"NOTE: The following are Shirley Ryan AbilityLab's standard charges as of Jan. 1, 2019.  These standard charges often do not reflect what a patient or their insurance company/payer may be required to pay.  Contact Patient Financial Services at 312-238-6039 for more information."	
	
	
Description	Price
"11-Deoxycortisol, Urine Random"	$531 
"12 Lead Ekg, Tracing Only"	$245 
"17 Hydroxycorticosteroids, Urine Timed"	$363 
"17 Hydroxyprogesterone, Serum"	$172 
"17 Ketosteroids, Urine Timed"	$273 
"17-Ketosteroids with Creatinine, Urine Random"	$273 
2D Gait Analysis Charge(95999)	"$2,174 "
"5' Nucleotidase, Serum"	$269 
5.5 PDC PEDS CUFFED TRACH	$226 
5-HIAA-24 Hr Urine	$99 
"A4566 Shoulder sling or vest design, abduction res"	$226 
"A4595 FES Electrode, each"	$38 
"A6545 Gradient Compression Wrap, Non-Elastic, Belo"	$171 
ABO Rh Type	$106 
Above Knee Nylon Hose PR	$83 
Above Knee Suction Sheath	$131 
"Above knee, for proximal femoral focal deficiency,"	"$14,344 "
"Above knee, molded socket, open end, SACH foot, en"	"$10,751 "
"Above knee, molded socket, single axis constant fr"	"$10,935 "
"Above knee, short prosthesis, no knee joint (""""stu_L5210"	"$8,682 "
"Above knee, short prosthesis, no knee joint (""""stu_L5220"	"$7,429 "
ACAPELLA DH GREEN VIBRATORY PEP W/MOUTHPIECE DEVIC	$181 
Acetabuloplasty (27120)	"$4,493 "
"Acetone, Serum"	$27 
Acetylcholine Receptor  Binding Antibody	$405 
Acid Phosphatase	$66 
"Acid Phosphatase, Prostatic fraction"	$66 
ACNE SURGERY MILIA CYSTS (10040)	$530 
Acorn Nebulizer	$174 
Activated PTT/Partial Thromboplastin Time	$109 
Active Wound Care > 20 cm Units	$171 
Active Wound Care/20 cm or < Units	$171 
Acupuncture with E-Stim. Each additional 15 minute	$65 
Acupuncture with E-Stim. Initial 15 minutes Charge	$110 
Acupuncture without E-Stim each additional 15 minu	$65 
Acupuncture without E-Stim. Initial 15 minutes Cha	$89 
Acute Hepatitis Panel	$348 
Add Padding to Belt	$113 
"Addit to LE, BK/AK, custom fab or prefab, socket i"	"$2,072 "
"Addit to LE, BK/AK, custom fab socket insert for c"	"$4,164 "
"Addit to LE, BK/AK, custom fab socket insert for o"	"$4,164 "
"Addition to Halo Procedure, MRI Compatible System "	"$2,529 "
"Addition to LE pros, endo knee-shin sys, microproc"	"$72,220 "
"Addition to LE pros, endo knee-shin sys, microproc_L5857"	"$20,724 "
"Addition to LE pros, endo knee-shin sys, microproc_L5858"	"$43,410 "
"Addition to LE pros, endo knee-shin sys, powered &"	"$36,322 "
"Addition to LE, AK or knee disartic, acrylic socke"	"$1,353 "
"Addition to LE, AK or knee disartic, pelvic joint"	$589 
"Addition to LE, AK or knee disartic, Silesian band"	$481 
"Addition to LE, AK or knee disarticulation, pelvic"	$279 
"Addition to LE, AK, air cushion socket"	"$1,764 "
"Addition to LE, AK, flexible inner socket, externa"	"$4,497 "
"Addition to LE, AK, leather socket"	"$1,641 "
"Addition to LE, AK, pelvic control belt, light"	$395 
"Addition to LE, AK, pelvic control belt, padded an"	$730 
"Addition to LE, AK, pelvic control, sleeve suspens"	$655 
"Addition to LE, AK, wood socket"	"$1,419 "
"Addition to LE, BK flexible inner socket, external"	"$3,083 "
"Addition to LE, BK, acrylic socket"	"$1,268 "
"Addition to LE, BK, air cushion socket"	"$1,494 "
"Addition to LE, BK, back check (extension control)"	$176 
"Addition to LE, BK, cuff suspension"	$308 
"Addition to LE, BK, fork strap"	$143 
"Addition to LE, BK, joint covers, pair"	$118 
"Addition to LE, BK, knee joints, polycentric, pair"	"$1,660 "
"Addition to LE, BK, knee joints, single axis, pair"	"$1,114 "
"Addition to LE, BK, leather socket"	"$1,559 "
"Addition to LE, BK, molded distal cushion"	$356 
"Addition to LE, BK, molded supracondylar suspensio"	$835 
"Addition to LE, BK, removable medial brim"	$868 
"Addition to LE, BK, suction socket"	"$2,502 "
"Addition to LE, BK, suspension/sealing sleeve, w/ "	$385 
"Addition to LE, BK, thigh lacer, gluteal/ischial, "	"$1,871 "
"Addition to LE, BK, thigh lacer, non-molded"	$936 
"Addition to LE, BK, total contact"	"$1,535 "
"Addition to LE, BK, waist belt, padded and lined"	$376 
"Addition to LE, BK, waist belt, webbing"	$184 
"Addition to LE, BK, wood socket"	"$2,694 "
"Addition to LE, BK/AK suspension locking mechanism"	"$2,063 "
"Addition to LE, BK/AK, custom fab or prefab, socke"	"$2,487 "
"Addition to LE, endo sys, AK or knee disartic, 4-b"	"$7,704 "
"Addition to LE, endo sys, AK or knee disartic, 4-b_L5611"	"$5,070 "
"Addition to LE, endo sys, AK, hydracadence system"	"$6,078 "
"Addition to LE, endo sys, AK, universal multiplex "	"$3,740 "
"Addition to LE, endosys, AK or knee disartic, 4-ba"	"$4,107 "
"Addition to LE, hip disartic, flexible inner socke"	"$6,026 "
"Addition to LE, ischial containment/narrow M-L soc"	"$7,752 "
"Addition to LE, knee disartic, expandable wall soc"	"$2,035 "
"Addition to LE, knee disartic, leather socket"	"$1,771 "
"Addition to LE, quick change self aligning unit, A"	"$1,353 "
"Addition to LE, shoulder harness"	$491 
"Addition to LE, socket insert, AK (Kemblo, Pelite,"	"$1,892 "
"Addition to LE, socket insert, AK, silicone gel or"	"$2,487 "
"Addition to LE, socket insert, AK, silicone gel or_L5665"	"$1,793 "
"Addition to LE, socket insert, BK (Kemblo, Pelite,"	$877 
"Addition to LE, socket insert, BK, silicone gel or"	"$1,573 "
"Addition to LE, socket insert, knee disartic, sili"	"$1,573 "
"Addition to LE, socket insert, multidurometer, Sym"	"$1,573 "
"Addition to LE, socket insert, Symes, silicone gel"	"$2,487 "
"Addition to LE, socket insert, Synes"	"$1,211 "
"Addition to LE, suction suspension, AK or knee dis"	"$1,341 "
"Addition to LE, Symes type, """"PTB"""" brim socket de"	"$1,085 "
"Addition to LE, Symes type, expandable wall socket"	"$1,365 "
"Addition to LE, Symes type, medial opening socket"	$772 
"Addition to LE, Symes type, posterior opening (Can"	"$1,012 "
"Addition to LE, test socket, AK"	"$1,237 "
"Addition to LE, test socket, BK"	"$1,193 "
"Addition to LE, test socket, Hemipel"	"$1,926 "
"Addition to LE, test socket, Hip disartic"	"$1,902 "
"Addition to LE, test socket, Knee disartic"	"$1,238 "
"Addition to LE, test socket, Symes"	"$1,344 "
"Addition to LE, total contact, AK or knee disartic"	"$1,500 "
"Addition to LE,socket insert, knee disartic (Kembl"	"$1,332 "
"Addition to lower extremity, Long tongue stirrup"	$635 
"Addition to UE, External power, additional switch"	"$1,238 "
"Addition, endo knee-shin sys, 4-bar linkage or mul"	"$11,732 "
"Addition, endo knee-shin sys, hydraulic stance ext"	"$3,234 "
"Addition, endo knee-shin sys, polycentric, frictio"	"$2,874 "
"Addition, endo knee-shin sys, polycentric, hydraul"	"$11,750 "
"Addition, endo knee-shin sys, polycentric, mechani"	"$2,618 "
"Addition, endo knee-shin sys, single axis, fluid s"	"$8,866 "
"Addition, endo knee-shin sys, single axis, fluid s_L5824"	"$4,980 "
"Addition, endo knee-shin sys, single axis, frictio"	"$1,825 "
"Addition, endo knee-shin sys, single axis, hydraul"	"$7,599 "
"Addition, endo knee-shin sys, single axis, manual "	"$2,429 "
"Addition, endo knee-shin sys, single axis, manual _L5810"	"$1,760 "
"Addition, endo knee-shin sys, single axis, pneumat"	"$5,272 "
"Addition, endo knee-shin sys, single axis, pneumat_L5830"	"$4,833 "
"Addition, endo knee-shin sys, stance flexion featu"	"$5,393 "
"Addition, endo sys, AK or hip disartic, alignable "	"$2,123 "
"Addition, endo sys, AK or knee disartic or hip dis"	"$1,004 "
"Addition, endo sys, AK, flexible protective outer "	"$3,546 "
"Addition, endo sys, AK, ultra-light material (tita"	"$3,111 "
"Addition, endo sys, BK, alignable system"	"$1,450 "
"Addition, endo sys, BK, flexible protective outer "	"$2,353 "
"Addition, endo sys, high activity knee control fra"	"$10,128 "
"Addition, endo sys, hip disartic, flexible protect"	"$3,513 "
"Addition, endo sys, hip disartic, ultra-light mate"	"$3,482 "
"Addition, endo system, AK or hip disartic, knee ex"	$513 
"Addition, endo system, BK, ultra-light material (t"	"$2,006 "
"Addition, endo system, hip disartic, mechanical hi"	$926 
"Addition, exo knee-shin sys, polycentric mechanica"	"$2,083 "
"Addition, exo knee-shin sys, polycentric, friction"	"$2,227 "
"Addition, exo knee-shin sys, single axis, external"	"$4,973 "
"Addition, exo knee-shin sys, single axis, fluid sw"	"$5,865 "
"Addition, exo knee-shin sys, single axis, fluid sw_L5724"	"$4,205 "
"Addition, exo knee-shin sys, single axis, friction"	"$1,035 "
"Addition, exo knee-shin sys, single axis, manual l"	"$1,450 "
"Addition, exo knee-shin sys, single axis, manual l_L5710"	$863 
"Addition, exo knee-shin sys, single axis, pneumati"	"$3,209 "
"Addition, exo knee-shin sys, single axis, pneumati_L5722"	"$2,708 "
"Addition, exo knee-shin sys, single axis, variable"	"$1,053 "
"Addition, exo sys,  BK, ultra-light material (tita"	"$1,658 "
"Addition, exo sys, AK, ultra-light material (titan"	"$2,394 "
"Addition, exo sys, hip disartic, ultra-light mater"	"$3,213 "
"Addition, Knee Joint, Cam Lock"	$547 
"Addition, Knee Joint, Disc/Dial Lock"	$647 
"Addition, Knee Joint, Drop Lock, Stance or Swing"	$392 
"Addition, Knee Joint, Lift Loop for Drop Lock Ring"	$528 
"Addition, Knee Joint, Ratchet"	$647 
"Addition, vacuum pump, residual limb volume manage"	"$12,689 "
"Addition, vacuum pump, residual limb volume manage_L5781"	"$12,655 "
"Addtion to LE prosthesis, user adj heel height"	"$5,458 "
Adductor Release Thumb	"$2,097 "
Adenovirus Antibody	$86 
ADHESIVE GEL PATCH	$32 
Adjustable Hip Block Hardware	$277 
Adrenocorticotropic Hormone (ACTH)	$393 
ADULT 24 HOUR ORAL SUCTION CLEANING KIT 6308	$42 
ADULT RESUSCITATION BAG/MASK	$37 
ADV POST TIBIAL TENDON W EXC NAVICLR BONE (28238)	"$19,435 "
"ADV POST TIBIAL TENDON W EXC NAVICLR BONE,Bilatera"	"$29,148 "
Advanced Care Planning 30 min (99497)	$335 
"AE, ext power, molded inner socket, remov shell, i"	"$31,289 "
"AE, ext power, molded inner socket, remov shell, i_L6955"	"$29,341 "
"AE, molded double wall socket, internal locking el"	"$9,772 "
"AE, molded socket, endo sys, incl soft prosthetic "	"$10,506 "
AEL Abductor Hardware Lever Release	$459 
AEL Abductor Hardware Push-Button Release	$459 
AEL Abductor Pad	$158 
AEL Bracket Adapter	$182 
"AEL Contoured Arm Support, All Sizes, Each"	$286 
"AEL Dynaform Chest Harness, All Sizes"	$180 
AEL Fixed Mounting Hardware	$120 
AEL H and X Straps	$210 
AEL Lateral Trunk Support Pad	$165 
"AEL POSAlinc Arm Support Hardware, Each"	$444 
AEL Quick/Swing Away Trunk Support Hardware	$296 
AEL Tri-pad Headrest	$702 
"AEL Wrist Strap Padded, Each"	$59 
AEROCHAMBER MV (USE W/MANU VENT)	$53 
AEROCHAMBER PLUS (USE W/MOUTHPC)	$40 
AEROCHAMBER W/LARGE MASK	$82 
AEROCHAMBER W/MEDIUM MASK	$80 
AEROCHAMBER W/SMALL MASK	$102 
Aerosol Therapy	$107 
AEROTRACH PLUS (USE W/TRACH)	$65 
AERPGEN NEB AERO KIT	$193 
AF531 ORO-NASAL/LARGE	$107 
AF531 ORO-NASAL/MEDIUM	$107 
AF531 ORO-NASAL/SMALL	$107 
Affiliates 00003-0293-20 Kenalog 40mg	$43 
Affiliates 00023-1145-01 Botox/unit	$14 
Affiliates 00409-1162-18- Bupivacaine 5mg/1ml- Sil	$3 
Affiliates 00409-1587-50 Marcaine .25%	$8 
Affiliates 45945-0157-02 Baclofen 10mg	"$2,102 "
Affiliates 58468-0090-03 Synvisc One 1mg	$158 
Affiliates On Site Technical Charge	$231 
AFO WALK BOOT TYPE CUS FAB	"$5,526 "
AK/FT POWER ASST INCL MOTORS (L5969)	"$40,415 "
Akin	"$2,141 "
Albumin Level	$69 
Albumin-Fluid	$36 
Aldolase	$102 
Aldosterone	"$1,105 "
"Aldosterone, random Urine"	$333 
"Aldosterone, Urine timed"	$579 
Alkaline Phosphatase	$85 
Alkaline Phosphatase-Bone Specific	$106 
Alkaline Phosphatase-Iso	$236 
Alkaline Phosphatase-Isoenzymes	$236 
All 4 compartments	"$2,105 "
"All endoskeletal LE prostheses, axial rotation uni"	"$2,585 "
"All endoskeletal LE prostheses, dynamic prosthetic"	$683 
"All exoskeletal lower extremity prostheses, axial "	"$1,553 "
"All LE prostheses, combination single axis and fle"	"$1,393 "
"All LE prostheses, energy storing foot (Seattle, C"	"$1,819 "
"All LE prostheses, Flex-Foot system"	"$12,014 "
"All LE prostheses, flexible keel foot, (SAFE, STEN"	"$1,223 "
"All LE prostheses, Flex-Walk system or equal"	"$10,793 "
"All LE prostheses, foot, multi-axial ankle/foot"	$963 
"All LE prostheses, multi-axial ankle/foot, dynamic"	"$7,887 "
"All LE prostheses, multi-axial rotation unit (""""MC"	"$3,128 "
"All LE prosthesis, ankle, multiaxial shock absorbi"	"$8,842 "
"All LE prosthesis, combination vertical shock and "	"$6,318 "
"All LE prosthesis, shank foot system with vertical"	"$22,751 "
"All lLE prostheses, foot, single axis ankle foot"	$719 
Allergen-Latex Enhanced IgE	$55 
"AllLE prostheses, foot, external keel, SACH foot"	$672 
Alpha 1 Antitrypsin Phenotype	$91 
Alpha 1 Antitrypsin Total	$300 
Alpha Fetoprotein	$266 
Alpha Fetoprotein Quad 4	$504 
"Alpha Fetoprotein, Tumor Marker"	$219 
ALT/SGPT	$90 
"Aluminum Level, Serum"	$162 
"Aluminum Level, Urine Random"	$227 
"Aluminum Level, Urine timed"	$227 
Ambu Bag and Treatment	$574 
Amikacin-Peak	$390 
Amikacin-Random	$390 
Amikacin-Trough	$390 
"Amino Acid Profile, Quantitative"	$442 
"Aminolevulinic Acid, Urine"	$337 
Amiodarone & Metabolites (Desethylamiodarone)	$37 
Ammonia	$53 
AMPUT ANKLE TO TIB-FIB M W PL REP (27888)	"$2,264 "
AMPUTATE THIGH-FEMUR ANY LEVEL (27590)	"$2,958 "
AMPUTATELEG THRU TIBIA AND FIBULA (27880)	"$3,240 "
Amputation Metatarsal (Single)	"$1,807 "
Amputation Secondary Closure or Scar Revision	"$2,029 "
Amputation Secondary Closure or Scar Revision Bila	"$3,042 "
"Amputation Toe, Interphalangeal Joint"	"$1,578 "
"Amputation, finger or thumb , primary or secondary"	"$2,492 "
"Amputation, leg, through tibia and fibula; re-ampu"	"$2,296 "
"Amputation, Toe; Metatarsal Phalangeal Joint"	"$1,787 "
"Amylase Level, Random Urine"	$107 
"Amylase Level, Serum"	$137 
"Amylase, Fluid"	$89 
"Amylase, Timed Urine"	$103 
Anal SP inf pmp wt reprog/refill (62369)	$726 
Anal SP inf pmp wt reprog/refill RN(62369)	$644 
ANALYZE NEUROSTIM SIMPLE (95971)	$600 
"Analyze Neurostim, Complex, 1st hour"	$875 
Androstenedione	$358 
Angiotensin Converting Enzyme	$147 
Angiotensin Converting Enzyme-CSF	$147 
ANK-FOOT SYS DORS-PLANT FLEX	"$44,219 "
Ankle Contracture Splint	$758 
"Ankle foot orthosis, multiligamentous ankle suppor"	$508 
"Ankle Strap, Each"	$113 
"Ankle, Symes, metal frame, molded leather socket, "	"$7,835 "
"Ankle, Symes, molded socket, SACH foot"	"$8,323 "
"Ankle-Foot Orthosis, Ankle Gauntlet"	$337 
"Ankle-Foot Orthosis, Double Upright, Plantar Dorsi"	"$2,104 "
"Ankle-Foot Orthosis, Inhibitory"	"$2,766 "
"Ankle-Foot Orthosis, Molded Ankle Gauntlet"	"$2,033 "
"Ankle-Foot Orthosis, Plastic or Other Material, w/"	"$2,113 "
"Ankle-Foot Orthosis, Plastic, Molded to Patient"	"$2,193 "
"Ankle-Foot Orthosis, Plastic, Posterior Solid Ankl"	"$2,792 "
"Ankle-Foot Orthosis, Plastic, Rigid Anterior Tibia"	"$5,055 "
"Ankle-Foot Orthosis, Plastic, w/ Ankle Joint, Mold"	"$3,120 "
"Ankle-Foot Orthosis, Posterior, Single Bar, Clasp "	$606 
"Ankle-Foot Orthosis, Prefabricated includes Fit an"	"$1,136 "
"Ankle-Foot Orthosis, Rigid Anterior Tibial Section"	"$4,019 "
"Ankle-Foot Orthosis, Rigid, Tibial Fracture Orthos"	"$1,686 "
"Ankle-Foot Orthosis, Single Upright w/ Static or A"	"$1,851 "
"Ankle-Foot Orthosis, Single Upright, Plantar/Dorsi"	$864 
"Ankle-Foot Orthosis, Soft, Tibial Fracture Orthosi"	"$2,271 "
"Ankle-Foot Orthosis, Spiral, Plastic or Other Mate"	"$3,783 "
"Ankle-Foot Orthosis, Spiral, Plastic, Custom Fabri"	"$1,650 "
"Ankle-Foot Orthosis, Spring Wire, Dorsiflexion Cal"	$657 
"Ankle-Foot Orthosis, Supramalleolar w/ Straps"	"$2,535 "
"Ankle-Foot Orthosis, Tibial Fracture Orthosis, Mol"	"$2,466 "
"Ankle-Foot Orthosis, Tibial Fracture Orthosis, Sem"	"$1,357 "
"Ankle-Foot Orthosis, Tibial Fracture Orthosis, The"	"$1,692 "
ANL SP infusion pmp wt/MD reprogram and refill (62	$848 
Anodal Trypsin Assay- HAT	$72 
Anorectal manometry (90911)	"$1,330 "
Anterior Tongue	$217 
Anti Neutrophil Cytoplasmic AB by IF	$247 
Anti OKT3 Ab Titers	$368 
Anti Streptolysin O AB	$27 
Anti Xa Assay - Atrixtra	$81 
Anti Xa Assay - Fragmin	$81 
Anti Xa Assay - Lovenox	$81 
Anti Xa Assay - Rivaroxaban	$81 
Anti Xa Assay - Unfractionated Heparin	$81 
Antibodies	$103 
Antibodies *	$103 
Antibody Elution	$254 
"Antibody Elution, referred"	$168 
Antibody Identification (blood bank)	$225 
Antibody Identification Interpretation	$124 
Antibody Screen	$152 
Antibody Screen (Blood Bank)	$165 
"Antibody Titration, indirect, each"	$97 
Anticardiolipin Antibody	$565 
Anticardiolipin Antibody_86147	$260 
Anticentromere Antibodies	$30 
Antidiuretic Hormone	$180 
Anti-DNA Antibody	$274 
Anti-DNA Antibody_86225	$274 
"Anti-Dnase B Antibodies, Streptococcal"	$86 
"Antigen Screen on Blood, Reagent Method"	$77 
Anti-Mitochondrial AB	$130 
ANTINUCLEAR AB (ANA)	$70 
Antinuclear Antibody	$223 
Anti-Parietal Cell AB	$141 
Anti-Smooth Muscle AB	$137 
Antithrombin III	$193 
Anti-Thrust Wedge Option	$113 
Anti-Thyroglobulin AB	$190 
Anti-Thyroglobulin AB_86800	$190 
APATER FEEDING DUAL PORT	$64 
APC Resistance	$131 
Apolipoprotein (a)	$99 
Apolipoprotein B	$99 
Apolipoprotein E	$99 
Appl. of Rigid Total Contact Leg Cast/TCC (2944)	$248 
Application ex-fix	"$1,926 "
Apply Multlay Comprs LWR Leg (29581)	$512 
"Apply Multlay Comprs LWR Leg, Bilateral (29581)"	"$1,025 "
Apply Short Arm Splint; Dynamic (29126)	$154 
APTT-Activated PTT/Partial Thromboplastin Time	$180 
"AQUAGUARD ""7 X 7"""	$48 
"AQUAGUARD 12"" X 14"""	$86 
"AQUAGUARD 9"" X 9"""	$61 
AQUAGUARD BOOT	$48 
AQUAPHOR COMPOUNDING OINTMENT 14oz	$62 
Arginaid	$1 
Arhtroscopically aided treatment on intercondylar 	"$3,871 "
"Arhtrotomy wrist, I&D"	"$2,349 "
"Arrest, epiphyseal, any method (eg, epiphysiodesis"	"$17,085 "
"Arrest, epiphysiodesis, open; distal fibula (27732"	"$11,241 "
Arsenic	$457 
"Arsenic Level, Urine timed"	$135 
"Arsenic, random Urine"	$135 
Arterial Blood Gas Collection	$124 
Arterial Blood Gas Lab Charge	$165 
Arthrocentesis Intermediate Joint - Bilateral Char	"$1,345 "
Arthrocentesis Intermediate Joint Charge (20605)	$896 
Arthrocentesis Major Joint Bilateral Charge (20610	"$1,393 "
Arthrocentesis Major Joint Charge (20610)	$926 
Arthrocentesis Small Joint - Bilateral Charge (206	"$1,339 "
Arthrocentesis Small Joint Charge (20600)	$891 
"ARTHROD GT IP JNT W EHL TRANSFER,Bilateral (28760-"	"$2,247 "
"Arthrodesis Great Toe, MP Joint"	"$2,455 "
"Arthrodesis Great Toe, MP Joint,Bilateral (28750-5"	"$29,788 "
Arthrodesis Interphalangeal Joint Great Toe	"$1,400 "
"Arthrodesis w/Tendon Lengthen and Advancement, Mid"	"$2,906 "
Arthrodesis with Bone Graft	"$3,502 "
Arthrodesis Wrist Complete	"$3,064 "
Arthrodesis Wrist w/Sliding Graft	"$3,515 "
"Arthrogram, hip"	$321 
Arthroscopically aided ACL	"$4,070 "
"Arthroscopy ankle, debridement"	"$2,163 "
"Arthroscopy ankle, OCD drilling"	"$2,806 "
"Arthroscopy knee, chondroplasty"	"$2,483 "
"Arthroscopy knee, chondroplasty microfracture"	"$2,658 "
"Arthroscopy knee, diagnostic"	"$1,657 "
"Arthroscopy knee, infection and drainage"	"$2,092 "
"Arthroscopy knee, lateral release"	"$2,097 "
"Arthroscopy knee, medial AND lateral meniscectomy"	"$2,776 "
"Arthroscopy knee, medial OR lateral meniscectomy"	"$2,585 "
"Arthroscopy knee, meniscus repair"	"$2,797 "
"Arthroscopy knee, OCD drilling"	"$2,527 "
"Arthroscopy knee, OCD internal fixation"	"$2,983 "
"Arthroscopy knee, plica"	"$2,029 "
"Arthroscopy knee, removal loose body"	"$2,167 "
Arthroscopy shoulder with debridement	"$2,359 "
Arthrotomy ankle	"$2,663 "
Arthrotomy Hip	"$4,012 "
Arthrotomy Intertarsal or Tarsometatarsal Joint	"$1,378 "
Arthrotomy Knee	"$2,872 "
Arthrotomy W/ OP Meniscus Repair (27403)	"$2,183 "
"Arthrotomy, elbow"	"$1,898 "
"Arthrotomy, glenohumeral joint"	"$2,924 "
"Arthrotomy, hip"	"$3,882 "
"Arthrotomy, posterior capsular release, ankle, wit"	"$4,589 "
"Arthrotomy, posterior capsular release, ankle, wit_27612"	"$2,295 "
Artificial Airway	$344 
ARTIFICIAL TEARS EYE DROPS 15ML	$25 
"Aspiration (biopsy) deep (femur, vertebral body)"	$488 
Aspiration/injection bone cyst	$628 
Aspiration/Injection Ganglion Cyst Charge (20612)	$913 
Assay IgA/IgD/IgG/IgM Each	$53 
"Assay of PSA, free"	$118 
ASSAY PH BODY FLUID NOS	$25 
Assessment of aphasia	$306 
AST/SGOT	$86 
ATT E/N/E/L; D 10 SQ CM (14060)	"$6,412 "
ATT E/N/E/L; D 10.1-30 (14061)	"$6,824 "
ATT F/C/M/N/A/G/H/F; 10 SQ CM (14040)	"$6,304 "
ATT F/C/M/N/A/G/H/F; 10.1-30SQCM (14041)	"$6,683 "
ATT S/A/L; D 10 SQ CM/< (14020)	"$6,141 "
ATT S/A/L; D 10.1-30 SQ CM (14021)	"$6,536 "
ATT TRUNK; D 10 SQ CM/< (14000)	"$5,968 "
ATT TRUNK; D 10.1-30 SQ (14001)	"$6,372 "
"Automatic grasp feature, addition to upper-limb pr"	"$12,930 "
"AVOGEL 8"" X 8"""	$138 
AVOGEL 8IN X 8IN SINGLE	$176 
