|
Angio trnslmnl balloon same vein ini
|
$8,359.11 |
$8,359.11 |
$8,359.11 |
$8,745.10
|
|
Ankle X-ray
|
$412.63 |
$412.63 |
$412.63 |
$350.85
|
|
Anora (draw only)
|
$181.00 |
$181.00 |
$181.00 |
$36.36
|
|
Antibody elution rbc reference
|
$509.88 |
$509.88 |
$509.88 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$942.82 |
$942.82 |
$942.82 |
$141.26
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$1,084.65 |
$1,084.65 |
$1,084.65 |
$218.30
|
|
Antibody id rbc panel
|
$435.46 |
$435.46 |
$435.46 |
$291.75
|
|
Antibody lymphocytic choriomeningitis
|
$136.78 |
$136.78 |
$136.78 |
$53.96
|
|
Antibody screen rbc
|
$198.93 |
$198.93 |
$198.93 |
$105.00
|
|
Antidepressant not specified
|
$218.24 |
$218.24 |
$218.24 |
$89.50
|
|
Anti mog serum - sendout
|
$40.52 |
$40.52 |
$40.52 |
$142.29
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$79.56 |
$79.56 |
$79.56 |
$50.88
|
|
Antinuclear antibodies
|
$459.22 |
$459.22 |
$459.22 |
$91.70
|
|
Antinuclear antibodies titer
|
$377.90 |
$377.90 |
$377.90 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$506.98 |
$506.98 |
$506.98 |
$74.20
|
|
Antistreptolysin o titer
|
$258.89 |
$258.89 |
$258.89 |
$57.85
|
|
Antithrombin iii activity
|
$304.09 |
$304.09 |
$304.09 |
$106.85
|
|
Aortic dysfunction/dilation
|
$1,995.14 |
$1,995.14 |
$1,995.14 |
$653.18
|
|
Apheresis plasma
|
$4,390.55 |
$4,390.55 |
$4,390.55 |
$3,498.41
|
|
Apl(pml-rara) quant - sendout
|
$2,394.22 |
$2,394.22 |
$2,394.22 |
$465.60
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$1,687.02 |
$1,687.02 |
$1,687.02 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,864.07 |
$2,864.07 |
$2,864.07 |
$3,461.40
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$1,687.02 |
$1,687.02 |
$1,687.02 |
$508.18
|
|
Application finger splntstatic 29130
|
$840.56 |
$840.56 |
$840.56 |
$226.20
|
|
Application long leg splint 29505
|
$2,055.34 |
$2,055.34 |
$2,055.34 |
$370.00
|
|
Application lower leg splint 29515
|
$1,216.90 |
$1,216.90 |
$1,216.90 |
$365.60
|
|
Application multi layer compression below knee (both sides)
|
$1,103.15 |
$1,103.15 |
$1,103.15 |
$393.75
|
|
Application of forearm cast 29075
|
$1,804.03 |
$1,804.03 |
$1,804.03 |
$386.10
|
|
Application of long arm cast 29065
|
$1,212.10 |
$1,212.10 |
$1,212.10 |
$414.20
|
|
Application of paste boot 29580
|
$1,214.69 |
$1,214.69 |
$1,214.69 |
$336.00
|
|
Application short leg cast 29405
|
$1,804.03 |
$1,804.03 |
$1,804.03 |
$397.33
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$5,195.59 |
$5,195.59 |
$5,195.59 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$3,493.78 |
$3,493.78 |
$3,493.78 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$227.21 |
$227.21 |
$227.21 |
$68.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$296.96 |
$296.96 |
$296.96 |
$75.98
|
|
Apply finger cast 29086
|
$1,056.24 |
$1,056.24 |
$1,056.24 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$911.12 |
$911.12 |
$911.12 |
$263.20
|
|
Apply interstit radiat compl
|
$742.16 |
$742.16 |
$742.16 |
$2,901.80
|
|
Apply of finger splint 29131
|
$804.35 |
$804.35 |
$804.35 |
$177.45
|
|
Apply rigid leg cast 29445
|
$1,322.71 |
$1,322.71 |
$1,322.71 |
$608.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$3,085.71 |
$3,085.71 |
$3,085.71 |
$943.40
|
|
Aquaporin-4 antibody cba each
|
$140.84 |
$140.84 |
$140.84 |
$114.60
|
|
Aquaporin-4 antibody elisa
|
$1,425.57 |
$1,425.57 |
$1,425.57 |
$155.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$296.96 |
$296.96 |
$296.96 |
$100.00
|
|
Aquatic exercise - group charge
|
$177.74 |
$177.74 |
$177.74 |
$91.68
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,809.83 |
$1,809.83 |
$1,809.83 |
$1,301.04
|
|
Arterial blood draw/perc 36620
|
$202.21 |
$202.21 |
$202.21 |
$500.82
|
|
Artery xray each vessel 7577426
|
$2,972.24 |
$2,972.24 |
$2,972.24 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$5,844.02 |
$5,844.02 |
$5,844.02 |
$4,658.99
|
|
Artery x-rays adrenal gland
|
$6,020.76 |
$6,020.76 |
