|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,033.18 |
$1,033.18 |
$1,033.18 |
$454.65
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,313.21 |
$1,313.21 |
$1,313.21 |
$698.58
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,313.21 |
$1,313.21 |
$1,313.21 |
$686.37
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$6,084.60 |
$6,084.60 |
$6,084.60 |
$3,194.79
|
|
Aspirate bladder/sprapubic cath 51102
|
$8,589.83 |
$8,589.83 |
$8,589.83 |
$3,162.90
|
|
Aspirate pleura without imaging 32554
|
$1,970.05 |
$1,970.05 |
$1,970.05 |
$1,249.21
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$5,547.99 |
$5,547.99 |
$5,547.99 |
$1,273.63
|
|
Asp pq spinal cord cyst/syrinx
|
$2,104.13 |
$2,104.13 |
$2,104.13 |
$1,133.00
|
|
Assay dir meas fr estradiol
|
$102.68 |
$102.68 |
$102.68 |
$76.80
|
|
Assay of feces porphyrins
|
$603.67 |
$603.67 |
$603.67 |
$168.62
|
|
Assay of glutathione
|
$238.48 |
$238.48 |
$238.48 |
$69.55
|
|
Assay of interleukin-6 (il-6)
|
$145.87 |
$145.87 |
$145.87 |
$77.35
|
|
Assay of osteocalcin
|
$460.74 |
$460.74 |
$460.74 |
$97.21
|
|
Assay of prostaglandin
|
$644.72 |
$644.72 |
$644.72 |
$216.45
|
|
Assay of salicylate
|
$1,128.29 |
$1,128.29 |
$1,128.29 |
$105.95
|
|
Assay of somatostatin
|
$282.16 |
$282.16 |
$282.16 |
$165.75
|
|
Assay toxin or antitoxin
|
$304.69 |
$304.69 |
$304.69 |
$72.75
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$669.14 |
$669.14 |
$669.14 |
$312.00
|
|
Assess cyst contrast inject
|
$1,569.69 |
$1,569.69 |
$1,569.69 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$267.66 |
$267.66 |
$267.66 |
$49.80
|
|
Ast/sgot
|
$444.58 |
$444.58 |
$444.58 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$43,264.31 |
$43,264.31 |
$43,264.31 |
$31,208.35
|
|
Athrectomy fem/pop/unilateral 37225
|
$27,689.11 |
$27,689.11 |
$27,689.11 |
$19,875.58
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$27,689.11 |
$27,689.11 |
$27,689.11 |
$19,892.81
|
|
Atropine 0.1 mg/ml injection syringe
|
$267.09 |
$267.09 |
$267.09 |
$43.01
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$33,208.06 |
$33,208.06 |
$33,208.06 |
$7,629.60
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$33,471.74 |
$33,471.74 |
$33,471.74 |
$10,578.36
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$642.62 |
$642.62 |
$642.62 |
$342.55
|
|
Azacitidine injection
|
$587.41 |
$587.41 |
$587.41 |
$912.29
|
|
Azithromycin 500 mg intravenous solution
|
$143.85 |
$143.85 |
$143.85 |
$52.69
|
|
Baclofen eval charges
|
$161.77 |
$161.77 |
$161.77 |
$86.14
|
|
Bacterial meningitis antigen
|
$178.12 |
$178.12 |
$178.12 |
$68.40
|
|
Bacterial vaginosis pcr
|
$1,083.54 |
$1,083.54 |
$1,083.54 |
$298.04
|
|
#bac vag cand-c. albicans naa
|
$1,083.54 |
$1,083.54 |
$1,083.54 |
$112.80
|
|
Balloon dilate urtrl strix
|
$4,904.84 |
$4,904.84 |
$4,904.84 |
$2,044.97
|
|
Bartholin gland cyst/marsupializat 56440
|
$30,377.57 |
$30,377.57 |
$30,377.57 |
$3,522.35
|
|
Bartonella dna pcr-sendout
|
$412.91 |
$412.91 |
$412.91 |
$196.20
|
|
B cells total count
|
$582.36 |
$582.36 |
$582.36 |
$125.28
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$12,363.25 |
$12,363.25 |
$12,363.25 |
$6,720.38
|
|
Benign lesion paring 2-4
|
$2,130.07 |
$2,130.07 |
$2,130.07 |
$275.49
|
|
#_benzodiazconfur
|
$84.46 |
$84.46 |
$84.46 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$293.82 |
$293.82 |
$293.82 |
$121.88
|
|
Beta 2 glycoprotein 1 antibody iga
|
$392.83 |
$392.83 |
$392.83 |
$97.21
|
|
Beta-2 microglobulin
|
$249.74 |
$249.74 |
$249.74 |
$84.66
|
|
Beta-amyloid 1-42
|
$500.00 |
$500.00 |
$500.00 |
$312.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$317.32 |
$317.32 |
$317.32 |
$75.12
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$13,161.08 |
$13,161.08 |
$13,161.08 |
$4,905.00
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$2,753.93 |
$2,753.93 |
$2,753.93 |
$3,871.35
|
|
Bevacizumab injection
|
$1,011.80 |
$1,011.80 |
$1,011.80 |
$1,011.80
