|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$2,963.10 |
$2,963.10 |
$2,963.10 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$5,938.10 |
$5,938.10 |
$5,938.10 |
$10,384.40
|
|
Autologous blood process
|
$977.90 |
$977.90 |
$977.90 |
$266.75
|
|
Autolog prp diab wound ulcer
|
$4,004.00 |
$4,004.00 |
$4,004.00 |
$2,267.04
|
|
Autonomic nrv adrenrg inervj
|
$952.70 |
$952.70 |
$952.70 |
$310.45
|
|
Autonomic nrv syst funj test
|
$1,099.00 |
$1,099.00 |
$1,099.00 |
$365.04
|
|
Avelumab 20 mg/ml intravenous solution
|
$11,401.25 |
$11,401.25 |
$11,401.25 |
$3,721.71
|
|
Avul nail plate addl
|
$1,981.70 |
$1,981.70 |
$1,981.70 |
$187.20
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$128.80 |
$128.80 |
$128.80 |
$326.27
|
|
Azacitidine injection
|
$3,868.20 |
$3,868.20 |
$3,868.20 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$18.37 |
$18.37 |
$18.37 |
$3.25
|
|
Azithromycin 500 mg intravenous solution
|
$288.75 |
$288.75 |
$288.75 |
$36.36
|
|
Aztreonam 1 gram solution for injection
|
$428.40 |
$428.40 |
$428.40 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$4,100.07 |
$4,100.07 |
$4,100.07 |
$1,667.48
|
|
Baclofen eval charges
|
$185.50 |
$185.50 |
$185.50 |
$87.50
|
|
Bacterial meningitis antigen
|
$112.70 |
$112.70 |
$112.70 |
$66.30
|
|
Bacterial vaginosis pcr
|
$1,701.00 |
$1,701.00 |
$1,701.00 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$116.90 |
$116.90 |
$116.90 |
$109.20
|
|
Balloon dilate urtrl strix
|
$16,338.37 |
$16,338.37 |
$16,338.37 |
$2,118.00
|
|
Bartholin gland cyst/marsupializat 56440
|
$18,237.38 |
$18,237.38 |
$18,237.38 |
$4,451.18
|
|
Bartonella dna pcr-sendout
|
$252.70 |
$252.70 |
$252.70 |
$189.55
|
|
Bausch health Ultrasound surg
|
$4,537.35 |
$4,537.35 |
$4,537.35 |
$768.50
|
|
B cells total count
|
$156.80 |
$156.80 |
$156.80 |
$131.30
|
|
Bckdhb gene
|
$230.30 |
$230.30 |
$230.30 |
$190.40
|
|
Behavior counsel obesity 15min medicare g0447
|
$105.00 |
$105.00 |
$105.00 |
$105.00
|
|
Belatacept 250 mg intravenous solution
|
$6,410.42 |
$6,410.42 |
$6,410.42 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$11,737.77 |
$11,737.77 |
$11,737.77 |
$4,046.27
|
|
Bendamustine 100 mg intravenous powder for solution
|
$4,201.57 |
$4,201.57 |
$4,201.57 |
$5,145.52
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$11,553.32 |
$11,553.32 |
$11,553.32 |
$4,898.13
|
|
Benign lesion paring 2-4
|
$264.60 |
$264.60 |
$264.60 |
$263.20
|
|
#_benzodiazconfur
|
$217.70 |
$217.70 |
$217.70 |
$117.15
|
|
Benztropine 1 mg/ml injection solution
|
$264.07 |
$264.07 |
$264.07 |
$106.46
|
|
Beta 2 glycoprotein 1 antibody iga
|
$137.90 |
$137.90 |
$137.90 |
$82.20
|
|
Beta-2 microglobulin
|
$103.60 |
$103.60 |
$103.60 |
$84.75
|
|
Beta-amyloid 1-40
|
$331.10 |
$331.10 |
$331.10 |
$312.00
|
|
Beta-amyloid 1-42
|
$392.00 |
$392.00 |
$392.00 |
$312.50
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$184.45 |
$184.45 |
$184.45 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$17,338.65 |
$17,338.65 |
$17,338.65 |
$5,767.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$12,738.07 |
$12,738.07 |
$12,738.07 |
$3,790.55
|
|
Bfb train ea addl 15 min 90913
|
$185.50 |
$185.50 |
$185.50 |
$101.00
|
|
B-hexosaminidase ea assay
|
$69.30 |
$69.30 |
$69.30 |
$124.00
|
|
Bilateral n blobk inj pudendal 64430
|
$2,756.60 |
$2,756.60 |
$2,756.60 |
$1,382.70
|
|
Bilateral n block inj occipital 64405
|
$1,498.00 |
$1,498.00 |
$1,498.00 |
$808.17
|
|
Bilateral n block inj trigeminal 64400
|
$156.10 |
$156.10 |
$156.10 |
$586.30
|
|
Bile duct endoscopy add-on 47550
|
$2,525.60 |
$2,525.60 |
$2,525.60 |
$996.45
|
|
Biliary endo perq dx w/speci
|
$2,288.30 |
$2,288.30 |
$2,288.30 |
$5,038.80
|
|
Biliary endoscopy thru skin
|
$6,700.40 |
$6,700.40 |
$6,700.40 |
$4,795.70
|
|
Biliary endoscopy thru skin
|
$3,804.50 |
$3,804.50 |
$3,804.50 |
$3,120.25
|
|
Biliary endoscopy thru skin
|
$6,652.10 |
$6,652.10 |
$6,652.10 |