"Avulsion of nail plate, partial or complete, simpl"	$698 
Back Cover Only	$455 
Back Cushion Cover - Complex Upgrade Option	$223 
Back Hardware - Adjustable/Growth Option	$679 
BAG BREATHING  TEST LUNG 1 LITER	$4 
BAG BREATHING ANESTHESIA TEST LUNG 3 LITER	$6 
BAG FEED GASTRIC GRAVITY 1000ML	$12 
BAG LEG 800ML	$21 
BAG NIGHT DRAINAGE	$34 
Band Applicator	$124 
BANDAGE COMPRILAN 10CM LYMPHEDEMA	$64 
BANDAGE COMPRILAN 12CM LYMPHEDEMA	$77 
BANDAGE COMPRILAN 6 CM LYMPHEDEMA	$38 
BANDAGE COMPRILAN 8 CM LYMPHEDEMA	$63 
BANDAGE ELASTINET SURGILAST SZ-1	$37 
BANDAGE ELASTINET SURGILAST SZ-10	$154 
BANDAGE ELASTINET SURGILAST SZ-2	$39 
BANDAGE ELASTINET SURGILAST SZ-3	$48 
BANDAGE ELASTINET SURGILAST SZ-4	$58 
BANDAGE ELASTINET SURGILAST SZ-5	$63 
BANDAGE ELASTINET SURGILAST SZ-6	$69 
BANDAGE ELASTINET SURGILAST SZ-8	$119 
BANDAGE ELASTINET SURGILAST SZ-9	$138 
BANDAGE GAUZE KERLIX 4.5IN X 4YDS	$6 
Basement Membrane IgG Abs	$155 
Basic Chemistry Panel	$379 
"Basic Chemistry Panel, Calcium, total"	$379 
BATERIAL FILTER	$4 
"Battery Charger, six volt, Otto Bock or equal"	$868 
"Battery Charger, twelve volt, Utah or equal"	"$1,713 "
"BE, ext power, self-susp inner socket, remov shell"	"$26,799 "
"be, ext power, self-susp inner socket, remov shell_L6930"	"$19,630 "
"BE, molded socket (Muenster or Northwestern suspen"	"$8,082 "
"BE, molded socket (Muenster or Northwestern suspen_L6120"	"$7,032 "
"BE, molded socket, endo sys, incl soft prosthetic "	"$8,265 "
"BE, molded socket, flexible elbow hinges, triceps "	"$7,638 "
Behavioral and Qualitative Analysis of Voice and R	$164 
Below Knee Nylon Hose PR	$50 
"Below knee, molded socket shin, SACH foot (EXO)"	"$8,283 "
"Below knee, molded socket, shin, SACH foot, endosk"	"$8,060 "
"Below knee, plastic socket, joints and thigh lacer"	"$11,583 "
BELT OSTOMY	$25 
BENGAY CREAM 4oz	$30 
"Beta 2 Mircroglobulin, Serum"	$99 
Beta-2 GPI Antoantibodies	$215 
Beta-2-Transferrin	$523 
Biangular Back Option	$135 
"Bilirubin, Direct"	$85 
"Bilirubin, Fluid"	$85 
"Bilirubin, Total"	$85 
BINDER ABDOMINAL LF LG 10IN	$93 
BINDER ABDOMINAL LF LG 8IN	$80 
BINDER ABDOMINAL LF MED 10IN	$93 
BINDER ABDOMINAL LF MED 8IN	$80 
BINDER ABDOMINAL LF SM 8IN	$80 
BINDER ABDOMINAL LF XL 8IN	$87 
Biofeedback Training	$66 
"Biopsy, muscle deep"	$592 
BiPAP- Initial	$486 
BiPAP Initial Charge	$780 
BiPAP Subsequent Charge	$632 
"BK Virus Quant, Bld"	$597 
"BK Virus Quant, Urine"	$597 
Bladder Irrigation/Lavage/Instill Charge (51700)	$188 
"Blastomyces Antigen, Urine"	$221 
"Bld Glucose, Capillary"	$56 
BLISTEX LIP BALM .15oz	$4 
"Blood Gas, Adult ABG w Measured Sat"	$174 
"Blood Gas, Adult VBG w Measured Sat"	$174 
Blood Glucose POC	$54 
Blood Smear Path Consult without Review of Chart	$72 
Blood typing; ABO	$24 
"Blood, Split Unit, 175 cc"	$362 
"Blood, split unit, 175 mL"	$333 
B-Natiuretic Peptide	$306 
Body Fluid Cell Count and Differential	$145 
Body Fluid pH	$86 
Bone age studies	$120 
BONE BX TR/NDL; SUPERF (20220)	"$2,609 "
Bone Density DEXA App Skeleton Charge	$154 
Bone Density DEXA Axial Skeleton Charge	$358 
Bone Graft Ileum	"$1,475 "
BONE GRFT; MINOR/SM (20900)	$625 
"Bone length studies (orthoroentgenogram, scanogram)"	$211 
Bonth Length Studies	$211 
"BOOT, Z-FLEX FLUIDIZED HEEL BOOTS"	$158 
BORDERED FOAM 6X8	$30 
BORDERED FOAM DRESSING 4X4	$7 
BORDERED FOAM DRESSING 6X6	$7 
"BREATHABLE UNDERPAD PROT PLUS 23 X 36"""	$20 
Brief emotional/behavioral assessment	$50 
Bronchial Hygiene Evaluation Charge	$109 
Bronchospasm- Pre & Post BD (94060)	$572 
Brucella Abortus IgG Ab	$57 
"Brucella Abortus IgG,IgM,IgA Ab"	$168 
"BUN, Fluid"	$61 
"BUN, Serum"	$61 
BUTTON TRACH SZ-10CM X 27CM	"$1,034 "
BUTTON TRACH SZ-10CM X 40CM	$965 
BUTTON TRACH SZ-11CM X 27CM	$486 
BUTTON TRACH SZ-11CM X 40CM	"$1,147 "
BUTTON TRACH SZ-12CM X 27CM	"$1,147 "
BUTTON TRACH SZ-12CM X 40CM	"$1,147 "
BUTTON TRACH SZ-9CM X 27CM	$697 
BUTTON TRACH SZ-9CM X 40CM	"$1,147 "
BVI	$122 
C Difficile by PCR	$193 
C Difficile Culture & Toxin	$245 
C Difficile Toxin	$140 
C Reactive Protein	$109 
C1 Esterase Inhibitor	$106 
C3	$12 
C3 *	$88 
C3_86160	$88 
C4	$12 
C4 *	$88 
C4_86160	$88 
CA19-9	$132 
CA27.29	$65 
CADIOLIPIN AB EA IG CLASS	$112 
"Cadmium,random Urine with Creatinine Ratio"	$202 
Calcitonin Level	$170 
CALCIUM ALGINATE DRESSING 4X4	$9 
CALCIUM ALGINATE DRESSING 4X8	$25 
"CALCIUM ALGINATE DRESSING ROPE 12"""	$35 
Calcium Ionized	$223 
"Calcium, Urine Random"	$74 
"Calcium, Urine Timed"	$91 
Calcium/CA++ Level	$116 
Calculus Analysis	$101 
"Calf Sling, Vinyl"	$228 
"Calf Strap, 2 inch Webbing"	$111 
Canalith Repositioning Units	$159 
Cancer Antigen 125	$225 
CANISTER SUCTION  1200ML	$8 
CANISTER SUCTION 2000ML	$8 
CANISTER VAC WOUND DRAIN W/GEL 10-PK	$206 
CAP DDCP 15MM W/DISP FEN CANULA	$29 
CAP SHILEY TRACHEOSTOMY WHITE FOR DECANNULATION 15	$29 
Capsulotomy Hip w/Release Hip Flexor	"$4,073 "
Capsulotomy MP Joint 5th Toe Extensor Tendon (ea)	"$1,401 "
"Capsulotomy, Posterior Capsular Release, Knee"	"$4,580 "
"Capsulotomy, posterior capsular release, knee; Bil"	"$4,641 "
"Carbon Dioxide, Urine"	$102 
Carbon Insert	$231 
"Carbon Monoxide, quant."	$72 
Carcinoembryonic Antigen	$363 
Cardiolipin antibody	$260 
"CARE-E-VAC II W BATTERY, TABLE TOP PORTABLE"	$20 
Carotene Level	$227 
Casting/Strapping Procedure	$387 
"Catecholamines, Fractionated, Urine, Random"	$229 
"Catecholamines, Plasma, Fractionated"	$258 
"Catecholamines-Fractionated, Urine timed"	$245 
CATH KIT TOUCLS URET UNISX 10 FR INTERMIT	$27 
CATH KIT TOUCLS URET UNISX 12FR INTERMIT	$26 
CATH KIT TOUCLS URET UNISX 8 FR INTERMIT	$24 
"CATH STRAIGHT COUDE 12FR 16"""	$5 
"CATH STRAIGHT COUDE 14F 16"""	$5 
"CATH STRGHT COUDE  16FR  16"""	$5 
Cath-Complex Urethral Charge (51703)	$465 
CATHETER 100% SILICONE 24FR 5CC	$55 
CATHETER ALL PURPOSE URETHRAL STRAIGHT 14FR	$7 
CATHETER ALL PURPOSE URETHRAL STRAIGHT 16FR	$5 
CATHETER ALL PURPOSE URETHRAL STRAIGHT 18FR	$5 
CATHETER CLEAN ULTRA M/F 16IN 14FR	$7 
CATHETER COUDE TAPPERED TIP SELF 10FR	$8 
CATHETER COUDE TIP FUNNEL END SELF 14FR	$7 
CATHETER EXTERNAL INTERMEDIATE	$7 
CATHETER EXTERNAL LG	$7 
CATHETER EXTERNAL MED	$7 
CATHETER EXTERNAL SM	$7 
CATHETER EXTERNAL WIDE BAND L	$7 
CATHETER FOLEY 100% SILICONE 14FR 5CC-10CC	$38 
CATHETER FOLEY 100% SILICONE 16FR 5CC-10CC	$33 
CATHETER FOLEY 100% SILICONE 20FR 30CC	$46 
CATHETER FOLEY 16FR 5CC	$48 
CATHETER FOLEY COUDE TIP 16FR 5CC-10CC	$34 
CATHETER FOLEY SIL-CTD LTX 20FR 5CC-10CC	$11 
CATHETER FOLEY SILICONE 20FR 5CC	$33 
CATHETER FOLEY SILICONE COATED 16FR 5CC-10CC	$6 
CATHETER FOLEY SILICONE COATED 18FR 5CC-10CC	$6 
CATHETER FOLEY SILICONE ELASTOMER COATED 5CC-10CC 	$6 
CATHETER SELF COUDE OLIVE TIP FUNNEL END 8FR	$7 
CATHETER SELF COUDE TAPERED TIP FUNNEL END 8FR	$23 
CATHETER SUCTION/VENT RED RUBBER 10-12FR	$6 
CATHETER SUCTION/VENT RED RUBBER 14-16FR	$6 
"CATHETER, CATH ADAPTER STERILE"	$20 
"CATHETER, CATH FOLEY 10FR 3CC SIL ELAST"	$30 
"CATHETER, CATH FOLEY 6FR 3CC SIL ELAST"	$24 
"CATHETER, CATH FOLEY 8FR 3CC SIL ELASTIC"	$48 
"CATHETER, CATH FOLEY COUDE 5CC 14FR BARD"	$103 
"CATHETER, CATH FOLEY SIL-CTD LATEX 22FR 5CC-10CC"	$8 
"CATHETER, CATH SUCTION RED RUBBER 8FR"	$20 
Cath-Simple Urethral Charge (51702)	$125 
CBC with Manual Differential	$173 
CBC with Platelets	$130 
CBC with Platelets_85027	$130 
CBC-Compete Blood Count with Differential and Plat	$152 
CBC-Complete Blood Count without Platelets	$50 
CBC-Hemoglobin and Hematocrit Only	$44 
CD Treatment Speech Language Voice Communication A	$116 
CD3	$603 
"CD3,4 Peripheral Blood"	$238 
CD34	$238 
"Cell Count and Differential, CSF"	$61 
CEPACOL SORE THROAT LOZENGE	$22 
Ceruloplasmin	$158 
"Cervical Collar, Flexible, Thermoplastic, Molded t"	$326 
"Cervical Collar, Muti-Post, Occip/Mand Supports, A"	"$2,032 "
"Cervical Collar, Semi-Rigid, Adjustable Molded Chi"	$483 
"Cervical Collar, Semi-Rigid, Adjustable Plastic"	$130 
"Cervical Collar, Semi-Rigid, Wire-Frame"	$704 
"Cervical Halo Procedure, Incorporated Into Jacket "	"$5,735 "
"Cervical Halo Procedure, Incorporated Into Milwauk"	"$6,902 "
"Cervical Halo Procedure, Incorporated Into Plaster"	"$4,512 "
Cervical-Thoracic Discography (62291)	$631 
Cervical-Thoracic Transforaminal (64479)	"$3,130 "
Cervical-Thoracic Transforaminal-additional level 	"$2,518 "
Cervical-Thoracic Transforaminal-additional level _64480	"$1,909 "
Cervical-Thoracic Transforaminal-Bilateral (64479)	"$4,656 "
"Cervical-Thoracic-Lumbar-Sacral Orthosis, Addition"	$685 
"Cervical-Thoracic-Lumbar-Sacral Orthosis, Addition_L1010"	$180 
"Cervical-Thoracic-Lumbar-Sacral Orthosis, Addition_L1020"	$486 
"Cervical-Thoracic-Lumbar-Sacral Orthosis, Addition_L1025"	$333 
"Cervical-Thoracic-Lumbar-Sacral Orthosis, Addition_L1030"	$354 
"Cervical-Thoracic-Lumbar-Sacral Orthosis, Addition_L1040"	$189 
"Cervical-Thoracic-Lumbar-Sacral Orthosis, Addition_L1050"	$454 
"Cervical-Thoracic-Lumbar-Sacral Orthosis, Addition_L1060"	$488 
"Cervical-Thoracic-Lumbar-Sacral Orthosis, Addition_L1070"	$243 
"Cervical-Thoracic-Lumbar-Sacral Orthosis, Addition_L1080"	$113 
"Cervical-Thoracic-Lumbar-Sacral Orthosis, Addition_L1085"	$376 
"Cervical-Thoracic-Lumbar-Sacral Orthosis, Addition_L1090"	$215 
"Cervical-Thoracic-Lumbar-Sacral Orthosis, Addition_L1100"	$407 
"Cervical-Thoracic-Lumbar-Sacral Orthosis, Addition_L1120"	$82 
"Cervical-Thoracic-Lumbar-Sacral Orthosis, Ant/Post"	"$4,694 "
"Cervical-Thoracic-Lumbar-Sacral Orthosis, Ant/Post_L0700"	"$4,271 "
"Cervical-Thoracic-Lumbar-Sacral Orthosis, Milwauke"	"$4,349 "
CH50	$364 
Change of Windpipe Airway (31502)	$671 
"Charger, Hosmer"	$154 
CHEMODENER MUSCLE LARYNX EMG (64617)	"$1,808 "
"CHEMODENER MUSCLE LARYNX EMG,Bilateral (64617-50)"	"$2,030 "
CHEMODENERV 1 EXTREM 5/> MUS (64644)	"$1,830 "
CHEMODENERV 1 EXTREMITY 1-4 (64642)	"$1,794 "
CHEMODENERV EACH ADD'L EXTREM 5/> MUSCLES (64645)	$295 
CHEMODENERV EACH ADD'L EXTRM 1-4 MUSCLES (64643)	$256 
CHEMODENERV ECCRINE GLANDS OTHER AREAS (64653)	$908 
CHEMODENERV MUSC MIGRAINE (64615)	"$1,123 "
CHEMODENERV MUSC NECK DYSTON (64616)	"$1,203 "
"CHEMODENERV MUSC NECK DYSTON,Bilateral (64616-50)"	"$1,806 "
Chemodenerv Saliv Glands (64611)	"$1,185 "
CHEMODENERV TRUNK MUSC 1-5 (64646)	"$1,826 "
CHEMODENERV TRUNK MUSC 6/> (64647)	"$1,888 "
Chemodenervation-Face (64612)	"$1,565 "
"Chemotherapy, into CNS Charge-96450"	"$1,363 "
Chest Percussion- Subsequent	$129 
Chest Physical Therapy	$98 
Chest Physical Therapy Initial Charge	$202 
Chest Physical Therapy Subsequent Charge	$167 
Chest physical therapy-Initial	$155 
Chest physical therapy-Subsequent	$129 
Chest Wall Oscillation Therapy	$155 
Chest Wall Oscillation Therapy-Initial Charge	$202 
Chest Wall Oscillation Therapy-Subsequent Charge	$167 
Chiro E-Stim Attended Charge	$174 
Chiro E-Stim Unattended Charge	$89 
Chiro Manual Therapy Techniques Charge	$130 
Chiro Manual Treatment Extra Spinal 1 or more Regi	$219 
Chiro Manual Treatment Spinal 1-2 regions Charge	$265 
Chiro Manual Treatment Spinal 3-4 regions Charge	$289 
Chiro Manual Treatment Spinal 5 regions Charge	$325 
Chiro Massage Charge	$90 
Chiro Neuromuscular Re-education Charge	$119 
Chiro Patient Self/Home Care Charge	$122 
Chiro Therapeutic Exercise Charge	$113 
Chiro Therapeutic Fuctional Act Charge	$130 
Chiro Ultrasound Charge	$89 
Chlamydia by PCR	$147 
Chloride	$35 
"Chloride, Timed Urine"	$102 
"Chloride, Urine Random"	$89 
Cholesterol	$62 
Chronic Ventilator Support	$202 
"Citrate, Urine Timed"	$130 
CK/CPK	$290 
CKMB Fraction	$54 
CKMB Fraction_82553	$54 
CL TX FEMUR FX OR EPIPHYS SEP (27510)	"$3,570 "
CL TX FEMUR FX OR EPIPHYS SEP;Bilateral (27510-50)	"$5,150 "
CL TX OF ACETABULUM X(S); WO MAN	"$2,496 "
CLAMP HICKMAN SOFT JAW EDS	$127 
CLAMP OSTOMY	$11 
CLEANSER HIBICLENS ANTIMICROBIAL 4-OZ	$12 
Closed Red. Clavicle w/Man	$632 
Closed Red. Clavicle w/o Man	"$1,086 "
Closed Red. Prox Humerus w.o Man	$900 
Closed treatment of Galeazzi fracture	"$2,063 "
Closed treatment of Monteggia fracture	"$2,202 "
Closed treatment of proximal humerus fracture with	"$1,685 "
"Closed treatment of radial neck fracture, with man"	"$1,545 "
Closed treatment proximal tib fracture with manipu	"$2,328 "
Closed TX Calcaneal FX w/o Man	$883 
Closed TX Carpal Bone w/o Man (ea)	"$1,026 "
Closed TX Dist. Femur Epiphyseal Sep. w/Man	"$2,670 "
Closed TX Dist. Femur Epiphyseal Sep. w/o Man	"$1,820 "
Closed TX Distal Radius w/Man	"$2,223 "
Closed TX Distal Radius w/o Man	$978 
Closed TX Femoral FX Prox/Neck w/Man	"$3,159 "
Closed TX Femoral FX Prox/Neck w/o Man	"$1,835 "
Closed TX Femoral Shaft FX w/Man	"$3,221 "
Closed TX Femoral Shaft Fx w/o Man	"$1,895 "
Closed TX FX Phalanx (Not Gerat Toe) w/o Man (ea)	$444 
Closed TX FX Phalanx (Not Great Toe) w/Man (ea)	$554 
Closed TX Humeral Condyle Med/Lat w/o Man	"$1,126 "
Closed TX Humerus Shaft FX w/o Man	"$1,190 "
Closed TX Intertrochanteric FX w/Man	"$3,870 "
Closed TX Intertrochanteric FX w/o Man	"$1,800 "
Closed TX Metacarpal FX w/o Man (ea)	$912 
Closed TX Metarpal FX w/Man (ea)	"$1,111 "
Closed TX Metatarsal FX w/ Man (ea)	$987 
Closed TX Metatarsal FX w/o Man (ea)	$739 
Closed TX Patellar Disl w/o Anesthesia	"$1,191 "
Closed TX Patellar FX w/o Man	"$1,091 "
Closed TX Phalanx Distal FX w/Man	"$1,022 "
Closed TX Phalanx Distal FX w/o man	$644 
Closed TX Phalanx Shaft FX w/Man	"$1,168 "
Closed TX Phalanx Shaft FX w/o Man	$651 
Closed TX Prox Fib or Shaft FX w/Man	"$1,528 "
Closed TX Prox Fib or Shaft FX w/o Man	"$1,011 "
Closed TX Radial & Ulnar Shaft w/ Man	"$1,866 "
Closed TX Radial & Ulnar Shaft w/o Man	$877 
Closed TX Radial Head/Neck FX w/o Man	$862 
Closed TX Radial Shaft w/ Man	"$1,807 "
Closed TX Radial Shaft w/o Man	$889 
Closed TX Supracondylar FX w/Man	"$3,267 "
Closed TX Supracondylar FX w/o Man	"$1,972 "
Closed TX Supracondylar Humeral FX w/ Man	"$2,275 "
Closed TX Supracondylar Humeral FX w/o Man	"$1,290 "
Closed TX Tib Shaft FX w/Man	"$1,983 "
Closed TX Tib Shaft FX w/o Man	"$1,205 "
Closed TX Tibial Fx Prox. w/o Man	"$1,420 "
Closed TX Trochanteric RX w/o Man	"$1,540 "
Closed TX Ulnar FX Prox w/o Man	$968 
Closed TX Ulnar Shaft w/ Man	"$1,771 "
CLTX BIMALLEOLAR ANKLE FRACT W MNP (27810)	"$1,148 "
Clubfoot Cast (29450)	$905 
Clubfoot Cast Bilateral	"$1,261 "
CMV Culture Non-Blood	$235 
"CMV DNA Qualitative, Blood"	$127 
CO2/Bicarb	$62 
"Collar, Cervical Multiple"	"$2,780 "
"Collar, Cervical, SOMI"	"$2,396 "
"Collar, Cervical, w/ Thoracic Extensions"	"$1,253 "
"Collar, Molded to Model"	"$3,623 "
"Collar, Semi-Rigid 2-Piece"	$636 
COLLECTION: Venous Draw	$24 
Collection: Venous Draw_36415	$23 
COLLECTOR MID STREAM	$6 
Combined Epiphy. Dis Femur Prox Tib	"$3,184 "
"Complement C3,C4"	$88 
Complement Functional Activity	$85 
"Complement, Antigen"	$88 
"Complement, Total (CH50, C3 & C4)"	$364 
COMPLEMENT; AG EA	$64 
Complex Cystometrogram (51726)	"$1,451 "
Complex Cystometrogram w/ VP & UP (51729)	"$1,601 "
Complex Cystometrogram w/ VP (51728)	"$1,523 "
Complex Uroflowmetry	$633 
Complicated (felon)	$737 
Comprehensive computer based motion analysis-1 Cha	"$2,940 "
Comprehensive computer based motion analysis-2 Cha	"$4,407 "
Comprehensive computer based motion analysis-3 Cha	"$5,141 "
Comprehensive computer based motion analysis-4 Cha	"$5,508 "
Comprehensive computer based motion analysis-5 Cha	"$5,691 "
"COMPREHENSIVE EYE EXAM & TREATMENT, ESTAB PT 1+ VI"	$393 
COMPREHENSIVE EYE EXAM. NEW PATIENT 1+ VISITS (920	$437 
Comprehensive Metabolic Panel	$361 
"Compression Burn Mask, Custom Fabricated"	"$2,743 "
CONNECTOR VAC DRAIN Y-TYPE 10-PK	$11 
CONNECTOR W/GLOW RING CLAVE	$23 
CONNECTOR Y ADAPTER MALE LUER LOK 4IN	$6 
CONTOUR DELUXE W/HEADGEAR M/L	$55 
CONTOUR DELUXE W/HEADGEAR/SMALL	$55 
"Coombs test, indirect, qual"	$35 
"Coombs, Direct"	$120 
"Coombs, Direct (only C3 or IgG)"	$44 
"Coombs, Indirect"	$124 
Copper Level	$219 
"Copper Level, Urine random"	$209 
"Copper Level, Urine Timed"	$219 
Coronary Risk/Lipid Panel	$330 
Correction cock-up toe	"$1,289 "
Correction hammertoe	"$1,338 "
"Cortisol, Free & Creatinine, Urine Timed"	$539 
Cortisol-Total	$449 
COUDE CATH TAPERED TIP STRL 14FR	$6 
"Coxsackie B Antibodies, Serum"	$85 
"Coxsackie B Antibodies, Serum_86658"	$85 
"Coxsackievirus Antibodies, CSF"	$85 
CPAP Initial/Management (0-12 hours)	$732 
CPAP Initiation and Management Charge	$632 
CPAP Initiation and Management Pulmonary	$486 
CPAP/BiPAP Initial Charge	$644 
CPAP/BiPAP Subsequent Charge	$644 
C-Peptide	$132 
CPM-No Show/Cancellation $50	$50 
CPR Charge	$439 
"Cranial Cervical Orthosis, Congenital Torticolous "	"$6,302 "
C-Reactive Protein-Hi Sensitivity	$109 
CREAM LANTISEPTIC THERAPEUTIC	$27 
CREAM TRIPLE CARE EPC 7.75-OZ TUBE	$69 
"Creatine with Creatinine, Urine Timed"	$126 
Creatinine	$65 
Creatinine Clearance	$80 
"Creatinine, Fluid"	$80 
"Creatinine, Urine Random"	$80 
CREATININE; NOT BLOOD	$28 
CREME SKIN CONDITIONING 4 OZ BTL	$32 
"Crossmatch for Transfusion (electronic, IS or IgG)"	$92 
Crucial	$7 
"Crutch, Axillary Extension"	$438 
Cryoglobulin Identification	$122 
Cryoglobulin Screen	$122 
Cryoprecipitate Charge	$84 
Cryptococcal Screen-Blood	$60 
Cryptococcal Screen-CSF	$60 
Cryptococcal Screen-Stool	$60 
Cryptospordium Exam - Stool	$121 
Cryptosporidium Exam - Other	$99 
"Crystal Identification, Fluid"	$87 
"Crystals Analysis, Fluid"	$109 
C-sp Disc. Add'l level x___	"$1,629 "
CT Abdomen W/ Contrast	"$3,408 "
CT Abdomen W/&W/O Contrast	"$3,931 "
CT Abdomen W/O Contrast	"$3,011 "
CT Abdomen/Pelvis W/ Contrast	"$7,063 "
CT Abdomen/Pelvis W/&W/O Contrast	"$8,131 "
CT Abdomen/Pelvis W/O Contrast	"$5,733 "
CT Angiogram Abdomen W/&W/O Contrast	"$4,718 "
CT Angiography Abd/Pel W/&W/O Contrast	"$5,236 "
CT Angiography Chest	"$4,074 "
CT Angiography Chest PE-71275	"$1,011 "
CT Angiography Head	"$3,536 "
CT Angiography Neck	"$3,915 "
CT C-Spine W/ Contrast	"$3,674 "
CT C-Spine W/&W/O Contrast	"$3,184 "
CT C-Spine W/O Contrast	"$3,178 "
CT Head/Brain W/ Contrast	"$2,919 "
CT Head/Brain W/&W/O Contrast	"$4,190 "
CT Head/Brain W/O Contrast	"$2,724 "
CT Lower Extremity W/ Contrast Bil	"$3,306 "
CT Lower Extremity W/ Contrast Lt	"$3,306 "
CT Lower Extremity W/ Contrast Rt	"$3,306 "
CT Lower Extremity W/&W/O Contrast Bil	"$3,907 "
CT Lower Extremity W/&W/O Contrast Lt	"$3,907 "
CT Lower Extremity W/&W/O Contrast Rt	"$3,907 "
CT Lower Extremity W/O Contrast Bil	"$3,005 "
CT Lower Extremity W/O Contrast Lt	"$3,005 "
CT Lower Extremity W/O Contrast Rt	"$3,005 "
CT L-Spine W/ Contrast	"$4,074 "
CT L-Spine W/&W/O Contrast	"$3,184 "
CT L-Spine W/O Contrast	"$3,614 "
CT Maxillofacial W/ Contrast	"$3,184 "
CT Maxillofacial W/&W/O Contrast	"$3,184 "
CT Maxillofacial W/O Contrast	"$2,948 "
CT Orbit/Ear/Fossa W/ Contrast	"$3,184 "
CT Orbit/Ear/Fossa W/&W/O Contrast	"$3,184 "
CT Orbit/Ear/Fossa W/O Contrast	"$2,973 "
CT Pelvis W/ Contrast	"$3,650 "
CT Pelvis W/&W/O Contrast	"$3,893 "
CT Pelvis W/O Contrast	"$2,564 "
CT Soft Tissue Neck W/ Contrast	"$3,536 "
CT Soft Tissue Neck W/&W/O Contrast	"$3,184 "
CT Soft Tissue Neck W/O Contrast	"$2,819 "
CT Thorax W/ Contrast	"$3,650 "
CT Thorax W/&W/O Contrast	"$3,837 "
CT Thorax W/O Con Lung CA Screen	"$3,079 "
CT Thorax W/O Con Lung CA Screen:Ep	"$3,079 "
CT Thorax W/O Contrast-71250	"$3,079 "
CT T-Spine W/ Contrast	"$4,001 "
CT T-Spine W/&W/O Contrast	"$3,184 "
CT T-Spine W/O Contrast	"$4,001 "
CT Upper Extremity W/ Contrast Bil	"$3,184 "
CT Upper Extremity W/ Contrast Lt	"$3,184 "
CT Upper Extremity W/ Contrast Rt	"$3,184 "
CT Upper Extremity W/&W/O Contrast Bil	"$3,184 "
CT Upper Extremity W/&W/O Contrast Lt	"$3,184 "
CT Upper Extremity W/&W/O Contrast Rt	"$3,184 "
CT Upper Extremity W/O Contrast Bil	"$2,900 "
CT Upper Extremity W/O Contrast Lt	"$2,900 "
CT Upper Extremity W/O Contrast Rt	"$2,900 "
Cuboid Osteotomy with Autograft	"$3,029 "
"Cuboid Osteotomy with Autograft, Bilateral"	"$29,312 "
"CUFF, ADULT DISPOSABLE"	$11 
"CUFF, ADULT LONG, DISPOSABLE"	$12 
"CUFF, CHILD, DISPOSABLE, 2-TUBE LOCKING"	$9 
"CUFF, LARGE, ADULT, LONG, DISPOSABLE"	$13 
"CUFF, SMALL ADULT, DISPOSABLE, SOFT 2-TUBE"	$11 
"CUFF, SMALL CHILD DISPOSABLE SOFT 2-TUBE, LOCKING"	$9 
"CUFF,THIGH,DISPOSABLE"	$19 
Culture-AFB Culture (non-blood)	$165 
Culture-C. Difficile	$258 
Culture-C. Difficile Surveillance	$279 
Culture-Chlamydia	$134 
Culture-CSF Aerobic/Anaerobic Culture w/Gm Stain	$630 
Culture-CSF with Gram Stain	$204 
Culture-Eye	$204 
Culture-Eye with Gram Stain	$228 
Culture-Fluid & Anaerobic Culture with Gram Stain	$301 
Culture-Fluid & Anaerobic w/Gram Stain	$204 
Culture-Fluid with Gram Stain	$132 
Culture-Fungus Blood	$165 
Culture-Fungus CSF	$165 
Culture-Fungus with Smear	$113 
Culture-GC	$48 
Culture-Genital with Gram Stain	$132 
Culture-Group B Streptococcus	$86 
Culture-IV Cath Tip	$188 
Culture-Legionella	$65 
