTERY,0360 49320,HB ACMH LAPS ABD PRTM AND OMENTUM DX W/WO SPEC BR/WA SPX,0360 58662,HB ACMH LAPS FULG EXC OVARY VISCERA PERITONEAL SURFACE,0360 49655,HB ACMH LAPS RPR INCISIONAL HERNIA NCRC8/STRANGULATED,0360 58552,HB ACMH LAPS W VAG HYSTERECT LESS THN 250 G RMVL TUBE AND OR OVARIES,0360 45380,"HB ACMH LONG COLONOSCOPY W/ BIOPSY, SINGLE OR MULTIPLE",0360 45384,HB ACMH LONG COLONOSCOPY W/LESION REMOVAL HT FORCEPS/CAUTERY-BNDLD PROC,0750 45385,HB ACMH LONG COLONOSCOPY W/SNARE POLYPECTOMY,0360 45378,"HB ACMH LONG COLONOSCOPY, DIAGNOSTIC",0360 19307,HB ACMH MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN,0360 19303,HB ACMH MASTECTOMY SIMPLE COMPLETE,0360 29848,HB ACMH NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM,0360 ,HB ACMH O.R. 1ST 30 MIN,0360 ,HB ACMH O.R. EACH ADD 15 MIN,0360 25607,HB ACMH OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP,0360 23180,HB ACMH PARTIAL EXCISION BONE CLAVICLE,0360 24140,HB ACMH PARTIAL EXCISION BONE HUMERUS,0360 23420,HB ACMH RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC,0360 42830,HB ACMH REMOVAL OF ADENOIDS UNDER AGE 12,0360 42821,HB ACMH REMOVAL OF TONSILS AND ADENOIDS AGE 12 AND OVER,0360 23130,HB ACMH REMOVE SHOULDER BONE PART,0360 63047,HB ACMH REMOVE SPINE LAMINA A LMBR,0360 57250,HB ACMH REPAIR OF RECTUM & VAGINA,0360 49585,"HB ACMH REPAIR UMBILICAL HERNIA, 5 YR OR OLDER, REDUCIBLE",0360 54410,HB ACMH RMVL & REPLCMT INFLATABLE PENILE PROSTH SAME SESS,0360 63709,HB ACMH RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W LAM,0360 27659,HB ACMH RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH,0360 29822,HB ACMH SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2,0360 26440,HB ACMH TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON,0360 27447,HB ACMH TOTAL KNEE ARTHROPLASTY,0360 26480,HB ACMH TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN,0360 25310,HB ACMH TRANSPLANT FOREARM TENDON,0360 69436,HB ACMH TYMPANOSTOMY GENERAL ANESTHESIA,0360 69436,HB ACMH TYMPANOSTOMY GENERAL ANESTHESIA,0360 58291,HB ACMH VAG HYST GRTR THN 250 G W/RMVL TUBE AND OR OVARY,0360 58262,HB ACMH VAG HYST UP TO 250 G W/RMVL TUBE AND OR OVARY,0360 51102,HB ASPIRATION OF BLADDER W/ INSERTION OF SUPRAPUBIC CATHETER,0360 47000,"HB BIOPSY OF LIVER, NEEDLE; PERCUTANEOUS",0360 38510,"HB BIOPSY OR EXCISION, LYMPH NODE(S), OPEN, DEEP CERVICAL",0360 38500,"HB BIOPSY OR EXCISION, LYMPH NODE(S), OPEN, SUPERFICIAL",0360 69100,"HB BIOPSY, EXTERNAL EAR",0360 55700,"HB BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE",0360 55700,"HB BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE",0360 55700,"HB BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE",0360 53200,"HB BIOPSY, URETHRA",0360 66984,HB CATARACT REMOVAL INSERTION OF LENS,0360 66982,HB CATARACT SURGERY COMPLEX,0360 54161,"HB CIRCUMCISION W/O CLAMP OR OTHER DEVICE, NOT NEWBORN",0360 54161,"HB CIRCUMCISION W/O CLAMP OR OTHER DEVICE, NOT NEWBORN",0360 25605,HB CLOSED TRTMT DISTAL RADIAL FRACT (COLLES) W/MANIP,0360 23655,HB CLOSED TRTMT SHOULDER DISLOCATION W/MANIP W/ANESTH,0360 23655,HB CLOSED TRTMT SHOULDER DISLOCATION W/MANIP W/ANESTH,0360 25560,HB CLSD TRTMT RADIAL AND ULNAR SHAFT FRACTURE W/O MANIP,0360 25560,HB CLSD TRTMT