Direct Primary Care

At Optimum Care Partners, we believe in providing exceptional healthcare without hidden costs or membership fees. Explore our comprehensive range of services and choose the care that fits your needs.

Men's Health

Initial vissit

100 $100

Physical Exam

starting at

75 $75

X-Ray

Starting at

100 $100

Weight Loss

Initial visit in person

95 $95

Follow up $45

Search for services and prices

Description	Price
Office new sf 15-29 min	$125.00
Office new low 30-44 min	$125.00
Office new mod 45-59 min	$125.00
Office new hi 60-74 min	$125.00
Office est min	$75.00
Office est sf 10-19 min	$75.00
Office est low 20-29 min	$75.00
Office est mod 30-39 min	$75.00
Office est hi 40-54 min	$75.00
Drug test prsmv dir opt obs	$25.00
Urinalysis auto w/o scope	$25.00
Urine pregnancy test	$25.00
Occult blood feces	$25.00
Assay glucose blood quant	$25.00
Hemoglobin glycosylated a1c	$25.00
Heterophile antibody screen	$25.00
Influenza assay w/optic	$25.00
Rsv assay w/optic	$25.00
Sars-cov-2 covid19 w optic	$25.00
Strep a assay w/optic	$25.00
Contrast x-ray of brain	$100.00
Contrast x-ray of brain	$100.00
Contrast x-ray of brain	$100.00
Contrast x-ray of brain	$100.00
X-ray eye foreign body	$100.00
X-ray eye foreign body	$100.00
X-ray eye foreign body	$100.00
X-ray jaw <4views	$100.00
X-ray jaw <4views	$100.00
X-ray jaw <4views	$100.00
X-ray jaw 4/> views	$100.00
X-ray jaw 4/> views	$100.00
X-ray jaw 4/> views	$100.00
X-ray mastoids	$100.00
X-ray mastoids	$100.00
X-ray mastoids	$100.00
X-ray mastoids	$100.00
X-ray mastoids	$100.00
X-ray mastoids	$100.00
X-ray middle ear	$100.00
X-ray middle ear	$100.00
X-ray middle ear	$100.00
X-ray facial bones	$100.00
X-ray facial bones	$100.00
X-ray facial bones	$100.00
X-ray facial bones	$100.00
X-ray facial bones	$100.00
X-ray facial bones	$100.00
X-ray nasal bones	$100.00
X-ray nasal bones	$100.00
X-ray nasal bones	$100.00
X-ray tear duct	$100.00
X-ray tear duct	$100.00
X-ray tear duct	$100.00
X-ray eye sockets	$100.00
X-ray eye sockets	$100.00
X-ray eye sockets	$100.00
X-ray eye sockets	$100.00
X-ray eye sockets	$100.00
X-ray eye sockets	$100.00
X-ray sinuses	$100.00
X-ray sinuses	$100.00
X-ray sinuses	$100.00
X-ray sinuses	$100.00
X-ray sinuses	$100.00
X-ray sinuses	$100.00
X-ray pituitary saddle	$100.00
X-ray pituitary saddle	$100.00
X-ray pituitary saddle	$100.00
X-ray skull	$100.00
X-ray skull	$100.00
X-ray skull	$100.00
X-ray skull	$100.00
X-ray skull	$100.00
X-ray skull	$100.00
X-ray teeth	$100.00
X-ray teeth	$100.00
X-ray teeth	$100.00
X-ray teeth	$100.00
X-ray teeth	$100.00
X-ray teeth	$100.00
Full mouth x-ray of teeth	$100.00
Full mouth x-ray of teeth	$100.00
Full mouth x-ray of teeth	$100.00
X-ray jaw joint	$100.00
X-ray jaw joint	$100.00
X-ray jaw joint	$100.00
X-ray jaw joints	$100.00
X-ray jaw joints	$100.00
X-ray jaw joints	$100.00
X-ray jaw joint	$100.00
X-ray jaw joint	$100.00
X-ray jaw joint	$100.00
Magnetic image jaw joint	$100.00
Magnetic image jaw joint	$100.00
Magnetic image jaw joint	$100.00
X-ray head orthodontia	$100.00
X-ray head orthodontia	$100.00
X-ray head orthodontia	$100.00
Panoramic x-ray of jaws	$100.00
Panoramic x-ray of jaws	$100.00
Panoramic x-ray of jaws	$100.00
X-ray neck	$100.00
X-ray neck	$100.00
X-ray neck	$100.00
Throat x-ray fluoroscopy	$100.00
Throat x-ray fluoroscopy	$100.00
Throat x-ray fluoroscopy	$100.00
Speech evaluation complex	$100.00
Speech evaluation complex	$100.00
Speech evaluation complex	$100.00
X-ray salivary gland	$100.00
X-ray salivary gland	$100.00
X-ray salivary gland	$100.00
X-ray salivary duct	$100.00
X-ray salivary duct	$100.00
X-ray salivary duct	$100.00
X-ray chest 1 view	$100.00
X-ray chest 1 view	$100.00
X-ray chest 1 view	$100.00
X-ray chest 2 views	$100.00
X-ray chest 2 views	$100.00
X-ray chest 2 views	$100.00
X-ray chest 3 views	$100.00
X-ray chest 3 views	$100.00
X-ray chest 3 views	$100.00
X-ray chest 4+ views	$100.00
X-ray chest 4+ views	$100.00
X-ray chest 4+ views	$100.00
X-ray ribs uni 2 views	$100.00
X-ray ribs uni 2 views	$100.00
X-ray ribs uni 2 views	$100.00
X-ray unilat ribs chest	$100.00
X-ray unilat ribs chest	$100.00
X-ray unilat ribs chest	$100.00
X-ray ribs bil 3 views	$100.00
X-ray ribs bil 3 views	$100.00
X-ray ribs bil 3 views	$100.00
X-ray ribs/chest4/> vws	$100.00
X-ray ribs/chest4/> vws	$100.00
X-ray ribs/chest4/> vws	$100.00
X-ray breastbone 2/>vws	$100.00
X-ray breastbone 2/>vws	$100.00
X-ray breastbone 2/>vws	$100.00
X-ray strenoclavic jt 3/>vws	$100.00
X-ray strenoclavic jt 3/>vws	$100.00
X-ray strenoclavic jt 3/>vws	$100.00
X-ray spine 1 view	$100.00
X-ray spine 1 view	$100.00
X-ray spine 1 view	$100.00
X-ray neck spine 2-3 vw	$100.00
X-ray neck spine 2-3 vw	$100.00
X-ray neck spine 2-3 vw	$100.00
X-ray neck spine 4/5vws	$100.00
X-ray neck spine 4/5vws	$100.00
X-ray neck spine 4/5vws	$100.00
X-ray neck spine 6/>vws	$100.00
X-ray neck spine 6/>vws	$100.00
X-ray neck spine 6/>vws	$100.00
X-ray thorac spine 2vws	$100.00
X-ray thorac spine 2vws	$100.00
X-ray thorac spine 2vws	$100.00
X-ray thorac spine 3vws	$100.00
X-ray thorac spine 3vws	$100.00
X-ray thorac spine 3vws	$100.00
X-ray thorac spine4/>vw	$100.00
X-ray thorac spine4/>vw	$100.00
X-ray thorac spine4/>vw	$100.00
X-ray thoracolmb 2/> vw	$100.00
X-ray thoracolmb 2/> vw	$100.00
X-ray thoracolmb 2/> vw	$100.00
X-ray entire spi 1 vw	$100.00
X-ray entire spi 1 vw	$100.00
X-ray entire spi 1 vw	$100.00
X-ray entire spi 2/3 vw	$100.00
X-ray entire spi 2/3 vw	$100.00
X-ray entire spi 2/3 vw	$100.00
X-ray entire spi 4/5 vw	$100.00
X-ray entire spi 4/5 vw	$100.00
X-ray entire spi 4/5 vw	$100.00
X-ray entire spi 6/> vw	$100.00
X-ray entire spi 6/> vw	$100.00
X-ray entire spi 6/> vw	$100.00
X-ray l-s spine 2/3 vws	$100.00
X-ray l-s spine 2/3 vws	$100.00
X-ray l-s spine 2/3 vws	$100.00
X-ray l-2 spine 4/>vws	$100.00
X-ray l-2 spine 4/>vws	$100.00
X-ray l-2 spine 4/>vws	$100.00
X-ray l-s spine bending	$100.00
X-ray l-s spine bending	$100.00
X-ray l-s spine bending	$100.00
X-ray bend only l-s spine	$100.00
X-ray bend only l-s spine	$100.00
X-ray bend only l-s spine	$100.00
X-ray pelvis	$100.00
X-ray pelvis	$100.00
X-ray of pelvis	$100.00
X-ray of pelvis	$100.00
X-ray of pelvis	$100.00
X-ray of pelvis	$100.00
X-ray si joints	$100.00
X-ray si joints	$100.00
X-ray si joints 3/> vws	$100.00
X-ray si joints 3/> vws	$100.00
X-ray si joints 3/> vws	$100.00
X-ray sacrum tailbone	$100.00
X-ray sacrum tailbone	$100.00
X-ray sacrum tailbone	$100.00
X-ray of lower spine disk	$100.00
X-ray of lower spine disk	$100.00
X-ray of lower spine disk	$100.00
X-ray collar bone	$100.00
X-ray collar bone	$100.00
X-ray collar bone	$100.00
X-ray shoulder blade	$100.00
X-ray shoulder blade	$100.00
X-ray shoulder blade	$100.00
X-ray shoulder	$100.00
X-ray shoulder	$100.00
X-ray shoulder	$100.00
X-ray shoulder	$100.00
X-ray shoulder	$100.00
X-ray shoulder	$100.00
Contrast x-ray shoulder	$100.00
Contrast x-ray shoulder	$100.00
Contrast x-ray shoulder	$100.00
X-ray shoulders	$100.00
X-ray shoulders	$100.00
X-ray shoulders	$100.00
X-ray humerus	$100.00
X-ray humerus	$100.00
X-ray humerus	$100.00
X-ray elbow	$100.00
X-ray elbow	$100.00
X-ray elbow	$100.00
X-ray elbow	$100.00
X-ray elbow	$100.00
X-ray elbow	$100.00
Contrast x-ray of elbow	$100.00
Contrast x-ray of elbow	$100.00
Contrast x-ray of elbow	$100.00
X-ray forearm	$100.00
X-ray forearm	$100.00
X-ray forearm	$100.00
X-ray arm infant	$100.00
X-ray arm infant	$100.00
X-ray arm infant	$100.00
X-ray wrist	$100.00
X-ray wrist	$100.00
X-ray wrist	$100.00
X-ray wrist	$100.00
X-ray wrist	$100.00
X-ray wrist	$100.00
Contrast x-ray of wrist	$100.00
Contrast x-ray of wrist	$100.00
Contrast x-ray of wrist	$100.00
X-ray hand	$100.00
X-ray hand	$100.00
X-ray hand	$100.00
X-ray hand	$100.00
X-ray hand	$100.00
X-ray hand	$100.00
X-ray finger(s)	$100.00
X-ray finger(s)	$100.00
X-ray finger(s)	$100.00
X-ray hip uni 1 view	$100.00
X-ray hip uni 1 view	$100.00
X-ray hip uni 1 view	$100.00
X-ray hip uni 2-3 views	$100.00
X-ray hip uni 2-3 views	$100.00
X-ray hip uni 2-3 views	$100.00
X-ray hip uni 4/> views	$100.00
X-ray hip uni 4/> views	$100.00
X-ray hip uni 4/> views	$100.00
X-ray hips bi 2 views	$100.00
X-ray hips bi 2 views	$100.00
X-ray hips bi 2 views	$100.00
X-ray hips bi 3-4 views	$100.00
X-ray hips bi 3-4 views	$100.00
X-ray hips bi 3-4 views	$100.00
X-ray hips bi 5/> views	$100.00
X-ray hips bi 5/> views	$100.00
X-ray hips bi 5/> views	$100.00
Contrast x-ray of hip	$100.00
Contrast x-ray of hip	$100.00
Contrast x-ray of hip	$100.00
X-ray femur 1	$100.00
X-ray femur 1	$100.00
X-ray femur 1	$100.00
X-ray femur 2/>	$100.00
X-ray femur 2/>	$100.00
X-ray femur 2/>	$100.00
X-ray knee 1 or 2	$100.00
X-ray knee 1 or 2	$100.00
X-ray knee 1 or 2	$100.00
X-ray knee 3	$100.00
X-ray knee 3	$100.00
X-ray knee 3	$100.00
X-ray knee 4 or more	$100.00
X-ray knee 4 or more	$100.00
X-ray knee 4 or more	$100.00
X-ray knees	$100.00
X-ray knees	$100.00
X-ray knees	$100.00
Contrast x-ray knee joint	$100.00
Contrast x-ray knee joint	$100.00
Contrast x-ray knee joint	$100.00
X-ray lower leg	$100.00
X-ray lower leg	$100.00
X-ray lower leg	$100.00
X-ray leg infant	$100.00
X-ray leg infant	$100.00
X-ray leg infant	$100.00
X-ray ankle	$100.00
X-ray ankle	$100.00
X-ray ankle	$100.00
X-ray ankle	$100.00
X-ray ankle	$100.00
X-ray ankle	$100.00
Contrast x-ray of ankle	$100.00
Contrast x-ray of ankle	$100.00
Contrast x-ray of ankle	$100.00
X-ray foot	$100.00
X-ray foot	$100.00
X-ray foot	$100.00
X-ray foot	$100.00
X-ray foot	$100.00
X-ray foot	$100.00
X-ray heel	$100.00
X-ray heel	$100.00
X-ray heel	$100.00
X-ray toe(s)	$100.00
X-ray toe(s)	$100.00
X-ray toe(s)	$100.00
X-ray abdomen 1 view	$100.00
X-ray abdomen 1 view	$100.00
X-ray abdomen 1 view	$100.00
X-ray abdomen 2 views	$100.00
X-ray abdomen 2 views	$100.00
X-ray abdomen 2 views	$100.00
X-ray abdomen 3+ views	$100.00
X-ray abdomen 3+ views	$100.00
X-ray abdomen 3+ views	$100.00
X-ray complete abdomen	$100.00
X-ray complete abdomen	$100.00
X-ray complete abdomen	$100.00
X-rays bone length study	$100.00
X-rays bone length study	$100.00
X-rays bone length study	$100.00
X-rays bone surveylimited	$100.00
X-rays bone surveylimited	$100.00
X-rays bone surveylimited	$100.00
X-rays bone survey comple	$100.00
X-rays bone survey comple	$100.00
X-rays bone survey comple	$100.00
X-rays bone survey infant	$100.00
X-rays bone survey infant	$100.00
X-rays bone survey infant	$100.00
DOT PHYSICAL	$125.00
SPORTS PHYSICAL	$75.00
EPS DRUG SCREEN	$35.00
IMMIGRATION PHYSICAL	$125.00
SCHOOL PHYSICAL	$75.00
WORK PHYSICAL	$125.00
PPD PLACEMENT	$35.00
BREATH ALCOHOL TEST	$35.00
Dr First Report Occupatio	$0.00
Treating Phys Progress	$0.00
Primary Treating Phys Per	$0.00
NON SUFFICIENT FUNDS	$35.00
NO CHARGE	$0.00
Drainage of skin abscess	$160.00
Drainage of skin abscess	$270.00
Drainage of pilonidal cyst	$322.00
Drainage of pilonidal cyst	$439.00
Remove foreign body	$193.00
Remove foreign body	$337.00
Drainage of hematoma/fluid	$215.00
Puncture drainage of lesion	$167.00
Complex drainage wound	$337.00
Debride infected skin	$74.00
Debride infected skin add-on	$35.00
Debride genitalia & perineum	$713.00
Debride abdom wall	$972.00
Debride genit/per/abdom wall	$879.00
Remove mesh from abd wall	$343.00
Debride skin at fx site	$577.00
Debride skin musc at fx site	$633.00
Deb skin bone at fx site	$829.00
Deb subq tissue 20 sq cm/<	$164.00
Deb musc/fascia 20 sq cm/<	$294.00
Deb bone 20 sq cm/<	$393.00
Deb subq tissue add-on	$52.00
Deb musc/fascia add-on	$93.00
Deb bone add-on	$153.00
Trim skin lesion	$92.00
Trim skin lesions 2 to 4	$105.00
Trim skin lesions over 4	$115.00
Tangntl bx skin single les	$130.00
Tangntl bx skin ea sep/addl	$65.00
Punch bx skin single lesion	$162.00
Punch bx skin ea sep/addl	$77.00
Incal bx skn single les	$199.00
Incal bx skn ea sep/addl	$92.00
Removal of skin tags	$117.00
Remove skin tags add-on	$24.00
Shave skin lesion 0.5 cm/<	$130.00
Shave skin lesion 0.6-1.0 cm	$157.00
Shave skin lesion 1.1-2.0 cm	$175.00
Shave skin lesion >2.0 cm	$195.00
Shave skin lesion 0.5 cm/<	$135.00
Shave skin lesion 0.6-1.0 cm	$158.00
Shave skin lesion 1.1-2.0 cm	$178.00
Shave skin lesion >2.0 cm	$188.00
Shave skin lesion 0.5 cm/<	$149.00
Shave skin lesion 0.6-1.0 cm	$175.00
Shave skin lesion 1.1-2.0 cm	$200.00
Shave skin lesion >2.0 cm	$232.00
Exc tr-ext b9+marg 0.5 cm<	$164.00
Exc tr-ext b9+marg 0.6-1 cm	$200.00
