|
Arm CT Scan (without contrast, both arms)
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$510.00 |
$510.00 |
$510.00 |
$426.00
|
|
Arterial blood draw/perc 36620
|
$312.50 |
$312.50 |
$312.50 |
$478.96
|
|
Artery xray each vessel 7577426
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$4,110.00 |
$4,110.00 |
$4,110.00 |
$4,618.71
|
|
Artery x-rays adrenal gland
|
$3,195.00 |
$3,195.00 |
$3,195.00 |
$3,320.35
|
|
Artery x-rays adrenals
|
$3,995.00 |
$3,995.00 |
$3,995.00 |
$3,764.59
|
|
Artery x-rays arm/leg 75710-26
|
$3,540.00 |
$3,540.00 |
$3,540.00 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$4,425.00 |
$4,425.00 |
$4,425.00 |
$3,860.40
|
|
Artery x-rays chest
|
$3,870.00 |
$3,870.00 |
$3,870.00 |
$2,895.07
|
|
Artery x-rays lung
|
$2,390.00 |
$2,390.00 |
$2,390.00 |
$3,296.15
|
|
Artery x-rays lung
|
$2,610.00 |
$2,610.00 |
$2,610.00 |
$2,427.50
|
|
Artery x-rays lungs
|
$2,990.00 |
$2,990.00 |
$2,990.00 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$3,825.00 |
$3,825.00 |
$3,825.00 |
$4,306.40
|
|
Artery x-rays spine
|
$3,260.00 |
$3,260.00 |
$3,260.00 |
$4,792.33
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$340.00 |
$340.00 |
$340.00 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$650.00 |
$650.00 |
$650.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$805.00 |
$805.00 |
$805.00 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$277.50 |
$277.50 |
$277.50 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$387.50 |
$387.50 |
$387.50 |
$699.00
|
|
Ascenda two piece catheter
|
$22,288.00 |
$22,288.00 |
$22,288.00 |
$22,792.00
|
|
Aspa gene
|
$140.00 |
$140.00 |
$140.00 |
$133.84
|
|
Aspirate/inj ganglion cyst 20612
|
$505.00 |
$505.00 |
$505.00 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,065.00 |
$1,065.00 |
$1,065.00 |
$1,250.04
|
|
Assay acid phosphatase
|
$60.00 |
$60.00 |
$60.00 |
$38.22
|
|
Assay dir meas fr estradiol
|
$105.00 |
$105.00 |
$105.00 |
$68.00
|
|
Assay neurflmnt light chain
|
$380.00 |
$380.00 |
$380.00 |
$380.00
|
|
Assay of feces porphyrins
|
$95.00 |
$95.00 |
$95.00 |
$134.38
|
|
Assay of galactose
|
$25.00 |
$25.00 |
$25.00 |
$47.26
|
|
Assay of interleukin-6 (il-6)
|
$100.00 |
$100.00 |
$100.00 |
$79.00
|
|
Assay of leflunomide
|
$185.00 |
$185.00 |
$185.00 |
$92.50
|
|
Assay of osteocalcin
|
$160.00 |
$160.00 |
$160.00 |
$93.60
|
|
Assay of procainamide w/metab
|
$100.00 |
$100.00 |
$100.00 |
$73.80
|
|
Assay of prostaglandin
|
$355.00 |
$355.00 |
$355.00 |
$230.00
|
|
Assay of salicylate
|
$317.50 |
$317.50 |
$317.50 |
$96.50
|
|
Assay of sialic acid
|
$92.50 |
$92.50 |
$92.50 |
$92.50
|
|
Assay of somatostatin
|
$102.50 |
$102.50 |
$102.50 |
$170.50
|
|
Assay of thiocyanate
|
$85.00 |
$85.00 |
$85.00 |
$73.71
|
|
Assay of tyrosine
|
$57.50 |
$57.50 |
$57.50 |
$56.10
|
|
Assay of urine sulfate
|
$50.00 |
$50.00 |
$50.00 |
$28.20
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$252.50 |
$252.50 |
$252.50 |
$300.00
|
|
Assess cyst contrast inject
|
$350.00 |
$350.00 |
$350.00 |
$453.04
|
|
Ast/sgot
|
$52.50 |
$52.50 |
$52.50 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$209.16 |
$209.16 |
$209.16 |
$22,528.65
|
|
Athrectomy fem/pop/unilateral 37225
|
$14,155.00 |
$14,155.00 |
$14,155.00 |
$16,141.30
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$14,490.00 |
$14,490.00 |
$14,490.00 |
$15,188.25
|
|
Atxn1 gene detc abnor allele
|
$565.00 |
$565.00 |
$565.00 |
$260.58
|
|
Atxn2 gene detc abnor allele
|
$560.00 |
$560.00 |
$560.00 |
$260.58
|
|
Audiometry air + bone
|
$197.50 |
$197.50 |
$197.50 |
$185.15
|
|
Aud rehab postling hear loss
|
$290.00 |
$290.00 |
$290.00 |
$204.80
|
|
Aud rehab pre-ling hear loss