RADIAL AND ULNAR SHAFT FRACTURE W/O MANIP,0360 G0121,HB COLORECTAL CANCER SCREENING; NON-HIGH RISK,0750 G0105,HB COLORECTAL SCREEN HI RISK IND,0750 95972,HB COMPLEX PERIPHERAL NEUROSTIMULATOR PROGRAMMING,0920 13120,HB COMPLEX REPAIR - SCALP/ARMS/LEGS 1.0-2.5CM,0360 13121,HB COMPLEX REPAIR - SCALP/ARMS/LEGS 2.6-7.5CM,0360 13121,HB COMPLEX REPAIR - SCALP/ARMS/LEGS 2.6-7.5CM,0360 13132,HB COMPLEX REPAIR-FACE/NK/AX/GEN/HND/FT 2.6 - 7.5CM,0360 13100,HB COMPLEX WOUND REPAIR-TRUNK 1.1-2.5CM,0360 13101,HB COMPLEX WOUND REPAIR-TRUNK 2.6-7.5CM,0360 13101,HB COMPLEX WOUND REPAIR-TRUNK 2.6-7.5CM,0360 13102,HB COMPLEX WOUND REPAIR-TRUNK EA ADD'L 5CM GR TH 7.5,0360 28285,HB CORRECTION HAMMERTOE,0360 52260,HB CYSTO W/ BLADDER DILATION FOR INTERSTITIAL CYSTITIS,0360 52353,HB CYSTO W/ URETEROSCOPY AND /OR PYELOSCOPY W/ LITHOTRIPSY,0360 52344,HB CYSTO W/ URETEROSCOPY W/ TREATMENT OF URETERAL STRICTURE,0360 52356,HB CYSTO W/LITHO INCL INSERT INDWELLING URETERAL STENT,0360 52000,HB CYSTOURETHROSCOPY,0360 52204,HB CYSTOURETHROSCOPY W/ BIOPSY(S),0360 52310,"HB CYSTOURETHROSCOPY W/ FB/ STONE/ STENT REMOVAL, SIMPLE",0360 52287,HB CYSTOURETHROSCOPY W/ INJ FOR CHEMODENERVATION OF BLADDER,0360 52332,HB CYSTOURETHROSCOPY W/ INSERTION OF INDWELLING URETERAL STENT,0360 52332,HB CYSTOURETHROSCOPY W/ INSERTION OF INDWELLING URETERAL STENT,0360 52005,HB CYSTOURETHROSCOPY W/ URETERAL CATHETERIZATION,0360 52234,HB CYSTOURETHROSCOPY W/FULG/ RESECTION SM BLADDER TUMOR(S),0360 58120,"HB D AND C, DIAGNOSTIC AND /OR THERAPEUTIC (N0N-OB)",0360 11044,"HB DEBRIDEMENT, BONE, UP TO 20 SQ CM",0360 11044,"HB DEBRIDEMENT, BONE, UP TO 20 SQ CM",0360 11043,"HB DEBRIDEMENT, MUSCLE/FASCIA, UP TO 20 SQ CM",0360 11043,"HB DEBRIDEMENT, MUSCLE/FASCIA, UP TO 20 SQ CM",0360 11042,"HB DEBRIDEMENT, SUBCUTANEOUS TISSUE, UP TO 20 SQ CM",0360 11042,"HB DEBRIDEMENT, SUBCUTANEOUS TISSUE, UP TO 20 SQ CM",0360 17110,"HB DESTRUCTION, ANY METHOD, BENIGN LESION S, UP TO 14",0360 17110,"HB DESTRUCTION, ANY METHOD, BENIGN LESION S, UP TO 14",0360 43450,"HB DILATION ESOPHAGUS, UNGUIDED SOUND OR BOUGIE(HURST-MALONEY)",0750 67917,HB ECTROPIAN REPAIR; EXTENSIVE (LATERAL TARSAL STRIP OR MCT),0360 11443,HB EXC BENIGN LESION-FACE/EAR/EYE/NOSE/LIP/MM 2.1-3CM,0360 11443,HB EXC BENIGN LESION-FACE/EAR/EYE/NOSE/LIP/MM 2.1-3CM,0360 11440,HB EXC BENIGN LESION-FACE/EAR/EYE/NOSE/LIP/MM TO .5CM,0360 11440,HB EXC BENIGN LESION-FACE/EAR/EYE/NOSE/LIP/MM TO .5CM,0360 19120,"HB EXC BENIGN/MALIGNANT TUMOR/TISSUE-BREAST, OPEN",0360 40814,HB EXC LESION MUCOSA AND SBMCSL VESTIBULE COMPLEX REPAIR,0360 11643,HB EXC MALIGNANT LES-FACE/EAR/EYE/NOSE/LIP/MM 2.1-3CM,0360 11644,HB EXC MALIGNANT LES-FACE/EAR/EYE/NOSE/LIP/MM 3.1-4CM,0360 21552,"HB EXC TUMOR SOFT TISSUE NECK/THORAX, SUBCUT 3 CM OR GR",0360 21552,"HB EXC TUMOR SOFT TISSUE NECK/THORAX, SUBCUT 3 CM OR GR",0360 21555,HB EXC TUMOR SOFT TISSUE NECK/THORAX-SUBCUT LESS TH 3CM,0360 21930,"HB EXC TUMOR, SOFT TISSUE BACK/FLANK, SUBCUT,LESS TH 3CM",0360 26111,"HB EXC, SOFT TISSUE HAND/FINGER, SUBCU, 1.5CM OR GR",0360 25075,"HB EXC, TUMOR, SOFT TISSUE, FOREARM/WRIST LESS TH 3CM",0360 67840,HB EXCISE EYELID LESION (NOT CHALAZION),0360 67840,HB EXCISE EYELID LESION (NOT CHALAZION),0360 11421,HB EXCISION BENIGN