The "Charge Master" is a complete list of prices for all hospital services. This is the most comprehensive and detailed picture of hospital charges. However, it would be a challenge to use this to estimate charges for a hospitalization or outpatient surgery since there will be multiple services provided on a given day. For example, there will be a room and board charge for each day in the hospital. There will also be lab charges, pharmacy charges, respiratory therapies, imaging, etc. To make this research more user-friendly, we have created a charge category field that allows you to filter on certain types of charges (ie the room and board vs the lab charges) so you don't have to look at all 25,000 lines of the Charge Master.

In all cases except where noted, this does not include the prices for physician services — this is for hospital services only.

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Anesthesia

Hospital	Description	CPT Code	Standard Charge
RNPH	HB ANESTH COMPLICATED EMERG CONDITION	99140	$30
RRUCLA	HB ANESTH COMPLICATED EMERG CONDITION	99140	$30
SMUCLA	HB ANESTH COMPLICATED EMERG CONDITION	99140	$30
RNPH	HB ANESTHESIA HOURS 0.25		$160
RRUCLA	HB ANESTHESIA HOURS 0.25		$160
SMUCLA	HB ANESTHESIA HOURS 0.25		$160
RNPH	HB ANESTHESIA HOURS 0.50		$330
RRUCLA	HB ANESTHESIA HOURS 0.50		$330
SMUCLA	HB ANESTHESIA HOURS 0.50		$330
RNPH	HB ANESTHESIA HOURS 0.75		$490
RRUCLA	HB ANESTHESIA HOURS 0.75		$490
SMUCLA	HB ANESTHESIA HOURS 0.75		$490
RNPH	HB ANESTHESIA HOURS 1.00		$650
RRUCLA	HB ANESTHESIA HOURS 1.00		$650
SMUCLA	HB ANESTHESIA HOURS 1.00		$650
RNPH	HB ANESTHESIA HOURS 1.25		$810
RRUCLA	HB ANESTHESIA HOURS 1.25		$810
SMUCLA	HB ANESTHESIA HOURS 1.25		$810
RNPH	HB ANESTHESIA HOURS 1.50		$980
RRUCLA	HB ANESTHESIA HOURS 1.50		$980
SMUCLA	HB ANESTHESIA HOURS 1.50		$980
RNPH	HB ANESTHESIA HOURS 1.75		$1140
RRUCLA	HB ANESTHESIA HOURS 1.75		$1140
SMUCLA	HB ANESTHESIA HOURS 1.75		$1140
RNPH	HB ANESTHESIA HOURS 10.00		$6500
RRUCLA	HB ANESTHESIA HOURS 10.00		$6500
SMUCLA	HB ANESTHESIA HOURS 10.00		$6500
RNPH	HB ANESTHESIA HOURS 10.25		$6660
RRUCLA	HB ANESTHESIA HOURS 10.25		$6660
SMUCLA	HB ANESTHESIA HOURS 10.25		$6660
RNPH	HB ANESTHESIA HOURS 10.50		$6830
RRUCLA	HB ANESTHESIA HOURS 10.50		$6830
SMUCLA	HB ANESTHESIA HOURS 10.50		$6830
RNPH	HB ANESTHESIA HOURS 10.75		$6990
RRUCLA	HB ANESTHESIA HOURS 10.75		$6990
SMUCLA	HB ANESTHESIA HOURS 10.75		$6990
RNPH	HB ANESTHESIA HOURS 11.00		$7150
RRUCLA	HB ANESTHESIA HOURS 11.00		$7150
SMUCLA	HB ANESTHESIA HOURS 11.00		$7150
RNPH	HB ANESTHESIA HOURS 11.25		$7310
RRUCLA	HB ANESTHESIA HOURS 11.25		$7310
SMUCLA	HB ANESTHESIA HOURS 11.25		$7310
RNPH	HB ANESTHESIA HOURS 11.50		$7480
RRUCLA	HB ANESTHESIA HOURS 11.50		$7480
SMUCLA	HB ANESTHESIA HOURS 11.50		$7480
RNPH	HB ANESTHESIA HOURS 11.75		$7640
RRUCLA	HB ANESTHESIA HOURS 11.75		$7640
SMUCLA	HB ANESTHESIA HOURS 11.75		$7640
RNPH	HB ANESTHESIA HOURS 12.00		$7800
RRUCLA	HB ANESTHESIA HOURS 12.00		$7800
SMUCLA	HB ANESTHESIA HOURS 12.00		$7800
RNPH	HB ANESTHESIA HOURS 12.25		$7960
RRUCLA	HB ANESTHESIA HOURS 12.25		$7960
SMUCLA	HB ANESTHESIA HOURS 12.25		$7960
RNPH	HB ANESTHESIA HOURS 12.50		$8130
RRUCLA	HB ANESTHESIA HOURS 12.50		$8130
SMUCLA	HB ANESTHESIA HOURS 12.50		$8130
RNPH	HB ANESTHESIA HOURS 12.75		$8290
RRUCLA	HB ANESTHESIA HOURS 12.75		$8290
SMUCLA	HB ANESTHESIA HOURS 12.75		$8290
RNPH	HB ANESTHESIA HOURS 13.00		$8450
RRUCLA	HB ANESTHESIA HOURS 13.00		$8450
SMUCLA	HB ANESTHESIA HOURS 13.00		$8450
RNPH	HB ANESTHESIA HOURS 13.25		$8610
RRUCLA	HB ANESTHESIA HOURS 13.25		$8610
SMUCLA	HB ANESTHESIA HOURS 13.25		$8610
RNPH	HB ANESTHESIA HOURS 13.50		$8780
RRUCLA	HB ANESTHESIA HOURS 13.50		$8780
SMUCLA	HB ANESTHESIA HOURS 13.50		$8780
RNPH	HB ANESTHESIA HOURS 13.75		$8940
RRUCLA	HB ANESTHESIA HOURS 13.75		$8940
SMUCLA	HB ANESTHESIA HOURS 13.75		$8940
RNPH	HB ANESTHESIA HOURS 14.00		$9100
RRUCLA	HB ANESTHESIA HOURS 14.00		$9100
SMUCLA	HB ANESTHESIA HOURS 14.00		$9100
RNPH	HB ANESTHESIA HOURS 14.25		$9260
RRUCLA	HB ANESTHESIA HOURS 14.25		$9260
SMUCLA	HB ANESTHESIA HOURS 14.25		$9260
RNPH	HB ANESTHESIA HOURS 14.50		$9430
RRUCLA	HB ANESTHESIA HOURS 14.50		$9430
SMUCLA	HB ANESTHESIA HOURS 14.50		$9430
RNPH	HB ANESTHESIA HOURS 14.75		$9590
RRUCLA	HB ANESTHESIA HOURS 14.75		$9590
SMUCLA	HB ANESTHESIA HOURS 14.75		$9590
RNPH	HB ANESTHESIA HOURS 15.00		$9750
RRUCLA	HB ANESTHESIA HOURS 15.00		$9750
SMUCLA	HB ANESTHESIA HOURS 15.00		$9750
RNPH	HB ANESTHESIA HOURS 15.25		$9910
RRUCLA	HB ANESTHESIA HOURS 15.25		$9910
SMUCLA	HB ANESTHESIA HOURS 15.25		$9910
RNPH	HB ANESTHESIA HOURS 15.50		$10080
RRUCLA	HB ANESTHESIA HOURS 15.50		$10080
SMUCLA	HB ANESTHESIA HOURS 15.50		$10080
RNPH	HB ANESTHESIA HOURS 15.75		$10240
RRUCLA	HB ANESTHESIA HOURS 15.75		$10240
SMUCLA	HB ANESTHESIA HOURS 15.75		$10240
RNPH	HB ANESTHESIA HOURS 16.00		$10400
RRUCLA	HB ANESTHESIA HOURS 16.00		$10400
SMUCLA	HB ANESTHESIA HOURS 16.00		$10400
RNPH	HB ANESTHESIA HOURS 16.25		$10560
RRUCLA	HB ANESTHESIA HOURS 16.25		$10560
SMUCLA	HB ANESTHESIA HOURS 16.25		$10560
RNPH	HB ANESTHESIA HOURS 16.50		$8580
RRUCLA	HB ANESTHESIA HOURS 16.50		$8580
SMUCLA	HB ANESTHESIA HOURS 16.50		$8580
RNPH	HB ANESTHESIA HOURS 16.75		$8710
RRUCLA	HB ANESTHESIA HOURS 16.75		$8710
SMUCLA	HB ANESTHESIA HOURS 16.75		$8710
RNPH	HB ANESTHESIA HOURS 17.00		$11050
RRUCLA	HB ANESTHESIA HOURS 17.00		$11050
SMUCLA	HB ANESTHESIA HOURS 17.00		$11050
RNPH	HB ANESTHESIA HOURS 17.25		$8970
RRUCLA	HB ANESTHESIA HOURS 17.25		$8970
SMUCLA	HB ANESTHESIA HOURS 17.25		$8970
RNPH	HB ANESTHESIA HOURS 17.50		$9100
RRUCLA	HB ANESTHESIA HOURS 17.50		$9100
SMUCLA	HB ANESTHESIA HOURS 17.50		$9100
RNPH	HB ANESTHESIA HOURS 17.75		$9230
RRUCLA	HB ANESTHESIA HOURS 17.75		$9230
SMUCLA	HB ANESTHESIA HOURS 17.75		$9230
RNPH	HB ANESTHESIA HOURS 18.00		$11700
RRUCLA	HB ANESTHESIA HOURS 18.00		$11700
SMUCLA	HB ANESTHESIA HOURS 18.00		$11700
RNPH	HB ANESTHESIA HOURS 18.25		$11860
RRUCLA	HB ANESTHESIA HOURS 18.25		$11860
SMUCLA	HB ANESTHESIA HOURS 18.25		$11860
RNPH	HB ANESTHESIA HOURS 18.50		$12030
RRUCLA	HB ANESTHESIA HOURS 18.50		$12030
SMUCLA	HB ANESTHESIA HOURS 18.50		$12030
RNPH	HB ANESTHESIA HOURS 18.75		$12190
RRUCLA	HB ANESTHESIA HOURS 18.75		$12190
SMUCLA	HB ANESTHESIA HOURS 18.75		$12190
RNPH	HB ANESTHESIA HOURS 19.00		$12350
RRUCLA	HB ANESTHESIA HOURS 19.00		$12350
SMUCLA	HB ANESTHESIA HOURS 19.00		$12350
RNPH	HB ANESTHESIA HOURS 19.25		$10010
RRUCLA	HB ANESTHESIA HOURS 19.25		$10010
SMUCLA	HB ANESTHESIA HOURS 19.25		$10010
RNPH	HB ANESTHESIA HOURS 19.50		$12680
RRUCLA	HB ANESTHESIA HOURS 19.50		$12680
SMUCLA	HB ANESTHESIA HOURS 19.50		$12680
RNPH	HB ANESTHESIA HOURS 19.75		$12840
RRUCLA	HB ANESTHESIA HOURS 19.75		$12840
SMUCLA	HB ANESTHESIA HOURS 19.75		$12840
RNPH	HB ANESTHESIA HOURS 2.00		$1300
RRUCLA	HB ANESTHESIA HOURS 2.00		$1300
SMUCLA	HB ANESTHESIA HOURS 2.00		$1300
RNPH	HB ANESTHESIA HOURS 2.25		$1460
RRUCLA	HB ANESTHESIA HOURS 2.25		$1460
SMUCLA	HB ANESTHESIA HOURS 2.25		$1460
RNPH	HB ANESTHESIA HOURS 2.50		$1630
RRUCLA	HB ANESTHESIA HOURS 2.50		$1630
SMUCLA	HB ANESTHESIA HOURS 2.50		$1630
RNPH	HB ANESTHESIA HOURS 2.75		$1790
RRUCLA	HB ANESTHESIA HOURS 2.75		$1790
SMUCLA	HB ANESTHESIA HOURS 2.75		$1790
RNPH	HB ANESTHESIA HOURS 20.00		$10400
RRUCLA	HB ANESTHESIA HOURS 20.00		$10400
SMUCLA	HB ANESTHESIA HOURS 20.00		$10400
RNPH	HB ANESTHESIA HOURS 20.25		$13160
RRUCLA	HB ANESTHESIA HOURS 20.25		$13160
SMUCLA	HB ANESTHESIA HOURS 20.25		$13160
RNPH	HB ANESTHESIA HOURS 20.50		$10660
RRUCLA	HB ANESTHESIA HOURS 20.50		$10660
SMUCLA	HB ANESTHESIA HOURS 20.50		$10660
RNPH	HB ANESTHESIA HOURS 20.75		$10790
RRUCLA	HB ANESTHESIA HOURS 20.75		$10790
SMUCLA	HB ANESTHESIA HOURS 20.75		$10790
RNPH	HB ANESTHESIA HOURS 21.00		$10920
RRUCLA	HB ANESTHESIA HOURS 21.00		$10920
SMUCLA	HB ANESTHESIA HOURS 21.00		$10920
RNPH	HB ANESTHESIA HOURS 21.25		$11050
RRUCLA	HB ANESTHESIA HOURS 21.25		$11050
SMUCLA	HB ANESTHESIA HOURS 21.25		$11050
RNPH	HB ANESTHESIA HOURS 21.50		$13980
RRUCLA	HB ANESTHESIA HOURS 21.50		$13980
SMUCLA	HB ANESTHESIA HOURS 21.50		$13980
RNPH	HB ANESTHESIA HOURS 21.75		$11310
RRUCLA	HB ANESTHESIA HOURS 21.75		$11310
SMUCLA	HB ANESTHESIA HOURS 21.75		$11310
RNPH	HB ANESTHESIA HOURS 22.00		$11440
RRUCLA	HB ANESTHESIA HOURS 22.00		$11440
SMUCLA	HB ANESTHESIA HOURS 22.00		$11440
RNPH	HB ANESTHESIA HOURS 22.25		$11570
RRUCLA	HB ANESTHESIA HOURS 22.25		$11570
SMUCLA	HB ANESTHESIA HOURS 22.25		$11570
RNPH	HB ANESTHESIA HOURS 22.50		$11700
RRUCLA	HB ANESTHESIA HOURS 22.50		$11700
SMUCLA	HB ANESTHESIA HOURS 22.50		$11700
RNPH	HB ANESTHESIA HOURS 22.75		$11830
RRUCLA	HB ANESTHESIA HOURS 22.75		$11830
SMUCLA	HB ANESTHESIA HOURS 22.75		$11830
RNPH	HB ANESTHESIA HOURS 23.00		$11960
RRUCLA	HB ANESTHESIA HOURS 23.00		$11960
SMUCLA	HB ANESTHESIA HOURS 23.00		$11960
RNPH	HB ANESTHESIA HOURS 23.25		$12090
RRUCLA	HB ANESTHESIA HOURS 23.25		$12090
SMUCLA	HB ANESTHESIA HOURS 23.25		$12090
RNPH	HB ANESTHESIA HOURS 23.50		$12220
RRUCLA	HB ANESTHESIA HOURS 23.50		$12220
SMUCLA	HB ANESTHESIA HOURS 23.50		$12220
RNPH	HB ANESTHESIA HOURS 23.75		$12350
RRUCLA	HB ANESTHESIA HOURS 23.75		$12350
SMUCLA	HB ANESTHESIA HOURS 23.75		$12350
RNPH	HB ANESTHESIA HOURS 24.00		$15600
RRUCLA	HB ANESTHESIA HOURS 24.00		$15600
SMUCLA	HB ANESTHESIA HOURS 24.00		$15600
RNPH	HB ANESTHESIA HOURS 3.00		$1950
RRUCLA	HB ANESTHESIA HOURS 3.00		$1950
SMUCLA	HB ANESTHESIA HOURS 3.00		$1950
RNPH	HB ANESTHESIA HOURS 3.25		$2110
RRUCLA	HB ANESTHESIA HOURS 3.25		$2110
SMUCLA	HB ANESTHESIA HOURS 3.25		$2110
RNPH	HB ANESTHESIA HOURS 3.50		$2280
RRUCLA	HB ANESTHESIA HOURS 3.50		$2280
SMUCLA	HB ANESTHESIA HOURS 3.50		$2280
RNPH	HB ANESTHESIA HOURS 3.75		$2440
RRUCLA	HB ANESTHESIA HOURS 3.75		$2440
SMUCLA	HB ANESTHESIA HOURS 3.75		$2440
RNPH	HB ANESTHESIA HOURS 4.00		$2600
RRUCLA	HB ANESTHESIA HOURS 4.00		$2600
SMUCLA	HB ANESTHESIA HOURS 4.00		$2600
RNPH	HB ANESTHESIA HOURS 4.25		$2760
RRUCLA	HB ANESTHESIA HOURS 4.25		$2760
SMUCLA	HB ANESTHESIA HOURS 4.25		$2760
RNPH	HB ANESTHESIA HOURS 4.50		$2930
RRUCLA	HB ANESTHESIA HOURS 4.50		$2930
SMUCLA	HB ANESTHESIA HOURS 4.50		$2930
RNPH	HB ANESTHESIA HOURS 4.75		$3090
RRUCLA	HB ANESTHESIA HOURS 4.75		$3090
SMUCLA	HB ANESTHESIA HOURS 4.75		$3090
RNPH	HB ANESTHESIA HOURS 5.00		$3250
RRUCLA	HB ANESTHESIA HOURS 5.00		$3250
SMUCLA	HB ANESTHESIA HOURS 5.00		$3250
RNPH	HB ANESTHESIA HOURS 5.25		$3410
RRUCLA	HB ANESTHESIA HOURS 5.25		$3410
SMUCLA	HB ANESTHESIA HOURS 5.25		$3410
RNPH	HB ANESTHESIA HOURS 5.50		$3580
RRUCLA	HB ANESTHESIA HOURS 5.50		$3580
SMUCLA	HB ANESTHESIA HOURS 5.50		$3580
RNPH	HB ANESTHESIA HOURS 5.75		$3740
RRUCLA	HB ANESTHESIA HOURS 5.75		$3740
SMUCLA	HB ANESTHESIA HOURS 5.75		$3740
RNPH	HB ANESTHESIA HOURS 6.00		$3900
RRUCLA	HB ANESTHESIA HOURS 6.00		$3900
SMUCLA	HB ANESTHESIA HOURS 6.00		$3900
RNPH	HB ANESTHESIA HOURS 6.25		$4060
RRUCLA	HB ANESTHESIA HOURS 6.25		$4060
SMUCLA	HB ANESTHESIA HOURS 6.25		$4060
RNPH	HB ANESTHESIA HOURS 6.50		$4230
RRUCLA	HB ANESTHESIA HOURS 6.50		$4230
SMUCLA	HB ANESTHESIA HOURS 6.50		$4230
RNPH	HB ANESTHESIA HOURS 6.75		$4390
RRUCLA	HB ANESTHESIA HOURS 6.75		$4390
SMUCLA	HB ANESTHESIA HOURS 6.75		$4390
RNPH	HB ANESTHESIA HOURS 7.00		$4550
RRUCLA	HB ANESTHESIA HOURS 7.00		$4550
SMUCLA	HB ANESTHESIA HOURS 7.00		$4550
RNPH	HB ANESTHESIA HOURS 7.25		$4710
RRUCLA	HB ANESTHESIA HOURS 7.25		$4710
SMUCLA	HB ANESTHESIA HOURS 7.25		$4710
RNPH	HB ANESTHESIA HOURS 7.50		$4880
RRUCLA	HB ANESTHESIA HOURS 7.50		$4880
SMUCLA	HB ANESTHESIA HOURS 7.50		$4880
RNPH	HB ANESTHESIA HOURS 7.75		$5040
RRUCLA	HB ANESTHESIA HOURS 7.75		$5040
SMUCLA	HB ANESTHESIA HOURS 7.75		$5040
RNPH	HB ANESTHESIA HOURS 8.00		$5200
RRUCLA	HB ANESTHESIA HOURS 8.00		$5200
SMUCLA	HB ANESTHESIA HOURS 8.00		$5200
RNPH	HB ANESTHESIA HOURS 8.25		$5360
RRUCLA	HB ANESTHESIA HOURS 8.25		$5360
SMUCLA	HB ANESTHESIA HOURS 8.25		$5360
RNPH	HB ANESTHESIA HOURS 8.50		$5530
RRUCLA	HB ANESTHESIA HOURS 8.50		$5530
SMUCLA	HB ANESTHESIA HOURS 8.50		$5530
RNPH	HB ANESTHESIA HOURS 8.75		$5690
RRUCLA	HB ANESTHESIA HOURS 8.75		$5690
SMUCLA	HB ANESTHESIA HOURS 8.75		$5690
RNPH	HB ANESTHESIA HOURS 9.00		$5850
RRUCLA	HB ANESTHESIA HOURS 9.00		$5850
SMUCLA	HB ANESTHESIA HOURS 9.00		$5850
RNPH	HB ANESTHESIA HOURS 9.25		$6010
RRUCLA	HB ANESTHESIA HOURS 9.25		$6010
SMUCLA	HB ANESTHESIA HOURS 9.25		$6010
RNPH	HB ANESTHESIA HOURS 9.50		$6180
RRUCLA	HB ANESTHESIA HOURS 9.50		$6180
SMUCLA	HB ANESTHESIA HOURS 9.50		$6180
RNPH	HB ANESTHESIA HOURS 9.75		$6340
RRUCLA	HB ANESTHESIA HOURS 9.75		$6340
SMUCLA	HB ANESTHESIA HOURS 9.75		$6340
RNPH	HB CONSCIOUS SEDATION-IV/IM/INHAL		$150
RRUCLA	HB CONSCIOUS SEDATION-IV/IM/INHAL		$150
SMUCLA	HB CONSCIOUS SEDATION-IV/IM/INHAL		$150
RNPH	HB GI SEDATION >5YRS 1ST 15 SAME MD	G0500	$50
RRUCLA	HB GI SEDATION >5YRS 1ST 15 SAME MD	G0500	$50
SMUCLA	HB GI SEDATION >5YRS 1ST 15 SAME MD	G0500	$50
RNPH	HB SEDATION <5YRS 1ST 15 OTHER MD	99155	$50
RRUCLA	HB SEDATION <5YRS 1ST 15 OTHER MD	99155	$50
SMUCLA	HB SEDATION <5YRS 1ST 15 OTHER MD	99155	$50
RNPH	HB SEDATION <5YRS 1ST 15 SAME MD	99151	$50
RRUCLA	HB SEDATION <5YRS 1ST 15 SAME MD	99151	$50
SMUCLA	HB SEDATION <5YRS 1ST 15 SAME MD	99151	$50
RNPH	HB SEDATION >5YRS 1ST 15 OTHER MD	99156	$50
RRUCLA	HB SEDATION >5YRS 1ST 15 OTHER MD	99156	$50
SMUCLA	HB SEDATION >5YRS 1ST 15 OTHER MD	99156	$50
RNPH	HB SEDATION >5YRS 1ST 15 SAME MD	99152	$50
RRUCLA	HB SEDATION >5YRS 1ST 15 SAME MD	99152	$50
SMUCLA	HB SEDATION >5YRS 1ST 15 SAME MD	99152	$50
RNPH	HB SEDATION EA ADDL 15 OTHER MD	99157	$50
RRUCLA	HB SEDATION EA ADDL 15 OTHER MD	99157	$50
SMUCLA	HB SEDATION EA ADDL 15 OTHER MD	99157	$50
RNPH	HB SEDATION EA ADDL 15 SAME MD	99153	$50
RRUCLA	HB SEDATION EA ADDL 15 SAME MD	99153	$50
SMUCLA	HB SEDATION EA ADDL 15 SAME MD	99153	$50

Audiology

Hospital	Description	CPT Code	Standard Charge
RNPH	HB AUD ELECTROCOCHLEOGRAPHY	92584	$880
RRUCLA	HB AUD ELECTROCOCHLEOGRAPHY	92584	$880
SMUCLA	HB AUD ELECTROCOCHLEOGRAPHY	92584	$880
RNPH	HB AUD EVAL COMPRHN SPCH THRESH+RECOG	92557	$480
RRUCLA	HB AUD EVAL COMPRHN SPCH THRESH+RECOG	92557	$480
SMUCLA	HB AUD EVAL COMPRHN SPCH THRESH+RECOG	92557	$480
RNPH	HB AUD EVAL CONDITIONING PLAY	92582	$480
RRUCLA	HB AUD EVAL CONDITIONING PLAY	92582	$480
SMUCLA	HB AUD EVAL CONDITIONING PLAY	92582	$480
RNPH	HB AUD EVAL REHAB STATUS EA ADDL 15MIN	92627	$120
RRUCLA	HB AUD EVAL REHAB STATUS EA ADDL 15MIN	92627	$120
SMUCLA	HB AUD EVAL REHAB STATUS EA ADDL 15MIN	92627	$120
RNPH	HB AUD EVOK OTOACOUSTIC EMISSION EVAL EXTND	92588	$870
RRUCLA	HB AUD EVOK OTOACOUSTIC EMISSION EVAL EXTND	92588	$870
SMUCLA	HB AUD EVOK OTOACOUSTIC EMISSION EVAL EXTND	92588	$870
RNPH	HB AUD SPEECH THRESHOLD+RECOGNITION	92556	$160
RRUCLA	HB AUD SPEECH THRESHOLD+RECOGNITION	92556	$160
SMUCLA	HB AUD SPEECH THRESHOLD+RECOGNITION	92556	$160
RNPH	HB AUD STENGER TEST PURE TONE	92565	$110
RRUCLA	HB AUD STENGER TEST PURE TONE	92565	$110
SMUCLA	HB AUD STENGER TEST PURE TONE	92565	$110
RNPH	HB AUD STENGER TEST SPEECH	92577	$1560
RRUCLA	HB AUD STENGER TEST SPEECH	92577	$1560
SMUCLA	HB AUD STENGER TEST SPEECH	92577	$1560
RNPH	HB AUD TINNITUS ASSESSMENT	92625	$480
RRUCLA	HB AUD TINNITUS ASSESSMENT	92625	$480
SMUCLA	HB AUD TINNITUS ASSESSMENT	92625	$480
RNPH	HB AUDIOMETRY PURETONE THRESHOLD AIR ONLY	92552	$370
RRUCLA	HB AUDIOMETRY PURETONE THRESHOLD AIR ONLY	92552	$370
SMUCLA	HB AUDIOMETRY PURETONE THRESHOLD AIR ONLY	92552	$370
RNPH	HB AUDIOMETRY SELECT PICTURE	92583	$110
RRUCLA	HB AUDIOMETRY SELECT PICTURE	92583	$110
SMUCLA	HB AUDIOMETRY SELECT PICTURE	92583	$110
RNPH	HB CCS ALLIED PROF GROUP COUNSELING EA INDIV	99211	$70
RRUCLA	HB CCS ALLIED PROF GROUP COUNSELING EA INDIV	99211	$70
SMUCLA	HB CCS ALLIED PROF GROUP COUNSELING EA INDIV	99211	$70
RNPH	HB CCS PRE-COCHLEAR EVAL 2ND AUDIOLOGIST	92601	$330
RRUCLA	HB CCS PRE-COCHLEAR EVAL 2ND AUDIOLOGIST	92601	$330
SMUCLA	HB CCS PRE-COCHLEAR EVAL 2ND AUDIOLOGIST	92601	$330
RNPH	HB CCS SW ASSESS FAMILY FUNCTION PER 30MIN	96154	$174
RRUCLA	HB CCS SW ASSESS FAMILY FUNCTION PER 30MIN	96154	$174
SMUCLA	HB CCS SW ASSESS FAMILY FUNCTION PER 30MIN	96154	$174
RNPH	HB DIAG EVAL COCHLEAR IMPLANT+PROGRAM>7YRS	92603	$480
RRUCLA	HB DIAG EVAL COCHLEAR IMPLANT+PROGRAM>7YRS	92603	$480
SMUCLA	HB DIAG EVAL COCHLEAR IMPLANT+PROGRAM>7YRS	92603	$480
RNPH	HB DIAG EVAL COCHLEAR IMPLANT+REPROGRM>7YRS	92604	$480
RRUCLA	HB DIAG EVAL COCHLEAR IMPLANT+REPROGRM>7YRS	92604	$480
SMUCLA	HB DIAG EVAL COCHLEAR IMPLANT+REPROGRM>7YRS	92604	$480
RNPH	HB EEG AWAKE EMBOLIZATION	95816	$870
RRUCLA	HB EEG AWAKE EMBOLIZATION	95816	$870
SMUCLA	HB EEG AWAKE EMBOLIZATION	95816	$870
RNPH	HB EPSDT SPEECH THRESHOLD TEST	92555	$100
RRUCLA	HB EPSDT SPEECH THRESHOLD TEST	92555	$100
SMUCLA	HB EPSDT SPEECH THRESHOLD TEST	92555	$100
RNPH	HB HEARING AID CHECK MONAURAL	92592	$90
RRUCLA	HB HEARING AID CHECK MONAURAL	92592	$90
SMUCLA	HB HEARING AID CHECK MONAURAL	92592	$90
RNPH	HB NHSP INFANT HEARING SCRN INPATIENT INITL	92586	$430
RRUCLA	HB NHSP INFANT HEARING SCRN INPATIENT INITL	92586	$430
SMUCLA	HB NHSP INFANT HEARING SCRN INPATIENT INITL	92586	$430
RNPH	HB AUD ABR EVOKED RESPONSE LIMITED	92586	$480
RRUCLA	HB AUD ABR EVOKED RESPONSE LIMITED	92586	$480
SMUCLA	HB AUD ABR EVOKED RESPONSE LIMITED	92586	$480
RNPH	HB AUD ACOUSTIC IMMITT+REFLEX DECAY TEST BI	92570	$480
RRUCLA	HB AUD ACOUSTIC IMMITT+REFLEX DECAY TEST BI	92570	$480
SMUCLA	HB AUD ACOUSTIC IMMITT+REFLEX DECAY TEST BI	92570	$480
RNPH	HB AUD ACOUSTIC REFLEX TEST	92568	$110
RRUCLA	HB AUD ACOUSTIC REFLEX TEST	92568	$110
SMUCLA	HB AUD ACOUSTIC REFLEX TEST	92568	$110
RNPH	HB AUD COCHLEAR EVAL POST-LINGUAL HEAR LOSS	92633	$410
RRUCLA	HB AUD COCHLEAR EVAL POST-LINGUAL HEAR LOSS	92633	$410
SMUCLA	HB AUD COCHLEAR EVAL POST-LINGUAL HEAR LOSS	92633	$410
RNPH	HB AUD COCHLEAR EVAL PRE-LINGUAL HEAR LOSS	92630	$410
RRUCLA	HB AUD COCHLEAR EVAL PRE-LINGUAL HEAR LOSS	92630	$410
SMUCLA	HB AUD COCHLEAR EVAL PRE-LINGUAL HEAR LOSS	92630	$410
RNPH	HB AUD COCHLEAR REHAB POST-LINGUAL HEARLOSS	92633	$330
RRUCLA	HB AUD COCHLEAR REHAB POST-LINGUAL HEARLOSS	92633	$330
SMUCLA	HB AUD COCHLEAR REHAB POST-LINGUAL HEARLOSS	92633	$330
RNPH	HB AUD COCHLEAR REHAB PRE-LINGUAL HEAR LOSS	92630	$330
RRUCLA	HB AUD COCHLEAR REHAB PRE-LINGUAL HEAR LOSS	92630	$330
SMUCLA	HB AUD COCHLEAR REHAB PRE-LINGUAL HEAR LOSS	92630	$330
RNPH	HB AUD COCHLEAR TRAIN POST-LINGUAL HEARLOSS	92633	$330
RRUCLA	HB AUD COCHLEAR TRAIN POST-LINGUAL HEARLOSS	92633	$330
SMUCLA	HB AUD COCHLEAR TRAIN POST-LINGUAL HEARLOSS	92633	$330
RNPH	HB AUD COCHLEAR TRAIN PRE-LINGUAL HEAR LOSS	92630	$330
RRUCLA	HB AUD COCHLEAR TRAIN PRE-LINGUAL HEAR LOSS	92630	$330
SMUCLA	HB AUD COCHLEAR TRAIN PRE-LINGUAL HEAR LOSS	92630	$330
RNPH	HB AUD EAR PROTECTOR ATTEN MEAS	92596	$140
RRUCLA	HB AUD EAR PROTECTOR ATTEN MEAS	92596	$140
SMUCLA	HB AUD EAR PROTECTOR ATTEN MEAS	92596	$140
RNPH	HB AUD EVAL CENTRAL AUDITORY FUNCT EA ADD15	92621	$73
RRUCLA	HB AUD EVAL CENTRAL AUDITORY FUNCT EA ADD15	92621	$73
SMUCLA	HB AUD EVAL CENTRAL AUDITORY FUNCT EA ADD15	92621	$73
RNPH	HB AUD EVAL CENTRAL AUDITORY FUNCTION 1HR	92620	$480
RRUCLA	HB AUD EVAL CENTRAL AUDITORY FUNCTION 1HR	92620	$480
SMUCLA	HB AUD EVAL CENTRAL AUDITORY FUNCTION 1HR	92620	$480
RNPH	HB AUD EVAL REHAB STATUS 1ST HOUR	92626	$480
RRUCLA	HB AUD EVAL REHAB STATUS 1ST HOUR	92626	$480
SMUCLA	HB AUD EVAL REHAB STATUS 1ST HOUR	92626	$480
RNPH	HB AUD EVAL REHAB STATUS 1ST HOUR	92626	$480
RRUCLA	HB AUD EVAL REHAB STATUS 1ST HOUR	92626	$480
SMUCLA	HB AUD EVAL REHAB STATUS 1ST HOUR	92626	$480
RNPH	HB AUD EVOK POTENTIAL DURING SURG/HR	92585	$870
RRUCLA	HB AUD EVOK POTENTIAL DURING SURG/HR	92585	$870
SMUCLA	HB AUD EVOK POTENTIAL DURING SURG/HR	92585	$870
RNPH	HB AUD EVOKED OTOACOUST EMISSION LIMITED	92587	$870
RRUCLA	HB AUD EVOKED OTOACOUST EMISSION LIMITED	92587	$870
SMUCLA	HB AUD EVOKED OTOACOUST EMISSION LIMITED	92587	$870
RNPH	HB AUD PROGRAMMING OSSEOINTEGRATED DEVICE	92700	$330
RRUCLA	HB AUD PROGRAMMING OSSEOINTEGRATED DEVICE	92700	$330
SMUCLA	HB AUD PROGRAMMING OSSEOINTEGRATED DEVICE	92700	$330
RNPH	HB AUD PURETONE AIR&BONE	92553	$480
RRUCLA	HB AUD PURETONE AIR&BONE	92553	$480
SMUCLA	HB AUD PURETONE AIR&BONE	92553	$480
RNPH	HB AUD SPCH THRESHLD+RECOG COCHLR	92556	$124
RRUCLA	HB AUD SPCH THRESHLD+RECOG COCHLR	92556	$124
SMUCLA	HB AUD SPCH THRESHLD+RECOG COCHLR	92556	$124
RNPH	HB AUD SPEECH TRMNT DISORDER INDIVID/DISABLED>7YO	92507	$380
RRUCLA	HB AUD SPEECH TRMNT DISORDER INDIVID/DISABLED>7YO	92507	$380
SMUCLA	HB AUD SPEECH TRMNT DISORDER INDIVID/DISABLED>7YO	92507	$380
RNPH	HB AUD TONE DECAY TEST	92563	$110
RRUCLA	HB AUD TONE DECAY TEST	92563	$110
SMUCLA	HB AUD TONE DECAY TEST	92563	$110
RNPH	HB AUD TYMPANOMETRY + REFLEX THRESHOLD BI	92550	$480
RRUCLA	HB AUD TYMPANOMETRY + REFLEX THRESHOLD BI	92550	$480
SMUCLA	HB AUD TYMPANOMETRY + REFLEX THRESHOLD BI	92550	$480
RNPH	HB AUD TYMPANOMETRY + REFLEX THRESHOLD UNI	92550	$480
RRUCLA	HB AUD TYMPANOMETRY + REFLEX THRESHOLD UNI	92550	$480
SMUCLA	HB AUD TYMPANOMETRY + REFLEX THRESHOLD UNI	92550	$480
RNPH	HB AUD TYMPANOMETRY IMPEDANCE TEST	92567	$160
RRUCLA	HB AUD TYMPANOMETRY IMPEDANCE TEST	92567	$160
SMUCLA	HB AUD TYMPANOMETRY IMPEDANCE TEST	92567	$160
RNPH	HB AUD TYMPANOMETRY IMPEDANCE TEST UNILAT	92567	$110
RRUCLA	HB AUD TYMPANOMETRY IMPEDANCE TEST UNILAT	92567	$110
SMUCLA	HB AUD TYMPANOMETRY IMPEDANCE TEST UNILAT	92567	$110
RNPH	HB AUDIOMETRY THRESHOLD EVAL & SPEECH RECOGNTN COMPREHENSIVE AUTOMATED	0212T	$480
RRUCLA	HB AUDIOMETRY THRESHOLD EVAL & SPEECH RECOGNTN COMPREHENSIVE AUTOMATED	0212T	$480
SMUCLA	HB AUDIOMETRY THRESHOLD EVAL & SPEECH RECOGNTN COMPREHENSIVE AUTOMATED	0212T	$480
RNPH	HB AUDIOMETRY THRESHOLD PURE TONE AIR & BONE AUTOMATED	0209T	$110
RRUCLA	HB AUDIOMETRY THRESHOLD PURE TONE AIR & BONE AUTOMATED	0209T	$110
SMUCLA	HB AUDIOMETRY THRESHOLD PURE TONE AIR & BONE AUTOMATED	0209T	$110
RNPH	HB AUDIOMETRY THRESHOLD PURE TONE AIR ONLY AUTOMATED	0208T	$110
RRUCLA	HB AUDIOMETRY THRESHOLD PURE TONE AIR ONLY AUTOMATED	0208T	$110
SMUCLA	HB AUDIOMETRY THRESHOLD PURE TONE AIR ONLY AUTOMATED	0208T	$110
RNPH	HB AUDIOMETRY THRESHOLD PURE TONE AUTOMATED	0210T	$110
RRUCLA	HB AUDIOMETRY THRESHOLD PURE TONE AUTOMATED	0210T	$110
SMUCLA	HB AUDIOMETRY THRESHOLD PURE TONE AUTOMATED	0210T	$110
RNPH	HB AUDIOMETRY THRESHOLD SPEECH WITH SPEECH RECOGNITION AUTOMATED	0211T	$110
RRUCLA	HB AUDIOMETRY THRESHOLD SPEECH WITH SPEECH RECOGNITION AUTOMATED	0211T	$110
SMUCLA	HB AUDIOMETRY THRESHOLD SPEECH WITH SPEECH RECOGNITION AUTOMATED	0211T	$110
RNPH	HB AUDITORY EVOK POTENTIAL	92585	$870
RRUCLA	HB AUDITORY EVOK POTENTIAL	92585	$870
SMUCLA	HB AUDITORY EVOK POTENTIAL	92585	$870
RNPH	HB CCS ALLIED HEALTH CASE CONFERENCE EACH 15	99368	$460
RRUCLA	HB CCS ALLIED HEALTH CASE CONFERENCE EACH 15	99368	$460
SMUCLA	HB CCS ALLIED HEALTH CASE CONFERENCE EACH 15	99368	$460
RNPH	HB CCS ALLIED HEALTH PHONE CONSULT EACH 15		$460
RRUCLA	HB CCS ALLIED HEALTH PHONE CONSULT EACH 15		$460
SMUCLA	HB CCS ALLIED HEALTH PHONE CONSULT EACH 15		$460
RNPH	HB CCS COORDINATOR CASE CONFERENCE	99368	$460
RRUCLA	HB CCS COORDINATOR CASE CONFERENCE	99368	$460
SMUCLA	HB CCS COORDINATOR CASE CONFERENCE	99368	$460
RNPH	HB CCS EVOKED POTENTIAL RESCREEN UNINSUR	92586	$346
RRUCLA	HB CCS EVOKED POTENTIAL RESCREEN UNINSUR	92586	$346
SMUCLA	HB CCS EVOKED POTENTIAL RESCREEN UNINSUR	92586	$346
RNPH	HB CCS INFANT HEARING INITIAL SCREENING OP	92586	$346
RRUCLA	HB CCS INFANT HEARING INITIAL SCREENING OP	92586	$346
SMUCLA	HB CCS INFANT HEARING INITIAL SCREENING OP	92586	$346
RNPH	HB CCS INFANT HEARING RESCREENING OP	92586	$430
RRUCLA	HB CCS INFANT HEARING RESCREENING OP	92586	$430
SMUCLA	HB CCS INFANT HEARING RESCREENING OP	92586	$430
RNPH	HB CCS SW CASE CONF REPORT EACH 15MIN	G0463	$36
RRUCLA	HB CCS SW CASE CONF REPORT EACH 15MIN	G0463	$36
SMUCLA	HB CCS SW CASE CONF REPORT EACH 15MIN	G0463	$36
RNPH	HB DIAG EVAL COCHLEAR IMPLANT+PROGRAM<7YRS	92601	$480
RRUCLA	HB DIAG EVAL COCHLEAR IMPLANT+PROGRAM<7YRS	92601	$480
SMUCLA	HB DIAG EVAL COCHLEAR IMPLANT+PROGRAM<7YRS	92601	$480
RNPH	HB DIAG EVAL COCHLEAR IMPLANT+REPROGRM<7YRS	92602	$480
RRUCLA	HB DIAG EVAL COCHLEAR IMPLANT+REPROGRM<7YRS	92602	$480
SMUCLA	HB DIAG EVAL COCHLEAR IMPLANT+REPROGRM<7YRS	92602	$480
RNPH	HB EPSDT ACOUSTIC IMMIT TEST-1EAR	92567	$359
RRUCLA	HB EPSDT ACOUSTIC IMMIT TEST-1EAR	92567	$359
SMUCLA	HB EPSDT ACOUSTIC IMMIT TEST-1EAR	92567	$359
RNPH	HB EPSDT ACOUSTIC IMMITTANCE TEST-2EAR	92567	$359
RRUCLA	HB EPSDT ACOUSTIC IMMITTANCE TEST-2EAR	92567	$359
SMUCLA	HB EPSDT ACOUSTIC IMMITTANCE TEST-2EAR	92567	$359
RNPH	HB EPSDT AUD ORIENTATION 60MIN	G0463	$300
RRUCLA	HB EPSDT AUD ORIENTATION 60MIN	G0463	$300
SMUCLA	HB EPSDT AUD ORIENTATION 60MIN	G0463	$300
RNPH	HB EPSDT AUD SPEECH REHAB 30MIN	92626	$399
RRUCLA	HB EPSDT AUD SPEECH REHAB 30MIN	92626	$399
SMUCLA	HB EPSDT AUD SPEECH REHAB 30MIN	92626	$399
RNPH	HB EPSDT AUDIO EVAL COMPLEX>7YRS	92626	$500
RRUCLA	HB EPSDT AUDIO EVAL COMPLEX>7YRS	92626	$500
SMUCLA	HB EPSDT AUDIO EVAL COMPLEX>7YRS	92626	$500
RNPH	HB EPSDT AUDIO EVAL INITIAL 2-5YRS	92626	$500
RRUCLA	HB EPSDT AUDIO EVAL INITIAL 2-5YRS	92626	$500
SMUCLA	HB EPSDT AUDIO EVAL INITIAL 2-5YRS	92626	$500
RNPH	HB EPSDT AUDIO EVAL INITIAL 6-20YR	92626	$500
RRUCLA	HB EPSDT AUDIO EVAL INITIAL 6-20YR	92626	$500
SMUCLA	HB EPSDT AUDIO EVAL INITIAL 6-20YR	92626	$500
RNPH	HB EPSDT AUDIO EVAL INITIAL<2YRS	92626	$500
RRUCLA	HB EPSDT AUDIO EVAL INITIAL<2YRS	92626	$500
SMUCLA	HB EPSDT AUDIO EVAL INITIAL<2YRS	92626	$500
RNPH	HB EPSDT AUDIO EVAL SUBSQ 2-5YRS	92626	$500
RRUCLA	HB EPSDT AUDIO EVAL SUBSQ 2-5YRS	92626	$500
SMUCLA	HB EPSDT AUDIO EVAL SUBSQ 2-5YRS	92626	$500
RNPH	HB EPSDT AUDIO EVAL SUBSQ 6-20YRS	92626	$500
RRUCLA	HB EPSDT AUDIO EVAL SUBSQ 6-20YRS	92626	$500
SMUCLA	HB EPSDT AUDIO EVAL SUBSQ 6-20YRS	92626	$500
RNPH	HB EPSDT AUDIO EVAL SUBSQ<2YRS	92626	$500
RRUCLA	HB EPSDT AUDIO EVAL SUBSQ<2YRS	92626	$500
SMUCLA	HB EPSDT AUDIO EVAL SUBSQ<2YRS	92626	$500
RNPH	HB EPSDT AUDIOLOGY CONSULT 60MIN	G0463	$250
RRUCLA	HB EPSDT AUDIOLOGY CONSULT 60MIN	G0463	$250
SMUCLA	HB EPSDT AUDIOLOGY CONSULT 60MIN	G0463	$250
RNPH	HB EPSDT AUDIOMETRY BEHAVIOR OBS	92626	$399
RRUCLA	HB EPSDT AUDIOMETRY BEHAVIOR OBS	92626	$399
SMUCLA	HB EPSDT AUDIOMETRY BEHAVIOR OBS	92626	$399
RNPH	HB EPSDT AURAL REHAB ALT HEAR DEVICE	92626	$500
RRUCLA	HB EPSDT AURAL REHAB ALT HEAR DEVICE	92626	$500
SMUCLA	HB EPSDT AURAL REHAB ALT HEAR DEVICE	92626	$500
RNPH	HB EPSDT AURAL REHAB COCHLEAR DEV 30MIN	92626	$500
RRUCLA	HB EPSDT AURAL REHAB COCHLEAR DEV 30MIN	92626	$500
SMUCLA	HB EPSDT AURAL REHAB COCHLEAR DEV 30MIN	92626	$500
RNPH	HB EPSDT AURAL REHAB HEARING AID 30MIN	92626	$500
RRUCLA	HB EPSDT AURAL REHAB HEARING AID 30MIN	92626	$500
SMUCLA	HB EPSDT AURAL REHAB HEARING AID 30MIN	92626	$500
RNPH	HB EPSDT COCHLEAR ASSISTED PRE-EVAL	92626	$540
RRUCLA	HB EPSDT COCHLEAR ASSISTED PRE-EVAL	92626	$540
SMUCLA	HB EPSDT COCHLEAR ASSISTED PRE-EVAL	92626	$540
RNPH	HB EPSDT COCHLEAR IMPLANT 60MIN	92626	$480
RRUCLA	HB EPSDT COCHLEAR IMPLANT 60MIN	92626	$480
SMUCLA	HB EPSDT COCHLEAR IMPLANT 60MIN	92626	$480
RNPH	HB EPSDT COCHLEAR IMPLANT RE-CHECK	92602	$480
RRUCLA	HB EPSDT COCHLEAR IMPLANT RE-CHECK	92602	$480
SMUCLA	HB EPSDT COCHLEAR IMPLANT RE-CHECK	92602	$480
RNPH	HB EPSDT COCHLEAR POST IMPL TEST 30	92552	$480
RRUCLA	HB EPSDT COCHLEAR POST IMPL TEST 30	92552	$480
SMUCLA	HB EPSDT COCHLEAR POST IMPL TEST 30	92552	$480
RNPH	HB EPSDT EVKD OTOACOUST EMISS CMP	92588	$592
RRUCLA	HB EPSDT EVKD OTOACOUST EMISS CMP	92588	$592
SMUCLA	HB EPSDT EVKD OTOACOUST EMISS CMP	92588	$592
RNPH	HB EPSDT EVOKED OTOACOUST EMISSION LIMITED	92587	$302
RRUCLA	HB EPSDT EVOKED OTOACOUST EMISSION LIMITED	92587	$302
SMUCLA	HB EPSDT EVOKED OTOACOUST EMISSION LIMITED	92587	$302
RNPH	HB EPSDT FUNCTIONAL GAIN TEST	92521	$540
RRUCLA	HB EPSDT FUNCTIONAL GAIN TEST	92521	$540
SMUCLA	HB EPSDT FUNCTIONAL GAIN TEST	92521	$540
RNPH	HB EPSDT REAL EAR MEASURE-1EAR	92592	$160
RRUCLA	HB EPSDT REAL EAR MEASURE-1EAR	92592	$160
SMUCLA	HB EPSDT REAL EAR MEASURE-1EAR	92592	$160
RNPH	HB EPSDT REAL EAR MEASURE-2EAR	92593	$320
RRUCLA	HB EPSDT REAL EAR MEASURE-2EAR	92593	$320
SMUCLA	HB EPSDT REAL EAR MEASURE-2EAR	92593	$320
RNPH	HB EPSDT SPEECH PERCEPTION TEST PRE/POST	92633	$410
RRUCLA	HB EPSDT SPEECH PERCEPTION TEST PRE/POST	92633	$410
SMUCLA	HB EPSDT SPEECH PERCEPTION TEST PRE/POST	92633	$410
RNPH	HB EPSDT SPEECH/WORD RECOGNITION TEST	92556	$124
RRUCLA	HB EPSDT SPEECH/WORD RECOGNITION TEST	92556	$124
SMUCLA	HB EPSDT SPEECH/WORD RECOGNITION TEST	92556	$124
RNPH	HB HEAR AID CHECK BILAT	92593	$90
RRUCLA	HB HEAR AID CHECK BILAT	92593	$90
SMUCLA	HB HEAR AID CHECK BILAT	92593	$90
RNPH	HB HEAR AID ELECTROACOUST EVAL UNILATERAL	92594	$110
RRUCLA	HB HEAR AID ELECTROACOUST EVAL UNILATERAL	92594	$110
SMUCLA	HB HEAR AID ELECTROACOUST EVAL UNILATERAL	92594	$110
RNPH	HB HEAR AID ELECTROACOUSTIC EVAL BILAT	92595	$210
RRUCLA	HB HEAR AID ELECTROACOUSTIC EVAL BILAT	92595	$210
SMUCLA	HB HEAR AID ELECTROACOUSTIC EVAL BILAT	92595	$210
RNPH	HB HEAR AID EXAM+SELECT BILAT	92591	$258
RRUCLA	HB HEAR AID EXAM+SELECT BILAT	92591	$258
SMUCLA	HB HEAR AID EXAM+SELECT BILAT	92591	$258
RNPH	HB HEAR AID ORIENTATION	99211	$240
RRUCLA	HB HEAR AID ORIENTATION	99211	$240
SMUCLA	HB HEAR AID ORIENTATION	99211	$240
RNPH	HB SPEECH LANGUAGE THERAPY	92507	$95
RRUCLA	HB SPEECH LANGUAGE THERAPY	92507	$95
SMUCLA	HB SPEECH LANGUAGE THERAPY	92507	$95
RNPH	HB VISUAL REINFORCEMENT AUDIOMTRY VRA	92579	$480
RRUCLA	HB VISUAL REINFORCEMENT AUDIOMTRY VRA	92579	$480
SMUCLA	HB VISUAL REINFORCEMENT AUDIOMTRY VRA	92579	$480

Behavioral Health Services

Hospital	Description	CPT Code	Standard Charge
RNPH	HB BIOFEEDBACK ANAL SPHINCTER+EMG PEDS	90911	$480
RRUCLA	HB BIOFEEDBACK ANAL SPHINCTER+EMG PEDS	90911	$480
SMUCLA	HB BIOFEEDBACK ANAL SPHINCTER+EMG PEDS	90911	$480
RNPH	HB CLUBHOUSE PER HOUR	90899	$50
RNPH	HB ECT-CONVULSIVE THERAPY	90870	$1950
RRUCLA	HB ECT-CONVULSIVE THERAPY	90870	$1950
SMUCLA	HB ECT-CONVULSIVE THERAPY	90870	$1950
RNPH	HB GROUP PSYCHOTHERAPY INTERACTIVE COMPLEXITY IOP	90853	$210
RNPH	HB GROUP PSYCHOTHERAPY PHP	G0410	$200
RNPH	HB MULTIPLE FAMILY GROUP THERAPY	90849	$290
RNPH	HB OP PSYCHOTHERAPY 30MIN WITH MED SERVICE	90833	$170
RNPH	HB OP PSYCHOTHERAPY 45MIN WITH MED SERVICE	90836	$230
RNPH	HB OP PSYCHOTHERAPY 60MIN WITHOUT MED SERVICE	90837	$430
RNPH	HB OP PSYCHOTHERAPY CRISIS 1ST 60MIN	90839	$430
RRUCLA	HB ORGAN ACQ-COMPOSITE FACE CADAVER DONOR		$62230
RNPH	HB PHP EARLY CHILDHOOD PER HOUR	90899	$200
RNPH	HB PHP PSYCHOTHERAPY 30MIN WITHOUT MED SERVICE	90832	$230
RNPH	HB PHP PSYCHOTHERAPY 45MIN WITHOUT MED SERVICE	90834	$330
RNPH	HB PSYCH DIAGNOSTIC INTERVIEW EXAM	90791	$430
RNPH	HB PSYCH DIAGNOSTIC INTERVIEW EXAM WITH MED SERVICE	90792	$430
RNPH	HB PSYCHOTHERAPY INTERACTIVE COMPLEXITY	90785	$230
RNPH	HB PSYCHOTHERAPY INTERACTIVE GROUP	G0411	$160
RNPH	HB BRIEF EMOTIONAL BEHAV ASSESS PER INSTRUMNT	96127	$120
RRUCLA	HB BRIEF EMOTIONAL BEHAV ASSESS PER INSTRUMNT	96127	$120
SMUCLA	HB BRIEF EMOTIONAL BEHAV ASSESS PER INSTRUMNT	96127	$120
RNPH	HB FAMILY THER 50MIN W OUT PATIENT IOP	90846	$430
RNPH	HB FAMILY THER 50MIN W OUT PATIENT PHP	90846	$430
RNPH	HB FAMILY THER 50MIN WITH PATIENT IOP	90847	$430
RNPH	HB FAMILY THER 50MIN WITH PATIENT PHP	90847	$430
RNPH	HB GROUP PSYCHOTHERAPY IOP	90853	$210
RNPH	HB NEUROBEHAV STATUS EXAM 1ST HOUR ABC PROG	96116	$950
RNPH	HB NEUROBEHAV STATUS EXAM EA ADDL HR ABC PROG	96121	$870
RNPH	HB NEUROPSYCH TESTING EVAL 1ST HR	96132	$510
RNPH	HB NEUROPSYCH TESTING EVAL EA ADDL HR	96133	$390
RNPH	HB NPH RESIDENCY CLINIC THERAPY GROUP		$30
RNPH	HB OP PSYCHOTHERAPY 30MIN WITHOUT MED SERVICE	90832	$230
RNPH	HB OP PSYCHOTHERAPY 45MIN WITHOUT MED SERVICE	90834	$330
RNPH	HB PHP ACTIVITY THERAPY PER SESSION	G0176	$290
RNPH	HB PHP ASSESSMENT CARE PLAN PT W COGNITIVE IMPAIR	99483	$252
RNPH	HB PHP CARE MGMT SVC BEHAVIORAL HEALTH CONDITIONS	99484	$106
RNPH	HB PHP INITIAL PSYCH COLLABORATIVE CARE MGMT 1ST 70MIN	99492	$252
RNPH	HB PHP PSYCH COLLABORATIVE CARE MGMT EA ADD 30MIN	99494	$140
RNPH	HB PHP SUBSEQUENT PSYCH COLLABORATIVE CARE MGMT 1ST 60MIN	99493	$252
RNPH	HB PSYCH TESTING EVAL 1ST HR	96130	$510
RNPH	HB PSYCH TESTING EVAL EA ADDL HR	96131	$390
RNPH	HB PSYCH/NEUROPSYCH AUTO TEST ADMN SGL	96146	$60
RNPH	HB PSYCH/NEUROPSYCH TEST ADMIN 2OR MORE 1ST 30MIN	96136	$60
RNPH	HB PSYCH/NEUROPSYCH TEST ADMIN 2OR MORE EA ADDL 30MIN	96137	$50
RNPH	HB PSYCH/NEUROPSYCH TEST ADMIN BY TECH 2OR MORE 1ST 30MIN	96138	$60
RNPH	HB PSYCH/NEUROPSYCH TEST ADMIN BY TECH 2OR MORE EA ADDL 30MIN	96139	$50
RNPH	NPH RESIDENCY CLINIC PSYCHOTHERAPY+/-E&M		$30