Culture-Mycobacteria Blood	$122 
Culture-Mycobacteria no Smear	$165 
Culture-Mycobacteria with AFB Smear	$99 
Culture-Nose	$59 
Culture-Other Aerobic/Anaerobic w/Gm Stain	$171 
Culture-Other Fungal w/Smear	$165 
Culture-Sputum Respiratory w/ Gm Stain	$204 
Culture-Stool	$204 
Culture-Surveillance	$204 
Culture-Throat	$116 
Culture-Tissue with Gram Stain	$204 
Culture-Urine	$171 
Culture-Urine_87086	$171 
Culture-Virus	$235 
Culture-Wound Aerobic with Gram Stain	$171 
Culture-Wound Aerobic/Anaerobic w/Gm Stain	$315 
CUROS IV PORT PROTECTOR FEMALE	$4 
CUROS IV PORT PROTECTORS MALE	$12 
"Custom Contour (Foam In Place), Large"	$337 
"Custom Contour (Foam In Place), Medium"	$291 
"Custom Contour (Foam In Place), Small"	$274 
"Custom shaped protective cover, BK"	"$2,515 "
"Custom shaped protective cover, hip disartic"	"$4,521 "
"Custom shaped protective cover, knee disartic"	"$3,365 "
Cyanide	$181 
Cyclic Citrulinated Peptide	$80 
Cyclospora	$99 
Cyclosporine Level	$258 
Cylinder Cast (29365)	"$1,186 "
Cystatin C	$142 
Cystometrogram w/ UP	"$1,533 "
Cytology Fluid Specimen	$269 
Cytology-CSF	$269 
Cytology-CSF_88104	$269 
"Cytomegalovirus Antibody(IgG & IgM), Serum"	$174 
"Cytomegalovirus by PCR, CSF Qualitative"	$223 
"Cytomegalovirus by PCR, Urine, Qualitative"	$477 
"Cytomegalovirus Viral Load PCR, blood"	$365 
"Cytopath, concentrate technique"	$337 
DANDRUFF SHAMPOO 7oz	$21 
D-Dimer	$164 
D-Dimer_85378	$70 
DEB BONE 20 SQ CM/< (11044)	"$3,840 "
Deb Bone ADD-on =<20 Sq cm	"$2,891 "
DEB MUSC/FASCIA ADD-ON =<20 SQ CM	$995 
Deb skin bone at FX site	"$3,264 "
Deb Subq Tissue ADD-on=<20 Sq cm	$914 
DEBR EXZ/INF SKIN; 10% BS (11000)	$941 
DEBR NECROTIZ ST - GENITALS & PERINEUM (11004)	"$1,559 "
DEBR NECROTIZ STISS - ABD WALL (11005)	"$2,147 "
DEBR W OPEN FX; SKIN & SQ Charge (11010)	"$2,684 "
DEBRIDE INFECTED SKIN ADD-ON =<10% BS (11001)	$332 
Debride Nail 1-5 (11720)	$284 
"Debride Skin to Muscle, Open FX"	"$2,585 "
"Debridement-skin , sub q, muscle/fascia 20 Sq cm/<"	"$1,958 "
"Debridement-skin, 20 Sq cm/< (11042)"	"$1,167 "
Declot Vascular Device	$620 
Decompression fasciotomy forearm	"$2,403 "
DEEP DISSECT FOOT INF; MULTI AREAS (28003)	"$5,701 "
DEEP DISSECT FOOT INF; SGL BURSA SP (28002)	"$7,846 "
Deep I&D - UA/ELBOW (23930)	"$6,756 "
Deep Inc Foot w Op Bone Cortex	"$9,243 "
Dehydroepiandrosterone	$311 
DENTURE ADHESIVE 2.4oz	$7 
DENTURE CLEANSER TABLET	$20 
DEORDORANT BANISH OSTOMY BTL 1-1/4-OZ	$62 
Deoxypyridin	$217 
DESTR W NEUROLYTIC; INTERCOSTAL NRV (64620)	"$6,762 "
DESTROY C/TH FACET JNT ADDL (64634)	"$1,046 "
"DESTROY C/TH FACET JNT ADDL, Bilateral (64634-50)"	"$1,566 "
Destroy Cer/Thor Facet Joint (64633)	"$2,876 "
"DESTROY CERV/THOR FACET JNT, Bilateral (64633-50)"	"$4,663 "
"Destroy L/S Facet Joint B, ea add'l (64636-50)"	"$3,629 "
Destroy L/S Facet joint each add'l (64636)	"$2,420 "
"Destroy L/S facet joint, bilateral (64635-50)"	"$6,752 "
Destroy lumb/sac Facet Joint (64635)	"$4,501 "
"DESTROY NERVE FACE MUSCLE, BILATERAL (64612-50)"	"$2,347 "
DESTRUCT B9 LESION 1-14 (17110)	$565 
Dexa Exam	$492 
Dexa Exam_77081	$153 
DHEA Sulfate	$311 
"Diabetic Only, Custom Molded Shoe"	$995 
"Diabetic Only, Not Otherwise Specified Shoe Modifi"	$147 
"Diabetics only, the off-the-shelf depth inlay to a"	$334 
Diabetisource AC	$7 
Diagnostic Anoscopy Charge-46600	$371 
DIAPER BRIEF ADULT XXL	$130 
DIC Panel	$227 
Digoxin/Ditgitalis Level	$224 
"Dilantin/Phenytoin, Free"	$284 
Direct and Indirect Antiglobulin Test	$99 
DISPOSABLE GROUND AND DISK ELECTRODES NCV KIT	$33 
"DIVIDE PLANTAR FASCIA & MSCL,BILATERAL (28250-50)"	"$12,223 "
Division of Plantar Release	"$1,707 "
Division of SCM for torticollis	"$1,556 "
DNA	$93 
Doctor service required to establish and document 	$24 
Domicil/R-Home Visit est Pat	$681 
Domicil/R-Home visit est patient - detailed modera	$499 
Domicil/R-Home visit est patient - expanded proble	$354 
Domicil/R-Home visit est patient - problem focus/ 	$229 
Domicil/R-Home visit New Pat / low complexity	$326 
Domicil/R-Home visit New Pat /moderate complexity	$533 
Domicil/R-Home visit New Pat comprehensive/high co	$822 
Domicil/R-Home visit New Pat comprehensive/moderat	$698 
Domicil/R-Home visit New Pat/problem focus	$226 
Drain Cerebrospinal Fluid	"$1,708 "
Drain Palmar Bursa; Complicated	"$8,052 "
DRAIN/INJ INTER JOINT/BURSA W/US (20606)	$948 
"DRAIN/INJ INTER JOINT/BURSA W/US,Bilateral (20606-"	"$1,423 "
DRAIN/INJ MAJOR JOINT/BURSA W/US (20611)	$981 
"DRAIN/INJ MAJOR JOINT/BURSA W/US, Bilateral (20611"	"$1,473 "
DRAIN/INJ SMALL JOINT/BURSA W/US (20604)	$925 
"DRAIN_INJ SMALL JOINT_BURSA W_US, Bilateral (20604"	"$1,391 "
Drainage of finger abscess	$513 
"Drainage of palmar bursa; single, bursa (26025)"	"$6,752 "
Drainage of Tendon Sheath	"$1,693 "
DRAINAGE SYSTEM AEROSOL BAG	$4 
DRESSING 15CM X 20 CM TEGADERM	$12 
DRESSING 20CM X 30CM TEGADERM	$23 
DRESSING 8IN X 9IN DUODERM	$88 
DRESSING BURN # 20301 ACTICOAT	$296 
DRESSING BURN 9IN X 15IN EXU-DRY	$30 
"DRESSING EXU-DRY 3"" X 4"""	$7 
DRESSING FOAM MEPILEX AG 4X4	$50 
DRESSING FOAM MEPILEX AG 8X8	$180 
DRESSING PROMOGRAN MATRIX 4.34SQ IN	$39 
DRESSING STERI STRIP 1/2IN X 4IN	$6 
DRESSING TRACHEOSTOMY 3.5INX 3.5IN ALLEVYN	$27 
"DRESSING TRAY, PEDIATRIC W SORBAVIEW SHIELD IV"	$37 
DRESSING XEROFORM 4IN X 3YDS	$27 
DXA BONE DENSITY STUDY (77085)	$59 
"D-Xylose, 1Hr Blood"	$80 
"D-Xylose, 2Hr Blood"	$80 
"D-Xylose, 5 Hr Urine"	$275 
Dynamic fine wire electromyography Charge (96003)	$958 
Dynamic plantar pressure meas during walk-1 Charge	"$3,552 "
Dynamic plantar pressure meas during walk-2 Charge	"$5,022 "
Dynamic plantar pressure meas during walk-3 Charge	"$5,756 "
Dynamic plantar pressure meas during walk-4 Charge	"$6,122 "
Dynamic plantar pressure meas during walk-5 Charge	"$6,306 "
"Dynamic surface electromyography, during walking o"	$958 
E. Histolytica Antibodies	$79 
"E0770 FES, Complete System, NOS"	"$6,634 "
each additional leg tendon (leg)	$473 
Each Add'l 15 min. MOD SED SAME PHYS/QHP (99153)	$33 
"EBV Qualitative by PCR, Blood"	$217 
Education Supplies	$65 
Education/Training	$79 
ELASTIC WRIST BRACE LARGE LEFT	$65 
ELASTIC WRIST BRACE LARGE RIGHT	$65 
Elbow Arthrogram inj	$286 
"Elbow Arthrogram inj, Bilateral"	$571 
"Elbow Block, Each"	$179 
"Elbow disartic, ext power, molded inner socket, re"	"$28,280 "
"Elbow disartic, ext power, molded inner socket, re_L6940"	"$25,349 "
"Elbow disartic, molded socket with expandable inte"	"$10,472 "
"Elbow disartic, molded socket, endo sys, incl soft"	"$8,309 "
"Elbow disartic, molded socket, outside locking hin"	"$7,641 "
"Elbow Orthosis, Double Upright w/ Forearm/Arm Cuff"	"$4,405 "
"Elbow Orthosis, Double Upright w/ Forearm/Arm Cuff_L3720"	"$2,801 "
"Elbow Orthosis, Double Upright w/ Forearm/Arm Cuff_L3730"	"$3,716 "
"Elbow Orthosis, Elastic w/ Metal Jts"	$586 
"Elbow Orthosis, Elastic, Custom Fabricated"	"$1,184 "
"Elbow Orthosis, Rigid w/o Joints, Prefabricated"	$441 
"Elbow-Wrist-Hand Orthosis, Nontorsion Joints, Cust"	"$3,212 "
"Elbow-Wrist-Hand Orthosis, Rigid, Custom Fabricate"	"$3,067 "
"Elbow-Wrist-Hand-Finger Orthosis, Nontorsion Joint"	"$2,544 "
"Elbow-Wrist-Hand-Finger Orthosis, Rigid Custom Fab"	"$2,401 "
Electrical Stimulation Guidance for Chemodenervati	$390 
ELECTRODE SILVER MACTROD	$24 
Electroejaculation Charge	"$1,713 "
Electrolyte Panel	$229 
"Electronic elbow, adolescent, Variety Village or e"	"$20,416 "
"Electronic elbow, adolescent, Variety Village or e_L7185"	"$15,388 "
"Electronic elbow, child, Variety Village or equal,"	"$31,987 "
"Electronic elbow, child, Variety Village or equal,_L7191"	"$27,208 "
"Electronic elbow, Hosmer or equal, switch controll"	"$14,635 "
"Electronic elbow, microproc sequential control of "	"$94,684 "
"Electronic elbow, microproc simultaneous control o"	"$104,563 "
"Electronic Greifer, Otto Bock or equal, myoelectro"	"$11,242 "
"Electronic hand, Otto Bock, Steeper or equal switc"	"$11,489 "
"Electronic hand, System Teknik, Variety Village or"	"$17,039 "
"Electronic hook, child, Michigan or equal, switch "	"$3,907 "
Electronic Wrist Rotator Any	"$11,141 "
EMG 1 Limb Charge (95860)	"$1,060 "
EMG 2 Limbs Charge (95861)	"$1,406 "
EMG 3 Limbs Charge (95863)	"$1,617 "
EMG 4 Limbs Charge (95864)	"$1,771 "
"EMG Anal/Urethr Sphinct, Not Needle (51784)"	$713 
"EMG Facial, Bilateral Charge (95868)"	$670 
"EMG Facial, Unilateral Charge (95867)"	$579 
EMG Guidance with Chemodenervation Charge (95874)	$299 
"EMG, Limited Charge (95870)"	$374 
EMST150	$166 
ENCLOSURE BED	$295 
ENDO POLY HIP PNEU/HYD/ROT	"$20,558 "
"Endomysial Autoantibodies, IgG"	$122 
ENEMA MINERAL OIL 4.5-OZ	$6 
Enfamil 20 kcal	$13 
Enfamil 24 kcal	$13 
Entamoeba Histolytica Antigen	$110 
ENVELLA  BED (HILL ROM)	$541 
"EO with Joint, Prefabricated Custom Fit"	"$2,049 "
"Eosinophil Count, Urine & Body Fluid"	$50 
Epiphyseal Arrest Distal Radius or Ulna	"$2,328 "
Epiphyseal Arrest Radius and Ulna	"$2,485 "
Epiphysiodesis Distal Femur	"$2,544 "
Epiphysiodesis Prox Tib/Fib	"$3,804 "
Epstein Barr Viral Antibody-IgM	$59 
"Epstein-Barr Quantitative, CSF"	$609 
"Epstein-Barr Quantitative, Serum"	$609 
Epstein-Barr Viral Antibody-IgG	$59 
Epstein-Barr Virus by PCR	$134 
Epstein-Barr Virus IgG	$65 
Epstein-Barr Virus IGM	$65 
Equipment BIPAP AVAPS	$107 
"Equipment Care-E-Vac II W Battery, Table Top,Porta"	$20 
Equipment-Bariatric Bed	$607 
Equipment-Bariatric Overylay Low Air Loss Mattress	$332 
Equipment-Clinitron Specialty Bed	$541 
Equipment-Cough Assist	$46 
Equipment-CPAP	$7 
Equipment-CPM Left Hand	$144 
Equipment-CPM Right Hand	$144 
Equipment-Crib	$158 
Equipment-Enclosure Canopy Posey 8050	$295 
Equipment-Flexicare Specialty Bed (Hill Rom)	$624 
Equipment-Flowtron Excel Leg Pneumatic Compression	$122 
Equipment-Heat Therapy Pump	$134 
Equipment-Infusion Pump - LVP Module	$48 
Equipment-Infusion Pump-PCU	$186 
Equipment-Instavac II Aspirator Suction Machine (E	$20 
Equipment-IPV 1C PERCUSSIONATOR	"$1,583 "
Equipment-Kangaroo 324 Enteral Feeding Pump LP	$148 
Equipment-KCI Wound Vac	$550 
Equipment-Leg CPM (OrthoRehab)	$202 
Equipment-META NEB	$23 
Equipment-NPWT Wound Vac	$215 
Equipment-Overlay Low Air Loss Mattress	$93 
Equipment-Pulse Oximeter	$11 
Equipment-Ventilator LTV 1150	$134 
Equipment-Ventilator LTV 950	$129 
Equipment-Ventilator Trilogy	$111 
Erythropoietin Level	$348 
ESC I P ULCER W OSTECT & FLAP (15946)	"$10,722 "
Estradiol	$799 
Estriol	$69 
Estrogen-Total Serum	$223 
Estrone Level	$69 
Ethafoam Seat Wedge w/ Vinyl Cover	$228 
EUCERIN CREAM 4oz	$35 
Eval Use/Fitting Voice Prosthetic Units	$99 
Eval Use/Fitting Voice Prosthetic Units_92597	$99 
Evaluation of Language Comprehension and Expressio	$210 
Evaluation of Speech Fluency Units	$210 
Evaluation of Speech Sound Production Units	$210 
Evaluation of Speech Sound Production w/ Evaluatio	$210 
Everolimus Level	$78 
EXC ABD LES SC 3 CM/> (22903)	"$8,459 "
EXC BC/B Tumor Clav/Scapula	"$9,115 "
"EXC BC/B Tumor Clav/Scapula, Bilateral"	"$13,673 "
EXC BEN LES T/A/L; > 4.0CM (11406)	$898 
EXC BEN LES T/A/L; 0.6-1.0CM (11401)	$371 
EXC BEN LES T/A/L; 2.1-3.0CM (11403)	$526 
EXC BEN LES T/A/L; 3.1-4.0CM (11404)	$233 
EXC BLES S/N/EX G; 0.5CM/< (11420)	"$2,536 "
EXC BLES S/N/EX G; 0.6-1.0CM (11421)	"$2,717 "
EXC BLES S/N/EX G; 1.1-2.0CM (11422)	"$2,782 "
EXC BLES S/N/EX G; 2.1-3.0CM (11423)	"$5,078 "
EXC BLES S/N/EX G; 3.1-4.0CM (11424)	"$4,991 "
Exc Bone BX;DEEP	"$2,521 "
EXC C P ULCER; W 1' SUTURE (15920)	"$1,655 "
EXC C P ULCER; W FLAP (15922)	"$2,120 "
EXC FACE-MM B9+MARG > 4 CM (11446)	"$1,141 "
EXC FACE-MM B9+MARG 0.5CM/< (11440)	$350 
EXC FACE-MM B9+MARG 0.6-1 CM (11441)	$449 
EXC FACE-MM B9+MARG 1.1-2 CM (11442)	$501 
EXC FACE-MM B9+MARG 2.1-3 CM (11443)	$615 
EXC FACE-MM B9+MARG 3.1-4 CM (11444)	"$3,350 "
EXC FOOT CYST/GANGLION (28090)	"$7,798 "
EXC H-F-NK-SP MAL+MARG 0.5 < (11620)	"$2,979 "
EXC HIDRAD AXIL; CPLX REP (11451)	"$1,140 "
EXC HIDRAD AXIL; CPLX REP; Bilateral (11451-50)	"$1,710 "
EXC LEG/ANKLE TUM < 3 CM (27618)	"$6,056 "
EXC S P ULCER PREP FOR FLAP (15936)	"$2,434 "
EXC S P ULCER W SKIN FLAP (15934)	"$2,514 "
EXC S/N/H/F/G MAL+MRG 1.1-2 (11622)	"$3,150 "
EXC SHOULDER LES SC 3 CM/> (23071)	"$8,412 "
EXC T P ULCER; W FLAP (15956)	"$3,023 "
EXC THIGH/KNEE LES SC < 3 CM (27327)	"$4,850 "
EXC THIGH/KNEE TUM DEEP <5CM (27328)	"$7,448 "
"EXC THIGH/KNEE TUM DEEP <5CM, Bilateral (27328-50)"	"$11,171 "
EXC TIB/FIB CYST/TUMOR W ALLOGRFT (27638)	"$2,095 "
EXC TNDN SHTH LES HND/FING (26160)	$883 
EXC TR-EXT B9+MARG 0.5CM/< (11400)	$279 
EXC TROCHANTERIC BURSA/CALCIFICAT (27062)	"$1,222 "
Exc. Benign Les T/A/L; 1-1-2.0 CM	"$2,002 "
EXCISE VAGINAL CYST OR TUMOR (57135)	$588 
Excision epiphyeal bar	"$3,716 "
Excision ganglion	"$1,285 "
Excision nail matrix-ingrown nail	$679 
Excision of Foot Lesion	"$1,017 "
Excision or curettage of bone cyst femur with allo	"$2,986 "
Excision or curettage of bone cyst of proximal hum	"$2,617 "
Excision or curettage of calcaneus cyst	"$1,701 "
Excision Osteochondroma Humerus	"$2,358 "
Excision Osteochondroma Metacarpal	"$1,798 "
Excision Osteochondroma Phalanx	"$1,747 "
Excision Osteochondroma Tib	"$2,430 "
Excision Tarsal Coalition	"$2,199 "
Excision/Curettage Bone Cyst Femur	"$2,450 "
Excision/Curettage Bone Cyst Metatarsal	"$1,486 "
Excision/Curettage Bone Cyst Phalanges Foot	"$1,219 "
Excision/Curretage Bone Cyst Radius/Ulna	"$2,328 "
EXCISION; ISCHIAL BURSA (27060)	"$1,247 "
Exercise Oximetry	$308 
Exhaled air analysis Charge-94690	$219 
Exhaled air analysisO2 Charge-94680	$338 
Exhaled air analysisO2/CO2 Charge-94681	$385 
Expiratory Resistance Valve	$275 
EXPL P WND; EXTREM (20103)	"$4,611 "
EXPL/REM FB IPH Joint EA (26080)	"$6,088 "
Exploration of Foot Joint	"$1,251 "
EXTENSIVE MIDFOOT CAPSULOTOMY;Bilateral (28262-50)	"$14,764 "
Extractable nuclear antigen	$12 
F5 Gene Analysis	$284 
Factor II Assay	$134 
Factor IX Assay	$141 
Factor V Assay	$180 
Factor VII Assay	$180 
Factor VIII Assay	$180 
Factor VIII Inhibitor	$260 
Factor X Assay	$180 
Factor XI Assay	$180 
Factor XII Assay	$180 
Factor XIII Assay	$90 
Family Psychotherapy with Patient	$392 
Family Psychotherapy Without Patient	$364 
Fasciotomy leg	"$1,713 "
Fast Charger	"$1,464 "
FB removal in sub q-complex	"$5,214 "
FB removal in sub q-simple	"$1,190 "
Fecal Fat Timed Collection	$422 
Fecal Leukocytes	$60 
Fecal Lytes/pH/Osmo Timed Collection	$229 
"FEED TUBE 10FR 36"" STYLETE ULTR"	$113 
"FEED_FLUSH SET 1000ML, E-PUMP"	$25 
Femoral Shortening	"$4,852 "
Ferritin	$188 
Fetal Hemoglobin	$431 
Fetal Hemoglobin_88184	$431 
Fibersource HN	$7 
Fibrin Degradation Product	$65 
Fibrinogen	$130 
Fibrinogen Antigen	$88 
Fibrinogen_85384	$88 
FILTER BACTERIAL	$34 
Fine Needle Aspiration without Imaging	$264 
"Finger Orthosis, Safety Pin, Spring Wire"	$134 
"Firbrin degradation products, quant."	$56 
Fit or Insert Pessary	$748 
Fixation of ankle joint (Ankle/Foot Manipulation G	$727 
FLEX SUPERSET W/MASK ELBOW	$12 
FLEXI SEAL SIGNAL FMS	$952 
FLEXI SEAL SIGNAL FMS COLLECT W/FILTER	$211 
FLEXION MITT ROYLAN BEIGE MED	$57 
Flexor Carpo Ulnaris Transfer	"$3,651 "
Flexor Origin Slide Forearm/Wrist	"$3,228 "
Flexor/Extensor Tendons	"$2,485 "
Flexor-Plasty Elbow	"$2,251 "
"Flow cytometry each cell surface, cytoplasmic or n"	$129 
Flow cytometry Interpretation 16 or more markers	$529 
"Flow Cytometry, CSF"	$603 
Fluid CEA	$146 
Fluid Cell Count and Diff	$91 
FLUIDIZED ANCILLARY PAD	$154 
Fluorescent AB; Titer Ea AB	$64 
Fluoro Guide Non-spine	"$1,660 "
Fluoro Guide Spinal Injection	"$1,848 "
Fluoroscopic Guidance- Needle Localization (77002)	"$3,022 "
Fluoroscopic Guidance- Spine (77003)	"$3,022 "
"Fluoroscopy (separate procedure), up to 1 hour phy"	$29 
Fluoxetine & Norfluoxetine	$385 
FO PIP/DIP W/O JOINT/SPRING	$119 
Foam Collar	$118 
Folate-Folic Acid Level	$137 
Folate-Folic Acid Level_82746	$137 
Folate-RBC	$114 
Follicle Stimulating Hormone	$449 
Foot Drop Splint	$348 
"Foot Insert, Removable, Formed to Patient Foot"	$343 
"Foot Insert, Removable, Longitudinal Arch Support,"	$789 
"Foot Insert, Removable, Longitudinal Support"	$894 
"Foot Insert, Removable, Plastizote Insert, Molded "	$730 
"Foot Insert, Removable, Pre-Molded, Longitudinal A"	$212 
"Foot Insert, Removable, Pre-Molded, Longitudinal/M"	$301 
"Foot Insert, Removable, Pre-Molded, Metatarsal Arc"	$212 
"Foot Insert, Removable, Silicone Gel, Molded to Pa"	$471 
"Foot Insert, Removable, Spenco, Molded to Patient"	$595 
"Foot Insert, Removable, UCB Type, Molded to Patien"	"$1,416 "
"Foot Orthosis, Abduction Rotation Bar, Incl Shoes"	$193 
"Foot Orthosis, Abduction Rotation Bar, w/out Shoes"	$250 
"Foot Orthosis, Arch Support, Longitudinal/Metatars"	$90 
"Foot Orthosis, Non-Removable, Longitudinal Arch Su"	$142 
"Foot Orthosis, Non-Removable, Metatarsal Support, "	$142 
"Foot Plate Padding, Each"	$116 
Forearm Flexor Lenghtening each tendon	"$4,580 "
Fork Holder	$27 
Free Light Chains	$87 
Fresh Frozen Plasma	$202 
Fresh Frozen Plasma Charge	$186 
FUNCTIONAL ELECTRIC STIM NOS (Bioness L300)	"$10,623 "
Fungus Stain/PAS	$40 
Fusion of Foot Bones	"$2,561 "
"G TUBE HOLDER 30"" - 45"""	$54 
"G TUBE HOLDER 45"" - 60"""	$54 
Gastric Fluid pH	$127 
Gastrin Level	$294 
Gastrocnemius Recession	"$1,863 "
"Gastrocnemius Recession, Bilateral"	"$2,647 "
Gastrografin 30ml	$79 
GC Culture	$223 
Gentamcin-Trough	$171 
Gentamicin-Peak	$224 
Gentamicin-Random	$171 
GGTP/GGT	$105 
"Giardia Antigen, Stool (Infectious Agent antigen D"	$124 
Gillette Seat	"$5,154 "
"Gliadin AB's IgG, IgA"	$124 
Glucagon Level	$50 
Glucerna- Chocolate	$7 
Glucerna- Vanilla	$7 
Glucose 6 PD	$202 
Glucose Level	$62 
"Glucose, Fluid"	$66 
"Glucose, post glucose dose, Including baseline"	$95 
"Glucose, Timed Urine"	$26 
"Glucose, Urine, Random"	$26 
Glucose-CSF	$26 
Glutamic Decarboxylast Abs	$166 
GM 1 Autoantibodies	$124 
GM 1 Autoantibodies_83520	$124 
Goal Post Style Joystick	$58 
"Gonadotropin, chorionic"	$91 
Gonorrhoeae by PCR	$223 
Greater Occipital Nerve Injection Charge	"$1,751 "
Group Psychotherapy	$139 
Group Therapy Exercise 15 min	$63 
Growth Hormone Level	$312 
"H. Pylori Antigen, Stool"	$190 
Hallus-Valgus Night Dynamic Splint	$196 
Halo Replacement Liner/Interface	$971 
Hamstring Lengthening-Bilateral	"$4,115 "
Hamstring Lengthening-Unilateral	"$2,639 "
"hand Orthosis, Custom Fabricated"	"$1,111 "
"Hand Orthosis, Metacarpal Fx, Prefabricated"	$207 
"Hand restoration (incl cast/sahde/measure), replac"	"$2,438 "
"Hand restoration (incl cast/shade/measure), partia"	"$4,718 "
"Hand restoration (incl cast/shade/measure), partia_L6905"	"$4,668 "
"Hand restoration (incl cast/shade/measure), partia_L6910"	"$4,593 "
"Hand-Finger Orthosis, Composite Elastic"	$182 
"Hand-Finger Orthosis, Finger Extension w/ Clock Sp"	$135 
"Hand-Finger Orthosis, Flexion Glove w/ Elastic Fin"	$206 
"Hand-Finger Orthosis, Knuckle Bender"	$197 
"Hand-Finger Orthosis, Knuckle Bender w/ Outrigger"	$243 
"Hand-Finger Orthosis, Knuckle Bender, 2 Segment to"	$233 
"Hand-Finger Orthosis, Nontorsion Joints, Custom Fa"	"$1,317 "
"Hand-Finger Orthosis, Reverse Knuckle Bender"	$193 
"Hand-Finger Orthosis, Reverse Knuckle Bender, w/ O"	$243 
Haptoglobin	$422 
Hard Protet Helmet Prefabricated	$800 
HCG/Serum Pregnancy Test	$186 
HCV PCR Qualtitative	$141 
HCV PCR Quantitation Regular	$438 
"Headrest Padding w/ Cover, All Sizes"	$229 
"Health and Behavior Assessment, Initial"	$194 
Health and Behavior Intervention Group	$67 
"Health and Behavior Intervention, Family with Pati"	$127 
"Health and Behavior Intervention, Family without P"	$128 
"Health and Behavior Intervention, Individual"	$127 
Health and Behavior Re-Assessment	$129 
HEAT THERAPY PUMP (K-PAD)	$134 
"Heavy and Light Chain, IgA"	$81 
"Heavy and Light Chain, IgA_83883"	$81 
"Heavy and Light Chain, IgG"	$81 
"Heavy and Light Chain, IgG_83883"	$81 
"Heavy and Light Chain, IgM"	$81 
"Heavy Metal Screen, Urine, Random"	$909 
"Heavy Metals Screen, Urine timed"	$909 
"Heavy Metals Screen, Whole Blood"	$909 
"Heel, Counter, Plastic Reinforced"	$59 
"Heel, New Leather, Standard"	$134 
"Heel, New Rubber, Standard"	$154 
"Heel, Pad, Removable for Spur"	$61 
"Heel, Sach Cushion Type"	$106 
"Heel, Thomas Extended to Ball"	$67 
"Heel, Thomas w/ Wedge"	$67 
"Heinz Body Prep, Direct"	$44 
Helicobacter Pylori- IgG Elisa	$176 
"Helmet, Molded to Model"	"$2,449 "
"Helmet, Non-Molded"	$650 
"Hematocrit, Fluid"	$28 
Hematopathology Review	$69 
Hemiepiphysiodesis Distal Femur or Prox Tibia	"$2,793 "
Hemiepiphysiodesis Distal Femur or Prox Tibia Bila	"$3,898 "
Hemiepiphysiodesis Distal Tibia	"$2,561 "
"Hemipel, Canadian type; molded socket, endo system"	"$12,992 "
"Hemipelvectomy, Canadian type; molded socket, hip "	"$14,052 "
