|
Application of long leg cast 29345
|
$286.56 |
$286.56 |
$286.56 |
$455.00
|
|
Application of paste boot 29580
|
$352.08 |
$352.08 |
$352.08 |
$331.74
|
|
Application short leg cast 29405
|
$286.56 |
$286.56 |
$286.56 |
$388.80
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,975.68 |
$1,975.68 |
$1,975.68 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,975.68 |
$1,975.68 |
$1,975.68 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$108.00 |
$108.00 |
$108.00 |
$744.90
|
|
Appl modality 1/> areas paraffin bath 97018
|
$75.60 |
$75.60 |
$75.60 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$75.60 |
$75.60 |
$75.60 |
$75.60
|
|
Apply forearm splintdynamic 29126
|
$248.40 |
$248.40 |
$248.40 |
$246.18
|
|
Apply of finger splint 29131
|
$185.76 |
$185.76 |
$185.76 |
$168.00
|
|
Apply rigid leg cast 29445
|
$733.68 |
$733.68 |
$733.68 |
$555.00
|
|
Apply short leg castambul type 29425
|
$286.56 |
$286.56 |
$286.56 |
$381.00
|
|
Aquaporin-4 antibody cba each
|
$27.36 |
$27.36 |
$27.36 |
$138.16
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$183.60 |
$183.60 |
$183.60 |
$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
|
$1,083.60 |
$1,083.60 |
$1,083.60 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,083.60 |
$1,083.60 |
$1,083.60 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$542.16 |
$542.16 |
$542.16 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$542.16 |
$542.16 |
$542.16 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,083.60 |
$1,083.60 |
$1,083.60 |
$715.37
|
|
Ascenda two piece catheter
|
$648.00 |
$648.00 |
$648.00 |
$22,951.20
|
|
Aspirate pleura without imaging 32554
|
$1,296.72 |
$1,296.72 |
$1,296.72 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,396.80 |
$1,396.80 |
$1,396.80 |
$1,226.87
|
|
Assay of glutathione
|
$71.28 |
$71.28 |
$71.28 |
$76.14
|
|
Assay of osteocalcin
|
$231.84 |
$231.84 |
$231.84 |
$92.50
|
|
Assay of procainamide w/metab
|
$110.16 |
$110.16 |
$110.16 |
$70.50
|
|
Assay of prostaglandin
|
$215.28 |
$215.28 |
$215.28 |
$218.50
|
|
Assay of urine sulfate
|
$39.60 |
$39.60 |
$39.60 |
$29.04
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$61.92 |
$61.92 |
$61.92 |
$49.80
|
|
Ast/sgot
|
$90.72 |
$90.72 |
$90.72 |
$45.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$0.97 |
$0.97 |
$0.97 |
$51.28
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$11,281.68 |
$11,281.68 |
$11,281.68 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$14,368.32 |
$14,368.32 |
$14,368.32 |
$10,384.40
|
|
Avul nail plate addl
|
$200.16 |
$200.16 |
$200.16 |
$194.22
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$438.00 |
$438.00 |
$438.00 |
$318.75
|
|
Azithromycin 500 mg intravenous solution
|
$49.82 |
$49.82 |
$49.82 |
$35.06
|
|
Aztreonam 1 gram solution for injection
|
$11.75 |
$11.75 |
$11.75 |
$157.30
|
|
Bacterial meningitis antigen
|
$22.32 |
$22.32 |
$22.32 |
$66.30
|
|
Bacterial vaginosis pcr
|
$289.44 |
$289.44 |
$289.44 |
$278.40
|
|
#bac vag cand-c. albicans naa
|
$100.08 |
$100.08 |
$100.08 |
$105.00
|
|
Bartonella dna pcr-sendout
|
$282.24 |
$282.24 |
$282.24 |
$195.66
|
|
Bausch health Ultrasound surg
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$744.25
|
|
B cells total count
|
$132.48 |
$132.48 |
$132.48 |
$131.30
|
|
Bebtelovimab injection
|
$378.72 |
$378.72 |
$378.72 |
$450.48
|
|
Belimumab 120 mg intravenous solution
|
$7,275.29 |
$7,275.29 |
$7,275.29 |
$4,243.90
|
|
Benign lesion paring 2-4
|
$214.56 |
$214.56 |
$214.56 |
$257.50
|
|
Benign lesion paring 4+
|
$214.56 |
$214.56 |
$214.56 |
$287.00
|
|
#_benzodiazconfur
|
$237.60 |
$237.60 |
$237.60 |
$114.40
|
|
Beta 2 glycoprotein 1 antibody iga
|
$77.04 |
$77.04 |
$77.04 |
$78.50
|
|
Beta-2 microglobulin
|
$70.56 |
$70.56 |
$70.56 |
$85.94
|
|
Bilateral n block inj occipital 64405
|
$318.96 |
$318.96 |
$318.96 |
$768.60