Blood And Blood Components

Hospital	Description	CPT Code	Standard Charge
RNPH	HB PERFUSION PLATELET GEL PROCESSING		$240
RRUCLA	HB PERFUSION PLATELET GEL PROCESSING		$240
SMUCLA	HB PERFUSION PLATELET GEL PROCESSING		$240
RNPH	HB TRANSFUSION BLOOD/BLOOD COMPONENTS	36430	$1310
RRUCLA	HB TRANSFUSION BLOOD/BLOOD COMPONENTS	36430	$1310
SMUCLA	HB TRANSFUSION BLOOD/BLOOD COMPONENTS	36430	$1310
RNPH	HB TRANSFUSION EXCHANGE	36455	$1310
RRUCLA	HB TRANSFUSION EXCHANGE	36455	$1310
SMUCLA	HB TRANSFUSION EXCHANGE	36455	$1310
RNPH	HB TRANSFUSION EXCHANGE NEWBORN	36450	$1310
RRUCLA	HB TRANSFUSION EXCHANGE NEWBORN	36450	$1310
SMUCLA	HB TRANSFUSION EXCHANGE NEWBORN	36450	$1310
RNPH	HB TRANSFUSION INTRAUTERINE FETAL	36460	$1310
RRUCLA	HB TRANSFUSION INTRAUTERINE FETAL	36460	$1310
SMUCLA	HB TRANSFUSION INTRAUTERINE FETAL	36460	$1310
RRUCLA	HB AUTO BLOOD WHOLE TRANSFUSED UNIT	P9010	$1380
RRUCLA	HB AUTO CRYOPPT TRANSFUSED UNIT	P9012	$500
RRUCLA	HB AUTO FFP PLASMA TRANSFUSED UNIT	P9017	$610
RRUCLA	HB AUTO RBC DEGLYC SPLIT UNIT	P9011	$1260
RRUCLA	HB AUTO RBC DEGLYC UNIT	P9039	$2520
RRUCLA	HB AUTO RBC TRANSFUSED SPLIT UNIT	P9011	$600
RRUCLA	HB AUTO RBC TRANSFUSED UNIT	P9021	$1200
RRUCLA	HB AUTO RBC WASHED SPLIT UNIT	P9011	$600
RRUCLA	HB AUTO RBC WASHED UNIT	P9022	$1340
RRUCLA	HB CRYOPRECIPITATE UNIT	P9012	$230
RRUCLA	HB CRYOPRECIPITATE UNIT POOLED EA	P9012	$180
RRUCLA	HB GRANULOCYTES PHERESIS UNIT	P9050	$7040
RRUCLA	HB PLASMA CRYO POOR SPLIT UNIT	P9011	$360
RRUCLA	HB PLASMA CRYO POOR UNIT	P9044	$370
RRUCLA	HB PLASMA FR FROZ APHERES SPLT UNIT	P9011	$360
RRUCLA	HB PLASMA FR FROZ APHERES UNIT	P9017	$260
RRUCLA	HB PLASMA FR FROZ SPLIT UNIT	P9011	$270
RRUCLA	HB PLASMA FR FROZ UNIT	P9017	$330
RRUCLA	HB PLASMA FROZ POOLED SOLV DETERGNT TREATED UNIT *UB	P9023	$115
RRUCLA	HB PLASMA FROZEN W/IN24HR SPLT UNIT	P9011	$360
RRUCLA	HB PLASMA FROZEN W/IN24HR UNIT	P9059	$260
RRUCLA	HB PLASMA LIQUID UNIT	P9059	$260
RRUCLA	HB PLATELET CONCENTRATE UNIT	P9019	$400
RRUCLA	HB PLATELET IRRADIATED UNIT	P9032	$630
RRUCLA	HB PLATELET LEUKORED IRRAD UNIT	P9033	$590
RRUCLA	HB PLATELET LEUKORED UNIT	P9031	$410
RNPH	HB PLATELET RICH PLASMA INJECTION WITH IMAGE GUIDANCE	0232T	$1150
RRUCLA	HB PLATELET RICH PLASMA INJECTION WITH IMAGE GUIDANCE	0232T	$1150
SMUCLA	HB PLATELET RICH PLASMA INJECTION WITH IMAGE GUIDANCE	0232T	$1150
RRUCLA	HB PLATELETPHERESIS IRRAD SPLIT UNIT	P9011	$800
RRUCLA	HB PLATELETPHERESIS IRRAD UNIT	P9036	$1940
RRUCLA	HB PLATELETPHERESIS LEUKRED CMVNEG IRRAD SPLT UNIT	P9011	$1100
RRUCLA	HB PLATELETPHERESIS LEUKRED CMVNEG IRRAD UNIT	P9053	$2200
RRUCLA	HB PLATELETPHERESIS LEUKRED CMVNEG UNIT	P9055	$1620
RRUCLA	HB PLATELETPHERESIS LEUKRED HLA IRRAD UNIT	P9052	$2690
RRUCLA	HB PLATELETPHERESIS LEUKRED HLA UNIT	P9052	$2690
RRUCLA	HB PLATELETPHERESIS LEUKRED IRRAD SPLT UNIT	P9011	$1380
RRUCLA	HB PLATELETPHERESIS LEUKRED IRRAD UNIT	P9037	$2750
RRUCLA	HB PLATELETPHERESIS LEUKRED SPLIT UNIT	P9011	$870
RRUCLA	HB PLATELETPHERESIS LEUKRED UNIT	P9035	$1740
RRUCLA	HB PLATELETPHERESIS SPLIT UNIT	P9011	$790
RRUCLA	HB PLATELETPHERESIS UNIT	P9034	$1580
RRUCLA	HB RBC DEGLYCEROLIZED SPLIT UNIT	P9011	$1070
RRUCLA	HB RBC DEGLYCEROLIZED UNIT	P9039	$2140
RRUCLA	HB RBC FROZEN WASHED UNIT	P9039	$2140
RRUCLA	HB RBC IRRADIATED DEGLYCEROLIZED SPLIT UNIT	P9011	$1070
RRUCLA	HB RBC IRRADIATED DEGLYCEROLIZED UNIT	P9039	$2140
RRUCLA	HB RBC IRRADIATED SPLIT UNIT	P9011	$500
RRUCLA	HB RBC IRRADIATED UNIT	P9038	$1000
RRUCLA	HB RBC LEUKRED CMVNEG UNIT	P9051	$1000
RRUCLA	HB RBC LEUKRED FROZEN DEGLYC SPLIT UNIT	P9011	$1070
RRUCLA	HB RBC LEUKRED FROZEN DEGLYC UNIT	P9039	$2140
RRUCLA	HB RBC LEUKRED IRRAD CMVNEG SPLIT UNIT	P9011	$500
RRUCLA	HB RBC LEUKRED IRRAD DEGLYCEROLIZED SPLT UNIT	P9011	$1070
RRUCLA	HB RBC LEUKRED IRRAD DEGLYCEROLIZED UNIT	P9057	$2140
RRUCLA	HB RBC LEUKRED IRRAD UNIT	P9040	$1000
RRUCLA	HB RBC LEUKRED IRRADIATED SPLIT UNIT	P9011	$500
RRUCLA	HB RBC LEUKRED MODIFIED WASH IRRAD SPLIT UNIT	P9011	$680
RRUCLA	HB RBC LEUKRED MODIFIED WASH IRRAD UNIT	P9057	$1360
RRUCLA	HB RBC LEUKRED MODIFIED WASH SPLIT UNIT	P9011	$680
RRUCLA	HB RBC LEUKRED MODIFIED WASH UNIT	P9022	$1360
RRUCLA	HB RBC LEUKRED SPLIT UNIT	P9011	$500
RRUCLA	HB RBC LEUKRED UNIT	P9016	$1000
RRUCLA	HB RBC LEUKRED WASHED IRRAD SPLT UNIT	P9011	$680
RRUCLA	HB RBC LEUKRED WASHED IRRAD UNIT	P9057	$1360
RRUCLA	HB RBC LEUKRED WASHED SPLIT UNIT	P9011	$680
RRUCLA	HB RBC LEUKRED WASHED UNIT	P9022	$1360
RRUCLA	HB RBC LEUKREDIRRADCMVNEG UNIT	P9058	$1000
RRUCLA	HB RBC MODIFIED WASHED SPLIT UNIT	P9011	$680
RRUCLA	HB RBC MODIFIED WASHED UNIT	P9022	$1360
RRUCLA	HB RBC SPLIT UNIT	P9011	$500
RRUCLA	HB RBC UNIT	P9021	$1000
RRUCLA	HB RBC WASHED IRRAD SPLIT UNIT	P9011	$680
RRUCLA	HB RBC WASHED IRRAD UNIT	P9022	$1360
RRUCLA	HB RBC WASHED SPLIT UNIT	P9011	$680
RRUCLA	HB RBC WASHED UNIT	P9022	$1360
RNPH	HB TRANSFUSION PUSH <2YRS	36440	$1310
RRUCLA	HB TRANSFUSION PUSH <2YRS	36440	$1310
SMUCLA	HB TRANSFUSION PUSH <2YRS	36440	$1310
RRUCLA	HB WHITE BLOOD CELLS PEDS UNIT	89999	$190
RRUCLA	HB WHOLE BLOOD IRRADIATED UNIT	P9010	$780
RRUCLA	HB WHOLE BLOOD SPLIT UNIT	P9011	$390
RRUCLA	HB WHOLE BLOOD UNIT	P9010	$980

Cardiology Caths and Tests

Hospital	Description	CPT Code	Standard Charge
RNPH	HB CARDIOVERSION ELECTIVE EXTERNAL	92960	$1500
RRUCLA	HB CARDIOVERSION ELECTIVE EXTERNAL	92960	$1500
SMUCLA	HB CARDIOVERSION ELECTIVE EXTERNAL	92960	$1500
RNPH	HB ENDOMYOCARDIAL BIOPSY	93505	$3640
RRUCLA	HB ENDOMYOCARDIAL BIOPSY	93505	$3640
SMUCLA	HB ENDOMYOCARDIAL BIOPSY	93505	$3640
RNPH	HB LHC VIA TRANSSEPT/ATRIAL PUNCTURE	93462	$9170
RRUCLA	HB LHC VIA TRANSSEPT/ATRIAL PUNCTURE	93462	$9170
SMUCLA	HB LHC VIA TRANSSEPT/ATRIAL PUNCTURE	93462	$9170
RNPH	HB PERFUSION CATH LAB HOURS 1.00		$10390
RRUCLA	HB PERFUSION CATH LAB HOURS 1.00		$10390
SMUCLA	HB PERFUSION CATH LAB HOURS 1.00		$10390
RNPH	HB PERFUSION CATH LAB HOURS 2.0		$10780
RRUCLA	HB PERFUSION CATH LAB HOURS 2.0		$10780
SMUCLA	HB PERFUSION CATH LAB HOURS 2.0		$10780
RNPH	HB PERFUSION CATH LAB HOURS 3.0		$11170
RRUCLA	HB PERFUSION CATH LAB HOURS 3.0		$11170
SMUCLA	HB PERFUSION CATH LAB HOURS 3.0		$11170
RNPH	HB PERFUSION CATH LAB HOURS 4.0		$11560
RRUCLA	HB PERFUSION CATH LAB HOURS 4.0		$11560
SMUCLA	HB PERFUSION CATH LAB HOURS 4.0		$11560
RNPH	HB PERFUSION CATH LAB HOURS 5.0		$11950
RRUCLA	HB PERFUSION CATH LAB HOURS 5.0		$11950
SMUCLA	HB PERFUSION CATH LAB HOURS 5.0		$11950
RNPH	HB PERFUSION CATH LAB HOURS 6.0		$12340
RRUCLA	HB PERFUSION CATH LAB HOURS 6.0		$12340
SMUCLA	HB PERFUSION CATH LAB HOURS 6.0		$12340
RNPH	HB PERFUSION CATH LAB HOURS 7.0		$12730
RRUCLA	HB PERFUSION CATH LAB HOURS 7.0		$12730
SMUCLA	HB PERFUSION CATH LAB HOURS 7.0		$12730
RNPH	HB PERFUSION CATH LAB HOURS 8.0		$13120
RRUCLA	HB PERFUSION CATH LAB HOURS 8.0		$13120
SMUCLA	HB PERFUSION CATH LAB HOURS 8.0		$13120
RNPH	HB R&LHC VENTRICULOGRAPHY+INJ	93453	$9850
RRUCLA	HB R&LHC VENTRICULOGRAPHY+INJ	93453	$9850
SMUCLA	HB R&LHC VENTRICULOGRAPHY+INJ	93453	$9850
RNPH	HB VAD PERFUSION CATH LAB HOURS 1.00		$10390
RRUCLA	HB VAD PERFUSION CATH LAB HOURS 1.00		$10390
SMUCLA	HB VAD PERFUSION CATH LAB HOURS 1.00		$10390
RNPH	HB VAD PERFUSION CATH LAB HOURS 2.00		$10780
RRUCLA	HB VAD PERFUSION CATH LAB HOURS 2.00		$10780
SMUCLA	HB VAD PERFUSION CATH LAB HOURS 2.00		$10780
RNPH	HB VAD PERFUSION CATH LAB HOURS 3.00		$11170
RRUCLA	HB VAD PERFUSION CATH LAB HOURS 3.00		$11170
SMUCLA	HB VAD PERFUSION CATH LAB HOURS 3.00		$11170
RNPH	HB VAD PERFUSION CATH LAB HOURS 4.00		$11560
RRUCLA	HB VAD PERFUSION CATH LAB HOURS 4.00		$11560
SMUCLA	HB VAD PERFUSION CATH LAB HOURS 4.00		$11560
RNPH	HB VAD PERFUSION CATH LAB HOURS 5.00		$11950
RRUCLA	HB VAD PERFUSION CATH LAB HOURS 5.00		$11950
SMUCLA	HB VAD PERFUSION CATH LAB HOURS 5.00		$11950
RNPH	HB VAD PERFUSION CATH LAB HOURS 6.00		$12340
RRUCLA	HB VAD PERFUSION CATH LAB HOURS 6.00		$12340
SMUCLA	HB VAD PERFUSION CATH LAB HOURS 6.00		$12340
RNPH	HB VAD PERFUSION CATH LAB HOURS 7.00		$12730
RRUCLA	HB VAD PERFUSION CATH LAB HOURS 7.00		$12730
SMUCLA	HB VAD PERFUSION CATH LAB HOURS 7.00		$12730
RNPH	HB VAD PERFUSION CATH LAB HOURS 8.00		$13120
RRUCLA	HB VAD PERFUSION CATH LAB HOURS 8.00		$13120
SMUCLA	HB VAD PERFUSION CATH LAB HOURS 8.00		$13120
RNPH	HB CARDIO TILT TABLE EVAL+ECG MONITOR	93660	$1560
RRUCLA	HB CARDIO TILT TABLE EVAL+ECG MONITOR	93660	$1560
SMUCLA	HB CARDIO TILT TABLE EVAL+ECG MONITOR	93660	$1560
RNPH	HB CARDIOVERSION INTERNAL	92961	$2070
RRUCLA	HB CARDIOVERSION INTERNAL	92961	$2070
SMUCLA	HB CARDIOVERSION INTERNAL	92961	$2070
RNPH	HB CATH LAB IR HOURS 0.25		$5500
RRUCLA	HB CATH LAB IR HOURS 0.25		$5500
SMUCLA	HB CATH LAB IR HOURS 0.25		$5500
RNPH	HB CATH LAB IR HOURS 0.50		$6800
RRUCLA	HB CATH LAB IR HOURS 0.50		$6800
SMUCLA	HB CATH LAB IR HOURS 0.50		$6800
RNPH	HB CATH LAB IR HOURS 0.75		$8100
RRUCLA	HB CATH LAB IR HOURS 0.75		$8100
SMUCLA	HB CATH LAB IR HOURS 0.75		$8100
RNPH	HB CATH LAB IR HOURS 1.00		$9400
RRUCLA	HB CATH LAB IR HOURS 1.00		$9400
SMUCLA	HB CATH LAB IR HOURS 1.00		$9400
RNPH	HB CATH LAB IR HOURS 1.25		$10700
RRUCLA	HB CATH LAB IR HOURS 1.25		$10700
SMUCLA	HB CATH LAB IR HOURS 1.25		$10700
RNPH	HB CATH LAB IR HOURS 1.50		$12000
RRUCLA	HB CATH LAB IR HOURS 1.50		$12000
SMUCLA	HB CATH LAB IR HOURS 1.50		$12000
RNPH	HB CATH LAB IR HOURS 1.75		$13300
RRUCLA	HB CATH LAB IR HOURS 1.75		$13300
SMUCLA	HB CATH LAB IR HOURS 1.75		$13300
RNPH	HB CATH LAB IR HOURS 10.00		$56200
RRUCLA	HB CATH LAB IR HOURS 10.00		$56200
SMUCLA	HB CATH LAB IR HOURS 10.00		$56200
RNPH	HB CATH LAB IR HOURS 10.25		$57500
RRUCLA	HB CATH LAB IR HOURS 10.25		$57500
SMUCLA	HB CATH LAB IR HOURS 10.25		$57500
RNPH	HB CATH LAB IR HOURS 10.50		$58800
RRUCLA	HB CATH LAB IR HOURS 10.50		$58800
SMUCLA	HB CATH LAB IR HOURS 10.50		$58800
RNPH	HB CATH LAB IR HOURS 10.75		$60100
RRUCLA	HB CATH LAB IR HOURS 10.75		$60100
SMUCLA	HB CATH LAB IR HOURS 10.75		$60100
RNPH	HB CATH LAB IR HOURS 11.00		$61400
RRUCLA	HB CATH LAB IR HOURS 11.00		$61400
SMUCLA	HB CATH LAB IR HOURS 11.00		$61400
RNPH	HB CATH LAB IR HOURS 11.25		$62700
RRUCLA	HB CATH LAB IR HOURS 11.25		$62700
SMUCLA	HB CATH LAB IR HOURS 11.25		$62700
RNPH	HB CATH LAB IR HOURS 11.50		$64000
RRUCLA	HB CATH LAB IR HOURS 11.50		$64000
SMUCLA	HB CATH LAB IR HOURS 11.50		$64000
RNPH	HB CATH LAB IR HOURS 11.75		$65300
RRUCLA	HB CATH LAB IR HOURS 11.75		$65300
SMUCLA	HB CATH LAB IR HOURS 11.75		$65300
RNPH	HB CATH LAB IR HOURS 12.00		$66600
RRUCLA	HB CATH LAB IR HOURS 12.00		$66600
SMUCLA	HB CATH LAB IR HOURS 12.00		$66600
RNPH	HB CATH LAB IR HOURS 12.25		$67900
RRUCLA	HB CATH LAB IR HOURS 12.25		$67900
SMUCLA	HB CATH LAB IR HOURS 12.25		$67900
RNPH	HB CATH LAB IR HOURS 12.50		$69200
RRUCLA	HB CATH LAB IR HOURS 12.50		$69200
SMUCLA	HB CATH LAB IR HOURS 12.50		$69200
RNPH	HB CATH LAB IR HOURS 12.75		$70500
RRUCLA	HB CATH LAB IR HOURS 12.75		$70500
SMUCLA	HB CATH LAB IR HOURS 12.75		$70500
RNPH	HB CATH LAB IR HOURS 13.00		$71800
RRUCLA	HB CATH LAB IR HOURS 13.00		$71800
SMUCLA	HB CATH LAB IR HOURS 13.00		$71800
RNPH	HB CATH LAB IR HOURS 13.25		$73100
RRUCLA	HB CATH LAB IR HOURS 13.25		$73100
SMUCLA	HB CATH LAB IR HOURS 13.25		$73100
RNPH	HB CATH LAB IR HOURS 13.50		$74400
RRUCLA	HB CATH LAB IR HOURS 13.50		$74400
SMUCLA	HB CATH LAB IR HOURS 13.50		$74400
RNPH	HB CATH LAB IR HOURS 13.75		$75700
RRUCLA	HB CATH LAB IR HOURS 13.75		$75700
SMUCLA	HB CATH LAB IR HOURS 13.75		$75700
RNPH	HB CATH LAB IR HOURS 14.00		$77000
RRUCLA	HB CATH LAB IR HOURS 14.00		$77000
SMUCLA	HB CATH LAB IR HOURS 14.00		$77000
RNPH	HB CATH LAB IR HOURS 14.25		$78300
RRUCLA	HB CATH LAB IR HOURS 14.25		$78300
SMUCLA	HB CATH LAB IR HOURS 14.25		$78300
RNPH	HB CATH LAB IR HOURS 14.50		$79600
RRUCLA	HB CATH LAB IR HOURS 14.50		$79600
SMUCLA	HB CATH LAB IR HOURS 14.50		$79600
RNPH	HB CATH LAB IR HOURS 14.75		$80900
RRUCLA	HB CATH LAB IR HOURS 14.75		$80900
SMUCLA	HB CATH LAB IR HOURS 14.75		$80900
RNPH	HB CATH LAB IR HOURS 15.00		$82200
RRUCLA	HB CATH LAB IR HOURS 15.00		$82200
SMUCLA	HB CATH LAB IR HOURS 15.00		$82200
RNPH	HB CATH LAB IR HOURS 15.25		$83500
RRUCLA	HB CATH LAB IR HOURS 15.25		$83500
SMUCLA	HB CATH LAB IR HOURS 15.25		$83500
RNPH	HB CATH LAB IR HOURS 15.50		$84800
RRUCLA	HB CATH LAB IR HOURS 15.50		$84800
SMUCLA	HB CATH LAB IR HOURS 15.50		$84800
RNPH	HB CATH LAB IR HOURS 15.75		$86100
RRUCLA	HB CATH LAB IR HOURS 15.75		$86100
SMUCLA	HB CATH LAB IR HOURS 15.75		$86100
RNPH	HB CATH LAB IR HOURS 16.00		$87400
RRUCLA	HB CATH LAB IR HOURS 16.00		$87400
SMUCLA	HB CATH LAB IR HOURS 16.00		$87400
RNPH	HB CATH LAB IR HOURS 16.25		$88700
RRUCLA	HB CATH LAB IR HOURS 16.25		$88700
SMUCLA	HB CATH LAB IR HOURS 16.25		$88700
RNPH	HB CATH LAB IR HOURS 16.50		$90000
RRUCLA	HB CATH LAB IR HOURS 16.50		$90000
SMUCLA	HB CATH LAB IR HOURS 16.50		$90000
RNPH	HB CATH LAB IR HOURS 16.75		$91300
RRUCLA	HB CATH LAB IR HOURS 16.75		$91300
SMUCLA	HB CATH LAB IR HOURS 16.75		$91300
RNPH	HB CATH LAB IR HOURS 17.00		$92600
RRUCLA	HB CATH LAB IR HOURS 17.00		$92600
SMUCLA	HB CATH LAB IR HOURS 17.00		$92600
RNPH	HB CATH LAB IR HOURS 17.25		$93900
RRUCLA	HB CATH LAB IR HOURS 17.25		$93900
SMUCLA	HB CATH LAB IR HOURS 17.25		$93900
RNPH	HB CATH LAB IR HOURS 17.50		$95200
RRUCLA	HB CATH LAB IR HOURS 17.50		$95200
SMUCLA	HB CATH LAB IR HOURS 17.50		$95200
RNPH	HB CATH LAB IR HOURS 17.75		$96500
RRUCLA	HB CATH LAB IR HOURS 17.75		$96500
SMUCLA	HB CATH LAB IR HOURS 17.75		$96500
RNPH	HB CATH LAB IR HOURS 18.00		$97800
RRUCLA	HB CATH LAB IR HOURS 18.00		$97800
SMUCLA	HB CATH LAB IR HOURS 18.00		$97800
RNPH	HB CATH LAB IR HOURS 18.25		$99100
RRUCLA	HB CATH LAB IR HOURS 18.25		$99100
SMUCLA	HB CATH LAB IR HOURS 18.25		$99100
RNPH	HB CATH LAB IR HOURS 18.50		$100400
RRUCLA	HB CATH LAB IR HOURS 18.50		$100400
SMUCLA	HB CATH LAB IR HOURS 18.50		$100400
RNPH	HB CATH LAB IR HOURS 18.75		$101700
RRUCLA	HB CATH LAB IR HOURS 18.75		$101700
SMUCLA	HB CATH LAB IR HOURS 18.75		$101700
RNPH	HB CATH LAB IR HOURS 19.00		$103000
RRUCLA	HB CATH LAB IR HOURS 19.00		$103000
SMUCLA	HB CATH LAB IR HOURS 19.00		$103000
RNPH	HB CATH LAB IR HOURS 19.25		$104300
RRUCLA	HB CATH LAB IR HOURS 19.25		$104300
SMUCLA	HB CATH LAB IR HOURS 19.25		$104300
RNPH	HB CATH LAB IR HOURS 19.50		$105600
RRUCLA	HB CATH LAB IR HOURS 19.50		$105600
SMUCLA	HB CATH LAB IR HOURS 19.50		$105600
RNPH	HB CATH LAB IR HOURS 19.75		$106900
RRUCLA	HB CATH LAB IR HOURS 19.75		$106900
SMUCLA	HB CATH LAB IR HOURS 19.75		$106900
RNPH	HB CATH LAB IR HOURS 2.00		$14600
RRUCLA	HB CATH LAB IR HOURS 2.00		$14600
SMUCLA	HB CATH LAB IR HOURS 2.00		$14600
RNPH	HB CATH LAB IR HOURS 2.25		$15900
RRUCLA	HB CATH LAB IR HOURS 2.25		$15900
SMUCLA	HB CATH LAB IR HOURS 2.25		$15900
RNPH	HB CATH LAB IR HOURS 2.50		$17200
RRUCLA	HB CATH LAB IR HOURS 2.50		$17200
SMUCLA	HB CATH LAB IR HOURS 2.50		$17200
RNPH	HB CATH LAB IR HOURS 2.75		$18500
RRUCLA	HB CATH LAB IR HOURS 2.75		$18500
SMUCLA	HB CATH LAB IR HOURS 2.75		$18500
RNPH	HB CATH LAB IR HOURS 20.00		$108200
RRUCLA	HB CATH LAB IR HOURS 20.00		$108200
SMUCLA	HB CATH LAB IR HOURS 20.00		$108200
RNPH	HB CATH LAB IR HOURS 20.25		$109500
RRUCLA	HB CATH LAB IR HOURS 20.25		$109500
SMUCLA	HB CATH LAB IR HOURS 20.25		$109500
RNPH	HB CATH LAB IR HOURS 20.50		$110800
RRUCLA	HB CATH LAB IR HOURS 20.50		$110800
SMUCLA	HB CATH LAB IR HOURS 20.50		$110800
RNPH	HB CATH LAB IR HOURS 20.75		$112100
RRUCLA	HB CATH LAB IR HOURS 20.75		$112100
SMUCLA	HB CATH LAB IR HOURS 20.75		$112100
RNPH	HB CATH LAB IR HOURS 21.00		$113400
RRUCLA	HB CATH LAB IR HOURS 21.00		$113400
SMUCLA	HB CATH LAB IR HOURS 21.00		$113400
RNPH	HB CATH LAB IR HOURS 21.25		$114700
RRUCLA	HB CATH LAB IR HOURS 21.25		$114700
SMUCLA	HB CATH LAB IR HOURS 21.25		$114700
RNPH	HB CATH LAB IR HOURS 21.50		$116000
RRUCLA	HB CATH LAB IR HOURS 21.50		$116000
SMUCLA	HB CATH LAB IR HOURS 21.50		$116000
RNPH	HB CATH LAB IR HOURS 21.75		$117300
RRUCLA	HB CATH LAB IR HOURS 21.75		$117300
SMUCLA	HB CATH LAB IR HOURS 21.75		$117300
RNPH	HB CATH LAB IR HOURS 22.00		$118600
RRUCLA	HB CATH LAB IR HOURS 22.00		$118600
SMUCLA	HB CATH LAB IR HOURS 22.00		$118600
RNPH	HB CATH LAB IR HOURS 22.25		$119900
RRUCLA	HB CATH LAB IR HOURS 22.25		$119900
SMUCLA	HB CATH LAB IR HOURS 22.25		$119900
RNPH	HB CATH LAB IR HOURS 22.50		$121200
RRUCLA	HB CATH LAB IR HOURS 22.50		$121200
SMUCLA	HB CATH LAB IR HOURS 22.50		$121200
RNPH	HB CATH LAB IR HOURS 22.75		$122500
RRUCLA	HB CATH LAB IR HOURS 22.75		$122500
SMUCLA	HB CATH LAB IR HOURS 22.75		$122500
RNPH	HB CATH LAB IR HOURS 23.00		$123800
RRUCLA	HB CATH LAB IR HOURS 23.00		$123800
SMUCLA	HB CATH LAB IR HOURS 23.00		$123800
RNPH	HB CATH LAB IR HOURS 23.25		$125100
RRUCLA	HB CATH LAB IR HOURS 23.25		$125100
SMUCLA	HB CATH LAB IR HOURS 23.25		$125100
RNPH	HB CATH LAB IR HOURS 23.50		$126400
RRUCLA	HB CATH LAB IR HOURS 23.50		$126400
SMUCLA	HB CATH LAB IR HOURS 23.50		$126400
RNPH	HB CATH LAB IR HOURS 23.75		$127700
RRUCLA	HB CATH LAB IR HOURS 23.75		$127700
SMUCLA	HB CATH LAB IR HOURS 23.75		$127700
RNPH	HB CATH LAB IR HOURS 24.00		$129000
RRUCLA	HB CATH LAB IR HOURS 24.00		$129000
SMUCLA	HB CATH LAB IR HOURS 24.00		$129000
RNPH	HB CATH LAB IR HOURS 3.00		$19800
RRUCLA	HB CATH LAB IR HOURS 3.00		$19800
SMUCLA	HB CATH LAB IR HOURS 3.00		$19800
RNPH	HB CATH LAB IR HOURS 3.25		$21100
RRUCLA	HB CATH LAB IR HOURS 3.25		$21100
SMUCLA	HB CATH LAB IR HOURS 3.25		$21100
RNPH	HB CATH LAB IR HOURS 3.50		$22400
RRUCLA	HB CATH LAB IR HOURS 3.50		$22400
SMUCLA	HB CATH LAB IR HOURS 3.50		$22400
RNPH	HB CATH LAB IR HOURS 3.75		$23700
RRUCLA	HB CATH LAB IR HOURS 3.75		$23700
SMUCLA	HB CATH LAB IR HOURS 3.75		$23700
RNPH	HB CATH LAB IR HOURS 4.00		$25000
RRUCLA	HB CATH LAB IR HOURS 4.00		$25000
SMUCLA	HB CATH LAB IR HOURS 4.00		$25000
RNPH	HB CATH LAB IR HOURS 4.25		$26300
RRUCLA	HB CATH LAB IR HOURS 4.25		$26300
SMUCLA	HB CATH LAB IR HOURS 4.25		$26300
RNPH	HB CATH LAB IR HOURS 4.50		$27600
RRUCLA	HB CATH LAB IR HOURS 4.50		$27600
SMUCLA	HB CATH LAB IR HOURS 4.50		$27600
RNPH	HB CATH LAB IR HOURS 4.75		$28900
RRUCLA	HB CATH LAB IR HOURS 4.75		$28900
SMUCLA	HB CATH LAB IR HOURS 4.75		$28900
RNPH	HB CATH LAB IR HOURS 5.00		$30200
RRUCLA	HB CATH LAB IR HOURS 5.00		$30200
SMUCLA	HB CATH LAB IR HOURS 5.00		$30200
RNPH	HB CATH LAB IR HOURS 5.25		$31500
RRUCLA	HB CATH LAB IR HOURS 5.25		$31500
SMUCLA	HB CATH LAB IR HOURS 5.25		$31500
RNPH	HB CATH LAB IR HOURS 5.50		$32800
RRUCLA	HB CATH LAB IR HOURS 5.50		$32800
SMUCLA	HB CATH LAB IR HOURS 5.50		$32800
RNPH	HB CATH LAB IR HOURS 5.75		$34100
RRUCLA	HB CATH LAB IR HOURS 5.75		$34100
SMUCLA	HB CATH LAB IR HOURS 5.75		$34100
RNPH	HB CATH LAB IR HOURS 6.00		$35400
RRUCLA	HB CATH LAB IR HOURS 6.00		$35400
SMUCLA	HB CATH LAB IR HOURS 6.00		$35400
RNPH	HB CATH LAB IR HOURS 6.25		$36700
RRUCLA	HB CATH LAB IR HOURS 6.25		$36700
SMUCLA	HB CATH LAB IR HOURS 6.25		$36700
RNPH	HB CATH LAB IR HOURS 6.50		$38000
RRUCLA	HB CATH LAB IR HOURS 6.50		$38000
SMUCLA	HB CATH LAB IR HOURS 6.50		$38000
RNPH	HB CATH LAB IR HOURS 6.75		$39300
RRUCLA	HB CATH LAB IR HOURS 6.75		$39300
SMUCLA	HB CATH LAB IR HOURS 6.75		$39300
RNPH	HB CATH LAB IR HOURS 7.00		$40600
RRUCLA	HB CATH LAB IR HOURS 7.00		$40600
SMUCLA	HB CATH LAB IR HOURS 7.00		$40600
RNPH	HB CATH LAB IR HOURS 7.25		$41900
RRUCLA	HB CATH LAB IR HOURS 7.25		$41900
SMUCLA	HB CATH LAB IR HOURS 7.25		$41900
RNPH	HB CATH LAB IR HOURS 7.50		$43200
RRUCLA	HB CATH LAB IR HOURS 7.50		$43200
SMUCLA	HB CATH LAB IR HOURS 7.50		$43200
RNPH	HB CATH LAB IR HOURS 7.75		$44500
RRUCLA	HB CATH LAB IR HOURS 7.75		$44500
SMUCLA	HB CATH LAB IR HOURS 7.75		$44500
RNPH	HB CATH LAB IR HOURS 8.00		$45800
RRUCLA	HB CATH LAB IR HOURS 8.00		$45800
SMUCLA	HB CATH LAB IR HOURS 8.00		$45800
RNPH	HB CATH LAB IR HOURS 8.25		$47100
RRUCLA	HB CATH LAB IR HOURS 8.25		$47100
SMUCLA	HB CATH LAB IR HOURS 8.25		$47100
RNPH	HB CATH LAB IR HOURS 8.50		$48400
RRUCLA	HB CATH LAB IR HOURS 8.50		$48400
SMUCLA	HB CATH LAB IR HOURS 8.50		$48400
RNPH	HB CATH LAB IR HOURS 8.75		$49700
RRUCLA	HB CATH LAB IR HOURS 8.75		$49700
SMUCLA	HB CATH LAB IR HOURS 8.75		$49700
RNPH	HB CATH LAB IR HOURS 9.00		$51000
RRUCLA	HB CATH LAB IR HOURS 9.00		$51000
SMUCLA	HB CATH LAB IR HOURS 9.00		$51000
RNPH	HB CATH LAB IR HOURS 9.25		$52300
RRUCLA	HB CATH LAB IR HOURS 9.25		$52300
SMUCLA	HB CATH LAB IR HOURS 9.25		$52300
RNPH	HB CATH LAB IR HOURS 9.50		$53600
RRUCLA	HB CATH LAB IR HOURS 9.50		$53600
SMUCLA	HB CATH LAB IR HOURS 9.50		$53600
RNPH	HB CATH LAB IR HOURS 9.75		$54900
RRUCLA	HB CATH LAB IR HOURS 9.75		$54900
SMUCLA	HB CATH LAB IR HOURS 9.75		$54900
RNPH	HB CATHLAB IR RECOVERY UPTO HR 1.00		$612
RRUCLA	HB CATHLAB IR RECOVERY UPTO HR 1.00		$612
SMUCLA	HB CATHLAB IR RECOVERY UPTO HR 1.00		$612
RNPH	HB CATHLAB IR RECOVERY UPTO HR 1.50		$857
RRUCLA	HB CATHLAB IR RECOVERY UPTO HR 1.50		$857
SMUCLA	HB CATHLAB IR RECOVERY UPTO HR 1.50		$857
RNPH	HB CATHLAB IR RECOVERY UPTO HR 2.00		$1048
RRUCLA	HB CATHLAB IR RECOVERY UPTO HR 2.00		$1048
SMUCLA	HB CATHLAB IR RECOVERY UPTO HR 2.00		$1048
RNPH	HB CATHLAB IR RECOVERY UPTO HR 2.50		$1248
RRUCLA	HB CATHLAB IR RECOVERY UPTO HR 2.50		$1248
SMUCLA	HB CATHLAB IR RECOVERY UPTO HR 2.50		$1248
RNPH	HB CATHLAB IR RECOVERY UPTO HR 3.00		$1473
RRUCLA	HB CATHLAB IR RECOVERY UPTO HR 3.00		$1473
SMUCLA	HB CATHLAB IR RECOVERY UPTO HR 3.00		$1473
RNPH	HB CATHLAB IR RECOVERY UPTO HR 3.50		$1699
RRUCLA	HB CATHLAB IR RECOVERY UPTO HR 3.50		$1699
SMUCLA	HB CATHLAB IR RECOVERY UPTO HR 3.50		$1699
RNPH	HB CATHLAB IR RECOVERY UPTO HR 4.00		$1924
RRUCLA	HB CATHLAB IR RECOVERY UPTO HR 4.00		$1924
SMUCLA	HB CATHLAB IR RECOVERY UPTO HR 4.00		$1924
RNPH	HB CV MONITOR SYSTEM IMPLANT INTERRROGATION	93290	$157
RRUCLA	HB CV MONITOR SYSTEM IMPLANT INTERRROGATION	93290	$157
SMUCLA	HB CV MONITOR SYSTEM IMPLANT INTERRROGATION	93290	$157
RNPH	HB DEFIB WEARABLE SYSTSEM INTERROGATION	93292	$210
RRUCLA	HB DEFIB WEARABLE SYSTSEM INTERROGATION	93292	$210
SMUCLA	HB DEFIB WEARABLE SYSTSEM INTERROGATION	93292	$210
RNPH	HB DOPPLER ECHO COLORFLO VELOCITY MAP	93325	$550
RRUCLA	HB DOPPLER ECHO COLORFLO VELOCITY MAP	93325	$550
SMUCLA	HB DOPPLER ECHO COLORFLO VELOCITY MAP	93325	$550
RNPH	HB DOPPLER ECHO COMPLETE	93320	$600
RRUCLA	HB DOPPLER ECHO COMPLETE	93320	$600
SMUCLA	HB DOPPLER ECHO COMPLETE	93320	$600
RNPH	HB DOPPLER ECHO LIMITED	93321	$330
RRUCLA	HB DOPPLER ECHO LIMITED	93321	$330
SMUCLA	HB DOPPLER ECHO LIMITED	93321	$330
RNPH	HB ECG EVENT RECORD WO 24HR ATTEND MONITOR	0497T	$132
RRUCLA	HB ECG EVENT RECORD WO 24HR ATTEND MONITOR	0497T	$132
SMUCLA	HB ECG EVENT RECORD WO 24HR ATTEND MONITOR	0497T	$132
RNPH	HB ECHO 2D COMPLETE WO COLORFLOW +/- FOLLOW WITH CONTRAST	C8923	$2390
RRUCLA	HB ECHO 2D COMPLETE WO COLORFLOW +/- FOLLOW WITH CONTRAST	C8923	$2390
SMUCLA	HB ECHO 2D COMPLETE WO COLORFLOW +/- FOLLOW WITH CONTRAST	C8923	$2390
RNPH	HB ECHO INTRAOPERATIVE	93662	$4608
RRUCLA	HB ECHO INTRAOPERATIVE	93662	$4608
SMUCLA	HB ECHO INTRAOPERATIVE	93662	$4608
RNPH	HB ECHO TEE 2D CONGEN ANOMLY+PROBE+MONITORING	93318	$1700
RRUCLA	HB ECHO TEE 2D CONGEN ANOMLY+PROBE+MONITORING	93318	$1700
SMUCLA	HB ECHO TEE 2D CONGEN ANOMLY+PROBE+MONITORING	93318	$1700
RNPH	HB ECHO TEE 2D PROBE PLACE ONLY	93313	$850
RRUCLA	HB ECHO TEE 2D PROBE PLACE ONLY	93313	$850
SMUCLA	HB ECHO TEE 2D PROBE PLACE ONLY	93313	$850
RNPH	HB ECHO TEE 2D PROBE+IMAG+REPORT +/- FOLLOW W CONTRAST	C8925	$2390
RRUCLA	HB ECHO TEE 2D PROBE+IMAG+REPORT +/- FOLLOW W CONTRAST	C8925	$2390
SMUCLA	HB ECHO TEE 2D PROBE+IMAG+REPORT +/- FOLLOW W CONTRAST	C8925	$2390
RNPH	HB ECHO TEE 2D PROBE+MONITOR +/- FOLLOW W CONTRAST	C8927	$2390
RRUCLA	HB ECHO TEE 2D PROBE+MONITOR +/- FOLLOW W CONTRAST	C8927	$2390
SMUCLA	HB ECHO TEE 2D PROBE+MONITOR +/- FOLLOW W CONTRAST	C8927	$2390
RNPH	HB ECHO TEE 2D+IMAGE+REPORT	93314	$1288
RRUCLA	HB ECHO TEE 2D+IMAGE+REPORT	93314	$1288
SMUCLA	HB ECHO TEE 2D+IMAGE+REPORT	93314	$1288
RNPH	HB ECHO TEE 2D+PROBE+IMAG+REPORT COMPLETE	93312	$1700
RRUCLA	HB ECHO TEE 2D+PROBE+IMAG+REPORT COMPLETE	93312	$1700
SMUCLA	HB ECHO TEE 2D+PROBE+IMAG+REPORT COMPLETE	93312	$1700
RNPH	HB ECHO TEE CONGEN ANOMLY IMAGE ONLY+REPORT	93317	$842
RRUCLA	HB ECHO TEE CONGEN ANOMLY IMAGE ONLY+REPORT	93317	$842
SMUCLA	HB ECHO TEE CONGEN ANOMLY IMAGE ONLY+REPORT	93317	$842
RNPH	HB ECHO TEE CONGEN ANOMLY+PROBE PLACE ONLY	93316	$1700
RRUCLA	HB ECHO TEE CONGEN ANOMLY+PROBE PLACE ONLY	93316	$1700
SMUCLA	HB ECHO TEE CONGEN ANOMLY+PROBE PLACE ONLY	93316	$1700
RNPH	HB ECHO TEE CONGEN ANOMLY+PROBE+IMAG+REPORT	93315	$1700
RRUCLA	HB ECHO TEE CONGEN ANOMLY+PROBE+IMAG+REPORT	93315	$1700
SMUCLA	HB ECHO TEE CONGEN ANOMLY+PROBE+IMAG+REPORT	93315	$1700
RNPH	HB ECHO TEE GUIDANCE INTERVENTNL+IMAG+PROBE MANIP+REPORT	93355	$2420
RRUCLA	HB ECHO TEE GUIDANCE INTERVENTNL+IMAG+PROBE MANIP+REPORT	93355	$2420
SMUCLA	HB ECHO TEE GUIDANCE INTERVENTNL+IMAG+PROBE MANIP+REPORT	93355	$2420
RNPH	HB ECHO TRANSESOPH TEE CHD+PROBE+IMAG REPORT +/- FOLLOW WITH CONTRAST	C8926	$2390
RRUCLA	HB ECHO TRANSESOPH TEE CHD+PROBE+IMAG REPORT +/- FOLLOW WITH CONTRAST	C8926	$2390
SMUCLA	HB ECHO TRANSESOPH TEE CHD+PROBE+IMAG REPORT +/- FOLLOW WITH CONTRAST	C8926	$2390
RNPH	HB ECHO TTE 2D COMPLETE + COLORFLOW	93306	$1700
RRUCLA	HB ECHO TTE 2D COMPLETE + COLORFLOW	93306	$1700
SMUCLA	HB ECHO TTE 2D COMPLETE + COLORFLOW	93306	$1700
RNPH	HB ECHO TTE 2D COMPLETE +COLORFLOW +/- FOLLOW W CONTRAST	C8929	$2390
RRUCLA	HB ECHO TTE 2D COMPLETE +COLORFLOW +/- FOLLOW W CONTRAST	C8929	$2390
SMUCLA	HB ECHO TTE 2D COMPLETE +COLORFLOW +/- FOLLOW W CONTRAST	C8929	$2390
RNPH	HB ECHO TTE 2D COMPLETE WO COLORFLOW	93307	$1700
RRUCLA	HB ECHO TTE 2D COMPLETE WO COLORFLOW	93307	$1700
SMUCLA	HB ECHO TTE 2D COMPLETE WO COLORFLOW	93307	$1700
RNPH	HB ECHO TTE 2D LIMITED	93308	$860
RRUCLA	HB ECHO TTE 2D LIMITED	93308	$860
SMUCLA	HB ECHO TTE 2D LIMITED	93308	$860
RNPH	HB ECHO TTE 2D LIMTED +/- FOLLOW W CONTRAST	C8924	$1600
RRUCLA	HB ECHO TTE 2D LIMTED +/- FOLLOW W CONTRAST	C8924	$1600
SMUCLA	HB ECHO TTE 2D LIMTED +/- FOLLOW W CONTRAST	C8924	$1600
RNPH	HB ECHO TTE CONGEN ANOMLY COMPL +/- FOLLOW W CONTRAST	C8921	$2390
RRUCLA	HB ECHO TTE CONGEN ANOMLY COMPL +/- FOLLOW W CONTRAST	C8921	$2390
SMUCLA	HB ECHO TTE CONGEN ANOMLY COMPL +/- FOLLOW W CONTRAST	C8921	$2390
RNPH	HB ECHO TTE CONGEN ANOMLY COMPLETE	93303	$1700
RRUCLA	HB ECHO TTE CONGEN ANOMLY COMPLETE	93303	$1700
SMUCLA	HB ECHO TTE CONGEN ANOMLY COMPLETE	93303	$1700
RNPH	HB ECHO TTE CONGEN ANOMLY F-UP/LTD	93304	$1140
RRUCLA	HB ECHO TTE CONGEN ANOMLY F-UP/LTD	93304	$1140
SMUCLA	HB ECHO TTE CONGEN ANOMLY F-UP/LTD	93304	$1140
RNPH	HB ECHO TTE CONGEN ANOMLY LIMTED +/- FOLLOW W CONTRAST	C8922	$2390
RRUCLA	HB ECHO TTE CONGEN ANOMLY LIMTED +/- FOLLOW W CONTRAST	C8922	$2390
SMUCLA	HB ECHO TTE CONGEN ANOMLY LIMTED +/- FOLLOW W CONTRAST	C8922	$2390
RNPH	HB ICD EVAL +/- REPROGRAM DUAL LEAD	93283	$280
RRUCLA	HB ICD EVAL +/- REPROGRAM DUAL LEAD	93283	$280
SMUCLA	HB ICD EVAL +/- REPROGRAM DUAL LEAD	93283	$280
RNPH	HB ICD EVAL +/- REPROGRAM MULTI LEAD	93284	$310
RRUCLA	HB ICD EVAL +/- REPROGRAM MULTI LEAD	93284	$310
SMUCLA	HB ICD EVAL +/- REPROGRAM MULTI LEAD	93284	$310
RNPH	HB ICD EVAL +/- REPROGRAM SGL LEAD	93282	$220
RRUCLA	HB ICD EVAL +/- REPROGRAM SGL LEAD	93282	$220
SMUCLA	HB ICD EVAL +/- REPROGRAM SGL LEAD	93282	$220
RNPH	HB ICD EVAL PERIPROCEDURE +/- REPROGRAM	93287	$130
RRUCLA	HB ICD EVAL PERIPROCEDURE +/- REPROGRAM	93287	$130
SMUCLA	HB ICD EVAL PERIPROCEDURE +/- REPROGRAM	93287	$130
RNPH	HB ICD INTERROGATION+/-REPROGRAM	93289	$420
RRUCLA	HB ICD INTERROGATION+/-REPROGRAM	93289	$420
SMUCLA	HB ICD INTERROGATION+/-REPROGRAM	93289	$420
RNPH	HB INTRACARD ISCHEMIA MONIT SYST EVAL +/- REPROG	0528T	$140
RRUCLA	HB INTRACARD ISCHEMIA MONIT SYST EVAL +/- REPROG	0528T	$140
SMUCLA	HB INTRACARD ISCHEMIA MONIT SYST EVAL +/- REPROG	0528T	$140
RNPH	HB INTRACARD ISCHEMIA MONIT SYST INTERROG EVAL	0529T	$140
RRUCLA	HB INTRACARD ISCHEMIA MONIT SYST INTERROG EVAL	0529T	$140
SMUCLA	HB INTRACARD ISCHEMIA MONIT SYST INTERROG EVAL	0529T	$140
RNPH	HB MYOCARDIAL STRAIN IMAGING QUAN ASSMT	0399T	$1580
RRUCLA	HB MYOCARDIAL STRAIN IMAGING QUAN ASSMT	0399T	$1580
SMUCLA	HB MYOCARDIAL STRAIN IMAGING QUAN ASSMT	0399T	$1580
RNPH	HB PACEMAKER EVAL +/- REPROGRAM DUAL	93280	$200
RRUCLA	HB PACEMAKER EVAL +/- REPROGRAM DUAL	93280	$200
SMUCLA	HB PACEMAKER EVAL +/- REPROGRAM DUAL	93280	$200
RNPH	HB PACEMAKER EVAL +/- REPROGRAM MULTIPLE	93281	$230
RRUCLA	HB PACEMAKER EVAL +/- REPROGRAM MULTIPLE	93281	$230
SMUCLA	HB PACEMAKER EVAL +/- REPROGRAM MULTIPLE	93281	$230
RNPH	HB PACEMAKER EVAL PERIPROCED +/- REPROGRAM	93286	$100
RRUCLA	HB PACEMAKER EVAL PERIPROCED +/- REPROGRAM	93286	$100
SMUCLA	HB PACEMAKER EVAL PERIPROCED +/- REPROGRAM	93286	$100
RNPH	HB PACEMAKER TELE ANALYSIS SINGLE	93293	$265
RRUCLA	HB PACEMAKER TELE ANALYSIS SINGLE	93293	$265
SMUCLA	HB PACEMAKER TELE ANALYSIS SINGLE	93293	$265
RNPH	HB PCMKR EVAL +/- REPROG SGL/LEADLESS	93279	$180
RRUCLA	HB PCMKR EVAL +/- REPROG SGL/LEADLESS	93279	$180
SMUCLA	HB PCMKR EVAL +/- REPROG SGL/LEADLESS	93279	$180
RNPH	HB PCMKR INTERROG EVAL +/-REPROG SGL/MULT/LEADLESS	93288	$240
RRUCLA	HB PCMKR INTERROG EVAL +/-REPROG SGL/MULT/LEADLESS	93288	$240
SMUCLA	HB PCMKR INTERROG EVAL +/-REPROG SGL/MULT/LEADLESS	93288	$240
RNPH	HB PULMONARY STRESS TEST COMPLEX	94621	$1720
RRUCLA	HB PULMONARY STRESS TEST COMPLEX	94621	$1720
SMUCLA	HB PULMONARY STRESS TEST COMPLEX	94621	$1720
RNPH	HB REMOTE INTERROG CV/SUBQ CARD MONIT 30DAY	93299	$160
RRUCLA	HB REMOTE INTERROG CV/SUBQ CARD MONIT 30DAY	93299	$160
SMUCLA	HB REMOTE INTERROG CV/SUBQ CARD MONIT 30DAY	93299	$160
RNPH	HB REMOTE INTERROGATE PCMKR/ICD UPTO 90DAYS	93296	$310
RRUCLA	HB REMOTE INTERROGATE PCMKR/ICD UPTO 90DAYS	93296	$310
SMUCLA	HB REMOTE INTERROGATE PCMKR/ICD UPTO 90DAYS	93296	$310
RNPH	HB STRESS ECHO TTE 2D	93350	$2740
RRUCLA	HB STRESS ECHO TTE 2D	93350	$2740
SMUCLA	HB STRESS ECHO TTE 2D	93350	$2740
RNPH	HB STRESS ECHO TTE 2D + REPORT +/- FOLLOW W CONTRAST	C8928	$2390
RRUCLA	HB STRESS ECHO TTE 2D + REPORT +/- FOLLOW W CONTRAST	C8928	$2390
SMUCLA	HB STRESS ECHO TTE 2D + REPORT +/- FOLLOW W CONTRAST	C8928	$2390
RNPH	HB STRESS ECHO TTE 2D+ECG MONITOR	93351	$3150
RRUCLA	HB STRESS ECHO TTE 2D+ECG MONITOR	93351	$3150
SMUCLA	HB STRESS ECHO TTE 2D+ECG MONITOR	93351	$3150
RNPH	HB STRESS ECHO TTE 2D+ECG MONITOR+/-FOLLOW W CONTRAST	C8930	$2190
RRUCLA	HB STRESS ECHO TTE 2D+ECG MONITOR+/-FOLLOW W CONTRAST	C8930	$2190
SMUCLA	HB STRESS ECHO TTE 2D+ECG MONITOR+/-FOLLOW W CONTRAST	C8930	$2190
RNPH	HB STRESS TEST + EXERCISE +/-PHARM+ECG MONITOR	93017	$1500
RRUCLA	HB STRESS TEST + EXERCISE +/-PHARM+ECG MONITOR	93017	$1500
SMUCLA	HB STRESS TEST + EXERCISE +/-PHARM+ECG MONITOR	93017	$1500
RNPH	HB SUBQ CARD RHYTHM MONIT EVAL +/- REPROGRAM	93285	$140
RRUCLA	HB SUBQ CARD RHYTHM MONIT EVAL +/- REPROGRAM	93285	$140
SMUCLA	HB SUBQ CARD RHYTHM MONIT EVAL +/- REPROGRAM	93285	$140
RNPH	HB SUBQ CARD RHYTHM MONIT INTERROG EVAL	93291	$230
RRUCLA	HB SUBQ CARD RHYTHM MONIT INTERROG EVAL	93291	$230
SMUCLA	HB SUBQ CARD RHYTHM MONIT INTERROG EVAL	93291	$230
RNPH	HB VAD INTERROGATION+PROGRAMMING IN PERSON	93750	$400
RRUCLA	HB VAD INTERROGATION+PROGRAMMING IN PERSON	93750	$400
SMUCLA	HB VAD INTERROGATION+PROGRAMMING IN PERSON	93750	$400
RNPH	HB WIRELESS CARD STIM EVAL +/- REPROG	0522T	$140
RRUCLA	HB WIRELESS CARD STIM EVAL +/- REPROG	0522T	$140
SMUCLA	HB WIRELESS CARD STIM EVAL +/- REPROG	0522T	$140
RNPH	HB WIRELESS CARD STIM INTERROG EVAL	0521T	$65
RRUCLA	HB WIRELESS CARD STIM INTERROG EVAL	0521T	$65
SMUCLA	HB WIRELESS CARD STIM INTERROG EVAL	0521T	$65

