Hospital Bangor, ME

Eastern Maine Medical Center

Eastern Maine Medical Center in Bangor, ME publishes cash prices for 53 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.

489 State St Bangor, ME 04401 Collected Sep 22, 2026 Source price file

Scans and imaging

Procedure	Cash price	List price	Off list
Screening mammogram, both breasts both sides CPT 77067 SCREENING DIGITAL MAMMO BILAT	$109.62	$522.00	79%
Screening mammogram, both breasts CPT 77067 SCREENING DIGITAL MAMO UNI	$109.62	$522.00	79%
Screening mammogram, both breasts CPT 77067 SCREENING DIGITAL MAMMO BIL	$109.62	$522.00	79%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING DIGITAL MAMMO BILAT	$109.62	$522.00	79%
Screening mammogram, both breasts inpatient CPT 77067 SCREENING DIGITAL MAMMO BIL	$109.62	$522.00	79%
Screening mammogram, both breasts inpatient CPT 77067 SCREENING DIGITAL MAMO UNI	$109.62	$522.00	79%
Transvaginal pelvic ultrasound CPT 76830 HC POCUS NON-PRGNANT TRNSVGNAL	$154.98	$738.00	79%
Transvaginal pelvic ultrasound CPT 76830 OBPS ULTRASOUND TRANSVAGINAL	$187.53	$893.00	79%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC POCUS NON-PRGNANT TRNSVGNAL	$154.98	$738.00	79%
Transvaginal pelvic ultrasound inpatient CPT 76830 OBPS ULTRASOUND TRANSVAGINAL	$187.53	$893.00	79%

Lab tests

Procedure	Cash price	List price	Off list
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PAN	$64.47	$307.00	79%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL-Q	$64.47	$307.00	79%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL-Q	$64.47	$307.00	79%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PAN	$64.47	$307.00	79%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HDL PROFILE	$31.29	$149.00	79%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HDL PROFILE	$31.29	$149.00	79%
Complete blood count (CBC) with differential CPT 85025 CBC/AUTO DIFF	$24.99	$119.00	79%
Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF-Q	$24.99	$119.00	79%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFF-Q	$24.99	$119.00	79%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC/AUTO DIFF	$24.99	$119.00	79%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM	$17.01	$81.00	79%
Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFFERENTIAL-Q	$17.01	$81.00	79%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM	$17.01	$81.00	79%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITHOUT DIFFERENTIAL-Q	$17.01	$81.00	79%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANL-Q	$69.93	$333.00	79%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PAN	$69.93	$333.00	79%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANL-Q	$69.93	$333.00	79%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PAN	$69.93	$333.00	79%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$24.99	$119.00	79%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL-Q	$24.99	$119.00	79%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$24.99	$119.00	79%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL-Q	$24.99	$119.00	79%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN	$11.13	$53.00	79%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL-Q	$11.13	$53.00	79%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN	$11.13	$53.00	79%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL-Q	$11.13	$53.00	79%
Obstetric blood test panel CPT 80055 PRENATAL PROFILE	$58.17	$277.00	79%
Obstetric blood test panel inpatient CPT 80055 PRENATAL PROFILE	$58.17	$277.00	79%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE	$22.47	$107.00	79%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE	$22.47	$107.00	79%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL (PART OF PSA FREE)	$15.33	$73.00	79%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPE-AG/LAB	$15.33	$73.00	79%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPE-AG/LAB	$15.33	$73.00	79%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL (PART OF PSA FREE)	$15.33	$73.00	79%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT SUBSTITUTION, EA	$15.12	$72.00	79%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT/LAB	$15.12	$72.00	79%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$15.12	$72.00	79%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT/LAB	$15.12	$72.00	79%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT SUBSTITUTION, EA	$15.12	$72.00	79%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL	$15.12	$72.00	79%
Prothrombin time (PT/INR) clotting test CPT 85610 ISTAT INR/LAB	$11.34	$54.00	79%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME/LAB	$11.34	$54.00	79%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME/LAB	$11.34	$54.00	79%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ISTAT INR/LAB	$11.34	$54.00	79%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH/LAB	$36.33	$173.00	79%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH/LAB	$36.33	$173.00	79%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS COMPLETE AUTOMATED	$6.51	$31.00	79%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS REFLEX TO CULTURE-Q	$6.51	$31.00	79%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS REFLEX TO CULTURE-Q	$6.51	$31.00	79%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS COMPLETE AUTOMATED	$6.51	$31.00	79%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS COMPLETE NON-AUTO	$5.67	$27.00	79%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS COMPLETE NON-AUTO	$5.67	$27.00	79%
Urinalysis without microscope exam, automated CPT 81003 IPE URINALYSIS AUTO	$3.57	$17.00	79%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS MACROSCOPIC-Q	$4.41	$21.00	79%
Urinalysis without microscope exam, automated CPT 81003 URINE PH/LAB	$4.41	$21.00	79%
Urinalysis without microscope exam, automated CPT 81003 URINE SCREEN/LAB	$4.41	$21.00	79%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/MICROSCOPIC-Q	$4.41	$21.00	79%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY/LAB	$4.41	$21.00	79%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS	$4.41	$21.00	79%
Urinalysis without microscope exam, automated CPT 81003 PH URINE-Q	$4.41	$21.00	79%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE-Q	$4.41	$21.00	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 IPE URINALYSIS AUTO	$3.57	$17.00	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/MICROSCOPIC-Q	$4.41	$21.00	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS MACROSCOPIC-Q	$4.41	$21.00	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY/LAB	$4.41	$21.00	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE PH/LAB	$4.41	$21.00	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE SCREEN/LAB	$4.41	$21.00	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS	$4.41	$21.00	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE-Q	$4.41	$21.00	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY URINE-Q	$4.41	$21.00	79%
Urinalysis without microscope exam, manual CPT 81002 URINE SUGAR/LAB	$2.52	$12.00	79%
Urinalysis without microscope exam, manual CPT 81002 OBPS U/A NONAUTO W/O SCOPE	$2.52	$12.00	79%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE SUGAR/LAB	$2.52	$12.00	79%
Urinalysis without microscope exam, manual inpatient CPT 81002 OBPS U/A NONAUTO W/O SCOPE	$2.52	$12.00	79%

Surgery and procedures

Procedure	Cash price	List price	Off list
Cataract surgery with lens implant CPT 66984 CATARACT RMV W/IOL 1 STAGE-OFC	$1,778.70	$8,470.00	79%
Cataract surgery with lens implant inpatient CPT 66984 CATARACT RMV W/IOL 1 STAGE-OFC	$1,778.70	$8,470.00	79%
Cesarean delivery, including prenatal and postpartum care CPT 59510 CESAREAN DELIVERY	$2,411.43	$11,483.00	79%
Cesarean delivery, including prenatal and postpartum care CPT 59510 PND C-SECTION ROUT ANTE/POST	$2,411.43	$11,483.00	79%
Cesarean delivery, including prenatal and postpartum care CPT 59510 OBPS C-SECT DELIVERY COM, PRO	$2,411.43	$11,483.00	79%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 OBPS C-SECT DELIVERY COM, PRO	$2,411.43	$11,483.00	79%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 CESAREAN DELIVERY	$2,411.43	$11,483.00	79%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 PND C-SECTION ROUT ANTE/POST	$2,411.43	$11,483.00	79%
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPIC US	$223.65	$1,065.00	79%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 COLONOSCOPY W/ENDOSCOPIC US	$223.65	$1,065.00	79%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY/SNARE-LESION RMVL	$209.79	$999.00	79%
Colonoscopy with polyp removal CPT 45385 RSP COLONOSCOPY REM SNARE ADD	$209.79	$999.00	79%
Colonoscopy with polyp removal CPT 45385 RSP COLONOSCOPY W/ REMOVE SNA	$209.79	$999.00	79%
Colonoscopy with polyp removal CPT 45385 PSP COLONOSCOPY LES REMOVAL	$209.79	$999.00	79%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY REMOVE LESN-SNARE	$209.79	$999.00	79%
Colonoscopy with polyp removal CPT 45385 PF COLONOSCOPY FLX W/RMV SNARE	$279.72	$1,332.00	79%
Colonoscopy with polyp removal inpatient CPT 45385 RSP COLONOSCOPY W/ REMOVE SNA	$209.79	$999.00	79%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY/SNARE-LESION RMVL	$209.79	$999.00	79%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY REMOVE LESN-SNARE	$209.79	$999.00	79%
Colonoscopy with polyp removal inpatient CPT 45385 RSP COLONOSCOPY REM SNARE ADD	$209.79	$999.00	79%
Colonoscopy with polyp removal inpatient CPT 45385 PSP COLONOSCOPY LES REMOVAL	$209.79	$999.00	79%
Colonoscopy with polyp removal inpatient CPT 45385 PF COLONOSCOPY FLX W/RMV SNARE	$279.72	$1,332.00	79%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY	$195.51	$931.00	79%
Colonoscopy with tissue sample CPT 45380 PSP COLONOSCOPY BX	$195.51	$931.00	79%
Colonoscopy with tissue sample CPT 45380 PF COLONOSCOPY AND BIOPSY	$195.51	$931.00	79%
Colonoscopy with tissue sample CPT 45380 TSP COLONOSCOPY AND BIOPSY	$195.51	$931.00	79%
Colonoscopy with tissue sample CPT 45380 PF CLNSCPY FLEX W/BX SNGL/MULT	$250.32	$1,192.00	79%
Colonoscopy with tissue sample inpatient CPT 45380 PSP COLONOSCOPY BX	$195.51	$931.00	79%
Colonoscopy with tissue sample inpatient CPT 45380 PF COLONOSCOPY AND BIOPSY	$195.51	$931.00	79%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BIOPSY	$195.51	$931.00	79%
Colonoscopy with tissue sample inpatient CPT 45380 TSP COLONOSCOPY AND BIOPSY	$195.51	$931.00	79%
Colonoscopy with tissue sample inpatient CPT 45380 PF CLNSCPY FLEX W/BX SNGL/MULT	$250.32	$1,192.00	79%
Colonoscopy, diagnostic CPT 45378 PF CLNSCPY FLX DX BRSH/WSH HR	$208.53	$993.00	79%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY-DIAGNOSTIC	$230.37	$1,097.00	79%
Colonoscopy, diagnostic CPT 45378 PF COLONOSCOPY DIAGNOSTIC	$230.37	$1,097.00	79%
Colonoscopy, diagnostic CPT 45378 PSP COLONOSCOPY DX	$230.37	$1,097.00	79%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$230.37	$1,097.00	79%
Colonoscopy, diagnostic CPT 45378 HC CLNSCPY FLX DX BRSH/WSH HR	$918.96	$4,376.00	79%
Colonoscopy, diagnostic inpatient CPT 45378 PF CLNSCPY FLX DX BRSH/WSH HR	$208.53	$993.00	79%
Colonoscopy, diagnostic inpatient CPT 45378 PF COLONOSCOPY DIAGNOSTIC	$230.37	$1,097.00	79%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY-DIAGNOSTIC	$230.37	$1,097.00	79%
Colonoscopy, diagnostic inpatient CPT 45378 DIAGNOSTIC COLONOSCOPY	$230.37	$1,097.00	79%
Colonoscopy, diagnostic inpatient CPT 45378 PSP COLONOSCOPY DX	$230.37	$1,097.00	79%
Colonoscopy, diagnostic inpatient CPT 45378 HC CLNSCPY FLX DX BRSH/WSH HR	$918.96	$4,376.00	79%
Knee arthroscopy with meniscus trim CPT 29881 ARTHR KNE SUR MENISCECT M OR L	$441.21	$2,101.00	79%
Knee arthroscopy with meniscus trim CPT 29881 TSO KNEE ARTHSCPY M/L MENISC	$441.21	$2,101.00	79%
Knee arthroscopy with meniscus trim CPT 29881 OTP KNEE ARTHSCPY M/L MENISC	$441.21	$2,101.00	79%
Knee arthroscopy with meniscus trim inpatient CPT 29881 OTP KNEE ARTHSCPY M/L MENISC	$441.21	$2,101.00	79%
Knee arthroscopy with meniscus trim inpatient CPT 29881 TSO KNEE ARTHSCPY M/L MENISC	$441.21	$2,101.00	79%
Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHR KNE SUR MENISCECT M OR L	$441.21	$2,101.00	79%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURG-PRO	$148.26	$706.00	79%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 RET LASER (YAG) CAPSULOTOMY	$148.26	$706.00	79%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 YAG CAPSULOTOMY	$323.61	$1,541.00	79%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURG-OFC	$417.90	$1,990.00	79%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 RET LASER (YAG) CAPSULOTOMY	$148.26	$706.00	79%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 AFTER CATARACT LASER SURG-PRO	$148.26	$706.00	79%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 YAG CAPSULOTOMY	$323.61	$1,541.00	79%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 AFTER CATARACT LASER SURG-OFC	$417.90	$1,990.00	79%
