A Message to our Customers
We have deemed it necessary to revise our self-pay fee schedule in order to keep pace with inflation. Our self-pay fee schedule has not been updated since 2012. In order to ensure we our covering our costs, we needed to make the necessary adjustments to the fees as well as update our test compendium. 
For more information about the No Surprise Act or how to pay your bill, click the links below.
View Pricing By:
Specimen
          
        
              
                
                  
                    $54.28 
                  
                
              
              
          
            Abortion—induced
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Abortion—spontaneous or missed
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Abscess
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Accessory digit, diagnostic	CPT
              88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Accessory digit, identification & report
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Acrochordon, anus/skin
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Acromioclavicular joint
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Adenoid(s)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Adhesions, pelvic
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Adipose tissue (fat/fatty tissue)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Adnexa—ovary with or without tube, neoplastic
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Adnexa—ovary with or without tube, nonneoplastic
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Adrenal gland resection
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Ampulla of Vater
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Amputation—extremity disarticulation
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Amputation—extremity, nontraumatic
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Amputation—extremity, traumatic
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Amputation—finger or toe, nontraumatic
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Amputation—finger or toe, traumatic
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Aneurysm—aortic, arterial, cerebral or ventricular
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Anus tag
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Aortic aneurysm (eg, abdominal, thoracic)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Appendix, testis/epididymis
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Appendix—incidental
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Appendix—other than incidental
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Arachnoid mater—other than tumor resection
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Arachnoid mater—tumor resection
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Arterial (artery) aneurysm
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Arteriovenous malformation (AVM), complex
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Arteriovenous malformation (AVM), simple
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Artery atheromatous plaque
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Artery biopsy/segment
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Axillary tail/axilla—lymph node biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Axillary tail/axilla—lymph nodes regional resection
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Bartholin’s gland cyst
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Bladder biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Bladder partial or total resection
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Bladder transurethral resection (TUR)
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Bleb, pulmonary, complicated
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Bleb, pulmonary, uncomplicated
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Blood clot
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Bone (except bone marrow) biopsy or curetting
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Bone cyst
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Bone exostosis
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Bone fragment(s)—other than pathologic fracture
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Bone fragment(s)—pathologic fracture
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Bone marrow biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Bone marrow particle clot
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Bone resection
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Brachial (branchial) cleft cyst
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Brain biopsy
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Brain tumor resection
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Brain—other than tumor resection or biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Breast biopsy, without margin exam
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Breast capsule
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Breast cyst (except ‘skin of breast’)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Breast mastectomy—partial or simple w/o lymph nodes
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Breast mastectomy—radical/modified radical
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Breast mastectomy—simple with lymph nodes
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Breast needle core tissue biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Breast reduction mammoplasty
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Breast, excision of discrete lesion (eg, fibroadenoma)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Breast, excision of lesion, with margin exam
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Breast, gynecomastia (male breast reduction)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Breast, incisional biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Breast, lumpectomy
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Breast, quadrantectomy
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Breast, segmentectomy
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Breast, tylectomy
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Bronchus (bronchial) biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Buccal mucosa biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Bunion
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Bursa cyst
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Carpal tunnel tissue
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cartilage shavings
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Cell block (any source)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cerebral aneurysm
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Cervical biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Cervical cone/conization/cone biopsy
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Cervical cyst/polyp
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Cervix amputation without uterus
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Chips (TURB)—bladder
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Chips (TURP)—prostate
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cholesteatoma
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cicatrix (skin scar)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Circumcision—newborn
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Circumcision—other than newborn
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Clot—bone marrow particle clot
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Colon ‘donut’ (eg, primary tissue for tumor)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Colon ‘donut’ (eg, primary tissue not for tumor)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Colon biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Colon colostomy stoma
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Colon diverticulum
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Colon polyp
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Colon total resection w/ or w/o mesenteric lymph nodes
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Colon w/ or w/o mesenteric lymph nodes—segmental resection for tum
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Colon w/ or w/o mesenteric lymph nodes—segmental resection other t
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Colostomy stoma
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Cone biopsy of cervix
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Conization of cervix (cone biopsy)
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Conjunctiva biopsy or pterygium
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Contracture—Dupuytren’s contracture tissue
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cornea
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cutaneous papilloma (tag), anus/skin
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cyst—Bartholin’s gland
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Cyst—bone
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Cyst—brachial (branchial) cleft
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Cyst—breast (except ‘skin of breast’)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cyst—bursa
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Cyst—cervix
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Cyst—dental
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Cyst—dermoid, of soft tissue/ovary (eg, teratoma)
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cyst—dermoid, skin
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cyst—epidermal (includes ‘epidermal inclusion cyst’)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cyst—epidermoid
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Cyst—eyelid (e.g., chalazion)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cyst—follicular (of skin)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cyst—ganglion
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Cyst—gingiva
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cyst—hydatid
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cyst—mucus retention (salivary)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Cyst—NOS, neoplastic
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Cyst—NOS, nonneoplastic
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Cyst—odontogenic
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Cyst—oral
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Cyst—ovarian, neoplastic
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Cyst—ovarian, nonneoplastic
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cyst—paratubal
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cyst—pilonidal
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Cyst—radicular
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Cyst—sinus
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cyst—skin
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Cyst—synovial
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Cyst—thyroglossal duct
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Cystectomy—partial or total bladder resection
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Cystocele
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Debridement—skin or soft tissue
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Dental cyst
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Dermoid cyst—of soft tissue or ovary (eg, teratoma)
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Dermoid cyst—skin
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Diaphragm biopsy or tissue
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Diaphragm—resection for tumor
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Diaphragm—resection other than for tumor
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Disarticulation—extremity
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Disc, intervertebral
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Diverticulum—bladder/urethra
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Diverticulum—esophagus/small bowel/colon
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Donut, colon (eg, primary resection for tumor)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Donut, colon (eg, primary resection not for tumor)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Duodenum biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Dupuytren’s contracture tissue
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Dura mater—other than tumor resection
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Dura mater—tumor resection
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            ECC (endocervical curetting)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Ectopic pregnancy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Embolus
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            EMC (endometrial curetting)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Endocervical curettings (ECC) or biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Endometrial curettings (EMC) or biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Endometrial polyp
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Endoscopic mucosal resection (EMR) for tumor, gastric or esophageal
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Enterocele
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Enterostomy stoma
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Epidermal cyst (includes ‘epidermal inclusion cyst’)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Epidermoid cyst
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Epididymis
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Epiglottis biopsy/simple excision
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Esophageal diverticulum
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Esophageal polyp
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Esophagus biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Esophagus endoscopic mucosal resection for tumor
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Esophagus partial or total resection
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Ethmoid tissue
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Extremity amputation—nontraumatic
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Extremity amputation—traumatic
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Extremity disarticulation
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Eye enucleation
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Eyelid cyst (e.g., chalazion)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Fallopian tube biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Fallopian tube—ectopic pregnancy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Fallopian tube for sterilization
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Fat/fatty tissue NOS
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Fat pad, biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Femoral head—fracture
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Femoral head—other than fracture
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Fetus for ID & record
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Fetus with dissection (complex exam)
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Fibroids (separate surgical procedure)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Finger amputation—nontraumatic
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Finger amputation—traumatic
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Fissure (fissura)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Fistula
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Follicular cyst (of skin)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Foreskin—newborn
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Foreskin—other than newborn
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Gallbladder
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Ganglion cyst
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Ganglion—sympathetic
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Gastric biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Gastric endoscopic mucosal resection for tumor
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Gastric polyp
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Gastric subtotal or total resection for tumor
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Gastric subtotal/total resection other than for tumor
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Gingiva biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Gingiva cyst
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Gynecomastia (male breast reduction)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Heart biopsy
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Heart total (damaged organ of transplant recipient)
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Heart valve
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Hemangioma, skin
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Hemangioma, soft tissue, extensive resection
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Hemangioma, soft tissue, simple excision
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Hematoma
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Hemorrhoids
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Hernia sac (any location)
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Hydatid of Morgagni
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Hydrocele sac
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Ileostomy stoma
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Incidental appendix
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Incidental thymus
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Incidental uvula
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Incidental vaginal mucosa
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Intervertebral disc
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Jejunostomy stoma
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Joint loose body
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Joint resection
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Kidney biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Kidney partial or total nephrectomy
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Labia biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Larynx biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Larynx partial/total resection with lymph nodes
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Larynx partial/total resection without lymph nodes
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            LEEP biopsy (if equivalent to cone biopsy)
