Chargemaster

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Disclaimer and explanation for standard hospital charge

Refugio County Memorial Hospital determines the standard charges for patient services with the use of a chargemaster. The chargemaster is a comprehensive list of charges for the components of patient care that go into every patient’s bill. These are the baseline rates for services provided by RCMH.

The concept of a chargemaster is similar to the manufacturer’s suggested retail price (MSRP) on a vehicle. It is the base price of each service performed and supplies used that are associated with the individual patient’s treatment. Updates are periodically made to the chargemaster to accurately reflect the hospital’s expenses to operate.

The standard charges shown below do not necessarily reflect what a patient may pay. Government insurance plans such as Medicare and Medicaid do not pay the chargemaster rates; they have their own set rates which hospitals are obligated to accept. Commercial insurance payments are based on contract negotiations with managed care payors and may or may not reflect the standard charges. Patients without commercial insurance or who are not covered by a government health care plan should contact the hospital prior to a procedure to discuss charges, alternative pricing, and payment terms.

DESCRIPTIONChargemaster ItemCPTHCPCSRevenue Code Price
80165 CPL42180165801653000
81376 CPL42181376813763000
82746 CPL42182746827463000
82784 CPL421827848278430061.75
83002 CPL42183002830023000
83516 CPL42183516835163000
83520 CPL42183520835203000
83883 CPL4218388383883300150.25
84156 CPL42184156841563000
84165 CPL421841658416530057.75
84436 CPL42184436844363000
84439 CPL42184439844393000
84479 CPL42184479844793000
85014 CPL42185014850143000
85306 CPL42185306853063000
85610 CPL42185610856103000
85613 CPL42185613856133000
85730 CPL42185730857303000
86038 CPL42186038860383000
86039 CPL42186039860393000
86146 CPL42186146861463000
86160 CPL42186160861603000
86225 CPL42186225862253000
86235 CPL42186235862353000
86255 CPL42186255862553000
86256 CPL42186256862563000
86325 CPL42186325863253000
86334 CPL4218633486334300251
86355 CPL42186355863553000
86357 CPL42186357863573000
86359 CPL42186359863593020
86376 CPL42186376863763000
86431 CPL42186431864313000
86658 CPL42186658866583000
86668 CPL42186668866683000
86738 CPL42186738867383000
86787 CPL42186787867873000
87075 CPL42187075870753000
87076 CPL42187076870763000
87186 CPL42187186871863000
87253 CPL42187253872533000
87591 CPL4218759187591300305
ABORh.42200238690139090.25
Body Fluid Cell Count 442001078905130965
CSF Cell Count 642002998905130165
RBC IRRADIATION422004386945390137.25
Venipuncture ChargeVENI3641530027
Hospital Admission Typically 30 Min - Clinic MD
Hospital Admission Typically 50 Min - Clinic MD
Hospital Admission Typically 70 Min - Clinic MD
Hospital Admit & Discharge - Clinic MD
Hospital Admit to Disc Brief - Clinic MD
Hospital Admit to Discharge COMP - Clinic MD
Hospital Discharge 30 Min or Less - Clinic MD
Hospital Discharge More than 30 Min - Clinic MD
Hospital Visit Typically 15 Min - Clinic MD
Hospital Visit Typically 25 Min - Clinic MD
Hospital Visit Typically 35 Min - Clinic MD
OBSERVATION Admit to Disc Brief - Clinic MD
OBSERVATION Admit to Disc Moderate - Clinic MD
OBSERVATION Admit to Discharge COMP - Clinic MD
OPO Discharge - Clinic MD
ObservationFirst Hour Charge
Outpatient Observation Typically 30 Min - Clinic MD
Outpatient Observation Typically 50 Min - Clinic MD
Outpatient Observation Typically 70 Min - Clinic MD
SWINGBED Admit Brief -Typically 25 Min - Clinic MD
SWINGBED Admit Complex - Typically 45 Min - Clinic MD
SWINGBED Admit Moderate - Typically 35 Min - Clinic MD
SWINGBED Discharge - 30 Minutes or Less - Clinic MD
SWINGBED Discharge - > 30 Minutes - Complex - Clinic MD
SWINGBED Sub Visit - Typically 10 Min - Clinic MD
SWINGBED Visit Complex - Typically 35 Min - Clinic MD
SWINGBED Visit Expanded - Typically 15 Min - Clinic MD
SWINGBED visit Sign Comp - Typically 25 Min - Clinic MD
ANES VASECTOMY 009214550921921173
ANESTHESIA CVPLINE INSERT4550532
ANESTHESIA CVPLINE INSERT4550532
37 degrees Celsius422002186921302305
ABO42200158690039078.5
ABO/Rh Interp
ABO/Rh.
ABO/Rh. Neonatal
ABORh
ABORh Newborn Interp
ABORh Retype
ABORh.42200158690039078.5
AFFP CP2D Thawed
Anti-Human Globulin422001386922302247.25
Antibody Screen Tube422003586850302143
Aph ARBC ACDA AS3 LR Irr 1
Aph FFP ACDA
Aph FFP ACDA Dv Thawed
Aph FFP ACDA RT<=24h
Aph FFP ACDA RT<=24h 1st Cont.
Aph FFP ACDA RT<=24h 2nd Cont.
Aph FFP ACDA RT<=24h 3rd Cont.
Aph FFP ACDA Thawed
Aph FFP CP2D
Aph FFP CP2D Thawed
Aph FFP Thawed ACDA RT<=24h
Aph FFP Thawed ACDA RT<=24h Div
Aph Plasma ACDA <-18C Frz <24h 1
Aph Plasma ACDA <24 Hrs Thawed
Aph Plasma ACDA <24 Hrs Thawed Dv
Aph Plt ACDA
Aph Plt ACDA 1
Aph Plt ACDA 2
Aph Plt ACDA 3
Aph Plt ACDA Irr
Aph Plt ACDA Irr 1
Aph Plt ACDA Irr 2
Aph Plt ACDA Irr 3
Aph Plt ACDA Irr Var Con
Aph Plt ACDA Irr Var Con 1
Aph Plt ACDA Irr Var Con 2
Aph Plt ACDA LR4220036P9035390834.5
Aph Plt ACDA LR 14220037P9036390834.5
Aph Plt ACDA LR 2
Aph Plt ACDA LR 34220038P9035390834.5
Aph Plt ACDA LR <3 X log 11
Aph Plt ACDA LR Irr
Aph Plt ACDA LR Irr 1
Aph Plt ACDA LR Irr 2
Aph Plt ACDA LR Irr 3
Aph Plt ACDA LR Irr <3 X log 11 2
Aph Plt ACDA LR Irr Var Con
Aph Plt ACDA LR Irr Var Con 3
Aph Plt ACDA LR Var Con 1
Aph Plt ACDA LR Var Con 2
Aph Plt ACDA LR Var Con 3
Aph Plt ACDA PASC LR IRR Var Con
Aph Plt ACDA PASC LR Irr
Aph Plt ACDA PASC LR Irr Cnt 1
Aph Plt ACDA PASC LR Irr Cnt 2
Aph Plt ACDA PASC LR Irr Cnt 3
Aph Plt ACDA Var Con
Aph Plt ACDA Var Con 1
Aph Plt ACDA Var Con 2
Aph RBC ACDA AS1 LR
Aph RBC ACDA AS1 LR 1
Aph RBC ACDA AS1 LR 2
Aph RBC ACDA AS1 LR Irr
Aph RBC ACDA AS1 LR Irr 1
Aph RBC ACDA AS1 LR Irr 2
Aph RBC ACDA AS3 LR4220003P9016390453
Aph RBC ACDA AS3 LR 14220003P9016390453
Aph RBC ACDA AS3 LR 24220003P9016390453
Aph RBC ACDA AS3 LR Irr
Aph RBC ACDA AS3 LR Irr 1
Aph RBC ACDA AS3 LR Irr 2
Aph RBC CP2D AS3 LR 14220003P9016390453
Aph RBC CP2D AS3 LR 24220003P9035390453
Aph RBC CP2D AS3 LR Irr
Aph RBC CP2D AS3 LR Irr 1
Aph RBC CP2D AS3 LR Irr 2
Auto Aph FFP Thawed ACDA RT<=24h
Auto Aph FFP Thawed ACDA RT<=24h Div
Bill Only ABO/Rh
Bill Only Unit Confirmation
Bill Ref ABO/RH
Bill Ref Ab Elution/Panel
Bill Ref Cell Pretreatment
Cord ABO/Rh
Cord Blood
Cord Blood.
Crossmatch Tube
Cryo AHF
Cryo Pooled
Dir Aph FFP Thawed ACDA RT<=24h
Dir Aph FFP Thawed ACDA RT<=24h Div
Direct Antiglobulin Test422003386880302121.5
Direct Antiglobulin Test 2422003486880302121.5
FFP CPD
FFP CPDA1
FFP Thawed CP2D
FFP Thawed CP2D Dv
FFP Thawed CPD
FFP Thawed CPD Dv
FFP Thawed CPDA1
FFP Thawed CPDA1 Dv
Frz Plasma CPD Frozen<=24h
Immediate Spin422002186920302324.25
Newborn ABORh
Plasma CPD Cryo Red
Plasma CPD Cryo Red Thawed
Plasma Thawed CP2D
Plasma Thawed CP2D <24 Hrs
Plasma Thawed CPD
Pooled Cryo <18C 5 units
Pooled Cryo AHF Thawed
Pooled Plts CP2D LR IRR BacT
Post TR ABORh
Post-Transfusion Reaction ABO/Rh
Pre TR ABORh
Pre-Transfusion Reaction ABO/Rh
RBC CP2D 450 LR
RBC CP2D AS3 500 Irr
RBC CP2D AS3 500 LR4220003P9016390453
RBC CP2D AS3 500 LR Irr4220009P9021390285
RBC CP2D AS3 500 LR Irr DV
RBC CPD 500 LR Irr
RBC CPD AS1 500 Irr
RBC CPD AS1 500 LR4220003P9016390453
RBC CPD AS1 500 LR Irr
RBC CPD AS1 500 LR Irr
RBC CPD AS1 500 LR Irr Dv
RBC CPD AS5 500 Irr
RBC CPD AS5 500 LR
RBC CPD AS5 500 LR Irr
RBC CPDA1 500 Irr
RBC CPDA1 500 LR Irr
RBC CPDA1 500 LR Irr Dv
REF Antibody Screen42106288688530227.5
REF Phenotype
RHIG
Reference ABO/Rh
Rhogam Info
Rhogam Request
Thawed Aph FFP ACDA 200-400 mL
Thawed Aph FFP ACDA <200 mL
Thawed Aph FFP ACDA RT<=24h 1st Cont.
Thawed Aph FFP ACDA RT<=24h 2nd Cont.
Thawed Aph FFP ACDA RT<=24h 3rd Cont.
Thawed Aph Plasma ACDA <24H Frz <24H 4
Thawed Aph Plasma ACDA Frz <24h 1
Thawed Aph Plasma ACDA Frz <24h 2
Thawed Cryo AHF
Thawed Plasma CP2D Cryo Red
Thawed Plasma CPD <24h
Thawed Plasma CPDA1 <24h
Thawed Pooled Cryo
Thawed Pooled Cryo Open 10 units
Thawed Pooled Cryo Open 5 units
Type and Cross Lab Only
Type and Screen RMH
Undocumented Mother ABO-Rh
Unit ABO/Rh
Abd paracentesis w/o imaging guidance
Ambulatory Blood Pressure Monitor [MDMH]
BILL BH1102
BILL BH1116
BILL BH1123
BILL BH1130
BILL BH1136
BILL BH1143
BILL BH1147
BILL BH1154
BILL BH1167
BILL BH1206
BILL BH1276
BILL BH421
BILL BH647
BILL BH692
BILL BH743
BILL BH765
BILL BH814
BILL BH825
BILL BH839
BILL BH888
BILL BH939
COLOR FLOW DOPP [MDMH]
Cardiac Doppler, Limited [MDMH]
Complete bil noninvasive Doppler, 3 or more levels w/exercise
DOPPLER, COMPLETE [MDMH]
Duplex Scan Lower Extremity Arteries or Arterial Bypass Grafts, Complete Bilateral Charge
EKG 12 Lead, Interp/Report Only Charge
EKG 12 Lead, w/Interp/Report
EKG Rhythm, 1-3 Leads Interp/Report Charge
EKG Task
EKG performed as a screening for IPPE TC/PC global
Echocardiogram, Complete [MDMH]
Echocardiogram, Complete, with bubble study [MDHM]
Echocardiogram, Limited [MDMH]
Echocardiogram, Limited, with bubble study [MDMH]
Electrocardiogram OPD
Electrocardiogram Stress Exercise [MDMH]
Electrocardiogram [MDMH]
Electrocardiogram [MDMH] BCE
Event Monitor, up to 30 days [MDMH]
Extremity Artery Study, Single Charge
Holter 48
Holter Interp [MDMH] BCE
Holter Monitor 24 hr [MDMH]
Holter Monitor 24hr
Holter Monitor 48 hr [MDMH]
Limited Echo, IHI
Limited Stress Echo Interp [MDMH] BCE
Pulmonary Stress Testing; Simple (Eg, Prolonged Exercise Test For Bronchospasm)
RT Holter Monitor 24hr - MS TECH CHARGE CADDO
Stress Echo Interp [MDMH] BCE
Stress Echo, Dobutamine, IHI
Stress Echo, Dobutamine, IHI
Stress Echo, Exercise, IHI
Stress Echo, Exercise, IHI
Stress Echocardiogram, Dobutamine [MDMH]
Stress Echocardiogram, Exercise, Treadmill [MDMH]
Stress Echocardiogram, Limited [MDHM]
Stress Echocardiogram, Limited, Dobutamine [MDMH]
Stress Test Interp [MDMH] BCE
zzzElectrocardiogram, ER, Uninterpreted
90460 Immunization administration492090590471G0008
90471 Flu Adminstration for Medicaid492095590471
90471 Immunization administration; 1 vaccine492090590471G000840.75
90473 Immunization administration, oral492090990473
96372 Therapeutic; prophylactic, or diagnostic injection, subcutaneous or intramuscular492001796372
96402 Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular
Drugs unclassified injection4920725J3490
Each additional vaccine492090790472
Eligard/ Leuprolide acetate suspnsion PER 7.5 MG4920587J9217
Japanese Encephalitits Vaccine Inactivated IM TechFee Med
Orphenadrine injection4920679J2360
Synvisc per 1 mg4920553J7325
VFC Immunization administration ea add'l vaccine
VFC Immunization adminstration 1 vaccine
IV Injection, add new drug THERAPEUTIC OR DIAGNOSTIC310002396375260264
IV Push, add same drug360032996376260208
IVP INJECTION therapeutic or diagnostic ER350031596374260264
96365 - IV TX, FIRST HOUR310000596365260450.5
96366 - IV TX, EACH ADDITIONAL HOUR/CRITICAL CARE310000796366260336.75
99284 - ED Level 4360006999284450869.75
99285 - ED Level 5360007199285450963.75
CRITICAL CARE 1ST HOUR hosp tech3600053992914502340
Critical Care, each 30 min360005699292450963
DCP_GENERIC
ED Level 1360006399281450305.75
ED Level 2360006599282450357.5
ED Level 3360006799283450583.5
HYDRATION, FIRST HOUR310001996360260450.5
IV THERAPY HYDRATION, EACH ADDITIONAL HOUR310002196361260336.75
IV tx, sequential infusion310004196367260336.75
ZZZ96368 - IV tx, concurrent infusion31000439636826085.5
ZZZ96373 - Intra-Arterial injection
zzz96372 - Subq/IM Injection31000099637226097
Application Of A Modality To One Or More Areas; Ultrasound, Each 15 Minutes
Colposcopy of the cervix w/endocervical curettage
Colposcopy of the vulva with bx
Echo guide for biopsy
Electrocardiographic Monitoring For 24 Hours By cont Original Ecg Waveform Record & Storage
Endocervical curettage (not done with D&C)
Esophageal Manometry with Impedance
Fetal biophys profil w/o nst
Fetal biophys profil w/o nst Interp
Fetal contract stress test
Fetal contract stress test tech.
Middle cerebral artery echo
OB US fetal & maternal eval plus detailed fetal anatomic exam, transabdominal
Ob us < 14 wks single fetus
Ob us >/= 14 wks addl fetus
Ob us >/= 14 wks addl fetus Tran.
Ob us >/= 14 wks addl fetus Tran
Ob us >/= 14 wks sngl fetus
Ob us >/= 14 wks sngl fetus interp
Ob us follow-up per fetus
Ob us follow-up per fetus Interp
Ob us limited fetus(s)
Ob us limited fetus(s) Interp
Transvaginal us non-ob
Transvaginal us non-ob Interp
Transvaginal us obstetric
Transvaginal us obstetric Complete
Transvaginal us obstetric Interp
US pregnant follow up transabdominal
US pregnant transabdominal limited
Us exam abdom complete
Us exam abdom complete Tech
Us exam breast(s)
Vascular flow imaging
Cerumen removal with Instrumentation
99284 Level 4 Lynx Visit Level - BO
ABG Draw ER Charge
ANOSCOPY DIAGNOSTIC ER3610001
Abd paracentesis w/o imaging guidance
BCE 99281 - Level 1
BCE 99282 - Level 2
BCE 99283 - Level 3
BCE 99284 - Level 4
BCE 99285 - Level 5
BCE 99291 - Critical Care
Cardiopulmonary Resuscitation ER Charge
Cardioversion elective external
Closed Treatment of Radial Head or Neck Fracture with manipulation
Closed Trtmt of Proximal Humeral (Surgical or Anatomical Neck) Fx; w/o Manipulation Charge
Closed tx of supracondylar/transcondylar humeral fx w/manipulation
Closed tx shoulder dislocation w/ fx of greater humeral tuberostity w/ manipulation
Closure laceration vestibule of mouth 2.5 cm or less
Emergency Department Visit Level 2 - 99282
Gastric Intubation/Aspiration/Tube Lavage Charge
I & D ABSCESS SIMP/S
Injection cervical or thoracic
Insert Straight Catheter Tech Chg
Irrigation of implanted venous access device (Port Flush)
Lumbar Puncture Charge
PNEUMONIA ADMINISTRATION492023790472G0009771103.5
Placement of needle for intraosseous infusion
Stapping Knee
TRANSVENOUS PACING TEMP3600009929534801212
TRAUMA ACTIVATE < 30 MIN3600331992916841205.25
TRAUMA ACTIVATION3600333G03906841205.25
Venous Access Cutdown > 1Year
ZZZConcurrent infusion
ZZZequential infusion up to 1 hr
closed tx of fx distal tibia w/ traction or manipulation
11760 REPAIR OF NAIL BED - ED PF360117611760450878.25
12032 Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet)360021912032450679
3610017 BURN DRESS/DEBRIDE MED PROFEE3610017
3610021 CARDIOPULMONARY ARREST PROFEE3610021944
3610033 CAST LEG SHORT WALK APPLY PROFEE3610033
3610055 DIGITIAL BLOCK SINGLE PROFEE3610055
3610067 HEMATOMA EVACUATE PROFEE3610067
3610079 I&D ABSCESS COMPLICATED PROFEE3610079
3610099 NERVE BLOCK INTERCOSTAL PROFEE3610099
3610107 PERICARDIOCENTESIS 1ST PROFEE3610107
3610109 PERICARDIOCENTESIS SUB PROFEE3610109
3610115 REMOVAL FB CONJUNCTIVAL PROFEE3610115
3610117 REMOVAL FB CORNEAL PROFEE3610117
3610119 REMOVAL FB EXTERNAL EAR PROFEE3610119
3610121 REMOVAL FB INTRANASAL PROFEE3610121
3610131 RPR CMPLX SCLP ARM LEGS PROFEE3610131
3610133 RPR CMPLX TONGUE PROFEE3610133
3610147 RPR SMPLE SCLP NECK TRUNK PROFEE361014712004450708.5
3610163 THORACENTESIS INSERT TUBE PROFEE3610163
3610203 VENIPUNCTURE 3YR OR OLDER PROFEE3610203
3610204 TRT PHAL SHAFT FRAC W/MAN PROFEE3610204
3610221 PHY TRANSPORT 24MO OR > PROFEE3610221
3610235 RPR SMPLE SCLP/NECK/TRUNK PROFEE3610235
3610281 RPR SMPL EXTREMITIES PROFEE3610281
3610285 RPR INTRMD FOREARM 10CM PROFEE3610285
3610289 RPR CMPLX HANDS/FEET PROFEE3610289
3610295 RPR EXTENSOR TENDON HAND PROFEE3610295
3610305 RMV FOREIGN BODY PHARYNX PROFEE3610305
3612055 TRIGGER POINT INJ 1 OR > PROFEE3612055
3612393 I&D UPR ARM/ELBO DEEP ABS PROFEE3612393
3615170 CHANGE CYSTOSTOMY TUBE SM PROFEE3615170
4000086 Ceftriaxone (Ancef) 1gm4000086J069625116.5
4000254 NS 0.9% 100 ml400025454721.5
4000255 NS 0.9% 100 ml400025554721.5
4000257 I-Gel Alternative Airway400025754742.75
93041 CARDIAC MONITOR-ER
96372 INJECTION FEE IM,SQ ED Charge360010196372260103.75
99217 OBS DISCHARGE DAY -CCCPF3610253
99218 OBS INITIAL L-1 -CCCPF3610265
99219 OBS INITIAL L-2 -CCCPF3610267
99220 OBS INITIAL L-3 -CCCPF3610269
99281 EMERGENCY RM-LEVEL I ED Charge360006399281450327.25
99282 EMERGENCY RM-LEVEL 2 ED Charge360006599282450382.5
99283 EMERGENCY RM-LEVEL 3 ED Charge360006799283450624.25
99284 EMERGENCY RM-LEVEL 4 ED Charge360006999284450930.25
99285 EMERGENCY RM-LEVEL 5 ED Charge3600071992854501031.25
99291 CRITICAL CARE ED Charge3600053992914502503.75
ACENTESIS JNT INTM ProFee3610227
ACENTESIS JNT MAJOR ProFee3610007
ACENTESIS JNT SMALL ProFee3610009
ADENOSINE 6MG IM/IV4000105547282.75
ADM IMMUN SINGLE VAC36002299047145064.25
AIRWAY ORAL BLS400005754112.75
ALBUTEROL 2.5MG INH40001095476
ALS-1 EMERGENCY TRANSPORT4000019A04275401732.75
ALS-1 NONEMERGENT TRANSPR4000029A04265401085.75
ALS-2 EMERGENCY TRANSPORT4000023A04335402315.5
AMIODARONE 3ML IV4000107547114.25
AMMONIA INHALANT40001115476
AMP FING/THB FLAP*
ANOSCOPY DIAGNOSTIC4920019466004501855
APPLY SHORT ARM SPLINT PROFEE3610151
ARTERIAL PUNCTURE (PRO FEE)3610005
ARTERIAL PUNCTURE Charge360001136600450274
ARTHROCENTISIS LG492001320610521619
ARTHROCENTISIS SM492001520600450619
ASPIRATE BLADDER BY NEEDL ProFee3610011
ASPIRATE P-TONSILLAR ABSC360026142999450578
ASPIRATE PERITONSILL ABSC ProFee3610225
ASPIRATION BLADDER3600017511004501137
ASPIRIN (BABY) 81MG TAB40001135472.75
ATIVAN4000239541129.5
ATROPINE SULFATE 1MG IM400011554738.75
AUTISM SCREENING492096296110
AVULSION NAIL PLATE PART492002311730450267
AVULSION NAIL PLATE ProFee3610003
Acetaminophen 1gm/100ml4000102547131.25
Adenosine 12mg IV4000104547282.75
Arthrocentesis major joint w/ US guidance
BANDAGE TRIANGULAR40000735418
BLOOD TRANSFUSION > 8HR3600251364303912758.5
BLS EMERGENCY TRANSPORT4000027A04295401348.75
BLS NONEMERGENT TRANSPORT4000025A04285401032.75
BONE INJ GUN ADULT ALS4000231541710.25
BONE INJ GUN PEDI ALS4000233541710.25
BURN 1ST DEGREE INITIAL360002116000450301.5
BURN 1ST DEGREE INITIAL Charge3610015
BURN DRESS/DEBRIDE LARGE ProFee3610013
BURN DRESS/DEBRIDE LG360001916030450514.25
BURN DRESS/DEBRIDE MED360002316025450440.5
BURN DRESS/DEBRIDE SM492003516020450515.75
BURN DRESS/DEBRIDE SMALL ProFee3610019
BURN SHEET BLS400006154172.75
Betamethasone 30mg/5ml4000106547256.5
CAMBION SHOCK ABSB GEL""4000247L300327479.5
CANNULA NASAL ADULT400008554133.75
CANNULA NASAL CHILD400008754130
CARDIOPULMONARY ARREST3600029929504501306.25
CARDIOVERSION ELECTIVE3600031929604801306.25
CARDIOVERSION ELECTIVE E Charge3610023
CAST ARM LONG APPLY ER Charge360003329065450511.5
CAST ARM LONG SUPPLY ProFee3610025
CAST ARM SHORT APPLY4920025
CAST ARM SHORT APPLY ER Charge360003529075450511.5
CAST LEG LONG APPLY360003729345450511.5
CAST LEG LONG APPLY Prof Fee Charge3610029
CAST LEG SHORT APPLY4920027
CAST LEG SHORT APPLY ER Charge360003929405450511.5
CAST LEG SHORT WALK APPLY360004129425450511.5
CATH ASPIRATE NASOTRACH360028331720450112.5
CATH NON-TUNNELED CATH3600253365564501149
CATH OBTAIN SPECIMAN ONLY3600257P9612300181
CATH TUNNELED CV ProFee3610273
CATH URETHA SIMPLE360004351701450253.5
CATH URETHRA SMPLE ProFee3610035
CATHETER IV400009754121.5
CEFAZOLIN 1GM VIALS400019154711
CEFTRIAXONE 1GM4920649J069625116.5
CHANGE CYSTOSTOMY TUBE SM3605170517053601546.75
CHANGE GASTROSTOMY TUBE CHARGE3610307
CLONIDINE 0.1MG TAB40001935476
CLOSURE OF LACERATION VESTIBULE OF MOUTH > 2.5 CM OR COMPLEX CHARGE
CLSD DISLC SHLDR W ANETH ProFee3610293
CLSD TX FEMORAL FX D
CNTRL BLEED ANT CMPLX ProFee3610043
CNTRL BLEED NASAL INITIAL ProFee3610041
CNTRL BLEED NOSE SMPLE ProFee3610039
COLLAR CERVICAL DISP BLS4000099541122.75
COLPOCENTESIS ProFee3610049
COMBITUBE ESOPH TRAC AIRW4000227541131.5
CONTROL BLEED NOSE ANTER360005130903450643
CONTROL BLEED NOSE POST360004930905450643
CONTROL BLEED NOSE SIMPLE360004730901450643
CPAP OS BRTHNG CIR/W MASK4000217A703154164.25
CRITICAL CARE 1ST HR ProFee3610045
CRITICAL CARE ADD 30 MIN ProFee3610047
CULPOCENTESIS3600057570204502607.25
CV CATH NONTUNNEL > 5YR3600125365564501291.25
CV CUTDOWN > AGE 2 ProFee3610205
CVP PLACE > AGE 2 ProFee3610113
Calcium Chloride 10% 500400010854725.25
Capnography ET400021154732.75
Capnography Nasal400021054732.75
Captopril 25mg40001125473
D10 W 250 ml/500 ml4000251547104.25
D5LR 1000ml4000114547163.5
D5W 100ML IV4000117547124.75
D5W 250ML IV BAG4000205547118
D5W 500ML IV4000119547118
DAILY HOSP CARE LEVEL 1 ProFee3610051
DEBRID SKIN/SUBCUTANEOUS ProFee3610277
DEBRIDE SKIN PART THICK360005997597450514.25
DEBRIDE SKIN PART THICK Charge3610053
DEBRIDE SKIN/SUBCUTANEOUS360027911042450600
DELIVERY OF PLACENTA ProFee3610334
DELIVERY PLACENTA3600334594144501103.75
DEVELOPMENTAL SCREENING492096196110
DEXTROSE 50% PREF 25GM IV400012154750.75
DEXTROSE 50% VIAL 25GM IV400012354761.25
DIAZEPAM 5MG IM/IV400000154723
DIGITIAL BLOCK SINGLE492003364450450966.25
DIPHENHYDRAMINE 50MG IM/I400012554723
DOPAMINE 400MG/250ML IV4000127547263.75
DOS40002155400
DRAINAGE ABSCESS/CYST HEM360418041800450853
DRAINAGE ABSCESS/CYST/HEM ProFee3614180
DRESSING GAUZE 2X2 BLS40000455412.75
DRESSING GAUZE 4X4 BLS40000795412.75
DRESSING KLING 3 BLS"40000475419
DRESSING MULTI TRAUMA BLS400004954150.75
DRESSING OCCLUSIVE 3X3 BL400005554112.75
DRESSING TRAUMA LG BLS4000037541241.25
DRESSING TRAUMA MED ALS4000039541100.75
DRESSING TRAUMA SM ALS400004154150.75
DUONEB 2.5MG INH400012954718.25
Diltiazem (Cardizem) 25mg400011654756.25
EASY CAP II CO2 DEFECTOR400021154138.75
EPI 1:1000 1MG AMP IM/SC400013154725
EPI 1:1000 30MG IV4000133547122.75
EPI 1:10000 1MG IM/IV4000135547122.75
EPI PEN AUTO INJ 0.34000043J0171547391.25
ER VISIT L-1 PROF3610057
ER VISIT L-2 PROF361005999282
ER VISIT L-3 PROF3610061
ER VISIT L-4 PROF3610063
ER VISIT L-5 PROF3610065
ET TUBE HOLDER400020754121.5
EX BEN LES FACE492008911441450687.75
EX NAIL PART OR CMPLTE ProFee3610069
EX NAIL PART OR COMPLTE360007711750450355.25
EX THROMB HEMORRHOID EXT360007346320450680.5
EX THROMBOSED HEMORRID EX ProFee3614632
EXAM NO TRANSPORT4000103A099854083.5
EXAM PELVIC ProFee3610223
EXAM SEXUAL ASSULT ProFee3610071
EZ-IO4000212547301.75
Enoxaprin (Lovenox) 100mg4000020J1650547123
Enoxaprin (Lovenox) 30mg4000015J165054770.5
Enoxaprin (Lovenox) 40mg4000018J165025166
FINE NEEDLE ASPIRATION CHARGE492100210021450578
FINE NEEDLE ASPIRATION Charge3610275
FP INJ ADM THRPTIC/PROP492057496372
FUROSEMIDE 20MG IM/IV40000035479
FX BIMAL ANKLE W/MAN
FX DIST FIB W/MAN*
FX HUM SHAFT W/MANIP
FX TALUS W/MANIP
Famatodine (Pepcid) 20mg40001185473
Fosphenoytoin (cerebyx) 500mg4000120547295.75
GASTRIC INTUBATE ProFee3610073
GASTRIC INTUBATION360007943753450408.5
GLUCAGON 1MG IM/IV4000225547392.75
