|
Antibody bacterium, not elsewhere specified
|
$237.70 |
$237.70 |
$237.70 |
$57.85
|
|
Antibody elution rbc reference
|
$117.40 |
$117.40 |
$117.40 |
$177.29
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$172.85 |
$172.85 |
$172.85 |
$224.00
|
|
Antibody id rbc panel
|
$1,032.50 |
$1,032.50 |
$1,032.50 |
$291.75
|
|
Antibody screen rbc
|
$211.90 |
$211.90 |
$211.90 |
$108.55
|
|
Antibody tetanus
|
$295.95 |
$295.95 |
$295.95 |
$54.15
|
|
Antidepressant not specified
|
$106.95 |
$106.95 |
$106.95 |
$72.14
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$216.90 |
$216.90 |
$216.90 |
$38.50
|
|
Antinuclear antibodies
|
$47.25 |
$47.25 |
$47.25 |
$90.00
|
|
Antinuclear antibodies titer
|
$60.80 |
$60.80 |
$60.80 |
$80.04
|
|
Antipsychotics nos 1-3
|
$137.90 |
$137.90 |
$137.90 |
$136.61
|
|
Antistreptolysin o titer
|
$99.85 |
$99.85 |
$99.85 |
$54.00
|
|
Antithrombin iii activity
|
$253.75 |
$253.75 |
$253.75 |
$115.15
|
|
Antithrombin iii injection
|
$906.41 |
$906.41 |
$906.41 |
$11.85
|
|
Aortic Aneurysm Screening Ultrasound
|
$637.05 |
$637.05 |
$637.05 |
$394.55
|
|
Apl(pml-rara) quant - sendout
|
$703.10 |
$703.10 |
$703.10 |
$513.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$600.00 |
$600.00 |
$600.00 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$165.95 |
$165.95 |
$165.95 |
$852.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$65.20 |
$65.20 |
$65.20 |
$502.00
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$653.30 |
$653.30 |
$653.30 |
$3,593.46
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$156.55 |
$156.55 |
$156.55 |
$1,146.48
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$59.45 |
$59.45 |
$59.45 |
$512.20
|
|
Application finger splntstatic 29130
|
$203.85 |
$203.85 |
$203.85 |
$208.50
|
|
Application long leg splint 29505
|
$183.55 |
$183.55 |
$183.55 |
$338.25
|
|
Application lower leg splint 29515
|
$157.90 |
$157.90 |
$157.90 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$151.15 |
$151.15 |
$151.15 |
$375.06
|
|
Application of forearm cast 29075
|
$194.40 |
$194.40 |
$194.40 |
$358.20
|
|
Application of long arm cast 29065
|
$214.60 |
$214.60 |
$214.60 |
$396.77
|
|
Application of long leg cast
|
$268.60 |
$268.60 |
$268.60 |
$435.54
|
|
Application of long leg cast 29345
|
$305.10 |
$305.10 |
$305.10 |
$455.00
|
|
Application of paste boot 29580
|
$230.85 |
$230.85 |
$230.85 |
$340.11
|
|
Application short leg cast 29405
|
$183.55 |
$183.55 |
$183.55 |
$393.98
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$323.95 |
$323.95 |
$323.95 |
$2,123.50
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$305.10 |
$305.10 |
$305.10 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$609.85 |
$609.85 |
$609.85 |
$981.75
|
|
Appl modality 1/> areas paraffin bath 97018
|
$188.95 |
$188.95 |
$188.95 |
$69.00
|
|
Appl multlay comprs arm/hand
|
$151.15 |
$151.15 |
$151.15 |
$289.60
|
|
Apply finger cast 29086
|
$144.40 |
$144.40 |
$144.40 |
$242.20
|
|
Apply forearm splintdynamic 29126
|
$278.05 |
$278.05 |
$278.05 |
$255.20
|
|
Apply hand/wrist cast 29085
|
$214.60 |
$214.60 |
$214.60 |
$271.80
|
|
Apply of finger splint 29131
|
$107.95 |
$107.95 |
$107.95 |
$177.45
|
|
Apply rem fixation device
|
$487.25 |
$487.25 |
$487.25 |
$2,207.18
|
|
Apply rigid leg cast 29445
|
$333.35 |
$333.35 |
$333.35 |
$555.00
|
|
Apply short leg castambul type 29425
|
$148.45 |
$148.45 |
$148.45 |
$404.74
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$2,587.79 |
$2,587.79 |
$2,587.79 |
$955.43
|
|
Aqaprn-4 antb flo cytmtry ea
|
$564.90 |
$564.90 |
$564.90 |
$231.66
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$159.35 |
$159.35 |
$159.35 |
$100.75
|
|
Aquatic exercise - group charge
|
$202.45 |
$202.45 |
$202.45 |
$87.45
|
|
Arm CT Scan (with contrast, both arms)
|
$2,132.50 |
$2,132.50 |
$2,132.50 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,824.80 |
