Standard Charge Information McDuffie

Effective March 1, 2023

Service  CDM Code    CDM   3/1/2023 Rate

  • Room & Board      11100001    HC R&B - PRIVATE  $853
  • Room & Board      11900001    HC R&B - SWING BED PRIVATE    $662
  • Room & Board      20600001    HC R&B - TELEMETRY      $1,430
  • Room & Board      12100001    HC R&B - SEMIPRIVATE    $853
  • Room & Board      17000001    HC R&B - WELL BABY      $648
  • Room & Board      17100001    HC R&B - NURSERY LVL 1  $978
  • Room & Board      17200001    HC R&B - NURSERY LVL 2  $1,317
  • Room & Board      17300001    HC R&B - NURSERY LVL 3  $1,761
  • Room & Board      17400001    HC R&B - NURSERY LVL 4  $2,389
  • Room & Board      20000001    HC R&B - ICU      $2,314
  • Room & Board      21000001    HC R&B - CCU      $2,389
  • Room & Board      21400001    HC R&B - PCU      $1,910
  • Supplements 25000042    HC ENSURE CLEAR   $7
  • Supplements 25000043    HC ENSURE ENLIVE  $4
  • Supplements 25000044    HC ENSURE COMPACT $1
  • Supplements 25000045    HC JEVITY 1.5-LITER     $7
  • Supplements 25000046    HC JEVITY 1.5-CAN $4
  • Supplements 25000047    HC SUPLENA (CANS) $4
  • Supplements 25000048    HC GELATEIN 20    $5
  • Supplements 25000003    HC NEPRO (CANS)   $4
  • Supplements 25000004    HC PULMOCARE/CAN  $7
  • Supplements 25000005    HC GLUCERNA 1.5 CAN     $4
  • Supplements 25000007    HC GLUCERNA 1.5 LITER   $14
  • Supplements 25000008    HC PULMOCARE/LITER      $31
  • Supplements 25000010    HC GREAT SHAKES   $1
  • Supplements 25000011    HC JEVITY 1.2-LITER     $7
  • Supplements 25000012    HC JEVITY 1.2-CAN $7
  • Supplements 25000014    HC NUTRIHEP-TF (CANS)   $22
  • Supplements 25000015    HC GLUCERNA SHAKES (CANS)     $4
  • Supplements 25000018    HC NEPRO (LITER)  $11
  • Supplements 25000021    HC ENTERAL SUPPLEMENT (OLD NAME JUVEN)    $8
  • Supplements 25000022    HC MCT OIL TABLESPOON   $5
  • Supplements 25000023    HC OSMOLITE 1 CAL 8 OZ CAN    $4
  • Supplements 25000024    HC OSMOLITE 1 CAL LITER $7
  • Supplements 25000026    HC POLYCOSE 1 TABLESPOON      $4
  • Supplements 25000028    HC TWOCAL HN 8 OZ CAN   $4
  • Supplements 25000029    HC TWOCAL HN LITER      $5
  • Supplements 25000030    HC JUICE NUTRITIONAL 206      $14
  • Supplements 25000031    HC FIBERBASICS    $5
  • Supplements 25000033    HC ENSURE PLUS    $4
  • Supplements 25000034    HC MAGIC CUPS MEAL REPLACEMENT      $5
  • Supplements 25000036    HC PROSOURCE PLUS LIQUID PROTEIN    $7
  • Supplements 25000037    HC BODY QUEST PROTEIN SUPPLEMENT    $5
  • Supplements 25000038    HC NUTRITIONAL SUPP VITAL 1.2 CAN   $12
  • Supplements 25000039    HC NUTRITIONAL SUPP VITAL 1.2 LTR   $36
  • Supplements 25000041    HC ENSURE (CANS)  $4
  • Supplements 25000049    HC CORE POWER ELITE HI PROT MILKSHAKE     $7
  • Supplements 25000050    HC ENSURE CLEAR NUTRITION DRINK (PRE-SURGERY)   $4
  • Supplements 25000051    HC VITAL HIGH PROTEIN CAN     $12
  • Supplements 25000052    HC VITAL HIGH PROTEIN LTR     $36
  • Supplements 25000053    HC PREMIER PROTEIN BOTTLE (SUMMERVILLE ONLY)    $7
  • Supplements 25000054    HC ENSURE SURGERY : IMMUNONUTRITION SHAKE $3
  • Supplements 25000055    HC ENSURE MAX PROTEIN  (SUMMERVILLE ONLY) $7
  • Radiopharm Drugs  25500001    HC RADIONUCLIDE SESTAMIBI     $495
  • Radiopharm Drugs  25500003    HC RADIONUCLIDE TETROFOSMIN   $560
  • Radiopharm Drugs  25500004    HC RADIONUCLIDE THALLIUM      $643
  • Radiopharm Drugs  25500005    HC RADIONUCLIDE PROSTASCINT   $7,551
  • Radiopharm Drugs  25500006    HC RADIONUCLIDE NEOTECT $4,510
  • Radiopharm Drugs  25500007    HC RADIONUCLIDE CHOLETEC      $217
  • Radiopharm Drugs  25500008    HC RADIONUCLIDE ALBUMIN MAA   $324
  • Radiopharm Drugs  25500009    HC RADIONUCLIDE TC99M SULFUR COLL   $324
  • Radiopharm Drugs  25500010    HC RADIONUCLIDE INDIUM III OXINE    $4,162
  • Radiopharm Drugs  25500011    HC RADIONUCLIDE INDIUM 111 DPTA     $2,900
  • Radiopharm Drugs  25500012    HC RADIONUCLIDE FDG/DOSE 4-40 MCI   $1,385
  • Radiopharm Drugs  25500013    HC RADIONUCLIDE RCM/CR 51     $1,685
  • Radiopharm Drugs  25500014    HC RADIONUCLIDE PV/I 125      $799
  • Radiopharm Drugs  25500015    HC RADIONUCLIDE GALLIUM $495
  • Radiopharm Drugs  25500016    HC RADIONUCLIDE TC99M LABELED RBC   $392
  • Radiopharm Drugs  25500017    HC RADIONUCLIDE RENAL MAG 3   $598
  • Radiopharm Drugs  25500018    HC RADIONUCLIDE TC99 / NEUTROSPEC   $3,983
  • Radiopharm Drugs  25500019    HC RADIONUCLIDE TC HMPAO      $2,568
  • Radiopharm Drugs  25500020    HC RADIONUCLIDE IN 111 OCTREOTIDE   $8,735
  • Radiopharm Drugs  25500023    HC RADIONUCLIDE SESTAMIBI     $495
  • Radiopharm Drugs  25500024    HC RADIONUCLIDE TC99M TETROFOSMIN   $560
  • Radiopharm Drugs  25500025    HC RADIONUCLIDE THALLIUM      $643
  • Radiopharm Drugs  25500026    HC RADIONUCLIDE TC99M ULTRATAG LABELED RBC      $392
  • Radiopharm Drugs  25500027    HC RADIONUCLIDE TC99M PENTETATE =< 25 MCI $217
  • Radiopharm Drugs  25500028    HC RADIONUCLIDE I131 PER 1 UCI TO 100 UCI $217
