St. Lukes CM Publication

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Facility	Chargecode	CC Description	Rev	CPT	1/1/24 Fee
ST. LUKE’S	10000001	ROOM CHARGE MED SURG, REHAB	128		3,550.00
ST. LUKE’S	10000002	ROOM CHARGE MED SURG	121		3,550.00
ST. LUKE’S	10000008	ROOM CHARGE ICU OR CCU	200		7,220.00
ST. LUKE’S	10000019	BREAST ASPIRATE CYST EA ADDL	360	19001	410.00
ST. LUKE’S	10000033	ARTHROGRAM SHOULDER INJECT	320	23350	880.00
ST. LUKE’S	10000034	ARTHROGRAM ELBOW INJECT	320	24220	880.00
ST. LUKE’S	10000035	ARTHROGRAM WRIST INJECT	320	25246	880.00
ST. LUKE’S	10000036	ARTHROGRAM HIP INJECT	320	27093	880.00
ST. LUKE’S	10000037	ARTHROGRAM KNEE INJECT	320	27369	880.00
ST. LUKE’S	10000038	ARTHROGRAM ANKLE INJECT	320	27648	880.00
ST. LUKE’S	10000058	ENDO REPAIR TAA WO SUBCLAVIAN	360	33881	7,540.00
ST. LUKE’S	10000075	HANDLING FEE	300	99001	20.00
ST. LUKE’S	10000080	SELECTIVE CATH 1ST ORDER THORACIC	360	36215	2,140.00
ST. LUKE’S	10000081	SELECTIVE CATH 2ND ORDER THORACIC	360	36216	2,140.00
ST. LUKE’S	10000082	SELECTIVE CATH 3RD ORDER THORACIC	360	36217	2,140.00
ST. LUKE’S	10000084	SELECTIVE CATH 2&3 THORARIC ADDL	360	36218	1,070.00
ST. LUKE’S	10000085	SELECTIVE CATH 1ST ORDER ABD/PELVIC	360	36245	2,660.00
ST. LUKE’S	10000086	SELECTIVE CATH 2ND ABD/PELVIC/EXTREM	360	36246	2,660.00
ST. LUKE’S	10000087	SELECTIVE CATH 3RD ABD/PELVIC/EXTREM	360	36247	2,660.00
ST. LUKE’S	10000088	SELECTIVE CATH 2&3 ABD/PELVIC/EXTREM/ADDL	360	36248	1,330.00
ST. LUKE’S	10000089	SCLEROTHERAPY SINGLE VEIN	360	36470	285.00
ST. LUKE’S	10000090	SCLEROTHERAPY MULTIPLE VEINS	360	36471	425.00
ST. LUKE’S	10000091	ABLATION VARICOSE VEIN LASER 1ST	360	36478	8,110.00
ST. LUKE’S	10000092	CATH VENOUS BLOOD SAMPLING	360	36500	1,450.00
ST. LUKE’S	10000094	INSERT CVL NON TUNNELED <5 YRS	360	36555	2,070.00
ST. LUKE’S	10000095	INSERT CVL TUNNELED <5 YRS	360	36557	4,730.00
ST. LUKE’S	10000096	INSERT CVL TUNNELED 5 YRS >/=	360	36558	4,730.00
ST. LUKE’S	10000098	INSERT CVL TUNNELED W/PORT 5 YRS >/=	360	36561	7,130.00
ST. LUKE’S	10000100	INSERT CVL DUAL TUNNELED WO PORT	360	36565	5,700.00
ST. LUKE’S	10000102	PICC LINE INSERTION <5 YRS	360	36568	1,750.00
ST. LUKE’S	10000103	PICC INSERTION	360	36569	4,590.00
ST. LUKE’S	10000104	INSERT PICC W/PORT <5 YRS	360	36570	3,900.00
ST. LUKE’S	10000105	INSERT PICC W/PORT 5 YRS >/=	360	36571	4,110.00
ST. LUKE’S	10000106	REPAIR CVL CATH	360	36575	1,160.00
ST. LUKE’S	10000107	REPAIR CVL CATH W PORT/PUMP	360	36576	2,140.00
ST. LUKE’S	10000108	REPLACE CVL CATH ONLY	360	36578	4,870.00
ST. LUKE’S	10000109	REPLACE CVL NON TUNNELED COMPLETE	360	36580	2,140.00
ST. LUKE’S	10000110	REPLACE CVL TUNNELED COMPLETE	360	36581	4,280.00
ST. LUKE’S	10000111	REPLACE CVL TUNNELED W/PORT COMPLETE	360	36582	5,530.00
ST. LUKE’S	10000113	REPLACE PICC COMPLETE	360	36584	1,730.00
ST. LUKE’S	10000115	REMOVE CVL TUNNELED W/O PORT	360	36589	1,270.00
ST. LUKE’S	10000116	REMOVE CVL TUNNELED W/PORT	360	36590	2,070.00
ST. LUKE’S	10000117	BLOOD SPEC IMPLANTED DEVICE	510	36591	160.00
ST. LUKE’S	10000118	REMOVE PERICATH OBSTRUCTIVE MATERIAL	360	36595	4,140.00
ST. LUKE’S	10000119	REMOVE INTRACATH OBSTRUCTION MATERIAL	360	36596	2,070.00
ST. LUKE’S	10000120	INJECT W FLUORO EVAL CENTRAL LINE	360	36598	720.00
ST. LUKE’S	10000121	THROMBECTOMY VEIN(S)	360	37187	9,280.00
ST. LUKE’S	10000122	THROMBECTOMY VEIN(S) REPEAT	360	37188	9,280.00
ST. LUKE’S	10000128	STENT CAROTID W/PROTECTION	360	37215	12,510.00
ST. LUKE’S	10000129	PHLEBECTOMY 10-20 INCISIONS	360	37765	6,510.00
ST. LUKE’S	10000130	PHLEBECTOMY >20 INCISIONS	360	37766	7,540.00
ST. LUKE’S	10000131	PHLEBECTOMY <10 INCISIONS	360	37799	4,950.00
ST. LUKE’S	10000132	PTA CAROTID	360	37799	9,470.00
ST. LUKE’S	10000134	BONE MARROW BIOPSY	360	38221	1,120.00
ST. LUKE’S	10000136	INJECT LYMPHANGIOGRAPHY	360	38790	370.00
ST. LUKE’S	10000137	INJECT RADIOACTIVE TRACER SENTINEL NODE	360	38792	490.00
ST. LUKE’S	10000139	BX SALIVARY GLAND NEEDLE	360	42400	1,380.00
ST. LUKE’S	10000142	FB REMOVAL PHARYNGEAL	450	42809	270.00
ST. LUKE’S	10000145	INTRO FEEDING TUBE	360	44500	870.00
ST. LUKE’S	10000149	ANOSCOPY	510	46600	305.00
ST. LUKE’S	10000150	LIVER BIOPSY	360	47000	2,000.00
ST. LUKE’S	10000151	PERCUTANEOUS CHOLECYSTOSTOMY	360	47490	5,040.00
ST. LUKE’S	10000157	BILIARY ENDOSCOPY DX WITH SPECI	360	47552	4,380.00
ST. LUKE’S	10000158	BILIARY ENDOSCOPY WO STENT	360	47555	4,380.00
ST. LUKE’S	10000159	BILIARY ENDOSCOPY W STENT	360	47556	5,030.00
ST. LUKE’S	10000165	IMPLANT TISSUE MARKER PANCREAS	360	49411	6,460.00
ST. LUKE’S	10000169	PLACE INTERSTITIAL DVC ABD/PELV	360	49411	6,460.00
ST. LUKE’S	10000172	INSERT INTRAPERITONEAL CATH TUNNEL	360	49418	6,650.00
ST. LUKE’S	10000173	INSERT DIALYSIS CATH PERMANENT	360	49421	5,960.00
ST. LUKE’S	10000174	REMOVE PERITONEAL CATH W PORT	360	49422	4,550.00
ST. LUKE’S	10000175	INJECT PERITONEAL/VENOUS SHUNT	360	49427	925.00
ST. LUKE’S	10000177	INSERT GASTROSTOMY TUBE W S&I	360	49440	1,890.00
ST. LUKE’S	10000178	INSERT DUODENUM/J-TUBE W/S&I	360	49441	2,140.00
ST. LUKE’S	10000180	CONVERT TO G-J TUBE W/S&I	360	49446	1,730.00
ST. LUKE’S	10000181	CHANGE TUBE GASTRO/CECUM W/S&I	360	49450	1,270.00
ST. LUKE’S	10000182	CHANGE TUBE SM BOWEL W/S&I	360	49451	1,270.00
ST. LUKE’S	10000183	CHANGE G-J TUBE W/S&I	360	49452	1,020.00
ST. LUKE’S	10000184	CLEAR OBSTRUCTED GI TUBE W/S&I	360	49460	1,270.00
ST. LUKE’S	10000185	INJECTIONS GI TUBE EVAL W/S&I	320	49465	1,180.00
ST. LUKE’S	10000186	ABLATION ABDOMEN/PERITONEUM	360	49999	17,170.00
ST. LUKE’S	10000187	BX OMENTUM NEEDLE	360	49999	6,330.00
ST. LUKE’S	10000189	CHANGE URETERAL STENT-PERC S&I	360	50382	4,330.00
ST. LUKE’S	10000190	REMOVE URETERAL STENT-PERC S&I	360	50384	4,330.00
ST. LUKE’S	10000191	CHANGE URETERAL STENT S&I	360	50385	4,250.00
ST. LUKE’S	10000192	REMOVE URETERAL STENT S&I	360	50386	1,450.00
ST. LUKE’S	10000193	CHANGE TRANSNEPHRIC STENT S&I	360	50387	3,070.00
ST. LUKE’S	10000194	REMOVE NEPHROSTOMY TUBE/FLUORO	360	50389	1,160.00
ST. LUKE’S	10000195	ASPIRATE RENAL CYST/PELVIS	360	50390	2,070.00
ST. LUKE’S	10000196	MANOMETRY STUDIES VIA CATHETER	360	50396	2,300.00
ST. LUKE’S	10000197	ABLATION RENAL LESION(S)	360	50592	6,840.00
ST. LUKE’S	10000198	CRYOABLATION RENAL TUMOR(S)	360	50593	24,060.00
ST. LUKE’S	10000199	CHANGE URETEROSTOMY TUBE	360	50688	2,690.00
ST. LUKE’S	10000202	INSERT SUPRAPUBIC CATH	360		3,590.00
ST. LUKE’S	10000203	INJECT CYSTOGRAM	320	51600	725.00
ST. LUKE’S	10000204	INJECT URETHROGRAM RETROGRADE	360	51610	855.00
ST. LUKE’S	10000205	BLADDER IRRIGATE OR INSTALLATION	360	51700	520.00
ST. LUKE’S	10000206	STRAIGHT CATH	510	51701	225.00
ST. LUKE’S	10000207	FOLEY CATH INSERTION	510	51702	375.00
ST. LUKE’S	10000208	BLADDER CATH COMPLEX	360	51703	625.00
ST. LUKE’S	10000209	CYSTOSTOMY TUBE CHANGE	360	51705	405.00
ST. LUKE’S	10000210	BLADDER SCAN-RESIDUAL URINE	402	51798	230.00
ST. LUKE’S	10000211	URINARY PROCEDURE MISC	360	53899	6,110.00
ST. LUKE’S	10000213	I&D SCROTAL SPACE	360	54700	3,870.00
ST. LUKE’S	10000214	PROSTATE, NEEDLE BIOPSIES	360	55700	2,300.00
ST. LUKE’S	10000215	PESSARY INSERTION	510	57160	300.00
ST. LUKE’S	10000216	HYSTEROSALPINGOGRAM INJECT	360	58340	1,270.00
ST. LUKE’S	10000233	VAGINAL DELIVERY ONLY	450	59409	1,570.00
ST. LUKE’S	10000235	DELIVERY PLACENTA	720	59414	1,220.00
ST. LUKE’S	10000238	BX THYROID NEEDLE	360	60100	1,440.00
ST. LUKE’S	10000239	UNLISTED PROCEDURE ENDOCRINE SYSTEM	360	60699	7,010.00
ST. LUKE’S	10000240	CERVICAL PUNCTURE W/O INJECTION	360	61050	1,680.00
ST. LUKE’S	10000241	CERVICAL PUNCTURE W/INJECTION	360	61055	1,680.00
ST. LUKE’S	10000243	ENDOVASC OCCLUSION HEAD/NECK W/S&I	360	61623	17,360.00
ST. LUKE’S	10000244	PTA INTRACRANIAL	360	61630	5,210.00
ST. LUKE’S	10000245	PTA INTRACRANIAL W STENT	360	61635	6,250.00
ST. LUKE’S	10000246	DILATE INTRACRANIAL VASOSPASM 1ST	360	61640	3,610.00
ST. LUKE’S	10000247	DILATE INTRACRANIAL VASOSPASM ADD ON	360	61641	3,610.00
ST. LUKE’S	10000248	DILATE INTRACRANIAL VASOSPASM SECONDARY	360	61642	3,610.00
ST. LUKE’S	10000250	ASSISTED NAVIGATION EXTRADURAL	360	61782	1,980.00
ST. LUKE’S	10000251	LUMBAR PUNCTURE DIAGNOSTIC	360	62270	1,100.00
ST. LUKE’S	10000252	EPIDURAL BLOOD OR CLOT PATCH	360	62273	1,900.00
ST. LUKE’S	10000253	INJECT FOR MYELOGRAM OR CT LUMBAR	360	62284	1,100.00
ST. LUKE’S	10000254	DISKECTOMY/PERCUTANEOUS LUMBAR	360	62287	6,670.00
ST. LUKE’S	10000258	EPIDURAL INJ 1ST LEVEL W/ IMAGING	360		3,430.00
ST. LUKE’S	10000259	INJECT NERVE OCCIPITAL	360	64405	980.00
ST. LUKE’S	10000261	NERVE BLOCK CELIAC PLEXUS	360	64530	2,460.00
ST. LUKE’S	10000262	NEUROLYSIS TRIGEMNAL NERVE 2&3 BRANCH	360	64610	3,540.00
ST. LUKE’S	10000266	FB CORNEA NO SLIT	516	65220	435.00
ST. LUKE’S	10000267	FB CORNEA W/SLIT	516	65222	435.00
ST. LUKE’S	10000268	INJECT DACROCYSTOGRAM	360	68850	525.00
ST. LUKE’S	10000269	FB REMOVAL EAR	516	69200	150.00
ST. LUKE’S	10000270	REMOVE EAR WAX W/INSTRUMENT UNILAT	510	69210	100.00
ST. LUKE’S	10000271	TYMPANOSTOMY & TUBE INSERT	360	69433	1,730.00
ST. LUKE’S	10000272	CISTERNOGRAM S&I	320	70015	1,750.00
ST. LUKE’S	10000273	XR EYE FOREIGN BODY	320	70030	265.00
ST. LUKE’S	10000274	XR MANDIBLE PARTIAL	320	70100	560.00
ST. LUKE’S	10000275	XR MANDIBLE COMPLETE	320	70110	750.00
ST. LUKE’S	10000276	XR FACIAL BONES < 3 VIEW	320	70140	520.00
ST. LUKE’S	10000277	XR FACIAL BONES COMPLETE	320	70150	770.00
ST. LUKE’S	10000278	XR NASAL BONES	320	70160	635.00
ST. LUKE’S	10000279	XR EYE DACROCYSTOGRAM S&I	320	70170	850.00
ST. LUKE’S	10000280	XR ORBITS MINIMUM 4 VIEWS	320	70200	625.00
ST. LUKE’S	10000281	XR SINUSES < 3 VIEW	320	70210	540.00
ST. LUKE’S	10000282	XR SINUSES COMPLETE	320	70220	815.00
ST. LUKE’S	10000283	XR SKULL < 4 VIEW	320	70250	535.00
ST. LUKE’S	10000284	XR SKULL COMPLETE	320	70260	800.00
ST. LUKE’S	10000285	XR DENTAL PARTIAL	320	70310	425.00
ST. LUKE’S	10000286	XR DENTAL COMPLETE	320	70320	425.00
ST. LUKE’S	10000289	XR ORTHOPANTOGRAM	320	70355	535.00
ST. LUKE’S	10000290	XR NECK SOFT TISSUES	320	70360	535.00
ST. LUKE’S	10000292	XR SIALOGRAM S&I	320	70390	1,160.00
ST. LUKE’S	10000293	CT HEAD W/O DYE	350	70450	2,800.00
ST. LUKE’S	10000294	CT HEAD W/DYE	350	70460	3,000.00
ST. LUKE’S	10000295	CT HEAD W/WO DYE	350	70470	4,400.00
ST. LUKE’S	10000296	CT ORBIT/SELLA/FOSSA/MASTOID/EAR W/O DYE	350	70480	2,800.00
ST. LUKE’S	10000297	CT ORBIT/SELLA/FOSSA/MASTOID/EAR W/DYE	350	70481	3,000.00
ST. LUKE’S	10000298	CT ORBIT/SELLA/FOSSA/MASTOID/EAR W/WO DYE	350	70482	4,400.00
ST. LUKE’S	10000299	CT MAXILLIOFACIAL W/O DYE	350	70486	2,800.00
ST. LUKE’S	10000303	CT MAXILLIOFACIAL W/DYE	350	70487	3,000.00
ST. LUKE’S	10000304	CT MAXILLIOFACL W/WO DYE	350	70488	4,400.00
ST. LUKE’S	10000305	CT NECK W/O DYE	350	70490	2,800.00
ST. LUKE’S	10000306	CT NECK W/DYE	350	70491	3,000.00
ST. LUKE’S	10000307	CT NECK W/WO DYE	350	70492	4,400.00
ST. LUKE’S	10000308	CT ANGIO HEAD	350	70496	3,720.00
ST. LUKE’S	10000309	CT ANGIO NECK	350	70498	3,720.00
ST. LUKE’S	10000310	MR ORBIT/FACE/NECK W/O DYE	610	70540	4,040.00
ST. LUKE’S	10000311	MR ORBIT/FACE/NECK W/DYE	610	70542	4,240.00
ST. LUKE’S	10000312	MR ORBIT/FACE/NECK W/WO DYE	610	70543	6,260.00
ST. LUKE’S	10000313	MRA HEAD W/O DYE	610	70544	4,040.00
ST. LUKE’S	10000314	MRA HEAD W/DYE	610	70545	4,240.00
ST. LUKE’S	10000315	MRA HEAD W/WO DYE	610	70546	6,260.00
ST. LUKE’S	10000316	MRA NECK W/O DYE	610	70547	4,040.00
ST. LUKE’S	10000317	MRA NECK W/DYE	610	70548	4,240.00
ST. LUKE’S	10000318	MRA NECK W/WO DYE	610	70549	6,260.00
ST. LUKE’S	10000319	MR BRAIN W/O DYE	610	70551	4,040.00
ST. LUKE’S	10000320	MR BRAIN W/DYE	610	70552	4,240.00
ST. LUKE’S	10000321	MR BRAIN W/WO DYE	610	70553	6,260.00
ST. LUKE’S	10000322	MR FMRI BRAIN BY TECH	611	70554	2,410.00
ST. LUKE’S	10000324	XR CHEST 1 VIEW	320	71045	315.00
ST. LUKE’S	10000325	XR CHEST 2 VIEWS	320	71046	370.00
ST. LUKE’S	10000326	XR CHEST 3 VIEWS	320	71047	455.00
ST. LUKE’S	10000328	XR CHEST 4 + VIEWS	320	71048	515.00
ST. LUKE’S	10000331	XR RIBS BILATERAL 3 VIEW	320	71110	1,130.00
ST. LUKE’S	10000332	XR RIBS W/CHEST BILATERAL 4 VIEW	320	71111	1,320.00
ST. LUKE’S	10000333	XR STERNUM 2 VIEW	320	71120	555.00
ST. LUKE’S	10000334	XR STERNOCLAVICULAR JOINT 3 VIEW	320	71130	510.00
ST. LUKE’S	10000335	CT CHEST DX W/O DYE	350	71250	2,800.00
ST. LUKE’S	10000336	CT CHEST DX W/DYE	350	71260	3,000.00
ST. LUKE’S	10000337	CT CHEST DX W/WO DYE	350	71270	4,400.00
ST. LUKE’S	10000338	CT ANGIO CHEST	350	71275	3,720.00
ST. LUKE’S	10000339	MR CHEST W/O DYE	610	71550	4,040.00
ST. LUKE’S	10000340	MR CHEST W/DYE	610	71551	4,240.00
ST. LUKE’S	10000341	MR CHEST W/WO DYE	610	71552	6,260.00
ST. LUKE’S	10000343	XR SPINE ANY LEVEL 1 VIEW	320	72020	710.00
ST. LUKE’S	10000344	XR CERVICAL SPINE 2-3 VIEWS	320	72040	855.00
ST. LUKE’S	10000345	XR CERVICAL SPINE 4-5 VIEWS	320	72050	1,250.00
ST. LUKE’S	10000346	XR CERVICAL SPINE 6 VIEWS >	320	72052	1,420.00
ST. LUKE’S	10000348	XR THORACIC SPINE 2 VIEW	320	72070	855.00
ST. LUKE’S	10000349	XR THORACIC SPINE 3 VIEW	320	72072	985.00
ST. LUKE’S	10000350	XR THORACIC SPINE 4 VIEW	320	72074	1,010.00
ST. LUKE’S	10000351	XR THORACOLUMBAR SPINE 2 VIEW	320	72080	930.00
ST. LUKE’S	10000353	XR LUMBAR SPINE 2 OR 3 VIEW	320	72100	925.00
ST. LUKE’S	10000354	XR LUMBAR SPINE 4 VIEW MIN	320	72110	1,300.00
ST. LUKE’S	10000355	XR L SPINE BENDING 6 VIEW OR >	320	72114	1,050.00
ST. LUKE’S	10000356	XR L SPINE BENDING VIEW 2 TO 3	320	72120	755.00
ST. LUKE’S	10000357	CT C SPINE W/O DYE	350	72125	2,800.00
ST. LUKE’S	10000358	CT C SPINE W/DYE	350	72126	3,000.00
ST. LUKE’S	10000359	CT C SPINE W/WO DYE	350	72127	4,400.00
ST. LUKE’S	10000360	CT T SPINE W/O DYE	350	72128	2,800.00
ST. LUKE’S	10000361	CT T SPINE W/DYE	350	72129	3,000.00
ST. LUKE’S	10000362	CT T SPINE W/WO DYE	350	72130	4,400.00
ST. LUKE’S	10000363	CT L SPINE W/O DYE	350	72131	2,800.00
ST. LUKE’S	10000364	CT L SPINE W/DYE	350	72132	3,000.00
ST. LUKE’S	10000365	CT L SPINE W/WO DYE	350	72133	4,400.00
ST. LUKE’S	10000366	MR C SPINE W/O DYE	610	72141	4,040.00
ST. LUKE’S	10000367	MR C SPINE W/DYE	610	72142	4,240.00
ST. LUKE’S	10000368	MR T SPINE WO DYE	610	72146	4,040.00
ST. LUKE’S	10000369	MR T SPINE W/DYE	610	72147	4,240.00
ST. LUKE’S	10000370	MR L SPINE WO DYE	610	72148	4,040.00
ST. LUKE’S	10000371	MR L SPINE W DYE	610	72149	4,240.00
ST. LUKE’S	10000372	MR C SPINE W/WO DYE	610	72156	6,260.00
ST. LUKE’S	10000373	MR T SPINE W/WO DYE	610	72157	6,260.00
ST. LUKE’S	10000374	MR L SPINE W/WO DYE	610	72158	6,260.00
ST. LUKE’S	10000376	XR PELVIS 1 OR 2 VIEW	320	72170	515.00
ST. LUKE’S	10000377	XR PELVIS COMPLETE 3 VIEW MIN	320	72190	690.00
ST. LUKE’S	10000378	CT ANGIO PELVIS	350	72191	3,720.00
ST. LUKE’S	10000379	CT PELVIS W/O DYE	350	72192	2,800.00
ST. LUKE’S	10000380	CT PELVIS W/DYE	350	72193	3,000.00
ST. LUKE’S	10000381	CT PELVIS W/WO DYE	350	72194	4,400.00
ST. LUKE’S	10000382	MR PELVIS W/O DYE	610	72195	4,040.00
ST. LUKE’S	10000383	MR PELVIS W/DYE	610	72196	4,240.00
ST. LUKE’S	10000384	MR PELVIS W/WO DYE	610	72197	6,260.00
ST. LUKE’S	10000385	XR SACROILIAC JOINTS < 3 VIEWS	320	72200	485.00
ST. LUKE’S	10000386	XR SACROILIAC JOINTS 3 VIEW MIN	320	72202	615.00
ST. LUKE’S	10000387	XR SACRUM & COCCYX 2 VIEW MIN	320	72220	635.00
ST. LUKE’S	10000388	MYELOGRAM CERVICAL S&I	320	72240	2,400.00
ST. LUKE’S	10000389	MYELOGRAM THORACIC S&I	320	72255	2,400.00
ST. LUKE’S	10000390	MYELOGRAM LUMBAR S&I	320	72265	2,400.00
ST. LUKE’S	10000393	DISCOGRAM C/T EACH LEVEL S&I	320	72285	3,710.00
ST. LUKE’S	10000395	DISKOGRAM L/S EA LEVEL S&I	320	72295	3,710.00
ST. LUKE’S	10000397	XR SCAPULA COMPLETE	320	73010	545.00
ST. LUKE’S	10000400	XR SHOULDER ARTHROGRAM S&I	320	73040	1,850.00
ST. LUKE’S	10000401	XR AC JOINTS BILATERAL	320	73050	565.00
ST. LUKE’S	10000410	XR WRIST ARTHROGRAM S&I	320	73115	1,250.00
ST. LUKE’S	10000413	XR FINGER(S) 2 VIEW MINIMUM	320	73140	520.00
ST. LUKE’S	10000425	XR HIP ARTHROGRAM S&I	320	73525	1,850.00
ST. LUKE’S	10000432	XR KNEES STANDING AP BILATERAL	320	73565	485.00
ST. LUKE’S	10000433	XR KNEE ARTHROGRAM S&I	320	73580	1,850.00
ST. LUKE’S	10000436	XR ANKLE 2 VIEW	320	73600	505.00
ST. LUKE’S	10000437	XR ANKLE COMPLETE	320	73610	605.00
ST. LUKE’S	10000442	XR TOE(S) 2 VIEW MIN	320	73660	505.00
ST. LUKE’S	10000453	XR ABDOMEN 1 VIEW	320	74018	610.00
ST. LUKE’S	10000454	XR ABDOMEN 2 VIEWS	320	74019	760.00
ST. LUKE’S	10000455	XR ABDOMEN 3 OR MORE VIEWS	320	74021	915.00
ST. LUKE’S	10000456	XR ABDOMEN, ACUTE SERIES	320	74022	1,060.00
ST. LUKE’S	10000457	CT ABDOMEN W/O DYE	350	74150	2,800.00
ST. LUKE’S	10000458	CT ABDOMEN W/DYE	350	74160	3,000.00
ST. LUKE’S	10000459	CT ABDOMEN W/WO DYE	350	74170	4,400.00
ST. LUKE’S	10000460	CT ANGIO ABDOMEN	350	74175	3,720.00
ST. LUKE’S	10000461	MR ABDOMEN W/O DYE	610	74181	4,040.00
ST. LUKE’S	10000462	MR ABDOMEN W/DYE	610	74182	4,240.00
ST. LUKE’S	10000463	MR ABDOMEN W/WO DYE	610	74183	6,260.00
ST. LUKE’S	10000464	XR ESOPHAGRAM	320	74220	965.00
ST. LUKE’S	10000465	XR SWALLOWING FUNCTION W/VIDEO	320	74230	835.00
ST. LUKE’S	10000466	XR UPPER GI W/O KUB	320	74240	1,250.00
ST. LUKE’S	10000469	XR UPPER GI W/CONTRAST W/O KUB	320	74246	1,350.00
ST. LUKE’S	10000472	XR SMALL BOWEL SERIES	320	74250	1,010.00
ST. LUKE’S	10000473	CT COLON DX W/O DYE	350	74261	2,800.00
ST. LUKE’S	10000474	CT COLON DX W/DYE	350	74262	3,000.00
ST. LUKE’S	10000475	CT COLON SCREENING	350	74263	1,000.00
ST. LUKE’S	10000476	XR COLON BARIUM ENEMA	320	74270	905.00
ST. LUKE’S	10000477	XR COLON DOUBLE CONTRAST	320	74280	1,180.00
ST. LUKE’S	10000478	ENEMA THERAPEUTIC AIR/CONTRAST	320	74283	615.00
ST. LUKE’S	10000479	XR CHOLANGIOGRAM INTRAOP S&I	320	74300	1,220.00
ST. LUKE’S	10000484	ERCP BILE DUCT S&I	320	74328	930.00
ST. LUKE’S	10000485	ERCP PANCREATIC DUCT S&I	320	74329	930.00
ST. LUKE’S	10000486	ERCP BILE & PANCREAS DUCT S&I	320	74330	1,170.00
ST. LUKE’S	10000487	INSERT LONG FEEDING TUBE S&I	320	74340	610.00
ST. LUKE’S	10000488	DILATION BILIARY DUCT W/WO STENT S&I	320	74363	2,130.00
ST. LUKE’S	10000489	XR IVP WITH OR W/O TOMOGRAM	320	74400	1,280.00
ST. LUKE’S	10000492	XR UROGRAPHY RETROGRADE	320	74420	1,770.00
ST. LUKE’S	10000493	XR UROGRAPHY ANTEGRADE S&I	320	74425	1,070.00
ST. LUKE’S	10000494	XR CYSTOGRAM 3 VIEW MIN S&I	320	74430	975.00
ST. LUKE’S	10000495	XR URETHROGRAM RETROGRADE S&I	320	74450	985.00
ST. LUKE’S	10000496	XR CYSTOGRAM VOIDING S&I	320	74455	1,320.00
ST. LUKE’S	10000497	XR RENAL CYST STUDY S&I	320	74470	1,450.00
ST. LUKE’S	10000498	DILATION NEPHROSTOMY/URETERS S&I	320	74485	2,640.00
ST. LUKE’S	10000500	XR HYSTEROSALPINGOGRAM S&I	320	74740	1,120.00
ST. LUKE’S	10000502	MR CARDIAC W/O DYE	610	75557	4,080.00
ST. LUKE’S	10000503	MR CARDIAC W/WO DYE	610	75561	6,320.00
ST. LUKE’S	10000504	MR HEART VELOCITY FLOW MAPPING	610	75565	4,010.00
ST. LUKE’S	10000506	CT HEART W/DYE STRUCTURE	350	75572	3,220.00
ST. LUKE’S	10000507	CT HEART W/DYE CONGENITAL	350	75573	3,220.00
ST. LUKE’S	10000508	CT HEART VESSEL W/CONTRAST	350	75574	3,220.00
ST. LUKE’S	10000509	ANGIO THORACIC S&I	320	75605	4,280.00
ST. LUKE’S	10000510	ANGIO ABDOMEN S&I	320	75625	4,960.00
ST. LUKE’S	10000511	ANGIO ABD/BILAT ILIOFEM S&I	320	75630	4,810.00
ST. LUKE’S	10000512	CHB TA ABD AORTA/ILIOFEMORAL	350	75635	3,720.00
ST. LUKE’S	10000522	ANGIO SPINAL SELECTIVE S&I	320	75705	5,460.00
ST. LUKE’S	10000523	ANGIO EXTREMITY UNILATERAL S&I	320	75710	4,420.00
ST. LUKE’S	10000524	ANGIO EXTREMITY BILATERAL S&I	320	75716	6,630.00
ST. LUKE’S	10000527	ANGIO VISCERAL SELECTIVE S&I	320	75726	5,480.00
ST. LUKE’S	10000529	ANGIO PELVIC SELECTIVE S&I	320	75736	5,230.00
ST. LUKE’S	10000530	ANGIO PULMONARY SELECTIVE UNILAT S&I	320	75741	3,140.00
ST. LUKE’S	10000531	ANGIO PULMONARY SELECTIVE BILAT S&I	320	75743	4,710.00
ST. LUKE’S	10000532	ANGIO PULMONARY NON-SELECT S&I	320	75746	2,340.00
ST. LUKE’S	10000533	ANGIO SELECT EA ADD VESSEL S&I	320	75774	2,710.00
ST. LUKE’S	10000535	SHUNTOGRAM NONVASCULAR S&I	320	75809	580.00
ST. LUKE’S	10000536	VENOGRAM EXTREMITY UNILAT S&I	320	75820	2,010.00
ST. LUKE’S	10000537	VENOGRAM EXTREMITY BILAT S&I	320	75822	3,010.00
ST. LUKE’S	10000538	VENOGRAM IVC S&I	320	75825	4,010.00
ST. LUKE’S	10000539	VENOGRAM SVC S&I	320	75827	4,010.00
ST. LUKE’S	10000540	VENOGRAM RENAL SELECTIVE BILAT S&I	320	75833	6,020.00
ST. LUKE’S	10000541	VENOGRAM ADRENAL SELECTIVE BILAT S&I	320	75842	7,530.00
ST. LUKE’S	10000542	VENOGRAM SINUS/JUGULAR S&I	320	75860	2,520.00
ST. LUKE’S	10000543	VENOGRAM LIVER W/EVAL S&I	320	75885	4,530.00
ST. LUKE’S	10000544	VENOGRAM LIVER W/O EVAL S&I	320	75887	3,010.00
ST. LUKE’S	10000545	VENOGRAM HEPATIC W HEMO S&I	320	75889	4,810.00
ST. LUKE’S	10000546	VENOGRAM HEPATIC WO HEMO S&I	320	75891	4,010.00
ST. LUKE’S	10000547	VENOUS BLOOD SAMPLING S&I	320	75893	5,900.00
ST. LUKE’S	10000548	TRANSCATHETER EMBOLIZATION S&I	320	75894	6,840.00
ST. LUKE’S	10000550	TRANSCATHETER ANGIOGRAPHY F/U	320	75898	1,070.00
ST. LUKE’S	10000552	REMOVE CVL DEVICE OBSTRUCTION S&I	320	75901	1,160.00
ST. LUKE’S	10000570	TRANSCATHETER BIOPSY S&I	320	75970	3,420.00
ST. LUKE’S	10000574	DRAIN CATH CHANGE W/CONTRAST S&I	320	75984	1,380.00
ST. LUKE’S	10000575	GUIDED DRAINAGE S&I	320	75989	2,390.00
ST. LUKE’S	10000581	FLUOROSCOPY UP TO 1 HR	320	76000	880.00
ST. LUKE’S	10000583	XR FOREIGN BODY CHILD SINGLE VIEW	320	76010	280.00
ST. LUKE’S	10000584	SINOGRAM S&I	320	76080	800.00
ST. LUKE’S	10000585	RAD EXAM SURGICAL SPEC	320	76098	720.00
ST. LUKE’S	10000589	3D RENDERING WO POSTPROCESSING	402	76376	970.00
ST. LUKE’S	10000590	3D RENDERING W/ POSTPROCESSING	402	76377	1,170.00
ST. LUKE’S	10000591	CT LIMITED OR LOCALIZED EXAM	350	76380	1,810.00
ST. LUKE’S	10000592	MR SPECTROSCOPY	610	76390	2,560.00
ST. LUKE’S	10000594	MR PROCEDURE MISCELLANEOUS	610	76498	2,650.00
ST. LUKE’S	10000595	XR PROCEDURE MISCELLANEOUS	320	76499	1,130.00
ST. LUKE’S	10000602	US, SOFT TISSUE HEAD/NECK	402	76536	1,120.00
ST. LUKE’S	10000603	US CHEST	402	76604	940.00
ST. LUKE’S	10000605	US ABDOMEN COMPLETE	402	76700	1,860.00
ST. LUKE’S	10000606	US ABDOMEN LTD	402	76705	1,390.00
ST. LUKE’S	10000607	US RETROPERITONEUM COMPLETE	402	76770	1,020.00
ST. LUKE’S	10000608	US RETROPERITONEUM LTD	402	76775	765.00
ST. LUKE’S	10000609	US RENAL TRANSPLANT	402	76776	1,280.00
ST. LUKE’S	10000610	US SPINAL CORD	402	76800	775.00
ST. LUKE’S	10000611	US OB < 14 WK SINGLE FETUS	402	76801	1,020.00
ST. LUKE’S	10000612	US OB <14 WK ADDL FETUS	402	76802	510.00
ST. LUKE’S	10000613	US OB >/=14 WK SINGLE FETUS	402	76805	1,260.00
ST. LUKE’S	10000614	US OB >/=14 WK ADDL FETUS	402	76810	630.00
ST. LUKE’S	10000615	US OB DETAILED SINGLE FETUS	402	76811	1,020.00
ST. LUKE’S	10000616	US OB DETAILED ADDL FETUS	402	76812	510.00
ST. LUKE’S	10000619	US OB LIMITED	402	76815	740.00
ST. LUKE’S	10000620	US OB FOLLOW UP EA FETUS	402	76816	740.00
ST. LUKE’S	10000621	US OB TRANSVAGINAL	402	76817	865.00
ST. LUKE’S	10000630	US TRANSVAGINAL	402	76830	885.00
ST. LUKE’S	10000631	US PELVIS COMPLETE	402	76856	1,340.00
ST. LUKE’S	10000632	US PELVIS LIMITED	402	76857	875.00
ST. LUKE’S	10000633	US TESTICLES	402	76870	1,140.00
ST. LUKE’S	10000634	US PROSTATE VOLUME STUDY	402	76873	1,280.00
ST. LUKE’S	10000636	ULTRASOUND FOR VASCULAR ACCESS	402	76937	1,230.00
ST. LUKE’S	10000637	US GUIDED ABLATION MONITORING	402	76940	805.00
ST. LUKE’S	10000638	US NEEDLE GUIDANCE S&I	402	76942	1,380.00
ST. LUKE’S	10000641	US GUIDANCE RADIOTHERAPY	402	76965	990.00
ST. LUKE’S	10000642	US GUIDANCE INTRAOPERATIVE	402	76998	560.00
ST. LUKE’S	10000643	US MISCELLANEOUS	402	76999	145.00
ST. LUKE’S	10000644	FLUORO GUIDANCE CVL	320	77001	880.00
ST. LUKE’S	10000645	FLUORO GUIDANCE NEEDLE PLACEMENT	320	77002	880.00
ST. LUKE’S	10000647	FLUORO GUIDANCE SPINE INJECTION	320	77003	880.00
ST. LUKE’S	10000648	CT GUIDED STEREO LOCALIZATION	350	77011	1,620.00
ST. LUKE’S	10000649	CT GUIDED NEEDLE PLACEMENT S&I	350	77012	2,600.00
ST. LUKE’S	10000650	CT GUIDED TISSUE ABLATION	350	77013	2,170.00
ST. LUKE’S	10000651	CT GUIDED FIELD PLACEMENT	350	77014	2,890.00
ST. LUKE’S	10000657	GALACTOGRAM 1 DUCT S&I	320	77053	580.00
ST. LUKE’S	10000658	GALACTOGRAM > 1 DUCT S&I	320	77054	655.00
ST. LUKE’S	10000662	BONE AGE STUDY	320	77072	560.00
ST. LUKE’S	10000663	BONE LENGTH STUDY	320	77073	670.00
ST. LUKE’S	10000665	BONE SURVEY COMPLETE	320	77075	1,690.00
ST. LUKE’S	10000666	BONE SURVEY INFANT	320	77076	1,000.00
ST. LUKE’S	10000667	JOINT SURVEY 1 VIEW 2 OR >JOINTS	320	77077	565.00
ST. LUKE’S	10000668	DXA AXIAL SKELETON	320	77080	855.00
ST. LUKE’S	10000669	DXA APPENDICULAR SKELETON	320	77081	515.00
ST. LUKE’S	10000670	DXA VERTEBRAL FX ASSESSMENT	320	77086	450.00
ST. LUKE’S	10000671	MR BONE MARROW/BLOOD SUPPLY	610	77084	3,970.00
ST. LUKE’S	10000672	DOSIMETRY BASIC CALCULATION	330	77300	990.00
ST. LUKE’S	10000678	NM THYROID METS IMAGING WHOLE BODY	341	78018	3,320.00
ST. LUKE’S	10000679	NM THYROID METS UPTAKE	341	78020	935.00
ST. LUKE’S	10000680	NM PARATHYROID IMAGING	341	78070	1,890.00
ST. LUKE’S	10000681	NM BONE MARROW IMAGING/LTD	341	78102	1,630.00
ST. LUKE’S	10000682	NM BONE MARROW IMAGING/MULTI	341	78103	1,950.00
ST. LUKE’S	10000683	NM BONE MARROW IMAGING/WB	341	78104	2,440.00
ST. LUKE’S	10000687	NM LYMPHOSCINTIGRAPHY	341	78195	2,610.00
ST. LUKE’S	10000688	NM LIVER IMAGING/PLANAR	341	78201	2,370.00
ST. LUKE’S	10000695	NM GASTRIC EMPTYING STUDY	341	78264	2,430.00
ST. LUKE’S	10000696	NM GI BLEED STUDY	341	78278	2,170.00
ST. LUKE’S	10000697	NM BOWEL IMAGING	341	78290	1,860.00
ST. LUKE’S	10000698	NM PERITONEAL VENOUS SHT STUDY	341	78291	1,490.00
ST. LUKE’S	10000699	NM BONE IMAGING/LTD	341	78300	1,810.00
ST. LUKE’S	10000700	NM BONE IMAGING/MULTI	341	78305	2,090.00
ST. LUKE’S	10000701	NM BONE IMAGING/WHOLE BODY	341	78306	2,640.00
ST. LUKE’S	10000702	NM BONE IMAGING W FLOW	341	78315	2,780.00
ST. LUKE’S	10000704	CARDIAC SHUNT DETECTION	341	78428	2,420.00
ST. LUKE’S	10000705	NM VASCULAR FLOW IMAGING	341	78445	970.00
ST. LUKE’S	10000706	NM MYO PERF SPECT SINGLE	341	78451	5,640.00
ST. LUKE’S	10000707	NM MYO PERF SPECT MULTIPLE	341	78452	8,450.00
ST. LUKE’S	10000709	NM MYO PERF PLANAR MULTIPLE	341	78454	5,750.00
ST. LUKE’S	10000711	NM PET MYOCARDIAL METABOLIC EVAL	404	78459	7,770.00
ST. LUKE’S	10000712	NM GATED BLOOD POOL IMAGING REST	341	78472	2,510.00
ST. LUKE’S	10000713	NM BLOOD POOL IMAGING SINGLE	341	78481	3,000.00
ST. LUKE’S	10000714	NM PET MYOCARDIAL PERFUSION SINGLE	404	78491	7,770.00
ST. LUKE’S	10000715	NM GATED BLOOD POOL IMAGE SPECT	341	78494	3,000.00
ST. LUKE’S	10000716	NM PULMONARY PERFUSION	341	78580	2,070.00
ST. LUKE’S	10000721	NM BRAIN IMAGING W FLOW/LTD	341	78601	1,460.00
ST. LUKE’S	10000722	NM BRAIN IMAGING W FLOW	341	78606	2,510.00
ST. LUKE’S	10000724	NM BRAIN METABOLIC EVAL	404	78608	7,770.00
ST. LUKE’S	10000725	NM PET BRAIN PERFUSION EVAL	404	78609	7,770.00
ST. LUKE’S	10000726	NM BRAIN IMAGING/FLOW ONLY	341	78610	1,170.00
ST. LUKE’S	10000727	NM CISTERNOGRAPHY/PLANAR	341	78630	2,180.00
ST. LUKE’S	10000728	NM CSF SHUNT IMAGING	341	78645	2,370.00
ST. LUKE’S	10000731	NM RENAL FUNCTION WO DRUG	341	78707	3,010.00
ST. LUKE’S	10000732	NM RENAL FUNCTION W DRUG	341	78708	3,260.00
ST. LUKE’S	10000733	NM RENAL FUNCTION WWO DRUG	341	78709	4,760.00
ST. LUKE’S	10000734	NM TUMOR LOCALIZATION/LTD	341	78800	1,650.00
ST. LUKE’S	10000735	NM TUMOR LOCALIZATION/WB 1 DAY	341	78802	2,480.00
ST. LUKE’S	10000736	NM TUMOR LOCALIZATION/SPECT	341	78803	2,840.00
ST. LUKE’S	10000737	NM TUMOR LOCALIZATION/WB 2+ DAY	341	78804	3,320.00
ST. LUKE’S	10000742	NM PET TUMOR IMAGING SKULL-THIGH	404	78812	7,770.00
ST. LUKE’S	10000743	NM THERAPY ORAL ADMINISTRATION	342	79005	1,130.00
ST. LUKE’S	10000744	NM RADIOPHARMACEUTICAL THERAPY IV	342	79101	1,430.00
ST. LUKE’S	10000745	NM TX MONOCLONAL ANTIBODY	342	79403	2,420.00
ST. LUKE’S	10000746	NM THERAPY INTRA-ARTERIAL	342	79445	1,440.00
ST. LUKE’S	10000747	POC URINE DIPSTICK W/O MICRO	300	81002	35.00
ST. LUKE’S	10000748	URINALYSIS SCREEN MANUAL	307	81002	30.00
ST. LUKE’S	10000749	POC URINALYSIS AUTO W/O MICRO	307	81003	50.00
ST. LUKE’S	10000750	URINALYSIS AUTO W/O MICRO	307	81003	50.00
ST. LUKE’S	10000751	URINE MICROSCOPIC	307	81015	40.00
ST. LUKE’S	10000752	URINE RBC MICROSCOPIC	307	81015	40.00
ST. LUKE’S	10000753	MISC LAB	307	81025	110.00
ST. LUKE’S	10000754	MISC LAB	307	81025	150.00
ST. LUKE’S	10000756	URINE TIMED VOLUME, EACH	307	81050	25.00
ST. LUKE’S	10000757	ACETAMINOPHIN	301	80143	305.00
ST. LUKE’S	10000759	ACETONE SERUM QUANTITATIVE	301	82010	90.00
ST. LUKE’S	10000760	ACETYLCHOLINESTERASE	301	82013	305.00
ST. LUKE’S	10000761	ACYLCARNITINE QUANTITATIVE	301	82017	435.00
ST. LUKE’S	10000762	NEWBORN FATTY ACID OXIDATION	301	82017	25.00
ST. LUKE’S	10000763	ACTH	301	82024	415.00
ST. LUKE’S	10000764	ALBUMIN, SERUM	301	82040	75.00
ST. LUKE’S	10000765	ALBUMIN OTHER SOURCE EACH SPECIMEN	301	82042	90.00
ST. LUKE’S	10000766	MICROALBUMIN URINE	301	82043	120.00
ST. LUKE’S	10000767	MICROALBUMIN URINE 24 HR	301	82043	120.00
ST. LUKE’S	10000768	MICROALBUMIN URINE TIMED	301	82043	120.00
ST. LUKE’S	10000769	ALCOHOL SCREEN (ETHANOL)	300	82077	220.00
ST. LUKE’S	10000770	ALDOLASE	301	82085	125.00
ST. LUKE’S	10000771	ALDOSTERONE	301	82088	275.00
ST. LUKE’S	10000772	ALDOSTERONE URINE	301	82088	275.00
ST. LUKE’S	10000774	ALPHA-1 ANTITRYPSIN	301	82103	195.00
ST. LUKE’S	10000775	ALPHA-1 ANTITRYPSIN PHENOTYPE	301	82104	195.00
ST. LUKE’S	10000776	AFP, MATERNAL SCREEN	301	82105	100.00
ST. LUKE’S	10000777	AFP, TUMOR MARKER	301	82105	215.00
ST. LUKE’S	10000779	ALUMINUM	301	82108	190.00
ST. LUKE’S	10000781	AMINO ACIDS QUANTITATIVE SNGL	301	82131	150.00
ST. LUKE’S	10000782	AMINOLEVULINIC ACID	301	82135	135.00
ST. LUKE’S	10000783	AMINO ACIDS QUANTITATIVE 6/>	301	82139	425.00
ST. LUKE’S	10000784	AMMONIA	301	82140	165.00
ST. LUKE’S	10000785	SRDP AMMONIA URINE	301	82140	140.00
ST. LUKE’S	10000787	AMYLASE	301	82150	130.00
ST. LUKE’S	10000789	AMYLASE, URINE	301	82150	135.00
ST. LUKE’S	10000791	ANDROSTENEDIONE	301	82157	215.00
ST. LUKE’S	10000792	ACE, CSF	301	82164	185.00
ST. LUKE’S	10000793	ANGIOTENSIN CONVERTING ENZYME	301	82164	175.00
ST. LUKE’S	10000794	APOLIPOPROTEIN A	301	82172	135.00
ST. LUKE’S	10000795	APOLIPOPROTEIN B	301	82172	135.00
ST. LUKE’S	10000796	ARSENIC	301	82175	135.00
ST. LUKE’S	10000797	ARSENIC, URINE	301	82175	135.00
ST. LUKE’S	10000798	VITAMIN C	301	82180	135.00
ST. LUKE’S	10000799	BARBITURATES, GC/MS	301	80345	170.00
ST. LUKE’S	10000800	PENTOBARBITAL	301	80345	175.00
ST. LUKE’S	10000801	BETA-2 MICROGLOBULIN	301	82232	150.00
ST. LUKE’S	10000802	BETA-2 MICROGLOBULIN URINE	301	82232	150.00
ST. LUKE’S	10000803	BILE ACIDS, TOTAL	301	82239	185.00
ST. LUKE’S	10000804	BILIRUBIN TOTAL	301	82247	110.00
ST. LUKE’S	10000805	BILIRUBIN DIRECT	301	82248	110.00
ST. LUKE’S	10000807	NEWBORN BIOTINIDASE	301	82261	25.00
ST. LUKE’S	10000808	OCCULT BLOOD FECAL SCREENING	301	82270	35.00
ST. LUKE’S	10000809	OCCULT BLOOD, OTHER	301	82271	35.00
ST. LUKE’S	10000811	OCCULT BLOOD, FECES	301	82272	35.00
ST. LUKE’S	10000813	OCCULT BLOOD FECAL IMMUNOASSAY	301	82274	90.00
ST. LUKE’S	10000814	CADMIUM	301	82300	165.00
ST. LUKE’S	10000815	CADMIUM URINE	301	82300	175.00
ST. LUKE’S	10000816	VITAMIN D, 25-OH	301	82306	290.00
ST. LUKE’S	10000817	CALCITONIN	301	82308	125.00
ST. LUKE’S	10000818	CALCIUM SERUM	301	82310	95.00
ST. LUKE’S	10000819	CALCIUM IONIZED	301	82330	80.00
ST. LUKE’S	10000820	POC CALCIUM IONIZED	301	82330	80.00
ST. LUKE’S	10000822	CALCIUM URINE	301	82340	115.00
ST. LUKE’S	10000823	SRD CALCIUM URINE	301	82340	60.00
ST. LUKE’S	10000824	CALCULI INFRARED SPECTROSCOPY	301	82365	150.00
ST. LUKE’S	10000825	BICARBONATE URINE	301	82374	80.00
ST. LUKE’S	10000826	CARBON DIOXIDE	301	82374	90.00
ST. LUKE’S	10000827	CARBON MONOXIDE	301	82375	65.00
ST. LUKE’S	10000828	POC CARBON MONOXIDE	301	82375	65.00
ST. LUKE’S	10000829	CEA	301	82378	275.00
ST. LUKE’S	10000830	CARNITINE FREE & TOTAL	301	82379	300.00
ST. LUKE’S	10000831	CAROTENE	301	82380	135.00
ST. LUKE’S	10000832	CATECHOLAMINES FRACT BLOOD	301	82384	320.00
ST. LUKE’S	10000833	CATECHOLAMINES FRACT URINE	301	82384	320.00
ST. LUKE’S	10000834	CERULOPLASMIN	301	82390	165.00
ST. LUKE’S	10000835	IGF BINDING PROTEIN, CHEMILUM	301	82397	240.00
ST. LUKE’S	10000837	CHLORIDE BLOOD	301	82435	65.00
ST. LUKE’S	10000838	POC CHLORIDE	301	82435	65.00
ST. LUKE’S	10000839	CHLORIDE URINE	301	82436	105.00
ST. LUKE’S	10000840	CHLORIDE, OTHER SOURCE	301	82438	105.00
ST. LUKE’S	10000842	CHOLESTEROL	301	82465	100.00
ST. LUKE’S	10000843	CHOLINESTERASE SERUM	301	82480	110.00
ST. LUKE’S	10000844	CHOLINESTERASE, RBC	301	82482	110.00
ST. LUKE’S	10000849	CHROMIUM	301	82495	130.00
ST. LUKE’S	10000850	CITRATE	301	82507	245.00
ST. LUKE’S	10000851	SRD CITRATE	301	82507	245.00
ST. LUKE’S	10000852	COLLAGEN CROSS LINKS	301	82523	230.00
ST. LUKE’S	10000853	COPPER	301	82525	170.00
ST. LUKE’S	10000854	COPPER TISSUE	301	82525	170.00
ST. LUKE’S	10000855	COPPER URINE	301	82525	170.00
ST. LUKE’S	10000856	CORTISOL, FREE	301	82530	215.00
ST. LUKE’S	10000857	CORTISOL, SALIVARY	301	82533	230.00
ST. LUKE’S	10000858	CORTISOL, TOTAL	301	82533	230.00
ST. LUKE’S	10000860	CK TOTAL	301	82550	120.00
ST. LUKE’S	10000861	CK ISOENZYMES	301	82552	110.00
ST. LUKE’S	10000863	CK MB FRACTION	301	82553	250.00
ST. LUKE’S	10000865	CREATININE BLOOD	301	82565	75.00
ST. LUKE’S	10000866	POC CREATININE	301	82565	75.00
ST. LUKE’S	10000867	CREATININE OTHER SOURCE	301	82570	95.00
ST. LUKE’S	10000868	CREATININE URINE	301	82570	95.00
ST. LUKE’S	10000869	SRDP CREATININE URINE	301	82570	95.00
ST. LUKE’S	10000870	CREATININE CLEARANCE	301	82575	155.00
ST. LUKE’S	10000871	CRYOFIBRINOGEN	301	82585	100.00
ST. LUKE’S	10000872	CRYOGLOBULIN QUALITATIVE	301	82595	75.00
ST. LUKE’S	10000873	CYANIDE	301	82600	170.00
ST. LUKE’S	10000874	VITAMIN B-12	301	82607	195.00
ST. LUKE’S	10000875	VITAMIN B-12 BINDING CAPACITY	301	82608	195.00
ST. LUKE’S	10000876	DHEA	301	82626	265.00
ST. LUKE’S	10000877	DHEA SULFATE	301	82627	265.00
ST. LUKE’S	10000878	DEOXYCORTISOL 11	301	82634	160.00
ST. LUKE’S	10000880	VITAMIN D, 1, 25-DIHYDROXY	301	82652	300.00
ST. LUKE’S	10000881	DISACCHARIDASES ACT TISSUE	301	82657	415.00
ST. LUKE’S	10000882	THIOPURINE METHYLTRANSFERASE	301	84433	415.00
ST. LUKE’S	10000883	LIPO ELECTROPHORETIC TEST	301	82664	280.00
ST. LUKE’S	10000884	ERYTHROPOIETIN	301	82668	165.00
ST. LUKE’S	10000885	ESTRADIOL	301	82670	240.00
ST. LUKE’S	10000886	ESTROGENS, FRACTIONATED	301	82671	125.00
ST. LUKE’S	10000887	ESTRIOL	301	82677	110.00
ST. LUKE’S	10000888	ESTRONE	301	82679	165.00
ST. LUKE’S	10000889	ETHYLENE GLYCOL	301	82693	220.00
ST. LUKE’S	10000890	FAT, FECAL QUANTITATIVE	301	82710	260.00
ST. LUKE’S	10000891	VERY LONG CHAIN FATTY ACIDS	301	82726	345.00
ST. LUKE’S	10000892	FERRITIN	301	82728	175.00
ST. LUKE’S	10000893	FETAL FIBRONECTIN	301	82731	620.00
ST. LUKE’S	10000894	FOLIC ACID, SERUM	301	82746	265.00
ST. LUKE’S	10000895	FOLIC ACID, RBC	301	82747	235.00
ST. LUKE’S	10000896	NEWBORN GALACTOSE TRANSERASE	301	82775	25.00
ST. LUKE’S	10000897	GAMMAGLOBULIN, IGA	301	82784	75.00
ST. LUKE’S	10000898	GAMMAGLOBULIN, IGD	301	82784	75.00
ST. LUKE’S	10000899	GAMMAGLOBULIN, IGG	301	82784	75.00
ST. LUKE’S	10000900	GAMMAGLOBULIN, IGM	301	82784	75.00
ST. LUKE’S	10000901	IMMUNOGLOBULIN IGE	301	82785	210.00
ST. LUKE’S	10000902	IMMUNOGLOBULIN SUBCLASSES EA	301	82787	50.00
ST. LUKE’S	10000903	PH BLOOD	301	82800	100.00
ST. LUKE’S	10000904	BLOOD GASES	301	82803	135.00
ST. LUKE’S	10000906	POC BLOOD GASES	301	82803	135.00
ST. LUKE’S	10000908	BLOOD GAS PROFILE	300	82805	215.00
ST. LUKE’S	10000910	POC OXYGEN SATURATION	301	82810	125.00
ST. LUKE’S	10000911	GASES, O2 SATURATION	301	82810	125.00
ST. LUKE’S	10000913	GASTRIN	301	82941	100.00
ST. LUKE’S	10000914	GLUCAGON	301	82943	210.00
ST. LUKE’S	10000915	GLUCOSE, BODY FLUID	301	82945	95.00
ST. LUKE’S	10000916	GLUCOSE, BLOOD	301	82947	55.00
ST. LUKE’S	10000917	POC GLUCOSE SERUM	301	82947	55.00
ST. LUKE’S	10000918	GLUCOSE, POST GLUCOSE DOSE	301	82950	105.00
ST. LUKE’S	10000919	GTT, 3 SPECIMENS	301	82951	210.00
ST. LUKE’S	10000920	GTT, EACH ADDL SPECIMEN	301	82952	70.00
ST. LUKE’S	10000921	G6PD, QUANTITATIVE	301	82955	125.00
ST. LUKE’S	10000923	POC GLUCOSE – METER METHOD	301	82962	25.00
ST. LUKE’S	10000924	GGT	301	82977	145.00
ST. LUKE’S	10000925	GLYCATED PROTEIN	301	82985	130.00
ST. LUKE’S	10000926	FSH	301	83001	265.00
ST. LUKE’S	10000927	LUTEINIZING HORMONE	301	83002	275.00
ST. LUKE’S	10000928	HUMAN GROWTH HORMONE	301	83003	155.00
ST. LUKE’S	10000929	HAPTOGLOBIN	301	83010	135.00
ST. LUKE’S	10000930	H PYLORI BREATH TEST	301	83013	420.00
ST. LUKE’S	10000931	H PYLORI BREATH DRUG ADMIN	301	83014	105.00
ST. LUKE’S	10000932	THALLIUM	301	83018	240.00
ST. LUKE’S	10000934	HEMOGLOBIN ELECTROPH QUANT	301	83020	225.00
ST. LUKE’S	10000935	HEMOGLOBIN ELECTROPHORESIS	301	83020	225.00
ST. LUKE’S	10000936	NEWBORN HEMOGLOBINOPATHY	301	83020	25.00
ST. LUKE’S	10000937	HEMOGLOBIN F, QUALITATIVE	301	83033	40.00
ST. LUKE’S	10000938	HEMOGLOBIN A1C	301	83036	160.00
ST. LUKE’S	10000939	METHEMOGLOBIN QUANTITATIVE	301	83050	60.00
ST. LUKE’S	10000940	POC METHEMOGLOBIN	301	83050	60.00
ST. LUKE’S	10000941	HEMOGLOBIN PLASMA	301	83051	115.00
ST. LUKE’S	10000942	HEMOSIDERIN QUALITATIVE	301	83070	90.00
ST. LUKE’S	10000944	HISTAMINE	301	83088	225.00
ST. LUKE’S	10000945	HISTAMINE, URINE	301	83088	225.00
