|
Antithrombin iii activity
|
$27.36 |
$27.36 |
$27.36 |
$115.23
|
|
Apheresis plasma
|
$4,837.78 |
$4,837.78 |
$4,837.78 |
$3,411.50
|
|
Apheresis platelets
|
$1,407.81 |
$1,407.81 |
$1,407.81 |
$2,345.00
|
|
Apheresis wbc
|
$3,438.59 |
$3,438.59 |
$3,438.59 |
$3,342.71
|
|
Apl(pml-rara) quant - sendout
|
$448.56 |
$448.56 |
$448.56 |
$465.60
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$2,269.96 |
$2,269.96 |
$2,269.96 |
$508.18
|
|
Application long leg splint 29505
|
$858.23 |
$858.23 |
$858.23 |
$340.80
|
|
Application lower leg splint 29515
|
$501.10 |
$501.10 |
$501.10 |
$355.85
|
|
Application multi layer compression below knee (both sides)
|
$740.50 |
$740.50 |
$740.50 |
$397.00
|
|
Application of forearm cast 29075
|
$273.34 |
$273.34 |
$273.34 |
$379.20
|
|
Application of long arm cast 29065
|
$332.07 |
$332.07 |
$332.07 |
$404.63
|
|
Application of paste boot 29580
|
$584.54 |
$584.54 |
$584.54 |
$331.74
|
|
Application short leg cast 29405
|
$332.07 |
$332.07 |
$332.07 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$6,074.96 |
$6,074.96 |
$6,074.96 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$6,074.96 |
$6,074.96 |
$6,074.96 |
$2,120.95
|
|
Appl modality 1/> areas paraffin bath 97018
|
$231.89 |
$231.89 |
$231.89 |
$69.55
|
|
Apply hand/wrist cast 29085
|
$501.10 |
$501.10 |
$501.10 |
$272.46
|
|
Apply intrcav radiat compl
|
$2,096.75 |
$2,096.75 |
$2,096.75 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$1,603.67 |
$1,603.67 |
$1,603.67 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$1,603.67 |
$1,603.67 |
$1,603.67 |
$1,001.00
|
|
Apply rigid leg cast 29445
|
$741.77 |
$741.77 |
$741.77 |
$608.00
|
|
Apply short leg castambul type 29425
|
$619.20 |
$619.20 |
$619.20 |
$408.75
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$537.64 |
$537.64 |
$537.64 |
$943.40
|
|
#aptt mix-1:1 incubated
|
$27.36 |
$27.36 |
$27.36 |
$157.30
|
|
Aquaporin-4 antibody cba each
|
$34.88 |
$34.88 |
$34.88 |
$114.20
|
|
Aquaporin-4 antibody elisa
|
$33.37 |
$33.37 |
$33.37 |
$139.59
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$248.29 |
$248.29 |
$248.29 |
$98.90
|
|
Aquatic exercise - group charge
|
$80.89 |
$80.89 |
$80.89 |
$87.60
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$626.90 |
$626.90 |
$626.90 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$485.69 |
$485.69 |
$485.69 |
$505.60
|
|
Artery xray each vessel 7577426
|
$3,985.83 |
$3,985.83 |
$3,985.83 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$24,770.93 |
$24,770.93 |
$24,770.93 |
$4,337.45
|
|
Artery x-rays arm/leg 75710-26
|
$11,404.50 |
$11,404.50 |
$11,404.50 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$10,796.09 |
$10,796.09 |
$10,796.09 |
$3,844.10
|
|
Artery x-rays lung
|
$11,911.49 |
$11,911.49 |
$11,911.49 |
$2,921.88
|
|
Artery x-rays lungs
|
$11,911.49 |
$11,911.49 |
$11,911.49 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$7,212.01 |
$7,212.01 |
$7,212.01 |
$4,086.49
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$926.67 |
$926.67 |
$926.67 |
$567.78
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$2,252.23 |
$2,252.23 |
$2,252.23 |
$976.09
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$329.40 |
$329.40 |
$329.40 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$329.40 |
$329.40 |
$329.40 |
$454.65
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,010.71 |
$1,010.71 |
$1,010.71 |
$698.58
|
|
Aspirate bladder/sprapubic cath 51102
|
$6,350.67 |
$6,350.67 |
$6,350.67 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$304.43 |
$304.43 |
$304.43 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$661.44 |
$661.44 |
$661.44 |
$1,249.21
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$3,012.50 |
$3,012.50 |
$3,012.50 |
$1,273.63
|
|
Assay dir meas fr estradiol
|
$328.13 |
$328.13 |
$328.13 |
$76.80
|
|
Assay of feces porphyrins
|
$182.43 |
$182.43 |
$182.43 |
$168.62
|
|
Assay of interleukin-6 (il-6)
|
$49.99 |
$49.99 |
