ARIZONA PHYSICIANS' FEE SCHEDULE PATHOLOGY AND LABORATORY CODES 2017 … · 2020-07-17 · arizona physicians' fee schedule pathology and laboratory codes 2017 all other conversion

ARIZONA PHYSICIANS' FEE SCHEDULE

PATHOLOGY AND LABORATORY CODES 2017

All Other Conversion Factor: $64.63

CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

219

80047 00 Pathology 0.32 0.32 $ 43.22 $ 43.22

80047 26 Pathology 0.39 0.39 $ 25.01 $ 25.01

80047 TC Pathology 0.32 0.32 $ 24.46 $ 24.46

80048 00 Pathology 0.32 0.32 $ 24.00 $ 24.00

80048 26 Pathology 0.09 0.09 $ 6.00 $ 6.00

80048 TC Pathology 0.32 0.32 $ 20.68 $ 20.68

80050 00 Pathology 1.31 1.31 $ 84.67 $ 84.67

80050 26 Pathology 0.62 0.62 $ 40.37 $ 40.37

80050 TC Pathology 1.31 1.31 $ 84.67 $ 84.67

80051 00 Pathology 0.27 0.27 $ 19.50 $ 19.50

80051 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

80051 TC Pathology 0.27 0.27 $ 17.45 $ 17.45

80053 00 Pathology 0.40 0.40 $ 30.00 $ 30.00

80053 26 Pathology 0.17 0.17 $ 11.00 $ 11.00

80053 TC Pathology 0.40 0.40 $ 25.85 $ 25.85

80055 00 Pathology 1.82 1.82 $ 117.63 $ 117.63

80055 26 Pathology 0.71 0.71 $ 46.03 $ 46.03

80055 TC Pathology 1.83 1.83 $ 118.28 $ 118.28

80061 00 Pathology 0.51 0.51 $ 38.36 $ 38.36

80061 26 Pathology 0.29 0.29 $ 18.90 $ 18.90

80061 TC Pathology 0.76 0.76 $ 49.12 $ 49.12

80069 00 Pathology 0.33 0.33 $ 38.97 $ 38.97

80069 26 Pathology 0.20 0.20 $ 12.99 $ 12.99

80069 TC Pathology 0.33 0.33 $ 29.23 $ 29.23

80074 00 Pathology 1.76 1.76 $ 116.11 $ 116.11

80074 26 Pathology 0.98 0.98 $ 63.27 $ 63.27

80074 TC Pathology 2.15 2.15 $ 138.96 $ 138.96

80076 00 Pathology 0.31 0.31 $ 20.04 $ 20.04

80076 26 Pathology 0.15 0.15 $ 10.01 $ 10.01

80076 TC Pathology 0.31 0.31 $ 20.04 $ 20.04

80081 00 Pathology 2.84 2.84 $ 183.56 $ 183.56

80081 26 Pathology - - Not Covered Not Covered

80081 TC Pathology 2.86 2.86 $ 184.85 $ 184.85

80150 00 Pathology 0.50 0.50 $ 48.00 $ 48.00

80150 26 Pathology 0.32 0.32 $ 21.00 $ 21.00

80150 TC Pathology 0.58 0.58 $ 37.49 $ 37.49

80155 00 Pathology 0.54 0.54 $ 50.51 $ 50.51

80155 26 Pathology - - $ - $ -

80155 TC Pathology 0.54 0.54 $ 50.51 $ 50.51

80156 00 Pathology 0.55 0.55 $ 42.00 $ 42.00

80156 26 Pathology 0.31 0.31 $ 20.00 $ 20.00

80156 TC Pathology 0.56 0.56 $ 36.19 $ 36.19




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



220

80157 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

80157 26 Pathology - - $ - $ -

80157 TC Pathology 0.51 0.51 $ 32.96 $ 32.96

80158 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80158 26 Pathology 0.29 0.29 $ 19.00 $ 19.00

80158 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80159 00 Pathology 0.70 0.70 $ 50.51 $ 50.51

80159 26 Pathology - - $ - $ -

80159 TC Pathology 0.71 0.71 $ 50.51 $ 50.51

80162 00 Pathology 0.50 0.50 $ 33.75 $ 33.75

80162 26 Pathology 0.23 0.23 $ 15.00 $ 15.00

80162 TC Pathology 0.51 0.51 $ 32.96 $ 32.96

80163 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

80163 26 Pathology - - $ - $ -

80163 TC Pathology 0.51 0.51 $ 32.96 $ 32.96

80164 00 Pathology 0.45 0.45 $ 46.50 $ 46.50

80164 26 Pathology 0.32 0.32 $ 21.00 $ 21.00

80164 TC Pathology 0.52 0.52 $ 33.61 $ 33.61

80165 00 Pathology 0.45 0.45 $ 29.08 $ 29.08

80165 26 Pathology - - $ - $ -

80165 TC Pathology 0.52 0.52 $ 33.61 $ 33.61

80168 00 Pathology 0.62 0.62 $ 52.50 $ 52.50

80168 26 Pathology 0.43 0.43 $ 28.00 $ 28.00

80168 TC Pathology 0.62 0.62 $ 40.07 $ 40.07

80169 00 Pathology 0.52 0.52 $ 50.51 $ 50.51

80169 26 Pathology - - $ - $ -

80169 TC Pathology 0.52 0.52 $ 50.51 $ 50.51

80170 00 Pathology 0.62 0.62 $ 49.50 $ 49.50

80170 26 Pathology 0.34 0.34 $ 22.00 $ 22.00

80170 TC Pathology 0.63 0.63 $ 40.72 $ 40.72

80171 00 Pathology 0.50 0.50 $ 50.51 $ 50.51

80171 26 Pathology - - $ - $ -

80171 TC Pathology 0.51 0.51 $ 50.51 $ 50.51

80173 00 Pathology 0.55 0.55 $ 35.55 $ 35.55

80173 26 Pathology - - $ - $ -

80173 TC Pathology 0.56 0.56 $ 36.19 $ 36.19

80175 00 Pathology 0.50 0.50 $ 50.51 $ 50.51

80175 26 Pathology - - $ - $ -

80175 TC Pathology 0.51 0.51 $ 50.51 $ 50.51

80176 00 Pathology 0.56 0.56 $ 42.00 $ 42.00

80176 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

80176 TC Pathology 0.56 0.56 $ 36.19 $ 36.19




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



221

80177 00 Pathology 0.50 0.50 $ 50.51 $ 50.51

80177 26 Pathology 0.31 0.31 $ 20.15 $ 20.15

80177 TC Pathology 0.51 0.51 $ 35.39 $ 35.39

80178 00 Pathology 0.25 0.25 $ 24.00 $ 24.00

80178 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

80178 TC Pathology 0.25 0.25 $ 16.16 $ 16.16

80180 00 Pathology 0.69 0.69 $ 50.51 $ 50.51

80180 26 Pathology 0.31 0.31 $ 20.15 $ 20.15

80180 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80183 00 Pathology 0.50 0.50 $ 50.51 $ 50.51

80183 26 Pathology 0.31 0.31 $ 20.15 $ 20.15

80183 TC Pathology 0.51 0.51 $ 35.39 $ 35.39

80184 00 Pathology 0.44 0.44 $ 42.00 $ 42.00

80184 26 Pathology 0.25 0.25 $ 16.00 $ 16.00

80184 TC Pathology 0.44 0.44 $ 30.00 $ 30.00

80185 00 Pathology 0.50 0.50 $ 38.25 $ 38.25

80185 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

80185 TC Pathology 0.51 0.51 $ 32.96 $ 32.96

80186 00 Pathology 0.52 0.52 $ 45.75 $ 45.75

80186 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

80186 TC Pathology 0.53 0.53 $ 34.26 $ 34.26

80188 00 Pathology 0.63 0.63 $ 46.50 $ 46.50

80188 26 Pathology 0.31 0.31 $ 20.00 $ 20.00

80188 TC Pathology 0.63 0.63 $ 40.72 $ 40.72

80190 00 Pathology 0.64 0.64 $ 57.65 $ 57.65

80190 26 Pathology 0.37 0.37 $ 23.96 $ 23.96

80190 TC Pathology 0.64 0.64 $ 41.37 $ 41.37

80192 00 Pathology 0.64 0.64 $ 53.25 $ 53.25

80192 26 Pathology 0.43 0.43 $ 28.00 $ 28.00

80192 TC Pathology 0.64 0.64 $ 41.37 $ 41.37

80194 00 Pathology 0.55 0.55 $ 43.50 $ 43.50

80194 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

80194 TC Pathology 0.56 0.56 $ 36.19 $ 36.19

80195 00 Pathology 0.52 0.52 $ 48.00 $ 48.00

80195 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

80195 TC Pathology 0.52 0.52 $ 39.00 $ 39.00

80197 00 Pathology 0.52 0.52 $ 33.73 $ 33.73

80197 26 Pathology 0.22 0.22 $ 14.31 $ 14.31

80197 TC Pathology 0.52 0.52 $ 33.61 $ 33.61

80198 00 Pathology 0.54 0.54 $ 36.00 $ 36.00

80198 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

80198 TC Pathology 0.54 0.54 $ 34.90 $ 34.90




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



222

80199 00 Pathology 0.69 0.69 $ 50.51 $ 50.51

80199 26 Pathology 0.31 0.31 $ 20.15 $ 20.15

80199 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80200 00 Pathology 0.61 0.61 $ 39.81 $ 39.81

80200 26 Pathology 0.29 0.29 $ 18.76 $ 18.76

80200 TC Pathology 0.62 0.62 $ 40.07 $ 40.07

80201 00 Pathology 0.45 0.45 $ 32.25 $ 32.25

80201 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

80201 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

80202 00 Pathology 0.45 0.45 $ 51.00 $ 51.00

80202 26 Pathology 0.36 0.36 $ 23.00 $ 23.00

80202 TC Pathology 0.52 0.52 $ 33.75 $ 33.75

80203 00 Pathology 0.50 0.50 $ 50.51 $ 50.51

80203 26 Pathology 0.31 0.31 $ 20.15 $ 20.15

80203 TC Pathology 0.51 0.51 $ 35.39 $ 35.39

80299 00 Pathology 0.48 0.48 $ 51.00 $ 51.00

80299 26 Pathology 0.36 0.36 $ 23.00 $ 23.00

80299 TC Pathology 0.52 0.52 $ 33.75 $ 33.75

80305 00 Pathology 0.42 0.42 $ 27.15 $ 27.15

80306 00 Pathology 0.56 0.56 $ 36.19 $ 36.19

80307 00 Pathology 2.22 2.22 $ 143.49 $ 143.49

80320 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80320 26 Pathology - - $ - $ -

80320 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80321 00 Pathology - - BR BR


80323 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80323 26 Pathology - - $ - $ -

80323 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80324 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80324 26 Pathology - - $ - $ -

80324 TC Pathology 0.69 0.69 $ 44.60 $ 44.60



80327 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80327 26 Pathology - - $ - $ -

80327 TC Pathology 0.69 0.69 $ 44.60 $ 44.60


80329 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80329 26 Pathology - - $ - $ -

80329 TC Pathology 0.69 0.69 $ 44.60 $ 44.60





CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



223


80332 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80332 26 Pathology - - $ - $ -

80332 TC Pathology 0.69 0.69 $ 44.60 $ 44.60



80335 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80335 26 Pathology - - $ - $ -

80335 TC Pathology 0.69 0.69 $ 44.60 $ 44.60




80339 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80339 26 Pathology - - $ - $ -

80339 TC Pathology 0.69 0.69 $ 44.60 $ 44.60



80342 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80342 26 Pathology - - $ - $ -

80342 TC Pathology 0.69 0.69 $ 44.60 $ 44.60



80345 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80345 26 Pathology - - $ - $ -

80345 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80346 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80346 26 Pathology - - $ - $ -

80346 TC Pathology 0.69 0.69 $ 44.60 $ 44.60



80349 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80349 26 Pathology - - $ - $ -

80349 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80350 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80350 26 Pathology - - $ - $ -

80350 TC Pathology 0.69 0.69 $ 44.60 $ 44.60



80353 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80353 26 Pathology - - $ - $ -

80353 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80354 00 Pathology 0.69 0.69 $ 44.60 $ 44.60




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



224

80354 26 Pathology - - $ - $ -

80354 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80355 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80355 26 Pathology - - $ - $ -

80355 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80356 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80356 26 Pathology - - $ - $ -

80356 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80357 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80357 26 Pathology - - $ - $ -

80357 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80358 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80358 26 Pathology - - $ - $ -

80358 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80359 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80359 26 Pathology - - $ - $ -

80359 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80360 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80360 26 Pathology - - $ - $ -

80360 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80361 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80361 26 Pathology - - $ - $ -

80361 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80362 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80362 26 Pathology - - $ - $ -

80362 TC Pathology 0.69 0.69 $ 44.60 $ 44.60



80365 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80365 26 Pathology - - $ - $ -

80365 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80366 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80366 26 Pathology - - $ - $ -

80366 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80367 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80367 26 Pathology - - $ - $ -

80367 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80368 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80368 26 Pathology - - $ - $ -

80368 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80369 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80369 26 Pathology - - $ - $ -




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



225

80369 TC Pathology 0.69 0.69 $ 44.60 $ 44.60


80371 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80371 26 Pathology - - $ - $ -

80371 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80372 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80372 26 Pathology - - $ - $ -

80372 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80373 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80373 26 Pathology - - $ - $ -

80373 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80374 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80374 26 Pathology - - $ - $ -

80374 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80375 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80375 26 Pathology - - $ - $ -

80375 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80376 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80376 26 Pathology - - $ - $ -

80376 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80377 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