  • Radiopharm Drugs  25500029    HC RADIONUCLIDE IODINE I-131 IODIDE CAP DX PER 1 MCI      $217
  • Radiopharm Drugs  25500036    HC RADIONUCLIDE TC99M ULTRATAG LABELED RBC      $392
  • Radiopharm Drugs  25500039    HC RADIONUCLIDE TC99M PYROPHOSPHATE =<25 MCI    $473
  • IV Therapy  26000026    HC HYDRATION INFUSION EACH ADDL HOUR      $95
  • IV Therapy  26000027    HC THERAP INFUSION INITIAL HOUR     $437
  • IV Therapy  26000028    HC THERAP INFUSION EACH ADDL HOUR   $95
  • IV Therapy  26000029    HC INFUSION ADDL SEQUENTIAL HOUR    $95
  • IV Therapy  26000030    HC TX/PRO/DX INJ SAME DRUG ADDON    $255
  • IV Therapy  26000031    HC THER/DIAG CONCURRENT INF   $95
  • IV Therapy  26000034    HC THER/DIAG CONCURRENT INF - ER    $95
  • IV Therapy  26000035    HC TX/PRO/DX INJ SAME DRUG ADDON - ER     $255
  • IV Therapy  26000001    HC PICC LINE INSERTION  $2,835
  • IV Therapy  26000002    HC PICC LINE REPLACEMENT      $2,835
  • IV Therapy  26000003    HC DECLOT VASCULAR DEVICE     $540
  • IV Therapy  26000005    HC REFILL IMPLANT PUMP/RESERVOIR    $356
  • IV Therapy  26000006    HC HYDRATION INFUSION INITIAL HOUR  $437
  • IV Therapy  26000007    HC HYDRATION INFUSION EACH ADDL HOUR      $95
  • IV Therapy  26000008    HC INFUSION INITIAL HOUR      $437
  • IV Therapy  26000009    HC INFUSION EACH ADDL HOUR    $95
  • IV Therapy  26000010    HC INFUSION ADDL SEQUENTIAL HOUR    $109
  • IV Therapy  26000011    HC IV TX- INITIATION IV ACCESS      $85
  • IV Therapy  26000012    HC MIDLINE CATHETER INSERTION $159
  • IV Therapy  26000013    HC IVAD ACCESS    $65
  • IV Therapy  26000014    HC THER/DIAG CONCURRENT INF   $95
  • IV Therapy  26000015    HC TX/PRO/DX INJ SAME DRUG ADDON    $255
  • IV Therapy  26000016    HC IV TX- INITIATION IV ACCESS      $85
  • IV Therapy  26000017    HC MIDLINE CATHETER INSERTION $159
  • IV Therapy  26000022    HC DECLOT VASCULAR DEVICE     $340
  • IV Therapy  26000023    HC IVAD ACCESS    $65
  • IV Therapy  26000024    HC DECLOT VASCULAR DEVICE     $340
  • IV Therapy  26000025    HC HYDRATION INFUSION INITIAL HOUR  $437
  • Laboratory  30000058    HC LBA COLLECTION FEE (UHMC)  $109
  • Laboratory  30000001    HC VENIPUNCTURE ROUTINE $24
  • Laboratory  30000052    HC BLOOD COLLECTION FROM PORT $198
  • Laboratory  30000053    HC COLLECT BLOOD FROM PICC    $93
  • Laboratory  30000078    HC COV-19 AMP PRB HGH THRUPUT WITHIN 2 DAYS COLLECT   $34
  • Laboratory  30100001    HC ALCOHOL BREATH TEST INITIAL      $138
  • Laboratory  30200129    HC TB INTRADERMAL TEST  $31
  • Diagnostic Radiology Imaging  32000407    HC SCOLIOSIS/THORACOLUMBAR STAND 2-3 VIEWS $630
  • Diagnostic Radiology Imaging  32000408    HC SCOLIOSIS/THORACOLUMBAR STAND 4-5 VIEWS $738
  • Diagnostic Radiology Imaging  32000409    HC SCOLIOSIS/THORACOLUMBAR MIN 6 VIEWS (INCL. SUPINE & STAND)  $846
  • Diagnostic Radiology Imaging  32000410    HC HIP UNILAT W PELVIS MINIMUM 4 VIEWS      $628
  • Diagnostic Radiology Imaging  32000413    HC FEMUR AP/LATERAL MIN 2 VIEWS     $509
  • Diagnostic Radiology Imaging  32000414    HC GASTRIC EMPTYING IMAG STDY W SM BOWEL TRANSIT     $598
  • Diagnostic Radiology Imaging  32000415    HC GASTRIC EMPTYING IMAG STDY W SM BOWEL & COLON TRANSIT   $792
  • Diagnostic Radiology Imaging  32000420    HC PELVIS / HIPS,INFANT MIN 5 VIEWS BILAT $756
  • Diagnostic Radiology Imaging  36000732    HC MYELOGRAPHY VIA LUMBAR INJ, CERVICAL      $2,790
  • Diagnostic Radiology Imaging  32000001    HC CISTERNOGRAPHY $963
  • Diagnostic Radiology Imaging  32000002    HC EYE FOREIGN BODY DETECTION $963
  • Diagnostic Radiology Imaging  32000003    HC MANDIBLE < 4 VIEWS   $335
  • Diagnostic Radiology Imaging  32000004    HC MANDIBLE MINIMUM 4 VIEWS   $414
  • Diagnostic Radiology Imaging  32000005    HC MASTOIDS COMPLETE    $522
  • Diagnostic Radiology Imaging  32000006    HC INTERNAL AUDITORY CANAL    $522
  • Diagnostic Radiology Imaging  32000007    HC FACIAL BONES < THREE VIEWS $329
  • Diagnostic Radiology Imaging  32000008    HC FACIAL BONES, MINIMUM 3 VIEWS    $695
  • Diagnostic Radiology Imaging  32000009    HC NASAL BONES MINIMUM 3 VIEWS      $323
  • Diagnostic Radiology Imaging  32000010    HC OPTIC FORAMINA $454
  • Diagnostic Radiology Imaging  32000011    HC ORBITS MINIMUM 4 VIEWS     $489
  • Diagnostic Radiology Imaging  32000012    HC SINUSES <3 VIEWS     $529
  • Diagnostic Radiology Imaging  32000013    HC SINUSES MINIMUM 3 VIEWS    $695
  • Diagnostic Radiology Imaging  32000014    HC SELLA TURCIA   $377
  • Diagnostic Radiology Imaging  32000015    HC SKULL LESS THAN FOUR VIEWS $529
  • Diagnostic Radiology Imaging  32000016    HC SKULLS MINIMUM 4 VIEWS     $695
  • Diagnostic Radiology Imaging  32000017    HC TEMPEROMANDIBULAR JOINTS   $522
  • Diagnostic Radiology Imaging  32000018    HC PANOREX/ORTHOPANTOGRAM     $197
  • Diagnostic Radiology Imaging  32000019    HC NECK FOR SOFT TISSUE $273
  • Diagnostic Radiology Imaging  32000020    HC PHARYNX AND LARYNX W FLUORO      $427
  • Diagnostic Radiology Imaging  32000022    HC PORTABLE CHEST FRONTAL SINGLE VIEW      $325
  • Diagnostic Radiology Imaging  32000023    HC XRAY EXAM CHEST 2 VIEWS    $329