$49.99 |
$77.35
|
|
Assay of leflunomide
|
$111.63 |
$111.63 |
$111.63 |
$112.70
|
|
Assay of osteocalcin
|
$92.50 |
$92.50 |
$92.50 |
$97.21
|
|
Assay of salicylate
|
$265.72 |
$265.72 |
$265.72 |
$105.95
|
|
Assay of somatostatin
|
$312.18 |
$312.18 |
$312.18 |
$165.75
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$628.03 |
$628.03 |
$628.03 |
$312.00
|
|
Assess cyst contrast inject
|
$842.69 |
$842.69 |
$842.69 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$217.41 |
$217.41 |
$217.41 |
$49.80
|
|
Ast/sgot
|
$121.85 |
$121.85 |
$121.85 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$23,621.42 |
$23,621.42 |
$23,621.42 |
$31,208.35
|
|
Athrectomy fem/pop/unilateral 37225
|
$44,790.43 |
$44,790.43 |
$44,790.43 |
$19,875.58
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$69,068.11 |
$69,068.11 |
$69,068.11 |
$19,892.81
|
|
Atropine 0.1 mg/ml injection syringe
|
$50.23 |
$50.23 |
$50.23 |
$43.01
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$422.82 |
$422.82 |
$422.82 |
$342.55
|
|
Azacitidine injection
|
$347.56 |
$347.56 |
$347.56 |
$912.29
|
|
Azithromycin 500 mg intravenous solution
|
$59.34 |
$59.34 |
$59.34 |
$52.69
|
|
Baclofen eval charges
|
$147.38 |
$147.38 |
$147.38 |
$86.14
|
|
Bacterial meningitis antigen
|
$100.34 |
$100.34 |
$100.34 |
$68.40
|
|
#bac vag cand-c. albicans naa
|
$54.89 |
$54.89 |
$54.89 |
$112.80
|
|
Balloon dilate urtrl strix
|
$4,923.74 |
$4,923.74 |
$4,923.74 |
$2,044.97
|
|
Bartholin gland cyst/marsupializat 56440
|
$9,305.77 |
$9,305.77 |
$9,305.77 |
$3,522.35
|
|
Bartonella dna pcr-sendout
|
$232.70 |
$232.70 |
$232.70 |
$196.20
|
|
B cells total count
|
$325.57 |
$325.57 |
$325.57 |
$125.28
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$6,911.05 |
$6,911.05 |
$6,911.05 |
$6,720.38
|
|
Benign lesion paring 2-4
|
$193.69 |
$193.69 |
$193.69 |
$275.49
|
|
#_benzodiazconfur
|
$149.21 |
$149.21 |
$149.21 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$55.80 |
$55.80 |
$55.80 |
$121.88
|
|
Beta 2 glycoprotein 1 antibody iga
|
$197.81 |
$197.81 |
$197.81 |
$97.21
|
|
Beta-2 microglobulin
|
$56.02 |
$56.02 |
$56.02 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$58.26 |
$58.26 |
$58.26 |
$75.12
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$7,194.91 |
$7,194.91 |
$7,194.91 |
$4,905.00
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$1,560.06 |
$1,560.06 |
$1,560.06 |
$3,871.35
|
|
Bevacizumab injection
|
$535.86 |
$535.86 |
$535.86 |
$1,011.80
|
|
Bilateral n block inj trigeminal 64400
|
$884.44 |
$884.44 |
$884.44 |
$593.45
|
|
Bilicheck
|
$25.76 |
$25.76 |
$25.76 |
$25.20
|
|
Bilirubin direct
|
$140.58 |
$140.58 |
$140.58 |
$49.29
|
|
Bilirubin total
|
$256.25 |
$256.25 |
$256.25 |
$51.39
|
|
Biopsy abdominal mass
|
$3,367.09 |
$3,367.09 |
$3,367.09 |
$1,917.33
|
|
Biopsy bone trocar/needle superficial
|
$1,675.92 |
$1,675.92 |
$1,675.92 |
$1,694.59
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$6,159.62 |
$6,159.62 |
$6,159.62 |
$3,201.83
|
|
Biopsy muscle percutaneous needle
|
$3,367.09 |
$3,367.09 |
$3,367.09 |
$1,812.02
|
|
Biopsy needle liver percutaneous
|
$3,162.72 |
$3,162.72 |
$3,162.72 |
$1,957.80
|
|
Biopsy needle lymph node superficial
|
$3,367.09 |
$3,367.09 |
$3,367.09 |
$1,878.88
|
|
Biopsy of salivary gland 42400
|
$3,054.05 |
$3,054.05 |
$3,054.05 |
$1,147.16
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$3,062.47 |
$3,062.47 |
$3,062.47 |
$2,195.00
|
|
Biopsy skin incisional single lesion
|
$1,548.00 |
$1,548.00 |
$1,548.00 |
$668.98
|
|
Bladder irrigate/lavage/instill 51700
|
$162.62 |
$162.62 |
$162.62 |
$418.20
|
|
Blood Clotting (PT/INR) Test
|
$127.08 |
$127.08 |
$127.08 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$178.80 |
$178.80 |
$178.80 |
$72.15
|
|
Blood Count (CBC) Test
|
$354.90 |
$354.90 |
$354.90 |
$72.41
|
|
Blood Count (CBC) Test (without differential)
|
$110.82 |
$110.82 |
$110.82 |
$62.28
|
|
Blood Culture Test
|
$261.66 |
$261.66 |
$261.66 |
$144.65
|