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            LEEP biopsy (if not equivalent to cone biopsy)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Leiomyoma(s) uterine myomectomy without uterus
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Ligament
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Lip biopsy or wedge resection
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Lipoma (of soft or connective tissue)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Liver needle or wedge biopsy
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Liver partial resection
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Liver total (damaged organ of transplant recipient)
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Loose body (except gross only)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Lung biopsy—other than wedge biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Lung total, lobe or segmental resection
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Lung transbronchial biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Lung—wedge biopsy/resection
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Lymph node biopsy (needle or incisional)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Lymph node, lymphoma workup (see chapter 5)
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Lymph nodes regional resection
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Lymph node, sentinel
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Mammoplasty, breast reduction
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Mediastinum biopsy (includes biopsy of mass)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Mediastinum mass
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Meningematoma/meninghematoma
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Meninges—other than tumor resection
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Meninges—tumor resection
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Meningioma
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Meniscus
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Morton’s neuroma
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Mucocele—salivary
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Mucosa biopsy—buccal
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Mucosa biopsy—gingiva
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Mucosa biopsy—nasal
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Mucosa biopsy—odontogenic
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Mucosa biopsy—oral
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Mucosa—NOS
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Mucosa—vaginal, incidental
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Mucosa—vaginal, other than incidental
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Muscle biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Myocardium biopsy
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Nail, nail bed or scraping for fungal infection (e.g., onychomycosis)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Nasal mucosa biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Nasal polyp
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Nasal septum
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Nasopharynx biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Necrotic tissue (eg, soft tissue debridement), NOS
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Nephrectomy, partial or total
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Nerve biopsy/segment
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Nerve tumor (eg, schwannoma)
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Nerve, identification & report only
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Neurofibroma
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Neuroma—Morton’s or traumatic
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Neuroma—other
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Odontogenic cyst
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Odontogenic mucosa biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Odontogenic tumor
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Omentum biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Omentum resection—for tumor
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Omentum resection—other than for tumor
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Oral cyst
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Oral mucosa biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Oropharynx biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Osteochondroma (exostosis)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Ovarian cyst—neoplastic
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Ovarian cyst—nonneoplastic
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Ovary biopsy or wedge resection
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Ovary with or without fallopian tube—neoplastic
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Ovary with or without fallopian tube—nonneoplastic
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Pancreas biopsy
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Pancreas total or subtotal resection
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Panniculus
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Parathyroid gland
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Parotid gland
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Parotid gland biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Particle clot, bone marrow
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Pelvic adhesions
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Penis biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Penis resection for tumor
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Pericardium biopsy or tissue
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Pericardium resection—for tumor
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Pericardium resection—other than for tumor
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Peritoneum biopsy or tissue
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Peritoneum resection—for tumor
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Peritoneum resection—other than for tumor
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Pharynx biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Pia mater—other than tumor resection
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Pia mater—tumor resection
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Pilonidal cyst/sinus
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Pituitary tumor (biopsy or resection)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Placenta—other than third trimester
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Placenta—third trimester
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Plaque—atheromatous/fibrous/fibrofatty
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Plaque—senile/neuritic
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Plastic repair—skin
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Pleura biopsy or tissue
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Pleura resection—for tumor
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Pleura resection—other than for tumor
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            POC—induced abortion
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            POC—spontaneous or missed abortion
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Polyp—anal/anus
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Polyp—cervical or endometrial
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Polyp—colon
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Polyp—colorectal
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Polyp—esophageal
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Polyp—fibroepithelial, anus/skin
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Polyp—inflammatory nasal or sinusoidal
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Polyp—rectal/rectum
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Polyp—skin
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Polyp—stomach or small intestine
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Products of conception—induced abortion
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Products of conception—spontaneous/missed abortion
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Prolapse, uterine with or without adnexa
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Prostate except radical resection/TUR/needle biopsy
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Prostate needle biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Prostate radical resection
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Prostate transurethral resection (TUR)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Pseudocyst (of skin)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Pseudoneuroma (traumatic neuroma)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Pterygium
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Pulmonary wedge resection
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Radicular cyst
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Rectal biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Rectocele
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Renal biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Retroperitoneal biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Retroperitoneal mass
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Rib, marrow squeeze
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Salivary gland
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Salivary gland biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Salivary mucocele
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Scar—keloid
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Scar—skin (tumor excision/re-excision)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Scar—skin (simple/cicatrix)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Scar—soft tissue
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Schwannoma (nerve tumor)
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Sentinel lymph node
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Sinus biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Sinus contents (eg, ethmoid tissue, mucosa)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Sinus cyst (except pseudocyst)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Sinus mucosa stripping
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Sinus/sinusoidal polyp
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Skin cyst, tag or debridement
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Skin—other than cyst/tag/debridement/plastic repair
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Skin—plastic repair
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Skin polyp
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Skin pseudocyst
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Skin, wart (eg, verruca vulgaris)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Small bowel diverticulum
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Small bowel polyp
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Small intestine biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Small intestine resection for tumor
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Small intestine resection other than for tumor
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Soft tissue (except mass), biopsy/simple excision
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Soft tissue debridement
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Soft tissue lipoma
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Soft tissue mass (except lipoma), biopsy/simple excision
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Soft tissue other than tumor/mass/lipoma/debridement
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Soft tissue tumor extensive resection
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Spermatocele
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Spinal cord biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Spinal cord tumor excision
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Spleen
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Stoma (any site)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Stomach biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Stomach polyp
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Stomach subtotal or total resection for tumor
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Stomach subtotal/total resection other than for tumor
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Sublingual gland
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Sublingual gland biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Submandibular gland
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Submandibular gland biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Suprarenal gland resection (adrenal gland)
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Supernumerary digit, identification & report
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Supernumerary digit, diagnostic
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Surgical margin, complicated exam
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Surgical margin, uncomplicated exam
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Sympathetic ganglion
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Synovial cyst
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Synovium (biopsy or resection)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Tag, anal (anus)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Tag, skin (eg, acrochordon, polyp)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Tendon
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Tendon sheath
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Tendon sheath, giant cell tumor of
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Teratoma, dermoid cyst or simple excision
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Teratoma, extensive resection
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Testicular appendage
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Testis biopsy
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Testis—castration
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Testis—other than tumor, biopsy or castration
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Testis tumor
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Thrombus
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Thymus, incidental
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Thymus tumor
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Thyroglossal duct cyst
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Thyroid biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Thyroid total or lobe resection
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Toe amputation—nontraumatic
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Toe amputation—traumatic
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Toenail for fungus (see ‘nail’)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Tongue biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Tongue resection for tumor
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Tonsil and/or adenoids
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Tonsil biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Tonsil resection for tumor
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Trachea biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Transbronchial biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Traumatic neuroma
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Turbinates (nasal conchae)
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            TUR—bladder
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            TUR—prostate
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Ureter biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Ureter resection
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Urethra biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Urethrocele
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Urinary bladder biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Urinary bladder partial or total resection
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Urinary bladder transurethral resection (TUR)
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Uterine fibroids (separate surgical procedure)
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Uterus w/ or w/o adnexa—except neoplastic/prolapse
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Uterus with or without tubes & ovaries for prolapse
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Uterus with or without tubes & ovaries—neoplastic
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Uvula simple excision (eg, sleep apnea)
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Uvula—incidental
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Vagina biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Vaginal mucosa—incidental
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Vaginal mucosa—other than incidental
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Valve, heart
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Varicocele
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Varicose vein
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Vas deferens—other than sterilization
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Vas deferens—sterilization
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Vascular malformation (AVM), complex
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Vascular malformation (AVM), simple
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Vein biopsy/segment
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Vein varicosity
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Ventricular (ventricle) aneurysm
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Vermiform appendix—incidental
              CPT	88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Vermiform appendix—other than incidental
              CPT	88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Vocal cord biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Vocal cord resection
              CPT	88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Vulva biopsy
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Vulva total or subtotal resection
              CPT	88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
        Wart, skin (eg, verruca vulgaris
              CPT	88305
              