|
$290.00 |
$290.00 |
$290.00 |
$168.60
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$5,930.00 |
$5,930.00 |
$5,930.00 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$7,030.00 |
$7,030.00 |
$7,030.00 |
$10,415.40
|
|
Autologous blood process
|
$595.00 |
$595.00 |
$595.00 |
$266.75
|
|
Automated diff wbc count
|
$40.00 |
$40.00 |
$40.00 |
$36.30
|
|
Avul nail plate addl
|
$150.00 |
$150.00 |
$150.00 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$320.00 |
$320.00 |
$320.00 |
$326.27
|
|
Azacitidine injection
|
$2.42 |
$2.42 |
$2.42 |
$1,047.73
|
|
Azithromycin 500 mg intravenous solution
|
$63.33 |
$63.33 |
$63.33 |
$37.53
|
|
Baclofen eval charges
|
$85.00 |
$85.00 |
$85.00 |
$87.50
|
|
Bacterial meningitis antigen
|
$55.00 |
$55.00 |
$55.00 |
$66.30
|
|
Bacterial vaginosis pcr
|
$312.50 |
$312.50 |
$312.50 |
$287.04
|
|
Bactericidal level serum
|
$82.50 |
$82.50 |
$82.50 |
$121.80
|
|
#bac vag cand-c. albicans naa
|
$105.00 |
$105.00 |
$105.00 |
$112.80
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$85.00 |
$85.00 |
$85.00 |
$102.20
|
|
Balloon dilate urtrl strix
|
$1,705.00 |
$1,705.00 |
$1,705.00 |
$2,118.00
|
|
Bard marquee Ultrasound biopsy device
|
$1,035.24 |
$1,035.24 |
$1,035.24 |
$1,686.67
|
|
Barium Enema (Colon X-ray, barium and air)
|
$700.00 |
$700.00 |
$700.00 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$467.50 |
$467.50 |
$467.50 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$415.00 |
$415.00 |
$415.00 |
$484.80
|
|
Bartonella dna pcr-sendout
|
$182.50 |
$182.50 |
$182.50 |
$195.25
|
|
Basic vestibular evaluation
|
$550.00 |
$550.00 |
$550.00 |
$346.09
|
|
Bausch health Ultrasound surg
|
$507.50 |
$507.50 |
$507.50 |
$768.50
|
|
B cells total count
|
$202.50 |
$202.50 |
$202.50 |
$132.48
|
|
Bcg live 50 mg intravesical suspension
|
$13.71 |
$13.71 |
$13.71 |
$404.04
|
|
Bckdhb gene
|
$575.00 |
$575.00 |
$575.00 |
$190.40
|
|
Belatacept 250 mg intravenous solution
|
$8.87 |
$8.87 |
$8.87 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$128.75 |
$128.75 |
$128.75 |
$4,047.32
|
|
Bendamustine 100 mg intravenous powder for solution
|
$11.84 |
$11.84 |
$11.84 |
$5,145.52
|
|
Benign lesion paring 2-4
|
$132.50 |
$132.50 |
$132.50 |
$264.60
|
|
#_benzodiazconfur
|
$317.50 |
$317.50 |
$317.50 |
$121.60
|
|
Beta 2 glycoprotein 1 antibody iga
|
$130.00 |
$130.00 |
$130.00 |
$82.55
|
|
Beta-2 microglobulin
|
$92.50 |
$92.50 |
$92.50 |
$85.20
|
|
Beta-amyloid 1-40
|
$320.00 |
$320.00 |
$320.00 |
$312.00
|
|
Beta-amyloid 1-42
|
$312.50 |
$312.50 |
$312.50 |
$333.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$195.26 |
$195.26 |
$195.26 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$168.11 |
$168.11 |
$168.11 |
$3,496.79
|
|
Bfb train 1st 15min cntct 90912
|
$210.00 |
$210.00 |
$210.00 |
$147.95
|
|
Bfb train ea addl 15 min 90913
|
$107.50 |
$107.50 |
$107.50 |
$101.00
|
|
B-hexosaminidase ea assay
|
$292.50 |
$292.50 |
$292.50 |
$124.00
|
|
Bilateral n blobk inj pudendal 64430
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$1,407.20
|
|
Bilateral n block inj occipital 64405
|
$452.50 |
$452.50 |
$452.50 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$825.00 |
$825.00 |
$825.00 |
$587.60
|
|
Biliary endo perq dx w/speci
|
$1,980.00 |
$1,980.00 |
$1,980.00 |
$5,080.00
|
|
Biliary endoscopy thru skin
|
$3,290.00 |
$3,290.00 |
$3,290.00 |
$5,110.00
|
|
Biliary endoscopy thru skin
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$3,376.62
|
|
Biliary endoscopy thru skin
|
$2,445.00 |
$2,445.00 |
$2,445.00 |
$5,741.00
|
|
Bilicheck
|
$15.00 |
$15.00 |
$15.00 |
$27.60
|
|
Bilirubin direct
|
$30.00 |
$30.00 |
$30.00 |
$51.35
|