ST. LUKE’S	10000946	HOMOCYSTEINE	301	83090	310.00
ST. LUKE’S	10000947	HYDROXYCORTICOSTEROIDS, 17	301	83491	175.00
ST. LUKE’S	10000948	HYDROXYINDOLACETIC ACID, 5	301	83497	160.00
ST. LUKE’S	10000949	HYDROXYPROGESTERONE, 17D	301	83498	220.00
ST. LUKE’S	10000950	NEWBORN OH-PROGESTRONE, 17D	301	83498	25.00
ST. LUKE’S	10000952	ANNA BY IMMUNOBLOT	301	83516	205.00
ST. LUKE’S	10000953	ANTI-GLIADIN IGA	301	86258	165.00
ST. LUKE’S	10000954	ANTI-GLIADIN IGG	301	86258	165.00
ST. LUKE’S	10000958	GLUTAMIC ACID DECARB, ELISA	302	86341	260.00
ST. LUKE’S	10000960	GM1, IGG ANTIBODY	301	83516	100.00
ST. LUKE’S	10000961	GM1, IGM ANTIBODY	301	83516	100.00
ST. LUKE’S	10000963	MAG AB, IGM	301	83516	135.00
ST. LUKE’S	10000964	MYELOPEROXIDASE AB	301	83516	135.00
ST. LUKE’S	10000965	NEWBORN CYSTIC FIBROSIS	301	83516	25.00
ST. LUKE’S	10000967	SERINE PROTEASE 3	301	83516	135.00
ST. LUKE’S	10000968	TISSUE TRANGLUTINASE AB	301	86364	155.00
ST. LUKE’S	10000969	ANTI-SMOOTH MUSCLE ANTIBODY	300	86015	195.00
ST. LUKE’S	10000970	BASEMENT MEMBRANE EPIDERMAL AB	301	83516	125.00
ST. LUKE’S	10000974	ACETYLCHOLINE RECEPTOR	301	83519	230.00
ST. LUKE’S	10000976	PTH RELATED PEPTIDE	301	82542	250.00
ST. LUKE’S	10000978	TSH RECEPTOR ANTIBODY	301	83520	160.00
ST. LUKE’S	10000979	VOLTAGE-GATED CA CHANNEL AB	301	86596	305.00
ST. LUKE’S	10000981	INHIBIN B	301	83520	155.00
ST. LUKE’S	10000982	INTERLEUKIN 6	301	83529	155.00
ST. LUKE’S	10000983	PANCREATIC ELASTASE FECAL	301	82653	225.00
ST. LUKE’S	10000984	TRYPTASE	301	83520	280.00
ST. LUKE’S	10000985	INSULIN, TOTAL	301	83525	125.00
ST. LUKE’S	10000986	INSULIN, FREE	301	83527	90.00
ST. LUKE’S	10000987	IRON	301	83540	130.00
ST. LUKE’S	10000988	IRON QUANTITATIVE TISSUE	301	83540	160.00
ST. LUKE’S	10000990	IRON BINDING CAPACITY	301	83550	140.00
ST. LUKE’S	10000991	17 KETOSTEROIDS, TOTAL	301	83586	60.00
ST. LUKE’S	10000992	LACTIC ACID	301	83605	125.00
ST. LUKE’S	10000993	POC LACTIC ACID	301	83605	125.00
ST. LUKE’S	10000994	LDH	301	83615	90.00
ST. LUKE’S	10000996	LACTOFERRIN, FECAL QUAL	301	83630	145.00
ST. LUKE’S	10000997	LEAD	301	83655	110.00
ST. LUKE’S	10000998	LEAD, URINE	301	83655	110.00
ST. LUKE’S	10001001	LAMELLAR BODY COUNT	301	83664	120.00
ST. LUKE’S	10001003	LIPASE	301	83690	205.00
ST. LUKE’S	10001004	LIPOPROTEIN A	301	83695	175.00
ST. LUKE’S	10001007	LIPOPROTEIN QUANT, NMR	301	83704	265.00
ST. LUKE’S	10001008	HDL CHOLESTEROL	301	83718	115.00
ST. LUKE’S	10001009	LDL CHOLESTEROL	301	83721	130.00
ST. LUKE’S	10001010	MAGNESIUM SERUM	301	83735	125.00
ST. LUKE’S	10001011	MAGNESIUM SRDP	301	83735	95.00
ST. LUKE’S	10001012	MAGNESIUM URINE	301	83735	95.00
ST. LUKE’S	10001013	MANGANESE BLOOD	301	83785	205.00
ST. LUKE’S	10001015	NEWBORN AMINO ACID SCREEN	301	83789	25.00
ST. LUKE’S	10001016	MERCURY	301	83825	160.00
ST. LUKE’S	10001017	MERCURY URINE	301	83825	160.00
ST. LUKE’S	10001018	METANEPHRINES, PLASMA	301	83835	305.00
ST. LUKE’S	10001019	METANEPHRINES, URINE	301	83835	170.00
ST. LUKE’S	10001023	MYELIN BASIC PROTEIN, CSF	301	83873	190.00
ST. LUKE’S	10001024	MYOGLOBIN	301	83874	165.00
ST. LUKE’S	10001025	MYOGLOBIN, URINE	301	83874	130.00
ST. LUKE’S	10001027	NATRIURETIC PEPTIDE	301	83880	195.00
ST. LUKE’S	10001028	POC BNP (NATRIURETIC PEPTIDE)	301	83880	195.00
ST. LUKE’S	10001029	NEPHELOMETRY EACH ANALYTE	301	83883	115.00
ST. LUKE’S	10001049	5 NUCLEOTIDASE	301	83915	120.00
ST. LUKE’S	10001050	OLIGOCLONAL BANDS	301	83916	180.00
ST. LUKE’S	10001051	ORGANIC ACIDS TOTAL QUANT	301	83918	405.00
ST. LUKE’S	10001052	ORGANIC ACID, SINGLE QUANT	301	83921	315.00
ST. LUKE’S	10001053	OPIATES, LC/MS	301	80361	140.00
ST. LUKE’S	10001054	OSMOLALITY BLOOD	301	83930	95.00
ST. LUKE’S	10001055	OSMOLALITY, URINE	301	83935	95.00
ST. LUKE’S	10001057	OXALATE	301	83945	105.00
ST. LUKE’S	10001058	SRD OXALATE URINE	301	83945	90.00
ST. LUKE’S	10001060	PARATHYROID HORMONE	301	83970	235.00
ST. LUKE’S	10001061	PH BODY FLUID	301	83986	50.00
ST. LUKE’S	10001062	PH FECAL	301	83986	40.00
ST. LUKE’S	10001063	PH URINE SRDP	301	83986	70.00
ST. LUKE’S	10001064	ANTIPSYCHOTIC, 1-2	301	80342	230.00
ST. LUKE’S	10001065	NEWBORN PHENYLALANINE	301	84030	25.00
ST. LUKE’S	10001067	PROSTATIC ACID PHOSPHATASE	301	84066	130.00
ST. LUKE’S	10001068	ALKALINE PHOSPHATASE	301	84075	125.00
ST. LUKE’S	10001069	ALKALINE PHOSPHATASE ISOENZYME	301	84080	135.00
ST. LUKE’S	10001071	PHOSPHORUS	301	84100	90.00
ST. LUKE’S	10001072	PHOSPHORUS URINE	301	84105	90.00
ST. LUKE’S	10001073	SRDP PHOSPHORUS URINE	301	84105	90.00
ST. LUKE’S	10001075	PORPHOBILINOGEN URINE QUANT	301	84110	125.00
ST. LUKE’S	10001076	PORPHYRINS URINE FRACTIONATED	301	84120	215.00
ST. LUKE’S	10001077	PORPHYRINS FECES QUANT	301	84126	265.00
ST. LUKE’S	10001078	POC POTASSIUM SERUM	301	84132	70.00
ST. LUKE’S	10001079	POTASSIUM SERUM	301	84132	70.00
ST. LUKE’S	10001080	POTASSIUM URINE	301	84133	105.00
ST. LUKE’S	10001081	SRDP POTASSIUM	301	84133	105.00
ST. LUKE’S	10001082	PREALBUMIN	301	84134	195.00
ST. LUKE’S	10001083	17 OH PREGNENOLONE	301	84143	190.00
ST. LUKE’S	10001084	PROGESTERONE	301	84144	235.00
ST. LUKE’S	10001085	PROCALCITONIN (PCT)	301	84145	315.00
ST. LUKE’S	10001086	PROLACTIN	301	84146	290.00
ST. LUKE’S	10001087	PSA, TOTAL	301	84153	175.00
ST. LUKE’S	10001088	PSA, FREE	301	84154	175.00
ST. LUKE’S	10001089	PROTEIN, TOTAL	301	84155	90.00
ST. LUKE’S	10001090	PROTEIN, TOTAL, URINE	301	84156	90.00
ST. LUKE’S	10001091	PROTEIN, TOTAL, OTHER FLUID	301	84157	110.00
ST. LUKE’S	10001093	PROTEIN ELECTROPHORESIS, SERUM	301	84165	185.00
ST. LUKE’S	10001094	PROTEIN ELECTROPHORESIS, URINE	301	84166	215.00
ST. LUKE’S	10001095	WESTERN BLOT IMMUNO PROBE EA	301	84182	485.00
ST. LUKE’S	10001096	RBC PROTOPORPHYRIN, QUANT	301	84202	110.00
ST. LUKE’S	10001097	PROINSULIN	301	84206	115.00
ST. LUKE’S	10001098	VITAMIN B-6	301	84207	250.00
ST. LUKE’S	10001099	PYRUVATE	301	84210	155.00
ST. LUKE’S	10001100	PYRUVATE KINASE	301	84220	130.00
ST. LUKE’S	10001101	SOLUBLE TRANSFERRIN RECEPTOR	301	84238	260.00
ST. LUKE’S	10001102	RENIN	301	84244	275.00
ST. LUKE’S	10001103	SELENIUM	301	84255	145.00
ST. LUKE’S	10001104	SEROTONIN	301	84260	305.00
ST. LUKE’S	10001105	SEX HORMONE BINDING GLOBULIN	301	84270	170.00
ST. LUKE’S	10001107	POC SODIUM SERUM	301	84295	45.00
ST. LUKE’S	10001108	SODIUM SERUM	301	84295	45.00
ST. LUKE’S	10001109	SODIUM URINE	301	84300	50.00
ST. LUKE’S	10001110	SODIUM URINE 24HR	301	84300	50.00
ST. LUKE’S	10001111	SODIUM, OTHER SOURCE	301	84302	50.00
ST. LUKE’S	10001112	SOMATOMEDIN	301	84305	270.00
ST. LUKE’S	10001113	PHENOLPHTHALEIN, FECAL	301	84311	120.00
ST. LUKE’S	10001114	REDUCING SUBSTANCES STOOL	301	84376	45.00
ST. LUKE’S	10001115	SRDP SULFATE URINE	301	84392	60.00
ST. LUKE’S	10001116	TESTOSTERONE, FREE	301	84402	225.00
ST. LUKE’S	10001117	TESTOSTERONE, TOTAL	301	84403	220.00
ST. LUKE’S	10001118	VITAMIN B1	301	84425	195.00
ST. LUKE’S	10001119	THIOCYANATE	301	84430	130.00
ST. LUKE’S	10001120	THYROGLOBULIN	301	84432	150.00
ST. LUKE’S	10001121	T4, TOTAL	301	84436	140.00
ST. LUKE’S	10001122	T4, FREE	301	84439	175.00
ST. LUKE’S	10001123	THYROXINE BINDING GLOBULIN	301	84442	180.00
ST. LUKE’S	10001124	NEWBORN TSH	301	84443	25.00
ST. LUKE’S	10001125	TSH	301	84443	205.00
ST. LUKE’S	10001127	THYROID STIM IMMUNOGLOB	301	84445	425.00
ST. LUKE’S	10001128	VITAMIN E	301	84446	180.00
ST. LUKE’S	10001129	SGOT	301	84450	110.00
ST. LUKE’S	10001130	SGPT	301	84460	120.00
ST. LUKE’S	10001131	TRANSFERRIN	301	84466	180.00
ST. LUKE’S	10001132	TRIGLYCERIDES	301	84478	125.00
ST. LUKE’S	10001133	T3 UPTAKE	301	84479	115.00
ST. LUKE’S	10001134	T3, TOTAL	301	84480	205.00
ST. LUKE’S	10001135	T3, FREE	301	84481	185.00
ST. LUKE’S	10001136	T3, REVERSE	301	84482	135.00
ST. LUKE’S	10001137	POC TROPONIN	301	84484	170.00
ST. LUKE’S	10001138	TROPONIN, QUANTITATIVE	301	84484	170.00
ST. LUKE’S	10001139	NEWBORN TYROSINE	301	84510	25.00
ST. LUKE’S	10001140	BUN	301	84520	55.00
ST. LUKE’S	10001141	POC NITROGEN SERUM	301	84520	55.00
ST. LUKE’S	10001142	UREA NITROGEN URINE	301	84540	110.00
ST. LUKE’S	10001143	UREA NITROGEN CLEARANCE	301	84545	140.00
ST. LUKE’S	10001144	URIC ACID SERUM	301	84550	110.00
ST. LUKE’S	10001145	SRDP URIC ACID URINE	301	84560	100.00
ST. LUKE’S	10001146	URIC ACID/FLUID	301	84560	100.00
ST. LUKE’S	10001147	VANILLYLMANDELIC ACID	301	84585	190.00
ST. LUKE’S	10001148	VASOACTIVE INTESTINAL PEPTIDE	301	84586	305.00
ST. LUKE’S	10001149	VASOPRESSIN	301	84588	330.00
ST. LUKE’S	10001150	VITAMIN A	301	84590	190.00
ST. LUKE’S	10001151	VITAMIN K	301	84597	260.00
ST. LUKE’S	10001153	VOLATILES SCREEN	301	84600	230.00
ST. LUKE’S	10001155	ZINC	301	84630	150.00
ST. LUKE’S	10001156	C-PEPTIDE	301	84681	170.00
ST. LUKE’S	10001157	MISC LAB	301	84702	310.00
ST. LUKE’S	10001158	MISC LAB	301	84702	220.00
ST. LUKE’S	10001159	HCG QUALITATIVE	301	84703	205.00
ST. LUKE’S	10001160	CHOLESTEROL FLUID	301	84311	60.00
ST. LUKE’S	10001161	OSMOLALITY OTHER SOURCE	301	84999	120.00
ST. LUKE’S	10001162	POTASSIUM OTHER	301	84999	120.00
ST. LUKE’S	10001164	WBC AUTOMATED DIFFERENTIAL	305	85004	55.00
ST. LUKE’S	10001167	BUFFY COAT DIFFERENTIAL	305	85009	75.00
ST. LUKE’S	10001168	HEMATOCRIT SPUN	305	85013	50.00
ST. LUKE’S	10001169	HEMATOCRIT	305	85014	35.00
ST. LUKE’S	10001170	POC HEMATOCRIT	305	85014	35.00
ST. LUKE’S	10001171	HEMOGLOBIN	305	85018	35.00
ST. LUKE’S	10001172	POC HEMOGLOBIN	305	85018	35.00
ST. LUKE’S	10001173	CBC W/AUTO DIFF	305	85025	135.00
ST. LUKE’S	10001174	CBC WO DIFF	305	85027	95.00
ST. LUKE’S	10001175	RED BLOOD CELL COUNT	305	85041	30.00
ST. LUKE’S	10001176	RETICULOCYTE, MANUAL	305	85044	60.00
ST. LUKE’S	10001177	RETICULOCYTES, AUTOMATED W/IRF	305	85046	90.00
ST. LUKE’S	10001179	WBC AUTOMATED	305	85048	60.00
ST. LUKE’S	10001180	PLATELET, AUTOMATED	305	85049	60.00
ST. LUKE’S	10001182	ANTI-XA CHROMOGENIC ASSAY	305	85130	265.00
ST. LUKE’S	10001183	FACTOR II ACTIVITY	305	85210	330.00
ST. LUKE’S	10001184	FACTOR V ACTIVITY	305	85220	330.00
ST. LUKE’S	10001185	FACTOR VII ACTIVITY	305	85230	330.00
ST. LUKE’S	10001186	FACTOR VIII ACTIVITY	305	85240	330.00
ST. LUKE’S	10001187	VWF RISTOCETIN COFACTOR	305	85245	330.00
ST. LUKE’S	10001188	FACTOR VIII VW FACTOR ANTIGEN	305	85246	330.00
ST. LUKE’S	10001189	FACTOR VIII MULTIMETRIC ANALYS	305	85247	330.00
ST. LUKE’S	10001190	FACTOR IX ACTIVITY	305	85250	330.00
ST. LUKE’S	10001191	FACTOR X ACTIVITY	305	85260	330.00
ST. LUKE’S	10001192	FACTOR XI ACTIVITY	305	85270	330.00
ST. LUKE’S	10001193	FACTOR XII ACTIVITY	305	85280	330.00
ST. LUKE’S	10001194	FACTOR XIII ACTIVITY	305	85290	205.00
ST. LUKE’S	10001195	ANTITHROMBIN III ACTIVITY	305	85300	300.00
ST. LUKE’S	10001196	ANTITHROMBIN III ANTIGEN	305	85301	250.00
ST. LUKE’S	10001197	PROTEIN C ANTIGEN	305	85302	300.00
ST. LUKE’S	10001198	PROTEIN C ACTIVITY	305	85303	325.00
ST. LUKE’S	10001199	PROTEIN S TOTAL	305	85305	120.00
ST. LUKE’S	10001200	PROTEIN S FREE	305	85306	310.00
ST. LUKE’S	10001201	ACTIVATED PROTEIN C RESISTANCE	305	85307	270.00
ST. LUKE’S	10001202	COAG FACTOR INHIBITOR	305	85335	375.00
ST. LUKE’S	10001203	FACTOR 8 INHIBITOR	305	85335	375.00
ST. LUKE’S	10001204	FACTOR 9 INHIBITOR	305	85335	375.00
ST. LUKE’S	10001205	POC ACT BLOOD TEST	305	85347	60.00
ST. LUKE’S	10001207	D-DIMER QUANTITATIVE	305	85379	115.00
ST. LUKE’S	10001208	FIBRINOGEN	305	85384	125.00
ST. LUKE’S	10001209	FIBRINOLYSINS SCRN INTERP/RPT	305	85390	90.00
ST. LUKE’S	10001210	ADAMTS-13 ACTIVITY	305	85397	375.00
ST. LUKE’S	10001212	PLASMINOGEN ACTIVATOR INHIB	305	85415	205.00
ST. LUKE’S	10001213	PLASMINOGEN ACTIVITY	305	85420	240.00
ST. LUKE’S	10001215	HEINZ BODY PREP	300	85445	50.00
ST. LUKE’S	10001216	KLEIHAUER-BETKE STAIN	305	85460	240.00
ST. LUKE’S	10001217	FETAL SCREEN ROSETTE	305	85461	120.00
ST. LUKE’S	10001218	HEPARIN LEVEL	305	85520	325.00
ST. LUKE’S	10001219	LOW MOLECULAR WEIGHT HEPARIN	305	85520	325.00
ST. LUKE’S	10001221	MURAMIDASE	305	85549	180.00
ST. LUKE’S	10001222	PLATELET AGGREGATION, EACH	305	85576	205.00
ST. LUKE’S	10001224	PLATELET AGGREGATION, EPI	305	85576	205.00
ST. LUKE’S	10001225	HEXAGONAL PHOSPHOLIPID	305	85598	155.00
ST. LUKE’S	10001226	POC PROTHROMBIN TIME	305	85610	70.00
ST. LUKE’S	10001227	PROTHROMBIN TIME	305	85610	70.00
ST. LUKE’S	10001228	PT, SUBSTITUTION	300	85611	75.00
ST. LUKE’S	10001229	RVVT DILUTED	305	85613	170.00
ST. LUKE’S	10001230	SED RATE AUTOMATED	305	85652	90.00
ST. LUKE’S	10001231	SICKLE CELL SCREEN	305	85660	90.00
ST. LUKE’S	10001232	THROMBIN TIME	305	85670	95.00
ST. LUKE’S	10001233	PARTIAL THROMBOPLASTIN TIME	305	85730	95.00
ST. LUKE’S	10001234	PTT SUBSTITUTION EACH	305	85732	95.00
ST. LUKE’S	10001235	VISCOSITY	305	85810	145.00
ST. LUKE’S	10001236	RAST ALLERGEN IGG QUANT EA	302	86001	80.00
ST. LUKE’S	10001237	ALLERGEN SPECIFIC IGE QUANT EA	302	86003	50.00
ST. LUKE’S	10001238	ANTI-NEUTROPHIL ANTIBODY	302	86021	305.00
ST. LUKE’S	10001239	PLATELET ANTIBODIES IDENTIFY	302	86022	480.00
ST. LUKE’S	10001240	PLATELET ASSOC IMMUNOGLOB	302	86023	245.00
ST. LUKE’S	10001242	ANTINUCLEAR ANTIBODIES (ANA)	302	86038	185.00
ST. LUKE’S	10001243	ANA TITER	302	86039	165.00
ST. LUKE’S	10001244	ANTISTREPTOLYSIN O TITER	302	86060	135.00
ST. LUKE’S	10001245	PATH TRANSFUSION INTERP & RPT	302	86078	405.00
ST. LUKE’S	10001246	C-REACTIVE PROTEIN	302	86140	115.00
ST. LUKE’S	10001247	CRP, HIGH SENSITIVITY	302	86141	150.00
ST. LUKE’S	10001249	BETA 2 GLYCOPROTEIN I AB	302	86146	130.00
ST. LUKE’S	10001250	CARDIOLIPIN AB IGA	302	86147	135.00
ST. LUKE’S	10001251	CARDIOLIPIN AB IGG	302	86147	135.00
ST. LUKE’S	10001252	CARDIOLIPIN AB IGM	302	86147	135.00
ST. LUKE’S	10001253	ANTI-PHOSPHATIDYLSERINE AB	302	86148	90.00
ST. LUKE’S	10001254	COLD AGGLUTININ TITER	302	86157	95.00
ST. LUKE’S	10001255	COMPLEMENT ANTIGEN, C1	302	86160	135.00
ST. LUKE’S	10001256	COMPLEMENT ANTIGEN, C2	302	86160	205.00
ST. LUKE’S	10001257	COMPLEMENT ANTIGEN, C3	302	86160	135.00
ST. LUKE’S	10001258	COMPLEMENT ANTIGEN, C4	302	86160	135.00
ST. LUKE’S	10001259	COMPLEMENT ANTIGEN, C5	302	86160	135.00
ST. LUKE’S	10001260	COMPLEMENT ACTIVITIY, C1	302	86161	155.00
ST. LUKE’S	10001261	COMPLEMENT TOTAL (CH50)	302	86162	265.00
ST. LUKE’S	10001262	CYCLIC CITRULLINTED PEPTIDE AB	302	86200	155.00
ST. LUKE’S	10001263	DEOXYRIBONUCLEASE AB	302	86215	145.00
ST. LUKE’S	10001264	DNA ANTIBODY, DOUBLE STRANDED	302	86225	195.00
ST. LUKE’S	10001265	ANTI-CENTROMERE ANTIBODY	302	86235	105.00
ST. LUKE’S	10001266	CHROMATIN ANTIBODY	302	86235	105.00
ST. LUKE’S	10001267	JO1 ANTIBODY	302	86235	105.00
ST. LUKE’S	10001269	RIBOSOMAL P PROTEIN ANTIBODY	302	86235	105.00
ST. LUKE’S	10001270	RNP ANTIBODY	302	86235	105.00
ST. LUKE’S	10001271	SCLERODERMA ANTIBODY	302	86235	105.00
ST. LUKE’S	10001272	SM/RNP EPITOPE	302	86235	105.00
ST. LUKE’S	10001273	SMITH ANTIBODY	302	86235	105.00
ST. LUKE’S	10001274	SS-A ANTIBODY	302	86235	105.00
ST. LUKE’S	10001275	SS-B ANTIBODY	302	86235	105.00
ST. LUKE’S	10001277	ANNA, IGG BY IFA	302	86255	170.00
ST. LUKE’S	10001278	ANTI-MITOCHONDRIAL ANTIBODY	300	86381	180.00
ST. LUKE’S	10001279	ENDOMYSIAL IGA AUTOANTIBODIES	302	86231	150.00
ST. LUKE’S	10001284	PARIETAL CELL ANTIBODY	302	86255	190.00
ST. LUKE’S	10001286	STRIATED MUSCLE ANTIBODY	302	86255	190.00
ST. LUKE’S	10001288	ENDOMYSIAL AB IGA TITER	302	86256	190.00
ST. LUKE’S	10001290	NEURONAL NUCLEAR AB IGG TITER	302	86256	205.00
ST. LUKE’S	10001291	NEUTROPHIL CYTOPLASMIC AB	302	86037	205.00
ST. LUKE’S	10001292	PARIETAL CELL AB TITER	302	86256	130.00
ST. LUKE’S	10001294	SMOOTH MUSCLE AB TITER	302	86256	130.00
ST. LUKE’S	10001295	STRIATED MUSCLE AB TITER	302	86256	130.00
ST. LUKE’S	10001297	CANCER ANTIGEN 27.29	302	86300	205.00
ST. LUKE’S	10001298	CANCER ANTIGEN 19-9	302	86301	215.00
ST. LUKE’S	10001299	CANCER ANTIGEN 125	302	86304	230.00
ST. LUKE’S	10001300	MONOTEST	302	86308	120.00
ST. LUKE’S	10001302	CHROMOGRANIN A	302	86316	210.00
ST. LUKE’S	10001303	NEURON SPECIFIC ENOLASE	301	83520	225.00
ST. LUKE’S	10001304	INFECTIOUS AGENT ANTIBODY	302	86317	120.00
ST. LUKE’S	10001306	GEL DIFFUSION QUALITATIVE	302	86331	115.00
ST. LUKE’S	10001307	AB, PNEUMOCOCCAL	302	86609	110.00
ST. LUKE’S	10001308	IMMUNOFIXATION ELECTRO, SERUM	302	86334	275.00
ST. LUKE’S	10001309	B2 TRANSFERRIN, CSF	302	86335	300.00
ST. LUKE’S	10001310	IMMUNOFIXATION ELECTRO, URINE	302	86335	220.00
ST. LUKE’S	10001311	INHIBIN A	302	86336	210.00
ST. LUKE’S	10001312	INSULIN ANTIBODIES	302	86337	210.00
ST. LUKE’S	10001313	INTRINSIC FACTOR ANTIBODIES	302	86340	185.00
ST. LUKE’S	10001316	ISLET CELL ANTIBODY	302	86341	260.00
ST. LUKE’S	10001318	B CELLS, TOTAL COUNT	302	86355	260.00
ST. LUKE’S	10001319	NK CELLS, TOTAL COUNT	302	86357	260.00
ST. LUKE’S	10001320	T CELLS, TOTAL COUNT	302	86359	260.00
ST. LUKE’S	10001321	T CELLS, CD4 & CD8 RATIO	302	86360	340.00
ST. LUKE’S	10001322	CD4 COUNT	302	86361	185.00
ST. LUKE’S	10001324	LIVER-KIDNEY MICROSOME AB	302	86376	160.00
ST. LUKE’S	10001325	MICROSOMAL AB	302	86376	130.00
ST. LUKE’S	10001326	CRYPTOCOCCAL AGGLUTINATION	302	86403	95.00
ST. LUKE’S	10001327	STREP GROUP AGGLUTINATION	302	86403	95.00
ST. LUKE’S	10001328	CRYPTOCOCCUS TITER EA ANTIBODY	302	86406	110.00
ST. LUKE’S	10001329	STREPTOZYME R TITER	302	86406	110.00
ST. LUKE’S	10001330	RHEUMATOID FACTOR QUANTITATIVE	302	86431	110.00
ST. LUKE’S	10001331	TB, INTERFERON AG RESPONSE	302	86480	340.00
ST. LUKE’S	10001334	SKIN TESTING TUBERCULOSIS	302	86580	45.00
ST. LUKE’S	10001335	MISC LAB	302	86592	75.00
ST. LUKE’S	10001336	MISC LAB	302	86592	75.00
ST. LUKE’S	10001337	RPR QUANTITATIVE	302	86593	35.00
ST. LUKE’S	10001338	AB, ADENOVIRUS	302	86603	150.00
ST. LUKE’S	10001339	AB, ASPERGILLUS (CF)	302	86606	95.00
ST. LUKE’S	10001340	AB, ASPERGILLUS (ID)	302	86606	95.00
ST. LUKE’S	10001341	AB, PNEUMOCOCCAL	302	86317	95.00
ST. LUKE’S	10001342	AB, BARTONELLA	302	86611	75.00
ST. LUKE’S	10001343	AB, BLASTOMYCES (CF)	302	86612	95.00
ST. LUKE’S	10001344	AB, BLASTOMYCES (ID)	302	86612	95.00
ST. LUKE’S	10001345	AB, BORDETELLA IGA	302	86615	155.00
ST. LUKE’S	10001346	AB, BORDETELLA IGG	302	86615	155.00
ST. LUKE’S	10001347	AB, BORDETELLA IGM	302	86615	155.00
ST. LUKE’S	10001348	AB, LYME DISEASE CONFIRMATORY	302	86617	135.00
ST. LUKE’S	10001349	AB, LYME DISEASE	302	86618	175.00
ST. LUKE’S	10001350	AB, LYME DISEASE CSF	302	86618	110.00
ST. LUKE’S	10001351	AB, BRUCELLA	302	86622	75.00
ST. LUKE’S	10001352	CANDIDA ANTIBODY	302	86628	120.00
ST. LUKE’S	10001353	AB, CHLAMYDIA PNEUMONIAE IGG	302	86631	70.00
ST. LUKE’S	10001354	AB, CHLAMYDIA PSITTACI IGG	302	86631	70.00
ST. LUKE’S	10001355	AB, CHLAMYDIA TRACHOMATIS IGG	302	86631	70.00
ST. LUKE’S	10001356	AB, CHLAMYDIA PNEUMONIAE IGM	302	86632	70.00
ST. LUKE’S	10001357	AB, CHLAMYDIA PSITTACI IGM	302	86632	70.00
ST. LUKE’S	10001358	AB, CHLAMYDIA TRACHOMATIS IGM	302	86632	70.00
ST. LUKE’S	10001359	AB, COCCIDIOIDES	302	86635	70.00
ST. LUKE’S	10001360	AB, CMV NEGATIVE BLOOD PRODUCT	302	86644	105.00
ST. LUKE’S	10001361	AB, CYTOMEGALOVIRUS	302	86644	185.00
ST. LUKE’S	10001362	AB, CYTOMEGALOVIRUS IGM	302	86645	195.00
ST. LUKE’S	10001363	AB, DIPTHERIA	302	86317	95.00
ST. LUKE’S	10001364	AB, COXSACKIE A9 VIRUS	302	86658	115.00
ST. LUKE’S	10001365	AB, COXSACKIE B VIRUS	302	86658	75.00
ST. LUKE’S	10001371	AB, ECHOVIRUS	302	86658	75.00
ST. LUKE’S	10001372	AB, POLIOVIRUS	302	86658	80.00
ST. LUKE’S	10001373	AB, EBV EARLY ANTIGEN	302	86663	75.00
ST. LUKE’S	10001374	AB, EBV NUCLEAR ANTIGEN	302	86664	90.00
ST. LUKE’S	10001375	AB, EBV VIRAL CAPSID IGG	302	86665	155.00
ST. LUKE’S	10001376	AB, EBV VIRAL CAPSID IGM	302	86665	155.00
ST. LUKE’S	10001377	AB, EHRLICHIA	302	86666	130.00
ST. LUKE’S	10001378	S CEREVISIAE IGG/IGA	302	86671	150.00
ST. LUKE’S	10001380	AB, GIARDIA LAMBLIA	302	86674	165.00
ST. LUKE’S	10001381	AB, HELICOBACTER PYLORI IGG	302	86677	215.00
ST. LUKE’S	10001384	AB, HELICOBACTER PYLORI IGM	302	86677	215.00
ST. LUKE’S	10001385	AB, TOXOCARA	302	86682	285.00
ST. LUKE’S	10001386	AB, H INFLUENZA B IGG	302	86684	160.00
ST. LUKE’S	10001387	AB, HIV WESTERN BLOT	302	86689	215.00
ST. LUKE’S	10001388	AB, HTLV WESTERN BLOT	302	86689	215.00
ST. LUKE’S	10001390	AB, HERPES SIMPLEX	302	86694	125.00
ST. LUKE’S	10001391	AB, HERPES SIMPLEX TYPE 1 IGG	302	86695	125.00
ST. LUKE’S	10001392	AB, HERPES SIMPLEX TYPE 1	302	86695	125.00
ST. LUKE’S	10001393	AB, HERPES SIMPLEX TYPE 2	302	86696	125.00
ST. LUKE’S	10001394	AB, HERPES SIMPLEX TYPE 2 IGG	302	86696	125.00
ST. LUKE’S	10001395	AB, HISTOPLASMA	302	86698	90.00
ST. LUKE’S	10001403	AB, HIV-1/HIV-2	302	86703	145.00
ST. LUKE’S	10001405	HEPATITIS B CORE AB TOTAL	302	86704	150.00
ST. LUKE’S	10001406	HEPATITIS B CORE AB IGM	302	86705	150.00
ST. LUKE’S	10001407	HEPATITIS B SURFACE AB	302	86706	150.00
ST. LUKE’S	10001408	HEPATITIS BE AB	302	86707	125.00
ST. LUKE’S	10001409	HEPATITIS A AB TOTAL	302	86708	180.00
ST. LUKE’S	10001410	HEPATITIS A AB IGM	302	86709	180.00
ST. LUKE’S	10001411	AB, INFLUENZA A	302	86710	120.00
ST. LUKE’S	10001412	AB, INFLUENZA B	302	86710	120.00
ST. LUKE’S	10001413	AB, LEGIONELLA	302	86713	195.00
ST. LUKE’S	10001414	AB, LEPTOSPIRA	302	86720	140.00
ST. LUKE’S	10001416	AB, MUMPS IGG	302	86735	165.00
ST. LUKE’S	10001417	AB, MUMPS IGM	302	86735	165.00
ST. LUKE’S	10001418	AB, MYCOPLASMA IGG	302	86738	180.00
ST. LUKE’S	10001420	AB, MYCOPLASMA IGM	302	86738	140.00
ST. LUKE’S	10001421	AB, PARVOVIRUS IGG	302	86747	150.00
ST. LUKE’S	10001422	AB, PARVOVIRUS IGM	302	86747	150.00
ST. LUKE’S	10001423	AB, E HISTOLYTICA	302	86753	145.00
ST. LUKE’S	10001425	RICKETTSIA AB IGG	302	86757	135.00
ST. LUKE’S	10001426	RICKETTSIA AB IGM	302	86757	135.00
ST. LUKE’S	10001427	DEBRIDE EXCISIONAL BY MD OR NP	360		760.00
ST. LUKE’S	10001428	AB, RUBELLA IGG	302	86762	155.00
ST. LUKE’S	10001429	DENTAL PROCEDURE	360		360.00
ST. LUKE’S	10001430	AB, RUBELLA IGM	302	86762	155.00
ST. LUKE’S	10001431	AB, RUBEOLA IGG	302	86765	155.00
ST. LUKE’S	10001432	AB, RUBEOLA IGM	302	86765	155.00
ST. LUKE’S	10001433	POC SKIN TESTING TETANUS	302	86774	160.00
ST. LUKE’S	10001434	AB, TETANUS	302	86317	160.00
ST. LUKE’S	10001435	AB, TOXOPLASMA IGG	302	86777	120.00
ST. LUKE’S	10001436	AB, TOXOPLASMA IGM	302	86778	120.00
ST. LUKE’S	10001437	AB, TREPONEMA PALLIDUM	302	86780	100.00
ST. LUKE’S	10001440	EMERGENCY SERVICE FEE	360	99058	2,310.00
ST. LUKE’S	10001442	AB, VARICELLA ZOSTER IGG	302	86787	165.00
ST. LUKE’S	10001443	AB, VARICELLA ZOSTER IGM	302	86787	165.00
ST. LUKE’S	10001444	AB, WEST NILE VIRUS IGM	302	86788	115.00
ST. LUKE’S	10001445	AB, WEST NILE VIRUS	302	86789	160.00
ST. LUKE’S	10001451	AB, HTLV-I/II	302	86790	195.00
ST. LUKE’S	10001452	AB, HUMAN HERPES VIRUS 6	302	86790	195.00
ST. LUKE’S	10001464	RABIES ANTIBODY	302	86790	170.00
ST. LUKE’S	10001465	AB, ANTI THYROGLOBULIN	302	86800	175.00
ST. LUKE’S	10001467	MISC LAB	302	86803	220.00
ST. LUKE’S	10001476	HLA CROSSMATCH FLOW CYTOMETRY	302	86825	450.00
ST. LUKE’S	10001477	INJECT FACET W/IMAGE 1ST	360		2,730.00
ST. LUKE’S	10001478	INJECT FACET W/IMAGE 1ST BILAT	360		4,110.00
ST. LUKE’S	10001479	INJECT FACET W/IMAGE 2ND	360		1,370.00
ST. LUKE’S	10001480	INJECT FACET W/IMAGE 2ND BILAT	360		2,050.00
ST. LUKE’S	10001481	INJECT FACET W/IMAGE 3 OR >	360		1,370.00
ST. LUKE’S	10001482	INJECT FACET W/IMAGE 3 OR > BILAT	360		2,050.00
ST. LUKE’S	10001483	ANTIBODY SCREEN, BC	300	86850	195.00
ST. LUKE’S	10001484	INJECT BOTOX	360		610.00
ST. LUKE’S	10001485	EPIDURAL INJ ADDL LEVEL W/ IMAGING	360		1,720.00
ST. LUKE’S	10001495	ANTIBODY SCREEN, EACH	300	86850	160.00
ST. LUKE’S	10001497	ANTIBODY ELUTION, EACH	300	86860	290.00
ST. LUKE’S	10001499	INJECT/ASPIRATE MAJOR JOINT*	516	20610	490.00
ST. LUKE’S	10001500	ANTIBODY ID, BC	300	86870	380.00
ST. LUKE’S	10001501	ANTIBODY ID, EACH	300	86870	380.00
ST. LUKE’S	10001502	DIRECT COOMBS, BC	300	86880	130.00
ST. LUKE’S	10001503	DIRECT COOMBS, EA ANTISERUM	300	86880	130.00
ST. LUKE’S	10001504	ANTIBODY TITER, INDIRECT, EACH	300	86886	250.00
ST. LUKE’S	10001505	AUTOLOGOUS PROCESSING FEE	300	86890	725.00
ST. LUKE’S	10001506	CELL SAVER-REINFUSION	300	86891	2,020.00
ST. LUKE’S	10001507	ABO TYPING	300	86900	80.00
ST. LUKE’S	10001508	ABO TYPING, BC	300	86900	80.00
ST. LUKE’S	10001509	RH TYPING	300	86901	80.00
ST. LUKE’S	10001510	RH TYPING, BC	300	86901	80.00
ST. LUKE’S	10001515	RARE UNIT	300	86902	190.00
ST. LUKE’S	10001516	SCREEN UNIT 1 AG	300	86902	190.00
ST. LUKE’S	10001517	RBC ANTIGEN TYPING	300	86905	175.00
ST. LUKE’S	10001518	RH PHENOTYPE, COMPLETE	300	86906	220.00
ST. LUKE’S	10001519	NASAL HEMORRHAGE	360		875.00
ST. LUKE’S	10001520	NASAL SINUS ENDOSCOPY	360		4,280.00
ST. LUKE’S	10001524	CROSSMATCH, IMMEDIATE SPIN	300	86920	265.00
ST. LUKE’S	10001529	CROSSMATCH, INCUBATED	300	86921	160.00
ST. LUKE’S	10001530	CROSSMATCH, ANTIGLOBULIN	300	86922	275.00
ST. LUKE’S	10001534	OPHTHALMIC LASER PROCEDURE	360		5,000.00
ST. LUKE’S	10001535	CROSSMATCH, ELECTRONIC	300	86923	130.00
ST. LUKE’S	10001536	FROZEN PLASMA THAWING EA UNIT	300	86927	95.00
ST. LUKE’S	10001538	HEMOLYSINS, AUTO, SCREEN, EACH	300	86940	35.00
ST. LUKE’S	10001539	HEMOLYSINS INCUBATED EACH	300	86941	50.00
ST. LUKE’S	10001540	IRRADIATION BLOOD PRODUCT/UNIT	300	86945	125.00
ST. LUKE’S	10001544	PRETREATMENT-AB ID, CHEMICAL	300	86970	125.00
ST. LUKE’S	10001545	PRETREATMENT-AB ID, ENZYMES	300	86971	170.00
ST. LUKE’S	10001547	RBC ABSORPTION, EACH	300	86978	290.00
ST. LUKE’S	10001548	SPLIT OF BLOOD PRODCUTS	300	86985	145.00
ST. LUKE’S	10001549	BLOOD IMPORT FEE BC	300	86999	530.00
ST. LUKE’S	10001551	SACRAL AUGMENTATION UNILATERAL	360	0200T	3,860.00
ST. LUKE’S	10001552	SACRAL AUGMENTATION BILATERAL	360	0201T	5,790.00
ST. LUKE’S	10001553	DIRECTED DONOR PROCESSING FEE	300	86999	280.00
ST. LUKE’S	10001554	CONCENTRATION	306	87015	100.00
ST. LUKE’S	10001555	CULTURE, BLOOD	306	87040	155.00
ST. LUKE’S	10001556	CULTURE, STOOL SALM/SHIG	306	87045	155.00
ST. LUKE’S	10001559	CULTURE, STOOL, ADD PATH	306	87046	155.00
ST. LUKE’S	10001560	TRIM NAILS-NONDYSTHROPHIC	360	11719	100.00
ST. LUKE’S	10001561	CULTURE, AEROBIC	306	87070	155.00
ST. LUKE’S	10001563	CULTURE, QUANTITATIVE, AEROBIC	306	87071	155.00
ST. LUKE’S	10001565	DEBRIDE NAIL(S) 1-5	360	11720	135.00
ST. LUKE’S	10001566	DEBRIDE NAIL(S) 6 OR >	360	11721	180.00
ST. LUKE’S	10001567	CULTURE, ANAEROBIC	306	87075	155.00
ST. LUKE’S	10001568	ANESTH MAC IV ADD’L 1/2 HR	370		115.00
ST. LUKE’S	10001569	ANESTH REGIONAL 1ST 1/2 HR	370		1,750.00
ST. LUKE’S	10001570	ANESTH REGIONAL ADD’L 1/2 HR	370		585.00
ST. LUKE’S	10001571	CEREBRAL OXIMETRY	370		720.00
ST. LUKE’S	10001572	ANAEROBIC ISOLATE ID	306	87076	90.00
ST. LUKE’S	10001573	CULTURE, AEROBIC ID	306	87077	155.00
ST. LUKE’S	10001574	CULTURE, H PYLORI UREASE	306	87077	155.00
ST. LUKE’S	10001575	CULTURE, ORGANISM SCREEN	306	87081	155.00
ST. LUKE’S	10001577	CULTURE, URINE QUANTITATIVE	306	87086	155.00
ST. LUKE’S	10001578	CULTURE, URINE PRESUMPTIVE ID	306	87088	155.00
ST. LUKE’S	10001579	CULTURE, FUNGI, SKIN, NAILS	306	87101	155.00
ST. LUKE’S	10001580	CULTURE, FUNGI OTHER SOURCE	306	87102	155.00
ST. LUKE’S	10001581	CULTURE, FUNGI BLOOD	306	87103	155.00
ST. LUKE’S	10001582	CULTURE, YEAST ID	306	87106	155.00
ST. LUKE’S	10001583	CULTURE, MOLD ID	306	87107	155.00
ST. LUKE’S	10001585	CULTURE, CHLAMYDIA	306	87110	155.00
ST. LUKE’S	10001586	CULTURE AFB ANY SOURCE	306	87116	155.00
ST. LUKE’S	10001587	CULTURE AFB ISOLATE ID	306	87118	155.00
ST. LUKE’S	10001588	CULTURE TYPING IFA	306	87140	45.00
ST. LUKE’S	10001589	CULTURE TYPING AGGLUTINATION	306	87147	45.00
ST. LUKE’S	10001590	CULTURE ID BY PROBE	306	87149	155.00
ST. LUKE’S	10001591	ARTHROPOD MACRO EXAM	306	87168	40.00
ST. LUKE’S	10001592	PARASITE MACRO EXAM	306	87169	40.00
ST. LUKE’S	10001593	PINWORM EXAM	306	87172	100.00
ST. LUKE’S	10001594	TISSUE GRINDING FOR CULTURE	306	87176	55.00
ST. LUKE’S	10001595	OVA & PARASITES	306	87177	120.00
ST. LUKE’S	10001596	SUSCEPTIBILITY, E-TEST, EACH	306	87181	40.00
ST. LUKE’S	10001597	SUSCEPTIBILITY, KIRBY BAUER	306	87184	55.00
ST. LUKE’S	10001598	SUSCEPTIBILITY BETA LACTAMASE	306	87185	40.00
ST. LUKE’S	10001599	SUSCEPTIBILITY MIC	306	87186	80.00
ST. LUKE’S	10001601	GRAM SMEAR	306	87205	80.00
ST. LUKE’S	10001602	GRAM SMEAR EOS	306	87205	80.00
ST. LUKE’S	10001603	ACID FAST STAIN	306	87206	105.00
ST. LUKE’S	10001604	STAIN FOR PARASITES	306	87207	130.00
ST. LUKE’S	10001605	TRICHROME STAIN	306	87209	105.00
ST. LUKE’S	10001606	POC SMEAR WET MOUNT	306	87210	75.00
ST. LUKE’S	10001608	SMEAR,WET MOUNT	306	87210	75.00
ST. LUKE’S	10001609	KOH PREP	306	87220	60.00
ST. LUKE’S	10001621	PNEUMOCYSTIS CARINII	306	87281	265.00
ST. LUKE’S	10001626	ASPERGILLUS ANTIGEN EIA	306	87305	305.00
ST. LUKE’S	10001628	CRYPTOSPORDIUM BY EIA	306	87328	80.00
ST. LUKE’S	10001630	H PYLORI STOOL	306	87338	245.00
ST. LUKE’S	10001631	HEPATITIS B SURFACE AG	306	87340	165.00
ST. LUKE’S	10001632	SAG NEUTRALIZATION	306	87341	115.00
ST. LUKE’S	10001633	HEPATITIS BE AG	306	87350	110.00
ST. LUKE’S	10001634	HISTOPLASMA ANTIGEN	306	87385	315.00
ST. LUKE’S	10001636	ROTAVIRUS ANTIGEN	306	87425	140.00
ST. LUKE’S	10001637	SHIGA-LIKE TOXIN	306	87427	110.00
ST. LUKE’S	10001638	BLASTOMYCES ANTIGEN EIA	306	87449	220.00
ST. LUKE’S	10001640	LYME BY PCR	306	87476	305.00
ST. LUKE’S	10001641	CHLAMYDIA PNEUMONIAE PCR	306	87486	275.00
ST. LUKE’S	10001642	MISC LAB	306	87491	220.00
ST. LUKE’S	10001643	C DIFFICILE TOXIN BY PCR	306	87493	225.00
ST. LUKE’S	10001644	CMV, DNA AMPLIFIED PROBE	306	87496	330.00
ST. LUKE’S	10001645	CMV BY PCR	306	87496	225.00
ST. LUKE’S	10001646	CMV DNA QUANT PCR	306	87497	615.00
ST. LUKE’S	10001647	ENTEROVIRUS, AMP PROBE	306	87498	440.00
ST. LUKE’S	10001648	HEPATITIS B DNA, QUAL PCR	306	87516	350.00
ST. LUKE’S	10001649	HEPATITIS B VIRUS QUANT	306	87517	350.00
ST. LUKE’S	10001650	HEPATITIS C VIRUS RNA	306	87521	425.00
ST. LUKE’S	10001651	HEPATITIS C VIRUS QUANT	306	87522	380.00
ST. LUKE’S	10001652	MISC LAB	306	87529	280.00
ST. LUKE’S	10001653	HERPES VIRUS-6, QUANT	306	87533	685.00
ST. LUKE’S	10001656	HIV-1 DNA PCR, QUAL	306	87535	530.00
ST. LUKE’S	10001657	HIV-1 RNA QUANTITATIVE	306	87536	730.00
ST. LUKE’S	10001659	MYCOBACTERIA TB RNA	306	87556	485.00
ST. LUKE’S	10001663	MYCOPLASMA PNEUMONIAE PCR	306	87581	300.00
ST. LUKE’S	10001664	MISC LAB	306	87591	205.00
ST. LUKE’S	10001665	HPV HIGH RISK W/O PAP	306	87624	265.00
ST. LUKE’S	10001668	S AUREUS BY PCR	306	87640	245.00
ST. LUKE’S	10001669	MRSA BY PCR	306	87641	190.00
ST. LUKE’S	10001672	BORDETELLA PERTUSSIS PCR	306	87798	305.00
ST. LUKE’S	10001675	JC VIRUS BY PCR	306	87798	425.00
ST. LUKE’S	10001676	PARVOVIRUS DNA BY PCR	306	87798	250.00
ST. LUKE’S	10001677	VARICELLA ZOSTER BY PCR	306	87798	210.00
ST. LUKE’S	10001678	BK VIRUS DNA QUANTITATIVE	306	87799	655.00
ST. LUKE’S	10001679	INFECT AGENT PCR MULT ORG	306	87801	390.00
ST. LUKE’S	10001680	NOROVIRUS GROUP 1&2 BY RT-PCR	306	87798	305.00
ST. LUKE’S	10001681	PERTUSSIS/PARAPERTUSSIS BY PCR	306	87801	385.00
ST. LUKE’S	10001683	INFLUENZA A ANTIGEN, RAPID	306	87804	165.00
ST. LUKE’S	10001684	INFLUENZA B ANTIGEN, RAPID	306	87804	165.00
ST. LUKE’S	10001685	RSV ANTIGEN, RAPID	306	87807	205.00
ST. LUKE’S	10001686	TRICHOMONAS ANTIGEN EIA	306	87808	100.00
ST. LUKE’S	10001689	LEGIONELLA ANTIGEN	306	87899	140.00
ST. LUKE’S	10001690	S PNEUMONIAL ANTIGEN	306	87899	130.00
ST. LUKE’S	10001691	HIV-1 GENOTYPE PCR	306	87901	1,390.00
ST. LUKE’S	10001692	HEPATITIS C GENOTYPE PCR	306	87902	1,120.00
ST. LUKE’S	10001693	HIV-1 PHENOTYPE 1 TO 10 DRUGS	306	87903	2,200.00
ST. LUKE’S	10001694	HIV PHENOTYPE ADD DRUGS	306	87904	165.00
ST. LUKE’S	10001695	CYTOPATHOLOGY, NON-GYN	311	88104	195.00
ST. LUKE’S	10001696	CYTOPATHOLOGY CONCENTRATED	311	88108	295.00
ST. LUKE’S	10001697	CYTOPATH THINPREP NON-GYN	311	88112	155.00
ST. LUKE’S	10001700	PERICARDIOCENTESIS	481		9,070.00
ST. LUKE’S	10001701	CYTOPATHOLOGY SMEARS, NON-GYN	311	88160	180.00
ST. LUKE’S	10001702	CYTOPATH SMEARS WITH PROCESS	311	88161	165.00
ST. LUKE’S	10001705	FNA ADEQUACY EVALUATION	311	88172	235.00
ST. LUKE’S	10001706	FNA INTERPRETATION & REPORT	311	88173	405.00
ST. LUKE’S	10001707	PAP THIN PREP AUTO SCREEN	311	88175	185.00
ST. LUKE’S	10001709	MISC PROCEDURE MINOR	360		280.00
ST. LUKE’S	10001712	FLOW CYTOMETRY, DNA ANALYSIS	311	88182	555.00
ST. LUKE’S	10001713	FLOW CYTOMETRY, FIRST MARKER	311	88184	355.00
ST. LUKE’S	10001714	FLOW CYTOMETRY EA ADDL MARKER	311	88185	190.00
ST. LUKE’S	10001715	TISSUE CULTURE, LYMPHOCYTES	311	88230	420.00
ST. LUKE’S	10001717	TISSUE CULTURE; SOLID TISSUE	311	88233	1,120.00
ST. LUKE’S	10001719	TISSUE CULTURE, AMNIO FL OR CV	311	88235	720.00
ST. LUKE’S	10001720	TISSUE CULTURE, BONE MARROW	311	88237	615.00
ST. LUKE’S	10001721	TISSUE CULTURE; TUMOR	311	88239	725.00
ST. LUKE’S	10001722	CYTOGENETICS, BREAK SYNDROME	311	88248	785.00
ST. LUKE’S	10001723	CHROM ANALYSIS, 5 CELLS, 1 KAR	311	88261	885.00
ST. LUKE’S	10001725	CHROM ANA, 15-20 CELLS, 2 KARY	311	88262	1,240.00
ST. LUKE’S	10001727	CHROMOSOME ANALYSIS 20-25 CELL	311	88264	830.00
ST. LUKE’S	10001729	CHROM ANALYSIS 15 CELLS, 1 KAR	311	88267	1,400.00
ST. LUKE’S	10001731	CHROM ANAL INSITU 6-12COL,1KAR	311	88269	1,230.00
ST. LUKE’S	10001732	CHROMOSOME ANALYSIS, IN SITU	311	88269	1,230.00
ST. LUKE’S	10001733	CYTOGENETIC PROBE, EACH (FISH)	311	88271	315.00
ST. LUKE’S	10001734	CHROMOSOME IN SITU 10-30 CELLS	311	88273	475.00
ST. LUKE’S	10001735	FISH INSITU 10-30 CELLS	311	88273	475.00
ST. LUKE’S	10001737	FISH INSITU 25-99 CELLS	311	88274	515.00
ST. LUKE’S	10001739	FISH INSITU 100-300 CELLS	311	88275	355.00
ST. LUKE’S	10001740	CHROMOSOME ANALYSIS ADD KARYO	311	88280	195.00
ST. LUKE’S	10001741	CHROMOSOME ANALYSIS ADD CELLS	311	88285	160.00
ST. LUKE’S	10001742	SURGICAL PATHOLOGY, LEVEL I	312	88300	170.00
ST. LUKE’S	10001743	SURGICAL PATHOLOGY, LEVEL II	312	88302	285.00
ST. LUKE’S	10001744	SURGICAL PATHOLOGY, LEVEL III	312	88304	370.00
ST. LUKE’S	10001746	KIDNEY BIOPSY, LEVEL IV	312	88305	595.00
ST. LUKE’S	10001747	SURGICAL PATHOLOGY, LEVEL IV	312	88305	595.00
ST. LUKE’S	10001748	SURGICAL PATHOLOGY, LEVEL V	312	88307	930.00
ST. LUKE’S	10001749	SURGICAL PATHOLOGY, LEVEL VI	312	88309	1,320.00
ST. LUKE’S	10001750	DECALCIFICATION	312	88311	145.00
ST. LUKE’S	10001751	SMEAR FUNGAL	312	88312	130.00
ST. LUKE’S	10001752	SPECIAL STAIN GROUP I	312	88312	270.00
ST. LUKE’S	10001754	SPECIAL STAIN II, KIDNEY	312	88313	1,440.00
ST. LUKE’S	10001755	SPECIAL STAIN, GROUP II	312	88313	260.00
ST. LUKE’S	10001756	HISTOCHEMICAL STAIN W/FROZEN	312	88314	230.00
ST. LUKE’S	10001758	HISTOCHEMISTRY, ENZYME	312	88319	515.00
ST. LUKE’S	10001760	CONSULT WITH SLIDE PREP	312	88323	725.00
ST. LUKE’S	10001763	FROZEN SECTION, 1ST BLOCK	312	88331	445.00
ST. LUKE’S	10001764	FROZEN SECTION ADDITIONAL	312	88332	310.00
ST. LUKE’S	10001765	TOUCH PREP DURING SURGERY	312	88333	130.00
ST. LUKE’S	10001766	TOUCH PREP ADD SITE	312	88334	110.00
ST. LUKE’S	10001768	IMMUNOHISTOCHEMISTRY EACH AB Q	312	88360	740.00
ST. LUKE’S	10001771	IHC PER SPEC, INITIAL AB STAIN	312	88342	410.00
ST. LUKE’S	10001772	CLOSED REDUCTION OTHER	700		570.00
ST. LUKE’S	10001774	PACU ADDITIONAL RN ASSIST	710		205.00
ST. LUKE’S	10001784	IMMUNOFLUORESCENT AB, INITIAL	310	88346	290.00
ST. LUKE’S	10001785	DELIVERY C SECTION	720		4,550.00
ST. LUKE’S	10001791	ELECTRON MICROSCOPY KIDNEY	310	88348	1,860.00
ST. LUKE’S	10001792	MORPHOMETRIC ANALYSIS, NERVE	312	88356	750.00
ST. LUKE’S	10001795	FISH IN SITU INITIAL SINGL PROB	312	88365	625.00
ST. LUKE’S	10001799	IN SITU HYBRID, (FISH-URINE)	312	88367	575.00
ST. LUKE’S	10001802	IN SITU HYBRID, SEMI-QT MANUAL	312	88368	695.00
ST. LUKE’S	10001805	MACRO EXAM FOR MOLECULAR STUDY	312	88387	20.00
ST. LUKE’S	10001806	MACRO EXAM TISSUE IN SURGERY	312	88388	10.00
ST. LUKE’S	10001809	CELL COUNT W/O DIFF	300	89050	95.00
ST. LUKE’S	10001810	CELL COUNT/DIFF	300	89051	130.00
ST. LUKE’S	10001816	CRYSTAL EXAM, BODY FLUID	300	89060	105.00
ST. LUKE’S	10001817	FAT STAIN	300	89125	90.00
ST. LUKE’S	10001821	NASAL SMEAR FOR EOS	300	89190	60.00
ST. LUKE’S	10001822	SPUTUM SPEC AEROSOL INDUCED	300	94640	165.00
ST. LUKE’S	10001823	SEMEN ANALYSIS	300	89320	205.00
ST. LUKE’S	10001824	SEMEN ANALYSIS SPERM PRESENCE	300	89321	135.00
ST. LUKE’S	10001826	ADMIN FEE VACCINE 1ST	510	90471	65.00
ST. LUKE’S	10001827	ADMIN FEE VACCINE EA ADD’L	510	90472	30.00
ST. LUKE’S	10001830	HEMODIALYSIS-INPATIENT	801	90935	1,950.00
ST. LUKE’S	10001831	CVVH/HEMOFILTRATION PER DAY	881	90945	1,620.00
ST. LUKE’S	10001835	NASOPHARYNGOSCOPY W/ENDOSCOPE	360	92511	945.00
ST. LUKE’S	10001836	BASIC VESTIBULAR EVAL	471	92540	650.00
ST. LUKE’S	10001837	CALORIC VESTIBULAR TEST BITHERMAL	471	92537	1,050.00
ST. LUKE’S	10001838	VERTICAL ELECTRODES	471	92547	220.00
ST. LUKE’S	10001839	TYMPANOMETRY & REFLEX MEASURES	471	92550	220.00
ST. LUKE’S	10001841	AIR CONDUCTION	471	92552	145.00
ST. LUKE’S	10001842	AIR AND BONE CONDUCTION	471	92553	145.00
ST. LUKE’S	10001843	SPEECH RECEPTION THRESHOLD	471	92555	60.00
ST. LUKE’S	10001844	SRT & WORD RECOGNITION	471	92556	135.00
ST. LUKE’S	10001845	COMPREHENSIVE AUDIOLOGY	471	92557	280.00
ST. LUKE’S	10001846	STENGER TEST – PURETONE	471	92565	135.00
ST. LUKE’S	10001847	TYMPANOGRAM	471	92567	120.00
ST. LUKE’S	10001849	ACOUSTIC IMMITANCE TESTING	471	92570	330.00
ST. LUKE’S	10001851	VISUAL REINFORCEMNT AUDIOMETRY	471	92579	380.00
ST. LUKE’S	10001852	CONDITIONED PLAY AUDIOMETRY	471	92582	380.00