                
                  
                    $92.53 
                  
                
              
              
            Procedure
          
        
              
                
                  
                    $52.82 
                  
                
              
              
          
            B cells, total count
              CPT 86355
              
                
                  
                    $52.82 
                  
                
              
              
            
              
                
                  
                    $70.32 
                  
                
              
              
          
            BB phy service; transfusion reaction
              CPT 86078
              
                
                  
                    $70.32 
                  
                
              
              
            
              
                
                  
                    $10.26 
                  
                
              
              
          
            Body fluid (except urine) crystal ID
              CPT 89060
              
                
                  
                    $10.26 
                  
                
              
              
            
              
                
                  
                    $90.85 
                  
                
              
              
          
            Bone marrow aspirate smear interpretation
              CPT 85097
              
                
                  
                    $90.85 
                  
                
              
              
            
              
                
                  
                    $200.91 
                  
                
              
              
          
            Bone marrow; aspiration only
              CPT 38220
              
                
                  
                    $200.91 
                  
                
              
              
            
              
                
                  
                    $224.5 
                  
                
              
              
          
            Bone marrow; biopsy and aspiration
              CPT 38222
              
                
                  
                    $224.5 
                  
                
              
              
            
              
                
                  
                    $207.93 
                  
                
              
              
          
            Bone marrow; biopsy, needle or trocar
              CPT 38221
              
                
                  
                    $207.93 
                  
                
              
              
            
              
                
                  
                    $128.07 
                  
                
              
              
          
            Consult on outside slides
              CPT 88321
              
                
                  
                    $128.07 
                  
                
              
              
            
              
                
                  
                    $206.46 
                  
                
              
              
          
            Consult on outside slides, comprehensive
              CPT 88325
              
                
                  
                    $206.46 
                  
                
              
              
            
              
                
                  
                    $151.94 
                  
                
              
              
          
            Consult on outside slides, with slide prep
              CPT 88323
              
                
                  
                    $151.94 
                  
                
              
              
            
              
                
                  
                    $44.03 
                  
                
              
              
          
            Cytogen/molecular cytogen, interp & report
              CPT 88291
              
                
                  
                    $44.03 
                  
                
              
              
            
              
                
                  
                    $26.47 
                  
                
              
              
          
            Decalcification procedure
              CPT 88311
              
                
                  
                    $26.47 
                  
                
              
              
            
              
                
                  
                    $605.44 
                  
                
              
              
          
            Electron microscopy, diagnostic
              CPT 88348
              
                
                  
                    $605.44 
                  
                
              
              
            
              
                
                  
                    $30.48 
                  
                
              
              
          
            Evaluate archive tissue for molecular test
              CPT 88363
              
                
                  
                    $30.48 
                  
                
              
              
            
              
                
                  
                    $214.05 
                  
                
              
              
          
            Fine needle aspirate interp & report
              CPT 88173
              
                
                  
                    $214.05 
                  
                
              
              
            
              
                
                  
                    $522.23 
                  
                
              
              
          
            FISH, urinary tract spec, 3-5 probe, image
              CPT 88121
              
                
                  
                    $522.23 
                  
                
              
              
            
              
                
                  
                    $720.87 
                  
                
              
              
          
            FISH, urinary tract spec, 3-5 probe, manual
              CPT 88120
              
                
                  
                    $720.87 
                  
                
              
              
            
              
                
                  
                    $110.39 
                  
                
              
              
          
            Flow cytometry pheno interp; 16+ markers
              CPT 88189
              
                
                  
                    $110.39 
                  
                
              
              
            
              
                
                  
                    $47.35 
                  
                
              
              
          
            Flow cytometry pheno interp; 2-8 markers
              CPT 88187
              
                
                  
                    $47.35 
                  
                
              
              
            
              
                
                  
                    $81.26 
                  
                
              
              
          
            Flow cytometry pheno interp; 9-15 markers
              CPT 88188
              
                
                  
                    $81.26 
                  
                
              
              
            
              
                
                  
                    $29.15 
                  
                
              
              
          
            Flow cytometry pheno; each add'l marker
              CPT 88185
              
                
                  
                    $29.15 
                  
                
              
              
            
              
                
                  
                    $96.17 
                  
                
              
              
          
            Flow cytometry phenotyping; first marker
              CPT 88184
              
                
                  
                    $96.17 
                  
                
              
              
            
              
                
                  
                    $16.87 
                  
                
              
              
          
            Fluorescent antibody screen
              CPT 86255
              
                
                  
                    $16.87 
                  
                
              
              
            
              
                
                  
                    $16.87 
                  
                
              
              
          
            Fluorescent antibody titer
              CPT 86256
              
                
                  
                    $16.87 
                  
                
              
              
            
              
                
                  
                    $72.49 
                  
                
              
              
          
            FNA, immediate study, 1st episode @ site
              CPT 88172
              
                
                  
                    $72.49 
                  
                
              
              
            
              
                
                  
                    $38.5 
                  
                
              
              
          
            FNA, immediate study, add'l episode @ site
              CPT 88177
              
                
                  
                    $38.5 
                  
                
              
              
            
              
                
                  
                    $49.13 
                  
                
              
              
          
            HPV DNA/RNA high risk screening
              CPT 87624
              
                
                  
                    $49.13 
                  
                
              
              
            
              
                
                  
                    $49.13 
                  
                
              
              
          
            HPV DNA/RNA low risk screening
              CPT 87623
              
                
                  
                    $49.13 
                  
                
              
              
            
              
                
                  
                    $56.77 
                  
                
              
              
          
            HPV DNA/RNA type 16/18
              CPT 87625
              
                
                  
                    $56.77 
                  
                
              
              
            
              
                
                  
                    $152.35 
                  
                
              
              
          
            IHC morphometry, quant/semi, image asst
              CPT 88361
              
                
                  
                    $152.35 
                  
                
              
              
            
              
                
                  
                    $153.02 
                  
                
              
              
          
            IHC morphometry, quant/semi, manual
              CPT 88360
              
                
                  
                    $153.02 
                  
                
              
              
            
              
                
                  
                    $41.09 
                  
                
              
              
          
            Immunofiation, other
              CPT 86335
              
                
                  
                    $41.09 
                  
                
              
              
            
              
                
                  
                    $189 
                  
                
              
              
          
            Immunofluorescence, single
              CPT 88346
              
                
                  
                    $189 
                  
                
              
              
            
              
                
                  
                    $143.78 
                  
                
              
              
          
            Immunofluorescence, single +
              CPT 88350
              
                
                  
                    $143.78 
                  
                
              
              
            
              
                
                  
                    $217.45 
                  
                
              
              
          
            Immunohistochemistry, qualitative, multiple
              CPT 88344
              
                
                  
                    $217.45 
                  
                
              
              
            
              
                
                  
                    $134.54 
                  
                
              
              
          
            Immunohistochemistry, qualitative, sngl
              CPT 88342
              
                
                  
                    $134.54 
                  
                
              
              
            
              
                
                  
                    $114.83 
                  
                
              
              
          
            Immunohistochemistry, qualitative, sngl +
              CPT 88341
              
                
                  
                    $114.83 
                  
                
              
              
            
              
                
                  
                    $341.68 
                  
                
              
              
          
            ISH/FISH qualitative, multiplex
              CPT 88366
              
                
                  
                    $341.68 
                  
                
              
              
            
              
                
                  
                    $223.44 
                  
                
              
              
          
            ISH/FISH qualitative, single
              CPT 88365
              
                
                  
                    $223.44 
                  
                
              
              
            
              
                
                  
                    $168.21 
                  
                
              
              
          
            ISH/FISH qualitative, single +
              CPT 88364
              
                
                  
                    $168.21 
                  
                
              
              
            
              
                
                  
                    $359.58 
                  
                
              
              
          
            ISH/FISH quant, image, multiplex
              CPT 88374
              
                
                  
                    $359.58 
                  
                
              
              
            
              
                
                  
                    $141.68 
                  
                
              
              
          
            ISH/FISH quant, image, single
              CPT 88367
              
                
                  
                    $141.68 
                  
                
              
              
            
              
                
                  
                    $86.6 
                  
                
              
              
          
            ISH/FISH quant, image, single +
              CPT 88373
              
                
                  
                    $86.6 
                  
                
              
              
            
              
                
                  
                    $494.89 
                  
                
              
              
          
            ISH/FISH quant, manual, multiplex
              CPT 88377
              
                
                  
                    $494.89 
                  
                
              
              
            
              
                
                  
                    $187.32 
                  
                
              
              
          
            ISH/FISH quant, manual, single
              CPT 88368
              
                
                  
                    $187.32 
                  
                
              
              
            
              
                
                  
                    $162.05 
                  
                
              
              
          
            ISH/FISH quant, manual, single +
              CPT 88369
              
                
                  
                    $162.05 
                  
                
              
              
            
              
                
                  
                    $52.82 
                  
                
              
              
          
            Natural killer cells, total count
              CPT 86357
              
                
                  
                    $52.82 
                  
                
              
              
            
              
                
                  
                    $86.95 
                  
                
              
              
          
            NGYN cyto, cell enhancement technique
              CPT 88112
              
                
                  
                    $86.95 
                  
                
              
              
            
              
                
                  
                    $87.11 
                  
                
              
              
          
            NGYN cyto, concentration technique
              CPT 88108
              
                
                  
                    $87.11 
                  
                
              
              
            
              
                
                  
                    $96.45 
                  
                
              
              
          
            NGYN cyto, fld/wash/brush; direct smear
              CPT 88104
              
                
                  