80377 26 Pathology - - $ - $ -

80377 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

80400 00 Pathology 1.24 1.24 $ 91.57 $ 91.57

80400 26 Pathology 0.65 0.65 $ 42.11 $ 42.11

80400 TC Pathology 2.25 2.25 $ 145.42 $ 145.42

80402 00 Pathology 3.30 3.30 $ 213.29 $ 213.29

80402 26 Pathology 1.26 1.26 $ 81.25 $ 81.25

80402 TC Pathology 3.66 3.66 $ 236.56 $ 236.56

80406 00 Pathology 2.97 2.97 $ 203.33 $ 203.33

80406 26 Pathology 1.20 1.20 $ 77.25 $ 77.25

80406 TC Pathology 3.85 3.85 $ 248.84 $ 248.84

80408 00 Pathology 4.76 4.76 $ 307.65 $ 307.65

80408 26 Pathology 2.91 2.91 $ 188.05 $ 188.05

80408 TC Pathology 4.18 4.18 $ 270.17 $ 270.17

80410 00 Pathology 3.05 3.05 $ 197.13 $ 197.13

80410 26 Pathology 1.25 1.25 $ 80.85 $ 80.85

80410 TC Pathology 3.47 3.47 $ 224.28 $ 224.28

80412 00 Pathology 12.51 12.51 $ 808.56 $ 808.56

80412 26 Pathology 4.08 4.08 $ 263.74 $ 263.74

80412 TC Pathology 10.76 10.76 $ 695.45 $ 695.45

80414 00 Pathology 1.96 1.96 $ 126.68 $ 126.68




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



226

80414 26 Pathology 0.64 0.64 $ 41.07 $ 41.07

80414 TC Pathology 1.79 1.79 $ 115.69 $ 115.69

80415 00 Pathology 2.12 2.12 $ 137.02 $ 137.02

80415 26 Pathology 0.65 0.65 $ 42.16 $ 42.16

80415 TC Pathology 1.79 1.79 $ 115.69 $ 115.69

80416 00 Pathology 5.01 5.01 $ 323.81 $ 323.81

80416 26 Pathology 1.94 1.94 $ 125.51 $ 125.51

80416 TC Pathology 5.35 5.35 $ 345.79 $ 345.79

80417 00 Pathology 1.67 1.67 $ 236.67 $ 236.67

80417 26 Pathology 3.35 3.35 $ 216.80 $ 216.80

80417 TC Pathology 2.29 2.29 $ 148.01 $ 148.01

80418 00 Pathology 22.00 22.00 $ 1,421.93 $ 1,421.93

80418 26 Pathology 7.43 7.43 $ 480.20 $ 480.20

80418 TC Pathology 23.90 23.90 $ 1,544.73 $ 1,544.73

80420 00 Pathology 2.74 2.74 $ 177.09 $ 177.09

80420 26 Pathology 0.95 0.95 $ 61.56 $ 61.56

80420 TC Pathology 2.99 2.99 $ 193.25 $ 193.25

80422 00 Pathology 1.48 1.48 $ 100.29 $ 100.29

80422 26 Pathology 0.63 0.63 $ 40.45 $ 40.45

80422 TC Pathology 2.03 2.03 $ 131.21 $ 131.21

80424 00 Pathology 1.72 1.72 $ 114.11 $ 114.11

80424 26 Pathology 0.64 0.64 $ 41.58 $ 41.58

80424 TC Pathology 2.03 2.03 $ 131.21 $ 131.21

80426 00 Pathology 5.63 5.63 $ 363.88 $ 363.88

80426 26 Pathology 1.50 1.50 $ 96.80 $ 96.80

80426 TC Pathology 5.62 5.62 $ 363.24 $ 363.24

80428 00 Pathology 2.53 2.53 $ 163.52 $ 163.52

80428 26 Pathology 0.66 0.66 $ 42.61 $ 42.61

80428 TC Pathology 3.11 3.11 $ 201.01 $ 201.01

80430 00 Pathology 2.98 2.98 $ 192.61 $ 192.61

80430 26 Pathology 0.83 0.83 $ 53.60 $ 53.60

80430 TC Pathology 3.11 3.11 $ 201.01 $ 201.01

80432 00 Pathology 4.91 4.91 $ 329.06 $ 329.06

80432 26 Pathology 1.69 1.69 $ 109.44 $ 109.44

80432 TC Pathology 6.09 6.09 $ 393.62 $ 393.62

80434 00 Pathology 3.84 3.84 $ 248.19 $ 248.19

80434 26 Pathology 1.26 1.26 $ 81.25 $ 81.25

80434 TC Pathology 3.82 3.82 $ 246.90 $ 246.90

80435 00 Pathology 3.91 3.91 $ 252.72 $ 252.72

80435 26 Pathology 1.30 1.30 $ 83.75 $ 83.75

80435 TC Pathology 4.06 4.06 $ 262.41 $ 262.41

80436 00 Pathology 3.46 3.46 $ 223.63 $ 223.63




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



227

80436 26 Pathology 1.12 1.12 $ 72.69 $ 72.69

80436 TC Pathology 3.94 3.94 $ 254.65 $ 254.65

80438 00 Pathology 1.91 1.91 $ 123.45 $ 123.45

80438 26 Pathology 0.63 0.63 $ 40.75 $ 40.75

80438 TC Pathology 2.27 2.27 $ 146.72 $ 146.72

80439 00 Pathology 2.55 2.55 $ 164.81 $ 164.81

80439 26 Pathology 0.89 0.89 $ 57.50 $ 57.50

80439 TC Pathology 2.39 2.39 $ 154.47 $ 154.47

80500 00 Pathology 0.66 0.57 $ 42.66 $ 36.84

80500 26 Pathology 0.84 0.84 $ 54.00 $ 54.00

80500 TC Pathology - - $ - $ -

80502 00 Pathology 2.09 2.01 $ 135.08 $ 129.91

80502 26 Pathology 2.13 2.13 $ 137.83 $ 137.83

80502 TC Pathology 0.01 0.01 $ 0.50 $ 0.50

81000 00 Pathology 0.12 0.12 $ 9.00 $ 9.00

81000 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

81000 TC Pathology 0.12 0.12 $ 7.76 $ 7.76

81001 00 Pathology 0.12 0.12 $ 7.76 $ 7.76

81001 26 Pathology 0.06 0.06 $ 3.87 $ 3.87

81001 TC Pathology 0.12 0.12 $ 7.76 $ 7.76

81002 00 Pathology 0.10 0.10 $ 6.46 $ 6.46

81002 26 Pathology 0.07 0.07 $ 4.40 $ 4.40

81002 TC Pathology 0.10 0.10 $ 6.46 $ 6.46

81003 00 Pathology 0.09 0.09 $ 5.82 $ 5.82

81003 26 Pathology 0.03 0.03 $ 2.12 $ 2.12

81003 TC Pathology 0.09 0.09 $ 5.82 $ 5.82

81005 00 Pathology 0.08 0.08 $ 5.17 $ 5.17

81005 26 Pathology 0.03 0.03 $ 1.90 $ 1.90

81005 TC Pathology 0.08 0.08 $ 5.17 $ 5.17

81007 00 Pathology 0.04 0.04 $ 5.82 $ 5.82

81007 26 Pathology 0.04 0.04 $ 2.60 $ 2.60

81007 TC Pathology 0.10 0.10 $ 6.46 $ 6.46

81015 00 Pathology 0.12 0.12 $ 7.76 $ 7.76

81015 26 Pathology 0.06 0.06 $ 4.04 $ 4.04

81015 TC Pathology 0.12 0.12 $ 7.76 $ 7.76

81020 00 Pathology 0.14 0.14 $ 10.50 $ 10.50

81020 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

81020 TC Pathology 0.14 0.14 $ 9.05 $ 9.05

81025 00 Pathology 0.24 0.24 $ 15.51 $ 15.51

81025 26 Pathology 0.12 0.12 $ 7.68 $ 7.68

81025 TC Pathology 0.24 0.24 $ 15.51 $ 15.51

81050 00 Pathology 0.11 0.11 $ 32.65 $ 32.65




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



228

81050 26 Pathology 0.29 0.29 $ 18.61 $ 18.61

81050 TC Pathology 0.11 0.11 $ 18.69 $ 18.69



81099 TC Pathology - - BR BR

81161 00 Pathology 3.91 3.91 $ 252.72 $ 252.72

81161 26 Pathology - - Not Covered Not Covered

81161 TC Pathology 3.93 3.93 $ 254.01 $ 254.01

81162 00 Pathology 69.27 69.27 $ 4,477.13 $ 4,477.13

81162 26 Pathology - - RNE RNE

81162 TC Pathology 69.75 69.75 $ 4,508.15 $ 4,508.15

81170 00 Pathology 9.18 9.18 $ 593.33 $ 593.33


81170 TC Pathology 9.25 9.25 $ 597.86 $ 597.86














81205 26 Pathology - - $ - $ -


81206 00 Pathology 6.22 6.22 $ 402.02 $ 402.02


81206 TC Pathology 6.27 6.27 $ 405.25 $ 405.25

81207 00 Pathology 5.50 5.50 $ 355.48 $ 355.48


81207 TC Pathology 5.54 5.54 $ 358.07 $ 358.07

81208 00 Pathology 6.11 6.11 $ 394.91 $ 394.91


81208 TC Pathology 6.15 6.15 $ 397.49 $ 397.49


81209 26 Pathology - - $ - $ -


81210 00 Pathology 4.99 4.99 $ 322.52 $ 322.52




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



229


81210 TC Pathology 5.02 5.02 $ 324.46 $ 324.46

81211 00 Pathology 60.75 60.75 $ 3,926.46 $ 3,926.46

81211 26 Pathology - - $ - $ -

81211 TC Pathology 61.17 61.17 $ 3,953.60 $ 3,953.60

81212 00 Pathology 4.92 4.92 $ 317.99 $ 317.99

81212 26 Pathology - - $ - $ -

81212 TC Pathology 4.95 4.95 $ 319.93 $ 319.93

81213 00 Pathology 16.21 16.21 $ 1,047.70 $ 1,047.70

81213 26 Pathology - - $ - $ -

81213 TC Pathology 16.33 16.33 $ 1,055.46 $ 1,055.46

81214 00 Pathology 40.01 40.01 $ 2,585.97 $ 2,585.97

81214 26 Pathology - - $ - $ -

81214 TC Pathology 40.29 40.29 $ 2,604.06 $ 2,604.06

81215 00 Pathology 2.59 2.59 $ 167.40 $ 167.40

81215 26 Pathology - - $ - $ -

81215 TC Pathology 2.61 2.61 $ 168.69 $ 168.69




81217 00 Pathology 2.59 2.59 $ 167.40 $ 167.40

81217 26 Pathology - - $ - $ -

81217 TC Pathology 2.61 2.61 $ 168.69 $ 168.69

81218 00 Pathology 9.18 9.18 $ 593.33 $ 593.33


81218 TC Pathology 9.25 9.25 $ 597.86 $ 597.86

81219 00 Pathology 4.62 4.62 $ 298.60 $ 298.60


81219 TC Pathology 4.65 4.65 $ 300.54 $ 300.54

















CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



230



81225 00 Pathology 8.12 8.12 $ 524.82 $ 524.82


81225 TC Pathology 8.18 8.18 $ 528.70 $ 528.70

81226 00 Pathology 12.56 12.56 $ 811.79 $ 811.79


81226 TC Pathology 12.65 12.65 $ 817.61 $ 817.61

81227 00 Pathology 4.87 4.87 $ 314.76 $ 314.76


81227 TC Pathology 4.90 4.90 $ 316.70 $ 316.70


81228 26 Pathology - - $ - $ -



81229 26 Pathology - - $ - $ -


81235 00 Pathology 9.18 9.18 $ 593.33 $ 593.33

81235 26 Pathology - - $ - $ -

81235 TC Pathology 9.25 9.25 $ 597.86 $ 597.86

81240 00 Pathology 1.87 1.87 $ 120.86 $ 120.86


81240 TC Pathology 1.88 1.88 $ 121.51 $ 121.51

81241 00 Pathology 2.32 2.32 $ 149.95 $ 149.95


81241 TC Pathology 2.34 2.34 $ 151.24 $ 151.24










81245 00 Pathology 4.62 4.62 $ 298.60 $ 298.60


81245 TC Pathology 4.65 4.65 $ 300.54 $ 300.54

81246 00 Pathology 2.31 2.31 $ 149.30 $ 149.30

81246 26 Pathology - - $ - $ -

81246 TC Pathology 2.33 2.33 $ 150.59 $ 150.59





CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



231

81250 26 Pathology - - $ - $ -



81251 26 Pathology - - $ - $ -












81255 26 Pathology - - $ - $ -


81256 00 Pathology 2.48 2.48 $ 160.29 $ 160.29

81256 26 Pathology - - $ - $ -

81256 TC Pathology 2.50 2.50 $ 161.58 $ 161.58





81260 26 Pathology - - $ - $ -


81261 00 Pathology 7.52 7.52 $ 486.04 $ 486.04


81261 TC Pathology 7.57 7.57 $ 489.27 $ 489.27

81262 00 Pathology 1.66 1.66 $ 107.29 $ 107.29


81262 TC Pathology 1.67 1.67 $ 107.94 $ 107.94

81263 00 Pathology 11.18 11.18 $ 722.60 $ 722.60


81263 TC Pathology 11.26 11.26 $ 727.77 $ 727.77

81264 00 Pathology 5.67 5.67 $ 366.47 $ 366.47


81264 TC Pathology 5.71 5.71 $ 369.05 $ 369.05

81265 00 Pathology 8.16 8.16 $ 527.41 $ 527.41


81265 TC Pathology 8.22 8.22 $ 531.28 $ 531.28





CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



232



81267 00 Pathology 7.87 7.87 $ 508.66 $ 508.66


81267 TC Pathology 7.93 7.93 $ 512.54 $ 512.54

81268 00 Pathology 9.90 9.90 $ 639.87 $ 639.87


81268 TC Pathology 9.97 9.97 $ 644.39 $ 644.39

81270 00 Pathology 3.48 3.48 $ 224.92 $ 224.92


81270 TC Pathology 3.50 3.50 $ 226.22 $ 226.22

81272 00 Pathology 9.18 9.18 $ 593.33 $ 593.33


81272 TC Pathology 9.25 9.25 $ 597.86 $ 597.86

81273 00 Pathology 3.48 3.48 $ 224.92 $ 224.92


81273 TC Pathology 3.50 3.50 $ 226.22 $ 226.22

81275 00 Pathology 5.50 5.50 $ 355.48 $ 355.48


81275 TC Pathology 5.53 5.53 $ 357.42 $ 357.42

81276 00 Pathology 5.50 5.50 $ 355.48 $ 355.48


81276 TC Pathology 5.53 5.53 $ 357.42 $ 357.42

81287 00 Pathology 2.32 2.32 $ 149.95 $ 149.95

81287 26 Pathology - - $ - $ -

81287 TC Pathology 2.33 2.33 $ 150.59 $ 150.59

81288 00 Pathology 4.45 4.45 $ 287.62 $ 287.62

81288 26 Pathology - - $ - $ -

81288 TC Pathology 4.48 4.48 $ 289.56 $ 289.56


81290 26 Pathology - - $ - $ -


81291 00 Pathology 1.66 1.66 $ 107.29 $ 107.29


81291 TC Pathology 1.67 1.67 $ 107.94 $ 107.94

81292 00 Pathology 17.98 17.98 $ 1,162.10 $ 1,162.10


81292 TC Pathology 18.11 18.11 $ 1,170.50 $ 1,170.50

81293 00 Pathology 7.21 7.21 $ 466.00 $ 466.00


81293 TC Pathology 7.26 7.26 $ 469.24 $ 469.24

81294 00 Pathology 5.31 5.31 $ 343.20 $ 343.20




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



233


81294 TC Pathology 5.34 5.34 $ 345.14 $ 345.14

81295 00 Pathology 4.22 4.22 $ 272.75 $ 272.75


81295 TC Pathology 4.25 4.25 $ 274.69 $ 274.69

81296 00 Pathology 3.60 3.60 $ 232.68 $ 232.68


81296 TC Pathology 3.63 3.63 $ 234.62 $ 234.62

81297 00 Pathology 4.22 4.22 $ 272.75 $ 272.75


81297 TC Pathology 4.25 4.25 $ 274.69 $ 274.69

81298 00 Pathology 8.01 8.01 $ 517.71 $ 517.71


81298 TC Pathology 8.06 8.06 $ 520.94 $ 520.94

81299 00 Pathology 4.49 4.49 $ 290.20 $ 290.20


81299 TC Pathology 4.52 4.52 $ 292.14 $ 292.14

81300 00 Pathology 4.50 4.50 $ 290.85 $ 290.85


81300 TC Pathology 4.53 4.53 $ 292.79 $ 292.79

81301 00 Pathology 10.99 10.99 $ 710.32 $ 710.32


81301 TC Pathology 11.07 11.07 $ 715.49 $ 715.49










81310 00 Pathology 6.88 6.88 $ 444.68 $ 444.68


81310 TC Pathology 6.92 6.92 $ 447.26 $ 447.26

81311 00 Pathology 8.24 8.24 $ 532.58 $ 532.58


81311 TC Pathology 8.30 8.30 $ 536.45 $ 536.45

81313 00 Pathology 7.25 7.25 $ 468.59 $ 468.59

81313 26 Pathology - - $ - $ -

81313 TC Pathology 7.30 7.30 $ 471.82 $ 471.82

81314 00 Pathology 9.18 9.18 $ 593.33 $ 593.33




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



234


81314 TC Pathology 9.25 9.25 $ 597.86 $ 597.86

81315 00 Pathology 7.87 7.87 $ 508.66 $ 508.66


81315 TC Pathology 7.92 7.92 $ 511.89 $ 511.89

81316 00 Pathology 12.00 12.00 $ 775.60 $ 775.60


81316 TC Pathology 12.09 12.09 $ 781.41 $ 781.41

81317 00 Pathology 21.74 21.74 $ 1,405.12 $ 1,405.12


81317 TC Pathology 21.89 21.89 $ 1,414.82 $ 1,414.82

81318 00 Pathology 5.14 5.14 $ 332.21 $ 332.21


81318 TC Pathology 5.17 5.17 $ 334.15 $ 334.15

81319 00 Pathology 6.17 6.17 $ 398.79 $ 398.79


81319 TC Pathology 6.21 6.21 $ 401.37 $ 401.37

81321 00 Pathology 16.71 16.71 $ 1,080.02 $ 1,080.02


81321 TC Pathology 16.83 16.83 $ 1,087.77 $ 1,087.77

81322 00 Pathology 1.63 1.63 $ 105.35 $ 105.35


81322 TC Pathology 1.64 1.64 $ 106.00 $ 106.00

81323 00 Pathology 2.44 2.44 $ 157.70 $ 157.70


81323 TC Pathology 2.45 2.45 $ 158.35 $ 158.35










81327 00 Pathology 2.33 2.33 $ 150.59 $ 150.59










CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



235

81332 00 Pathology 1.66 1.66 $ 107.29 $ 107.29


81332 TC Pathology 1.67 1.67 $ 107.94 $ 107.94

81340 00 Pathology 7.93 7.93 $ 512.54 $ 512.54


81340 TC Pathology 7.99 7.99 $ 516.42 $ 516.42

81341 00 Pathology 1.88 1.88 $ 121.51 $ 121.51


81341 TC Pathology 1.90 1.90 $ 122.80 $ 122.80

81342 00 Pathology 7.65 7.65 $ 494.44 $ 494.44


81342 TC Pathology 7.70 7.70 $ 497.67 $ 497.67







81370 00 Pathology 15.26 15.26 $ 986.30 $ 986.30


81370 TC Pathology 15.37 15.37 $ 993.41 $ 993.41

81371 00 Pathology 9.14 9.14 $ 590.75 $ 590.75


81371 TC Pathology 9.20 9.20 $ 594.62 $ 594.62

81372 00 Pathology 8.39 8.39 $ 542.27 $ 542.27


81372 TC Pathology 8.44 8.44 $ 545.50 $ 545.50

81373 00 Pathology 4.23 4.23 $ 273.40 $ 273.40


81373 TC Pathology 4.26 4.26 $ 275.34 $ 275.34

81374 00 Pathology 2.76 2.76 $ 178.39 $ 178.39


81374 TC Pathology 2.78 2.78 $ 179.68 $ 179.68

81375 00 Pathology 8.38 8.38 $ 541.62 $ 541.62


81375 TC Pathology 8.44 8.44 $ 545.50 $ 545.50

81376 00 Pathology 4.64 4.64 $ 299.90 $ 299.90


81376 TC Pathology 4.67 4.67 $ 301.84 $ 301.84

81377 00 Pathology 3.49 3.49 $ 225.57 $ 225.57


81377 TC Pathology 3.51 3.51 $ 226.86 $ 226.86




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



236

81378 00 Pathology 13.12 13.12 $ 847.99 $ 847.99


81378 TC Pathology 13.21 13.21 $ 853.80 $ 853.80

81379 00 Pathology 12.73 12.73 $ 822.78 $ 822.78


81379 TC Pathology 12.82 12.82 $ 828.60 $ 828.60

81380 00 Pathology 6.73 6.73 $ 434.98 $ 434.98


81380 TC Pathology 6.77 6.77 $ 437.57 $ 437.57

81381 00 Pathology 3.59 3.59 $ 232.03 $ 232.03


81381 TC Pathology 3.62 3.62 $ 233.97 $ 233.97

81382 00 Pathology 4.70 4.70 $ 303.78 $ 303.78


81382 TC Pathology 4.73 4.73 $ 305.71 $ 305.71

81383 00 Pathology 4.14 4.14 $ 267.58 $ 267.58


81383 TC Pathology 4.17 4.17 $ 269.52 $ 269.52




























CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



237






81412 00 Pathology 16.78 16.78 $ 1,084.54 $ 1,084.54

81413 00 Pathology 22.36 22.36 $ 1,445.19 $ 1,445.19

81414 00 Pathology 22.36 22.36 $ 1,445.19 $ 1,445.19




81420 00 Pathology 22.36 22.36 $ 1,445.19 $ 1,445.19

81422 00 Pathology 22.36 22.36 $ 1,445.19 $ 1,445.19






81432 00 Pathology 25.95 25.95 $ 1,677.23 $ 1,677.23

81433 00 Pathology 16.78 16.78 $ 1,084.54 $ 1,084.54

81434 00 Pathology 16.78 16.78 $ 1,084.54 $ 1,084.54

81435 00 Pathology 22.20 22.20 $ 1,434.85 $ 1,434.85

81435 26 Pathology - - $ - $ -

81435 TC Pathology 22.36 22.36 $ 1,445.19 $ 1,445.19

81436 00 Pathology 22.20 22.20 $ 1,434.85 $ 1,434.85

81436 26 Pathology - - $ - $ -

81436 TC Pathology 22.36 22.36 $ 1,445.19 $ 1,445.19

81437 00 Pathology 16.78 16.78 $ 1,084.54 $ 1,084.54

81438 00 Pathology 16.78 16.78 $ 1,084.54 $ 1,084.54

81439 00 Pathology 22.36 22.36 $ 1,445.19 $ 1,445.19


81442 00 Pathology 16.78 16.78 $ 1,084.54 $ 1,084.54

81445 00 Pathology 16.66 16.66 $ 1,076.79 $ 1,076.79

81445 26 Pathology - - $ - $ -

81445 TC Pathology 16.78 16.78 $ 1,084.54 $ 1,084.54

81450 00 Pathology 18.07 18.07 $ 1,167.92 $ 1,167.92

81450 26 Pathology - - $ - $ -

81450 TC Pathology 18.19 18.19 $ 1,175.67 $ 1,175.67








CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



238



81479 26 Pathology - - $ - $ -

81479 TC Pathology - - $ - $ -

81490 00 Pathology 16.46 16.46 $ 1,063.86 $ 1,063.86

81493 00 Pathology 29.04 29.04 $ 1,876.94 $ 1,876.94

81495 00 Pathology - - RNE/BR/Not covered/- RNE/BR/Not covered/-































81519 00 Pathology 95.28 95.28 $ 6,158.23 $ 6,158.23

81519 26 Pathology - - $ - $ -

81519 TC Pathology 95.95 95.95 $ 6,201.54 $ 6,201.54

81525 00 Pathology 87.10 87.10 $ 5,629.54 $ 5,629.54

81528 00 Pathology 13.87 13.87 $ 896.46 $ 896.46




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



239


81528 TC Pathology 14.28 14.28 $ 922.96 $ 922.96

81535 00 Pathology 16.15 16.15 $ 1,043.82 $ 1,043.82


81535 TC Pathology 16.26 16.26 $ 1,050.93 $ 1,050.93

81536 00 Pathology 4.95 4.95 $ 319.93 $ 319.93


81536 TC Pathology 4.98 4.98 $ 321.87 $ 321.87

81538 00 Pathology 59.26 59.26 $ 3,830.15 $ 3,830.15

81539 00 Pathology 16.78 16.78 $ 1,084.54 $ 1,084.54

81540 00 Pathology 81.37 81.37 $ 5,259.19 $ 5,259.19

81545 00 Pathology 89.79 89.79 $ 5,803.40 $ 5,803.40

81595 00 Pathology 79.15 79.15 $ 5,115.70 $ 5,115.70




82009 00 Pathology 0.17 0.17 $ 12.00 $ 12.00

82009 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

82009 TC Pathology 0.17 0.17 $ 10.99 $ 10.99

82010 00 Pathology 0.31 0.31 $ 27.75 $ 27.75

82010 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

82010 TC Pathology 0.31 0.31 $ 20.04 $ 20.04

82013 00 Pathology 0.42 0.42 $ 30.00 $ 30.00

82013 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

82013 TC Pathology 0.43 0.43 $ 27.79 $ 27.79

82016 00 Pathology 0.53 0.53 $ 34.26 $ 34.26

82016 26 Pathology 0.26 0.26 $ 16.83 $ 16.83

82016 TC Pathology 0.53 0.53 $ 34.26 $ 34.26

82017 00 Pathology 0.64 0.64 $ 45.75 $ 45.75

82017 26 Pathology 0.32 0.32 $ 21.00 $ 21.00

82017 TC Pathology 0.64 0.64 $ 41.37 $ 41.37

82024 00 Pathology 1.47 1.47 $ 95.01 $ 95.01

82024 26 Pathology 0.52 0.52 $ 33.66 $ 33.66

82024 TC Pathology 1.48 1.48 $ 95.66 $ 95.66

82030 00 Pathology 0.98 0.98 $ 63.34 $ 63.34

82030 26 Pathology 0.46 0.46 $ 29.68 $ 29.68

82030 TC Pathology 0.99 0.99 $ 63.99 $ 63.99

82040 00 Pathology 0.19 0.19 $ 15.00 $ 15.00

82040 26 Pathology 0.09 0.09 $ 6.00 $ 6.00

82040 TC Pathology 0.19 0.19 $ 12.28 $ 12.28

82042 00 Pathology 0.20 0.20 $ 14.25 $ 14.25

82042 26 Pathology 0.08 0.08 $ 5.00 $ 5.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



240

82042 TC Pathology 0.20 0.20 $ 12.93 $ 12.93

82043 00 Pathology 0.22 0.22 $ 20.83 $ 20.83

82043 26 Pathology 0.13 0.13 $ 8.48 $ 8.48

82043 TC Pathology 0.22 0.22 $ 14.47 $ 14.47

82044 00 Pathology 0.17 0.17 $ 11.07 $ 11.07

82044 26 Pathology 0.06 0.06 $ 3.70 $ 3.70

82044 TC Pathology 0.17 0.17 $ 10.99 $ 10.99

82045 00 Pathology 1.29 1.29 $ 83.38 $ 83.38

82045 26 Pathology 0.19 0.19 $ 12.24 $ 12.24

82045 TC Pathology 1.30 1.30 $ 84.02 $ 84.02

82075 00 Pathology 0.46 0.46 $ 29.74 $ 29.74

82075 26 Pathology 0.17 0.17 $ 11.22 $ 11.22

82075 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

82085 00 Pathology 0.37 0.37 $ 27.00 $ 27.00

82085 26 Pathology 0.17 0.17 $ 11.00 $ 11.00

82085 TC Pathology 0.37 0.37 $ 23.91 $ 23.91

82088 00 Pathology 1.55 1.55 $ 108.00 $ 108.00

82088 26 Pathology 0.70 0.70 $ 45.00 $ 45.00

82088 TC Pathology 1.56 1.56 $ 100.83 $ 100.83

82103 00 Pathology 0.51 0.51 $ 32.96 $ 32.96

82103 26 Pathology 0.20 0.20 $ 13.20 $ 13.20

82103 TC Pathology 0.51 0.51 $ 32.96 $ 32.96

82104 00 Pathology 0.55 0.55 $ 35.55 $ 35.55

82104 26 Pathology 0.23 0.23 $ 14.66 $ 14.66

82104 TC Pathology 0.55 0.55 $ 35.55 $ 35.55

82105 00 Pathology 0.50 0.50 $ 36.11 $ 36.11

82105 26 Pathology 0.24 0.24 $ 15.26 $ 15.26

82105 TC Pathology 0.64 0.64 $ 41.37 $ 41.37

82106 00 Pathology 0.50 0.50 $ 36.11 $ 36.11

82106 26 Pathology 0.24 0.24 $ 15.26 $ 15.26

82106 TC Pathology 0.64 0.64 $ 41.37 $ 41.37

82107 00 Pathology 1.12 1.12 $ 102.52 $ 102.52

82107 26 Pathology - - $ - $ -

82107 TC Pathology 2.46 2.46 $ 159.00 $ 159.00

82108 00 Pathology 0.97 0.97 $ 62.69 $ 62.69

82108 26 Pathology 0.36 0.36 $ 23.23 $ 23.23

82108 TC Pathology 0.97 0.97 $ 62.69 $ 62.69

82120 00 Pathology 0.14 0.14 $ 10.50 $ 10.50

82120 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

82120 TC Pathology 0.14 0.14 $ 9.05 $ 9.05

82127 00 Pathology 0.53 0.53 $ 34.26 $ 34.26

82127 26 Pathology 0.21 0.21 $ 13.74 $ 13.74




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



241

82127 TC Pathology 0.53 0.53 $ 34.26 $ 34.26

82128 00 Pathology 0.53 0.53 $ 39.00 $ 39.00

82128 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

82128 TC Pathology 0.53 0.53 $ 34.26 $ 34.26

82131 00 Pathology 0.64 0.64 $ 84.77 $ 84.77

82131 26 Pathology 0.40 0.40 $ 25.83 $ 25.83

82131 TC Pathology 0.64 0.64 $ 65.39 $ 65.39

82135 00 Pathology 0.62 0.62 $ 45.75 $ 45.75

82135 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

82135 TC Pathology 0.63 0.63 $ 40.72 $ 40.72

82136 00 Pathology 0.64 0.64 $ 45.75 $ 45.75

82136 26 Pathology 0.36 0.36 $ 23.00 $ 23.00

82136 TC Pathology 0.64 0.64 $ 41.37 $ 41.37

82139 00 Pathology 0.64 0.64 $ 53.11 $ 53.11

82139 26 Pathology - - $ - $ -

82139 TC Pathology 0.64 0.64 $ 53.11 $ 53.11

82140 00 Pathology 0.55 0.55 $ 45.00 $ 45.00

82140 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

82140 TC Pathology 0.56 0.56 $ 36.19 $ 36.19

82143 00 Pathology 0.26 0.26 $ 26.59 $ 26.59

82143 26 Pathology 0.16 0.16 $ 10.40 $ 10.40

82143 TC Pathology 0.26 0.26 $ 18.79 $ 18.79

82150 00 Pathology 0.25 0.25 $ 20.25 $ 20.25

82150 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

82150 TC Pathology 0.25 0.25 $ 16.16 $ 16.16

82154 00 Pathology 1.10 1.10 $ 71.10 $ 71.10

82154 26 Pathology 0.47 0.47 $ 30.63 $ 30.63

82154 TC Pathology 1.10 1.10 $ 71.10 $ 71.10

82157 00 Pathology 1.11 1.11 $ 71.74 $ 71.74

82157 26 Pathology 0.43 0.43 $ 28.00 $ 28.00

82157 TC Pathology 1.12 1.12 $ 72.39 $ 72.39

82160 00 Pathology 0.95 0.95 $ 78.00 $ 78.00

82160 26 Pathology 0.54 0.54 $ 35.00 $ 35.00

82160 TC Pathology 0.96 0.96 $ 62.05 $ 62.05

82163 00 Pathology 0.78 0.78 $ 50.41 $ 50.41

82163 26 Pathology 0.27 0.27 $ 17.34 $ 17.34

82163 TC Pathology 0.78 0.78 $ 50.41 $ 50.41

82164 00 Pathology 0.55 0.55 $ 37.50 $ 37.50

82164 26 Pathology 0.25 0.25 $ 16.00 $ 16.00

82164 TC Pathology 0.56 0.56 $ 36.19 $ 36.19

82172 00 Pathology 0.59 0.59 $ 38.13 $ 38.13

82172 26 Pathology 0.22 0.22 $ 14.00 $ 14.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



242

82172 TC Pathology 0.59 0.59 $ 38.13 $ 38.13

82175 00 Pathology 0.72 0.72 $ 57.75 $ 57.75

82175 26 Pathology 0.37 0.37 $ 24.00 $ 24.00

82175 TC Pathology 0.73 0.73 $ 47.18 $ 47.18

82180 00 Pathology 0.22 0.22 $ 31.50 $ 31.50

82180 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

82180 TC Pathology 0.38 0.38 $ 24.56 $ 24.56

82190 00 Pathology 0.57 0.57 $ 36.84 $ 36.84

82190 26 Pathology 0.27 0.27 $ 17.22 $ 17.22

82190 TC Pathology 0.57 0.57 $ 36.84 $ 36.84

82232 00 Pathology 0.61 0.61 $ 45.75 $ 45.75

82232 26 Pathology 0.31 0.31 $ 20.00 $ 20.00

82232 TC Pathology 0.62 0.62 $ 40.07 $ 40.07

82239 00 Pathology 0.65 0.65 $ 42.01 $ 42.01

82239 26 Pathology 0.27 0.27 $ 17.64 $ 17.64

82239 TC Pathology 0.65 0.65 $ 42.01 $ 42.01

82240 00 Pathology 1.01 1.01 $ 65.28 $ 65.28

82240 26 Pathology 0.42 0.42 $ 27.00 $ 27.00

82240 TC Pathology 1.02 1.02 $ 65.93 $ 65.93

82247 00 Pathology 0.19 0.19 $ 12.28 $ 12.28

82247 26 Pathology - - $ - $ -

82247 TC Pathology 0.19 0.19 $ 12.28 $ 12.28

82248 00 Pathology 0.19 0.19 $ 12.28 $ 12.28

82248 26 Pathology - - $ - $ -

82248 TC Pathology 0.19 0.19 $ 12.28 $ 12.28

82252 00 Pathology 0.17 0.17 $ 12.75 $ 12.75

82252 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

82252 TC Pathology 0.17 0.17 $ 10.99 $ 10.99

82261 00 Pathology 0.64 0.64 $ 44.81 $ 44.81

82261 26 Pathology - - $ - $ -

82261 TC Pathology 0.64 0.64 $ 44.81 $ 44.81

82270 00 Pathology 0.12 0.12 $ 7.76 $ 7.76

82270 26 Pathology 0.05 0.05 $ 3.00 $ 3.00

82270 TC Pathology 0.12 0.12 $ 7.76 $ 7.76

82271 00 Pathology 0.12 0.12 $ 7.76 $ 7.76

82271 26 Pathology 0.05 0.05 $ 3.06 $ 3.06

82271 TC Pathology 0.12 0.12 $ 7.76 $ 7.76

82272 00 Pathology 0.12 0.12 $ 10.50 $ 10.50

82272 26 Pathology 0.05 0.05 $ 3.00 $ 3.00

82272 TC Pathology 0.12 0.12 $ 8.25 $ 8.25

82274 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

82274 26 Pathology 0.14 0.14 $ 9.08 $ 9.08




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



243

82274 TC Pathology 0.61 0.61 $ 39.43 $ 39.43

82286 00 Pathology 0.26 0.26 $ 17.88 $ 17.88

82286 26 Pathology 0.10 0.10 $ 6.29 $ 6.29

82286 TC Pathology 0.26 0.26 $ 16.80 $ 16.80

82300 00 Pathology 0.88 0.88 $ 66.76 $ 66.76

82300 26 Pathology 0.44 0.44 $ 28.68 $ 28.68

82300 TC Pathology 0.88 0.88 $ 56.88 $ 56.88

82306 00 Pathology 0.88 0.88 $ 94.50 $ 94.50

82306 26 Pathology 0.74 0.74 $ 48.00 $ 48.00

82306 TC Pathology 1.13 1.13 $ 73.04 $ 73.04

82308 00 Pathology 1.02 1.02 $ 75.00 $ 75.00

82308 26 Pathology 0.46 0.46 $ 30.00 $ 30.00

82308 TC Pathology 1.02 1.02 $ 65.93 $ 65.93

82310 00 Pathology 0.20 0.20 $ 13.50 $ 13.50

82310 26 Pathology 0.09 0.09 $ 6.00 $ 6.00

82310 TC Pathology 0.20 0.20 $ 12.93 $ 12.93

82330 00 Pathology 0.51 0.51 $ 42.75 $ 42.75

82330 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

82330 TC Pathology 0.52 0.52 $ 33.61 $ 33.61

82331 00 Pathology 0.20 0.20 $ 22.34 $ 22.34

82331 26 Pathology 0.14 0.14 $ 9.04 $ 9.04

82331 TC Pathology 0.20 0.20 $ 15.56 $ 15.56

82340 00 Pathology 0.23 0.23 $ 16.50 $ 16.50

82340 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

82340 TC Pathology 0.23 0.23 $ 14.87 $ 14.87

82355 00 Pathology 0.44 0.44 $ 36.75 $ 36.75

82355 26 Pathology 0.29 0.29 $ 18.55 $ 18.55

82355 TC Pathology 0.44 0.44 $ 28.44 $ 28.44

82360 00 Pathology 0.46 0.46 $ 36.75 $ 36.75

82360 26 Pathology 0.25 0.25 $ 16.00 $ 16.00

82360 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

82365 00 Pathology 0.49 0.49 $ 36.75 $ 36.75

82365 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

82365 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

82370 00 Pathology 0.48 0.48 $ 31.02 $ 31.02

82370 26 Pathology 0.20 0.20 $ 13.00 $ 13.00

82370 TC Pathology 0.48 0.48 $ 31.02 $ 31.02

82373 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

82373 26 Pathology 0.21 0.21 $ 13.29 $ 13.29

82373 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

82374 00 Pathology 0.19 0.19 $ 12.28 $ 12.28

82374 26 Pathology 0.08 0.08 $ 5.00 $ 5.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



244

82374 TC Pathology 0.19 0.19 $ 12.28 $ 12.28

82375 00 Pathology 0.20 0.20 $ 41.25 $ 41.25

82375 26 Pathology 0.25 0.25 $ 16.00 $ 16.00

82375 TC Pathology 0.47 0.47 $ 30.38 $ 30.38

82376 00 Pathology 0.20 0.20 $ 13.09 $ 13.09

82376 26 Pathology 0.08 0.08 $ 5.15 $ 5.15

82376 TC Pathology 0.23 0.23 $ 14.87 $ 14.87

82378 00 Pathology 0.72 0.72 $ 46.54 $ 46.54

82378 26 Pathology 0.24 0.24 $ 15.40 $ 15.40

82378 TC Pathology 0.72 0.72 $ 46.54 $ 46.54

82379 00 Pathology 0.64 0.64 $ 41.37 $ 41.37

82379 26 Pathology 0.21 0.21 $ 13.26 $ 13.26

82379 TC Pathology 0.64 0.64 $ 41.37 $ 41.37

82380 00 Pathology 0.35 0.35 $ 26.25 $ 26.25

82380 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

82380 TC Pathology 0.35 0.35 $ 22.62 $ 22.62

82382 00 Pathology 0.65 0.65 $ 45.75 $ 45.75

82382 26 Pathology 0.29 0.29 $ 19.00 $ 19.00

82382 TC Pathology 0.66 0.66 $ 42.66 $ 42.66

82383 00 Pathology 0.95 0.95 $ 74.25 $ 74.25

82383 26 Pathology 0.46 0.46 $ 30.00 $ 30.00

82383 TC Pathology 0.96 0.96 $ 62.05 $ 62.05

82384 00 Pathology 0.86 0.86 $ 74.25 $ 74.25

82384 26 Pathology 0.46 0.46 $ 30.00 $ 30.00

82384 TC Pathology 0.97 0.97 $ 62.69 $ 62.69

82387 00 Pathology 0.79 0.79 $ 51.06 $ 51.06

82387 26 Pathology 0.28 0.28 $ 18.02 $ 18.02

82387 TC Pathology 0.80 0.80 $ 51.71 $ 51.71

82390 00 Pathology 0.41 0.41 $ 33.00 $ 33.00

82390 26 Pathology 0.20 0.20 $ 13.00 $ 13.00

82390 TC Pathology 0.41 0.41 $ 26.50 $ 26.50

82397 00 Pathology 0.54 0.54 $ 34.90 $ 34.90

82397 26 Pathology 0.22 0.22 $ 13.95 $ 13.95

82397 TC Pathology 0.54 0.54 $ 34.90 $ 34.90

82415 00 Pathology 0.48 0.48 $ 33.75 $ 33.75

82415 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

82415 TC Pathology 0.48 0.48 $ 31.02 $ 31.02

82435 00 Pathology 0.17 0.17 $ 12.14 $ 12.14

82435 26 Pathology 0.07 0.07 $ 4.25 $ 4.25

82435 TC Pathology 0.18 0.18 $ 11.63 $ 11.63

82436 00 Pathology 0.19 0.19 $ 17.25 $ 17.25

82436 26 Pathology 0.11 0.11 $ 7.00 $ 7.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



245

82436 TC Pathology 0.19 0.19 $ 12.28 $ 12.28

82438 00 Pathology 0.19 0.19 $ 16.50 $ 16.50

82438 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

82438 TC Pathology 0.19 0.19 $ 12.28 $ 12.28

82441 00 Pathology 0.23 0.23 $ 21.30 $ 21.30

82441 26 Pathology 0.15 0.15 $ 9.85 $ 9.85

82441 TC Pathology 0.23 0.23 $ 14.87 $ 14.87

82465 00 Pathology 0.17 0.17 $ 10.99 $ 10.99

82465 26 Pathology 0.05 0.05 $ 3.00 $ 3.00

82465 TC Pathology 0.17 0.17 $ 10.99 $ 10.99

82480 00 Pathology 0.30 0.30 $ 28.50 $ 28.50

82480 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

82480 TC Pathology 0.30 0.30 $ 21.00 $ 21.00

82482 00 Pathology 0.29 0.29 $ 33.75 $ 33.75

82482 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

82482 TC Pathology 0.29 0.29 $ 23.25 $ 23.25

82485 00 Pathology 0.78 0.78 $ 50.41 $ 50.41

82485 26 Pathology 0.23 0.23 $ 14.84 $ 14.84

82485 TC Pathology 0.79 0.79 $ 51.06 $ 51.06

82495 00 Pathology 0.77 0.77 $ 57.75 $ 57.75

82495 26 Pathology 0.40 0.40 $ 26.00 $ 26.00

82495 TC Pathology 0.78 0.78 $ 50.41 $ 50.41

82507 00 Pathology 1.06 1.06 $ 68.51 $ 68.51

82507 26 Pathology 0.40 0.40 $ 26.00 $ 26.00

82507 TC Pathology 1.06 1.06 $ 68.51 $ 68.51

82523 00 Pathology 0.71 0.71 $ 46.50 $ 46.50

82523 26 Pathology 0.39 0.39 $ 25.00 $ 25.00

82523 TC Pathology 0.71 0.71 $ 45.89 $ 45.89

82525 00 Pathology 0.47 0.47 $ 40.50 $ 40.50

82525 26 Pathology 0.25 0.25 $ 16.00 $ 16.00

82525 TC Pathology 0.47 0.47 $ 30.38 $ 30.38

82528 00 Pathology 0.66 0.66 $ 49.05 $ 49.05

82528 26 Pathology 0.33 0.33 $ 21.42 $ 21.42

82528 TC Pathology 0.86 0.86 $ 55.58 $ 55.58

82530 00 Pathology 0.63 0.63 $ 45.75 $ 45.75

82530 26 Pathology 0.29 0.29 $ 19.00 $ 19.00

82530 TC Pathology 0.64 0.64 $ 41.37 $ 41.37

82533 00 Pathology 0.62 0.62 $ 42.00 $ 42.00

82533 26 Pathology 0.25 0.25 $ 16.00 $ 16.00

82533 TC Pathology 0.62 0.62 $ 40.07 $ 40.07

82540 00 Pathology 0.18 0.18 $ 12.00 $ 12.00

82540 26 Pathology 0.08 0.08 $ 5.00 $ 5.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



246

82540 TC Pathology 0.18 0.18 $ 11.63 $ 11.63

82542 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

82542 26 Pathology - - $ - $ -

82542 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

82550 00 Pathology 0.25 0.25 $ 19.50 $ 19.50

82550 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

82550 TC Pathology 0.25 0.25 $ 16.16 $ 16.16

82552 00 Pathology 0.43 0.43 $ 39.00 $ 39.00

82552 26 Pathology 0.25 0.25 $ 16.00 $ 16.00

82552 TC Pathology 0.51 0.51 $ 32.96 $ 32.96

82553 00 Pathology 0.44 0.44 $ 28.44 $ 28.44

82553 26 Pathology 0.19 0.19 $ 12.21 $ 12.21

82553 TC Pathology 0.44 0.44 $ 28.44 $ 28.44

82554 00 Pathology 0.45 0.45 $ 29.08 $ 29.08

82554 26 Pathology 0.19 0.19 $ 12.06 $ 12.06

82554 TC Pathology 0.45 0.45 $ 29.08 $ 29.08

82565 00 Pathology 0.20 0.20 $ 13.50 $ 13.50

82565 26 Pathology 0.05 0.05 $ 3.00 $ 3.00

82565 TC Pathology 0.20 0.20 $ 12.93 $ 12.93

82570 00 Pathology 0.20 0.20 $ 15.75 $ 15.75

82570 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

82570 TC Pathology 0.20 0.20 $ 12.93 $ 12.93

82575 00 Pathology 0.36 0.36 $ 24.51 $ 24.51

82575 26 Pathology 0.17 0.17 $ 10.87 $ 10.87

82575 TC Pathology 0.36 0.36 $ 23.27 $ 23.27

82585 00 Pathology 0.33 0.33 $ 22.02 $ 22.02

82585 26 Pathology 0.10 0.10 $ 6.42 $ 6.42

82585 TC Pathology 0.33 0.33 $ 21.33 $ 21.33

82595 00 Pathology 0.18 0.18 $ 21.75 $ 21.75

82595 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

82595 TC Pathology 0.25 0.25 $ 16.16 $ 16.16

82600 00 Pathology 0.74 0.74 $ 48.75 $ 48.75

82600 26 Pathology 0.31 0.31 $ 20.00 $ 20.00

82600 TC Pathology 0.74 0.74 $ 47.83 $ 47.83

82607 00 Pathology 0.57 0.57 $ 45.00 $ 45.00

82607 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

82607 TC Pathology 0.58 0.58 $ 37.49 $ 37.49

82608 00 Pathology 0.54 0.54 $ 47.25 $ 47.25

82608 26 Pathology 0.31 0.31 $ 20.00 $ 20.00

82608 TC Pathology 0.55 0.55 $ 35.55 $ 35.55

82610 00 Pathology 0.52 0.52 $ 62.87 $ 62.87

82610 26 Pathology 0.43 0.43 $ 27.94 $ 27.94




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



247

82610 TC Pathology 0.52 0.52 $ 41.91 $ 41.91

82615 00 Pathology 0.31 0.31 $ 21.00 $ 21.00

82615 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

82615 TC Pathology 0.31 0.31 $ 20.04 $ 20.04

82626 00 Pathology 0.96 0.96 $ 72.00 $ 72.00

82626 26 Pathology 0.48 0.48 $ 31.00 $ 31.00

82626 TC Pathology 0.97 0.97 $ 62.69 $ 62.69

82627 00 Pathology 0.84 0.84 $ 54.29 $ 54.29

82627 26 Pathology 0.32 0.32 $ 20.67 $ 20.67

82627 TC Pathology 0.85 0.85 $ 54.94 $ 54.94

82633 00 Pathology 1.01 1.01 $ 103.50 $ 103.50

82633 26 Pathology 0.63 0.63 $ 41.00 $ 41.00

82633 TC Pathology 1.18 1.18 $ 76.27 $ 76.27

82634 00 Pathology 1.11 1.11 $ 78.75 $ 78.75

82634 26 Pathology 0.48 0.48 $ 31.00 $ 31.00

82634 TC Pathology 1.12 1.12 $ 72.39 $ 72.39

82638 00 Pathology 0.47 0.47 $ 30.38 $ 30.38

82638 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

82638 TC Pathology 0.47 0.47 $ 30.38 $ 30.38

82652 00 Pathology 1.46 1.46 $ 105.75 $ 105.75

82652 26 Pathology 0.65 0.65 $ 42.00 $ 42.00

82652 TC Pathology 1.47 1.47 $ 95.01 $ 95.01

82656 00 Pathology 0.44 0.44 $ 28.44 $ 28.44

82656 26 Pathology 0.17 0.17 $ 10.96 $ 10.96

82656 TC Pathology 0.44 0.44 $ 28.44 $ 28.44

82657 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

82657 26 Pathology - - $ - $ -

82657 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

82658 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

82658 26 Pathology - - $ - $ -

82658 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

82664 00 Pathology 1.30 1.30 $ 84.02 $ 84.02

82664 26 Pathology 0.43 0.43 $ 27.97 $ 27.97

82664 TC Pathology 1.31 1.31 $ 84.67 $ 84.67

82668 00 Pathology 0.71 0.71 $ 54.75 $ 54.75

82668 26 Pathology 0.36 0.36 $ 23.00 $ 23.00

82668 TC Pathology 0.72 0.72 $ 46.54 $ 46.54

82670 00 Pathology 1.06 1.06 $ 71.25 $ 71.25

82670 26 Pathology 0.43 0.43 $ 28.00 $ 28.00

82670 TC Pathology 1.07 1.07 $ 69.16 $ 69.16

82671 00 Pathology 1.23 1.23 $ 79.50 $ 79.50

82671 26 Pathology 0.43 0.43 $ 28.00 $ 28.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



