Southwell Medical Center
Southwell Medical Center in Adel, GA publishes cash prices for 280 common procedures listed here, from its own machine-readable price file updated Aug 11, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Georgia median for 246 of 275 procedures and above it for 25. By typical cash price it ranks #2 of 64 Georgia hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
260 MJ Taylor Road, Adel, GA 31620 Collected Sep 28, 2026 Source price file (229) 896-8077
Acute care hospital No emergency department CCN 110101 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR Ankle Complete 3+ Views Bilateral | $30.68 | $61.35 | $10.06–$109.23 | — | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Left | $30.68 | $61.35 | $10.06–$109.23 | 88% below | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Right | $30.68 | $61.35 | $10.06–$109.23 | 88% below | 50% |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR Ankle Complete 3+ Views Bilateral | $30.68 | $61.35 | $23.19–$61.35 | — | 50% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Right | $30.68 | $61.35 | $23.19–$61.35 | — | 50% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Left | $30.68 | $61.35 | $23.19–$61.35 | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 CV Vascular Acquisition | $171.00 | $342.00 | $56.06–$342.00 | 62% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 PVR ARTERIAL 2 LEVELS | $188.93 | $377.85 | $61.93–$377.85 | 58% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 CV VAS RUE PVR wSPP | $293.62 | $587.23 | $81.51–$587.23 | 35% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 CV VAS LUE PVR wSPP | $293.62 | $587.23 | $81.51–$587.23 | 35% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 CV VAS RLE PVR wSPP | $293.62 | $587.23 | $81.51–$587.23 | 35% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 CV VAS LLE PVR wSPP | $356.50 | $713.00 | $81.51–$713.00 | 21% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 CV Vascular Acquisition | $171.00 | $342.00 | $129.28–$342.00 | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 PVR ARTERIAL 2 LEVELS | $188.93 | $377.85 | $142.83–$377.85 | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 CV VAS LUE PVR wSPP | $293.62 | $587.23 | $221.97–$587.23 | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 CV VAS RLE PVR wSPP | $293.62 | $587.23 | $221.97–$587.23 | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 CV VAS RUE PVR wSPP | $293.62 | $587.23 | $221.97–$587.23 | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 CV VAS LLE PVR wSPP | $293.62 | $587.23 | $221.97–$587.23 | — | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 3M XR Esophagus | $155.50 | $311.00 | $50.97–$311.00 | 50% below | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus | $155.50 | $311.00 | $50.97–$311.00 | 50% below | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR (Cartwright) Barium Swallow/Dysphagia | $318.00 | $636.00 | $97.48–$636.00 | 3% above | 50% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Esophagus | $155.50 | $311.00 | $117.56–$311.00 | — | 50% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 3M XR Esophagus | $155.50 | $311.00 | $117.56–$311.00 | — | 50% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR (Cartwright) Barium Swallow/Dysphagia | $318.00 | $636.00 | $240.41–$636.00 | — | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Whole Body Scan | $1,121.96 | $2,243.91 | $266.06–$2,243.91 | 1% above | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging Whole Body Injection | $1,362.00 | $2,724.00 | $266.06–$2,724.00 | 22% above | 50% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Whole Body Scan | $1,121.96 | $2,243.91 | $848.20–$2,243.91 | — | 50% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Imaging Whole Body Injection | $1,121.96 | $2,243.91 | $848.20–$2,243.91 | — | 50% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST COMPLETE BILATERAL | $471.50 | $943.00 | $90.15–$183.24 | — | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left | $48.00 | $96.00 | $15.73–$306.64 | 87% below | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right | $48.00 | $96.00 | $15.73–$306.64 | 87% below | 50% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST COMPLETE BILATERAL | $450.00 | $900.00 | $340.20–$900.00 | — | 50% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right | $48.00 | $96.00 | $36.29–$96.00 | — | 50% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left | $48.00 | $96.00 | $36.29–$96.00 | — | 50% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST LIMITED BILATERAL | $273.50 | $547.00 | $75.04–$152.52 | — | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right | $40.00 | $80.00 | $13.11–$254.53 | 90% below | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left | $40.00 | $80.00 | $13.11–$254.53 | 90% below | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST LIMITED BILATERAL | $260.50 | $521.00 | $196.94–$521.00 | — | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right | $40.00 | $80.00 | $30.24–$80.00 | — | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left | $40.00 | $80.00 | $30.24–$80.00 | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Pulmonary | $748.52 | $1,497.03 | $151.25–$307.42 | 60% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest | $909.00 | $1,818.00 | $151.25–$307.42 | 51% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Chest Pulm Embolism Protocol | $1,596.50 | $3,193.00 | $151.25–$307.42 | 14% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Chest PE Protocol | $1,596.50 | $3,193.00 | $151.25–$307.42 | 14% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest | $748.52 | $1,497.03 | $565.88–$1,497.03 | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Pulmonary | $748.52 | $1,497.03 | $565.88–$1,497.03 | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Chest PE Protocol | $1,596.50 | $3,193.00 | $1,206.95–$3,193.00 | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Chest Pulm Embolism Protocol | $1,596.50 | $3,193.00 | $1,206.95–$3,193.00 | — | 50% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart Calcium Scoring | $50.00 | $100.00 | $16.39–$306.64 | 50% below | 50% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart Calcium Scoring | $50.00 | $100.00 | $37.80–$100.00 | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/o Contrast | $256.50 | $513.00 | $84.08–$560.17 | 88% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Stone Protocol | $329.50 | $659.00 | $108.01–$659.00 | 85% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/Pelvis w/o Contrast | $1,705.30 | $3,410.60 | $190.75–$3,410.60 | 23% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Bariatric Protocol | $2,070.00 | $4,140.00 | $190.75–$4,140.00 | 7% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis w/o Contrast | $256.50 | $513.00 | $193.91–$513.00 | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Stone Protocol | $329.50 | $659.00 | $249.10–$659.00 | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/Pelvis w/o Contrast | $1,705.30 | $3,410.60 | $1,289.21–$3,410.60 | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Bariatric Protocol | $2,070.00 | $4,140.00 | $1,564.92–$4,140.00 | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography w/ Contrast | $2,667.90 | $5,335.80 | $300.83–$611.44 | 16% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast | $2,667.90 | $5,335.80 | $300.83–$611.44 | 16% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/Pelvis w Contrast | $3,238.00 | $6,476.00 | $300.83–$611.44 | 2% above | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Enterography w/ Contrast | $2,667.90 | $5,335.80 | $2,016.93–$5,335.80 | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Contrast | $2,667.90 | $5,335.80 | $2,016.93–$5,335.80 | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/Pelvis w Contrast | $2,667.90 | $5,335.80 | $2,016.93–$5,335.80 | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast | $2,736.15 | $5,472.29 | $300.83–$611.44 | 13% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Urogram | $3,320.50 | $6,641.00 | $300.83–$611.44 | 6% above | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd + Pelvis w/+w/o Cnt (GI Bleed) | $3,320.50 | $6,641.00 | $300.83–$611.44 | 6% above | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/Pelvis w/wo Contrast | $3,320.50 | $6,641.00 | $300.83–$611.44 | 6% above | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast | $2,736.15 | $5,472.29 | $2,068.53–$5,472.29 | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/Pelvis w/wo Contrast | $2,736.15 | $5,472.29 | $2,068.53–$5,472.29 | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Urogram | $3,320.50 | $6,641.00 | $2,510.30–$6,641.00 | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd + Pelvis w/+w/o Cnt (GI Bleed) | $3,320.50 | $6,641.00 | $2,510.30–$6,641.00 | — | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast | $1,326.56 | $2,653.11 | $151.25–$307.42 | 22% below | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w Contrast | $1,610.50 | $3,221.00 | $151.25–$307.42 | 6% below | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen Pancreatic Protocol | $1,644.00 | $3,288.00 | $151.25–$307.42 | 4% below | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT Liver Protocol | $1,644.00 | $3,288.00 | $151.25–$307.42 | 4% below | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w Contrast | $1,326.56 | $2,653.11 | $1,002.88–$2,653.11 | — | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Contrast | $1,326.56 | $2,653.11 | $1,002.88–$2,653.11 | — | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen Pancreatic Protocol | $1,644.00 | $3,288.00 | $1,242.86–$3,288.00 | — | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Liver Protocol | $1,644.00 | $3,288.00 | $1,242.86–$3,288.00 | — | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast | $855.69 | $1,711.37 | $90.15–$183.24 | 37% below | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen wo contrast | $1,039.00 | $2,078.00 | $90.15–$183.24 | 23% below | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen wo contrast | $855.69 | $1,711.37 | $646.90–$1,711.37 | — | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Contrast | $855.69 | $1,711.37 | $646.90–$1,711.37 | — | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast | $176.50 | $353.00 | $57.86–$390.82 | 85% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus w/ Contrast | $227.00 | $454.00 | $74.41–$454.00 | 80% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus w/o Contrast | $260.96 | $521.92 | $85.54–$521.92 | 77% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxioface w/o Contrast | $793.64 | $1,587.27 | $90.15–$183.24 | 31% below | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Contrast | $176.50 | $353.00 | $133.43–$353.00 | — | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus w/ Contrast | $227.00 | $454.00 | $171.61–$454.00 | — | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus w/o Contrast | $260.96 | $521.92 | $197.29–$521.92 | — | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxioface w/o Contrast | $793.64 | $1,587.27 | $599.99–$1,587.27 | — | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head w/o contrast | $794.77 | $1,589.54 | $90.15–$183.24 | 42% below | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast | $964.50 | $1,929.00 | $90.15–$183.24 | 29% below | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT STROKE Head w/o Contrast | $964.50 | $1,929.00 | $90.15–$183.24 | 29% below | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Contrast | $794.77 | $1,589.54 | $600.85–$1,589.54 | — | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head w/o contrast | $794.77 | $1,589.54 | $600.85–$1,589.54 | — | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT STROKE Head w/o Contrast | $964.50 | $1,929.00 | $729.16–$1,929.00 | — | 50% |
| CT scan of the head with contrast CPT 70460 CT Brain/Head w/ Contrast | $1,097.82 | $2,195.63 | $151.25–$307.42 | 31% below | 50% |
| CT scan of the head with contrast inpatient CPT 70460 CT Brain/Head w/ Contrast | $1,097.82 | $2,195.63 | $829.95–$2,195.63 | — | 50% |
| CT scan of the head without and with contrast CPT 70470 CT Brain/Head w/ + w/o Contrast | $1,646.00 | $3,292.00 | $151.25–$307.42 | 13% below | 50% |
| CT scan of the head without and with contrast CPT 70470 CT Head w/wo contrast | $1,646.00 | $3,292.00 | $151.25–$307.42 | 13% below | 50% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Brain/Head w/ + w/o Contrast | $1,355.88 | $2,711.75 | $1,025.04–$2,711.75 | — | 50% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Head w/wo contrast | $1,355.88 | $2,711.75 | $1,025.04–$2,711.75 | — | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast | $1,094.66 | $2,189.32 | $90.15–$183.24 | 27% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar w/o Contrast | $1,094.66 | $2,189.32 | $90.15–$183.24 | 27% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast | $1,094.66 | $2,189.32 | $827.56–$2,189.32 | — | 50% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lumbar w/o Contrast | $1,094.66 | $2,189.32 | $827.56–$2,189.32 | — | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast | $1,329.00 | $2,658.00 | $90.15–$183.24 | 3% above | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical w/o contrast | $1,329.00 | $2,658.00 | $90.15–$183.24 | 3% above | 50% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Cervical w/o contrast | $1,094.66 | $2,189.32 | $827.56–$2,189.32 | — | 50% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast | $1,094.66 | $2,189.32 | $827.56–$2,189.32 | — | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast | $1,315.06 | $2,630.11 | $151.25–$307.42 | 18% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w Contrast | $1,315.06 | $2,630.11 | $151.25–$307.42 | 18% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Cystogram | $1,432.00 | $2,864.00 | $151.25–$307.42 | 11% below | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Cystogram | $1,180.00 | $2,360.00 | $892.08–$2,360.00 | — | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast | $1,315.06 | $2,630.11 | $994.18–$2,630.11 | — | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w Contrast | $1,315.06 | $2,630.11 | $994.18–$2,630.11 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral | $323.50 | $647.00 | $106.05–$647.00 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CV VAS Carotid Duplex Bilat | $535.00 | $1,070.00 | $175.38–$1,070.00 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CV Vascular Acquisition | $440.78 | $881.55 | $144.49–$881.55 | 38% below | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck one side CPT 93880 US Carotid Duplex Unilat / Ltd | $143.50 | $287.00 | $47.04–$633.19 | 80% below | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral | $323.50 | $647.00 | $244.57–$647.00 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CV VAS Carotid Duplex Bilat | $535.00 | $1,070.00 | $404.46–$1,070.00 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CV Vascular Acquisition | $440.78 | $881.55 | $333.23–$881.55 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient one side CPT 93880 US Carotid Duplex Unilat / Ltd | $143.50 | $287.00 | $108.49–$287.00 | — | 50% |
| Chest X-ray, 2 views both sides CPT 71046 XR CHEST OBLIQUES BILAT | $50.00 | $100.00 | $16.39–$101.21 | — | 50% |
| Chest X-ray, 2 views both sides CPT 71046 XR CHEST DECUBITUS BILAT | $50.00 | $100.00 | $16.39–$101.21 | — | 50% |
| Chest X-ray, 2 views both sides CPT 71046 XR Chest Decub Bilateral | $175.94 | $351.88 | $33.82–$351.88 | — | 50% |
| Chest X-ray, 2 views both sides CPT 71046 XR Chest 2 Views (Decub Bilateral) | $189.50 | $379.00 | $33.82–$379.00 | — | 50% |
| Chest X-ray, 2 views CPT 71046 XR Chest Decubitus | $38.50 | $77.00 | $12.62–$101.21 | 87% below | 50% |
| Chest X-ray, 2 views CPT 71046 3M XR Chest Decubitus | $50.00 | $100.00 | $16.39–$101.21 | 83% below | 50% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views | $65.00 | $130.00 | $21.31–$130.00 | 78% below | 50% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views w/ Fluoroscopy | $87.00 | $174.00 | $28.52–$174.00 | 70% below | 50% |
| Chest X-ray, 2 views CPT 71046 XR CHEST INSP/EXPIRATION | $189.50 | $379.00 | $33.82–$379.00 | 34% below | 50% |
| Chest X-ray, 2 views inpatient both sides CPT 71046 XR CHEST DECUBITUS BILAT | $50.00 | $100.00 | $37.80–$100.00 | — | 50% |
| Chest X-ray, 2 views inpatient both sides CPT 71046 XR CHEST OBLIQUES BILAT | $50.00 | $100.00 | $37.80–$100.00 | — | 50% |
| Chest X-ray, 2 views inpatient both sides CPT 71046 XR Chest Decub Bilateral | $175.94 | $351.88 | $133.01–$351.88 | — | 50% |
| Chest X-ray, 2 views inpatient both sides CPT 71046 XR Chest 2 Views (Decub Bilateral) | $189.50 | $379.00 | $143.26–$379.00 | — | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest Decubitus | $38.50 | $77.00 | $29.11–$77.00 | — | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 3M XR Chest Decubitus | $50.00 | $100.00 | $37.80–$100.00 | — | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views | $65.00 | $130.00 | $49.14–$130.00 | — | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views w/ Fluoroscopy | $87.00 | $174.00 | $65.77–$174.00 | — | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST INSP/EXPIRATION | $189.50 | $379.00 | $143.26–$379.00 | — | 50% |
| Chest X-ray, single view CPT 71045 XR Chest 1 View Frontal | $28.50 | $57.00 | $9.34–$78.16 | 87% below | 50% |
| Chest X-ray, single view CPT 71045 XR CHEST PORTABLE | $28.50 | $57.00 | $9.34–$78.16 | 87% below | 50% |
| Chest X-ray, single view CPT 71045 IR Chest 1-View | $361.50 | $723.00 | $25.89–$723.00 | 68% above | 50% |
| Chest X-ray, single view CPT 71045 XR Chest Lordotic | $361.50 | $723.00 | $25.89–$723.00 | 68% above | 50% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST PORTABLE | $28.50 | $57.00 | $21.55–$57.00 | — | 50% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View Frontal | $28.50 | $57.00 | $21.55–$57.00 | — | 50% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest Lordotic | $361.50 | $723.00 | $273.29–$723.00 | — | 50% |
| Chest X-ray, single view inpatient CPT 71045 IR Chest 1-View | $361.50 | $723.00 | $273.29–$723.00 | — | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal/Bladder | $181.00 | $362.00 | $59.33–$362.00 | 69% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 CV Vascular Acquisition | $413.00 | $826.00 | $90.15–$183.24 | 29% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Renal/Bladder | $181.00 | $362.00 | $136.84–$362.00 | — | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 CV Vascular Acquisition | $413.00 | $826.00 | $312.23–$826.00 | — | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton | $248.00 | $496.00 | $38.92–$496.00 | 39% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton | $151.50 | $303.00 | $114.53–$303.00 | — | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB Level II | $207.00 | $414.00 | $67.86–$533.12 | 62% below | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US MFM DETAILED SINGLE FETUS | $256.50 | $513.00 | $84.08–$533.12 | 52% below | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 MC US MFM Detailed Single Fetus | $256.50 | $513.00 | $84.08–$533.12 | 52% below | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US MFM Detailed Single Fetus | $308.00 | $616.00 | $100.96–$616.00 | 43% below | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB Level II | $207.00 | $414.00 | $156.49–$414.00 | — | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 MC US MFM Detailed Single Fetus | $256.50 | $513.00 | $193.91–$513.00 | — | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US MFM DETAILED SINGLE FETUS | $256.50 | $513.00 | $193.91–$513.00 | — | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US MFM Detailed Single Fetus | $308.00 | $616.00 | $232.85–$616.00 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Contrast High Resolution | $267.00 | $534.00 | $87.52–$534.00 | 79% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax w/o Contrast | $267.00 | $534.00 | $87.52–$534.00 | 79% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o contrast | $1,025.00 | $2,050.00 | $90.15–$183.24 | 20% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Lung Screening Follow-Up Low Dose | $1,025.00 | $2,050.00 | $90.15–$183.24 | 20% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Spiration w/o Contrast | $1,025.00 | $2,050.00 | $90.15–$183.24 | 20% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Veran w/o Contrast | $1,025.00 | $2,050.00 | $90.15–$183.24 | 20% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o Contrast High Resolution | $267.00 | $534.00 | $201.85–$534.00 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax w/o Contrast | $267.00 | $534.00 | $201.85–$534.00 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o contrast | $844.19 | $1,688.37 | $638.20–$1,688.37 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Veran w/o Contrast | $844.19 | $1,688.37 | $638.20–$1,688.37 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Spiration w/o Contrast | $1,025.00 | $2,050.00 | $774.90–$2,050.00 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Lung Screening Follow-Up Low Dose | $1,025.00 | $2,050.00 | $774.90–$2,050.00 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w contrast | $1,183.75 | $2,367.50 | $151.25–$307.42 | 24% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest PE Protocol | $1,315.06 | $2,630.11 | $151.25–$307.42 | 16% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest Pulm Embolism Protocol | $1,315.06 | $2,630.11 | $151.25–$307.42 | 16% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax w Contrast | $1,437.50 | $2,875.00 | $151.25–$307.42 | 8% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax w/ Contrast | $1,437.50 | $2,875.00 | $151.25–$307.42 | 8% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w contrast | $1,183.75 | $2,367.50 | $894.91–$2,367.50 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax w/ Contrast | $1,183.75 | $2,367.50 | $894.91–$2,367.50 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax w Contrast | $1,183.75 | $2,367.50 | $894.91–$2,367.50 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest PE Protocol | $1,315.06 | $2,630.11 | $994.18–$2,630.11 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest Pulm Embolism Protocol | $1,315.06 | $2,630.11 | $994.18–$2,630.11 | — | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Diagnostic Bilat | $178.00 | $356.00 | $58.35–$476.00 | — | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Digital Diag Bilat w/CADX | $219.39 | $438.77 | $71.92–$476.00 | — | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Digital Diagnostic Bilateral w/ CADX | $266.00 | $532.00 | $87.20–$532.00 | — | 50% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Digital Diagnostic Bilat | $178.00 | $356.00 | $134.57–$356.00 | — | 50% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Digital Diag Bilat w/CADX | $219.39 | $438.77 | $165.86–$438.77 | — | 50% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Digital Diagnostic Bilateral w/ CADX | $266.00 | $532.00 | $201.10–$532.00 | — | 50% |
| Diagnostic mammogram, one breast CPT 77065 Mg Digital DIAG Uni w/CADX | $117.02 | $234.04 | $38.36–$377.79 | 66% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Right | $88.00 | $176.00 | $28.85–$377.79 | 75% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Left | $88.00 | $176.00 | $28.85–$377.79 | 75% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG DIGITAL MAMMOGRAM RIGHT | $88.00 | $176.00 | $28.85–$377.79 | 75% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG DIGITAL MAMMOGRAM LEFT | $88.00 | $176.00 | $28.85–$377.79 | 75% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Digital Mammo Unilat RT | $88.00 | $176.00 | $28.85–$377.79 | 75% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Digital Mammo Unilat LT | $88.00 | $176.00 | $28.85–$377.79 | 75% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Screening Left | $88.00 | $176.00 | $28.85–$377.79 | 75% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Screening Right | $88.00 | $176.00 | $28.85–$377.79 | 75% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Digital Diagnostic Left w/ CADX | $266.00 | $532.00 | $75.44–$532.00 | 24% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Digital Diagnostic Right w/ CADX | $266.00 | $532.00 | $75.44–$532.00 | 24% below | 50% |
| Diagnostic mammogram, one breast inpatient CPT 77065 Mg Digital DIAG Uni w/CADX | $117.02 | $234.04 | $88.47–$234.04 | — | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Left | $88.00 | $176.00 | $66.53–$176.00 | — | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG DIGITAL MAMMOGRAM RIGHT | $88.00 | $176.00 | $66.53–$176.00 | — | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG DIGITAL MAMMOGRAM LEFT | $88.00 | $176.00 | $66.53–$176.00 | — | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Right | $88.00 | $176.00 | $66.53–$176.00 | — | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Digital Mammo Unilat LT | $88.00 | $176.00 | $66.53–$176.00 | — | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Screening Right | $88.00 | $176.00 | $66.53–$176.00 | — | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Screening Left | $88.00 | $176.00 | $66.53–$176.00 | — | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Digital Mammo Unilat RT | $88.00 | $176.00 | $66.53–$176.00 | — | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Digital Diagnostic Left w/ CADX | $266.00 | $532.00 | $201.10–$532.00 | — | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Digital Diagnostic Right w/ CADX | $266.00 | $532.00 | $201.10–$532.00 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral | $757.00 | $1,514.00 | $205.74–$418.18 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 CV Vascular Acquisition | $556.06 | $1,112.11 | $182.28–$1,112.11 | 3% below | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral | $757.00 | $1,514.00 | $572.29–$1,514.00 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 CV Vascular Acquisition | $556.06 | $1,112.11 | $420.38–$1,112.11 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VAS LE Venous Duplex Bilat | $700.00 | $1,400.00 | $185.47–$1,400.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VAS UE Venous Duplex Bilat | $700.00 | $1,400.00 | $185.47–$1,400.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 CV VAS UE Venous Duplex Bilat | $700.00 | $1,400.00 | $185.47–$1,400.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 CV VAS LE Venous Duplex Bilat | $700.00 | $1,400.00 | $185.47–$1,400.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Upper Ext Venous Duplex Bilateral | $700.00 | $1,400.00 | $185.47–$1,400.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Lower Ext Venous Duplex Bilateral | $700.00 | $1,400.00 | $185.47–$1,400.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 CV Vascular Acquisition | $576.42 | $1,152.84 | $185.47–$1,152.84 | 44% below | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 CV VAS BLE Venous Reflux | $700.00 | $1,400.00 | $185.47–$1,400.00 | 32% below | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US Extremity Venous Scan | $761.00 | $1,522.00 | $185.47–$1,522.00 | 26% below | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VAS UE Venous Duplex Bilat | $666.50 | $1,333.00 | $503.87–$1,333.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VAS LE Venous Duplex Bilat | $666.50 | $1,333.00 | $503.87–$1,333.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Lower Ext Venous Duplex Bilateral | $700.00 | $1,400.00 | $529.20–$1,400.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Upper Ext Venous Duplex Bilateral | $700.00 | $1,400.00 | $529.20–$1,400.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 CV VAS UE Venous Duplex Bilat | $700.00 | $1,400.00 | $529.20–$1,400.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 CV VAS LE Venous Duplex Bilat | $700.00 | $1,400.00 | $529.20–$1,400.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 CV Vascular Acquisition | $576.42 | $1,152.84 | $435.77–$1,152.84 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Extremity Venous Scan | $626.83 | $1,253.65 | $473.88–$1,253.65 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 CV VAS BLE Venous Reflux | $700.00 | $1,400.00 | $529.20–$1,400.00 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CV Ped Newborn Echo Complete | $666.00 | $1,332.00 | $197.71–$1,436.27 | 64% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CV Echo TTE With Cardioversion | $1,653.50 | $3,307.00 | $197.71–$3,307.00 | 10% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CV ECHO TTE With 3D Imaging | $1,653.50 | $3,307.00 | $197.71–$3,307.00 | 10% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CV ECHO ACQUISITION W Cont - TECH FEE | $1,653.50 | $3,307.00 | $197.71–$3,307.00 | 10% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CV Echo TTE Complete with Strain | $1,653.50 | $3,307.00 | $197.71–$3,307.00 | 10% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CV Echo Acquisition | $1,653.50 | $3,307.00 | $197.71–$3,307.00 | 10% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CV Ped Echo TTE W Cont Complet | $1,653.50 | $3,307.00 | $197.71–$3,307.00 | 10% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CV Ped Newborn Echo Complete | $666.00 | $1,332.00 | $503.50–$1,332.00 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CV Echo Acquisition | $1,362.64 | $2,725.27 | $1,030.15–$2,725.27 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CV Ped Echo TTE W Cont Complet | $1,653.50 | $3,307.00 | $1,250.05–$3,307.00 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CV ECHO ACQUISITION W Cont - TECH FEE | $1,653.50 | $3,307.00 | $1,250.05–$3,307.00 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CV ECHO TTE With 3D Imaging | $1,653.50 | $3,307.00 | $1,250.05–$3,307.00 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CV Echo TTE With Cardioversion | $1,653.50 | $3,307.00 | $1,250.05–$3,307.00 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CV Echo TTE Complete with Strain | $1,653.50 | $3,307.00 | $1,250.05–$3,307.00 | — | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Imaging | $911.32 | $1,822.64 | $292.18–$1,822.64 | 18% below | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SCAN | $911.32 | $1,822.64 | $292.18–$1,822.64 | 18% below | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Imaging Injection/Scan | $1,106.00 | $2,212.00 | $292.18–$2,212.00 | at median | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Imaging | $911.32 | $1,822.64 | $688.96–$1,822.64 | — | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SCAN | $911.32 | $1,822.64 | $688.96–$1,822.64 | — | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Imaging Injection/Scan | $911.32 | $1,822.64 | $688.96–$1,822.64 | — | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Study Charges - PSG WITH CPAP | $2,246.00 | $4,492.00 | $736.26–$4,492.00 | 31% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Study Charges - PSG WITH CPAP 6-<18 | $2,246.00 | $4,492.00 | $736.26–$4,492.00 | 31% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Study Charges - PSG WITH CPAP LESS THAN 6 HO | $2,246.00 | $4,492.00 | $736.26–$4,492.00 | 31% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Study Charges - PSG WITH CPAP LESS THAN 6 HO | $2,246.00 | $4,492.00 | $1,697.98–$4,492.00 | — | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Study Charges - PSG WITH CPAP 6-<18 | $2,246.00 | $4,492.00 | $1,697.98–$4,492.00 | — | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Study Charges - PSG WITH CPAP | $2,246.00 | $4,492.00 | $1,697.98–$4,492.00 | — | 50% |
| Knee X-ray, 3 views both sides CPT 73562 XR Knee 3 Views Bilateral | $82.50 | $165.00 | $27.04–$165.00 | — | 50% |
| Knee X-ray, 3 views both sides CPT 73562 3M XR Knee 3 Views Bilateral | $82.50 | $165.00 | $27.04–$165.00 | — | 50% |
| Knee X-ray, 3 views one side CPT 73562 3M XR Knee 3 Views Right | $82.50 | $165.00 | $27.04–$165.00 | 69% below | 50% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right | $82.50 | $165.00 | $27.04–$165.00 | 69% below | 50% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left | $82.50 | $165.00 | $27.04–$165.00 | 69% below | 50% |
| Knee X-ray, 3 views one side CPT 73562 3M XR Knee 3 Views Left | $82.50 | $165.00 | $27.04–$165.00 | 69% below | 50% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 XR Knee 3 Views Bilateral | $82.50 | $165.00 | $62.37–$165.00 | — | 50% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 3M XR Knee 3 Views Bilateral | $82.50 | $165.00 | $62.37–$165.00 | — | 50% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Left | $82.50 | $165.00 | $62.37–$165.00 | — | 50% |
| Knee X-ray, 3 views inpatient one side CPT 73562 3M XR Knee 3 Views Right | $82.50 | $165.00 | $62.37–$165.00 | — | 50% |
| Knee X-ray, 3 views inpatient one side CPT 73562 3M XR Knee 3 Views Left | $82.50 | $165.00 | $62.37–$165.00 | — | 50% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Right | $82.50 | $165.00 | $62.37–$165.00 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER | $137.50 | $275.00 | $45.07–$275.00 | 72% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER | $137.50 | $275.00 | $45.07–$275.00 | 72% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited | $152.50 | $305.00 | $49.99–$305.00 | 69% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN | $332.00 | $664.00 | $87.40–$664.00 | 32% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Soft Tissue of Back | $426.50 | $853.00 | $87.40–$853.00 | 13% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 IR US Abdomen Limited | $434.87 | $869.74 | $87.40–$869.74 | 11% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited Intussusception | $527.50 | $1,055.00 | $87.40–$1,055.00 | 8% above | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US APPENDIX | $527.50 | $1,055.00 | $87.40–$1,055.00 | 8% above | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS | $527.50 | $1,055.00 | $87.40–$1,055.00 | 8% above | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Soft Tissue Abdomen | $527.50 | $1,055.00 | $87.40–$1,055.00 | 8% above | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Soft Tissue Peri Wound Abdomen | $527.50 | $1,055.00 | $87.40–$1,055.00 | 8% above | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Appendix | $527.50 | $1,055.00 | $87.40–$1,055.00 | 8% above | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER | $137.50 | $275.00 | $103.95–$275.00 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER | $137.50 | $275.00 | $103.95–$275.00 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited | $152.50 | $305.00 | $115.29–$305.00 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN | $273.11 | $546.21 | $206.47–$546.21 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Soft Tissue of Back | $426.50 | $853.00 | $322.43–$853.00 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Appendix | $434.87 | $869.74 | $328.76–$869.74 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS | $434.87 | $869.74 | $328.76–$869.74 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 IR US Abdomen Limited | $434.87 | $869.74 | $328.76–$869.74 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US APPENDIX | $434.87 | $869.74 | $328.76–$869.74 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited Intussusception | $503.50 | $1,007.00 | $380.65–$1,007.00 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Soft Tissue Peri Wound Abdomen | $527.50 | $1,055.00 | $398.79–$1,055.00 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Soft Tissue Abdomen | $527.50 | $1,055.00 | $398.79–$1,055.00 | — | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Cancer Screening | $1,025.00 | $2,050.00 | $89.79–$183.24 | 268% above | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Cancer Screening | $1,025.00 | $2,050.00 | $774.90–$2,050.00 | — | 50% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast w/ + w/o Contrast Bilateral | $1,201.00 | $2,402.00 | $353.49–$2,402.00 | — | 50% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BILAT BREAST BX W/WO CONT | $1,201.00 | $2,402.00 | $353.49–$2,402.00 | — | 50% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI Breast w/ + w/o Contrast Bilateral | $1,201.00 | $2,402.00 | $907.96–$2,402.00 | — | 50% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BILAT BREAST BX W/WO CONT | $1,201.00 | $2,402.00 | $907.96–$2,402.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left | $1,713.00 | $3,426.00 | $205.74–$418.18 | 2% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right | $1,713.00 | $3,426.00 | $205.74–$418.18 | 2% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right | $1,713.00 | $3,426.00 | $205.74–$418.18 | 2% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left | $1,713.00 | $3,426.00 | $205.74–$418.18 | 2% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right | $1,713.00 | $3,426.00 | $205.74–$418.18 | 2% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle/Hindfoot/Calc w/o Contrast Lt | $1,713.00 | $3,426.00 | $205.74–$418.18 | 2% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle/Hindfoot/Calc w/o Contrast Rt | $1,713.00 | $3,426.00 | $205.74–$418.18 | 2% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left | $1,713.00 | $3,426.00 | $205.74–$418.18 | 2% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Right | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle/Hindfoot/Calc w/o Contrast Rt | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Left | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Left | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Left | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Right | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Right | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle/Hindfoot/Calc w/o Contrast Lt | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle/Hindfoot/Calc w+wo Contrast Lt | $2,432.50 | $4,865.00 | $300.83–$611.44 | at median | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $2,432.50 | $4,865.00 | $300.83–$611.44 | at median | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $2,432.50 | $4,865.00 | $300.83–$611.44 | at median | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $2,432.50 | $4,865.00 | $300.83–$611.44 | at median | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $2,432.50 | $4,865.00 | $300.83–$611.44 | at median | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle/Hindfoot/Calc w+wo Contrast Rt | $2,432.50 | $4,865.00 | $300.83–$611.44 | at median | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $2,432.50 | $4,865.00 | $1,838.97–$4,865.00 | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $2,432.50 | $4,865.00 | $1,838.97–$4,865.00 | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle/Hindfoot/Calc w+wo Contrast Rt | $2,432.50 | $4,865.00 | $1,838.97–$4,865.00 | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle/Hindfoot/Calc w+wo Contrast Lt | $2,432.50 | $4,865.00 | $1,838.97–$4,865.00 | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $2,432.50 | $4,865.00 | $1,838.97–$4,865.00 | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $2,432.50 | $4,865.00 | $1,838.97–$4,865.00 | — | 50% |
