Chargemaster

What you need to know about the chargemaster

What you need to know about the chargemaster

Scripps Health is committed to being transparent about our charges. The information provided below contains a comprehensive listing of the charges for inpatient and outpatient services provided by our hospitals, also known as the chargemaster


While the Centers for Medicare and Medicaid Services (CMS) requires hospitals to make their standard charges public, the chargemaster is not a intended to be used by patients to comparison shop between hospitals or to estimate the actual cost of health care services.


Actual charges and out-of-pocket expenses vary greatly depending on the specific patient care services you receive, the terms of your insurance coverage and annual deductible, and/or your eligibility for financial assistance.


Therefore, the chargemaster list does not provide an accurate estimate of individual out-of-pocket expenses for services. For more information about the cost of your care or to request an individualized estimate, please contact our patient financial services staff:

 


If you have already scheduled a test or service at one of our hospitals, please have your upcoming date of service readily available. If you have insurance, please have your insurance card available when you call. This will assist us in providing you a better estimate. 


Please understand the information provided will be an estimate based on the information available before services are rendered and is not a guarantee. In some cases, additional services may be needed.

Scripps chargemaster

Charge DescriptionPrice
Anesthesia - Each Add'l 30 Min1,313
Anesthesia - Initial 60 Min2,626
Cardiac Cath Level I Ea Addl 30 Min2,937
Cardiac Cath Level I Init 60 Min5,871
Cardiac Cath Level II Ea Addl 30 Min4,509
Cardiac Cath Level II Init 60 Min9,016
Cardiac Cath Level III Ea Addl 30 Min6,641
Cardiac Cath Level III Init 60 Min13,282
Cardiac Cath Level IV Ea Addl 30 Min11,433
Cardiac Cath Level IV Init 60 Min22,869
Cardiac Cath Level V Ea Addl 30 Min15,150
Cardiac Cath Level V Init 60 Min30,302
Procedure Room Time - Ea Addl 30 Min433
Procedure Room Time - Init 60 Min1,295
PSA COMPLEXED102
1,5 ANHYDROGLUCITOL - A52
1:1 MIX APTT -PL SUBSTITN47
1:1 MIX PT - PL SUBSTITUN28
17-KETOSTEROIDS-A27
2,3 11B PROSTAGLAND-MAYO44
3D NOT REQ POSTPROCESSING117
3D REQUIRE POSTPROCESSING296
3-D TUMOR RECONSTRUCTION5,524
5'HIAA-A17
5'NUCLEOTIDASE-A13
AB ID,EA REAC,EA ARC SO7
ABD ACUTE 2VW + PA CHEST668
ABDOMEN 1VW362
ABDOMEN 2VW668
ABDOMEN 3VW668
ABG W/MEASURED O2 SAT414
ABLATE INF TURBINT SUBMUC6,640
ABR LMTD207
ABSCESS LOCALIZE LTD7,016
ABSCESS LOCALIZE SPECT2,643
ABSCESS LOCALIZE WHL BDY7,016
ABSCESS/FISTULA/SINUS TRACT STUDY2,624
ACELLULAR DERM MATRIX UNI1,330
ACETONE40
ACNE SURGERY986
ACOUSTIC IMMITTANCE TEST498
ACOUSTIC REFLEX TEST145
ACROMIOCLAVIC JTS BILAT362
ACTH-A12
ACTIVATED CLOT TIME31
ACTIVATED PROT C RESIST134
ADAMTS 13 ACTIVITY-A104
ADENOVIRUS DFA81
ADJ TISS TRN EAADD 30SQCM12,620
ADJ TISS TRNS 30.1-60SQCM15,811
ADL TRAINING 15 MIN150
AFB ID BY MALDI-TOF66
AFB ID PROBE143
AFB SMEAR47
AFB TB DNA PCR-M275
AFB-SG SUSCEPT PER AGT-JH120
ALBUMIN36
ALBUMINQTBF41
ALCOHOL231
ALCOHOL,METHYL-Q52
ALDOLASE-A7
ALKALINE PHOSPHATASE37
ALLERGEN. SPECIFIC IGE44
ALPHA FETOPROT,TOT&L3-A85
ALPHA THALASSEMIA,7 DEL-A225
ALPHA-1-ANTI-TRYP PHENO-A15
ALPHA-1-ANTITRYPSIN117
ALPHAFETOPROT TUMOR146
ALT (SGPT)38
ALUMINUM-A13
AMIKACIN,RANDOM -Q110
AMINOLEVULINIC ACID,UR-A47
AMMONIA116
AMNIOCENTESIS2,444
AMP OF FINGER/THUMB8,593
AMPUTATE FINGER/THUMB8,593
AMYLASE47
ANA TITER98
ANAEROBE CULTURE83
ANDROSTENEDIONE-ES32
ANGIO EXTREMITY BILAT14,541
ANGIO EXTREMITY UNILATERAL14,541
ANGIO PELVIC SELECT UNILAT24,879
ANGIO PULMON NONSELECT5,734
ANGIO PULMON SELECT BILAT14,541
ANGIO SPINAL SELECTIVE24,879
ANGIO VESS EA ADD POST BC2,536
ANGIO VISCERL SEL/SUPRSEL24,879
ANKLE MIN 3VW UNILATERAL362
ANKLE UP TO 2VW UNILATERAL362
ANORECTAL EXAM DX9,811
ANOSCOPY DIAGNOSTIC613
ANOSCOPY W/BX SNGL/MULTPL5,463
ANTI DIURETIC HORMONE-A27
ANTIBODY TITER262
ANTI-CARDIOLIPIN ABS161
ANTI-DNA,DBL STRAND120
ANTI-DNA-ASE (B-STREP)-A10
ANTIGEN SCREEN UNIT773
ANTIGEN TYPE773
ANTI-NUCLEAR AB-A106
ANTI-PARIETAL CELL98
ANTI-STREPTOLYSIN O64
ANTI-THROMBIN III104
ANTI-THYROGLOBULIN, AB139
AORT/IVC/ILIAC DPLX COMP1,355
AORT/IVC/ILIAC DPLX LTD668
AORTA ABD W/BILAT ILIOFEM14,541
AORTA ABDOMINAL14,541
AORTA THORACIC24,879
APOLIPOPROTEIN B126
APPL CYLINDER CAST THIGH/ANKLE1,384
APPL LOWER LEG SPLINT790
APPL OF FINGER SPLINT326
APPL OF LONG ARM CAST1,384
APPL OF LONG LEG CAST1,384
APPL SKIN SUB 1ST 25SQ CM9,149
APPL, LONG LEG SPLINT790
APPLICATON ON-BODY INJ216
APPLY FOREARM SPLINT613
APPLY HAND/WRIST CAST851
APPLY LONG ARM SPLINT790
APPLY RIGID LEG CAST1,384
APPLY SHORT LEG CAST1,384
APPLY SHORT LEG CAST AMBULATORY TYPE1,384
APTT47
ARTERIAL PUNCTURE613
ARTH KNEE+EXPL/DRG/RMV FB14,795
ARTHROGRAM HIP UNILATERAL2,662
ARTHROGRAM KNEE UNILATERAL2,662
ARTHROGRAM SHOULDER UNILAT2,662
ARTHROGRAM WRIST UNILATERAL2,624
ARTHROSCOPY KNEE RELEASE14,146
ARTHROSCOPY KNEE SURG14,146
ARTHROSCOPY KNEE+MENISCUS14,146
ARTHROSCOPY SHLD CLAVICUL14,146
ARTHROSCOPY SHLD RTR CUFF25,484
ARTHROSCOPY SHLDR CAPSULR25,484
ARTHROSCOPY SHLDR DECOMP14,146
ARTHROSCOPY SHLDR REP LES25,484
ARTHROSCPY SHLD DEBRID LM14,146
ASE,ANTI-PHOS ABS-SL11
ASPERGILLUS GALACT AG-A64
ASPIRATE KNEE W/US GUIDAN1,427
ASPIRATE PLEURA W/O IMAGE3,573
ASPIRATE WRIST W/US GUIDA3,170
ASSESS OF APHASIA PER HR393
AST(SGOT)37
AUD EVAL & SPEECH RECOGN498
AXIL/GROIN LOC DEV 1STLES3,342
B-2 MICROGLOBULIN141
BACT VAG MARKERS, PCR506
BASIC DOSIMETY CALC466
BASIC METABOLIC PANEL144
BASIC VESTIBULR EVAL846
BCR ABL FISH-NGL150
BCR-ABL,QL -A25
BEHAV/QUAL ANALYSIS VOICE363
BENIGN LES F/E/E 0.6-1CM3,342
BENIGN LES F/E/E /N >4 CM8,351
BENIGN LES S/N/H <0.5CM3,342
BENIGN LES S/N/H/F >4 CM8,351
BENIGN LES T/A/L <0.5CM3,342
BENIGN LES T/A/L 0.6-1CM5,560
BENIGN LES TRUNK >4 CM8,351
BETA HYDROXYBUTERATE59
BETA LACTAMASE25
BILE ACIDES,TOTAL -A13
BILEVEL VENT SERV PER DAY1,724
BILIARY DILAT W/WO STENT1,305
BILIRUBINDIRECT36
BILIRUBINNEONATAL40
BIOPSY EXTERNAL EAR CANAL6,639
BIOPSY LYMPH NODE CERVICL12,920
BIOPSY LYMPH NODE SUPERFC12,920
BIOPSY OF BREAST OPEN12,920
BIOPSY OF EYELID SKIN1,561
BIOPSY OF FLOOR OF MOUTH5,562
BIOPSY OF LIVER,NEEDLE5,562
BIOPSY OF UTERUS LINING938
BIOPSY SFT TISS NECK/THRX6,584
BIOPSY TONGUE POST 1/3RD9,548
BIOPSY TRANSCATH2,753
BIOPSY VAGINA EXTENSIVE10,990
BLEPHAROTOMY,DRAIN EYELID1,561
BLOOD GAS ARTERIAL167
BLOOD GAS W/DIRECT O2 SAT244
BONE AGE STUDIES668
BONE DENSITY EXTRM-DEXA493
BONE DENSITY SPINE/HIP/PELVIS908
BONE IMAGE LTD AREA2,038
BONE IMAGE MULTI AREAS2,038
BONE IMAGE SPECT2,643
BONE IMAGE THREE PHASE2,038
BONE IMAGE WHOLE BODY2,038
BONE LENGTH/LONG BONES668
BONE MAR SMR INTR796
BONE MARROW ASPIRATION(S)5,562
BONE MARROW BIOPSY(IES)8,351
BONE MARROW LTD2,038
BONE MARROW MULTIPLE2,038
BONE SURVEY METASTATIC668
BONE SURVEY SKELETAL668
BORRELIA BURG, WB -A18
BORRELIA BURGDOR PCR-A75
BRACHYTHERAPY PLAN COMPLX1,259
BRACHYTX 1CHNL WWO DOSI6,484
BRACHYTX 2-12CHN WWO DOSI6,891
BRAIN IMG SPECT7,016
BRAIN IMG W/VAS FLW <4VW2,038
BRAIN IMG W/VAS FW MIN4VW2,643
BRAIN VASCULAR FLOW ONLY2,643