248

82671 TC Pathology 1.23 1.23 $ 79.50 $ 79.50

82672 00 Pathology 0.82 0.82 $ 69.00 $ 69.00

82672 26 Pathology 0.40 0.40 $ 26.00 $ 26.00

82672 TC Pathology 0.83 0.83 $ 53.65 $ 53.65

82677 00 Pathology 0.92 0.92 $ 61.50 $ 61.50

82677 26 Pathology 0.42 0.42 $ 27.00 $ 27.00

82677 TC Pathology 0.92 0.92 $ 59.46 $ 59.46

82679 00 Pathology 0.95 0.95 $ 81.00 $ 81.00

82679 26 Pathology 0.50 0.50 $ 32.00 $ 32.00

82679 TC Pathology 0.95 0.95 $ 61.40 $ 61.40

82693 00 Pathology 0.57 0.57 $ 36.84 $ 36.84

82693 26 Pathology 0.20 0.20 $ 12.65 $ 12.65

82693 TC Pathology 0.57 0.57 $ 36.84 $ 36.84

82696 00 Pathology 0.90 0.90 $ 58.17 $ 58.17

82696 26 Pathology 0.38 0.38 $ 24.39 $ 24.39

82696 TC Pathology 0.90 0.90 $ 58.17 $ 58.17

82705 00 Pathology 0.19 0.19 $ 19.73 $ 19.73

82705 26 Pathology 0.16 0.16 $ 10.05 $ 10.05

82705 TC Pathology 0.19 0.19 $ 12.28 $ 12.28

82710 00 Pathology 0.64 0.64 $ 51.00 $ 51.00

82710 26 Pathology 0.32 0.32 $ 21.00 $ 21.00

82710 TC Pathology 0.64 0.64 $ 41.37 $ 41.37

82715 00 Pathology 0.65 0.65 $ 42.01 $ 42.01

82715 26 Pathology 0.21 0.21 $ 13.45 $ 13.45

82715 TC Pathology 0.66 0.66 $ 42.66 $ 42.66

82725 00 Pathology 0.24 0.24 $ 33.75 $ 33.75

82725 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

82725 TC Pathology 0.51 0.51 $ 32.96 $ 32.96

82726 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

82726 26 Pathology - - $ - $ -

82726 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

82728 00 Pathology 0.52 0.52 $ 33.61 $ 33.61

82728 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

82728 TC Pathology 0.52 0.52 $ 33.61 $ 33.61

82731 00 Pathology 1.12 1.12 $ 102.52 $ 102.52

82731 26 Pathology 0.69 0.69 $ 44.76 $ 44.76

82731 TC Pathology 2.46 2.46 $ 159.00 $ 159.00

82735 00 Pathology 0.70 0.70 $ 45.24 $ 45.24

82735 26 Pathology 0.29 0.29 $ 19.00 $ 19.00

82735 TC Pathology 0.71 0.71 $ 45.89 $ 45.89

82746 00 Pathology 0.56 0.56 $ 37.50 $ 37.50

82746 26 Pathology 0.26 0.26 $ 17.00 $ 17.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



249

82746 TC Pathology 0.56 0.56 $ 36.19 $ 36.19

82747 00 Pathology 0.66 0.66 $ 42.66 $ 42.66

82747 26 Pathology 0.27 0.27 $ 17.22 $ 17.22

82747 TC Pathology 0.66 0.66 $ 42.66 $ 42.66

82757 00 Pathology 0.66 0.66 $ 42.75 $ 42.75

82757 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

82757 TC Pathology 0.66 0.66 $ 42.66 $ 42.66

82759 00 Pathology 0.82 0.82 $ 53.00 $ 53.00

82759 26 Pathology 0.30 0.30 $ 19.16 $ 19.16

82759 TC Pathology 0.82 0.82 $ 53.00 $ 53.00

82760 00 Pathology 0.43 0.43 $ 33.00 $ 33.00

82760 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

82760 TC Pathology 0.43 0.43 $ 27.79 $ 27.79

82775 00 Pathology 0.80 0.80 $ 56.25 $ 56.25

82775 26 Pathology 0.36 0.36 $ 23.00 $ 23.00

82775 TC Pathology 0.81 0.81 $ 52.35 $ 52.35

82776 00 Pathology 0.32 0.32 $ 20.68 $ 20.68

82776 26 Pathology 0.10 0.10 $ 6.55 $ 6.55

82776 TC Pathology 0.32 0.32 $ 20.68 $ 20.68

82777 00 Pathology 0.84 0.84 $ 54.29 $ 54.29

82777 26 Pathology - - $ - $ -

82777 TC Pathology 0.84 0.84 $ 54.29 $ 54.29

82784 00 Pathology 0.20 0.20 $ 21.35 $ 21.35

82784 26 Pathology 0.13 0.13 $ 8.28 $ 8.28

82784 TC Pathology 0.36 0.36 $ 23.27 $ 23.27

82785 00 Pathology 0.63 0.63 $ 40.72 $ 40.72

82785 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

82785 TC Pathology 0.63 0.63 $ 40.72 $ 40.72

82787 00 Pathology 0.30 0.30 $ 64.70 $ 64.70

82787 26 Pathology 0.39 0.39 $ 24.93 $ 24.93

82787 TC Pathology 0.31 0.31 $ 46.00 $ 46.00

82800 00 Pathology 0.32 0.32 $ 20.99 $ 20.99

82800 26 Pathology 0.14 0.14 $ 9.30 $ 9.30

82800 TC Pathology 0.32 0.32 $ 20.68 $ 20.68

82803 00 Pathology 0.66 0.66 $ 50.04 $ 50.04

82803 26 Pathology 0.32 0.32 $ 20.67 $ 20.67

82803 TC Pathology 0.74 0.74 $ 47.83 $ 47.83

82805 00 Pathology 1.05 1.05 $ 67.86 $ 67.86

82805 26 Pathology 0.51 0.51 $ 33.05 $ 33.05

82805 TC Pathology 1.08 1.08 $ 69.80 $ 69.80

82810 00 Pathology 0.33 0.33 $ 25.78 $ 25.78

82810 26 Pathology 0.18 0.18 $ 11.42 $ 11.42




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



250

82810 TC Pathology 0.33 0.33 $ 21.33 $ 21.33

82820 00 Pathology 0.36 0.36 $ 23.27 $ 23.27

82820 26 Pathology 0.16 0.16 $ 10.33 $ 10.33

82820 TC Pathology 0.38 0.38 $ 24.56 $ 24.56

82930 00 Pathology 0.21 0.21 $ 13.57 $ 13.57

82930 26 Pathology - - $ - $ -

82930 TC Pathology 0.21 0.21 $ 13.57 $ 13.57

82938 00 Pathology 0.67 0.67 $ 48.00 $ 48.00

82938 26 Pathology 0.34 0.34 $ 22.00 $ 22.00

82938 TC Pathology 0.68 0.68 $ 43.95 $ 43.95

82941 00 Pathology 0.67 0.67 $ 51.75 $ 51.75

82941 26 Pathology 0.36 0.36 $ 23.00 $ 23.00

82941 TC Pathology 0.67 0.67 $ 43.30 $ 43.30

82943 00 Pathology 0.54 0.54 $ 45.75 $ 45.75

82943 26 Pathology 0.29 0.29 $ 19.00 $ 19.00

82943 TC Pathology 0.55 0.55 $ 35.55 $ 35.55

82945 00 Pathology 0.15 0.15 $ 12.14 $ 12.14

82945 26 Pathology - - $ - $ -

82945 TC Pathology 0.15 0.15 $ 12.14 $ 12.14

82946 00 Pathology 0.57 0.57 $ 36.84 $ 36.84

82946 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

82946 TC Pathology 0.58 0.58 $ 37.49 $ 37.49

82947 00 Pathology 0.15 0.15 $ 12.75 $ 12.75

82947 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

82947 TC Pathology 0.15 0.15 $ 9.69 $ 9.69

82948 00 Pathology 0.12 0.12 $ 7.76 $ 7.76

82948 26 Pathology 0.05 0.05 $ 3.06 $ 3.06

82948 TC Pathology 0.12 0.12 $ 7.76 $ 7.76

82950 00 Pathology 0.18 0.18 $ 16.50 $ 16.50

82950 26 Pathology 0.12 0.12 $ 8.00 $ 8.00

82950 TC Pathology 0.18 0.18 $ 11.63 $ 11.63

82951 00 Pathology 0.33 0.33 $ 28.01 $ 28.01

82951 26 Pathology 0.19 0.19 $ 12.12 $ 12.12

82951 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

82952 00 Pathology 0.15 0.15 $ 12.75 $ 12.75

82952 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

82952 TC Pathology 0.15 0.15 $ 9.69 $ 9.69

82955 00 Pathology 0.37 0.37 $ 31.50 $ 31.50

82955 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

82955 TC Pathology 0.37 0.37 $ 23.91 $ 23.91

82960 00 Pathology 0.23 0.23 $ 14.87 $ 14.87

82960 26 Pathology 0.09 0.09 $ 6.00 $ 6.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



251

82960 TC Pathology 0.23 0.23 $ 14.87 $ 14.87

82962 00 Pathology 0.07 0.07 $ 6.14 $ 6.14

82962 26 Pathology 0.04 0.04 $ 2.35 $ 2.35

82962 TC Pathology 0.09 0.09 $ 5.82 $ 5.82

82963 00 Pathology 0.82 0.82 $ 65.25 $ 65.25

82963 26 Pathology 0.43 0.43 $ 28.00 $ 28.00

82963 TC Pathology 0.82 0.82 $ 53.00 $ 53.00

82965 00 Pathology 0.29 0.29 $ 19.50 $ 19.50

82965 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

82965 TC Pathology 0.30 0.30 $ 19.39 $ 19.39

82977 00 Pathology 0.27 0.27 $ 17.45 $ 17.45

82977 26 Pathology 0.08 0.08 $ 5.45 $ 5.45

82977 TC Pathology 0.28 0.28 $ 18.10 $ 18.10

82978 00 Pathology 0.54 0.54 $ 34.90 $ 34.90

82978 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

82978 TC Pathology 0.54 0.54 $ 34.90 $ 34.90

82979 00 Pathology 0.25 0.25 $ 22.50 $ 22.50

82979 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

82979 TC Pathology 0.26 0.26 $ 16.80 $ 16.80

82985 00 Pathology 0.40 0.40 $ 38.81 $ 38.81

82985 26 Pathology 0.24 0.24 $ 15.63 $ 15.63

82985 TC Pathology 0.58 0.58 $ 37.49 $ 37.49

83001 00 Pathology 0.71 0.71 $ 47.25 $ 47.25

83001 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

83001 TC Pathology 0.71 0.71 $ 45.89 $ 45.89

83002 00 Pathology 0.70 0.70 $ 47.25 $ 47.25

83002 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

83002 TC Pathology 0.71 0.71 $ 45.89 $ 45.89

83003 00 Pathology 0.63 0.63 $ 40.72 $ 40.72


83003 TC Pathology 0.64 0.64 $ 41.37 $ 41.37

83006 00 Pathology 0.84 0.84 $ 54.29 $ 54.29


83006 TC Pathology 0.84 0.84 $ 54.29 $ 54.29

83009 00 Pathology 2.56 2.56 $ 165.46 $ 165.46

83009 26 Pathology 1.20 1.20 $ 77.31 $ 77.31

83009 TC Pathology 2.57 2.57 $ 166.11 $ 166.11

83010 00 Pathology 0.48 0.48 $ 33.00 $ 33.00

83010 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

83010 TC Pathology 0.48 0.48 $ 31.02 $ 31.02

83012 00 Pathology 0.65 0.65 $ 42.01 $ 42.01

83012 26 Pathology 0.31 0.31 $ 20.00 $ 20.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



252

83012 TC Pathology 0.66 0.66 $ 42.66 $ 42.66

83013 00 Pathology 2.56 2.56 $ 165.46 $ 165.46

83013 26 Pathology - - $ - $ -

83013 TC Pathology 2.57 2.57 $ 166.11 $ 166.11

83014 00 Pathology 0.30 0.30 $ 19.67 $ 19.67

83014 26 Pathology - - $ - $ -

83014 TC Pathology 0.30 0.30 $ 19.67 $ 19.67

83015 00 Pathology 0.72 0.72 $ 61.50 $ 61.50

83015 26 Pathology 0.37 0.37 $ 24.00 $ 24.00

83015 TC Pathology 0.72 0.72 $ 46.54 $ 46.54

83018 00 Pathology 0.83 0.83 $ 67.50 $ 67.50

83018 26 Pathology 0.40 0.40 $ 26.00 $ 26.00

83018 TC Pathology 0.84 0.84 $ 54.29 $ 54.29

83020 00 Pathology 0.49 0.49 $ 42.08 $ 42.08

83020 26 Pathology 0.52 0.52 $ 33.61 $ 33.61

83020 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

83021 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

83021 26 Pathology - - $ - $ -

83021 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

83026 00 Pathology 0.09 0.09 $ 8.57 $ 8.57

83026 26 Pathology 0.11 0.11 $ 7.12 $ 7.12

83026 TC Pathology 0.09 0.09 $ 5.82 $ 5.82

83030 00 Pathology 0.31 0.31 $ 25.50 $ 25.50

83030 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

83030 TC Pathology 0.32 0.32 $ 20.68 $ 20.68

83033 00 Pathology 0.23 0.23 $ 14.87 $ 14.87

83033 26 Pathology 0.08 0.08 $ 5.14 $ 5.14

83033 TC Pathology 0.23 0.23 $ 14.87 $ 14.87

83036 00 Pathology 0.37 0.37 $ 23.91 $ 23.91

83036 26 Pathology 0.16 0.16 $ 10.37 $ 10.37

83036 TC Pathology 0.37 0.37 $ 23.91 $ 23.91

83037 00 Pathology 0.37 0.37 $ 23.91 $ 23.91

83037 26 Pathology 0.16 0.16 $ 10.36 $ 10.36

83037 TC Pathology 0.37 0.37 $ 23.91 $ 23.91

83045 00 Pathology 0.19 0.19 $ 15.75 $ 15.75

83045 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

83045 TC Pathology 0.19 0.19 $ 12.28 $ 12.28

83050 00 Pathology 0.28 0.28 $ 23.25 $ 23.25

83050 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

83050 TC Pathology 0.28 0.28 $ 18.10 $ 18.10

83051 00 Pathology 0.28 0.28 $ 23.25 $ 23.25

83051 26 Pathology 0.15 0.15 $ 10.00 $ 10.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



253

83051 TC Pathology 0.28 0.28 $ 18.10 $ 18.10

83060 00 Pathology 0.31 0.31 $ 21.45 $ 21.45

83060 26 Pathology 0.13 0.13 $ 8.44 $ 8.44

83060 TC Pathology 0.32 0.32 $ 20.68 $ 20.68

83065 00 Pathology 0.26 0.26 $ 18.00 $ 18.00

83065 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

83065 TC Pathology 0.26 0.26 $ 16.80 $ 16.80

83068 00 Pathology 0.32 0.32 $ 20.68 $ 20.68

83068 26 Pathology 0.12 0.12 $ 7.58 $ 7.58

83068 TC Pathology 0.32 0.32 $ 20.68 $ 20.68

83069 00 Pathology 0.15 0.15 $ 12.75 $ 12.75

83069 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

83069 TC Pathology 0.15 0.15 $ 9.69 $ 9.69

83070 00 Pathology 0.18 0.18 $ 15.75 $ 15.75

83070 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

83070 TC Pathology 0.18 0.18 $ 11.63 $ 11.63

83080 00 Pathology 0.64 0.64 $ 44.81 $ 44.81

83080 26 Pathology - - $ - $ -

83080 TC Pathology 0.64 0.64 $ 44.81 $ 44.81

83088 00 Pathology 1.12 1.12 $ 72.39 $ 72.39

83088 26 Pathology 0.46 0.46 $ 30.00 $ 30.00

83088 TC Pathology 1.13 1.13 $ 73.04 $ 73.04

83090 00 Pathology 0.64 0.64 $ 41.37 $ 41.37

83090 26 Pathology - - $ - $ -

83090 TC Pathology 0.64 0.64 $ 41.37 $ 41.37

83150 00 Pathology 0.74 0.74 $ 48.80 $ 48.80

83150 26 Pathology 0.38 0.38 $ 24.68 $ 24.68

83150 TC Pathology 0.74 0.74 $ 47.83 $ 47.83

83491 00 Pathology 0.67 0.67 $ 51.59 $ 51.59

83491 26 Pathology 0.31 0.31 $ 19.79 $ 19.79

83491 TC Pathology 0.67 0.67 $ 43.30 $ 43.30

83497 00 Pathology 0.49 0.49 $ 42.00 $ 42.00

83497 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

83497 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

83498 00 Pathology 1.03 1.03 $ 75.00 $ 75.00

83498 26 Pathology 0.51 0.51 $ 33.00 $ 33.00

83498 TC Pathology 1.04 1.04 $ 67.22 $ 67.22

83499 00 Pathology 0.96 0.96 $ 62.05 $ 62.05

83499 26 Pathology 0.36 0.36 $ 23.17 $ 23.17

83499 TC Pathology 0.96 0.96 $ 62.05 $ 62.05

83500 00 Pathology 0.86 0.86 $ 70.50 $ 70.50

83500 26 Pathology 0.46 0.46 $ 30.00 $ 30.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



254

83500 TC Pathology 0.87 0.87 $ 56.23 $ 56.23

83505 00 Pathology 0.92 0.92 $ 91.50 $ 91.50

83505 26 Pathology 0.54 0.54 $ 35.00 $ 35.00

83505 TC Pathology 0.93 0.93 $ 65.25 $ 65.25

83516 00 Pathology 0.44 0.44 $ 28.44 $ 28.44

83516 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

83516 TC Pathology 0.44 0.44 $ 28.44 $ 28.44

83518 00 Pathology 0.32 0.32 $ 26.25 $ 26.25

83518 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

83518 TC Pathology 0.32 0.32 $ 20.68 $ 20.68

83519 00 Pathology 0.51 0.51 $ 32.96 $ 32.96

83519 26 Pathology 0.19 0.19 $ 12.38 $ 12.38

83519 TC Pathology 0.52 0.52 $ 33.61 $ 33.61

83520 00 Pathology 0.49 0.49 $ 31.67 $ 31.67

83520 26 Pathology 0.17 0.17 $ 11.23 $ 11.23

83520 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

83525 00 Pathology 0.35 0.35 $ 39.75 $ 39.75

83525 26 Pathology 0.23 0.23 $ 15.00 $ 15.00

83525 TC Pathology 0.44 0.44 $ 28.50 $ 28.50

83527 00 Pathology 0.49 0.49 $ 42.00 $ 42.00

83527 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

83527 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

83528 00 Pathology 0.60 0.60 $ 48.75 $ 48.75

83528 26 Pathology 0.34 0.34 $ 22.00 $ 22.00

83528 TC Pathology 0.61 0.61 $ 39.43 $ 39.43

83540 00 Pathology 0.25 0.25 $ 16.50 $ 16.50

83540 26 Pathology 0.09 0.09 $ 6.00 $ 6.00

83540 TC Pathology 0.25 0.25 $ 16.16 $ 16.16

83550 00 Pathology 0.33 0.33 $ 28.50 $ 28.50

83550 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

83550 TC Pathology 0.33 0.33 $ 21.33 $ 21.33

83570 00 Pathology 0.34 0.34 $ 28.50 $ 28.50

83570 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

83570 TC Pathology 0.34 0.34 $ 21.98 $ 21.98

83582 00 Pathology 0.54 0.54 $ 40.50 $ 40.50

83582 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

83582 TC Pathology 0.54 0.54 $ 34.90 $ 34.90

83586 00 Pathology 0.49 0.49 $ 36.75 $ 36.75

83586 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

83586 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

83593 00 Pathology 1.00 1.00 $ 72.00 $ 72.00

83593 26 Pathology 0.46 0.46 $ 30.00 $ 30.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



255

83593 TC Pathology 1.01 1.01 $ 65.28 $ 65.28

83605 00 Pathology 0.41 0.41 $ 27.31 $ 27.31

83605 26 Pathology 0.19 0.19 $ 12.14 $ 12.14

83605 TC Pathology 0.41 0.41 $ 26.50 $ 26.50

83615 00 Pathology 0.23 0.23 $ 15.75 $ 15.75

83615 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

83615 TC Pathology 0.23 0.23 $ 14.87 $ 14.87

83625 00 Pathology 0.49 0.49 $ 31.67 $ 31.67

83625 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

83625 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

83630 00 Pathology 0.75 0.75 $ 48.47 $ 48.47

83630 26 Pathology 0.20 0.20 $ 13.23 $ 13.23

83630 TC Pathology 0.75 0.75 $ 48.47 $ 48.47

83631 00 Pathology 0.75 0.75 $ 48.47 $ 48.47

83631 26 Pathology 0.34 0.34 $ 22.21 $ 22.21

83631 TC Pathology 0.75 0.75 $ 48.47 $ 48.47

83632 00 Pathology 0.77 0.77 $ 51.00 $ 51.00

83632 26 Pathology 0.36 0.36 $ 23.00 $ 23.00

83632 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

83633 00 Pathology 0.21 0.21 $ 18.00 $ 18.00

83633 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

83633 TC Pathology 0.21 0.21 $ 13.57 $ 13.57

83655 00 Pathology 0.46 0.46 $ 35.25 $ 35.25

83655 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

83655 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

83661 00 Pathology 0.84 0.84 $ 54.29 $ 54.29

83661 26 Pathology 0.43 0.43 $ 28.10 $ 28.10

83661 TC Pathology 0.84 0.84 $ 54.29 $ 54.29

83662 00 Pathology 0.72 0.72 $ 46.54 $ 46.54

83662 26 Pathology 0.30 0.30 $ 19.42 $ 19.42

83662 TC Pathology 0.72 0.72 $ 46.54 $ 46.54

83663 00 Pathology 0.72 0.72 $ 46.54 $ 46.54

83663 26 Pathology 0.24 0.24 $ 15.72 $ 15.72

83663 TC Pathology 0.72 0.72 $ 46.54 $ 46.54

83664 00 Pathology 0.72 0.72 $ 46.54 $ 46.54

83664 26 Pathology 0.17 0.17 $ 11.17 $ 11.17

83664 TC Pathology 0.72 0.72 $ 46.54 $ 46.54

83670 00 Pathology 0.35 0.35 $ 22.62 $ 22.62

83670 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

83670 TC Pathology 0.35 0.35 $ 22.62 $ 22.62

83690 00 Pathology 0.26 0.26 $ 21.75 $ 21.75

83690 26 Pathology 0.15 0.15 $ 10.00 $ 10.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



256

83690 TC Pathology 0.26 0.26 $ 16.80 $ 16.80

83695 00 Pathology 0.49 0.49 $ 48.75 $ 48.75

83695 26 Pathology 0.31 0.31 $ 20.00 $ 20.00

83695 TC Pathology 0.49 0.49 $ 33.75 $ 33.75

83698 00 Pathology 1.29 1.29 $ 83.38 $ 83.38

83698 26 Pathology - - $ - $ -

83698 TC Pathology 1.30 1.30 $ 84.02 $ 84.02

83700 00 Pathology 0.43 0.43 $ 27.79 $ 27.79

83700 26 Pathology - - $ - $ -

83700 TC Pathology 0.43 0.43 $ 27.79 $ 27.79

83701 00 Pathology 0.94 0.94 $ 61.91 $ 61.91

83701 26 Pathology - - $ - $ -

83701 TC Pathology 0.95 0.95 $ 61.91 $ 61.91

83704 00 Pathology 1.20 1.20 $ 119.25 $ 119.25

83704 26 Pathology 0.79 0.79 $ 51.00 $ 51.00

83704 TC Pathology 1.21 1.21 $ 81.00 $ 81.00

83718 00 Pathology 0.31 0.31 $ 20.04 $ 20.04

83718 26 Pathology 0.10 0.10 $ 6.60 $ 6.60

83718 TC Pathology 0.31 0.31 $ 20.04 $ 20.04

83719 00 Pathology 0.44 0.44 $ 53.25 $ 53.25

83719 26 Pathology 0.37 0.37 $ 24.00 $ 24.00

83719 TC Pathology 0.44 0.44 $ 35.25 $ 35.25

83721 00 Pathology 0.36 0.36 $ 23.27 $ 23.27

83721 26 Pathology 0.15 0.15 $ 9.45 $ 9.45

83721 TC Pathology 0.36 0.36 $ 23.27 $ 23.27

83727 00 Pathology 0.65 0.65 $ 42.75 $ 42.75

83727 26 Pathology 0.29 0.29 $ 19.00 $ 19.00

83727 TC Pathology 0.66 0.66 $ 42.66 $ 42.66

83735 00 Pathology 0.25 0.25 $ 18.00 $ 18.00

83735 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

83735 TC Pathology 0.26 0.26 $ 16.80 $ 16.80

83775 00 Pathology 0.28 0.28 $ 18.10 $ 18.10

83775 26 Pathology 0.17 0.17 $ 11.06 $ 11.06

83775 TC Pathology 0.28 0.28 $ 18.10 $ 18.10

83785 00 Pathology 0.93 0.93 $ 70.50 $ 70.50

83785 26 Pathology 0.43 0.43 $ 28.00 $ 28.00

83785 TC Pathology 0.94 0.94 $ 60.76 $ 60.76

83789 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

83789 26 Pathology - - $ - $ -

83789 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

83825 00 Pathology 0.59 0.59 $ 40.50 $ 40.50

83825 26 Pathology 0.26 0.26 $ 17.00 $ 17.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



257

83825 TC Pathology 0.62 0.62 $ 40.07 $ 40.07

83835 00 Pathology 0.64 0.64 $ 49.50 $ 49.50

83835 26 Pathology 0.29 0.29 $ 19.00 $ 19.00

83835 TC Pathology 0.65 0.65 $ 42.01 $ 42.01

83857 00 Pathology 0.41 0.41 $ 33.00 $ 33.00

83857 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

83857 TC Pathology 0.41 0.41 $ 26.50 $ 26.50

83861 00 Pathology 0.63 0.63 $ 40.72 $ 40.72

83861 26 Pathology - - $ - $ -

83861 TC Pathology 0.63 0.63 $ 40.72 $ 40.72

83864 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

83864 26 Pathology 0.25 0.25 $ 16.38 $ 16.38

83864 TC Pathology 0.76 0.76 $ 49.12 $ 49.12

83872 00 Pathology 0.18 0.18 $ 15.75 $ 15.75

83872 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

83872 TC Pathology 0.22 0.22 $ 14.22 $ 14.22

83873 00 Pathology 0.65 0.65 $ 57.75 $ 57.75

83873 26 Pathology 0.40 0.40 $ 26.00 $ 26.00

83873 TC Pathology 0.66 0.66 $ 42.66 $ 42.66

83874 00 Pathology 0.49 0.49 $ 36.41 $ 36.41

83874 26 Pathology 0.29 0.29 $ 19.03 $ 19.03

83874 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

83876 00 Pathology 1.29 1.29 $ 83.38 $ 83.38

83876 26 Pathology - - $ - $ -

83876 TC Pathology 1.30 1.30 $ 84.02 $ 84.02

83880 00 Pathology 1.29 1.29 $ 83.38 $ 83.38

83880 26 Pathology - - $ - $ -

83880 TC Pathology 1.30 1.30 $ 84.02 $ 84.02

83883 00 Pathology 0.52 0.52 $ 33.61 $ 33.61

83883 26 Pathology 0.13 0.13 $ 8.65 $ 8.65

83883 TC Pathology 0.52 0.52 $ 33.61 $ 33.61

83885 00 Pathology 0.93 0.93 $ 60.11 $ 60.11

83885 26 Pathology 0.32 0.32 $ 21.00 $ 21.00

83885 TC Pathology 0.94 0.94 $ 60.76 $ 60.76

83915 00 Pathology 0.42 0.42 $ 33.00 $ 33.00

83915 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

83915 TC Pathology 0.43 0.43 $ 27.79 $ 27.79

83916 00 Pathology 0.76 0.76 $ 66.00 $ 66.00

83916 26 Pathology 0.46 0.46 $ 30.00 $ 30.00

83916 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

83918 00 Pathology 0.62 0.62 $ 46.82 $ 46.82

83918 26 Pathology 0.28 0.28 $ 18.14 $ 18.14




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



258

83918 TC Pathology 0.63 0.63 $ 40.72 $ 40.72

83919 00 Pathology 0.62 0.62 $ 40.88 $ 40.88

83919 26 Pathology - - $ - $ -

83919 TC Pathology 0.63 0.63 $ 40.88 $ 40.88

83921 00 Pathology 0.62 0.62 $ 40.07 $ 40.07

83921 26 Pathology 0.20 0.20 $ 13.18 $ 13.18

83921 TC Pathology 0.63 0.63 $ 40.72 $ 40.72

83930 00 Pathology 0.25 0.25 $ 21.00 $ 21.00

83930 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

83930 TC Pathology 0.25 0.25 $ 16.16 $ 16.16

83935 00 Pathology 0.26 0.26 $ 21.00 $ 21.00

83935 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

83935 TC Pathology 0.26 0.26 $ 16.80 $ 16.80

83937 00 Pathology 1.13 1.13 $ 73.04 $ 73.04

83937 26 Pathology 0.42 0.42 $ 27.34 $ 27.34

83937 TC Pathology 1.14 1.14 $ 73.68 $ 73.68

83945 00 Pathology 0.49 0.49 $ 37.50 $ 37.50

83945 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

83945 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

83950 00 Pathology 1.12 1.12 $ 105.57 $ 105.57

83950 26 Pathology 0.73 0.73 $ 47.06 $ 47.06

83950 TC Pathology 2.46 2.46 $ 159.00 $ 159.00

83951 00 Pathology 1.12 1.12 $ 110.09 $ 110.09

83951 26 Pathology - - $ - $ -

83951 TC Pathology 2.46 2.46 $ 159.00 $ 159.00

83970 00 Pathology 1.57 1.57 $ 101.47 $ 101.47

83970 26 Pathology 0.73 0.73 $ 47.28 $ 47.28

83970 TC Pathology 1.58 1.58 $ 102.12 $ 102.12

83986 00 Pathology 0.14 0.14 $ 9.05 $ 9.05

83986 26 Pathology 0.06 0.06 $ 4.14 $ 4.14

83986 TC Pathology 0.14 0.14 $ 9.05 $ 9.05

83987 00 Pathology 0.60 0.60 $ 51.55 $ 51.55

83987 26 Pathology - - $ - $ -

83987 TC Pathology 0.61 0.61 $ 51.55 $ 51.55

83992 00 Pathology 0.36 0.36 $ 48.00 $ 48.00

83992 26 Pathology 0.29 0.29 $ 19.00 $ 19.00

83992 TC Pathology 0.56 0.56 $ 36.19 $ 36.19

83993 00 Pathology 0.75 0.75 $ 48.47 $ 48.47

83993 26 Pathology 0.28 0.28 $ 18.13 $ 18.13

83993 TC Pathology 0.75 0.75 $ 48.47 $ 48.47

84030 00 Pathology 0.21 0.21 $ 13.57 $ 13.57

84030 26 Pathology 0.08 0.08 $ 5.00 $ 5.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