| MRI of the abdomen without contrast CPT 74181 MRI MRCP Study | $1,713.00 | $3,426.00 | $202.75–$3,426.00 | 9% below | 50% |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast | $1,713.00 | $3,426.00 | $202.75–$3,426.00 | 9% below | 50% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast | $1,411.36 | $2,822.71 | $1,066.98–$2,822.71 | — | 50% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP Study | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast | $2,004.56 | $4,009.12 | $300.83–$611.44 | 26% below | 50% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Contrast | $2,004.56 | $4,009.12 | $1,515.45–$4,009.12 | — | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast | $1,411.36 | $2,822.71 | $203.15–$2,822.71 | 18% below | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI Stroke Protocol Brain w/o Contrast | $1,713.00 | $3,426.00 | $203.15–$3,426.00 | at median | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI IAC Brain w/o Contrast | $2,432.50 | $4,865.00 | $203.15–$4,865.00 | 42% above | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI Pituitary Brain w/o Contrast | $2,432.50 | $4,865.00 | $203.15–$4,865.00 | 42% above | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast | $1,411.36 | $2,822.71 | $1,066.98–$2,822.71 | — | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Stroke Protocol Brain w/o Contrast | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Pituitary Brain w/o Contrast | $2,432.50 | $4,865.00 | $1,838.97–$4,865.00 | — | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI IAC Brain w/o Contrast | $2,432.50 | $4,865.00 | $1,838.97–$4,865.00 | — | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast | $2,004.56 | $4,009.12 | $300.83–$611.44 | 27% below | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI IAC Brain w+ w/o Contrast | $2,432.50 | $4,865.00 | $300.83–$611.44 | 11% below | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI IAC Brain w/Contrast | $2,432.50 | $4,865.00 | $300.83–$611.44 | 11% below | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Pituitary Brain w+ w/o Contrast | $2,432.50 | $4,865.00 | $300.83–$611.44 | 11% below | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast | $2,004.56 | $4,009.12 | $1,515.45–$4,009.12 | — | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Pituitary Brain w+ w/o Contrast | $2,432.50 | $4,865.00 | $1,838.97–$4,865.00 | — | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC Brain w/Contrast | $2,432.50 | $4,865.00 | $1,838.97–$4,865.00 | — | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC Brain w+ w/o Contrast | $2,432.50 | $4,865.00 | $1,838.97–$4,865.00 | — | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast | $1,411.36 | $2,822.71 | $198.30–$2,822.71 | 21% below | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast | $1,411.36 | $2,822.71 | $1,066.98–$2,822.71 | — | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $2,432.50 | $4,865.00 | $300.83–$611.44 | 16% below | 50% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $2,004.56 | $4,009.12 | $1,515.45–$4,009.12 | — | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast | $1,713.00 | $3,426.00 | $197.33–$3,426.00 | 4% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast | $1,411.36 | $2,822.71 | $1,066.98–$2,822.71 | — | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $2,004.56 | $4,009.12 | $300.83–$611.44 | 22% below | 50% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $2,004.56 | $4,009.12 | $1,515.45–$4,009.12 | — | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast | $1,713.00 | $3,426.00 | $197.65–$3,426.00 | 3% below | 50% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast | $1,411.36 | $2,822.71 | $1,066.98–$2,822.71 | — | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Bony Pelvis w+ w/o Contrast | $2,432.50 | $4,865.00 | $300.83–$611.44 | 5% below | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast | $2,432.50 | $4,865.00 | $300.83–$611.44 | 5% below | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/wo Contrast | $2,432.50 | $4,865.00 | $300.83–$611.44 | 5% below | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis Male/Female Organs w/wo | $2,432.50 | $4,865.00 | $300.83–$611.44 | 5% below | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Sacrum/Coccyx/SI Jts w/wo | $2,432.50 | $4,865.00 | $300.83–$611.44 | 5% below | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis General w+ w/o Contrast | $2,432.50 | $4,865.00 | $300.83–$611.44 | 5% below | 50% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Contrast | $2,004.56 | $4,009.12 | $1,515.45–$4,009.12 | — | 50% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/wo Contrast | $2,432.50 | $4,865.00 | $1,838.97–$4,865.00 | — | 50% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Sacrum/Coccyx/SI Jts w/wo | $2,432.50 | $4,865.00 | $1,838.97–$4,865.00 | — | 50% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Bony Pelvis w+ w/o Contrast | $2,432.50 | $4,865.00 | $1,838.97–$4,865.00 | — | 50% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis General w+ w/o Contrast | $2,432.50 | $4,865.00 | $1,838.97–$4,865.00 | — | 50% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis Male/Female Organs w/wo | $2,432.50 | $4,865.00 | $1,838.97–$4,865.00 | — | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast | $1,411.36 | $2,822.71 | $205.74–$418.18 | 22% below | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Bony Pelvis w/o Contrast | $1,713.00 | $3,426.00 | $205.74–$418.18 | 5% below | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Sacrum/Coccyx/SI Jts w/o | $1,713.00 | $3,426.00 | $205.74–$418.18 | 5% below | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis Male/Female Organs w/o | $1,713.00 | $3,426.00 | $205.74–$418.18 | 5% below | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis General w/o Contrast | $1,713.00 | $3,426.00 | $205.74–$418.18 | 5% below | 50% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast | $1,411.36 | $2,822.71 | $1,066.98–$2,822.71 | — | 50% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Sacrum/Coccyx/SI Jts w/o | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis Male/Female Organs w/o | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Bony Pelvis w/o Contrast | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis General w/o Contrast | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Thumb/UE Digit W/O Contrast Lt | $683.00 | $1,366.00 | $205.74–$418.18 | 56% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SC Joint w/o Contrast Rt | $683.00 | $1,366.00 | $205.74–$418.18 | 56% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Thumb/UE Digit W/O Contrast Rt | $683.00 | $1,366.00 | $205.74–$418.18 | 56% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Right | $1,713.00 | $3,426.00 | $205.74–$418.18 | 11% above | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Left | $1,713.00 | $3,426.00 | $205.74–$418.18 | 11% above | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Left | $1,713.00 | $3,426.00 | $205.74–$418.18 | 11% above | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Right | $1,713.00 | $3,426.00 | $205.74–$418.18 | 11% above | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Right | $1,713.00 | $3,426.00 | $205.74–$418.18 | 11% above | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Left | $1,713.00 | $3,426.00 | $205.74–$418.18 | 11% above | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Thumb/UE Digit W/O Contrast Lt | $683.00 | $1,366.00 | $516.35–$1,366.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Thumb/UE Digit W/O Contrast Rt | $683.00 | $1,366.00 | $516.35–$1,366.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SC Joint w/o Contrast Rt | $683.00 | $1,366.00 | $516.35–$1,366.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Left | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Right | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Left | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Right | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Left | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Right | $1,713.00 | $3,426.00 | $1,295.03–$3,426.00 | — | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CV NM Acquisition | $1,812.55 | $3,625.09 | $428.85–$3,625.09 | 49% below | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CV NM Nuclear Stress | $1,917.73 | $3,835.45 | $428.85–$3,835.45 | 46% below | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CV NM Acquisition | $1,812.55 | $3,625.09 | $1,370.28–$3,625.09 | — | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CV NM Nuclear Stress | $1,917.73 | $3,835.45 | $1,449.80–$3,835.45 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET Prostate- Initial (PSMA) | $4,325.00 | $8,650.00 | $1,233.04–$2,506.18 | 23% above | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET Prostate-Restaging (PSMA) | $4,325.00 | $8,650.00 | $1,233.04–$2,506.18 | 23% above | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Skull Base to Midthigh Restaging | $4,502.00 | $9,004.00 | $1,233.04–$2,506.18 | 28% above | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Skull Base to Midthigh Initial | $4,502.00 | $9,004.00 | $1,233.04–$2,506.18 | 28% above | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET Prostate-Restaging (PSMA) | $4,325.00 | $8,650.00 | $3,269.70–$8,650.00 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET Prostate- Initial (PSMA) | $4,325.00 | $8,650.00 | $3,269.70–$8,650.00 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Skull Base to Midthigh Initial | $4,502.00 | $9,004.00 | $3,403.51–$9,004.00 | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Skull Base to Midthigh Restaging | $4,502.00 | $9,004.00 | $3,403.51–$9,004.00 | — | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER | $67.50 | $135.00 | $22.13–$150.32 | 83% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BLADDER | $67.50 | $135.00 | $51.03–$135.00 | — | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS | $138.50 | $277.00 | $45.40–$314.66 | 76% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS | $138.50 | $277.00 | $104.71–$277.00 | — | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks | $151.00 | $302.00 | $49.50–$402.84 | 74% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Bedside Ultrasound Charge - Yes - Second Trimester | $161.00 | $322.00 | $52.78–$402.84 | 72% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US MFM >= 14 WKS SINGLE FETUS | $193.50 | $387.00 | $63.43–$402.84 | 66% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US MFM >= 14Wks Single Fetus | $193.50 | $387.00 | $63.43–$402.84 | 66% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks | $151.00 | $302.00 | $114.16–$302.00 | — | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Bedside Ultrasound Charge - Yes - Second Trimester | $161.00 | $322.00 | $121.72–$322.00 | — | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US MFM >= 14 WKS SINGLE FETUS | $193.50 | $387.00 | $146.29–$387.00 | — | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US MFM >= 14Wks Single Fetus | $193.50 | $387.00 | $146.29–$387.00 | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB Less Thn 14 wks w/TVS if indicated | $133.00 | $266.00 | $43.60–$349.73 | 75% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB Less Thn 14 wks | $154.00 | $308.00 | $50.48–$349.73 | 71% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Bedside Ultrasound Charge - Yes - First Trimester | $161.00 | $322.00 | $52.78–$349.73 | 70% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US MFM < 14 WKS SINGLE FETUS | $168.50 | $337.00 | $55.24–$349.73 | 69% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US MFM <14Wks Single Fetus | $202.50 | $405.00 | $66.38–$405.00 | 62% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 MC US MFM <14Wks Single Fetus | $202.50 | $405.00 | $66.38–$405.00 | 62% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB Less Thn 14 wks w/TVS if indicated | $133.00 | $266.00 | $100.55–$266.00 | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB Less Thn 14 wks | $154.00 | $308.00 | $116.42–$308.00 | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Bedside Ultrasound Charge - Yes - First Trimester | $161.00 | $322.00 | $121.72–$322.00 | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US MFM < 14 WKS SINGLE FETUS | $168.50 | $337.00 | $127.39–$337.00 | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 MC US MFM <14Wks Single Fetus | $202.50 | $405.00 | $153.09–$405.00 | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US MFM <14Wks Single Fetus | $202.50 | $405.00 | $153.09–$405.00 | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Gender Reveal OB | $43.50 | $87.00 | $14.26–$242.51 | 87% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 3M US OB Limited | $104.50 | $209.00 | $34.26–$242.51 | 69% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited | $104.50 | $209.00 | $34.26–$242.51 | 69% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 MC US MFM Limited Fetus(s) | $116.00 | $232.00 | $38.03–$242.51 | 66% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US MFM LIMITED FETUS(S) | $116.00 | $232.00 | $38.03–$242.51 | 66% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US MFM Limited Fetus(s) | $139.50 | $279.00 | $45.73–$279.00 | 59% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Bedside Ultrasound Charge - Yes - Third Trimester | $161.00 | $322.00 | $52.78–$322.00 | 53% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Gender Reveal OB | $43.50 | $87.00 | $32.89–$87.00 | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 3M US OB Limited | $104.50 | $209.00 | $79.00–$209.00 | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited | $104.50 | $209.00 | $79.00–$209.00 | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US MFM LIMITED FETUS(S) | $116.00 | $232.00 | $87.70–$232.00 | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 MC US MFM Limited Fetus(s) | $116.00 | $232.00 | $87.70–$232.00 | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US MFM Limited Fetus(s) | $139.50 | $279.00 | $105.46–$279.00 | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Bedside Ultrasound Charge - Yes - Third Trimester | $161.00 | $322.00 | $121.72–$322.00 | — | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MG CADX Bilateral Screening | $73.17 | $146.34 | $23.99–$385.81 | — | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Digital Screening Bilateral | $178.00 | $356.00 | $58.35–$385.81 | — | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MG Digital Screen Bilat W CADX | $265.50 | $531.00 | $79.81–$531.00 | — | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MG Digital Screen Uni W Cadx Bilat | $266.00 | $532.00 | $79.81–$532.00 | — | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MG Digital Screening Bilateral w/ CADX | $266.00 | $532.00 | $79.81–$532.00 | — | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MG Digital Screen Bilat w/ CADX Health D | $266.00 | $532.00 | $79.81–$532.00 | — | 50% |
| Screening mammogram, both breasts CPT 77067 MG Digital Mammo BIL HD | $67.50 | $135.00 | $22.13–$385.81 | 69% below | 50% |
| Screening mammogram, both breasts CPT 77067 MG Physician Screening w/ CADX | $219.39 | $438.77 | $71.92–$438.77 | 1% below | 50% |
| Screening mammogram, both breasts one side CPT 77067 MG Digital Screening Left w/ CADX | $142.00 | $284.00 | $46.55–$385.81 | 36% below | 50% |
| Screening mammogram, both breasts one side CPT 77067 MG Digital Screen Uni W Cadx Left | $142.00 | $284.00 | $46.55–$385.81 | 36% below | 50% |
| Screening mammogram, both breasts one side CPT 77067 MG Digital Screening Right w/ CADX | $142.00 | $284.00 | $46.55–$385.81 | 36% below | 50% |
| Screening mammogram, both breasts one side CPT 77067 MG Digital Screen Uni W Cadx Right | $142.00 | $284.00 | $46.55–$385.81 | 36% below | 50% |
| Screening mammogram, both breasts one side CPT 77067 MG DIGITAL SCREEN UNI W CADX Left | $266.00 | $532.00 | $79.81–$532.00 | 20% above | 50% |
| Screening mammogram, both breasts one side CPT 77067 MG DIGITAL SCREEN UNI W CADX Right | $266.00 | $532.00 | $79.81–$532.00 | 20% above | 50% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG CADX Bilateral Screening | $73.17 | $146.34 | $55.32–$146.34 | — | 50% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Digital Screening Bilateral | $178.00 | $356.00 | $134.57–$356.00 | — | 50% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Digital Screen Bilat W CADX | $265.50 | $531.00 | $200.72–$531.00 | — | 50% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Digital Screen Uni W Cadx Bilat | $266.00 | $532.00 | $201.10–$532.00 | — | 50% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Digital Screen Bilat w/ CADX Health D | $266.00 | $532.00 | $201.10–$532.00 | — | 50% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Digital Screening Bilateral w/ CADX | $266.00 | $532.00 | $201.10–$532.00 | — | 50% |
| Screening mammogram, both breasts inpatient CPT 77067 MG Digital Mammo BIL HD | $67.50 | $135.00 | $51.03–$135.00 | — | 50% |
| Screening mammogram, both breasts inpatient CPT 77067 MG Physician Screening w/ CADX | $219.39 | $438.77 | $165.86–$438.77 | — | 50% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Digital Screen Uni W Cadx Left | $142.00 | $284.00 | $107.35–$284.00 | — | 50% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Digital Screen Uni W Cadx Right | $142.00 | $284.00 | $107.35–$284.00 | — | 50% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Digital Screening Right w/ CADX | $142.00 | $284.00 | $107.35–$284.00 | — | 50% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Digital Screening Left w/ CADX | $142.00 | $284.00 | $107.35–$284.00 | — | 50% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG DIGITAL SCREEN UNI W CADX Left | $266.00 | $532.00 | $201.10–$532.00 | — | 50% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG DIGITAL SCREEN UNI W CADX Right | $266.00 | $532.00 | $201.10–$532.00 | — | 50% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 3M XR Shoulder Complete 2+ Views Bilateral | $133.00 | $266.00 | $34.96–$266.00 | — | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 3M XR Shoulder Complete 2+ Views Bilateral | $133.00 | $266.00 | $100.55–$266.00 | — | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep Study Charges - PSG LESS THAN 6 HOURS | $1,972.50 | $3,945.00 | $646.60–$3,945.00 | 36% below | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep Study Charges - PSG 6-<18 | $1,972.50 | $3,945.00 | $646.60–$3,945.00 | 36% below | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep Study Charges - PSG | $1,972.50 | $3,945.00 | $646.60–$3,945.00 | 36% below | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study Charges - PSG | $1,972.50 | $3,945.00 | $1,491.21–$3,945.00 | — | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study Charges - PSG LESS THAN 6 HOURS | $1,972.50 | $3,945.00 | $1,491.21–$3,945.00 | — | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study Charges - PSG 6-<18 | $1,972.50 | $3,945.00 | $1,491.21–$3,945.00 | — | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR MBASW w/o Speech | $222.00 | $444.00 | $72.77–$444.00 | 65% below | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR Swallowing Function w/ Speech | $262.30 | $524.60 | $85.98–$524.60 | 58% below | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR Swallowing Function with Speech | $318.00 | $636.00 | $104.24–$636.00 | 49% below | 50% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR MBASW w/o Speech | $222.00 | $444.00 | $167.83–$444.00 | — | 50% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR Swallowing Function w/ Speech | $262.30 | $524.60 | $198.30–$524.60 | — | 50% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR Swallowing Function with Speech | $318.00 | $636.00 | $240.41–$636.00 | — | 50% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB | $128.50 | $257.00 | $42.12–$353.74 | 75% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 3M US Transvaginal Non-OB | $148.50 | $297.00 | $48.68–$353.74 | 71% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB Limited | $158.50 | $317.00 | $51.96–$353.74 | 69% below | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB | $128.50 | $257.00 | $97.15–$257.00 | — | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 3M US Transvaginal Non-OB | $148.50 | $297.00 | $112.27–$297.00 | — | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB Limited | $158.50 | $317.00 | $119.83–$317.00 | — | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 US Transvaginal OB Limited | $87.06 | $174.11 | $28.54–$275.58 | 73% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal Limited | $101.00 | $202.00 | $33.11–$275.58 | 69% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal | $103.50 | $207.00 | $33.93–$275.58 | 68% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 US MFM TRANSVAGINAL W/ IMAGE DOC | $132.50 | $265.00 | $43.43–$275.58 | 59% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 US MFM Transvaginal w/Image Doc | $159.00 | $318.00 | $52.12–$318.00 | 50% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 MC US MFM TRANSVAGINAL W/ IMAGE DOC | $159.00 | $318.00 | $52.12–$318.00 | 50% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 ZZUS 1st Trimester PRG Addl Fetus | $224.00 | $448.00 | $73.43–$448.00 | 30% below | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Transvaginal OB Limited | $87.06 | $174.11 | $65.81–$174.11 | — | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal Limited | $101.00 | $202.00 | $76.36–$202.00 | — | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal | $103.50 | $207.00 | $78.25–$207.00 | — | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US MFM TRANSVAGINAL W/ IMAGE DOC | $132.50 | $265.00 | $100.17–$265.00 | — | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 MC US MFM TRANSVAGINAL W/ IMAGE DOC | $159.00 | $318.00 | $120.20–$318.00 | — | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US MFM Transvaginal w/Image Doc | $159.00 | $318.00 | $120.20–$318.00 | — | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 ZZUS 1st Trimester PRG Addl Fetus | $224.00 | $448.00 | $169.34–$448.00 | — | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN FOR ASCITIES | $434.87 | $869.74 | $90.15–$183.24 | 46% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US GALLBLADDER/LIVER/PANCREAS | $853.00 | $1,706.00 | $90.15–$183.24 | 7% above | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen COMPLETE | $853.00 | $1,706.00 | $90.15–$183.24 | 7% above | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $853.00 | $1,706.00 | $90.15–$183.24 | 7% above | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN FOR ASCITIES | $434.87 | $869.74 | $328.76–$869.74 | — | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $702.24 | $1,404.47 | $530.89–$1,404.47 | — | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen COMPLETE | $702.24 | $1,404.47 | $530.89–$1,404.47 | — | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US GALLBLADDER/LIVER/PANCREAS | $812.00 | $1,624.00 | $613.87–$1,624.00 | — | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum | $245.03 | $490.05 | $80.32–$490.05 | 56% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $245.03 | $490.05 | $80.32–$490.05 | 56% below | 50% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM | $245.03 | $490.05 | $185.24–$490.05 | — | 50% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum | $245.03 | $490.05 | $185.24–$490.05 | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroids | $70.00 | $140.00 | $22.95–$328.69 | 88% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head/Neck Soft Tissue | $78.00 | $156.00 | $25.57–$328.69 | 87% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid | $81.00 | $162.00 | $26.55–$328.69 | 87% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroids | $70.00 | $140.00 | $52.92–$140.00 | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head/Neck Soft Tissue | $78.00 | $156.00 | $58.97–$156.00 | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid | $81.00 | $162.00 | $61.24–$162.00 | — | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI | $354.50 | $709.00 | $116.21–$709.00 | 28% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI SERIES | $354.50 | $709.00 | $116.21–$709.00 | 28% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI + KUB | $354.50 | $709.00 | $116.21–$709.00 | 28% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI w/ Small Bowel | $820.50 | $1,641.00 | $123.05–$1,641.00 | 67% above | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI/SBFT | $820.50 | $1,641.00 | $123.05–$1,641.00 | 67% above | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI + KUB | $354.50 | $709.00 | $268.00–$709.00 | — | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI | $354.50 | $709.00 | $268.00–$709.00 | — | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI SERIES | $354.50 | $709.00 | $268.00–$709.00 | — | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI/SBFT | $820.50 | $1,641.00 | $620.30–$1,641.00 | — | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI w/ Small Bowel | $820.50 | $1,641.00 | $620.30–$1,641.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 CV Vascular Acquisition | $397.95 | $795.89 | $90.15–$183.24 | 37% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 CV VAS RLE Venous Reflux | $483.00 | $966.00 | $90.15–$183.24 | 24% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 CV VAS LLE Venous Reflux | $483.00 | $966.00 | $90.15–$183.24 | 24% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VAS UE Venous Duplex LT | $483.00 | $966.00 | $90.15–$183.24 | 24% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Right | $483.00 | $966.00 | $90.15–$183.24 | 24% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VAS LE Venous Duplex LT | $483.00 | $966.00 | $90.15–$183.24 | 24% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VAS LE Venous Duplex RT | $483.00 | $966.00 | $90.15–$183.24 | 24% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Right | $483.00 | $966.00 | $90.15–$183.24 | 24% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Left | $483.00 | $966.00 | $90.15–$183.24 | 24% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CV VAS LE Venous Duplex Rt | $483.00 | $966.00 | $90.15–$183.24 | 24% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CV VAS UE Venous Duplex Rt | $483.00 | $966.00 | $90.15–$183.24 | 24% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CV VAS UE Venous Duplex Lt | $483.00 | $966.00 | $90.15–$183.24 | 24% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 CV VAS LE Venous Duplex Lt | $483.00 | $966.00 | $90.15–$183.24 | 24% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VAS UE Venous Duplex RT | $483.00 | $966.00 | $90.15–$183.24 | 24% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Left | $483.00 | $966.00 | $90.15–$183.24 | 24% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 CV Vascular Acquisition | $397.95 | $795.89 | $300.85–$795.89 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 CV VAS LLE Venous Reflux | $483.00 | $966.00 | $365.15–$966.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 CV VAS RLE Venous Reflux | $483.00 | $966.00 | $365.15–$966.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VAS LE Venous Duplex RT | $460.50 | $921.00 | $348.14–$921.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VAS UE Venous Duplex RT | $460.50 | $921.00 | $348.14–$921.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VAS LE Venous Duplex LT | $460.50 | $921.00 | $348.14–$921.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VAS UE Venous Duplex LT | $460.50 | $921.00 | $348.14–$921.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 CV VAS UE Venous Duplex Rt | $483.00 | $966.00 | $365.15–$966.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 CV VAS LE Venous Duplex Rt | $483.00 | $966.00 | $365.15–$966.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 CV VAS UE Venous Duplex Lt | $483.00 | $966.00 | $365.15–$966.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Left | $483.00 | $966.00 | $365.15–$966.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Right | $483.00 | $966.00 | $365.15–$966.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Left | $483.00 | $966.00 | $365.15–$966.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Right | $483.00 | $966.00 | $365.15–$966.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 CV VAS LE Venous Duplex Lt | $483.00 | $966.00 | $365.15–$966.00 | — | 50% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR Wrist Complete 3+ Views Bilateral | $72.50 | $145.00 | $23.77–$145.00 | — | 50% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 3M XR Wrist Complete 3+ Views Bilateral | $72.50 | $145.00 | $23.77–$145.00 | — | 50% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR Wrist 4 Views Bilat | $381.00 | $762.00 | $41.06–$762.00 | — | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 3M XR Wrist Complete 3+ Views Right | $72.50 | $145.00 | $23.77–$145.00 | 69% below | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 3M XR Wrist Complete 3+ Views Left | $72.50 | $145.00 | $23.77–$145.00 | 69% below | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Right | $72.50 | $145.00 | $23.77–$145.00 | 69% below | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Left | $72.50 | $145.00 | $23.77–$145.00 | 69% below | 50% |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 3M XR Wrist Complete 3+ Views Bilateral | $72.50 | $145.00 | $54.81–$145.00 | — | 50% |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR Wrist Complete 3+ Views Bilateral | $72.50 | $145.00 | $54.81–$145.00 | — | 50% |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR Wrist 4 Views Bilat | $381.00 | $762.00 | $288.04–$762.00 | — | 50% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Right | $72.50 | $145.00 | $54.81–$145.00 | — | 50% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Left | $72.50 | $145.00 | $54.81–$145.00 | — | 50% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 3M XR Wrist Complete 3+ Views Right | $72.50 | $145.00 | $54.81–$145.00 | — | 50% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 3M XR Wrist Complete 3+ Views Left | $72.50 | $145.00 | $54.81–$145.00 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR Hips/Pelv Child Frogleg (2 Views) | $96.88 | $193.76 | $31.76–$193.76 | 49% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP JOINTS JUDET | $288.50 | $577.00 | $47.43–$577.00 | 53% above | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip w/ or w/o Pelvis 2-3 Views Right | $55.50 | $111.00 | $18.19–$143.30 | 71% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Left | $55.50 | $111.00 | $18.19–$143.30 | 71% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Left | $55.50 | $111.00 | $18.19–$143.30 | 71% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Right | $55.50 | $111.00 | $18.19–$143.30 | 71% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip w/ or w/o Pelvis 2-3 Views Left | $55.50 | $111.00 | $18.19–$143.30 | 71% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Right | $55.50 | $111.00 | $18.19–$143.30 | 71% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XR Hips/Pelv Child Frogleg (2 Views) | $96.88 | $193.76 | $73.24–$193.76 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XR HIP JOINTS JUDET | $237.59 | $475.17 | $179.61–$475.17 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views Left | $55.50 | $111.00 | $41.96–$111.00 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Left | $55.50 | $111.00 | $41.96–$111.00 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views Right | $55.50 | $111.00 | $41.96–$111.00 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip w/ or w/o Pelvis 2-3 Views Right | $55.50 | $111.00 | $41.96–$111.00 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip w/ or w/o Pelvis 2-3 Views Left | $55.50 | $111.00 | $41.96–$111.00 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Right | $55.50 | $111.00 | $41.96–$111.00 | — | 50% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen KUB 1 View | $38.50 | $77.00 | $12.62–$90.19 | 86% below | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen KUB 1 View | $38.50 | $77.00 | $29.11–$77.00 | — | 50% |
| X-ray of the ankle, 2 views both sides CPT 73600 XR Ankle 2 Views Bilateral | $52.00 | $104.00 | $17.05–$104.00 | — | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 1 VIEW RIGHT | $30.00 | $60.00 | $9.83–$96.20 | 85% below | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 1 View Left | $35.50 | $71.00 | $11.64–$96.20 | 82% below | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right | $35.50 | $71.00 | $11.64–$96.20 | 82% below | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left | $35.50 | $71.00 | $11.64–$96.20 | 82% below | 50% |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 XR Ankle 2 Views Bilateral | $52.00 | $104.00 | $39.31–$104.00 | — | 50% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 1 VIEW RIGHT | $30.00 | $60.00 | $22.68–$60.00 | — | 50% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 1 View Left | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2+ Views Right | $41.50 | $83.00 | $13.60–$115.24 | 77% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 3M XR Finger(s) 2+ Views Right | $41.50 | $83.00 | $13.60–$115.24 | 77% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2+ Views Left | $41.50 | $83.00 | $13.60–$115.24 | 77% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 3M XR Finger(s) 2+ Views Left | $41.50 | $83.00 | $13.60–$115.24 | 77% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RIGHT | $112.50 | $225.00 | $36.88–$225.00 | 38% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LEFT | $112.50 | $225.00 | $36.88–$225.00 | 38% below | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 3M XR Finger(s) 2+ Views Right | $41.50 | $83.00 | $31.37–$83.00 | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2+ Views Left | $41.50 | $83.00 | $31.37–$83.00 | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2+ Views Right | $41.50 | $83.00 | $31.37–$83.00 | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 3M XR Finger(s) 2+ Views Left | $41.50 | $83.00 | $31.37–$83.00 | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER RIGHT | $112.50 | $225.00 | $85.05–$225.00 | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER LEFT | $112.50 | $225.00 | $85.05–$225.00 | — | 50% |
| X-ray of the foot, 2 views both sides CPT 73620 XR Foot 2 Views Bilateral | $35.50 | $71.00 | $11.64–$85.18 | — | 50% |
| X-ray of the foot, 2 views both sides CPT 73620 3M XR Foot 2 Views Bilateral | $35.50 | $71.00 | $11.64–$85.18 | — | 50% |
| X-ray of the foot, 2 views one side CPT 73620 3M XR Foot 2 Views Left | $35.50 | $71.00 | $11.64–$85.18 | 81% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 3M XR Foot 2 Views Right | $35.50 | $71.00 | $11.64–$85.18 | 81% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right | $35.50 | $71.00 | $11.64–$85.18 | 81% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 1 View Right | $35.50 | $71.00 | $11.64–$85.18 | 81% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left | $35.50 | $71.00 | $11.64–$85.18 | 81% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 1 View Left | $35.50 | $71.00 | $11.64–$85.18 | 81% below | 50% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 3M XR Foot 2 Views Bilateral | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 XR Foot 2 Views Bilateral | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 1 View Right | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 3M XR Foot 2 Views Right | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 3M XR Foot 2 Views Left | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 1 View Left | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR Foot Complete 3+ Views Bilateral | $71.00 | $142.00 | $23.27–$142.00 | — | 50% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 3M XR Foot Complete 3+ Views Bilateral | $71.00 | $142.00 | $23.27–$142.00 | — | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 3M XR Foot Complete 3+ Views Left | $71.00 | $142.00 | $23.27–$142.00 | 73% below | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 3M XR Foot Complete 3+ Views Right | $71.00 | $142.00 | $23.27–$142.00 | 73% below | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Left | $71.00 | $142.00 | $23.27–$142.00 | 73% below | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Right | $71.00 | $142.00 | $23.27–$142.00 | 73% below | 50% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR Foot Complete 3+ Views Bilateral | $71.00 | $142.00 | $53.68–$142.00 | — | 50% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 3M XR Foot Complete 3+ Views Bilateral | $71.00 | $142.00 | $53.68–$142.00 | — | 50% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 3M XR Foot Complete 3+ Views Right | $71.00 | $142.00 | $53.68–$142.00 | — | 50% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Right | $71.00 | $142.00 | $53.68–$142.00 | — | 50% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Left | $71.00 | $142.00 | $53.68–$142.00 | — | 50% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 3M XR Foot Complete 3+ Views Left | $71.00 | $142.00 | $53.68–$142.00 | — | 50% |
| X-ray of the hand, 3 or more views both sides CPT 73130 3M XR Hand Complete 3+ Views Bilateral | $65.00 | $130.00 | $21.31–$130.00 | — | 50% |