  • Diagnostic Radiology Imaging  32000024    HC XRAY EXAM CHEST 3 VIEWS    $439
  • Diagnostic Radiology Imaging  32000026    HC CHEST 2 VIEWS W/FLUORO     $520
  • Diagnostic Radiology Imaging  32000027    HC XRAY CHEST 4+ VIEWS  $481
  • Diagnostic Radiology Imaging  32000028    HC CHEST 4 OR MORE VIEWS W/FLUORO   $605
  • Diagnostic Radiology Imaging  32000031    HC RIBS-UNILATERAL      $431
  • Diagnostic Radiology Imaging  32000032    HC RIBS-UNI W PA CHEST  $608
  • Diagnostic Radiology Imaging  32000033    HC RIBS-BILATERAL $431
  • Diagnostic Radiology Imaging  32000034    HC RIBS-BIL W PA CHEST  $791
  • Diagnostic Radiology Imaging  32000035    HC STERNUM MINIMUM 2 VIEWS    $394
  • Diagnostic Radiology Imaging  32000036    HC STERNOCLAVICULAR JOINTS 3 VIEW   $466
  • Diagnostic Radiology Imaging  32000037    HC SPINE ENTIRE AP/LAT  $779
  • Diagnostic Radiology Imaging  32000038    HC CERVICAL SPINE,SINGLE VIEW $333
  • Diagnostic Radiology Imaging  32000039    HC SPINE SINGLE VIEW    $369
  • Diagnostic Radiology Imaging  32000040    HC CERVICAL SPINE 2-3 VIEWS   $435
  • Diagnostic Radiology Imaging  32000041    HC CERVICAL SPINE,MINIMUM 4 VIEWS   $609
  • Diagnostic Radiology Imaging  32000042    HC CERVICAL SPINE WITH FLEX/EXTEN   $745
  • Diagnostic Radiology Imaging  32000043    HC SCOLIOSIS/THORACOLUMBAR 1 VIEW (INCL SUPINE & STAND)   $522
  • Diagnostic Radiology Imaging  32000044    HC THORACIC SPINE AP AND LAT  $576
  • Diagnostic Radiology Imaging  32000045    HC THORACOLUMBAR AP / LATERAL $576
  • Diagnostic Radiology Imaging  32000046    HC SCOLIOSIS SERIES SUPINE/ERECT    $922
  • Diagnostic Radiology Imaging  32000047    HC LUMBAR SPINE AP / LATERAL  $570
  • Diagnostic Radiology Imaging  32000048    HC LUMBAR SPINE COMPLETE W OBL      $791
  • Diagnostic Radiology Imaging  32000049    HC LUMBAR SPINE COMPLETE W BENDIN   $922
  • Diagnostic Radiology Imaging  32000050    HC LUMBAR BENDING ONLY, MINIMUM 4   $576
  • Diagnostic Radiology Imaging  32000051    HC PELVIS AP      $398
  • Diagnostic Radiology Imaging  32000052    HC PELVIS MINIMUM 3 VIEWS     $691
  • Diagnostic Radiology Imaging  32000053    HC SACRO-ILIAC JOINTS 3 VIEWS $454
  • Diagnostic Radiology Imaging  32000054    HC SACRUM OR COCCYX 2 VIEWS   $454
  • Diagnostic Radiology Imaging  32000060    HC PERQ VERTEBROPLASTY, CERVICOTHORACIC      $4,626
  • Diagnostic Radiology Imaging  32000061    HC DISCOGRAPHY, LUMBAR  $3,077
  • Diagnostic Radiology Imaging  32000062    HC CLAVICLE COMPLETE    $475
  • Diagnostic Radiology Imaging  32000063    HC CLAVICLE, BILATERAL  $930
  • Diagnostic Radiology Imaging  32000064    HC SCAPULA COMPLETE     $394
  • Diagnostic Radiology Imaging  32000065    HC SCAPULA, BILATERAL   $892
  • Diagnostic Radiology Imaging  32000066    HC SHOULDER ONE VIEW    $333
  • Diagnostic Radiology Imaging  32000067    HC SHOULDER, ONE VIEW BILATERAL     $655
  • Diagnostic Radiology Imaging  32000068    HC SHOULDER 2 VIEWS     $479
  • Diagnostic Radiology Imaging  32000069    HC SHOULDER TWO VIEWS, BILATERAL    $941
  • Diagnostic Radiology Imaging  32000070    HC ACROMIO-CLAVICULAR JOINTS  $424
  • Diagnostic Radiology Imaging  32000071    HC HUMERUS MINIMUM 2 VIEWS    $369
  • Diagnostic Radiology Imaging  32000072    HC HUMERUS, BILATERAL   $720
  • Diagnostic Radiology Imaging  32000073    HC ELBOW AP / LATERAL   $333
  • Diagnostic Radiology Imaging  32000074    HC ELBOW, TWO VIEWS BILATERAL $655
  • Diagnostic Radiology Imaging  32000075    HC ELBOW,MINIMUM 3 VIEWS      $369
  • Diagnostic Radiology Imaging  32000076    HC ELBOW, THREE VIEWS BILATERAL     $720
  • Diagnostic Radiology Imaging  32000077    HC FOREARM AP / LATERAL $369
  • Diagnostic Radiology Imaging  32000078    HC FOREARM, BILATERAL   $720
  • Diagnostic Radiology Imaging  32000079    HC UPPER EXTREMITY INFANT     $333
  • Diagnostic Radiology Imaging  32000080    HC UPPER EXTREMITY INFANT BILATERAL $655
  • Diagnostic Radiology Imaging  32000081    HC WRIST MINIMUM 2 VIEWS      $333
  • Diagnostic Radiology Imaging  32000082    HC WRIST TWO VIEWS, BILATERAL $655
  • Diagnostic Radiology Imaging  32000083    HC WRIST MINIMUM 3 VIEWS      $369
  • Diagnostic Radiology Imaging  32000084    HC WRIST, THREE VIEWS BILATERAL     $720
  • Diagnostic Radiology Imaging  32000085    HC HAND 2 VIEWS   $333
  • Diagnostic Radiology Imaging  32000086    HC HAND, TWO VIEW BILATERAL   $655
  • Diagnostic Radiology Imaging  32000087    HC HAND MINIMUM 3 VIEWS $369
  • Diagnostic Radiology Imaging  32000088    HC HAND, THREE VIEW BILATERAL $720
  • Diagnostic Radiology Imaging  32000089    HC FINGER(S) MINIMUM 2 VIEWS  $316
  • Diagnostic Radiology Imaging  32000090    HC HIP UNILATERAL  1 VIEW     $398
  • Diagnostic Radiology Imaging  32000091    HC HIP UNILAT COMPLETE MIN 2 VIEWS  $513
  • Diagnostic Radiology Imaging  32000092    HC HIPS BILAT & PELVIS MIN 2 VIEWS  $564
  • Diagnostic Radiology Imaging  32000093    HC PELVIS AND BILAT HIPS 2 VIEWS    $691
  • Diagnostic Radiology Imaging  32000094    HC ARTHROGRAM HIP $911