Lower-back epidural injection, with imaging guidance CPT 62323 HC XRB TOFERSEN INJECTION	$475.44	$2,264.00	79%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ SP LUMB/SAC W/FLUORO-FC	$594.51	$2,831.00	79%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC XRB TOFERSEN INJECTION	$475.44	$2,264.00	79%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ SP LUMB/SAC W/FLUORO-FC	$594.51	$2,831.00	79%
Lower-back epidural injection, without imaging guidance CPT 62322 CRNA INJECT SPINE LUMB/SACRAL	$155.61	$741.00	79%
Lower-back epidural injection, without imaging guidance CPT 62322 APS INJECT SPINE LUMB/SACRAL	$155.61	$741.00	79%
Lower-back epidural injection, without imaging guidance CPT 62322 PF INJX INTERLAMINAR LMBR/SAC	$155.61	$741.00	79%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 APS INJECT SPINE LUMB/SACRAL	$155.61	$741.00	79%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 PF INJX INTERLAMINAR LMBR/SAC	$155.61	$741.00	79%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 CRNA INJECT SPINE LUMB/SACRAL	$155.61	$741.00	79%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ TRANSFORAM L/S SNG-FAC	$756.21	$3,601.00	79%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ TRANSFORAM L/S SNG-FAC	$756.21	$3,601.00	79%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE-FC	$724.29	$3,449.00	79%
Prostate biopsy CPT 55700 NEEDLE BX/TRANSRECTAL	$724.29	$3,449.00	79%
Prostate biopsy CPT 55700 ER BX PROSTATE NDLE ANY APRCH	$869.19	$4,139.00	79%
Prostate biopsy inpatient CPT 55700 BIOPSY OF PROSTATE-FC	$724.29	$3,449.00	79%
Prostate biopsy inpatient CPT 55700 NEEDLE BX/TRANSRECTAL	$724.29	$3,449.00	79%
Prostate biopsy inpatient CPT 55700 ER BX PROSTATE NDLE ANY APRCH	$869.19	$4,139.00	79%
Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPARO RAD PROSTATECTOMY	$981.54	$4,674.00	79%
Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 LAPARO RAD PROSTATECTOMY	$981.54	$4,674.00	79%
Removal of a breast lump, open surgery CPT 19120 HC REMOVAL OF BREAST LESN	$1,421.70	$6,770.00	79%
Removal of a breast lump, open surgery inpatient CPT 19120 HC REMOVAL OF BREAST LESN	$1,421.70	$6,770.00	79%
Total hip replacement CPT 27130 TOTAL HIP REPLACEMENT	$885.99	$4,219.00	79%
Total hip replacement inpatient CPT 27130 TOTAL HIP REPLACEMENT	$885.99	$4,219.00	79%
Total knee replacement CPT 27447 OTP TOTAL KNEE ARTHROPLASTY	$582.12	$2,772.00	79%
Total knee replacement CPT 27447 RPR KNEE/CONDY/PLAT MED& LAT	$582.12	$2,772.00	79%
Total knee replacement inpatient CPT 27447 OTP TOTAL KNEE ARTHROPLASTY	$582.12	$2,772.00	79%
Total knee replacement inpatient CPT 27447 RPR KNEE/CONDY/PLAT MED& LAT	$582.12	$2,772.00	79%
Upper endoscopy (EGD) with biopsy CPT 43239 PF EGD FLX TRNSRL W/BX SNG/MLT	$169.47	$807.00	79%
Upper endoscopy (EGD) with biopsy CPT 43239 TSP UGI ENDOSC BIOPSY	$190.26	$906.00	79%
Upper endoscopy (EGD) with biopsy CPT 43239 PSP UGI ENDO BIOPSY	$190.26	$906.00	79%
Upper endoscopy (EGD) with biopsy CPT 43239 PF UGI ENDOSC BIOPSY	$190.26	$906.00	79%
Upper endoscopy (EGD) with biopsy CPT 43239 PF EGD BIOPSY SINGLE/MULTIPLE	$190.26	$906.00	79%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY-BIOPSY	$190.26	$906.00	79%
Upper endoscopy (EGD) with biopsy CPT 43239 UGI ENDOSCOPY W/BIOPSY	$190.26	$906.00	79%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY W/BIOPSY	$190.26	$906.00	79%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD TRANSORAL BX SNGL/MULTI	$1,059.66	$5,046.00	79%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD BIOPSY SINGLE/MULTIPLE	$1,059.66	$5,046.00	79%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PF EGD FLX TRNSRL W/BX SNG/MLT	$169.47	$807.00	79%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GI ENDOSCOPY-BIOPSY	$190.26	$906.00	79%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GI ENDOSCOPY W/BIOPSY	$190.26	$906.00	79%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UGI ENDOSCOPY W/BIOPSY	$190.26	$906.00	79%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PF UGI ENDOSC BIOPSY	$190.26	$906.00	79%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PSP UGI ENDO BIOPSY	$190.26	$906.00	79%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PF EGD BIOPSY SINGLE/MULTIPLE	$190.26	$906.00	79%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 TSP UGI ENDOSC BIOPSY	$190.26	$906.00	79%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD BIOPSY SINGLE/MULTIPLE	$1,059.66	$5,046.00	79%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD TRANSORAL BX SNGL/MULTI	$1,059.66	$5,046.00	79%
Upper endoscopy (EGD), diagnostic CPT 43235 HC UPPER GI ENDOSCOPY DX	$970.62	$4,622.00	79%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UPPER GI ENDOSCOPY DX	$970.62	$4,622.00	79%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 OBPS VBAC DELIVERY COM, PRO	$1,829.52	$8,712.00	79%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 OBPS VBAC DELIVERY COM, PRO	$1,829.52	$8,712.00	79%
Vaginal delivery, including prenatal and postpartum care CPT 59400 FP OBSTETRIC CARE-GLOBAL FAC	$2,193.66	$10,446.00	79%
Vaginal delivery, including prenatal and postpartum care CPT 59400 OBPS OB CARE COMPLETE	$2,193.66	$10,446.00	79%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 FP OBSTETRIC CARE-GLOBAL FAC	$2,193.66	$10,446.00	79%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OBPS OB CARE COMPLETE	$2,193.66	$10,446.00	79%

Doctor visits and therapy

Procedure	Cash price	List price	Off list
Family therapy with the patient, 50 minutes CPT 90847 PSY FAMILY PSY TX W/PATIENT	$52.71	$251.00	79%
Family therapy with the patient, 50 minutes CPT 90847 PF FAMILY PSYTX W/PT 50M	$52.71	$251.00	79%
Family therapy with the patient, 50 minutes CPT 90847 PF FAMILY PSYCHOTHRPY W/PT 50M	$52.71	$251.00	79%
Family therapy with the patient, 50 minutes CPT 90847 PF FMLY PSYCHTHRPY W/PT 1.5HR	$52.71	$251.00	79%
Family therapy with the patient, 50 minutes CPT 90847 PF FAMILY PSYTX W/PT 50 MIN	$52.71	$251.00	79%
Family therapy with the patient, 50 minutes CPT 90847 PF FAM PSYCHOTHERAPY W/PT 50M	$52.71	$251.00	79%
Family therapy with the patient, 50 minutes CPT 90847 PF FAMILY PSYCH THERAPY W/PT	$52.71	$251.00	79%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCH TX W PT-PRO	$52.71	$251.00	79%
Family therapy with the patient, 50 minutes CPT 90847 PF FAMILY PSYCH THER W/PT-LCSW	$70.35	$335.00	79%
Family therapy with the patient, 50 minutes CPT 90847 HC FMLY PSYCHTHRPY W/PT 50M	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes CPT 90847 FP PSYCHOTHERAPY FAMILY	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHR W/PT 50M	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes CPT 90847 FAM PSYTX W/PT 50 MIN-FACIL	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PT 50M	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCH THERAPY W/PT	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCH THERAPY W/PT	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCH THER W/PT	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes CPT 90847 PSP FAM PSYCHOTH W/PT 50MIN	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes CPT 90847 MROC FAMILY PSYCH W/PT	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes CPT 90847 MRE FAMILY PSYCH W/PT	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes CPT 90847 HC FMILY PSYCHTHRPY W/PT 1.5HR	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes CPT 90847 MRBM FAMILY PSYCH W/PT	$140.91	$671.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PF FAMILY PSYTX W/PT 50 MIN	$52.71	$251.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PF FMLY PSYCHTHRPY W/PT 1.5HR	$52.71	$251.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCH TX W PT-PRO	$52.71	$251.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PF FAMILY PSYCH THERAPY W/PT	$52.71	$251.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PF FAM PSYCHOTHERAPY W/PT 50M	$52.71	$251.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PF FAMILY PSYCHOTHRPY W/PT 50M	$52.71	$251.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PSY FAMILY PSY TX W/PATIENT	$52.71	$251.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PF FAMILY PSYTX W/PT 50M	$52.71	$251.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PF FAMILY PSYCH THER W/PT-LCSW	$70.35	$335.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PT 50M	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCH THERAPY W/PT	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCH THER W/PT	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PSP FAM PSYCHOTH W/PT 50MIN	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHR W/PT 50M	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FP PSYCHOTHERAPY FAMILY	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FMLY PSYCHTHRPY W/PT 50M	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FMILY PSYCHTHRPY W/PT 1.5HR	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 MRE FAMILY PSYCH W/PT	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 MROC FAMILY PSYCH W/PT	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCH THERAPY W/PT	$88.20	$420.00	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 MRBM FAMILY PSYCH W/PT	$140.91	$671.00	79%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCH TX W/O PT-PRO	$23.94	$114.00	79%
Family therapy without the patient, 50 minutes CPT 90846 PF FAMILY PSYCHOTHR W/O PT 50M	$23.94	$114.00	79%
Family therapy without the patient, 50 minutes CPT 90846 PF FAMILY PSYCHTX W/O PT 50M	$23.94	$114.00	79%
Family therapy without the patient, 50 minutes CPT 90846 PF FAMILY PSYTX W/O PT 50M	$23.94	$114.00	79%
Family therapy without the patient, 50 minutes CPT 90846 PSY FAMILY PSY TX W/O PATIENT	$23.94	$114.00	79%
Family therapy without the patient, 50 minutes CPT 90846 PF FAMILY PSYCH THER W/O PT	$23.94	$114.00	79%
Family therapy without the patient, 50 minutes CPT 90846 PF FMLY PSYCHTHRPY W/O PT 50M	$23.94	$114.00	79%
Family therapy without the patient, 50 minutes CPT 90846 PF FMLY PSYCHTHRPY W/O PT 1.5H	$23.94	$114.00	79%
Family therapy without the patient, 50 minutes CPT 90846 PF FAMILY PSYTX W/O PT 50 MIN	$31.29	$149.00	79%
Family therapy without the patient, 50 minutes CPT 90846 HC FMLY PSYCHTHRPY W/O PT 1.5H	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes CPT 90846 HC FMLY PSYCHTHRPY W/O PT 50M	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PT 50MIN	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes CPT 90846 HC FAM PSYCHOTHR W/O PT 50M	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes CPT 90846 PSP FAM PSYCHOTH W/O 50MIN	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCH THER W/O PT	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCH THER W/O PT	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PT 50M	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes CPT 90846 MRE FAMILY PSYCH W/O PT	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes CPT 90846 MROC FAMILY PSYCH W/O PT	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes CPT 90846 MRBM FAMILY PSYCH W/O PT	$107.73	$513.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PF FAMILY PSYCHTX W/O PT 50M	$23.94	$114.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PF FAMILY PSYCH THER W/O PT	$23.94	$114.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PSY FAMILY PSY TX W/O PATIENT	$23.94	$114.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PF FMLY PSYCHTHRPY W/O PT 1.5H	$23.94	$114.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PF FMLY PSYCHTHRPY W/O PT 50M	$23.94	$114.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCH TX W/O PT-PRO	$23.94	$114.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PF FAMILY PSYCHOTHR W/O PT 50M	$23.94	$114.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PF FAMILY PSYTX W/O PT 50M	$23.94	$114.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PF FAMILY PSYTX W/O PT 50 MIN	$31.29	$149.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FMLY PSYCHTHRPY W/O PT 50M	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAM PSYCHOTHR W/O PT 50M	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PSP FAM PSYCHOTH W/O 50MIN	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCH THER W/O PT	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCH THER W/O PT	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 MROC FAMILY PSYCH W/O PT	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PT 50M	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 MRE FAMILY PSYCH W/O PT	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FMLY PSYCHTHRPY W/O PT 1.5H	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PT 50MIN	$83.79	$399.00	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 MRBM FAMILY PSYCH W/O PT	$107.73	$513.00	79%