ST. LUKE’S	10001853	SELECT PICTURE AUDIOMETRY	471	92583	200.00
ST. LUKE’S	10001856	HEARING RAPID SCREEN	471	92587	220.00
ST. LUKE’S	10001857	OTOACOUSTIC EMISSIONS DX EVAL	471	92588	330.00
ST. LUKE’S	10001858	HEARING AID EVAL-MONAURAL	470	92590	135.00
ST. LUKE’S	10001859	REC THERAPY-SELECT PER UNIT	940		20.00
ST. LUKE’S	10001860	HEARING AID EVAL-BINAURAL	470	92591	150.00
ST. LUKE’S	10001861	ELECTROACOUSTIC CHECK: MON	470	92594	80.00
ST. LUKE’S	10001862	ELECTROACOUSTIC CHECK: BIN	470	92595	160.00
ST. LUKE’S	10001864	LARYNGEAL SENSORY TEST W/FEES	440	92616	1,050.00
ST. LUKE’S	10001868	EXERCISE PRESCRIPTION	943		275.00
ST. LUKE’S	10001870	CPR	410	92950	2,340.00
ST. LUKE’S	10001871	EXTERNAL PACING	480	92953	1,540.00
ST. LUKE’S	10001872	CARDIOVERSION	480	92960	4,320.00
ST. LUKE’S	10001894	ECG TRACING ONLY	730	93005	545.00
ST. LUKE’S	10001896	CARDIAC STRESS TEST	482	93017	1,890.00
ST. LUKE’S	10001898	ECG RHYTHM STRIP	730	93041	295.00
ST. LUKE’S	10001899	HOLTER RECORDING UP TO 48HRS	731	93225	840.00
ST. LUKE’S	10001900	HOLTER ANALYSIS/REPORT UP TO 48 HR	731	93226	1,020.00
ST. LUKE’S	10001901	EVENT MONITOR SETUP/DC 30 DAYS	730	93270	400.00
ST. LUKE’S	10001902	EVENT MONITORING 24X7/30 DAYS	730	93271	755.00
ST. LUKE’S	10001903	ECG SIGNAL AVERAGING	730	93278	855.00
ST. LUKE’S	10001904	PACER EVAL SINGLE & PROGRAM	480	93279	485.00
ST. LUKE’S	10001905	PACER EVAL DUAL & PROGRAM	480	93280	590.00
ST. LUKE’S	10001906	PACER EVAL MULTI & PROGRAM	480	93281	590.00
ST. LUKE’S	10001907	ICD EVAL SINGLE & PROGRAM	480	93282	540.00
ST. LUKE’S	10001908	ICD EVAL DUAL & PROGRAM	480	93283	620.00
ST. LUKE’S	10001909	ICD EVAL MULTI & PROGRAM	480	93284	685.00
ST. LUKE’S	10001910	ILR EVAL & PROGRAM	480	93285	485.00
ST. LUKE’S	10001911	PACER EVAL & PROGRAM PERIOP	480	93286	585.00
ST. LUKE’S	10001912	ICD EVAL & PROGRAM PERIOP	480	93287	695.00
ST. LUKE’S	10001913	PACER EVAL NO PROGRAMMING	480	93288	595.00
ST. LUKE’S	10001914	ICD EVAL NO PROGRAMMING	480	93289	595.00
ST. LUKE’S	10001915	ECHO CONGENITAL COMPLETE W/O CONTRAST	480	93303	2,530.00
ST. LUKE’S	10001916	ECHO CONGENITAL LTD OR F/U	480	93304	1,650.00
ST. LUKE’S	10001917	ECHO/DOPPLER/COLOR W/O CONTRAST	480	93306	5,420.00
ST. LUKE’S	10001918	ECHO COMPLETE W/O CONTRAST	480	93307	3,790.00
ST. LUKE’S	10001919	ECHO-LTD OR F/U W/O CONTRAST	480	93308	2,650.00
ST. LUKE’S	10001920	ECHO TEE COMPLETE W/O CONTRAST	480	93312	5,830.00
ST. LUKE’S	10001921	ECHO TEE PROBE PLACEMENT ONLY	480	93313	4,980.00
ST. LUKE’S	10001922	ECHO TEE MONITOR W/O CONTRAST	480	93318	3,300.00
ST. LUKE’S	10001923	ECHO SPECTRAL ADD ON	480	93320	1,350.00
ST. LUKE’S	10001924	ECHO SPECTRAL LIMITED ADD ON	480	93321	500.00
ST. LUKE’S	10001925	ECHO DOPPLER COLOR FLOW ADD ON	483	93325	1,000.00
ST. LUKE’S	10001926	ECHO-STRESS W/EKG W/O CONTRAST	480	93351	5,320.00
ST. LUKE’S	10001928	SWAN GANZ CATHETER INSERTION	480	93503	10,530.00
ST. LUKE’S	10001966	TILT TABLE TESTING	480	93660	5,350.00
ST. LUKE’S	10001969	ABP, RECORDING ONLY	480	93786	380.00
ST. LUKE’S	10001970	ABP, SCANNING ANALYSIS/REPORT	480	93788	430.00
ST. LUKE’S	10001971	CARDIAC REHAB W/O MONITORING	943	93797	455.00
ST. LUKE’S	10001972	CARDIAC REHAB PHASE 2	943	93798	460.00
ST. LUKE’S	10001973	MISC PROCEDURE CARDIOVASCULAR	481	93799	18,810.00
ST. LUKE’S	10001975	DUPLEX EXTRACRANIAL BILATERAL	921	93880	1,950.00
ST. LUKE’S	10001976	TRANSCRANIAL DOPPLER, COMPLETE	921	93886	1,950.00
ST. LUKE’S	10001977	TRANSCRANIAL DOPPLER, LIMITED	921	93888	1,300.00
ST. LUKE’S	10001978	NONINV VASC ASSESS-SINGLE SITE	921	93922	685.00
ST. LUKE’S	10001979	NONINV VASC ASSESS COMPLETE	921	93923	1,020.00
ST. LUKE’S	10001980	VA LOWER EXT DUPLEX BILATERAL	921	93925	1,830.00
ST. LUKE’S	10001981	VA UPPER EXT DUPLEX BILATERAL	921	93930	1,350.00
ST. LUKE’S	10001982	DUPLEX SCAN EXT VEIN BILATERAL	921	93970	1,920.00
ST. LUKE’S	10001983	VA ABDOMEN DUPLEX COMPLETE	921	93975	1,090.00
ST. LUKE’S	10001984	VA AORTA/IVC/ILIAC DUPLEX LTD	921	93979	750.00
ST. LUKE’S	10001985	DUPLEX SCAN PENILE VESSELS	921	93980	970.00
ST. LUKE’S	10001987	SPIROMETRY, BASIC	460	94010	500.00
ST. LUKE’S	10001988	SPIROMETRY RECORDING/30 DAY	460	94015	255.00
ST. LUKE’S	10001989	SPIROMETRY W/BRONCHODILATOR	460	94060	885.00
ST. LUKE’S	10001990	METHACHOLINE CHALLENGE	460	94070	1,140.00
ST. LUKE’S	10001991	VITAL CAPACITY	460	94150	105.00
ST. LUKE’S	10001992	MAX VOLUNTARY VENTILATION	460	94200	220.00
ST. LUKE’S	10001996	HAST WITHOUT 02	460	94452	430.00
ST. LUKE’S	10001997	HAST WITH 02	460	94453	495.00
ST. LUKE’S	10001998	PULMONARY STRESS TEST-SIMPLE	460	94618	410.00
ST. LUKE’S	10001999	PULMONARY STRESS TEST-COMPLEX	460	94621	2,260.00
ST. LUKE’S	10002000	PENTAMIDINE THERAPY	410	94642	270.00
ST. LUKE’S	10002003	CONTINUOUS AEROSOL TX 1ST HR	410	94644	340.00
ST. LUKE’S	10002004	CONTINUOUS AEROSOL TX EA +HR	410	94645	170.00
ST. LUKE’S	10002005	BIPAP/CPAP PER DAY	410	94660	325.00
ST. LUKE’S	10002006	INHALATION TX DEMO OR EVAL	410	94664	135.00
ST. LUKE’S	10002007	CHEST WALL THERAPY INITIAL	410	94667	230.00
ST. LUKE’S	10002008	CHEST WALL THERAPY SUBSEQUENT	410	94668	115.00
ST. LUKE’S	10002015	HELIOX TREATMENT	410	94799	550.00
ST. LUKE’S	10002020	INHALATION CHALLENGE TEST	920	95070	780.00
ST. LUKE’S	10002021	MULTIPLE SLEEP LATENCY TEST	920	95805	4,870.00
ST. LUKE’S	10002022	POLYSOMNOGRAPHY 4/> PAREMETERS	920	95810	6,480.00
ST. LUKE’S	10002023	POLYSOMNOGRAPHY W CPAP/BIPAP	920	95811	6,480.00
ST. LUKE’S	10002024	EEG MONITORING 41-60 MIN	740	95812	1,740.00
ST. LUKE’S	10002025	EEG EXTENDED MONITORING 61-119 MIN	740	95813	2,270.00
ST. LUKE’S	10002026	EEG W/AWAKE & DROWSY	740	95816	1,280.00
ST. LUKE’S	10002027	EEG W/AWAKE & ASLEEP	740	95819	1,400.00
ST. LUKE’S	10002028	EEG IN COMA OR SLEEP ONLY	740	95822	1,630.00
ST. LUKE’S	10002029	EEG CEREBRAL DEATH EVALUATION	740	95824	1,630.00
ST. LUKE’S	10002030	ELECTROCORTICOGRAM-SURGICAL	740	95829	640.00
ST. LUKE’S	10002031	EMG-1 EXTREMITY	922	95860	460.00
ST. LUKE’S	10002032	EMG-2 EXTREMITY	922	95861	715.00
ST. LUKE’S	10002033	EMG-3 EXTREMITY	922	95863	810.00
ST. LUKE’S	10002034	EMG-4 EXTREMITY	922	95864	925.00
ST. LUKE’S	10002039	EP SOMATOSENSORY-UPPER LIMBS	922	95925	2,160.00
ST. LUKE’S	10002040	EP SOMATOSENSORY-LOWER LIMBS	922	95926	2,160.00
ST. LUKE’S	10002041	EVOKED RESPONSE VISUAL	920	95930	1,380.00
ST. LUKE’S	10002044	EEG NON CRANIAL SURGERY	740	95955	3,300.00
ST. LUKE’S	10002045	WADA ACTIVATION TEST	740	95958	2,960.00
ST. LUKE’S	10002048	GENERATOR REPROGRAM SIMPLE	920	95971	950.00
ST. LUKE’S	10002049	GENERATOR ANALYZE/PROGRAM COMPLEX	920	95972	1,680.00
ST. LUKE’S	10002050	UNLISTED NEUROLOGICAL PROCEDURE	920	95999	460.00
ST. LUKE’S	10002051	GENETIC COUNSELING EACH 30 MIN	510	96040	170.00
ST. LUKE’S	10002053	ASSESSMENT OF APHASIA PER HOUR	440	96105	560.00
ST. LUKE’S	10002055	IV HYDRATION INITIAL 31-60 MIN	260	96360	485.00
ST. LUKE’S	10002056	IV INFUSION HYDRATION ADD’L HR	260	96361	240.00
ST. LUKE’S	10002057	IV INFUSION TX/DX 1ST HR	260	96365	585.00
ST. LUKE’S	10002058	IV INFUSION TX/DX ADD’L HR	260	96366	240.00
ST. LUKE’S	10002059	IV INFUSION TX/DX SEQUENTIAL	260	96367	240.00
ST. LUKE’S	10002060	IV INFUSION TX/DX CONCURRENT	260	96368	240.00
ST. LUKE’S	10002061	INJECT SQ OR IM	260	96372	105.00
ST. LUKE’S	10002062	INJECT INTRA-ARTERIAL	940	96373	160.00
ST. LUKE’S	10002063	IV PUSH 1ST OR SINGLE DRUG	260	96374	165.00
ST. LUKE’S	10002064	IV PUSH EA ADDL DIFFERENT DRUG	260	96375	165.00
ST. LUKE’S	10002065	IV PUSH EA ADDL SAME DRUG	260	96376	165.00
ST. LUKE’S	10002066	CHEMO S/Q IM NON HORMONAL	280	96401	280.00
ST. LUKE’S	10002067	CHEMO S/Q IM HORMONAL	280	96402	235.00
ST. LUKE’S	10002068	CHEMO INFUSION 1ST HR	280	96413	900.00
ST. LUKE’S	10002069	CHEMO INFUSION ADD’L HR	280	96415	450.00
ST. LUKE’S	10002070	CHEMO ADMIN INTRATHECAL	280	96450	1,230.00
ST. LUKE’S	10002071	IRRIGATE IMPLANTED PORT/DEVICE	260	96523	215.00
ST. LUKE’S	10002072	AQUATIC THERAPY PER UNIT	420	97113	190.00
ST. LUKE’S	10002073	ADL/SELF CARE PER UNIT	420	97535	170.00
ST. LUKE’S	10002077	DEBRIDE SELECTIVE 1ST 20 CM	940	97597	435.00
ST. LUKE’S	10002078	DEBRIDE SELECTIVE EA ADDL 20 CM	940	97598	435.00
ST. LUKE’S	10002079	VAC THERAPY W/DME < 50 CM	940	97605	420.00
ST. LUKE’S	10002080	VAC THERAPY W/DME > 50 CM	940	97606	630.00
ST. LUKE’S	10002083	MNT INITIAL VISIT EA 15 MIN	942	97802	110.00
ST. LUKE’S	10002084	MNT RE-VISIT EA 15 MIN	942	97803	95.00
ST. LUKE’S	10002085	MNT GROUP EACH 30 MIN	942	97804	40.00
ST. LUKE’S	10002089	MOD SEDATION EA ADD’L 15 MIN	370	99153	400.00
ST. LUKE’S	10002090	HEART LUNG BYPASS EACH HR	480	99190	1,470.00
ST. LUKE’S	10002091	HEART LUNG BYPASS 45 MINUTES	480	99191	1,030.00
ST. LUKE’S	10002092	HEART LUNG BYPASS 30 MINUTES	480	99192	685.00
ST. LUKE’S	10002093	PHLEBOTOMY, THERAPEUTIC	940	99195	240.00
ST. LUKE’S	10002095	OP SERV LOW ACUITY-NEW PT	510	99202	345.00
ST. LUKE’S	10002096	OP SERV MOD ACUITY-NEW PT	510	99203	380.00
ST. LUKE’S	10002097	OP SERV HIGH ACUITY-NEW PT	510	99204	325.00
ST. LUKE’S	10002098	OP SERV COMP ACUITY-NEW PT	510	99205	640.00
ST. LUKE’S	10002099	OP SERV MINOR ACUITY-EST PT	510	99211	190.00
ST. LUKE’S	10002100	OP SERV LOW ACUITY-EST PT	510	99212	285.00
ST. LUKE’S	10002101	OP SERV MOD ACUITY-EST PT	510	99213	350.00
ST. LUKE’S	10002102	OP SERV HIGH ACUITY-EST PT	510	99214	405.00
ST. LUKE’S	10002103	OP SERV COMP ACUITY-EST PT	510	99215	540.00
ST. LUKE’S	10002104	ED DOA	450	99281	375.00
ST. LUKE’S	10002111	CT CEREBRAL PERFUSION ANALYSIS	351	0042T	3,010.00
ST. LUKE’S	10002114	COMPUTER ASSIST CT/MRI IMAGE	360	0055T	1,730.00
ST. LUKE’S	10002115	STENT-VERTERBRAL 1ST	360	0075T	25,790.00
ST. LUKE’S	10002116	ADDITIONAL OR RN TIME/30 MIN	360		300.00
ST. LUKE’S	10002117	ADDITIONAL SURGERY TIME/30 MIN	360		2,010.00
ST. LUKE’S	10002118	DERMAL REPLACEMENT LEVEL 1	360		1,450.00
ST. LUKE’S	10002133	FNA W/O IMAGING 1ST LESION	360	10021	720.00
ST. LUKE’S	10002135	INCISE & REMOVE FB SQ, SIMPLE	516	10120	400.00
ST. LUKE’S	10002137	ASPIRATE ABSCESS/HEMATOMA/CYST	360	10160	540.00
ST. LUKE’S	10002138	TRIM CORN/CALLUS 1ST LESION	360	11055	210.00
ST. LUKE’S	10002139	TRIM CORN/CALLUS 2-4 LESIONS	360	11056	230.00
ST. LUKE’S	10002140	TRIM CORN/CALLUS >4 LESIONS	360	11057	265.00
ST. LUKE’S	10002143	SHAVE SKIN LESION	360		475.00
ST. LUKE’S	10002144	NAIL AVULSION 1ST/SINGLE	360	11730	430.00
ST. LUKE’S	10002145	AVULSION NAIL EA ADDITIONAL	360	11732	215.00
ST. LUKE’S	10002146	NAIL EXCISION	360		730.00
ST. LUKE’S	10002147	LAC REPAIR OF NAIL BED	516	11760	685.00
ST. LUKE’S	10002148	EXCISION SKIN OF NAIL FOLD	516	11765	475.00
ST. LUKE’S	10002149	BURN LOCAL TRT/FIRST DEGREE	516	16000	215.00
ST. LUKE’S	10002150	BURN LOCAL TRT/SM/<5% BSA	516	16020	300.00
ST. LUKE’S	10002151	BURN LOCAL TRT/MED 5-10% BSA	516	16025	395.00
ST. LUKE’S	10002152	BURN LOCAL TRT/LRG/>10% BSA	516	16030	485.00
ST. LUKE’S	10002153	DESTROY LESIONS	360		550.00
ST. LUKE’S	10002154	BREAST ASPIRATE CYST 1ST	360	19000	820.00
ST. LUKE’S	10002156	BREAST DRAIN DEEP ABSCESS	360	19020	3,240.00
ST. LUKE’S	10002157	GALACTOGRAM INJECT DUCT	360	19030	330.00
ST. LUKE’S	10002158	NEEDLE CORE BX NO IMAGE GUIDE	360	19100	2,070.00
ST. LUKE’S	10002165	BX MUSCLE PERCUTANEOUS NEEDLE	360	20206	1,500.00
ST. LUKE’S	10002166	BIOPSY BONE SUPERFICIAL	360	20220	1,500.00
ST. LUKE’S	10002168	BX BONE/DEEP	360	20225	2,190.00
ST. LUKE’S	10002169	INJECT SINUS TRACT THERAPEUTIC	360	20500	955.00
ST. LUKE’S	10002170	INJECT SINUS TRACT DIAGNOSTIC (SINOGRAM)	360	20501	725.00
ST. LUKE’S	10002171	FB REMOVAL MUSCLE	516	20520	750.00
ST. LUKE’S	10002172	INJECTION(S) TENDON SHEATH	360	20550	1,100.00
ST. LUKE’S	10002173	INJECT TRIGGER POINTS 1-2 MUSCLES	360	20552	1,700.00
ST. LUKE’S	10002174	INJ/ASPIRATE SMALL JOINT W/O US	360	20600	1,030.00
ST. LUKE’S	10002175	INJ/ASPIRATE INTERM JOINT W/O US	360	20605	1,180.00
ST. LUKE’S	10002176	INJ/ASPIRATE MAJOR JOINT W/O US	360	20610	1,290.00
ST. LUKE’S	10002177	INJECT/ASPIRATE GANGLION CYST	360	20612	610.00
ST. LUKE’S	10002178	INJECT/ASPIRATE BONE CYST	360	20615	1,160.00
ST. LUKE’S	10002180	MEASURE FLUID PRESSURE MUSCLES	360	20950	980.00
ST. LUKE’S	10002181	ABLATION BONE TUMOR W/CT GUIDE	360	20982	8,650.00
ST. LUKE’S	10002182	COMPUTER ASSIST IMAGELESS	360	20985	2,300.00
ST. LUKE’S	10002183	CRYOABLATION BONE	360	20999	19,020.00
ST. LUKE’S	10002190	TREATMENT OF ARM FRACTURE	450		485.00
ST. LUKE’S	10002195	BX PELVIS/HIP SOFT TISSUE	360	27040	2,460.00
ST. LUKE’S	10002198	CRYOABLATION PELVIS/HIP	360	27299	19,800.00
ST. LUKE’S	10002205	ENDOSCOPY SURGERY	360		10,060.00
ST. LUKE’S	10002206	SPLINT LONG ARM	700	29105	410.00
ST. LUKE’S	10002208	SPLINT SHORT ARM STATIC	700	29125	385.00
ST. LUKE’S	10002210	APPLY SPLINT FINGER	700	29130	275.00
ST. LUKE’S	10002215	CAST SHORT LEG	700	29405	430.00
ST. LUKE’S	10002218	CAST RIGID TOTAL CONTACT/LEG	700	29445	770.00
ST. LUKE’S	10002219	SPLINT LONG LEG	700	29505	550.00
ST. LUKE’S	10002220	SPLINT SHORT LEG	700	29515	430.00
ST. LUKE’S	10002223	HYSTEROSCOPY	360		6,250.00
ST. LUKE’S	10002225	CAST REMOVE BOOT/BODY	700	29700	355.00
ST. LUKE’S	10002226	CAST BI VALVE REMOVE FULL ARM/LEG	700	29705	300.00
ST. LUKE’S	10002229	APPLY UNNA BOOT	360	29580	440.00
ST. LUKE’S	10002230	FB REMOVAL INTRANASAL	516	30300	270.00
ST. LUKE’S	10002234	ENDOTRACHEAL INTUBATION	410	31500	580.00
ST. LUKE’S	10002235	TRACH CHANGE W/O EST FISTULA TRACT	410	31502	580.00
ST. LUKE’S	10002236	LARYNGOSCOPY	360		3,730.00
ST. LUKE’S	10002237	LARYNGOSCOPY W/STROBOSCOPY	360	31579	1,500.00
ST. LUKE’S	10002239	TRACHESTOMY TUBE INSERT	450	31603	1,090.00
ST. LUKE’S	10002240	CATH ASPIRATION NASOTRACHEAL	410	31720	135.00
ST. LUKE’S	10002242	BX PLEURA NEEDLE	360	32400	2,420.00
ST. LUKE’S	10002247	INSERT TUNNELED PLEURAL CATH W/CUFF	360	32550	5,950.00
ST. LUKE’S	10002248	CHEST TUBE INSERTION	360		1,550.00
ST. LUKE’S	10002249	REMOVE PLEURX CATH	360	32552	815.00
ST. LUKE’S	10002250	IMPLANT TISSUE MARKERS LUNG	360	32553	4,490.00
ST. LUKE’S	10002251	PLEURODESIS, CHEMICAL	360	32560	1,320.00
ST. LUKE’S	10002252	CHEST TUBE FIBRINOLYSIS	360		1,550.00
ST. LUKE’S	10002254	CRYOABLATION LUNG/PLEURA	360	32999	16,460.00
ST. LUKE’S	10002266	ILIAC OCCLUSIVE DEVICE INSERT	360	34808	1,680.00
ST. LUKE’S	10002267	EXPOSE FEMORAL ARTERY ENDOVASC PROSTH	360	34812	6,280.00
ST. LUKE’S	10002270	ILIAC ARTERY EXPOSED ENDOVASC PROSTH	360	34833	4,230.00
ST. LUKE’S	10002281	INTRO NEEDLE CATH VEIN	510	36000	170.00
ST. LUKE’S	10002282	INJECT THROMBIN	360	36002	910.00
ST. LUKE’S	10002283	INJECT VENOGRAM	360	36005	1,160.00
ST. LUKE’S	10002284	INTRO CATH SCV/IVC	360	36010	1,680.00
ST. LUKE’S	10002285	CATH VENOUS 1ST ORDER	360	36011	1,450.00
ST. LUKE’S	10002286	CATH VENOUS 2ND ORDER	360	36012	1,900.00
ST. LUKE’S	10002287	CATH RT HEART/MAIN PULM ARTERY	360	36013	1,320.00
ST. LUKE’S	10002288	CATH PULMONARY ARTERY	360	36014	1,450.00
ST. LUKE’S	10002289	CATH PULMONARY ARTERY SELECT VESSEL	360	36015	1,790.00
ST. LUKE’S	10002290	INTRO NEEDLE/CATH EXTREMITY ARTERY	360	36140	1,190.00
ST. LUKE’S	10002294	INTRO CATH AORTA TRANSLUMBAR	360	36160	1,320.00
ST. LUKE’S	10002295	INTRODUCTION OF CATHETER AORTA	360	36200	2,020.00
ST. LUKE’S	10002304	INJECT PULMONARY VEIN	360	36299	1,500.00
ST. LUKE’S	10002305	VENIPUNCTURE	300	36415	25.00
ST. LUKE’S	10002308	CAPILLARY BLOOD DRAW	300	36416	20.00
ST. LUKE’S	10002309	TRANSFUSE BLOOD COMPONENT(S)	391	36430	1,390.00
ST. LUKE’S	10002312	SCLEROTHERAPY SPIDER VEIN LEG	360	36468	250.00
ST. LUKE’S	10002313	ABLATION VARICOSE VEIN LASER ADDL	360	36479	4,050.00
ST. LUKE’S	10002314	CATH PORTAL VEIN PERCUTANEOUS	360	36481	1,680.00
ST. LUKE’S	10002316	INSERT CVL NON TUNNELED 5 YRS >/=	360	36556	2,070.00
ST. LUKE’S	10002317	BLOOD SPEC CENTRAL LINE/PICC	510	36592	160.00
ST. LUKE’S	10002323	THROMBOLYSIS	510	36593	520.00
ST. LUKE’S	10002324	REPOSITION CVL	360	36597	2,000.00
ST. LUKE’S	10002325	ARTERIAL PUNCTURE	300	36600	155.00
ST. LUKE’S	10002331	ARTERIAL LINE INSERTION	360	36620	390.00
ST. LUKE’S	10002333	IV INTRAOSSEOUS	450	36680	475.00
ST. LUKE’S	10002335	INSERT TIPS SHUNT	360	37182	21,210.00
ST. LUKE’S	10002337	REVISE TIPS SHUNT	360	37183	18,060.00
ST. LUKE’S	10002338	THROMBECTOMY ARTERY PRIMARY	360	37184	8,130.00
ST. LUKE’S	10002339	THROMBECTOMY ARTERY ADD ON	360	37185	6,100.00
ST. LUKE’S	10002340	THROMBECTOMY ARTERY SECONDARY	360	37186	8,130.00
ST. LUKE’S	10002341	TRANSCATHETER BX	360	37200	8,270.00
ST. LUKE’S	10002356	ANESTH FM W/SWAN 1ST 1/2 HR	370		3,960.00
ST. LUKE’S	10002357	ANESTH FM W/SWAN ADD’L 1/2 HR	370		355.00
ST. LUKE’S	10002358	ANESTH GENERAL 1ST 1/2 HR	370		2,450.00
ST. LUKE’S	10002359	ANESTH GENERAL ADD’L 1/2 HR	370		360.00
ST. LUKE’S	10002360	ANESTH GENERAL/FM 1ST 1/2 HR	370		2,870.00
ST. LUKE’S	10002361	ANESTH GENERAL/FM ADD’L 1/2 HR	370		355.00
ST. LUKE’S	10002362	ANESTH MAC IV 1ST 1/2 HR	370		355.00
ST. LUKE’S	10002363	STENT CAROTID W/O PROTECTION	360	37216	7,800.00
ST. LUKE’S	10002367	BX LYMPH NODE SUPERFICIAL	360	38505	1,730.00
ST. LUKE’S	10002368	BX LYMPH NODE/DEEP	360	38525	3,490.00
ST. LUKE’S	10002370	INJECT SIALOGRAM	360	42550	240.00
ST. LUKE’S	10002371	NG TUBE INSERT BY MD W/FLUORO	360	43752	925.00
ST. LUKE’S	10002375	LIVER, RADIOFREQUENCY ABLATION	360	47382	8,860.00
ST. LUKE’S	10002376	LIVER PROCEDURE UNLISTED	360	47399	20,850.00
ST. LUKE’S	10002378	BX PANCREAS NEEDLE	360	48102	2,020.00
ST. LUKE’S	10002384	BX ABDOMINAL MASS NEEDLE	360	49180	1,900.00
ST. LUKE’S	10002385	CHANGE ABSC/CYST DRAIN CATH	360	49423	3,020.00
ST. LUKE’S	10002386	INJECT ABSC/CYST DRAIN CATH	360	49424	1,100.00
ST. LUKE’S	10002388	BX RENAL NEEDLE	360	50200	2,190.00
ST. LUKE’S	10002394	URETERAL DILATION	360	50553	3,110.00
ST. LUKE’S	10002395	INJECT ILEAL CONDUIT	360	50690	1,220.00
ST. LUKE’S	10002396	EMBOLIZATION CNS	360	61624	4,360.00
ST. LUKE’S	10002397	EMOBILIZATION EXTRACRANIAL	360	61626	18,450.00
ST. LUKE’S	10002398	MR TMJ	610	70336	4,430.00
ST. LUKE’S	10002400	XR RIBS 2 VIEW	320	71100	760.00
ST. LUKE’S	10002401	XR RIBS W/CHEST 3 VIEW	320	71101	1,130.00
ST. LUKE’S	10002402	XR CLAVICLE COMPLETE	320	73000	550.00
ST. LUKE’S	10002403	XR SHOULDER 1 VIEW	320	73020	590.00
ST. LUKE’S	10002404	XR SHOULDER COMPLETE	320	73030	740.00
ST. LUKE’S	10002405	XR HUMERUS	320	73060	565.00
ST. LUKE’S	10002406	XR ELBOW 2 VIEW	320	73070	455.00
ST. LUKE’S	10002407	XR ELBOW 3 VIEW	320	73080	570.00
ST. LUKE’S	10002408	XR FOREARM 2 VIEW	320	73090	535.00
ST. LUKE’S	10002409	XR UPPER EXTREMITY INFANT 2 VIEW MIN	320	73092	420.00
ST. LUKE’S	10002410	XR WRIST 2 VIEW	320	73100	580.00
ST. LUKE’S	10002411	XR WRIST COMPLETE	320	73110	665.00
ST. LUKE’S	10002412	XR HAND 2 VIEW	320	73120	685.00
ST. LUKE’S	10002413	XR HAND 3 VIEW MINIMUM	320	73130	790.00
ST. LUKE’S	10002414	UPPER EXTREMITY W/O DYE	350	73200	2,800.00
ST. LUKE’S	10002415	CT UPPER EXTREMITY W/DYE	350	73201	3,000.00
ST. LUKE’S	10002416	CT UPPER EXTREMITY W/WO DYE	350	73202	4,400.00
ST. LUKE’S	10002417	CT ANGIO UPPER EXTREMITY	350	73206	3,720.00
ST. LUKE’S	10002418	MR UPPER EXTREM W/O DYE	610	73218	4,040.00
ST. LUKE’S	10002419	MR UPPER EXTREM W/DYE	610	73219	4,240.00
ST. LUKE’S	10002420	MR UPPER EXTREM W/WO DYE	610	73220	6,260.00
ST. LUKE’S	10002421	MR UPPER EXTREM JOINT W/O DYE	610	73221	4,040.00
ST. LUKE’S	10002422	MR UPPER EXTREM JOINT W/DYE	610	73222	4,240.00
ST. LUKE’S	10002423	MR UPPER EXTREM JOINT W/WO DYE	610	73223	6,260.00
ST. LUKE’S	10002429	XR KNEE 1 OR 2 VIEW	320	73560	615.00
ST. LUKE’S	10002430	XR KNEE 3 VIEW	320	73562	740.00
ST. LUKE’S	10002431	XR KNEE COMPLETE 4 VIEW MINIMUM	320	73564	920.00
ST. LUKE’S	10002432	XR TIBIA AND FIBULA 2 VIEW	320	73590	565.00
ST. LUKE’S	10002433	XR LOWER EXTREMITY INFANT 2 MINIMUM	320	73592	425.00
ST. LUKE’S	10002434	XR FOOT 2 VIEW	320	73620	615.00
ST. LUKE’S	10002435	XR FOOT COMPLETE 3 VIEW MINIMUM	320	73630	735.00
ST. LUKE’S	10002436	XR HEEL 2 VIEW MIN	320	73650	490.00
ST. LUKE’S	10002439	CT LOWER EXTREMITY W/O DYE	350	73700	2,800.00
ST. LUKE’S	10002440	CT LOWER EXTREMITY W/DYE	350	73701	3,000.00
ST. LUKE’S	10002441	CT LOWER EXTREMITY W/WO DYE	350	73702	4,400.00
ST. LUKE’S	10002442	CT ANGIO LOWER EXTREMITY	350	73706	3,720.00
ST. LUKE’S	10002443	MR LOWER EXREM W/O DYE	610	73718	4,040.00
ST. LUKE’S	10002444	MR LOWER EXTREM W/DYE	610	73719	4,240.00
ST. LUKE’S	10002445	MR LOWER EXTREM W/WO DYE	610	73720	6,260.00
ST. LUKE’S	10002446	MR LOWER EXTREM JOINT W/O DYE	610	73721	4,040.00
ST. LUKE’S	10002447	MR LOWER EXTREM JOINT W/DYE	610	73722	4,240.00
ST. LUKE’S	10002448	MR LOWER EXTREM JOINT W/WO DYE	610	73723	6,260.00
ST. LUKE’S	10002459	VENOGRAM RENAL SELECTIVE UNILAT S&I	320	75831	4,010.00
ST. LUKE’S	10002460	VENOGRAM ADRENAL SELECT UNILAT S&I	320	75840	5,020.00
ST. LUKE’S	10002465	VOCATIONAL REHAB	420	97799	290.00
ST. LUKE’S	10002469	US BRAIN	402	76506	1,090.00
ST. LUKE’S	10002472	US JOINT COMPLETE	402	76881	720.00
ST. LUKE’S	10002473	MAMMOGRAM DX UNILATERAL	401	77065	420.00
ST. LUKE’S	10002475	MAMMOGRAM SCREEN & DX UNILATERAL	401	77065	790.00
ST. LUKE’S	10002476	MAMMOGRAM DX BILATERAL	401	77066	540.00
ST. LUKE’S	10002478	MAMMOGRAM SCREEN & DX BILATERAL	401	77066	910.00
ST. LUKE’S	10002479	MAMMOGRAM SCREENING BILATERAL	403	77067	430.00
ST. LUKE’S	10002480	MAMMOGRAM SCREENING UNILATERAL	403	77067	350.00
ST. LUKE’S	10002484	NM TUMOR LOCALIZATION SPECT ADDL	341	78803	2,840.00
ST. LUKE’S	10002485	NM PET CT LIMITED	404	78814	7,770.00
ST. LUKE’S	10002486	NM PET CT SKULL/THIGH	404	78815	7,770.00
ST. LUKE’S	10002487	NM PET CT WHOLE BODY	404	78816	7,770.00
ST. LUKE’S	10002488	BASIC METABOLIC PANEL	301	80048	230.00
ST. LUKE’S	10002489	ELECTROLYTE PANEL	301	80051	110.00
ST. LUKE’S	10002490	COMPREHENSIVE METABOLIC PANEL	301	80053	305.00
ST. LUKE’S	10002491	LIPID PANEL	301	80061	245.00
ST. LUKE’S	10002492	RENAL FUNCTION PANEL	301	80069	275.00
ST. LUKE’S	10002493	ACUTE HEPATITIS PANEL	301	80074	625.00
ST. LUKE’S	10002494	HEPATIC FUNCTION PANEL	301	80076	270.00
ST. LUKE’S	10002495	DEFINITIVE NOS 1-3 ANALYTES	301	80375	250.00
ST. LUKE’S	10002496	HEROIN METABOLITE, GC/MSTYL	301	80356	95.00
ST. LUKE’S	10002497	AMIKACIN	301	80150	115.00
ST. LUKE’S	10002498	AMITRIPTYLINE, LC/MS 1-2	301	80335	125.00
ST. LUKE’S	10002503	CARBAMAZEPINE/TEGRETAL	301	80156	260.00
ST. LUKE’S	10002504	CYCLOSPORINE	301	80158	290.00
ST. LUKE’S	10002505	DESIPRAMINE, LC/MS	301	80335	180.00
ST. LUKE’S	10002506	DIGOXIN TOTAL	301	80162	150.00
ST. LUKE’S	10002507	VALPROIC ACID TOTAL	301	80164	240.00
ST. LUKE’S	10002508	DOXEPIN	301	80335	180.00
ST. LUKE’S	10002509	ETHOSUXIMIDE	301	80168	115.00
ST. LUKE’S	10002510	GENTAMICIN	301	80170	275.00
ST. LUKE’S	10002511	HALOPERIDOL	301	80173	155.00
ST. LUKE’S	10002512	IMIPRAMINE, LC/MS 1-2	301	80335	160.00
ST. LUKE’S	10002513	LIDOCAINE	301	80176	240.00
ST. LUKE’S	10002514	LITHIUM	301	80178	120.00
ST. LUKE’S	10002515	NORTRIPTYLINE, LC/MS 1-2	301	80335	140.00
ST. LUKE’S	10002516	PHENOBARBITAL	301	80184	220.00
ST. LUKE’S	10002517	PHENYTOIN TOTAL	301	80185	190.00
ST. LUKE’S	10002518	PHENYTOIN FREE	301	80186	150.00
ST. LUKE’S	10002519	I&D	360		390.00
ST. LUKE’S	10002520	PRIMIDONE	301	80188	165.00
ST. LUKE’S	10002521	PROCAINAMIDE & NAPA	301	80192	215.00
ST. LUKE’S	10002523	QUINIDINE	301	80194	165.00
ST. LUKE’S	10002524	LACERATION REPAIR-COMPLEX	450		730.00
ST. LUKE’S	10002525	LACERATION REPAIR-INTERMEDIATE	516		585.00
ST. LUKE’S	10002526	LACERATION REPAIR-SIMPLE	516		475.00
ST. LUKE’S	10002527	SIROLIMUS	301	80195	165.00
ST. LUKE’S	10002528	SALICYLATE, QUANTITATIVE	301	80179	185.00
ST. LUKE’S	10002529	TACROLIMUS	301	80197	150.00
ST. LUKE’S	10002531	THEOPHYLLINE	301	80198	180.00
ST. LUKE’S	10002532	TOBRAMYCIN	301	80200	225.00
ST. LUKE’S	10002533	TRANSPORT, EMERGENCY	450	99082	520.00
ST. LUKE’S	10002534	TOPIRAMATE	301	80201	205.00
ST. LUKE’S	10002535	VANCOMYCIN	301	80202	275.00
ST. LUKE’S	10002536	AMIODARONE	301	80151	145.00
ST. LUKE’S	10002539	CAFFEINE	301	80155	155.00
ST. LUKE’S	10002542	CLOMIPRAMINE, GC/MS 1-2	301	80335	180.00
ST. LUKE’S	10002543	CLOZAPINE	301	80159	170.00
ST. LUKE’S	10002545	DIGITOXIN	301	80375	120.00
ST. LUKE’S	10002547	HEARING AID CHECK: BINAURAL	470	92593	70.00
ST. LUKE’S	10002548	HEARING AID CHECK MONAURAL	470	92592	70.00
ST. LUKE’S	10002549	FELBAMATE	301	80167	215.00
ST. LUKE’S	10002550	FLECAINIDE	301	80181	175.00
ST. LUKE’S	10002555	FLUOXETINE, HPLC 1-2	301	80332	260.00
ST. LUKE’S	10002556	GABAPENTIN BLOOD	301	80171	125.00
ST. LUKE’S	10002557	REPROGRAM HEARING AID BINAURAL	470	V5014	80.00
ST. LUKE’S	10002558	KEPPRA	301	80177	195.00
ST. LUKE’S	10002559	LAMOTRIGINE	301	80175	195.00
ST. LUKE’S	10002560	METHOTREXATE	301	80204	270.00
ST. LUKE’S	10002561	MEXILETINE	301	80299	270.00
ST. LUKE’S	10002562	MYCOPHENOLIC ACID	301	80180	160.00
ST. LUKE’S	10002563	OLANZEPINE, LC/MS 1-3	301	80342	210.00
ST. LUKE’S	10002564	OXCARBAZEPINE	301	80183	160.00
ST. LUKE’S	10002565	RISPERIDONE, LC/MS 1-3	301	80342	210.00
ST. LUKE’S	10002566	HB METHYLPHENIDATE	301	80360	205.00
ST. LUKE’S	10002567	SOTALOL	301	80375	300.00
ST. LUKE’S	10002568	TIAGABINE (GABITRIL)	301	80199	225.00
ST. LUKE’S	10002569	TRAZODONE (DESYREL)	301	80338	95.00
ST. LUKE’S	10002571	ZONEGRAN	301	80203	235.00
ST. LUKE’S	10002572	ACTH STIMULATION PANEL	301	80400	390.00
ST. LUKE’S	10002573	URINALYSIS AUTO WITH MICRO	307	81001	110.00
ST. LUKE’S	10002575	CELL SAVER-COLLECTION	300	86891	1,460.00
ST. LUKE’S	10002576	POC STREP SCREEN	306	87880	110.00
ST. LUKE’S	10002578	TREATMENT OF SPEECH, LANG	440	92507	490.00
ST. LUKE’S	10002579	TREATMENT OF SWALLOWING DYSF	440	92526	515.00
ST. LUKE’S	10002580	ORAL SPEECH DEVICE EVAL	444	92597	660.00
ST. LUKE’S	10002581	EVAL FOR NON SPEECH DEVICE 1ST HR	444	92605	550.00
ST. LUKE’S	10002582	NON-SPEECH DEVICE SERVICE	440	92606	490.00
ST. LUKE’S	10002583	EX FOR SPEECH DEVICE RX, 1 HR	444	92607	670.00
ST. LUKE’S	10002584	EX FOR SPCH DEV RX ADD’L 30MIN	444	92608	335.00
ST. LUKE’S	10002585	USE OF SPEECH DEVICE SERVICE	440	92609	415.00
ST. LUKE’S	10002586	EVALUATE SWALLOWING FUNCTION	444	92610	645.00
ST. LUKE’S	10002587	MOTION FLUOROSCOPY/SWALLOW	444	92611	645.00
ST. LUKE’S	10002588	ENDOSCOPY SWALLOW EVAL (FEES)	444	92612	775.00
ST. LUKE’S	10002589	LARYNGEAL SENSORY TEST	444	92614	775.00
ST. LUKE’S	10002590	MISC PROCEDURE ENT	440	92700	160.00
ST. LUKE’S	10002592	VA CAROTID W DOPPLER	921	93882	1,300.00
ST. LUKE’S	10002594	LOWER EXT REST/STRESS BILATERAL	921	93924	1,410.00
ST. LUKE’S	10002595	LOWER EXT DUPLEX	921	93926	1,220.00
ST. LUKE’S	10002596	VA UPPER EXT DUPLEX	921	93931	900.00
ST. LUKE’S	10002597	US EXTRMITY VEINS LTD	921	93971	1,280.00
ST. LUKE’S	10002598	VA ABDOMEN DUPLEX LTD	921	93976	730.00
ST. LUKE’S	10002599	VA AORTA/IVC/ILIAC DUPLEX	921	93978	1,120.00
ST. LUKE’S	10002600	VENTILATOR & MONITOR INITIAL	410	94002	2,520.00
ST. LUKE’S	10002601	VENTILATOR & MONITOR SUBSQ	410	94003	1,900.00
ST. LUKE’S	10002602	RESP TX INITIAL OR SUBSEQUENT	410	94640	95.00
ST. LUKE’S	10002604	COGNITIVE TEST/HR	440	96125	440.00
ST. LUKE’S	10002606	PHYSICAL THERAPY RE-EVAL	424	97164	240.00
ST. LUKE’S	10002608	OCCUPATIONAL THERAPY RE-EVAL	434	97168	240.00
ST. LUKE’S	10002609	MECHANICAL TRACTION PT	420	97012	180.00
ST. LUKE’S	10002610	VASOPNEUMATIC DEVICE	420	97016	155.00
ST. LUKE’S	10002611	PARAFFIN BATH	420	97018	75.00
ST. LUKE’S	10002612	WHIRLPOOL	420	97022	205.00
ST. LUKE’S	10002613	CONSTANT ATTEND E-STIM PER UNIT	420	97032	130.00
ST. LUKE’S	10002614	IONTOPHORESIS PER UNIT	420	97033	230.00
ST. LUKE’S	10002615	ULTRASOUND PER UNIT	420	97035	150.00
ST. LUKE’S	10002616	THERAPEUTIC EXER PER UNIT	420	97110	170.00
ST. LUKE’S	10002617	NEUROMUSC RE-ED PER UNIT	420	97112	170.00
ST. LUKE’S	10002618	GAIT TRAINING PER UNIT	420	97116	170.00
ST. LUKE’S	10002619	MASSAGE PER UNIT	420	97124	21.00
ST. LUKE’S	10002620	MANUAL THERAPY PER UNIT	420	97140	170.00
ST. LUKE’S	10002621	GROUP THERAPY OT OR PT	423	97150	155.00
ST. LUKE’S	10002622	THERAP ACTIVITIES PER UNIT	420	97530	170.00
ST. LUKE’S	10002624	SENSORY INTEGRATION PER UNIT	420	97533	170.00
ST. LUKE’S	10002625	COMM/WORK REINT PER UNIT	420	97537	170.00
ST. LUKE’S	10002626	WHEELCHAIR MGMNT PER UNIT	420	97542	170.00
ST. LUKE’S	10002627	WORK HARD/COND 1ST 2 HRS	420	97545	510.00
ST. LUKE’S	10002628	WORK HARD/COND EA ADDL HR	420	97546	255.00
ST. LUKE’S	10002631	PERFORMANCE TEST (FCE) PER UNIT	420	97750	170.00
ST. LUKE’S	10002632	ORTHOTICS TRAINING PER UNIT	420	97760	175.00
ST. LUKE’S	10002633	PROSTHETIC TRAINING PER UNIT	420	97761	170.00
ST. LUKE’S	10002634	CHECK O&P EST PT PER UNIT	420	97763	135.00
ST. LUKE’S	10002635	ED LEVEL 1	450	99281	325.00
ST. LUKE’S	10002636	ED LEVEL 2	450	99282	760.00
ST. LUKE’S	10002637	ED LEVEL 3	450	99283	1,130.00
ST. LUKE’S	10002638	ED LEVEL 4	450	99284	2,190.00
ST. LUKE’S	10002639	ED LEVEL 5	450	99285	3,360.00
ST. LUKE’S	10002640	ED CRITICAL CARE 30-74 MIN	450	99291	4,030.00
ST. LUKE’S	10002641	TEAM CONFERENCE W/PATIENT	420	99366	160.00
ST. LUKE’S	10002642	TEAM CONFERENCE W/O PATIENT	440	99368	175.00
ST. LUKE’S	10002643	RRX COLD PYP	343	A4641	95.00
ST. LUKE’S	10002645	RRX IN111 CHLORIDE (PER DOSE)	343	A4641	4,060.00
ST. LUKE’S	10002646	RRX TC99M SESTAMIBI PER STUDY DOS	343	A9500	595.00
ST. LUKE’S	10002647	RRX 99M TETROFOSMIN	343	A9502	685.00
ST. LUKE’S	10002648	RRX TC99M MEDRONATE UP TO 30MCI	343	A9503	180.00
ST. LUKE’S	10002649	RRX THALLIUM TL-201 PER MCI	343	A9505	160.00
ST. LUKE’S	10002650	RRX IN-111 PROSTASCINT UP TO 10MCI	343	A9507	7,960.00
ST. LUKE’S	10002652	RRX I123 SODIUM IODIDE PER MCI	343	A9509	590.00
ST. LUKE’S	10002653	RRX TC99M PERTECHNETATE PER MCI	343	A9512	7.00
ST. LUKE’S	10002654	RRX I-123 SODIUM IODIDE PER 100UCI	343	A9516	200.00
ST. LUKE’S	10002655	I-131 SODIUM IODIDE CAP TX/MCI	344	A9517	125.00
ST. LUKE’S	10002656	RRX TC99M CERETEC UP TO 25MCI	343	A9521	2,900.00
ST. LUKE’S	10002657	RRX TC99M MEBROFENIN PER DOSE	343	A9537	300.00
ST. LUKE’S	10002658	RRX TC 99M PYP (PER DOSE)	343	A9538	210.00
ST. LUKE’S	10002659	RRX TC99M DTPA (PER DOSE)	343	A9539	335.00
ST. LUKE’S	10002660	RRX TC 99M MAA (PER DOSE)	343	A9540	505.00
ST. LUKE’S	10002661	RRX TC 99M SULFUR FILTERED	343	A9541	480.00
ST. LUKE’S	10002662	RRX TC 99M SULFUR NON FILTERED	343	A9541	265.00
ST. LUKE’S	10002665	RRX IN111 OXINE PER 500 UCI	343	A9547	2,570.00
ST. LUKE’S	10002666	RRX IN111 DTPA (PER 500 UCI)	343	A9548	6,030.00
ST. LUKE’S	10002667	RRX F18 FDG	343	A9552	3,360.00
ST. LUKE’S	10002669	RRX GALLIUM GA-67 DX (PER MCI)	343	A9556	130.00
ST. LUKE’S	10002670	RRX TC99M NEUROLITE	343	A9557	2,330.00
ST. LUKE’S	10002671	RRX XE133 GAS (PER 10 MCI)	343	A9558	125.00
ST. LUKE’S	10002672	RRX LABELED RBC UP TO 30 MCI	343	A9560	445.00
ST. LUKE’S	10002673	RRX TC99M MAG 3 (PER DOSE)	343	A9562	780.00
ST. LUKE’S	10002674	RRX IN-111 WBC PER STUDY	343	A9570	6,140.00
ST. LUKE’S	10002676	RRX IN111 OCTREOTIDE PER DOSE	343	A9572	7,970.00
ST. LUKE’S	10002677	RRX I123 IOBENGUANE UP TO 15MCI	343	A9582	9,260.00
ST. LUKE’S	10002679	MRA ABDOMEN W/DYE	610	74185	4,240.00
ST. LUKE’S	10002680	MRA ABDOMEN WO CONTRAST	610	74185	4,040.00
ST. LUKE’S	10002681	MRA ABDOMEN W/WO CONTRAST	610	74185	6,260.00
ST. LUKE’S	10002683	MR BREAST W/O DYE	610	77046	2,560.00
ST. LUKE’S	10002684	MR BREAST W/WO CONTRAST W/CAD	610	77048	4,140.00
ST. LUKE’S	10002686	MR BREAST W/O DYE BILAT	610	77047	3,840.00
ST. LUKE’S	10002687	MR BREAST W/WO W/CAD CONTRAST BILAT	610	77049	6,210.00
ST. LUKE’S	10002688	MRA CHEST W CONTRAST	610	71555	4,240.00
ST. LUKE’S	10002689	MRA CHEST WO CONTRAST	610	71555	4,040.00
ST. LUKE’S	10002690	MRA CHEST WWO CONTRAST	610	71555	6,260.00
ST. LUKE’S	10002691	MRA LOWER EXT W CONTRAST	610	73725	4,240.00
ST. LUKE’S	10002692	MRA LOWER EXT WO CNTRST	610	73725	4,040.00
ST. LUKE’S	10002693	MRA LOWER EXT WWO CNTRST	610	73725	6,260.00
ST. LUKE’S	10002694	MRA PELVIS WO CONTRAST	610	72198	4,040.00
ST. LUKE’S	10002695	MRA PELVIS WWO CONTRAST	610	72198	6,260.00
ST. LUKE’S	10002696	ECHO CONGENITAL COMPLETE WITH	480	93303	2,830.00
ST. LUKE’S	10002697	ECHO CONGENITAL LTD OR FU WITH	480	93304	1,790.00
ST. LUKE’S	10002698	ECHO COMPLETE W/ CONTRAST	480	93307	3,890.00
ST. LUKE’S	10002699	ECHO-LTD OR F/U W/CONTRAST	480	93308	2,750.00
ST. LUKE’S	10002700	ECHO TEE COMPLETE W/CONTRAST	480	93312	6,030.00
ST. LUKE’S	10002701	ECHO TEE MONITOR W/CONTRAST	480	93318	3,500.00
ST. LUKE’S	10002702	ECHO/DOPPLER/COLOR W/CONTRAST	480	93306	5,620.00
ST. LUKE’S	10002703	ECHO-STRESS W/EKG W/CONTRAST	480	93351	5,520.00
ST. LUKE’S	10002704	IMPLANT TISSUE MARKERS LYMPH	360	38999	4,280.00
ST. LUKE’S	10002707	RADIOPHARM PROVIDED INPT	343	C9898	1.00
ST. LUKE’S	10002708	DENTAL EXAM	761	D0150	1,750.00
ST. LUKE’S	10002709	ADMIN FEE VACCINE, INFLUENZA	771	90471	65.00
ST. LUKE’S	10002710	ADMIN FEE VACCINE, PNEUMONIA	771	90471	65.00
ST. LUKE’S	10002711	PELVIC EXAM W/PAP	770	G0101	485.00
ST. LUKE’S	10002713	PAP, THIN PREP	311	88142	170.00
ST. LUKE’S	10002714	TRIM NAILS-DYSTHROPHIC	360	G0127	100.00
ST. LUKE’S	10002715	PET UNSPECIFIED	404	G0235	7,770.00
ST. LUKE’S	10002716	PULM STRENGTH EXERCISE-15 MIN	410	G0237	125.00
ST. LUKE’S	10002717	PULM EXERCISE OTHER-15 MIN	410	G0238	125.00
ST. LUKE’S	10002718	DIALYSIS-OUTPT UNSCHEDULED	820	G0257	2,370.00
ST. LUKE’S	10002719	INJECT SI JOINT, THERAPEUTIC W/FLU	360	27096	2,140.00
ST. LUKE’S	10002720	INSERT OCCLUSIVE DEVICE	360	G0269	3,380.00
ST. LUKE’S	10002721	MNT 2ND REFERRAL 15 MIN	942	97803	85.00
ST. LUKE’S	10002724	E STIM UNATT FOR ULCERS	420	97014	105.00
ST. LUKE’S	10002726	E STIM UNATT NON WOUND CARE	420	97014	105.00
ST. LUKE’S	10002729	OBSERVATION, PER HOUR	762	G0378	150.00
ST. LUKE’S	10002730	OBSERVATION CARE, DIRECT ADMIT	762	G0379	280.00
ST. LUKE’S	10002731	ED LEVEL 1 TYPE B VISIT	450	99281	290.00
ST. LUKE’S	10002736	TRAUMA W/CRITICAL CARE	683	G0390	6,070.00
ST. LUKE’S	10002739	POC DRUG SCREEN-URINE	301	80305	70.00
ST. LUKE’S	10002740	DRUG SCREEN CLASS A SINGLE	301	80307	85.00
ST. LUKE’S	10002758	WHOLE BLOOD, AUTOLOGOUS	390	P9010	1,120.00
ST. LUKE’S	10002760	BLOOD (SPLIT)	390	P9011	340.00
ST. LUKE’S	10002761	FFP SPLIT	390	P9011	250.00
ST. LUKE’S	10002762	PLATELETS SPLIT	390	P9011	480.00
ST. LUKE’S	10002763	CRYOPRECIPITATE, EA UNIT	390	P9012	145.00
ST. LUKE’S	10002765	RBC, LEUKOREDUCED, EA UNIT	390	P9016	590.00
ST. LUKE’S	10002766	FFP, SINGLE DONOR, EA UNIT	390	P9017	185.00
ST. LUKE’S	10002767	EXTENDED RECOVERY PER HOUR	710		150.00
ST. LUKE’S	10002770	PLATELETS, EACH UNIT	390	P9019	230.00
ST. LUKE’S	10002771	RED BLOOD CELLS, EA UNIT	390	P9021	570.00
ST. LUKE’S	10002772	RED CELLS, AUTOLOGOUS EA UNIT	390	P9021	880.00
ST. LUKE’S	10002773	RED CELLS, WASHED, EACH UNIT	390	P9022	880.00
ST. LUKE’S	10002774	PLATELETS L/R, EA UNIT	390	P9031	315.00
ST. LUKE’S	10002778	PLATELETS PHERESIS L/R EA UNIT	390	P9035	1,520.00
ST. LUKE’S	10002779	PLATELETS PHER IRRAD, EA UNIT	390	P9036	1,730.00
ST. LUKE’S	10002780	PLATELETS PHER L/R IRRAD VAR	390	P9037	2,560.00
ST. LUKE’S	10002781	PLATELETS PHER L/R IRRAD, EA	390	P9037	1,600.00
ST. LUKE’S	10002783	RBC, DEGLYCEROLIZED AUTO EA	390	P9039	1,730.00
ST. LUKE’S	10002785	RBC L/R IRRAD DIRECTED EA UNIT	390	P9040	1,020.00
ST. LUKE’S	10002786	RBC L/R IRRAD, EA UNIT	390	P9040	670.00
ST. LUKE’S	10002787	PLASMA, CRYOPREC RED, EA UNIT	390	P9044	180.00
ST. LUKE’S	10002788	GRANULOCYTES, PHERESIS, EA	390	P9050	6,810.00
ST. LUKE’S	10002789	BLOOD, L/R, CMV-NEG	390	P9051	830.00
ST. LUKE’S	10002790	PLT HLA L/R PHER, EA UNIT	390	P9052	2,150.00
ST. LUKE’S	10002791	PLT PHER L/R CMV-NEG IRR EA UN	390	P9053	2,060.00
ST. LUKE’S	10002793	RBC,L/R,CMV-NEG,IRRAD,EA UNIT	390	P9058	1,010.00
ST. LUKE’S	10002794	FFP FROZEN 8-24 HR COLLECTION	390	P9059	220.00
ST. LUKE’S	10002797	ASSESSMENT FOR HEARING AID	471	V5010	245.00
ST. LUKE’S	10002798	DISPENSING FEE TRIAL-BINAURAL	270	V5160	250.00
ST. LUKE’S	10002800	HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5ML IM SOSY	250	90371	408.79
ST. LUKE’S	10002800	HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML IM SOLN	250	90371	403.30
ST. LUKE’S	10002800	RABIES IMMUNE GLOBULIN 300 UNIT/ML IM INJ (WRAPPED)	250	90375	1,860.37
ST. LUKE’S	10002800	MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	250	90620	1,182.89
ST. LUKE’S	10002800	HEPATITIS A VACCINE 1440 EL U/ML IM SUSP	250	90632	512.54
ST. LUKE’S	10002800	HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP	250	90648	242.77
ST. LUKE’S	10002800	HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR	250	90648	140.21
ST. LUKE’S	10002800	HPV 9-VALENT RECOMB VACCINE IM SUSY	250	90651	1,735.43
ST. LUKE’S	10002800	RABIES VACCINE, PCEC IM SUSR	250	90675	2,342.50
ST. LUKE’S	10002800	RABIES VIRUS VACCINE, HDC IM SUSR	250	90675	2,534.78
ST. LUKE’S	10002800	DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	250	90700	202.39
ST. LUKE’S	10002800	MEASLES, MUMPS & RUBELLA VAC IJ SOLR	250	90707	618.36
ST. LUKE’S	10002800	POLIOVIRUS VACCINE INACTIVATED IJ INJ	250	90713	310.19
ST. LUKE’S	10002800	TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ	250	90714	289.73
ST. LUKE’S	10002800	TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM(WRAPPED)	250	90715	311.59
ST. LUKE’S	10002800	VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML SC INJ	250	90716	1,129.86
ST. LUKE’S	10002800	MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR	250	90734	779.43