GLUCOSE PASTE INST 30GM400014154725
H & P L-1 ProFee3610237
H & P L-2 ProFee3610239
H & P L-3 ProFee3610241
H&P L-1492040399221
H&P L-2492040599222
H&P L-3492040799223
HEMATOMA EVACUATE360007511740450680.5
HEMORRHOIDECTOM EXT CMPL ProFee3610309
HEMORRHOIDECTOMY 2+ COL3600317462504502581.75
HHN INHALATION TRMT492082194640410174.5
HOSP CARE DAILY L-1492040999231
HOSP CARE DAILY L-1 ProFee3610243
HOSP CARE DAILY L-2492041199232
HOSP CARE DAILY L-2 ProFee3610245
HOSP CARE DAILY L-3492041399233
HOSP CARE DAILY L-3 ProFee3610247
HOSP DISCHG 30MIN OR < ProFee3610249
HOSP DISCHG 30MIN OR > ProFee3610251
HOSP DISCHG DAY 30MIN <492041599238
HOSP DISCHG DAY 30MIN >492041799239
Haloperidol 5mg/1ml400012254753.25
I&D ABCESS SIMPLE ProFee3610081
I&D ABSCESS BARTHOLINS ProFee3610085
I&D ABSCESS CMPLCTD/MULTI492041910061
I&D ABSCESS PERIRECTAL360008346040450680.5
I&D ABSCESS PERIRECTAL ProFee3610083
I&D ABSCESS SMPL/SNGL362042110060450585
I&D BARTHOLINS ABSCESS360008956420450760
I&D COPLX,PSTOP WOUND INF3601018101803601246.25
I&D FINGER ABCESS/SMPL360260126010450859.5
I&D FINGER ABSCESS/SMPL ProFee3612601
I&D FNGR ABSCESS; SMPL492050726010
I&D FURUNCLE SIMPLE360009110060450585
I&D HEMATOMA3600093101404501071
I&D HEMATOMA ED Charge3610087
I&D OF VULVA3600323564054501033.5
I&D PARONYCHIA360009510060450585
I&D PILONIDAL CYST SIMPLE360009710080450593.25
I&D PILONIDAN CYST ProFee3610089
I&D RMVE FB SUBQ SMPLE ProFee3610091
I&D UPR ARM/ELBO DEEP ABS3602393239304501890.5
I&R FB SUBQ COMPLICATED3600081101214501895.75
I&R FB SUBQ SIMPLE492010710120450593.25
I&RMVE FB SUBQ COMPLICATE ProFee3610077
IMMOBILIZER HEAD DISP BLS400006554157.5
INCISION & RMV OF FB ProFee3610233
INCISION & RMVL FB492049510120321.25
INSERT FOLEY CATH ER Charge360028551702450363.5
INTRAOSSEOUS INFUSION360030936680450282.5
INTRAOSSEOUS INFUSION Charge3610301
INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE CHARGE3610093
IPECAC ADMINISTRATION360010999175450330.25
IPECAC ADMINISTRATION Charge3610095
IV PUSH EA ADD SAME MED360023596376260222.25
IV PUSH SAME DRUG ER Charge360032996376450222.25
Insulin Regular 300 IU/3M400012454713.5
KETAMINE 500mg/ 10 ml (CONTROL DRUG)400025354723.75
KIT IV PREP DISP EA400009554121.5
KIT OB ALS400005354172.75
KIT RETRO INTUBATION40000835410
Ketamine 500mg/10ml400014854732
LIDOCAINE 10MG/D5W 500ML4000145547270.5
LIDOCAINE 2% 100MG/5ML IV4000143547131.5
LIPOTPR 10MG TAB400018154725
LORAZEPAM 2MG/ML 1ML VIAL4000187540129.5
LOVENOX 10MG SYRINGE400001554771.75
LR 1000ML4000179547143.5
LUMBAR PUNCTURE DX3610097
LUMBAR PUNCTURE DX ER CHARGE3600115622704501409.5
Labetalol 100mg/20ml400012654777.25
Levafloxacin (Levaquin) 500mg/100ml4000128547118.75
Lorazepam (Ativan) 2mg400013054721.25
MAGNESIUM SU 500MG/1ML IV40000055476
MAGNESIUM SULF 500MG IV40002235476
MASK BAG VALVE BLS4000059541140
MASK NRB ADULT400008954133.75
MASK NRB CHILD400009154133.75
MD Pro Closed treatment of articular fracture; with manipulation, each
MD Pro Destruction Of Lesion, Palate Or Uvula
MD Pro Puncture aspiration of abscess, hematoma, bulla, or cyst
METOPROLOL 1MG/ML ING 5ML400018554774.25
MIDAZOLAM 5MG/ML 1ML VIAL400018954749
MILEAGE EMERGENCY4000021A042554024.5
MILEAGE EMERGENCY DOA4000245A04255404.25
MILEAGE NON EMERGENCY4000031A042554024.5
MORPHINE SULF 10MG IM/IV400014754725
MUCOSAL ATOMIZATION DEVICE (MAD)400025654726.75
MYRINGOTOMY ICLUDING ASPI360694269420360945.5
MYRINGOTOMY INCLUDING ASP ProFee3616942
Mask, Nebulizer40002145476.75
Metronidazole 500mg/100ml400013254715
NACL 0.9% 500ML IRRIG400001354111
NALOXONE 0.4MG IM/IV400015554742
NERVE BLOCK INTERCOSTAL360011764421450966.25
NITRODRIP PREMIX 25MG400020354778
NITROGLYCERIN 0.4MG TAB400015754750.75
NITROLINGUAL SPARY40002015478
NITROPRUSSIDE INJ 5MG/2ML400019554725
NON-CVRD MLS BEYOND FACIL4000241A088854121.25
NS 0.45% 1000ml4000154547133.25
NS 10 cc PREFILL SYRINGE400025254710.75
NS 1000ML IV4000153547133.25
NS 50ml IV400015254799.5
NS SYRINGE 10ML INJCT400015154723
Nifedipine (Procardia) 20mg400013454713.5
Nitro Tubing IV40001445416.75
OBS DISCHARGE DAY492042999217
OBS F/U LN L-4 ProFee3610261
OBS F/U NP L-1 ProFee3610255492044199201
OBS F/U NP L-2 ProFee3610257492044399202
OBS F/U NP L-3 ProFee3610259492044599203
OBS F/U NP L-4 ProFee492044799204
OBS F/U NP L-5 ProFee3610263492044999205
OBS IN & OUT LEVEL 1 ProFee3610101
OBS IN & OUT LEVEL 2 ProFee3610103STAT
OBS IN & OUT LEVEL 3 ProFee3610105
OBS/IP ADMIT/DISCHG L-1492042399234
OBS/IP ADMIT/DISCHG L-24920425
OBS/IP ADMIT/DISCHG L-3492042799236
OP VISIT EP L-2492045799212
OP VISIT EP L-3492045999213
OP VISIT EP L-4492046199214
OP VISIT EP L-5492046399215
OP VISIT NP L-1492046599201
OP VISIT NP L-2492046799202
OP VISIT NP L-3492046999203
OP VISIT NP L-4492047199204
OP VISIT NP L-5492047399205
OXYGEN & SUPPLIES ALS BLS4000081A042254136
Ondansetron (Zofran) 4mg400015054713.5
Oxytocin 10IU/1ml4000136J259054714.5
PACK COLD BLS400003354111
PACK HOT BLS400006354111
PAD EYE BLS40001015412.75
PADS DEFIB ALS400003554128
PERICARDIOCENTESIS 1ST3600119330104501064.5
PERICARDIOCENTESIS SUB3600121330114501064.5
PERITONEOCENTESIS360031949082450749.75
PERITONEOCENTESIS PROFEE3610311
PERITONEOCENTESIS SUB360032149081450641.75
PERITONEOCENTIESIS492050949082
PHENERGAN 25MG IM/IV400015954725
PHY TRANSPORT 24MO OR > ProFee3610219
PLAVIX 75MG TAB4000183547101.5
PROCTO CONTROL BLEED360012345317450825.25
PROCTO RIGID CNTRL BLEED ProFee3610111
PSYCH INTERVIEW EXAM492049790801
Procainamide 1gm/2ml4000138547306
Propofol 200mg/20ml400014054767.25
QUICKTRACH DEVICE40002355410
QuickClot Combat gauze400097454769.5
REMOVAL FB CONJUNCTIVAL492003965205450775.75
REMOVAL FB CORNEAL360012965220450775.75
REMOVAL FB EXTERNAL EAR360013169200450305
REMOVAL FB INTRANASAL360013330300450486.75
REMOVAL FB MUSCLE TENDON3600135205204501169.25
REMOVAL IMPACT CERUM 69209360692069209450266.25
REMOVAL IMPACTED CERUMEN360013769210450305
REMOVAL IMPACTED CERUMEN CHARGE3610125
RMV FOREIGN BODY PHARYNX360031342809450790.75
RMVL FB CORNEAL W/O LAMP492047565220
RMVL FB EAR492047769200
RMVL FB FOOT SUBQ492040128190
RPR CMPLX EYELID/NOSE/EAR ProFee3611315
RPR CMPLX EYELID;NOSE/EAR3601315131524502045.25
RPR CMPLX FACE 1.0 & <360013913150450506
RPR CMPLX FACE 1.1-2.53600141131514501095.25
RPR CMPLX FACE 2.6-7.53600025131324502351.25
RPR CMPLX HANDS/FEET3600297131314501737.75
RPR CMPLX SCLP ARM LEG4920479131204501095.25
RPR CMPLX SCLP ARM LEGS4920043131214501095.25
RPR CMPLX SCLP ARM LEGS PROFEE3610131
RPR CMPLX TONGUE360014541250450485
RPR CMPLX TRNK492043913100
RPR COMPLEX FACE 2.6-7.5 ProFee3610229
RPR CPMLX SCLP ARM LEGS ProFee3610135
RPR DISLOCATE SHLDR W/ANE3600301236554501691.5
RPR EA ADD'L 5 CM OR LESS360025913122450724
RPR EXTENSOR TENDON HAND3600303264104503846
RPR HERNIA FEMORAL INTL492048349550
RPR INTER NK,HND, FT/EXT360029112041450834
RPR INTER SCLP TRK/EXTREM492020512031450818.5
RPR INTER SCLP,TRK/EXTREM3600221120344501390.75
RPR INTER WOUND EXT ProFee3611205
RPR INTER WOUND EXT3601205120524501409
RPR INTERMEDIATE FACE360029512051450880.25
RPR INTRM WOUND FC/EAR/EY ED Charge3601205120534501443.25
RPR INTRMD FACE 2.5 OR < ProFee3610287
RPR INTRMD FOREARM 10CM3600293120444501930.5
RPR INTRMD NK,HND,FT/EXT ProFee3610283
RPR INTRMD SCLP,TRK/EXTRE ProFee3610207
RPR INTRMD WND NCK/HND/FT ProFee3610010
RPR INTRMD WUND NCK/HND/F3600010120424501048.5
RPR LIP FULL THK/VERMILI ProFee3610303
RPR LIP FULL/THK/VERMILN3600311406504501949.25
RPR SIMPLE FACE 2.5-7.5 cm492048512011450327.25
RPR SIMPLE FACE 7.6-12.5 cm492048712015
RPR SMP LACERATION3600287120064501223
RPR SMPL EXTREMITIES3600289120074501377
RPR SMPL FC/EAR/EYE360023712014450974.5
RPR SMPL FC/EARS/EYE ProFee3610271
RPR SMPL LACERTAION ProFee3610279
RPR SMPL SCLP NK TRNK EXT492048912002450708.5
RPR SMPLE FACE 2.5 & <492004512011450708.5
RPR SMPLE FACE 2.5 OR < ProFee3610137
RPR SMPLE FACE 2.6-5.0492011712013450708.5
RPR SMPLE FACE 7.6-12.5360015112015450708.5
RPR SMPLE SCLP NECK TRUNK ProFee3610143
RPR SMPLE SCLP/NECK/TRUNK492019912001450445.75
SALINE LOCK400024354149
SET BLOOD DRIP 10GTT/ML400016754171.75
SET BURETROL SOL 114 DIS"4000177541109.25
SET BURETROL SOL 84 DIS"4000175541109.25
SET C-FLO SOL W/TBNG 83",SET C-FLO SOL W/TBNG 83""
SET C-FOL SOL 110 DISP"400017154150.75
SET CHEST DECOMPRESSION4000229541131.5
SET DRIP 60 GTTS400023754183.25
SHV EOUD/DERML LESION/SGL360113011303360687.75
SODIUM BICARB 4.2% 5MEQ400016154767.75
SODIUM BICARB 8.4% 50MEQ400016354731.75
SOLU MEDROS 125 MG INJ400019754742
SP02 FINGER PROBES4000213A460654189
SPECIALITY CARE TRANSPORT4000169A04345402766.5
SPINAL PUNC THRP DRAIN ProFee3610014
SPINAL PUNC THRP DRAN360001262272450828.75
SPLINT ARM LONG APPLY ER Charge492020929105450392.75
SPLINT ARM LONG SUPPLY ProFee3610149
SPLINT ARM SHORT APPLY360016129125450289.5
SPLINT FINGER APPLY36001652913045058.75
SPLINT FINGER APPLY STA3610155
SPLINT LEG LONG APPLY Charge3610153
SPLINT LEG LONG APPLY ER Charge492005329505450346.5
SPLINT LEG SHORT APPLY4920051
SPLINT LEG SHORT APPLY ER Charge360016729515450570.75
STERIL WATER 20ML INJ400008225018.5
STRAPPING ANKLE360026929540450201.75
STRAPPING ELBOW OR WRIST360027529260450359.75
STRAPPING HAND OR FINGER360027329280450359.75
STRAPPING KNEE ER Charge360027129530450249.5
STRAPPING SHOULDER ER Charge360016929240450641.75
STRAPPING SHOULDER Prof Fee Charge3610159
STRAPPING TOES360026729550450189.5
STRAPPING UNNA BOOT360026529580450373.5
SUCCINYLCHOLINE 20MG IM40000172512.75
SUCTION TIP YANKAUER BLS40000715418
SYRINGE 1CC-5CC ALS40000775418
SYRINGE 20CC-50CC ALS40000755418
TACTICAL TOURNIQUET400025854742.75
THORACENTESIS INITIAL SUB ProFee3610161
THORACENTESIS INITIAL/SUB3600171324214501356.25
THORACENTESIS INSERT TUBE3600173324224501064.5
THROMBOLYSIS360017592977450483.75
TORADOL 15MG IM/IV400001154738.75
TRACHEOSTOMY CRICOTHYROID3600307316054501351.75
TRACHEOSTOMY CRICOTHYROID MEMBRANE CHARGE3610299
TRANEXAMIC ACID (TXA) 1G4000250547272
TRANSFER CONTRACT RATE4000219540227.75
TRANSFUSION TO 4HR3600243364303912370.5
TRANSFUSION TO 5HR3600245364303911696.5
TRANSFUSION TO 6HR3600247364303911696.5
TRANSFUSION TO 7HR3600249364303912370.5
TRANSVENOUS PACING TEM ProFee3610165
TRIGGER POINT INJ 1 OR >492001020552450172.25
TRIMMING OF NAILS492049911719
TRMT NSL BNE FX W/O MANIP ProFee3610291
TRT AC CLOSED DISLOCATE360017723545450481.75
TRT AC CLSD DISLOCATE ProFee3610167
TRT CLAVICLE FX W/O MNP360017923500450481.75
TRT CLAVICULAR FX W/O MAN ProFee3610169
TRT CLSD ANKLE W/O ANESTH3600305278404501558.75
TRT CLSD ANKLE W/O ANESTH ProFee3610297
TRT CLSD HUMERAL HD FX ProFee3610075
TRT CLSD TMJ DISLOCATE ProFee3610199
TRT COLLES FX W/O MNP360018125600450636
TRT COLLES FX W/O MNP ProFee3610171
TRT DIST PHALANGE CLSD EA ProFee3610173
TRT DIST PHALANGEAL CLSD360018326750450481.75
TRT ELBOW CLSD DISLOCATE360018524600450636
TRT ELBOW CLSD DISLOCATE ProFee3610175
TRT FIB SHF PROX FX CLSD360018727780450636
TRT FIB/SHF PROX FX CLSD ProFee3610177
TRT IP DISLOCATE ProFee3610179
TRT IP JNT DISLOCATE360019126770450481.75
TRT IP JNT DISLOCATE ProFee3610181
TRT KNEE CLSD DISLOCATE360019327550450636
TRT KNEE CLSD DISLOCATE ProFee3610183
TRT MCP JNT DISLOCATE360019926700450481.75
TRT METACARP FX CLSD360019526600450636
TRT METACARP FX CLSD ProFee3610185
TRT METACARPO JNT DISLOCA ProFee3610187
TRT MT CLSD FX ProFee3610189
TRT MT CLSD FX W/O MNP360019728470450636
TRT NSL BNE FX W/O MANIP360029921310450555.5
TRT PATELLAR DISLOCATE360020127560450636
TRT PATELLAR CLSD DISLOCA ProFee3610191
TRT PHAL SHAFT FRAC W/MAN3600204267254502062.25
TRT PHALANGEA SHAFT FX360020326720450481.75
TRT RAD HEAD FX CLSD360020524650450636
TRT RAD HEAD FX CLSD ProFee3610193
TRT RIB FX EACH3600207450450.25
TRT RIB FX EACH ProFee3610195
TRT SHOULDER CLSD DIS W/M360020923650450481.75
TRT SHOULDER CLSD DISLOCA ProFee3610197
TRT T-MANDIULAR DISLOCATE360021121480450486.75
TUBE ENDOTRACHEAL ALS400006754125
TUBE ENDOTRACHEAL ALS 2400009354121.5
TUBE NASO GASTRIC ALS400005154125
TUBE THORACOSTOMY (PRO FEE)3610037
TUBE THORACOSTOMY ER Charge3600045325514501063
Tetracaine .5% 15ml400014254755.25
Tt-pod combat, Trauma Pelvic Orthotic Device4000972547187.25
VAGINAL DELIVERY3600213594094503260.25
VAGINAL DELIVERY ONLY ProFee3610201
VASOTEC 1.25MG IM/IV400016554738.75
VECURONIUM 10MG IM/IV4000149547241.25
VENIPUNCTURE 3YR OR OLDER36002153641045035
Venipuncture, Cutdown; Age 1 Or Over
Vented IV Tubing400014654113
WAITING TIME 30 MIN400006954147.25
WATER STERILE IRRIG 500ML400000954143.75
WEDGE EXCESION OF NAIL492049311765
WEDGE EXCESION OF NAIL ProFee3610231
XOPONEX 1.25MG CONCENTRAT400019954730
90471 THS Flu Vaccine Administration fee492025790471
90887 INTERPJ/EXPLNAJ RESULTS PSYCHIATRIC EXAM FAMILY
99213 OV/OP VISIT EST PT L-3492005799213
99394 Preventive Medicine Established Patient - 12 to 17 years492029999394
99406 Tobacco cessation counseling intensive > 10 minutes
ALZHEIMER EST LEV I
ALZHEIMER EST LEV II
ALZHEIMER EST LEV III
ALZHEIMER EST LEV IV
ALZHEIMER VISIT-EST
ALZHEIMER VISIT-NEW
Adjacent tissue transfer or rearrangement, trunk 10 sq cm or less
Advanced care planning additional 30 minutes 99498
Advanced care planning for 30 minutes
Annual Wellness Visit, Initial (AWV)
Annual Wellness Visit, Subsequent (AWV)
Antepartum Care 4-6 Visits - 59425
Antepartum Care 7 or More Visits - 59426
Assisted living established pt - Level 1
Assisted living established pt - Level 2
Assisted living established pt - Level 3
Assisted living new pt - Level 2
Assisted living new pt - Level 3
Assisted living new pt, low severity - Level 1
Attendance at Delivery
BX Muscle, Percutaneous Needle
Brief counseling alcohol misuse 15 minutes
Bypass graft, with other than vein
Cardio Critical Care 1 hour
Cardio Critical Care 30 min
Cardio Office Visit Est 10 Min
Cardio Office Visit Est 15 Min
Cardio Office Visit Est 25 Min
Cardio Office Visit Est 40 Min
Cardio Office Visit Est 5 Min
Cardio Office Visit NP 10 Min
Cardio Office Visit NP 20 Min
Cardio Office Visit NP 30 Min
Cardio Office Visit NP 45 Min
Cardio Office Visit NP 60 Min
Cardiology ED visit level 1
Cardiology ED visit level 2
Cardiology ED visit level 3
Cardiology ED visit level 4
Cardiology ED visit level 5
Cardiovas stress test using maximal/submaximal treadmill or bike exercise, cont.electrocardiographic
Cardiovas stress test using maximal/submaximal treadmill or bike exercise, cont.report only
Chronic Care Management
Chronic Care Management - G0511
Critical Care Services Evaluation and Treatment for Each Additional 30 Minutes - 99292
Critical Care Services Evaluation and Treatment for First 30 - 74 Minutes - 99291
Critical Care Services Evaluation and Treatment for First 30 - 74 Minutes
Critical Care Services Evaluation and Treatment for First 30 - 74 Minutes Professional - 99291
DPH - General Physical Exam
Debridement open wound ongoing care per session first 20 sq cm or less
Delivery/birthing room resuscitation, PPV or chest compression
Depression screening
Dietary Consult Follow Up
Dietary Consult Initial (15min)
Domicil/r-home care supervision of patient, 15-29 min
Domicil/r-home care supervision of patient, 30 min or more
Domiciliary or rest home visit for est patients (History, Examination and MDM)
Domiciliary or rest home visit for est patients (History, Examination and MDM of low complexity)
Emergency Department Nursing Visit Level 1
Emergency Department Nursing Visit Level 2
Emergency Department Nursing Visit Level 3
Emergency Department Nursing Visit Level 4
Emergency Department Nursing Visit Level 5
Emergency Department Visit Level 1 - 99281
Emergency Department Visit Level 3 - 99283
Emergency Department Visit Level 4 - 99284
Emergency Department Visit Level 5 - 99285
Emergency Dept Visit Level 2 - 99282
Exc of rectal tumor, transanal approach
Excision tumor soft tissue abd wall 3cm
Excision tumor soft tissue abd wall 5 cm or greater
G0437-Tobacco cessation counseling intensive > 10 minutes
Health And Behavior Intervention, Each 15 Minutes, Face-To-Face; Family (W/O The Patient Present)
Health and behavior intervention, each 15 minutes, face-to-face; family (with the patient present)
Hemoglobin POC.492052985018
Hm Vis For E&M Of Estab Pat,Req At Least 2:Comp Inter Hx,Exam;Med Dec Making Mod-High Complx;Care
Hme Vis For E&M Of New Pat,Req:Comp Hx,Exam;Med Dec Making Of High Complx;Care Consist W Prob
Home Health Care Plan Oversight 15-29 Mins Per Month Charge
Home Visit Level 1 Established - 99347
Home Visit Level 1 New - 99341
Home Visit Level 2 Established - 99348
Home Visit Level 2 New - 99342
Home Visit Level 3 Established - 99349
Home Visit Level 3 New - 99343
Home health CPO is indicated for the supervision of a patient under the care of certified HH agency
Hospital Discharge Management 30 min or Less - 99238
Hospital Discharge Management More Than 30 min - 99239
I&D Hip Joint Deep Abscess Infected Bursa
Individual psychotherapy, approximately 45-50 min with medical evaluation and management services
Initial Annual Wellness Visit Charge
Initial Hospital Care Level 1 - 99221
Initial Hospital Care Level 2 - 99222
Initial Hospital Care Level 3 - 99223
Initial Inpatient Consult Level 3 - 99253
Initial Inpatient Consultation Level 1 - 99251
Initial Inpatient Consultation Level 2 - 99252
Initial Inpatient Consultation Level 4 - 99254
Initial Inpatient Consultation Level 5 - 99255
Initial Nursing facility care (History, Examination and MDM)
Initial Nursing facility care (History, Examination and MDM of moderate complexity)
Initial Observation Care Level 1 - 99218
Initial Observation Care Level 1
Initial Observation Care Level 2 - 99219
Initial Observation Care Level 3 - 99220
Initial eval mgmnt of pt an annual nsg facility assessment. Physician spends 45 minutes
Initial hosp care,per day, for E&M of normal newborn infant adm & d/c same day
Initial hospital or birthing center care, per day, for E&M of normal newborn infant
Initial hospital or birthing cntr care, per day, for eval and mgmt of normal newborn infant same day
Initial hospital, per day, for E&M of normal newborn infant admitted and discharged on the same date
Initial inpatient neonatal critical care, per day, critically ill neonate, >28 days
Initial preventive exam
Ins Phy - Age 18-39492030199395
Interactive psychiatric diagnostic interview examination
Interrogation device evaluation (in person) with physician analysis, review and report, connection
Interrogation device evaluation (in person) with physician analysis, review and report, includes con
Life Insurance Physical - 99450
MD Application of forearm cast
MD Application of long arm cast
MD Application of short leg cast
MD Application of short leg cast; walking
MD arthrocentesis, aspiration and or injection small joint or bursa
Montana State Fund - written questions that require written response from provider
No Charge Visit - RMHO492036799499
Nursing Facility Discharge Management 30 min or Less - 99315
Nursing Facility Discharge Management More Than 30 min - 99316
Observation Care Discharge
Observation Care Discharge - 99217
Observation/ Same Day Inpatient Care Level 1 - 99234
Observation/ Same Day Inpatient Care Level 3 - 99236
Observation/Inpatient, Admit-D/C Same Day Care Level 2 - 99235
Office Consultation Level 4 - 99244492017199244
Office Consultation Level 5 - 99245492017399245
Office Visit Level 4 New - 99204492087399204
Office Visit Level 5 New - 99205
Office/OP Established Visit Level 1 99211
Office/OP Established Visit Level 2 99212492009399212
Office/OP Established Visit Level 4 99214492088399214
Office/OP Established Visit Level 5 99215
Office/OP Established Visit Level 5 SC 99215
Office/OP Established Visit Level 1 SC 99211
Office/OP Established Visit Level 2 SC 99212
Office/OP Established Visit Level 3 SC 99213
Office/OP Established Visit Level 4 SC 99214
Office/OP New Visit Level 1 99201492007199201
Office/OP New Visit Level 1 SC 99201
Office/OP New Visit Level 2 99202492007399202
Office/OP New Visit Level 2 99202
Office/OP New Visit Level 2 SC 99202
Office/OP New Visit Level 3 99203492007599203
Office/OP New Visit Level 3 SC 99203
Office/OP New Visit Level 4 992049920499204
Office/OP New Visit Level 4 SC 99204
Office/OP New Visit Level 5 99205492007999205
Office/OP New Visit Level 5 99205 Tech Chg492006999215
Office/OP New Visit Level 5 SC 99205
Office/Other Outpatient Consultation Level 1 - 99241492013799241
Office/Other Outpatient Consultation Level 2 - 99242492016799242
Office/Other Outpatient Consultation Level 3 - 99243492016999243
Office/Outpatient Urgent Care Visit Level 1 New - 99201
Office/Outpatient Urgent Care Visit Level 2 New - 99202
Office/Outpatient Urgent Care Visit Level 4 New - 99204
Office/Outpatient Urgent Care Visit Level 5 New - 99205
Office/Outpatient Urgent CareVisit Level 3 New - 99203
Office/Outpatient Visit Level 1 Established - 99211492009199211
Office/Outpatient Visit Level 1 New - 99201
Office/Outpatient Visit Level 2 Established - 992129921299212
Office/Outpatient Visit Level 2 New - 99202
Office/Outpatient Visit Level 3 Established - 99213492006599213
Office/Outpatient Visit Level 3 New - 99203
Office/Outpatient Visit Level 4 Established - 99214
Office/Outpatient Visit Level 5 Established - 99215
Oncology Est Patient Visit Level 2
Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation
Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculations
Ophthalmological services: medical examination and evaluation with initiation of diagnostic
Ophthalmological services: medical examination,evaluation w/ initiation of diag and treatment pgm
Ophthalmological services: medical examination and evaluation, w/ initiation or continuation of diag
Ophthalmological services: medical exam and eval with initiation or continuation of diag; comprehens
Orthoptic and/or pleoptic training, with continuing medical direction and evaluation
Osteopathic manipulative treatment (OMT); 5-6 body regions involved492192798927
Outpatient Office Consultation
Pharmacologic management, including prescription, use, and review of medication
Phys Supervsn,Pat Receiv Medicare-Coverd Srv Prov By Part Hha Req Complx&Multidisc Care Modalities
Physician Standby Service Requiring Prolonged Physician Attendance Each 30 Minutes - 99360
Postoperative Follow-Up Visit Included in Global Service - 99024
Postpartum Care only - 59430
Preventive Medicine 1-4 years Established - 99392492089599392
Preventive Medicine 1-4 years Established
Preventive Medicine 1-4 years Est - 99392.