Group psychotherapy session CPT 90853 PF GROUP PSYCHOTHERAPY-LCSW	$30.45	$145.00	79%
Group psychotherapy session CPT 90853 MRE PF GROUP PSYCHOTHERAPY	$30.45	$145.00	79%
Group psychotherapy session CPT 90853 PF GROUP PSYCHOTHERAPY	$30.45	$145.00	79%
Group psychotherapy session CPT 90853 PF PSYCHOTHERAPY GROUP	$30.45	$145.00	79%
Group psychotherapy session CPT 90853 MRBM GROUP PSYCH	$34.86	$166.00	79%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY-FACILITY	$36.12	$172.00	79%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY-LCSW	$36.12	$172.00	79%
Group psychotherapy session inpatient CPT 90853 PF PSYCHOTHERAPY GROUP	$30.45	$145.00	79%
Group psychotherapy session inpatient CPT 90853 PF GROUP PSYCHOTHERAPY-LCSW	$30.45	$145.00	79%
Group psychotherapy session inpatient CPT 90853 PF GROUP PSYCHOTHERAPY	$30.45	$145.00	79%
Group psychotherapy session inpatient CPT 90853 MRE PF GROUP PSYCHOTHERAPY	$30.45	$145.00	79%
Group psychotherapy session inpatient CPT 90853 MRBM GROUP PSYCH	$34.86	$166.00	79%
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY-FACILITY	$36.12	$172.00	79%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY-LCSW	$36.12	$172.00	79%
New patient office visit, about 30 minutes CPT 99203 HC OP OFFICE VISIT NEW LVL3	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 CC THORACIC ONC NEW PT FAC L3	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 CC GENETICS NEW PT FAC L3	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 PLC OUTPT VISIT-NEW LVL 3	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE VISIT NEW PT LVL 3	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 MRMS NEW VISIT LEVEL 3-FAC	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 VWF OFFICE OUTPATIENT - NEW L3	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 HC OP INITL OB VISIT NEW LEVL3	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE VISIT LVL 3 NEW RES	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 AMWELL OP VISIT NEW LEVEL 3	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE VISIT NEW LVL3	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 OFF/OP VISIT NEW L3-FAC	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 HC OUTPT CLINIC VISIT NEW LVL3	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 HC OFF VISIT NEW PATIENT L3	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE VISIT NEW LEVEL 3	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT NEW LEVEL 3	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 OFF/OP HOME VISIT NEW LVL 3	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 WIC OFFICE VISIT NEW LVL 3 RES	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 HC OP CLINIC VISIT NEW/EST L3	$37.38	$178.00	79%
New patient office visit, about 30 minutes CPT 99203 OFF/OP VISIT NEW LVL 3-PF	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 VSP P OFFICE OUTPATIENT-NEW L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 MREM NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 NEW OUTPT VISIT L3-PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 PF NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 TSP OFF VISIT NEW LVL 3 PROF	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OUTPT VISIT NEW LVL 3-PROF	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 PF OP INITL OB VISIT NEW LEVL3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OUTPT VISIT NEW L3 PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OUTPT VISIT NEW LVL 3-PRO FEE	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OUTPT VISIT L3-PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OFF/OUTPT VISIT NEW LVL 3 PROF	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OUTPT VISIT NEW LVL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 STRCT HRT NEW PT VISIT 3 PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT VISIT L3-PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OUTPT VISIT/NEW L3-PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT-NEW L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OUTPATIENT OFFICE VISIT NEW L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OP VISIT NEW L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 PF OUTPT CLINIC VISIT NEW LVL3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OUTPATIENT VISIT NEW LVL3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 PF OFF VISIT NEW LVL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 PF OP VISIT NEW LVL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 ENTP OP VISIT NEW LVL 3 PROF	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 RSP OFF VISIT NEW LVL 3 PROF	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 PF RET NEW PATIENT LEVEL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OMF OFFICE VISIT NEW LVL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OUTPT VISIT NEW LVL 3 PROF	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OUTPT VISIT NEW LEVEL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OP VISIT NEW L3-PRO FEE	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OFF/OUTPT VISIT NEW LVL 3 PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 PF NEW PT OFFICE VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 PF OFFICE VISIT NEW LEVEL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 MRHR NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 MRIH NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 MRSV NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 MRTC NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 MRMR NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 MRBH NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 MRCD NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 MRCP NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 PF OFFICE VISIT NEW PT LVL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 PF BDC OP VISIT NEW LVL3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 PF OFFICE VISIT NEW PT LEVEL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT NEW L3 PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 PF OP OFFICE VISIT NEW LVL3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OUTPATIENT VISIT NEW LEVEL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OUTPT NEW PT VISIT L3 PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OUTPT VISIT NEW-LEVEL 3-PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 PF OFFICE VISIT NEW LVL3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OFF VISIT NEW LVL 3 PROF	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 OUTPT VISIT NEW L3-PRO FEE	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 IPN NEW OFFICE VISIT LVL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 IPG NEW OFFICE VISIT LVL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 IPS NEW OFFICE VISIT LVL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 IPE NEW OFFICE VISIT LVL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 IPC NEW PT OFFICE VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 PF OP CLINIC VISIT NEW LVL3	$50.40	$240.00	79%
New patient office visit, about 30 minutes CPT 99203 WIC OFFICE VISIT NEW LVL 3	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 INFD OFF VISIT NEW PATIENT L3	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPT VISIT NEW LVL 3	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPT VISIT-NEW LEVEL 3	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPT VISIT NEW L3	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 TSP OFF VISIT NEW PATIENT L3	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 RET NEW PATIENT LEVEL 3	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPT VISIT-NEW LVL 3	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 OBPS OFF VISIT NEW PATIENT L3	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 OFF/OP VISIT NEW LVL 3	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT VISIT L3	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 CARP OFFICE/OUTPT VISIT-NEW L3	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 STRCT HRT NEW PT VISIT 3	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 VSP OFF/OUTPT VISIT/NEW LVL 3	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT NEW L3	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT L3 NEW	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 CCP GEN NEW PT OV FNP L-3	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT NEW-LVL 3	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 PLC OUTPT VISIT- NEW LVL3	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 DES OV NEW LEVEL 3-GLOBAL	$87.78	$418.00	79%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE VISIT L3	$87.78	$418.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 MRBH NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 MRMR NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 MRTC NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 MRSV NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 MRIH NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 PF NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW OUTPT VISIT L3-PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 MREM NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 VSP P OFFICE OUTPATIENT-NEW L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 TSP OFF VISIT NEW LVL 3 PROF	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OUTPT VISIT NEW LVL 3-PROF	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 PF OP INITL OB VISIT NEW LEVL3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OUTPT VISIT NEW L3 PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OUTPT VISIT NEW LVL 3-PRO FEE	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT OUTPT VISIT L3-PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OFF/OUTPT VISIT NEW LVL 3 PROF	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OUTPT VISIT NEW LVL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 STRCT HRT NEW PT VISIT 3 PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT VISIT L3-PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OUTPT VISIT/NEW L3-PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPATIENT VISIT-NEW L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OUTPATIENT OFFICE VISIT NEW L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OP VISIT NEW L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 PF OUTPT CLINIC VISIT NEW LVL3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OUTPATIENT VISIT NEW LVL3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 PF OFF VISIT NEW LVL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 PF OP VISIT NEW LVL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 ENTP OP VISIT NEW LVL 3 PROF	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 RSP OFF VISIT NEW LVL 3 PROF	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 PF RET NEW PATIENT LEVEL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OMF OFFICE VISIT NEW LVL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OUTPT VISIT NEW LVL 3 PROF	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OUTPT VISIT NEW LEVEL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPT VISIT NEW L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OP VISIT NEW L3-PRO FEE	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OFF/OUTPT VISIT NEW LVL 3 PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 PF NEW PT OFFICE VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 PF OFFICE VISIT NEW LEVEL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 MRHR NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 PF OP CLINIC VISIT NEW LVL3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 IPC NEW PT OFFICE VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 IPE NEW OFFICE VISIT LVL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 IPS NEW OFFICE VISIT LVL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 IPG NEW OFFICE VISIT LVL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 IPN NEW OFFICE VISIT LVL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OUTPT VISIT NEW L3-PRO FEE	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OFF VISIT NEW LVL 3 PROF	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 PF OFFICE VISIT NEW LVL3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OUTPT VISIT NEW-LEVEL 3-PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OUTPT NEW PT VISIT L3 PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OUTPATIENT VISIT NEW LEVEL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 PF OP OFFICE VISIT NEW LVL3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OFF/OP VISIT NEW LVL 3-PF	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT NEW L3 PRO	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 PF OFFICE VISIT NEW PT LEVEL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 PF BDC OP VISIT NEW LVL3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 PF OFFICE VISIT NEW PT LVL 3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 MRCP NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 30 minutes inpatient CPT 99203 MRCD NEW OUTPATIENT VISIT L3	$50.40	$240.00	79%