| X-ray of the hand, 3 or more views both sides CPT 73130 XR Hand Complete 3+ Views Bilateral | $65.00 | $130.00 | $21.31–$130.00 | — | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 3M XR Hand Complete 3+ Views Right | $65.00 | $130.00 | $21.31–$130.00 | 75% below | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Right | $65.00 | $130.00 | $21.31–$130.00 | 75% below | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 3M XR Hand Complete 3+ Views Left | $65.00 | $130.00 | $21.31–$130.00 | 75% below | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Left | $65.00 | $130.00 | $21.31–$130.00 | 75% below | 50% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR Hand Complete 3+ Views Bilateral | $65.00 | $130.00 | $49.14–$130.00 | — | 50% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 3M XR Hand Complete 3+ Views Bilateral | $65.00 | $130.00 | $49.14–$130.00 | — | 50% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Left | $65.00 | $130.00 | $49.14–$130.00 | — | 50% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 3M XR Hand Complete 3+ Views Right | $65.00 | $130.00 | $49.14–$130.00 | — | 50% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 3M XR Hand Complete 3+ Views Left | $65.00 | $130.00 | $49.14–$130.00 | — | 50% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Right | $65.00 | $130.00 | $49.14–$130.00 | — | 50% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 XR Knee 1 or 2 Views Bilateral | $75.00 | $150.00 | $24.59–$150.00 | — | 50% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 3M XR Knee 1 or 2 Views Bilateral | $75.00 | $150.00 | $24.59–$150.00 | — | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 3M XR Knee 1 or 2 Views Right | $75.00 | $150.00 | $24.59–$150.00 | 59% below | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 3M XR Knee 1 or 2 Views Left | $75.00 | $150.00 | $24.59–$150.00 | 59% below | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right | $75.00 | $150.00 | $24.59–$150.00 | 59% below | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left | $75.00 | $150.00 | $24.59–$150.00 | 59% below | 50% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR Knee 1 or 2 Views Bilateral | $75.00 | $150.00 | $56.70–$150.00 | — | 50% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 3M XR Knee 1 or 2 Views Bilateral | $75.00 | $150.00 | $56.70–$150.00 | — | 50% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 3M XR Knee 1 or 2 Views Left | $75.00 | $150.00 | $56.70–$150.00 | — | 50% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left | $75.00 | $150.00 | $56.70–$150.00 | — | 50% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right | $75.00 | $150.00 | $56.70–$150.00 | — | 50% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 3M XR Knee 1 or 2 Views Right | $75.00 | $150.00 | $56.70–$150.00 | — | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $92.50 | $185.00 | $30.32–$185.00 | 73% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $92.50 | $185.00 | $69.93–$185.00 | — | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views | $59.00 | $118.00 | $19.34–$156.33 | 88% below | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 3M XR Spine Lumbosacral 4+ Views | $68.50 | $137.00 | $22.45–$156.33 | 86% below | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4+ Views | $59.00 | $118.00 | $44.60–$118.00 | — | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 3M XR Spine Lumbosacral 4+ Views | $68.50 | $137.00 | $51.79–$137.00 | — | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views | $45.50 | $91.00 | $14.92–$99.21 | 86% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 3M XR Spine Thoracic 2 Views | $52.50 | $105.00 | $17.21–$105.00 | 84% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views | $45.50 | $91.00 | $34.40–$91.00 | — | 50% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 3M XR Spine Thoracic 2 Views | $52.50 | $105.00 | $39.69–$105.00 | — | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 3M XR Nasal Bones 3+ Views | $49.00 | $98.00 | $16.06–$113.24 | 81% below | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views | $49.00 | $98.00 | $16.06–$113.24 | 81% below | 50% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones 3+ Views | $49.00 | $98.00 | $37.04–$98.00 | — | 50% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 3M XR Nasal Bones 3+ Views | $49.00 | $98.00 | $37.04–$98.00 | — | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views | $86.00 | $172.00 | $28.19–$172.00 | 75% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 3M XR Spine Cervical 2 or 3 Views | $100.00 | $200.00 | $32.78–$200.00 | 72% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views | $86.00 | $172.00 | $65.02–$172.00 | — | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 3M XR Spine Cervical 2 or 3 Views | $100.00 | $200.00 | $75.60–$200.00 | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR INLET-OUTLET PELVIS | $27.50 | $55.00 | $9.01–$84.18 | 89% below | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 3M XR Pelvis 1 or 2 Views | $36.00 | $72.00 | $11.80–$84.18 | 85% below | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views | $36.00 | $72.00 | $11.80–$84.18 | 85% below | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR INLET-OUTLET PELVIS | $27.50 | $55.00 | $20.79–$55.00 | — | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 3M XR Pelvis 1 or 2 Views | $36.00 | $72.00 | $27.22–$72.00 | — | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views | $36.00 | $72.00 | $27.22–$72.00 | — | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views | $27.50 | $55.00 | $9.01–$98.21 | 90% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 3M XR Sacrum/Coccyx 2+ Views | $31.50 | $63.00 | $10.33–$98.21 | 89% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx 2+ Views | $27.50 | $55.00 | $20.79–$55.00 | — | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 3M XR Sacrum/Coccyx 2+ Views | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Crab IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Beef IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Scallop IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Codfish IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Wheat IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Soybean IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Milk (Cow) IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Corn IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Egg Yolk IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Egg White IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Peanut IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, House Dust Stier IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Mites, D. farinae IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insect, Cockroach, German IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Mites, D. pteronyssinus IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, R. nigricans IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Hormodendrum IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Epicoccum IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, A. fumigatus IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, A. alternata IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Mesquite Tree IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Willow Tree IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Oak Tree IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Box Elder/Maple Tree IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Mouse Epithelium-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Sheep Sorrel-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Nettle-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Common/Short Ragweed-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Pigweed-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Pecan Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Cedar/Red Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Goldenrod-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, R. nigrican-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Muco racemosus-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, P. notatum-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Hormodendrum-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Epicoccum-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, A. fumigatus-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Green Bean (string)-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Apple-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Asparagus-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Privet Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Alpha-Gal-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Perennial Rye Grass-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Horse Hair/ Dander-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Fus. moniliforme-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Curvularia lunata-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Aureob. pullulans-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Virginia Live Oak-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Catfish-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Occupational, Latex IgE Enh.-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, S. botryosum-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Marsh Elder-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, False Ragweed-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Kochia/Firebush-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Mugwort-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Russian Thistle-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Western Ragweed-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insect, Paper Wasp-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Dandelion-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Pine/Australian Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Egg Whole-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Lamb's Quarters-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Chicken Feather-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Strawberry-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Gluten-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Egg Yolk-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Walnut-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pea-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Giant Ragweed-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Goose Feathers-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Sesame Seed-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Bahia-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Timothy Grass-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Johnson Grass-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, White Ash Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Olive Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Mesquite Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Eucalyptus Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Willow Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Sycamore Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Mountain Cedar Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Elm Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Cottonwood Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Box Elder/Maple Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Walnut Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Birch Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Rye-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Rice-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Orange-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lettuce-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Grape-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Chicken-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Acacia Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Carrot-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cabbage-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, American Beech-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Watermelon-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lima Bean/White Bean-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Trout-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Perch-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Grapefruit-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Turkey-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cheese Mold-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Japanese Cedar Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Chickpea (Garbanzo)-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Kiwi-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Sweet Gum Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pepper C. frutescens-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Honeydew/Cantaloupe-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Tea-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Bay Leaf-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Basil-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Oregano-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cheese, Cheddar-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Nutmeg-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Thyme-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Crayfish-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Hickory Shagbark-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insect, Fire Ant, Imported-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Cephalosporium-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Poplar White-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Ginger-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cucumber-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Clove-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Summer Squash-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Zucchini-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pepper C. annuum-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Barley-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Tomato-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Potato-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Oat-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Beef-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, White Pine Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insect, Cockroach, German-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Cocklebur-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pineapple-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Garlic-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Helminthosporium-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Corn-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Salmon-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, A. alternatas-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Bermuda Grass-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Banana-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Coconut-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Celery-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Halibut-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Whitefish-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Sweet Potato-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Macadamia Nut-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Blueberry-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Alder Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Raspberry-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Scale-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, White Mulberry Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Botrytis cinerea-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Coriander/Cilantro-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Blackberry-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Tuna-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Candida albicans-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Oak Tree-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Codfish-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pecan-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, English Plantain-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Wheat-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Soybean-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Dog Dander-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lobster-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Shrimp-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Carrot IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Peanut-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insect, Cockroach, American-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cow Milk-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Sagebrush/Wormwood-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Egg White-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Crab-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Duck Feathers-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Cat Dander-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Tilapia-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Oyster-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Chestnut-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Hazelnut-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Brazil Nut-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cashew-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Almond-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Mites, D. farinae-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Black Bean-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Turmeric-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pear-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Baker's/Brewer's Yeast-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Asper flavus-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Mites, D. pteronyssinus-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Clam-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Scallop-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pork-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Phoma betae-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, F. solani-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Avocado-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, S. solani-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Horse Hair/ Dander IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Cow Hair/ Dander IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Watermelon IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Celery IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Severe Peanut Ara h 1 | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Severe Peanut Ara h 2 | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Severe Peanut Ara h 3 | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Mild Peanut Ara h 8 | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Yellow Dye-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Broccoli-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Coffee-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Goat Milk-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Sheep Milk-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Mushroom-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Onion-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Occupational, Tobacco-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Whey-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, House Dust Greer IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Russian Thistle IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Gulf Flounder-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Peach-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Vanilla-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pine (Pinon) Nut-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Black Pepper-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cinnamon-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pistachio-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Mustard-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Chocolate-ARUP | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Sesame Seed IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, M. racemosus IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Mouse Epithelium IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Common/Short Ragweed IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Pigweed IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Timothy Grass IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Perennial Rye IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Orchard/Cocksfoot IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, June/Kentucky Blue IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Johnson Grass IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Bermuda Grass IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Bent/Redtop Grass IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Egg Whole IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Blue Mussel IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lobster IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Almond IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Beta-lactoglobulin IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Rye IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lettuce IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Grape IgE | $30.32 | $60.64 | $3.65–$60.64 | 18% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Peanut-RL | $34.00 | $68.00 | $3.65–$68.00 | 8% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Pecan (White Hickory) Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pea-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Sesame Seed-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Salmon-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Banana-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pecan-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Dog Dander-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lobster-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Duck Feathers-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Tilapia-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Egg Whole-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Chicken Feather-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Egg Yolk-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Walnut (Juglans sp)-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Goose Feathers-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Bahia-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Beef-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insect, Cockroach, German-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Corn-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Bermuda Grass-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Tuna-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Oak Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Codfish-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Wheat-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Soybean-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Shrimp-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cow Milk-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Egg White-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Crab-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Cat Dander-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Birch Tree IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Walnut Tree IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Cottonwood Tree IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Elm Tree IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Mountain Cedar Tree IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Sycamore Tree IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Eucalyptus Tree IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Olive Tree IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, White Ash Tree IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, A. pullulans IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, C. lunata IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, F. moniliforme IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Helminthospor. IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, P. notatum IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Banana IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Gluten IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Strawberry IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Shrimp IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Walnut (Juglans spp) IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Clam IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Barley IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pepper C. annuum IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cabbage IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Chicken IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Navy Bean IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Oat IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Orange IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Potato IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pork IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Rice IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Tomato IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Tuna IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Alpha-Lactalbumin IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Casein IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Brazil Nut IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cashew IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Hazelnut IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pecan IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Chestnut IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Oyster IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Apple IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Green Bean (string) IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pea IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Meadow Fescue IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Cat Dander IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Dog Dander IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Bahia IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Pecan Tree IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Nettle IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Sheep Sorrel IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Phoma betae IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cashew-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Almond-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Chocolate-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Mustard-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pistachio-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cinnamon-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Rye-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Black Pepper-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Total IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Nettle (weed pollen) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Sheep sorrel (weed pollen) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Common pigweed (weed pollen) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pine (Pinon) Nut-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Vanilla-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Hazelnut-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Brazil Nut-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Common ragweed (weed pollen) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Elm (tree pollen) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mulberry (tree pollen) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oak (tree pollen) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mountain juniper (tree pollen) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Common silver birch (tree pollen) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hickory pecan (tree pollen) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Box-elder (tree pollen) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Timothy grass (grass pollen) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda grass (grass pollen) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bahia grass (grass pollen) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Johnson grass (grass pollen) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cockroach, German (insect) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D. farinae (dust mite) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D. pteronyssinus (dust mite) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mouse urine proteins (epidermal) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cat dander (epidermal) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Penicillium chrysogenum (mold) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cladosporium herbarum (mold) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus fumigatus (mold) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Alternaria alternata (mold) | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Beet Root IgE - RL - BILL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Venison IgE - RL - BILL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lamb - RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Squid - RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pumpkin-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cherry-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, YellowDock (Rumex crispus) - RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Mango - RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Green Olive, IgE - RL Bill | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Black Olive- RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cranberry - RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Haddock - RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lentil - RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Bass Black - RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Grouper, - RL Bill | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insect, Mosquito-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insect. Flea-RL Bill | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Blue Mussel-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Walnut, IgE with Components-RL B | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Trout IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Salmon IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Mackerel IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Halibut IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Peach-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Apple-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Oyster-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Strawberry-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Gulf Flounder-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pork-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Carrot-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Chicken-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Grape-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Orange-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Tomato-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Oat-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Potato-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Guar Gum-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Occupation, Gum Caragee-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific IgE each | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insect, Yellow Jacket Venom-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insect, Honey Bee Venom-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insect, White-Faced Hornet-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insect, Yellow-Faced Hornet-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Plum-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Mandarin-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lime-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lemon-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Goldenrod IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Mugwort IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Kochia/Firebush IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Western Ragweed IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Sagebrush/Wormwood IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Rice-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Barley-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, False Ragweed | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Whey-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Occupational, Tobacco-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Mouse Epithelium-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Onion-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Mushroom-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 zzSheep Milk-ARUP | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Goat Milk-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lettuce-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Coffee-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Broccoli-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Avocado-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Yellow Dye-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Avocado IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Papaya IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Kiwi IgE | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, F. solani-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, A. fumigatus-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Baker's/Brewer's Yeast-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cabbage-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pear-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Chestnut-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Blueberry-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Asper flavus-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Turmeric-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Black Bean -RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Blackberry-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Coriander/Cilantro-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Botrytis cinerea-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Nettle-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, White Mulberry Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Scale-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Raspberry-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Alder Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Macadamia Nut-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Sweet Potato-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Whitefish-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Halibut-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Celery-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Coconut-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Clam-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Garlic-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pineapple-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Cocklebur-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Zucchini-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Summer Squash-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Clove-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cucumber-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Ginger-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Poplar White-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Cephalosporium-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insect, Fire Ant, Imported-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Hickory Shagbark-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Crayfish-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Thyme-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Nutmeg-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Scallop-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cheese, Cheddar-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Cheese Mold-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Oregano-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Basil-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Bay Leaf-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Tea-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Honeydew/Cantaloupe-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pepper C. frutescens-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Phoma betae-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Sweet Gum Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Kiwi-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Chickpea (Garbanzo)-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Japanese Cedar Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Watermelon-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Turkey-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Grapefruit-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Perch-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Trout-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lima Bean/White Bean-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Box Elder/Maple Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Olive Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, American Beech-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Acacia Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Mesquite Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Eucalyptus Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Walnut Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Sycamore Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Pine/Australian Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Dandelion-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Willow Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insect, Paper Wasp-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Western Ragweed-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Russian Thistle-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Mugwort-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Kochia/Firebush-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, False Ragweed-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pepper C. annuum-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Marsh Elder-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, S. botryosum-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Green Bean (string)-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Occupational, Latex IgE Enh.-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Epicoccum-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Gluten-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Catfish-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Virginia Live Oak-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Pigweed-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, White Pine Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Aureob. pullulans-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Curvularia lunata-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Fus. moniliforme-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Common/Short Ragweed-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal, Horse Hair/ Dander-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Perennial Rye Grass-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Mountain Cedar Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Privet Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Johnson Grass-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Asparagus-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Muco racemosus-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, R. nigrican-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Goldenrod-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Lamb's Quarters-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Cedar/Red Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Elm Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Timothy Grass-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Sagebrush/Wormwood-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Insect, Cockroach, American-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Sheep Sorrel-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, P. notatum-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, White Ash Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Mites, D. farinae-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Mites, D. pteronyssinus-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Birch Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, English Plantain-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Hormodendrum-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Cottonwood Tree-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Candida albicans-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, A. alternatas-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Weed, Giant Ragweed-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Fungi/Mold, Helminthosporium-RL | $35.50 | $71.00 | $3.65–$71.00 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Occupational, Latex IgE Enh.