                    $96.45 
                  
                
              
              
            
              
                
                  
                    $162.88 
                  
                
              
              
          
            NGYN cyto, other source, etended study
              CPT 88162
              
                
                  
                    $162.88 
                  
                
              
              
            
              
                
                  
                    $101.04 
                  
                
              
              
          
            NGYN cyto, other source, interp
              CPT 88160
              
                
                  
                    $101.04 
                  
                
              
              
            
              
                
                  
                    $103.1 
                  
                
              
              
          
            NGYN cyto, other source, prep/scn/interp
              CPT 88161
              
                
                  
                    $103.1 
                  
                
              
              
            
              
                
                  
                    $70.29 
                  
                
              
              
          
            OR consult w/frozen section, each add blk
              CPT 88332
              
                
                  
                    $70.29 
                  
                
              
              
            
              
                
                  
                    $131.14 
                  
                
              
              
          
            OR consult with frozen section, 1st block
              CPT 88331
              
                
                  
                    $131.14 
                  
                
              
              
            
              
                
                  
                    $119.29 
                  
                
              
              
          
            OR consult with touch prep, 1st site
              CPT 88333
              
                
                  
                    $119.29 
                  
                
              
              
            
              
                
                  
                    $72.25 
                  
                
              
              
          
            OR consult with touch prep, each add site
              CPT 88334
              
                
                  
                    $72.25 
                  
                
              
              
            
              
                
                  
                    $28.36 
                  
                
              
              
          
            Pap test (ecludes phy interp)
              CPT 88142
              
                
                  
                    $28.36 
                  
                
              
              
            
              
                
                  
                    $24.86 
                  
                
              
              
          
            Pap test (excludes phy interp)
              CPT 88164
              
                
                  
                    $24.86 
                  
                
              
              
            
              
                
                  
                    $37.25 
                  
                
              
              
          
            Pap test (excludes phy interp)
              CPT 88175
              
                
                  
                    $37.25 
                  
                
              
              
            
              
                
                  
                    $20.51 
                  
                
              
              
          
            Pap test, hormonal inde evaluation
              CPT 88155
              
                
                  
                    $20.51 
                  
                
              
              
            
              
                
                  
                    $31.05 
                  
                
              
              
          
            Pap test, physician interpretation (only)
              CPT P3001
              
                
                  
                    $31.05 
                  
                
              
              
            
              
                
                  
                    $31.05 
                  
                
              
              
          
            Pap test, physician interpretation (only)
              CPT 88141
              
                
                  
                    $31.05 
                  
                
              
              
            
              
                
                  
                    $71.65 
                  
                
              
              
          
            Path consult during surgery (macro only)
              CPT 88329
              
                
                  
                    $71.65 
                  
                
              
              
            
              
                
                  
                    $31.37 
                  
                
              
              
          
            Peripheral blood smear interpretation
              CPT 85060
              
                
                  
                    $31.37 
                  
                
              
              
            
              
                
                  
                    $467.59 
                  
                
              
              
          
            Prostate biopsies, any method, 1 or more
              CPT G0416
              
                
                  
                    $467.59 
                  
                
              
              
            
              
                
                  
                    $141.86 
                  
                
              
              
          
            Special stain, group I
              CPT 88312
              
                
                  
                    $141.86 
                  
                
              
              
            
              
                
                  
                    $103.66 
                  
                
              
              
          
            Special stain, group II
              CPT 88313
              
                
                  
                    $103.66 
                  
                
              
              
            
              
                
                  
                    $171.42 
                  
                
              
              
          
            Special stain, group III
              CPT 88319
              
                
                  
                    $171.42 
                  
                
              
              
            
              
                
                  
                    $20.65 
                  
                
              
              
          
            Surgical pathology level I exam
              CPT 88300
              
                
                  
                    $20.65 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            Surgical pathology level II exam
              CPT 88302
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            Surgical pathology level III exam
              CPT 88304
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            Surgical pathology level IV exam
              CPT 88305
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            Surgical pathology level V exam
              CPT 88307
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            Surgical pathology level VI exam
              CPT 88309
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $54.42 
                  
                
              
              
          
            Surgical specimen -ray eam
              CPT 76098
              
                
                  
                    $54.42 
                  
                
              
              
            
              
                
                  
                    $65.77 
                  
                
              
              
          
            T cells, absolute CD4 & CD8 and ratio
              CPT 86360
              
                
                  
                    $65.77 
                  
                
              
              
            
              
                
                  
                    $52.82 
                  
                
              
              
          
            T cells, total count
              CPT 86359
              
                
                  
                    $52.82 
                  
                
              
              
            
              
                
                  
                    $37.49 
                  
                
              
              
          
        Unlisted antigen
              CPT 86356
              
                
                  
                    $37.49 
                  
                
              
              
            CPT Code
          
        
              
                
                  
                    $38.5 
                  
                
              
              
          
            CPT 88177
              ADDITIONAL PASS
              
                
                  
                    $38.5 
                  
                
              
              
            
              
                
                  
                    $28.24 
                  
                
              
              
          
            CPT 88177.26
              ADDITIONAL PASS
              
                
                  
                    $28.24 
                  
                
              
              
            
              
                
                  
                    $10.26 
                  
                
              
              
          
            CPT 88177.TC
              ADDITIONAL PASS
              
                
                  
                    $10.26 
                  
                
              
              
            
              
                
                  
                    $9.06 
                  
                
              
              
          
            CPT 83540
              ASSAY OF IRON
              
                
                  
                    $9.06 
                  
                
              
              
            
              
                
                  
                    $52.82 
                  
                
              
              
          
            CPT 86355
              B CELLS TOTAL COUNT
              
                
                  
                    $52.82 
                  
                
              
              
            
              
                
                  
                    $31.37 
                  
                
              
              
          
            CPT 85060
              BLOOD SMEAR INTERPRETATION
              
                
                  
                    $31.37 
                  
                
              
              
            
              
                
                  
                    $200.91 
                  
                
              
              
          
            CPT 38220
              BONE MARROW ASPIRATION
              
                
                  
                    $200.91 
                  
                
              
              
            
              
                
                  
                    $207.93 
                  
                
              
              
          
            CPT 38221
              BONE MARROW BIOPSY
              
                
                  
                    $207.93 
                  
                
              
              
            
              
                
                  
                    $90.85 
                  
                
              
              
          
            CPT 85097
              BONE MARROW INTERPRETATION
              
                
                  
                    $90.85 
                  
                
              
              
            
              
                
                  
                    $18.02 
                  
                
              
              
          
            CPT 82360
              CALCULUS ASSAY QUANT
              
                
                  
                    $18.02 
                  
                
              
              
            
              
                
                  
                    $18.06 
                  
                
              
              
          
            CPT 82365
              CALCULUS SPECTROSCOPY
              
                
                  
                    $18.06 
                  
                
              
              
            
              
                
                  
                    $28.07 
                  
                
              
              
          
            CPT 87480
              CANDIDA DNA DIR PROBE
              
                
                  
                    $28.07 
                  
                
              
              
            
              
                
                  
                    $49.13 
                  
                
              
              
          
            CPT 87481
              CANDIDA DNA QUANT
              
                
                  
                    $49.13 
                  
                
              
              
            
              
                
                  
                    $78.04 
                  
                
              
              
          
            CPT 87482
              CANDIDA DNA QUANT
              
                
                  
                    $78.04 
                  
                
              
              
            
              
                
                  
                    $49.13 
                  
                
              
              
          
            CPT 87491
              CHYLMD TRACH, DNA, AMP PROBE
              
                
                  
                    $49.13 
                  
                
              
              
            
              
                
                  
                    $33.73 
                  
                
              
              
          
            CPT 82542
              COL-CHR/MS QUAN 1 STATIONARY&MOBILE PHASE
              
                
                  
                    $33.73 
                  
                
              
              
            
              
                
                  
                    $206.46 
                  
                
              
              
          
            CPT 88325
              COMPREHENSIVE REVIEW OF DATA
              
                
                  
                    $206.46 
                  
                
              
              
            
              
                
                  
                    $37.25 
                  
                
              
              
          
            CPT 88175
              CYTOPATH C/V AUTO FLUID
              
                
                  
                    $37.25 
                  
                
              
              
            
              
                
                  
                    $214.05 
                  
                
              
              
          
            CPT 88173
              CYTOPATH EVAL, FNA, REPORT
              
                
                  
                    $214.05 
                  
                
              
              
            
              
                
                  
                    $90.73 
                  
                
              
              
          
            CPT 88173.26
              CYTOPATH EVAL, FNA, REPORT
              
                
                  
                    $90.73 
                  
                
              
              
            
              
                
                  
                    $123.31 
                  
                
              
              
          