New patient office visit, about 45 minutes CPT 99204 MRMS NEW VISIT LEVEL 4-FAC	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 AMWELL OP VISIT NEW LEVEL 4	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE VISIT NEW LVL4	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 VWF OFFICE OUTPATIENT-NEW L4	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 WIC OFFICE VISIT NEW LVL 4 RES	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 FP OFFICE VISIT LVL 4 NEW RES	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 OFF/OP VISIT NEW L4-FAC	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 HC OP INITL OB VISIT NEW LEVL4	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 OFF/OP HOME VISIT NEW LVL 4	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE VISIT NEW PT LEVEL 4	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 HC OUTPT CLINIC VISIT NEW LVL4	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 HC OFF VISIT NEW PATIENT L4	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE VISIT NEW LEVEL 4	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPT VISIT NEW L4	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 PLC OUTPT VISIT-NEW LVL 4	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 CC GENETICS NEW PT FAC L4	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 CC THORACIC ONC NEW PT FAC L4	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 HC OP OFFICE VISIT NEW LVL4	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 HC OP CLINIC VISIT NEW/EST L4	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT NEW LEVEL 4	$51.03	$243.00	79%
New patient office visit, about 45 minutes CPT 99204 PF OFF VISIT NEW LVL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OUTPATIENT VISIT NEW LVL4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 PF OUTPT CLINIC VISIT NEW LVL4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OUTPATIENT OFFICE VISIT NEW L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT-NEW L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OUTPT VISIT/NEW L4-PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT VISIT L4-PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 STRCT HRT NEW PT VISIT 4 PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OUTPT VISIT NEW LVL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OFF/OUTPT VISIT NEW LVL 4 PROF	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OUTPT VISIT L4-PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OUTPT VISIT NEW LVL 4-PRO FEE	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OUTPT VISIT NEW L4 PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 PF OP INITL OB VISIT NEW LEVL4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT NEW L4 PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OFF/OP VISIT NEW LVL 4-PF	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 PF OP OFFICE VISIT NEW LVL4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OUTPATIENT VISIT NEW LEVEL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OUTPT NEW PT VISIT L4 PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 VSP P OFFICE-OUTPATIENT-NEW L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 PF OFFICE VISIT NEW LVL4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OFF VISIT NEW LVL 4 PROF	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OUTPT VISIT NEW L4-PRO FEE	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 IPN NEW OFFICE VISIT LVL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 IPG NEW OFFICE VISIT LVL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 IPS NEW OFFICE VISIT LVL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 IPE NEW OFFICE VISIT LVL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 IPC NEW PT OFFICE VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 PF OP CLINIC VISIT NEW LVL4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 MRBH NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 PF BDC OP VISIT NEW LVL4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 MRCD NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 MRCP NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 PF OFFICE VISIT NEW PT LEVEL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 PF OFFICE/OUTPT VISIT NEW L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OUTPT VISIT NEW-LEVEL 4-PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 TSP OFF VISIT NEW LVL 4 PROF	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 MREM NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 NEW OUTPT VISIT L4-PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 PF NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 MRHR NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 MRIH NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 MRSV NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OUTPT VISIT NEW LVL 4-PROF	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 MRTC NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 MRMR NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 PF OFFICE VISIT NEW LEVEL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 PF NEW PT OFFICE VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OFF/OUTPT VISIT NEW LVL 4 PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OP VISIT NEW L4-PRO FEE	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OUTPT VISIT NEW LEVEL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OUTPT VISIT NEW LVL 4 PROF	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OMF OFFICE VISIT NEW LVL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 ENTP OP VISIT NEW LVL 4 PROF	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 PF OP VISIT NEW LVL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes CPT 99204 OFF/OP VISIT NEW LVL 4	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT L4 NEW	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 CCP GEN NEW PT OV FNP L-4	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT NEW-LVL 4	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 PLC OUTPT VISIT- NEW LVL4	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE VISIT L4	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 DES OV NEW LEVEL 4-GLOBAL	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT NEW L4	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 VSP OFF/OUTPT VISIT/NEW LVL 4	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 TSP OFF VISIT NEW PATIENT L4	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPT VISIT-NEW LEVEL 4	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPT VISIT NEW LVL 4	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 INFD OFF VISIT NEW PATIENT L4	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 WIC OFFICE VISIT NEW LVL 4	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 STRCT HRT NEW PT VISIT 4	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 CARP OFFICE/OUTPT VISIT-NEW L4	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT VISIT L4	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 OBPS OFF VISIT NEW PATIENT L4	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPT VISIT-NEW LVL 4	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 RET NEW PATIENT LEVEL 4	$126.84	$604.00	79%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPT VISIT NEW L4	$126.84	$604.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPT VISIT NEW L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPATIENT VISIT-NEW L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OUTPT VISIT/NEW L4-PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT VISIT L4-PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 STRCT HRT NEW PT VISIT 4 PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 PF OUTPT CLINIC VISIT NEW LVL4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OUTPATIENT VISIT NEW LVL4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OUTPT VISIT NEW LVL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OFF/OUTPT VISIT NEW LVL 4 PROF	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 PF OFF VISIT NEW LVL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 PF OP VISIT NEW LVL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 ENTP OP VISIT NEW LVL 4 PROF	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT OUTPT VISIT L4-PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 PF OFFICE VISIT NEW LEVEL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 PF NEW PT OFFICE VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OFF/OUTPT VISIT NEW LVL 4 PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OP VISIT NEW L4-PRO FEE	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OUTPT VISIT NEW LVL 4-PRO FEE	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 MRCD NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 MRCP NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 PF OFFICE VISIT NEW PT LEVEL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 PF OFFICE/OUTPT VISIT NEW L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 PF BDC OP VISIT NEW LVL4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT NEW L4 PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OFF/OP VISIT NEW LVL 4-PF	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 PF OP OFFICE VISIT NEW LVL4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OUTPATIENT VISIT NEW LEVEL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OUTPT NEW PT VISIT L4 PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OUTPT VISIT NEW-LEVEL 4-PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 PF OFFICE VISIT NEW LVL4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OFF VISIT NEW LVL 4 PROF	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OUTPT VISIT NEW L4-PRO FEE	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 IPN NEW OFFICE VISIT LVL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 IPG NEW OFFICE VISIT LVL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 IPS NEW OFFICE VISIT LVL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 IPE NEW OFFICE VISIT LVL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 PF OP CLINIC VISIT NEW LVL4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OUTPATIENT OFFICE VISIT NEW L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OUTPT VISIT NEW L4 PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OUTPT VISIT NEW LEVEL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 PF OP INITL OB VISIT NEW LEVL4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OUTPT VISIT NEW LVL 4-PROF	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 TSP OFF VISIT NEW LVL 4 PROF	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OUTPT VISIT NEW LVL 4 PROF	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 OMF OFFICE VISIT NEW LVL 4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 IPC NEW PT OFFICE VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 VSP P OFFICE-OUTPATIENT-NEW L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 MREM NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW OUTPT VISIT L4-PRO	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 PF NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 MRHR NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 MRIH NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 MRSV NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 MRTC NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 MRMR NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 45 minutes inpatient CPT 99204 MRBH NEW OUTPATIENT VISIT L4	$75.81	$361.00	79%
