| Code | Description | Price | Last Updated |
|---|---|---|---|
| 51702 | HC INSJ TEMP NDWELLG BLDR CATH SMPL | $400 [source] | 4 years ago |
| 96365 | HC IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST >1 HOUR | $852 [source] | 4 years ago |
| 96366 | HC IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR | $485 [source] | 4 years ago |
| 96367 | HC IV NFS THER PROPH/DX ADDL SEQUENTIAL NFS >1 HR | $1,082 [source] | 4 years ago |
| 96368 | HC IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS | $1,082 [source] | 4 years ago |
| 98960 | Lactation Consult (Self-Pay) | $190 [source] | 4 years ago |
| 99201 | Level 1 OP OB Visit - New Patient | $334 [source] | 4 years ago |
| G0378 | HC ADT OBSERVATION SERVICE PER HOUR | $96 [source] | 4 years ago |
| G0379 | HC DIRECT ADMIS PATIENT HOSPITAL OBSERVATION CARE | $138 [source] | 4 years ago |