|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$335.39 |
$335.39 |
$335.39 |
$7,713.54
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$785.78 |
$785.78 |
$785.78 |
$11,040.83
|
|
Av fistula revision
|
$8,655.43 |
$8,655.43 |
$8,655.43 |
$6,396.89
|
|
Av fuse uppr arm basilic
|
$1,133.04 |
$1,133.04 |
$1,133.04 |
$6,396.89
|
|
Av fuse uppr arm cephalic
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$5,983.35
|
|
Av fusion direct any site
|
$1,000.22 |
$1,000.22 |
$1,000.22 |
$4,044.69
|
|
Av fusion/forearm vein 36820
|
$1,095.20 |
$1,095.20 |
$1,095.20 |
$5,988.54
|
|
Avul nail plate addl
|
$500.11 |
$500.11 |
$500.11 |
$232.80
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$520.89 |
$520.89 |
$520.89 |
$356.00
|
|
Axillary lymphadenect/superficial 38740
|
$1,085.55 |
$1,085.55 |
$1,085.55 |
$6,094.22
|
|
Azathioprine 50 mg tablet
|
$6.68 |
$6.68 |
$6.68 |
$5.61
|
|
Azithromycin 500 mg intravenous solution
|
$36.36 |
$36.36 |
$36.36 |
$55.63
|
|
Baclofen eval charges
|
$130.60 |
$130.60 |
$130.60 |
$85.00
|
|
Bacterial meningitis antigen
|
$91.27 |
$91.27 |
$91.27 |
$66.76
|
|
Bacterial vaginosis pcr
|
$342.81 |
$342.81 |
$342.81 |
$284.00
|
|
#bac vag cand-c. albicans naa
|
$52.08 |
$52.08 |
$52.08 |
$109.20
|
|
Balloon dilate urtrl strix
|
$460.04 |
$460.04 |
$460.04 |
$2,044.97
|
|
Basic vestibular evaluation
|
$169.18 |
$169.18 |
$169.18 |
$328.00
|
|
B cells total count
|
$111.99 |
$111.99 |
$111.99 |
$128.13
|
|
Belatacept 250 mg intravenous solution
|
$4,231.63 |
$4,231.63 |
$4,231.63 |
$2,843.40
|
|
Benign lesion paring 2-4
|
$443.72 |
$443.72 |
$443.72 |
$280.20
|
|
Benign lesion paring 4+
|
$443.72 |
$443.72 |
$443.72 |
$307.50
|
|
Benztropine 1 mg/ml injection solution
|
$362.84 |
$362.84 |
$362.84 |
$116.84
|
|
Beta 2 glycoprotein 1 antibody iga
|
$75.54 |
$75.54 |
$75.54 |
$92.82
|
|
Beta-2 microglobulin
|
$138.76 |
$138.76 |
$138.76 |
$86.40
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$278.25 |
$278.25 |
$278.25 |
$70.37
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$11,863.84 |
$11,863.84 |
$11,863.84 |
$5,250.00
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$9,666.04 |
$9,666.04 |
$9,666.04 |
$4,620.63
|
|
Bilateral laminotomy addl lumbar 63044
|
$1,151.59 |
$1,151.59 |
$1,151.59 |
$1,660.80
|
|
Bilateral n blobk inj pudendal 64430
|
$147.66 |
$147.66 |
$147.66 |
$1,584.16
|
|
Bilateral n block inj occipital 64405
|
$108.34 |
$108.34 |
$108.34 |
$825.60
|
|
Bilateral n block inj trigeminal 64400
|
$769.46 |
$769.46 |
$769.46 |
$667.26
|
|
Bilicheck
|
$8.17 |
$8.17 |
$8.17 |
$22.75
|
|
Bilirubin direct
|
$80.88 |
$80.88 |
$80.88 |
$49.31
|
|
Bilirubin total
|
$55.65 |
$55.65 |
$55.65 |
$51.50
|
|
Bilobectomy 32482
|
$2,404.83 |
$2,404.83 |
$2,404.83 |
$3,860.80
|
|
Biopsy abdominal mass
|
$2,336.56 |
$2,336.56 |
$2,336.56 |
$1,917.33
|
|
Biopsy, bone open deep
|
$531.28 |
$531.28 |
$531.28 |
$3,491.15
|
|
Biopsy bone trocar/needle superficial
|
$1,664.31 |
$1,664.31 |
$1,664.31 |
$1,760.00
|
|
Biopsy/excision of lymph node(s); open deep 38530
|
$874.08 |
$874.08 |
$874.08 |
$4,238.48
|
|
Biopsy lower leg soft tissue
|
$395.49 |
$395.49 |
$395.49 |
$1,917.33
|
|
Biopsy lower leg soft tissue 27610
|
$944.57 |
$944.57 |
$944.57 |
$3,839.54
|
|
Biopsy muscle percutaneous needle
|
$2,337.30 |
$2,337.30 |
$2,337.30 |
$1,877.40
|
|
Biopsy needle liver percutaneous
|
$2,389.99 |
$2,389.99 |
$2,389.99 |
$2,020.70
|
|
Biopsy needle lymph node superficial
|
$2,864.12 |
$2,864.12 |
$2,864.12 |
$1,879.09
|
|
Biopsy of heart lining
|
$3,631.35 |
$3,631.35 |
$3,631.35 |
$3,868.50
|
|
Biopsy of prostate
|
$373.97 |
$373.97 |
$373.97 |
$2,424.12
|
|
Biopsy/removal lymph nodes
|
$681.90 |
$681.90 |
$681.90 |
$4,196.54
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$2,415.21 |
$2,415.21 |
$2,415.21 |
$2,211.08
|
|
Biopsy skin incisional single lesion