Clinic

Hospital	Description	CPT Code	Standard Charge
RNPH	HB ACTINOTHERAPY UV LIGHT	96900	$110
RRUCLA	HB ACTINOTHERAPY UV LIGHT	96900	$110
SMUCLA	HB ACTINOTHERAPY UV LIGHT	96900	$110
RNPH	HB ANNUAL WELLNESS VISIT+PPPS INITIAL	G0438	$240
RRUCLA	HB ANNUAL WELLNESS VISIT+PPPS INITIAL	G0438	$240
SMUCLA	HB ANNUAL WELLNESS VISIT+PPPS INITIAL	G0438	$240
RNPH	HB ANNUAL WELLNESS VISIT+PPPS SUBSEQUENT	G0439	$240
RRUCLA	HB ANNUAL WELLNESS VISIT+PPPS SUBSEQUENT	G0439	$240
SMUCLA	HB ANNUAL WELLNESS VISIT+PPPS SUBSEQUENT	G0439	$240
RNPH	HB HRIF MED NUTRITION ASSESS INITIAL 1ST30MIN	97802	$50
RRUCLA	HB HRIF MED NUTRITION ASSESS INITIAL 1ST30MIN	97802	$50
SMUCLA	HB HRIF MED NUTRITION ASSESS INITIAL 1ST30MIN	97802	$50
RNPH	HB HRIF SW ASSESS FAMILY FUNCTION PER 30MIN	96154	$174
RRUCLA	HB HRIF SW ASSESS FAMILY FUNCTION PER 30MIN	96154	$174
SMUCLA	HB HRIF SW ASSESS FAMILY FUNCTION PER 30MIN	96154	$174
RNPH	HB NEW PREVENTIVE EXAM MEDICARE	G0402	$360
RRUCLA	HB NEW PREVENTIVE EXAM MEDICARE	G0402	$360
SMUCLA	HB NEW PREVENTIVE EXAM MEDICARE	G0402	$360
RNPH	HB PERITONEAL-VENOUS SHUNT EVAL INJECTION	49427	$190
RRUCLA	HB PERITONEAL-VENOUS SHUNT EVAL INJECTION	49427	$190
SMUCLA	HB PERITONEAL-VENOUS SHUNT EVAL INJECTION	49427	$190
RNPH	HB PHOTOCHEMOTHERAPY GOEKERMAN	96910	$200
RRUCLA	HB PHOTOCHEMOTHERAPY GOEKERMAN	96910	$200
SMUCLA	HB PHOTOCHEMOTHERAPY GOEKERMAN	96910	$200
RNPH	HB PHOTOCHEMOTHERAPY PUVA	96912	$200
RRUCLA	HB PHOTOCHEMOTHERAPY PUVA	96912	$200
SMUCLA	HB PHOTOCHEMOTHERAPY PUVA	96912	$200
RNPH	HB PHOTOCHEMOTHERAPY SEVERE DERMATOSIS	96913	$1090
RRUCLA	HB PHOTOCHEMOTHERAPY SEVERE DERMATOSIS	96913	$1090
SMUCLA	HB PHOTOCHEMOTHERAPY SEVERE DERMATOSIS	96913	$1090
RNPH	HB PROLONGED PT VISIT FIRST HR	99354	$100
RRUCLA	HB PROLONGED PT VISIT FIRST HR	99354	$100
SMUCLA	HB PROLONGED PT VISIT FIRST HR	99354	$100
RNPH	HB PSYCHOSOCIAL ASSESSMENT INDIV F-UP EA 15	96151	$240
RRUCLA	HB PSYCHOSOCIAL ASSESSMENT INDIV F-UP EA 15	96151	$240
SMUCLA	HB PSYCHOSOCIAL ASSESSMENT INDIV F-UP EA 15	96151	$240
RNPH	HB PSYCHOSOCIAL ASSESSMENT INITL 1ST30MIN	96150	$240
RRUCLA	HB PSYCHOSOCIAL ASSESSMENT INITL 1ST30MIN	96150	$240
SMUCLA	HB PSYCHOSOCIAL ASSESSMENT INITL 1ST30MIN	96150	$240
RNPH	HB PSYCHOSOCIAL ASSESSMENT INTL EA ADDL 15	96150	$240
RRUCLA	HB PSYCHOSOCIAL ASSESSMENT INTL EA ADDL 15	96150	$240
SMUCLA	HB PSYCHOSOCIAL ASSESSMENT INTL EA ADDL 15	96150	$240
RNPH	HB PSYCHOSOCIAL ASSESSMENT POSTPARTUM EA 15	96150	$240
RRUCLA	HB PSYCHOSOCIAL ASSESSMENT POSTPARTUM EA 15	96150	$240
SMUCLA	HB PSYCHOSOCIAL ASSESSMENT POSTPARTUM EA 15	96150	$240
RNPH	HB RESEARCH GRANT-CHARGE PER HOUR 2007		$150
RRUCLA	HB RESEARCH GRANT-CHARGE PER HOUR 2007		$150
SMUCLA	HB RESEARCH GRANT-CHARGE PER HOUR 2007		$150
RNPH	HB ADVANCED CARE PLAN 30 MIN	99497	$260
RRUCLA	HB ADVANCED CARE PLAN 30 MIN	99497	$260
SMUCLA	HB ADVANCED CARE PLAN 30 MIN	99497	$260
RNPH	HB ADVANCED CARE PLAN ADDL 30 MIN	99498	$260
RRUCLA	HB ADVANCED CARE PLAN ADDL 30 MIN	99498	$260
SMUCLA	HB ADVANCED CARE PLAN ADDL 30 MIN	99498	$260
RNPH	HB ANNUAL ALCOHOL MISUSE SCRN 15 MIN	G0442	$110
RRUCLA	HB ANNUAL ALCOHOL MISUSE SCRN 15 MIN	G0442	$110
SMUCLA	HB ANNUAL ALCOHOL MISUSE SCRN 15 MIN	G0442	$110
RNPH	HB ANNUAL DEPRESSSION SCRN 15 MIN	G0444	$110
RRUCLA	HB ANNUAL DEPRESSSION SCRN 15 MIN	G0444	$110
SMUCLA	HB ANNUAL DEPRESSSION SCRN 15 MIN	G0444	$110
RNPH	HB BODY COMPOSITION ANALYSIS	G0463	$170
RRUCLA	HB BODY COMPOSITION ANALYSIS	G0463	$170
SMUCLA	HB BODY COMPOSITION ANALYSIS	G0463	$170
RNPH	HB BRIEF ALCOHOL MISUSE COUNSEL	G0443	$310
RRUCLA	HB BRIEF ALCOHOL MISUSE COUNSEL	G0443	$310
SMUCLA	HB BRIEF ALCOHOL MISUSE COUNSEL	G0443	$310
RNPH	HB CCS SW ASSESS FAMILY FUNCTION PER 30MIN	96154	$220
RRUCLA	HB CCS SW ASSESS FAMILY FUNCTION PER 30MIN	96154	$220
SMUCLA	HB CCS SW ASSESS FAMILY FUNCTION PER 30MIN	96154	$220
RNPH	HB COUNSEL NEED FOR LUNG CANCER SCRN LOW DOSE CT	G0296	$310
RRUCLA	HB COUNSEL NEED FOR LUNG CANCER SCRN LOW DOSE CT	G0296	$310
SMUCLA	HB COUNSEL NEED FOR LUNG CANCER SCRN LOW DOSE CT	G0296	$310
RNPH	HB CPSP OB ANTEPARTUM 1ST= <16WK LMP	G0463	$279
RRUCLA	HB CPSP OB ANTEPARTUM 1ST= <16WK LMP	G0463	$279
SMUCLA	HB CPSP OB ANTEPARTUM 1ST= <16WK LMP	G0463	$279
RNPH	HB CPSP OB ANTEPARTUM 1ST= <16WK LMP HIRISK	G0463	$279
RRUCLA	HB CPSP OB ANTEPARTUM 1ST= <16WK LMP HIRISK	G0463	$279
SMUCLA	HB CPSP OB ANTEPARTUM 1ST= <16WK LMP HIRISK	G0463	$279
RNPH	HB CPSP OB ANTEPARTUM INITIAL	G0463	$279
RRUCLA	HB CPSP OB ANTEPARTUM INITIAL	G0463	$279
SMUCLA	HB CPSP OB ANTEPARTUM INITIAL	G0463	$279
RNPH	HB CPSP OB ANTEPARTUM INITIAL HIRISK	G0463	$279
RRUCLA	HB CPSP OB ANTEPARTUM INITIAL HIRISK	G0463	$279
SMUCLA	HB CPSP OB ANTEPARTUM INITIAL HIRISK	G0463	$279
RNPH	HB CPSP OB ANTEPARTUM SUBSQ FOLLOW-UP 10+	G0463	$200
RRUCLA	HB CPSP OB ANTEPARTUM SUBSQ FOLLOW-UP 10+	G0463	$200
SMUCLA	HB CPSP OB ANTEPARTUM SUBSQ FOLLOW-UP 10+	G0463	$200
RNPH	HB CPSP OB ANTEPARTUM SUBSQ FOLLOW-UP 2-9	G0463	$200
RRUCLA	HB CPSP OB ANTEPARTUM SUBSQ FOLLOW-UP 2-9	G0463	$200
SMUCLA	HB CPSP OB ANTEPARTUM SUBSQ FOLLOW-UP 2-9	G0463	$200
RNPH	HB CPSP OB ANTEPARTUM SUBSQ HIRISK	G0463	$200
RRUCLA	HB CPSP OB ANTEPARTUM SUBSQ HIRISK	G0463	$200
SMUCLA	HB CPSP OB ANTEPARTUM SUBSQ HIRISK	G0463	$200
RNPH	HB CPSP OB COMBINED ASSESSMENT INTIAL	G0463	$200
RRUCLA	HB CPSP OB COMBINED ASSESSMENT INTIAL	G0463	$200
SMUCLA	HB CPSP OB COMBINED ASSESSMENT INTIAL	G0463	$200
RNPH	HB CPSP OB POSTPARTUM VISIT	G0463	$200
RRUCLA	HB CPSP OB POSTPARTUM VISIT	G0463	$200
SMUCLA	HB CPSP OB POSTPARTUM VISIT	G0463	$200
RNPH	HB EPSDT PHYSICIAN PARENT CONFERENCT PER 30MINUTES	99211	$130
RRUCLA	HB EPSDT PHYSICIAN PARENT CONFERENCT PER 30MINUTES	99211	$130
SMUCLA	HB EPSDT PHYSICIAN PARENT CONFERENCT PER 30MINUTES	99211	$130
RNPH	HB EST OUTPATIENT VISIT LEVEL 3	G0463	$230
RRUCLA	HB EST OUTPATIENT VISIT LEVEL 3	G0463	$230
SMUCLA	HB EST OUTPATIENT VISIT LEVEL 3	G0463	$230
RNPH	HB EST PREVENTIVE CARE >65YRS	G0463	$320
RRUCLA	HB EST PREVENTIVE CARE >65YRS	G0463	$320
SMUCLA	HB EST PREVENTIVE CARE >65YRS	G0463	$320
RNPH	HB EST PREVENTIVE CARE AGE 1-4YR	G0463	$320
RRUCLA	HB EST PREVENTIVE CARE AGE 1-4YR	G0463	$320
SMUCLA	HB EST PREVENTIVE CARE AGE 1-4YR	G0463	$320
RNPH	HB EST PREVENTIVE CARE AGE 12-17YR	G0463	$320
RRUCLA	HB EST PREVENTIVE CARE AGE 12-17YR	G0463	$320
SMUCLA	HB EST PREVENTIVE CARE AGE 12-17YR	G0463	$320
RNPH	HB EST PREVENTIVE CARE AGE 18-39YR	G0463	$320
RRUCLA	HB EST PREVENTIVE CARE AGE 18-39YR	G0463	$320
SMUCLA	HB EST PREVENTIVE CARE AGE 18-39YR	G0463	$320
RNPH	HB EST PREVENTIVE CARE AGE 40-64YR	G0463	$320
RRUCLA	HB EST PREVENTIVE CARE AGE 40-64YR	G0463	$320
SMUCLA	HB EST PREVENTIVE CARE AGE 40-64YR	G0463	$320
RNPH	HB EST PREVENTIVE CARE AGE 5-11YR	G0463	$320
RRUCLA	HB EST PREVENTIVE CARE AGE 5-11YR	G0463	$320
SMUCLA	HB EST PREVENTIVE CARE AGE 5-11YR	G0463	$320
RNPH	HB EST PREVENTIVE CARE PERIODIC	G0463	$320
RRUCLA	HB EST PREVENTIVE CARE PERIODIC	G0463	$320
SMUCLA	HB EST PREVENTIVE CARE PERIODIC	G0463	$320
RNPH	HB EST PT LVL1 ASSESSMENT POSTOP	G0463	$170
RRUCLA	HB EST PT LVL1 ASSESSMENT POSTOP	G0463	$170
SMUCLA	HB EST PT LVL1 ASSESSMENT POSTOP	G0463	$170
RNPH	HB EXAM EVIDENTRY SEXUAL ASSAULT	G0463	$1029
RRUCLA	HB EXAM EVIDENTRY SEXUAL ASSAULT	G0463	$1029
SMUCLA	HB EXAM EVIDENTRY SEXUAL ASSAULT	G0463	$1029
RNPH	HB EXAM EVIDENTRY SEXUAL ASSAULT SUSPECT	G0463	$1029
RRUCLA	HB EXAM EVIDENTRY SEXUAL ASSAULT SUSPECT	G0463	$1029
SMUCLA	HB EXAM EVIDENTRY SEXUAL ASSAULT SUSPECT	G0463	$1029
RNPH	HB FACE TO FACE BEHAV COUNSEL OBESITY 15 MIN	G0447	$310
RRUCLA	HB FACE TO FACE BEHAV COUNSEL OBESITY 15 MIN	G0447	$310
SMUCLA	HB FACE TO FACE BEHAV COUNSEL OBESITY 15 MIN	G0447	$310
RNPH	HB FAMILY PACT EST PT VISIT LEVEL 1	G0463	$130
RRUCLA	HB FAMILY PACT EST PT VISIT LEVEL 1	G0463	$130
SMUCLA	HB FAMILY PACT EST PT VISIT LEVEL 1	G0463	$130
RNPH	HB FAMILY PACT EST PT VISIT LEVEL 2	G0463	$159
RRUCLA	HB FAMILY PACT EST PT VISIT LEVEL 2	G0463	$159
SMUCLA	HB FAMILY PACT EST PT VISIT LEVEL 2	G0463	$159
RNPH	HB FAMILY PACT EST PT VISIT LEVEL 3	G0463	$183
RRUCLA	HB FAMILY PACT EST PT VISIT LEVEL 3	G0463	$183
SMUCLA	HB FAMILY PACT EST PT VISIT LEVEL 3	G0463	$183
RNPH	HB FAMILY PACT EST PT VISIT LEVEL 5	G0463	$279
RRUCLA	HB FAMILY PACT EST PT VISIT LEVEL 5	G0463	$279
SMUCLA	HB FAMILY PACT EST PT VISIT LEVEL 5	G0463	$279
RNPH	HB FAMILY PACT EST PT VISITLEVEL 4	G0463	$200
RRUCLA	HB FAMILY PACT EST PT VISITLEVEL 4	G0463	$200
SMUCLA	HB FAMILY PACT EST PT VISITLEVEL 4	G0463	$200
RNPH	HB FAMILY PACT NEW PT VISIT LEVEL 1	G0463	$130
RRUCLA	HB FAMILY PACT NEW PT VISIT LEVEL 1	G0463	$130
SMUCLA	HB FAMILY PACT NEW PT VISIT LEVEL 1	G0463	$130
RNPH	HB FAMILY PACT NEW PT VISIT LEVEL 2	G0463	$159
RRUCLA	HB FAMILY PACT NEW PT VISIT LEVEL 2	G0463	$159
SMUCLA	HB FAMILY PACT NEW PT VISIT LEVEL 2	G0463	$159
RNPH	HB FAMILY PACT NEW PT VISIT LEVEL 3	G0463	$183
RRUCLA	HB FAMILY PACT NEW PT VISIT LEVEL 3	G0463	$183
SMUCLA	HB FAMILY PACT NEW PT VISIT LEVEL 3	G0463	$183
RNPH	HB FAMILY PACT NEW PT VISIT LEVEL 4	G0463	$200
RRUCLA	HB FAMILY PACT NEW PT VISIT LEVEL 4	G0463	$200
SMUCLA	HB FAMILY PACT NEW PT VISIT LEVEL 4	G0463	$200
RNPH	HB FAMILY PACT NEW PT VISIT LEVEL 5	G0463	$279
RRUCLA	HB FAMILY PACT NEW PT VISIT LEVEL 5	G0463	$279
SMUCLA	HB FAMILY PACT NEW PT VISIT LEVEL 5	G0463	$279
RNPH	HB HRIF HI RISK INFANT F-UP EST OUTPT VISIT LVL4	G0463	$295
RRUCLA	HB HRIF HI RISK INFANT F-UP EST OUTPT VISIT LVL4	G0463	$295
SMUCLA	HB HRIF HI RISK INFANT F-UP EST OUTPT VISIT LVL4	G0463	$295
RNPH	HB HRIF HI RISK INFANT F-UP EST OUTPT VISIT LVL5	G0463	$317
RRUCLA	HB HRIF HI RISK INFANT F-UP EST OUTPT VISIT LVL5	G0463	$317
SMUCLA	HB HRIF HI RISK INFANT F-UP EST OUTPT VISIT LVL5	G0463	$317
RNPH	HB HRIF HI RISK INFANT F-UP NEW OUTPT VISIT LVL4	G0463	$295
RRUCLA	HB HRIF HI RISK INFANT F-UP NEW OUTPT VISIT LVL4	G0463	$295
SMUCLA	HB HRIF HI RISK INFANT F-UP NEW OUTPT VISIT LVL4	G0463	$295
RNPH	HB HRIF HI RISK INFANT F-UP NEW OUTPT VISIT LVL5	G0463	$317
RRUCLA	HB HRIF HI RISK INFANT F-UP NEW OUTPT VISIT LVL5	G0463	$317
SMUCLA	HB HRIF HI RISK INFANT F-UP NEW OUTPT VISIT LVL5	G0463	$317
RNPH	HB HRIF HI RISK INFANT F-UP NURSE COORDINATOR	G0463	$240
RRUCLA	HB HRIF HI RISK INFANT F-UP NURSE COORDINATOR	G0463	$240
SMUCLA	HB HRIF HI RISK INFANT F-UP NURSE COORDINATOR	G0463	$240
RNPH	HB HRIF MED NUTRITION ASSESS SUBSEQUENT 30MIN	97803	$43
RRUCLA	HB HRIF MED NUTRITION ASSESS SUBSEQUENT 30MIN	97803	$43
SMUCLA	HB HRIF MED NUTRITION ASSESS SUBSEQUENT 30MIN	97803	$43
RNPH	HB MED TEAM CONFERENCE BY HEALTH PROF WITHOUT PATIENT 30MIN OR MORE	99368	$500
RRUCLA	HB MED TEAM CONFERENCE BY HEALTH PROF WITHOUT PATIENT 30MIN OR MORE	99368	$500
SMUCLA	HB MED TEAM CONFERENCE BY HEALTH PROF WITHOUT PATIENT 30MIN OR MORE	99368	$500
RNPH	HB MEDICAL GENETIC COUNSELING EACH 30MIN	96040	$390
RRUCLA	HB MEDICAL GENETIC COUNSELING EACH 30MIN	96040	$390
SMUCLA	HB MEDICAL GENETIC COUNSELING EACH 30MIN	96040	$390
RNPH	HB MEDICAL GENETIC COUNSELING MCAL /15MIN		$150
RRUCLA	HB MEDICAL GENETIC COUNSELING MCAL /15MIN		$150
SMUCLA	HB MEDICAL GENETIC COUNSELING MCAL /15MIN		$150
RNPH	HB MEDICAL TEAM CONFERENCE INTERDISCIPLINARY WITH PATIENT 30MIN	99366	$500
RRUCLA	HB MEDICAL TEAM CONFERENCE INTERDISCIPLINARY WITH PATIENT 30MIN	99366	$500
SMUCLA	HB MEDICAL TEAM CONFERENCE INTERDISCIPLINARY WITH PATIENT 30MIN	99366	$500
RNPH	HB MEDICAL TEAM CONFERENCE INTERDISCIPLINARY WITHOUT PATIENT 30MIN	99367	$500
RRUCLA	HB MEDICAL TEAM CONFERENCE INTERDISCIPLINARY WITHOUT PATIENT 30MIN	99367	$500
SMUCLA	HB MEDICAL TEAM CONFERENCE INTERDISCIPLINARY WITHOUT PATIENT 30MIN	99367	$500
RNPH	HB NEW OUTPATIENT VISIT LEVEL 3	G0463	$230
RRUCLA	HB NEW OUTPATIENT VISIT LEVEL 3	G0463	$230
SMUCLA	HB NEW OUTPATIENT VISIT LEVEL 3	G0463	$230
RNPH	HB NEW PREVENTIVE CARE AGE >65YRS	G0463	$360
RRUCLA	HB NEW PREVENTIVE CARE AGE >65YRS	G0463	$360
SMUCLA	HB NEW PREVENTIVE CARE AGE >65YRS	G0463	$360
RNPH	HB NEW PREVENTIVE CARE AGE 1-4YR	G0463	$360
RRUCLA	HB NEW PREVENTIVE CARE AGE 1-4YR	G0463	$360
SMUCLA	HB NEW PREVENTIVE CARE AGE 1-4YR	G0463	$360
RNPH	HB NEW PREVENTIVE CARE AGE 12-17YR	G0463	$360
RRUCLA	HB NEW PREVENTIVE CARE AGE 12-17YR	G0463	$360
SMUCLA	HB NEW PREVENTIVE CARE AGE 12-17YR	G0463	$360
RNPH	HB NEW PREVENTIVE CARE AGE 18-39YR	G0463	$360
RRUCLA	HB NEW PREVENTIVE CARE AGE 18-39YR	G0463	$360
SMUCLA	HB NEW PREVENTIVE CARE AGE 18-39YR	G0463	$360
RNPH	HB NEW PREVENTIVE CARE AGE 40-64YR	G0463	$360
RRUCLA	HB NEW PREVENTIVE CARE AGE 40-64YR	G0463	$360
SMUCLA	HB NEW PREVENTIVE CARE AGE 40-64YR	G0463	$360
RNPH	HB NEW PREVENTIVE CARE AGE 5-11YR	G0463	$360
RRUCLA	HB NEW PREVENTIVE CARE AGE 5-11YR	G0463	$360
SMUCLA	HB NEW PREVENTIVE CARE AGE 5-11YR	G0463	$360
RNPH	HB NEW PREVENTIVE VISIT INITIAL	G0463	$360
RRUCLA	HB NEW PREVENTIVE VISIT INITIAL	G0463	$360
SMUCLA	HB NEW PREVENTIVE VISIT INITIAL	G0463	$360
RNPH	HB OR PROC ROOM EVAL NOT SURG DAY/CANCEL	G0463	$240
RRUCLA	HB OR PROC ROOM EVAL NOT SURG DAY/CANCEL	G0463	$240
SMUCLA	HB OR PROC ROOM EVAL NOT SURG DAY/CANCEL	G0463	$240
RNPH	HB OUTPATIENT CONSULT LEVEL 2	G0463	$200
RRUCLA	HB OUTPATIENT CONSULT LEVEL 2	G0463	$200
SMUCLA	HB OUTPATIENT CONSULT LEVEL 2	G0463	$200
RNPH	HB OUTPATIENT CONSULT LEVEL 3	G0463	$230
RRUCLA	HB OUTPATIENT CONSULT LEVEL 3	G0463	$230
SMUCLA	HB OUTPATIENT CONSULT LEVEL 3	G0463	$230
RNPH	HB OUTPATIENT CONSULT LEVEL 4	G0463	$260
RRUCLA	HB OUTPATIENT CONSULT LEVEL 4	G0463	$260
SMUCLA	HB OUTPATIENT CONSULT LEVEL 4	G0463	$260
RNPH	HB OUTPATIENT CONSULT LEVEL 5	G0463	$350
RRUCLA	HB OUTPATIENT CONSULT LEVEL 5	G0463	$350
SMUCLA	HB OUTPATIENT CONSULT LEVEL 5	G0463	$350
RNPH	HB PHOTOCHEMOTHERAPY PSORALEN BATH	96999	$250
RRUCLA	HB PHOTOCHEMOTHERAPY PSORALEN BATH	96999	$250
SMUCLA	HB PHOTOCHEMOTHERAPY PSORALEN BATH	96999	$250
RNPH	HB PREVENTIVE MED COUNSEL 15MIN	G0463	$320
RRUCLA	HB PREVENTIVE MED COUNSEL 15MIN	G0463	$320
SMUCLA	HB PREVENTIVE MED COUNSEL 15MIN	G0463	$320
RNPH	HB PREVENTIVE MED COUNSEL 30MIN	G0463	$340
RRUCLA	HB PREVENTIVE MED COUNSEL 30MIN	G0463	$340
SMUCLA	HB PREVENTIVE MED COUNSEL 30MIN	G0463	$340
RNPH	HB PREVENTIVE MED COUNSEL 45MIN	G0463	$360
RRUCLA	HB PREVENTIVE MED COUNSEL 45MIN	G0463	$360
SMUCLA	HB PREVENTIVE MED COUNSEL 45MIN	G0463	$360
RNPH	HB PREVENTIVE MED COUNSEL 60MIN	G0463	$380
RRUCLA	HB PREVENTIVE MED COUNSEL 60MIN	G0463	$380
SMUCLA	HB PREVENTIVE MED COUNSEL 60MIN	G0463	$380
RNPH	HB PROLONG PT VISIT EA ADDL 30 MINS	99355	$100
RRUCLA	HB PROLONG PT VISIT EA ADDL 30 MINS	99355	$100
SMUCLA	HB PROLONG PT VISIT EA ADDL 30 MINS	99355	$100
RNPH	HB PSYCHOSOCIAL ASSESSMENT GROUP F-UP EA 15	96153	$240
RRUCLA	HB PSYCHOSOCIAL ASSESSMENT GROUP F-UP EA 15	96153	$240
SMUCLA	HB PSYCHOSOCIAL ASSESSMENT GROUP F-UP EA 15	96153	$240
RNPH	HB RSH DIETITIAN PER 30 MINS		$38
RRUCLA	HB RSH DIETITIAN PER 30 MINS		$38
SMUCLA	HB RSH DIETITIAN PER 30 MINS		$38
RNPH	HB RSH MED ASSISTANT PER 30 MINS		$22
RRUCLA	HB RSH MED ASSISTANT PER 30 MINS		$22
SMUCLA	HB RSH MED ASSISTANT PER 30 MINS		$22
RNPH	HB RSH NUTRITION SUPPORT STAFF PER 30 MINS		$32
RRUCLA	HB RSH NUTRITION SUPPORT STAFF PER 30 MINS		$32
SMUCLA	HB RSH NUTRITION SUPPORT STAFF PER 30 MINS		$32
RNPH	HB RSH OBSERVATION PER 30 MIN		$41
RRUCLA	HB RSH OBSERVATION PER 30 MIN		$41
SMUCLA	HB RSH OBSERVATION PER 30 MIN		$41
RNPH	HB RSH OUTPATIENT NURSE PER 30 MINS		$62
RRUCLA	HB RSH OUTPATIENT NURSE PER 30 MINS		$62
SMUCLA	HB RSH OUTPATIENT NURSE PER 30 MINS		$62
RNPH	HB RSH OUTPT NURSE AFTER HOURS PER 30 MINS		$124
RRUCLA	HB RSH OUTPT NURSE AFTER HOURS PER 30 MINS		$124
SMUCLA	HB RSH OUTPT NURSE AFTER HOURS PER 30 MINS		$124
RNPH	HB TRANSITIONAL CARE MANAGEMENT HIGH COMPLEX WITHIN 7DAYS DISCHARGE	99496	$440
RRUCLA	HB TRANSITIONAL CARE MANAGEMENT HIGH COMPLEX WITHIN 7DAYS DISCHARGE	99496	$440
SMUCLA	HB TRANSITIONAL CARE MANAGEMENT HIGH COMPLEX WITHIN 7DAYS DISCHARGE	99496	$440
RNPH	HB TRANSITIONAL CARE MANAGEMENT MOD COMPLEX WITHIN 14DAYS DISCHARGE	99495	$400
RRUCLA	HB TRANSITIONAL CARE MANAGEMENT MOD COMPLEX WITHIN 14DAYS DISCHARGE	99495	$400
SMUCLA	HB TRANSITIONAL CARE MANAGEMENT MOD COMPLEX WITHIN 14DAYS DISCHARGE	99495	$400

CT Scan

Hospital	Description	CPT Code	Standard Charge
RNPH	HB 3D CT MR US WO POST PROCESS	76376	$850
RRUCLA	HB 3D CT MR US WO POST PROCESS	76376	$850
SMUCLA	HB 3D CT MR US WO POST PROCESS	76376	$850
RNPH	HB CT 3D RECONSTRCT AORTA SURGPLN	G0288	$830
RRUCLA	HB CT 3D RECONSTRCT AORTA SURGPLN	G0288	$830
SMUCLA	HB CT 3D RECONSTRCT AORTA SURGPLN	G0288	$830
RNPH	HB CT ABDOMEN + CONTRAST	74160	$2590
RRUCLA	HB CT ABDOMEN + CONTRAST	74160	$2590
SMUCLA	HB CT ABDOMEN + CONTRAST	74160	$2590
RNPH	HB CT ABDOMEN +/- CONTRAST	74170	$3060
RRUCLA	HB CT ABDOMEN +/- CONTRAST	74170	$3060
SMUCLA	HB CT ABDOMEN +/- CONTRAST	74170	$3060
RNPH	HB CT ABDOMEN WO CONTRAST	74150	$1850
RRUCLA	HB CT ABDOMEN WO CONTRAST	74150	$1850
SMUCLA	HB CT ABDOMEN WO CONTRAST	74150	$1850
RNPH	HB CT ABDOMEN&PELVIS WO CONTRAST	74176	$1850
RRUCLA	HB CT ABDOMEN&PELVIS WO CONTRAST	74176	$1850
SMUCLA	HB CT ABDOMEN&PELVIS WO CONTRAST	74176	$1850
RNPH	HB CT ABDOMEN&PELVIS WO+1SECTN/REGN W CONTR	74178	$3060
RRUCLA	HB CT ABDOMEN&PELVIS WO+1SECTN/REGN W CONTR	74178	$3060
SMUCLA	HB CT ABDOMEN&PELVIS WO+1SECTN/REGN W CONTR	74178	$3060
RNPH	HB CT ABDOMEN&PELVIS+CONTRAST	74177	$2590
RRUCLA	HB CT ABDOMEN&PELVIS+CONTRAST	74177	$2590
SMUCLA	HB CT ABDOMEN&PELVIS+CONTRAST	74177	$2590
RNPH	HB CT ANGIO ABD AORTA + RUNOFF	75635	$2040
RRUCLA	HB CT ANGIO ABD AORTA + RUNOFF	75635	$2040
SMUCLA	HB CT ANGIO ABD AORTA + RUNOFF	75635	$2040
RNPH	HB CT ANGIO ABD PELVIS+/-CONTRAST	74174	$3060
RRUCLA	HB CT ANGIO ABD PELVIS+/-CONTRAST	74174	$3060
SMUCLA	HB CT ANGIO ABD PELVIS+/-CONTRAST	74174	$3060
RNPH	HB CT ANGIOGRAM ABDOMEN	74175	$2040
RRUCLA	HB CT ANGIOGRAM ABDOMEN	74175	$2040
SMUCLA	HB CT ANGIOGRAM ABDOMEN	74175	$2040
RNPH	HB CT ANGIOGRAM CHEST	71275	$2110
RRUCLA	HB CT ANGIOGRAM CHEST	71275	$2110
SMUCLA	HB CT ANGIOGRAM CHEST	71275	$2110
RNPH	HB CT ANGIOGRAM HEAD +/- CONTRAST	70496	$1730
RRUCLA	HB CT ANGIOGRAM HEAD +/- CONTRAST	70496	$1730
SMUCLA	HB CT ANGIOGRAM HEAD +/- CONTRAST	70496	$1730
RNPH	HB CT ANGIOGRAM LOWER EXTREMITY	73706	$1790
RRUCLA	HB CT ANGIOGRAM LOWER EXTREMITY	73706	$1790
SMUCLA	HB CT ANGIOGRAM LOWER EXTREMITY	73706	$1790
RNPH	HB CT ANGIOGRAM NECK	70498	$1730
RRUCLA	HB CT ANGIOGRAM NECK	70498	$1730
SMUCLA	HB CT ANGIOGRAM NECK	70498	$1730
RNPH	HB CT ANGIOGRAM PELVIS	72191	$2040
RRUCLA	HB CT ANGIOGRAM PELVIS	72191	$2040
SMUCLA	HB CT ANGIOGRAM PELVIS	72191	$2040
RNPH	HB CT ANGIOGRAM UPPER EXTREMITY	73206	$1790
RRUCLA	HB CT ANGIOGRAM UPPER EXTREMITY	73206	$1790
SMUCLA	HB CT ANGIOGRAM UPPER EXTREMITY	73206	$1790
RNPH	HB CT BONE DENSITY AXIAL	77078	$250
RRUCLA	HB CT BONE DENSITY AXIAL	77078	$250
SMUCLA	HB CT BONE DENSITY AXIAL	77078	$250
RNPH	HB CT BONE DENSITY PERIPHERAL	77080	$420
RRUCLA	HB CT BONE DENSITY PERIPHERAL	77080	$420
SMUCLA	HB CT BONE DENSITY PERIPHERAL	77080	$420
RNPH	HB CT BRAIN + CONTRAST	70460	$2830
RRUCLA	HB CT BRAIN + CONTRAST	70460	$2830
SMUCLA	HB CT BRAIN + CONTRAST	70460	$2830
RNPH	HB CT BRAIN +/- CONTRAST	70470	$3610
RRUCLA	HB CT BRAIN +/- CONTRAST	70470	$3610
SMUCLA	HB CT BRAIN +/- CONTRAST	70470	$3610
RNPH	HB CT BRAIN WO CONTRAST	70450	$2500
RRUCLA	HB CT BRAIN WO CONTRAST	70450	$2500
SMUCLA	HB CT BRAIN WO CONTRAST	70450	$2500
RNPH	HB CT C-SPINE +/- CONTRAST	72127	$2230
RRUCLA	HB CT C-SPINE +/- CONTRAST	72127	$2230
SMUCLA	HB CT C-SPINE +/- CONTRAST	72127	$2230
RNPH	HB CT C-SPINE WO CONTRAST	72125	$1860
RRUCLA	HB CT C-SPINE WO CONTRAST	72125	$1860
SMUCLA	HB CT C-SPINE WO CONTRAST	72125	$1860
RNPH	HB CT CHEST + CONTRAST	71260	$2500
RRUCLA	HB CT CHEST + CONTRAST	71260	$2500
SMUCLA	HB CT CHEST + CONTRAST	71260	$2500
RNPH	HB CT CHEST +/- CONTRAST	71270	$3060
RRUCLA	HB CT CHEST +/- CONTRAST	71270	$3060
SMUCLA	HB CT CHEST +/- CONTRAST	71270	$3060
RNPH	HB CT CHEST WO CONTRAST	71250	$1860
RRUCLA	HB CT CHEST WO CONTRAST	71250	$1860
SMUCLA	HB CT CHEST WO CONTRAST	71250	$1860
RNPH	HB CT COLONOGRAPHY DIAGNOSTIC + CONTRAST	74262	$1250
RRUCLA	HB CT COLONOGRAPHY DIAGNOSTIC + CONTRAST	74262	$1250
SMUCLA	HB CT COLONOGRAPHY DIAGNOSTIC + CONTRAST	74262	$1250
RNPH	HB CT COLONOGRAPHY DIAGNOSTIC WO CONTRAST	74261	$830
RRUCLA	HB CT COLONOGRAPHY DIAGNOSTIC WO CONTRAST	74261	$830
SMUCLA	HB CT COLONOGRAPHY DIAGNOSTIC WO CONTRAST	74261	$830
RNPH	HB CT COLONOGRAPHY SCREENING MCN	74263	$1250
RRUCLA	HB CT COLONOGRAPHY SCREENING MCN	74263	$1250
SMUCLA	HB CT COLONOGRAPHY SCREENING MCN	74263	$1250
RNPH	HB CT FOLLOW-UP EXAM	76380	$360
RRUCLA	HB CT FOLLOW-UP EXAM	76380	$360
SMUCLA	HB CT FOLLOW-UP EXAM	76380	$360
RNPH	HB CT HEART FUNCTION EVAL 3D	75572	$1130
RRUCLA	HB CT HEART FUNCTION EVAL 3D	75572	$1130
SMUCLA	HB CT HEART FUNCTION EVAL 3D	75572	$1130
RNPH	HB CT HEART WO CONTRAST+CORONARY CALCIUM	75571	$270
RRUCLA	HB CT HEART WO CONTRAST+CORONARY CALCIUM	75571	$270
SMUCLA	HB CT HEART WO CONTRAST+CORONARY CALCIUM	75571	$270
RNPH	HB CT L-SPINE + CONTRAST	72132	$2500
RRUCLA	HB CT L-SPINE + CONTRAST	72132	$2500
SMUCLA	HB CT L-SPINE + CONTRAST	72132	$2500
RNPH	HB CT L-SPINE +/- CONTRAST	72133	$2950
RRUCLA	HB CT L-SPINE +/- CONTRAST	72133	$2950
SMUCLA	HB CT L-SPINE +/- CONTRAST	72133	$2950
RNPH	HB CT LOCALIZATION STEREOTACTIC	77011	$1960
RRUCLA	HB CT LOCALIZATION STEREOTACTIC	77011	$1960
SMUCLA	HB CT LOCALIZATION STEREOTACTIC	77011	$1960
RNPH	HB CT LOWER EXTREMITY + CONTRAST	73701	$2500
RRUCLA	HB CT LOWER EXTREMITY + CONTRAST	73701	$2500
SMUCLA	HB CT LOWER EXTREMITY + CONTRAST	73701	$2500
RNPH	HB CT LOWER EXTREMITY +/-CONTRAST	73702	$2950
RRUCLA	HB CT LOWER EXTREMITY +/-CONTRAST	73702	$2950
SMUCLA	HB CT LOWER EXTREMITY +/-CONTRAST	73702	$2950
RNPH	HB CT LOWER EXTREMITY WO CONTRAST	73700	$1810
RRUCLA	HB CT LOWER EXTREMITY WO CONTRAST	73700	$1810
SMUCLA	HB CT LOWER EXTREMITY WO CONTRAST	73700	$1810
RNPH	HB CT MAXILLOFACIAL + CONTRAST	70487	$2210
RRUCLA	HB CT MAXILLOFACIAL + CONTRAST	70487	$2210
SMUCLA	HB CT MAXILLOFACIAL + CONTRAST	70487	$2210
RNPH	HB CT MAXILLOFACIAL +/- CONTRAST	70488	$3580
RRUCLA	HB CT MAXILLOFACIAL +/- CONTRAST	70488	$3580
SMUCLA	HB CT MAXILLOFACIAL +/- CONTRAST	70488	$3580
RNPH	HB CT MAXILLOFACIAL WO CONTRAST	70486	$1930
RRUCLA	HB CT MAXILLOFACIAL WO CONTRAST	70486	$1930
SMUCLA	HB CT MAXILLOFACIAL WO CONTRAST	70486	$1930
RNPH	HB CT NDL PLACEMENT GUIDANCE S&I	77012	$1360
RRUCLA	HB CT NDL PLACEMENT GUIDANCE S&I	77012	$1360
SMUCLA	HB CT NDL PLACEMENT GUIDANCE S&I	77012	$1360
RNPH	HB CT ORBIT SELLA IAC +/-CONTRAST	70482	$2600
RRUCLA	HB CT ORBIT SELLA IAC +/-CONTRAST	70482	$2600
SMUCLA	HB CT ORBIT SELLA IAC +/-CONTRAST	70482	$2600
RNPH	HB CT ORBIT SELLA IAC WO CONTRAST	70480	$1880
RRUCLA	HB CT ORBIT SELLA IAC WO CONTRAST	70480	$1880
SMUCLA	HB CT ORBIT SELLA IAC WO CONTRAST	70480	$1880
RNPH	HB CT ORBIT/SELLA/IAC + CONTRAST	70481	$2210
RRUCLA	HB CT ORBIT/SELLA/IAC + CONTRAST	70481	$2210
SMUCLA	HB CT ORBIT/SELLA/IAC + CONTRAST	70481	$2210
RNPH	HB CT PELVIS + CONTRAST	72193	$2160
RRUCLA	HB CT PELVIS + CONTRAST	72193	$2160
SMUCLA	HB CT PELVIS + CONTRAST	72193	$2160
RNPH	HB CT PELVIS +/- CONTRAST	72194	$2680
RRUCLA	HB CT PELVIS +/- CONTRAST	72194	$2680
SMUCLA	HB CT PELVIS +/- CONTRAST	72194	$2680
RNPH	HB CT PELVIS WO CONTRAST	72192	$1860
RRUCLA	HB CT PELVIS WO CONTRAST	72192	$1860
SMUCLA	HB CT PELVIS WO CONTRAST	72192	$1860
RNPH	HB CT SOFT TISSUE NECK + CONTRAST	70491	$2260
RRUCLA	HB CT SOFT TISSUE NECK + CONTRAST	70491	$2260
SMUCLA	HB CT SOFT TISSUE NECK + CONTRAST	70491	$2260
RNPH	HB CT SOFT TISSUE NECK WO CONTR	70490	$2100
RRUCLA	HB CT SOFT TISSUE NECK WO CONTR	70490	$2100
SMUCLA	HB CT SOFT TISSUE NECK WO CONTR	70490	$2100
RNPH	HB CT SOFT TISSUE NECK+/-CONTRAST	70492	$2730
RRUCLA	HB CT SOFT TISSUE NECK+/-CONTRAST	70492	$2730
SMUCLA	HB CT SOFT TISSUE NECK+/-CONTRAST	70492	$2730
RNPH	HB CT T-SPINE + CONTRAST	72129	$2500
RRUCLA	HB CT T-SPINE + CONTRAST	72129	$2500
SMUCLA	HB CT T-SPINE + CONTRAST	72129	$2500
RNPH	HB CT T-SPINE +/- CONTRAST	72130	$2950
RRUCLA	HB CT T-SPINE +/- CONTRAST	72130	$2950
SMUCLA	HB CT T-SPINE +/- CONTRAST	72130	$2950
RNPH	HB CT UPPER EXTREMITY +/-CONTRAST	73202	$3250
RRUCLA	HB CT UPPER EXTREMITY +/-CONTRAST	73202	$3250
SMUCLA	HB CT UPPER EXTREMITY +/-CONTRAST	73202	$3250
RNPH	HB CT UPPER EXTREMITY WO CONTRAST	73200	$1590
RRUCLA	HB CT UPPER EXTREMITY WO CONTRAST	73200	$1590
SMUCLA	HB CT UPPER EXTREMITY WO CONTRAST	73200	$1590
RNPH	HB CTA CORONARY+/-GRAFT STRUCTURE & MORPH	75574	$1500
RRUCLA	HB CTA CORONARY+/-GRAFT STRUCTURE & MORPH	75574	$1500
SMUCLA	HB CTA CORONARY+/-GRAFT STRUCTURE & MORPH	75574	$1500
RNPH	HB CT ABLATION GUIDANCE S&I	77013	$940
RRUCLA	HB CT ABLATION GUIDANCE S&I	77013	$940
SMUCLA	HB CT ABLATION GUIDANCE S&I	77013	$940
RNPH	HB CT C-SPINE + CONTRAST	72126	$2230
RRUCLA	HB CT C-SPINE + CONTRAST	72126	$2230
SMUCLA	HB CT C-SPINE + CONTRAST	72126	$2230
RNPH	HB CT CERBRAL CBF PERFUSION+CONTRAST	0042T	$3240
RRUCLA	HB CT CERBRAL CBF PERFUSION+CONTRAST	0042T	$3240
SMUCLA	HB CT CERBRAL CBF PERFUSION+CONTRAST	0042T	$3240
RNPH	HB CT HEART FUNCTION EVAL 3D CONGENITAL	75573	$1130
RRUCLA	HB CT HEART FUNCTION EVAL 3D CONGENITAL	75573	$1130
SMUCLA	HB CT HEART FUNCTION EVAL 3D CONGENITAL	75573	$1130
RNPH	HB CT L-SPINE WO CONTRAST	72131	$1860
RRUCLA	HB CT L-SPINE WO CONTRAST	72131	$1860
SMUCLA	HB CT L-SPINE WO CONTRAST	72131	$1860
RNPH	HB CT LOW DOSE LUNG CANCER SCREENING	G0297	$500
RRUCLA	HB CT LOW DOSE LUNG CANCER SCREENING	G0297	$500
SMUCLA	HB CT LOW DOSE LUNG CANCER SCREENING	G0297	$500
RNPH	HB CT RADIATION RX FIELD GUIDANCE	77014	$940
RRUCLA	HB CT RADIATION RX FIELD GUIDANCE	77014	$940
SMUCLA	HB CT RADIATION RX FIELD GUIDANCE	77014	$940
RNPH	HB CT RESEARCH EXAM LEVEL 1		$100
RRUCLA	HB CT RESEARCH EXAM LEVEL 1		$100
SMUCLA	HB CT RESEARCH EXAM LEVEL 1		$100
RNPH	HB CT RESEARCH EXAM LEVEL 2		$200
RRUCLA	HB CT RESEARCH EXAM LEVEL 2		$200
SMUCLA	HB CT RESEARCH EXAM LEVEL 2		$200
RNPH	HB CT RESEARCH EXAM LEVEL 3		$300
RRUCLA	HB CT RESEARCH EXAM LEVEL 3		$300
SMUCLA	HB CT RESEARCH EXAM LEVEL 3		$300
RNPH	HB CT RESEARCH EXAM LEVEL 4		$400
RRUCLA	HB CT RESEARCH EXAM LEVEL 4		$400
SMUCLA	HB CT RESEARCH EXAM LEVEL 4		$400
RNPH	HB CT T-SPINE WO CONTRAST	72128	$1860
RRUCLA	HB CT T-SPINE WO CONTRAST	72128	$1860
SMUCLA	HB CT T-SPINE WO CONTRAST	72128	$1860
RNPH	HB CT UPPER EXTREMITY + CONTRAST	73201	$2040
RRUCLA	HB CT UPPER EXTREMITY + CONTRAST	73201	$2040
SMUCLA	HB CT UPPER EXTREMITY + CONTRAST	73201	$2040
RNPH	HB OR CT GUIDANCE SERVICE		$1000
RRUCLA	HB OR CT GUIDANCE SERVICE		$1000
SMUCLA	HB OR CT GUIDANCE SERVICE		$1000

DME / Medical Equipment

Hospital	Description	CPT Code	Standard Charge
RNPH	HB CANE DJ ORTHO	E0100	$80
RRUCLA	HB CANE DJ ORTHO	E0100	$80
SMUCLA	HB CANE DJ ORTHO	E0100	$80
RNPH	HB CRUTCHES FOREARM ADJUST	E0114	$100
RRUCLA	HB CRUTCHES FOREARM ADJUST	E0114	$100
SMUCLA	HB CRUTCHES FOREARM ADJUST	E0114	$100
RNPH	HB CRUTCHES FOREARM ADJUST DJ ORTHO	E0114	$160
RRUCLA	HB CRUTCHES FOREARM ADJUST DJ ORTHO	E0114	$160
SMUCLA	HB CRUTCHES FOREARM ADJUST DJ ORTHO	E0114	$160
RNPH	HB HEARING AID DISPENSING FEE BILATERAL	V5110	$20
RRUCLA	HB HEARING AID DISPENSING FEE BILATERAL	V5110	$20
SMUCLA	HB HEARING AID DISPENSING FEE BILATERAL	V5110	$20
RNPH	HB HEARING AID DISPENSING FEE UNSPECIFIED	V5090	$20
RRUCLA	HB HEARING AID DISPENSING FEE UNSPECIFIED	V5090	$20
SMUCLA	HB HEARING AID DISPENSING FEE UNSPECIFIED	V5090	$20
RNPH	HB MAP CANE	E0100	$22
RRUCLA	HB MAP CANE	E0100	$22
SMUCLA	HB MAP CANE	E0100	$22
RNPH	HB MAP CRUTCHES FOREARM ADJUST	E0114	$77
RRUCLA	HB MAP CRUTCHES FOREARM ADJUST	E0114	$77
SMUCLA	HB MAP CRUTCHES FOREARM ADJUST	E0114	$77
RNPH	HB CANE	E0100	$22
RRUCLA	HB CANE	E0100	$22
SMUCLA	HB CANE	E0100	$22
RNPH	HB HELMET PROTECTIVE HARD PREFAB WITH ALL COMPONENTS & ACCESSORIES	A8001	$380
RRUCLA	HB HELMET PROTECTIVE HARD PREFAB WITH ALL COMPONENTS & ACCESSORIES	A8001	$380
SMUCLA	HB HELMET PROTECTIVE HARD PREFAB WITH ALL COMPONENTS & ACCESSORIES	A8001	$380
RNPH	HB SLEEP LAB BIPAP AIRCURVE 10 ASV RESMED	E0471	$7430
RRUCLA	HB SLEEP LAB BIPAP AIRCURVE 10 ASV RESMED	E0471	$7430
SMUCLA	HB SLEEP LAB BIPAP AIRCURVE 10 ASV RESMED	E0471	$7430
RNPH	HB SLEEP LAB BIPAP AIRCURVE 10 ASV RESMED RNTL	E0471	$743
RRUCLA	HB SLEEP LAB BIPAP AIRCURVE 10 ASV RESMED RNTL	E0471	$743
SMUCLA	HB SLEEP LAB BIPAP AIRCURVE 10 ASV RESMED RNTL	E0471	$743
RNPH	HB SLEEP LAB BIPAP AIRCURVE 10 VAUTO RESMED	E0470	$2910
RRUCLA	HB SLEEP LAB BIPAP AIRCURVE 10 VAUTO RESMED	E0470	$2910
SMUCLA	HB SLEEP LAB BIPAP AIRCURVE 10 VAUTO RESMED	E0470	$2910
RNPH	HB SLEEP LAB BIPAP AIRCURVE 10 VAUTO RESMED RNTL	E0470	$291
RRUCLA	HB SLEEP LAB BIPAP AIRCURVE 10 VAUTO RESMED RNTL	E0470	$291
SMUCLA	HB SLEEP LAB BIPAP AIRCURVE 10 VAUTO RESMED RNTL	E0470	$291
RNPH	HB SLEEP LAB BIPAP AIRCURVE ST-A RESMED	E0471	$6850
RRUCLA	HB SLEEP LAB BIPAP AIRCURVE ST-A RESMED	E0471	$6850
SMUCLA	HB SLEEP LAB BIPAP AIRCURVE ST-A RESMED	E0471	$6850
RNPH	HB SLEEP LAB BIPAP AIRCURVE ST-A RESMED RNTL	E0471	$685
RRUCLA	HB SLEEP LAB BIPAP AIRCURVE ST-A RESMED RNTL	E0471	$685
SMUCLA	HB SLEEP LAB BIPAP AIRCURVE ST-A RESMED RNTL	E0471	$685
RNPH	HB SLEEP LAB BIPAP ASV DRMSTN RESPIRONICS	E0471	$6580
RRUCLA	HB SLEEP LAB BIPAP ASV DRMSTN RESPIRONICS	E0471	$6580
SMUCLA	HB SLEEP LAB BIPAP ASV DRMSTN RESPIRONICS	E0471	$6580
RNPH	HB SLEEP LAB BIPAP ASV DRMSTN RESPIRONICS RNTL	E0471	$658
RRUCLA	HB SLEEP LAB BIPAP ASV DRMSTN RESPIRONICS RNTL	E0471	$658
SMUCLA	HB SLEEP LAB BIPAP ASV DRMSTN RESPIRONICS RNTL	E0471	$658
RNPH	HB SLEEP LAB BIPAP AUTO DRMSTN RESPIRONICS	E0470	$2250
RRUCLA	HB SLEEP LAB BIPAP AUTO DRMSTN RESPIRONICS	E0470	$2250
SMUCLA	HB SLEEP LAB BIPAP AUTO DRMSTN RESPIRONICS	E0470	$2250
RNPH	HB SLEEP LAB BIPAP AUTO DRMSTN RESPIRONICS RNTL	E0470	$225
RRUCLA	HB SLEEP LAB BIPAP AUTO DRMSTN RESPIRONICS RNTL	E0470	$225
SMUCLA	HB SLEEP LAB BIPAP AUTO DRMSTN RESPIRONICS RNTL	E0470	$225
RNPH	HB SLEEP LAB BIPAP AVAPS DRMSTN RESPIRONICS	E0471	$6760
RRUCLA	HB SLEEP LAB BIPAP AVAPS DRMSTN RESPIRONICS	E0471	$6760
SMUCLA	HB SLEEP LAB BIPAP AVAPS DRMSTN RESPIRONICS	E0471	$6760
RNPH	HB SLEEP LAB BIPAP AVAPS DRMSTN RESPIRONICS RNTL	E0471	$676
RRUCLA	HB SLEEP LAB BIPAP AVAPS DRMSTN RESPIRONICS RNTL	E0471	$676
SMUCLA	HB SLEEP LAB BIPAP AVAPS DRMSTN RESPIRONICS RNTL	E0471	$676
RNPH	HB SLEEP LAB BIPAP CHIN STRAP RESPIRONICS	A7036	$50
RRUCLA	HB SLEEP LAB BIPAP CHIN STRAP RESPIRONICS	A7036	$50
SMUCLA	HB SLEEP LAB BIPAP CHIN STRAP RESPIRONICS	A7036	$50
RNPH	HB SLEEP LAB BIPAP HMDFR WATER CHAMBER REPLACE EA RESPIRONICS	A7046	$60
RRUCLA	HB SLEEP LAB BIPAP HMDFR WATER CHAMBER REPLACE EA RESPIRONICS	A7046	$60
SMUCLA	HB SLEEP LAB BIPAP HMDFR WATER CHAMBER REPLACE EA RESPIRONICS	A7046	$60
RNPH	HB SLEEP LAB BIPAP ST DRMSTN RESPIRONICS	E0471	$6090
RRUCLA	HB SLEEP LAB BIPAP ST DRMSTN RESPIRONICS	E0471	$6090
SMUCLA	HB SLEEP LAB BIPAP ST DRMSTN RESPIRONICS	E0471	$6090
RNPH	HB SLEEP LAB BIPAP ST DRMSTN RESPIRONICS RNTL	E0471	$609
RRUCLA	HB SLEEP LAB BIPAP ST DRMSTN RESPIRONICS RNTL	E0471	$609
SMUCLA	HB SLEEP LAB BIPAP ST DRMSTN RESPIRONICS RNTL	E0471	$609
RNPH	HB SLEEP LAB CPAP AEROSOL COMPRESSOR & TUBING RESPIRONICS	E0572	$500
RRUCLA	HB SLEEP LAB CPAP AEROSOL COMPRESSOR & TUBING RESPIRONICS	E0572	$500
SMUCLA	HB SLEEP LAB CPAP AEROSOL COMPRESSOR & TUBING RESPIRONICS	E0572	$500
RNPH	HB SLEEP LAB CPAP AEROSOL COMPRESSOR RESPIRONICS	E0572	$370
RRUCLA	HB SLEEP LAB CPAP AEROSOL COMPRESSOR RESPIRONICS	E0572	$370
SMUCLA	HB SLEEP LAB CPAP AEROSOL COMPRESSOR RESPIRONICS	E0572	$370
RNPH	HB SLEEP LAB CPAP AIRSENSE 10 AUTOSET RESMED	E0601	$1240
RRUCLA	HB SLEEP LAB CPAP AIRSENSE 10 AUTOSET RESMED	E0601	$1240
SMUCLA	HB SLEEP LAB CPAP AIRSENSE 10 AUTOSET RESMED	E0601	$1240
RNPH	HB SLEEP LAB CPAP AIRSENSE 10 AUTOSET RESMED RNTL	E0601	$124
RRUCLA	HB SLEEP LAB CPAP AIRSENSE 10 AUTOSET RESMED RNTL	E0601	$124
SMUCLA	HB SLEEP LAB CPAP AIRSENSE 10 AUTOSET RESMED RNTL	E0601	$124
RNPH	HB SLEEP LAB CPAP CHIN STRAP DELUX ADJUST RESPIRONICS	A7036	$70
RRUCLA	HB SLEEP LAB CPAP CHIN STRAP DELUX ADJUST RESPIRONICS	A7036	$70
SMUCLA	HB SLEEP LAB CPAP CHIN STRAP DELUX ADJUST RESPIRONICS	A7036	$70
RNPH	HB SLEEP LAB CPAP CHIN STRAP RESMED	A7036	$30
RRUCLA	HB SLEEP LAB CPAP CHIN STRAP RESMED	A7036	$30
SMUCLA	HB SLEEP LAB CPAP CHIN STRAP RESMED	A7036	$30
RNPH	HB SLEEP LAB CPAP CHIN STRAP RESPIRONICS	A7036	$40
RRUCLA	HB SLEEP LAB CPAP CHIN STRAP RESPIRONICS	A7036	$40
SMUCLA	HB SLEEP LAB CPAP CHIN STRAP RESPIRONICS	A7036	$40
RNPH	HB SLEEP LAB CPAP COMBO ORAL-NASAL MASK LIBERTY FFM RESMED	A7027	$320
RRUCLA	HB SLEEP LAB CPAP COMBO ORAL-NASAL MASK LIBERTY FFM RESMED	A7027	$320
SMUCLA	HB SLEEP LAB CPAP COMBO ORAL-NASAL MASK LIBERTY FFM RESMED	A7027	$320
RNPH	HB SLEEP LAB CPAP COMBO ORAL-NASAL MASK LIBERTY FRAME RESMED	A7027	$260
RRUCLA	HB SLEEP LAB CPAP COMBO ORAL-NASAL MASK LIBERTY FRAME RESMED	A7027	$260
SMUCLA	HB SLEEP LAB CPAP COMBO ORAL-NASAL MASK LIBERTY FRAME RESMED	A7027	$260
RNPH	HB SLEEP LAB CPAP CUSHION REPLACE ONLY GECKO RESMED	A7032	$270
RRUCLA	HB SLEEP LAB CPAP CUSHION REPLACE ONLY GECKO RESMED	A7032	$270
SMUCLA	HB SLEEP LAB CPAP CUSHION REPLACE ONLY GECKO RESMED	A7032	$270
RNPH	HB SLEEP LAB CPAP CUSHION REPLACE ONLY MIRAGE RESMED	A7032	$60
RRUCLA	HB SLEEP LAB CPAP CUSHION REPLACE ONLY MIRAGE RESMED	A7032	$60
SMUCLA	HB SLEEP LAB CPAP CUSHION REPLACE ONLY MIRAGE RESMED	A7032	$60
RNPH	HB SLEEP LAB CPAP CUSHION REPLACEMENT ONLY RESPIRONICS	A7032	$80
RRUCLA	HB SLEEP LAB CPAP CUSHION REPLACEMENT ONLY RESPIRONICS	A7032	$80
SMUCLA	HB SLEEP LAB CPAP CUSHION REPLACEMENT ONLY RESPIRONICS	A7032	$80
RNPH	HB SLEEP LAB CPAP DEVICE BI PRESS & BACKUP & HMDFR S9 VPAP ST-A RESMED	E0471	$6020
RRUCLA	HB SLEEP LAB CPAP DEVICE BI PRESS & BACKUP & HMDFR S9 VPAP ST-A RESMED	E0471	$6020
SMUCLA	HB SLEEP LAB CPAP DEVICE BI PRESS & BACKUP & HMDFR S9 VPAP ST-A RESMED	E0471	$6020
RNPH	HB SLEEP LAB CPAP DEVICE BI PRESS & BACKUP & HMDFR VPAP ADAPT RESMED	E0471	$7350
RRUCLA	HB SLEEP LAB CPAP DEVICE BI PRESS & BACKUP & HMDFR VPAP ADAPT RESMED	E0471	$7350
SMUCLA	HB SLEEP LAB CPAP DEVICE BI PRESS & BACKUP & HMDFR VPAP ADAPT RESMED	E0471	$7350
RNPH	HB SLEEP LAB CPAP DEVICE BI PRESS & BACKUP DS1160/DS960 RESPIRONICS	E0471	$10000
RRUCLA	HB SLEEP LAB CPAP DEVICE BI PRESS & BACKUP DS1160/DS960 RESPIRONICS	E0471	$10000
SMUCLA	HB SLEEP LAB CPAP DEVICE BI PRESS & BACKUP DS1160/DS960 RESPIRONICS	E0471	$10000
RNPH	HB SLEEP LAB CPAP DEVICE BI PRESS S9 VPAP ST & CLIMATE CONTROL RESMED	E0471	$5500
RRUCLA	HB SLEEP LAB CPAP DEVICE BI PRESS S9 VPAP ST & CLIMATE CONTROL RESMED	E0471	$5500
SMUCLA	HB SLEEP LAB CPAP DEVICE BI PRESS S9 VPAP ST & CLIMATE CONTROL RESMED	E0471	$5500
RNPH	HB SLEEP LAB CPAP DEVICE BI PRESS S9VPAP ST-A & CLIMATE CONTROL RESMED	E0471	$6120
RRUCLA	HB SLEEP LAB CPAP DEVICE BI PRESS S9VPAP ST-A & CLIMATE CONTROL RESMED	E0471	$6120
SMUCLA	HB SLEEP LAB CPAP DEVICE BI PRESS S9VPAP ST-A & CLIMATE CONTROL RESMED	E0471	$6120
RNPH	HB SLEEP LAB CPAP DEVICE BI PRESS VPAP ADAPT & CLIMATE CONTROL RESMED	E0471	$7430
RRUCLA	HB SLEEP LAB CPAP DEVICE BI PRESS VPAP ADAPT & CLIMATE CONTROL RESMED	E0471	$7430
SMUCLA	HB SLEEP LAB CPAP DEVICE BI PRESS VPAP ADAPT & CLIMATE CONTROL RESMED	E0471	$7430
RNPH	HB SLEEP LAB CPAP DEVICE BI PRESS WO BACKUP AUTO DS760 RESPIRONICS	E0470	$3670
RRUCLA	HB SLEEP LAB CPAP DEVICE BI PRESS WO BACKUP AUTO DS760 RESPIRONICS	E0470	$3670
SMUCLA	HB SLEEP LAB CPAP DEVICE BI PRESS WO BACKUP AUTO DS760 RESPIRONICS	E0470	$3670
RNPH	HB SLEEP LAB CPAP DEVICE BI PRESS WO HMDFR & TUBING S9VPAP S RESMED	E0470	$2500
RRUCLA	HB SLEEP LAB CPAP DEVICE BI PRESS WO HMDFR & TUBING S9VPAP S RESMED	E0470	$2500
SMUCLA	HB SLEEP LAB CPAP DEVICE BI PRESS WO HMDFR & TUBING S9VPAP S RESMED	E0470	$2500
RNPH	HB SLEEP LAB CPAP DEVICE BI PRESS WO HMDFR S9 VPAP AUTO RESMED	E0470	$2840
RRUCLA	HB SLEEP LAB CPAP DEVICE BI PRESS WO HMDFR S9 VPAP AUTO RESMED	E0470	$2840
SMUCLA	HB SLEEP LAB CPAP DEVICE BI PRESS WO HMDFR S9 VPAP AUTO RESMED	E0470	$2840
RNPH	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP DS1060 RESPIRONICS	E0471	$7260
RRUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP DS1060 RESPIRONICS	E0471	$7260
SMUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP DS1060 RESPIRONICS	E0471	$7260
RNPH	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP S9 VPAP ST RESMED	E0471	$5080
RRUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP S9 VPAP ST RESMED	E0471	$5080
SMUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP S9 VPAP ST RESMED	E0471	$5080
RNPH	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP STELLAR 100 RESMED	E0471	$14970
RRUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP STELLAR 100 RESMED	E0471	$14970
SMUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP STELLAR 100 RESMED	E0471	$14970
RNPH	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP STELLAR 150 RESMED	E0471	$15640
RRUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP STELLAR 150 RESMED	E0471	$15640
SMUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP STELLAR 150 RESMED	E0471	$15640
RNPH	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP VPAP ADAPT RESMED	E0471	$7000
RRUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP VPAP ADAPT RESMED	E0471	$7000
SMUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & BACKUP VPAP ADAPT RESMED	E0471	$7000
RNPH	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & S9 VPAP ST-A BACKUP RESMED	E0471	$5670
RRUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & S9 VPAP ST-A BACKUP RESMED	E0471	$5670
SMUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS & S9 VPAP ST-A BACKUP RESMED	E0471	$5670
RNPH	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO BACKUP S9 VPAP AUTO RESMED	E0470	$2500
RRUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO BACKUP S9 VPAP AUTO RESMED	E0470	$2500
SMUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO BACKUP S9 VPAP AUTO RESMED	E0470	$2500
RNPH	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO BACKUP S9 VPAP RESMED	E0470	$2420
RRUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO BACKUP S9 VPAP RESMED	E0470	$2420
SMUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO BACKUP S9 VPAP RESMED	E0470	$2420
RNPH	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO BACKUP S9 VPAP S RESMED	E0470	$2090
RRUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO BACKUP S9 VPAP S RESMED	E0470	$2090
SMUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO BACKUP S9 VPAP S RESMED	E0470	$2090
RNPH	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO S9 VPAP AUTO&CLIMATE RESMED	E0470	$2920
RRUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO S9 VPAP AUTO&CLIMATE RESMED	E0470	$2920
SMUCLA	HB SLEEP LAB CPAP DEVICE BI-LEVEL PRESS WO S9 VPAP AUTO&CLIMATE RESMED	E0470	$2920
RNPH	HB SLEEP LAB CPAP DEVICE REMSTAR60 & HMDFR AUTO RESPIRONICS	E0601	$1610
RRUCLA	HB SLEEP LAB CPAP DEVICE REMSTAR60 & HMDFR AUTO RESPIRONICS	E0601	$1610
SMUCLA	HB SLEEP LAB CPAP DEVICE REMSTAR60 & HMDFR AUTO RESPIRONICS	E0601	$1610
RNPH	HB SLEEP LAB CPAP DEVICE S9 AUTOSET & CLIMATE CONTROL RESMED	E0601	$1470
RRUCLA	HB SLEEP LAB CPAP DEVICE S9 AUTOSET & CLIMATE CONTROL RESMED	E0601	$1470
SMUCLA	HB SLEEP LAB CPAP DEVICE S9 AUTOSET & CLIMATE CONTROL RESMED	E0601	$1470
RNPH	HB SLEEP LAB CPAP DEVICE S9 AUTOSET & H5I RESMED	E0601	$1390
RRUCLA	HB SLEEP LAB CPAP DEVICE S9 AUTOSET & H5I RESMED	E0601	$1390
SMUCLA	HB SLEEP LAB CPAP DEVICE S9 AUTOSET & H5I RESMED	E0601	$1390
RNPH	HB SLEEP LAB CPAP DEVICE S9 ELITE & CLIMATE CONTROL RESMED	E0601	$1320
RRUCLA	HB SLEEP LAB CPAP DEVICE S9 ELITE & CLIMATE CONTROL RESMED	E0601	$1320
SMUCLA	HB SLEEP LAB CPAP DEVICE S9 ELITE & CLIMATE CONTROL RESMED	E0601	$1320
RNPH	HB SLEEP LAB CPAP DEVICE S9 ELITE + H5I RESMED	E0601	$1240
RRUCLA	HB SLEEP LAB CPAP DEVICE S9 ELITE + H5I RESMED	E0601	$1240
SMUCLA	HB SLEEP LAB CPAP DEVICE S9 ELITE + H5I RESMED	E0601	$1240
RNPH	HB SLEEP LAB CPAP DEVICE S9 ELITE RESMED	E0601	$890
RRUCLA	HB SLEEP LAB CPAP DEVICE S9 ELITE RESMED	E0601	$890
SMUCLA	HB SLEEP LAB CPAP DEVICE S9 ELITE RESMED	E0601	$890
RNPH	HB SLEEP LAB CPAP DEVICE S9 ESCAPE & CLIMATE CONTRO RESMED	E0601	$1000
RRUCLA	HB SLEEP LAB CPAP DEVICE S9 ESCAPE & CLIMATE CONTRO RESMED	E0601	$1000
SMUCLA	HB SLEEP LAB CPAP DEVICE S9 ESCAPE & CLIMATE CONTRO RESMED	E0601	$1000
RNPH	HB SLEEP LAB CPAP DEVICE S9 ESCAPE + H5I RESMED	E0601	$920
RRUCLA	HB SLEEP LAB CPAP DEVICE S9 ESCAPE + H5I RESMED	E0601	$920
SMUCLA	HB SLEEP LAB CPAP DEVICE S9 ESCAPE + H5I RESMED	E0601	$920
RNPH	HB SLEEP LAB CPAP DEVICE S9 ESCAPE AUTO & CLIMATE CONTROL RESMED	E0601	$1270
RRUCLA	HB SLEEP LAB CPAP DEVICE S9 ESCAPE AUTO & CLIMATE CONTROL RESMED	E0601	$1270
SMUCLA	HB SLEEP LAB CPAP DEVICE S9 ESCAPE AUTO & CLIMATE CONTROL RESMED	E0601	$1270
RNPH	HB SLEEP LAB CPAP DEVICE S9 ESCAPE AUTO + H5I RESMED	E0601	$1190
RRUCLA	HB SLEEP LAB CPAP DEVICE S9 ESCAPE AUTO + H5I RESMED	E0601	$1190
SMUCLA	HB SLEEP LAB CPAP DEVICE S9 ESCAPE AUTO + H5I RESMED	E0601	$1190
RNPH	HB SLEEP LAB CPAP DEVICE S9 ESCAPE RESMED	E0601	$570
RRUCLA	HB SLEEP LAB CPAP DEVICE S9 ESCAPE RESMED	E0601	$570
SMUCLA	HB SLEEP LAB CPAP DEVICE S9 ESCAPE RESMED	E0601	$570
RNPH	HB SLEEP LAB CPAP DRMSTN RESPIRONICS	E0601	$980
RRUCLA	HB SLEEP LAB CPAP DRMSTN RESPIRONICS	E0601	$980
SMUCLA	HB SLEEP LAB CPAP DRMSTN RESPIRONICS	E0601	$980
RNPH	HB SLEEP LAB CPAP DRMSTN RESPIRONICS RNTL	E0601	$98
RRUCLA	HB SLEEP LAB CPAP DRMSTN RESPIRONICS RNTL	E0601	$98
SMUCLA	HB SLEEP LAB CPAP DRMSTN RESPIRONICS RNTL	E0601	$98
RNPH	HB SLEEP LAB CPAP FACE MASK INTERFACE REPLACE EA RESMED	A7031	$100
RRUCLA	HB SLEEP LAB CPAP FACE MASK INTERFACE REPLACE EA RESMED	A7031	$100
SMUCLA	HB SLEEP LAB CPAP FACE MASK INTERFACE REPLACE EA RESMED	A7031	$100
RNPH	HB SLEEP LAB CPAP FILTER 12PACK RESMED	A7038	$60
RRUCLA	HB SLEEP LAB CPAP FILTER 12PACK RESMED	A7038	$60
SMUCLA	HB SLEEP LAB CPAP FILTER 12PACK RESMED	A7038	$60
RNPH	HB SLEEP LAB CPAP FILTER 12PACK STELLAR RESMED	A7038	$140
RRUCLA	HB SLEEP LAB CPAP FILTER 12PACK STELLAR RESMED	A7038	$140
SMUCLA	HB SLEEP LAB CPAP FILTER 12PACK STELLAR RESMED	A7038	$140
RNPH	HB SLEEP LAB CPAP FILTER 1PACK RESMED RESP	A7038	$10
RRUCLA	HB SLEEP LAB CPAP FILTER 1PACK RESMED RESP	A7038	$10
SMUCLA	HB SLEEP LAB CPAP FILTER 1PACK RESMED RESP	A7038	$10
RNPH	HB SLEEP LAB CPAP FILTER 2PACK OR 3PACK RESMED	A7038	$20
RRUCLA	HB SLEEP LAB CPAP FILTER 2PACK OR 3PACK RESMED	A7038	$20
SMUCLA	HB SLEEP LAB CPAP FILTER 2PACK OR 3PACK RESMED	A7038	$20
RNPH	HB SLEEP LAB CPAP FILTER 50PACK RESMED	A7038	$200
RRUCLA	HB SLEEP LAB CPAP FILTER 50PACK RESMED	A7038	$200
SMUCLA	HB SLEEP LAB CPAP FILTER 50PACK RESMED	A7038	$200
RNPH	HB SLEEP LAB CPAP FULL FACE MASK EA FFM RESMED	A7030	$320
RRUCLA	HB SLEEP LAB CPAP FULL FACE MASK EA FFM RESMED	A7030	$320
SMUCLA	HB SLEEP LAB CPAP FULL FACE MASK EA FFM RESMED	A7030	$320
RNPH	HB SLEEP LAB CPAP FULL FACE MASK EA FRAME RESMED	A7030	$260
RRUCLA	HB SLEEP LAB CPAP FULL FACE MASK EA FRAME RESMED	A7030	$260
SMUCLA	HB SLEEP LAB CPAP FULL FACE MASK EA FRAME RESMED	A7030	$260
RNPH	HB SLEEP LAB CPAP FULL FACE MASK EACH COMGEL RESPIRONICS	A7030	$80
RRUCLA	HB SLEEP LAB CPAP FULL FACE MASK EACH COMGEL RESPIRONICS	A7030	$80
SMUCLA	HB SLEEP LAB CPAP FULL FACE MASK EACH COMGEL RESPIRONICS	A7030	$80
RNPH	HB SLEEP LAB CPAP FULL FACE MASK EACH FFM AMARA RESPIRONICS	A7030	$300
RRUCLA	HB SLEEP LAB CPAP FULL FACE MASK EACH FFM AMARA RESPIRONICS	A7030	$300
SMUCLA	HB SLEEP LAB CPAP FULL FACE MASK EACH FFM AMARA RESPIRONICS	A7030	$300
RNPH	HB SLEEP LAB CPAP HEAD GEAR & CLIPS RESMED	A7035	$40
RRUCLA	HB SLEEP LAB CPAP HEAD GEAR & CLIPS RESMED	A7035	$40
SMUCLA	HB SLEEP LAB CPAP HEAD GEAR & CLIPS RESMED	A7035	$40
RNPH	HB SLEEP LAB CPAP HEAD GEAR MIRAGE LIBERTY RESMED	A7035	$70
RRUCLA	HB SLEEP LAB CPAP HEAD GEAR MIRAGE LIBERTY RESMED	A7035	$70
SMUCLA	HB SLEEP LAB CPAP HEAD GEAR MIRAGE LIBERTY RESMED	A7035	$70
RNPH	HB SLEEP LAB CPAP HEAD GEAR MIRAGE RESMED	A7035	$50
RRUCLA	HB SLEEP LAB CPAP HEAD GEAR MIRAGE RESMED	A7035	$50
SMUCLA	HB SLEEP LAB CPAP HEAD GEAR MIRAGE RESMED	A7035	$50
RNPH	HB SLEEP LAB CPAP HEAD GEAR MIRAGE SWIFT RESMED	A7035	$60
RRUCLA	HB SLEEP LAB CPAP HEAD GEAR MIRAGE SWIFT RESMED	A7035	$60
SMUCLA	HB SLEEP LAB CPAP HEAD GEAR MIRAGE SWIFT RESMED	A7035	$60
RNPH	HB SLEEP LAB CPAP HEAD GEAR NUANCE RESPIRONICS	A7035	$50
RRUCLA	HB SLEEP LAB CPAP HEAD GEAR NUANCE RESPIRONICS	A7035	$50
SMUCLA	HB SLEEP LAB CPAP HEAD GEAR NUANCE RESPIRONICS	A7035	$50
RNPH	HB SLEEP LAB CPAP HEAD GEAR PIXI RESMED	A7035	$70
RRUCLA	HB SLEEP LAB CPAP HEAD GEAR PIXI RESMED	A7035	$70
SMUCLA	HB SLEEP LAB CPAP HEAD GEAR PIXI RESMED	A7035	$70
RNPH	HB SLEEP LAB CPAP HEAD GEAR QUATTRO FX RESMED	A7035	$70
RRUCLA	HB SLEEP LAB CPAP HEAD GEAR QUATTRO FX RESMED	A7035	$70
SMUCLA	HB SLEEP LAB CPAP HEAD GEAR QUATTRO FX RESMED	A7035	$70
RNPH	HB SLEEP LAB CPAP HEAD GEAR RESPIRONICS	A7035	$50
RRUCLA	HB SLEEP LAB CPAP HEAD GEAR RESPIRONICS	A7035	$50
SMUCLA	HB SLEEP LAB CPAP HEAD GEAR RESPIRONICS	A7035	$50
RNPH	HB SLEEP LAB CPAP HEAD GEAR STANDARD RESMED	A7035	$50
RRUCLA	HB SLEEP LAB CPAP HEAD GEAR STANDARD RESMED	A7035	$50
SMUCLA	HB SLEEP LAB CPAP HEAD GEAR STANDARD RESMED	A7035	$50
RNPH	HB SLEEP LAB CPAP HEAD STRAP DOWN VITALSIGNS	A7036	$60
RRUCLA	HB SLEEP LAB CPAP HEAD STRAP DOWN VITALSIGNS	A7036	$60
SMUCLA	HB SLEEP LAB CPAP HEAD STRAP DOWN VITALSIGNS	A7036	$60
RNPH	HB SLEEP LAB CPAP HMDFR H4I RESMED	E0562	$350
RRUCLA	HB SLEEP LAB CPAP HMDFR H4I RESMED	E0562	$350
SMUCLA	HB SLEEP LAB CPAP HMDFR H4I RESMED	E0562	$350
RNPH	HB SLEEP LAB CPAP HMDFR H5I RESMED	E0562	$350
RRUCLA	HB SLEEP LAB CPAP HMDFR H5I RESMED	E0562	$350
SMUCLA	HB SLEEP LAB CPAP HMDFR H5I RESMED	E0562	$350
RNPH	HB SLEEP LAB CPAP HMDFR S9 ESCAPE AUTO RESMED	E0601	$840
RRUCLA	HB SLEEP LAB CPAP HMDFR S9 ESCAPE AUTO RESMED	E0601	$840
SMUCLA	HB SLEEP LAB CPAP HMDFR S9 ESCAPE AUTO RESMED	E0601	$840
RNPH	HB SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA C-SERIES RESMED	A7046	$30
RRUCLA	HB SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA C-SERIES RESMED	A7046	$30
SMUCLA	HB SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA C-SERIES RESMED	A7046	$30
RNPH	HB SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA H4I H5I 2IC RESMED	A7046	$80
RRUCLA	HB SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA H4I H5I 2IC RESMED	A7046	$80
SMUCLA	HB SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA H4I H5I 2IC RESMED	A7046	$80
RNPH	HB SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA HUMIDAIRE RESMED	A7046	$130
RRUCLA	HB SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA HUMIDAIRE RESMED	A7046	$130
SMUCLA	HB SLEEP LAB CPAP HMDFR WATER CHAMBER REPLACE EA HUMIDAIRE RESMED	A7046	$130
RNPH	HB SLEEP LAB CPAP MONITGORING RESLINK MODULE RESMED	A9279	$610
RRUCLA	HB SLEEP LAB CPAP MONITGORING RESLINK MODULE RESMED	A9279	$610
SMUCLA	HB SLEEP LAB CPAP MONITGORING RESLINK MODULE RESMED	A9279	$610
RNPH	HB SLEEP LAB CPAP MONITGORING RESSCAN DATA CARD 10PK RESMED	A9279	$200
RRUCLA	HB SLEEP LAB CPAP MONITGORING RESSCAN DATA CARD 10PK RESMED	A9279	$200
SMUCLA	HB SLEEP LAB CPAP MONITGORING RESSCAN DATA CARD 10PK RESMED	A9279	$200
RNPH	HB SLEEP LAB CPAP MONITGORING S8 RESLINK MODULE RESMED	A9279	$730
RRUCLA	HB SLEEP LAB CPAP MONITGORING S8 RESLINK MODULE RESMED	A9279	$730
SMUCLA	HB SLEEP LAB CPAP MONITGORING S8 RESLINK MODULE RESMED	A9279	$730
RNPH	HB SLEEP LAB CPAP MONITGORING S9 WIRELESS MODULE RESMED	A9279	$620
RRUCLA	HB SLEEP LAB CPAP MONITGORING S9 WIRELESS MODULE RESMED	A9279	$620
SMUCLA	HB SLEEP LAB CPAP MONITGORING S9 WIRELESS MODULE RESMED	A9279	$620
RNPH	HB SLEEP LAB CPAP MONITGORING SD CARD 10 PACK RESMED	A9279	$290
RRUCLA	HB SLEEP LAB CPAP MONITGORING SD CARD 10 PACK RESMED	A9279	$290
SMUCLA	HB SLEEP LAB CPAP MONITGORING SD CARD 10 PACK RESMED	A9279	$290
RNPH	HB SLEEP LAB CPAP MONITGORING SMARTMEDIA CARDS 2PK RESMED	A9279	$60
RRUCLA	HB SLEEP LAB CPAP MONITGORING SMARTMEDIA CARDS 2PK RESMED	A9279	$60
SMUCLA	HB SLEEP LAB CPAP MONITGORING SMARTMEDIA CARDS 2PK RESMED	A9279	$60
RNPH	HB SLEEP LAB CPAP NASAL INTERFACE FRAME SYSTEM RESMED	A7034	$120
RRUCLA	HB SLEEP LAB CPAP NASAL INTERFACE FRAME SYSTEM RESMED	A7034	$120
SMUCLA	HB SLEEP LAB CPAP NASAL INTERFACE FRAME SYSTEM RESMED	A7034	$120
RNPH	HB SLEEP LAB CPAP NASAL INTERFACE MASK W OR WO STRAP RESPIRONICS	A7034	$190
RRUCLA	HB SLEEP LAB CPAP NASAL INTERFACE MASK W OR WO STRAP RESPIRONICS	A7034	$190
SMUCLA	HB SLEEP LAB CPAP NASAL INTERFACE MASK W OR WO STRAP RESPIRONICS	A7034	$190
RNPH	HB SLEEP LAB CPAP NASAL INTERFACE MASK/FRAME SYSTEM RESMED	A7034	$160
RRUCLA	HB SLEEP LAB CPAP NASAL INTERFACE MASK/FRAME SYSTEM RESMED	A7034	$160
SMUCLA	HB SLEEP LAB CPAP NASAL INTERFACE MASK/FRAME SYSTEM RESMED	A7034	$160
RNPH	HB SLEEP LAB CPAP NASAL INTERFACE NUANCE RESPIRONICS	A7034	$180
RRUCLA	HB SLEEP LAB CPAP NASAL INTERFACE NUANCE RESPIRONICS	A7034	$180
SMUCLA	HB SLEEP LAB CPAP NASAL INTERFACE NUANCE RESPIRONICS	A7034	$180
RNPH	HB SLEEP LAB CPAP NASAL INTERFACE PILLOWS SYSTEM RESMED	A7034	$210
RRUCLA	HB SLEEP LAB CPAP NASAL INTERFACE PILLOWS SYSTEM RESMED	A7034	$210
SMUCLA	HB SLEEP LAB CPAP NASAL INTERFACE PILLOWS SYSTEM RESMED	A7034	$210
RNPH	HB SLEEP LAB CPAP NASAL INTERFACE PIXI FRAME RESMED	A7034	$270
RRUCLA	HB SLEEP LAB CPAP NASAL INTERFACE PIXI FRAME RESMED	A7034	$270
SMUCLA	HB SLEEP LAB CPAP NASAL INTERFACE PIXI FRAME RESMED	A7034	$270
RNPH	HB SLEEP LAB CPAP NASAL INTERFACE PIXI NASAL RESMED	A7034	$190
RRUCLA	HB SLEEP LAB CPAP NASAL INTERFACE PIXI NASAL RESMED	A7034	$190
SMUCLA	HB SLEEP LAB CPAP NASAL INTERFACE PIXI NASAL RESMED	A7034	$190
RNPH	HB SLEEP LAB CPAP NASAL INTERFACE SWIFT II MASK RESMED	A7034	$210
RRUCLA	HB SLEEP LAB CPAP NASAL INTERFACE SWIFT II MASK RESMED	A7034	$210
SMUCLA	HB SLEEP LAB CPAP NASAL INTERFACE SWIFT II MASK RESMED	A7034	$210
RNPH	HB SLEEP LAB CPAP NASAL INTERFACE VISTA/KIDSTA RESMED	A7035	$40
RRUCLA	HB SLEEP LAB CPAP NASAL INTERFACE VISTA/KIDSTA RESMED	A7035	$40
SMUCLA	HB SLEEP LAB CPAP NASAL INTERFACE VISTA/KIDSTA RESMED	A7035	$40
RNPH	HB SLEEP LAB CPAP ORAL CUSHION LIBERTY MOUTH REPLACE EA RESMED	A7028	$100
RRUCLA	HB SLEEP LAB CPAP ORAL CUSHION LIBERTY MOUTH REPLACE EA RESMED	A7028	$100
SMUCLA	HB SLEEP LAB CPAP ORAL CUSHION LIBERTY MOUTH REPLACE EA RESMED	A7028	$100
RNPH	HB SLEEP LAB CPAP PILLOW FOR NASAL CANNULA INTERFACE REPLAC PAIR RESP	A7033	$80
RRUCLA	HB SLEEP LAB CPAP PILLOW FOR NASAL CANNULA INTERFACE REPLAC PAIR RESP	A7033	$80
SMUCLA	HB SLEEP LAB CPAP PILLOW FOR NASAL CANNULA INTERFACE REPLAC PAIR RESP	A7033	$80
RNPH	HB SLEEP LAB CPAP PILLOW NASAL CANNULA REPLACE PAIR MIRAGE RESMED	A7029	$50
RRUCLA	HB SLEEP LAB CPAP PILLOW NASAL CANNULA REPLACE PAIR MIRAGE RESMED	A7029	$50
SMUCLA	HB SLEEP LAB CPAP PILLOW NASAL CANNULA REPLACE PAIR MIRAGE RESMED	A7029	$50
RNPH	HB SLEEP LAB CPAP PILLOW NASAL CANNULA REPLACE PAIR SWIFT RESMED	A7033	$50
RRUCLA	HB SLEEP LAB CPAP PILLOW NASAL CANNULA REPLACE PAIR SWIFT RESMED	A7033	$50
SMUCLA	HB SLEEP LAB CPAP PILLOW NASAL CANNULA REPLACE PAIR SWIFT RESMED	A7033	$50
RNPH	HB SLEEP LAB CPAP PILLOW NUANCE REPLACE RESPIRONICS	A7033	$50
RRUCLA	HB SLEEP LAB CPAP PILLOW NUANCE REPLACE RESPIRONICS	A7033	$50
SMUCLA	HB SLEEP LAB CPAP PILLOW NUANCE REPLACE RESPIRONICS	A7033	$50
RNPH	HB SLEEP LAB CPAP SD CARD 10 PACK RESPIRONICS	A9279	$270
RRUCLA	HB SLEEP LAB CPAP SD CARD 10 PACK RESPIRONICS	A9279	$270
SMUCLA	HB SLEEP LAB CPAP SD CARD 10 PACK RESPIRONICS	A9279	$270
RNPH	HB SLEEP LAB CPAP SD CARD MAILER 10 PACK RESPIRONICS	A9279	$170
RRUCLA	HB SLEEP LAB CPAP SD CARD MAILER 10 PACK RESPIRONICS	A9279	$170
SMUCLA	HB SLEEP LAB CPAP SD CARD MAILER 10 PACK RESPIRONICS	A9279	$170
RNPH	HB SLEEP LAB CPAP SD CARD READER RESPIRONICS	A9279	$100
RRUCLA	HB SLEEP LAB CPAP SD CARD READER RESPIRONICS	A9279	$100
SMUCLA	HB SLEEP LAB CPAP SD CARD READER RESPIRONICS	A9279	$100
RNPH	HB SLEEP LAB CPAP TUBING 6FT RESPIRONICS	A7037	$20
RRUCLA	HB SLEEP LAB CPAP TUBING 6FT RESPIRONICS	A7037	$20
SMUCLA	HB SLEEP LAB CPAP TUBING 6FT RESPIRONICS	A7037	$20
RNPH	HB SLEEP LAB CPAP TUBING AIR 6FT OR SLIMLINE RESMED	A7037	$20
RRUCLA	HB SLEEP LAB CPAP TUBING AIR 6FT OR SLIMLINE RESMED	A7037	$20
SMUCLA	HB SLEEP LAB CPAP TUBING AIR 6FT OR SLIMLINE RESMED	A7037	$20
RNPH	HB SLEEP LAB CPAP TUBING AIR 9FT RESMED	A7037	$60
RRUCLA	HB SLEEP LAB CPAP TUBING AIR 9FT RESMED	A7037	$60
SMUCLA	HB SLEEP LAB CPAP TUBING AIR 9FT RESMED	A7037	$60
RNPH	HB SLEEP LAB CPAP TUBING CUFFED RESMED	A7037	$40
RRUCLA	HB SLEEP LAB CPAP TUBING CUFFED RESMED	A7037	$40
SMUCLA	HB SLEEP LAB CPAP TUBING CUFFED RESMED	A7037	$40
RNPH	HB SLEEP LAB CPAP TUBING LABGEL RESPIRONICS	A7037	$40
RRUCLA	HB SLEEP LAB CPAP TUBING LABGEL RESPIRONICS	A7037	$40
SMUCLA	HB SLEEP LAB CPAP TUBING LABGEL RESPIRONICS	A7037	$40
RNPH	HB SLEEP LAB CPAP TUBING REMSTAR RESPIRONICS	A7037	$30
RRUCLA	HB SLEEP LAB CPAP TUBING REMSTAR RESPIRONICS	A7037	$30
SMUCLA	HB SLEEP LAB CPAP TUBING REMSTAR RESPIRONICS	A7037	$30
RNPH	HB SLEEP LAB CPAP TUBING WITH INTEGRATED HEATING ELEMENT RESMED RESP	A4604	$100
RRUCLA	HB SLEEP LAB CPAP TUBING WITH INTEGRATED HEATING ELEMENT RESMED RESP	A4604	$100
SMUCLA	HB SLEEP LAB CPAP TUBING WITH INTEGRATED HEATING ELEMENT RESMED RESP	A4604	$100
RNPH	HB SLEEP LAB HME FILTERS MEDLINE	A7505	$220
RRUCLA	HB SLEEP LAB HME FILTERS MEDLINE	A7505	$220
SMUCLA	HB SLEEP LAB HME FILTERS MEDLINE	A7505	$220
RNPH	HB WALKER	E0130	$45
RRUCLA	HB WALKER	E0130	$45
SMUCLA	HB WALKER	E0130	$45

