|
Antinuclear antibodies
|
$189.81 |
$189.81 |
$189.81 |
$91.70
|
|
Antinuclear antibodies titer
|
$36.38 |
$36.38 |
$36.38 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$182.31 |
$182.31 |
$182.31 |
$74.20
|
|
Antistreptolysin o screen
|
$76.00 |
$76.00 |
$76.00 |
$59.40
|
|
Antistreptolysin o titer
|
$52.06 |
$52.06 |
$52.06 |
$57.96
|
|
Antithrombin iii activity
|
$34.30 |
$34.30 |
$34.30 |
$115.23
|
|
Apheresis plasma
|
$5,841.57 |
$5,841.57 |
$5,841.57 |
$3,411.50
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$2,345.57 |
$2,345.57 |
$2,345.57 |
$549.08
|
|
Application finger splntstatic 29130
|
$438.02 |
$438.02 |
$438.02 |
$216.80
|
|
Application long leg splint 29505
|
$823.79 |
$823.79 |
$823.79 |
$340.80
|
|
Application lower leg splint 29515
|
$548.83 |
$548.83 |
$548.83 |
$355.85
|
|
Application multi layer compression below knee (both sides)
|
$652.67 |
$652.67 |
$652.67 |
$397.00
|
|
Application of forearm cast 29075
|
$241.30 |
$241.30 |
$241.30 |
$379.20
|
|
Application of long arm cast 29065
|
$326.88 |
$326.88 |
$326.88 |
$404.63
|
|
Application of paste boot 29580
|
$469.92 |
$469.92 |
$469.92 |
$331.74
|
|
Application short leg cast 29405
|
$937.15 |
$937.15 |
$937.15 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$5,438.66 |
$5,438.66 |
$5,438.66 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$5,451.91 |
$5,451.91 |
$5,451.91 |
$2,120.95
|
|
Appl modality 1/> areas paraffin bath 97018
|
$85.83 |
$85.83 |
$85.83 |
$69.55
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$132.72 |
$132.72 |
$132.72 |
$75.98
|
|
Apply intrcav radiat compl
|
$2,296.44 |
$2,296.44 |
$2,296.44 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$1,756.40 |
$1,756.40 |
$1,756.40 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$1,756.40 |
$1,756.40 |
$1,756.40 |
$1,001.00
|
|
Apply rigid leg cast 29445
|
$1,118.17 |
$1,118.17 |
$1,118.17 |
$608.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,021.53 |
$1,021.53 |
$1,021.53 |
$943.40
|
|
#aptt mix-1:1 incubated
|
$199.38 |
$199.38 |
$199.38 |
$157.30
|
|
Aquaporin-4 antibody cba each
|
$33.22 |
$33.22 |
$33.22 |
$114.20
|
|
Aquaporin-4 antibody elisa
|
$31.78 |
$31.78 |
$31.78 |
$139.59
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$185.73 |
$185.73 |
$185.73 |
$98.90
|
|
Aquatic exercise - group charge
|
$125.24 |
$125.24 |
$125.24 |
$87.60
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,200.87 |
$1,200.87 |
$1,200.87 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$154.49 |
$154.49 |
$154.49 |
$505.60
|
|
Artery xray each vessel 7577426
|
$3,160.91 |
$3,160.91 |
$3,160.91 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$3,552.24 |
$3,552.24 |
$3,552.24 |
$4,337.45
|
|
Artery x-rays arm/leg 75710-26
|
$4,141.64 |
$4,141.64 |
$4,141.64 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$4,635.91 |
$4,635.91 |
$4,635.91 |
$3,844.10
|
|
Artery x-rays lung
|
$2,447.93 |
$2,447.93 |
$2,447.93 |
$2,921.88
|
|
Artery x-rays lungs
|
$3,307.82 |
$3,307.82 |
$3,307.82 |
$3,686.58
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$732.78 |
$732.78 |
$732.78 |
$567.78
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,032.56 |
$1,032.56 |
$1,032.56 |
$976.09
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,172.45 |
$1,172.45 |
$1,172.45 |
$910.79
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$905.98 |
$905.98 |
$905.98 |
$698.58
|
|
Asp & inj w/heparin pleurx cath
|
$1,546.46 |
$1,546.46 |
$1,546.46 |
$1,279.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$6,398.22 |
$6,398.22 |
$6,398.22 |
$3,162.90
|
|
Aspirate pleura without imaging 32554
|
$1,030.48 |
$1,030.48 |
$1,030.48 |
$1,249.21
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$2,349.59 |
$2,349.59 |
$2,349.59 |
$1,273.63
|
|
Assay of interleukin-6 (il-6)
|
$42.85 |
$42.85 |
$42.85 |
$77.35
|
|
Assay of osteocalcin
|
$92.50 |
$92.50 |
$92.50 |
$97.21
|
|
Assay of salicylate
|
$291.03 |
$291.03 |
$291.03 |
$105.95
|
|
Assay of urine sulfate