Exc tr-ext b9+marg 1.1-2 cm	$219.00
Exc tr-ext b9+marg 2.1-3cm	$253.00
Exc tr-ext b9+marg 3.1-4 cm	$287.00
Exc tr-ext b9+marg >4.0 cm	$405.00
Exc h-f-nk-sp b9+marg 0.5/<	$163.00
Exc h-f-nk-sp b9+marg 0.6-1	$204.00
Exc h-f-nk-sp b9+marg 1.1-2	$229.00
Exc h-f-nk-sp b9+marg 2.1-3	$262.00
Exc h-f-nk-sp b9+marg 3.1-4	$300.00
Exc h-f-nk-sp b9+marg >4 cm	$420.00
Exc face-mm b9+marg 0.5 cm/<	$184.00
Exc face-mm b9+marg 0.6-1 cm	$223.00
Exc face-mm b9+marg 1.1-2 cm	$247.00
Exc face-mm b9+marg 2.1-3 cm	$292.00
Exc face-mm b9+marg 3.1-4 cm	$360.00
Exc face-mm b9+marg >4 cm	$487.00
Remove sweat gland lesion	$553.00
Remove sweat gland lesion	$674.00
Remove sweat gland lesion	$534.00
Remove sweat gland lesion	$684.00
Remove sweat gland lesion	$585.00
Remove sweat gland lesion	$692.00
Exc tr-ext mal+marg 0.5 cm/<	$253.00
Exc tr-ext mal+marg 0.6-1 cm	$292.00
Exc tr-ext mal+marg 1.1-2 cm	$312.00
Exc tr-ext mal+marg 2.1-3 cm	$355.00
Exc tr-ext mal+marg 3.1-4 cm	$395.00
Exc tr-ext mal+marg >4 cm	$569.00
Exc h-f-nk-sp mal+marg 0.5/<	$254.00
Exc s/n/h/f/g mal+mrg 0.6-1	$293.00
Exc s/n/h/f/g mal+mrg 1.1-2	$322.00
Exc s/n/h/f/g mal+mrg 2.1-3	$377.00
Exc s/n/h/f/g mal+mrg 3.1-4	$429.00
Exc s/n/h/f/g mal+mrg >4 cm	$518.00
Exc f/e/e/n/l mal+mrg 0.5cm<	$259.00
Exc f/e/e/n/l mal+mrg 0.6-1	$303.00
Exc f/e/e/n/l mal+mrg 1.1-2	$342.00
Exc f/e/e/n/l mal+mrg 2.1-3	$400.00
Exc f/e/e/n/l mal+mrg 3.1-4	$494.00
Exc f/e/e/n/l mal+mrg >4 cm	$642.00
Trim nail(s) any number	$19.00
Debride nail 1-5	$43.00
Debride nail 6 or more	$57.00
Removal of nail plate	$147.00
Remove nail plate add-on	$43.00
Drain blood from under nail	$73.00
Removal of nail bed	$203.00
Biopsy nail unit	$157.00
Repair of nail bed	$239.00
Reconstruction of nail bed	$367.00
Excision of nail fold toe	$210.00
Remove pilonidal cyst simple	$455.00
Remove pilonidal cyst exten	$803.00
Remove pilonidal cyst compl	$987.00
Inject skin lesions	$73.00
Inject skin lesions >7	$89.00
Correct skin color 6.0 cm/<	$245.00
Correct skn color 6.1-20.0cm	$285.00
Correct skin color ea 20.0cm	$79.00
Tx contour defects 1 cc/<	$105.00
Tx contour defects 1.1-5.0cc	$138.00
Tx contour defects 5.1-10cc	$184.00
Tx contour defects >10.0 cc	$203.00
Insert tissue expander(s)	$1,288.00
Rplcmt tiss xpndr perm implt	$714.00
Rmvl tis xpndr wo insj implt	$702.00
Remove contraceptive capsule	$185.00
Implant hormone pellet(s)	$120.00
Insertion drug dlvr implant	$129.00
Remove drug implant device	$144.00
Remove/insert drug implant	$182.00
Rpr s/n/ax/gen/trnk 2.5cm/<	$120.00
Rpr s/n/ax/gen/trnk2.6-7.5cm	$145.00
Rpr s/n/ax/gen/trk7.6-12.5cm	$169.00
Rpr s/n/a/gen/trk12.6-20.0cm	$225.00
Rpr s/n/a/gen/trk20.1-30.0cm	$263.00
Rpr s/n/ax/gen/trnk >30.0 cm	$295.00
Rpr f/e/e/n/l/m 2.5 cm/<	$144.00
Rpr f/e/e/n/l/m 2.6-5.0 cm	$150.00
Rpr f/e/e/n/l/m 5.1-7.5 cm	$183.00
Rpr f/e/e/n/l/m 7.6-12.5 cm	$220.00
Rpr fe/e/en/l/m 12.6-20.0 cm	$280.00
Rpr fe/e/en/l/m 20.1-30.0 cm	$194.00
Rpr f/e/e/n/l/m >30.0 cm	$219.00
Closure of split wound	$384.00
Closure of split wound	$227.00
Intmd rpr s/a/t/ext 2.5 cm/<	$337.00
Intmd rpr s/a/t/ext 2.6-7.5	$388.00
Intmd rpr s/tr/ext 7.6-12.5	$427.00
Intmd rpr s/a/t/ext 12.6-20	$497.00
Intmd rpr s/a/t/ext 20.1-30	$552.00
Intmd rpr s/tr/ext >30.0 cm	$618.00
Intmd rpr n-hf/genit 2.5cm/<	$338.00
Intmd rpr n-hf/genit2.6-7.5	$395.00
Intmd rpr n-hf/genit7.6-12.5	$488.00
Intmd rpr n-hf/genit12.6-20	$529.00
Intmd rpr n-hf/genit20.1-30	$638.00
Intmd rpr n-hf/genit >30.0cm	$699.00
Intmd rpr face/mm 2.5 cm/<	$363.00
Intmd rpr face/mm 2.6-5.0 cm	$403.00
Intmd rpr face/mm 5.1-7.5 cm	$465.00
Intmd rpr face/mm 7.6-12.5cm	$492.00
Intmd rpr face/mm 12.6-20 cm	$649.00
Intmd rpr face/mm 20.1-30.0	$740.00
Intmd rpr face/mm >30.0 cm	$778.00
Cmplx rpr trunk 1.1-2.5 cm	$435.00
Cmplx rpr trunk 2.6-7.5 cm	$507.00
Cmplx rpr trunk addl 5cm/<	$149.00
Cmplx rpr s/a/l 1.1-2.5 cm	$454.00
Cmplx rpr s/a/l 2.6-7.5 cm	$543.00
Cmplx rpr s/a/l addl 5 cm/>	$163.00
Cmplx rpr f/c/c/m/n/ax/g/h/f	$495.00
Cmplx rpr f/c/c/m/n/ax/g/h/f	$600.00
Cmplx rpr f/c/c/m/n/ax/g/h/f	$214.00
Cmplx rpr e/n/e/l 1.1-2.5 cm	$540.00
Cmplx rpr e/n/e/l 2.6-7.5 cm	$633.00
Cmplx rpr e/n/e/l addl 5cm/<	$237.00
Late closure of wound	$1,007.00
Tis trnfr trunk 10 sq cm/<	$808.00
Tis trnfr trunk 10.1-30sqcm	$1,030.00
Tis trnfr s/a/l 10 sq cm/<	$893.00
Tis trnfr s/a/l 10.1-30 sqcm	$1,099.00
Tis trnfr f/c/c/m/n/a/g/h/f	$964.00
Tis trnfr f/c/c/m/n/a/g/h/f	$1,169.00
Tis trnfr e/n/e/l 10 sq cm/<	$974.00
Tis trnfr e/n/e/l10.1-30sqcm	$1,260.00
Tis trnfr any 30.1-60 sq cm	$1,375.00
Tis trnfr addl 30 sq cm	$272.00
Filleted finger/toe flap	$853.00
Wound prep trk/arm/leg	$439.00
Wound prep addl 100 cm	$89.00
Wound prep f/n/hf/g	$500.00
Wnd prep f/n/hf/g addl cm	$148.00
Harvest cultured skin graft	$337.00
Skin pinch graft	$755.00
Skin splt grft trnk/arm/leg	$1,105.00
Skin splt grft t/a/l add-on	$238.00
Epidrm autogrft trnk/arm/leg	$1,058.00
Epidrm autogrft t/a/l add-on	$143.00
Epidrm a-grft face/nck/hf/g	$1,017.00
Epidrm a-grft f/n/hf/g addl	$197.00
Skn splt a-grft fac/nck/hf/g	$1,074.00
Skn splt a-grft f/n/hf/g add	$267.00
Derm autograft trnk/arm/leg	$919.00
Derm autograft t/a/l add-on	$124.00
Derm autograft face/nck/hf/g	$1,117.00
Derm autograft f/n/hf/g add	$122.00
Cult skin grft t/arm/leg	$898.00
Cult skin grft t/a/l addl	$150.00
Cult skin graft t/a/l +%	$190.00
Cult skin graft f/n/hf/g	$1,012.00
Cult skin grft f/n/hfg add	$202.00
Cult epiderm grft f/n/hfg +%	$224.00
Skin full graft trunk	$1,065.00
Skin full graft trunk add-on	$180.00
Skin full graft sclp/arm/leg	$977.00
Skin full graft add-on	$167.00
Skin full grft face/genit/hf	$1,178.00
Skin full graft add-on	$220.00
Skin full graft een & lips	$1,265.00
Skin full graft add-on	$262.00
Skin sub graft trnk/arm/leg	$195.00
Skin sub graft t/a/l add-on	$32.00
Skin sub grft t/arm/lg child	$395.00
Skn sub grft t/a/l child add	$107.00
Skin sub graft face/nk/hf/g	$202.00
Skin sub graft f/n/hf/g addl	$42.00
Skn sub grft f/n/hf/g child	$439.00
Skn sub grft f/n/hf/g ch add	$122.00
Skin pedicle flap trunk	$1,155.00
Skin pedicle flap arms/legs	$1,119.00
Pedcle fh/ch/ch/m/n/ax/g/h/f	$1,114.00
Pedicle e/n/e/l/ntroral	$992.00
Delay flap trunk	$432.00
Delay flap arms/legs	$470.00
Delay flap f/c/c/n/ax/g/h/f	$570.00
Delay flap eye/nos/ear/lip	$589.00
Transfer skin pedicle flap	$690.00
Mdfc flap w/prsrv vasc pedcl	$1,812.00
Forehead flap w/vasc pedicle	$1,425.00
Musc myoq/fscq flp h&n pedcl	$1,303.00
Muscle-skin graft trunk	$1,898.00
Muscle-skin graft arm	$1,539.00
Muscle-skin graft leg	$1,605.00
Island pedicle flap graft	$1,283.00
Neurovascular pedicle flap	$1,172.00
Free myo/skin flap microvasc	$2,888.00
Free skin flap microvasc	$2,872.00
Free fascial flap microvasc	$2,860.00
Composite skin graft	$1,075.00
Grfg autol soft tiss dir exc	$610.00
Derma-fat-fascia graft	$853.00
Grfg autol fat lipo 50 cc/<	$772.00
Grfg autol fat lipo ea addl	$243.00
Grfg autol fat lipo 25 cc/<	$758.00
Gfrg autol fat lipo ea addl	$238.00
Hair trnspl 1-15 punch grfts	$480.00
Hair trnspl >15 punch grafts	$648.00
Acellular derm matrix implt	$270.00
Impl absrb msh/prsth dly cls	$485.00
Dermabrasion total face	$1,074.00
Dermabrasion segmental face	$687.00
Dermabrasion other than face	$617.00
Dermabrasion suprfl any site	$570.00
Abrasion lesion single	$293.00
Abrasion lesions add-on	$39.00
Chemical peel face epiderm	$497.00
Chemical peel face dermal	$675.00
Chemical peel nonfacial	$425.00
Chemical peel nonfacial	$600.00
Plastic surgery neck	$1,015.00
Revision of lower eyelid	$732.00
Revision of lower eyelid	$784.00
Revision of upper eyelid	$587.00
Revision of upper eyelid	$785.00
Exc skin abd	$1,485.00
Excise excessive skin thigh	$1,170.00
Excise excessive skin leg	$1,113.00
Excise excessive skin hip	$1,133.00
Excise excessive skin buttck	$1,182.00
Excise excessive skin arm	$1,013.00
Excise excess skin arm/hand	$1,104.00
Excise excess skin fat pad	$825.00
Excise excess skin & tissue	$1,135.00
Nerve palsy fascial graft	$1,284.00
Nerve palsy muscle graft	$2,252.00
Nerve palsy microsurg graft	$3,408.00
Skin and muscle repair face	$1,345.00
Removal sutr/staple req anes	$73.00
Dressing change not for burn	$59.00
Removal sutr/stapl xreq anes	$15.00
Removal sutr&stapl xreq anes	$22.00
Test for blood flow in graft	$135.00
Initial treatment burn(s)	$100.00
Dress/debrid p-thick burn s	$109.00
Dress/debrid p-thick burn m	$199.00
Dress/debrid p-thick burn l	$250.00
Incision of burn scab initi	$245.00
Escharotomy addl incision	$105.00
Destruct premalg lesion	$87.00
Destruct premalg les 2-14	$9.00
Destroy premal lesions 15/>	$215.00
Destruction of skin lesions	$437.00
Destruction of skin lesions	$565.00
Destruction of skin lesions	$802.00
Destruct b9 lesion 1-14	$145.00
Destruct lesion 15 or more	$169.00
Chem caut of granltj tissue	$113.00
Destruction of skin lesions	$128.00
Destruction of skin lesions	$189.00
Destruction of skin lesions	$228.00
Destruction of skin lesions	$247.00
Destruction of skin lesions	$264.00
Destruction of skin lesions	$300.00
Destruction of skin lesions	$192.00
Destruction of skin lesions	$213.00
Destruction of skin lesions	$240.00
Destruction of skin lesions	$267.00
Destruction of skin lesions	$312.00
Destruction of skin lesions	$362.00
Destruction of skin lesions	$179.00
Destruction of skin lesions	$229.00
Destruction of skin lesions	$263.00
Destruction of skin lesions	$309.00
Destruction of skin lesions	$352.00
Destruction of skin lesions	$449.00
Mohs 1 stage h/n/hf/g	$862.00
Mohs addl stage	$524.00
Mohs 1 stage t/a/l	$809.00
Mohs addl stage t/a/l	$502.00
Mohs surg addl block	$100.00
Cryotherapy of skin	$68.00
Skin peel therapy	$159.00
Drainage of breast lesion	$130.00
Drain breast lesion add-on	$34.00
Incision of breast lesion	$602.00
Injection for breast xray	$212.00
Removal of foreign body	$277.00
Removal of foreign body	$594.00
Ther injection carp tunnel	$105.00
Inj dupuytren cord w/enzyme	$113.00
Inj tendon sheath/ligament	$74.00
Inj tendon origin/insertion	$74.00
Inj trigger point 1/2 muscl	$68.00
Inject trigger points 3/>	$79.00
Place ndl musc/tis for rt	$423.00
Ndl insj w/o njx 1 or 2 musc	$34.00
Ndl insj w/o njx 3+ musc	$48.00
Drain/inj joint/bursa w/o us	$68.00
Drain/inj joint/bursa w/us	$105.00
Drain/inj joint/bursa w/o us	$70.00
Drain/inj joint/bursa w/us	$114.00
Drain/inj joint/bursa w/o us	$83.00
Drain/inj joint/bursa w/us	$128.00
Aspirate/inj ganglion cyst	$83.00
Treatment of bone cyst	$323.00
Insert and remove bone pin	$289.00
Removal of foot foreign body	$305.00
Removal of foot foreign body	$578.00
Removal of foot foreign body	$657.00
Repair of foot tendon	$625.00
Repair/graft of foot tendon	$757.00
Repair of foot tendon	$617.00
Repair/graft of foot tendon	$753.00
Remove nasal foreign body	$270.00
Remove nasal foreign body	$268.00
Remove nasal foreign body	$629.00
Control of nosebleed	$202.00
Control of nosebleed	$317.00
Control of nosebleed	$452.00
Repeat control of nosebleed	$479.00
Capillary blood draw	$0.00
Draw blood off venous device	$35.00
Collect blood from picc	$38.00
Drainage of mouth lesion	$189.00
Drainage of mouth lesion	$308.00
Drainage of mouth lesion	$434.00
Drainage of mouth lesion	$418.00
Drainage of mouth lesion	$499.00
Drainage of mouth lesion	$540.00
Incision of tongue fold	$280.00
Drainage of mouth lesion	$507.00
Drainage of mouth lesion	$595.00
Drainage of mouth lesion	$595.00
Drainage of mouth lesion	$670.00
Remove foreign body from eye	$38.00
Remove foreign body from eye	$49.00
Remove foreign body from eye	$77.00
Remove foreign body from eye	$85.00
Remove foreign body from eye	$914.00
Remove foreign body from eye	$1,228.00
Remove foreign body from eye	$1,382.00
Ct head/brain w/o dye	$140.00
Ct head/brain w/o dye	$89.00
Ct head/brain w/o dye	$52.00
Ct head/brain w/dye	$195.00
Ct head/brain w/dye	$128.00
Ct head/brain w/dye	$69.00
Ct head/brain w/o & w/dye	$229.00
Ct head/brain w/o & w/dye	$153.00
Ct head/brain w/o & w/dye	$77.00
Ct orbit/ear/fossa w/o dye	$209.00
Ct orbit/ear/fossa w/o dye	$133.00
Ct orbit/ear/fossa w/o dye	$78.00
Ct orbit/ear/fossa w/dye	$239.00
Ct orbit/ear/fossa w/dye	$172.00
Ct orbit/ear/fossa w/dye	$69.00
Ct orbit/ear/fossa w/o&w/dye	$279.00
Ct orbit/ear/fossa w/o&w/dye	$203.00
Ct orbit/ear/fossa w/o&w/dye	$77.00
Ct maxillofacial w/o dye	$169.00
Ct maxillofacial w/o dye	$118.00
Ct maxillofacial w/o dye	$53.00
Ct maxillofacial w/dye	$200.00
Ct maxillofacial w/dye	$133.00
