Hospital prices in Cumberland, Maryland

1 hospitals publish price files here.

Cash prices in Cumberland

Procedure	Lowest cash	Median here	Highest	National median
#_benzodiazconfur	$48.60	$48.60	$48.60	$48.60
#a/b/c/c/h pnl-candida albicans ab	$53.40	$53.40	$53.40	$133.20
#acylcarnitineprfl	$210.60	$210.60	$210.60	$205.80
#bac vag cand-c. albicans naa	$194.40	$194.40	$194.40	$220.80
#cf-97variants	$1,299.00	$1,299.00	$1,299.00	$3,263.40
#cmvcul-virus inoculation shell	$48.60	$48.60	$48.60	$55.20
#coxa-coxsackie a serotype a16	$64.80	$64.80	$64.80	$110.40
#creutz-prot.,western blot	$121.80	$121.80	$121.80	$166.20
(both sides) smear without diff wbc count	$7.80	$7.80	$7.80	$121.80
11-desoxycortisol - sendout	$40.20	$40.20	$40.20	$182.25
17-hydroxypregnenolone	$40.20	$40.20	$40.20	$302.40
17-ketosteroids	$97.20	$97.20	$97.20	$249.60
24 hr ambulatory b/p monitor	$66.00	$66.00	$66.00	$162.60
2d tee w or without fol w/con,in	$405.00	$405.00	$405.00	$1,641.60
2nd order venous cath	$0.60	$0.60	$0.60	$5,583.60
3-d radiotherapy plan	$445.80	$445.80	$445.80	$4,423.20
3d ech img cgen car anomal	$66.00	$66.00	$66.00	$1,076.25
3d recon without postprocess indpndt	$259.20	$259.20	$259.20	$697.20
5' nucleotidase - sendout	$24.00	$24.00	$24.00	$223.20
Abatacept (with maltose) 250 mg intravenous solution	$1,429.80	$1,429.80	$1,429.80	$213.00
Abd aorta w/runoff s&i	$0.60	$0.60	$0.60	$4,245.00
Abd/low ext cath 1st	$0.60	$0.60	$0.60	$4,321.20
Abd/low ext cath 2nd	$0.60	$0.60	$0.60	$4,321.20
Abd/low ext cath 3rd	$0.60	$0.60	$0.60	$4,321.20
Abd/low ext cath addl	$0.60	$0.60	$0.60	$841.20
Abdominal CT scan (with and without contrast)	$160.80	$160.80	$160.80	$2,049.00
Abdominal CT scan (with contrast)	$140.40	$140.40	$140.40	$1,683.63
Abdominal CT scan (without contrast)	$74.40	$74.40	$74.40	$1,358.76
Abdominal MRI (with and without contrast)	$654.00	$654.00	$654.00	$3,061.80
Abdominal MRI (with contrast)	$607.20	$607.20	$607.20	$2,077.14
Abdominal MRI (without contrast)	$430.20	$430.20	$430.20	$1,902.00
Abdominal Ultrasound (complete)	$411.00	$411.00	$411.00	$740.00
Abdominal Ultrasound (limited)	$321.60	$321.60	$321.60	$624.00
Abdominal paracentesis w/image guidance	$0.60	$0.60	$0.60	$1,689.00
Ablate arrhythmia add on	$0.60	$0.60	$0.60	$6,913.20
Ablate heart dysrhythm focus	$0.60	$0.60	$0.60	$6,998.40
Ablate pulm tumor perq rf	$0.60	$0.60	$0.60	$14,655.00
Abscess drain retroperitoneal surg code	$0.60	$0.60	$0.60	$5,596.80
Acetaminophen 10 mg/ml soln 100 ml glass cont	$8.40	$8.40	$8.40	$2.40
Acute hepatitis panel	$145.80	$145.80	$145.80	$542.25
Acyclovir 400 mg tablet	$67.80	$67.80	$67.80	$67.80
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr	$6.00	$6.00	$6.00	$74.40
Adapter b 8 channel 10cm	$471.00	$471.00	$471.00	$1,725.60
Adenosine 3 mg/250 ml bag for osm	$55.20	$55.20	$55.20	$382.20
Adenovirus antibody,serum - quest	$53.40	$53.40	$53.40	$91.80
Adh-sendout	$40.20	$40.20	$40.20	$311.40
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution	$124.20	$124.20	$124.20	$450.00
Administration chemotherapy IV infusion each additional hour	$937.80	$937.80	$937.80	$269.60
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr	$28.80	$28.80	$28.80	$322.20
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug	$527.40	$527.40	$527.40	$790.20
Administration chemotherapy IV push single/initial substance/drug	$292.80	$292.80	$292.80	$508.20
Administration chemotherapy subcutaneous/im anti neoplastic hormonal	$204.60	$204.60	$204.60	$243.00
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal	$204.60	$204.60	$204.60	$223.20
Ado-trastuzumab emtansine 100 mg intravenous solution	$6,328.80	$6,328.80	$6,328.80	$139.20
Albumin (microalbumin) 24 hour urine quantitative	$24.00	$24.00	$24.00	$76.80
Albumin body fluid quantitative each specimen	$16.20	$16.20	$16.20	$40.20
Albumin serum plasma or whole blood	$3.00	$3.00	$3.00	$66.60
Aldesleukin injection	$3,847.80	$3,847.80	$3,847.80	$6,538.20
Alkaline phosphatase	$3.00	$3.00	$3.00	$86.40
Allergen egg white ige	$24.00	$24.00	$24.00	$42.00
Allergen specific ige qual multi scrn ea	$40.20	$40.20	$40.20	$40.20
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet	$3,161.40	$3,161.40	$3,161.40	$3,161.40
Allograft graftjacket 2x12cm-q4107-cost per sq cm	$3,402.60	$3,402.60	$3,402.60	$4,781.60
Alloskin	$759.00	$759.00	$759.00	$759.00
Alpha-fetoprotein tumor marker	$24.00	$24.00	$24.00	$155.40
Alt/sgpt	$3.00	$3.00	$3.00	$86.40
Alteplase 100 mg infusion from pyxis vial	$9,848.40	$9,848.40	$9,848.40	$540.80
Aluminum - quest	$64.80	$64.80	$64.80	$178.20
Ambl bp mntr w/sw a/r	$199.20	$199.20	$199.20	$199.20
Amikacin 4 mg/ml intravitreal injection - cnr	$12.00	$12.00	$12.00	$26.80
Amino acids quant 2-5	$194.40	$194.40	$194.40	$220.80
Aminolevulinic acid delta	$42.00	$42.00	$42.00	$178.80
Amiodarone 50 mg/ml intravenous solution	$2.40	$2.40	$2.40	$96.80
Amitriptyline (elavil) -sendout	$48.60	$48.60	$48.60	$63.00
Ammonia	$32.40	$32.40	$32.40	$141.00
Amphetamine confirm urine -sendout	$64.80	$64.80	$64.80	$64.80
Amphotericin b lipid complex	$96.00	$96.00	$96.00	$96.00
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr	$109.80	$109.80	$109.80	$592.80
Ampicillin 1 gram solution for injection	$0.60	$0.60	$0.60	$77.40
Amylase	$9.60	$9.60	$9.60	$113.40
An cholangiogram percutaneous compl	$0.60	$0.60	$0.60	$3,342.00
An fluoro guide for cvp	$0.60	$0.60	$0.60	$574.80
Ana ds-dna	$49.80	$49.80	$49.80	$178.80
Analgesics non-opioid definitive assay 1 or 2 acetaminophen	$48.60	$48.60	$48.60	$92.25
Analysis gene f2 20210g>a variant	$259.80	$259.80	$259.80	$2,361.60
Analysis gene f5 leiden variant	$154.20	$154.20	$154.20	$1,217.40
Anca screen with reflex to titer -quest	$64.80	$64.80	$64.80	$103.20
Angio balloon ctrl dialysis seg add-on	$0.60	$0.60	$0.60	$7,522.20
Angio tib/peroneal/init ves/unila 37228	$0.60	$0.60	$0.60	$29,775.00
Angio trnslmnl balloon same artery ea addl	$0.60	$0.60	$0.60	$8,205.00
Angio trnslmnl balloon same artery ini	$0.60	$0.60	$0.60	$7,740.60
Angio trnslmnl balloon same vein ea addl	$0.60	$0.60	$0.60	$6,355.50
Angio trnslmnl balloon same vein ini	$0.60	$0.60	$0.60	$7,522.20
Angioplasty fem/pop unilat 37224	$0.60	$0.60	$0.60	$21,742.80
Angioplasty tib/pero/unilat/ea add 37232	$0.60	$0.60	$0.60	$16,829.40
Angioplasty/iliac/init ves/unilat 37220	$0.60	$0.60	$0.60	$16,320.60
Angiotensin ii 0.5 mg/ml soln 1 ml vial	$1,346.40	$1,346.40	$1,346.40	$21,829.80
Ankle X-ray	$106.80	$106.80	$106.80	$312.74
Anti-inhibitor	$2.40	$2.40	$2.40	$8.70
Antibody bacterium, not elsewhere specified	$53.40	$53.40	$53.40	$76.80
Antibody elution rbc reference	$32.40	$32.40	$32.40	$82.40
Antibody htlv/hiv confirm test	$121.80	$121.80	$121.80	$175.20
Antibody id rbc panel	$48.60	$48.60	$48.60	$205.80
Antibody identification platelet antibodies heparin-pf4 igg	$81.00	$81.00	$81.00	$527.40
Antibody screen rbc	$19.20	$19.20	$19.20	$113.40
Antibody tetanus	$40.20	$40.20	$40.20	$111.60
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution	$0.60	$0.60	$0.60	$15.20
Antinuclear antibodies	$24.00	$24.00	$24.00	$75.00
Antinuclear antibodies titer	$45.00	$45.00	$45.00	$102.60
Antiphosphatidylserine antibody	$32.40	$32.40	$32.40	$307.80
Antistreptolysin o screen	$19.20	$19.20	$19.20	$56.40
Antistreptolysin o titer	$40.20	$40.20	$40.20	$106.50
Antithrombin iii activity	$30.60	$30.60	$30.60	$125.40
Antithymocyte globuln rabbit	$905.40	$905.40	$905.40	$4,139.25
Apl(pml-rara) quant - sendout	$194.40	$194.40	$194.40	$765.00
Appl modality 1/> areas paraffin bath 97018	$11.40	$11.40	$11.40	$76.80
Appl modality 1/> areas vasopneumatic devices 97016	$22.80	$22.80	$22.80	$76.80
Appl multlay comprs arm/hand	$144.60	$144.60	$144.60	$456.00
Application finger splntstatic 29130	$48.00	$48.00	$48.00	$226.20
Application multi layer compression below knee (both sides)	$240.00	$240.00	$240.00	$338.40
Application of paste boot 29580	$148.20	$148.20	$148.20	$405.00
Apply forearm splintdynamic 29126	$110.40	$110.40	$110.40	$388.80
Apply interstit radiat compl	$482.40	$482.40	$482.40	$4,419.00
Apply intrcav radiat compl	$475.80	$475.80	$475.80	$475.80
Apply intrcav radiat interm	$367.80	$367.80	$367.80	$367.80
Apply intrcav radiat simple	$319.20	$319.20	$319.20	$319.20
Apply of finger splint 29131	$69.00	$69.00	$69.00	$514.80
Apply rigid leg cast 29445	$217.20	$217.20	$217.20	$738.75
Apply surf ldr radionuclide	$102.00	$102.00	$102.00	$102.00
Aquatic exercise - group charge	$22.80	$22.80	$22.80	$93.00
Argatroban nonesrd use 1mg	$246.00	$246.00	$246.00	$246.00
Arterial blood draw/perc 36620	$98.40	$98.40	$98.40	$622.20
Artery x-rays adrenal gland	$0.60	$0.60	$0.60	$2,556.60
Artery x-rays adrenals	$0.60	$0.60	$0.60	$2,190.00
Artery x-rays arm/leg 75710-26	$0.60	$0.60	$0.60	$2,938.80
Artery x-rays arms/legs 75716-26	$0.60	$0.60	$0.60	$2,953.80
Artery x-rays lung	$0.60	$0.60	$0.60	$2,564.40
Artery x-rays lung	$0.60	$0.60	$0.60	$2,866.20
Artery x-rays lungs	$0.60	$0.60	$0.60	$3,831.60
Artery x-rays spine	$0.60	$0.60	$0.60	$2,866.20
Artery xray each vessel 7577426	$0.60	$0.60	$0.60	$2,463.60
Artery xray of abdomen 75726-26	$0.60	$0.60	$0.60	$3,805.80
Artery xrays of pelvis 75736 26	$0.60	$0.60	$0.60	$3,111.60
Ascenda two piece catheter	$16,771.20	$16,771.20	$16,771.20	$25,665.60
Aspir/inj thyroid cyst 60300	$0.60	$0.60	$0.60	$924.60
Aspirate bladder/sprapubic cath 51102	$0.60	$0.60	$0.60	$3,395.40
Aspirate pleura without imaging 32554	$0.60	$0.60	$0.60	$1,215.00
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion	$0.60	$0.60	$0.60	$971.40
Assay free hydroxyproline	$97.20	$97.20	$97.20	$97.20
Assay of corticosterone	$40.20	$40.20	$40.20	$49.20
Assay of fluoride	$40.20	$40.20	$40.20	$227.40
Assay of lrh hormone	$40.20	$40.20	$40.20	$247.80
Assay of osteocalcin	$24.00	$24.00	$24.00	$159.60
Assay of procainamide w/metab	$48.60	$48.60	$48.60	$149.40
Assay of prostaglandin	$63.00	$63.00	$63.00	$222.60
Assay of quinine	$49.80	$49.80	$49.80	$49.80
Assay of sialic acid	$38.40	$38.40	$38.40	$188.40
Assay of thiocyanate	$24.00	$24.00	$24.00	$72.60
Assess aphasia/interp/rpt/per hr 96105	$126.60	$126.60	$126.60	$449.40
Assess cyst contrast inject	$0.60	$0.60	$0.60	$945.60
Assessment leukocyte fecal qualitative/semiquantitative	$7.80	$7.80	$7.80	$47.60
Ast/sgot	$3.00	$3.00	$3.00	$43.80
Atezolizumab 60 mg/ml intravenous solution (wrapper)	$12,416.40	$12,416.40	$12,416.40	$311.20
Athrectomy fem/pop/unilateral 37225	$0.60	$0.60	$0.60	$34,695.00
Athrectomy tib/pero/unilat/ini ves 37229	$0.60	$0.60	$0.60	$24,161.40
Attn at delivery+ 1 stabilization of newborn 99464	$95.40	$95.40	$95.40	$95.40
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body	$0.60	$0.60	$0.60	$8,721.00
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic	$0.60	$0.60	$0.60	$8,849.25
Autologous blood op salvage	$852.60	$852.60	$852.60	$228.60
Autologous blood process	$276.00	$276.00	$276.00	$276.00
Automated diff wbc count	$6.00	$6.00	$6.00	$32.40
Avelumab 20 mg/ml intravenous solution	$2,189.40	$2,189.40	$2,189.40	$231.00
Azacitidine injection	$237.60	$237.60	$237.60	$1,762.80
Azathioprine parenteral	$250.80	$250.80	$250.80	$771.30
Azithromycin 500 mg intravenous solution	$4.80	$4.80	$4.80	$186.40
Aztreonam 1 gram solution for injection	$60.60	$60.60	$60.60	$19.80
B cells total count	$81.00	$81.00	$81.00	$210.00
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)	$1,134.00	$1,134.00	$1,134.00	$1,459.20
Baclofen 50 mcg/ml intrathecal solution (wrapper)	$197.40	$197.40	$197.40	$420.00
Baclofen eval charges	$41.40	$41.40	$41.40	$110.40
Bacterial meningitis antigen	$24.00	$24.00	$24.00	$108.00
Bacterial vaginosis pcr	$194.40	$194.40	$194.40	$336.00
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve	$42.00	$42.00	$42.00	$24.60
Balloon dilate urtrl strix	$0.60	$0.60	$0.60	$6,571.80
Bendamustine 25 mg/ml intravenous solution (bendeka)	$24.00	$24.00	$24.00	$87.60
Beta 2 glycoprotein 1 antibody iga	$32.40	$32.40	$32.40	$138.00
Beta-2 microglobulin	$24.00	$24.00	$24.00	$112.50
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection	$39.00	$39.00	$39.00	$76.00
Bevacizumab 25 mg/ml intravenous solution	$3,732.00	$3,732.00	$3,732.00	$2,946.69
Bevacizumab-awwb 25 mg/ml intravenous solution	$3,154.20	$3,154.20	$3,154.20	$370.80
Bevacizumab-bvzr 25 mg/ml intravenous solution	$620.40	$620.40	$620.40	$162.60
Biliary endoscopy thru skin	$0.60	$0.60	$0.60	$4,336.50
Biliary endoscopy thru skin	$0.60	$0.60	$0.60	$1,036.20
Biliary endoscopy thru skin	$0.60	$0.60	$0.60	$3,922.80
Biliary endoscopy thru skin	$0.60	$0.60	$0.60	$0.60
Bilirubin direct	$9.60	$9.60	$9.60	$66.60
Bilirubin total	$9.60	$9.60	$9.60	$66.60
Biopsy abdominal mass	$0.60	$0.60	$0.60	$1,461.75
Biopsy bone trocar/needle superficial	$0.60	$0.60	$0.60	$1,629.60
Biopsy muscle percutaneous needle	$0.60	$0.60	$0.60	$1,629.60
Biopsy needle liver percutaneous	$0.60	$0.60	$0.60	$1,285.60
Biopsy needle lymph node superficial	$0.60	$0.60	$0.60	$1,352.80
Biopsy of heart lining	$0.60	$0.60	$0.60	$1,461.60
Biopsy of prostate	$0.60	$0.60	$0.60	$1,818.40
Biopsy renal percutaneous trocar/needle (both sides)	$0.60	$0.60	$0.60	$1,560.60
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)	$996.00	$996.00	$996.00	$1,745.40
Bivalirudin	$94.80	$94.80	$94.80	$3,203.40
Bleomycin 15 unit solution for injection	$48.00	$48.00	$48.00	$306.40
Bln 1.2 mono emrg 15x1.2	$3,525.00	$3,525.00	$3,525.00	$6,126.60
Bln 30frx10mmx12cm renal nephromax	$1,200.00	$1,200.00	$1,200.00	$4,790.40
Bln dil 900ml preperitnl	$2,203.20	$2,203.20	$2,203.20	$2,067.60
Bln inpact admiral 4x150x130cm	$4,003.20	$4,003.20	$4,003.20	$4,954.20
Bln press regulation 71-80cm	$10,432.80	$10,432.80	$10,432.80	$10,689.60
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd	$1,683.00	$1,683.00	$1,683.00	$5,142.60
Bln ureth 5ml 28f 2wy ltx st	$101.40	$101.40	$101.40	$83.40
Blood Clotting (PT/INR) Test	$12.60	$12.60	$12.60	$45.00
Blood Clotting (PTT) Test	$12.60	$12.60	$12.60	$64.35
Blood Count (CBC) Test	$16.20	$16.20	$16.20	$66.60
Blood Count (CBC) Test (without differential)	$12.60	$12.60	$12.60	$56.55
Blood Culture Test	$64.80	$64.80	$64.80	$112.20
Blood draw capillary 36416	$9.60	$9.60	$9.60	$12.60
Blood gases o2 saturation direct measurement	$49.80	$49.80	$49.80	$225.75
Blood gases ph venous	$24.00	$24.00	$24.00	$60.00
Blood occult feces colorectal neoplasm screening qualitative	$7.80	$7.80	$7.80	$20.40
Blood occult peroxidase activity qualitative gastric	$6.00	$6.00	$6.00	$50.40
Blood smear microscopic w manual differential wbc count	$16.20	$16.20	$16.20	$49.80
Blood typing abo	$6.00	$6.00	$6.00	$34.80
Blood typing ag donor ea ag	$24.00	$24.00	$24.00	$80.40
Blood typing patient serum	$19.20	$19.20	$19.20	$112.80
Blood typing rbc ag non abo/rh ea	$24.00	$24.00	$24.00	$84.00
Blood typing rh (d)	$6.00	$6.00	$6.00	$57.00
Blood typing rh phenotype complete reference	$48.60	$48.60	$48.60	$51.00
Blood, l/r, irradiated	$438.60	$438.60	$438.60	$438.60
Bone Density Scan (DEXA)	$160.80	$160.80	$160.80	$398.56
Bone marrow biopsyneedle/trocar 38221	$0.60	$0.60	$0.60	$1,042.40
Bone/joint imaging ltd area	$161.40	$161.40	$161.40	$857.40
Boot heel care softcare one sz	$100.20	$100.20	$100.20	$100.20
Boot walker genesis full shell 3-strap s	$103.20	$103.20	$103.20	$838.80