  • Diagnostic Radiology Imaging  32000095    HC HIP 1 VIEW/OR  $513
  • Diagnostic Radiology Imaging  32000096    HC PELVIS / HIPS,INFANT MIN 2 VIEWS BILAT $369
  • Diagnostic Radiology Imaging  32000098    HC FEMUR AP / LATERAL 1 VIEW  $394
  • Diagnostic Radiology Imaging  32000099    HC FEMUR, BILATERAL 2 or > VIEWS    $767
  • Diagnostic Radiology Imaging  32000100    HC XRAY KNEE 1 OR 2 VIEWS     $369
  • Diagnostic Radiology Imaging  32000101    HC XRAY KNEE 1 OR 2 VIEWS     $720
  • Diagnostic Radiology Imaging  32000102    HC KNEE MINIMUM 3 VIEWS $433
  • Diagnostic Radiology Imaging  32000103    HC KNEE, THREE VIEWS BILATERAL      $853
  • Diagnostic Radiology Imaging  32000104    HC KNEE TUNNEL/PATELLAR/STANDING    $433
  • Diagnostic Radiology Imaging  32000105    HC KNEE COMPLETE W/MULTI VIEWS      $502
  • Diagnostic Radiology Imaging  32000106    HC KNEE, MULTI VIEW BILATERAL $977
  • Diagnostic Radiology Imaging  32000107    HC KNEES STANDING AP    $369
  • Diagnostic Radiology Imaging  32000108    HC TIBIA/FIBULA AP / LATERAL  $369
  • Diagnostic Radiology Imaging  32000109    HC TIBIA/FIBULA, BILATERAL    $720
  • Diagnostic Radiology Imaging  32000110    HC LOWER EXTREMITY,INFANT 2V $333
  • Diagnostic Radiology Imaging  32000111    HC LOWER EXTREMITY,INFANT 2V BILATERAL      $655
  • Diagnostic Radiology Imaging  32000112    HC ANKLE 2 VIEWS  $333
  • Diagnostic Radiology Imaging  32000113    HC ANKLE, TWO VIEWS BILATERAL $655
  • Diagnostic Radiology Imaging  32000114    HC ANKLE 3 VIEWS  $369
  • Diagnostic Radiology Imaging  32000115    HC ANKLE, THREE VIEWS BILATERAL     $720
  • Diagnostic Radiology Imaging  32000116    HC FOOT 2 VIEWS   $333
  • Diagnostic Radiology Imaging  32000117    HC FOOT, TWO VIEWS BILATERAL  $655
  • Diagnostic Radiology Imaging  32000118    HC FOOT MINIMUM 3 VIEWS $369
  • Diagnostic Radiology Imaging  32000119    HC FOOT, THREE VIEWS BILATERAL      $720
  • Diagnostic Radiology Imaging  32000120    HC CALCANEOUS/OS CAL.MIN.2 VIEW     $333
  • Diagnostic Radiology Imaging  32000121    HC CALCANEOUS/OS CALCIS BILATERAL   $655
  • Diagnostic Radiology Imaging  32000122    HC TOES MINIMUM 2 VIEWS $344
  • Diagnostic Radiology Imaging  32000123    HC TOES, BILATERAL      $655
  • Diagnostic Radiology Imaging  32000124    HC XRAY EXAM ABDOMEN 1 VIEW   $273
  • Diagnostic Radiology Imaging  32000126    HC XRAY ABDOMEN 2 VIEWS $495
  • Diagnostic Radiology Imaging  32000127    HC XRAY ABDOMEN 3+ VIEWS      $520
  • Diagnostic Radiology Imaging  32000128    HC ABDOMEN SERIES W PA CHEST  $748
  • Diagnostic Radiology Imaging  32000129    HC ESOPHAGUS,BARIUM SWALLOW   $648
  • Diagnostic Radiology Imaging  32000130    HC XRAY XM UPR GI TRC 1CNTRST $1,519
  • Diagnostic Radiology Imaging  32000131    HC XRAY SM INTEST F-THRU STUDY      $1,137
  • Diagnostic Radiology Imaging  32000132    HC XRAY XM UPR GI TRC 2CNTRST $1,137
  • Diagnostic Radiology Imaging  32000134    HC SMALL BOWEL SERIES   $707
  • Diagnostic Radiology Imaging  32000135    HC SMALL BOWEL SERIES ENTEROCLYSIS      $1,494
  • Diagnostic Radiology Imaging  32000136    HC COLON,BARIUM ENEMA   $1,139
  • Diagnostic Radiology Imaging  32000137    HC COLON,BARIUM AIR CONTRAST  $1,305
  • Diagnostic Radiology Imaging  32000138    HC THERAPEUTIC ENEMA    $1,231
  • Diagnostic Radiology Imaging  32000139    HC GALLBLADDER SERIES   $555
  • Diagnostic Radiology Imaging  32000141    HC OR CHOLANGIOGRAM     $285
  • Diagnostic Radiology Imaging  32000142    HC OR CHOLANGIOGRAM ADDTNL SET      $285
  • Diagnostic Radiology Imaging  32000145    HC BILIARY STONE RETREIVAL OR REMOVAL      $533
  • Diagnostic Radiology Imaging  32000146    HC ERCP/BILIARY   $822
  • Diagnostic Radiology Imaging  32000146    HC ERCP BILIARY (REDUCED SVC) $822
  • Diagnostic Radiology Imaging  32000147    HC ERCP/PANCREATIC      $822
  • Diagnostic Radiology Imaging  32000147    HC ERCP PANCREATIC (REDUCED SVC)    $822
  • Diagnostic Radiology Imaging  32000148    HC ERCP/BILIARY / PANCREATIC  $822
  • Diagnostic Radiology Imaging  32000148    HC ERCP BILIARY/PANCR REDUCED SVC   $822
  • Diagnostic Radiology Imaging  32000149    HC GI TUBE PLACEMENT WITH FLUOROSCOPY      $555
  • Diagnostic Radiology Imaging  32000150    HC PERC PLACEMENT ENTEROCLYSIS TUBE $571
  • Diagnostic Radiology Imaging  32000151    HC ESOPHAGEAL DILATION  $822
  • Diagnostic Radiology Imaging  32000152    HC ARTHROGRAM TMJ $564
  • Diagnostic Radiology Imaging  32000153    HC TRANSHEPATIC DUCT DILATION $910
  • Diagnostic Radiology Imaging  32000154    HC INTRAVENOUS PYELOGRAM      $868
  • Diagnostic Radiology Imaging  32000155    HC RETRO PYELOGRAM UNILATERAL $702
  • Diagnostic Radiology Imaging  32000156    HC UROGRAPHY, ANTEGRADE $431
  • Diagnostic Radiology Imaging  32000157    HC VASOGRAM/OR    $471
  • Diagnostic Radiology Imaging  32000158    HC CYSTOGRAM/RETROGRADE URETHROGRAM $589
  • Diagnostic Radiology Imaging  32000159    HC RENAL CYST STUDY TRANSLUMBAR     $571
  • Diagnostic Radiology Imaging  32000161    HC PELVIMETRY     $427
