|
Appl modality 1/> areas paraffin bath 97018
|
$109.80 |
$109.80 |
$109.80 |
$66.00
|
|
Appl multlay comprs arm/hand
|
$190.80 |
$190.80 |
$190.80 |
$292.60
|
|
Apply forearm splintdynamic 29126
|
$78.60 |
$78.60 |
$78.60 |
$246.18
|
|
Apply hand/wrist cast 29085
|
$103.80 |
$103.80 |
$103.80 |
$259.20
|
|
Apply rigid leg cast 29445
|
$454.80 |
$454.80 |
$454.80 |
$555.00
|
|
Arterial blood draw/perc 36620
|
$218.40 |
$218.40 |
$218.40 |
$485.69
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$445.20 |
$445.20 |
$445.20 |
$608.40
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$427.20 |
$427.20 |
$427.20 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$502.20 |
$502.20 |
$502.20 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$265.80 |
$265.80 |
$265.80 |
$699.00
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$1,543.80 |
$1,543.80 |
$1,543.80 |
$4,240.08
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$1,820.40 |
$1,820.40 |
$1,820.40 |
$4,627.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$429.60 |
$429.60 |
$429.60 |
$3,162.72
|
|
Aspirate pleura without imaging 32554
|
$2,589.60 |
$2,589.60 |
$2,589.60 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$247.80 |
$247.80 |
$247.80 |
$1,226.87
|
|
Assay of interleukin-6 (il-6)
|
$227.40 |
$227.40 |
$227.40 |
$79.97
|
|
Assay of somatostatin
|
$580.80 |
$580.80 |
$580.80 |
$165.00
|
|
Assay of urine sulfate
|
$118.80 |
$118.80 |
$118.80 |
$29.04
|
|
Assay toxin or antitoxin
|
$489.60 |
$489.60 |
$489.60 |
$75.90
|
|
Ast/sgot
|
$88.80 |
$88.80 |
$88.80 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$29,607.60 |
$29,607.60 |
$29,607.60 |
$23,166.53
|
|
Atropine 0.1 mg/ml injection syringe
|
$30.60 |
$30.60 |
$30.60 |
$51.28
|
|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$1,558.20 |
$1,558.20 |
$1,558.20 |
$925.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$286.20 |
$286.20 |
$286.20 |
$318.75
|
|
Azathioprine 50 mg tablet
|
$3.60 |
$3.60 |
$3.60 |
$3.46
|
|
Azithromycin 500 mg intravenous solution
|
$25.20 |
$25.20 |
$25.20 |
$35.06
|
|
Aztreonam 1 gram solution for injection
|
$295.20 |
$295.20 |
$295.20 |
$157.30
|
|
Baclofen eval charges
|
$67.20 |
$67.20 |
$67.20 |
$85.00
|
|
Bacterial meningitis antigen
|
$84.60 |
$84.60 |
$84.60 |
$66.30
|
|
Bausch health Ultrasound surg
|
$1,755.18 |
$1,755.18 |
$1,755.18 |
$744.25
|
|
B cells total count
|
$126.00 |
$126.00 |
$126.00 |
$131.30
|
|
Beta 2 glycoprotein 1 antibody iga
|
$42.60 |
$42.60 |
$42.60 |
$78.50
|
|
Beta-2 microglobulin
|
$164.40 |
$164.40 |
$164.40 |
$85.94
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$6.60 |
$6.60 |
$6.60 |
$64.15
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$10,628.40 |
$10,628.40 |
$10,628.40 |
$5,705.92
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$9,482.40 |
$9,482.40 |
$9,482.40 |
$3,291.73
|
|
Bilirubin direct
|
$88.80 |
$88.80 |
$88.80 |
$50.00
|
|
Bilirubin total
|
$122.40 |
$122.40 |
$122.40 |
$52.57
|
|
Biopsy, bone open deep
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$3,684.24
|
|
Biopsy bone trocar/needle superficial
|
$231.60 |
$231.60 |
$231.60 |
$1,770.73
|
|
Biopsy external ear 69100
|
$136.80 |
$136.80 |
$136.80 |
$416.52
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$3,292.20 |
$3,292.20 |
$3,292.20 |
$2,716.95
|
|
Biopsy of hip joint
|
$1,188.60 |
$1,188.60 |
$1,188.60 |
$3,296.80
|
|
Biopsy/removal lymph nodes
|
$3,774.60 |
$3,774.60 |
$3,774.60 |
$4,196.54
|
|
Biopsy skin incisional single lesion
|
$179.40 |
$179.40 |
$179.40 |
$657.66
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$358.80 |
$358.80 |
$358.80 |
$2,462.35
|
|
Biopsy tongue anterior two-thirds
|
$189.60 |
$189.60 |
$189.60 |
$1,148.15
|
|
Biopsy vaginal mucosa xtnsv
|
$405.00 |
$405.00 |
$405.00 |
$3,522.35
|
|
Bladder irrigate/lavage/instill 51700
|
$376.20 |
$376.20 |
$376.20 |
$408.00
|
|
Bln 1.2 mono emrg 15x1.2
|
$291.06 |
$291.06 |
$291.06 |
