| Arthrocentesis (outpatient) | $429 | 0% | $429 | 
High |
| Blood Test - Basic Metabolic Panel | $16 | 0% | $16 | 
Medium |
| Blood Test - Blood Glucose Control (Hemoglobin A1C) | $43 | 0% | $43 |
Medium |
| Blood Test - Cholesterol Test, Lipid Panel | $95 | 0% | $95 |
Medium |
| Blood Test - Clotting Time | $19 | 0% | $19 |
Medium |
| Blood Test - Complete Blood Cell Count (Hemoglobin) | $23 | 0% | $23 |
Medium |
| Blood Test - Complete Blood Cell Count and Automated WBC | $32 | 0% | $32 |
Medium |
| Blood Test - Comprehensive Metabolic Panel | $50 | 0% | $50 |
Medium |
| Blood Test - General Health Panel | $189 | 0% | $189 |
Medium |
| Blood Test - Prostate Specific Antigen (PSA) Level | $101 | 0% | $101 |
Medium |
| Blood Test - Thyroid Stimulating Hormone (TSH) Level | $97 | 0% | $97 |
Medium |
| Destruction of Lesion (outpatient) | $544 | 0% | $544 |
Medium |
| Laryngoscopy - Diagnostic | $604 | 0% | $604 |
Medium |
| Nasal Endoscopy - Diagnostic | $704 | 0% | $704 |
Medium |
| Office Visit - Basic | $120 | 0% | $120 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old | $347 | 0% | $347 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old | $370 | 0% | $370 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old | $373 | 0% | $373 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old | $432 | 0% | $432 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old | $350 | 0% | $350 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old | $322 | 0% | $322 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old | $274 | 0% | $274 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old | $285 | 0% | $285 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old | $292 | 0% | $292 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old | $313 | 0% | $313 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old | $278 | 0% | $278 |
Medium |
| Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old | $244 | 0% | $244 |
Medium |
| Office Visit - Established Patient, High Complexity | $380 | 0% | $380 |
Medium |
| Office Visit - Established Patient, Low Complexity | $202 | 0% | $202 |
Medium |
| Office Visit - Established Patient, Moderate Complexity | $292 | 0% | $292 |
Medium |
| Office Visit - New Patient, Low Complexity | $242 | 0% | $242 |
Medium |
| Office Visit - New Patient, Minor | $198 | 0% | $198 |
Medium |
| Psychotherapy - 30 Minutes | $162 | 0% | $162 |
Medium |
| Strep Test (Streptococcus, group A) | $49 | 0% | $49 |
Medium |
| Urine Test - Automated with Microscope Examination | $49 | 0% | $49 |
Medium |
| Urine Test - Automated without Microscope | $17 | 0% | $17 |
Medium |
| Urine Test - Bacterial Culture | $50 | 0% | $50 |
Medium |
| Urine Test - Pregnancy | $26 | 0% | $26 |
Medium |