Borrelia burgdorferi (lyme disease) antibody nonspecific	$40.20	$40.20	$40.20	$88.50
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection	$1,923.60	$1,923.60	$1,923.60	$3,308.40
Bowel imaging	$318.60	$318.60	$318.60	$1,365.75
Brace afo lg left 6607	$40.80	$40.80	$40.80	$609.00
Brace ankle stablizing lg	$60.60	$60.60	$60.60	$286.80
Brace back pinnacle lo 627 lumbar	$673.20	$673.20	$673.20	$673.20
Brace back pinnacle tlso 464	$1,009.80	$1,009.80	$1,009.80	$1,009.80
Brace knee extender plus 22-30in	$504.60	$504.60	$504.60	$351.60
Brace knee support neoprene padded open patella med	$243.60	$243.60	$243.60	$558.00
Brace ortho exos 28-50in sm	$423.60	$423.60	$423.60	$423.60
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr	$571.80	$571.80	$571.80	$571.80
Brace oths wrist hnd fngr without	$31.20	$31.20	$31.20	$197.40
Brace tlso flex cust	$289.20	$289.20	$289.20	$289.20
Brach/thor cath 1st	$0.60	$0.60	$0.60	$4,321.20
Brach/thor cath 2nd	$0.60	$0.60	$0.60	$5,364.60
Brach/thor cath 3rd	$0.60	$0.60	$0.60	$3,760.80
Brach/thor cath addl	$0.60	$0.60	$0.60	$1,046.40
Brachytx isodose complex	$337.20	$337.20	$337.20	$984.60
Brachytx isodose intermed	$247.20	$247.20	$247.20	$991.80
Brachytx isodose plan simple	$192.60	$192.60	$192.60	$817.20
Braf gene	$194.40	$194.40	$194.40	$1,392.00
Brain MRA (blood vessel MRI, with and without contrast)	$843.00	$843.00	$843.00	$2,650.00
Brain MRA (blood vessel MRI, with contrast)	$542.40	$542.40	$542.40	$1,998.00
Brain MRA (blood vessel MRI, without contrast)	$547.80	$547.80	$547.80	$1,802.40
Brain MRI (with and without contrast)	$436.20	$436.20	$436.20	$2,954.40
Brain MRI (with contrast)	$382.80	$382.80	$382.80	$2,224.96
Brain MRI (without contrast)	$259.20	$259.20	$259.20	$1,825.59
Brain flow imaging only	$172.20	$172.20	$172.20	$1,557.00
Brain image w/flow 4 + views	$318.60	$318.60	$318.60	$1,574.40
Breast Biopsy (ultrasound-guided, percutaneous)	$357.60	$357.60	$357.60	$3,069.25
Brentuximab vedotin 50 mg intravenous solution	$13,562.40	$13,562.40	$13,562.40	$6,781.20
Bronchial challenge	$276.00	$276.00	$276.00	$761.40
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr	$2.40	$2.40	$2.40	$9.00
Bundle his recording	$0.60	$0.60	$0.60	$5,290.20
Bundled special stain group 1 microorganisms	$24.00	$24.00	$24.00	$145.80
Bundled special stain group 2	$16.20	$16.20	$16.20	$225.75
Buprenorphine and metabolite - sendout	$64.80	$64.80	$64.80	$64.80
Bur rotalink 2.15mm	$6,330.00	$6,330.00	$6,330.00	$8,485.20
Bx bone trocar/ndl deep	$0.60	$0.60	$0.60	$1,929.00
Bx breast 1st lesion mr imag	$754.20	$754.20	$754.20	$2,087.40
Bx breast 1st lesion strtctc	$607.80	$607.80	$607.80	$3,700.20
Bx breast add lesion Ultrasound imag	$214.20	$214.20	$214.20	$1,914.60
Bx breast add lesion mr imag	$76.20	$76.20	$76.20	$1,042.80
Bx breast add lesion strtctc	$303.60	$303.60	$303.60	$2,079.60
Bx breast perq without image 19100	$178.80	$178.80	$178.80	$2,813.40
Bx liver with other	$0.60	$0.60	$0.60	$247.80
Bx pancreas pq ndl	$0.60	$0.60	$0.60	$1,757.25
Bx pleura pq ndl	$0.60	$0.60	$0.60	$1,281.00
Bx skin punch ea sep/ addl les	$0.60	$0.60	$0.60	$327.00
Bx spinal cord pq ndl	$0.60	$0.60	$0.60	$0.60
Bx thyroid/percutan core needle 60100	$0.60	$0.60	$0.60	$924.60
C-Section Delivery (full care)	$5,346.60	$5,346.60	$5,346.60	$4,739.20
C-peptide	$24.00	$24.00	$24.00	$189.00
C-reactive protein	$24.00	$24.00	$24.00	$126.60
C-reactive protein high sensitivity	$25.80	$25.80	$25.80	$168.60
C-reactive protein, quantitative	$48.60	$48.60	$48.60	$177.00
C1 esterase inhibitor func - sendout	$40.20	$40.20	$40.20	$148.20
CT Angiogram of Abdomen and Pelvis	$232.80	$232.80	$232.80	$2,839.85
CT Angiogram of the Chest (for blood clot)	$175.80	$175.80	$175.80	$2,094.23
CT Angiogram of the Head	$172.80	$172.80	$172.80	$2,094.23
CT Scan of Abdomen and Pelvis (with and without contrast)	$211.80	$211.80	$211.80	$3,669.25
CT Scan of Abdomen and Pelvis (with contrast)	$184.80	$184.80	$184.80	$3,217.18
CT Scan of Abdomen and Pelvis (without contrast)	$95.40	$95.40	$95.40	$2,418.75
CT angio hrt w/3d image	$253.80	$253.80	$253.80	$2,371.80
CT angio pelvis	$202.80	$202.80	$202.80	$2,494.20
CT guid parench tis ablat	$0.60	$0.60	$0.60	$1,185.75
CT guidance for needle placement	$0.60	$0.60	$0.60	$2,179.20
CT guidance for percutaneous drain w/catheter placement supervision & interpretation	$0.60	$0.60	$0.60	$1,524.60
CT heart w/evaluation of calcium without contrast	$59.40	$59.40	$59.40	$120.00
CT hrt c+ strux cgen hrt ds	$220.80	$220.80	$220.80	$1,424.40
CT hrt w/3d image	$163.80	$163.80	$163.80	$3,303.75
CT limited or localized follow-up study	$80.40	$80.40	$80.40	$654.40
CT lower extremity w/contrast (both sides)	$140.40	$140.40	$140.40	$2,680.20
CT lower extremity without contrast (both sides)	$107.40	$107.40	$107.40	$1,795.80
CT lwr extremity w/o&w/dye	$178.80	$178.80	$178.80	$2,819.40
CT neck soft tissue w/contrast	$140.40	$140.40	$140.40	$2,511.00
CT neck soft tissue without & w/contrast	$172.80	$172.80	$172.80	$3,029.40
CT neck soft tissue without contrast	$107.40	$107.40	$107.40	$1,795.80
CT orbit/sella/ or posterior outer inner or middle ear w/contrast	$172.80	$172.80	$172.80	$2,151.00
CT orbit/sella/ or posterior outer inner or middle ear without contrast	$140.40	$140.40	$140.40	$1,623.00
CT orbit/sella/fossa w/wo contrast	$190.80	$190.80	$190.80	$2,712.60
CT t-spine w /wo contrast	$172.80	$172.80	$172.80	$2,602.20
CT thoracic spine w/contrast	$140.40	$140.40	$140.40	$2,555.40
CT thoracic spine without contrast	$107.40	$107.40	$107.40	$1,795.80
CT thorax low dose for lung screening without contrast	$107.40	$107.40	$107.40	$253.20
CT upper extremity w/contrast (both sides)	$137.40	$137.40	$137.40	$2,358.60
CT upper extremity without contrast (both sides)	$107.40	$107.40	$107.40	$1,795.80
CT uppr extremity w/o&w/dye	$98.40	$98.40	$98.40	$3,029.40
Cabazitaxel 10 mg/ml (first dilution) intravenous solution	$15,841.20	$15,841.20	$15,841.20	$808.20
Cable cath 22-pin diag	$495.00	$495.00	$495.00	$2,526.60
Cadd pump refill	$175.80	$175.80	$175.80	$175.80
Calcium 24 hour urine	$16.20	$16.20	$16.20	$80.40
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution	$10.80	$10.80	$10.80	$0.80
Calcium ionized	$24.00	$24.00	$24.00	$108.60
Calcium total	$3.00	$3.00	$3.00	$43.80
Calculi urinary-sendout	$64.80	$64.80	$64.80	$64.80
Calprotectin fecal	$24.00	$24.00	$24.00	$250.20
Candida dna	$194.40	$194.40	$194.40	$197.40
Cap nerve 2x15mm	$4,846.80	$4,846.80	$4,846.80	$3,405.60
Cap trach decann 15mm	$543.00	$543.00	$543.00	$1,708.20
Carbamazepine total therapeutic drug level	$24.00	$24.00	$24.00	$189.60
Carbon dioxide	$3.00	$3.00	$3.00	$39.60
Carboplatin 10 mg/ml desensitization	$2.40	$2.40	$2.40	$500.40
Carcinoembryonic ag (cea)	$40.20	$40.20	$40.20	$194.40
Card MRI veloc flow mapping	$70.20	$70.20	$70.20	$660.60
Cardiac Stress Test	$0.60	$0.60	$0.60	$186.60
Cardiac perf spect sgl/ef/wm rst/strs	$293.40	$293.40	$293.40	$3,772.20
Cardiac rehabilitation op phase 2 w/continous ecg monitoring	$146.40	$146.40	$146.40	$209.40
Cardiolipin antibody iga	$32.40	$32.40	$32.40	$186.60
Cardioversion elective electrical conversion arrhythmia external	$298.80	$298.80	$298.80	$1,505.60
Carfilzomib 10 mg intravenous solution	$3,574.20	$3,574.20	$3,574.20	$149.40
Carmustine 100 mg intravenous powder for solution	$2,407.80	$2,407.80	$2,407.80	$2,713.80
Carotene	$40.20	$40.20	$40.20	$163.80
Carotid Artery Ultrasound (Duplex)	$822.00	$822.00	$822.00	$1,059.82
Cath 2lum 14.5frx43cm maxid kt mahurkar	$799.20	$799.20	$799.20	$799.20
Cath ablat bi-d d-d 8fr 115cm	$705.60	$705.60	$705.60	$3,341.40
Cath ablt clsfast 7fx100cmx	$705.60	$705.60	$705.60	$3,024.00
Cath acuity innr ic130 6f 63cm	$3,488.40	$3,488.40	$3,488.40	$5,743.20
Cath acunav ge 10frx90cm	$1,402.80	$1,402.80	$1,402.80	$7,951.50
Cath adherent clot 10mm 6f 10	$17,505.60	$17,505.60	$17,505.60	$15,737.40
Cath baloon occl urnry 34f 7x2x65	$1,703.40	$1,703.40	$1,703.40	$3,581.40
Cath blazer dx/20 2-10-2 space	$2,019.60	$2,019.60	$2,019.60	$5,062.50
Cath combo lt&rt heart w/inj/s	$0.60	$0.60	$0.60	$8,708.40
Cath council tip 16fr 5cc	$59.40	$59.40	$59.40	$59.40
Cath cv dl inj 7fx16cm	$720.60	$720.60	$720.60	$1,887.00
Cath del ampltz 12f 45d 80cm	$2,010.00	$2,010.00	$2,010.00	$2,010.00
Cath follower heyman 20f	$50.40	$50.40	$50.40	$50.40
Cath groshong MRI 8fr plstc port	$1,153.20	$1,153.20	$1,153.20	$2,380.80
Cath hawkone s directional	$2,362.80	$2,362.80	$2,362.80	$7,680.60
Cath imag ivus pv 8.5fx90 .035	$7,839.60	$7,839.60	$7,839.60	$3,611.40
Cath left heart transseptal punc	$0.60	$0.60	$0.60	$4,045.80
Cath left heart/lv gram	$0.60	$0.60	$0.60	$5,695.80
Cath lt/rt pulm art	$0.60	$0.60	$0.60	$1,527.00
Cath malecot 28fr 4-wing ltx	$1,562.40	$1,562.40	$1,562.40	$1,687.20
Cath occl flo-rester 2.25x12mm cor internal vessel occluder	$9,007.20	$9,007.20	$9,007.20	$21,427.20
Cath place 1st order venous 36011	$0.60	$0.60	$0.60	$5,364.60
Cath plc art ang/grft lt/rt hr	$0.60	$0.60	$0.60	$11,503.20
Cath plc art/angio/rt hrt cath	$0.60	$0.60	$0.60	$8,503.80
Cath plc art/grft/angio right hrt	$0.60	$0.60	$0.60	$6,685.80
Cath right heart w/o2 sat & card	$0.60	$0.60	$0.60	$4,762.80
Cath right hrt mnpul art	$0.60	$0.60	$0.60	$1,847.40
Cath segmntl pulm art	$0.60	$0.60	$0.60	$2,311.80
Cath steerable flex adv 12f	$883.20	$883.20	$883.20	$3,718.20
Cath uret open tp 6fx70cm	$381.00	$381.00	$381.00	$671.40
Catheter declot mechanical	$0.60	$0.60	$0.60	$1,523.25
Catheter stripping venous	$0.60	$0.60	$0.60	$6,231.60
Cdna analysis for variants	$487.20	$487.20	$487.20	$2,008.20
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr	$10.80	$10.80	$10.80	$19.65
Cefepime 1 gram solution for injection	$6.00	$6.00	$6.00	$62.80
Cefoxitin 1 gram intravenous solution	$6.00	$6.00	$6.00	$105.00
Ceftaroline fosamil 600 mg intravenous solution	$249.00	$249.00	$249.00	$466.80
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr	$6.60	$6.60	$6.60	$41.40
Ceftazidime and avibactam	$430.20	$430.20	$430.20	$991.80
Ceftriaxone 1 gram solution for injection	$18.00	$18.00	$18.00	$102.40
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr	$3.60	$3.60	$3.60	$44.60
Cell count body fluid	$32.40	$32.40	$32.40	$47.40
Cell count w differential body fluid	$40.20	$40.20	$40.20	$131.40
Cell marker study	$243.60	$243.60	$243.60	$181.80
Cemiplimab-rwlc 50 mg/ml intravenous solution	$10,920.00	$10,920.00	$10,920.00	$527.40
Cetuximab 100 mg/50 ml intravenous solution	$775.20	$775.20	$775.20	$280.20
Change cystostomy tube simple	$0.60	$0.60	$0.60	$411.00
Change nephroureteral cath	$0.60	$0.60	$0.60	$4,905.00
Change stent via transureth	$0.60	$0.60	$0.60	$0.60
Change ureter stent percut	$0.60	$0.60	$0.60	$4,696.80
Chemo adm cns w/lmbr punct	$351.60	$351.60	$351.60	$841.60
Chemo extend IV infus w/pump	$527.40	$527.40	$527.40	$696.00
Chemotherapy injection 96542	$175.80	$175.80	$175.80	$288.00
Chest 2 vws w oblique	$124.80	$124.80	$124.80	$450.75
Chest CT scan (with and without contrast)	$172.80	$172.80	$172.80	$2,105.40
Chest CT scan (with contrast)	$140.40	$140.40	$140.40	$1,697.25
Chest CT scan (without contrast)	$107.40	$107.40	$107.40	$1,350.03
Chest X-ray	$89.40	$89.40	$89.40	$301.70
Chest X-ray (single view)	$71.40	$71.40	$71.40	$225.00
Chest apical lordotic proj	$124.80	$124.80	$124.80	$419.40
Chg pr pul rehab for copd patients	$58.80	$58.80	$58.80	$162.00
Chg radiologic exam esophagus double contrast	$375.00	$375.00	$375.00	$712.20
Chlamydia culture	$49.80	$49.80	$49.80	$142.20
Chlamydia type	$32.40	$32.40	$32.40	$42.60
Chlnggrphy intraop addl s&i	$0.60	$0.60	$0.60	$238.80
Chloride	$3.00	$3.00	$3.00	$39.60
Chloride 24 hour urine	$16.20	$16.20	$16.20	$66.60
Chloroprocaine hcl injection	$22.80	$22.80	$22.80	$1.20
Chlorothiazide sodium 500 mg intravenous solution	$48.00	$48.00	$48.00	$1,236.80
Chmotx admn plrl cav thrcnts	$351.60	$351.60	$351.60	$351.60
Cholangiogram percutaneous compl	$0.60	$0.60	$0.60	$3,342.00
Cholangiography and/or pancreatography intraoperative supervision & interpretation	$0.60	$0.60	$0.60	$516.60
Cholecystostomy complete w/supervision & interpretation	$0.60	$0.60	$0.60	$3,872.40
Cholesterol	$6.00	$6.00	$6.00	$40.80
Cholesterol (Lipid) Test	$30.60	$30.60	$30.60	$100.00
Chromatography	$40.20	$40.20	$40.20	$163.80
Chromosome analysis 15-20 cell count	$519.60	$519.60	$519.60	$988.50
Chromosome analysis 5	$202.80	$202.80	$202.80	$2,224.80
Chromosome count additional	$32.40	$32.40	$32.40	$32.40
Chromosome karyotype study	$32.40	$32.40	$32.40	$140.40
Chylomicron screen, bf - sendout	$40.20	$40.20	$40.20	$370.20
Cilastatin sodium injection	$11.40	$11.40	$11.40	$223.80
Cinacalcet 30 mg tablet	$93.60	$93.60	$93.60	$93.60
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback	$1.20	$1.20	$1.20	$23.67
Circumcision (newborn)	$433.20	$433.20	$433.20	$1,616.55
Cisplatin 1 mg/ml desensitization	$1.20	$1.20	$1.20	$556.00
Cladribine 10 mg/10 ml intravenous solution	$128.40	$128.40	$128.40	$355.41
Clamp isol transpolr 5mmx6.5cm transpolar	$2,157.00	$2,157.00	$2,157.00	$4,416.60
Clearance of airways	$23.40	$23.40	$23.40	$23.40
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback	$6.00	$6.00	$6.00	$45.80
Clip ligating vesolock lg	$451.20	$451.20	$451.20	$1,380.60
Clot factor xii hageman	$97.20	$97.20	$97.20	$163.20
Clot factor xiii fibrin stab	$97.20	$97.20	$97.20	$106.20
Cmv pcr-sendout	$194.40	$194.40	$194.40	$699.60
Co-treatment - group 15 mins, st	$45.60	$45.60	$45.60	$91.20
Coagulation factor viia 1,000 mcg/ml inj 1 ml	$4,809.00	$4,809.00	$4,809.00	$8.70
Cold agglutinin titer	$42.00	$42.00	$42.00	$85.20
Colistimethate sodium inj	$12.00	$12.00	$12.00	$129.00
Collar cerv ascend 172 reg	$106.80	$106.80	$106.80	$236.40
Collection blood specimen from completely implantable venous access device	$234.00	$234.00	$234.00	$162.00
Collection blood specimen using established central/peripheral catheter venous nos	$263.40	$263.40	$263.40	$196.00
Collection of venous blood by venipuncture	$12.60	$12.60	$12.60	$20.25
Compatibility test each unit antiglobulin technique	$16.20	$16.20	$16.20	$205.80
Compatibility test each unit electronic	$9.60	$9.60	$9.60	$100.00
Compatibility test each unit immediate spin technique	$12.60	$12.60	$12.60	$203.40
Compatibility test incubate	$1.20	$1.20	$1.20	$1.20
Complement antigen each component c3	$40.20	$40.20	$40.20	$148.20
Complement fixation each	$24.00	$24.00	$24.00	$100.20
Concentration infection agents any type	$32.40	$32.40	$32.40	$44.40
Connect omega .5mm	$55.80	$55.80	$55.80	$1,185.42
Consultation pathology during surgery frozen section each additional block	$7.80	$7.80	$7.80	$211.80
Consultation pathology during surgery frozen section first tissue block	$48.60	$48.60	$48.60	$276.00
Contrast exam abdominl aorta 75625-26	$0.60	$0.60	$0.60	$4,356.00
Contrast exam thoracic aorta 75605-26	$0.60	$0.60	$0.60	$4,045.20
Contrast x-ray of knee joint	$0.60	$0.60	$0.60	$868.80
Contrast x-ray of wrist	$0.60	$0.60	$0.60	$718.20
Controller infinity pt dbs	$2,937.60	$2,937.60	$2,937.60	$4,347.00
Conversion ext bil drg cath	$0.60	$0.60	$0.60	$2,475.00
Convert nephrostomy catheter	$0.60	$0.60	$0.60	$2,643.00
Coombs direct	$12.60	$12.60	$12.60	$75.00
Coombs indirect qualitative each reagent red cell reference	$19.20	$19.20	$19.20	$19.20