$8,530.55
|
|
Bln 30frx10mmx12cm renal nephromax
|
$3,766.14 |
$3,766.14 |
$3,766.14 |
$5,169.58
|
|
Blood Clotting (PT/INR) Test
|
$50.40 |
$50.40 |
$50.40 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$89.40 |
$89.40 |
$89.40 |
$73.44
|
|
Blood Count (CBC) Test
|
$75.60 |
$75.60 |
$75.60 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$57.60 |
$57.60 |
$57.60 |
$61.80
|
|
Blood Culture Test
|
$187.80 |
$187.80 |
$187.80 |
$145.80
|
|
Blood draw capillary 36416
|
$21.60 |
$21.60 |
$21.60 |
$20.00
|
|
Blood gases ph venous
|
$127.80 |
$127.80 |
$127.80 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$252.60 |
$252.60 |
$252.60 |
$57.42
|
|
Blood occult peroxidase activity qualitative gastric
|
$132.60 |
$132.60 |
$132.60 |
$34.00
|
|
Blood smear microscopic w manual differential wbc count
|
$43.20 |
$43.20 |
$43.20 |
$38.61
|
|
Blood typing abo
|
$57.60 |
$57.60 |
$57.60 |
$83.03
|
|
Blood typing ag donor ea ag
|
$100.80 |
$100.80 |
$100.80 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$70.20 |
$70.20 |
$70.20 |
$199.50
|
|
Blood typing rh (d)
|
$57.60 |
$57.60 |
$57.60 |
$57.14
|
|
Bone biopsy open superficial
|
$351.00 |
$351.00 |
$351.00 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$682.20 |
$682.20 |
$682.20 |
$397.28
|
|
Bone/joint imaging ltd area
|
$1,458.60 |
$1,458.60 |
$1,458.60 |
$1,013.50
|
|
Bone marrow;aspiration only 38220
|
$867.00 |
$867.00 |
$867.00 |
$1,508.78
|
|
Bone marrow biopsyneedle/trocar 38221
|
$280.80 |
$280.80 |
$280.80 |
$1,570.80
|
|
Bone marrow interpretation
|
$1,043.40 |
$1,043.40 |
$1,043.40 |
$542.03
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$24.60 |
$24.60 |
$24.60 |
$94.80
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$964.20 |
$964.20 |
$964.20 |
$2,825.96
|
|
Bowel imaging
|
$1,297.80 |
$1,297.80 |
$1,297.80 |
$1,065.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$3,322.20 |
$3,322.20 |
$3,322.20 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,322.20 |
$3,322.20 |
$3,322.20 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$5,937.60 |
$5,937.60 |
$5,937.60 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$4,713.60 |
$4,713.60 |
$4,713.60 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$4,136.40 |
$4,136.40 |
$4,136.40 |
$1,977.27
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$3,465.00 |
$3,465.00 |
$3,465.00 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$114.60 |
$114.60 |
$114.60 |
$847.00
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$13.80 |
$13.80 |
$13.80 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$49.80 |
$49.80 |
$49.80 |
$160.80
|
|
Bundled special stain group 2
|
$50.40 |
$50.40 |
$50.40 |
$173.46
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$9.60 |
$9.60 |
$9.60 |
$32.88
|
|
Buprenorphine and metabolite - sendout
|
$27.00 |
$27.00 |
$27.00 |
$82.82
|
|
Buprenorphine hydrochloride
|
$40.20 |
$40.20 |
$40.20 |
$41.79
|
|
Butorphanol tartrate 1 mg
|
$17.40 |
$17.40 |
$17.40 |
$39.09
|
|
Bx breast 1st lesion strtctc
|
$729.60 |
$729.60 |
$729.60 |
$3,601.35
|
|
Bx breast add lesion Ultrasound imag
|
$568.80 |
$568.80 |
$568.80 |
$1,692.64
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$553.80 |
$553.80 |
$553.80 |
$4,531.42
|
|
Bx/exc lymph node/open/superfic 38500
|
$385.80 |
$385.80 |
$385.80 |
$4,184.94
|
|
Bx skin punch ea sep/ addl les
|
$94.20 |
$94.20 |
$94.20 |
$227.13
|
|
Bx/soft tis/forearm/wrist/superfic 25065
|
$1,901.40 |
$1,901.40 |
$1,901.40 |
$1,917.33
|
|
C1 esterase inhibitor func - sendout
|
$412.20 |
$412.20 |
$412.20 |
$96.72
|
|
Cadd pump refill
|
$301.20 |
$301.20 |
$301.20 |
$360.00
|
|
Calcium 24 hour urine
|
$136.80 |
$136.80 |
$136.80 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$80.70 |
$80.70 |
$80.70 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$41.40 |
$41.40 |
$41.40 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$153.00 |
$153.00 |
$153.00 |
$91.60
|