|
|
Bfb train 1st 15min cntct 90912
|
$1,405.19 |
$1,405.19 |
$1,405.19 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$217.68 |
$217.68 |
$217.68 |
$112.00
|
|
Bilateral n blobk inj pudendal 64430
|
$2,882.49 |
$2,882.49 |
$2,882.49 |
$1,489.35
|
|
Bilateral n block inj occipital 64405
|
$1,358.89 |
$1,358.89 |
$1,358.89 |
$881.00
|
|
Bilateral n block inj trigeminal 64400
|
$1,358.89 |
$1,358.89 |
$1,358.89 |
$593.45
|
|
Bilicheck
|
$27.84 |
$27.84 |
$27.84 |
$25.20
|
|
Bilirubin direct
|
$222.73 |
$222.73 |
$222.73 |
$49.29
|
|
Bilirubin total
|
$269.14 |
$269.14 |
$269.14 |
$51.39
|
|
Biofeedback, pt
|
$635.68 |
$635.68 |
$635.68 |
$148.66
|
|
Biopsy abdominal mass
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$1,917.33
|
|
Biopsy bone trocar/needle superficial
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$1,694.59
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$9,113.95 |
$9,113.95 |
$9,113.95 |
$3,201.83
|
|
Biopsy muscle percutaneous needle
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$1,812.02
|
|
Biopsy needle liver percutaneous
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$1,957.80
|
|
Biopsy needle lymph node superficial
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$1,878.88
|
|
Biopsy of heart lining
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$3,868.50
|
|
Biopsy of prostate
|
$5,820.89 |
$5,820.89 |
$5,820.89 |
$2,424.12
|
|
Biopsy of salivary gland 42400
|
$2,124.65 |
$2,124.65 |
$2,124.65 |
$1,147.16
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$2,195.00
|
|
Biopsy skin incisional single lesion
|
$2,025.45 |
$2,025.45 |
$2,025.45 |
$668.98
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$2,141.40
|
|
Biotinidase - quest
|
$260.39 |
$260.39 |
$260.39 |
$72.80
|
|
Bladder irrigate/lavage/instill 51700
|
$1,473.67 |
$1,473.67 |
$1,473.67 |
$418.20
|
|
Block paracervical nrv
|
$5,410.92 |
$5,410.92 |
$5,410.92 |
$819.50
|
|
Blood Clotting (PT/INR) Test
|
$302.76 |
$302.76 |
$302.76 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$323.31 |
$323.31 |
$323.31 |
$72.15
|
|
Blood Count (CBC) Test
|
$442.59 |
$442.59 |
$442.59 |
$72.41
|
|
Blood Count (CBC) Test (without differential)
|
$372.32 |
$372.32 |
$372.32 |
$62.28
|
|
Blood Culture Test
|
$568.37 |
$568.37 |
$568.37 |
$144.65
|
|
Blood draw capillary 36416
|
$42.97 |
$42.97 |
$42.97 |
$22.32
|
|
Blood gases o2 saturation direct measurement
|
$493.21 |
$493.21 |
$493.21 |
$220.35
|
|
Blood gases ph venous
|
$169.79 |
$169.79 |
$169.79 |
$63.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$245.72 |
$245.72 |
$245.72 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$151.56 |
$151.56 |
$151.56 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$117.09 |
$117.09 |
$117.09 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$151.56 |
$151.56 |
$151.56 |
$33.57
|
|
Blood smear interpretation
|
$141.00 |
$141.00 |
$141.00 |
$86.58
|
|
Blood smear microscopic w manual differential wbc count
|
$58.65 |
$58.65 |
$58.65 |
$37.44
|
|
Blood split unit
|
$1,827.49 |
$1,827.49 |
$1,827.49 |
$235.30
|
|
Blood typing abo
|
$389.59 |
$389.59 |
$389.59 |
$83.82
|
|
Blood typing ag donor ea ag
|
$1,058.89 |
$1,058.89 |
$1,058.89 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$1,058.89 |
$1,058.89 |
$1,058.89 |
$181.74
|
|
Blood typing rh (d)
|
$132.51 |
$132.51 |
$132.51 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$284.10 |
$284.10 |
$284.10 |
$77.25
|
|
Bone biopsy open superficial
|
$27,561.20 |
$27,561.20 |
$27,561.20 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$1,476.02 |
$1,476.02 |
$1,476.02 |
$395.00
|
|
Bone/joint imaging ltd area
|
$1,530.24 |
$1,530.24 |
$1,530.24 |
$1,151.16
|
|
Bone marrow;aspiration only 38220
|
$654.44 |
$654.44 |
$654.44 |
$1,766.22
|
|
Bone marrow biopsyneedle/trocar 38221
|
$621.48 |
$621.48 |
$621.48 |
$1,822.36
|
|
Bone marrow interpretation
|
$2,669.63 |
$2,669.63 |
$2,669.63 |
$439.78
|