ST. LUKE’S	10002800	HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY	250	90739	863.10
ST. LUKE’S	10002800	HEPATITIS B VAC RECOMBINANT 40 MCG/ML IJ SUSP	250	90740	769.18
ST. LUKE’S	10002800	HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	250	90744	180.29
ST. LUKE’S	10002800	HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSP(WRAPPED)	250	90746	359.47
ST. LUKE’S	10002800	ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR	250	90750	1,167.88
ST. LUKE’S	10002800	COCAINE HCL 40 MG/ML NA SOLN	250	C9046	42.31
ST. LUKE’S	10002800	PANTOPRAZOLE 4 MG/ML IV SYRINGE (NEONATAL/PEDS < 30 KG)	250	C9113	138.80
ST. LUKE’S	10002800	PANTOPRAZOLE 80 MG/100ML NS (PREMIX) (>15 KG OR ADULT)	250	C9113	205.65
ST. LUKE’S	10002800	PANTOPRAZOLE SODIUM 40 MG IV SOLR	250	C9113	74.24
ST. LUKE’S	10002800	LACOSAMIDE 200 MG/20ML IV SOLN	250	C9254	128.56
ST. LUKE’S	10002800	BEVACIZUMAB(COMPOUNDED) 25 MG/ML OPHTH SYRINGE (NEONATAL/ADULT)	250	C9257	86.85
ST. LUKE’S	10002800	BUPIVACAINE LIPOSOME 1.3 % IJ SUSP	250	C9290	70.00
ST. LUKE’S	10002800	AMINOLEVULINIC ACID HCL 1.5 G PO SOLR	250	C9399	20,537.91
ST. LUKE’S	10002800	ANGIOTENSIN II ACETATE 2.5 MG/ML IV SOLN	250	C9399	11,097.38
ST. LUKE’S	10002800	BRIVARACETAM 50 MG/5ML IV SOLN	250	C9399	316.39
ST. LUKE’S	10002800	IDARUCIZUMAB 2.5 GM/50ML IV SOLN	250	C9399	16,352.38
ST. LUKE’S	10002800	TREMELIMUMAB-ACTL 300 MG/15ML IV SOLN	250	C9399	187,842.65
ST. LUKE’S	10002800	CANGRELOR TETRASODIUM 50 MG IV SOLR	250	C9460	173.20
ST. LUKE’S	10002800	ABATACEPT 250 MG IV SOLR	250	J0129	252.75
ST. LUKE’S	10002800	ACETAMINOPHEN 10 MG/ML IV SOLN	250	J0131	60.54
ST. LUKE’S	10002800	ACETYLCYSTEINE 200 MG/ML IV SOLN	250	J0132	65.42
ST. LUKE’S	10002800	ACYCLOVIR 5 MG/ML PEDIATRIC IV SYRINGE	250	J0133	127.67
ST. LUKE’S	10002800	ACYCLOVIR SODIUM 50 MG/ML IV SOLN	250	J0133	60.32
ST. LUKE’S	10002800	ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN	250	J0153	64.02
ST. LUKE’S	10002800	ADENOSINE 12 MCG/ML IN NS SOLUTION INTRACORONARY	250	J0153	183.43
ST. LUKE’S	10002800	ADENOSINE 6 MG/2ML IV SOLN	250	J0153	62.06
ST. LUKE’S	10002800	EPINEPHRINE 0.4 MG/25 ML IN D5W INFUSION SYR 16 MCG/ML	250	J0171	134.42
ST. LUKE’S	10002800	EPINEPHRINE 0.8 MG/50 ML IN D5W INFUSION SYR 16 MCG/ML	250	J0171	134.41
ST. LUKE’S	10002800	EPINEPHRINE 10 MCG/ML IV SOSY (WRAPPED)	250	J0171	86.65
ST. LUKE’S	10002800	EPINEPHRINE 4 MG/250 ML IN D5W PREMIX INFUSION 16 MCG/ML	250	J0171	67.34
ST. LUKE’S	10002800	EPINEPHRINE ANAPHYLAXIS 1 MG/1ML KIT	250	J0171	66.24
ST. LUKE’S	10002800	EPINEPHRINE HCL 0.1 MG/ML IJ SOSY(PF AND NON PF)(WRAPPED)	250	J0171	63.53
ST. LUKE’S	10002800	EPINEPHRINE HCL 0.5 MG/10ML NS TOPICAL SOLN	250	J0171	21.96
ST. LUKE’S	10002800	EPINEPHRINE HCL 1 MG/ML IJ SOLN FOR ET USE	250	J0171	62.36
ST. LUKE’S	10002800	EPINEPHRINE HCL 1 MG/ML IJ SOLN(PF AND NON PF)(WRAPPED)	250	J0171	65.08
ST. LUKE’S	10002800	EPINEPHRINE PF 1 MG/ML IJ SOLN	250	J0171	66.43
ST. LUKE’S	10002800	APREPITANT 130 MG/18ML IV EMUL	250	J0185	82.11
ST. LUKE’S	10002800	ALGLUCOSIDASE ALFA 50 MG IV SOLR	250	J0221	1,372.52
ST. LUKE’S	10002800	PATISIRAN SODIUM 10 MG/5ML IV SOLN	250	J0222	780.17
ST. LUKE’S	10002800	REMDESIVIR 100 MG IV SOLR	250	J0248	98.41
ST. LUKE’S	10002800	ALPHA1-PROTEINASE INHIBITOR (ARALAST NP) 1000 MG IV SOLR	250	J0256	97.65
ST. LUKE’S	10002800	ALPHA1-PROTEINASE INHIBITOR (PROLASTIN-C LIQUID) 1000 MG/20ML IV SOLN	250	J0256	97.67
ST. LUKE’S	10002800	AMIKACIN SULFATE 1 GM/4ML IJ SOLN	250	J0278	65.59
ST. LUKE’S	10002800	AMIKACIN SULFATE 500 MG/2ML IJ SOLN	250	J0278	65.35
ST. LUKE’S	10002800	AMINOPHYLLINE 25 MG/ML IV SOLN	250	J0280	84.51
ST. LUKE’S	10002800	AMINOPHYLLINE 5 MG/ML IV SYRINGE (PEDIATRIC < 30 KG)	250	J0280	76.44
ST. LUKE’S	10002800	AMIODARONE 1.5 MG/ML BOLUS DOSE < 150 MG IVPB (PEDIATRIC)	250	J0282	171.82
ST. LUKE’S	10002800	AMIODARONE 150 MG/100 ML DEXTROSE BOLUS (PREMIX)	250	J0282	194.10
ST. LUKE’S	10002800	AMIODARONE HCL 150 MG/3ML IV SOLN	250	J0282	61.59
ST. LUKE’S	10002800	AMIODARONE HCL IN DEXTROSE 360-4.14 MG/200ML-% IV SOLN	250	J0282	195.94
ST. LUKE’S	10002800	AMPHOTERICIN B 50 MG IV SOLR	250	J0285	163.31
ST. LUKE’S	10002800	AMPHOTERICIN B LIPOSOME 50 MG IV SUSR	250	J0289	180.71
ST. LUKE’S	10002800	AMPICILLIN 100 MG/ML IV SOLR (HOSP USE ONLY NEO/PED)	250	J0290	132.47
ST. LUKE’S	10002800	AMPICILLIN 20 MG/ML IV SYRINGE (NEONATAL/PEDS <30 KG)	250	J0290	133.64
ST. LUKE’S	10002800	AMPICILLIN 250 MG/ML IM SOLR (HOSP USE ONLY NEO/PED)	250	J0290	129.70
ST. LUKE’S	10002800	AMPICILLIN SODIUM 1 G IJ SOLR	250	J0290	63.16
ST. LUKE’S	10002800	AMPICILLIN SODIUM 2 G IJ/IV SOLR (WRAPPED)	250	J0290	65.68
ST. LUKE’S	10002800	AMPICILLIN-SULBACTAM 2000 MG-1000 MG PEDS IJ SOLR (HOSP USE ONLY)	250	J0295	137.12
ST. LUKE’S	10002800	AMPICILLIN-SULBACTAM 30 MG (AMPICILLIN)/ML NS PED SYRINGE	250	J0295	140.26
ST. LUKE’S	10002800	AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR	250	J0295	70.72
ST. LUKE’S	10002800	AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR	250	J0295	71.48
ST. LUKE’S	10002800	SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN (WRAPPED)	250	J0330	94.30
ST. LUKE’S	10002800	HYDRALAZINE HCL 20 MG/ML IJ SOLN	250	J0360	70.88
ST. LUKE’S	10002800	AZITHROMYCIN 2 MG/ML IV SYRINGE (NEONATAL)	250	J0456	133.28
ST. LUKE’S	10002800	AZITHROMYCIN 2 MG/ML IVPB (PEDIATRIC)	250	J0456	209.22
ST. LUKE’S	10002800	AZITHROMYCIN 500 MG IV SOLR	250	J0456	72.64
ST. LUKE’S	10002800	ATROPINE SULFATE 0.1 MG/ML IJ SOLN (WRAPPED)	250	J0461	60.74
ST. LUKE’S	10002800	ATROPINE SULFATE 0.4 MG/ML IJ SOLN(PF AND NON PF)(WRAPPED)	250	J0461	61.20
ST. LUKE’S	10002800	ATROPINE SULFATE 1 MG/ML IJ/IV SOLN (WRAPPED)	250	J0461	60.66
ST. LUKE’S	10002800	BACLOFEN 10 MG/20ML IT SOLN	250	J0475	1,118.95
ST. LUKE’S	10002800	BACLOFEN 10000 MCG/20ML IT SOLN(WRAPPED)	250	J0475	1,280.77
ST. LUKE’S	10002800	BACLOFEN 40000 MCG/20ML IT SOLN(WRAPPED)	250	J0475	1,218.05
ST. LUKE’S	10002800	BASILIXIMAB 20 MG IV SOLR	250	J0480	6,088.96
ST. LUKE’S	10002800	BELATACEPT 250 MG IV SOLR	250	J0485	84.31
ST. LUKE’S	10002800	BELIMUMAB 120 MG IV SOLR	250	J0490	277.59
ST. LUKE’S	10002800	BELIMUMAB 400 MG IV SOLR	250	J0490	274.63
ST. LUKE’S	10002800	ANIFROLUMAB-FNIA 300 MG/2ML IV SOLN	250	J0491	171.56
ST. LUKE’S	10002800	DICYCLOMINE HCL 10 MG/ML IM SOLN	250	J0500	158.06
ST. LUKE’S	10002800	BENZTROPINE MESYLATE 1 MG/ML IJ SOLN	250	J0515	159.24
ST. LUKE’S	10002800	BENRALIZUMAB 30 MG/ML SC SOSY	250	J0517	1,091.68
ST. LUKE’S	10002800	PENICILLIN G BENZATHINE 1200000 UNIT/2ML IM SUSY	250	J0561	132.93
ST. LUKE’S	10002800	PENICILLIN G BENZATHINE 600000 UNIT/ML IM SUSY	250	J0561	66.63
ST. LUKE’S	10002800	BUPRENORPHINE HCL 2 MG SL SUBL	250	J0571	33.01
ST. LUKE’S	10002800	BUPRENORPHINE HCL 8 MG SL SUBL	250	J0571	33.24
ST. LUKE’S	10002800	BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL FILM	250	J0572	65.05
ST. LUKE’S	10002800	BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL FILM	250	J0574	66.10
ST. LUKE’S	10002800	BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR	250	J0583	62.65
ST. LUKE’S	10002800	ONABOTULINUMTOXINA 100 UNITS IJ SOLR	250	J0585	105.80
ST. LUKE’S	10002800	ONABOTULINUMTOXINA 100 UNITS INJ SOLN (HOSP USE ONLY)	250	J0585	106.80
ST. LUKE’S	10002800	ABOBOTULINUMTOXINA 300 UNITS IM SOLR	250	J0586	123.38
ST. LUKE’S	10002800	INCOBOTULINUMTOXINA 100 UNITS IM SOLR	250	J0588	96.65
ST. LUKE’S	10002800	BUSULFAN 6 MG/ML IV SOLN	250	J0594	67.80
ST. LUKE’S	10002800	BUTORPHANOL TARTRATE 1 MG/ML IJ SOLN	250	J0595	155.19
ST. LUKE’S	10002800	C1 ESTERASE INHIBITOR (HUMAN) 500 UNITS IV KIT	250	J0597	519.50
ST. LUKE’S	10002800	CALCITONIN (SALMON) 200 UNIT/ML IJ SOLN	250	J0630	3,268.71
ST. LUKE’S	10002800	CALCITRIOL 1 MCG/ML IV SOLN	250	J0636	61.95
ST. LUKE’S	10002800	LEUCOVORIN 10 MG/ML PEDIATRIC SYRINGE (50 MG VIAL)	250	J0640	74.03
ST. LUKE’S	10002800	LEUCOVORIN CALCIUM 100 MG IJ SOLR	250	J0640	66.52
ST. LUKE’S	10002800	LEUCOVORIN CALCIUM 50 MG IJ SOLR	250	J0640	100.37
ST. LUKE’S	10002800	MEPIVACAINE HCL (PF) 1 % IJ SOLN	250	J0670	70.83
ST. LUKE’S	10002800	MEPIVACAINE HCL (PF) 1.5 % IJ SOLN	250	J0670	71.72
ST. LUKE’S	10002800	MEPIVACAINE HCL (PF) 2 % IJ SOLN	250	J0670	69.86
ST. LUKE’S	10002800	MEPIVACAINE HCL 3 % IJ SOLN (DENTAL)	250	J0670	83.31
ST. LUKE’S	10002800	CEFAZOLIN 1000 MG/7.5ML SWFI IV SYRINGE (AAH PREMIX)	250	J0690	186.49
ST. LUKE’S	10002800	CEFAZOLIN 133 MG/ML IV SYRINGE (DOSES NOT 1,2,3G)	250	J0690	130.01
ST. LUKE’S	10002800	CEFAZOLIN 2000 MG/15ML SWFI IV SYRINGE (AAH PREMIX)	250	J0690	186.62
ST. LUKE’S	10002800	CEFAZOLIN 25MG/ML SOLUTION	250	J0690	60.34
ST. LUKE’S	10002800	CEFAZOLIN 3000 MG/22.5ML SWFI IV SYRINGE (AAH PREMIX)	250	J0690	186.63
ST. LUKE’S	10002800	CEFAZOLIN SODIUM 1 G IJ SOLR	250	J0690	62.46
ST. LUKE’S	10002800	CEFAZOLIN SODIUM 10 G IJ SOLR	250	J0690	61.63
ST. LUKE’S	10002800	CEFAZOLIN SODIUM 100 G IJ SOLR	250	J0690	63.46
ST. LUKE’S	10002800	CEFAZOLIN SODIUM 300 G IJ SOLR	250	J0690	63.28
ST. LUKE’S	10002800	CEFAZOLIN(COMPOUNDED) 100 MG/ML OPHTHALMIC SYRINGE	250	J0690	60.87
ST. LUKE’S	10002800	CEFEPIME 40 MG/ML IN NACL 0.9% PEDS IVPB	250	J0692	136.92
ST. LUKE’S	10002800	CEFEPIME HCL 1 G IJ SOLR	250	J0692	70.40
ST. LUKE’S	10002800	CEFEPIME HCL 2 G IJ SOLR	250	J0692	70.37
ST. LUKE’S	10002800	CEFTOLOZANE-TAZOBACTAM 1.5 (1-0.5) G IV SOLR	250	J0695	557.25
ST. LUKE’S	10002800	CEFTRIAXONE 100 MG/ML IJ SOLR (HOSP USE ONLY)	250	J0696	131.99
ST. LUKE’S	10002800	CEFTRIAXONE IN SWFI 100 MG/ML SYRINGE	250	J0696	129.54
ST. LUKE’S	10002800	CEFTRIAXONE SODIUM 1 G IJ SOLR	250	J0696	61.81
ST. LUKE’S	10002800	CEFTRIAXONE SODIUM 1 GM/10ML IV SOSY	250	J0696	185.94
ST. LUKE’S	10002800	CEFTRIAXONE SODIUM 10 G IV SOLR	250	J0696	61.83
ST. LUKE’S	10002800	CEFTRIAXONE SODIUM 100 G IJ SOLR	250	J0696	62.91
ST. LUKE’S	10002800	CEFTRIAXONE SODIUM 2 G IJ SOLR	250	J0696	62.46
ST. LUKE’S	10002800	CEFTRIAXONE SODIUM 2 GM/20ML IV SOSY	250	J0696	183.68
ST. LUKE’S	10002800	CEFTRIAXONE SODIUM 250 MG IJ SOLR	250	J0696	71.10
ST. LUKE’S	10002800	CEFTRIAXONE SODIUM 500 MG IJ SOLR	250	J0696	64.55
ST. LUKE’S	10002800	CEFUROXIME SODIUM 1.5 G IV SOLR	250	J0697	78.03
ST. LUKE’S	10002800	CEFUROXIME SODIUM 750 MG IJ SOLR	250	J0697	78.03
ST. LUKE’S	10002800	BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP	250	J0702	80.97
ST. LUKE’S	10002800	CEFTAROLINE FOSAMIL 400 MG IV SOLR	250	J0712	88.17
ST. LUKE’S	10002800	CEFTAROLINE FOSAMIL 600 MG IV SOLR	250	J0712	79.43
ST. LUKE’S	10002800	CEFTAZIDIME 1 G IJ SOLR	250	J0713	78.04
ST. LUKE’S	10002800	CEFTAZIDIME 2 G IV SOLR	250	J0713	69.46
ST. LUKE’S	10002800	CEFTAZIDIME 40 MG/ML IN D5W SYRINGE	250	J0713	131.62
ST. LUKE’S	10002800	CEFTAZIDIME(COMPOUNDED) 20 MG/ML OPHTHALMIC SYRINGE	250	J0713	60.44
ST. LUKE’S	10002800	CEFTAZIDIME-AVIBACTAM 2.5 (2-0.5) G IV SOLR	250	J0714	515.46
ST. LUKE’S	10002800	CERTOLIZUMAB PEGOL 2 X 200 MG/ML SC PSKT	250	J0717	106.23
ST. LUKE’S	10002800	CLONIDINE HCL (ANALGESIA) 100 MCG/ML EP SOLN	250	J0735	69.90
ST. LUKE’S	10002800	CLONIDINE HCL (ANALGESIA) 500 MCG/ML EP SOLN	250	J0735	219.19
ST. LUKE’S	10002800	CLONIDINE HCL(COMPOUNDED) 2000 MCG/ML INJ (HOSP USE ONLY)	250	J0735	60.71
ST. LUKE’S	10002800	CIDOFOVIR 75 MG/ML IV SOLN	250	J0740	2,049.96
ST. LUKE’S	10002800	IMIPENEM-CILASTATIN 500 MG IV SOLR	250	J0743	82.90
ST. LUKE’S	10002800	CIPROFLOXACIN IN D5W 200 MG/100ML IV SOLN	250	J0744	193.74
ST. LUKE’S	10002800	CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN	250	J0744	191.49
ST. LUKE’S	10002800	COLISTIMETHATE SODIUM (CBA) 150 MG IJ SOLR	250	J0770	94.66
ST. LUKE’S	10002800	PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN	250	J0780	77.15
ST. LUKE’S	10002800	CRIZANLIZUMAB-TMCA 100 MG/10ML IV SOLN	250	J0791	788.88
ST. LUKE’S	10002800	COSYNTROPIN 0.25 MG INJ SOLN (WRAPPED)	250	J0834	228.57
ST. LUKE’S	10002800	DALBAVANCIN HCL 500 MG IV SOLR	250	J0875	159.59
ST. LUKE’S	10002800	DAPTOMYCIN 500 MG IV SOLR	250	J0878	60.40
ST. LUKE’S	10002800	ARGATROBAN 250 MG/2.5ML IV SOLN	250	J0883	67.59
ST. LUKE’S	10002800	EPOETIN ALFA 10000 UNIT/ML IJ SOLN	250	J0885	127.11
ST. LUKE’S	10002800	EPOETIN ALFA 20000 UNIT/ML IJ SOLN	250	J0885	129.21
ST. LUKE’S	10002800	EPOETIN ALFA 3000 UNIT/ML IJ SOLN	250	J0885	176.69
ST. LUKE’S	10002800	EPOETIN ALFA 4000 UNIT/ML IJ SOLN	250	J0885	176.70
ST. LUKE’S	10002800	EPOETIN ALFA 40000 UNIT/ML IJ SOLN	250	J0885	136.34
ST. LUKE’S	10002800	DECITABINE 50 MG IV SOLR	250	J0894	89.58
ST. LUKE’S	10002800	DEFEROXAMINE MESYLATE 2 G IJ SOLR	250	J0895	100.70
ST. LUKE’S	10002800	DEFEROXAMINE MESYLATE 500 MG IJ SOLR	250	J0895	133.31
ST. LUKE’S	10002800	LUSPATERCEPT-AAMT 25 MG SC SOLR	250	J0896	253.15
ST. LUKE’S	10002800	LUSPATERCEPT-AAMT 25 MG/0.5 ML SUBQ INJECTION (SPLIT X 2)	250	J0896	253.15
ST. LUKE’S	10002800	LUSPATERCEPT-AAMT 25 MG/0.5 ML SUBQ INJECTION (SPLIT X 3)	250	J0896	214.14
ST. LUKE’S	10002800	LUSPATERCEPT-AAMT 75 MG SC SOLR	250	J0896	243.26
ST. LUKE’S	10002800	MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP	250	J1050	60.92
ST. LUKE’S	10002800	TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN	250	J1071	127.59
ST. LUKE’S	10002800	DEXAMETHASONE 0.4 MG OP INST	250	J1096	1,076.68
ST. LUKE’S	10002800	DEXAMETHASONE 12 MG/100 ML NS (AURORA PREMIX)	250	J1100	185.43
ST. LUKE’S	10002800	DEXAMETHASONE 20 MG/100 ML NS (AURORA PREMIX)	250	J1100	185.06
ST. LUKE’S	10002800	DEXAMETHASONE SOD PHOS 0.5 MG/ML IV PEDS SYRINGE	250	J1100	128.53
ST. LUKE’S	10002800	DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN	250	J1100	61.84
ST. LUKE’S	10002800	DEXAMETHASONE SODIUM PHOSPHATE 120 MG/30ML IJ SOLN	250	J1100	60.75
ST. LUKE’S	10002800	DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN	250	J1100	60.90
ST. LUKE’S	10002800	DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN	250	J1100	61.28
ST. LUKE’S	10002800	DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML PO SOLUTION	250	J1100	61.27
ST. LUKE’S	10002800	DIHYDROERGOTAMINE MESYLATE 1 MG/ML IJ SOLN	250	J1110	362.95
ST. LUKE’S	10002800	ACETAZOLAMIDE 20 MG/ML D5W IV SYRINGE (PEDIATRIC < 30 KG)(DOSES </= 500 MG)	250	J1120	140.08
ST. LUKE’S	10002800	ACETAZOLAMIDE SODIUM 500 MG IJ SOLR	250	J1120	167.55
ST. LUKE’S	10002800	DIGOXIN 0.25 MG/ML IJ SOLN	250	J1160	74.17
ST. LUKE’S	10002800	DIGOXIN 10 MCG/ML IV SYRINGE (NEONATAL/PEDS < 30 KG)	250	J1160	127.99
ST. LUKE’S	10002800	DIGOXIN IMMUNE FAB 40 MG IV SOLR	250	J1162	30,113.03
ST. LUKE’S	10002800	HYDROMORPHONE 50 MG/100 ML NS INFUSION (STD CON’C)	250	J1170	187.71
ST. LUKE’S	10002800	HYDROMORPHONE HCL 1 MG/ML IJ SOLN(PF & NON PF)(WRAPPED)	250	J1170	133.47
ST. LUKE’S	10002800	HYDROMORPHONE HCL PF 10 MG/ML IJ SOLN	250	J1170	130.14
ST. LUKE’S	10002800	HYDROMORPHONE PCA 0.2 MG/ML SOLN (DISCRETE FIELDS)	250	J1170	164.81
ST. LUKE’S	10002800	HYDROMORPHONE PCA 0.2 MG/ML SOLN (PEDIATRIC > 45 KG) (DISCRETE FIELDS)	250	J1170	164.81
ST. LUKE’S	10002800	HYDROMORPHONE PCA 0.2 MG/ML SOLN (PEDIATRIC > 45 KG) (RESTRICTED) (DISCRETE FIELDS)	250	J1170	164.81
ST. LUKE’S	10002800	HYDROMORPHONE PCA 0.2 MG/ML SOLN (PEDIATRIC 20-45 KG) (DISCRETE FIELDS)	250	J1170	164.81
ST. LUKE’S	10002800	HYDROMORPHONE PCA 0.2 MG/ML SOLN (PEDIATRIC 20-45 KG) (RESTRICTED) (DISCRETE FIELDS)	250	J1170	164.81
ST. LUKE’S	10002800	HYDROMORPHONE PCA 200 MCG/ML SOLN (PEDIATRIC < 20 KG) (DISCRETE FIELDS)	250	J1170	164.81
ST. LUKE’S	10002800	HYDROMORPHONE PCA 200 MCG/ML SOLN (PEDIATRIC < 20 KG) (RESTRICTED) (DISCRETE FIELDS)	250	J1170	164.81
ST. LUKE’S	10002800	HYDROMORPHONE ULTRA-CONCENTRATED PCA 1 MG/ML SOLN (DISCRETE FIELDS)	250	J1170	138.32
ST. LUKE’S	10002800	DEXRAZOXANE HCL 500 MG IV SOLR	250	J1190	234.68
ST. LUKE’S	10002800	DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN	250	J1200	62.86
ST. LUKE’S	10002800	CHLOROTHIAZIDE 2 MG/ML IV SYRINGE (NEONATAL/PEDIATRIC)	250	J1205	129.05
ST. LUKE’S	10002800	CHLOROTHIAZIDE SODIUM 500 MG IV SOLR	250	J1205	252.82
ST. LUKE’S	10002800	METHADONE HCL 10 MG/ML IJ SOLN	250	J1230	158.70
ST. LUKE’S	10002800	DOBUTAMINE HCL 12.5 MG/ML IV SOLN	250	J1250	87.01
ST. LUKE’S	10002800	DOBUTAMINE IN D5W 100 MG/50 ML IV SOLN (STRESS TEST)	250	J1250	206.59
ST. LUKE’S	10002800	DOBUTAMINE IN D5W 2 MG/ML IV SOLN	250	J1250	220.85
ST. LUKE’S	10002800	DOBUTAMINE IN D5W 4-5 MG/ML-% IV SOLN	250	J1250	199.97
ST. LUKE’S	10002800	DOPAMINE 40 MG/25 ML IN D5W INFUSION SYR 1600 MCG/ML	250	J1265	129.85
ST. LUKE’S	10002800	DOPAMINE IN D5W 1.6-5 MG/ML-% IV SOLN	250	J1265	189.44
ST. LUKE’S	10002800	DOPAMINE IN D5W 3.2-5 MG/ML-% IV SOLN	250	J1265	186.09
ST. LUKE’S	10002800	DOXERCALCIFEROL 4 MCG/2ML IV SOLN	250	J1270	70.80
ST. LUKE’S	10002800	ECULIZUMAB 300 MG/30ML IV SOLN	250	J1300	950.55
ST. LUKE’S	10002800	SUTIMLIMAB-JOME 1100 MG/22ML IV SOLN	250	J1302	136.71
ST. LUKE’S	10002800	RAVULIZUMAB-CWVZ 300 MG/3ML IV SOLN	250	J1303	1,252.52
ST. LUKE’S	10002800	EPOPROSTENOL SODIUM 0.5 MG IV SOLR	250	J1325	232.51
ST. LUKE’S	10002800	EPOPROSTENOL SODIUM 1.5 MG IV SOLR	250	J1325	203.79
ST. LUKE’S	10002800	EPTIFIBATIDE 20 MG/10ML IV SOLN	250	J1327	88.92
ST. LUKE’S	10002800	EPTIFIBATIDE 75 MG/100ML IV SOLN	250	J1327	286.16
ST. LUKE’S	10002800	ERTAPENEM SODIUM 1 G IJ SOLR	250	J1335	277.10
ST. LUKE’S	10002800	ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR	250	J1364	80.60
ST. LUKE’S	10002800	ESTROGENS CONJUGATED 25 MG IJ SOLR	250	J1410	1,220.56
ST. LUKE’S	10002800	FERRIC CARBOXYMALTOSE 750 MG/15ML IV SOLN	250	J1439	67.46
ST. LUKE’S	10002800	FLUCONAZOLE 2 MG/ML IV SYRINGE (DOSES </= 100 MG)	250	J1450	129.58
ST. LUKE’S	10002800	FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN	250	J1450	207.91
ST. LUKE’S	10002800	FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% 240 MIN	250	J1450	198.68
ST. LUKE’S	10002800	FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN	250	J1450	198.69
ST. LUKE’S	10002800	FOMEPIZOLE 1 GM/ML IV SOLN	250	J1451	101.64
ST. LUKE’S	10002800	FOSCARNET SODIUM 24 MG/ML IVPB (CENTRAL LINE ADMINISTRATION ONLY)(DOSES NOT 6000 MG)	250	J1455	508.86
ST. LUKE’S	10002800	FOSCARNET SODIUM 6000 MG/250ML IV SOLN	250	J1455	581.71
ST. LUKE’S	10002800	GANCICLOVIR SOD 5 MG/ML IV SYR (NEONATAL/PEDS < 30 KG)	250	J1570	200.86
ST. LUKE’S	10002800	GANCICLOVIR SODIUM 500 MG IV SOLR	250	J1570	159.83
ST. LUKE’S	10002800	GANCICLOVIR(COMPOUNDED) 20 MG/ML OPHTHALMIC SYRINGE	250	J1570	78.03
ST. LUKE’S	10002800	HEPATITIS B IMMUNE GLOBULIN 312 UNIT/ML IJ SOLN	250	J1571	704.93
ST. LUKE’S	10002800	GENTAMICIN 2 MG/ML IV SYRINGE (NEONATAL/PEDS < 15 KG)	250	J1580	129.46
ST. LUKE’S	10002800	GENTAMICIN 300 MG IN NS 100 ML IVPB (AAH PREMIX)	250	J1580	192.71
ST. LUKE’S	10002800	GENTAMICIN 400 MG IN NS 100 ML IVPB (AAH PREMIX)	250	J1580	192.74
ST. LUKE’S	10002800	GENTAMICIN IN SALINE 1.2-0.9 MG/ML-% IV SOLN	250	J1580	198.13
ST. LUKE’S	10002800	GENTAMICIN IN SALINE 1.6-0.9 MG/ML-% IV SOLN	250	J1580	197.78
ST. LUKE’S	10002800	GENTAMICIN IN SALINE 2-0.9 MG/ML-% IV SOLN	250	J1580	191.26
ST. LUKE’S	10002800	GENTAMICIN SULFATE 10 MG/ML IJ SOLN	250	J1580	69.78
ST. LUKE’S	10002800	GENTAMICIN SULFATE 40 MG/ML IJ SOLN	250	J1580	66.58
ST. LUKE’S	10002800	GENTAMICIN SULFATE 40 MG/ML IJ SOLN (RX EQUIV DIFF)	250	J1580	68.42
ST. LUKE’S	10002800	GLATIRAMER ACETATE 40 MG/ML SC SOSY	250	J1595	537.64
ST. LUKE’S	10002800	GOLIMUMAB 50 MG/4ML IV SOLN	250	J1602	340.21
ST. LUKE’S	10002800	GLUCAGON HCL 1 MG IJ SOLR (WRAPPED)	250	J1610	523.50
ST. LUKE’S	10002800	HALOPERIDOL LACTATE 5 MG/ML IJ SOLN	250	J1630	64.92
ST. LUKE’S	10002800	HALOPERIDOL DECANOATE 100 MG/ML IM SOLN	250	J1631	102.12
ST. LUKE’S	10002800	HALOPERIDOL DECANOATE 50 MG/ML IM SOLN	250	J1631	98.43
ST. LUKE’S	10002800	HEPARIN SOD (PORK) LOCK FLUSH 10 UNIT/ML IV SOLN	250	J1642	61.03
ST. LUKE’S	10002800	HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN	250	J1642	60.23
ST. LUKE’S	10002800	HEPARIN (PORCINE) IN NACL 1000-0.9 UT/500ML-% IV SOLN	250	J1644	208.60
ST. LUKE’S	10002800	HEPARIN (PORCINE) IN NACL 30000-0.9 UNIT/L-% IV SOLN	250	J1644	185.37
ST. LUKE’S	10002800	HEPARIN 10000 UNITS/1000 ML 0.9% NS INFUSION	250	J1644	187.09
ST. LUKE’S	10002800	HEPARIN 5000 UNITS/50 ML IN D5W INFUSION SYR 100 UNITS/ML	250	J1644	128.82
ST. LUKE’S	10002800	HEPARIN CARDIAC 1000 UNIT/ML INITIAL BOLUS	250	J1644	62.71
ST. LUKE’S	10002800	HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN	250	J1644	185.34
ST. LUKE’S	10002800	HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN	250	J1644	62.42
ST. LUKE’S	10002800	HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN	250	J1644	61.46
ST. LUKE’S	10002800	ENOXAPARIN SODIUM 100 MG/ML IJ SOSY	250	J1650	69.22
ST. LUKE’S	10002800	ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY	250	J1650	65.05
ST. LUKE’S	10002800	ENOXAPARIN SODIUM 150 MG/ML IJ SOSY	250	J1650	69.75
ST. LUKE’S	10002800	ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY	250	J1650	64.31
ST. LUKE’S	10002800	ENOXAPARIN SODIUM 300 MG/3ML IJ SOLN	250	J1650	74.31
ST. LUKE’S	10002800	ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY	250	J1650	66.43
ST. LUKE’S	10002800	ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY	250	J1650	64.68
ST. LUKE’S	10002800	ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY	250	J1650	65.81
ST. LUKE’S	10002800	FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN	250	J1652	71.07
ST. LUKE’S	10002800	FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN	250	J1652	70.46
ST. LUKE’S	10002800	HYDROCORTISONE SOD SUC (PF) 100 MG IJ SOLR	250	J1720	104.99
ST. LUKE’S	10002800	HYDROCORTISONE SOD SUC (PF) 250 MG IJ SOLR	250	J1720	110.00
ST. LUKE’S	10002800	IBUTILIDE FUMARATE 1 MG/10ML IV SOLN	250	J1742	496.80
ST. LUKE’S	10002800	DROPERIDOL 2.5 MG/ML IJ SOLN	250	J1790	69.27
ST. LUKE’S	10002800	INSULIN 100 UNITS/100 ML NS (PREMIX)	250	J1815	189.45
ST. LUKE’S	10002800	INSULIN DETEMIR VIAL 100 UNIT/ML SC SOLN	250	J1815	63.61
ST. LUKE’S	10002800	INSULIN GLARGINE VIAL 100 UNIT/ML SC SOLN	250	J1815	93.89
ST. LUKE’S	10002800	INSULIN INFUSION – DKA (100 ML PREMIX)	250	J1815	185.06
ST. LUKE’S	10002800	INSULIN INFUSION – INTRAPARTUM (100 ML PREMIX)	250	J1815	184.58
ST. LUKE’S	10002800	INSULIN INFUSION – W/ SURGERY PROTOCOL (100 ML PREMIX)	250	J1815	185.38
ST. LUKE’S	10002800	INSULIN INFUSION – W/PROTOCOL (100 ML PREMIX)	250	J1815	185.32
ST. LUKE’S	10002800	INSULIN ISOPHANE HUMAN VIAL 100 UNIT/ML SC SUSP	250	J1815	76.43
ST. LUKE’S	10002800	INSULIN LISPRO ORDER SET CORRECTION DOSE 100 UNIT/ML	250	J1815	82.91
ST. LUKE’S	10002800	INSULIN LISPRO ORDER SET SCHEDULED DOSE 100 UNIT/ML	250	J1815	62.88
ST. LUKE’S	10002800	INSULIN LISPRO PROT & LISPRO (75-25) VIAL 100 UNIT/ML SC SUSP	250	J1815	72.97
ST. LUKE’S	10002800	INSULIN LISPRO SLIDING SCALE 100 UNIT/ML	250	J1815	73.79
ST. LUKE’S	10002800	INSULIN LISPRO VIAL 100 UNIT/ML IJ SOLN	250	J1815	87.99
ST. LUKE’S	10002800	INSULIN REGULAR 5 UNITS/5 ML IV SYRINGE	250	J1815	16.99
ST. LUKE’S	10002800	INSULIN REGULAR CORRECTION DOSE 100 UNIT/ML	250	J1815	61.20
ST. LUKE’S	10002800	INSULIN REGULAR HUMAN (CONC) PEN 500 UNIT/ML SC SOPN	250	J1815	44.13
ST. LUKE’S	10002800	INSULIN REGULAR HUMAN 100 UNIT/ML IJ SOLN	250	J1815	62.26
ST. LUKE’S	10002800	INSULIN REGULAR HUMAN 100 UNIT/ML IJ SOLN (PN ONLY)	250	J1815	40.48
ST. LUKE’S	10002800	INSULIN REGULAR SCHEDULED DOSE 100 UNITS/ML	250	J1815	61.05
ST. LUKE’S	10002800	INSULIN REGULAR SLIDING SCALE 100 UNIT/ML	250	J1815	41.28
ST. LUKE’S	10002800	INEBILIZUMAB-CDON 100 MG/10ML IV SOLN	250	J1823	4,673.19
ST. LUKE’S	10002800	ISAVUCONAZONIUM SULFATE 372 MG IV SOLR	250	J1833	66.44
ST. LUKE’S	10002800	KETOROLAC INJ	250	J1885	104.77
ST. LUKE’S	10002800	KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN	250	J1885	65.96
ST. LUKE’S	10002800	KETOROLAC TROMETHAMINE 30 MG/ML INJ SOLN (WRAPPED)	250	J1885	62.98
ST. LUKE’S	10002800	LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN	250	J1930	468.02
ST. LUKE’S	10002800	FUROSEMIDE 10 MG/ML IJ SOLN	250	J1940	63.84
ST. LUKE’S	10002800	FUROSEMIDE 10 MG/ML IV SYR NEONATAL/PEDS < 30 KG (DOSES > OR = 2 MG)	250	J1940	127.96
ST. LUKE’S	10002800	FUROSEMIDE 250 MG/125 ML IN NACL 0.9% INFUSION 2 MG/ML (AAH PREMIX)	250	j1940	186.54
ST. LUKE’S	10002800	LEUPROLIDE ACETATE (3 MONTH) 11.25 MG IM KIT	250	J1950	4,117.99
ST. LUKE’S	10002800	LEUPROLIDE ACETATE 3.75 MG IM KIT	250	J1950	1,566.88
ST. LUKE’S	10002800	LEVETIRACETAM 10 MG/ML IVPB SYRINGE (NEONATAL/PEDS < 30 KG)	250	J1953	127.58
ST. LUKE’S	10002800	LEVETIRACETAM 500 MG/5ML IV SOLN	250	J1953	60.40
ST. LUKE’S	10002800	LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN	250	J1956	194.82
ST. LUKE’S	10002800	LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN	250	J1956	190.35
ST. LUKE’S	10002800	LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN	250	J1956	190.35
ST. LUKE’S	10002800	LINEZOLID 600 MG/300ML IV SOLN	250	J2020	208.33
ST. LUKE’S	10002800	LORAZEPAM 2 MG/ML IJ SOLN	250	J2060	132.13
ST. LUKE’S	10002800	MANNITOL 25 % IV SOLN	250	J2150	69.92
ST. LUKE’S	10002800	MEPERIDINE HCL 25 MG/ML IJ SOLN	250	J2175	137.44
ST. LUKE’S	10002800	MEPERIDINE HCL 50 MG/ML IJ SOLN	250	J2175	139.23
ST. LUKE’S	10002800	MEPERIDINE RANGE INJ	250	J2175	141.38
ST. LUKE’S	10002800	MEPOLIZUMAB 100 MG SC SOLR	250	J2182	259.74
ST. LUKE’S	10002800	MEROPENEM 1 G IV SOLR	250	J2185	63.36
ST. LUKE’S	10002800	MEROPENEM 20 MG/ML IN NS IV SYRINGE (NEONATAL/PEDS < 30 KG)	250	J2185	133.59
ST. LUKE’S	10002800	MEROPENEM 500 MG IV SOLR	250	J2185	63.59
ST. LUKE’S	10002800	METHYLERGONOVINE MALEATE 0.2 MG/ML IJ SOLN	250	J2210	163.56
ST. LUKE’S	10002800	METHYLNALTREXONE BROMIDE 12 MG/0.6ML SC SOLN	250	J2212	65.74
ST. LUKE’S	10002800	MICAFUNGIN 1.5 MG/ML IV SYRINGE (< 30 KG)	250	J2248	131.83
ST. LUKE’S	10002800	MICAFUNGIN SODIUM 100 MG IV SOLR	250	J2248	63.81
ST. LUKE’S	10002800	MICAFUNGIN SODIUM 50 MG IV SOLR	250	J2248	64.53
ST. LUKE’S	10002800	MIDAZOLAM 100 MG/100 ML IN SALINE (PREMIX)	250	J2250	185.31
ST. LUKE’S	10002800	MIDAZOLAM 100 MG/100 ML IN SALINE INFUSION SEDATION /ANALGESIA	250	J2250	128.80
ST. LUKE’S	10002800	MIDAZOLAM 25 MG/25 ML INFUSION SYR 1 MG/ML (< 15 KG)	250	J2250	129.23
ST. LUKE’S	10002800	MIDAZOLAM HCL (PF NASAL) 10 MG/2 ML KIT	250	J2250	31.47
ST. LUKE’S	10002800	MIDAZOLAM HCL (PF) 10 MG/2ML IJ SOLN	250	J2250	127.86
ST. LUKE’S	10002800	MIDAZOLAM HCL 10 MG/2ML IJ SOLN	250	J2250	128.18
ST. LUKE’S	10002800	MILRINONE 10 MG/50 ML IN D5W INFUSION SYR 200 MCG/ML	250	J2260	140.00
ST. LUKE’S	10002800	MILRINONE 5 MG/25 ML IN D5W INFUSION SYR 200 MCG/ML	250	J2260	140.02
ST. LUKE’S	10002800	MILRINONE LACTATE 20 MG/20ML IV SOLN	250	J2260	67.83
ST. LUKE’S	10002800	MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN	250	J2260	196.55
ST. LUKE’S	10002800	MINOCYCLINE HCL 100 MG IV SOLR	250	J2265	75.59
ST. LUKE’S	10002800	MORPHINE INJ	250	J2270	146.18
ST. LUKE’S	10002800	MORPHINE PCA 1 MG/ML SOLN (DISCRETE FIELDS)	250	J2270	149.82
ST. LUKE’S	10002800	MORPHINE PCA 1 MG/ML SOLN (PEDIATRIC </= 45 KG) (DISCRETE FIELDS)	250	J2270	149.68
ST. LUKE’S	10002800	MORPHINE PCA 1 MG/ML SOLN (PEDIATRIC </= 45 KG) (RESTRICTED) (DISCRETE FIELDS)	250	J2270	149.94
ST. LUKE’S	10002800	MORPHINE PCA 1 MG/ML SOLN (PEDIATRIC > 45 KG) (DISCRETE FIELDS)	250	J2270	149.94
ST. LUKE’S	10002800	MORPHINE PF 0.2 MG/ML IV SYRINGE (NEONATAL/PEDS < 30 KG)	250	J2270	127.63
ST. LUKE’S	10002800	MORPHINE SULF MICROINFUSION PF 200 MG/20ML (10 MG/ML) IJ SOLN	250	J2270	197.26
ST. LUKE’S	10002800	MORPHINE SULFATE (PF) 1 MG/ML IJ SOLN	250	J2270	134.61
ST. LUKE’S	10002800	MORPHINE SULFATE (PF) 10 MG/ML IV SOLN	250	J2270	135.52
ST. LUKE’S	10002800	MORPHINE SULFATE (PF) 2 MG/ML IJ SOLN	250	J2270	133.68
ST. LUKE’S	10002800	MORPHINE SULFATE (PF) 2 MG/ML IV SOLN	250	J2270	137.37
ST. LUKE’S	10002800	MORPHINE SULFATE (PF) 4 MG/ML IJ SOLN	250	J2270	135.85
ST. LUKE’S	10002800	MORPHINE SULFATE (PF) 4 MG/ML IV SOLN	250	J2270	138.13
ST. LUKE’S	10002800	MORPHINE SULFATE 10 MG/ML IV SOLN(PF AND NON PF)(WRAPPED)	250	J2270	134.86
ST. LUKE’S	10002800	MORPHINE SULFATE 2 MG/ML IV SOLN(PF AND NON PF)(WRAPPED)	250	J2270	138.77
ST. LUKE’S	10002800	MORPHINE SULFATE 25 MG/ML IV SOLN	250	J2270	129.19
ST. LUKE’S	10002800	MORPHINE SULFATE 4 MG/ML IV SOLN(PF AND NON PF)(WRAPPED)	250	J2270	137.94
ST. LUKE’S	10002800	MORPHINE SULFATE 50 MG/ML IV SOLN	250	J2270	128.14
ST. LUKE’S	10002800	MORPHINE SULFATE-NACL 100-0.9 MG/100ML-% IV SOLN	250	J2270	134.00
ST. LUKE’S	10002800	MORPHINE SULFATE(COMPOUNDED) 50 MG/ML INJ (HOSP USE ONLY)	250	J2274	127.66
ST. LUKE’S	10002800	ZICONOTIDE ACETATE 100 MCG/ML IT SOLN	250	J2278	133.25
ST. LUKE’S	10002800	ZICONOTIDE ACETATE 500 MCG/20ML IT SOLN	250	J2278	129.52
ST. LUKE’S	10002800	ZICONOTIDE ACETATE 500 MCG/5ML IT SOLN	250	J2278	129.52
ST. LUKE’S	10002800	MOXIFLOXACIN HCL IN NACL 400 MG/250ML IV SOLN	250	J2280	256.98
ST. LUKE’S	10002800	NALBUPHINE HCL 10 MG/ML IJ SOLN	250	J2300	76.39
ST. LUKE’S	10002800	NALOXONE HCL 0.4 MG/ML IJ SOLN(WRAPPED)	250	J2310	99.95
ST. LUKE’S	10002800	NALOXONE HCL 1 MG/ML IJ SOLN(WRAPPED)	250	J2310	100.21
ST. LUKE’S	10002800	OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN	250	J2354	64.13
ST. LUKE’S	10002800	OCTREOTIDE ACETATE 200 MCG/ML IJ SOLN	250	J2354	64.26
ST. LUKE’S	10002800	OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN	250	J2354	66.97
ST. LUKE’S	10002800	OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN	250	J2354	64.71
ST. LUKE’S	10002800	TEZEPELUMAB-EKKO 210 MG/1.91ML SC SOSY	250	J2356	187.45
ST. LUKE’S	10002800	OMALIZUMAB 150 MG SC SOLR	250	J2357	359.68
ST. LUKE’S	10002800	OMALIZUMAB 150 MG/ML SC SOSY	250	J2357	322.19
ST. LUKE’S	10002800	OMALIZUMAB 75 MG/0.5ML SC SOSY	250	J2357	353.89
ST. LUKE’S	10002800	ORPHENADRINE CITRATE 30 MG/ML IJ SOLN	250	J2360	96.47
ST. LUKE’S	10002800	ONDANSETRON HCL 4 MG/2ML IJ SOLN	250	J2405	60.79
ST. LUKE’S	10002800	ONDANSETRON HCL 40 MG/20ML IJ SOLN	250	J2405	60.80
ST. LUKE’S	10002800	ORITAVANCIN DIPHOSPHATE 400 MG IV SOLR	250	J2407	245.69
ST. LUKE’S	10002800	PALIPERIDONE PALMITATE ER 117 MG/0.75ML IM SUSY	250	J2426	96.62
ST. LUKE’S	10002800	PALIPERIDONE PALMITATE ER 156 MG/ML IM SUSY	250	J2426	98.87
ST. LUKE’S	10002800	PALIPERIDONE PALMITATE ER 234 MG/1.5ML IM SUSY	250	J2426	100.27
ST. LUKE’S	10002800	PALIPERIDONE PALMITATE ER 78 MG/0.5ML IM SUSY	250	J2426	96.51
ST. LUKE’S	10002800	PAPAVERINE HCL 30 MG/ML IJ SOLN	250	J2440	179.30
ST. LUKE’S	10002800	PAPAVERINE/NS 120 MG/16 ML IV SYRINGE	250	J2440	85.16
ST. LUKE’S	10002800	PEGLOTICASE 8 MG/ML IV SOLN	250	J2507	19,878.37
ST. LUKE’S	10002800	PENICILLIN G 2.5 MILLION UNITS/100 ML NS (AURORA PREMIX)	250	J2540	183.44
ST. LUKE’S	10002800	PENICILLIN G POTASSIUM 20000000 UNITS IJ SOLR	250	J2540	64.19
ST. LUKE’S	10002800	PENICILLIN G POTASSIUM 5000000 UNITS IJ SOLR	250	J2540	63.36
ST. LUKE’S	10002800	PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR	250	J2543	65.15
ST. LUKE’S	10002800	PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR	250	J2543	66.97
ST. LUKE’S	10002800	PIPERACILLIN-TAZOBACTAM 3000 MG-375 MG NEO IV SOLR (HOSP USE ONLY)	250	J2543	77.66
ST. LUKE’S	10002800	PIPERACILLIN-TAZOBACTAM 3000 MG-375 MG PEDS IV SOLR (HOSP USE ONLY)	250	J2543	78.00
ST. LUKE’S	10002800	PIPERACILLIN-TAZOBACTAM 40 MG (PIPERACILLIN)/ML SYRINGE	250	J2543	127.34
ST. LUKE’S	10002800	PERAMIVIR 200 MG/20ML IV SOLN	250	J2547	71.81
ST. LUKE’S	10002800	PERAMIVIR 6 MG/ML SYRINGE (NEONATAL/PEDS < 30 KG)	250	J2547	138.84
ST. LUKE’S	10002800	PHENOBARBITAL 5 MG/ML IV SYRINGE (NEONATAL/PEDS < 30 KG)	250	J2560	155.15
ST. LUKE’S	10002800	PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN	250	J2560	306.59
ST. LUKE’S	10002800	PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN	250	J2560	215.70
ST. LUKE’S	10002800	PLERIXAFOR 24 MG/1.2ML SC SOLN	250	J2562	2,995.31
ST. LUKE’S	10002800	OXYTOCIN 10 UNIT/ML IJ SOLN	250	J2590	67.01
ST. LUKE’S	10002800	OXYTOCIN-SODIUM CHLORIDE 30-0.9 UT/500ML-% IV SOLN	250	J2590	206.72
ST. LUKE’S	10002800	OXYTOCIN-SODIUM CHLORIDE 30-0.9 UT/500ML-% IV SOLN (ML/HR)	250	J2590	206.74
ST. LUKE’S	10002800	DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN(PF AND NON PF)(WRAPPED)	250	J2597	90.61
ST. LUKE’S	10002800	FLUPHENAZINE DECANOATE 25 MG/ML IJ SOLN	250	J2680	120.10
ST. LUKE’S	10002800	PROCAINAMIDE HCL 100 MG/ML IJ SOLN	250	J2690	227.76
ST. LUKE’S	10002800	OXACILLIN 20 MG/ML IN D5W SYRINGE IVPB	250	J2700	132.44
ST. LUKE’S	10002800	OXACILLIN SODIUM 1 G IJ SOLR	250	J2700	65.26
ST. LUKE’S	10002800	OXACILLIN SODIUM 10 G IV SOLR	250	J2700	68.65
ST. LUKE’S	10002800	OXACILLIN SODIUM 2 G IJ SOLR	250	J2700	65.71
ST. LUKE’S	10002800	PROPOFOL 10 MG/ML IV EMUL – SEDATION AND ANALGESIA	250	J2704	60.92
ST. LUKE’S	10002800	PROPOFOL 10 MG/ML IV EMUL(WRAPPED)	250	J2704	60.87
ST. LUKE’S	10002800	NEOSTIGMINE METHYLSULFATE 1 MG/ML IV SOLN(WRAPPED)	250	J2710	93.59
ST. LUKE’S	10002800	NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN	250	J2710	61.22
ST. LUKE’S	10002800	PROTAMINE SULFATE 10 MG/ML IV SOLN	250	J2720	66.94
ST. LUKE’S	10002800	PHENTOLAMINE MESYLATE 5 MG IJ SOLR	250	J2760	2,317.16
ST. LUKE’S	10002800	METOCLOPRAMIDE 0.5 MG/ML IV SYR NEONATAL/PEDS (DOSES < 5 MG)	250	J2765	127.79
ST. LUKE’S	10002800	METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN	250	J2765	64.79
ST. LUKE’S	10002800	RASBURICASE 1.5 MG IV SOLR	250	J2783	2,156.69
ST. LUKE’S	10002800	RHO D IMMUNE GLOBULIN 1500 UNIT/2ML IJ SOSY	250	J2791	92.03
ST. LUKE’S	10002800	RISPERIDONE MICROSPHERES ER 12.5 MG IM SRER	250	J2794	134.63
ST. LUKE’S	10002800	RISPERIDONE MICROSPHERES ER 25 MG IM SRER	250	J2794	134.62
ST. LUKE’S	10002800	RISPERIDONE MICROSPHERES ER 37.5 MG IM SRER	250	J2794	119.36
ST. LUKE’S	10002800	ROPIVACAINE 0.2% EPIDURAL	250	J2795	184.05
ST. LUKE’S	10002800	ROPIVACAINE 0.2% NERVE BLOCK 550 ML (DISPOSABLE) INFUSION	250	J2795	184.59
ST. LUKE’S	10002800	ROPIVACAINE HCL 10 MG/ML IJ SOLN	250	J2795	60.45
ST. LUKE’S	10002800	ROPIVACAINE HCL 2 MG/ML IJ SOLN	250	J2795	61.00
ST. LUKE’S	10002800	ROPIVACAINE HCL 5 MG/ML IJ SOLN	250	J2795	60.40
ST. LUKE’S	10002800	SINCALIDE 5 MCG IJ SOLR	250	J2805	329.96
ST. LUKE’S	10002800	SECRETIN ACETATE (HUMAN) 16 MCG IV SOLR	250	J2850	297.69
ST. LUKE’S	10002800	SILTUXIMAB 100 MG IV SOLR	250	J2860	540.93
ST. LUKE’S	10002800	SILTUXIMAB 400 MG IV SOLR	250	J2860	587.87
ST. LUKE’S	10002800	METHYLPREDNISOLONE NA SUCC 10 MG/ML NS PED IVPB SYRINGE	250	J2920	142.83
ST. LUKE’S	10002800	METHYLPREDNISOLONE NA SUCC 10 MG/ML NS PED SYRINGE	250	J2920	133.31
ST. LUKE’S	10002800	METHYLPREDNISOLONE SODIUM SUCC 40 MG IJ SOLR	250	J2920	88.08
ST. LUKE’S	10002800	METHYLPREDNISOLONE SODIUM SUCC 1000 MG IJ SOLR	250	J2930	80.55
ST. LUKE’S	10002800	METHYLPREDNISOLONE SODIUM SUCC 125 MG IJ SOLR	250	J2930	96.43
ST. LUKE’S	10002800	METHYLPREDNISOLONE SODIUM SUCC 500 MG IJ SOLR	250	J2930	91.16
ST. LUKE’S	10002800	ALTEPLASE 100 MG IV SOLR	250	J2997	604.62
ST. LUKE’S	10002800	ALTEPLASE 2 MG IJ SOLR	250	J2997	475.57
ST. LUKE’S	10002800	ALTEPLASE 50 MG IV SOLR	250	J2997	658.25
ST. LUKE’S	10002800	FENTANYL 10 MCG/ML (PF) EPIDURAL	250	J3010	141.33
ST. LUKE’S	10002800	FENTANYL 250 MCG/25 ML IN NS INFUSION SYR 10 MCG/ML	250	J3010	144.02
ST. LUKE’S	10002800	FENTANYL 5 MCG/ML IV SYRINGE (NEONATAL/PEDS < 30 KG)	250	J3010	127.85
ST. LUKE’S	10002800	FENTANYL 500 MCG/50 ML IN NS INFUSION SYR 10 MCG/ML	250	J3010	147.37
ST. LUKE’S	10002800	FENTANYL 62.5 MCG/25 ML IN D5W INFUSION SYR 2.5 MCG/ML	250	J3010	139.05
ST. LUKE’S	10002800	FENTANYL CITRATE(COMPOUNDED) 5000 MCG/ML INJ (HOSP USE ONLY)	250	J3010	127.82
ST. LUKE’S	10002800	FENTANYL CITRATE-NACL 2.5-0.9 MG/250ML-% IV SOLN (WRAPPED)	250	J3010	133.88
ST. LUKE’S	10002800	FENTANYL PCA 10 MCG/ML SOLN (DISCRETE FIELDS)	250	J3010	141.04
ST. LUKE’S	10002800	FENTANYL PCA 10 MCG/ML SOLN (PEDS 20-45 KG) (RESTRICTED) (DISCRETE FIE	250	J3010	141.04
ST. LUKE’S	10002800	FENTANYL ULTRA-CONCENTRATED PCA 50 MCG/ML SOLN	250	J3010	131.21
ST. LUKE’S	10002800	SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN	250	J3030	93.91
ST. LUKE’S	10002800	EPTINEZUMAB-JJMR 100 MG/ML IV SOLN	250	J3032	177.62
ST. LUKE’S	10002800	TENECTEPLASE (STROKE) IV KIT	250	J3101	1,017.32
ST. LUKE’S	10002800	TERBUTALINE SULFATE 1 MG/ML IJ SOLN	250	J3105	71.71
ST. LUKE’S	10002800	ROMOSOZUMAB-AQQG 105 MG/1.17ML SC SOSY	250	J3111	129.50
ST. LUKE’S	10002800	CHLORPROMAZINE HCL 25 MG/ML IJ SOLN (WRAPPED)	250	J3230	170.69
ST. LUKE’S	10002800	THYROTROPIN ALFA 0.9 MG IM SOLR	250	J3240	10,516.49
ST. LUKE’S	10002800	TEPROTUMUMAB-TRBW 500 MG IV SOLR	250	J3241	1,778.46
ST. LUKE’S	10002800	TIGECYCLINE 50 MG IV SOLR	250	J3243	63.17
ST. LUKE’S	10002800	TILDRAKIZUMAB-ASMN 100 MG/ML SC SOSY	250	J3245	1,006.79
ST. LUKE’S	10002800	TRIMETHOBENZAMIDE HCL 100 MG/ML IM SOLN	250	J3250	197.54
ST. LUKE’S	10002800	TOBRAMYCIN SULFATE 1.2 G IJ SOLR	250	J3260	77.18
ST. LUKE’S	10002800	TOBRAMYCIN SULFATE 80 MG/2ML IJ SOLN	250	J3260	65.01
ST. LUKE’S	10002800	TOCILIZUMAB 162 MG/0.9ML SC SOAJ AND SOSY (WRAPPED)	250	J3262	106.94
ST. LUKE’S	10002800	TOCILIZUMAB 200 MG/10ML IV SOLN	250	J3262	98.80
ST. LUKE’S	10002800	TREPROSTINIL 20 MG/20ML IJ SOLN	250	J3285	599.63
ST. LUKE’S	10002800	TREPROSTINIL 200 MG/20ML IJ SOLN	250	J3285	555.00
ST. LUKE’S	10002800	TREPROSTINIL 50 MG/20ML IJ SOLN	250	J3285	546.16
ST. LUKE’S	10002800	TREPROSTINIL<REMUNITY PUMP 2.5 MG/ML SUBCUTANEOUS INFUSION	250	J3285	524.01