            CPT 88173.TC
              CYTOPATH EVAL, FNA, REPORT
              
                
                  
                    $123.31 
                  
                
              
              
            
              
                
                  
                    $96.45 
                  
                
              
              
          
            CPT 88104
              CYTOPATH FL NONGYN, SMEARS
              
                
                  
                    $96.45 
                  
                
              
              
            
              
                
                  
                    $35.99 
                  
                
              
              
          
            CPT 88104.26
              CYTOPATH FL NONGYN, SMEARS
              
                
                  
                    $35.99 
                  
                
              
              
            
              
                
                  
                    $60.45 
                  
                
              
              
          
            CPT 88104.TC
              CYTOPATH FL NONGYN, SMEARS
              
                
                  
                    $60.45 
                  
                
              
              
            
              
                
                  
                    $101.04 
                  
                
              
              
          
            CPT 88160
              CYTOPATH SMEAR, OTHER SOURCE
              
                
                  
                    $101.04 
                  
                
              
              
            
              
                
                  
                    $33.21 
                  
                
              
              
          
            CPT 88160.26
              CYTOPATH SMEAR, OTHER SOURCE
              
                
                  
                    $33.21 
                  
                
              
              
            
              
                
                  
                    $67.84 
                  
                
              
              
          
            CPT 88160.TC
              CYTOPATH SMEAR, OTHER SOURCE
              
                
                  
                    $67.84 
                  
                
              
              
            
              
                
                  
                    $103.1 
                  
                
              
              
          
            CPT 88161
              CYTOPATH SMEAR, OTHER SOURCE
              
                
                  
                    $103.1 
                  
                
              
              
            
              
                
                  
                    $32.79 
                  
                
              
              
          
            CPT 88161.26
              CYTOPATH SMEAR, OTHER SOURCE
              
                
                  
                    $32.79 
                  
                
              
              
            
              
                
                  
                    $70.31 
                  
                
              
              
          
            CPT 88161.TC
              CYTOPATH SMEAR, OTHER SOURCE
              
                
                  
                    $70.31 
                  
                
              
              
            
              
                
                  
                    $162.88 
                  
                
              
              
          
            CPT 88162
              CYTOPATH SMEAR, OTHER SOURCE
              
                
                  
                    $162.88 
                  
                
              
              
            
              
                
                  
                    $51.07 
                  
                
              
              
          
            CPT 88162.26
              CYTOPATH SMEAR, OTHER SOURCE
              
                
                  
                    $51.07 
                  
                
              
              
            
              
                
                  
                    $111.82 
                  
                
              
              
          
            CPT 88162.TC
              CYTOPATH SMEAR, OTHER SOURCE
              
                
                  
                    $111.82 
                  
                
              
              
            
              
                
                  
                    $24.86 
                  
                
              
              
          
            CPT 88164
              CYTOPATH TBS, C/V, MANUAL
              
                
                  
                    $24.86 
                  
                
              
              
            
              
                
                  
                    $20.51 
                  
                
              
              
          
            CPT 88155
              CYTOPATH, C/V, INDEX ADD-ON
              
                
                  
                    $20.51 
                  
                
              
              
            
              
                
                  
                    $31.05 
                  
                
              
              
          
            CPT 88141
              CYTOPATH, C/V, INTERPRET
              
                
                  
                    $31.05 
                  
                
              
              
            
              
                
                  
                    $31.05 
                  
                
              
              
          
            CPT 88141.26
              CYTOPATH, C/V, INTERPRET
              
                
                  
                    $31.05 
                  
                
              
              
            
              
                
                  
                    $28.36 
                  
                
              
              
          
            CPT 88142
              CYTOPATH, C/V, THIN LAYER
              
                
                  
                    $28.36 
                  
                
              
              
            
              
                
                  
                    $86.95 
                  
                
              
              
          
            CPT 88112
              CYTOPATH, CELL ENHANCE TECH
              
                
                  
                    $86.95 
                  
                
              
              
            
              
                
                  
                    $35.99 
                  
                
              
              
          
            CPT 88112.26
              CYTOPATH, CELL ENHANCE TECH
              
                
                  
                    $35.99 
                  
                
              
              
            
              
                
                  
                    $50.96 
                  
                
              
              
          
            CPT 88112.TC
              CYTOPATH, CELL ENHANCE TECH
              
                
                  
                    $50.96 
                  
                
              
              
            
              
                
                  
                    $87.11 
                  
                
              
              
          
            CPT 88108
              CYTOPATH, CONCENTRATE TECH
              
                
                  
                    $87.11 
                  
                
              
              
            
              
                
                  
                    $29.18 
                  
                
              
              
          
            CPT 88108.26
              CYTOPATH, CONCENTRATE TECH
              
                
                  
                    $29.18 
                  
                
              
              
            
              
                
                  
                    $57.93 
                  
                
              
              
          
            CPT 88108.TC
              CYTOPATH, CONCENTRATE TECH
              
                
                  
                    $57.93 
                  
                
              
              
            
              
                
                  
                    $72.49 
                  
                
              
              
          
            CPT 88172
              CYTOPATHOLOGY EVAL OF FNA
              
                
                  
                    $72.49 
                  
                
              
              
            
              
                
                  
                    $45.75 
                  
                
              
              
          
            CPT 88172.26
              CYTOPATHOLOGY EVAL OF FNA
              
                
                  
                    $45.75 
                  
                
              
              
            
              
                
                  
                    $26.74 
                  
                
              
              
          
            CPT 88172.TC
              CYTOPATHOLOGY EVAL OF FNA
              
                
                  
                    $26.74 
                  
                
              
              
            
              
                
                  
                    $522.23 
                  
                
              
              
          
            CPT 88121
              CYTP URINE 3-5 PROBES CMPTR
              
                
                  
                    $522.23 
                  
                
              
              
            
              
                
                  
                    $63.13 
                  
                
              
              
          
            CPT 88121.26
              CYTP URINE 3-5 PROBES CMPTR
              
                
                  
                    $63.13 
                  
                
              
              
            
              
                
                  
                    $459.12 
                  
                
              
              
          
            CPT 88121.TC
              CYTP URINE 3-5 PROBES CMPTR
              
                
                  
                    $459.12 
                  
                
              
              
            
              
                
                  
                    $720.87 
                  
                
              
              
          
            CPT 88120
              CYTP URNE 3-5 PROBES EA SPEC
              
                
                  
                    $720.87 
                  
                
              
              
            
              
                
                  
                    $75.73 
                  
                
              
              
          
            CPT 88120.26
              CYTP URNE 3-5 PROBES EA SPEC
              
                
                  
                    $75.73 
                  
                
              
              
            
              
                
                  
                    $645.15 
                  
                
              
              
          
            CPT 88120.TC
              CYTP URNE 3-5 PROBES EA SPEC
              
                
                  
                    $645.15 
                  
                
              
              
            
              
                
                  
                    $26.47 
                  
                
              
              
          
            CPT 88311
              DECALCIFY TISSUE
              
                
                  
                    $26.47 
                  
                
              
              
            
              
                
                  
                    $15.75 
                  
                
              
              
          
            CPT 88311.26
              DECALCIFY TISSUE
              
                
                  
                    $15.75 
                  
                
              
              
            
              
                
                  
                    $10.72 
                  
                
              
              
          
            CPT 88311.TC
              DECALCIFY TISSUE
              
                
                  
                    $10.72 
                  
                
              
              
            
              
                
                  
                    $49.13 
                  
                
              
              
          
            CPT 87798
              DETECT AGENT NOS DNA AMP
              
                
                  
                    $49.13 
                  
                
              
              
            
              
                
                  
                    $59.98 
                  
                
              
              
          
            CPT 87799
              DETECT AGENT NOS DNA QUANT
              
                
                  
                    $59.98 
                  
                
              
              
            
              
                
                  
                    $224.5 
                  
                
              
              
          
            CPT 38222
              DX BONE MARROW BX & ASPIR
              
                
                  
                    $224.5 
                  
                
              
              
            
              
                
                  
                    $605.44 
                  
                
              
              
          
            CPT 88348
              ELECTRON MICROSCOPY
              
                
                  
                    $605.44 
                  
                
              
              
            
              
                
                  
                    $100.03 
                  
                
              
              
          
            CPT 88348.26
              ELECTRON MICROSCOPY
              
                
                  
                    $100.03 
                  
                
              
              
            
              
                
                  
                    $505.43 
                  
                
              
              
          
            CPT 88348.TC
              ELECTRON MICROSCOPY
              
                
                  
                    $505.43 
                  
                
              
              
            
              
                
                  
                    $10.26 
                  
                
              
              
          
            CPT 89060
              EXAM,SYNOVIAL FLUID CRYSTALS
              
                
                  
                    $10.26 
                  
                
              