New patient office visit, about 60 minutes CPT 99205 WIC OFFICE VISIT NEW LVL 5 RES	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT NEW LEVEL 5	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 OFF/OP HOME VISIT NEW LVL 5	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 HC NEW PT OFFICE VISIT L5	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE VISIT NEW LEVEL 5	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 HC OFF VISIT NEW PATIENT L5	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 HC OUTPT CLINIC VISIT NEW LVL5	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OP VISIT NEW L5	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE VISIT NEW LVL5	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 AMWELL OP VISIT NEW LEVEL 5	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 HC OP INITL OB VISIT NEW LVL5	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 FP INITIAL OB VISIT NEW PT RES	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 FP OFFICE VISIT LVL 5 NEW RES	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 VWF OFFICE OUTPATIENT-NEW L5	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 MRMS NEW VISIT LEVEL 5-FAC	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE VISIT NEW PT LVL 5	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 PLC OUTPT VISIT-NEW LVL 5	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 CC GENETICS NEW PT FAC L5	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 CC THORACIC ONC NEW PT FAC L5	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 HC OP OFFICE VISIT NEW LVL5	$89.88	$428.00	79%
New patient office visit, about 60 minutes CPT 99205 OFF/OP VISIT NEW LVL 5-PF	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 PF OFFICE VISIT NEW LEVEL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 PF NEW PT OFFICE VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OFF/OUTPT VISIT NEW LVL 5 PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OP VISIT NEW L5-PRO FEE	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OUTPT VISIT NEW LEVEL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OUTPT VISIT NEW LVL 5 PROF	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OMF OFFICE VISIT NEW LVL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 ENTP OP VISIT NEW LVL 5 PROF	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 PF OP VISIT NEW LVL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 PF OFF VISIT NEW LVL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OUTPATIENT VISIT NEW LVL5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 PF OUTPT CLINIC VISIT NEW LVL5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 PF OFFICE/OP VISIT NEW L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OUTPATIENT OFFICE VISIT NEW L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT-NEW L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OUTPT VISIT/NEW L5-PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT VISIT L5-PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 STRCT HRT NEW PT VISIT 5 PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OUTPT VISIT NEW LVL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OFF/OUTPT VISIT NEW LVL 5 PROF	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OUTPT VISIT L5-PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OUTPT VISIT NEW LVL 5-PRO FEE	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OUTPT VISIT NEW L5 PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 PF OP INITL OB VISIT NEW LVL5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OUTPT VISIT NEW LVL 5-PROF	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 TSP OFF VISIT NEW LVL 5 PROF	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 VSP P OFFICE-OUTPATIENT-NEW L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 MREM NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 NEW OUTPT VISIT L5-PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 PF NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 MRHR NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 MRIH NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 MRSV NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 MRTC NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 MRMR NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 MRBH NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 MRCD NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 MRCP NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 PF OFFICE VISIT NEW PT LVL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 PF BDC OP VISIT NEW LVL5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 PF OFFICE VISIT NEW PT LEVEL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT NEW L5 PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 IPC NEW PT OFFICE VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 IPE NEW OFFICE VISIT LVL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 IPS NEW OFFICE VISIT LVL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 IPG NEW OFFICE VISIT LVL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 IPN NEW OFFICE VISIT LVL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OUTPT VISIT NEW L5-PRO FEE	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OFF VISIT NEW LVL 5 PROF	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 PF OFFICE VISIT NEW LVL5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OUTPT VISIT NEW-LEVEL 5-PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OUTPT NEW PT VISIT L5 PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OUTPATIENT VISIT NEW LEVEL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 PF OP OFFICE VISIT NEW LVL5	$99.54	$474.00	79%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPT VISIT NEW LVL 5	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPT VISIT-NEW LEVEL 5	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 TSP OFF VISIT NEW PATIENT L5	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 VSP OFF/OUTPT VISIT/NEW LVL 5	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 DES OV NEW LEVEL 5-GLOBAL	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OFFICE VISIT L5	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT NEW L5	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPT VISIT NEW L5	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 RET NEW PATIENT LEVEL 5	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPT VISIT-NEW LVL 5	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 OBPS OFF VISIT NEW PATIENT L5	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 OFF/OP VISIT NEW LVL 5	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT VISIT L5	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 CARP OFFICE/OUTPT VISIT-NEW L5	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 STRCT HRT NEW PT VISIT 5	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 WIC OFFICE VISIT NEW LVL 5	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT L5 NEW PT	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 CCP GEN NEW PT OV FNP L-5	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT NEW-LVL 5	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 PLC OUTPT VISIT- NEW LVL5	$189.42	$902.00	79%
New patient office visit, about 60 minutes CPT 99205 INFD OFF VISIT NEW PATIENT L5	$189.42	$902.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OUTPT VISIT NEW-LEVEL 5-PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 PF OFFICE VISIT NEW LVL5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OFF VISIT NEW LVL 5 PROF	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OUTPT VISIT NEW L5-PRO FEE	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 IPN NEW OFFICE VISIT LVL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 IPG NEW OFFICE VISIT LVL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 IPS NEW OFFICE VISIT LVL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 IPE NEW OFFICE VISIT LVL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 IPC NEW PT OFFICE VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 ENTP OP VISIT NEW LVL 5 PROF	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OMF OFFICE VISIT NEW LVL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OUTPT VISIT NEW LVL 5 PROF	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OUTPT VISIT NEW LEVEL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPT VISIT NEW L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OP VISIT NEW L5-PRO FEE	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OFF/OUTPT VISIT NEW LVL 5 PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 PF NEW PT OFFICE VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 PF OFFICE VISIT NEW LEVEL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 PF OP VISIT NEW LVL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 PF OFF VISIT NEW LVL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OUTPT VISIT NEW L5 PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 VSP P OFFICE-OUTPATIENT-NEW L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 MREM NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW OUTPT VISIT L5-PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 PF NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 MRHR NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 MRIH NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 MRSV NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 MRTC NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 MRMR NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 MRBH NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 MRCD NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 MRCP NEW OUTPATIENT VISIT L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 PF OFFICE VISIT NEW PT LVL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 PF BDC OP VISIT NEW LVL5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 PF OFFICE VISIT NEW PT LEVEL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE VISIT NEW L5 PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OFF/OP VISIT NEW LVL 5-PF	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 PF OP OFFICE VISIT NEW LVL5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OUTPATIENT VISIT NEW LEVEL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OUTPT NEW PT VISIT L5 PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OUTPATIENT VISIT NEW LVL5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 PF OUTPT CLINIC VISIT NEW LVL5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 PF OFFICE/OP VISIT NEW L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OUTPATIENT OFFICE VISIT NEW L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPATIENT VISIT-NEW L5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OUTPT VISIT/NEW L5-PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT VISIT L5-PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 STRCT HRT NEW PT VISIT 5 PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OUTPT VISIT NEW LVL 5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OFF/OUTPT VISIT NEW LVL 5 PROF	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT OUTPT VISIT L5-PRO	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OUTPT VISIT NEW LVL 5-PRO FEE	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 PF OP INITL OB VISIT NEW LVL5	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 OUTPT VISIT NEW LVL 5-PROF	$99.54	$474.00	79%
New patient office visit, about 60 minutes inpatient CPT 99205 TSP OFF VISIT NEW LVL 5 PROF	$99.54	$474.00	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTA THERAPEUTIC PROCED	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTA THERAPEUTC PROCEDUR 1UNIT	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC PROCEDURE 1UNIT	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC PROC	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC PROC	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC PROC 1UNIT	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC PROC 1UNIT	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC PROC 1UNIT	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SP THER PROC 15 MIN EXERC(S)	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC PROCED	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC PROC	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SP THER PROC 15 MIN EXERC(S)	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA THERAPEUTIC PROCED	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC PROCED	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA THERAPEUTC PROCEDUR 1UNIT	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC PROCEDURE 1UNIT	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC PROC	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC PROC 1UNIT	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC PROC 1UNIT	$19.95	$95.00	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC PROC 1UNIT	$19.95	$95.00	79%
