|
Assay of fluoride
|
$118.20 |
$118.20 |
$132.00 |
$96.85
|
|
Assay of interleukin-6 (il-6)
|
$74.40 |
$74.40 |
$82.80 |
$79.00
|
|
Assay of leflunomide
|
$367.20 |
$367.20 |
$385.80 |
$92.50
|
|
Assay of neonatal thyroxine
|
$19.80 |
$19.80 |
$22.20 |
$19.20
|
|
Assay of pregnanetriol
|
$240.00 |
$240.00 |
$267.60 |
$85.15
|
|
Assay of procainamide w/metab
|
$111.60 |
$111.60 |
$124.20 |
$73.80
|
|
Assay of progesterone
|
$213.00 |
$213.00 |
$237.00 |
$261.31
|
|
Assay of prostaglandin
|
$126.60 |
$126.60 |
$141.60 |
$230.00
|
|
Assay of salicylate
|
$63.60 |
$63.60 |
$70.80 |
$96.50
|
|
Assay of somatostatin
|
$258.00 |
$258.00 |
$287.40 |
$170.50
|
|
Assay of thiocyanate
|
$97.20 |
$97.20 |
$108.60 |
$73.71
|
|
Assay phosphatidylglycerol
|
$72.60 |
$72.60 |
$81.00 |
$134.16
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$219.00 |
$219.00 |
$253.80 |
$300.00
|
|
Assess care plan pt w/cog impair 99483
|
$559.20 |
$559.20 |
$587.40 |
$165.30
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$33.00 |
$33.00 |
$36.60 |
$46.80
|
|
Asses tinnit/pitch/loud/match/mask 92625
|
$127.80 |
$127.80 |
$134.40 |
$185.15
|
|
Assist-bilat spinal disk surgery add-on 63035
|
$525.60 |
$525.60 |
$552.00 |
$1,003.60
|
|
Assistive tech assessment, ot
|
$56.40 |
$56.40 |
$63.00 |
$90.60
|
|
Ast/sgot
|
$40.80 |
$40.80 |
$45.60 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$18,356.62 |
$18,356.62 |
$19,958.81 |
$22,528.65
|
|
Athrectomy fem/pop/unilateral 37225
|
$12,251.40 |
$12,251.40 |
$13,636.20 |
$16,141.30
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$21,123.60 |
$21,123.60 |
$23,583.00 |
$15,188.25
|
|
Atomic absorption
|
$205.20 |
$205.20 |
$229.20 |
$71.20
|
|
Atropine 0.1 mg/ml injection syringe
|
$136.40 |
$136.40 |
$147.56 |
$53.24
|
|
Attach bladder/urethra comp 51841
|
$1,623.60 |
$1,623.60 |
$1,704.60 |
$1,035.11
|
|
Attach bladder/urethra simple 51840
|
$1,234.20 |
$1,234.20 |
$1,296.00 |
$1,712.00
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$190.80 |
$190.80 |
$200.40 |
$188.16
|
|
Audiometry air + bone
|
$64.80 |
$64.80 |
$67.80 |
$185.15
|
|
Augment injectable kit 3.0cc
|
$6,705.00 |
$6,705.00 |
$6,705.00 |
$6,963.84
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$6,827.40 |
$6,827.40 |
$7,885.80 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$8,534.40 |
$8,534.40 |
$9,857.40 |
$10,415.40
|
|
Autologous blood process
|
$96.60 |
$96.60 |
$108.00 |
$266.75
|
|
Avelumab 20 mg/ml intravenous solution
|
$2,357.01 |
$2,357.01 |
$2,357.01 |
$3,721.71
|
|
Av fistula revision
|
$1,232.40 |
$1,232.40 |
$1,294.20 |
$7,014.75
|
|
Av fuse uppr arm basilic
|
$1,392.60 |
$1,392.60 |
$1,462.20 |
$7,740.32
|
|
Av fuse uppr arm cephalic
|
$1,260.00 |
$1,260.00 |
$1,323.00 |
$6,396.89
|
|
Av fusion direct any site
|
$1,296.60 |
$1,296.60 |
$1,361.40 |
$5,419.00
|
|
Av fusion/forearm vein 36820
|
$1,511.40 |
$1,511.40 |
$1,587.00 |
$6,396.89
|
|
Avul nail plate addl
|
$75.00 |
$75.00 |
$91.20 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$200.40 |
$200.40 |
$242.40 |
$326.27
|
|
Axillary lymphadenect/superficial 38740
|
$1,233.60 |
$1,233.60 |
$1,295.40 |
$6,311.00
|
|
Azacitidine injection
|
$953.01 |
$953.01 |
$953.01 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$78.05 |
$78.05 |
$78.05 |
$3.44
|
|
Azathioprine parenteral
|
$484.20 |
$484.20 |
$484.20 |
$465.00
|
|
Azithromycin 500 mg intravenous solution
|
$62.08 |
$62.08 |
$77.40 |
$37.53
|
|
Aztreonam 1 gram solution for injection
|
$159.46 |
$159.46 |
$159.46 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$3,360.49 |
$3,360.49 |
$3,360.49 |
$1,639.90
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$141.72 |
$141.72 |
$141.72 |
$158.07
|
|
Baclofen eval charges
|
$71.40 |
$71.40 |
$222.00 |
$87.50
|
|
Bacterial meningitis antigen
|
$174.60 |
$174.60 |
$183.60 |
$66.30
|
|
