| Blood Glucose Test | 82947 | $1 |
| Chgl Research Study-H&E | 88305 | $3 |
| Lipid Panel | 80061 | $4 |
| Chgl Research Study-Cut Slide | 88323 | $8 |
| Complete Blood Count (CBC) | 85025 | $9 |
| Chgl (Qu) Chlamydia/Gc, Rna, Tma, Rectal, S/O | 87491 | $10 |
| Chgl (Qu) Chlamydia/Gc, Rna, Tma, Rectal, S/O | 87591 | $10 |
| TSH Thyroid Test | 84443 | $19 |
| Skin Test Tb Intradermal (Sngh) | 86580 | $19 |
| Chgl (Qu) 87624 Thinprep Pap And Hpv Dna With Reflex To Hpv Genotypes 16,18, S/O | 87624 | $21 |
| Chgl Stool Occult Blood X 3 | 82270 | $23 |
| Refraction Only | 92015 | $27 |
| Cont Lens-1Eyes-Excp Aphak | 92310 | $40 |
| 90460 Immun Admin,<18 1St Comp | 90460 | $48 |
| Vaccine/Immun Inj-Other | 90471 | $48 |
| Mammogram (Screening) | 77067 | $51 |
| Chgl Spec Stain Group I | 88312 | $58 |
| Chgl Cholesterol | 82465 | $69 |
| Chgl Prostatic Spec Ag | 84153 | $86 |
| Chgl Surg Path Level I | 88300 | $88 |
| Chgl Urinalysis W/Micro | 81001 | $90 |
| Cmptr Ophth Dx Img Post Segmt | 92134 | $93 |
| Therapeutic Injection | 96372 | $94 |
| Chgl Or Consult W/Rapid Micro (1/2) | 88331 | $97 |
| Chgl Surg Path Level Iii | 88304 | $105 |
| Hemoglobin A1c | 83036 | $110 |
| Level I - Er Dept Visit | 99281 | $130 |
| Destruct B9 Lesion 1-14 | 17110 | $137 |
| Destruct Premalg Lesion | 17000 | $145 |
| Indiv Therapy (30 Min) | 90832 | $151 |
| Intermediate Eye Exam | 92012 | $153 |
| Static/Kinetic Hvf Uni/Bil | 92083 | $163 |
| Comprehensive Eye Exam | 92014 | $171 |
| Corneal Topogra Mapping | 92025 | $190 |
| Indiv Therapy (45 Min) | 90834 | $207 |
| Chgl Surg Path Level Ii | 88302 | $219 |
| Psychotherapy (60 min) | 90837 | $220 |
| Shave Les S/N/H/F/G; 0.5Cm/< | 11305 | $223 |
| Shave Skin Lesion Trunk/Arm/Leg 0.5 Cm/< | 11300 | $223 |
| Shave Skin Lesion 0.6Cm-1.0Cm | 11301 | $223 |
| Chg - Destruct Lesion 15 Or More | 17111 | $224 |
| Chg-X-Ray Exam Chest 1 View | 71045 | $234 |
| Comprehensive Metabolic Panel | 80053 | $247 |
| Level Ii - Er Dept Visit | 99282 | $249 |
| Knee X-Ray | 73560 | $262 |
| Chest X-Ray (2 Views) | 71046 | $282 |
| Initial Psych Assessment | 90791 | $312 |
| Chgr-Shoulder Comp | 73030 | $319 |
| Removal Of Skin Tags | 11200 | $322 |
| Chgr-Bone Density Study-Peripheral | 77081 | $332 |
| Spec-Iv Inf Therapy Up To 1Hr | 96360 | $336 |
| Chgl Surg Path Level V | 88307 | $363 |
| 12001 Simple Rep Trunk=<2.5Cm | 12001 | $462 |
| Level Iii - Er Dept Visit | 99283 | $491 |
| Spec-Arthrocent-Maj Jnt W/O Us | 20610 | $523 |
| Chgl Surg Path Level Vi | 88309 | $548 |
| DEXA Bone Density Scan | 77080 | $588 |
| Incision & Drainage Abscess Simple/Single | 10060 | $653 |
| Remove Eyelid Lesion | 67800 | $657 |
| 11401 Exc Tr-Ext B9+Marg 0.6-1 Cm | 11401 | $716 |
| Ed Level Iv - Er Dept Visit | 99284 | $910 |
| Exc Tr-Ext B9+Marg </=0.5Cm | 11400 | $1,020 |
| Chgr-Mm Bx Breast Perc Needle Core , Sep | 19100 | $1,066 |
| Trabeculopasty By Laser | 65855 | $1,094 |
| Colonoscopy | 45378 | $1,165 |
| Exc Face-Mm B9+Marg </=0.5Cm | 11440 | $1,230 |
| Head CT Scan | 70450 | $1,328 |
| Ed Level V - Er Dept Visit | 99285 | $1,434 |
| Exc Of Chalazion:Mult Diff Lid | 67805 | $1,438 |
| Ablate Inf Turbinate Superf | 30801 | $1,588 |
| Echocardiogram | 93306 | $1,726 |
| Brain MRI with Contrast | 70553 | $1,746 |
| Epidural Steroid Injection | 64483 | $1,825 |
| Knee MRI | 73721 | $1,933 |
| Lumbar Spine MRI | 72148 | $2,000 |
| Cervical Spine MRI | 72141 | $2,000 |
| Sleep Study Apnea/Narco | 95810 | $2,188 |
| Cltx Inter/Peri/Subtrochanteric Fem Fx W/O Manj | 27238 | $2,240 |
| Prostate/Us Or Mri/Bx | 55700 | $2,419 |
| 31237 Nasal/Sinus Endoscopy | 31237 | $3,165 |