Preventive Medicine 1-4 years New - 99382492088799382
Preventive Medicine 12-17 years Established - 99394492089999394
Preventive Medicine 12-17 years New - 99384492089199384
Preventive Medicine 12-17 years Est - 99394.
Preventive Medicine 18-39 years Established - 99395492090199395
Preventive Medicine 18-39 years New - 99385492095199385
Preventive Medicine 18-39 years Established
Preventive Medicine 18-39 years Est - 99395.
Preventive Medicine 40-64 years Established - 99396492030399396
Preventive Medicine 40-64 years New - 99386492029199386
Preventive Medicine 40-64 years Est - 99396.
Preventive Medicine 5-11 years Established - 99393492089799393
Preventive Medicine 5-11 years Established
Preventive Medicine 5-11 years Est - 99393.
Preventive Medicine 5-11 years New - 99383492088999383
Preventive Medicine 65+ years Established - 99397492030599397
Preventive Medicine 65+ years Est - 99397.
Preventive Medicine 65+ years New - 99387492029399387
Preventive Medicine < 1 year Established - 99391492089399391
Preventive Medicine < 1 year Est - 99391.
Preventive Medicine < 1 year New - 99381492088599381
Preventive Medicine Counseling And/Or Risk Factor Reduction Intervention(S), Individual;15 Min
Prof services for the supervision of preparation and provision antigens allergen immunother single
Prof services for the supervision of preparation and provision antigens allergen immunother 2+
Prolonged Eval And Mgmt Service Before And/Or After Direct Patient Care; Each Additional 30 Minutes
Prolonged Physician Service Inpatient with Direct Patient Contact Each Additional 30 Minutes - 99357
Prolonged Physician Service Inpatient with Direct Patient Contact First Hour - 99356
Prolonged Physician Service Outpatient with Direct Patient Contact First Hour - 99354
Prolonged Physician Service Outpatient with Direct Patient Contact Each Addl 30 Minutes - 99355
Prolonged Physician Service Without Direct Patient Contact First Hour - 99358
Psychiatric diagnostic interview examination
RMNC Hospital Discharge 30 min or less - 99238
RMNC Hospital Discharge > 30 min - 99239
RMNC OFC/OUTPT E/M Estab Low-Mod 15 min
RMNC Office Consult Level 5 - 99245
RMNC Office/OP Established Visit Level 1 99211
RMNC Office/OP Established Visit Level 2 99212
RMNC Office/OP Established Visit Level 4 99214
RMNC Office/OP Established Visit Level 5 99215
RMNC Office/OP New Visit Level 1 99201
RMNC Office/OP New Visit Level 3 99203
RMNC Office/OP New Visit Level 3 99202
RMNC Office/OP New Visit Level 4 99204
RMNC Office/OP New Visit Level 5 99205
RMNC Subseq Hospital Care Level 1 - 99231
RMNC Subseq Hospital Care Level 2 - 99232
RMNC Subseq Hospital Care Level 3 - 99233
Screening alcohol misuse
Sensorimotor examination w/ multiple measurements of ocular deviationwith interpretation and report
Service(s) provided in the office during regularly scheduled evening, weekend, or holiday hours492199999051
Shaving of epidermal or dermal lesion trunk, arms or legs over 2.0cm
Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0
Subsequent Annual Wellness Visit Charge
Subsequent Hospital Care Level 1 - 99231
Subsequent Hospital Care Level 2 - 99232
Subsequent Hospital Care Level 3 - 99233
Subsequent Observation Care - Detailed
Subsequent Observation Care - Expanded Problem Focused
Subsequent Observation Care - Problem Focused
Subsequent Observation Care Level 1
Subsequent Observation Care Level 2
Subsequent Observation Care Level 3
Subsequent eval mgmnt of pt an annual nsg facility assessment. Physician spends 25 minutes
Subsequent hospital care, per day, for evaluation and management of normal newborn
Subsequent inpatient neonatal critical care
Subsequent intensive care, per-day, for the E/M of recovering infant (wt grams))
Subsequent nursing facility care (History, Examination and MDM
Subsequent nursing facility care (History, Examination and MDM of low complexity
Subsequent nursing facility care (History, Examination and MDM of moderate complexity)
Subsequent nursing facility care, per day, for the eval and mgmt of a patient, High complexity
Subsequent observation care, per day
Subsequent observation care, per day 35 min
Subsequent observation care, per day, for the evaluation and management of a patient,w/ 2 key
Therapy for cardiovascular disease
Thrombectomy artery/vein graft w/revision of artery or venous graft
Tobacco cessation counseling intermediate
Transitional Care Management high complexity w/i 7 Days
Transitional Care Management high complexity w/i 14 Days
Unlisted Evaluation and Management Service
Vision Acuity Screening
Visual field examination, unilateral or bilateral, with interpretation and report; ext examination
Welcome MC Preventative
Work Related Or Medical Disability Exam By Treating Physician Medical History; Exam; Diagnosis,
Work Related or Medical Disability Insurance Evaluation by Other Than Treating Provider - 99456
annual nursing facility assessment visit
closed tx of fx distal tibia w/ traction or manipulation
initial hospital care of the neonate who requires intensive intervention but is not critically ill
Anoscopy Charge
Colorectal CA Screen High Risk; Colonoscopy Medicare Charge
Colorectal CA Screen Non-High Risk; Colonoscopy Medicare Charge
Medicare prostate screening exam
Prostate CA Screen; Digital Rectal Exam Medicare Charge
.%fPSA Reflex LC
.AFB ID by DNA Probe Rflx AST LC
.ANA Reflex Panel PSPC
.Aerobic Bacteria ID by Seq LC
.Aerobic Bacteria, ID by Seq. LC
.Aerobic ID by MALDI LC
.Anaerobic Bacteria ID by Seq LC
.Anaerobic Bacteria, ID by Seq. LC
.Anaerobic ID by MALDI LC
.Anti-Centromere B Abs LC
.Anti-Jo-1 LC
.Anti-dsDNA Antibodies LC
.Antichromatin Abs LC
.Antiribosomal P Abs LC
.Antiscleroderma-70 Abs LC
.Body Fluid Cult LC
.Cardiolipin (Phospholip) Ab IgM/IgG AMS
.Deletion/Duplication LC
.ENA+DNA/DS+Antich+Centro+Jo... LC
.ENA+DNA/DS+Sjorgen's LC
.FLT3 Inter. Tandem Dup(Itd) PCR LC
.FVII ACT+PT 1:1 NP LC
.Factor V Leiden Mutation LC
.Fibrinogen Activity+Antigen LC
.GTT - 1Hr
.GTT 2 Hour (75gm)
.GTT 3 Hour (100gm)
.GTT 3 Hour (75gm)
.GTT Glucose Fasting42000838294730062.5
.GTT-1 Hr42002808295130080.5
.GTT-2 Hr420027982951300160.5
.GTT-3 Hr420000582952300180.75
.GTT-4 Hr420028282952300259.5
.GTT-5 Hr
.HAV IgM LC
.HCV Ab Verification LC
.HCV Real-Time, PCR, Quant LC
.HIV 1/2 Supplemental Ab Test LC
.HPV, high-risk LC
.HPV, low volume rfx LC
.HSV Viral Identification LC
.Hepatitis C Genotype LC
.Hexagonal Phase Phospholipid LC
.Immunofixation Elect LC
.Lupus Anticoagulant Eval AMS
.Lyme, Western Blot, Serum LC
.M. marinum Susceptibility LC
.MAC Susceptibility Broth LC
.Methadone Conf GC/MS LC
.Mold ID by Sequencing LC
.Mold, ID by Sequencing LC
.Mtb AST Confirmation LC
.Mtb Susceptibility Broth LC
.Mycobacteria ID by MALDI LC
.Mycobacteria ID by Seq LC
.Mycobacteria, ID by Seq. LC
.Nocardia ID by MALDI LC
.Nocardia ID by Sequencing LC
.Nocardia Susceptibility Broth LC
.Nocardia, ID by Sequencing LC
.Opiates Confirmation, Urine LC
.Org ID by Sequencing Rflx AST LC
.Organism Identification 1 LC
.Organism Identification 2 LC
.Organism Identification 3 LC
.Organism Identification 4 LC
.Organism Identification 5 LC
.Organism Identification 6 LC
.PTT-LA Incub Mix LC
.PTT-LA Mix LC
.RNP Abs LC
.Rapid Grower Broth Suscep LC
.STVN BB Crossmatch Request
.Sjoren's SSA LC
.Sjoren's SSB LC
.Slow Grower Broth Suscep LC
.Smith Abs LC
.Smith/RNP Abs LC
.TT Mix+TTN LC
.Thyroglobulin by IMA LC
.Thyroglobulin by RIA LC
.Varicella Viral Identification LC
.Yeast ID by MALDI LC
.Yeast ID by Sequencing LC
.Yeast, ID by Sequencing LC
.dRVVT Confirm LC
10 Panel Drug Screen421024930065.5
17-Hydroxyprogesterone, Urine CVT
17-OH Progesterone LC
183558 Giardia lamblia, direct detection EIA and Cryptosporidium, Direct Detection EIA
2 Hour Postprandial Glucose
2hr Postprandial42002778295030068
4 Hr GTT
5 Hiaa, 24 Hr Urine, With Creatinine QST
5 Hr GTT.
5 Panel Drug Screen421024730134.25
5-HIAA Qn, Random Urine LC
5-HIAA,Quant.,24 Hr Urine LC
551781 HIV-1 Genosure Archive
6 Panel Drug Screen421025130140
A. Alternata IgE CPL42111058600330234.25
A. Fumigatus IgE CPL42111068600330234.25
A. NIger IgE CPL42111078600330234.25
ABO Rh
ABO/RH(D) PSPC
ACID FAST BACTERIA, PSPC
ACTH CPL421004982024302263.75
ACTH, Plasma LC
AFB Culture (Sputum/Bronc Wash) PSPC
AFB Culture and Smear AMS
AFB Culture/Stain AEL
AFB ID by DNA Probe LC
AFP Maternal Serum Screen 4 NAH
AFP Quad Scrn PSPC
AFP Tetra LC
AFP With AFP-L3% LC
AFP, Quad Screen
AFP, Serum, Tumor Marker LC
AFP, Triple Screen
AFP, Tumor Marker CPL42100338210530136.25
AFP/HCG/UE3/DIA MATERNAL SERUM IHC
ALP Isoenzymes PSPC
ALPHA-FETOPROTEIN (AFP); AFP-L3 FRACTION ISOFORM AND TOTAL AFP (INCLUDING RATIO
AMA+ASMA+LKM Ab LC
AML Fish Panel LC
AMPHETAMINES, SERUM/PLASMA QUANT PSPC
ANA Ab Reflex Cascade LC
ANA Autoimmune Profile CPL421111186038302107
ANA Cascade NAH
ANA Comprehensive Panel
ANA Comprehensive Panel (Ref)
ANA Comprehensive Panel LC
ANA Comprehensive Plus Profile LC
ANA Non-Reflex To Titer CPL
ANA Screen, IFA with Reflex to Titer/Pattern/Cascade QST
ANA w/ Reflex CPL42100738603830254
ANA w/Reflex LC
ANA w/Reflex if Positive LC
ANA+CCP(IgG/A) Antibodies LC
ANCA IP
ANCA Panel (Ref)
ANCA Panel LC
ANCA Screen CVT
ANCA Screen with Reflex to Titer QST
ANTIEXTRACTABLE NUCLEAR + ANGIOTENSION CONVERTING
APRI Score XN
ASO Titer CPL421059986060302117
Ab Screen
Ab to Extractable Nuclear Ag Eval NAH
Acetaminophen Level420001580329301194.75
Acetone Ql42000178200930165
Acetylcholine Antibody Panel IP
Acetylcholine Receptor Ab, All LC
Acid Fast Smear+Culture (Ref)
Acid Fast Smear+Culture LC
Acid Fast Smear+Culture W/Rflx LC
Acid Fast Stain & Culture
Actin (Smooth Muscle) Ab IgG CVT
Actin (Smooth Muscle) Antibody LC
Acute Hepatitis Panel
Acute Hepatits Panel, CPL421059380074302103.5
Adalimumab and Anti-Adalimumab Ab AMS
Adalimumab and Anti-Adalimumab Ab NLL
Adalimumab+Ab (Serial Monitor) LC
Adiponectin CPL421894583520301320.5
Adrenocorticotropic Hormone CVT
Adult Food Allergy Panel IP
Aerobe ID and Suscept LC
Aerobic & Anaerobic Culture Profile CPL
Aerobic Bacterium ID x3 QST
Aerobic Culture Send Out QST
Aggressive B Cell Lymphoma LC
Alanine Aminotransferase42001178446030186.5
Albumin CPL42000198204030163.5
Albumin Level42000198204030168
Albumin/Creatinine Ratio, Urine AMS
Alcohol Level420002180320301181
Aldolase CPL421005782085301161
Aldolase CVT
Aldolase LC
Aldosterone CPL42100598208830166.75
Aldosterone CVT
Aldosterone LCMS, Serum LC
Aldosterone/Plasma Renin Activity Ratio LC/MS/MS QST
Aldosterone/Renin Activity Ratio IHC
Aldosterone/Renin Activity Ratio
Aldosterone/Renin Ratio (Ref)
Aldosterone/Renin Ratio LC
Alk Phos Isoenzyme (Ref)
Alk Phos Isoenzyme LC
Alkaline Phosphatase42000238407530162.75
Alkaline Phosphatase Iso QST
Alkaline Phosphatase Isoenz AEL
Alkaline Phosphatase Isoenzymes CPL421110484080301134.75
Alkaline Phosphatase Isoenzymes AMS
Alkaline Phosphatase Isoenzymes SV
Allergen Basic Foods Profile, PSPC
Allergen Pediatric 3 - 6 Years LC
Allergen Profile, Basic Food LC
Allergen Profile, Food-Citrus LC
Allergen Profile, Food-Fish LC
Allergen Profile, Food-Fruit LC
Allergen Profile, Latex Plus LC
Allergen Profile, Mold LC
Allergen Profile,Zone 11 SV
Allergen Shell Fish Profile ALI
Allergen,Resp Panel Region 15 IHC
Allergens w/Total IgE Area 12 LC
Allergens w/Total IgE Area 13 LC
Allergens w/Total IgE Area 14 LC
Allergens w/Total IgE Area 15 LC
Allergens w/Total IgE Area 19 LC
Allergens, Inhalants, Profile 18 IgE ALI
Allergens, Mold Profile ALI
Allergens, Ped Allergy, March Profile IgE ALI
Allergens, Seafood Profile ALI
Allergens, Zone 19 LC
Allergens, Zone 6 LC
Allergy Panel - Mold QST
Allergy Profile A (ie.NE Rast) IgE ALI
Allergy Profile, Pediatric IgE, IHC
Allergy, Food Comprehensive Profile 1 ALI
Allergy, Food,Profile 13 ALI
Allergy,Common Adult Food ALI
Allermetx Amer. Cockroach IgE CPL42111098600330234.25
Almond IgE CPL42111108600330234.25
Alpha Fetopro,L3 CVT
Alpha Fetoprotein Tumor Marker CVT
Alpha-1 Antitrypsin CVT
Alpha-1 Antitrypsin Phenotype PSPC
Alpha-1-Antitrypsin (AAT) Quantitation and Phenotype QST
Alpha-1-Antitrypsin CPL421006182103301160.5
Alpha-1-Antitrypsin Phenotyp (Ref)
Alpha-1-Antitrypsin Phenotyp LC
Alpha-1-Antitrypsin, Serum LC
Alpha-Fetoprotein Tetra Profile SV
Alpha-Thalassemia DNA LC
Alprazolam, Serum CPL
Ammonia CPL
Ammonia Level420002582140301116
Amph Confirm Mec NAH
Amphetamine Screen420002730169.5
Amylase Creat Clearance Ratio
Amylase Isoenzymes (Ref)
Amylase Level420002982150301110.75
Amylase Level 24 Hour Urine
Amylase, Random Urine W/Creatinine QST
Ana+Ena+Dna/DS+Sjogre LC
Anaerobe ID and Suscept (Ref)
Anaerobe ID and Suscept LC
Anaerobic Culture Send Out QST
Anaerobic and Aerobic Culture LC
Anaerobic/Aerobic/Gram Stain LC
Anal(Rectal) Cytology, LBP (Chart) LC
Anaplasma Phagocytophilum PSPC
Anemia Panel RCMH
Anemia Profile 2
Anemia, Megaloblastic, Serum (Ref)
Angio Converting Enzyme CPL
Angiotensin-Converting Enzyme LC
Animal Epi/Dander/Feather Mix Profile ALI
Anti C3 and Anti IgG QST
Anti ENA (Smith + RNP Ab) IP
Anti- Parietal Cell Ab CVT
Anti-C1Q Antibocy, IgG CPL4211114302178.75
Anti-Centromere Antibody CVT
Anti-DNA(SS)IgG, Ab, Qn LC
Anti-Double Strand DNA Ab CVT
Anti-Mullerian Hormone CPL421895183520301280.5
Anti-Mullerian Hormone LC
Anti-Nuclear Ab Screen CVT
Anti-Sjogren Ab (SS-A,SS-B) IP
Anti-Smith Antibody QST
Anti-Streptolysin O Ab CVT
Anti-Thyroid ABS PSPC
Anti-Thyroid Ab
Anti-dsDNA Antibodies LC
Antiadrenal Antibody Screen With Reflex To Titer QST
Antibody Identification LC
Anticardiolip Ab, IgA/G/M, Qn (Ref)
Anticardiolip Ab, IgA/G/M, Qn LC
Anticardiolipin Ab IgG, IgM
Anticardiolipin Ab Panel IgA, IgM, IgG
Anticardiolipin Ab, IgG, Qn LC
Anticardiolipin Ab, IgG/M, Qn LC
Antidepressant Drug Screen AMS
Antiextractable Nuclear Ag (Ref)
Antiextractable Nuclear Ag LC
Antineutrophil Cytoplasmic Ab (Ref)
Antineutrophil Cytoplasmic Ab LC
Antineutrophil Cytoplasmic Ab Reflex To MPO/PR3AB SV
Antinuclear Antibodies Direct LC
Antinuclear Antibody Screen NAH
Antipancreatic Islet Cells LC
Antiphospholipid Antibody Panel QST
Antiphospholipid Antibody Panel CPL
Antiphospholipid Syndrome Comp LC
Antiscleroderma-70 Antibodies LC
Antistreptolysin O Ab LC
Antithrombin Activity LC
Antithrombin III Activity CPL421895385300301131.5
Antithrombin III, Func/Immunol (Ref)
Antithrombin III, Func/Immunol LC
Apolipoprotein A1 and B, P CDR
Apolipoprotein B CVT
Apolipoprotein B LC
Apolipoprotein B/A Ratio IP
Arbovirus Battery AEL
Arginine Vasopressin CVT
Arterial Bld Gas Complete
Arterial Blood Gas RT Complete
Arterial Blood Gas RT Standard
Arterial Blood Gas RT Standard
Arterial Blood Gas Standard
Arterial Cord Blood Gas RT Standard
Arthritic/Collagen Disease l
Aspartate Aminotransferase42001158445030184.5
Aspergillus Abs, Quantitative DID (Ref)
Autoimmune Hepatitis Panel IP
Autoimmune Liver Disease Evaluation with Reflex to Smooth Muscle Ab (SMA), IgG by IFA ARUP
B Natriuretic Peptide CPL
B pertussis IgA Ab LC
B pertussis IgA IgG LC
B pertussis IgG Ab LC
B pertussis IgG/IgM Ab LC
B. Cinerea IgE CPL42111178600330234.25
B. pertussis/parapertus PCR CVT
B.pertussisB.parapertussis PCR (Ref)
B.pertussisB.parapertussis PCR LC
B2 Microglobulin, Serum CVT
B2Glycoprotein I Abs, IgG/IgM IHC
BB ABO/Rh Request
BB RhIg Workup
BCID Panel (BioFire)
BCID Panel (FilmArray)
BCR-ABL (M-TH only) (Ref)
BCR-ABL (M-TH only) LC
BCR-ABL1 Kinase Domain LC
BCR-ABL1 kinase domain (Ref)
BCR-ABL1, Quant, CML Monitoring (P210) CPL421112381206412
BCR-ABL1, Quant, Minor (P190) CPL421112481207412
BF Lactate Dehydrogenase CVT
BILL ALPHA PAIN CARE PHYSICIANS PANEL-URINE COM
BILL ALPHA PAIN CARE PHYSICIANS PANEL-URINE MCR
BILL BARBITURATES-COM
BILL BARBITURATES-MCR
BILL BH 607
BILL BH1004
BILL BH1008
BILL BH1011
BILL BH1016
BILL BH102
BILL BH1023
BILL BH1025
BILL BH1027
BILL BH1029
BILL BH1033
BILL BH1033.93
BILL BH1035
BILL BH1043
BILL BH1044
BILL BH1048
BILL BH1059
BILL BH1078
BILL BH1084
BILL BH109
BILL BH1090.4
BILL BH1099
BILL BH1106
BILL BH1107
BILL BH1109
BILL BH1111
BILL BH1114
BILL BH1117
BILL BH1118
BILL BH1121
BILL BH1124
BILL BH1125
BILL BH1126
BILL BH1128
BILL BH1137
BILL BH1140
BILL BH1151
BILL BH1155
BILL BH1157
BILL BH1158
BILL BH1159
BILL BH1160
BILL BH1161
BILL BH1164
BILL BH1181
BILL BH1183
BILL BH1184
BILL BH1194
BILL BH1198
BILL BH1203
BILL BH1205
BILL BH1207
BILL BH1208
BILL BH1210
BILL BH1215
BILL BH1217
BILL BH1220
BILL BH1222
BILL BH1223
BILL BH1227
BILL BH1237
BILL BH1239
BILL BH1240
BILL BH1242
BILL BH1244
BILL BH1246
BILL BH1249
BILL BH1254
BILL BH1273
BILL BH1282
BILL BH1287
BILL BH1301
BILL BH1303
BILL BH1318
BILL BH1328
BILL BH1337
BILL BH1345
BILL BH1364
BILL BH151
BILL BH1690
BILL BH173
BILL BH1766.81
BILL BH182
BILL BH1955
BILL BH1995
BILL BH200
BILL BH2015
BILL BH214
BILL BH217
BILL BH2473
BILL BH2477
BILL BH25
BILL BH2515
BILL BH2531
BILL BH2545
BILL BH2583
BILL BH2637
BILL BH325
BILL BH423.93
BILL BH427
BILL BH431
BILL BH439
BILL BH47
BILL BH473
BILL BH525
BILL BH559
BILL BH602
BILL BH627.95
BILL BH628
BILL BH642
BILL BH644
BILL BH650
BILL BH652
BILL BH660
BILL BH661
BILL BH662
BILL BH664
BILL BH665
BILL BH686
BILL BH689
BILL BH690
BILL BH694
BILL BH702
BILL BH716
BILL BH721
BILL BH761
BILL BH774
BILL BH778
BILL BH782
BILL BH790.93
BILL BH794
BILL BH796
BILL BH801
BILL BH802
BILL BH803
BILL BH81
BILL BH811
BILL BH812
BILL BH815
BILL BH824
BILL BH84
BILL BH843
BILL BH845
BILL BH862
BILL BH864
BILL BH867
BILL BH868
BILL BH873
BILL BH892
BILL BH896
BILL BH909
BILL BH912
BILL BH915
BILL BH917
BILL BH923
BILL BH925
BILL BH927
BILL BH931
BILL BH935
BILL BH942
BILL BH943
BILL BH946
BILL BH948
BILL BH950
BILL BH952
BILL BH958
BILL BH960
BILL BH966
BILL BH970
BILL BH971
BILL BH989
BILL BH995
BILL BMM BLUE DIAMOND MED SPA PAIN PANEL-URINE-COM
BILL BMM BLUE DIAMOND MED SPA PAIN PANEL-URINE MCR
BILL BUPRENORPHINE-COM