|
|
Bilateral n block inj trigeminal 64400
|
$536.40 |
$536.40 |
$536.40 |
$556.40
|
|
Bilirubin direct
|
$76.32 |
$76.32 |
$76.32 |
$50.00
|
|
Bilirubin total
|
$76.32 |
$76.32 |
$76.32 |
$52.57
|
|
Biopsy abdominal mass
|
$2,385.36 |
$2,385.36 |
$2,385.36 |
$1,718.60
|
|
Biopsy bone trocar/needle superficial
|
$1,749.60 |
$1,749.60 |
$1,749.60 |
$1,770.73
|
|
Biopsy external ear 69100
|
$678.24 |
$678.24 |
$678.24 |
$416.52
|
|
Biopsy needle lymph node superficial
|
$3,133.44 |
$3,133.44 |
$3,133.44 |
$1,878.14
|
|
Biopsy of prostate
|
$2,212.56 |
$2,212.56 |
$2,212.56 |
$2,412.45
|
|
Biopsy skin incisional single lesion
|
$660.96 |
$660.96 |
$660.96 |
$657.66
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$2,982.96 |
$2,982.96 |
$2,982.96 |
$2,462.35
|
|
Bladder irrigate/lavage/instill 51700
|
$300.96 |
$300.96 |
$300.96 |
$408.00
|
|
Bln 30frx10mmx12cm renal nephromax
|
$540.00 |
$540.00 |
$540.00 |
$5,169.58
|
|
Blood Clotting (PT/INR) Test
|
$108.72 |
$108.72 |
$108.72 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$164.88 |
$164.88 |
$164.88 |
$73.44
|
|
Blood Count (CBC) Test
|
$122.40 |
$122.40 |
$122.40 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$110.16 |
$110.16 |
$110.16 |
$61.80
|
|
Blood Culture Test
|
$241.20 |
$241.20 |
$241.20 |
$145.80
|
|
Blood draw capillary 36416
|
$25.92 |
$25.92 |
$25.92 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$223.20 |
$223.20 |
$223.20 |
$220.35
|
|
Blood gases ph venous
|
$33.84 |
$33.84 |
$33.84 |
$64.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$45.36 |
$45.36 |
$45.36 |
$33.15
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$39.60 |
$39.60 |
$39.60 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$200.88 |
$200.88 |
$200.88 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$180.72 |
$180.72 |
$180.72 |
$38.61
|
|
Blood typing abo
|
$144.72 |
$144.72 |
$144.72 |
$83.03
|
|
Blood typing ag donor ea ag
|
$453.60 |
$453.60 |
$453.60 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$453.60 |
$453.60 |
$453.60 |
$199.50
|
|
Blood typing rh (d)
|
$65.52 |
$65.52 |
$65.52 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$79.92 |
$79.92 |
$79.92 |
$82.80
|
|
Bone biopsy open superficial
|
$3,163.68 |
$3,163.68 |
$3,163.68 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$495.36 |
$495.36 |
$495.36 |
$397.28
|
|
Bone imaging multiple areas
|
$960.48 |
$960.48 |
$960.48 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$960.48 |
$960.48 |
$960.48 |
$1,013.50
|
|
Bone marrow biopsyneedle/trocar 38221
|
$2,981.52 |
$2,981.52 |
$2,981.52 |
$1,570.80
|
|
Bone marrow interpretation
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$542.03
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$100.08 |
$100.08 |
$100.08 |
$94.80
|
|
(both sides) smear without diff wbc count
|
$33.12 |
$33.12 |
$33.12 |
$30.68
|
|
Bowel imaging
|
$1,380.96 |
$1,380.96 |
$1,380.96 |
$1,065.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,309.12 |
$3,309.12 |
$3,309.12 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,165.84 |
$3,165.84 |
$3,165.84 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,017.52 |
$3,017.52 |
$3,017.52 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$4,523.04 |
$4,523.04 |
$4,523.04 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,286.80 |
$3,286.80 |
$3,286.80 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$3,221.28 |
$3,221.28 |
$3,221.28 |
$1,977.27
|
|
Brcassure comprehensive panel-sendout
|
$4,027.68 |
$4,027.68 |
$4,027.68 |
$2,287.20
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,608.64 |
$3,608.64 |
$3,608.64 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$759.60 |
$759.60 |
$759.60 |
$847.00
|
|
Bronchial challenge
|
$1,064.88 |
$1,064.88 |
$1,064.88 |
$777.60
|
|
Br punct aspir ea add, l
|
$509.04 |
$509.04 |
$509.04 |
$358.00
|