  • Diagnostic Radiology Imaging  32000162    HC VAGINOGRAM/PERINEOGRAM     $512
  • Diagnostic Radiology Imaging  32000163    HC THORACIC AORTOGRAM WO SERIALOGRAPHY      $3,729
  • Diagnostic Radiology Imaging  32000164    HC THORACIC AORTOGRAM   $3,729
  • Diagnostic Radiology Imaging  32000165    HC ABDOMINAL AORTOGRAM  $3,729
  • Diagnostic Radiology Imaging  32000166    HC ABDOMINAL ART W/FEMORAL RUNOFF      $3,729
  • Diagnostic Radiology Imaging  32000176    HC SELECTIVE SPINAL ANGIOGRAM $3,599
  • Diagnostic Radiology Imaging  32000177    HC EXTREMITY ANGIOGRAM UNILATERAL      $3,765
  • Diagnostic Radiology Imaging  32000178    HC ARTERIOGRAM EXTREMITIES BILAT      $3,599
  • Diagnostic Radiology Imaging  32000181    HC VISCERAL SELECTIVE SINGLE VES.      $3,599
  • Diagnostic Radiology Imaging  32000182    HC ADRENAL SELECTIVE UNILATERAL      $3,599
  • Diagnostic Radiology Imaging  32000183    HC ADRENAL SELECTIVE BILATERAL      $3,599
  • Diagnostic Radiology Imaging  32000184    HC PELVIC ANGIOGRAM     $3,599
  • Diagnostic Radiology Imaging  32000185    HC PULMONARY ANGIOGRAM UNILATERAL      $3,729
  • Diagnostic Radiology Imaging  32000186    HC PULMONARY ANGIOGRAM BILATERAL      $3,729
  • Diagnostic Radiology Imaging  32000187    HC ANGIOGRAPHY PULM NON-SELECTIVE      $2,206
  • Diagnostic Radiology Imaging  32000188    HC INTERNAL MAMMARY ANGIOGRAM $2,537
  • Diagnostic Radiology Imaging  32000189    HC ANGIO SELECTIVE ADDITIONAL VESSEL      $2,241
  • Diagnostic Radiology Imaging  32000190    HC ANGIOGRAPHY, AV SHUNT      $1,798
  • Diagnostic Radiology Imaging  32000191    HC LYMPHANGIOGRAM, ABDOMNL/PELVIC      $1,265
  • Diagnostic Radiology Imaging  32000192    HC SHUNTOGRAM, NONVASCULAR    $335
  • Diagnostic Radiology Imaging  32000193    HC VENOGRAM EXTREMITY UNILATERAL      $1,323
  • Diagnostic Radiology Imaging  32000194    HC VENOGRAM EXTREMITY BILATERAL      $1,112
  • Diagnostic Radiology Imaging  32000195    HC INFERIOR VENACAVAGRAM      $3,599
  • Diagnostic Radiology Imaging  32000196    HC SUPERIOR VENACAVAGRAM      $2,572
  • Diagnostic Radiology Imaging  32000197    HC RENAL VENOGRAM UNILATERAL  $3,599
  • Diagnostic Radiology Imaging  32000198    HC RENAL VENOGRAM BILATERAL   $3,599
  • Diagnostic Radiology Imaging  32000199    HC ADRENAL VENOGRAM UNILATERAL      $3,599
  • Diagnostic Radiology Imaging  32000200    HC ADRENAL VENOGRAM BILATERAL $3,599
  • Diagnostic Radiology Imaging  32000201    HC CORONARY SINUS VENOGRAM    $2,375
  • Diagnostic Radiology Imaging  32000202    HC HEPATIC VENOGRAM W HEMODYNAMICS      $3,599
  • Diagnostic Radiology Imaging  32000203    HC HEPATIC VENOGRAM WO HEMODYNAMICS      $3,599
  • Diagnostic Radiology Imaging  32000204    HC EMBOLIZATION   $3,657
  • Diagnostic Radiology Imaging  32000205    HC TRANSCATHETER THERAPY INFUSION 1ST AGENT $3,602
  • Diagnostic Radiology Imaging  32000210    HC TRANSCATHETER THERAPY FOLLOWUP   $703
  • Diagnostic Radiology Imaging  32000212    HC REMOVAL CVA DEVICE OBSTRUCTION   $529
  • Diagnostic Radiology Imaging  32000213    HC REMOVAL CVA LUMEN OBSTRUCTION    $359
  • Diagnostic Radiology Imaging  32000215    HC INTRAVASCULAR US IMAGING,NONCORONARY      $6,429
  • Diagnostic Radiology Imaging  32000216    HC INTRAVASC US, NONCORONARY ADD'      $6,429
  • Diagnostic Radiology Imaging  32000220    HC REPAIR ENDOVASC THORACIC AORTA      $1,060
  • Diagnostic Radiology Imaging  32000221    HC EXTREMITY ANGIOGRAM UNILATERAL   $910
  • Diagnostic Radiology Imaging  32000222    HC PLACEMENT PROX EXT THORAC AORT   $608
  • Diagnostic Radiology Imaging  32000223    HC PLACEMENT DISTAL EXT THOR AORT   $531
  • Diagnostic Radiology Imaging  32000225    HC SIALOGRAM      $424
  • Diagnostic Radiology Imaging  32000228    HC ANGIOPLASTY PERIPH. ADDITIONAL      $2,406
  • Diagnostic Radiology Imaging  32000229    HC ANGIOPLASTY VISCERAL $5,882
  • Diagnostic Radiology Imaging  32000230    HC ANGIOPLASTY VISCER. ADDITIONAL      $1,269
  • Diagnostic Radiology Imaging  32000232    HC TRANSCATHETER BIOPSY $1,740
  • Diagnostic Radiology Imaging  32000233    HC ANGIOPLASTY VENOUS   $5,882
  • Diagnostic Radiology Imaging  32000236    HC CATHETER EXCHANGE    $576
  • Diagnostic Radiology Imaging  32000237    HC ABCESS DRAIN W CATH PLACEMENT    $721
  • Diagnostic Radiology Imaging  32000240    HC FLUOUROSCOPY CHECK OF LEADS      $562
  • Diagnostic Radiology Imaging  32000241    HC FOREIGN BODY, CHILD  $273
  • Diagnostic Radiology Imaging  32000241    HC FOREIGN BODY, CHILD  $273
  • Diagnostic Radiology Imaging  32000242    HC ABCESS/FISTULA/SINUS TRACT $405
  • Diagnostic Radiology Imaging  32000243    HC BREAST SURGICAL SPECIMEN   $702
  • Diagnostic Radiology Imaging  32000244    HC CINERADIOGRAPHY      $190
  • Diagnostic Radiology Imaging  32000245    HC CINERADIOGRAPHY      $702
  • Diagnostic Radiology Imaging  32000246    HC UNLISTED FLUOROSCOPIC EXAM $213
  • Diagnostic Radiology Imaging  32000247    HC UNLISTED/MISC DIAGN RADIOLOGY    $135
  • Diagnostic Radiology Imaging  32000248    HC FLUORO GUIDANCE FOR CVAD   $329