ST. LUKE’S	10002800	TREPROSTINIL-CADD-MS3 PUMP 10 MG/ML SUBCUTANEOUS INFUSION	250	J3285	555.00
ST. LUKE’S	10002800	TRIAMCINOLONE ACETONIDE 40 MG/ML IO SUSP	250	J3300	254.31
ST. LUKE’S	10002800	TRIAMCINOLONE ACETONIDE 10 MG/ML IJ SUSP	250	J3301	75.01
ST. LUKE’S	10002800	TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP	250	J3301	64.65
ST. LUKE’S	10002800	USTEKINUMAB 90 MG/ML SC SOSY	250	J3357	2,055.37
ST. LUKE’S	10002800	USTEKINUMAB 130 MG/26ML IV SOLN	250	J3358	148.79
ST. LUKE’S	10002800	DIAZEPAM 5 MG/ML IJ SOLN	250	J3360	183.39
ST. LUKE’S	10002800	VANCOMYCIN 1.25 GM/250 ML NS (PREMIX)	250	J3370	194.01
ST. LUKE’S	10002800	VANCOMYCIN 1.5 GM/250 ML NS (PREMIX)	250	J3370	195.67
ST. LUKE’S	10002800	VANCOMYCIN 1.75 GM/500 ML NS (PREMIX)	250	J3370	209.24
ST. LUKE’S	10002800	VANCOMYCIN 100 MG/ML IV SOLR (HOSPITAL USE ONLY)	250	J3370	137.79
ST. LUKE’S	10002800	VANCOMYCIN 2 GM/500 ML NS (PREMIX)	250	J3370	204.97
ST. LUKE’S	10002800	VANCOMYCIN 5 MG/ML IN D5W SYRINGE IVPB	250	J3370	188.87
ST. LUKE’S	10002800	VANCOMYCIN HCL 1 G IV SOLR	250	J3370	69.15
ST. LUKE’S	10002800	VANCOMYCIN HCL 10 G IV SOLR	250	J3370	86.00
ST. LUKE’S	10002800	VANCOMYCIN HCL 500 MG IV SOLR	250	J3370	72.45
ST. LUKE’S	10002800	VANCOMYCIN HCL 750 MG IV SOLR	250	J3370	79.11
ST. LUKE’S	10002800	VANCOMYCIN(COMPOUNDED) 10 MG/ML OPHTHALMIC SYRINGE	250	J3370	61.69
ST. LUKE’S	10002800	VANCOMYCIN(COMPOUNDED) 50 MG/ML OPHTHALMIC SYRINGE	250	J3370	60.52
ST. LUKE’S	10002800	VEDOLIZUMAB 300 MG IV SOLR	250	J3380	213.80
ST. LUKE’S	10002800	HYDROXYZINE HCL 50 MG/ML IM SOLN	250	J3410	107.35
ST. LUKE’S	10002800	THIAMINE HCL 100 MG/ML IJ SOLN	250	J3411	74.19
ST. LUKE’S	10002800	THIAMINE HCL 100 MG/ML IJ SOLN (PN ONLY)	250	J3411	77.37
ST. LUKE’S	10002800	PYRIDOXINE HCL 100 MG/ML IJ SOLN	250	J3415	76.40
ST. LUKE’S	10002800	CYANOCOBALAMIN 1000 MCG/ML IJ SOLN	250	J3420	74.04
ST. LUKE’S	10002800	PHYTONADIONE 0.2 MG/ML IV SYRINGE (NEONATAL/PEDS < 30 KG)	250	J3430	271.09
ST. LUKE’S	10002800	PHYTONADIONE 1 MG/0.5ML IJ SOLN	250	J3430	168.61
ST. LUKE’S	10002800	PHYTONADIONE(COMPOUNDED) 1 MG/ML ORAL SUSP	250	J3430	39.99
ST. LUKE’S	10002800	VITAMIN K1 10 MG/ML IJ SOLN	250	J3430	85.79
ST. LUKE’S	10002800	VORICONAZOLE 200 MG IV SOLR	250	J3465	66.20
ST. LUKE’S	10002800	HYALURONIDASE OVINE 200 UNIT/ML IJ SOLN	250	J3471	63.39
ST. LUKE’S	10002800	HYALURONIDASE HUMAN 150 UNIT/ML IJ SOLN	250	J3473	289.94
ST. LUKE’S	10002800	MAGNESIUM SULFATE 2 G/50 ML PREMIX (WRAPPED) (60 MIN INFUSION)	250	J3475	188.74
ST. LUKE’S	10002800	MAGNESIUM SULFATE 2 G/50 ML PREMIX(WRAPPED)	250	J3475	189.42
ST. LUKE’S	10002800	MAGNESIUM SULFATE 4 GM/50ML IV SOLN	250	J3475	186.33
ST. LUKE’S	10002800	MAGNESIUM SULFATE 4 GM/50ML IV SOLN (120 MIN INFUSION)	250	J3475	186.28
ST. LUKE’S	10002800	MAGNESIUM SULFATE 40 MG/ML D5W IVPB SYR (NEONATAL/PEDS < 30 KG)	250	J3475	133.66
ST. LUKE’S	10002800	MAGNESIUM SULFATE 40 MG/ML IV SOLN(WRAPPED)	250	J3475	184.20
ST. LUKE’S	10002800	MAGNESIUM SULFATE 50 % IJ SOLN	250	J3475	61.23
ST. LUKE’S	10002800	MAGNESIUM/D5W 6 GM/48 ML IV SYRINGE	250	J3475	61.38
ST. LUKE’S	10002800	POTASSIUM CHLORIDE 0.4 MEQ/ML SWFI CENTRAL IVPB SYR (PEDS)	250	J3480	128.86
ST. LUKE’S	10002800	POTASSIUM CHLORIDE 10 MEQ/50ML IV SOLN	250	J3480	186.09
ST. LUKE’S	10002800	POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN	250	J3480	60.69
ST. LUKE’S	10002800	POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN	250	J3480	185.00
ST. LUKE’S	10002800	POTASSIUM CHLORIDE 20 MEQ/50ML IV SOLN	250	J3480	184.75
ST. LUKE’S	10002800	POTASSIUM CHLORIDE 40 MEQ/100ML IV SOLN	250	J3480	184.30
ST. LUKE’S	10002800	POTASSIUM CHLORIDE IN NACL 20-0.45 MEQ/L-% IV SOLN	250	J3480	185.64
ST. LUKE’S	10002800	POTASSIUM CHLORIDE IN NACL 20-0.9 MEQ/L-% IV SOLN	250	J3480	184.90
ST. LUKE’S	10002800	POTASSIUM CHLORIDE IN NACL 40-0.9 MEQ/L-% IV SOLN	250	J3480	184.52
ST. LUKE’S	10002800	POTASSIUM CL IN DEXTROSE 5% 20 MEQ/L IV SOLN	250	J3480	188.60
ST. LUKE’S	10002800	ZIPRASIDONE MESYLATE 20 MG IM SOLR	250	J3486	115.55
ST. LUKE’S	10002800	ZOLEDRONIC ACID 4 MG/100ML IV SOLN	250	J3489	107.87
ST. LUKE’S	10002800	ZOLEDRONIC ACID 5 MG/100ML IV SOLN	250	J3489	154.53
ST. LUKE’S	10002800	BUMETANIDE 0.25 MG/ML IJ SOLN	250	J3490	67.43
ST. LUKE’S	10002800	DEXTROSE 50 % IV SOLN	250	J3490	132.26
ST. LUKE’S	10002800	DILTIAZEM HCL 5 MG/1 ML IV SOLN (WRAPPED)	250	J3490	81.12
ST. LUKE’S	10002800	FAMOTIDINE (PF) 20 MG/2ML IV SOLN	250	J3490	63.68
ST. LUKE’S	10002800	LABETALOL HCL 5 MG/ML SOLN(WRAPPED)	250	J3490	108.06
ST. LUKE’S	10002800	METOPROLOL TARTRATE 5 MG/5ML IV SOLN	250	j3490	64.12
ST. LUKE’S	10002800	INSULIN LISPRO CORRECTION DOSE 100 UNIT/ML	250	J3590	62.91
ST. LUKE’S	10002800	PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS IV KIT	250	J7168	75.46
ST. LUKE’S	10002800	PROTHROMBIN COMPLEX CONC HUMAN 500 UNITS IV KIT	250	J7168	74.58
ST. LUKE’S	10002800	FIBRINOGEN CONCENTRATE (HUMAN) IV SOLR	250	J7177	65.91
ST. LUKE’S	10002800	ANTIHEMOPHILIC FACTOR-VWF 1000-2400 UNITS IV SOLR	250	J7187	67.95
ST. LUKE’S	10002800	ANTIHEMOPHILIC FACTOR-VWF 250-600 UNITS IV SOLR	250	J7187	66.54
ST. LUKE’S	10002800	ANTIHEMOPHILIC FACTOR-VWF 500-1200 UNITS IV SOLR	250	J7187	67.29
ST. LUKE’S	10002800	COAGULATION FACTOR VIIA RECOMB 1 MG IV SOLR	250	J7189	73.99
ST. LUKE’S	10002800	COAGULATION FACTOR VIIA RECOMB 2 MG IV SOLR	250	J7189	67.74
ST. LUKE’S	10002800	COAGULATION FACTOR VIIA RECOMB 5 MG IV SOLR	250	J7189	70.59
ST. LUKE’S	10002800	ANTIHEMOPHIL FACTOR (RAHF-PFM) 1000 UNITS IV SOLR	250	J7192	68.69
ST. LUKE’S	10002800	ANTIHEMOPHIL FACTOR (RAHF-PFM) 2000 UNITS IV SOLR	250	J7192	66.04
ST. LUKE’S	10002800	ANTIHEMOPHIL FACTOR (RAHF-PFM) 250 UNITS IV SOLR	250	J7192	68.69
ST. LUKE’S	10002800	ANTIHEMOPHIL FACTOR (RAHF-PFM) 500 UNITS IV SOLR	250	J7192	66.40
ST. LUKE’S	10002800	LEVONORGESTREL 20 MCG/DAY IU IUD	250	J7298	7,736.06
ST. LUKE’S	10002800	ETONOGESTREL 68 MG SC IMPL	250	J7307	6,231.08
ST. LUKE’S	10002800	SODIUM HYALURONATE 60 MG/3ML IX PRSY	250	J7318	173.91
ST. LUKE’S	10002800	SODIUM HYALURONATE 20 MG/2ML IX SOSY	250	J7321	1,398.27
ST. LUKE’S	10002800	HYALURONAN 30 MG/2ML IX SOSY	250	J7324	861.33
ST. LUKE’S	10002800	HYLAN 16 MG/2ML IX SOSY	250	J7325	129.84
ST. LUKE’S	10002800	HYLAN 48 MG/6ML IX SOSY	250	J7325	129.84
ST. LUKE’S	10002800	CYCLOSPORINE 100 MG PO CAPS	250	J7502	84.43
ST. LUKE’S	10002800	CYCLOSPORINE MODIFIED 100 MG PO CAPS	250	J7502	27.27
ST. LUKE’S	10002800	TACROLIMUS ER 0.75 MG PO TB24	250	J7503	24.37
ST. LUKE’S	10002800	TACROLIMUS ER 1 MG PO TB24	250	J7503	24.37
ST. LUKE’S	10002800	TACROLIMUS ER 4 MG PO TB24	250	J7503	24.37
ST. LUKE’S	10002800	LYMPHOCYTE,ANTI-THYMO IMM GLOB 50 MG/ML IV INJ	250	J7504	60.51
ST. LUKE’S	10002800	ANTI-THYMOCYTE GLOB (RABBIT) 25 MG IV SOLR	250	J7511	5,722.14
ST. LUKE’S	10002800	CYCLOSPORINE 25 MG PO CAPS	250	J7515	39.15
ST. LUKE’S	10002800	CYCLOSPORINE MODIFIED 25 MG PO CAPS	250	J7515	21.22
ST. LUKE’S	10002800	SIROLIMUS 0.5 MG PO TABS	250	J7520	52.94
ST. LUKE’S	10002800	SIROLIMUS 1 MG PO TABS	250	J7520	68.15
ST. LUKE’S	10002800	SIROLIMUS 1 MG/ML PO SOLN	250	J7520	101.78
ST. LUKE’S	10002800	TACROLIMUS 5 MG/ML IV SOLN	250	J7525	365.17
ST. LUKE’S	10002800	TOBRAMYCIN 300 MG/5ML IN NEBU	250	J7682	62.87
ST. LUKE’S	10002800	PHENYLEPHRINE 100 MCG/ML IJ SOLN(WRAPPED)	250	J7999	71.79
ST. LUKE’S	10002800	PHENYLEPHRINE 50 MG/250 ML IN NS INFUSION 200 MCG/ML (> 15 KG OR ADULT)	250	J7999	280.33
ST. LUKE’S	10002800	APREPITANT 40 MG PO CAPS	250	J8501	54.95
ST. LUKE’S	10002800	DEXAMETHASONE 0.5 MG PO TABS	250	J8540	15.83
ST. LUKE’S	10002800	DEXAMETHASONE 1 MG PO TABS	250	J8540	15.89
ST. LUKE’S	10002800	DEXAMETHASONE 4 MG PO TABS	250	J8540	15.78
ST. LUKE’S	10002800	DEXAMETHASONE 6 MG PO TABS	250	J8540	15.80
ST. LUKE’S	10002800	TEMOZOLOMIDE 100 MG PO CAPS	250	J8700	27.29
ST. LUKE’S	10002800	TEMOZOLOMIDE 20 MG PO CAPS	250	J8700	24.54
ST. LUKE’S	10002800	TEMOZOLOMIDE 250 MG PO CAPS	250	J8700	22.64
ST. LUKE’S	10002800	DOXORUBICIN 1 MG/ML NS IV PEDIATRIC SYRINGE	250	J9000	88.37
ST. LUKE’S	10002800	DOXORUBICIN HCL 2 MG/ML IV SOLN	250	J9000	86.62
ST. LUKE’S	10002800	DOXORUBICIN HCL 2 MG/ML IV SOLN (SPLIT X 2)	250	J9000	86.77
ST. LUKE’S	10002800	DOXORUBICIN HCL 2 MG/ML IV SOLN (SPLIT X 3)	250	J9000	87.23
ST. LUKE’S	10002800	DOXORUBICIN HCL 50 MG IV SOLR	250	J9000	139.06
ST. LUKE’S	10002800	DOXORUBICIN LOADED BEADS ( 70-150 MICRON)	250	J9000	116.25
ST. LUKE’S	10002800	DOXORUBICIN LOADED BEADS (100-300 MICRON)	250	J9000	116.25
ST. LUKE’S	10002800	ARSENIC TRIOXIDE 10 MG/10ML IV SOLN	250	J9017	114.62
ST. LUKE’S	10002800	ATEZOLIZUMAB 1200 MG/20ML IV SOLN	250	J9022	441.04
ST. LUKE’S	10002800	ATEZOLIZUMAB 840 MG/14ML IV SOLN	250	J9022	472.44
ST. LUKE’S	10002800	AVELUMAB 200 MG/10ML IV SOLN	250	J9023	488.73
ST. LUKE’S	10002800	AZACITIDINE 10 MG/ML RECONSTITUTED SOLN	250	J9025	78.30
ST. LUKE’S	10002800	AZACITIDINE 100 MG IJ SUSR (SPLIT X 2)	250	J9025	78.43
ST. LUKE’S	10002800	AZACITIDINE 25 MG/ML SUBQ CHEMO INJ	250	J9025	78.00
ST. LUKE’S	10002800	CLOFARABINE 1 MG/ML IV SOLN	250	J9027	231.22
ST. LUKE’S	10002800	BCG LIVE 50 MG IS SUSR	250	J9030	91.27
ST. LUKE’S	10002800	BENDAMUSTINE HCL 100 MG/4ML IV SOLN	250	J9034	153.59
ST. LUKE’S	10002800	BEVACIZUMAB 100 MG/4ML IV SOLN	250	J9035	379.57
ST. LUKE’S	10002800	BLINATUMOMAB 35 MCG IV SOLR	250	J9039	713.74
ST. LUKE’S	10002800	BLEOMYCIN SULFATE 15 UNITS IJ SOLR	250	J9040	139.52
ST. LUKE’S	10002800	BORTEZOMIB 1 MG/ML IV PUSH INJECTION SOLN	250	J9041	81.74
ST. LUKE’S	10002800	BORTEZOMIB SUBQ CHEMO INJECTION	250	J9041	237.86
ST. LUKE’S	10002800	BRENTUXIMAB VEDOTIN 50 MG IV SOLR	250	J9042	836.73
ST. LUKE’S	10002800	CABAZITAXEL 60 MG/1.5ML IV SOLN	250	J9043	1,629.69
ST. LUKE’S	10002800	CARBOPLATIN 450 MG/45ML IV SOLN	250	J9045	86.81
ST. LUKE’S	10002800	CARBOPLATIN 600 MG/60ML IV SOLN	250	J9045	85.71
ST. LUKE’S	10002800	CARBOPLATIN STOCK SOLUTION 1 MG/ML	250	J9045	81.50
ST. LUKE’S	10002800	CARFILZOMIB 10 MG IV SOLR	250	J9047	273.61
ST. LUKE’S	10002800	CARFILZOMIB 30 MG IV SOLR	250	J9047	258.38
ST. LUKE’S	10002800	CARFILZOMIB 60 MG IV SOLR	250	J9047	237.33
ST. LUKE’S	10002800	CARMUSTINE 100 MG IV SOLR	250	J9050	939.31
ST. LUKE’S	10002800	CETUXIMAB 100 MG/50ML IV SOLN	250	J9055	372.20
ST. LUKE’S	10002800	COPANLISIB HCL 60 MG IV SOLR	250	J9057	474.55
ST. LUKE’S	10002800	CISPLATIN 100 MG/100ML IV SOLN	250	J9060	83.40
ST. LUKE’S	10002800	AMIVANTAMAB-VMJW 350 MG/7ML IV SOLN	250	J9061	167.62
ST. LUKE’S	10002800	CLADRIBINE 10 MG/10ML IV SOLN	250	J9065	125.64
ST. LUKE’S	10002800	CYCLOPHOSPHAMIDE 1 G IJ SOLR	250	J9070	162.73
ST. LUKE’S	10002800	CYCLOPHOSPHAMIDE 500 MG IJ SOLR	250	J9070	163.40
ST. LUKE’S	10002800	CYTARABINE (PF) 100 MG/ML IJ SOLN	250	J9100	79.66
ST. LUKE’S	10002800	CYTARABINE 100 MG/ML IV PUSH PEDIATRIC SYRINGE	250	J9100	78.41
ST. LUKE’S	10002800	CEMIPLIMAB-RWLC 350 MG/7ML IV SOLN	250	J9119	209.49
ST. LUKE’S	10002800	DACARBAZINE 200 MG IV SOLR	250	J9130	90.16
ST. LUKE’S	10002800	DARATUMUMAB-HYALURONIDASE-FIHJ 1800-30000 MG-UT/15ML SC SOLN	250	J9144	317.90
ST. LUKE’S	10002800	DARATUMUMAB 100 MG/5ML IV SOLN	250	J9145	340.86
ST. LUKE’S	10002800	DAUNORUBICIN 2 MG/ML NS IV PEDIATRIC SYRINGE	250	J9150	311.39
ST. LUKE’S	10002800	DAUNORUBICIN 5 MG/ML CHEMO INJECTION	250	J9150	217.62
ST. LUKE’S	10002800	DAUNORUBICIN HCL 20 MG/4ML IV SOLN	250	J9150	187.09
ST. LUKE’S	10002800	DEGARELIX ACETATE 80 MG SC SOLR	250	J9155	94.74
ST. LUKE’S	10002800	DEGARELIX ACETATE(240 MG DOSE) 120 MG/VIAL SC SOLR	250	J9155	95.45
ST. LUKE’S	10002800	DOCETAXEL 80 MG/8ML IV SOLN	250	J9171	81.90
ST. LUKE’S	10002800	DOCETAXEL STOCK SOLUTION 1 MG/ML	250	J9171	313.35
ST. LUKE’S	10002800	DURVALUMAB 120 MG/2.4ML IV SOLN	250	J9173	427.61
ST. LUKE’S	10002800	ELOTUZUMAB 300 MG IV SOLR	250	J9176	102.17
ST. LUKE’S	10002800	ELOTUZUMAB 400 MG IV SOLR	250	J9176	104.73
ST. LUKE’S	10002800	ENFORTUMAB VEDOTIN-EJFV 20 MG IV SOLR	250	J9177	200.30
ST. LUKE’S	10002800	ENFORTUMAB VEDOTIN-EJFV 30 MG IV SOLR	250	J9177	212.36
ST. LUKE’S	10002800	ERIBULIN MESYLATE 1 MG/2ML IV SOLN	250	J9179	565.42
ST. LUKE’S	10002800	ETOPOSIDE 100 MG/5ML IV SOLN	250	j9181	79.58
ST. LUKE’S	10002800	ETOPOSIDE 500 MG/25ML IV SOLN	250	J9181	80.23
ST. LUKE’S	10002800	FLUDARABINE PHOSPHATE 50 MG IV SOLR	250	J9185	356.31
ST. LUKE’S	10002800	FLUDARABINE PHOSPHATE 50 MG/2ML IV SOLN	250	J9185	443.46
ST. LUKE’S	10002800	FLUOROURACIL 1 GM/20ML IV SOLN	250	J9190	83.84
ST. LUKE’S	10002800	FLUOROURACIL 2.5 GM/50ML IV SOLN	250	J9190	83.90
ST. LUKE’S	10002800	FLUOROURACIL 500 MG/10ML IV SOLN	250	J9190	83.61
ST. LUKE’S	10002800	FLUOROURACIL(COMPOUNDED) 50 MG/ML OPHTHALMIC SYRINGE	250	J9190	80.44
ST. LUKE’S	10002800	GEMCITABINE BLADDER INSTILLATION (UNDILUTED)	250	J9201	88.33
ST. LUKE’S	10002800	GEMCITABINE HCL 1 GM/26.3ML IV SOLN	250	J9201	88.26
ST. LUKE’S	10002800	GEMCITABINE HCL 200 MG/5.26ML IV SOLN	250	J9201	93.76
ST. LUKE’S	10002800	GOSERELIN ACETATE 10.8 MG SC IMPL	250	J9202	3,244.05
ST. LUKE’S	10002800	GOSERELIN ACETATE 3.6 MG SC IMPL	250	J9202	3,616.38
ST. LUKE’S	10002800	GEMTUZUMAB OZOGAMICIN 4.5 MG IV SOLR	250	J9203	122.78
ST. LUKE’S	10002800	IRINOTECAN HCL LIPOSOME 43 MG/10ML IV INJ	250	J9205	366.52
ST. LUKE’S	10002800	IRINOTECAN HCL 100 MG/5ML IV SOLN	250	J9206	86.85
ST. LUKE’S	10002800	IFOSFAMIDE 1 G IV SOLR	250	J9208	169.87
ST. LUKE’S	10002800	IFOSFAMIDE 1 GM/20ML IV SOLN	250	J9208	217.19
ST. LUKE’S	10002800	IFOSFAMIDE 3 GM/60ML IV SOLN	250	J9208	183.28
ST. LUKE’S	10002800	MESNA 100 MG/ML IV SOLN	250	J9209	84.01
ST. LUKE’S	10002800	MESNA 20 MG/ML D5W IV PEDIATRIC SYRINGE	250	J9209	82.51
ST. LUKE’S	10002800	IDARUBICIN HCL 20 MG/20 ML IV SOLN (SPLIT X 2)	250	J9211	199.04
ST. LUKE’S	10002800	LEUPROLIDE ACETATE (3 MONTH) 22.5 MG IM KIT	250	J9217	732.64
ST. LUKE’S	10002800	LEUPROLIDE ACETATE (3 MONTH) 22.5 MG SC KIT	250	J9217	1,244.74
ST. LUKE’S	10002800	LEUPROLIDE ACETATE (4 MONTH) 30 MG IM KIT	250	J9217	782.13
ST. LUKE’S	10002800	LEUPROLIDE ACETATE (4 MONTH) 30 MG SC KIT	250	J9217	581.20
ST. LUKE’S	10002800	LEUPROLIDE ACETATE (6 MONTH) 45 MG IM KIT	250	J9217	905.50
ST. LUKE’S	10002800	LEUPROLIDE ACETATE (6 MONTH) 45 MG SC KIT	250	J9217	520.90
ST. LUKE’S	10002800	LEUPROLIDE ACETATE 7.5 MG IM KIT	250	J9217	730.05
ST. LUKE’S	10002800	LURBINECTEDIN 4 MG IV SOLR	250	J9223	929.88
ST. LUKE’S	10002800	ISATUXIMAB-IRFC 100 MG/5ML IV SOLN	250	J9227	400.96
ST. LUKE’S	10002800	IPILIMUMAB 50 MG/10ML IV SOLN	250	J9228	790.62
ST. LUKE’S	10002800	MELPHALAN HCL 50 MG IV SOLR	250	J9245	550.17
ST. LUKE’S	10002800	METHOTREXATE SODIUM (PF) 1 GM/40ML IJ SOLN	250	J9250	77.56
ST. LUKE’S	10002800	METHOTREXATE SODIUM (PF) 250 MG/10 ML IJ SOLN (SPLIT X 2)	250	J9250	77.96
ST. LUKE’S	10002800	METHOTREXATE SODIUM (PF) 250 MG/10 ML IJ SOLN (SPLIT X 3)	250	J9250	78.00
ST. LUKE’S	10002800	METHOTREXATE SODIUM (PF) 250 MG/10ML IJ SOLN	250	J9250	77.99
ST. LUKE’S	10002800	METHOTREXATE 400 MCG/0.1 ML INTRAVITREAL INJECTION	250	J9260	77.40
ST. LUKE’S	10002800	METHOTREXATE SODIUM (PF) 50 MG/2ML IJ SOLN	250	J9260	78.99
ST. LUKE’S	10002800	OXALIPLATIN 50 MG/10ML IV SOLN	250	J9263	77.68
ST. LUKE’S	10002800	PACLITAXEL PROTEIN-BOUND PART 100 MG IV SUSR	250	J9264	128.29
ST. LUKE’S	10002800	PEGASPARGASE 750 UNIT/ML IJ SOLN	250	J9266	78,665.91
ST. LUKE’S	10002800	PACLITAXEL 300 MG/50ML IV CONC	250	J9267	77.86
ST. LUKE’S	10002800	TAGRAXOFUSP-ERZS 1000 MCG/ML IV SOLN	250	J9269	1,083.53
ST. LUKE’S	10002800	PEMBROLIZUMAB 100 MG/4ML IV SOLN	250	J9271	306.66
ST. LUKE’S	10002800	DOSTARLIMAB-GXLY 500 MG/10ML IV SOLN	250	J9272	1,053.20
ST. LUKE’S	10002800	MITOMYCIN 0.2 MG/ML SYRINGE	250	J9280	88.25
ST. LUKE’S	10002800	MITOMYCIN 0.3 MG/ML SYRINGE	250	J9280	81.29
ST. LUKE’S	10002800	MITOMYCIN 0.4 MG/ML SYRINGE	250	J9280	85.97
ST. LUKE’S	10002800	MITOMYCIN 0.5 MG/ML IV SOLN	250	J9280	183.07
ST. LUKE’S	10002800	MITOMYCIN 0.5 MG/ML IV SOLN (SPLIT X 2)	250	J9280	304.59
ST. LUKE’S	10002800	MITOMYCIN 0.5 MG/ML SYRINGE	250	J9280	88.14
ST. LUKE’S	10002800	MITOMYCIN 20 MG IV SOLR	250	J9280	244.87
ST. LUKE’S	10002800	MITOMYCIN 40 MG IV SOLR	250	J9280	250.68
ST. LUKE’S	10002800	MITOMYCIN 5 MG IV SOLR	250	J9280	324.39
ST. LUKE’S	10002800	NIVOLUMAB 100 MG/10ML IV SOLN	250	J9299	206.04
ST. LUKE’S	10002800	NIVOLUMAB 240 MG/24ML IV SOLN	250	J9299	209.01
ST. LUKE’S	10002800	OBINUTUZUMAB 1000 MG/40ML IV SOLN	250	J9301	399.77
ST. LUKE’S	10002800	PANITUMUMAB 100 MG/5ML IV SOLN	250	J9303	652.46
ST. LUKE’S	10002800	PEMETREXED DISODIUM 100 MG IV SOLR	250	J9305	132.34
ST. LUKE’S	10002800	PEMETREXED DISODIUM 500 MG IV SOLR	250	J9305	123.93
ST. LUKE’S	10002800	PERTUZUMAB 420 MG/14ML IV SOLN	250	J9306	135.41
ST. LUKE’S	10002800	RAMUCIRUMAB 100 MG/10ML IV SOLN	250	J9308	353.59
ST. LUKE’S	10002800	POLATUZUMAB VEDOTIN-PIIQ 140 MG IV SOLR	250	J9309	591.10
ST. LUKE’S	10002800	POLATUZUMAB VEDOTIN-PIIQ 30 MG IV SOLR	250	J9309	578.71
ST. LUKE’S	10002800	RITUXIMAB-HYALURONIDASE HUMAN 1400-23400 MG -UT/11.7ML SC SOLN	250	J9311	213.00
ST. LUKE’S	10002800	RITUXIMAB 100 MG/10ML IV SOLN	250	J9312	462.72
ST. LUKE’S	10002800	RITUXIMAB 100 MG/10ML IV SOLN (DESENSITIZATION)	250	J9312	512.24
ST. LUKE’S	10002800	RITUXIMAB 500 MG/50ML IV SOLN	250	J9312	324.71
ST. LUKE’S	10002800	PERTUZ-TRASTUZ-HYALURON-ZZXF 60-60-2000 MG-MG-U/ML SC SOLN	250	J9316	306.39
ST. LUKE’S	10002800	PERTUZ-TRASTUZ-HYALURON-ZZXF 80-40-2000 MG-MG-U/ML SC SOLN	250	J9316	417.18
ST. LUKE’S	10002800	SACITUZUMAB GOVITECAN-HZIY 180 MG IV SOLR	250	J9317	219.55
ST. LUKE’S	10002800	TEMSIROLIMUS 25 MG/ML IV SOLN	250	J9330	217.82
ST. LUKE’S	10002800	SIROLIMUS PROTEIN-BOUND PART 100 MG IV SUSR	250	J9331	281.47
ST. LUKE’S	10002800	THIOTEPA 100 MG IJ SOLR	250	J9340	1,185.43
ST. LUKE’S	10002800	THIOTEPA 15 MG IJ SOLR	250	J9340	764.70
ST. LUKE’S	10002800	TAFASITAMAB-CXIX 200 MG IV SOLR	250	J9349	137.72
ST. LUKE’S	10002800	TOPOTECAN HCL 4 MG/4ML IV SOLN	250	J9351	84.71
ST. LUKE’S	10002800	TRABECTEDIN 1 MG IV SOLR	250	J9352	1,506.30
ST. LUKE’S	10002800	MARGETUXIMAB-CMKB 250 MG/10ML IV SOLN	250	J9353	254.24
ST. LUKE’S	10002800	ADO-TRASTUZUMAB EMTANSINE 100 MG IV SOLR	250	J9354	221.99
ST. LUKE’S	10002800	ADO-TRASTUZUMAB EMTANSINE 160 MG IV SOLR	250	J9354	221.88
ST. LUKE’S	10002800	TRASTUZUMAB 150 MG IV SOLR	250	J9355	479.84
ST. LUKE’S	10002800	FAM-TRASTUZUMAB DERUXTEC-NXKI 100 MG IV SOLR	250	J9358	181.34
ST. LUKE’S	10002800	VINBLASTINE SULFATE 1 MG/ML IV SOLN	250	J9360	90.89
ST. LUKE’S	10002800	VINCRISTINE SULFATE 1 MG/ML IV SOLN	250	J9370	110.53
ST. LUKE’S	10002800	VINORELBINE TARTRATE 10 MG/ML IV SOLN	250	J9390	129.68
ST. LUKE’S	10002800	FULVESTRANT (FASLODEX) 250 MG/5ML IM SOSY	250	J9395	284.66
ST. LUKE’S	10002800	FULVESTRANT 250 MG/5ML IM SOSY	250	J9395	111.45
ST. LUKE’S	10002800	ZIV-AFLIBERCEPT 100 MG/4ML IV SOLN	250	J9400	115.82
ST. LUKE’S	10002800	ALBUMIN HUMAN 5 % IV SOLN	250	P9045	415.22
ST. LUKE’S	10002800	ALBUMIN HUMAN 5 % IV SOLN – PARTIAL BOTTLE (PEDS)	250	P9045	368.85
ST. LUKE’S	10002800	ALBUMIN HUMAN 25 % IV SOLN	250	P9047	420.28
ST. LUKE’S	10002800	ALBUMIN HUMAN 25% IV SOLN(WRAPPED)	250	P9047	432.56
ST. LUKE’S	10002800	ALBUMIN HUMAN 25% IV SYRINGE (DOSES < 12.5G)	250	P9047	263.35
ST. LUKE’S	10002800	FERUMOXYTOL 5.1 MG/ML IVPB SYRINGE	250	Q0138	141.29
ST. LUKE’S	10002800	FERUMOXYTOL 510 MG/17ML IV SOLN	250	Q0138	63.53
ST. LUKE’S	10002800	ONDANSETRON HCL 8 MG PO TABS	250	Q0162	15.72
ST. LUKE’S	10002800	FOSPHENYTOIN 10 MG PE/ML IV SYRINGE (NEONATAL/PEDS < 30 KG)	250	Q2009	152.83
ST. LUKE’S	10002800	FOSPHENYTOIN SODIUM 100 MG PE/2ML IJ SOLN	250	Q2009	68.66
ST. LUKE’S	10002800	FOSPHENYTOIN SODIUM 500 MG PE/10ML IJ SOLN	250	Q2009	67.22
ST. LUKE’S	10002800	DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV INJ	250	Q2050	398.57
ST. LUKE’S	10002800	INTERFERON BETA-1A 44 MCG/0.5ML SC SOSY	250	Q3028	183.26
ST. LUKE’S	10002800	INFLIXIMAB-ABDA 100 MG IV SOLR	250	Q5104	333.42
ST. LUKE’S	10002800	EPOETIN ALFA-EPBX 10000 UNIT/ML IJ SOLN	250	Q5106	105.99
ST. LUKE’S	10002800	EPOETIN ALFA-EPBX 2000 UNIT/ML IJ SOLN	250	Q5106	105.98
ST. LUKE’S	10002800	EPOETIN ALFA-EPBX 20000 UNIT/ML IJ SOLN	250	Q5106	105.81
ST. LUKE’S	10002800	EPOETIN ALFA-EPBX 3000 UNIT/ML IJ SOLN	250	Q5106	100.59
ST. LUKE’S	10002800	EPOETIN ALFA-EPBX 4000 UNIT/ML IJ SOLN	250	Q5106	95.31
ST. LUKE’S	10002800	EPOETIN ALFA-EPBX 40000 UNIT/ML IJ SOLN	250	Q5106	108.56
ST. LUKE’S	10002800	BEVACIZUMAB-AWWB 100 MG/4ML IV SOLN	250	Q5107	280.57
ST. LUKE’S	10002800	RITUXIMAB-ABBS 100 MG/10ML IV SOLN	250	Q5115	271.50
ST. LUKE’S	10002800	TRASTUZUMAB-ANNS 150 MG IV SOLR	250	Q5117	456.99
ST. LUKE’S	10002800	TRASTUZUMAB-ANNS 420 MG IV SOLR	250	Q5117	331.81
ST. LUKE’S	10002800	BEVACIZUMAB-BVZR 100 MG/4ML IV SOLN	250	Q5118	336.27
ST. LUKE’S	10002800	RITUXIMAB-PVVR 100 MG/10ML IV SOLN	250	Q5119	358.79
ST. LUKE’S	10002800	RITUXIMAB-PVVR 500 MG/50ML IV SOLN	250	Q5119	194.99
ST. LUKE’S	10002800	PEGINTERFERON ALFA-2A 180 MCG/ML SC SOLN	250	S0145	3,337.43
ST. LUKE’S	10002801	NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN	250	J2916	71.42
ST. LUKE’S	10002801	SODIUM CHLORIDE 3 % IV SOLN	250	J7131	183.46
ST. LUKE’S	10002801	SODIUM CHLORIDE 4 MEQ/ML IV SOLN	250	J7131	60.61
ST. LUKE’S	10002801	SODIUM CHLORIDE 4 MEQ/ML IV SOLN (PN ONLY)	250	J7131	61.03
ST. LUKE’S	10002801	SODIUM CHLORIDE 4 MEQ/ML PO SOLUTION	250	J7131	60.50
ST. LUKE’S	10002801	ANTITHROMBIN III (HUMAN) 500 UNITS IV SOLR	250	J7197	78.68
ST. LUKE’S	10002801	ANTITHROMBIN III 250 UNITS/5 ML IN SW INFUSION SYR 50 UNITS/ML	250	J7197	151.78
ST. LUKE’S	10002803	PHENYTOIN SODIUM 50 MG/ML IJ SOLN	250	J1165	18.35
ST. LUKE’S	10002803	AZATHIOPRINE 50 MG PO TABS	250	J7500	18.22
ST. LUKE’S	10002803	TACROLIMUS 0.5 MG PO CAPS	250	J7507	24.86
ST. LUKE’S	10002803	TACROLIMUS 0.5 MG SL CAPS	250	J7507	23.95
ST. LUKE’S	10002803	TACROLIMUS 1 MG PO CAPS	250	J7507	19.37
ST. LUKE’S	10002803	TACROLIMUS 1 MG SL CAPS	250	J7507	18.88
ST. LUKE’S	10002803	TACROLIMUS 5 MG PO CAPS	250	J7507	22.72
ST. LUKE’S	10002803	METHYLPREDNISOLONE 4 MG PO TABS	250	J7509	17.15
ST. LUKE’S	10002803	PREDNISOLONE SODIUM PHOSPHATE 10 MG PO TBDP	250	J7510	15.38
ST. LUKE’S	10002803	PREDNISOLONE SODIUM PHOSPHATE 15 MG PO TBDP	250	J7510	18.15
ST. LUKE’S	10002803	PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN	250	J7510	16.20
ST. LUKE’S	10002803	PREDNISONE 1 MG PO TABS	250	J7512	16.50
ST. LUKE’S	10002803	PREDNISONE 10 MG PO TABS	250	J7512	15.45
ST. LUKE’S	10002803	PREDNISONE 2.5 MG PO TABS	250	J7512	15.63
ST. LUKE’S	10002803	PREDNISONE 20 MG PO TABS	250	J7512	15.40
ST. LUKE’S	10002803	PREDNISONE 5 MG PO TABS	250	J7512	15.58
ST. LUKE’S	10002803	PREDNISONE 5 MG/5ML PO SOLN	250	J7512	19.47
ST. LUKE’S	10002803	PREDNISONE 50 MG PO TABS	250	J7512	15.38
ST. LUKE’S	10002803	MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR	250	J7517	73.02
ST. LUKE’S	10002803	MYCOPHENOLATE MOFETIL 250 MG PO CAPS	250	J7517	17.26
ST. LUKE’S	10002803	MYCOPHENOLATE MOFETIL 500 MG PO TABS	250	J7517	16.62
ST. LUKE’S	10002803	MYCOPHENOLATE SODIUM 180 MG PO TBEC	250	J7518	42.26
ST. LUKE’S	10002803	EVEROLIMUS 0.5 MG PO TABS	250	J7527	62.79
ST. LUKE’S	10002803	EVEROLIMUS 0.75 MG PO TABS	250	J7527	83.91
ST. LUKE’S	10002803	METHOTREXATE 2.5 MG PO TABS	250	J8610	28.89
ST. LUKE’S	10002803	AZITHROMYCIN 200 MG/5ML PO SUSR	250	Q0144	22.64
ST. LUKE’S	10002803	CHLORPROMAZINE HCL 10 MG PO TABS	250	Q0161	17.03
ST. LUKE’S	10002803	CHLORPROMAZINE HCL 100 MG PO TABS	250	Q0161	15.53
ST. LUKE’S	10002803	CHLORPROMAZINE HCL 25 MG PO TABS	250	Q0161	15.83
ST. LUKE’S	10002803	PROCHLORPERAZINE MALEATE 5 MG PO TABS	250	Q0164	17.49
ST. LUKE’S	10002803	DRONABINOL 2.5 MG PO CAPS	250	Q0167	42.63
ST. LUKE’S	10002805	ETHIODIZED OIL 480 MG/ML IJ OIL	250	Q9951	879.88
ST. LUKE’S	10002805	PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML IV SUSP	250	Q9957	497.00
ST. LUKE’S	10002805	ISOSULFAN BLUE 1 % SC SOLN	250	Q9968	204.19
ST. LUKE’S	10002807	SODIUM CHLORIDE 0.9 % BOLUS	258	J7030	238.82
ST. LUKE’S	10002807	SODIUM CHLORIDE 0.9 % IV SOLN	258	J7030	227.51
ST. LUKE’S	10002807	SODIUM CHLORIDE 0.9% FLUSH BAG	258	J7030	187.79
ST. LUKE’S	10002807	SODIUM CHLORIDE 0.9% RADIOLOGY FLUSH INJECTION	258	J7040	186.65
ST. LUKE’S	10002807	DEXTROSE-NACL 5-0.9 % IV SOLN	258	J7042	191.38
ST. LUKE’S	10002807	DEXTROSE 5 % BOLUS	258	J7060	208.76
ST. LUKE’S	10002807	DEXTROSE 5 % IV SOLN	258	J7060	196.98
ST. LUKE’S	10002807	DEXTROSE 5 % IV SOLN (NEONATAL)	258	J7060	194.45
ST. LUKE’S	10002807	DEXTROSE 5% FLUSH IVPB	258	J7060	190.69
ST. LUKE’S	10002807	DEXTRAN 40 IN SALINE 10-0.9 % IV SOLN	258	J7100	339.78
ST. LUKE’S	10002807	LACTATED RINGERS BOLUS	258	J7120	299.14
ST. LUKE’S	10002807	LACTATED RINGERS IV SOLN	258	J7120	314.11
ST. LUKE’S	10002807	DEXTROSE IN LACTATED RINGERS 5 % IV SOLN	258	J7121	200.04
ST. LUKE’S	10002807	DEXTROSE IN LACTATED RINGERS 5% IV BOLUS	258	J7121	198.13
ST. LUKE’S	10002818	SLING	272	A4565	40.00
ST. LUKE’S	10002820	CHEST TUBE DRAINAGE SYSTEM	272	A7041	305.00
ST. LUKE’S	10002821	TRACH TUBE NON CUFFED	274	A7520	240.00
ST. LUKE’S	10002822	TRACH TUBE CUFFED	274	A7521	285.00
ST. LUKE’S	10002850	CATH-INFUSION NON DIALYSIS	272	C1751	850.00
ST. LUKE’S	10002859	CATH-INTRASPINAL	272	C1755	4,090.00
ST. LUKE’S	10002957	NEUROSTIMULATOR-PT PROGRAMMER	272	C1787	5,550.00
ST. LUKE’S	10002986	VOCAL CORD SYNTHETIC MATERIAL	278	C1878	3,810.00
ST. LUKE’S	10002987	TISSUE MARKER (IMPLANTABLE)	278	A4648	725.00
ST. LUKE’S	10002990	LEAD-ADAPTOR/EXTENSION 1	278	C1883	1,320.00
ST. LUKE’S	10003029	BONE VOID FILLER PUTTY 0.5CC	278	C9359	2,180.00
ST. LUKE’S	10003031	COLLAR-CERVICAL SOFT	274	L0120	25.00
ST. LUKE’S	10003032	COLLAR-CERVICAL SEMI-RIGID	274	L0140	45.00
ST. LUKE’S	10003033	COLLAR-CERVICAL SEMI-RIGID 2PC	274	L0172	220.00
ST. LUKE’S	10003034	COLLAR-CERVICAL FOAM 2 PC	274	L0174	135.00
ST. LUKE’S	10003036	IMMOBILIZER-KNEE PREFAB	274	L1830	280.00
ST. LUKE’S	10003038	SO 8 ABDUCTION RESTRAINT OTS	274	L3650	135.00
ST. LUKE’S	10003041	WALKING BOOT, NON-PNEUMATIC	274	L4386	375.00
ST. LUKE’S	10003042	TRACHEOSTOMY SPEAKING VALVE	274	L8501	385.00
ST. LUKE’S	10003046	INTEGRA DRT PER SQ CM	278	Q4105	90.00
ST. LUKE’S	10003047	DERMAGRAFT PER SQ CM	278	Q4106	165.00
ST. LUKE’S	10003048	GRAFTJACKET PER SQ CM	278	Q4107	400.00
ST. LUKE’S	10003051	CYMETRA INJECTABLE 1CC	278	Q4112	1,180.00
ST. LUKE’S	10003056	DISPOSABLE INSTRUMENT/SUPPLY 1	272		315.00
ST. LUKE’S	10003080	GRAFT JACKET EXPRESS, INJ 1 CC	278	Q4113	2,890.00
ST. LUKE’S	10003185	PESSARY, NON-RUBBER	272	A4562	260.00
ST. LUKE’S	10003186	TRACH-CANNULA LONG TERM	274	A4623	415.00
ST. LUKE’S	10003187	COLLAGEN DRESSING 16 SQ IN OR<	623	A6021	80.00
ST. LUKE’S	10003188	COLLAGEN DRESSING 16-48 SQ IN	623	A6022	115.00
ST. LUKE’S	10003189	COLLAGEN DRESSING 48 SQ IN OR>	623	A6023	230.00
ST. LUKE’S	10003190	ALGINATE DRESSING </=16 SQ IN	623	A6196	20.00
ST. LUKE’S	10003192	VAC WOUND CARE SUPPLIES	272	A6550	795.00
ST. LUKE’S	10003193	FACE MASK INTERFACE-REPLACE	270		145.00
ST. LUKE’S	10003194	NASAL CUSHION-REPLACE	270		350.00
ST. LUKE’S	10003195	NASAL PILLOWS-REPLACE	270		260.00
ST. LUKE’S	10003196	PLEURAL CATH DRAINAGE SYSTEM	272	A7048	935.00
ST. LUKE’S	10003197	TRACH TUBE METAL	274	A7522	995.00
ST. LUKE’S	10003199	GASTROSTOMY/JEJUNOSTOMY TUBE 2	272	B4087	360.00
ST. LUKE’S	10003202	BRACHYTX HDR-192 NON-STRANDED	278	C1717	1,600.00
ST. LUKE’S	10003210	COIL INSERTABLE	272	C1770	2,440.00
ST. LUKE’S	10003237	LSO-A/P CONTROL RIGID PREFAB	274	L0631	1,870.00
ST. LUKE’S	10003238	HALO CERVICAL W/JACKET VEST	274	L0810	17,340.00
ST. LUKE’S	10003240	KO ELASTIC W/PADS & JOINTS	274	L1820	390.00
ST. LUKE’S	10003241	KO LONG LEG W/ADJ JOINTS	274	L1843	1,060.00
ST. LUKE’S	10003243	AFO ANKLE SUPPORT	274	L1906	120.00
ST. LUKE’S	10003250	POST OP SHOE BOOT	274	L3260	80.00
ST. LUKE’S	10003251	CAST SHOE	274	L3265	120.00
ST. LUKE’S	10003252	EO, ADJ LOCKING JOINTS/PREFAB	274	L3760	650.00
ST. LUKE’S	10003253	WHFO W/O JOINTS PREFAB	274	L3809	325.00
ST. LUKE’S	10003254	SPLINT, WRIST COCK UP PREFAB	274	L3908	95.00
ST. LUKE’S	10003258	UE FRACTURE ORTHOSIS HUMERAL	274	L3980	590.00
ST. LUKE’S	10003259	SPLINT WRIST	274	L3984	450.00
ST. LUKE’S	10003260	AIRCAST ANKLE BRACE	274	L4350	155.00
ST. LUKE’S	10003261	AFO-STATIC	274	L4397	320.00
ST. LUKE’S	10003266	MASTECTOMY GARMENT, CAMISOLE	274	L8015	180.00
ST. LUKE’S	10003290	DISPENSING FEE TRIAL-MONAURAL	270	V5241	250.00
ST. LUKE’S	10003312	HEARING AID BATTERIES (EACH)	270	V5266	2.00
ST. LUKE’S	10003315	EARMOLD IMPRESSION	270	V5275	35.00
ST. LUKE’S	10003318	APLIGRAF PER SQ CM	278	Q4101	125.00
ST. LUKE’S	10003319	OASIS WOUND MATRIX PER SQ CM	278	Q4102	30.00
ST. LUKE’S	10003324	INTEGRA MATRIX PER SQ CM	278	Q4108	115.00
ST. LUKE’S	10003329	INTEGRA INJECTABLE 1CC	278	Q4114	3,400.00
ST. LUKE’S	10003343	AFO PLASTIC	274	L1930	166.98
ST. LUKE’S	10003343	FOOT LONGITUDINAL ARCH SUPPO	274	L3010	365.96
ST. LUKE’S	10003343	FOOT LONGITUD/METATARSAL SUP	274	L3020	339.61
ST. LUKE’S	10003343	EO W/O JOINTS CF	274	L3702	348.36
ST. LUKE’S	10003343	EO RIGID W/O JOINTS PRE OTS	274	L3762	136.59
ST. LUKE’S	10003343	EWHO RIGID W/O JNTS CF	274	L3763	536.43
ST. LUKE’S	10003343	WHFO W/JOINT(S) CUSTOM FAB	274	L3806	443.87
ST. LUKE’S	10003343	WHFO W/O JOINTS PRE CST	274	L3807	198.47
ST. LUKE’S	10003343	WHFO, RIGID W/O JOINTS	274	L3808	433.92
ST. LUKE’S	10003343	WHO W/O JOINTS CF	274	L3906	594.34
ST. LUKE’S	10003343	HFO FLEXION GLOVE PRE OTS	274	L3912	131.61
ST. LUKE’S	10003343	HFO W/O JOINTS CF	274	L3913	344.86
ST. LUKE’S	10003343	HFO W/JOINT(S) CF	274	L3921	408.11
ST. LUKE’S	10003343	HFO WITHOUT JOINTS PRE CST	274	L3923	165.00
ST. LUKE’S	10003343	FO PIP DIP JNT/SPRNG PRE OTS	274	L3925	97.04
ST. LUKE’S	10003343	FO PIP DIP NO JT SPR PRE OTS	274	L3927	166.52
ST. LUKE’S	10003343	WHFO NONTORSION JOINT PREFAB	274	L3931	248.92
ST. LUKE’S	10003343	FO W/O JOINTS CF	274	L3933	282.04
ST. LUKE’S	10003343	POSTOP APP NON-WGT BEAR DSG	274	L5450	639.25
ST. LUKE’S	10003343	TRACH-ESOPH VOICE PROS MD IN	274	L8509	348.38
ST. LUKE’S	10003384	SIO FLEX PELVIC/SACR PRE OTS	273	L0621	91.02
ST. LUKE’S	10003388	XR TMJ	320	70328	500.00
ST. LUKE’S	10003389	XR TMJ BILATERAL	320	70330	745.00
ST. LUKE’S	10003400	US TRANSRECTAL	402	76872	1,510.00
ST. LUKE’S	10003405	NM LIVER/SPLEEN IMAGE PLANAR	341	78215	2,600.00
ST. LUKE’S	10003415	NM TESTICULAR IMAGING W FLOW	341	78761	2,040.00
ST. LUKE’S	10003416	POC ELECTROLYTE PANEL	301	80051	110.00
ST. LUKE’S	10003418	POC URINALYSIS SCREEN	307	81000	40.00
ST. LUKE’S	10003420	POC PH LAB	301	82800	100.00
ST. LUKE’S	10003422	POC MONOTEST	302	86308	140.00
ST. LUKE’S	10003424	POC INFLUENZA ANTIGEN RAPID	306	87804	120.00
ST. LUKE’S	10003425	ANOSCOPY, PROCTO, SIGMOIDOSCOPY DX	750		4,120.00
ST. LUKE’S	10003426	ANOSCOPY, PROCTO, SIGMOIDOSCOPY TX	750		6,480.00
ST. LUKE’S	10003428	COLONOSCOPY	750		7,720.00
ST. LUKE’S	10003429	ENDOSCOPY W/ENDOSCOPIC ULTRASOUND	750		11,250.00
ST. LUKE’S	10003430	ENDOSCOPY SM BOWEL	750		5,510.00
ST. LUKE’S	10003431	ENDOSCOPY W/STENT	750		12,470.00
ST. LUKE’S	10003432	ENDOSCOPY WITH ABLATION	750		5,480.00
ST. LUKE’S	10003433	ERCP	750		13,570.00
ST. LUKE’S	10003434	HEMORRHOID BAND LIGATION/THERMAL ENERGY	750		3,990.00
ST. LUKE’S	10003435	HEMORRHOID INJECTION/OTHER LIGATION	750		3,590.00
ST. LUKE’S	10003436	UPPER GI ENDOSCOPY	750		6,950.00
ST. LUKE’S	10003437	PULMONARY EXERCISE GROUP	410	G0239	310.00
ST. LUKE’S	10003441	CARDIAC REHAB PHASE 1	230		550.00
ST. LUKE’S	10003442	CARDIAC REHAB PHASE 3	230		8.00
ST. LUKE’S	10003445	TELEMETRY PER DAY	730		280.00
ST. LUKE’S	10003455	UNIT AG SCREEN W/ PT SERUM	300	86904	75.00
ST. LUKE’S	10003457	MAGNESIUM, RBC’S	301	83735	145.00
ST. LUKE’S	10003458	LP-PLA2	301	83698	230.00
ST. LUKE’S	10003459	AMPHETAMINES, GC/MS 3-4	301	80325	175.00
ST. LUKE’S	10003460	COCAINE, GC/MS	301	80353	145.00
ST. LUKE’S	10003461	METHADONE, GC/MS	301	80358	180.00
ST. LUKE’S	10003462	PCP CONF/QUANT	301	83992	180.00
ST. LUKE’S	10003523	CATH-DRAINAGE	272	C1729	345.00
ST. LUKE’S	10003530	DENERVATION-FACE MUSCLE(S)	360	64612	760.00
ST. LUKE’S	10003532	DENERVATION-EXTROCULAR MUSCLE	360	67345	805.00
ST. LUKE’S	10003534	NEUROMUSCULAR JUNCTION TEST	920	95937	345.00
ST. LUKE’S	10003535	MRA SPINAL CANAL W/DYE	610	72159	4,240.00
ST. LUKE’S	10003536	MRA SPINAL CANAL W/O DYE	610	72159	4,040.00
ST. LUKE’S	10003537	MRA SPINAL CANAL W/WO DYE	610	72159	6,260.00
ST. LUKE’S	10003538	MRA UPPER EXTREM W/DYE	610	73225	4,240.00
ST. LUKE’S	10003539	MRA UPPER EXTREM W/O DYE	610	73225	4,040.00
ST. LUKE’S	10003540	MRA UPPER EXTREM W/WO DYE	610	73225	6,260.00
ST. LUKE’S	10003556	SUTURE REMOVAL	510	99211	100.00
ST. LUKE’S	10003558	DIALYSIS-PERITONEAL PER DAY	802	90945	1,240.00
ST. LUKE’S	10003559	MISC PROCEDURE CARDIAC SURGERY	481		17,940.00
ST. LUKE’S	10003571	TREAT DISLOCATED FINGER	516		300.00
ST. LUKE’S	10003572	TREAT DISLOCATED ELBOW	516		670.00
ST. LUKE’S	10003573	TREAT DISLOCATED HIP	450		720.00
ST. LUKE’S	10003574	TREAT DISLOCATED KNEE	450		1,060.00
ST. LUKE’S	10003575	TREAT DISLOCATED SHOULDER	450		810.00
ST. LUKE’S	10003576	TREAT DISLOCATED ANKLE	450		660.00
ST. LUKE’S	10003579	TRAUMA W/O CRITICAL CARE	683		6,070.00
ST. LUKE’S	10003626	POC-BMP + IONIZED CALCIUM	301	80047	200.00
ST. LUKE’S	10003636	ANGIO ILIAC 1ST	360	37220	11,260.00
ST. LUKE’S	10003637	ANGIO ILIAC + STENT 1ST	360	37221	27,260.00
ST. LUKE’S	10003638	ANGIO ILIAC ADDL	360	37222	11,260.00
ST. LUKE’S	10003639	ANGIO ILIAC + STENT ADDL	360	37223	26,480.00
ST. LUKE’S	10003640	ANGIO FEM-POP	360	37224	11,260.00
ST. LUKE’S	10003641	ANGIO FEM-POP + ATHERECTOMY	360	37225	19,500.00
ST. LUKE’S	10003642	ANGIO FEM-POP + STENT	360	37226	27,250.00
ST. LUKE’S	10003643	ANGIO FEM-POP + STENT/ATHERECTOMY MY	360	37227	24,030.00
ST. LUKE’S	10003644	ANGIO T/P 1ST	360	37228	9,980.00
ST. LUKE’S	10003645	ANGIO T/P + ATHERECTOMY 1ST	360	37229	42,980.00
ST. LUKE’S	10003646	ANGIO T/P STENT 1ST	360	37230	22,030.00
ST. LUKE’S	10003647	ANGIO T/P + STENT/ATHERECTOMY	360	37231	40,870.00
ST. LUKE’S	10003648	ANGIO T/P ADDL	360	37232	10,290.00
ST. LUKE’S	10003649	ANGIO T/P + ATHERECTOMY ADDL	360	37233	26,840.00
ST. LUKE’S	10003650	ANGIO T/P + STENT ADDL	360	37234	19,820.00
ST. LUKE’S	10003651	ANGIO T/P + STENT/THERECTOMY ADDL	360	37235	40,870.00
ST. LUKE’S	10003656	ATHERECTOMY ILIAC EA + S&I	360	0238T	17,290.00
ST. LUKE’S	10003657	ASSISTED NAVIGATION INTRADURAL	360	61781	1,950.00
ST. LUKE’S	10003658	ASSISTED NAVIGATION SPINAL	360	61783	1,950.00
ST. LUKE’S	10003659	CT ABDOMEN & PELVIS W/O DYE	350	74176	5,600.00
ST. LUKE’S	10003660	CT ABDOMEN & PELVIS W/DYE	350	74177	6,000.00
ST. LUKE’S	10003661	CT ABDOMEN & PELVIS W/WO DYE	350	74178	8,800.00
ST. LUKE’S	10003662	MOTILITY STUDY STIMULANT/PERFUSION	750	91013	3,100.00
ST. LUKE’S	10003665	INJECT SPINE W/CATH C/T + IMAGING	360	62325	3,860.00
ST. LUKE’S	10003666	INJECT SPINE W/CATH L/S + IMAGING	360	62327	3,860.00
ST. LUKE’S	10003667	INJECT TRIGGER POINTS 3 OR> MUSCLE	360	20553	2,130.00
ST. LUKE’S	10003668	INJECT INTERCOSTAL SINGLE	360	64420	1,160.00
ST. LUKE’S	10003669	INJECT INTERCOSTAL EA ADDL LEVEL	360	64421	1,730.00
ST. LUKE’S	10003670	INJECT NERVE, PERIPHERAL	360	64450	980.00
ST. LUKE’S	10003673	INJECT GANGLION-STELLATE	360	64510	1,880.00
ST. LUKE’S	10003674	INJECT NERVE, SYMPATHETIC	360	64520	2,390.00
ST. LUKE’S	10003675	NEUROLYSIS INTERCOSTAL NERVE	360	64620	2,020.00
ST. LUKE’S	10003678	NEUROLYSIS PERIPHERAL NERVE	360	64640	2,300.00
ST. LUKE’S	10003679	ANALYZE PUMP NO REPROGRAMMING	360	62367	940.00
ST. LUKE’S	10003680	ANALYZE PUMP, REPROGRAM	360	62368	1,060.00
ST. LUKE’S	10003681	PUMP REFILL/MAINTAIN SPINE/BRAIN	940	95990	1,050.00
ST. LUKE’S	10003682	DUPLEX SCAN AV FISTULA	921	93990	1,140.00
ST. LUKE’S	10003685	LEFLUNOMIDE	301	80193	180.00
ST. LUKE’S	10003686	ITRACONAZOLE	301	80189	270.00
ST. LUKE’S	10003687	CIRCULATING TUMOR CELLS	302	86152	1,000.00
ST. LUKE’S	10003688	DNA SINGLE STRAND AG, IGG	302	86226	75.00
ST. LUKE’S	10003689	TYSABRI ANTIBODIES	301	83516	1,010.00
ST. LUKE’S	10003690	PANCREATIC POLYPEPTIDE	301	83519	355.00
ST. LUKE’S	10003691	THROMBOELASTOGRAM	305	85396	195.00
ST. LUKE’S	10003693	TRANSPLANTATION IMMUNE CELL	302	86352	640.00
ST. LUKE’S	10003694	AQUAPORIN-4 RECEPTOR AB	302	86052	240.00
ST. LUKE’S	10003695	INFLUENZA VIRUS PCR 1ST 2 TYPES	306	87502	340.00
ST. LUKE’S	10003697	UROVYSION FISH (CAT)	311	88121	1,480.00
ST. LUKE’S	10003698	FNA ADEQUACY ADD	311	88177	80.00
ST. LUKE’S	10003716	NURSING WOUND CARE PER 15 MIN	230		145.00
ST. LUKE’S	10003717	EBV DNA QUANTITATION	306	87799	250.00
ST. LUKE’S	10003718	TOXOPLASMA GONDII BY PCR	306	87798	325.00
ST. LUKE’S	10003719	ADAMTS13 ANTIBODY	301	83520	280.00
ST. LUKE’S	10003720	COMPRESSION DRSG BELOW KNEE	360	29581	405.00
ST. LUKE’S	10003721	SHOE, FOOT PRESSURE RELIEF	271	A9283	100.00
ST. LUKE’S	10003723	I&D PILONIDAL CYST/SIMPLE	516	10080	265.00
ST. LUKE’S	10003725	DEBRIDE SKIN/MUSCLE, FX	516	11010	900.00
ST. LUKE’S	10003726	WOUND FILLER, DRY, PER GRAM	623	A6262	140.00
ST. LUKE’S	10003729	DRAIN SUBUNGUAL HEMATOMA	516	11740	145.00
ST. LUKE’S	10003730	INJECTION(S) SINGLE TENDON	360	20551	1,100.00
ST. LUKE’S	10003733	MISC PROCEDURE SPINE	360	22899	5,730.00
ST. LUKE’S	10003735	FEMORAL FX W/MANIPULATION	450		550.00
ST. LUKE’S	10003737	APPLY STRAPPING, HAND/FINGER	516	29280	185.00
