| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $9,944 | — | $514 | unverified |
| Blood test, hemoglobin CPT Code: 85018 | $15 | — | $5 | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,563 | — | $418 | — |
| Orthotic fitting and training CPT Code: 97760 | $121 | — | $62 | — |
| Blood test, creatinine (kidney) CPT Code: 82565 | $69 | — | $12 | — |
| Blood test, amylase CPT Code: 82150 | $78 | — | $17 | — |
| MMR vaccine (measles, mumps, rubella) HCPCS Code: 90707 | $2,629 | — | $125 | unverified |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $753 | — | $151 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,539 | — | $393 | unverified |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $83 | — | $27 | — |
| Occupational therapy (therapeutic activities) CPT Code: 97530 | $109 | — | $56 | — |
| X-ray, hand CPT Code: 73130 | $241 | — | $96 | — |
| Speech therapy (group session) CPT Code: 92508 | $415 | — | $39 | unverified |
| Blood transfusion CPT Code: 36430 | $2,449 | — | $371 | unverified |
| X-ray, chest (two views) CPT Code: 71046 | $546 | — | $90 | unverified |
| Blood test, PSA (prostate screen) CPT Code: 84153 | $118 | — | $32 | — |
| Culture, bacterial CPT Code: 87070 | $87 | — | $22 | — |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $299 | — | $73 | — |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | — | — | $30 | unverified |
| Blood test, clotting time (PT/INR) CPT Code: 85610 | $44 | — | $11 | — |
| Drug screening test HCPCS Code: G0480 | $216 | — | $146 | — |
| Blood test, thyroid (TSH) CPT Code: 84443 | $140 | — | $34 | — |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $109 | — | $54 | — |
| Culture, blood CPT Code: 87040 | $64 | — | $29 | — |
| MRI, knee or other leg joint CPT Code: 73721 | $5,337 | — | $428 | unverified |
| Blood test, vitamin B12 CPT Code: 82607 | $83 | — | $28 | — |
| Blood test, vitamin D CPT Code: 82306 | $183 | — | $46 | — |
| Blood test, urea nitrogen (BUN, kidney) CPT Code: 84520 | $67 | — | $8 | — |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $525 | — | $155 | — |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $3,968 | — | $201 | unverified |
| CT scan, pelvis CPT Code: 72192 | $3,433 | — | $202 | unverified |
| X-ray, pelvis CPT Code: 72170 | $157 | — | $107 | — |
| Speech therapy (language evaluation) CPT Code: 92507 | $222 | — | $95 | — |
| Blood test, magnesium CPT Code: 83735 | $51 | — | $15 | — |
| Prosthetic fitting and training CPT Code: 97761 | $91 | — | $59 | — |
| Urinalysis (automated, with microscopy) CPT Code: 81001 | $22 | — | $7 | — |
| Physical therapy (functional capacity test) CPT Code: 97750 | $114 | — | $59 | — |
| Ultrasound, thyroid and neck CPT Code: 76536 | $386 | — | $151 | — |
| Physical therapy (gait training) CPT Code: 97116 | $109 | — | $55 | — |
| Blood antibody screen CPT Code: 86850 | $205 | — | $45 | — |
| Blood test, liver function panel CPT Code: 80076 | $50 | — | $21 | — |
| Blood test, complete blood count (CBC) CPT Code: 85025 | $48 | — | $17 | — |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $856 | — | $270 | — |
| CT scan, chest (no contrast) CPT Code: 71250 | $2,999 | — | $202 | unverified |
| X-ray, hip CPT Code: 73502 | $561 | — | $101 | — |
| Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: 90715 | $142 | — | $70 | — |
| Hepatitis C antibody test CPT Code: 86803 | $88 | — | $29 | — |
| Occupational therapy (self-care training) CPT Code: 97535 | $94 | — | $63 | — |
| Blood test, clotting time (PTT) CPT Code: 85730 | $26 | — | $14 | — |
| CT scan, head (no contrast) CPT Code: 70450 | $3,529 | — | $188 | unverified |
| X-ray, ankle CPT Code: 73610 | $288 | — | $89 | — |
| CT scan, sinuses CPT Code: 70486 | $3,214 | — | $202 | unverified |
| Blood test, average blood sugar (A1c) CPT Code: 83036 | $55 | — | $20 | — |
| X-ray, neck (cervical spine) CPT Code: 72040 | $175 | — | $93 | — |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $220 | — | $25 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $3,136 | — | $308 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $3,529 | — | $294 | unverified |
| Blood test, sodium CPT Code: 84295 | $51 | — | $10 | — |
| Physical therapy (therapeutic exercise) CPT Code: 97110 | $109 | — | $55 | — |
| X-ray, lower back CPT Code: 72110 | $558 | — | $121 | — |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $172 | — | $113 | — |
| Blood test, calcium CPT Code: 82310 | $45 | — | $10 | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,755 | — | $433 | — |
| Prostate cancer screening (blood test) HCPCS Code: G0103 | $80 | — | $31 | — |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $472 | — | $183 | — |
| X-ray, foot CPT Code: 73630 | $368 | — | $91 | — |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,374 | — | $568 | unverified |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $665 | — | $134 | — |
| X-ray, shoulder CPT Code: 73030 | $300 | — | $98 | — |
| X-ray, chest (single view) CPT Code: 71045 | $483 | — | $95 | — |
| MRI, brain (no contrast) CPT Code: 70551 | $4,526 | — | $437 | unverified |
| Blood test, basic metabolic panel CPT Code: 80048 | $246 | — | $25 | unverified |
| Screening mammogram (both breasts) CPT Code: 77067 | $207 | — | $139 | — |
| CT scan, neck (cervical spine) CPT Code: 72125 | $5,472 | — | $200 | unverified |
| Blood test, potassium CPT Code: 84132 | $27 | — | $9 | — |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $74 | — | $9 | — |
| Electrical stimulation therapy HCPCS Code: G0283 | $105 | — | $23 | — |
| Ultrasound, pelvis CPT Code: 76856 | $968 | — | $149 | — |
| Breathing treatment (nebulizer) CPT Code: 94640 | $95 | — | $105 | — |
| Physical therapy (manual therapy) CPT Code: 97140 | $109 | — | $46 | — |
| Blood test, lipase CPT Code: 83690 | $93 | — | $18 | — |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $84 | — | $29 | — |