Coombs indirect titer reference	$51.60	$51.60	$51.60	$203.40
Core ndl bx lng/med perq	$0.60	$0.60	$0.60	$3,052.80
Coronary angio/cath placement bypass graft/lv gram/lt heart	$0.60	$0.60	$0.60	$9,024.60
Coronary angio/lv gram/lt heart	$0.60	$0.60	$0.60	$8,070.00
Coronary angio/lv gram/rt&lt heart	$0.60	$0.60	$0.60	$10,049.40
Coronary art/grft angio s&i	$0.60	$0.60	$0.60	$5,553.60
Coronary catheterization w/angiography supervision & interpretation	$0.60	$0.60	$0.60	$7,491.00
Cortisol total am	$24.00	$24.00	$24.00	$165.00
Cosyntropin 0.25 mg solution for injection	$20.40	$20.40	$20.40	$542.40
Counseling smoke cess interm >10mins	$31.80	$31.80	$31.80	$48.00
Crbrospnl fld flw imag cistern	$326.40	$326.40	$326.40	$3,014.40
Creatine kinase	$9.60	$9.60	$9.60	$127.20
Creatine kinase isoenzymes	$40.20	$40.20	$40.20	$66.00
Creatine kinase mb	$24.00	$24.00	$24.00	$146.40
Creatinine	$3.00	$3.00	$3.00	$43.80
Creatinine 24 hour urine	$16.20	$16.20	$16.20	$102.60
Creatinine clearance urine	$19.20	$19.20	$19.20	$146.40
Crisis psychotherapy 90839	$263.40	$263.40	$263.40	$263.40
Crisis psychotherapy additional 30 mins 90840	$146.40	$146.40	$146.40	$146.40
Crotalidae poly immune fab	$3,408.60	$3,408.60	$3,408.60	$6,805.20
Crutches underarm other than wood adjustable or e0114	$34.20	$34.20	$34.20	$34.20
Cryofibrinogen qualitative - sendout	$22.20	$22.20	$22.20	$61.20
Cryptococcus abs qn - sendout	$76.20	$76.20	$76.20	$138.60
Crystal identification light microscopy	$24.00	$24.00	$24.00	$83.40
Cta abdomen without & /or w/contrast	$181.80	$181.80	$181.80	$3,170.40
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast	$220.80	$220.80	$220.80	$2,851.50
Cta lower extremity without & w/contrast (both sides)	$217.80	$217.80	$217.80	$3,098.40
Cta neck without &/or w/contrast	$169.80	$169.80	$169.80	$2,598.60
Cta upper extremity w &/or without contrast left	$202.80	$202.80	$202.80	$3,170.40
Culture aerobic additional method definitive id each	$16.20	$16.20	$16.20	$67.80
Culture afb any source	$97.20	$97.20	$97.20	$76.80
Culture anaerobic additional method definitive id each	$16.20	$16.20	$16.20	$117.00
Culture anaerobic except blood	$64.80	$64.80	$64.80	$126.00
Culture bact stool aero addl path ea	$16.20	$16.20	$16.20	$52.80
Culture body fluid	$64.80	$64.80	$64.80	$232.20
Culture fungi definitive id mold	$16.20	$16.20	$16.20	$102.60
Culture fungi definitive id yeast	$16.20	$16.20	$16.20	$75.00
Culture fungi other (except blood)	$40.20	$40.20	$40.20	$170.40
Culture fungi skin/hair/nail	$40.20	$40.20	$40.20	$80.40
Culture mycobacteria definitive id each isolate	$123.00	$123.00	$123.00	$127.20
Culture mycoplasma any source	$49.80	$49.80	$49.80	$202.80
Culture quantitative aerobic other source	$64.80	$64.80	$64.80	$96.75
Culture screening strep group a	$32.40	$32.40	$32.40	$105.75
Culture typing nucleic acid probe amplified per culture/isolate each organism	$40.20	$40.20	$40.20	$343.20
Culture virus isolation	$162.00	$162.00	$162.00	$162.00
Cutter lead	$3,494.40	$3,494.40	$3,494.40	$3,079.80
Cv line/pic reposition	$0.60	$0.60	$0.60	$1,591.20
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution	$2.40	$2.40	$2.40	$10.80
Cyanocobalamin unsat binding capacity	$37.20	$37.20	$37.20	$104.40
Cyclic citrullinated peptide antibody	$40.20	$40.20	$40.20	$222.00
Cyclophosphamide 1 gram intravenous powder for solution	$39.00	$39.00	$39.00	$3.75
Cyclosporine 2 hour	$32.40	$32.40	$32.40	$253.80
Cylinder pump set 20cm titan zero angl	$17,175.60	$17,175.60	$17,175.60	$25,255.20
Cystatin c	$81.00	$81.00	$81.00	$138.00
Cystine urine quantitative	$97.20	$97.20	$97.20	$125.40
Cystogram >= 3 views supervision & interpretation	$0.60	$0.60	$0.60	$896.40
Cytarabine 20 mg/ml injection solution	$8.40	$8.40	$8.40	$66.20
Cytomegalovirus (cmv) antibody igg	$24.00	$24.00	$24.00	$176.80
Cytomegalovirus (cmv) antibody igm	$40.20	$40.20	$40.20	$134.40
Cytomegalovirus dfa	$40.20	$40.20	$40.20	$40.20
Cytopath smear oth prep screen & interp	$113.40	$113.40	$113.40	$113.40
Cytopath smear other source	$48.60	$48.60	$48.60	$54.60
Cytopath tbs c/v manual	$32.40	$32.40	$32.40	$36.60
Cytopathology cervical/vaginal thin layer manual screening	$64.80	$64.80	$64.80	$61.20
Cytopathology concentration technique smears & interpretation	$113.40	$113.40	$113.40	$96.60
Cytopathology fluids/washings/brushings smears with interpretation	$48.60	$48.60	$48.60	$213.60
Cytopathology fna adequacy evaluation first episode each site interp/rpt	$145.80	$145.80	$145.80	$223.80
Dacarbazine 100 mg intravenous solution	$10.80	$10.80	$10.80	$76.80
Dalbavancin 500 mg intravenous solution	$18.00	$18.00	$18.00	$68.20
Daptomycin 500 mg/10 ml intravenous solution	$21.00	$21.00	$21.00	$997.80
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln	$9,477.00	$9,477.00	$9,477.00	$134.40
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe	$2,336.40	$2,336.40	$2,336.40	$2,336.40
Daunorubicin 5 mg/ml intravenous solution	$107.40	$107.40	$107.40	$622.20
Dch validity tests	$6.00	$6.00	$6.00	$31.50
Debridement (>20 cm) charge pt	$91.20	$91.20	$91.20	$321.00
Decalcification	$7.80	$7.80	$7.80	$201.00
Decitabine 50 mg intravenous solution	$108.00	$108.00	$108.00	$292.80
Declotting thrombolytic agent implanted vas access device 36	$292.80	$292.80	$292.80	$543.00
Deep muscle biopsy 20205	$0.60	$0.60	$0.60	$0.60
Deferoxamine 500 mg solution for injection	$27.00	$27.00	$27.00	$102.84
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device	$23.40	$23.40	$23.40	$84.60
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution	$24.00	$24.00	$24.00	$3,433.80
Des thora aorta rpr without left sub art 33881	$0.60	$0.60	$0.60	$0.60
Descend thora aorta rpr/lt sub art 33880	$0.60	$0.60	$0.60	$0.60
Design mlc device for imrt	$475.80	$475.80	$475.80	$1,772.40
Desmopressin 4 mcg/ml injection solution	$357.60	$357.60	$357.60	$238.80
Desoxycorticosterone	$40.20	$40.20	$40.20	$285.60
Destroy cervthor facet jnt 64633	$0.60	$0.60	$0.60	$3,434.40
Destroy cth facet jnt addl 64634	$0.60	$0.60	$0.60	$2,841.60
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)	$0.60	$0.60	$0.60	$3,434.40
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)	$0.60	$0.60	$0.60	$3,434.40
Detect agent nos dna dir	$194.40	$194.40	$194.40	$194.40
Detect agnt mult dna direc	$194.40	$194.40	$194.40	$194.40
Developmental screen/score/document 96110	$34.20	$34.20	$34.20	$34.20
Dexa bone density study >=1 sites appendicular skeleton (peripheral)	$89.40	$89.40	$89.40	$121.20
Dexamethasone 4 mg tablet	$0.60	$0.60	$0.60	$5.40
Dexrazoxane hcl 250 mg intravenous solution	$397.80	$397.80	$397.80	$1,196.40
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)	$0.60	$0.60	$0.60	$60.40
Dhea-s (dehydroepiand sulfate)	$24.00	$24.00	$24.00	$210.00
Diabetes (HbA1c) Test	$32.40	$32.40	$32.40	$69.55
Diagnostic Mammogram (both breasts)	$607.80	$607.80	$607.80	$424.00
Diagnostic Mammogram (one breast)	$464.40	$464.40	$464.40	$297.05
Diagnostic digital breast tomosynthesis bil	$124.80	$124.80	$124.80	$124.80
Diagnostic digital breast tomosynthesis unil	$124.80	$124.80	$124.80	$124.80
Dialysis one evaluation	$150.00	$150.00	$150.00	$1,098.60
Diazepam 5 mg/ml injection solution (wrapper)	$35.40	$35.40	$35.40	$33.45
Diffusing capacity	$65.40	$65.40	$65.40	$412.20
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution	$3.60	$3.60	$3.60	$29.85
Digoxin total therapeutic drug level	$24.00	$24.00	$24.00	$126.00
Dilat xst trc ndurlgc px	$0.60	$0.60	$0.60	$2,577.00
Dilat xst trc new access rcs	$0.60	$0.60	$0.60	$4,437.60
Dilate biliary duct/ampulla	$0.60	$0.60	$0.60	$2,304.60
Dimethyl sulfoxide 50% 50 ml	$644.40	$644.40	$644.40	$644.40
Diphenhydramine 50 mg/ml injection (wrapper)	$0.60	$0.60	$0.60	$13.80
Disability dlco	$62.40	$62.40	$62.40	$234.00
Disaccharidases	$64.80	$64.80	$64.80	$163.80
Discography cerv/thor spine	$0.60	$0.60	$0.60	$1,987.80
Dissolve clot heart vessel	$0.60	$0.60	$0.60	$0.60
Dna antibody native/double stranded	$49.80	$49.80	$49.80	$164.25
Dna gardnerella	$194.40	$194.40	$194.40	$197.40
Dna probe chlamydia	$72.60	$72.60	$72.60	$82.20
Dna probe gc	$72.60	$72.60	$72.60	$72.60
Dna trichomonas	$72.60	$72.60	$72.60	$203.40
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution	$31.20	$31.20	$31.20	$138.60
Docetaxel 20 mg/ml intravenous solution (wrapper)	$0.60	$0.60	$0.60	$86.40
Dopamine 40 mg/ml intravenous solution (wrapper)	$2.40	$2.40	$2.40	$28.20
Doppler echo complete	$66.00	$66.00	$66.00	$959.40
Doppler intravascular pressure flow initial vessel	$0.60	$0.60	$0.60	$1,881.00
Doppler upper/lower extremity arteries complete bilateral	$571.80	$571.80	$571.80	$1,003.80
Doppler upper/lower extremity arteries limited bilateral	$375.00	$375.00	$375.00	$564.75
Doripenem 50 mg/ml inj 10 ml	$43.20	$43.20	$43.20	$8.40
Dostarlimab-gxly 50 mg/ml intravenous solution	$279.00	$279.00	$279.00	$565.80
Doxorubicin 2 mg/ml intravenous solution (wrapper)	$232.80	$232.80	$232.80	$314.40
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension	$642.60	$642.60	$642.60	$2,245.20
Drain cath image guided peri/retroperitoneal transvag/transrectal	$0.60	$0.60	$0.60	$2,930.25
Drain cath image guided visceral pq	$0.60	$0.60	$0.60	$5,596.80
Drainage of kidney lesion	$0.60	$0.60	$0.60	$1,830.00
Droperidol 2.5 mg/ml injection solution	$7.80	$7.80	$7.80	$39.60
Drsg interceed 3x4in adh wnd barr absorb	$573.00	$573.00	$573.00	$2,118.60
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm	$237.60	$237.60	$237.60	$284.40
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm	$423.60	$423.60	$423.60	$696.00
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm	$10,534.20	$10,534.20	$10,534.20	$28,128.00
Drug admin & hemodynmic meas	$0.60	$0.60	$0.60	$422.40
Drug assay caffeine	$24.00	$24.00	$24.00	$99.00
Drug of abuse screen urine	$16.20	$16.20	$16.20	$48.00
Drug test(s) presumptive any class instrument chemistry analyzers	$103.80	$103.80	$103.80	$383.20
Drvvt confirm - quest	$81.00	$81.00	$81.00	$169.20
Ductogram sgl duct	$196.20	$196.20	$196.20	$547.80
Dup scan/hemodialysis access 93990	$679.20	$679.20	$679.20	$679.20
Dup scan/lwr xtr vasc stdy bilat 93924	$732.60	$732.60	$732.60	$914.40
Dup scan/ue art/graft/bilat/comp 93930	$840.00	$840.00	$840.00	$974.40
Duplex scan bilateral study 93985	$1,144.20	$1,144.20	$1,144.20	$1,429.20
Duplex scan unilateral study 93986	$643.20	$643.20	$643.20	$714.60
Durvalumab 50 mg/ml intravenous solution	$1,036.80	$1,036.80	$1,036.80	$241.20
ER Visit (level 1, minor)	$97.80	$97.80	$97.80	$286.51
ER Visit (level 2)	$195.60	$195.60	$195.60	$469.39
ER Visit (level 3)	$293.40	$293.40	$293.40	$827.20
ER Visit (level 4)	$489.60	$489.60	$489.60	$1,330.00
ER Visit (level 5, high severity)	$783.60	$783.60	$783.60	$1,892.80
Ecg 12 lead tracing only	$79.20	$79.20	$79.20	$271.80
Ecg external < 48 hours recording	$66.00	$66.00	$66.00	$551.40
Ecg external < 48 hours scanning analysis w/report	$331.80	$331.80	$331.80	$671.40
Ecg external > 48 hours up to 7 days recording	$66.00	$66.00	$66.00	$72.60
Ecg external >7 days up to 15 days recording	$66.00	$66.00	$66.00	$75.00
Ecg/1-3 leads/tracing only 93041	$33.00	$33.00	$33.00	$49.80
Echo guide for artery repair	$0.60	$0.60	$0.60	$1,009.20
Echo stress	$398.40	$398.40	$398.40	$1,044.60
Echo tee probe placement image acquisition interpretation & report	$398.40	$398.40	$398.40	$1,875.00
Echo transthoracic	$298.80	$298.80	$298.80	$904.80
Echo transthoracic	$132.60	$132.60	$132.60	$534.60
Echo tte 2d comp wo ctrst wo clr/dplr	$298.80	$298.80	$298.80	$1,026.40
Echocardiogram (Heart Ultrasound)	$405.00	$405.00	$405.00	$2,021.12
Echocardiography doppler color flow mapping	$33.00	$33.00	$33.00	$520.50
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler	$405.00	$405.00	$405.00	$2,265.00
Echocardiography transthoracic 2d followup/limited	$139.20	$139.20	$139.20	$800.25
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast	$139.20	$139.20	$139.20	$691.20
Ecmo/ecls remove perph cannula 0-5yrs perq 33965	$0.60	$0.60	$0.60	$0.60
Ecmo/ecls remove prph cannula 6yrs&older perq 33966	$0.60	$0.60	$0.60	$0.60
Eeg monitor/record/awake/drowsy 95816	$421.80	$421.80	$421.80	$855.60
Eeg recording awake and asleep	$501.00	$501.00	$501.00	$1,116.00
Egfr gene com variants	$909.60	$909.60	$909.60	$808.80
Electrd sq emblem s-icd	$6,672.00	$6,672.00	$6,672.00	$12,127.50
Electrolyte panel	$12.60	$12.60	$12.60	$130.80
Electron microscopy diagnostic	$649.20	$649.20	$649.20	$1,386.00
Electrophysiology evaluation	$0.60	$0.60	$0.60	$5,244.00
Electrophysiology evaluation	$0.60	$0.60	$0.60	$184.80
Electrophysiology evaluation	$0.60	$0.60	$0.60	$1,735.80
Electrophysiology evaluation	$0.60	$0.60	$0.60	$5,576.40
Electrophysiology evaluation	$0.60	$0.60	$0.60	$5,260.20
Electrophysiology evaluation	$0.60	$0.60	$0.60	$378.60
Electrophysiology evaluation	$0.60	$0.60	$0.60	$2,161.80
Elotuzumab 300 mg intravenous solution	$3,061.20	$3,061.20	$3,061.20	$28.80
Embo or occlude vascular arterial s&i	$0.60	$0.60	$0.60	$12,721.80
Embo or occlude vascular hemorrhage s&i	$0.60	$0.60	$0.60	$12,721.80
Embo or occlude vascular tumor/organ/infarct s&i	$0.60	$0.60	$0.60	$12,721.80
Embo or occlude vascular venous s&i	$0.60	$0.60	$0.60	$12,721.80
Embolization s&i	$0.60	$0.60	$0.60	$3,970.80
Emg 3 ext w-w/o paraspinal area 95863	$163.80	$163.80	$163.80	$270.60
Endoluminal bx biliary tree	$0.60	$0.60	$0.60	$7,821.60
Endoluminl ivus oct c 1st	$0.60	$0.60	$0.60	$3,046.80
Endoluminl ivus oct c ea	$0.60	$0.60	$0.60	$578.40
Endovas iliac a device addon	$0.60	$0.60	$0.60	$9,316.20
Endovasc visc aorta 2 graft	$0.60	$0.60	$0.60	$0.60
Enfortumab vedotin-ejfv 20 mg intravenous solution	$36.60	$36.60	$36.60	$67.20
Enoxaparin 30 mg/0.3 ml subcutaneous syringe	$35.40	$35.40	$35.40	$69.60
Entamoeba histolytica ag eia - sendout	$64.80	$64.80	$64.80	$118.20
Enzyme histochemistry	$81.00	$81.00	$81.00	$471.60
Ep & ablate supravent arrhyt	$0.60	$0.60	$0.60	$30,975.00
Ep & ablate ventric tachy	$0.60	$0.60	$0.60	$30,975.00
Epirubicin 200 mg/100 ml intravenous solution	$33.00	$33.00	$33.00	$82.80
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr	$667.20	$667.20	$667.20	$160.00
Epoetin alfa, 100 units esrd	$164.40	$164.40	$164.40	$164.40
Epstein barr early antigen antibody	$53.40	$53.40	$53.40	$126.00
Epstein barr nuclear antigen antibody	$53.40	$53.40	$53.40	$222.60
Epstein barr viral capsid antigen antibody igm	$76.20	$76.20	$76.20	$222.60
Eptifibatide 0.75 mg/ml intravenous solution	$62.40	$62.40	$62.40	$204.00
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution	$1,355.40	$1,355.40	$1,355.40	$509.40
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr	$55.80	$55.80	$55.80	$396.00
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only	$81.60	$81.60	$81.60	$11.80
Esophageal dilat s&i	$0.60	$0.60	$0.60	$556.20
Esophageal motility	$201.60	$201.60	$201.60	$499.20
Establish access to artery	$0.60	$0.60	$0.60	$0.60
Established Patient Office Visit (level 1)	$58.20	$58.20	$58.20	$115.20
Established Patient Office Visit (level 2)	$87.60	$87.60	$87.60	$127.53
Established Patient Office Visit (level 3)	$117.00	$117.00	$117.00	$183.60
Established Patient Office Visit (level 4)	$146.40	$146.40	$146.40	$228.60