  • Diagnostic Radiology Imaging  32000249    HC FLUORO FOR NEEDLE PLACEMENT      $348
  • Diagnostic Radiology Imaging  32000249    HC FLUORO FOR NEEDLE PLACEMENT      $348
  • Diagnostic Radiology Imaging  32000250    HC FLUORO FOR SPINE INJ PROCEDURE   $348
  • Diagnostic Radiology Imaging  32000252    HC STRESS VIEW(S),ANY JOINT   $369
  • Diagnostic Radiology Imaging  32000253    HC BONE AGE STUDIES     $500
  • Diagnostic Radiology Imaging  32000254    HC BONE LENGTH STUDIES  $585
  • Diagnostic Radiology Imaging  32000255    HC BONE SURVEY, LIMITED $1,068
  • Diagnostic Radiology Imaging  32000256    HC BONE SURVEY, COMPLETE      $1,215
  • Diagnostic Radiology Imaging  32000257    HC OSSEOUS SURVEY INFANT      $421
  • Diagnostic Radiology Imaging  32000258    HC JOINT SURVEY,1 VIEW,2/> JOINTS   $136
  • Diagnostic Radiology Imaging  32000259    HC UNLISTED DX RAD PROC, ADD'L      $135
  • Diagnostic Radiology Imaging  32000260    HC BARIUM ENEMA SCREEN/ALT G0104      $1,044
  • Diagnostic Radiology Imaging  32000261    HC BARIUM ENEMA,SCREEN/ALT G0105      $1,044
  • Diagnostic Radiology Imaging  32000262    HC BARIUM ENEMA,SCREEN NONCOVERED      $1,044
  • Diagnostic Radiology Imaging  32000263    HC BRONCHOGRAM UNILATERAL     $367
  • Diagnostic Radiology Imaging  32000264    HC BRONCHOGRAM BILATERAL      $528
  • Diagnostic Radiology Imaging  32000269    HC ARTHROGRAM SHOULDER  $544
  • Diagnostic Radiology Imaging  32000270    HC ARTHROGRAM ELBOW     $649
  • Diagnostic Radiology Imaging  32000271    HC ARTHROGRAM WRIST     $649
  • Diagnostic Radiology Imaging  32000272    HC ARTHROGRAM KNEE      $676
  • Diagnostic Radiology Imaging  32000273    HC PERITONEOGRAM  $645
  • Diagnostic Radiology Imaging  32000274    HC CYSTOGRAM      $327
  • Diagnostic Radiology Imaging  32000275    HC URETHROCYSTOGRAPHY VOIDING $419
  • Diagnostic Radiology Imaging  32000277    HC DILATION NEPHROSTOMY/URETERS      $2,228
  • Diagnostic Radiology Imaging  32000278    HC HYSTEROSALPINGOGRAPHY      $571
  • Diagnostic Radiology Imaging  32000279    HC FALLOPIAN CATHETERIZATION  $2,211
  • Diagnostic Radiology Imaging  32000280    HC LYMPHANGIOGRAM, EXTREMITY  $3,484
  • Diagnostic Radiology Imaging  32000281    HC SPLENOPORTOGRAM      $4,005
  • Diagnostic Radiology Imaging  32000282    HC TRANSHEPATIC PORTAL VENOGRAM      $4,837
  • Diagnostic Radiology Imaging  32000283    HC CATHETER VENOUS SAMPLING   $517
  • Diagnostic Radiology Imaging  32000285    HC MAMMARY DUCTOGRAM SINGLE   $517
  • Diagnostic Radiology Imaging  32000286    HC MAMMARY DUCTOGRAM MULTI    $651
  • Diagnostic Radiology Imaging  32000287    HC HEPATOBILIARY W CCK  $1,455
  • Diagnostic Radiology Imaging  32000288    HC ANGIOGRAPHY PULM NON-SELECTIVE      $2,206
  • Diagnostic Radiology Imaging  32000289    HC ABDOMINAL AORTOGRAM  $3,729
  • Diagnostic Radiology Imaging  32000291    HC PULMONARY ANGIOGRAM BILATERAL      $3,729
  • Diagnostic Radiology Imaging  32000292    HC INTERNAL MAMMARY ANGIOGRAM $2,537
  • Diagnostic Radiology Imaging  32000293    HC ANGIOGRAPHY, AV SHUNT      $1,798
  • Diagnostic Radiology Imaging  32000294    HC VENOGRAM EXTREMITY UNILATERAL      $1,323
  • Diagnostic Radiology Imaging  32000295    HC VENOGRAM EXTREMITY BILATERAL      $1,112
  • Diagnostic Radiology Imaging  32000296    HC SUPERIOR VENACAVAGRAM      $2,572
  • Diagnostic Radiology Imaging  32000297    HC PULMONARY ANGIOGRAM UNILATERAL      $3,729
  • Diagnostic Radiology Imaging  32000298    HC CORONARY SINUS VENOGRAM    $2,375
  • Diagnostic Radiology Imaging  32000299    HC TRANSCATHETER THERAPY INFUSION      $3,602
  • Diagnostic Radiology Imaging  32000300    HC TRANSCATHETER THERAPY FOLLOWUP   $703
  • Diagnostic Radiology Imaging  32000303    HC FLUORO GUIDANCE FOR CVAD   $329
  • Diagnostic Radiology Imaging  32000304    HC ANGIOGRAPHY PULM NON-SELECTIVE      $2,206
  • Diagnostic Radiology Imaging  32000305    HC VENOGRAM EXTREMITY UNILATERAL      $1,323
  • Diagnostic Radiology Imaging  32000306    HC VENOGRAM EXTREMITY BILATERAL      $1,112
  • Diagnostic Radiology Imaging  32000307    HC CORONARY SINUS VENOGRAM    $2,375
  • Diagnostic Radiology Imaging  32000308    HC INFERIOR VENACAVAGRAM      $3,599
  • Diagnostic Radiology Imaging  32000310    HC ESOPHAGUS,BARIUM SWALLOW   $648
  • Diagnostic Radiology Imaging  32000313    HC BILIARY STONE RETREIVAL    $533
  • Diagnostic Radiology Imaging  32000314    HC THORACIC AORTOGRAM   $3,729
  • Diagnostic Radiology Imaging  32000315    HC ABDOMINAL AORTOGRAM  $3,729
  • Diagnostic Radiology Imaging  32000316    HC ABDOMINAL ART W/FEMORAL RUNOFF      $3,729
  • Diagnostic Radiology Imaging  32000319    HC EXTERNAL CAROTID UNILATERAL      $5,442
  • Diagnostic Radiology Imaging  32000320    HC EXTERNAL CAROTID BILATERAL $5,442
  • Diagnostic Radiology Imaging  32000326    HC SELECTIVE SPINAL ANGIOGRAM $3,599
  • Diagnostic Radiology Imaging  32000327    HC EXTREMITY ANGIOGRAM UNILATERAL      $3,765
  • Diagnostic Radiology Imaging  32000328    HC ARTERIOGRAM EXTREMITIES BILAT      $3,599