BREAST BX 1ST LES STEREO5,562
BREAST BX 1ST LESION MRI8,351
BREAST BX 1ST LESION US5,562
BREAST BX ADDL LES STEREO5,562
BREAST BX ADDL LESION MRI8,351
BREAST BX ADDL LESION US5,562
BREATHALYZER158
BROAD RANGE PCR NONTB-UW318
BRONCH EBUS PERPH LES ADD11,762
BRONCH EBUS SAMPL 1-2NODE11,762
BRONCH EBUS SAMPL 3->NODE11,762
BRONCH TUMOR EXCISION11,762
BRONCH W&W/O WASHING6,127
BRONCH W/ ALVEOLAR LAVAGE6,127
BRONCH W/ BIOPSY6,127
BRONCH W/ FB REMOVAL6,127
BRONCH W/ THER ASP INITIL6,127
BRONCH W/ THER ASP SUBS4,014
BRONCH W/NDL ASP11,762
BRONCH W/PROTECT BRUSHING6,127
BRONCH W/TRNS BX W/WO FLO11,762
BRONCHIAL ALLERGY TEST2,592
BRST CLIP 1ST LES MAMMO3,342
BRST CLIP 1ST LES STEREO3,342
BRST CLIP 1ST LESION MRI3,342
BRST CLIP 1ST LESION US3,342
BRST CLIP ADDL LES MAMMO1,845
BRST CLIP ADDL LES STEREO1,845
BRST CLIP ADDL LESION MRI1,845
BRST CLIP ADDL LESION US1,845
BX LYMPH NODE AXILLARY UN12,920
BX/EXCIS LYMPH NODE NDL5,562
C REACTIVE PROTEIN41
C. DIFFICILE ANTIGEN78
C. DIFFICILE TOXIN78
C-1 ESTERASE PNL,FUNC-A24
C3 COMPLEMENT105
CAFFEINE-Q38
CALCANEUS MIN 2VW UNILATERAL362
CALCITONIN-ES21
CALCIUMIONIZED118
CALCIUMURINE43
CALORIC VSTBL BI MONOTHRM846
CALORIC VSTBLR BI BITHERM846
CALPROTECTIN, FECAL-A85
CALR EXON 9 MUTATION-A234
CANALITH REPOSITIONING141
CANCER AG19-9165
CANCER ANTIGEN 125182
CANCER ANTIGEN 27.29176
CANDIDA GRP, PCR253
CANTHOPLASTY8,274
CAPILLARY BLOOD DRAW24
CAPILLARY EPG HGB REFLEX30
CAPSULECTOMY BREAST UNI12,920
CAPSULOTOMY FNGR JNT EACH8,595
CARBAMAZEPIN105
CARBOXYHGB (MONOXIDE)89
CARD BLD GATED MULT2,038
CARD BLD GATED SING2,038
CARDIAC REHAB W/ ECG399
CARDIOVAS STRESS TEST907
CARDIOVERSION ELEC EXT2,991
CARE OF MISCARRIAGE10,990
CARNITINE,FREE+TOTAL -A28
CAT SCRATCH ABS B.HENS-A10
CAUTERY CERVIX; ELEC/THER10,990
CAUTERY CERVIX; LASER ABL10,990
CBC84
CEA166
CELL COUNT, MISC BDY FLDS41
CELLCOUNTBF44
CERULOPLASMIN94
CH50TOTAL-A13
CHANGE BLADDER TUBE1,339
CHEILOPLAST 1/2 VERTI HGT2,683
CHEM CAUTERY, TISSUE986
CHEMDENRV TRUNK 1-5 MUSC3,170
CHEMO CNS INTRATHECAL1,736
CHEMO IA PUSH412
CHEMO INF EA SEQ UPTO 1HR204
CHEMO IV > 8HR W/ PUMP1,087
CHEMO IV INF 1HR INITL1,087
CHEMO IV INF EA ADD HR204
CHEMO IV PUSH EA ADD DRUG204
CHEMO IV PUSH INITL DRUG661
CHEMO SUB/IM HORMONAL340
CHEMO SUB/IM NON-HORMONAL412
CHEMODENERVATN ANAL MUSC5,463
CHEST 2 VIEWS362
CHEST 2VW W APICAL LORD362
CHEST PA/LAT W OBLIQUES668
CHEST SINGLE VW362
CHG PERC GAST TUB WO GUID1,339
CHG PERC TUBE/CATH GU SYS513
CHIC2 DEL, FIHS (MAYO)93
CHIC2F,DNA PROBE,EA-MAYO85
CHLAMYDIA ABS IGG-A8
CHLAMYDIA ABS IGM-A8
CHLAMYDIA AG PROBE,AMPLI306
CHLAMYDIA CULTURE-A36
CHLORIDE33
CHLORIDEURINE36
CHOLANGIO INTRA-OP ADD347
CHOLANGIO INTRA-OP INITL347
CHOLESTEROL38
CHOLESTEROL BODY FLUID61
CHOLN RBC - MEMBER-A14
CHORIONIC VILLUS SAMPLING,ANY METHOD3,358
CHROMIUM-MAYO16
CHROMOTUBATION OVIDUCT14,487
CHYLMD PNEUM, DNA, AMP PROBE283
CINERAD/VIDEO COMP200
CIRCUMCI SURG EXCISION NB288
CISTERNOGRAM POSITIVE CONTRAST3,978
CISTERNOGRAM SPINAL FLUID FLOW2,643
CK MB100
CK TOTAL87
CLAVICLE 2VW UNILATERAL362
CLEAR OUTER EAR CANAL613
CLEAR/AIRWAYS (DP SUCT)1,087
CLOSED TX METATARSAL FX1,254
CLOSED TX PELVIC RING FX1,254
CLOST DIFFICILE TOXIN PCR296
CLOSURE EYELID BY SUTURE4,716
CLOTTING;FACTOR II113
CLOTTING;FACTOR V154
CLOTTING;FACTOR X156
CLOTTING;FACTOR XI156
CLOTTING;FACTOR XIII78
CLOZAPINE-A23
CLSD BIMALLEOLAR ANKL FX6,475
CLSD HUMERAL FX W MANIPUL6,475
CLSD TX CARP BONE W/MANI6,475
CLSD TX FINGER FRACTURE6,475
CLSD TX FX DIST RAD W/MAP6,475
CLSD TX HAND DISLOCATION1,254
CLSD TX HIP DISLOC W ANEH6,475
CLSD TX HIP DISLOC WO ANS311
CLSD TX HIP DISLOCATION6,475
CLSD TX HIP W/O ANES1,254
CLSD TX JOINT W/O ANESTHA1,254
CLSD TX KNEECAP FX W/O MN1,254
CLSD TX LUNATE W MANI6,475
CLSD TX MALLEOLUS W/MANIP6,475
CLSD TX NASAL FX WWO STAB9,548
CLSD TX PALATAL W/WIRE FX21,874
CLSD TX PROX FIB W/MAN6,475
CLSD TX TARSAL W/O ANESTH1,254
CLSD TX TOE FX W/O MANIP1,254
CLSD TX TOE JOINT W/ANES1,384
CLSD TX UNLNAR FX W/MANIU6,475
CMV AB,IGG126
CMV AB,IGM147
CMV AMPL PROBE-A75
CMV QUANT BY PCR339
CO2 CONTENT35
CO2 EXPIRED GAS DETER BYR1,452
CO2/MEMBRANE DIFFUSE CAP325
COBALT, BLOOD-A19
COCCI CFIX UCD40
COCCYX/SACRUM MIN 2VW362
COCHLEAR IMPLT EXAM 7OR>498
CODE BLUE1,763
COGNITIVE DEVELOP 15 MIN108
COGNITIVE PERF TST PER HR403
COLD AGGLUTININS TITER70
COLL BLD EST PICC/CTRL LN613
COLLECT BLOOD VENOUS DEV613
COLON HEMORRHAGE CNTRL5,462
COLON STOMA W/SUBMUC INJ5,462
COLON SUBMUCOSAL INJ5,462
COLON TUM/POL ABLATION5,462
COLON TUM/POL/LES SNARE5,462
COLON W/ AIR CONTRS W/WO GLUCAGON1,474
COLON W/ BARIUM W/WO KUB1,474
COLON W/BALLOON DILAT5,462
COLONOSCOPY VIA COLY4,142
COLONOSCOPY VIA STOMA W/BIOPSY5,462
COLONOSCOPY W/BIOPSY5,462
COLONOSCPY4,142
COLONOSCPY HEM CONT5,462
COLONOSCPY TUM POL ABL5,462
COLONOSCPY TUM/POL/LES SR5,462
COLONOSCPY TUM/POL/LES/FR5,462
COLONOSCPY W/FB RMVL5,462
COLONSCOPY ENDO US EXAM5,462
COLONSCOPY W/ EMR5,462
COLONSCOPY W/DECOMPRESS5,462
COLPORRHAPHY,SUTURE VAGIN10,990
COLPOSCOPY CERVIX BIOPSY10,990
COLPOSCOPY OF CERVIX937
COMBO MOD/TREAT 15 MIN197
COMBO MOD/TREAT INITIAL394
COMPLEX DRG, WOUND8,351
COMPLEX PHARY/SPEECH EVAL1,355
COMPLT BILAT UP/LOW EXT ARTERY >=3 LEVEL795
COMPREHENSIVE PANEL195
COMPTR OPHTH IMG ANT SEGM326
COMPTR OPHTH IMG OPTC NRV326
COMPUTR OPHTH IMG RETINA326
CONCENTRATINFECT AGENT58
CONDITIONING PLAY AUD498
CONIZATION CERVIX ELECTRO10,990
CONIZATION CERVIX LASER10,990
CONSULT WITH SLIDE PREP402
CONT INH TX W/AERO 1ST HR613
CONT INH TX W/AERO ADD HR49
CONTINUING PHYSICS453
CONTROL NOSEBLD, ANT613
CONTROL NOSEBLD, CMP613
CONTROL NOSEBLD, POST613
CONTROL THROAT HEMORRHAGE2,683
COOXIMETRY ARTERIAL63
CORRECTION BUNION K/MC/MY14,146
CORRECTION BUNION OSTEOTY14,146
CORTISOL-A142
CPAP SERV PER DAY512
C-PEPTIDE160
CPT INITIAL TX379
CPT SUBS TX215
CRANIAL EXDURAL COMP ASST10,030
CREAT CLEARANCE68
CREATE TEAR DUCT DRAIN14,825
CREATE TEAR SAC DRAIN14,825
CREATININE37
CREATININEURINE41
CRITCL CARE 1ST 30-74MIN9,014
CRITCL CARE EA ADD 30MIN2,827
CRP HIGH SENSITIVITY113
CRYOFIBRINOGEN-A9
CRYOGLOBULINQUAL56
CRYOPRESERVE STEM CELLS2,188
CRYOSURGRY ANAL LESION(S)986
CRYPTOCOCCAL AG81
CRYSTALS BODY FLUID52
CSF FLOW SHUNT EVAL2,643
CSF LEAK DETECT/LOCALIZE7,016
CT ABDOMEN & PELVIS W2,103
CT ABDOMEN & PELVIS W/WO3,384
CT ABDOMEN & PELVIS WO1,843
CT ABDOMEN UPPER W2,103
CT ABDOMEN UPPER W/O908
CT ABDOMEN UPPER W/WO2,103
CT ANGIO ABD&PELV WWO2,103
CT ANGIO ABDOMEN W/WO2,103
CT ANGIO CHST NONCOR W/WO2,103
CT ANGIO HEAD W/WO2,103
CT ANGIO LOW EXT W/WO UNILAT2,103
CT ANGIO NECK W/WO2,103
CT ANGIO PELVIS W/WO2,103
CT ANGIO UPP EXT W/WO UNILAT2,103
CT CEREBRL PERF W/CONTRST903
CT CERVICAL W3,621
CT CERVICAL W/WO2,103
CT CERVICAL WO908
CT CHEST W2,103
CT CHEST W/WO2,103
CT CHEST WO908
CT COLONOGRAPHY DIAG W2,103
CT COLONOGRAPHY DIAG W/O908
CT COLONOGRAPHY SCREENING1,347
CT EXTRM LOW W/WO UNILAT2,103
CT EXTRM LOWER W UNILAT2,103
CT EXTRM LOWER WO UNILAT908
CT EXTRM UPPER W UNILATERAL2,103
CT EXTRM UPPER W/WO UNILAT3,154
CT EXTRM UPPER WO UNILATERAL908
CT FACIAL W/WO2,103
CT GUIDANCE NEEDLE PLCMNT1,554
CT HEAD W2,103
CT HEAD W/WO2,103
CT HEAD WO908
CT HRT W/3D CONGEN DISEAS2,103
CT HRT W/3D STRUC/MORPH2,103
CT HRT W/O DYE W/CA TEST493
CT LTD/LOC FOLLOW-UP STDY493
CT LUMBAR W3,621
CT LUMBAR W/WO2,103
