|
Apply of finger splint 29131
|
$80.95 |
$107.95 |
$358.55 |
|
|
Apply rem fixation device
|
$487.25 |
$487.25 |
$487.25 |
|
|
Apply rigid leg cast 29445
|
$238.35 |
$333.35 |
$485.85 |
|
|
Apply short leg castambul type 29425
|
$148.45 |
$148.45 |
$148.45 |
|
|
App mdlty 1+hubbrd tnk ea 15
|
$144.40 |
$144.40 |
$144.40 |
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,524.83 |
$1,885.55 |
$2,587.79 |
|
|
#aptt mix-1:1 incubated
|
$175.35 |
$175.35 |
$175.35 |
|
|
Aqaprn-4 antb flo cytmtry ea
|
$564.90 |
$585.20 |
$1,705.45 |
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$159.35 |
$188.95 |
$202.25 |
|
|
Aquatic exercise - group charge
|
$79.65 |
$137.45 |
$232.50 |
|
|
Argatroban esrd dialysis 1mg
|
$1,932.44 |
$1,932.44 |
$1,932.44 |
|
|
Argatroban nonesrd use 1mg
|
$866.80 |
$1,105.15 |
$1,455.67 |
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$5,702.81 |
$6,286.51 |
$9,677.71 |
|
|
Arm CT Scan (with contrast, both arms)
|
$1,279.25 |
$1,945.15 |
$3,251.40 |
|
|
Arm CT Scan (without contrast, both arms)
|
$1,032.40 |
$1,382.10 |
$1,876.10 |
|
|
Arm or Leg Ultrasound (limited, left side)
|
$286.00 |
$442.75 |
$665.45 |
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$728.43 |
$728.43 |
$3,047.50 |
|
|
Arterial blood draw/perc 36620
|
$82.75 |
$320.55 |
$1,467.10 |
|
|
Artery xray each vessel 7577426
|
$2,859.80 |
$2,859.80 |
$2,859.80 |
|
|
Artery xray of abdomen 75726-26
|
$4,667.15 |
$4,667.15 |
$4,667.15 |
|
|
Artery x-rays adrenal gland
|
$3,975.20 |
$3,975.20 |
$3,975.20 |
|
|
Artery x-rays adrenals
|
$4,667.15 |
$4,667.15 |
$4,667.15 |
|
|
Artery x-rays arm/leg 75710-26
|
$144.00 |
$8,782.60 |
$8,782.60 |
|
|
Artery x-rays arms/legs 75716-26
|
$2,859.80 |
$2,859.80 |
$2,859.80 |
|
|
Artery x-rays chest
|
$4,667.15 |
$4,667.15 |
$4,667.15 |
|
|
Artery x-rays lung
|
$3,975.20 |
$3,975.20 |
$3,975.20 |
|
|
Artery x-rays lung
|
$2,615.75 |
$2,615.75 |
$2,615.75 |
|
|
Artery x-rays lungs
|
$4,667.15 |
$4,667.15 |
$4,667.15 |
|
|
Artery xrays of pelvis 75736 26
|
$2,615.75 |
$2,615.75 |
$9,234.35 |
|
|
Artery x-rays spine
|
$2,615.75 |
$2,615.75 |
$2,615.75 |
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$93.35 |
$511.50 |
$1,430.70 |
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$49.45 |
$511.50 |
$1,990.35 |
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$148.70 |
$511.50 |
$2,360.75 |
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$103.45 |
$439.95 |
$928.95 |
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$45.45 |
$161.95 |
$522.35 |
|
|
Artific inseminationintrauterine 58322
|
$176.75 |
$176.75 |
$176.75 |
|
|
Ashkenazi jewish assoc dis
|
$2,910.00 |
$3,443.95 |
$10,917.55 |
|
|
Aspa gene
|
$87.10 |
$158.10 |
$336.95 |
|
|
Asp core fat pad
|
$214.60 |
$256.10 |
$1,624.30 |
|
|
Aspirate bladder/sprapubic cath 51102
|
$263.35 |
$4,101.65 |
$5,961.25 |
|
|
Aspirate/inj ganglion cyst 20612
|
$80.70 |
$132.30 |
$530.40 |
|
|
Aspirate pleura without imaging 32554
|
$174.05 |
$823.70 |
$4,057.20 |
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$66.80 |
$809.85 |
$2,174.80 |
|
|
Aspiration peritonsillar abscess
|
$268.80 |
$715.70 |
$1,641.65 |
|
|
Aspir/inj thyroid cyst 60300
|
$1,786.65 |
$1,786.65 |
$1,786.65 |
|
|
Assay dir meas fr estradiol
|
$152.60 |
$152.60 |
$152.60 |
|
|
Assay neurflmnt light chain
|
$120.90 |
$149.40 |
$295.40 |
|
|
Assay of glucosidase
|
$687.55 |
$687.55 |
$687.55 |
|
|
Assay of glutathione
|
$38.65 |
$96.40 |
$96.80 |
|
|
Assay of interleukin-6 (il-6)