Hemochromatosis Panel	$480 
Hemodialysis Procedure Charge	"$1,552 "
Hemoglobin	$28 
Hemoglobin A2 Quantitation	$281 
Hemoglobin Electrophoresis	$467 
Hemoglobin Glycosated	$127 
"Hemoglobin, Urine"	$8 
Heparin Induced Antibody	$253 
"Hepatitis A Antibody, Total"	$164 
Hepatitis A IgM	$164 
Hepatitis B Core Antibody IgG + IgM	$252 
Hepatitis B Core Antibody IgM Acute Titer	$248 
Hepatitis B Core IgM	$179 
Hepatitis B Surface Antibody	$129 
"Hepatitis B Surface Antibody, Quant, End"	$171 
Hepatitis B Surface Antigen	$132 
Hepatitis B Surface Antigen_87340	$132 
"Hepatitis B Viral DNA, Qualitative"	$288 
Hepatitis B Virus Viral Load PCR	$437 
Hepatitis BE Antigen	$33 
Hepatitis BE Antigen/Antibody	$119 
Hepatitis C Antibody IgM + IgG	$224 
Hepatitis C Genotype	"$1,632 "
Hepatitis C Virus Antibodies (RIBA) & Bands	$182 
Hepatitis C Virus Qualitative RT-PCR	$309 
Hepatitis C Virus-Quantitative	$438 
Hepatitis D Virus Antibody Panel (IgG)	$124 
Hepatitis D Virus IgM	$124 
Herpes Culture	$238 
Herpes Simplex AB IgG	$147 
Herpes Simplex AB IgM	$147 
Herpes Simplex DFA	$122 
Herpes Simplex Virus 1&2 PCR	$444 
Herpes Simplex Virus PCR	$444 
Heterophile Screen	$91 
HFO NONTORSION JNTS PRE OTS (L3930)	$347 
"HFO Nontorsion Joint, Prefabricated"	$375 
HFO WITHOUT JOINTS PRE OTS (L3924)	$365 
HHTC Charge-Subsequent	$98 
HI STRNGTH LTWT FOOT INSERT EACH	$231 
High Density Lipoprotein	$193 
High Humidity Trach Collar Charge-Equipment	$126 
Hip Arthrogram (73525)	$89 
Hip Block Cover - Complex Upcharge	$56 
"Hip disart, Canadian type; molded socket, endo sys"	"$15,743 "
"Hip disartic, Canadian type; molded socket, hip jt"	"$12,973 "
"Hip disartic, tilt table type; molded socket, lock"	"$14,452 "
Hip Orthosis Bilateral Thighcuffs w/ Spreader Bar	"$1,603 "
"Hip Orthosis, Abduction Control"	$453 
"Hip Orthosis, Abduction Control, Custom Fabricated"	"$5,009 "
"Hip Orthosis, Abduction Control, Flexible, Frejka "	$580 
"Hip Orthosis, Abduction Control, Flexible, Pavlik "	$338 
"Hip Orthosis, Abduction Control, Post-op type"	"$4,220 "
"Hip Orthosis, Abduction Control, Semi-Flexible (Vo"	$455 
"Hip Orthosis, Abduction Control, Static, Adjustabl"	$529 
"Hip Orthosis, Abduction Control, Static, Pelvic Ba"	"$2,132 "
"Hip Orthosis, Adbuction Control, Flexible, Frejka "	$247 
"Hip Orthosis, Adduction Control"	"$8,711 "
"Hip Orthosis, Dynamic, Abduction/Pelvic/Adj Hip Co"	"$5,131 "
"Hip-Knee-Ankle-Foot Orthosis, Torsion Control, Bil"	"$2,449 "
"Hip-Knee-Ankle-Foot Orthosis, Torsion Control, Bil_L2040"	$437 
"Hip-Knee-Ankle-Foot Orthosis, Torsion Control, Bil_L2050"	"$2,196 "
"Hip-Knee-Ankle-Foot Orthosis, Torsion Control, Uni"	"$2,239 "
"Hip-Knee-Ankle-Foot Orthosis, Torsion Control, Uni_L2070"	$333 
"Hip-Knee-Ankle-Foot Orthosis, Torsion Control, Uni_L2080"	$800 
Histone Semi-Quantitative	$118 
"Histoplasma Antigen, Urine"	$120 
HIV Antigen/Antibody Combo	$114 
HIV P24 Antigen Test	$244 
HIV-1 Viral Load (Regular)	$541 
HIV-1 Viral Load (Ultra)	$541 
HIV-2 IgG with Confirmation	$257 
HLA B27	$180 
Home Health Cert. Medicare Only Charge (G0180)	$247 
Home Health Re-certification Greater than 60 days 	$188 
Homocysteine-Serum	$107 
Homocysteine-Urine	$171 
HOOK/HAND HVY DTY VOL CLOS	"$6,105 "
HOSE ANTIEMBOLISM THIGH SMALL SHORT	$44 
HOSE COMPRESSION LRG 15-20mmHg	$102 
HOSE COMPRESSION LRG 20-30mmHg	$119 
HOSE COMPRESSION LRG 30-40mmHg	$119 
HOSE COMPRESSION MED 15-20mmHg	$102 
HOSE COMPRESSION MED 20-30mmHg	$119 
HOSE COMPRESSION MED 30-40mmHg	$119 
HOSE COMPRESSION SML 15-20mmHg	$102 
HOSE COMPRESSION SML 20-30mmHg	$119 
HOSE COMPRESSION STOCKING JOBST 30-40MMhG SMALL	$119 
HOSE COMPRESSION XLG 15-20mmHg	$102 
HOSE COMPRESSION XLG 20-30mmHg	$119 
HOSE COMPRESSION XLG 30-40mmHg	$119 
"HOSE, ANTIEMB THIGH  XL SHORT"	$384 
Hospital Discharge > 30 min Charge - 99239	$352 
Hospital Discharge 30 min or less Charge  - 99238	$279 
"HTLV, IgG"	$55 
Human Anti-Mouse IgG Antibodies	$124 
HUMID -  VENT MINI	$8 
HUMID - VENT 1	$5 
HUMID - VENT 2 STRAIGHT	$8 
HUMID TRACH VENT	$5 
HUMIDIFIER CHAMBER	$47 
"HYDROFERA BLUE FOAM DRESSING 4"" X 4"""	$5 
HYDROGEL IMPREGNATEED GAUZE PAD 4X4	$24 
HYDROGEL TUBE 3 OZ	$25 
Hypnotherapy	$330 
Hypobaric Sheath	$141 
Hypobaric Wool	$186 
I&D PELV/HIP JNT; INF BURSA (26991)	"$1,411 "
I&D PILONID CYS; SMPL (10080)	$776 
I&D PILONID CYST; CPLX (10081)	"$3,361 "
I.M.S.T.	$82 
IgE Level	$30 
"IgG/Albumin Index, CSF"	$135 
Iliac Osteotomy with Femoral Shortening	"$6,077 "
Iliac Osteotomy with Femoral Shortening and Open R	"$6,738 "
Iliac Osteotomy with Open Reduction	"$5,768 "
"Immediate postsurg/early fitting, """"AK"""" or knee d"	"$1,268 "
"Immediate postsurg/early fitting, app of initial r"	"$4,674 "
"Immediate postsurg/early fitting, app of initial r_L5400"	"$3,698 "
"Immediate postsurg/early fitting, app of initial r_L5410"	"$1,022 "
"Immediate postsurg/early fitting, app of initial r_L6380"	"$3,285 "
"Immediate postsurg/early fitting, app of initial r_L6382"	"$3,910 "
"Immediate postsurg/early fitting, app of initial r_L6384"	"$4,948 "
"Immediate postsurg/early fitting, app of nonweight"	"$1,464 "
"Immediate postsurg/early fitting, app of nonweight_L5460"	"$1,439 "
"Immediate postsurg/early fitting, app of rigid drs"	"$1,203 "
"Immediate postsurg/early fitting, each, addit cast"	"$1,085 "
Immunoassay Nonantibody (Histone)	$74 
Immunoassay Quant NOS NONAB	$69 
"Immunoassay, RIA, not elsewhere specified"	$196 
"Immunoassay,other analytes"	$211 
"immunofixation electrophoresis, other fluid requir"	$331 
"Immunofixation Electrophoresis, Timed Urine"	$331 
"Immunofixation Electrophoresis, Urine"	$263 
Immunofixation Profile	$179 
Immunoglobulins	$791 
"Immunoglobulins, Quantitative IgA, IgG, IgM"	$791 
IMPL OR REVISE EPID CATH FOR PAIN (62350)	"$1,421 "
IMPL/REPL PR PUMP FOR INFUSION (62362)	"$1,380 "
Implant Neuroelectrodes	"$24,585 "
INC DEEP W OP BONE CORTEX PELV (26992)	"$3,102 "
INC/REPL SPINE NSTIM PG/RCVR (63685)	"$1,283 "
INCENTIVE SPIROMETER	$27 
INCISE FOOT/TOE FASCIA (28008)	$998 
Incise Thigh Tendon and Fascia	"$9,802 "
"Incise Thigh Tendon and Fascia, Bilateral"	"$14,700 "
"Incision (eg, osteomyelitis or bone abscess), leg "	"$3,562 "
"Incision (eg, osteomyelitis or bone abscess), leg _27607"	"$2,481 "
"Incision and drainage complex, post-op infection"	"$5,975 "
"Incision and Drainage of Abscess, complicated or m"	"$1,153 "
"Incision and Drainage of Abscess, single or simple"	$866 
"Incision and Drainage of Hematoma, Seroma or Fluid"	"$4,634 "
"Incision and Drainage, deep abscess, bursa or hema"	"$13,450 "
"Incision and Drainage, deep abscess, bursa, or hem"	"$8,070 "
"Incision and Drainage, leg or ankle; Infected burs"	"$1,947 "
"Incision and Drainage, leg or ankle; Infected burs_27604"	"$1,363 "
"Incision and Drainage; Leg, Ankle, Deep Abscess, o"	"$8,150 "
Incision bone cortex (osteomyelitis) shoulder area	"$2,817 "
"Incision bone cortex, forearm/wrist"	"$2,920 "
Incision deep femur (osteomyelitis)	"$2,594 "
"Incision, bone cortex, hand or finger (eg. osteomy"	"$2,092 "
Incision/fixation of femur bilateral	"$10,737 "
Individual Education 15 min	$77 
Individual Therapy Exercise 15 min	$89 
Infant Above Elbow	"$6,361 "
INFANT RESPIRATORY CARE SYSTEM	$195 
INFANT RESUSCITATION BAG	$34 
Infectious agent antigen detection	$77 
"Infectious Agent Detection by Nucleic Acid,Amplifi"	$86 
"Influenza A + B IgG, IgA, & IgM Antibodies"	$87 
"Influenza A+B IgG, IgA & IgM Antibodies"	$87 
INFUSION PUMP MODULE -LVP	$48 
INFUSION PUMP- PCU	$186 
Initial Hospital Care Level 1 Charge - 99221	$407 
Initial Hospital Care Level 2 Charge - 99222	$467 
Initial Hospital Care Level 3 Charge - 99223	$569 
Initial Inpatient Consultation Level 1Charge - 992	$407 
Initial Inpatient Consultation Level 2 Charge- 992	$407 
Initial Inpatient Consultation Level 3 Charge - 99	$467 
Initial Inpatient Consultation Level 4 Charge - 99	$569 
Initial Inpatient Consultation Level 5 Charge - 99	$569 
"Initial, AK or knee disartic, ischial level socket"	"$4,811 "
"Initial, BK """"PTB"""" type socket, non-alignable sys"	"$3,422 "
"Inj Anesth; Intercost Nrv, Multi/Region"	"$2,690 "
"Inj Anesth; Intercost Nrv, Multi/Region, Bilateral"	"$4,857 "
INJ ANESTH; PUDENDAL NERVE (64430)	"$2,955 "
INJ ANESTH; SPHENOPALATINE GANGLION (64505)	"$1,096 "
INJ ANESTH; SUPRASCAPULAR NERVE (64418)	"$1,669 "
Inj Epidural Blood or Clot Patch	"$1,538 "
INJ NEUROLYTIC; EPIDURAL LUMB/CAUDAL (62282)	"$7,336 "
Inj Paravert F Jnt C/T One Level (64490)	"$2,956 "
Inj Paravert F Jnt C/T One Level-Bilateral (64490-	"$5,909 "
Inj Paravert F Jnt C/T Three Levels (64492)	"$1,181 "
Inj Paravert F Jnt C/T Three Levels-Bilateral (644	"$2,254 "
Inj Paravert F Jnt C/T Two Levels (64491)	"$1,123 "
Inj Paravert F Jnt C/T Two Levels-Bilateral (64491	"$2,246 "
Inj Paravert F Jnt L/S One Level (64493)	"$2,905 "
Inj Paravert F Jnt L/S One Level-Bilateral (64493-	"$5,804 "
Inj Paravert F Jnt L/S Three Levels (64495)	"$1,098 "
Inj Paravert F Jnt L/S Three Levels-Bilateral (644	"$2,194 "
Inj Paravert F Jnt L/S Two Levels (64494)	"$1,094 "
Inj Paravert F Jnt L/S Two Levels-Bilateral (64494	"$2,189 "
Injection intralesional; up to and incl. 7 lesions	$109 
Injection Tendon Origin/Insertion Charge (20551)	"$1,008 "
"Injection Tendon Sheath, Ligament Charge (20550)"	"$1,008 "
Injection Therapeutic Carpal Tunnel Charge (20526)	"$1,073 "
Injection Therapeutic Carpal Tunnel-Bilateral Char	"$1,624 "
Injection Trigger Point(s): 1 or 2 Muscle(s) Charg	"$1,002 "
Injection Trigger Point(s): 3 or more Muscle(s) Ch	"$1,002 "
Injection(s) Plantar digital nerve(s) (Morton's Ne	$917 
"Injection(s), platelet rich plasma, any site, incl"	"$1,107 "
"Injection, anesthetic agent; intercostal nerve, si"	"$1,612 "
"Injection, Anesthetic Agent; Lumbar or Thoracic (p"	"$2,653 "
"Injection, Anesthetic Agent; Stellate Ganglion"	"$2,879 "
"Injection, anesthetic agent; trigeminal nerve, any"	$909 
"Injection, intralesional; more than 7 lesions (119"	$170 
Inpatient Vocational Rehab Evaluation	$162 
INS PIC Age 5 yrs/>	"$3,006 "
Insall	"$3,046 "
Insert Non-Tunnel CV Cath age 5 Yr/>	"$4,549 "
"Insole, Leather"	$55 
"Insole, Rubber"	$48 
Inspiratory Muscle Trainer	$85 
Insulin Level	$203 
Intact Parathyroid Hormone	$317 
Intensive Aphasia Program	$996 
Intensive Aphasia Program Half Day	$498 
"INTERCARPAL FUSION, WO BONE GRAFT (25820)"	"$15,468 "
Interleukin-6	$217 
INTERMEDIATE EYE EXAM EST PT (92012)	$333 
"INTERMEDIATE NEW PATIENT, EYE EXAM PT (92002)"	$321 
"International Case Managment, per hour"	$76 
"Interscapular thoracic, molded socket, shoulder bu"	"$11,450 "
"Interscapular thoracic, passive restoration (compl"	"$9,798 "
"Interscapular-thoracic, ext power, molded inner so"	"$43,142 "
INTERVAL TIMER	$80 
INTMD WND REPAIR S/A/T/EXT (12035)	"$1,697 "
INTMD WND REPAIR S/A/T/EXT (12036)	"$1,735 "
"INTMD WND REPAIR S/A/T/EXT, 2.6-7.5 cm (12032)"	$668 
INTMD WND REPAIR S/TR/EXT 30.0+ CM (12037)	"$1,168 "
INTMD WND REPAIR S/TR/EXT 7.6-12.5 CM (12034)	"$1,456 "
Intra-abdominal Pressure Test (51797)	$905 
"Intrascapular thoracic, passive restoration (shoul"	"$5,681 "
"Intrerscapular-thoracic, ext power, molded inner s"	"$39,137 "
IONM REMOTE/>1 PT OR PER HR (95941)	$118 
IPPB	$152 
IPPB Charge	$197 
"IPV PULMONARY TUBING CIRCUIT, INDIVIDUAL"	$263 
Iron	$122 
Iron and Iron Binding Capacity	$146 
Iron and Iron Binding Capacity with Transferrin	$184 
Iron Binding Capacity	$155 
Iron Level	$146 
IRRIGATION SYSTEM VISI-FLOW	$266 
Isocal HN	$3 
Isosource	$7 
Isosource 1.5	$7 
Isospora Exam	$99 
Itraconazole Level	$385 
"IV SAFETY START KIT W/GLOVE, MEDC"	$8 
IVAC PROBE RECTAL TEMP PLUS 2880A	$25 
Jo-1 Quantitative	$118 
Job Coaching Units	$110 
Job Placement - Individual	$72 
Job Placement Case Management Units	$129 
Job Placement Group Units	$69 
Job Placement Individual Units	$72 
"Joint survey, single view, 2 or more joints (specify)_77077"	$194 
Jones Procedure	"$1,499 "
KANGAROO E-PUMP ENTERNAL FEEDING PUMP	$148 
Kappa/Lambda Ratio	$119 
KCI WOUND VAC	$550 
Kidney Chemistry Panel	$338 
Kindercal with Fiber	$4 
KIT BLOOD GAS W/SAFETY CATH 3CC	$7 
KIT CATHETER SUCTION W/NACL 10FR	$6 
KIT CATHETER SUCTION W/NACL 12FR	$6 
KIT CATHETER SUCTION W/NACL 14FR	$6 
KIT CATHETER SUCTION W/NACL 8FR	$7 
KIT CATHETER TOUCHLESS FOR INTERMITTENT UNISEX 14F	$20 
KIT COMFORT PERSONAL (TOOTHPASTE/TOOTHBRUSH/COMB)	$5 
KIT DRESSING VAC MED 10-PK	$266 
KIT IRRIGATION 60CC	$8 
KIT STAPLE REMOVER	$6 
KIT SUTURE REMOVER	$5 
KIT TRACHEOSTOMY CARE	$7 
"KIT,LG VAC DRESSING 10-PK"	$321 
"KIT,SMALL VAC DRESSING 10-PK"	$223 
Klonopin Level	$385 
"KNEE DISART, SACH FT, ENDO (L5312)"	"$11,758 "
"Knee disartic (or through knee), molded socket, ex"	"$11,729 "
"Knee disarticulation, molded socket, bent knee con"	"$10,902 "
"Knee Orthosis, Derotation, Medial/Lateral, Custom "	"$1,890 "
"Knee Orthosis, Double Upright, Medial/Lateral Rota"	"$3,773 "
"Knee Orthosis, Double Upright, Medial/Lateral/Rota"	"$5,272 "
"Knee Orthosis, Elastic w/ Condylar Pads and Joints"	$641 
"Knee Orthosis, Elastic w/ Conylar Pads"	$204 
"Knee Orthosis, Elastic w/ Joints"	$462 
"Knee Orthosis, Elastic w/ Stays"	$284 
"Knee Orthosis, Immobilizer, Canvas"	$375 
"Knee Orthosis, Neoprene"	$176 
"Knee Orthosis, Positional Adjustable Knee Joints, "	"$3,102 "
"Knee Orthosis, Positional, Locking Knee Joint, Pre"	"$1,325 "
"Knee Orthosis, Rigid, Molded to Patient, w/o Knee "	"$3,269 "
"Knee Orthosis, Rigid, Prefabricated, w/o Knee Join"	$288 
"Knee Orthosis, Single Upright w/ Adjustable Joint,"	"$2,180 "
"Knee Orthosis, Single Upright, Thigh/Calf Adjustab"	"$6,860 "
"Knee Orthosis, Supracondylar Model, Molded to Pati"	"$5,616 "
"Knee Orthosis, Swedish Style"	"$1,283 "
"Knee-Ankle-Foot Orthosis, Double Upright, Free Ank"	"$2,324 "
"Knee-Ankle-Foot Orthosis, Double Upright, Free Kne"	"$8,350 "
"Knee-Ankle-Foot Orthosis, Double Upright, Free Kne_L2020"	"$4,964 "
"Knee-Ankle-Foot Orthosis, Femoral Fx, Thermoplasti"	"$2,737 "
"Knee-Ankle-Foot Orthosis, Full Plastic, Static, Pr"	$373 
"Knee-Ankle-Foot Orthosis, Full Plastic, w/out Knee"	"$2,743 "
"Knee-Ankle-Foot Orthosis, Molded to Patient, Femor"	"$3,218 "
"Knee-Ankle-Foot Orthosis, Plastic Ankle-Foot Secti"	"$4,203 "
"Knee-Ankle-Foot Orthosis, Rigid, Femoral Fx"	"$2,705 "
"Knee-Ankle-Foot Orthosis, Semi-Rigid, Femoral Fx"	"$2,472 "
"Knee-Ankle-Foot Orthosis, Single or Double Upright"	"$18,456 "
"Knee-Ankle-Foot Orthosis, Single Upright, Free Ank"	"$1,872 "
"Knee-Ankle-Foot Orthosis, Single Upright, Free Kne"	"$5,041 "
"Knee-Ankle-Foot Orthosis, Single Upright, Full Pla"	"$7,470 "
"Knee-Ankle-Foot Orthosis, Soft, Femoral Fx"	"$2,087 "
KO ADJ JNT POS R SUP PRE OTS (L1833)	"$2,872 "
KO DBL UPRIGHT W/AIR PRE OTS (L1848)	"$2,397 "
KO ELASTIC W/JOINTS PRE OTS (L1812)	$429 
KOH Prep	$176 
KOH Prep_87220	$57 
"K-Typing, Patient"	$55 
"K-Typing, Unit"	$55 
"L0450 Thoracic-Lumbar-Sacral Orthosis, Flexible, P"	$732 
"L0452 Thoracic-Lumbar-Sacral Orthosis, Flexible, C"	"$1,528 "
"L0490 Thoracic-Lumbar-Sacral Orthosis, 1-Piece Rig"	$612 
"L0633 Lumbar-Sacral Orthosis, Rigid Posterior Pane"	"$1,290 "
"L0635 LSO Sag Rigid Panel, Pre"	"$2,158 "
"L0636 LSO Sag Rigid Panel, Cust"	"$2,927 "
"L0639 Lumbar-Sacral Orthosis, Sac - T9, Prefabrica"	"$2,797 "
"L0640 Lumbar-Sacral Orthosis, sac - T9, Custom Fab"	"$4,712 "
L1005 Tension Scoliosis Orthosis with Pads	"$3,822 "
L1847 KO Adjustable with air Chambers	"$2,589 "
"L2034 Knee-Ankle-Foot Orthosis, Full Plastic, Sing"	"$9,149 "
"L2232 Rocker bottom, Cus Fab Only"	$438 
L2387 Polycentric Knee JT	$861 
L2999 Supra Malleolar AFO	"$1,257 "
L2999c Instep Strap	$106 
L2999-THKAO Standing Frame	"$5,356 "
L3252 Custom Plastazote Ea	$174 
L3254 Non Standard Size/Width Pr	$214 
L3255 Non Standard Size/Length Pr	$186 
L3257 Split Size Additional charge	$248 
"L3410 Metatarsal bar wedge, between sole"	$411 
L3480 Pad & Depression for Spur	$279 
"L3649 Orthopedic Shoe Addition/Modification, Velcr"	$132 
L3649a Rockport	$266 
"L3675 Shoulder orthosis (SO), vest type abduction "	$708 
L3761 Elbow orthosis with adjustable position lock	"$1,670 "
"L3913 HFO, w/o JTs, Custom Fab"	"$1,111 "
"L3933 FO, w/o JTs, Custom Fab"	$873 
"L3935 FO, Nontorsion JT, Custom Fab"	$904 
"L3967 SEWHO, Airplane Design, w/o JTs, Custom Fab"	"$3,715 "
"L3971 SEWHO, Shoulder cap design, Incl Nontorsion "	"$3,805 "
"L3973 SEWHO, Airplane design, Incl Nontorsion JTs/"	"$4,007 "
"L3975 SEWHO, Shoulder cap design, w/o JTs"	"$3,396 "
"L3976 SEWHFO, Airplane design, w/o JTs"	"$3,396 "
"L3977 SEWHFO, Shoulder cap design, Incl nontorsion"	"$3,805 "
"L3978 SEWHFO, Airplane design, Incl Nontorsion JTs"	"$4,007 "
"L4002 Replacement Strap, Any"	$59 
"L4045 Replace non-molded thigh lacer, for custom f"	"$1,360 "
L4205 Repair Labor 15 minutes	$126 
"L5580 Prep, AK or knee disartic, ischial level soc"	"$8,538 "
"L5703 Ankle, symes, molded to patient model w/o so"	"$5,612 "
"L5705 Custom shaped protective cover, AK"	"$3,625 "
"L5971 All lower extremity prosthesis,solid ankle c"	$653 
"L6130 BE, molded socket (Muenster or Northwestern "	"$7,414 "
"L6570 Shoulder disartic, molded socket, endo sys, "	"$11,793 "
"L6621 Upper extremity additions,flexion/extension "	"$6,881 "
"L6677 Upper extremity addition,harness,triple cont"	$688 
"L6714 Terminal device, hand, VC, pediatric"	"$3,982 "
L6880 ELEC HAND IND ART DIGITS	"$70,703 "
"L6883 Replacement socket,below elbow/wrist disarti"	"$8,964 "
"L6884 Replacement socket,above elbow/elbow disarti"	"$6,046 "
"L6885 Replacement socket,shoulder disarticulation/"	"$9,394 "
"L6895 UE Pros Addition, glove for terminal device,"	"$2,009 "
"L7400 Addition to upper extremity prosthesis,below"	$924 
"L7401 Addition to upper extremity prosthesis,above"	"$1,033 "
"L7402 Addition to upper extremity prosthesis,shoul"	"$1,114 "
"L7403 Addition to upper extremity prosthesis,below"	"$1,109 "
"L7404 Addition to upper extremity prosthesis,above"	"$1,672 "
"L7405 Addition to upper extremity prosthesis,shoul"	"$2,186 "
"L7600 Prosthetic donning sleeve, any material, ea"	$161 
"L7700 Gasket or seal, for use with prosthetic sock"	$366 
"Labac Arm Support, All Sizes, Each"	$365 
LACRI-LUB S.O.P. OINTMENT 3.5gm	$46 
Lactate Dehydrogenase Isoenzymes (contains LDH)	$76 
"Lactate Dehydrogenase, Fluid"	$76 
Lactate Dehydrogenase/LDH	$92 
"Lactic Acid, Venous Specimen"	$65 
Lamictal Level	$207 
Lamotrigine Level	$385 
Laptray Edging	$438 
Laptray Padding	$266 
"Laptray Velcro Straps, Pair"	$111 
"Laptray, Custom"	$561 
Laryngoscopy Flex Fibroptic	$165 
Laryngoscopy Flex Fibroptic- Physician fee	$387 
Laryngoscopy Indirect Diagnostic (31505)	$479 
Lateral Contour Option	$110 
Lateral Hip Block w/ Cover	$347 
LDH Isoenzymes	$72 
Lead Level	$319 
LEG CPM MACHINE	$202 
"Legg Perthes Orthosis, Newington Type"	"$4,250 "
"Legg Perthes Orthosis, Patten Bottom Type"	"$3,841 "
"Legg Perthes Orthosis, Toronto Type"	"$3,340 "
"Legg Perthes Orthosis, Trilateral, Tachdijan Type"	"$3,164 "
"Legionella Antigen, Urine"	$48 
Legionella DFA Stain	$168 
"Legionella Pneumophila IgG  & IgM Antibodies, Sero"	$158 
Leishmania Antibodies	$77 
Lengthen Flexor Tendon (ea)	"$2,251 "
"Lengthen, Extensor, Hand/Finger (ea) Tendon"	"$2,414 "
"Lengthening or Shortening of Tendon, leg or ankle;"	"$2,703 "
"Lengthening or Shortening of Tendon, leg or ankle;_27685"	"$1,863 "
Levetiracetam Level	$385 
"Lewis Phenotyping, blood"	$55 
"Lift, Heel and Sole, Cork, Per Inch"	$174 
"Lift, Heel and Sole, Neoprene, Per Inch"	$368 
"Lift, Heel, Per Inch"	$172 
"Lift, Heel, Tapered to Metatarsal, Per Inch"	$235 
"Lift, Inside Shoe, Tapered, Per Inch"	$333 
"Lift, Metal Extension (Skate)"	"$1,214 "
Lipase	$181 
"Lipase, Fluid"	$181 
Lipoprotein (a)	$124 
Lipoprotein Electrophoresis	$236 
Lipoprotein Fractionation	$58 
"Lipoprotein, blood"	$77 
"Lithium ion battery, charger"	"$1,518 "
"Lithium ion battery, replacement"	"$1,172 "
Lithium Level	$122 
LITTLE SWIMMERS LARGE	$4 
LITTLE SWIMMERS MEDIUM	$4 
Liver Chemistry Panel	$266 
Liver-Kidney Microsome Autoantibodies	$204 
LNGTHN.SHORTN MULTI LEG/ANKLE TENDONS EA BILATERAL	"$17,804 "
LO RIG POS PNL L1-L5 PRE OTS (L0641)	$324 
Long Arm Cast (29065)	"$1,103 "
Long Leg Cast	"$1,243 "
Long Leg Cast Bilateral	"$1,863 "
Long Leg Splint	$187 
Low Level IgM	$79 
Lower Extremity Addition Thigh/Weight Bearing Lace	"$2,045 "
"Lower Extremity Addition, Abduction Bar, Jointed, "	$512 
"Lower Extremity Addition, Abduction Bar, Straight"	$520 
"Lower Extremity Addition, Anterior Swing Band"	$600 
"Lower Extremity Addition, Dorsiflexion/Plantarflex"	$363 
"Lower Extremity Addition, Dorsiflexion/Plantarflex_L2210"	$284 
"Lower Extremity Addition, Extended Steel Shank"	$233 