Established Patient Office Visit (level 5)	$175.80	$175.80	$175.80	$307.00
Estradiol total	$24.00	$24.00	$24.00	$253.20
Estrogens total-sendout	$40.20	$40.20	$40.20	$292.80
Ethylene glycol -sendout	$24.00	$24.00	$24.00	$197.40
Euglobulin lysis	$12.60	$12.60	$12.60	$70.80
Eval/fit voice prosthesis iii, st	$207.60	$207.60	$207.60	$441.75
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen	$67.20	$67.20	$67.20	$270.40
Evaluation of speech fluency 92521	$150.00	$150.00	$150.00	$393.00
Evaluation psychiatric diagnostic	$351.60	$351.60	$351.60	$265.80
Evasc repair of iliac artery; endograft 34718	$0.60	$0.60	$0.60	$4,483.80
Evasc rpr a-ao ndgft 34701	$0.60	$0.60	$0.60	$2,959.50
Evasc rpr a-iliac ndgft 34717	$0.60	$0.60	$0.60	$4,483.80
Event monitor	$66.00	$66.00	$66.00	$462.00
Evoked potential visual not glaucoma	$153.60	$153.60	$153.60	$572.40
Exchange biliary drg cath	$0.60	$0.60	$0.60	$2,475.00
Exchange drainage catheter	$0.60	$0.60	$0.60	$2,610.75
Exchange nephrostomy cath	$0.60	$0.60	$0.60	$2,643.00
Exercise w/hemodynamic meas	$0.60	$0.60	$0.60	$2,715.00
Expander tiss 133s-mv-12-t 300ml natrelle smth	$15,240.60	$15,240.60	$15,240.60	$3,449.40
External chromosome analysis 20-25 cells	$649.20	$649.20	$649.20	$942.60
External pretreatment of serum for use in antibody identification by dilution	$49.80	$49.80	$49.80	$181.80
External tissue culture neoplastic disorders bone marrow/blood cells	$243.60	$243.60	$243.60	$1,028.40
Extractable nuclear antigen/antibody any method each antibody centromere	$45.00	$45.00	$45.00	$159.00
F-18 fdg pet diag	$234.00	$234.00	$234.00	$1,013.40
Facial bones <3	$89.40	$89.40	$89.40	$388.00
Factor ix	$97.20	$97.20	$97.20	$222.60
Factor ix recombinant nos	$1.20	$1.20	$1.20	$34.65
Factor viii	$97.20	$97.20	$97.20	$213.00
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution	$31.20	$31.20	$31.20	$55.20
Family therapy with patient 50 min 90847	$117.00	$117.00	$117.00	$128.00
Family therapy without pt 50min 90846	$117.00	$117.00	$117.00	$128.00
Fat/lipids feces qualitative	$24.00	$24.00	$24.00	$39.60
Feeding tube reposition	$0.60	$0.60	$0.60	$447.60
Fem/popl revasc w/stent	$0.60	$0.60	$0.60	$34,620.00
Feno poc	$49.20	$49.20	$49.20	$141.75
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)	$0.60	$0.60	$0.60	$144.00
Ferritin	$24.00	$24.00	$24.00	$212.40
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution	$472.80	$472.80	$472.80	$6.20
Fetal biophys profile w/nst 76818	$357.60	$357.60	$357.60	$394.20
Fetal fibronectin	$283.80	$283.80	$283.80	$727.80
Fetal hemoglobin (kleihauer betke)	$37.20	$37.20	$37.20	$121.20
Fetal hemoglobin rosette	$24.00	$24.00	$24.00	$78.60
Fetal non stress test	$722.40	$722.40	$722.40	$451.20
Fibrin degradation d dimer quantitative	$24.00	$24.00	$24.00	$93.00
Fibrin degradation products	$24.00	$24.00	$24.00	$91.80
Fibrin degrade semiquant	$24.00	$24.00	$24.00	$70.20
Fibrinogen activity	$14.40	$14.40	$14.40	$105.00
Fibrinolytic antiplasmin	$81.00	$81.00	$81.00	$81.00
Fibrinolytic plasminogen	$81.00	$81.00	$81.00	$159.60
Fibrinolytic plasminogen xcpt antgnc asa	$37.20	$37.20	$37.20	$80.80
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr	$617.40	$617.40	$617.40	$1,914.00
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe	$296.40	$296.40	$296.40	$262.80
Filgrastim-sndz 300 mcg/0.5 ml injection syringe	$372.60	$372.60	$372.60	$372.60
Filter spider fx 3mmx320cm	$2,570.40	$2,570.40	$2,570.40	$6,785.40
Filter vena cava fem denali	$5,440.20	$5,440.20	$5,440.20	$5,440.20
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007	$0.60	$0.60	$0.60	$777.00
Fine needle aspiration biopsy w/us gdn; ea addtl 10006	$0.60	$0.60	$0.60	$738.00
Finger joint sz00 swanson w/grommets	$5,254.20	$5,254.20	$5,254.20	$3,109.80
Fl exam g/colon tube w contrast	$0.60	$0.60	$0.60	$780.60
Flow cytometry marker each additional	$81.00	$81.00	$81.00	$175.20
Flow cytometry one marker technical component	$81.00	$81.00	$81.00	$338.40
Flt3 gene	$243.60	$243.60	$243.60	$1,102.80
Flt3 gene analysis	$243.60	$243.60	$243.60	$243.60
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback	$6.00	$6.00	$6.00	$42.00
Fludarabine 50 mg intravenous solution	$103.80	$103.80	$103.80	$1,258.80
Fluidotherapy charges pt	$34.20	$34.20	$34.20	$95.40
Fluorescent antibody titer dna	$45.00	$45.00	$45.00	$123.00
Fluoro polarize fetal lung	$40.20	$40.20	$40.20	$40.20
Fluoroguide needle placement	$0.60	$0.60	$0.60	$691.20
Fluoroscopy up to 1 hour	$196.20	$196.20	$196.20	$534.60
Fluorouracil 50 mg/ml intravenous solution (wrapper)	$1.20	$1.20	$1.20	$106.20
Fna bx w/ct gdn 1st les	$0.60	$0.60	$0.60	$857.25
Fna bx w/ct gdn ea addl	$0.60	$0.60	$0.60	$726.00
Folic acid	$24.00	$24.00	$24.00	$130.80
Follow-up angiography	$0.60	$0.60	$0.60	$1,536.60
Fomepizole 1 gram/ml intravenous solution	$684.00	$684.00	$684.00	$5,244.60
Fondaparinux sodium	$34.20	$34.20	$34.20	$540.60
Foot X-ray	$106.80	$106.80	$106.80	$339.50
Fosaprepitant 150 mg intravenous powder for solution	$28.80	$28.80	$28.80	$1,173.00
Fresh frozen plasma thawing ea un	$6.00	$6.00	$6.00	$93.60
Fructosamine glycated protein	$24.00	$24.00	$24.00	$106.80
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr	$0.60	$0.60	$0.60	$12.00
Galactokinase - sendout	$55.20	$55.20	$55.20	$55.20
Gamma glutamyltransferase	$3.00	$3.00	$3.00	$111.00
Gammaglobulin iga	$24.00	$24.00	$24.00	$171.60
Gammaglobulin ige	$24.00	$24.00	$24.00	$175.50
Gamunex-c/gammaked	$1,390.20	$1,390.20	$1,390.20	$345.60
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr	$18.60	$18.60	$18.60	$415.20
Gastric emptying imag study	$373.80	$373.80	$373.80	$373.80
Gastroesophageal reflux study	$223.20	$223.20	$223.20	$1,228.80
Gated heart multiple	$234.60	$234.60	$234.60	$1,228.80
Gemcitabine 1 gram intravenous solution	$2.40	$2.40	$2.40	$365.40
Generator barostim neo2 2014	$48,475.80	$48,475.80	$48,475.80	$49,450.20
Generator emblem MRI sicd subq	$28,356.00	$28,356.00	$28,356.00	$61,875.00
Gentamicin 10 mg/ml liquid compound - enteral use only	$3.60	$3.60	$3.60	$49.60
Gentamicin peak therapeutic drug level	$24.00	$24.00	$24.00	$239.40
Ghs HIV antibody	$40.20	$40.20	$40.20	$129.75
Ghs IV inf sq injection, on-body injector	$117.00	$117.00	$117.00	$138.60
Ghs IV infusion bamlanivimab/etesevimab	$573.60	$573.60	$573.60	$1,020.00
Ghs IV infusion casirivimab/imdevimab	$573.60	$573.60	$573.60	$1,020.00
Ghs IV infusion sotrovimab	$469.20	$469.20	$469.20	$1,020.00
Ghs alcohol, methyl (methanol)-medtox	$48.60	$48.60	$48.60	$133.60
Ghs antibodies (torch) igm	$40.20	$40.20	$40.20	$121.50
Ghs bleeding time (ivy)	$24.00	$24.00	$24.00	$24.00
Ghs central line insert < age 5, failed	$0.60	$0.60	$0.60	$3,106.20
Ghs change cysto/gastrost	$0.60	$0.60	$0.60	$1,550.40
Ghs chemo IV push, ea addtl	$117.00	$117.00	$117.00	$446.40
Ghs community re-entry 15 minutes	$57.00	$57.00	$57.00	$75.60
Ghs diphtheria toxoid ab igg	$53.40	$53.40	$53.40	$165.60
Ghs ed peritoneal lavage w guidance if performed	$0.60	$0.60	$0.60	$3,763.20
Ghs fish cytogen	$81.00	$81.00	$81.00	$186.00
Ghs fish hybrid in situ 100-300	$373.20	$373.20	$373.20	$354.60
Ghs hepatitis c virus (hcv riba)	$162.00	$162.00	$162.00	$162.00
Ghs histoplasma antigen	$64.80	$64.80	$64.80	$569.25
Ghs hla-dr/dq, multiple antigens	$373.20	$373.20	$373.20	$462.60
Ghs inf midline insertion	$0.60	$0.60	$0.60	$4,051.20
Ghs inhibitor screen	$97.20	$97.20	$97.20	$345.00
Ghs leukocyte alkaline phos (mayo)	$32.40	$32.40	$32.40	$291.60
Ghs mbp	$97.20	$97.20	$97.20	$209.40
Ghs myocardial strain img spckl track	$6.60	$6.60	$6.60	$792.60
Ghs ng placement w fluoro guidance	$0.60	$0.60	$0.60	$589.80
Ghs opcc repair cvp w subq port	$0.60	$0.60	$0.60	$3,535.80
Ghs opcc repair cvp without subq port	$0.60	$0.60	$0.60	$3,413.40
Ghs ot prosthetic training/15 min	$79.80	$79.80	$79.80	$121.20
Ghs ot sensory integrative tech/15min	$96.60	$96.60	$96.60	$130.20
Ghs pacing - transcutaneous	$0.60	$0.60	$0.60	$822.00
Ghs paravert facet/nerve cerv ea add bil	$0.60	$0.60	$0.60	$1,656.60
Ghs paravert facet/nerve lumb ea add bil	$0.60	$0.60	$0.60	$1,321.20
Ghs phenylketonurid	$32.40	$32.40	$32.40	$123.20
Ghs picc line insert < 5	$0.60	$0.60	$0.60	$3,226.80
Ghs plt ct-manual	$16.20	$16.20	$16.20	$70.20
Ghs ppd (tb intradermal)	$9.00	$9.00	$9.00	$51.00
Ghs pr without cont pulse ox	$55.80	$55.80	$55.80	$133.20
Ghs prostatic acid phosphatase (mayo)	$24.00	$24.00	$24.00	$83.40
Ghs protoporphyrins fract	$87.60	$87.60	$87.60	$139.80
Ghs quinidine	$24.00	$24.00	$24.00	$103.80
Ghs sedimentation rate	$9.60	$9.60	$9.60	$62.40
Ghs semen analysis fert	$46.80	$46.80	$46.80	$195.60
Ghs semen analysis, post-vas	$12.60	$12.60	$12.60	$12.60
Ghs sensitivity (per antimicro)	$16.20	$16.20	$16.20	$74.40
Ghs sp train/fitting sp device - kx	$172.80	$172.80	$172.80	$324.75
Ghs speech-gen aug dev eval iii, st	$80.40	$80.40	$80.40	$188.80
Ghs st - re-eval for alt comm	$91.80	$91.80	$91.80	$379.50
Ghs urine, hydroxproline total	$97.20	$97.20	$97.20	$264.60
Ghs urine, porphyrins quant	$56.40	$56.40	$56.40	$249.60
Gi inhouse confirmation	$48.60	$48.60	$48.60	$86.40
Glucagon 1 mg solution for injection	$95.40	$95.40	$95.40	$1,053.60
Glucagon plasma - sendout	$40.20	$40.20	$40.20	$153.00
Glucose 1 hr post dose	$6.00	$6.00	$6.00	$45.00
Glucose blood by monitoring device cleared by fda for home use	$12.60	$12.60	$12.60	$31.20
Glucose blood quantitative	$6.00	$6.00	$6.00	$52.20
Glucose body fluid	$6.00	$6.00	$6.00	$63.20
Glucose tolerance test (gtt) 3 specimens	$24.00	$24.00	$24.00	$199.80
Glucose tolerance test (gtt) >3 specimens each additional	$6.00	$6.00	$6.00	$34.80
Gonadotropin follicle stimulating hormone (fsh)	$24.00	$24.00	$24.00	$242.40
Gonadotropin luteinizing hormone (lh)	$40.20	$40.20	$40.20	$202.80
Goserelin 10.8 mg subcutaneous implant	$1,831.20	$1,831.20	$1,831.20	$1,831.20
Graft axiofill 1000mg	$2,287.80	$2,287.80	$2,287.80	$3,597.00
Graft nerve adv 3-4x70mm	$19,465.20	$19,465.20	$19,465.20	$25,226.40
Graft patch felt ptfe 2x2	$5,095.20	$5,095.20	$5,095.20	$5,246.40
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm	$2,860.20	$2,860.20	$2,860.20	$2,860.20
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm	$1,879.20	$1,879.20	$1,879.20	$6,241.80
Graft xenmtrx sft rect 15x20cm	$30,786.60	$30,786.60	$30,786.60	$27,260.40
Graft xenmtrx sft rect 19x28cm	$1,882.20	$1,882.20	$1,882.20	$2,112.60
Granisetron hcl injection	$3.00	$3.00	$3.00	$27.00
Gu dilat ureter/urethra s&i	$0.60	$0.60	$0.60	$4,154.40
Guid loc target vol rad tx	$120.60	$120.60	$120.60	$823.20
Guide endoanchr sg-64 aaa 62cm	$169.80	$169.80	$169.80	$9,038.40
Guide wire threaded 1.4x150mm	$1,409.40	$1,409.40	$1,409.40	$2,162.40
Guide worley csg 9fx50cm std	$221.40	$221.40	$221.40	$228.00
Guided cath fluid drainage 10030	$0.60	$0.60	$0.60	$1,600.20
Gw stiffened micro access kit	$5,951.40	$5,951.40	$5,951.40	$3,307.80
H pylori (c-13) breath	$32.40	$32.40	$32.40	$371.40
Haloperidol decanoate 50 mg/ml intramuscular solution	$22.80	$22.80	$22.80	$160.00
Hand X-ray	$106.80	$106.80	$106.80	$315.00
Haptoglobin quantitative	$24.00	$24.00	$24.00	$155.40
Hbot, full body chamber, 30m	$756.60	$756.60	$756.60	$873.60
Hc fl sm bowel enteroclss tube w kub double contrast	$1,930.80	$1,930.80	$1,930.80	$1,539.20
Hc i-131 sodium iodide cap dx per mci	$11.40	$11.40	$11.40	$190.20
Hc nm myocard infarct avid plnr tomo spect w/wo quant	$194.40	$194.40	$194.40	$1,800.00
Hcg qualitative	$16.20	$16.20	$16.20	$85.20
Hcg quantitative	$38.40	$38.40	$38.40	$183.60
Hdr rdncl ntrstl/icav brchtx	$886.20	$886.20	$886.20	$886.20
Hdr rdncl ntrstl/icav brchtx	$542.40	$542.40	$542.40	$542.40
Hdr rdncl ntrstl/icav brchtx	$277.20	$277.20	$277.20	$2,553.60
Head CT scan (with and without contrast)	$107.40	$107.40	$107.40	$1,914.25
Head CT scan (with contrast)	$89.40	$89.40	$89.40	$1,587.69
Head CT scan (without contrast)	$62.40	$62.40	$62.40	$1,268.90
Helicobacter pylori antibody igm	$40.20	$40.20	$40.20	$61.20
Hematocrit	$6.00	$6.00	$6.00	$39.75
Hemodialysis one evaluation	$871.20	$871.20	$871.20	$1,389.00
Hemoglobin	$6.00	$6.00	$6.00	$36.75
Hemoglobin methemoglobin quantitative	$32.40	$32.40	$32.40	$58.80
Hemoglobin plasma	$19.20	$19.20	$19.20	$61.20
Hemolysin acid	$12.60	$12.60	$12.60	$12.60
Hemolysins and agglutinins incubated	$28.80	$28.80	$28.80	$98.40
Hepagam b im injection	$165.60	$165.60	$165.60	$586.80
Heparin assay	$37.20	$37.20	$37.20	$224.25
Heparin bolus from bag	$9.00	$9.00	$9.00	$11.00
Hepatitis a antibody igm	$32.40	$32.40	$32.40	$146.40
Hepatitis b core antibody igm	$32.40	$32.40	$32.40	$134.40
Hepatitis b core antibody total	$32.40	$32.40	$32.40	$222.00
Hepatitis b surface antibody	$32.40	$32.40	$32.40	$131.40
Hepatitis c antibody	$40.20	$40.20	$40.20	$168.00
Hepatobiliary system imaging	$315.00	$315.00	$315.00	$1,608.00
Herpes simplex type 1 antibody igg	$40.20	$40.20	$40.20	$96.00
Herpes simplex type 2 antibody igg	$40.20	$40.20	$40.20	$111.20
Herpes simplex virus isolation	$97.20	$97.20	$97.20	$338.40
Heterophile antibodies screening	$12.60	$12.60	$12.60	$56.40
Hip X-ray	$142.80	$142.80	$142.80	$290.00
Histochemical stains add-on	$48.60	$48.60	$48.60	$122.40
Hla class i high defin qual	$227.40	$227.40	$227.40	$435.60
Hla typing a b or c	$202.80	$202.80	$202.80	$669.60
Hldr trach tb tie ad	$95.40	$95.40	$95.40	$3.60
Home sleep test/type 3 porta	$148.80	$148.80	$148.80	$1,073.40
Homocysteine	$48.60	$48.60	$48.60	$114.60
Homogenization tissue	$243.60	$243.60	$243.60	$76.80
Homovanillic acid (hva)	$48.60	$48.60	$48.60	$108.00
Hyaluronidase, human recombinant 150 unit/ml injection solution	$57.00	$57.00	$57.00	$259.20
Hydration IV infusion each additional hour	$703.20	$703.20	$703.20	$298.20
Hydration IV infusion initial 31minutes - 1 hour	$234.00	$234.00	$234.00	$522.00
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr	$121.20	$121.20	$121.20	$83.20
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge	$18.60	$18.60	$18.60	$850.80
Hysterosalpingography s&i	$0.60	$0.60	$0.60	$1,358.40
I-123 sod iodide diag per 100 uci	$39.60	$39.60	$39.60	$139.20
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour	$204.60	$204.60	$204.60	$285.60
IV infusion therapy/prophylaxis/diagnosis concurrent infusion	$117.00	$117.00	$117.00	$285.60
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour	$937.80	$937.80	$937.80	$344.80
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour	$527.40	$527.40	$527.40	$586.50
Ibutilide fumarate 0.1 mg/ml intravenous solution	$279.60	$279.60	$279.60	$709.80
Icd cobalt xt dr MRI is1 df1	$22,518.00	$22,518.00	$22,518.00	$49,471.80
Icd crtd cobalt hf MRI is1 df1	$28,568.40	$28,568.40	$28,568.40	$45,067.20
Icd crtp serena MRI	$8,439.60	$8,439.60	$8,439.60	$24,360.60
Icd reliance df4 ib 64cm	$4,837.20	$4,837.20	$4,837.20	$15,159.00
Ifosfamide 1 gram intravenous solution	$97.20	$97.20	$97.20	$294.81
Igh gene rearrange amp meth	$194.40	$194.40	$194.40	$933.00
Igh@ var region somatic mutation analy	$194.40	$194.40	$194.40	$1,416.60
Igk rearrangeabn clonal pop	$194.40	$194.40	$194.40	$961.60
Ihc/icc per specimen each additional single antibody stain	$97.20	$97.20	$97.20	$272.40
Ihc/icc per specimen each multiplex antibody stain	$97.20	$97.20	$97.20	$329.60
Ihc/icc per specimen initial single antibody stain	$97.20	$97.20	$97.20	$337.20