Ct maxillofacial w/dye	$69.00
Ct maxillofacial w/o & w/dye	$244.00
Ct maxillofacial w/o & w/dye	$168.00
Ct maxillofacial w/o & w/dye	$77.00
Ct soft tissue neck w/o dye	$198.00
Ct soft tissue neck w/o dye	$122.00
Ct soft tissue neck w/o dye	$78.00
Ct soft tissue neck w/dye	$244.00
Ct soft tissue neck w/dye	$162.00
Ct soft tissue neck w/dye	$84.00
Ct sft tsue nck w/o & w/dye	$293.00
Ct sft tsue nck w/o & w/dye	$197.00
Ct sft tsue nck w/o & w/dye	$98.00
Ct angiography head	$365.00
Ct angiography head	$260.00
Ct angiography head	$107.00
Ct angiography neck	$364.00
Ct angiography neck	$259.00
Ct angiography neck	$107.00
Ct thorax dx c-	$175.00
Ct thorax dx c-	$112.00
Ct thorax dx c-	$65.00
Ct thorax dx c+	$220.00
Ct thorax dx c+	$150.00
Ct thorax dx c+	$70.00
Ct thorax dx c-/c+	$260.00
Ct thorax dx c-/c+	$185.00
Ct thorax dx c-/c+	$75.00
Ct thorax lung cancer scr c-	$182.00
Ct thorax lung cancer scr c-	$117.00
Ct thorax lung cancer scr c-	$65.00
Ct angiography chest	$372.00
Ct angiography chest	$263.00
Ct angiography chest	$110.00
Ct neck spine w/o dye	$172.00
Ct neck spine w/o dye	$112.00
Ct neck spine w/o dye	$60.00
Ct neck spine w/dye	$223.00
Ct neck spine w/dye	$150.00
Ct neck spine w/dye	$74.00
Ct neck spine w/o & w/dye	$262.00
Ct neck spine w/o & w/dye	$185.00
Ct neck spine w/o & w/dye	$77.00
Ct chest spine w/o dye	$170.00
Ct chest spine w/o dye	$112.00
Ct chest spine w/o dye	$60.00
Ct chest spine w/dye	$224.00
Ct chest spine w/dye	$152.00
Ct chest spine w/dye	$74.00
Ct chest spine w/o & w/dye	$264.00
Ct chest spine w/o & w/dye	$188.00
Ct chest spine w/o & w/dye	$77.00
Ct lumbar spine w/o dye	$170.00
Ct lumbar spine w/o dye	$112.00
Ct lumbar spine w/o dye	$60.00
Ct lumbar spine w/dye	$223.00
Ct lumbar spine w/dye	$150.00
Ct lumbar spine w/dye	$74.00
Ct lumbar spine w/o & w/dye	$262.00
Ct lumbar spine w/o & w/dye	$185.00
Ct lumbar spine w/o & w/dye	$77.00
Ct angiograph pelv w/o&w/dye	$404.00
Ct angiograph pelv w/o&w/dye	$297.00
Ct angiograph pelv w/o&w/dye	$108.00
Ct pelvis w/o dye	$175.00
Ct pelvis w/o dye	$110.00
Ct pelvis w/o dye	$67.00
Ct pelvis w/dye	$305.00
Ct pelvis w/dye	$237.00
Ct pelvis w/dye	$70.00
Ct pelvis w/o & w/dye	$337.00
Ct pelvis w/o & w/dye	$264.00
Ct pelvis w/o & w/dye	$74.00
Ct upper extremity w/o dye	$214.00
Ct upper extremity w/o dye	$154.00
Ct upper extremity w/o dye	$60.00
Ct upper extremity w/dye	$267.00
Ct upper extremity w/dye	$198.00
Ct upper extremity w/dye	$70.00
Ct uppr extremity w/o&w/dye	$330.00
Ct uppr extremity w/o&w/dye	$258.00
Ct uppr extremity w/o&w/dye	$74.00
Ct angio upr extrm w/o&w/dye	$394.00
Ct angio upr extrm w/o&w/dye	$287.00
Ct angio upr extrm w/o&w/dye	$108.00
Ct lower extremity w/o dye	$170.00
Ct lower extremity w/o dye	$112.00
Ct lower extremity w/o dye	$60.00
Ct lower extremity w/dye	$220.00
Ct lower extremity w/dye	$150.00
Ct lower extremity w/dye	$70.00
Ct lwr extremity w/o&w/dye	$258.00
Ct lwr extremity w/o&w/dye	$185.00
Ct lwr extremity w/o&w/dye	$73.00
Ct angio lwr extr w/o&w/dye	$428.00
Ct angio lwr extr w/o&w/dye	$315.00
Ct angio lwr extr w/o&w/dye	$114.00
Ct abdomen w/o dye	$180.00
Ct abdomen w/o dye	$109.00
Ct abdomen w/o dye	$72.00
Ct abdomen w/dye	$312.00
Ct abdomen w/dye	$235.00
Ct abdomen w/dye	$77.00
Ct abdomen w/o & w/dye	$349.00
Ct abdomen w/o & w/dye	$265.00
Ct abdomen w/o & w/dye	$84.00
Ct angio abd&pelv w/o&w/dye	$503.00
Ct angio abd&pelv w/o&w/dye	$373.00
Ct angio abd&pelv w/o&w/dye	$132.00
Ct angio abdom w/o & w/dye	$405.00
Ct angio abdom w/o & w/dye	$298.00
Ct angio abdom w/o & w/dye	$109.00
Ct abd & pelvis w/o contrast	$242.00
Ct abd & pelvis w/o contrast	$137.00
Ct abd & pelvis w/o contrast	$105.00
Ct abd & pelv w/contrast	$404.00
Ct abd & pelv w/contrast	$295.00
Ct abd & pelv w/contrast	$110.00
Ct abd & pelv 1/> regns	$453.00
Ct abd & pelv 1/> regns	$333.00
Ct abd & pelv 1/> regns	$120.00
Ct colonography dx	$553.00
Ct colonography dx	$410.00
Ct colonography dx	$144.00
Ct colonography dx w/dye	$624.00
Ct colonography dx w/dye	$474.00
Ct colonography dx w/dye	$150.00
Ct colonography screening	$872.00
Ct colonography screening	$737.00
Ct colonography screening	$137.00
Cat scan follow-up study	$174.00
Cat scan follow-up study	$117.00
Cat scan follow-up study	$58.00
Joint survey single view	$60.00
Joint survey single view	$40.00
Joint survey single view	$22.00
Ct bone density axial	$134.00
Ct bone density axial	$119.00
Ct bone density axial	$15.00
Dxa bone density axial	$49.00
Dxa bone density axial	$38.00
Dxa bone density axial	$13.00
Dxa bone density/peripheral	$40.00
Dxa bone density/peripheral	$29.00
Dxa bone density/peripheral	$13.00
General health panel	$0.00
Drug screen quantalcohols	$0.00
Alcohols biomarkers 1or 2	$0.00
Alcohols biomarkers 3/more	$0.00
Alkaloids nos	$0.00
Drug screen amphetamines 1/2	$0.00
Amphetamines 3or 4	$0.00
Amphetamines 5 or more	$0.00
Anabolic steroid 1 or 2	$0.00
Anabolic steroid 3 or more	$0.00
Analgesics non-opioid 1 or 2	$0.00
Analgesics non-opioid 3-5	$0.00
Analgesics non-opioid 6/more	$0.00
Antidepressants class 1 or 2	$0.00
Antidepressants class 3-5	$0.00
Antidepressants class 6/more	$0.00
Antidepressant tricyclic 1/2	$0.00
Antidepressant tricyclic 3-5	$0.00
Tricyclic & cyclicals 6/more	$0.00
Antidepressant not specified	$0.00
Antiepileptics nos 1-3	$0.00
Antiepileptics nos 4-6	$0.00
Antiepileptics nos 7/more	$0.00
Antipsychotics nos 1-3	$0.00
Antipsychotics nos 4-6	$0.00
Antipsychotics nos 7/more	$0.00
Drug screening barbiturates	$0.00
Benzodiazepines1-12	$0.00
Benzodiazepines 13 or more	$0.00
Drug screening buprenorphine	$0.00
Cannabinoids natural	$0.00
Cannabinoids synthetic 1-3	$0.00
Cannabinoids synthetic 4-6	$0.00
Cannabinoid synthetic 7/more	$0.00
Drug screening cocaine	$0.00
Drug screening fentanyl	$0.00
Gabapentin non-blood	$0.00
Heroin metabolite	$0.00
Ketamine and norketamine	$0.00
Drug screening methadone	$0.00
Methylenedioxyamphetamines	$0.00
Methylphenidate	$0.00
Opiates 1 or more	$0.00
Opioids & opiate analogs 1/2	$0.00
Opioids & opiate analogs 3/4	$0.00
Opioid &opiate analog 5/more	$0.00
Drug screening oxycodone	$0.00
Drug screening pregabalin	$0.00
Drug screening propoxyphene	$0.00
Sedative hypnotics	$0.00
Skeletal muscle relaxant 1/2	$0.00
Skel musc relaxant 3 or more	$0.00
Stimulants synthetic	$0.00
Drug screening tapentadol	$0.00
Drug screening tramadol	$0.00
Stereoisomer analysis	$0.00
Drug/substance nos 1-3	$0.00
Drug/substance nos 4-6	$0.00
Drug/substance nos 7/more	$0.00
Path clin consltj sf 5-20	$35.00
Path clin consltj mod 21-40	$68.00
Path clin consltj high 41-60	$122.00
Path clin consltj prolng svc	$55.00
Unlisted urinalysis px	$0.00
Unlisted molecular pathology	$0.00
Unlisted maaa	$0.00
Hemoglobin electrophoresis	$23.00
Assay for phencyclidine	$0.00
Protein e-phoresis serum	$23.00
Protein e-phoresis/urine/csf	$23.00
Western blot test	$23.00
Protein western blot test	$23.00
Unlisted chemistry procedure	$0.00
Blood smear interpretation	$32.00
Bone marrow interpretation	$88.00
Fibrinolysins screen i&r	$45.00
Clotting assay whole blood	$25.00
Blood platelet aggregation	$32.00
Unlisted hematology&coagj px	$0.00
Phys blood bank serv xmatch	$68.00
Phys blood bank serv reactj	$68.00
Phys blood bank serv authrj	$68.00
Cell enumeration phys interp	$43.00
Fluorescent antibody screen	$23.00
Fluorescent antibody titer	$23.00
Serum immunoelectrophoresis	$23.00
Other immunoelectrophoresis	$23.00
Immunoelectrophoresis assay	$28.00
Immunofix e-phoresis serum	$23.00
Immunfix e-phorsis/urine/csf	$23.00
Skin test candida	$0.00
Skin test unlisted antign ea	$9.00
Coccidioidomycosis skin test	$99.00
Histoplasmosis skin test	$10.00
Tb intradermal test	$14.00
Immunology procedure	$0.00
Rbc antibody elution	$0.00
Rbc antibody identification	$0.00
Autologous blood process	$0.00
Autologous blood op salvage	$0.00
Blood typing paternity test	$0.00
Blood typing antigen system	$0.00
Compatibility test spin	$0.00
Compatibility test incubate	$0.00
Compatibility test antiglob	$0.00
Compatibility test electric	$0.00
Plasma fresh frozen	$0.00
Frozen blood prep	$0.00
Frozen blood thaw	$0.00
Frozen blood freeze/thaw	$0.00
Blood product/irradiation	$0.00
Leukacyte transfusion	$0.00
Vol reduction of blood/prod	$0.00
Pooling blood platelets	$0.00
Rbc pretx incubatj w/chemicl	$0.00
Rbc pretx incubatj w/enzymes	$0.00
Rbc pretx incubatj w/density	$0.00
Rbc serum pretx incubj drugs	$0.00
Rbc serum pretx id dilution	$0.00
Rbc serum pretx incubj/inhib	$0.00
Rbc pretreatment serum	$0.00
Split blood or products	$0.00
Unlisted transfusion med px	$0.00
Dark field examination	$24.00
Smear special stain	$23.00
Unlisted microbiology px	$0.00
Autopsy (necropsy) gross	$0.00
Autopsy (necropsy) gross	$0.00
Autopsy (necropsy) gross	$0.00
Autopsy (necropsy) gross	$0.00
Autopsy (necropsy) gross	$0.00
Autopsy (necropsy) gross	$0.00
Autopsy (necropsy) complete	$0.00
Autopsy (necropsy) complete	$0.00
Autopsy (necropsy) complete	$0.00
Autopsy (necropsy) complete	$0.00
Autopsy (necropsy) complete	$0.00
Limited autopsy	$0.00
Limited autopsy	$0.00
Forensic autopsy (necropsy)	$0.00
Coroners autopsy (necropsy)	$0.00
Unlisted necropsy (autopsy)	$0.00
Cytopath fl nongyn smears	$88.00
Cytopath fl nongyn smears	$55.00
Cytopath fl nongyn smears	$34.00
Cytopath fl nongyn filter	$89.00
Cytopath fl nongyn filter	$65.00
Cytopath fl nongyn filter	$24.00
Cytopath concentrate tech	$84.00
Cytopath concentrate tech	$57.00
Cytopath concentrate tech	$29.00
Cytopath cell enhance tech	$85.00
Cytopath cell enhance tech	$52.00
Cytopath cell enhance tech	$35.00
Cytp urne 3-5 probes ea spec	$755.00
Cytp urne 3-5 probes ea spec	$684.00
Cytp urne 3-5 probes ea spec	$73.00
Cytp urine 3-5 probes cmptr	$532.00
Cytp urine 3-5 probes cmptr	$472.00
Cytp urine 3-5 probes cmptr	$60.00
Forensic cytopathology	$37.00
Forensic cytopathology	$19.00
Forensic cytopathology	$18.00
Cytopath c/v interpret	$30.00
Cytopath smear other source	$95.00
Cytopath smear other source	$64.00
Cytopath smear other source	$33.00
Cytopath smear other source	$98.00
Cytopath smear other source	$67.00
Cytopath smear other source	$33.00
Cytopath smear other source	$150.00
Cytopath smear other source	$103.00
Cytopath smear other source	$49.00
Cytp dx eval fna 1st ea site	$70.00
Cytp dx eval fna 1st ea site	$28.00
Cytp dx eval fna 1st ea site	$44.00
Cytopath eval fna report	$204.00
Cytopath eval fna report	$119.00
Cytopath eval fna report	$87.00
Cytp fna eval ea addl	$38.00
Cytp fna eval ea addl	$12.00
Cytp fna eval ea addl	$28.00
Cell marker study	$203.00
Cell marker study	$155.00
Cell marker study	$49.00
Flowcytometry/ tc 1 marker	$95.00
Flowcytometry/tc add-on	$32.00
Flowcytometry/read 2-8	$45.00
Flowcytometry/read 9-15	$78.00
Flowcytometry/read 16 & >	$105.00
Unlisted cytopathology px	$0.00
Unlisted cytopathology px	$0.00
Unlisted cytopathology px	$0.00
Cyto/molecular report	$42.00
Unlisted cytogenetic study	$0.00
Surgical path gross	$22.00
Surgical path gross	$15.00
Surgical path gross	$7.00
Tissue exam by pathologist	$43.00
Tissue exam by pathologist	$34.00
Tissue exam by pathologist	$9.00
Tissue exam by pathologist	$55.00
Tissue exam by pathologist	$40.00
Tissue exam by pathologist	$15.00
Tissue exam by pathologist	$90.00
Tissue exam by pathologist	$45.00
Tissue exam by pathologist	$47.00
Tissue exam by pathologist	$367.00
Tissue exam by pathologist	$265.00
Tissue exam by pathologist	$102.00
Tissue exam by pathologist	$553.00
Tissue exam by pathologist	$375.00
Tissue exam by pathologist	$179.00
Decalcify tissue	$27.00
Decalcify tissue	$12.00
Decalcify tissue	$17.00
Special stains group 1	$143.00
Special stains group 1	$110.00
Special stains group 1	$34.00
Special stains group 2	$104.00
Special stains group 2	$89.00
Special stains group 2	$15.00
Histochemical stains add-on	$115.00
Histochemical stains add-on	$90.00
Histochemical stains add-on	$27.00
Enzyme histochemistry	$172.00
Enzyme histochemistry	$139.00
Enzyme histochemistry	$34.00
Microslide consultation	$123.00
Microslide consultation	$144.00
Microslide consultation	$37.00
Microslide consultation	$109.00
Comprehensive review of data	$197.00
Path consult introp	$72.00
Path consult intraop 1 bloc	$129.00
Path consult intraop 1 bloc	$53.00
Path consult intraop 1 bloc	$77.00
Path consult intraop addl	$70.00
Path consult intraop addl	$33.00
Path consult intraop addl	$39.00
Intraop cyto path consult 1	$118.00