-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, S. botryosum-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Alder Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Occupational, Tobacco-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Marsh Elder-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Raspberry-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, False Ragweed-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Kochia/Firebush-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Celery IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Mugwort-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Russian Thistle-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Scale-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Western Ragweed-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Onion-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Catfish-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pineapple-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Papaya IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Garlic-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, White Mulberry Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insect, Paper Wasp-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Dandelion-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Crab IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Chicken IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Carrot IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cabbage IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pepper C. annuum IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Beef IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Barley IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Scallop IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Codfish IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Clam IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Walnut (Juglans spp) IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Shrimp IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Wheat IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Soybean IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Strawberry IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Milk (Cow) IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Gluten IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Corn IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Egg Yolk IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Egg White IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Peanut IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Banana IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, House Dust Stier IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Mites, D. farinae IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insect, Cockroach, German IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Mites, D. pteronyssinus IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, R. nigricans IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, P. notatum IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Hormodendrum IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Helminthospor. IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, F. moniliforme IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Epicoccum IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, C. lunata IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, A. pullulans IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, A. fumigatus IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, A. alternata IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, White Ash Tree IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Olive Tree IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Mesquite Tree IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Eucalyptus Tree IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Willow Tree IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Oak Tree IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Sycamore Tree IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Mountain Cedar Tree IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Elm Tree IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Cottonwood Tree IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Box Elder/Maple Tree IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Walnut Tree IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Birch Tree IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Mouse Epithelium-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Sheep Sorrel-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Nettle-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Common/Short Ragweed-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Pigweed-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Pecan Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Strawberry-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Gluten-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pea-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Sesame Seed-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Banana-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pecan-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Dog Dander-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lobster-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Duck Feathers-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, P. notatum-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Hormodendrum-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Epicoccum-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, A. fumigatus-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Green Bean (string)-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Apple-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Egg Whole-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Chicken Feather-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Egg Yolk-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Goose Feathers-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Bahia-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Timothy Grass-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Johnson Grass-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, White Ash Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Olive Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Mesquite Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Eucalyptus Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Willow Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Sycamore Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Mountain Cedar Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Elm Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Cottonwood Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Box Elder/Maple Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Walnut Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Birch Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Rye-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Rice-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Orange-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lettuce-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Grape-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Chicken-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Carrot-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cabbage-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pepper C. annuum-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Barley-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Tomato-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Potato-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Oat-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Beef-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insect, Cockroach, German-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Corn-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Bermuda Grass-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Oak Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Wheat-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Shrimp-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cow Milk-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Egg White-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Crab-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Cat Dander-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Oyster-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Chestnut-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Hazelnut-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Brazil Nut-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cashew-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Almond-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Mites, D. farinae-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Mites, D. pteronyssinus-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Clam-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Scallop-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pork-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Phoma betae-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Baker's/Brewer's Yeast-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Grape IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lettuce IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Navy Bean IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Oat IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Orange IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Potato IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Whey-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Pine/Australian Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pork IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Botrytis cinerea-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Acacia Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Coconut-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Rice IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Rye IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, American Beech-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Tomato IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Coriander/Cilantro-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Avocado IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Almond IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Brazil Nut IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Watermelon-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, False Ragweed | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cashew IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Japanese Cedar Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Chickpea (Garbanzo)-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Hazelnut IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Blackberry-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pecan IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Chestnut IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lobster IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Blue Mussel IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Oyster IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Kochia/Firebush IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Apple IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Egg Whole IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Green Bean (string) IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pea IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Kiwi-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Bent/Redtop Grass IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, House Dust Greer IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Bermuda Grass IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Johnson Grass IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Sweet Gum Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pepper C. frutescens-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Yellow Dye-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, June/Kentucky Blue IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Meadow Fescue IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Honeydew/Cantaloupe-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Orchard/Cocksfoot IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Broccoli-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Black Bean-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Perennial Rye IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Tea-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Timothy Grass IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Cat Dander IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Dog Dander IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Mugwort IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Bay Leaf-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Russian Thistle IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Basil-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Oregano-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Turmeric-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Bahia IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cheese, Cheddar-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cheese Mold-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Nutmeg-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Pecan Tree IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Coffee-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Pigweed IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Asper flavus-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Turkey-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Thyme-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Grapefruit-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Common/Short Ragweed IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Nettle IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Goat Milk-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Perch-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Sheep Sorrel IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Crayfish-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, F. solani-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Mouse Epithelium IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, M. racemosus IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Sesame Seed IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Phoma betae IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Trout-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Chocolate-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Mustard-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pistachio-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lima Bean/White Bean-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Hickory Shagbark-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, White Pine Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Sagebrush/Wormwood IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cinnamon-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Black Pepper-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Avocado-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Giant Ragweed-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pine (Pinon) Nut-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Vanilla-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Peach-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insect, Fire Ant, Imported-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Cephalosporium-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Helminthosporium-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Gulf Flounder-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Horse Hair/ Dander IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Sheep Milk-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pear-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, A. alternatas-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Blueberry-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Candida albicans-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Macadamia Nut-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, English Plantain-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insect, Cockroach, American-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Sweet Potato-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Whitefish-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Sagebrush/Wormwood-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Poplar White-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Cedar/Red Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Ginger-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Cow Hair/ Dander IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Lamb's Quarters-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Halibut-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Goldenrod-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, R. nigrican-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Celery-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Muco racemosus-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Asparagus-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Privet Tree-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Alpha-Gal-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cucumber-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Mushroom-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Perennial Rye Grass-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Clove-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Horse Hair/ Dander-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Watermelon IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Summer Squash-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Western Ragweed IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Goldenrod IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Zucchini-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Fus. moniliforme-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Kiwi IgE | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Curvularia lunata-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Aureob. pullulans-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Cocklebur-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Virginia Live Oak-ARUP | $27.30 | $54.59 | $20.64–$54.59 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Tilapia-ARUP | $29.03 | $58.05 | $21.94–$58.05 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Tuna-ARUP | $29.03 | $58.05 | $21.94–$58.05 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Salmon-ARUP | $29.03 | $58.05 | $21.94–$58.05 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Tuna IgE | $29.03 | $58.05 | $21.94–$58.05 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Peanut-RL | $30.00 | $60.00 | $22.68–$60.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Peanut-ARUP | $30.32 | $60.64 | $22.92–$60.64 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Mild Peanut Ara h 8 | $30.32 | $60.64 | $22.92–$60.64 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Severe Peanut Ara h 3 | $30.32 | $60.64 | $22.92–$60.64 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Severe Peanut Ara h 2 | $30.32 | $60.64 | $22.92–$60.64 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Severe Peanut Ara h 1 | $30.32 | $60.64 | $22.92–$60.64 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, S. solani-ARUP | $30.32 | $60.64 | $22.92–$60.64 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Casein IgE | $30.32 | $60.64 | $22.92–$60.64 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Beta-lactoglobulin IgE | $30.32 | $60.64 | $22.92–$60.64 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Alpha-Lactalbumin IgE | $30.32 | $60.64 | $22.92–$60.64 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut-ARUP | $30.32 | $60.64 | $22.92–$60.64 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Codfish-ARUP | $30.32 | $60.64 | $22.92–$60.64 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Soybean-ARUP | $30.32 | $60.64 | $22.92–$60.64 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Raspberry-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cucumber-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Clove-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Summer Squash-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Zucchini-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Cocklebur-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pineapple-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Garlic-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Codfish-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Wheat-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Soybean-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Shrimp-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cow Milk-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Egg White-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Crab-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Cat Dander-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Beet Root IgE - RL - BILL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Venison IgE - RL - BILL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lamb - RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Squid - RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pumpkin-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cherry-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, YellowDock (Rumex crispus) - RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Mango - RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cranberry - RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Haddock - RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lentil - RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Bass Black - RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Grouper, - RL Bill | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insect, Mosquito-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insect. Flea-RL Bill | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Blue Mussel-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Walnut, IgE with Components-RL B | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Trout IgE | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Salmon IgE | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Mackerel IgE | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Halibut IgE | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Occupation, Gum Caragee-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific IgE each | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Plum-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Mandarin-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lime-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lemon-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Whey-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Occupational, Tobacco-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Mouse Epithelium-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Onion-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Mushroom-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 zzSheep Milk-ARUP | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Goat Milk-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lettuce-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Coffee-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Broccoli-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Avocado-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Yellow Dye-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, F. solani-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Asper flavus-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Turmeric-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Black Bean -RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Blackberry-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Coriander/Cilantro-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Botrytis cinerea-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Nettle-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, White Mulberry Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Scale-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Alder Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Vanilla-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pine (Pinon) Nut-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Black Pepper-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Rye-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cinnamon-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pistachio-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Mustard-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Chocolate-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Almond-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cashew-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pea-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Sesame Seed-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Hazelnut-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Brazil Nut-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Peach-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Apple-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Oyster-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Strawberry-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Gulf Flounder-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pork-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Carrot-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Chicken-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Grape-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Orange-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Tomato-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Oat-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Potato-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Rice-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Barley-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, A. fumigatus-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Baker's/Brewer's Yeast-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cabbage-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pear-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Chestnut-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Blueberry-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Macadamia Nut-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Sweet Potato-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Whitefish-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Halibut-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Celery-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Coconut-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Clam-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Scallop-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cheese, Cheddar-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Cheese Mold-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Turkey-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Grapefruit-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Perch-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Trout-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lima Bean/White Bean-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Box Elder/Maple Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Pigweed-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, White Pine Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Giant Ragweed-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Pecan (White Hickory) Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Banana-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pecan-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Dog Dander-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lobster-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Duck Feathers-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Egg Whole-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Chicken Feather-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Egg Yolk-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Helminthosporium-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, A. alternatas-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Candida albicans-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Cottonwood Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Hormodendrum-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Walnut (Juglans sp)-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Goose Feathers-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Bahia-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Beef-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insect, Cockroach, German-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Corn-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, English Plantain-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Bermuda Grass-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Oak Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Birch Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Mites, D. pteronyssinus-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Mites, D. farinae-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, White Ash Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, P. notatum-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Sheep Sorrel-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insect, Cockroach, American-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Sagebrush/Wormwood-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Timothy Grass-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Elm Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Cedar/Red Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Lamb's Quarters-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Goldenrod-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, R. nigrican-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Muco racemosus-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Asparagus-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Johnson Grass-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Privet Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Mountain Cedar Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Perennial Rye Grass-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal, Horse Hair/ Dander-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Common/Short Ragweed-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Fus. moniliforme-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Curvularia lunata-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Aureob. pullulans-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Virginia Live Oak-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Catfish-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Gluten-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Epicoccum-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Occupational, Latex IgE Enh.-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Green Bean (string)-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, S. botryosum-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Marsh Elder-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pepper C. annuum-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, False Ragweed-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Kochia/Firebush-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Mugwort-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Russian Thistle-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Western Ragweed-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insect, Paper Wasp-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Willow Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Weed, Dandelion-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Pine/Australian Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Sycamore Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Walnut Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Eucalyptus Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Mesquite Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Acacia Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, American Beech-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Olive Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Watermelon-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Japanese Cedar Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Chickpea (Garbanzo)-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Kiwi-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Sweet Gum Tree-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Phoma betae-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pepper C. frutescens-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Honeydew/Cantaloupe-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Tea-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Bay Leaf-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Basil-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Oregano-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Nutmeg-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Thyme-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Crayfish-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Hickory Shagbark-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insect, Fire Ant, Imported-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Fungi/Mold, Cephalosporium-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Poplar White-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Ginger-RL | $31.50 | $63.00 | $23.81–$63.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alternaria alternata (mold) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Timothy grass (grass pollen) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bermuda grass (grass pollen) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bahia grass (grass pollen) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Johnson grass (grass pollen) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cockroach, German (insect) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Elm (tree pollen) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Total IgE | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus fumigatus (mold) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Box-elder (tree pollen) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oak (tree pollen) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mountain juniper (tree pollen) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Common silver birch (tree pollen) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hickory pecan (tree pollen) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. farinae (dust mite) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. pteronyssinus (dust mite) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mouse urine proteins (epidermal) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat dander (epidermal) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillium chrysogenum (mold) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mulberry (tree pollen) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cladosporium herbarum (mold) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Common ragweed (weed pollen) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Common pigweed (weed pollen) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sheep sorrel (weed pollen) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Nettle (weed pollen) | $32.00 | $64.00 | $24.19–$64.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Tilapia-RL | $34.00 | $68.00 | $25.70–$68.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Salmon-RL | $34.00 | $68.00 | $25.70–$68.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Tuna-RL | $34.00 | $68.00 | $25.70–$68.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insect, White-Faced Hornet-RL | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insect, Yellow Jacket Venom-RL | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Guar Gum-RL | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Black Olive- RL | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Green Olive, IgE - RL Bill | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insect, Honey Bee Venom-RL | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Insect, Yellow-Faced Hornet-RL | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab IgG and IgA-RL | $55.50 | $111.00 | $9.07–$111.00 | 57% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide (CCP) Antibody IgG | $55.50 | $111.00 | $9.07–$111.00 | 57% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptid IgG Ab-ARUP | $190.54 | $381.08 | $9.07–$381.08 | 48% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibodies, IgA, IgG, ELISA - RL Bill | $220.50 | $441.00 | $9.07–$441.00 | 71% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibody | $220.50 | $441.00 | $9.07–$441.00 | 71% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Ab IgG and IgA-RL | $50.00 | $100.00 | $37.80–$100.00 | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide (CCP) Antibody IgG | $50.00 | $100.00 | $37.80–$100.00 | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptid IgG Ab-ARUP | $171.49 | $342.98 | $129.65–$342.98 | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibody | $198.00 | $396.00 | $149.69–$396.00 | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibodies, IgA, IgG, ELISA - RL Bill | $198.00 | $396.00 | $149.69–$396.00 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA, IgG ELISA w/ Reflex to ANA, IgG IFA-ARUP | $129.04 | $258.07 | $8.47–$258.07 | at median | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA, IgG ELISA w/ Reflex to ANA, IgG IFA-ARUP | $116.14 | $232.27 | $87.80–$232.27 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Parathyroid Gland | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Larynx Biopsy | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Lung Transbronchial Biopsy | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Fallopian Tube-Ectopic Pregnancy | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Odontogenic/Dental Cyst | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Ovary w/wo Tube Non-Neoplastic | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Ovary Biopsy/Wedge Resection | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Polyp-Colorectal | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Salivary Gland Biopsy | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Synovium | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tongue Biopsy | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Trachea Biopsy | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Ureter Biopsy | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Urethra Biopsy | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Vagina Biopsy | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Foreign Body ID | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 BREAST BX NO MICRO FOR SURG MARG | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 FINGERS/TOES-AMPUTATION/NON-TRAUM | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Fallopian Tube Biopsy | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Extremity Amputation/Traumatic | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Esophagus Biopsy | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Duodenum Biopsy | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cervix Biopsy | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cell Block/Any Source | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bone Marrow Biopsy | $141.26 | $282.51 | $30.39–$282.51 | 27% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Soft Tissue not TU/MS/Lip/Debrid | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Spleen | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Leiomyomas Ute Myomectomy-No Uter | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Testis-Not Tumor/BX/Castration | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Thyroglossal Duct/Brach Cleft Cys | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bone Exostosis | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tonsil Biopsy | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Artery Biopsy | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Endometrium-Curettings/Biopsy | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Abortion-Spontaneous/Missed | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Urinary Bladder Biopsy | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Uterus w/wo t/o for prolapse | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Colon Biopsy | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Vulva/Labia Biopsy | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Breast Reduction Mammoplasty | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Kidney Biopsy | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Sinus Paranasal Biopsy | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Skin-Other than Cyst/Tag/Debridem | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Small Intestine Biopsy | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Lymph Node Biopsy | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Lip Biopsy/Wedge Resection | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Nasal Mucosa Biopsy | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Nasopharynx/Oropharynx Biopsy | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Femoral Head-Fracture | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Omentum Biopsy | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CERVIX BIOSPY | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bronchus Biopsy | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Joint Resection | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Peritoneum Biopsy | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Placenta-Other than 3rd Trimester | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pleura/Pericardium-Biopsy/Tissue | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Polyp-Cervical/Endometrial | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 NERVE BIOPSY | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Polyp-Stomach/Small Bowel | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Prostate Needle Biopsy | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Prostate - Tur | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Gingiva/Oral Mucosa Biopsy | $164.00 | $328.00 | $30.39–$328.00 | 47% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 RENAL BIOPSY - NEPHROPATH | $243.20 | $486.40 | $30.39–$486.40 | 118% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 NERVE BIOPSY/REF LAB | $904.87 | $1,809.73 | $30.39–$1,809.73 | 712% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 MUSCLE BIOPSY/REF LAB | $904.87 | $1,809.73 | $30.39–$1,809.73 | 712% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Extremity Amputation/Traumatic | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 NERVE BIOPSY | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CERVIX BIOSPY | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BREAST BX NO MICRO FOR SURG MARG | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RENAL BIOPSY - NEPHROPATH | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 MUSCLE BIOPSY/REF LAB | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 NERVE BIOPSY/REF LAB | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Foreign Body ID | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Breast Reduction Mammoplasty | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Vulva/Labia Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Vagina Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Uterus w/wo t/o for prolapse | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Urinary Bladder Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Urethra Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Ureter Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Trachea Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tonsil Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tongue Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Thyroglossal Duct/Brach Cleft Cys | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Testis-Not Tumor/BX/Castration | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Synovium | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Spleen | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Soft Tissue not TU/MS/Lip/Debrid | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Small Intestine Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Skin-Other than Cyst/Tag/Debridem | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Sinus Paranasal Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Salivary Gland Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Prostate - Tur | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Prostate Needle Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Polyp-Stomach/Small Bowel | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Polyp-Colorectal | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Polyp-Cervical/Endometrial | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pleura/Pericardium-Biopsy/Tissue | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Placenta-Other than 3rd Trimester | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Peritoneum Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Parathyroid Gland | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Ovary Biopsy/Wedge Resection | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Ovary w/wo Tube Non-Neoplastic | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Omentum Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Odontogenic/Dental Cyst | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Nasopharynx/Oropharynx Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Nasal Mucosa Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Lymph Node Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Lung Transbronchial Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Lip Biopsy/Wedge Resection | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Leiomyomas Ute Myomectomy-No Uter | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Larynx Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Kidney Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Joint Resection | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Gingiva/Oral Mucosa Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Femoral Head-Fracture | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Fallopian Tube-Ectopic Pregnancy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Fallopian Tube Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Esophagus Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Endometrium-Curettings/Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Duodenum Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Colon Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Cervix Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Cell Block/Any Source | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bronchus Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bone Marrow Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bone Exostosis | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Artery Biopsy | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Abortion-Spontaneous/Missed | $55.00 | $110.00 | $41.58–$110.