Iliac revasc add-on 37222	$0.60	$0.60	$0.60	$8,640.60
Immobilizer shldr dlx str 24-36in med	$44.40	$44.40	$44.40	$198.00
Immune complex assay	$58.20	$58.20	$58.20	$186.00
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution	$660.60	$660.60	$660.60	$623.20
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution	$1,080.00	$1,080.00	$1,080.00	$920.40
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution	$779.40	$779.40	$779.40	$779.40
Immunoassay tumor antigen quantitative ca 125	$53.40	$53.40	$53.40	$174.00
Immunoassay tumor antigen quantitative ca 19-9	$53.40	$53.40	$53.40	$166.50
Immunodiffusion nes	$12.60	$12.60	$12.60	$129.60
Immunofixation electrophoresis serum	$64.80	$64.80	$64.80	$219.60
Immunofluorescence per specimen each additional single antibody stain	$97.20	$97.20	$97.20	$102.40
Immunofluorescence per specimen initial single antibody stain	$97.20	$97.20	$97.20	$108.00
Immunoglobulin assay	$64.80	$64.80	$64.80	$108.00
Implant cartilage 10mm synthetic	$56,712.00	$56,712.00	$56,712.00	$17,191.20
Imuglucerase injection	$1,903.20	$1,903.20	$1,903.20	$343.20
In situ hybridization per specimen each additional single probe stain	$243.60	$243.60	$243.60	$339.00
In situ hybridization per specimen initial single probe stain	$243.60	$243.60	$243.60	$300.00
In-111 oxyquinolin per 0.5 mci	$680.40	$680.40	$680.40	$1,305.60
In-111 pentetate dtpa / 0.5 mci	$820.20	$820.20	$820.20	$820.20
In-111 pentetreotide	$1,116.00	$1,116.00	$1,116.00	$4,204.80
Infect ag ia optc obs influenza	$40.20	$40.20	$40.20	$102.00
Infect ag if legionella pneumophila	$40.20	$40.20	$40.20	$91.50
Infect ag na influenza r/amp 1st 2 types	$259.80	$259.80	$259.80	$534.60
Infect ag na resp virus 12-25 targets	$292.20	$292.20	$292.20	$2,317.80
Infectious agent antigen immunoassay direct optical observation sars-cov-2	$40.20	$40.20	$40.20	$26.40
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin	$40.20	$40.20	$40.20	$108.00
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans	$40.20	$40.20	$40.20	$40.20
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium	$40.20	$40.20	$40.20	$99.00
Infectious agent antigen immunoassay ql/sq multi step giardia	$40.20	$40.20	$40.20	$118.80
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool	$48.60	$48.60	$48.60	$130.20
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn	$40.20	$40.20	$40.20	$117.00
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization	$40.20	$40.20	$40.20	$67.80
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies	$40.20	$40.20	$40.20	$197.40
Infectious agent antigen immunoassay ql/sq multi step legionella urine	$40.20	$40.20	$40.20	$236.40
Infectious agent antigen immunoassay ql/sq multi step rotavirus	$40.20	$40.20	$40.20	$142.20
Infectious agent nucleic acid amplified probe	$194.40	$194.40	$194.40	$349.80
Infectious agent nucleic acid amplified probe chlamydia trachomatis	$72.60	$72.60	$72.60	$276.00
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)	$194.40	$194.40	$194.40	$346.40
Infectious agent nucleic acid amplified probe hsv-1	$194.40	$194.40	$194.40	$306.00
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus	$194.40	$194.40	$194.40	$406.20
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis	$194.40	$194.40	$194.40	$306.60
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae	$72.60	$72.60	$72.60	$276.00
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19	$194.40	$194.40	$194.40	$75.00
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b	$194.40	$194.40	$194.40	$194.40
Infectious agent nucleic acid amplified probe streptococcus group a	$194.40	$194.40	$194.40	$195.60
Infectious agent nucleic acid amplified probe trichomonas vaginalis	$72.60	$72.60	$72.60	$231.00
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets	$292.20	$292.20	$292.20	$481.80
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets	$97.20	$97.20	$97.20	$104.00
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets	$194.40	$194.40	$194.40	$848.40
Infectious agent nucleic acid quantification bk virus	$259.80	$259.80	$259.80	$483.00
Infectious agent nucleic acid quantification hepatitis b	$259.80	$259.80	$259.80	$492.00
Infectious agent nucleic acid quantification hepatitis c	$259.80	$259.80	$259.80	$542.40
Infectious agent nucleic acid quantification hiv-1	$259.80	$259.80	$259.80	$783.00
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets	$97.20	$97.20	$97.20	$657.60
Infliximab 100 mg intravenous solution	$540.60	$540.60	$540.60	$633.60
Infliximab-axxq 100 mg intravenous solution	$55.80	$55.80	$55.80	$1,012.80
Infliximab-dyyb 100 mg intravenous solution	$37.80	$37.80	$37.80	$203.20
Influenza virus vaccine, inact hemagglutinin tiv pf inj	$75.60	$75.60	$75.60	$40.00
Infuse radioactive materials	$186.60	$186.60	$186.60	$624.60
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis	$95.40	$95.40	$95.40	$414.60
Initiation & management bipap/cpap initial day	$190.80	$190.80	$190.80	$510.00
Inj ceftolozane tazobactam	$164.40	$164.40	$164.40	$285.60
Inj cntr knee arthro incl ct/mri	$0.60	$0.60	$0.60	$345.60
Inj crotalidae im f(ab')2 eq	$1,134.60	$1,134.60	$1,134.60	$1,134.60
Inj dx for sinogram	$0.60	$0.60	$0.60	$942.00
Inj for ext venography	$0.60	$0.60	$0.60	$507.00
Inj hrt cath w/s&i nonsel p-art angrp	$0.60	$0.60	$0.60	$1,230.00
Inj hrt cath w/s&i sel left vent	$0.60	$0.60	$0.60	$0.60
Inj hrt cath w/s&i sel right vent	$0.60	$0.60	$0.60	$0.60
Inj hydroxocobalamin IV 25mg	$1,125.60	$1,125.60	$1,125.60	$1,125.60
Inj ivig privigen 500 mg	$4,935.60	$4,935.60	$4,935.60	$4,345.80
Inj levocarnitine per 1 gm	$16.20	$16.20	$16.20	$205.60
Inj melpha hydroch nos 50 mg	$1,156.20	$1,156.20	$1,156.20	$6,460.20
Inj meropenem (wg crit care)	$34.20	$34.20	$34.20	$34.20
Inj nephrosto/ureterogram w/img exstng access	$0.60	$0.60	$0.60	$2,092.80
Inj ogivri 10 mg	$1,344.00	$1,344.00	$1,344.00	$564.00
Inj pegfilgrastim-bmez 0.5mg	$5,157.00	$5,157.00	$5,157.00	$1,313.40
Inj peritoneal venous shunt	$0.60	$0.60	$0.60	$553.80
Inj retro urethrocysto	$0.60	$0.60	$0.60	$2,981.40
Inj secretin synthetic human	$630.00	$630.00	$630.00	$169.20
Inj w/fluor eval cv device	$0.60	$0.60	$0.60	$551.40
Inj, cefepime hcl (b braun)	$20.40	$20.40	$20.40	$43.40
Inj, clevidipine butyrate	$94.20	$94.20	$94.20	$697.20
Inj, lanreotide, (cipla) 1mg	$8,487.60	$8,487.60	$8,487.60	$8,487.60
Inj, sutimlimab-jome, 10 mg	$2,256.00	$2,256.00	$2,256.00	$34.80
Inj, tislelizumab-jsgr	$64.20	$64.20	$64.20	$103.20
Inj., benralizumab, 1 mg	$5,853.00	$5,853.00	$5,853.00	$3,405.60
Inj., lumoxiti, 0.01 mg	$31.20	$31.20	$31.20	$52.80
Inj., meropenem, vaborbactam	$198.00	$198.00	$198.00	$991.20
Injection during cath supravalvular aortography	$0.60	$0.60	$0.60	$1,728.00
Injection for bladder x-ray	$0.60	$0.60	$0.60	$2,055.60
Injection for ureter x-ray	$0.60	$0.60	$0.60	$1,540.80
Injection into brain canal	$117.00	$117.00	$117.00	$117.00
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug	$292.80	$292.80	$292.80	$292.80
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug	$117.00	$117.00	$117.00	$177.60
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug	$28.80	$28.80	$28.80	$168.80
Injection therapeutic/prophylactic/diagnostic subcutaneous/im	$58.20	$58.20	$58.20	$141.00
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level	$0.60	$0.60	$0.60	$1,320.00
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level	$0.60	$0.60	$0.60	$1,666.50
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance	$0.60	$0.60	$0.60	$1,320.00
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level	$0.60	$0.60	$0.60	$1,713.00
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)	$0.60	$0.60	$0.60	$593.40
Injection, cangrelor	$1,013.40	$1,013.40	$1,013.40	$2,314.80
Injection, daratumumab 10 mg	$3,195.00	$3,195.00	$3,195.00	$198.60
Injection, fulvestrant	$71.40	$71.40	$71.40	$3,584.82
Injection, renflexis	$798.00	$798.00	$798.00	$798.00
Injection,onabotulinumtoxina	$721.20	$721.20	$721.20	$2,783.40
Ins cath ren art 1st bi	$0.60	$0.60	$0.60	$6,300.60
Ins cath ren art 1st uni	$0.60	$0.60	$0.60	$4,692.00
Ins cath ren art 2nd+ bi	$0.60	$0.60	$0.60	$6,300.60
Ins cath ren art 2nd+ uni	$0.60	$0.60	$0.60	$7,959.00
Ins icd gen exist mlt leads	$0.60	$0.60	$0.60	$0.60
Ins icd gen exist sgl lead	$0.60	$0.60	$0.60	$33,033.60
Ins lv lead exist pm/icd	$0.60	$0.60	$0.60	$8,825.25
Ins picad w subq port 5yr>	$0.60	$0.60	$0.60	$2,961.00
Ins pm gen exist dual lead	$0.60	$0.60	$0.60	$0.60
Ins pm gen w/exist mlt leads	$0.60	$0.60	$0.60	$3,785.40
Ins pq tunnld ip cath w/img	$0.60	$0.60	$0.60	$8,686.20
Ins tun cv cath wo subq prt/pm	$0.60	$0.60	$0.60	$0.60
Ins tun cv cath wo subq prt/pm	$0.60	$0.60	$0.60	$2,792.40
Ins tun cvad 2 cath w/subq port(s)	$0.60	$0.60	$0.60	$5,640.60
Ins tun intraperit dia cath	$0.60	$0.60	$0.60	$3,691.20
Ins/rpl ldless pm right vent w img & eval	$0.60	$0.60	$0.60	$16,670.40
Ins/rpl pm gen exist dual lead	$0.60	$0.60	$0.60	$10,852.20
Ins/rpl pm gen exist sgl lead	$0.60	$0.60	$0.60	$14,386.80
Ins/rpl pm w/tv ld atrl	$0.60	$0.60	$0.60	$15,256.20
Insert abdomen-venous drain	$0.60	$0.60	$0.60	$0.60
Insert hepatic shunt (tips)	$0.60	$0.60	$0.60	$9,741.00
Insert picvad cath	$0.60	$0.60	$0.60	$0.60
Insert pm/icd lead dual	$0.60	$0.60	$0.60	$6,057.00
Insert sq defib electrode	$0.60	$0.60	$0.60	$14,554.20
Insert swan-ganz cath	$0.60	$0.60	$0.60	$2,271.60
Insert tunneled cv 2cath 2sits without port/pmp 36565	$0.60	$0.60	$0.60	$0.60
Insert tunneled cv cath	$0.60	$0.60	$0.60	$0.60
Insert tunneled cv cath	$0.60	$0.60	$0.60	$0.60
Insert vad art access left hrt arterial access	$0.60	$0.60	$0.60	$2,458.80
Insert/repl sq defib w/eltrd	$0.60	$0.60	$0.60	$30,741.60
Insertion catheter bladder non indwelling	$117.00	$117.00	$117.00	$309.00
Insertion catheter bladder temporary simple	$117.00	$117.00	$117.00	$538.20
Insertion catheter pleural indwelling tunneled with cuff	$0.60	$0.60	$0.60	$6,840.00
Insertion intra aortic balloon assist device percutaneous	$0.60	$0.60	$0.60	$2,809.20
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance	$0.60	$0.60	$0.60	$5,418.00
Insertion nontunneled centrally inserted central venous catheter >= 5 years old	$0.60	$0.60	$0.60	$2,618.40
Insertion of catheter vein	$0.60	$0.60	$0.60	$512.40
Insertion of catheter vein	$0.60	$0.60	$0.60	$3,172.80
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular	$0.60	$0.60	$0.60	$14,596.20
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular	$0.60	$0.60	$0.60	$12,188.40
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator	$0.60	$0.60	$0.60	$5,751.00
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years	$0.60	$0.60	$0.60	$2,103.75
Insertion single tranvenous electrode/ppm/implantable defibrillator	$0.60	$0.60	$0.60	$7,267.20
Insertion subcutaneous cardiac rhythm monitor	$0.60	$0.60	$0.60	$8,470.20
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)	$0.60	$0.60	$0.60	$4,011.60
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber	$0.60	$0.60	$0.60	$41,292.60
Insertion/replacement temporary single chamber electrode/pacemaker catheter	$0.60	$0.60	$0.60	$5,737.50
Insitu hybridization auto	$267.60	$267.60	$267.60	$717.60
Insitu hybridization manual	$243.60	$243.60	$243.60	$591.00
Instillation anticarcinogenic agent bladder	$117.00	$117.00	$117.00	$897.00
Insulin total	$24.00	$24.00	$24.00	$132.00
Interferon alfa-2b inj	$1,585.20	$1,585.20	$1,585.20	$1,111.20
Interrog evl pm/ldls pm ip	$0.60	$0.60	$0.60	$234.00
Intra-atrial pacing	$0.60	$0.60	$0.60	$3,647.40
Intra-atrial recording	$0.60	$0.60	$0.60	$3,647.40
Intracard echo interv w/s&i	$0.60	$0.60	$0.60	$4,080.60
Intraventricular pacing	$0.60	$0.60	$0.60	$3,647.40
Intrinsic factor antibody	$56.40	$56.40	$56.40	$189.00
Intro cath dialysis circuit	$0.60	$0.60	$0.60	$3,121.20
Intro cath dialysis circuit w/pta	$0.60	$0.60	$0.60	$7,787.25
Intro cath dialysis circuit w/stent plcmnt	$0.60	$0.60	$0.60	$3,652.20
Intro cath svc/ivc	$0.60	$0.60	$0.60	$2,478.60
Intro catheter aorta	$0.60	$0.60	$0.60	$2,806.50
Intrvasc Ultrasound noncoronary 1st vessel	$0.60	$0.60	$0.60	$3,246.00
Intrvasc Ultrasound noncoronary addl vessel	$0.60	$0.60	$0.60	$4,011.60
Intubation endotracheal emergency procedure	$39.60	$39.60	$39.60	$868.80
Iopamidol 300 mg iodine/ml (61 %) intravenous solution	$61.20	$61.20	$61.20	$41.40
Ipilimumab 5 mg/ml intravenous solution (wrapper)	$200.40	$200.40	$200.40	$511.80
Irinotecan 20 mg/ml intravenous solution (wrapper)	$2.40	$2.40	$2.40	$1,091.20
Irinotecan liposomal 4.3 mg/ml intravenous	$78.00	$78.00	$78.00	$169.80
Iron	$9.60	$9.60	$9.60	$60.00
Iron binding capacity	$19.20	$19.20	$19.20	$100.80
Iron dextran 50 mg/ml injection solution	$38.40	$38.40	$38.40	$96.80
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)	$35.40	$35.40	$35.40	$315.00
Irradiation of blood product each unit reference	$129.60	$129.60	$129.60	$129.60
Irrigation implantable venous access device for drug delivery systems	$87.60	$87.60	$87.60	$142.20
Ivc venogram s&i	$0.60	$0.60	$0.60	$2,938.80
Ixabepilone 15 mg intravenous solution	$1,650.60	$1,650.60	$1,650.60	$680.40
Ketone body(s) beta-hydroxybutyrate quantitative	$21.00	$21.00	$21.00	$174.60
Ketorolac 15 mg/ml injection (wrapper)	$1.20	$1.20	$1.20	$24.60
Kidney (Retroperitoneal) Ultrasound (complete)	$393.00	$393.00	$393.00	$683.34
Kidney img w/bldflw sgl without rx	$198.00	$198.00	$198.00	$1,552.20
Kit lead specify 5-6-5	$8,840.40	$8,840.40	$8,840.40	$12,081.00
Kit monitr cath camino icp w/integratd licox bolt fitting	$448.20	$448.20	$448.20	$448.20
Kit tissue closure sealant adhesive air leak progel 4 ml pleura	$1,122.00	$1,122.00	$1,122.00	$3,480.00
Knee MRI (with and without contrast)	$601.20	$601.20	$601.20	$3,008.26
Knee MRI (with contrast)	$495.00	$495.00	$495.00	$2,394.58
Knee MRI (without contrast)	$276.60	$276.60	$276.60	$2,205.00
Knee X-ray	$142.80	$142.80	$142.80	$387.20
Kras gene addl variants	$243.60	$243.60	$243.60	$454.20
Kras gene variants exon 2	$389.40	$389.40	$389.40	$389.40
L/s ratio fetal lung	$194.40	$194.40	$194.40	$194.40
Lacosamide 200 mg/20 ml intravenous solution	$63.60	$63.60	$63.60	$171.00
Lactate dehydrogenase (ldh)	$6.00	$6.00	$6.00	$52.00
Lactated ringers intravenous solution	$1.20	$1.20	$1.20	$67.00
Lactic acid	$32.40	$32.40	$32.40	$121.80
Lactoferrin fecal qualitative	$40.20	$40.20	$40.20	$198.00
Lanreotide 120 mg/0.5 ml subcutaneous syringe	$11,474.40	$11,474.40	$11,474.40	$11,474.40
Lanthanum carbonate oral 5mg	$6.60	$6.60	$6.60	$7.20
Lead acuity x4 spiral l 86cm	$2,570.40	$2,570.40	$2,570.40	$7,381.80
Lead capillary	$40.20	$40.20	$40.20	$93.00
Lead ingevity 45cm pfret MRI	$4,174.20	$4,174.20	$4,174.20	$4,132.20
Lead tachy durata sj4 58cm	$4,950.00	$4,950.00	$4,950.00	$13,024.20
Leg Vein Ultrasound (DVT study, both legs)	$822.00	$822.00	$822.00	$1,090.23
Lens iol ant bicnvx 24.0 multi	$1,993.80	$1,993.80	$1,993.80	$1,898.40
Leucovorin calcium 100 mg solution for injection (1 mg rounding)	$4.80	$4.80	$4.80	$87.60
Leukacyte transfusion	$974.40	$974.40	$974.40	$974.40
Leuprolide 3.75 mg intramuscular syringe kit	$4,876.80	$4,876.80	$4,876.80	$3,559.80
Leuprolide 30 mg (4 month) intramuscular syringe kit	$6,209.40	$6,209.40	$6,209.40	$5,001.00
Levetiracetam 500 mg/5 ml intravenous solution	$13.20	$13.20	$13.20	$276.00