EKG, ECG, EEG

Hospital	Description	CPT Code	Standard Charge
RNPH	HB EEG AWAKE & ASLEEP PORTABLE	95819	$870
RRUCLA	HB EEG AWAKE & ASLEEP PORTABLE	95819	$870
SMUCLA	HB EEG AWAKE & ASLEEP PORTABLE	95819	$870
RNPH	HB EEG AWAKE & DROWSY PORTABLE	95816	$870
RRUCLA	HB EEG AWAKE & DROWSY PORTABLE	95816	$870
SMUCLA	HB EEG AWAKE & DROWSY PORTABLE	95816	$870
RNPH	HB EEG COMA/SLEEP ONLY	95822	$870
RRUCLA	HB EEG COMA/SLEEP ONLY	95822	$870
SMUCLA	HB EEG COMA/SLEEP ONLY	95822	$870
RNPH	HB EEG DIGITAL ANALYSIS	95957	$1580
RRUCLA	HB EEG DIGITAL ANALYSIS	95957	$1580
SMUCLA	HB EEG DIGITAL ANALYSIS	95957	$1580
RNPH	HB EEG EXTENDED MONITORING >1HR	95813	$1200
RRUCLA	HB EEG EXTENDED MONITORING >1HR	95813	$1200
SMUCLA	HB EEG EXTENDED MONITORING >1HR	95813	$1200
RNPH	HB EEG EXTENDED MONITORING TO 1HR	95812	$870
RRUCLA	HB EEG EXTENDED MONITORING TO 1HR	95812	$870
SMUCLA	HB EEG EXTENDED MONITORING TO 1HR	95812	$870
RNPH	HB EEG ICU MONITORING EA 24HR RN/TECH	95956	$3290
RRUCLA	HB EEG ICU MONITORING EA 24HR RN/TECH	95956	$3290
SMUCLA	HB EEG ICU MONITORING EA 24HR RN/TECH	95956	$3290
RNPH	HB EKG SIGNAL AVERAGED SAEKG	93278	$200
RRUCLA	HB EKG SIGNAL AVERAGED SAEKG	93278	$200
SMUCLA	HB EKG SIGNAL AVERAGED SAEKG	93278	$200
RNPH	HB FUNCT CORTICAL MAP-EACH ADDL HR	95962	$1980
RRUCLA	HB FUNCT CORTICAL MAP-EACH ADDL HR	95962	$1980
SMUCLA	HB FUNCT CORTICAL MAP-EACH ADDL HR	95962	$1980
RNPH	HB FUNCTIONAL CORTICAL MAP 1ST HR	95961	$3160
RRUCLA	HB FUNCTIONAL CORTICAL MAP 1ST HR	95961	$3160
SMUCLA	HB FUNCTIONAL CORTICAL MAP 1ST HR	95961	$3160
RNPH	HB OR EEG MONITORING NONINTRACRAN	95955	$710
RRUCLA	HB OR EEG MONITORING NONINTRACRAN	95955	$710
SMUCLA	HB OR EEG MONITORING NONINTRACRAN	95955	$710
RNPH	HB PULM FXN LAB EKG 12-LEAD	93005	$360
RRUCLA	HB PULM FXN LAB EKG 12-LEAD	93005	$360
SMUCLA	HB PULM FXN LAB EKG 12-LEAD	93005	$360
RNPH	HB ACT AMB TELEM 24HR SCAN ANALYS	93225	$2570
RRUCLA	HB ACT AMB TELEM 24HR SCAN ANALYS	93225	$2570
SMUCLA	HB ACT AMB TELEM 24HR SCAN ANALYS	93225	$2570
RNPH	HB ACT AMBUL CARD TELEMETR RECORD/HKUP/DISC	93229	$1100
RRUCLA	HB ACT AMBUL CARD TELEMETR RECORD/HKUP/DISC	93229	$1100
SMUCLA	HB ACT AMBUL CARD TELEMETR RECORD/HKUP/DISC	93229	$1100
RNPH	HB AMBULATORY EEG MONITORING PER 24 HOURS	95953	$3130
RRUCLA	HB AMBULATORY EEG MONITORING PER 24 HOURS	95953	$3130
SMUCLA	HB AMBULATORY EEG MONITORING PER 24 HOURS	95953	$3130
RNPH	HB EEG & WADA ACTIVATION TEST	95958	$3160
RRUCLA	HB EEG & WADA ACTIVATION TEST	95958	$3160
SMUCLA	HB EEG & WADA ACTIVATION TEST	95958	$3160
RNPH	HB EEG AMBULATORY MONITOR ID&LAT CEREBRAL SEIZURE RECORD&INTERPRET/24	95950	$2760
RRUCLA	HB EEG AMBULATORY MONITOR ID&LAT CEREBRAL SEIZURE RECORD&INTERPRET/24	95950	$2760
SMUCLA	HB EEG AMBULATORY MONITOR ID&LAT CEREBRAL SEIZURE RECORD&INTERPRET/24	95950	$2760
RNPH	HB EEG AWAKE & ASLEEP	95819	$1400
RRUCLA	HB EEG AWAKE & ASLEEP	95819	$1400
SMUCLA	HB EEG AWAKE & ASLEEP	95819	$1400
RNPH	HB EEG AWAKE & DROWSY	95816	$1230
RRUCLA	HB EEG AWAKE & DROWSY	95816	$1230
SMUCLA	HB EEG AWAKE & DROWSY	95816	$1230
RNPH	HB EEG BRAIN DEATH EVALUATION	95824	$1560
RRUCLA	HB EEG BRAIN DEATH EVALUATION	95824	$1560
SMUCLA	HB EEG BRAIN DEATH EVALUATION	95824	$1560
RNPH	HB EEG DRUG ACTIVATION TEST	95954	$1560
RRUCLA	HB EEG DRUG ACTIVATION TEST	95954	$1560
SMUCLA	HB EEG DRUG ACTIVATION TEST	95954	$1560
RNPH	HB EEG ICU MONITORING PARTIAL DAY RN/TECH	95956	$1886
RRUCLA	HB EEG ICU MONITORING PARTIAL DAY RN/TECH	95956	$1886
SMUCLA	HB EEG ICU MONITORING PARTIAL DAY RN/TECH	95956	$1886
RNPH	HB EKG 12-LEAD	93005	$360
RRUCLA	HB EKG 12-LEAD	93005	$360
SMUCLA	HB EKG 12-LEAD	93005	$360
RNPH	HB EKG 12-LEAD SM	93005	$360
RRUCLA	HB EKG 12-LEAD SM	93005	$360
SMUCLA	HB EKG 12-LEAD SM	93005	$360
RNPH	HB EKG RHYTHM STRIP	93041	$130
RRUCLA	HB EKG RHYTHM STRIP	93041	$130
SMUCLA	HB EKG RHYTHM STRIP	93041	$130
RNPH	HB ELECTROCORTICOGRAM AT SURGERY	95829	$2500
RRUCLA	HB ELECTROCORTICOGRAM AT SURGERY	95829	$2500
SMUCLA	HB ELECTROCORTICOGRAM AT SURGERY	95829	$2500
RNPH	HB HEART EVENT MONITORING /ANALYSIS	93271	$1859
RRUCLA	HB HEART EVENT MONITORING /ANALYSIS	93271	$1859
SMUCLA	HB HEART EVENT MONITORING /ANALYSIS	93271	$1859
RNPH	HB HEART EVENT RECORD/HOOKUP/DISCONTINUED	93270	$640
RRUCLA	HB HEART EVENT RECORD/HOOKUP/DISCONTINUED	93270	$640
SMUCLA	HB HEART EVENT RECORD/HOOKUP/DISCONTINUED	93270	$640
RNPH	HB HOLTER 24HR SCAN ANALYSIS	93226	$1040
RRUCLA	HB HOLTER 24HR SCAN ANALYSIS	93226	$1040
SMUCLA	HB HOLTER 24HR SCAN ANALYSIS	93226	$1040
RNPH	HB HOLTER 48HR SCAN ANALYSIS	93226	$1040
RRUCLA	HB HOLTER 48HR SCAN ANALYSIS	93226	$1040
SMUCLA	HB HOLTER 48HR SCAN ANALYSIS	93226	$1040
RNPH	HB HOLTER RECORD/HKUP/DISC UPTO 24HR	93225	$870
RRUCLA	HB HOLTER RECORD/HKUP/DISC UPTO 24HR	93225	$870
SMUCLA	HB HOLTER RECORD/HKUP/DISC UPTO 24HR	93225	$870
RNPH	HB HOLTER RECORD/HKUP/DISC UPTO 48HR	93225	$870
RRUCLA	HB HOLTER RECORD/HKUP/DISC UPTO 48HR	93225	$870
SMUCLA	HB HOLTER RECORD/HKUP/DISC UPTO 48HR	93225	$870
RNPH	HB RSH EKG TRACING TRIPLICATE	93005	$120
RRUCLA	HB RSH EKG TRACING TRIPLICATE	93005	$120
SMUCLA	HB RSH EKG TRACING TRIPLICATE	93005	$120
RNPH	HB VIDEO EEG MONITORING PARTIAL DAY	95951	$2630
RRUCLA	HB VIDEO EEG MONITORING PARTIAL DAY	95951	$2630
SMUCLA	HB VIDEO EEG MONITORING PARTIAL DAY	95951	$2630
RNPH	HB VIDEO EEG MONITORING PER 24 HOURS	95951	$5000
RRUCLA	HB VIDEO EEG MONITORING PER 24 HOURS	95951	$5000
SMUCLA	HB VIDEO EEG MONITORING PER 24 HOURS	95951	$5000

