|
Antithrombin iii activity
|
$66.27 |
$66.27 |
$66.27 |
$115.23
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$897.22 |
$897.22 |
$897.22 |
$549.08
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$2,290.73 |
$2,290.73 |
$2,290.73 |
$508.18
|
|
Application finger splntstatic 29130
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$216.80
|
|
Application long leg splint 29505
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$340.80
|
|
Application lower leg splint 29515
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$355.85
|
|
Application multi layer compression below knee (both sides)
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$397.00
|
|
Application of forearm cast 29075
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$379.20
|
|
Application of long arm cast 29065
|
$863.28 |
$863.28 |
$863.28 |
$404.63
|
|
Application of long leg cast
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$406.75
|
|
Application of long leg cast 29345
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$511.68
|
|
Application short leg cast 29405
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$3,557.39 |
$3,557.39 |
$3,557.39 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$5,215.20 |
$5,215.20 |
$5,215.20 |
$2,120.95
|
|
Appl modality 1/> areas paraffin bath 97018
|
$261.59 |
$261.59 |
$261.59 |
$69.55
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$155.38 |
$155.38 |
$155.38 |
$75.98
|
|
Apply finger cast 29086
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$225.29
|
|
Apply hand/wrist cast 29085
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$272.46
|
|
Apply interstit radiat compl
|
$10,491.27 |
$10,491.27 |
$10,491.27 |
$2,877.50
|
|
Apply intrcav radiat compl
|
$4,409.66 |
$4,409.66 |
$4,409.66 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$3,666.28 |
$3,666.28 |
$3,666.28 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$2,473.39 |
$2,473.39 |
$2,473.39 |
$1,001.00
|
|
Apply rigid leg cast 29445
|
$863.28 |
$863.28 |
$863.28 |
$608.00
|
|
Apply short leg castambul type 29425
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$408.75
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$3,352.71 |
$3,352.71 |
$3,352.71 |
$943.40
|
|
Aquaporin-4 antibody cba each
|
$186.00 |
$186.00 |
$186.00 |
$114.20
|
|
Aquaporin-4 antibody elisa
|
$106.73 |
$106.73 |
$106.73 |
$139.59
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$220.52 |
$220.52 |
$220.52 |
$98.90
|
|
Aquatic exercise - group charge
|
$380.49 |
$380.49 |
$380.49 |
$87.60
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,800.72 |
$1,800.72 |
$1,800.72 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$411.00 |
$411.00 |
$411.00 |
$505.60
|
|
Artery xray each vessel 7577426
|
$5,926.74 |
$5,926.74 |
$5,926.74 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$14,090.10 |
$14,090.10 |
$14,090.10 |
$4,337.45
|
|
Artery x-rays arm/leg 75710-26
|
$8,023.82 |
$8,023.82 |
$8,023.82 |
$3,439.84
|
|
Artery x-rays arms/legs 75716-26
|
$9,864.54 |
$9,864.54 |
$9,864.54 |
$3,844.10
|
|
Artery x-rays chest
|
$8,023.82 |
$8,023.82 |
$8,023.82 |
$2,587.20
|
|
Artery x-rays lung
|
$8,121.80 |
$8,121.80 |
$8,121.80 |
$2,921.88
|
|
Artery x-rays lung
|
$8,023.82 |
$8,023.82 |
$8,023.82 |
$2,332.57
|
|
Artery x-rays lungs
|
$9,495.69 |
$9,495.69 |
$9,495.69 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$14,090.10 |
$14,090.10 |
$14,090.10 |
$4,086.49
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,062.15 |
$1,062.15 |
$1,062.15 |
$567.78
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,496.67 |
$1,496.67 |
$1,496.67 |
$976.09
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,699.44 |
$1,699.44 |
$1,699.44 |
$910.79
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,313.21 |
$1,313.21 |
$1,313.21 |
$698.58
|
|
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
|
$1,908.87 |
$1,908.87 |
$1,908.87 |
$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
|
|
Assay dir meas fr estradiol
|
$102.68 |
$102.68 |
$102.68 |
$76.80
|
|
Assay of interleukin-6 (il-6)
|
$145.87 |
$145.87 |
$145.87 |
$77.35
|
|
Assay of salicylate
|
$1,128.29 |
$1,128.29 |
$1,128.29 |
$105.95
|
|
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)
|
$61,449.18 |
$61,449.18 |
$61,449.18 |
$31,208.35
|
|
Athrectomy fem/pop/unilateral 37225
|
$27,536.53 |
$27,536.53 |
$27,536.53 |
$19,875.58
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$27,536.53 |
$27,536.53 |
$27,536.53 |
$19,892.81
|
|
Atropine 0.1 mg/ml injection syringe
|
$225.22 |
$225.22 |
$225.22 |
$43.01
|
|
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
|
$618.20 |
$618.20 |
$618.20 |
$342.55
|
|
Azacitidine injection
|
$902.83 |
$902.83 |
$902.83 |
$912.29
|
|
Azithromycin 500 mg intravenous solution
|
$149.43 |
$149.43 |
$149.43 |
$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
|
$174.15 |
$174.15 |
$174.15 |
$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
|
|
B cells total count
|
$582.36 |
$582.36 |
$582.36 |
$125.28
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$17,393.06 |
$17,393.06 |
$17,393.06 |
$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
|
$252.76 |
$252.76 |
$252.76 |
$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
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$267.90 |
$267.90 |
$267.90 |
$75.12
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$18,682.34 |
$18,682.34 |
$18,682.34 |
$4,905.00
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$4,852.84 |
$4,852.84 |
$4,852.84 |
$3,871.35
|
|
Bevacizumab injection
|
$1,086.08 |
$1,086.08 |
$1,086.08 |
$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 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
|
$4,912.86 |
$4,912.86 |
$4,912.86 |
$1,917.33
|
|
Biopsy bone trocar/needle superficial
|
$4,912.86 |
$4,912.86 |
$4,912.86 |
$1,694.59
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$8,626.82 |
$8,626.82 |
$8,626.82 |
$3,201.83
|
|
Biopsy muscle percutaneous needle
|
$4,912.86 |
$4,912.86 |
$4,912.86 |
$1,812.02
|
|
Biopsy needle liver percutaneous
|
$4,912.86 |
$4,912.86 |
$4,912.86 |
$1,957.80
|
|
Biopsy needle lymph node superficial
|
$4,912.86 |
$4,912.86 |
$4,912.86 |
$1,878.88
|
|
Biopsy of prostate
|
$5,559.71 |
$5,559.71 |
$5,559.71 |
$2,424.12
|
|
Biopsy of salivary gland 42400
|
$2,039.50 |
$2,039.50 |
$2,039.50 |
$1,147.16
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$4,912.86 |
$4,912.86 |
$4,912.86 |
$2,195.00
|
|
Bladder irrigate/lavage/instill 51700
|
$1,473.67 |
$1,473.67 |
$1,473.67 |
$418.20
|
|
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
|