Intraop cyto path consult 1	$42.00
Intraop cyto path consult 1	$77.00
Intraop cyto path consult 2	$72.00
Intraop cyto path consult 2	$25.00
Intraop cyto path consult 2	$47.00
Immunohisto antb addl slide	$110.00
Immunohisto antb addl slide	$75.00
Immunohisto antb addl slide	$35.00
Immunohisto antb 1st stain	$127.00
Immunohisto antb 1st stain	$84.00
Immunohisto antb 1st stain	$44.00
Immunohisto antibody slide	$213.00
Immunohisto antibody slide	$167.00
Immunohisto antibody slide	$48.00
Immunofluor antb 1st stain	$193.00
Immunofluor antb 1st stain	$149.00
Immunofluor antb 1st stain	$45.00
Electron microscopy	$598.00
Electron microscopy	$503.00
Electron microscopy	$95.00
Immunofluor antb addl stain	$148.00
Immunofluor antb addl stain	$113.00
Immunofluor antb addl stain	$37.00
Analysis skeletal muscle	$178.00
Analysis skeletal muscle	$78.00
Analysis skeletal muscle	$102.00
Analysis nerve	$295.00
Analysis nerve	$143.00
Analysis nerve	$153.00
Analysis tumor	$177.00
Analysis tumor	$115.00
Analysis tumor	$62.00
Tumor immunohistochem/manual	$150.00
Tumor immunohistochem/manual	$99.00
Tumor immunohistochem/manual	$53.00
Tumor immunohistochem/comput	$150.00
Tumor immunohistochem/comput	$97.00
Tumor immunohistochem/comput	$55.00
Nerve teasing preparations	$289.00
Nerve teasing preparations	$153.00
Nerve teasing preparations	$137.00
Xm archive tissue molec anal	$30.00
Insitu hybridization (fish)	$173.00
Insitu hybridization (fish)	$132.00
Insitu hybridization (fish)	$43.00
Insitu hybridization (fish)	$229.00
Insitu hybridization (fish)	$175.00
Insitu hybridization (fish)	$54.00
Insitu hybridization (fish)	$353.00
Insitu hybridization (fish)	$277.00
Insitu hybridization (fish)	$77.00
Insitu hybridization auto	$144.00
Insitu hybridization auto	$104.00
Insitu hybridization auto	$42.00
Insitu hybridization manual	$180.00
Insitu hybridization manual	$129.00
Insitu hybridization manual	$53.00
M/phmtrc alysishquant/semiq	$155.00
M/phmtrc alysishquant/semiq	$114.00
M/phmtrc alysishquant/semiq	$42.00
Protein western blot tissue	$24.00
Protein analysis w/probe	$23.00
M/phmtrc alys ishquant/semiq	$88.00
M/phmtrc alys ishquant/semiq	$57.00
M/phmtrc alys ishquant/semiq	$32.00
M/phmtrc alys ishquant/semiq	$384.00
M/phmtrc alys ishquant/semiq	$332.00
M/phmtrc alys ishquant/semiq	$54.00
Optical endomicroscpy interp	$60.00
M/phmtrc alys ishquant/semiq	$502.00
M/phmtrc alys ishquant/semiq	$423.00
M/phmtrc alys ishquant/semiq	$79.00
Microdissection laser	$157.00
Microdissection laser	$90.00
Microdissection laser	$67.00
Microdissection manual	$257.00
Microdissection manual	$227.00
Microdissection manual	$30.00
Tiss exam molecular study	$44.00
Tiss exam molecular study	$10.00
Tiss exam molecular study	$34.00
Tiss ex molecul study add-on	$47.00
Tiss ex molecul study add-on	$18.00
Tiss ex molecul study add-on	$30.00
Unlisted surgical path px	$0.00
Unlisted surgical path px	$0.00
Unlisted surgical path px	$0.00
Unlisted in vivo lab service	$0.00
Chct for mal hyperthermia	$354.00
Exam synovial fluid crystals	$23.00
Sputum specimen collection	$24.00
Collect sweat for test	$4.00
Unlisted misc path test	$0.00
Cultr oocyte/embryo <4 days	$0.00
Cultr oocyte/embryo <4 days	$0.00
Embryo hatching	$0.00
Oocyte identification	$0.00
Prepare embryo for transfer	$0.00
Sperm identification	$0.00
Cryopreservation embryo(s)	$0.00
Cryopreservation sperm	$0.00
Sperm isolation simple	$0.00
Sperm isolation complex	$0.00
Identify sperm tissue	$0.00
Insemination of oocytes	$0.00
Extended culture of oocytes	$0.00
Assist oocyte fertilization	$0.00
Assist oocyte fertilization	$0.00
Biopsy oocyte polar body	$0.00
Biopsy oocyte polar body	$0.00
Cryopreserve testicular tiss	$0.00
Cryopreservation oocyte(s)	$0.00
Storage/year embryo(s)	$0.00
Storage/year sperm/semen	$0.00
Storage/year reprod tissue	$0.00
Storage/year oocyte(s)	$0.00
Thawing cryopresrved embryo	$0.00
Thawing cryopresrved sperm	$0.00
Thaw cryoprsvrd reprod tiss	$0.00
Thawing cryopresrved oocyte	$0.00
Unlisted reprod med lab proc	$0.00
Botulinum antitoxin	$0.00
Botulism ig iv	$0.00
Cmv ig iv	$0.00
Diphtheria antitoxin	$0.00
Rsv mab im 50mg	$0.00
Rh ig full-dose im	$0.00
Rh ig minidose im	$0.00
Rh ig iv	$0.00
Tetanus ig im	$0.00
Vaccina ig im	$0.00
Varicella-zoster ig im	$0.00
Unlisted immune globulin	$0.00
Im admin 1st/only component	$29.00
Im admin each addl component	$14.00
Immunization admin	$27.00
Immunization admin each add	$19.00
Immune admin oral/nasal	$22.00
Immune admin oral/nasal addl	$15.00
Adenovirus vaccine type 4	$0.00
Adenovirus vaccine type 7	$0.00
Anthrax vaccine sc or im	$0.00
Dengue vacc quad 2 dose subq	$0.00
Bcg vaccine percut	$0.00
Dengue vacc quad 3 dose subq	$0.00
Smallpox&monkeypox vac 0.5ml	$0.00
Menacwy-tt vaccine im	$0.00
Menb-4c vacc 2 dose im	$0.00
Menb-fhbp vacc 2/3 dose im	$0.00
Vaccinia vrs vac 0.3 ml perq	$0.00
Cholera vaccine live oral	$0.00
Tic-brn enceph vac 0.25ml im	$0.00
Tic-brn enceph vac 0.5ml im	$0.00
Flu vacc iiv4 no preserv id	$0.00
Hepa vacc ped/adol 2 dose im	$0.00
Hepa vacc ped/adol 3 dose	$0.00
Hep a/hep b vacc adult im	$0.00
Hib-mency vacc 6wk-18m0 im	$0.00
Hib prp-omp vacc 3 dose im	$0.00
Hib prp-t vaccine 4 dose im	$0.00
4vhpv vaccine 3 dose im	$0.00
2vhpv vaccine 3 dose im	$0.00
9vhpv vaccine 2/3 dose im	$0.00
Iiv adjuvant vaccine im	$0.00
Flu vacc iiv3 no preserv id	$0.00
Iiv3 vacc no prsv 0.25 ml im	$0.00
Iiv3 vacc no prsv 0.5 ml im	$0.00
Iiv3 vaccine splt 0.25 ml im	$0.00
Iiv3 vaccine splt 0.5 ml im	$0.00
Laiv3 vaccine intranasal	$0.00
Cciiv3 vac no prsv 0.5 ml im	$0.00
Laiv vacc pandemic intranasl	$0.00
Flu vac pandem prsrv free im	$0.00
Iiv vacc pandemic adjuvt im	$0.00
Iiv vaccine pandemic im	$0.00
Riv3 vaccine no preserv im	$0.00
Rabies vaccine id	$0.00
Rsv vacc pref bivalent im	$0.00
Rv5 vacc 3 dose live oral	$0.00
Rv1 vacc 2 dose live oral	$0.00
Iiv4 vacc no prsv 0.25 ml im	$0.00
Vacc iiv4 no prsrv 0.25ml im	$0.00
Typhoid vaccine oral	$0.00
Typhoid vaccine im	$0.00
Dtap-ipv vaccine 4-6 yrs im	$0.00
Dtap-ipv-hib-hepb vaccine im	$0.00
Dtap-ipv/hib vaccine im	$0.00
Dtap vaccine < 7 yrs im	$0.00
Dt vaccine under 7 yrs im	$0.00
Mmr vaccine sc	$0.00
Mmrv vaccine sc	$0.00
Poliovirus ipv sc/im	$0.00
Var vaccine live subq	$0.00
Yellow fever vaccine subq	$0.00
Dtap-hep b-ipv vaccine im	$0.00
Mpsv4 vaccine subq	$0.00
Menacwyd/menacwycrm vacc im	$0.00
Hzv vaccine live subq	$0.00
Inactivated je vacc im	$0.00
Hib-hepb vaccine im	$0.00
Unlisted vaccine/toxoid	$0.00
Hzv vacc recombinant im	$0.00
Zaire ebolavirus vac live im	$0.00
1st hosp ip/obs sf/low 40	$105.00
1st hosp ip/obs moderate 55	$164.00
1st hosp ip/obs high 75	$218.00
Sbsq hosp ip/obs sf/low 25	$63.00
Sbsq hosp ip/obs moderate 35	$100.00
Sbsq hosp ip/obs high 50	$150.00
Hosp ip/obs sm dt sf/low 45	$124.00
Hosp ip/obs same date mod 70	$200.00
Hosp ip/obs same date hi 85	$263.00
Hosp ip/obs dschrg mgmt 30/<	$102.00
Hosp ip/obs dschrg mgmt >30	$144.00
Off/op consltj new/est sf 20	$97.00
Off/op cnsltj new/est low 30	$144.00
Off/op cnsltj new/est mod 40	$205.00
Off/op consltj new/est hi 55	$267.00
Ip/obs consltj new/est sf 35	$90.00
Ip/obs cnsltj new/est low 45	$127.00
Ip/obs cnsltj new/est mod 60	$175.00
Ip/obs consltj new/est hi 80	$235.00
Emr dpt vst mayx req phy/qhp	$15.00
Emergency dept visit sf mdm	$54.00
Emergency dept visit low mdm	$92.00
Emergency dept visit mod mdm	$153.00
Emergency dept visit hi mdm	$222.00
Phone e/m phys/qhp 5-10 min	$72.00
Phone e/m phys/qhp 11-20 min	$114.00
Phone e/m phys/qhp 21-30 min	$160.00
Oral med adm direct observe	$0.00
Tetracyclin injection	$0.00
Inj, epinephrine (belcher)	$0.00
Inj biperiden lactate/5 mg	$0.00
Ceftizoxime sodium / 500 mg	$0.00
Centruroides immune f(ab)	$0.00
Inj codeine phosphate /30 mg	$0.00
Medroxyprogesterone acetate	$0.00
Inj dexamethasone acetate	$0.00
Injection, dexamethasone 9%	$0.00
Dexametha opth insert 0.1 mg	$0.00
Phenylep ketorolac opth soln	$0.00
Inj diclofenac sodium 0.5mg	$0.00
Hydrocortisone acetate inj	$0.00
Hydrocortisone sodium ph inj	$0.00
Levalbuterol comp con	$0.00
Albuterol comp unit	$0.00
Albuterol comp con	$0.00
Levalbuterol comp unit	$0.00
Dexamethasone comp con	$0.00
Dexamethasone comp unit	$0.00
Triamcinolone comp con	$0.00
Triamcinolone comp unit	$0.00
Porfimer sodium injection	$0.00
Chemotherapy drug	$0.00
Agriflu vaccine	$0.00
Afluria vacc, 3 yrs & >, im	$0.00
Flulaval vacc, 3 yrs & >, im	$0.00
Fluvirin vacc, 3 yrs & >, im	$0.00
Fluzone vacc, 3 yrs & >, im	$0.00
Influenza virus vaccine, nos	$0.00
Collagen skin test	$0.00
Cast supplies unlisted	$0.00
Splint supplies misc	$0.00
Clozapine, 25 mg	$0.00
Didanosine, 25 mg	$0.00
Infant safety class	$0.00
Weight mgmt class	$0.00
Exercise class	$0.00
Nutrition class	$0.00
Smoking cessation class	$0.00
Stress mgmt class	$0.00
Diabetic management program,	$0.00
Diabetic management program,	$0.00
Diabetic management program,	$0.00
Nutritional counseling, diet	$0.00
Cardiac rehabilitation progr	$0.00
Routine venipuncture	$12.00
Breath tst attain/anal c-14	$15.00
Breath test analysis c-14	$119.00
Metabolic panel ionized ca	$18.00
Metabolic panel total ca	$12.00
Electrolyte panel	$10.00
Comprehen metabolic panel	$14.00
Obstetric panel	$60.00
Lipid panel	$18.00
Renal function panel	$12.00
Acute hepatitis panel	$60.00
Hepatic function panel	$12.00
Obstetric panel	$94.00
Drug assay acetaminophen	$24.00
Drug assay adalimumab	$49.00
Assay of amikacin	$20.00
Drug assay amiodarone	$24.00
Drug assay caffeine	$49.00
Assay carbamazepine total	$19.00
Assay carbamazepine free	$18.00
Drug assay cyclosporine	$24.00
Drug assay clozapine	$27.00
Asy carbamazepin 10,11-epxid	$24.00
Assay of digoxin total	$18.00
Assay of digoxin free	$18.00
Assay dipropylacetic acd tot	$18.00
Dipropylacetic acid free	$18.00
Drug assay felbamate	$24.00
Assay of ethosuximide	$22.00
Drug assay everolimus	$18.00
Assay of gentamicin	$22.00
Drug screen quant gabapentin	$28.00
Assay of haloperidol	$20.00
Drug screen quan lamotrigine	$18.00
Assay of lidocaine	$19.00
Drug scrn quan levetiracetam	$18.00
Assay of lithium	$9.00
Drug assay salicylate	$24.00
Drug scrn quan mycophenolate	$24.00
Drug assay flecainide	$24.00
Drug scrn quant oxcarbazepin	$18.00
Assay of phenobarbital	$20.00
Assay of phenytoin total	$18.00
Assay of phenytoin free	$18.00
Drug assay posaconazole	$35.00
Assay of primidone	$22.00
Drug assay itraconazole	$35.00
Assay of procainamide	$75.00
Assay of procainamide	$22.00
Drug assay leflunomide	$49.00
Assay of quinidine	$19.00
Assay of sirolimus	$18.00
Assay of tacrolimus	$18.00
Assay of theophylline	$19.00
Drug screen quant tiagabine	$35.00
Assay of tobramycin	$22.00
Assay of topiramate	$15.00
Assay of vancomycin	$18.00
Drug screen quant zonisamide	$18.00
Drug assay methotrexate	$49.00
Drug assay rufinamide	$35.00
Drug asy hydroxychloroquine	$24.00
Drug assay infliximab	$49.00
Drug assay lacosamide	$35.00
Drug assay vedolizumab	$49.00
Drug assay voriconazole	$35.00
Quantitative assay drug	$24.00
Drug test prsmv instrmnt	$23.00
Drug test prsmv chem anlyzr	$79.00
Acth stimulation panel	$42.00
Acth stimulation panel	$109.00
Acth stimulation panel	$99.00
Aldosterone suppression eval	$158.00
Calcitonin stimul panel	$102.00
Crh stimulation panel	$1,003.00
Testosterone response panel	$65.00
Tot estradiol response panel	$70.00
Renin stimulation panel	$263.00
Renin stimulation panel	$55.00
Pituitary evaluation panel	$725.00
Dexamethasone panel	$203.00
Glucagon tolerance panel	$59.00
Glucagon tolerance panel	$64.00
Gonadotropin hormone panel	$187.00
Growth hormone panel	$84.00
Growth hormone panel	$163.00
Insulin suppression panel	$208.00
Insulin tolerance panel	$358.00
Insulin tolerance panel	$129.00
Metyrapone panel	$115.00
Trh stimulation panel	$64.00
Trh stimulation panel	$85.00
Urinalysis nonauto w/scope	$7.00
Urinalysis auto w/scope	$5.00
Urinalysis nonauto w/o scope	$5.00
Urinalysis	$4.00
Urine screen for bacteria	$38.00
Microscopic exam of urine	$5.00
Urinalysis glass test	$7.00
Urinalysis volume measure	$5.00
Hpa-1 genotyping	$154.00
Hpa-2 genotyping	$154.00
Hpa-3 genotyping	$154.00
Hpa-4 genotyping	$154.00
Hpa-5 genotyping	$154.00
Hpa-6 genotyping	$154.00
Hpa-9 genotyping	$154.00
Hpa-15 genotyping	$154.00
Idh1 common variants	$243.00
Idh2 common variants	$370.00
Dmd dup/delet analysis	$349.00
Brca1&2 gen full seq dup/del	$2,282.00
Brca1&2 gene full seq alys	$585.00
Brca1&2 gen ful dup/del alys	$732.00