Emergency Room

Hospital	Description	CPT Code	Standard Charge
RNPH	HB ANOSCOPY DIAGNOSTIC RECTUM FB REMOVE	46608	$2480
RRUCLA	HB ANOSCOPY DIAGNOSTIC RECTUM FB REMOVE	46608	$2480
SMUCLA	HB ANOSCOPY DIAGNOSTIC RECTUM FB REMOVE	46608	$2480
RNPH	HB BONE PIN INSERTION STEINMAN	20650	$9260
RRUCLA	HB BONE PIN INSERTION STEINMAN	20650	$9260
SMUCLA	HB BONE PIN INSERTION STEINMAN	20650	$9260
RNPH	HB BRAIN VENTRIC PUNCT REMOVE FLUID	61020	$2350
RRUCLA	HB BRAIN VENTRIC PUNCT REMOVE FLUID	61020	$2350
SMUCLA	HB BRAIN VENTRIC PUNCT REMOVE FLUID	61020	$2350
RNPH	HB BRONCH +THERAPY ASPIRATION	31645	$4630
RRUCLA	HB BRONCH +THERAPY ASPIRATION	31645	$4630
SMUCLA	HB BRONCH +THERAPY ASPIRATION	31645	$4630
RNPH	HB CAST APPLY FINGER	29086	$470
RRUCLA	HB CAST APPLY FINGER	29086	$470
SMUCLA	HB CAST APPLY FINGER	29086	$470
RNPH	HB CAST APPLY SPICA HIP 1.5 /BOTH	29720	$540
RRUCLA	HB CAST APPLY SPICA HIP 1.5 /BOTH	29720	$540
SMUCLA	HB CAST APPLY SPICA HIP 1.5 /BOTH	29720	$540
RNPH	HB CAST REPR SPICA BODY CAST JACKET	29720	$470
RRUCLA	HB CAST REPR SPICA BODY CAST JACKET	29720	$470
SMUCLA	HB CAST REPR SPICA BODY CAST JACKET	29720	$470
RNPH	HB CLSD DISLOCTX ACROCLAV +MANIP	23545	$750
RRUCLA	HB CLSD DISLOCTX ACROCLAV +MANIP	23545	$750
SMUCLA	HB CLSD DISLOCTX ACROCLAV +MANIP	23545	$750
RNPH	HB CLSD DISLOCTX ACROCLAV WO MANIP	23540	$750
RRUCLA	HB CLSD DISLOCTX ACROCLAV WO MANIP	23540	$750
SMUCLA	HB CLSD DISLOCTX ACROCLAV WO MANIP	23540	$750
RNPH	HB CLSD DISLOCTX ANKLE +ANESTH	27842	$4720
RRUCLA	HB CLSD DISLOCTX ANKLE +ANESTH	27842	$4720
SMUCLA	HB CLSD DISLOCTX ANKLE +ANESTH	27842	$4720
RNPH	HB CLSD DISLOCTX ELBOW +ANESTH	24605	$4720
RRUCLA	HB CLSD DISLOCTX ELBOW +ANESTH	24605	$4720
SMUCLA	HB CLSD DISLOCTX ELBOW +ANESTH	24605	$4720
RNPH	HB CLSD DISLOCTX ELBOW MONTEG+MANIP	24620	$4720
RRUCLA	HB CLSD DISLOCTX ELBOW MONTEG+MANIP	24620	$4720
SMUCLA	HB CLSD DISLOCTX ELBOW MONTEG+MANIP	24620	$4720
RNPH	HB CLSD DISLOCTX ELBOW WO ANESTH	24600	$750
RRUCLA	HB CLSD DISLOCTX ELBOW WO ANESTH	24600	$750
SMUCLA	HB CLSD DISLOCTX ELBOW WO ANESTH	24600	$750
RNPH	HB CLSD DISLOCTX FOOT IP JT WO ANESTH	28660	$980
RRUCLA	HB CLSD DISLOCTX FOOT IP JT WO ANESTH	28660	$980
SMUCLA	HB CLSD DISLOCTX FOOT IP JT WO ANESTH	28660	$980
RNPH	HB CLSD DISLOCTX FOOT IP JT+ANESTH	28665	$1202
RRUCLA	HB CLSD DISLOCTX FOOT IP JT+ANESTH	28665	$1202
SMUCLA	HB CLSD DISLOCTX FOOT IP JT+ANESTH	28665	$1202
RNPH	HB CLSD DISLOCTX FOOT MTP +ANESTH	28635	$4720
RRUCLA	HB CLSD DISLOCTX FOOT MTP +ANESTH	28635	$4720
SMUCLA	HB CLSD DISLOCTX FOOT MTP +ANESTH	28635	$4720
RNPH	HB CLSD DISLOCTX FOOT TALOTARSAL WO ANESTH	28570	$750
RRUCLA	HB CLSD DISLOCTX FOOT TALOTARSAL WO ANESTH	28570	$750
SMUCLA	HB CLSD DISLOCTX FOOT TALOTARSAL WO ANESTH	28570	$750
RNPH	HB CLSD DISLOCTX FOOT TARSAL WO ANESTHESIA	28540	$750
RRUCLA	HB CLSD DISLOCTX FOOT TARSAL WO ANESTHESIA	28540	$750
SMUCLA	HB CLSD DISLOCTX FOOT TARSAL WO ANESTHESIA	28540	$750
RNPH	HB CLSD DISLOCTX FOOT TARSOMETATARSAL	28600	$750
RRUCLA	HB CLSD DISLOCTX FOOT TARSOMETATARSAL	28600	$750
SMUCLA	HB CLSD DISLOCTX FOOT TARSOMETATARSAL	28600	$750
RNPH	HB CLSD DISLOCTX HAND CMC WO ANESTH	26670	$750
RRUCLA	HB CLSD DISLOCTX HAND CMC WO ANESTH	26670	$750
SMUCLA	HB CLSD DISLOCTX HAND CMC WO ANESTH	26670	$750
RNPH	HB CLSD DISLOCTX HAND IP +ANESTH	26775	$1500
RRUCLA	HB CLSD DISLOCTX HAND IP +ANESTH	26775	$1500
SMUCLA	HB CLSD DISLOCTX HAND IP +ANESTH	26775	$1500
RNPH	HB CLSD DISLOCTX HAND MCP +ANESTH	26705	$1970
RRUCLA	HB CLSD DISLOCTX HAND MCP +ANESTH	26705	$1970
SMUCLA	HB CLSD DISLOCTX HAND MCP +ANESTH	26705	$1970
RNPH	HB CLSD DISLOCTX HIP POST ARTHROPLASTY	27265	$750
RRUCLA	HB CLSD DISLOCTX HIP POST ARTHROPLASTY	27265	$750
SMUCLA	HB CLSD DISLOCTX HIP POST ARTHROPLASTY	27265	$750
RNPH	HB CLSD DISLOCTX HIP PROSTH +ANESTH	27266	$4720
RRUCLA	HB CLSD DISLOCTX HIP PROSTH +ANESTH	27266	$4720
SMUCLA	HB CLSD DISLOCTX HIP PROSTH +ANESTH	27266	$4720
RNPH	HB CLSD DISLOCTX HIP SPON+MANIP+ANESTH	27257	$4720
RRUCLA	HB CLSD DISLOCTX HIP SPON+MANIP+ANESTH	27257	$4720
SMUCLA	HB CLSD DISLOCTX HIP SPON+MANIP+ANESTH	27257	$4720
RNPH	HB CLSD DISLOCTX HIP SPONTANEOUS	27256	$750
RRUCLA	HB CLSD DISLOCTX HIP SPONTANEOUS	27256	$750
SMUCLA	HB CLSD DISLOCTX HIP SPONTANEOUS	27256	$750
RNPH	HB CLSD DISLOCTX HIP TRAUMA +ANESTH	27252	$4720
RRUCLA	HB CLSD DISLOCTX HIP TRAUMA +ANESTH	27252	$4720
SMUCLA	HB CLSD DISLOCTX HIP TRAUMA +ANESTH	27252	$4720
RNPH	HB CLSD DISLOCTX HIP TRAUMA WO ANESTHESIA	27250	$750
RRUCLA	HB CLSD DISLOCTX HIP TRAUMA WO ANESTHESIA	27250	$750
SMUCLA	HB CLSD DISLOCTX HIP TRAUMA WO ANESTHESIA	27250	$750
RNPH	HB CLSD DISLOCTX KNEE WO ANESTH	27550	$750
RRUCLA	HB CLSD DISLOCTX KNEE WO ANESTH	27550	$750
SMUCLA	HB CLSD DISLOCTX KNEE WO ANESTH	27550	$750
RNPH	HB CLSD DISLOCTX LUNATE +MANIP	25690	$4720
RRUCLA	HB CLSD DISLOCTX LUNATE +MANIP	25690	$4720
SMUCLA	HB CLSD DISLOCTX LUNATE +MANIP	25690	$4720
RNPH	HB CLSD DISLOCTX RADIAL OR INTERCARPAL	25660	$750
RRUCLA	HB CLSD DISLOCTX RADIAL OR INTERCARPAL	25660	$750
SMUCLA	HB CLSD DISLOCTX RADIAL OR INTERCARPAL	25660	$750
RNPH	HB CLSD DISLOCTX RADIOULNAR DIST	25675	$750
RRUCLA	HB CLSD DISLOCTX RADIOULNAR DIST	25675	$750
SMUCLA	HB CLSD DISLOCTX RADIOULNAR DIST	25675	$750
RNPH	HB CLSD DISLOCTX SHOULDER +ANESTH	23655	$4720
RRUCLA	HB CLSD DISLOCTX SHOULDER +ANESTH	23655	$4720
SMUCLA	HB CLSD DISLOCTX SHOULDER +ANESTH	23655	$4720
RNPH	HB CLSD DISLOCTX SHOULDER WO ANESTH	23650	$750
RRUCLA	HB CLSD DISLOCTX SHOULDER WO ANESTH	23650	$750
SMUCLA	HB CLSD DISLOCTX SHOULDER WO ANESTH	23650	$750
RNPH	HB CLSD DISLOCTX SHOULDER+ FX HUM TUBER	23665	$1970
RRUCLA	HB CLSD DISLOCTX SHOULDER+ FX HUM TUBER	23665	$1970
SMUCLA	HB CLSD DISLOCTX SHOULDER+ FX HUM TUBER	23665	$1970
RNPH	HB CLSD DISLOCTX SHOULDER+FX HUMERAL NECK	23675	$1970
RRUCLA	HB CLSD DISLOCTX SHOULDER+FX HUMERAL NECK	23675	$1970
SMUCLA	HB CLSD DISLOCTX SHOULDER+FX HUMERAL NECK	23675	$1970
RNPH	HB CLSD DISLOCTX STERNOCLAVICLE +MANIP	23525	$750
RRUCLA	HB CLSD DISLOCTX STERNOCLAVICLE +MANIP	23525	$750
SMUCLA	HB CLSD DISLOCTX STERNOCLAVICLE +MANIP	23525	$750
RNPH	HB CLSD DISLOCTX STERNOCLAVICLE WO MANIP	23520	$1970
RRUCLA	HB CLSD DISLOCTX STERNOCLAVICLE WO MANIP	23520	$1970
SMUCLA	HB CLSD DISLOCTX STERNOCLAVICLE WO MANIP	23520	$1970
RNPH	HB CLSD DISLOCTX THUMB +MANIP	26641	$750
RRUCLA	HB CLSD DISLOCTX THUMB +MANIP	26641	$750
SMUCLA	HB CLSD DISLOCTX THUMB +MANIP	26641	$750
RNPH	HB CLSD DISLOCTX TIBIOFIB PROX JNT	27830	$750
RRUCLA	HB CLSD DISLOCTX TIBIOFIB PROX JNT	27830	$750
SMUCLA	HB CLSD DISLOCTX TIBIOFIB PROX JNT	27830	$750
RNPH	HB CLSD FXTX ANKLE BIMALLEOLAR	27808	$750
RRUCLA	HB CLSD FXTX ANKLE BIMALLEOLAR	27808	$750
SMUCLA	HB CLSD FXTX ANKLE BIMALLEOLAR	27808	$750
RNPH	HB CLSD FXTX ANKLE TRIMALLEOLAR	27816	$750
RRUCLA	HB CLSD FXTX ANKLE TRIMALLEOLAR	27816	$750
SMUCLA	HB CLSD FXTX ANKLE TRIMALLEOLAR	27816	$750
RNPH	HB CLSD FXTX BIG TOE WO MANIP	28490	$750
RRUCLA	HB CLSD FXTX BIG TOE WO MANIP	28490	$750
SMUCLA	HB CLSD FXTX BIG TOE WO MANIP	28490	$750
RNPH	HB CLSD FXTX CALCANEAL WO MANIP	28400	$750
RRUCLA	HB CLSD FXTX CALCANEAL WO MANIP	28400	$750
SMUCLA	HB CLSD FXTX CALCANEAL WO MANIP	28400	$750
RNPH	HB CLSD FXTX CARPAL +MANIP EA	25635	$1970
RRUCLA	HB CLSD FXTX CARPAL +MANIP EA	25635	$1970
SMUCLA	HB CLSD FXTX CARPAL +MANIP EA	25635	$1970
RNPH	HB CLSD FXTX CARPAL WO MANIP EA	25630	$750
RRUCLA	HB CLSD FXTX CARPAL WO MANIP EA	25630	$750
SMUCLA	HB CLSD FXTX CARPAL WO MANIP EA	25630	$750
RNPH	HB CLSD FXTX CLAVICLE WO MANIP	23500	$750
RRUCLA	HB CLSD FXTX CLAVICLE WO MANIP	23500	$750
SMUCLA	HB CLSD FXTX CLAVICLE WO MANIP	23500	$750
RNPH	HB CLSD FXTX COCCYGEAL	27200	$750
RRUCLA	HB CLSD FXTX COCCYGEAL	27200	$750
SMUCLA	HB CLSD FXTX COCCYGEAL	27200	$750
RNPH	HB CLSD FXTX DISTAL RADIUS WO MANIP	25600	$750
RRUCLA	HB CLSD FXTX DISTAL RADIUS WO MANIP	25600	$750
SMUCLA	HB CLSD FXTX DISTAL RADIUS WO MANIP	25600	$750
RNPH	HB CLSD FXTX FEM D L CONDL WO MANIP	27508	$750
RRUCLA	HB CLSD FXTX FEM D L CONDL WO MANIP	27508	$750
SMUCLA	HB CLSD FXTX FEM D L CONDL WO MANIP	27508	$750
RNPH	HB CLSD FXTX FEM D M L-CONDYL+MANIP	27510	$1970
RRUCLA	HB CLSD FXTX FEM D M L-CONDYL+MANIP	27510	$1970
SMUCLA	HB CLSD FXTX FEM D M L-CONDYL+MANIP	27510	$1970
RNPH	HB CLSD FXTX FEM GREAT TROCHANTER WO MANIP	27246	$750
RRUCLA	HB CLSD FXTX FEM GREAT TROCHANTER WO MANIP	27246	$750
SMUCLA	HB CLSD FXTX FEM GREAT TROCHANTER WO MANIP	27246	$750
RNPH	HB CLSD FXTX FEM PROX OR NECK WO MANIP	27230	$750
RRUCLA	HB CLSD FXTX FEM PROX OR NECK WO MANIP	27230	$750
SMUCLA	HB CLSD FXTX FEM PROX OR NECK WO MANIP	27230	$750
RNPH	HB CLSD FXTX FEM S T CONDL WO MANIP	27501	$750
RRUCLA	HB CLSD FXTX FEM S T CONDL WO MANIP	27501	$750
SMUCLA	HB CLSD FXTX FEM S T CONDL WO MANIP	27501	$750
RNPH	HB CLSD FXTX FEM S T-CONDYL+MANIP	27503	$1970
RRUCLA	HB CLSD FXTX FEM S T-CONDYL+MANIP	27503	$1970
SMUCLA	HB CLSD FXTX FEM S T-CONDYL+MANIP	27503	$1970
RNPH	HB CLSD FXTX FEM SHAFT WO MANIP	27500	$750
RRUCLA	HB CLSD FXTX FEM SHAFT WO MANIP	27500	$750
SMUCLA	HB CLSD FXTX FEM SHAFT WO MANIP	27500	$750
RNPH	HB CLSD FXTX FEM SHAFT+MANIP	27502	$4720
RRUCLA	HB CLSD FXTX FEM SHAFT+MANIP	27502	$4720
SMUCLA	HB CLSD FXTX FEM SHAFT+MANIP	27502	$4720
RNPH	HB CLSD FXTX FEM TROCHANTER WO MANIP	27238	$1970
RRUCLA	HB CLSD FXTX FEM TROCHANTER WO MANIP	27238	$1970
SMUCLA	HB CLSD FXTX FEM TROCHANTER WO MANIP	27238	$1970
RNPH	HB CLSD FXTX FIBULA DISTAL +MANIP	27788	$750
RRUCLA	HB CLSD FXTX FIBULA DISTAL +MANIP	27788	$750
SMUCLA	HB CLSD FXTX FIBULA DISTAL +MANIP	27788	$750
RNPH	HB CLSD FXTX FIBULA DISTAL WO MANIP	27786	$750
RRUCLA	HB CLSD FXTX FIBULA DISTAL WO MANIP	27786	$750
SMUCLA	HB CLSD FXTX FIBULA DISTAL WO MANIP	27786	$750
RNPH	HB CLSD FXTX FIBULA PROX SHAFT	27780	$750
RRUCLA	HB CLSD FXTX FIBULA PROX SHAFT	27780	$750
SMUCLA	HB CLSD FXTX FIBULA PROX SHAFT	27780	$750
RNPH	HB CLSD FXTX FIBULA PROX SHAFT +MANIP	27781	$4720
RRUCLA	HB CLSD FXTX FIBULA PROX SHAFT +MANIP	27781	$4720
SMUCLA	HB CLSD FXTX FIBULA PROX SHAFT +MANIP	27781	$4720
RNPH	HB CLSD FXTX HAND ARTIC MCP IP WO MANIP	26740	$750
RRUCLA	HB CLSD FXTX HAND ARTIC MCP IP WO MANIP	26740	$750
SMUCLA	HB CLSD FXTX HAND ARTIC MCP IP WO MANIP	26740	$750
RNPH	HB CLSD FXTX HAND DIP JT WO MANIP	26750	$750
RRUCLA	HB CLSD FXTX HAND DIP JT WO MANIP	26750	$750
SMUCLA	HB CLSD FXTX HAND DIP JT WO MANIP	26750	$750
RNPH	HB CLSD FXTX HAND DIP JT+MANIP	26755	$750
RRUCLA	HB CLSD FXTX HAND DIP JT+MANIP	26755	$750
SMUCLA	HB CLSD FXTX HAND DIP JT+MANIP	26755	$750
RNPH	HB CLSD FXTX HAND PIP MIP WO MANIP	26720	$750
RRUCLA	HB CLSD FXTX HAND PIP MIP WO MANIP	26720	$750
SMUCLA	HB CLSD FXTX HAND PIP MIP WO MANIP	26720	$750
RNPH	HB CLSD FXTX HIP ACETABULUM WO MANIP	27220	$750
RRUCLA	HB CLSD FXTX HIP ACETABULUM WO MANIP	27220	$750
SMUCLA	HB CLSD FXTX HIP ACETABULUM WO MANIP	27220	$750
RNPH	HB CLSD FXTX HUMERAL CONDYL WO MANIP	24576	$750
RRUCLA	HB CLSD FXTX HUMERAL CONDYL WO MANIP	24576	$750
SMUCLA	HB CLSD FXTX HUMERAL CONDYL WO MANIP	24576	$750
RNPH	HB CLSD FXTX HUMERAL E-CONDYL +MANIP	24565	$1970
RRUCLA	HB CLSD FXTX HUMERAL E-CONDYL +MANIP	24565	$1970
SMUCLA	HB CLSD FXTX HUMERAL E-CONDYL +MANIP	24565	$1970
RNPH	HB CLSD FXTX HUMERAL E-CONDYL WO MANIP	24560	$750
RRUCLA	HB CLSD FXTX HUMERAL E-CONDYL WO MANIP	24560	$750
SMUCLA	HB CLSD FXTX HUMERAL E-CONDYL WO MANIP	24560	$750
RNPH	HB CLSD FXTX HUMERAL GRT TUBER WO MANIP	23620	$750
RRUCLA	HB CLSD FXTX HUMERAL GRT TUBER WO MANIP	23620	$750
SMUCLA	HB CLSD FXTX HUMERAL GRT TUBER WO MANIP	23620	$750
RNPH	HB CLSD FXTX HUMERAL GRT TUBER+MANIP	23625	$4720
RRUCLA	HB CLSD FXTX HUMERAL GRT TUBER+MANIP	23625	$4720
SMUCLA	HB CLSD FXTX HUMERAL GRT TUBER+MANIP	23625	$4720
RNPH	HB CLSD FXTX HUMERAL PROX WO MANIP	23600	$750
RRUCLA	HB CLSD FXTX HUMERAL PROX WO MANIP	23600	$750
SMUCLA	HB CLSD FXTX HUMERAL PROX WO MANIP	23600	$750
RNPH	HB CLSD FXTX HUMERAL PROX+MANIP	23605	$4720
RRUCLA	HB CLSD FXTX HUMERAL PROX+MANIP	23605	$4720
SMUCLA	HB CLSD FXTX HUMERAL PROX+MANIP	23605	$4720
RNPH	HB CLSD FXTX HUMERAL S-CONDYL WO MANIP	24530	$750
RRUCLA	HB CLSD FXTX HUMERAL S-CONDYL WO MANIP	24530	$750
SMUCLA	HB CLSD FXTX HUMERAL S-CONDYL WO MANIP	24530	$750
RNPH	HB CLSD FXTX HUMERAL SHAFT WO MANIP	24500	$750
RRUCLA	HB CLSD FXTX HUMERAL SHAFT WO MANIP	24500	$750
SMUCLA	HB CLSD FXTX HUMERAL SHAFT WO MANIP	24500	$750
RNPH	HB CLSD FXTX KNEE INTERCONDYLAR +/-MANIP	27538	$750
RRUCLA	HB CLSD FXTX KNEE INTERCONDYLAR +/-MANIP	27538	$750
SMUCLA	HB CLSD FXTX KNEE INTERCONDYLAR +/-MANIP	27538	$750
RNPH	HB CLSD FXTX MANDIBLE+INTERDENTAL FIXATION	21453	$15180
RRUCLA	HB CLSD FXTX MANDIBLE+INTERDENTAL FIXATION	21453	$15180
SMUCLA	HB CLSD FXTX MANDIBLE+INTERDENTAL FIXATION	21453	$15180
RNPH	HB CLSD FXTX MANDIBULAR +MANIP	21451	$3980
RRUCLA	HB CLSD FXTX MANDIBULAR +MANIP	21451	$3980
SMUCLA	HB CLSD FXTX MANDIBULAR +MANIP	21451	$3980
RNPH	HB CLSD FXTX MANDIBULAR WO MANIP	21450	$1610
RRUCLA	HB CLSD FXTX MANDIBULAR WO MANIP	21450	$1610
SMUCLA	HB CLSD FXTX MANDIBULAR WO MANIP	21450	$1610
RNPH	HB CLSD FXTX MED MALLEOLUS WO MANIP	27760	$750
RRUCLA	HB CLSD FXTX MED MALLEOLUS WO MANIP	27760	$750
SMUCLA	HB CLSD FXTX MED MALLEOLUS WO MANIP	27760	$750
RNPH	HB CLSD FXTX METACARPAL +MANIP	26605	$1300
RRUCLA	HB CLSD FXTX METACARPAL +MANIP	26605	$1300
SMUCLA	HB CLSD FXTX METACARPAL +MANIP	26605	$1300
RNPH	HB CLSD FXTX METACARPAL WO MANIP EA	26600	$750
RRUCLA	HB CLSD FXTX METACARPAL WO MANIP EA	26600	$750
SMUCLA	HB CLSD FXTX METACARPAL WO MANIP EA	26600	$750
RNPH	HB CLSD FXTX METATARSAL +MANIP	28475	$750
RRUCLA	HB CLSD FXTX METATARSAL +MANIP	28475	$750
SMUCLA	HB CLSD FXTX METATARSAL +MANIP	28475	$750
RNPH	HB CLSD FXTX METATARSAL WO MANIP	28470	$750
RRUCLA	HB CLSD FXTX METATARSAL WO MANIP	28470	$750
SMUCLA	HB CLSD FXTX METATARSAL WO MANIP	28470	$750
RNPH	HB CLSD FXTX NASALBONE WO MANIP	21310	$750
RRUCLA	HB CLSD FXTX NASALBONE WO MANIP	21310	$750
SMUCLA	HB CLSD FXTX NASALBONE WO MANIP	21310	$750
RNPH	HB CLSD FXTX NASALBONE WO STABILZ	21315	$3980
RRUCLA	HB CLSD FXTX NASALBONE WO STABILZ	21315	$3980
SMUCLA	HB CLSD FXTX NASALBONE WO STABILZ	21315	$3980
RNPH	HB CLSD FXTX NASALBONE+STABILZATN	21320	$7700
RRUCLA	HB CLSD FXTX NASALBONE+STABILZATN	21320	$7700
SMUCLA	HB CLSD FXTX NASALBONE+STABILZATN	21320	$7700
RNPH	HB CLSD FXTX NAVICULAR CARPAL WO MANIP	25622	$750
RRUCLA	HB CLSD FXTX NAVICULAR CARPAL WO MANIP	25622	$750
SMUCLA	HB CLSD FXTX NAVICULAR CARPAL WO MANIP	25622	$750
RNPH	HB CLSD FXTX NAVICULAR CARPAL+MANIP	25624	$1970
RRUCLA	HB CLSD FXTX NAVICULAR CARPAL+MANIP	25624	$1970
SMUCLA	HB CLSD FXTX NAVICULAR CARPAL+MANIP	25624	$1970
RNPH	HB CLSD FXTX ORBIT +MANIP	21401	$3980
RRUCLA	HB CLSD FXTX ORBIT +MANIP	21401	$3980
SMUCLA	HB CLSD FXTX ORBIT +MANIP	21401	$3980
RNPH	HB CLSD FXTX ORBIT WO MANIP	21400	$1610
RRUCLA	HB CLSD FXTX ORBIT WO MANIP	21400	$1610
SMUCLA	HB CLSD FXTX ORBIT WO MANIP	21400	$1610
RNPH	HB CLSD FXTX OTHR TOE(S) WO MANIP EA	28510	$750
RRUCLA	HB CLSD FXTX OTHR TOE(S) WO MANIP EA	28510	$750
SMUCLA	HB CLSD FXTX OTHR TOE(S) WO MANIP EA	28510	$750
RNPH	HB CLSD FXTX PATELLA WO MANIP	27520	$750
RRUCLA	HB CLSD FXTX PATELLA WO MANIP	27520	$750
SMUCLA	HB CLSD FXTX PATELLA WO MANIP	27520	$750
RNPH	HB CLSD FXTX RADIAL HEAD NECK WO MANIP	24650	$750
RRUCLA	HB CLSD FXTX RADIAL HEAD NECK WO MANIP	24650	$750
SMUCLA	HB CLSD FXTX RADIAL HEAD NECK WO MANIP	24650	$750
RNPH	HB CLSD FXTX RADIAL SHAFT WO MANIP	25500	$750
RRUCLA	HB CLSD FXTX RADIAL SHAFT WO MANIP	25500	$750
SMUCLA	HB CLSD FXTX RADIAL SHAFT WO MANIP	25500	$750
RNPH	HB CLSD FXTX RADIAL ULNAR WO MANIP	25560	$750
RRUCLA	HB CLSD FXTX RADIAL ULNAR WO MANIP	25560	$750
SMUCLA	HB CLSD FXTX RADIAL ULNAR WO MANIP	25560	$750
RNPH	HB CLSD FXTX SCAPULA +MANIP	23575	$1970
RRUCLA	HB CLSD FXTX SCAPULA +MANIP	23575	$1970
SMUCLA	HB CLSD FXTX SCAPULA +MANIP	23575	$1970
RNPH	HB CLSD FXTX SCAPULA WO MANIP	23570	$750
RRUCLA	HB CLSD FXTX SCAPULA WO MANIP	23570	$750
SMUCLA	HB CLSD FXTX SCAPULA WO MANIP	23570	$750
RNPH	HB CLSD FXTX SESAMOID	28530	$750
RRUCLA	HB CLSD FXTX SESAMOID	28530	$750
SMUCLA	HB CLSD FXTX SESAMOID	28530	$750
RNPH	HB CLSD FXTX STERNUM	21820	$750
RRUCLA	HB CLSD FXTX STERNUM	21820	$750
SMUCLA	HB CLSD FXTX STERNUM	21820	$750
RNPH	HB CLSD FXTX TALUS WO MANIP	28430	$750
RRUCLA	HB CLSD FXTX TALUS WO MANIP	28430	$750
SMUCLA	HB CLSD FXTX TALUS WO MANIP	28430	$750
RNPH	HB CLSD FXTX TARSAL +MANIP	28455	$1970
RRUCLA	HB CLSD FXTX TARSAL +MANIP	28455	$1970
SMUCLA	HB CLSD FXTX TARSAL +MANIP	28455	$1970
RNPH	HB CLSD FXTX TARSAL WO MANIP	28450	$750
RRUCLA	HB CLSD FXTX TARSAL WO MANIP	28450	$750
SMUCLA	HB CLSD FXTX TARSAL WO MANIP	28450	$750
RNPH	HB CLSD FXTX TIBIA +/- FIBULA +MANIP	27752	$4720
RRUCLA	HB CLSD FXTX TIBIA +/- FIBULA +MANIP	27752	$4720
SMUCLA	HB CLSD FXTX TIBIA +/- FIBULA +MANIP	27752	$4720
RNPH	HB CLSD FXTX TIBIA +/- FIBULA WO MANIP	27750	$750
RRUCLA	HB CLSD FXTX TIBIA +/- FIBULA WO MANIP	27750	$750
SMUCLA	HB CLSD FXTX TIBIA +/- FIBULA WO MANIP	27750	$750
RNPH	HB CLSD FXTX TIBIA DISTAL WT BEAR WO MANIP	27824	$750
RRUCLA	HB CLSD FXTX TIBIA DISTAL WT BEAR WO MANIP	27824	$750
SMUCLA	HB CLSD FXTX TIBIA DISTAL WT BEAR WO MANIP	27824	$750
RNPH	HB CLSD FXTX TIBIA DISTAL WT BEAR+MNP+TRCTN	27825	$4720
RRUCLA	HB CLSD FXTX TIBIA DISTAL WT BEAR+MNP+TRCTN	27825	$4720
SMUCLA	HB CLSD FXTX TIBIA DISTAL WT BEAR+MNP+TRCTN	27825	$4720
RNPH	HB CLSD FXTX TIBIA PROX PLATEAU W&WO MANIP	27532	$3860
RRUCLA	HB CLSD FXTX TIBIA PROX PLATEAU W&WO MANIP	27532	$3860
SMUCLA	HB CLSD FXTX TIBIA PROX PLATEAU W&WO MANIP	27532	$3860
RNPH	HB CLSD FXTX TIBIA PROX PLATEAU WO MANIP	27530	$750
RRUCLA	HB CLSD FXTX TIBIA PROX PLATEAU WO MANIP	27530	$750
SMUCLA	HB CLSD FXTX TIBIA PROX PLATEAU WO MANIP	27530	$750
RNPH	HB CLSD FXTX TRANSSCAPHPERILUNAR+MANIP	25680	$750
RRUCLA	HB CLSD FXTX TRANSSCAPHPERILUNAR+MANIP	25680	$750
SMUCLA	HB CLSD FXTX TRANSSCAPHPERILUNAR+MANIP	25680	$750
RNPH	HB CLSD FXTX ULNAR PROX WO MANIP	24670	$750
RRUCLA	HB CLSD FXTX ULNAR PROX WO MANIP	24670	$750
SMUCLA	HB CLSD FXTX ULNAR PROX WO MANIP	24670	$750
RNPH	HB CLSD FXTX ULNAR SHAFT +MANIP	25535	$750
RRUCLA	HB CLSD FXTX ULNAR SHAFT +MANIP	25535	$750
SMUCLA	HB CLSD FXTX ULNAR SHAFT +MANIP	25535	$750
RNPH	HB CLSD FXTX ULNAR SHAFT WO MANIP	25530	$750
RRUCLA	HB CLSD FXTX ULNAR SHAFT WO MANIP	25530	$750
SMUCLA	HB CLSD FXTX ULNAR SHAFT WO MANIP	25530	$750
RNPH	HB CLSD FXTX ULNAR STYLOID	25650	$750
RRUCLA	HB CLSD FXTX ULNAR STYLOID	25650	$750
SMUCLA	HB CLSD FXTX ULNAR STYLOID	25650	$750
RNPH	HB CLSDTX FEM DIST EPIPH SEPARATION	27516	$750
RRUCLA	HB CLSDTX FEM DIST EPIPH SEPARATION	27516	$750
SMUCLA	HB CLSDTX FEM DIST EPIPH SEPARATION	27516	$750
RNPH	HB CLSDTX FEM DIST EPIPH SEPARATN+MANIP	27517	$1970
RRUCLA	HB CLSDTX FEM DIST EPIPH SEPARATN+MANIP	27517	$1970
SMUCLA	HB CLSDTX FEM DIST EPIPH SEPARATN+MANIP	27517	$1970
RNPH	HB CORPORA CAVERNOSA PRIAPISM INJECTION	54235	$800
RRUCLA	HB CORPORA CAVERNOSA PRIAPISM INJECTION	54235	$800
SMUCLA	HB CORPORA CAVERNOSA PRIAPISM INJECTION	54235	$800
RNPH	HB CORPORA CAVERNOSA PRIAPISM IRRIGATION	54220	$800
RRUCLA	HB CORPORA CAVERNOSA PRIAPISM IRRIGATION	54220	$800
SMUCLA	HB CORPORA CAVERNOSA PRIAPISM IRRIGATION	54220	$800
RNPH	HB CYSTOURETHEROSCOPY+FB REMOVE COMPLEX	52315	$5930
RRUCLA	HB CYSTOURETHEROSCOPY+FB REMOVE COMPLEX	52315	$5930
SMUCLA	HB CYSTOURETHEROSCOPY+FB REMOVE COMPLEX	52315	$5930
RNPH	HB DEBRIDE SKIN SUBQ MUSCLE BONE OPEN FRACT	11012	$8140
RRUCLA	HB DEBRIDE SKIN SUBQ MUSCLE BONE OPEN FRACT	11012	$8140
SMUCLA	HB DEBRIDE SKIN SUBQ MUSCLE BONE OPEN FRACT	11012	$8140
RNPH	HB DEBRIDE SKIN SUBQ OPEN FRACTURE	11010	$840
RRUCLA	HB DEBRIDE SKIN SUBQ OPEN FRACTURE	11010	$840
SMUCLA	HB DEBRIDE SKIN SUBQ OPEN FRACTURE	11010	$840
RNPH	HB EAR EXTERNAL AUDITORY CANAL ABSC DRAIN	69020	$840
RRUCLA	HB EAR EXTERNAL AUDITORY CANAL ABSC DRAIN	69020	$840
SMUCLA	HB EAR EXTERNAL AUDITORY CANAL ABSC DRAIN	69020	$840
RNPH	HB EPISIOTMY OR TEAR REPR ONLY	59300	$3310
RRUCLA	HB EPISIOTMY OR TEAR REPR ONLY	59300	$3310
SMUCLA	HB EPISIOTMY OR TEAR REPR ONLY	59300	$3310
RNPH	HB ESCHAROTOMY INITIAL INCISION	16035	$1090
RRUCLA	HB ESCHAROTOMY INITIAL INCISION	16035	$1090
SMUCLA	HB ESCHAROTOMY INITIAL INCISION	16035	$1090
RNPH	HB ESOPHAGOSCOPY FB REMOVE	43215	$5000
RRUCLA	HB ESOPHAGOSCOPY FB REMOVE	43215	$5000
SMUCLA	HB ESOPHAGOSCOPY FB REMOVE	43215	$5000
RNPH	HB EXCIS EXTN WRST F-ARM TNDN BURS SYNV RAD	25116	$9260
RRUCLA	HB EXCIS EXTN WRST F-ARM TNDN BURS SYNV RAD	25116	$9260
SMUCLA	HB EXCIS EXTN WRST F-ARM TNDN BURS SYNV RAD	25116	$9260
RNPH	HB EXPLOR POSTOP HEM THRMB INFECT EXTREMITY	35860	$8720
RRUCLA	HB EXPLOR POSTOP HEM THRMB INFECT EXTREMITY	35860	$8720
SMUCLA	HB EXPLOR POSTOP HEM THRMB INFECT EXTREMITY	35860	$8720
RNPH	HB EXPLOR WOUND PENETRATING ABD FLANK BACK	20102	$5490
RRUCLA	HB EXPLOR WOUND PENETRATING ABD FLANK BACK	20102	$5490
SMUCLA	HB EXPLOR WOUND PENETRATING ABD FLANK BACK	20102	$5490
RNPH	HB EXPLOR WOUND PENETRATING EXTREMITY	20103	$2000
RRUCLA	HB EXPLOR WOUND PENETRATING EXTREMITY	20103	$2000
SMUCLA	HB EXPLOR WOUND PENETRATING EXTREMITY	20103	$2000
RNPH	HB EYE ANTERIOR CHAMBER LENS FB REMOVE	65235	$2800
RRUCLA	HB EYE ANTERIOR CHAMBER LENS FB REMOVE	65235	$2800
SMUCLA	HB EYE ANTERIOR CHAMBER LENS FB REMOVE	65235	$2800
RNPH	HB EYE CONJUNCT EMBEDDED FB REMOVE	65210	$1150
RRUCLA	HB EYE CONJUNCT EMBEDDED FB REMOVE	65210	$1150
SMUCLA	HB EYE CONJUNCT EMBEDDED FB REMOVE	65210	$1150
RNPH	HB EYE FLUORESCEIN ANGIOSCOPY	92230	$650
RRUCLA	HB EYE FLUORESCEIN ANGIOSCOPY	92230	$650
SMUCLA	HB EYE FLUORESCEIN ANGIOSCOPY	92230	$650
RNPH	HB EYE INTRAVITREAL ANTIBOTIC INJ	67028	$1040
RRUCLA	HB EYE INTRAVITREAL ANTIBOTIC INJ	67028	$1040
SMUCLA	HB EYE INTRAVITREAL ANTIBOTIC INJ	67028	$1040
RNPH	HB EYE LID BLEPHAROPLASTY UPPER	15822	$5490
RRUCLA	HB EYE LID BLEPHAROPLASTY UPPER	15822	$5490
SMUCLA	HB EYE LID BLEPHAROPLASTY UPPER	15822	$5490
RNPH	HB EYE VITREAL ASPIRATION/RELEASE	67015	$9700
RRUCLA	HB EYE VITREAL ASPIRATION/RELEASE	67015	$9700
SMUCLA	HB EYE VITREAL ASPIRATION/RELEASE	67015	$9700
RNPH	HB FECAL IMPACTION REMOVE +ANESTH	45915	$3280
RRUCLA	HB FECAL IMPACTION REMOVE +ANESTH	45915	$3280
SMUCLA	HB FECAL IMPACTION REMOVE +ANESTH	45915	$3280
RNPH	HB FLEX SIGMOID DECOMPRESS VOLVUS	45337	$4140
RRUCLA	HB FLEX SIGMOID DECOMPRESS VOLVUS	45337	$4140
SMUCLA	HB FLEX SIGMOID DECOMPRESS VOLVUS	45337	$4140
RNPH	HB GASTRIC INTUB & ASPIR DIAG MULT SPEC+MED	43755	$480
RRUCLA	HB GASTRIC INTUB & ASPIR DIAG MULT SPEC+MED	43755	$480
SMUCLA	HB GASTRIC INTUB & ASPIR DIAG MULT SPEC+MED	43755	$480
RNPH	HB GASTRIC INTUB & ASPIR DIAG SGL SPECIMEN	43754	$360
RRUCLA	HB GASTRIC INTUB & ASPIR DIAG SGL SPECIMEN	43754	$360
SMUCLA	HB GASTRIC INTUB & ASPIR DIAG SGL SPECIMEN	43754	$360
RNPH	HB GASTROSCOPY +/- COLLECT SPECIMEN	43235	$3270
RRUCLA	HB GASTROSCOPY +/- COLLECT SPECIMEN	43235	$3270
SMUCLA	HB GASTROSCOPY +/- COLLECT SPECIMEN	43235	$3270
RNPH	HB I&D INTRAORAL SUBLING ABSCES SUPERFICIAL	41005	$830
RRUCLA	HB I&D INTRAORAL SUBLING ABSCES SUPERFICIAL	41005	$830
SMUCLA	HB I&D INTRAORAL SUBLING ABSCES SUPERFICIAL	41005	$830
RNPH	HB I&D PALATE UVULA ABSCESS	42000	$620
RRUCLA	HB I&D PALATE UVULA ABSCESS	42000	$620
SMUCLA	HB I&D PALATE UVULA ABSCESS	42000	$620
RNPH	HB I&D RECTUM SUBMUCOSAL ABSCESS	45005	$3280
RRUCLA	HB I&D RECTUM SUBMUCOSAL ABSCESS	45005	$3280
SMUCLA	HB I&D RECTUM SUBMUCOSAL ABSCESS	45005	$3280
RNPH	HB LARYNGOSCOPY DIRECT +FB REMOVE	31530	$4630
RRUCLA	HB LARYNGOSCOPY DIRECT +FB REMOVE	31530	$4630
SMUCLA	HB LARYNGOSCOPY DIRECT +FB REMOVE	31530	$4630
RNPH	HB LARYNGOSCOPY DIRECT FOR ASPIRATION	31515	$2730
RRUCLA	HB LARYNGOSCOPY DIRECT FOR ASPIRATION	31515	$2730
SMUCLA	HB LARYNGOSCOPY DIRECT FOR ASPIRATION	31515	$2730
RNPH	HB LARYNGOSCOPY INDIRECT +FB REMOVE	31511	$550
RRUCLA	HB LARYNGOSCOPY INDIRECT +FB REMOVE	31511	$550
SMUCLA	HB LARYNGOSCOPY INDIRECT +FB REMOVE	31511	$550
RNPH	HB LARYNGOSCPY FLEXIBLE +FB REMOVE	31577	$5580
RRUCLA	HB LARYNGOSCPY FLEXIBLE +FB REMOVE	31577	$5580
SMUCLA	HB LARYNGOSCPY FLEXIBLE +FB REMOVE	31577	$5580
RNPH	HB MUSCLE COMPARTMENT PRESS DETEC	20950	$2000
RRUCLA	HB MUSCLE COMPARTMENT PRESS DETEC	20950	$2000
SMUCLA	HB MUSCLE COMPARTMENT PRESS DETEC	20950	$2000
RNPH	HB NAIL BED REPR	11760	$1710
RRUCLA	HB NAIL BED REPR	11760	$1710
SMUCLA	HB NAIL BED REPR	11760	$1710
RNPH	HB NAIL BED REPR WITH GRAFT	11762	$2290
RRUCLA	HB NAIL BED REPR WITH GRAFT	11762	$2290
SMUCLA	HB NAIL BED REPR WITH GRAFT	11762	$2290
RNPH	HB NASAL ENDOSCOPY DIAG UNI/BI	31231	$550
RRUCLA	HB NASAL ENDOSCOPY DIAG UNI/BI	31231	$550
SMUCLA	HB NASAL ENDOSCOPY DIAG UNI/BI	31231	$550
RNPH	HB NERVE GRAFT ARM LEG SINGLE STRAND >4CM	64893	$16200
RRUCLA	HB NERVE GRAFT ARM LEG SINGLE STRAND >4CM	64893	$16200
SMUCLA	HB NERVE GRAFT ARM LEG SINGLE STRAND >4CM	64893	$16200
RNPH	HB NEWBORN MECONIUM ASPIRATION	31720	$270
RRUCLA	HB NEWBORN MECONIUM ASPIRATION	31720	$270
SMUCLA	HB NEWBORN MECONIUM ASPIRATION	31720	$270
RNPH	HB NOSEBLEED PACK ANTERIOR COMPLEX	30903	$680
RRUCLA	HB NOSEBLEED PACK ANTERIOR COMPLEX	30903	$680
SMUCLA	HB NOSEBLEED PACK ANTERIOR COMPLEX	30903	$680
RNPH	HB NOSEBLEED PACK ANTERIOR SIMPLE	30901	$470
RRUCLA	HB NOSEBLEED PACK ANTERIOR SIMPLE	30901	$470
SMUCLA	HB NOSEBLEED PACK ANTERIOR SIMPLE	30901	$470
RNPH	HB NOSEBLEED PACK POSTERIOR INITIAL	30905	$370
RRUCLA	HB NOSEBLEED PACK POSTERIOR INITIAL	30905	$370
SMUCLA	HB NOSEBLEED PACK POSTERIOR INITIAL	30905	$370
RNPH	HB NOSEBLEED PACK POSTERIOR SUBSQ	30906	$620
RRUCLA	HB NOSEBLEED PACK POSTERIOR SUBSQ	30906	$620
SMUCLA	HB NOSEBLEED PACK POSTERIOR SUBSQ	30906	$620
RNPH	HB OB CARE DELIVERY VAGINAL +POSTOP	59410	$982
RRUCLA	HB OB CARE DELIVERY VAGINAL +POSTOP	59410	$982
SMUCLA	HB OB CARE DELIVERY VAGINAL +POSTOP	59410	$982
RNPH	HB OB CARE VAGINAL ONLY	59409	$5300
RRUCLA	HB OB CARE VAGINAL ONLY	59409	$5300
SMUCLA	HB OB CARE VAGINAL ONLY	59409	$5300
RNPH	HB OPEN DISLOCTX INTERPHALANGEAL JOINT SGL	26785	$3860
RRUCLA	HB OPEN DISLOCTX INTERPHALANGEAL JOINT SGL	26785	$3860
SMUCLA	HB OPEN DISLOCTX INTERPHALANGEAL JOINT SGL	26785	$3860
RNPH	HB OPEN FXTX FINGER SHAFT	26735	$9260
RRUCLA	HB OPEN FXTX FINGER SHAFT	26735	$9260
SMUCLA	HB OPEN FXTX FINGER SHAFT	26735	$9260
RNPH	HB OPEN FXTX HAND DISTAL PHALANGE	26765	$9260
RRUCLA	HB OPEN FXTX HAND DISTAL PHALANGE	26765	$9260
SMUCLA	HB OPEN FXTX HAND DISTAL PHALANGE	26765	$9260
RNPH	HB OPEN FXTX PROX HUMERUS	23615	$35430
RRUCLA	HB OPEN FXTX PROX HUMERUS	23615	$35430
SMUCLA	HB OPEN FXTX PROX HUMERUS	23615	$35430
RNPH	HB PEDICLE FORMATION EYE NOSE LIP	15576	$5490
RRUCLA	HB PEDICLE FORMATION EYE NOSE LIP	15576	$5490
SMUCLA	HB PEDICLE FORMATION EYE NOSE LIP	15576	$5490
RNPH	HB PERCUTANEOUS FIX INTERPHALANGIAL DISLOC	28666	$9260
RRUCLA	HB PERCUTANEOUS FIX INTERPHALANGIAL DISLOC	28666	$9260
SMUCLA	HB PERCUTANEOUS FIX INTERPHALANGIAL DISLOC	28666	$9260
RNPH	HB PERCUTANEOUS FIX METATARSOPHLNG DISLOC	28636	$5190
RRUCLA	HB PERCUTANEOUS FIX METATARSOPHLNG DISLOC	28636	$5190
SMUCLA	HB PERCUTANEOUS FIX METATARSOPHLNG DISLOC	28636	$5190
RNPH	HB PERCUTANEOUS FIX TALOTARSAL DISLOC	28576	$5190
RRUCLA	HB PERCUTANEOUS FIX TALOTARSAL DISLOC	28576	$5190
SMUCLA	HB PERCUTANEOUS FIX TALOTARSAL DISLOC	28576	$5190
RNPH	HB PERCUTANEOUS FIX TARSOMETARSAL DISLOC	28606	$9260
RRUCLA	HB PERCUTANEOUS FIX TARSOMETARSAL DISLOC	28606	$9260
SMUCLA	HB PERCUTANEOUS FIX TARSOMETARSAL DISLOC	28606	$9260
RNPH	HB PERCUTANEOUS SKEL FIX CALCANEAL FX	28406	$19620
RRUCLA	HB PERCUTANEOUS SKEL FIX CALCANEAL FX	28406	$19620
SMUCLA	HB PERCUTANEOUS SKEL FIX CALCANEAL FX	28406	$19620
RNPH	HB PERCUTANEOUS SKEL FIX FEM DISTAL FX	27509	$19620
RRUCLA	HB PERCUTANEOUS SKEL FIX FEM DISTAL FX	27509	$19620
SMUCLA	HB PERCUTANEOUS SKEL FIX FEM DISTAL FX	27509	$19620
RNPH	HB PERCUTANEOUS SKEL FIX METATARSL FX	28476	$9260
RRUCLA	HB PERCUTANEOUS SKEL FIX METATARSL FX	28476	$9260
SMUCLA	HB PERCUTANEOUS SKEL FIX METATARSL FX	28476	$9260
RNPH	HB PERCUTANEOUS SKEL FIX RADIAL DISTAL FX	25606	$9260
RRUCLA	HB PERCUTANEOUS SKEL FIX RADIAL DISTAL FX	25606	$9260
SMUCLA	HB PERCUTANEOUS SKEL FIX RADIAL DISTAL FX	25606	$9260
RNPH	HB PERCUTANEOUS SKEL FIX TALUS FX	28436	$19620
RRUCLA	HB PERCUTANEOUS SKEL FIX TALUS FX	28436	$19620
SMUCLA	HB PERCUTANEOUS SKEL FIX TALUS FX	28436	$19620
RNPH	HB PERCUTANEOUS SKEL FIX TARSAL DISLOC	28546	$5190
RRUCLA	HB PERCUTANEOUS SKEL FIX TARSAL DISLOC	28546	$5190
SMUCLA	HB PERCUTANEOUS SKEL FIX TARSAL DISLOC	28546	$5190
RNPH	HB PERCUTANEOUS SKEL FIX TARSAL FX	28456	$19620
RRUCLA	HB PERCUTANEOUS SKEL FIX TARSAL FX	28456	$19620
SMUCLA	HB PERCUTANEOUS SKEL FIX TARSAL FX	28456	$19620
RNPH	HB PERCUTANEOUS SKEL FIX TOE(S) FX	28496	$9260
RRUCLA	HB PERCUTANEOUS SKEL FIX TOE(S) FX	28496	$9260
SMUCLA	HB PERCUTANEOUS SKEL FIX TOE(S) FX	28496	$9260
RNPH	HB PERICARDIOCENTESIS INITIAL	33010	$3440
RRUCLA	HB PERICARDIOCENTESIS INITIAL	33010	$3440
SMUCLA	HB PERICARDIOCENTESIS INITIAL	33010	$3440
RNPH	HB PREPUCE SLITTING DORSAL/LAT NEWBORN	54000	$5930
RRUCLA	HB PREPUCE SLITTING DORSAL/LAT NEWBORN	54000	$5930
SMUCLA	HB PREPUCE SLITTING DORSAL/LAT NEWBORN	54000	$5930
RNPH	HB PREPUCE SLITTING DORSAL/LAT NOT NEWBORN	54001	$5930
RRUCLA	HB PREPUCE SLITTING DORSAL/LAT NOT NEWBORN	54001	$5930
SMUCLA	HB PREPUCE SLITTING DORSAL/LAT NOT NEWBORN	54001	$5930
RNPH	HB PROCTOPLEXY PERINEAL APPROACH	45541	$8100
RRUCLA	HB PROCTOPLEXY PERINEAL APPROACH	45541	$8100
SMUCLA	HB PROCTOPLEXY PERINEAL APPROACH	45541	$8100
RNPH	HB PROCTOSIGMOIDOSCOPY +FB REMOVE	45307	$8100
RRUCLA	HB PROCTOSIGMOIDOSCOPY +FB REMOVE	45307	$8100
SMUCLA	HB PROCTOSIGMOIDOSCOPY +FB REMOVE	45307	$8100
RNPH	HB REMOVE WIRE PIN ETC SUPERFICIAL	20670	$4720
RRUCLA	HB REMOVE WIRE PIN ETC SUPERFICIAL	20670	$4720
SMUCLA	HB REMOVE WIRE PIN ETC SUPERFICIAL	20670	$4720
RNPH	HB REPR ACHILLES OPEN OR PERCUTANEOUS	27650	$9260
RRUCLA	HB REPR ACHILLES OPEN OR PERCUTANEOUS	27650	$9260
SMUCLA	HB REPR ACHILLES OPEN OR PERCUTANEOUS	27650	$9260
RNPH	HB REPR BLOOD VESSEL DIRECT LOWER EXTREMITY	35226	$2074
RRUCLA	HB REPR BLOOD VESSEL DIRECT LOWER EXTREMITY	35226	$2074
SMUCLA	HB REPR BLOOD VESSEL DIRECT LOWER EXTREMITY	35226	$2074
RNPH	HB REPR EYE WOUND MUSC TENDON CAPSULE	65290	$10330
RRUCLA	HB REPR EYE WOUND MUSC TENDON CAPSULE	65290	$10330
SMUCLA	HB REPR EYE WOUND MUSC TENDON CAPSULE	65290	$10330
RNPH	HB REPR EYELID NEW WOUND SUPERFCIAL	67930	$2640
RRUCLA	HB REPR EYELID NEW WOUND SUPERFCIAL	67930	$2640
SMUCLA	HB REPR EYELID NEW WOUND SUPERFCIAL	67930	$2640
RNPH	HB REPR LIP FULL THICK VERMILION	40650	$1610
RRUCLA	HB REPR LIP FULL THICK VERMILION	40650	$1610
SMUCLA	HB REPR LIP FULL THICK VERMILION	40650	$1610
RNPH	HB REPR RADIUS UNLA NON MALUNION WO GRAFT	25400	$19620
RRUCLA	HB REPR RADIUS UNLA NON MALUNION WO GRAFT	25400	$19620
SMUCLA	HB REPR RADIUS UNLA NON MALUNION WO GRAFT	25400	$19620
RNPH	HB REPR TENDON FLEXOR FOOT EACH TENDON	28200	$9260
RRUCLA	HB REPR TENDON FLEXOR FOOT EACH TENDON	28200	$9260
SMUCLA	HB REPR TENDON FLEXOR FOOT EACH TENDON	28200	$9260
RNPH	HB REPR TENDON FLEXOR NO ZONE 2 WO GRAFT EA	26350	$9260
RRUCLA	HB REPR TENDON FLEXOR NO ZONE 2 WO GRAFT EA	26350	$9260
SMUCLA	HB REPR TENDON FLEXOR NO ZONE 2 WO GRAFT EA	26350	$9260
RNPH	HB REPR TONGUE LACERATION > 2.6 CM	41252	$1610
RRUCLA	HB REPR TONGUE LACERATION > 2.6 CM	41252	$1610
SMUCLA	HB REPR TONGUE LACERATION > 2.6 CM	41252	$1610
RNPH	HB STRAPPING ANKLE	29540	$470
RRUCLA	HB STRAPPING ANKLE	29540	$470
SMUCLA	HB STRAPPING ANKLE	29540	$470
RNPH	HB STRAPPING ELBOW OR WRIST	29260	$131
RRUCLA	HB STRAPPING ELBOW OR WRIST	29260	$131
SMUCLA	HB STRAPPING ELBOW OR WRIST	29260	$131
RNPH	HB STRAPPING HAND OR FINGER	29280	$126
RRUCLA	HB STRAPPING HAND OR FINGER	29280	$126
SMUCLA	HB STRAPPING HAND OR FINGER	29280	$126
RNPH	HB STRAPPING HIP	29520	$200
RRUCLA	HB STRAPPING HIP	29520	$200
SMUCLA	HB STRAPPING HIP	29520	$200
RNPH	HB STRAPPING KNEE	29530	$370
RRUCLA	HB STRAPPING KNEE	29530	$370
SMUCLA	HB STRAPPING KNEE	29530	$370
RNPH	HB STRAPPING SHOULDER	29240	$370
RRUCLA	HB STRAPPING SHOULDER	29240	$370
SMUCLA	HB STRAPPING SHOULDER	29240	$370
RNPH	HB STRAPPING TOES	29550	$200
RRUCLA	HB STRAPPING TOES	29550	$200
SMUCLA	HB STRAPPING TOES	29550	$200
RNPH	HB SUPRAPUBIC ASPIR BY NEEDLE	51100	$820
RRUCLA	HB SUPRAPUBIC ASPIR BY NEEDLE	51100	$820
SMUCLA	HB SUPRAPUBIC ASPIR BY NEEDLE	51100	$820
RNPH	HB TRACH TUBE CHANGE	31502	$620
RRUCLA	HB TRACH TUBE CHANGE	31502	$620
SMUCLA	HB TRACH TUBE CHANGE	31502	$620
RNPH	HB TRACHEOSTOMY CRICOTHYROID EMERG	31605	$1610
RRUCLA	HB TRACHEOSTOMY CRICOTHYROID EMERG	31605	$1610
SMUCLA	HB TRACHEOSTOMY CRICOTHYROID EMERG	31605	$1610
RNPH	HB TRACHEOSTOMY PLANNED	31600	$7700
RRUCLA	HB TRACHEOSTOMY PLANNED	31600	$7700
SMUCLA	HB TRACHEOSTOMY PLANNED	31600	$7700
RNPH	HB TRACHEOSTOMY TRANSTRACH EMERG	31603	$3980
RRUCLA	HB TRACHEOSTOMY TRANSTRACH EMERG	31603	$3980
SMUCLA	HB TRACHEOSTOMY TRANSTRACH EMERG	31603	$3980
RNPH	HB UPPER GI EDG(J) +BIOPSY SINGLE/MULTIPLE	43239	$3091
RRUCLA	HB UPPER GI EDG(J) +BIOPSY SINGLE/MULTIPLE	43239	$3091
SMUCLA	HB UPPER GI EDG(J) +BIOPSY SINGLE/MULTIPLE	43239	$3091
RNPH	HB VENIPUNCT REQ MD SKILL <=3Y/O	36406	$250
RRUCLA	HB VENIPUNCT REQ MD SKILL <=3Y/O	36406	$250
SMUCLA	HB VENIPUNCT REQ MD SKILL <=3Y/O	36406	$250
RNPH	HB AMPUTAT FNGR THMB SGL DIRCT CLOS	26951	$9260
RRUCLA	HB AMPUTAT FNGR THMB SGL DIRCT CLOS	26951	$9260
SMUCLA	HB AMPUTAT FNGR THMB SGL DIRCT CLOS	26951	$9260
RNPH	HB BLEPHAROTOMY DRAIN ABSCESS EYELID	67700	$940
RRUCLA	HB BLEPHAROTOMY DRAIN ABSCESS EYELID	67700	$940
SMUCLA	HB BLEPHAROTOMY DRAIN ABSCESS EYELID	67700	$940
RNPH	HB BRAIN VENTRIC TWIST DRILL CATH INSERT	61107	$800
RRUCLA	HB BRAIN VENTRIC TWIST DRILL CATH INSERT	61107	$800
SMUCLA	HB BRAIN VENTRIC TWIST DRILL CATH INSERT	61107	$800
RNPH	HB BRAIN VENTRIC TWIST DRILL EVAC BLOOD	61108	$2260
RRUCLA	HB BRAIN VENTRIC TWIST DRILL EVAC BLOOD	61108	$2260
SMUCLA	HB BRAIN VENTRIC TWIST DRILL EVAC BLOOD	61108	$2260
RNPH	HB BRAIN VENTRIC TWIST DRILL PUNCT	61105	$1810
RRUCLA	HB BRAIN VENTRIC TWIST DRILL PUNCT	61105	$1810
SMUCLA	HB BRAIN VENTRIC TWIST DRILL PUNCT	61105	$1810
RNPH	HB BRONCH +REMOVE FOREIGN BODY	31635	$4630
RRUCLA	HB BRONCH +REMOVE FOREIGN BODY	31635	$4630
SMUCLA	HB BRONCH +REMOVE FOREIGN BODY	31635	$4630
RNPH	HB CAST APPLY HAND&LO ARM GAUNTLET	29085	$470
RRUCLA	HB CAST APPLY HAND&LO ARM GAUNTLET	29085	$470
SMUCLA	HB CAST APPLY HAND&LO ARM GAUNTLET	29085	$470
RNPH	HB CAST WINDOWING	29730	$470
RRUCLA	HB CAST WINDOWING	29730	$470
SMUCLA	HB CAST WINDOWING	29730	$470
RNPH	HB CATHETERIZATION ARTERIAL UMBILICAL	36660	$170
RRUCLA	HB CATHETERIZATION ARTERIAL UMBILICAL	36660	$170
SMUCLA	HB CATHETERIZATION ARTERIAL UMBILICAL	36660	$170
RNPH	HB CESAREAN DELIVERY ONLY	59514	$5470
RRUCLA	HB CESAREAN DELIVERY ONLY	59514	$5470
SMUCLA	HB CESAREAN DELIVERY ONLY	59514	$5470
RNPH	HB CLSD FXTX ANKLE BIMALLEOLAR	27810	$4720
RRUCLA	HB CLSD FXTX ANKLE BIMALLEOLAR	27810	$4720
SMUCLA	HB CLSD FXTX ANKLE BIMALLEOLAR	27810	$4720
RNPH	HB CLSD FXTX ANKLE TRIMALLEOLAR	27818	$4720
RRUCLA	HB CLSD FXTX ANKLE TRIMALLEOLAR	27818	$4720
SMUCLA	HB CLSD FXTX ANKLE TRIMALLEOLAR	27818	$4720
RNPH	HB CLSD FXTX CALCANEAL +MANIP	28405	$1609
RRUCLA	HB CLSD FXTX CALCANEAL +MANIP	28405	$1609
SMUCLA	HB CLSD FXTX CALCANEAL +MANIP	28405	$1609
RNPH	HB CLSD FXTX COLLES D-RAD	25605	$4720
RRUCLA	HB CLSD FXTX COLLES D-RAD	25605	$4720
SMUCLA	HB CLSD FXTX COLLES D-RAD	25605	$4720
RNPH	HB CLSD FXTX FEM PROX OR NECK+MANIP	27232	$820
RRUCLA	HB CLSD FXTX FEM PROX OR NECK+MANIP	27232	$820
SMUCLA	HB CLSD FXTX FEM PROX OR NECK+MANIP	27232	$820
RNPH	HB CLSD FXTX FEM TROCHANTER	27240	$1165
RRUCLA	HB CLSD FXTX FEM TROCHANTER	27240	$1165
SMUCLA	HB CLSD FXTX FEM TROCHANTER	27240	$1165
RNPH	HB CLSD FXTX HAND ARTIC MCP IP+MANIP	26742	$1970
RRUCLA	HB CLSD FXTX HAND ARTIC MCP IP+MANIP	26742	$1970
SMUCLA	HB CLSD FXTX HAND ARTIC MCP IP+MANIP	26742	$1970
RNPH	HB CLSD FXTX HIP ACETABULUM+MANIP	27222	$1051
RRUCLA	HB CLSD FXTX HIP ACETABULUM+MANIP	27222	$1051
SMUCLA	HB CLSD FXTX HIP ACETABULUM+MANIP	27222	$1051
RNPH	HB CLSD FXTX HUMERAL CONDYL	24577	$4720
RRUCLA	HB CLSD FXTX HUMERAL CONDYL	24577	$4720
SMUCLA	HB CLSD FXTX HUMERAL CONDYL	24577	$4720
RNPH	HB CLSD FXTX HUMERAL S-CONDYL	24535	$4720
RRUCLA	HB CLSD FXTX HUMERAL S-CONDYL	24535	$4720
SMUCLA	HB CLSD FXTX HUMERAL S-CONDYL	24535	$4720
RNPH	HB CLSD FXTX HUMERAL SHAFT	24505	$4720
RRUCLA	HB CLSD FXTX HUMERAL SHAFT	24505	$4720
SMUCLA	HB CLSD FXTX HUMERAL SHAFT	24505	$4720
RNPH	HB CLSD FXTX MED MALLEOLUS +MANIP	27762	$4720
RRUCLA	HB CLSD FXTX MED MALLEOLUS +MANIP	27762	$4720
SMUCLA	HB CLSD FXTX MED MALLEOLUS +MANIP	27762	$4720
RNPH	HB CLSD FXTX RADIAL HEAD NECK	24655	$4720
RRUCLA	HB CLSD FXTX RADIAL HEAD NECK	24655	$4720
SMUCLA	HB CLSD FXTX RADIAL HEAD NECK	24655	$4720
RNPH	HB CLSD FXTX RADIAL SHAFT	25505	$4720
RRUCLA	HB CLSD FXTX RADIAL SHAFT	25505	$4720
SMUCLA	HB CLSD FXTX RADIAL SHAFT	25505	$4720
RNPH	HB CLSD FXTX RADIAL SHAFT	25520	$4720
RRUCLA	HB CLSD FXTX RADIAL SHAFT	25520	$4720
SMUCLA	HB CLSD FXTX RADIAL SHAFT	25520	$4720
RNPH	HB CLSD FXTX RADIAL ULNAR	25565	$4720
RRUCLA	HB CLSD FXTX RADIAL ULNAR	25565	$4720
SMUCLA	HB CLSD FXTX RADIAL ULNAR	25565	$4720
RNPH	HB CLSD FXTX TALUS	28435	$4720
RRUCLA	HB CLSD FXTX TALUS	28435	$4720
SMUCLA	HB CLSD FXTX TALUS	28435	$4720
RNPH	HB CLSD FXTX THUMB CMC BENNETTS	26645	$4720
RRUCLA	HB CLSD FXTX THUMB CMC BENNETTS	26645	$4720
SMUCLA	HB CLSD FXTX THUMB CMC BENNETTS	26645	$4720
RNPH	HB CLSD FXTX ULNAR PROX	24675	$4720
RRUCLA	HB CLSD FXTX ULNAR PROX	24675	$4720
SMUCLA	HB CLSD FXTX ULNAR PROX	24675	$4720
RNPH	HB CRITICAL CARE 0.5-1.25HR	99291	$2570
RRUCLA	HB CRITICAL CARE 0.5-1.25HR	99291	$2570
SMUCLA	HB CRITICAL CARE 0.5-1.25HR	99291	$2570
RNPH	HB CRITICAL CARE 0.5-1.25HR TRAUMA	99291	$2570
RRUCLA	HB CRITICAL CARE 0.5-1.25HR TRAUMA	99291	$2570
SMUCLA	HB CRITICAL CARE 0.5-1.25HR TRAUMA	99291	$2570
RNPH	HB CRITICAL CARE EA ADD 30	99292	$1000
RRUCLA	HB CRITICAL CARE EA ADD 30	99292	$1000
SMUCLA	HB CRITICAL CARE EA ADD 30	99292	$1000
RNPH	HB CRITICAL CARE EA ADD 30 TRAUMA	99292	$1000
RRUCLA	HB CRITICAL CARE EA ADD 30 TRAUMA	99292	$1000
SMUCLA	HB CRITICAL CARE EA ADD 30 TRAUMA	99292	$1000
RNPH	HB EAR EXT DRAIN ABSC HEMATOMA COMPLICATED	69005	$4720
RRUCLA	HB EAR EXT DRAIN ABSC HEMATOMA COMPLICATED	69005	$4720
SMUCLA	HB EAR EXT DRAIN ABSC HEMATOMA COMPLICATED	69005	$4720
RNPH	HB EAR EXT DRAIN ABSCESS HEMATOMA	69000	$2000
RRUCLA	HB EAR EXT DRAIN ABSCESS HEMATOMA	69000	$2000
SMUCLA	HB EAR EXT DRAIN ABSCESS HEMATOMA	69000	$2000
RNPH	HB ER DEPT VISIT ACUITY 1	99281	$290
RRUCLA	HB ER DEPT VISIT ACUITY 1	99281	$290
SMUCLA	HB ER DEPT VISIT ACUITY 1	99281	$290
RNPH	HB ER DEPT VISIT ACUITY 2	99282	$510
RRUCLA	HB ER DEPT VISIT ACUITY 2	99282	$510
SMUCLA	HB ER DEPT VISIT ACUITY 2	99282	$510
RNPH	HB ER DEPT VISIT ACUITY 3	99283	$780
RRUCLA	HB ER DEPT VISIT ACUITY 3	99283	$780
SMUCLA	HB ER DEPT VISIT ACUITY 3	99283	$780
RNPH	HB ER DEPT VISIT ACUITY 4	99284	$1310
RRUCLA	HB ER DEPT VISIT ACUITY 4	99284	$1310
SMUCLA	HB ER DEPT VISIT ACUITY 4	99284	$1310
RNPH	HB ER DEPT VISIT ACUITY 5	99285	$1870
RRUCLA	HB ER DEPT VISIT ACUITY 5	99285	$1870
SMUCLA	HB ER DEPT VISIT ACUITY 5	99285	$1870
RNPH	HB ER DEPT VISIT ACUITY 5 TRAUMA	99285	$1790
RRUCLA	HB ER DEPT VISIT ACUITY 5 TRAUMA	99285	$1790
SMUCLA	HB ER DEPT VISIT ACUITY 5 TRAUMA	99285	$1790
RNPH	HB ER EXAM REQ BY POLICE ADULT	99285	$1820
RRUCLA	HB ER EXAM REQ BY POLICE ADULT	99285	$1820
SMUCLA	HB ER EXAM REQ BY POLICE ADULT	99285	$1820
RNPH	HB ESCHAROTOMY EACH ADDITIONAL INCISION	16036	$360
RRUCLA	HB ESCHAROTOMY EACH ADDITIONAL INCISION	16036	$360
SMUCLA	HB ESCHAROTOMY EACH ADDITIONAL INCISION	16036	$360
RNPH	HB EYE CANTHOTOMY	67715	$6340
RRUCLA	HB EYE CANTHOTOMY	67715	$6340
SMUCLA	HB EYE CANTHOTOMY	67715	$6340
RNPH	HB EYE CORNEA FB REMOVE WO SLITLAMP	65220	$1150
RRUCLA	HB EYE CORNEA FB REMOVE WO SLITLAMP	65220	$1150
SMUCLA	HB EYE CORNEA FB REMOVE WO SLITLAMP	65220	$1150
RNPH	HB GASTROSCOPY +CONTROL BLEEDING	43255	$5086
RRUCLA	HB GASTROSCOPY +CONTROL BLEEDING	43255	$5086
SMUCLA	HB GASTROSCOPY +CONTROL BLEEDING	43255	$5086
RNPH	HB GASTROSCOPY +FB REMOVE	43247	$4520
RRUCLA	HB GASTROSCOPY +FB REMOVE	43247	$4520
SMUCLA	HB GASTROSCOPY +FB REMOVE	43247	$4520
RNPH	HB HALO CRANIAL APPLY	20661	$530
RRUCLA	HB HALO CRANIAL APPLY	20661	$530
SMUCLA	HB HALO CRANIAL APPLY	20661	$530
RNPH	HB I&D BREAST ABSCESS	19020	$4720
RRUCLA	HB I&D BREAST ABSCESS	19020	$4720
SMUCLA	HB I&D BREAST ABSCESS	19020	$4720
RNPH	HB I&D ELBO+UPPER ARM BURSA	23931	$4720
RRUCLA	HB I&D ELBO+UPPER ARM BURSA	23931	$4720
SMUCLA	HB I&D ELBO+UPPER ARM BURSA	23931	$4720
RNPH	HB I&D SCROTAL WALL ABSCESS	55100	$4720
RRUCLA	HB I&D SCROTAL WALL ABSCESS	55100	$4720
SMUCLA	HB I&D SCROTAL WALL ABSCESS	55100	$4720
RNPH	HB ILEOSCOPY VIA STOMA DIAGNOSTIC	44380	$2600
RRUCLA	HB ILEOSCOPY VIA STOMA DIAGNOSTIC	44380	$2600
SMUCLA	HB ILEOSCOPY VIA STOMA DIAGNOSTIC	44380	$2600
RNPH	HB IV PLACEMENT INTRAOSSEOUS INFUSION	36680	$1150
RRUCLA	HB IV PLACEMENT INTRAOSSEOUS INFUSION	36680	$1150
SMUCLA	HB IV PLACEMENT INTRAOSSEOUS INFUSION	36680	$1150
RNPH	HB MUSCLE FB REMOVE DEEP COMPLEX	20525	$8140
RRUCLA	HB MUSCLE FB REMOVE DEEP COMPLEX	20525	$8140
SMUCLA	HB MUSCLE FB REMOVE DEEP COMPLEX	20525	$8140
RNPH	HB NASOGASTRIC INTUBATION LAVAGE	43753	$870
RRUCLA	HB NASOGASTRIC INTUBATION LAVAGE	43753	$870
SMUCLA	HB NASOGASTRIC INTUBATION LAVAGE	43753	$870
RNPH	HB OB CARE DELIVERY OF PLACENTA ONLY	59414	$7950
RRUCLA	HB OB CARE DELIVERY OF PLACENTA ONLY	59414	$7950
SMUCLA	HB OB CARE DELIVERY OF PLACENTA ONLY	59414	$7950
RNPH	HB OPEN FXTX KNEE INTERCONDYLAR	27540	$7500
RRUCLA	HB OPEN FXTX KNEE INTERCONDYLAR	27540	$7500
SMUCLA	HB OPEN FXTX KNEE INTERCONDYLAR	27540	$7500
RNPH	HB PERICARDIOCENTESIS SUBSEQUENT	33011	$3440
RRUCLA	HB PERICARDIOCENTESIS SUBSEQUENT	33011	$3440
SMUCLA	HB PERICARDIOCENTESIS SUBSEQUENT	33011	$3440
RNPH	HB REPR ELBO+UPPER ARM TENDON MUSCLE EACH	24341	$8180
RRUCLA	HB REPR ELBO+UPPER ARM TENDON MUSCLE EACH	24341	$8180
SMUCLA	HB REPR ELBO+UPPER ARM TENDON MUSCLE EACH	24341	$8180
RNPH	HB REPR HERNIA DIAPHRAGMATIC TRAUMA ACUTE	39540	$3310
RRUCLA	HB REPR HERNIA DIAPHRAGMATIC TRAUMA ACUTE	39540	$3310
SMUCLA	HB REPR HERNIA DIAPHRAGMATIC TRAUMA ACUTE	39540	$3310
RNPH	HB TEMPORARY PACING TRANSCUTANEOUS	92953	$1790
RRUCLA	HB TEMPORARY PACING TRANSCUTANEOUS	92953	$1790
SMUCLA	HB TEMPORARY PACING TRANSCUTANEOUS	92953	$1790
RNPH	HB TENOTOMY RELEAS LENGTH ABDUCTOR HALLUCIS	28240	$9260
RRUCLA	HB TENOTOMY RELEAS LENGTH ABDUCTOR HALLUCIS	28240	$9260
SMUCLA	HB TENOTOMY RELEAS LENGTH ABDUCTOR HALLUCIS	28240	$9260
RNPH	HB THORACOTOMY CARDIAC MASSAGE	32160	$2610
RRUCLA	HB THORACOTOMY CARDIAC MASSAGE	32160	$2610
SMUCLA	HB THORACOTOMY CARDIAC MASSAGE	32160	$2610
RNPH	HB THORACOTOMY CONTROL TRAUMA BLEED	32110	$2090
RRUCLA	HB THORACOTOMY CONTROL TRAUMA BLEED	32110	$2090
SMUCLA	HB THORACOTOMY CONTROL TRAUMA BLEED	32110	$2090
RNPH	HB THORACOTOMY FB REMOVE INTRAPLEURAL	32150	$1890
RRUCLA	HB THORACOTOMY FB REMOVE INTRAPLEURAL	32150	$1890
SMUCLA	HB THORACOTOMY FB REMOVE INTRAPLEURAL	32150	$1890
RNPH	HB THORACOTOMY FB REMOVE INTRAPULMONARY	32151	$1890
RRUCLA	HB THORACOTOMY FB REMOVE INTRAPULMONARY	32151	$1890
SMUCLA	HB THORACOTOMY FB REMOVE INTRAPULMONARY	32151	$1890
RNPH	HB THORACOTOMY POST OP COMPLICATION	32120	$1670
RRUCLA	HB THORACOTOMY POST OP COMPLICATION	32120	$1670
SMUCLA	HB THORACOTOMY POST OP COMPLICATION	32120	$1670
RNPH	HB VAGINAL FB REMOVE	57415	$7950
RRUCLA	HB VAGINAL FB REMOVE	57415	$7950
SMUCLA	HB VAGINAL FB REMOVE	57415	$7950
RNPH	HB VENIPUNCT FEM/JUG VEIN >=3Y/O	36400	$380
RRUCLA	HB VENIPUNCT FEM/JUG VEIN >=3Y/O	36400	$380
SMUCLA	HB VENIPUNCT FEM/JUG VEIN >=3Y/O	36400	$380

FDA Investigational Medical / Surgical Supplies, Devices

Hospital	Description	CPT Code	Standard Charge
RNPH	HB RESEARCH GRANT IMPL NEUROSTM KINETRA	C1767	$15370
RRUCLA	HB RESEARCH GRANT IMPL NEUROSTM KINETRA	C1767	$15370
SMUCLA	HB RESEARCH GRANT IMPL NEUROSTM KINETRA	C1767	$15370
RNPH	HB SYNCARDIA VAD SPARES KIT IDE G090221		$5830
RRUCLA	HB SYNCARDIA VAD SPARES KIT IDE G090221		$5830
SMUCLA	HB SYNCARDIA VAD SPARES KIT IDE G090221		$5830
RNPH	HB SYNCARDIA VAD STARTUP KIT IDE G090221		$195120
RRUCLA	HB SYNCARDIA VAD STARTUP KIT IDE G090221		$195120
SMUCLA	HB SYNCARDIA VAD STARTUP KIT IDE G090221		$195120
RNPH	HB SYNCARDIA VAD TAH-T DRIVER IDE G090221		$415280
RRUCLA	HB SYNCARDIA VAD TAH-T DRIVER IDE G090221		$415280
SMUCLA	HB SYNCARDIA VAD TAH-T DRIVER IDE G090221		$415280
RNPH	HB ACCESSORY KIT NELLIX EVAS II ENDOLOGIX IDE G130005 IRB 17-001716		$1670
RRUCLA	HB ACCESSORY KIT NELLIX EVAS II ENDOLOGIX IDE G130005 IRB 17-001716		$1670
SMUCLA	HB ACCESSORY KIT NELLIX EVAS II ENDOLOGIX IDE G130005 IRB 17-001716		$1670
RNPH	HB BERLIN VAD ACCESSORY SUPPL IDE G050262A3		$8000
RRUCLA	HB BERLIN VAD ACCESSORY SUPPL IDE G050262A3		$8000
SMUCLA	HB BERLIN VAD ACCESSORY SUPPL IDE G050262A3		$8000
RNPH	HB BERLIN VAD CANNULA APEX IDE G050262A3		$17080
RRUCLA	HB BERLIN VAD CANNULA APEX IDE G050262A3		$17080
SMUCLA	HB BERLIN VAD CANNULA APEX IDE G050262A3		$17080
RNPH	HB BERLIN VAD CANNULA ATR/ART IDE G050262A3		$13330
RRUCLA	HB BERLIN VAD CANNULA ATR/ART IDE G050262A3		$13330
SMUCLA	HB BERLIN VAD CANNULA ATR/ART IDE G050262A3		$13330
RNPH	HB BERLIN VAD CONNECT SUPPLY IDE G050262A3		$3000
RRUCLA	HB BERLIN VAD CONNECT SUPPLY IDE G050262A3		$3000
SMUCLA	HB BERLIN VAD CONNECT SUPPLY IDE G050262A3		$3000
RNPH	HB BERLIN VAD GRAFT ADAPTOR IDE G050262A3		$10660
RRUCLA	HB BERLIN VAD GRAFT ADAPTOR IDE G050262A3		$10660
SMUCLA	HB BERLIN VAD GRAFT ADAPTOR IDE G050262A3		$10660
RNPH	HB BERLIN VAD VENT ASSIST IDE G050262A3		$124550
RRUCLA	HB BERLIN VAD VENT ASSIST IDE G050262A3		$124550
SMUCLA	HB BERLIN VAD VENT ASSIST IDE G050262A3		$124550
RNPH	HB BREAST PRSTH 410MF ALLERGAN IDE G000201	L8600	$3640
RRUCLA	HB BREAST PRSTH 410MF ALLERGAN IDE G000201	L8600	$3640
SMUCLA	HB BREAST PRSTH 410MF ALLERGAN IDE G000201	L8600	$3640
RNPH	HB CARILLON MITRAL CONTOUR SYSTEM IRB# 18-001140 NCT# 03142152 IDE# G160223		$74930
RRUCLA	HB CARILLON MITRAL CONTOUR SYSTEM IRB# 18-001140 NCT# 03142152 IDE# G160223		$74930
SMUCLA	HB CARILLON MITRAL CONTOUR SYSTEM IRB# 18-001140 NCT# 03142152 IDE# G160223		$74930
RNPH	HB CATH BALLOON TRI-LOBE GORE G130120 IRB# 16-001926 NCT02777593	C1725	$2000
RRUCLA	HB CATH BALLOON TRI-LOBE GORE G130120 IRB# 16-001926 NCT02777593	C1725	$2000
SMUCLA	HB CATH BALLOON TRI-LOBE GORE G130120 IRB# 16-001926 NCT02777593	C1725	$2000
RNPH	HB CATH MICROCATH TREVO18 IDE G100056 CMED		$500
RRUCLA	HB CATH MICROCATH TREVO18 IDE G100056 CMED		$500
SMUCLA	HB CATH MICROCATH TREVO18 IDE G100056 CMED		$500
RNPH	HB CATH NELLIX EVAS II ENDOLOGIX IDE G130005 IRB 17-001716		$27470
RRUCLA	HB CATH NELLIX EVAS II ENDOLOGIX IDE G130005 IRB 17-001716		$27470
SMUCLA	HB CATH NELLIX EVAS II ENDOLOGIX IDE G130005 IRB 17-001716		$27470
RNPH	HB CATH THROMBECT CLOT SEPARATOR INDIGO SEP8 PENUMBRA IDE G170064 IRB# 17-001515	C1757	$6260
RRUCLA	HB CATH THROMBECT CLOT SEPARATOR INDIGO SEP8 PENUMBRA IDE G170064 IRB# 17-001515	C1757	$6260
SMUCLA	HB CATH THROMBECT CLOT SEPARATOR INDIGO SEP8 PENUMBRA IDE G170064 IRB# 17-001515	C1757	$6260
RNPH	HB DEBAKEY VAD VENT ASSIST DEVICE ADULT IDE		$117000
RRUCLA	HB DEBAKEY VAD VENT ASSIST DEVICE ADULT IDE		$117000
SMUCLA	HB DEBAKEY VAD VENT ASSIST DEVICE ADULT IDE		$117000
RNPH	HB DEVICE RETRV CLOT TREVO IDE G100056 CMED		$12330
RRUCLA	HB DEVICE RETRV CLOT TREVO IDE G100056 CMED		$12330
SMUCLA	HB DEVICE RETRV CLOT TREVO IDE G100056 CMED		$12330
RNPH	HB DEVICE RETRVSWIFT IDE G090082NCT01054560	C1773	$16640
RRUCLA	HB DEVICE RETRVSWIFT IDE G090082NCT01054560	C1773	$16640
SMUCLA	HB DEVICE RETRVSWIFT IDE G090082NCT01054560	C1773	$16640
RNPH	HB ENDOLOGIX GRFT AAA BIFUR IDE G110067	C1768	$34960
RRUCLA	HB ENDOLOGIX GRFT AAA BIFUR IDE G110067	C1768	$34960
SMUCLA	HB ENDOLOGIX GRFT AAA BIFUR IDE G110067	C1768	$34960
RNPH	HB GRAFT ENDOPROSTHESIS AAA ILIAC BRANCH GORE G130038	C1768	$23320
RRUCLA	HB GRAFT ENDOPROSTHESIS AAA ILIAC BRANCH GORE G130038	C1768	$23320
SMUCLA	HB GRAFT ENDOPROSTHESIS AAA ILIAC BRANCH GORE G130038	C1768	$23320
RNPH	HB GRAFT ENDOPROSTHESIS AAA ILIAC INTERNAL GORE G130038	C1768	$11660
RRUCLA	HB GRAFT ENDOPROSTHESIS AAA ILIAC INTERNAL GORE G130038	C1768	$11660
SMUCLA	HB GRAFT ENDOPROSTHESIS AAA ILIAC INTERNAL GORE G130038	C1768	$11660
RNPH	HB GRAFT ENDOPROSTHESIS TAG THOR AORTIC EXT GORE G130120 IRB# 16-001926 NCT02777593	C1768	$36630
RRUCLA	HB GRAFT ENDOPROSTHESIS TAG THOR AORTIC EXT GORE G130120 IRB# 16-001926 NCT02777593	C1768	$36630
SMUCLA	HB GRAFT ENDOPROSTHESIS TAG THOR AORTIC EXT GORE G130120 IRB# 16-001926 NCT02777593	C1768	$36630
RNPH	HB GRAFT ENDOPROSTHESIS TAG THOR AORTIC GORE G130120 IRB# 16-001926 NCT02777593	C1768	$91580
RRUCLA	HB GRAFT ENDOPROSTHESIS TAG THOR AORTIC GORE G130120 IRB# 16-001926 NCT02777593	C1768	$91580
SMUCLA	HB GRAFT ENDOPROSTHESIS TAG THOR AORTIC GORE G130120 IRB# 16-001926 NCT02777593	C1768	$91580
RNPH	HB GRAFT ENDOPROSTHESIS TAG THOR SIDE BRANCH GORE G130120 IRB# 16-001926 NCT02777593	C1768	$18320
RRUCLA	HB GRAFT ENDOPROSTHESIS TAG THOR SIDE BRANCH GORE G130120 IRB# 16-001926 NCT02777593	C1768	$18320
SMUCLA	HB GRAFT ENDOPROSTHESIS TAG THOR SIDE BRANCH GORE G130120 IRB# 16-001926 NCT02777593	C1768	$18320
RNPH	HB GRFT AAA ENDURANT AORTIC EXT MDTR G090239A001	C1768	$25200
RRUCLA	HB GRFT AAA ENDURANT AORTIC EXT MDTR G090239A001	C1768	$25200
SMUCLA	HB GRFT AAA ENDURANT AORTIC EXT MDTR G090239A001	C1768	$25200
RNPH	HB GRFT AAA ENDURANT BIFURCATED MDTR G090009S2	C1768	$33220
RRUCLA	HB GRFT AAA ENDURANT BIFURCATED MDTR G090009S2	C1768	$33220
SMUCLA	HB GRFT AAA ENDURANT BIFURCATED MDTR G090009S2	C1768	$33220
RNPH	HB GRFT AAA ENDURANT BIFURCATED MDTR G090239A001	C1768	$33220
RRUCLA	HB GRFT AAA ENDURANT BIFURCATED MDTR G090239A001	C1768	$33220
SMUCLA	HB GRFT AAA ENDURANT BIFURCATED MDTR G090239A001	C1768	$33220
RNPH	HB GRFT AAA ENDURANT CONTRALAT LIMB MDTR G090239A001	C1768	$16180
RRUCLA	HB GRFT AAA ENDURANT CONTRALAT LIMB MDTR G090239A001	C1768	$16180
SMUCLA	HB GRFT AAA ENDURANT CONTRALAT LIMB MDTR G090239A001	C1768	$16180
RNPH	HB GRFT AAA ENDURANT ILIAC EXT MDTR G090009S2	C1768	$15300
RRUCLA	HB GRFT AAA ENDURANT ILIAC EXT MDTR G090009S2	C1768	$15300
SMUCLA	HB GRFT AAA ENDURANT ILIAC EXT MDTR G090009S2	C1768	$15300
RNPH	HB GRFT AAA ENDURANT ILIAC EXT MDTR G090239A001	C1768	$15300
RRUCLA	HB GRFT AAA ENDURANT ILIAC EXT MDTR G090239A001	C1768	$15300
SMUCLA	HB GRFT AAA ENDURANT ILIAC EXT MDTR G090239A001	C1768	$15300
RNPH	HB GRFT AAA TRIVASCULAR IDE G090239A001	C1768	$44960
RRUCLA	HB GRFT AAA TRIVASCULAR IDE G090239A001	C1768	$44960
SMUCLA	HB GRFT AAA TRIVASCULAR IDE G090239A001	C1768	$44960
RNPH	HB IDE CATH THERAPY COOL FLEX ABLAT G1300132	C2630	$3340
RRUCLA	HB IDE CATH THERAPY COOL FLEX ABLAT G1300132	C2630	$3340
SMUCLA	HB IDE CATH THERAPY COOL FLEX ABLAT G1300132	C2630	$3340
RNPH	HB POLYMER CRTG NELLIX EVAS II ENDOLOGIX IDE G130005 IRB 17-001716		$1350
RRUCLA	HB POLYMER CRTG NELLIX EVAS II ENDOLOGIX IDE G130005 IRB 17-001716		$1350
SMUCLA	HB POLYMER CRTG NELLIX EVAS II ENDOLOGIX IDE G130005 IRB 17-001716		$1350
RNPH	HB RESEARCH GRANT AAA EXT ENDOLOGIX 34 G9900139	C1768	$34960
RRUCLA	HB RESEARCH GRANT AAA EXT ENDOLOGIX 34 G9900139	C1768	$34960
SMUCLA	HB RESEARCH GRANT AAA EXT ENDOLOGIX 34 G9900139	C1768	$34960
RNPH	HB RESEARCH GRANT IOL HOYA	C1780	$555
RRUCLA	HB RESEARCH GRANT IOL HOYA	C1780	$555
SMUCLA	HB RESEARCH GRANT IOL HOYA	C1780	$555
RNPH	HB RESEARCH LEUKAPHERESIS CATH PLACEMENT	36556	$500
RRUCLA	HB RESEARCH LEUKAPHERESIS CATH PLACEMENT	36556	$500
SMUCLA	HB RESEARCH LEUKAPHERESIS CATH PLACEMENT	36556	$500
RNPH	HB RESEARCH LEUKAPHERESIS FULL COLLECTION	P9034	$1000
RRUCLA	HB RESEARCH LEUKAPHERESIS FULL COLLECTION	P9034	$1000
SMUCLA	HB RESEARCH LEUKAPHERESIS FULL COLLECTION	P9034	$1000
RNPH	HB RESEARCH LEUKAPHERESIS PARTIAL COLLECTION	P9011	$600
RRUCLA	HB RESEARCH LEUKAPHERESIS PARTIAL COLLECTION	P9011	$600
SMUCLA	HB RESEARCH LEUKAPHERESIS PARTIAL COLLECTION	P9011	$600
RNPH	HB RESEARCH OCCLUDR CARDIOFORM ASD GORE NCT02985684 G160218 IRB#16-001993	C1817	$23890
RRUCLA	HB RESEARCH OCCLUDR CARDIOFORM ASD GORE NCT02985684 G160218 IRB#16-001993	C1817	$23890
SMUCLA	HB RESEARCH OCCLUDR CARDIOFORM ASD GORE NCT02985684 G160218 IRB#16-001993	C1817	$23890
RNPH	HB RESEARCH RETHINQ ICD ATLAS+HF IDE STJUDE	C1882	$104240
RRUCLA	HB RESEARCH RETHINQ ICD ATLAS+HF IDE STJUDE	C1882	$104240
SMUCLA	HB RESEARCH RETHINQ ICD ATLAS+HF IDE STJUDE	C1882	$104240
RNPH	HB RESEARCH RETHINQ LEAD QUICKSITE IDE STJU	C1900	$12830
RRUCLA	HB RESEARCH RETHINQ LEAD QUICKSITE IDE STJU	C1900	$12830
SMUCLA	HB RESEARCH RETHINQ LEAD QUICKSITE IDE STJU	C1900	$12830
RNPH	HB RESEARCH RETHINQ LEAD TENDRLSDX IDE STJU	C1898	$2500
RRUCLA	HB RESEARCH RETHINQ LEAD TENDRLSDX IDE STJU	C1898	$2500
SMUCLA	HB RESEARCH RETHINQ LEAD TENDRLSDX IDE STJU	C1898	$2500
RNPH	HB RESEARCH RETHINQ RIATA LEAD ICD IDE STJU	C1895	$16660
RRUCLA	HB RESEARCH RETHINQ RIATA LEAD ICD IDE STJU	C1895	$16660
SMUCLA	HB RESEARCH RETHINQ RIATA LEAD ICD IDE STJU	C1895	$16660
RNPH	HB RESEARCH VALVE INTUITY EDWARDS G110189	C1763	$52040
RRUCLA	HB RESEARCH VALVE INTUITY EDWARDS G110189	C1763	$52040
SMUCLA	HB RESEARCH VALVE INTUITY EDWARDS G110189	C1763	$52040
RNPH	HB RSH STENT GRAFT COV+DELIV SYST ZEN P-BRANCH COOK G120136 IRB#17-000967 NCT02396199	C1874	$11320
RRUCLA	HB RSH STENT GRAFT COV+DELIV SYST ZEN P-BRANCH COOK G120136 IRB#17-000967 NCT02396199	C1874	$11320
SMUCLA	HB RSH STENT GRAFT COV+DELIV SYST ZEN P-BRANCH COOK G120136 IRB#17-000967 NCT02396199	C1874	$11320
RNPH	HB RSH STENT GRAFT COV+DELIV SYST ZEN UNIVERSAL DISTAL COOK G120136 IRB#17-000967 NCT02396199	C1874	$11320
RRUCLA	HB RSH STENT GRAFT COV+DELIV SYST ZEN UNIVERSAL DISTAL COOK G120136 IRB#17-000967 NCT02396199	C1874	$11320
SMUCLA	HB RSH STENT GRAFT COV+DELIV SYST ZEN UNIVERSAL DISTAL COOK G120136 IRB#17-000967 NCT02396199	C1874	$11320
RNPH	HB SHEATH INTRDCR DRYSEAL BEND-E GORE G130120 IRB# 16-001926 NCT02777593	C1894	$3650
RRUCLA	HB SHEATH INTRDCR DRYSEAL BEND-E GORE G130120 IRB# 16-001926 NCT02777593	C1894	$3650
SMUCLA	HB SHEATH INTRDCR DRYSEAL BEND-E GORE G130120 IRB# 16-001926 NCT02777593	C1894	$3650
RRUCLA	HB TRANSMEDICS HEART CARE IDE G060127		$37500
RRUCLA	HB TRANSMEDICS LUNG CARE IDE G100310		$45000