Levetiracetam therapeutic drug level	$24.00	$24.00	$24.00	$184.50
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback	$2.40	$2.40	$2.40	$47.70
Liberta rc ipg	$32,526.00	$32,526.00	$32,526.00	$41,431.80
Lidocaine therapeutic drug level	$24.00	$24.00	$24.00	$164.40
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback	$37.80	$37.80	$37.80	$253.60
Lipase	$12.60	$12.60	$12.60	$139.80
Lipoprotein direct measurement hdl	$24.00	$24.00	$24.00	$63.60
Lipoprotein direct measurement ldl	$24.00	$24.00	$24.00	$117.00
Lithium therapeutic drug level	$24.00	$24.00	$24.00	$84.00
Lithotripsy transluminal coronary percutaneous	$0.60	$0.60	$0.60	$5,071.20
Liver Function Test	$17.40	$17.40	$17.40	$93.60
Lorazepam 2 mg/ml injection (wrapper)	$4.80	$4.80	$4.80	$31.20
Low frequency non-thermal Ultrasound	$45.60	$45.60	$45.60	$45.60
Lower Back (Lumbar Spine) CT scan (with and without contrast)	$172.80	$172.80	$172.80	$1,909.80
Lower Back (Lumbar Spine) CT scan (with contrast)	$140.40	$140.40	$140.40	$1,850.88
Lower Back (Lumbar Spine) CT scan (without contrast)	$107.40	$107.40	$107.40	$1,517.10
Lower Back (Lumbar Spine) MRI (with and without contrast)	$436.20	$436.20	$436.20	$2,750.00
Lower Back (Lumbar Spine) MRI (with contrast)	$382.80	$382.80	$382.80	$2,415.68
Lower Back (Lumbar Spine) MRI (without contrast)	$247.20	$247.20	$247.20	$2,013.08
Lower Back (Lumbar Spine) X-ray	$124.80	$124.80	$124.80	$341.64
Lumbar diskogram s&i	$0.60	$0.60	$0.60	$2,380.80
Lung Function Test (Spirometry)	$82.20	$82.20	$82.20	$296.91
Lung perfusion imaging	$216.00	$216.00	$216.00	$1,087.20
Lurbinectedin 4 mg intravenous solution	$234.60	$234.60	$234.60	$400.20
Luspatercept-aamt 25 mg subcutaneous solution	$44.40	$44.40	$44.40	$87.60
Lymphatics/lymph node imaging	$318.60	$318.60	$318.60	$1,417.60
M/phmtrc alys ishquant/semiq	$324.60	$324.60	$324.60	$418.50
M/phmtrc alys ishquant/semiq	$267.60	$267.60	$267.60	$152.40
M/phmtrc alysishquant/semiq	$243.60	$243.60	$243.60	$507.60
MRA abdomen post contrast	$518.40	$518.40	$518.40	$2,429.25
MRA aorta thoracic w/wo contrast	$513.00	$513.00	$513.00	$513.00
MRA ext low(run-off)pst cntrst	$513.00	$513.00	$513.00	$2,526.75
MRA upper extremity post contrast-bil	$536.40	$536.40	$536.40	$2,003.25
MRI breast c- unilateral	$565.80	$565.80	$565.80	$1,405.80
MRI breast c-+ w/cad uni	$760.20	$760.20	$760.20	$351.00
MRI breast w IV cont bi	$754.20	$754.20	$754.20	$754.20
MRI breast without cont bi	$565.80	$565.80	$565.80	$3,482.40
MRI cardiac morph & func wo IV cont	$336.00	$336.00	$336.00	$2,562.00
MRI cardiac morph & func wwo IV cont	$489.00	$489.00	$489.00	$3,051.00
MRI chest without & w/contrast	$772.20	$772.20	$772.20	$3,985.80
MRI chest without contrast	$565.80	$565.80	$565.80	$2,514.00
MRI lower extremity other than joint without & w/contrast (both sides)	$654.00	$654.00	$654.00	$4,010.40
MRI lower extremity other than joint without contrast (both sides)	$489.00	$489.00	$489.00	$2,514.00
MRI orbit fac&nck w IV cont	$424.20	$424.20	$424.20	$2,910.60
MRI orbit/face/neck without & w/contrast	$513.00	$513.00	$513.00	$3,815.40
MRI orbit/face/neck without contrast	$388.80	$388.80	$388.80	$2,398.20
MRI tmj	$412.20	$412.20	$412.20	$2,514.00
MRI upper extremity other than joint without & w/contrast (both sides)	$648.60	$648.60	$648.60	$4,010.40
MRI upper extremity other than joint without contrast (both sides)	$495.00	$495.00	$495.00	$2,514.00
Magnesium	$9.60	$9.60	$9.60	$88.50
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback	$7.80	$7.80	$7.80	$74.40
Magnetic image bone marrow	$513.00	$513.00	$513.00	$1,656.00
Manipulation chest wall demonstration/evaluation subsequent	$39.60	$39.60	$39.60	$186.00
Manipulation chest wall initial demonstration/evaluation	$47.40	$47.40	$47.40	$237.60
Margetuximab-cmkb 25 mg/ml intravenous solution	$258.00	$258.00	$258.00	$95.40
Mastoids complete	$178.80	$178.80	$178.80	$456.60
Mayo a1app alpha 1 antitrypsin phenotype	$64.80	$64.80	$64.80	$108.60
Mayo aathr protein s free	$81.00	$81.00	$81.00	$149.40
Mayo activated protein c resistance assay	$97.20	$97.20	$97.20	$196.50
Mayo alcohol definitive assay volatile screen	$48.60	$48.60	$48.60	$48.60
Mayo alkaline phosphatase isoenzyme	$40.20	$40.20	$40.20	$154.80
Mayo alpha 1 antitrypsin	$24.00	$24.00	$24.00	$197.40
Mayo amikacin trough therapeutic drug level	$24.00	$24.00	$24.00	$113.40
Mayo amphu methylenedioxyamphetamines definitive assay urine	$40.20	$40.20	$40.20	$40.20
Mayo analysis gene jak2 p.val617phe variant	$194.40	$194.40	$194.40	$1,680.00
Mayo androstenedione	$40.20	$40.20	$40.20	$186.40
Mayo angiotensin 1 converting enzyme (ace) csf	$32.40	$32.40	$32.40	$130.20
Mayo aspergillus fumigatus antibody	$53.40	$53.40	$53.40	$118.80
Mayo barbiturates definitive assay confirmation urine	$40.20	$40.20	$40.20	$40.20
Mayo bart bartonella henselae antibody igg	$53.40	$53.40	$53.40	$100.20
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative	$194.40	$194.40	$194.40	$1,051.20
Mayo blastomyces antibody immunodiffusion	$53.40	$53.40	$53.40	$178.20
Mayo bordetella pertussis antibody igg	$53.40	$53.40	$53.40	$100.80
Mayo brcmg brucella antibody igm	$53.40	$53.40	$53.40	$118.80
Mayo c1 esterase inhibitor	$24.00	$24.00	$24.00	$130.80
Mayo cannabinoids natural definitive assay thc confirmation urine	$64.80	$64.80	$64.80	$64.80
Mayo carnitine total and free quantitative each specimen plasma	$243.60	$243.60	$243.60	$205.80
Mayo ceruloplasmin	$24.00	$24.00	$24.00	$97.80
Mayo chemiluminescent parathyroid related peptide	$24.00	$24.00	$24.00	$281.40
Mayo chlap chlamydia pneumoniae antibody igg	$32.40	$32.40	$32.40	$138.00
Mayo chlap chlamydia pneumoniae antibody igm	$32.40	$32.40	$32.40	$89.40
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte	$162.00	$162.00	$162.00	$879.00
Mayo chromium	$64.80	$64.80	$64.80	$139.20
Mayo cocaine definitive assay confirmation urine	$48.60	$48.60	$48.60	$48.60
Mayo coccidioides antibody	$53.40	$53.40	$53.40	$143.25
Mayo cocou cortisone urine	$48.60	$48.60	$48.60	$305.40
Mayo cortisol free	$48.60	$48.60	$48.60	$133.20
Mayo covid-19 antibody nucleocapsid total	$48.60	$48.60	$48.60	$123.00
Mayo coxiella brunetii (q fever) igg antibody	$53.40	$53.40	$53.40	$126.60
Mayo cyanide	$46.80	$46.80	$46.80	$204.00
Mayo deoxyribonuclease antibody titer	$33.60	$33.60	$33.60	$102.60
Mayo dhea (dehydroepiandrosterone)	$24.00	$24.00	$24.00	$451.20
Mayo dihydrotestosterone	$48.60	$48.60	$48.60	$301.80
Mayo estriol	$24.00	$24.00	$24.00	$147.20
Mayo estrone	$40.20	$40.20	$40.20	$177.60
Mayo ethosuximide therapeutic drug level	$24.00	$24.00	$24.00	$249.60
Mayo factor ii	$97.20	$97.20	$97.20	$66.00
Mayo factor v	$97.20	$97.20	$97.20	$195.00
Mayo factor vii	$97.20	$97.20	$97.20	$185.40
Mayo factor viii vw factor antigen	$97.20	$97.20	$97.20	$213.00
Mayo factor viii vw factor ristocetin cofactor	$97.20	$97.20	$97.20	$243.60
Mayo factor x	$97.20	$97.20	$97.20	$243.75
Mayo factor xi	$97.20	$97.20	$97.20	$162.60
Mayo fat/lipids feces quantitative	$64.80	$64.80	$64.80	$198.00
Mayo fbl culture fungi blood	$48.60	$48.60	$48.60	$114.00
Mayo ffspg allergen clam igg	$24.00	$24.00	$24.00	$53.40
Mayo gabapentin bld/srm/plasma therapeutic drug level	$24.00	$24.00	$24.00	$141.00
Mayo hiser histoplasma antibodies immunodiffusion	$32.40	$32.40	$32.40	$161.25
Mayo hla typing a/b/c single antigen	$72.60	$72.60	$72.60	$293.40
Mayo hvdip HIV 1 antibody	$40.20	$40.20	$40.20	$88.20
Mayo hvdip HIV 2 antibody	$53.40	$53.40	$53.40	$97.20
Mayo hydroxyprogesterone 17-d	$56.40	$56.40	$56.40	$205.80
Mayo immunoassay c1 esterase inhibitor antibody quantitative	$40.20	$40.20	$40.20	$259.80
Mayo immunoassay infectious agent antibody quantitative diptheria igg	$40.20	$40.20	$40.20	$141.00
Mayo immunoassay tumor antigen quantitative ca 27.29	$53.40	$53.40	$53.40	$197.40
Mayo immunoassay tumor antigen quantitative chromogranin a	$53.40	$53.40	$53.40	$364.20
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus	$40.20	$40.20	$40.20	$187.80
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal	$40.20	$40.20	$40.20	$218.40
Mayo infectious agent nucleic acid amplified probe enterovirus	$194.40	$194.40	$194.40	$428.40
Mayo infectious agent nucleic acid quantification cytomegalovirus	$259.80	$259.80	$259.80	$350.40
Mayo infectious disease hepatitis c chronic six biochemical assays	$88.80	$88.80	$88.80	$669.00
Mayo inhab inhibin a	$38.40	$38.40	$38.40	$357.00
Mayo insulin antibodies	$60.00	$60.00	$60.00	$123.75
Mayo iodine	$64.80	$64.80	$64.80	$202.20
Mayo lamotrigine therapeutic drug level	$24.00	$24.00	$24.00	$210.00
Mayo ld_i lactate dehydrogenase isoenzymes	$40.20	$40.20	$40.20	$70.80
Mayo legionella antibody	$32.40	$32.40	$32.40	$112.80
Mayo leptospira antibody igm	$32.40	$32.40	$32.40	$82.50
Mayo lipoprotein electrophoresis	$40.20	$40.20	$40.20	$261.00
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory	$97.20	$97.20	$97.20	$234.00
Mayo manganese	$40.20	$40.20	$40.20	$83.40
Mayo metanephrines plasma	$48.60	$48.60	$48.60	$316.80
Mayo methadone definitive assay confirmation urine	$48.60	$48.60	$48.60	$48.60
Mayo microsomal antibody liver-kidney	$35.40	$35.40	$35.40	$201.00
Mayo mitotane (lysodren) therapeutic drug level	$64.80	$64.80	$64.80	$206.40
Mayo molecular pathology procedure level 2 apoe genotype	$194.40	$194.40	$194.40	$3,829.20
Mayo muramidase	$53.40	$53.40	$53.40	$141.00
Mayo myoglobin	$32.40	$32.40	$32.40	$144.60
Mayo opatu opiates definitive assay >=1	$64.80	$64.80	$64.80	$64.80
Mayo opatu opioid/analogs definitive assay 1 or 2	$40.20	$40.20	$40.20	$40.20
Mayo opatu oxycodone definitive assay	$40.20	$40.20	$40.20	$40.20
Mayo organic acid methylmalonic single quantitative	$64.80	$64.80	$64.80	$298.20
Mayo oxalate 24 hour urine	$24.00	$24.00	$24.00	$170.40
Mayo pancreatic elastase fecal qualitative or semi quantitative	$40.20	$40.20	$40.20	$130.80
Mayo parvs parvovirus b19 antibody igg	$48.60	$48.60	$48.60	$144.60
Mayo paval fluorescent antibody screen agna type 1	$24.00	$24.00	$24.00	$165.00
Mayo phospholipid neutralization hexagonal lupus anticoagulant	$81.00	$81.00	$81.00	$232.20
Mayo pntft phenytoin free therapeutic drug level	$24.00	$24.00	$24.00	$77.40
Mayo prmb primidone therapeutic drug level	$48.60	$48.60	$48.60	$129.60
Mayo proinsulin	$194.40	$194.40	$194.40	$273.00
Mayo psaft prostate specific antigen free	$40.20	$40.20	$40.20	$192.60
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative	$40.20	$40.20	$40.20	$300.00
Mayo receptor assay transferrin soluble	$121.80	$121.80	$121.80	$240.00
Mayo renin	$24.00	$24.00	$24.00	$184.20
Mayo repu protein electrophoresis urine	$40.20	$40.20	$40.20	$219.60
Mayo selenium	$64.80	$64.80	$64.80	$182.40
Mayo serotonin	$48.60	$48.60	$48.60	$369.60
Mayo sfgp rickettsia rickettsii antibody igg	$32.40	$32.40	$32.40	$114.60
Mayo sirolimus therapeutic drug level	$48.60	$48.60	$48.60	$150.60
Mayo syphilis test non-treponemal antibody qualitative vdrl	$12.60	$12.60	$12.60	$41.40
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification	$194.40	$194.40	$194.40	$859.80
Mayo tgrp testosterone free	$24.00	$24.00	$24.00	$129.60
Mayo tgrp testosterone total	$24.00	$24.00	$24.00	$197.40
Mayo thyroglobulin	$40.20	$40.20	$40.20	$184.20
Mayo ticks anaplasma phagocytophilum antibody igg	$53.40	$53.40	$53.40	$97.80
Mayo ticks babesia microti antibody igg	$53.40	$53.40	$53.40	$121.80
Mayo tramadol definitive assay w metabolite quantitative urine	$48.60	$48.60	$48.60	$48.60
Mayo vasoactive intestinal peptide	$40.20	$40.20	$40.20	$375.60
Mayo vitamin b-2 (riboflavin)	$40.20	$40.20	$40.20	$251.40
Mayo vitamin b3 (niacin)	$81.00	$81.00	$81.00	$115.80
Mayo vitamin k	$40.20	$40.20	$40.20	$282.60
Measure kidney pressure	$0.60	$0.60	$0.60	$2,979.60
Medroxyprogesterone 150 mg/ml im injection (wrapper)	$20.40	$20.40	$20.40	$252.10
Meperidine (pf) 25 mg/ml injection (wrapper)	$6.60	$6.60	$6.60	$10.80
Mepolizumab 100 mg/ml subcutaneous auto-injector	$3,571.80	$3,571.80	$3,571.80	$6,447.60
Meropenem 1 gram intravenous solution	$6.60	$6.60	$6.60	$55.20
Mesna 100 mg/ml intravenous solution	$1.80	$1.80	$1.80	$153.60
Metabolic Blood Panel (Basic)	$17.40	$17.40	$17.40	$97.60
Metabolic Blood Panel (Comprehensive)	$24.00	$24.00	$24.00	$130.97
Methotrexate sodium (pf) 1 gram solution for injection	$19.80	$19.80	$19.80	$284.80
Methotrexate sodium 2.5 mg tablet	$3.00	$3.00	$3.00	$28.65
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)	$150.00	$150.00	$150.00	$204.00
Methylprednisolone sodium succinate 1,000 mg intravenous solution	$45.00	$45.00	$45.00	$6.80
Micafungin 100 mg intravenous solution	$52.20	$52.20	$52.20	$26.20
Microsatellite instability	$471.00	$471.00	$471.00	$1,154.40
Midazolam 1 mg/ml injection solution	$33.00	$33.00	$33.00	$33.00
Middle cerebral artery echo	$285.60	$285.60	$285.60	$285.60
Minocycline hydrochloride	$216.60	$216.60	$216.60	$104.40
Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution	$77.40	$77.40	$77.40	$131.40
Mitomycin 40 mg intravenous solution	$1,516.20	$1,516.20	$1,516.20	$1,680.80
Mitoxantrone 2 mg/ml concentrate,intravenous	$145.20	$145.20	$145.20	$1,254.00
Mlh1 gene	$259.80	$259.80	$259.80	$1,123.80
Monitor reveal linq ii cardiac	$8,081.40	$8,081.40	$8,081.40	$12,370.80
Mopath procedure level 3	$243.60	$243.60	$243.60	$2,046.60
Mopath procedure level 5	$584.40	$584.40	$584.40	$3,033.60
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr	$302.40	$302.40	$302.40	$43.80
Morphine 4 mg/ml injection (wrapper)	$1.80	$1.80	$1.80	$22.80
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain	$349.20	$349.20	$349.20	$349.20
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted	$145.80	$145.80	$145.80	$664.80
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual	$121.80	$121.80	$121.80	$338.40
Mthfr gene analy common variants	$243.60	$243.60	$243.60	$357.60
Mucin synovial fluid	$14.40	$14.40	$14.40	$14.40
Multiple sleep latency test	$511.20	$511.20	$511.20	$4,243.20
Mumps antibody igg	$32.40	$32.40	$32.40	$179.40
Mycoplasma antibody igm	$32.40	$32.40	$32.40	$129.75
Myelography via inj w/s&i 2+ regions	$0.60	$0.60	$0.60	$2,250.60
Myelography via inj w/s&i cervical	$0.60	$0.60	$0.60	$2,250.60
Myelography via inj w/s&i lumbosacral	$0.60	$0.60	$0.60	$2,250.60
Myelography via inj w/s&i thoracic	$0.60	$0.60	$0.60	$2,250.60
Myeloperoxidase ab multi step qualitative/semiquantitative	$40.20	$40.20	$40.20	$108.60
Natalizumab 300 mg/15 ml intravenous solution	$8,221.80	$8,221.80	$8,221.80	$28,621.80
Natriuretic peptide	$48.60	$48.60	$48.60	$315.00
Natural killer cells total count	$81.00	$81.00	$81.00	$243.00
Neck (Cervical Spine) CT scan (with and without contrast)	$172.80	$172.80	$172.80	$1,992.00
Neck (Cervical Spine) CT scan (with contrast)	$140.40	$140.40	$140.40	$1,708.20
Neck (Cervical Spine) CT scan (without contrast)	$110.40	$110.40	$110.40	$1,513.95
Neck (Cervical Spine) MRI (with and without contrast)	$436.20	$436.20	$436.20	$2,750.00
Neck (Cervical Spine) MRI (with contrast)	$388.80	$388.80	$388.80	$2,231.16
Neck (Cervical Spine) MRI (without contrast)	$247.20	$247.20	$247.20	$1,914.00
Neck MRA (blood vessel MRI, with contrast)	$583.20	$583.20	$583.20	$2,030.23
Neck MRA (blood vessel MRI, without contrast)	$553.80	$553.80	$553.80	$1,790.58