CT LUMBAR WO908
CT MAXILLOFACIAL W2,103
CT MAXILLOFACIAL WO908
CT NECK/LARYNX W2,103
CT NECK/LARYNX W/WO2,103
CT NECK/LARYNX WO908
CT ORB/SEL/FOS/IAC W BI2,103
CT ORB/SEL/FOS/IAC WO BI908
CT ORB/SEL/FOS/IAC WWO BI2,103
CT PELVIS W2,103
CT PELVIS W/WO2,103
CT PELVIS WO908
CT THORACIC W2,103
CT THORACIC W/WO2,103
CT THORACIC WO908
CT TISSUE ABLATION1,554
CTA AA WO/W BILAT2,103
CTA HRT W/3D ART/GRFT/CA2,103
CTYOLOGIC EXAM,EA ADD SIT114
CTYOLOGIC EXAM,INITIAL SI3,313
CULT FUNGI;SKIN HAIR NAIL67
CULT TYPE EA ANTISERUM-A16
CULTURE AFB94
CULTURE TYPINGEACH37
CULTUREBLOOD88
CYANIDE-A33
CYCLIC CITRUL PEPT,IGG109
CYCLOSPORIN158
CYSTATIN C-A41
CYSTO IMPL 4 OR MORE31,002
CYSTOGRAM ONLY MIN 3 VWS1,474
CYSTOSCOPY W\BIOPSY(S)9,595
CYSTOTMY WITH DRAINAGE8,896
CYSTOURETHROGR VOID (VCU)1,355
CYSTOURETHROSCOPY INJ CHM8,896
CYSTOURETHROSCOPY LITHOTR18,975
CYSTOURETHROSCOPY SEP3,299
CYSTOURETHROSCOPY STENT13,250
CYSTOURETHROSCOPY W/DIL8,896
CYTO,EVAL FINE NEEDLE ASP791
CYTO,EVAL OF FNA,EA ADD83
CYTOLOGY TOUCH PREP195
CYTOPATH SER FLUD195
CYTOPATH SMEARS OTHER171
CYTOPATHOLOTY (CYTOSPIN)195
CYTOPTH SLCT CELL TCH/INT318
CYTOTOXIC ANTIBODY -UCLA190
D & C AFTER DELIVERY10,990
DACRYOCYSTOGRAPHY2,038
D-DIMER,QUANT73
DEBRIDE BONE 1ST 20 SQCM5,562
DEBRIDE INFECT SKIN 10%2,848
DEBRIDE MUSCL 1ST 20 SQCM2,848
DEBRIDE NON SEL PER PROC557
DEBRIDE SEL866
DEBRIDE SELECT >20 SQCM433
DEBRIDE SUB EA ADD 20SQCM1,104
DEBRIDE SUBQ 1ST 20 SQCM1,813
DEBRIDE US LOW FREQ MIST557
DEBRIDEMENT NAIL 1-5350
DEBRIDEMENT OF NAILS 6>326
DECALCIFICATION100
DECLOT VASCULAR CATHETER1,736
DECOMPRESS FOREARM 1 SPC14,794
DECOMPRESSION OF LOWR LEG14,146
DEF ID AEROBIC EACH71
DEF ID ANAEROBIC EACH71
DEF IDMOLD EACH90
DEF IDYEAST EACH90
DEHYDROEPIANDROSTERONE-A24
DELIVERY OF PLACENTA ONLY3,297
DEMO/EVAL AEROSOL DEV574
DES GAMMA CARBOXY PT-A103
DEST OF SKIN LESIONS986
DESTROY LESNS VLVA EXTNSV9,149
DESTRUC PREMALIG 1ST LES986
DESTRUC PREMALIG 2-14 LES118
DESTRUCT BENIGN LESN 1-14986
DESTRUCT SKIN LESNS <10CM1,813
DESTRUCT VAG LES SIMPLE10,990
DESTRUCTION ANAL LES EXTN9,811
DESTRUCTION ANAL LES SIMP9,811
DETERMONATIVE HISTO/CYTO864
DHEA-SO4194
DIAG LARYNGOSCOPY FLEX FIBEROPTIC916
DIAG LARYNGOSCOPY INDIRECT916
DIALYSIS CCPD TX/DAY2,482
DIALYSIS CRRT TX/DAY3,491
DIFFERENTIAL,MANUAL28
DIGOXIN106
DIL URETHRA STRIC FILIFORM/FOLLOWER INITL3,299
DIL URETHRA STRIC SOUND/DILATOR INITL1,339
DILATE TEAR DUCT W/WO IRR1,925
DILATION ESOPH OVR GUIDR6,425
DILATION AND CURETTAGE10,990
DILATION ESOPH SGL/MULT4,337
DIPSTICK URINE18
DIRECT ADMIT OBSERVATION245
DISCISN 2ND CATARACT LASR2,847
DISCOGRAM LUMBAR9,395
DNA/RNA ID PER CUL/ISOLTE158
DOPPLER COLOR FLOW MAP638
DOPPLR FET MID CEREB ART668
DOPPLR FET UMBILICAL ART668
DPLX EXT VEIN UNILAT/LTD668
DPLX LOW EXT ART BI COMP1,355
DPLX LOW EXT ART UNILAT LTD668
DPLX UP EXT ART BI COMP1,355
DPLX UP EXT ART UNILAT LTD668
DPLX VASC ABD/PELV/SCROT/VISCERAL COMPLT1,355
DPLX VASC ABD/PELV/SCROT/VISCERAL LIMITED723
DRAIN ABSCESS,NASAL SEPT2,683
DRAIN ABSCESS/HEMATO/NASL1,041
DRAIN BLADDE W/SUPRA CATH8,896
DRAIN BLD FR UNDER NAIL613
DRAIN BREAST CYST3,342
DRAIN CEREBRO SPINAL FLD3,170
DRAIN EXTERNAL EAR LESION3,342
DRAIN EXTERNAL EAR LESION8,351
DRAIN OUTER EAR CANAL LES3,342
DRAIN THIGH/KNEE LESION8,351
DRAINAGE ARM BURSA ELBOW8,351
DRAINAGE FINGER ABSCES986
DRAINAGE MOUTH LESION1,002
DRAINAGE OF GUM LESION614
DRAINAGE SCROTUM ABSCESS5,562
DRAINAGE TONSIL ABSCESS1,378
DRG FIN ABSCESS COMPLICAD5,562
DRG HEMATOMA/FLD5,562
DRG OF GLAND ABSCESS937
DRG PILONIDAL CYST3,342
DRG SKIN ABSCESS CMPLX1,813
DRG SKIN ABSCESS SIMPLE986
DRUG ABUSE SCREEN752
DUCTOGRAM SINGLE UNILAT1,355
EA ADDITIONAL 5CM OR LESS1,019
EAR/NOSE CARTILAGE GRAFT9,550
EBV PANEL- CAPSID IGG,IGM152
EBV PANEL- NUC AG134
ECHO 2D TEE W/PROBE2,839
ECHO 2DCOMP W/ DOPPLER2,853
ECHO 2DLMTD TRNSTHORACIC1,355
ECHO COMP TRANSTHORACIC2,839
ECHO DOPPLER COMPLETE386
ECHO DOPPLER LIMITED376
ECHO LMTD TRANSTHORACIC2,839
ECHO STRESS TRANSTHORACIC2,839
ECHO TEE MONITORING2,839
ECHOENCEPHALOGRAPHY668
EEG ALL NIGHT REC2,592
EEG AWAKE AND ASLEEP1,452
EEG AWAKE AND DROWSY1,452
EEG MON/VIDEO REC EA24HRS5,267
EEG MORE THAN 1 HOUR968
EEG SLEEP OR COMA ONLY1,452
EEG UP TO 1 HOUR968
EGD BLLN DIL ESOPH >=306,425
EGD DIAG BRUSH/WASH4,337
EGD DIL GAST/DUO STRICT6,425
EGD HEMORRHAGE CONTROL6,425
EGD INJ ESOP/GAST VARICES4,401
EGD LESION ABLATION6,425
EGD TUM/POL/LES HT FORCEP6,425
EGD TUM/POL/LES/SNARE6,425
EGD US ESOPH/STOMACH/DUO6,425
EGD W/ FB REMOVAL4,337
EGD W/ MUCOSAL RESECTION6,425
EGD W/ PLCMT GASTRIC TUBE6,425
EGD W/ STENT PLCMT13,619
EGD W/BAND LIGATION6,425
EGD W/BIOPSY SGL/MULT4,337
EGD W/BLLN DIL ESOP <30MM6,425
EGD W/GWIRE INSERTION4,337
EGD W/SUBMUCOSAL INJECT4,337
EGD W/TRANSEND US/TRANS6,425
EGD W/ULTRASOUND EXAM6,425
EGD W/US FINE NDL ASP/BX6,425
EGD W/US INJ ANESTH/MARKR6,425
EHRLICHIA CHAFFENSIS AB-A14
EKG RHYTHM 1-3 LEAD TRACE200
EKG ROUTINE 12 LEAD TRACE299
EKG SIGNAL AVERAGED215
ELBOW FINGER CAST(SHORT )1,384
ELBOW MIN 3VW UNILATERAL362
ELBOW UP TO 2VW UNILATERAL362
ELECTROCOCHLEOGRAPHY606
ELECTROLYTESWB56
ELECTRON MICRO CED182
EMBO/INFUSE POST STUDY5,734
EMERG TOX SCREEN,BLOOD26
EMG 1 EXTREMITY613
ENDO CANN PAPILLA DIR VIS3,870
ENDO CATH BIL/PAN DUCT807
ENDO CATH BILIARY DUCT807
ENDO CATH PANC DUCT807
ENDO CONV GASTR-JEJUN TUB6,425
ENDO EVAL SM INTST PCH4,142
ENDO EVAL SWALLOW VIDEO454
ENDO SM BWL INC ILEUM6,425
ENDO TRANSENDO STENT PLA13,619
ENDO TUM/POL ABLATION6,425
ENDO W/BIOPSY6,425
ENDO W/BX SNGL/MULTI4,142
ENDO WITH BIOPSY6,425
ENDOSCOPY SM BOWEL4,401
ENDOTHELIAL CELL CROSSMATCH285
ENDOVAS RPR W/OSUBLAV ART4,963
ENGRAFTMENT,POST-IM200
ENTAMOEBA HISTO AG-A21
ENTER HEMORR CTRL W ILEUM6,425
ENTER HEMORR CTRL WO ILEM6,425
ENTERIC PATHOGENS PCR917
ENTEROVIRUS PCR251
EPIDURAL INFUSION3,155
EPIDUROGRAPHY584
ER LEVEL I242
ER LEVEL II568
ER LEVEL III1,136
ER LEVEL IV2,304
ER LEVEL V4,361
ERCP11,695
ERCP DUCT STENT PLCMT EA11,105
ERCP PAPILOTOMY11,695
ERCP REMVL DUCT CALCULI11,695
ERCP REMVL DUCT FB/STENT11,695
ERCP STENT REMOVAL & EXCH11,105
ERCP TUM POL ABLATION11,695
ERCP W/ DESTRUCT CALCULI11,695
ERCP W/BALLOON DILATE11,695
ERCP W/BIOPSY11,695
ERYTHROPOETIN-A12
ESOPH FLX ORAL BIOPSY4,401
ESOPH FLX ORAL BLLN <30MM6,425
ESOPH FLX ORAL BRUSH/WASH4,400
ESOPH FLX ORAL LES ABLATE11,695
ESOPH FLX ORAL MUC RESECT6,425
ESOPH FLX ORAL US6,425
ESOPH FLX ORAL W/ US BX6,425
ESOPH RIGID TRANSORAL DX4,401
ESOPH SWALLOW BARIUM1,474
ESOPHAGEAL CAPSULE ENDO4,337
ESOPHAGEAL MOTILITY STDY2,592
ESOPHAGOSCOPY RIGID TRNSO13,440
EST LEVEL I134
EST LEVEL II139
EST LEVEL III150
ESTIM ATTENDED 15 MIN77
ESTIM UNATTEND PER PROC75
ESTRADIOL (E2)-A244
ESTROGEN, FRACTIONATED17
ETHYLENE GLYCOL-P33
EUGLOBULIN CLOT LYSIS-QD37
EVACUATE MOLE OF UTERUS14,488
EVAL AUD FUNC 1ST 60MIN498
EVAL AUD FUNC ADDL 15MIN68
EVAL AUD REHAB ADDL 15MIN115
EVAL AUD REHAB STAT 1STHR498
EVAL LANGUAGE COMP/EXPRES831
EVAL NON-SPCH COMM DEVICE302
EVAL OF FINE NEEDLE ASPIR318
EVAL SPCH GEN DEV, ADD-ON314
EVAL SPCH GEN DEVICE 1 HR655
EVAL SPEECH FLUENCY432
EVAL SPEECH PRODUCTION350
EVAL SWALLOW FUNCT454
EVEROLIMUS99
EVOK OTOACOUSTIC EMIS EVL846
EXC BACK LES SC 3 CM/>8,351
EXC FACE LES SBQ 2 CM/>8,351
EXC FACE MAL+MRG 0.6-13,342
EXC FACE TUM DEEP < 2 CM5,562
EXC FACE TUM DEEP 2 CM/>8,351
