|
Ankle arthroscopy/surgery
|
$18,591.70 |
$18,591.70 |
$18,591.70 |
|
|
Ankle arthroscopy/surgery
|
$22,466.94 |
$22,466.94 |
$22,466.94 |
|
|
Ankle X-ray
|
$165.20 |
$262.00 |
$444.60 |
|
|
Anodyne therapy charges pt
|
$24.05 |
$24.05 |
$40.00 |
|
|
Anora (draw only)
|
$22.75 |
$22.80 |
$38.80 |
|
|
Ant colporrhaphy/rpr cyctocele 57240
|
$17,818.22 |
$17,818.22 |
$17,818.22 |
|
|
Antibody bacterium, not elsewhere specified
|
$39.60 |
$39.60 |
$39.60 |
|
|
Antibody elution rbc reference
|
$89.60 |
$89.60 |
$98.40 |
|
|
Antibody htlv/hiv confirm test
|
$62.00 |
$62.00 |
$93.20 |
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$161.60 |
$181.60 |
$328.25 |
|
|
Antibody id rbc panel
|
$176.80 |
$207.60 |
$245.05 |
|
|
Antibody influenza virus
|
$52.40 |
$52.40 |
$52.40 |
|
|
Antibody screen rbc
|
$44.40 |
$58.40 |
$102.05 |
|
|
Antibody tetanus
|
$48.80 |
$48.80 |
$51.20 |
|
|
Antidepressant not specified
|
$67.60 |
$67.60 |
$67.60 |
|
|
Anti mog serum - sendout
|
$183.30 |
$183.30 |
$183.30 |
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$36.80 |
$36.80 |
$36.80 |
|
|
Antinuclear antibodies
|
$47.60 |
$122.00 |
$138.45 |
|
|
Antinuclear antibodies titer
|
$71.20 |
$99.60 |
$109.20 |
|
|
Antiphosphatidylserine antibody
|
$70.80 |
$70.80 |
$70.80 |
|
|
Antistreptolysin o titer
|
$48.80 |
$74.00 |
$76.70 |
|
|
Antithrombin iii activity
|
$80.00 |
$91.60 |
$174.20 |
|
|
Apl(pml-rara) quant - sendout
|
$378.30 |
$378.30 |
$378.30 |
|
|
Appendix Removal (Laparoscopic)
|
$15,471.26 |
$15,471.26 |
$15,471.26 |
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$287.95 |
$287.95 |
$287.95 |
|
|
Application finger splntstatic 29130
|
$40.40 |
$114.40 |
$209.95 |
|
|
Application long leg splint 29505
|
$110.80 |
$110.80 |
$110.80 |
|
|
Application lower leg splint 29515
|
$114.40 |
$114.40 |
$114.40 |
|
|
Application multi layer compression below knee (both sides)
|
$114.00 |
$114.00 |
$127.20 |
|
|
Application of long arm cast 29065
|
$264.00 |
$264.00 |
$264.00 |
|
|
Application of long leg cast 29345
|
$218.80 |
$218.80 |
$218.80 |
|
|
Application of paste boot 29580
|
$138.40 |
$138.40 |
$138.40 |
|
|
Application short leg cast 29405
|
$135.60 |
$135.60 |
$135.60 |
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
|
|
Appl modality 1/> areas paraffin bath 97018
|
$33.20 |
$42.90 |
$75.20 |
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$56.55 |
$56.55 |
$98.80 |
|
|
Appl multlay comprs arm/hand
|
$127.20 |
$127.20 |
$127.20 |
|
|
Apply forearm splintdynamic 29126
|
$209.95 |
$209.95 |
$209.95 |
|
|
Apply interstit radiat compl
|
$3,213.60 |
$3,213.60 |
$3,213.60 |
|
|
Apply of finger splint 29131
|
$209.95 |
$209.95 |
$209.95 |
|
|
Apply rigid leg cast 29445
|
$202.80 |
$202.80 |
$202.80 |
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,959.05 |
$1,959.05 |
$1,959.05 |
|
|
#aptt mix-1:1 incubated
|
$33.20 |
$90.40 |
$234.00 |
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$32.80 |
$53.30 |
$66.00 |
|
|
Aquatic exercise - group charge
|
$42.80 |
$42.80 |
$131.95 |
|
|
Arterial blood draw/perc 36620
|
$187.20 |
$187.20 |
$267.80 |
|
|
Artery xray each vessel 7577426
|
$1,378.00 |
$1,378.00 |
$1,378.00 |
|
|
Artery x-rays arm/leg 75710-26
|
$2,387.20 |
$2,387.20 |
$4,523.35 |
|
|
Artery x-rays arms/legs 75716-26
|
$1,929.20 |
$1,929.20 |
$3,284.45 |
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$274.00 |
$274.00 |
$287.60 |
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$628.00 |
$628.00 |
$628.00 |