259

84030 TC Pathology 0.21 0.21 $ 13.57 $ 13.57

84035 00 Pathology 0.14 0.14 $ 11.86 $ 11.86

84035 26 Pathology 0.07 0.07 $ 4.74 $ 4.74

84035 TC Pathology 0.14 0.14 $ 9.05 $ 9.05

84060 00 Pathology 0.28 0.28 $ 30.21 $ 30.21

84060 26 Pathology 0.20 0.20 $ 12.91 $ 12.91

84060 TC Pathology 0.28 0.28 $ 20.53 $ 20.53

84061 00 Pathology 0.30 0.30 $ 19.39 $ 19.39

84061 26 Pathology 0.11 0.11 $ 6.83 $ 6.83

84061 TC Pathology 0.30 0.30 $ 19.39 $ 19.39

84066 00 Pathology 0.37 0.37 $ 25.79 $ 25.79

84066 26 Pathology 0.18 0.18 $ 11.76 $ 11.76

84066 TC Pathology 0.37 0.37 $ 23.91 $ 23.91

84075 00 Pathology 0.20 0.20 $ 15.00 $ 15.00

84075 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

84075 TC Pathology 0.20 0.20 $ 12.93 $ 12.93

84078 00 Pathology 0.20 0.20 $ 24.37 $ 24.37

84078 26 Pathology 0.15 0.15 $ 9.45 $ 9.45

84078 TC Pathology 0.28 0.28 $ 18.10 $ 18.10

84080 00 Pathology 0.56 0.56 $ 42.75 $ 42.75

84080 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

84080 TC Pathology 0.57 0.57 $ 36.84 $ 36.84

84081 00 Pathology 0.63 0.63 $ 54.75 $ 54.75

84081 26 Pathology 0.37 0.37 $ 24.00 $ 24.00

84081 TC Pathology 0.63 0.63 $ 40.72 $ 40.72

84085 00 Pathology 0.26 0.26 $ 17.87 $ 17.87

84085 26 Pathology 0.12 0.12 $ 7.50 $ 7.50

84085 TC Pathology 0.26 0.26 $ 16.80 $ 16.80

84087 00 Pathology 0.39 0.39 $ 25.21 $ 25.21

84087 26 Pathology 0.14 0.14 $ 9.35 $ 9.35

84087 TC Pathology 0.39 0.39 $ 25.21 $ 25.21

84100 00 Pathology 0.18 0.18 $ 13.50 $ 13.50

84100 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

84100 TC Pathology 0.18 0.18 $ 11.63 $ 11.63

84105 00 Pathology 0.20 0.20 $ 13.50 $ 13.50

84105 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

84105 TC Pathology 0.20 0.20 $ 12.93 $ 12.93

84106 00 Pathology 0.16 0.16 $ 13.57 $ 13.57

84106 26 Pathology 0.05 0.05 $ 3.39 $ 3.39

84106 TC Pathology 0.16 0.16 $ 11.03 $ 11.03

84110 00 Pathology 0.32 0.32 $ 26.25 $ 26.25

84110 26 Pathology 0.15 0.15 $ 10.00 $ 10.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



260

84110 TC Pathology 0.32 0.32 $ 20.68 $ 20.68

84112 00 Pathology 1.12 1.12 $ 72.39 $ 72.39

84112 26 Pathology - - $ - $ -

84112 TC Pathology 2.46 2.46 $ 159.00 $ 159.00

84119 00 Pathology 0.33 0.33 $ 26.25 $ 26.25

84119 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

84119 TC Pathology 0.33 0.33 $ 21.33 $ 21.33

84120 00 Pathology 0.56 0.56 $ 45.75 $ 45.75

84120 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

84120 TC Pathology 0.56 0.56 $ 36.19 $ 36.19

84126 00 Pathology 0.97 0.97 $ 83.25 $ 83.25

84126 26 Pathology 0.51 0.51 $ 33.00 $ 33.00

84126 TC Pathology 0.97 0.97 $ 62.69 $ 62.69

84132 00 Pathology 0.17 0.17 $ 12.75 $ 12.75

84132 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

84132 TC Pathology 0.18 0.18 $ 11.63 $ 11.63

84133 00 Pathology 0.16 0.16 $ 14.13 $ 14.13

84133 26 Pathology 0.09 0.09 $ 5.55 $ 5.55

84133 TC Pathology 0.16 0.16 $ 10.34 $ 10.34

84134 00 Pathology 0.55 0.55 $ 35.55 $ 35.55

84134 26 Pathology 0.23 0.23 $ 15.02 $ 15.02

84134 TC Pathology 0.56 0.56 $ 36.19 $ 36.19

84135 00 Pathology 0.73 0.73 $ 69.00 $ 69.00

84135 26 Pathology 0.48 0.48 $ 31.00 $ 31.00

84135 TC Pathology 0.73 0.73 $ 47.18 $ 47.18

84138 00 Pathology 0.72 0.72 $ 67.50 $ 67.50

84138 26 Pathology 0.46 0.46 $ 30.00 $ 30.00

84138 TC Pathology 0.72 0.72 $ 46.54 $ 46.54

84140 00 Pathology 0.79 0.79 $ 51.06 $ 51.06

84140 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

84140 TC Pathology 0.79 0.79 $ 51.06 $ 51.06

84143 00 Pathology 0.87 0.87 $ 70.50 $ 70.50

84143 26 Pathology 0.48 0.48 $ 31.00 $ 31.00

84143 TC Pathology 0.87 0.87 $ 56.23 $ 56.23

84144 00 Pathology 0.79 0.79 $ 60.14 $ 60.14

84144 26 Pathology 0.24 0.24 $ 15.48 $ 15.48

84144 TC Pathology 0.80 0.80 $ 51.71 $ 51.71

84145 00 Pathology 1.02 1.02 $ 85.91 $ 85.91

84145 26 Pathology - - $ - $ -

84145 TC Pathology 1.02 1.02 $ 85.91 $ 85.91

84146 00 Pathology 0.74 0.74 $ 56.25 $ 56.25

84146 26 Pathology 0.39 0.39 $ 25.00 $ 25.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



261

84146 TC Pathology 0.74 0.74 $ 47.83 $ 47.83

84150 00 Pathology 0.95 0.95 $ 81.00 $ 81.00

84150 26 Pathology 0.51 0.51 $ 33.00 $ 33.00

84150 TC Pathology 0.95 0.95 $ 61.40 $ 61.40

84152 00 Pathology 0.70 0.70 $ 45.24 $ 45.24

84152 26 Pathology 0.24 0.24 $ 15.61 $ 15.61

84152 TC Pathology 0.70 0.70 $ 45.24 $ 45.24

84153 00 Pathology 0.70 0.70 $ 45.24 $ 45.24

84153 26 Pathology 0.23 0.23 $ 14.61 $ 14.61

84153 TC Pathology 0.70 0.70 $ 45.24 $ 45.24

84154 00 Pathology 0.70 0.70 $ 45.24 $ 45.24

84154 26 Pathology 0.23 0.23 $ 14.61 $ 14.61

84154 TC Pathology 0.70 0.70 $ 45.24 $ 45.24

84155 00 Pathology 0.14 0.14 $ 16.69 $ 16.69

84155 26 Pathology 0.12 0.12 $ 7.74 $ 7.74

84155 TC Pathology 0.14 0.14 $ 10.88 $ 10.88

84156 00 Pathology 0.14 0.14 $ 13.50 $ 13.50

84156 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

84156 TC Pathology 0.14 0.14 $ 9.05 $ 9.05

84157 00 Pathology 0.14 0.14 $ 13.50 $ 13.50

84157 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

84157 TC Pathology 0.14 0.14 $ 9.05 $ 9.05

84160 00 Pathology 0.20 0.20 $ 13.82 $ 13.82

84160 26 Pathology 0.10 0.10 $ 6.58 $ 6.58

84160 TC Pathology 0.20 0.20 $ 12.93 $ 12.93

84163 00 Pathology 0.53 0.53 $ 39.54 $ 39.54

84163 26 Pathology 0.23 0.23 $ 15.03 $ 15.03

84163 TC Pathology 0.58 0.58 $ 37.49 $ 37.49

84165 00 Pathology 0.41 0.41 $ 40.25 $ 40.25

84165 26 Pathology 0.52 0.52 $ 33.61 $ 33.61

84165 TC Pathology 0.41 0.41 $ 26.50 $ 26.50

84166 00 Pathology 0.68 0.68 $ 67.35 $ 67.35

84166 26 Pathology 0.52 0.52 $ 35.13 $ 35.13

84166 TC Pathology 0.68 0.68 $ 43.95 $ 43.95

84181 00 Pathology 0.65 0.65 $ 49.34 $ 49.34

84181 26 Pathology 0.52 0.52 $ 33.61 $ 33.61

84181 TC Pathology 0.65 0.65 $ 42.01 $ 42.01

84182 00 Pathology 0.68 0.68 $ 52.38 $ 52.38

84182 26 Pathology 0.52 0.52 $ 33.61 $ 33.61

84182 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

84202 00 Pathology 0.55 0.55 $ 42.75 $ 42.75

84202 26 Pathology 0.29 0.29 $ 19.00 $ 19.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



262

84202 TC Pathology 0.55 0.55 $ 35.55 $ 35.55

84203 00 Pathology 0.30 0.30 $ 19.39 $ 19.39

84203 26 Pathology 0.13 0.13 $ 8.67 $ 8.67

84203 TC Pathology 0.33 0.33 $ 21.33 $ 21.33

84206 00 Pathology 0.68 0.68 $ 45.80 $ 45.80

84206 26 Pathology 0.29 0.29 $ 18.92 $ 18.92

84206 TC Pathology 0.68 0.68 $ 43.95 $ 43.95

84207 00 Pathology 1.07 1.07 $ 69.16 $ 69.16

84207 26 Pathology 0.40 0.40 $ 26.00 $ 26.00

84207 TC Pathology 1.07 1.07 $ 69.16 $ 69.16

84210 00 Pathology 0.41 0.41 $ 30.00 $ 30.00

84210 26 Pathology 0.25 0.25 $ 16.00 $ 16.00

84210 TC Pathology 0.41 0.41 $ 26.50 $ 26.50

84220 00 Pathology 0.36 0.36 $ 31.50 $ 31.50

84220 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

84220 TC Pathology 0.36 0.36 $ 23.27 $ 23.27

84228 00 Pathology 0.44 0.44 $ 37.50 $ 37.50

84228 26 Pathology 0.23 0.23 $ 15.00 $ 15.00

84228 TC Pathology 0.44 0.44 $ 28.44 $ 28.44

84233 00 Pathology 1.12 1.12 $ 142.63 $ 142.63

84233 26 Pathology 0.89 0.89 $ 57.24 $ 57.24

84233 TC Pathology 2.46 2.46 $ 159.00 $ 159.00

84234 00 Pathology 0.94 0.94 $ 143.79 $ 143.79

84234 26 Pathology 0.90 0.90 $ 57.97 $ 57.97

84234 TC Pathology 2.48 2.48 $ 160.29 $ 160.29

84235 00 Pathology 1.99 1.99 $ 128.62 $ 128.62

84235 26 Pathology 0.71 0.71 $ 46.10 $ 46.10

84235 TC Pathology 2.00 2.00 $ 129.27 $ 129.27

84238 00 Pathology 1.39 1.39 $ 102.00 $ 102.00

84238 26 Pathology 0.70 0.70 $ 45.00 $ 45.00

84238 TC Pathology 1.40 1.40 $ 90.49 $ 90.49

84244 00 Pathology 0.84 0.84 $ 69.75 $ 69.75

84244 26 Pathology 0.50 0.50 $ 32.00 $ 32.00

84244 TC Pathology 0.84 0.84 $ 54.29 $ 54.29

84252 00 Pathology 0.77 0.77 $ 56.25 $ 56.25

84252 26 Pathology 0.36 0.36 $ 23.00 $ 23.00

84252 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

84255 00 Pathology 0.97 0.97 $ 81.90 $ 81.90

84255 26 Pathology 0.50 0.50 $ 32.46 $ 32.46

84255 TC Pathology 0.98 0.98 $ 63.34 $ 63.34

84260 00 Pathology 1.18 1.18 $ 76.27 $ 76.27

84260 26 Pathology 0.41 0.41 $ 26.26 $ 26.26




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



263

84260 TC Pathology 1.18 1.18 $ 76.27 $ 76.27

84270 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

84270 26 Pathology 0.27 0.27 $ 17.37 $ 17.37

84270 TC Pathology 0.83 0.83 $ 53.65 $ 53.65

84275 00 Pathology 0.51 0.51 $ 44.25 $ 44.25

84275 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

84275 TC Pathology 0.51 0.51 $ 32.96 $ 32.96

84285 00 Pathology 0.89 0.89 $ 68.25 $ 68.25

84285 26 Pathology 0.40 0.40 $ 26.00 $ 26.00

84285 TC Pathology 0.90 0.90 $ 58.17 $ 58.17

84295 00 Pathology 0.18 0.18 $ 12.00 $ 12.00

84295 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

84295 TC Pathology 0.18 0.18 $ 11.63 $ 11.63

84300 00 Pathology 0.19 0.19 $ 12.28 $ 12.28

84300 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

84300 TC Pathology 0.19 0.19 $ 12.28 $ 12.28

84302 00 Pathology 0.19 0.19 $ 12.72 $ 12.72

84302 26 Pathology - - $ - $ -

84302 TC Pathology 0.19 0.19 $ 12.72 $ 12.72

84305 00 Pathology 0.81 0.81 $ 52.35 $ 52.35

84305 26 Pathology 0.30 0.30 $ 19.66 $ 19.66

84305 TC Pathology 0.81 0.81 $ 52.35 $ 52.35

84307 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

84307 26 Pathology 0.25 0.25 $ 16.34 $ 16.34

84307 TC Pathology 0.70 0.70 $ 45.24 $ 45.24

84311 00 Pathology 0.27 0.27 $ 17.45 $ 17.45

84311 26 Pathology 0.09 0.09 $ 5.90 $ 5.90

84311 TC Pathology 0.27 0.27 $ 17.45 $ 17.45

84315 00 Pathology 0.10 0.10 $ 6.75 $ 6.75

84315 26 Pathology 0.05 0.05 $ 3.00 $ 3.00

84315 TC Pathology 0.10 0.10 $ 6.46 $ 6.46

84375 00 Pathology 0.74 0.74 $ 47.83 $ 47.83

84375 26 Pathology 0.25 0.25 $ 16.15 $ 16.15

84375 TC Pathology 0.75 0.75 $ 48.47 $ 48.47

84376 00 Pathology 0.21 0.21 $ 13.57 $ 13.57

84376 26 Pathology - - $ - $ -

84376 TC Pathology 0.21 0.21 $ 13.57 $ 13.57

84377 00 Pathology 0.21 0.21 $ 13.57 $ 13.57

84377 26 Pathology - - $ - $ -

84377 TC Pathology 0.21 0.21 $ 13.57 $ 13.57

84378 00 Pathology 0.44 0.44 $ 30.65 $ 30.65

84378 26 Pathology - - $ - $ -




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



264

84378 TC Pathology 0.44 0.44 $ 30.65 $ 30.65

84379 00 Pathology 0.44 0.44 $ 30.65 $ 30.65

84379 26 Pathology - - $ - $ -

84379 TC Pathology 0.44 0.44 $ 30.65 $ 30.65

84392 00 Pathology 0.18 0.18 $ 11.63 $ 11.63

84392 26 Pathology 0.05 0.05 $ 3.09 $ 3.09

84392 TC Pathology 0.18 0.18 $ 11.63 $ 11.63

84402 00 Pathology 0.97 0.97 $ 84.75 $ 84.75

84402 26 Pathology 0.54 0.54 $ 35.00 $ 35.00

84402 TC Pathology 0.97 0.97 $ 62.69 $ 62.69

84403 00 Pathology 0.98 0.98 $ 75.75 $ 75.75

84403 26 Pathology 0.46 0.46 $ 30.00 $ 30.00

84403 TC Pathology 0.99 0.99 $ 63.99 $ 63.99

84410 00 Pathology 2.02 2.02 $ 130.56 $ 130.56

84425 00 Pathology 0.81 0.81 $ 65.25 $ 65.25

84425 26 Pathology 0.43 0.43 $ 28.00 $ 28.00

84425 TC Pathology 0.81 0.81 $ 52.35 $ 52.35

84430 00 Pathology 0.44 0.44 $ 36.75 $ 36.75

84430 26 Pathology 0.25 0.25 $ 16.00 $ 16.00

84430 TC Pathology 0.44 0.44 $ 28.44 $ 28.44

84431 00 Pathology 0.64 0.64 $ 56.70 $ 56.70

84431 26 Pathology - - $ - $ -

84431 TC Pathology 0.64 0.64 $ 56.70 $ 56.70

84432 00 Pathology 0.61 0.61 $ 39.43 $ 39.43

84432 26 Pathology 0.22 0.22 $ 14.07 $ 14.07

84432 TC Pathology 0.61 0.61 $ 39.43 $ 39.43

84436 00 Pathology 0.26 0.26 $ 18.75 $ 18.75

84436 26 Pathology 0.09 0.09 $ 6.00 $ 6.00

84436 TC Pathology 0.26 0.26 $ 16.80 $ 16.80

84437 00 Pathology 0.25 0.25 $ 17.25 $ 17.25

84437 26 Pathology 0.12 0.12 $ 8.00 $ 8.00

84437 TC Pathology 0.25 0.25 $ 16.16 $ 16.16

84439 00 Pathology 0.34 0.34 $ 21.98 $ 21.98

84439 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

84439 TC Pathology 0.34 0.34 $ 21.98 $ 21.98

84442 00 Pathology 0.56 0.56 $ 36.19 $ 36.19

84442 26 Pathology 0.16 0.16 $ 10.20 $ 10.20

84442 TC Pathology 0.57 0.57 $ 36.84 $ 36.84

84443 00 Pathology 0.64 0.64 $ 41.37 $ 41.37

84443 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

84443 TC Pathology 0.64 0.64 $ 41.37 $ 41.37

84445 00 Pathology 1.93 1.93 $ 135.00 $ 135.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