"Lower Extremity Addition, Foot Plate, Stirrup Atta"	"$1,850 "
"Lower Extremity Addition, Lacer, Molded to Patient"	"$1,656 "
"Lower Extremity Addition, Limited Ankle Motion Joi"	$227 
"Lower Extremity Addition, Molded Inner Boot"	"$2,544 "
"Lower Extremity Addition, Non-Corrosive Finish Bar"	$285 
"Lower Extremity Addition, Non-Molded Lacer, Custom"	$868 
"Lower Extremity Addition, Offset Knee Joint"	$461 
"Lower Extremity Addition, Offset Knee Joint, Heavy"	$657 
"Lower Extremity Addition, Patten Bottom"	$726 
"Lower Extremity Addition, Pelvic Control Band/Belt"	"$1,416 "
"Lower Extremity Addition, Pelvic Control Hip Joint"	"$1,127 "
"Lower Extremity Addition, Pelvic Control Sling"	"$1,956 "
"Lower Extremity Addition, Pelvic Control, Band/Bel"	$537 
"Lower Extremity Addition, Pelvic Control, Hip Jt, "	"$1,432 "
"Lower Extremity Addition, Pelvic Control, Hip Jt, _L2570"	"$1,033 "
"Lower Extremity Addition, Pelvic Control, Hip Jt, _L2600"	$494 
"Lower Extremity Addition, Pelvic Control, Hip Jt, _L2610"	"$1,063 "
"Lower Extremity Addition, Pelvic Control, Hip Jt, _L2624"	$903 
"Lower Extremity Addition, Pelvic Control, Reciproc"	"$9,625 "
"Lower Extremity Addition, Pelvic Control, Reciproc_L2628"	"$7,056 "
"Lower Extremity Addition, Pelvic/Thoracic Control "	$624 
"Lower Extremity Addition, Pre-Tibial Shell, Molded"	"$1,882 "
"Lower Extremity Addition, PTB Socket, Molded to Pa"	"$1,612 "
"Lower Extremity Addition, Reinforced Solid Stirrup"	$843 
"Lower Extremity Addition, Round caliper, Plate Att"	$427 
"Lower Extremity Addition, Split Flat Caliper Stirr"	$429 
"Lower Extremity Addition, Straight Knee Joint, Hea"	$662 
"Lower Extremity Addition, Suspension Sleeve"	$231 
"Lower Extremity Addition, Thigh Weight Bearing Isc"	"$1,482 "
"Lower Extremity Addition, Thigh Weight Bearing Lac"	$555 
"Lower Extremity Addition, Thigh Weight Bearing, Hi"	$790 
"Lower Extremity Addition, Thigh Weight Bearing, Qu"	"$1,245 "
"Lower Extremity Addition, Thigh/Gluteal/Ischial We"	$727 
"Lower Extremity Addition, Thigh/Weight Bearing Isc"	"$2,296 "
"Lower Extremity Addition, Thigh/Weight Bearing Qua"	"$2,492 "
"Lower Extremity Addition, Thoracic Control Band"	$804 
"Lower Extremity Addition, Thoracic Control Lateral"	$660 
"Lower Extremity Addition, Thoracic Control, Parasp"	$372 
"Lower Extremity Addition, Torsion Control, Ankle J"	$285 
"Lower Extremity Addition, Torsion Control, Straigh"	$300 
"Lower Extremity Addition, Valgus/Varus Correction "	$588 
"Lower Extremity Addition, Valgus/Varus Correction _L2270"	$276 
"Lower Extremity Foot Orthosis Addition, Adj Motion"	$357 
"Lower Extremity Foot Orthosis Addition, Drop Lock "	$516 
"Lower Extremity Foot Orthosis Addition, Hip Jt, Pe"	$770 
"Lower Extremity Foot Orthosis Addition, Limited Mo"	$268 
"Lower Extremity Foot Orthosis Addition, Plastic, S"	$307 
"Lower Extremity Foot Orthosis Addition, Quadrilate"	$650 
"Lower Extremity Foot Orthosis Addition, Waist belt"	$197 
"Lower Extremity Orthosis Addition, Carbon Laminati"	$589 
"Lower Extremity Orthosis Addition, Condylar Pad"	$368 
"Lower Extremity Orthosis Addition, Drop Lock Retai"	$134 
"Lower Extremity Orthosis Addition, Extension Per B"	$490 
"Lower Extremity Orthosis Addition, Femoral Length "	$273 
"Lower Extremity Orthosis Addition, Full Knee Cap"	$372 
"Lower Extremity Orthosis Addition, Knee Cap, Media"	$455 
"Lower Extremity Orthosis Addition, Plating Chrome/"	$182 
"Lower Extremity Orthosis Addition, Sidebar Disconn"	$588 
"Lower Extremity Orthosis Addition, Soft Interface "	$394 
"Lower Extremity Orthosis Addition, Soft Interface _L2820"	$365 
"Lower Extremity Orthosis, Tibial Length Sock, Fx o"	$196 
LSO SAG CTR RIGI POS PRE OTS (L0643)	$676 
LSO SAG R AN/POS PNL PRE OTS (L0648)	"$4,281 "
LSO SAG-CO SHELL PNL PRE OTS (L0651)	"$5,402 "
LSO SC R ANT/POS PNL PRE OTS (L0650)	"$5,402 "
LSO SC R POS/LAT PNL PRE OTS (L0649)	"$1,195 "
"LTV CIRCUIT W/O PEEP, ADULT"	$40 
"LTV CIRCUIT WITH PEEP, ADULT W/MOUTHPICE DEVICE"	$57 
LUBRICATING JELLY SURGILUBE FLIP-TOP 4.25-OZ TUBE	$7 
LUBRIDERM 3.3oz	$11 
Lumbar Discography (62290)	$774 
Lumbar Epidural (64483)	"$3,083 "
"Lumbar Orthosis, Flexible, Prefabricated, w/ Strap"	$248 
"Lumbar Orthosis, Sagittal, Prefabricated, Rigid Pa"	$886 
"Lumbar Orthosis, Sagittal, Prefabricated, w/ Pads/"	$351 
Lumbar TFESI add'l level x___	"$1,074 "
Lumbar Transforaminal Epidural Inj-Add'l Level BiL	"$2,423 "
Lumbar Transforaminal Epidural Injection-Additiona	"$1,909 "
Lumbar/Sacral Contour Option	$111 
"Lumbar-Sacral Orthosis, Corset Front"	$338 
"Lumbar-Sacral Orthosis, Flexible, Custom Fabricate"	$210 
"Lumbar-Sacral Orthosis, Flexible, Prefabricated, S"	$378 
"Lumbar-Sacral Orthosis, Full Corset"	$673 
"Lumbar-Sacral Orthosis, Protective Body Sock for S"	$306 
"Lumbar-Sacral Orthosis, Rigid Anterior, Sac - T9, "	"$2,216 "
"Lumbar-Sacral Orthosis, Rigid Anterior-Posterior F"	"$2,797 "
"Lumbar-Sacral Orthosis, Rigid Anterior-Posterior P"	"$2,788 "
"Lumbar-Sacral Orthosis, Rigid Posterior Frame/Pane"	"$2,848 "
"Lumbar-Sacral Orthosis, Rigid Posterior, Prefabric"	$731 
"Lumbar-Sacral Orthosis, Thoracic Extension"	$523 
Lumbosacral Transforaminal-Bilateral (64483)	"$4,890 "
Lupus Activity Reporter	$452 
Luteinizing Hormone	$281 
Lyme Disease by PCR	$330 
Lyme Disease by PCR_86618	$173 
"Lyme Disease DNA, Real-Time PCR, Blood"	$510 
"Lyme Disease, Serum (Confirmatory IgG & IgM)"	$109 
Lyme's Disease Antibodies (Total IgG/IgM) Serum	$224 
"Lymes Disease, Serum Confirmatory IgM"	$109 
Magnesium Level	$118 
"Magnesium, Random Urine"	$44 
"Magnesium, Timed Urine"	$40 
Malarial Prep	$60 
"Mammaplasty, augmentation; with prosthetic implant"	"$2,291 "
"Manganese, RBC"	$158 
Manipulation Elbow G/A	"$1,241 "
Manipulation Knee Under G/A	$595 
Manipulation of Hip Joint	$675 
"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated"	$77 
MASK TRACHEOSTOMOY PEDIATRIC	$5 
Massage Therapy 30 minutes	$76 
Massage Therapy 60 minutes	$120 
Massage Therapy 90 minutes	$181 
Maximum Breathing Capacity and Maximum Voluntary V	$151 
MC Abductor Hardware Removable	$127 
MC Abductor Hardware Swingaway	$127 
MC Abductor Pad	$158 
MC Lateral Trunk Support Pad	$165 
Measure Blood Oxygen Level	$11 
Mechanical In-ExSufflator Charge	$197 
Mechanical Ventilation Initiation Charge	$780 
Mechanical Ventilation Subsequent Days Charge	$632 
"Med Nutrition Assess and Intervention, Individual "	$74 
Med Nutrition Re-Assessment and Intervention each 	$74 
"MEDIHONEY  ADHESIVE DRESSING 4 1/2""X 4 1/2"""	$53 
"MEDIHONEY CALCIUM ALGINATE DRESSING 2""X 2"""	$21 
"MEDIHONEY CALCIUM ALGINATE DRESSING 4""X5"""	$58 
MEDIHONEY GEL 0.5 TUBE	$22 
MEDIHONEY GEL 1.5 TUBE	$53 
"MEDIHONEY NON-ADHESIVE DRESSING (HCS) 4.33""X 4.33"""	$46 
MEPILEX TRANSFER 6X8	$47 
"Mercury Level, Serum"	$299 
MESH UNDERWEAR SZ 2X/3X 2/PK	$6 
MESH UNDERWEAR SZ 4X 2/PK	$8 
MESH UNDERWEAR SZ LG/ XL 2/PK	$6 
MESH UNDERWEAR SZ SM/MD 2/PK	$5 
METACARP FX ORTHOSIS PRE OTS (L3918)	$401 
METANEB CIRCUITS	$290 
Metanephrines	$61 
"Metanephrines, Fractionated -24 Hr Urine"	$66 
"Metanephrines, Plasma Free"	$233 
"Metatarsal Bar, Rocker"	$147 
Meter Dose Inhaler	$75 
Meter dose inhaler teaching = inhaler	$174 
Meter Dose Inhaler Teaching Charge	$109 
Methotrexate Level	$385 
Methylmalonic Acid	$102 
MIC-KEY FEED TUBE 12FR 1.5CM	$394 
MIC-KEY SECUR-LOK EXT SET	$62 
MIC-KEY SKIN LEVEL 12 FR 1.2 KIT	$376 
"Microalbumin with Creatinine, Urine Timed"	$35 
"Microalbumin with Creatinine, Urine, Random"	$74 
"Microproc control feature, addtion to upper-limb p"	"$9,330 "
Microsporidium	$99 
Midfoot/Post Talotibial Capsulotomy with Tendon Le	"$5,046 "
Mini-Nebulizer	$98 
Minor Inhalation Therapy	$135 
MIRROR LONG HANDLE HAND HELD	$111 
Mirtazapine Level	$385 
"MN Phenotyping, blood"	$55 
"MOD SED SAME PHYS/QHP 5/>YRS, initial 15 minutes ("	$37 
Modified Education Binder	$33 
MOTOR&/SENS 1-2 NRV CNDJ TST (95907)	$307 
MOTOR&/SENS 3-4 NRV CNDJ TST (95908)	$341 
MOTOR&/SENS 5-6 NRV CNDJ TST (95909)	$371 
MOTOR&SEN 11-12 NRV CND TEST (95912)	$717 
MOTOR&SEN 9-10 NRV CNDJ TEST (95911)	$651 
MOTOR&SENS 13/> NRV CND TEST (95913)	$787 
MOTOR&SENS 7-8 NRV CNDJ TEST (95910)	$437 
Motor/Sensory Nerve Conduct Test	$232 
MR290 AUTO FILL HUMIDIFICATION CHAMBER	$48 
MRA Abdomen  W/O Contrast	"$3,952 "
MRA Abdomen W&W/O Contrast	"$3,952 "
MRA Abdomen W/ Contrast	"$3,952 "
MRA Chest  W/O Contrast	"$3,888 "
MRA Chest W/ Contrast	"$3,888 "
MRA Head  W/O Contrast	"$4,677 "
MRA Head W&W/O Contrast	"$6,321 "
MRA Head W/ Contrast	"$3,184 "
MRA Lower Ext  W/O Contrast	"$3,921 "
MRA Lower Ext W&W/O Contrast	"$3,921 "
MRA Lower Ext W/Contrast	"$3,921 "
MRA Neck  W/O Contrast	"$3,741 "
MRA Neck W&W/O Contrast	"$5,291 "
MRA Neck W/ Contrast	"$4,232 "
MRA Pelvis  W/O Contrast	"$3,929 "
MRA Pelvis W/ Contrast	"$3,929 "
MRA Spinal Canal  W/O Contrast	"$4,103 "
MRA Spinal Canal W&W/O Contrast	"$4,103 "
MRA Spinal Canal W/ Contrast	"$4,103 "
MRA Upper Ext  W/O Contrast	"$4,068 "
MRA Upper Ext W&W/O Contrast	"$4,068 "
MRA Upper Ext W/ Contrast	"$4,068 "
MRI Abdomen  W/O Contrast	"$4,096 "
MRI Abdomen Enterography W&W/O Contrast	"$5,235 "
MRI Abdomen MRCP  W/O Contrast	"$4,096 "
MRI Abdomen MRCP W&W/O Contrast	"$5,235 "
MRI Abdomen Urography W&W/O Contrast	"$5,235 "
MRI Abdomen W&W/O Contrast	"$5,235 "
MRI Abdomen W/ Contrast	"$5,124 "
MRI Abdominal Wall  W/O Contrast	"$4,096 "
MRI Abdominal Wall W/ Contrast	"$5,124 "
MRI Ankle/Hindfoot  W/O Contrast Left	"$4,458 "
MRI Ankle/Hindfoot  W/O Contrast Right	"$4,458 "
MRI Ankle/Hindfoot W&W/O Contrast Left	"$5,390 "
MRI Ankle/Hindfoot W&W/O Contrast Right	"$5,390 "
MRI Brachial Plexus  W/O Contrast Lt	"$3,558 "
MRI Brachial Plexus  W/O Contrast Rt	"$3,558 "
MRI Brachial Plexus W&W/O Contrast Lt	"$5,224 "
MRI Brachial Plexus W/W&O Contrast Rt	"$5,224 "
MRI Brain  W/O Contrast	"$2,713 "
MRI Brain CSF Study  W/O Contrast	"$2,713 "
MRI Brain CSF Study W&W/O Contrast	"$3,184 "
MRI Brain FMRI	"$2,713 "
MRI Brain IAC/Cranial Nerve  W/O Contrast	"$2,713 "
MRI Brain IAC/Cranial Nerve W&W/O Cont	"$3,184 "
MRI Brain IAC/Cranial Nerve W/Contrast	"$5,124 "
MRI Brain W&W/O Contrast	"$3,184 "
MRI Brain W&W/O Contrast w/ Perfusion	"$3,184 "
MRI Brain W/Contrast	"$5,124 "
MRI Chest  W/O Contrast	"$3,558 "
MRI Chest W&W/O Contrast	"$5,224 "
MRI Chest W/Contrast	"$7,891 "
MRI Chest Wall  W/O Contrast	"$3,558 "
MRI Chest Wall W&W/O Contrast	"$5,224 "
MRI Elbow  W/O Contrast Left	"$4,124 "
MRI Elbow W&W/O Contrast Left	"$5,124 "
MRI Elbow W&W/O Contrast Right	"$5,124 "
MRI Elbow W/O Contrast Right	"$4,124 "
MRI Face/Neck W&W/O Contrast	"$5,745 "
MRI Face/Neck W/Contrast	"$5,124 "
MRI Face/Neck W/O Contrast	"$2,713 "
MRI Femur W&W/O Contrast Left	"$4,990 "
MRI Femur W&W/O Contrast Right	"$4,990 "
MRI Femur W/O Contrast Left	"$4,124 "
MRI Femur W/O Contrast Right	"$4,124 "
MRI Finger W&W/O Contrast Left	"$5,124 "
MRI Finger W&W/O Contrast Right	"$5,124 "
MRI Finger W/O Contrast Left	"$2,713 "
MRI Finger W/O Contrast Right	"$2,713 "
MRI Foot W&W/O Contrast Lt	"$4,990 "
MRI Foot W&W/O Contrast Rt	"$4,990 "
MRI Foot W/O Contrast Lt	"$4,124 "
MRI Foot W/O Contrast Rt	"$4,124 "
MRI Forearm W&W/O Contrast Left	"$5,124 "
MRI Forearm W&W/O Contrast Right	"$5,124 "
MRI Forearm W/O Contrast Left	"$2,713 "
MRI Forearm W/O Contrast Right	"$2,713 "
MRI Hand  W/O Contrast Left	"$2,713 "
MRI Hand  W/O Contrast Right	"$2,713 "
MRI Hand W&W/O Contrast Left	"$5,124 "
MRI Hand W&W/O Contrast Right	"$5,124 "
MRI Hip W&W/O Contrast Lt	"$5,390 "
MRI Hip W&W/O Contrast Rt	"$5,390 "
MRI Hip W/O Contrast Lt	"$4,458 "
MRI Hip W/O Contrast Rt	"$4,458 "
MRI Humerus W&W/O Contrast Lt	"$5,124 "
MRI Humerus W&W/O Contrast Rt	"$5,124 "
MRI Humerus W/O Contrast Lt	"$2,713 "
MRI Humerus W/O Contrast Rt	"$2,713 "
MRI Knee W&W/O Contrast Lt	"$5,390 "
MRI Knee W&W/O Contrast Rt	"$5,390 "
MRI Knee W/O Contrast Lt	"$4,458 "
MRI Knee W/O Contrast Rt	"$4,458 "
MRI Lower Ext Joint W/Contrast Lt	"$4,458 "
MRI Lower Ext Joint W/Contrast Rt	"$4,458 "
MRI Lower Ext W/Contrast Left	"$5,390 "
MRI Lower Ext W/Contrast Right	"$5,390 "
MRI Orbits W&W/O Contrast	"$5,745 "
MRI Orbits W/ Contrast	"$5,124 "
MRI Orbits W/O Contrast	"$2,713 "
MRI Pelvis Enterography W&W/O Contrast	"$5,235 "
MRI Pelvis MSK W&WO Contrast	"$5,832 "
MRI Pelvis MSK W/O Contrast	"$3,947 "
MRI Pelvis Urography W&W/O Contrast	"$5,235 "
MRI Pelvis Viscera W&W/O Contrast	"$5,832 "
MRI Pelvis Viscera W/O Contrast	"$3,947 "
MRI Prostate W&W/O Contrast	"$5,832 "
MRI Prostate W/O Contrast	"$3,947 "
MRI Sacrum Coccyx  W/O Contrast	"$3,947 "
MRI Sacrum Coccyx W&W/O Contrast	"$5,832 "
MRI Sacrum Coccyx W/ Contrast	"$5,124 "
MRI Shoulder W&W/O Contrast Lt	"$5,124 "
MRI Shoulder W&W/O Contrast Rt	"$5,124 "
MRI Shoulder W/O Contrast Lt	"$4,124 "
MRI Shoulder W/O Contrast Rt	"$4,124 "
MRI Spine Cervical W&W/O Contrast	"$5,619 "
MRI Spine Cervical W/Contrast	"$5,124 "
MRI Spine Cervical W/O Contrast	"$4,360 "
MRI Spine Lumbar W&W/O Contrast	"$5,619 "
MRI Spine Lumbar W/Contrast	"$5,124 "
MRI Spine Lumbar W/O Contrast	"$4,353 "
MRI Spine Thoracic W&W/O Contrast	"$5,619 "
MRI Spine Thoracic W/ Contrast	"$5,124 "
MRI Spine Thoracic W/O Contrast	"$4,353 "
MRI Tibia W&W/O Contrast Lt	"$4,990 "
MRI Tibia W&W/O Contrast Rt	"$4,990 "
MRI Tibia W/O Contrast Lt	"$4,124 "
MRI Tibia W/O Contrast Rt	"$4,124 "
MRI TMJ W&W/O Contrast	"$2,713 "
MRI TMJ W/O Contrast	"$2,713 "
MRI Upper Ext Joint W/Contrast Lt	"$7,891 "
MRI Upper Ext Joint W/Contrast Rt	"$7,891 "
MRI Upper Ext W/ Contrast Left	"$5,124 "
MRI Upper Ext W/ Contrast Right	"$5,124 "
MRI Wrist W&W/O Contrast Lt	"$5,124 "
MRI Wrist W&W/O Contrast Rt	"$5,124 "
MRI Wrist W/O Contrast Lt	"$4,124 "
MRI Wrist W/O Contrast Rt	"$4,124 "
"MRSA Screen, PCR"	$258 
MRV Head W&W/O Contrast	"$6,321 "
MRV Head W/O Contrast	"$4,677 "
MRV Pelvis W&W/O Contrast	"$3,929 "
Multi Density Insert	$135 
"Multiple Density Insert, Custom Fabricated,  Molde"	$202 
"Multiple Density Insert, Prefabricated, Molded to "	$135 
Multiple Family Group Psychotherapy	$139 
Mumps Antibody IgG (Immunity)	$119 
Mumps Antibody IgM	$86 
Mumps Virus Culture	$147 
MUSCLE BX; PERC NDL (20206)	$152 
MUSCLE BX; SUPERF (20200)	"$4,919 "
MUSCLE FLAP; LOWER EXTREMITY (15738)	"$9,656 "
MUSCLE FLAP; TRUNK (15734)	"$3,602 "
MUSCLE FLAP; UPPER EXTREMITY (15736)	"$3,124 "
"Muscle/Tendon Transfer Upper Arm/Elbow, Single"	"$2,485 "
MUSK Antibody	$839 
Mycobacteria Smear	$99 
Mycobacterium Tuberculosis PCR	$376 
Mycophenolic acid Level	$105 
Mycoplasma Antibody	$86 
"Myelin Basic Protein, CSF"	$101 
Myeloperoxidase	$153 
Myoglobin Serum	$179 
"Myoglobin, Urine Random"	$179 
Mysoline Level	$321 
NAIL CARE KIT	$6 
NASAL CANNULA 21FT	$6 
Nasal Saline Irrigation	$82 
Natural Killer Cells(NK cells)	$284 
NB INJ HYPOGAS PLXS (64517)	"$3,084 "
NEBULIZER CAP 1000MI	$12 
"Needle electromyography, each extremity, with rela"	$380 
"Needle electromyography, each extremity, with rela_95886"	$253 
"Needle electromyography, each extremity; limited ("	$170 
"Needle electromyography, each extremity; limited B"	$256 
"Needle Electromyography, non-extremity (95887)"	$228 
"Needle Electromyography, non-extremity Bilateral ("	$345 
Needle Electromyography; Thoracic Paraspinal Muscl	$464 
"Needle EMG, Anal/Urethral Sphincter (51785)"	"$1,051 "
NEEDLE NEXIVA 18G X 1 1/4	$24 
NEEDLE NEXIVA 20G X 1 IN	$24 
NEEDLE NEXIVA 22G X 1 IN	$24 
NEEDLE NEXIVA 24G X 3/4 IN	$24 
"NEEDLE, INOJECT 38 X 0.45 MM X 26G"	$129 
"NEEDLE, INOJECT 50 X 0.50 MM X 25G"	$129 
Neg Pressure Wound Tx  < 50 sq cm (97605)	$431 
Neg Pressure Wound Tx  > 50 sq cm (97606)	$688 
Negative Inspiratory Force	$362 
Negative Inspiratory Force Charge	$362 
Nephelometry	$88 
Nerve Block Ilioing/Iliohypogastric  Bilateral	"$2,342 "
Nerve Block Ilioning/Iliohypogastric	"$1,478 "
Nerve Destruction Other Peripheral or Branch Charg	"$3,643 "
Nerve Destruction Other Peripheral or Branch Charg_64640	"$3,262 "
Neurobehavioral Status Exam Add On	$100 
"Neurobehavioral Status Exam, per hour"	$513 
Neuromyelitis Optica IgG	$457 
Neuroplasty; ulnar nerve	"$8,170 "
Neuropsych testing by physicial or other qualified healthcare profesional. First Hour	$858 
"Neuropsych testing by physician or other qualified  healthcare professional, each additional hour"	$771 
"NJX INTERLAMINAR CRV/THR, C without imaging guidan"	"$2,115 "
"NJX INTERLAMINAR CRV/THRC, incl indw cath, cont in"	"$2,601 "
"NJX INTERLAMINAR CRV/THRC, incl indw cath/cont fus"	"$2,558 "
"NJX INTERLAMINAR CRV/THRC, with imaging guidance ("	"$2,138 "
"NJX INTERLAMINAR LMBR/SAC, with imaging guidance ("	"$2,108 "
"NJX INTERLAMINAR LMBR/SAC, without imaging guidanc"	"$2,070 "
"NJX INTERLAMINAR LMBR/SAC,incl ind cath, cont infu"	"$2,549 "
"NJX INTERLAMINAR LMBR/SAC,incl indw cath, cont inf"	"$2,569 "
NO SHOW / CANCELLATION PAIN PROGRAM CHARGE $1500	"$1,500 "
No Show/Cancellation	$25 
No Show/Cancellation_00000	$25 
No Show/Cancellation-P&O	$25 
No Show/Cancellation-Program	$25 
NON  ADHERENT CONTACT LAYER DRESSING 2X2	$8 
NON  ADHERENT CONTACT LAYER WITH TRIACT 4X5	$24 
"NON BORDERED FOAM, DRESSING 4X4"	$9 
"NON BORDERED FOAM, HEEL"	$35 
NON BORDERED LITE FOAM DRESSING 4X5	$9 
Nonadjustable Hip Block Hardware	$840 
NON-BORDERED FOAM DRESSING 2.5 X 2.5	$9 
NON-BORDERED FOAM DRESSING 6X8	$25 
NON-PNEUM WALK BOOT PRE OTS (L4387)	$660 
Non-Pneumatic Walking Splint	$714 
Non-Selective Debridement Including Topical Applic	$685 
Nontunnelled Catheter Charge	$567 
Norovirus	$173 
Norpace (Disopyramide) Level	$385 
N-Telopeptide Serum	$141 
"N-Telopeptides (NTX) with Creatinine, Urine Random"	$236 
"N-Telopeptides (NTX), Urine Timed"	$235 
NU Pro Control	"$8,060 "
"Nursing fac care, subseq comprehensive exam"	$387 
"Nursing fac care, subseq detail exam"	$263 
"Nursing fac care, subseq expanded problem focused"	$197 
"Nursing fac care, subseq problem focused exam"	$101 
O2 Uptk Exp Gas Alys Rest Indir Spx Charge-95805	"$2,457 "
OASIS SALINE MOUTH SPRAY 1oz	$30 
OASIS WOUND MATRIX 3X7CM FENESTRATED	$824 
Oasis wound matrix skin sub per sq cm (Q4102)	$35 
OAT BETA GLUCAN OCCLUSIVE OINTMENT	$170 
OB Combination Headrest	$171 
OB Elevating/Swivel Arm Trough Hardware	$255 
"OB Flat Headrest, Large"	$182 
"OB Flat Headrest, Small"	$151 
OB Forearm Trough	$110 
"OB Hand Pad, Flat"	$89 
"OB Hand Pad, Molded"	$89 
"OB Headrest Hardware, Clamp Only"	$67 
OB Single Axis Headrest Hardware	$221 
Occult Blood Exam	$70 
Occult Blood Screen	$70 
"Occult Blood, Feces-POCT"	$70 
OCEAN SALINE NASAL SPRAY 45cc	$26 
Office Consult Level 1 Charge- 99241	$195 
Office Consult Level 2 Charge- 99242	$354 
Office Consult Level 3 Charge- 99243	$442 
Office Consult Level 4 Charge- 99244	$662 
Office Consult Level 5 Charge- 99245	$834 
Office Visit Level 1 Est Charge- 99211	$214 
Office Visit Level 1 New Charge- 99201	$260 
Office Visit Level 2 Est Charge- 99212	$295 
Office Visit Level 2 New Charge- 99202	$366 
Office Visit Level 3 Est Charge- 99213	$359 
Office Visit Level 3 New Charge- 99203	$514 
Office Visit Level 4 Est Charge- 99214	$508 
Office Visit Level 4 New Charge- 99204	$736 
Office Visit Level 5 Est Charge- 99215	$685 
Office Visit Level 5 New Charge- 99205	$957 
Off-set Heel	$147 
OINTMENT BARRIER 5.6-OZ	$30 
Oligoclonal Bands	$204 
One Piece Foot Board	$124 
ONM IN OPERATNG ROOM 15 MIN (95940)	$118 
OP EPIPHYSEAL ARREST- DISTL TIB & FIB (27734)	"$1,575 "
OP TX ELBOW PA FX/DISLOC (24586)	"$25,335 "
OP TX PATEL FX W IF &/REP (27524)	"$2,461 "
OP TX SCLAV DISL ACUTE/CHR (23530)	"$16,536 "
OP TX SF EPIPHYSIS; OSTEOTOMY (27181)	"$3,028 "
Open lateral release	"$1,792 "
"Open periprosthetic capsulotomy, breast (19370)"	"$2,434 "
Open Reduction Hip	"$5,433 "
"Open Reduction Hip, Bilateral"	"$6,487 "
Open Reduction with Femoral Shortening	"$6,085 "
OPEN SUPERF BONE BX (20240)	"$7,487 "
Open treament of humeral supracondylar fracture	"$3,609 "
"Open Treatment Bimalleolar Ankle Fracture, Include"	"$4,494 "
Open treatment intercondylar spine fracture	"$3,505 "
Open treatment of bimall fracture	"$3,203 "
Open treatment of clavicular fracture	"$2,735 "
Open treatment of distal femoreal epiphyseal separ	"$4,012 "
Open treatment of distal fibula fracture	"$2,766 "
Open treatment of distal radial fracture	"$2,802 "
Open treatment of distal tibia articular fracture	"$4,496 "
Open treatment of femoral neck fracture	"$4,814 "
Open treatment of femoral shaft fracture with intr	"$5,410 "
Open treatment of femoral shaft fracure with plate	"$4,064 "
Open treatment of femoral supracondylar fracture	"$4,240 "
Open treatment of Galeazzi fracture	"$3,400 "
Open treatment of humeral condylar fracture	"$3,422 "
Open treatment of humeral epicondylar fracture	"$3,046 "
Open treatment of humeral supacondylar fracture wi	"$4,397 "