ST. LUKE’S	10003738	CRICOTHYROIDOTOMY	450	31605	1,950.00
ST. LUKE’S	10003739	ENDOBRONCHIAL ULTRASOUND	360		2,500.00
ST. LUKE’S	10003740	BRONCH, COMPUTER ASSISTED	360	31627	7,480.00
ST. LUKE’S	10003741	PHERESIS, WBC’S	940	36511	5,710.00
ST. LUKE’S	10003742	STEM CELL COLLECTION	360	38206	15,080.00
ST. LUKE’S	10003743	STEM CELL PREP CRYO/STORAGE	360	38207	11,740.00
ST. LUKE’S	10003744	STEM CELL INFUSION AUTOLOGOUS	360	38241	8,340.00
ST. LUKE’S	10003746	I&D THROMBOSED HEMORRHOID	516	46083	375.00
ST. LUKE’S	10003747	CYSTOMETROGRAM W/UPP	360	51727	1,480.00
ST. LUKE’S	10003748	CYSTOMETROGRAM W/VP	360	51728	1,480.00
ST. LUKE’S	10003749	CYSTOMEGROGRAM W/UPP & VP	360	51729	1,600.00
ST. LUKE’S	10003750	EMG ANAL SPHINCTER	360	51784	520.00
ST. LUKE’S	10003752	TANDEMS &/OR OVOIDS INSERTION	333	57155	4,340.00
ST. LUKE’S	10003753	CYLINDER INSERTION	333	57156	2,120.00
ST. LUKE’S	10003754	ADHESIOLYSIS EPIDURAL 1 DAY	360	62264	3,640.00
ST. LUKE’S	10003755	LUMBAR PUNCTURE THERAPEUTIC	360	62272	1,730.00
ST. LUKE’S	10003756	ELECTRODE-IMPLANT SPINAL	360	63650	12,760.00
ST. LUKE’S	10003757	INJECT NERVE, TRIGEMINAL	360	64400	980.00
ST. LUKE’S	10003760	INJECT NERVE AXILLARY WITH IMAGING	360	64417	2,280.00
ST. LUKE’S	10003761	INJECT NERVE, SUPRASCAPULAR	360	64418	980.00
ST. LUKE’S	10003762	INJECT NERVE, INGINUAL	360	64425	980.00
ST. LUKE’S	10003763	INJECT NERVE FEMORAL WITH IMAGING	360	64447	2,280.00
ST. LUKE’S	10003764	INJECT HYPOGASTRIC PLEXUS	360	64517	1,270.00
ST. LUKE’S	10003765	DENERVATION ECCRINE/AXILLAE	360	64650	550.00
ST. LUKE’S	10003766	NEUROLYSIS CELIAC PLEXUS	360	64680	2,460.00
ST. LUKE’S	10003767	NEUROLYSIS HYPOGASTRIC PLEXUS	360	64681	2,460.00
ST. LUKE’S	10003771	FB REMOVAL EYE	516	65205	265.00
ST. LUKE’S	10003772	FB REMOVAL EYELID	516	67938	305.00
ST. LUKE’S	10003773	CONTACT LAYER </= 16 SQ IN	623	A6206	35.00
ST. LUKE’S	10003775	SIMULATION SIMPLE	333	77280	2,490.00
ST. LUKE’S	10003776	SIMULATION INTERMEDIATE	333	77285	3,910.00
ST. LUKE’S	10003777	SIMULATION COMPLEX	333	77290	5,950.00
ST. LUKE’S	10003778	SIMULATION TREATMENT PLAN 3D	333	77295	14,830.00
ST. LUKE’S	10003779	RADIOTHERAPY DOSE PLAN IMRT	333	77301	23,260.00
ST. LUKE’S	10003783	SPECIAL TELETHERAPY PORT PLAN	333	77321	3,640.00
ST. LUKE’S	10003787	SPECIAL RADIATION DOSIMETRY	333	77331	740.00
ST. LUKE’S	10003788	TREATMENT DEVICE, SIMPLE	333	77332	1,040.00
ST. LUKE’S	10003789	TREATMENT DEVICE, INTERMEDIATE	333	77333	1,990.00
ST. LUKE’S	10003790	TREATMENT DEVICE, COMPLEX	333	77334	3,540.00
ST. LUKE’S	10003791	PHYSICS CONSULT WEEKLY	333	77336	1,450.00
ST. LUKE’S	10003792	MLC DEVICES FOR IMRT PER PLAN	333	77338	3,370.00
ST. LUKE’S	10003793	PHYSICS CONSULT SPECIAL	333	77370	1,370.00
ST. LUKE’S	10003795	IMAGE FUSION BY DOSIMETRIST	333	77399	935.00
ST. LUKE’S	10003810	PORT FILM(S)	333	77417	565.00
ST. LUKE’S	10003813	SPECIAL TREATMENT PROCEDURE	333	77470	6,640.00
ST. LUKE’S	10003814	INTRACAVITARY SIMPLE	333	77761	3,330.00
ST. LUKE’S	10003816	INTERSTITIAL SOURCE COMPLEX	333	77778	12,610.00
ST. LUKE’S	10003817	BRACHYTHERAPY 1 CHANNEL	333	77770	10,500.00
ST. LUKE’S	10003818	BRACHYTHERAPY 2-12 CHANNELS	333	77771	11,550.00
ST. LUKE’S	10003819	BRACHYTHERAPY >12 CHANNELS	333	77772	12,700.00
ST. LUKE’S	10003821	POC BREATH ALCOHOL	301	82075	75.00
ST. LUKE’S	10003833	PSYCHOTHERAPY FAMILY W/O PT 50 MIN	916	90846	340.00
ST. LUKE’S	10003834	PSYCHOTHERAPY FAMILY W/PT 50 MIN	916	90847	430.00
ST. LUKE’S	10003835	GROUP PSYCHOTHERAPY	915	90853	235.00
ST. LUKE’S	10003838	ESOPHEGEAL MOTILITY STUDY	750	91010	6,020.00
ST. LUKE’S	10003840	GERD TEST W/NASAL PH LEAD	750	91034	2,860.00
ST. LUKE’S	10003841	GERD TEST W/MUCOSAL PH LEAD	750	91035	2,860.00
ST. LUKE’S	10003842	BREATH HYDROGEN TEST	750	91065	1,720.00
ST. LUKE’S	10003843	ENDOSCOPY, CAPSULE GI TRACT	750	91110	5,770.00
ST. LUKE’S	10003844	ENDOSCOPY, CAPSULE ESOPHAGUS	750	91111	4,160.00
ST. LUKE’S	10003845	ANORECTAL MANOMETRY	750	91122	3,440.00
ST. LUKE’S	10003848	ILR EVAL NO REPROGRAMMING	480	93291	145.00
ST. LUKE’S	10003849	PACER EVAL TELEPHONIC	480	93293	200.00
ST. LUKE’S	10003850	PACER/ICD EVAL REMOTE	480	93296	265.00
ST. LUKE’S	10003852	INTERROGATION OF VAD	480	93750	755.00
ST. LUKE’S	10003853	EMG CRANIAL NERVE MUSCLE	922	95867	520.00
ST. LUKE’S	10003854	EMG PARASPINAL MUSCLES	922	95869	340.00
ST. LUKE’S	10003855	EMG LIMITED NON-PARASPINAL	922	95870	250.00
ST. LUKE’S	10003856	EMG GUIDANCE W/DENERVATION	922	95874	210.00
ST. LUKE’S	10003857	LIMB EXERCISE TEST	922	95875	300.00
ST. LUKE’S	10003859	REFILL/MAINTAIN IMPLANTED PUMP BY	940	95991	760.00
ST. LUKE’S	10003867	CHEMO INTRALESIONAL UP TO 7	280	96405	900.00
ST. LUKE’S	10003868	CHEMO INTRAPERITONEAL VIA CATH	280	96446	1,130.00
ST. LUKE’S	10003869	PORTABLE PUMP MAINTAIN/REFILL	940	96521	795.00
ST. LUKE’S	10003870	CHEMO ADMIN-OMAYA	280	96542	845.00
ST. LUKE’S	10003871	DEBRIDE NON-SELECTIVE WOUND(S)	940	97602	300.00
ST. LUKE’S	10003873	NEW PT; PREV MED 5-11 YR	510	99383	150.00
ST. LUKE’S	10003874	NEW PT; PREV MED 12-17 YR	510	99384	150.00
ST. LUKE’S	10003875	NEW PT; PREV MED 18-39 YR	510	99385	150.00
ST. LUKE’S	10003876	EST PT;PREV MED, 5-11 YR	510	99393	135.00
ST. LUKE’S	10003877	EST PT; PREV MED, 12-17 YR	510	99394	135.00
ST. LUKE’S	10003878	EST PT;PREV MED, 18-39 YR	510	99395	135.00
ST. LUKE’S	10003880	CT GUIDED FIELD PLACEMENT LTD	350	77014	1,800.00
ST. LUKE’S	10003882	POC-CLOTTING ASSAY (TEGS) DAY	305	85396	155.00
ST. LUKE’S	10003891	IV INFUSION TPA CEREBRAL	450	37195	640.00
ST. LUKE’S	10003892	STEM CELL THAWING	360	38208	2,120.00
ST. LUKE’S	10003893	HYPERBARIC O2/30MIN	413	G0277	1,060.00
ST. LUKE’S	10003894	BRACHYTHERAPY NEEDLE	272	C1715	15.00
ST. LUKE’S	10003896	YTTRIUM 90 SIR SPHERES PER SOURCE	278	C2616	57,790.00
ST. LUKE’S	10003897	BRACHYTX I-125 STRANDED	278	C2638	220.00
ST. LUKE’S	10003898	BRACHYTX I-125 NON-STRANDED	278	C2639	220.00
ST. LUKE’S	10003899	BRACHYTX P-103 STRANDED	278	C2640	320.00
ST. LUKE’S	10003900	BRACHYTX P-103 NON-STRANDED	278	C2641	320.00
ST. LUKE’S	10003904	IABP MONITORING	370		1,810.00
ST. LUKE’S	10003909	SLEEP STUDY HOME, 4 CHANNEL	920	G0399	1,090.00
ST. LUKE’S	10003911	SHOULDER ORTHOSIS VEST TYPE	274	L3675	285.00
ST. LUKE’S	10003912	PROLOTHERAPY	510	M0076	70.00
ST. LUKE’S	10003913	FOAM DRSG NO BORDER 16-48 SQ IN	623	A6210	45.00
ST. LUKE’S	10003914	REPROGRAM HEARING AID MONAURAL	470	V5014	80.00
ST. LUKE’S	10003923	SUTURE REMOVAL*	516	99211	100.00
ST. LUKE’S	10003948	MYRINGOTOMY	360	69420	545.00
ST. LUKE’S	10003961	MISC PROCEDURE INTERMEDIATE	360		1,890.00
ST. LUKE’S	10003962	MISC PROCEDURE COMPLEX	360		2,960.00
ST. LUKE’S	10003963	MISC PROCEDURE BASIC	360		1,370.00
ST. LUKE’S	10003970	BRONCHOSCOPY WITH STENT	360		6,980.00
ST. LUKE’S	10003971	BRONCHOSCOPY, DIAGNOSTIC	360		7,420.00
ST. LUKE’S	10003972	BRONCHOSCOPY, THERAPEUTIC	360		7,950.00
ST. LUKE’S	10003973	OP SERV COMPR-EST PT*	510	99215	710.00
ST. LUKE’S	10003974	OP SERV COMPR-NEW PT*	510	99205	880.00
ST. LUKE’S	10003978	KIT, CRANIAL ACCESS	270		1,700.00
ST. LUKE’S	10003979	VENTRICULAR BOLT	270		3,180.00
ST. LUKE’S	10003983	NEEDLE, NON CORING	272	A4212	20.00
ST. LUKE’S	10003984	NEW PT; PREV MED 5-11 YR*	510	99383	515.00
ST. LUKE’S	10004006	ORGAN COST, HEART	810		301,890.00
ST. LUKE’S	10004007	ORGAN COST, KIDNEY	810		104,290.00
ST. LUKE’S	10004008	ORGAN COST, KIDNEY & PANCREAS	810		233,150.00
ST. LUKE’S	10004009	ORGAN COST, LIVER	810		121,550.00
ST. LUKE’S	10004010	ORGAN COST, LUNG (DOUBLE)	810		112,080.00
ST. LUKE’S	10004011	ORGAN COST, LUNG (SINGLE)	810		52,080.00
ST. LUKE’S	10004012	ORGAN COST, PANCREAS	810		163,120.00
ST. LUKE’S	10004015	PROGRAMMER INFUSION PUMP	270		9,500.00
ST. LUKE’S	10004020	VASCULAR COMPRESSION DEVICE	270		410.00
ST. LUKE’S	10004035	LITHOTRIPSY	360		34,230.00
ST. LUKE’S	10004039	TRAY, MAHURKAR	272		535.00
ST. LUKE’S	10004041	LACERATION REPAIR-INTERMED*	516		950.00
ST. LUKE’S	10004042	LACERATION REPAIR-SIMPLE*	516		880.00
ST. LUKE’S	10004046	NEW PT;PREV MED 18-39 YR*	510	99385	665.00
ST. LUKE’S	10004047	EST PT; PREV MED, 5-11 YR*	510	99393	440.00
ST. LUKE’S	10004048	EST PT; PREV MED, 12-17 YR*	510	99394	475.00
ST. LUKE’S	10004049	EST PT; PREV MED, 18-39 YR*	510	99395	590.00
ST. LUKE’S	10004053	THERAPEUTIC ULTRAFILTRATION	360	0692T	7,120.00
ST. LUKE’S	10004054	AQUAPHERESIS ADDITIONAL FILTER	272		4,530.00
ST. LUKE’S	10004058	BLADDER INSTILLATION-CHEMO	360	51720	960.00
ST. LUKE’S	10004059	CANALITH REPOSITIONING	420	95992	200.00
ST. LUKE’S	10004061	CHEMO INFUSION ADDL SEQUENTIAL	280	96417	450.00
ST. LUKE’S	10004062	CHEMO IV PUSH 1ST OR SINGLE	280	96409	520.00
ST. LUKE’S	10004063	CHEMO IV PUSH EA ADDITIONAL	280	96411	395.00
ST. LUKE’S	10004064	CONTACT LAYER >16</=48 SQ IN	623	A6207	85.00
ST. LUKE’S	10004197	DEBRIDE INF SKIN <10% BSA	516	11000	455.00
ST. LUKE’S	10004204	GENERATOR ANALYZE NO REPROGRAM	920	95970	665.00
ST. LUKE’S	10004206	HYPOTHERMIA, TOTAL BODY	270		2,340.00
ST. LUKE’S	10004208	ICM EVAL NO PROGRAMMING	480	93290	815.00
ST. LUKE’S	10004210	INJECT NERVE SCIATIC WITH IMAGING	360	64445	3,130.00
ST. LUKE’S	10004218	INTRACRANIAL MONITORING/DAY	230		715.00
ST. LUKE’S	10004220	LYMPHOCYTE CELL REINFUSION	360	38999	3,130.00
ST. LUKE’S	10004223	PHERESIS, PLASMA	940	36514	5,710.00
ST. LUKE’S	10004229	SKIN STAPLER	272		125.00
ST. LUKE’S	10004236	FNA W/O IMAGING 1ST LESION*	516	10021	925.00
ST. LUKE’S	10004239	ASPIRATE ABSCESS OR HEMATOMA*	516	10160	585.00
ST. LUKE’S	10004243	BURN LOCAL TRT/FIRST DEGREE*	516	16000	455.00
ST. LUKE’S	10004244	BURN LOCAL TRT/SM/<5% BSA*	516	16020	565.00
ST. LUKE’S	10004245	APPLY SPLINT LONG ARM*	516	29105	290.00
ST. LUKE’S	10004246	APPLY SPLINT SHORT ARM*	516	29125	265.00
ST. LUKE’S	10004247	SPLINT LONG LEG*	516	29505	555.00
ST. LUKE’S	10004248	SPLINT SHORT LEG*	516	29515	430.00
ST. LUKE’S	10004249	FB REMOVAL INTRANASAL*	516	30300	590.00
ST. LUKE’S	10004250	ANOSCOPY*	516	46600	520.00
ST. LUKE’S	10004251	FB CORNEA NO SLIT*	516	65220	760.00
ST. LUKE’S	10004252	FB CORNEA W/SLIT*	516	65222	760.00
ST. LUKE’S	10004253	FB REMOVAL EAR*	516	69200	440.00
ST. LUKE’S	10004254	CERUMEN IMPACTION REMOVAL*	516	69210	100.00
ST. LUKE’S	10004258	DEBRIDE INS SKIN <10% BSA*	516	11000	380.00
ST. LUKE’S	10004262	I&D OF HEMATOMA	516	10140	1,790.00
ST. LUKE’S	10004267	CAMPYLOBACTER EIA	306	87449	70.00
ST. LUKE’S	10004268	HUMAN EPIDIDYMIS PROTEIN 4	302	86305	420.00
ST. LUKE’S	10004269	BUPRENORPHINE	301	80348	110.00
ST. LUKE’S	10004270	IUD,MIRENA	250	J7298	2,090.00
ST. LUKE’S	10004279	INCISE & REMOVE FB SQ, COMP	516	10121	1,290.00
ST. LUKE’S	10004280	KIT, INTRACRANIAL MONITORING	270		955.00
ST. LUKE’S	10004283	OP SERV HIGH ACUITY-EST PT*	510	99214	660.00
ST. LUKE’S	10004284	OP SERV LOW ACUITY-EST PT*	510	99212	370.00
ST. LUKE’S	10004285	OP SERV MOD ACUITY-EST PT*	510	99213	500.00
ST. LUKE’S	10004286	OP SERVICE HIGH ACUITY NEW PT*	510	99204	1,100.00
ST. LUKE’S	10004287	OP SERVICE LOW ACUITY NEW PT*	510	99202	475.00
ST. LUKE’S	10004288	OP SERVICE MINOR EST PT*	510	99211	285.00
ST. LUKE’S	10004290	OP SERVICE MOD ACUITY NEW PT*	510	99203	640.00
ST. LUKE’S	10004293	RADIAL HEAD SUBLUXATION	516		310.00
ST. LUKE’S	10004295	APPLY CAST SHORT ARM	700	29075	410.00
ST. LUKE’S	10004298	ADMIN FEE VACCINE, HEPATITIS B	771	90471	65.00
ST. LUKE’S	10004311	CONTACT LAYER >48 SQ IN	623	A6208	165.00
ST. LUKE’S	10004312	FOAM DRSG NO BORDER </=16 SQ IN	623	A6209	30.00
ST. LUKE’S	10004313	FOAM DRSG W/BORDER </=16 SQ IN	623	A6212	30.00
ST. LUKE’S	10004314	FOAM DRSG W/BORDER >16 </=48 SQ IN	623	A6213	45.00
ST. LUKE’S	10004315	FOAM DRSG W/BORDER >48 SQ IN	623	A6214	80.00
ST. LUKE’S	10004318	ATHLETIC TRAINING RE-EVAL	951	97172	235.00
ST. LUKE’S	10004319	XR FOOT 1 VIEW LIMITED	320	73620	615.00
ST. LUKE’S	10004329	PHOTOPHERESIS, EXTRACORPOREAL	940	36522	12,320.00
ST. LUKE’S	10004353	CYSTOSCOPY	360		4,180.00
ST. LUKE’S	10004354	COLLAR-CERVICAL SEMI-RIGID W/CHIN	274	L0150	155.00
ST. LUKE’S	10004356	ANGIOGRAPHY	481		10,150.00
ST. LUKE’S	10004358	PERIPHERAL INTERVENTION LEVEL 1	360		12,680.00
ST. LUKE’S	10004359	PERIPHERAL INTERVENTION LEVEL 2	360		18,070.00
ST. LUKE’S	10004360	PURKINJE CELL ANTIBODY TITER,IGG GG	302	86256	150.00
ST. LUKE’S	10004367	PERIPHERAL INTERVENTION LEVEL 3	360		28,420.00
ST. LUKE’S	10004368	ATHERECTOMY OR EMBOLIZATION	360		27,940.00
ST. LUKE’S	10004369	CARDIAC ADD ON PROCEDURE	481		14,650.00
ST. LUKE’S	10004370	CARDIAC CATH	481		32,260.00
ST. LUKE’S	10004372	INJECTION VENOGRAM EXTREMITY	360		12,140.00
ST. LUKE’S	10004373	CATH INSERTION/INJECTION VEIN OR A	481		7,250.00
ST. LUKE’S	10004374	CENTRAL LINE INSERT/REPLACE/REPAIR	360		4,990.00
ST. LUKE’S	10004375	DEVICE EVAL &/OR PROGRAMMING 1	480		1,000.00
ST. LUKE’S	10004376	DEVICE EVAL &/OR PROGRAMMING 2	481		13,070.00
ST. LUKE’S	10004377	DOPPLER CARDIAC FLOW MEASUREMENT	481		5,720.00
ST. LUKE’S	10004378	ANEURYSM REPAIR LEVEL 1	360		6,850.00
ST. LUKE’S	10004379	EP PROCEDURE LEVEL 1	481		14,650.00
ST. LUKE’S	10004380	EP PROCEDURE LEVEL 2	481		40,030.00
ST. LUKE’S	10004381	EP PROCEDURE LEVEL 3	481		104,480.00
ST. LUKE’S	10004383	FLUOROSCOPY OR CINERADIOGRAPHY	320		550.00
ST. LUKE’S	10004384	GENERATOR & LEAD(S) INSERTION	481		79,720.00
ST. LUKE’S	10004385	LEAD INSERTION LEFT VENTRICLE	481		57,550.00
ST. LUKE’S	10004386	LEAD(S) INSERT OR REPLACE	481		13,040.00
ST. LUKE’S	10004387	PACER W/LEAD(S) INSERT/REPLACE	481		37,780.00
ST. LUKE’S	10004388	DEVICE REVISE POCKET	481		16,050.00
ST. LUKE’S	10004389	DEVICE REPAIR, REMOVE, REVISE	481		13,070.00
ST. LUKE’S	10004390	PACER GENERATOR DUAL CHAMBER & LEAD(S)	481		29,790.00
ST. LUKE’S	10004391	PACER INSERT/REPLACE LEVEL 1	481		18,280.00
ST. LUKE’S	10004392	RADIOLOGY S&I LEVEL 1	320		1,550.00
ST. LUKE’S	10004393	RADIOLOGY S&I LEVEL 2	320		3,310.00
ST. LUKE’S	10004394	RADIOLOGY S&I LEVEL 3	320		8,690.00
ST. LUKE’S	10004395	RADIOLOGY S&I LEVEL 4	320		10,920.00
ST. LUKE’S	10004396	RADIOLOGY S&I LEVEL 5	320		13,230.00
ST. LUKE’S	10004397	REVASCULARIZATION ILIO-FEMORAL	360		4,990.00
ST. LUKE’S	10004398	REVASCULARIZATION NON CARDIAC	360		15,300.00
ST. LUKE’S	10004399	STENT INSERTION CARDIAC	481		24,010.00
ST. LUKE’S	10004400	STENT INSERTION CAROTID	360		24,010.00
ST. LUKE’S	10004401	REPAIR STRUCTURAL HEART DEFECT	481		58,800.00
ST. LUKE’S	10004402	ULTRASOUND S&I	402		1,390.00
ST. LUKE’S	10004403	CARDIAC IMAGING	481		5,630.00
ST. LUKE’S	10004404	ULTRASOUND NON CARDIAC INTRAVASCULAR	360		4,880.00
ST. LUKE’S	10004405	VASCULAR PROCEDURE MISC LEVEL 2	360		8,650.00
ST. LUKE’S	10004406	VENA CAVA FILTER INSERT/REVISE/REM	360		9,900.00
ST. LUKE’S	10004408	ICD GENERATOR INSERTION	481		57,550.00
ST. LUKE’S	10004409	THROMBECTOMY	360		16,070.00
ST. LUKE’S	10004410	THROMBOLYSIS	360		9,400.00
ST. LUKE’S	10004411	VASCULAR PROCEDURE MISC LEVEL 1	481		7,570.00
ST. LUKE’S	10004412	EVENT RECORDER INSERTION (CATH LAB)	481		11,630.00
ST. LUKE’S	10004413	EVENT RECORDER REMOVAL (CATH LAB)	481		11,630.00
ST. LUKE’S	10004414	IABP INSERT (CATH LAB)	481		16,040.00
ST. LUKE’S	10004415	IABP OR VAD REMOVAL	481		3,140.00
ST. LUKE’S	10004416	PACER INSERT/REPLACE LEVEL 2	481		18,200.00
ST. LUKE’S	10004422	COLLAGEN WOUND FILLER DRY/GRAM	623	A6010	115.00
ST. LUKE’S	10004423	TRACHEOSTOMY INNER CANNULA	272	A4623	20.00
ST. LUKE’S	10004430	NEEDLE POWERED BONE MARROW BX	272	C1830	640.00
ST. LUKE’S	10004431	BRONCHIAL THERMOPLASTY 1 LOBE	360	31660	10,220.00
ST. LUKE’S	10004432	BRONCHIAL THERMOPLASTY 2 LOBES OR	360	31661	12,170.00
ST. LUKE’S	10004433	PERFLUTREN (DEFINITY) 1 ML	255	Q9957	340.00
ST. LUKE’S	10004434	GENERAL HEALTH PANEL	301	80050	545.00
ST. LUKE’S	10004438	OCTAFLUROPROPANE (OPTISON) 1 ML	255	Q9956	305.00
ST. LUKE’S	10004442	MR CARDIAC FLOW/STRESS W/O DYE	610	75559	4,800.00
ST. LUKE’S	10004443	MR CARDIAC FLOW/STRESS W/WO DYE	610	75563	4,800.00
ST. LUKE’S	10004445	BATH SALTS,QUANT	301	80371	305.00
ST. LUKE’S	10004446	NICOTINE, LC/MS	301	80323	160.00
ST. LUKE’S	10004447	BENZODIAZEPINES, LC/MS 1-12	301	80346	70.00
ST. LUKE’S	10004449	ABLATION LUNG TUMOR(S) UNILATERAL	360	32998	10,550.00
ST. LUKE’S	10004451	PACU RECOVERY 1ST 30 MINUTES	710		1,920.00
ST. LUKE’S	10004452	PACU ADDL 30 MINUTES	710		480.00
ST. LUKE’S	10004454	EVAL NON SPEECH DEVICE ADDL 30 MIN	444	92618	275.00
ST. LUKE’S	10004455	CTA ABD/PELVIS W/DYE & POSTPROCESSING	350	74174	5,580.00
ST. LUKE’S	10004456	ANALYZE PUMP PROGRAM & REFILL	360	62369	1,190.00
ST. LUKE’S	10004457	ANALYZE PUMP PROGRAM REFILL MD	360	62370	1,190.00
ST. LUKE’S	10004458	PARACENTESIS W/O IMAGING	360	49082	2,810.00
ST. LUKE’S	10004459	PARACENTESIS W/IMAGING	360	49083	3,270.00
ST. LUKE’S	10004460	PERITONEAL LAVAGE W OR WO IMAGING	360	49084	1,380.00
ST. LUKE’S	10004461	INJECT SENTINEL NODE NON-RADIOACTIVE	360	38900	410.00
ST. LUKE’S	10004462	SELECTIVE CATH 1ST ORDER RENAL UNILAT	360	36251	11,060.00
ST. LUKE’S	10004463	SELECTIVE CATH 1ST ORDER RENAL BILAT	360	36252	12,780.00
ST. LUKE’S	10004464	SELECTIVE CATH 2ND ORDER RENAL UNILAT	360	36253	10,230.00
ST. LUKE’S	10004465	SELECTIVE CATH 2ND ORDER RENAL BILAT	360	36254	12,780.00
ST. LUKE’S	10004466	IVC INSERT W/FLUORO/S&I	360	37191	7,680.00
ST. LUKE’S	10004467	IVC REPOSITION W/FLUOROR/S&I	360	37192	7,680.00
ST. LUKE’S	10004468	IVC RETRIEVE W/FLUORO/S&I	360	37193	5,460.00
ST. LUKE’S	10004480	COMPRESSION DRSG FULL ARM	360	29584	300.00
ST. LUKE’S	10004481	NEUROLYSIS FACET JOINT W/IMAGING	360		4,580.00
ST. LUKE’S	10004482	NEUROLYSIS FACET JOINT EA ADDL LEVEL	360		2,290.00
ST. LUKE’S	10004484	BONE MARROW ASPIRATION	360	38220	1,100.00
ST. LUKE’S	10004485	BIOPSY, ENDOMETRIAL	360	58100	490.00
ST. LUKE’S	10004486	BIOPSY VAGINAL OR CERVICAL	360		1,500.00
ST. LUKE’S	10004488	COLPOSCOPY CERVIX/VAGINA W/BIOPSY(S)	360		6,200.00
ST. LUKE’S	10004494	RESP FLOW VOLUME LOOP	460	94375	450.00
ST. LUKE’S	10004495	GLUCOSE MONITOR MINIMUM 72 HRS	920	95250	885.00
ST. LUKE’S	10004506	PLETHYSMOGRAPHY LUNG VOLUMES	460	94726	695.00
ST. LUKE’S	10004507	GAS DILUTION OR WASHOUT LUNG VOLV	460	94727	455.00
ST. LUKE’S	10004508	AIRWAY RESISTANCE IMPULSE OSCILLIO	460	94728	455.00
ST. LUKE’S	10004510	DIFFUSING CAPACITY	410	94729	545.00
ST. LUKE’S	10004516	INJECT URETHROGRAM-URETERAL CATH	320	50684	3,090.00
ST. LUKE’S	10004517	NM LIVER IMAGING W VASCULAR FLOW	341	78202	2,600.00
ST. LUKE’S	10004519	NM TUMOR LOCALIZATION MULTIPLE	341	78801	2,470.00
ST. LUKE’S	10004521	MISC PROCEDURE STOMACH	360		4,160.00
ST. LUKE’S	10004523	STRAPPING ELBOW/WRIST	420	29260	210.00
ST. LUKE’S	10004531	US JOINT LTD NONVASCULAR EXTREMITY	402	76882	540.00
ST. LUKE’S	10004533	US SCREENING AAA	402	76706	725.00
ST. LUKE’S	10004534	VARICOSE VEIN RFA 1ST	360	36475	9,820.00
ST. LUKE’S	10004535	VARICOSE VEIN RFA ADDL	360	36476	4,910.00
ST. LUKE’S	10004540	1-123 IOFLUPANE UP TO 5 MCI	343	A9584	5,500.00
ST. LUKE’S	10004544	EMG EXTREM/PARASPINAL +NCV LTD	922	95885	250.00
ST. LUKE’S	10004545	EMG EXTREM/PARASPINAL +NCV COMPLETE	922	95886	250.00
ST. LUKE’S	10004546	EMG NON-EXTREMITY MUSCLE W/NCV	922	95887	140.00
ST. LUKE’S	10004547	EP SOMATOSENSORY ALL PERIPH NERVES	922	95938	3,300.00
ST. LUKE’S	10004548	EP CENTRAL MOTOR UE AND LE	922	95939	1,130.00
ST. LUKE’S	10004550	NM HEPATOBILIARY IMAGING W/WO GB	341	78226	2,590.00
ST. LUKE’S	10004551	NM HEPATOBILIARY IMAGING W/MED	341	78227	3,050.00
ST. LUKE’S	10004552	NM PULM VENT IMAGING AEROSOL OR GAS	341	78579	2,310.00
ST. LUKE’S	10004553	NM PULM VENT & PERFUSION IMAGING	341	78582	3,000.00
ST. LUKE’S	10004554	NM PULM PERFUSION QUANTATIVE DIFF	341	78597	1,640.00
ST. LUKE’S	10004555	NM PULM PERFUSION & VENT QUANT DIF	341	78598	2,420.00
ST. LUKE’S	10004557	ROOM CHARGE HOSPICE OR RESPITE	121		3,550.00
ST. LUKE’S	10004559	BLOOD DRAW > 3 YRS NON ROUTINE	450	36410	135.00
ST. LUKE’S	10004563	SODIUM FLUORIDE F-18, DX UP TO 30 MCI	343	A9580	1,110.00
ST. LUKE’S	10004564	BLOOD DRAW < 3 YRS FEMORAL JUGULAR	450	36400	135.00
ST. LUKE’S	10004565	BLOOD DRAW <3 YRS SCALP VEIN	450	36405	135.00
ST. LUKE’S	10004566	BLOOD DRAW <3 YRS OTHER VEIN	450	36406	135.00
ST. LUKE’S	10004568	EVAL AUDITORY REHAB 1ST HR	471	92626	520.00
ST. LUKE’S	10004569	EVAL AUDITORY REHAB ADDL 15 MIN	471	92627	130.00
ST. LUKE’S	10004584	ELECTROCONVULSIVE THERAPY	901	90870	1,750.00
ST. LUKE’S	10004602	BIOPSY VULVA, FIRST	360	56605	820.00
ST. LUKE’S	10004604	CYSTO STENT REMOVAL	360	52310	4,570.00
ST. LUKE’S	10004610	INSERTION OF INTRAUTERINE DEVICE	510	58300	1,090.00
ST. LUKE’S	10004611	IUD PARAGUARD	250	J7300	2,020.00
ST. LUKE’S	10004612	IUD, REMOVAL	360	58301	315.00
ST. LUKE’S	10004617	UROFLOWMETRY, COMPLEX	360	51741	395.00
ST. LUKE’S	10004618	VOIDING PRESSURE, INTRA-ABDOM	360	51797	1,100.00
ST. LUKE’S	10004645	INJECTION, CARPAL TUNNEL	360	20526	1,550.00
ST. LUKE’S	10004646	ERCP DIRECT VISUALIZATION	750	43273	4,430.00
ST. LUKE’S	10004649	DEVICE TISSUE LOCALIZE/EXCISE	272	C1819	1,710.00
ST. LUKE’S	10004650	BILIARY ENDOSCOPY W/BIOPSY	360	47553	5,220.00
ST. LUKE’S	10004664	PLEURAL CATHETER, IMPLANTED	278	C1729	1,560.00
ST. LUKE’S	10004668	LEGIONEL LA PNEUMOPHILA BY PCR	306	87541	225.00
ST. LUKE’S	10004669	UROFLOWMETRY, SIMPLE	360	51736	520.00
ST. LUKE’S	10004678	RRX TC99M AEROSOL UP TO 75MCI	343	A9567	220.00
ST. LUKE’S	10004679	MISC PROCEDURE ANESTHESIA	360	64999	2,370.00
ST. LUKE’S	10004692	BONE MARROW ASPIRATE W/BIOPSY	360	38222	1,680.00
ST. LUKE’S	10004693	O2 UPTAKE EXHALED AIR ANALYSIS	460	94690	390.00
ST. LUKE’S	10004694	ANTI-MULLERIAN HORMONE	301	83520	270.00
ST. LUKE’S	10004695	COBALT, SERUM OR PLASMA	301	83018	125.00
ST. LUKE’S	10004726	CYTOGENETICS DNA PROBE EA	311	88271	925.00
ST. LUKE’S	10004728	CHROMOSOME ADDL HIGH RESOLUTION STUDY	311	88289	230.00
ST. LUKE’S	10004735	HYDROGEL DRSG GEL FILLER PER OUNCE	623	A6248	60.00
ST. LUKE’S	10004736	RH IMMUNE GLOBULIN, 300 UG	250	J2790	395.00
ST. LUKE’S	10004737	MATRISTEM MICROMATRIX, 1MG	278	Q4118	15.00
ST. LUKE’S	10004738	MATRISTEM OR CYTAL PER SQ CM	278	Q4166	55.00
ST. LUKE’S	10004740	CHEMO ADMIN-OMAYA*	280	96542	845.00
ST. LUKE’S	10004743	IMPLANT TISSUE MARKER PROSTATE	360	55876	1,840.00
ST. LUKE’S	10004744	TITIN AB	301	83516	75.00
ST. LUKE’S	10004745	SULFONYLUREA QUALITATIVE	301	80377	460.00
ST. LUKE’S	10004783	PATENCY CAPSULE TESTING	750	91299	1,790.00
ST. LUKE’S	10004791	POC CULTURE H PYLORI UREASE	306	87077	95.00
ST. LUKE’S	10004792	PERIPHERAL INTERVENTION LEVEL 4	360		32,100.00
ST. LUKE’S	10004793	DENERVATION MUSCLES BILAT MIGRAINE	360	64615	975.00
ST. LUKE’S	10004794	TRANSCATHETER RETRIEVAL +S&I	360	37197	9,680.00
ST. LUKE’S	10004795	THROMBOLYSIS ARTERIAL 1ST DAY	360	37211	3,820.00
ST. LUKE’S	10004796	THROMBOLYSIS VENOUS 1ST DAY	360	37212	3,820.00
ST. LUKE’S	10004797	THROMBOLYSIS ADDL DAY	360	37213	6,690.00
ST. LUKE’S	10004798	THROMBOLYSIS ADDL+VESSEL CLOSE	360	37214	6,690.00
ST. LUKE’S	10004799	CRITICAL CARE EA ADDL 30MIN	450	99292	1,330.00
ST. LUKE’S	10004800	THORACENTESIS W/O IMAGING	360	32554	1,960.00
ST. LUKE’S	10004801	THORACENTESIS W/IMAGING	360	32555	2,190.00
ST. LUKE’S	10004802	PLEURAL DRAINAGE W/O IMAGING	360	32556	2,130.00
ST. LUKE’S	10004803	PLEURAL DRAINAGE W/IMAGING	360	32557	2,360.00
ST. LUKE’S	10004804	ANGIO CERVICOCEREBRAL ARCH	360	36221	10,980.00
ST. LUKE’S	10004805	ANGIO CERVICAL CAROTID UNILAT	360	36222	14,110.00
ST. LUKE’S	10004806	ANGIO CEREBRAL CAROTID UNILAT	360	36223	12,150.00
ST. LUKE’S	10004807	ANGIO INT CAROTID UNI/CEREBRAL	360	36224	10,700.00
ST. LUKE’S	10004808	ANGIO VERTEBRAL NON-SELECT	360	36225	10,520.00
ST. LUKE’S	10004809	ANGIO VERTEBRAL SELECTIVE	360	36226	11,040.00
ST. LUKE’S	10004810	ANGIO CAROTID EXT UNILAT	360	36227	7,400.00
ST. LUKE’S	10004811	ANGIO INTRACRANIAL EA ADDL	360	36228	3,700.00
ST. LUKE’S	10004817	NM THYROID UPTAKE SGL/MULTIPLE	341	78012	1,350.00
ST. LUKE’S	10004818	NM THYROID IMAGING INCL VASC FLOW	341	78013	1,350.00
ST. LUKE’S	10004819	NM THYROID IMAGING SGL/MULTIPLE	341	78014	2,020.00
ST. LUKE’S	10004820	NM PARATHYROID IMAGING W/SPECT	341	78071	2,540.00
ST. LUKE’S	10004821	NM PARATHYROID IMAGING W/SPECT+CT	341	78072	2,850.00
ST. LUKE’S	10004822	FECAL TRANSPLANT	750	44705	925.00
ST. LUKE’S	10004823	OVA1 OVARIAN CANCER AG	300	81503	1,030.00
ST. LUKE’S	10004824	ALPHA GALACTOSIDASE	301	82657	445.00
ST. LUKE’S	10004825	EVEROLIMUS	301	80169	315.00
ST. LUKE’S	10004826	POSACONAZOLE	301	80187	265.00
ST. LUKE’S	10004827	VORICONAZOLE	301	80285	265.00
ST. LUKE’S	10004828	PSYCH DIAGNOSTIC EVAL	900	90791	485.00
ST. LUKE’S	10004830	PSYCHOTHERAPY 30 MIN W/PT	914	90832	225.00
ST. LUKE’S	10004832	PSYCHOTHERAPY 45 MIN W/T	914	90834	325.00
ST. LUKE’S	10004834	PSYCHOTHERAPY 60 MIN W/PT	914	90837	435.00
ST. LUKE’S	10004836	INTERACTIVE COMPLEXITY	914	90785	20.00
ST. LUKE’S	10004838	THERAPY CRISIS 1ST 60 MIN	914	90839	585.00
ST. LUKE’S	10004840	THERAPY CRISIS EA ADDL 30 MIN	914	90840	295.00
ST. LUKE’S	10004843	NERVE CONDUCTION STUDIES 3-4	920	95908	1,200.00
ST. LUKE’S	10004844	NERVE CONDUCTION STUDIES 5-6	920	95909	2,110.00
ST. LUKE’S	10004845	NERVE CONDUCTION STUDIES 7-8	920	95910	2,560.00
ST. LUKE’S	10004846	NERVE CONDUCTION STUDIES 9-10	920	95911	3,150.00
ST. LUKE’S	10004847	NERVE CONDUCTION STUDIES 11-12	920	95912	3,920.00
ST. LUKE’S	10004848	NERVE CONDUCTION STUDIES 13 OR >	920	95913	4,800.00
ST. LUKE’S	10004850	1,3 BETA-D GLUCAN ASSAY	306	87449	225.00
ST. LUKE’S	10004853	CANAVAN DISEASE GENE ANALYSIS	300	81200	310.00
ST. LUKE’S	10004854	BCR/ABL1 MAJOR BREAKPT QUANT	300	81206	865.00
ST. LUKE’S	10004855	BLOOM SYNDROME GENE ANALYSIS	300	81209	300.00
ST. LUKE’S	10004856	BRAF GENE ANALYSIS	300	81210	830.00
ST. LUKE’S	10004858	CYSTIC FIBROSIS GENE ANALYSIS	300	81220	450.00
ST. LUKE’S	10004860	CYTOGENOMIC MICROARRAY SNP	300	81229	2,680.00
ST. LUKE’S	10004861	EGFR GENE ANALYSIS	300	81235	830.00
ST. LUKE’S	10004862	F2 GENE ANALYSIS	300	81240	220.00
ST. LUKE’S	10004863	F5 LEIDEN GENE ANALYSIS	300	81241	275.00
ST. LUKE’S	10004864	FANCC GENE ANALYSIS	300	81242	300.00
ST. LUKE’S	10004865	FRAGILE X METHYLATION STATUS	300	81244	640.00
ST. LUKE’S	10004866	GAUCHER DISEASE GENE ANALYSIS	300	81251	310.00
ST. LUKE’S	10004867	CONNEXIN 26 GENE ANALYSIS	300	81252	955.00
ST. LUKE’S	10004868	TAY SACHS DISEASE GENE ANALYSIS	300	81255	955.00
ST. LUKE’S	10004869	HFE GENE ANALYSIS	300	81256	240.00
ST. LUKE’S	10004870	IKBKAP GENE ANALYSIS	300	81260	275.00
ST. LUKE’S	10004871	IGH B-CELL GENE REARRANGEMENT	300	81261	675.00
ST. LUKE’S	10004873	MATERNAL CELL CONTAMINATION	300	81265	740.00
ST. LUKE’S	10004874	JAK2 GENE ANALYSIS	300	81270	860.00
ST. LUKE’S	10004875	KRAS GENE ANALYSIS	300	81275	505.00
ST. LUKE’S	10004876	MCOLN1 GENE ANALYSIS	300	81290	310.00
ST. LUKE’S	10004877	MTHFR GENE ANALYSIS	300	81291	190.00
ST. LUKE’S	10004878	MICROSATELLITE INSTABILITY ANALYSIS	300	81301	1,120.00
ST. LUKE’S	10004879	NIEMANN PICK DISEASE GENE ANALYSIS	300	81330	310.00
ST. LUKE’S	10004880	T-CELL ANTIGEN RECEPTOR BETA	300	81340	1,180.00
ST. LUKE’S	10004881	T-CELL ANTIGEN RECEPTOR GAMMA	300	81342	1,180.00
ST. LUKE’S	10004882	HLA CLASS I TYPING, LOW RES	300	81373	380.00
ST. LUKE’S	10004883	HLA CLASS I EACH ANTIGEN	300	81374	310.00
ST. LUKE’S	10004884	HLA CLASS II LOW RES DRB & DQB	300	81375	740.00
ST. LUKE’S	10004885	HLA CLASS II TYPING, LOW RES	300	81376	405.00
ST. LUKE’S	10004888	TPMT DRUG METABOLISM	310	81401	1,010.00
ST. LUKE’S	10004889	MLH1 PROMOTER METHYLATION	300	81288	665.00
ST. LUKE’S	10004890	AB TO HLA PHENOTYPE CLASS I	302	86830	350.00
ST. LUKE’S	10004891	AB TO HLA PHENOTYPE CLASS II	302	86831	350.00
ST. LUKE’S	10004892	HIGH DEF PANEL HLA CLASS I	302	86832	635.00
ST. LUKE’S	10004893	HIGH DEF PANEL HLA CLASS II	302	86833	635.00
ST. LUKE’S	10004894	RESP VIRUS BY PCR 5 TARGETS	306	87631	425.00
ST. LUKE’S	10004895	RESP VIRUS BY PCR 15 TARGETS	306	87633	1,390.00
ST. LUKE’S	10004896	NERVE CONDUCTION STUDIES 1-2	920	95907	560.00
ST. LUKE’S	10004898	IMPLANTATION BIOLOGICAL IMPLANT	360	15777	4,010.00
ST. LUKE’S	10004899	MISC PROCEDURE INTESTINE	360		5,380.00
ST. LUKE’S	10004905	COLLAGEN WOUND FILLER GEL/GRAM	623	A6011	275.00
ST. LUKE’S	10004906	MISC PROCEDURE GI	750		3,060.00
ST. LUKE’S	10004907	NON-OPHTHALMIC FVA	320	C9733	1,640.00
ST. LUKE’S	10004908	GROUP THERAPY SPEECH	440	92508	145.00
ST. LUKE’S	10004910	CHEMO ADMIN INTRA ARTERIAL	280	96420	590.00
ST. LUKE’S	10004911	VAD INSERT OR REVISE	481		22,310.00
ST. LUKE’S	10004912	RRX FLORBETAPIR F18 UP TO 10 MCI	343	A9586	9,850.00
ST. LUKE’S	10004916	IRRIGATION CORPORA CAVERNOSA	360	54220	865.00
ST. LUKE’S	10004917	PUMP REFILL/MAINTAIN IV/ARTERIAL	940	96522	950.00
ST. LUKE’S	10004918	THROMBOLYSIS CARDIAC BY IV INFUSION	450	92977	730.00
ST. LUKE’S	10004919	EP PROCEDURE LEVEL 4	481		106,860.00
ST. LUKE’S	10004920	RHO(D) IMMUNE GLOBULIN 100 IU	250	J2791	25.00
ST. LUKE’S	10004921	RHO(D) IMMUNE GLOBULIN ADMIN IM	510	96372	105.00
ST. LUKE’S	10004922	RHO(D) IMMUNE GLOBULIN ADMIN IV	510	96374	165.00
ST. LUKE’S	10004924	PHERESIS, RBC	940	36512	5,710.00
ST. LUKE’S	10004925	RETICULATED PLATELET ASSAY	305	85055	145.00
ST. LUKE’S	10004927	MEPROBAMATE	301	80369	75.00
ST. LUKE’S	10004928	DEXAMETHASONE	301	80299	195.00
ST. LUKE’S	10004936	CSF SHUNT REPROGRAM	360	62252	880.00
ST. LUKE’S	10004939	POC SKIN TESTING TUBERCULOSIS	302	86580	45.00
ST. LUKE’S	10004940	BIOFEEDBACK TRAINING	420	90901	175.00
ST. LUKE’S	10004945	INJECT SPHENOPALATINE GANGLION	360	64505	1,320.00
ST. LUKE’S	10004950	RADIOSURGERY COMPLETE TREATMENT	333	77372	67,320.00
ST. LUKE’S	10004951	RADIOSURGERY EACH TREATMENT	333	77373	40,710.00
ST. LUKE’S	10004952	TELEHEALTH SITE FEE	780	Q3014	55.00
ST. LUKE’S	10004962	DISCOGRAM INJECTION L/S EACH LEVEL	360	62290	2,340.00
ST. LUKE’S	10004963	DISCOGRAM INJECTION C/T EACH LEVEL	360	62291	2,340.00
ST. LUKE’S	10004969	TRACH PERCUTANEOUS (TRANSTRACHEAL)	360	31730	2,870.00
ST. LUKE’S	10004983	SKIN TAG REMOVAL </= 15 LESIONS	360		250.00
ST. LUKE’S	10005030	KIT BOWEL MANAGEMENT	270	A4337	800.00
ST. LUKE’S	10005044	MISC LAB	306	87389	195.00
ST. LUKE’S	10005045	MISC LAB	302	86701	75.00
ST. LUKE’S	10005046	MISC LAB	302	86702	95.00
ST. LUKE’S	10005047	FAMILIAL MED FEVER PCR	310	81404	1,960.00
ST. LUKE’S	10005049	CYSTIC FIBROSIS GENE	300	81223	2,140.00
ST. LUKE’S	10005050	PRSS-1 GENE SEQUENCE	310	81404	1,170.00
ST. LUKE’S	10005051	SPINK-1 GENE	310	81404	1,300.00
ST. LUKE’S	10005057	GAUZE W/O NS OR BORDER <16 SQ IN	623	A6222	10.00
ST. LUKE’S	10005060	GAUZE W/O NS/BORDER >/=16<48 SQ IN	623	A6223	10.00
ST. LUKE’S	10005061	GAUZE W/O NS OR BORDER > 48 SQ IN	623	A6224	10.00
ST. LUKE’S	10005062	WOUND FILLER GEL OR PASTE PER OZ	623	A6261	155.00
ST. LUKE’S	10005064	PRO-PREDICTOR ENZYME ACTIVITY	301	83789	275.00
ST. LUKE’S	10005065	ENDOMYSIAL AB IGG TITER	302	86256	95.00
ST. LUKE’S	10005067	VITAMIN B2 (RIBOFLAVIN)	301	84252	190.00
ST. LUKE’S	10005069	PHENYLALANINE, BLOOD	301	84030	50.00
ST. LUKE’S	10005071	VASCULAR ENDOTHELIAL GF	301	83520	265.00
ST. LUKE’S	10005072	ALPHA THALASSEMIA GENE ANALYSIS	300	81257	655.00
ST. LUKE’S	10005073	RUFINAMIDE, HPLC 1-3	301	80210	260.00
ST. LUKE’S	10005074	COCHLEAR AB 68KD	301	84181	160.00
ST. LUKE’S	10005076	EXT COUNTERPULSATION PER SESSION	480	G0166	480.00
ST. LUKE’S	10005080	RRX RADIUM RA 223 DICHLORIDE/UCI	344	A9606	390.00
ST. LUKE’S	10005097	PELVIC EXAM UNDER ANESTHESIA	360	57410	6,160.00
ST. LUKE’S	10005098	NM RRX TC99M DMSA	343	A9551	1,230.00
ST. LUKE’S	10005101	MRA PELVIS W/CONTRAST	610	72198	4,240.00
ST. LUKE’S	10005104	DESTROY OR EXCISE SKIN LESIONS	360		500.00
ST. LUKE’S	10005110	RAPID DENSITIZATION PER HOUR	940	95180	610.00
ST. LUKE’S	10005111	ORGANIC ACIDS, QUANT, URINE	301	83919	275.00
ST. LUKE’S	10005112	IODIDE	301	83018	135.00
ST. LUKE’S	10005113	VITAMIN, B7 (BIOTIN)	301	84591	315.00
ST. LUKE’S	10005114	LACOSAMIDE	301	80235	270.00
ST. LUKE’S	10005116	PARECHOVIRUS	306	87798	225.00
ST. LUKE’S	10005118	RRX TC99M TILMANOCEPT </=0.5 MCI	343	A9520	1,530.00
ST. LUKE’S	10005119	MALARIA ANTIBODY IGG	302	86750	160.00
ST. LUKE’S	10005121	CMV DRUG RESISTANCE, GENOTYPE	306	87910	1,350.00
ST. LUKE’S	10005124	EBV BY PCR QUALITATIVE	306	87798	295.00
ST. LUKE’S	10005125	MGMT, METHYLATION ANALYSIS	300	81287	840.00
ST. LUKE’S	10005126	HLA CROSSMATCH; ADD SAMPLE	302	86826	270.00
ST. LUKE’S	10005128	HEMOGLOBIN VARIANT QUANTITATION	301	83021	110.00
ST. LUKE’S	10005129	OASIS ULTRA TRI-LAYER PER SQ CM	278	Q4124	55.00
ST. LUKE’S	10005134	EXHALED NITRIC OXIDE MEASUREMENT	460	95012	185.00
ST. LUKE’S	10005136	SHOULDER ORTHOSIS CANVAS/WEB TYPE	274	L3670	150.00
ST. LUKE’S	10005137	TRICHOMONAS VAGINALIS, RNA	306	87661	230.00
ST. LUKE’S	10005138	CALPROTECTIN, FECAL	301	83993	410.00
ST. LUKE’S	10005145	HLA B57:01 GENOTYPE	310	81381	270.00
ST. LUKE’S	10005147	DENGUE VIRUS AB	302	86790	95.00
ST. LUKE’S	10005148	CYSTATIN C	301	82610	175.00
ST. LUKE’S	10005149	TUMOR NECROSIS FACT	301	83520	240.00
ST. LUKE’S	10005150	TRYPSINOGEN	301	83519	155.00
ST. LUKE’S	10005152	TYMS THYMIDYLATE SYNTH 5-FU	310	81401	420.00
ST. LUKE’S	10005153	ANTI-IGA ANTIBODY	301	83520	280.00
ST. LUKE’S	10005154	INFLIXIMAB ACTIVITY & NEUT AB	302	86352	525.00
ST. LUKE’S	10005156	AB, CHLAMYDIA PNEUMONIAE IGA	302	86631	70.00
ST. LUKE’S	10005157	SALMONELLA TYPHI TYPING	302	86768	55.00
ST. LUKE’S	10005158	VITAMIN B5 PANTOTHENIC ACID	301	84591	155.00
ST. LUKE’S	10005159	SOMATOSTATIN	301	84307	230.00
ST. LUKE’S	10005160	HEMOGLOBIN, URINE	301	83069	50.00
ST. LUKE’S	10005161	VITAMIN B3 (NIACIN)	301	84591	315.00
ST. LUKE’S	10005162	CAMPYLOBACTER JEJUNI AB, IGG	302	86625	55.00
ST. LUKE’S	10005163	CAMPYLOBACTER ANTIGEN	306	87899	75.00
ST. LUKE’S	10005165	CARBAMAZEPINE, FREE	301	80157	95.00
ST. LUKE’S	10005166	HUMAN METAPNEUMOVIRUS PCR	306	87798	275.00
ST. LUKE’S	10005167	E HISTOLYTICA ANTIGEN	306	87337	70.00
ST. LUKE’S	10005168	CATH DRAINAGE SOFT TISSUE GUIDED	360	10030	2,240.00
ST. LUKE’S	10005169	BREAST BX STEREO GUIDANCE 1ST	360	19081	5,920.00
ST. LUKE’S	10005170	BREAST BX STEREO GUIDANCE ADDL	360	19082	4,440.00
ST. LUKE’S	10005171	BREAST BX US GUIDANCE 1ST	360	19083	4,730.00
ST. LUKE’S	10005172	BREAST BX US GUIDANCE ADDL	360	19084	3,540.00
ST. LUKE’S	10005173	BREAST BX MR GUIDANCE 1ST	360	19085	7,090.00
ST. LUKE’S	10005174	BREAST BX MR GUIDANCE ADDL	360	19086	5,310.00
ST. LUKE’S	10005175	LOCALIZATION MAMMO GUIDANCE 1ST	360	19281	2,020.00
ST. LUKE’S	10005176	LOCALIZATION MAMMO GUIDANCE ADDL	360	19282	1,510.00
ST. LUKE’S	10005177	LOCALIZATION STEREO GUIDANCE 1ST	360	19283	2,590.00
ST. LUKE’S	10005178	LOCALIZATION STEREO GUIDANCE ADDL	360	19284	1,950.00
ST. LUKE’S	10005179	LOCALIZATION US GUIDANCE 1ST	360	19285	2,220.00
ST. LUKE’S	10005180	LOCALIZATION US GUIDANCE ADDL	360	19286	1,660.00
ST. LUKE’S	10005181	LOCALIZATION MR GUIDANCE 1ST	360	19287	3,000.00
ST. LUKE’S	10005182	LOCALIZATION MR GUIDANCE ADDL	360	19288	2,250.00
ST. LUKE’S	10005188	GRAFT AORTA VISC+RENAL 1 ARTERY	360	34845	37,620.00
ST. LUKE’S	10005192	STENT INTRAVASC CAROTID OPEN EXP	360	37217	8,460.00
ST. LUKE’S	10005193	STENT INTRAVASCULAR 1ST ARTERY	360	37236	30,490.00
ST. LUKE’S	10005194	STENT INTRAVASCULAR EA ADDL ARTERY	360	37237	19,820.00
ST. LUKE’S	10005195	STENT INTRAVASCULAR 1ST VEIN	360	37238	30,490.00
ST. LUKE’S	10005196	STENT INTRAVASCULAR EA ADDL VEIN	360	37239	19,820.00
ST. LUKE’S	10005197	VASCULAR EMBOLIZATION VENOUS	360	37241	37,450.00
ST. LUKE’S	10005198	VASCULAR EMBOLIZATION ARTERIAL	360	37242	37,450.00
ST. LUKE’S	10005199	VASCULAR EMBOLIZATION TUMOR, ETC	360	37243	37,450.00
ST. LUKE’S	10005200	VASCULAR EMBOLIZATION HEMORRHAGE	360	37244	37,450.00
ST. LUKE’S	10005201	CATH DRAINAGE VISCERAL GUIDED	360	49405	5,300.00
ST. LUKE’S	10005202	CATH DRAINAGE PERI/RETROPERITONEAL	360	49406	5,500.00
ST. LUKE’S	10005203	CATH DRAINAGE TRANSVAG OR RECTAL	360	49407	4,840.00
ST. LUKE’S	10005204	DENERVATION MUSCLES NECK UNILATERAL	360	64616	650.00
ST. LUKE’S	10005205	DENERVATION MUSCLES LARYNX	360	64617	975.00
ST. LUKE’S	10005206	DENERVATION EXTREM MUSCLES 1-4	360	64642	1,270.00
ST. LUKE’S	10005207	DENERVATION ADD EXTREM 1-4 MUSCLES	360	64643	635.00
ST. LUKE’S	10005208	DENERVATION EXTREM MUSCLES 5 OR >	360	64644	1,270.00
ST. LUKE’S	10005209	DENERVATION ADD EXTREM 5/> MUSCLES	360	64645	635.00
ST. LUKE’S	10005210	DENERVATION TRUNK MUSCLES 1-5	360	64646	1,480.00
ST. LUKE’S	10005211	DENERVATION TRUNK MUSCLES 6 OR >	360	64647	1,770.00
ST. LUKE’S	10005212	RESP MOTION SIMULATION	333	77293	4,060.00
ST. LUKE’S	10005214	SPEECH EVAL FLUENCY	444	92521	435.00
ST. LUKE’S	10005215	SPEECH EVAL SOUND PRODUCTION	444	92522	435.00
ST. LUKE’S	10005216	SPEECH EVAL& LANG COMPREHENSION	444	92523	650.00
ST. LUKE’S	10005217	VOICE & RESONANCE ANALYSIS	444	92524	435.00
ST. LUKE’S	10005218	MECHANICAL CHEST WALL OSCILLATION	410	94669	175.00
ST. LUKE’S	10005223	INJECT/ASPIRATE SHUNT TUBING	360	61070	1,380.00
ST. LUKE’S	10005224	INJECT VENTRICULAR CATH/RESERVOIR	360	61026	1,320.00
ST. LUKE’S	10005225	FLUNITRAZEPAM GC/MS	301	80346	240.00
ST. LUKE’S	10005226	BIOTINIDASE	301	82261	165.00
ST. LUKE’S	10005227	GALECTIN-3	301	82777	180.00
ST. LUKE’S	10005228	MYOSITIS AUTOANTIBODIES	301	83516	135.00
ST. LUKE’S	10005229	RNA POLYMERASE III AB IGG	301	83516	175.00
ST. LUKE’S	10005230	NEOPTERIN	301	83520	290.00
ST. LUKE’S	10005231	PROTHROMBIN ANTIBODIES, IGG & IGM	301	83520	150.00
ST. LUKE’S	10005232	LEPTIN	301	83520	215.00
ST. LUKE’S	10005233	PREGNENOLONE	301	84140	145.00
ST. LUKE’S	10005235	CHRONIC URTICARIA INDEX	302	86352	290.00