265

84445 26 Pathology 0.83 0.83 $ 53.70 $ 53.70

84445 TC Pathology 1.94 1.94 $ 125.39 $ 125.39

84446 00 Pathology 0.54 0.54 $ 42.00 $ 42.00

84446 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

84446 TC Pathology 0.54 0.54 $ 34.90 $ 34.90

84449 00 Pathology 0.68 0.68 $ 43.95 $ 43.95

84449 26 Pathology 0.27 0.27 $ 17.23 $ 17.23

84449 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

84450 00 Pathology 0.20 0.20 $ 15.00 $ 15.00

84450 26 Pathology 0.09 0.09 $ 6.00 $ 6.00

84450 TC Pathology 0.20 0.20 $ 12.93 $ 12.93

84460 00 Pathology 0.20 0.20 $ 15.00 $ 15.00

84460 26 Pathology 0.09 0.09 $ 6.00 $ 6.00

84460 TC Pathology 0.20 0.20 $ 12.93 $ 12.93

84466 00 Pathology 0.49 0.49 $ 31.67 $ 31.67

84466 26 Pathology 0.20 0.20 $ 12.66 $ 12.66

84466 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

84478 00 Pathology 0.22 0.22 $ 15.75 $ 15.75

84478 26 Pathology 0.09 0.09 $ 6.00 $ 6.00

84478 TC Pathology 0.22 0.22 $ 14.22 $ 14.22

84479 00 Pathology 0.25 0.25 $ 18.00 $ 18.00

84479 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

84479 TC Pathology 0.25 0.25 $ 16.16 $ 16.16

84480 00 Pathology 0.54 0.54 $ 34.90 $ 34.90

84480 26 Pathology 0.22 0.22 $ 14.42 $ 14.42

84480 TC Pathology 0.54 0.54 $ 34.90 $ 34.90

84481 00 Pathology 0.63 0.63 $ 45.75 $ 45.75

84481 26 Pathology 0.31 0.31 $ 20.00 $ 20.00

84481 TC Pathology 0.65 0.65 $ 42.01 $ 42.01

84482 00 Pathology 0.60 0.60 $ 45.00 $ 45.00

84482 26 Pathology 0.31 0.31 $ 20.00 $ 20.00

84482 TC Pathology 0.60 0.60 $ 38.78 $ 38.78

84484 00 Pathology 0.37 0.37 $ 23.91 $ 23.91

84484 26 Pathology 0.14 0.14 $ 8.75 $ 8.75

84484 TC Pathology 0.38 0.38 $ 24.56 $ 24.56

84485 00 Pathology 0.29 0.29 $ 18.74 $ 18.74

84485 26 Pathology 0.09 0.09 $ 5.73 $ 5.73

84485 TC Pathology 0.29 0.29 $ 18.74 $ 18.74

84488 00 Pathology 0.28 0.28 $ 18.10 $ 18.10

84488 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

84488 TC Pathology 0.28 0.28 $ 18.10 $ 18.10

84490 00 Pathology 0.29 0.29 $ 18.74 $ 18.74




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



266

84490 26 Pathology 0.10 0.10 $ 6.45 $ 6.45

84490 TC Pathology 0.29 0.29 $ 18.74 $ 18.74

84510 00 Pathology 0.38 0.38 $ 33.00 $ 33.00

84510 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

84510 TC Pathology 0.40 0.40 $ 25.85 $ 25.85

84512 00 Pathology 0.29 0.29 $ 18.74 $ 18.74

84512 26 Pathology 0.11 0.11 $ 7.14 $ 7.14

84512 TC Pathology 0.29 0.29 $ 18.74 $ 18.74

84520 00 Pathology 0.15 0.15 $ 15.00 $ 15.00

84520 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

84520 TC Pathology 0.15 0.15 $ 11.25 $ 11.25

84525 00 Pathology 0.14 0.14 $ 9.05 $ 9.05

84525 26 Pathology 0.05 0.05 $ 3.00 $ 3.00

84525 TC Pathology 0.14 0.14 $ 9.05 $ 9.05

84540 00 Pathology 0.18 0.18 $ 16.50 $ 16.50

84540 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

84540 TC Pathology 0.18 0.18 $ 11.63 $ 11.63

84545 00 Pathology 0.25 0.25 $ 22.50 $ 22.50

84545 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

84545 TC Pathology 0.25 0.25 $ 16.16 $ 16.16

84550 00 Pathology 0.17 0.17 $ 14.25 $ 14.25

84550 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

84550 TC Pathology 0.17 0.17 $ 10.99 $ 10.99

84560 00 Pathology 0.18 0.18 $ 15.00 $ 15.00

84560 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

84560 TC Pathology 0.18 0.18 $ 11.63 $ 11.63

84577 00 Pathology 0.47 0.47 $ 35.25 $ 35.25

84577 26 Pathology 0.23 0.23 $ 15.00 $ 15.00

84577 TC Pathology 0.48 0.48 $ 31.02 $ 31.02

84578 00 Pathology 0.12 0.12 $ 9.00 $ 9.00

84578 26 Pathology 0.05 0.05 $ 3.00 $ 3.00

84578 TC Pathology 0.12 0.12 $ 7.76 $ 7.76

84580 00 Pathology 0.27 0.27 $ 21.00 $ 21.00

84580 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

84580 TC Pathology 0.27 0.27 $ 17.45 $ 17.45

84583 00 Pathology 0.19 0.19 $ 12.28 $ 12.28

84583 26 Pathology 0.09 0.09 $ 5.81 $ 5.81

84583 TC Pathology 0.19 0.19 $ 12.28 $ 12.28

84585 00 Pathology 0.59 0.59 $ 42.75 $ 42.75

84585 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

84585 TC Pathology 0.59 0.59 $ 38.13 $ 38.13

84586 00 Pathology 1.34 1.34 $ 86.61 $ 86.61




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



267

84586 26 Pathology 0.51 0.51 $ 32.92 $ 32.92

84586 TC Pathology 1.35 1.35 $ 87.25 $ 87.25

84588 00 Pathology 1.29 1.29 $ 87.00 $ 87.00

84588 26 Pathology 0.60 0.60 $ 39.00 $ 39.00

84588 TC Pathology 1.30 1.30 $ 84.02 $ 84.02

84590 00 Pathology 0.44 0.44 $ 39.00 $ 39.00

84590 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

84590 TC Pathology 0.44 0.44 $ 28.44 $ 28.44

84591 00 Pathology 0.44 0.44 $ 31.50 $ 31.50

84591 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

84591 TC Pathology 0.44 0.44 $ 28.44 $ 28.44

84597 00 Pathology 0.52 0.52 $ 44.25 $ 44.25

84597 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

84597 TC Pathology 0.52 0.52 $ 33.61 $ 33.61

84600 00 Pathology 0.61 0.61 $ 40.06 $ 40.06

84600 26 Pathology 0.25 0.25 $ 16.48 $ 16.48

84600 TC Pathology 0.61 0.61 $ 39.43 $ 39.43

84620 00 Pathology 0.45 0.45 $ 35.25 $ 35.25

84620 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

84620 TC Pathology 0.45 0.45 $ 29.08 $ 29.08

84630 00 Pathology 0.43 0.43 $ 33.00 $ 33.00

84630 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

84630 TC Pathology 0.44 0.44 $ 28.44 $ 28.44

84681 00 Pathology 0.76 0.76 $ 66.00 $ 66.00

84681 26 Pathology 0.45 0.45 $ 29.00 $ 29.00

84681 TC Pathology 0.80 0.80 $ 51.71 $ 51.71

84702 00 Pathology 0.53 0.53 $ 39.00 $ 39.00

84702 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

84702 TC Pathology 0.58 0.58 $ 37.49 $ 37.49

84703 00 Pathology 0.29 0.29 $ 35.42 $ 35.42

84703 26 Pathology 0.21 0.21 $ 13.46 $ 13.46

84703 TC Pathology 0.29 0.29 $ 25.33 $ 25.33

84704 00 Pathology 0.53 0.53 $ 41.67 $ 41.67

84704 26 Pathology 0.21 0.21 $ 13.51 $ 13.51

84704 TC Pathology 0.58 0.58 $ 37.49 $ 37.49

84830 00 Pathology 0.38 0.38 $ 24.56 $ 24.56

84830 26 Pathology 0.14 0.14 $ 9.05 $ 9.05

84830 TC Pathology 0.38 0.38 $ 24.56 $ 24.56




85002 00 Pathology 0.17 0.17 $ 13.66 $ 13.66




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



268

85002 26 Pathology 0.09 0.09 $ 5.79 $ 5.79

85002 TC Pathology 0.17 0.17 $ 10.99 $ 10.99

85004 00 Pathology 0.24 0.24 $ 101.99 $ 101.99

85004 26 Pathology - - $ - $ -

85004 TC Pathology 0.25 0.25 $ 101.99 $ 101.99

85007 00 Pathology 0.13 0.13 $ 8.40 $ 8.40

85007 26 Pathology 0.05 0.05 $ 3.30 $ 3.30

85007 TC Pathology 0.13 0.13 $ 8.40 $ 8.40

85008 00 Pathology 0.13 0.13 $ 8.40 $ 8.40

85008 26 Pathology 0.05 0.05 $ 3.27 $ 3.27

85008 TC Pathology 0.13 0.13 $ 8.40 $ 8.40

85009 00 Pathology 0.14 0.14 $ 10.50 $ 10.50

85009 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

85009 TC Pathology 0.14 0.14 $ 9.05 $ 9.05

85013 00 Pathology 0.09 0.09 $ 5.82 $ 5.82

85013 26 Pathology 0.03 0.03 $ 2.15 $ 2.15

85013 TC Pathology 0.09 0.09 $ 5.82 $ 5.82

85014 00 Pathology 0.09 0.09 $ 5.82 $ 5.82

85014 26 Pathology 0.03 0.03 $ 2.15 $ 2.15

85014 TC Pathology 0.09 0.09 $ 5.82 $ 5.82

85018 00 Pathology 0.09 0.09 $ 6.75 $ 6.75

85018 26 Pathology 0.05 0.05 $ 3.00 $ 3.00

85018 TC Pathology 0.09 0.09 $ 5.82 $ 5.82

85025 00 Pathology 0.24 0.24 $ 20.51 $ 20.51

85025 26 Pathology 0.24 0.24 $ 15.22 $ 15.22

85025 TC Pathology 0.30 0.30 $ 19.39 $ 19.39

85027 00 Pathology 0.24 0.24 $ 18.34 $ 18.34

85027 26 Pathology 0.13 0.13 $ 8.53 $ 8.53

85027 TC Pathology 0.25 0.25 $ 16.16 $ 16.16

85032 00 Pathology 0.16 0.16 $ 10.57 $ 10.57

85032 26 Pathology - - $ - $ -

85032 TC Pathology 0.16 0.16 $ 10.57 $ 10.57

85041 00 Pathology 0.12 0.12 $ 7.76 $ 7.76

85041 26 Pathology 0.06 0.06 $ 4.00 $ 4.00

85041 TC Pathology 0.12 0.12 $ 7.76 $ 7.76

85044 00 Pathology 0.16 0.16 $ 12.00 $ 12.00

85044 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

85044 TC Pathology 0.16 0.16 $ 10.34 $ 10.34

85045 00 Pathology 0.15 0.15 $ 9.69 $ 9.69

85045 26 Pathology 0.06 0.06 $ 3.57 $ 3.57

85045 TC Pathology 0.15 0.15 $ 9.69 $ 9.69

85046 00 Pathology 0.21 0.21 $ 13.57 $ 13.57




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



269

85046 26 Pathology - - $ - $ -

85046 TC Pathology 0.21 0.21 $ 13.57 $ 13.57

85048 00 Pathology 0.10 0.10 $ 7.52 $ 7.52

85048 26 Pathology 0.05 0.05 $ 3.00 $ 3.00

85048 TC Pathology 0.10 0.10 $ 6.46 $ 6.46

85049 00 Pathology 0.17 0.17 $ 10.99 $ 10.99

85049 26 Pathology - - $ - $ -

85049 TC Pathology 0.17 0.17 $ 10.99 $ 10.99

85055 00 Pathology 0.69 0.69 $ 59.38 $ 59.38

85055 26 Pathology 0.39 0.39 $ 25.50 $ 25.50

85055 TC Pathology 1.02 1.02 $ 65.93 $ 65.93

85060 00 Pathology 0.71 0.71 $ 45.89 $ 45.89

85060 26 Pathology 0.21 0.21 $ 13.80 $ 13.80

85060 TC Pathology 0.54 0.54 $ 34.66 $ 34.66

85097 00 Pathology 2.57 1.43 $ 166.11 $ 92.43

85097 26 Pathology 1.70 1.70 $ 109.90 $ 109.90

85097 TC Pathology 0.59 0.59 $ 38.30 $ 38.30

85130 00 Pathology 0.45 0.45 $ 29.08 $ 29.08

85130 26 Pathology 0.18 0.18 $ 11.92 $ 11.92

85130 TC Pathology 0.45 0.45 $ 29.08 $ 29.08

85170 00 Pathology 0.14 0.14 $ 13.50 $ 13.50

85170 26 Pathology 0.09 0.09 $ 6.00 $ 6.00

85170 TC Pathology 0.14 0.14 $ 9.05 $ 9.05

85175 00 Pathology 0.17 0.17 $ 12.41 $ 12.41

85175 26 Pathology 0.08 0.08 $ 5.19 $ 5.19

85175 TC Pathology 0.17 0.17 $ 10.99 $ 10.99

85210 00 Pathology 0.49 0.49 $ 36.75 $ 36.75

85210 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

85210 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

85220 00 Pathology 0.67 0.67 $ 54.00 $ 54.00

85220 26 Pathology 0.37 0.37 $ 24.00 $ 24.00

85220 TC Pathology 0.67 0.67 $ 43.30 $ 43.30

85230 00 Pathology 0.68 0.68 $ 54.00 $ 54.00

85230 26 Pathology 0.34 0.34 $ 22.00 $ 22.00

85230 TC Pathology 0.68 0.68 $ 43.95 $ 43.95

85240 00 Pathology 0.68 0.68 $ 54.00 $ 54.00

85240 26 Pathology 0.36 0.36 $ 23.00 $ 23.00

85240 TC Pathology 0.68 0.68 $ 43.95 $ 43.95

85244 00 Pathology 0.78 0.78 $ 57.75 $ 57.75

85244 26 Pathology 0.40 0.40 $ 26.00 $ 26.00

85244 TC Pathology 0.78 0.78 $ 50.41 $ 50.41

85245 00 Pathology 0.87 0.87 $ 62.25 $ 62.25




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



270

85245 26 Pathology 0.46 0.46 $ 30.00 $ 30.00

85245 TC Pathology 0.88 0.88 $ 56.88 $ 56.88

85246 00 Pathology 0.87 0.87 $ 62.25 $ 62.25

85246 26 Pathology 0.46 0.46 $ 30.00 $ 30.00

85246 TC Pathology 0.88 0.88 $ 56.88 $ 56.88

85247 00 Pathology 0.87 0.87 $ 62.25 $ 62.25

85247 26 Pathology 0.46 0.46 $ 30.00 $ 30.00

85247 TC Pathology 0.88 0.88 $ 56.88 $ 56.88

85250 00 Pathology 0.72 0.72 $ 54.00 $ 54.00

85250 26 Pathology 0.32 0.32 $ 21.00 $ 21.00

85250 TC Pathology 0.73 0.73 $ 47.18 $ 47.18

85260 00 Pathology 0.68 0.68 $ 54.00 $ 54.00

85260 26 Pathology 0.32 0.32 $ 21.00 $ 21.00

85260 TC Pathology 0.68 0.68 $ 43.95 $ 43.95

85270 00 Pathology 0.68 0.68 $ 54.00 $ 54.00

85270 26 Pathology 0.32 0.32 $ 21.00 $ 21.00

85270 TC Pathology 0.68 0.68 $ 43.95 $ 43.95

85280 00 Pathology 0.74 0.74 $ 54.00 $ 54.00

85280 26 Pathology 0.32 0.32 $ 21.00 $ 21.00

85280 TC Pathology 0.74 0.74 $ 47.83 $ 47.83

85290 00 Pathology 0.62 0.62 $ 54.00 $ 54.00

85290 26 Pathology 0.32 0.32 $ 21.00 $ 21.00

85290 TC Pathology 0.62 0.62 $ 40.07 $ 40.07

85291 00 Pathology 0.34 0.34 $ 24.75 $ 24.75

85291 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

85291 TC Pathology 0.34 0.34 $ 21.98 $ 21.98

85292 00 Pathology 0.72 0.72 $ 55.50 $ 55.50

85292 26 Pathology 0.59 0.59 $ 38.00 $ 38.00

85292 TC Pathology 0.72 0.72 $ 46.54 $ 46.54

85293 00 Pathology 0.72 0.72 $ 55.50 $ 55.50

85293 26 Pathology 0.39 0.39 $ 25.00 $ 25.00

85293 TC Pathology 0.72 0.72 $ 46.54 $ 46.54

85300 00 Pathology 0.45 0.45 $ 40.97 $ 40.97

85300 26 Pathology 0.28 0.28 $ 18.21 $ 18.21

85300 TC Pathology 0.45 0.45 $ 29.08 $ 29.08

85301 00 Pathology 0.41 0.41 $ 40.97 $ 40.97

85301 26 Pathology 0.26 0.26 $ 16.88 $ 16.88

85301 TC Pathology 0.41 0.41 $ 28.31 $ 28.31

85302 00 Pathology 0.46 0.46 $ 45.52 $ 45.52

85302 26 Pathology 0.29 0.29 $ 18.90 $ 18.90

85302 TC Pathology 0.46 0.46 $ 31.34 $ 31.34

85303 00 Pathology 0.53 0.53 $ 36.97 $ 36.97




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



271

85303 26 Pathology 0.24 0.24 $ 15.74 $ 15.74

85303 TC Pathology 0.53 0.53 $ 34.26 $ 34.26

85305 00 Pathology 0.44 0.44 $ 35.19 $ 35.19

85305 26 Pathology 0.18 0.18 $ 11.76 $ 11.76

85305 TC Pathology 0.44 0.44 $ 28.44 $ 28.44

85306 00 Pathology 0.58 0.58 $ 40.17 $ 40.17

85306 26 Pathology 0.28 0.28 $ 18.17 $ 18.17

85306 TC Pathology 0.59 0.59 $ 38.13 $ 38.13

85307 00 Pathology 0.58 0.58 $ 37.49 $ 37.49

85307 26 Pathology - - $ - $ -

85307 TC Pathology 0.59 0.59 $ 38.13 $ 38.13

85335 00 Pathology 0.49 0.49 $ 31.67 $ 31.67

85335 26 Pathology 0.19 0.19 $ 12.05 $ 12.05

85335 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

85337 00 Pathology 0.27 0.27 $ 29.05 $ 29.05

85337 26 Pathology 0.19 0.19 $ 12.51 $ 12.51

85337 TC Pathology 0.40 0.40 $ 25.85 $ 25.85

85345 00 Pathology 0.16 0.16 $ 12.75 $ 12.75

85345 26 Pathology 0.09 0.09 $ 6.00 $ 6.00

85345 TC Pathology 0.16 0.16 $ 10.34 $ 10.34

85347 00 Pathology 0.16 0.16 $ 10.34 $ 10.34

85347 26 Pathology 0.05 0.05 $ 3.00 $ 3.00

85347 TC Pathology 0.16 0.16 $ 10.34 $ 10.34

85348 00 Pathology 0.14 0.14 $ 12.00 $ 12.00

85348 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

85348 TC Pathology 0.14 0.14 $ 9.05 $ 9.05

85360 00 Pathology 0.32 0.32 $ 22.76 $ 22.76

85360 26 Pathology 0.17 0.17 $ 10.96 $ 10.96

85360 TC Pathology 0.32 0.32 $ 20.68 $ 20.68

85362 00 Pathology 0.17 0.17 $ 22.50 $ 22.50

85362 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

85362 TC Pathology 0.26 0.26 $ 16.80 $ 16.80

85366 00 Pathology 0.25 0.25 $ 19.74 $ 19.74

85366 26 Pathology 0.09 0.09 $ 5.73 $ 5.73

85366 TC Pathology 0.33 0.33 $ 21.33 $ 21.33

85370 00 Pathology 0.43 0.43 $ 27.79 $ 27.79

85370 26 Pathology 0.17 0.17 $ 11.22 $ 11.22

85370 TC Pathology 0.43 0.43 $ 27.79 $ 27.79

85378 00 Pathology 0.27 0.27 $ 17.45 $ 17.45

85378 26 Pathology 0.09 0.09 $ 5.68 $ 5.68

85378 TC Pathology 0.27 0.27 $ 17.45 $ 17.45

85379 00 Pathology 0.39 0.39 $ 25.21 $ 25.21




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



272

85379 26 Pathology 0.16 0.16 $ 10.16 $ 10.16

85379 TC Pathology 0.39 0.39 $ 25.21 $ 25.21

85380 00 Pathology 0.39 0.39 $ 102.05 $ 102.05

85380 26 Pathology - - $ - $ -

85380 TC Pathology 0.39 0.39 $ 102.05 $ 102.05

85384 00 Pathology 0.32 0.32 $ 20.68 $ 20.68

85384 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

85384 TC Pathology 0.32 0.32 $ 20.68 $ 20.68

85385 00 Pathology 0.32 0.32 $ 20.68 $ 20.68

85385 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

85385 TC Pathology 0.32 0.32 $ 20.68 $ 20.68

85390 00 Pathology 0.20 0.20 $ 31.08 $ 31.08

85390 26 Pathology 0.52 0.52 $ 33.61 $ 33.61

85390 TC Pathology 0.20 0.20 $ 23.16 $ 23.16

85396 00 Pathology 0.59 0.59 $ 38.13 $ 38.13

85396 26 Pathology 0.21 0.21 $ 13.80 $ 13.80

85396 TC Pathology 0.41 0.41 $ 26.50 $ 26.50

85397 00 Pathology 0.87 0.87 $ 56.23 $ 56.23

85397 26 Pathology - - $ - $ -

85397 TC Pathology 0.88 0.88 $ 56.88 $ 56.88

85400 00 Pathology 0.34 0.34 $ 21.98 $ 21.98

85400 26 Pathology 0.13 0.13 $ 8.25 $ 8.25

85400 TC Pathology 0.34 0.34 $ 21.98 $ 21.98

85410 00 Pathology 0.29 0.29 $ 19.36 $ 19.36

85410 26 Pathology 0.11 0.11 $ 7.18 $ 7.18

85410 TC Pathology 0.29 0.29 $ 18.74 $ 18.74

85415 00 Pathology 0.65 0.65 $ 42.01 $ 42.01

85415 26 Pathology 0.26 0.26 $ 16.97 $ 16.97

85415 TC Pathology 0.66 0.66 $ 42.66 $ 42.66

85420 00 Pathology 0.25 0.25 $ 26.25 $ 26.25

85420 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

85420 TC Pathology 0.25 0.25 $ 19.50 $ 19.50

85421 00 Pathology 0.39 0.39 $ 47.25 $ 47.25

85421 26 Pathology 0.29 0.29 $ 19.00 $ 19.00

85421 TC Pathology 0.39 0.39 $ 33.00 $ 33.00

85441 00 Pathology 0.15 0.15 $ 9.69 $ 9.69

85441 26 Pathology 0.05 0.05 $ 3.06 $ 3.06

85441 TC Pathology 0.16 0.16 $ 10.34 $ 10.34

85445 00 Pathology 0.26 0.26 $ 17.25 $ 17.25

85445 26 Pathology 0.12 0.12 $ 8.00 $ 8.00

85445 TC Pathology 0.26 0.26 $ 16.80 $ 16.80

85460 00 Pathology 0.29 0.29 $ 19.50 $ 19.50




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



273

85460 26 Pathology 0.12 0.12 $ 8.00 $ 8.00

85460 TC Pathology 0.30 0.30 $ 19.39 $ 19.39

85461 00 Pathology 0.25 0.25 $ 16.70 $ 16.70

85461 26 Pathology 0.09 0.09 $ 5.86 $ 5.86

85461 TC Pathology 0.25 0.25 $ 16.16 $ 16.16

85475 00 Pathology 0.34 0.34 $ 22.02 $ 22.02

85475 26 Pathology 0.13 0.13 $ 8.59 $ 8.59

85475 TC Pathology 0.34 0.34 $ 21.98 $ 21.98

85520 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

85520 26 Pathology 0.22 0.22 $ 14.48 $ 14.48

85520 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

85525 00 Pathology 0.45 0.45 $ 29.08 $ 29.08

85525 26 Pathology 0.16 0.16 $ 10.56 $ 10.56

85525 TC Pathology 0.45 0.45 $ 29.08 $ 29.08

85530 00 Pathology 0.54 0.54 $ 48.75 $ 48.75

85530 26 Pathology 0.31 0.31 $ 20.00 $ 20.00

85530 TC Pathology 0.54 0.54 $ 34.90 $ 34.90

85536 00 Pathology 0.25 0.25 $ 16.16 $ 16.16

85536 26 Pathology 0.14 0.14 $ 9.02 $ 9.02

85536 TC Pathology 0.25 0.25 $ 16.16 $ 16.16

85540 00 Pathology 0.33 0.33 $ 21.75 $ 21.75

85540 26 Pathology 0.12 0.12 $ 8.00 $ 8.00

85540 TC Pathology 0.33 0.33 $ 21.33 $ 21.33

85547 00 Pathology 0.33 0.33 $ 27.00 $ 27.00

85547 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

85547 TC Pathology 0.33 0.33 $ 21.33 $ 21.33

85549 00 Pathology 0.71 0.71 $ 54.75 $ 54.75

85549 26 Pathology 0.37 0.37 $ 24.00 $ 24.00

85549 TC Pathology 0.72 0.72 $ 46.54 $ 46.54

85555 00 Pathology 0.25 0.25 $ 16.37 $ 16.37

85555 26 Pathology 0.10 0.10 $ 6.27 $ 6.27

85555 TC Pathology 0.26 0.26 $ 16.80 $ 16.80

85557 00 Pathology 0.51 0.51 $ 41.25 $ 41.25

85557 26 Pathology 0.25 0.25 $ 16.00 $ 16.00

85557 TC Pathology 0.51 0.51 $ 32.96 $ 32.96

85576 00 Pathology 0.82 0.82 $ 56.06 $ 56.06

85576 26 Pathology 0.52 0.52 $ 33.61 $ 33.61

85576 TC Pathology 0.82 0.82 $ 53.00 $ 53.00

85597 00 Pathology 0.68 0.68 $ 43.95 $ 43.95

85597 26 Pathology 0.29 0.29 $ 18.54 $ 18.54

85597 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

85598 00 Pathology 0.68 0.68 $ 43.95 $ 43.95




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



274


85598 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

85610 00 Pathology 0.15 0.15 $ 9.69 $ 9.69

85610 26 Pathology 0.06 0.06 $ 4.06 $ 4.06

85610 TC Pathology 0.15 0.15 $ 9.69 $ 9.69

85611 00 Pathology 0.15 0.15 $ 9.69 $ 9.69

85611 26 Pathology 0.07 0.07 $ 4.46 $ 4.46

85611 TC Pathology 0.15 0.15 $ 9.69 $ 9.69

85612 00 Pathology 0.36 0.36 $ 29.25 $ 29.25

85612 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

85612 TC Pathology 0.37 0.37 $ 23.91 $ 23.91

85613 00 Pathology 0.36 0.36 $ 23.27 $ 23.27

85613 26 Pathology 0.13 0.13 $ 8.12 $ 8.12

85613 TC Pathology 0.37 0.37 $ 23.91 $ 23.91

85635 00 Pathology 0.37 0.37 $ 30.00 $ 30.00

85635 26 Pathology 0.20 0.20 $ 13.00 $ 13.00

85635 TC Pathology 0.38 0.38 $ 24.56 $ 24.56

85651 00 Pathology 0.14 0.14 $ 10.50 $ 10.50

85651 26 Pathology 0.06 0.06 $ 4.00 $ 4.00

85651 TC Pathology 0.14 0.14 $ 9.05 $ 9.05

85652 00 Pathology 0.10 0.10 $ 8.57 $ 8.57

85652 26 Pathology 0.04 0.04 $ 2.55 $ 2.55

85652 TC Pathology 0.10 0.10 $ 6.66 $ 6.66

85660 00 Pathology 0.21 0.21 $ 13.57 $ 13.57

85660 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

85660 TC Pathology 0.21 0.21 $ 13.57 $ 13.57

85670 00 Pathology 0.22 0.22 $ 16.50 $ 16.50

85670 26 Pathology 0.09 0.09 $ 6.00 $ 6.00

85670 TC Pathology 0.22 0.22 $ 14.22 $ 14.22

85675 00 Pathology 0.26 0.26 $ 17.25 $ 17.25

85675 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

85675 TC Pathology 0.26 0.26 $ 16.80 $ 16.80

85705 00 Pathology 0.37 0.37 $ 23.91 $ 23.91

85705 26 Pathology 0.17 0.17 $ 11.12 $ 11.12

85705 TC Pathology 0.37 0.37 $ 23.91 $ 23.91

85730 00 Pathology 0.23 0.23 $ 14.87 $ 14.87

85730 26 Pathology 0.06 0.06 $ 4.12 $ 4.12

85730 TC Pathology 0.23 0.23 $ 14.87 $ 14.87

85732 00 Pathology 0.25 0.25 $ 18.75 $ 18.75

85732 26 Pathology 0.12 0.12 $ 8.00 $ 8.00

85732 TC Pathology 0.25 0.25 $ 16.16 $ 16.16

85810 00 Pathology 0.44 0.44 $ 28.44 $ 28.44




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



275

85810 26 Pathology 0.12 0.12 $ 7.49 $ 7.49

85810 TC Pathology 0.45 0.45 $ 29.08 $ 29.08




86000 00 Pathology 0.27 0.27 $ 22.50 $ 22.50

86000 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

86000 TC Pathology 0.27 0.27 $ 17.45 $ 17.45

86001 00 Pathology 0.20 0.20 $ 14.25 $ 14.25

86001 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

86001 TC Pathology 0.20 0.20 $ 12.93 $ 12.93

86003 00 Pathology 0.20 0.20 $ 24.17 $ 24.17

86003 26 Pathology 0.16 0.16 $ 10.05 $ 10.05

86003 TC Pathology 0.20 0.20 $ 16.63 $ 16.63

86005 00 Pathology 0.30 0.30 $ 19.39 $ 19.39

86005 26 Pathology 0.13 0.13 $ 8.27 $ 8.27

86005 TC Pathology 0.30 0.30 $ 19.39 $ 19.39

86021 00 Pathology 0.42 0.42 $ 44.25 $ 44.25

86021 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

86021 TC Pathology 0.58 0.58 $ 37.49 $ 37.49

86022 00 Pathology 0.70 0.70 $ 60.75 $ 60.75

86022 26 Pathology 0.42 0.42 $ 27.00 $ 27.00

86022 TC Pathology 0.70 0.70 $ 45.24 $ 45.24

86023 00 Pathology 0.30 0.30 $ 39.45 $ 39.45

86023 26 Pathology 0.30 0.30 $ 19.48 $ 19.48

86023 TC Pathology 0.48 0.48 $ 31.02 $ 31.02

86038 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

86038 26 Pathology 0.16 0.16 $ 10.30 $ 10.30

86038 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

86039 00 Pathology 0.42 0.42 $ 27.15 $ 27.15

86039 26 Pathology 0.17 0.17 $ 10.99 $ 10.99

86039 TC Pathology 0.43 0.43 $ 27.79 $ 27.79

86060 00 Pathology 0.28 0.28 $ 18.10 $ 18.10

86060 26 Pathology 0.08 0.08 $ 5.05 $ 5.05

86060 TC Pathology 0.28 0.28 $ 18.10 $ 18.10

86063 00 Pathology 0.22 0.22 $ 22.50 $ 22.50

86063 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

86063 TC Pathology 0.22 0.22 $ 15.75 $ 15.75

86077 00 Pathology 1.60 1.49 $ 103.41 $ 96.30

86077 26 Pathology 0.58 0.58 $ 37.37 $ 37.37

86077 TC Pathology 1.29 1.29 $ 83.33 $ 83.33

86078 00 Pathology 1.60 1.48 $ 103.41 $ 95.66




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



276

86078 26 Pathology 0.58 0.58 $ 37.37 $ 37.37

86078 TC Pathology 1.29 1.29 $ 83.33 $ 83.33

86079 00 Pathology 1.59 1.48 $ 102.77 $ 95.66

86079 26 Pathology 0.62 0.62 $ 40.00 $ 40.00

86079 TC Pathology 1.12 1.12 $ 72.45 $ 72.45

86140 00 Pathology 0.20 0.20 $ 19.50 $ 19.50

86140 26 Pathology 0.12 0.12 $ 8.00 $ 8.00

86140 TC Pathology 0.20 0.20 $ 13.50 $ 13.50

86141 00 Pathology 0.49 0.49 $ 106.90 $ 106.90

86141 26 Pathology - - $ - $ -

86141 TC Pathology 0.49 0.49 $ 106.90 $ 106.90

86146 00 Pathology 0.97 0.97 $ 62.69 $ 62.69

86146 26 Pathology 0.62 0.62 $ 40.26 $ 40.26

86146 TC Pathology 0.97 0.97 $ 62.69 $ 62.69

86147 00 Pathology 0.97 0.97 $ 62.82 $ 62.82

86147 26 Pathology 0.51 0.51 $ 33.15 $ 33.15

86147 TC Pathology 0.97 0.97 $ 62.69 $ 62.69

86148 00 Pathology 0.61 0.61 $ 60.81 $ 60.81

86148 26 Pathology 0.46 0.46 $ 29.87 $ 29.87

86148 TC Pathology 0.61 0.61 $ 39.43 $ 39.43

86152 00 Pathology 9.33 9.33 $ 603.03 $ 603.03


86152 TC Pathology 9.39 9.39 $ 606.90 $ 606.90


86153 26 Pathology 0.98 0.98 $ 63.34 $ 63.34


86155 00 Pathology 0.61 0.61 $ 39.43 $ 39.43

86155 26 Pathology 0.23 0.23 $ 14.84 $ 14.84

86155 TC Pathology 0.61 0.61 $ 39.43 $ 39.43

86156 00 Pathology 0.25 0.25 $ 16.16 $ 16.16

86156 26 Pathology 0.09 0.09 $ 5.84 $ 5.84

86156 TC Pathology 0.26 0.26 $ 16.80 $ 16.80

86157 00 Pathology 0.31 0.31 $ 20.04 $ 20.04

86157 26 Pathology 0.13 0.13 $ 8.57 $ 8.57

86157 TC Pathology 0.31 0.31 $ 20.04 $ 20.04

86160 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

86160 26 Pathology 0.16 0.16 $ 10.29 $ 10.29

86160 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

86161 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

86161 26 Pathology 0.15 0.15 $ 9.40 $ 9.40

86161 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

86162 00 Pathology 0.77 0.77 $ 65.25 $ 65.25




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



277

86162 26 Pathology 0.46 0.46 $ 30.00 $ 30.00

86162 TC Pathology 0.78 0.78 $ 50.41 $ 50.41

86171 00 Pathology 0.38 0.38 $ 31.50 $ 31.50

86171 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

86171 TC Pathology 0.38 0.38 $ 24.56 $ 24.56

86185 00 Pathology 0.34 0.34 $ 27.31 $ 27.31

86185 26 Pathology 0.16 0.16 $ 10.65 $ 10.65

86185 TC Pathology 0.34 0.34 $ 21.98 $ 21.98

86200 00 Pathology 0.49 0.49 $ 33.96 $ 33.96

86200 26 Pathology - - $ - $ -

86200 TC Pathology 0.49 0.49 $ 33.96 $ 33.96

86215 00 Pathology 0.50 0.50 $ 42.75 $ 42.75

86215 26 Pathology 0.29 0.29 $ 19.00 $ 19.00

86215 TC Pathology 0.51 0.51 $ 32.96 $ 32.96

86225 00 Pathology 0.52 0.52 $ 42.75 $ 42.75

86225 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

86225 TC Pathology 0.53 0.53 $ 34.26 $ 34.26

86226 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

86226 26 Pathology 0.18 0.18 $ 11.44 $ 11.44

86226 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

86235 00 Pathology 0.50 0.50 $ 39.00 $ 39.00

86235 26 Pathology 0.25 0.25 $ 16.00 $ 16.00

86235 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

86243 00 Pathology 0.78 0.78 $ 50.41 $ 50.41

86243 26 Pathology 0.29 0.29 $ 18.50 $ 18.50

86243 TC Pathology 0.78 0.78 $ 50.41 $ 50.41

86255 00 Pathology 0.46 0.46 $ 41.99 $ 41.99

86255 26 Pathology 0.52 0.52 $ 33.61 $ 33.61

86255 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

86256 00 Pathology 0.46 0.46 $ 42.05 $ 42.05

86256 26 Pathology 0.52 0.52 $ 33.61 $ 33.61

86256 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

86277 00 Pathology 0.60 0.60 $ 51.00 $ 51.00

86277 26 Pathology 0.36 0.36 $ 23.00 $ 23.00

86277 TC Pathology 0.60 0.60 $ 38.78 $ 38.78

86280 00 Pathology 0.31 0.31 $ 20.25 $ 20.25

86280 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

86280 TC Pathology 0.31 0.31 $ 20.04 $ 20.04

86294 00 Pathology 0.75 0.75 $ 216.44 $ 216.44

86294 26 Pathology - - $ - $ -

86294 TC Pathology 0.75 0.75 $ 216.44 $ 216.44

86300 00 Pathology 0.79 0.79 $ 51.06 $ 51.06




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



278

86300 26 Pathology - - $ - $ -

86300 TC Pathology 0.80 0.80 $ 51.71 $ 51.71

86301 00 Pathology 0.79 0.79 $ 51.06 $ 51.06

86301 26 Pathology - - $ - $ -

86301 TC Pathology 0.80 0.80 $ 51.71 $ 51.71

86304 00 Pathology 0.79 0.79 $ 51.06 $ 51.06

86304 26 Pathology - - $ - $ -

86304 TC Pathology 0.80 0.80 $ 51.71 $ 51.71

86305 00 Pathology 0.79 0.79 $ 51.06 $ 51.06


86305 TC Pathology 0.80 0.80 $ 51.71 $ 51.71

86308 00 Pathology 0.20 0.20 $ 12.93 $ 12.93

86308 26 Pathology 0.08 0.08 $ 5.40 $ 5.40

86308 TC Pathology 0.20 0.20 $ 12.93 $ 12.93

86309 00 Pathology 0.25 0.25 $ 16.16 $ 16.16

86309 26 Pathology 0.08 0.08 $ 5.24 $ 5.24

86309 TC Pathology 0.25 0.25 $ 16.16 $ 16.16

86310 00 Pathology 0.28 0.28 $ 20.25 $ 20.25

86310 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

86310 TC Pathology 0.28 0.28 $ 18.10 $ 18.10

86316 00 Pathology 0.79 0.79 $ 51.06 $ 51.06

86316 26 Pathology 0.27 0.27 $ 17.68 $ 17.68

86316 TC Pathology 0.80 0.80 $ 51.71 $ 51.71

86317 00 Pathology 0.57 0.57 $ 36.84 $ 36.84

86317 26 Pathology 0.25 0.25 $ 16.00 $ 16.00

86317 TC Pathology 0.57 0.57 $ 36.84 $ 36.84

86318 00 Pathology 0.49 0.49 $ 33.38 $ 33.38

86318 26 Pathology 0.31 0.31 $ 20.16 $ 20.16

86318 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

86320 00 Pathology 0.85 0.85 $ 74.75 $ 74.75

86320 26 Pathology 0.52 0.52 $ 33.61 $ 33.61

86320 TC Pathology 0.86 0.86 $ 55.58 $ 55.58

86325 00 Pathology 0.85 0.85 $ 75.51 $ 75.51

86325 26 Pathology 0.52 0.52 $ 33.61 $ 33.61

86325 TC Pathology 0.85 0.85 $ 54.94 $ 54.94

86327 00 Pathology 0.86 0.86 $ 81.43 $ 81.43

86327 26 Pathology 0.59 0.59 $ 38.13 $ 38.13

86327 TC Pathology 0.87 0.87 $ 56.23 $ 56.23

86329 00 Pathology 0.53 0.53 $ 44.25 $ 44.25

86329 26 Pathology 0.29 0.29 $ 19.00 $ 19.00

86329 TC Pathology 0.54 0.54 $ 34.90 $ 34.90

86331 00 Pathology 0.46 0.46 $ 39.00 $ 39.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



279

86331 26 Pathology 0.25 0.25 $ 16.00 $ 16.00

86331 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

86332 00 Pathology 0.93 0.93 $ 65.25 $ 65.25

86332 26 Pathology 0.54 0.54 $ 35.04 $ 35.04

86332 TC Pathology 0.93 0.93 $ 60.11 $ 60.11

86334 00 Pathology 0.85 0.85 $ 76.44 $ 76.44

86334 26 Pathology 0.52 0.52 $ 33.61 $ 33.61

86334 TC Pathology 0.85 0.85 $ 54.94 $ 54.94

86335 00 Pathology 1.11 1.11 $ 87.12 $ 87.12

86335 26 Pathology 0.52 0.52 $ 33.61 $ 33.61

86335 TC Pathology 1.12 1.12 $ 72.39 $ 72.39

86336 00 Pathology 0.49 0.49 $ 127.30 $ 127.30

86336 26 Pathology - - $ - $ -

86336 TC Pathology 0.60 0.60 $ 127.30 $ 127.30

86337 00 Pathology 0.81 0.81 $ 65.25 $ 65.25

86337 26 Pathology 0.46 0.46 $ 30.00 $ 30.00

86337 TC Pathology 0.82 0.82 $ 53.00 $ 53.00

86340 00 Pathology 0.57 0.57 $ 52.50 $ 52.50

86340 26 Pathology 0.36 0.36 $ 23.00 $ 23.00

86340 TC Pathology 0.58 0.58 $ 37.49 $ 37.49

86341 00 Pathology 0.75 0.75 $ 48.47 $ 48.47

86341 26 Pathology 0.30 0.30 $ 19.71 $ 19.71

86341 TC Pathology 0.76 0.76 $ 49.12 $ 49.12

86343 00 Pathology 0.47 0.47 $ 32.58 $ 32.58

86343 26 Pathology 0.22 0.22 $ 14.14 $ 14.14

86343 TC Pathology 0.48 0.48 $ 31.02 $ 31.02

86344 00 Pathology 0.30 0.30 $ 26.25 $ 26.25

86344 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

86344 TC Pathology 0.31 0.31 $ 20.04 $ 20.04

86352 00 Pathology 5.16 5.16 $ 333.51 $ 333.51


86352 TC Pathology 5.19 5.19 $ 335.45 $ 335.45

86353 00 Pathology 1.86 1.86 $ 121.50 $ 121.50

86353 26 Pathology 0.76 0.76 $ 49.00 $ 49.00

86353 TC Pathology 1.87 1.87 $ 120.86 $ 120.86

86355 00 Pathology 1.43 1.43 $ 92.43 $ 92.43

86355 26 Pathology 0.71 0.71 $ 45.89 $ 45.89

86355 TC Pathology 1.44 1.44 $ 93.07 $ 93.07

86356 00 Pathology 0.69 0.69 $ 90.75 $ 90.75

86356 26 Pathology 0.65 0.65 $ 42.00 $ 42.00

86356 TC Pathology 1.02 1.02 $ 65.93 $ 65.93

86357 00 Pathology 1.43 1.43 $ 92.43 $ 92.43




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



280

86357 26 Pathology 0.71 0.71 $ 45.89 $ 45.89

86357 TC Pathology 1.44 1.44 $ 93.07 $ 93.07

86359 00 Pathology 1.43 1.43 $ 92.43 $ 92.43

86359 26 Pathology 0.73 0.73 $ 47.06 $ 47.06

86359 TC Pathology 1.44 1.44 $ 93.07 $ 93.07

86360 00 Pathology 1.78 1.78 $ 115.05 $ 115.05

86360 26 Pathology 0.71 0.71 $ 46.14 $ 46.14

86360 TC Pathology 1.80 1.80 $ 116.34 $ 116.34

86361 00 Pathology 0.69 0.69 $ 66.79 $ 66.79

86361 26 Pathology 0.47 0.47 $ 30.14 $ 30.14

86361 TC Pathology 1.02 1.02 $ 65.93 $ 65.93

86367 00 Pathology 1.43 1.43 $ 92.43 $ 92.43

86367 26 Pathology 0.71 0.71 $ 45.89 $ 45.89

86367 TC Pathology 1.44 1.44 $ 93.07 $ 93.07

86376 00 Pathology 0.50 0.50 $ 42.00 $ 42.00

86376 26 Pathology 0.26 0.26 $ 17.00 $ 17.00

86376 TC Pathology 0.56 0.56 $ 36.19 $ 36.19

86378 00 Pathology 0.75 0.75 $ 48.47 $ 48.47

86378 26 Pathology 0.30 0.30 $ 19.39 $ 19.39

86378 TC Pathology 0.75 0.75 $ 48.47 $ 48.47

86382 00 Pathology 0.64 0.64 $ 54.75 $ 54.75

86382 26 Pathology 0.36 0.36 $ 23.00 $ 23.00

86382 TC Pathology 0.65 0.65 $ 42.01 $ 42.01

86384 00 Pathology 0.43 0.43 $ 30.00 $ 30.00

86384 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

86384 TC Pathology 0.44 0.44 $ 28.44 $ 28.44

86386 00 Pathology 0.61 0.61 $ 39.43 $ 39.43


86386 TC Pathology 0.61 0.61 $ 39.43 $ 39.43

86403 00 Pathology 0.39 0.39 $ 25.21 $ 25.21

86403 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

86403 TC Pathology 0.39 0.39 $ 25.21 $ 25.21

86406 00 Pathology 0.40 0.40 $ 25.85 $ 25.85

86406 26 Pathology 0.11 0.11 $ 7.37 $ 7.37

86406 TC Pathology 0.41 0.41 $ 26.50 $ 26.50

86430 00 Pathology 0.22 0.22 $ 18.21 $ 18.21

86430 26 Pathology 0.12 0.12 $ 7.77 $ 7.77

86430 TC Pathology 0.22 0.22 $ 14.22 $ 14.22

86431 00 Pathology 0.22 0.22 $ 17.18 $ 17.18

86431 26 Pathology 0.14 0.14 $ 9.19 $ 9.19

86431 TC Pathology 0.22 0.22 $ 14.22 $ 14.22

86480 00 Pathology 2.35 2.35 $ 178.02 $ 178.02




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



281

86480 26 Pathology - - $ - $ -

86480 TC Pathology 2.37 2.37 $ 178.02 $ 178.02

86481 00 Pathology 2.84 2.84 $ 183.56 $ 183.56


86481 TC Pathology 2.86 2.86 $ 184.85 $ 184.85

86485 00 Pathology 0.55 0.55 $ 35.55 $ 35.55

86485 26 Pathology 0.15 0.15 $ 9.80 $ 9.80

86485 TC Pathology 0.55 0.55 $ 35.55 $ 35.55

86486 00 Pathology 0.14 0.14 $ 17.25 $ 17.25

86486 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

86486 TC Pathology 0.14 0.14 $ 10.50 $ 10.50

86490 00 Pathology 2.06 2.06 $ 133.14 $ 133.14

86490 26 Pathology 0.17 0.17 $ 11.25 $ 11.25

86490 TC Pathology 2.06 2.06 $ 133.14 $ 133.14

86510 00 Pathology 0.17 0.17 $ 15.75 $ 15.75

86510 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

86510 TC Pathology 0.17 0.17 $ 10.99 $ 10.99

86580 00 Pathology 0.23 0.23 $ 14.87 $ 14.87

86580 26 Pathology 0.09 0.09 $ 6.00 $ 6.00

86580 TC Pathology 0.23 0.23 $ 14.87 $ 14.87

86590 00 Pathology 0.38 0.38 $ 24.56 $ 24.56

86590 26 Pathology 0.15 0.15 $ 9.69 $ 9.69

86590 TC Pathology 0.42 0.42 $ 27.15 $ 27.15

86592 00 Pathology 0.16 0.16 $ 10.50 $ 10.50

86592 26 Pathology 0.05 0.05 $ 3.00 $ 3.00

86592 TC Pathology 0.16 0.16 $ 10.34 $ 10.34

86593 00 Pathology 0.17 0.17 $ 12.75 $ 12.75

86593 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

86593 TC Pathology 0.17 0.17 $ 10.99 $ 10.99

86602 00 Pathology 0.39 0.39 $ 25.21 $ 25.21

86602 26 Pathology 0.16 0.16 $ 10.58 $ 10.58

86602 TC Pathology 0.39 0.39 $ 25.21 $ 25.21

86603 00 Pathology 0.49 0.49 $ 31.67 $ 31.67

86603 26 Pathology 0.18 0.18 $ 11.37 $ 11.37

86603 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

86606 00 Pathology 0.57 0.57 $ 36.84 $ 36.84

86606 26 Pathology 0.23 0.23 $ 14.57 $ 14.57

86606 TC Pathology 0.58 0.58 $ 37.49 $ 37.49

86609 00 Pathology 0.49 0.49 $ 31.67 $ 31.67

86609 26 Pathology 0.17 0.17 $ 11.10 $ 11.10

86609 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

86611 00 Pathology 0.39 0.39 $ 25.21 $ 25.21




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



282

86611 26 Pathology - - $ - $ -

86611 TC Pathology 0.39 0.39 $ 25.21 $ 25.21

86612 00 Pathology 0.49 0.49 $ 31.67 $ 31.67

86612 26 Pathology 0.16 0.16 $ 10.54 $ 10.54

86612 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

86615 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86615 26 Pathology 0.18 0.18 $ 11.78 $ 11.78