Open treatment of medial mall fracture	"$2,522 "
Open treatment of Monteggia fracture	"$3,476 "
Open treatment of olecranon fracture	"$2,665 "
"Open Treatment of Osteotomy, Shortening, Angular  "	"$1,335 "
Open treatment of phalangeal fracture	"$2,184 "
Open treatment of proximal humerus fracture	"$3,447 "
Open treatment of radial AND ulna shaft fracture	"$2,615 "
Open treatment of radial neck fracture	"$2,633 "
Open treatment of radial shaft fracture	"$2,733 "
Open treatment of tib fib synostosis	"$2,543 "
Open treatment of tibia fracture with plate/screws	"$3,630 "
Open treatment of ulna shaft fracture	"$2,599 "
"Open Tx distal Phalang FX ,each"	"$10,067 "
OPEN TX FEMORAL SUPRACONDYLAR FRACT W XTN (27513)	"$3,959 "
ORAL SWAB SYSTEM KIT 6001	$25 
ORAL TEMPERATURE PROBE	$390 
"Orbicularis Oculi (Blink) Reflex, by electrodiagno"	$335 
"Orthopedic Shoe Addition, Convert Firm Counter to "	$126 
"Orthopedic Shoe Addition, Convert to Velcro Closur"	$291 
"Orthopedic Shoe Addition, Insole, Felt Covered w/ "	$67 
"Orthopedic Shoe Addition, March Bar"	$98 
"Orthopedic Shoe Addition, Sole, Full"	$231 
"Orthopedic Shoe Addition, Sole, Half"	$142 
"Orthopedic Shoe Addition, Special Extension to Ins"	$197 
"Orthopedic Shoe Addition, Toe Tap Horseshoe"	$57 
"Orthopedic Shoe Addition, Toe Tap Standard"	$38 
"Orthopedic Shoe Addition/Modification, Transfer Or"	$255 
"Orthopedic Shoe, Custom Plastizote"	$166 
"Orthopedic Shoe, Custom, Depth Inlay"	"$2,903 "
"Orthopedic Shoe, Ladies, Depth Inlay"	$647 
"Orthopedic Shoe, Ladies, High Top Depth Inlay"	$511 
"Orthopedic Shoe, Ladies, Oxford"	$467 
"Orthopedic Shoe, Mens, Depth Inlay"	$831 
"Orthopedic Shoe, Mens, High Top Depth Inlay"	$612 
"Orthopedic Shoe, Mens, Oxford"	$726 
"Orthopedic Shoe, Mens, Oxford, Used as Part of Bra"	$193 
"Orthopedic Shoe, Womens, Oxford, Used as Part of B"	$306 
"Orthosis, Transfer, Caliper Plate"	$119 
"Orthosis, Transfer, Existing Stirrup"	$343 
"Orthosis, Transfer, New Stirrup"	$454 
Osmolality	$127 
"Osmolality, Urine Random"	$127 
"Osmolality, Urine Timed"	$141 
Osteocalcin	$235 
Osteocalcin_83937	$184 
OSTEOPATHIC MANIPULATION 1-2 BODY REGIONS (98925)	$187 
OSTEOPATHIC MANIPULATION 3-4 BODY REGIONS (98926)	$224 
OSTEOPATHIC MANIPULATION 5-6 BODY REGIONS (98927)	$263 
OSTEOPATHIC MANIPULATION 7-8 BODY REGIONS (98928)	$303 
OSTEOPATHIC MANIPULATION 9-10 BODY REGIONS (98929)	$348 
Osteotomy 1st Metatarsal	"$1,682 "
Osteotomy Cuneiform	"$2,720 "
Osteotomy Femur Shaft/Supracondylar w/o Fix	"$3,377 "
Osteotomy humerus	"$3,363 "
Osteotomy Intertrochanteric	"$6,674 "
OSTEOTOMY MIDT BONE;Bilateral (28304-50)	"$29,740 "
Osteotomy Oscalcis	"$2,470 "
"Osteotomy Oscalcis, Bilateral"	"$20,801 "
"Osteotomy Prox. Phalanx, First Toe (Separate)"	"$1,497 "
Osteotomy proximal tibia	"$3,879 "
Osteotomy Radius & Ulna	"$4,251 "
Osteotomy Radius (Distal)	"$3,266 "
Osteotomy Ulna	"$3,187 "
"Osteotomy, metatarsals multiple for cavus foot"	"$3,712 "
"Osteotomy, tibia"	"$3,172 "
Osteotomy; Tibia and Fibula	"$5,202 "
Osteotomy; Tibia and Fibula; Bilateral	"$8,546 "
"OSTOMY, DURAHESIVE WAFER 2-3/4IN"	$135 
"OSTOMY, POUCH HIGH OUTPUT DRAINABLE 1-3/4"""	$102 
"OSTOMY, SEAL COHESIVE EAKIN LARGE"	$29 
"OSTOMY, SEAL COHESIVE EAKIN SMALL"	$26 
"OSTOMY, STOMAHESIVE POWDER EACH"	$26 
"OSTOMY, STOMAHESVE PASTE EACH"	$36 
OT Assistive Technology Eval Units	$164 
OT Attended E-Stim Units	$195 
OT Biofdbk/Peri/Urethral/Rectal Units	$442 
OT Biofeedback Units	$170 
OT Class Units	$85 
OT Cognitive Skills Development Unit(s)	$152 
OT Community/Work Reintegration Units	$127 
OT Contrast Bath Units	$79 
OT Double Therapy Units	$85 
OT Dynamic Finger Splint App Units	$343 
OT Dynamic Short Arm Splint App Units	$425 
OT Elbow Orthosis Left Charge L3702	$646 
OT Elbow Orthosis Right Charge L3702	$646 
OT Evaluation High Complexity Charge	$186 
OT Evaluation Low Complexity	$186 
OT Evaluation Moderate Complexity	$186 
OT Finger Cast Units	$171 
OT Finger Orthosis Left Charge L3933	$479 
OT Finger Orthosis Right Charge L3933	$479 
OT FO Left Charge L3935	$492 
OT FO Right Charge L3935	$492 
OT Group Therapy Units	$85 
OT Hand and Lower Forearm Cast Units	$171 
OT Hand Finger Orthosis LT Charge L3913	$607 
OT Hand Finger Orthosis RT Charge L3913	$607 
OT Hand Orthosis Left Charge L3919	$607 
OT Hand Orthosis Right Charge  L3919	$607 
OT HFO Left Charge L3921	$719 
OT HFO Right Charge L3921	$719 
OT Hot/Cold Pack Units	$86 
OT Infrared Units	$132 
OT Iontophoresis Units	$161 
OT Long Arm Cast Units	$171 
OT Long Arm Splint Application Units	$330 
OT Manual Therapy Units	$176 
OT Massage Units	$83 
OT Mechanical Traction Units	$212 
OT MMT/Extremity/Trunk Units	$118 
OT MMT/Hand Units	$102 
OT MMT/Total Body With Hand Units	$195 
OT MMT/Total Body Without Hand Units	$167 
OT Neuromuscular Reeducation Units	$171 
OT Orthotic Management/Train Units	$146 
OT Orthotic/Prosthetic Use Subsequent Unit(s)	$152 
OT Paraffin Bath Units	$267 
OT Physical Performance Test	$187 
OT Prosthetic Management/Train Units	$160 
OT Re-Evaluation	$154 
OT ROM/Extremity Units	$227 
OT ROM/Hand Units	$58 
OT Self Care/Home Management Units	$145 
OT Sensory Integrative Techniques Units	$145 
OT Short Arm Cast Units	$171 
OT Static Finger Splint App Units	$152 
OT Static Short Arm Splint App Units	$171 
OT Strapping Elbow/Wrist Units	$171 
OT Strapping Hand/Finger Units	$171 
OT Strapping Shoulder Units	$171 
OT Therapeutic Activities Units	$161 
OT Therapeutic Exercise Units	$173 
OT Ultrasound Units	$142 
OT Unattended E-Stim Units	$132 
OT Vasopneumatic Devices Units	$212 
OT Wheelchair Management Units	$145 
OT Wheelchair Management Units_97542	$145 
OT WHFO Left Charge L3807	$554 
OT WHFO Orthosis Left Charge L3806	"$1,016 "
OT WHFO Orthosis Right Charge L3806	"$1,016 "
OT WHFO Right Charge L3807	$554 
OT Whirpool Units	$212 
OT Work Hardening-Each Addl Hour Units	$210 
OT Work Hardening-Initial 2 Hours Units	$526 
OT Wrist Hand Finger Orthosis LT L3808	$797 
OT Wrist Hand Finger Orthosis RT L3808	$797 
OT Wrist Hand Orthosis Left Charge L3906	"$1,135 "
OT Wrist Hand Orthosis RT Charge L3906	"$1,135 "
Other Nerve Block Peripheral or Branch BiL Charge 	"$2,432 "
Other Nerve Block Peripheral or Branch Charge (644	"$1,878 "
Other Respiratory Procedure Group 15 min	$79 
Other Than 1st Metatarsal (ea)	"$1,525 "
Outpatient Physical Therapy Treatment ABN	$173 
Ova and Parasites-Stool	$198 
"Oxalate, Urine timed"	$131 
Oxcarbazepine Level	$385 
Oximetry Exercise	$350 
Oximetry Monitor	$85 
Oximetry Night	$447 
OXY - VENT W/TUBE	$9 
Oxygen Therapy 0-60 minutes	$85 
Oxygen Therapy Charge	$110 
Oxygen Therapy Charge_	$110 
P1 Typing (unit or patient)	$77 
PAD DECUBIOUS 30IN X 60IN	$64 
PAD ELBOW HEEL PROTECTOR WHITE LG	$44 
PAD EYE CURVED BLACK W/ELASTIC STRAP	$6 
PAD PROTECTOR ELBOW HEEL X-LG	$33 
PAD THERMAL FOR K-PAD MACHINE	$37 
"Pad, Sheepskin, Lambs Wool, Any Size"	$30 
"Pad, Sheepskin, Synthetic"	$12 
Pain Program Full Day	$44 
Pain Program Half Day	$30 
Panel-Alpha Fetoprotein (Maternal)	$266 
Pap Smear-Diagnostic	$69 
Pap Smear-Liquid and Thin Prep	$140 
Pap Smear-Screening	$69 
PARAMETER KIT ADAPTER TRACH T W/ONE WAY VALVE	$6 
Parasite Identification	$109 
"Parathyroid Hormone , C-Terminal"	$317 
"Parathyroid Hormone , C-Terminal_83970"	$903 
PARI LCD PARINEB NEBULIZER DISPOSABLE	$22 
Paring or cutting of benign hyperkeratotic lesion	$93 
"Paring or cutting of benign hyperkeratotic lesion,"	$174 
"Paring or cutting of benign hyperkeratotic lesion,_11056"	$132 
PART HAND MYO EXCLU TERM DEV (L6026)	"$12,318 "
"Partial foot, molded socket, ankle height, with to"	"$4,816 "
"Partial foot, molded socket, tibial tubercle heigh"	"$7,619 "
"Partial foot, shoe insert with longitudinal arch, "	"$2,304 "
"Partial hand, Robin-Aids, little and/or ring finge"	"$4,550 "
"Partial hand, Robin-Aids, no fingers remaining (or"	"$5,498 "
"Partial Hand, Robin-Aids, thumb remaining, (or equ"	"$5,454 "
PARTL EXC ANKLE OR HEEL BONE (28120)	"$8,488 "
"Parvovirus B19 IgG, IgM Antibodies"	$191 
PASSY MUIR VALVE BLUE	$320 
PASSY MUIR VALVE CLEAR SPEAKING	$320 
Patella Dislocation Reconstruction Misc.	"$3,258 "
Patellectomy or hemipatellectomy (27350)	"$2,199 "
PATIENT CIRCUIT W/OUT PEEP PEDIATRIC	$39 
PEAK FLOW METER	$60 
Peak Flow Meter Charge	$107 
Peak Flow Meter_S8096	$83 
PED TERM DEV HOOK VOL CLOS L6712	"$3,236 "
PED TERM DEV HOOK VOL OPEN	"$2,023 "
Pedialyte	$4 
Pediasure	$6 
Pediasure with fiber	$6 
PEDIATRIC OXYGEN MASK	$5 
Pediatric Pain Program Half Day ED Materials	$24 
PEDIATRIC TUBING CUSHION CANNULA	$5 
PEDIATRIC VENTED SYRINGE ADAPTAR SET for ALARIS PU	$22 
PEDIPRINTS TRACH TIES	$4 
PEDS RESUSCITATION BAG W/MASK SPUR II	$33 
Pelvic Osteotomy	"$6,364 "
Pencil Holder	$141 
Peptamen Jr.	$7 
Perc Fix Fem Prox NK Fx	"$3,553 "
PERC SK FIX IP JNT DISL; W MANIP (28666)	"$7,118 "
Percutaneous Disc Decompression (62287)	"$15,638 "
Percutaneous fixation of distal radial fracture	"$2,708 "
Percutaneous fixation of tibial fracture	"$2,301 "
Percutaneous skeletal fixation of distal femoral f	"$2,627 "
Percutaneous skeletal fixation of metacarpal fract	"$1,906 "
Percutaneous skeletal fixation of metatarsal fract	"$1,371 "
Percutaneous skeletal fixation of phalangeal fract	"$1,873 "
Percutaneous skeletal fixation of supracondylar fr	"$3,040 "
Percutaneous TAL gen anesthesia - bilateral	"$11,594 "
Percutaneous TAL general anesthesia	"$1,234 "
Percutaneus skeletal fixation of fracture great to	$925 
"Peroneal Straps, Pair"	$38 
Peroneus Lengthening	"$1,863 "
"Pessary, non rubber, any type"	$103 
"pH, Timed Urine"	$86 
"pH, Urine Timed"	$86 
Phalangetomy Toe (ea)	"$1,211 "
PHARMACOLOGIC MGMT W/PSYTX (90863)	$529 
Phase 3 Pulmonary Rehab	$13 
Phenobarbital Level	$146 
Phosphorous Level	$69 
"Phosphorous, Urine timed"	$138 
"Phosphorus, Random Urine"	$37 
Physician Review and Interpretation of data (96004	$417 
Physician Supervision HH Patient; 15-29 min.	$186 
Physician Supervision HH Patient; 30 mins or more	$99 
"Physician, special service or report (99199)"	$311 
PILL CRUSHER	$11 
PILL SPLITTER	$12 
"Plasminogen Activity, Tissue"	$66 
"Plastic Heel Stabilizer, Cup"	$231 
Plate Removal	"$8,573 "
Platelet Aggregation	$61 
"Platelet Aggregation, Plavix"	$211 
Platelet Antibody Screen	$253 
Platelet Antibody Screen/Identification Referred	"$1,208 "
Platelet Count	$87 
Platelet Function Analysis	$61 
Platelet Function Analysis II	$61 
Platelet Pheresis	"$1,362 "
"Platelet Pheresis,  Leukoreduced, Irradiated"	"$1,853 "
"Platelet Pheresis, Irradiated"	"$1,173 "
"Platelet Pheresis, Leukoreduced"	"$1,407 "
"Platelet Pheresis, Leukoreduced each unit"	"$1,853 "
Platelet/Cryoprecipitate Pooling	$492 
"Platelets for transfusion, each unit"	$272 
"Platelets for Transfusion, each unit_P9019"	$296 
"Platelets for Transfusion, Irradiated, each unit"	$258 
"Platelets for Transfusion, Leukoreduced, each unit"	$258 
"Platelets for Transfusion, Leukoreduced, Irradiate"	$334 
"Platelets for transfusion, leukoreduced,each unit"	$237 
"Platelets for transfusion,leukoreduced,irradiated"	$307 
"Platelets, PHR, LR, IR, each unit"	"$1,738 "
"Platelets, PRH, LR, each unit"	"$1,300 "
PLUG CLOSURE FLANGE 10MM	$301 
PLUG CLOSURE FLANGE 12MM	$301 
PLUG CLOSURE FLANGE 9MM	$301 
PNEUMA/VAC WALK BOOT PRE OTS (L4361)	"$1,080 "
"Pneumatic Ankle Control Splint, Aircast, Prefabric"	$437 
"Pneumatic Ankle-Foot Orthosis, w/ or w/out Jts, Pr"	"$1,169 "
PNEUMATIC COMPRESSION PUMP	$122 
"Pneumatic Full Leg Splint, Prefabricated"	$506 
"POLYSOMNOGRAPHY, 1-3 Charge-95808"	"$4,598 "
"POLYSOMNOGRAPHY, 4 OR MORE Charge-95810"	"$4,767 "
"POLYSOMNOGRAPHY, W/CPAP Charge-95811"	"$4,822 "
"Porphobilinogen, Random Urine Quant."	$194 
"Porphyrins, Fractionated, Urine, Random"	$291 
"Porphyrins-Fractionated, Urine timed"	$291 
"Potassium, Urine Random"	$89 
"Potassium, Urine Timed"	$30 
Potassium/K+ Level	$74 
Prealbumin	$271 
"Pregnancy, Urine"	$110 
"Pregnanetriol, Urine timed"	$410 
Pregnenolone Level	$226 
"Prehensile actuator, Hosmer or equal, switch contr"	"$7,401 "
Prenatal Screen	$106 
"Prep, AK or knee disartic, ischial level socket, n"	"$8,820 "
"Prep, AK or knee disartic, ischial level socket, n_L5560"	"$5,416 "
"Prep, AK or knee disartic, ischial level socket, n_L5585"	"$7,641 "
"Prep, BK """"PTB"""" type socket, non-align sys, pylon"	"$6,242 "
"Prep, BK """"PTB"""" type socket, non-alignable sys, p"	"$6,223 "
"Prep, BK """"PTB"""" type socket, non-alignable sys, p_L5510"	"$4,085 "
"Prep, BK """"PTB"""" type socket, non-alignable sys, p_L5520"	"$3,661 "
"Prep, BK """"PTB"""" type socket, non-alignable sys, p_L5535"	"$4,486 "
"Prep, elbow disartic or AE, single wall plastic so"	"$5,865 "
"Prep, elbow disartic or AE, single wall plastic so_L6584"	"$5,865 "
"Prep, hip disartic - hemipel, pylon, no cover, SAC"	"$13,787 "
"Prep, hip disartic or hemipel, pylon, no cover, SA"	"$15,688 "
"Prep, shoulder disartic or interscapular thoracic,"	"$8,324 "
"Prep, shoulder disartic or interscapular thoracic,_L6590"	"$7,206 "
"Prep, wrist disartic or BE, single wall plastic so"	"$6,075 "
"Prep, wrist disartic or BE, single wall plastic so_L6582"	"$4,716 "
Preventive Medicine 18-39 years Est Charge- 99395	$231 
Preventive Medicine 18-39 years New Charge- 99385	$337 
Preventive Medicine 40-64 years Est Charge- 99396	$257 
Preventive Medicine 40-64 years New Charge- 99386	$368 
Preventive Medicine 65+ years Est Charge- 99397	$291 
Preventive Medicine 65+ years New Charge- 99387	$414 
Primidone Level	$321 
Private Duty Nursing	$56 
PROBE OXISENSOR D-25	$129 
Procainamide and NAPA	$137 
Procalcitonin	$172 
Procollagen Type 1-N Terminal Propeptide	$371 
Progesterone Level	$212 
Prolactin	$467 
Prolonged E/M (Non  face to face); first hour-9935	$311 
Prolonged E/M (non-face to face); each additional 	$147 
Prolonged Face to Face (1-60 min) Charge-99354	$380 
Prolonged Phys Srv Outpt Direct Pt Contact add 30 	$275 
Prolonged Physician Service Inpatient with Direct 	$380 
Prolonged Physician Service Inpatient with Direct _99357	$275 
Pronator Teres Release Each Tendon	"$2,251 "
Pronestyl Level	$269 
Propanolol Level	$385 
Propanolol Level_80299	$105 
"Prophylactic treatment femoral neck, proximal femu"	"$4,096 "
Prophylactic treatment femur	"$4,662 "
"Prostate Specific Antigen, Diagnostic"	$56 
"Prostate Specific Antigen, Screening"	$135 
"Prosthetic sheath, above knee, each"	$64 
"Prosthetic sheath, below knee, each"	$50 
"Prosthetic sheath, upper limb, each"	$64 
"Prosthetic sheath/sock, including a gel cushion la"	$240 
"Prosthetic shrinker, above knee, each"	$201 
"Prosthetic shrinker, below knee, each"	$141 
"Prosthetic shrinker, upper limb, each"	$184 
"Prosthetic sock, multiple ply, above knee, each"	$74 
"Prosthetic sock, multiple ply, below knee, each"	$64 
"Prosthetic sock, multiple ply, upper limb, each"	$67 
"Prosthetic sock, single ply fitting, above knee, e"	$32 
"Prosthetic sock, single ply fitting, below knee, e"	$22 
"Prosthetic sock, single ply, upper limb, each"	$38 
"Protector, Heel or Elbow, Each"	$27 
Protein C Activity	$168 
Protein C Antigen	$122 
"Protein Electrophoresis, Random Urine"	$159 
"Protein Electrophoresis, Serum"	$179 
"Protein Electrophoresis, Timed Urine"	$171 
Protein Probe ID band	$404 
Protein S Activity	$187 
"Protein S Antigen, Free"	$187 
"Protein, Total"	$85 
"Protein, Total, Spinal Fluid"	$64 
"Protein, Urine"	$101 
"Protein, Urine Timed"	$55 
Prothrombin Time/INR_85610	$90 
Prothrombin Time/PT	$90 
PROVALE DRINKING CUP 10CC	$154 
PROVALE DRINKING CUP 5CC	$154 
"psych or neuropsych test admin and scoring by technnician, first 30 minutes"	$342 
"Psych or neuropsych test admin and scoring, each additional 30 mins"	$385 
"psych or neuropsych test admin by technician, each additional 30 mins"	$307 
"Psych or Neuropsych test admin or scoring by physician or other qualified healthcare professional, first 30 minutes"	$429 
Psych or neuropsych test admin with single automated instrument	$342 
"Psych testing by physician or other health professional, each additional hour"	$729 
"Psych testing by physician or other qualified health professional, first hour"	$811 
Psychiatric Diagnostic Evaluation with Medical Ser	$396 
Psychiatric Diagnostic Evalutation (90791)	$379 
Psychoanalysis	$301 
"Psychotherapy, 30 minutes with Patient and/or Fami"	$176 
PSYTX CRISIS EA ADDL 30 MIN (90840)	$176 
PSYTX CRISIS INITIAL 60 MIN (90839)	$529 
PSYTX PT&/FAM W/E&M 45 MINS (90836)	$352 
PSYTX PT&/FAM W/E&M 60 MIN (90838)	$529 
PSYTX PT&/FAMILY 45 MINUTES (90834)	$352 
PSYTX PT&/FAMILY 60 MINUTES (90837)	$529 
"PSYTX PT&FA, W/E&M 30 MIN (90833)"	$176 
PT Aquatic Therapy Therapeutic Exercise	$176 
PT Aquatic Units	$176 
PT Assistive Technology Eval Units	$164 
PT Attended E-Stim Units	$195 
PT Biofdbk/Peri/Urethral/Rectal Units	$442 
PT Biofeedback Units	$170 
PT Club Foot w/Molding/Manip App Units	$110 
PT Community/Work Reintegration Units	$127 
PT Contrast Bath Units	$79 
PT Cylindrical Cast Application Units	$171 
PT Double Therapy Units	$85 
PT Dynamic Finger Splint App Units	$343 
PT Dynamic Short Arm Splint App Units	$425 
PT Evaluation Assistive Technology	$147 
PT Evaluation High Complexity	$186 
PT Evaluation Low Complexity Charge	$186 
PT Evaluation Moderate Complexity Charge	$186 
PT Evaluation Physical Performance Functional Capa	$187 
PT Gait Training Units	$146 
PT Group Therapy Units	$85 
PT Hot/Cold Pack Units	$86 
PT Infrared Units	$132 
PT Iontophoresis Units	$161 
PT Long Arm Splint Application Units	$330 
PT Long Leg Cast Application Units	$171 
PT Long Leg Splint App Units	$312 
PT Manual Therapy 1+ region	$176 
PT Manual Therapy Units	$176 
PT Massage Units	$83 
PT Mechanical Traction Units	$212 
PT Mixing Study	$274 
PT MMT/Extremity/Trunk Units	$118 
PT MMT/Hand Units	$102 
PT MMT/Total Body With Hand Units	$195 
PT MMT/Total Body Without Hand Units	$167 
PT Modality 1+ area/ Hot Cold Pack Application	$86 
PT Modality 1+ area/ Iontophoresis	$161 
PT Neuromuscular Re-Education	$171 
PT Neuromuscular Reeducation Units	$171 
PT NM Reed Units	$171 
PT Orthotic Management and Training	$146 
PT Orthotic Management/Train Units	$146 
PT Orthotic/Prosthetic Use Subsequent Unit(s)	$152 
PT Paraffin Units	$267 
PT Patellar Tendon Bearing Cast App Unit	$248 
PT Physical Performance Test	$187 
PT Prosthetic Management and Training	$160 
PT Prosthetic Management/Train Units	$160 
PT Re-Evaluation	$143 
PT Rigid Total Contact Leg Cast App Unit	$248 
PT Self Care/Home Management Units	$145 
PT Sensory Integration Units	$145 
PT Short Leg Cast Application Units	$171 
PT Short Leg Splint App Units	$248 
PT Static Finger Splint App Units	$152 
PT Static Short Arm Splint App Units	$425 
PT Strapping Ankle/Foot Units	$171 
PT Strapping Elbow/Wrist Units	$171 
PT Strapping Hand/Finger Units	$171 
PT Strapping Hip Units	$171 
PT Strapping Knee Units	$171 
PT Strapping Shoulder Units	$171 
PT Strapping Toes Units	$171 
PT Taping/Thorax Units	$204 
PT Therapeutic Activity Functional Performance	$161 
PT Therapeutic Activity Units	$161 
PT Therapeutic Exercise Strength Endurance ROM Fle	$173 
PT Therapeutic Exercise Units	$173 
"PT Therapeutic procedure, massage"	$83 
PT Treatment Double	$85 
PT Treatment Group	$85 
PT Treatment Self Care Home Management	$122 
PT Ultrasound Units	$142 
PT Unattended E-Stim Units	$132 
PT Unna Boot Units	$189 
PT Vasopeumatic Devices Units	$212 
PT Wheelchair Management Units	$145 
PT Whirlpool/Fluidotherapy Units	$212 
PT Work hardening/conditioning: each additional ho	$210 
PT Work hardening/conditioning: initial 2 hours	$526 
PT Work Hardening-Each Addl Hour Units	$210 
PT Work Hardening-Initial 2 Hours Units	$526 
PT/INR POC	$84 
PTH Intact	$317 
PTH-Related Protein	$158 
PTT Mixing Studies	$540 
PTT Mixing Studies_85730	$540 
PULL UP BRIEF DIAPER ADULT PROTECTION PLUS LG	$105 
PULL UP BRIEF DIAPER ADULT PROTECTION PLUS MED	$105 
"PULL-UP ADULT PROTECT PLUS XL 48"" - 68"""	$101 
Pulmonary Exercise Oximetry Charge	$454 
Pulmonary Flutter Valve-Initial Charge	$202 
Pulmonary Flutter Valve-Subsequent Charge	$167 
Pulmonary Group Education IP	$141 
Pulmonary NIF	$319 
Pulmonary Recheck	$65 
Pulse oximetry	$225 
Pulse Oximetry- Overnight	$179 
Pulse Oximetry Overnight Monitoring Charge	$233 
Pulse Oximetry- Spot Check	$225 
Pulse Oximetry_94760	$91 
Pulse oximetry-by continuous overnight monitoring	$179 
Pulse Oximetry-Cont/Exercise	$179 
Pulse oximetry-multiple determinations	$179 
Pulse Oximetry-Multiple Determinations Charge	$233 
Pulse Oximetry-Spot Check Charge	$293 
Pump Analysis with Reprogramming (62368)	$774 
Pump Analysis with Reprogramming Charge (62368)	$982 