Gastro Intestinal Services

Hospital	Description	CPT Code	Standard Charge
RNPH	HB ESOPHAGEAL MANOMETRIC	91020	$1560
RRUCLA	HB ESOPHAGEAL MANOMETRIC	91020	$1560
SMUCLA	HB ESOPHAGEAL MANOMETRIC	91020	$1560
RNPH	HB GI IMAG INTRALUM ESOPH TO ILEUM+CAPSULE		$5000
RRUCLA	HB GI IMAG INTRALUM ESOPH TO ILEUM+CAPSULE		$5000
SMUCLA	HB GI IMAG INTRALUM ESOPH TO ILEUM+CAPSULE		$5000
RNPH	HB GI TRANSIT&PRESS MEAS STOM TO COLON+CAPSULE		$6250
RRUCLA	HB GI TRANSIT&PRESS MEAS STOM TO COLON+CAPSULE		$6250
SMUCLA	HB GI TRANSIT&PRESS MEAS STOM TO COLON+CAPSULE		$6250

Inpatient Renal Dialysis

Hospital	Description	CPT Code	Standard Charge
RNPH	HB CAPD PER TRMT DAY	90945	$2680
RRUCLA	HB CAPD PER TRMT DAY	90945	$2680
SMUCLA	HB CAPD PER TRMT DAY	90945	$2680
RNPH	HB CCPD PER TRMT DAY	90945	$3130
RRUCLA	HB CCPD PER TRMT DAY	90945	$3130
SMUCLA	HB CCPD PER TRMT DAY	90945	$3130
RNPH	HB CRRT PER TRMT DAY	90945	$1670
RRUCLA	HB CRRT PER TRMT DAY	90945	$1670
SMUCLA	HB CRRT PER TRMT DAY	90945	$1670
RNPH	HB CVVH PER TRMT DAY	90947	$2970
RRUCLA	HB CVVH PER TRMT DAY	90947	$2970
SMUCLA	HB CVVH PER TRMT DAY	90947	$2970
RNPH	HB CVVHD PER TRMT DAY	90945	$4380
RRUCLA	HB CVVHD PER TRMT DAY	90945	$4380
SMUCLA	HB CVVHD PER TRMT DAY	90945	$4380
RNPH	HB HEMODIALYS INPT	90935	$3000
RRUCLA	HB HEMODIALYS INPT	90935	$3000
SMUCLA	HB HEMODIALYS INPT	90935	$3000
RNPH	HB HEMOPERFUSION	90997	$1670
RRUCLA	HB HEMOPERFUSION	90997	$1670
SMUCLA	HB HEMOPERFUSION	90997	$1670
RNPH	HB IP DECLOTTING PROCEDURE 1 HR		$150
RRUCLA	HB IP DECLOTTING PROCEDURE 1 HR		$150
SMUCLA	HB IP DECLOTTING PROCEDURE 1 HR		$150
RNPH	HB IP DECLOTTING PROCEDURE 2 HR		$300
RRUCLA	HB IP DECLOTTING PROCEDURE 2 HR		$300
SMUCLA	HB IP DECLOTTING PROCEDURE 2 HR		$300
RNPH	HB IP QUINTON CATHETER PROCEDURE		$300
RRUCLA	HB IP QUINTON CATHETER PROCEDURE		$300
SMUCLA	HB IP QUINTON CATHETER PROCEDURE		$300
RNPH	HB IP SHUNT INFUSION PROCEDURE		$150
RRUCLA	HB IP SHUNT INFUSION PROCEDURE		$150
SMUCLA	HB IP SHUNT INFUSION PROCEDURE		$150
RNPH	HB SCUF PER TRMT DAY	90945	$2970
RRUCLA	HB SCUF PER TRMT DAY	90945	$2970
SMUCLA	HB SCUF PER TRMT DAY	90945	$2970

IV Therapy

Hospital	Description	CPT Code	Standard Charge
RNPH	HB ANTIPLATELET INFU-EACH ADDL HR	90781	$182
RRUCLA	HB ANTIPLATELET INFU-EACH ADDL HR	90781	$182
SMUCLA	HB ANTIPLATELET INFU-EACH ADDL HR	90781	$182
RNPH	HB NONCHEMO IV HYDRATION 1ST HOUR	96360	$670
RRUCLA	HB NONCHEMO IV HYDRATION 1ST HOUR	96360	$670
SMUCLA	HB NONCHEMO IV HYDRATION 1ST HOUR	96360	$670
RNPH	HB NONCHEMO IV HYDRATION EACH ADDL HR	96361	$260
RRUCLA	HB NONCHEMO IV HYDRATION EACH ADDL HR	96361	$260
SMUCLA	HB NONCHEMO IV HYDRATION EACH ADDL HR	96361	$260
RNPH	HB NONCHEMO IV INFUSION 1ST HOUR	96365	$670
RRUCLA	HB NONCHEMO IV INFUSION 1ST HOUR	96365	$670
SMUCLA	HB NONCHEMO IV INFUSION 1ST HOUR	96365	$670
RNPH	HB NONCHEMO IV INFUSION BY PUMP >8HR	C8957	$1040
RRUCLA	HB NONCHEMO IV INFUSION BY PUMP >8HR	C8957	$1040
SMUCLA	HB NONCHEMO IV INFUSION BY PUMP >8HR	C8957	$1040
RNPH	HB NONCHEMO IV INFUSION CONCURRENT EA DRUG	96368	$260
RRUCLA	HB NONCHEMO IV INFUSION CONCURRENT EA DRUG	96368	$260
SMUCLA	HB NONCHEMO IV INFUSION CONCURRENT EA DRUG	96368	$260
RNPH	HB NONCHEMO IV INFUSION EACH ADDITIONAL HR	96366	$260
RRUCLA	HB NONCHEMO IV INFUSION EACH ADDITIONAL HR	96366	$260
SMUCLA	HB NONCHEMO IV INFUSION EACH ADDITIONAL HR	96366	$260
RNPH	HB NONCHEMO IV INFUSION SEQUENTIAL UPTO 1HR	96367	$260
RRUCLA	HB NONCHEMO IV INFUSION SEQUENTIAL UPTO 1HR	96367	$260
SMUCLA	HB NONCHEMO IV INFUSION SEQUENTIAL UPTO 1HR	96367	$260

Labor Room / Delivery

Hospital	Description	CPT Code	Standard Charge
RNPH	HB AMNIOCENTESIS	59000	$1010
RRUCLA	HB AMNIOCENTESIS	59000	$1010
SMUCLA	HB AMNIOCENTESIS	59000	$1010
RNPH	HB APPLY CERCLAGE PREG-VAGINA	59320	$7950
RRUCLA	HB APPLY CERCLAGE PREG-VAGINA	59320	$7950
SMUCLA	HB APPLY CERCLAGE PREG-VAGINA	59320	$7950
RNPH	HB CHORIONIC VILLUS SAMPLING	59015	$2010
RRUCLA	HB CHORIONIC VILLUS SAMPLING	59015	$2010
SMUCLA	HB CHORIONIC VILLUS SAMPLING	59015	$2010
RNPH	HB CORDOCENTESIS/PERQ UMBIL BLOOD SAMPL	59012	$1769
RRUCLA	HB CORDOCENTESIS/PERQ UMBIL BLOOD SAMPL	59012	$1769
SMUCLA	HB CORDOCENTESIS/PERQ UMBIL BLOOD SAMPL	59012	$1769
RNPH	HB FETAL CONTRACTION STRESS TEST OXYTOCIN	59020	$927
RRUCLA	HB FETAL CONTRACTION STRESS TEST OXYTOCIN	59020	$927
SMUCLA	HB FETAL CONTRACTION STRESS TEST OXYTOCIN	59020	$927
RNPH	HB FETAL MONITOR DURING LABOR	59050	$500
RRUCLA	HB FETAL MONITOR DURING LABOR	59050	$500
SMUCLA	HB FETAL MONITOR DURING LABOR	59050	$500
RNPH	HB FETAL SCALP BLOOD SAMPLING	59030	$940
RRUCLA	HB FETAL SCALP BLOOD SAMPLING	59030	$940
SMUCLA	HB FETAL SCALP BLOOD SAMPLING	59030	$940
RNPH	HB L&D ASSESSMENT TRANSFERRED FROM ER		$160
RRUCLA	HB L&D ASSESSMENT TRANSFERRED FROM ER		$160
SMUCLA	HB L&D ASSESSMENT TRANSFERRED FROM ER		$160
RNPH	HB L&D BREAST STIMULATION TEST		$210
RRUCLA	HB L&D BREAST STIMULATION TEST		$210
SMUCLA	HB L&D BREAST STIMULATION TEST		$210
RNPH	HB LABOR ROOM TIME EA ADD 15MIN		$130
RRUCLA	HB LABOR ROOM TIME EA ADD 15MIN		$130
SMUCLA	HB LABOR ROOM TIME EA ADD 15MIN		$130
RNPH	HB LABOR ROOM TIME EA ADD 15MIN		$98
RRUCLA	HB LABOR ROOM TIME EA ADD 15MIN		$98
SMUCLA	HB LABOR ROOM TIME EA ADD 15MIN		$98
RNPH	HB LABOR ROOM TIME EA ADD 15MIN		$98
RRUCLA	HB LABOR ROOM TIME EA ADD 15MIN		$98
SMUCLA	HB LABOR ROOM TIME EA ADD 15MIN		$98
RNPH	HB LABOR ROOM TIME EA ADD 15MIN		$98
RRUCLA	HB LABOR ROOM TIME EA ADD 15MIN		$98
SMUCLA	HB LABOR ROOM TIME EA ADD 15MIN		$98
RNPH	HB LABOR ROOM TIME EA ADD 15MIN		$98
RRUCLA	HB LABOR ROOM TIME EA ADD 15MIN		$98
SMUCLA	HB LABOR ROOM TIME EA ADD 15MIN		$98
RNPH	HB LABOR ROOM TIME PER 1 HOUR		$510
RRUCLA	HB LABOR ROOM TIME PER 1 HOUR		$510
SMUCLA	HB LABOR ROOM TIME PER 1 HOUR		$510
RNPH	HB NURSERY CIRCUMCISION		$170
RRUCLA	HB NURSERY CIRCUMCISION		$170
SMUCLA	HB NURSERY CIRCUMCISION		$170
RNPH	HB OB CARE C-SECTN DELVR ANTE&POST	59510	$2800
RRUCLA	HB OB CARE C-SECTN DELVR ANTE&POST	59510	$2800
SMUCLA	HB OB CARE C-SECTN DELVR ANTE&POST	59510	$2800
RNPH	HB OB CARE VAG DELIVERY ANTE&POST	59400	$2510
RRUCLA	HB OB CARE VAG DELIVERY ANTE&POST	59400	$2510
SMUCLA	HB OB CARE VAG DELIVERY ANTE&POST	59400	$2510
RNPH	HB REMOVE CERCLAGE	59871	$7950
RRUCLA	HB REMOVE CERCLAGE	59871	$7950
SMUCLA	HB REMOVE CERCLAGE	59871	$7950
RNPH	HB AMNIOCENTESIS THERAPEUTIC INCLUDES US GUIDANCE	59001	$940
RRUCLA	HB AMNIOCENTESIS THERAPEUTIC INCLUDES US GUIDANCE	59001	$940
SMUCLA	HB AMNIOCENTESIS THERAPEUTIC INCLUDES US GUIDANCE	59001	$940
RNPH	HB FETAL EXTERNAL CEPHALIC VERSION	59412	$3980
RRUCLA	HB FETAL EXTERNAL CEPHALIC VERSION	59412	$3980
SMUCLA	HB FETAL EXTERNAL CEPHALIC VERSION	59412	$3980
RNPH	HB FETAL NONSTRESS TEST	59025	$560
RRUCLA	HB FETAL NONSTRESS TEST	59025	$560
SMUCLA	HB FETAL NONSTRESS TEST	59025	$560
RNPH	HB L&D / PERINATAL ASSESSMENT	G0463	$330
RRUCLA	HB L&D / PERINATAL ASSESSMENT	G0463	$330
SMUCLA	HB L&D / PERINATAL ASSESSMENT	G0463	$330
RNPH	HB L&D EST PT LVL1-ASSESSMENT	G0463	$330
RRUCLA	HB L&D EST PT LVL1-ASSESSMENT	G0463	$330
SMUCLA	HB L&D EST PT LVL1-ASSESSMENT	G0463	$330
RNPH	HB NEWBORN STABILIZATION ATTENDANCE AT DELIVERY	99464	$500
RRUCLA	HB NEWBORN STABILIZATION ATTENDANCE AT DELIVERY	99464	$500
SMUCLA	HB NEWBORN STABILIZATION ATTENDANCE AT DELIVERY	99464	$500
RNPH	HB OB CHECK	G0463	$330
RRUCLA	HB OB CHECK	G0463	$330
SMUCLA	HB OB CHECK	G0463	$330
RNPH	HB POSTPARTUM BLEED BLOOD PATCH	59899	$580
RRUCLA	HB POSTPARTUM BLEED BLOOD PATCH	59899	$580
SMUCLA	HB POSTPARTUM BLEED BLOOD PATCH	59899	$580