              
            
              
                
                  
                    $96.17 
                  
                
              
              
          
            CPT 88184
              FLOWCYTOMETRY/ TC, 1 MARKER
              
                
                  
                    $96.17 
                  
                
              
              
            
              
                
                  
                    $110.39 
                  
                
              
              
          
            CPT 88189
              FLOWCYTOMETRY/READ, 16 & >
              
                
                  
                    $110.39 
                  
                
              
              
            
              
                
                  
                    $47.35 
                  
                
              
              
          
            CPT 88187
              FLOWCYTOMETRY/READ, 2-8
              
                
                  
                    $47.35 
                  
                
              
              
            
              
                
                  
                    $81.26 
                  
                
              
              
          
            CPT 88188
              FLOWCYTOMETRY/READ, 9-15
              
                
                  
                    $81.26 
                  
                
              
              
            
              
                
                  
                    $29.15 
                  
                
              
              
          
            CPT 88185
              FLOWCYTOMETRY/TC, ADD-ON
              
                
                  
                    $29.15 
                  
                
              
              
            
              
                
                  
                    $49.13 
                  
                
              
              
          
            CPT 87511
              GARDNER VAG DNA AMP PROBE
              
                
                  
                    $49.13 
                  
                
              
              
            
              
                
                  
                    $28.07 
                  
                
              
              
          
            CPT 87510
              GARDNER VAG DNA DIR PROBE
              
                
                  
                    $28.07 
                  
                
              
              
            
              
                
                  
                    $58.46 
                  
                
              
              
          
            CPT 87512
              GARDNER VAG DNA QUANT
              
                
                  
                    $58.46 
                  
                
              
              
            
              
                
                  
                    $91.5 
                  
                
              
              
          
            CPT 81256
              HFE GENE ANALYSIS
              
                
                  
                    $91.5 
                  
                
              
              
            
              
                
                  
                    $49.13 
                  
                
              
              
          
            CPT 87624
              HPV, HIGH RISK
              
                
                  
                    $49.13 
                  
                
              
              
            
              
                
                  
                    $49.13 
                  
                
              
              
          
            CPT 87623
              HPV, LOW RISK
              
                
                  
                    $49.13 
                  
                
              
              
            
              
                
                  
                    $56.77 
                  
                
              
              
          
            CPT 87625
              HPV, TYPES 16 AND 18 ONLY
              
                
                  
                    $56.77 
                  
                
              
              
            
              
                
                  
                    $49.13 
                  
                
              
              
          
            CPT 87529
              HSV DNA AMP PROBE
              
                
                  
                    $49.13 
                  
                
              
              
            
              
                
                  
                    $167.55 
                  
                
              
              
          
            CPT 88344.TC
              IHC, PER SPECIMEN, MULTIPLEX
              
                
                  
                    $167.55 
                  
                
              
              
            
              
                
                  
                    $49.9 
                  
                
              
              
          
            CPT 88344.26
              IHC, PER SPECIMEN, MULTIPLEX
              
                
                  
                    $49.9 
                  
                
              
              
            
              
                
                  
                    $36.41 
                  
                
              
              
          
            CPT 88341.26
              IMMHUNOHISTOCHEMISTRY, PER SPECIMEN, EACH ADD'L
              
                
                  
                    $36.41 
                  
                
              
              
            
              
                
                  
                    $24.18 
                  
                
              
              
          
            CPT 83520
              IMMUNOASSAY QUANT NOS NONAB
              
                
                  
                    $24.18 
                  
                
              
              
            
              
                
                  
                    $41.09 
                  
                
              
              
          
            CPT 86335
              IMMUNOFIXATION ELECTROPHORESIS
              
                
                  
                    $41.09 
                  
                
              
              
            
              
                
                  
                    $189 
                  
                
              
              
          
            CPT 88346
              IMMUNOFLUORESCENT STUDY
              
                
                  
                    $189 
                  
                
              
              
            
              
                
                  
                    $46.84 
                  
                
              
              
          
            CPT 88346.26
              IMMUNOFLUORESCENT STUDY
              
                
                  
                    $46.84 
                  
                
              
              
            
              
                
                  
                    $142.16 
                  
                
              
              
          
            CPT 88346.TC
              IMMUNOFLUORESCENT STUDY
              
                
                  
                    $142.16 
                  
                
              
              
            
              
                
                  
                    $143.78 
                  
                
              
              
          
            CPT 88350
              IMMUNOFLUORESCENT STUDY; ADDITONAL STAIN
              
                
                  
                    $143.78 
                  
                
              
              
            
              
                
                  
                    $37.8 
                  
                
              
              
          
            CPT 88350.26
              IMMUNOFLUORESCENT STUDY; ADDITONAL STAIN
              
                
                  
                    $37.8 
                  
                
              
              
            
              
                
                  
                    $105.98 
                  
                
              
              
          
            CPT 88350.TC
              IMMUNOFLUORESCENT STUDY; ADDITONAL STAIN
              
                
                  
                    $105.98 
                  
                
              
              
            
              
                
                  
                    $134.54 
                  
                
              
              
          
            CPT 88342
              IMMUNOHISTOCHEMISTRY
              
                
                  
                    $134.54 
                  
                
              
              
            
              
                
                  
                    $45.4 
                  
                
              
              
          
            CPT 88342.26
              IMMUNOHISTOCHEMISTRY
              
                
                  
                    $45.4 
                  
                
              
              
            
              
                
                  
                    $89.14 
                  
                
              
              
          
            CPT 88342.TC
              IMMUNOHISTOCHEMISTRY
              
                
                  
                    $89.14 
                  
                
              
              
            
              
                
                  
                    $114.83 
                  
                
              
              
          
            CPT 88341
              IMMUNOHISTOCHEMISTRY, PER SPECIMEN, EACH ADDITIONA
              
                
                  
                    $114.83 
                  
                
              
              
            
              
                
                  
                    $78.41 
                  
                
              
              
          
            CPT 88341.TC
              IMMUNOHISTOCHEMISTRY, PER SPECIMEN, EACH ADD'L
              
                
                  
                    $78.41 
                  
                
              
              
            
              
                
                  
                    $217.45 
                  
                
              
              
          
            CPT 88344
              IMMUNOHISTOCHEMISTRY; PER SPECIMEN; MULTIPLEX PROC
              
                
                  
                    $217.45 
                  
                
              
              
            
              
                
                  
                    $118.29 
                  
                
              
              
          
            CPT 88369.TC
              IN SITU HYBRIDIZATION, MORPHOMETRIC, ADD'L STAINS
              
                
                  
                    $118.29 
                  
                
              
              
            
              
                
                  
                    $168.21 
                  
                
              
              
          
            CPT 88364
              IN SITU HYBRIDIZATON (EG,FISH); ADDITONAL STAIN;
              
                
                  
                    $168.21 
                  
                
              
              
            
              
                
                  
                    $44.17 
                  
                
              
              
          
            CPT 88364.26
              IN SITU HYBRIDIZATON (EG,FISH); ADDITONAL STAIN;
              
                
                  
                    $44.17 
                  
                
              
              
            
              
                
                  
                    $124.04 
                  
                
              
              
          
            CPT 88364.TC
              IN SITU HYBRIDIZATON (EG,FISH); ADDITONAL STAIN;
              
                
                  
                    $124.04 
                  
                
              
              
            
              
                
                  
                    $16.77 
                  
                
              
              
          
            CPT 87300
              INF AGENT AG DET BY IF, POLYVALENT, EACH
              
                
                  
                    $16.77 
                  
                
              
              
            
              
                
                  
                    $223.44 
                  
                
              
              
          
            CPT 88365
              INSITU HYBRIDIZATION (FISH)
              
                
                  
                    $223.44 
                  
                
              
              
            
              
                
                  
                    $55.83 
                  
                
              
              
          
            CPT 88365.26
              INSITU HYBRIDIZATION (FISH)
              
                
                  
                    $55.83 
                  
                
              
              
            
              
                
                  
                    $167.61 
                  
                
              
              
          
            CPT 88365.TC
              INSITU HYBRIDIZATION (FISH)
              
                
                  
                    $167.61 
                  
                
              
              
            
              
                
                  
                    $341.68 
                  
                
              
              
          
            CPT 88366
              INSITU HYBRIDIZATION (FISH), PER SPEC, EA MULTI ST
              
                
                  
                    $341.68 
                  
                
              
              
            
              
                
                  
                    $261.63 
                  
                
              
              
          
            CPT 88366.TC
              INSITU HYBRIDIZATION (FISH), PER SPEC, EA MULTI ST
              
                
                  
                    $261.63 
                  
                
              
              
            
              
                
                  
                    $80.05 
                  
                
              
              
          
