|
Assistive tech assessment, ot
|
$72.00 |
$72.00 |
$72.00 |
$90.60
|
|
Assist oocyte fertilization
|
$597.60 |
$597.60 |
$597.60 |
$1,292.37
|
|
Assist oocyte fertilization
|
$937.60 |
$937.60 |
$937.60 |
$937.60
|
|
Ast/sgot
|
$33.57 |
$33.57 |
$16,679.20 |
$45.90
|
|
Asxl1 full gene sequence
|
$1,353.60 |
$1,353.60 |
$1,353.60 |
$760.80
|
|
Asxl1 gene target seq alys
|
$484.00 |
$484.00 |
$484.00 |
$378.00
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$35,811.20 |
$35,811.20 |
$35,811.20 |
$22,528.65
|
|
Athletic trn eval high cmplx
|
$80.80 |
$80.80 |
$80.80 |
$224.95
|
|
Athletic trn eval low cmplx
|
$80.80 |
$80.80 |
$80.80 |
$207.00
|
|
Athletic trn eval mod cmplx
|
$84.80 |
$84.80 |
$84.80 |
$207.00
|
|
Athletic trn re-eval plan cr
|
$40.80 |
$40.80 |
$40.80 |
$123.00
|
|
Athrectomy fem/pop/unilateral 37225
|
$54,692.80 |
$54,692.80 |
$58,330.75 |
$16,141.30
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$54,907.20 |
$54,907.20 |
$54,907.20 |
$15,188.25
|
|
Atomic absorption
|
$40.00 |
$40.00 |
$40.00 |
$71.20
|
|
Atropine 0.1 mg/ml injection syringe
|
$3.44 |
$3.44 |
$53.40 |
$53.24
|
|
Attach bladder/urethra simple 51840
|
$1,712.00 |
$1,712.00 |
$1,712.00 |
$1,712.00
|
|
Attach ocular implant
|
$4,280.00 |
$4,280.00 |
$4,280.00 |
$5,364.00
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$135.20 |
$135.20 |
$135.20 |
$188.16
|
|
Atxn1 gene detc abnor allele
|
$153.56 |
$153.56 |
$153.56 |
$260.58
|
|
Atxn2 gene detc abnor allele
|
$153.56 |
$153.56 |
$153.56 |
$260.58
|
|
Atxn3 gene detc abnor allele
|
$153.56 |
$153.56 |
$153.56 |
$247.60
|
|
Atxn7 gene detc abnor allele
|
$153.56 |
$153.56 |
$153.56 |
$225.42
|
|
Aud brainstem implt programg
|
$255.20 |
$255.20 |
$255.20 |
$343.72
|
|
Audiometry air + bone
|
$121.47 |
$121.47 |
$121.47 |
$185.15
|
|
Audit/dast 15-30 min
|
$64.80 |
$64.80 |
$64.80 |
$79.80
|
|
Audit/dast over 30 min
|
$125.60 |
$125.60 |
$125.60 |
$110.95
|
|
Auditory function + 15 min
|
$50.40 |
$50.40 |
$50.40 |
$79.52
|
|
Auditory function 60 min
|
$210.40 |
$210.40 |
$210.40 |
$234.00
|
|
Augmentation cheek bone
|
$4,988.80 |
$4,988.80 |
$4,988.80 |
$6,547.81
|
|
Augmentation lower jaw bone
|
$6,948.80 |
$6,948.80 |
$6,948.80 |
$6,948.80
|
|
Augmentation lower jaw bone
|
$9,877.60 |
$9,877.60 |
$9,877.60 |
$7,000.36
|
|
Augmentation of facial bones
|
$4,208.80 |
$4,208.80 |
$49,745.42 |
$6,966.64
|
|
Augment injectable kit 3.0cc
|
$4,652.05 |
$4,652.05 |
$12,252.92 |
$6,963.84
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$13,375.85 |
$13,375.85 |
$37,827.08 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$16,132.80 |
$16,132.80 |
$29,607.15 |
$10,415.40
|
|
Autgrft implnt knee w/scope
|
$5,163.20 |
$5,163.20 |
$5,163.20 |
$6,311.00
|
|
Autochondrocyte implant knee
|
$8,123.20 |
$8,123.20 |
$8,123.20 |
$8,123.20
|
|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$1,681.60 |
$1,681.60 |
$1,681.60 |
$1,160.10
|
|
Autologous blood op salvage
|
$786.52 |
$786.52 |
$786.52 |
$943.80
|
|
Autologous blood process
|
$164.99 |
$164.99 |
$164.99 |
$266.75
|
|
Automated diff wbc count
|
$33.57 |
$33.57 |
$33.57 |
$36.30
|
|
Autonomic nrv adrenrg inervj
|
$215.20 |
$215.20 |
$215.20 |
$297.45
|
|
Autonomic nrv parasym inervj
|
$191.20 |
$191.20 |
$191.20 |
$299.72
|
|
Autonomic nrv syst funj test
|
$358.40 |
$358.40 |
$358.40 |
$365.04
|
|
Avelumab 20 mg/ml intravenous solution
|
$6,470.55 |
$6,470.55 |
$6,470.55 |
$3,721.71
|
|
Av fistula revision
|
$1,979.20 |
$1,979.20 |
$1,979.20 |
$7,014.75
|
|
Av fuse uppr arm basilic
|
$1,786.40 |
$1,786.40 |
$50,564.69 |
$7,740.32
|
|
Av fuse uppr arm cephalic
|
$1,689.60 |
$1,689.60 |
$2,223.00 |
$6,396.89
|
|
Av fusion direct any site
|
$1,622.40 |
$1,622.40 |
$37,895.30 |
$5,419.00