LESION-SCLP/NK/HD/FT/GEN .6-1CM,0360 11421,HB EXCISION BENIGN LESION-SCLP/NK/HD/FT/GEN .6-1CM,0360 11426,HB EXCISION BENIGN LESION-SCLP/NK/HD/FT/GEN +4CM,0360 11422,HB EXCISION BENIGN LESION-SCLP/NK/HD/FT/GEN 1.1-2CM,0360 11422,HB EXCISION BENIGN LESION-SCLP/NK/HD/FT/GEN 1.1-2CM,0360 11423,HB EXCISION BENIGN LESION-SCLP/NK/HD/FT/GEN 2.1-3CM,0360 11423,HB EXCISION BENIGN LESION-SCLP/NK/HD/FT/GEN 2.1-3CM,0360 11406,HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS +4CM,0360 11406,HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS +4CM,0360 11403,HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS 2.1-3CM,0360 11403,HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS 2.1-3CM,0360 11404,HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS 3.1-4CM,0360 11404,HB EXCISION BENIGN LESION-TRUNK/ARMS/LEGS 3.1-4CM,0360 27630,"HB EXCISION LESION TENDON SHEATH/CAPSULE, LEG OR ANKLE",0360 11601,HB EXCISION MALIGNANT LESION-TRUNK/ARMS/LEGS .6-1CM,0360 11606,HB EXCISION MALIGNANT LESION-TRUNK/ARMS/LEGS +4CM,0360 11606,HB EXCISION MALIGNANT LESION-TRUNK/ARMS/LEGS +4CM,0360 55040,HB EXCISION OF HYDROCELE; UNILATERAL,0360 46220,HB EXCISION OF SINGLE EXTERNAL PAPILLA OR TAG. ANUS,0360 21012,HB EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/ GREATER THAN,0360 11750,"HB EXCISION, NAIL AND MATRIX, PARTIAL/COMPLETE, PERM",0360 11750,"HB EXCISION, NAIL AND MATRIX, PARTIAL/COMPLETE, PERM",0360 26115,"HB EXCISION, TUMOR OR VAS MALFOR, SOFT TISSUE OF HAND OR FINGER SUBQ; LT 1.5CM",0360 49000,HB EXPLORATORY LAPAROTOMY,0360 50590,HB EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY,0360 26045,"HB FASCIOTOMY, PALMAR; OPEN, PARTIAL",0360 15240,HB FULL THICKNESS GFT-FACE/GEN/HD/FT TO 20SQ CM,0360 43249,HB GASTROSCOPY/PANENDO W/ BALLOON DIL (LESS TH 30MM DIAM),0750 43246,HB GASTROSCOPY/PANENDO W/PEG PLACEMENT,0750 58562,HB HYSTEROSCOPY W/REMOVAL OF IMPACTED FB,0360 58558,HB HYSTEROSCOPY WITH BIOPSY AND/OR POLYPECTOMY,0360 58555,"HB HYSTEROSCOPY, DIAGNOSTIC",0360 25000,HB INCISION EXTENSOR TENDON SHEATH WRIST,0360 64415,"HB INJECTION, ANESTHETIC AGENT, BRACHIAL PLEXUS, SINGLE W IMAGE GUIDANCE",0360 36561,HB INSERT CV CATH/ TUNNELED/ CENTRALLY/ W PORT/ 5 AND OLDER,0360 12052,HB INTERM REPAIR-FACE/EAR/EYE/NOSE/LIP/MM 2.6-5CM,0360 12052,HB INTERM REPAIR-FACE/EAR/EYE/NOSE/LIP/MM 2.6-5CM,0360 12034,HB INTERM WOUND REPAIR-SCLP/AX/TK/EXT 7.6-12.5CM,0360 12031,HB INTERM WOUND REPAIR-SCLP/AX/TK/EXT TO 2.5CM,0360 12031,HB INTERM WOUND REPAIR-SCLP/AX/TK/EXT TO 2.5CM,0360 58301,HB IUD REMOVAL,0360 58301,HB IUD REMOVAL,0360 69620,HB MYRINGOPLASTY,0360 31237,"HB NASAL/SINUS ENDOSCOPY, SURGICAL; W/BIOPSY",0360 31237,"HB NASAL/SINUS ENDOSCOPY, SURGICAL; W/BIOPSY",0360 97605,"HB NEGATIVE PRESSURE WOUND THERAPY, UP TO 50 SQ CM",0761 97605,"HB NEGATIVE PRESSURE WOUND THERAPY, UP TO 50 SQ CM",0761 64721,HB NEUROPLASTY/TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL,0360 64561,"HB PERC IMPLANT NEUROSTIM ELECTRODE ARRAY, SACRAL NERVE",0360 22515,HB PERCUTANEOUS VERTEBRAL AUGMENTATION; EA ADDL LEVEL W/IMAGING,0360 22514,HB PERCUTANEOUS VERTEBRAL AUGMENTATION; LUMBAR W/IMAGING,0360 22513,HB PERCUTANEOUS VERTEBRAL AUGMENTATION; THORACIC W/IMAGING,0360 43763,HB PERQ REPLACEMENT