|
Ankle X-ray
|
$859.12 |
$859.12 |
$859.12 |
$339.44
|
|
Antibody elution rbc reference
|
$462.75 |
$462.75 |
$462.75 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$384.01 |
$384.01 |
$384.01 |
$141.74
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$555.19 |
$555.19 |
$555.19 |
$220.73
|
|
Antibody id rbc panel
|
$922.75 |
$922.75 |
$922.75 |
$291.75
|
|
Antibody screen rbc
|
$180.68 |
$180.68 |
$180.68 |
$105.00
|
|
Antidepressant not specified
|
$86.44 |
$86.44 |
$86.44 |
$89.50
|
|
Anti mog serum - sendout
|
$195.00 |
$195.00 |
$195.00 |
$140.62
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$239.14 |
$239.14 |
$239.14 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$239.14 |
$239.14 |
$239.14 |
$45.82
|
|
Antinuclear antibodies
|
$36.87 |
$36.87 |
$36.87 |
$91.70
|
|
Antinuclear antibodies titer
|
$221.47 |
$221.47 |
$221.47 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$318.91 |
$318.91 |
$318.91 |
$74.20
|
|
Antistreptolysin o screen
|
$114.50 |
$114.50 |
$114.50 |
$59.40
|
|
Antistreptolysin o titer
|
$22.27 |
$22.27 |
$22.27 |
$57.96
|
|
Antithrombin iii activity
|
$76.08 |
$76.08 |
$76.08 |
$115.23
|
|
Apheresis plasma
|
$1,305.98 |
$1,305.98 |
$1,305.98 |
$3,411.50
|
|
Apheresis rbc
|
$1,305.98 |
$1,305.98 |
$1,305.98 |
$3,348.50
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$1,254.59 |
$1,254.59 |
$1,254.59 |
$549.08
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$1,273.58 |
$1,273.58 |
$1,273.58 |
$508.18
|
|
Application finger splntstatic 29130
|
$910.58 |
$910.58 |
$910.58 |
$216.80
|
|
Application long leg splint 29505
|
$1,266.91 |
$1,266.91 |
$1,266.91 |
$340.80
|
|
Application lower leg splint 29515
|
$1,266.91 |
$1,266.91 |
$1,266.91 |
$355.85
|
|
Application multi layer compression below knee (both sides)
|
$1,266.91 |
$1,266.91 |
$1,266.91 |
$397.00
|
|
Application of forearm cast 29075
|
$2,164.61 |
$2,164.61 |
$2,164.61 |
$379.20
|
|
Application of long arm cast 29065
|
$780.89 |
$780.89 |
$780.89 |
$404.63
|
|
Application of long leg cast 29345
|
$2,164.61 |
$2,164.61 |
$2,164.61 |
$511.68
|
|
Application of paste boot 29580
|
$1,266.91 |
$1,266.91 |
$1,266.91 |
$331.74
|
|
Application short leg cast 29405
|
$2,164.61 |
$2,164.61 |
$2,164.61 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,095.14 |
$3,095.14 |
$3,095.14 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,095.14 |
$3,095.14 |
$3,095.14 |
$2,120.95
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$90.97 |
$90.97 |
$90.97 |
$75.98
|
|
Apply finger cast 29086
|
$1,266.91 |
$1,266.91 |
$1,266.91 |
$225.29
|
|
Apply forearm splintdynamic 29126
|
$339.50 |
$339.50 |
$339.50 |
$263.10
|
|
Apply intrcav radiat compl
|
$4,257.46 |
$4,257.46 |
$4,257.46 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$3,539.74 |
$3,539.74 |
$3,539.74 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$2,388.02 |
$2,388.02 |
$2,388.02 |
$1,001.00
|
|
Apply of finger splint 29131
|
$261.11 |
$261.11 |
$261.11 |
$177.45
|
|
Apply rigid leg cast 29445
|
$879.47 |
$879.47 |
$879.47 |
$608.00
|
|
Apply short leg castambul type 29425
|
$2,164.61 |
$2,164.61 |
$2,164.61 |
$408.75
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$5,269.54 |
$5,269.54 |
$5,269.54 |
$943.40
|
|
Aquaporin-4 antibody cba each
|
$239.14 |
$239.14 |
$239.14 |
$114.20
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$189.48 |
$189.48 |
$189.48 |
$98.90
|
|
Aquatic exercise - group charge
|
$144.98 |
$144.98 |
$144.98 |
$87.60
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$2,225.65 |
$2,225.65 |
$2,225.65 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$357.57 |
$357.57 |
$357.57 |
$505.60
|
|
Artery xray each vessel 7577426
|
$4,953.80 |
$4,953.80 |
$4,953.80 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$12,681.44 |
$12,681.44 |
$12,681.44 |
$4,337.45
|
|
Artery x-rays arm/leg 75710-26
|
$11,813.58 |
$11,813.58 |
$11,813.58 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$13,126.22 |
$13,126.22 |
$13,126.22 |
$3,844.10
|