Pump Analysis Without Reprogramming (62367)	$774 
Pump Analysis without Reprogramming Charge (62367)	$927 
Purkinje Cell (Yo) Autoantibodies	$114 
Pyruvic Acid Level	$147 
Q4 PED's 24 HOUR ORAL SUCTION CLEANING  KIT	$107 
Quadricepsplasty	"$2,860 "
"Quadricepsplasty, Bilateral"	"$4,288 "
Quantitative IgA	$79 
Quantitative IgG	$79 
Quantitative IgM	$79 
Quinidine Level	$391 
Rabies Antibodies Titer	$122 
"Radiologic examination from nose to rectum for foreign body, single view, child"	$77 
"Radiologic examination, ankle; 2 views"	$344 
"Radiologic examination, ankle; 2 views_73600"	$344 
"Radiologic examination, ankle; complete, minimum of 3 views"	$465 
"Radiologic examination, ankle; complete, minimum of 3 views_73610"	$465 
"Radiologic examination, elbow; 2 views"	$375 
"Radiologic examination, elbow; 2 views_73070"	$375 
"Radiologic examination, elbow; complete, minimum of 3 views"	$348 
"Radiologic examination, elbow; complete, minimum of 3 views_73080"	$348 
"Radiologic examination, facial bones; complete, minimum of 3 views"	$592 
"Radiologic examination, facial bones; less than 3 views"	$592 
"Radiologic examination, femur; minimum 2 views"	$377 
"Radiologic examination, femur; minimum 2 views_73552"	$377 
"Radiologic examination, finger(s), minimum of 2 views_73140"	$313 
"Radiologic examination, foot; 2 views"	$344 
"Radiologic examination, foot; 2 views_73620"	$344 
"Radiologic examination, foot; complete, minimum of 3 views"	$357 
"Radiologic examination, foot; complete, minimum of 3 views_73630"	$357 
"Radiologic examination, hand; 2 views"	$344 
"Radiologic examination, hand; 2 views_73120"	$344 
"Radiologic examination, hand; minimum of 3 views"	$392 
"Radiologic examination, hand; minimum of 3 views_73130"	$392 
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views"	$392 
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views_73502"	$392 
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views"	$260 
"Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views"	$500 
"Radiologic examination, knee; 1 or 2 views"	$392 
"Radiologic examination, knee; 1 or 2 views_73560"	$392 
"Radiologic examination, knee; both knees, standing, anteroposterior"	$405 
"Radiologic examination, knee; complete, 4 or more views_73564"	$486 
"Radiologic examination, mandible; complete, minimum of 4 views"	$88 
"Radiologic examination, mandible; partial, less than 4 views"	$651 
"Radiologic examination, mastoids; complete, minimum of 3 views per side"	$326 
"Radiologic examination, mastoids; complete, minimum of 3 views per side_70130"	$326 
"Radiologic examination, nasal bones, complete, minimum of 3 views"	$209 
"Radiologic examination, osseous survey, infant"	$130 
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)"	$877 
"Radiologic examination, osseous survey; limited (eg, for metastases)"	$1 
"Radiologic examination, ribs, bilateral; 3 views"	$562 
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views71111"	$988 
"Radiologic examination, ribs, unilateral; 2 views"	$429 
"Radiologic examination, ribs, unilateral; 2 views_71100"	$429 
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views"	$744 
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views_71101"	$744 
"Radiologic examination, sacroiliac joints; 3 or more views"	$566 
"Radiologic examination, shoulder; complete, minimum of 2 views_73030"	$437 
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views"	$692 
"Radiologic examination, sinuses, paranasal, less than 3 views"	$127 
"Radiologic examination, skull; complete, minimum of 4 views"	$592 
"Radiologic examination, skull; less than 4 views"	$382 
"Radiologic examination, spine, cervical; 6 or more views"	$635 
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view"	$219 
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views"	$714 
"Radiologic examination, spine, lumbosacral; minimum of 4 views"	$824 
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral"	$77 
"Radiologic examination, wrist; 2 views"	$392 
"Radiologic examination, wrist; complete, minimum of 3 views"	$358 
"Radiologic examination, wrist; complete, minimum of 3 views_73110"	$358 
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction"	$306 
"Radiologic examination; calcaneus, minimum of 2 views"	$344 
"Radiologic examination; calcaneus, minimum of 2 views_73650"	$344 
"Radiologic examination; clavicle, complete"	$352 
"Radiologic examination; clavicle, complete_73000"	$352 
"Radiologic examination; forearm, 2 views"	$375 
"Radiologic examination; forearm, 2 views_73090"	$375 
"Radiologic examination; humerus, minimum of 2 views"	$624 
"Radiologic examination; humerus, minimum of 2 views_73060"	$624 
"Radiologic examination; lower extremity, infant, minimum of 2 views"	$77 
"Radiologic examination; lower extremity, infant, minimum of 2 views_73592"	$77 
"Radiologic examination; neck, soft tissue"	$120 
Radiologic examination; optic foramina	$77 
Radiologic examination; optic foramina_70190	$77 
"Radiologic examination; orbits, complete, minimum of 4 views_70200"	$768 
"Radiologic examination; scapula, complete"	$324 
"Radiologic examination; scapula, complete_73010"	$324 
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views"	$260 
"Radiologic examination; sternum, minimum of 2 views"	$269 
"Radiologic examination; tibia and fibula, 2 views"	$668 
"Radiologic examination; tibia and fibula, 2 views_73590"	$668 
"Radiologic examination; toe(s), minimum of 2 views"	$313 
"Radiologic examination; upper extremity, infant, minimum of 2 views"	$77 
"Radiologic examination; upper extremity, infant, minimum of 2 views_73092"	$77 
Radiological Interpretation for Lumbar Discography	"$8,296 "
RBC Pre-treatment	$106 
"RBC, LR, each unit"	$520 
"RBC's Autologous, each unit"	$677 
"RBC's for transfusion, each unit"	$426 
"RBC's for Transfusion, each unit_P9021"	$465 
"RBC's for Transfusion, Washed, each unit"	$672 
"RBC's for transfusion,washed,each unit"	$616 
"RBC's Irradiated, each unit"	$622 
"RBC's Irradiated, leukoreduced each unit"	$716 
RBC's Leukoreduced	$496 
"RBC's, irradiated, each unit"	$570 
"RBC's,irradiated,leukoreduced,each unit"	$657 
Reciprocator	"$1,504 "
Recondition VV Hand	"$5,574 "
Reconstruction of Hip Socket	"$4,310 "
"Reconstruction of Hip Socket, Bilateral"	"$6,464 "
Reconstruction Polydactyly	"$3,751 "
Reconstruction toe polydactyly	"$1,252 "
Rectal Sensation Test (91120)	$463 
"Red Blood Cells, Leukoreduced"	$541 
"Release or recession, hamstring, proximal (27097)"	"$2,331 "
REM PREV IMPL EPID CATH (62355)	"$7,097 "
REM Shoulder Or Hip Spica	"$1,191 "
"REM Shoulder Or Hip Spica, Bilateral"	"$2,376 "
REM Sq RSVR/Pump For Prev Epid DR Inf	"$14,800 "
Removal Impacted Ceruman	$364 
"Removal of FB, foot, Bilateral; subcut. (28190-50)"	"$4,480 "
"Removal of FB, foot; subcutaneous (28190)"	"$2,985 "
Removal of foreign body in muscle or tendon sheath	"$1,904 "
"Removal of foreign body, deep, thigh region or kne"	"$8,205 "
Removal of Hip Bone Lesion	"$3,268 "
Removal of Humerus Lesion;with allograft	"$2,713 "
"Removal of Humerus Lesion;with allograft, Bilatera"	"$3,888 "
Removal of mammary implant material (19330)	"$2,246 "
REMOVAL OF TAIL BONE (27080)	"$10,965 "
Removal of Wrist Bone	"$2,387 "
Removal Skin Tags	$552 
"Removal, under anesthesia, of external fixation sy"	"$1,374 "
REMOVE SKIN TAGS ADD-ON =<10 LESIONS (11201)	$338 
REMOVE SPINE ELTRD PERQ ARAY (63661)	"$1,119 "
Remove/Graft bone lesion; with allograft	"$3,522 "
"Remove/Graft bone lesion; with allograft, Bilatera"	"$5,013 "
"Renin Activity, Plasma"	$542 
Rep Spica Body Cast or Jacket (29720)	$148 
Repair extensor tendon finger	"$2,433 "
Repair extensor tendon hand	"$2,424 "
Repair flexor tendon not in zone 2	"$3,041 "
"Repair Flexor Tendon, Zone 2"	"$4,320 "
REPAIR KIT HICKMAN CATH 9.6FR	$636 
Repair Nail Bed (11760)	"$1,207 "
Repair Non-Union Femur w/Graft	"$5,243 "
Repair Non-Union Femur w/o Graft	"$4,837 "
"Repair of prosthetic device, labor component, per "	$126 
"Repair, complex, scalp, arms, and/or legs; 2.6 cm "	"$2,563 "
"Repair, Complex, Trunk; 2.6 cm to 7.5 cm"	$900 
"Repair, Intermediate S/T/Ext/2.5 cm/<"	"$1,107 "
"Repair, intermediate, wounds of neck, hands, feet "	"$1,514 "
Repetitive Stimulation Charge (95937)	$655 
"Replace Calf Lacer, Molded, Custom Fabrication"	"$1,272 "
"Replace Calf Lacer, Non-Molded, Custom Fabrication"	$579 
"Replace Foot, Drop Splint"	$76 
Replace Girdle for Milwaukee Orthosis	"$3,062 "
Replace High Roll Cuff	$756 
"Replace Interface, Ankle Contracture Splint"	$58 
"Replace Leather Cuff, Calf or Distal Thigh"	$357 
"Replace Leather Cuff, Proximal Thigh"	$457 
"Replace Metal bBands KAFO, Proximal Thigh"	$447 
"Replace Metals Bands KAFO, Calf or Distal Thigh"	$342 
Replace Pretibial Shell	"$1,111 "
Replace Proximal and Distal Upright for KAFO	"$1,185 "
Replace Quadrilateral Socket Brim	"$2,981 "
"Replace Thigh Lacer, Molded, Custom Fabrication"	$953 
"Replace Thigh Lacer, Non-Molded, Custom Fabricatio"	$953 
Replace Trilateral Socket Brim	"$1,859 "
Replace Velcro Strap	$58 
"Replacement, socket, AK/knee disartic, incl attach"	"$11,448 "
"Replacement, socket, BK, molded to patient model"	"$9,703 "
"Replacement, socket, hip disartic, incl hip joint,"	"$11,667 "
"Reposition Gastric Feeding Tube, through the duode"	"$3,506 "
REPR FOOT EXTENSOR TENDON EA (28208)	"$1,026 "
Research MRI 15 minute interval of time	$125 
RESECT PHALANX OF TOE TUMOR (28175)	"$1,676 "
Resource 2.0	$7 
Resource Fruit Beverage- Berry	$4 
Resource Fruit Beverage- Orange	$4 
Resource Fruit Beverage- Peach	$4 
Resource Pulmonary	$7 
Resource Renal	$7 
Respiratory Aerosol Therapy	$174 
Respiratory Aerosol Therapy- Initial	$174 
Respiratory Bronchial Hygiene Evaluation	$165 
Respiratory Inspiratory Resistance Trainer	$574 
Respiratory Parameter Assessment	$83 
Respiratory Pathogen Panel by Muliplex PCR	"$2,161 "
Respiratory Sputum Induction	$146 
Respiratory Synctial Virus DFA	$122 
"RESTRAINT,  MITT PAD FINGER CONTROL DBL"	$87 
Reticulocyte Count Manual	$61 
Retinol Binding Protein	$87 
Reverse T3	$101 
Review Patient Spirometry (94010)	$102 
"Revise thigh muscle/tendons, Bilateral(Rectus Tran"	"$25,966 "
Revise thigh muscles/tendons (Rectus Transfer)	"$3,804 "
Revise/Remove Neuroreceiver	"$13,857 "
Rh Phenotyping	$76 
"Rh Typing, each unit"	$62 
"Rh Typing, includes DU, each unit"	$62 
Rheumatoid Factor Quant.	$121 
Rheumatoid Factor Quntitative	$38 
Rheumatoid Factor Quntitative *	$38 
RHINOPL 1'; COMPLETE EXT PARTS (30410)	"$3,879 "
"Rib Belt, Thoracic"	$102 
"Rib Belt, Thoracic, Custom Fabricated"	$278 
RIC Laboratory Bench	$1 
Ristocetin Cofactor	$321 
RNP/Sm Quantitative	$118 
Rock Bottom	$147 
Rocker Switch	$836 
ROM Extr/Trunk Exclude Hands PT	$227 
ROM Measurement Hand Units PT	$58 
ROOM/BED: General	"$2,180 "
ROOM/BED: International	"$2,630 "
ROOM/BED: International Family 25	"$3,720 "
ROOM/BED: Medically Advanced Care Unit	"$2,950 "
ROOM/BED: Neuro	"$2,430 "
"Rotavirus Antigen, Stool"	$122 
Routine Blood Culture	$238 
Routine Respiratory Culture and Gram Stain	$127 
Routine Urine Culture	$171 
Rubella	$72 
Rubeola (Immunity) Antibody IgG	$159 
Rubeola (measles) Antibody IgM	$159 
"Russell viper venom time, diluted"	$142 
SA Circuit	"$1,227 "
"Saccharomyces Cerevisae IgG, IgA"	$233 
"Sacoilac, Flexible, Custom Fabricated, Pelvic-Sacr"	$578 
"Sacoilac, Flexible, Prefabricated, Pelvic-Sacral S"	$389 
"Sacoilac, Rigid or Semi-Rigid Panels, Pelvic-Sagit"	$113 
Sacroiliac Joint Injection (27096)	"$1,118 "
Sacroiliac Joint Injection-Bilateral (27096)	"$1,672 "
SALINE IRRIGATION 0.90% STERILE 1000ML	$7 
"Salivary Gland Procedure, unlisted"	"$1,242 "
SALLY SLIDER SHEET	$33 
SARNA LOTION 7.5oz	$39 
SCALPEL STERILE DISPOSABLE #10	$8 
SCALPEL STERILE DISPOSABLE #11	$11 
SCALPEL STERILE DISPOSABLE #15	$11 
Scapulopexy	"$3,258 "
Scl-70 Quantitative	$118 
"Scoliosis Procedures, Body Jacket Molded to Patien"	"$3,696 "
"Scoliosis Procedures, Post-Op Body Jacket"	"$3,852 "
Scottish Rite Orthosis	"$3,250 "
Seat Cushion Cover	$455 
Seat Cushion Cover Upgrade - Complex Upcharge	$223 
Seat Hardware - Adjustable Growth	$679 
Seat Hardware - Drop/Flat Hooks	$356 
Seat Hardware - Flat Hooks w/ Spacers	$422 
"Secondary closure of surgical wound or dehiscence,"	"$9,889 "
Sedimentation Rate Non-automated	$64 
Selective Debridement Less than or Equal to 20 cm 	$727 
"Selective Debridement, Each Additional sq. 20 CM ("	$778 
Selenium Level	$162 
"SELF-CATH COUDE TIP STRL   8  FR 16"""	$5 
SENSOR MASIMO SET LNOP ADHESIVE DISPOSABLE	$54 
SEPTAL OR OTHER IN DERMATOPLASTY (30620)	"$2,126 "
"Serology, Fungus"	$72 
Serotonin	$422 
"Serotonin Release Assay, 1 Drug"	$469 
Sex Hormone Binding Globulin	$162 
SHAMPOO CAP	$9 
SHAVE LES S/N/H/F/G; 0.6-1.0CM (11306)	$514 
SHAVE LES S/N/H/F/G; 1.1-2.0CM (11307)	$565 
SHOELACE ELASTIC BLACK 24IN	$7 
Short Arm Cast (29075)	"$1,074 "
Short Leg Cast	"$1,149 "
"Short Leg Cast, Bilateral"	"$2,191 "
Short Leg Splint	$187 
"Shoulder disartic, ext power, molded inner socket,"	"$45,215 "
"Shoulder disartic, ext power, molded inner socket,_L6960"	"$38,168 "
"Shoulder disartic, molded socket, endo sys, incl s"	"$10,553 "
"Shoulder disartic, molded socket, shoulder bulkhea"	"$13,354 "
"Shoulder disartic, passive restoration (complete p"	"$9,333 "
"Shoulder disartic, passive restoration (shoulder c"	"$6,308 "
"Shoulder Orthosis, Acro/Clavicular Canvas"	$465 
"Shoulder Orthosis, Cap Design, Custom Fabricated"	"$1,686 "
"Shoulder Orthosis, Figure 8 Abduction Restrainer"	$297 
"Shoulder Orthosis, Figure of Eight, Canvas"	$422 
"Shoulder-Elbow Orthosis, Addition to Mobile Arm, E"	$138 
"Shoulder-Elbow Orthosis, Addition to Mobile Arm, O"	$89 
"Shoulder-Elbow Orthosis, Addition to Mobile Arm, S"	$74 
"Shoulder-Elbow Orthosis, Mobile Arm Support Attach"	$491 
"Shoulder-Elbow Orthosis, Mobile Arm Support Attach_E2626"	$323 
"Shoulder-Elbow Orthosis, Mobile Arm Support Attach_E2627"	$441 
"Shoulder-Elbow Orthosis, Mobile Arm Support Attach_E2628"	$390 
"Shoulder-Elbow Orthosis, Mobile Arm Support, Monos"	$345 
"Shoulder-Elbow-Wrist-Hand Orthosis, Abduction Posi"	"$1,409 "
"Shoulder-Elbow-Wrist-Hand Orthosis, Airplane Desig"	"$1,603 "
"Shoulder-Elbow-Wrist-Hand-Finger Orthosis, Molded "	"$3,144 "
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation"	$841 
Sickle Cell Screen	$55 
SILVER CALCIUM AGINATE DRESSING 4X4.75	$29 
"SILVER CALCIUM ALGINATE, ROPE HYDROGEL GAUZE PAD 1"	$35 
SILVER NON ADHERENT CONTACT LAYER 4X5	$40 
SILVER NON- ADHERENT CONTACT LAYER W/TRIACT 6X8	$48 
Simple Cystometrogram (51725)	"$1,412 "
Simple Repair PS/N/A/G/TR/E; 2.6-7.5 CM	$687 
Simple Repair S/N/A/G/TR/E; 2.5CM/< (12001)	$475 
Simple repair S/N/G/TR/E; 7.6-12.5 CM	$614 
Simple Uroflowmetry (51736)	$524 
Sirolimus	$160 
"Six volt battery, Otto Bock or equal, each"	$796 
Sjogren's Antibodies	$118 
SKIN FULL GRAFT F/C/C/M/N/AX/G/H/F ADDL =<20 SQ CM	$301 
SKIN FULL GRAFT S/A/L ADDL =<20 SQ CM (15221)	$194 
SKIN FULL GRAFT SCLP/ARM/LEG =< 20 SQ CM (15220)	"$1,653 "
SKIN FULL GRFT FACE/GENIT/HF =< 20 SQ CM (15240)	"$2,145 "
SKIN SPLT GRFT T/A/L ADDL 100 SQ CM/1% BA (15101)	$301 
SKIN SPLT GRFT TRNK/ARM/LEG 100 SQ CM/1% BA (15100	"$1,944 "
SKIN SUB GRAFT F/N/HF/G ADDL (15276)	$437 
SKIN SUB GRAFT FACE/NK/HF/G (15275)	"$1,319 "
SKIN SUB GRAFT T/A/L ADD-ON (15272)	$410 
SKIN SUB GRAFT TRNK/ARM/LEG (15271)	"$1,265 "
SKIN TISSUE REARRANGE ADDL 30.0 SQ CM (14302)	"$6,859 "
SKIN TISSUE REARRANGEMENT 30.1-60.0 SQ CM (14301)	"$8,640 "
SKN SPLT A-GRFT F/N/HF/G ADDL 100 SQ CM/1% BA (151	$357 
SKN SPLT A-GRFT FAC/NCK/HF/G 100 SQ CM/1% BA (1512	"$1,874 "
SLING GIVMOHR LG	$279 
SLING GIVMOHR M	$289 
SLING GIVMOHR SMALL	$289 
"SLING, GIVMOHR; EXTRA LARGE"	$211 
SLIPPER DBL TREAD LG BEIGE	$23 
SLIPPER DBL TREAD MD BLUE	$26 
SLIPPER DBL TREAD SM YELLOW	$12 
SLIPPER DBL TREAD XLG GREY	$24 
SLIPPER DBL TREAD XXL GREEN	$12 
SLP Assessment of Aphasia Units	$332 
SLP Auditory Processing Treatment Units	$116 
SLP Class Units	$98 
SLP Cognitive Skills Development Unit(s)	$152 
SLP Double Therapy Units	$98 
SLP Fiber Optic Endo Swallow Eval Units	$694 
SLP Fluoroscopic Evaluation Units	$712 
SLP Group Therapy Units	$98 
SLP Non-Speech AAC Device Tx Units	$132 
SLP Pharyngeal Swallow Fnctn Eval Units	$207 
"SLP Screening Test, Pure Tone, Air Units"	$154 
SLP Sensory Integrative Techniques	$140 
SLP Speech AAC Eval Addl 1/2 Hour Units	$311 
SLP Speech AAC Eval First Hour Units	$571 
SLP Swallow Dysfnction Oral Feed Tx Unit	$164 
SLP Treatment-Speech Gen Device Units	$122 
SLP Use/Fit Speech Prosthetic Eval Units	$99 
Sm Quantitative	$118 
Sm. Volume Neb. for Delivery of Pentamidine	$228 
Small Volume Nebulizer Charge	$110 
"Smear, primary source, with interpretation"	$40 
Smoking and tobacco use cessation counseling visit	$29 
SO AIRPLANE W/WO JOINT CF	"$4,033 "
"Soc Work Health and Behavior Assessment, Initial"	$196 
"Soc Work Health and Behavior Intervention, Family "	$129 
"Soc Work Health and Behavior Intervention, Family _96154"	$129 
"Soc Work Health and Behavior Intervention, Group"	$66 
"Soc Work Health and Behavior Intervention, Individ"	$129 
Soc Work Health and Behavior Re-Assessment	$130 
SOCK AID	$36 
Sodium Level	$124 
"Sodium, Urine Random"	$89 
"Sodium, Urine Timed"	$89 
"Solid Back Cushion w/ Cover, Non-Adjustable Hardwa"	"$1,176 "
Solid Backboard Only w/ Vinyl Cover	$358 
Solid Seat Cushion w/ Cover	$802 
Somatomedin C	$217 
Somatostatin	$74 
"Specific Gravity, Fluid"	$13 
Specimen Processing	$59 
Spica	$544 
Spirometry with Bronchodilators Charge	$214 
Spirometry without Bronchodilators Charge	$606 
SPO2 CABLE ASSEMBLY GE V100 VITAL SIGNS MONITOR	$247 
Spoon Holder	$27 
SPRAY ADHESIVE MEDICAL 3.2-OZ	$95 
Spriometry with Bronchodilators	$249 
Spriometry without Bronchodilators	$477 
SSA (Ro) Quantitative	$159 
SSB (La) Quantitative	$159 
SSEP (B) Lower Extremities Charge	"$1,619 "
SSEP (B) Upper Extremities Charge	"$1,619 "
SSEP Single Lower Extremity Charge	"$1,360 "
SSEP Single Upper Extremity Charge	"$1,360 "
STATIC OR DYNAMI AFO PRE OTS (L4397)	$701 
"STERILE WATER 650ML, AQUAPAK 640"	$6 
"Stocking, Supporter Grips, Set of 4, Replacement"	$35 
"Stone Analysis, Kidney"	$101 
"Stone Analysis, Non-Kidney"	$101 
Straight Cath Charge (51701)	$113 
STRAP LEG BAG CATH VELCRO DALE	$30 
"Strep Pneumoniae Antigen Test, Urine"	$181 
Streptococcus Pneumoniae IgG Antibodies	$88 
Streptococcus Pneumoniae IgG Antibodies_86609	$88 
Subsequent Hospital Care Level 1 Charge - 99231	$168 
Subsequent Hospital Care Level 2 Charge - 99232	$235 
Subsequent Hospital Care Level 3 Charge  - 99233	$326 
Subtalar Arthrodesis	"$3,090 "
Suctioning- Respiratory Therapy	$70 
SUPERF TRANF/TRASPL SGL TENDON (27690)	"$2,108 "
SUPERF TRANF/TRASPL SGL TENDON Bilateral (27690-50	"$23,844 "
Supracondylar Osteo Femur	"$3,970 "
Surgical Boot	$636 
"Surgical Pathology, Abscess"	$376 
"Surgical Pathology, Bone Fragments Non-Pathologica"	$376 
"Surgical Pathology, Cervical Polyp"	$511 
"Surgical Pathology, Endocervix Biopsy"	$511 
"Surgical Pathology, Endocervix Curettings"	$511 
"Surgical Pathology, Endometrium Biopsy"	$511 
"Surgical Pathology, Endometrium Curettings"	$511 
"Surgical Pathology, Endometrium Polyp"	$511 
"Surgical Pathology, Skin, other"	$589 
"Surgical Pathology, Skin, Tag, Cyst, Debridement"	$302 
"Surgical Pathology, Soft Tissue Biopsy"	"$1,139 "
"Surgical Pathology, Soft Tissue Simple Excision"	"$1,139 "
"Surgical Pathology, Vaginal Biopsy"	$511 
"Surgical Pathology, Vulva Biopsy"	$512 
Susceptibility studies	$30 
Susceptibility Studies x1	$30 
Susceptibility Studies x2	$30 
Susceptibility Studies x3	$30 
Susceptibility Studies x4	$30 
Susceptibility Studies x5	$30 
Susceptibility studies_87181	$30 
SUSPENSORY SCROTUM SUPPORT MED	$26 
SUSPENSORY SCROTUM SUPPORT XLG	$26 
SUSPENSORY SCROTUM SUPPORTLG	$26 
Suture of Infrapatellar Tendon; Primary	"$9,428 "
"Suture of Infrapatellar Tendon; Primary, Bilateral"	"$15,383 "
"Swallowing function, with cineradiography/videoradiography"	$319 
SWIMSUIT WOMEN SZ-32	$97 
SWIMSUIT WOMEN SZ-34	$97 
SWIMSUIT WOMEN SZ-36	$97 
SWIMSUIT WOMEN SZ-38	$97 
SWIMSUIT WOMEN SZ-40	$97 
SWIMSUIT WOMEN SZ-42	$97 
SWIMSUIT WOMEN SZ-44	$97 
SWIMSUIT WOMEN SZ-46	$97 
SWIMSUIT WOMEN SZ-48	$97 
SWIMSUIT WOMEN SZ-50	$97 
SWIMSUIT WOMEN SZ-52	$97 
SWIMSUIT WOMEN SZ-54	$97 
SWIMTRUNK MENS LG	$106 
SWIMTRUNK MENS MED	$106 
SWIMTRUNK MENS SZ-SM	$106 
SWIMTRUNK MENS XLG	$106 
SWIMTRUNK MENS XXL	$121 
"Syphilis Antibody, Treponemal w/ Reflex"	$88 
T Cell Monitoring	$603 
T Cell Monitoring_86360	$603 
T3 Free	$99 
T3 Total	$152 
T3 Uptake	$127 
"T3, Free"	$99 
