|
Apply of finger splint 29131
|
$241.80 |
$241.80 |
$241.80 |
$177.45
|
|
Apply rigid leg cast 29445
|
$756.00 |
$756.00 |
$756.00 |
$593.57
|
|
#aptt mix-1:1 incubated
|
$418.80 |
$418.80 |
$418.80 |
$157.30
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$93.60 |
$93.60 |
$93.60 |
$90.52
|
|
Aquatic exercise - group charge
|
$97.20 |
$97.20 |
$97.20 |
$86.90
|
|
Arterial blood draw/perc 36620
|
$1,454.40 |
$1,454.40 |
$1,454.40 |
$529.19
|
|
Artery x-rays arm/leg 75710-26
|
$3,040.80 |
$3,040.80 |
$3,040.80 |
$3,341.00
|
|
Artery x-rays arms/legs 75716-26
|
$6,081.60 |
$6,081.60 |
$6,081.60 |
$3,860.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$792.60 |
$792.60 |
$792.60 |
$543.40
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$888.60 |
$888.60 |
$888.60 |
$882.70
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$862.80 |
$862.80 |
$862.80 |
$687.20
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$2,104.80 |
$2,104.80 |
$2,104.80 |
$1,219.50
|
|
Assay acid phosphatase
|
$90.60 |
$90.60 |
$90.60 |
$38.81
|
|
Assay blood catecholamines
|
$370.80 |
$370.80 |
$370.80 |
$72.00
|
|
Assay free hydroxyproline
|
$270.00 |
$270.00 |
$270.00 |
$52.64
|
|
Assay of estrogen
|
$479.40 |
$479.40 |
$479.40 |
$185.60
|
|
Assay of feces porphyrins
|
$236.40 |
$236.40 |
$236.40 |
$166.20
|
|
Assay of intrinsic factor
|
$186.60 |
$186.60 |
$186.60 |
$27.35
|
|
Assay of neonatal thyroxine
|
$109.80 |
$109.80 |
$109.80 |
$13.33
|
|
Assay of procainamide w/metab
|
$173.40 |
$173.40 |
$173.40 |
$63.07
|
|
Assay of progesterone
|
$432.00 |
$432.00 |
$432.00 |
$285.19
|
|
Assay of salicylate
|
$36.00 |
$36.00 |
$36.00 |
$83.85
|
|
Assay of semen fructose
|
$154.20 |
$154.20 |
$154.20 |
$47.45
|
|
Assay of thiocyanate
|
$166.80 |
$166.80 |
$166.80 |
$55.25
|
|
Assay phosphatidylglycerol
|
$136.80 |
$136.80 |
$136.80 |
$133.56
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$278.40 |
$278.40 |
$278.40 |
$300.80
|
|
Assess cyst contrast inject
|
$905.40 |
$905.40 |
$905.40 |
$447.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$112.80 |
$112.80 |
$112.80 |
$43.55
|
|
Ast/sgot
|
$104.40 |
$104.40 |
$104.40 |
$43.40
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$16,692.06 |
$16,692.06 |
$16,692.06 |
$19,405.49
|
|
Atropine 0.1 mg/ml injection syringe
|
$43.01 |
$43.01 |
$43.01 |
$25.04
|
|
Audiometry air + bone
|
$120.00 |
$120.00 |
$120.00 |
$178.81
|
|
Autologous blood process
|
$723.00 |
$723.00 |
$723.00 |
$262.50
|
|
Automated diff wbc count
|
$57.60 |
$57.60 |
$57.60 |
$33.80
|
|
Avul nail plate addl
|
$150.00 |
$150.00 |
$150.00 |
$239.85
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$396.00 |
$396.00 |
$396.00 |
$356.00
|
|
Azacitidine injection
|
$11.01 |
$11.01 |
$11.01 |
$201.43
|
|
Azathioprine 50 mg tablet
|
$2.03 |
$2.03 |
$2.03 |
$2.18
|
|
Azithromycin 500 mg intravenous solution
|
$65.10 |
$65.10 |
$65.10 |
$22.94
|
|
Aztreonam 1 gram solution for injection
|
$158.89 |
$158.89 |
$158.89 |
$157.83
|
|
Baclofen eval charges
|
$100.20 |
$100.20 |
$100.20 |
$84.35
|
|
Bacterial meningitis antigen
|
$223.20 |
$223.20 |
$223.20 |
$66.30
|
|
Bacterial vaginosis pcr
|
$428.40 |
$428.40 |
$428.40 |
$314.60
|
|
Bactericidal level serum
|
$165.60 |
$165.60 |
$165.60 |
$67.60
|
|
Bartonella dna pcr-sendout
|
$282.60 |
$282.60 |
$282.60 |
$234.50
|
|
B cells total count
|
$120.00 |
$120.00 |
$120.00 |
$131.30
|
|
Bcg live 50 mg intravesical suspension
|
$109.33 |
$109.33 |
$109.33 |
$605.43
|
|
Bendamustine 100 mg intravenous powder for solution
|
$66.40 |
$66.40 |
$66.40 |
$66.40
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$58.21 |
$58.21 |
$58.21 |
$58.21
|
|
Benign lesion paring 2-4
|
$443.40 |
$443.40 |
$443.40 |
$275.88