Preventive checkup, new patient aged 18–39 CPT 99385 HC INT PRVNT VST NEW PT 18-39Y	$26.25	$125.00	79%
Preventive checkup, new patient aged 18–39 CPT 99385 PF INT PRVNT VST NEW PT 18-39Y	$29.19	$139.00	79%
Preventive checkup, new patient aged 18–39 CPT 99385 HC PREVENTIVE VIST NEW-18-39YR	$30.24	$144.00	79%
Preventive checkup, new patient aged 18–39 CPT 99385 NEW PREVENTIVE VST/PELV 18-39	$30.24	$144.00	79%
Preventive checkup, new patient aged 18–39 CPT 99385 NEW PREVENTIVE VST/PAP 18-39	$30.24	$144.00	79%
Preventive checkup, new patient aged 18–39 CPT 99385 NEW PREVENTIVE/PAP/PELV 18-39	$30.24	$144.00	79%
Preventive checkup, new patient aged 18–39 CPT 99385 FP WELL CARE 18-39 YRS NEW-RES	$30.24	$144.00	79%
Preventive checkup, new patient aged 18–39 CPT 99385 HC INT PRVNT MD NEW PT 18-39YR	$30.24	$144.00	79%
Preventive checkup, new patient aged 18–39 CPT 99385 HC PREVENT VISIT NEW 18-39YR	$30.24	$144.00	79%
Preventive checkup, new patient aged 18–39 CPT 99385 NHI HC PREV VISIT NEW 18-39	$30.24	$144.00	79%
Preventive checkup, new patient aged 18–39 CPT 99385 HC INT PREVMED NEW 18-39YR	$30.24	$144.00	79%
Preventive checkup, new patient aged 18–39 CPT 99385 PF INT PRVNT MD NEW PT 18-39YR	$32.13	$153.00	79%
Preventive checkup, new patient aged 18–39 CPT 99385 PF PREVENTIVE VIST NEW-18-39YR	$32.13	$153.00	79%
Preventive checkup, new patient aged 18–39 CPT 99385 PF INT PREVMED NEW 18-39YR	$32.13	$153.00	79%
Preventive checkup, new patient aged 18–39 CPT 99385 PF PREVENT VISIT NEW 18-39YR	$32.13	$153.00	79%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PF INT PRVNT VST NEW PT 18-39Y	$29.19	$139.00	79%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PREVENTIVE VIST NEW-18-39YR	$30.24	$144.00	79%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC INT PREVMED NEW 18-39YR	$30.24	$144.00	79%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC INT PRVNT MD NEW PT 18-39YR	$30.24	$144.00	79%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PF INT PRVNT MD NEW PT 18-39YR	$32.13	$153.00	79%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PF PREVENT VISIT NEW 18-39YR	$32.13	$153.00	79%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PF PREVENTIVE VIST NEW-18-39YR	$32.13	$153.00	79%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PF INT PREVMED NEW 18-39YR	$32.13	$153.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 PF WELL CARE 40-64 YRS NEW	$21.00	$100.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 HC PREVENTIVE VIST NEW-40-64YR	$31.71	$151.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 HC INT PRVNT VST NEW PT 40-64Y	$31.71	$151.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 HC PREVENT VISIT NEW-40-64 YR	$36.54	$174.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 HC WELL CARE 40-64 YRS NEW	$36.54	$174.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 NEW PREVENTIVE VST/PELV 40-64	$36.54	$174.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 NEW PREVENTIVE VST/PAP 40-64	$36.54	$174.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 NEW PREVENTIVE/PAP/PELV 40-64	$36.54	$174.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 NEW PREVENTIVE/DRE 40-64	$36.54	$174.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 FP WELL CARE 40-64 YRS NEW-RES	$36.54	$174.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 HC INT PREVMED NEW 40-64YR	$36.54	$174.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 HC INT PRVNT MD NEW PT 40-64YR	$36.54	$174.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 NHI HC PREV VISIT NEW 40-64	$36.54	$174.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 PF PREVENTIVE VST NEW-40-64 YR	$41.58	$198.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 PF INT PRVNT VST NEW PT 40-64Y	$45.78	$218.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 PF INT PRVNT MD NEW PT 40-64YR	$45.78	$218.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 PF PREVENTIVE VIST NEW-40-64YR	$45.78	$218.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 PF INT PREVMED NEW 40-64YR	$45.78	$218.00	79%
Preventive checkup, new patient aged 40–64 CPT 99386 PF PREVENT VISIT NEW-40-64 YR	$45.78	$218.00	79%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PF WELL CARE 40-64 YRS NEW	$21.00	$100.00	79%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PREVENTIVE VIST NEW-40-64YR	$31.71	$151.00	79%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC INT PREVMED NEW 40-64YR	$36.54	$174.00	79%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC INT PRVNT MD NEW PT 40-64YR	$36.54	$174.00	79%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PF PREVENTIVE VST NEW-40-64 YR	$41.58	$198.00	79%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PF PREVENT VISIT NEW-40-64 YR	$45.78	$218.00	79%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PF INT PREVMED NEW 40-64YR	$45.78	$218.00	79%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PF PREVENTIVE VIST NEW-40-64YR	$45.78	$218.00	79%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PF INT PRVNT VST NEW PT 40-64Y	$45.78	$218.00	79%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PF INT PRVNT MD NEW PT 40-64YR	$45.78	$218.00	79%
Psychotherapy session, 30 minutes CPT 90832 PF PSYCHOTHERAPY W/PATIENT 30M	$33.60	$160.00	79%
Psychotherapy session, 30 minutes CPT 90832 PF PSYTX W PT 30 MINUTES	$33.60	$160.00	79%
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAM 30 MIN PRO	$33.60	$160.00	79%
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAMILY 30 MINUTES	$33.60	$160.00	79%
Psychotherapy session, 30 minutes CPT 90832 PF BH PSYCHOTHER W/PT 30M	$33.60	$160.00	79%
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAMILY 30 MIN INPT	$33.60	$160.00	79%
Psychotherapy session, 30 minutes CPT 90832 MRE PF NSY PSYTX PT&/FAM 30M	$33.60	$160.00	79%
Psychotherapy session, 30 minutes CPT 90832 PF PSYCHOTHERAPY W/PT 30MIN	$33.60	$160.00	79%
Psychotherapy session, 30 minutes CPT 90832 PF PSYCH THERAPY 30MIN	$33.60	$160.00	79%
Psychotherapy session, 30 minutes CPT 90832 HC BH PSYCHOTHER W/PT 30M	$47.04	$224.00	79%
Psychotherapy session, 30 minutes CPT 90832 MROC PSYTX PT&/FAMILY 30 MIN	$47.04	$224.00	79%
Psychotherapy session, 30 minutes CPT 90832 MRE HC NSY PSYTX PT&/FAM 30M	$47.04	$224.00	79%
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAMILY 30 MIN	$47.04	$224.00	79%
Psychotherapy session, 30 minutes CPT 90832 BH PSYCH THERAPY 30 MIN	$47.04	$224.00	79%
Psychotherapy session, 30 minutes CPT 90832 HC PSYTX PT&/FAMILY 30MIN	$47.04	$224.00	79%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W/PT 30MIN	$47.04	$224.00	79%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30M	$47.04	$224.00	79%
Psychotherapy session, 30 minutes CPT 90832 PSP PSYTX PT 30 MIN	$47.04	$224.00	79%
Psychotherapy session, 30 minutes CPT 90832 PSYCH THERAPY 30 MIN	$47.04	$224.00	79%
Psychotherapy session, 30 minutes CPT 90832 HC PSYTX W PT 30 MINUTES	$47.04	$224.00	79%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCH THERAPY 30MIN	$47.04	$224.00	79%
Psychotherapy session, 30 minutes CPT 90832 MRBM PSYTX PT&/FAMILY 30 MIN	$80.64	$384.00	79%
Psychotherapy session, 30 minutes CPT 90832 PF PSYTX PT&/FAMILY 30MIN	$80.64	$384.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAMILY 30 MIN INPT	$33.60	$160.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 MRE PF NSY PSYTX PT&/FAM 30M	$33.60	$160.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 PF PSYCHOTHERAPY W/PATIENT 30M	$33.60	$160.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 PF PSYCH THERAPY 30MIN	$33.60	$160.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 PF PSYTX W PT 30 MINUTES	$33.60	$160.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 PF PSYCHOTHERAPY W/PT 30MIN	$33.60	$160.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAMILY 30 MINUTES	$33.60	$160.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 PF BH PSYCHOTHER W/PT 30M	$33.60	$160.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAM 30 MIN PRO	$33.60	$160.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC BH PSYCHOTHER W/PT 30M	$47.04	$224.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCH THERAPY 30MIN	$47.04	$224.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYTX W PT 30 MINUTES	$47.04	$224.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 MROC PSYTX PT&/FAMILY 30 MIN	$47.04	$224.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 MRE HC NSY PSYTX PT&/FAM 30M	$47.04	$224.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCH THERAPY 30 MIN	$47.04	$224.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSP PSYTX PT 30 MIN	$47.04	$224.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30M	$47.04	$224.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W/PT 30MIN	$47.04	$224.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAMILY 30 MIN	$47.04	$224.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 BH PSYCH THERAPY 30 MIN	$47.04	$224.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYTX PT&/FAMILY 30MIN	$47.04	$224.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 MRBM PSYTX PT&/FAMILY 30 MIN	$80.64	$384.00	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 PF PSYTX PT&/FAMILY 30MIN	$80.64	$384.00	79%
Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&/FAMILY 45 MINUTES	$45.99	$219.00	79%
Psychotherapy session, 45 minutes CPT 90834 PF PSYCHOTHERAPY W/PATIENT 45M	$45.99	$219.00	79%
Psychotherapy session, 45 minutes CPT 90834 PF PSYCHOTHERAPY W/PT 45MIN	$45.99	$219.00	79%
Psychotherapy session, 45 minutes CPT 90834 BH PSYCH THERAPY 45 MIN-PRO	$45.99	$219.00	79%
Psychotherapy session, 45 minutes CPT 90834 MRE PF NSY PSYTX PT&/FAM 45M	$45.99	$219.00	79%
Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&/FAMILY 45 MIN-PROFEE	$45.99	$219.00	79%
Psychotherapy session, 45 minutes CPT 90834 PF BH PSYCHOTHER W/PT 45M	$45.99	$219.00	79%
Psychotherapy session, 45 minutes CPT 90834 PF PSYCH THERAPY 45MIN	$45.99	$219.00	79%
Psychotherapy session, 45 minutes CPT 90834 HC BH PSYCHOTHER W/PT 45M	$61.95	$295.00	79%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCH THERAPY 45MIN	$61.95	$295.00	79%
Psychotherapy session, 45 minutes CPT 90834 PSYCH THERAPY 45 MIN	$61.95	$295.00	79%
Psychotherapy session, 45 minutes CPT 90834 PSP PSYTX PT 45 MIN	$61.95	$295.00	79%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45M	$61.95	$295.00	79%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W/PT 45MIN	$61.95	$295.00	79%
Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES-FACILITY	$61.95	$295.00	79%
Psychotherapy session, 45 minutes CPT 90834 BH PSYCH THERAPY 45 MIN	$61.95	$295.00	79%
Psychotherapy session, 45 minutes CPT 90834 MRE HC NSY PSYTX PT&/FAM 45M	$61.95	$295.00	79%
Psychotherapy session, 45 minutes CPT 90834 MROC PSYTX PT&/FAMILY 45 MIN	$61.95	$295.00	79%
Psychotherapy session, 45 minutes CPT 90834 MRBM PSYTX PT&/FAMILY 45 MIN	$107.94	$514.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 PF PSYCHOTHERAPY W/PT 45MIN	$45.99	$219.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 BH PSYCH THERAPY 45 MIN-PRO	$45.99	$219.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 MRE PF NSY PSYTX PT&/FAM 45M	$45.99	$219.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 PF PSYCHOTHERAPY W/PATIENT 45M	$45.99	$219.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 PF BH PSYCHOTHER W/PT 45M	$45.99	$219.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT&/FAMILY 45 MINUTES	$45.99	$219.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 PF PSYCH THERAPY 45MIN	$45.99	$219.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT&/FAMILY 45 MIN-PROFEE	$45.99	$219.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W/PT 45MIN	$61.95	$295.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCH THERAPY 45MIN	$61.95	$295.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCH THERAPY 45 MIN	$61.95	$295.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSP PSYTX PT 45 MIN	$61.95	$295.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45M	$61.95	$295.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 45 MINUTES-FACILITY	$61.95	$295.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 BH PSYCH THERAPY 45 MIN	$61.95	$295.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 MRE HC NSY PSYTX PT&/FAM 45M	$61.95	$295.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 MROC PSYTX PT&/FAMILY 45 MIN	$61.95	$295.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC BH PSYCHOTHER W/PT 45M	$61.95	$295.00	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 MRBM PSYTX PT&/FAMILY 45 MIN	$107.94	$514.00	79%
Psychotherapy session, 60 minutes CPT 90837 PF BH PSYCHOTHER W/PT 60M	$68.88	$328.00	79%