BILL BUPRENORPHINE-MCR
BILL BUTORPHANOL-COM
BILL BUTORPHANOL-MCR
BILL CYCLOBENZAPRINE-COM
BILL CYCLOBENZAPRINE-MCR
BILL DRUG SCREEN 10R MCR
BILL DRUG SCREEN 10R-COM
BILL DRUG SCREEN 11R MCR
BILL DRUG SCREEN 11R-COM
BILL FENTANYL-COM
BILL FENTANYL-MCR
BILL GABAPENTIN-COM
BILL GABAPENTIN-MCR
BILL HEROIN METABOLITE MCR
BILL HEROIN METABOLITE-COM
BILL KETAMINE-COM
BILL KETAMINE-MCR
BILL LITTLE RIVER HEALTHCARE PAIN PANEL-ORAL FLUID COM
BILL LITTLE RIVER HEALTHCARE PAIN PANEL-ORAL FLUID MCR
BILL MALE PHYSICIANS CENTER PA PAIN PANEL-COM
BILL MALE PHYSICIANS CENTER PA PAIN PANEL-URINE MCR
BILL MARIJUANA METABOLITE(THC-COOH)-COM
BILL MARIJUANA METABOLITE(THC-COOH)-MCR
BILL METHADONE-COM
BILL METHADONE-MCR
BILL METHAMPHETAMINE2-COM
BILL METHAMPHETAMINE2-MCR
BILL METHYLPHENIDATE-$
BILL METHYLPHENIDATE-COM
BILL NALTREXONE-COM
BILL NALTREXONE-MCR
BILL NL CENTER FOR ORTHO AND SPORTS MED REFLEX PANEL-URINE COM
BILL NL CENTER FOR ORTHO AND SPORTS MED REFLEX PANEL-URINE
BILL NL DRAB FUQUA FAMILY PRACTICE AND UC REFLEX PANEL-URINE COM
BILL NL DRAB FUQUA FAMILY PRACTICE AND UC REFLEX PANEL-URINE
BILL NL MASON PARK MED CLINIC REFLEX PANEL-URINE COM
BILL NL MASON PARK MED CLINIC REFLEX PANEL-URINE
BILL NL MINH LE MD REFLEX PANEL-URINE COM
BILL NL MINH LE MD REFLEX PANEL-URINE
BILL OF CODEINE-$
BILL OF CODEINE-COM
BILL OF GABAPENTIN-COM
BILL OF GABAPENTIN-MCR
BILL OF HYDROCODONE-COM
BILL OF HYDROCODONE-MCR
BILL OF ZOLPIDEM-COM
BILL OF ZOLPIDEM-MCR
BILL POS BUPRENORPHINE-COM
BILL POS BUPRENORPHINE-MCR
BILL POS COCAINE-COM
BILL POS COCAINE-MCR
BILL POS HEROIN METABOLITE1-COM
BILL POS HEROIN METABOLITE1-MCR
BILL POS HEROIN METABOLITE4-COM
BILL POS METHADONE-COM
BILL POS METHADONE-MCR
BILL POS PCP-COM
BILL POS PCP-MCR
BILL POS THC/CANNABINOIDS-COM
BILL POS THC/CANNABINOIDS-MCR
BILL PREMIER PAIN CONSULTANTS SCREEN AND CONFIRM PANEL-URINE COM
BILL PREMIER PAIN CONSULTANTS SCREEN AND CONFIRM PANEL-URINE MCR
BILL REFLEX FAMILY HEALTH CENTER OF BASTROP PAIN PANEL-URINE COM
BILL REFLEX FAMILY HEALTH CENTER OF BASTROP PAIN PANEL-URINE MCR
BILL ROCKDALE PAIN MGMT CONSTANT PANEL-URINE COM
BILL ROCKDALE PAIN MGMT CONSTANT PANEL-URINE MCR
BILL ROCKDALE PAIN MGMT REFLEX PANEL-URINE COM
BILL ROCKDALE PAIN MGMT REFLEX PANEL-URINE MCR
BILL SILSBEE FAMILY MEDICINE PAIN PANEL-URINE COM
BILL SILSBEE FAMILY MEDICINE PAIN PANEL-URINE MCR
BILL SOUTH TEXAS SPINAL CLINIC PAIN PANEL-URINE COM
BILL SOUTH TEXAS SPINAL CLINIC PAIN PANEL-URINE MCR
BILL SPINE AND PAIN CENTER OF SAN ANTONIO-URINE COM
BILL SPINE AND PAIN CENTER OF SAN ANTONIO-URINE MCR
BILL SPRINTZ CENTER FOR PAIN AND DEPENDENCY PANEL-URINE COM
BILL SPRINTZ CENTER FOR PAIN AND DEPENDENCY PANEL-URINE MCR
BILL TMA AMC REFLEX PAIN PANEL-URINE COM
BILL TMA AMC REFLEX PAIN PANEL-URINE MCR
BILL TMA AMC WORK COMP REFLEX PAIN PANEL-URINE COM
BILL TMA AMC WORK COMP REFLEX PAIN PANEL-URINE MCR
BILL TMA DEM REFLEX PAIN PANEL-URINE COM
BILL TMA DEM REFLEX PAIN PANEL-URINE MCR
BILL TMA VO REFLEX PAIN PANEL-URINE COM
BILL TMA VO REFLEX PAIN PANEL-URINE MCR
BILL TMA WALKER REFLEX PAIN PANEL-URINE COM
BILL TMA WALKER REFLEX PAIN PANEL-URINE MCR
BILL TRAMADOL-COM
BILL TRAMADOL-MCR
BILL URGENT BEHAVIORAL HEALTH CARE PANEL-ORAL FLUID COM
BILL URGENT BEHAVIORAL HEALTH CARE PANEL-ORAL FLUID MCR
BILL VALIDATION PANEL (VP) COM
BILL VALIDATION PANEL (VP) MCR
BILL ZOLPIDEM- COM
BILL ZOLPIDEM-MCR
BK Quant PCR (Plasma/Serum) LC
BK Vir DNA Quant RT PCR, Ur CVT
BK Vir DNA RT-PCR CVT
BK Virus DNA Quant, QST
BK Virus QNT PCR, Urine IP
BK Virus Qn PCR, Urine IP
BRCAssure Comprehensive Test LC
BUN 24 Hour Urine
BUN/Creat Ratio
BUN/Creatinine
Babesia Microti ABS IgG/IgM, PSPC
Babesia Species By PCR CPL
Babesia microti Ab Panel LC
Bahia Grass IgE CPL42111188600330234.25
Banana IgE CPL42111198600330234.25
Barbiturate Screen420003330169.5
Barley IgE CPL
Bartonella AB
Bartonella Antibodies, IgG, IgM AMS
Bartonella Antibody Panel (Ref)
Bartonella Antibody Panel LC
Bartonella Henselae/Quintana Abs AEL
Bartonella henselae Antibodies (IgG, IgM) with Reflex to Titer QST
Basic Lymphocyte Subset Analysis By Flow Cytometry CPL42111208636030291
Basic Metabolic Panel2420016780048301145
Beef IgE CPL42111258600330234.25
Benzodiazepine Screen420003530169.5
Bermuda Grass IgE, CPL42111268600330234.25
Beta 2 Glycoprotein I Ab (IgG, IgA, IgM) QST
Beta HCG, Quantitative CVT
Beta-2 GP1 AB Panel NLL
Beta-2 Glycoprotein 1 Abs AMS
Beta-2 Glycoprotein 1 Abs, IgG & IgM ALI
Beta-2 Glycoprotein 1 IgG/IgM CPL42111278614630285.5
Beta-2 Glycoprotein Antibodies SV
Beta-2 Glycoprotein I Ab, G/M LC
Beta-2 Glycoprotein I Ab,G,A,M (Ref)
Beta-2 Glycoprotein I Ab,G,A,M LC
Beta-2 Glycoprotein I IgG/M/A AEL
Beta-2 Glycoprotein IgA CPL
Beta-2 Microglobulin CPL42106018223230068.75
Beta-2 Microglobulin, Serum LC
Bile Acids LC
Bilirubin - Total, Direct, Indirect
Bilirubin Direct42001918224830172.75
Bilirubin Indirect
Bilirubin Total42001898224730172.75
Bilirubin Total & Direct CVT
Bilirubin Total and Direct
Bilirubin, Direct CPL
Bilirubin, Direct CVT
Bilirubin, Fractionated QST
Bilirubin, Total CVT
Bill 216655 EBV Acute Infection Abs
Bill 40 Baseline Panel
Bill 40 Follow-Up Panel
Bill 41 Female Hormone w/Hysterectomy Panel
Bill 42 Female Hormone w/o Hysterectomy Panel
Bill 43 Male Hormone Panel
Bill 44 Thyroid Panel
Bill 45 Rheum Auto Immune Panel
Bill 46 Baseline Panel
Bill 47 Follow-Up Panel
Bill 48 Baseline Panel
Bill 49 Baseline Panel
Bill 50 Follow-Up Panel
Bill 51 Baseline Panel
Bill 52 Follow-Up Panel
Bill 602641 Allergens w/ total Ige Area 11
Bill 77 Foster Panel
Bill ALVARADO SPINE AND PAIN CENTER - URINE
Bill Antigen Screen x 2 [i]
Bill Antigen Screen x 3 [i]
Bill Brucella IgG/IgM, Qst
Bill Cyto, Hemosiderin, Urine
Bill DOT Drug Screen Fee421025930140
Bill DOT Drug Screen No Kit421025330180.25
Bill FESCO Drug Screen421025530028.5
Bill FISH CML/ALL BCR/ABL, Qst
Bill General Health Panel 10420028580050310560.75
Bill Genosure Integrase
Bill Immunoglobulin G Subclass Panel QST
Bill Leukemia/Lymph Panel
Bill Lymphocyte Act
Bill Newborn Screening
Bill Non-DOT Drug Screen Fee421026130137.5
Bill Non-DOT Drug Screen No Kit421025730180.25
Bill Only - APOLIPRPROTEIN
Bill Only - Adiponectin
Bill Only - Boston Heart Cholesterol Balance™
Bill Only - Boston Heart HDL Map™
Bill Only - Lipid Panel
Bill Only - ORGANIC ACID SINGLE QUANT
Bill Only - QUANTITATIVE RIA 2
Bill Only - QUANTITATIVE RIA 5
Bill Only 2 MASS SPECTROMETRY QUANT
Bill Only 3 Assay of Opiates
Bill Only 3 MASS SPECTROMETRY QUANT
Bill Only 4 Assay of opiates
Bill Only Assay of amitriptyline
Bill Only Assay of benzodiazepines
Bill Only Assay of opiates
Bill Only BBREF ABO/Rh Grouping
Bill Only BBREF Drugs Dependent Antibody Studies
Bill Only BBREF Extended Phenotype
Bill Only BBREF Thermal Amplitude
Bill Only COLUMN CHROMOTOGRAPH/ISOTOPE
Bill Only DRUG SCREEN CLASS LIST A
Bill Only DRUG SCREENING BARBITURATES
Bill Only DRUG SCREENING OXYCODONE
Bill Only MASS SPECTROMETRY QUANT
Bill PKU (Phenylketonuria)[i]
Bill Panel 53 Thyroid RX w/o TPO
Bill Panel 54 BioTE Male Patient Pre-Pellet
Bill Panel 55 BioTE Female Post Pellet
Bill Panel 56 BioTE Male Post Pellet
Bill Panel 57 BioTE Female Post Pellet
Bill Panel 58 BioTE Female New Patient Pre-Pellet
Bill Panel 59 Baseline
Bill Panel 60 Follow-Up Panel
Bill Pap, Conventional Diagnostic
Bill Pap, Smear Conventional Screening
Bill Pap, Thin Prep Diagnostic
Bill Pap, Thin Prep Screening
Bill Profile 4 Baseline
Bill Profile 4 Follow-Up
Bill Profile 5 Baseline
Bill Profile 5 Follow-UP
Bill Respiratory Allergy Profile Region X : OK, TX QST
Bill TSH W/HAMA Treatment, Qst
Bill VAP Cholesterol
Bipolaris Spicifera IgE CPL42111298600330234.25
Bleeding Time42002838500230578.5
Blood Culture ID Panel PCR SV
Blood Culture PCR - GPC NAH
Blood Culture PCR-GNR NAH
Blood Gas Arterial
Blood Gas Arterial - Chem 5 POCT
Blood Gas Arterial with Co-Ox POCT
Blood Smear Pathologist Review CVT
Blood Urea Nitrogen42001218452030178.5
Blood Urea Nitrogen42001218452030178.5
Blood Urea Nitrogen42001218452030178.5
Body Fluid Cell Count 442002178905030965
Body Fluid Cell Count and Differential Standard
Body Fluid Culture (Aerobic and Anaerobic) AMS
Bone Marrow Aspiration [i]
Bordetella IgG/IgM/IgA CPL
Bordetella Panel Rapid
Bordetella Pertussis Ab AEL
Bordetella Pertussis IGM/IGG IP
Bordetella Pertussis QST
Bordetella Pertussis-Parapertussis NLL
Bordetella pertussis Antibody (IgG), MAID QST
Brain Natriuretic Peptide (BNP)420025583880301134.75
Breath Alcohol42102588207530028.5
Brucella Antibodies SV
C DIFFICILE EIA
C Diff Ag & Toxin
C Diff Ag and Toxin
C Difficile Cytotoxin Ab CPL421113087230235.5
C Reactive Protein CPL421054186140302108.5
C- Peptide CVT
C-1 Esterase Inhibitor IP
C-Peptide CPL42105598468130136.75
C-Peptide, Serum LC
C. Diff Antigen and Toxin
C. Diff Cult, Rflx Cytotoxin Cell Assay CPL421113187015775.75
C. Diff Toxin B By PCR CPL421896987493301144.5
C. Difficile Gdh Reflex Toxin/PCR CPL42111338732496.25
C. Globosum IgE* CPL
C. Herbarum IgE CPL42111358600330234.25
C. Lunata IgE CPL42111368600330234.25
C. difficile PCR CVT
C. trach/N. gonorr DNA, SDA QST
C.DIFFICILE EIA PSPC
C1 Inhibitor Protein QST
C3 CPL42104738616030240
C4+C3 LC
CA 125 Antigen CVT
CA 125 CPL42100358630430287.75
CA 19-9 CVT
CA 27.29 CPL42100398630030231.25
CA 27.29 LC
CANDIDA AB IGG, IGA, IGM, ELISA
CARDIOLIPIN AB, IgG & IgM IHC
CBC (INCLUDES DIFF/PLT) WITH PATHOLOGIST REVIEW
CBC w/ Auto Diff420007185025305119.25
CBC w/ Diff CPL420007185025305111.5
CBC w/ Differential CVT
CBC w/Man Diff Standard
CBC with Manual Diff
CBG With Free Cortisol (Ref)
CCP Antibodies IgG/IgA LC
CCP IgG CPL421108986200302119.5
CD20 CPL42111398635630265.25
CD57 For Lyme Disease CPL421114086359302128.5
CEA CPL42100478237830164.75
CEA LC
CH50 CPL42102058616230240
CK Electrophoresis IP
CK Isoenzymes CPL421114882552124.75
CK Isoenzymes SV
CK Total And CKMB SV
CK, CKMB w/Index
CK, Total CPL42000758255030190.5
CK, Total+Isoenzymes, Serum (Ref)
CK, Total+Isoenzymes, Serum LC
CK-MB with Rel Index
CKMB CPL42000638255330190.5
CKMB PSPC
CLL FISH Panel LC
CMP 10420010580053301160.75
CMP 16420010580053301160.75
CMP CPL420010580053301150.25
CMV Abs IgG/IgM LC
CMV Antibodies IP
CMV Antibodies IgG And IgM SV
CMV Culture IP
CMV PCR LC
COLLECTION: Arterial Draw
COLLECTION: Venous Draw42001493641530027
CONNECTIVE TISSUE DISEASES PROFILE
COPPER 24 HOUR URINE
CORTISOL, URINE FREE BY LCMSMS IHC
CRP HS CPL42111638614130242.75
CSF CULTURE CDR
CSF Cell Count 10
CSF Cell Count 642002058905030965
CSF Cell Count w/ Differential
CT/NG, TMA Urine CPL421116587491117
CTNG Xpert
Ca+Creat+P+PTH Intact LC
Ca+PTH Intact LC
Calcitriol(1,25 di-OH Vit D) LC
Calcium CPL
Calcium Level Total42002118231030162.75
Calcium, 24 Hr Ur PSPC
Calcium, 24Hr Urine LC
Calcium, Ionized CPL42104898233030140
Calcium, Ionized, Serum LC
Calcium, Random Urine (w/ Creatinine) QST
Calcium, Random Urine LC
Calcium, Ur 24hr CVT
Calcium, Urine, 24 Hr CPL
Calcium/Crea Ratio Urine Spot
Calcium/Creatinine Ratio LC
Calcium/Creatinine Ratio, Random Urine NLL
Calculi, Urinary LC
Calprotectin Fecal LC
Calprotectin Stool CVT
Campylobacter Culture LC
Cancer AntIgen 19-9 CPL421003786301302254.75
Cancer Antigen (CA) 15-3 LC
Candida Antibodies IgG,IgA,IgM LC
Cannabinoid Confirmation, Ur LC
Carbamazepine Level420023380156301232.5
Carbamazepine(Tegretol), LC
Carbohydrate Antigen 19-9
Carbon Dioxide Level42002218237430169.5
Carcinoembryonic Ag CVT
Cardiac Enzymes
Cardiac Panel
Cardiac Panel 11
Cardiac Panel 2
Cardiac Panel 3
Cardiac Panel Standard
Cardio IQ Advanced Lipid Panel QST
Cardio IQ Apolipoprotein Evaluation QST
Cardiolipin ABS, IgA, M, G PSPC
Cardiolipin Ab (IgA, IgG, IgM) QST
Cardiolipin Ab (IgG,IgM) QST
Cardiolipin Ab IgG,IgM,And IgA AEL
Cardiolipin Abs CPL421113786147302101.75
Cardiolipin Antibodies IP
Cardiolipin Antibody SV
Cat Epithelium IgE CPL42111388600330234.25
Cat Scratch Fever Abs IgG/IgM ALI
Catecholamines & VMA, 24Hr Urine
Catecholamines, Fractionated CVT
Catecholamines, Ur 24hr CVT
Catecholamines,Ur.,Free,24 Hr LC
Cedar, Red IgE* CPL
Cel Dis AB Prof PSPC
Celiac Ab Profile SV
Celiac Ab tTG DGP TIgA LC
Celiac Dis Ab Screen w/Rfx PSPC
Celiac Disease Ab Panel AEL
Celiac Disease Ab Screen w/Rfx LC
Celiac Disease Comprehensive Ab Profile
Celiac Disease Comprehensive LC
Celiac Disease Comprehensive Panel QST
Celiac Disease Genotype CPL421114381376301342.5
Celiac Disease HLA DQ Assoc. LC
Celiac Disease II LC
Celiac Disease Panel CPL4219060183516301146.25
Celiac Disease Panel LC
Celiac Disease Profile IV NLL
Celiac Panel QST
Celiac Reflexive Panel ALI
Celiac Reflexive Panel IHC
Cell Count, Fluid CVT
Cell Ct+Cryst+Mucin(Synovial) LC
Cell Ct, Serous Fluid LC
Cell count, Synovial w crystals, LC
Central Texas IgE Panel CPL
Centromere Ab IP
Cerebrospinal Fluid Culture Send Out QST
Ceruloplasmin CPL421047982390301130
Ceruloplasmin CVT
Ceruloplasmin LC
Chem 5 Art POCT
Chem 5 Ven POCT
Chem 6 Art POCT
Chem 6 Ven POCT
Chikungunya AB w/Rflx to Titer CVT
Chikungunya Abs, IgG/IgM LC
Chikungunya Virus RNA Ql PCR LC
Childhood Allergy IgE CPL
Childhood Allergy Profile QST
Chlam/ GC Nucleic Acid Screen AMS
Chlamydia GC DNA Probe IP
Chlamydia Pneumoniae Ab Panel PSPC
Chlamydia Psittaci IgM/IgG AbS AEL
Chlamydia Trachomatis Antibodies QST
Chlamydia Trachomatis RNA, TMA QST
Chlamydia Trachomatis and N gonorrhoeae AMS
Chlamydia Trachomatis/GC by Aptima WMC
Chlamydia trachomatis Culture, (Ref)
Chlamydia trachomatis PCR CVT
Chlamydia/GC Amplification (Ref)
Chlamydia/GC Amplification LC
Chlamydia/GC DNA Amplification, PCR
Chlamydia/GC, DNA Probe LC
Chlamydia/GC, PCR DLS
Chlamydia/N. Gonorrhoeae RNA, TMA QST
Chlmy/GC DNA Pr Amp PSPC
Chloride Level42002198243530149
Chloride Level 24 Hour Urine
Chloride, 24Hr Urine LC
Chloride, Random Urine CPL42104858243630117.25
Chloride, Ur CVT
Cholesterol High Density Lipid420013583718301134.75
Cholesterol Low Density Lipids420007083721301113
Cholesterol Total42001878246530162.75
Chromatin Antibody CVT
Chromium CPL
Chromium and Cobalt, WB (MoM) LC
Chromium, Plasma CVT
Chromogranin A CPL421114786316302190.75
Chromogranin A LC
Chromosome Analysis
Chromosome Analysis Blood QST
Chromosome Analysis, CLL/LPD QST
Chromosome, Blood, Routine (Ref)
Chromosome, Blood, Routine LC
Circulating Lupus Assessment AEL
Citalopram CPL
Citric Acid Level
Citric Acid,24 Hour Urine (With Creatinine) QST
Client Bill Breath Alcohol42102588207530028.5
Clobazam, Serum CPL42111498033930180.25
Clonazepam CPL
Clopidogrel CYP2C19 Genotype CVT
Clostridium Difficile Toxin AEL
Co-Ox Art POCT
Co-Ox Ven POCT
Co-Oximetry
Co-Oximetry Arterial Standard
Co-Oximetry Venous Standard
Cobalt, Blood CVT
Cocaine Screen420003730169.5
Coccidiodes Antibodys IP
Coccidioides Abs, IgG/IgM, EIA LC
Coccidioides Antibodies NAH
Coccidioides Immitis Antibodies LC
Cocklebur IgE CPL42111508600330234.25
Cockroach, German IgE CPL42111518600330234.25
Comp panel: Leukemia/Lymphoma LC
Complement C4 CVT
Complement C3 & C4 CPL42111528616030280.25
Complement C3 CVT
Complement C3, Serum LC
Complement C4 CPL42104758616030640
Complement C4, Serum LC
Complement, Total (CH50) LC
Complement,CH50 Total CVT
Compliance Drug Analysis, Ur LC
Comprehensive Metabolic Panel + e-GFR CPL
Comprehensive Thyroglobulin LC
Connective Tissue Disease w/reflex, S CDR
Copper Serum LC
Copper, Ur 24Hr PSPC
Cord Blood Eval PSPC
Cord Drug Toxicology PRL
Cortisol - PM LC
Cortisol 1 Hour
Cortisol AM LC
Cortisol Free, Ur 24hr CVT
Cortisol LC
Cortisol Random CVT
Cortisol Stimulation 3 Samples
Cortisol, ACTH Stimulation (Ref)
Cortisol, AM CPL42111538253330140
Cortisol, AM/PM LC
Cortisol, Free, Urine
Cortisol, PM CPL
Cortisol, Random CPL42111548253330162
Cortisol, Urinary Free LC
Cortisol, Urine Free CPL42111558253030162
Cortisol/Cortisone, Free Urine 24Hr PML
Cosyntropin Stim Test Full IP
Cotinine, Urine CPL42111568030230139.5
Cotton Seed IgE CPL42111578600330280.25
Cottonwood IgE CPL42111588600330234.25
Coxsackie A Ab Panel CPL42111598665830234.25
Coxsackie A9 Ab CPL
Coxsackie B Ab CPL42111618665830268.5
Coxsackie B Virus Ab IP
Coxsackie Virus Group B Ab (Ref)
Cr Cl, (w/o Ser Cr) PSPC
Cranberry IgE CPL
Creatine Kinase42000758255030196.75
Creatine Kinase Isoenzymes QST
Creatine Kinase-MB42000638255330196.75
Creatinine42000778256530172.75
Creatinine42000778256530172.75
Creatinine42000778256530172.75
Creatinine 2
Creatinine Clear Ur 24h CVT
Creatinine Clearance (w/o Serum Creat)
Creatinine Clearance 1420013782575301160.75
Creatinine Clearance CPL
Creatinine Clearance Standard
Creatinine Level 24 Hour Urine
Creatinine Level Urine42000658257030186.5
Creatinine, Ur 24hr CVT
Crohn'S Ibdx Prognostic Panel LC
Cryoglobulin and Cryofibrinogen Panel AMS
Cryoglobulin w/Reflex if Indicated CVT
Cryoglobulin, Panel NLL
Cryoglobulin, Qualitative Reflex To IgG, IgA, IgM CPL421116482595301149
Cryoglobulin, Qualitative, Serum w/Quant Reflex LC
Cryptosporidium Ag, DFA QST
Crystals, Body Fluid CPL
Crystals, Body Fluid PRL
Crystals, Fl CVT
Ct, Ng, Trich vag by NAA LC
Ct/GC NAA, Pharyngeal LC
Ct/GC NAA, Rectal LC
Culture Aerobic ALI
Culture Aerobic, Sputum PSPC
Culture Anaerobic ALI
Culture Cerebrospinal Fluid ALI
Culture Respiratory Upper ALI
Culture Sputum ALI
Culture Stool IP
Culture Transfusion Reaction ALI
Culture, AFB w Smear CVT
Culture, Aerobic and Anaerobic QST
Culture, Anaerobic CPL
Culture, Blood CPL
Culture, Body Fluid CPL420019987070306152.25
Culture, Body Fluid w/GS CVT
Culture, Fluid NLL
Culture, Fungus (Other) QST
Culture, Fungus Skin, Hair CPL42102158710130673
Culture, Fungus w/ Smear CVT
Culture, Fungus, Blood QST
Culture, Fungus, Skin, Hair, Nail with DF/KOH QST
Culture, Genital CPL
Culture, Group B Streptococcus NLL
Culture, Herpes Simplex /Typ CVT
Culture, Mrsa CPL
Culture, Mycobacterium (AFB) QST
Culture, Nasal CPL420017387070306141
Culture, Respiratory NLL
Culture, Routine CPL421116687070306152.25
