|
Analysis gene f5 leiden variant
|
$584.00 |
$584.00 |
$584.00 |
$249.60
|
|
Anchor suture 3.5mm pushlock
|
$3,315.38 |
$3,315.38 |
$3,315.38 |
$2,155.00
|
|
Ankle arthroscopy/surgery
|
$3,467.00 |
$3,467.00 |
$3,467.00 |
$8,334.74
|
|
Ankle X-ray
|
$627.00 |
$627.00 |
$627.00 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$548.00 |
$548.00 |
$548.00 |
$282.96
|
|
Annual Physical, Established Patient (age 18-39)
|
$283.00 |
$283.00 |
$283.00 |
$153.51
|
|
Annual Physical, Established Patient (age 40-64)
|
$301.00 |
$301.00 |
$301.00 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$313.00 |
$313.00 |
$313.00 |
$154.00
|
|
Annual Physical, New Patient (age 40-64)
|
$363.00 |
$363.00 |
$363.00 |
$167.25
|
|
Antibody elution rbc reference
|
$132.00 |
$132.00 |
$132.00 |
$177.29
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$396.00 |
$396.00 |
$396.00 |
$224.00
|
|
Antibody id rbc panel
|
$449.00 |
$449.00 |
$449.00 |
$291.75
|
|
Antibody screen rbc
|
$132.00 |
$132.00 |
$132.00 |
$108.55
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$5,144.60 |
$5,144.60 |
$5,144.60 |
$6.10
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$227.00 |
$227.00 |
$227.00 |
$38.50
|
|
Antinuclear antibodies
|
$163.00 |
$163.00 |
$163.00 |
$90.00
|
|
Antinuclear antibodies titer
|
$132.00 |
$132.00 |
$132.00 |
$80.04
|
|
Antistreptolysin o screen
|
$75.00 |
$75.00 |
$75.00 |
$58.56
|
|
Antithrombin iii activity
|
$208.00 |
$208.00 |
$208.00 |
$115.15
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$14,664.50 |
$14,664.50 |
$14,664.50 |
$8,214.07
|
|
Aortic Aneurysm Screening Ultrasound
|
$807.00 |
$807.00 |
$807.00 |
$394.55
|
|
Appendix Removal (Laparoscopic)
|
$22,614.24 |
$22,614.24 |
$22,614.24 |
$7,202.00
|
|
Application lower leg splint 29515
|
$446.00 |
$446.00 |
$446.00 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$942.00 |
$942.00 |
$942.00 |
$375.06
|
|
Application of forearm cast 29075
|
$1,381.00 |
$1,381.00 |
$1,381.00 |
$358.20
|
|
Application of long arm cast 29065
|
$710.00 |
$710.00 |
$710.00 |
$396.77
|
|
Application of long leg cast 29345
|
$717.00 |
$717.00 |
$717.00 |
$455.00
|
|
Application of paste boot 29580
|
$716.00 |
$716.00 |
$716.00 |
$340.11
|
|
Application short leg cast 29405
|
$372.00 |
$372.00 |
$372.00 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,769.00 |
$2,769.00 |
$2,769.00 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,628.00 |
$3,628.00 |
$3,628.00 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$4,281.57 |
$4,281.57 |
$4,281.57 |
$981.75
|
|
Appl modality 1/> areas paraffin bath 97018
|
$97.00 |
$97.00 |
$97.00 |
$69.00
|
|
Apply rigid leg cast 29445
|
$1,229.00 |
$1,229.00 |
$1,229.00 |
$555.00
|
|
Apply short leg castambul type 29425
|
$261.00 |
$261.00 |
$261.00 |
$404.74
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,185.25 |
$1,185.25 |
$1,185.25 |
$955.43
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$199.00 |
$199.00 |
$199.00 |
$100.75
|
|
Arm CT Scan (with contrast, both arms)
|
$3,329.00 |
$3,329.00 |
$3,329.00 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$2,618.00 |
$2,618.00 |
$2,618.00 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$791.00 |
$791.00 |
$791.00 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$2,478.30 |
$2,478.30 |
$2,478.30 |
$1,303.25
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,499.00 |
$1,499.00 |
$1,499.00 |
$609.00
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$3,632.00 |
$3,632.00 |
$3,632.00 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,199.00 |
$1,199.00 |
$1,199.00 |
$494.40
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$2,178.00 |
$2,178.00 |
$2,178.00 |
$4,627.00
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$2,280.00 |
$2,280.00 |
$2,280.00 |
$5,241.60
|
|
Ascenda two piece catheter
|
$23,576.00 |
$23,576.00 |
$23,576.00 |
$22,792.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$12,822.34 |
$12,822.34 |
$12,822.34 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$223.00 |
$223.00 |
$223.00 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$426.00 |