Psychotherapy session, 60 minutes CPT 90837 PF PSYCH THERAPY 60MIN	$68.88	$328.00	79%
Psychotherapy session, 60 minutes CPT 90837 PSYTX PT&/FAMILY 60 MINUTES-PF	$68.88	$328.00	79%
Psychotherapy session, 60 minutes CPT 90837 MRE PF NSY PSYTX PT&/FAM 60M	$68.88	$328.00	79%
Psychotherapy session, 60 minutes CPT 90837 BH PSYCH THERAPY 60 MIN-PRO	$68.88	$328.00	79%
Psychotherapy session, 60 minutes CPT 90837 PF PSYCHOTHERAPY W/PT 60MIN	$68.88	$328.00	79%
Psychotherapy session, 60 minutes CPT 90837 PF PSYCHOTHERAPY W/PATIENT 60M	$68.88	$328.00	79%
Psychotherapy session, 60 minutes CPT 90837 PSYTX PT&/FAMILY 60 MINUTES	$68.88	$328.00	79%
Psychotherapy session, 60 minutes CPT 90837 HC BH PSYCHOTHER W/PT 60M	$76.86	$366.00	79%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCH THERAPY 60MIN	$76.86	$366.00	79%
Psychotherapy session, 60 minutes CPT 90837 PSYCH THERAPY 60 MIN	$76.86	$366.00	79%
Psychotherapy session, 60 minutes CPT 90837 PSP PSYTX PT 60 MIN	$76.86	$366.00	79%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W/PATIENT 60M	$76.86	$366.00	79%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W/PT 60MIN	$76.86	$366.00	79%
Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES-FACILITY	$76.86	$366.00	79%
Psychotherapy session, 60 minutes CPT 90837 BH PSYCH THERAPY 60 MIN	$76.86	$366.00	79%
Psychotherapy session, 60 minutes CPT 90837 MRE HC NSY PSYTX PT&/FAM 60M	$76.86	$366.00	79%
Psychotherapy session, 60 minutes CPT 90837 MROC PSYTX PT&/FAMILY 60 MIN	$76.86	$366.00	79%
Psychotherapy session, 60 minutes CPT 90837 MRBM PSYTX PT&/FAMILY 60 MIN	$145.74	$694.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 MRE PF NSY PSYTX PT&/FAM 60M	$68.88	$328.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 BH PSYCH THERAPY 60 MIN-PRO	$68.88	$328.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 PF PSYCHOTHERAPY W/PT 60MIN	$68.88	$328.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 PF PSYCHOTHERAPY W/PATIENT 60M	$68.88	$328.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT&/FAMILY 60 MINUTES	$68.88	$328.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 PF BH PSYCHOTHER W/PT 60M	$68.88	$328.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT&/FAMILY 60 MINUTES-PF	$68.88	$328.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 PF PSYCH THERAPY 60MIN	$68.88	$328.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCH THERAPY 60MIN	$76.86	$366.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCH THERAPY 60 MIN	$76.86	$366.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 MRE HC NSY PSYTX PT&/FAM 60M	$76.86	$366.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 BH PSYCH THERAPY 60 MIN	$76.86	$366.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINUTES-FACILITY	$76.86	$366.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W/PT 60MIN	$76.86	$366.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 MROC PSYTX PT&/FAMILY 60 MIN	$76.86	$366.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC BH PSYCHOTHER W/PT 60M	$76.86	$366.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W/PATIENT 60M	$76.86	$366.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSP PSYTX PT 60 MIN	$76.86	$366.00	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 MRBM PSYTX PT&/FAMILY 60 MIN	$145.74	$694.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC BDC EST OP CONSULT LVL3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW/EST OFFICE CNSLT L3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 MRMS EST CONSULT LEVEL 3-FAC	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 MRMS NEW CONSULT LEVEL 3-FAC	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST OP CONSULT LEVEL 3-RES	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW OP CONSULT LEVEL 3-RES	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW/EST OFFICE CNSLT LVL3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW/EST OFFICE CONSULT L3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST OP CONSULT L3-FAC	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW OP CONSULT L3-FAC	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC OFFICE CNSLT NEW/EST PT 40M	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC EST OP CONSULT L3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW OP CONSULT L3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW/EST OP CONSULT LEVEL 3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC EST OP CONSULT L 3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW OP CONSULT L 3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC OP CONSULT NEW/EST LVL 3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC EST OP CONSULT LEVEL 3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW OP CONSULT LEVEL 3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC OFFICE CONSULT LEVEL 3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW/EST CONSULT L3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC EST OFFICE CONSULT LEVEL 3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW OFFICE CONSULT LEVEL 3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NHI HC EST OFFICE CONSULT LVL3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NHI HC NEW OFFICE CONSULT LVL3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW/EST OFFICE CONSULT LVL3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW OP CONSULT LEVEL 3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST OP CONSULT LEVEL 3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW OP CONSULT L3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC EST OP CONSULT L3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC HC NEW/EST CONSULT L3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PLC NEW OP CONSULT LEVEL 3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PLC OP EST CONSULT LEVEL 3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC BDC NEW OP CONSULT LVL3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF OP CONSULT EST LVL 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 IPC EST OP CONSULT L3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 IPC NEW OP CONSULT L3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 IPE EST OUTPT CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 IPE NEW OUTPT CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 IPS EST OUTPT CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 IPS NEW OUTPT CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 IPG EST OUTPT CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 IPG NEW OUTPT CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 IPN EST OUTPT CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 IPN NEW OUTPT CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF EST CONSULT L3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF NEW CONSULT L3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OUTPT EST CONSULT L3 PRO	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OUTPT NEW CONSULT L3 PRO	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF OFFICE CONSULT LEVEL 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF OP CONSULT NEW LVL 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW OP CONSULT LVL3-PRO	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST OP CONSULT LVL3-PRO	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF BDC NEW OP CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF BDC EST OP CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 MRCP NEW OP CONSULT L3-PF	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 MRCP EST OP CONSULT L3-PF	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 MRTC NEW OP CONSULT L3-PF	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 MRTC EST OP CONSULT L3-PF	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF NEW/EST OFFICE CNSLT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST OP CONSULT L 3-PROF	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST OUTPATIENT CONSULT LEVEL 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW OUTPATIENT CONSULT LEVEL 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 STRCT HRT NEW OP CONS LV3 PRO	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 STRCT HRT EST OP CONS LV3 PRO	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF NEW OFFICE CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF EST OFFICE CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW OP CONSULT L3-PF	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST OP CONSULT L3-PF	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF OFFICE CONSULT EST PT 40M	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF OFFICE CONSULT NEW PT 40M	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF NEW OP CONSULT L 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF EST OP CONSULT L 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF NEW OP CONSULT L 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF EST OP CONSULT L 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF NEW OP CONSULT LEVEL 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF EST OP CONSULT LEVEL 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW OP CONSULT L 3-PROF	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST OP CONSULT L 3-PROF	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW OP CONSULT L3 PRO	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST OP CONSULT L3 PRO	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF NEW OFFICE CONSULT LEVEL 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PF EST OFFICE CONSULT LEVEL 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST OP CONSULT L 3-OFC	$98.70	$470.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW OP CONSULT L 3-OFC	$98.70	$470.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW OP CONSULT LEVEL 3	$98.70	$470.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST OP CONSULT LVL 3	$98.70	$470.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW OP CONSULT LVL 3	$98.70	$470.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 STRCT HRT EST OP CONS LV3	$98.70	$470.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW PLC OP CONSULT LEVEL 3	$98.70	$470.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST PLC OP CONSULT LEVEL 3	$98.70	$470.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 STRCT HRT NEW OP CONS LV3	$98.70	$470.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST OP CONSULT LEVEL 3	$98.70	$470.00	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 TSP OFF CONSULT L3	$98.70	$470.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC EST OP CONSULT LEVEL 3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC EST OP CONSULT L3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC NEW OP CONSULT L3	$39.06	$186.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 NEW OP CONSULT L3-PF	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 EST OP CONSULT L3 PRO	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF NEW OFFICE CONSULT LEVEL 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF EST OFFICE CONSULT LEVEL 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 IPC EST OP CONSULT L3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 IPC NEW OP CONSULT L3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 IPE EST OUTPT CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 IPE NEW OUTPT CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 IPS EST OUTPT CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 IPS NEW OUTPT CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 IPG EST OUTPT CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 IPG NEW OUTPT CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 IPN EST OUTPT CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 IPN NEW OUTPT CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF EST CONSULT L3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF NEW CONSULT L3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OUTPT EST CONSULT L3 PRO	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OUTPT NEW CONSULT L3 PRO	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF OFFICE CONSULT LEVEL 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 NEW OP CONSULT L 3-PROF	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 EST OP CONSULT L 3-PROF	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 NEW OP CONSULT L3 PRO	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF EST OP CONSULT L 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF NEW OP CONSULT L 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF EST OP CONSULT L 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF NEW OP CONSULT L 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF OFFICE CONSULT NEW PT 40M	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 STRCT HRT NEW OP CONS LV3 PRO	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 STRCT HRT EST OP CONS LV3 PRO	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF NEW OFFICE CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF EST OFFICE CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF OFFICE CONSULT EST PT 40M	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 EST OP CONSULT L3-PF	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF OP CONSULT EST LVL 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF OP CONSULT NEW LVL 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 NEW OP CONSULT LVL3-PRO	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 EST OP CONSULT LVL3-PRO	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF BDC NEW OP CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF BDC EST OP CONSULT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 MRCP NEW OP CONSULT L3-PF	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 MRCP EST OP CONSULT L3-PF	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 MRTC NEW OP CONSULT L3-PF	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 MRTC EST OP CONSULT L3-PF	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF NEW/EST OFFICE CNSLT LVL3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 EST OP CONSULT L 3-PROF	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 EST OUTPATIENT CONSULT LEVEL 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF NEW OP CONSULT LEVEL 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PF EST OP CONSULT LEVEL 3	$59.64	$284.00	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 NEW OUTPATIENT CONSULT LEVEL 3	$59.64	$284.