|
|
Benign lesion paring 4+
|
$380.40 |
$380.40 |
$380.40 |
$276.75
|
|
Benztropine 1 mg/ml injection solution
|
$121.88 |
$121.88 |
$121.88 |
$92.62
|
|
Beta 2 glycoprotein 1 antibody iga
|
$237.00 |
$237.00 |
$237.00 |
$108.55
|
|
Beta-2 microglobulin
|
$259.80 |
$259.80 |
$259.80 |
$84.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$123.65 |
$123.65 |
$123.65 |
$50.56
|
|
Bilirubin direct
|
$95.40 |
$95.40 |
$95.40 |
$42.90
|
|
Bilirubin total
|
$94.80 |
$94.80 |
$94.80 |
$48.00
|
|
Binder abdominal lg 12 x 62-74
|
$21.60 |
$21.60 |
$21.60 |
$74.73
|
|
Biopsy abdominal mass
|
$1,896.60 |
$1,896.60 |
$1,896.60 |
$1,857.60
|
|
Biopsy, bone open deep
|
$4,456.80 |
$4,456.80 |
$4,456.80 |
$3,370.52
|
|
Biopsy needle liver percutaneous
|
$3,135.00 |
$3,135.00 |
$3,135.00 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$2,186.40 |
$2,186.40 |
$2,186.40 |
$1,793.38
|
|
Biopsy of prostate
|
$3,135.60 |
$3,135.60 |
$3,135.60 |
$2,412.22
|
|
Biopsy skin incisional single lesion
|
$843.00 |
$843.00 |
$843.00 |
$674.00
|
|
Bladder irrigate/lavage/instill 51700
|
$1,387.80 |
$1,387.80 |
$1,387.80 |
$420.80
|
|
Bld prd mix
|
$119.40 |
$119.40 |
$119.40 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$465.62 |
$465.62 |
$465.62 |
$176.86
|
|
Blood Clotting (PT/INR) Test
|
$88.20 |
$88.20 |
$88.20 |
$45.00
|
|
Blood Clotting (PTT) Test
|
$126.60 |
$126.60 |
$126.60 |
$67.35
|
|
Blood Count (CBC) Test
|
$153.00 |
$153.00 |
$153.00 |
$66.30
|
|
Blood Count (CBC) Test (without differential)
|
$120.00 |
$120.00 |
$120.00 |
$52.43
|
|
Blood Culture Test
|
$287.40 |
$287.40 |
$287.40 |
$112.20
|
|
Blood draw capillary 36416
|
$46.20 |
$46.20 |
$46.20 |
$20.80
|
|
Blood gases o2 saturation direct measurement
|
$331.80 |
$331.80 |
$331.80 |
$210.35
|
|
Blood gases ph venous
|
$137.40 |
$137.40 |
$137.40 |
$54.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$109.20 |
$109.20 |
$109.20 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$73.20 |
$73.20 |
$73.20 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$70.20 |
$70.20 |
$70.20 |
$32.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$77.40 |
$77.40 |
$77.40 |
$31.20
|
|
Blood smear microscopic w manual differential wbc count
|
$77.40 |
$77.40 |
$77.40 |
$34.40
|
|
Blood typing abo
|
$75.60 |
$75.60 |
$75.60 |
$71.40
|
|
Blood typing ag donor ea ag
|
$165.00 |
$165.00 |
$165.00 |
$134.40
|
|
Blood typing patient serum
|
$100.80 |
$100.80 |
$100.80 |
$80.00
|
|
Blood typing rbc ag non abo/rh ea
|
$172.80 |
$172.80 |
$172.80 |
$156.21
|
|
Blood typing rh (d)
|
$75.60 |
$75.60 |
$75.60 |
$52.73
|
|
Blood typing rh phenotype complete reference
|
$480.00 |
$480.00 |
$480.00 |
$70.20
|
|
Bone biopsy open superficial
|
$5,199.60 |
$5,199.60 |
$5,199.60 |
$3,965.54
|
|
Bone Density Scan (DEXA)
|
$403.20 |
$403.20 |
$403.20 |
$381.19
|
|
Bone imaging multiple areas
|
$1,455.60 |
$1,455.60 |
$1,455.60 |
$966.40
|
|
Bone/joint imaging ltd area
|
$1,411.20 |
$1,411.20 |
$1,411.20 |
$935.00
|
|
Bone marrow interpretation
|
$175.80 |
$175.80 |
$175.80 |
$542.03
|
|
Bone survey-lead poisoning
|
$421.80 |
$421.80 |
$421.80 |
$343.33
|
|
Boot j walker l
|
$118.80 |
$118.80 |
$118.80 |
$301.60
|
|
Boot softgait shrt m
|
$88.20 |
$88.20 |
$88.20 |
$113.72
|
|
Boot walker genesis full shell 3-strap s
|
$118.80 |
$118.80 |
$118.80 |
$179.82
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$253.20 |
$253.20 |
$253.20 |
$105.90
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$107.97 |
$107.97 |
$107.97 |
$103.66
|
|
Bowel imaging
|
$1,544.40 |
$1,544.40 |
$1,544.40 |
$1,077.60
|
|
Brace afo lg left 6607
|
$47.40 |
$47.40 |
$47.40 |
$70.65
|
|
Brace ank aftr bioskn med lg
|
$49.20 |
$49.20 |
$49.20 |
$67.77
|