Brca1 gene full seq alys	$354.00
Brca1 gene full dup/del alys	$378.00
Brca2 gene full dup/del alys	$354.00
Ccnd1/igh translocation alys	$260.00
Abl1 gene	$375.00
Aff2 gene detc abnor alleles	$172.00
Aff2 gene charac alleles	$344.00
Ar gene full gene sequence	$378.00
Ar gene known famil variant	$233.00
Asxl1 full gene sequence	$847.00
Asxl1 gene target seq alys	$303.00
Atn1 gene detc abnor alleles	$172.00
Atxn1 gene detc abnor allele	$172.00
Atxn2 gene detc abnor allele	$172.00
Atxn3 gene detc abnor allele	$172.00
Atxn7 gene detc abnor allele	$172.00
Atxn8os gen detc abnor allel	$172.00
Atxn10 gene detc abnor allel	$172.00
Cacna1a gen detc abnor allel	$172.00
Cacna1a gene full gene seq	$1,059.00
Cacna1a gen known famil vrnt	$233.00
Cnbp gene detc abnor allele	$172.00
Cstb gene detc abnor allele	$172.00
Cstb gene full gene sequence	$344.00
Cstb gene known famil vrnt	$233.00
Ntrk1 translocation analysis	$260.00
Ntrk2 translocation analysis	$260.00
Ntrk3 translocation analysis	$260.00
Ntrk translocation analysis	$649.00
Aspa gene	$60.00
Apc gene full sequence	$975.00
Apc gene known fam variants	$350.00
Apc gene dup/delet variants	$250.00
Ar gene charac alleles	$172.00
Bckdhb gene	$119.00
Bcr/abl1 gene major bp	$205.00
Bcr/abl1 gene minor bp	$182.00
Bcr/abl1 gene other bp	$269.00
Blm gene	$50.00
Braf gene	$220.00
Brca1&2 185&5385&6174 vrnt	$550.00
Brca1 gene known famil vrnt	$470.00
Brca2 gene full seq alys	$233.00
Brca2 gene known famil vrnt	$470.00
Cebpa gene full sequence	$303.00
Calr gene com variants	$153.00
Cftr gene com variants	$697.00
Cftr gene known fam variants	$123.00
Cftr gene dup/delet variants	$545.00
Cftr gene full sequence	$624.00
Cftr gene intron poly t	$212.00
Cyp2c19 gene com variants	$365.00
Cyp2d6 gene com variants	$564.00
Cyp2c9 gene com variants	$219.00
Cytog alys chrml abnr cgh	$1,125.00
Cytog alys chrml abnr snpcgh	$1,450.00
Cyp3a4 gene common variants	$219.00
Cyp3a5 gene common variants	$219.00
Dpyd gene common variants	$219.00
Btk gene common variants	$220.00
Dmpk gene detc abnor allele	$172.00
Egfr gene com variants	$407.00
Ezh2 gene full gene sequence	$354.00
Ezh2 gene common variants	$220.00
F9 full gene sequence	$750.00
Dmpk gene charac alleles	$344.00
F2 gene	$83.00
F5 gene	$93.00
Fancc gene	$47.00
Fmr1 gene detection	$73.00
Fmr1 gene charac alleles	$57.00
Flt3 gene	$208.00
Flt3 gene analysis	$104.00
G6pd gene alys cmn variant	$219.00
G6pd known familial variant	$470.00
G6pd full gene sequence	$750.00
G6pc gene	$74.00
Gba gene	$60.00
Gjb2 gene full sequence	$128.00
Gjb2 gene known fam variants	$78.00
Gjb6 gene com variants	$44.00
Hexa gene	$65.00
Hfe gene	$83.00
Hba1/hba2 gene	$129.00
Hba1/hba2 gene fam vrnt	$470.00
Hba1/hba2 full gene sequence	$750.00
Ikbkap gene	$50.00
Igh gene rearrange amp meth	$248.00
Igh gene rearrang dir probe	$87.00
Igh vari regional mutation	$369.00
Igk rearrangeabn clonal pop	$217.00
Str markers specimen anal	$293.00
Str markers spec anal addl	$382.00
Chimerism anal no cell selec	$260.00
Chimerism anal w/cell select	$327.00
Hba1/hba2 gene dup/del vrnts	$254.00
Jak2 gene	$115.00
Htt gene detc abnor alleles	$172.00
Kit gene targeted seq analys	$413.00
Kit gene analys d816 variant	$157.00
Htt gene charac alleles	$344.00
Kras gene variants exon 2	$243.00
Kras gene addl variants	$243.00
Cytogenomic neo microra alys	$1,450.00
Igh@/bcl2 translocation alys	$260.00
Jak2 gene trgt sequence alys	$233.00
Ifnl3 gene	$93.00
Fxn gene detc abnor alleles	$172.00
Fxn gene charac alleles	$344.00
Fxn gene full gene sequence	$344.00
Mgmt gene prmtr mthyltn alys	$157.00
Mlh1 gene	$242.00
Fxn gene known famil variant	$233.00
Mcoln1 gene	$50.00
Mthfr gene	$83.00
Mlh1 gene full seq	$845.00
Mlh1 gene known variants	$414.00
Mlh1 gene dup/delete variant	$254.00
Msh2 gene full seq	$478.00
Msh2 gene known variants	$423.00
Msh2 gene dup/delete variant	$268.00
Msh6 gene full seq	$803.00
Msh6 gene known variants	$385.00
Msh6 gene dup/delete variant	$298.00
Microsatellite instability	$437.00
Mecp2 gene full seq	$660.00
Mecp2 gene known variant	$150.00
Mecp2 gene dup/delet variant	$188.00
Myd88 gene p.leu265pro vrnt	$220.00
Nudt15 gene common variants	$365.00
Palb2 gene full gene seq	$847.00
Palb2 gene known famil vrnt	$378.00
Pik3ca gene trgt seq alys	$344.00
Npm1 gene	$309.00
Nras gene variants exon 2&3	$370.00
Pabpn1 gene detc abnor allel	$172.00
Pca3/klk3 antigen	$320.00
Pdgfra gene	$413.00
Pml/raralpha com breakpoints	$260.00
Pml/raralpha 1 breakpoint	$260.00
Pms2 gene full seq analysis	$847.00
Pms2 known familial variants	$414.00
Pms2 gene dup/delet variants	$255.00
Plcg2 gene common variants	$365.00
Pten gene full sequence	$750.00
Pten gene known fam variant	$59.00
Pten gene dup/delet variant	$375.00
Pmp22 gene dup/delet	$949.00
Pmp22 gene full sequence	$963.00
Pmp22 gene known fam variant	$59.00
Sept9 gen prmtr mthyltn alys	$240.00
Slco1b1 gene com variants	$219.00
Smn1 gene dos/deletion alys	$172.00
Smpd1 gene common variants	$59.00
Snrpn/ube3a gene	$65.00
Serpina1 gene	$55.00
Tgfbi gene common variants	$172.00
Runx1 gene targeted seq alys	$413.00
Tpmt gene com variants	$219.00
Smn1 gene full gene sequence	$378.00
Smn1 gen nown famil seq vrnt	$233.00
Mpl gene common variants	$189.00
Mpl gene seq alys exon 10	$233.00
Trb@ gene rearrange amplify	$262.00
Trb@ gene rearrange dirprobe	$63.00
Trg gene rearrangement anal	$253.00
Ppp2r2b gen detc abnor allel	$172.00
Tbp gene detc abnor alleles	$172.00
Tert gene targeted seq alys	$233.00
Tyms gene com variants	$219.00
Sf3b1 gene common variants	$243.00
Srsf2 gene common variants	$220.00
Cytog alys chrml abnr lw-ps	$1,450.00
Ugt1a1 gene common variants	$293.00
Tp53 gene full gene sequence	$803.00
Tp53 gene trgt sequence alys	$413.00
Tp53 gene known famil vrnt	$385.00
Vkorc1 gene	$112.00
U2af1 gene common variants	$243.00
Zrsr2 gene common variants	$243.00
Hbb gene com variants	$219.00
Hbb gene known fam variant	$470.00
Hbb gene dup/del variants	$254.00
Hbb full gene sequence	$407.00
Hla i & ii typing lr	$504.00
Hla i & ii type verify lr	$507.00
Hla i typing complete lr	$505.00
Hla i typing 1 locus lr	$160.00
Hla i typing 1 antigen lr	$94.00
Hla ii typing ag equiv lr	$277.00
Hla ii typing 1 locus lr	$154.00
Hla ii type 1 ag equiv lr	$119.00
Hla i & ii typing hr	$433.00
Hla i typing complete hr	$420.00
Hla i typing 1 locus hr	$223.00
Hla i typing 1 allele hr	$213.00
Hla ii typing 1 loc hr	$155.00
Hla ii typing 1 allele hr	$138.00
Mopath procedure level 1	$80.00
Mopath procedure level 2	$172.00
Mopath procedure level 3	$189.00
Mopath procedure level 4	$233.00
Mopath procedure level 5	$344.00
Mopath procedure level 6	$378.00
Mopath procedure level 7	$354.00
Mopath procedure level 8	$1,059.00
Mopath procedure level 9	$2,500.00
Aortic dysfunction/dilation	$630.00
Aortic dysfunction/dilation	$1,689.00
Ashkenazi jewish assoc dis	$3,062.00
Car ion chnnlpath inc 10 gns	$732.00
Car ion chnnlpath inc 2 gns	$732.00
Exome sequence analysis	$5,975.00
Exome sequence analysis	$15,000.00
Exome re-evaluation	$400.00
Rx metab gen seq alys pnl 6	$0.00
Epilepsy gen seq alys panel	$3,062.00
Fetal chrmoml aneuploidy	$950.00
Fetal chrmoml microdeltj	$950.00
Genome sequence analysis	$6,290.00
Genome sequence analysis	$3,388.00
Genome re-evaluation	$2,923.00
Hearing loss sequence analys	$2,032.00
Hearing loss dup/del analys	$850.00
Hrdtry brst ca-rlatd dsordrs	$850.00
Hrdtry brst ca-rlatd dsordrs	$549.00
Hereditary retinal disorders	$748.00
Hereditary colon ca dsordrs	$732.00
Hereditary colon ca dsordrs	$732.00
Heredtry nurondcrn tum dsrdr	$549.00
Heredtry nurondcrn tum dsrdr	$549.00
Hrdtry cardmypy gene panel	$732.00
Mitochondrial gene	$4,155.00
Ibmfs seq alys pnl 30 genes	$3,062.00
Noonan spectrum disorders	$2,680.00
Genetic tstg severe inh cond	$3,062.00
Tgsap so neo 5-50dna/dna&rna	$748.00
Hrdtry perph neurphy panel	$732.00
Tgsap so neo 5-50 rna alys	$748.00
Tgsap hl neo 5-50dna/dna&rna	$950.00
Tgsap hl neo 5-50 rna alys	$950.00
Tgsap so/hl 51/< dna/dna&rna	$3,650.00
Tgsap so/hl 51/< rna alys	$3,650.00
Whole mitochondrial genome	$1,609.00
Whole mitochondrial genome	$1,170.00
X-linked intellectual dblt	$1,143.00
X-linked intellectual dblt	$1,143.00
Autoimmune rheumatoid arthr	$1,052.00
Cor artery disease mrna	$1,313.00
Onco (ovar) two proteins	$327.00
Onco (ovar) five proteins	$1,122.00
Oncology tissue of origin	$650.00
Endo assay seven anal	$87.00
Fetal aneuploidy trisom risk	$994.00
Ftl cgen abnor two proteins	$69.00
Ftl cgen abnor 3 proteins	$1,860.00
Ftl cgen abnor three anal	$70.00
Ftl cgen abnor four anal	$193.00
Ftl cgen abnor five anal	$88.00
Nfct ds bv rna vag flu alg	$179.00
Nfct ds bv&vaginitis dna alg	$329.00
Onc brst mrna 11 genes	$4,842.00
Oncology breast mrna	$4,842.00
Onc breast mrna 58 genes	$3,139.00
Onc breast mrna 70 genes	$4,842.00
Onc breast mrna 12 genes	$4,842.00
Onc brst mrna 70 cnt 31 gene	$4,842.00
Oncology colon mrna	$3,895.00
Oncology colorectal scr	$637.00
Onc cutan mlnma mrna 31 gene	$8,992.00
Oncology gynecologic	$725.00
Oncology gynecologic	$223.00
Oncology lung	$3,589.00
Oncology prostate prob score	$950.00
Oncology tum unknown origin	$4,688.00
Onc prostate mrna 46 genes	$4,842.00
Onc prostate mrna 22 cnt gen	$4,842.00
Onc thyr mrna 10,196 gen alg	$4,500.00
Onc prostate 3 genes	$2,538.00
Onc uveal mlnma mrna 15 gene	$9,720.00
Pulm ds ipf mrna 190 gen alg	$6,900.00
Trnsplj pd lvr&bwl cd154+cll	$802.00
Cardiology hrt trnspl mrna	$4,050.00
Nfct ds chrnc hcv 6 assays	$92.00
Test for acetone/ketones	$7.00
Acetone assay	$12.00
Acetylcholinesterase assay	$17.00
Acylcarnitines qual	$22.00
Acylcarnitines quant	$22.00
Assay of acth	$49.00
Assay of adp & amp	$33.00
Assay of serum albumin	$7.00
Other source albumin quan ea	$10.00
Ur albumin quantitative	$8.00
Ur albumin semiquantitative	$9.00
Albumin ischemia modified	$43.00
Assay of breath ethanol	$38.00
Assay spec xcp ur&breath ia	$23.00
Assay of aldolase	$13.00
Assay of aldosterone	$52.00
Alpha-1-antitrypsin total	$18.00
Alpha-1-antitrypsin pheno	$19.00
Alpha-fetoprotein serum	$22.00
Alpha-fetoprotein amniotic	$22.00
Alpha-fetoprotein l3	$82.00
Assay of aluminum	$33.00
Amines vaginal fluid qual	$8.00
Amino acid single qual	$19.00
Amino acids mult qual	$18.00
Amino acids single quant	$29.00
Assay aminolevulinic acid	$22.00
Amino acids quant 2-5	$25.00
Amino acids quan 6 or more	$22.00
Assay of ammonia	$19.00
Amniotic fluid scan	$13.00
Assay of amylase	$9.00
Androstanediol glucuronide	$37.00
Assay of androstenedione	$38.00
Assay of androsterone	$33.00
Assay of angiotensin ii	$27.00
Angiotensin i enzyme test	$19.00
Assay of apolipoprotein	$28.00
Assay of arsenic	$24.00
Assay of ascorbic acid	$13.00
Atomic absorption	$20.00
Assay of beta-2 protein	$22.00
Bile acids total	$23.00
Bile acids cholylglycine	$34.00
Bilirubin total	$8.00
Bilirubin direct	$8.00
Fecal bilirubin test	$7.00
Assay of biotinidase	$22.00
Occult blood other sources	$8.00
Occult bld feces 1-3 tests	$7.00
Assay test for blood fecal	$20.00
Assay of bradykinin	$8.00
Assay of cadmium	$30.00
Vitamin d 25 hydroxy	$38.00
Assay of calcitonin	$34.00
Assay of calcium	$8.00
Assay of calcium	$18.00
Calcium infusion test	$18.00
Assay of calcium in urine	$9.00
Calculus analysis qual	$15.00
Calculus assay quant	$17.00
Calculus spectroscopy	$17.00
X-ray assay calculus	$17.00
Assay c-d transfer measure	$24.00
Assay blood carbon dioxide	$7.00
Assay carboxyhb quant	$17.00
Assay carboxyhb qual	$19.00
Carcinoembryonic antigen	$24.00
Assay of carnitine	$22.00
Assay of carotene	$13.00
Assay urine catecholamines	$35.00
Assay blood catecholamines	$38.00
Assay three catecholamines	$33.00
Assay of cathepsin-d	$24.00
Assay of ceruloplasmin	$14.00
Chemiluminescent assay	$19.00
Assay of chloramphenicol	$17.00
Assay of blood chloride	$7.00
Assay of urine chloride	$8.00
Assay other fluid chlorides	$7.00
Test for chlorohydrocarbons	$9.00
Assay bld/serum cholesterol	$7.00
Assay serum cholinesterase	$10.00
Assay rbc cholinesterase	$13.00
Assay chondroitin sulfate	$27.00
Assay of chromium	$27.00
Assay of citrate	$35.00
Collagen crosslinks	$24.00
Assay of copper	$17.00
Assay of corticosterone	$29.00
Cortisol free	$22.00
Total cortisol	$22.00
Assay of creatine	$7.00
Col chromotography qual/quan	$32.00
Assay of ck (cpk)	$9.00
Assay of cpk in blood	$18.00
Creatine mb fraction	$15.00
Creatine isoforms	$15.00
Assay of creatinine	$8.00