Nerve conduction studies 13+	$153.60	$153.60	$153.60	$521.40
New Patient Office Visit (level 2)	$87.60	$87.60	$87.60	$178.00
New Patient Office Visit (level 3)	$117.00	$117.00	$117.00	$229.20
New Patient Office Visit (level 4)	$146.40	$146.40	$146.40	$307.00
New Patient Office Visit (level 5)	$175.80	$175.80	$175.80	$401.50
Nfct ds bv&vaginitis dna alg	$462.60	$462.60	$462.60	$462.60
Nitroblue tetrazolium dye	$81.00	$81.00	$81.00	$81.00
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous	$26.40	$26.40	$26.40	$4.00
Nivolumab 10 mg/ml intravenous solution (wrapper)	$8,805.60	$8,805.60	$8,805.60	$104.40
Njx px nfrosgrm &/urtrgrm	$0.60	$0.60	$0.60	$1,266.00
Nm imaging bone/joint 3 phase study	$318.60	$318.60	$318.60	$2,037.60
Nm imaging bone/joint whole body	$223.20	$223.20	$223.20	$1,601.25
Nm imaging cardiac blood pooling planar single study at rest or stress	$194.40	$194.40	$194.40	$1,651.20
Nm imaging gastric emptying study	$318.60	$318.60	$318.60	$1,510.20
Nm imaging gastrointestinal acute blood loss	$322.80	$322.80	$322.80	$1,691.40
Nm imaging hepatobiliary system w/pharmacologic intervention	$432.60	$432.60	$432.60	$1,956.60
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention	$124.20	$124.20	$124.20	$1,410.75
Nm imaging pulmonary ventilation/perfusion	$300.60	$300.60	$300.60	$1,666.20
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)	$231.00	$231.00	$231.00	$1,335.00
Nm radiopharmaceutical therapy oral administration	$51.00	$51.00	$51.00	$944.40
Nr lnr acclrtr tx max 5 sessions	$2,272.80	$2,272.80	$2,272.80	$9,337.20
Nras gene variants exon 2&3	$487.20	$487.20	$487.20	$369.60
Ntsty modul rad tx dlvr cplx	$675.00	$675.00	$675.00	$2,407.80
Ntsty modul rad tx dlvr smpl	$675.00	$675.00	$675.00	$2,092.80
Nuclear Stress Test (Heart)	$421.80	$421.80	$421.80	$3,799.90
Obinutuzumab 1,000 mg/40 ml intravenous solution	$8,218.20	$8,218.20	$8,218.20	$236.00
Observation per hour	$144.00	$144.00	$144.00	$443.40
Ocrelizumab 30 mg/ml intravenous solution	$19,500.00	$19,500.00	$19,500.00	$208.80
Octreotide acetate 100 mcg/ml injection (wrapper)	$12.60	$12.60	$12.60	$220.80
Octreotide,microspheres ER 20 mg intramuscular susp, extended release	$7,433.40	$7,433.40	$7,433.40	$7,433.40
Ofatumumab 20 mg/ml intravenous solution (wrapper)	$5,899.80	$5,899.80	$5,899.80	$168.60
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)	$1,465.20	$1,465.20	$1,465.20	$333.60
Oritavancin 400 mg intravenous solution	$27.60	$27.60	$27.60	$105.60
Osmolality blood	$16.20	$16.20	$16.20	$111.00
Osmolality urine	$16.20	$16.20	$16.20	$96.00
Ot evaluation high complexity patient/family	$165.60	$165.60	$165.60	$272.40
Ot evaluation low complexity patient/family	$55.20	$55.20	$55.20	$265.50
Ot evaluation moderate complexity patient/family	$110.40	$110.40	$110.40	$272.40
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes	$125.40	$125.40	$125.40	$122.25
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes	$102.60	$102.60	$102.60	$121.20
Ot manual therpy techniques >=1 region each 15 minutes	$274.20	$274.20	$274.20	$130.20
Ot re-evaluation patient/family	$41.40	$41.40	$41.40	$138.00
Ot therapeutic activities direct patient contact each 15 minutes	$480.00	$480.00	$480.00	$129.60
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes	$45.60	$45.60	$45.60	$128.80
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes	$45.60	$45.60	$45.60	$128.80
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes	$182.40	$182.40	$182.40	$130.20
Ot therapeutic procedure neuromuscular reeducate each 15 minutes	$57.00	$57.00	$57.00	$110.40
Ot training self care/home management direct contact each 15 minutes	$57.00	$57.00	$57.00	$115.80
Oth resp proc, group	$49.20	$49.20	$49.20	$72.00
Oth resp proc, indiv	$49.20	$49.20	$49.20	$54.60
Oxaliplatin 5 mg/ml desensitization	$13.20	$13.20	$13.20	$40.80
Oxytocin 10 unit/ml injection solution	$6.60	$6.60	$6.60	$15.60
PSA (Prostate) Test	$32.40	$32.40	$32.40	$103.85
Paclitaxel protein-bound 100 mg intravenous suspension	$1,656.00	$1,656.00	$1,656.00	$61.80
Palivizumab 50 mg/0.5 ml inj	$3,154.20	$3,154.20	$3,154.20	$6,940.20
Palonosetron hcl	$15.00	$15.00	$15.00	$378.60
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution	$31.80	$31.80	$31.80	$450.00
Panitumumab 20 mg/ml intravenous solution (wrapper)	$6,081.60	$6,081.60	$6,081.60	$550.80
Parathormone (pth) intact	$24.00	$24.00	$24.00	$226.20
Parathyroid planar imaging	$278.40	$278.40	$278.40	$1,467.75
Paricalcitol	$10.80	$10.80	$10.80	$28.20
Passy muir valve metal trach	$241.20	$241.20	$241.20	$346.20
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector	$6,121.20	$6,121.20	$6,121.20	$6,121.20
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe	$2,714.40	$2,714.40	$2,714.40	$1,333.80
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe	$3,872.40	$3,872.40	$3,872.40	$4,174.80
Pelvic CT scan (with and without contrast)	$166.80	$166.80	$166.80	$1,992.00
Pelvic CT scan (with contrast)	$140.40	$140.40	$140.40	$1,706.25
Pelvic CT scan (without contrast)	$77.40	$77.40	$77.40	$1,313.40
Pelvic MRI (with and without contrast)	$648.60	$648.60	$648.60	$2,713.80
Pelvic MRI (with contrast)	$536.40	$536.40	$536.40	$1,891.49
Pelvic MRI (without contrast)	$501.00	$501.00	$501.00	$1,810.38
Pelvic Ultrasound (complete)	$375.00	$375.00	$375.00	$647.87
Pelvic Ultrasound (limited)	$124.80	$124.80	$124.80	$476.50
Pembrolizumab 25 mg/ml intravenous solution	$6,668.40	$6,668.40	$6,668.40	$199.20
Pemetrexed disodium 100 mg intravenous powder for solution	$124.80	$124.80	$124.80	$2,483.40
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr	$4.20	$4.20	$4.20	$144.60
Penile rear tip xtnd 0.5cm	$12,691.80	$12,691.80	$12,691.80	$18,010.20
Penile vascular study	$303.60	$303.60	$303.60	$809.60
Pentostatin 10 mg intravenous solution	$2,382.00	$2,382.00	$2,382.00	$6,720.00
Perc cryo ablate renal tum	$0.60	$0.60	$0.60	$20,125.80
Perc rf ablate renal tumor	$0.60	$0.60	$0.60	$17,216.40
Percut ablate liver rf	$0.60	$0.60	$0.60	$7,327.20
Peri-proc device eval pm	$0.60	$0.60	$0.60	$129.60
Pericardiocentesis wwo imaging	$0.60	$0.60	$0.60	$2,461.80
Peritoneogram rs&i	$0.60	$0.60	$0.60	$338.40
Perq clsr tcat l atr apndge	$0.60	$0.60	$0.60	$3,855.60
Perq dev breast 1st mr guide	$754.20	$754.20	$754.20	$2,153.40
Perq nl/pl lithotrp cplx>2cm	$0.60	$0.60	$0.60	$0.60
Perq nl/pl lithotrp smpl<2cm	$0.60	$0.60	$0.60	$0.60
Perq plmt bile duct stent	$0.60	$0.60	$0.60	$8,839.80
Perq plmt bile duct stent	$0.60	$0.60	$0.60	$0.60
Perq plmt bile duct stent	$0.60	$0.60	$0.60	$14,191.20
Perq transcath closure pda	$0.60	$0.60	$0.60	$0.60
Perq transcath septal reduxn	$0.60	$0.60	$0.60	$390.00
Pertuzumab 30 mg/ml desensitization	$7,603.80	$7,603.80	$7,603.80	$39.60
Pet CT skull-mid thgh initial	$1,595.40	$1,595.40	$1,595.40	$6,981.60
Pet CT whole body initial	$1,815.60	$1,815.60	$1,815.60	$6,981.60
Pet fdg brain metoblic eval sb	$1,320.00	$1,320.00	$1,320.00	$5,639.40
Pet image ltd area	$990.00	$990.00	$990.00	$4,245.00
Pet image skull-thigh	$1,320.00	$1,320.00	$1,320.00	$7,438.80
Pet image w/ct lmtd	$1,320.00	$1,320.00	$1,320.00	$5,639.40
Pfc sigma fem post aug sz3 8mm	$12,792.60	$12,792.60	$12,792.60	$26,256.60
Ph body fluid	$12.60	$12.60	$12.60	$39.60
Phencyclidine (pcp)	$24.00	$24.00	$24.00	$74.40
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr	$20.40	$20.40	$20.40	$42.15
Phenobarbital therapeutic drug level	$24.00	$24.00	$24.00	$163.80
Phenytoin total therapeutic drug level	$24.00	$24.00	$24.00	$114.00
Phlebotomy therapeutic	$292.80	$292.80	$292.80	$284.40
Phosphorus	$3.00	$3.00	$3.00	$70.80
Phytonadione (vitamin k1) 10 mg/ml injection solution	$52.80	$52.80	$52.80	$52.65
Piflu f-18, dia 1 millicurie	$6,267.00	$6,267.00	$6,267.00	$1,252.20
Pin caspar distraction 12mm	$9,426.00	$9,426.00	$9,426.00	$29,164.20
Pinworm exam	$9.60	$9.60	$9.60	$50.40
Piperacillin-tazobactam 3.375 gram intravenous solution	$81.60	$81.60	$81.60	$114.00
Place cath intracranial art	$0.60	$0.60	$0.60	$5,670.60
Place cath xtrnl carotid	$0.60	$0.60	$0.60	$8,979.00
Place gastrostomy tube perc	$0.60	$0.60	$0.60	$3,735.00
Place non-slctv cath thoracic arta	$0.60	$0.60	$0.60	$11,718.60
Place slctv cath carotd art uni	$0.60	$0.60	$0.60	$14,553.00
Place slctv cath carotid/inom art excrn uni	$0.60	$0.60	$0.60	$8,637.00
Place slctv cath carotid/inom art intcrn uni	$0.60	$0.60	$0.60	$12,801.00
Place slctv cath subclavian art	$0.60	$0.60	$0.60	$10,678.80
Place slctv cath vertebral art uni	$0.60	$0.60	$0.60	$12,613.50
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)	$607.80	$607.80	$607.80	$1,380.00
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left	$303.60	$303.60	$303.60	$1,264.80
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)	$357.60	$357.60	$357.60	$1,162.20
Placement nephrostomy catheter (both sides)	$0.60	$0.60	$0.60	$2,483.40
Placement stent(s) intravascular transcatheter artery initial	$0.60	$0.60	$0.60	$13,400.40
Platelet aggregation each agent teg	$97.20	$97.20	$97.20	$227.40
Platelet automated	$6.00	$6.00	$6.00	$42.80
Platelets irradiated ea unit	$105.00	$105.00	$105.00	$320.40
Platelets leukocytes reduced each unit	$97.20	$97.20	$97.20	$241.20
Platelets leukocytes reduced irradiated each unit	$113.40	$113.40	$113.40	$360.00
Platelets pheresis leukocytes reduced each unit	$811.80	$811.80	$811.80	$2,801.25
Platelets pheresis leukocytes reduced irradiated each unit	$942.00	$942.00	$942.00	$3,168.60
Platelets pheresis pathogen-reduced each unit	$876.60	$876.60	$876.60	$1,562.40
Plc pq device breast ea addl lesion Ultrasound guide	$214.20	$214.20	$214.20	$946.80
Plcmnt biliary drainage cath w/img ext	$0.60	$0.60	$0.60	$4,144.20
Plcmnt stent transcath ctrl dialysis seg add-on	$0.60	$0.60	$0.60	$4,359.60
Plcmnt ureteral stent pq w/img exstng trct	$0.60	$0.60	$0.60	$4,913.40
Plcmnt ureteral stent pq w/img new w/cath	$0.60	$0.60	$0.60	$7,729.80
Plmt access bil tree sm bwl	$0.60	$0.60	$0.60	$6,321.60
Plmt biliary drainage cath	$0.60	$0.60	$0.60	$4,144.20
Plmt nephroureteral catheter	$0.60	$0.60	$0.60	$4,763.40
Plmt ureteral stent prq	$0.60	$0.60	$0.60	$8,248.80
Poct blood gases ph pco2 po2 arterial calculated o2	$49.80	$49.80	$49.80	$243.00
Polatuzumab vedotin-piiq 140 mg intravenous solution	$19,860.00	$19,860.00	$19,860.00	$368.80
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap	$734.40	$734.40	$734.40	$6,491.40
Potassium 24 hour urine	$16.20	$16.20	$16.20	$52.20
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback	$5.40	$5.40	$5.40	$61.80
Potassium serum/plasma/whole blood	$6.00	$6.00	$6.00	$39.60
Pq biliary strict dil s&i	$0.60	$0.60	$0.60	$1,547.40
Pq dr cath chg w cont s&i	$0.60	$0.60	$0.60	$1,347.00
Pq kyphplsty 1 bdy lumb w/img	$0.60	$0.60	$0.60	$8,721.00
Pq thr inj ext pse	$0.60	$0.60	$0.60	$899.40
Pq vrtbrplst 1 bdy inj crv-thr w/img ini	$0.60	$0.60	$0.60	$2,694.75
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl	$0.60	$0.60	$0.60	$1,992.00
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini	$0.60	$0.60	$0.60	$7,009.80
Pr application of long arm splint	$103.20	$103.20	$103.20	$471.00
Pr application splint static short arm	$96.60	$96.60	$96.60	$341.40
Pr biopsy skin punch single lesion	$0.60	$0.60	$0.60	$639.00
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes	$15.60	$15.60	$15.60	$30.00
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<	$251.40	$251.40	$251.40	$428.25
Pr tube thoracostomy w/connection to drainage open	$0.60	$0.60	$0.60	$2,412.60
Pralatrexate injection	$5,614.80	$5,614.80	$5,614.80	$4,072.20
Pralidoxime 1 gram solution for injection	$97.80	$97.80	$97.80	$297.18
Prcrd drg 6+yr without anomly	$0.60	$0.60	$0.60	$2,624.40
Prealbumin	$24.00	$24.00	$24.00	$114.00
Prednisone 1 mg tablet	$0.60	$0.60	$0.60	$10.20
Pregabalin - sendout	$64.80	$64.80	$64.80	$57.75
Pregnancy Ultrasound (complete, after first trimester)	$464.40	$464.40	$464.40	$607.12
Pregnancy Ultrasound (first trimester)	$375.00	$375.00	$375.00	$580.03
Pressure max expiratory/inspiratory	$190.80	$190.80	$190.80	$187.20
Pressure velocity wire add ves	$0.60	$0.60	$0.60	$1,746.00
Pretreat rbc absorption reference	$162.00	$162.00	$162.00	$118.40
Pretreat rbc density gradient separation reference	$49.80	$49.80	$49.80	$64.20
Pretreat rbc w chem/drugs reference	$49.80	$49.80	$49.80	$225.60
Pretreat rbc w enzyme reference	$49.80	$49.80	$49.80	$219.00
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref	$49.80	$49.80	$49.80	$139.80
Prgr stim/pace a/iv drug	$0.60	$0.60	$0.60	$3,457.20
Prgrmg dev eval pm/ldls pm	$0.60	$0.60	$0.60	$176.40
Prim art mech thrmbc non-intracranial	$0.60	$0.60	$0.60	$12,590.40
Prim art mech thrmbc non-intracranial add-on	$0.60	$0.60	$0.60	$5,352.00
Procalcitonin	$243.60	$243.60	$243.60	$186.00
Progesterone	$24.00	$24.00	$24.00	$260.40
Prolactin	$32.40	$32.40	$32.40	$197.40
Propofol infusion 10 mg/ml	$11.40	$11.40	$11.40	$11.40
Protein c activity	$97.20	$97.20	$97.20	$129.60
Protein electrophoretic fractionation & quantitation serum	$40.20	$40.20	$40.20	$171.60
Protein s total	$97.20	$97.20	$97.20	$192.60
Protein total 24 hour urine	$16.20	$16.20	$16.20	$39.60
Protein total body fluid	$16.20	$16.20	$16.20	$67.80
Protein total serum plasma whole blood	$3.00	$3.00	$3.00	$80.40
Prothrombin complex kcentra	$1.80	$1.80	$1.80	$8.25
Prq card revasc chronic addl	$0.60	$0.60	$0.60	$3,477.60
Prq card revasc mi 1 vsl	$0.60	$0.60	$0.60	$15,411.00
Prq card stent w/angio addl	$0.60	$0.60	$0.60	$9,768.60
Prq cardiac angio addl art	$0.60	$0.60	$0.60	$5,071.20
Prq revasc byp graft 1 art and/or branches	$0.60	$0.60	$0.60	$15,411.00
Prq revasc byp graft addl	$0.60	$0.60	$0.60	$11,988.60
Prq tcat plmt ntrac st 1 les	$0.60	$0.60	$0.60	$15,411.00
Prq trlml c athrc st angiop1	$0.60	$0.60	$0.60	$23,616.60
Prq trluml c angiop 1art&/br	$0.60	$0.60	$0.60	$10,148.40
Prq trluml c athrc 1 art&/br	$0.60	$0.60	$0.60	$17,281.80
Prq trluml revsc ch occ ant	$0.60	$0.60	$0.60	$15,411.00
Psychotherapy group therapy	$58.20	$58.20	$58.20	$46.80
Psychotherapy patient individual therapy 30 minutes	$146.40	$146.40	$146.40	$146.40
Psychotherapy patient individual therapy 45 minutes	$175.80	$175.80	$175.80	$175.80
Psychotherapy patient individual therapy 60 minutes	$263.40	$263.40	$263.40	$254.40
Pt application of modality >=1 area electrical stimulation each 15 minutes	$22.80	$22.80	$22.80	$100.20
Pt application of modality >=1 area iontophoresis each 15 minutes	$34.20	$34.20	$34.20	$103.20
Pt application of modality >=1 area ultrasound each 15 minutes	$22.80	$22.80	$22.80	$101.40
Pt application of modality traction mechanical	$22.80	$22.80	$22.80	$108.75
Pt evaluation high complexity patient/family	$274.20	$274.20	$274.20	$303.00
Pt evaluation low complexity patient/family	$91.20	$91.20	$91.20	$238.40
Pt evaluation moderate complexity patient/family	$182.40	$182.40	$182.40	$303.00
Pt re-evaluation patient/family	$68.40	$68.40	$68.40	$117.60
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan	$34.20	$34.20	$34.20	$114.00
Pt therapeutic procedure >=1 area gait training each 15 minutes	$45.60	$45.60	$45.60	$110.40
Pt therapeutic procedure >=1 area massage each 15 minutes	$57.00	$57.00	$57.00	$110.40
Pt wheelchair management each 15 minutes	$57.00	$57.00	$57.00	$81.75
