|
Antithrombin iii activity
|
$84.08 |
$84.08 |
$84.08 |
$115.23
|
|
Apheresis plasma
|
$5,188.74 |
$5,188.74 |
$5,188.74 |
$3,411.50
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$3,551.80 |
$3,551.80 |
$3,551.80 |
$2,164.64
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$396.58 |
$396.58 |
$396.58 |
$1,011.14
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$415.52 |
$415.52 |
$415.52 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$10,057.34 |
$10,057.34 |
$10,057.34 |
$3,150.00
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$4,219.83 |
$4,219.83 |
$4,219.83 |
$1,051.25
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$425.24 |
$425.24 |
$425.24 |
$508.18
|
|
Application long leg splint 29505
|
$1,998.03 |
$1,998.03 |
$1,998.03 |
$340.80
|
|
Application lower leg splint 29515
|
$1,998.03 |
$1,998.03 |
$1,998.03 |
$355.85
|
|
Application multi layer compression below knee (both sides)
|
$540.42 |
$540.42 |
$540.42 |
$397.00
|
|
Application of forearm cast 29075
|
$3,413.79 |
$3,413.79 |
$3,413.79 |
$379.20
|
|
Application of long arm cast 29065
|
$896.10 |
$896.10 |
$896.10 |
$404.63
|
|
Application of long leg cast 29345
|
$3,413.79 |
$3,413.79 |
$3,413.79 |
$511.68
|
|
Application of paste boot 29580
|
$1,998.03 |
$1,998.03 |
$1,998.03 |
$331.74
|
|
Application short leg cast 29405
|
$3,413.79 |
$3,413.79 |
$3,413.79 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,551.80 |
$3,551.80 |
$3,551.80 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,551.80 |
$3,551.80 |
$3,551.80 |
$2,120.95
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$257.65 |
$257.65 |
$257.65 |
$75.98
|
|
Apply intrcav radiat compl
|
$4,054.72 |
$4,054.72 |
$4,054.72 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$3,371.18 |
$3,371.18 |
$3,371.18 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$2,274.30 |
$2,274.30 |
$2,274.30 |
$1,001.00
|
|
Apply rigid leg cast 29445
|
$896.10 |
$896.10 |
$896.10 |
$608.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$2,245.42 |
$2,245.42 |
$2,245.42 |
$943.40
|
|
Aquaporin-4 antibody cba each
|
$128.94 |
$128.94 |
$128.94 |
$114.20
|
|
Aquaporin-4 antibody elisa
|
$43.19 |
$43.19 |
$43.19 |
$139.59
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$226.33 |
$226.33 |
$226.33 |
$98.90
|
|
Aquatic exercise - group charge
|
$83.28 |
$83.28 |
$83.28 |
$87.60
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$2,152.83 |
$2,152.83 |
$2,152.83 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$372.62 |
$372.62 |
$372.62 |
$505.60
|
|
Artery xray each vessel 7577426
|
$6,440.64 |
$6,440.64 |
$6,440.64 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$14,552.47 |
$14,552.47 |
$14,552.47 |
$4,337.45
|
|
Artery x-rays arm/leg 75710-26
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$3,844.10
|
|
Artery x-rays lung
|
$30,801.75 |
$30,801.75 |
$30,801.75 |
$2,332.57
|
|
Artery x-rays lungs
|
$30,801.75 |
$30,801.75 |
$30,801.75 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$53,471.29 |
$53,471.29 |
$53,471.29 |
$4,086.49
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,558.62 |
$1,558.62 |
$1,558.62 |
$567.78
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,070.44 |
$1,070.44 |
$1,070.44 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,558.62 |
$1,558.62 |
$1,558.62 |
$454.65
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,268.62 |
$1,268.62 |
$1,268.62 |
$698.58
|
|
Asp & inj w/heparin pleurx cath
|
$1,970.05 |
$1,970.05 |
$1,970.05 |
$1,279.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$5,820.89 |
$5,820.89 |
$5,820.89 |
$3,162.90
|
|
Aspirate/inj ganglion cyst 20612
|
$1,558.62 |
$1,558.62 |
$1,558.62 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$7,246.41 |
$7,246.41 |
$7,246.41 |
$1,249.21
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$5,296.40 |
$5,296.40 |
$5,296.40 |
$1,273.63
|
|
Assay dir meas fr estradiol
|
$97.79 |
$97.79 |
$97.79 |
$76.80
|
|
Assay of interleukin-6 (il-6)
|
$145.53 |
$145.53 |
$145.53 |
$77.35
|
|
Assay of prostaglandin
|
$446.94 |
$446.94 |
$446.94 |
$216.45
|
|