86615 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86617 00 Pathology 0.59 0.59 $ 38.13 $ 38.13

86617 26 Pathology 0.23 0.23 $ 15.04 $ 15.04

86617 TC Pathology 0.59 0.59 $ 38.13 $ 38.13

86618 00 Pathology 0.65 0.65 $ 42.01 $ 42.01

86618 26 Pathology 0.23 0.23 $ 14.59 $ 14.59

86618 TC Pathology 0.65 0.65 $ 42.01 $ 42.01

86619 00 Pathology 0.51 0.51 $ 32.96 $ 32.96

86619 26 Pathology 0.17 0.17 $ 11.06 $ 11.06

86619 TC Pathology 0.51 0.51 $ 32.96 $ 32.96

86622 00 Pathology 0.34 0.34 $ 21.98 $ 21.98

86622 26 Pathology 0.14 0.14 $ 9.04 $ 9.04

86622 TC Pathology 0.34 0.34 $ 21.98 $ 21.98

86625 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86625 26 Pathology 0.17 0.17 $ 10.95 $ 10.95

86625 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86628 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

86628 26 Pathology 0.18 0.18 $ 11.84 $ 11.84

86628 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

86631 00 Pathology 0.45 0.45 $ 29.08 $ 29.08

86631 26 Pathology 0.17 0.17 $ 10.90 $ 10.90

86631 TC Pathology 0.45 0.45 $ 29.08 $ 29.08

86632 00 Pathology 0.48 0.48 $ 31.02 $ 31.02

86632 26 Pathology 0.17 0.17 $ 11.21 $ 11.21

86632 TC Pathology 0.48 0.48 $ 31.02 $ 31.02

86635 00 Pathology 0.44 0.44 $ 28.44 $ 28.44

86635 26 Pathology 0.17 0.17 $ 11.14 $ 11.14

86635 TC Pathology 0.44 0.44 $ 28.44 $ 28.44

86638 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

86638 26 Pathology 0.17 0.17 $ 11.21 $ 11.21

86638 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

86641 00 Pathology 0.55 0.55 $ 35.55 $ 35.55

86641 26 Pathology 0.20 0.20 $ 13.22 $ 13.22

86641 TC Pathology 0.55 0.55 $ 35.55 $ 35.55

86644 00 Pathology 0.55 0.55 $ 35.55 $ 35.55




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



283

86644 26 Pathology 0.21 0.21 $ 13.28 $ 13.28

86644 TC Pathology 0.55 0.55 $ 35.55 $ 35.55

86645 00 Pathology 0.64 0.64 $ 41.37 $ 41.37

86645 26 Pathology 0.25 0.25 $ 16.03 $ 16.03

86645 TC Pathology 0.64 0.64 $ 41.37 $ 41.37

86648 00 Pathology 0.58 0.58 $ 37.49 $ 37.49

86648 26 Pathology 0.19 0.19 $ 12.37 $ 12.37

86648 TC Pathology 0.58 0.58 $ 37.49 $ 37.49

86651 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86651 26 Pathology 0.19 0.19 $ 12.17 $ 12.17

86651 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86652 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86652 26 Pathology 0.19 0.19 $ 12.17 $ 12.17

86652 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86653 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86653 26 Pathology 0.19 0.19 $ 12.17 $ 12.17

86653 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86654 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86654 26 Pathology 0.19 0.19 $ 12.17 $ 12.17

86654 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86658 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86658 26 Pathology 0.19 0.19 $ 12.55 $ 12.55

86658 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86663 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86663 26 Pathology 0.20 0.20 $ 12.92 $ 12.92

86663 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86664 00 Pathology 0.58 0.58 $ 37.49 $ 37.49

86664 26 Pathology 0.23 0.23 $ 14.96 $ 14.96

86664 TC Pathology 0.58 0.58 $ 37.49 $ 37.49

86665 00 Pathology 0.69 0.69 $ 44.60 $ 44.60

86665 26 Pathology 0.26 0.26 $ 17.12 $ 17.12

86665 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

86666 00 Pathology 0.39 0.39 $ 25.21 $ 25.21

86666 26 Pathology - - $ - $ -

86666 TC Pathology 0.39 0.39 $ 25.21 $ 25.21

86668 00 Pathology 0.40 0.40 $ 25.85 $ 25.85

86668 26 Pathology 0.15 0.15 $ 9.90 $ 9.90

86668 TC Pathology 0.40 0.40 $ 25.85 $ 25.85

86671 00 Pathology 0.47 0.47 $ 30.38 $ 30.38

86671 26 Pathology 0.17 0.17 $ 10.76 $ 10.76

86671 TC Pathology 0.47 0.47 $ 30.38 $ 30.38

86674 00 Pathology 0.56 0.56 $ 36.19 $ 36.19




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



284

86674 26 Pathology 0.21 0.21 $ 13.48 $ 13.48

86674 TC Pathology 0.56 0.56 $ 36.19 $ 36.19

86677 00 Pathology 0.55 0.55 $ 35.55 $ 35.55

86677 26 Pathology 0.24 0.24 $ 15.77 $ 15.77

86677 TC Pathology 0.55 0.55 $ 35.55 $ 35.55

86682 00 Pathology 0.49 0.49 $ 31.67 $ 31.67

86682 26 Pathology 0.22 0.22 $ 14.12 $ 14.12

86682 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86684 00 Pathology 0.60 0.60 $ 38.78 $ 38.78

86684 26 Pathology 0.23 0.23 $ 14.66 $ 14.66

86684 TC Pathology 0.61 0.61 $ 39.43 $ 39.43

86687 00 Pathology 0.32 0.32 $ 20.68 $ 20.68

86687 26 Pathology 0.09 0.09 $ 5.89 $ 5.89

86687 TC Pathology 0.32 0.32 $ 20.68 $ 20.68

86688 00 Pathology 0.53 0.53 $ 34.26 $ 34.26

86688 26 Pathology 0.19 0.19 $ 12.04 $ 12.04

86688 TC Pathology 0.54 0.54 $ 34.90 $ 34.90

86689 00 Pathology 0.74 0.74 $ 47.83 $ 47.83

86689 26 Pathology 0.26 0.26 $ 16.63 $ 16.63

86689 TC Pathology 0.74 0.74 $ 47.83 $ 47.83

86692 00 Pathology 0.65 0.65 $ 42.01 $ 42.01

86692 26 Pathology 0.24 0.24 $ 15.48 $ 15.48

86692 TC Pathology 0.66 0.66 $ 42.66 $ 42.66

86694 00 Pathology 0.55 0.55 $ 35.55 $ 35.55

86694 26 Pathology 0.19 0.19 $ 12.12 $ 12.12

86694 TC Pathology 0.55 0.55 $ 35.55 $ 35.55

86695 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86695 26 Pathology 0.18 0.18 $ 11.85 $ 11.85

86695 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86696 00 Pathology 0.74 0.74 $ 47.83 $ 47.83

86696 26 Pathology 0.31 0.31 $ 20.03 $ 20.03

86696 TC Pathology 0.74 0.74 $ 47.83 $ 47.83

86698 00 Pathology 0.47 0.47 $ 30.38 $ 30.38

86698 26 Pathology 0.17 0.17 $ 11.14 $ 11.14

86698 TC Pathology 0.48 0.48 $ 31.02 $ 31.02

86701 00 Pathology 0.34 0.34 $ 21.98 $ 21.98

86701 26 Pathology 0.12 0.12 $ 7.77 $ 7.77

86701 TC Pathology 0.34 0.34 $ 21.98 $ 21.98

86702 00 Pathology 0.51 0.51 $ 32.96 $ 32.96

86702 26 Pathology 0.22 0.22 $ 14.20 $ 14.20

86702 TC Pathology 0.52 0.52 $ 33.61 $ 33.61

86703 00 Pathology 0.52 0.52 $ 33.61 $ 33.61




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



285

86703 26 Pathology 0.19 0.19 $ 12.17 $ 12.17

86703 TC Pathology 0.52 0.52 $ 33.61 $ 33.61

86704 00 Pathology 0.46 0.46 $ 32.08 $ 32.08

86704 26 Pathology 0.20 0.20 $ 13.20 $ 13.20

86704 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

86705 00 Pathology 0.45 0.45 $ 39.00 $ 39.00

86705 26 Pathology 0.23 0.23 $ 15.00 $ 15.00

86705 TC Pathology 0.45 0.45 $ 29.08 $ 29.08

86706 00 Pathology 0.41 0.41 $ 28.50 $ 28.50

86706 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

86706 TC Pathology 0.41 0.41 $ 26.50 $ 26.50

86707 00 Pathology 0.44 0.44 $ 28.50 $ 28.50

86707 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

86707 TC Pathology 0.44 0.44 $ 28.44 $ 28.44

86708 00 Pathology 0.47 0.47 $ 32.25 $ 32.25

86708 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

86708 TC Pathology 0.47 0.47 $ 30.38 $ 30.38

86709 00 Pathology 0.43 0.43 $ 29.17 $ 29.17

86709 26 Pathology 0.19 0.19 $ 12.24 $ 12.24

86709 TC Pathology 0.43 0.43 $ 27.79 $ 27.79

86710 00 Pathology 0.51 0.51 $ 32.96 $ 32.96

86710 26 Pathology 0.19 0.19 $ 12.46 $ 12.46

86710 TC Pathology 0.52 0.52 $ 33.61 $ 33.61

86711 00 Pathology 0.55 0.55 $ 35.55 $ 35.55


86711 TC Pathology 0.55 0.55 $ 35.55 $ 35.55

86713 00 Pathology 0.58 0.58 $ 37.49 $ 37.49

86713 26 Pathology 0.21 0.21 $ 13.65 $ 13.65

86713 TC Pathology 0.58 0.58 $ 37.49 $ 37.49

86717 00 Pathology 0.47 0.47 $ 30.38 $ 30.38

86717 26 Pathology 0.17 0.17 $ 11.03 $ 11.03

86717 TC Pathology 0.47 0.47 $ 30.38 $ 30.38

86720 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86720 26 Pathology 0.19 0.19 $ 12.17 $ 12.17

86720 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86723 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86723 26 Pathology 0.19 0.19 $ 12.17 $ 12.17

86723 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86727 00 Pathology 0.49 0.49 $ 31.67 $ 31.67

86727 26 Pathology 0.17 0.17 $ 10.99 $ 10.99

86727 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

86729 00 Pathology 0.45 0.45 $ 29.08 $ 29.08




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



286

86729 26 Pathology 0.16 0.16 $ 10.62 $ 10.62

86729 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

86732 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86732 26 Pathology 0.19 0.19 $ 12.17 $ 12.17

86732 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86735 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86735 26 Pathology 0.19 0.19 $ 12.33 $ 12.33

86735 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86738 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86738 26 Pathology 0.19 0.19 $ 12.17 $ 12.17

86738 TC Pathology 0.51 0.51 $ 32.96 $ 32.96

86741 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86741 26 Pathology 0.19 0.19 $ 12.17 $ 12.17

86741 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86744 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86744 26 Pathology 0.23 0.23 $ 15.06 $ 15.06

86744 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86747 00 Pathology 0.57 0.57 $ 36.84 $ 36.84

86747 26 Pathology 0.20 0.20 $ 12.80 $ 12.80

86747 TC Pathology 0.57 0.57 $ 36.84 $ 36.84

86750 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86750 26 Pathology 0.17 0.17 $ 10.96 $ 10.96

86750 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86753 00 Pathology 0.47 0.47 $ 30.38 $ 30.38

86753 26 Pathology 0.17 0.17 $ 10.78 $ 10.78

86753 TC Pathology 0.47 0.47 $ 30.38 $ 30.38

86756 00 Pathology 0.49 0.49 $ 31.67 $ 31.67

86756 26 Pathology 0.21 0.21 $ 13.36 $ 13.36

86756 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

86757 00 Pathology 0.74 0.74 $ 47.83 $ 47.83

86757 26 Pathology 0.30 0.30 $ 19.58 $ 19.58

86757 TC Pathology 0.74 0.74 $ 47.83 $ 47.83

86759 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86759 26 Pathology 0.21 0.21 $ 13.39 $ 13.39

86759 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86762 00 Pathology 0.55 0.55 $ 35.55 $ 35.55

86762 26 Pathology 0.19 0.19 $ 12.05 $ 12.05

86762 TC Pathology 0.55 0.55 $ 35.55 $ 35.55

86765 00 Pathology 0.49 0.49 $ 31.67 $ 31.67

86765 26 Pathology 0.19 0.19 $ 12.37 $ 12.37

86765 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

86768 00 Pathology 0.50 0.50 $ 32.32 $ 32.32




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



287

86768 26 Pathology 0.19 0.19 $ 12.17 $ 12.17

86768 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86771 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86771 26 Pathology 0.19 0.19 $ 12.17 $ 12.17

86771 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86774 00 Pathology 0.56 0.56 $ 36.19 $ 36.19

86774 26 Pathology 0.18 0.18 $ 11.53 $ 11.53

86774 TC Pathology 0.57 0.57 $ 36.84 $ 36.84

86777 00 Pathology 0.55 0.55 $ 35.55 $ 35.55

86777 26 Pathology 0.19 0.19 $ 12.07 $ 12.07

86777 TC Pathology 0.55 0.55 $ 35.55 $ 35.55

86778 00 Pathology 0.55 0.55 $ 35.55 $ 35.55

86778 26 Pathology 0.19 0.19 $ 12.25 $ 12.25

86778 TC Pathology 0.55 0.55 $ 35.55 $ 35.55

86780 00 Pathology 0.50 0.50 $ 42.96 $ 42.96

86780 26 Pathology - - $ - $ -

86780 TC Pathology 0.51 0.51 $ 42.96 $ 42.96

86784 00 Pathology 0.48 0.48 $ 31.02 $ 31.02

86784 26 Pathology 0.19 0.19 $ 12.49 $ 12.49

86784 TC Pathology 0.48 0.48 $ 31.02 $ 31.02

86787 00 Pathology 0.49 0.49 $ 31.67 $ 31.67

86787 26 Pathology 0.19 0.19 $ 12.43 $ 12.43

86787 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

86788 00 Pathology 0.64 0.64 $ 41.37 $ 41.37

86788 26 Pathology - - $ - $ -

86788 TC Pathology 0.64 0.64 $ 41.37 $ 41.37

86789 00 Pathology 0.55 0.55 $ 35.55 $ 35.55

86789 26 Pathology - - $ - $ -

86789 TC Pathology 0.55 0.55 $ 35.55 $ 35.55

86790 00 Pathology 0.49 0.49 $ 31.67 $ 31.67

86790 26 Pathology 0.19 0.19 $ 12.31 $ 12.31

86790 TC Pathology 0.49 0.49 $ 31.67 $ 31.67

86793 00 Pathology 0.50 0.50 $ 32.32 $ 32.32

86793 26 Pathology 0.19 0.19 $ 12.08 $ 12.08

86793 TC Pathology 0.50 0.50 $ 32.32 $ 32.32

86800 00 Pathology 0.50 0.50 $ 34.30 $ 34.30

86800 26 Pathology 0.22 0.22 $ 14.50 $ 14.50

86800 TC Pathology 0.61 0.61 $ 39.43 $ 39.43

86803 00 Pathology 0.54 0.54 $ 34.90 $ 34.90

86803 26 Pathology 0.19 0.19 $ 12.10 $ 12.10

86803 TC Pathology 0.55 0.55 $ 35.55 $ 35.55

86804 00 Pathology 0.59 0.59 $ 38.13 $ 38.13




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



288

86804 26 Pathology 0.22 0.22 $ 14.28 $ 14.28

86804 TC Pathology 0.59 0.59 $ 38.13 $ 38.13

86805 00 Pathology 1.99 1.99 $ 128.62 $ 128.62

86805 26 Pathology 0.79 0.79 $ 51.25 $ 51.25

86805 TC Pathology 2.00 2.00 $ 129.27 $ 129.27

86806 00 Pathology 1.81 1.81 $ 116.99 $ 116.99

86806 26 Pathology 0.76 0.76 $ 49.44 $ 49.44

86806 TC Pathology 1.82 1.82 $ 117.63 $ 117.63

86807 00 Pathology 0.97 0.97 $ 87.75 $ 87.75

86807 26 Pathology 0.54 0.54 $ 35.00 $ 35.00

86807 TC Pathology 1.51 1.51 $ 97.60 $ 97.60

86808 00 Pathology 0.97 0.97 $ 63.35 $ 63.35

86808 26 Pathology 0.38 0.38 $ 24.51 $ 24.51

86808 TC Pathology 1.13 1.13 $ 73.04 $ 73.04

86812 00 Pathology 0.98 0.98 $ 116.24 $ 116.24

86812 26 Pathology 0.73 0.73 $ 47.08 $ 47.08

86812 TC Pathology 0.99 0.99 $ 80.93 $ 80.93

86813 00 Pathology 1.26 1.26 $ 125.11 $ 125.11

86813 26 Pathology 0.79 0.79 $ 50.96 $ 50.96

86813 TC Pathology 2.22 2.22 $ 143.49 $ 143.49

86816 00 Pathology 1.06 1.06 $ 75.75 $ 75.75

86816 26 Pathology 0.46 0.46 $ 30.00 $ 30.00

86816 TC Pathology 1.06 1.06 $ 68.51 $ 68.51

86817 00 Pathology 1.26 1.26 $ 170.03 $ 170.03

86817 26 Pathology 1.04 1.04 $ 67.48 $ 67.48

86817 TC Pathology 2.46 2.46 $ 159.00 $ 159.00

86821 00 Pathology 1.26 1.26 $ 138.75 $ 138.75

86821 26 Pathology 0.77 0.77 $ 50.00 $ 50.00

86821 TC Pathology 2.16 2.16 $ 139.61 $ 139.61

86822 00 Pathology 1.26 1.26 $ 93.90 $ 93.90

86822 26 Pathology 0.64 0.64 $ 41.43 $ 41.43

86822 TC Pathology 1.40 1.40 $ 90.49 $ 90.49

86825 00 Pathology 2.06 2.06 $ 165.20 $ 165.20

86825 26 Pathology - - $ - $ -

86825 TC Pathology 3.07 3.07 $ 198.42 $ 198.42

86826 00 Pathology 0.69 0.69 $ 55.25 $ 55.25

86826 26 Pathology - - $ - $ -

86826 TC Pathology 1.02 1.02 $ 65.93 $ 65.93

86828 00 Pathology 0.97 0.97 $ 62.69 $ 62.69

86828 26 Pathology - - $ - $ -

86828 TC Pathology 1.51 1.51 $ 97.60 $ 97.60

86829 00 Pathology 0.97 0.97 $ 62.69 $ 62.69




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



289

86829 26 Pathology - - $ - $ -

86829 TC Pathology 1.13 1.13 $ 73.04 $ 73.04

86830 00 Pathology 3.07 3.07 $ 198.42 $ 198.42

86830 26 Pathology - - $ - $ -

86830 TC Pathology 3.09 3.09 $ 199.72 $ 199.72

86831 00 Pathology 2.63 2.63 $ 169.98 $ 169.98

86831 26 Pathology - - $ - $ -

86831 TC Pathology 2.65 2.65 $ 171.28 $ 171.28

86832 00 Pathology 4.82 4.82 $ 311.53 $ 311.53

86832 26 Pathology - - $ - $ -

86832 TC Pathology 4.85 4.85 $ 313.47 $ 313.47

86833 00 Pathology 4.38 4.38 $ 283.09 $ 283.09

86833 26 Pathology - - $ - $ -

86833 TC Pathology 4.41 4.41 $ 285.03 $ 285.03

86834 00 Pathology 13.57 13.57 $ 877.07 $ 877.07

86834 26 Pathology - - $ - $ -

86834 TC Pathology 13.67 13.67 $ 883.53 $ 883.53

86835 00 Pathology 12.26 12.26 $ 792.40 $ 792.40

86835 26 Pathology - - $ - $ -

86835 TC Pathology 12.34 12.34 $ 797.57 $ 797.57




86850 00 Pathology 0.15 0.15 $ 23.47 $ 23.47

86850 26 Pathology 0.18 0.18 $ 11.60 $ 11.60

86850 TC Pathology 0.15 0.15 $ 14.77 $ 14.77

86860 00 Pathology 0.87 0.87 $ 56.23 $ 56.23

86860 26 Pathology 0.35 0.35 $ 22.79 $ 22.79

86860 TC Pathology 0.87 0.87 $ 56.23 $ 56.23

86870 00 Pathology 1.19 1.19 $ 76.91 $ 76.91

86870 26 Pathology 0.27 0.27 $ 17.39 $ 17.39

86870 TC Pathology 1.19 1.19 $ 76.91 $ 76.91

86880 00 Pathology 0.20 0.20 $ 15.75 $ 15.75

86880 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

86880 TC Pathology 0.21 0.21 $ 13.57 $ 13.57

86885 00 Pathology 0.22 0.22 $ 14.54 $ 14.54

86885 26 Pathology 0.08 0.08 $ 4.85 $ 4.85

86885 TC Pathology 0.22 0.22 $ 14.22 $ 14.22

86886 00 Pathology 0.20 0.20 $ 19.73 $ 19.73

86886 26 Pathology 0.14 0.14 $ 8.77 $ 8.77

86886 TC Pathology 0.20 0.20 $ 13.15 $ 13.15

86890 00 Pathology 2.73 2.73 $ 176.45 $ 176.45




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



290

86890 26 Pathology 0.31 0.31 $ 20.06 $ 20.06

86890 TC Pathology 2.73 2.73 $ 176.45 $ 176.45

86891 00 Pathology 3.85 3.85 $ 248.84 $ 248.84

86891 26 Pathology 0.99 0.99 $ 64.21 $ 64.21

86891 TC Pathology 3.85 3.85 $ 248.84 $ 248.84

86900 00 Pathology 0.11 0.11 $ 11.25 $ 11.25

86900 26 Pathology 0.06 0.06 $ 4.00 $ 4.00

86900 TC Pathology 0.11 0.11 $ 8.25 $ 8.25

86901 00 Pathology 0.11 0.11 $ 14.25 $ 14.25

86901 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

86901 TC Pathology 0.11 0.11 $ 9.00 $ 9.00

86902 00 Pathology 0.15 0.15 $ 9.69 $ 9.69

86902 26 Pathology - - $ - $ -

86902 TC Pathology 0.15 0.15 $ 9.69 $ 9.69

86904 00 Pathology 0.36 0.36 $ 23.27 $ 23.27

86904 26 Pathology 0.15 0.15 $ 9.94 $ 9.94

86904 TC Pathology 0.36 0.36 $ 23.27 $ 23.27

86905 00 Pathology 0.15 0.15 $ 10.50 $ 10.50

86905 26 Pathology 0.05 0.05 $ 3.00 $ 3.00

86905 TC Pathology 0.15 0.15 $ 9.69 $ 9.69

86906 00 Pathology 0.29 0.29 $ 18.74 $ 18.74

86906 26 Pathology 0.10 0.10 $ 6.34 $ 6.34

86906 TC Pathology 0.30 0.30 $ 19.39 $ 19.39

86910 00 Pathology 0.71 0.71 $ 80.75 $ 80.75

86910 26 Pathology 0.54 0.54 $ 34.72 $ 34.72

86910 TC Pathology 0.71 0.71 $ 54.71 $ 54.71

86911 00 Pathology 0.61 0.61 $ 39.43 $ 39.43

86911 26 Pathology 0.19 0.19 $ 12.24 $ 12.24

86911 TC Pathology 0.61 0.61 $ 39.43 $ 39.43

86920 00 Pathology 0.96 0.96 $ 62.05 $ 62.05

86920 26 Pathology 0.17 0.17 $ 11.00 $ 11.00

86920 TC Pathology 0.96 0.96 $ 62.05 $ 62.05

86921 00 Pathology 0.87 0.87 $ 56.23 $ 56.23

86921 26 Pathology 0.23 0.23 $ 14.99 $ 14.99

86921 TC Pathology 0.87 0.87 $ 56.23 $ 56.23

86922 00 Pathology 1.03 1.03 $ 66.57 $ 66.57

86922 26 Pathology 0.23 0.23 $ 14.98 $ 14.98

86922 TC Pathology 1.03 1.03 $ 66.57 $ 66.57

86923 00 Pathology 0.77 0.77 $ 49.77 $ 49.77

86923 26 Pathology 0.23 0.23 $ 14.60 $ 14.60

86923 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

86927 00 Pathology 0.55 0.55 $ 35.55 $ 35.55




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



291

86927 26 Pathology 0.22 0.22 $ 14.28 $ 14.28

86927 TC Pathology 0.55 0.55 $ 35.55 $ 35.55

86930 00 Pathology 3.21 3.21 $ 207.47 $ 207.47

86930 26 Pathology 1.13 1.13 $ 73.21 $ 73.21

86930 TC Pathology 3.21 3.21 $ 207.47 $ 207.47

86931 00 Pathology 2.41 2.41 $ 155.77 $ 155.77

86931 26 Pathology 0.89 0.89 $ 57.72 $ 57.72

86931 TC Pathology 2.41 2.41 $ 155.77 $ 155.77

86932 00 Pathology 2.73 2.73 $ 176.45 $ 176.45

86932 26 Pathology 2.30 2.30 $ 148.38 $ 148.38

86932 TC Pathology 2.73 2.73 $ 176.45 $ 176.45

86940 00 Pathology 0.31 0.31 $ 22.50 $ 22.50

86940 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

86940 TC Pathology 0.31 0.31 $ 20.04 $ 20.04

86941 00 Pathology 0.46 0.46 $ 36.75 $ 36.75

86941 26 Pathology 0.22 0.22 $ 14.00 $ 14.00

86941 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

86945 00 Pathology 0.80 0.80 $ 51.71 $ 51.71

86945 26 Pathology 0.27 0.27 $ 17.25 $ 17.25

86945 TC Pathology 0.80 0.80 $ 51.71 $ 51.71

86950 00 Pathology 2.09 2.09 $ 148.61 $ 148.61

86950 26 Pathology 0.93 0.93 $ 60.17 $ 60.17

86950 TC Pathology 2.09 2.09 $ 135.08 $ 135.08

86960 00 Pathology 0.90 0.90 $ 58.17 $ 58.17

86960 26 Pathology - - $ - $ -

86960 TC Pathology 0.90 0.90 $ 58.17 $ 58.17

86965 00 Pathology 0.90 0.90 $ 58.17 $ 58.17

86965 26 Pathology 0.24 0.24 $ 15.40 $ 15.40

86965 TC Pathology 0.90 0.90 $ 58.17 $ 58.17

86970 00 Pathology 0.80 0.80 $ 51.71 $ 51.71

86970 26 Pathology 0.29 0.29 $ 19.04 $ 19.04

86970 TC Pathology 0.80 0.80 $ 51.71 $ 51.71

86971 00 Pathology 0.64 0.64 $ 41.37 $ 41.37

86971 26 Pathology 0.18 0.18 $ 11.57 $ 11.57

86971 TC Pathology 0.64 0.64 $ 41.37 $ 41.37

86972 00 Pathology 1.12 1.12 $ 72.39 $ 72.39

86972 26 Pathology 0.27 0.27 $ 17.46 $ 17.46

86972 TC Pathology 1.12 1.12 $ 72.39 $ 72.39

86975 00 Pathology 0.87 0.87 $ 74.35 $ 74.35

86975 26 Pathology 0.47 0.47 $ 30.35 $ 30.35

86975 TC Pathology 0.87 0.87 $ 56.23 $ 56.23

86976 00 Pathology 0.96 0.96 $ 74.35 $ 74.35




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



292

86976 26 Pathology 0.47 0.47 $ 30.32 $ 30.32

86976 TC Pathology 0.96 0.96 $ 62.05 $ 62.05

86977 00 Pathology 0.96 0.96 $ 74.35 $ 74.35

86977 26 Pathology 0.47 0.47 $ 30.32 $ 30.32

86977 TC Pathology 0.96 0.96 $ 62.05 $ 62.05

86978 00 Pathology 0.96 0.96 $ 89.52 $ 89.52

86978 26 Pathology 0.58 0.58 $ 37.61 $ 37.61

86978 TC Pathology 0.96 0.96 $ 62.05 $ 62.05

86985 00 Pathology 0.71 0.71 $ 45.89 $ 45.89

86985 26 Pathology 0.23 0.23 $ 14.78 $ 14.78

86985 TC Pathology 0.71 0.71 $ 45.89 $ 45.89




87003 00 Pathology 0.64 0.64 $ 41.37 $ 41.37

87003 26 Pathology 0.26 0.26 $ 16.61 $ 16.61

87003 TC Pathology 0.64 0.64 $ 41.37 $ 41.37

87015 00 Pathology 0.25 0.25 $ 19.50 $ 19.50

87015 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

87015 TC Pathology 0.26 0.26 $ 16.80 $ 16.80

87040 00 Pathology 0.39 0.39 $ 25.21 $ 25.21

87040 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

87040 TC Pathology 0.39 0.39 $ 25.21 $ 25.21

87045 00 Pathology 0.36 0.36 $ 27.75 $ 27.75

87045 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

87045 TC Pathology 0.36 0.36 $ 23.27 $ 23.27

87046 00 Pathology 0.36 0.36 $ 23.27 $ 23.27

87046 26 Pathology - - $ - $ -

87046 TC Pathology 0.36 0.36 $ 23.27 $ 23.27

87070 00 Pathology 0.33 0.33 $ 21.33 $ 21.33

87070 26 Pathology 0.12 0.12 $ 7.56 $ 7.56

87070 TC Pathology 0.33 0.33 $ 21.33 $ 21.33

87071 00 Pathology 0.36 0.36 $ 23.27 $ 23.27

87071 26 Pathology - - $ - $ -

87071 TC Pathology 0.36 0.36 $ 23.27 $ 23.27

87073 00 Pathology 0.36 0.36 $ 23.27 $ 23.27

87073 26 Pathology - - $ - $ -

87073 TC Pathology 0.36 0.36 $ 23.27 $ 23.27

87075 00 Pathology 0.36 0.36 $ 23.27 $ 23.27

87075 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

87075 TC Pathology 0.36 0.36 $ 23.27 $ 23.27

87076 00 Pathology 0.31 0.31 $ 31.50 $ 31.50




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



293

87076 26 Pathology 0.23 0.23 $ 15.00 $ 15.00

87076 TC Pathology 0.31 0.31 $ 20.25 $ 20.25

87077 00 Pathology 0.31 0.31 $ 20.04 $ 20.04

87077 26 Pathology - - $ - $ -

87077 TC Pathology 0.31 0.31 $ 20.04 $ 20.04

87081 00 Pathology 0.25 0.25 $ 16.16 $ 16.16

87081 26 Pathology 0.08 0.08 $ 5.05 $ 5.05

87081 TC Pathology 0.25 0.25 $ 16.16 $ 16.16

87084 00 Pathology 0.33 0.33 $ 24.75 $ 24.75

87084 26 Pathology 0.17 0.17 $ 11.00 $ 11.00

87084 TC Pathology 0.33 0.33 $ 21.33 $ 21.33

87086 00 Pathology 0.31 0.31 $ 20.04 $ 20.04

87086 26 Pathology 0.08 0.08 $ 5.15 $ 5.15

87086 TC Pathology 0.31 0.31 $ 20.04 $ 20.04

87088 00 Pathology 0.31 0.31 $ 20.04 $ 20.04

87088 26 Pathology 0.11 0.11 $ 7.21 $ 7.21

87088 TC Pathology 0.31 0.31 $ 20.04 $ 20.04

87101 00 Pathology 0.29 0.29 $ 24.75 $ 24.75

87101 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

87101 TC Pathology 0.29 0.29 $ 18.74 $ 18.74

87102 00 Pathology 0.32 0.32 $ 24.75 $ 24.75

87102 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

87102 TC Pathology 0.32 0.32 $ 20.68 $ 20.68

87103 00 Pathology 0.34 0.34 $ 28.52 $ 28.52

87103 26 Pathology 0.20 0.20 $ 13.08 $ 13.08

87103 TC Pathology 0.34 0.34 $ 21.98 $ 21.98

87106 00 Pathology 0.39 0.39 $ 31.50 $ 31.50

87106 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

87106 TC Pathology 0.39 0.39 $ 25.21 $ 25.21

87107 00 Pathology 0.39 0.39 $ 25.21 $ 25.21

87107 26 Pathology - - $ - $ -

87107 TC Pathology 0.39 0.39 $ 25.21 $ 25.21

87109 00 Pathology 0.58 0.58 $ 37.50 $ 37.50

87109 26 Pathology 0.28 0.28 $ 18.00 $ 18.00

87109 TC Pathology 0.59 0.59 $ 38.13 $ 38.13

87110 00 Pathology 0.74 0.74 $ 47.83 $ 47.83

87110 26 Pathology 0.26 0.26 $ 17.12 $ 17.12

87110 TC Pathology 0.75 0.75 $ 48.47 $ 48.47

87116 00 Pathology 0.41 0.41 $ 27.00 $ 27.00

87116 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

87116 TC Pathology 0.41 0.41 $ 26.50 $ 26.50

87118 00 Pathology 0.42 0.42 $ 31.50 $ 31.50




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



294

87118 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

87118 TC Pathology 0.42 0.42 $ 27.15 $ 27.15

87140 00 Pathology 0.21 0.21 $ 30.00 $ 30.00

87140 26 Pathology 0.19 0.19 $ 12.00 $ 12.00

87140 TC Pathology 0.21 0.21 $ 21.00 $ 21.00

87143 00 Pathology 0.48 0.48 $ 31.34 $ 31.34

87143 26 Pathology 0.22 0.22 $ 13.98 $ 13.98

87143 TC Pathology 0.48 0.48 $ 31.02 $ 31.02

87147 00 Pathology 0.15 0.15 $ 25.55 $ 25.55

87147 26 Pathology 0.17 0.17 $ 11.00 $ 11.00

87147 TC Pathology 0.20 0.20 $ 17.30 $ 17.30

87149 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87149 26 Pathology 0.35 0.35 $ 22.74 $ 22.74