Laboratory

Hospital	Description	CPT Code	Standard Charge
RRUCLA	HB AB SCRN PNL-1ST MARKER *IG	88184	$103
RRUCLA	HB AB SCRN PNL-EA ADDL MRKR *IG	88185	$80
RRUCLA	HB AB SPECIFICITY PREDICTION *IG	86807	$275
RNPH	HB ALLERGY LAB ALLERGEN SPEC IGE QUAL MULT1-5 RAST	86005	$200
RRUCLA	HB ALLERGY LAB ALLERGEN SPEC IGE QUAL MULT1-5 RAST	86005	$200
SMUCLA	HB ALLERGY LAB ALLERGEN SPEC IGE QUAL MULT1-5 RAST	86005	$200
RNPH	HB ALLERGY LAB ALLERGEN SPEC IGE QUAL MULT6+ RAST	86005	$200
RRUCLA	HB ALLERGY LAB ALLERGEN SPEC IGE QUAL MULT6+ RAST	86005	$200
SMUCLA	HB ALLERGY LAB ALLERGEN SPEC IGE QUAL MULT6+ RAST	86005	$200
RNPH	HB ALLERGY LAB GAMMAGLOBULIN IGE TOTAL	82785	$70
RRUCLA	HB ALLERGY LAB GAMMAGLOBULIN IGE TOTAL	82785	$70
SMUCLA	HB ALLERGY LAB GAMMAGLOBULIN IGE TOTAL	82785	$70
RNPH	HB ALLERGY LAB SKIN TEST CANDIDA	86485	$70
RRUCLA	HB ALLERGY LAB SKIN TEST CANDIDA	86485	$70
SMUCLA	HB ALLERGY LAB SKIN TEST CANDIDA	86485	$70
RNPH	HB ALLERGY LAB SKIN TEST COCCIDIOIDOMYCOSIS	86490	$40
RRUCLA	HB ALLERGY LAB SKIN TEST COCCIDIOIDOMYCOSIS	86490	$40
SMUCLA	HB ALLERGY LAB SKIN TEST COCCIDIOIDOMYCOSIS	86490	$40
RNPH	HB ALLERGY LAB SKIN TEST HISTOPLASMOSIS	86510	$40
RRUCLA	HB ALLERGY LAB SKIN TEST HISTOPLASMOSIS	86510	$40
SMUCLA	HB ALLERGY LAB SKIN TEST HISTOPLASMOSIS	86510	$40
RNPH	HB ALLERGY LAB SKIN TEST MUMPS	86486	$50
RRUCLA	HB ALLERGY LAB SKIN TEST MUMPS	86486	$50
SMUCLA	HB ALLERGY LAB SKIN TEST MUMPS	86486	$50
RNPH	HB ALLERGY LAB SKIN TEST TB TUBERCULOSIS INTRADERMAL	86580	$30
RRUCLA	HB ALLERGY LAB SKIN TEST TB TUBERCULOSIS INTRADERMAL	86580	$30
SMUCLA	HB ALLERGY LAB SKIN TEST TB TUBERCULOSIS INTRADERMAL	86580	$30
RNPH	HB ALLERGY LAB SKIN TEST TETANUS	86486	$60
RRUCLA	HB ALLERGY LAB SKIN TEST TETANUS	86486	$60
SMUCLA	HB ALLERGY LAB SKIN TEST TETANUS	86486	$60
RNPH	HB ALLERGY LAB SKIN TEST TRYCHOPHYTON	86486	$60
RRUCLA	HB ALLERGY LAB SKIN TEST TRYCHOPHYTON	86486	$60
SMUCLA	HB ALLERGY LAB SKIN TEST TRYCHOPHYTON	86486	$60
RNPH	HB ARTERIAL PUNCTURE BLOOD DRAW	36600	$180
RRUCLA	HB ARTERIAL PUNCTURE BLOOD DRAW	36600	$180
SMUCLA	HB ARTERIAL PUNCTURE BLOOD DRAW	36600	$180
RRUCLA	HB AUTOLOGOUS EC XM-1ST MARKER*IG	88184	$121
RRUCLA	HB AUTOLOGOUS EC XM-EA AD MRKR*IG	88185	$71
RRUCLA	HB B CELL CYTO THYMO DEPLET XM*IG	86806	$100
RRUCLA	HB B CELL FACS CROSSMATCH FLOW*IG	86825	$138
RRUCLA	HB B CELL FLOW THYMO DEPLET XM*IG	86806	$100
RRUCLA	HB BM TRANSPLANT PREP-CRYOPRESERVE&STORE	38207	$3190
RRUCLA	HB BM TRANSPLANT PREP-HARVESTED THAW	38208	$1310
RRUCLA	HB BM TRANSPLANT PREP-PLASMA DEPLETION	38214	$1310
RRUCLA	HB BM TRANSPLANT PREP-RBC REMOVAL	38212	$1310
RRUCLA	HB BM TRNSP PREP-PLASMA CELL CONCENTRATION	38215	$2176
RRUCLA	HB BM TRNSP PREP-WASHING HARVEST	38209	$1310
RRUCLA	HB CLASS I A LOCUS HR TYPING *IG	86813	$82
RRUCLA	HB CLASS I A LOCUS IR TYPING *IG	86813	$82
RRUCLA	HB CLASS I B LOCUS HR TYPING *IG	86813	$82
RRUCLA	HB CLASS I B LOCUS IR TYPING *IG	86813	$82
RRUCLA	HB CLASS I C LOCUS HR TYPING *IG	86813	$82
RRUCLA	HB CLASS I C LOCUS IR TYPING *IG	86813	$82
RRUCLA	HB CLASS II DP LOCUS LR TYPING*IG	86817	$91
RRUCLA	HB CORDBLOOD STEMCELL TRANSPLANT PREP-THAW	38208	$1310
RRUCLA	HB CORDBLOOD STEMCELL TRNSP PREP-CRYO&STORE	38207	$2548
RRUCLA	HB CYLEX-CELL FUNCTION ASSAY *IG	86352	$200
RRUCLA	HB CYTOTOX AB SCRN MIC-A AB *IG	86807	$150
RRUCLA	HB ELISA OKT*3 ANTIBODY QUANT *IG	83520	$93
RRUCLA	HB ENDO CELL XM-1ST MARKER *IG	88184	$103
RRUCLA	HB ENDO CELL XM-EA ADDL MARKER*IG	88185	$80
RRUCLA	HB ENDO CELL XM-LYMPH XM TITR *IG	86805	$285
RRUCLA	HB FLOW AB ID PRA CLASS 1 *IG	86807	$275
RRUCLA	HB FLOW AB ID PRA CLASS 2 *IG	86807	$275
RRUCLA	HB FLOW AB ID PRA CLASS1 THYMO*IG	86807	$275
RRUCLA	HB FLOW AB ID PRA CLASS2 THYMO*IG	86807	$275
RRUCLA	HB FLOW PRA CL I-1ST MARKER *IG	88184	$103
RRUCLA	HB FLOW PRA CL I-EA ADDL MRKR *IG	88185	$80
RRUCLA	HB FLOW PRA CL II-1ST MARKER *IG	88184	$103
RRUCLA	HB FLOW PRA CL II-EA ADDL MRKR*IG	88185	$80
RRUCLA	HB FLOW PRA CLI THYMO-1ST MRKR*IG	88184	$103
RRUCLA	HB FLOW PRA CLI THYMO-EA ADDL *IG	88185	$80
RRUCLA	HB FLOW PRA CLII THYMO-1STMRKR*IG	88184	$103
RRUCLA	HB FLOW PRA CLII THYMO-EA ADDL*IG	88185	$80
RRUCLA	HB HLA A2 SUBTYPE *IG	86812	$63
RRUCLA	HB HLA B CELL CROSSMATCH *IG	86806	$100
RRUCLA	HB HLA B CELL FLOW CXM EA ADDL*IG	86826	$43
RRUCLA	HB HLA B CELL FLOW XM CX TITER*IG	86825	$138
RRUCLA	HB HLA B CELL LYMPH XM CX TITR*IG	86805	$285
RRUCLA	HB HLA B1502 TYPING-MULT AG *IG	86813	$82
RRUCLA	HB HLA B27 TYPING SINGLE AG *IG	86812	$63
RRUCLA	HB HLA DP HIGH RES *IG	86817	$91
RRUCLA	HB HLA DPB1 MULT AG LOW RES *IG	86817	$91
RRUCLA	HB HLA DQA1 MULT AG HI RES *IG	86817	$91
RRUCLA	HB HLA DQA1 MULT AG LOW RES *IG	86817	$91
RRUCLA	HB HLA DQB/DQA MULT AG *IG	86817	$91
RRUCLA	HB HLA DQB1 MULT AG HI RES *IG	86817	$91
RRUCLA	HB HLA DQB1 MULT AG LOW RES *IG	86817	$91
RRUCLA	HB HLA DR MULT AG HI RES *IG	86817	$91
RRUCLA	HB HLA DR/DQ MUL AG-NARCOLEPSY*IG	86817	$91
RRUCLA	HB HLA DRB 3/4/5 MULTAG HI RES*IG	86817	$91
RRUCLA	HB HLA DRB DQB1 MULT AG LOWRES*IG	86817	$91
RRUCLA	HB HLA DRB1 MULT AG IR *IG	86817	$91
RRUCLA	HB HLA DRB1/3-5 MULT AG LOWRES*IG	86817	$91
RRUCLA	HB HLA DRB1/DQB1 MULTAG HI RES*IG	86817	$91
RRUCLA	HB HLA PHEN QUAL FLOW PRA CLI *IG	86830	$275
RRUCLA	HB HLA PHEN QUAL FLOW PRA CLII*IG	86831	$275
RRUCLA	HB HLA PHEN QUAL LMNX PRA CLI *IG	86830	$175
RRUCLA	HB HLA PHEN QUAL PRA CLI THYM *IG	86830	$310
RRUCLA	HB HLA PHEN QUAL PRA CLII THYM*IG	86831	$310
RRUCLA	HB HLA QUAL HD SGL AG CLI C1Q *IG	86832	$350
RRUCLA	HB HLA QUAL HD SGL AG CLII C1Q*IG	86833	$375
RRUCLA	HB HLA QUAL HD SINGLE AG CLI *IG	86832	$350
RRUCLA	HB HLA QUAL HD SINGLE AG CLII *IG	86833	$375
RRUCLA	HB HLA SGL AG CLI TITRA PNL *IG	86834	$350
RRUCLA	HB HLA SGL AG CLII TITRA *IG	86835	$375
RRUCLA	HB HLA T CELL CROSSMATCH *IG	86806	$100
RRUCLA	HB HLA T CELL FLOW CXM EA ADDL*IG	86826	$43
RRUCLA	HB HLA T CELL FLOW XM CX TITER*IG	86825	$138
RRUCLA	HB HLA T CELL LYMPH XM CX TITR*IG	86805	$285
RRUCLA	HB HLA TYPING B5701 SINGLE AG*IG	86812	$63
RRUCLA	HB IVIG CROSSMATCH INHIBITION *IG	86805	$285
RRUCLA	HB LUMINEX PRA CLI-1ST MARKER *IG	88184	$103
RRUCLA	HB LUMINEX PRA CLI-EA ADDL *IG	88185	$80
RRUCLA	HB LUMINEX PRA CLII-1ST MARKER*IG	88184	$103
RRUCLA	HB LUMINEX PRA CLII-EA ADDL *IG	88185	$80
RNPH	HB MAP OCCULT BLOOD STOOL 1-3TESTS	82270	$40
RRUCLA	HB MAP OCCULT BLOOD STOOL 1-3TESTS	82270	$40
SMUCLA	HB MAP OCCULT BLOOD STOOL 1-3TESTS	82270	$40
RNPH	HB MAP PATH CONSULT IN-SURG 1BLOCK SGL	88331	$450
RRUCLA	HB MAP PATH CONSULT IN-SURG 1BLOCK SGL	88331	$450
SMUCLA	HB MAP PATH CONSULT IN-SURG 1BLOCK SGL	88331	$450
RNPH	HB MAP PATH CONSULT IN-SURG EA ADDL BLOCK	88332	$100
RRUCLA	HB MAP PATH CONSULT IN-SURG EA ADDL BLOCK	88332	$100
SMUCLA	HB MAP PATH CONSULT IN-SURG EA ADDL BLOCK	88332	$100
RNPH	HB MAP SKIN TEST CANDIDA	86485	$110
RRUCLA	HB MAP SKIN TEST CANDIDA	86485	$110
SMUCLA	HB MAP SKIN TEST CANDIDA	86485	$110
RNPH	HB MAP SKIN TEST COCCIDIOMYCOSIS	86490	$200
RRUCLA	HB MAP SKIN TEST COCCIDIOMYCOSIS	86490	$200
SMUCLA	HB MAP SKIN TEST COCCIDIOMYCOSIS	86490	$200
RNPH	HB MAP SKIN TEST HISTOPLASMOSIS	86510	$200
RRUCLA	HB MAP SKIN TEST HISTOPLASMOSIS	86510	$200
SMUCLA	HB MAP SKIN TEST HISTOPLASMOSIS	86510	$200
RNPH	HB MAP SKIN TEST MUMP ANTIGEN+CONTROL	86486	$60
RRUCLA	HB MAP SKIN TEST MUMP ANTIGEN+CONTROL	86486	$60
SMUCLA	HB MAP SKIN TEST MUMP ANTIGEN+CONTROL	86486	$60
RNPH	HB MAP SKIN TEST TB	86580	$60
RRUCLA	HB MAP SKIN TEST TB	86580	$60
SMUCLA	HB MAP SKIN TEST TB	86580	$60
RNPH	HB MAP SKIN TEST TB INTRADERMAL	86580	$60
RRUCLA	HB MAP SKIN TEST TB INTRADERMAL	86580	$60
SMUCLA	HB MAP SKIN TEST TB INTRADERMAL	86580	$60
RNPH	HB MAP SKIN TEST TB PPD PUR PROT DERV	86580	$60
RRUCLA	HB MAP SKIN TEST TB PPD PUR PROT DERV	86580	$60
SMUCLA	HB MAP SKIN TEST TB PPD PUR PROT DERV	86580	$60
RNPH	HB MAP SKIN TEST UNSP ANTIGEN+CONTROL	86356	$50
RRUCLA	HB MAP SKIN TEST UNSP ANTIGEN+CONTROL	86356	$50
SMUCLA	HB MAP SKIN TEST UNSP ANTIGEN+CONTROL	86356	$50
RNPH	HB MAP SKIN TEST UNSP ANTIGEN+CONTROL	86486	$60
RRUCLA	HB MAP SKIN TEST UNSP ANTIGEN+CONTROL	86486	$60
SMUCLA	HB MAP SKIN TEST UNSP ANTIGEN+CONTROL	86486	$60
RRUCLA	HB MIC-A AB *IG	86807	$275
RRUCLA	HB PRA SCREEN CLASS 1&2 *IG	86807	$275
RRUCLA	HB PRA SCRN CYTOTOXIC-STANDARD*IG	86807	$275
RRUCLA	HB PRA SCRN SPECIFICTY CLASS 1*IG	86807	$275
RRUCLA	HB PRA SCRN SPECIFICTY CLASS 2*IG	86807	$275
RRUCLA	HB PRA SINGLE AG ID CLASS 1 *IG	86807	$275
RRUCLA	HB PRA SINGLE AG ID CLASS 2 *IG	86807	$275
RRUCLA	HB PRONASE B CELL FLOW XMATCH *IG	86825	$138
RRUCLA	HB PRONASE T CELL FLOW XMATCH *IG	86825	$138
RNPH	HB PULM FXN LAB ARTERIAL PUNCTURE BLOOD DRAW	36600	$180
RRUCLA	HB PULM FXN LAB ARTERIAL PUNCTURE BLOOD DRAW	36600	$180
SMUCLA	HB PULM FXN LAB ARTERIAL PUNCTURE BLOOD DRAW	36600	$180
RNPH	HB PULM FXN LAB BLOOD GASES	82803	$140
RRUCLA	HB PULM FXN LAB BLOOD GASES	82803	$140
SMUCLA	HB PULM FXN LAB BLOOD GASES	82803	$140
RNPH	HB PULM FXN LAB CALCIUM IONIZED	82330	$60
RRUCLA	HB PULM FXN LAB CALCIUM IONIZED	82330	$60
SMUCLA	HB PULM FXN LAB CALCIUM IONIZED	82330	$60
RNPH	HB PULM FXN LAB COHB & METHB-QUANT	82375	$90
RRUCLA	HB PULM FXN LAB COHB & METHB-QUANT	82375	$90
SMUCLA	HB PULM FXN LAB COHB & METHB-QUANT	82375	$90
RNPH	HB PULM FXN LAB RESEARCH GRANT CO-OX		$65
RRUCLA	HB PULM FXN LAB RESEARCH GRANT CO-OX		$65
SMUCLA	HB PULM FXN LAB RESEARCH GRANT CO-OX		$65
RNPH	HB PULM FXN LAB RESEARCH GRANT CO-OX INTERMUNE 002		$18
RRUCLA	HB PULM FXN LAB RESEARCH GRANT CO-OX INTERMUNE 002		$18
SMUCLA	HB PULM FXN LAB RESEARCH GRANT CO-OX INTERMUNE 002		$18
RNPH	HB PULM FXN LAB RESEARCH GRANT CO-OX ROCHE		$40
RRUCLA	HB PULM FXN LAB RESEARCH GRANT CO-OX ROCHE		$40
SMUCLA	HB PULM FXN LAB RESEARCH GRANT CO-OX ROCHE		$40
RNPH	HB PULM FXN LAB VENIPUNCTURE BLOOD DRAW	36415	$10
RRUCLA	HB PULM FXN LAB VENIPUNCTURE BLOOD DRAW	36415	$10
SMUCLA	HB PULM FXN LAB VENIPUNCTURE BLOOD DRAW	36415	$10
RNPH	HB RESEARCH VENIPUNCTURE BLOOD DRAW		$45
RRUCLA	HB RESEARCH VENIPUNCTURE BLOOD DRAW		$45
SMUCLA	HB RESEARCH VENIPUNCTURE BLOOD DRAW		$45
RNPH	HB RESP BLOOD GAS *PC	82803	$140
RRUCLA	HB RESP BLOOD GAS *PC	82803	$140
SMUCLA	HB RESP BLOOD GAS *PC	82803	$140
RNPH	HB RESP BLOOD GAS *PC	82803	$140
RRUCLA	HB RESP BLOOD GAS *PC	82803	$140
SMUCLA	HB RESP BLOOD GAS *PC	82803	$140
RNPH	HB RESP CALCIUM IONIZED *PC	82330	$60
RRUCLA	HB RESP CALCIUM IONIZED *PC	82330	$60
SMUCLA	HB RESP CALCIUM IONIZED *PC	82330	$60
RNPH	HB RESP CAPILLARY BLOOD DRAW<3 YRS OLD	36416	$50
RRUCLA	HB RESP CAPILLARY BLOOD DRAW<3 YRS OLD	36416	$50
SMUCLA	HB RESP CAPILLARY BLOOD DRAW<3 YRS OLD	36416	$50
RNPH	HB RESP COOX PNL-HBCO QUANT *PC	82375	$70
RRUCLA	HB RESP COOX PNL-HBCO QUANT *PC	82375	$70
SMUCLA	HB RESP COOX PNL-HBCO QUANT *PC	82375	$70
RNPH	HB RESP COOX PNL-METHB QUANT *PC	83050	$64
RRUCLA	HB RESP COOX PNL-METHB QUANT *PC	83050	$64
SMUCLA	HB RESP COOX PNL-METHB QUANT *PC	83050	$64
RNPH	HB RESP COOX PNL-SULFHEMOGLOBIN QNT*PC	83060	$70
RRUCLA	HB RESP COOX PNL-SULFHEMOGLOBIN QNT*PC	83060	$70
SMUCLA	HB RESP COOX PNL-SULFHEMOGLOBIN QNT*PC	83060	$70
RNPH	HB RESP POTASSIUM SERUM *PC	84132	$20
RRUCLA	HB RESP POTASSIUM SERUM *PC	84132	$20
SMUCLA	HB RESP POTASSIUM SERUM *PC	84132	$20
RNPH	HB RESP VENIPUNCTURE BLOOD DRAW	36415	$10
RRUCLA	HB RESP VENIPUNCTURE BLOOD DRAW	36415	$10
SMUCLA	HB RESP VENIPUNCTURE BLOOD DRAW	36415	$10
RRUCLA	HB SGL AG CLI C1Q-1ST MARKER *IG	88184	$80
RRUCLA	HB SGL AG CLI C1Q-EA ADD MRKR *IG	88185	$45
RRUCLA	HB SGL AG CLI TITR-1ST MARKER *IG	88184	$80
RRUCLA	HB SGL AG CLI TITR-EA ADD MRKR*IG	88185	$45
RRUCLA	HB SGL AG CLII C1Q-1ST MARKER *IG	88184	$80
RRUCLA	HB SGL AG CLII C1Q-EA ADD MRKR*IG	88185	$45
RRUCLA	HB SGL AG CLII TITR-1ST MARKER*IG	88184	$80
RRUCLA	HB SGL AG CLII TITR-EA AD MRKR*IG	88185	$45
RRUCLA	HB SINGLE AG CL I-1ST MARKER *IG	88184	$103
RRUCLA	HB SINGLE AG CL I-EA ADDL MRKR*IG	88185	$80
RRUCLA	HB SINGLE AG CL II-1ST MARKER *IG	88184	$103
RRUCLA	HB SINGLE AG CL II-EA ADD MRKR*IG	88185	$80
RRUCLA	HB STEMCELL ENRICHED PREP-THAWING	38208	$1310
RRUCLA	HB STEMCELL ENRICHED PREP-TUMOR DEPLETE	38211	$5290
RRUCLA	HB STEMCELL TRANSPLANT PREP- T-CELL DEPLETE	38210	$2780
RRUCLA	HB STEMCELL TRANSPLANT PREP-CRYOPRSRV&STORE	38207	$4780
RRUCLA	HB STEMCELL TRANSPLANT PREP-HARVESTED THAW	38208	$2270
RRUCLA	HB STEMCELL TRANSPLANT PREP-PLASMA DEPLETE	38214	$1310
RRUCLA	HB STEMCELL TRANSPLANT PREP-WASHING HARVEST	38209	$1310
RRUCLA	HB T CELL CYTO THYMO DEPLET XM*IG	86806	$100
RRUCLA	HB T CELL FACS CROSSMATCH FLOW*IG	86825	$138
RRUCLA	HB T CELL FLOW THYMO DEPLET XM*IG	86806	$100
RNPH	HB VENIPUNCTURE BLOOD DRAW	36415	$10
RRUCLA	HB VENIPUNCTURE BLOOD DRAW	36415	$10
SMUCLA	HB VENIPUNCTURE BLOOD DRAW	36415	$10
RNPH	HB VENIPUNCTURE BLOOD DRAW	36415	$10
RRUCLA	HB VENIPUNCTURE BLOOD DRAW	36415	$10
SMUCLA	HB VENIPUNCTURE BLOOD DRAW	36415	$10
RNPH	HB VENIPUNCTURE BLOOD DRAW	36415	$10
RRUCLA	HB VENIPUNCTURE BLOOD DRAW	36415	$10
SMUCLA	HB VENIPUNCTURE BLOOD DRAW	36415	$10
RRUCLA	HB XM CXM FLOW CYTO-1ST MRKR *IG	88184	$121
RRUCLA	HB XM CXM FLOW CYTO-ADD MRKR *IG	88185	$71
RRUCLA	HB AB ID PLATELET COMPNT CROSSMATCH *RC	86022	$150
RRUCLA	HB AB ID PRETREAT SERUM ABSORPTION	86978	$110
RRUCLA	HB AB ID PRETREAT SERUM DILUTION	86976	$60
RRUCLA	HB AB ID PRETREAT SERUM INHIBITOR	86977	$450
RRUCLA	HB AB ID PRETREAT SERUM WITH DRUGS	86975	$110
RRUCLA	HB AB ID RBC CONCENTRATN	86972	$450
RRUCLA	HB AB ID RBC EA PANEL	86870	$750
RRUCLA	HB AB ID RBC EA PANEL6-8 CELLS *RC	86870	$50
RRUCLA	HB AB ID RBC EACH ELUTION	86860	$230
RRUCLA	HB AB ID RBC EACH ELUTION *RC	86860	$72
RRUCLA	HB AB ID RBC ENZYME EACH	86870	$380
RRUCLA	HB AB ID RBC INDIRECT QUAL EA REAGENT	86885	$560
RRUCLA	HB AB ID RBC INDIRECT QUAL EA REAGENT *RC	86885	$10
RRUCLA	HB AB ID RBC PNL&SER CMPLX	86870	$750
RRUCLA	HB AB ID RBC PNL&SERUM EA	86870	$750
RRUCLA	HB AB ID RBC RETICULOCYTE SEPARATION *RC	86972	$110
RRUCLA	HB AB ID RBC TITER INDIR SALINE	86886	$230
RRUCLA	HB AB ID RBC TITER INDIRECT EA	86886	$230
RRUCLA	HB AB ID RBC TITER INDIRECT EA *RC	86886	$72
RRUCLA	HB AB ID RBC- CONCENTRATION	86972	$450
RRUCLA	HB AB ID RBC-INCUB CHM/DRUG EA	86970	$60
RRUCLA	HB AB ID RBC-INCUB CHM/DRUG EA *RC	86970	$37
RRUCLA	HB AB ID RBC-PRETRT ENZYMES EA *RC	86971	$21
RRUCLA	HB AB ID RBC-SER DIFF ADSRP EA	86978	$60
RRUCLA	HB AB ID RBC-SER DIFF ADSRP EA *RC	86978	$55
RRUCLA	HB AB ID RBC-SER INCUB DRUG EA	86975	$110
RRUCLA	HB AB ID RBC-SER INCUB DRUG EA *RC	86975	$140
RRUCLA	HB AB ID RBC-SER MISC ADSRP EA *RC	86978	$70
RRUCLA	HB AB ID RBC-SERUM BY DILUTION	86976	$60
RRUCLA	HB AB ID RBC-SERUM BY DILUTION *RC	86976	$30
RRUCLA	HB AB ID RBC-SERUM INHIBITR EA	86977	$450
RRUCLA	HB AB ID RBC-SERUM INHIBITR EA *RC	86977	$42
RNPH	HB AB IDENTIFICATION LEUKOCYTE AB	86021	$100
RRUCLA	HB AB IDENTIFICATION LEUKOCYTE AB	86021	$100
SMUCLA	HB AB IDENTIFICATION LEUKOCYTE AB	86021	$100
RNPH	HB AB INDENTIFICATION PLT AB	86022	$130
RRUCLA	HB AB INDENTIFICATION PLT AB	86022	$130
SMUCLA	HB AB INDENTIFICATION PLT AB	86022	$130
RRUCLA	HB AB SCREEN RBC EA TECHNIQUE	86850	$80
RRUCLA	HB AB SCREEN RBC EA TECHNIQUE *RC	86850	$35
RRUCLA	HB ABO BLOOD TYPING	86900	$180
RRUCLA	HB ABO BLOOD TYPING *RC	86900	$21
RNPH	HB ACID FAST STAIN FUNGAL PARASITE	87206	$80
RRUCLA	HB ACID FAST STAIN FUNGAL PARASITE	87206	$80
SMUCLA	HB ACID FAST STAIN FUNGAL PARASITE	87206	$80
RNPH	HB ACTH	82024	$210
RRUCLA	HB ACTH	82024	$210
SMUCLA	HB ACTH	82024	$210
RNPH	HB ACUTE HEPATITIS PANEL	80074	$260
RRUCLA	HB ACUTE HEPATITIS PANEL	80074	$260
SMUCLA	HB ACUTE HEPATITIS PANEL	80074	$260
RNPH	HB ADENOVIRUS OPTIC OBSERV	87809	$170
RRUCLA	HB ADENOVIRUS OPTIC OBSERV	87809	$170
SMUCLA	HB ADENOVIRUS OPTIC OBSERV	87809	$170
RNPH	HB AEROBIC ID EA ISOLATE	87077	$80
RRUCLA	HB AEROBIC ID EA ISOLATE	87077	$80
SMUCLA	HB AEROBIC ID EA ISOLATE	87077	$80
RNPH	HB AFB DEFINITIVE ID EA ISOLATE	87118	$60
RRUCLA	HB AFB DEFINITIVE ID EA ISOLATE	87118	$60
SMUCLA	HB AFB DEFINITIVE ID EA ISOLATE	87118	$60
RRUCLA	HB AG SCREEN COMPATIBLE DONOR UNIT	86902	$380
RRUCLA	HB AG SCREEN COMPATIBLE PT SERUM	86904	$110
RRUCLA	HB AG TYPING AG NEG/UNIT *RC	86902	$80
RRUCLA	HB AG TYPING CLASS 1 AG/UNIT *LS	86902	$70
RRUCLA	HB AG TYPING CLASS 2 AG/UNIT *LS	86902	$120
RRUCLA	HB AG TYPING PER AG /UNIT *RC	86902	$64
RRUCLA	HB AG TYPING RARE AG/UNIT *LS	86902	$200
RRUCLA	HB AG TYPING RARE ARDP HIGH AG/UNIT *RC	86902	$350
RRUCLA	HB AG TYPING RBC RECIPIENT	86905	$380
RNPH	HB ALANINE AMINO ALT SGPT	84460	$30
RRUCLA	HB ALANINE AMINO ALT SGPT	84460	$30
SMUCLA	HB ALANINE AMINO ALT SGPT	84460	$30
RNPH	HB ALBUMIN	82040	$40
RRUCLA	HB ALBUMIN	82040	$40
SMUCLA	HB ALBUMIN	82040	$40
RNPH	HB ALBUMIN MICRO URINE QUANT	82043	$100
RRUCLA	HB ALBUMIN MICRO URINE QUANT	82043	$100
SMUCLA	HB ALBUMIN MICRO URINE QUANT	82043	$100
RNPH	HB ALBUMIN URINE OR OTH SOURCE	82042	$100
RRUCLA	HB ALBUMIN URINE OR OTH SOURCE	82042	$100
SMUCLA	HB ALBUMIN URINE OR OTH SOURCE	82042	$100
RNPH	HB ALDOLASE	82085	$90
RRUCLA	HB ALDOLASE	82085	$90
SMUCLA	HB ALDOLASE	82085	$90
RRUCLA	HB ALIQUOT SPLIT BLOOD/BLOOD PROD	86985	$230
RNPH	HB ALKALINE PHOSPHATASE	84075	$40
RRUCLA	HB ALKALINE PHOSPHATASE	84075	$40
SMUCLA	HB ALKALINE PHOSPHATASE	84075	$40
RNPH	HB ALPHAFETOPROT TUMOR MRKR	82105	$80
RRUCLA	HB ALPHAFETOPROT TUMOR MRKR	82105	$80
SMUCLA	HB ALPHAFETOPROT TUMOR MRKR	82105	$80
RNPH	HB AMIKACIN	80150	$110
RRUCLA	HB AMIKACIN	80150	$110
SMUCLA	HB AMIKACIN	80150	$110
RNPH	HB AMMONIA	82140	$100
RRUCLA	HB AMMONIA	82140	$100
SMUCLA	HB AMMONIA	82140	$100
RNPH	HB AMYLASE	82150	$90
RRUCLA	HB AMYLASE	82150	$90
SMUCLA	HB AMYLASE	82150	$90
RNPH	HB ANAEROBE CULTURE	87075	$130
RRUCLA	HB ANAEROBE CULTURE	87075	$130
SMUCLA	HB ANAEROBE CULTURE	87075	$130
RNPH	HB ANAEROBE ISOLATE EA	87076	$110
RRUCLA	HB ANAEROBE ISOLATE EA	87076	$110
SMUCLA	HB ANAEROBE ISOLATE EA	87076	$110
RNPH	HB ANGIOTENSI CONVERTNG ENZYM	82164	$100
RRUCLA	HB ANGIOTENSI CONVERTNG ENZYM	82164	$100
SMUCLA	HB ANGIOTENSI CONVERTNG ENZYM	82164	$100
RNPH	HB ANTI THROMBIN III ACTIVITY	85300	$240
RRUCLA	HB ANTI THROMBIN III ACTIVITY	85300	$240
SMUCLA	HB ANTI THROMBIN III ACTIVITY	85300	$240
RRUCLA	HB ANTI-ANGIOTENSIN I RECP QNT *IG	86316	$170
RRUCLA	HB ANTIBODY ID ENZYME	86870	$750
RRUCLA	HB ANTIBODY ID IRREG CROSS + EVAL	86077	$110
RRUCLA	HB ANTIBODY ID-RBC PRETREATMNT EA	86970	$110
RNPH	HB ANTINUCLEAR AB	86038	$130
RRUCLA	HB ANTINUCLEAR AB	86038	$130
SMUCLA	HB ANTINUCLEAR AB	86038	$130
RNPH	HB ANTINUCLEAR AB TITER	86039	$300
RRUCLA	HB ANTINUCLEAR AB TITER	86039	$300
SMUCLA	HB ANTINUCLEAR AB TITER	86039	$300
RNPH	HB AP ABSOLUTE CD4 AND CD8 COUNT RATIO	86360	$380
RRUCLA	HB AP ABSOLUTE CD4 AND CD8 COUNT RATIO	86360	$380
SMUCLA	HB AP ABSOLUTE CD4 AND CD8 COUNT RATIO	86360	$380
RNPH	HB AP B CELLS TOTAL COUNT	86355	$160
RRUCLA	HB AP B CELLS TOTAL COUNT	86355	$160
SMUCLA	HB AP B CELLS TOTAL COUNT	86355	$160
RNPH	HB AP BCR-ABL GENE REARRANGEMENT	81170	$900
RRUCLA	HB AP BCR-ABL GENE REARRANGEMENT	81170	$900
SMUCLA	HB AP BCR-ABL GENE REARRANGEMENT	81170	$900
RNPH	HB AP BCR-ABL1 MAJOR BREAKPOINT ANAL	81206	$610
RRUCLA	HB AP BCR-ABL1 MAJOR BREAKPOINT ANAL	81206	$610
SMUCLA	HB AP BCR-ABL1 MAJOR BREAKPOINT ANAL	81206	$610
RNPH	HB AP BCR-ABL1 MINOR BREAKPOINT ANAL	81207	$540
RRUCLA	HB AP BCR-ABL1 MINOR BREAKPOINT ANAL	81207	$540
SMUCLA	HB AP BCR-ABL1 MINOR BREAKPOINT ANAL	81207	$540
RNPH	HB AP BLOOD COUNT MAN DIFF BUFFY COAT	85009	$20
RRUCLA	HB AP BLOOD COUNT MAN DIFF BUFFY COAT	85009	$20
SMUCLA	HB AP BLOOD COUNT MAN DIFF BUFFY COAT	85009	$20
RNPH	HB AP BRAF GENE ANAL NGS	81210	$1190
RRUCLA	HB AP BRAF GENE ANAL NGS	81210	$1190
SMUCLA	HB AP BRAF GENE ANAL NGS	81210	$1190
RNPH	HB AP BRCA1 BRCA2 AJ GENE ANAL VARIANTS	81212	$499
RRUCLA	HB AP BRCA1 BRCA2 AJ GENE ANAL VARIANTS	81212	$499
SMUCLA	HB AP BRCA1 BRCA2 AJ GENE ANAL VARIANTS	81212	$499
RNPH	HB AP CALRETICULIN MUTA ANAL	81219	$460
RRUCLA	HB AP CALRETICULIN MUTA ANAL	81219	$460
SMUCLA	HB AP CALRETICULIN MUTA ANAL	81219	$460
RNPH	HB AP CALRETICULIN MUTA ANAL NGS	81219	$1190
RRUCLA	HB AP CALRETICULIN MUTA ANAL NGS	81219	$1190
SMUCLA	HB AP CALRETICULIN MUTA ANAL NGS	81219	$1190
RNPH	HB AP CEBPA MUTA ANALYSIS	81218	$530
RRUCLA	HB AP CEBPA MUTA ANALYSIS	81218	$530
SMUCLA	HB AP CEBPA MUTA ANALYSIS	81218	$530
RNPH	HB AP CEBPA MUTA ANALYSIS NGS	81218	$1190
RRUCLA	HB AP CEBPA MUTA ANALYSIS NGS	81218	$1190
SMUCLA	HB AP CEBPA MUTA ANALYSIS NGS	81218	$1190
RNPH	HB AP CELL COUNT DIFF MISC BODY FLUID	89051	$110
RRUCLA	HB AP CELL COUNT DIFF MISC BODY FLUID	89051	$110
SMUCLA	HB AP CELL COUNT DIFF MISC BODY FLUID	89051	$110
RNPH	HB AP CELL COUNT DIFF MISC BODY FLUID1	89051	$110
RRUCLA	HB AP CELL COUNT DIFF MISC BODY FLUID1	89051	$110
SMUCLA	HB AP CELL COUNT DIFF MISC BODY FLUID1	89051	$110
RNPH	HB AP CFTR GENE ANAL ACMG	81220	$1270
RRUCLA	HB AP CFTR GENE ANAL ACMG	81220	$1270
SMUCLA	HB AP CFTR GENE ANAL ACMG	81220	$1270
RNPH	HB AP CFTR KNWN FAM VARIANT	81221	$420
RRUCLA	HB AP CFTR KNWN FAM VARIANT	81221	$420
SMUCLA	HB AP CFTR KNWN FAM VARIANT	81221	$420
RNPH	HB AP CHROMOSOME ANAL 1-5 CELL	88261	$310
RRUCLA	HB AP CHROMOSOME ANAL 1-5 CELL	88261	$310
SMUCLA	HB AP CHROMOSOME ANAL 1-5 CELL	88261	$310
RNPH	HB AP CHROMOSOME ANAL 15-20 CELL	88262	$350
RRUCLA	HB AP CHROMOSOME ANAL 15-20 CELL	88262	$350
SMUCLA	HB AP CHROMOSOME ANAL 15-20 CELL	88262	$350
RNPH	HB AP CHROMOSOME ANAL 20-25 CELL	88264	$230
RRUCLA	HB AP CHROMOSOME ANAL 20-25 CELL	88264	$230
SMUCLA	HB AP CHROMOSOME ANAL 20-25 CELL	88264	$230
RNPH	HB AP CHROMOSOME ANAL ADD KAROTYPES EA SYUDY	88280	$110
RRUCLA	HB AP CHROMOSOME ANAL ADD KAROTYPES EA SYUDY	88280	$110
SMUCLA	HB AP CHROMOSOME ANAL ADD KAROTYPES EA SYUDY	88280	$110
RNPH	HB AP CHROMOSOME ANAL AMNIO 6-12 COLONIES	88269	$1117
RRUCLA	HB AP CHROMOSOME ANAL AMNIO 6-12 COLONIES	88269	$1117
SMUCLA	HB AP CHROMOSOME ANAL AMNIO 6-12 COLONIES	88269	$1117
RNPH	HB AP CHROMOSOME ANAL CVS 15 CELL	88267	$630
RRUCLA	HB AP CHROMOSOME ANAL CVS 15 CELL	88267	$630
SMUCLA	HB AP CHROMOSOME ANAL CVS 15 CELL	88267	$630
RNPH	HB AP CHROMOSOME ANAYLSIS ADD CELL COUNT EA STUDY	88285	$240
RRUCLA	HB AP CHROMOSOME ANAYLSIS ADD CELL COUNT EA STUDY	88285	$240
SMUCLA	HB AP CHROMOSOME ANAYLSIS ADD CELL COUNT EA STUDY	88285	$240
RNPH	HB AP CHROMOSOME ANAYLSIS ADD HI RES STUDY	88289	$140
RRUCLA	HB AP CHROMOSOME ANAYLSIS ADD HI RES STUDY	88289	$140
SMUCLA	HB AP CHROMOSOME ANAYLSIS ADD HI RES STUDY	88289	$140
RNPH	HB AP CHROMOSOME ANAYLSIS ADD SPECIAL BANDING	88283	$94
RRUCLA	HB AP CHROMOSOME ANAYLSIS ADD SPECIAL BANDING	88283	$94
SMUCLA	HB AP CHROMOSOME ANAYLSIS ADD SPECIAL BANDING	88283	$94
RNPH	HB AP COMPARATIVE ANAL STR MRKRS BMT PRE-TRANSPLANT EVAL	81265	$800
RRUCLA	HB AP COMPARATIVE ANAL STR MRKRS BMT PRE-TRANSPLANT EVAL	81265	$800
SMUCLA	HB AP COMPARATIVE ANAL STR MRKRS BMT PRE-TRANSPLANT EVAL	81265	$800
RNPH	HB AP COMPARATIVE ANAL STR MRKRS EA ADD SPEC	81266	$1080
RRUCLA	HB AP COMPARATIVE ANAL STR MRKRS EA ADD SPEC	81266	$1080
SMUCLA	HB AP COMPARATIVE ANAL STR MRKRS EA ADD SPEC	81266	$1080
RNPH	HB AP COMPARATIVE STR MRKRS FOR MCC	81265	$2040
RRUCLA	HB AP COMPARATIVE STR MRKRS FOR MCC	81265	$2040
SMUCLA	HB AP COMPARATIVE STR MRKRS FOR MCC	81265	$2040
RNPH	HB AP CONSULT IN SURG EA ADD BLOCK	88332	$130
RRUCLA	HB AP CONSULT IN SURG EA ADD BLOCK	88332	$130
SMUCLA	HB AP CONSULT IN SURG EA ADD BLOCK	88332	$130
RNPH	HB AP CONSULT REFER SLIDE PREP	88323	$160
RRUCLA	HB AP CONSULT REFER SLIDE PREP	88323	$160
SMUCLA	HB AP CONSULT REFER SLIDE PREP	88323	$160
RNPH	HB AP CRYOPRESERVATION EA CELL LINE	88240	$100
RRUCLA	HB AP CRYOPRESERVATION EA CELL LINE	88240	$100
SMUCLA	HB AP CRYOPRESERVATION EA CELL LINE	88240	$100
RNPH	HB AP CYTOPATH EXTENDED STUDY SMEAR ANY OTHR SOURCE	88162	$160
RRUCLA	HB AP CYTOPATH EXTENDED STUDY SMEAR ANY OTHR SOURCE	88162	$160
SMUCLA	HB AP CYTOPATH EXTENDED STUDY SMEAR ANY OTHR SOURCE	88162	$160
RNPH	HB AP CYTOPATH FISH URINE EA SPEC AUTO	88121	$750
RRUCLA	HB AP CYTOPATH FISH URINE EA SPEC AUTO	88121	$750
SMUCLA	HB AP CYTOPATH FISH URINE EA SPEC AUTO	88121	$750
RNPH	HB AP CYTOPATH FISH URINE EA SPEC MAN	88120	$450
RRUCLA	HB AP CYTOPATH FISH URINE EA SPEC MAN	88120	$450
SMUCLA	HB AP CYTOPATH FISH URINE EA SPEC MAN	88120	$450
RNPH	HB AP CYTOPATH FNA EA ADD EVAL SAME SITE	88177	$90
RRUCLA	HB AP CYTOPATH FNA EA ADD EVAL SAME SITE	88177	$90
SMUCLA	HB AP CYTOPATH FNA EA ADD EVAL SAME SITE	88177	$90
RNPH	HB AP CYTOPATH FNA EVAL INTERP AND REPORT	88173	$430
RRUCLA	HB AP CYTOPATH FNA EVAL INTERP AND REPORT	88173	$430
SMUCLA	HB AP CYTOPATH FNA EVAL INTERP AND REPORT	88173	$430
RNPH	HB AP CYTOPATH FNA EVAL INTERP AND REPORT1	88173	$430
RRUCLA	HB AP CYTOPATH FNA EVAL INTERP AND REPORT1	88173	$430
SMUCLA	HB AP CYTOPATH FNA EVAL INTERP AND REPORT1	88173	$430
RNPH	HB AP CYTOPATH FNA EVAL INTERP AND REPORT2	88173	$430
RRUCLA	HB AP CYTOPATH FNA EVAL INTERP AND REPORT2	88173	$430
SMUCLA	HB AP CYTOPATH FNA EVAL INTERP AND REPORT2	88173	$430
RNPH	HB AP CYTOPATH FNA FIRST EVAL EA SITE	88172	$450
RRUCLA	HB AP CYTOPATH FNA FIRST EVAL EA SITE	88172	$450
SMUCLA	HB AP CYTOPATH FNA FIRST EVAL EA SITE	88172	$450
RNPH	HB AP CYTOPATH GYN MAN SCRN BETHESDA SYSTEM	88164	$55
RRUCLA	HB AP CYTOPATH GYN MAN SCRN BETHESDA SYSTEM	88164	$55
SMUCLA	HB AP CYTOPATH GYN MAN SCRN BETHESDA SYSTEM	88164	$55
RNPH	HB AP CYTOPATH GYN THIN PREP MAN SCRN	88142	$180
RRUCLA	HB AP CYTOPATH GYN THIN PREP MAN SCRN	88142	$180
SMUCLA	HB AP CYTOPATH GYN THIN PREP MAN SCRN	88142	$180
RNPH	HB AP CYTOPATH MATURATION INDEX	88155	$20
RRUCLA	HB AP CYTOPATH MATURATION INDEX	88155	$20
SMUCLA	HB AP CYTOPATH MATURATION INDEX	88155	$20
RNPH	HB AP CYTOPATH NONGYN CONCENTRATION	88108	$110
RRUCLA	HB AP CYTOPATH NONGYN CONCENTRATION	88108	$110
SMUCLA	HB AP CYTOPATH NONGYN CONCENTRATION	88108	$110
RNPH	HB AP CYTOPATH NONGYN CONCENTRATION	88108	$110
RRUCLA	HB AP CYTOPATH NONGYN CONCENTRATION	88108	$110
SMUCLA	HB AP CYTOPATH NONGYN CONCENTRATION	88108	$110
RNPH	HB AP CYTOPATH NONGYN SELECT CELL TECH W INTERP	88112	$230
RRUCLA	HB AP CYTOPATH NONGYN SELECT CELL TECH W INTERP	88112	$230
SMUCLA	HB AP CYTOPATH NONGYN SELECT CELL TECH W INTERP	88112	$230
RNPH	HB AP CYTOPATH NONGYN SELECT CELL TECH W INTERP	88112	$472
RRUCLA	HB AP CYTOPATH NONGYN SELECT CELL TECH W INTERP	88112	$472
SMUCLA	HB AP CYTOPATH NONGYN SELECT CELL TECH W INTERP	88112	$472
RNPH	HB AP CYTOPATH NONGYN W INTERP	88104	$110
RRUCLA	HB AP CYTOPATH NONGYN W INTERP	88104	$110
SMUCLA	HB AP CYTOPATH NONGYN W INTERP	88104	$110
RNPH	HB AP CYTOPATH SCRN CERV VAG THIN PREP	G0123	$110
RRUCLA	HB AP CYTOPATH SCRN CERV VAG THIN PREP	G0123	$110
SMUCLA	HB AP CYTOPATH SCRN CERV VAG THIN PREP	G0123	$110
RNPH	HB AP CYTOPATH SMEAR PREP SCRN INTERP ANY OTHR SOURCE	88161	$110
RRUCLA	HB AP CYTOPATH SMEAR PREP SCRN INTERP ANY OTHR SOURCE	88161	$110
SMUCLA	HB AP CYTOPATH SMEAR PREP SCRN INTERP ANY OTHR SOURCE	88161	$110
RNPH	HB AP DECALCIFICATION PROCEDURE	88311	$80
RRUCLA	HB AP DECALCIFICATION PROCEDURE	88311	$80
SMUCLA	HB AP DECALCIFICATION PROCEDURE	88311	$80
RNPH	HB AP DECALCIFICATION PROCEDURE	88311	$80
RRUCLA	HB AP DECALCIFICATION PROCEDURE	88311	$80
SMUCLA	HB AP DECALCIFICATION PROCEDURE	88311	$80
RNPH	HB AP DECALCIFICATION PROCEDURE	88311	$80
RRUCLA	HB AP DECALCIFICATION PROCEDURE	88311	$80
SMUCLA	HB AP DECALCIFICATION PROCEDURE	88311	$80
RNPH	HB AP EGFR GENE ANAL AMPLISEQ	81235	$390
RRUCLA	HB AP EGFR GENE ANAL AMPLISEQ	81235	$390
SMUCLA	HB AP EGFR GENE ANAL AMPLISEQ	81235	$390
RNPH	HB AP EGFR GENE ANAL NGS	81235	$1190
RRUCLA	HB AP EGFR GENE ANAL NGS	81235	$1190
SMUCLA	HB AP EGFR GENE ANAL NGS	81235	$1190
RNPH	HB AP EGFR GENE ANAL RT PCR	81235	$1400
RRUCLA	HB AP EGFR GENE ANAL RT PCR	81235	$1400
SMUCLA	HB AP EGFR GENE ANAL RT PCR	81235	$1400
RNPH	HB AP EGFR GENE ANAL RT PCR	81235	$2500
RRUCLA	HB AP EGFR GENE ANAL RT PCR	81235	$2500
SMUCLA	HB AP EGFR GENE ANAL RT PCR	81235	$2500
RNPH	HB AP ELECTRON MICROSCOPY DIAGNOSTIC	88348	$1580
RRUCLA	HB AP ELECTRON MICROSCOPY DIAGNOSTIC	88348	$1580
SMUCLA	HB AP ELECTRON MICROSCOPY DIAGNOSTIC	88348	$1580
RNPH	HB AP ENGRAFTMENT BMT POST-TRANSPLANT FOLLOW UP	81267	$1080
RRUCLA	HB AP ENGRAFTMENT BMT POST-TRANSPLANT FOLLOW UP	81267	$1080
SMUCLA	HB AP ENGRAFTMENT BMT POST-TRANSPLANT FOLLOW UP	81267	$1080
RNPH	HB AP ENGRAFTMENT BMT POST-TRANSPLANT FOLLOW UP W CELL SELECTION	81268	$1070
RRUCLA	HB AP ENGRAFTMENT BMT POST-TRANSPLANT FOLLOW UP W CELL SELECTION	81268	$1070
SMUCLA	HB AP ENGRAFTMENT BMT POST-TRANSPLANT FOLLOW UP W CELL SELECTION	81268	$1070
RNPH	HB AP EXOME SEQ RE EVALUATION	81417	$880
RRUCLA	HB AP EXOME SEQ RE EVALUATION	81417	$880
SMUCLA	HB AP EXOME SEQ RE EVALUATION	81417	$880
RNPH	HB AP F2 GENE ANAL 20210A	81240	$280
RRUCLA	HB AP F2 GENE ANAL 20210A	81240	$280
SMUCLA	HB AP F2 GENE ANAL 20210A	81240	$280
RNPH	HB AP F5 GENE ANAL LEIDEN	81241	$280
RRUCLA	HB AP F5 GENE ANAL LEIDEN	81241	$280
SMUCLA	HB AP F5 GENE ANAL LEIDEN	81241	$280
RNPH	HB AP FLOW CYTO CELL MRKR TECH COMP EA ADD	88185	$100
RRUCLA	HB AP FLOW CYTO CELL MRKR TECH COMP EA ADD	88185	$100
SMUCLA	HB AP FLOW CYTO CELL MRKR TECH COMP EA ADD	88185	$100
RNPH	HB AP FLOW CYTO CELL MRKR TECH COMP FIRST	88184	$380
RRUCLA	HB AP FLOW CYTO CELL MRKR TECH COMP FIRST	88184	$380
SMUCLA	HB AP FLOW CYTO CELL MRKR TECH COMP FIRST	88184	$380
RNPH	HB AP FLOW CYTOMETRY DNA ANAL	88182	$193
RRUCLA	HB AP FLOW CYTOMETRY DNA ANAL	88182	$193
SMUCLA	HB AP FLOW CYTOMETRY DNA ANAL	88182	$193
RNPH	HB AP FLT3 ITD	81245	$540
RRUCLA	HB AP FLT3 ITD	81245	$540
SMUCLA	HB AP FLT3 ITD	81245	$540
RNPH	HB AP FMR1 GENE ANAL CHARACTER	81244	$146
RRUCLA	HB AP FMR1 GENE ANAL CHARACTER	81244	$146
SMUCLA	HB AP FMR1 GENE ANAL CHARACTER	81244	$146
RNPH	HB AP FMR1 GENE ANAL DETECTION	81243	$340
RRUCLA	HB AP FMR1 GENE ANAL DETECTION	81243	$340
SMUCLA	HB AP FMR1 GENE ANAL DETECTION	81243	$340
RNPH	HB AP GENE REARR IGH ANAL BLOT	81262	$348
RRUCLA	HB AP GENE REARR IGH ANAL BLOT	81262	$348
SMUCLA	HB AP GENE REARR IGH ANAL BLOT	81262	$348
RNPH	HB AP GENE REARR IGH ANAL PCR	81261	$980
RRUCLA	HB AP GENE REARR IGH ANAL PCR	81261	$980
SMUCLA	HB AP GENE REARR IGH ANAL PCR	81261	$980
RNPH	HB AP HFE GENE ANAL VARIANTS	81256	$420
RRUCLA	HB AP HFE GENE ANAL VARIANTS	81256	$420
SMUCLA	HB AP HFE GENE ANAL VARIANTS	81256	$420
RNPH	HB AP HISTOCHEMICAL STAIN FRZN SPEC	88314	$390
RRUCLA	HB AP HISTOCHEMICAL STAIN FRZN SPEC	88314	$390
SMUCLA	HB AP HISTOCHEMICAL STAIN FRZN SPEC	88314	$390
RNPH	HB AP IMMUNOFLUORESCENT 1ST AB	88346	$750
RRUCLA	HB AP IMMUNOFLUORESCENT 1ST AB	88346	$750
SMUCLA	HB AP IMMUNOFLUORESCENT 1ST AB	88346	$750
RNPH	HB AP IMMUNOFLUORESCENT 1ST AB	88346	$750
RRUCLA	HB AP IMMUNOFLUORESCENT 1ST AB	88346	$750
SMUCLA	HB AP IMMUNOFLUORESCENT 1ST AB	88346	$750
RNPH	HB AP IMMUNOFLUORESCENT EA ADD AB	88350	$280
RRUCLA	HB AP IMMUNOFLUORESCENT EA ADD AB	88350	$280
SMUCLA	HB AP IMMUNOFLUORESCENT EA ADD AB	88350	$280
RNPH	HB AP IMMUNOFLUORESCENT EA ADD AB1	88350	$280
RRUCLA	HB AP IMMUNOFLUORESCENT EA ADD AB1	88350	$280
SMUCLA	HB AP IMMUNOFLUORESCENT EA ADD AB1	88350	$280
RNPH	HB AP IMMUNOFLUORSCNT INDIR EA AB	88347	$164
RRUCLA	HB AP IMMUNOFLUORSCNT INDIR EA AB	88347	$164
SMUCLA	HB AP IMMUNOFLUORSCNT INDIR EA AB	88347	$164
RNPH	HB AP IMMUNOGLOBULIN HEAVY CHAIN IGH	81261	$1020
RRUCLA	HB AP IMMUNOGLOBULIN HEAVY CHAIN IGH	81261	$1020
SMUCLA	HB AP IMMUNOGLOBULIN HEAVY CHAIN IGH	81261	$1020
RNPH	HB AP IMMUNOGLOBULIN KAPPA LIGHT CHAIN GENE IGK	81264	$770
RRUCLA	HB AP IMMUNOGLOBULIN KAPPA LIGHT CHAIN GENE IGK	81264	$770
SMUCLA	HB AP IMMUNOGLOBULIN KAPPA LIGHT CHAIN GENE IGK	81264	$770
RNPH	HB AP IMMUNOHISTOCHEM PER SPEC EA MULTIPLEX AB STAIN	88344	$380
RRUCLA	HB AP IMMUNOHISTOCHEM PER SPEC EA MULTIPLEX AB STAIN	88344	$380
SMUCLA	HB AP IMMUNOHISTOCHEM PER SPEC EA MULTIPLEX AB STAIN	88344	$380
RNPH	HB AP IMMUNOHISTOCHEM PER SPEC EA MULTIPLEX AB STAIN	88344	$380
RRUCLA	HB AP IMMUNOHISTOCHEM PER SPEC EA MULTIPLEX AB STAIN	88344	$380
SMUCLA	HB AP IMMUNOHISTOCHEM PER SPEC EA MULTIPLEX AB STAIN	88344	$380
RNPH	HB AP IMMUNOHISTOCHEM PER SPEC INITIAL SINGLE AB STAIN	88342	$380
RRUCLA	HB AP IMMUNOHISTOCHEM PER SPEC INITIAL SINGLE AB STAIN	88342	$380
SMUCLA	HB AP IMMUNOHISTOCHEM PER SPEC INITIAL SINGLE AB STAIN	88342	$380
RNPH	HB AP IMMUNOHISTOCHEM PER SPEC INITIAL SINGLE AB STAIN	88342	$380
RRUCLA	HB AP IMMUNOHISTOCHEM PER SPEC INITIAL SINGLE AB STAIN	88342	$380
SMUCLA	HB AP IMMUNOHISTOCHEM PER SPEC INITIAL SINGLE AB STAIN	88342	$380
RNPH	HB AP IN SITU HYBRIDIZATN EA ADD SINGLE STAIN	88364	$160
RRUCLA	HB AP IN SITU HYBRIDIZATN EA ADD SINGLE STAIN	88364	$160
SMUCLA	HB AP IN SITU HYBRIDIZATN EA ADD SINGLE STAIN	88364	$160
RNPH	HB AP IN SITU HYBRIDIZATN EA ADD SINGLE STAIN	88364	$160
RRUCLA	HB AP IN SITU HYBRIDIZATN EA ADD SINGLE STAIN	88364	$160
SMUCLA	HB AP IN SITU HYBRIDIZATN EA ADD SINGLE STAIN	88364	$160
RNPH	HB AP IN SITU HYBRIDIZATN EA MULTIPLEX STAIN	88366	$380
RRUCLA	HB AP IN SITU HYBRIDIZATN EA MULTIPLEX STAIN	88366	$380
SMUCLA	HB AP IN SITU HYBRIDIZATN EA MULTIPLEX STAIN	88366	$380
RNPH	HB AP IN SITU HYBRIDIZATN INTIAL SINGLE STAIN	88365	$450
RRUCLA	HB AP IN SITU HYBRIDIZATN INTIAL SINGLE STAIN	88365	$450
SMUCLA	HB AP IN SITU HYBRIDIZATN INTIAL SINGLE STAIN	88365	$450
RNPH	HB AP IN SITU HYBRIDIZATN INTIAL SINGLE STAIN	88365	$230
RRUCLA	HB AP IN SITU HYBRIDIZATN INTIAL SINGLE STAIN	88365	$230
SMUCLA	HB AP IN SITU HYBRIDIZATN INTIAL SINGLE STAIN	88365	$230
RNPH	HB AP JAK2 GENE ANAL V617F	81270	$400
RRUCLA	HB AP JAK2 GENE ANAL V617F	81270	$400
SMUCLA	HB AP JAK2 GENE ANAL V617F	81270	$400
RNPH	HB AP KIT ANALYSIS D816 VARIANTS	81273	$270
RRUCLA	HB AP KIT ANALYSIS D816 VARIANTS	81273	$270
SMUCLA	HB AP KIT ANALYSIS D816 VARIANTS	81273	$270
RNPH	HB AP KIT ANALYSIS TARGETED SEQ	81272	$270
RRUCLA	HB AP KIT ANALYSIS TARGETED SEQ	81272	$270
SMUCLA	HB AP KIT ANALYSIS TARGETED SEQ	81272	$270
RNPH	HB AP KRAS GENE ANALYSIS AMPLISEQ	81275	$310
RRUCLA	HB AP KRAS GENE ANALYSIS AMPLISEQ	81275	$310
SMUCLA	HB AP KRAS GENE ANALYSIS AMPLISEQ	81275	$310
RNPH	HB AP KRAS GENE ANALYSIS NGS	81275	$1190
RRUCLA	HB AP KRAS GENE ANALYSIS NGS	81275	$1190
SMUCLA	HB AP KRAS GENE ANALYSIS NGS	81275	$1190
RNPH	HB AP KRAS GENE ANALYSIS RT PCR	81275	$1400
RRUCLA	HB AP KRAS GENE ANALYSIS RT PCR	81275	$1400
SMUCLA	HB AP KRAS GENE ANALYSIS RT PCR	81275	$1400
RNPH	HB AP LEUKOCYTE ALK PHOS W COUNT	85540	$77
RRUCLA	HB AP LEUKOCYTE ALK PHOS W COUNT	85540	$77
SMUCLA	HB AP LEUKOCYTE ALK PHOS W COUNT	85540	$77
RNPH	HB AP MICROARRAY POSTNATAL	81229	$7960
RRUCLA	HB AP MICROARRAY POSTNATAL	81229	$7960
SMUCLA	HB AP MICROARRAY POSTNATAL	81229	$7960
RNPH	HB AP MICROARRAY PRENATAL	81229	$7960
RRUCLA	HB AP MICROARRAY PRENATAL	81229	$7960
SMUCLA	HB AP MICROARRAY PRENATAL	81229	$7960
RNPH	HB AP MICROSATELLITE INSTAB ANAL	81301	$1620
RRUCLA	HB AP MICROSATELLITE INSTAB ANAL	81301	$1620
SMUCLA	HB AP MICROSATELLITE INSTAB ANAL	81301	$1620
RNPH	HB AP MOLE CYTOGENETICS CHROMOSOMAL ISH 10-30 CELL	88273	$240
RRUCLA	HB AP MOLE CYTOGENETICS CHROMOSOMAL ISH 10-30 CELL	88273	$240
SMUCLA	HB AP MOLE CYTOGENETICS CHROMOSOMAL ISH 10-30 CELL	88273	$240
RNPH	HB AP MOLE CYTOGENETICS CHROMOSOMAL ISH 3-5 CELL	88272	$150
RRUCLA	HB AP MOLE CYTOGENETICS CHROMOSOMAL ISH 3-5 CELL	88272	$150
SMUCLA	HB AP MOLE CYTOGENETICS CHROMOSOMAL ISH 3-5 CELL	88272	$150
RNPH	HB AP MOLE CYTOGENETICS DNA PROBE EA	88271	$240
RRUCLA	HB AP MOLE CYTOGENETICS DNA PROBE EA	88271	$240
SMUCLA	HB AP MOLE CYTOGENETICS DNA PROBE EA	88271	$240
RNPH	HB AP MOLE CYTOGENETICS INTERPHASE ISH 100-300 CELL	88275	$204
RRUCLA	HB AP MOLE CYTOGENETICS INTERPHASE ISH 100-300 CELL	88275	$204
SMUCLA	HB AP MOLE CYTOGENETICS INTERPHASE ISH 100-300 CELL	88275	$204
RNPH	HB AP MOLE CYTOGENETICS INTERPHASE ISH 25-99 CELL	88274	$150
RRUCLA	HB AP MOLE CYTOGENETICS INTERPHASE ISH 25-99 CELL	88274	$150
SMUCLA	HB AP MOLE CYTOGENETICS INTERPHASE ISH 25-99 CELL	88274	$150
RNPH	HB AP MOPATH ASXL1 TARG SEQ ANAL	81176	$1240
RRUCLA	HB AP MOPATH ASXL1 TARG SEQ ANAL	81176	$1240
SMUCLA	HB AP MOPATH ASXL1 TARG SEQ ANAL	81176	$1240
RNPH	HB AP MOPATH HBA1/HBA2 GENE ANAL	81258	$160
RRUCLA	HB AP MOPATH HBA1/HBA2 GENE ANAL	81258	$160
SMUCLA	HB AP MOPATH HBA1/HBA2 GENE ANAL	81258	$160
RNPH	HB AP MOPATH HBB SGL GENE	81362	$160
RRUCLA	HB AP MOPATH HBB SGL GENE	81362	$160
SMUCLA	HB AP MOPATH HBB SGL GENE	81362	$160
RNPH	HB AP MOPATH IDH1 COMMON VAR	81120	$650
RRUCLA	HB AP MOPATH IDH1 COMMON VAR	81120	$650
SMUCLA	HB AP MOPATH IDH1 COMMON VAR	81120	$650
RNPH	HB AP MOPATH IDH2 COMMON VAR	81121	$650
RRUCLA	HB AP MOPATH IDH2 COMMON VAR	81121	$650
SMUCLA	HB AP MOPATH IDH2 COMMON VAR	81121	$650
RNPH	HB AP MOPATH LEV 4 KNOWN FAMILIAL VAR NOT SPEC 1 EXON	81403	$530
RRUCLA	HB AP MOPATH LEV 4 KNOWN FAMILIAL VAR NOT SPEC 1 EXON	81403	$530
SMUCLA	HB AP MOPATH LEV 4 KNOWN FAMILIAL VAR NOT SPEC 1 EXON	81403	$530
RNPH	HB AP MOPATH LEV1	81400	$410
RRUCLA	HB AP MOPATH LEV1	81400	$410
SMUCLA	HB AP MOPATH LEV1	81400	$410
RNPH	HB AP MOPATH LEV2 ABCC8 HTT	81401	$400
RRUCLA	HB AP MOPATH LEV2 ABCC8 HTT	81401	$400
SMUCLA	HB AP MOPATH LEV2 ABCC8 HTT	81401	$400
RNPH	HB AP MOPATH LEV2 FXN SMN1 SMN2	81401	$250
RRUCLA	HB AP MOPATH LEV2 FXN SMN1 SMN2	81401	$250
SMUCLA	HB AP MOPATH LEV2 FXN SMN1 SMN2	81401	$250
RNPH	HB AP MOPATH LEV3 KIT D816 VARIANTS	81402	$270
RRUCLA	HB AP MOPATH LEV3 KIT D816 VARIANTS	81402	$270
SMUCLA	HB AP MOPATH LEV3 KIT D816 VARIANTS	81402	$270
RNPH	HB AP MOPATH LEV4	81403	$530
RRUCLA	HB AP MOPATH LEV4	81403	$530
SMUCLA	HB AP MOPATH LEV4	81403	$530
RNPH	HB AP MOPATH LEV4 IDH1 COMMON EXON	81403	$530
RRUCLA	HB AP MOPATH LEV4 IDH1 COMMON EXON	81403	$530
SMUCLA	HB AP MOPATH LEV4 IDH1 COMMON EXON	81403	$530
RNPH	HB AP MOPATH LEV4 IDH2 COMMON EXON	81403	$530
RRUCLA	HB AP MOPATH LEV4 IDH2 COMMON EXON	81403	$530
SMUCLA	HB AP MOPATH LEV4 IDH2 COMMON EXON	81403	$530
RNPH	HB AP MOPATH LEV4 SGL GENE EXON NGS	81403	$1190
RRUCLA	HB AP MOPATH LEV4 SGL GENE EXON NGS	81403	$1190
SMUCLA	HB AP MOPATH LEV4 SGL GENE EXON NGS	81403	$1190
RNPH	HB AP MOPATH LEV5 KNOWN FAMILIAL VAR NOT SPEC 2 EXONS	81404	$420
RRUCLA	HB AP MOPATH LEV5 KNOWN FAMILIAL VAR NOT SPEC 2 EXONS	81404	$420
SMUCLA	HB AP MOPATH LEV5 KNOWN FAMILIAL VAR NOT SPEC 2 EXONS	81404	$420
RNPH	HB AP MOPATH LEV5 MEFV FAM VARIANTS	81402	$360
RRUCLA	HB AP MOPATH LEV5 MEFV FAM VARIANTS	81402	$360
SMUCLA	HB AP MOPATH LEV5 MEFV FAM VARIANTS	81402	$360
RNPH	HB AP MOPATH LEV5 MEFV KNWN FAM VAR	81402	$420
RRUCLA	HB AP MOPATH LEV5 MEFV KNWN FAM VAR	81402	$420
SMUCLA	HB AP MOPATH LEV5 MEFV KNWN FAM VAR	81402	$420
RNPH	HB AP MOPATH LEV5 PIK3CA NGS	81404	$1190
RRUCLA	HB AP MOPATH LEV5 PIK3CA NGS	81404	$1190
SMUCLA	HB AP MOPATH LEV5 PIK3CA NGS	81404	$1190
RNPH	HB AP MOPATH LEV5 SGL GENE NGS	81404	$1190
RRUCLA	HB AP MOPATH LEV5 SGL GENE NGS	81404	$1190
SMUCLA	HB AP MOPATH LEV5 SGL GENE NGS	81404	$1190
RNPH	HB AP MOPATH LEV6 NGS	81405	$1190
RRUCLA	HB AP MOPATH LEV6 NGS	81405	$1190
SMUCLA	HB AP MOPATH LEV6 NGS	81405	$1190
RNPH	HB AP MOPATH LEV7 MICROARRAY NEOPLASIA	81406	$7910
RRUCLA	HB AP MOPATH LEV7 MICROARRAY NEOPLASIA	81406	$7910
SMUCLA	HB AP MOPATH LEV7 MICROARRAY NEOPLASIA	81406	$7910
RNPH	HB AP MOPATH LEV7 NGS	81406	$1190
RRUCLA	HB AP MOPATH LEV7 NGS	81406	$1190
SMUCLA	HB AP MOPATH LEV7 NGS	81406	$1190
RNPH	HB AP MOPATH LEV8 NGS	81407	$1190
RRUCLA	HB AP MOPATH LEV8 NGS	81407	$1190
SMUCLA	HB AP MOPATH LEV8 NGS	81407	$1190
RNPH	HB AP MOPATH RUNX1 TARG SEQ ANAL	81334	$1240
RRUCLA	HB AP MOPATH RUNX1 TARG SEQ ANAL	81334	$1240
SMUCLA	HB AP MOPATH RUNX1 TARG SEQ ANAL	81334	$1240
RNPH	HB AP MOPATH UNLIST AKT1 NGS	81479	$1190
RRUCLA	HB AP MOPATH UNLIST AKT1 NGS	81479	$1190
SMUCLA	HB AP MOPATH UNLIST AKT1 NGS	81479	$1190
RNPH	HB AP MOPATH UNLIST BCL2 ANAL	81479	$622
RRUCLA	HB AP MOPATH UNLIST BCL2 ANAL	81479	$622
SMUCLA	HB AP MOPATH UNLIST BCL2 ANAL	81479	$622
RNPH	HB AP MOPATH UNLIST BMT	81479	$150
RRUCLA	HB AP MOPATH UNLIST BMT	81479	$150
SMUCLA	HB AP MOPATH UNLIST BMT	81479	$150
RNPH	HB AP MOPATH UNLIST DNA ISOLATION	81479	$100
RRUCLA	HB AP MOPATH UNLIST DNA ISOLATION	81479	$100
SMUCLA	HB AP MOPATH UNLIST DNA ISOLATION	81479	$100
RNPH	HB AP MOPATH UNLIST ERBB2 ION AMPLISEQ MUTATION	81479	$310
RRUCLA	HB AP MOPATH UNLIST ERBB2 ION AMPLISEQ MUTATION	81479	$310
SMUCLA	HB AP MOPATH UNLIST ERBB2 ION AMPLISEQ MUTATION	81479	$310
RNPH	HB AP MOPATH UNLIST FLT3 NGS	81479	$1190
RRUCLA	HB AP MOPATH UNLIST FLT3 NGS	81479	$1190
SMUCLA	HB AP MOPATH UNLIST FLT3 NGS	81479	$1190
RNPH	HB AP MOPATH UNLIST HIBM M712T	81479	$420
RRUCLA	HB AP MOPATH UNLIST HIBM M712T	81479	$420
SMUCLA	HB AP MOPATH UNLIST HIBM M712T	81479	$420
RNPH	HB AP MOPATH UNLIST HIBM M712T MUTATION	81479	$420
RRUCLA	HB AP MOPATH UNLIST HIBM M712T MUTATION	81479	$420
SMUCLA	HB AP MOPATH UNLIST HIBM M712T MUTATION	81479	$420
RNPH	HB AP MOPATH UNLIST PIK3CA ION AMPLISEQ MUTATION	81479	$310
RRUCLA	HB AP MOPATH UNLIST PIK3CA ION AMPLISEQ MUTATION	81479	$310
SMUCLA	HB AP MOPATH UNLIST PIK3CA ION AMPLISEQ MUTATION	81479	$310
RNPH	HB AP MOPATH UNLIST SGL GENE NGS	81479	$1190
RRUCLA	HB AP MOPATH UNLIST SGL GENE NGS	81479	$1190
SMUCLA	HB AP MOPATH UNLIST SGL GENE NGS	81479	$1190
RNPH	HB AP MORPHOMETR ANAL MAN EA MULITPLEX PROBE PER SPEC	88377	$810
RRUCLA	HB AP MORPHOMETR ANAL MAN EA MULITPLEX PROBE PER SPEC	88377	$810
SMUCLA	HB AP MORPHOMETR ANAL MAN EA MULITPLEX PROBE PER SPEC	88377	$810
RNPH	HB AP MORPHOMETR ANAL TUMOR MAN EA AB	88360	$750
RRUCLA	HB AP MORPHOMETR ANAL TUMOR MAN EA AB	88360	$750
SMUCLA	HB AP MORPHOMETR ANAL TUMOR MAN EA AB	88360	$750
RNPH	HB AP MORPHOMETRIC ANAL AUTO PER SPEC EA ADD SGL PROBE	88373	$235
RRUCLA	HB AP MORPHOMETRIC ANAL AUTO PER SPEC EA ADD SGL PROBE	88373	$235
SMUCLA	HB AP MORPHOMETRIC ANAL AUTO PER SPEC EA ADD SGL PROBE	88373	$235
RNPH	HB AP MORPHOMETRIC ANAL AUTO PER SPEC EA MULTIPLEX PROBE	88374	$450
RRUCLA	HB AP MORPHOMETRIC ANAL AUTO PER SPEC EA MULTIPLEX PROBE	88374	$450
SMUCLA	HB AP MORPHOMETRIC ANAL AUTO PER SPEC EA MULTIPLEX PROBE	88374	$450
RNPH	HB AP MORPHOMETRIC ANAL AUTO PER SPEC INIT SINGLE PROBE	88367	$750
RRUCLA	HB AP MORPHOMETRIC ANAL AUTO PER SPEC INIT SINGLE PROBE	88367	$750
SMUCLA	HB AP MORPHOMETRIC ANAL AUTO PER SPEC INIT SINGLE PROBE	88367	$750
RNPH	HB AP MORPHOMETRIC ANAL MAN EA ADD SINGLE PROBE PER SPEC	88369	$220
RRUCLA	HB AP MORPHOMETRIC ANAL MAN EA ADD SINGLE PROBE PER SPEC	88369	$220
SMUCLA	HB AP MORPHOMETRIC ANAL MAN EA ADD SINGLE PROBE PER SPEC	88369	$220
RNPH	HB AP MORPHOMETRIC ANAL MAN PER SPEC INIT SINGLE PROBE	88368	$750
RRUCLA	HB AP MORPHOMETRIC ANAL MAN PER SPEC INIT SINGLE PROBE	88368	$750
SMUCLA	HB AP MORPHOMETRIC ANAL MAN PER SPEC INIT SINGLE PROBE	88368	$750
RNPH	HB AP MORPHOMETRY NERVE	88356	$480
RRUCLA	HB AP MORPHOMETRY NERVE	88356	$480
SMUCLA	HB AP MORPHOMETRY NERVE	88356	$480
RNPH	HB AP MORPHOMETRY TUMOR	88358	$380
RRUCLA	HB AP MORPHOMETRY TUMOR	88358	$380
SMUCLA	HB AP MORPHOMETRY TUMOR	88358	$380
RNPH	HB AP MTHFR GENE ANAL VARIANTS	81291	$420
RRUCLA	HB AP MTHFR GENE ANAL VARIANTS	81291	$420
SMUCLA	HB AP MTHFR GENE ANAL VARIANTS	81291	$420
RNPH	HB AP MYD88 GENE ANAL NGS	81305	$1190
RRUCLA	HB AP MYD88 GENE ANAL NGS	81305	$1190
SMUCLA	HB AP MYD88 GENE ANAL NGS	81305	$1190
RNPH	HB AP NERVE TEASING PREPARATION	88362	$950
RRUCLA	HB AP NERVE TEASING PREPARATION	88362	$950
SMUCLA	HB AP NERVE TEASING PREPARATION	88362	$950
RNPH	HB AP NEXT GEN SEQ HEMATOLOGIC MALIGNANCY PNL	81450	$3630
RRUCLA	HB AP NEXT GEN SEQ HEMATOLOGIC MALIGNANCY PNL	81450	$3630
SMUCLA	HB AP NEXT GEN SEQ HEMATOLOGIC MALIGNANCY PNL	81450	$3630
RNPH	HB AP NEXT GENERATION SEQUEN NRAS	81311	$1190
RRUCLA	HB AP NEXT GENERATION SEQUEN NRAS	81311	$1190
SMUCLA	HB AP NEXT GENERATION SEQUEN NRAS	81311	$1190
RNPH	HB AP NGS NPM1	81310	$1190
RRUCLA	HB AP NGS NPM1	81310	$1190
SMUCLA	HB AP NGS NPM1	81310	$1190
RNPH	HB AP NRAS ION AMPLISEQ MUTATION	81311	$310
RRUCLA	HB AP NRAS ION AMPLISEQ MUTATION	81311	$310
SMUCLA	HB AP NRAS ION AMPLISEQ MUTATION	81311	$310
RNPH	HB AP PAP SMEAR SCRN UP TO 3 SMEARS	P3000	$60
RRUCLA	HB AP PAP SMEAR SCRN UP TO 3 SMEARS	P3000	$60
SMUCLA	HB AP PAP SMEAR SCRN UP TO 3 SMEARS	P3000	$60
RNPH	HB AP PATH CONSULT IN SURG 1BLOCK SGL SPEC	88331	$380
RRUCLA	HB AP PATH CONSULT IN SURG 1BLOCK SGL SPEC	88331	$380
SMUCLA	HB AP PATH CONSULT IN SURG 1BLOCK SGL SPEC	88331	$380
RNPH	HB AP PTEN FULL GENE SEQ ANAL	81321	$1860
RRUCLA	HB AP PTEN FULL GENE SEQ ANAL	81321	$1860
SMUCLA	HB AP PTEN FULL GENE SEQ ANAL	81321	$1860
RNPH	HB AP SPECIAL STAIN GROUP 1 MICRO INTERP REPORT	88312	$160
RRUCLA	HB AP SPECIAL STAIN GROUP 1 MICRO INTERP REPORT	88312	$160
SMUCLA	HB AP SPECIAL STAIN GROUP 1 MICRO INTERP REPORT	88312	$160
RNPH	HB AP SPECIAL STAIN GROUP 1 MICRO INTERP REPORT	88312	$160
RRUCLA	HB AP SPECIAL STAIN GROUP 1 MICRO INTERP REPORT	88312	$160
SMUCLA	HB AP SPECIAL STAIN GROUP 1 MICRO INTERP REPORT	88312	$160
RNPH	HB AP SPECIAL STAIN GROUP3 ENZYME CONSTITUENTS	88319	$790
RRUCLA	HB AP SPECIAL STAIN GROUP3 ENZYME CONSTITUENTS	88319	$790
SMUCLA	HB AP SPECIAL STAIN GROUP3 ENZYME CONSTITUENTS	88319	$790
RNPH	HB AP SPECIAL STAIN GROUP3 ENZYME CONSTITUENTS	88319	$950
RRUCLA	HB AP SPECIAL STAIN GROUP3 ENZYME CONSTITUENTS	88319	$950
SMUCLA	HB AP SPECIAL STAIN GROUP3 ENZYME CONSTITUENTS	88319	$950
RNPH	HB AP SPECIAL STAIN INTERP AND REPORT GRP II OTHR	88313	$140
RRUCLA	HB AP SPECIAL STAIN INTERP AND REPORT GRP II OTHR	88313	$140
SMUCLA	HB AP SPECIAL STAIN INTERP AND REPORT GRP II OTHR	88313	$140
RNPH	HB AP SPECIAL STAIN INTERP AND REPORT GRP II OTHR	88313	$140
RRUCLA	HB AP SPECIAL STAIN INTERP AND REPORT GRP II OTHR	88313	$140
SMUCLA	HB AP SPECIAL STAIN INTERP AND REPORT GRP II OTHR	88313	$140
RNPH	HB AP STEM CELLS TOTAL COUNT	86367	$710
RRUCLA	HB AP STEM CELLS TOTAL COUNT	86367	$710
SMUCLA	HB AP STEM CELLS TOTAL COUNT	86367	$710
RNPH	HB AP STR MRKRS BMT POST TRANS	81265	$1110
RRUCLA	HB AP STR MRKRS BMT POST TRANS	81265	$1110
SMUCLA	HB AP STR MRKRS BMT POST TRANS	81265	$1110
RNPH	HB AP STR MRKRS GENETIC ID 2 SPECS	81265	$1288
RRUCLA	HB AP STR MRKRS GENETIC ID 2 SPECS	81265	$1288
SMUCLA	HB AP STR MRKRS GENETIC ID 2 SPECS	81265	$1288
RNPH	HB AP STR MRKRS GENETIC ID 3 SPECS	81265	$2470
RRUCLA	HB AP STR MRKRS GENETIC ID 3 SPECS	81265	$2470
SMUCLA	HB AP STR MRKRS GENETIC ID 3 SPECS	81265	$2470
RNPH	HB AP STR MRKRS PATERNITY 1SPEC	81265	$1920
RRUCLA	HB AP STR MRKRS PATERNITY 1SPEC	81265	$1920
SMUCLA	HB AP STR MRKRS PATERNITY 1SPEC	81265	$1920
RNPH	HB AP STR MRKRS TWIN ZYGOSITY	81265	$3200
RRUCLA	HB AP STR MRKRS TWIN ZYGOSITY	81265	$3200
SMUCLA	HB AP STR MRKRS TWIN ZYGOSITY	81265	$3200
RNPH	HB AP STR MRKRS TWIN ZYGOSITY NP	81265	$1818
RRUCLA	HB AP STR MRKRS TWIN ZYGOSITY NP	81265	$1818
SMUCLA	HB AP STR MRKRS TWIN ZYGOSITY NP	81265	$1818
RNPH	HB AP SURG CYTOLOGIC EXAM ADD SITE	88334	$190
RRUCLA	HB AP SURG CYTOLOGIC EXAM ADD SITE	88334	$190
SMUCLA	HB AP SURG CYTOLOGIC EXAM ADD SITE	88334	$190
RNPH	HB AP SURG CYTOLOGIC EXAM INITIAL SITE	88333	$950
RRUCLA	HB AP SURG CYTOLOGIC EXAM INITIAL SITE	88333	$950
SMUCLA	HB AP SURG CYTOLOGIC EXAM INITIAL SITE	88333	$950
RNPH	HB AP SURG CYTOLOGIC EXAM INITIAL SITE	88333	$950
RRUCLA	HB AP SURG CYTOLOGIC EXAM INITIAL SITE	88333	$950
SMUCLA	HB AP SURG CYTOLOGIC EXAM INITIAL SITE	88333	$950
RNPH	HB AP SURG PATH PROSTATE NEEDLE BIOPSY	G0416	$1290
RRUCLA	HB AP SURG PATH PROSTATE NEEDLE BIOPSY	G0416	$1290
SMUCLA	HB AP SURG PATH PROSTATE NEEDLE BIOPSY	G0416	$1290
RNPH	HB AP SURGICAL PATH LEV1	88300	$60
RRUCLA	HB AP SURGICAL PATH LEV1	88300	$60
SMUCLA	HB AP SURGICAL PATH LEV1	88300	$60
RNPH	HB AP SURGICAL PATH LEV1	88300	$60
RRUCLA	HB AP SURGICAL PATH LEV1	88300	$60
SMUCLA	HB AP SURGICAL PATH LEV1	88300	$60
RNPH	HB AP SURGICAL PATH LEV2	88302	$200
RRUCLA	HB AP SURGICAL PATH LEV2	88302	$200
SMUCLA	HB AP SURGICAL PATH LEV2	88302	$200
RNPH	HB AP SURGICAL PATH LEV3	88304	$230
RRUCLA	HB AP SURGICAL PATH LEV3	88304	$230
SMUCLA	HB AP SURGICAL PATH LEV3	88304	$230
RNPH	HB AP SURGICAL PATH LEV4	88305	$280