|
$111.46 |
$111.46 |
$111.46 |
$31.35
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$477.38 |
$477.38 |
$477.38 |
$312.00
|
|
Assess cyst contrast inject
|
$317.15 |
$317.15 |
$317.15 |
$447.33
|
|
Ast/sgot
|
$91.12 |
$91.12 |
$91.12 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$54,486.38 |
$54,486.38 |
$54,486.38 |
$31,208.35
|
|
Athrectomy fem/pop/unilateral 37225
|
$22,802.63 |
$22,802.63 |
$22,802.63 |
$19,875.58
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$24,662.96 |
$24,662.96 |
$24,662.96 |
$19,892.81
|
|
Atropine 0.1 mg/ml injection syringe
|
$70.33 |
$70.33 |
$70.33 |
$43.01
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$20,753.61 |
$20,753.61 |
$20,753.61 |
$7,629.60
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$22,880.86 |
$22,880.86 |
$22,880.86 |
$10,578.36
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$521.05 |
$521.05 |
$521.05 |
$342.55
|
|
Azacitidine injection
|
$723.53 |
$723.53 |
$723.53 |
$912.29
|
|
Azithromycin 500 mg intravenous solution
|
$72.08 |
$72.08 |
$72.08 |
$52.69
|
|
Baclofen eval charges
|
$160.40 |
$160.40 |
$160.40 |
$86.14
|
|
Bacterial meningitis antigen
|
$47.30 |
$47.30 |
$47.30 |
$68.40
|
|
Bacterial vaginosis pcr
|
$229.43 |
$229.43 |
$229.43 |
$298.04
|
|
#bac vag cand-c. albicans naa
|
$773.16 |
$773.16 |
$773.16 |
$112.80
|
|
Bartonella dna pcr-sendout
|
$333.21 |
$333.21 |
$333.21 |
$196.20
|
|
B cells total count
|
$271.74 |
$271.74 |
$271.74 |
$125.28
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$15,620.65 |
$15,620.65 |
$15,620.65 |
$6,720.38
|
|
Benign lesion paring 2-4
|
$398.07 |
$398.07 |
$398.07 |
$275.49
|
|
Benign lesion paring 4+
|
$398.07 |
$398.07 |
$398.07 |
$287.00
|
|
#_benzodiazconfur
|
$142.91 |
$142.91 |
$142.91 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$80.41 |
$80.41 |
$80.41 |
$121.88
|
|
Beta 2 glycoprotein 1 antibody iga
|
$165.11 |
$165.11 |
$165.11 |
$97.21
|
|
Beta-2 microglobulin
|
$42.14 |
$42.14 |
$42.14 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$80.88 |
$80.88 |
$80.88 |
$75.12
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$16,567.89 |
$16,567.89 |
$16,567.89 |
$4,905.00
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$3,194.09 |
$3,194.09 |
$3,194.09 |
$3,871.35
|
|
Bevacizumab injection
|
$644.44 |
$644.44 |
$644.44 |
$1,011.80
|
|
Bilateral n block inj trigeminal 64400
|
$1,302.43 |
$1,302.43 |
$1,302.43 |
$593.45
|
|
Bilirubin direct
|
$80.38 |
$80.38 |
$80.38 |
$49.29
|
|
Bilirubin total
|
$179.15 |
$179.15 |
$179.15 |
$51.39
|
|
Biopsy abdominal mass
|
$2,174.81 |
$2,174.81 |
$2,174.81 |
$1,917.33
|
|
Biopsy bone trocar/needle superficial
|
$1,928.84 |
$1,928.84 |
$1,928.84 |
$1,694.59
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$352.56 |
$352.56 |
$352.56 |
$3,201.83
|
|
Biopsy muscle percutaneous needle
|
$1,614.95 |
$1,614.95 |
$1,614.95 |
$1,812.02
|
|
Biopsy needle liver percutaneous
|
$1,775.12 |
$1,775.12 |
$1,775.12 |
$1,957.80
|
|
Biopsy needle lymph node superficial
|
$1,513.00 |
$1,513.00 |
$1,513.00 |
$1,878.88
|
|
Biopsy of salivary gland 42400
|
$2,704.31 |
$2,704.31 |
$2,704.31 |
$1,147.16
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$1,640.83 |
$1,640.83 |
$1,640.83 |
$2,195.00
|
|
Biopsy skin incisional single lesion
|
$1,695.43 |
$1,695.43 |
$1,695.43 |
$668.98
|
|
Biotinidase - quest
|
$50.31 |
$50.31 |
$50.31 |
$72.80
|
|
Bladder irrigate/lavage/instill 51700
|
$625.39 |
$625.39 |
$625.39 |
$418.20
|
|
Blood Clotting (PT/INR) Test
|
$121.03 |
$121.03 |
$121.03 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$156.47 |
$156.47 |
$156.47 |
$72.15
|
|
Blood Count (CBC) Test
|
$338.00 |
$338.00 |
$338.00 |
$72.41
|
|
Blood Count (CBC) Test (without differential)
|
$84.43 |
$84.43 |
$84.43 |
$62.28
|
|
Blood Culture Test
|
$243.53 |
$243.53 |
$243.53 |
$144.65
|
|
Blood draw capillary 36416
|
$29.56 |
$29.56 |
$29.56 |
$22.32
|
|
Blood gases o2 saturation direct measurement
|
$257.45 |
$257.45 |
$257.45 |
$220.35
|