            CPT 88366.26
              INSITU HYBRIDIZATION (FISH), PER SPEC, EA MULTI ST
              
                
                  
                    $80.05 
                  
                
              
              
            
              
                
                  
                    $141.68 
                  
                
              
              
          
            CPT 88367
              INSITU HYBRIDIZATION AUTO
              
                
                  
                    $141.68 
                  
                
              
              
            
              
                
                  
                    $43.51 
                  
                
              
              
          
            CPT 88367.26
              INSITU HYBRIDIZATION AUTO
              
                
                  
                    $43.51 
                  
                
              
              
            
              
                
                  
                    $98.17 
                  
                
              
              
          
            CPT 88367.TC
              INSITU HYBRIDIZATION AUTO
              
                
                  
                    $98.17 
                  
                
              
              
            
              
                
                  
                    $187.32 
                  
                
              
              
          
            CPT 88368
              INSITU HYBRIDIZATION, MANUAL
              
                
                  
                    $187.32 
                  
                
              
              
            
              
                
                  
                    $55.02 
                  
                
              
              
          
            CPT 88368.26
              INSITU HYBRIDIZATION, MANUAL
              
                
                  
                    $55.02 
                  
                
              
              
            
              
                
                  
                    $132.3 
                  
                
              
              
          
            CPT 88368.TC
              INSITU HYBRIDIZATION, MANUAL
              
                
                  
                    $132.3 
                  
                
              
              
            
              
                
                  
                    $119.29 
                  
                
              
              
          
            CPT 88333
              INTRAOP CYTO PATH CONSULT, 1
              
                
                  
                    $119.29 
                  
                
              
              
            
              
                
                  
                    $79.83 
                  
                
              
              
          
            CPT 88333.26
              INTRAOP CYTO PATH CONSULT, 1
              
                
                  
                    $79.83 
                  
                
              
              
            
              
                
                  
                    $39.47 
                  
                
              
              
          
            CPT 88333.TC
              INTRAOP CYTO PATH CONSULT, 1
              
                
                  
                    $39.47 
                  
                
              
              
            
              
                
                  
                    $72.25 
                  
                
              
              
          
            CPT 88334
              INTRAOP CYTO PATH CONSULT, 2
              
                
                  
                    $72.25 
                  
                
              
              
            
              
                
                  
                    $48.44 
                  
                
              
              
          
            CPT 88334.26
              INTRAOP CYTO PATH CONSULT, 2
              
                
                  
                    $48.44 
                  
                
              
              
            
              
                
                  
                    $23.81 
                  
                
              
              
          
            CPT 88334.TC
              INTRAOP CYTO PATH CONSULT, 2
              
                
                  
                    $23.81 
                  
                
              
              
            
              
                
                  
                    $359.58 
                  
                
              
              
          
            CPT 88374
              M/PHMTRC ALYS ISHQUANT/SEMIQ
              
                
                  
                    $359.58 
                  
                
              
              
            
              
                
                  
                    $55.3 
                  
                
              
              
          
            CPT 88374.26
              M/PHMTRC ALYS ISHQUANT/SEMIQ
              
                
                  
                    $55.3 
                  
                
              
              
            
              
                
                  
                    $304.28 
                  
                
              
              
          
            CPT 88374.TC
              M/PHMTRC ALYS ISHQUANT/SEMIQ
              
                
                  
                    $304.28 
                  
                
              
              
            
              
                
                  
                    $86.6 
                  
                
              
              
          
            CPT 88373
              M/PHMTRC ALYS ISHQUANT/SEMIQ; ADDITIONAL ST
              
                
                  
                    $86.6 
                  
                
              
              
            
              
                
                  
                    $33.19 
                  
                
              
              
          
            CPT 88373.26
              M/PHMTRC ALYS ISHQUANT/SEMIQ; ADDITIONAL ST
              
                
                  
                    $33.19 
                  
                
              
              
            
              
                
                  
                    $53.42 
                  
                
              
              
          
            CPT 88373.TC
              M/PHMTRC ALYS ISHQUANT/SEMIQ; ADDITIONAL ST
              
                
                  
                    $53.42 
                  
                
              
              
            
              
                
                  
                    $162.05 
                  
                
              
              
          
            CPT 88369
              M/PHMTRC ALYSISHQUANT/SEMIQ
              
                
                  
                    $162.05 
                  
                
              
              
            
              
                
                  
                    $43.75 
                  
                
              
              
          
            CPT 88369.26
              M/PHMTRC ALYSISHQUANT/SEMIQ
              
                
                  
                    $43.75 
                  
                
              
              
            
              
                
                  
                    $5.98 
                  
                
              
              
          
            CPT 87168
              MACROSCOPIC EXAM ARTHROPOD
              
                
                  
                    $5.98 
                  
                
              
              
            
              
                
                  
                    $151.94 
                  
                
              
              
          
            CPT 88323
              MICROSLIDE CONSULTATION
              
                
                  
                    $151.94 
                  
                
              
              
            
              
                
                  
                    $115.35 
                  
                
              
              
          
            CPT 88323.26
              MICROSLIDE CONSULTATION
              
                
                  
                    $115.35 
                  
                
              
              
            
              
                
                  
                    $36.58 
                  
                
              
              
          
            CPT 88323.TC
              MICROSLIDE CONSULTATION
              
                
                  
                    $36.58 
                  
                
              
              
            
              
                
                  
                    $59.33 
                  
                
              
              
          
            CPT 88274
              MOLECULAR CYTOGENETICS; ANALYZE 25-99 CELLS
              
                
                  
                    $59.33 
                  
                
              
              
            
              
                
                  
                    $37.49 
                  
                
              
              
          
            CPT 86356
              MONONUCLEAR CELL ANTIGEN
              
                
                  
                    $37.49 
                  
                
              
              
            
              
                
                  
                    $494.89 
                  
                
              
              
          
            CPT 88377
              Morphometric Analysis, manual, multiplex, per spec
              
                
                  
                    $494.89 
                  
                
              
              
            
              
                
                  
                    $83.76 
                  
                
              
              
          
            CPT 88377.26
              Morphometric Analysis, manual, multiplex, per spec
              
                
                  
                    $83.76 
                  
                
              
              
            
              
                
                  
                    $411.12 
                  
                
              
              
          
            CPT 88377.TC
              MORPHOMETRIC ANALYSIS, MANUAL, MULTIPLEX, PER SPEC
              
                
                  
                    $411.12 
                  
                
              
              
            
              
                
                  
                    $49.13 
                  
                
              
              
          
            CPT 87591
              N.GONORRHOEAE, DNA, AMP PROB
              
                
                  
                    $49.13 
                  
                
              
              
            
              
                
                  
                    $52.82 
                  
                
              
              
          
            CPT 86357
              NK CELLS TOTAL COUNT
              
                
                  
                    $52.82 
                  
                
              
              
            
              
                
                  
                    $31.04 
                  
                
              
              
          
            CPT 82657
              NZM ACTV CELLS/TISS NONRADACT SUBSTRATE EA
              
                
                  
                    $31.04 
                  
                
              
              
            
              
                
                  
                    $57.79 
                  
                
              
              
          
            CPT 83970
              PARATHORMONE (PARATHYROID HORMONE)
              
                
                  
                    $57.79 
                  
                
              
              
            
              
                
                  
                    $131.14 
                  
                
              
              
          
            CPT 88331
              PATH CONSULT INTRAOP, 1 BLOC
              
                
                  
                    $131.14 
                  
                
              
              
            
              
                
                  
                    $80.19 
                  
                
              
              
          
            CPT 88331.26
              PATH CONSULT INTRAOP, 1 BLOC
              
                
                  
                    $80.19 
                  
                
              
              
            
              
                
                  
                    $50.96 
                  
                
              
              
          
            CPT 88331.TC
              PATH CONSULT INTRAOP, 1 BLOC
              
                
                  
                    $50.96 
                  
                
              
              
            
              
                
                  
                    $70.29 
                  
                
              
              
          
            CPT 88332
              PATH CONSULT INTRAOP, ADD?L
              
                
                  
                    $70.29 
                  
                
              
              
            
              
                
                  
                    $39.45 
                  
                
              
              
          
            CPT 88332.26
              PATH CONSULT INTRAOP, ADD?L
              
                
                  
                    $39.45 
                  
                
              
              
            
              
                
                  
                    $30.84 
                  
                
              
              
          
            CPT 88332.TC
              PATH CONSULT INTRAOP, ADD?L
              
                
                  
                    $30.84 
                  
                
              
              
            
              
                
                  
                    $71.65 
                  
                
              
              
          
            CPT 88329
              PATH CONSULT INTROP
              
                
                  
                    $71.65 
                  
                
              
              
            
              
                
                  
                    $70.32 
                  
                
              