ST. LUKE’S	10005236	HEPATITIS DELTA AGENT	302	86692	120.00
ST. LUKE’S	10005237	ANEURYSM REPAIR LEVEL 2	360		81,340.00
ST. LUKE’S	10005238	ANEURYSM REPAIR LEVEL 3	360		81,340.00
ST. LUKE’S	10005239	VASCULAR EXPOSURE	360		6,100.00
ST. LUKE’S	10005240	PROSTATE BIOPSIES	310	G0416	405.00
ST. LUKE’S	10005245	EPIFIX OR EPICORD PER SQ CM	278	Q4186	755.00
ST. LUKE’S	10005250	DERMAL REPLACEMENT LEVEL 2	360		1,520.00
ST. LUKE’S	10005252	CHEST FIBRINOLYSIS INITIAL DAY	360	32561	1,720.00
ST. LUKE’S	10005256	FRAGILE X GENE ANALYSIS SCREEN	300	81243	485.00
ST. LUKE’S	10005265	INJECT FORAMEN INITIAL UNILATER	360		2,320.00
ST. LUKE’S	10005266	INJECT FORAMEN ADDL UNILATERAL	360		1,160.00
ST. LUKE’S	10005267	INJECT FORAMEN INITIAL BILATERAL	360		3,470.00
ST. LUKE’S	10005268	INJECT FORAMEN ADDL BILATERAL	360		1,730.00
ST. LUKE’S	10005269	INJECT AIR OR CONTRAST ABD CAVITY	360	49400	990.00
ST. LUKE’S	10005270	PERITONEGRAM S&I	320	74190	1,620.00
ST. LUKE’S	10005271	MARS THERAPY	880	90999	10,740.00
ST. LUKE’S	10005272	SELF-MGMT EDUC/TRAIN 1 PT 30 MIN	942	98960	85.00
ST. LUKE’S	10005273	SELF-MGMT EDUC/TRAIN 2-4 PT 30 MIN	942	98961	65.00
ST. LUKE’S	10005275	YTTRIUM 90 THERASPHERES PER SOURCE	278	C2616	57,790.00
ST. LUKE’S	10005277	STAT 3 SNP IBD SGI	310	81405	330.00
ST. LUKE’S	10005284	ENDOSCOPY, CAPSULE COLON	750	91113	6,380.00
ST. LUKE’S	10005291	TRANSCRANIAL DOPPLER W/INJECTION	921	93893	1,410.00
ST. LUKE’S	10005297	BARTONELLA PCR	306	87798	215.00
ST. LUKE’S	10005298	TROPHERYMA WHIPPLEI PCR	306	87798	270.00
ST. LUKE’S	10005299	GLUTAMATE RECEPTOR AB (NMDAG)	302	86255	250.00
ST. LUKE’S	10005300	GLUTAMATE RECEPTOR AB TITER	302	86256	360.00
ST. LUKE’S	10005301	HEINZ BODIES DIRECT	305	85441	75.00
ST. LUKE’S	10005302	TRANSCUTANEOUS O2 MEASUREMENT	921	93998	810.00
ST. LUKE’S	10005304	EZ DERM PER SQ CM	278	Q4136	3.00
ST. LUKE’S	10005305	IV INJECTION TEST VASCULAR FLOW	360	15860	2,500.00
ST. LUKE’S	10005306	FLT3 EXON 14/15 BY PCR	300	81245	715.00
ST. LUKE’S	10005307	FLT3 CODON D835 BY PCR	300	81246	360.00
ST. LUKE’S	10005308	NPM1 EXON 12 BY PCR	300	81310	1,220.00
ST. LUKE’S	10005310	CHIMERISM POST TRANSPLANT STATUS	300	81267	740.00
ST. LUKE’S	10005311	INSULIN LIKE GROWTH FACTOR BP2	301	83519	225.00
ST. LUKE’S	10005313	21-HYDROXYLASE ANTIBODY	301	83516	115.00
ST. LUKE’S	10005314	INJ/ASPIRATE SMALL JOINT W/US	360	20604	1,680.00
ST. LUKE’S	10005315	INJ/ASPIRATE INTERM JOINT W/US	360	20606	1,830.00
ST. LUKE’S	10005316	INJ/ASPIRATE MAJOR JOINT W/US	360	20611	1,940.00
ST. LUKE’S	10005317	CRYOABLATION BONE TUMORS W/IMAGING	360	20983	10,070.00
ST. LUKE’S	10005318	VERTEBROPLASTY C/T WITH IMAGING	360	22510	6,440.00
ST. LUKE’S	10005319	VERTEBROPLASTY L/S WITH IMAGING	360	22511	6,440.00
ST. LUKE’S	10005320	VERTEBROPLASTY EA ADDL LEVEL	360	22512	3,220.00
ST. LUKE’S	10005321	KYPHOPLASTY THORACIC WITH IMAGING	360	22513	17,420.00
ST. LUKE’S	10005322	KYPHOPLASTY LUMBAR WITH IMAGING	360	22514	17,420.00
ST. LUKE’S	10005323	KYPHOPLASTY EACH ADDL LEVEL	360	22515	8,710.00
ST. LUKE’S	10005324	ECMO INITIAL VENOUS	360	33946	1,960.00
ST. LUKE’S	10005325	ECMO INITIAL ARTERIAL	360	33947	1,960.00
ST. LUKE’S	10005326	ECMO DAILY MGMT VENOUS	360	33948	1,960.00
ST. LUKE’S	10005327	ECMO DAILY MGMT ARTERIAL	360	33949	1,960.00
ST. LUKE’S	10005328	STENT CAROTID/INNOMINATE	360	37218	7,800.00
ST. LUKE’S	10005329	CRYOABLATION LIVER TUMORS	360	47383	8,790.00
ST. LUKE’S	10005330	INJECT MYELOGRAM CERVICAL S&I	360	62302	3,520.00
ST. LUKE’S	10005331	INJECT MYELOGRAM THORACIC S&I	360	62303	3,520.00
ST. LUKE’S	10005332	INJECT MYELOGRAM LUMBAR SACRAL S&I	360	62304	3,520.00
ST. LUKE’S	10005333	INJECT MYELOGRAM > 2 REGIONS S&I	360	62305	5,280.00
ST. LUKE’S	10005334	TAP BLOCK UNILATERAL BY INJECTION	360	64486	1,160.00
ST. LUKE’S	10005335	TAP BLOCK BILATERAL BY INJECTION	360	64488	1,730.00
ST. LUKE’S	10005336	US BREAST W/AXILLA COMPLETE	402	76641	1,250.00
ST. LUKE’S	10005337	US BREAST W/AXILLA LIMITED	402	76642	935.00
ST. LUKE’S	10005338	BREAST TOMOSYNTHESIS UNILATERAL	401	G0279	115.00
ST. LUKE’S	10005339	BREAST TOMOSYNTHESIS BILATERAL	401	G0279	115.00
ST. LUKE’S	10005340	BREAST TOMOSYNTHESIS SCREEN BILAT	403	77063	115.00
ST. LUKE’S	10005341	DXA BONE DENSITY AXIAL SKELETON	320	77085	875.00
ST. LUKE’S	10005342	TELETHERAPY ISODOSE PLAN SIMPLE	333	77306	3,410.00
ST. LUKE’S	10005343	TELETHERAPY ISODOSE PLAN COMPLEX	333	77307	10,940.00
ST. LUKE’S	10005344	BRACHYTX ISODOSE PLAN SIMPLE	333	77316	3,490.00
ST. LUKE’S	10005345	BRACHYTX ISODOSE PLAN INTERMED	333	77317	4,360.00
ST. LUKE’S	10005346	BRACHYTX ISODOSE PLAN COMPLEX	333	77318	6,050.00
ST. LUKE’S	10005347	IMRT SIMPLE	333	77385	6,380.00
ST. LUKE’S	10005348	IMRT COMPLEX	333	77386	7,020.00
ST. LUKE’S	10005349	IMAGING GUIDANCE TX DELIVERY	333	77387	1,030.00
ST. LUKE’S	10005350	TRT DELIVERY SIMPLE	333	77402	1,350.00
ST. LUKE’S	10005351	TRT DELIVERY INTERMEDIATE	333	77407	1,660.00
ST. LUKE’S	10005352	TRT DELIVERY COMPLEX	333	77412	2,080.00
ST. LUKE’S	10005353	VALPROIC ACID, FREE	301	80165	180.00
ST. LUKE’S	10005354	CANNABINOIDS, GC/M	301	80349	210.00
ST. LUKE’S	10005355	FENTANYL, LC/MS	301	80354	125.00
ST. LUKE’S	10005356	GABAPENTIN, GC/MS	301	80355	370.00
ST. LUKE’S	10005357	OPIOIDS, LC/MS 1-2	301	80362	125.00
ST. LUKE’S	10005358	OXYCODONE, GC/MS	301	80365	125.00
ST. LUKE’S	10005359	PREGABALIN, GC/MS	301	80366	155.00
ST. LUKE’S	10005360	PROPOXYPHENE, GC/MS	301	80367	385.00
ST. LUKE’S	10005361	TRAMADOL, GC/MS	301	80373	185.00
ST. LUKE’S	10005362	GROWTH STIMULATION GENE 2	301	83006	140.00
ST. LUKE’S	10005363	HPV TYPES 16/18 W/O PAP	306	87625	250.00
ST. LUKE’S	10005364	IHC PER SPEC, ADDL AB STAIN	312	88341	290.00
ST. LUKE’S	10005365	IHC PER SPEC, MULTIPLEX STAIN	312	88344	405.00
ST. LUKE’S	10005366	FISH, INSITU, ADDL SGL PROBE	312	88364	500.00
ST. LUKE’S	10005367	FISH, INSITU, MULTIPLEX PROBE	312	88366	625.00
ST. LUKE’S	10005368	MORPH, INSITU, ADDL PROBE	312	88369	570.00
ST. LUKE’S	10005369	MORPH, INSITU, MULTIPLEX PROBE	312	88377	695.00
ST. LUKE’S	10005370	EVAL & PROGRAM SUB Q ICD	480	93260	545.00
ST. LUKE’S	10005371	EVAL SUB Q ICD	480	93261	490.00
ST. LUKE’S	10005372	TEE GUIDANCE GREAT VESSEL REPAIR	480	93355	9,010.00
ST. LUKE’S	10005374	VAC THERAPY DISP < 50 CM	940	97607	1,120.00
ST. LUKE’S	10005375	VAC THERAPY DISP > 50 CM	940	97608	1,690.00
ST. LUKE’S	10005384	RECEPTOR AB CELL BINDING ASSAY	302	86255	300.00
ST. LUKE’S	10005387	STRIATED MUSCLE AB EIA	301	83520	165.00
ST. LUKE’S	10005388	CT IMAGE GUIDE TX DELIVERY	350	77387	2,750.00
ST. LUKE’S	10005389	HFO W/O JOINTS PREFAB	274	L3923	125.00
ST. LUKE’S	10005390	THERASKIN PER SQ CM	278	Q4121	125.00
ST. LUKE’S	10005392	CARBAPENEM RESISTANT ENTERO (CRE)	306	87150	455.00
ST. LUKE’S	10005395	ELASTOGRAPHY, LIVER	402	91200	535.00
ST. LUKE’S	10005410	GHB SCREEN	301	80307	215.00
ST. LUKE’S	10005411	16S RRNA GENE SEQUENCING	306	87153	1,570.00
ST. LUKE’S	10005412	IDH1/IDH2 MUTATION ANALYSIS	310	81403	875.00
ST. LUKE’S	10005413	GI STROMAL TUMOR MUTATION	310	81404	2,110.00
ST. LUKE’S	10005414	NRAS MUTATION	310	81311	1,410.00
ST. LUKE’S	10005416	SOLID TUMOR MUTATIONS BY NGS	310	81445	2,960.00
ST. LUKE’S	10005419	HUMAN ANTI-MOUSE ANTIBODY	301	83520	455.00
ST. LUKE’S	10005420	EOSINOPHIL CATIONIC PROTEIN	301	83520	270.00
ST. LUKE’S	10005421	CARBOHYDRATE DEFICIENT TRANSFERRIN	301	82373	315.00
ST. LUKE’S	10005422	PORPHYRINS SERUM TOTAL	301	84311	80.00
ST. LUKE’S	10005423	ALA DEHYDROTASE WHOLE BLOOD	301	82657	1,200.00
ST. LUKE’S	10005424	OSMOTIC FRAGILITY INCUBATED	305	85557	115.00
ST. LUKE’S	10005425	Q-FEVER AB IGG PHASE I/II	302	86638	55.00
ST. LUKE’S	10005426	MUSK ANTIBODY	301	83519	660.00
ST. LUKE’S	10005427	HCV PHENOTYPE	306	87900	485.00
ST. LUKE’S	10005428	TB INTERFERON GAMMA RELEASE	302	86481	415.00
ST. LUKE’S	10005430	LIGATON LONG SAPHENOUS VEIN	360	37700	8,100.00
ST. LUKE’S	10005431	EPIFIX INJECTABLE PER 1 MG	278	Q4145	90.00
ST. LUKE’S	10005433	DSDNA ANTIBODIES BY CRITHIDIA LUCILIAE	302	86255	90.00
ST. LUKE’S	10005434	Y CHROMOSOME MICRODELETION	310	81403	700.00
ST. LUKE’S	10005435	ACETYCHOLINE RECEPTOR BLOCKING AB	301	83516	145.00
ST. LUKE’S	10005436	AMPHETAMINE QUANTITATION	301	80326	185.00
ST. LUKE’S	10005437	BENZODIAZEPINE QUANTITATION	301	80347	180.00
ST. LUKE’S	10005438	RAJI CELL IMMUNE COMPLEX ASSAY	302	86332	420.00
ST. LUKE’S	10005439	AMYLOID PROTEIN LC-MS/MS	301	83789	2,780.00
ST. LUKE’S	10005440	MISC PROCEDURE LYMPH/HEMIC SYSTEM	360	38999	3,130.00
ST. LUKE’S	10005444	NOTCH 3 CADASIL DNA	310	81406	2,730.00
ST. LUKE’S	10005446	HISTONE AUTOANTIBODIES	300	83516	270.00
ST. LUKE’S	10005448	ADENOSINE DEAMINASE	301	84311	95.00
ST. LUKE’S	10005453	AB, HEPATITIS E IGG	302	86790	105.00
ST. LUKE’S	10005454	AB, HEPATITIS E IGM	302	86790	180.00
ST. LUKE’S	10005455	EHRLICHIA ANAPLASMA PCR	306	87798	210.00
ST. LUKE’S	10005456	WEST NILE VIRUS RNA PCR	306	87798	120.00
ST. LUKE’S	10005457	BUCCAL SMEAR COLLECTION	300	89240	25.00
ST. LUKE’S	10005462	HYDROCOLLATOR	420	97010	55.00
ST. LUKE’S	10005508	ALGINATE DRESSING >16 </=48 SQ IN	623	A6197	40.00
ST. LUKE’S	10005511	WHFO W/O JOINTS PRECUSTOM	274	L3807	325.00
ST. LUKE’S	10005526	INFECTIOUS AGENT PCR 3-5	300	87505	490.00
ST. LUKE’S	10005535	INJECT NERVE BRACHIAL PLEXUS WITH IMAGING	360	64415	2,280.00
ST. LUKE’S	10005536	MISC PROCEDURE VASCULAR SURGERY	360	37799	9,470.00
ST. LUKE’S	10005537	SPINAL MUSCULAR ATROPHY (SMA) GENE	310	81329	850.00
ST. LUKE’S	10005538	MUMPS RNA QUAL RT PCR	306	87798	1,080.00
ST. LUKE’S	10005539	ADENOVIRUS BY PCR	306	87798	535.00
ST. LUKE’S	10005540	HIV-AG, HIV1 & 2 AB, RAPID SCREEN	306	87806	145.00
ST. LUKE’S	10005541	OPIATES CONF/QUANT, 5 OR MORE	301	80364	110.00
ST. LUKE’S	10005542	POC PREG TEST CLINITEK	301	84703	55.00
ST. LUKE’S	10005543	HLA-DQ2/HLA-DQ8 GENOTYPE	300	81382	845.00
ST. LUKE’S	10005544	KRAS GENE ANALYSIS EXONS 3,4	300	81276	1,750.00
ST. LUKE’S	10005545	KIDNEY FUNCTION STUDY NON IMAGING	341	78725	3,190.00
ST. LUKE’S	10005546	RRX I-125 IOTHALAMATE UP TO 10 UCI	343	A9554	1,590.00
ST. LUKE’S	10005550	TENOTOMY PATELLAR TENDON	360	20999	5,070.00
ST. LUKE’S	10005551	TENOTOMY SHOULDER	360	23405	7,180.00
ST. LUKE’S	10005552	TENOTOMY ELBOW	360	24357	7,180.00
ST. LUKE’S	10005553	TENOTOMY HIP	360	27000	4,500.00
ST. LUKE’S	10005554	TENOTOMY HAMSTRING 1 TENDON	360	27306	4,500.00
ST. LUKE’S	10005555	TENOTOMY HAMSTRING > 1 TENDON	360	27307	7,210.00
ST. LUKE’S	10005556	TENOTOMY ACHILLES TENDON	360	27605	5,070.00
ST. LUKE’S	10005557	RAPID RESPIRATORY PATHOGEN BY PCR	306	87633	785.00
ST. LUKE’S	10005558	CALRETICULIN EXON 9 MUTATION	310	81479	1,180.00
ST. LUKE’S	10005559	21 HYDROXYLASE GENE ANALYSIS	310	81405	805.00
ST. LUKE’S	10005560	NEUROFIBROMATOSIS TYPE 2 DNA SEQ	310	81406	5,460.00
ST. LUKE’S	10005562	CHIKUNGUNYA ANTIBODIES	302	86790	190.00
ST. LUKE’S	10005563	HIV INTEGRASE	306	87906	920.00
ST. LUKE’S	10005566	LOCALIZE SOFT TISSUE 1ST LESION	360	10035	2,340.00
ST. LUKE’S	10005567	LOCALIZE SOFT TISSUE ADDL LESION	360	10036	1,750.00
ST. LUKE’S	10005568	IVUS NON CARDIAC 1ST VESSEL W/S&I	360	37252	5,370.00
ST. LUKE’S	10005569	IVUS NON CARDIAC ADDL VESSEL W/S&I	360	37253	3,070.00
ST. LUKE’S	10005570	INJ CHOLANGIO EXISTING ACCESS +S&I	360	47531	1,800.00
ST. LUKE’S	10005571	INJ CHOLANGIO NEW ACCESS +S&I	360	47532	3,590.00
ST. LUKE’S	10005572	BILIARY CATH EXTERNAL+S&I	360	47533	9,690.00
ST. LUKE’S	10005573	BILIARY CATH INT-EXT +S&I	360	47534	9,690.00
ST. LUKE’S	10005574	BILIARY CATH CONVERT INT-EXT+S&I	360	47535	6,830.00
ST. LUKE’S	10005575	BILIARY CATH EXCHANGE+S&I	360	47536	16,700.00
ST. LUKE’S	10005576	BILIARY CATH REMOVE+S&I	360	47537	6,260.00
ST. LUKE’S	10005577	BILIARY STENT EXIST ACCESS+S&I	360	47538	19,300.00
ST. LUKE’S	10005578	BILIARY STENT NEW ACCESS+S&I	360	47539	19,970.00
ST. LUKE’S	10005579	BILE STENT NEW ACCESS+DRN CATH+S&I	360	47540	21,600.00
ST. LUKE’S	10005580	BILIARY TREE-SM BOWEL NEW ACCESS	360	47541	12,620.00
ST. LUKE’S	10005581	BALLON DILATE BILE(S) DUCT EA+S&I	360	47542	12,190.00
ST. LUKE’S	10005582	BILIARY TREE BIOPSY(S)+S&I	360	47543	7,820.00
ST. LUKE’S	10005583	BILE DUCT OR GB STONE REMOVAL+S&I	360	47544	6,250.00
ST. LUKE’S	10005584	SCLEROTHERAPY FLUID COLLECTION+S&I	360	49185	5,950.00
ST. LUKE’S	10005585	NEPHROSTOMOGRAM NEW ACCESS+S&I	360	50430	1,960.00
ST. LUKE’S	10005586	NEPHROSTOMOGRAM ESTAB ACCESS+S&I	360	50431	1,760.00
ST. LUKE’S	10005587	NEPHROSTOMY CATH NEW ACCESS+S&I	360	50432	7,170.00
ST. LUKE’S	10005588	NEPHROURETERAL CATH NEW ACCESS+S&I	360	50433	10,160.00
ST. LUKE’S	10005589	NEPHROSTOMY CATH CONVERT+S&	360	50434	8,190.00
ST. LUKE’S	10005590	NEPHROSTOMY CATH EXCHANGE+S&I	360	50435	7,420.00
ST. LUKE’S	10005591	URETER OR RENAL BX+S&I	360	50606	6,210.00
ST. LUKE’S	10005592	URETER STENT EXISTING TRACK+S&I	360	50693	9,710.00
ST. LUKE’S	10005593	URETER STENT NEW ACCESS+S&I	360	50694	10,380.00
ST. LUKE’S	10005594	URETER STENT NEW ACCESS+NEPH CATH	360	50695	12,990.00
ST. LUKE’S	10005595	URETERAL EMBOLIZATION+S&I	360	50705	9,160.00
ST. LUKE’S	10005596	URETER STRICTURE BALLON DILATE+S&I	360	50706	4,230.00
ST. LUKE’S	10005597	THROMBECTOMY/THROMBOLYSIS IC	360	61645	18,290.00
ST. LUKE’S	10005598	IC PROLONGED ADMN RX AGENT 1ST	360	61650	8,310.00
ST. LUKE’S	10005599	IC PROLONGED ADMN RX AGENT ADDL	360	61651	6,220.00
ST. LUKE’S	10005600	XR ENTIRE SPINE W/SKULL 1 VIEW	320	72081	475.00
ST. LUKE’S	10005601	XR ENTIRE SPINE W/SKULL 2-3 VIEWS	320	72082	720.00
ST. LUKE’S	10005602	XR ENTIRE SPINE W/SKULL 4-5 VIEWS	320	72083	1,080.00
ST. LUKE’S	10005603	XR ENTIRE SPINE W/SKULL 6 VIEW MIN	320	72084	1,620.00
ST. LUKE’S	10005604	XR HIP & PELVIS UNILAT 1 VIEW	320	73501	550.00
ST. LUKE’S	10005605	XR HIP & PELVIS UNILAT 2-3 VIEWS	320	73502	660.00
ST. LUKE’S	10005606	XR HIP & PELVIS UNILAT 4/> VIEWS	320	73503	830.00
ST. LUKE’S	10005607	XR HIPS BILAT W/PELVIS 2 VIEW	320	73521	830.00
ST. LUKE’S	10005608	XR HIPS BILAT W/PELVIS 3-4 VIEWS	320	73522	990.00
ST. LUKE’S	10005609	XR HIPS BILAT W/PELVIS 5 VIEW MIN	320	73523	1,250.00
ST. LUKE’S	10005610	XR FEMUR 1 VIEW	320	73551	450.00
ST. LUKE’S	10005611	XR FEMUR 2 VIEW MINIMUM	320	73552	665.00
ST. LUKE’S	10005614	BRACHYTX <2CM/1 CHANNEL	333	77767	5,040.00
ST. LUKE’S	10005615	BRACHYTX >2CM/CHANNELS MULTILESION	333	77768	6,720.00
ST. LUKE’S	10005618	CALR GENE COM VARIANTS	310	81219	965.00
ST. LUKE’S	10005619	KIT GENE TARGETED SEQ ANALYS	310	81272	2,850.00
ST. LUKE’S	10005620	KRAS GENE ADDL VARIANTS	310	81276	875.00
ST. LUKE’S	10005621	NRAS GENE VARIANTS EXON 2&3″	310	81311	2,700.00
ST. LUKE’S	10005622	PDGFRA GENE	310	81314	1,920.00
ST. LUKE’S	10005623	ASHKENAZI JEWISH ASSOC DIS	310	81412	5,280.00
ST. LUKE’S	10005624	IMMUNOFLUORESCENCE AB ADDL STAIN	312	88350	195.00
ST. LUKE’S	10005626	RFA UTERINE FIBROID W/US	360	58580	12,080.00
ST. LUKE’S	10005627	REMOVE EAR WAX W/IRRIGATION UNILAT	510	69209	60.00
ST. LUKE’S	10005628	CASH PROGRAM REHAB PER UNIT	420		30.00
ST. LUKE’S	10005630	21-HYDROXYLASE GENE VARIANTS	310	81402	1,080.00
ST. LUKE’S	10005631	NOD2 GENE	310	81401	995.00
ST. LUKE’S	10005632	APOLIPOPROTEIN E GENE	310	81401	440.00
ST. LUKE’S	10005635	HSV 1 PCR	306	87535	215.00
ST. LUKE’S	10005637	HHV-6 DNA AMP PROBE	306	87532	175.00
ST. LUKE’S	10005638	CMV PCR	306	87496	445.00
ST. LUKE’S	10005639	ENTEROVIRUS PCR	306	87498	445.00
ST. LUKE’S	10005640	STREPTOCOCCUS AGALACTIAE PCR	306	87653	175.00
ST. LUKE’S	10005641	E COLI K1 PCR	306	87798	120.00
ST. LUKE’S	10005642	HAEMONPHILUS INFLUENZAE PCR	306	87798	120.00
ST. LUKE’S	10005643	LISTERIA NIBICTTIGEBES PCR	306	87798	120.00
ST. LUKE’S	10005644	NEISSERIA MEINGITIDIS PCR	306	87798	120.00
ST. LUKE’S	10005645	STREPTOCOCCUS PNEUMONIAE	306	87798	120.00
ST. LUKE’S	10005646	HUMAN PARECHOVIRUS	306	87798	120.00
ST. LUKE’S	10005648	CRYPTOCOCCUS NEORFORMANS/GATTI	306	87798	120.00
ST. LUKE’S	10005649	NEUROFIBROMATOSIS TYPE 2 DNA	310	81406	1,450.00
ST. LUKE’S	10005702	DRUG SCREEN UMBILICAL CORD TISSUE	301	80307	270.00
ST. LUKE’S	10005703	CARBAPENEMASE ENZYME SCREEN	306	87185	40.00
ST. LUKE’S	10005704	CALORIC VESTIBULAR TEST MONOTHERM	471	92538	700.00
ST. LUKE’S	10005705	BCR/ABL KINASE DOMAIN MUTATION ANL	310	81403	1,720.00
ST. LUKE’S	10005706	KINASE RT-PCR	310	81479	1,770.00
ST. LUKE’S	10005707	ATRX MUTATION ANALYSIS	310	81479	2,780.00
ST. LUKE’S	10005708	TERT MUTATION ANALYSIS	310	81345	610.00
ST. LUKE’S	10005709	ABL1 GENE ANALYSIS KINASE VARIANTS	310	81170	505.00
ST. LUKE’S	10005712	GASTRO PATHOGEN PANEL	306	87507	1,030.00
ST. LUKE’S	10005713	BRCA 1 & 2 VARIANTS OTHER	310	81212	1,560.00
ST. LUKE’S	10005715	HEREDITARY BREAST CA SEQ ANALYSIS	310	81432	5,630.00
ST. LUKE’S	10005716	HEREDITARY BREAST CA PANEL DUP/DEL	310	81433	5,630.00
ST. LUKE’S	10005717	COLON CA GENE SEQ ANALYSIS 10/>	310	81435	5,420.00
ST. LUKE’S	10005718	COLON CA GENE PANEL 10 OR >	310	81435	2,770.00
ST. LUKE’S	10005719	COLON CA GENE DUP/DEL ANALYSIS 5/>	310	81436	5,580.00
ST. LUKE’S	10005720	COLON CA GENE DUP/DEL PANEL 5 OR >	310	81436	2,770.00
ST. LUKE’S	10005722	GENE ANALYSIS VHL	310	81403	595.00
ST. LUKE’S	10005723	GENE ANALYSIS CDKN2A	310	81404	595.00
ST. LUKE’S	10005724	GENE ANALYSIS SMAD4	310	81405	595.00
ST. LUKE’S	10005725	GENE ANALYSIS PALB2	310	81406	595.00
ST. LUKE’S	10005726	SEDATIVE HYPNOTIC PANEL CCL	301	80307	1,510.00
ST. LUKE’S	10005727	ANTIBODY JC VIRUS	300	86711	125.00
ST. LUKE’S	10005728	N-METHYLHISTAMINE, URINE	301	82542	570.00
ST. LUKE’S	10005729	SCA1 DNA TEST	310	81178	1,510.00
ST. LUKE’S	10005730	SCA2 EXPANSION ANALYSIS	310	81179	1,620.00
ST. LUKE’S	10005731	MELATONIN	301	80375	525.00
ST. LUKE’S	10005732	MYCOPLASMA GENITALIUM BY PCR	306	87563	1,160.00
ST. LUKE’S	10005733	MELANOCYTE STIMULATING HORMONE	301	83519	720.00
ST. LUKE’S	10005734	IMMUNE COMPLEX ASSAY C1Q BINDING	302	86332	80.00
ST. LUKE’S	10005735	DRUG NOS DIURETIC SURVEY URINE	301	80377	210.00
ST. LUKE’S	10005736	DRUG ANALYTE NOS, MITOTANE	301	80375	625.00
ST. LUKE’S	10005741	SENSORIMOTOR EXAM W/ INTERP & RPT	920	92060	20.00
ST. LUKE’S	10005742	CONTACT LENS FITTING FOR TX	940	92071	100.00
ST. LUKE’S	10005743	VISUAL FIELD EXAM INTERMEDIATE	920	92082	220.00
ST. LUKE’S	10005744	VISUAL FIELD EXAM EXTENDED	920	92083	300.00
ST. LUKE’S	10005745	OPHTH IMAGING OPTIC NERVE	920	92133	185.00
ST. LUKE’S	10005746	OPHTH IMAGING RETINA	920	92134	185.00
ST. LUKE’S	10005749	FUNDUS PHOTOGRAPHY W/INTERP & RPT	920	92250	270.00
ST. LUKE’S	10005750	OCULAR PHOTOGRAPHY W/INTERP & RPT	920	92285	300.00
ST. LUKE’S	10005751	XR GUIDANCE GI DILATION S&I	320	74360	920.00
ST. LUKE’S	10005752	EYE EXAM NEW PT INTERMEDIATE	510	92002	230.00
ST. LUKE’S	10005753	EYE EXAM NEW PT COMPREHENSIVE	510	92004	305.00
ST. LUKE’S	10005754	EYE EXAM EST PT INTERMEDIATE	510	92012	210.00
ST. LUKE’S	10005755	EYE EXAM EST PT COMPREHENSIVE	510	92014	255.00
ST. LUKE’S	10005760	HUNTINGTONS DISEASE	310	81271	380.00
ST. LUKE’S	10005761	HCG FREE BETA CHAIN	300	84704	225.00
ST. LUKE’S	10005762	CANDIDA PCR	306	87480	120.00
ST. LUKE’S	10005763	GARDNERELLA VAGNALIS PCR	306	87510	120.00
ST. LUKE’S	10005764	MISC LAB	306	87660	120.00
ST. LUKE’S	10005765	SKIN SEALANT PROTECTANT MOISTURIZE	623	A6250	130.00
ST. LUKE’S	10005782	CLOBAZAM	301	80339	330.00
ST. LUKE’S	10005783	HUMAN PLACENTAL LACTOGEN	301	83632	270.00
ST. LUKE’S	10005784	PML RARA TRANSLOCATION	310	81315	1,050.00
ST. LUKE’S	10005785	COLLAGEN TYPE II ANTIBODY	301	83520	330.00
ST. LUKE’S	10005786	COMPLEMENT COMPONENT 3A	302	86160	305.00
ST. LUKE’S	10005787	FLUCONAZOLE	301	80299	455.00
ST. LUKE’S	10005788	QUETIAPINE	301	80342	285.00
ST. LUKE’S	10005789	SCHISTOSOMA IGG AB	302	86682	290.00
ST. LUKE’S	10005790	MOSQUITO BORNE PANEL BY PCR	306	87798	155.00
ST. LUKE’S	10005791	AB, ZIKA VIRUS IGG	302	86790	70.00
ST. LUKE’S	10005792	FATTY ACID PROFILE OF LIPIDS	301	82725	115.00
ST. LUKE’S	10005796	UNLISTED FLUOROSCOPIC PROCEDURE	320	76496	880.00
ST. LUKE’S	10005797	UNLISTED MISC DX NUC MED PROCEDURE	341	78999	2,560.00
ST. LUKE’S	10005800	CHEMICAL CAUTERY TISSUE	360	17250	520.00
ST. LUKE’S	10005803	DENERVATION GLANDS BILATERAL	360	64611	1,130.00
ST. LUKE’S	10005804	AB HANTAVIRUS IGG	302	86790	140.00
ST. LUKE’S	10005805	AB HANTAVIRUS IGM	302	86790	140.00
ST. LUKE’S	10005806	AB SIN NOMBRE VIRUS IGG	302	86790	250.00
ST. LUKE’S	10005807	AB SIN NOMBRE VIRUS IGM	302	86790	250.00
ST. LUKE’S	10005808	PROPAFENONE	301	80375	300.00
ST. LUKE’S	10005809	PSEUDOCHOLINESTERASE	301	82480	115.00
ST. LUKE’S	10005810	DIBUCAINE NUMBER	301	82638	170.00
ST. LUKE’S	10005811	KETAMINE & NORKETAMINE	301	80357	450.00
ST. LUKE’S	10005812	FIBRINOGEN ANTIGEN	305	85385	155.00
ST. LUKE’S	10005813	MASS SPECTROMETRY QUANTITATIVE	301	83789	425.00
ST. LUKE’S	10005814	MOLECULAR PATH LEVEL 6 CASR	310	81405	2,480.00
ST. LUKE’S	10005815	MOLECULAR PATH LEVEL 9 COL1A1	310	81408	2,220.00
ST. LUKE’S	10005816	MOLECULAR PATH LEVEL 9 COL1A2	310	81408	2,220.00
ST. LUKE’S	10005817	IMMUNOASSAY QUANTITATIVE NOS	301	83520	315.00
ST. LUKE’S	10005818	ARMO ACH RECEPTOR MODULATING AB	301	83519	1,510.00
ST. LUKE’S	10005819	WBN PARANEOPLASTIC AUTO WBLOT S	301	84182	155.00
ST. LUKE’S	10005820	CRMWS CRMP-5-IGG WESTERN BLOT S	301	84182	620.00
ST. LUKE’S	10005821	ABLOT AMPHIPHYSIN WESTERN BLOT S	301	84182	820.00
ST. LUKE’S	10005822	NMDCS NMDA-R AB CBA S	302	86255	1,250.00
ST. LUKE’S	10005823	AMPCS AMPA-R AB CBA S	302	86255	1,250.00
ST. LUKE’S	10005824	GABCS GABA-B-R AB CBA S	302	86255	1,250.00
ST. LUKE’S	10005825	NMOCS NMO/AQP4-IGG CBA S	302	86255	560.00
ST. LUKE’S	10005826	ANN2S ANTI-NEURNL NUCLEAR AB T 2	302	86255	490.00
ST. LUKE’S	10005827	ANN3S ANTI-NEURNL NUCLEAR AB T 3	302	86255	490.00
ST. LUKE’S	10005828	PCABP PURKINJE CELL CYTPLC AB T 1	302	86255	490.00
ST. LUKE’S	10005829	PCAB2 PURKINJE CELL CYTPLC AB T 2	302	86255	490.00
ST. LUKE’S	10005830	PCATR PURKINJE CELL CYT AB T TR	302	86255	490.00
ST. LUKE’S	10005831	CRMS CRMP-5-IGG S	302	86255	490.00
ST. LUKE’S	10005832	AMPHS AMPHIPHYSIN AB S	302	86255	490.00
ST. LUKE’S	10005833	AGN1S ANTI-GLIAL NUCLEAR AB T 1	302	86255	490.00
ST. LUKE’S	10005834	NMDIS NMDA-R AB IF TITER ASSAY S	302	86256	560.00
ST. LUKE’S	10005835	AMPIS AMPA-R AB IF TITER ASSAY S	302	86256	560.00
ST. LUKE’S	10005836	GABIS GABA-B-R AB IF TITER S	302	86256	560.00
ST. LUKE’S	10005838	BLADDER INSTILLATION CHEMO*	360	51720	3,690.00
ST. LUKE’S	10005840	POC CARBON DIOXIDE	301	82374	45.00
ST. LUKE’S	10005843	DIALYSIS CIRCUIT ANGIO	360	36901	2,080.00
ST. LUKE’S	10005844	DIALYSIS CIRCUIT ANGIO W/PTA	360	36902	20,360.00
ST. LUKE’S	10005845	DIALYSIS CIRCUIT ANGIO + STENT	360	36903	37,100.00
ST. LUKE’S	10005846	DIALYSIS CIRCUIT REMOVE CLOT	360	36904	5,510.00
ST. LUKE’S	10005847	DIALYSIS CIRCUIT REMOVE CLOT + PTA	360	36905	29,460.00
ST. LUKE’S	10005848	DIALYSIS CIRCUIT REMOVE CLOT+STENT	360	36906	43,180.00
ST. LUKE’S	10005849	DIALYSIS CIRCUIT PTA ADDL	360	36907	9,910.00
ST. LUKE’S	10005850	DIALYSIS CIRCUIT STENT ADDL	360	36908	18,360.00
ST. LUKE’S	10005851	DIALYSIS CIRCUIT EMBOLIZATION	360	36909	33,730.00
ST. LUKE’S	10005852	PTA ARTERY 1ST W/S&I	360	37246	49,730.00
ST. LUKE’S	10005853	PTA ARTERY ADDL W/S&I	360	37247	24,610.00
ST. LUKE’S	10005854	PTA VEIN 1ST W/S&I	360	37248	19,600.00
ST. LUKE’S	10005855	PTA VEIN ADDL W/S&I	360	37249	8,770.00
ST. LUKE’S	10005856	PT EVAL LOW COMPLEXITY	424	97161	340.00
ST. LUKE’S	10005857	PT EVAL MOD COMPLEXITY	424	97162	460.00
ST. LUKE’S	10005858	PT EVAL HIGH COMPLEXITY	424	97163	595.00
ST. LUKE’S	10005859	OT EVAL LOW COMPLEXITY	434	97165	340.00
ST. LUKE’S	10005860	OT EVAL MOD COMPLEXITY	434	97166	460.00
ST. LUKE’S	10005861	OT EVAL HIGH COMPLEXITY	434	97167	595.00
ST. LUKE’S	10005862	LAT EVAL LOW COMPLEXITY	951	97169	235.00
ST. LUKE’S	10005863	LAT EVAL MODERATE COMPLEXITY	951	97170	290.00
ST. LUKE’S	10005864	LAT EVAL HIGH COMPLEXITY	951	97171	340.00
ST. LUKE’S	10005865	SEDATION < 5 YR 1ST 15 MIN	370	99151	795.00
ST. LUKE’S	10005866	MOD SEDATION >= 5 YR 1ST 15 MIN	370	99152	795.00
ST. LUKE’S	10005867	CNS PATHOGEN 12-25 TARGETS	306	87483	1,670.00
ST. LUKE’S	10005868	PURAPLY PER SQ CM	278	Q4195	515.00
ST. LUKE’S	10005870	TEMPORAL ARTERY LIGATION OR BIOPSY	360	37609	6,450.00
ST. LUKE’S	10005872	INJECTION(S) PRP	360	0232T	830.00
ST. LUKE’S	10005876	ON-BODY INJECTOR FOR SQ MED	260	96377	210.00
ST. LUKE’S	10005877	QUANTITATION THERAPEUTIC DRUG NOS	301	80299	420.00
ST. LUKE’S	10005878	MONONUCLEAR CELL ANTIGEN EACH	302	86356	230.00
ST. LUKE’S	10005879	AMPLIFIED PROBE TECH EA ORGANISM	306	87798	185.00
ST. LUKE’S	10005880	MORPHOMETRIC ANLYS TUMOR IMMUNO	310	88361	575.00
ST. LUKE’S	10005881	IMPLANT DEVICE INTENSIVE PROC NOC	278	C1889	9,170.00
ST. LUKE’S	10005882	BCKDHB GENE ANALYSIS	310	81205	380.00
ST. LUKE’S	10005883	G6PC GENE ANALYSIS	310	81250	380.00
ST. LUKE’S	10005886	INSERT PERIPROSTATIC IMPLANT	360	55874	3,230.00
ST. LUKE’S	10005887	NEPHELOMETRY EACH ANALYTE NOS	301	83883	1,180.00
ST. LUKE’S	10005890	RRX FLUCICLOVINE F 18 DX PER 1 MCI	343	A9588	1,410.00
ST. LUKE’S	10005891	IMMUNOASSAY QUANT INTERLEUKIN 12	301	83520	350.00
ST. LUKE’S	10005892	IMMUNOASSAY QUANT INTERFERON GAMMA	301	83520	350.00
ST. LUKE’S	10005893	OSMOTIC FRAGILITY RBC UNINCUBATED	305	85555	270.00
ST. LUKE’S	10005894	XR LYMPH EXTREM UNILAT S&I	320	75801	1,560.00
ST. LUKE’S	10005895	XR LYMPH EXTREM BILAT S&I	320	75803	2,340.00
ST. LUKE’S	10005896	XR LYMPH PELVIS/ABD UNILAT S&I	320	75805	1,560.00
ST. LUKE’S	10005897	XR LYMPH PELVIS/ABD BILAT S&I	320	75807	2,340.00
ST. LUKE’S	10005898	ANGIO INTERNAL MAMMARY S&I	320	75756	2,830.00
ST. LUKE’S	10005899	DRUG IMPLANT INSERT	360	11981	580.00
ST. LUKE’S	10005900	DRUG IMPLANT REMOVE	360	11982	580.00
ST. LUKE’S	10005901	DRUG IMPLANT REMOVE & REINSERT	360	11983	865.00
ST. LUKE’S	10005904	HLA ANTIBODY DETECTION	302	86828	480.00
ST. LUKE’S	10005905	HLA 1 TYPING HR COMPLETE	300	81379	5,610.00
ST. LUKE’S	10005906	HLA 2 TYPING HR 1 LOCUS EACH	300	81382	2,080.00
ST. LUKE’S	10005907	HLA 1 & 2 TYPING LOW RESOLUTION	300	81370	2,270.00
ST. LUKE’S	10005908	CHIMERISM ANALYSIS W/CELL SELECT	310	81268	975.00
ST. LUKE’S	10005909	ANAPLASMA PHAGOCYTOPHILUM PCR	306	87468	210.00
ST. LUKE’S	10005910	HEMOGLOBIN CSF	301	84311	55.00
ST. LUKE’S	10005911	ALPHA DEFENSINS	301	83518	105.00
ST. LUKE’S	10005912	RABIES NEUTRALIZATION TEST VIRAL	302	86382	250.00
ST. LUKE’S	10005913	LENS PRESS-ON FRESNELL PRISM	274	V2718	80.00
ST. LUKE’S	10005914	COCHLEAR IMPLANT ANALYZE&PROGRAM	471	92603	540.00
ST. LUKE’S	10005915	COCHLEAR IMPLANT ANALYZE&REPROGRAM	471	92604	360.00
ST. LUKE’S	10005917	DRY NEEDLING	420	20999	75.00
ST. LUKE’S	10005918	TX PLANNING TUMOR TREATING FIELDS	333	77299	810.00
ST. LUKE’S	10005919	PHERESIS, PLATELETS	940	36513	4,580.00
ST. LUKE’S	10005921	TX PLANNING TUMOR TREATING FIELDS*	333	77299	5,440.00
ST. LUKE’S	10005922	GROWTH HORMONE STIMULATION PANEL	301	80428	225.00
ST. LUKE’S	10005923	DRUG SCREEN PAIN MGMT PANEL	301	80307	210.00
ST. LUKE’S	10005927	CATH FOR COLLECTION OF URINE SPEC	300	P9612	20.00
ST. LUKE’S	10005928	5-A-DIHYDROTESTOSTERONE	301	82642	140.00
ST. LUKE’S	10005929	ALLERGEN, EPIDERMALS, PROTEINS	302	86005	25.00
ST. LUKE’S	10005930	AMPHETAMINES; 1 OR 2	301	80324	185.00
ST. LUKE’S	10005931	METHYLENEDIOXYAMPHETAMINES	301	80359	180.00
ST. LUKE’S	10005932	RETT SYNDROME (MECP2) FULL GENE	310	81304	2,090.00
ST. LUKE’S	10005938	ED TRIAGE PHYSICIAN ASSISTANT	450	99281	125.00
ST. LUKE’S	10005939	PAD REHAB PER SESSION	480	93668	255.00
ST. LUKE’S	10005942	BACTERIAL VAGINOSIS	306	81513	390.00
ST. LUKE’S	10005943	RIBOSOMAL RNA GENE SEQUENCE	306	87801	1,620.00
ST. LUKE’S	10005945	CHEMILUMINESCENT CONCENTRATION	301	82397	340.00
ST. LUKE’S	10005947	IMMUNO ANALYTE	301	83516	265.00
ST. LUKE’S	10005948	HLA CLASS II ALLELE	300	81383	475.00
ST. LUKE’S	10005951	GALLIUM-68 DOTATATE 0.1 MCI	343	A9587	190.00
ST. LUKE’S	10005952	CANDIDA DNA AMP PROBE	306	87481	205.00
ST. LUKE’S	10005954	IDH1 COMMON VARIANTS	310	81120	1,090.00
ST. LUKE’S	10005955	IDH2 COMMON VARIANTS	310	81121	1,090.00
ST. LUKE’S	10005956	TPMT GENE COM VARIANTS	310	81335	395.00
ST. LUKE’S	10005957	TYMS GENE COM VARIANTS	310	81346	270.00
ST. LUKE’S	10005958	HBB COMMON VARIANTS	310	81361	935.00
ST. LUKE’S	10005959	HBB FULL GENE SEQUENCE	310	81364	1,690.00
ST. LUKE’S	10005960	ZIKA VIRUS IGM ANTIBODY	302	86794	330.00
ST. LUKE’S	10005961	EXERCISE TEST FOR BRONCHOSPASM	460	94617	355.00
ST. LUKE’S	10005962	ENDO RPR AORTA GRAFT+S&I	360	34701	48,800.00
ST. LUKE’S	10005964	ENDO RPR AORTO-ILIAC GRAFT +S&I	360	34703	36,040.00
ST. LUKE’S	10005966	ENDO RPR A-BI-ILIAC GRAFT+S&I	360	34705	35,780.00
ST. LUKE’S	10005968	ENDO RPR ILIO-ILIAC GRAFT+S&I	360	34707	10,570.00
ST. LUKE’S	10005969	ENDO RPR ILIO-ILIAC RUPTURED+S&I	360	34708	12,460.00
ST. LUKE’S	10005974	PERQ ACCESS/CLOSURE FEMORAL ARTERY	360	34713	3,520.00
ST. LUKE’S	10005975	ABLATE VEIN CHEMICAL ADHESIVE 1ST	360	36482	8,900.00
ST. LUKE’S	10005976	ABLATE VEIN CHEMICAL ADHESIVE ADDL	360	36483	4,450.00
ST. LUKE’S	10005977	INJECT SCLEROSANT W/US 1ST VEIN	360	36465	1,690.00
ST. LUKE’S	10005978	INJECT SCLEROSANT W/US > 1 VEIN(S)	360	36466	1,840.00
ST. LUKE’S	10005979	EXPOSE FEMORAL ARTERY	360	34714	5,230.00
ST. LUKE’S	10005980	EXPOSE AXILLARY/SUBCLAVIAN	360	34715	5,230.00
ST. LUKE’S	10005981	EXPOSE AXILLARY/SUBCLAVIAN&CONDUIT	360	34716	5,760.00
ST. LUKE’S	10005986	ZIKA VIRUS DNA/RNA AMP PROBE	306	87662	415.00
ST. LUKE’S	10005987	MYCOBACTERIA DNA AMP PROBE	306	87551	1,270.00
ST. LUKE’S	10005988	BARTONELLA DNA AMP PROBE	306	87471	240.00
ST. LUKE’S	10005989	ALPHA SUBUNIT PITUITARY TUMOR MARK	301	82397	390.00
ST. LUKE’S	10005990	INJECT CORPORA CAVERNOSA	360	54235	580.00
ST. LUKE’S	10005992	VENOGRAM SUPERIOR SAGGITAL SINUS	320	75870	2,520.00
ST. LUKE’S	10005993	GASTROINTESTINAL PARASITES	306	87798	115.00
ST. LUKE’S	10005994	ALLERGEN SPEC IGE RECOMB EA	302	86008	25.00
ST. LUKE’S	10005995	DYPD GENE ANALYSIS COMMON VARIANTS	310	81232	255.00
ST. LUKE’S	10005996	CEBPA GENE FULL SEQUENCE	310	81218	1,150.00
ST. LUKE’S	10005997	CTRC GENE ANALYSIS	310	81405	1,330.00
ST. LUKE’S	10005998	POWER MODULE CABLE LVAD REPLACE	274	Q0477	6,840.00
ST. LUKE’S	10006000	PLATELETS PATHOGEN REDUCED EA UNIT	390	P9073	1,840.00
ST. LUKE’S	10006001	IUD LEVONORGESTREL (KYLEENA)19.5MG	250	J7296	2,180.00
ST. LUKE’S	10006002	PATHOGEN(S) TEST FOR PLATELETS	310	P9100	115.00
ST. LUKE’S	10006004	LUTATHERA LU-177 DOTATATE 1MCI	636	A9513	625.00
ST. LUKE’S	10006009	MACROBROTH DILUTION METHOD	306	87188	195.00
ST. LUKE’S	10006010	CULTURE TYPING AMP PROBE	306	87150	165.00
ST. LUKE’S	10006011	MISC LAB	301	84702	150.00
ST. LUKE’S	10006012	MISC PROCEDURE PANCREAS	750	48999	280.00
ST. LUKE’S	10006014	FOAM DRESSING WND FILLER PER GRAM	623	A6215	10.00
ST. LUKE’S	10006016	SPEC DRESS </=16 SQ IN NO BORDER	623	A6251	10.00
ST. LUKE’S	10006017	SPEC DRESS > 48 SQ IN NO BORDER	623	A6253	15.00
ST. LUKE’S	10006019	AQUAPORIN 4 RECEPTOR AB IGG	302	86052	310.00
ST. LUKE’S	10006021	NON-COVERED ITEM OR SERVICE	270	A9270	5,750.87
ST. LUKE’S	10006022	BELT STRAP SLEEV GRMNT COVER	271	A4467	44.93
ST. LUKE’S	10006022	FOOT PRESS OFF LOAD SUPP DEV	271	A9283	110.62
ST. LUKE’S	10006023	DRUG DELIVERY SYSTEM <=50 ML	272	A4306	803.28
ST. LUKE’S	10006023	ADHESIVE, LIQUID OR EQUAL	272	A4364	9.49
ST. LUKE’S	10006023	SURGICAL SUPPLIES	272	A4649	22.19
ST. LUKE’S	10006023	COLLAGEN DRESSING <=16 SQ IN	272	A6021	49.54
ST. LUKE’S	10006023	ALGINATE DRSG >16 <=48 SQ IN	272	A6197	40.69
ST. LUKE’S	10006023	ALGINATE DRSG WOUND FILLER	272	A6199	57.27
ST. LUKE’S	10006023	FOAM DRG >16<=48 SQ IN W/O B	272	A6210	51.37
ST. LUKE’S	10006023	FOAM DRG <=16 SQ IN W/BORDER	272	A6212	23.75
ST. LUKE’S	10006023	FOAM DRG > 48 SQ IN W/BORDER	272	A6214	35.13
ST. LUKE’S	10006023	FOAM DRESSING WOUND FILLER	272	A6215	20.46
ST. LUKE’S	10006023	GAUZE <=16 IN NO W/SAL W/O B	272	A6222	21.11
ST. LUKE’S	10006023	SKIN SEAL PROTECT MOISTURIZR	272	A6250	182.04
ST. LUKE’S	10006023	ABSORPT DRG <=16 SQ IN W/O B	272	A6251	11.09
ST. LUKE’S	10006023	ABSORPT DRG > 48 SQ IN W/O B	272	A6253	28.66
ST. LUKE’S	10006023	TRANSPARENT FILM >16<=48 IN	272	A6258	6.77
ST. LUKE’S	10006023	STERILE GAUZE>16 <= 48 SQ IN	272	A6403	0.46
ST. LUKE’S	10006023	WATER SEAL DRAIN CONTAINER	272	A7041	197.91
ST. LUKE’S	10006023	VACUUM DRAIN BOTTLE/TUBE KIT	272	A7048	1,229.03
ST. LUKE’S	10006023	GASTRO/JEJUNO TUBE, STD	272	B4087	613.46
ST. LUKE’S	10006023	GASTRO/JEJUNO TUBE, LOW-PRO	272	B4088	538.06
ST. LUKE’S	10006023	HEMOSTATIC AGENT, GI, TOPIC	272	C1052	11,032.80
ST. LUKE’S	10006023	CATH, TRANS ATHERECTOMY, DIR	272	C1714	16,741.34
ST. LUKE’S	10006023	CATH, TRANS ATHEREC,ROTATION	272	C1724	13,919.66
ST. LUKE’S	10006023	CATH, TRANSLUMIN NON-LASER	272	C1725	1,013.68
ST. LUKE’S	10006023	CATH, BAL DIL, NON-VASCULAR	272	C1726	1,189.00
ST. LUKE’S	10006023	CATH, BAL TIS DIS, NON-VAS	272	C1727	2,154.22
ST. LUKE’S	10006023	CATH, DRAINAGE	272	C1729	272.28
ST. LUKE’S	10006023	CATH, EP, 19 OR FEW ELECT	272	C1730	1,777.79
ST. LUKE’S	10006023	CATH, EP, 20 OR MORE ELEC	272	C1731	7,754.71
ST. LUKE’S	10006023	CATH, EP, DIAG/ABL, 3D/VECT	272	C1732	10,705.40
ST. LUKE’S	10006023	CATH, EP, OTHR THAN COOL-TIP	272	C1733	18,197.29
ST. LUKE’S	10006023	ENDO, SINGLE, URINARY TRACT	272	C1747	8,478.83
ST. LUKE’S	10006023	CATH, INF, PER/CENT/MIDLINE	272	C1751	815.80
ST. LUKE’S	10006023	CATH, INTRAVAS ULTRASOUND	272	C1753	4,259.10
ST. LUKE’S	10006023	CATH, THROMBECTOMY/EMBOLECT	272	C1757	8,116.62
ST. LUKE’S	10006023	CATHETER, URETERAL	272	C1758	139.29
ST. LUKE’S	10006023	CATH, INTRA ECHOCARDIOGRAPHY	272	C1759	13,694.17
ST. LUKE’S	10006023	CATH, TRANS INTRA LITHO/CORO	272	C1761	26,089.20
ST. LUKE’S	10006023	INTRO/SHEATH,STRBLE,NON-PEEL	272	C1766	3,740.58
ST. LUKE’S	10006023	GUIDE WIRE	272	C1769	132.59
ST. LUKE’S	10006023	IMAGING COIL, MR, INSERTABLE	272	C1770	24,078.40
ST. LUKE’S	10006023	RET DEV, INSERTABLE	272	C1773	7,151.62
ST. LUKE’S	10006023	MORCELLATOR	272	C1782	4,422.08
ST. LUKE’S	10006023	PATIENT PROGR, NEUROSTIM	272	C1787	7,609.00
ST. LUKE’S	10006023	RECEIVER/TRANSMITTER, NEURO	272	C1816	136,109.14
ST. LUKE’S	10006023	EMBOLIZATION PROTECT SYST	272	C1884	7,573.89
ST. LUKE’S	10006023	CATH, TRANSLUMIN ANGIO LASER	272	C1885	15,840.48
ST. LUKE’S	10006023	CATHETER, ABLATION	272	C1886	15,493.11
ST. LUKE’S	10006023	CATHETER, GUIDING	272	C1887	1,971.88
ST. LUKE’S	10006023	INTRO/SHEATH,FIXED,PEEL-AWAY	272	C1892	355.54
ST. LUKE’S	10006023	INTRO/SHEATH, FIXED,NON-PEEL	272	C1893	1,165.68
ST. LUKE’S	10006023	INTRO/SHEATH, NON-LASER	272	C1894	323.60
ST. LUKE’S	10006023	LUNG BX PLUG W/DEL SYS	272	C2613	1,997.19
ST. LUKE’S	10006023	PROBE/NEEDLE, CRYO	272	C2618	6,558.32
ST. LUKE’S	10006023	CATH, TRANSLUMIN, DRUG-COAT	272	C2623	8,709.38
ST. LUKE’S	10006023	CATHETER, OCCLUSION	272	C2628	6,834.83
ST. LUKE’S	10006023	INTRO/SHEATH, LASER	272	C2629	16,770.89
ST. LUKE’S	10006023	CATH, EP, COOL-TIP	272	C2630	15,057.57
ST. LUKE’S	10006024	CERV FLEX N/ADJ FOAM PRE OTS	274	L0120	26.08
ST. LUKE’S	10006024	CERV COL SR FOAM 2PC PRE OTS	274	L0172	165.19
ST. LUKE’S	10006024	HO POST-OP HIP ABDUCTION	274	L1686	2,301.36
ST. LUKE’S	10006024	KO ELAS W/ CONDYLE PADS & JO	274	L1820	58.85
ST. LUKE’S	10006024	KO ADJ JNT POS R SUP PRE CST	274	L1832	433.49
ST. LUKE’S	10006024	SO ACRO/CLAV CAN WEB PRE OTS	274	L3670	210.60
ST. LUKE’S	10006024	PNEUMAT WALKING BOOT PRE CST	274	L4360	225.70
ST. LUKE’S	10006024	PNEUMA/VAC WALK BOOT PRE OTS	274	L4361	215.89
ST. LUKE’S	10006024	MASTECTOMY BRA	274	L8000	297.20
ST. LUKE’S	10006025	AICD, DUAL CHAMBER	275	C1721	74,618.46
ST. LUKE’S	10006025	AICD, SINGLE CHAMBER	275	C1722	72,252.18
ST. LUKE’S	10006025	LEAD, AICD, ENDO SINGLE COIL	275	C1777	19,033.79
ST. LUKE’S	10006025	PMKR, DUAL, RATE-RESP	275	C1785	10,056.04
ST. LUKE’S	10006025	PMKR, SINGLE, RATE-RESP	275	C1786	30,172.07
ST. LUKE’S	10006025	AICD, OTHER THAN SING/DUAL	275	C1882	99,203.90
ST. LUKE’S	10006025	LEAD, AICD, ENDO DUAL COIL	275	C1895	19,671.49
ST. LUKE’S	10006025	LEAD, AICD, NON SING/DUAL	275	C1896	19,598.70
ST. LUKE’S	10006025	LEAD, PMKR, OTHER THAN TRANS	275	C1898	2,728.47
ST. LUKE’S	10006025	LEAD, CORONARY VENOUS	275	C1900	8,444.32
ST. LUKE’S	10006025	PMKR, OTHER THAN SING/DUAL	275	C2621	23,824.01
ST. LUKE’S	10006026	ANTER CHAMBER INTRAOCUL LENS	276	V2630	547.04
ST. LUKE’S	10006026	POST CHMBR INTRAOCULAR LENS	276	V2632	804.55
ST. LUKE’S	10006026	ASTIGMATISM-CORRECT FUNCTION	276	V2787	529.47
ST. LUKE’S	10006026	PRESBYOPIA-CORRECT FUNCTION	276	V2788	1,068.46
ST. LUKE’S	10006027	RESTRATA, PER SQ CM	278	A2007	18,898.75
ST. LUKE’S	10006027	IMPLANTABLE ACCESS SYST PERC	278	A4301	37,220.96
ST. LUKE’S	10006027	TRACH/LARYN TUBE NON-CUFFED	278	A7520	266.75
ST. LUKE’S	10006027	TRACH/LARYN TUBE CUFFED	278	A7521	290.91
ST. LUKE’S	10006027	ANCHOR/SCREW BN/BN,TIS/BN	278	C1713	1,374.85
ST. LUKE’S	10006027	BRACHYTX, NON-STR, GOLD-198	278	C1716	5,225.51
ST. LUKE’S	10006027	CATH, HEMODIALYSIS,LONG-TERM	278	C1750	1,563.78
ST. LUKE’S	10006027	CATH,HEMODIALYSIS,SHORT-TERM	278	C1752	610.37
ST. LUKE’S	10006027	CATHETER, INTRASPINAL	278	C1755	3,320.16
ST. LUKE’S	10006027	CLOSURE DEV, VASC	278	C1760	1,770.08
ST. LUKE’S	10006027	CONN TISS, HUMAN(INC FASCIA)	278	C1762	7,650.96
ST. LUKE’S	10006027	CONN TISS, NON-HUMAN	278	C1763	4,606.58
ST. LUKE’S	10006027	EVENT RECORDER, CARDIAC	278	C1764	25,814.59
ST. LUKE’S	10006027	ADHESION BARRIER	278	C1765	3,771.64