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC OFFICE CONSULT LEVEL 4	$30.66	$146.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC EST OP CONSULT L4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC HC NEW/EST CONSULT L4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW OP CONSULT L4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW OP CONSULT L 4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EST OP CONSULT LEVEL 4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW/EST CONSULT L4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC OP CONSULT NEW/EST LVL 4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PLC NEW OP CONSULT LEVEL 4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PLC OP EST CONSULT LEVEL 4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC BDC NEW OP CONSULT LVL4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC BDC EST OP CONSULT LVL4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW/EST OFFICE CNSLT L4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 MRMS EST CONSULT LEVEL 4-FAC	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 MRMS NEW CONSULT LEVEL 4-FAC	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 NEW OP CONSULT LEVEL 4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EST OP CONSULT LEVEL 4-RES	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC EST OFFICE CONSULT LEVEL 4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW OFFICE CONSULT LEVEL 4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW/EST OFFICE CONSULT LVL4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC EST OP CONSULT LEVEL 4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW OP CONSULT LEVEL 4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW/EST OFFICE CNSLT LVL4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 NEW OP CONSULT LEVEL 4-RES	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC EST OP CONSULT LEVEL 4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC EST OP CONSULT L4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW/EST OFFICE CONSULT L4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EST OP CONSULT L4-FAC	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 NEW OP CONSULT L4-FAC	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC OFFICE CNSLT NEW/EST PT 60M	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW/EST OP CONSULT LEVEL 4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 LAC OP LACTATION CONSULT	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW OP CONSULT L4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC EST OP CONSULT L 4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 IPG NEW OUTPT CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF NEW OP CONSULT L 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF EST OP CONSULT L 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF NEW OP CONSULT LEVEL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF EST OP CONSULT LEVEL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EST OP CONSULT L 4-PROF	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 NEW OP CONSULT L 4-PROF	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF EST OP CONSULT LEVEL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 NEW OP CONSULT L4 PRO	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EST OP CONSULT L4 PRO	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF NEW OFFICE CONSULT LEVEL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF EST OFFICE CONSULT LEVEL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF OFFICE CONSULT NEW PT 60M	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF OFFICE CONSULT EST PT 60M	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EST OP CONSULT L4-PF	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 IPC EST OP CONSULT L4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 IPC NEW OP CONSULT L4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 IPE EST OUTPT CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 IPE NEW OUTPT CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 IPS EST OUTPT CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 IPS NEW OUTPT CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 IPG EST OUTPT CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF NEW OP CONSULT L 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 IPN EST OUTPT CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 IPN NEW OUTPT CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF EST CONSULT L4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF NEW CONSULT L4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OUTPT EST CONSULT L4 PRO	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OUTPT NEW CONSULT L4 PRO	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF OP CONSULT EST LVL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF OP CONSULT NEW LVL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 NEW OP CONSULT LVL4-PRO	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EST OP CONSULT LVL4-PRO	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF BDC NEW OP CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF BDC EST OP CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 MRCP NEW OP CONSULT L4-PF	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 MRCP EST OP CONSULT L4-PF	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 MRTC NEW OP CONSULT L4-PF	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 MRTC EST OP CONSULT L4-PF	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF NEW/EST OFFICE CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF OFFICE CONSULT LEVEL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EST OP CONSULT L 4-PROF	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EST OUTPATIENT CONSULT LEVEL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 NEW OUTPATIENT CONSULT LEVEL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 STRCT HRT NEW OP CONS LV4 PRO	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 STRCT HRT EST OP CONS LV4 PRO	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF NEW OFFICE CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PF EST OFFICE CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 NEW OP CONSULT L4-PF	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 NEW OP CONSULT L 4-OFC	$142.59	$679.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 NEW PLC OP CONSULT LEVEL 4	$142.59	$679.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EST OP CONSULT L 4-OFC	$142.59	$679.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EST PLC OP CONSULT LEVEL 4	$142.59	$679.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EST OP CONSULT LEVEL 4	$142.59	$679.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 STRCT HRT NEW OP CONS LV4	$142.59	$679.00	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 STRCT HRT EST OP CONS LV4	$142.59	$679.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC EST OP CONSULT L4	$53.34	$254.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 IPS NEW OUTPT CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 EST OUTPATIENT CONSULT LEVEL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 NEW OP CONSULT L 4-PROF	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF EST OP CONSULT LEVEL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 NEW OP CONSULT L4 PRO	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 EST OP CONSULT L4 PRO	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF NEW OFFICE CONSULT LEVEL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF EST OFFICE CONSULT LEVEL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 IPG EST OUTPT CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 EST OP CONSULT L4-PF	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 NEW OP CONSULT L4-PF	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF EST OFFICE CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF NEW OFFICE CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 STRCT HRT EST OP CONS LV4 PRO	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 STRCT HRT NEW OP CONS LV4 PRO	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 NEW OUTPATIENT CONSULT LEVEL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 EST OP CONSULT L 4-PROF	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 IPG NEW OUTPT CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 IPN EST OUTPT CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 IPN NEW OUTPT CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF EST CONSULT L4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF NEW CONSULT L4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OUTPT EST CONSULT L4 PRO	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OUTPT NEW CONSULT L4 PRO	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF OP CONSULT EST LVL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF OP CONSULT NEW LVL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 NEW OP CONSULT LVL4-PRO	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 EST OP CONSULT LVL4-PRO	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF BDC NEW OP CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF BDC EST OP CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 MRCP NEW OP CONSULT L4-PF	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 MRCP EST OP CONSULT L4-PF	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 IPS EST OUTPT CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 IPE NEW OUTPT CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 IPE EST OUTPT CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 IPC NEW OP CONSULT L4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 IPC EST OP CONSULT L4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 MRTC NEW OP CONSULT L4-PF	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 MRTC EST OP CONSULT L4-PF	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF NEW/EST OFFICE CONSULT LVL4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF OFFICE CONSULT LEVEL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 EST OP CONSULT L 4-PROF	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF EST OP CONSULT LEVEL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF NEW OP CONSULT LEVEL 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF EST OP CONSULT L 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF NEW OP CONSULT L 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF NEW OP CONSULT L 4	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF OFFICE CONSULT NEW PT 60M	$89.25	$425.00	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PF OFFICE CONSULT EST PT 60M	$89.25	$425.00	79%

Source file: https://northernlighthealth.org/NLH/media/Price-Transparency/010211501_Eastern-Maine-Medical-Center_standardcharges.csv