|
Antigen therapy services
|
$21.00 |
$21.00 |
$21.00 |
$73.84
|
|
Antigen therapy services
|
$33.50 |
$33.50 |
$33.50 |
$83.72
|
|
Antigen therapy services
|
$37.50 |
$37.50 |
$37.50 |
$101.40
|
|
Antigen therapy services
|
$45.00 |
$45.00 |
$45.00 |
$96.72
|
|
Antigen therapy services
|
$133.00 |
$133.00 |
$133.00 |
$130.00
|
|
Antigen therapy services
|
$12.50 |
$12.50 |
$12.50 |
$70.07
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$4,240.80 |
$4,240.80 |
$4,240.80 |
$6.10
|
|
Antihemophilic viii/vwf comp
|
$3,307,904.60 |
$3,307,904.60 |
$3,307,904.60 |
$3.67
|
|
Anti-inhibitor
|
$654,255.00 |
$654,255.00 |
$654,255.00 |
$8.33
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$21.38 |
$21.38 |
$21.38 |
$40.00
|
|
Antinuclear antibodies
|
$43.50 |
$43.50 |
$43.50 |
$89.40
|
|
Antistreptolysin o titer
|
$58.50 |
$58.50 |
$58.50 |
$51.45
|
|
Antithrombin iii activity
|
$95.75 |
$95.75 |
$95.75 |
$114.00
|
|
Antithrombin iii injection
|
$3,559.48 |
$3,559.48 |
$3,559.48 |
$12.34
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$10,135.02 |
$10,135.02 |
$10,135.02 |
$7,704.70
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$835.50 |
$835.50 |
$835.50 |
$463.65
|
|
Application multi layer compression below knee (both sides)
|
$577.50 |
$577.50 |
$577.50 |
$373.20
|
|
Application of paste boot 29580
|
$567.38 |
$567.38 |
$567.38 |
$331.74
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$989.00 |
$989.00 |
$989.00 |
$2,148.25
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,454.50 |
$1,454.50 |
$1,454.50 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$52.00 |
$52.00 |
$52.00 |
$66.00
|
|
Apply rigid leg cast 29445
|
$894.25 |
$894.25 |
$894.25 |
$555.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$955.43 |
$955.43 |
$955.43 |
$955.43
|
|
Aquaporin-4 antibody cba each
|
$19.00 |
$19.00 |
$19.00 |
$138.16
|
|
Argatroban nonesrd use 1mg
|
$368.67 |
$368.67 |
$368.67 |
$866.80
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$8,703.68 |
$8,703.68 |
$8,703.68 |
$6,387.85
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$258.99 |
$258.99 |
$258.99 |
$1,313.89
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,254.78 |
$1,254.78 |
$1,254.78 |
$608.40
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$198.50 |
$198.50 |
$198.50 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,254.78 |
$1,254.78 |
$1,254.78 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$368.00 |
$368.00 |
$368.00 |
$715.37
|
|
Ascenda two piece catheter
|
$33,204.50 |
$33,204.50 |
$33,204.50 |
$22,951.20
|
|
Aspirate pleura without imaging 32554
|
$276.68 |
$276.68 |
$276.68 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,046.25 |
$1,046.25 |
$1,046.25 |
$1,226.87
|
|
Assay of salicylate
|
$23.30 |
$23.30 |
$23.30 |
$95.00
|
|
Assess care plan pt w/cog impair 99483
|
$90.20 |
$90.20 |
$90.20 |
$165.30
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$36.25 |
$36.25 |
$36.25 |
$49.80
|
|
Ast/sgot
|
$28.00 |
$28.00 |
$28.00 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$27,336.25 |
$27,336.25 |
$27,336.25 |
$23,166.53
|
|
Atropine 0.1 mg/ml injection syringe
|
$66.20 |
$66.20 |
$66.20 |
$51.28
|
|
Augment injectable kit 3.0cc
|
$9,735.00 |
$9,735.00 |
$9,735.00 |
$7,469.28
|
|
Autologous blood op salvage
|
$755.50 |
$755.50 |
$755.50 |
$910.70
|
|
Avelumab 20 mg/ml intravenous solution
|
$4,866.10 |
$4,866.10 |
$4,866.10 |
$3,683.86
|
|
Azacitidine injection
|
$210.85 |
$210.85 |
$210.85 |
$1,042.91
|
|
Azathioprine 50 mg tablet
|
$1.39 |
$1.39 |
$1.39 |
$3.46
|
|
Azithromycin 500 mg intravenous solution
|
$114.96 |
$114.96 |
$114.96 |
$35.06
|
|
Azithromycin dihydrate, oral
|
$40.71 |
$40.71 |
$40.71 |
$47.16
|
|
Aztreonam 1 gram solution for injection
|
$264.92 |
$264.92 |
$264.92 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$2,354.93 |
$2,354.93 |
$2,354.93 |
$1,800.33
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$412.24 |
$412.24 |
$412.24 |
$161.17
|
|
Baclofen eval charges