GTUBE REQ REVISION OF GASTROSTOMY TRACT,0750 64625,HB RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN,0360 64625,HB RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN,0360 20680,"HB REMOVAL OF IMPLANT (WIRE/PIN/ROD), DEEP",0360 11982,"HB REMOVAL, DRUG DELIVERY IMPLANT",0360 11982,"HB REMOVAL, DRUG DELIVERY IMPLANT",0360 11982,"HB REMOVAL, DRUG DELIVERY IMPLANT",0360 20694,"HB REMOVE EXTERNAL FIXATION DEVICE, UNDER ANESTHESIA",0360 66825,HB REPOSITIONING IOL,0360 15271,"HB SKIN SUB GRAFT TRNK/ARM/LEG UP TO 100SQ CM, 1ST 25",0360 15271,"HB SKIN SUB GRAFT TRNK/ARM/LEG UP TO 100SQ CM, 1ST 25",0360 44372,HB SMALL INTESTINE ENDO W/PLACEMENT OF PEJ TUBE,0750 37609,HB TEMPORAL ARTERY LIGATION OR BIOPSY,0360 26055,HB TENDON SHEATH INCISION,0360 26445,"HB TENOLYSIS, EXTENSOR TENDON, HAND/FINGER, EACH TENDON",0360 24357,"HB TENOTOMY, ELBOW, LATERAL OR MEDIAL; PERCUTANEOUS",0360 52601,HB TRANSURETHRAL ELECTROSURGICAL RESECTION PROSTATE,0360 52630,"HB TURP - OBSTRUCTIVE TISSUE, AFTER ONE YEAR",0360 29828,HB UICC ARTHROSCOPY SHOULDER BICEPS TENODESIS,0360 29827,HB UICC ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR,0360 31525,HB UICC DX LARYNGOSCOPY EXCL NB,0450 21933,HB UICC EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM/GREATER,0360 28041,HB UICC EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GREATER,0360 29880,HB UICC KNEE ARTHROSCOPY/SURGERY MEDIAL AND LATERAL,0360 47562,HB UICC LAPAROSCOPIC CHOLECYSTECTOMY,0360 19301,HB UICC MASECTOMY PARTIAL FACILITY,0360 69990,HB UICC MICROSCOPY SURGERY,0360 97607,HB UICC NEG PRESURE WOUND THERAPY NON DME LESS THAN /=50 SQ CM,0761 97607,HB UICC NEG PRESURE WOUND THERAPY NON DME LESS THAN /=50 SQ CM,0761 27829,HB UICC OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION,0360 42825,HB UICC REMOVAL OF TONSILS UNDER AGE 12,0360 49565,HB UICC RPR RECRT INCAL/VENT HERNIA REDUCIBLE,0360 27698,HB UICC RPR SECONDARY DISRUPTED LIGAMENT ANKLE COLLATERAL,0360 28297,HB VGH CORRJ HALLUX VALGUS W SESMDC W 1ST METAR MEDIAL CUNEIFORM JOINT ARTHRODESIS,0360 28415,HB VGH OPEN TREATMENT OF CALCANEAL FRACTURE INCLUDES INTERNAL FIXATION WHEN PERFORMED,0360 27814,HB VGH OPEN TX BIMALLEOLAR ANKLE FRAC INCL INTERNAL FIXATION,0360 27766,HB VGH OPEN TX MEDIAL MALLEOLUS FRAC INCL INT FIXATION,0360 28119,HB VGH OSTECTOMY CALCANEUS SPUR W OR WO PLNTAR FASCIAL RLS,0360 27650,"HB VGH REPAIR, PRIMARY, OPEN OR PERCUTANEOUS, RUPTURED ACHILLES TENDON",0360 57288,HB VGH SLING OPERATION STRESS INCONTINENCE,0360 15004,"HB WOUND PREP 1ST 100 SQ CM, FACE/NK/HND/FT/GEN",0360 49083,PR ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE,745.00 27886,PR AMP LEG THRU TIBIA&FIBULA RE-AMPUTATION,1700.00 28820,PR AMPUTATION TOE METATARSOPHALANGEAL JOINT,1465.00 15271,PR APP SKN SUB GRFT T/A/L AREA/100SQ CM /<1ST 25,390.00 15272,PR APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC,70.00 29075,PR APPLICATION CAST ELBOW FINGER SHORT ARM,215.00 29125,PR APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC,150.00 26841,PR ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ,1770.00 20605,PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US,150.00 20610,PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US,160.00 