ST. LUKE’S	10006027	GENERATOR, NEURO NON-RECHARG	278	C1767	120,301.02
ST. LUKE’S	10006027	GRAFT, VASCULAR	278	C1768	3,407.00
ST. LUKE’S	10006027	REP DEV, URINARY, W/SLING	278	C1771	4,799.81
ST. LUKE’S	10006027	INFUSION PUMP, PROGRAMMABLE	278	C1772	56,996.90
ST. LUKE’S	10006027	JOINT DEVICE (IMPLANTABLE)	278	C1776	6,785.66
ST. LUKE’S	10006027	LEAD, NEUROSTIMULATOR	278	C1778	15,972.53
ST. LUKE’S	10006027	MESH (IMPLANTABLE)	278	C1781	3,446.29
ST. LUKE’S	10006027	OCULAR IMP, AQUEOUS DRAIN DE	278	C1783	5,896.80
ST. LUKE’S	10006027	OCULAR DEV, INTRAOP, DET RET	278	C1784	1,072.67
ST. LUKE’S	10006027	PORT, INDWELLING, IMP	278	C1788	2,025.93
ST. LUKE’S	10006027	PROSTHESIS, BREAST, IMP	278	C1789	5,862.33
ST. LUKE’S	10006027	PROSTHESIS, PENILE, INFLATAB	278	C1813	39,515.52
ST. LUKE’S	10006027	RETINAL TAMP, SILICONE OIL	278	C1814	2,318.73
ST. LUKE’S	10006027	PROS, URINARY SPH, IMP	278	C1815	101,816.45
ST. LUKE’S	10006027	SEPTAL DEFECT IMP SYS	278	C1817	44,947.77
ST. LUKE’S	10006027	GENERATOR NEURO RECHG BAT SY	278	C1820	97,776.56
ST. LUKE’S	10006027	INTERSPINOUS IMPLANT	278	C1821	5,429.28
ST. LUKE’S	10006027	GEN, NEURO, HF, RECHG BAT	278	C1822	133,120.86
ST. LUKE’S	10006027	GENERATOR, CCM, IMPLANT	278	C1824	127,574.16
ST. LUKE’S	10006027	STENT, COATED/COV W/DEL SYS	278	C1874	6,618.43
ST. LUKE’S	10006027	STENT, COATED/COV W/O DEL SY	278	C1875	4,750.05
ST. LUKE’S	10006027	STENT, NON-COA/NON-COV W/DEL	278	C1876	7,693.02
ST. LUKE’S	10006027	STENT, NON-COAT/COV W/O DEL	278	C1877	18,912.00
ST. LUKE’S	10006027	MATRL FOR VOCAL CORD	278	C1878	3,781.97
ST. LUKE’S	10006027	VENA CAVA FILTER	278	C1880	11,288.62
ST. LUKE’S	10006027	ADAPT/EXT, PACING/NEURO LEAD	278	C1883	498.02
ST. LUKE’S	10006027	ENDOVAS NON-CARDIAC ABL CATH	278	C1888	8,450.57
ST. LUKE’S	10006027	LEAD, NEUROSTIM TEST KIT	278	C1897	7,859.51
ST. LUKE’S	10006027	SEALANT, PULMONARY, LIQUID	278	C2615	5,707.18
ST. LUKE’S	10006027	STENT, NON-COR, TEM W/O DEL	278	C2617	579.43
ST. LUKE’S	10006027	WIRELESS PRESSURE SENSOR	278	C2624	104,679.94
ST. LUKE’S	10006027	STENT, NON-COR, TEM W/DEL SY	278	C2625	481.05
ST. LUKE’S	10006027	NEURAGEN NERVE GUIDE, PER CM	278	C9352	14,011.90
ST. LUKE’S	10006027	NEURAWRAP NERVE PROTECTOR,CM	278	C9353	12,305.62
ST. LUKE’S	10006027	VERITAS COLLAGEN MATRIX, CM2	278	C9354	6,073.56
ST. LUKE’S	10006027	MIRENA, 52 MG	278	J7298	4,179.89
ST. LUKE’S	10006027	MOMETASONE SINUS SINUVA	278	J7402	7,847.78
ST. LUKE’S	10006027	OSSICULAR IMPLANT	278	L8613	1,812.45
ST. LUKE’S	10006027	COCHLEAR DEVICE	278	L8614	64,335.71
ST. LUKE’S	10006027	AUD OSSEO DEV, INT/EXT COMP	278	L8690	12,602.80
ST. LUKE’S	10006027	PROSTHETIC IMPLANT NOS	278	L8699	6,394.26
ST. LUKE’S	10006027	INTEGRA BMWD	278	Q4104	3,294.81
ST. LUKE’S	10006027	ALLODERM	278	Q4116	113.63
ST. LUKE’S	10006027	STRATTICE TM	278	Q4130	129.85
ST. LUKE’S	10006027	CORNEAL TISSUE PROCESSING	278	V2785	23,008.74
ST. LUKE’S	10006027	AMNIOTIC MEMBRANE	278	V2790	4,146.72
ST. LUKE’S	10006033	RIVAROXABAN	301	80299	195.00
ST. LUKE’S	10006034	INFLIXIMAB	301	80230	675.00
ST. LUKE’S	10006035	ADALIMUMAB	301	80145	695.00
ST. LUKE’S	10006036	VEDOLIZUMAB	301	80280	745.00
ST. LUKE’S	10006037	THIOPURINE METABOLITES	301	80299	320.00
ST. LUKE’S	10006038	COCAINE & CANNAB SCREEN	301	80307	125.00
ST. LUKE’S	10006039	DRUG SCREEN MEDICAL PNL	301	80307	125.00
ST. LUKE’S	10006040	DRUG SCREEN PANEL BLOOD	301	80307	190.00
ST. LUKE’S	10006041	DRUG SCREEN PANEL MECON	301	80307	190.00
ST. LUKE’S	10006042	DRUG SCREEN PANEL URINE	301	80307	190.00
ST. LUKE’S	10006043	ECSTASY SCREEN	301	80307	65.00
ST. LUKE’S	10006044	ETHANOL SCREEN	301	80307	65.00
ST. LUKE’S	10006045	ETHYL GLUCURONIDE	301	80307	290.00
ST. LUKE’S	10006046	HEROIN METABOLITE SCREEN	301	80307	65.00
ST. LUKE’S	10006047	LSD SCREEN	301	80307	125.00
ST. LUKE’S	10006048	MARIJUANA METAB SCREEN	301	80307	65.00
ST. LUKE’S	10006049	METHAQUALONE SCREEN	301	80307	65.00
ST. LUKE’S	10006050	NICOTINE SCREEN UR	301	80307	125.00
ST. LUKE’S	10006051	OXYCODONE SCREEN	301	80307	65.00
ST. LUKE’S	10006052	PROPOXYPHENE SCREEN	301	80307	65.00
ST. LUKE’S	10006053	SYNTHETIC CANNABINOID SCR	301	80307	125.00
ST. LUKE’S	10006054	TOXICOLOGY SCREEN URINE	301	80307	125.00
ST. LUKE’S	10006055	TRICYCLICS SCREEN	301	80307	125.00
ST. LUKE’S	10006056	METHANOL QUANT	301	80320	220.00
ST. LUKE’S	10006057	HB LSD CONFIRMATION	301	80323	450.00
ST. LUKE’S	10006059	CHLORPROMAZINE	301	80342	240.00
ST. LUKE’S	10006060	FLUPHENAZINE	301	80342	240.00
ST. LUKE’S	10006061	CLORAZEPATE	301	80346	135.00
ST. LUKE’S	10006062	CHIMERISM PRE TRANSPLANT	301	81265	740.00
ST. LUKE’S	10006064	PAI 1 GENOTYPE	310	81400	275.00
ST. LUKE’S	10006065	NEBULIN GENE	310	81400	825.00
ST. LUKE’S	10006066	USHER SYNDROME GENE	310	81401	1,380.00
ST. LUKE’S	10006068	RED CELL GENOTYPE COMMON PNL	310	81403	920.00
ST. LUKE’S	10006069	JAK2 EXONS 12 & 13	310	81279	920.00
ST. LUKE’S	10006070	EGFR VARIANT III MUTATION	310	81403	920.00
ST. LUKE’S	10006072	MEN2 RET GENE SEQ	301	81405	355.00
ST. LUKE’S	10006073	NEWBORN T CELL EXC CIRCLES	301	81479	50.00
ST. LUKE’S	10006074	RED CELL GENOTYPE RH VARIANT PNL	310	81479	1,840.00
ST. LUKE’S	10006076	TMEM216 GENE	310	81479	390.00
ST. LUKE’S	10006084	FATTY ACIDS ESSENTIAL	301	82542	655.00
ST. LUKE’S	10006086	7 DEHYDROCHOLESTEROL	301	82542	300.00
ST. LUKE’S	10006087	COENZYME Q10 TOTAL	301	82542	300.00
ST. LUKE’S	10006090	GALACT 1 PHOS URIDYL TRANS	301	82775	25.00
ST. LUKE’S	10006093	ACETYLCHOLINE MODULATING AB	301	83519	160.00
ST. LUKE’S	10006095	ANTI IGE ANTIBODY	301	83520	280.00
ST. LUKE’S	10006096	BILE ACIDS	301	83789	110.00
ST. LUKE’S	10006097	SILVER URINE	301	83789	425.00
ST. LUKE’S	10006098	PLACENTAL ALPHA MICROGLOB-1	301	84112	785.00
ST. LUKE’S	10006099	CHYMOTRYPSIN STOOL	301	84311	120.00
ST. LUKE’S	10006101	NMDA RECEPTOR AB CSF	302	86225	205.00
ST. LUKE’S	10006103	NEUTROPH CYTOPLASMIC AB	302	86036	60.00
ST. LUKE’S	10006104	LGI1 ANTIBODY	302	86255	965.00
ST. LUKE’S	10006105	CASPR2 ANTIBODY	302	86255	965.00
ST. LUKE’S	10006106	NMO AQUAPORIN 4 AB TITER	302	86256	505.00
ST. LUKE’S	10006107	NMO AQUAPORIN 4 AB CSF TITER	302	86256	215.00
ST. LUKE’S	10006108	CANCER ANTIGEN 15-3	302	86300	210.00
ST. LUKE’S	10006109	NEURON SPECIFIC ENOLASE	302	86316	210.00
ST. LUKE’S	10006111	AB, N MENINGITIDIS	302	86317	95.00
ST. LUKE’S	10006112	AB, HAEMOPHILUS INFLUENZAE	302	86317	120.00
ST. LUKE’S	10006113	LISTERIA ANTIBODY	302	86609	110.00
ST. LUKE’S	10006114	CYSTICERCUS ANTIBODY	302	86682	290.00
ST. LUKE’S	10006115	STRONGYLOIDES AB	302	86682	185.00
ST. LUKE’S	10006116	FILARIASIS ANTIBODY IGG4	302	86682	185.00
ST. LUKE’S	10006118	AB, MYCOPLASMA IGA	302	86738	140.00
ST. LUKE’S	10006119	AB, BABESIA MICROTI	302	86753	145.00
ST. LUKE’S	10006120	AB, TRYPANOSOMA CRUZI	302	86753	145.00
ST. LUKE’S	10006137	CHIKUNGUNYA PCR	306	87798	155.00
ST. LUKE’S	10006138	DENGUE VIRUS PCR	306	87798	210.00
ST. LUKE’S	10006139	UREAPLASMA UREALYTICUM PCR	306	87798	145.00
ST. LUKE’S	10006140	MYCOPLASMA HOMINIS PCR	306	87798	145.00
ST. LUKE’S	10006141	BORRELIA SSP PROBE	306	87801	390.00
ST. LUKE’S	10006143	MORPH INSITU HYBR PRB COMP ADD	312	88373	560.00
ST. LUKE’S	10006146	RBC IRRADIATED AUTOLOGOUS/DIRECT	390	P9038	1,100.00
ST. LUKE’S	10006148	PLATELET APH/PHER LR CMV-NEG	390	P9055	1,510.00
ST. LUKE’S	10006153	INJ/ASPIRATE MAJOR JOINT WITH US BIL	360	20611	1,940.00
ST. LUKE’S	10006156	INJ SI JOINT THERAPEUTIC BIL W FLUORO/CT	360	27096	2,140.00
ST. LUKE’S	10006168	ANGIO CAROTID/INOM ART INTRCRANL BIL	360	36223	12,150.00
ST. LUKE’S	10006169	SELECT INT CAROTID/INTRACRANL BIL	360	36224	10,700.00
ST. LUKE’S	10006171	SELECT ANGIO VERTEBRAL ARTERY BIL	360	36226	11,040.00
ST. LUKE’S	10006172	SELECT EXTERNAL CAROTID ARTERY BIL	360	36227	7,400.00
ST. LUKE’S	10006174	INJ SCLEROS LEG MULTI VEIN BIL	360	36471	425.00
ST. LUKE’S	10006175	ABLATE ENDOVENOUS LASER EXT 1ST VEIN BIL	360	36478	8,110.00
ST. LUKE’S	10006178	REM/REPL URETERAL STENT EXTERNAL BIL	360	50387	3,070.00
ST. LUKE’S	10006179	REMOVAL NEPHROSTOMY TUBE W FLUORO BIL	360	50389	1,160.00
ST. LUKE’S	10006180	PLACE NEPHROSTOMY CATH BILATERAL	360	50432	7,170.00
ST. LUKE’S	10006181	NEPHROSTOMY CATH EXCHANGE BILATERAL	360	50435	7,420.00
ST. LUKE’S	10006185	XR EYES FOREIGN BODY BIL	320	70030	265.00
ST. LUKE’S	10006186	XR CLAVICLE BIL COMPLETE	320	73000	550.00
ST. LUKE’S	10006189	XR SHOULDER BIL MIN 2 VIEWS	320	73030	740.00
ST. LUKE’S	10006190	XR HUMERUS BIL 2V	320	73060	565.00
ST. LUKE’S	10006192	XR ELBOW BIL 2V	320	73070	455.00
ST. LUKE’S	10006193	XR ELBOW BIL MIN 3V	320	73080	570.00
ST. LUKE’S	10006194	XR FOREARM BIL 2V	320	73090	535.00
ST. LUKE’S	10006198	XR WRIST BIL 2 VIEW	320	73100	580.00
ST. LUKE’S	10006199	XR WRIST BILAT MIN 3 VIEWS	320	73110	665.00
ST. LUKE’S	10006200	XR HAND BIL 2 VIEW	320	73120	685.00
ST. LUKE’S	10006201	XR HAND BIL 1 VIEW	320	73120	685.00
ST. LUKE’S	10006202	XR HAND BIL 3 VIEW MINIMUM	320	73130	790.00
ST. LUKE’S	10006217	XR FEMUR BIL 1 VIEW	320	73551	450.00
ST. LUKE’S	10006218	XR FEMUR BIL 2 VIEW MINIMUM	320	73552	665.00
ST. LUKE’S	10006219	XR KNEE BIL 1 OR 2 VIEW	320	73560	615.00
ST. LUKE’S	10006220	XR KNEE BIL 3 VIEW	320	73562	740.00
ST. LUKE’S	10006221	XR KNEE COMPLETE BIL 4 VIEW MIN	320	73564	920.00
ST. LUKE’S	10006222	XR TIBIA AND FIBULA BIL 2 VIEW	320	73590	565.00
ST. LUKE’S	10006223	XR TIBIA/FIBULA BIL 1 VIEW	320	73590	565.00
ST. LUKE’S	10006224	XR LOWER EXTREMITY BIL INFANT 2 MINIMUM	320	73592	425.00
ST. LUKE’S	10006226	XR ANKLE BIL 2 VIEW	320	73600	505.00
ST. LUKE’S	10006228	XR ANKLE BIL COMPLETE	320	73610	605.00
ST. LUKE’S	10006229	XR FOOT BIL 2 VIEW	320	73620	615.00
ST. LUKE’S	10006230	XR FOOT 1 VIEW BIL LIMITED	320	73620	615.00
ST. LUKE’S	10006231	XR FOOT COMPLETE BIL 3 VIEW MINIMUM	320	73630	735.00
ST. LUKE’S	10006232	XR HEEL BIL 2 VIEW MIN	320	73650	490.00
ST. LUKE’S	10006238	CT ANGIO LOWER EXTREMITY BIL	350	73706	3,720.00
ST. LUKE’S	10006248	US BREAST BIL W/AXILLA COMPLETE	402	76641	1,250.00
ST. LUKE’S	10006249	US BREAST BIL W/AXILLA LIMITED	402	76642	935.00
ST. LUKE’S	10006250	US COMPLETE BIL JOINT	402	76881	720.00
ST. LUKE’S	10006251	US LTD JOINT/NONVASCULAR BIL EXTREMITY	402	76882	540.00
ST. LUKE’S	10006255	XR AC JOINT UNILATERAL	320	73050	565.00
ST. LUKE’S	10006256	XR ELBOW 1 VIEW	320	73070	455.00
ST. LUKE’S	10006257	XR FOREARM 1 VIEW	320	73090	535.00
ST. LUKE’S	10006259	XR HAND 1 VIEW	320	73120	685.00
ST. LUKE’S	10006260	XR TIBIA AND FIBULA 1 VIEW	320	73590	565.00
ST. LUKE’S	10006262	XR ANKLE 1 VIEW	320	73600	505.00
ST. LUKE’S	10006263	BREAST TOMOSYNTHESIS SCREEN UNI	403	77063	115.00
ST. LUKE’S	10006266	NON-INVAS PHYS UNI 1-2 LVL LTD	921	93922	685.00
ST. LUKE’S	10006279	XR HEEL 1 VIEW MIN	320	73650	490.00
ST. LUKE’S	10006280	REPLACE CATHETER PLEURA W IMG	360	32557	2,360.00
ST. LUKE’S	10006283	NEISSERIA GONORRHOEA ANTIBODIES	301	86609	50.00
ST. LUKE’S	10006284	C DIFF TOXIN A/B BILL ONLY	301	87324	120.00
ST. LUKE’S	10006285	US GUIDED FNA BIOPSY 1ST LESN	360	10005	2,130.00
ST. LUKE’S	10006286	US GUIDED FNA BIOPSY EA ADD LESN	360	10006	1,600.00
ST. LUKE’S	10006287	FLUORO GUIDED FNA BIOPSY 1ST LESN	360	10007	1,730.00
ST. LUKE’S	10006288	FLUORO GUIDED FNA BIOPSY EA ADD LESN	360	10008	1,300.00
ST. LUKE’S	10006289	CT GUIDED FNA BIOPSY 1ST LESN	360	10009	3,330.00
ST. LUKE’S	10006290	CT GUIDED FNA BIOPSY EA ADD LESN	360	10010	2,500.00
ST. LUKE’S	10006293	BX SKIN TAGENTIAL SINGLE LESION	360	11102	440.00
ST. LUKE’S	10006294	BX SKIN TAGENTIAL EA ADD LESION	360	11103	220.00
ST. LUKE’S	10006295	BX SKIN PUNCH SINGLE LESION	360	11104	440.00
ST. LUKE’S	10006296	BX SKIN PUNCH EA ADD LESION	360	11105	220.00
ST. LUKE’S	10006297	BX SKIN INCISIONAL SINGLE LESION	360	11106	440.00
ST. LUKE’S	10006298	BX SKIN INCISIONAL EA ADD LESION	360	11107	220.00
ST. LUKE’S	10006299	INSERT PICC <AGE 5 W IMAGE	360	36572	3,530.00
ST. LUKE’S	10006300	INSERT PICC >=AGE 5 W IMAGE	360	36573	3,840.00
ST. LUKE’S	10006302	CHANGE GTUBE WO IMAGE	360	43762	695.00
ST. LUKE’S	10006303	CHANGE GTUBE WO IMAGE W REVISION	360	43763	870.00
ST. LUKE’S	10006304	NEPHRO DILATN EXIST TRACT ENDOUROL	360	50436	3,950.00
ST. LUKE’S	10006305	NEPHRO DIL EXIST TRCT ENDOUR N ACC	360	50437	5,920.00
ST. LUKE’S	10006306	ASHKENAZI JEWISH MUTATION PANEL	310	81443	3,630.00
ST. LUKE’S	10006307	US ELASTOGRAPHY PARENCHYMA	402	76981	695.00
ST. LUKE’S	10006308	US ELASTOGRAPHY 1ST LESN	402	76982	695.00
ST. LUKE’S	10006309	US ELASTOGRAPHY EA ADD LESN	402	76983	345.00
ST. LUKE’S	10006312	ANLYSIS NEURO STIM CRANIAL SMP	920	95976	620.00
ST. LUKE’S	10006313	ANLYSIS NEURO STIM CRANIAL CPLX	920	95977	920.00
ST. LUKE’S	10006316	ANALYZE NEUROSTIM BRAIN 1ST 15 MIN	920	95983	590.00
ST. LUKE’S	10006317	ANALYZE NEUROSTIM BRAIN EA ADDL 15 MIN	920	95984	145.00
ST. LUKE’S	10006337	INSERT WIRELESS CARDIAC STIMLTOR	481	0515T	17,200.00
ST. LUKE’S	10006339	PROGRAM WRLSS CARD STIMLTOR	480	0522T	480.00
ST. LUKE’S	10006341	ENDOVENUS CATH DIRECTED CHEM ABLAT	481	0524T	13,640.00
ST. LUKE’S	10006342	INS/RPL INTRACARD ISCHEMIA MONT	481	0525T	13,500.00
ST. LUKE’S	10006343	PROGRAM INTRACARD ISCHEMIA MONT	480	0528T	480.00
ST. LUKE’S	10006344	INTERROG INTRACARD ISCHEMIA MONT	480	0529T	480.00
ST. LUKE’S	10006346	XR WRIST 1 VIEW	320	73100	580.00
ST. LUKE’S	10006357	FNA W/O IMAGING EA ADD LESION	360	10004	530.00
ST. LUKE’S	10006358	ELECTROCORTICOGR W/INTERP EVRY 30D	740	95836	610.00
ST. LUKE’S	10006359	INSERT STIM LT VENT ELECTRODE ONLY	481	0516T	10,320.00
ST. LUKE’S	10006360	INSERT STIM LT VENT COMPONENTS	481	0517T	10,320.00
ST. LUKE’S	10006362	US NON CARDIAC CONTRAST INITIAL	402	76978	1,310.00
ST. LUKE’S	10006363	US NON CARDIAC CONTRAST EA ADDL	402	76979	655.00
ST. LUKE’S	10006364	VARICELLA-ZOSTER VIRUS BY PCR CSF	306	87798	625.00
ST. LUKE’S	10006365	MYD88 MUTATION ANALYSIS	310	81305	850.00
ST. LUKE’S	10006366	ROTEM THROMBOELASTOGRAM	305	85396	325.00
ST. LUKE’S	10006368	POC HEMOGLOBIN A1C	301	83036	70.00
ST. LUKE’S	10006371	AB,CREUTZFELDT JACOB	302	86317	230.00
ST. LUKE’S	10006372	HEPATITIS LIVER FIBROSIS	300	81596	530.00
ST. LUKE’S	10006388	PRION PROTEIN DETECTION CSF	310	0035U	1,460.00
ST. LUKE’S	10006389	STREP GROUP A AMP PROBE	306	87651	180.00
ST. LUKE’S	10006390	BASIC PROCEDURE	360		9,940.00
ST. LUKE’S	10006391	COMPLEX PROCEDURE	360		16,060.00
ST. LUKE’S	10006392	MAJOR COMPLEX PROCEDURE	360		22,480.00
ST. LUKE’S	10006393	GENERAL ROBOTIC	360		29,270.00
ST. LUKE’S	10006394	CARDIO-THORACIC BASIC	360		17,730.00
ST. LUKE’S	10006395	CARDIO -THORACIC COMPLEX	360		20,430.00
ST. LUKE’S	10006396	CARDIO-THORACIC MAJOR COMPLEX	360		25,750.00
ST. LUKE’S	10006397	CARDIO-THORACIC ROBOTIC	360		33,750.00
ST. LUKE’S	10006398	NEURO BASIC	360		13,720.00
ST. LUKE’S	10006399	NEURO COMPLEX	360		23,440.00
ST. LUKE’S	10006400	NEURO MAJOR COMPLEX	360		30,320.00
ST. LUKE’S	10006401	ORTHO BASIC	360		11,180.00
ST. LUKE’S	10006402	ORTHO COMPLEX	360		17,120.00
ST. LUKE’S	10006403	ORTHO MAJOR COMPLEX	360		21,310.00
ST. LUKE’S	10006404	ORTHO ROBOTIC	360		35,740.00
ST. LUKE’S	10006405	VASCULAR BASIC	360		8,420.00
ST. LUKE’S	10006406	VASCULAR COMPLEX	360		9,620.00
ST. LUKE’S	10006407	VASCULAR MAJOR COMPLEX	360		11,480.00
ST. LUKE’S	10006408	TRANSPLANT	360		18,000.00
ST. LUKE’S	10006409	TRANSPLANT WITH BYPASS	360		18,000.00
ST. LUKE’S	10006414	MR BREAST W/DYE BILATERAL	610	C8906	4,140.00
ST. LUKE’S	10006424	GHB URINE QUANTITATION	301	80375	160.00
ST. LUKE’S	10006425	GHB BLOOD QUANTITATION	301	80375	465.00
ST. LUKE’S	10006426	HIV PHENOTYPE	306	87900	565.00
ST. LUKE’S	10006428	INTERFERON BETA NEUTRALIZING AB	302	86352	440.00
ST. LUKE’S	10006429	TAU PROTEIN	301	83520	550.00
ST. LUKE’S	10006430	AB42 PEPTIDE	301	83520	550.00
ST. LUKE’S	10006492	FISH INSITU 3-5 CELLS	311	88272	1,830.00
ST. LUKE’S	10006493	CHROMOSOME ADDL BANDING	311	88283	470.00
ST. LUKE’S	10006494	NEWBORN SMA GENE	310	81329	220.00
ST. LUKE’S	10006495	PERICARDIOCENTESIS W IMG	360	33016	4,250.00
ST. LUKE’S	10006496	PERICARDIAL DRNAGE >6YRS W IMG	360	33017	4,860.00
ST. LUKE’S	10006499	LUMBAR PUNCTURE DIAGNOSTIC W IMG	360	62328	2,150.00
ST. LUKE’S	10006500	SPINAL PUNCTURE CSF DRNAGE W IMG	360	62329	3,160.00
ST. LUKE’S	10006501	INJ ANES/STEROID SACRILIAC W IMG	360	64451	2,020.00
ST. LUKE’S	10006502	INJ ANES/STEROID GENICULAR W IMG	360	64454	2,020.00
ST. LUKE’S	10006503	DESTROY GENICULAR NB W IMG	360	64624	2,800.00
ST. LUKE’S	10006504	RFA SACROILIAC JOINT W IMG	360	64625	3,160.00
ST. LUKE’S	10006505	ESOPHAGRAM DOUBLE CONTRAST	320	74221	1,230.00
ST. LUKE’S	10006506	SMALL BOWEL FOLLOW-THROUGH	320	74248	675.00
ST. LUKE’S	10006507	MYOCRD IMG PET 1 STUDY W/CT	404	78429	7,770.00
ST. LUKE’S	10006508	MYOCRD IMG PET RST/STRS W/CT	341	78430	8,530.00
ST. LUKE’S	10006510	MYOCRD IMG PET 2RTRACER	341	78432	9,210.00
ST. LUKE’S	10006511	MYOCRD IMG PET 2RTRACER W/CT	341	78433	10,130.00
ST. LUKE’S	10006512	AQMBF PET REST & RX STRESS	341	78434	2,750.00
ST. LUKE’S	10006513	RP LOCLZJ TUM SPECT W/CT 1 AREA	340	78830	3,110.00
ST. LUKE’S	10006514	RP LOCLZJ TUM SPECT MIN 2 AREAS	340	78831	3,590.00
ST. LUKE’S	10006515	RP LOCLZJ TUM SPECT W/CT MIN 2 AREAS	340	78832	4,110.00
ST. LUKE’S	10006516	RADIOPHARM QUANT MEASUREMNT 1 AREA	340	78835	450.00
ST. LUKE’S	10006517	BFB TRAINING 1ST 15 MIN	420	90912	350.00
ST. LUKE’S	10006518	BFB TRAINING EA ADDL 15 MIN	420	90913	175.00
ST. LUKE’S	10006519	MYOCRD STRAIN IMG SPCKL TRCK ASSMT	480	93356	445.00
ST. LUKE’S	10006520	DUP SCAN HEMO COMPL BI STUDY	921	93985	2,070.00
ST. LUKE’S	10006521	DUP SCAN HEMO COMPL UNI STUDY	921	93986	1,380.00
ST. LUKE’S	10006522	EEG CONT REC W/VID EEG MIN 8 CHNLS	740	95700	5,730.00
ST. LUKE’S	10006523	EEG WO VIDEO 2-12H UNMNTR	740	95705	2,870.00
ST. LUKE’S	10006524	EEG WO VIDEO 2-12H INT MNTR	740	95706	2,870.00
ST. LUKE’S	10006525	EEG WO VIDEO 2-12H CONT MNTR	740	95707	2,870.00
ST. LUKE’S	10006526	EEG WO VIDEO EA 12-26H UNMNTR	740	95708	5,730.00
ST. LUKE’S	10006527	EEG WO VIDEO EA 12-26H INT MNTR	740	95709	5,730.00
ST. LUKE’S	10006528	EEG WO VIDEO EA 12-26H CONT MNTR	740	95710	5,730.00
ST. LUKE’S	10006529	EEG W/VIDEO 2-12H UNMNTR	740	95711	2,870.00
ST. LUKE’S	10006530	EEG W/VIDEO 2-12H INT MNTR	740	95712	2,870.00
ST. LUKE’S	10006531	EEG W/VIDEO 2-12H CONT MNTR	740	95713	2,870.00
ST. LUKE’S	10006532	EEG W/VIDEO EA 12-26H UNMNTR	740	95714	5,730.00
ST. LUKE’S	10006533	EEG W/VIDEO EA 12-26H INT MNTR	740	95715	5,730.00
ST. LUKE’S	10006534	EEG W/VIDEO EA 12-26H CONT MNTR	740	95716	5,730.00
ST. LUKE’S	10006535	HEALTH BEH ASSMT/REASSESSMENT	900	96156	420.00
ST. LUKE’S	10006536	HEALTH BEH INTRV INDIV 1ST 30 MIN	900	96158	380.00
ST. LUKE’S	10006537	HEALTH BEH INTRV INDIV EA ADD 15 MIN	900	96159	190.00
ST. LUKE’S	10006544	THERAPEUTIC INTRV 1ST 15 MIN	420	97129	160.00
ST. LUKE’S	10006545	THERAPEUTIC INTRV EA ADDL 15 MIN	420	97130	160.00
ST. LUKE’S	10006562	MRI ELASTOGRAPHY	610	76391	2,560.00
ST. LUKE’S	10006569	MALARIA ANTIGEN	306	87899	155.00
ST. LUKE’S	10006570	HLA CLASS I TYPING, LOW RES COMPLETE	300	81372	925.00
ST. LUKE’S	10006571	OBSTETRIC PANEL	301	80055	250.00
ST. LUKE’S	10006572	OBSTETRIC PANEL WITH HIV	301	80081	370.00
ST. LUKE’S	10006573	CULTURE TYPING PULSE FIELD GEL	306	87152	235.00
ST. LUKE’S	10006574	MYOCRD IMG PET MLT RST&STRS	404	78492	7,770.00
ST. LUKE’S	10006575	CULTURE, URINE YEAST PRESUMPTIVE ID	306	87088	150.00
ST. LUKE’S	10006576	DYNAMIC SURFACE EMG	920	96002	620.00
ST. LUKE’S	10006577	OPSCPY EXTND RTA DRAW UNI/BI	920	92201	250.00
ST. LUKE’S	10006578	OPSCPY EXTND ON/MAC DRAW UNI/BI	920	92202	160.00
ST. LUKE’S	10006580	BUSULFAN	301	80299	4,000.00
ST. LUKE’S	10006582	STEM CELL ACQUISITION	815		120,210.00
ST. LUKE’S	10006583	VIABLE T-CELLS (AXICABTAGENE CILOLEUCEL)	891	Q2041	2,950,000.00
ST. LUKE’S	10006587	COVID-19 CDC	306	87635	20.00
ST. LUKE’S	10006589	HC PRO PHONE CALL 5-10 MIN	780	98966	100.00
ST. LUKE’S	10006590	HC PRO PHONE CALL 11-20 MIN	780	98967	165.00
ST. LUKE’S	10006591	HC PRO PHONE CALL 21-30 MIN	780	98968	210.00
ST. LUKE’S	10006608	THERAPEUTIC AQUAPHERESIS	940	36516	9,420.00
ST. LUKE’S	10006609	SARS-COV-2 IGG ANTIBODY	302	86769	75.00
ST. LUKE’S	10006610	HARVEST ALLOGENEIC STEM CELL	360	38205	13,460.00
ST. LUKE’S	10006615	ECMO PERPH CANNULA	360	33952	1,890.00
ST. LUKE’S	10006623	HEMATOLYMPH MUTATIONS BY NGS >50	310	81455	2,530.00
ST. LUKE’S	10006624	KAPPA QUANTITATIVE	301	83521	90.00
ST. LUKE’S	10006625	LAMBDA QUANTITATIVE	301	83521	90.00
ST. LUKE’S	10006627	DONOR LYMPHOCYTE INFUSION	360	38242	8,340.00
ST. LUKE’S	10006639	ALGINATE DRSG > 48SQ IN	623	A6198	55.00
ST. LUKE’S	10006640	COVID-19 EIA	306	87426	75.00
ST. LUKE’S	10006641	POC COVID-19 EIA	306	87426	75.00
ST. LUKE’S	10006651	TRANSPLJ HEMATOPOIETIC BOOST	360	38243	5,960.00
ST. LUKE’S	10006658	MTB RIFAMPIN PCR	306	87798	230.00
ST. LUKE’S	10006659	PET,DX,TUMOR ID,NOC	343	A9597	9,310.00
ST. LUKE’S	10006665	CHEMOTHERAPY UNSPECIFIED	280	96549	245.00
ST. LUKE’S	10006667	COVID, INFLU A & B, RSV PCR PANEL	306	0241U	320.00
ST. LUKE’S	10006668	POC ESTRADIOL LEVEL	301	82670	240.00
ST. LUKE’S	10006675	RIFAMPIN	301	80375	400.00
ST. LUKE’S	10006676	PYRAZINAMIDE	301	80299	385.00
ST. LUKE’S	10006677	ETHIONAMIDE	301	80299	385.00
ST. LUKE’S	10006678	ATAZANVIR	301	80299	385.00
ST. LUKE’S	10006679	MOXIFLOXACIN	301	80299	385.00
ST. LUKE’S	10006680	ADAMTS13 SEQUENCE ANALYSIS	310	81479	2,890.00
ST. LUKE’S	10006681	SEPT9 PROMOTOR METHYLATION	310	81327	580.00
ST. LUKE’S	10006682	INSULIN-LIKE GROWTH FACTOR 2	301	83520	240.00
ST. LUKE’S	10006683	COMPLEMENT ACTIVITIY, C1Q	302	86161	445.00
ST. LUKE’S	10006684	ARIPIPAZOLE	301	80342	145.00
ST. LUKE’S	10006685	RHD ZYGOSITY	310	81403	700.00
ST. LUKE’S	10006686	RED CELL GENOTYPING COMMON	310	0001U	375.00
ST. LUKE’S	10006687	MLP CODON 515 PYROSEQUENCING	310	81338	2,420.00
ST. LUKE’S	10006688	KIT D816V MUTATION PCR	310	81273	745.00
ST. LUKE’S	10006689	GLIOSEQ NGS	310	81445	2,490.00
ST. LUKE’S	10006690	FIBRILLARIN ANTIBODY	302	86235	80.00
ST. LUKE’S	10006691	PM/SCL-100 ANTIBODY	302	86235	80.00
ST. LUKE’S	10006692	UNIPARENTAL DISOMY	310	81402	1,180.00
ST. LUKE’S	10006693	PPX ANTIBODY	302	86255	115.00
ST. LUKE’S	10006694	PLATELET PHER L/R LARGE VOL	390	P9035	1,980.00
ST. LUKE’S	10006695	PLATELET PHER L/R IR LARGE VOL	390	P9037	2,060.00
ST. LUKE’S	10006696	HYPERBRIC O2 30MIN MULTI-PLACE	413	G0277	1,060.00
ST. LUKE’S	10006697	LIQUID PLASMA	390	P9099	255.00
ST. LUKE’S	10006699	CORE NEEDLE BX LUNG/MEDISTNM PERC	360	32408	2,420.00
ST. LUKE’S	10006701	CT THORAX LUNG CANCER SCRN W/O DYE	350	71271	890.00
ST. LUKE’S	10006702	MED PHYSIC DOS EVAL RAD EXPOS	320	76145	1,290.00
ST. LUKE’S	10006703	CARBAMAZEPINE 10, 11 EPOXIDE	300	80161	265.00
ST. LUKE’S	10006704	BACTERIAL VAGINOSIS EXTENDED	300	81514	890.00
ST. LUKE’S	10006711	EXERCISE TST BRNCSPSM WO ECG	460	94619	215.00
ST. LUKE’S	10006712	PROLONG OP OFFICE E/M EA 15 MIN	510	99417	100.00
ST. LUKE’S	10006721	TC VIS LIT HYPERSPECTRAL IMG	310	0631T	135.00
ST. LUKE’S	10006723	CT BREAST W/3D UNI W/O DYE	350	0633T	2,800.00
ST. LUKE’S	10006724	CT BREAST W/3D UNI W/DYE	350	0634T	3,000.00
ST. LUKE’S	10006725	CT BREAST W/3D UNI WWO DYE	350	0635T	4,400.00
ST. LUKE’S	10006726	CT BREAST W/3D BI W/O DYE	350	0636T	4,200.00
ST. LUKE’S	10006727	CT BREAST W/3D BI W/DYE	350	0637T	4,500.00
ST. LUKE’S	10006728	CT BREAST W/3D BI WWO DYE	350	0638T	6,600.00
ST. LUKE’S	10006729	CAR-T CELL COLLECT & HANDLE	871	0537T	15,220.00
ST. LUKE’S	10006731	CAR-T CELL RECEIPT & PREP	873	0539T	2,470.00
ST. LUKE’S	10006732	CAR-T CELL ADMN AUTOLOGOUS	874	0540T	2,470.00
ST. LUKE’S	10006734	COVID, INFLU A & B PCR PANEL	306	87636	300.00
ST. LUKE’S	10006736	POC BLOOD LEAD	300	83655	110.00
ST. LUKE’S	10006737	POC LIPID PROFILE	300	80061	245.00
ST. LUKE’S	10006738	POC SEMEN ANLYS VOL/COUNT/MOT MORPHOLOGY	300	89320	205.00
ST. LUKE’S	10006739	POC SEMEN CRYO PRESERVATION REPORT	300	89335	155.00
ST. LUKE’S	10006740	POC SGPT	300	84460	120.00
ST. LUKE’S	10006741	POC URINE DIP W/ MICRO	300	81001	110.00
ST. LUKE’S	10006742	POC ARTHROPOD EXAM	300	87168	40.00
ST. LUKE’S	10006743	POC HEPATITIS C ANTIBODY SCREENING	300	86803	220.00
ST. LUKE’S	10006744	NON-INVASIVE VENTILATOR & MONITOR INITIAL	410	94002	2,520.00
ST. LUKE’S	10006745	NON-INVASIVE VENTILATOR & MONITOR SUBSQ	410	94003	1,900.00
ST. LUKE’S	10006746	AEP SCR AUDITORY POTENTIAL	470	92650	165.00
ST. LUKE’S	10006747	AEP HEARING STATUS DETER I&R	470	92651	280.00
ST. LUKE’S	10006748	AEP THRSHLD EST MLT FREQ I&R	470	92652	1,350.00
ST. LUKE’S	10006749	AEP NEURODIAGNOSTIC I&R	470	92653	1,350.00
ST. LUKE’S	10006752	FLUOROESTRADIOL F 18 1 MCI	343	A9591	1,840.00
ST. LUKE’S	10006753	CASIRIVIMAB AND IMDEVIMAB INFUSION	771	M0243	880.00
ST. LUKE’S	10006755	TCD EMBOLI DETECT W/O INJ	921	93892	1,410.00
ST. LUKE’S	10006766	QNHP OL DIG ASSMT & MGMT 5-10	510	98970	60.00
ST. LUKE’S	10006767	QNHP OL DIG ASSMT & MGMT 11-20	510	98971	125.00
ST. LUKE’S	10006768	QNHP OL DIG ASSMT & MGMT 21+	510	98972	200.00
ST. LUKE’S	10006769	ABLATE PULM TUMOR PERQ CRYBL	360	32994	10,550.00
ST. LUKE’S	10006778	HEMATOLYMPH MUTATIONS BY NGS 5-50	310	81450	5,260.00
ST. LUKE’S	10006779	CHLAMYDIA/GC PCR	306	87801	420.00
ST. LUKE’S	10006780	COVID-19 PCR	306	87635	170.00
ST. LUKE’S	10006781	COPPER CU 64 DOTATATE DIAG PER MCI	343	A9592	2,390.00
ST. LUKE’S	10006784	BAMLAN AND ETESEV INFUSION	771	M0245	880.00
ST. LUKE’S	10006785	TRANSPLT ALLO HCT/DONOR	360	38240	6,910.00
ST. LUKE’S	10006787	PULSE OXIMETRY CONT OVERNIGHT	460	94762	420.00
ST. LUKE’S	10006788	IRE ABLTJ 1+TUM ORGAN W/IMG PERQ	360	0600T	17,730.00
ST. LUKE’S	10006789	T-CELL DEPLETION OF HARVEST	360	38210	37,670.00
ST. LUKE’S	10006791	PHOSPHOLIP A2 RECEPT AB	302	86255	480.00
ST. LUKE’S	10006792	PHOPHOLIP A2 RECPT AB TITER	302	86256	615.00
ST. LUKE’S	10006793	NUDT15 GENE ANALYSIS	300	81306	670.00
ST. LUKE’S	10006794	CULTURE TYPING STREP LATEX	306	87147	45.00
ST. LUKE’S	10006795	PURAPLY AM PER SQ CM	278	Q4196	485.00
ST. LUKE’S	10006796	CULTURE, ANAEROBIC ID MANUAL	306	87076	80.00
ST. LUKE’S	10006797	CULTURE, AEROBIC ID MANUAL	306	87077	155.00
ST. LUKE’S	10006798	CULTURE, YEAST ID MANUAL	306	87106	155.00
ST. LUKE’S	10006801	COVID, INFLU A & B PANEL CEPHEID	306	0240U	290.00
ST. LUKE’S	10006804	ESOPH BALLOON DISTENSION TST	750	91040	2,730.00
ST. LUKE’S	10006805	PHOSPHATIDYLETHANOL QUANT	301	80321	285.00
ST. LUKE’S	10006807	SYNOVASURE RAPID	301	83518	1,870.00
ST. LUKE’S	10006811	POC COVID, INFLU A & B PNL FIA	306	87428	135.00
ST. LUKE’S	10006812	REMOVE PERITONEAL/VENOUS SHUNT	360	49429	8,490.00
ST. LUKE’S	10006813	VOLTAGE GATED K CHANNEL AB	301	83519	810.00
ST. LUKE’S	10006832	HEPARIN NEUTRALIZATION	305	85525	40.00
ST. LUKE’S	10006835	BLOOD CULTURE ID PCR PANEL	306	87154	760.00
ST. LUKE’S	10006836	PIFLU F-18, DIA 1 MILLICURIEN	343	A9595	1,700.00
ST. LUKE’S	10006837	3D IMAGING W/CONGENITAL TEE/TTE	483	93319	880.00
ST. LUKE’S	10006838	QUAN US TIS CHARAC W/O DX US	402	0689T	365.00
ST. LUKE’S	10006839	QUAN US TIS CHARAC W/DX US	402	0690T	365.00
ST. LUKE’S	10006840	QUAN MR TIS WO MRI MLT ORGN	920	0697T	1,220.00
ST. LUKE’S	10006841	QUAN MR TISS W/MRI MLT ORGN	920	0698T	1,220.00
ST. LUKE’S	10006846	HB CASIRIVI AND IMDEVI REPEAT	771	M0240	880.00
ST. LUKE’S	10006847	PHY/QHP OP PULM RHB W/O MNTR	948	94625	330.00
ST. LUKE’S	10006848	PHY/QHP OP PULM RHB W/MNTR	948	94626	360.00
ST. LUKE’S	10006849	PERC CEREB EMB PRT DEV PLMT&RMVL	481	33370	4,590.00
ST. LUKE’S	10006855	EYE EXAM & TREATMENT	360	92019	6,240.00
ST. LUKE’S	10006862	POC COVID-19 PCR	306	87635	170.00
ST. LUKE’S	10006863	POC COVID-19 DIRECT OPTICAL	306	87811	125.00
ST. LUKE’S	10006864	POC RAPID SCREEN FOR GROUP A STREP	306	87430	50.00
ST. LUKE’S	10006867	14-3-3 ETA PROTEIN	301	83520	425.00
ST. LUKE’S	10006868	MEPERIDINE QUANT	301	80362	440.00
ST. LUKE’S	10006869	METHAQUALONE QUANT	301	80368	345.00
ST. LUKE’S	10006870	SYNTH CANNABINOIDS QUANT	301	80352	150.00
ST. LUKE’S	10006871	USTEKINUMAB QUANTITATION	301	80299	360.00
ST. LUKE’S	10006872	USTEKINUMAB ANTIBODIES	301	83520	330.00
ST. LUKE’S	10006875	TIXAGEV AND CILGAV INJ	771	M0220	880.00
ST. LUKE’S	10006876	SOTROVIMAB INFUSION	771	M0247	880.00
ST. LUKE’S	10006883	RED CELL GENOTYPING VERSITI	310	0282U	1,460.00
ST. LUKE’S	10006884	KARIUS TEST NGS	310	0152U	4,350.00
ST. LUKE’S	10006886	BEBTELOVIMAB INJECTION	771	M0222	715.00
ST. LUKE’S	10006887	APIXABAN	301	80299	640.00
ST. LUKE’S	10006891	IGHV MUTATION ANALYSIS	310	81263	1,100.00
ST. LUKE’S	10006893	FOOT ARCH SUPPORT REMOV PREM	274	L3030	85.00
ST. LUKE’S	10006895	RADIOPHARM RX AGENT NOC	344	A9699	87,210.00
ST. LUKE’S	10006903	REVASC INTRAVASC LITHO/STNT	481	C9765	23,660.00
ST. LUKE’S	10006911	ACETYCHOLINE RECEPTOR MODULATING AB	301	83516	120.00
ST. LUKE’S	10006913	T-CELL GENE REARRANGEMENT PANEL	310	81479	2,360.00
ST. LUKE’S	10006914	JAK2 GENE QUALITATIVE	310	81270	860.00
ST. LUKE’S	10006915	JAK2 GENE QUANTITATIVE	310	81270	860.00
ST. LUKE’S	10006921	POC STREP GROUP A AMP PROBE	306	87651	180.00
ST. LUKE’S	10006929	BILE TRACT SURGERY PROCEDURE	360	47999	5,820.00
ST. LUKE’S	10006930	ACCESS THORACIC LYMPH DUCT	360	38794	4,060.00
ST. LUKE’S	10006934	TPMT AND NUDT15 GENES	310	81479	1,060.00
ST. LUKE’S	10006935	CULTURE, H PYLORI	306	87081	250.00
ST. LUKE’S	10006938	MYELIN OLIGODENDROCYTE GLYCOPROTEIN AB	302	86362	395.00
ST. LUKE’S	10006940	OMEGA 3 AND 6 FATTY ACIDS	301	82542	150.00
ST. LUKE’S	10006941	GALLIUM ILLUCCIX 1 MILLICURE	343	A9596	2,490.00
ST. LUKE’S	10006947	AB, ASPERGILLUS QUANTITATIVE	302	86317	160.00
ST. LUKE’S	10006948	MATERNAL SCREEN, FETAL HCG, PAPP-A	300	81508	215.00
ST. LUKE’S	10006949	ETHYL GLUCURONIDE CONFIRMATION	301	80321	100.00
ST. LUKE’S	10006953	HB ORTHOPOXVIRUS PCR	306	87593	295.00
ST. LUKE’S	10006954	HB BREXUCABTAGENE CAR POS T	891	Q2053	2,700,000.00
ST. LUKE’S	10006956	MRD FLOW CYTOMETRY, FIRST MARKER	311	88184	355.00
ST. LUKE’S	10006957	MRD FLOW CYTOMETRY EA ADDL MARKER	311	88185	190.00
ST. LUKE’S	10006958	BABESIA SPECIES PCR	306	87798	130.00
ST. LUKE’S	10006959	ABCC8 GENE	310	81401	235.00
ST. LUKE’S	10006960	REM THER MNTR 1ST SETUP&EDU	510	98975	135.00
ST. LUKE’S	10006961	REM THER MNTR DEV SPLY RESP	460	98976	220.00
ST. LUKE’S	10006962	REM THER MNTR DV SPLY MSCSKL	420	98977	220.00
ST. LUKE’S	10006963	REM THER MNTR 1ST 20 MIN	960	98980	185.00
ST. LUKE’S	10006964	REM THER MNTR EA ADDL 20 MIN	960	98981	150.00
ST. LUKE’S	10006975	FOOT LONGITUDINAL ARCH SUPPORT	274	L3010	350.00
ST. LUKE’S	10006976	ORTHOTIC FOOT CUSTOM	274	L3020	350.00
ST. LUKE’S	10006993	TRACH-ESOPH VOICE PROSTHESIS	274	L8509	155.00
ST. LUKE’S	10006998	IMPLANT NEUROELECTRODES	360	64555	10,140.00
ST. LUKE’S	10006999	LUTETIUM LU 177 VIPIVOTIDE	343	A9607	685.00
ST. LUKE’S	10007001	EHRLICHIA EWINGII/CANIS PCR	306	87798	90.00
ST. LUKE’S	10007002	EHRLICHIA MURIS-LIKE PCR	306	87798	90.00
ST. LUKE’S	10007008	FLT3 MUTATION ANALYSIS	310	81479	970.00
ST. LUKE’S	10007009	BABESIA MICROTI PCR	306	87469	135.00
ST. LUKE’S	10007010	EHRLICHIA CHAFFEENSIS PCR	306	87484	90.00
ST. LUKE’S	10007014	INTERDISCAL PERCUTANEOUS ASPIRATION DX	360	62267	1,350.00
ST. LUKE’S	10007015	PULM ART REVASC INITIAL STNT UNILATERAL	360	33900	23,850.00
ST. LUKE’S	10007016	PUL ART REVASC INITIAL STNT BILATERAL	360	33901	29,820.00
ST. LUKE’S	10007017	PULM ART REVASC INITIAL STNT UNILATERAL	360	33902	39,350.00
ST. LUKE’S	10007018	PULM ART REVASC INITIAL STNT BILATERAL	360	33903	49,190.00
ST. LUKE’S	10007019	PULM ART REVASC ADDITIONAL STENT PLACEMENT	360	33904	9,540.00
ST. LUKE’S	10007020	AVF UPPER EXTREMITY CRTN SINGLE ACCESS WITH IMAGING	360	36836	40,760.00
ST. LUKE’S	10007021	AVF UPPER EXTREMITY CRTN SEPERATE ACCESS SITES WITH IMAGING	360	36837	47,550.00
ST. LUKE’S	10007022	ULTRASOUND NERVE EXTREMITY UNILATERAL	402	76883	680.00
ST. LUKE’S	10007027	MR MFI TRT PLAN ABLATION PRST TISSUE	610	0738T	515.00
ST. LUKE’S	10007029	NM AQMBF SPECT WITH EXERCISE OR PHARM REST/STRESS	341	0742T	2,630.00
ST. LUKE’S	10007030	DEXA BONE STR FX RISK CNCRNT VERT FX	320	0743T	815.00
ST. LUKE’S	10007031	DEXA BONE STR FX RISK USING DXR BMD	320	0749T	685.00
ST. LUKE’S	10007032	DEXA BONE STR FX RISK USING DXR BMD HAND 1V	320	0750T	715.00
ST. LUKE’S	10007033	EKG ASSTV RISK ASMT CNCRT EKG	730	0764T	230.00
ST. LUKE’S	10007034	EKG ASSTV RISK ASMT PREV EKG	730	0765T	230.00
ST. LUKE’S	10007035	MULTI-FAMILY GROUP BEHAV TRN WITHOUT PT 1ST HR	916	96202	120.00
ST. LUKE’S	10007036	MULTI-FAMILY GROUP BEHAV TRN WITHOUT PT EACH ADDITIONAL 15M	916	96203	30.00
ST. LUKE’S	10007037	REMOTE BH DX/EVAL/TX 15-29 MINUTES	900	C7900	120.00
ST. LUKE’S	10007038	REMOTE BH DX/EVAL/TX 30-60 MINUTES	900	C7901	240.00
ST. LUKE’S	10007039	REMOTE BH DX/EVAL/TX EACH ADDITIONAL 15 MINUTES	900	C7902	60.00
ST. LUKE’S	10007040	REMOTE THER MONITOR DEV SPLY COGNITIVE BEHAVIOR THERAPY	900	98978	140.00
ST. LUKE’S	10007042	HB L3671 SO CAP DESIGN WITHOUT JOINTS CUSTOM	274	L3671	1,180.00
ST. LUKE’S	10007043	HB L3702 EO WITHOUT JOINTS CUSTOM	274	L3702	380.00
ST. LUKE’S	10007044	HB L3762 EO RIGID WITHOUT JOINTS PREFAB	274	L3762	140.00
ST. LUKE’S	10007045	HB L3763 EWHO RIGID WITHOUT JOINTS CUSTOM	274	L3763	975.00
ST. LUKE’S	10007046	HB L3806 WHFO WITH JOINTS CUSTOM	274	L3806	590.00
ST. LUKE’S	10007047	HB L3808 WHFO RIGID WITHOUT JOINTS CUSTOM	274	L3808	465.00
ST. LUKE’S	10007048	HB L3905 WHO NONTORSION JOINTS CUSTOM	274	L3905	1,290.00
ST. LUKE’S	10007049	HB L3906 WHO WITHOUT JOINTS CUSTOM	274	L3906	660.00
ST. LUKE’S	10007050	HB L3913 HFO WITHOUT JOINTS CUSTOM	274	L3913	355.00
ST. LUKE’S	10007051	HB L3915 WHO WITH JOINTS PREFAB	274	L3915	695.00
ST. LUKE’S	10007052	HB L3919 HO WITHOUT JOINTS CUSTOM	274	L3919	355.00
ST. LUKE’S	10007053	HB L3921 HFO WITH JOINTS CUSTOM	274	L3921	420.00
ST. LUKE’S	10007054	HB L3925 FO PIP/DIP WITH JOINT SPRING PREFAB	274	L3925	85.00
ST. LUKE’S	10007055	HB L3927 PIP/DIP WITHOUT JOINT, EXT/FLEX, PREFAB	274	L3927	85.00
ST. LUKE’S	10007056	HB L3929 HFO NONTORSION JOINTS PREFAB	274	L3929	120.00
ST. LUKE’S	10007057	HB L3933 FINGER ORTHOSIS WITHOUT JOINTS	274	L3933	280.00
ST. LUKE’S	10007058	HB L3935 FO NONTORSION JOINTS CUSTOM	274	L3935	290.00
ST. LUKE’S	10007059	UREAPLASMA PARVUM BY PCR	306	87798	145.00
ST. LUKE’S	10007060	TRANSFORMING GROWTH FACTOR BETA	301	83520	405.00
ST. LUKE’S	10007061	TRANSPLANT RESPIRATORY PATHOGEN PNL	306	0202U	1,500.00
ST. LUKE’S	10007064	US SOFT TISSUE CHEST WALL	402	76604	675.00
ST. LUKE’S	10007065	HB INJECT SKIN LESIONS	761	11900	2,660.00
ST. LUKE’S	10007068	HB SUSCEPTIBILITY MIC ADDITIONAL	306	87186	80.00
ST. LUKE’S	10007070	HB ZINC TRANSPORTER 8 AB	302	86341	380.00
ST. LUKE’S	10007071	HB PARTIAL RHD ANALYSIS ARC	310	81403	1,140.00
ST. LUKE’S	10007072	HB PARTIAL RHD ANALYSIS VERSITI	310	81479	1,030.00
ST. LUKE’S	10007073	ZOLPEIDEM QUANTITATIVE	301	80368	155.00
ST. LUKE’S	10007074	SPERM MORPHOLOGY	300	89398	125.00
ST. LUKE’S	10007086	ASPIRATE RENAL CYST/PELVIS BILATERAL	360	50390	2,070.00
ST. LUKE’S	10007099	MR CERVICAL SPINE LTD WITHOUT DYE	610	72141	4,040.00
ST. LUKE’S	10007101	MR THORACIC SPINE LTD WITHOUT DYE	610	72146	4,040.00
ST. LUKE’S	10007111	ED TRIAGE TELEMEDICINE	450	99281	125.00
ST. LUKE’S	10007117	TP53 GENE ANALYSIS	310	81352	2,130.00
ST. LUKE’S	10007129	HB CMV PHENOTYPE	306	87900	620.00
ST. LUKE’S	10007130	HB MUSK ANTIBODY IFA	302	86255	745.00
ST. LUKE’S	10007131	HB MUSK ANTIBODY TITER	302	86256	600.00
ST. LUKE’S	10007135	INSTILL FECAL MICROBIOTA SUSP	750	0780T	3,350.00
ST. LUKE’S	10007136	PAIN MANAMENT DRUG SCREEN	301	80307	190.00
ST. LUKE’S	10007137	DRUG TESTS DEFINITIVE 22 OR MORE CLASSES	301	G0483	270.00
ST. LUKE’S	10007138	PANCREATITIS PANEL	310	81479	4,640.00
ST. LUKE’S	10007139	IDH 1 AND IDH2 MUTATION PANEL	310	81479	2,180.00
ST. LUKE’S	10007140	VAGINITIS PANEL BY NAA	306	87999	1,030.00
ST. LUKE’S	10007141	MYELOID MALIGNANCIES PANEL BY NGS	310	81479	6,080.00
ST. LUKE’S	10007142	COVID/FLU/RSV PCR PANEL	306	87999	320.00
ST. LUKE’S	10007143	COVID/FLU PANEL CEPHEID	306	87999	290.00
ST. LUKE’S	10007149	RMVL NSTIM APNEA PLS GEN	360	33280	9,680.00
ST. LUKE’S	10007152	RMVL/RPLC NSTIM APNEA PLS GN	360	33287	15,650.00
ST. LUKE’S	10007156	JAK2 EXONS 12, 13, 14, 15	310	81279	665.00
ST. LUKE’S	10007157	HMGCR ANTIBODIES	301	83516	290.00
ST. LUKE’S	10007158	ESTRADIOL FREE DIRECT MEASUREMENT	301	82681	205.00
ST. LUKE’S	10007159	PALIPERIDONE	301	80342	400.00
ST. LUKE’S	10007160	MPL EXON 10 GENE	310	81339	665.00
ST. LUKE’S	10007161	QUANTITATIVE MRI TISSUE WITH /MRI 1ORGN	610	0649T	2,880.00
ST. LUKE’S	10007162	QUANTITATIVE MRI TISSUE WITHOUT MRI 1ORGN	610	0648T	2,160.00
ST. LUKE’S	10007163	ADMN SARSCOV2 VACC 1 DOSE	771	90480	85.00
ST. LUKE’S	10007164	LEGIONELLA SPECIES BY PCR	306	87798	175.00
ST. LUKE’S	10007165	APOLIPOPROTEIN E GENE ALZHEIMER RISK	310	81401	515.00
ST. LUKE’S	10007166	CONNEXIN 26 SEQ AND DUP/DEL PANEL	310	81252	1,990.00
ST. LUKE’S	10007167	APPLY HAND/WRIST CAST	420	29085	320.00
ST. LUKE’S	10007168	APPLY FINGER CAST	420	29086	320.00
ST. LUKE’S	10007171	FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ	310	81420	2,280.00
ST. LUKE’S	10007172	ACETYLCHOLINE RECEPTOR GANGLIONIC AB	301	83519	450.00
ST. LUKE’S	10007173	ADAPTOR PROTEIN 3B2 AB	302	86255	295.00
ST. LUKE’S	10007174	MITRAGYNINE QUANTITATION	301	80323	125.00

St. Lukes CM Publication

Zygomatic bone

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