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 FINGERS/TOES-AMPUTATION/NON-TRAUM | $127.13 | $254.26 | $96.11–$254.26 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw | $3.22 | $6.43 | $1.20–$12.86 | 75% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection Venous Blood Venipuncture 36415 | $5.00 | $10.00 | $1.80–$18.68 | 62% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 RAD Lab Draw Nursing - Radiology Lab Draw | $18.39 | $36.77 | $1.80–$36.77 | 41% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ED | $18.39 | $36.77 | $1.80–$36.77 | 41% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INF Venipuncture | $18.39 | $36.77 | $1.80–$36.77 | 41% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 MR Lab Draw | $20.00 | $40.00 | $1.80–$40.00 | 53% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 CT Lab Draw | $20.00 | $40.00 | $1.80–$40.00 | 53% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $22.00 | $44.00 | $1.80–$44.00 | 69% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Blood collection - Butterfly | $23.00 | $46.00 | $1.80–$46.00 | 76% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $23.00 | $46.00 | $1.80–$46.00 | 76% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Blood collection - Venipuncture | $23.00 | $46.00 | $1.80–$46.00 | 76% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Blood collection - Redraw | $23.00 | $46.00 | $1.80–$46.00 | 76% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw | $3.22 | $6.43 | $2.43–$6.43 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Collection Venous Blood Venipuncture 36415 | $5.00 | $10.00 | $3.78–$10.00 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 RAD Lab Draw Nursing - Radiology Lab Draw | $18.39 | $36.77 | $13.90–$36.77 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ED | $18.39 | $36.77 | $13.90–$36.77 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture | $18.39 | $36.77 | $13.90–$36.77 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 INF Venipuncture | $18.39 | $36.77 | $13.90–$36.77 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CT Lab Draw | $20.00 | $40.00 | $15.12–$40.00 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 MR Lab Draw | $20.00 | $40.00 | $15.12–$40.00 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $22.00 | $44.00 | $16.63–$44.00 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Blood collection - Redraw | $23.00 | $46.00 | $17.39–$46.00 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Blood collection - Butterfly | $23.00 | $46.00 | $17.39–$46.00 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Blood collection - Venipuncture | $23.00 | $46.00 | $17.39–$46.00 | — | 50% |
| Blood glucose (sugar) test CPT 82947 Whole Blood Glucose POC | $5.50 | $11.00 | $2.76–$11.00 | 85% below | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 Whole Blood Glucose POC | $5.50 | $11.00 | $4.16–$11.00 | — | 50% |
| Blood lead test CPT 83655 Lead, Blood | $11.06 | $22.12 | $8.36–$24.22 | 82% below | 50% |
| Blood lead test CPT 83655 Lead, Whole Blood Venous-RL | $11.06 | $22.12 | $8.36–$24.22 | 82% below | 50% |
| Blood lead test CPT 83655 Lead, Urine | $11.06 | $22.12 | $8.36–$24.22 | 82% below | 50% |
| Blood lead test CPT 83655 Lead | $23.50 | $47.00 | $8.48–$47.00 | 61% below | 50% |
| Blood lead test CPT 83655 Lead 83655 | $23.50 | $47.00 | $8.48–$47.00 | 61% below | 50% |
| Blood lead test CPT 83655 Lead, Capillary Blood - RL | $27.00 | $54.00 | $8.48–$54.00 | 55% below | 50% |
| Blood lead test CPT 83655 Lead, Whole Blood Venous-ARUP | $89.86 | $179.72 | $8.48–$179.72 | 50% above | 50% |
| Blood lead test inpatient CPT 83655 Lead, Blood | $11.06 | $22.12 | $8.36–$22.12 | — | 50% |
| Blood lead test inpatient CPT 83655 Lead, Whole Blood Venous-RL | $11.06 | $22.12 | $8.36–$22.12 | — | 50% |
| Blood lead test inpatient CPT 83655 Lead, Urine | $11.06 | $22.12 | $8.36–$22.12 | — | 50% |
| Blood lead test inpatient CPT 83655 Lead | $23.50 | $47.00 | $17.77–$47.00 | — | 50% |
| Blood lead test inpatient CPT 83655 Lead 83655 | $23.50 | $47.00 | $17.77–$47.00 | — | 50% |
| Blood lead test inpatient CPT 83655 Lead, Capillary Blood - RL | $27.00 | $54.00 | $20.41–$54.00 | — | 50% |
| Blood lead test inpatient CPT 83655 Lead, Whole Blood Venous-ARUP | $80.88 | $161.76 | $61.15–$161.76 | — | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C. Difficile/Epi by PCR | $142.50 | $285.00 | $26.10–$285.00 | 60% above | 50% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. Difficile/Epi by PCR | $110.96 | $221.91 | $83.88–$221.91 | — | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 Cancer Antigen-GI (CA 19-9)-ARUP | $48.16 | $96.31 | $14.57–$96.31 | 44% below | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 Cancer Antigen-GI (CA 19-9)-RL | $56.00 | $112.00 | $14.57–$112.00 | 35% below | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Cancer Antigen-GI (CA 19-9)-ARUP | $43.35 | $86.69 | $32.77–$86.69 | — | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Cancer Antigen-GI (CA 19-9)-RL | $50.50 | $101.00 | $38.18–$101.00 | — | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125-ARUP | $168.50 | $336.99 | $14.57–$336.99 | 20% above | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125-RL | $195.00 | $390.00 | $14.57–$390.00 | 39% above | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125-ARUP | $151.65 | $303.30 | $114.65–$303.30 | — | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125-RL | $175.00 | $350.00 | $132.30–$350.00 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 zzCOVID-19 (SARS-CoV-2), PCR | $115.50 | $231.00 | $35.92–$231.00 | 5% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 zzCOVID-19 (SARS-CoV-2), PCR | $115.50 | $231.00 | $87.32–$231.00 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. trachomatis by TMA, M4/UTM | $61.63 | $123.25 | $24.57–$123.25 | 18% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. trachomatis by TMA | $61.63 | $123.25 | $24.57–$123.25 | 18% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia by APT | $72.00 | $144.00 | $24.57–$144.00 | 4% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. trachomatis by TMA, SurePath | $72.00 | $144.00 | $24.57–$144.00 | 4% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trach DNA AMP Probe | $72.00 | $144.00 | $24.57–$144.00 | 4% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis and Neisseria gonorrhoeae by | $143.00 | $286.00 | $24.57–$286.00 | 91% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia by APT | $55.48 | $110.95 | $41.94–$110.95 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. trachomatis by TMA, SurePath | $55.48 | $110.95 | $41.94–$110.95 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. trachomatis by TMA | $55.48 | $110.95 | $41.94–$110.95 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. trachomatis by TMA, M4/UTM | $61.63 | $123.25 | $46.59–$123.25 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trach DNA AMP Probe | $64.50 | $129.00 | $48.76–$129.00 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis and Neisseria gonorrhoeae by | $129.00 | $258.00 | $97.52–$258.00 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile POC | $33.00 | $66.00 | $9.38–$66.00 | 61% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile POC | $33.00 | $66.00 | $24.95–$66.00 | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 DDimer Quantitative | $52.65 | $105.30 | $7.13–$105.30 | 50% below | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 DDimer Quantitative | $47.39 | $94.78 | $35.83–$94.78 | — | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S-LC | $33.00 | $66.00 | $15.57–$66.00 | 81% below | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA Sulfate-ARUP | $220.32 | $440.63 | $15.57–$440.63 | 29% above | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA Sulfate-RL | $255.00 | $510.00 | $15.57–$510.00 | 49% above | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S-LC | $33.00 | $66.00 | $24.95–$66.00 | — | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA Sulfate-ARUP | $198.28 | $396.56 | $149.90–$396.56 | — | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA Sulfate-RL | $229.50 | $459.00 | $173.50–$459.00 | — | 50% |
| Estradiol blood test CPT 82670 Estradiol Level-LC | $41.50 | $83.00 | $19.56–$83.00 | 61% below | 50% |
| Estradiol blood test CPT 82670 Free Estradiol by ED/LC-MS/MS-ARUP | $129.04 | $258.07 | $19.56–$258.07 | 23% above | 50% |
| Estradiol blood test CPT 82670 Estradiol by TMS-ARUP | $129.04 | $258.07 | $19.56–$258.07 | 23% above | 50% |
| Estradiol blood test CPT 82670 Estradiol, Adult Premenopausal Female-ARUP | $129.04 | $258.07 | $19.56–$258.07 | 23% above | 50% |
| Estradiol blood test CPT 82670 Estradiol, Adult Premenopausal Female-RL | $150.00 | $300.00 | $19.56–$300.00 | 43% above | 50% |
| Estradiol blood test CPT 82670 Estradiol, Adult Male/Child/Postmeno Female-RL | $150.00 | $300.00 | $19.56–$300.00 | 43% above | 50% |
| Estradiol blood test inpatient CPT 82670 Estradiol Level-LC | $41.50 | $83.00 | $31.37–$83.00 | — | 50% |
| Estradiol blood test inpatient CPT 82670 Free Estradiol by ED/LC-MS/MS-ARUP | $116.14 | $232.27 | $87.80–$232.27 | — | 50% |
| Estradiol blood test inpatient CPT 82670 Estradiol, Adult Premenopausal Female-ARUP | $116.14 | $232.27 | $87.80–$232.27 | — | 50% |
| Estradiol blood test inpatient CPT 82670 Estradiol by TMS-ARUP | $116.14 | $232.27 | $87.80–$232.27 | — | 50% |
| Estradiol blood test inpatient CPT 82670 Estradiol, Adult Male/Child/Postmeno Female-RL | $134.00 | $268.00 | $101.30–$268.00 | — | 50% |
| Estradiol blood test inpatient CPT 82670 Estradiol, Adult Premenopausal Female-RL | $134.00 | $268.00 | $101.30–$268.00 | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Level-LC | $28.00 | $56.00 | $13.01–$56.00 | 82% below | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone-ARUP | $105.03 | $210.05 | $13.01–$210.05 | 32% below | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone-RL | $114.00 | $228.00 | $13.01–$228.00 | 26% below | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Level-LC | $28.00 | $56.00 | $21.17–$56.00 | — | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone-ARUP | $94.53 | $189.05 | $71.46–$189.05 | — | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone-RL | $102.50 | $205.00 | $77.49–$205.00 | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool-ARUP | $350.06 | $700.12 | $13.75–$700.12 | 5% below | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool-RL | $404.50 | $809.00 | $13.75–$809.00 | 10% above | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Stool-ARUP | $315.05 | $630.10 | $238.18–$630.10 | — | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Stool-RL | $364.50 | $729.00 | $275.56–$729.00 | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin-ARUP | $92.11 | $184.21 | $9.55–$184.21 | 31% below | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin-ARUP | $56.62 | $113.23 | $42.80–$113.23 | — | 50% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine, Free-ARUP | $115.56 | $231.12 | $11.86–$231.12 | 30% below | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine, Free-ARUP | $104.01 | $208.01 | $78.63–$208.01 | — | 50% |
| Free testosterone test CPT 84402 Testos F/C Fr-ARUP | $81.15 | $162.30 | $17.84–$162.30 | 61% below | 50% |
| Free testosterone test CPT 84402 Testos M F-ARUP | $81.15 | $162.30 | $17.84–$162.30 | 61% below | 50% |
| Free testosterone test CPT 84402 Testosterone Free, Adult Male-RL | $94.00 | $188.00 | $17.84–$188.00 | 55% below | 50% |
| Free testosterone test CPT 84402 Testosterone Free Female/Child-RL | $94.00 | $188.00 | $17.84–$188.00 | 55% below | 50% |
| Free testosterone test CPT 84402 Testosterone Free, Female/Child | $94.00 | $188.00 | $17.84–$188.00 | 55% below | 50% |
| Free testosterone test CPT 84402 Testosterone Free, Adult Male | $94.00 | $188.00 | $17.84–$188.00 | 55% below | 50% |
| Free testosterone test inpatient CPT 84402 Testos M F-ARUP | $73.04 | $146.08 | $55.22–$146.08 | — | 50% |
| Free testosterone test inpatient CPT 84402 Testos F/C Fr-ARUP | $81.15 | $162.30 | $61.35–$162.30 | — | 50% |
| Free testosterone test inpatient CPT 84402 Testosterone Free, Female/Child | $85.00 | $170.00 | $64.26–$170.00 | — | 50% |
| Free testosterone test inpatient CPT 84402 Testosterone Free, Adult Male-RL | $85.00 | $170.00 | $64.26–$170.00 | — | 50% |
| Free testosterone test inpatient CPT 84402 Testosterone Free Female/Child-RL | $85.00 | $170.00 | $64.26–$170.00 | — | 50% |
| Free testosterone test inpatient CPT 84402 Testosterone Free, Adult Male | $85.00 | $170.00 | $64.26–$170.00 | — | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hour Challenge | $49.14 | $98.27 | $3.33–$98.27 | 37% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Tolerance Test 2 Hour | $93.00 | $186.00 | $3.33–$186.00 | 20% above | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 1 Hour Challenge | $26.50 | $53.00 | $20.03–$53.00 | — | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Tolerance Test 2 Hour | $63.00 | $126.00 | $47.63–$126.00 | — | 50% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test (Gtt) | $15.00 | $30.00 | $9.02–$30.00 | 86% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 Tolerance Test 3 Specimens | $206.50 | $413.00 | $9.02–$413.00 | 91% above | 50% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 3 Hour | $206.50 | $413.00 | $9.02–$413.00 | 91% above | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test (Gtt) | $15.00 | $30.00 | $11.34–$30.00 | — | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Tolerance Test 3 Specimens | $206.50 | $413.00 | $156.11–$413.00 | — | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test 3 Hour | $206.50 | $413.00 | $156.11–$413.00 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC by APT | $61.63 | $123.25 | $23.96–$123.25 | 18% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. gonorrhoeae by TMA, SurePath | $61.63 | $123.25 | $23.96–$123.25 | 18% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N Gonorrhoeae DNA AMP Probe | $72.00 | $144.00 | $23.96–$144.00 | 4% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. gonorrhoeae by TMA, M4/UTM | $72.00 | $144.00 | $23.96–$144.00 | 4% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. gonorrhoeae by TMA | $72.00 | $144.00 | $23.96–$144.00 | 4% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. gonorrhoeae by TMA, SurePath | $55.48 | $110.95 | $41.94–$110.95 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. gonorrhoeae by TMA | $55.48 | $110.95 | $41.94–$110.95 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC by APT | $55.48 | $110.95 | $41.94–$110.95 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. gonorrhoeae by TMA, M4/UTM | $61.63 | $123.25 | $46.59–$123.25 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N Gonorrhoeae DNA AMP Probe | $64.50 | $129.00 | $48.76–$129.00 | — | 50% |
| H. pylori stool antigen test CPT 87338 Helicobacter pylori Ag, Stool by EIA-ARUP | $120.75 | $241.50 | $10.07–$241.50 | 30% below | 50% |
| H. pylori stool antigen test CPT 87338 Helicobacter pylori Ag, Stool by EIA-RL | $140.00 | $280.00 | $10.07–$280.00 | 19% below | 50% |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter pylori Ag, Stool by EIA-ARUP | $108.68 | $217.36 | $82.16–$217.36 | — | 50% |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter pylori Ag, Stool by EIA-RL | $126.00 | $252.00 | $95.26–$252.00 | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 by Quantitative PCR-ARUP | $560.69 | $1,121.38 | $59.57–$1,121.38 | 102% above | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA by Quantitative-RL | $648.00 | $1,296.00 | $59.57–$1,296.00 | 134% above | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 by Quantitative PCR-ARUP | $504.62 | $1,009.23 | $381.49–$1,009.23 | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA by Quantitative-RL | $583.50 | $1,167.00 | $441.13–$1,167.00 | — | 50% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1,2 Antibodies by CIA w/ Reflex-ARUP | $178.75 | $357.50 | $9.60–$357.50 | 165% above | 50% |
| HIV-1 and HIV-2 antibody test CPT 86703 zzHIV-1,2 Ab-ARUP | $207.00 | $414.00 | $9.60–$414.00 | 207% above | 50% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1,2 Antibodies by CIA w/ Reflex-ARUP | $160.88 | $321.75 | $121.62–$321.75 | — | 50% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 zzHIV-1,2 Ab-ARUP | $186.00 | $372.00 | $140.62–$372.00 | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1,2 Combo Ag/Ab EIA, Reflexive Panel-ARUP | $27.80 | $55.60 | $16.86–$55.60 | 71% below | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1,2 Combo Ag/Ab EIA, Reflexive Panel-ARUP | $25.02 | $50.04 | $18.92–$50.04 | — | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV with 16 and 18 by PCR, SurePath-ARUP | $107.50 | $215.00 | $20.42–$215.00 | 2% below | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV by PCR, SurePath-ARUP | $131.85 | $263.69 | $20.42–$263.69 | 20% above | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV High-Risk Types | $138.00 | $276.00 | $20.42–$276.00 | 25% above | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HR w/16 and 18 by NAA, ThinPrep - RL | $138.00 | $276.00 | $20.42–$276.00 | 25% above | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV High Risk with 16 and 18 by PCR, SurePath-RL | $138.00 | $276.00 | $20.42–$276.00 | 25% above | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA-NEO | $184.00 | $368.00 | $20.42–$368.00 | 67% above | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV with 16 and 18 by PCR, SurePath-ARUP | $96.75 | $193.50 | $73.14–$193.50 | — | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV by PCR, SurePath-ARUP | $118.67 | $237.33 | $89.71–$237.33 | — | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV High Risk with 16 and 18 by PCR, SurePath-RL | $138.00 | $276.00 | $104.33–$276.00 | — | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HR w/16 and 18 by NAA, ThinPrep - RL | $138.00 | $276.00 | $104.33–$276.00 | — | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV High-Risk Types | $138.00 | $276.00 | $104.33–$276.00 | — | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA-NEO | $184.00 | $368.00 | $139.10–$368.00 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin Glycosylated A1C | $15.00 | $30.00 | $6.80–$30.00 | 84% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin Glycosylated A1C 83036 | $15.00 | $30.00 | $6.80–$30.00 | 84% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C-ARUP | $35.24 | $70.48 | $6.80–$70.48 | 62% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin Glycosylated A1C 83036 | $15.00 | $30.00 | $11.34–$30.00 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin Glycosylated A1C | $15.00 | $30.00 | $11.34–$30.00 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C-ARUP | $31.72 | $63.44 | $23.98–$63.44 | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody | $9.88 | $19.76 | $7.47–$21.48 | 88% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody | $9.88 | $19.76 | $7.47–$19.76 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen | $160.77 | $321.54 | $7.24–$321.54 | 145% above | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Dialysis Hepatitis B Surface Antigen | $186.00 | $372.00 | $7.24–$372.00 | 184% above | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen w/reflex confirmation | $186.00 | $372.00 | $7.24–$372.00 | 184% above | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen w/reflex confirmation | $9.62 | $19.23 | $7.27–$19.23 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen | $9.62 | $19.23 | $7.27–$19.23 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Dialysis Hepatitis B Surface Antigen | $167.50 | $335.00 | $126.63–$335.00 | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $13.01 | $26.02 | $9.84–$28.54 | 91% below | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Virus Ab w/Rflx to HCV NAAT-RL | $13.01 | $26.02 | $9.84–$28.54 | 91% below | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Virus Ab w/Rflx to HCV NAAT-RL | $13.01 | $26.02 | $9.84–$26.02 | — | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody | $13.01 | $26.02 | $9.84–$26.02 | — | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus by Quantitative PCR-ARUP | $491.60 | $983.20 | $29.99–$983.20 | 138% above | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV by Quantitative NAAT-RL | $568.00 | $1,136.00 | $29.99–$1,136.00 | 175% above | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 zzHep C (PCR)-ARUP | $568.00 | $1,136.00 | $29.99–$1,136.00 | 175% above | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus by Quantitative PCR-ARUP | $442.44 | $884.87 | $334.48–$884.87 | — | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV by Quantitative NAAT-RL | $511.00 | $1,022.00 | $386.32–$1,022.00 | — | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 zzHep C (PCR)-ARUP | $511.00 | $1,022.00 | $386.32–$1,022.00 | — | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 Glycoprotein G Ab, IgG - RL Bill | $48.00 | $96.00 | $9.24–$96.00 | 50% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 Glycoprotein G IgG Ab-ARUP | $176.36 | $352.71 | $9.24–$352.71 | 83% above | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 Glyco G-Specific, IgG | $176.36 | $352.71 | $9.24–$352.71 | 83% above | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG Ab-RL | $204.50 | $409.00 | $9.24–$409.00 | 112% above | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 Glycoprotein G Ab, IgG - RL Bill | $48.00 | $96.00 | $36.29–$96.00 | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 Glyco G-Specific, IgG | $158.73 | $317.45 | $120.00–$317.45 | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 Glycoprotein G IgG Ab-ARUP | $158.73 | $317.45 | $120.00–$317.45 | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG Ab-RL | $183.50 | $367.00 | $138.73–$367.00 | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 Glycoprotein G Ab, IgG - RL Bill | $57.00 | $114.00 | $13.55–$114.00 | 41% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 Glycoprotein G IgG Ab-ARUP | $201.36 | $402.71 | $13.55–$402.71 | 109% above | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG Ab-RL | $233.00 | $466.00 | $13.55–$466.00 | 142% above | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 Glyco G-Specific, IgG | $233.00 | $466.00 | $13.55–$466.00 | 142% above | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 Glycoprotein G Ab, IgG - RL Bill | $57.00 | $114.00 | $43.09–$114.00 | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 Glyco G-Specific, IgG | $181.22 | $362.44 | $137.00–$362.44 | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 Glycoprotein G IgG Ab-ARUP | $181.22 | $362.44 | $137.00–$362.44 | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG Ab-RL | $209.50 | $419.00 | $158.38–$419.00 | — | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP, High Sensitivity-ARUP | $99.69 | $199.37 | $9.07–$199.37 | 9% above | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP, High Sensitivity-RL | $115.50 | $231.00 | $9.07–$231.00 | 26% above | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP, High Sensitivity-ARUP | $89.73 | $179.45 | $67.83–$179.45 | — | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP, High Sensitivity-RL | $104.00 | $208.00 | $78.62–$208.00 | — | 50% |
| Homocysteine blood test CPT 83090 Homocysteine Total-ARUP | $324.64 | $649.28 | $12.54–$649.28 | 12% above | 50% |
| Homocysteine blood test CPT 83090 Homocysteine Total-RL | $375.00 | $750.00 | $12.54–$750.00 | 29% above | 50% |
| Homocysteine blood test inpatient CPT 83090 Homocysteine Total-RL | $17.83 | $35.65 | $13.48–$35.65 | — | 50% |
| Homocysteine blood test inpatient CPT 83090 Homocysteine Total-ARUP | $292.18 | $584.35 | $220.88–$584.35 | — | 50% |
| Insulin blood test CPT 83525 Insulin F-RL | $18.50 | $37.00 | $8.01–$37.00 | 71% below | 50% |
| Insulin blood test CPT 83525 Insulin, 120 Minutes - RL | $18.50 | $37.00 | $8.01–$37.00 | 71% below | 50% |
| Insulin blood test CPT 83525 Insulin, Fasting-RL | $18.50 | $37.00 | $8.01–$37.00 | 71% below | 50% |
| Insulin blood test CPT 83525 Assay of Insulin | $84.00 | $168.00 | $8.01–$168.00 | 32% above | 50% |
| Insulin blood test CPT 83525 Insulin, Random-ARUP | $107.69 | $215.38 | $8.01–$215.38 | 70% above | 50% |
| Insulin blood test inpatient CPT 83525 Insulin, 120 Minutes - RL | $18.50 | $37.00 | $13.99–$37.00 | — | 50% |
| Insulin blood test inpatient CPT 83525 Insulin, Fasting-RL | $18.50 | $37.00 | $13.99–$37.00 | — | 50% |
| Insulin blood test inpatient CPT 83525 Insulin F-RL | $18.50 | $37.00 | $13.99–$37.00 | — | 50% |
| Insulin blood test inpatient CPT 83525 Assay of Insulin | $84.00 | $168.00 | $63.50–$168.00 | — | 50% |
| Insulin blood test inpatient CPT 83525 Insulin, Random-ARUP | $96.93 | $193.85 | $73.28–$193.85 | — | 50% |
| Iron blood test (serum iron) CPT 83540 Iron, Plasma or Serum-ARUP | $52.79 | $105.58 | $4.54–$105.58 | 8% above | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron, Plasma or Serum-ARUP | $18.96 | $37.91 | $14.33–$37.91 | — | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity | $56.50 | $113.00 | $6.12–$113.00 | 52% below | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity | $48.58 | $97.15 | $36.72–$97.15 | — | 50% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $161.19 | $322.38 | $6.08–$322.38 | 12% above | 50% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $116.14 | $232.27 | $87.80–$232.27 | — | 50% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone-ARUP | $105.03 | $210.05 | $12.96–$210.05 | 20% above | 50% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone-RL | $114.00 | $228.00 | $12.96–$228.00 | 30% above | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone-ARUP | $94.53 | $189.05 | $71.46–$189.05 | — | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone-RL | $102.50 | $205.00 | $77.49–$205.00 | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase, Fluid-ARUP | $52.23 | $104.46 | $4.83–$104.46 | 58% below | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase, Fluid-ARUP | $47.01 | $94.02 | $35.54–$94.02 | — | 50% |
| Lyme disease antibody test CPT 86618 B. burgdorferi VlsE1/pepC10 Abs ELISA - RL | $69.00 | $138.00 | $11.93–$138.00 | 12% below | 50% |
| Lyme disease antibody test CPT 86618 B. burgdorferi Ab CSF by ELISA-ARUP | $312.15 | $624.29 | $11.93–$624.29 | 300% above | 50% |
| Lyme disease antibody test CPT 86618 Lyme Disease Acute Reflexive Panel-ARUP | $312.15 | $624.29 | $11.93–$624.29 | 300% above | 50% |
| Lyme disease antibody test CPT 86618 B. burgdorferi Ab CSF by ELISA-RL | $361.00 | $722.00 | $11.93–$722.00 | 363% above | 50% |
| Lyme disease antibody test CPT 86618 B. burgdorferi C6 Pep Abs, ELISA-RL Bill | $361.00 | $722.00 | $11.93–$722.00 | 363% above | 50% |
| Lyme disease antibody test inpatient CPT 86618 B. burgdorferi VlsE1/pepC10 Abs ELISA - RL | $69.00 | $138.00 | $52.16–$138.00 | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Acute Reflexive Panel-ARUP | $280.93 | $561.86 | $212.38–$561.86 | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 B. burgdorferi Ab CSF by ELISA-ARUP | $280.93 | $561.86 | $212.38–$561.86 | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 B. burgdorferi C6 Pep Abs, ELISA-RL Bill | $325.50 | $651.00 | $246.08–$651.00 | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 B. burgdorferi Ab CSF by ELISA-RL | $325.50 | $651.00 | $246.08–$651.00 | — | 50% |
| Magnesium blood test CPT 83735 Magnesium Urine-ARUP | $77.79 | $155.57 | $4.69–$155.57 | 19% above | 50% |
| Magnesium blood test inpatient CPT 83735 Magnesium Urine-ARUP | $70.01 | $140.02 | $52.93–$140.02 | — | 50% |
| Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) IgG Antibody-ARUP | $33.70 | $67.39 | $9.02–$67.39 | 44% below | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) IgG Antibody-ARUP | $30.33 | $60.66 | $22.93–$60.66 | — | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen | $46.19 | $92.37 | $3.63–$92.37 | 42% below | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile AB by Latex Aggl with Reflex to Titer | $53.50 | $107.00 | $3.63–$107.00 | 33% below | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen | $32.23 | $64.45 | $24.36–$64.45 | — | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile AB by Latex Aggl with Reflex to Titer | $37.50 | $75.00 | $28.35–$75.00 | — | 50% |
| Obstetric blood test panel CPT 80055 Prenatal Profile | $138.17 | $276.33 | $28.08–$276.33 | 8% above | 50% |
| Obstetric blood test panel inpatient CPT 80055 Prenatal Profile | $115.76 | $231.51 | $87.51–$231.51 | — | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA Free | $82.50 | $165.00 | $12.88–$165.00 | 38% below | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA Free | $74.50 | $149.00 | $56.32–$149.00 | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Diagnostic (Total) | $138.45 | $276.89 | $12.88–$276.89 | 19% below | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Diagnostic (Total) | $124.61 | $249.21 | $94.20–$249.21 | — | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Cytopath C/V Auto Fluid Redo | $42.00 | $84.00 | $18.63–$84.00 | 64% below | 50% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cytopath C/V Auto Fluid Redo | $42.00 | $84.00 | $31.75–$84.00 | — | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytology/Gyn Thin Prep/Diagnostic | $10.13 | $20.26 | $7.66–$40.52 | 86% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Gyn ThinPrep Pap Test w/Rfx to HPV HR16/18 by NAA- | $42.00 | $84.00 | $14.18–$84.00 | 42% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Gyn SurePath Liquid-Based Pap w/Rfx to HPV HR 16/1 | $42.00 | $84.00 | $14.18–$84.00 | 42% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Gyn ThinPrep +HPV Cytology-RL | $42.00 | $84.00 | $14.18–$84.00 | 42% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Gyn SurePath +HPV Cytology-RL | $42.00 | $84.00 | $14.18–$84.00 | 42% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytology/Gyn Thin Prep/Diagnostic | $10.13 | $20.26 | $7.66–$20.26 | — | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Gyn SurePath +HPV Cytology-RL | $42.00 | $84.00 | $31.75–$84.00 | — | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Gyn ThinPrep +HPV Cytology-RL | $42.00 | $84.00 | $31.75–$84.00 | — | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Gyn SurePath Liquid-Based Pap w/Rfx to HPV HR 16/1 | $42.00 | $84.00 | $31.75–$84.00 | — | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Gyn ThinPrep Pap Test w/Rfx to HPV HR16/18 by NAA- | $42.00 | $84.00 | $31.75–$84.00 | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Inhibitor Assay, PTT, Reflex-ARUP | $66.70 | $133.39 | $4.21–$133.39 | 44% above | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Inhibitor Assay, PTT, Reflex-ARUP | $23.00 | $46.00 | $17.39–$46.00 | — | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal Aneuploidy - RL | $599.50 | $1,199.00 | $453.22–$1,518.10 | 38% below | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 NIPT Screen by cell-free DNA Sequencing (Multiple | $1,010.50 | $2,021.00 | $531.34–$2,021.00 | 4% above | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FAS MD | $1,038.50 | $2,077.00 | $531.34–$2,077.00 | 7% above | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 zzNIPT Multiple Fetus Aneuploidy-RL | $1,156.50 | $2,313.00 | $531.34–$2,313.00 | 20% above | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 NIPT Fetal Aneuploidy - RL Bill | $1,186.50 | $2,373.00 | $531.34–$2,373.00 | 23% above | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal Aneuploidy Genomic Sequence | $1,186.50 | $2,373.00 | $531.34–$2,373.00 | 23% above | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Fetal Aneuploidy - RL | $599.50 | $1,199.00 | $453.22–$1,199.00 | — | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 NIPT Screen by cell-free DNA Sequencing (Multiple | $909.50 | $1,819.00 | $687.58–$1,819.00 | — | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Fetal Aneuploidy Genomic Sequence | $1,026.98 | $2,053.96 | $776.40–$2,053.96 | — | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FAS MD | $1,038.50 | $2,077.00 | $785.11–$2,077.00 | — | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 zzNIPT Multiple Fetus Aneuploidy-RL | $1,156.50 | $2,313.00 | $874.31–$2,313.00 | — | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 NIPT Fetal Aneuploidy - RL Bill | $1,186.50 | $2,373.00 | $896.99–$2,373.00 | — | 50% |
| Progesterone blood test CPT 84144 Progesterone Quant-RL | $10.43 | $20.86 | $7.89–$41.72 | 94% below | 50% |
| Progesterone blood test CPT 84144 PROGEST | $10.43 | $20.86 | $7.89–$41.72 | 94% below | 50% |
| Progesterone blood test CPT 84144 Progesterone Quant-ARUP | $117.38 | $234.75 | $14.60–$234.75 | 29% below | 50% |
| Progesterone blood test inpatient CPT 84144 PROGEST | $10.43 | $20.86 | $7.89–$20.86 | — | 50% |
| Progesterone blood test inpatient CPT 84144 Progesterone Quant-RL | $10.43 | $20.86 | $7.89–$20.86 | — | 50% |
| Progesterone blood test inpatient CPT 84144 Progesterone Quant-ARUP | $105.65 | $211.29 | $79.87–$211.29 | — | 50% |
| Prolactin blood test CPT 84146 Prolactin-ARUP | $84.00 | $168.00 | $13.57–$168.00 | 55% below | 50% |