EXC FOOT TUMOR SF <1.5CM8,351
EXC HAND LES SC 1.5 CM/>8,351
EXC HAND TUM DEEP < 1.5CM8,351
EXC HND/FNG LESN SC<1.5CM8,351
EXC NECK LES SC < 3 CM8,351
EXC NECK TUM DEEP < 5 CM8,351
EXC NECK TUM DEEP 5 CM/>8,351
EXC TR-EXT MAL+MRG1.1-2CM1,813
EXC TUMOR FC/SC SUBQ <2CM5,562
EXCIS BARTHOLIN GLND/CYST10,990
EXCIS BENIGN LES 2.1-3.05,562
EXCIS BREAST LES OPEN SGL12,920
EXCIS BRST LES OPEN EAADD12,920
EXCIS FOOT NEUROMA SGL EA8,595
EXCIS FRENUM/LABIAL/BUCCL6,206
EXCIS LES MALG+MAR2.1-3CM5,562
EXCIS LES TENDN/JNT HAND8,595
EXCIS LESION PALATE,UVULA9,550
EXCIS MALIG LES >4.0CM8,351
EXCIS MALIG LES 1.1-2CM3,342
EXCIS PAROTID LAT W/DISSC21,874
EXCIS PILONIDAL CYST;EXT8,351
EXCIS RECTAL TUM FULL13,740
EXCIS RECTAL TUM PARTIAL13,740
EXCISE BENIGN LES .6-1CM2,480
EXCISE BENIGN LES 1.1-2CM5,560
EXCISE BRST LES =>1 UNI12,920
EXCISE EXCESSIVE SKIN HIP8,351
EXCISE INTRANASAL LSESION9,550
EXCISE SUBMAXILLARY GLAND21,874
EXCISE WRIST TENDN SHEATH14,794
EXCISI BENIGN LES 1.1-2.05,562
EXCISION EXOSTOSIS21,874
EXCISION EXT ANAL TAGS9,811
EXCISION HYDROCELE UNI15,428
EXCISION LESION CORNEA4,716
EXCISION OF MOUTH LESION9,149
EXCISION OF RECTAL STRCTR5,462
EXCISION OF TONGUE LESION9,548
EXCISION OF TONGUE LESION9,550
EXCISION OLECRANON BURSA8,595
EXCISION PILONIDAL CYST,C9,974
EXCISION PREPATELLR BURSA14,146
EXCISION SKIN; ABD ADD ON21,535
EXCISION SKIN;ABDOMEN21,536
EXCISION SKIN;OTHER UNI8,351
EXCISION SKIN;THIGH8,351
EXCISION THROMBO HEMORRHD5,462
EXCISION TOE CYST/TUMOR8,595
EXCISION TONGUE LESION9,548
EXCISION VAGINAL CYST/TUM10,990
EXCISION/BENIGN LESION 306,584
EXCSN MAL+MRG FEENL >4 CM9,974
EXPLANT HEART RECORDER4,608
EXPLORA W/REM DEEP FB8,593
EXPLORE WOUND, CHEST9,149
EXPLORE WOUND, EXT3,342
EXT ECG RECORDING > 48HRS350
EXT OCULAR PHOTOGRAPY350
EXTERNAL VERSION3,297
EXTRACRANL ART DUPLEX BI1,355
EXTRACRANL ART DUPLEX UNI723
EXTRM LOW PED MIN 2VW UNILAT362
EXTRM UPPER PEDIATRIC UNILAT668
EYE LOCALIZ FOR FB362
FACIAL BONES 2VW362
FACIAL BONES MIN 3VW668
FACTOR 7 ACTIVITY151
FACTOR 9 ACTIVITY166
FACTOR V LEIDEN MUTATION437
FACTOR V111, VW FACTOR,AG (ARUP) S/O26
FACTOR VII,VW FACTOR (ARUP) S/O165
FAT STAINSTOOL QUAL A17
FATTY ACIDS,FREE-A52
FECAL MICROBIOTA TRANSPLT1,301
FEMUR 1 VW UNILATERAL362
FEMUR MIN 2VW UNILATERAL362
FERN TEST57
FERRITIN119
FETAL BIOPH W NONSTR TST668
FETAL BIOPH WO NONSTR TST668
FETAL CELL STAIN56
FETAL FRIBRONECTIN464
FETAL MATERNAL SCREEN703
FETAL NON-STRESS TEST540
FETAL STRESS TEST540
FIBRIN SPLIT PRODUCT50
FIBRINOGEN67
FIBRINOGEN ANTIGEN -A45
FINGER MIN 2VW UNILATERAL362
FIXATION OF KNEE JOINT6,631
FLOW 1ST MARKER87
FLOW EA ADDL MARKER11
FLOW VOLUME LOOP1,452
FLUO EVAL SWAL FUNC VIDEO455
FLUOGUIDE VEIN DEV ADD-ON1,181
FLUORIDE,SERUM -A102
FLUORO GUIDE NEEDLE PLCMT333
FLUORO NDL/CATH TIP SPINE333
FLUOROSCOPY UP TO 1 HR1,355
FLW PRA ,ID CLS2,RTN-UC175
FNA WO GUIDANCE 1ST LES1,813
FOLATE128
FOLATE RBC-Q53
FOOT MIN 3VW UNILATERAL362
FOOT UP TO 2VW UNILATERAL362
FOREARM UP TO 2VW UNILAT362
FREE ERYTHRO PORPHYRINS-A56
FREE PSA -Q119
FREE T3148
FREE T4 EIA79
FRUCTOSAMINE-A10
FRZ SEC ADDT BLK111
FRZ SEC SING SPEC791
FSH162
FULL SKIN GRAFT 20SQCM O<9,149
FUNGUS CULTURE73
FUNGUS CULTUREBLOOD79
G&M LEVEL III318
G&M LEVEL IV318
G&M LEVEL VI3,313
G6PDQUANT-A19
GABAPENTIN-A17
GAIT TRAINING 15 MIN122
GASTRC EMP STDY W SML BWL2,038
GASTRC EMP STDY W SML&COL2,643
GASTRIC EMPTYING STUDY2,038
GASTRIC MUCOSA IMAGE2,038
GASTRIN-A14
GASTROINTEST BLOOD LOSS2,038
GENTIMICINRANDOM118
GGT52
GI TRACT CAPSULE4,337
GI TUBE PLCMNT W/ GUIDE519
GIARDIA EIA81
GLUCAGON -A33
GLUCOSE 1HR31
GLUCOSE 1HR 50G34
GLUCOSE GTT 3 SPEC93
GLUCOSE GTT EA ADD'L SPEN28
GLUCOSEQTBF28
GLUCOSEWHOLE BLOOD31
GLYCOHEMOGLOBIN-A69
GONORRHEA AG PROBE,AMPLI306
GRAFT CARTILAGE NASAL15,811
GRAFT N/E/E/L <=20 SQCM9,149
GRAFT S/A/L <=20 SQCM9,149
GRAFT S/A/L<=20SQCM ADDON9,149
GRAFT TISSUE OTHER15,811
GRAFT; DERMA-FAT-FASCIA15,811
GRAM STAIN34
GRFT;COMP INCLD PRIM CLSE12,620
GROSS & MICRO ID195
GROSS AND MICRO LEVEL V1,320
GROSS ONLY (LEVEL I)189
GRP I MICORG STN 1318
GRP II STAIN 1 OTH STAINS318
H. PYLORI - CLO TEST53
HALDOL (HALOPERIDOL)-A27
HAND AP/OB/LAT MIN 3VW UNILAT362
HAND UP TO 2VW UNILATERAL668
HAPTOGLOBIN110
HARV ALLOGENIC STEM CELLS2,689
HARV AUTO STEM CELLS4,267
HARV STEM CELL CONCENTRT4,022
GQUANTBLOOD108
V GENOTYP SEQ ARUP S/O200
HDL-CHOLESTEROL72
HEAR AID CHECK BINAURAL64
HEARING AID CHECK MONAURL32
HEARING AID EXAM BINAURAL225
HEARING AID EXAM MONAURAL225
HELIOX THERAPY284
HEMATOCRIT AUTOMATED19
HEMATOCRITSPUNBF37
HEMODIALYSIS PER TX2,482
HEMOGLOBIN19
HEMOGRAM52
HEMORRHOIDEC =>2 COLU/GRP9,811
HEMORRHOIDEC SGL COLU/GRP9,811
HEMORRHOIDECTMY IN/EX SGL9,811
HEMORRHOIDECTMY IN/EX=>213,740
HEMORRHOIDECTOMY LIG BAND4,142
HEMOSIDERIN,URINE42
HEP B VIRUS DNA,QUANT362
HEP C RNA PCR QUANT362
HEPARIN XA86
HEPATIC FX PANEL65
HEPATITIS A AB IGM98
HEPATITIS A AB,TOTAL108
HEPATITIS ACUTE PANEL416
HEPATITIS B AG CONFIRM87
HEPATITIS B CORE AB IGM103
HEPATITIS B CORE AB TOTAL105
HEPATITIS B E AB-A15
HEPATITIS B E AG-A15
HEPATITIS B SURF AB94
HEPATITIS B SURF AG90
HEPATITIS C AB125
HEPATITIS DELTA VIRUS ABA13
HEPATITIS DELTA VIRUS AGA125
HEPATOBIL SYS W/ PHARM2,643
HEPATOBIL SYS W/O PHARM2,038
HERNIA REPAIR W\MESH15,430
HERPES SIM VIR DNA PCR296
HERPES SIMPLEX TYPE 2169
HERPES SIMPLEX TYPE I94
HERPES SIMPLX IGM -MAYO17
HFE GENE COMMON VARI-A85
HIP ARTHROGRAPHY W/O ANES404
HIP BILAT WWO PELV 3-4VW668
HIP BILAT WWO PELV MIN 5V1,318
HIP BILAT WWO PELVIS 2VW668
HIP WWO PELVIS 1VW UNILAT362
HIP WWO PELVIS 2-3VW UNILAT362
HIP WWO PELVIS MIN 4VW UNILAT668
HISTAMINE,PLASMA -A25
HIV 1, 2 AB SCREEN172
HIV AG/AB COMBO189
HIV-1 GENOTYPING-M250
HIV-1, HIV-2 AB70
HIV-1, HIV-2 AB106
HIV1,RNA PCR718
HIV-1DNA PCR,QUAL- A80
HLA ABC HI RES TYP-UCLA1,050
HLA ABC TYPING,ARC315
HLA ANTIBODY SCREEN-UCSD148
HLA B27-A28
HLA CONFIRM TYPING-UCLA325
HLA-B 57:01-A140
HLA-DRB3/4/5 HI RS-UCLA300
HOLTER EVENT HOOKUP134
HOLTER UPTO 48HRS RECORD350
HOMOCYSTEINEBLOOD-A147
HUMAN GROWTH HORMONE-ES15
HUMERUS UP TO 2VW UNILAT362
HYSTEROSALPINGOGRAPHY1,355
HYSTEROSCOPY ABLATION16,182
HYSTEROSCOPY BIOPSY10,990
HYSTEROSCOPY DX SEP PROC10,990
HYSTEROSCOPY LYSIS10,127
HYSTEROSCOPY REMOVE FB10,990
HYSTEROSCOPY REMOVE MYOMA16,182
HYSTEROSCOPY RESECT SEPTM16,182
HYSTEROSCOPY TUBE OCCLUSN20,497
HYSTEROSONO W/WO DOPPLER1,355
I&D DEEP ABS/HEM NCK THRX9,014
I&D EPIDIDYMIS,TESTIS8,896
I&D OF VULVA/PERINEUM1,565
I&D PILONIDAL CYST;COMP3,342
IBD SIG,CHEM ASY,EA-PR23
ICD INTERROGATE DEV EVAL220
IDENTIFICATION VIRAL ISOE80
IDP-AB HIV2-SDBB8
IDP-HTLV-1-SDBB8
IDP-HTLV-II -SDBB8
I QNT, EA AB, COMP ASSTD91
I, ADDITIONAL SINGLE AB249
I, MULTIPLEX AB1,320
ILEOSCOPY THRU STOMA4,337
ILEOSCOPY W/BX SNGL/MULTI4,337
IMAGE CATH DRG PERI/RETRO8,351
IMM CELL FUNCT -Q185
IMMUNIZATION ADMIN204
IMMUNIZATION ADMIN EA ADD204
IMMUNO G SUBCLASSES,EA-A15
IMMUNOCHEM,EST,PROG RECEP1,320
IMMUNOFIX SERUM195
IMMUNOFIX URINE256
IMMUNOFLUORESCENT EA ADDL1,298
IMMUNOFLURESCENCE1,320
IMMUNOGLOB IGG IGM IGA-A81
IMMUNOGLOBULIN,IGE144
IMMUNOHISTO ANTIBODY1,320
IMP OSSEOINTEGRATED W/ATT55,892
IMPLANT COCHLEAR DEVICE176,666
IMPLANT HEART RECORDER15,750
IMRT PLAN PER SESSION4,138
IMRT WWO GUIDANCE COMPLEX3,062
IMRT WWO GUIDANCE SIMPLE2,552
IN SITU HYBRID EA PRB SDP791
INCISE EXTERNAL HEMORRHOD1,339