Assay of urine creatinine	$8.00
Creatinine clearance test	$13.00
Assay of cryofibrinogen	$19.00
Assay of cryoglobulin	$9.00
Assay of cyanide	$25.00
Vitamin b-12	$20.00
B-12 binding capacity	$19.00
Cystatin c	$24.00
Test for urine cystines	$13.00
Dehydroepiandrosterone	$33.00
Dehydroepiandrosterone	$29.00
Desoxycorticosterone	$39.00
Deoxycortisol	$38.00
Assay of dibucaine number	$17.00
Dihydrotestosterone	$38.00
Vit d 1 25-dihydroxy	$49.00
El-1 fecal quantitative	$29.00
El-1 fecal qual/semiq	$15.00
Enzyme cell activity	$29.00
Enzyme cell activity ra	$57.00
Electrophoretic test	$78.00
Assay of erythropoietin	$24.00
Assay of total estradiol	$35.00
Assay of estrogens	$42.00
Assay of estrogen	$28.00
Assay of estriol	$32.00
Assay of estrone	$32.00
Assay dir meas fr estradiol	$35.00
Assay of ethylene glycol	$19.00
Assay of etiocholanolone	$34.00
Fats/lipids feces qual	$8.00
Fats/lipids feces quant	$22.00
Assay of fecal fat	$29.00
Assay of blood fatty acids	$24.00
Long chain fatty acids	$25.00
Assay of ferritin	$18.00
Assay of fetal fibronectin	$82.00
Assay of fluoride	$24.00
Assay of folic acid serum	$19.00
Assay of folic acid rbc	$23.00
Assay of semen fructose	$23.00
Assay of rbc galactokinase	$28.00
Assay of galactose	$15.00
Assay galactose transferase	$28.00
Galactose transferase test	$15.00
Galectin-3	$57.00
Assay iga/igd/igg/igm each	$13.00
Assay of ige	$22.00
Igg 1 2 3 or 4 each	$12.00
Blood ph	$14.00
Blood gases any combination	$34.00
Blood gases w/o2 saturation	$99.00
Blood gases o2 sat only	$13.00
Hemoglobin-oxygen affinity	$18.00
Gastric analy w/ph ea spec	$9.00
Gastrin test	$23.00
Assay of gastrin	$23.00
Assay of glucagon	$19.00
Glucose other fluid	$5.00
Glucagon tolerance test	$23.00
Reagent strip/blood glucose	$8.00
Glucose test	$7.00
Glucose tolerance test (gtt)	$17.00
Gtt-added samples	$5.00
Assay of g6pd enzyme	$13.00
Test for g6pd enzyme	$9.00
Glucose blood test	$5.00
Assay of glucosidase	$28.00
Assay of gdh enzyme	$18.00
Assay of ggt	$10.00
Assay of glutathione	$20.00
Assay rbc glutathione	$13.00
Assay of glycated protein	$22.00
Assay of gonadotropin (fsh)	$24.00
Assay of gonadotropin (lh)	$24.00
Assay growth hormone (hgh)	$22.00
Growth stimulation gene 2	$95.00
H pylori (c-13) blood	$85.00
Assay of haptoglobin quant	$17.00
Assay of haptoglobins	$34.00
H pylori (c-13) breath	$85.00
H pylori drug admin	$10.00
Heavy metal qual any anal	$27.00
Heavy metal quant each nes	$28.00
Hemoglobin electrophoresis	$17.00
Hemoglobin chromotography	$24.00
Hemoglobin copper sulfate	$7.00
Hemoglobin f fetal chemical	$14.00
Hemoglobin ftl f assay qual	$10.00
Hb glycosylated a1c home dev	$13.00
Hgb methemoglobin qual	$9.00
Hgb methemoglobin quan	$12.00
Hemoglobin plasma	$10.00
Hgb sulfhemoglobin quan	$12.00
Hemoglobin thermolabile	$12.00
Hemoglobin unstable screen	$13.00
Hemoglobin urine	$5.00
Assay of hemosiderin qual	$7.00
Assay of b hexosaminidase ea	$22.00
Assay of histamine	$38.00
Assay of homocysteine	$23.00
Assay of homovanillic acid	$29.00
Asy hydroxycorticosteroids17	$23.00
Assay of 5-hiaa	$17.00
Asy hydroxyprogesterone 17-d	$35.00
Assay free hydroxyproline	$29.00
Assay total hydroxyproline	$32.00
Immunoassay nonantibody	$15.00
Immunoassay dipstick	$13.00
Ria nonantibody	$24.00
Immunoassay quant nos nonab	$23.00
Ig light chains free each	$23.00
Assay of insulin	$15.00
Assay of insulin	$17.00
Assay of intrinsic factor	$25.00
Asay of interleukin-6 (il-6)	$23.00
Assay of iron	$9.00
Iron binding test	$12.00
Assay of idh enzyme	$12.00
Assay of ketogenic steroids	$20.00
Assay 17- ketosteroids	$17.00
Fractionation ketosteroids	$37.00
Assay of lactic acid	$15.00
Lactate (ld) (ldh) enzyme	$9.00
Assay of ldh enzymes	$17.00
Lactoferrin fecal (qual)	$25.00
Lactoferrin fecal (quant)	$25.00
Placental lactogen	$27.00
Test urine for lactose	$15.00
Assay of lead	$17.00
L/s ratio fetal lung	$28.00
Foam stability fetal lung	$24.00
Fluoro polarize fetal lung	$24.00
Lamellar bdy fetal lung	$25.00
Assay of lap enzyme	$13.00
Assay of lipase	$9.00
Assay of lipoprotein(a)	$19.00
Assay lipoprotein pla2	$59.00
Lipopro bld electrophoretic	$15.00
Lipoprotein bld hr fraction	$43.00
Lipoprotein bld quan part	$44.00
Assay of lipoprotein	$12.00
Assay of blood lipoprotein	$17.00
Assay of blood lipoprotein	$14.00
Lipoprtn dir meas sd ldl chl	$44.00
Assay of lrh hormone	$23.00
Assay of magnesium	$9.00
Assay malate dehydrogenase	$10.00
Assay of manganese	$34.00
Mass spectrometry qual/quan	$32.00
Assay of mercury	$22.00
Assay of metanephrines	$22.00
Assay of methemalbumin	$14.00
Microfluid analy tears	$29.00
Mucopolysaccharides	$37.00
Assay synovial fluid mucin	$8.00
Assay of csf protein	$23.00
Assay of myoglobin	$17.00
Assay myeloperoxidase	$64.00
Assay of natriuretic peptide	$50.00
Assay nephelometry not spec	$18.00
Assay of nickel	$32.00
Assay of nucleotidase	$15.00
Oligoclonal bands	$35.00
Organic acids total quant	$30.00
Organic acids qual each	$22.00
Organic acid single quant	$28.00
Assay of blood osmolality	$9.00
Assay of urine osmolality	$9.00
Assay of osteocalcin	$38.00
Assay of oxalate	$19.00
Oncoprotein her-2/neu	$82.00
Oncoprotein dcp	$82.00
Assay of parathormone	$53.00
Assay ph body fluid nos	$5.00
Exhaled breath condensate	$5.00
Assay for calprotectin fecal	$25.00
Assay of blood pku	$8.00
Assay of phenylketones	$5.00
Assay acid phosphatase	$10.00
Assay prostate phosphatase	$13.00
Assay alkaline phosphatase	$8.00
Assay alkaline phosphatase	$12.00
Assay alkaline phosphatases	$19.00
Assay phosphatidylglycerol	$22.00
Assay of rbc pg6d enzyme	$13.00
Assay phosphohexose enzymes	$14.00
Assay of phosphorus	$7.00
Assay of urine phosphorus	$8.00
Test for porphobilinogen	$8.00
Assay of porphobilinogen	$12.00
Eval amniotic fluid protein	$124.00
Test urine for porphyrins	$18.00
Assay of urine porphyrins	$19.00
Assay of feces porphyrins	$50.00
Assay of serum potassium	$7.00
Assay of urine potassium	$7.00
Assay of prealbumin	$19.00
Assay of pregnanediol	$28.00
Assay of pregnanetriol	$28.00
Assay of pregnenolone	$27.00
Assay of 17-hydroxypregneno	$29.00
Assay of progesterone	$27.00
Procalcitonin (pct)	$35.00
Assay of prolactin	$25.00
Assay of prostaglandin	$53.00
Assay of psa complexed	$24.00
Assay of psa total	$24.00
Assay of psa free	$24.00
Assay of protein serum	$5.00
Assay of protein urine	$5.00
Assay of protein other	$5.00
Assay of protein any source	$8.00
Pappa serum	$20.00
Protein e-phoresis serum	$14.00
Protein e-phoresis/urine/csf	$23.00
Western blot test	$23.00
Protein western blot test	$38.00
Assay rbc protoporphyrin	$19.00
Test rbc protoporphyrin	$13.00
Assay of proinsulin	$34.00
Assay of vitamin b-6	$37.00
Assay of pyruvate	$19.00
Assay of pyruvate kinase	$13.00
Assay of quinine	$15.00
Assay of estrogen	$110.00
Assay of progesterone	$82.00
Assay of endocrine hormone	$90.00
Assay nonendocrine receptor	$47.00
Assay of renin	$28.00
Assay of vitamin b-2	$27.00
Assay of selenium	$33.00
Assay of serotonin	$39.00
Assay of sex hormone globul	$28.00
Assay of sialic acid	$18.00
Assay of silica	$33.00
Assay of serum sodium	$7.00
Assay of urine sodium	$8.00
Assay of sweat sodium	$7.00
Assay of somatomedin	$28.00
Assay of somatostatin	$24.00
Spectrophotometry	$12.00
Body fluid specific gravity	$5.00
Chromatogram assay sugars	$49.00
Sugars single qual	$8.00
Sugars multiple qual	$8.00
Sugars single quant	$15.00
Sugars multiple quant	$15.00
Assay of urine sulfate	$8.00
Assay of free testosterone	$33.00
Assay of total testosterone	$33.00
Testosterone bioavailable	$65.00
Assay of vitamin b-1	$28.00
Assay of thiocyanate	$15.00
Thromboxane urine	$45.00
Assay of thyroglobulin	$22.00
Asy thiopurin s-mthyltrnsfrs	$29.00
Assay of total thyroxine	$9.00
Assay of neonatal thyroxine	$9.00
Assay of free thyroxine	$13.00
Assay of thyroid activity	$19.00
Assay thyroid stim hormone	$22.00
Assay of tsi globulin	$64.00
Assay of vitamin e	$19.00
Assay of transcortin	$23.00
Transferase (ast) (sgot)	$8.00
Alanine amino (alt) (sgpt)	$8.00
Assay of transferrin	$17.00
Assay of triglycerides	$8.00
Assay of thyroid (t3 or t4)	$9.00
Assay triiodothyronine (t3)	$19.00
Free assay (ft-3)	$22.00
T3 reverse	$20.00
Assay of troponin quant	$17.00
Assay duodenal fluid trypsin	$10.00
Test feces for trypsin	$10.00
Assay of feces for trypsin	$13.00
Assay of tyrosine	$14.00
Assay of troponin qual	$14.00
Assay of urea nitrogen	$5.00
Urea nitrogen semi-quant	$8.00
Assay of urine/urea-n	$8.00
Urea-n clearance test	$10.00
Assay of blood/uric acid	$7.00
Assay of urine/uric acid	$8.00
Assay of feces/urobilinogen	$22.00
Test urine urobilinogen	$7.00
Assay of urine urobilinogen	$13.00
Assay of urine urobilinogen	$9.00
Assay of urine vma	$20.00
Assay of vip	$45.00
Assay of vasopressin	$43.00
Assay of vitamin a	$15.00
Assay of nos vitamin	$23.00
Assay of vitamin k	$18.00
Assay of volatiles	$23.00
Xylose tolerance test	$17.00
Assay of zinc	$15.00
Assay of c-peptide	$27.00
Chorionic gonadotropin test	$20.00
Chorionic gonadotropin assay	$10.00
Hcg free betachain test	$20.00
Ovulation tests	$17.00
Bleeding time test	$7.00
Automated diff wbc count	$9.00
Bl smear w/diff wbc count	$5.00
Bl smear w/o diff wbc count	$5.00
Manual diff wbc count b-coat	$8.00
Spun microhematocrit	$9.00
Hematocrit	$4.00
Hemoglobin	$4.00
Complete cbc w/auto diff wbc	$10.00
Complete cbc automated	$9.00
Manual cell count each	$7.00
Automated rbc count	$5.00
Manual reticulocyte count	$7.00
Automated reticulocyte count	$5.00
Reticyte/hgb concentrate	$8.00
Automated leukocyte count	$4.00
Automated platelet count	$7.00
Reticulated platelet assay	$45.00
Chromogenic substrate assay	$15.00
Blood clot retraction	$22.00
Blood clot lysis time	$27.00
Clot factor ii prothrom spec	$17.00
Blooc clot factor v test	$23.00
Clot factor vii proconvertin	$23.00
Clot factor viii ahg 1 stage	$23.00
Clot factor viii reltd antgn	$27.00
Clot factor viii vw ristoctn	$29.00
Clot factor viii vw antigen	$29.00
Clot factor viii multimetric	$29.00
Clot factor ix ptc/chrstmas	$25.00
Clot factor x stuart-power	$23.00
Clot factor xi pta	$23.00
Clot factor xii hageman	$25.00
Clot factor xiii fibrin stab	$22.00
Clot factor xiii fibrin scrn	$13.00
Clot factor fletcher fact	$24.00
Clot factor wght kininogen	$24.00
Antithrombin iii activity	$15.00
Antithrombin iii antigen	$14.00
Clot inhibit prot c antigen	$17.00
Clot inhibit prot c activity	$18.00
Clot inhibit prot s total	$15.00
Clot inhibit prot s free	$20.00
Assay activated protein c	$20.00
Factor inhibitor test	$17.00
Thrombomodulin	$23.00
Coagulation time lee & white	$7.00
Coagulation time activated	$7.00
Coagulation time otr method	$7.00
Euglobulin lysis	$12.00
Fibrin degradation products	$9.00
Fibrinogen test	$102.00
Fibrinogen test	$17.00
Fibrin degrade semiquant	$13.00
Fibrin degradation quant	$14.00
Fibrin degradj d-dimer	$14.00
Fibrinogen activity	$13.00
Fibrinogen antigen	$19.00
Fibrinolysins screen i&r	$20.00
Clotting funct activity	$39.00
Fibrinolytic plasmin	$10.00
Fibrinolytic antiplasmin	$10.00
Fibrinolytic plasminogen	$23.00
Fibrinolytic plasminogen	$9.00
Fibrinolytic plasminogen	$14.00
Heinz bodies direct	$7.00
Heinz bodies induced	$9.00
Hemoglobin fetal	$10.00
Hemoglobin fetal	$13.00
Hemolysin acid	$12.00
Heparin assay	$18.00
Heparin neutralization	$15.00
Heparin-protamine tolerance	$18.00
Iron stain peripheral blood	$9.00
Wbc alkaline phosphatase	$12.00
Rbc mechanical fragility	$12.00
Muramidase	$24.00
Rbc osmotic fragility	$10.00
Rbc osmotic fragility	$18.00
Blood platelet aggregation	$32.00
Phospholipid pltlt neutraliz	$23.00
Hexagnal phosph pltlt neutrl	$23.00
Prothrombin time	$7.00
Prothrombin test	$5.00
Viper venom prothrombin time	$23.00
Russell viper venom diluted	$13.00
Reptilase test	$13.00
Rbc sed rate nonautomated	$7.00
Rbc sed rate automated	$4.00
Rbc sickle cell test	$8.00
Thrombin time plasma	$8.00
Thrombin time titer	$9.00
Thromboplastin inhibition	$13.00
Thromboplastin time partial	$9.00
Thromboplastin time partial	$9.00
Blood viscosity examination	$15.00
Agglutinins febrile antigen	$9.00
Allergen specific igg	$10.00
Allg spec ige crude xtrc ea	$8.00
Allg spec ige multiallg scr	$10.00
Allg spec ige recomb ea	$23.00
Actin antibody each	$17.00
Wbc antibody identification	$20.00
Platelet antibodies	$24.00
Immunoglobulin assay	$17.00
Anca screen each antibody	$17.00
Anca titer each antibody	$17.00
Antinuclear antibodies	$17.00
Antinuclear antibodies (ana)	$15.00