Bacterial vaginosis pcr
|
$190.20 |
$190.20 |
$211.80 |
$287.04
|
|
Bactericidal level serum
|
$135.60 |
$135.60 |
$151.20 |
$121.80
|
|
#bac vag cand-c. albicans naa
|
$115.20 |
$115.20 |
$129.00 |
$112.80
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$84.60 |
$84.60 |
$88.80 |
$16.00
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$69.60 |
$69.60 |
$81.00 |
$102.20
|
|
Balloon dilate urtrl strix
|
$1,304.40 |
$1,304.40 |
$1,506.60 |
$2,118.00
|
|
Barium Enema (Colon X-ray, barium and air)
|
$407.40 |
$407.40 |
$445.20 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$300.00 |
$300.00 |
$327.60 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$294.00 |
$294.00 |
$321.60 |
$484.80
|
|
Barrier skin flextend 2.25in floating flang new image
|
$1.20 |
$1.20 |
$1.20 |
$2.60
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$3.00 |
$3.00 |
$3.00 |
$3.30
|
|
Bartholin gland cyst/marsupializat 56440
|
$391.80 |
$391.80 |
$411.60 |
$4,479.26
|
|
Bartonella dna pcr-sendout
|
$196.80 |
$196.80 |
$219.60 |
$195.25
|
|
Basic vestibular evaluation
|
$334.20 |
$334.20 |
$372.00 |
$346.09
|
|
B cells total count
|
$136.20 |
$136.20 |
$152.40 |
$132.48
|
|
Becaplermin 0.01% gel 15 gm
|
$1,208.04 |
$1,208.04 |
$1,208.04 |
$47.04
|
|
Behavior counsel obesity 15min medicare g0447
|
$33.00 |
$33.00 |
$34.80 |
$105.00
|
|
Belatacept 250 mg intravenous solution
|
$1,730.27 |
$1,730.27 |
$1,730.27 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$3,649.18 |
$3,649.18 |
$3,851.88 |
$4,047.32
|
|
Belt ostomy lg 34-65in
|
$1.80 |
$1.80 |
$1.80 |
$5.18
|
|
Bendamustine 100 mg intravenous powder for solution
|
$5,305.05 |
$5,305.05 |
$5,305.05 |
$5,145.52
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$4,423.00 |
$4,423.00 |
$4,423.00 |
$4,898.13
|
|
Benign lesion paring 2-4
|
$102.60 |
$102.60 |
$108.00 |
$264.60
|
|
Benign lesion paring 4+
|
$129.00 |
$129.00 |
$135.60 |
$298.50
|
|
#_benzodiazconfur
|
$192.00 |
$192.00 |
$213.60 |
$121.60
|
|
Benztropine 1 mg/ml injection solution
|
$219.32 |
$219.32 |
$219.32 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$121.20 |
$121.20 |
$135.00 |
$82.55
|
|
Beta-2 microglobulin
|
$123.00 |
$123.00 |
$129.60 |
$85.20
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$78.60 |
$78.60 |
$82.80 |
$65.00
|
|
Bethanechol chloride inject
|
$20.72 |
$20.72 |
$20.72 |
$20.72
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$5,687.56 |
$5,687.56 |
$5,687.56 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$4,984.63 |
$4,984.63 |
$4,984.63 |
$3,496.79
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$4,387.22 |
$4,387.22 |
$4,387.22 |
$2,617.16
|
|
Bfb train 1st 15min cntct 90912
|
$186.00 |
$186.00 |
$195.60 |
$147.95
|
|
Bfb train ea addl 15 min 90913
|
$79.80 |
$79.80 |
$84.00 |
$101.00
|
|
B-hexosaminidase ea assay
|
$189.60 |
$189.60 |
$211.20 |
$124.00
|
|
Bilateral laminotomy addl lumbar 63044
|
$1,148.40 |
$1,148.40 |
$1,206.00 |
$1,428.00
|
|
Bilateral n blobk inj pudendal 64430
|
$258.00 |
$258.00 |
$271.20 |
$1,407.20
|
|
Bilateral n block inj occipital 64405
|
$504.00 |
$504.00 |
$582.60 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$301.20 |
$301.20 |
$363.60 |
$587.60
|
|
Bile duct endoscopy add-on 47550
|
$297.60 |
$297.60 |
$312.60 |
$996.45
|
|
Biliary endo perq dx w/speci
|
$1,505.40 |
$1,505.40 |
$1,738.80 |
$5,080.00
|
|
Bilicheck
|
$28.80 |
$28.80 |
$32.40 |
$27.60
|
|
Bilirubin direct
|
$34.80 |
$34.80 |
$36.60 |
$51.35
|
|
Bilirubin total
|
$42.60 |
$42.60 |
$45.00 |
$54.60
|
|
Bilobectomy 32482
|
$2,922.60 |
$2,922.60 |
$3,069.00 |
$3,860.80
|
|
Binder abdominal lg 12 x 62-74
|
$19.20 |
$19.20 |
$22.80 |
$50.14
|
|
Biofeedback, pt
|
$63.00 |
$63.00 |
$70.20 |
$127.05
|
|
Biopsy abdominal mass
|
$1,953.00 |
$1,953.00 |
$2,256.60 |
$1,722.60
|
|
Biopsy, bone open deep
|
$476.40 |
$476.40 |
$476.40 |
$4,200.43
|