$1,824.80 |
$1,824.80 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$442.75 |
$442.75 |
$442.75 |
$426.00
|
|
Arterial blood draw/perc 36620
|
$276.70 |
$276.70 |
$276.70 |
$478.96
|
|
Artery x-rays arm/leg 75710-26
|
$144.00 |
$144.00 |
$144.00 |
$3,513.67
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$576.35 |
$576.35 |
$576.35 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$178.15 |
$178.15 |
$178.15 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$202.45 |
$202.45 |
$202.45 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$439.95 |
$439.95 |
$439.95 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$161.95 |
$161.95 |
$161.95 |
$699.00
|
|
Artific inseminationintrauterine 58322
|
$176.75 |
$176.75 |
$176.75 |
$238.06
|
|
Ashkenazi jewish assoc dis
|
$2,910.00 |
$2,910.00 |
$2,910.00 |
$2,693.42
|
|
Aspa gene
|
$87.10 |
$87.10 |
$87.10 |
$133.84
|
|
Asp core fat pad
|
$229.50 |
$229.50 |
$229.50 |
$1,123.50
|
|
Aspirate bladder/sprapubic cath 51102
|
$4,248.80 |
$4,248.80 |
$4,248.80 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$132.30 |
$132.30 |
$132.30 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$4,057.20 |
$4,057.20 |
$4,057.20 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$674.85 |
$674.85 |
$674.85 |
$1,250.04
|
|
Aspiration peritonsillar abscess
|
$730.20 |
$730.20 |
$730.20 |
$431.20
|
|
Assay neurflmnt light chain
|
$159.10 |
$159.10 |
$159.10 |
$380.00
|
|
Assay of interleukin-6 (il-6)
|
$237.70 |
$237.70 |
$237.70 |
$79.00
|
|
Assay of osteocalcin
|
$125.95 |
$125.95 |
$125.95 |
$93.60
|
|
Assay of prostaglandin
|
$102.20 |
$102.20 |
$102.20 |
$230.00
|
|
Assay of salicylate
|
$110.60 |
$110.60 |
$110.60 |
$96.50
|
|
Assay of semen fructose
|
$130.75 |
$130.75 |
$130.75 |
$56.00
|
|
Assay of silica
|
$91.75 |
$91.75 |
$91.75 |
$113.10
|
|
Assay of urine sulfate
|
$14.25 |
$14.25 |
$14.25 |
$28.20
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$685.65 |
$685.65 |
$685.65 |
$300.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$45.85 |
$45.85 |
$45.85 |
$46.80
|
|
Ast/sgot
|
$29.70 |
$29.70 |
$29.70 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$29,399.89 |
$29,399.89 |
$29,399.89 |
$22,528.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$135.44 |
$135.44 |
$135.44 |
$53.24
|
|
Audiometry air + bone
|
$191.65 |
$191.65 |
$191.65 |
$185.15
|
|
Avelumab 20 mg/ml intravenous solution
|
$8,184.00 |
$8,184.00 |
$8,184.00 |
$3,721.71
|
|
Avul nail plate addl
|
$68.80 |
$68.80 |
$68.80 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$226.75 |
$226.75 |
$226.75 |
$326.27
|
|
Azacitidine injection
|
$2,718.56 |
$2,718.56 |
$2,718.56 |
$1,047.73
|
|
Azithromycin 500 mg intravenous solution
|
$107.08 |
$107.08 |
$107.08 |
$37.53
|
|
Aztreonam 1 gram solution for injection
|
$480.73 |
$480.73 |
$480.73 |
$157.30
|
|
Baclofen eval charges
|
$167.35 |
$167.35 |
$167.35 |
$87.50
|
|
Bacterial meningitis antigen
|
$113.40 |
$113.40 |
$113.40 |
$66.30
|
|
Bacterial vaginosis pcr
|
$257.80 |
$257.80 |
$257.80 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$251.05 |
$251.05 |
$251.05 |
$112.80
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$188.95 |
$188.95 |
$188.95 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$1,374.00 |
$1,374.00 |
$1,374.00 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$1,178.30 |
$1,178.30 |
$1,178.30 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$799.00 |
$799.00 |
$799.00 |
$484.80
|
|
Bartholin gland cyst/marsupializat 56440
|
$603.30 |
$603.30 |
$603.30 |
$4,479.26
|
|
Basic vestibular evaluation
|
$985.30 |
$985.30 |
$985.30 |
$346.09
|
|
B cells total count
|
$199.40 |
$199.40 |
$199.40 |
$132.48
|
|
Belatacept 250 mg intravenous solution
|
$4,505.29 |
$4,505.29 |
$4,505.29 |
$2,036.75
|
|
Bendamustine 100 mg intravenous powder for solution
|
$12,079.18 |
$12,079.18 |
$12,079.18 |
$5,145.52
|