RRUCLA	HB AP SURGICAL PATH LEV4	88305	$280
SMUCLA	HB AP SURGICAL PATH LEV4	88305	$280
RNPH	HB AP SURGICAL PATH LEV4-1	88305	$280
RRUCLA	HB AP SURGICAL PATH LEV4-1	88305	$280
SMUCLA	HB AP SURGICAL PATH LEV4-1	88305	$280
RNPH	HB AP SURGICAL PATH LEV4-2	88305	$280
RRUCLA	HB AP SURGICAL PATH LEV4-2	88305	$280
SMUCLA	HB AP SURGICAL PATH LEV4-2	88305	$280
RNPH	HB AP SURGICAL PATH LEV4-3	88305	$280
RRUCLA	HB AP SURGICAL PATH LEV4-3	88305	$280
SMUCLA	HB AP SURGICAL PATH LEV4-3	88305	$280
RNPH	HB AP SURGICAL PATH LEV5	88307	$500
RRUCLA	HB AP SURGICAL PATH LEV5	88307	$500
SMUCLA	HB AP SURGICAL PATH LEV5	88307	$500
RNPH	HB AP SURGICAL PATH LEV6	88309	$760
RRUCLA	HB AP SURGICAL PATH LEV6	88309	$760
SMUCLA	HB AP SURGICAL PATH LEV6	88309	$760
RNPH	HB AP T CELLS TOTAL COUNT	86359	$240
RRUCLA	HB AP T CELLS TOTAL COUNT	86359	$240
SMUCLA	HB AP T CELLS TOTAL COUNT	86359	$240
RNPH	HB AP T-CELL RECEPTOR BETA TCRB	81340	$1080
RRUCLA	HB AP T-CELL RECEPTOR BETA TCRB	81340	$1080
SMUCLA	HB AP T-CELL RECEPTOR BETA TCRB	81340	$1080
RNPH	HB AP T-CELL RECEPTOR GAMMA LOCUS TCRG	81342	$1040
RRUCLA	HB AP T-CELL RECEPTOR GAMMA LOCUS TCRG	81342	$1040
SMUCLA	HB AP T-CELL RECEPTOR GAMMA LOCUS TCRG	81342	$1040
RNPH	HB AP TARGETED SEQ DNA ANAL 5-50 GENES	81445	$2330
RRUCLA	HB AP TARGETED SEQ DNA ANAL 5-50 GENES	81445	$2330
SMUCLA	HB AP TARGETED SEQ DNA ANAL 5-50 GENES	81445	$2330
RNPH	HB AP THAWING CELLS EA ALIQUOT	88241	$80
RRUCLA	HB AP THAWING CELLS EA ALIQUOT	88241	$80
SMUCLA	HB AP THAWING CELLS EA ALIQUOT	88241	$80
RNPH	HB AP TISSUE CULTURE AMNIOTIC OR CVS	88235	$510
RRUCLA	HB AP TISSUE CULTURE AMNIOTIC OR CVS	88235	$510
SMUCLA	HB AP TISSUE CULTURE AMNIOTIC OR CVS	88235	$510
RNPH	HB AP TISSUE CULTURE LYMPHOCYTE	88230	$400
RRUCLA	HB AP TISSUE CULTURE LYMPHOCYTE	88230	$400
SMUCLA	HB AP TISSUE CULTURE LYMPHOCYTE	88230	$400
RNPH	HB AP TISSUE CULTURE NEOPLASTIC BONE MARROW	88237	$330
RRUCLA	HB AP TISSUE CULTURE NEOPLASTIC BONE MARROW	88237	$330
SMUCLA	HB AP TISSUE CULTURE NEOPLASTIC BONE MARROW	88237	$330
RNPH	HB AP TISSUE CULTURE NEOPLASTIC SOLID TUMOR	88239	$420
RRUCLA	HB AP TISSUE CULTURE NEOPLASTIC SOLID TUMOR	88239	$420
SMUCLA	HB AP TISSUE CULTURE NEOPLASTIC SOLID TUMOR	88239	$420
RNPH	HB AP TISSUE CULTURE SKIN TISSUE BIOPSY	88233	$580
RRUCLA	HB AP TISSUE CULTURE SKIN TISSUE BIOPSY	88233	$580
SMUCLA	HB AP TISSUE CULTURE SKIN TISSUE BIOPSY	88233	$580
RNPH	HB AP TRB GENE ANAL BLOT	81341	$348
RRUCLA	HB AP TRB GENE ANAL BLOT	81341	$348
SMUCLA	HB AP TRB GENE ANAL BLOT	81341	$348
RNPH	HB AP TRG GENE ANAL	81342	$770
RRUCLA	HB AP TRG GENE ANAL	81342	$770
SMUCLA	HB AP TRG GENE ANAL	81342	$770
RNPH	HB APC RESISTANCE ASSAY	85307	$77
RRUCLA	HB APC RESISTANCE ASSAY	85307	$77
SMUCLA	HB APC RESISTANCE ASSAY	85307	$77
RNPH	HB APTT ACTIVATED PTT	85730	$110
RRUCLA	HB APTT ACTIVATED PTT	85730	$110
SMUCLA	HB APTT ACTIVATED PTT	85730	$110
RNPH	HB APTT CORRECTION EA FRACTION	85732	$100
RRUCLA	HB APTT CORRECTION EA FRACTION	85732	$100
SMUCLA	HB APTT CORRECTION EA FRACTION	85732	$100
RNPH	HB ASPARTATE AMINO AST SGOT	84450	$30
RRUCLA	HB ASPARTATE AMINO AST SGOT	84450	$30
SMUCLA	HB ASPARTATE AMINO AST SGOT	84450	$30
RNPH	HB ASPERGILLUS AG EIA	87305	$110
RRUCLA	HB ASPERGILLUS AG EIA	87305	$110
SMUCLA	HB ASPERGILLUS AG EIA	87305	$110
RRUCLA	HB AUTO BLD/RBC/PLSM/CRYO COLLECT/STORE UN	86890	$750
RRUCLA	HB AUTO BLOOD INTRA/POSTOP SALVG	86891	$1890
RRUCLA	HB AUTO PRONASE FLOW XMATCH *IG	86825	$138
RRUCLA	HB B CELLS TOTAL COUNT	86355	$44
RNPH	HB BACT CULTURE BLOOD	87040	$220
RRUCLA	HB BACT CULTURE BLOOD	87040	$220
SMUCLA	HB BACT CULTURE BLOOD	87040	$220
RNPH	HB BACT CULTURE OTH SOURCE	87070	$310
RRUCLA	HB BACT CULTURE OTH SOURCE	87070	$310
SMUCLA	HB BACT CULTURE OTH SOURCE	87070	$310
RNPH	HB BACT CULTURE STOOL	87045	$120
RRUCLA	HB BACT CULTURE STOOL	87045	$120
SMUCLA	HB BACT CULTURE STOOL	87045	$120
RNPH	HB BACT CULTURE STOOL EA PLATE	87046	$110
RRUCLA	HB BACT CULTURE STOOL EA PLATE	87046	$110
SMUCLA	HB BACT CULTURE STOOL EA PLATE	87046	$110
RNPH	HB BACT CULTURE URINE QUANT	87086	$250
RRUCLA	HB BACT CULTURE URINE QUANT	87086	$250
SMUCLA	HB BACT CULTURE URINE QUANT	87086	$250
RNPH	HB BETA-HYDROXYBUTYRATE QUANT	82010	$27
RRUCLA	HB BETA-HYDROXYBUTYRATE QUANT	82010	$27
SMUCLA	HB BETA-HYDROXYBUTYRATE QUANT	82010	$27
RNPH	HB BETA2 MICROGLOBULIN	82232	$30
RRUCLA	HB BETA2 MICROGLOBULIN	82232	$30
SMUCLA	HB BETA2 MICROGLOBULIN	82232	$30
RNPH	HB BILIRUBIN DIRECT	82248	$40
RRUCLA	HB BILIRUBIN DIRECT	82248	$40
SMUCLA	HB BILIRUBIN DIRECT	82248	$40
RNPH	HB BILIRUBIN TOTAL	82247	$40
RRUCLA	HB BILIRUBIN TOTAL	82247	$40
SMUCLA	HB BILIRUBIN TOTAL	82247	$40
RNPH	HB BLEEDING TIME TEMPLATE	85002	$180
RRUCLA	HB BLEEDING TIME TEMPLATE	85002	$180
SMUCLA	HB BLEEDING TIME TEMPLATE	85002	$180
RNPH	HB BLOOD COUNT AUTO DIFF WBC	85004	$40
RRUCLA	HB BLOOD COUNT AUTO DIFF WBC	85004	$40
SMUCLA	HB BLOOD COUNT AUTO DIFF WBC	85004	$40
RNPH	HB BLOOD COUNT MAN DIFF WBC	85007	$30
RRUCLA	HB BLOOD COUNT MAN DIFF WBC	85007	$30
SMUCLA	HB BLOOD COUNT MAN DIFF WBC	85007	$30
RNPH	HB BLOOD CULTURE ID BY PCR	87150	$180
RRUCLA	HB BLOOD CULTURE ID BY PCR	87150	$180
SMUCLA	HB BLOOD CULTURE ID BY PCR	87150	$180
RNPH	HB BLOOD GASES	82805	$180
RRUCLA	HB BLOOD GASES	82805	$180
SMUCLA	HB BLOOD GASES	82805	$180
RNPH	HB BNP B TYPE NATRIURETIC PEPTID	83880	$140
RRUCLA	HB BNP B TYPE NATRIURETIC PEPTID	83880	$140
SMUCLA	HB BNP B TYPE NATRIURETIC PEPTID	83880	$140
RNPH	HB BODY FLUID COUNT	89050	$70
RRUCLA	HB BODY FLUID COUNT	89050	$70
SMUCLA	HB BODY FLUID COUNT	89050	$70
RNPH	HB C PEPTIDE	84681	$100
RRUCLA	HB C PEPTIDE	84681	$100
SMUCLA	HB C PEPTIDE	84681	$100
RNPH	HB C REACTIVE PROTEIN	86140	$100
RRUCLA	HB C REACTIVE PROTEIN	86140	$100
SMUCLA	HB C REACTIVE PROTEIN	86140	$100
RNPH	HB CAFFEINE QUANT	80299	$60
RRUCLA	HB CAFFEINE QUANT	80299	$60
SMUCLA	HB CAFFEINE QUANT	80299	$60
RNPH	HB CALCIUM IONIZED	82330	$80
RRUCLA	HB CALCIUM IONIZED	82330	$80
SMUCLA	HB CALCIUM IONIZED	82330	$80
RNPH	HB CALCIUM TOTAL	82310	$40
RRUCLA	HB CALCIUM TOTAL	82310	$40
SMUCLA	HB CALCIUM TOTAL	82310	$40
RNPH	HB CALCIUM URINE QUANT TIMED	82340	$70
RRUCLA	HB CALCIUM URINE QUANT TIMED	82340	$70
SMUCLA	HB CALCIUM URINE QUANT TIMED	82340	$70
RNPH	HB CAMPY STOOL EIA QUAL	87449	$100
RRUCLA	HB CAMPY STOOL EIA QUAL	87449	$100
SMUCLA	HB CAMPY STOOL EIA QUAL	87449	$100
RNPH	HB CANCER TUMOR AG 125 QUANT	86304	$220
RRUCLA	HB CANCER TUMOR AG 125 QUANT	86304	$220
SMUCLA	HB CANCER TUMOR AG 125 QUANT	86304	$220
RNPH	HB CANCER TUMOR AG 15 3 QUANT	86300	$140
RRUCLA	HB CANCER TUMOR AG 15 3 QUANT	86300	$140
SMUCLA	HB CANCER TUMOR AG 15 3 QUANT	86300	$140
RNPH	HB CANCER TUMOR AG 19 9 QUANT	86301	$90
RRUCLA	HB CANCER TUMOR AG 19 9 QUANT	86301	$90
SMUCLA	HB CANCER TUMOR AG 19 9 QUANT	86301	$90
RNPH	HB CAPILLARY BLOOD DRAW	36416	$50
RRUCLA	HB CAPILLARY BLOOD DRAW	36416	$50
SMUCLA	HB CAPILLARY BLOOD DRAW	36416	$50
RNPH	HB CARBAMAZEPINE TOTAL SER	80156	$150
RRUCLA	HB CARBAMAZEPINE TOTAL SER	80156	$150
SMUCLA	HB CARBAMAZEPINE TOTAL SER	80156	$150
RNPH	HB CARDIOLIPIN AB IG EA	86147	$80
RRUCLA	HB CARDIOLIPIN AB IG EA	86147	$80
SMUCLA	HB CARDIOLIPIN AB IG EA	86147	$80
RNPH	HB CATHERIZATION FOR SPECIMEN COLLECTION SINGLE PATIENT	P9612	$10
RRUCLA	HB CATHERIZATION FOR SPECIMEN COLLECTION SINGLE PATIENT	P9612	$10
SMUCLA	HB CATHERIZATION FOR SPECIMEN COLLECTION SINGLE PATIENT	P9612	$10
RNPH	HB CBC & PLATELET CT & DIFF	85025	$50
RRUCLA	HB CBC & PLATELET CT & DIFF	85025	$50
SMUCLA	HB CBC & PLATELET CT & DIFF	85025	$50
RNPH	HB CBC AND PLATELET COUNT	85027	$40
RRUCLA	HB CBC AND PLATELET COUNT	85027	$40
SMUCLA	HB CBC AND PLATELET COUNT	85027	$40
RRUCLA	HB CDC 2019 COVID-19-RT PCR PNL	U0001	$200
RNPH	HB CDC 2019 COVID-19-RT PCR PNL	U0001	$200
SMUCLA	HB CDC 2019 COVID-19-RT PCR PNL	U0001	$200
RNPH	HB CEA CARCINOEMBRYONIC AG	82378	$160
RRUCLA	HB CEA CARCINOEMBRYONIC AG	82378	$160
SMUCLA	HB CEA CARCINOEMBRYONIC AG	82378	$160
RRUCLA	HB CELIAC GENETIC DQB1/DQA1 EA*IG	81382	$110
RRUCLA	HB CELL FUNCTION ASSAY *IG	86352	$373
RRUCLA	HB CELL FUNCTION ASSAY ATP *IG	86352	$187
RNPH	HB CERULOPLASMIN	82390	$100
RRUCLA	HB CERULOPLASMIN	82390	$100
SMUCLA	HB CERULOPLASMIN	82390	$100
RNPH	HB CF SCRN	82438	$50
RRUCLA	HB CF SCRN	82438	$50
SMUCLA	HB CF SCRN	82438	$50
RNPH	HB CHLAMYDIA AG DIRECT FLUORESCNT	87270	$90
RRUCLA	HB CHLAMYDIA AG DIRECT FLUORESCNT	87270	$90
SMUCLA	HB CHLAMYDIA AG DIRECT FLUORESCNT	87270	$90
RNPH	HB CHLAMYDIA PNEUMONIAE AMP PROBE	87486	$130
RRUCLA	HB CHLAMYDIA PNEUMONIAE AMP PROBE	87486	$130
SMUCLA	HB CHLAMYDIA PNEUMONIAE AMP PROBE	87486	$130
RNPH	HB CHLAMYDIA TRACHOMATIS AMP PROBE	87491	$250
RRUCLA	HB CHLAMYDIA TRACHOMATIS AMP PROBE	87491	$250
SMUCLA	HB CHLAMYDIA TRACHOMATIS AMP PROBE	87491	$250
RNPH	HB CHLORIDE	82435	$30
RRUCLA	HB CHLORIDE	82435	$30
SMUCLA	HB CHLORIDE	82435	$30
RNPH	HB CHLORIDE URINE	82436	$60
RRUCLA	HB CHLORIDE URINE	82436	$60
SMUCLA	HB CHLORIDE URINE	82436	$60
RNPH	HB CHOLESTEROL HDL	83718	$50
RRUCLA	HB CHOLESTEROL HDL	83718	$50
SMUCLA	HB CHOLESTEROL HDL	83718	$50
RNPH	HB CHOLESTEROL LDL QUANT	83721	$50
RRUCLA	HB CHOLESTEROL LDL QUANT	83721	$50
SMUCLA	HB CHOLESTEROL LDL QUANT	83721	$50
RNPH	HB CHOLESTEROL TOTAL	82465	$30
RRUCLA	HB CHOLESTEROL TOTAL	82465	$30
SMUCLA	HB CHOLESTEROL TOTAL	82465	$30
RNPH	HB CLOST DIFFICILE AMP PROBE	87493	$140
RRUCLA	HB CLOST DIFFICILE AMP PROBE	87493	$140
SMUCLA	HB CLOST DIFFICILE AMP PROBE	87493	$140
RNPH	HB CLOSTRIDIUM DIFFICILE A&B AG	87324	$90
RRUCLA	HB CLOSTRIDIUM DIFFICILE A&B AG	87324	$90
SMUCLA	HB CLOSTRIDIUM DIFFICILE A&B AG	87324	$90
RNPH	HB CLOSTRIDM DIFFCILE TOXIN ASSAY	87230	$130
RRUCLA	HB CLOSTRIDM DIFFCILE TOXIN ASSAY	87230	$130
SMUCLA	HB CLOSTRIDM DIFFCILE TOXIN ASSAY	87230	$130
RNPH	HB CLOTTING FAC II PROTHR SPEC	85210	$350
RRUCLA	HB CLOTTING FAC II PROTHR SPEC	85210	$350
SMUCLA	HB CLOTTING FAC II PROTHR SPEC	85210	$350
RNPH	HB CLOTTING FACT IX	85250	$220
RRUCLA	HB CLOTTING FACT IX	85250	$220
SMUCLA	HB CLOTTING FACT IX	85250	$220
RNPH	HB CLOTTING FACT V	85220	$260
RRUCLA	HB CLOTTING FACT V	85220	$260
SMUCLA	HB CLOTTING FACT V	85220	$260
RNPH	HB CLOTTING FACT VII	85230	$170
RRUCLA	HB CLOTTING FACT VII	85230	$170
SMUCLA	HB CLOTTING FACT VII	85230	$170
RNPH	HB CLOTTING FACT VIII	85240	$190
RRUCLA	HB CLOTTING FACT VIII	85240	$190
SMUCLA	HB CLOTTING FACT VIII	85240	$190
RNPH	HB CLOTTING FACT X	85260	$250
RRUCLA	HB CLOTTING FACT X	85260	$250
SMUCLA	HB CLOTTING FACT X	85260	$250
RNPH	HB CLOTTING FACT XI	85270	$190
RRUCLA	HB CLOTTING FACT XI	85270	$190
SMUCLA	HB CLOTTING FACT XI	85270	$190
RNPH	HB CLOTTING FACT XII	85280	$240
RRUCLA	HB CLOTTING FACT XII	85280	$240
SMUCLA	HB CLOTTING FACT XII	85280	$240
RNPH	HB CMV AMP PROBE	87496	$130
RRUCLA	HB CMV AMP PROBE	87496	$130
SMUCLA	HB CMV AMP PROBE	87496	$130
RNPH	HB CMV QUANT	87497	$210
RRUCLA	HB CMV QUANT	87497	$210
SMUCLA	HB CMV QUANT	87497	$210
RNPH	HB CO2 BICARBONATE	82374	$40
RRUCLA	HB CO2 BICARBONATE	82374	$40
SMUCLA	HB CO2 BICARBONATE	82374	$40
RNPH	HB COAG ASSAY ROTEM WHOLE BLOOD PER DAY	85396	$80
RRUCLA	HB COAG ASSAY ROTEM WHOLE BLOOD PER DAY	85396	$80
SMUCLA	HB COAG ASSAY ROTEM WHOLE BLOOD PER DAY	85396	$80
RNPH	HB COCCIDIOIDES	86635	$20
RRUCLA	HB COCCIDIOIDES	86635	$20
SMUCLA	HB COCCIDIOIDES	86635	$20
RRUCLA	HB COLD AGGLUTININ SCREEN	86156	$10
RRUCLA	HB COLD AGGLUTININ TITER	86157	$10
RNPH	HB COMPLEMENT AG EA	86160	$150
RRUCLA	HB COMPLEMENT AG EA	86160	$150
SMUCLA	HB COMPLEMENT AG EA	86160	$150
RNPH	HB CONCENTRATION INFECT AGENT	87015	$60
RRUCLA	HB CONCENTRATION INFECT AGENT	87015	$60
SMUCLA	HB CONCENTRATION INFECT AGENT	87015	$60
RRUCLA	HB COOMB DIRECT/DAT EA ANTISER *RC	86880	$20
RNPH	HB COOX PNL HBCO QUANT	82375	$90
RRUCLA	HB COOX PNL HBCO QUANT	82375	$90
SMUCLA	HB COOX PNL HBCO QUANT	82375	$90
RNPH	HB COOX PNL METHB QUANT	83050	$80
RRUCLA	HB COOX PNL METHB QUANT	83050	$80
SMUCLA	HB COOX PNL METHB QUANT	83050	$80
RNPH	HB COOX PNL SULFHEMOGLOBIN QNT	83060	$70
RRUCLA	HB COOX PNL SULFHEMOGLOBIN QNT	83060	$70
SMUCLA	HB COOX PNL SULFHEMOGLOBIN QNT	83060	$70
RNPH	HB CORTISOL TOTAL	82533	$130
RRUCLA	HB CORTISOL TOTAL	82533	$130
SMUCLA	HB CORTISOL TOTAL	82533	$130
RNPH	HB CREATINE KINASE MB FRACTION	82553	$110
RRUCLA	HB CREATINE KINASE MB FRACTION	82553	$110
SMUCLA	HB CREATINE KINASE MB FRACTION	82553	$110
RNPH	HB CREATINE KINASE TOTAL CK	82550	$50
RRUCLA	HB CREATINE KINASE TOTAL CK	82550	$50
SMUCLA	HB CREATINE KINASE TOTAL CK	82550	$50
RNPH	HB CREATININE BLOOD	82565	$40
RRUCLA	HB CREATININE BLOOD	82565	$40
SMUCLA	HB CREATININE BLOOD	82565	$40
RNPH	HB CREATININE CLEARANCE	82575	$50
RRUCLA	HB CREATININE CLEARANCE	82575	$50
SMUCLA	HB CREATININE CLEARANCE	82575	$50
RNPH	HB CREATININE OTH SOURCE	82570	$80
RRUCLA	HB CREATININE OTH SOURCE	82570	$80
SMUCLA	HB CREATININE OTH SOURCE	82570	$80
RRUCLA	HB CROSSMATCH EA UN ELECTRONIC	86923	$230
RRUCLA	HB CROSSMATCH-ANTIGLOBULIN	86922	$230
RRUCLA	HB CROSSMATCH-COMPAT IMMED SPIN	86920	$230
RRUCLA	HB CROSSMATCH-INCUBATION TECH	86921	$450
RNPH	HB CRYOGLOBULIN QUAL	82595	$70
RRUCLA	HB CRYOGLOBULIN QUAL	82595	$70
SMUCLA	HB CRYOGLOBULIN QUAL	82595	$70
RNPH	HB CRYPTOCOCCAL AG	87327	$80
RRUCLA	HB CRYPTOCOCCAL AG	87327	$80
SMUCLA	HB CRYPTOCOCCAL AG	87327	$80
RNPH	HB CRYPTOSPORIDIUM EXAM DFA	87272	$70
RRUCLA	HB CRYPTOSPORIDIUM EXAM DFA	87272	$70
SMUCLA	HB CRYPTOSPORIDIUM EXAM DFA	87272	$70
RNPH	HB CRYSTAL ID BODY FLUID	89060	$90
RRUCLA	HB CRYSTAL ID BODY FLUID	89060	$90
SMUCLA	HB CRYSTAL ID BODY FLUID	89060	$90
RNPH	HB CULTURE ADDL ID EA ISOLATE	87253	$60
RRUCLA	HB CULTURE ADDL ID EA ISOLATE	87253	$60
SMUCLA	HB CULTURE ADDL ID EA ISOLATE	87253	$60
RNPH	HB CULTURE AFB ISOLATION	87116	$100
RRUCLA	HB CULTURE AFB ISOLATION	87116	$100
SMUCLA	HB CULTURE AFB ISOLATION	87116	$100
RNPH	HB CULTURE FUNGI ID DEFINITIVE EA	87106	$50
RRUCLA	HB CULTURE FUNGI ID DEFINITIVE EA	87106	$50
SMUCLA	HB CULTURE FUNGI ID DEFINITIVE EA	87106	$50
RNPH	HB CULTURE INOCULATN & OBSERV	87252	$90
RRUCLA	HB CULTURE INOCULATN & OBSERV	87252	$90
SMUCLA	HB CULTURE INOCULATN & OBSERV	87252	$90
RNPH	HB CULTURE MOLD ID DEFINITIVE EA	87107	$60
RRUCLA	HB CULTURE MOLD ID DEFINITIVE EA	87107	$60
SMUCLA	HB CULTURE MOLD ID DEFINITIVE EA	87107	$60
RNPH	HB CULTURE MYCOPLASMA ANY SOURCE	87109	$80
RRUCLA	HB CULTURE MYCOPLASMA ANY SOURCE	87109	$80
SMUCLA	HB CULTURE MYCOPLASMA ANY SOURCE	87109	$80
RNPH	HB CULTURE PRESUMPTIVE SCRN	87081	$150
RRUCLA	HB CULTURE PRESUMPTIVE SCRN	87081	$150
SMUCLA	HB CULTURE PRESUMPTIVE SCRN	87081	$150
RNPH	HB CULTURE TYPING EA ANTISERA	87140	$48
RRUCLA	HB CULTURE TYPING EA ANTISERA	87140	$48
SMUCLA	HB CULTURE TYPING EA ANTISERA	87140	$48
RNPH	HB CYCLOSPORINE A MONOCLONAL	80158	$100
RRUCLA	HB CYCLOSPORINE A MONOCLONAL	80158	$100
SMUCLA	HB CYCLOSPORINE A MONOCLONAL	80158	$100
RNPH	HB CYTOMEGALOVIRUS	86644	$30
RRUCLA	HB CYTOMEGALOVIRUS	86644	$30
SMUCLA	HB CYTOMEGALOVIRUS	86644	$30
RNPH	HB CYTOMEGALOVIRUS IGM	86645	$30
RRUCLA	HB CYTOMEGALOVIRUS IGM	86645	$30
SMUCLA	HB CYTOMEGALOVIRUS IGM	86645	$30
RNPH	HB D DIMER QUANT	85379	$110
RRUCLA	HB D DIMER QUANT	85379	$110
SMUCLA	HB D DIMER QUANT	85379	$110
RNPH	HB DHEA SULFATE	82627	$240
RRUCLA	HB DHEA SULFATE	82627	$240
SMUCLA	HB DHEA SULFATE	82627	$240
RNPH	HB DIGOXIN	80162	$150
RRUCLA	HB DIGOXIN	80162	$150
SMUCLA	HB DIGOXIN	80162	$150
RRUCLA	HB DIRECT ANTIGLOBULIN TEST	86880	$60
RRUCLA	HB DIRECT ANTIGLOBULIN TEST-C3	86880	$60
RRUCLA	HB DIRECT ANTIGLOBULIN TEST-IGG	86880	$60
RNPH	HB DISK METH PER PLATE 12 OR FEWER AGENTS	87184	$100
RRUCLA	HB DISK METH PER PLATE 12 OR FEWER AGENTS	87184	$100
SMUCLA	HB DISK METH PER PLATE 12 OR FEWER AGENTS	87184	$100
RNPH	HB DRUG SCRN QUAL MULTI HI COMPLEX METH	G0431	$180
RRUCLA	HB DRUG SCRN QUAL MULTI HI COMPLEX METH	G0431	$180
SMUCLA	HB DRUG SCRN QUAL MULTI HI COMPLEX METH	G0431	$180
RNPH	HB EBV EARLY AG	86663	$20
RRUCLA	HB EBV EARLY AG	86663	$20
SMUCLA	HB EBV EARLY AG	86663	$20
RNPH	HB EBV EARLY EBNA	86664	$30
RRUCLA	HB EBV EARLY EBNA	86664	$30
SMUCLA	HB EBV EARLY EBNA	86664	$30
RNPH	HB EBV EARLY VCA	86665	$30
RRUCLA	HB EBV EARLY VCA	86665	$30
SMUCLA	HB EBV EARLY VCA	86665	$30
RNPH	HB ELECTROLYTE PANEL	80051	$130
RRUCLA	HB ELECTROLYTE PANEL	80051	$130
SMUCLA	HB ELECTROLYTE PANEL	80051	$130
RNPH	HB ELECTROLYTES PNL POTASSIUM FECES	84999	$90
RRUCLA	HB ELECTROLYTES PNL POTASSIUM FECES	84999	$90
SMUCLA	HB ELECTROLYTES PNL POTASSIUM FECES	84999	$90
RNPH	HB ENTERIC PATHOGEN 3-5 TARGETS	87505	$660
RRUCLA	HB ENTERIC PATHOGEN 3-5 TARGETS	87505	$660
SMUCLA	HB ENTERIC PATHOGEN 3-5 TARGETS	87505	$660
RNPH	HB ENTEROVIRUS	87498	$130
RRUCLA	HB ENTEROVIRUS	87498	$130
SMUCLA	HB ENTEROVIRUS	87498	$130
RNPH	HB ENZYME DETECTION PER ENZYME	87185	$40
RRUCLA	HB ENZYME DETECTION PER ENZYME	87185	$40
SMUCLA	HB ENZYME DETECTION PER ENZYME	87185	$40
RNPH	HB ERYTHROPOIETIN	82668	$30
RRUCLA	HB ERYTHROPOIETIN	82668	$30
SMUCLA	HB ERYTHROPOIETIN	82668	$30
RNPH	HB ESTRADIOL DIRECT	82670	$230
RRUCLA	HB ESTRADIOL DIRECT	82670	$230
SMUCLA	HB ESTRADIOL DIRECT	82670	$230
RNPH	HB EVAL CERVICOVAG PAMG 1	84112	$330
RRUCLA	HB EVAL CERVICOVAG PAMG 1	84112	$330
SMUCLA	HB EVAL CERVICOVAG PAMG 1	84112	$330
RNPH	HB EVEROLIMUS	80169	$70
RRUCLA	HB EVEROLIMUS	80169	$70
SMUCLA	HB EVEROLIMUS	80169	$70
RNPH	HB EXAM EVIDENTRY BLOOD DRAW	36415	$70
RRUCLA	HB EXAM EVIDENTRY BLOOD DRAW	36415	$70
SMUCLA	HB EXAM EVIDENTRY BLOOD DRAW	36415	$70
RNPH	HB EXOME SEQ EA COMPARATOR EXOME	81416	$940
RRUCLA	HB EXOME SEQ EA COMPARATOR EXOME	81416	$940
SMUCLA	HB EXOME SEQ EA COMPARATOR EXOME	81416	$940
RNPH	HB EXOME SEQ PROBAND	81415	$10000
RRUCLA	HB EXOME SEQ PROBAND	81415	$10000
SMUCLA	HB EXOME SEQ PROBAND	81415	$10000
RNPH	HB FACT INHIBITOR TEST	85335	$190
RRUCLA	HB FACT INHIBITOR TEST	85335	$190
SMUCLA	HB FACT INHIBITOR TEST	85335	$190
RNPH	HB FAT STOOL QUAL	82705	$80
RRUCLA	HB FAT STOOL QUAL	82705	$80
SMUCLA	HB FAT STOOL QUAL	82705	$80
RNPH	HB FECAL IMMUNOCHEMICAL TEST	82274	$80
RRUCLA	HB FECAL IMMUNOCHEMICAL TEST	82274	$80
SMUCLA	HB FECAL IMMUNOCHEMICAL TEST	82274	$80
RNPH	HB FERRITIN	82728	$110
RRUCLA	HB FERRITIN	82728	$110
SMUCLA	HB FERRITIN	82728	$110
RNPH	HB FETAL FIBRONECTIN SEMIQUANT	82731	$700
RRUCLA	HB FETAL FIBRONECTIN SEMIQUANT	82731	$700
SMUCLA	HB FETAL FIBRONECTIN SEMIQUANT	82731	$700
RRUCLA	HB FETAL SCREENING TEST	85461	$10
RNPH	HB FIBRINOGEN ACTIVITY	85384	$130
RRUCLA	HB FIBRINOGEN ACTIVITY	85384	$130
SMUCLA	HB FIBRINOGEN ACTIVITY	85384	$130
RRUCLA	HB FLOW CYTO CELL MRKR TECH COMP EA ADD	88185	$68
RRUCLA	HB FLOW CYTO CELL MRKR TECH COMP EA ADD *IG	88185	$44
RRUCLA	HB FLOW CYTO CELL MRKR TECH COMP EA ADD1 *IG	88185	$90
RRUCLA	HB FLOW CYTO CELL MRKR TECH COMP FIRST	88184	$211
RRUCLA	HB FLOW CYTO CELL MRKR TECH COMP FIRST1 *IG	88184	$153
RRUCLA	HB FLOW CYTO CELL MRKR TECH COMP FIRST2 *IG	88184	$154
RRUCLA	HB FLOW CYTO CELL MRKR TECH COMP FIRST3 *IG	88184	$137
RRUCLA	HB FLOW CYTO CELL MRKR TECH COMP FIRST4 *IG	88184	$150
RNPH	HB FLT3 ITD	81246	$325
RRUCLA	HB FLT3 ITD	81246	$325
SMUCLA	HB FLT3 ITD	81246	$325
RNPH	HB FLUORESCENT NONINFECTIOUS AB SCRN EA	86255	$140
RRUCLA	HB FLUORESCENT NONINFECTIOUS AB SCRN EA	86255	$140
SMUCLA	HB FLUORESCENT NONINFECTIOUS AB SCRN EA	86255	$140
RNPH	HB FLUORESCENT NONINFECTIOUS AB TITER EA	86256	$240
RRUCLA	HB FLUORESCENT NONINFECTIOUS AB TITER EA	86256	$240
SMUCLA	HB FLUORESCENT NONINFECTIOUS AB TITER EA	86256	$240
RNPH	HB FOLATE SER	82746	$90
RRUCLA	HB FOLATE SER	82746	$90
SMUCLA	HB FOLATE SER	82746	$90
RNPH	HB FOLLICLE STIMULATNG HORMONE	83001	$190
RRUCLA	HB FOLLICLE STIMULATNG HORMONE	83001	$190
SMUCLA	HB FOLLICLE STIMULATNG HORMONE	83001	$190
RRUCLA	HB FREEZE AUTOLOGOUS	86930	$750
RRUCLA	HB FREEZE&THAW/DEGLYC AUTOLOGOUS	86932	$110
RNPH	HB FUNGAL CULTURE BLOOD	87103	$160
RRUCLA	HB FUNGAL CULTURE BLOOD	87103	$160
SMUCLA	HB FUNGAL CULTURE BLOOD	87103	$160
RNPH	HB FUNGAL CULTURE OTH SOURCE	87102	$160
RRUCLA	HB FUNGAL CULTURE OTH SOURCE	87102	$160
SMUCLA	HB FUNGAL CULTURE OTH SOURCE	87102	$160
RNPH	HB FUNGI CULT SKIN HAIR NAIL	87101	$160
RRUCLA	HB FUNGI CULT SKIN HAIR NAIL	87101	$160
SMUCLA	HB FUNGI CULT SKIN HAIR NAIL	87101	$160
RNPH	HB GC AMP PROBE	87591	$260
RRUCLA	HB GC AMP PROBE	87591	$260
SMUCLA	HB GC AMP PROBE	87591	$260
RNPH	HB GENERAL HEALTH PANEL	80050	$470
RRUCLA	HB GENERAL HEALTH PANEL	80050	$470
SMUCLA	HB GENERAL HEALTH PANEL	80050	$470
RNPH	HB GENITAL BETA STREP AMP PROBE	87653	$80
RRUCLA	HB GENITAL BETA STREP AMP PROBE	87653	$80
SMUCLA	HB GENITAL BETA STREP AMP PROBE	87653	$80
RNPH	HB GENTAMICIN QUANT	80170	$110
RRUCLA	HB GENTAMICIN QUANT	80170	$110
SMUCLA	HB GENTAMICIN QUANT	80170	$110
RNPH	HB GGT:GAMMA GLUTAMYLTRANSFERASE	82977	$80
RRUCLA	HB GGT:GAMMA GLUTAMYLTRANSFERASE	82977	$80
SMUCLA	HB GGT:GAMMA GLUTAMYLTRANSFERASE	82977	$80
RNPH	HB GIARDIA	87269	$100
RRUCLA	HB GIARDIA	87269	$100
SMUCLA	HB GIARDIA	87269	$100
RNPH	HB GLIADIN PNL IGA	83516	$80
RRUCLA	HB GLIADIN PNL IGA	83516	$80
SMUCLA	HB GLIADIN PNL IGA	83516	$80
RNPH	HB GLIADIN PNL IGA	83516	$80
RRUCLA	HB GLIADIN PNL IGA	83516	$80
SMUCLA	HB GLIADIN PNL IGA	83516	$80
RNPH	HB GLIADIN PNL IGG	83516	$80
RRUCLA	HB GLIADIN PNL IGG	83516	$80
SMUCLA	HB GLIADIN PNL IGG	83516	$80
RNPH	HB GLUCOSE CHECK GLUCOSCAN	82948	$40
RRUCLA	HB GLUCOSE CHECK GLUCOSCAN	82948	$40
SMUCLA	HB GLUCOSE CHECK GLUCOSCAN	82948	$40
RNPH	HB GLUCOSE OTH THAN BLOOD	82945	$70
RRUCLA	HB GLUCOSE OTH THAN BLOOD	82945	$70
SMUCLA	HB GLUCOSE OTH THAN BLOOD	82945	$70
RNPH	HB GLUCOSE POSTPRANDIAL GLUCOS	82950	$80
RRUCLA	HB GLUCOSE POSTPRANDIAL GLUCOS	82950	$80
SMUCLA	HB GLUCOSE POSTPRANDIAL GLUCOS	82950	$80
RNPH	HB GLUCOSE QUANT BLOOD	82947	$30
RRUCLA	HB GLUCOSE QUANT BLOOD	82947	$30
SMUCLA	HB GLUCOSE QUANT BLOOD	82947	$30
RNPH	HB GLUCOSE TOLERANCE 3 SPECS	82951	$160
RRUCLA	HB GLUCOSE TOLERANCE 3 SPECS	82951	$160
SMUCLA	HB GLUCOSE TOLERANCE 3 SPECS	82951	$160
RNPH	HB GLUCOSE TOLERANCE EA ADDL	82952	$42
RRUCLA	HB GLUCOSE TOLERANCE EA ADDL	82952	$42
SMUCLA	HB GLUCOSE TOLERANCE EA ADDL	82952	$42
RNPH	HB GRADIENT STRIP PER AGENT	87181	$30
RRUCLA	HB GRADIENT STRIP PER AGENT	87181	$30
SMUCLA	HB GRADIENT STRIP PER AGENT	87181	$30
RNPH	HB GRAM STAIN	87205	$80
RRUCLA	HB GRAM STAIN	87205	$80
SMUCLA	HB GRAM STAIN	87205	$80
RNPH	HB GROUP A STREP AG DIRECT OPTIC OBSERV	87880	$230
RRUCLA	HB GROUP A STREP AG DIRECT OPTIC OBSERV	87880	$230
SMUCLA	HB GROUP A STREP AG DIRECT OPTIC OBSERV	87880	$230
RNPH	HB HAPTOGLOBIN QUANT	83010	$130
RRUCLA	HB HAPTOGLOBIN QUANT	83010	$130
SMUCLA	HB HAPTOGLOBIN QUANT	83010	$130
RNPH	HB HBV QUANT	87517	$210
RRUCLA	HB HBV QUANT	87517	$210
SMUCLA	HB HBV QUANT	87517	$210
RNPH	HB HCG QUAL	84703	$190
RRUCLA	HB HCG QUAL	84703	$190
SMUCLA	HB HCG QUAL	84703	$190
RNPH	HB HCG QUAL URINE PREG TEST	81025	$100
RRUCLA	HB HCG QUAL URINE PREG TEST	81025	$100
SMUCLA	HB HCG QUAL URINE PREG TEST	81025	$100
RNPH	HB HCG QUANT	84702	$190
RRUCLA	HB HCG QUANT	84702	$190
SMUCLA	HB HCG QUANT	84702	$190
RNPH	HB HCG TOTAL QUANT	84702	$50
RRUCLA	HB HCG TOTAL QUANT	84702	$50
SMUCLA	HB HCG TOTAL QUANT	84702	$50
RNPH	HB HELICOBACT PYLORI STOOL AG	87338	$120
RRUCLA	HB HELICOBACT PYLORI STOOL AG	87338	$120
SMUCLA	HB HELICOBACT PYLORI STOOL AG	87338	$120
RNPH	HB HELICOBACTER PYLORI AB EIA	86677	$130
RRUCLA	HB HELICOBACTER PYLORI AB EIA	86677	$130
SMUCLA	HB HELICOBACTER PYLORI AB EIA	86677	$130
RNPH	HB HEMATOCRIT AUTO	85014	$30
RRUCLA	HB HEMATOCRIT AUTO	85014	$30
SMUCLA	HB HEMATOCRIT AUTO	85014	$30
RNPH	HB HEMOGLOBIN	85018	$40
RRUCLA	HB HEMOGLOBIN	85018	$40
SMUCLA	HB HEMOGLOBIN	85018	$40
RNPH	HB HEMOGLOBIN A1C	83036	$80
RRUCLA	HB HEMOGLOBIN A1C	83036	$80
SMUCLA	HB HEMOGLOBIN A1C	83036	$80
RRUCLA	HB HEMOGLOBIN S TEST PER UNIT *RC	85660	$41
RRUCLA	HB HEMOLYS&AGGLUTININ AUTO EA *RC	86940	$42
RRUCLA	HB HEMOLYSIN INCUB DONATHLANDSTNR	86941	$20
RRUCLA	HB HEMOLYSINS AGGLUT INCUBATED *RC	86941	$90
RNPH	HB HEPARIN ASSAY	85520	$360
RRUCLA	HB HEPARIN ASSAY	85520	$360
SMUCLA	HB HEPARIN ASSAY	85520	$360
RNPH	HB HEPARIN NEUTRALIZATION	85525	$100
RRUCLA	HB HEPARIN NEUTRALIZATION	85525	$100
SMUCLA	HB HEPARIN NEUTRALIZATION	85525	$100
RNPH	HB HEPATIC FUNCTION PANEL	80076	$230
RRUCLA	HB HEPATIC FUNCTION PANEL	80076	$230
SMUCLA	HB HEPATIC FUNCTION PANEL	80076	$230
RNPH	HB HEPATITIS A AB IGM	86709	$60
RRUCLA	HB HEPATITIS A AB IGM	86709	$60
SMUCLA	HB HEPATITIS A AB IGM	86709	$60
RNPH	HB HEPATITIS A AB TOTAL	86708	$150
RRUCLA	HB HEPATITIS A AB TOTAL	86708	$150
SMUCLA	HB HEPATITIS A AB TOTAL	86708	$150
RNPH	HB HEPATITIS B CORE AB IGM	86705	$60
RRUCLA	HB HEPATITIS B CORE AB IGM	86705	$60
SMUCLA	HB HEPATITIS B CORE AB IGM	86705	$60
RNPH	HB HEPATITIS B CORE AB TOTAL	86704	$110
RRUCLA	HB HEPATITIS B CORE AB TOTAL	86704	$110
SMUCLA	HB HEPATITIS B CORE AB TOTAL	86704	$110
RNPH	HB HEPATITIS B SURFACE AB	86706	$180
RRUCLA	HB HEPATITIS B SURFACE AB	86706	$180
SMUCLA	HB HEPATITIS B SURFACE AB	86706	$180
RNPH	HB HEPATITIS B SURFACE AG	87340	$60
RRUCLA	HB HEPATITIS B SURFACE AG	87340	$60
SMUCLA	HB HEPATITIS B SURFACE AG	87340	$60
RNPH	HB HEPATITIS B SURFACE AG NEUT	87341	$100
RRUCLA	HB HEPATITIS B SURFACE AG NEUT	87341	$100
SMUCLA	HB HEPATITIS B SURFACE AG NEUT	87341	$100
RNPH	HB HEPATITIS BE AB	86707	$60
RRUCLA	HB HEPATITIS BE AB	86707	$60
SMUCLA	HB HEPATITIS BE AB	86707	$60
RNPH	HB HEPATITIS BE AG	87350	$20
RRUCLA	HB HEPATITIS BE AG	87350	$20
SMUCLA	HB HEPATITIS BE AG	87350	$20
RNPH	HB HEPATITIS C AB	86803	$80
RRUCLA	HB HEPATITIS C AB	86803	$80
SMUCLA	HB HEPATITIS C AB	86803	$80
RNPH	HB HEPATITIS C GENOTYPE	87902	$450
RRUCLA	HB HEPATITIS C GENOTYPE	87902	$450
SMUCLA	HB HEPATITIS C GENOTYPE	87902	$450
RNPH	HB HEPATITIS C QUANT	87522	$210
RRUCLA	HB HEPATITIS C QUANT	87522	$210
SMUCLA	HB HEPATITIS C QUANT	87522	$210
RNPH	HB HERPES SIMPLEX	86694	$30
RRUCLA	HB HERPES SIMPLEX	86694	$30
SMUCLA	HB HERPES SIMPLEX	86694	$30
RNPH	HB HERPES SIMPLEX TYPE 1	86695	$100
RRUCLA	HB HERPES SIMPLEX TYPE 1	86695	$100
SMUCLA	HB HERPES SIMPLEX TYPE 1	86695	$100
RNPH	HB HERPES SIMPLEX TYPE 2	86696	$100
RRUCLA	HB HERPES SIMPLEX TYPE 2	86696	$100
SMUCLA	HB HERPES SIMPLEX TYPE 2	86696	$100
RNPH	HB HETEROPHILE AB SCRN	86308	$150
RRUCLA	HB HETEROPHILE AB SCRN	86308	$150
SMUCLA	HB HETEROPHILE AB SCRN	86308	$150
RNPH	HB HGB FRACTIONATION	83021	$30
RRUCLA	HB HGB FRACTIONATION	83021	$30
SMUCLA	HB HGB FRACTIONATION	83021	$30
RNPH	HB HIV1	86701	$140
RRUCLA	HB HIV1	86701	$140
SMUCLA	HB HIV1	86701	$140
RNPH	HB HIV1 & HIV2	86703	$110
RRUCLA	HB HIV1 & HIV2	86703	$110
SMUCLA	HB HIV1 & HIV2	86703	$110
RNPH	HB HIV1 & HIV2 AB AG COMBO 4TH GEN	87389	$140
RRUCLA	HB HIV1 & HIV2 AB AG COMBO 4TH GEN	87389	$140
SMUCLA	HB HIV1 & HIV2 AB AG COMBO 4TH GEN	87389	$140
RNPH	HB HIV1 & HIV2 ANTIBODY SCREEN	86703	$140
RRUCLA	HB HIV1 & HIV2 ANTIBODY SCREEN	86703	$140
SMUCLA	HB HIV1 & HIV2 ANTIBODY SCREEN	86703	$140
RNPH	HB HIV1 QUANT	87536	$210
RRUCLA	HB HIV1 QUANT	87536	$210
SMUCLA	HB HIV1 QUANT	87536	$210
RRUCLA	HB HIV1&2 AB PHERES/STEM/BON/D*BL	86703	$140
RNPH	HB HIV2	86702	$140
RRUCLA	HB HIV2	86702	$140
SMUCLA	HB HIV2	86702	$140
RRUCLA	HB HLA A B IR EA *IG	81373	$158
RRUCLA	HB HLA A HI RES PNL *IG	81380	$350
RRUCLA	HB HLA A IR PNL *IG	81373	$165
RRUCLA	HB HLA A/B IR PNL EACH *IG	81373	$158
RRUCLA	HB HLA A/B/C IR PNL *IG	81372	$350
RRUCLA	HB HLA A/B/DRB1 PNL *IG	81371	$445
RRUCLA	HB HLA A2 SUBTYPE PNL *IG	81381	$165
RRUCLA	HB HLA B HI RES ONE LOCUS EA*IG	81380	$350
RRUCLA	HB HLA B HI RES PNL *IG	81380	$350
RRUCLA	HB HLA B IR EA *IG	81373	$165
RRUCLA	HB HLA B IR PNL *IG	81373	$165
RRUCLA	HB HLA B1502 TYPING *IG	81381	$350
RRUCLA	HB HLA B1502 TYPING ONE ALLELE GROUP EA*IG	81381	$350
RRUCLA	HB HLA B27 PNL *IG	81373	$36
RRUCLA	HB HLA B5701 TYPING *IG	81381	$167
RRUCLA	HB HLA B5701 TYPING ONE ALLELE GROUP EA*IG	81381	$167
RRUCLA	HB HLA B5801 TYPING *IG	81381	$167
RRUCLA	HB HLA B5801 TYPING ONE ALLELE GROUP EA*IG	81381	$167
RRUCLA	HB HLA C HI RES ONE LOCUS EA*IG	81380	$350
RRUCLA	HB HLA C HI RES PNL *IG	81380	$350
RRUCLA	HB HLA C IR EA *IG	81373	$165
RRUCLA	HB HLA C IR PNL *IG	81373	$165
RRUCLA	HB HLA CLASS II PHENOTYPE QUAL*IG	86831	$175
RRUCLA	HB HLA CLI CLII TYPING HR A B C DRB1 EA *IG	81380	$389
RRUCLA	HB HLA CLI CLII TYPING HR A B C DRB1-1 EA *IG	81382	$271
RRUCLA	HB HLA CLI CLII TYPING LR A B C DRB1/3-5/DQB1 *IG	81370	$327
RRUCLA	HB HLA CLI CLII TYPING LR A B DRB1 *IG	81371	$325
RRUCLA	HB HLA CLI TYPING A B C HI RES*IG	81379	$485
RRUCLA	HB HLA CLI TYPING A B C LOW RES*IG	81372	$171
RRUCLA	HB HLA CLI TYPING HR 1 ALLELE OR GROUP EA *IG	81381	$165
RRUCLA	HB HLA CLI TYPING HR 1 LOCUS EA *IG	81380	$350
RRUCLA	HB HLA CLI TYPING LR 1 AG EQUIV EA B27*IG	81374	$36
RRUCLA	HB HLA CLI TYPING LR 1 LOCUS EA *IG	81373	$165
RRUCLA	HB HLA CLI TYPING LR A B C *IG	81372	$350
RRUCLA	HB HLA CLII TYPING DQA1/DPB1/DPA1 LOW RES LOCUS EA*IG	81376	$95
RRUCLA	HB HLA CLII TYPING DQA1/DPB1/DPA1 LR LOCUS EA1*IG	81376	$99
RRUCLA	HB HLA CLII TYPING DRB1/3/4/5 LOW RES*IG	81375	$171
RRUCLA	HB HLA CLII TYPING DRBI/3/4/5/DQB1/DPB1 HI RES LOCUS EA*IG	81382	$179
RRUCLA	HB HLA CLII TYPING HR 1 LOCUS EA *IG	81382	$300
RRUCLA	HB HLA CLII TYPING HR 1 LOCUS EA1*IG	81382	$271
RRUCLA	HB HLA CLII TYPING LR DQA1/DPB1/DPA1 LOCUS EA*IG	81376	$170
RRUCLA	HB HLA CLII TYPING LR DRB1/3-5/DQB1 *IG	81375	$220
RRUCLA	HB HLA DONOR SEARCH *LS	86999	$160
RRUCLA	HB HLA DP HI RES ONE LOCUS EA *IG	81382	$300
RRUCLA	HB HLA DPA1 HI RES ONE LOCUS EA *IG	81382	$300
RRUCLA	HB HLA DPA1 HI RES PNL *IG	81382	$300
RRUCLA	HB HLA DPA1 IR ONE LOCUS EA *IG	81376	$130
RRUCLA	HB HLA DPA1 IR PNL *IG	81376	$165
RRUCLA	HB HLA DPB1 HI RES PNL *IG	81382	$300
RRUCLA	HB HLA DPB1 IR ONE LOCUS EA*IG	81376	$130
RRUCLA	HB HLA DPB1 IR PNL *IG	81376	$130
RRUCLA	HB HLA DPB1 IR*IG	81376	$500
RRUCLA	HB HLA DQA1 HI RES ONE LOCUS EA *IG	81382	$300
RRUCLA	HB HLA DQA1 HI RES PNL *IG	81382	$300
RRUCLA	HB HLA DQA1 IR ONE LOCUS EA*IG	81376	$130
RRUCLA	HB HLA DQA1 IR PNL *IG	81376	$130
RRUCLA	HB HLA DQB1 HI RES ONE LOCUS EA*IG	81382	$300
RRUCLA	HB HLA DQB1 HI RES PNL *IG	81382	$300
RRUCLA	HB HLA DQB1 IR ONE LOCUS EA*IG	81376	$130
RRUCLA	HB HLA DQB1 IR PNL *IG	81376	$130
RRUCLA	HB HLA DRB1 HI RES PNL *IG	81382	$300
RRUCLA	HB HLA DRB1/3-5 DQB/A1 DPB1 IR*IG	81379	$300
RRUCLA	HB HLA DRB1/3-5 IR PNL EACH *IG	81376	$170
RRUCLA	HB HLA DRB1/3-5/DQB1 IR PNL *IG	81375	$250
RRUCLA	HB HLA DRB3-5 HI RES ONE LOCUS EA *IG	81382	$300
RRUCLA	HB HLA DRB3-5 HI RES PNL *IG	81382	$300
RRUCLA	HB HLA-DRB1/DQB1 IR PNL EACH *IG	81376	$110
RNPH	HB HOMOCYSTEINE TOTAL	83090	$140
RRUCLA	HB HOMOCYSTEINE TOTAL	83090	$140
SMUCLA	HB HOMOCYSTEINE TOTAL	83090	$140
RNPH	HB HPV HI RISK	87624	$170
RRUCLA	HB HPV HI RISK	87624	$170
SMUCLA	HB HPV HI RISK	87624	$170
RNPH	HB HSCRP CARDIO CRP & CV RISK	86141	$130
RRUCLA	HB HSCRP CARDIO CRP & CV RISK	86141	$130
SMUCLA	HB HSCRP CARDIO CRP & CV RISK	86141	$130
RNPH	HB HSV AMP PROBE	87529	$130
RRUCLA	HB HSV AMP PROBE	87529	$130
SMUCLA	HB HSV AMP PROBE	87529	$130
RNPH	HB HSV1 AG DIRECT FLUORESCENT	87274	$70
RRUCLA	HB HSV1 AG DIRECT FLUORESCENT	87274	$70
SMUCLA	HB HSV1 AG DIRECT FLUORESCENT	87274	$70
RNPH	HB HSV2 AG DIRECT FLUORESCENT	87273	$110
RRUCLA	HB HSV2 AG DIRECT FLUORESCENT	87273	$110
SMUCLA	HB HSV2 AG DIRECT FLUORESCENT	87273	$110
RNPH	HB HTLV OR HIV AB WESTERN BLOT	86689	$270
RRUCLA	HB HTLV OR HIV AB WESTERN BLOT	86689	$270
SMUCLA	HB HTLV OR HIV AB WESTERN BLOT	86689	$270
RNPH	HB ID BACTERIA SEROTYP EA AB	87147	$70
RRUCLA	HB ID BACTERIA SEROTYP EA AB	87147	$70
SMUCLA	HB ID BACTERIA SEROTYP EA AB	87147	$70
RNPH	HB ID NUC ACID 16S RRNA GENE	87153	$210
RRUCLA	HB ID NUC ACID 16S RRNA GENE	87153	$210
SMUCLA	HB ID NUC ACID 16S RRNA GENE	87153	$210
RNPH	HB ID NUC PROBE AMP PROBE EA ORG	87150	$180
RRUCLA	HB ID NUC PROBE AMP PROBE EA ORG	87150	$180
SMUCLA	HB ID NUC PROBE AMP PROBE EA ORG	87150	$180
RNPH	HB ID NUC PROBE EA	87149	$260
RRUCLA	HB ID NUC PROBE EA	87149	$260
SMUCLA	HB ID NUC PROBE EA	87149	$260
RNPH	HB IMMUNOFIX ELECTROPHORES BLOOD	86334	$190
RRUCLA	HB IMMUNOFIX ELECTROPHORES BLOOD	86334	$190
SMUCLA	HB IMMUNOFIX ELECTROPHORES BLOOD	86334	$190
RNPH	HB IMMUNOFIX ELECTROPHORES OTH FLUID	86335	$210
RRUCLA	HB IMMUNOFIX ELECTROPHORES OTH FLUID	86335	$210
SMUCLA	HB IMMUNOFIX ELECTROPHORES OTH FLUID	86335	$210
RNPH	HB IMMUNOGLOBULIN A	82784	$100
RRUCLA	HB IMMUNOGLOBULIN A	82784	$100
SMUCLA	HB IMMUNOGLOBULIN A	82784	$100
RNPH	HB IMMUNOGLOBULIN E QUANT	82785	$150
RRUCLA	HB IMMUNOGLOBULIN E QUANT	82785	$150
SMUCLA	HB IMMUNOGLOBULIN E QUANT	82785	$150
RNPH	HB IMMUNOGLOBULIN G	82784	$100
RRUCLA	HB IMMUNOGLOBULIN G	82784	$100
SMUCLA	HB IMMUNOGLOBULIN G	82784	$100
RNPH	HB IMMUNOGLOBULIN M	82784	$100
RRUCLA	HB IMMUNOGLOBULIN M	82784	$100
SMUCLA	HB IMMUNOGLOBULIN M	82784	$100
RNPH	HB IMMUNOHISTOCHEM PER SPEC ADD SINGLE AB STAIN	88341	$230
RRUCLA	HB IMMUNOHISTOCHEM PER SPEC ADD SINGLE AB STAIN	88341	$230
SMUCLA	HB IMMUNOHISTOCHEM PER SPEC ADD SINGLE AB STAIN	88341	$230
RNPH	HB IMMUNOHISTOCHEM PER SPEC ADD SINGLE AB STAIN	88341	$230
RRUCLA	HB IMMUNOHISTOCHEM PER SPEC ADD SINGLE AB STAIN	88341	$230
SMUCLA	HB IMMUNOHISTOCHEM PER SPEC ADD SINGLE AB STAIN	88341	$230
SMUCLA	HB INFECT AGENT DNA RNA SAR COVID19 AMP PROBE	87635	$200
RNPH	HB INFECT AGENT DNA RNA SAR COVID19 AMP PROBE	87635	$200
RRUCLA	HB INFECT AGENT DNA RNA SAR COVID19 AMP PROBE	87635	$200
RNPH	HB INFECTIOUS AGENT AMP PROBE EA	87798	$80
RRUCLA	HB INFECTIOUS AGENT AMP PROBE EA	87798	$80
SMUCLA	HB INFECTIOUS AGENT AMP PROBE EA	87798	$80
RNPH	HB INFECTIOUS AGENT AMP PROBE EA1	87798	$130
RRUCLA	HB INFECTIOUS AGENT AMP PROBE EA1	87798	$130
SMUCLA	HB INFECTIOUS AGENT AMP PROBE EA1	87798	$130
RNPH	HB INFECTIOUS AGENT AMP PROBE EA2	87798	$180
RRUCLA	HB INFECTIOUS AGENT AMP PROBE EA2	87798	$180
SMUCLA	HB INFECTIOUS AGENT AMP PROBE EA2	87798	$180
RNPH	HB INFECTIOUS AGENT AMP PROBE EA3	87798	$130
RRUCLA	HB INFECTIOUS AGENT AMP PROBE EA3	87798	$130
SMUCLA	HB INFECTIOUS AGENT AMP PROBE EA3	87798	$130
RNPH	HB INFECTIOUS AGENT DIRECT OPTIC OBSERV	87899	$150
RRUCLA	HB INFECTIOUS AGENT DIRECT OPTIC OBSERV	87899	$150
SMUCLA	HB INFECTIOUS AGENT DIRECT OPTIC OBSERV	87899	$150
RNPH	HB INFECTIOUS AGENT QUANT EA	87799	$210
RRUCLA	HB INFECTIOUS AGENT QUANT EA	87799	$210
SMUCLA	HB INFECTIOUS AGENT QUANT EA	87799	$210
RNPH	HB INFLUENZA A AG	87276	$80
RRUCLA	HB INFLUENZA A AG	87276	$80
SMUCLA	HB INFLUENZA A AG	87276	$80
RNPH	HB INFLUENZA A B RESPIRATORY	87631	$230
RRUCLA	HB INFLUENZA A B RESPIRATORY	87631	$230
SMUCLA	HB INFLUENZA A B RESPIRATORY	87631	$230
RNPH	HB INFLUENZA A B RESPIRATORY1	87631	$476
RRUCLA	HB INFLUENZA A B RESPIRATORY1	87631	$476
SMUCLA	HB INFLUENZA A B RESPIRATORY1	87631	$476
RNPH	HB INFLUENZA AG DIRECT OPTIC	87804	$121
RRUCLA	HB INFLUENZA AG DIRECT OPTIC	87804	$121
SMUCLA	HB INFLUENZA AG DIRECT OPTIC	87804	$121
RNPH	HB INFLUENZA AMP PROBE	87502	$390
RRUCLA	HB INFLUENZA AMP PROBE	87502	$390
SMUCLA	HB INFLUENZA AMP PROBE	87502	$390
RNPH	HB INFLUENZA B AG	87275	$80
RRUCLA	HB INFLUENZA B AG	87275	$80
SMUCLA	HB INFLUENZA B AG	87275	$80
RNPH	HB INSULIN TOTAL	83525	$60
RRUCLA	HB INSULIN TOTAL	83525	$60
SMUCLA	HB INSULIN TOTAL	83525	$60
RNPH	HB IRON	83540	$80
RRUCLA	HB IRON	83540	$80
SMUCLA	HB IRON	83540	$80
RNPH	HB IRON BINDING CAPACITY	83550	$50
RRUCLA	HB IRON BINDING CAPACITY	83550	$50
SMUCLA	HB IRON BINDING CAPACITY	83550	$50
RRUCLA	HB IRRADIATION BLOOD ORBLOOD PROD	86945	$110
RNPH	HB KETONES QUAL	82009	$120
RRUCLA	HB KETONES QUAL	82009	$120
SMUCLA	HB KETONES QUAL	82009	$120
RRUCLA	HB KIR GENOTYPE *IG	81380	$167
RNPH	HB LACTATE	83605	$90
RRUCLA	HB LACTATE	83605	$90
SMUCLA	HB LACTATE	83605	$90
RNPH	HB LACTATE DEHYDROGENASE LD	83615	$60
RRUCLA	HB LACTATE DEHYDROGENASE LD	83615	$60
SMUCLA	HB LACTATE DEHYDROGENASE LD	83615	$60
RNPH	HB LEAD BLOOD	83655	$60
RRUCLA	HB LEAD BLOOD	83655	$60
SMUCLA	HB LEAD BLOOD	83655	$60
RRUCLA	HB LEUKOCYTE AB ID *RC	86021	$281
RRUCLA	HB LEUKOCYTE TRANSFUSION	86950	$450
RNPH	HB LIDOCAINE QUANT	80176	$110
RRUCLA	HB LIDOCAINE QUANT	80176	$110
SMUCLA	HB LIDOCAINE QUANT	80176	$110
RNPH	HB LIPASE	83690	$110
RRUCLA	HB LIPASE	83690	$110
SMUCLA	HB LIPASE	83690	$110
RNPH	HB LIPID PANEL	80061	$110
RRUCLA	HB LIPID PANEL	80061	$110
SMUCLA	HB LIPID PANEL	80061	$110
RNPH	HB LITHIUM QUANT	80178	$80
RRUCLA	HB LITHIUM QUANT	80178	$80
SMUCLA	HB LITHIUM QUANT	80178	$80
RNPH	HB LUTEINIZING HORMONE	83002	$200
RRUCLA	HB LUTEINIZING HORMONE	83002	$200
SMUCLA	HB LUTEINIZING HORMONE	83002	$200
RRUCLA	HB LYMPH TRANSFORM MITOGEN OR AG *IG	86353	$67
RRUCLA	HB LYMPH TRANSFORM MITOGEN OR AG1 *IG	86353	$465
RRUCLA	HB LYMPH TRANSFORM MITOGEN OR AG2 *IG	86353	$774
RRUCLA	HB LYMPH TRANSFORM MITOGEN OR AG3 *IG	86353	$361
RRUCLA	HB LYMPHO ASSAY XM TITR *IG	86805	$430
RNPH	HB MACROBROTH DIL METH EA AGENT	87188	$130
RRUCLA	HB MACROBROTH DIL METH EA AGENT	87188	$130
SMUCLA	HB MACROBROTH DIL METH EA AGENT	87188	$130
RNPH	HB MACROSCOPIC EXAM ARTHROPOD	87168	$120
RRUCLA	HB MACROSCOPIC EXAM ARTHROPOD	87168	$120
SMUCLA	HB MACROSCOPIC EXAM ARTHROPOD	87168	$120
RNPH	HB MACROSCOPIC EXAM PARASITE	87169	$140
RRUCLA	HB MACROSCOPIC EXAM PARASITE	87169	$140
SMUCLA	HB MACROSCOPIC EXAM PARASITE	87169	$140
RNPH	HB MAGNESIUM	83735	$80
RRUCLA	HB MAGNESIUM	83735	$80
SMUCLA	HB MAGNESIUM	83735	$80
RNPH	HB MAP PREGNANCY TEST URINE HCG QUANT	84703	$150
RRUCLA	HB MAP PREGNANCY TEST URINE HCG QUANT	84703	$150
SMUCLA	HB MAP PREGNANCY TEST URINE HCG QUANT	84703	$150
RNPH	HB MEASLES/RUBEOLA IMMUNE STATUS/TITER	86765	$102
RRUCLA	HB MEASLES/RUBEOLA IMMUNE STATUS/TITER	86765	$102
SMUCLA	HB MEASLES/RUBEOLA IMMUNE STATUS/TITER	86765	$102
RNPH	HB METABOLIC PANEL BASIC	80048	$250
RRUCLA	HB METABOLIC PANEL BASIC	80048	$250
SMUCLA	HB METABOLIC PANEL BASIC	80048	$250
RNPH	HB METABOLIC PANEL BASIC CA ION	80047	$230
RRUCLA	HB METABOLIC PANEL BASIC CA ION	80047	$230
SMUCLA	HB METABOLIC PANEL BASIC CA ION	80047	$230
RNPH	HB METABOLIC PANEL COMPREHENSV	80053	$440
RRUCLA	HB METABOLIC PANEL COMPREHENSV	80053	$440
SMUCLA	HB METABOLIC PANEL COMPREHENSV	80053	$440
RNPH	HB METHOTREXATE QUANT	80299	$60
RRUCLA	HB METHOTREXATE QUANT	80299	$60
SMUCLA	HB METHOTREXATE QUANT	80299	$60
RRUCLA	HB MICA GENOTYPE *IG	81380	$168
RRUCLA	HB MICA GENOTYPE ONE LOCUS EA*IG	81380	$168
RNPH	HB MICRO DIL MIC PER PLATE	87186	$110
RRUCLA	HB MICRO DIL MIC PER PLATE	87186	$110
SMUCLA	HB MICRO DIL MIC PER PLATE	87186	$110
RNPH	HB MICRO DIL MLC PER PLATE	87187	$50
RRUCLA	HB MICRO DIL MLC PER PLATE	87187	$50
SMUCLA	HB MICRO DIL MLC PER PLATE	87187	$50
RNPH	HB MICROSOMAL AB EA	86376	$60
RRUCLA	HB MICROSOMAL AB EA	86376	$60
SMUCLA	HB MICROSOMAL AB EA	86376	$60
RNPH	HB MICROSPORIDIA PARASITE SPECIAL STAIN	87207	$150
RRUCLA	HB MICROSPORIDIA PARASITE SPECIAL STAIN	87207	$150
SMUCLA	HB MICROSPORIDIA PARASITE SPECIAL STAIN	87207	$150
RRUCLA	HB MOPATH LEV4 LICENSED RBC PANEL *RC	81403	$325
RRUCLA	HB MOPATH LEV4 RHD ZYGOSITY *RC	81403	$250
RNPH	HB MUMPS	86735	$60
RRUCLA	HB MUMPS	86735	$60
SMUCLA	HB MUMPS	86735	$60
RNPH	HB MYCOBACT TUBERCUL AMP PROBE	87556	$80
RRUCLA	HB MYCOBACT TUBERCUL AMP PROBE	87556	$80
SMUCLA	HB MYCOBACT TUBERCUL AMP PROBE	87556	$80
RNPH	HB MYCOBACTERIA EA AGENT	87190	$20
RRUCLA	HB MYCOBACTERIA EA AGENT	87190	$20
SMUCLA	HB MYCOBACTERIA EA AGENT	87190	$20
RNPH	HB MYCOPHENOLIC ACID	80180	$90
RRUCLA	HB MYCOPHENOLIC ACID	80180	$90
SMUCLA	HB MYCOPHENOLIC ACID	80180	$90
RNPH	HB MYCOPL PNEUMONIAE AMP PROBE	87581	$130
RRUCLA	HB MYCOPL PNEUMONIAE AMP PROBE	87581	$130
SMUCLA	HB MYCOPL PNEUMONIAE AMP PROBE	87581	$130
RRUCLA	HB NARCOLEPSY DR DQ ONE LOCUS EA *IG	81376	$93
RRUCLA	HB NARCOLEPSY DRB1/DQB1 PNL EA*IG	81376	$93
RNPH	HB NATIVE OR DBL STRAND DNA	86225	$130
RRUCLA	HB NATIVE OR DBL STRAND DNA	86225	$130
SMUCLA	HB NATIVE OR DBL STRAND DNA	86225	$130
RNPH	HB NEWBORN SCRN-BIOTINIDASE EA *LB	82261	$20
RRUCLA	HB NEWBORN SCRN-BIOTINIDASE EA *LB	82261	$20
SMUCLA	HB NEWBORN SCRN-BIOTINIDASE EA *LB	82261	$20
RNPH	HB NEWBORN SCRN-CAPILLARY BLOOD DRAW	36416	$6
RRUCLA	HB NEWBORN SCRN-CAPILLARY BLOOD DRAW	36416	$6
SMUCLA	HB NEWBORN SCRN-CAPILLARY BLOOD DRAW	36416	$6
RNPH	HB NEWBORN SCRN-HGB CHROMATOG *LB	83021	$20
RRUCLA	HB NEWBORN SCRN-HGB CHROMATOG *LB	83021	$20
SMUCLA	HB NEWBORN SCRN-HGB CHROMATOG *LB	83021	$20
RNPH	HB NEWBORN SCRN-HYDROXYPROGEST *LB	83498	$20
RRUCLA	HB NEWBORN SCRN-HYDROXYPROGEST *LB	83498	$20
SMUCLA	HB NEWBORN SCRN-HYDROXYPROGEST *LB	83498	$20
RNPH	HB NEWBORN SCRN-IRT *LB	83516	$20
RRUCLA	HB NEWBORN SCRN-IRT *LB	83516	$20
SMUCLA	HB NEWBORN SCRN-IRT *LB	83516	$20
RNPH	HB NEWBORN SCRN-TAND MASS SPEC *LB	83789	$21
RRUCLA	HB NEWBORN SCRN-TAND MASS SPEC *LB	83789	$21
SMUCLA	HB NEWBORN SCRN-TAND MASS SPEC *LB	83789	$21
RNPH	HB NEWBORN SCRN-TRANSFERASE *LB	82776	$20
RRUCLA	HB NEWBORN SCRN-TRANSFERASE *LB	82776	$20
SMUCLA	HB NEWBORN SCRN-TRANSFERASE *LB	82776	$20
RNPH	HB NEWBORN SCRN-TSH *LB	84443	$20
RRUCLA	HB NEWBORN SCRN-TSH *LB	84443	$20
SMUCLA	HB NEWBORN SCRN-TSH *LB	84443	$20
RNPH	HB NK CELLS TOTAL COUNT	86357	$180
RRUCLA	HB NK CELLS TOTAL COUNT	86357	$180
SMUCLA	HB NK CELLS TOTAL COUNT	86357	$180
RRUCLA	HB NK CELLS TOTAL COUNT	86357	$44
RNPH	HB NUCLEAR AG EA AB	86235	$130
RRUCLA	HB NUCLEAR AG EA AB	86235	$130
SMUCLA	HB NUCLEAR AG EA AB	86235	$130
RNPH	HB OCCULT BLOOD GASTRIC CONTENTS	82271	$40
RRUCLA	HB OCCULT BLOOD GASTRIC CONTENTS	82271	$40
SMUCLA	HB OCCULT BLOOD GASTRIC CONTENTS	82271	$40
RNPH	HB OCCULT BLOOD STOOL 1-3TESTS SIMULT DETERM	82272	$40
RRUCLA	HB OCCULT BLOOD STOOL 1-3TESTS SIMULT DETERM	82272	$40
SMUCLA	HB OCCULT BLOOD STOOL 1-3TESTS SIMULT DETERM	82272	$40
RNPH	HB OCCULT BLOOD STOOL 1-3TESTS SINGLE DETERM	82270	$50
RRUCLA	HB OCCULT BLOOD STOOL 1-3TESTS SINGLE DETERM	82270	$50
SMUCLA	HB OCCULT BLOOD STOOL 1-3TESTS SINGLE DETERM	82270	$50
RNPH	HB OHF SKIN TEST TB INTRADERMAL	86580	$60
RRUCLA	HB OHF SKIN TEST TB INTRADERMAL	86580	$60
SMUCLA	HB OHF SKIN TEST TB INTRADERMAL	86580	$60
RNPH	HB OSMOLALITY BLOOD	83930	$90
RRUCLA	HB OSMOLALITY BLOOD	83930	$90
SMUCLA	HB OSMOLALITY BLOOD	83930	$90
RNPH	HB OSMOLALITY FECES	84999	$90
RRUCLA	HB OSMOLALITY FECES	84999	$90
SMUCLA	HB OSMOLALITY FECES	84999	$90
RNPH	HB OSMOLALITY URINE	83935	$90
RRUCLA	HB OSMOLALITY URINE	83935	$90
SMUCLA	HB OSMOLALITY URINE	83935	$90
RNPH	HB OVA AND PARASITE CONC AND ID	87177	$100
RRUCLA	HB OVA AND PARASITE CONC AND ID	87177	$100
SMUCLA	HB OVA AND PARASITE CONC AND ID	87177	$100
RNPH	HB OVA&PARASITE COMPLEX STAIN	87209	$180
RRUCLA	HB OVA&PARASITE COMPLEX STAIN	87209	$180
SMUCLA	HB OVA&PARASITE COMPLEX STAIN	87209	$180
RRUCLA	HB PARATHYROID CRYO & PRESERV FOR TRANSPLANT	88399	$1550
RNPH	HB PARATHYROID HORMONE	83970	$340
RRUCLA	HB PARATHYROID HORMONE	83970	$340
SMUCLA	HB PARATHYROID HORMONE	83970	$340
RNPH	HB PARTICLE AGGLUTINATION SCRN EA AB MRSA	87899	$67
RRUCLA	HB PARTICLE AGGLUTINATION SCRN EA AB MRSA	87899	$67
SMUCLA	HB PARTICLE AGGLUTINATION SCRN EA AB MRSA	87899	$67
RNPH	HB PBP2A LFA MRSA SCRN	87147	$30
RRUCLA	HB PBP2A LFA MRSA SCRN	87147	$30
SMUCLA	HB PBP2A LFA MRSA SCRN	87147	$30
RNPH	HB PH BODY FLUID	83986	$60
RRUCLA	HB PH BODY FLUID	83986	$60
SMUCLA	HB PH BODY FLUID	83986	$60
RNPH	HB PHENOBARBITAL QUANT	80184	$80
RRUCLA	HB PHENOBARBITAL QUANT	80184	$80
SMUCLA	HB PHENOBARBITAL QUANT	80184	$80
RNPH	HB PHENYTOIN DILANTIN TOTAL	80185	$160
RRUCLA	HB PHENYTOIN DILANTIN TOTAL	80185	$160
SMUCLA	HB PHENYTOIN DILANTIN TOTAL	80185	$160
RNPH	HB PHOSPHORUS INORGANIC	84100	$30
RRUCLA	HB PHOSPHORUS INORGANIC	84100	$30
SMUCLA	HB PHOSPHORUS INORGANIC	84100	$30
RNPH	HB PHOSPHORUS INORGANIC URINE	84105	$70
RRUCLA	HB PHOSPHORUS INORGANIC URINE	84105	$70
SMUCLA	HB PHOSPHORUS INORGANIC URINE	84105	$70
RNPH	HB PINWORM EXAM	87172	$90
RRUCLA	HB PINWORM EXAM	87172	$90
SMUCLA	HB PINWORM EXAM	87172	$90
RRUCLA	HB PLATELET AG NEG COMPNENT EA(2) *RC	86902	$130
RNPH	HB PLATELET AGGREGATN EA AGENT	85576	$110
RRUCLA	HB PLATELET AGGREGATN EA AGENT	85576	$110
SMUCLA	HB PLATELET AGGREGATN EA AGENT	85576	$110
RRUCLA	HB PLATELET ANTIBODY SCREEN *RC	86022	$254
RRUCLA	HB PLATELET ASSOCIATED IGG *RC	86023	$138
RNPH	HB PLATELET COUNT AUTO	85049	$60
RRUCLA	HB PLATELET COUNT AUTO	85049	$60
SMUCLA	HB PLATELET COUNT AUTO	85049	$60
RRUCLA	HB PLTLT NEG HPA1A/PLA1 EA (2) *RC	86902	$200
RNPH	HB PNEUMOCYSTIS AG DIRECT FLUOR	87281	$80
RRUCLA	HB PNEUMOCYSTIS AG DIRECT FLUOR	87281	$80
SMUCLA	HB PNEUMOCYSTIS AG DIRECT FLUOR	87281	$80
RNPH	HB POC BLOOD GASES	82803	$180
RRUCLA	HB POC BLOOD GASES	82803	$180
SMUCLA	HB POC BLOOD GASES	82803	$180
RNPH	HB POC CALCIUM IONIZED	82330	$80
RRUCLA	HB POC CALCIUM IONIZED	82330	$80
SMUCLA	HB POC CALCIUM IONIZED	82330	$80
RNPH	HB POC CBC AND PLATELET COUNT	85027	$40
RRUCLA	HB POC CBC AND PLATELET COUNT	85027	$40
SMUCLA	HB POC CBC AND PLATELET COUNT	85027	$40
RNPH	HB POC CHLORIDE	82435	$30
RRUCLA	HB POC CHLORIDE	82435	$30
SMUCLA	HB POC CHLORIDE	82435	$30
RNPH	HB POC COAGULATION TIME ACTIVATED	85347	$21
RRUCLA	HB POC COAGULATION TIME ACTIVATED	85347	$21
SMUCLA	HB POC COAGULATION TIME ACTIVATED	85347	$21
RNPH	HB POC COOX PNL HBCO QUANT	82375	$90
RRUCLA	HB POC COOX PNL HBCO QUANT	82375	$90
SMUCLA	HB POC COOX PNL HBCO QUANT	82375	$90
RNPH	HB POC COOX PNL METHB QUANT	83050	$80
RRUCLA	HB POC COOX PNL METHB QUANT	83050	$80
SMUCLA	HB POC COOX PNL METHB QUANT	83050	$80
RNPH	HB POC CREATININE BLOOD	82565	$40
RRUCLA	HB POC CREATININE BLOOD	82565	$40
SMUCLA	HB POC CREATININE BLOOD	82565	$40
RNPH	HB POC GLUCOSE BLOOD BY MONITOR	82962	$10
RRUCLA	HB POC GLUCOSE BLOOD BY MONITOR	82962	$10
SMUCLA	HB POC GLUCOSE BLOOD BY MONITOR	82962	$10
RNPH	HB POC GROUP A STREP AG DIRECT OPTIC OBSERV	87880	$230
RRUCLA	HB POC GROUP A STREP AG DIRECT OPTIC OBSERV	87880	$230
SMUCLA	HB POC GROUP A STREP AG DIRECT OPTIC OBSERV	87880	$230
RNPH	HB POC HCG QUAL URINE PREG TEST	81025	$80
RRUCLA	HB POC HCG QUAL URINE PREG TEST	81025	$80
SMUCLA	HB POC HCG QUAL URINE PREG TEST	81025	$80
RNPH	HB POC HEMOGLOBIN	85018	$40
RRUCLA	HB POC HEMOGLOBIN	85018	$40
SMUCLA	HB POC HEMOGLOBIN	85018	$40
RNPH	HB POC HEMOGLOBIN A1C	83037	$80
RRUCLA	HB POC HEMOGLOBIN A1C	83037	$80
SMUCLA	HB POC HEMOGLOBIN A1C	83037	$80
RNPH	HB POC INFLUENZA AG DIRECT OPTIC	87804	$121
RRUCLA	HB POC INFLUENZA AG DIRECT OPTIC	87804	$121
SMUCLA	HB POC INFLUENZA AG DIRECT OPTIC	87804	$121
RNPH	HB POC LACTATE	83605	$90
RRUCLA	HB POC LACTATE	83605	$90
SMUCLA	HB POC LACTATE	83605	$90
RNPH	HB POC OCCULT BLOOD STOOL 1-3TESTS SIMULT DETERM	82272	$40
RRUCLA	HB POC OCCULT BLOOD STOOL 1-3TESTS SIMULT DETERM	82272	$40
SMUCLA	HB POC OCCULT BLOOD STOOL 1-3TESTS SIMULT DETERM	82272	$40
RNPH	HB POC PARATHYROID HORMONE	83970	$400
RRUCLA	HB POC PARATHYROID HORMONE	83970	$400
SMUCLA	HB POC PARATHYROID HORMONE	83970	$400
RNPH	HB POC POTASSIUM BLOOD	84132	$30
RRUCLA	HB POC POTASSIUM BLOOD	84132	$30
SMUCLA	HB POC POTASSIUM BLOOD	84132	$30
RNPH	HB POC PROTHROMBIN TIME	85610	$70
RRUCLA	HB POC PROTHROMBIN TIME	85610	$70
SMUCLA	HB POC PROTHROMBIN TIME	85610	$70
RNPH	HB POC RSV AG DIRECT OPTIC DETECT	87807	$170
RRUCLA	HB POC RSV AG DIRECT OPTIC DETECT	87807	$170
SMUCLA	HB POC RSV AG DIRECT OPTIC DETECT	87807	$170
RNPH	HB POC SODIUM BLOOD	84295	$40
RRUCLA	HB POC SODIUM BLOOD	84295	$40
SMUCLA	HB POC SODIUM BLOOD	84295	$40
RNPH	HB POC URINALYSIS DIPSTICK	81002	$60
RRUCLA	HB POC URINALYSIS DIPSTICK	81002	$60
SMUCLA	HB POC URINALYSIS DIPSTICK	81002	$60
RRUCLA	HB POOL/COMBINE CRYO&PLASMA	86965	$230
RNPH	HB POTASSIUM BLOOD	84132	$30
RRUCLA	HB POTASSIUM BLOOD	84132	$30
SMUCLA	HB POTASSIUM BLOOD	84132	$30
RNPH	HB POTASSIUM OTH SOURCE	84999	$90
RRUCLA	HB POTASSIUM OTH SOURCE	84999	$90
SMUCLA	HB POTASSIUM OTH SOURCE	84999	$90
RNPH	HB POTASSIUM URINE	84133	$80
RRUCLA	HB POTASSIUM URINE	84133	$80
SMUCLA	HB POTASSIUM URINE	84133	$80
RNPH	HB PREALBUMIN	84134	$140
RRUCLA	HB PREALBUMIN	84134	$140
SMUCLA	HB PREALBUMIN	84134	$140
RRUCLA	HB PRESCREEN PT SERUM PER UNIT *RC	86904	$43
RNPH	HB PRESUMPTIVE ID UR EA ISOLAT	87088	$40
RRUCLA	HB PRESUMPTIVE ID UR EA ISOLAT	87088	$40
SMUCLA	HB PRESUMPTIVE ID UR EA ISOLAT	87088	$40
RNPH	HB PRESUMPTIVE-ACETAMINOPHEN	80307