|
Apply hand/wrist cast 29085
|
$285.12 |
$285.12 |
$285.12 |
$259.20
|
|
Apply of finger splint 29131
|
$200.88 |
$200.88 |
$200.88 |
$168.00
|
|
Apply short leg castambul type 29425
|
$749.52 |
$749.52 |
$749.52 |
$381.00
|
|
Aquaporin-4 antibody cba each
|
$28.08 |
$28.08 |
$28.08 |
$138.16
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$194.40 |
$194.40 |
$194.40 |
$100.00
|
|
Arterial blood draw/perc 36620
|
$888.48 |
$888.48 |
$888.48 |
$485.69
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$397.44 |
$397.44 |
$397.44 |
$608.40
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$750.24 |
$750.24 |
$750.24 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$342.72 |
$342.72 |
$342.72 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$850.32 |
$850.32 |
$850.32 |
$715.37
|
|
Aspirate pleura without imaging 32554
|
$734.40 |
$734.40 |
$734.40 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$759.60 |
$759.60 |
$759.60 |
$1,226.87
|
|
Assay neurflmnt light chain
|
$486.00 |
$486.00 |
$486.00 |
$380.00
|
|
Assay of glutathione
|
$82.08 |
$82.08 |
$82.08 |
$76.14
|
|
Assay of leflunomide
|
$114.48 |
$114.48 |
$114.48 |
$100.65
|
|
Assay of osteocalcin
|
$80.64 |
$80.64 |
$80.64 |
$92.50
|
|
Assay of procainamide w/metab
|
$43.20 |
$43.20 |
$43.20 |
$70.50
|
|
Assay of prostaglandin
|
$215.28 |
$215.28 |
$215.28 |
$218.50
|
|
Assay of thiocyanate
|
$20.16 |
$20.16 |
$20.16 |
$65.00
|
|
Assay of urine sulfate
|
$134.64 |
$134.64 |
$134.64 |
$29.04
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$46.80 |
$46.80 |
$46.80 |
$49.80
|
|
Ast/sgot
|
$97.20 |
$97.20 |
$97.20 |
$45.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$0.97 |
$0.97 |
$0.97 |
$51.28
|
|
Audiometry air + bone
|
$267.12 |
$267.12 |
$267.12 |
$185.15
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$14,749.92 |
$14,749.92 |
$14,749.92 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$18,010.80 |
$18,010.80 |
$18,010.80 |
$10,384.40
|
|
Autologous blood process
|
$1,485.36 |
$1,485.36 |
$1,485.36 |
$262.50
|
|
Avul nail plate addl
|
$182.88 |
$182.88 |
$182.88 |
$194.22
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$591.00 |
$591.00 |
$591.00 |
$318.75
|
|
Azathioprine 50 mg tablet
|
$3.38 |
$3.38 |
$3.38 |
$3.46
|
|
Azithromycin 500 mg intravenous solution
|
$31.68 |
$31.68 |
$31.68 |
$35.06
|
|
Baclofen eval charges
|
$154.08 |
$154.08 |
$154.08 |
$85.00
|
|
Bacterial meningitis antigen
|
$77.76 |
$77.76 |
$77.76 |
$66.30
|
|
Bacterial vaginosis pcr
|
$166.32 |
$166.32 |
$166.32 |
$278.40
|
|
#bac vag cand-c. albicans naa
|
$221.76 |
$221.76 |
$221.76 |
$105.00
|
|
Basic vestibular evaluation
|
$726.48 |
$726.48 |
$726.48 |
$328.00
|
|
B cells total count
|
$180.00 |
$180.00 |
$180.00 |
$131.30
|
|
Bebtelovimab injection
|
$378.72 |
$378.72 |
$378.72 |
$450.48
|
|
Benign lesion paring 2-4
|
$515.52 |
$515.52 |
$515.52 |
$257.50
|
|
#_benzodiazconfur
|
$82.08 |
$82.08 |
$82.08 |
$114.40
|
|
Beta 2 glycoprotein 1 antibody iga
|
$94.32 |
$94.32 |
$94.32 |
$78.50
|
|
Beta-2 microglobulin
|
$83.52 |
$83.52 |
$83.52 |
$85.94
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$38.05 |
$38.05 |
$38.05 |
$64.15
|
|
Bilateral n block inj occipital 64405
|
$1,326.24 |
$1,326.24 |
$1,326.24 |
$768.60
|
|
Bilateral n block inj trigeminal 64400
|
$708.48 |
$708.48 |
$708.48 |
$556.40
|
|
Bilicheck
|
$23.76 |
$23.76 |
$23.76 |
$28.80
|
|
Bilirubin direct
|
$71.28 |
$71.28 |
$71.28 |
$50.00
|
|
Bilirubin total
|
$59.04 |
$59.04 |
$59.04 |
$52.57
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$3,936.96 |
$3,936.96 |
$3,936.96 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$4,042.80 |
$4,042.80 |
$4,042.80 |
$1,629.60
|
|
Biopsy needle lymph node superficial
|
$3,936.24 |
$3,936.24 |
$3,936.24 |
$1,878.14