Culture, Rubeola (Measles) ARUP
Culture, Sputum CPL
Culture, Sputum w/GS CVT
Culture, Stool
Culture, Stool NLL
Culture, Stool CVT
Culture, Stool QST
Culture, Stool w/ Escherichia coli NLL
Culture, Strep B - Pregnancy CPL
Culture, Throat CPL
Culture, Urine CPL420017787088306155
Culture, Urine CVT
Culture, Urine QST
Culture, Viral, Non-Respiratory CPL87252306
Culture, Wound (Aerobic/Anaerobic incl. Gram Stain) NLL
Culture, Wound w/GS CVT
Culture-AFB PML
Culture-AFB PML
Culture-Fungus PML
Cyclic Citrulline Peptide IgG CVT
Cyclospora Smear, Stool LC
Cyclosporine LC-MS/MS LC
Cyclosporine, Monoclonal CVT
Cystatin C LC
Cystic Fibrosis Genotyping, 39 Mutations (Cf 39) CPL
Cystic Fibrosis Profile LC
Cytogenomic SNP Microarray ARUP
Cytomegalovirus (CMV) Ab, IgG LC
Cytomegalovirus (CMV) Ab, IgM LC
Cytomegalovirus (CMV) IgG And Igm Antibody Panel, Elisa (Csf) QST
Cytomegalovirus Ab (IgG, IgM) QST
Cytomegalovirus Ab, IgG + IgM NLL
Cytomegalovirus Ab, IgG and IgM, S CDR
Cytomegalovirus Abs IgG/IgM ALI
D-Dimer CPL42111708600330234.25
D-Dimer, High Sensitivity CVT
D. Farinae IgE CPL42101398537930153.5
D. Pteronyssinus IgE CPL42111698600330234.25
DHEA Sulfate CPL42101098262730140.75
DHEA Sulfate CVT
DNA DS Ab QST
DNA DS Antibody CPL42110938625530264.25
DNA DS Antibody Reflex CPL42111728625530280.25
DNase B Ab CPL42111738621530241.75
Dehydroepiandrosterone (DHEA) LC
Dehydroepiandrosterone Sulfate LC
Dengue Fever Ab IgG, IgM CVT
Dengue Fever Antibodies (IgG, IgM) PML
Dengue Virus IgG and IgM (Ref)
Dengue Virus IgG and IgM LC
Des Gamma Carboxy Prothrombin LC
Dexamethasone CVT
Dexamethosone Suppression Test IP
Digoxin Level420005980162301191.75
Dihydrotestosterone CPL421117182542305101.75
Dihydrotestosterone LC
Dilantin Level420005780185301208.5
Diphtheria / Tetanus Antibody Panel SV
Direct Coombs CPL
Dog Dander IgE CPL42111748600330234.25
Drug Abuse Panel 9, Serum CVT
Drug Confirm Opiate, Expanded NLL
Drug Screen Austin/20 CPL42111758030130140.75
Drug Screen Cord
Drug Screen Employer421098930145
Drug Screen Hair IP
Drug Screen Stat
Drug Screen w/ Reflex Confirm, LC
Drug Screen, Cord
Drugs of Abuse Screen Urine IP
E coli Shiga Toxin EIA LC
E. Purpurascens IgE CPL42111768600330234.25
EBV AB Panel ALI
EBV Ab Profile, S CDR
EBV Ab VCA IgG, LC
EBV Ab VCA IgM, LC
EBV Acute Infection Antibodies (Ref)
EBV Acute Infection Antibodies LC
EBV Early Antigen Ab Prof, Qn LC
EBV, Chronic/Active Infection LC
ED Cardiac Panel RCMH
ENA+DNA/DS+Antich+DNA/SS+Sc LC
Echinococcus IgG CPL42111778668230275
Egg White IgE CPL42111788600330234.25
Ehrlichia Ab Panel NLL
Ehrlichia Ab Panel LC
Ehrlichia Chaffeenisis Dna,Pcr AEL
Ehrlichia Chaffeensis IgG/IgM CPL42111798600330234.25
Ehrlichia HGE, IgG/IgM PSPC
Ehrlichia chaffeensis (IgG, IgM) QST
Ehrlichia/ Anaplasma Species by PCR ALI
Electrolyte Panel420006180051301110.75
Electrophoresis Serum IP
Electrophoresis Urine IP
Electrophoresis, Protein, 24 Hr U CDR
Electrophoresis, Protein, Random, U CDR
Electrophoresis, Protein, S CDR
Elm IgE CPL42111808600330234.25
Elm, Cedar/Fall IgE* CPL
Endo(IgA)+Glia(IgA/G)+Ret I... LC
Endomysial Antibody IgA LC
Endomysial Antibody, IGA Titer SV
English Plantain IgE CPL42111828600330234.25
Enteric Pathogens Culture, Stool CDR
Enterovirus Antibodies Pane ARUP
Enterovirus RNA, Qual R CVT
Epst-Barr Acute PSPC
Epstein Barr Ab Panel QST
Epstein Barr Panel (VCA IgG/IgM, Early, Ebna IgG) CPL
Epstein Barr Panel NAH
Epstein Barr Virus (EBV) Ab, IgG, IgM, EBNA NLL
Epstein Barr Virus Capsid,IgG CVT
Epstein Barr Virus Capsid,IgM CVT
Epstein Barr Virus Nuclear,IgG CVT
Epstein Barr Virus Panel AEL
Epstein Barr Virus Profile IP
Epstein-Barr Acute Profile
Epstein-Barr Chronic Active Profile
Epstein-Barr VCA IgG CPL
Epstein-Barr VCA IgM CPL
Epstein-Barr Virus (EBV) Acute Infection Antibodies Profile SV
Epstein-Barr Virus (EBV) Quantitative , PCR LC
Epstein-Barr Virus Serology AMS
Erythropoietin (EPO), Serum LC
Erythropoietin CPL42102318266830154.75
Erythropoietin CVT
Estradiol CPL42102398267030177.75
Estradiol LC
Estradiol Level Urine
Estradiol, Free QST
Estradiol, Sensitive, LC
Estradiol, Total CVT
Estradiol, Ultrasens CPL42111838267030180.25
Estriol, Serum LC
Estrogens Fractionated, S LC
Estrogens, E1+E2, fractionated, S CDR
Estrogens, Total LC
Estrone (E1) CPL42111848267930158.75
Estrone LC
Ethosuximide CVT
Extended Ova \T\ Parasite Test SV
Extractable Nuclear Antigen ABS PSPC
Extractable Nuclear Antigen Ab IP
Eye Culture Send Out QST
Eye Culture w/Gram Stain PRL
F2-Isoprostane/Creatinine (Ref)
FIRST TRIMESTER SCREEN
FISH,B Cell Lymphocytic Leukemia Panel QST
FSH + LH Profile CPL42101638300130180.5
FSH CPL42101638300130140.25
FSH and LH AMS
FSH and LH CDR
FSH and LH LC
FSH/LH IP
Factor II, DNA Analysis LC
Factor V (Leiden) IP
Factor V Activity CPL42111858522075
Factor V Activity PRL
Factor V Leiden CPL421030181241301351.25
Factor V Leiden Mutation LC
Factor V Mutation Analysis QST
Factor VIII Activity LC
Factor Viii Activity CPL42111868524075
Farr DNA Ds Ab CPL42111878622530280.25
Febrile Ab Panel IP
Fecal Fat CVT
Fecal Fat, Qualitative LC
Fecal Leukocytes42102458720530641
Fecal Leukocytes CPL42102458720530638
Fecal Occult Blood Immunochemical
Female/Children Testosterone Panel PSPC
Ferritin420012982728301200.25
Ferritin CPL420012982728301187.25
Ferritin CVT
Fibrin Degradation Product CVT
Fibrinogen CPL42100978538430593.5
Fibrinogen Evaluation Profile LC
Fire Ant IgE CPL
Firebush, Kochia IgE CPL42111888600330234.25
Fish Allergen Profile ALI
Fish Test, Urine
Fish, CML/All, BCR/ABL Translocation 9,22 QST
Fish, DiGeorge (VCFS)
Flu A and B Ag Screen
Folate (Folic Acid) CVT
Folate Level420003182746301248.75
Folate, RBC CPL42111898274730153.5
Folate, RBC LC
Folic Acid CPL42000318274630116
Follicle Stim Horm CVT
Food Allergen Profile II LC
Food Allergy IgE CPL
Food Allergy IgE Panel CPL
Food Allergy Panel (E95)
Food Allergy Panel Combo E+A
Food Allergy Profile QST
Food IgE Panel CPL
Food Panel 9 Allergens ALI
Food Panel CDR
Fractional Excretion Urea
Fractional Excretion  Uric Acid
Fragile X DNA IP
Fragile X Screen With Reflex CPL421119081243203.25
Fragile X with Reflex to Methylation ALI
Free Cortisol CPL
Free K+L Lt Chains Ur Qn (Ref)
Free K+L Lt Chains Ur Qn LC
Free K+L Lt Chains,Qn,S LC
Free Kappa/Lambda Light Chain
Free Light Chains, Serum CPL421119183883301150.25
Free Progesterone CPL
Free T3 CPL421025584481300107
Free T4420026184439301181
Free T4 CPL42105438443930116
Free Thyroxine Index (FTI) NLL
Free and Total Insulin (Ref)
Free and Total Insulin LC
Free/Total PSA PRL
Fructosamine CPL
Fructosamine LC
Fungal Antibodies, Quant (Ref)
Fungus (Mycology) Culture LC
Fungus Cult (HSN) w KOH QST
Fungus Culture With Stain LC
Fungus Culture/Stain AEL
G6PDH Activity (Ref)
G6PDH Activity LC
GAD 65 Ab CVT
GAD-65 Auto Ab LC
GC & Chlamydia Amplified, Swab CPL42111938749130664.25
GC & Chlamydia Amplified, Thinprep CPL42111948749164.25
GC & Chlamydia By TMA CPL42111958749130164.25
GC Amplified CPL
GC/Chlamydia - Amplified Probe AEL
GC/Chlamydia by PCR CVT
GGT CPL42000818297730164.5
GLIADIN IgG & IgA, PSPC
GM1 Antibody Panel IP
GTT (1st 3 Specimens)
GTT 2 Hour
GTT 2 Hr
GTT 3 Hour
GTT 3 Hr
GTT 3 Hr (Non-Obstetrics)
GTT 3-Hour
GTT 4 Hr
GTT 4 Hr.
GTT 5 Hr
GTT OB 3 Hour
GTT, 3 Hour 100 gms
GTT, 3 Hour 75 gms
GTT-1 Hour
GTT: 1HR 100 gm
GTT: 1HR 50 gm
GTT: 1HR 75 gm
GTT: 3 hr 100 gms
GTT: 3 hr 75 gms
GTT: 4 hr
GTT: 5 hr
GTT: 6 hr
Gastric Occult Blood42001098227130162.75
Gastrointestinal Panel (BioFire)
General Health Panel 1
General Health Panel 10420028580050310560.75
Genital Culture PSPC
Genital Mycoplasma Profile Aptima Swab LC
Genital Mycoplasma Profile Aptima Urine LC
Gentamicin CPL42105558017030190.75
Gentamicin, Trough CVT
Gentamicin, Peak CVT
Gentamicin, Trough Level CPL
Gestational GTT
Giardia & Cryptosporidium Ag CVT
Giardia / Cryptosporidium Antigen Screen AMS
Giardia Lamblia Direct Detection EIA, LC
Giardia/Cryptosporidium EIA (Ref)
Giardia/Cryptosporidium EIA LC
Gliadin (Deamidated) Ab, Eval, S CDR
Gliadin Ab IP
Gliadin Ab, Deamidated IgG/IgA AEL
Gliadin Antibodies IgG & A CVT
Gliadin Antibodies, IgG, IgA AMS
Gliadin IgG IgA Ab Prof (Ref)
Gliadin IgG IgA Ab Prof LC
Gliadin IgG, IgA Ab QST
Gliadin, IgG & IgA (RPS) PSPC
Glidin IgG & IgA
Glomerular Basement IgG CPL42111968351669.5
Glomerular Basement Membran Ab CVT
Glucose 3 Hour
Glucose 4 Hour
Glucose 5 Hour
Glucose 6 Hour
Glucose Level42000838294730162.75
Glucose POC Lab Request
Glucose Tolerance Test 2 Hour
Glucose Tolerance Test 3 Hour
Glucose Tolerance Test 4 Hour
Glucose Tolerance Test 5 Hour
Glucose Tolerance Test 6 Hour
Glucose Tolerance Test, 4 Hour
Glucose Tolerance Test, 5 Hour
Glucose Tolerance Test, 6 Hour
Glucose, Body Fluid LC
Glucose, CSF CVT
Gluten IgE CPL
Glycohemoglobin420016983036301125
Gonorrhea/Chlamydia Panel NAH
Goose Feathers IgE CPL42111978600330234.25
Gram Stain CPL
Gram Stain Evaluation With Sputum Culture Reflex LC
Gram Stain w/Sputum Cult Rflx LC
Gram Stain/Body Fluid Culture LC
Green Bean IgE* CPL
Group B Strep Screen Molecular
Growth Hormone, Serum LC
H Pylori AB, IgG, IgM, IgA NLL
H pylori, IgM, IgG, IgA Ab LC
H&H Test
H. Pylori420013386677302277.75
H. Pylori Ab
H. Pylori Ag, Stool CPL42103378733830669.5
H. Pylori IgG Antibody CPL42111988667730237.5
H. Pylori IgG, IgM, IgA Quant CPL
H. Pylori IgG/IgA Abs CPL
H. Pylori IgM Antibody CPL42111998667730237.5
H. Pylori Tissue420013486677302277.75
H. pylori Ag, Stool by EIA CVT
H. pylori Breath Test LC
H. pylori IgG, Abs LC
H. pylori Stool Ag, EIA LC
H1N1 PCR CVT
HAV/HBV (Profile VII) LC
HBV/HCV (Profile VIII) LC
HBc Total Ab, w/Reflex, S CDR
HCG, Quantitative CPL
HCV Ab w/Rflx to Verification LC
HCV FibroSure (Ref)
HCV FibroSure LC
HCV Genotyping Non Reflex LC
HCV RNA CPL421120187522300101.75
HCV RNA NAA Qual rfx to Quant LC
HCV RNA by PCR, Qn Rfx Geno LC
HCV RNA, PCR, Quant (Reflex to Genotyping LC
HCV RT-PCR, Quant (Graph) LC
HCV RT-PCR, Quant (Non-Graph) LC
HEP C ANTIBODY W/REFLEX PSPC
HEPA-Score IP
HEPATOCELLULAR CARCINOMA PANEL
HIV 1& 2, Rapid EIA
HIV CPL42189968738930231.75
HLA B-27 CPL42105898681230257.25
HLA B27 Disease Association LC
HLA Celiac Disease AEL
HLA-B27 CVT
HLA-DQ Oligotyping IP
HNK1 (CD57) Panel LC
HP5 LC
HPV Genotypes 16/18,45 LC
HPV High If Abnormal Thinprep CPL87624300
HPV High Risk With Genotype, Tp CPL42112118762430064.25
HSV (Herpes Simplex) By PCR SV
HSV 1 & 2 IgG ALI
HSV 1 IgM Screen CVT
HSV 1 and 2 IgM Abs, Indirect LC
HSV 1 and 2-Specific Ab, IgG (Ref)
HSV 1 and 2-Specific Ab, IgG LC
HSV 1/2 Ab IgG, CSF IHC
HSV 1/2 IgG Ab QST
HSV 1/2 IgM Ab QST
HSV 1/2 PCR CSF/BLOOD LC
HSV Ag AEL
HSV Culture and Typing LC
HSV I-II Type Specific IgG SV
HSV I-II Type Specific IgM SV
HSV I/II Combined AB Screen IGM ALI
HSV IgG Rflx I/II Type Sp LC
HSV NAA (Ref)
HSV NAA LC
HSV Type 1-Specific Ab, IgG LC
HSV Type 2-Specific Ab, IgG LC
HSV Types 1 and 2 Ab, IgG, S CDR
HSV Types 1/2 Ab NAH
HSV and VZV PCR Panel LC
HSV and VZV by PCR NLL
HSV, IgM I/II Combination LC
HSV1/HSV2 IgG Ab AEL
HSV1/HSV2(IgG/M) LC
HSVIG+HSVIIG+HSVIgM LC
HYPERSENSITIVITY PNEUMONITIS PANEL
Hackberry IgE* CPL
Hantavirus ABs PSPC
Hantavirus Ab IgM/IgG IP
Haptoglobin CVT
Haptoglobin, Quant CPL42103398301030146
Health Fair Male
Heavy Metal Profile II, LC
Heavy Metal Screen Blood IP
Heavy Metal Screen Urine IP
Heavy Metal Screen w/ Demographics NLL
Heavy Metal-Prof II Blood SV
Heavy Metals
Heavy Metals Panel, 24-Hour Urine QST
Heavy Metals Panel, Blood QST
Heavy Metals Profile 1, Blood (Ref)
Heavy Metals Profile 1, Blood LC
Heavy Metals Profile, Urine (Ref)
Heavy Metals Profile, Urine LC
Heavy Metals Screen, 24 hr Urine AMS
Heavy Metals, 24 Hr Urine
Heavy Metals, Blood AEL
Heavy Metals, Blood IHC
Heavy Metals, Urine
Helicobacter pylori Breath Test, Pediatric
Helicobacter pylori Breath Test, Adult
Helicobacter pylori Breath Tst CVT
Helicobacter pylori Culture LC
Helper T-Lymph-CD4 LC
Hematocrit42000888501430552.75
Hematocrit42000888501430552.75
Hematocrit42000888501430552.75
Hematocrit CPL42000888501430549.25
Hemochromatosis (HFE) PCR CPL42112028125696.25
Hemochromotosis Genotype IP
Hemoglobin42000878501830552.75
Hemoglobin42000878501830552.75
Hemoglobin42000878501830552.75
Hemoglobin A1C With EAG CPL420016983036306116.75
Hemoglobin A1C w/EAG & Int Chart CPL
Hemoglobin And Hematocrit CPL42000878501830598.5
Hemoglobin CPL42000878501830549.25
Hemoglobin Electrophoresis CPL42102678302030185.75
Hemoglobin Electrophoresis Cascade NLL
Hemoglobin Eval w/rflx to Electroph. ALI
Hemoglobin and Hematocrit
Hemoglobinopathy Eval QST
Hep A Ab, IgM LC
Hep A(Rflx To IgM) LC
Hep B Core Ab CPL42100898670430244.25
Hep B Core Ab Rflx IgM CPL421022768705302116.75
Hep B Surface Ag CPL421007787340302103.25
Hep B Surface Ab CPL42103538670630226.75
Hep B Surface Ab Qual LC
Hep Bs Ab Quant CPL42189868670630131
Hep C Ab CPL42101798680330247.25
Hep Prof 6 PSPC
Hepatic Function Panel CPL420017980076301142.25
Hepatic Panel 1420017980076301152.25
Hepatitis A Ab, Total w/Rfx to IgM QST
Hepatitis A Total Ab CPL42100918670830219.75
Hepatitis A, IgM CVT
Hepatitis A,Total CVT
Hepatitis ABC Profile CPL
Hepatitis Acute Panel CVT
Hepatitis B Core Antibody IgG + IgM
Hepatitis B Core IgM CPL421022786705302116.75
Hepatitis B Core, Total CVT
Hepatitis B Surf Ab Quant LC
Hepatitis B Surface Ag CVT
Hepatitis B Surface Ab, Quant CVT
Hepatitis B Virus (HBV) Evaluation Profile LC
Hepatitis B Virus (Profile VI) LC
Hepatitis B Virus DNA, Quant CVT
Hepatitis Be Ab CVT
Hepatitis Be Ag CVT
Hepatitis C Ab w/Reflex to HCV, RNA Qnt, RT-PCR QST
Hepatitis C Genotype CPL421898587902301433.75
Hepatitis C Viral RNA Genotype CVT
Hepatitis C Viral RNA, Quant CVT
Hepatitis E IGG/IGM
Hepatitis Panel (4) LC
Hepatitis Profile (A,B,C) CPL
Hepatitis Profile 6
Hepatitis Profile IP
Hered.Hemochromatosis, DNA LC
Herpes Simplex 1 IgG CPL421898786696301108.5
Herpes Simplex 1,2 IgM, PSPC
Herpes Simplex 1/2 IgG CPL
Herpes Simplex 1/2, IgG CVT
Herpes Simplex 1/2, IgG, IgM AMS
Herpes Simplex 1/2, IgM CVT
Herpes Simplex 1/2,DNA Qual CVT
Herpes Simplex 2 IgG CPL421898886696301108.5
Herpes Simplex Culture & Typing CPL
Herpes Simplex IgM CPL
Herpes Simplex Type I/II QST
Herpes Simplex Virus 1/2 by NAAT NLL
Herpes Simplex Virus Ab Panel IP
Herpes Simplex Virus IgG & IgM CPL42100098669630162
Herpes Simplex, HSV Types 1 and 2 AB, IgG and IgM NLL
Herpes Simplex/Varicella Zoster, Rapid Culture QST
Hgb A1c CPL420016983036301116.75
Hgb Frac. Profile LC
Histamine, 24 Hr Urine
Histone Ab IP
Histoplasma Antibody IP
Histoplasma Galactomannan Antigen, Urine QST
Homocyst(e)ine, Plasma LC
Homocysteine CPL42102658309030144.75
Homocysteine CVT
Homovanillic Acid, Ur 24Hr CVT
Honey Bee IgE CPL
Hops IgE* CPL
Horse D&er IgE CPL
Huntingtons Disease Panel IP
Hydroxyindoleacetic Acid, 5-,Random Urine QST
Hypercoagulable Panel PSPC
Hypersensitivity Pneumonitis #2 LC
Hypersensitivity Pneumonitis I IP
Hypersensitivity Pneumonitis II IP
Hyperthyroid Panel IP
IBD Expanded Panel (Ref)
IBD Panel IP
IEP, Urine AEL
IFE and PE, Random Urine LC
IFE and PE, Serum LC
IFE+Protein Electro, 24-Hr Ur LC
IGF-1 CPL42112128430585.5
IGF-1 LC
IGF-1 and IGF Binding Protein 3 AMS
IGF-BP3 LC
IGG SYNTHESIS RATE/INDEX, CSF
IGG Subclasses IP
IMMUNOFIXATION & PROTEIN ELECTR 24 HR UR PSPC
INFLUENZA ABS PANEL PSPC
INTERFERON BETA 1A QST
INTERFERON BETA 1B QST
IRON & IRON BINDING CAPACITY PSPC
IRON AND TOTAL IRON BINDING CAPACITY IHC
IgA LC
IgE+Allergens(23) LC
IgG Allergen, Cow Milk* CPL
IgG Allergen, Gluten CPL
IgG Subclasses 1-4
IgG Subclasses 1-4 LC
IgG Subclasses ALI
IgG Subclasses AMS
IgG Subclasses, Serum NLL
IgG Total And Subclasses IHC
IgG, IgM, IgA, IgE
IgG, Subclasses(1-4) (Ref)
IgG, Subclasses(1-4) LC
IgG,IgA, Indirect Immunoflorescence, Qst
IgG4 Food Panel II IBT, PSPC
Immunoelectrophoresis, Serum AMS
Immunoelectrophoresis, Urine AMS
Immunoelectrophoresis, Urine SV
Immunofix & Protein Electrophoresis
Immunofix & Protein Electrophoresis, 24 Hr Urine
Immunofix & Protein Electrophoresis With Immunoglobulin Quants, Serum CPL
Immunofix&SPEP CPL42190378415530180.25
Immunofixation & Protein Electrophoresis, Urine
Immunofixation + Protein Electrophoresis, Urine CPL42190388415530180.25
Immunofixation IgA, IgG, IgM Qt QST
Immunofixation, Ser CVT
Immunofixation, Serum
Immunofixation, Serum CPL42112188415530258.75
Immunofixation, Serum LC
Immunofixation, Urine CPL42112198633530258.75
Immunofixation, Urine IHC
Immunoglobins IgG, IgM, & IgA Quant
Immunoglobins IgG, IgM,IgA & IgE Quant
Immunoglobulin A (IgA) CPL42190058278430134.25
Immunoglobulin A CVT
Immunoglobulin A Subclasses QST
Immunoglobulin A, Quant. Serum LC
Immunoglobulin D, Quant, Serum LC
Immunoglobulin E CPL42190088278430122
Immunoglobulin E CVT
Immunoglobulin E, Total LC
Immunoglobulin Free Light Chains NLL
Immunoglobulin Free Light Chains, Serum AMS
Immunoglobulin G CPL42190068278430142.75
Immunoglobulin G CVT
Immunoglobulin G Subclasses QST
Immunoglobulin G, Qn, Serum LC
Immunoglobulin Light Chains, Urine AMS
Immunoglobulin M (IgM) CPL
Immunoglobulin M, Qn, Serum LC
Immunoglobulin Panel IP
Immunoglobulin Panel, Serum QST
Immunoglobulin Profile ALI
Immunoglobulin Total Light Chains, Urine NLL
Immunoglobulins A/E/G/M, Serum LC
Immunoglobulins A/G/M, Qn, Ser LC
Immunoglobulins IgG,A,M, S CDR
Immunoglobulins SV
Immunoglobulins, IgA, IgG, IgM CPL42190038278430161.75
Immunoglobulins, Quant
Immunoglobulins, Quant Serum AMS
Immunoglobulins, Quantitative PSPC
Immunoglubulin Panel NAH
Inflammatory Bowel Disease Panel AMS
Inflammatory Bowel Disease Panel ARUP
Inflammatory Bowel Disease-IBD (Ref)
Inflammatory Bowel Disease-IBD LC
Inflammatory Bowel Panel QST
Infliximab (IFX) Conc+ IFX Ab LC
Influenza A & B Antibodies42002658740030678.5
Influenza A & B by PCR
Influenza A & B, PCR
Influenza A & B, RSV by PCR
Influenza A & B, w/ PCR Reflex
Influenza A + B Rapid.