Assay of salicylate
|
$228.30 |
$228.30 |
$228.30 |
$105.95
|
|
Assay of urine sulfate
|
$58.74 |
$58.74 |
$58.74 |
$31.35
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$114.77 |
$114.77 |
$114.77 |
$49.80
|
|
Ast/sgot
|
$55.43 |
$55.43 |
$55.43 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$89,720.48 |
$89,720.48 |
$89,720.48 |
$31,208.35
|
|
Athrectomy fem/pop/unilateral 37225
|
$29,015.69 |
$29,015.69 |
$29,015.69 |
$19,875.58
|
|
Atropine 0.1 mg/ml injection syringe
|
$165.12 |
$165.12 |
$165.12 |
$43.01
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$16,849.49 |
$16,849.49 |
$16,849.49 |
$10,578.36
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$642.62 |
$642.62 |
$642.62 |
$342.55
|
|
Azacitidine injection
|
$1,152.89 |
$1,152.89 |
$1,152.89 |
$912.29
|
|
Azithromycin 500 mg intravenous solution
|
$141.95 |
$141.95 |
$141.95 |
$52.69
|
|
Bacterial meningitis antigen
|
$123.48 |
$123.48 |
$123.48 |
$68.40
|
|
Bacterial vaginosis pcr
|
$751.14 |
$751.14 |
$751.14 |
$298.04
|
|
#bac vag cand-c. albicans naa
|
$375.46 |
$375.46 |
$375.46 |
$112.80
|
|
Bartonella dna pcr-sendout
|
$229.78 |
$229.78 |
$229.78 |
$196.20
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$25,344.74 |
$25,344.74 |
$25,344.74 |
$6,720.38
|
|
Benign lesion paring 2-4
|
$2,443.15 |
$2,443.15 |
$2,443.15 |
$275.49
|
|
#_benzodiazconfur
|
$83.64 |
$83.64 |
$83.64 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$185.16 |
$185.16 |
$185.16 |
$121.88
|
|
Beta 2 glycoprotein 1 antibody iga
|
$272.32 |
$272.32 |
$272.32 |
$97.21
|
|
Beta-2 microglobulin
|
$173.13 |
$173.13 |
$173.13 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$192.84 |
$192.84 |
$192.84 |
$75.12
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$27,270.76 |
$27,270.76 |
$27,270.76 |
$4,905.00
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$5,570.79 |
$5,570.79 |
$5,570.79 |
$3,871.35
|
|
Bevacizumab injection
|
$1,447.16 |
$1,447.16 |
$1,447.16 |
$1,011.80
|
|
Bilateral n block inj occipital 64405
|
$1,558.62 |
$1,558.62 |
$1,558.62 |
$881.00
|
|
Bilateral n block inj trigeminal 64400
|
$1,558.62 |
$1,558.62 |
$1,558.62 |
$593.45
|
|
Bilirubin direct
|
$108.01 |
$108.01 |
$108.01 |
$49.29
|
|
Bilirubin total
|
$101.22 |
$101.22 |
$101.22 |
$51.39
|
|
Biopsy abdominal mass
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$1,917.33
|
|
Biopsy bone trocar/needle superficial
|
$18,861.13 |
$18,861.13 |
$18,861.13 |
$1,694.59
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$31,612.14 |
$31,612.14 |
$31,612.14 |
$3,201.83
|
|
Biopsy muscle percutaneous needle
|
$18,861.13 |
$18,861.13 |
$18,861.13 |
$1,812.02
|
|
Biopsy needle liver percutaneous
|
$5,307.15 |
$5,307.15 |
$5,307.15 |
$1,957.80
|
|
Biopsy needle lymph node superficial
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$1,878.88
|
|
Biopsy of salivary gland 42400
|
$8,218.86 |
$8,218.86 |
$8,218.86 |
$1,147.16
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$5,274.99 |
$5,274.99 |
$5,274.99 |
$2,195.00
|
|
Biopsy skin incisional single lesion
|
$2,025.45 |
$2,025.45 |
$2,025.45 |
$668.98
|
|
Bladder irrigate/lavage/instill 51700
|
$2,092.34 |
$2,092.34 |
$2,092.34 |
$418.20
|
|
Block plantar digital nerve
|
$1,558.62 |
$1,558.62 |
$1,558.62 |
$495.21
|
|
Blood Clotting (PT/INR) Test
|
$196.44 |
$196.44 |
$196.44 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$156.05 |
$156.05 |
$156.05 |
$72.15
|
|
Blood Count (CBC) Test
|
$185.61 |
$185.61 |
$185.61 |
$72.41
|
|
Blood Count (CBC) Test (without differential)
|
$144.26 |
$144.26 |
$144.26 |
$62.28
|
|
Blood Culture Test
|
$308.29 |
$308.29 |
$308.29 |
$144.65
|
|
Blood draw capillary 36416
|
$42.55 |
$42.55 |
$42.55 |
$22.32
|
|
Blood gases o2 saturation direct measurement
|
$430.47 |
$430.47 |
$430.47 |
$220.35
|
|
Blood gases ph venous
|
$117.70 |
$117.70 |
$117.70 |
$63.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$170.34 |
$170.34 |
$170.34 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$45.26 |
$45.26 |
$45.26 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$75.34 |
$75.34 |
$75.34 |
$33.57
|