|
Assay of intrinsic factor
|
$46.40 |
$46.40 |
$46.40 |
|
|
Assay of lap enzyme
|
$22.40 |
$22.40 |
$22.40 |
|
|
Assay of leflunomide
|
$77.60 |
$77.60 |
$385.80 |
|
|
Assay of lrh hormone
|
$55.00 |
$55.00 |
$55.00 |
|
|
Assay of methemalbumin
|
$27.20 |
$27.20 |
$27.20 |
|
|
Assay of neonatal thyroxine
|
$15.36 |
$55.00 |
$55.00 |
|
|
Assay of osteocalcin
|
$84.00 |
$109.28 |
$183.95 |
|
|
Assay of phenylketones
|
$10.40 |
$10.40 |
$10.40 |
|
|
Assay of pregnanediol
|
$53.60 |
$53.60 |
$53.60 |
|
|
Assay of pregnanetriol
|
$52.80 |
$52.80 |
$267.60 |
|
|
Assay of procainamide
|
$120.00 |
$120.00 |
$120.00 |
|
|
Assay of procainamide w/metab
|
$42.40 |
$42.40 |
$124.20 |
|
|
Assay of progesterone
|
$138.72 |
$163.20 |
$237.00 |
|
|
Assay of prostaglandin
|
$64.35 |
$109.28 |
$250.00 |
|
|
Assay of PSA complexed
|
$64.28 |
$64.28 |
$336.42 |
|
|
Assay of quinine
|
$29.60 |
$29.60 |
$29.60 |
|
|
Assay of rbc pg6d enzyme
|
$19.20 |
$19.20 |
$19.20 |
|
|
Assay of salicylate
|
$36.40 |
$66.43 |
$209.72 |
|
|
Assay of semen fructose
|
$44.00 |
$44.00 |
$44.00 |
|
|
Assay of sialic acid
|
$11.76 |
$34.40 |
$34.40 |
|
|
Assay of silica
|
$64.00 |
$64.00 |
$64.00 |
|
|
Assay of somatostatin
|
$55.00 |
$55.00 |
$287.40 |
|
|
Assay of thiocyanate
|
$32.15 |
$32.15 |
$108.60 |
|
|
Assay of troponin qual
|
$22.40 |
$22.40 |
$64.19 |
|
|
Assay of tyrosine
|
$33.57 |
$33.57 |
$125.58 |
|
|
Assay of urine sulfate
|
$22.75 |
$25.72 |
$40.30 |
|
|
Assay of urine urobilinogen
|
$21.60 |
$21.60 |
$21.60 |
|
|
Assay of urine urobilinogen
|
$15.20 |
$15.20 |
$15.20 |
|
|
Assay phosphatidylglycerol
|
$41.60 |
$41.60 |
$81.00 |
|
|
Assay phosphohexose enzymes
|
$33.57 |
$33.57 |
$33.57 |
|
|
Assay rbc glutathione
|
$19.20 |
$19.20 |
$19.20 |
|
|
Assay toxin or antitoxin
|
$49.60 |
$49.60 |
$49.60 |
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$139.86 |
$275.60 |
$703.61 |
|
|
Assess care plan pt w/cog impair 99483
|
$76.70 |
$500.00 |
$587.40 |
|
|
Assess cyst contrast inject
|
$146.88 |
$467.20 |
$6,044.40 |
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$30.00 |
$56.44 |
$354.90 |
|
|
Asses tinnit/pitch/loud/match/mask 92625
|
$127.80 |
$157.60 |
$157.60 |
|
|
Assist-bilat spinal disk surgery add-on 63035
|
$525.60 |
$920.00 |
$66,693.75 |
|
|
Assistive tech assessment, ot
|
$49.92 |
$72.00 |
$150.14 |
|
|
Assist oocyte fertilization
|
$597.60 |
$597.60 |
$597.60 |
|
|
Assist oocyte fertilization
|
$937.60 |
$937.60 |
$937.60 |
|
|
Ast/sgot
|
$33.57 |
$42.90 |
$16,679.20 |
|
|
Asxl1 full gene sequence
|
$1,353.60 |
$1,353.60 |
$1,353.60 |
|
|
Asxl1 gene target seq alys
|
$484.00 |
$484.00 |
$484.00 |
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$141.14 |
$35,811.20 |
$40,340.92 |
|
|
Athletic trn eval high cmplx
|
$60.90 |
$80.80 |
$80.80 |
|
|
Athletic trn eval low cmplx
|
$80.80 |
$80.80 |
$80.80 |
|
|
Athletic trn eval mod cmplx
|
$60.90 |
$84.80 |
$84.80 |
|
|
Athletic trn re-eval plan cr
|
$40.80 |
$40.80 |
$53.76 |
|
|
Athrectomy fem/pop/unilateral 37225
|
$963.00 |
$54,692.80 |
$73,534.54 |
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$1,183.80 |
$54,907.20 |
$54,907.20 |
|
|
Atomic absorption
|
$40.00 |
$40.00 |
$229.20 |
|
|
Atropine 0.1 mg/ml injection syringe
