| Blood Test - Basic Metabolic Panel | $36 | 0% | $36 | 
Medium |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $41 | 0% | $41 |
Medium |
| Blood Test - Cholesterol Test, Lipid Panel | $70 | 0% | $70 |
Medium |
| Blood Test - Clotting Time | $17 | 0% | $17 |
Medium |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $27 | 0% | $27 |
Medium |
| Blood Test - Complete Blood Cell Count and Automated WBC | $33 | 0% | $33 |
Medium |
| Blood Test - Comprehensive Metabolic Panel | $45 | 0% | $45 |
Medium |
| Blood Test - Electrolytes Panel | $29 | 0% | $29 |
Medium |
| Blood Test - General Health Panel | $119 | 0% | $119 |
Medium |
| Blood Test - Hepatic (Liver) Function Panel | $35 | 0% | $35 |
Medium |
| Blood Test - Prostate Specific Antigen (PSA) Level | $78 | 0% | $78 |
Medium |
| Blood Test - Renal (Kidney) Function Panel | $57 | 0% | $57 |
Medium |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $71 | 0% | $71 |
Medium |
| Blood Test - Thyroxine (Thyroid Chemical) Level, Free | $38 | 0% | $38 |
Medium |
| Blood Test - Vitamin B-12 (Cyanocobalamin) Level | $64 | 0% | $64 |
Medium |
| Blood Test - Vitamin D-3 Level | $125 | 0% | $125 |
Medium |
| Destruction of Lesion (outpatient) | $542 | 0% | $542 |
Medium |
| Destruction of Lesions, up to 14 | $522 | 0% | $522 |
Medium |
| Office Visit - Basic | $128 | 0% | $128 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $370 | 0% | $370 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $427 | 0% | $427 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $312 | 0% | $312 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $332 | 0% | $332 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $355 | 0% | $355 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $295 | 0% | $295 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $277 | 0% | $277 |
Medium |
| Office Visit - Established Patient, High Complexity | $418 | 0% | $418 |
Medium |
| Office Visit - Established Patient, Low Complexity | $212 | 0% | $212 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $312 | 0% | $312 |
Medium |
| Office Visit - New Patient, Low Complexity | $312 | 0% | $312 |
Medium |
| Office Visit - New Patient, Minor | $217 | 0% | $217 |
Medium |
| Pap Test | $111 | 0% | $111 |
Medium |
| Psychiatric Diagnostic Evaluation | $158 | 0% | $158 |
Medium |
| Psychotherapy - 45 Minutes | $126 | 0% | $126 |
Medium |
| Psychotherapy - 60 Minutes | $147 | 0% | $147 |
Medium |
| Psychotherapy - Family Session | $147 | 0% | $147 |
Medium |
| Strep Test (Streptococcus, group A) | $51 | 0% | $51 |
Medium |
| Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition | $28 | 0% | $28 |
Medium |
| Urine Test - Automated with Microscope Examination | $14 | 0% | $14 |
Medium |
| Urine Test - Automated without Microscope | $9 | 0% | $9 |
Medium |
| Urine Test - Bacterial Culture | $35 | 0% | $35 |
Medium |
| Urine Test - Chlamydia | $148 | 0% | $148 |
Medium |
| Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) | $148 | 0% | $148 |
Medium |
| Urine Test - Pregnancy | $27 | 0% | $27 |
Medium |