Aquaporin-4 antb elisa	$15.00
Aquaporin-4 antb cba each	$17.00
Aqaprn-4 antb flo cytmtry ea	$48.00
Antistreptolysin o titer	$10.00
Antistreptolysin o screen	$8.00
C-reactive protein	$8.00
C-reactive protein hs	$17.00
Beta-2 glycoprotein antibody	$33.00
Cardiolipin antibody ea ig	$33.00
Anti-phospholipid antibody	$22.00
Cell enumeration & id	$314.00
Chemotaxis assay	$20.00
Cold agglutinin screen	$12.00
Cold agglutinin titer	$12.00
Complement antigen	$15.00
Complement/function activity	$15.00
Complement total (ch50)	$27.00
Complement fixation each	$14.00
Ccp antibody	$17.00
Deoxyribonuclease antibody	$18.00
Dna antibody native	$18.00
Dna antibody single strand	$17.00
Ema each ig class	$17.00
Nuclear antigen antibody	$23.00
Fluorescent antibody screen	$17.00
Fluorescent antibody titer	$17.00
Dgp antibody each ig class	$17.00
Growth hormone antibody	$20.00
Hemagglutination inhibition	$12.00
Immunoassay tumor qual	$33.00
Immunoassay tumor ca 15-3	$27.00
Immunoassay tumor ca 19-9	$27.00
Immunoassay tumor ca 125	$27.00
Human epididymis protein 4	$27.00
Heterophile antibody titer	$9.00
Heterophile antibody absrbj	$10.00
Immunoassay tumor other	$27.00
Immunoassay infectious agent	$19.00
Ia infectious agent antibody	$24.00
Serum immunoelectrophoresis	$38.00
Other immunoelectrophoresis	$30.00
Immunoelectrophoresis assay	$38.00
Ia nfct ab sarscov2 covid19	$58.00
Immunodiffusion nes	$19.00
Immunodiffusion ouchterlony	$15.00
Immune complex assay	$32.00
Immunofix e-phoresis serum	$29.00
Immunfix e-phorsis/urine/csf	$38.00
Inhibin a	$20.00
Insulin antibodies	$28.00
Intrinsic factor antibody	$20.00
Islet cell antibody	$30.00
Leukocyte histamine release	$17.00
Leukocyte phagocytosis	$14.00
Cell function assay w/stim	$170.00
Lymphocyte transformation	$63.00
B cells total count	$48.00
Mononuclear cell antigen	$34.00
Nk cells total count	$48.00
T cells total count	$48.00
T cell absolute count/ratio	$59.00
T cell absolute count	$34.00
Mog-igg1 antb cba each	$17.00
Mog-igg1 antb flo cytmtry ea	$48.00
Tiss trnsgltmnase ea ig clas	$15.00
Stem cells total count	$98.00
Microsomal antibody each	$19.00
Mitochondrial antibody each	$33.00
Neutralization test viral	$22.00
Nitroblue tetrazolium dye	$18.00
Nuclear matrix protein 22	$28.00
Particle agglut antbdy scrn	$15.00
Particle agglut antbdy titr	$14.00
Neutrlzg antb sarscov2 scr	$54.00
Neutrlzg antb sarscov2 titer	$0.00
Sars-cov-2 antb quantitative	$0.00
Rheumatoid factor test qual	$9.00
Rheumatoid factor quant	$8.00
Tb test cell immun measure	$78.00
Tb ag response t-cell susp	$125.00
Streptokinase antibody	$17.00
Syphilis test non-trep qual	$7.00
Syphilis test non-trep quant	$7.00
Voltage-gtd ca chnl antb ea	$17.00
Antinomyces antibody	$14.00
Adenovirus antibody	$17.00
Aspergillus antibody	$20.00
Bacterium antibody	$17.00
Bartonella antibody	$14.00
Blastomyces antibody	$17.00
Bordetella antibody	$18.00
Lyme disease antibody	$20.00
Lyme disease antibody	$23.00
Borrelia antibody	$18.00
Brucella antibody	$12.00
Campylobacter antibody	$18.00
Candida antibody	$17.00
Chlamydia antibody	$15.00
Chlamydia igm antibody	$17.00
Coccidioides antibody	$15.00
Q fever antibody	$17.00
Cryptococcus antibody	$19.00
Cmv antibody	$19.00
Cmv antibody igm	$22.00
Diphtheria antibody	$20.00
Encephalitis californ antbdy	$18.00
Encephaltis east eqne anbdy	$18.00
Encephaltis st louis antbody	$18.00
Encephaltis west eqne antbdy	$18.00
Enterovirus antibody	$18.00
Epstein-barr antibody	$18.00
Epstein-barr nuclear antigen	$20.00
Epstein-barr capsid vca	$24.00
Ehrlichia antibody	$14.00
Francisella tularensis	$19.00
Fungus nes antibody	$17.00
Giardia lamblia antibody	$19.00
Helicobacter pylori antibody	$22.00
Helminth antibody	$18.00
Hemophilus influenza antibdy	$20.00
Htlv-i antibody	$13.00
Htlv-ii antibody	$18.00
Htlv/hiv confirmj antibody	$25.00
Hepatitis delta agent antbdy	$23.00
Herpes simplex nes antbdy	$19.00
Herpes simplex type 1 test	$18.00
Herpes simplex type 2 test	$25.00
Histoplasma antibody	$18.00
Hiv-1antibody	$12.00
Hiv-2 antibody	$18.00
Hiv-1/hiv-2 1 result antbdy	$18.00
Hep b core antibody total	$17.00
Hep b core antibody igm	$15.00
Hep b surface antibody	$14.00
Hepatitis be antibody	$15.00
Hepatitis a antibody	$17.00
Hepatitis a igm antibody	$15.00
Influenza virus antibody	$18.00
John cunningham antibody	$22.00
Legionella antibody	$20.00
Leishmania antibody	$17.00
Leptospira antibody	$22.00
Listeria monocytogenes	$18.00
Lymph choriomeningitis ab	$17.00
Mucormycosis antibody	$19.00
Mumps antibody	$18.00
Mycoplasma antibody	$18.00
Neisseria meningitidis	$18.00
Nocardia antibody	$20.00
Parvovirus antibody	$20.00
Malaria antibody	$18.00
Protozoa antibody nos	$17.00
Respiratory virus antibody	$20.00
Rickettsia antibody	$25.00
Rotavirus antibody	$24.00
Rubella antibody	$19.00
Rubeola antibody	$17.00
Salmonella antibody	$18.00
Sars-cov-2 covid-19 antibody	$54.00
Shigella antibody	$32.00
Tetanus antibody	$19.00
Toxoplasma antibody	$19.00
Toxoplasma antibody igm	$19.00
Treponema pallidum	$18.00
Trichinella antibody	$17.00
Varicella-zoster antibody	$17.00
West nile virus ab igm	$22.00
West nile virus antibody	$19.00
Virus antibody nos	$17.00
Yersinia antibody	$18.00
Zika virus igm antibody	$22.00
Thyroglobulin antibody	$20.00
Hepatitis c ab test	$19.00
Hep c ab test confirm	$20.00
Lymphocytotoxicity assay	$238.00
Lymphocytotoxicity assay	$60.00
Cytotoxic antibody screening	$99.00
Cytotoxic antibody screening	$38.00
Hla typing a b or c	$33.00
Hla typing a b or c	$73.00
Hla typing dr/dq	$39.00
Hla typing dr/dq	$134.00
Lymphocyte culture mixed	$47.00
Hla x-math non-cytotoxic	$138.00
Hla x-match noncytotoxc addl	$47.00
Hla class i&ii antibody qual	$82.00
Hla class i/ii antibody qual	$82.00
Hla class i phenotype qual	$120.00
Hla class ii phenotype qual	$103.00
Hla class i high defin qual	$405.00
Hla class ii high defin qual	$408.00
Hla class i semiquant panel	$448.00
Hla class ii semiquant panel	$404.00
Rbc antibody screen	$13.00
Coombs test direct	$8.00
Coombs test indirect qual	$8.00
Coombs test indirect titer	$8.00
Blood typing serologic abo	$4.00
Blood typing serologic rh(d)	$4.00
Blood type antigen donor ea	$9.00
Blood typing patient serum	$22.00
Blood typing rbc antigens	$5.00
Bld typing serologic rh phnt	$10.00
Hemolysins/agglutinins auto	$12.00
Hemolysins/agglutinins	$17.00
Small animal inoculation	$22.00
Specimen infect agnt concntj	$9.00
Blood culture for bacteria	$14.00
Feces culture aerobic bact	$13.00
Stool cultr aerobic bact ea	$13.00
Culture othr specimn aerobic	$12.00
Culture aerobic quant other	$13.00
Culture bacteria anaerobic	$13.00
Cultr bacteria except blood	$13.00
Culture anaerobe ident each	$12.00
Culture aerobic identify	$12.00
Culture screen only	$9.00
Culture of specimen by kit	$35.00
Urine culture/colony count	$12.00
Urine bacteria culture	$12.00
Skin fungi culture	$10.00
Fungus isolation culture	$12.00
Blood fungus culture	$27.00
Fungi identification yeast	$14.00
Fungi identification mold	$14.00
Mycoplasma	$20.00
Chlamydia culture	$25.00
Mycobacteria culture	$14.00
Mycobacteric identification	$19.00
Culture type immunofluoresc	$8.00
Culture typing glc/hplc	$17.00
Culture type immunologic	$8.00
Dna/rna direct probe	$27.00
Dna/rna amplified probe	$45.00
Culture type pulse field gel	$10.00
Dna/rna sequencing	$145.00
Cul typ id bld pthgn 6+ trgt	$274.00
Culture typing added method	$10.00
Dark field examination	$14.00
Dark field examination	$15.00
Macroscopic exam arthropod	$7.00
Macroscopic exam parasite	$7.00
Pinworm exam	$7.00
Tissue homogenization cultr	$8.00
Ova and parasites smears	$12.00
Microbe susceptible diffuse	$7.00
Microbe susceptible disk	$10.00
Microbe susceptible enzyme	$7.00
Microbe susceptible mic	$12.00
Microbe susceptible mlc	$52.00
Microbe suscept macrobroth	$9.00
Microbe suscept mycobacteri	$10.00
Bactericidal level serum	$20.00
Smear gram stain	$7.00
Smear fluorescent/acid stai	$8.00
Smear special stain	$8.00
Smear complex stain	$23.00
Smear wet mount saline/ink	$8.00
Tissue exam for fungi	$7.00
Assay toxin or antitoxin	$25.00
Virus inoculate eggs/animal	$25.00
Virus inoculation tissue	$34.00
Virus inoculate tissue addl	$27.00
Virus inoculation shell via	$25.00
Genet virus isolate hsv	$43.00
Adenovirus ag if	$19.00
Pertussis ag if	$15.00
Enterovirus antibody dfa	$18.00
Giardia ag if	$18.00
Chlamydia trachomatis ag if	$15.00
Cytomegalovirus dfa	$18.00
Cryptosporidium ag if	$15.00
Herpes simplex 2 ag if	$15.00
Herpes simplex 1 ag if	$15.00
Influenza b ag if	$17.00
Influenza a ag if	$22.00
Legion pneumophilia ag if	$20.00
Parainfluenza ag if	$22.00
Respiratory syncytial ag if	$18.00
Pneumocystis carinii ag if	$15.00
Rubeola ag if	$77.00
Treponema pallidum ag if	$17.00
Varicella zoster ag if	$18.00
Antibody detection nos if	$22.00
Ag detection polyval if	$15.00
Adenovirus ag ia	$15.00
Aspergillus ag ia	$15.00
Chlmyd trach ag ia	$19.00
Clostridium ag ia	$15.00
Cryptococcus neoform ag ia	$18.00
Cryptosporidium ag ia	$18.00
Giardia ag ia	$15.00
Cytomegalovirus ag ia	$15.00
E coli 0157 ag ia	$17.00
Entamoeb hist dispr ag ia	$20.00
Entamoeb hist group ag ia	$15.00
Hpylori stool ag ia	$19.00
H pylori ag ia	$20.00
Hepatitis b surface ag ia	$14.00
Hep b surface ag neutrlzj ia	$14.00
Hepatitis be ag ia	$15.00
Hepatitis delta agent ag ia	$24.00
Histoplasma capsul ag ia	$18.00
Hiv-1 ag w/hiv-1&-2 ab ag ia	$32.00
Hiv-1 ag ia	$32.00
Hiv-2 ag ia	$28.00
Influenza a/b each ag ia	$19.00
Resp syncytial virus ag ia	$18.00
Rotavirus ag ia	$15.00
Sarscov coronavirus ag ia	$45.00
Shiga-like toxin ag ia	$15.00
Sarscov & inf vir a&b ag ia	$0.00
Strep a ag ia	$22.00
Nos each organism ag ia	$15.00
Polyvalent mult org ea ag ia	$14.00
Hepatitis b surface ag quan	$20.00
Anaplsma phgcytophlm amp prb	$45.00
Babesia microti amp prb	$45.00
Bartonella dna amp probe	$45.00
Bartonella dna quant	$54.00
Lyme dis dna dir probe	$27.00
Lyme dis dna amp probe	$45.00
Borrelia miyamotoi amp prb	$45.00
Candida dna dir probe	$27.00
Candida dna amp probe	$45.00
Candida dna quant	$70.00
Cns dna amp probe type 12-25	$522.00
Ehrlicha chaffeensis amp prb	$45.00
Chlmyd pneum dna dir probe	$27.00
Chlmyd pneum dna amp probe	$45.00
Chlmyd pneum dna quant	$54.00
Chlmyd trach dna dir probe	$29.00
Chlmyd trach dna amp probe	$45.00
Chlmyd trach dna quant	$68.00
C diff amplified probe	$48.00
Cytomeg dna dir probe	$39.00
Cytomeg dna amp probe	$45.00
Cytomeg dna quant	$54.00
Enterovirus probe&revrs trns	$45.00
Vanomycin dna amp probe	$45.00
Influenza dna amp prob 1+	$65.00
Influenza dna amp probe	$120.00
Influenza dna amp prob addl	$38.00
Nfct agent detection gi	$162.00
Iadna-dna/rna probe tq 6-11	$329.00
Iadna-dna/rna probe tq 12-25	$522.00
Gardner vag dna dir probe	$27.00
Gardner vag dna amp probe	$45.00
Gardner vag dna quant	$53.00
Hepatitis b dna amp probe	$45.00
Hepatitis b dna quant	$54.00
Hepatitis c rna dir probe	$40.00
Hepatitis c probe&rvrs trnsc	$45.00
Hepatitis c revrs trnscrpj	$54.00
Hepatitis g dna dir probe	$38.00
Hepatitis g dna amp probe	$50.00
Hepatitis g dna quant	$53.00
Hsv dna dir probe	$27.00
Hsv dna amp probe	$45.00
Hsv dna quant	$54.00
Hhv-6 dna dir probe	$73.00
Hhv-6 dna amp probe	$45.00
Hhv-6 dna quant	$53.00
Hiv-1 dna dir probe	$28.00
Hiv-1 probe&reverse trnscrpj	$45.00
Hiv-1 quant&revrse trnscrpj	$108.00
Hiv-2 dna dir probe	$28.00
Hiv-2 probe&revrse trnscripj	$45.00
Hiv-2 quant&revrse trnscripj	$74.00
Legion pneumo dna dir prob	$27.00
Legion pneumo dna amp prob	$45.00
Legion pneumo dna quant	$53.00
Mycobacteria dna dir probe	$27.00
Mycobacteria dna amp probe	$62.00
Mycobacteria dna quant	$54.00
M.tuberculo dna dir probe	$34.00
M.tuberculo dna amp probe	$53.00
M.tuberculo dna quant	$54.00
M.avium-intra dna dir prob	$35.00
M.avium-intra dna amp prob	$45.00
M.avium-intra dna quant	$54.00
M. genitalium amp probe	$45.00
M.pneumon dna dir probe	$27.00
M.pneumon dna amp probe	$45.00
M.pneumon dna quant	$379.00
N.gonorrhoeae dna dir prob	$34.00
N.gonorrhoeae dna amp prob	$45.00
N.gonorrhoeae dna quant	$54.00
Orthopoxvirus amp prb each	$0.00
Hpv low-risk types	$45.00
Hpv high-risk types	$45.00
Hpv types 16 & 18 only	$52.00
Resp virus 3-5 targets	$179.00
Resp virus 6-11 targets	$274.00
Resp virus 12-25 targets	$522.00
Rsv dna/rna amp probe	$89.00
Sars-cov-2 covid-19 amp prb	$65.00
Sarscov2 & inf a&b amp prb	$179.00
Sarscov2&inf a&b&rsv amp prb	$179.00
Staph a dna amp probe	$45.00