| Prolactin blood test inpatient CPT 84146 Prolactin-ARUP | $84.00 | $168.00 | $63.50–$168.00 | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR POC | $7.50 | $15.00 | $3.01–$15.00 | 81% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Inhibitor Assay, PT, Reflex to 1:1 Mix-ARUP | $47.03 | $94.06 | $3.01–$94.06 | 22% above | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR POC | $7.50 | $15.00 | $5.67–$15.00 | — | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Inhibitor Assay, PT, Reflex to 1:1 Mix-ARUP | $16.05 | $32.09 | $12.13–$32.09 | — | 50% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza B | $8.28 | $16.55 | $6.26–$33.10 | 89% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A | $8.28 | $16.55 | $6.26–$33.10 | 89% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 Iaadiadoo Influenza 87804 | $11.00 | $22.00 | $8.32–$33.10 | 85% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 Iaadiadoo Influenza | $11.00 | $22.00 | $8.32–$33.10 | 85% below | 50% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A | $8.28 | $16.55 | $6.26–$16.55 | — | 50% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B | $8.28 | $16.55 | $6.26–$16.55 | — | 50% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Iaadiadoo Influenza | $11.00 | $22.00 | $8.32–$22.00 | — | 50% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Iaadiadoo Influenza 87804 | $11.00 | $22.00 | $8.32–$22.00 | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Group A Strep Screen | $8.27 | $16.53 | $6.25–$33.06 | 89% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Iaadiadoo Streptococcus Group A 87880 | $25.00 | $50.00 | $11.58–$50.00 | 67% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Iaadiadoo Streptococcus Group A | $25.00 | $50.00 | $11.58–$50.00 | 67% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Group A Antigen Screen | $39.31 | $78.61 | $11.58–$78.61 | 48% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Group A Strep Screen | $8.27 | $16.53 | $6.25–$16.53 | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Iaadiadoo Streptococcus Group A | $25.00 | $50.00 | $18.90–$50.00 | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Iaadiadoo Streptococcus Group A 87880 | $25.00 | $50.00 | $18.90–$50.00 | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Group A Antigen Screen | $35.39 | $70.77 | $26.75–$70.77 | — | 50% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor-ARUP | $46.19 | $92.37 | $3.98–$92.37 | 42% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor (RF) Antibody IgA | $53.50 | $107.00 | $3.98–$107.00 | 33% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor | $53.50 | $107.00 | $3.98–$107.00 | 33% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor-RL | $53.50 | $107.00 | $3.98–$107.00 | 33% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor (RF) Antibody IgM | $53.50 | $107.00 | $3.98–$107.00 | 33% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quantitative | $53.50 | $107.00 | $3.98–$107.00 | 33% below | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor-ARUP | $32.23 | $64.45 | $24.36–$64.45 | — | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor-RL | $37.50 | $75.00 | $28.35–$75.00 | — | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quantitative | $37.50 | $75.00 | $28.35–$75.00 | — | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor (RF) Antibody IgA | $48.00 | $96.00 | $36.29–$96.00 | — | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor (RF) Antibody IgM | $48.00 | $96.00 | $36.29–$96.00 | — | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor | $48.50 | $97.00 | $36.67–$97.00 | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 Rubella IgM Antibody-ARUP | $47.59 | $95.18 | $10.08–$95.18 | 34% below | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgM Antibody-ARUP | $42.84 | $85.68 | $32.39–$85.68 | — | 50% |
| Stool ova and parasites exam CPT 87177 Smear for Parasites | $39.50 | $79.00 | $6.23–$79.00 | 58% below | 50% |
| Stool ova and parasites exam CPT 87177 O&P Identification | $94.35 | $188.70 | $6.23–$188.70 | 1% below | 50% |
| Stool ova and parasites exam inpatient CPT 87177 O&P Identification | $33.11 | $66.22 | $25.03–$66.22 | — | 50% |
| Stool ova and parasites exam inpatient CPT 87177 Smear for Parasites | $38.50 | $77.00 | $29.11–$77.00 | — | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult Peroxidase Actv Qual Feces 1 Deter 82270 | $6.00 | $12.00 | $3.07–$12.00 | 84% below | 50% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Blood Occult Peroxidase Actv Qual Feces 1 Deter 82270 | $6.00 | $12.00 | $4.54–$12.00 | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Occult Blood (iFOB) | $26.39 | $52.78 | $11.14–$52.78 | 75% below | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood Occult Fecal Hgb Deter la Qual Feces 1-3 | $28.00 | $56.00 | $11.14–$56.00 | 73% below | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 82274 | $28.00 | $56.00 | $11.14–$56.00 | 73% below | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Occult Blood ( POCT) | $28.00 | $56.00 | $11.14–$56.00 | 73% below | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Occult Blood (POCT) ONC | $28.00 | $56.00 | $11.14–$56.00 | 73% below | 50% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Occult Blood (iFOB) | $23.76 | $47.51 | $17.96–$47.51 | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Occult Blood ( POCT) | $28.00 | $56.00 | $21.17–$56.00 | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 82274 | $28.00 | $56.00 | $21.17–$56.00 | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Blood Occult Fecal Hgb Deter la Qual Feces 1-3 | $28.00 | $56.00 | $21.17–$56.00 | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Occult Blood (POCT) ONC | $28.00 | $56.00 | $21.17–$56.00 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL with Reflex to Titer CSF-ARUP | $95.06 | $190.11 | $3.00–$190.11 | 137% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL with Reflex to Titer, Serum-ARUP | $95.06 | $190.11 | $3.00–$190.11 | 137% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL with Reflex to Titer CSF-ARUP | $85.56 | $171.11 | $64.68–$171.11 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL with Reflex to Titer, Serum-ARUP | $85.56 | $171.11 | $64.68–$171.11 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Plus-RL | $52.40 | $104.79 | $39.61–$123.96 | 70% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 zzQFT-ARUP | $52.40 | $104.79 | $39.61–$123.96 | 70% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold In-Tube-ARUP | $173.97 | $347.94 | $43.39–$347.94 | 2% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 zzQFT-ARUP | $52.40 | $104.79 | $39.61–$104.79 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Plus-RL | $52.40 | $104.79 | $39.61–$104.79 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon TB Gold In-Tube-ARUP | $156.58 | $313.15 | $118.37–$313.15 | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testos F/C T-ARUP | $165.13 | $330.25 | $18.07–$330.25 | 3% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testos M T-ARUP | $165.13 | $330.25 | $18.07–$330.25 | 3% below | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testos M T-ARUP | $148.62 | $297.23 | $112.35–$297.23 | — | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testos F/C T-ARUP | $165.13 | $330.25 | $124.83–$330.25 | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsome IgG Abs-ARUP | $147.01 | $294.02 | $10.19–$294.02 | 20% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (TPO) Antibody-ARUP | $147.01 | $294.02 | $10.19–$294.02 | 20% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (TPO) Antibody | $170.00 | $340.00 | $10.19–$340.00 | 39% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Ab, IgG by ELISA | $170.00 | $340.00 | $10.19–$340.00 | 39% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsome IgG Abs-RL | $170.00 | $340.00 | $10.19–$340.00 | 39% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (TPO) Antibody-RL | $170.00 | $340.00 | $10.19–$340.00 | 39% above | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsome IgG Abs-ARUP | $132.31 | $264.62 | $100.03–$264.62 | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase (TPO) Antibody-ARUP | $132.31 | $264.62 | $100.03–$264.62 | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase (TPO) Antibody | $132.31 | $264.62 | $100.03–$264.62 | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Ab, IgG by ELISA | $132.31 | $264.62 | $100.03–$264.62 | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsome IgG Abs-RL | $153.50 | $307.00 | $116.05–$307.00 | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase (TPO) Antibody-RL | $153.50 | $307.00 | $116.05–$307.00 | — | 50% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis by TMA-ARUP | $95.57 | $191.14 | $23.96–$191.14 | 1% below | 50% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis by TMA-RL | $111.00 | $222.00 | $23.96–$222.00 | 15% above | 50% |
| Trichomonas test (NAAT) CPT 87661 T Vaginalis AMP Probe | $111.00 | $222.00 | $23.96–$222.00 | 15% above | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis by TMA-ARUP | $86.02 | $172.03 | $65.03–$172.03 | — | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 T Vaginalis AMP Probe | $100.00 | $200.00 | $75.60–$200.00 | — | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis by TMA-RL | $100.00 | $200.00 | $75.60–$200.00 | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 Urine Microscopy POC | $7.50 | $15.00 | $2.23–$15.00 | 82% below | 50% |
| Urinalysis with microscope exam, automated CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy 81001 | $7.50 | $15.00 | $2.23–$15.00 | 82% below | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urine Microscopy POC | $7.50 | $15.00 | $5.67–$15.00 | — | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy 81001 | $7.50 | $15.00 | $5.67–$15.00 | — | 50% |
| Urinalysis with microscope exam, manual CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy 81000 | $9.00 | $18.00 | $2.81–$18.00 | 38% below | 50% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy 81000 | $9.00 | $18.00 | $6.80–$18.00 | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto w/o Microscopy 81003 | $7.50 | $15.00 | $1.58–$15.00 | 73% below | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto w/o Microscopy 81003 | $7.50 | $15.00 | $5.67–$15.00 | — | 50% |
| Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto w/o Micrscp 81002 | $7.50 | $15.00 | $2.44–$15.00 | 80% below | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto w/o Micrscp 81002 | $7.50 | $15.00 | $5.67–$15.00 | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test Visual Color Cmprsn Meths 81025 | $10.00 | $20.00 | $6.03–$20.00 | 87% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test Visual Color Cmprsn Meths | $10.00 | $20.00 | $6.03–$20.00 | 87% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy | $19.93 | $39.86 | $6.03–$39.86 | 75% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 INF Urine Pregnancy Test | $19.93 | $39.86 | $6.03–$39.86 | 75% below | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test Visual Color Cmprsn Meths | $10.00 | $20.00 | $7.56–$20.00 | — | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test Visual Color Cmprsn Meths 81025 | $10.00 | $20.00 | $7.56–$20.00 | — | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy | $19.93 | $39.86 | $15.07–$39.86 | — | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 INF Urine Pregnancy Test | $19.93 | $39.86 | $15.07–$39.86 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 D2,D3 Vitamin-RL | $96.50 | $193.00 | $20.72–$193.00 | 56% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 D2,D3 Vitamin-RL | $87.00 | $174.00 | $65.77–$174.00 | — | 50% |
| Zinc blood test CPT 84630 Zinc Level-ARUP | $125.53 | $251.05 | $7.98–$251.05 | 13% above | 50% |
| Zinc blood test CPT 84630 Zinc-SpectraCell | $125.53 | $251.05 | $7.98–$251.05 | 13% above | 50% |
| Zinc blood test CPT 84630 Zinc Level-RL | $145.50 | $291.00 | $7.98–$291.00 | 31% above | 50% |
| Zinc blood test inpatient CPT 84630 Zinc Level-ARUP | $112.98 | $225.95 | $85.41–$225.95 | — | 50% |
| Zinc blood test inpatient CPT 84630 Zinc-SpectraCell | $112.98 | $225.95 | $85.41–$225.95 | — | 50% |
| Zinc blood test inpatient CPT 84630 Zinc Level-RL | $131.00 | $262.00 | $99.04–$262.00 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta-hCG Quant Tumor Marker-ARUP | $34.11 | $68.22 | $9.03–$68.22 | 79% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta-hCG Quant Tumor Marker-ARUP | $30.71 | $61.41 | $23.21–$61.41 | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 EEG Charges - CHEMODENERVATION FOR CHRONIC MIGRAINE | $170.46 | $340.92 | $55.88–$483.28 | 78% below | 50% |
| Botox injections for chronic migraine CPT 64615 CHEMODENERVATION FOR CHRONIC MIGRAINE | $170.46 | $340.92 | $55.88–$483.28 | 78% below | 50% |
| Botox injections for chronic migraine CPT 64615 Chemodenerv Musc Migraine 64615 | $206.00 | $412.00 | $67.53–$483.28 | 74% below | 50% |
| Botox injections for chronic migraine CPT 64615 EEG Charges - CHEMODENERVATION FOR CHRONIC MIGRAIN | $358.00 | $716.00 | $117.36–$716.00 | 54% below | 50% |
| Botox injections for chronic migraine inpatient CPT 64615 EEG Charges - CHEMODENERVATION FOR CHRONIC MIGRAINE | $170.46 | $340.92 | $128.87–$340.92 | — | 50% |
| Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERVATION FOR CHRONIC MIGRAINE | $170.46 | $340.92 | $128.87–$340.92 | — | 50% |
| Botox injections for chronic migraine inpatient CPT 64615 Chemodenerv Musc Migraine 64615 | $206.00 | $412.00 | $155.74–$412.00 | — | 50% |
| Botox injections for chronic migraine inpatient CPT 64615 EEG Charges - CHEMODENERVATION FOR CHRONIC MIGRAIN | $358.00 | $716.00 | $270.65–$716.00 | — | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MG Breast BX Stereo Guidance | $1,847.73 | $3,695.45 | $195.83–$4,087.60 | 32% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Stereotactic Breast Biopsy LT | $2,242.00 | $4,484.00 | $195.83–$4,484.00 | 18% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Right | $2,242.00 | $4,484.00 | $195.83–$4,484.00 | 18% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Stereotactic Breast Biopsy RT | $2,242.00 | $4,484.00 | $195.83–$4,484.00 | 18% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Left | $2,242.00 | $4,484.00 | $195.83–$4,484.00 | 18% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 MG Breast BX Stereo Guidance | $1,847.73 | $3,695.45 | $1,396.88–$3,695.45 | — | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Stereotactic Breast Biopsy RT | $961.50 | $1,923.00 | $726.89–$1,923.00 | — | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Stereotactic Breast Biopsy LT | $961.50 | $1,923.00 | $726.89–$1,923.00 | — | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Right | $2,242.00 | $4,484.00 | $1,694.95–$4,484.00 | — | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Left | $2,242.00 | $4,484.00 | $1,694.95–$4,484.00 | — | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment Of Ankle Fracture 27786 | $452.50 | $905.00 | $148.33–$905.00 | 26% below | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TX ANKLE FX WO MANIPULATION BOTH 27786 | $569.50 | $1,139.00 | $186.69–$1,139.00 | 7% below | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 TX ANKLE FX WO MANIPULATION LT 27786 | $285.00 | $570.00 | $93.43–$570.00 | 54% below | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 TX ANKLE FX WO MANIPULATION RT 27786 | $285.00 | $570.00 | $93.43–$570.00 | 54% below | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Treatment Of Ankle Fracture 27786 | $452.50 | $905.00 | $342.09–$905.00 | — | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TX ANKLE FX WO MANIPULATION BOTH 27786 | $569.50 | $1,139.00 | $430.54–$1,139.00 | — | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient one side CPT 27786 TX ANKLE FX WO MANIPULATION LT 27786 | $285.00 | $570.00 | $215.46–$570.00 | — | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient one side CPT 27786 TX ANKLE FX WO MANIPULATION RT 27786 | $285.00 | $570.00 | $215.46–$570.00 | — | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Metatarsal Fracture; Closed w/ manipulation; each 28470 | $314.00 | $628.00 | $102.93–$628.00 | 61% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLST TMT METATARSAL FX W/O MANIP BOTH 28470 | $569.50 | $1,139.00 | $186.69–$1,139.00 | 29% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting one side CPT 28470 CLST TMT METATARSAL FX W/O MANIPU LT 28470 | $285.00 | $570.00 | $93.43–$570.00 | 65% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting one side CPT 28470 CLST TMT METATARSAL FX W/O MANIP RT 28470 | $285.00 | $570.00 | $93.43–$570.00 | 65% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Metatarsal Fracture; Closed w/ manipulation; each 28470 | $314.00 | $628.00 | $237.38–$628.00 | — | 50% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLST TMT METATARSAL FX W/O MANIP BOTH 28470 | $569.50 | $1,139.00 | $430.54–$1,139.00 | — | 50% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient one side CPT 28470 CLST TMT METATARSAL FX W/O MANIPU LT 28470 | $285.00 | $570.00 | $215.46–$570.00 | — | 50% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient one side CPT 28470 CLST TMT METATARSAL FX W/O MANIP RT 28470 | $285.00 | $570.00 | $215.46–$570.00 | — | 50% |
| Cardiac catheterization with coronary angiogram CPT 93458 CV Cath Acquisition | $3,832.09 | $7,664.17 | $1,197.45–$7,664.17 | 61% below | 50% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 Left Heart Cath 93458 | $3,832.09 | $7,664.17 | $1,197.45–$7,664.17 | 61% below | 50% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CV Cath Acquisition | $3,832.09 | $7,664.17 | $2,897.06–$7,664.17 | — | 50% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Left Heart Cath 93458 | $3,832.09 | $7,664.17 | $2,897.06–$7,664.17 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION - ER PHYSICIAN 92960 | $312.25 | $624.50 | $102.36–$1,714.15 | 85% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CV CCL Cardioversion | $327.00 | $654.00 | $107.19–$1,714.15 | 84% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT 92960 | $327.00 | $654.00 | $107.19–$1,714.15 | 84% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion 92960 | $396.45 | $792.90 | $129.96–$1,714.15 | 81% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CV Cath Acquisition | $396.45 | $792.90 | $129.96–$1,714.15 | 81% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 WH Bedside Procedure Type - Cardioversion | $396.45 | $792.90 | $129.96–$1,714.15 | 81% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion | $785.50 | $1,571.00 | $131.24–$1,714.15 | 62% below | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION - ER PHYSICIAN 92960 | $312.25 | $624.50 | $236.06–$624.50 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CV CCL Cardioversion | $327.00 | $654.00 | $247.21–$654.00 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT 92960 | $327.00 | $654.00 | $247.21–$654.00 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 WH Bedside Procedure Type - Cardioversion | $396.45 | $792.90 | $299.72–$792.90 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CV Cath Acquisition | $396.45 | $792.90 | $299.72–$792.90 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion 92960 | $396.45 | $792.90 | $299.72–$792.90 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion | $785.50 | $1,571.00 | $593.84–$1,571.00 | — | 50% |
| Cervical biopsy CPT 57500 Biopsy Cervix,Single/Multiple 57500 | $112.50 | $225.00 | $36.88–$1,425.56 | 85% below | 50% |
| Cervical biopsy inpatient CPT 57500 Biopsy Cervix,Single/Multiple 57500 | $112.50 | $225.00 | $85.05–$225.00 | — | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION PROCEDURE 54150 | $124.63 | $249.25 | $40.85–$5,015.14 | 92% below | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision,Clamp/Oth Device 54150 | $146.00 | $292.00 | $47.86–$5,015.14 | 91% below | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision Clamp Type - Plastibell | $850.83 | $1,701.66 | $121.80–$5,015.14 | 45% below | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision Clamp Type - Mogen | $2,458.00 | $4,916.00 | $121.80–$5,015.14 | 59% above | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision Clamp Type - Gomco | $2,458.00 | $4,916.00 | $121.80–$5,015.14 | 59% above | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION PROCEDURE 54150 | $124.63 | $249.25 | $94.22–$249.25 | — | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision,Clamp/Oth Device 54150 | $146.00 | $292.00 | $110.38–$292.00 | — | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision Clamp Type - Gomco | $850.83 | $1,701.66 | $643.23–$1,701.66 | — | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision Clamp Type - Plastibell | $850.83 | $1,701.66 | $643.23–$1,701.66 | — | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision Clamp Type - Mogen | $850.83 | $1,701.66 | $643.23–$1,701.66 | — | 50% |
| Circumcision, surgical, older than a newborn CPT 54160 Circumcision-Surgical Excision-Neonate 54160 | $216.00 | $432.00 | $70.81–$1,744.59 | 91% below | 50% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision-Surgical Excision-Neonate 54160 | $216.00 | $432.00 | $163.30–$432.00 | — | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ 25600 | $342.50 | $685.00 | $112.27–$685.00 | 45% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLS TX DIST RAD FX W/WO FX ULNAR BOTH 25600 | $569.50 | $1,139.00 | $186.69–$1,139.00 | 9% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLS TX DIST RAD FX W/WO FX ULNAR LT 25600 | $285.00 | $570.00 | $93.43–$570.00 | 54% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLS TX DIST RAD FX W/WO FX ULNAR RT 25600 | $285.00 | $570.00 | $93.43–$570.00 | 54% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ 25600 | $342.50 | $685.00 | $258.93–$685.00 | — | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLS TX DIST RAD FX W/WO FX ULNAR BOTH 25600 | $569.50 | $1,139.00 | $430.54–$1,139.00 | — | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient one side CPT 25600 CLS TX DIST RAD FX W/WO FX ULNAR LT 25600 | $285.00 | $570.00 | $215.46–$570.00 | — | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient one side CPT 25600 CLS TX DIST RAD FX W/WO FX ULNAR RT 25600 | $285.00 | $570.00 | $215.46–$570.00 | — | 50% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Bx/Curett Of Cervix W/Scope 57454 | $202.00 | $404.00 | $66.22–$498.02 | 13% below | 50% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Bx/Curett Of Cervix W/Scope 57454 | $202.00 | $404.00 | $152.71–$404.00 | — | 50% |
| Coronary stent placement, one artery CPT 92928 CV Cath Acquisition | $5,334.18 | $10,668.35 | $727.37–$18,798.34 | 39% below | 50% |
| Coronary stent placement, one artery CPT 92928 Coronary Stent Initial Vessel 92928 | $5,334.18 | $10,668.35 | $727.37–$18,798.34 | 39% below | 50% |
| Coronary stent placement, one artery inpatient CPT 92928 CV Cath Acquisition | $5,334.18 | $10,668.35 | $4,032.64–$10,668.35 | — | 50% |
| Coronary stent placement, one artery inpatient CPT 92928 Coronary Stent Initial Vessel 92928 | $5,334.18 | $10,668.35 | $4,032.64–$10,668.35 | — | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy 52000 | $292.50 | $585.00 | $95.88–$1,744.59 | 82% below | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystourethroscopy 52000 | $292.50 | $585.00 | $221.13–$585.00 | — | 50% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C, diagnostic and/or therapeutic nonobstetrical 58120 | $375.00 | $750.00 | $122.93–$8,101.41 | 90% below | 50% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D&C, diagnostic and/or therapeutic nonobstetrical 58120 | $375.00 | $750.00 | $283.50–$750.00 | — | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION FIRST LESION 17000 | $68.60 | $137.20 | $22.49–$520.49 | 43% below | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destroy Premlg Lesns;1St Lesn 17000 | $101.50 | $203.00 | $33.27–$520.49 | 15% below | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION FIRST LESION 17000 | $68.60 | $137.20 | $51.86–$137.20 | — | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destroy Premlg Lesns;1St Lesn 17000 | $101.50 | $203.00 | $76.73–$203.00 | — | 50% |
| Earwax removal by irrigation (rinsing), one ear both sides CPT 69209 REMOVE IMPACTED EAR WAX - BILATERAL 69209 | $147.50 | $295.00 | $18.17–$295.00 | — | 50% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVE IMPACTED EAR WAX - RIGHT 69209 | $74.50 | $149.00 | $18.17–$155.60 | 50% below | 50% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVE IMPACTED EAR WAX - LEFT 69209 | $74.50 | $149.00 | $18.17–$155.60 | 50% below | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient both sides CPT 69209 REMOVE IMPACTED EAR WAX - BILATERAL 69209 | $147.50 | $295.00 | $111.51–$295.00 | — | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVE IMPACTED EAR WAX - LEFT 69209 | $74.50 | $149.00 | $56.32–$149.00 | — | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVE IMPACTED EAR WAX - RIGHT 69209 | $74.50 | $149.00 | $56.32–$149.00 | — | 50% |
| Earwax removal with instruments, one ear both sides CPT 69210 REMOVE IMPACTED CERUMEN BILAT | $147.50 | $295.00 | $40.39–$295.00 | — | 50% |
| Earwax removal with instruments, one ear CPT 69210 Remove Impacted Ear Wax 69210 | $65.50 | $131.00 | $21.47–$155.60 | 74% below | 50% |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVE IMPACTED CERUMEN RT | $74.50 | $149.00 | $24.42–$155.60 | 71% below | 50% |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVE IMPACTED CERUMEN LT | $74.50 | $149.00 | $24.42–$155.60 | 71% below | 50% |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVAL IMPACTED CERUMEN UNILAT | $87.78 | $175.55 | $28.77–$175.55 | 66% below | 50% |
| Earwax removal with instruments, one ear inpatient both sides CPT 69210 REMOVE IMPACTED CERUMEN BILAT | $147.50 | $295.00 | $111.51–$295.00 | — | 50% |
| Earwax removal with instruments, one ear inpatient CPT 69210 Remove Impacted Ear Wax 69210 | $65.50 | $131.00 | $49.52–$131.00 | — | 50% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVE IMPACTED CERUMEN LT | $74.50 | $149.00 | $56.32–$149.00 | — | 50% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVE IMPACTED CERUMEN RT | $74.50 | $149.00 | $56.32–$149.00 | — | 50% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVAL IMPACTED CERUMEN UNILAT | $87.78 | $175.55 | $66.36–$175.55 | — | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY 58100 | $110.00 | $220.00 | $36.06–$329.35 | 74% below | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 EMB w/wo endocervical biopsy w/o cervical dilation, any method 58100 | $151.50 | $303.00 | $49.66–$329.35 | 64% below | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY 58100 | $110.00 | $220.00 | $83.16–$220.00 | — | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 EMB w/wo endocervical biopsy w/o cervical dilation, any method 58100 | $151.50 | $303.00 | $114.53–$303.00 | — | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ PROC FOR HSG | $64.00 | $128.00 | $20.98–$128.00 | 90% below | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ PROC FOR HSG | $64.00 | $128.00 | $48.38–$128.00 | — | 50% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy,Biopsy 58558 | $581.50 | $1,163.00 | $190.62–$8,101.41 | 93% below | 50% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscopy,Biopsy 58558 | $581.50 | $1,163.00 | $439.61–$1,163.00 | — | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 Insert Intrauterine Device 58300 | $126.50 | $253.00 | $41.47–$253.00 | 71% below | 50% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert Intrauterine Device 58300 | $126.50 | $253.00 | $95.63–$253.00 | — | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Drain Skin Abscess,Simple/Sngl 10060 | $142.00 | $284.00 | $46.55–$325.31 | 74% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS SIMPLE OR SINGLE 10060 | $149.54 | $299.08 | $49.02–$325.31 | 73% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS SIMPLE | $271.48 | $542.95 | $88.99–$542.95 | 51% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS SIMPLE (SINGLE) | $314.00 | $628.00 | $102.93–$628.00 | 43% below | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drain Skin Abscess,Simple/Sngl 10060 | $142.00 | $284.00 | $107.35–$284.00 | — | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABCESS SIMPLE OR SINGLE 10060 | $149.54 | $299.08 | $113.05–$299.08 | — | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS SIMPLE | $271.48 | $542.95 | $205.24–$542.95 | — | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS SIMPLE (SINGLE) | $314.00 | $628.00 | $237.38–$628.00 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT 20550 | $358.00 | $716.00 | $49.48–$716.00 | 72% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIGAMENT 20550 | $358.00 | $716.00 | $270.65–$716.00 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCEN/MAJOR 20610 | $119.13 | $238.25 | $39.05–$483.28 | 86% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocent Aspir&/Inj Major Jt w/o US 20610 | $129.00 | $258.00 | $42.29–$483.28 | 85% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US 20610 | $129.00 | $258.00 | $42.29–$483.28 | 85% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 IR JOINT ASPIRATION/INJECTION | $196.02 | $392.03 | $57.69–$483.28 | 77% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCEN/MAJOR W/O US GUIDE 20610 | $358.00 | $716.00 | $57.69–$716.00 | 58% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration / Inj Major Joint or Bursa | $358.00 | $716.00 | $57.69–$716.00 | 58% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 XR Ndl Placmnt Hip Asp/Inj wo US Guid | $358.50 | $717.00 | $57.69–$717.00 | 58% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 IR Hip Injection/Aspiration Left | $344.63 | $689.25 | $57.69–$689.25 | 60% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 IR Hip Injection/Aspiration Right? | $358.50 | $717.00 | $57.69–$717.00 | 58% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 IR Hip Injection/Aspiration Left? | $358.50 | $717.00 | $57.69–$717.00 | 58% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 IR Hip Injection/Aspiration Right | $358.50 | $717.00 | $57.69–$717.00 | 58% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCEN/MAJOR 20610 | $119.13 | $238.25 | $90.06–$238.25 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US 20610 | $129.00 | $258.00 | $97.52–$258.00 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocent Aspir&/Inj Major Jt w/o US 20610 | $129.00 | $258.00 | $97.52–$258.00 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 IR JOINT ASPIRATION/INJECTION | $196.02 | $392.03 | $148.19–$392.03 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCEN/MAJOR W/O US GUIDE 20610 | $358.00 | $716.00 | $270.65–$716.00 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration / Inj Major Joint or Bursa | $358.00 | $716.00 | $270.65–$716.00 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 XR Ndl Placmnt Hip Asp/Inj wo US Guid | $358.50 | $717.00 | $271.03–$717.00 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 IR Hip Injection/Aspiration Left | $344.63 | $689.25 | $260.54–$689.25 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 IR Hip Injection/Aspiration Right | $358.50 | $717.00 | $271.03–$717.00 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 IR Hip Injection/Aspiration Right? | $358.50 | $717.00 | $271.03–$717.00 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 IR Hip Injection/Aspiration Left? | $358.50 | $717.00 | $271.03–$717.00 | — | 50% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Drug Implant Device 11981 | $202.50 | $405.00 | $66.38–$405.00 | 95% below | 50% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert Drug Implant Device 11981 | $202.50 | $405.00 | $153.09–$405.00 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT JOINT 20605 | $96.75 | $193.50 | $31.72–$483.28 | 87% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US 20 | $98.00 | $196.00 | $32.13–$483.28 | 87% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT JOINT W/O US GUIDE 20605 | $358.00 | $716.00 | $46.72–$716.00 | 53% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Joint Aspiration / Inj Intermediate Joint | $358.00 | $716.00 | $46.72–$716.00 | 53% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 IR JOINT ASPIR/INJ - INTERMEDIATE | $358.00 | $716.00 | $46.72–$716.00 | 53% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJECT JOINT 20605 | $96.75 | $193.50 | $73.14–$193.50 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US 20 | $98.00 | $196.00 | $74.09–$196.00 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 IR JOINT ASPIR/INJ - INTERMEDIATE | $358.00 | $716.00 | $270.65–$716.00 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJECT JOINT W/O US GUIDE 20605 | $358.00 | $716.00 | $270.65–$716.00 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Joint Aspiration / Inj Intermediate Joint | $358.00 | $716.00 | $270.65–$716.00 | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ATHROCNTSIS/ASP/INJ SM JT/BRS/CYS 20600 | $92.38 | $184.75 | $30.28–$483.28 | 85% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Joint/Bursa aspir w/o US Guide 20600 | $159.79 | $319.57 | $45.46–$483.28 | 74% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Joint Aspiration / Inj Small Joint | $358.00 | $716.00 | $45.46–$716.00 | 41% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ATHROCNTSIS/ASP/INJ SM JT/BRS/CYS W/O US GUIDE 206 | $358.00 | $716.00 | $45.46–$716.00 | 41% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ATHROCNTSIS/ASP/INJ SM JT/BRS/CYS 20600 | $92.38 | $184.75 | $69.84–$184.75 | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Joint/Bursa aspir w/o US Guide 20600 | $159.79 | $319.57 | $120.80–$319.57 | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ATHROCNTSIS/ASP/INJ SM JT/BRS/CYS W/O US GUIDE 206 | $358.00 | $716.00 | $270.65–$716.00 | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Joint Aspiration / Inj Small Joint | $358.00 | $716.00 | $270.65–$716.00 | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE/WOUND UP TO 2 5CM 12031 | $198.97 | $397.94 | $65.22–$654.11 | 73% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate repair, scalp/axillae/trunk/extem, 2.5cm or less 12031 | $343.50 | $687.00 | $112.60–$687.00 | 54% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE/WOUND UP TO 2 5CM 12031 | $198.97 | $397.94 | $150.42–$397.94 | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intermediate repair, scalp/axillae/trunk/extem, 2.5cm or less 12031 | $343.50 | $687.00 | $259.69–$687.00 | — | 50% |
| Left heart catheterization, diagnostic one side CPT 93452 Left Heart Cath w/LV Injection 93452 | $2,594.27 | $5,188.54 | $850.42–$7,367.16 | 66% below | 50% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Left Heart Cath w/LV Injection 93452 | $2,594.27 | $5,188.54 | $1,961.27–$5,188.54 | — | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ SPINE LUMBAR/SACRAL 62311 | $137.50 | $275.00 | $45.07–$1,457.57 | 92% below | 50% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ SPINE LUMBAR/SACRAL 62311 | $137.50 | $275.00 | $103.95–$275.00 | — | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr-Ext B9+Marg 0.5 < Cm 11400 | $93.00 | $186.00 | $30.49–$1,151.91 | 85% below | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Benign lesion excision less than or equal 0.5 cm 11400 | $294.46 | $588.91 | $96.52–$1,151.91 | 53% below | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Benign lesion excision less than or equal 0.5 cm 1 | $849.00 | $1,698.00 | $99.54–$1,698.00 | 36% above | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Tr-Ext B9+Marg 0.5 < Cm 11400 | $93.00 | $186.00 | $70.31–$186.00 | — | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Benign lesion excision less than or equal 0.5 cm 11400 | $294.46 | $588.91 | $222.61–$588.91 | — | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Benign lesion excision less than or equal 0.5 cm 1 | $849.00 | $1,698.00 | $641.84–$1,698.00 | — | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< 11440 | $187.00 | $374.00 | $61.30–$1,151.91 | 69% below | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< 11440 | $187.00 | $374.00 | $141.37–$374.00 | — | 50% |
| Nail removal (partial or complete), one nail CPT 11730 Nail Repair Type - Excision of nail | $102.64 | $205.28 | $33.65–$520.49 | 75% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PART/COMPL SIMP/SGL 11730 | $102.64 | $205.28 | $33.65–$520.49 | 75% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 Removal Of Nail Plate 11730 | $137.00 | $274.00 | $44.91–$520.49 | 67% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE SIMPLE | $139.21 | $278.41 | $45.63–$520.49 | 67% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE 11730 | $158.50 | $317.00 | $51.96–$520.49 | 62% below | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Nail Repair Type - Excision of nail | $102.64 | $205.28 | $77.60–$205.28 | — | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PART/COMPL SIMP/SGL 11730 | $102.64 | $205.28 | $77.60–$205.28 | — | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Removal Of Nail Plate 11730 | $137.00 | $274.00 | $103.57–$274.00 | — | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE SIMPLE | $139.21 | $278.41 | $105.24–$278.41 | — | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE 11730 | $158.50 | $317.00 | $119.83–$317.00 | — | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTION ANESTHETIC AGENT GREATER OCCIPITAL NRV | $138.00 | $276.00 | $45.24–$483.28 | 82% below | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANES NRV GREAT OCCIPIT 64405 | $161.38 | $322.75 | $52.90–$483.28 | 79% below | 50% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECTION ANESTHETIC AGENT GREATER OCCIPITAL NRV | $138.00 | $276.00 | $104.33–$276.00 | — | 50% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANES NRV GREAT OCCIPIT 64405 | $161.38 | $322.75 | $122.00–$322.75 | — | 50% |
| Pacemaker implant (dual chamber) CPT 33208 CV Cath Acquisition | $11,911.37 | $23,822.73 | $636.50–$23,822.73 | 4% above | 50% |
| Pacemaker implant (dual chamber) CPT 33208 CV CCL Insert CRT-P Dual | $14,456.00 | $28,912.00 | $636.50–$28,912.00 | 26% above | 50% |
| Pacemaker implant (dual chamber) CPT 33208 CV CCL Insert CRT-P | $14,456.00 | $28,912.00 | $636.50–$28,912.00 | 26% above | 50% |
| Pacemaker implant (dual chamber) CPT 33208 Insert Pacer Generator-Dual Lead 33208 | $14,456.00 | $28,912.00 | $636.50–$28,912.00 | 26% above | 50% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Insert Pacer Generator-Dual Lead 33208 | $11,911.37 | $23,822.73 | $9,004.99–$23,822.73 | — | 50% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 CV Cath Acquisition | $11,911.37 | $23,822.73 | $9,004.99–$23,822.73 | — | 50% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 CV CCL Insert CRT-P Dual | $14,456.00 | $28,912.00 | $10,928.74–$28,912.00 | — | 50% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 CV CCL Insert CRT-P | $14,456.00 | $28,912.00 | $10,928.74–$28,912.00 | — | 50% |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS W/IMAGING GUIDANCE 49083 | $179.00 | $358.00 | $58.68–$1,534.96 | 87% below | 50% |
| Paracentesis with imaging guidance CPT 49083 Abdml paracentesis; w/ imaging guidance 49083 | $328.50 | $657.00 | $107.69–$1,534.96 | 77% below | 50% |
| Paracentesis with imaging guidance CPT 49083 IR PARACENTESIS W/ IMG | $419.01 | $838.02 | $126.70–$1,534.96 | 71% below | 50% |
| Paracentesis with imaging guidance CPT 49083 IR CT Paracentesis Abdomi w/ CT Guidance | $419.01 | $838.02 | $126.70–$1,534.96 | 71% below | 50% |
| Paracentesis with imaging guidance CPT 49083 IR US PARACENTESIS W / IMG | $419.01 | $838.02 | $126.70–$1,534.96 | 71% below | 50% |
| Paracentesis with imaging guidance CPT 49083 US Paracentesis | $434.17 | $868.34 | $126.70–$1,534.96 | 70% below | 50% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING 49083 | $1,096.50 | $2,193.00 | $126.70–$2,193.00 | 23% below | 50% |
| Paracentesis with imaging guidance CPT 49083 IR CT PARACENTESIS W / IMG | $1,120.50 | $2,241.00 | $126.70–$2,241.00 | 21% below | 50% |
| Paracentesis with imaging guidance CPT 49083 US Guide ABD Paracentesis | $1,120.50 | $2,241.00 | $126.70–$2,241.00 | 21% below | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W/IMAGING GUIDANCE 49083 | $179.00 | $358.00 | $135.32–$358.00 | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 Abdml paracentesis; w/ imaging guidance 49083 | $328.50 | $657.00 | $248.35–$657.00 | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 US Guide ABD Paracentesis | $406.50 | $813.00 | $307.31–$813.00 | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 IR PARACENTESIS W/ IMG | $419.01 | $838.02 | $316.77–$838.02 | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 IR CT Paracentesis Abdomi w/ CT Guidance | $419.01 | $838.02 | $316.77–$838.02 | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 IR CT PARACENTESIS W / IMG | $419.01 | $838.02 | $316.77–$838.02 | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 IR US PARACENTESIS W / IMG | $419.01 | $838.02 | $316.77–$838.02 | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis | $434.17 | $868.34 | $328.23–$868.34 | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING 49083 | $1,096.50 | $2,193.00 | $828.95–$2,193.00 | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision nail & matrix, partl/complt, e.g. ingrown nail, permanent 11750 | $278.50 | $557.00 | $91.29–$654.11 | 63% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED PARTIAL OR COMPLETE | $322.00 | $644.00 | $105.55–$654.11 | 57% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL/MTRX PRT/CMPLT PERM RMV 11750 | $348.24 | $696.48 | $114.16–$696.48 | 53% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision nail & matrix, partl/complt, e.g. ingrown nail, permanent 11750 | $278.50 | $557.00 | $210.55–$557.00 | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED PARTIAL OR COMPLETE | $322.00 | $644.00 | $243.43–$644.00 | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL/MTRX PRT/CMPLT PERM RMV 11750 | $348.24 | $696.48 | $263.27–$696.48 | — | 50% |