Influenza A H1N1 RT PCR (Ref)
Influenza A and B Antigens
Influenza A&B 2
Influenza A&B 3
Influenza A&B 5
Influenza A&B Rapid
Influenza A+B Rapid
Influenza A/B & RSV by PCR
Influenza Rapid Viral Culture LC
Influenza and RSV PCR NAH
Inhibin A CVT
Insulin (3 Specimens) LC
Insulin Abs LC
Insulin Autoantibody CVT
Insulin CPL42106258352530136.75
Insulin CVT
Insulin LC
Insulin Tolerance 2 Hr IP
Interpretation QST
Intrinsic Factor Ab CVT
Intrinsic Factor Antibodies CPL421020986340302153.75
Iodine, LC
Iodine, Serum CPL42112258301885.5
Iodine, Ur CVT
Iron420028183540301110.75
Iron & Iron Binding
Iron & TIBC Total Iron Binding Capacity
Iron & Tibc AEL
Iron Binding Capacity & Iron Total QST
Iron CPL
Iron Deficiency Panel
Iron Evaluation Panel IP
Iron Profile
Iron Profile PSPC
Iron Profile Standard
Iron Sat Panel NAH
Iron and Iron Binding ALI
Iron and Iron Binding Capacity ARUP
Iron and TIBC LC
Iron, IBC & % Saturation DLS
Islet Cell Antibody Scrn w/Tit CVT
Isoforms 25-Hydroxy Vit D CPL4211226112.25
Isolate Culture, Urine CPL
JAK2 V617F Mutation, Whole Blood CPL
JAK2 V617F, Qualitative, w/reflex QST
JC Virus DNA,PCR (Whole Blood) LC
JO-1 Antibody CPL
JO-1 Antibody CVT
Jak2 Gene V617F Mutation With Reflex To Calr, Mpl Codon 515 CPL421122781403305
Johnson Grass IgE CPL42112288600330234.25
June Grass IgE CPL42112298600330234.25
K&L Light Chains, Quant, Serum SV
Kappa Lambda Lite Chains,Ur CVT
Kappa-Lambda Free Light Chains,Qnt ALI
Kappa/Lambda Free Light Chains Qnt Ur ALI
Kappa/Lambda Light Chains, Free with Ratio QST
Kappa/Lambda Light Chains, Free with Ratio and Reflex to Immunofixation QST
Kappa/Lambda Lite Chains,Ser CVT
Keppra CPL42190148017730180.25
Ketones CVT
Kidney Stone Eval Panel PSPC
Kidney Stone Risk Panel IP
Kidney Stone Urine/Saturation (Ref)
Kidney Stone Urine/Saturation LC
L. pneumophila Serogp 1 Ur Ag LC
LC#LC # 080283
LD, Body Fluid LC
LDH CPL420009183615301103.5
LDH Isoenzymes SV
LDH LC
LDL Cholesterol (Direct) LC
LDL Direct CPL
LKM Ab CPL421046186376302193
LL Flow Cytometry
LOWER RESPIRATORY CULTURE CDR
LTT
Lacosamide CVT
Lactate Dehydrogenase420009183615301110.75
Lactate Dehydrogenase Isoenzymes ALI
Lactate Dehydrogenase Total CVT
Lactic Acid CPL
Lactic Acid CVT
Lamb's Quarter IgE CPL42112318600330234.25
Lamotrigine (Lamictal) CVT
Lamotrigine (Lamictal), Serum LC
Lamotrigine CPL421022180175301210
Lead, Bld CVT
Lead, Blood (Pediatric) LC
Lead, Venous CPL421017383655301114.25
Legionella IgG/IgM CPL
Leptin CPL421901382397301112.25
Leuk/Lymp # Markers QST
Leukemia/Lymphoma Evaluation QST
Leukocyte Phenotype IP
Leutinizing Hormone CPL42101658300230140.25
Levetiracetam (Keppra), S LC
Levetiracetam CVT
Lipase CPL420009383690301114.5
Lipase Level420009383690301122.5
Lipid Panel - Direct LDL CVT
Lipid Panel 10420006980061301292.75
Lipid Panel CPL420006980061301273.5
Lipid Panel with Direct LDL if indicated
Lipid Panel, Extended 0020468 ARUP
LipoFit by NMR 2013716 ARUP
Lipoprotein (A) LC
Lipoprotein (a) CVT
Lipoprotein Electrophoresis ARUP
Lipoprotein Electrophoresis IP
Lithium (Eskalith), Serum LC
Lithium CPL42104558017830117.75
Lithium CVT
Liver Fibrosis, Chronic Viral Hepatitis ALI
Liver Fibrosis, Fibro Test-ActiTest Panel AMS
Liver Fibrosis, FibroTest-ActiTest Panel, QST
Liver Kidney Microsome, IgG CVT
Lupus (SLE) Panel QST
Lupus Anticoag PRL
Lupus Anticoag Prof CDR
Lupus Anticoag Profile With reflex testing AMS
Lupus Anticoag/Cardiolipin Ab Panel PSPC
Lupus Anticoagulant
Lupus Anticoagulant Comp LC
Lupus Anticoagulant Eval w/ Reflex NLL
Lupus Anticoagulant Evaluation w/ Reflex QST
Lupus Anticoagulant Panel IHS
Lupus Anticoagulant Reflex (Ref)
Lupus Anticoagulant Reflex LC
Lupus Anticoagulant Screen, Reflex Confirmation CPL421907486376301254.75
Lupus Inhibitor Screen SV
Luteinizing Hormone CVT
Luteinizing Hormone(LH), S LC
Lyme Ab Reflex IB CPL42190158661730191
Lyme Ab Total w Reflex LC
Lyme Ab, Total/IgM Responses LC
Lyme Disease Ab, Total w/Refl WB (IgG, IgM) QST
Lyme Disease Ab, Western Blot, S CDR
Lyme Disease IgG Ab, Bld CVT
Lyme Disease IgG, IgM Ab QST
Lyme Disease IgG/IgM, Immunoblot CPL42190168661830153.5
Lyme Total Antibody CPL
Lyme, Western Blot, Serum (Ref)
Lyme, Western Blot, Serum LC
LymeAb+Bab(IgG/M)+Ehrlic LC
Lytes Urine NAH
M tuberculosis (GeneXpert)
M. Racemosus IgE CPL42112378600330234.25
MARK LE PAIN PANEL; STEVEN K CHON PAIN COMM PANEL
MENINGITIS/ENCEPHALITIS PANEL PSPC
MISC LAB CHARGE4920731XXXXX3000
MMR Measles/Mumps/Rubella Immunity SV
MONOCLONAL PROTEIN 24 HR URINE (RPS) PSPC
MONOCLONAL PROTEIN STUDY, EXP PANEL, SERUM (RPS) PSPC
MPO/PR-3 (ANCA) Antibodies IHC
MPO/PR3 (ANCA) Abs ALI
MRSA/SA Skin and Soft Tissue Infection (GeneXpert)
MS Panel PSPC
MTHFR CPL
MTHFR LC
MTHFR Mutation IP
Magnesium CPL420018183735301103.5
Magnesium Level420018183735301110.75
Magnesium Level 24 Hour Urine
Magnesium, RBC CVT
Magnesium, RBC LC
Magnesium, Urine LC
Malaria Exam AEL
MaleTestosterone Panel PSPC
Manual Differential 542002988500730057.25
Maple/Box Elder IgE CPL42112388600330234.25
Marshelder, Rough IgE CPL42112398600330234.25
Maternal Screen, Alpha Fetoprotein ALI
Maternal Screening, Integrated 2 ALI
Maternal Screening, Sequential 2 ALI
Maternal Serum AFP CVT
Measles Only Viral Culture LC
Measles/Mumps/Rubella Immunity (Ref)
Measles/Mumps/Rubella Immunity LC
Measles/Mumps/Rubella/Varicella Zoster Immunity (RPS) PSPC
Meconium Drug Screen
Meningitis Panel
Meningitis Panel (BioFire)
Meningitis Panel Test
Mercury, Blood LC
Mesquite Tree IgE CPL42112408600330234.25
Metanephrines Fract, Ur 24hr CVT
Metanephrines Fract, Ur CVT
Metanephrines Free, Pl CVT
Metanephrines Random Urine, LC
Metanephrines, 24-HR AEL
Metanephrines, Frac, Qn, 24-Hr LC
Metanephrines, Plasma CPL421045983835301115
Metanephrines, Plasma IP
Metanephrines, Urine IP
Methadone Screen420003930165
Methaqualone Scr420004130169.5
Methaqualone Screen, Urine LC
Methylmalonic Acid & Homocysteine QST
Methylmalonic Acid, Serum CPL42106098392130070.25
Methylmalonic Acid, Serum LC
Methylmalonic Acid, Ur by GCMS CVT
Microalb/Cr, Rndm Ur PSPC
Microalb/Crea Ratio CPL42002878204430055
Microalb/Creat Ratio
Microalb/Creat Ratio, Randm Ur LC
Microalbumin CPL42100558204330073
Microalbumin Creatinine Ratio AEL
Microalbumin Creatinine Ratio, Urine Quant Random
Microalbumin Creatinine with Ratio, Urine CDR
Microalbumin, 24 Hour LC
Microalbumin, 24 Hr Urine (w/ Creatinine) DLS
Microalbumin, Random Urine LC
Microalbumin, Ur CVT
Microalbumin, Urine w/ Creat QST
Microalbumin/Crea Ratio, Random SV
Microalbumin/Creat Level 24 Hour Urine
Microalbumin/Creat Ratio, Ur CVT
Misc Send OutLABMISCXXXXXX3000
Mitochondrial (M2) Antibody LC
Mitochondrial Ab, IgG CVT
Mitochondrial M2 Ab CPL42103818351630270.25
Mixed Nuts Allergen Panel ALI
Mixing Studies
Mixing Study ALI
Monoclonal Protein Study, S CDR
Monoclonal Protein Study, U CDR
Mononucleosis Screen420022786308302148.75
Mountain Cedar CPL42112428600330234.25
Mulberry Tree IgE CPL42112438600330234.25
Multiple Sclerosis Panel IHC
Multiple Sclerosis Panel IP
Multiple Sclerosis Profile AMS
Mumps Antibodies (IgG, IgM) QST
Mumps Antibodies, IgG LC
Mumps Antibodies, IgM LC
Mumps IgG CPL
Mumps Virus, IgG CVT
Myasthenia Gravis Complete Ab Profile (Ref)
Myasthenia Gravis Evaluation, Adult PSPC
Myasthenia Gravis NLL
Myasthenia Gravis Panel 3 QST
Myasthenia Gravis Panel III (Ref)
Myasthenia Gravis Panel III LC
Myasthenia Gravis Panel SV
Mycophenolic Acid and Metabo. LC
Mycoplasma Antibodies AMS
Mycoplasma Pneumoniae Abs (IgG, IgM), EIA QST
Mycoplasma Pneumoniae IgG And IgM CPL42104438673830275.25
Mycoplasma pneu IgG IgM Abs (Ref)
Mycoplasma pneu IgG IgM Abs LC
Myeloperoxidase Antibody CVT
Myoglobin, Ur CVT
Myoglobin, Urine LC
Myoglobin, Urine, Quant CPL
Myomarker Panel 3 CPL421124683520302561.75
Mysoline Level
N-Telo,Collagen Cross-Linked CVT
N-Telopeptide, Urine (Ref)
NASH FibroSURE NLL
NASH FibroSure LC
NBS (PRIVATE) PKU
NBS (STATE) PKU
NEUTROPHIL CYTOPLASMIC AB, IgG IHC
NGI HBV Superquant LC
NGI HCV QuantaSure LC
NMR LipoProfile LC
NMR Lipoprofile w/IR Markers LC
NW Region Allergy Panel IP
Neiss gonorrhoeae PCR CVT
Neonatal Bili
Neonatal Bilirubin NAH
Neonatal Bilirubin.
Neonatal Screen (Perkin Elmer)
Neutrophil Cytoplasmic Ab CPL42190228625530155.75
Neutrophil Cytoplasmic Ab With Mpo & Pr3 CPL
Neutrophil Cytoplasmic Ab With Reflex Mpo & Pr3 CPL
Newborn Metabolic Screen OK
Newborn Screen 3
Newborn Screen 5
Newborn Screening Test
Nicotine & Metabolites, Serum PSPC
Nicotine Serum/Plasma, Quant CPL421125180323301107
Norovirus Ag CVT
Norovirus RT-PCR (Ref)
Norovirus, EIA, Stool QST
Northeast Allergen Panel ALI
Norwalk Virus Antigen IP
Nut Mix Allergen Profile ALI
O & P Screen PSPC
O/P, Fregn Trav PSPC
OPIATES, SERUM/PLASMA QUANT (RPS) PSPC
OVA & Parasites AEL
Oak Tree IgE CPL42112528600330234.25
Occult Blood42002738227230162.75
Occult Blood Diagnostic42001858227030162.75
Occult Blood Screen420018582270G032830162.75
Oligoclonal Banding LC
Opiate Confirm Mec NAH
Opiate Screen420004330169.5
Osmolality LC
Osmolality, Ser CVT
Osmolality, Serum CPL42101258393030157.25
Osmolality, Ur CVT
Osmolality, Urine CPL42103458393530157.25
Osmolality, Urine LC
Ova & Parasite Concentration & Identification Send Out QST
Ova & Parasites CPL42103438717730673.25
Ova + Parasite Exam LC
Ova and Parasite Exam AMS
Ova and Parasites Smear CVT
Ova and Parasites with Stain NLL
Oxalate, 24 Hr Urine
Oxalate, 24-Hr Ur PSPC
Oxalix Acid, 24 Hr Urine QST
Oxcarbazepine (Trileptal), LC
Oxcarbazepine Metabolite CPL421902480183301129.25
Oxcarbazepine Metabolite CVT
P. Chrysogenum IgE CPL42112548600330234.25
PAIN CARE PHYSICIANS PANEL ORAL FLUID
PAIN MANAGEMENT PANEL 2 RFLX LC
PATHWAY FIR V2 1503
PATHWAY FIT 1727
PCP Screen420004530169.5
PE and FLC, Serum LC
PNH-CD59 PSPC
PNT 1002836 Drug Screen 10 w/ confirmation
PNT 1011215 Chromium, Unirine
PNT 1209072 Aspergillus AB
PNT Coccidiodies Abs IGG/IGM
PNT Non-Severe Hemophilia
PSA (Free and Total) QST
PSA Diagnostic420020384153301289.5
PSA Free & Total
PSA Free & Total (Serial Monitor)
PSA Free IP
PSA Free and Total IP
PSA Screen4200157G0103301289.5
PSA T & F, Serial PSPC
PSA Total and Free, S CDR
PSA Total+% Free (Ref)
PSA Total+% Free (Serial) LC
PSA Total+% Free LC
PSA w/Reflex To Free PSA CPL
PSA, Free & Total CPL
PSA, Free and Total
PSA, Free and Total SLHS
PSA, Total CPL420020384153301270.5
PT Gene Mutate PRL
PTH (Serial Monitor)
PTH Intact CVT
PTH, Intact (ICMA) w/ Ionized Calcium QST
PTH, Intact CPL421042983970301102.75
PTH, Intact LC
PTH, Intact w/ Calcium QST
PTH, Intact, With Calcium, Phosphorus, Creatinine CPL
PTT+PT+APCR+AT3 Funct+D Dimer LC
Paecilomyces Variotti IgE CPL42112558600330234.25
Pain Management 2 Panel PML
Pancreatic Polypeptide LC
Pancreatitis: 3-gene Panel (Ref)
Panorama Extended Panel
Pap Comprehensive, QST
Pap IG, Ct-Ng (Ref)
Pap IG, Ct-Ng TV rfx HPV all (Ref)
Pap IG, Ct-Ng TV rfx HPV all LC
Pap IG, Ct-Ng, HPV-hr (Ref)
Pap IG, Ct-Ng, HPV-hr LC
Pap IG, Ct-Ng, rfx HPV ASCU (Ref)
Pap IG, Ct-Ng, rfx HPV all (Chart) LC
Pap IG, Ct-Ng, rfx HPV all (Ref)
Pap IG, Ct-Ng, rfx HPV all LC
Pap IG, HPV, rfx 16/18 (Chart) LC
Pap IG, HPV, rfx 16/18 (Ref)
Pap IG, HPV-h+lr (Ref)
Pap IG, HPV-hr (Chart) LC
Pap IG, HPV-hr LC
Pap IG, rfx HPV ASCU (Chart) LC
Pap IG, w Mat Indx (Ref)
Pap Lb, HPV-h+lr LC
Pap Lb, HPV-hr LC
Pap Smear, 1 sld w Mat Indx (Ref)
Pap Smear, 2 Slide (Ref)
Pap Smear, 2 sld w Mat Indx (Ref)
Pap Test, Mc 1 Yr Thinprep, Imaged CPL4211256G014530153.5
Pap Test, Surepath CPL
Pap Test, Thinprep CPL
Pap Test, Thinprep, Imaged CPL42112578817530153.5
PapIG, CtNgTvHSV rfxHPV ASCU (Ref)
Paper Wasp IgE CPL
Paraneoplastic Autoanti. Eval LC
Paraneoplastic Autoantibody Evaluation Profile PSPC
Parasite Panel
Parasitic Examination CDR
Parathyroid Hormone (Intact & CA) SV
Parathyroid Hormone With Calcium AEL
Paroxysmal Noct Hemo - RBC IP
Partial Thromboplastin Time42001598573030595
Parvo B19 Antibodies SV
Parvovirus B-19 Ab (IgG) QST
Parvovirus B19 Abs IP
Parvovirus B19 IgG CPL42112588674730240.75
Parvovirus B19 IgM CPL42112598674730240.75
Parvovirus B19, Human, IgG/IgM (Ref)
Parvovirus B19, Human, IgG/IgM LC
Path Interp/Peripheral Smear PRL
Pathologist Smear Review CPL42190308506030192
Pea IgE CPL
Peanut IgE CPL
Pecan Nut IgE CPL
Pedi Aeroallergen IgE CPL
Penicilloyl G IgE CPL42112618600330237.5
Penicilloyl V IgE CPL42112628600330237.5
Penta Screen QST
Phenobarbital CVT
Phenobarbital Level420017180184301217.5
Phenytoin (Dilantin) CPL420005780185301194.75
Phenytoin, F & T PSPC
Phos Value, Ur 24-Hr PSPC
Phosphatidylserine Antibodies (IgG, IgA, IgM) QST
Phospholipid Ab (Cardiolipin) IgG, IgM NLL
Phosphorus CPL42002458410030158.75
Phosphorus Level42002458410030162.75
Phosphorus Level 24 Hour Urine
Phosphorus, Random Urine LC
Phosphorus, Ur CVT
Pigweed/Careless IgE CPL86003302
Pinworm Prep42002718717230678.5
Plasma Renin Activity CVT
Platelet Antibody Profile (Ref)
Plt Circulating PRL
Pneumococcal Ab (23 Serotype) LC
Pneumococcal Ab (7 Serotype) (Ref)
Pneumococcal Antibody Titer 23 serotype
Pneumococcal IM (14 Serotype) (Ref)
Pneumococcal IM (14 Serotype) LC
Poliovirus (Types 1,3) Antibodies ARUP
Porphobilinogen, 24 Hr Urine
Porphyrin Urine Fractionated IP
Potassium CPL84132301
Potassium Level42002498413230169.5
Potassium Level 24 Hour Urine
Potassium, Random Urine CPL42104038413330117.25
Potassium, Ur CVT
Prealbumin CPL42103498413430140
Prealbumin CVT
Prealbumin LC
Pregnancy Test, Urine CPL42001938470330141.25
Pregnenolone MS LC
Prenat Infect Dis Ab, IgM, Qn LC
Prenatal Panel MAYO
Prenatal Panel SV
Prenatal Risk Panel
Primidone (Mysoline), Serum (Ref)
Primidone (Mysoline), Serum LC
Primidone and Phenobarbital AMS
Procalcitonin CVT
Procalcitonin LC
Progesterone CPL
Progesterone CVT
Prolactin CPL42105178414630142
Prolactin CVT
Prolactin LC
Prolactin, Total and Monomeric QST
Prostate Specific Ag, Free And Total IHC
Prostate-Specific Antigen (PSA) Free:Total Ratio SV
Prostrate Specfic Ag, Tot & Fr CVT
Prot Electrophoresis Ur 24 CVT
Prot Values, 24 Hr Ur PSPC
Prot+CreatU (Random) LC
Prot/Creat Ur PSPC
Prot/Creat,Spot PRL
Protein / Creatinine Ratio, Urine SV
Protein C Activity CVT
Protein C And S Activity Profile CPL421126485303301128.5
Protein C Deficiency Profile LC
Protein C-Functional LC
Protein Elec + Interp, Serum (Ref)
Protein Elec + Interp, Serum LC
Protein Electro Serum LC
Protein Electro Serum w/ T.Protein NLL
Protein Electro Urine Timed w/ T.Protein NLL
Protein Electro, 24-Hour Urine (Ref)
Protein Electro, 24-Hour Urine LC
Protein Electro, Random Urine LC
Protein Electrophoresis (Serum) AEL
Protein Electrophoresis 24H Urine QST
Protein Electrophoresis 24H Urine & Immunofix QST
Protein Electrophoresis QST
Protein Electrophoresis Reflex To Immunofixation CPL
Protein Electrophoresis Urine NAH
Protein Electrophoresis Urine QST
Protein Electrophoresis and Total w/ Reflex QST
Protein Electrophoresis(Serum) SV
Protein Electrophoresis, 24 Hr Urine
Protein Electrophoresis, Ser CVT
Protein Electrophoresis, Serum AMS
Protein Electrophoresis, Ur CVT
Protein Electrophoresis, Urine SV
Protein Immunofixation (Serum) SV
Protein Level Urine42002968415630086.5
Protein S Activity CVT
Protein S Ag
Protein S Deficiency Profile SV
Protein S Panel (Ref)
Protein S Panel LC
Protein S-Functional LC
Protein Total42002138415530172.75
Protein Total, Qn, 24-Hr Urine LC
Protein electrophoresis, Urine AMS
Protein, 24 Hr Ur CPL
Protein, 24HR Urine42000018415630172.75
Protein, Body Fluid LC
Protein, Total And Protein Electrophoresis QST
Protein, Total w/Creat, Urine QST
Protein/Crea Ratio Urine Random
Protein/Creatinine Ratio Urine
Protein/Creatinine Ratio, Ur CVT
Protein/Creatinine Ratio, Urine CPL42112658257030027.75
Protein/Creatinine Ratio, Urine AMS
Protein/Creatinine, Urine
Prothrombin Gene Mutation CPL421126681240305176.5
Prothrombin Gene Mutation IP
Prothrombin Time42001558561030575
Prothrombin Time CPL
Prothrombin Time/ PTT
Protime And PTT CPL42112678561030529
Protime/PTT
Q FEVER IGG, IGM QST
Q Fever Ab IgG, IgM
Q Fever Antibodies SV
Q Fever Antibodies, IgG and IgM NLL
Q Fever IgG/IgM Antibody Scrn LC
QUAD SCRN (2nd Tri) MATERNAL, S CDR
Quad Panel Prenatal
Quadruple Screening Test With Interpretation CPL
QuantiFERON Client Incubated LC
Quantiferon (R) TB Gold CVT
Quantiferon TB Gold CPL421109586480302107
Queen Palm IgE CPL42112688600330234.25
RFLX Thyroglob CPL42112728680030255.75
RMSF IgG IgM LC
RNP Antibody CPL
RNP Antibody CVT
RPR (DX) w/Refl Titer and Confirm Testing QST
RPR 142002678659230268
RPR CPL42002678659230263.5
RPR Reflex To Fta-Abs CPL
RPR Reflex To MHA-TP CPL42112758659230263.5
RSV By DFA CPL42103138728030653.5
RTA Conc+RTA Ab LC
Rabies Neut. Abs Titrat. (RFFIT) LC
Ragweed, Common IgE CPL42112698600330234.25
Ragweed, Giant IgE CPL42112708600330234.25
Ragweed, Western IgE CPL42112718600330234.25
Rapid Flu A & B
Rapid Plasma Reagin CVT
Rapid Plasma Reagin, Quant LC
Rapid Strep A42001978743030687.5
Rapid Strep A8640349205318640330054.25
Reference Bacterial Culture ID LC
Region X IgE Panel CPL
Renal Failure Index Test
Renal Panel 1420015380069301181
Renal Panel 3420015380069301181
Renin Activity, Plasma LC
Renin CPL42105138424430187.75
Respiratory Allergens Region 2 AEL
Respiratory Allergy Profile Region X: OK, TX QST
Respiratory Panel 1 (BioFire)
Respiratory Panel NAH
Respiratory Pathogen Panel
Respiratory Pathogen Panel PSPC
Respiratory Virus Panel IP
Retic Count CPL42103638504530510.5
Reticulin Antibody IGA IP
Reticulocyte Count LC
Reticulocyte Count, Auto. CVT
Reverse T3 LC
Rheumatoid Factor CVT
Rheumatoid Arthritis Factor LC
Rheumatoid Factor 242110908643130248
Rheumatoid Factor CPL42111028543130244.75
Rhodotorula IgE CPL42112738600330234.25
Ribosomal P Antibody CVT
Rickettsia (RMSF) IgG, IgM, w/Refl to Titers QST
Rickettsia IgG & IgM CPL421050186757302374.5
Rituxan Therapy Panel PSPC
Rocky MT Spotted Fever IP
Rotavirus Ag CVT
Rubella Ab CPL
Rubella Antibodies (IgG, IgM) Diagnostic QST
Rubella Antibodies, IgG LC
Rubella IgM Antibody CPL
Rubella, IgG CVT
Rubeola Antibodies, IgG LC
Rubeola IgG CPL
S. Herbarum IgE CPL42112768600330234.25
S. Rostrata IgE CPL42112778600330234.25
SHBG CVT
SLE Profile
SLE Profile (A) PSPC
SM and SM/RNP Antibodies QST
SPECIMEN: Blood
SPEP w/ Immunofx PSPC
SS-A/Ro Antibody CVT
SS-B/La Antibody CVT
SSA & SSB Ab CPL42111018623530657.5
SSA And SSB Abs. IgG IHC
SSA/SSB CDR
STD 5 Panel QST
STD Panel - Chlam trach/ N. gonorr. Molecular ALI