INCISE HAND/FINGER TENDON8,593
INCISION ANAL ABSCESS4,142
INCISION OF TENDON SHEATH8,595
INCISION RECTAL ABSCESS5,462
INCUBATION SRM D/C ARC SO131
INDIRECT LARYNGO EXCPT NB6,127
INDUCED AB BY D&C10,990
INDUCED AB BY D&E10,990
INFANT NOSE-RECTUM F.B.362
INFECT ANTIGEN BY IF POLY81
INFLUENZA A DFA81
INFLUENZA A&B PCR613
INFLUENZA A/B & RSV PCR924
INFLUENZA AB-A19
INFLUENZA B DFA81
INITIAL TX OF BURN(S)986
INJ CERV/THORA W IMAGE3,170
INJ FORAMN EPI L/S 1LEV3,921
INJ INTERM JT/BURSA WO US1,427
INJ LUMBR/SACRL W IMAGE3,170
INJ LUMBR/SACRL WO IMAGE3,170
INJ MAJ JT/BURSA WO US1,427
INJ NERVE BLOCK PUDENDAL3,921
INJ PERIPHERAL/BRNCH NERV3,170
INJ PVERT NERV C/T 1STLEV3,921
INJ SACROILIAC JNT W/GUID3,170
INJ SENTINEL NODE IDENT2,038
INJ SHUNTOGRAM3,170
INJ SML JT/BURSA WO US1,427
INJ SUBQ FILLING <1CC1,330
INJ SUBQ FILLING 1.1-5CC2,848
INJ SUBQ FILLING 5.1-10CC2,848
INJ SUBQ FILLING OVER10CC1,813
INJ TENDON/LIGAMENT1,427
INJ TRGGR PT(S) =/>3 MUSC1,427
INJ TRIGEMINAL NV BLK1,427
INJ TRIGGR POINT 1-2 MUSC1,427
INJ VASC FLOW FLAP/GRAFT1,925
INJ/EPIDUR BLD/CLOT PATCH2,560
INJECT CORPORA CAVERNOSA1,339
INJECT FEMORAL NERV SGL3,170
INJECT GREAT OCCIP NERVE1,427
INJECT SPHENOPAL GANGLION1,427
INJECT THER/PROP/DX SQ/IM204
INSERT BLADDER CATH613
INSERT BLADDER CATH CPLX795
INSERT BRST DELAY UNI27,835
INSERT BRST IMMEDIATE UNI21,536
INSERT CERVICAL DILATOR963
INSERT EMERGENCY AIRWAY1,041
INSERT NEEDLE, BONE CAV1,925
INSERT TEMP BLADDER CATH613
INSERTION CATH, ARTERY106
INSERTION CHEST TUBE5,734
INSERTION OF IUD1,480
INSERTION PLEURAL CATH12,856
INSULIN AB-A38
INSULIN GROWTH FACTOR 1-A10
INSULIN LEVEL100
INTESTINE IMAGE (MECKELS)2,038
INTRIN FACT BLOCK AB-A22
INTROD NDL EXTREMITY ARTY404
IO MAP OF SENT LYMPH NODE1,965
IONTOPHORESIS 15 MIN125
IORT ELCTRN SGL TREATMENT17,852
IRIDO/IRIDECTOMY LAS SURG2,847
IRON57
IRON BINDING CAPACITY65
IRRIGAT CORPORA CAVERNOSA1,339
IRRIGAT IMPLT VEN DEVICE326
IRRIGATION OF BLADDER1,339
ISH,QL,EA ADDN SGL PRB384
ISODOSE PLAN COMPLEX1,176
IV INF HYD 31MIN TO 1HR412
IV INF HYD EA ADD HR124
IV INF THERAPY CONC203
IV INF THERAPY EA ADD HR124
IV INF THERAPY UPTO 1HR661
IV INF THRPY SEQ UPTO 1HR204
JAK2 EXON 12 AND 13-Q513
JAK2 GENE VARIANT-A150
JC VIRUS ANTIBODY-A1,397
KAPPA/LAMBDA FR LIGHT CHA15
KEPPRA16
KETONESURINE16
KFTK CHROM ANAL -UG205
KFTK TISSUE CULT -UG289
KID FUNC/FLW W/WO RX MULT2,643
KIDNEY FUNC/FLW W/ RX SGL2,643
KIDNEY FUNC/FLW W/O RX SL2,643
KIDNEY STONE ANALYSIS-A14
KNEE 3VW UNILATERAL362
KNEE MENISCEC MED AND LAT14,146
KNEE MENISCEC MED OR LAT14,146
KNEE MIN 4VW UNILATERAL668
KNEE UP TO 2VW UNILATERAL362
KNEES BILAT STANDING362
KYPERKERAT LESION SINGLE986
LACTATION SRVC 1:1 15 MIN81
LACTATION SRVC 1:1 30 MIN163
LACTATION SRVC 1:1 45 MIN244
LACTATION SRVC 1:1 60 MIN325
LACTIC ACID85
LACTOFERRIN,FECAL -A26
LANGUAGE EVALUATION268
LAP INC HERN REPAIR COMP32,131
LAP VENT/ABD HERNIA RPAIR32,131
LAPAROSCOPY APPENDECTOMY22,164
LAPAROSCOPY DIAGNOSTIC17,692
LAPAROSCOPY EXCISE LESION22,164
LAPAROSCOPY LYSIS22,164
LAPAROSCOPY SURG W/BIOPSY17,692
LAPAROSCOPY TUBAL CAUTERY22,164
LARGSC W/LASER DSTRJ LES10,533
LARYNGOSCOPY BIOP OP SCOP11,762
LARYNGOSCOPY DIL INITIAL11,762
LARYNGOSCOPY DIL SUBSEQ11,762
LARYNGOSCOPY DX W/SCOPE6,127
LARYNGOSCOPY EXCIS TUMR11,762
LARYNGOSCOPY INJ VC SCOPE11,762
LARYNGOSCOPY RML LES RECN11,762
LARYNGOSCOPY W/EXC TUMOR11,763
LARYNGOSCOPY W/FB REMOVAL6,127
LARYNGOSCOPY W/STROB1,467
LARYNGOSCOPY WITH BIOPSY11,762
LARYNGOSCPY INDRCT+BIOPSY11,762
LARYNGPLSTY LARYNGEAL WEB21,874
LAVAGE MAXILLARY SINUS UN1,850
LD FRACTIONATION-A15
LDH TOTAL47
LEGIONELA ANTIGEN URINE66
LEGIONELLA AB-A11
LEGIONELLA PNEUMOPHILIA-A30
LIDOCAINE-Q23
LIGATION OF FOREARM1,400
LINEAR SRS COMP 1 SESSION14,774
LINEAR SRS MAX 5 SESSIONS4,161
LIPASE50
LIPID PANEL117
LIPOPROTEIN A113
LIPOPROTIEN,DIRECT LDL83
LITHIUM48
LITHOTRIPSY UROL18,260
LIVER IMAGE SPECT7,016
LIVER IMAGE STATIC ONLY7,016
LIVER KIDNEY MICRO AB127
LIVER SPECT W VAS FLOW2,643
LIVER/SPLEEN W/VASC FLOW2,038
LTD BILAT UP/LOW EXT ARTERY 1-2 LEVEL613
LUNG FUNCT TEST (MBC/MVV)613
LUNG PERFUSION IMAGING2,038
LUPUS ANTICOAG, PTTHR-A15
LUPUS ANTICOAG, REPTILASA25
LUPUS ANTICOAG,H P NEUT-A65
LUTEINIZING HORMONE162
LYME DIS,BORRELIA BURG144
LYMPHATICS/LYM NODES IMG2,643
M.PNEUMON, DNA, AMP PROB283
MACROSCOPIC EXAM31
MAGNESIUM88
MALARIA SMEAR43
MAMMAPLASTY AUGMENT UNI27,835
MAMMAPLASTY REDUCTION UNI21,536
MANDIBLE MIN 4VW668
MANDIBLE UNDER 4VW362
MANIPULATE FINGR W/ANESTH6,475
MANUAL TREATMENT 15 MIN112
MASSAGE 15 MIN98
MASTCETMY PRTL UNI ADD ON12,920
MASTECTOMY MOD RADICAL UNI21,536
MASTECTOMY PARTIAL UNI12,920
MASTECTOMY SIMP COMP UNI21,536
MASTOID OBLITERATION21,874
MASTOIDECTOMY COMPLETE21,874
MASTOPEXY UNILATERAL21,536
MECHANI CHEST WALL OSCILL615
METABOLIC PNL,COMP, WB91
METHOLINE CHAL1,452
METHEMOGLOBIN53
METHYLENETRAHYDROFOLATE312
MICROALBUMIN CREAT-URINE37
MICROALBUMIN, URINE51
MICROSCOPIC EXAM PARASITE31
MLC DESIGN/CONSTRCT IMRT1,259
MONO SCREEN37
MPL W515 AND MPL S505-Q584
MR ABDOMEN W3,621
MR ABDOMEN W/WO3,621
MR ABDOMEN WO1,843
MR ANGIO HEAD W2,103
MR ANGIO HEAD WO1,843
MR ANGIO HEAD WWO3,621
MR ANGIO NECK/CAROTID W2,103
MR ANGIO NECK/CAROTID WO1,843
MR ANGIO NECK/CAROTID WWO3,621
MR BRAIN W3,384
MR BRAIN W/WO3,621
MR BRAIN WO1,843
MR CARD WSTRESS IMG WO/W5,410
MR CARDIAC FUNC/MORP WO1,843
MR CARDIAC MORPH WO/W3,621
MR CERVICAL W3,621
MR CERVICAL W/WO3,621
MR CERVICAL WO1,843
MR CHEST W5,410
MR CHEST WO1,843
MR CHEST WWO3,621
MR EXT LOWER W UNILAT2,103
MR EXT LOWER W/WO UNILAT3,621
MR EXT LOWER WO UNILAT1,843
MR EXT UPPER W UNILATERAL3,621
MR EXT UPPER WO UNILATERAL1,843
MR EXT UPPER WWO UNILATERAL3,621
MR JNT LOW EXT W UNILAT5,410
MR JNT LOW EXT W/WO UNILAT3,621
MR JNT LOW EXT WO UNILAT1,843
MR JNT UPP EXT W UNILATERAL5,410
MR JNT UPP EXT WO UNILATERAL1,843
MR JNT UPP EXT WWO UNILAT3,621
MR LUMBAR W3,621
MR LUMBAR W/WO3,621
MR LUMBAR WO1,843
MR PELVIS W3,621
MR PELVIS WO1,843
MR PELVIS WWO3,621
MR SPECTROSCOPY2,399
MR THORACIC W3,621
MR THORACIC W/WO3,621
MR THORACIC WO1,843
MR TM JOINT(S)1,843
MRI ORB/FACE/NCK W3,621
MRI ORB/FACE/NCK W/WO3,621
MRI ORB/FACE/NCK WO1,843
MRSA CULTURE SCREEN47
MTBC SPECIATION-A176
MUMPS AB,IGG110
MUSCLE,MYOCUNTANEOUS FLAP15,811
MYCOPHENOLIC ACID142
MYCOPLASMA AB IGM112
MYELIN BASIC PROTEIN-A27
MYELOGRAM CERVICAL3,978
MYELOGRAM ENTIRE SPINE3,978
MYELOGRAM LUMBAR3,978
MYELOGRAM THORACIC3,978
MYOCARD SPECT MUL/RST/STR7,016
MYOCARD SPECT SGL/RST/STR7,016
MYRINGOTOMY ASP/EUST+ANES12,828
N BLOCK INJ PLANTAR DIGIT1,427
NARCOLEPSY GENOTYPE-A208
NASAL BONE MIN 3VW362
NASAL ENDO W/HEMOR CNTRL6,127
NASAL ENDOSCOPY, DX916
NASAL/SINUS ENDO BIOP6,127
NASAL/SINUS ENDO CONCH UN6,127
NASAL/SINUS ENDO FRONT UN18,110
NASAL/SINUS ENDO SPHEN UN18,110
NASAL/SINUS ENDOSCOPY TTL UNILATERAL19,581
NASAL/SNS ENDO ETH PAR UN18,110
NASAL/SNS ENDO ETH TOT UN18,110
NASAL/SNS ENDO MAX RML UN18,110
NASAL/SNS ENDO MAXLLRY UN11,762
NASAL/SNS ENDO RML SPH UN18,110
NASO/ORO GASTRIC TUB PLC1,925
NASOPHARYNGOSCOPY916
NATRIURETIC PEPTIDE (BNP)266
NECK SOFT TISSUE362
NEG PRESS THER DME >50CM557
NEG PRESS THER DME<=50CM557
NEG PRESS THR DISP<=50CM557
NEG PRESS THR DISP>=50CM557
NEONATAL RESUSITATION685
NERVE REPAIR W/ALLOGRAFT20,060
NEURO ED 15 MIN125
NEUROPLASTY MED NRV CARP8,225