| Prostate biopsy CPT 55700 IR PROSTATE BIOPSY | $814.99 | $1,629.98 | $164.44–$5,015.14 | 71% below | 50% |
| Prostate biopsy CPT 55700 US Prostate Biopsy | $846.03 | $1,692.05 | $164.44–$5,015.14 | 70% below | 50% |
| Prostate biopsy CPT 55700 US Biopsy Prostate | $846.03 | $1,692.05 | $164.44–$5,015.14 | 70% below | 50% |
| Prostate biopsy CPT 55700 US PROSTATE BIOPSY | $846.03 | $1,692.05 | $164.44–$5,015.14 | 70% below | 50% |
| Prostate biopsy inpatient CPT 55700 IR PROSTATE BIOPSY | $814.99 | $1,629.98 | $616.13–$1,629.98 | — | 50% |
| Prostate biopsy inpatient CPT 55700 US Biopsy Prostate | $846.03 | $1,692.05 | $639.59–$1,692.05 | — | 50% |
| Prostate biopsy inpatient CPT 55700 US Prostate Biopsy | $846.03 | $1,692.05 | $639.59–$1,692.05 | — | 50% |
| Prostate biopsy inpatient CPT 55700 US PROSTATE BIOPSY | $846.03 | $1,692.05 | $639.59–$1,692.05 | — | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 INCS & RMV FB SQ TISSUE SIMPLE | $152.00 | $304.00 | $49.83–$654.11 | 84% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body,Simple 10120 | $195.00 | $390.00 | $63.92–$654.11 | 80% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 INCS & RMV FB SQ TISSUE SIMPLE 10120 | $231.55 | $463.09 | $75.90–$654.11 | 76% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 Foreign Body Removal SubQ Tissue 10120 | $231.55 | $463.09 | $75.90–$654.11 | 76% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 INCS & RMV FB SQ TISSUE SIMPLE BOTH 10120 | $481.50 | $963.00 | $124.98–$963.00 | 50% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 CV CCL Foreign Body Removal Simple | $483.00 | $966.00 | $124.98–$966.00 | 50% below | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCS & RMV FB SQ TISSUE SIMPLE | $152.00 | $304.00 | $114.91–$304.00 | — | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove Foreign Body,Simple 10120 | $195.00 | $390.00 | $147.42–$390.00 | — | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCS & RMV FB SQ TISSUE SIMPLE 10120 | $231.55 | $463.09 | $175.05–$463.09 | — | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Foreign Body Removal SubQ Tissue 10120 | $231.55 | $463.09 | $175.05–$463.09 | — | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCS & RMV FB SQ TISSUE SIMPLE BOTH 10120 | $481.50 | $963.00 | $364.01–$963.00 | — | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 CV CCL Foreign Body Removal Simple | $483.00 | $966.00 | $365.15–$966.00 | — | 50% |
| Short arm cast (elbow to hand) CPT 29075 APPLIC ELBOW TO FINGER BOTH 29075 | $648.00 | $1,296.00 | $78.19–$1,296.00 | 34% below | 50% |
| Short arm cast (elbow to hand) one side CPT 29075 APPLIC ELBOW TO FINGER RT 29075 | $324.00 | $648.00 | $78.19–$648.00 | 67% below | 50% |
| Short arm cast (elbow to hand) one side CPT 29075 APPLIC ELBOW TO FINGER LT 29075 | $324.00 | $648.00 | $78.19–$648.00 | 67% below | 50% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLIC ELBOW TO FINGER BOTH 29075 | $648.00 | $1,296.00 | $489.89–$1,296.00 | — | 50% |
| Short arm cast (elbow to hand) inpatient one side CPT 29075 APPLIC ELBOW TO FINGER RT 29075 | $324.00 | $648.00 | $244.94–$648.00 | — | 50% |
| Short arm cast (elbow to hand) inpatient one side CPT 29075 APPLIC ELBOW TO FINGER LT 29075 | $324.00 | $648.00 | $244.94–$648.00 | — | 50% |
| Short arm splint (forearm and hand) CPT 29125 Application Short Arm Splint,Static 29125 | $96.00 | $192.00 | $31.47–$337.65 | 75% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 Orthopedic Device Application Charge - Short Arm S | $154.50 | $309.00 | $50.41–$337.65 | 60% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 Application Short Arm Splint Units | $214.00 | $428.00 | $50.41–$428.00 | 44% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION SHORT ARM SPLINT BOTH 29125 | $308.50 | $617.00 | $50.41–$617.00 | 20% below | 50% |
| Short arm splint (forearm and hand) one side CPT 29125 APPLICATION SHORT ARM SPLINT LT 29125 | $110.00 | $220.00 | $36.06–$337.65 | 71% below | 50% |
| Short arm splint (forearm and hand) one side CPT 29125 APPLICATION SHORT ARM SPLINT RT 29125 | $154.50 | $309.00 | $50.41–$337.65 | 60% below | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Application Short Arm Splint,Static 29125 | $96.00 | $192.00 | $72.58–$192.00 | — | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Orthopedic Device Application Charge - Short Arm S | $154.50 | $309.00 | $116.80–$309.00 | — | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Application Short Arm Splint Units | $214.00 | $428.00 | $161.78–$428.00 | — | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION SHORT ARM SPLINT BOTH 29125 | $308.50 | $617.00 | $233.23–$617.00 | — | 50% |
| Short arm splint (forearm and hand) inpatient one side CPT 29125 APPLICATION SHORT ARM SPLINT LT 29125 | $110.00 | $220.00 | $83.16–$220.00 | — | 50% |
| Short arm splint (forearm and hand) inpatient one side CPT 29125 APPLICATION SHORT ARM SPLINT RT 29125 | $154.50 | $309.00 | $116.80–$309.00 | — | 50% |
| Short leg cast (below the knee) CPT 29405 Application Short Leg Cast 29405 | $119.00 | $238.00 | $39.01–$434.81 | 86% below | 50% |
| Short leg cast (below the knee) CPT 29405 Orthopedic Device Application Charge - Short Leg Cast Both | $277.82 | $555.63 | $73.51–$555.63 | 66% below | 50% |
| Short leg cast (below the knee) CPT 29405 Orthopedic Device Application Charge - Short Leg C | $324.00 | $648.00 | $73.51–$648.00 | 61% below | 50% |
| Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST BOTH 29405 | $648.00 | $1,296.00 | $73.51–$1,296.00 | 21% below | 50% |
| Short leg cast (below the knee) one side CPT 29405 APPLICATION SHORT LEG CAST LT 29405 | $324.00 | $648.00 | $73.51–$648.00 | 61% below | 50% |
| Short leg cast (below the knee) one side CPT 29405 APPLICATION SHORT LEG CAST RT 29405 | $324.00 | $648.00 | $73.51–$648.00 | 61% below | 50% |
| Short leg cast (below the knee) inpatient CPT 29405 Application Short Leg Cast 29405 | $119.00 | $238.00 | $89.96–$238.00 | — | 50% |
| Short leg cast (below the knee) inpatient CPT 29405 Orthopedic Device Application Charge - Short Leg Cast Both | $277.82 | $555.63 | $210.03–$555.63 | — | 50% |
| Short leg cast (below the knee) inpatient CPT 29405 Orthopedic Device Application Charge - Short Leg C | $324.00 | $648.00 | $244.94–$648.00 | — | 50% |
| Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST BOTH 29405 | $648.00 | $1,296.00 | $489.89–$1,296.00 | — | 50% |
| Short leg cast (below the knee) inpatient one side CPT 29405 APPLICATION SHORT LEG CAST LT 29405 | $324.00 | $648.00 | $244.94–$648.00 | — | 50% |
| Short leg cast (below the knee) inpatient one side CPT 29405 APPLICATION SHORT LEG CAST RT 29405 | $324.00 | $648.00 | $244.94–$648.00 | — | 50% |
| Short leg splint (calf to foot) CPT 29515 Application Lower Leg Splint 29515 | $101.00 | $202.00 | $33.11–$258.33 | 74% below | 50% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT BOTH 29515 | $296.50 | $593.00 | $62.57–$593.00 | 23% below | 50% |
| Short leg splint (calf to foot) CPT 29515 OT Short Leg Splint Units | $384.50 | $769.00 | $62.57–$769.00 | at median | 50% |
| Short leg splint (calf to foot) one side CPT 29515 APPLICATION SHORT LEG SPLINT RT 29515 | $191.00 | $382.00 | $62.57–$382.00 | 50% below | 50% |
| Short leg splint (calf to foot) one side CPT 29515 APPLICATION SHORT LEG SPLINT LT 29515 | $191.00 | $382.00 | $62.57–$382.00 | 50% below | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 Application Lower Leg Splint 29515 | $101.00 | $202.00 | $76.36–$202.00 | — | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION SHORT LEG SPLINT BOTH 29515 | $296.50 | $593.00 | $224.15–$593.00 | — | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 OT Short Leg Splint Units | $384.50 | $769.00 | $290.68–$769.00 | — | 50% |
| Short leg splint (calf to foot) inpatient one side CPT 29515 APPLICATION SHORT LEG SPLINT RT 29515 | $191.00 | $382.00 | $144.40–$382.00 | — | 50% |
| Short leg splint (calf to foot) inpatient one side CPT 29515 APPLICATION SHORT LEG SPLINT LT 29515 | $191.00 | $382.00 | $144.40–$382.00 | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Lac Repair Ext/Scalp 2.5CM LESS 12001 | $74.99 | $149.97 | $24.58–$520.49 | 78% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REP SUPERFICIAL WOUND UP TO 2 5CM 12001 | $116.88 | $233.75 | $38.31–$520.49 | 66% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Lac Repair Ext/Scalp 2.5CM LESS 12001 | $74.99 | $149.97 | $56.69–$149.97 | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REP SUPERFICIAL WOUND UP TO 2 5CM 12001 | $116.88 | $233.75 | $88.36–$233.75 | — | 50% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion 11104 WC | $152.50 | $305.00 | $49.99–$654.11 | 73% below | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy Skin Single Lesion 11104 WC | $152.50 | $305.00 | $115.29–$305.00 | — | 50% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excision, malignant lesion, trunk/arms/legs <0.5cm 11600 | $263.00 | $526.00 | $86.21–$1,151.91 | 58% below | 50% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Excision, malignant lesion, trunk/arms/legs <0.5cm 11600 | $263.00 | $526.00 | $198.83–$526.00 | — | 50% |
| Skin tag removal, up to 15 tags CPT 11200 REMVAL SKIN TAGS 1-15 LESIONS 11200 | $77.23 | $154.45 | $25.32–$520.49 | 81% below | 50% |
| Skin tag removal, up to 15 tags CPT 11200 Skin Tag Removal 1-15 lesions 11200 | $77.23 | $154.45 | $25.32–$520.49 | 81% below | 50% |
| Skin tag removal, up to 15 tags CPT 11200 WH Bedside Procedure Type - Skin tag removal | $77.24 | $154.48 | $25.32–$520.49 | 81% below | 50% |
| Skin tag removal, up to 15 tags CPT 11200 Removal Of Skin Tags, <= 15 Tags 11200 | $107.50 | $215.00 | $35.24–$520.49 | 73% below | 50% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMVAL SKIN TAGS 1-15 LESIONS 11200 | $77.23 | $154.45 | $58.38–$154.45 | — | 50% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Skin Tag Removal 1-15 lesions 11200 | $77.23 | $154.45 | $58.38–$154.45 | — | 50% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 WH Bedside Procedure Type - Skin tag removal | $77.24 | $154.48 | $58.39–$154.48 | — | 50% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Removal Of Skin Tags, <= 15 Tags 11200 | $107.50 | $215.00 | $81.27–$215.00 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture Bedside | $131.00 | $262.00 | $42.94–$1,133.79 | 94% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spi Pnxr Lmbr Dx 62270 | $203.00 | $406.00 | $66.55–$1,133.79 | 90% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DX 62270 | $204.88 | $409.75 | $67.16–$1,133.79 | 90% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 XR Lumbar Puncture Invasive | $431.79 | $863.57 | $80.40–$1,133.79 | 79% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 XR Lumbar Puncture | $431.79 | $863.57 | $80.40–$1,133.79 | 79% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 WH Bedside Procedure Type - LUMBAR PUNCTURE | $431.83 | $863.66 | $80.40–$1,133.79 | 79% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 EEG Charges - LUMBAR PUNCTURE | $469.14 | $938.27 | $80.40–$1,133.79 | 77% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 IR Procedures - RAD LUMBAR PUNCTURE DIAGNOSTIC | $478.97 | $957.94 | $80.40–$1,133.79 | 77% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 IR Fluoro Lumbar Puncture | $834.50 | $1,669.00 | $80.40–$1,669.00 | 59% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Neurology Lumbar Puncture Procedure | $834.50 | $1,669.00 | $80.40–$1,669.00 | 59% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 INF Lumbar Puncture | $834.50 | $1,669.00 | $80.40–$1,669.00 | 59% below | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture Bedside | $131.00 | $262.00 | $99.04–$262.00 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spi Pnxr Lmbr Dx 62270 | $203.00 | $406.00 | $153.47–$406.00 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DX 62270 | $204.88 | $409.75 | $154.89–$409.75 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 XR Lumbar Puncture Invasive | $431.79 | $863.57 | $326.43–$863.57 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 INF Lumbar Puncture | $431.79 | $863.57 | $326.43–$863.57 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 XR Lumbar Puncture | $431.79 | $863.57 | $326.43–$863.57 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 WH Bedside Procedure Type - LUMBAR PUNCTURE | $431.83 | $863.66 | $326.46–$863.66 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 EEG Charges - LUMBAR PUNCTURE | $469.14 | $938.27 | $354.67–$938.27 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 IR Procedures - RAD LUMBAR PUNCTURE DIAGNOSTIC | $478.97 | $957.94 | $362.10–$957.94 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 IR Fluoro Lumbar Puncture | $834.50 | $1,669.00 | $630.88–$1,669.00 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Neurology Lumbar Puncture Procedure | $834.50 | $1,669.00 | $630.88–$1,669.00 | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REP SUPERFICIAL WOUND 2 6CM 7 5CM 12002 | $137.46 | $274.92 | $45.06–$520.49 | 64% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Lac Repair Ext/Scalp 2.6-7.5CM 12002 | $137.47 | $274.93 | $45.06–$520.49 | 64% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REP SUPERFICIAL WOUND 2 6CM 7 5CM 12002 | $137.46 | $274.92 | $103.92–$274.92 | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple Lac Repair Ext/Scalp 2.6-7.5CM 12002 | $137.47 | $274.93 | $103.92–$274.93 | — | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair, face/ears/nose/lips/eyelids/muc membr, 2.5cm or less 12011 | $101.00 | $202.00 | $33.11–$520.49 | 71% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REP SUP WD FACE/MM UP TO 2 5CM 12011 | $137.46 | $274.92 | $45.06–$520.49 | 61% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple repair, face/ears/nose/lips/eyelids/muc membr, 2.5cm or less 12011 | $101.00 | $202.00 | $76.36–$202.00 | — | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REP SUP WD FACE/MM UP TO 2 5CM 12011 | $137.46 | $274.92 | $103.92–$274.92 | — | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION 11102 WC | $317.00 | $634.00 | $45.18–$634.00 | 41% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION 11102 WC | $152.50 | $305.00 | $115.29–$305.00 | — | 50% |
| Thoracentesis with imaging guidance both sides CPT 32555 THORACENTESIS W/IMAGING (BILAT) 32555 | $1,517.00 | $3,034.00 | $131.18–$3,034.00 | — | 50% |
| Thoracentesis with imaging guidance both sides CPT 32555 DS THORACENTESIS W/ IMAGING BILAT | $1,517.00 | $3,034.00 | $131.18–$3,034.00 | — | 50% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING 32555 | $197.50 | $395.00 | $64.74–$1,012.21 | 92% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAGING GUIDANCE 32555 | $297.13 | $594.25 | $97.40–$1,012.21 | 88% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 US Thoracentesis | $326.00 | $652.00 | $106.87–$1,012.21 | 87% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis w/Imaging 32555 | $434.17 | $868.34 | $131.18–$1,012.21 | 83% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 IR CT Thoracentesis w/ CT Guidance | $434.17 | $868.34 | $131.18–$1,012.21 | 83% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 IR THORACENTESIS W/ IMG | $434.17 | $868.34 | $131.18–$1,012.21 | 83% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 IR Thoracentesis | $434.17 | $868.34 | $131.18–$1,012.21 | 83% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura W/ Imaging 32555 | $434.23 | $868.45 | $131.18–$1,012.21 | 83% below | 50% |
| Thoracentesis with imaging guidance one side CPT 32555 DS THORACENTESIS W/ IMAGING UNILAT | $758.50 | $1,517.00 | $131.18–$1,517.00 | 70% below | 50% |
| Thoracentesis with imaging guidance one side CPT 32555 THORACENTESIS W/IMAGING (UNILATERAL) 32555 | $758.50 | $1,517.00 | $131.18–$1,517.00 | 70% below | 50% |
| Thoracentesis with imaging guidance inpatient both sides CPT 32555 DS THORACENTESIS W/ IMAGING BILAT | $1,517.00 | $3,034.00 | $1,146.85–$3,034.00 | — | 50% |
| Thoracentesis with imaging guidance inpatient both sides CPT 32555 THORACENTESIS W/IMAGING (BILAT) 32555 | $1,517.00 | $3,034.00 | $1,146.85–$3,034.00 | — | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING 32555 | $197.50 | $395.00 | $149.31–$395.00 | — | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAGING GUIDANCE 32555 | $297.13 | $594.25 | $224.63–$594.25 | — | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis | $326.00 | $652.00 | $246.46–$652.00 | — | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 IR Thoracentesis | $434.17 | $868.34 | $328.23–$868.34 | — | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis w/Imaging 32555 | $434.17 | $868.34 | $328.23–$868.34 | — | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 IR THORACENTESIS W/ IMG | $434.17 | $868.34 | $328.23–$868.34 | — | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 IR CT Thoracentesis w/ CT Guidance | $434.17 | $868.34 | $328.23–$868.34 | — | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate Pleura W/ Imaging 32555 | $434.23 | $868.45 | $328.27–$868.45 | — | 50% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 DS THORACENTESIS W/ IMAGING UNILAT | $758.50 | $1,517.00 | $573.43–$1,517.00 | — | 50% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 THORACENTESIS W/IMAGING (UNILATERAL) 32555 | $758.50 | $1,517.00 | $573.43–$1,517.00 | — | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection Single/Mlt Trigger Point 1/2 Muscles 20552 | $76.50 | $153.00 | $25.08–$483.28 | 93% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ 20552 | $98.38 | $196.75 | $32.25–$483.28 | 91% below | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection Single/Mlt Trigger Point 1/2 Muscles 20552 | $76.50 | $153.00 | $57.83–$153.00 | — | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJ 20552 | $98.38 | $196.75 | $74.37–$196.75 | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US Breast Breast Biopsy Perc 1st Lesion | $1,722.40 | $3,444.79 | $185.33–$4,087.60 | 37% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US Breast BX Perc 1st Lesion | $1,722.40 | $3,444.79 | $185.33–$4,087.60 | 37% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US Bard Breast BX Exam | $2,090.50 | $4,181.00 | $185.33–$4,181.00 | 23% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 IR US GUIDED BREAST BX 1ST LESION | $2,090.50 | $4,181.00 | $185.33–$4,181.00 | 23% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US Biopsy BREAST Clip Place FIRST LESION | $2,090.50 | $4,181.00 | $185.33–$4,181.00 | 23% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w/ US Guide Left | $244.50 | $489.00 | $80.15–$4,087.60 | 91% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w/ US Guide Right | $244.50 | $489.00 | $80.15–$4,087.60 | 91% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Device Plcmnt w/US Guide Right | $2,090.50 | $4,181.00 | $185.33–$4,181.00 | 23% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Device Plcmnt w/US Guide Left | $2,090.50 | $4,181.00 | $185.33–$4,181.00 | 23% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US Breast BX Perc 1st Lesion | $1,722.40 | $3,444.79 | $1,302.13–$3,444.79 | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US Breast Breast Biopsy Perc 1st Lesion | $1,722.40 | $3,444.79 | $1,302.13–$3,444.79 | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 IR US GUIDED BREAST BX 1ST LESION | $1,722.41 | $3,444.81 | $1,302.14–$3,444.81 | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US Biopsy BREAST Clip Place FIRST LESION | $2,090.50 | $4,181.00 | $1,580.42–$4,181.00 | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US Bard Breast BX Exam | $2,090.50 | $4,181.00 | $1,580.42–$4,181.00 | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w/ US Guide Right | $244.50 | $489.00 | $184.84–$489.00 | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w/ US Guide Left | $244.50 | $489.00 | $184.84–$489.00 | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Device Plcmnt w/US Guide Left | $1,991.00 | $3,982.00 | $1,505.20–$3,982.00 | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Device Plcmnt w/US Guide Right | $1,991.00 | $3,982.00 | $1,505.20–$3,982.00 | — | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSHING OR WASH 43235 | $159.75 | $319.50 | $52.37–$1,534.96 | 85% below | 50% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC BRUSHING OR WASH 43235 | $159.75 | $319.50 | $120.77–$319.50 | — | 50% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS 55250 | $379.00 | $758.00 | $124.24–$5,015.14 | — | 50% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS 55250 | $379.00 | $758.00 | $286.52–$758.00 | — | 50% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION BENIGN LESIONS UP TO 14 17110 | $138.00 | $276.00 | $45.24–$520.49 | 95% below | 50% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION BENIGN LESIONS UP TO 14 17110 | $138.00 | $276.00 | $104.33–$276.00 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, subcutaneous tissue, 1st 20 sq cm or less 11042 | $126.50 | $253.00 | $41.47–$654.11 | 86% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/SUBUCTANEOUS TISSUE 11042 | $158.38 | $316.75 | $51.92–$654.11 | 83% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debrid SubQ tissue less or equal 20 sq cm 11042 | $227.33 | $454.66 | $72.91–$654.11 | 75% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBQ 1ST 20SQ CM OR LESS | $432.53 | $865.06 | $72.91–$865.06 | 53% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 MG Debridement Breast Tissue | $481.50 | $963.00 | $72.91–$963.00 | 48% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement, subcutaneous tissue, 1st 20 sq cm or less 11042 | $126.50 | $253.00 | $95.63–$253.00 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN/SUBUCTANEOUS TISSUE 11042 | $158.38 | $316.75 | $119.73–$316.75 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debrid SubQ tissue less or equal 20 sq cm 11042 | $227.33 | $454.66 | $171.86–$454.66 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SUBQ 1ST 20SQ CM OR LESS | $432.53 | $865.06 | $326.99–$865.06 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 MG Debridement Breast Tissue | $481.50 | $963.00 | $364.01–$963.00 | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPONENTS 36430 | $81.38 | $162.75 | $26.68–$1,145.19 | 89% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Product Administration | $502.84 | $1,005.67 | $51.74–$1,145.19 | 35% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 PS INF Blood Transfusion | $524.00 | $1,048.00 | $51.74–$1,145.19 | 32% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN. PROCEDURE 36430 | $622.00 | $1,244.00 | $51.74–$1,244.00 | 20% below | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLD/BLD COMPONENTS 36430 | $81.38 | $162.75 | $61.52–$162.75 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Product Administration | $452.55 | $905.09 | $342.12–$905.09 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN. PROCEDURE 36430 | $523.00 | $1,046.00 | $395.39–$1,046.00 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 PS INF Blood Transfusion | $524.00 | $1,048.00 | $396.14–$1,048.00 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Tx for AAO for Ther or Diag Purposes (Neb, MDI, IPPB device) 94640 | $25.50 | $51.00 | $8.36–$532.78 | 86% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT - 94640 | $208.34 | $416.67 | $8.95–$532.78 | 10% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT | $258.00 | $516.00 | $8.95–$532.78 | 37% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE MDI/DPI - DPI Initial | $258.00 | $516.00 | $8.95–$532.78 | 37% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE MDI/DPI - Subsequent | $258.00 | $516.00 | $8.95–$532.78 | 37% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Aerosol Therapy - Subsequent | $258.00 | $516.00 | $8.95–$532.78 | 37% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT NEBULIZER/AEROSOL TREATMENT | $258.00 | $516.00 | $8.95–$532.78 | 37% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Tx for AAO for Ther or Diag Purposes (Neb, MDI, IPPB device) 94640 | $25.50 | $51.00 | $19.28–$51.00 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE Aerosol Therapy - Subsequent | $78.81 | $157.62 | $59.58–$157.62 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE MDI/DPI - Subsequent | $78.81 | $157.62 | $59.58–$157.62 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE MDI/DPI - DPI Initial | $208.34 | $416.67 | $157.50–$416.67 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT - 94640 | $208.34 | $416.67 | $157.50–$416.67 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT NEBULIZER/AEROSOL TREATMENT | $208.34 | $416.67 | $157.50–$416.67 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TREATMENT | $208.34 | $416.67 | $157.50–$416.67 | — | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN IV INF INITIAL 1ST HR 96413 | $277.18 | $554.35 | $90.86–$868.86 | 60% below | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Infusion Initial 1st Hour | $307.12 | $614.24 | $100.68–$868.86 | 56% below | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 INF/C IV Infusion initial/single | $310.47 | $620.93 | $101.77–$868.86 | 55% below | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 PS INF/C IV Infusion Initial/Single | $409.00 | $818.00 | $134.07–$868.86 | 41% below | 50% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADMIN IV INF INITIAL 1ST HR 96413 | $277.18 | $554.35 | $209.54–$554.35 | — | 50% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Infusion Initial 1st Hour | $307.12 | $614.24 | $232.18–$614.24 | — | 50% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 INF/C IV Infusion initial/single | $310.47 | $620.93 | $234.71–$620.93 | — | 50% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 PS INF/C IV Infusion Initial/Single | $409.00 | $818.00 | $309.20–$818.00 | — | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 99291 | $1,071.00 | $2,142.00 | $284.21–$2,142.00 | 54% below | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE WITH MODIFIER | $1,071.00 | $2,142.00 | $284.21–$2,142.00 | 54% below | 50% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE WITH MODIFIER | $1,071.00 | $2,142.00 | $809.68–$2,142.00 | — | 50% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 99291 | $1,071.00 | $2,142.00 | $809.68–$2,142.00 | — | 50% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg 12 Lead w/I+R 93000 | $28.00 | $56.00 | $9.18–$56.00 | at median | 50% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg 12 Lead w/I+R 93000 | $28.00 | $56.00 | $21.17–$56.00 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Charges - ED - Routine ECG 12 lead/15 lead tracing only | $111.06 | $222.12 | $7.25–$222.12 | 59% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CHARGE Outpatient Cardiac Rehab - EKG | $112.09 | $224.18 | $7.25–$224.18 | 58% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CV ECG Acquisition | $124.55 | $249.09 | $7.25–$249.09 | 54% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CV Electrocardiogram 12 Lead | $151.50 | $303.00 | $7.25–$303.00 | 44% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CV Electrocardiogram 12 Lead | $25.83 | $51.65 | $19.52–$51.65 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CHARGE Outpatient Cardiac Rehab - EKG | $25.83 | $51.65 | $19.52–$51.65 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Charges - ED - Routine ECG 12 lead/15 lead tracing only | $111.06 | $222.12 | $83.96–$222.12 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CV ECG Acquisition | $124.55 | $249.09 | $94.16–$249.09 | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 NON EMERGENT TRIAGE 99281 | $28.39 | $56.78 | $9.31–$307.67 | 87% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 SUTURE/STAPLE REMOVAL 99281 | $30.60 | $61.19 | $10.03–$307.67 | 86% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER FEE LEVEL I 99281 | $107.00 | $214.00 | $15.44–$307.67 | 52% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 NON EMERGENT TRIAGE 99281 | $28.39 | $56.78 | $21.46–$56.78 | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 SUTURE/STAPLE REMOVAL 99281 | $30.60 | $61.19 | $23.13–$61.19 | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER FEE LEVEL I 99281 | $107.00 | $214.00 | $80.89–$214.00 | — | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER FEE LEVEL II 99282 | $208.50 | $417.00 | $56.29–$417.00 | 39% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER FEE LEVEL II 99282 | $208.50 | $417.00 | $157.63–$417.00 | — | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER FEE LEVEL III 99283 | $345.00 | $690.00 | $95.87–$690.00 | 46% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER FEE LEVEL III 99283 | $345.00 | $690.00 | $260.82–$690.00 | — | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER FEE LEVEL IV 99284 | $534.50 | $1,069.00 | $163.23–$1,069.00 | 39% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER FEE LEVEL IV 99284 | $534.50 | $1,069.00 | $404.08–$1,069.00 | — | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER FEE LEVEL V 99285 | $610.50 | $1,221.00 | $200.13–$1,221.00 | 49% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER FEE LEVEL V 99285 | $610.50 | $1,221.00 | $461.54–$1,221.00 | — | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CV NM Acquisition | $112.47 | $224.93 | $36.87–$815.71 | 82% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CHARGE Outpatient Cardiac Rehab - STRESS TEST | $441.68 | $883.36 | $42.74–$883.36 | 28% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiology Charges - Treadmill Only Stress Test | $490.77 | $981.53 | $42.74–$981.53 | 20% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CV ECG Exercise Stress Test BATCH ENTRY | $596.00 | $1,192.00 | $42.74–$1,192.00 | 3% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CV ECG Portion for NM Stress | $596.00 | $1,192.00 | $42.74–$1,192.00 | 3% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CV Stress Acquisition | $596.00 | $1,192.00 | $42.74–$1,192.00 | 3% below | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV NM Acquisition | $112.47 | $224.93 | $85.02–$224.93 | — | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CHARGE Outpatient Cardiac Rehab - STRESS TEST | $441.68 | $883.36 | $333.91–$883.36 | — | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV Stress Acquisition | $490.77 | $981.53 | $371.02–$981.53 | — | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiology Charges - Treadmill Only Stress Test | $490.77 | $981.53 | $371.02–$981.53 | — | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV ECG Exercise Stress Test BATCH ENTRY | $596.00 | $1,192.00 | $450.58–$1,192.00 | — | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV ECG Portion for NM Stress | $596.00 | $1,192.00 | $450.58–$1,192.00 | — | 50% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Xtrnl Ecg Less than 48 Hr Record Scan Stor w/Phy R+I 93224 | $151.50 | $303.00 | $49.66–$303.00 | — | 50% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 Xtrnl Ecg Less than 48 Hr Record Scan Stor w/Phy R+I 93224 | $151.50 | $303.00 | $114.53–$303.00 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infusion Hydration, Initial, 31-90 min 96360 | $40.50 | $81.00 | $13.28–$551.90 | 86% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ITX Hydration Infusion initial 1st hour | $151.56 | $303.12 | $37.46–$551.90 | 49% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration infusion Initial 1st Hour | $151.59 | $303.17 | $37.46–$551.90 | 49% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 RAD INFUSION HYDRATION INIT 1 HR | $259.00 | $518.00 | $37.46–$551.90 | 12% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION HYDRATION INIT 1 HR | $259.00 | $518.00 | $37.46–$551.90 | 12% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION HYDRATION INIT 1 HR W/MOD 96360 | $259.00 | $518.00 | $37.46–$551.90 | 12% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF/H IV Inf 31 - 60 min | $259.00 | $518.00 | $37.46–$551.90 | 12% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ?Hydration infusion Initial 1st Hour | $259.00 | $518.00 | $37.46–$551.90 | 12% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Infusion Hydration, Initial, 31-90 min 96360 | $40.50 | $81.00 | $30.62–$81.00 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ITX Hydration Infusion initial 1st hour | $151.56 | $303.12 | $114.58–$303.12 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 RAD INFUSION HYDRATION INIT 1 HR | $151.56 | $303.12 | $114.58–$303.12 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUSION HYDRATION INIT 1 HR | $151.56 | $303.12 | $114.58–$303.12 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration infusion Initial 1st Hour | $151.59 | $303.17 | $114.60–$303.17 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF/H IV Inf 31 - 60 min | $184.37 | $368.73 | $139.38–$368.73 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ?Hydration infusion Initial 1st Hour | $259.00 | $518.00 | $195.80–$518.00 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUSION HYDRATION INIT 1 HR W/MOD 96360 | $259.00 | $518.00 | $195.80–$518.00 | — | 50% |
| IV infusion of a medicine, first hour CPT 96365 RAD INFUSION THERAP INITIAL 1 HR | $151.56 | $303.12 | $49.68–$551.90 | 49% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAP INITIAL 1 HR | $151.56 | $303.12 | $49.68–$551.90 | 49% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 ITX Therapeutic Infusion initial 1st Hour | $151.56 | $303.12 | $49.68–$551.90 | 49% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 THERAPEUTIC Infusion Initial 1st Hour | $151.59 | $303.17 | $49.69–$551.90 | 49% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 INF/NC IV Infusion Ther Initial | $184.37 | $368.73 | $60.44–$551.90 | 38% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAP INITIAL 1 HR (ENDO) | $259.00 | $518.00 | $72.23–$551.90 | 12% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAP INITIAL 1 HR W/MOD 96365 | $259.00 | $518.00 | $55.94–$551.90 | 12% below | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 RAD INFUSION THERAP INITIAL 1 HR | $151.56 | $303.12 | $114.58–$303.12 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ITX Therapeutic Infusion initial 1st Hour | $151.56 | $303.12 | $114.58–$303.12 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAP INITIAL 1 HR | $151.56 | $303.12 | $114.58–$303.12 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 THERAPEUTIC Infusion Initial 1st Hour | $151.59 | $303.17 | $114.60–$303.17 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INF/NC IV Infusion Ther Initial | $184.37 | $368.73 | $139.38–$368.73 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAP INITIAL 1 HR W/MOD 96365 | $259.00 | $518.00 | $195.80–$518.00 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAP INITIAL 1 HR (ENDO) | $259.00 | $518.00 | $195.80–$518.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic Prophylactic/Dx Injection Subq/Im 96372 | $24.50 | $49.00 | $8.03–$186.43 | 70% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 AMB Med Admin IM/SQ - IM/SQ Therapeutic | $24.50 | $49.00 | $8.03–$186.43 | 70% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP/PROPHYLACTIC/DX INJ SQ/IM 96372 | $35.24 | $70.48 | $11.55–$186.43 | 56% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ITX Injection IM/SQ | $35.24 | $70.48 | $11.55–$186.43 | 56% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 RAD INJECTION IM OR SQ | $35.24 | $70.48 | $11.55–$186.43 | 56% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection IM/SC | $35.25 | $70.50 | $11.56–$186.43 | 56% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ Injection | $51.81 | $103.61 | $16.98–$186.43 | 36% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INF/NC SQ/IM Injection | $51.81 | $103.61 | $16.98–$186.43 | 36% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 NM Thyrogen Inject | $85.50 | $171.00 | $17.14–$186.43 | 6% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ITX INJECTION IM OR SUBQ WITH MOD | $85.50 | $171.00 | $17.14–$186.43 | 6% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 PACU INJECTION IM/SQ | $85.50 | $171.00 | $17.14–$186.43 | 6% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $85.50 | $171.00 | $17.14–$186.43 | 6% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 NM Thyrogen Inj w/ Pharma Dose 2 | $85.50 | $171.00 | $17.14–$186.43 | 6% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 NM Thyrogen Inj w/ Pharma Dose 1 | $85.50 | $171.00 | $17.14–$186.43 | 6% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SUBQ | $104.00 | $208.00 | $17.14–$208.00 | 29% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapeutic Prophylactic/Dx Injection Subq/Im 96372 | $24.50 | $49.00 | $18.52–$49.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 AMB Med Admin IM/SQ - IM/SQ Therapeutic | $24.50 | $49.00 | $18.52–$49.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 RAD INJECTION IM OR SQ | $35.24 | $70.48 | $26.64–$70.48 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP/PROPHYLACTIC/DX INJ SQ/IM 96372 | $35.24 | $70.48 | $26.64–$70.48 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ITX Injection IM/SQ | $35.24 | $70.48 | $26.64–$70.48 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection IM/SC | $35.25 | $70.50 | $26.65–$70.50 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQ Injection | $51.81 | $103.61 | $39.16–$103.61 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INF/NC SQ/IM Injection | $51.81 | $103.61 | $39.16–$103.61 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NM Thyrogen Inject | $85.50 | $171.00 | $64.64–$171.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NM Thyrogen Inj w/ Pharma Dose 2 | $85.50 | $171.00 | $64.64–$171.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ITX INJECTION IM OR SUBQ WITH MOD | $85.50 | $171.00 | $64.64–$171.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NM Thyrogen Inj w/ Pharma Dose 1 | $85.50 | $171.00 | $64.64–$171.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PACU INJECTION IM/SQ | $85.50 | $171.00 | $64.64–$171.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM OR SQ | $85.50 | $171.00 | $64.64–$171.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM OR SUBQ | $89.74 | $179.48 | $67.84–$179.48 | — | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation 90791 | $130.00 | $260.00 | $42.62–$347.73 | 76% below | 50% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric Diagnostic Evaluation 90791 | $130.00 | $260.00 | $98.28–$260.00 | — | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 EEG Procedure/Code - NRV CNDCTN STDS, 7-8 ST: 9591 | $378.50 | $757.00 | $124.08–$815.71 | 53% below | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction Velocities 2 Extremity Lower | $1,820.00 | $3,640.00 | $208.54–$3,640.00 | 127% above | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 EEG Charges - NERVE CONDUCTION 7-8 STUDIES | $1,820.00 | $3,640.00 | $208.54–$3,640.00 | 127% above | 50% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 EEG Procedure/Code - NRV CNDCTN STDS, 7-8 ST: 9591 | $378.50 | $757.00 | $286.15–$757.00 | — | 50% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 EEG Charges - NERVE CONDUCTION 7-8 STUDIES | $1,820.00 | $3,640.00 | $1,375.92–$3,640.00 | — | 50% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction Velocities 2 Extremity Lower | $1,820.00 | $3,640.00 | $1,375.92–$3,640.00 | — | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation, Ea 15 Min, 1+ Areas 97112 | $17.50 | $35.00 | $5.74–$62.20 | 80% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units KX | $53.50 | $107.00 | $17.54–$107.00 | 39% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units | $53.50 | $107.00 | $17.54–$107.00 | 39% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units | $56.50 | $113.00 | $18.52–$113.00 | 36% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units KX | $56.50 | $113.00 | $18.52–$113.00 | 36% below | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Reeducation, Ea 15 Min, 1+ Areas 97112 | $17.50 | $35.00 | $13.23–$35.00 | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units | $53.50 | $107.00 | $40.45–$107.00 | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units KX | $53.50 | $107.00 | $40.45–$107.00 | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units KX | $56.50 | $113.00 | $42.71–$113.00 | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units | $56.50 | $113.00 | $42.71–$113.00 | — | 50% |