Mr-staph dna amp probe	$45.00
Strep a dna dir probe	$27.00
Strep a dna amp probe	$45.00
Strep a dna quant	$53.00
Strep b dna amp probe	$45.00
Trichomonas vagin dir probe	$27.00
Trichomonas vaginalis amplif	$45.00
Zika virus dna/rna amp probe	$65.00
Detect agent nos dna dir	$39.00
Detect agent nos dna amp	$45.00
Detect agent nos dna quant	$54.00
Detect agnt mult dna direc	$55.00
Detect agnt mult dna ampli	$89.00
Strep b assay w/optic	$17.00
Clostridium toxin a w/optic	$20.00
Hiv ag w/hiv1&2 antb w/optic	$42.00
Trichomonas assay w/optic	$20.00
Adenovirus assay w/optic	$28.00
Chlmyd trach assay w/optic	$45.00
N. gonorrhoeae assay w/optic	$32.00
Agent nos assay w/optic	$22.00
Phenotype infect agent drug	$164.00
Nfct agt gntyp alys hiv1 rev	$323.00
Nfct agt gntyp alys hep c	$323.00
Phenotype dna hiv w/culture	$612.00
Phenotype dna hiv w/clt add	$34.00
Sialidase enzyme assay	$17.00
Nfct agt gntyp alys hiv1	$162.00
Nfct agt gntyp alys cmv	$323.00
Nfct agt gntyp alys hep b	$323.00
Nfct agt gntyp alys sarscov2	$323.00
Sex chromatin identification	$23.00
Sex chromatin identification	$10.00
Cytopath c/v thin layer	$27.00
Cytopath c/v thin layer redo	$30.00
Cytopath c/v automated	$64.00
Cytopath c/v auto rescreen	$23.00
Cytopath c/v manual	$23.00
Cytopath c/v auto redo	$35.00
Cytopath c/v redo	$32.00
Cytopath c/v index add-on	$19.00
Cytopath tbs c/v manual	$23.00
Cytopath tbs c/v redo	$54.00
Cytopath tbs c/v auto redo	$23.00
Cytopath tbs c/v select	$23.00
Cytopath c/v auto in fluid	$33.00
Cytopath c/v auto fluid redo	$34.00
Tissue culture lymphocyte	$147.00
Tissue culture skin/biopsy	$177.00
Tissue culture placenta	$189.00
Tissue culture bone marrow	$180.00
Tissue culture tumor	$185.00
Cell cryopreserve/storage	$18.00
Frozen cell preparation	$17.00
Chromosome analysis 20-25	$218.00
Chromosome analysis 50-100	$218.00
Chromosome analysis 100	$218.00
Chromosome analysis 5	$332.00
Chromosome analysis 15-20	$158.00
Chromosome analysis 45	$189.00
Chromosome analysis 20-25	$182.00
Chromosome analys placenta	$237.00
Chromosome analys amniotic	$218.00
Cytogenetics dna probe	$28.00
Cytogenetics 3-5	$52.00
Cytogenetics 10-30	$44.00
Cytogenetics 25-99	$54.00
Cytogenetics 100-300	$65.00
Chromosome karyotype study	$43.00
Chromosome banding study	$87.00
Chromosome count additional	$34.00
Chromosome study additional	$44.00
Protein western blot tissue	$29.00
Protein analysis w/probe	$34.00
Bilirubin total transcut	$8.00
Hgb quant transcutaneous	$8.00
Transcutaneous carboxyhb	$13.00
Transcutaneous methb	$13.00
Body fluid cell count	$7.00
Body fluid cell count	$8.00
Leukocyte assessment fecal	$7.00
Exam synovial fluid crystals	$10.00
Specimen fat stain	$8.00
Exam feces for meat fibers	$7.00
Nasal smear for eosinophils	$8.00
Semen analysis w/huhner	$13.00
Semen analysis w/count	$12.00
Semen anal vol/count/mot	$17.00
Semen anal sperm detection	$17.00
Semen anal strict criteria	$20.00
Sperm antibody test	$14.00
Sperm evaluation test	$25.00
Evaluation cervical mucus	$14.00
Wet mounts/ w preparations	$23.00
Potassium hydroxide preps	$8.00
Pinworm examinations	$7.00
Fern test	$13.00
Post-coital mucous exam	$32.00
2019-ncov diagnostic p	$45.00
Covid-19 lab test non-cdc	$65.00
Cov-19 amp prb hgh thruput	$94.00
Cov-19 test non-cdc hgh thru	$94.00
Infec agen detec ampli probe	$32.00
Hep b ig im	$162.00
Rabies ig im/sc	$349.00
Rabies ig heat treated	$402.00
Rabies ig ht&sol human im/sc	$310.00
Bcg vaccine intravesical	$180.00
Hepa vaccine adult im	$89.00
Iiv no prsv increased ag im	$88.00
Pcv13 vaccine im	$323.00
PCV15 vaccine IM	$309.00
Laiv4 vaccine intranasal	$34.00
Cciiv4 vac no prsv 0.5 ml im	$42.00
Rabies vaccine im	$445.00
Pcv20 vaccine im	$355.00
Riv4 vacc recombinant dna im	$88.00
Iiv4 vacc no prsv 0.5 ml im	$28.00
Iiv4 vaccine splt 0.25 ml im	$14.00
Iiv4 vaccine splt 0.5 ml im	$27.00
Vacc AIIV4 no prsrv 0.5ML IM	$90.00
Td vacc no presv 7 yrs+ im	$35.00
Tdap vaccine 7 yrs/> im	$48.00
Ppsv23 vacc 2 yrs+ subq/im	$168.00
Hepb vacc 2 dose adult im	$192.00
Hepb vacc 3 dose immunsup im	$184.00
Hep b vacc, adol, 2 dose, im	$93.00
Hepb vacc 3 dose ped/adol im	$38.00
Hepb vaccine 3 dose adult im	$89.00
Hepb vacc 4 dose immunsup im	$177.00
Cciiv4 vacc abx free im	$39.00
Hep b vac 3ag 10mcg 3 dos im	$93.00
Adenosine inj 1mg	$2.00
Adrenalin epinephrine inject	$2.00
Inj, aducanumab-avwa, 2 mg	$8.00
Ampicillin 500 mg inj	$2.00
Inj., plazomicin, 5 mg	$5.00
Ampicillin sulbactam 1.5 gm	$4.00
Inj cefazolin sodium, baxter	$3.00
Cefazolin sodium injection	$2.00
Inj lefamulin 1 mg	$2.00
Cefepime hcl for injection	$3.00
Cefoxitin sodium injection	$7.00
Inj ceftolozane tazobactam	$9.00
Ceftriaxone sodium injection	$2.00
Sterile cefuroxime injection	$4.00
Inj. cefepime hcl (baxter)	$8.00
Betamethasone acet&sod phosp	$9.00
Inj, cefepime hcl (b braun)	$8.00
Ceftaroline fosamil inj	$5.00
Inj ceftazidime per 500 mg	$3.00
Ceftazidime and avibactam	$115.00
Certolizumab pegol inj 1mg	$8.00
Chloramphenicol sodium injec	$53.00
Chorionic gonadotropin/1000u	$29.00
Clonidine hydrochloride	$29.00
Cidofovir injection	$788.00
Inj testosterone cypionate	$2.00
Dexamethasone sodium phos	$2.00
Inj dihydroergotamine mesylt	$73.00
Acetazolamid sodium injectio	$30.00
Digoxin injection	$12.00
Ketorolac tromethamine inj	$2.00
Furosemide injection	$2.00
Lidocaine injection	$2.00
Inj progesterone per 50 mg	$2.00
Inj testostero enanthate 1mg	$2.00
Testosterone undecanoate 1mg	$3.00
Chlorpromazine hcl injection	$47.00
Thyrotropin injection	$2,407.00
Trimethobenzamide hcl inj	$55.00
Tobramycin sulfate injection	$4.00
Triamcinolone a inj prs-free	$7.00
Triamcinolone acet inj nos	$3.00
Inj triamcinolone ace xr 1mg	$22.00
Triptorelin pamoate	$469.00
5% dextrose/normal saline	$3.00
Normal saline solution infus	$2.00
5% dextrose/water	$3.00
D5w infusion	$5.00
Ringers lactate infusion	$4.00
Dexamethasone intra implant	$250.00
Prednisolone oral per 5 mg	$2.00
Antithymocyte globuln rabbit	$1,112.00
Prednisone ir or dr oral 1mg	$2.00
Cyclosporine oral 25 mg	$2.00
Cyclosporin parenteral 250mg	$64.00
Albuterol non-comp con	$2.00
Levalbuterol non-comp con	$2.00
Albuterol non-comp unit	$2.00
Levalbuterol non-comp unit	$2.00
Albuterol ipratrop non-comp	$2.00
Budesonide non-comp unit	$2.00
Oral dexamethasone	$2.00
Ondansetron oral	$2.00
Admin pneumococcal vaccine	$0.00
Admin hepatitis b vaccine	$0.00
Ca screen;pelvic/breast exam	$50.00
Prostate ca screening; dre	$30.00
Ca screen;flexi sigmoidscope	$238.00
Colorectal scrn; hi risk ind	$433.00
Colorectal scrn; hi risk ind	$217.00
Colon ca screen;barium enema	$287.00
Colon ca screen;barium enema	$210.00
Colon ca screen;barium enema	$77.00
Diab manage trn per indiv	$69.00
Diab manage trn ind/group	$20.00
Glaucoma scrn hgh risk direc	$82.00
Glaucoma scrn hgh risk direc	$54.00
Colon ca scrn; barium enema	$287.00
Colon ca scrn; barium enema	$210.00
Colon ca scrn; barium enema	$77.00
Colon ca scrn not hi rsk ind	$433.00
Colon ca scrn not hi rsk ind	$217.00
Colon ca scrn; barium enema	$414.00
Colon ca scrn; barium enema	$355.00
Colon ca scrn; barium enema	$60.00
Screen c/v thin layer by md	$30.00
Single energy x-ray study	$47.00
Single energy x-ray study	$33.00
Single energy x-ray study	$14.00
Scr c/v cyto,autosys and md	$30.00
Wound closure by adhesive	$159.00
Mnt subs tx for change dx	$42.00
Group mnt 2 or more 30 mins	$22.00
Initial preventive exam	$209.00
Ekg for initial prevent exam	$19.00
Ekg tracing for initial prev	$9.00
Ekg interpret & report preve	$12.00
Ppps, initial visit	$209.00
Ppps, subseq visit	$164.00
Annual alcohol screen 15 min	$24.00
Brief alcohol misuse counsel	$33.00
Depression screen annual	$24.00
High inten beh couns std 30m	$35.00
Intens behave ther cardio dx	$34.00
Behavior counsel obesity 15m	$33.00
Group behave couns 2-10	$17.00
Remot image submit by pt	$17.00
Brief check in by md/qhp	$19.00
Tixagev and cilgav inj	$0.00
Tixagev and cilgav inj hm	$0.00
Bebtelovimab injection	$0.00
Bebtelovimab injection home	$0.00
Sotrovimab infusion	$0.00
Sotrovimab inf, home admin	$0.00
Nonneedle injection device	$0.00
Non coring needle or stylet	$0.00
Belt strap sleev grmnt cover	$0.00
Above knee surgical stocking	$0.00
Thigh length surg stocking	$0.00
Below knee surgical stocking	$0.00
Full length surg stocking	$0.00
Surgical trays	$0.00
Slings	$0.00
Should sling/vest/abrestrain	$0.00
Splint	$0.00
Cast supplies (plaster)	$0.00
Automatic bp monitor, dial	$0.00
Non-sterile gauze > 48 sq in	$0.00
Wound cleanser any type/size	$0.00
Sterile gauze > 48 sq in	$0.00
Occlusive eye patch	$0.00
Adhesive bandage, first-aid	$0.00
G compression stocking	$0.00
Misc/exper non-prescript dru	$0.00
Hot/cold botle/cap/col/wrap	$0.00
Supply/accessory/service	$0.00
Crutch forearm pair	$130.00
Crutch forearm each	$89.00
Crutch underarm pair wood	$63.00
Crutch underarm each wood	$37.00
Crutch underarm pair no wood	$79.00
Crutch underarm each no wood	$47.00
Walker folding adjust/fixed	$0.00
Protector heel or elbow	$18.00
Bld glucose monitor w lance	$314.00
Cerv flex n/adj foam pre ots	$48.00
Cerv col sr foam 2pc pre ots	$228.00
Thor rib belt custom fabrica	$220.00
Tlso flex trunk/thor pre ots	$0.00
Lo flex l1-below l5 pre ots	$0.00
Lo sag rig pnl stays pre cst	$134.00
Lo sag ri an/pos pnl pre cst	$703.00
Ko elastic with joints	$177.00
Ko elas w/ condyle pads & jo	$233.00
Knee orth pos locking joint	$504.00
Ko adj jnt pos r sup pre cst	$1,088.00
Afo ankle gauntlet pre ots	$144.00
Afo multilig ank sup pre ots	$215.00
Afo sing upright w/ adjust s	$625.00
Afo plastic	$424.00
Tibial length sock fx or equ	$79.00
Woman's shoe oxford brace	$107.00
Man's shoe oxford brace	$122.00
O shoe add instep velcro clo	$112.00
So 8 abd restraint pre ots	$104.00
So 8 ab rstr can/web pre ots	$180.00
So acro/clav can web pre ots	$199.00
Eo w/o joints cf	$449.00
Eo elas w/metal jnts pre ots	$217.00
Who cock-up nonmolde pre ots	$105.00
Hfo without joints pre cst	$153.00
Hfo without joints pre ots	$153.00
Fo pip dip jnt/sprng pre ots	$88.00
Fo pip dip no jt spr pre ots	$55.00
Hfo nontorsion jnts pre cst	$138.00
Hfo nontorsion jnts pre ots	$138.00
Whfo nontorsion joint prefab	$320.00
Fo w/o joints cf	$333.00
Fo nontorsion joint cf	$344.00
Up ext fx orthos humeral nos	$542.00
Ue fx orth shoul cap forearm	$1,565.00
Upper ext fx orthosis rad/ul	$654.00
Upper ext fx orthosis wrist	$603.00
Replace molded calf lacer	$739.00
Replace non-molded calf lace	$479.00
Replace high roll cuff	$569.00
Ankle control ortho pre ots	$160.00
Pneumat walking boot pre cst	$495.00
Pneuma/vac walk boot pre ots	$495.00
Pneum full leg splnt pre ots	$338.00
Non-pneum walk boot pre cst	$272.00
Non-pneum walk boot pre ots	$272.00
Static or dynami afo pre cst	$287.00
Static or dynami afo pre ots	$287.00
Ak sleeve susp neoprene/equa	$312.00
New Preventive Eval up to 1 yr	$219.00
New Preventive Eval 1-4 yrs	$225.00
New Preventive Eval 5-11 yrs	$238.00
New Preventive Eval 12-17 yrs	$282.00
New Preventive Eval 18-39 yrs	$263.00
New Preventive Eval 40-64 yrs	$319.00
New Preventive Eval 65 yrs	$350.00
Est Prev Eval under 1yr	$188.00
Est Prev Eval 1-4 yrs	$219.00
Est Prev Eval 5-11 yrs	$219.00
Est Prev Eval 12-17 yrs	$225.00
Est Prev Eval 18-39 yrs	$238.00
Est Prev Eval 40-64 yrs	$238.00
Est Prev Eval 65 yrs	$275.00
GLOBAL FEE UC CENTERS	$0.00
SERVICES PROV IN UC	$0.00
MED SERV, EVE/WKEND/HOL	$0.00
ELECTROCARDIOGRAM COMPLET	$20.00
ELECTROCARDIOGRAM TRACING	$20.00
ELECTROCARDIOGRAM REPORT	$20.00
Sc ther infusionResetPump	$15.00
Ther/proph/diag inj sc/im	$5.00
ADMN SARSCOV2 VACC 1 DOSE	$45.00
SARSCOV2 3MCG TRS SUC IM	$70.00
SARSCV2 10MCG TRS SUC IM	$95.00
SARSCV2 30MCG TRS SUC IM	$140.00
SARSCOV2 25MCG/.25ML IM	$155.00
SARSCOV2 50MCG/0.5ML IM	$155.00
THER/PROPH/DIAG INJ, IV P	$70.00
TX/PRO/DX INJ NEW DRUG AD	$35.00
HYDRATE IV INFUSION, INIT	$60.00
HYDRATE IV INFUSION, SUB	$30.00
THER/PROPH/DG IV INF INIT	$120.00
THER/PROPH/DG IV INF SUB	$40.00
TX/PROPH/DG ADDLSEQ IV IN	$55.00
THER/DIAG CONCURRENT INF	$40.00
AIRWAY INHALATION TREATMT	$20.00
SPIROMETRY	$55.00
VITAL CAPACITY TEST	$20.00
PULSE OX, SINGLE	$10.00
PULSE OX, MULTIPLE	$15.00
PELVIC EXAM	$25.00
REMOVE EAR WAX UNILATERAL	$20.00
REMOVE EAR WAX BILATERAL	$50.00
LUMBAR RIB PAD	$100.00

Direct Primary Care

Men's Health

100

$100

Physical Exam

starting at

75

$75

X-Ray

100

$100

Weight Loss

95

$95

Follow up $45

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