|
$1,218.37 |
$1,218.37 |
$1,218.37 |
$724.37
|
|
Biospy of bladder
|
$185.50 |
$185.50 |
$185.50 |
$1,024.45
|
|
Bivalirudin
|
$288.64 |
$288.64 |
$288.64 |
$923.93
|
|
Bladder irrigate/lavage/instill 51700
|
$595.83 |
$595.83 |
$595.83 |
$440.70
|
|
Blink reflex test
|
$131.34 |
$131.34 |
$131.34 |
$225.60
|
|
Block plantar digital nerve
|
$73.46 |
$73.46 |
$73.46 |
$501.85
|
|
Block tap inj(s) w/wo img uni
|
$86.08 |
$86.08 |
$86.08 |
$1,053.00
|
|
Blood Clotting (PT/INR) Test
|
$80.88 |
$80.88 |
$80.88 |
$52.46
|
|
Blood Clotting (PTT) Test
|
$141.73 |
$141.73 |
$141.73 |
$73.15
|
|
Blood Count (CBC) Test
|
$161.02 |
$161.02 |
$161.02 |
$74.34
|
|
Blood Count (CBC) Test (without differential)
|
$131.34 |
$131.34 |
$131.34 |
$62.15
|
|
Blood count spun microhematocrit
|
$20.78 |
$20.78 |
$20.78 |
$20.40
|
|
Blood Culture Test
|
$216.67 |
$216.67 |
$216.67 |
$145.60
|
|
Blood draw capillary 36416
|
$6.68 |
$6.68 |
$6.68 |
$22.40
|
|
Blood gases o2 saturation direct measurement
|
$204.05 |
$204.05 |
$204.05 |
$226.50
|
|
Blood gases ph venous
|
$57.88 |
$57.88 |
$57.88 |
$61.75
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$148.40 |
$148.40 |
$148.40 |
$57.60
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$6.68 |
$6.68 |
$6.68 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$23.01 |
$23.01 |
$23.01 |
$33.85
|
|
Blood smear microscopic w manual differential wbc count
|
$69.75 |
$69.75 |
$69.75 |
$37.05
|
|
Blood typing abo
|
$200.34 |
$200.34 |
$200.34 |
$83.03
|
|
Blood typing ag donor ea ag
|
$299.03 |
$299.03 |
$299.03 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$389.55 |
$389.55 |
$389.55 |
$181.74
|
|
Blood typing rh (d)
|
$117.24 |
$117.24 |
$117.24 |
$57.10
|
|
Blood typing rh phenotype complete reference
|
$153.60 |
$153.60 |
$153.60 |
$77.25
|
|
Blood volume
|
$1,221.34 |
$1,221.34 |
$1,221.34 |
$704.60
|
|
Bone biopsy open superficial
|
$8,504.81 |
$8,504.81 |
$8,504.81 |
$3,928.32
|
|
Bone Density Scan (DEXA)
|
$562.44 |
$562.44 |
$562.44 |
$395.00
|
|
Bone/joint imaging ltd area
|
$914.89 |
$914.89 |
$914.89 |
$1,151.16
|
|
Bone marrow;aspiration only 38220
|
$1,275.50 |
$1,275.50 |
$1,275.50 |
$1,794.93
|
|
Bone marrow biopsyneedle/trocar 38221
|
$1,822.36 |
$1,822.36 |
$1,822.36 |
$1,881.00
|
|
Bone marrow imaging mult
|
$730.87 |
$730.87 |
$730.87 |
$790.92
|
|
Bone marrow interpretation
|
$592.12 |
$592.12 |
$592.12 |
$436.00
|
|
Bowel imaging
|
$1,861.68 |
$1,861.68 |
$1,861.68 |
$1,200.00
|
|
Brach/thor cath 1st
|
$1,509.23 |
$1,509.23 |
$1,509.23 |
$1,859.31
|
|
Brach/thor cath 2nd
|
$1,650.21 |
$1,650.21 |
$1,650.21 |
$1,986.40
|
|
Brach/thor cath 3rd
|
$1,975.95 |
$1,975.95 |
$1,975.95 |
$2,151.93
|
|
Brach/thor cath addl
|
$4,917.24 |
$4,917.24 |
$4,917.24 |
$854.40
|
|
Braf gene
|
$1,115.97 |
$1,115.97 |
$1,115.97 |
$421.00
|
|
Brain biopsy w/ct/mr guide
|
$2,149.58 |
$2,149.58 |
$2,149.58 |
$3,243.20
|
|
Brain flow imaging only
|
$1,311.12 |
$1,311.12 |
$1,311.12 |
$636.97
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,455.50 |
$3,455.50 |
$3,455.50 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$2,919.03 |
$2,919.03 |
$2,919.03 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,657.11 |
$2,657.11 |
$2,657.11 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$4,362.96 |
$4,362.96 |
$4,362.96 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,439.92 |
$3,439.92 |
$3,439.92 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$2,796.60 |
$2,796.60 |
$2,796.60 |
$1,949.38
|
|
Brcassure comprehensive panel-sendout
|
$3,443.63 |
$3,443.63 |
$3,443.63 |
$2,299.75
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$5,139.84 |
$5,139.84 |
$5,139.84 |
$3,048.95
|
|
Breast punct aspir cyst, bil
|
$1,052.90 |
$1,052.90 |
$1,052.90 |
$865.26
|
|
Breast reduction
|
$1,693.25 |
$1,693.25 |
$1,693.25 |
$7,126.06
|