NEUROPLASTY ULNR NRV ELBW8,225
NEW LEVEL I136
NEW LEVEL II144
NEW LEVEL III155
NEWBORN SCREEN, MS/MS-DH23
NEWBORN SCREEN,BIOTINIDAH20
NEWBORN SCREENING-GAL-DH11
NEWBORN SCREEN-PHENY-DH15
NMR LIPO PARTICLE ANALYIS247
NONTUNNEL CNT LN >5 YRS5,734
NSL/SNS END SPHTSS RMV BI42,562
NSL/SNS NDSC+SNS DILAT BI42,562
OAE LTD INTITAL(OP)162
OB EXAM VISIT191
OBSTETRIC PANEL344
OCCULT BLOOD,FLUID28
OCCULT BLOOD,IMMUNOASSAY127
OLIGOCLONAL BANDS-A37
OPEN TX DISTAL INT>3 FRAG32,661
OPEN TX METACARPAL FX14,146
OPEN TX NASAL FX WWO STBL14,146
OPEN TX NASAL FX;COMPLCTD9,548
OPEN TX NASAL FX;UNCOMP9,548
OPEN TX SEPTUM FX10,678
OPHTH BIOMTRY IOLMSTR BIL613
ORBITOTOMY W/O BONE FLAP14,824
ORBITS MIN 4VW668
ORGANIC ACID,UR309
ORTHOTIC TRN INITL 15 MIN143
OSMOLALITYBLOOD48
OSMOLALITYURINE54
OSTECTMY PRTL MTRSL HD EA8,593
OT EVAL ADD'L 15 MIN114
OT EVAL HIGH COMPLEXITY406
OT EVAL INITIAL 30 MIN229
OT EVAL LOW COMPLEXITY382
OT EVAL MOD COMPLEXITY394
OT RE-EVAL EST PLAN 30MIN230
OVA & PARASITE,TRICHROME152
OVA & PARASITES,CONCENTRATE64
OXCARBAZEPINE-A25
OXIMETRY MULTIPLE170
OXIMETRY SINGLE67
PACHYMETRY166
PALATOPHARYNGOPLASTY21,874
PARACENTESIS W/ GUIDANCE4,337
PARACENTESIS W/O GUIDANCE4,337
PARAFFIN BATH PER PROC57
PARAINFLUENZA DFA81
PARATHYRD PLNR W SPECT/CT2,643
PARATHYRD PLNR W/ SPECT2,038
PARATHYROID AUTOTRANSPLNT11,680
PARATHYROID PLANAR IMAGE2,038
PARATHYROIDECTOMY21,874
PARTIAL EXCISION OF LIP9,548
PARTIAL REMOVAL OF HYMEN10,990
PARTIAL REMOVAL OF TOE8,595
PARTIAL REMOVAL OF ULNA14,794
PARTIAL REMOVAL OF VULVA10,990
PARVOVIRUS ABS-A14
PELVIC EXAM W/ANESTHESIA10,990
PELVIS 1-2 VIEWS668
PELVIS MIN 3VW668
PERC DRAINAGE W/ CATH PLCMT807
PERC FIX DISTAL RADIAL FX14,146
PERC TREAT FINGER FX, EA8,595
PERICARDIOCENTESIS INITL5,734
PERIPHERAL VASCULAR REHAB212
PERITONEOGRAM2,839
PET BRAIN METABOLIC EVAL8,034
PET MET MYOCARDIAL LEV 27,016
PET/CT SKULL BASE-MIDTHIH8,034
PET/CT WHOLE BODY8,034
PH26
PHALANGEAL REPAIR14,146
PHENOBARBITOL82
PHENYTOIN (DILANTIN)95
PHENYTOIN, FREE AND TOTAL116
PHOSPHATIDYLETHANOL-A97
PHOSPHORUS37
PHOSPHORUSURINE37
PHYS PERF TEST 15 MIN138
PICC W/ PORT >5 YRS14,541
PICC W/O PORT W/O GUIDANCE < 5 YRS OLD3,573
PICC W/O PORT W/O GUIDANCE >5 YRS OLD5,734
PLACEMENT OF SETON9,811
PLASMA HGB-A16
PLASMAPHERISIS2,891
PLATELET AGGREGATION TEG170
PLATELET ASSO. ANTIBODIEA29
PLATELET COUNT, AUTO32
PLATELET CYTAPHERESIS/THROMBOCYTAPHERISIS2,807
PLAVIX GENOTYPE-Q230
PLCMT PROX EXT PROS AORT1,425
PLETHYSMOGRP FUNC TEST846
PM DEVICE INTEROG EVAL INCL LEADLESS220
PNEUMOCYSTIS FA81
PORPHOBILINOGEN24HR-A30
PORPHYRIN 24HR-A26
PORT FILM(S)155
POST PARTUM CARE ONLY582
POTASSIUM36
POTASSIUMURINE31
PRE ALBUMIN127
PREG SCREEN BLOOD54
PREG SCREENURINE45
PREGNENOLONE-ES29
PREPUTIAL STRETCHING1,339
PRESS/NONPRESS SUBSEQ ENC615
PRETREAT AB LD INHIB-SDBB73
PRETREAT RBC CHEM ARC SO32
PRETREAT W/ENZ,PER ARC SO19
PRGRMG EVAL IMPLANTABLE DFB (93283)220
PROBE NASOLACRIML DUCT UN8,275
PROCAINAMIDE,METABLTES-A34
PROCALCITONIN174
PROGESTERONE182
PROINSULIN-A30
PROLACTIN169
PROSTATE SPECIFIC AG161
PROSTATIC ACID PHOS-A12
PROSTHE TRN INITL 15 MIN122
PROTEIN C ACTIVITY121
PROTEIN C-A14
PROTEIN ELP URINE156
PROTEIN EPG SERUM-L94
PROTEIN S-A15
PROTEIN TOTAL26
PROTEIN,CSF26
PROTEIN,URINE,QUANT26
PROTHROMBIN NUC 20210 G>A58
PROTHROMBIN TIME77
PSEUDOCHOLINESTERASE-A14
PT EVAL ADD'L 15 MIN113
PT EVAL HIGH COMPLEXITY404
PT EVAL INITIAL 30 MIN228
PT EVAL LOW COMPLEXITY380
PT EVAL MOD COMPLEXITY392
PT RE-EVAL EST PLAN 20MIN181
PTH INTACT360
PTH INTACT-CALCIUM37
PULM FUNC GAS OR WASHOUT498
PULM QUANT DIFF PERFUSION2,038
PULM VENT & PERFUSION IMG2,643
PULM VENT AERO/GAS ONLY2,038
PULMONARY REHAB W EXER/HR332
PULMONARY STRESS TEST (6MIN WALK)613
PUNCTURE DRG LESION1,813
PURE TONE AUD AIR ONLY350
PYELOGRAM RETROGRADE2,662
Q FEVER ABS-M22
QUANTIFERON-TBGOLD523
RAD TX COMPLEX >1 MEV1,042
RAD TX DLVR LOC GUIDANCE279
RAD TX INTERM >1 MEV801
RAD TX SIMPLE >1 MEV578
RADIOELEM HAND & SUPER108
RADIOLOGICAL SURGICAL SPECIMEN2,839
RADIOPHARM LOCALZ NON-IMG2,038
RADIOPHARM THERAPY IA PAR1,391
RADIOPHARM THERAPY IV1,391
RADIOPHARM THERAPY ORAL1,391
RBC PROFILE,MOLECULR-SDBB500
RECON OUTER EAR STENOSI21,874
RECONSTRUCT BRST EXPND UN27,835
RECONSTRUCT BRST OTHER UN21,536
RECONSTRUCT FINGER JOINT14,146
RECONSTRUCTION BREAST UNI12,920
RED CELL EXCHANGE2,807
REFLX TEST TELEMETRY ELEC2,592
RELEASE PALM CONTRACTURE14,146
RELEASE PLM CONTR EA ADDL14,145
RELEASE WRST/FOREARM TNDN9,149
REM BREAST INTACT MAM UNI15,913
REM BREAST MAMMARY UNILAT15,913
REM NAIL PLATE, ADD-ON290
REM SKIN TAGS UP TO 15LES986
REMOV EYELID FOREIGN BODY1,561
REMOV FOREIGN BODY SUBQ3,136
REMOV TUNN CNT LN W/ PORT5,095
REMOV TUNN CNT LN W/O PRT3,573
REMOVAL ADNEXAL LAP22,164
REMOVAL FOREIGN BODY EYE6,701
REMOVAL IMPACTED CERUMEN326
REMOVAL IMPLNT DEEP13,562
REMOVAL NAIL BED1,813
REMOVAL OF ANAL FISSURE9,811
REMOVAL OF ESOPHAGUS POUCH20,473
REMOVAL OF IUD1,480
REMOVAL OF NAIL PLATE986
REMOVAL OF NERVE LESION8,223
REMOVAL OF SKIN LESION3,342
REMOVAL OF SPERM DUCT(S)8,896
REMOVAL OF TONSILS9,550
REMOVAL PLEURAL CATH3,573
REMOVAL SWEAT GLND LESION9,974
REMOVE ANAL FIST COMPLEX9,811
REMOVE ANAL FIST INTER9,811
REMOVE ARMPIT LYMPH NODES24,862
REMOVE DRUG DELIVERY IMP578
REMOVE FB CORNEA W/ SL613
REMOVE FB CORNEA W/O SL1,925
REMOVE FB EXTERNAL EYE613
REMOVE FB/SUBQ SIMPLE1,813
REMOVE FOREIGN BDY MUSCLE5,562
REMOVE NASAL FB613
REMOVE PHARYNX FB1,925
REMOVE THYROID DUCT LESN24,862
REMOVE TISS EXPANDER UNI13,562
REMOVE WRIST TENDN LESION8,595
REMOVL IMPLANT SUPERFCIAL7,864
REMOVL SWEAT GLAND LESION9,974
REMV WRIST/FOREARM LESION9,414
REMV/REINSRT DRUG IMPLANT1,926
REMVL CERUMEN REQ INSTR326
RENAL FUNCTION PANEL69
RENIN-ES18
REP 4ARM TEND/MUSC EXTEN14,146
REP 4ARM TEND/MUSC FLEX8,943
REP BLD VESSEL LESION14,541
REP BLD VESSEL UPPER EXT14,541
REP COMPLX EYELID/NOSE/EAR/LIPS 1.1 TO 2.5CM2,848
REP COMPLX EYELID/NOSE/EAR/LIPS 2.6 TO 7.5CM2,848
REP COMPLX FACE/NECK/AX/GEN/HAND/FT EA ADD <=5CM1,019
REP COMPLX FACE/NECK/AXIL/GEN/HAND/FT 1.1 TO 2.5CM1,813
REP COMPLX FACE/NECK/AXIL/GEN/HAND/FT 2.6 TO 7.5CM2,848
REP COMPLX SCALP/ARM/LEGS 1.1 TO 2.5CM2,848
REP COMPLX SCALP/ARM/LEGS 2.6 TO 7.5CM2,848
REP COMPLX SCALP/ARM/LEGS EA ADD <=5CM805
REP CPLX TRUNK ADD <=5 CM2,530
REP EYELID FULL 1/4LID UN8,275
REP FLEXOR TENDON, EA14,146
REP INTERM FACE/EARS/EYELIDS/NOSE/LIPS/MUC MEM <= 2.5CM1,813
REP INTERM FACE/EARS/EYELIDS/NOSE/LIPS/MUC MEM 12.6 - 20CM1,813
REP INTERM FACE/EARS/EYELIDS/NOSE/LIPS/MUC MEM 7.6 - 12.5CM1,813
REP INTERM NECK/HAND/FT/EXT GENITALIA <= 2.5CM1,813
REP INTERM NECK/HAND/FT/EXT GENITALIA 12.6 - 20CM2,848
REP INTERM NECK/HAND/FT/EXT GENITALIA 2.6 - 7.5CM1,813
REP INTERM NECK/HAND/FT/EXT GENITALIA 7.6 - 12.5CM2,848
REP INTERM SCALP/AXIL/TRUNK/EXTREMITIES <= 2.5CM1,813
REP INTERM SCALP/AXIL/TRUNK/EXTREMITIES 12.6 - 20CM1,813
REP INTERM SCALP/AXIL/TRUNK/EXTREMITIES 2.6 - 7.5CM1,813
REP INTERM SCALP/AXIL/TRUNK/EXTREMITIES 20.1 - 30CM2,848
REP INTERM SCALP/AXIL/TRUNK/EXTREMITIES 7.6 - 12.5CM1,813
REP MOUTH LACERAT >2.5C2,683
REP OF FOOT TENDON14,146
REP SIMPLE FACE/EARS/EYELIDS/NOSE/LIPS/MUC MEM <=2.5 CM986
REP SIMPLE FACE/EARS/EYELIDS/NOSE/LIPS/MUC MEM 20.1 TO 30.0CM1,813
REP SIMPLE FACE/EARS/EYELIDS/NOSE/LIPS/MUC MEM 7.6 TO 12.5CM986