|
$1.00 |
$47.20 |
$147.56 |
|
|
Attach bladder/urethra comp 51841
|
$1,623.60 |
$1,704.60 |
$1,704.60 |
|
|
Attach bladder/urethra simple 51840
|
$1,234.20 |
$1,712.00 |
$1,712.00 |
|
|
Attach ocular implant
|
$4,280.00 |
$4,280.00 |
$4,280.00 |
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$101.28 |
$135.20 |
$200.40 |
|
|
Atxn1 gene detc abnor allele
|
$153.56 |
$153.56 |
$153.56 |
|
|
Atxn2 gene detc abnor allele
|
$153.56 |
$153.56 |
$153.56 |
|
|
Atxn3 gene detc abnor allele
|
$153.56 |
$153.56 |
$153.56 |
|
|
Atxn7 gene detc abnor allele
|
$153.56 |
$153.56 |
$153.56 |
|
|
Aud brainstem implt programg
|
$255.20 |
$255.20 |
$255.20 |
|
|
Audiometry air + bone
|
$64.80 |
$85.60 |
$248.87 |
|
|
Audit/dast 15-30 min
|
$64.80 |
$64.80 |
$81.00 |
|
|
Audit/dast over 30 min
|
$125.60 |
$125.60 |
$161.00 |
|
|
Auditory function + 15 min
|
$50.40 |
$50.40 |
$50.40 |
|
|
Auditory function 60 min
|
$210.40 |
$210.40 |
$210.40 |
|
|
Augmentation cheek bone
|
$4,988.80 |
$4,988.80 |
$4,988.80 |
|
|
Augmentation lower jaw bone
|
$6,948.80 |
$6,948.80 |
$6,948.80 |
|
|
Augmentation lower jaw bone
|
$9,877.60 |
$9,877.60 |
$9,877.60 |
|
|
Augmentation of facial bones
|
$4,208.80 |
$4,208.80 |
$49,745.42 |
|
|
Augment injectable kit 3.0cc
|
$2,381.24 |
$6,666.16 |
$12,252.92 |
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$492.60 |
$9,001.60 |
$37,827.08 |
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$1,156.80 |
$16,132.80 |
$29,607.15 |
|
|
Autgrft implnt knee w/scope
|
$5,163.20 |
$5,163.20 |
$5,163.20 |
|
|
Autochondrocyte implant knee
|
$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 |
|
|
Autologous blood op salvage
|
$643.02 |
$786.52 |
$786.52 |
|
|
Autologous blood process
|
$96.60 |
$164.99 |
$357.00 |
|
|
Automated diff wbc count
|
$33.57 |
$33.57 |
$63.00 |
|
|
Autonomic nrv adrenrg inervj
|
$215.20 |
$215.20 |
$215.20 |
|
|
Autonomic nrv parasym inervj
|
$191.20 |
$191.20 |
$191.20 |
|
|
Autonomic nrv syst funj test
|
$358.40 |
$358.40 |
$358.40 |
|
|
Avelumab 20 mg/ml intravenous solution
|
$2,357.01 |
$6,470.55 |
$6,470.55 |
|
|
Av fistula revision
|
$1,232.40 |
$1,979.20 |
$4,001.76 |
|
|
Av fuse uppr arm basilic
|
$1,392.60 |
$1,786.40 |
$50,564.69 |
|
|
Av fuse uppr arm cephalic
|
$1,260.00 |
$1,689.60 |
$2,223.00 |
|
|
Av fusion direct any site
|
$1,296.60 |
$1,622.40 |
$54,356.60 |
|
|
Av fusion/forearm vein 36820
|
$1,511.40 |
$3,563.20 |
$38,194.00 |
|
|
Avul nail plate addl
|
$69.60 |
$155.20 |
$326.93 |
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$176.64 |
$301.98 |
$11,653.20 |
|
|
Axillary lymphadenect/superficial 38740
|
$1,233.60 |
$3,414.40 |
$3,414.40 |
|
|
Azacitidine injection
|
$4.80 |
$75.85 |
$1,433.84 |
|
|
Azathioprine 50 mg tablet
|
$0.79 |
$66.00 |
$121.13 |
|
|
Azathioprine parenteral
|
$484.20 |
$484.20 |
$484.20 |
|
|
Azithromycin 500 mg intravenous solution
|
$9.20 |
$48.76 |
$79.92 |
|
|
Azithromycin dihydrate, oral
|
$27.20 |
$27.20 |
$47.16 |
|
|
Aztreonam 1 gram solution for injection
|
$11.04 |
$133.22 |
$307.95 |
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$261.60 |
$3,156.90 |
$4,725.70 |
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$87.76 |
$164.85 |
$367.20 |
|
