| HC Fecal Occult Blood Single Determ | 82270 | $17 |
| Lipid Panel | 80061 | $36 |
| HC Chtoptii Emergency Department Visit Limited Minor Prob PR | 99281 | $40 |
| Blood Glucose Test | 82947 | $40 |
| HC Total Psa Mayo | 84153 | $41 |
| HC Immunization Admin 1st Vaccine Thru 18yrs | 90460 | $51 |
| HC Level I Surg Path Gross Only | 88300 | $52 |
| HC Immunization Admin One Vaccine | 90471 | $59 |
| HC Cholesterol | 82465 | $60 |
| HC Urinalysis W Microscopic POCT | 81001 | $70 |
| HC Hpv Pcr | 87624 | $72 |
| HC Chtoptii Emergency Department Visit Low Moder Severity PR | 99282 | $73 |
| HC Supplemental Hiv 1/2 Rapid Test | 86703 | $76 |
| Therapeutic Injection | 96372 | $80 |
| Hemoglobin A1c | 83036 | $94 |
| TSH Thyroid Test | 84443 | $95 |
| HC Psychotherapy 30 Min With Patient D | 90832 | $103 |
| Complete Blood Count (CBC) | 85025 | $105 |
| HC Established Patient Level 1 | 99211 | $109 |
| HC Chlamydia by Pcr | 87491 | $118 |
| HC Chtoptii Arthrocentesis Aspir and or Inj Major Jt Bursa W O US PR | 20610 | $119 |
| HC New Patient Level 2 | 99202 | $121 |
| HC Gonorrhoeae by Pcr | 87591 | $124 |
| HC Chtoptii Emergency Department Visit Moderate Severity PR | 99283 | $126 |
| HC Special Stains Grp 1 | 88312 | $127 |
| HC Level IV Cytology Gross and Micro | 88305 | $136 |
| HC Established Patient Level 2 | 99212 | $136 |
| HC Level II Surg Path Gross and Micro | 88302 | $140 |
| Office Visit (New Patient) | 99203 | $149 |
| HC Psychotherapy 45 Min W Patient and or Family Member | 90834 | $150 |
| HC Level III Surg Path Gross and Micro | 88304 | $151 |
| Office Visit (Established Patient) | 99213 | $160 |
| HC Dexa Appendicular Skeleton | 77081 | $170 |
| Knee X-Ray | 73560 | $173 |
| Psychotherapy (60 min) | 90837 | $176 |
| HC Chtoptii Simple Repair Superfcl Wnd Rpr Sc Nk Gen Ext 2.5 Cm or Less | 12001 | $179 |
| HC Chest 1 View | 71045 | $182 |
| Office Visit (New, Complex) | 99204 | $190 |
| Chest X-Ray (2 Views) | 71046 | $200 |
| HC Hydration IV Initial 31min-1hr | 96360 | $209 |
| HC Chtoptii Emergency Department Visit High Urgent Severity PR | 99284 | $212 |
| HC Consult Report W Slide Prep | 88323 | $221 |
| HC New Patient Level 5 | 99205 | $223 |
| HC Chtoptii Office Outpatient Visit 40 Minutes PR - Inactive | 99215 | $233 |
| Office Visit (Complex) | 99214 | $244 |
| HC Chtoptii Exc Skin Benign Lesion <0.5 Cm Trunk Arm Leg | 11400 | $247 |
| HC Chtoptii Drain Skin Abscess Simple PR | 10060 | $254 |
| HC Shoulder Comp 2 Vws | 73030 | $262 |
| DEXA Bone Density Scan | 77080 | $271 |
| Mammogram (Screening) | 77067 | $273 |
| HC Level V Surg Path or Cyto Gross and Micro | 88307 | $278 |
| HC Chtoptii Incision and Insertion of Eardrum Tube Under General Anesthesia | 69436 | $278 |
| Comprehensive Metabolic Panel | 80053 | $293 |
| HC Chtoptii Emergency Dept Visit High Severity and Threat Funcj PR | 99285 | $308 |
| Epidural Steroid Injection | 64483 | $423 |
| HC Level VI Surg Path Gross and Micro | 88309 | $455 |
| HC Chtoptii Biopsy Prostate by Needle or Punch Single or Multiple | 55700 | $494 |
| HC Chtoptii Egd Diagnostic Brush Wash | 43235 | $499 |
| HC Chtoptii Excision Turbinate Submucous Partial or Complete | 30140 | $572 |
| Upper Endoscopy with Biopsy | 43239 | $653 |
| HC Chtoptii Remove Tonsils and Adenoids Age 12 and Up | 42821 | $692 |
| Colonoscopy | 45378 | $745 |
| Colonoscopy with Biopsy | 45380 | $889 |
| HC Chtoptii Knee Scope Med Lat Menisectomy | 29881 | $940 |
| HC Chtoptii Colsc Flx W Rmvl of Tumor Polyp Lesion Snare Tq PR | 45385 | $1,001 |
| HC Chtoptii Laparoscopic Appendectomy | 44970 | $1,208 |
| HC Chtoptii Repair of Nasal Septum | 30520 | $1,303 |
| Laparoscopic Cholecystectomy | 47562 | $1,322 |
| HC Frozen Section First Block | 88331 | $1,448 |
| Head CT Scan | 70450 | $1,493 |
| Echocardiogram | 93306 | $2,077 |
| Lumbar Spine MRI | 72148 | $2,167 |
| Shoulder Arthroscopy | 29827 | $2,168 |
| Knee MRI | 73721 | $2,231 |
| Cervical Spine MRI | 72141 | $2,787 |
| Brain MRI with Contrast | 70553 | $3,533 |