$6,020.76 |
$3,476.40
|
|
Artery x-rays arm/leg 75710-26
|
$5,754.46 |
$5,754.46 |
$5,754.46 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$7,478.76 |
$7,478.76 |
$7,478.76 |
$4,029.72
|
|
Artery x-rays lung
|
$5,099.09 |
$5,099.09 |
$5,099.09 |
$3,150.00
|
|
Artery x-rays lung
|
$5,014.96 |
$5,014.96 |
$5,014.96 |
$2,483.00
|
|
Artery x-rays lungs
|
$6,510.69 |
$6,510.69 |
$6,510.69 |
$3,724.63
|
|
Artery xrays of pelvis 75736 26
|
$6,020.76 |
$6,020.76 |
$6,020.76 |
$4,551.20
|
|
Artery x-rays spine
|
$6,885.31 |
$6,885.31 |
$6,885.31 |
$4,830.61
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,881.97 |
$1,881.97 |
$1,881.97 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$2,651.87 |
$2,651.87 |
$2,651.87 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$3,011.16 |
$3,011.16 |
$3,011.16 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,830.65 |
$1,830.65 |
$1,830.65 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$2,326.80 |
$2,326.80 |
$2,326.80 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$2,326.80 |
$2,326.80 |
$2,326.80 |
$700.80
|
|
Aspirate bladder/sprapubic cath 51102
|
$7,379.90 |
$7,379.90 |
$7,379.90 |
$3,199.51
|
|
Aspirate/inj ganglion cyst 20612
|
$1,313.46 |
$1,313.46 |
$1,313.46 |
$440.00
|
|
Aspirate pleura without imaging 32554
|
$2,570.89 |
$2,570.89 |
$2,570.89 |
$1,317.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$2,830.80 |
$2,830.80 |
$2,830.80 |
$1,306.50
|
|
Aspir/inj thyroid cyst 60300
|
$2,677.73 |
$2,677.73 |
$2,677.73 |
$850.78
|
|
Assay acid phosphatase
|
$108.87 |
$108.87 |
$108.87 |
$38.22
|
|
Assay dir meas fr estradiol
|
$129.15 |
$129.15 |
$129.15 |
$75.11
|
|
Assay of breath ethanol
|
$146.57 |
$146.57 |
$146.57 |
$45.76
|
|
Assay of osteocalcin
|
$413.18 |
$413.18 |
$413.18 |
$93.60
|
|
Assay of prostaglandin
|
$388.42 |
$388.42 |
$388.42 |
$220.00
|
|
Assay of salicylate
|
$157.06 |
$157.06 |
$157.06 |
$104.00
|
|
Assay of somatostatin
|
$876.60 |
$876.60 |
$876.60 |
$165.75
|
|
Assay of urine sulfate
|
$181.46 |
$181.46 |
$181.46 |
$31.35
|
|
Assess cyst contrast inject
|
$537.08 |
$537.08 |
$537.08 |
$456.33
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$110.59 |
$110.59 |
$110.59 |
$47.25
|
|
Ast/sgot
|
$146.48 |
$146.48 |
$146.48 |
$46.20
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$97,303.56 |
$97,303.56 |
$97,303.56 |
$31,198.64
|
|
Athrectomy fem/pop/unilateral 37225
|
$23,057.75 |
$23,057.75 |
$23,057.75 |
$19,624.54
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$21,708.24 |
$21,708.24 |
$21,708.24 |
$19,875.58
|
|
Atropine 0.1 mg/ml injection syringe
|
$180.74 |
$180.74 |
$180.74 |
$43.85
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$21,781.64 |
$21,781.64 |
$21,781.64 |
$7,713.54
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$21,781.64 |
$21,781.64 |
$21,781.64 |
$11,040.83
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$960.44 |
$960.44 |
$960.44 |
$356.00
|
|
Azacitidine injection
|
$1,042.91 |
$1,042.91 |
$1,042.91 |
$1,042.91
|
|
Azithromycin 500 mg intravenous solution
|
$136.62 |
$136.62 |
$136.62 |
$55.63
|
|
Baclofen eval charges
|
$319.44 |
$319.44 |
$319.44 |
$85.00
|
|
Bacterial meningitis antigen
|
$118.24 |
$118.24 |
$118.24 |
$66.76
|
|
Bacterial vaginosis pcr
|
$1,291.47 |
$1,291.47 |
$1,291.47 |
$284.00
|
|
#bac vag cand-c. albicans naa
|
$178.23 |
$178.23 |
$178.23 |
$109.20
|
|
Balloon dilate urtrl strix
|
$3,611.51 |
$3,611.51 |
$3,611.51 |
$2,044.97
|
|
Bartonella dna pcr-sendout
|
$688.32 |
$688.32 |
$688.32 |
$196.20
|
|
B cells total count
|
$698.86 |
$698.86 |
$698.86 |
$128.13
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$25,417.71 |
$25,417.71 |
$25,417.71 |
$6,471.19
|
|
Benign lesion paring 2-4
|
$1,299.62 |
$1,299.62 |
$1,299.62 |
$280.20
|
|
Benign lesion paring 4+
|
$1,897.22 |
$1,897.22 |
$1,897.22 |
$307.50
|
|
#_benzodiazconfur
|
$234.91 |
$234.91 |
$234.91 |
$100.75
|
|
Benztropine 1 mg/ml injection solution
|
$226.36 |
$226.36 |
$226.36 |
$116.84
|