REP SIMPLE SCALP/NECK/AXIL/GEN/TRUNK/EXTREM 20.1 TO 30.0CM1,813
REP SIMPLE SCALP/NECK/AXIL/GEN/TRUNK/EXTREM 7.6 TO 12.5CM986
REP TENDON W/O FREE GRAFT14,146
REPAIR ACL ARTHROSCOP37,370
REPAIR BICEPS TENDON22,067
REPAIR BLADDER DEFECT20,497
REPAIR CERVIX VAGINAL APR7,144
REPAIR CVA CATH W/O PORT3,573
REPAIR CYSTOCELE W/WO URE14,487
REPAIR EARDRUM STRUCTURES21,874
REPAIR ECTROPION EXTEN8,275
REPAIR ELBOW PERC8,593
REPAIR ELBW DEB/ATTCH OPN14,794
REPAIR EYELID DEFECT8,328
REPAIR EYELID EXTRNL UNI8,275
REPAIR EYELID RESECT UNI8,275
REPAIR FIBULA NONUNION24,797
REPAIR FINGER TENDON8,593
REPAIR HALLUX RIGIDUS23,690
REPAIR HAND TENDON8,593
REPAIR HERNIA INCAR STRNG32,131
REPAIR INCIS/VENTR HERNIA15,430
REPAIR INGU HERNIA INT UN22,164
REPAIR INTERM 2.6 - 5.0CM1,813
REPAIR INTERM 5.1 - 7.5CM1,813
REPAIR LIP6,639
REPAIR LIP,FULL THICK2,683
REPAIR MOUTH LACER 2.5<1,378
REPAIR MUSCLES OF HAND8,320
REPAIR NASAL SEPTUM9,550
REPAIR NASAL SEPTUM DFECT9,548
REPAIR NASAL STENOSIS21,874
REPAIR OF FOOT BONES30,607
REPAIR OF HAMMERTOE8,595
REPAIR OF NAIL BED2,848
REPAIR OF PERINEUM10,990
REPAIR OF THIGH MUSCLE14,794
REPAIR RADIUS OR ULNA37,079
REPAIR RECTUM & VAGINA14,487
REPAIR TONGUE LACERATON613
REPAIR UMB HERNIA INC 5>15,430
REPAIR UMB HERNIA RD 5>15,430
REPAIR WRIST JOINTS14,146
REPL DUOD/JEJ TUBE W/GUID4,337
REPLACE CVA CATH W/ PORT14,541
REPLACE G-J TUBE W/GUID4,337
REPLACE PICC W/O PORT W/ GUIDANCE5,734
REPLACE TISS EXPANDER UNI22,067
REPLACE TUNN W/O PORT14,541
REPR COMPLX TRUNK 2.6-7.C2,848
REPR RETNL DETACH WWO DRN2,847
REPROG COCHLEAR IMPLT >7498
REREPAIR ING HERNIA BLCKD15,428
RESCTN LIP >1/4 NO RCNSTR10,679
RESECT FT/TOE TUMOR < 3CM13,562
RESECT INFER TURBINATE UN9,550
RESET DISLOCATED JAW1,254
RESP SYNC VIRUS DFA81
RESP VIRUS 12-25 TARGETS3,294
RESPIRATORY MOTION MGMT1,416
RETIC COUNT29
RETIC HGB CONTENT24
REVISE MDL EAR BONE W/FT21,874
REVISE MIDDLE EAR BONE21,874
REVISE MIDDLE EAR&MASTOID21,874
REVISE SPERMATIC CORD VEINS9,966
REVISE/REMV SLING REPAIR13,258
REVISION BRST RECON UNI21,536
REVISN PHARYNGEAL WALLS21,874
RHEUMATOID FACTOR,QUANT50
RHINOPLASTY PRIM COMPLETE21,874
RHINOPLASTY PRIM SEPTAL21,874
RHINOPLASTY PRIMARY9,550
RHINOPLASTY SECOND MAJOR21,874
RHYTIDECTOMY; FOREHEAD12,620
RHYTIDECTOMY; NECK15,811
RHYTIDECTOMY;SMAS FLAP15,811
RIB CARTILAGE GRAFT21,874
RIBOFLAVIN (VIT B2)-Q71
RIBS BILAT 3VW668
RIBS BILAT W CHEST 4VW668
RIBS UNILATERAL 2VW362
RIBS UNILATERAL W PA CHEST668
RMVL PARTIAL METATARSAL8,595
RMVL TONSILS AND ADENOIDS9,550
RMVL/FULGRTN SKENES GLAND13,248
ROM EXTREMITY26
ROTAVIRUS AG-A13
RPR31
RPR FEM HERNIA INIT BLCKD15,428
RPR TITER32
RPR VENTRAL HERN INIT BLK15,430
RUBELLA122
RUBEOLA AB IGG-A109
SAC CEREVISIAE AB-A23
SACROILIAC JNTS MIN 3VW668
SACROILIAC JNTS UND 3VW668
SALIVARY GLAND FUNCTION2,038
SCAPULA UNILATERAL668
SCLERODERMA AB151
SED RATE,AUTOMATED21
SELENIUM - A14
SENSITIVITYKB60
SENSITIVITYMIC76
SENSORY TECH 15 MIN109
SEROTONINBLOOD-A31
SEX HORM BINDING GLOB183
SHAV LES SGL SNHFG<0.6CM986
SHAVE SKIN LESION1,332
SHOULDER 1VW UNILATERAL362
SHOULDER MIN 2VW UNILATERAL362
SHUNTOGRAM INDWELL SHT668
SICKLE CELL SCREEN48
SIDMOID W/FB RMVL5,462
SIG W/BALLOON DILAT5,462
SIG W/SUBMUCOSAL INJ4,142
SIGMOID ENDOSCOPIC US5,462
SIGMOID TRANSEND STENT PE4,852
SIGMOID TRANSEND US/TRAN6,377
SIGMOID TUM/POL/ABLATION5,462
SIGMOID TUM/POL/LES SNAR5,462
SIGMOID W/ HEMORRHG CNTRL5,462
SIGMOID W/WO SPECIMEN4,142
SIGMOIDOSCPY FLEX W/BIOP4,142
SIGNOIDOSCOPY DECOMPRESS5,462
SIMPLE REP <=2.5 CM986
SIMPLE REP 12.6 TO 20.0CM1,813
SIMPLE REP 2.6 TO 5.0CM986
SIMPLE REP 2.6 TO 7.5CM986
SIMPLE REP 20.1 TO 30.0CM1,813
SIMPLE REP 5.1 TO 7.5CM986
SIMPLE REP OVER 30.0CM986
SIMPLE REP OVER 30.OCM2,848
SIMULATION FIELD COX1,259
SIMULATION FIELD SIMPLE672
SINGLE AG AB ID PANEL250
SINUS ENDO BLNDIL FRNT UN18,110
SINUSES MIN 3VW362
SINUSES UNDER 3VW362
SIROLIMUS-A120
SKIN PINCH GRAFT 2CM2,848
SKIN TRANSFER EYELIDS/NOSE/EARS/LIPS <=10SQCM9,149
SKIN TRANSFER FOREHEAD/CHEEK/CHIN/MOUTH/NECK/AXIL/GENITL/HAND/FT <=10SQCM9,149
SKULL MIN 4VW668
SKULL UNDER 4VW668
SLEEP STDY UNATTENDED795
SM BOWEL ENDO W/JEJUN TUB6,425
SMALL INTEST W SERIAL FLM668
SODIUM38
SODIUM,BODY FLUID-A8
SODIUMURINE38
SOLUBLE TRANSFERRIN-A21
SP GRAVTYBF18
SPEC MED RAD PHYSIC CONS748
SPEC TELE RX BEAM PN1,259
SPECIAL DOSIMETRY453
SPECIAL RAD TX PROCEDURE2,203
SPEECH AUD THRES W/RECOG145
SPEECH AUD THRESHOLD145
SPEECH TX GROUP100
SPEECH TX INDIVIDUAL279
SPERMATIC VENOGRAM14,541
SPINAL PUNCTURE3,170
SPINE 1 VIEW362
SPINE CERVICAL 4-5VW668
SPINE CERVICAL >=6 VW668
SPINE CERVICAL 1-3 VW362
SPINE L-S MIN 4VW668
SPINE L-S W FLEX/EXT 6VW668
SPINE L-S W FLX/EXT 2-3VW668
SPINE LUMBAR UP TO 3VW668
SPINE SCOLIOSIS ERECT 2VW668
SPINE THORACIC 2VW AP/LAT668
SPINE THORACIC 3VW668
SPINE THORACIC 4VW668
SPINE T-L JUNCTION MIN 2VW362
SPIROMETRY II W & W/O BD1,452
SPIROMETRY SIMPLE795
SP-LANG THER INDIV PER HR394
SPLEEN IMAGING2,038
SPLIT GRAFT 100CM <9,149
SPLIT GRAFT 100SQCM OR <15,811
SPUTUM SPECI COLLECT AERO288
SRP-SULFATE,URN -SE7
SRS MULTISOURCE COMPLEX69,722
STEREO PHOTO UNILATERAL/BILATERAL613
STERNOCLAV JNTS MIN 3VW362
STERNUM 2VW362
STRAPPING OF ANKLE/FOOT790
STRAPPING OF KNEE613
STREP A AG SCREEN87
STREP A SCREEN, THR,PCR306
STREP B SCREEN, PCR296
STREP PNEUMO IGG AB-A3
SUCTION LIPECTOMY;HEAD15,811
SUCTION LIPECTOMY;TRUNK15,811
SURG TX ANAL FISTULA,SUBQ9,811
SURGERY VULVA LESION10,990
SUTURE DIGIT NERVE20,058
SWALLOW FUNCT (MBS)668
SWALLOW TREATMENT346
SYPHILIS,TEST;QUALITATIVE105
T3 TOTAL EIA124
T3 UPTAKE -A7
TACROLIMUS120
TB SKIN TEST171
T-CELLS,ABSLT CD4,CD8 CT397
T-CELLS,TOTAL COUNT318
TEICHOIC ACID AB-A22
TENDON SHEATH INCISION8,595
TESTOSTERONE TOTAL-A226
THEOPHYLLINE102
THER ACT 15 MIN152
THER EX 15 MIN120
THER GRP PER PROCEDURE374
THER SPEECH GEN DEVICE428
THERA IV PUSH EA ADD DRUG262
THERA IVP EA ADDL SAME RX262
THERAPEUTIC IV PUSH INITL262
THERAPEUTIC PHLEBOTOMY613
THIAMINE(B1)-A11
THIOCYANATE-A28
THORACENTESIS W/IMAGING3,573
THROMBIN TIME42
THYROGLOBULIN140
THYROID CA METAST WHL BDY2,643
THYROID CARCNM/MET UPTAKE489
THYROID IMAGE MEASURE2,038
THYROID IMG W/ BLOOD FLOW2,038
THYROID LOBECTOMY PARTIAL24,862
THYROID LOBECTOMY TOTAL24,862
THYROID STIM IMMUNOGLOB-A22
THYROID UPTAKE MEASURE2,038
THYROIDECTOMY TOTAL24,862
THYROXINTOTAL49
THYROXN BINDING GLOB-A15
TIBIA/FIBULA UP TO 2VW UNILAT362
TILT TABLE EXAM2,592
TIS ADJ F/C/C 10.1-30SQCM9,149
TIS ADJ S/A/L 10.1-30SQCM9,149
TIS ADJ TRNK 10.1-30SQCM9,149
TISS TRNS S/A/L <=10 SQCM9,149
TISS TRNS TRUNK <=10 SQCM9,149
TISSUE KOH SKIN HAIR NAIL37
TMJ BILATERAL362
TMJ UNILATERAL362
TOBRAMYCINRANDOM116
TOES MIN 2VW UNILATERAL362
TOPIRAMATE A28
TOPOGRAPHY 1 &/ OR 2 EYES326
TOTAL VOLUME22
TOXOPLASMA IGM-A10
TPMT DNA MARKER-PR296
TRABECULOPLAS LASER SURG2,847
TRACH/BRONCH DILT/RDCT FX11,762
TRACHEOBRONCHOSCOPY2,683
TRACHEOSTOMY ICU6,639
TRACHEOSTOMY PLANNED9,548
TRACHEOTOMY TUBE CHANGE1,041
TRACTION MECH PER PROC87
TRANSCATH EMBOLIZATION4,187
TRANSCRANIAL DOPPLER COMP723
TRANSCRANIAL DOPPLER LTD668
TRANSFERRIN112
TRANSFUSION SERV 1-4HRS1,430
TRANSPLANT FOREARM TENDON14,794
TRANSPLANT HAND TENDON12,800
TREAT CLAVICLE FRACTURE32,661
TREAT ECTOPIC PREGNANCY22,164
TREAT FINGER DISLOCATION14,146
TREAT FRACTURE OF RADIUS24,797
TREAT FX RAD EXTRAARTICUL32,661