20600,PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US,150.00 25820,PR ARTHRODESIS WRIST LIMITED W/O BONE GRAFT,1515.00 29828,PR ARTHROSCOPY SHOULDER BICEPS TENODESIS,2120.00 29827,PR ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR,2475.00 29826,PR ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE,400.00 25447,PR ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS,1855.00 27447,PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS,2975.00 26531,PR ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT,1410.00 20612,PR ASPIRATION&/INJECTION GANGLION CYST ANY LOCATJ,160.00 11730,PR AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1,155.00 31635,PR BRONCHOSCOPY W/REMOVAL FOREIGN BODY,735.00 47001,PR BX LVR NDL DONE PURPOSE TM OTH MAJOR PX,275.00 38525,PR BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE,1150.00 38510,PR BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE,1370.00 17250,PR CHEMICAL CAUTERIZATION OF GRANULATION TISSUE,210.00 24620,PR CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ,1720.00 25560,PR CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MAN,775.00 44640,PR CLOSURE INTESTINAL CUTANEOUS FISTULA,3390.00 23655,PR CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,1075.00 G0121,PR COLON CA SCRN NOT HI RSK IND,500.00 45378,PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD,775.00 45380,PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE,1200.00 G0105,PR COLORECTAL SCRN; HI RISK IND,925.00 45386,PR COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT,1650.00 45385,PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ,1250.00 11044,PR DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/<,815.00 11043,PR DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<,585.00 97597,PR DEBRIDEMENT OPEN WOUND 20 SQ CM/<,121.00 11042,PR DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/<,240.00 17111,PR DESTRUCTION BENIGN LESIONS 15/>,320.00 45905,PR DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL,450.00 43450,PR DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS,500.00 27598,PR DISARTICULATION KNEE,1695.00 16020,PR DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL,200.00 43249,PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM,2875.00 43246,PR EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE,520.00 43239,PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE,961.00 99284,PR EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY,220.00 99282,PR EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY,100.00 99283,PR EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY,125.00 99285,PR EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNCJ,515.00 44372,PR ENTEROSCOPY > 2ND PRTN W/PLMT PRQ TUBE,630.00 15110,PR EPIDRM AGRFT T/A/L 1ST 100 CM/&/1% BDY INFT/CHLD,1900.00 43235,PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC,630.00 26111,PR EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM/>,1060.00 11443,PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM,550.00 11444,PR EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM,700.00 11426,PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G > 4.0CM,740.00 