STD Tri Panel - Chlam trach/ N. gonorr. and Trichomonas
Saccharomyces cerevisiae Panel (Ref)
Saccharomyces cerevisiae Panel LC
Salicylate Level420020780329301125
Salivary Cortisol CPL421127882533301133.75
Salmonella, Total Ab by EIA CVT
Scl-70 (Scleroderma) Antibody CVT
Scl-70 Antibody CPL
Scleroderma Autoantibodies Panel CPL421127983520302556.5
Scleroderma Diag. Profile
Sedimentation Rate42000998565230586.5
Sedimentation Rate CPL42000998565230580.75
Selenium CPL
Selenium, Serum/Plasma LC
Sensori Motor Neuropathy Comp. LC
Sensorimotor Neuropathy Profile Complete (ATH287) NLL
Sensory Motor Neuropathy Panel PSPC
Serotonin QST
Sertraline CPL
Serum Coma Overdose Profile (Ref)
Serum Protein Electrophoresis CPL
Sex Horm Bind Globulin CPL
Sex Hormone Binding Globulin LC
Sheep Sorrel IgE CPL42112808600330234.25
Shiga Toxin 1
Shiga Toxin EIA QST
Shiga Toxin-Producing E.Coli AEL
Shigatoxin 1
Shigatoxin Screen
Sickle Cell Prep CVT
Sirolimus (Rapamune), Blood LC
Sirolimus Level CVT
Sjogren's Ab SS-A/SS-B QST
Sjogren's Ab, Anti-SS-A/-SS-B (Ref)
Sjogren's Ab, Anti-SS-A/-SS-B LC
Sjogren's Antibodies (Anti-SS-A/Anti-SS-B) SV
Sjogren's Antibodies PSPC
Sjogren's SS-A Ab CPL42112818623530675
Sjogren's SS-B Ab CPL42112828623530675
Sjogrens Ab SSA SSB NAH
Sjogrens group AMS
Sjorgens Ab
Sm (Smith) Antibody CVT
Sm/RNP Antibody CVT
Smith & RNP Abs CPL42110918623530634
Smooth Muscle Ab (F-Actin), Reflex IFA Titer CPL421904186256301144.5
Smooth Muscle Antibody QST
Sodium Level42001038429530149
Sodium Level 24 Hour Urine
Sodium, Random Urine CPL42104098430030227.5
Sodium, Ur 24hr Quant CVT
Sodium, Ur CVT
Sodium, Urine LC
Soluble Liver Antigen Auto Ab CVT
Soybean IgE CPL86003302
Spotted Fever Group Ab, IgG + IgM NLL
Spotted Fever Group IgG and IgM AMS
Sputum Culture Send QST
Sputum Culture with Gram Stain AMS
Stone Risk Diagnostic Profile SLHS
Stone Risk QST
Stool Culture (St Francis) SV
Stool Culture AEL
Stool Culture CPL420019987070306152.5
Stool Culture LC
Stool Culture PRL
Stool Culture PSPC
Stool Culture with Shiga toxin AMS
Stool Culture, No Sensitivity CPL
Stool Culture, Yersinia Only LC
Strep Gp B Culture LC
Strep Pneumoniae IgG Ab-14 NLL
Streptococcus Group A Culture QST
Streptococcus Pneumoniae IgG Ab (23 Serotypes) QST
Streptococcus pneumoniae IgG Antibody (14 Serotypes) QST
SurePath Imaging Pap and C. trachomatis, N. gonorrhoeae QST
SurePath Imaging Pap and HPV DNA, C. Trachomatis, N. Gonorrhoeae QST
SurePath Imaging Pap and HPV DNA Reflex HPV 16,18 QST
SurePath Pap & C. Trachomatis & N. Gonorrhoeae QST
SurePath Pap and HPV mRNA E6/E7 reflex Genotypes 16, 18/45 QST
SureSwab (R), Vaginosis/Vaginitis Plus QST
SureSwab(R) Trichomonas Vaginalis RNA, QL, TMA QST
SureSwab, Mycoplasma/Ureaplasma Panel, PCR QST
SureSwab®, Bacterial Vaginosis DNA, Quantitative, Real-Time PCR QST
Surepath PAP and HR HPV DNA QST
Suscept Panel, Anaerobic Bacteria, MIC (Gradient) QST
Susceptibility, Gram Pos Rods LC
Swab GC/CT
Sycamore/Maple Leaf IgE CPL42112898600330234.25
Synovial Fluid Analysis, Complete QST
Synovial Fluid Path Interp. PRL
Synthetic Stimulants, Quant, UA PRL
Systemic Lupus Profile A (Ref)
Systemic Lupus Profile A LC
Systemic Lupus Profile B (Ref)
T- and B-Lymphocyte/Nat Killer (Ref)
T- and B-Lymphocyte/Nat Killer LC
T-Cell Clonality (Immunodefic) IP
T-Lymphocyte Helper/Suppressor LC
T. Pallidum Total Ab CPL42190478678030162.75
T3 Reverse CVT
T3 Total CPL42101338448030939.25
T3 Uptake420011384479301125
T3 Uptake420011384479301125
T3 Uptake CPL
T3 Uptake LC
T3 Uptake.420011384479301125
T3 Uptake.420011384479301125
T3, Free CVT
T3, Total CVT
T3, Uptake CVT
T4 CPL420017584436301114.5
T4, Total420017584436301122.5
TESTOSTERONE, TOTAL, FREE & BIOAVAILABLE, AND SHBG IHC
THE INSTITUTE FOR LIFESTYLE PREVENTIVE & FAMILY MEDICINE URINE
TIBC CPL42112938355030132
TIBC and Iron
TMA GREATER HOUSTON PHYSICIANS MEDICAL PANEL-URINE
TPMT and NUDT15 Genotyping AMS
TSH420025784443301280.5
TSH420025784443301280.5
TSH420025784443301280.5
TSH + Free T4 Profile CPL42112988444337.5
TSH CPL420025884443301262.25
TSH Gen 3420025884443301280.5
TSH Gen 3420025784443301280.5
TTG IgA CPL42106058351630291
Tacrolimus (FK506), Blood LC
Tacrolimus CPL421059780197301108.75
Tacrolimus, (Prograf) CVT
Tay-Sachs, DNA Analysis LC
Test/Free (Q) PRL
TestT+TestF+SHBG LC
Testicular Cancer Monitor Panel LC
Testo, T & FED PSPC
Testost., Bioavailable w/SHBG LC
Testosterone Bioavailable Pan ALI
Testosterone CPL42110948440330556
Testosterone Free
Testosterone Free & Total, Women/ Child ALI
Testosterone Free + Total by LC/MS/MS AEL
Testosterone Free MS/Dialysis LC
Testosterone Free Panel (Male Only) ALI
Testosterone Free and Total IP
Testosterone Free, Total, Bio QST
Testosterone, Free & Total
Testosterone, Free & Total CVT
Testosterone, Free & Weak
Testosterone, Free CPL42104178440230157.75
Testosterone, Free and Total AMS
Testosterone, Free and Total NLL
Testosterone, Free and Total QST
Testosterone, Free+Total LC/MS LC
Testosterone, Free, Direct LC
Testosterone, Free/Tot Equilib LC
Testosterone, Total & Free
Testosterone, Total CVT
Testosterone, Total and Bioavailable AMS
Testosterone, Total and Bioavail SV
Testosterone, Total and Free DLS
Testosterone, Total and Free Esoterix (PED ONLY) SV
Testosterone, Total and Free and Sex Hormone Binding Globulin QST
Testosterone, Total and Free, S CDR
Testosterone,Free and Total LC
Testosterone,Free+Weakly Bound LC
Tetanus Antitoxoid IgG Ab LC
Tetanus/Diphtheria Ab LC
Thalassemia and Hemoglobinopathy Comp QST
Theophylline Level CVT
Theophylline, Serum LC
Therapeutic Phlebotomy
Throat Culture, No Sens CPL
Thrombophilia Profile NLL
Thrombophilia Screen Ii, Inherited QST
Thrombosis Panel AMS
Thrombotic Risk Assessment LC
Thrombotic Risk Profile I (Ref)
Thrombotic Risk Profile I LC
Thryoglobulin Ab CPL421042386800302114.5
Thyr Peroxidase,Thryoglob Ab CVT
Thyroglob RFLX CPL421127286800302114.5
Thyroglobulin - Reflex Profile SV
Thyroglobulin Antibody
Thyroglobulin Antibody LC
Thyroglobulin Antibody QST
Thyroglobulin Panel QST
Thyroglobulin Reflex Profile LC
Thyroglobulin Tumor Marker NLL
Thyroglobulin, Tumor Marker AMS
Thyroid Ab Profile AEL
Thyroid Antibodies (Ref)
Thyroid Antibodies CDR
Thyroid Antibodies LC
Thyroid Antibodies PRL
Thyroid Antibody Group (Tpo + Tg) CPL
Thyroid Autoantibodies AMS
Thyroid Autoantibodies Panel NLL
Thyroid Autoantibodies SV
Thyroid Autoantibody Group IP
Thyroid Cascade Reflex CPL
Thyroid I Profile (T3U, T4, T7) CPL
Thyroid II Profile (T3U, T4, T7, TSH) CPL42112928444330042.75
Thyroid Panel
Thyroid Panel 4
Thyroid Panel 5
Thyroid Panel 7
Thyroid Panel LC
Thyroid Panel With TSH (Ref)
Thyroid Perioxidase and Thyroglobulin Ab QST
Thyroid Peroxidase (TPO) Ab LC
Thyroid Peroxidase Ab CPL42105578637630236
Thyroid Peroxidase Antibody CVT
Thyroid Stim Immunoglobulin LC
Thyroid Stimulating Hormone
Thyroid Stimulating Imm CPL421057784445300143
Thyrotropin Receptor Ab, Serum LC
Thyrotropin Receptor AutoAb CPL421057983520301144.5
Thyroxine (T4) LC
Thyroxine Free Index PSPC
Thyroxine Total420017584436301122.5
Thyroxine Total420017584436301122.5
Thyroxine Total420017584436301122.5
Tick-Borne Ab Panel NLL
Tick-Bourne Disease Panel PCR, Bld ALI
Tissue Culture CDR
Tissue Transglutaminase Ab, IgA/IgG AMS
Tissue Transglutaminase QST
Tissue Transglutaminase, IgA CVT
Tissue Transglutaminase, IgG CVT
Tissue transglutaminase IgG QST
Tobramycin, Peak CVT
Tobramycin, Trough CVT
Topiramate (Topamax), Serum LC
Topiramate CPL42190458020130125.75
Total Estrogens CPL
Total Iron Binding Capacity420008983550301122.5
Total Iron Binding Capacity
Total Iron Binding Capacity.420008983550301122.5
Total Protein, Body Fl CVT
Total Protein, Ur 24hr Quant CVT
Toxoplasma Ab IgM + IgG IP
Toxoplasma gondii Ab, IgG, Qn LC
Toxoplasma gondii Abs,IgG & IgM ALI
Toxoplasma gondii IgM Ab LC
Toxoplasmosis Antibodies NAH
Transferrin CPL
Transferrin LC
Transforming Growth Factor, Beta CPL421129583520289
Treponema pallidum Ab CVT
Trichomonas Vaginalis PCR CVT
Triglycerides42000138447830172.75
Triiodothyronine (T3) LC
Troponin I420009584484301229
Troponin I CPL
Troponin T CPL84484301
Trypanosoma Cruzi IgG CPL421904886753301133.75
Tryptase CPL
Tularemia Ab CPL421129986668139
Tularemia Agglutinins Abs SV
Type And Screen SV
Type and Scr
U Concentrated IP
U Methadone Scr420003330169.5
U Methaqualone Scrn420004130169.5
U Micro/Creat
U Total Protein QST
U24 17 Ketosteroids PSPC
U24 Catecholamines PSPC
U24 Cortisol, Free PSPC
UREAPLASMA PCR PSPC
Ultrasensitive PSA CPL
Ultrasensitive TSH CPL421130084443301165.75
Upper Resp IgE CPL
Ur Creatinine42000658257030186.5
Ur Creatinine, Random CPL
Ur GC, Amplified CPL
Ur Protein, Random CPL42002968415630080.75
Ureaplasma/Mycoplasma hominis LC
Uric A+ANA+RA Qn+CRP+ASO LC
Uric A+ESR-Wes+ANA+RA Qn+CR... (Ref)
Uric Acid42001238455030181.75
Uric Acid 24 Hour Urine
Uric Acid CPL42001238455030176.5
Uric Acid Level Urine
Uric Acid Value, 24 Hr Ur PSPC
Uric Acid, 24 hr Urine LC
Uric Acid, Synovial Fluid CVT
Uric Acid, Ur CVT
Urinalysis (Culture If Indicated) CPL42001238100130768
Urinalysis 442000538100130772.75
Urinalysis CPL42001238100130768
Urinalysis With Microscopic CPL42001238100130768
Urine Amphetamine Screen420002730169.5
Urine Barbiturate Screen420003330169.5
Urine Benzodiazepine Screen420003530169.5
Urine Cocaine Screen420003730169.5
Urine Dianon Panel
Urine Drug Screen - Employee
Urine Drug Screen 10420040780307301694.75
Urine Drug Screen 10 BCE420002730169.5
Urine Drug Screen 13420239830198.25
Urine Drug Screen Panel 108030130198.25
Urine Drug Screen Standard
Urine Drug Screen W/Rfx Confirmation AEL
Urine Electrolytes
Urine MicroAlbumin 442002878204430058.75
Urine Opiate Screen420004330169.5
Urine PCP Screen420004530169.5
Urine Propoxyphene Screen420004730169.5
Urine Propoxyphene Screen420004730169.5
Urine Protein Electrophoresis CPL
Urine Protein Electrophoresis Ran/24 HR (RPS) PSPC
Urine THC Screen420004930169.5
Urine THC Screen420004930169.5
Urine, GC Chlamydia
VAP CHOLESTEROL PSPC
VAP Cholesterol Profile LC
VAP Cholesterol Test CPL
VDRL, Serum With Reflex Titer CPL86592
VMA, 24 Hr Urine
VMA, Random Urine (Ref)
VMA, Ur 24hr CVT
VON WILLEBRAND PANEL IHC
VZV Real Time PCR LC
Vag Patho D Probe PSPC
Vaginitis Panel
Vaginitis Panel QST
Vaginitis Panel, DNA Direct Probe DLS
Vaginitis Screen Reproductive Age ALI
Vaginitis Scrn Prepub./Postmeno. ALI
Vaginitis/Vaginosis, DNA Probe LC
Valproic Acid (Depakote) LC
Valproic Acid Level420024180164301285
Valproic Acid, (Depakene) CVT
Valproic Acid, Free And Total CPL421905080164301273.75
Vancomycin Lvl Peak420024380202301248
Vancomycin Lvl Trough420024380202301248
Vancomycin, Peak CVT
Vancomycin, Trough CVT
Varicella Zoster Abs, IgG/IgM LC
Varicella Zoster Antibodies IP
Varicella Zoster IgG CPL
Varicella Zoster IgG/IgM CPL42190528678730134.25
Varicella Zoster Virus Abs QST
Varicella Zoster-IgG And IgM Antibodies SV
Varicella-Zoster Ab, IgG CVT
Varicella-Zoster Ab, IgM EIA CVT
Varicella-Zoster IgM Ab LC
Varicella-Zoster V Ab, IgG LC
Venous Thrombosis Profile LC
Viral Culture,Rapid,Lesion LC
Viscosity, Serum LC
Vit B12 & Folate PSPC
Vit B12 CPL420020182607301169.25
Vit D,1,25-Dihydroxy CPL421905682652305102
Vitamin A (Retinol) CVT
Vitamin A and E LC
Vitamin A, Serum LC
Vitamin B 12 & Folic Acid CPL42113078260730155.75
Vitamin B-12 & Folate
Vitamin B-12 & Folate Level
Vitamin B1 (Thiamine) Whl Blood LC
Vitamin B1 CPL421041984425302508.5
Vitamin B1 Thiamine, Bld CVT
Vitamin B12 / Folate DLS
Vitamin B12 Level420020182607301181
Vitamin B12 Level CVT
Vitamin B12 and Folate LC
Vitamin B12/Folate Panel
Vitamin B6 CPL
Vitamin B6 LC
Vitamin B6, Plasma CVT
Vitamin D 25 Hydroxy Level421052782306301109.25
Vitamin D Total 25-Hydroxy CVT
Vitamin D, 25 Hydroxy & 1,25 Dihydroxy QST
Vitamin D, 25 OH CPL421052782306301102
Vitamin D,1,25-Dihydroxy CVT
Vitamin E (Tocopherol) CVT
Vitamin K CVT
Von Willebrand Factor Panel PSPC
Von Willebrand Panel IP
Von Willebrand Profile AMS
Vonwillebrand Factor Profile SV
Waterhemp, Western IgE CPL42113088600330234.25
West Nile AB, IgM & IgG PSPC
West Nile Ab, IgM/IgG AEL
West Nile IgG and IgM NLL
West Nile Virus AB Panel, Serum ALI
West Nile Virus AB, IgG + IgM NLL
West Nile Virus Ab IgG & IgM
West Nile Virus Ab Panel, Serum SV
West Nile Virus Ab, IgG and IgM, S CDR
West Nile Virus Ab, IgG,M CVT
West Nile Virus Antibodies QST
West Nile Virus Antibody IgG and IgM, Serum AMS
West Nile Virus Antibody, CSF LC
West Nile Virus CPL
West Nile Virus LC
Wet Prep 7420012587210306101.75
Wheat IgE CPL42113098600330234.25
White Ash IgE CPL42113108600330234.25
White Blood Count
White-Faced Hornet IgE CPL
Willow IgE CPL42113118600330234.25
Women's Health Panel
Wormwood/Sagebrush IgE CPL42113128600330234.25
Wound Culture (Aerobic and Anaerobic) AMS
Wound Culture PSPC
Wound Culture Send Out QST
Wound Source PSPC
YERSINIA ENTEROCOLITICA AB (IGG,IGA)
YTURRI ROCKDALE PAIN MGMT PANEL-URINE
Yellow Dock Weed IgE CPL42113138600330234.25
Yellow Hornet IgE CPL
Yellow Jacket IgE CPL
Zika Viru NAA
Zika Virus Comp Profile NAA (REF)
Zinc CPL421905984630301124.25
Zinc, Pl CVT
Zinc, Plasma or Serum LC
Zinc, RBC CPL
Zonisamide CPL42113158020380.25
Zonisamide CVT
dsDNA Ab with Reflex IgG NAH
hCG Qualitative, Serum420019384703301113
hCG Qualitative, Urine420019384703301113
hCG Quantitative420016584702301217.25
informaSeq(R) with XY Analysis LC
pH, Fluid CVT
pH, Urine CVT
t-Transglutaminase (tTG) IgA LC
t-Transglutaminase (tTG) IgG LC
von Willebrand Comprehensive Panel 2 QST
von Willebrand Factor Profile (Ref)
von Willebrand Factor Profile LC
zzC CSF
zzGram Stain - Anaerobic Send Out
BILL THD Base Denton
BILL THD Custom Female Panel Denton
BILL THD Custom Male Panel Denton
BILL THD Follow Up Denton
Bill BRCA True (1829)
Bill BRCA True Ashkenazi Jewish (1839)
Bill BRCA True with Reflex Breast True High Risk Panel (1855-2)
Bill Breast True High Risk Panel (1849)
Bill Cardiac DNA Insight (1710)
Bill Colo True (1942)
Bill Healthy Weight (1534)
Bill Lynch True (1430)
Bill THD Brown
Bill THD Evans
Bill THD Follow-up
Bill THD Gerstenberg
Bill THD Montgomery
Bill THD Panel 10 Genetics Baseline
Bill THD Panel 11 Male Baseline
Bill THD Panel 12 Female Baseline
Bill THD Panel 13 Rheum Baseline
Bill THD Panel 14 Baseline
Bill THD Panel 15 Follow-Up
Bill THD Panel 16 Special
Bill THD Panel 17 Baseline
Bill THD Panel 18 Cardiac
Bill THD Panel 18 Genetics
Bill THD Panel 19 Baseline
Bill THD Panel 20 ISM Thyroid
Bill THD Panel 21 Baseline
Bill THD Panel 22 Follow-Up
Bill THD Panel 23 Male
Bill THD Panel 24 Custom
Bill THD Panel 25 Anemia
Bill THD Panel 26 Female + Prolactin
Bill THD Panel 27 Baseline
Bill THD Panel 28 Follow-Up
Bill THD Panel 29 Thyroid Panel
Bill THD Panel 30 Wellness
Bill THD Panel 31 Custom Baseline
Bill THD Panel 32 Female Hormone Assessment
Bill THD Panel 33 Male Hormone Assessment
Bill THD Panel 34 Rheum-Autoimmune
Bill THD Panel 35 Custom Male Hormone Panel
Bill THD Panel 36 Custom Female Hormone Panel
Bill THD Panel 38 Baseline Assessment
Bill THD Panel 39 Male Hormone Panel
Bill THD Panel 4 Baseline
Bill THD Panel 4 Follow-Up
Bill THD Panel 5 Baseline
Bill THD Panel 5 Follow-Up
Bill THD Panel 6 Baseline
Bill THD Panel 6 Baseline Follow-Up
Bill THD Panel 7 Baseline
Bill THD Panel 75 Shavano
Bill THD Panel 8 Baseline
Bill THD Panel 8 Baseline Lite
Bill THD Panel 8 Baseline Screen
Bill THD Panel 9 Cardiac Baseline
Bill THD Reddy
LYNCHSYNDROME TRUE 1429
MENTAL HEALTH 1467
PAIN MEDICATION 1273
96375 IV INJ EA ADD NEW DRUG310002396375260282.5
96376 IV INJ EA ADD SAME DRUG310003596376260282.5
96401 CHEMO ADM IM NON HORMONAL CHARGE33500059640133168
96413 CHEMO IV INFUSION 1 HR335001196413335642.5
96415 CHEMO ADM IV EA ADD HR CHARGE335000996415335507.5
(VFC) IZ administration by intranasal or oral route ea add'l vaccine
2016 Code Deleted90669
90471 ADMN INFLUENZA VACCINE CHARGE335000390471G000877127.5
90471 ADMN PNEUMOCOCCAL VAC CHARGE335000190471G000977168
90471 IMMUNIZATION ADMINISTRATION33500159047176145.5
90633 THS Hep A Pedi/Adolescent492072790633
90648 THS Hib PRP-T Conjugate492071790648
90658 THS Flu Vaccine 3Yrs & >492095790658
90669 THS Prevnar 7 Valent4920645
90680 THS Rotavirus POC492069190680
90710 THS MMRV (ProQuad) POC492096390710
90714 THS TETANUS-DIPHTHERIA T492027190714
90715 THS Tdap 7Yrs & Older492026990715
90723 THS Dtap-Hepb-Ipv492068990723
90734 THS MENGOCCAL CONJ VACC492066790734
Admin Immunization
Admin Immunization Charge
Allergy Injection Multiple, Professional Service Charge
Allergy Injection Single, Professional Service Charge
DT Diphtheria-Tetanus toxoids < 7 yrs POC VFC492061590702
Diphtheria, tetanus toxoids, acellular pertussis vaccine and poliovirus vaccine, inactivated (DTaP-I492071590696
Diptheria,Tetanus Toxoidacellular Pretusses Imvaccine Dtap Charge492065790700
H1N1 Immunization Admin, Including Counseling When Performed (Charge)492022190470
Hemophilus influenza b vaccine (Hib), HbOC conjugate (4 dose), IM POC492093190648
Hemophilus influenza b vaccine (Hib), PRP-T conjugate (4 dose schedule), for IM Use POC9064890648
Hepatitis A Adult Vaccine492066590632
Hepatitis A Peds/Adol Vaccine 2 Dose Sched Charge9063390633
Hepatitis B Vaccine, Adult492061990746
Hepatitis B Vaccine, Pediatric 3 Dose Sched POC492092790744
Human Papilloma virus (HPV) Vaccine POC492096790649
IMMUNIZATION ADM; STATE33500139047276145.5
IPV Inactivated Poliovirus Vaccine POC492062590713
Immunization Administration; State
Influenza virus vaccine, quadrivalent, split virus, preservative free, >3 yrs, for IM use49207079068628.75
MMR Measles/Mumps/Rubella Virus Vaccine POC492063990707
Medication Charge492090590471
Meningococcal conjugate vaccine, serogroups A, C, Y and W-135 (tetravalent), for IM Use POC9073490734
Pneumococcal 23-Valent Adult Vaccine POC [CHAS]492058990732
Pneumococcal conjugate vaccine, 13 valent, for intramuscular use492073790670
Rotavirus vaccine, pentavalent, 3 dose schedule, live, for oral use POC9068090680
THS Hep A Adult9063290632
Tetanus Toxoid POC492073390714
Tetanus and diphtheria toxoids (Td) adsorbed, preservative free, for use in individuals 7 yrs POC492065390714
Tetanus, diphtheria toxoids & acellular pertussis vaccine (TdaP), 7 years or older, IM use POC9071590715
Typhoid vaccine, Vi capsular polysaccharide (ViCPs) IM use492071390691
VFC Diphth/HepB/Pertussis,Acel/Polio/Tetanus Vaccine POC9072390723
Varicella Virus Vaccine POC492065990716