$5,463.60
|
|
Bilicheck
|
$86.10 |
$86.10 |
$86.10 |
$27.00
|
|
Bilirubin direct
|
$68.60 |
$68.60 |
$68.60 |
$50.40
|
|
Bilirubin total
|
$99.40 |
$99.40 |
$99.40 |
$53.84
|
|
Biopsy abdominal mass
|
$10,132.23 |
$10,132.23 |
$10,132.23 |
$1,716.00
|
|
Biopsy, bone open deep
|
$7,266.70 |
$7,266.70 |
$7,266.70 |
$3,994.09
|
|
Biopsy bone trocar/needle superficial
|
$938.00 |
$938.00 |
$938.00 |
$1,680.35
|
|
Biopsy cervixsingle/multiple 57500
|
$20,128.93 |
$20,128.93 |
$20,128.93 |
$1,266.48
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$21,682.53 |
$21,682.53 |
$21,682.53 |
$2,716.95
|
|
Biopsy lower leg soft tissue
|
$3,856.30 |
$3,856.30 |
$3,856.30 |
$1,917.33
|
|
Biopsy muscle percutaneous needle
|
$828.80 |
$828.80 |
$828.80 |
$1,632.98
|
|
Biopsy needle liver percutaneous
|
$7,369.07 |
$7,369.07 |
$7,369.07 |
$1,827.42
|
|
Biopsy needle lymph node superficial
|
$9,832.42 |
$9,832.42 |
$9,832.42 |
$1,879.09
|
|
Biopsy of inestine 44100
|
$2,052.40 |
$2,052.40 |
$2,052.40 |
$1,682.92
|
|
Biopsy of nail unit 11755
|
$2,163.00 |
$2,163.00 |
$2,163.00 |
$973.71
|
|
Biopsy of nerve
|
$6,381.90 |
$6,381.90 |
$6,381.90 |
$3,925.60
|
|
Biopsy of penis 54100
|
$4,982.60 |
$4,982.60 |
$4,982.60 |
$1,917.33
|
|
Biopsy of prostate
|
$17,132.54 |
$17,132.54 |
$17,132.54 |
$2,419.00
|
|
Biopsy of rectum wall anal approach 45100
|
$6,904.80 |
$6,904.80 |
$6,904.80 |
$3,245.23
|
|
Biopsy of salivary gland 42400
|
$8,117.04 |
$8,117.04 |
$8,117.04 |
$1,145.90
|
|
Biopsy/removal lymph nodes
|
$47,263.73 |
$47,263.73 |
$47,263.73 |
$4,196.54
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$8,592.77 |
$8,592.77 |
$8,592.77 |
$2,092.00
|
|
Biopsy roof of mouth
|
$2,534.00 |
$2,534.00 |
$2,534.00 |
$1,752.89
|
|
Biopsy vestibule of mouth 40808
|
$1,097.60 |
$1,097.60 |
$1,097.60 |
$635.50
|
|
Biospy of bladder
|
$31,317.33 |
$31,317.33 |
$31,317.33 |
$835.00
|
|
Biotinidase - quest
|
$88.90 |
$88.90 |
$88.90 |
$64.35
|
|
Bivalirudin
|
$940.27 |
$940.27 |
$940.27 |
$1,038.91
|
|
Bladder irrigate/lavage/instill 51700
|
$196.70 |
$196.70 |
$196.70 |
$408.00
|
|
Bld exchange truj oth thn nb
|
$851.90 |
$851.90 |
$851.90 |
$862.75
|
|
Bld prd mix
|
$150.50 |
$150.50 |
$150.50 |
$140.25
|
|
Bleomycin 15 unit solution for injection
|
$384.47 |
$384.47 |
$384.47 |
$225.00
|
|
Blink reflex test
|
$368.90 |
$368.90 |
$368.90 |
$190.00
|
|
Blm gene
|
$95.20 |
$95.20 |
$95.20 |
$127.86
|
|
Bln 1.2 mono emrg 15x1.2
|
$27,580.59 |
$27,580.59 |
$27,580.59 |
$8,648.00
|
|
Bln 30frx10mmx12cm renal nephromax
|
$12,386.36 |
$12,386.36 |
$12,386.36 |
$5,330.60
|
|
Bln inpact admiral 4x150x130cm
|
$23,574.04 |
$23,574.04 |
$23,574.04 |
$4,951.39
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$8,054.51 |
$8,054.51 |
$8,054.51 |
$5,272.40
|
|
Block plantar digital nerve
|
$343.00 |
$343.00 |
$343.00 |
$524.04
|
|
Block tap inj(s) w/wo img bi
|
$3,998.40 |
$3,998.40 |
$3,998.40 |
$1,340.40
|
|
Blood Clotting (PT/INR) Test
|
$60.20 |
$60.20 |
$60.20 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$88.20 |
$88.20 |
$88.20 |
$73.80
|
|
Blood Count (CBC) Test
|
$124.60 |
$124.60 |
$124.60 |
$74.70
|
|
Blood Count (CBC) Test (without differential)
|
$90.30 |
$90.30 |
$90.30 |
$61.80
|
|
Blood Culture Test
|
$739.90 |
$739.90 |
$739.90 |
$145.60
|
|
Blood draw capillary 36416
|
$127.40 |
$127.40 |
$127.40 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$275.80 |
$275.80 |
$275.80 |
$226.20
|
|
Blood, l/r, irradiated
|
$974.40 |
$974.40 |
$974.40 |
$460.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$63.00 |
$63.00 |
$63.00 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$47.60 |
$47.60 |
$47.60 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$47.60 |
$47.60 |
$47.60 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$60.20 |
$60.20 |
$60.20 |
$34.65
|
|
Blood smear microscopic w manual differential wbc count
|
$102.20 |
$102.20 |
$102.20 |
$38.35
|