"T3, Total"	$152 
"T4, Total"	$127 
Tacrolimus Level	$301 
Talectomy (astragalectomy); Bilateral	"$3,843 "
Talectomy (astraglectomy)	"$3,570 "
TAPE HYPAFIX 2IN X 10YDS	$48 
TC CO2/ET CO2	$90 
TCC-EZ 3 INCH SINGLE APPLICATION	$429 
TCC-EZ BOOT/EXTRA LARGE	$305 
TCC-EZ BOOT/LARGE	$290 
TEAM CONF W/O PAT BY PHYS 30+ MINS (99367)	$254 
Tegretol/Carbamezapine	$132 
"Tendon Lengthening, upper arm/elbow, each tendon"	"$4,426 "
Tendon Transfer Hand (ea)	"$2,639 "
Tenotomy Abductors	"$2,872 "
Tenotomy Elbow/Shoulder (ea)	"$1,914 "
Tenotomy Flexor Tendon Foot	"$1,395 "
Tenotomy Lengthening Abductor Hallucis	"$1,321 "
"Tenotomy Toe, Percutaneous, Multiple Tendons"	"$1,240 "
"Tenotomy Toe, Single Tendon"	$954 
"Tenotomy, adductor of hip, open; Bilateral"	"$4,426 "
"Tenotomy, Adductor or Hip, Open"	"$2,018 "
"Tenotomy, Hip Flexor(s), open (separate procedure)"	"$5,955 "
"Tenotomy, Hip Flexor(s), Open (separate procedure)_27005"	"$4,115 "
"Tenotomy, open, extensor, foot or toe, each tendon"	$861 
"Tenotomy, Percutaneous, Toe Single Tendon"	$869 
"Term Device, Multi Art Digit"	"$8,583 "
"Terminal device, hand, Bock, VC"	"$4,183 "
"Terminal device, hand, Bock, VO"	"$2,948 "
"Terminal Device, Hand, Mechanical, Voluntary Openi"	"$4,936 "
"Terminal device, hand, passive hand"	"$1,411 "
"Terminal device, hook, Dorrance or equal, model #5"	"$1,800 "
"Terminal device, hook, Dorrance or equal, model #6"	"$3,060 "
"Terminal device, hook, TRS Grip, Grip III, VC or e"	"$4,458 "
"Terminal device, modifier wrist flexion"	"$1,541 "
"Terminal device, pincher tool, Otto Bock or equal"	$613 
"Testosterone, Free"	$328 
"Testosterone, Total"	$260 
"Testosterone, total_84403"	$231 
"TFN Laptray, All Sizes"	$274 
Theophylline/Aminophylline	$151 
"Therapeutic,prophylactic or diagnostic injection"	$196 
THERMOMETER PROBE 9 FOOT ORAL VITAL SIGNS MONITOR	$297 
THERMOMETER WITH U/ADAPT- IT BOTH 22MM	$5 
Thicken Up	$7 
Thigh Gradient Comp Stocking 30-40mmHG by size eac	$227 
Thoracic-Lumbar-Sacral Orthosis 2-Piece Rigid Shel	"$3,459 "
Thoracic-Lumbar-Sacral Orthosis 3-Piece Rigid Shel	"$1,079 "
"Thoracic-Lumbar-Sacral Orthosis, 1-Piece Rigid She"	"$4,521 "
"Thoracic-Lumbar-Sacral Orthosis, 2 Rigid Plastic S"	"$2,818 "
"Thoracic-Lumbar-Sacral Orthosis, 2 Rigid Plastic S_L0458"	"$1,927 "
"Thoracic-Lumbar-Sacral Orthosis, 2-Piece Rigid She"	"$9,219 "
"Thoracic-Lumbar-Sacral Orthosis, 2-Piece Rigid She_L0484"	"$8,208 "
"Thoracic-Lumbar-Sacral Orthosis, 3 Rigid Shells, S"	"$2,695 "
"Thoracic-Lumbar-Sacral Orthosis, 4 Rigid Shells, S"	"$3,212 "
"Thoracic-Lumbar-Sacral Orthosis, Addition, Abdomin"	$176 
"Thoracic-Lumbar-Sacral Orthosis, Addition, Anterio"	$512 
"Thoracic-Lumbar-Sacral Orthosis, Addition, Anterio_L1250"	$357 
"Thoracic-Lumbar-Sacral Orthosis, Addition, Anterio_L1260"	$204 
"Thoracic-Lumbar-Sacral Orthosis, Addition, Lateral"	$523 
"Thoracic-Lumbar-Sacral Orthosis, Addition, Lateral_L1290"	$350 
"Thoracic-Lumbar-Sacral Orthosis, Addition, Lumbar "	$196 
"Thoracic-Lumbar-Sacral Orthosis, Addition, Milwauk"	"$1,430 "
"Thoracic-Lumbar-Sacral Orthosis, Addition, Rib Gus"	$188 
"Thoracic-Lumbar-Sacral Orthosis, Corset Front"	$338 
"Thoracic-Lumbar-Sacral Orthosis, Extra Padding"	$124 
"Thoracic-Lumbar-Sacral Orthosis, Flexible, Dorsolu"	"$2,148 "
"Thoracic-Lumbar-Sacral Orthosis, Flexible, Prefabr"	"$1,561 "
"Thoracic-Lumbar-Sacral Orthosis, Full Corset"	$506 
"Thoracic-Lumbar-Sacral Orthosis, Hyperextension Ri"	"$1,823 "
"Thoracic-Lumbar-Sacral Orthosis, Inclusive of Init"	"$3,838 "
"Thoracic-Lumbar-Sacral Orthosis, Rigid Frame, Pref"	"$2,141 "
"Thoracic-Lumbar-Sacral Orthosis, Rigid Frame, Pref_L0466"	"$1,708 "
"Thoracic-Lumbar-Sacral Orthosis, Triplaner Control"	"$7,599 "
"Thoracic-Lumbar-Sacral Orthosis, Triplaner Control_L0470"	"$1,420 "
"Thoracic-Lumbar-Sacral Orthosis, Triplaner Control_L0480"	"$6,804 "
Threshold	$60 
Throat Strept Screen	$116 
Thyroglobulin	$102 
Thyroglobulin Evaluation	$102 
Thyroid Antibodies	$190 
Thyroid Peroxidase Antibodies	$204 
Thyroid Peroxidase Antibodies *	$9 
Thyroid Peroxidase Antibodies_86376	$9 
Thyroid Stimulating Immunogloblins w/TSH	$193 
Thyroxine 4 RIA	$127 
Thyroxine Free	$77 
TIE TRACHEOSTOMY LARGE	$12 
TIE TRACHEOSTOMY MEDIUM	$12 
TIE TRACHEOSTOMY SMALL	$12 
Timed Urine Creatinine	$80 
Tissue/Biopsy & Anaerobic Culture with Gram Stain	$301 
TLSO FLEX TRNK SJ-SS PRE OTS (L0457)	"$4,146 "
TLSO FLEX TRNK SJ-T9 PRE OTS (L0455)	"$1,446 "
TLSO R FRAM SOFT PRE OTS (L0467)	"$4,146 "
TLSO RIG FRAM PELVIC PRE OTS (L0469)	"$1,983 "
"TMS Chest Strap, 4 and 6 inch"	$72 
"TMS Pelvic Positioning Belt, Lever Release"	$72 
"TMS Pelvic Positioning Belt, Push-Button"	$72 
"TMS Pelvic Positioning Belt, Velcro"	$72 
Tobramycin-Peak	$404 
Tobramycin-Random	$404 
Tobramycin-Trough	$404 
Toe Crest	$92 
TOPICAL GEL SHEETS 4IN X 6IN   5/BX	$160 
Topiramate Level	$356 
TORSION MECHANISM KNEE/ANKLE	$260 
TORSION MECHANISM WRIST/ELBO	$260 
TORTOISE REPOSITIONING SYSTEM-BARIATRIC	$767 
TORTOISE REPOSITIONING SYSTEM-REGULAR	$528 
"Total Protein, Fluid"	$33 
Total Vital Capacity Charge	$107 
Toxoplasma Antibody	$300 
Toxoplasma Antibody IgM	$147 
Toxoplasma DNA by PCR	$379 
TRACH 5.5 PDL	$204 
TRACH CARE - 72 CLOSED SUCTION SYSTEM 14FR	$168 
TRACH CARE 72 CLOSED SUCTION SYSTEM 12FR	$168 
TRACH CARE 8 FRENCH PED ELBOW TRACH	$42 
TRACH CFN #4	$268 
TRACH CFS #8	$240 
TRACH CUFFED 5.0 TTS BIVONA	"$1,148 "
TRACH DCP #4	$30 
TRACH DCP #6	$27 
TRACH DCP #8	$27 
TRACH DCT #4	$245 
TRACH DCT #6	$278 
TRACH DCT #8	$266 
TRACH DIC #4	$24 
TRACH DIC #6	$24 
TRACH DIC #8	$24 
TRACH SCT #7	$172 
TRACH SIC #4	$46 
TRACH SIC #6	$55 
TRACH SIC #8	$55 
TRACH TUBE # 3.0 PED	$186 
TRACH TUBE # 3.5 PED	$209 
TRACH TUBE # 4.0 PED	$193 
TRACH TUBE # 4.5 PED	$196 
TRACH TUBE # 5.0 PED	$209 
TRACH TUBE # 5.5 PED	$191 
TRACH TUBE # 8 SCT	$187 
TRACH TUBE # 9 SCT	$187 
TRACH TUBE CFN # 6	$263 
TRACH TUBE CFN # 8	$245 
TRACH TUBE CFS # 4	$240 
TRACH TUBE CFS # 6 78MM CUFFLESS ADULT	$240 
Trach Tube Change	$574 
TRACH TUBE CUFFLESS # 5 BIVONA	$371 
TRACH TUBE CUFFLESS # 6 BIVONA	$313 
TRACH TUBE CUFFLESS # 7 BIVONA	$312 
TRACH TUBE CUFFLESS # 8 BIVONA	$312 
TRACH TUBE CUFFLESS # 9 BIVONA	$371 
TRACH TUBE CUFFLESS PEDIATRIC # 5.0	$364 
TRACH TUBE CUFFLESS PEDS # 4.0	$364 
TRACH TUBE CUFFLESS PEDS # 4.5	$324 
TRACH TUBE FLEXTEND CUFFLESS PEDS # 5.0	$859 
TRACH TUBE LPC # 4	$279 
TRACH TUBE LPC # 6	$279 
TRACH TUBE LPC # 8	$279 
TRACH TUBE SLEEP APNEA # 6.0MM BIVONA	$375 
TRACH TUBE TTS # 6 BIVONA	$424 
TRACH TUBE TTS # 7 BIVONA	$424 
TRACH TUBE TTS # 7.5 BIVONA	$424 
TRACH TUBE TTS # 8 BIVONA	$320 
TRACH TUBE TTS # 8.5 BIVONA	$492 
TRACH TUBE TTS # 9.0 BIVONA	$401 
Tracheostomy Tube Management Charge	$126 
TRANSCUTANEOUS ADHESIVE	$30 
TRANSCUTANEOUS EAR CLIP	$44 
TRANSCUTANEOUS MEMBRANE KIT	$261 
Transfer of tendon deep	"$3,005 "
Transferrin	$246 
Transferrin_84466	$54 
Transglutaminase IgG and IgA Autoantibodies	$279 
TRANSPL FEMUR RIDGE (27140)	"$2,415 "
"Transversus abdominis plane (TAP) Block, by inject"	$529 
"Transversus abdominis plane (TAP) block, injection"	$580 
TRAP MUCOUS SPECIMEN 80CC	$12 
Traumacal	$5 
TRAY CATHETER FOLEY SILIC-ELAST 16FR 5CC-10CC	$27 
TRAY CATHETER URETHAL 15FR	$11 
TRAY INCISION & DRAINAGE	$69 
TRAY KIT FOLEY INSERTION	$20 
TRAY LUMBAR PUNCTURE ADULT 20G	$167 
TRAY SHARP DEBRIDEMENT	$25 
Trazodone Level	$385 
Treat Big Toe Fracture (28505)	"$1,677 "
TREAT FINGER DISLOCATION (26785)	"$9,355 "
Treat Hip Dislocation with Manipulation & Anesthes	"$1,962 "
Treat Hip Dislocation with Manipulation & Anesthes_27257	"$1,308 "
Treat Hip Wall Fracture	"$4,080 "
Treat Hip Wall Fracture Bilateral	"$6,120 "
Treat Humerus Fracture	"$3,093 "
"Treat Humerus Fracture, Bilateral"	"$5,430 "
TREAT KNUCKLE DISLOCATION (26715)	"$9,816 "
Treatment of humeral shaft fracture with intramedu	"$3,545 "
Treatment of intertroch/subtroch fracture with int	"$4,877 "
Treatment of intertroch/subtroch fracture with pla	"$4,760 "
Treatment of Slipped Femoral Epiphysis; by Single 	"$5,593 "
Treatment of slipped femoral epiphysis; by single _27176	"$3,730 "
Treatment of tibia fracture with intramedullary im	"$4,124 "
Treponema Pallidum Antibody Assay	$223 
Trigger Finger	"$1,154 "
Triglycerides	$92 
Triglycerides_84478	$91 
TRILOGY PASSIVE CIRCUIT PEDIATRIC	$244 
TRIOLOGY PASSIVE CIRCUIT	$11 
Triple Arthrodesis	"$4,014 "
Troponin I	$225 
Troponin I with CKMB Reflex	$225 
TSH w/Reflex to FT4	$179 
"TSH, 3rd Generation"	$193 
T-sp Disc. Add'l level x___	"$1,629 "
T-spine TFESI add'l level x___	"$1,074 "
TUBE ENTERIC DOBHOFF 8FR 43	$67 
TUBE FEEDING INDWELLING 8FR 42IN	$30 
TUBE GAST BALLOON MIC 12FR 5CC	$189 
TUBE GAST BALLOON MIC 14FR 20CC	$189 
TUBE GAST BALLOON MIC 16FR 20CC	$229 
TUBE GAST BALLOON MIC 18FR 20CC	$271 
TUBE GAST BALLOON MIC 20F	$180 
TUBE GAST BALLOON MIC 24FR 20CC	$189 
TUBE MIC LOW PROFILE GASTROSTOMY FEEDING 14FR 1.5C	$486 
TUBE NG WITHOUT STYLET 6 FR 36 INCH	$38 
Tube Sock	$7 
TUBE SPECL EXT STL LTXF18IN	$6 
TUBE SUCTION HANDLE AND COVERED YANKAUER	$23 
TUBE SUCTION NOSEATTACH DEVICE 5-18FR	$29 
TUBE TRACHEOSTOMY TUBE HOLDER ALL SIZE	$25 
Tuberculosis Immunity Test	$426 
Tuberculosis Intradermal	$30 
Tubular Elastic Dressing	$4 
"Twelve volt battery, Utah or equal, each"	"$1,245 "
TX CL ELBOW DISLOC W ANESTH (24605)	"$1,382 "
"Type & Screen, PAT"	$105 
"Type & Screen, PAT_86902"	$105 
"UE Addition, BE/AE suspension locking mech, exclud"	"$2,063 "
"UE Addition, BE/AE, custom fab from mold or prefab"	"$2,487 "
"UE Addition, BE/AE, custom fab from mold or prefab_L6695"	"$1,593 "
"UE Addition, BE/AE, custom fab socket insert for c"	"$3,200 "
"UE Addition, BE/AE, custom fab socket insert for o"	"$3,200 "
"UE addition, electric lock feature, w/ manually po"	"$7,523 "
"UE addition, excursion amplifier, lever type"	$698 
"UE addition, excursion amplifier, pulley type"	$607 
"UE addition, external locking elbow, forearm count"	"$8,979 "
"UE addition, frame type socket, AE or elbow disart"	"$2,008 "
"UE addition, frame type socket, BE or wrist disart"	"$1,818 "
"UE addition, frame type socket, interscapular-thor"	"$2,166 "
"UE addition, frame type socket, shoulder disartic"	"$2,338 "
"UE addition, harness, chest or shoulder, saddle ty"	$880 
"UE addition, harness, figure of 8 type, for dual c"	$503 
"UE addition, harness, figure of 8 type, for single"	$481 
"UE addition, heavy duty control cable"	$414 
"UE addition, hook to hand, cable adapter"	$193 
"UE addition, latex suspension sleeve, each"	$257 
"UE addition, lift assist for elbow"	$830 
"UE addition, nudge control elbow lock"	"$1,251 "
"UE addition, removable insert"	"$1,415 "
"UE addition, shoulder abduction joint, pair"	$817 
"UE addition, shoulder flexion-abduction joint, eac"	"$1,095 "
"UE addition, shoulder jt, multipositional lock, fl"	"$9,490 "
"UE addition, shoulder lock mechanism, body powered"	"$1,561 "
"UE addition, shoulder lock mechanism, external pow"	"$9,785 "
"UE addition, shoulder universal joint, each"	"$1,187 "
"UE addition, silicone gel insert or equal, each"	"$1,924 "
"UE addition, standard control cable, extra"	$308 
"UE addition, suction socket"	"$2,757 "
"UE addition, Teflon or equal, cable lining"	$184 
"UE addition, test socket, elbow disartic or AE"	"$1,367 "
"UE addition, test socket, shoulder disartic or int"	"$1,391 "
"UE addition, test socket, wrist disartic or BE"	"$1,238 "
"UE additions, additional disconnect insert for loc"	$257 
"UE additions, disconnect locking wrist unit"	$863 
"UE additions, flexible metal hinge, pair"	$533 
"UE additions, flexion-friction wrist unit"	"$1,507 "
"UE additions, polycentric hinge, pair"	$549 
"UE additions, quick disconnect hook adapter, Otto "	"$1,715 "
"UE additions, quick disconnect lam collar with cou"	$616 
"UE additions, rotation wrist unit with cable lock"	"$1,592 "
"UE additions, single pivot hinge, pair"	$702 
"UE additions, spring assisted rotational wrist uni"	"$2,207 "
"UE additions, stainless steel, any wrist"	$903 
"UE Pros Addition, glove for terminal device, any m"	$631 
Ultrasonic Guidance for Injection Charge (76942)	$377 
Unlisted Child Orthopedic Shoe	$74 
"UNLISTED CODE, PELVIC FLOOR INJ (64999)"	"$2,868 "
Unlisted diagnostic radiographic procedure	$374 
"Unlisted Procedure, Nervous System"	"$2,868 "
Unlisted Psychiatric Service or Procedure	$127 
"Upper Extremity addition, flexion/extension and ro"	"$9,346 "
"Upper Extremity Addition, Sock, Fx or Equal"	$89 
"Upper Extremity, Forearm Fx, Hand w/ Wrist Hinge"	"$1,251 "
"Upper Extremity, Humeral Fx Cuff"	"$1,588 "
"Upper Extremity, Radius/Ulner Fx Cuff"	$765 
"Upper Extremity, Wrist Fx Cuff"	$731 
"Urea Nitrogen, Random Urine"	$65 
"Urea Nitrogen, Timed Urine"	$65 
Uric Acid	$57 
"Uric Acid, Urine Random"	$76 
"Uric Acid, Urine Timed"	$99 
URINAL FEMALE	$27 
Urinalysis	$61 
Urinalysis with Microscopic	$92 
URINALYSIS; QUAL NOT IA	$12 
Urinalysis_81003	$61 
URINARY CATHETER ANCHOR	$19 
Urinary Reflex Study (51792)	$627 
Urine Creatinine	$66 
Urine Osmolality	$127 
Urine Pregnancy POC	$102 
US Exam	$795 
US Exam_93880	$635 
US Exam_93925	$795 
US Exam_93926	$508 
US Exam_93979	$508 
US Guide Vascular Access Charge	"$1,134 "
US Venous Bilateral Lower Extremity Duplex Scan	$795 
US Venous Bilateral Upper Extremity Duplex Scan	$795 
US Venous Unilateral Lower Extremity Duplex Scan	$508 
US Venous Unilateral Upper Extremity Duplex Scan	$508 
US XTR NON-VASC COMPLETE (76881)	$473 
US XTR NON-VASC LMTD (76882)	$316 
USA (ANTI ROTATION ATTACHMENT)	$58 
USA BOOT AVERAGE SIZE	$148 
USA BOOT BARIATRIC SIZE	$148 
USA BOOT SMALL SIZE	$148 
USA BOOT X-LENGTH SIZE	$148 
Utensil Slot	$166 
VAD DRIVELINE DRESSING TRAY	$35 
VAGINAL IRRIGATION KIT MDI	$7 
Vaginitis Screen	$120 
Valproic Acid Level	$167 
"Valproic Acid, Free"	$107 
VALUE GASTRIC FARELL SYSTEM	$4 
Vancomycin-Random	$217 
Vancomycin-Trough	$217 
Varicella Zoster Antibody IgG	$131 
Varicella Zoster Antibody IgM	$131 
Varicella Zoster DFA	$89 
Varicella Zoster PCR	$372 
"VDRL, CSF"	$59 
Venous Stasis Four Layer Wrap	$466 
Vent Mgmt Inpat Initial Day (94002)	"$1,475 "
"Vent Mgmt Inpat, subq Day (94003)"	"$1,157 "
Ventilator Management- Initial	$602 
Ventilatory Parameters	$83 
VENTURI MASK ADULT	$5 
Vertebral fracture assessment via dual-energy X-ra	$59 
Video Fluroscopy Physician Charge	$226 
Viracore Quant Adenovirus PCR	$555 
Viral Titre CSF	$238 
"Virus isolation, tissue culture inoculation"	$147 
Virus Shell Isolation	$141 
Viscosity	$143 
Viscosity_85810	$116 
Visual Evoked Potentials	"$1,360 "
Vital Capacity Test Charge-94150	$206 
Vitamin A Level	$227 
VITAMIN A&D OINTMENT 4oz	$11 
Vitamin B1 Level	$492 
Vitamin B12 and Folate	$248 
Vitamin B-12 Level	$248 
Vitamin B6 Level	$477 
Vitamin C Level	$70 
"Vitamin D, 125-Dihydroxy"	$470 
"Vitamin D, 125-Dihydroxy_82306"	$413 
"Vitamin D, 25-Hydroxy"	$498 
"Vitamin D, 25-Hydroxy_82306"	$413 
Vitamin E Level	$42 
Vitamin K Level	$70 
Vivonex Pediatric	$7 
VMA	$99 
"VMA (vanilylmandelic Acid), Urine Timed"	$392 
VMA/CAT/MET Profile	$364 
Voc Rehab Case Management Units	$138 
Voc Rehab Group Units	$97 
Voc Rehab Indiv Eval/Counseling Units	$162 
Voc Rehab Initial Evaluation Units	$162 
Voc Rehab Inpatient Evaluations Units	$162 
Vocational Rehab Case Management	$103 
Vocational Rehab Counseling - Group	$97 
Vocational Rehab Evaluation - Initial Assessment	$162 
Vocational Rehab Evaluation/Counseling - Individua	$162 
Von Willebrand Antigen	$145 
Voriconazole Level	$263 
VRE Screen	$65 
WATER IRRIGATION STERILE 250ML	$7 
WATER SOLUTION FOR INHALATION 1000M	$11 
WATER STERILE FOR INHALATION BOTTLE 1000ML	$6 
Wedge Exc Nail Fold	$531 
"Wedge, Clubfoot"	$223 
"Wedge, Heel"	$102 
"Wedge, Heel, Sach"	$385 
"Wedge, Heel/Full Sole, Between Sole"	$246 
"Wedge, Metatarsal Bar, Between Sole"	$343 
"Wedge, Metatarsal Bar, Rocker"	$182 
"Wedge, Outflare"	$223 
"Wedge, Shoe"	$92 
"Wedge, Sole, Between Sole"	$223 
"Wedge, Sole, Outside Sole"	$161 
Wet mount	$28 
Wheeled Walker Frame with Trunk Support	"$1,264 "
"WHFO Nontorsion Joint, Prefabricated"	$856 
WHFO W/O JOINTS PRE OTS (L3809)	$949 
"WHFO With Joint(s), Custom Fabricated"	"$3,361 "
"WHFO, Rigid without joints, custom fabricated"	"$3,173 "
"WHISPER VALVE, TEMP CONTROLLED"	$162 
WHO NONTORSION JNTS PRE OTS (L3916)	"$2,017 "
"WHO prefab, one or more nontorsion joints, elastic"	"$2,290 "
"WIPE, BABY FLUSHABLE"	$8 
"WIPES, SHIELD BARRIER CLOTHS"	$38 
With Debridement Muscle	"$4,540 "
With Internal Fixation	"$1,217 "
With Internal Fixation of Radial AND Ulna	"$3,582 "
Withdrawl of Arterial Blood	$146 
WND PREP F/N/HF/G ADDL 100 SQ CM/1% BA (15005)	$248 
Work Related or Medical Disability Exam by Non-Tre	"$2,328 "
Work Related or Medical Disability Exam by Treatin	"$1,164 "
Work Trial Assessment Units	$162 
Worm Identification	$102 
WOUND PREP ADDL 100 CM (15003)	$125 
WOUND PREP F/N/HF/G 100 SQ CM/1% BA (15004)	$726 
WOUND PREP TRK/ARM/LEG 100 SQ CM/1% BA (15002)	$592 
WOUND VEIL 12 X 12	$20 
Wound(s) Care Non-Selective Units	$171 
WRAP ELASTIC BANDAGE LF W/VELCRO 4IN X 5YARD	$29 
"Wrist disartic, ext power, self-susp inner socket,"	"$21,771 "
"Wrist disartic, ext power, self-susp inner socket,_L6920"	"$20,382 "
"Wrist disartic, molded socket, flexible elbow hing"	"$7,545 "
"Wrist disarticulation, molded socket, flexible elb"	"$9,539 "
"Wrist Strap Padded, Each"	$58 
"Wrist-Hand Orthosis, Gauntlet, Molded to Pt"	"$2,078 "
"Wrist-Hand Orthosis, Nontorsion Joints, Custom Fab"	"$1,856 "
"Wrist-Hand Orthosis, Thumb Wrist Spica"	$394 
"Wrist-Hand Orthosis, Wrist Extension Control Cock-"	$301 
"Wrist-Hand-Finger Orthosis, Dorsal Wrist"	$265 
"Wrist-Hand-Finger Orthosis, Dorsal Wrist, w/ Outri"	$255 
"Wrist-Hand-Finger Orthosis, Dynamic Flexor Hinge, "	"$4,236 "
"Wrist-Hand-Finger Orthosis, Dynamic Flexor Hinge, _L3900"	"$3,654 "
"Wrist-Hand-Finger Orthosis, Electric, External Pow"	"$8,789 "
"Wrist-Hand-Finger Orthosis, Finger Extension w/ Wr"	$181 
"Wrist-Hand-Finger Orthosis, Oppenheimer"	$274 
"Wrist-Hand-Finger Orthosis, Oppenheimer w/ Knuckle"	$390 
"Wrist-Hand-Finger Orthosis, Palmer"	$268 
"Wrist-Hand-Finger Orthosis, Swanson Design"	$780 
"Wrist-Hand-Finger Orthosis, Thomas Suspension"	$223 
"Wrist-Hand-Finger Orthosis, w/o joints, Prefabrica"	"$1,026 "
"Wrist-Hand-Finger Orthosis, Wrist Extension Cock-u"	$306 
XR Abdomen 1 View	$571 
XR Abdomen 2 View	$496 
XR Ankle Complete Left	$223 
XR Bone Age Studies	$120 
XR Bone Survey Complete (Mets)	$973 
XR Bone Survey Limited (Mets)	$624 
XR Calcaneous Left	$209 
XR Calcaneous Right	$209 
XR Chest 1 View	$377 
XR Chest 2 View	$490 
XR Chest 3 View	$565 
XR Chest 4 View	$565 
XR Clavicle Right	$245 
XR Coccyx	$439 
XR Diskography Lumbar	"$2,414 "
XR Diskography Thoracic	"$2,461 "
XR Epidurography	"$1,682 "
XR Facial Bones Minimum 3 Views	$592 
XR Fluoro Guidance Needle Loc Spine	"$2,197 "
XR Fluoro Guidance Needle Placement	"$2,197 "
XR Foot Complete Left	$223 
XR Foot Complete Right	$223 
XR Forearm 2 Views Left	$209 
XR Forearm 2 Views Right	$209 
XR Hand Complete Left	$209 
XR Hand Complete Right	$209 
XR Humerus Left	$479 
XR Humerus Right	$479 
XR Ischium	$392 
XR Joint Survey Single View	$77 
XR Knee + Sunrise 	$437 
XR Knee + Tunnel 	$437 
XR Knee 1 or 2 Views Left	$210 
XR Knee 1 or 2 Views Right	$210 
XR Knee 3 Views	$211 
XR Multiple Joints 1 View Infant Lower Extremity	$194 
XR Neck Soft Tissue	$120 
XR Pelvis 1 or 2 Views	$392 
XR Pelvis AP/Lat 2 Views	$392 
XR Pelvis Inlet/Outlet Views	$392 
XR Ribs w/ PA Chest Left	$501 
XR Ribs w/ PA Chest Right	$501 
XR Sacrum	$439 
XR Sacrum/Coccyx Minimum 2 Views	$439 
XR Shoulder 1 View	$243 
XR Sinuses Paranasal < 3 Views	$127 
XR Skull < 4 Views	$295 
XR Socoliosis Series	$211 
XR Spine 1 View Cervical	$836 
XR Spine 1 View Lumbar	$836 
XR Spine 1 View Thoracic	$836 
XR Spine Cervical 2 or 3 Views	$393 
XR Spine Cervical 4 Views	$635 
XR Spine Cervical 5 Views	$328 
XR Spine Cervical Flexion/Extension Only	$542 
XR Spine Cervical w/ Obliques	$635 
XR Spine Entire Survey AP/Lat	$702 
XR Spine Lumbosacral 2 or 3 Views	$465 
XR Spine Lumbosacral Flex/Ext	$465 
XR Spine Single View Specify Level	$836 
XR Spine Thoracic 3 Views	$950 
XR Spine Thoracic Flex/Ext	$636 
XR Spine Thoracolumbar 2 Views	$492 
XR Spine Thoracolumbar AP Only	$836 
XR Spine Thoracolumbar In/Out of Brace	$917 
XR Spine T-L Spine Upright + Supine	$705 
XR Sternum Minimum 2 Views	$269 
XR Swallowing Function w/ Video	$319 
XR Symphysis Pubis	$392 
XR Wrist Complete Left	$209 
XR Wrist Complete Right	$209 
XTRASORB HC ADHESIVE DRESSING 6X6	$27 
"XTRASORB SUPER ABSORBENT DRESSING 4"" X 5"""	$12 
"XTRASORB SUPER ABSORBENT DRESSING 6"" X 9"""	$33 
Zinc Level	$236 
Zinc Protoporphyrins	$91