11421,PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM,390.00 11422,PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM,375.00 11423,PR EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM,500.00 11406,PR EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM,725.00 11402,PR EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM,360.00 11404,PR EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM,480.00 19125,PR EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES,1350.00 19120,PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION,1135.00 26115,PR EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM,1200.00 21552,PR EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM/>,1090.00 21933,PR EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM/>,1700.00 25075,PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM,1150.00 21555,PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM,5180.00 25112,PR EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT,1000.00 11601,PR EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM,560.00 11602,PR EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM,600.00 11621,PR EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM,565.00 11622,PR EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM,625.00 11606,PR EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM,1000.00 21012,PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>,900.00 21930,PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM,1215.00 25120,PR EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA,1210.00 26045,PR FASCIOTOMY PALMAR OPEN PARTIAL,1125.00 10005,PR FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,315.00 15240,PR FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM/<,2400.00 46260,PR HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GRO,1165.00 46255,PR HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP,1240.00 58562,PR HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY,1185.00 21501,PR I&D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX,1120.00 10060,PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE,280.00 10080,PR INCISION & DRAINAGE PILONIDAL CYST SIMPLE,460.00 25000,PR INCISION EXTENSOR TENDON SHEATH WRIST,860.00 11106,PR INCISIONAL BIOPSY SKIN SINGLE LESION,360.00 99221,PR INITIAL HOSPITAL CARE/DAY 30 MINUTES,190.00 99222,PR INITIAL HOSPITAL CARE/DAY 50 MINUTES,260.00 99223,PR INITIAL HOSPITAL CARE/DAY 70 MINUTES,380.00 99306,PR INITIAL NURSING FACILITY CARE HI MDM 45 MINUTES,250.00 99305,PR INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES,200.00 99304,PR INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN,150.00 99220,PR INITIAL OBSERVATION CARE/DAY 70 MINUTES,405.00 38792,PR INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE,210.00 20550,PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS,145.00 64447,PR INJECTION AA&/STRD FEMORAL NERVE W/IMG GDN,240.00 64445,PR INJECTION AA&/STRD SCIATIC NERVE W/IMG GDN,345.00 20551,PR INJECTION SINGLE TENDON ORIGIN/INSERTION,135.00 20526,PR INJECTION THERAPEUTIC CARPAL TUNNEL,200.00 36561,PR INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>,2620.00 63047,PR LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT LUMBAR,2660.00 63048,PR LAM FACETECTOMY&FORAMOT 1 VRT SGM EA ADDL SGM,550.00 63035,PR LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR,10581.00 49653,PR LAP RPR HRNA XCPT INCAL/INGUN NCRC8/STRANGULATED,2200.00 44970,PR LAPAROSCOPIC APPENDECTOMY,1475.00 47562,PR LAPAROSCOPY SURG CHOLECYSTECTOMY,1550.00 49650,PR LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA,1600.00 49321,PR LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE,450.00 49652,PR LAPS REPAIR HERNIA EXCEPT INCAL/INGUN REDUCIBLE,2600.00 49655,PR LAPS RPR INCISIONAL HERNIA NCRC8/STRANGULATED,2500.00 47563,PR LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY,1700.00 37609,PR LIGATION/BIOPSY TEMPORAL ARTERY,700.00 19307,PR MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN,4375.00 19301,PR MASTECTOMY PARTIAL,1600.00 19303,PR MASTECTOMY SIMPLE COMPLETE,2700.00 31237,PR NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRDMT SPX,640.00 29848,PR NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM,1200.00 97607,PR NEG PRESSURE WOUND THERAPY NON DME 4,210.00 11055,PR PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1,160.00 23180,PR PARTIAL EXCISION BONE CLAVICLE,1785.00 24140,PR PARTIAL EXCISION BONE HUMERUS,1690.00 23130,PR PARTIAL REPAIR OR REMOVAL OF SHOULDER BONE,1485.00 43762,PR PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,559.00 43763,PR PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC,875.00 22514,PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR,14850.00 99024,PR POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX,0.00 15004,PR PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT,980.00 99417,PR PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES,35.00 11104,PR PUNCH BIOPSY SKIN SINGLE LESION,255.00 10160,PR PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,335.00 11982,PR REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT,300.00 11200,PR REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15,240.00 13132,PR REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM,500.00 13121,PR REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM,1135.00 13101,PR REPAIR COMPLEX TRUNK 2.6-7.5 CM,985.00 36590,PR RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ,500.00 49572,PR RPR EPIGASTRIC HERNIA INCARCERATED,1150.00 49565,PR RPR RECRT INCAL/VNT HERNIA REDUCIBLE,2000.00 49585,PR RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE,1050.00 99231,PR SBSQ HOSPITAL CARE/DAY 15 MINUTES,80.00 99232,PR SBSQ HOSPITAL CARE/DAY 25 MINUTES,135.00 99233,PR SBSQ HOSPITAL CARE/DAY 35 MINUTES,228.00 99308,PR SBSQ NURSING FACILITY CARE LOW MDM 15 MINUTES,150.00 99307,PR SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES,96.00 12001,PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<,235.00 15275,PR SUB GRFT F/S/N/H/F/G/M/D <100SQ CM 1ST 25 SQ CM,405.00 26055,PR TENDON SHEATH INCISION,1435.00 26445,PR TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH,1500.00 26440,PR TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON,1600.00 24357,PR TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS,1060.00 96372,PR THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM,65.00 42825,PR TONSILLECTOMY PRIMARY/SECONDARY