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$690.80 |
$690.80 |
$690.80 |
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$274.00 |
$274.00 |
$287.60 |
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$287.60 |
$287.60 |
$287.60 |
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$25,971.67 |
$25,971.67 |
$25,971.67 |
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$22,984.08 |
$22,984.08 |
$22,984.08 |
|
|
Aspirate bladder/sprapubic cath 51102
|
$11,533.26 |
$11,533.26 |
$11,533.26 |
|
|
Aspirate pleura without imaging 32554
|
$585.20 |
$585.20 |
$585.20 |
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$933.60 |
$976.00 |
$2,470.00 |
|
|
Assay alkaline phosphatase
|
$26.40 |
$26.40 |
$26.40 |
|
|
Assay of breath ethanol
|
$26.00 |
$26.00 |
$26.00 |
|
|
Assay of feces porphyrins
|
$120.00 |
$120.00 |
$120.00 |
|
|
Assay of lrh hormone
|
$290.00 |
$290.00 |
$290.00 |
|
|
Assay of osteocalcin
|
$45.20 |
$45.20 |
$45.20 |
|
|
Assay of prostaglandin
|
$53.20 |
$53.20 |
$54.00 |
|
|
Assay of salicylate
|
$154.05 |
$154.05 |
$154.05 |
|
|
Assay phosphatidylglycerol
|
$16.80 |
$16.80 |
$16.80 |
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$181.60 |
$181.60 |
$247.00 |
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$17.20 |
$39.20 |
$63.70 |
|
|
Ast/sgot
|
$31.85 |
$33.60 |
$58.00 |
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$21,345.26 |
$21,345.26 |
$21,345.26 |
|
|
Atropine 0.1 mg/ml injection syringe
|
$24.19 |
$24.19 |
$24.19 |
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$155.35 |
$155.35 |
$155.35 |
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$6,774.80 |
$6,774.80 |
$6,774.80 |
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$4,499.20 |
$4,499.20 |
$8,143.60 |
|
|
Automated diff wbc count
|
$26.00 |
$26.00 |
$49.60 |
|
|
Avelumab 20 mg/ml intravenous solution
|
$3,863.15 |
$3,863.15 |
$3,863.15 |
|
|
Avul nail plate addl
|
$98.00 |
$98.00 |
$98.00 |
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$122.40 |
$122.40 |
$122.40 |
|
|
Azacitidine injection
|
$1,053.92 |
$1,053.92 |
$1,053.92 |
|
|
Azathioprine 50 mg tablet
|
$4.87 |
$4.87 |
$4.87 |
|
|
Azithromycin 500 mg intravenous solution
|
$21.12 |
$21.12 |
$21.12 |
|
|
Baclofen eval charges
|
$47.45 |
$50.40 |
$63.60 |
|
|
Bacterial meningitis antigen
|
$56.40 |
$56.40 |
$56.40 |
|
|
Bacterial vaginosis pcr
|
$86.00 |
$122.40 |
$207.35 |
|
|
#bac vag cand-c. albicans naa
|
$137.80 |
$137.80 |
$137.80 |
|
|
Bartholin gland cyst/marsupializat 56440
|
$10,194.61 |
$10,194.61 |
$10,194.61 |
|
|
B cells total count
|
$41.20 |
$41.20 |
$167.20 |
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$4,429.72 |
$4,429.72 |
$4,429.72 |
|
|
#_benzodiazconfur
|
$86.00 |
$132.60 |
$155.60 |
|
|
Benztropine 1 mg/ml injection solution
|
$126.75 |
$126.75 |
$126.75 |
|
|
Beta 2 glycoprotein 1 antibody iga
|
$35.60 |
$36.00 |
$177.45 |
|
|
Beta-2 microglobulin
|
$32.00 |
$59.60 |
$107.25 |
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$13.96 |
$13.96 |
$13.96 |
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$5,705.92 |
$5,705.92 |
$5,705.92 |
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$4,996.53 |
$4,996.53 |
$4,996.53 |
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$4,393.61 |
$4,393.61 |
$4,393.61 |
|
|
Bilateral n block inj occipital 64405
|
$274.00 |
$274.00 |
$287.60 |
|
|
Bilateral n block inj trigeminal 64400
|
$280.40 |
$280.40 |
$280.40 |
|
|
Bilirubin direct
|
$43.60 |
$55.25 |
$60.00 |
|