|
|
Av fusion/forearm vein 36820
|
$3,563.20 |
$3,563.20 |
$38,194.00 |
$6,396.89
|
|
Avul nail plate addl
|
$157.76 |
$157.76 |
$157.76 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$315.24 |
$315.24 |
$11,653.20 |
$326.27
|
|
Axillary lymphadenect/superficial 38740
|
$3,414.40 |
$3,414.40 |
$3,414.40 |
$6,311.00
|
|
Azacitidine injection
|
$10.04 |
$10.04 |
$75.85 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$10.25 |
$10.25 |
$66.00 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$23.50 |
$23.50 |
$79.92 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$27.20 |
$27.20 |
$27.20 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$11.76 |
$11.76 |
$225.40 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$413.07 |
$413.07 |
$4,725.70 |
$1,639.90
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$164.85 |
$164.85 |
$164.85 |
$158.07
|
|
Baclofen eval charges
|
$72.15 |
$72.15 |
$142.19 |
$87.50
|
|
Bacterial meningitis antigen
|
$40.95 |
$40.95 |
$48.57 |
$66.30
|
|
Bacterial vaginosis pcr
|
$176.80 |
$176.80 |
$338.65 |
$287.04
|
|
Bactericidal level serum
|
$38.40 |
$38.40 |
$38.40 |
$121.80
|
|
#bac vag cand-c. albicans naa
|
$88.80 |
$88.80 |
$88.80 |
$112.80
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$16.00 |
$16.00 |
$63.46 |
$16.00
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$145.64 |
$145.64 |
$2,041.00 |
$102.20
|
|
Balloon dilate urtrl strix
|
$250.90 |
$250.90 |
$4,870.94 |
$2,118.00
|
|
Barium Enema (Colon X-ray, barium and air)
|
$888.12 |
$888.12 |
$930.80 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$708.04 |
$708.04 |
$744.90 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$356.85 |
$356.85 |
$491.04 |
$484.80
|
|
Barrier film 1.0ml wipe
|
$0.23 |
$0.23 |
$0.23 |
$17.66
|
|
Barrier film 28ml spray no stng cavilon
|
$19.11 |
$19.11 |
$19.11 |
$19.50
|
|
Barrier skin flat ctf 2.75in
|
$0.44 |
$0.44 |
$0.44 |
$0.44
|
|
Barrier skin flextend 2.25in floating flang new image
|
$0.26 |
$0.26 |
$0.26 |
$2.60
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$1.10 |
$1.10 |
$1.10 |
$3.30
|
|
Barrier skn ft cx ff red 2.25 ctf new image w/tape
|
$47.64 |
$47.64 |
$47.64 |
$8.45
|
|
Bartholin gland cyst/marsupializat 56440
|
$452.00 |
$452.00 |
$452.00 |
$4,479.26
|
|
Bartonella dna pcr-sendout
|
$88.80 |
$88.80 |
$88.80 |
$195.25
|
|
Bartonella dna quant
|
$108.00 |
$108.00 |
$108.00 |
$59.12
|
|
Basic vestibular evaluation
|
$1,738.24 |
$1,738.24 |
$1,738.24 |
$346.09
|
|
Basiliximab
|
$7,364.68 |
$7,364.68 |
$21,814.75 |
$8,127.89
|
|
Bausch health Ultrasound surg
|
$744.25 |
$744.25 |
$744.25 |
$768.50
|
|
B cells total count
|
$110.00 |
$110.00 |
$170.95 |
$132.48
|
|
Bcg live 50 mg intravesical suspension
|
$3.20 |
$3.20 |
$864.15 |
$404.04
|
|
Bcg vaccine intravesical
|
$187.20 |
$187.20 |
$187.20 |
$371.84
|
|
Bcg vaccine percut
|
$187.20 |
$187.20 |
$187.20 |
$297.83
|
|
Bckdhb gene
|
$190.40 |
$190.40 |
$190.40 |
$190.40
|
|
Behavior counsel obesity 15min medicare g0447
|
$60.80 |
$60.80 |
$60.80 |
$105.00
|
|
Belatacept 250 mg intravenous solution
|
$6.52 |
$6.52 |
$16,778.25 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$84.39 |
$84.39 |
$11,005.85 |
$4,047.32
|
|
Belt ostomy lg 34-65in
|
$0.49 |
$0.49 |
$0.49 |
$5.18
|
|
Bendamustine 100 mg intravenous powder for solution
|
$31.20 |
$31.20 |
$14,338.95 |
$5,145.52
|
|
Bendamustine 25 mg/ml intravenous solution (belrapzo)
|
$37.43 |
$37.43 |
$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
|
$181.60 |
$181.60 |
$181.60 |
$264.60
|
|
Benign lesion paring 4+
|
$200.80 |
$200.80 |
$200.80 |
$298.50
|
|
#_benzodiazconfur
|
$72.14 |
$72.14 |
$155.35 |
$121.60
|
|
Benztropine 1 mg/ml injection solution
|
$89.95 |
$89.95 |
$106.00 |
$108.90
|