Zoster (shingles) vaccine, live, subcutaneous injection POC492072190736380.5
Excision Of Thyroglossal Duct Cyst Or Sinus;
Induced Abortion, By 1+ Vaginal Suppositories W W/O Cervical Dilation, Inc Hosp Admission & Visits
Insertion Of Cervical Dilator (Eg, Laminaria, Prostaglandin) (Separate Procedure)
Partial Thyroid Lobectomy, Unilateral; With Or Without Isthmusectomy
Removal Of Cerclage Suture Under Anesthesia (Other Than Local)
Routine Obstetric Care incl Antepartum Care, Cesarean Delivery, Postpartum Care, Following Vag Deliv
Screening Pap Smear w/Prep & Transfer To Lab Charge
Surgical Treatment Of Ectopic Pregnancy; Abdominal Pregnancy
Thyroid Stimulating Hormone Req/Charge84443301280.5
Treatment Of Missed Abortion, Completed Surgically; Second Trimester
Unlisted Procedure, Maternity Care And Delivery
Uterine Evacuation And Curettage For Hydatidiform Mole
Vaginal Delivery Only, After Previous Cesarean Delivery (With Or Without Episiotomy And/Or Forceps);
Vaginal Delivery Only, After Previous Cesarean Delivery; Including Postpartum Care
Arthrocentesis Intermed Joint, Wrist, Elbow, Ankle Med Admin POC
Arthrocentesis Major Joint, Shoulder, Hip, Knee Med Admin POC
Arthrocentesis, Aspirtn and/or Inj; Small Joint or Bursa (eg, Fingers, toes) Med Admin POC
Benadryl 50mg Med Admin Order Set
Bicillin LA Med Admin OrderSet
Bicillin LA Med Admin Orderset
CALCIMAR4920603J0630
CHILD Flu Vaccine OrderSet RMHO
Cefotaxime Med Admin OrderSet
Cefotaxime sodium injection, per gm4920607J0698
Clonidine Hydrochloride Med Admin OrderSet
Cyanocobalamin Med Admin OrderSet
DEMEROL 100 MG INJ4920637J2175
DT Vaccine IM OrderSet
Decadron Sodium Phosphate Med Admin OrderSet
Depo-Medrol Med Admin OrderSet
Depo-Provera Med Admin OrderSet
Diphenhydramine, up to 50mg4920597J1200
Dtap Vaccine Under 7 yrs IM OrderSet
Ertapenem Sodium 500 mg Injection4920555J1335
Flu 6-35 Months Vaccine Orderset WCDH
Flu Mist Order Set
Flu Vaccine (3 yrs+) IM OrderSet
Flu Vaccine OrderSet RMHO
Fluphenazine Injection 25 mg Charge4920617J2680
Furosemide Injection 20 mg Charge4920629J1940
Furosemide Med Admin OrderSet
Gardasil OrderSet
Green Lady RMHO
Hep A Adult Vaccine IM OrderSet
Hep A Pedi Vaccine IM OrderSet RMHO
Hep B Vaccine Ped OrderSet
Hep B Vaccine, Adult OrderSet
Hepatitis A Adult Vaccine CareSet RMHO
Hib Vaccine (HbOC) OrderSet
Hib Vaccine, Prp-T OrderSet
INJECTION, CLONIDINE HYDROCHLORIDE, 1 MG4920609J0735
INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITS4920701J0561
IPRATROPIUM 0.002J7644J7644
Imitrex, sumatriptan succinate, per 6 mg4920621J3030
Influenza virus vaccine, live, for intranasal use492072390660
Inj enoxaparin sodium per 10mg4920561J1650
Inj(s); Single or Mult Trigger Point(S), One or Two Muscle(s) Med Admin POC
Inj., Therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel Med Admin POC
Injection Of Medication Or Other Substance Into Tenon'S Capsule
Injection nalbuphine hydrochloride, per 10 mg4920641J2300
Injection(s); single tendon origin/insertion
Injection, Betamethasone acet&sod phosp 6mg/ml 5ml Vial4920605J0702
Injection, Ceftriaxone Sodium, Per 250 MG ChargeJ0696J0696
Injection, Kenalog, triamcinolone acetonide, 40mg/1ml #14920627J3301
Injection, Methylprednisolone 125mg/2ml #254920651J2930
Injection, Promethazine HCL, up to 50 mg Charge4920643J2550
Injection, RhoGam 300 mcg charge4920792J2790
Injection, Vitamin B-12 Cyanocobalamin, 1ml/1000 mcg4920577J3420
Injection, intralesional; up to and including seven lesions Med Admin POC
Injection, ketorolac tromethamine charge per 15 mg4920655J188533.5
Injection, medroxyprogesterone acetate, 1 mg4920871J1050
Insulin Med Admin Orderset
Insulin injection4920623J1815
Ipratropium Inhalation Med Admin OrderSet
J1050 Medroxyprogesterone acetate 150mg/mL4920871J1050
Kenalog Med Admin Orderset
Kinrix Med Admin OrderSet
Kinrix Vaccine OrderSet
Lincomycin Med Admin OrderSet
Lincomycin injection, up to 300 mg4920711J2010
Lovenox Med Admin OrderSet
MMR Vaccine OrderSet
Menactra (Meningococcal) OrderSet
Methylprednisolone 80 MG inj4920613J1040
Methylprednisolone Acetate 20 mg Injection4920611J1030
Orphenadrine Med Admin OrderSet
Pentacel OrderSet - RCMH
Pneumovax 23 Polysaccaride OrderSet
Pneumovax 23 Polysaccaride OrderSet RMHO
Poliovirus Vaccine Peds OrderSet
Prevnar 13 Vaccine OrderSet
Prevnar 7 Vaccine OrderSet
Promethazine 50 mg Med Admin OrderSet
Rabies Vaccine Intramuscular492024190675
RhoGAM Med Admin OrderSet
Rocephin 250 mg Med Admin OrderSet
Rocephin 250 mg Med Admin OrderSet
Rocephin 500 mg Med Admin OrderSet
Rotavirus Vaccine Oral OrderSet
Solu-Medrol Admin Order Set
Synvisc Med Admin OrderSet
Td Vaccine (7 years +) IM OrderSet
Tdap Vaccine OrderSet
Tdap Vaccine OrderSet RMHO9071590715
Tetanus Toxoid Vaccine, IM OrderSet
Toradol 30 mg Med Admin OrderSet
Toradol 60 mg Med Admin OrderSet
Typhoid Vaccine OrderSet
Varicella Virus Vaccine OrderSet
Zoster Shingles Vaccine OrderSet
BGHO-Neg
BGHO-Pos
Blood Culture420007987040306202
Body Fluid Culture.420019987070306163
CSF Culture420019987070306163
Ear Culture420019987070306163
Ear Culture420019987070306163
Environmental Culture420019987070306163
Eye Culture420019987070306163
GBS Molecular
Genital Culture420019987070306163
Giardia/Crypto Screen Micro
Gram Neg Combo MIC Panel MicroScan
Gram Pos MIC Combo Panel MicroScan
Gram Stain42002518720530686.5
Group B Strep Culture420019987070306163
Group B Streptococcus by DNA Amplification
HSV 1 & 2 Molecular
Influenza A&B Micro
MSID
MV-NEG
MV-NUC73
MV-POS
Minimum Inhibitory Concentration420006787186306165.75
Minimum Inhibitory Concentration Urinary
Nasal Culture420017387070306150.75
Sputum Culture420019987070306163
Stool Culture420019987070306163
Throat Culture420019987070306163
Urine Culture420017787088306165.75
Wound Culture
Wound Culture.420019987070306163
10060 I&D ABSCESS COMPLICATED300100610060361614.25
10060 I&D OF ABSXESS SMPL/SNGL CHARGE310001710060361419
10060 I&D OF ABSXESS SMPL/SNGL CHARGE300002710060361390.25
10060 OBS I&D OF ABSXESS SMPL/SNGL CHARGE310001710060361419
10060 TR I&D OF ABSXESS SMPL/SNGL CHARGE335007510060761485
10120 RMV FRGN BODY SUBQ SMPL CHARGE335101210120761608.25
10140 I&D HEMATOMA/SEROMA CHARGE3350069101407611071.5
19101 BX BREAST PERCUTANEOUS CHARGE3351910191017611749
20610 ACENTESIS ASP/INJ JNT M300002920610361395
20610 TR ACENTESIS/INJ JT BILAT CHARGE335008020610761797.5
26010 I&D FNGR ABSCESS SMPL CHARGE335260126010761920.25
29105 APPLY LONG ARM SPLINT CHARGE335008129105761383
29125 APPLY SHORT ARM SPLINT CHARGE33500832912576163.25
29580 Application of UNNA Boot460295829580420747.25
29581 WOUND APPLY MULTILAYER COMPRESS BELOW CHARGE4602958129581420229
31500 INTUBATION ENDOTRACHEAL3000031315004501930.5
36000 PLACE NEEDLE IN VEIN CHARGE33500533600076152.75
36000 SALINE LOCK CHARGE31000153600026052.75
3610123 REMOVAL FB MUSCLE TENDON PROFEE3610123
3610127 RPR CMPLX FACE 1.0 & < PROFEE361012712001
3610129 RPR CMPLX FACE 1.1-2.5 PROFEE3610129
3610139 RPR SMPLE FACE 2.6-5.0 PROFEE3610139
3610141 RPR SMPLE FACE 7.6-12.5 PROFEE3610141
3610145 RPR SMPLE SCLP NECK TRUNK PROFEE3610145
3610209 RPR INTRMD SCLP,TRK/EXTRE PROFEE3610209
3610211 RPR INTRMD SCLP,TRK/EXTRE PROFEE
3610213 RPR INTRMD SCLP,TRK/EXTRE PROFEE
3610215 RPR INTRMD SCLP,TRK/EXTRE PROFEE
3610217 RPR INTRMD SCLP,TRK/EXTRE PROFEE3610217
36410 VENIPUNCTURE FEM/JUGULAR CHARGE31000373641096090.25
36430 BLOOD TRANSFUSION 4 HR CHARGE3000017364303911697.5
36430 BLOOD TRANSFUSION 5 HR CHARGE3000019364303911697.5
36430 BLOOD TRANSFUSION 6 HR CHARGE3000021364303911697.5
36430 BLOOD TRANSFUSION 7 HR CHARGE3000023364303912370.25
36430 BLOOD TRANSFUSION > 8 HR CHARGE3000025206103612758.75
36556 INSERT NON-TUNNEL CV CATH CHARGE3350067365567611149.75
43760 GASTROSTOMY TUBE CHANGE CHARGE335437643760761508.75
49082 PERITONEOCENTESIS ABDOMIN CHARGE300003349082361750.5
51702 CATH URETHRA SMPLE CHARGE335437643760761362.25
51702 FOLEY CATH TEMP INSERT CHARGE300003751702361363.5
51702 OBS FOLEY CATH TEMP INSERT CHARGE310003951702760363.5
51702 TR FOLEY CATH TEMP INSERT CHARGE335008551702761363.5
86580 TB INTRDRML SKIN TEST CHARGE49206338658030226.75
86580 TR TB INTRDRML SKIN TEST CHARGE33586588658076131.5
90785 INTERACTIVE COMPLEX CHARGE468907890785914225.25
90791 IOP PSYCHOSOCIAL ASSESS CHARGE4680015907919001712.5
90832 IOP IND PSYCTHERAPY 1/2HR CHARGE468000190832914378.5
90837 IOP IND PSYCTHERAPY 1 HR CHARGE468000390837914753.5
90846 FAM PSYCHO W/O PT PRESENT CHARGE468908490846916298.75
90847 IOP FAMILY PSYCHOTHERAPY CHARGE4680013908479160
90853 IOP FOCUS GRP THERAPY CHARGE468000790853915753.5
90853 IOP FOCUS GRP THRPY +HR CHARGE468001790853915753.5
90853 IOP PRCESS GRP THERPY +HR CHARGE468000590853915753.5
90853 IOP PRCESS GRP THRPY +OTH CHARGE468001190853915753.5
90853 IOP PROCESS GRP THERAPY CHARGE468000990853915753.5
92136 Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculatio
92950 CPR492038392950
92950 CPR CHARGE3000041929504801385.75
93005 EKG 12 LEAD TRACING CHARGE447000993005730160.75
93017 CARDIAC STRESS TEST CHARGE447000193017482965.5
93041 EKG 3 LEAD TRACING CHARGE44700119304173063.25
93225 ECG UP TO 48 HRS CHARGE492021993225
93225 HOLTER MONITOR 24HR REC CHARGE447000393225731363.5
93226 HOLTER MONITOR 24HR SCAN CHARGE447000593226731642.5
96366 IV THERAPY EA + HR CHARGE310000796366260360.25
97605 WOUND VAC NEG <=50 CM CHARGE97605420137.5
99252 INPATIENT CONSULTATION CHARGE300004099252988336.5
ACENTESIS JNT INTM492050120605
ACETAMINOPHEN 120 MG SUPP4920635J8499
ALBUTEROL .83% 3MLJ8499J8499
ALBUTEROL 2.5MG SOL INHJ8499J8499
ASPIRIN 325MG TAB EAJ8499J8499
Apply Finger Cast
CLIENT CULTURE WOUND
CV CUTDOWN >5 YEARS AGE492050536556
Capillary Glucose Test Charge492054582948
Chronic Disease Management Visit
DIPHENHYDRAMINE 25MG ORALJ8499J8499
DONNATAL ELIXIR4920571J8499
E Prescribing4920974G8553
FLU VAC 3 YRS & OLDER492058390686
FLU VAC 6-35 MONTHS9068590685
FOLEY PLACEMENT SIMPLE TR335008651701761221.5
FireFighter exam with PSA
G0101 Screening Pelvic/Breast Exam Clinic Charge4920261G0101
G0168 DERMABOND ADHESIVEG0168G0168
G0372 POWER MOBILITY DEVICE EVALG0372G0372
G0378 OBSERVATION CHARGE3100001G037876245.5
G0378 OBSERVATION W/MONITOR CHARGE3100003G037876261.75
G0402 Welcome To Medicare Pe Clinic ChargeG0402G0402
G0404 MCRE PREVENTIVE EKG CHARGE4470015G0404730148.75
HANDLING FEE SEND OUT LAB42099999900130035.75
HOME VISIT EST PT L-1492034399347
HOME VISIT EST PT L-2492034599348
HOME VISIT EST PT L-3492034799349
HOME VISIT EST PT L-4492034999350
HOME VISIT NP L-1492033399341
HOME VISIT NP L-2492033599342
HOME VISIT NP L-3492033799343
HOME VISIT NP L-4492033999344
HOME VISIT NP L-5492034199345
Hazmat Physical Bill-Only
Heritage Charges RMHO_TX
I&D TR ABSCESS COMPLICATED492010910061761585.5
IBUPROFEN 100MG ORAL LIQJ8499J8499
INJ KNEE/JOINT BILATERAL492018320610
IV Initial UP to 1 Hour492022596365
L4350 Splint Aircast Clinic Charge4920825L4350
LIDOCAINE VISCOUS 2%4920573J8499
MAXALT 10MG TAB EAJ8499J8499
MD INJ TEND SHEATH/LIGAME
MI-ACIS MS SUSP 15ML4920567J8499
NH DTLD H&P L-2492031199305
NH FACILITY ANNUAL ASSESS492030999318
NH VISIT EST PT L-1492032799334
NH VISIT EST PT L-2492032999335
NH VISIT EST PT L-3492033199309
NH VISIT NP L-1492032199324
NH VISIT NP L-2492032399325
NH VISIT NP L-3492032599326
NH VISIT NP L-4492035199327
NH/SB CMP H&P L-3492031399306
NH/SB DSCHRGE 30MIN >492031999316
NH/SB DSCHRGE 30MIN OR <492031799315
NH/SB SBSQ V L-1492015399307
NH/SB SBSQ V L-2492015599308
NH/SB SBSQ V L-3492015799309
NITROSTAT 0.4MG #1 TAB EAJ8499J8499
NS 500ML IRRIGATION4920565A4217
Nursing Charges RMHO_TX
OBS F/U EP L-2492043199212
OBS F/U EP L-3492043399213
OBS F/U EP L-4492043599214
OBS F/U EP L-5492043799215
OBS F/U LEVEL 13610433
OBS F/U LEVEL 23610435
OBS F/U LEVEL 33610437
OBSERVATION Exam Complex - 25 minutes - Clinic MD
OBSERVATION Exam Complex - 35 minutes - Clinic MD
OBSERVATION Exam Moderate - 15 minutes - Clinic MD
Observation Charges RMHO_TX
PCV13 VACCINE492073590670
PHYSICAL DOT9949999499
POST OP VISIT-TECH40099024990247614670
PROMETHAZINE 12.5MG TABJ8499J8499
PSYCHIATRIC EVALUATION3620497
Penta QST BCE
Prescription of optical and physical characteristics of and fitting of contact lens; corneal lens
Q0091 Medicare Pap Collection Clinic Charge4920259Q0091
Q0144 ZITHROMAX 1GRAM PAK EACH4920661Q0144
Reduced Service Nurse Visit492009599211
S0028 MARCAINE 30ML IM/IV4920563S0028
SB DISCHG 30MIN >3620525492031999316
SB DISCHG 30MIN OR <3620523
SB NEW/EST INITL LVL 13620511
SB NEW/EST INTL LVL 23620513
SB NEW/EST INTL LVL 3362051599306
SB SBSQNT VISIT L-3362052199309
SB SUBSEQUNT VISIT L-13620517
SB SUBSEQUNT VISTI L-23620519
Scanning Computerized Ophthalmic Diagnostic Imaging With Interpretation And Report, Unilateral
Scanning computerized ophthalmic diagnostic imaging, posterior segment,with interpretation and repor
TYLENOL LIQUIDJ8499J8499
Treatment Room Charges RMHO_TX
Visual field examination, unilateral or bilateral, with interpretation and report; extended exam
zzVoid
93922 VS ARTERIAL LOWER/UPPER EXTREMITY PHYSIOLOGIC CHARGE444000693922921484
96360 HYDRATION IV <=1 HR CHARGE310001996360260482
96361 HYDRATE IV, ADD-ON CHARGE310002196361260360.25
96365 INF THERAPY 1ST HR CHARGE310000596365260482
96367 IV INF ADDL SEQUNT 1ST HR Charge310004196367260360.25
96368 IV INFUSION CONCURRENT Charge31000439636826098
96372 INJ ANTIBIOTIC CHARGE310001396372940103.75
96372 INJ SUBQ OR IM CHARGE310000996372260103.75
96374 IV PUSH SINGLE/INT CHARGE310001196374260282.5
96523 IRRIGATE PORT FLUSH CHARGE335965296523761195.25
Alum Crutches All SZ Charge4920853E0114
COMPRESSION SLEEVE LG PR Charge
CPM MACHINE CHARGE4100697E0935947851.5
ET TUBE STYLETT400020954118.25
ETOMIDATE 40MG IM/IV4000137547196.5
FENTANYL 100MCG IM/IV400013954725
SPLINT COLLES LEFT LG Charge
DM NTR TX 2ND 1 YR 15 M Charge
Medical Nutrition Therapy Initial 15 MIN
Amniocentesis; diagnostic Charge
Anterior Colporrhaphy, Repair Cystocele w/ or w/o Repair Urethrocele Charge
Artificial Insemination Intra-Uterine
Artificial insemination
BILAT SALPINGO-OO PHR
Bartholin's Gland Cyst Remove Charge
Biopsy Endometrial Charge
Biopsy Vagina, Extensive Charge
Biopsy Vagina, Simple Charge
Biopsy Vulva/Perineum, Ea Add'l Charge
Biopsy Vulva/Perineum, One Charge
Biopsy, Single or Multiple, or Local Excision of Lesion
Catheterization/Introduction Saline for SIS or HSG Charge
Cautery Of Cervix; Electro Or Thermal
Cervical/Vaginal CA Screen; Pelvic/Breast Exam Medicare Charge
Cervix Conization w/Loop Elec, Remove Charge
Cervix Conization, Remove Charge
Chromotubation of oviduct, including materials Charge
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach
Closure Vesicovaginal Fistula; Vaginal Charge
Colpoperineorrhaphy, Suture Of Injury Of Vagina And/Or Perineum (Nonobstetrical)
Colpopexy Abdominal Charge
Colporrhaphy, suture of injury to vagina
Colposcopy Cervix Upper Vag Charge
Colposcopy Cervix Upper/adj. Vag.; w/Loop Electrode Conization of the Cervix Charge
Colposcopy Cervix/Upper Vag w/Bx Cervix & Endo Charge
Colposcopy Cervix/Upper Vag w/Bx Cervix Charge
Colposcopy Cervix/Upper Vag w/Loop Bx Charge
Colposcopy Entire Vagina, w/Cervix if present; w/Biopsy(s) of Vagina/Cervix Charge
Colposcopy of the Cervix incl. upper/adj. Vag.; w/Endocervical Curettage Charge
Combined Anteroposterior Colporrhaphy w/ Enterocele Repair Charge
Combined Anteroposterior Colporrhaphy Charge
Cryocautery Cervix Charge
Curettage Postpartum Charge
Cystorrhaphy, suture of bladder wound complicated
Delivery Cesarean-Only Charge
Delivery Cesarean-Only w/ Postpartum Care Charge
Delivery Vaginal-Only Charge
Delivery Vaginal-Only w/ Postpartum Care Charge
Destruct, Vulva Lesion Extensive Charge
Destruct, Vulva Lesion Simple Charge
Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), pr
Destruction Of Vaginal Lesion(S); Simple (Eg, Laser Surgery, Electrosurgery, Chemosurgery)
Dilation & Curettage, Non-OB Charge
Dilation Cervix Canal Charge
Drainage of ovarian cyst abdominal approach
Endometrial cryoablation with ultrasonic guidance, including endometrial curettage
Exc. of breast lesion by preoperative placement of radiological marker, open; single lesion Charge
Excision Of Vaginal Septum
Excision Vaginal Cyst/Tumor Charge
Exploration repair & presacral drainage for rectal injury
External cephalic version, with or without tocolysis Charge
Fetal Nonstress Test
Fimbrioplasty
Fitting Diaphragm/Cervical Cap Charge
Fitting/Insert Pessary/Other Support Charge
H: Removal, implantable contraceptive capsules
Hymen, Remove/Revision, Partial Charge
Hysterosalpingography, Radiological Supervision And Interpretation
Hysteroscopy Surgical w/ Endometrial Ablation Charge
Hysteroscopy Surgical w/ Removal Foreign Body Charge
Hysteroscopy Surgical w/ Sampling Endometrium/Polypectomy Charge
Hysteroscopy surgical bil fallopian tube cannulation for sterilization
Hysteroscopy, diagnostic (sp) Charge
Hysterotomy abdominal
IUD, Insert Charge
IUD, Remove Charge
Insertion drug delivery implant
Intro Of Any Hemostatic Agent Or Pack For Spontaneous Or Traumatic Nonobstetrical Vaginal Hemorrhage
LAP; W REM ADNEXAL STRUCTURES
Lap Supracervical Hysterectomy with Removal of Tubes and Ovaries
Laparoscopic Treatment Ectopic Pregnancy; w/o Salp/Ooph Charge
Laparoscopy Surgical Myomectomy; 1-4 Intrmural Myomas Charge
Laparoscopy Surgical w/ Adhesiolysis Charge
Laparoscopy Surgical w/ Fulguration/Excsicion Lesions Charge
Laparoscopy Surgical w/ Fulguration Oviducts Charge
Laparoscopy Surgical w/ Occlusion Oviducts Charge
Laparoscopy surgical colpopexy
Laparoscopy, Surgical, Enterolysis Charge
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tubes
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less;
Laparot,Staging/Restag Of Ovarian,Tubal/Primary Periton Malig, W/W/O Omentct, Bx Of Abd/Pelv Periton
Laps vaginal hysterect>250 gm removal tube & ovary
Ligation or transection of fallopian tube(s), abd. or vag. approach, unilateral or bilateral Charge
Ligation/Transection Fallopian Tubes During Cesarean Delivery Charge
Ligation/Transection Fallopian Tubes Postpartum Charge
Lysis of Adhesions (Salpingolysis, Ovariolysis) Charge
MYOMECTOMY VAG METHOD 1-4 MYOMAS
Misc Female Genital Non-Ob Surgery Procedure
Myomectomy, exc. of fibroid tumor(s) of uterus, 1-4, 250 grams or less; Abd. approach Charge
Oophorectomy, Partial or Total, Unilat or Bilat Charge
Ovarian Cystectomy, Unilat or Bilat Charge<