  • Diagnostic Radiology Imaging  32000329    HC VISCERAL SELECTIVE SINGLE VES.      $3,599
  • Diagnostic Radiology Imaging  32000330    HC ADRENAL SELECTIVE UNILATERAL      $3,599
  • Diagnostic Radiology Imaging  32000331    HC ADRENAL SELECTIVE BILATERAL      $3,599
  • Diagnostic Radiology Imaging  32000332    HC PELVIC ANGIOGRAM     $3,599
  • Diagnostic Radiology Imaging  32000333    HC PULMONARY ANGIOGRAM UNILATERAL      $3,729
  • Diagnostic Radiology Imaging  32000334    HC PULMONARY ANGIOGRAM BILATERAL      $3,729
  • Diagnostic Radiology Imaging  32000335    HC INTERNAL MAMMARY ANGIOGRAM $2,537
  • Diagnostic Radiology Imaging  32000336    HC ANGIO SELECTIVE ADDITIONAL VESSEL      $2,241
  • Diagnostic Radiology Imaging  32000337    HC VENOGRAM EXTREMITY UNILATERAL      $1,323
  • Diagnostic Radiology Imaging  32000338    HC VENOGRAM EXTREMITY BILATERAL      $1,112
  • Diagnostic Radiology Imaging  32000339    HC INFERIOR VENACAVAGRAM      $3,599
  • Diagnostic Radiology Imaging  32000340    HC SUPERIOR VENACAVAGRAM      $2,572
  • Diagnostic Radiology Imaging  32000341    HC RENAL VENOGRAM UNILATERAL  $3,599
  • Diagnostic Radiology Imaging  32000342    HC RENAL VENOGRAM BILATERAL   $3,599
  • Diagnostic Radiology Imaging  32000343    HC ADRENAL VENOGRAM UNILATERAL      $3,599
  • Diagnostic Radiology Imaging  32000344    HC ADRENAL VENOGRAM BILATERAL $3,599
  • Diagnostic Radiology Imaging  32000345    HC CORONARY SINUS VENOGRAM    $2,375
  • Diagnostic Radiology Imaging  32000346    HC HEPATIC VENOGRAM W HEMODYNAMICS      $3,599
  • Diagnostic Radiology Imaging  32000347    HC HEPATIC VENOGRAM WO HEMODYNAMICS      $3,599
  • Diagnostic Radiology Imaging  32000348    HC TRANSCATHETER THERAPY FOLLOWUP   $703
  • Diagnostic Radiology Imaging  32000353    HC CATHETER RETRIEVAL   $2,358
  • Diagnostic Radiology Imaging  32000354    HC ANGIOPLASTY PERIPH. ADDITIONAL      $2,406
  • Diagnostic Radiology Imaging  32000357    HC CATHETER EXCHANGE    $576
  • Diagnostic Radiology Imaging  32000358    HC ABCESS/FISTULA/SINUS TRACT $405
  • Diagnostic Radiology Imaging  32000359    HC UNLISTED/MISC DIAGN RADIOLOGY    $135
  • Diagnostic Radiology Imaging  32000360    HC FLUORO GUIDANCE FOR CVAD   $329
  • Diagnostic Radiology Imaging  32000361    HC FLUORO FOR NEEDLE PLACEMENT      $348
  • Diagnostic Radiology Imaging  32000362    HC TRANSHEPATIC PORTAL VENOGRAM      $3,599
  • Diagnostic Radiology Imaging  32000363    HC FLUOUROSCOPY PORTACATHOGRAM      $562
  • Diagnostic Radiology Imaging  32000365    HC FLUOUROSCOPY CHECK OF LEADS      $562
  • Diagnostic Radiology Imaging  32000367    HC NEPHROSTOMY STENT PLACEMENT      $2,228
  • Diagnostic Radiology Imaging  32000368    HC RENAL ANGIOGRAM UNILATERAL $3,599
  • Diagnostic Radiology Imaging  32000369    HC RENAL ANGIOGRAM BILATERAL  $3,599
  • Diagnostic Radiology Imaging  32000370    HC ANGIOGRAPHY PULM NON-SELECTIVE      $2,206
  • Diagnostic Radiology Imaging  32000371    HC EMBOLIZATION   $3,657
  • Diagnostic Radiology Imaging  32000372    HC EMBOLIZATION   $3,657
  • Diagnostic Radiology Imaging  32000373    HC TRANSCATHETER THERAPY INFUSION 1ST AGENT $3,602
  • Diagnostic Radiology Imaging  32000374    HC TRANSCATHETER THERAPY FOLLOWUP   $703
  • Diagnostic Radiology Imaging  32000378    HC REPAIR ENDOVASC THORACIC AORTA      $1,060
  • Diagnostic Radiology Imaging  32000379    HC EXTREMITY ANGIOGRAM UNILATERAL   $910
  • Diagnostic Radiology Imaging  32000380    HC PLACEMENT PROX EXT THORAC AORT   $608
  • Diagnostic Radiology Imaging  32000381    HC PLACEMENT PROX EXT THORAC AORT   $608
  • Diagnostic Radiology Imaging  32000382    HC ANGIOPLASTY VISCERAL/ADD'L S/I      $2,406
  • Diagnostic Radiology Imaging  32000382    HC ANGIOPLASTY VISCERAL $2,406
  • Diagnostic Radiology Imaging  32000383    HC TRANSCATHETER BIOPSY $1,740
  • Diagnostic Radiology Imaging  32000384    HC BRONCHOGRAM UNILATERAL     $367
  • Diagnostic Radiology Imaging  32000385    HC BRONCHOGRAM BILATERAL      $528
  • Diagnostic Radiology Imaging  32000386    HC FALLOPIAN CATHETERIZATION  $2,211
  • Diagnostic Radiology Imaging  32000387    HC CATHETER VENOUS SAMPLING   $3,599
  • Diagnostic Radiology Imaging  32000388    HC CATHETER VENOUS SAMPLING   $3,599
  • Diagnostic Radiology Imaging  32000389    HC ANGIOPLASTY VENOUS   $5,882
  • Diagnostic Radiology Imaging  32000390    HC FLUOUROSCOPY LESS THAN 1 HOUR    $562
  • Diagnostic Radiology Imaging  32000391    HC FLUORO FOR NEEDLE PLACEMENT      $348
  • Diagnostic Radiology Imaging  32000392    HC FLUOUROSCOPY LESS THAN 1 HOUR    $562
  • Diagnostic Radiology Imaging  32000393    HC PERC PLACEMENT ENTEROCLYSIS TUBE $571
  • Diagnostic Radiology Imaging  32000394    HC TRANSHEPATIC DUCT DILATION $910
  • Diagnostic Radiology Imaging  32000395    HC ANGIO SELECTIVE ADDITIONAL VESSEL     
  • Diagnostic Radiology Imaging  32000396    HC ANGIOGRAPHY, AV SHUNT      $1,798
  • Diagnostic Radiology Imaging  32000397    HC ANGIOGRAPHY, AV SHUNT      $1,798
  • Diagnostic Radiology Imaging  32000398    HC FLUORO FOR NEEDLE PLACEMENT      $348