|
$124.80 |
$186.15 |
$319.90 |
|
|
Assay of lrh hormone
|
$103.75 |
$103.75 |
$103.75 |
|
|
Assay of osteocalcin
|
$77.40 |
$251.25 |
$440.90 |
|
|
Assay of phenylketones
|
$333.35 |
$333.35 |
$333.35 |
|
|
Assay of prostaglandin
|
$102.20 |
$108.65 |
$346.55 |
|
|
Assay of salicylate
|
$110.60 |
$277.40 |
$352.65 |
|
|
Assay of semen fructose
|
$128.90 |
$129.60 |
$130.75 |
|
|
Assay of silica
|
$53.25 |
$74.95 |
$244.30 |
|
|
Assay of somatostatin
|
$112.40 |
$112.40 |
$112.40 |
|
|
Assay of thiocyanate
|
$216.75 |
$216.75 |
$216.75 |
|
|
Assay of urine sulfate
|
$14.25 |
$38.50 |
$94.40 |
|
|
Assay phosphohexose enzymes
|
$26.85 |
$26.85 |
$26.85 |
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$413.90 |
$475.25 |
$731.55 |
|
|
Assess care plan pt w/cog impair 99483
|
$426.50 |
$426.50 |
$426.50 |
|
|
Assess cyst contrast inject
|
$116.05 |
$245.65 |
$943.45 |
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$45.85 |
$77.40 |
$120.30 |
|
|
Assistive tech assessment, ot
|
$167.35 |
$167.35 |
$167.35 |
|
|
Ast/sgot
|
$29.70 |
$95.70 |
$108.30 |
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$13,798.11 |
$29,399.89 |
$34,221.29 |
|
|
Atropine 0.1 mg/ml injection syringe
|
$51.73 |
$72.98 |
$136.44 |
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$91.40 |
$195.40 |
$222.15 |
|
|
Atxn1 gene detc abnor allele
|
$583.00 |
$583.00 |
$583.00 |
|
|
Atxn2 gene detc abnor allele
|
$583.00 |
$583.00 |
$583.00 |
|
|
Atxn3 gene detc abnor allele
|
$583.00 |
$583.00 |
$583.00 |
|
|
Atxn7 gene detc abnor allele
|
$583.00 |
$583.00 |
$583.00 |
|
|
Audiometry air + bone
|
$191.65 |
$191.65 |
$268.60 |
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$15,472.40 |
$15,472.40 |
$15,472.40 |
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$15,472.40 |
$15,472.40 |
$15,472.40 |
|
|
Avelumab 20 mg/ml intravenous solution
|
$4,807.79 |
$4,807.79 |
$8,184.00 |
|
|
Avul nail plate addl
|
$68.80 |
$157.70 |
$241.60 |
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$202.60 |
$260.75 |
$361.70 |
|
|
Azacitidine injection
|
$394.02 |
$708.68 |
$2,718.56 |
|
|
Azathioprine 50 mg tablet
|
$1.26 |
$1.26 |
$1.55 |
|
|
Azithromycin 500 mg intravenous solution
|
$21.41 |
$55.81 |
$107.08 |
|
|
Aztreonam 1 gram solution for injection
|
$181.74 |
$424.79 |
$715.49 |
|
|
Baclofen eval charges
|
$84.35 |
$167.35 |
$194.50 |
|
|
Bacterial meningitis antigen
|
$62.15 |
$113.20 |
$443.20 |
|
|
Bacterial vaginosis pcr
|
$191.65 |
$302.75 |
$550.45 |
|
|
#bac vag cand-c. albicans naa
|
$65.30 |
$251.05 |
$315.35 |
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$102.10 |
$170.05 |
$190.05 |
|
|
Barium Enema (Colon X-ray, barium and air)
|
$1,004.15 |
$1,729.50 |
$2,356.55 |
|
|
Barium Enema (Colon X-ray, barium only)
|
$1,004.15 |
$1,178.30 |
$1,758.65 |
|
|
Barium Swallow (Esophagus X-ray)
|
$481.75 |
$756.20 |
$1,272.50 |
|
|
Bartholin gland cyst/marsupializat 56440
|
$603.30 |
$603.30 |
$603.30 |
|
|
Basic vestibular evaluation
|
$985.30 |
$985.30 |
$1,874.70 |
|
|
B cells total count
|
$112.05 |
$140.90 |
$322.20 |
|
|
Bcg live 50 mg intravesical suspension
|
$1,724.26 |
$1,724.26 |
$1,724.26 |
|
|
Belatacept 250 mg intravenous solution
|
$2,315.88 |
$3,318.45 |
$4,505.29 |
|
|
Belimumab 120 mg intravenous solution
|
$2,594.49 |
$3,217.13 |
$6,434.69 |
|
|
Bendamustine 100 mg intravenous powder for solution
|
$1,197.53 |
$3,644.32 |
$12,079.18 |
|
|
Bendamustine 25 mg/ml intravenous solution (belrapzo)
|
$6,202.29 |
$6,837.12 |
$10,557.77 |
|