| New patient office visit, about 30 minutes CPT 99203 HM New Pt Office/Outpatient Low Severity 99203 | $83.00 | $166.00 | $27.21–$166.00 | 63% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 OP NEW PT LEVEL 3 VISIT | $172.48 | $344.96 | $56.54–$344.96 | 23% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 INF New Pt. Level 3 | $191.67 | $383.34 | $62.83–$383.34 | 14% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 New PT Visit Level 3 | $200.93 | $401.86 | $65.87–$401.86 | 10% below | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HM New Pt Office/Outpatient Low Severity 99203 | $83.00 | $166.00 | $62.75–$166.00 | — | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OP NEW PT LEVEL 3 VISIT | $172.48 | $344.96 | $130.39–$344.96 | — | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 INF New Pt. Level 3 | $191.67 | $383.34 | $191.67–$383.34 | — | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 New PT Visit Level 3 | $200.93 | $401.86 | $200.93–$401.86 | — | 50% |
| New patient office visit, about 45 minutes CPT 99204 HM New Pt Office/Outpatient Moderate Severity 99204 | $129.00 | $258.00 | $42.29–$258.00 | 38% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 OP NEW PT LEVEL 4 VISIT | $228.55 | $457.10 | $74.92–$457.10 | 9% above | 50% |
| New patient office visit, about 45 minutes CPT 99204 New PT Visit Level 4 | $338.55 | $677.09 | $110.98–$677.09 | 62% above | 50% |
| New patient office visit, about 45 minutes CPT 99204 INF New Pt. Level 4 | $340.23 | $680.45 | $111.53–$680.45 | 63% above | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HM New Pt Office/Outpatient Moderate Severity 99204 | $129.00 | $258.00 | $97.52–$258.00 | — | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OP NEW PT LEVEL 4 VISIT | $228.55 | $457.10 | $172.78–$457.10 | — | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 New PT Visit Level 4 | $338.55 | $677.09 | $338.55–$677.09 | — | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 INF New Pt. Level 4 | $340.23 | $680.45 | $340.23–$680.45 | — | 50% |
| New patient office visit, about 60 minutes CPT 99205 HM New Pt Office/Outpatient High Severity 99205 | $163.00 | $326.00 | $53.43–$326.00 | 40% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 OP NEW PT LEVEL 5 VISIT | $312.71 | $625.42 | $102.51–$625.42 | 16% above | 50% |
| New patient office visit, about 60 minutes CPT 99205 INF New Pt. Level 5 | $401.34 | $802.68 | $131.56–$802.68 | 48% above | 50% |
| New patient office visit, about 60 minutes CPT 99205 New PT Level 5 | $401.34 | $802.68 | $131.56–$802.68 | 48% above | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HM New Pt Office/Outpatient High Severity 99205 | $163.00 | $326.00 | $123.23–$326.00 | — | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OP NEW PT LEVEL 5 VISIT | $312.71 | $625.42 | $236.41–$625.42 | — | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 New PT Level 5 | $401.34 | $802.68 | $401.34–$802.68 | — | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 INF New Pt. Level 5 | $401.34 | $802.68 | $401.34–$802.68 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HM New Pt Office/Outpatient Straightforward 99202 | $57.00 | $114.00 | $18.69–$114.00 | 64% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 INF New Pt. Level 2 | $127.78 | $255.55 | $41.89–$255.55 | 20% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP NEW PT LEVEL 2 VISIT | $131.07 | $262.14 | $42.97–$262.14 | 18% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New PT Visit Level 2 | $141.54 | $283.07 | $46.40–$283.07 | 11% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HM New Pt Office/Outpatient Straightforward 99202 | $57.00 | $114.00 | $43.09–$114.00 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 INF New Pt. Level 2 | $127.78 | $255.55 | $127.78–$255.55 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OP NEW PT LEVEL 2 VISIT | $131.07 | $262.14 | $99.09–$262.14 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New PT Visit Level 2 | $141.54 | $283.07 | $141.53–$283.07 | — | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 RDN Initial Visit, Individual Ea 15min | $24.38 | $48.75 | $7.99–$74.13 | 42% below | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Therapy-Initial-Indiv w/Patient, | $28.50 | $57.00 | $9.34–$74.13 | 32% below | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Therapy-Initial-Indiv w/Patient, Ea 15 min 97802 | $50.00 | $100.00 | $16.39–$100.00 | 19% above | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 RDN Initial Visit, Individual Ea 15min | $24.38 | $48.75 | $18.43–$48.75 | — | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical Nutrition Therapy-Initial-Indiv w/Patient, | $28.50 | $57.00 | $21.55–$57.00 | — | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical Nutrition Therapy-Initial-Indiv w/Patient, Ea 15 min 97802 | $50.00 | $100.00 | $37.80–$100.00 | — | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 OT Evaluation Units, Low Complexity | $170.00 | $340.00 | $55.73–$340.00 | 11% above | 50% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Evaluation Units, Low Complexity | $170.00 | $340.00 | $128.52–$340.00 | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Evaluation Units, High Complexity | $213.00 | $426.00 | $69.82–$426.00 | 4% above | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Evaluation Units, High Complexity | $213.00 | $426.00 | $161.03–$426.00 | — | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Evaluation Units, Low Complexity | $164.50 | $329.00 | $53.92–$329.00 | 1% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Evaluation Units, Low Complexity | $164.50 | $329.00 | $124.36–$329.00 | — | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Evaluation Units, Moderate Complexity | $189.00 | $378.00 | $61.96–$378.00 | at median | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Evaluation Units, Moderate Complexity | $189.00 | $378.00 | $142.88–$378.00 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy, Ea 15 Min, 1+ Areas 97140 | $18.00 | $36.00 | $5.90–$52.76 | 82% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Units KX | $98.00 | $196.00 | $25.85–$196.00 | 1% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units KX | $98.00 | $196.00 | $25.85–$196.00 | 1% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units | $98.00 | $196.00 | $25.85–$196.00 | 1% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Units | $98.00 | $196.00 | $25.85–$196.00 | 1% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy, Ea 15 Min, 1+ Areas 97140 | $18.00 | $36.00 | $13.61–$36.00 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Units KX | $98.00 | $196.00 | $74.09–$196.00 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Units | $98.00 | $196.00 | $74.09–$196.00 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units | $98.00 | $196.00 | $74.09–$196.00 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units KX | $98.00 | $196.00 | $74.09–$196.00 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercises, Ea 15 Min, 1+ Areas 97110 | $24.00 | $48.00 | $7.87–$55.28 | 73% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units KX | $63.50 | $127.00 | $20.82–$127.00 | 28% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $63.50 | $127.00 | $20.82–$127.00 | 28% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $63.50 | $127.00 | $20.82–$127.00 | 28% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units KX | $63.50 | $127.00 | $20.82–$127.00 | 28% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercises, Ea 15 Min, 1+ Areas 97110 | $24.00 | $48.00 | $18.14–$48.00 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units KX | $63.50 | $127.00 | $48.01–$127.00 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units KX | $63.50 | $127.00 | $48.01–$127.00 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $63.50 | $127.00 | $48.01–$127.00 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $63.50 | $127.00 | $48.01–$127.00 | — | 50% |
| Psychiatric evaluation with medical services CPT 90792 Psychiatric Diagnostic Eval w/Medical Services 90792 | $142.50 | $285.00 | $46.71–$391.54 | 28% below | 50% |
| Psychiatric evaluation with medical services inpatient CPT 90792 Psychiatric Diagnostic Eval w/Medical Services 90792 | $142.50 | $285.00 | $107.73–$285.00 | — | 50% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy Patient +/ Family 30 minutes 90832 | $95.00 | $190.00 | $31.14–$190.00 | 69% below | 50% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy Patient +/ Family 30 minutes 90832 | $95.00 | $190.00 | $71.82–$190.00 | — | 50% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy Patient +/Family 45 minutes 90834 | $105.00 | $210.00 | $34.42–$217.00 | 73% below | 50% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy Patient +/Family 45 minutes 90834 | $105.00 | $210.00 | $79.38–$210.00 | — | 50% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy Patient +/ Family 60 minutes 90837 | $126.00 | $252.00 | $41.30–$321.45 | 80% below | 50% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy Patient +/ Family 60 minutes 90837 | $126.00 | $252.00 | $95.26–$252.00 | — | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN 99406 | $43.50 | $87.00 | $14.26–$87.00 | 16% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN 99406 | $43.50 | $87.00 | $32.89–$87.00 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Sleep Study Charges - SLEEP VISIT LEVEL 5 | $100.00 | $200.00 | $32.78–$200.00 | 55% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP EST PT LEVEL 5 VISIT | $312.71 | $625.42 | $102.51–$625.42 | 41% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est PT Level 5 | $401.34 | $802.68 | $131.56–$802.68 | 81% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 INF Est Visit Level - EST PT VST LVL 5 | $401.34 | $802.68 | $131.56–$802.68 | 81% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 INF Visit Level 5 | $401.34 | $802.68 | $131.56–$802.68 | 81% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OBB TREATMENT ROOM LEVEL 5 | $401.39 | $802.77 | $131.58–$802.77 | 81% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OBB TREATMENT ROOM LEVEL 5 - Level 5 | $401.39 | $802.77 | $131.58–$802.77 | 81% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OBB TREATMENT ROOM CHARGE - Level 5 | $401.39 | $802.77 | $131.58–$802.77 | 81% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OBB TREATMENT ROOM CHARGE - Level 5 - OBB Treatmen | $486.50 | $973.00 | $159.48–$973.00 | 119% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Sleep Study Charges - SLEEP VISIT LEVEL 5 | $100.00 | $200.00 | $100.00–$200.00 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OP EST PT LEVEL 5 VISIT | $312.71 | $625.42 | $236.41–$625.42 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 INF Visit Level 5 | $401.34 | $802.68 | $401.34–$802.68 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 INF Est Visit Level - EST PT VST LVL 5 | $401.34 | $802.68 | $401.34–$802.68 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Est PT Level 5 | $401.34 | $802.68 | $401.34–$802.68 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OBB TREATMENT ROOM CHARGE - Level 5 | $401.39 | $802.77 | $303.45–$802.77 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OBB TREATMENT ROOM LEVEL 5 | $401.39 | $802.77 | $303.45–$802.77 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OBB TREATMENT ROOM LEVEL 5 - Level 5 | $401.39 | $802.77 | $303.45–$802.77 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OBB TREATMENT ROOM CHARGE - Level 5 - OBB Treatmen | $486.50 | $973.00 | $367.79–$973.00 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Sleep Study Charges - SLEEP VISIT LEVEL 3 | $75.00 | $150.00 | $24.59–$150.00 | 59% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP EST PT LEVEL 3 VISIT | $172.48 | $344.96 | $56.54–$344.96 | 5% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est PT Visit Level 3 | $177.35 | $354.69 | $58.14–$354.69 | 2% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 INF Est Visit Level - EST PT VST LVL 3 | $177.35 | $354.69 | $58.14–$354.69 | 2% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUTPATIENT VISIT LEVEL 3 - RAD OUPATIENT VISIT LEVEL 3 | $190.26 | $380.52 | $62.37–$380.52 | 5% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ITX ADMIN FREE DRUG INF UP TO 4HR LV II | $191.67 | $383.34 | $62.83–$383.34 | 6% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 INF Chemo Education | $191.67 | $383.34 | $62.83–$383.34 | 6% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 INF Visit Level 3 | $191.67 | $383.34 | $62.83–$383.34 | 6% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ITX EDUCATION > 15 MIN | $191.67 | $383.34 | $62.83–$383.34 | 6% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 RT EDUCATION CHARGE > 15 MIN - Yes | $191.67 | $383.34 | $62.83–$383.34 | 6% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OBB TREATMENT ROOM LEVEL 3 | $199.28 | $398.55 | $65.32–$398.55 | 10% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OBB TREATMENT ROOM LEVEL 3 - Level 3 | $199.28 | $398.55 | $65.32–$398.55 | 10% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OBB TREATMENT ROOM CHARGE - Level 3 | $199.28 | $398.55 | $65.32–$398.55 | 10% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Day Surgery Outpatient Level 3 | $220.50 | $441.00 | $72.28–$441.00 | 21% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 RT EDUCATION CHARGE > 15 MIN | $225.50 | $451.00 | $73.92–$451.00 | 24% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUTPATIENT VISIT LEVEL 3 - RAD OUPATIENT VISIT LEV | $231.50 | $463.00 | $75.89–$463.00 | 28% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 DOCUMENTED EDUCATION >15 MINS 99213 | $237.00 | $474.00 | $77.69–$474.00 | 31% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OBB TREATMENT ROOM CHARGE - Level 3 - OBB Treatmen | $242.50 | $485.00 | $79.49–$485.00 | 34% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Sleep Study Charges - SLEEP VISIT LEVEL 3 | $75.00 | $150.00 | $75.00–$150.00 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OP EST PT LEVEL 3 VISIT | $172.48 | $344.96 | $130.39–$344.96 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 INF Est Visit Level - EST PT VST LVL 3 | $177.35 | $354.69 | $177.34–$354.69 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Est PT Visit Level 3 | $177.35 | $354.69 | $177.34–$354.69 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OUTPATIENT VISIT LEVEL 3 - RAD OUPATIENT VISIT LEVEL 3 | $190.26 | $380.52 | $143.84–$380.52 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ITX EDUCATION > 15 MIN | $191.67 | $383.34 | $144.90–$383.34 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 INF Visit Level 3 | $191.67 | $383.34 | $191.67–$383.34 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 INF Chemo Education | $191.67 | $383.34 | $191.67–$383.34 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RT EDUCATION CHARGE > 15 MIN - Yes | $191.67 | $383.34 | $144.90–$383.34 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ITX ADMIN FREE DRUG INF UP TO 4HR LV II | $191.67 | $383.34 | $144.90–$383.34 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OBB TREATMENT ROOM LEVEL 3 - Level 3 | $199.28 | $398.55 | $150.65–$398.55 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OBB TREATMENT ROOM CHARGE - Level 3 | $199.28 | $398.55 | $150.65–$398.55 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OBB TREATMENT ROOM LEVEL 3 | $199.28 | $398.55 | $150.65–$398.55 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Day Surgery Outpatient Level 3 | $220.50 | $441.00 | $220.50–$441.00 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RT EDUCATION CHARGE > 15 MIN | $225.50 | $451.00 | $170.48–$451.00 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OUTPATIENT VISIT LEVEL 3 - RAD OUPATIENT VISIT LEV | $231.50 | $463.00 | $175.01–$463.00 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 DOCUMENTED EDUCATION >15 MINS 99213 | $237.00 | $474.00 | $179.17–$474.00 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OBB TREATMENT ROOM CHARGE - Level 3 - OBB Treatmen | $242.50 | $485.00 | $183.33–$485.00 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Sleep Study Charges - SLEEP VISIT LEVEL 4 | $87.50 | $175.00 | $28.68–$175.00 | 48% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OBB TREATMENT ROOM LEVEL 4 | $228.55 | $457.10 | $74.92–$457.10 | 36% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP EST PT LEVEL 4 VISIT | $228.55 | $457.10 | $74.92–$457.10 | 36% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OBB TREATMENT ROOM LEVEL 4 - Level 4 | $228.55 | $457.10 | $74.92–$457.10 | 36% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OBB TREATMENT ROOM CHARGE - Level 4 | $228.55 | $457.10 | $74.92–$457.10 | 36% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OBB TREATMENT ROOM CHARGE - Level 4 - OBB Treatmen | $277.50 | $555.00 | $90.97–$555.00 | 65% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est PT Visit Level 4 | $315.24 | $630.47 | $103.34–$630.47 | 88% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 INF Est Visit Level - EST PT VST LVL 4 | $315.24 | $630.47 | $103.34–$630.47 | 88% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ITX ADMIN FREE DRUG 4 OR MORE HRS LV IV | $340.23 | $680.45 | $111.53–$680.45 | 102% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 INF Visit Level 4 | $340.23 | $680.45 | $111.53–$680.45 | 102% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Sleep Study Charges - SLEEP VISIT LEVEL 4 | $87.50 | $175.00 | $87.50–$175.00 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OP EST PT LEVEL 4 VISIT | $228.55 | $457.10 | $172.78–$457.10 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OBB TREATMENT ROOM CHARGE - Level 4 | $228.55 | $457.10 | $172.78–$457.10 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OBB TREATMENT ROOM LEVEL 4 - Level 4 | $228.55 | $457.10 | $172.78–$457.10 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OBB TREATMENT ROOM LEVEL 4 | $228.55 | $457.10 | $172.78–$457.10 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OBB TREATMENT ROOM CHARGE - Level 4 - OBB Treatmen | $277.50 | $555.00 | $209.79–$555.00 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Est PT Visit Level 4 | $315.24 | $630.47 | $315.24–$630.47 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 INF Est Visit Level - EST PT VST LVL 4 | $315.24 | $630.47 | $315.24–$630.47 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ITX ADMIN FREE DRUG 4 OR MORE HRS LV IV | $340.23 | $680.45 | $340.23–$680.45 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 INF Visit Level 4 | $340.23 | $680.45 | $340.23–$680.45 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Sleep Study Charges - SLEEP VISIT LEVEL 2 | $62.50 | $125.00 | $20.49–$125.00 | 51% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est PT Visit Level 2 | $118.08 | $236.16 | $38.71–$236.16 | 7% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 INF Est Visit Level - EST PT VST LVL 2 | $118.08 | $236.16 | $38.71–$236.16 | 7% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RT EDUCATION CHARGE < 15 MIN - Yes | $127.78 | $255.55 | $41.89–$255.55 | at median | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PICC VISIT LEVEL 2 - Yes | $127.78 | $255.56 | $41.89–$255.56 | at median | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ITX ADMIN FREE DRUG IM SQ LEVEL II | $127.78 | $255.55 | $41.89–$255.55 | at median | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ITX EDUCATION < 15 MIN | $127.78 | $255.55 | $41.89–$255.55 | at median | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 INF Visit Level 2 | $127.78 | $255.55 | $41.89–$255.55 | at median | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP EST PT LEVEL 2 VISIT | $131.07 | $262.14 | $42.97–$262.14 | 3% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OBB TREATMENT ROOM LEVEL 2 | $149.14 | $298.27 | $46.93–$298.27 | 17% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OBB TREATMENT ROOM CHARGE - Level 2 | $149.14 | $298.27 | $46.93–$298.27 | 17% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RT EDUCATION CHARGE < 15 MIN | $151.50 | $303.00 | $46.93–$303.00 | 19% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PICC CENTRAL LINE CHECK - Yes | $155.00 | $310.00 | $46.93–$310.00 | 22% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 DOCUMENTED EDUCATION < 15 MINS 99212 | $158.50 | $317.00 | $46.93–$317.00 | 24% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Day Surgery Outpatient Level 2 | $172.50 | $345.00 | $46.93–$345.00 | 35% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OBB TREATMENT ROOM CHARGE - Level 2 - OBB Treatmen | $181.00 | $362.00 | $46.93–$362.00 | 42% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OBB TREATMENT ROOM LEVEL 2 - Level 2 | $181.00 | $362.00 | $46.93–$362.00 | 42% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 INF PICC Removal | $191.67 | $383.34 | $46.93–$383.34 | 50% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PICC REMOVAL NON TUNNELED - Yes | $191.68 | $383.35 | $46.93–$383.35 | 50% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ITX PICC REMOVAL | $233.00 | $466.00 | $46.93–$466.00 | 83% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PICC CENTRAL LINE DRESSING CHANGE - Yes | $233.00 | $466.00 | $46.93–$466.00 | 83% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PICC Removal | $233.00 | $466.00 | $46.93–$466.00 | 83% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Sleep Study Charges - SLEEP VISIT LEVEL 2 | $62.50 | $125.00 | $62.50–$125.00 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 INF Est Visit Level - EST PT VST LVL 2 | $118.08 | $236.16 | $118.08–$236.16 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Est PT Visit Level 2 | $118.08 | $236.16 | $118.08–$236.16 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PICC VISIT LEVEL 2 - Yes | $127.78 | $255.56 | $96.60–$255.56 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 INF Visit Level 2 | $127.78 | $255.55 | $127.78–$255.55 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ITX EDUCATION < 15 MIN | $127.78 | $255.55 | $96.60–$255.55 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 RT EDUCATION CHARGE < 15 MIN - Yes | $127.78 | $255.55 | $96.60–$255.55 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ITX ADMIN FREE DRUG IM SQ LEVEL II | $127.78 | $255.55 | $127.78–$255.55 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP EST PT LEVEL 2 VISIT | $131.07 | $262.14 | $99.09–$262.14 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OBB TREATMENT ROOM CHARGE - Level 2 | $149.14 | $298.27 | $112.75–$298.27 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OBB TREATMENT ROOM LEVEL 2 - Level 2 | $149.14 | $298.27 | $112.75–$298.27 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OBB TREATMENT ROOM LEVEL 2 | $149.14 | $298.27 | $112.75–$298.27 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 RT EDUCATION CHARGE < 15 MIN | $151.50 | $303.00 | $114.53–$303.00 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PICC CENTRAL LINE CHECK - Yes | $155.00 | $310.00 | $117.18–$310.00 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 DOCUMENTED EDUCATION < 15 MINS 99212 | $158.50 | $317.00 | $119.83–$317.00 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Day Surgery Outpatient Level 2 | $172.50 | $345.00 | $172.50–$345.00 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OBB TREATMENT ROOM CHARGE - Level 2 - OBB Treatmen | $181.00 | $362.00 | $136.84–$362.00 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PICC Removal | $191.67 | $383.34 | $191.67–$383.34 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ITX PICC REMOVAL | $191.67 | $383.34 | $144.90–$383.34 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 INF PICC Removal | $191.67 | $383.34 | $191.67–$383.34 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PICC REMOVAL NON TUNNELED - Yes | $191.68 | $383.35 | $144.91–$383.35 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PICC CENTRAL LINE DRESSING CHANGE - Yes | $233.00 | $466.00 | $176.15–$466.00 | — | 50% |
| Speech and language evaluation CPT 92523 SLP Eval Lang Comprehension,Express Unit | $148.50 | $297.00 | $48.68–$465.66 | 39% below | 50% |
| Speech and language evaluation inpatient CPT 92523 SLP Eval Lang Comprehension,Express Unit | $148.50 | $297.00 | $112.27–$297.00 | — | 50% |
| Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units | $99.50 | $199.00 | $32.62–$199.00 | 41% below | 50% |
| Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units | $99.50 | $199.00 | $75.22–$199.00 | — | 50% |
| Spirometry (breathing test) CPT 94010 PFT/W/BOX-SIMPLE SPIROMETRY | $58.00 | $116.00 | $19.01–$409.85 | 86% below | 50% |
| Spirometry (breathing test) CPT 94010 RT CHARGE PFT - Bedside Spirometry | $92.67 | $185.33 | $30.38–$409.85 | 78% below | 50% |
| Spirometry (breathing test) CPT 94010 CHARGE Pulmonary Rehab - BREATHING CAPACITY TEST - | $189.00 | $378.00 | $31.23–$409.85 | 54% below | 50% |
| Spirometry (breathing test) CPT 94010 CHARGE Outpatient Cardiac Rehab - PFT SPIROMETRY | $189.00 | $378.00 | $31.23–$409.85 | 54% below | 50% |
| Spirometry (breathing test) CPT 94010 CHARGE Pulmonary Rehab - BREATHING CAPACITY TEST - 94010 | $208.34 | $416.67 | $31.23–$416.67 | 50% below | 50% |
| Spirometry (breathing test) inpatient CPT 94010 PFT/W/BOX-SIMPLE SPIROMETRY | $58.00 | $116.00 | $43.85–$116.00 | — | 50% |
| Spirometry (breathing test) inpatient CPT 94010 RT CHARGE PFT - Bedside Spirometry | $92.67 | $185.33 | $70.05–$185.33 | — | 50% |
| Spirometry (breathing test) inpatient CPT 94010 CHARGE Outpatient Cardiac Rehab - PFT SPIROMETRY | $189.00 | $378.00 | $142.88–$378.00 | — | 50% |
| Spirometry (breathing test) inpatient CPT 94010 CHARGE Pulmonary Rehab - BREATHING CAPACITY TEST - | $189.00 | $378.00 | $142.88–$378.00 | — | 50% |
| Spirometry (breathing test) inpatient CPT 94010 CHARGE Pulmonary Rehab - BREATHING CAPACITY TEST - 94010 | $208.34 | $416.67 | $157.50–$416.67 | — | 50% |
| Spirometry before and after a bronchodilator CPT 94060 PFT/W/BOX-B&A BRONCHODILATOR | $98.00 | $196.00 | $32.13–$815.71 | 84% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 CHARGE Outpatient Cardiac Rehab - PFT/W/BOX-B&A BRONCHODILATOR | $99.84 | $199.67 | $32.73–$815.71 | 84% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 RT CHARGE PFT - Spirometry before & after | $111.20 | $222.39 | $36.45–$815.71 | 82% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 RT CHARGE PFT - Pre & Post Spirometry | $128.50 | $257.00 | $42.12–$815.71 | 79% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 CHARGE Pulmonary Rehab - EVALUATION OF WHEEZING - 94060 | $291.67 | $583.34 | $44.38–$815.71 | 52% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 CHARGE Outpatient Cardiac Rehab - PFT/W/BOX-B&A BR | $378.50 | $757.00 | $44.38–$815.71 | 38% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 CHARGE Pulmonary Rehab - EVALUATION OF WHEEZING - | $378.50 | $757.00 | $44.38–$815.71 | 38% below | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT/W/BOX-B&A BRONCHODILATOR | $98.00 | $196.00 | $74.09–$196.00 | — | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 CHARGE Outpatient Cardiac Rehab - PFT/W/BOX-B&A BRONCHODILATOR | $99.84 | $199.67 | $75.48–$199.67 | — | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 RT CHARGE PFT - Spirometry before & after | $111.20 | $222.39 | $84.06–$222.39 | — | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 RT CHARGE PFT - Pre & Post Spirometry | $128.50 | $257.00 | $97.15–$257.00 | — | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 CHARGE Pulmonary Rehab - EVALUATION OF WHEEZING - 94060 | $291.67 | $583.34 | $220.50–$583.34 | — | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 CHARGE Outpatient Cardiac Rehab - PFT/W/BOX-B&A BR | $378.50 | $757.00 | $286.15–$757.00 | — | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 CHARGE Pulmonary Rehab - EVALUATION OF WHEEZING - | $378.50 | $757.00 | $286.15–$757.00 | — | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units KX | $72.00 | $144.00 | $23.60–$144.00 | 8% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units KX | $72.00 | $144.00 | $23.60–$144.00 | 8% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units | $72.00 | $144.00 | $23.60–$144.00 | 8% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units | $72.00 | $144.00 | $23.60–$144.00 | 8% below | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units KX | $72.00 | $144.00 | $54.43–$144.00 | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units KX | $72.00 | $144.00 | $54.43–$144.00 | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units | $72.00 | $144.00 | $54.43–$144.00 | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units | $72.00 | $144.00 | $54.43–$144.00 | — | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 INF Ther Phlebotomy | $95.20 | $190.39 | $31.21–$337.65 | 38% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 INF Ther Phlebotomy | $95.20 | $190.39 | $71.97–$190.39 | — | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 AMB Varicella Med Charge - Varicella Vaccine Subq | $65.50 | $131.00 | $28.56–$234.12 | 86% below | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 AMB Varicella Med Charge - Varicella Vaccine Subq | $65.50 | $131.00 | $49.52–$131.00 | — | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AMB Influenza Med Charge - Influenza Vaccine IM 0.5ml dose | $20.00 | $40.00 | $6.27–$40.00 | 72% below | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 AMB Influenza Med Charge - Influenza Vaccine IM 0.5ml dose | $20.00 | $40.00 | $15.12–$40.00 | — | 50% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 AMB Gardasil 9 HPV Med Charge - Gardasil 9 HPV Vaccine IM | $125.00 | $250.00 | $54.50–$386.27 | 89% below | 50% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 AMB Gardasil 9 HPV Med Charge - Gardasil 9 HPV Vaccine IM | $125.00 | $250.00 | $94.50–$250.00 | — | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 AMB Hep-A Adult Med Charge - Hep-A Adult Vaccine IM | $38.00 | $76.00 | $28.73–$98.36 | 60% below | 50% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 AMB Hep-A Adult Med Charge - Hep-A Adult Vaccine IM | $38.00 | $76.00 | $28.73–$76.00 | — | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 AMB MMR Med Charge - MMR Vaccine Subq | $39.50 | $79.00 | $29.86–$120.27 | 88% below | 50% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 AMB MMR Med Charge - MMR Vaccine Subq | $39.50 | $79.00 | $29.86–$79.00 | — | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 AMB Meningococcal MCV4 Med Charge - Meningococcal MCV4 Vaccine IM | $84.00 | $168.00 | $36.62–$199.39 | 84% below | 50% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 AMB Meningococcal MCV4 Med Charge - Meningococcal MCV4 Vaccine IM | $84.00 | $168.00 | $63.50–$168.00 | — | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 AMB Meningococcal GRP B Med Charge - Meningococcal GRP B Bexsero Vaccine IM | $100.00 | $200.00 | $43.60–$283.85 | 85% below | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 AMB Meningococcal GRP B Med Charge - Meningococcal GRP B Bexsero Vaccine IM | $100.00 | $200.00 | $75.60–$200.00 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 AMB Pneumonoccal 23 Med Charge - Pneumonoccal 23 Subq 2 Yr > Vaccine | $45.00 | $90.00 | $14.11–$186.86 | 90% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine 23-v, Adlt/Imm Dose, Age 2+, Subq/IM 90732 | $45.00 | $90.00 | $14.11–$186.86 | 90% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 AMB Pneumonoccal 23 Med Charge - Pneumonoccal 23 Subq 2 Yr > Vaccine | $45.00 | $90.00 | $34.02–$90.00 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vaccine 23-v, Adlt/Imm Dose, Age 2+, Subq/IM 90732 | $45.00 | $90.00 | $34.02–$90.00 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 AMB (TD) Tetanus-Dipth 7 Yrs + Med Charge - (TD) Tetanus-Dipth 7 Yrs + Vaccine IM | $21.00 | $42.00 | $6.88–$42.48 | 85% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 AMB (TD) Tetanus-Dipth 7 Yrs + Med Charge - (TD) Tetanus-Dipth 7 Yrs + Vaccine IM | $21.00 | $42.00 | $15.88–$42.00 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 AMB TDAP 7 Yr /> Med Charge - TDAP 7 Yr/> Vaccine IM | $35.50 | $71.00 | $26.84–$71.00 | 82% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 AMB TDAP 7 Yr /> Med Charge - TDAP 7 Yr/> Vaccine IM | $35.50 | $71.00 | $26.84–$71.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Initial Immunization Admin Charge | $10.97 | $21.93 | $8.29–$186.43 | 83% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AMB Vaccine Admin Charge - Imm Adult 1st 90471 | $24.50 | $49.00 | $18.52–$186.43 | 61% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin Perc/ID/Subq/IM; 1 Vaccine 90471 | $24.50 | $49.00 | $18.52–$186.43 | 61% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AMB Hep B Admin Charge - Imm Adult 1st 90471 | $24.50 | $49.00 | $18.52–$186.43 | 61% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AMB Influenza Admin Charge - Imm Adult 1st 90471 | $24.50 | $49.00 | $18.52–$186.43 | 61% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization/Vaccine Admin Fee | $33.55 | $67.09 | $24.29–$186.43 | 47% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TETANUS/RABIES VACCINE ADMIN FREE | $33.55 | $67.09 | $24.29–$186.43 | 47% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AMB Vaccine Admin Charge - Non-Counseled Two Toxoids | $37.00 | $74.00 | $24.29–$186.43 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AMB Vaccine Admin Charge - Non-Counseled Three Toxoids | $49.50 | $99.00 | $24.29–$186.43 | 21% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AMB Vaccine Admin Charge - Non-Counseled Four Toxoids | $62.00 | $124.00 | $24.29–$186.43 | 2% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION/VACCINE ADMIN FEE 90471 | $85.50 | $171.00 | $24.29–$186.43 | 36% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TETANUS/RABIES VACCINE ADMIN FEE | $85.50 | $171.00 | $24.29–$186.43 | 36% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ITX Immunization/Vaccine Admin Fee | $85.50 | $171.00 | $24.29–$186.43 | 36% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION | $85.50 | $171.00 | $24.29–$186.43 | 36% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HEPATITIS B IMMUNIZATION ADMIN 90471 | $85.50 | $171.00 | $24.29–$186.43 | 36% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INF Immunization Administration | $85.50 | $171.00 | $24.29–$186.43 | 36% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLU IMMUNIZATION ADMIN 90471 | $85.50 | $171.00 | $24.29–$186.43 | 36% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMOCOCCAL IMMUNIZATION ADMIN 90471 | $85.50 | $171.00 | $24.29–$186.43 | 36% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AMB Vaccine Admin Charge - Non-Counseled Six Toxoids | $87.00 | $174.00 | $24.29–$186.43 | 38% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Initial Immunization Admin Charge | $10.97 | $21.93 | $8.29–$21.93 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 AMB Influenza Admin Charge - Imm Adult 1st 90471 | $24.50 | $49.00 | $18.52–$49.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 AMB Vaccine Admin Charge - Imm Adult 1st 90471 | $24.50 | $49.00 | $18.52–$49.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 AMB Hep B Admin Charge - Imm Adult 1st 90471 | $24.50 | $49.00 | $18.52–$49.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Admin Perc/ID/Subq/IM; 1 Vaccine 90471 | $24.50 | $49.00 | $18.52–$49.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INF Immunization Administration | $33.55 | $67.09 | $25.36–$67.09 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 TETANUS/RABIES VACCINE ADMIN FREE | $33.55 | $67.09 | $25.36–$67.09 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization/Vaccine Admin Fee | $33.55 | $67.09 | $25.36–$67.09 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ITX Immunization/Vaccine Admin Fee | $33.55 | $67.09 | $25.36–$67.09 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 AMB Vaccine Admin Charge - Non-Counseled Two Toxoids | $37.00 | $74.00 | $27.97–$74.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 AMB Vaccine Admin Charge - Non-Counseled Three Toxoids | $49.50 | $99.00 | $37.42–$99.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 AMB Vaccine Admin Charge - Non-Counseled Four Toxoids | $62.00 | $124.00 | $46.87–$124.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FLU IMMUNIZATION ADMIN 90471 | $85.50 | $171.00 | $64.64–$171.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PNEUMOCOCCAL IMMUNIZATION ADMIN 90471 | $85.50 | $171.00 | $64.64–$171.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION/VACCINE ADMIN FEE 90471 | $85.50 | $171.00 | $64.64–$171.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HEPATITIS B IMMUNIZATION ADMIN 90471 | $85.50 | $171.00 | $64.64–$171.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 TETANUS/RABIES VACCINE ADMIN FEE | $85.50 | $171.00 | $64.64–$171.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION | $85.50 | $171.00 | $64.64–$171.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 AMB Vaccine Admin Charge - Non-Counseled Six Toxoids | $87.00 | $174.00 | $65.77–$174.00 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VFC Immunization Admin Perc/ID/Subq/IM; Each Addtl Vaccine 90472 | $9.25 | $18.50 | $6.99–$18.50 | 73% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immunization Admin Charge Each Addl | $10.97 | $21.93 | $8.29–$21.93 | 68% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 AMB Hep B Admin Charge - Imm Adult Each Addtl 90472 | $12.50 | $25.00 | $9.45–$25.00 | 63% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin Perc/ID/Subq/IM; Each Addtl Vaccine 90472 | $12.50 | $25.00 | $9.45–$25.00 | 63% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 AMB Vaccine Admin Charge - Imm Adult Each Addtl 90472 | $12.50 | $25.00 | $9.45–$25.00 | 63% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 AMB Influenza Admin Charge - Imm Adult Each Addtl 90472 | $12.50 | $25.00 | $9.45–$25.00 | 63% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INF Immunization Administration Add'l | $16.78 | $33.55 | $12.68–$33.55 | 51% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 TETANUS RABIES VACCINE #2 INJECTION | $21.62 | $43.23 | $16.34–$43.23 | 36% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD 90472 | $42.00 | $84.00 | $17.42–$84.00 | 24% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VFC Immunization Admin Perc/ID/Subq/IM; Each Addtl Vaccine 90472 | $9.25 | $18.50 | $6.99–$18.50 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Immunization Admin Charge Each Addl | $10.97 | $21.93 | $8.29–$21.93 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 AMB Hep B Admin Charge - Imm Adult Each Addtl 90472 | $12.50 | $25.00 | $9.45–$25.00 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Admin Perc/ID/Subq/IM; Each Addtl Vaccine 90472 | $12.50 | $25.00 | $9.45–$25.00 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 AMB Influenza Admin Charge - Imm Adult Each Addtl 90472 | $12.50 | $25.00 | $9.45–$25.00 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 AMB Vaccine Admin Charge - Imm Adult Each Addtl 90472 | $12.50 | $25.00 | $9.45–$25.00 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 INF Immunization Administration Add'l | $16.78 | $33.55 | $12.68–$33.55 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 TETANUS RABIES VACCINE #2 INJECTION | $21.62 | $43.23 | $16.34–$43.23 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD 90472 | $42.00 | $84.00 | $31.75–$84.00 | — | 50% |
Source file: https://s3.amazonaws.com/assets.bbmconnect.com/Southwell/453072990_SouthwellMedicalCenter_standardcharges.csv