|
Artery x-rays chest
|
$7,262.34 |
$7,262.34 |
$7,262.34 |
$2,587.20
|
|
Artery x-rays lung
|
$13,126.22 |
$13,126.22 |
$13,126.22 |
$2,921.88
|
|
Artery x-rays lung
|
$19,530.65 |
$19,530.65 |
$19,530.65 |
$2,332.57
|
|
Artery x-rays lungs
|
$15,561.11 |
$15,561.11 |
$15,561.11 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$12,681.44 |
$12,681.44 |
$12,681.44 |
$4,086.49
|
|
Artery x-rays spine
|
$33,904.88 |
$33,904.88 |
$33,904.88 |
$4,306.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$988.28 |
$988.28 |
$988.28 |
$567.78
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$3,935.22 |
$3,935.22 |
$3,935.22 |
$976.09
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$941.68 |
$941.68 |
$941.68 |
$910.79
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,201.90 |
$1,201.90 |
$1,201.90 |
$698.58
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$22,578.76 |
$22,578.76 |
$22,578.76 |
$3,839.54
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$6,208.78 |
$6,208.78 |
$6,208.78 |
$3,194.79
|
|
Aspirate bladder/sprapubic cath 51102
|
$12,571.23 |
$12,571.23 |
$12,571.23 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$988.28 |
$988.28 |
$988.28 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$2,159.52 |
$2,159.52 |
$2,159.52 |
$1,249.21
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,851.48 |
$1,851.48 |
$1,851.48 |
$1,273.63
|
|
Assay dir meas fr estradiol
|
$173.00 |
$173.00 |
$173.00 |
$76.80
|
|
Assay of interleukin-6 (il-6)
|
$424.01 |
$424.01 |
$424.01 |
$77.35
|
|
Assay of salicylate
|
$1,008.91 |
$1,008.91 |
$1,008.91 |
$105.95
|
|
Assay of thiocyanate
|
$230.80 |
$230.80 |
$230.80 |
$57.00
|
|
Assay of tyrosine
|
$210.96 |
$210.96 |
$210.96 |
$56.10
|
|
Assay toxin or antitoxin
|
$391.74 |
$391.74 |
$391.74 |
$72.75
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$748.67 |
$748.67 |
$748.67 |
$312.00
|
|
Assess cyst contrast inject
|
$1,569.69 |
$1,569.69 |
$1,569.69 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$521.36 |
$521.36 |
$521.36 |
$49.80
|
|
Ast/sgot
|
$406.06 |
$406.06 |
$406.06 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$104,590.50 |
$104,590.50 |
$104,590.50 |
$31,208.35
|
|
Athrectomy fem/pop/unilateral 37225
|
$77,534.99 |
$77,534.99 |
$77,534.99 |
$19,875.58
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$73,061.74 |
$73,061.74 |
$73,061.74 |
$19,892.81
|
|
Atropine 0.1 mg/ml injection syringe
|
$332.53 |
$332.53 |
$332.53 |
$43.01
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$28,179.81 |
$28,179.81 |
$28,179.81 |
$7,629.60
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$39,749.27 |
$39,749.27 |
$39,749.27 |
$10,578.36
|
|
Avul nail plate addl
|
$910.15 |
$910.15 |
$910.15 |
$230.02
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$560.00 |
$560.00 |
$560.00 |
$342.55
|
|
Azacitidine injection
|
$1,178.34 |
$1,178.34 |
$1,178.34 |
$912.29
|
|
Azithromycin 500 mg intravenous solution
|
$219.18 |
$219.18 |
$219.18 |
$52.69
|
|
Baclofen eval charges
|
$138.26 |
$138.26 |
$138.26 |
$86.14
|
|
Bacterial meningitis antigen
|
$35.20 |
$35.20 |
$35.20 |
$68.40
|
|
Bacterial vaginosis pcr
|
$1,393.12 |
$1,393.12 |
$1,393.12 |
$298.04
|
|
#bac vag cand-c. albicans naa
|
$130.10 |
$130.10 |
$130.10 |
$112.80
|
|
Balloon dilate urtrl strix
|
$4,603.58 |
$4,603.58 |
$4,603.58 |
$2,044.97
|
|
Bartonella dna pcr-sendout
|
$696.36 |
$696.36 |
$696.36 |
$196.20
|
|
B cells total count
|
$564.85 |
$564.85 |
$564.85 |
$125.28
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$27,964.83 |
$27,964.83 |
$27,964.83 |
$6,720.38
|
|
Benign lesion paring 2-4
|
$1,549.15 |
$1,549.15 |
$1,549.15 |
$275.49
|
|
Benign lesion paring 4+
|
$1,549.15 |
$1,549.15 |
$1,549.15 |
$287.00
|
|
#_benzodiazconfur
|
$232.74 |
$232.74 |
$232.74 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$376.61 |
$376.61 |
$376.61 |
$121.88
|
|
Beta 2 glycoprotein 1 antibody iga
|
$505.06 |
$505.06 |
$505.06 |
$97.21
|
|
Beta-2 microglobulin
|
$321.09 |
$321.09 |
$321.09 |
$84.66
|