  • Diagnostic Radiology Imaging  32000399    HC ANGIOPLASTY PERIPHERAL     $5,882
  • Diagnostic Radiology Imaging  32000399    HC ANGIOPLASTY PERIPHERAL     $5,882
  • Diagnostic Radiology Imaging  32000400    HC NEPHROSTOGRAM  $431
  • Diagnostic Radiology Imaging  32000401    HC DISCOGRAPHY, CERVICAL OR THORACIC      $3,077
  • Diagnostic Radiology Imaging  32000402    HC DXA BONE DENSITY AXIAL 1+ SITES  $224
  • Diagnostic Radiology Imaging  32000403    HC DXA BONE DENSITY/PERIPHERAL 1+ SITES      $176
  • Diagnostic Radiology Imaging  32000404    HC X-RAY EXAM OF THORACIC SPINE 3 VIEWS      $408
  • Diagnostic Radiology Imaging  32000405    HC X-RAY EXAM OF THORACIC SPINE 4+ VIEWS      $505
  • Diagnostic Radiology Imaging  32000411    HC HIPS BILAT & PELVIS MIN 3-4 VIEWS BILAT $668
  • Diagnostic Radiology Imaging  32000412    HC HIPS BILAT & PELVIS MIN 5 VIEWS BILAT      $756
  • Diagnostic Radiology Imaging  32000416    HC PELVIS / HIPS,INFANT MIN 2-3 VIEWS UNILAT      $513
  • Diagnostic Radiology Imaging  32000417    HC PELVIS / HIPS,INFANT MIN 4 VIEWS UNILAT      $628
  • Diagnostic Radiology Imaging  32000418    HC PELVIS / HIPS,INFANT MIN 1 VIEW UNILAT      $398
  • Diagnostic Radiology Imaging  32000419    HC PELVIS / HIPS,INFANT MIN 3-4 VIEWS BILAT $668
  • Diagnostic Radiology Imaging  32000421    HC FLUORO FOR NEEDLE PLACEMENT      $348
  • Diagnostic Radiology Imaging  32000422    HC ABLTJ PERC PLEX/TRNCL NERVE      $8,161
  • Diagnostic Radiology Imaging  32000423    HC PERC TRANSHEP PORTOGRAM WO HDM      $1,905
  • Diagnostic Radiology Imaging  32000425    HC CDSM EVICORE  
  • Diagnostic Radiology Imaging  32000426    HC CDSM MEDCURRENT     
  • Diagnostic Radiology Imaging  32000427    HC CDSM MEDICALIS
  • Diagnostic Radiology Imaging  32000428    HC CDSM NATIONAL DS COMPANY CARESELECT     
  • Diagnostic Radiology Imaging  32000431    HC CDSM AIM SPECIALTY HEALTH 
  • Diagnostic Radiology Imaging  32000432    HC CDSM CRANBERRY PEAK 
  • Diagnostic Radiology Imaging  32000433    HC CDSM SAGE HEALTH MAN SOLUTIONS  
  • Diagnostic Radiology Imaging  32000434    HC CDSM STANSON  
  • Diagnostic Radiology Imaging  32000435    HC CDSM, QUALIFIED TOOL NO SPECIFIED     
  • Diagnostic Radiology Imaging  32000436    HC ANKLE ARTHROGRAM     $667
  • Diagnostic Radiology Imaging  32000437    HC CDSM AGILEMD  
  • Diagnostic Radiology Imaging  32000438    HC CDSM EVIDENCECARE IMAGING ADVISOR     
  • Diagnostic Radiology Imaging  32000439    HC CDSM INVENIQA SEMANTIC ANSWERS IN MEDICINE   
  • Diagnostic Radiology Imaging  32000440    HC CDSM RELIANT MEDICAL GROUP
  • Diagnostic Radiology Imaging  32000441    HC CDSM SPEED OF CARE  
  • Diagnostic Radiology Imaging  32000442    HC CDSM HEALTHHELP     
  • Diagnostic Radiology Imaging  32000443    HC CDSM INFINX   
  • Diagnostic Radiology Imaging  32000444    HC CDSM LOGICNETS AUC SOLUTION     
  • Diagnostic Radiology Imaging  32000445    HC CDSM CURBSIDE 
  • Diagnostic Radiology Imaging  32000446    HC CDSM EHEALTHLINE    
  • Diagnostic Radiology Imaging  32000447    HC CDSM INTERMOUNTAIN  
  • Diagnostic Radiology Imaging  32000448    HC CDSM PERSIVIA 
  • Diagnostic Radiology Imaging  32000449    HC DX BONE MARROW ASPIRATIONS $2,423
  • Diagnostic Radiology Imaging  32000450    HC DX BONE MARROW BIOPSIES    $2,423
  • Diagnostic Radiology Imaging  32000451    HC DX BONE MARROW BX & ASPIR  $4,082
  • Diagnostic Radiology Imaging  32000452    HC INS MARK ABD/PEL FOR RT PERQ    
  • Diagnostic Radiology Imaging  33200283    HC CATHETER VENOUS SAMPLING   $3,599
  • Diagnostic Radiology Imaging  36000561    HC INJECTION W/FLUORO,EVAL CVC      $298
  • Diagnostic Radiology Imaging  32300001    HC AORTOGRAPHY/THORACIC S/I   $2,741
  • Chemotherapy      33100001    HC CHEMO SQ/IM INJ NONHORMONAL      $255
  • Chemotherapy      33100002    HC CHEMO SQ/IM INJECTION HORMONAL   $255
  • Chemotherapy      33100003    HC CHEMO INJ IV NOT INFUSION  $255
  • Chemotherapy      33100004    HC CHEMO IV PUSH ADDL DRUG    $255
  • Chemotherapy      33100005    HC CHEMO, CNS (INTRATHECAL), W LP   $525
  • Chemotherapy      33100006    HC CHEMO IA PUSH TECHNIQUE    $525
  • Procedurals 33300002    HC ULTRASOUND GUIDE FOR PROSTATE    $255
  • Radiation Therapy 33300003    HC RADIATION PHYSICS CONSULT IVBT   $597
  • Chemotherapy      33500001    HC CHEMO INFUSION IV UP TO 1 HR     $563
  • Chemotherapy      33500002    HC CHEMO INF IV EA ADD HR UP TO 8   $115
  • Chemotherapy      33500003    HC CHEMO INFUS IV MORE THAN 8 HRS   $861
  • Chemotherapy      33500004    HC CHEMO IV INF EA ADDL SEQ =<1 HR  $115
  • Chemotherapy      33500005    HC REFILL/MAINT PORTABLE PUMP $266
  • Procedurals 34000001    HC PERITONEAL-VENOUS SHUNT    $1,307
  • Nuclear Medicine  34000002    HC TUMOR LOC MULTI AREA       $2,228
  • Nuclear Medicine  34000003    HC TUMOR LOC WHOLE BODY PROSTASCINT $2,498
  • Nuclear Medicine  34000004    HC RADPHARM LOCLZJ TUM SPECT 1 AREA $2,498
  • Nuclear Medicine  34000007    HC RADPHARM ABLATN THYROID    $876
  • Nuclear Medicine  34000008    HC INJECT IV THERAPUETIC/DIAGNOST   $554

See Part 2