87149 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87150 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87150 26 Pathology - - $ - $ -

87150 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87152 00 Pathology 0.20 0.20 $ 12.93 $ 12.93

87152 26 Pathology - - $ - $ -

87152 TC Pathology 0.20 0.20 $ 12.93 $ 12.93

87153 00 Pathology 4.38 4.38 $ 283.09 $ 283.09

87153 26 Pathology - - $ - $ -

87153 TC Pathology 4.41 4.41 $ 285.03 $ 285.03

87158 00 Pathology 0.20 0.20 $ 12.93 $ 12.93

87158 26 Pathology 0.05 0.05 $ 3.45 $ 3.45

87158 TC Pathology 0.20 0.20 $ 12.93 $ 12.93

87164 00 Pathology 0.41 0.41 $ 40.25 $ 40.25

87164 26 Pathology 0.52 0.52 $ 33.61 $ 33.61

87164 TC Pathology 0.41 0.41 $ 26.50 $ 26.50

87166 00 Pathology 0.43 0.43 $ 29.25 $ 29.25

87166 26 Pathology 0.17 0.17 $ 11.00 $ 11.00

87166 TC Pathology 0.43 0.43 $ 27.79 $ 27.79

87168 00 Pathology 0.16 0.16 $ 10.34 $ 10.34

87168 26 Pathology - - $ - $ -

87168 TC Pathology 0.16 0.16 $ 10.34 $ 10.34

87169 00 Pathology 0.16 0.16 $ 10.34 $ 10.34

87169 26 Pathology - - $ - $ -

87169 TC Pathology 0.16 0.16 $ 10.34 $ 10.34

87172 00 Pathology 0.16 0.16 $ 10.34 $ 10.34

87172 26 Pathology - - $ - $ -

87172 TC Pathology 0.16 0.16 $ 10.34 $ 10.34

87176 00 Pathology 0.22 0.22 $ 15.18 $ 15.18




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



295

87176 26 Pathology 0.11 0.11 $ 7.19 $ 7.19

87176 TC Pathology 0.22 0.22 $ 14.22 $ 14.22

87177 00 Pathology 0.34 0.34 $ 22.50 $ 22.50

87177 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

87177 TC Pathology 0.34 0.34 $ 21.98 $ 21.98

87181 00 Pathology 0.18 0.18 $ 15.75 $ 15.75

87181 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

87181 TC Pathology 0.18 0.18 $ 11.63 $ 11.63

87184 00 Pathology 0.23 0.23 $ 14.87 $ 14.87

87184 26 Pathology 0.08 0.08 $ 5.20 $ 5.20

87184 TC Pathology 0.26 0.26 $ 16.80 $ 16.80

87185 00 Pathology 0.18 0.18 $ 11.63 $ 11.63

87185 26 Pathology - - $ - $ -

87185 TC Pathology 0.18 0.18 $ 11.63 $ 11.63

87186 00 Pathology 0.33 0.33 $ 21.33 $ 21.33

87186 26 Pathology 0.15 0.15 $ 9.72 $ 9.72

87186 TC Pathology 0.33 0.33 $ 21.33 $ 21.33

87187 00 Pathology 0.39 0.39 $ 25.21 $ 25.21

87187 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

87187 TC Pathology 0.40 0.40 $ 25.85 $ 25.85

87188 00 Pathology 0.25 0.25 $ 19.50 $ 19.50

87188 26 Pathology 0.12 0.12 $ 8.00 $ 8.00

87188 TC Pathology 0.25 0.25 $ 16.16 $ 16.16

87190 00 Pathology 0.15 0.15 $ 11.75 $ 11.75

87190 26 Pathology 0.06 0.06 $ 3.92 $ 3.92

87190 TC Pathology 0.22 0.22 $ 14.22 $ 14.22

87197 00 Pathology 0.57 0.57 $ 36.84 $ 36.84

87197 26 Pathology 0.25 0.25 $ 16.00 $ 16.00

87197 TC Pathology 0.57 0.57 $ 36.84 $ 36.84

87205 00 Pathology 0.16 0.16 $ 12.75 $ 12.75

87205 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

87205 TC Pathology 0.16 0.16 $ 10.34 $ 10.34

87206 00 Pathology 0.18 0.18 $ 18.00 $ 18.00

87206 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

87206 TC Pathology 0.21 0.21 $ 14.25 $ 14.25

87207 00 Pathology 0.23 0.23 $ 32.34 $ 32.34

87207 26 Pathology 0.52 0.52 $ 33.61 $ 33.61

87207 TC Pathology 0.23 0.23 $ 14.87 $ 14.87

87209 00 Pathology 0.68 0.68 $ 43.95 $ 43.95

87209 26 Pathology 0.20 0.20 $ 13.10 $ 13.10

87209 TC Pathology 0.69 0.69 $ 44.60 $ 44.60

87210 00 Pathology 0.16 0.16 $ 10.34 $ 10.34




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



296

87210 26 Pathology 0.06 0.06 $ 4.00 $ 4.00

87210 TC Pathology 0.16 0.16 $ 10.34 $ 10.34

87220 00 Pathology 0.16 0.16 $ 14.25 $ 14.25

87220 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

87220 TC Pathology 0.16 0.16 $ 10.34 $ 10.34

87230 00 Pathology 0.75 0.75 $ 48.47 $ 48.47

87230 26 Pathology 0.27 0.27 $ 17.34 $ 17.34

87230 TC Pathology 0.75 0.75 $ 48.47 $ 48.47

87250 00 Pathology 0.74 0.74 $ 47.83 $ 47.83

87250 26 Pathology 0.35 0.35 $ 22.47 $ 22.47

87250 TC Pathology 0.75 0.75 $ 48.47 $ 48.47

87252 00 Pathology 0.99 0.99 $ 63.99 $ 63.99

87252 26 Pathology 0.36 0.36 $ 23.52 $ 23.52

87252 TC Pathology 1.00 1.00 $ 64.63 $ 64.63

87253 00 Pathology 0.77 0.77 $ 49.77 $ 49.77

87253 26 Pathology 0.26 0.26 $ 16.83 $ 16.83

87253 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87254 00 Pathology 0.74 0.74 $ 47.83 $ 47.83

87254 26 Pathology - - $ - $ -

87254 TC Pathology 0.75 0.75 $ 48.47 $ 48.47

87255 00 Pathology 1.29 1.29 $ 306.46 $ 306.46

87255 26 Pathology - - $ - $ -

87255 TC Pathology 1.29 1.29 $ 306.46 $ 306.46

87260 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87260 26 Pathology 0.18 0.18 $ 11.94 $ 11.94

87260 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87265 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87265 26 Pathology 0.18 0.18 $ 11.94 $ 11.94

87265 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87267 00 Pathology 0.46 0.46 $ 35.91 $ 35.91

87267 26 Pathology - - $ - $ -

87267 TC Pathology 0.46 0.46 $ 35.91 $ 35.91

87269 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87269 26 Pathology - - $ - $ -

87269 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87270 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87270 26 Pathology 0.18 0.18 $ 11.94 $ 11.94

87270 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87271 00 Pathology 0.46 0.46 $ 35.91 $ 35.91

87271 26 Pathology - - $ - $ -

87271 TC Pathology 0.46 0.46 $ 35.91 $ 35.91

87272 00 Pathology 0.46 0.46 $ 29.73 $ 29.73




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



297

87272 26 Pathology 0.18 0.18 $ 11.94 $ 11.94

87272 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87273 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87273 26 Pathology - - $ - $ -

87273 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87274 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87274 26 Pathology 0.18 0.18 $ 11.94 $ 11.94

87274 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87275 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87275 26 Pathology - - $ - $ -

87275 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87276 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87276 26 Pathology 0.18 0.18 $ 11.94 $ 11.94

87276 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87277 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87277 26 Pathology - - $ - $ -

87277 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87278 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87278 26 Pathology 0.18 0.18 $ 11.94 $ 11.94

87278 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87279 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87279 26 Pathology - - $ - $ -

87279 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87280 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87280 26 Pathology 0.18 0.18 $ 11.94 $ 11.94

87280 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87281 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87281 26 Pathology - - $ - $ -

87281 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87283 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87283 26 Pathology - - $ - $ -

87283 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87285 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87285 26 Pathology 0.18 0.18 $ 11.94 $ 11.94

87285 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87290 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87290 26 Pathology 0.18 0.18 $ 11.94 $ 11.94

87290 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87299 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87299 26 Pathology 0.18 0.18 $ 11.94 $ 11.94

87299 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87300 00 Pathology 0.46 0.46 $ 29.73 $ 29.73




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



298

87300 26 Pathology 0.14 0.14 $ 9.22 $ 9.22

87300 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87301 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87301 26 Pathology 0.18 0.18 $ 11.94 $ 11.94

87301 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87305 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87305 26 Pathology - - $ - $ -

87305 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87320 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87320 26 Pathology 0.18 0.18 $ 11.94 $ 11.94

87320 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87324 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87324 26 Pathology 0.18 0.18 $ 11.94 $ 11.94

87324 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87327 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87327 26 Pathology - - $ - $ -

87327 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87328 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87328 26 Pathology 0.18 0.18 $ 11.94 $ 11.94

87328 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87329 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87329 26 Pathology - - $ - $ -

87329 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87332 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87332 26 Pathology 0.18 0.18 $ 11.94 $ 11.94

87332 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87335 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87335 26 Pathology 0.18 0.18 $ 11.94 $ 11.94

87335 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87336 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87336 26 Pathology - - $ - $ -

87336 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87337 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87337 26 Pathology 0.28 0.28 $ 18.33 $ 18.33

87337 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87338 00 Pathology 0.46 0.46 $ 31.27 $ 31.27

87338 26 Pathology 0.17 0.17 $ 11.27 $ 11.27

87338 TC Pathology 0.55 0.55 $ 35.55 $ 35.55

87339 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87339 26 Pathology - - $ - $ -

87339 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87340 00 Pathology 0.35 0.35 $ 22.62 $ 22.62




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



299

87340 26 Pathology 0.13 0.13 $ 8.56 $ 8.56

87340 TC Pathology 0.39 0.39 $ 25.21 $ 25.21

87341 00 Pathology 0.35 0.35 $ 22.62 $ 22.62

87341 26 Pathology - - $ - $ -

87341 TC Pathology 0.39 0.39 $ 25.21 $ 25.21

87350 00 Pathology 0.44 0.44 $ 28.44 $ 28.44

87350 26 Pathology 0.16 0.16 $ 10.20 $ 10.20

87350 TC Pathology 0.44 0.44 $ 28.44 $ 28.44

87380 00 Pathology 0.62 0.62 $ 40.07 $ 40.07

87380 26 Pathology 0.23 0.23 $ 15.01 $ 15.01

87380 TC Pathology 0.63 0.63 $ 40.72 $ 40.72

87385 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87385 26 Pathology 0.17 0.17 $ 11.10 $ 11.10

87385 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87389 00 Pathology 0.91 0.91 $ 59.73 $ 59.73

87389 26 Pathology - - $ - $ -

87389 TC Pathology 0.92 0.92 $ 59.73 $ 59.73

87390 00 Pathology 0.67 0.67 $ 43.30 $ 43.30

87390 26 Pathology 0.26 0.26 $ 17.07 $ 17.07

87390 TC Pathology 0.67 0.67 $ 43.30 $ 43.30

87391 00 Pathology 0.67 0.67 $ 43.30 $ 43.30

87391 26 Pathology 0.26 0.26 $ 17.07 $ 17.07

87391 TC Pathology 0.67 0.67 $ 43.30 $ 43.30

87400 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87400 26 Pathology 0.14 0.14 $ 9.22 $ 9.22

87400 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87420 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87420 26 Pathology 0.17 0.17 $ 11.10 $ 11.10

87420 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87425 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87425 26 Pathology 0.17 0.17 $ 11.10 $ 11.10

87425 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87427 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87427 26 Pathology - - $ - $ -

87427 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87430 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87430 26 Pathology 0.17 0.17 $ 11.10 $ 11.10

87430 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87449 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87449 26 Pathology 0.17 0.17 $ 11.10 $ 11.10

87449 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87450 00 Pathology 0.36 0.36 $ 23.27 $ 23.27




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



300

87450 26 Pathology 0.13 0.13 $ 8.32 $ 8.32

87450 TC Pathology 0.37 0.37 $ 23.91 $ 23.91

87451 00 Pathology 0.36 0.36 $ 23.27 $ 23.27

87451 26 Pathology - - $ - $ -

87451 TC Pathology 0.37 0.37 $ 23.91 $ 23.91

87470 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87470 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87470 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87471 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87471 26 Pathology 0.53 0.53 $ 34.36 $ 34.36

87471 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87472 00 Pathology 1.63 1.63 $ 105.35 $ 105.35

87472 26 Pathology 0.68 0.68 $ 43.68 $ 43.68

87472 TC Pathology 1.64 1.64 $ 106.00 $ 106.00

87475 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87475 26 Pathology 0.29 0.29 $ 18.67 $ 18.67

87475 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87476 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87476 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87476 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87477 00 Pathology 1.63 1.63 $ 105.35 $ 105.35

87477 26 Pathology 0.68 0.68 $ 43.68 $ 43.68

87477 TC Pathology 1.64 1.64 $ 106.00 $ 106.00

87480 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87480 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87480 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87481 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87481 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87481 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87482 00 Pathology 1.59 1.59 $ 102.77 $ 102.77

87482 26 Pathology 0.62 0.62 $ 39.86 $ 39.86

87482 TC Pathology 1.60 1.60 $ 103.41 $ 103.41

87483 00 Pathology 15.93 15.93 $ 1,029.60 $ 1,029.60

87485 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87485 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87485 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87486 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87486 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87486 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87487 00 Pathology 1.63 1.63 $ 105.35 $ 105.35

87487 26 Pathology 0.62 0.62 $ 40.13 $ 40.13

87487 TC Pathology 1.64 1.64 $ 106.00 $ 106.00




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



301

87490 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87490 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87490 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87491 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87491 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87491 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87492 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87492 26 Pathology 0.52 0.52 $ 33.51 $ 33.51

87492 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87493 00 Pathology 1.33 1.33 $ 100.14 $ 100.14

87493 26 Pathology - - $ - $ -

87493 TC Pathology 1.34 1.34 $ 100.14 $ 100.14

87495 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87495 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87495 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87496 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87496 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87496 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87497 00 Pathology 1.63 1.63 $ 105.35 $ 105.35

87497 26 Pathology 0.62 0.62 $ 40.13 $ 40.13

87497 TC Pathology 1.64 1.64 $ 106.00 $ 106.00

87498 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87498 26 Pathology - - $ - $ -

87498 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87500 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87500 26 Pathology 0.39 0.39 $ 25.35 $ 25.35

87500 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87501 00 Pathology 1.95 1.95 $ 126.03 $ 126.03

87501 26 Pathology - - $ - $ -

87501 TC Pathology 1.96 1.96 $ 126.68 $ 126.68

87502 00 Pathology 3.23 3.23 $ 208.76 $ 208.76

87502 26 Pathology - - $ - $ -

87502 TC Pathology 3.25 3.25 $ 210.06 $ 210.06

87503 00 Pathology 0.79 0.79 $ 51.06 $ 51.06

87503 26 Pathology - - $ - $ -

87503 TC Pathology 0.79 0.79 $ 51.06 $ 51.06

87505 00 Pathology 4.87 4.87 $ 314.76 $ 314.76

87505 26 Pathology - - $ - $ -

87505 TC Pathology 4.90 4.90 $ 316.70 $ 316.70

87506 00 Pathology 8.10 8.10 $ 523.53 $ 523.53

87506 26 Pathology - - $ - $ -

87506 TC Pathology 8.16 8.16 $ 527.41 $ 527.41




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



302

87507 00 Pathology 15.82 15.82 $ 1,022.49 $ 1,022.49

87507 26 Pathology - - $ - $ -

87507 TC Pathology 15.93 15.93 $ 1,029.60 $ 1,029.60

87510 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87510 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87510 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87511 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87511 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87511 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87512 00 Pathology 1.59 1.59 $ 102.77 $ 102.77

87512 26 Pathology 0.62 0.62 $ 39.86 $ 39.86

87512 TC Pathology 1.60 1.60 $ 103.41 $ 103.41

87515 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87515 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87515 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87516 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87516 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87516 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87517 00 Pathology 1.63 1.63 $ 105.35 $ 105.35

87517 26 Pathology 0.62 0.62 $ 40.13 $ 40.13

87517 TC Pathology 1.64 1.64 $ 106.00 $ 106.00

87520 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87520 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87520 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87521 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87521 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87521 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87522 00 Pathology 1.63 1.63 $ 105.35 $ 105.35

87522 26 Pathology 0.62 0.62 $ 40.14 $ 40.14

87522 TC Pathology 1.64 1.64 $ 106.00 $ 106.00

87525 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87525 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87525 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87526 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87526 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87526 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87527 00 Pathology 1.59 1.59 $ 102.77 $ 102.77

87527 26 Pathology 0.62 0.62 $ 39.86 $ 39.86

87527 TC Pathology 1.60 1.60 $ 103.41 $ 103.41

87528 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87528 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87528 TC Pathology 0.77 0.77 $ 49.77 $ 49.77




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



303

87529 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87529 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87529 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87530 00 Pathology 1.63 1.63 $ 105.35 $ 105.35

87530 26 Pathology 0.62 0.62 $ 40.13 $ 40.13

87530 TC Pathology 1.64 1.64 $ 106.00 $ 106.00

87531 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87531 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87531 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87532 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87532 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87532 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87533 00 Pathology 1.59 1.59 $ 102.77 $ 102.77

87533 26 Pathology 0.62 0.62 $ 39.86 $ 39.86

87533 TC Pathology 1.60 1.60 $ 103.41 $ 103.41

87534 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87534 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87534 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87535 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87535 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87535 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87536 00 Pathology 3.23 3.23 $ 208.76 $ 208.76

87536 26 Pathology 0.94 0.94 $ 60.47 $ 60.47

87536 TC Pathology 3.25 3.25 $ 210.06 $ 210.06

87537 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87537 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87537 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87538 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87538 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87538 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87539 00 Pathology 1.63 1.63 $ 105.35 $ 105.35

87539 26 Pathology 0.62 0.62 $ 40.13 $ 40.13

87539 TC Pathology 1.64 1.64 $ 106.00 $ 106.00

87540 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87540 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87540 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87541 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87541 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87541 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87542 00 Pathology 1.59 1.59 $ 102.77 $ 102.77

87542 26 Pathology 0.62 0.62 $ 39.86 $ 39.86

87542 TC Pathology 1.60 1.60 $ 103.41 $ 103.41




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



304

87550 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87550 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87550 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87551 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87551 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87551 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87552 00 Pathology 1.63 1.63 $ 105.35 $ 105.35

87552 26 Pathology 0.62 0.62 $ 40.13 $ 40.13

87552 TC Pathology 1.64 1.64 $ 106.00 $ 106.00

87555 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87555 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87555 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87556 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87556 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87556 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87557 00 Pathology 1.63 1.63 $ 105.35 $ 105.35

87557 26 Pathology 0.62 0.62 $ 40.13 $ 40.13

87557 TC Pathology 1.64 1.64 $ 106.00 $ 106.00

87560 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87560 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87560 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87561 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87561 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87561 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87562 00 Pathology 1.63 1.63 $ 105.35 $ 105.35

87562 26 Pathology 0.62 0.62 $ 40.13 $ 40.13

87562 TC Pathology 1.64 1.64 $ 106.00 $ 106.00

87580 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87580 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87580 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87581 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87581 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87581 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87582 00 Pathology 1.59 1.59 $ 102.77 $ 102.77

87582 26 Pathology 0.62 0.62 $ 39.86 $ 39.86

87582 TC Pathology 1.60 1.60 $ 103.41 $ 103.41

87590 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87590 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87590 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87591 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87591 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87591 TC Pathology 1.34 1.34 $ 86.61 $ 86.61




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



305

87592 00 Pathology 1.63 1.63 $ 105.35 $ 105.35

87592 26 Pathology 0.62 0.62 $ 40.13 $ 40.13

87592 TC Pathology 1.64 1.64 $ 106.00 $ 106.00

87623 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87623 26 Pathology - - $ - $ -

87623 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87624 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87624 26 Pathology - - $ - $ -

87624 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87625 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87625 26 Pathology - - $ - $ -

87625 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87631 00 Pathology 4.87 4.87 $ 314.76 $ 314.76

87631 26 Pathology - - $ - $ -

87631 TC Pathology 4.90 4.90 $ 316.70 $ 316.70

87632 00 Pathology 8.10 8.10 $ 523.53 $ 523.53

87632 26 Pathology - - $ - $ -

87632 TC Pathology 8.16 8.16 $ 527.41 $ 527.41

87633 00 Pathology 15.82 15.82 $ 1,022.49 $ 1,022.49

87633 26 Pathology - - $ - $ -

87633 TC Pathology 15.93 15.93 $ 1,029.60 $ 1,029.60

87640 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87640 26 Pathology - - $ - $ -

87640 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87641 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87641 26 Pathology - - $ - $ -

87641 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87650 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87650 26 Pathology 0.29 0.29 $ 18.48 $ 18.48

87650 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87651 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87651 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87651 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87652 00 Pathology 1.59 1.59 $ 102.77 $ 102.77

87652 26 Pathology 0.62 0.62 $ 39.86 $ 39.86

87652 TC Pathology 1.60 1.60 $ 103.41 $ 103.41

87653 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87653 26 Pathology - - $ - $ -

87653 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87660 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87660 26 Pathology - - $ - $ -

87660 TC Pathology 0.77 0.77 $ 49.77 $ 49.77




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



306

87661 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87661 26 Pathology - - $ - $ -

87661 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87797 00 Pathology 0.76 0.76 $ 49.12 $ 49.12

87797 26 Pathology 0.29 0.29 $ 18.49 $ 18.49

87797 TC Pathology 0.77 0.77 $ 49.77 $ 49.77

87798 00 Pathology 1.33 1.33 $ 85.96 $ 85.96

87798 26 Pathology 0.51 0.51 $ 33.13 $ 33.13

87798 TC Pathology 1.34 1.34 $ 86.61 $ 86.61

87799 00 Pathology 1.63 1.63 $ 105.35 $ 105.35

87799 26 Pathology 0.68 0.68 $ 43.68 $ 43.68

87799 TC Pathology 1.64 1.64 $ 106.00 $ 106.00

87800 00 Pathology 1.52 1.52 $ 98.24 $ 98.24

87800 26 Pathology 0.50 0.50 $ 32.00 $ 32.00

87800 TC Pathology 1.53 1.53 $ 98.89 $ 98.89

87801 00 Pathology 2.66 2.66 $ 171.92 $ 171.92

87801 26 Pathology 0.87 0.87 $ 55.92 $ 55.92

87801 TC Pathology 2.68 2.68 $ 173.22 $ 173.22

87802 00 Pathology 0.46 0.46 $ 37.94 $ 37.94

87802 26 Pathology - - $ - $ -

87802 TC Pathology 0.46 0.46 $ 37.94 $ 37.94

87803 00 Pathology 0.46 0.46 $ 37.94 $ 37.94

87803 26 Pathology - - $ - $ -

87803 TC Pathology 0.46 0.46 $ 37.94 $ 37.94

87804 00 Pathology 0.46 0.46 $ 37.94 $ 37.94

87804 26 Pathology - - $ - $ -

87804 TC Pathology 0.46 0.46 $ 37.94 $ 37.94

87806 00 Pathology 0.91 0.91 $ 58.82 $ 58.82


87806 TC Pathology 0.92 0.92 $ 59.46 $ 59.46

87807 00 Pathology 0.46 0.46 $ 102.90 $ 102.90

87807 26 Pathology - - $ - $ -

87807 TC Pathology 0.46 0.46 $ 102.90 $ 102.90

87808 00 Pathology 0.46 0.46 $ 102.90 $ 102.90

87808 26 Pathology - - $ - $ -

87808 TC Pathology 0.46 0.46 $ 102.90 $ 102.90

87809 00 Pathology 0.46 0.46 $ 35.25 $ 35.25

87809 26 Pathology 0.23 0.23 $ 15.00 $ 15.00

87809 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87810 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87810 26 Pathology 0.17 0.17 $ 11.10 $ 11.10

87810 TC Pathology 0.46 0.46 $ 29.73 $ 29.73




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



307

87850 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87850 26 Pathology 0.17 0.17 $ 11.10 $ 11.10

87850 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87880 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87880 26 Pathology 0.17 0.17 $ 11.10 $ 11.10

87880 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87899 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87899 26 Pathology 0.17 0.17 $ 11.10 $ 11.10