TREAT FX RAD INTRA-ARTICL32,661
TREAT HUM PROXML FRACTURE32,661
TREAT KNEECAP FRACTURE23,690
TREAT TOE DISLOCATION1,254
TREAT WRIST BONE FRACTURE23,690
TREAT WRIST DISLOC1,254
TREAT/COMBO MOD 15 MIN126
TREAT/COMBO MOD INITIAL252
TREATMENT OF MISCARRIAGE10,990
TRICHINELLA ANTIBODY-A42
TRICHOMONAS, PCR253
TRIGLYCERIDE50
TRIIODOTHYRONIE,REVERSE-A16
TRIM DYSTROPHIC NAILS326
TRIM SKIN LESIONS, 2 TO 4986
TRNSBRONC LUNG BX ADD LOB3,094
TRNSBRONC NDL BX ADD LOB3,094
TROPONIN I155
TSH133
TULARENSIS AB-A26
TUM/POL/LES BY FORCEP4,142
TUM/STENOSIS DESTR BY LAS11,762
TUMOR LOC WHLBDY 2 OR MOR7,016
TUMOR LOC WHLBODY SGL DAY7,016
TUMOR LOCALIZE MULT AREAS2,038
TUMOR LOCALIZE SPECT2,643
TUNN CNT LN W/ PORT >5YRS14,541
TX ANKLE DISLOCATION1,254
TX BIG TOE FX W/ MANIP1,254
TX CLAVICLE FX1,254
TX CLAVICLE FX W/ MANIP6,475
TX DEVICE(S) COMPLEX1,176
TX DEVICE(S) INTERMED863
TX DEVICE(S) SIMPLE863
TX DISLOCATION/FRACTURE6,475
TX DIST FIN FX W/ MANIP A1,254
TX DIST FIN FX, EACH1,254
TX DISTAL FIB FX W/ MANIP1,254
TX DISTAL PHALANGEAL FX8,593
TX ELBOW DISLOC WO ANESTH1,254
TX ELBOW FX6,475
TX FIN DISCLOC W/ ANES1,384
TX FIN DISLOC1,254
TX FIN FX W/ MANIP, EACH1,254
TX FINGER FX EACH14,146
TX FX RADIUS W/ MANIP6,475
TX FX RADIUS&ULNA W/ MANP6,475
TX HIP DISLOCATION1,254
TX HUMERAL SHAFT FX W MANIP WWO SKELETAL TRACT6,475
TX HUMERL CONDYLR FX MEDIAL/ LATERAL W/ MANIP6,475
TX INCOMPLETE ABORTION10,990
TX KNEE DISLOC1,254
TX KNEECAP DISLOC1,254
TX KNUCKLE DISLOC1,254
TX LOWER LEG FX6,475
TX MALLEOLUS FX W/ MANIP6,475
TX METACARPAL FX, EA BONE1,254
TX METATARSAL FX W/ MANIP1,254
TX NOSE FX6,639
TX NOSE FX W/STABLIZATION9,548
TX OF ANKLE FX W/ MANIP6,475
TX OF BURN(S), LARGE1,813
TX OF BURN(S), MEDIUM986
TX OF BURN(S), SMALL986
TX OF TOE FX1,254
TX POST HIP DISLOC1,254
TX PROX HUMERUS W/ MANIP8,593
TX RADIAL HEAD/ELBOW WITH MANIP1,254
TX RADIUS NECK/HEAD FX6,475
TX SHOULDER DISLOC W/ ANS6,475
TX SHOULDER DISLOC WO ANS1,254
TX THUMB DISLOC1,254
TX TIBIA FX W/ MANIP6,475
TYMPANOLYSIS TRANSCANAL21,874
TYMPANOMETRY (IMPED TEST)145
TYMPANOMTRY & REFLX THRES498
TYMPANOPLASTY PORP TORP21,874
TYMPANOPLASTY RADICAL W/O21,874
TYMPANOPLASTY RADICAL W/R21,874
TYMPANOPLASTY W/O RECON21,874
TYMPANOPLASTY W/RECON21,874
TYMPANOPLASTY WALL W/O RC21,874
TYMPANOPLASTY WALL W/RC21,874
TYMPANOSTOMY UNILATERAL9,550
TYPE ABO420
TYPE RH208
UGI AIR W SMALL INTESTINE1,474
UGI AIR WO KUB1,474
UGI SERIES AIR W KUB1,474
UGI W KUB1,474
UGI W SMALL INTEST W SERL1,355
UGI W/O KUB1,474
ULNAR FX OPEN TX PROX END24,797
ULTRASOUND 15 MIN65
ULTRASOUND CHEST668
UR PRESEUM ID,ORG 171
UREA BREATH C14 ACQUISIT58
UREA BREATH C14 ANALYSIS496
UREA NITROGEN URINE34
UREA NITROGENBLOOD28
UREA,MYCOPLASMA CULT-A43
URETER OR URETHRA DILATION9,892
URETHROGRAM RETRO1,355
URIC ACID36
URIC ACIDURINE34
URINALYSIS, MICROSCOPIC22
URINALYSIS-COMPLETE23
URINALYSIS-MACRO ONLY16
URINE CULTURE70
UROGRAPHY ANTEGRADE2,624
US ABD AORTA SCREEN AAA668
US ABDOMEN COMPLETE668
US ABDOMEN LTD668
US AMNIOCENTESIS GUIDE317
US BREAST UNILAT COMP668
US BREAST UNILAT LIMITED362
US EXT NONVASC COMPLT UNILAT668
US EXT NONVASC LIMITED UNILAT668
US GUID PERICARDIOCENTES339
US GUIDANCE FOR NDL PLMT323
US GUIDE VASC ACCESS ADDN307
US HEAD/NECK SOFT TISSUE668
US INTRA-OPERATIVE SCAN496
US NUCHAL MEASURE ADD GES253
US NUCHAL MEASURE SGL GES668
US PEDIATRIC HIP BILAT362
US PELVIC COMPLETE NON-OB668
US PELVIC LTD OR F/UP668
US PREG ADD GES DET FETUS296
US PREG SGL GES DET FETUS668
US PREG<14 WKS ADD GES257
US PREG<14 WKS SGL GES668
US PREG>14 WKS ADD GES392
US PREG>14 WKS SGL GES668
US PREGNANT TRANSVAGINAL668
US PROSTATE VOLUME668
US RENAL TRANSPLANT UNILAT668
US RETROPERITONEAL COMP668
US RETROPERITONEAL LTD BILAT668
US SCROTUM & CONTENTS668
US SPINALCANAL & CONTENTS668
US TRANSVAGINAL668
US URINE CAPACITY MEASURE350
US UTERUS F/U OR REPEAT668
US UTERUS PREG LIMITED668
UVULECTOMY EXCISION UVULA9,548
VALPROIC ACID98
VANCOMYCIN TROUGH108
VARCELLA ZOSTER DFA81
VARICELLA AB, IGG112
VASCULAR FLOW STUDY2,038
VASO INT PEPTIDE-MAYO52
VASOPNEUMATIC PER PROC83
VENIPUNCT PHYSICIAN SKILL32
VENIPUNCTURE24
VENO HEPATIC W PRESS14,541
VENO HEPATIC W/O PRESS14,541
VENO VENA CAVA INFERIOR14,541
VENO VENA CAVA SUPERIOR3,991
VENOGRAM ADREN BILAT24,879
VENOGRAM EXTREMITY BILAT5,734
VENOGRAM EXTREMITY UNILAT3,991
VENOGRAM PORTAL W PRES14,541
VENOGRAM PORTAL W/O PRES5,734
VENOGRAM RENAL BILAT14,541
VENOGRAM SINUS/JUGULAR14,541
VENOUS MAPPING1,355
VENT CARE INITIAL PER DAY3,080
VENT CARE SUBS PER DAY1,922
VF LIMITED EXAM350
VIRUS SHELL VIALEA171
VISCOSITY, SERUM102
VISUAL FIELD (HUMPHREY)613
VISUAL REINFORCEMENT AUD498
VITAL CAPACITY TEST795
VITAMIN A-A8
VITAMIN B12 BINDING-A21
VITAMIN B3, NIACIN-A67
VITAMIN B6 (PYRIDOXAL PHA10
VITAMIN C-A21
VITAMIN E -A8
VITAMIN K -A41
VITIMIN B12132
VITIMIN D1-25DIHYDR-A21
VITIMIN D25 HYDROXY-A255
VMA-A16
VOICE PROSTHETIC EVAL454
VON WILLEBRAND PANEL, WITH REFLEX22
VU HEMODIALYSIS DPLX668
VW FACTOR MM (ARUP) S/O61
WBC COUNT18
WBC EXAM, STOOL31
WET PREP31
WHEELCHAIR MGMT 15 MIN113
WHITE CELL COLLECT/DEPLE2,807
WOUND CULTURE75
WRIST MIN 3VW UNILATERAL362
ZINCBLOOD-A8
Interventional Rad Level I - Ea Addl 30 Min1,830
Interventional Rad Level I - Init 60 Min3,660
Interventional Rad Level II - Ea Addl 30 Min3,357
Interventional Rad Level II - Init 60 Min6,711
Interventional Rad Level III - Ea Addl 30 Min6,641
Interventional Rad Level III - Init 60 Min13,282
Interventional Rad Level IV - Ea Addl 30 Min11,433
Interventional Rad Level IV - Init 60 Min22,869
Interventional Rad Level V - Ea Addl 30 Min15,150
Interventional Rad Level V - Init 60 Min30,302
L&D OR Level I - Ea Addl 30 Min1,833
L&D OR Level I - Init 60 Min3,664
L&D OR Level II - Ea Addl 30 Min3,032
L&D OR Level II - Init 60 Min6,064
L&D OR Level III - Ea Addl 30 Min4,959
L&D OR Level III - Init 60 Min9,918
L&D OR Level IV - Ea Addl 30 Min6,580
L&D OR Level IV - Init 60 Min13,162
Nursery Level 11,867
Nursery Level 22,401
Observation ICU Ea Hour821
Observation Med/Surg Ea Hour257
Observation OB Ea Hour141
Observation Stepdown Ea Hour567
Observation Telemetry Ea Hour379
OR Level I - Ea Addl 30 Min2,937
OR Level I - Init 60 Min5,871
OR Level II - Ea Addl 30 Min4,509
OR Level II - Init 60 Min9,016
OR Level III - Ea Addl 30 Min6,641
OR Level III - Init 60 Min13,282
OR Level IV - Ea Addl 30 Min11,433
OR Level IV - Init 60 Min22,869
OR Level V - Ea Addl 30 Min15,150
OR Level V - Init 60 Min30,302
ORTH/PROS SUBSEQNT 15 MIN187
R&B - ICU19,708
R&B - ICU Trauma27,142
R&B - Semi Private6,165
R&B - Semi Private Isolation6,431
R&B - Semi Private Telemetry9,505
R&B - Semi Private OB3,374
R&B - Semi Private OB Isolation3,599
R&B - Semi Private OB Telemetry3,648
R&B - Semi Private OB Trauma4,542
R&B - Semi Private Psych3,311
R&B - Semi Private Psych Closed3,439
R&B - Semi Private Rehab5,871
R&B - Semi Private Rehab Isolation6,125
R&B - Semi Private Rehab Telemetry8,659
R&B - Semi Private Telemetry9,092
R&B - Semi Private Trauma8,545
R&B - Semi Private Trauma Telemetry12,097
R&B - Stepdown13,608
R&B - Stepdown Isolation14,356
R&B - Stepdown Trauma17,795
RR Level II/Ext Ea Hr379
RR Level I PACU Ea Hr1,838
RR Level I PACU Ea Hr540
RR Med/Surg/Ext Ea Hr257
Trauma Consult5,379
Trauma Full Team26,292
Trauma Partial Team23,189