|
$70.00 |
$70.00 |
$70.00 |
$85.00
|
|
Bacterial vaginosis pcr
|
$134.75 |
$134.75 |
$134.75 |
$278.40
|
|
Basiliximab
|
$10,806.32 |
$10,806.32 |
$10,806.32 |
$8,045.59
|
|
Bausch health Ultrasound surg
|
$3,383.00 |
$3,383.00 |
$3,383.00 |
$744.25
|
|
B cells total count
|
$62.38 |
$62.38 |
$62.38 |
$131.30
|
|
Bcg live 50 mg intravesical suspension
|
$717.68 |
$717.68 |
$717.68 |
$378.28
|
|
Belatacept 250 mg intravenous solution
|
$3,432.58 |
$3,432.58 |
$3,432.58 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$5,211.55 |
$5,211.55 |
$5,211.55 |
$4,243.90
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$3,606.83 |
$3,606.83 |
$3,606.83 |
$4,702.68
|
|
Bendamustine 25 mg/ml intravenous solution (vivimusta)
|
$8,210.33 |
$8,210.33 |
$8,210.33 |
$10,390.86
|
|
Benign lesion paring 2-4
|
$324.50 |
$324.50 |
$324.50 |
$257.50
|
|
Benztropine 1 mg/ml injection solution
|
$141.52 |
$141.52 |
$141.52 |
$103.20
|
|
Beta 2 glycoprotein 1 antibody iga
|
$42.00 |
$42.00 |
$42.00 |
$78.50
|
|
Beta-2 microglobulin
|
$59.00 |
$59.00 |
$59.00 |
$85.94
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$206.22 |
$206.22 |
$206.22 |
$64.15
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$8,261.04 |
$8,261.04 |
$8,261.04 |
$5,705.92
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$6,405.56 |
$6,405.56 |
$6,405.56 |
$3,291.73
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$5,168.72 |
$5,168.72 |
$5,168.72 |
$2,508.56
|
|
Bilateral n block inj occipital 64405
|
$1,254.78 |
$1,254.78 |
$1,254.78 |
$768.60
|
|
Bilateral n block inj trigeminal 64400
|
$1,254.78 |
$1,254.78 |
$1,254.78 |
$556.40
|
|
Bilicheck
|
$34.12 |
$34.12 |
$34.12 |
$28.80
|
|
Bilirubin direct
|
$25.50 |
$25.50 |
$25.50 |
$50.00
|
|
Bilirubin total
|
$25.50 |
$25.50 |
$25.50 |
$52.57
|
|
Biopsy abdominal mass
|
$1,795.50 |
$1,795.50 |
$1,795.50 |
$1,718.60
|
|
Biopsy bone trocar/needle superficial
|
$2,229.50 |
$2,229.50 |
$2,229.50 |
$1,770.73
|
|
Biopsy cervixsingle/multiple 57500
|
$65.62 |
$65.62 |
$65.62 |
$1,266.48
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$1,625.50 |
$1,625.50 |
$1,625.50 |
$2,716.95
|
|
Biopsy muscle percutaneous needle
|
$2,229.50 |
$2,229.50 |
$2,229.50 |
$1,629.60
|
|
Biopsy needle liver percutaneous
|
$1,331.75 |
$1,331.75 |
$1,331.75 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$1,391.00 |
$1,391.00 |
$1,391.00 |
$1,878.14
|
|
Biopsy of salivary gland 42400
|
$948.00 |
$948.00 |
$948.00 |
$1,145.90
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$4,458.50 |
$4,458.50 |
$4,458.50 |
$2,086.50
|
|
Biopsy skin incisional single lesion
|
$577.00 |
$577.00 |
$577.00 |
$657.66
|
|
Bivalirudin
|
$1,002.98 |
$1,002.98 |
$1,002.98 |
$1,033.55
|
|
Bladder irrigate/lavage/instill 51700
|
$45.50 |
$45.50 |
$45.50 |
$408.00
|
|
Bleomycin 15 unit solution for injection
|
$282.48 |
$282.48 |
$282.48 |
$215.36
|
|
Blinatumomab 35 mcg intravenous solution
|
$12,991.80 |
$12,991.80 |
$12,991.80 |
$10,187.42
|
|
Bln 1.2 mono emrg 15x1.2
|
$13,865.00 |
$13,865.00 |
$13,865.00 |
$8,530.55
|
|
Bln 30frx10mmx12cm renal nephromax
|
$10,030.00 |
$10,030.00 |
$10,030.00 |
$5,169.58
|
|
Bln inpact admiral 4x150x130cm
|
$9,735.00 |
$9,735.00 |
$9,735.00 |
$4,816.50
|
|
Bln press regulation 71-80cm
|
$21,567.00 |
$21,567.00 |
$21,567.00 |
$13,796.54
|
|
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd
|
$3,840.00 |
$3,840.00 |
$3,840.00 |
$5,175.00
|
|
Blood Clotting (PT/INR) Test
|
$11.12 |
$11.12 |
$11.12 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$41.38 |
$41.38 |
$41.38 |
$73.44
|
|
Blood Count (CBC) Test
|
$21.00 |
$21.00 |
$21.00 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$28.50 |
$28.50 |
$28.50 |
$61.80
|
|
Blood Culture Test
|
$93.62 |
$93.62 |
$93.62 |
$145.80
|
|
Blood draw capillary 36416
|
$14.50 |
$14.50 |
$14.50 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$98.46 |
$98.46 |
$98.46 |
$220.35
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$38.62 |
$38.62 |
$38.62 |
$33.15
|