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$3,936.24 |
$3,936.24 |
$3,936.24 |
$2,462.35
|
|
Bladder irrigate/lavage/instill 51700
|
$432.72 |
$432.72 |
$432.72 |
$408.00
|
|
Bln 30frx10mmx12cm renal nephromax
|
$864.00 |
$864.00 |
$864.00 |
$5,169.58
|
|
Bln dil 900ml preperitnl
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$1,427.17
|
|
Blood Clotting (PT/INR) Test
|
$54.00 |
$54.00 |
$54.00 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$79.20 |
$79.20 |
$79.20 |
$73.44
|
|
Blood Count (CBC) Test
|
$106.56 |
$106.56 |
$106.56 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$100.80 |
$100.80 |
$100.80 |
$61.80
|
|
Blood Culture Test
|
$299.52 |
$299.52 |
$299.52 |
$145.80
|
|
Blood draw capillary 36416
|
$45.36 |
$45.36 |
$45.36 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$377.28 |
$377.28 |
$377.28 |
$220.35
|
|
Blood gases ph venous
|
$190.08 |
$190.08 |
$190.08 |
$64.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$40.32 |
$40.32 |
$40.32 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$41.76 |
$41.76 |
$41.76 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$46.08 |
$46.08 |
$46.08 |
$38.61
|
|
Blood typing abo
|
$141.12 |
$141.12 |
$141.12 |
$83.03
|
|
Blood typing ag donor ea ag
|
$453.60 |
$453.60 |
$453.60 |
$190.80
|
|
Blood typing patient serum
|
$77.76 |
$77.76 |
$77.76 |
$68.40
|
|
Blood typing rbc ag non abo/rh ea
|
$453.60 |
$453.60 |
$453.60 |
$199.50
|
|
Blood typing rh (d)
|
$67.68 |
$67.68 |
$67.68 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$115.92 |
$115.92 |
$115.92 |
$82.80
|
|
Bone Density Scan (DEXA)
|
$463.68 |
$463.68 |
$463.68 |
$397.28
|
|
Bone imaging multiple areas
|
$1,305.36 |
$1,305.36 |
$1,305.36 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$1,207.44 |
$1,207.44 |
$1,207.44 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$3,936.96 |
$3,936.96 |
$3,936.96 |
$1,508.78
|
|
Bone marrow interpretation
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$542.03
|
|
Borrelia antibody
|
$126.72 |
$126.72 |
$126.72 |
$77.84
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$128.16 |
$128.16 |
$128.16 |
$94.80
|
|
Borrelia miyamotoi amp prb
|
$200.88 |
$200.88 |
$200.88 |
$68.88
|
|
Bowel imaging
|
$1,539.36 |
$1,539.36 |
$1,539.36 |
$1,065.00
|
|
Braf gene
|
$432.72 |
$432.72 |
$432.72 |
$427.50
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,175.20 |
$3,175.20 |
$3,175.20 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,132.00 |
$3,132.00 |
$3,132.00 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$2,981.52 |
$2,981.52 |
$2,981.52 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$4,441.68 |
$4,441.68 |
$4,441.68 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,729.60 |
$3,729.60 |
$3,729.60 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,219.12 |
$3,219.12 |
$3,219.12 |
$1,977.27
|
|
Brcassure comprehensive panel-sendout
|
$4,400.64 |
$4,400.64 |
$4,400.64 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$4,019.76 |
$4,019.76 |
$4,019.76 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$820.80 |
$820.80 |
$820.80 |
$847.00
|
|
Bronchial challenge
|
$485.28 |
$485.28 |
$485.28 |
$777.60
|
|
Br punct aspir ea add, l
|
$674.64 |
$674.64 |
$674.64 |
$358.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$6.48 |
$6.48 |
$6.48 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$164.16 |
$164.16 |
$164.16 |
$160.80
|
|
Bundled special stain group 2
|
$246.96 |
$246.96 |
$246.96 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$0.62 |
$0.62 |
$0.62 |
$32.88
|
|
Buprenorphine and metabolite - sendout
|
$62.64 |
$62.64 |
$62.64 |
$82.82
|
|
Bx breast 1st lesion strtctc
|
$5,224.32 |
$5,224.32 |
$5,224.32 |
$3,601.35
|
|
Bx breast add lesion strtctc
|
$2,085.84 |
$2,085.84 |
$2,085.84 |
$1,800.68
|