87899 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

87900 00 Pathology 4.95 4.95 $ 374.56 $ 374.56

87900 26 Pathology - - $ - $ -

87900 TC Pathology 4.98 4.98 $ 374.56 $ 374.56

87901 00 Pathology 9.77 9.77 $ 631.46 $ 631.46

87901 26 Pathology - - $ - $ -

87901 TC Pathology 9.84 9.84 $ 635.99 $ 635.99

87902 00 Pathology 9.77 9.77 $ 631.46 $ 631.46

87902 26 Pathology 2.76 2.76 $ 178.16 $ 178.16

87902 TC Pathology 9.84 9.84 $ 635.99 $ 635.99

87903 00 Pathology 18.55 18.55 $ 1,198.94 $ 1,198.94

87903 26 Pathology - - $ - $ -

87903 TC Pathology 18.68 18.68 $ 1,207.34 $ 1,207.34

87904 00 Pathology 0.99 0.99 $ 83.87 $ 83.87

87904 26 Pathology 0.57 0.57 $ 36.89 $ 36.89

87904 TC Pathology 1.00 1.00 $ 64.63 $ 64.63

87905 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

87905 26 Pathology - - $ - $ -

87905 TC Pathology 0.47 0.47 $ 30.38 $ 30.38

87906 00 Pathology 4.89 4.89 $ 316.06 $ 316.06

87906 26 Pathology - - $ - $ -

87906 TC Pathology 4.92 4.92 $ 317.99 $ 317.99

87910 00 Pathology 9.77 9.77 $ 631.46 $ 631.46

87910 26 Pathology - - $ - $ -

87910 TC Pathology 9.84 9.84 $ 635.99 $ 635.99

87912 00 Pathology 9.77 9.77 $ 631.46 $ 631.46

87912 26 Pathology - - $ - $ -

87912 TC Pathology 9.84 9.84 $ 635.99 $ 635.99




88000 00 Pathology 6.23 6.23 $ 486.00 $ 486.00

88000 26 Pathology 10.03 10.03 $ 648.00 $ 648.00

88000 TC Pathology - - $ - $ -




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



308

88005 00 Pathology 7.27 7.27 $ 587.25 $ 587.25

88005 26 Pathology 12.11 12.11 $ 783.00 $ 783.00

88005 TC Pathology - - $ - $ -

88007 00 Pathology 7.61 7.61 $ 652.50 $ 652.50

88007 26 Pathology 13.46 13.46 $ 870.00 $ 870.00

88007 TC Pathology - - $ - $ -

88012 00 Pathology 6.23 6.23 $ 434.36 $ 434.36

88012 26 Pathology 8.96 8.96 $ 579.14 $ 579.14

88012 TC Pathology - - $ - $ -

88014 00 Pathology 5.71 5.71 $ 434.36 $ 434.36

88014 26 Pathology 8.96 8.96 $ 579.14 $ 579.14

88014 TC Pathology - - $ - $ -

88016 00 Pathology 7.96 7.96 $ 514.48 $ 514.48

88016 26 Pathology 9.93 9.93 $ 641.77 $ 641.77

88016 TC Pathology 0.01 0.01 $ 0.92 $ 0.92

88020 00 Pathology 10.73 10.73 $ 693.51 $ 693.51

88020 26 Pathology 13.34 13.34 $ 862.11 $ 862.11

88020 TC Pathology 0.06 0.06 $ 4.13 $ 4.13

88025 00 Pathology 10.38 10.38 $ 786.75 $ 786.75

88025 26 Pathology 16.23 16.23 $ 1,049.00 $ 1,049.00

88025 TC Pathology - - $ - $ -

88027 00 Pathology 11.07 11.07 $ 786.75 $ 786.75

88027 26 Pathology 16.23 16.23 $ 1,049.00 $ 1,049.00

88027 TC Pathology - - $ - $ -

88028 00 Pathology 6.23 6.23 $ 535.08 $ 535.08

88028 26 Pathology 11.04 11.04 $ 713.44 $ 713.44

88028 TC Pathology - - $ - $ -

88029 00 Pathology 6.23 6.23 $ 535.08 $ 535.08

88029 26 Pathology 11.04 11.04 $ 713.44 $ 713.44

88029 TC Pathology - - $ - $ -

88036 00 Pathology 3.11 3.11 $ 442.47 $ 442.47

88036 26 Pathology 9.13 9.13 $ 589.96 $ 589.96

88036 TC Pathology - - $ - $ -

88037 00 Pathology 2.77 2.77 $ 360.15 $ 360.15

88037 26 Pathology 7.43 7.43 $ 480.20 $ 480.20

88037 TC Pathology - - $ - $ -

88040 00 Pathology 17.30 17.30 $ 1,337.70 $ 1,337.70

88040 26 Pathology 27.60 27.60 $ 1,783.60 $ 1,783.60

88040 TC Pathology - - $ - $ -

88045 00 Pathology 1.73 1.73 $ 111.82 $ 111.82






CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



309




88104 00 Pathology 2.10 2.10 $ 135.73 $ 135.73

88104 26 Pathology 0.84 0.84 $ 54.29 $ 54.29

88104 TC Pathology 1.26 1.26 $ 81.44 $ 81.44

88106 00 Pathology 1.81 1.81 $ 116.99 $ 116.99

88106 26 Pathology 0.57 0.57 $ 41.34 $ 41.34

88106 TC Pathology 1.24 1.24 $ 80.14 $ 80.14

88108 00 Pathology 1.77 1.77 $ 114.94 $ 114.94

88108 26 Pathology 0.66 0.66 $ 67.53 $ 67.53

88108 TC Pathology 1.11 1.11 $ 71.74 $ 71.74

88112 00 Pathology 1.92 1.92 $ 144.00 $ 144.00

88112 26 Pathology 0.81 0.81 $ 78.00 $ 78.00

88112 TC Pathology 1.11 1.11 $ 71.74 $ 71.74

88120 00 Pathology 17.86 17.86 $ 1,154.35 $ 1,154.35

88120 26 Pathology 1.69 1.69 $ 109.23 $ 109.23

88120 TC Pathology 16.17 16.17 $ 1,045.12 $ 1,045.12

88121 00 Pathology 15.43 15.43 $ 997.29 $ 997.29

88121 26 Pathology 1.45 1.45 $ 108.34 $ 108.34

88121 TC Pathology 13.98 13.98 $ 903.57 $ 903.57

88125 00 Pathology 0.59 0.59 $ 52.50 $ 52.50

88125 26 Pathology 0.37 0.37 $ 23.91 $ 23.91

88125 TC Pathology 0.22 0.22 $ 30.75 $ 30.75

88130 00 Pathology 0.57 0.57 $ 36.84 $ 36.84

88130 26 Pathology 0.21 0.21 $ 13.87 $ 13.87

88130 TC Pathology 0.58 0.58 $ 37.49 $ 37.49

88140 00 Pathology 0.25 0.25 $ 25.50 $ 25.50

88140 26 Pathology 0.14 0.14 $ 9.00 $ 9.00

88140 TC Pathology 0.31 0.31 $ 20.04 $ 20.04

88141 00 Pathology 0.92 0.92 $ 59.46 $ 59.46

88141 26 Pathology 0.29 0.29 $ 18.85 $ 18.85

88141 TC Pathology 0.68 0.68 $ 44.23 $ 44.23

88142 00 Pathology 0.77 0.77 $ 80.25 $ 80.25

88142 26 Pathology 0.45 0.45 $ 29.00 $ 29.00

88142 TC Pathology 0.77 0.77 $ 58.50 $ 58.50

88143 00 Pathology 0.77 0.77 $ 87.47 $ 87.47

88143 26 Pathology - - $ - $ -

88143 TC Pathology 0.77 0.77 $ 87.47 $ 87.47

88147 00 Pathology 0.43 0.43 $ 77.18 $ 77.18

88147 26 Pathology - - $ - $ -

88147 TC Pathology 0.43 0.43 $ 77.18 $ 77.18




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



310

88148 00 Pathology 0.58 0.58 $ 97.76 $ 97.76

88148 26 Pathology - - $ - $ -

88148 TC Pathology 0.58 0.58 $ 97.76 $ 97.76

88150 00 Pathology 0.40 0.40 $ 25.85 $ 25.85

88150 26 Pathology 0.16 0.16 $ 10.30 $ 10.30

88150 TC Pathology 0.40 0.40 $ 25.85 $ 25.85

88152 00 Pathology 0.40 0.40 $ 45.75 $ 45.75

88152 26 Pathology 0.17 0.17 $ 11.00 $ 11.00

88152 TC Pathology 0.40 0.40 $ 37.50 $ 37.50

88153 00 Pathology 0.40 0.40 $ 77.18 $ 77.18

88153 26 Pathology - - $ - $ -

88153 TC Pathology 0.40 0.40 $ 77.18 $ 77.18

88154 00 Pathology 0.40 0.40 $ 97.76 $ 97.76

88154 26 Pathology - - $ - $ -

88154 TC Pathology 0.40 0.40 $ 97.76 $ 97.76

88155 00 Pathology 0.23 0.23 $ 22.50 $ 22.50

88155 26 Pathology 0.12 0.12 $ 8.00 $ 8.00

88155 TC Pathology 0.23 0.23 $ 16.50 $ 16.50

88160 00 Pathology 2.05 2.05 $ 132.50 $ 132.50

88160 26 Pathology 0.76 0.76 $ 49.12 $ 49.12

88160 TC Pathology 1.29 1.29 $ 83.38 $ 83.38

88161 00 Pathology 1.85 1.85 $ 119.57 $ 119.57

88161 26 Pathology 0.73 0.73 $ 47.18 $ 47.18

88161 TC Pathology 1.12 1.12 $ 72.39 $ 72.39

88162 00 Pathology 2.82 2.82 $ 182.27 $ 182.27

88162 26 Pathology 1.14 1.14 $ 73.68 $ 73.68

88162 TC Pathology 1.68 1.68 $ 108.58 $ 108.58

88164 00 Pathology 0.40 0.40 $ 51.45 $ 51.45

88164 26 Pathology - - $ - $ -

88164 TC Pathology 0.40 0.40 $ 51.45 $ 51.45

88165 00 Pathology 0.40 0.40 $ 66.89 $ 66.89

88165 26 Pathology - - $ - $ -

88165 TC Pathology 0.40 0.40 $ 66.89 $ 66.89

88166 00 Pathology 0.40 0.40 $ 77.18 $ 77.18

88166 26 Pathology - - $ - $ -

88166 TC Pathology 0.40 0.40 $ 77.18 $ 77.18

88167 00 Pathology 0.40 0.40 $ 82.32 $ 82.32

88167 26 Pathology - - $ - $ -

88167 TC Pathology 0.40 0.40 $ 82.32 $ 82.32

88172 00 Pathology 1.62 1.62 $ 104.71 $ 104.71

88172 26 Pathology 1.06 1.06 $ 68.51 $ 68.51

88172 TC Pathology 0.56 0.56 $ 36.19 $ 36.19




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



311

88173 00 Pathology 4.34 4.34 $ 280.51 $ 280.51

88173 26 Pathology 2.07 2.07 $ 133.79 $ 133.79

88173 TC Pathology 2.27 2.27 $ 146.72 $ 146.72

88174 00 Pathology 0.81 0.81 $ 169.76 $ 169.76

88174 26 Pathology - - $ - $ -

88174 TC Pathology 0.82 0.82 $ 169.76 $ 169.76

88175 00 Pathology 1.01 1.01 $ 183.46 $ 183.46

88175 26 Pathology - - $ - $ -

88175 TC Pathology 1.01 1.01 $ 183.46 $ 183.46

88177 00 Pathology 0.86 0.86 $ 71.56 $ 71.56

88177 26 Pathology 0.65 0.65 $ 46.95 $ 46.95

88177 TC Pathology 0.21 0.21 $ 24.61 $ 24.61

88182 00 Pathology 3.38 3.38 $ 218.46 $ 218.46

88182 26 Pathology 1.08 1.08 $ 69.80 $ 69.80

88182 TC Pathology 2.30 2.30 $ 148.66 $ 148.66

88184 00 Pathology 1.72 1.72 $ 124.31 $ 124.31

88184 26 Pathology - - $ - $ -

88184 TC Pathology 1.72 1.72 $ 124.31 $ 124.31

88185 00 Pathology 1.05 1.05 $ 72.74 $ 72.74

88185 26 Pathology - - $ - $ -

88185 TC Pathology 1.05 1.05 $ 72.74 $ 72.74

88187 00 Pathology 1.65 1.65 $ 106.64 $ 106.64

88187 26 Pathology 2.20 2.20 $ 142.19 $ 142.19

88187 TC Pathology - - $ - $ -

88188 00 Pathology 2.10 2.10 $ 139.04 $ 139.04

88188 26 Pathology 2.86 2.86 $ 184.67 $ 184.67

88188 TC Pathology 0.01 0.01 $ 0.71 $ 0.71

88189 00 Pathology 2.58 2.58 $ 173.72 $ 173.72




88230 00 Pathology 4.42 4.42 $ 285.68 $ 285.68

88230 26 Pathology 1.53 1.53 $ 98.88 $ 98.88

88230 TC Pathology 4.45 4.45 $ 287.62 $ 287.62

88233 00 Pathology 5.34 5.34 $ 345.14 $ 345.14

88233 26 Pathology 2.18 2.18 $ 140.96 $ 140.96

88233 TC Pathology 5.38 5.38 $ 347.73 $ 347.73

88235 00 Pathology 5.59 5.59 $ 361.30 $ 361.30

88235 26 Pathology 2.64 2.64 $ 170.68 $ 170.68

88235 TC Pathology 5.63 5.63 $ 363.88 $ 363.88

88237 00 Pathology 4.79 4.79 $ 309.59 $ 309.59

88237 26 Pathology 1.66 1.66 $ 107.12 $ 107.12




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



312

88237 TC Pathology 4.83 4.83 $ 312.18 $ 312.18

88239 00 Pathology 5.60 5.60 $ 361.94 $ 361.94

88239 26 Pathology 1.88 1.88 $ 121.38 $ 121.38

88239 TC Pathology 5.64 5.64 $ 364.53 $ 364.53

88240 00 Pathology 0.38 0.38 $ 26.25 $ 26.25

88240 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

88240 TC Pathology 0.39 0.39 $ 25.21 $ 25.21

88241 00 Pathology 0.38 0.38 $ 26.25 $ 26.25

88241 26 Pathology 0.15 0.15 $ 10.00 $ 10.00

88241 TC Pathology 0.39 0.39 $ 25.21 $ 25.21

88245 00 Pathology 5.65 5.65 $ 365.18 $ 365.18

88245 26 Pathology 1.99 1.99 $ 128.70 $ 128.70

88245 TC Pathology 5.69 5.69 $ 367.76 $ 367.76

88248 00 Pathology 6.57 6.57 $ 424.64 $ 424.64

88248 26 Pathology 2.50 2.50 $ 161.86 $ 161.86

88248 TC Pathology 6.62 6.62 $ 427.87 $ 427.87

88249 00 Pathology 6.57 6.57 $ 424.64 $ 424.64

88249 26 Pathology 2.52 2.52 $ 163.08 $ 163.08

88249 TC Pathology 6.62 6.62 $ 427.87 $ 427.87

88261 00 Pathology 6.71 6.71 $ 433.69 $ 433.69

88261 26 Pathology 2.50 2.50 $ 161.29 $ 161.29

88261 TC Pathology 6.76 6.76 $ 436.92 $ 436.92

88262 00 Pathology 4.73 4.73 $ 305.71 $ 305.71

88262 26 Pathology 2.19 2.19 $ 141.37 $ 141.37

88262 TC Pathology 4.76 4.76 $ 307.65 $ 307.65

88263 00 Pathology 5.71 5.71 $ 369.05 $ 369.05

88263 26 Pathology 1.97 1.97 $ 127.62 $ 127.62

88263 TC Pathology 5.74 5.74 $ 370.99 $ 370.99

88264 00 Pathology 4.73 4.73 $ 305.71 $ 305.71

88264 26 Pathology - - $ - $ -

88264 TC Pathology 4.76 4.76 $ 307.65 $ 307.65

88267 00 Pathology 6.82 6.82 $ 570.00 $ 570.00

88267 26 Pathology 3.56 3.56 $ 230.00 $ 230.00

88267 TC Pathology 6.87 6.87 $ 444.03 $ 444.03

88269 00 Pathology 6.31 6.31 $ 407.83 $ 407.83

88269 26 Pathology 2.23 2.23 $ 144.00 $ 144.00

88269 TC Pathology 6.36 6.36 $ 411.07 $ 411.07

88271 00 Pathology 0.81 0.81 $ 52.35 $ 52.35

88271 26 Pathology - - $ - $ -

88271 TC Pathology 0.82 0.82 $ 53.00 $ 53.00

88272 00 Pathology 1.02 1.02 $ 65.93 $ 65.93

88272 26 Pathology - - $ - $ -




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



313

88272 TC Pathology 1.02 1.02 $ 65.93 $ 65.93

88273 00 Pathology 1.22 1.22 $ 78.85 $ 78.85

88273 26 Pathology - - $ - $ -

88273 TC Pathology 1.23 1.23 $ 79.50 $ 79.50

88274 00 Pathology 1.32 1.32 $ 85.32 $ 85.32

88274 26 Pathology - - $ - $ -

88274 TC Pathology 1.33 1.33 $ 85.96 $ 85.96

88275 00 Pathology 1.52 1.52 $ 98.24 $ 98.24

88275 26 Pathology - - $ - $ -

88275 TC Pathology 1.54 1.54 $ 99.53 $ 99.53

88280 00 Pathology 0.95 0.95 $ 72.75 $ 72.75

88280 26 Pathology 0.46 0.46 $ 30.00 $ 30.00

88280 TC Pathology 0.96 0.96 $ 62.05 $ 62.05

88283 00 Pathology 1.90 1.90 $ 145.52 $ 145.52

88283 26 Pathology 0.66 0.66 $ 42.54 $ 42.54

88283 TC Pathology 2.62 2.62 $ 169.34 $ 169.34

88285 00 Pathology 0.72 0.72 $ 52.79 $ 52.79

88285 26 Pathology 0.31 0.31 $ 20.02 $ 20.02

88285 TC Pathology 0.73 0.73 $ 47.18 $ 47.18

88289 00 Pathology 0.54 0.54 $ 73.05 $ 73.05

88289 26 Pathology 0.53 0.53 $ 34.03 $ 34.03

88289 TC Pathology 1.32 1.32 $ 85.32 $ 85.32

88291 00 Pathology 0.92 0.92 $ 59.46 $ 59.46

88291 26 Pathology - - $ - $ -

88291 TC Pathology 0.81 0.81 $ 52.21 $ 52.21




88300 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

88300 26 Pathology 0.13 0.13 $ 15.05 $ 15.05

88300 TC Pathology 0.33 0.33 $ 21.33 $ 21.33

88302 00 Pathology 0.87 0.87 $ 62.24 $ 62.24

88302 26 Pathology 0.21 0.21 $ 31.80 $ 31.80

88302 TC Pathology 0.66 0.66 $ 42.66 $ 42.66

88304 00 Pathology 1.16 1.16 $ 79.04 $ 79.04

88304 26 Pathology 0.34 0.34 $ 41.46 $ 41.46

88304 TC Pathology 0.82 0.82 $ 53.00 $ 53.00

88305 00 Pathology 1.94 1.94 $ 129.47 $ 129.47

88305 26 Pathology 1.11 1.11 $ 71.74 $ 71.74

88305 TC Pathology 0.83 0.83 $ 60.11 $ 60.11

88307 00 Pathology 7.52 7.52 $ 486.04 $ 486.04

88307 26 Pathology 2.45 2.45 $ 208.30 $ 208.30




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



314

88307 TC Pathology 5.07 5.07 $ 327.69 $ 327.69

88309 00 Pathology 11.53 11.53 $ 745.22 $ 745.22

88309 26 Pathology 4.33 4.33 $ 310.93 $ 310.93

88309 TC Pathology 7.20 7.20 $ 465.36 $ 465.36

88311 00 Pathology 0.63 0.63 $ 40.72 $ 40.72

88311 26 Pathology 0.37 0.37 $ 23.91 $ 23.91

88311 TC Pathology 0.26 0.26 $ 16.80 $ 16.80

88312 00 Pathology 2.78 2.78 $ 179.68 $ 179.68

88312 26 Pathology 0.79 0.79 $ 51.06 $ 51.06

88312 TC Pathology 1.99 1.99 $ 128.62 $ 128.62

88313 00 Pathology 1.97 1.97 $ 127.33 $ 127.33

88313 26 Pathology 0.35 0.35 $ 22.62 $ 22.62

88313 TC Pathology 1.62 1.62 $ 104.71 $ 104.71

88314 00 Pathology 2.21 2.21 $ 142.84 $ 142.84

88314 26 Pathology 0.65 0.65 $ 42.01 $ 42.01

88314 TC Pathology 1.56 1.56 $ 100.83 $ 100.83

88319 00 Pathology 2.51 2.51 $ 162.23 $ 162.23

88319 26 Pathology 0.78 0.78 $ 50.41 $ 50.41

88319 TC Pathology 1.73 1.73 $ 111.82 $ 111.82

88321 00 Pathology 2.92 2.46 $ 188.73 $ 159.00

88321 26 Pathology 2.52 2.52 $ 162.80 $ 162.80

88321 TC Pathology - - $ - $ -

88323 00 Pathology 3.67 3.67 $ 237.20 $ 237.20

88323 26 Pathology 2.52 2.52 $ 162.88 $ 162.88

88323 TC Pathology 1.15 1.15 $ 74.33 $ 74.33

88325 00 Pathology 5.33 4.41 $ 344.49 $ 285.03

88325 26 Pathology 5.51 5.51 $ 355.89 $ 355.89

88325 TC Pathology - - $ - $ -

88329 00 Pathology 1.48 1.06 $ 95.66 $ 68.51

88329 26 Pathology 1.64 1.64 $ 105.80 $ 105.80

88329 TC Pathology - - $ - $ -

88331 00 Pathology 2.75 2.75 $ 177.74 $ 177.74

88331 26 Pathology 1.84 1.84 $ 118.92 $ 118.92

88331 TC Pathology 0.91 0.91 $ 58.82 $ 58.82

88332 00 Pathology 1.49 1.49 $ 96.30 $ 96.30

88332 26 Pathology 0.91 0.91 $ 58.82 $ 58.82

88332 TC Pathology 0.58 0.58 $ 37.49 $ 37.49

88333 00 Pathology 2.66 2.66 $ 171.92 $ 171.92

88333 26 Pathology 1.85 1.85 $ 119.57 $ 119.57

88333 TC Pathology 0.81 0.81 $ 52.35 $ 52.35

88334 00 Pathology 1.68 1.68 $ 108.58 $ 108.58

88334 26 Pathology 1.13 1.13 $ 73.04 $ 73.04




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



315

88334 TC Pathology 0.55 0.55 $ 35.55 $ 35.55

88341 00 Pathology 2.57 2.57 $ 166.11 $ 166.11

88341 26 Pathology 0.83 0.83 $ 53.65 $ 53.65

88341 TC Pathology 1.74 1.74 $ 112.46 $ 112.46

88342 00 Pathology 3.02 3.02 $ 195.19 $ 195.19

88342 26 Pathology 1.04 1.04 $ 67.22 $ 67.22

88342 TC Pathology 1.98 1.98 $ 127.97 $ 127.97

88344 00 Pathology 4.87 4.87 $ 314.76 $ 314.76

88344 26 Pathology 1.14 1.14 $ 73.68 $ 73.68

88344 TC Pathology 3.73 3.73 $ 241.08 $ 241.08

88346 00 Pathology 2.67 2.67 $ 172.57 $ 172.57

88346 26 Pathology 1.06 1.06 $ 103.67 $ 103.67

88346 TC Pathology 1.61 1.61 $ 104.06 $ 104.06

88348 00 Pathology 9.79 9.79 $ 656.86 $ 656.86

88348 26 Pathology 2.22 2.22 $ 143.49 $ 143.49

88348 TC Pathology 7.57 7.57 $ 546.11 $ 546.11

88350 00 Pathology 2.07 2.07 $ 133.79 $ 133.79

88350 26 Pathology 0.84 0.84 $ 54.29 $ 54.29

88350 TC Pathology 1.23 1.23 $ 79.50 $ 79.50

88355 00 Pathology 4.03 4.03 $ 260.47 $ 260.47

88355 26 Pathology 2.36 2.36 $ 152.53 $ 152.53

88355 TC Pathology 1.67 1.67 $ 145.40 $ 145.40

88356 00 Pathology 5.91 5.91 $ 381.98 $ 381.98

88356 26 Pathology 3.48 3.48 $ 224.92 $ 224.92

88356 TC Pathology 2.43 2.43 $ 157.06 $ 157.06

88358 00 Pathology 2.53 2.53 $ 172.43 $ 172.43

88358 26 Pathology 1.33 1.33 $ 131.79 $ 131.79

88358 TC Pathology 1.20 1.20 $ 77.56 $ 77.56

88360 00 Pathology 3.96 3.96 $ 255.95 $ 255.95

88360 26 Pathology 1.60 1.60 $ 103.41 $ 103.41

88360 TC Pathology 2.36 2.36 $ 152.53 $ 152.53

88361 00 Pathology 4.37 4.37 $ 282.45 $ 282.45

88361 26 Pathology 1.70 1.70 $ 109.88 $ 109.88

88361 TC Pathology 2.67 2.67 $ 172.57 $ 172.57

88362 00 Pathology 6.54 6.54 $ 422.70 $ 422.70

88362 26 Pathology 3.19 3.19 $ 206.18 $ 206.18

88362 TC Pathology 3.35 3.35 $ 216.52 $ 216.52

88363 00 Pathology 0.67 0.57 $ 57.90 $ 49.26

88363 26 Pathology - - $ - $ -

88363 TC Pathology 1.19 1.19 $ 77.20 $ 77.20

88364 00 Pathology 3.71 3.71 $ 239.79 $ 239.79

88364 26 Pathology 1.02 1.02 $ 65.93 $ 65.93




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



316

88364 TC Pathology 2.69 2.69 $ 173.86 $ 173.86

88365 00 Pathology 5.01 5.01 $ 323.81 $ 323.81

88365 26 Pathology 1.29 1.29 $ 83.38 $ 83.38

88365 TC Pathology 3.72 3.72 $ 240.43 $ 240.43

88366 00 Pathology 7.25 7.25 $ 468.59 $ 468.59

88366 26 Pathology 1.81 1.81 $ 116.99 $ 116.99

88366 TC Pathology 5.44 5.44 $ 351.60 $ 351.60

88367 00 Pathology 2.99 2.99 $ 356.84 $ 356.84

88367 26 Pathology 1.01 1.01 $ 112.18 $ 112.18

88367 TC Pathology 1.98 1.98 $ 244.66 $ 244.66

88368 00 Pathology 3.30 3.30 $ 317.12 $ 317.12

88368 26 Pathology 1.18 1.18 $ 122.02 $ 122.02

88368 TC Pathology 2.12 2.12 $ 195.10 $ 195.10

88369 00 Pathology 3.02 3.02 $ 195.19 $ 195.19

88369 26 Pathology 0.93 0.93 $ 60.11 $ 60.11

88369 TC Pathology 2.09 2.09 $ 135.08 $ 135.08

88371 00 Pathology 0.56 0.56 $ 75.65 $ 75.65

88371 26 Pathology 0.52 0.52 $ 33.61 $ 33.61

88371 TC Pathology 0.85 0.85 $ 54.94 $ 54.94

88372 00 Pathology 0.86 0.86 $ 75.08 $ 75.08

88372 26 Pathology 0.52 0.52 $ 33.61 $ 33.61

88372 TC Pathology 0.87 0.87 $ 56.23 $ 56.23

88373 00 Pathology 2.23 2.23 $ 144.13 $ 144.13

88373 26 Pathology 0.80 0.80 $ 51.71 $ 51.71

88373 TC Pathology 1.43 1.43 $ 92.43 $ 92.43

88374 00 Pathology 9.57 9.57 $ 618.54 $ 618.54

88374 26 Pathology 1.29 1.29 $ 83.38 $ 83.38

88374 TC Pathology 8.28 8.28 $ 535.16 $ 535.16

88375 00 Pathology 1.31 1.31 $ 84.67 $ 84.67



88377 00 Pathology 11.43 11.43 $ 738.76 $ 738.76

88377 26 Pathology 1.86 1.86 $ 120.22 $ 120.22

88377 TC Pathology 9.57 9.57 $ 618.54 $ 618.54

88380 00 Pathology 3.86 3.86 $ 249.48 $ 249.48

88380 26 Pathology 1.60 1.60 $ 103.41 $ 103.41

88380 TC Pathology 2.26 2.26 $ 146.07 $ 146.07

88381 00 Pathology 3.43 3.43 $ 255.00 $ 255.00

88381 26 Pathology 0.73 0.73 $ 57.00 $ 57.00

88381 TC Pathology 2.70 2.70 $ 198.00 $ 198.00

88387 00 Pathology 1.08 1.08 $ 69.80 $ 69.80

88387 26 Pathology 0.87 0.87 $ 56.23 $ 56.23




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



317

88387 TC Pathology 0.21 0.21 $ 13.57 $ 13.57

88388 00 Pathology 0.98 0.98 $ 63.34 $ 63.34

88388 26 Pathology 0.70 0.70 $ 45.24 $ 45.24

88388 TC Pathology 0.28 0.28 $ 18.10 $ 18.10




88720 00 Pathology 0.19 0.19 $ 12.28 $ 12.28

88720 26 Pathology - - $ - $ -

88720 TC Pathology 0.19 0.19 $ 12.28 $ 12.28

88738 00 Pathology 0.19 0.19 $ 12.28 $ 12.28

88738 26 Pathology - - $ - $ -

88738 TC Pathology 0.19 0.19 $ 12.28 $ 12.28

88740 00 Pathology 0.19 0.19 $ 12.28 $ 12.28

88740 26 Pathology - - $ - $ -

88740 TC Pathology 0.19 0.19 $ 12.28 $ 12.28

88741 00 Pathology 0.19 0.19 $ 12.28 $ 12.28

88741 26 Pathology - - $ - $ -

88741 TC Pathology 0.19 0.19 $ 12.28 $ 12.28




89049 00 Pathology 7.54 1.87 $ 487.33 $ 120.86

89049 26 Pathology - - $ - $ -

89049 TC Pathology 6.39 6.39 $ 413.14 $ 413.14

89050 00 Pathology 0.18 0.18 $ 12.00 $ 12.00

89050 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

89050 TC Pathology 0.18 0.18 $ 11.63 $ 11.63

89051 00 Pathology 0.21 0.21 $ 15.75 $ 15.75

89051 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

89051 TC Pathology 0.21 0.21 $ 13.57 $ 13.57

89055 00 Pathology 0.16 0.16 $ 16.02 $ 16.02

89055 26 Pathology - - $ - $ -

89055 TC Pathology 0.16 0.16 $ 16.02 $ 16.02

89060 00 Pathology 0.27 0.27 $ 33.08 $ 33.08

89060 26 Pathology 0.52 0.52 $ 33.61 $ 33.61

89060 TC Pathology 0.27 0.27 $ 17.45 $ 17.45

89125 00 Pathology 0.11 0.11 $ 17.25 $ 17.25

89125 26 Pathology 0.11 0.11 $ 7.00 $ 7.00

89125 TC Pathology 0.17 0.17 $ 12.00 $ 12.00

89160 00 Pathology 0.14 0.14 $ 9.05 $ 9.05

89160 26 Pathology 0.05 0.05 $ 3.06 $ 3.06




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



318

89160 TC Pathology 0.14 0.14 $ 9.05 $ 9.05

89190 00 Pathology 0.18 0.18 $ 12.00 $ 12.00

89190 26 Pathology 0.08 0.08 $ 5.00 $ 5.00

89190 TC Pathology 0.18 0.18 $ 11.63 $ 11.63

89220 00 Pathology 0.46 0.46 $ 29.73 $ 29.73

89220 26 Pathology 0.27 0.27 $ 17.20 $ 17.20

89220 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

89230 00 Pathology 0.12 0.12 $ 12.14 $ 12.14

89230 26 Pathology - - $ - $ -

89230 TC Pathology 0.12 0.12 $ 12.14 $ 12.14




89250 00 Pathology 29.07 29.07 $ 1,878.88 $ 1,878.88

89250 26 Pathology 25.19 25.19 $ 1,628.05 $ 1,628.05

89250 TC Pathology 29.07 29.07 $ 1,878.88 $ 1,878.88

89251 00 Pathology 30.24 30.24 $ 1,954.50 $ 1,954.50


89251 TC Pathology 30.24 30.24 $ 1,954.50 $ 1,954.50



























CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



319























89300 00 Pathology 0.34 0.34 $ 26.76 $ 26.76

89300 26 Pathology 0.18 0.18 $ 11.88 $ 11.88

89300 TC Pathology 0.34 0.34 $ 21.98 $ 21.98

89310 00 Pathology 0.33 0.33 $ 23.82 $ 23.82

89310 26 Pathology 0.13 0.13 $ 8.48 $ 8.48

89310 TC Pathology 0.33 0.33 $ 21.33 $ 21.33

89320 00 Pathology 0.46 0.46 $ 31.98 $ 31.98

89320 26 Pathology 0.19 0.19 $ 12.18 $ 12.18

89320 TC Pathology 0.46 0.46 $ 29.73 $ 29.73

89321 00 Pathology 0.46 0.46 $ 33.81 $ 33.81

89321 26 Pathology - - $ - $ -

89321 TC Pathology 0.46 0.46 $ 33.81 $ 33.81

89322 00 Pathology 0.59 0.59 $ 38.13 $ 38.13

89322 26 Pathology - - $ - $ -

89322 TC Pathology 0.59 0.59 $ 38.13 $ 38.13

89325 00 Pathology 0.41 0.41 $ 31.67 $ 31.67

89325 26 Pathology - - $ - $ -

89325 TC Pathology 0.41 0.41 $ 31.67 $ 31.67

89329 00 Pathology 0.40 0.40 $ 110.85 $ 110.85

89329 26 Pathology 0.65 0.65 $ 42.30 $ 42.30




CODE CATEGORY

NF

RVU

FAC

RVU

RBRVS NF

RATE

RBRVS FAC

RATE



320

89329 TC Pathology 0.80 0.80 $ 79.13 $ 79.13

89330 00 Pathology 0.38 0.38 $ 31.50 $ 31.50

89330 26 Pathology 0.28 0.28 $ 18.00 $ 18.00

89330 TC Pathology 0.38 0.38 $ 24.56 $ 24.56

89331 00 Pathology 0.74 0.74 $ 47.83 $ 47.83

89331 26 Pathology - - $ - $ -

89331 TC Pathology 0.75 0.75 $ 48.47 $ 48.47






























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ARIZONA PHYSICIANS' FEE SCHEDULE PATHOLOGY AND LABORATORY CODES 2017 … · 2020-07-17 · arizona physicians' fee schedule pathology and laboratory codes 2017 all other conversion