$426.00 |
$426.00 |
$1,195.15
|
|
Assay myeloperoxidase
|
$84.00 |
$84.00 |
$84.00 |
$97.41
|
|
Assay of prostaglandin
|
$250.00 |
$250.00 |
$250.00 |
$230.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$67.00 |
$67.00 |
$67.00 |
$46.80
|
|
Ast/sgot
|
$91.00 |
$91.00 |
$91.00 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$35,811.20 |
$35,811.20 |
$35,811.20 |
$22,528.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$47.20 |
$47.20 |
$47.20 |
$53.24
|
|
Augment injectable kit 3.0cc
|
$7,157.00 |
$7,157.00 |
$7,157.00 |
$6,963.84
|
|
Avelumab 20 mg/ml intravenous solution
|
$6,470.55 |
$6,470.55 |
$6,470.55 |
$3,721.71
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$7,787.45 |
$7,787.45 |
$7,787.45 |
$326.27
|
|
Azacitidine injection
|
$207.00 |
$207.00 |
$207.00 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$66.00 |
$66.00 |
$66.00 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$9.20 |
$9.20 |
$9.20 |
$37.53
|
|
Aztreonam 1 gram solution for injection
|
$110.40 |
$110.40 |
$110.40 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$3,156.90 |
$3,156.90 |
$3,156.90 |
$1,639.90
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$164.85 |
$164.85 |
$164.85 |
$158.07
|
|
Baclofen eval charges
|
$238.00 |
$238.00 |
$238.00 |
$87.50
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$97.63 |
$97.63 |
$97.63 |
$16.00
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$199.00 |
$199.00 |
$199.00 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$998.00 |
$998.00 |
$998.00 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$709.00 |
$709.00 |
$709.00 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$520.00 |
$520.00 |
$520.00 |
$484.80
|
|
Barrier film 1.0ml wipe
|
$0.35 |
$0.35 |
$0.35 |
$17.66
|
|
Barrier film 28ml spray no stng cavilon
|
$29.40 |
$29.40 |
$29.40 |
$19.50
|
|
Barrier skin flat ctf 2.75in
|
$0.67 |
$0.67 |
$0.67 |
$0.44
|
|
Barrier skin flextend 2.25in floating flang new image
|
$0.40 |
$0.40 |
$0.40 |
$2.60
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$1.69 |
$1.69 |
$1.69 |
$3.30
|
|
Barrier skn ft cx ff red 2.25 ctf new image w/tape
|
$73.30 |
$73.30 |
$73.30 |
$8.45
|
|
Bausch health Ultrasound surg
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$768.50
|
|
B cells total count
|
$202.00 |
$202.00 |
$202.00 |
$132.48
|
|
Bcg live 50 mg intravesical suspension
|
$864.15 |
$864.15 |
$864.15 |
$404.04
|
|
Belatacept 250 mg intravenous solution
|
$4,849.40 |
$4,849.40 |
$4,849.40 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$11,005.85 |
$11,005.85 |
$11,005.85 |
$4,047.32
|
|
Belt ostomy lg 34-65in
|
$0.75 |
$0.75 |
$0.75 |
$5.18
|
|
Bendamustine 100 mg intravenous powder for solution
|
$14,338.95 |
$14,338.95 |
$14,338.95 |
$5,145.52
|
|
Bendamustine 25 mg/ml intravenous solution (belrapzo)
|
$11,945.90 |
$11,945.90 |
$11,945.90 |
$4,107.38
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$8,355.30 |
$8,355.30 |
$8,355.30 |
$4,898.13
|
|
Bendamustine 25 mg/ml intravenous solution (vivimusta)
|
$19,642.40 |
$19,642.40 |
$19,642.40 |
$9,029.40
|
|
Benign lesion paring 2-4
|
$273.00 |
$273.00 |
$273.00 |
$264.60
|
|
Benign lesion paring 4+
|
$299.00 |
$299.00 |
$299.00 |
$298.50
|
|
#_benzodiazconfur
|
$153.00 |
$153.00 |
$153.00 |
$121.60
|
|
Beta 2 glycoprotein 1 antibody iga
|
$167.00 |
$167.00 |
$167.00 |
$82.55
|
|
Beta-2 microglobulin
|
$148.00 |
$148.00 |
$148.00 |
$85.20
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$175.75 |
$175.75 |
$175.75 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$2,390.85 |
$2,390.85 |
$2,390.85 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$1,925.35 |
$1,925.35 |
$1,925.35 |
$3,496.79
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$6,770.50 |
$6,770.50 |
$6,770.50 |
$2,617.16
|
|
Bilateral n block inj occipital 64405
|
$2,099.00 |
$2,099.00 |
$2,099.00 |
$820.97
|
|
Bilirubin direct
|
$794.00 |
$794.00 |
$794.00 |
$51.35
|
|
Bilirubin total
|
$99.00 |
$99.00 |
$99.00 |
$54.60
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$19,039.36 |
$19,039.36 |
$19,039.36 |
$2,716.95
|