              
          
            CPT 86078
              PHYSICIAN BLOOD BANK SERVICE
              
                
                  
                    $70.32 
                  
                
              
              
            
              
                
                  
                    $54.42 
                  
                
              
              
          
            CPT 76098
              RADIOLOGY EXAM, SURGICAL SPECIMEN
              
                
                  
                    $54.42 
                  
                
              
              
            
              
                
                  
                    $20.29 
                  
                
              
              
          
            CPT 76098.26
              RADIOLOGY EXAM, SURGICAL SPECIMEN
              
                
                  
                    $20.29 
                  
                
              
              
            
              
                
                  
                    $467.59 
                  
                
              
              
          
            CPT G0416
              SAT BIOPSY 10-20
              
                
                  
                    $467.59 
                  
                
              
              
            
              
                
                  
                    $231.28 
                  
                
              
              
          
            CPT G0416.26
              SAT BIOPSY 10-20
              
                
                  
                    $231.28 
                  
                
              
              
            
              
                
                  
                    $236.31 
                  
                
              
              
          
            CPT G0416.TC
              SAT BIOPSY 10-20
              
                
                  
                    $236.31 
                  
                
              
              
            
              
                
                  
                    $31.05 
                  
                
              
              
          
            CPT P3001
              SCREENING PAP SMEAR BY PHYSICIAN
              
                
                  
                    $31.05 
                  
                
              
              
            
              
                
                  
                    $141.86 
                  
                
              
              
          
            CPT 88312
              SPECIAL STAINS
              
                
                  
                    $141.86 
                  
                
              
              
            
              
                
                  
                    $34.65 
                  
                
              
              
          
            CPT 88312.26
              SPECIAL STAINS
              
                
                  
                    $34.65 
                  
                
              
              
            
              
                
                  
                    $107.21 
                  
                
              
              
          
            CPT 88312.TC
              SPECIAL STAINS
              
                
                  
                    $107.21 
                  
                
              
              
            
              
                
                  
                    $103.66 
                  
                
              
              
          
            CPT 88313
              SPECIAL STAINS
              
                
                  
                    $103.66 
                  
                
              
              
            
              
                
                  
                    $15.75 
                  
                
              
              
          
            CPT 88313.26
              SPECIAL STAINS
              
                
                  
                    $15.75 
                  
                
              
              
            
              
                
                  
                    $87.91 
                  
                
              
              
          
            CPT 88313.TC
              SPECIAL STAINS
              
                
                  
                    $87.91 
                  
                
              
              
            
              
                
                  
                    $20.65 
                  
                
              
              
          
            CPT 88300
              SURGICAL PATH, GROSS
              
                
                  
                    $20.65 
                  
                
              
              
            
              
                
                  
                    $5.82 
                  
                
              
              
          
            CPT 88300.26
              SURGICAL PATH, GROSS
              
                
                  
                    $5.82 
                  
                
              
              
            
              
                
                  
                    $14.83 
                  
                
              
              
          
            CPT 88300.TC
              SURGICAL PATH, GROSS
              
                
                  
                    $14.83 
                  
                
              
              
            
              
                
                  
                    $65.77 
                  
                
              
              
          
            CPT 86360
              T CELL, ABSOLUTE COUNT/RATIO
              
                
                  
                    $65.77 
                  
                
              
              
            
              
                
                  
                    $52.82 
                  
                
              
              
          
            CPT 86359
              T CELLS TOTAL COUNT
              
                
                  
                    $52.82 
                  
                
              
              
            
              
                
                  
                    $41.87 
                  
                
              
              
          
            CPT 88302
              TISSUE EXAM BY PATHOLOGIST
              
                
                  
                    $41.87 
                  
                
              
              
            
              
                
                  
                    $8.97 
                  
                
              
              
          
            CPT 88302.26
              TISSUE EXAM BY PATHOLOGIST
              
                
                  
                    $8.97 
                  
                
              
              
            
              
                
                  
                    $32.89 
                  
                
              
              
          
            CPT 88302.TC
              TISSUE EXAM BY PATHOLOGIST
              
                
                  
                    $32.89 
                  
                
              
              
            
              
                
                  
                    $54.28 
                  
                
              
              
          
            CPT 88304
              TISSUE EXAM BY PATHOLOGIST
              
                
                  
                    $54.28 
                  
                
              
              
            
              
                
                  
                    $14.81 
                  
                
              
              
          
            CPT 88304.26
              TISSUE EXAM BY PATHOLOGIST
              
                
                  
                    $14.81 
                  
                
              
              
            
              
                
                  
                    $39.47 
                  
                
              
              
          
            CPT 88304.TC
              TISSUE EXAM BY PATHOLOGIST
              
                
                  
                    $39.47 
                  
                
              
              
            
              
                
                  
                    $92.53 
                  
                
              
              
          
            CPT 88305
              TISSUE EXAM BY PATHOLOGIST
              
                
                  
                    $92.53 
                  
                
              
              
            
              
                
                  
                    $48.55 
                  
                
              
              
          
            CPT 88305.26
              TISSUE EXAM BY PATHOLOGIST
              
                
                  
                    $48.55 
                  
                
              
              
            
              
                
                  
                    $43.97 
                  
                
              
              
          
            CPT 88305.TC
              TISSUE EXAM BY PATHOLOGIST
              
                
                  
                    $43.97 
                  
                
              
              
            
              
                
                  
                    $363.87 
                  
                
              
              
          
            CPT 88307
              TISSUE EXAM BY PATHOLOGIST
              
                
                  
                    $363.87 
                  
                
              
              
            
              
                
                  
                    $106.26 
                  
                
              
              
          
            CPT 88307.26
              TISSUE EXAM BY PATHOLOGIST
              
                
                  
                    $106.26 
                  
                
              
              
            
              
                
                  
                    $257.61 
                  
                
              
              
          
            CPT 88307.TC
              TISSUE EXAM BY PATHOLOGIST
              
                
                  
                    $257.61 
                  
                
              
              
            
              
                
                  
                    $548.87 
                  
                
              
              
          
            CPT 88309
              TISSUE EXAM BY PATHOLOGIST
              
                
                  
                    $548.87 
                  
                
              
              
            
              
                
                  
                    $187.38 
                  
                
              
              
          
            CPT 88309.26
              TISSUE EXAM BY PATHOLOGIST
              
                
                  
                    $187.38 
                  
                
              
              
            
              
                
                  
                    $361.49 
                  
                
              
              
          
            CPT 88309.TC
              TISSUE EXAM BY PATHOLOGIST
              
                
                  
                    $361.49 
                  
                
              
              
            
              
                
                  
                    $28.07 
                  
                
              
              
          
            CPT 87660
              TRICHOMONAS VAGIN DIR PROBE
              
                
                  
                    $28.07 
                  
                
              
              
            
              
                
                  
                    $49.13 
                  
                
              
              
          
            CPT 87661
              TRICHOMONAS VAGINALIS AMPLIF
              
                
                  
                    $49.13 
                  
                
              
              
            
              
                
                  
                    $152.35 
                  
                
              
              
          
            CPT 88361
              TUMOR IMMUNOHISTOCHEM/COMPUT
              
                
                  
                    $152.35 
                  
                
              
              
            
              
                
                  
                    $57.05 
                  
                
              
              
          
            CPT 88361.26
              TUMOR IMMUNOHISTOCHEM/COMPUT
              
                
                  
                    $57.05 
                  
                
              
              
            
              
                
                  
                    $95.3 
                  
                
              
              
          
            CPT 88361.TC
              TUMOR IMMUNOHISTOCHEM/COMPUT
              
                
                  
                    $95.3 
                  
                
              
              
            
              
                
                  
                    $153.02 
                  
                
              
              
          
            CPT 88360
              TUMOR IMMUNOHISTOCHEM/MANUAL
              
                
                  
                    $153.02 
                  
                
              
              
            
              
                
                  
                    $54.03 
                  
                
              
              
          
            CPT 88360.26
              TUMOR IMMUNOHISTOCHEM/MANUAL
              
                
                  
                    $54.03 
                  
                
              
              
            
              
                
                  
                    $98.99 
                  
                
              
              
          
            CPT 88360.TC
              TUMOR IMMUNOHISTOCHEM/MANUAL
              
                
                  
                    $98.99 
                  
                
              
              
            
              
                
                  
                    $30.48 
                  
                
              
              
          
        CPT 88363
              XM ARCHIVE TISSUE MOLEC ANAL
              
                
                  
                    $30.48 
                  
                
              
              
            For billing issues, please contact:
Alicia McCall
Billing Director
1000 E. Preston Ave.
Shreveport, LA 71105
Phone: (318)841-9522
Fax: (318)841-9555
alicia.mccall@pathologyresource.net