Pulmonary vent imaging	$172.20	$172.20	$172.20	$748.80
Pulse ox continuous overnight monitoring	$98.40	$98.40	$98.40	$350.40
Pulse ox multiple	$98.40	$98.40	$98.40	$251.40
Pulse ox single	$25.80	$25.80	$25.80	$91.20
Puncture arterial withdrawal blood for diagnosis	$49.20	$49.20	$49.20	$87.60
Puncture spinal lumbar diagnostic	$175.80	$175.80	$175.80	$1,470.60
Pyruvate	$48.60	$48.60	$48.60	$123.75
Quant diff pulm perf and vent w/imaging	$282.00	$282.00	$282.00	$2,878.80
Quant diff pulm perf w/imaging	$179.40	$179.40	$179.40	$1,362.40
Quest t3 uptake	$24.00	$24.00	$24.00	$96.75
Radiation handling	$72.00	$72.00	$72.00	$296.40
Radiation physics consult	$126.60	$126.60	$126.60	$568.80
Radiation therapy dose plan	$54.00	$54.00	$54.00	$595.80
Radiation treatment aid(s)	$120.60	$120.60	$120.60	$501.00
Radiation treatment aid(s)	$150.60	$150.60	$150.60	$1,244.40
Radiation treatment aid(s)	$90.00	$90.00	$90.00	$489.00
Radiation treatment delivery	$271.20	$271.20	$271.20	$698.40
Radiation treatment delivery	$463.80	$463.80	$463.80	$1,321.20
Radiology port images(s)	$18.00	$18.00	$18.00	$178.20
Radiotherapy dose plan imrt	$2,562.60	$2,562.60	$2,562.60	$6,649.20
Radphm lcl tmr plnr bdy sgl day img	$300.60	$300.60	$300.60	$2,283.00
Radphm lcl tmr plnr bdy two day img	$550.20	$550.20	$550.20	$2,386.20
Radphm lcl tomogr sgl area sgl day	$311.40	$311.40	$311.40	$2,929.80
Radphm lcl tumor plr sgl day	$168.60	$168.60	$168.60	$1,070.40
Ramucirumab 10 mg/ml intravenous solution	$8,319.60	$8,319.60	$8,319.60	$187.20
Rasburicase 1.5 mg intravenous solution	$3,184.20	$3,184.20	$3,184.20	$4,959.00
Rbc count only automated	$6.00	$6.00	$6.00	$21.40
Rbc deglycerolized each unit	$421.80	$421.80	$421.80	$1,263.00
Rbc serum pretx incubj drugs	$49.80	$49.80	$49.80	$192.60
Red blood cells each unit	$145.80	$145.80	$145.80	$759.60
Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit	$641.40	$641.40	$641.40	$641.40
Red blood cells leukocytes reduced cmv negative irradiated each unit	$397.80	$397.80	$397.80	$397.80
Red blood cells leukocytes reduced each unit	$438.60	$438.60	$438.60	$893.40
Red blood cells leukocytes reduced irradiated each unit	$365.40	$365.40	$365.40	$910.20
Red blood cells washed each unit	$259.80	$259.80	$259.80	$665.40
Redo endovas vena cava filtr	$0.60	$0.60	$0.60	$0.60
Refill/maint pump/resvr syst	$175.80	$175.80	$175.80	$423.60
Regadenoson 0.4 mg/5 ml intravenous syringe	$231.60	$231.60	$231.60	$897.00
Relocation skin pocket aicd	$0.60	$0.60	$0.60	$3,513.00
Relocation skin pocket pm	$0.60	$0.60	$0.60	$2,504.40
Rem endovas vena cava filter	$0.60	$0.60	$0.60	$5,819.40
Remdesivir 100 mg intravenous powder for solution	$685.20	$685.20	$685.20	$16.80
Removal biliary drg cath	$0.60	$0.60	$0.60	$1,398.75
Removal central venous catheter tunneled without port/pump	$0.60	$0.60	$0.60	$2,172.00
Removal central venous device tunneled w/port/pump central/peripheral insertion	$0.60	$0.60	$0.60	$3,081.00
Removal cerclage without anes	$722.40	$722.40	$722.40	$722.40
Removal duct glbldr calculi	$0.60	$0.60	$0.60	$2,689.50
Removal of shunt	$0.60	$0.60	$0.60	$0.60
Removal tunnled intprtnl cath	$0.60	$0.60	$0.60	$3,192.00
Removal/replacement ppm generator dual lead system	$0.60	$0.60	$0.60	$19,161.00
Remove renal tube w/fluoro	$0.60	$0.60	$0.60	$2,057.40
Remove ureter stent percut	$0.60	$0.60	$0.60	$10,887.60
Renal cyst study s&i	$0.60	$0.60	$0.60	$0.60
Renal function panel	$19.20	$19.20	$19.20	$156.00
Renal venogram bil s&i	$0.60	$0.60	$0.60	$2,794.20
Repair pm/icd lead dual	$0.60	$0.60	$0.60	$0.60
Repair pm/icd lead sgl	$0.60	$0.60	$0.60	$3,316.20
Replace aortic valve open axillry 33363	$0.60	$0.60	$0.60	$0.60
Replace aortic valve open femoral 33362	$0.60	$0.60	$0.60	$0.60
Replace aortic valve open iliac 33364	$0.60	$0.60	$0.60	$0.60
Replace aortic valve open transaortic 33365	$0.60	$0.60	$0.60	$0.60
Replace aortic valve w/byp cntrl aprch 33369	$0.60	$0.60	$0.60	$0.60
Replace aortic valve w/byp open aprch 33368	$0.60	$0.60	$0.60	$0.60
Replace aortic valve w/byp prq aprch 33367	$0.60	$0.60	$0.60	$0.60
Replace duod/jej tube perc	$0.60	$0.60	$0.60	$2,779.20
Replace g-j tube perc	$0.60	$0.60	$0.60	$3,246.60
Replace g/c tube perc	$0.60	$0.60	$0.60	$3,076.80
Replace picvad cath	$0.60	$0.60	$0.60	$4,201.80
Replace tunneled cv cath	$0.60	$0.60	$0.60	$4,004.40
Repos lv lead pm/icd	$0.60	$0.60	$0.60	$4,201.80
Repos sq defib eltrd	$0.60	$0.60	$0.60	$4,831.80
Reposition pm/icd lead	$0.60	$0.60	$0.60	$3,780.00
Reposition vad w/image rt/lt sep session	$0.60	$0.60	$0.60	$868.20
Respirator motion mgmt simul	$609.00	$609.00	$609.00	$1,189.20
Resuscitation cardiopulmonary	$127.20	$127.20	$127.20	$843.00
Reteplase injection	$2,774.40	$2,774.40	$2,774.40	$2,774.40
Reticulocyte automated	$16.20	$16.20	$16.20	$55.80
Revise abdomen-venous shunt	$0.60	$0.60	$0.60	$0.60
Revision of cervix	$1,444.80	$1,444.80	$1,444.80	$1,444.80
Revision tips	$0.60	$0.60	$0.60	$7,508.40
Revsc opn/prq tib/pero stent	$0.60	$0.60	$0.60	$8,640.60
Rheumatoid factor qualitative	$12.60	$12.60	$12.60	$75.00
Rheumatoid factor quantitative	$16.20	$16.20	$16.20	$74.40
Rho d immune globulin inj	$96.60	$96.60	$96.60	$728.80
Rho(d) immune globulin h, sd	$1,551.00	$1,551.00	$1,551.00	$236.40
Right ventric recording	$0.60	$0.60	$0.60	$2,545.80
Ring fx reform 11-13x17mm	$898.20	$898.20	$898.20	$898.20
Rituximab 10 mg/ml concentrate,intravenous	$5,961.00	$5,961.00	$5,961.00	$433.20
Rituximab-abbs 10 mg/ml intravenous solution	$3,977.40	$3,977.40	$3,977.40	$536.80
Rituximab-pvvr 10 mg/ml intravenous solution	$3,402.00	$3,402.00	$3,402.00	$7,463.40
Rmvl icd by tv extr	$0.60	$0.60	$0.60	$4,482.75
Rmvl icd gen w/rplc icd gen dual lead sys	$0.60	$0.60	$0.60	$34,564.20
Rmvl icd gen w/rplc icd gen mlt lead sys	$0.60	$0.60	$0.60	$36,067.20
Rmvl icd gen w/rplc icd gen sgl lead sys	$0.60	$0.60	$0.60	$34,564.20
Rmvl icd pulse gen only	$0.60	$0.60	$0.60	$3,655.80
Rmvl ndwellg tun pleural cath	$0.60	$0.60	$0.60	$1,826.40
Rmvl perm pm pulse gen	$0.60	$0.60	$0.60	$3,033.60
Rmvl pm gen w/rplc pm gen mlt lead sys	$0.60	$0.60	$0.60	$27,759.00
Rmvl pm gen w/rplc pm gen sgl lead sys	$0.60	$0.60	$0.60	$17,467.80
Rmvl pq vad left hrt vein sep session	$0.60	$0.60	$0.60	$988.80
Rmvl sq defib electrode	$0.60	$0.60	$0.60	$4,831.80
Rmvl subq card rhythm mntr	$0.60	$0.60	$0.60	$1,912.80
Rmvl tv pm lead dual	$0.60	$0.60	$0.60	$3,687.00
Rmvl tv pm lead sgl	$0.60	$0.60	$0.60	$3,023.40
Romiplostim 125 mcg subcutaneous solution	$2,861.40	$2,861.40	$2,861.40	$34.60
Ropivacaine 0.2 % epidural pca - 1 hour dose limit	$5.40	$5.40	$5.40	$178.80
Rp loclzj tum 2+area 1+d img	$238.20	$238.20	$238.20	$2,070.60
Rpl non-tun cvc wo sbq prt/pmp	$0.60	$0.60	$0.60	$2,587.20
Rpl picc wo subq port/pump incl image guidnc w/s&i	$0.60	$0.60	$0.60	$2,587.20
Rpl tun cvc wo subq port	$0.60	$0.60	$0.60	$2,739.00
Rpl tun-cvad w subq port	$0.60	$0.60	$0.60	$5,743.20
Rpl tun-cvad w subq pump	$0.60	$0.60	$0.60	$0.60
Rsv assay w/optic	$40.20	$40.20	$40.20	$13.60
Rubella antibody igg	$24.00	$24.00	$24.00	$114.60
Rubeola antibody igg	$32.40	$32.40	$32.40	$165.00
Russell viper venom diluted	$24.00	$24.00	$24.00	$137.25
Sacituzumab govitecan-hziy 180 mg intravenous solution	$35.40	$35.40	$35.40	$5,043.00
Scan duplex abd/pelvis/retroperitoneal complete	$1,126.20	$1,126.20	$1,126.20	$1,210.80
Scan duplex abd/pelvis/retroperitoneal limited	$625.80	$625.80	$625.80	$880.20
Scan duplex aorta/ivc/iliac or bypass grafts complete	$768.60	$768.60	$768.60	$819.60
Scan duplex aorta/ivc/iliac unilateral/limited	$482.40	$482.40	$482.40	$715.80
Scan duplex extracranial arteries unilateral/limited study	$518.40	$518.40	$518.40	$754.80
Scan duplex extremity veins unilateral/limited study	$500.40	$500.40	$500.40	$829.20
Scan duplex lower extremity arteries complete bilateral	$1,108.20	$1,108.20	$1,108.20	$1,340.40
Scan duplex lower extremity arteries unilateral/limited study left	$643.20	$643.20	$643.20	$952.20
Scan duplex upper extremity arteries unilateral/limited study left	$518.40	$518.40	$518.40	$931.80
Screening Mammogram	$500.40	$500.40	$500.40	$331.50
Screening prostate cancer PSA	$32.40	$32.40	$32.40	$96.00
Screw cortex 2.0 x 10mm	$15,714.60	$15,714.60	$15,714.60	$10,326.60
Sec art mech thrmbc non-intracranial add-on	$0.60	$0.60	$0.60	$12,577.80
Sedimentation rate erythrocyte automated	$7.80	$7.80	$7.80	$57.00
Semen analysis presence/motility	$12.60	$12.60	$12.60	$118.20
Sertraline (zoloft) - sendout	$48.60	$48.60	$48.60	$82.50
Set radiation therapy field	$723.60	$723.60	$723.60	$1,485.60
Set radiation therapy field	$627.00	$627.00	$627.00	$1,029.00
Set radiation therapy field	$397.80	$397.80	$397.80	$794.40
Sheath gldlight lasr 12fx50cm	$4,828.80	$4,828.80	$4,828.80	$7,034.40
Shoulder MRI (with and without contrast)	$601.20	$601.20	$601.20	$2,650.10
Shoulder MRI (with contrast)	$489.00	$489.00	$489.00	$2,838.31
Shoulder MRI (without contrast)	$276.60	$276.60	$276.60	$1,938.28
Shoulder X-ray	$89.40	$89.40	$89.40	$307.20
Shunt glaucoma baerveldt 350mm	$2,356.20	$2,356.20	$2,356.20	$5,235.60
Shuntogram nonvascular supervision & interpretation	$0.60	$0.60	$0.60	$262.80
Sialography s&i	$0.60	$0.60	$0.60	$1,283.40
Sickling rbc	$16.20	$16.20	$16.20	$81.00
Sinus CT scan (with and without contrast)	$119.40	$119.40	$119.40	$1,871.00
Sinus CT scan (with contrast)	$92.40	$92.40	$92.40	$1,566.40
Sinus CT scan (without contrast)	$80.40	$80.40	$80.40	$1,275.30
Sinus/juglr venogram s&i	$0.60	$0.60	$0.60	$1,979.25
Sleep Study (Polysomnography)	$694.80	$694.80	$694.80	$4,141.16
Sleep study unattended	$148.80	$148.80	$148.80	$919.80
Sling arm deluxe w/pad xs	$177.00	$177.00	$177.00	$201.60
Sling suprapubic suburetheral	$3,395.40	$3,395.40	$3,395.40	$4,885.60
Slp eval non-spch gen comm dev	$103.80	$103.80	$103.80	$310.20
Slp ther svc non-spch gen	$103.80	$103.80	$103.80	$103.80
Sm-153 lexidron ther	$4,290.00	$4,290.00	$4,290.00	$12,410.40
Smear fluorescent and/or acid fast stain	$32.40	$32.40	$32.40	$84.60
Smear gram stain	$32.40	$32.40	$32.40	$54.75
Smear special stain inclusion bodies/parasites	$24.00	$24.00	$24.00	$46.20
Smear wet mount	$12.60	$12.60	$12.60	$78.75
Sodium 24 hour urine	$16.20	$16.20	$16.20	$52.20
Sodium chloride 0.9 % IV bolus	$75.00	$75.00	$75.00	$52.20
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous	$9.60	$9.60	$9.60	$61.20
Sodium serum/plasma/whole blood	$3.00	$3.00	$3.00	$40.20
Special physics consult	$192.60	$192.60	$192.60	$732.00
Special radiation dosimetry	$30.00	$30.00	$30.00	$471.00
Special radiation treatment	$78.00	$78.00	$78.00	$1,986.00
Special teletx port plan	$72.00	$72.00	$72.00	$1,078.80
Specific gravity body fluid	$6.00	$6.00	$6.00	$25.80
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance	$0.60	$0.60	$0.60	$1,439.40
Spirometry bronchodilation responsiveness pre/post bronchodilator administration	$121.20	$121.20	$121.20	$543.75
Splint arm vnyl coated padded lft med	$49.80	$49.80	$49.80	$49.80
Split blood or products	$32.40	$32.40	$32.40	$226.20
Srs linear based	$1,790.40	$1,790.40	$1,790.40	$8,479.20
St analysis behavior qualitative voice/resonance	$150.00	$150.00	$150.00	$326.25
St evaluate speech sound production	$150.00	$150.00	$150.00	$310.20
St evaluate speech sound production comprehensive/expressive	$334.80	$334.80	$334.80	$334.80
St evaluation motion fluoroscopic swallow function cine/video	$265.20	$265.20	$265.20	$354.75
St evaluation swallow function	$138.00	$138.00	$138.00	$416.40
St treatment speech individual	$103.80	$103.80	$103.80	$203.40
St treatment swallow dysfunction/oral	$138.00	$138.00	$138.00	$216.80
Staph a dna amp probe	$194.40	$194.40	$194.40	$119.25
Stent axios caut enh 15x10mm electrocaut	$26,519.40	$26,519.40	$26,519.40	$30,010.80
Stent bili dbl pgtl 10fx5cm	$447.60	$447.60	$447.60	$720.00
Stent bili rx wallflx 10x80 uncvr	$3,783.00	$3,783.00	$3,783.00	$11,522.40
Stent bronch dumon sil 10x40mm	$544.20	$544.20	$544.20	$10,323.00
Stent iliac/open or perc/uni/init 37221	$0.60	$0.60	$0.60	$17,448.00
Stent iliac/open/perc/ea ad/ipsila 37223	$0.60	$0.60	$0.60	$16,307.40
Stent/athrectomy/fem/pop/unilat 37227	$0.60	$0.60	$0.60	$54,766.80
Stent/tib/peroneal/unilat/initial 37230	$0.60	$0.60	$0.60	$24,161.40
Strep a ag ia	$40.20	$40.20	$40.20	$76.80
Strep b dna amp probe	$194.40	$194.40	$194.40	$194.40
Streptozocin injection	$375.60	$375.60	$375.60	$1,285.80
Stress test pulmonary	$98.40	$98.40	$98.40	$399.00
Sugars single quant	$6.00	$6.00	$6.00	$114.60
Sumatriptan 6 mg/0.5 ml subcutaneous solution	$5.40	$5.40	$5.40	$167.98
Support clav 29.6-40.5in med	$86.40	$86.40	$86.40	$133.20
Surgical pathology level 1 gross examination only	$32.40	$32.40	$32.40	$58.20
Surgical pathology level 2 gross & microscopic examination	$40.20	$40.20	$40.20	$189.00
Surgical pathology level 3 gross & microscopic examination	$64.80	$64.80	$64.80	$236.40
Surgical pathology level 4 gross & microscopic examination	$97.20	$97.20	$97.20	$302.40
Surgical pathology level 5 gross & microscopic examination	$162.00	$162.00	$162.00	$493.60
Surgical pathology level 6 gross & microscopic examination	$202.80	$202.80	$202.80	$669.60
Susceptibility agar dilution per agent	$16.20	$16.20	$16.20	$69.75
Susceptibility enzyme detection per enzyme	$7.80	$7.80	$7.80	$25.80
Susceptibility mic per plate	$16.20	$16.20	$16.20	$96.00
Svc venogram s&i	$0.60	$0.60	$0.60	$1,851.60
Syphilis test non-treponemal antibody quantitative rpr	$16.20	$16.20	$16.20	$76.80
System pacing micra av	$6,455.40	$6,455.40	$6,455.40	$22,146.00
System pcmkr dual chamber leadless micra av2 intrdcr cath	$7,971.60	$7,971.60	$7,971.60	$9,256.80
T cells absolute cd 4 count	$81.00	$81.00	$81.00	$174.40
T cells absolute cd4/cd8 including ratio	$162.00	$162.00	$162.00	$261.60
T cells total count	$81.00	$81.00	$81.00	$210.00
T3 (triiodothyronine) free	$24.00	$24.00	$24.00	$137.40
T3 (triiodothyronine) total	$24.00	$24.00	$24.00	$190.20
T4 (thyroxine) free	$24.00	$24.00	$24.00	$176.40
T4 (thyroxine) total	$24.00	$24.00	$24.00	$82.80
Tacrolimus therapeutic drug level	$48.60	$48.60	$48.60	$187.20
Target gsa panel organ neop	$828.00	$828.00	$828.00	$3,223.20
Tavr perq femoral	$0.60	$0.60	$0.60	$10,503.00
Tb test cell mediated immunity antigen response gamma interferon	$56.40	$56.40	$56.40	$345.00
Tc-99m apcitide diag	$420.00	$420.00	$420.00	$1,761.60
Tc-99m diag per dose	$240.00	$240.00	$240.00	$77.40
Tc-99m disofenin	$51.60	$51.60	$51.60	$59.40
Tc-99m exame autol wbc diag per dose	$576.00	$576.00	$576.00	$576.00
Tc-99m fanolesomab diag	$1,020.00	$1,020.00	$1,020.00	$3,894.60
Tc-99m labeled rbc	$49.20	$49.20	$49.20	$282.00
Tc-99m maa	$165.60	$165.60	$165.60	$161.60
Tc-99m mebrofenin	$48.00	$48.00	$48.00	$292.20
Tc-99m oxidronate	$15.00	$15.00	$15.00	$54.20
Tc-99m pentetate dtpa	$22.20	$22.20	$22.20	$96.00
Tc-99m pyroph diag per dose up to 25 mci	$51.60	$51.60	$51.60	$152.00
Tc-99m sestamibi p study dose	$103.20	$103.20	$103.20	$640.80
Tc-99m succimer (dmsa)	$129.60	$129.60	$129.60	$672.80
Tc-99m sulfur colloid	$49.20	$49.20	$49.20	$268.80
Telethx isodose plan cplx	$222.60	$222.60	$222.60	$2,941.80
Telethx isodose plan simple	$120.60	$120.60	$120.60	$2,039.40
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln	$77.40	$77.40	$77.40	$539.40
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)	$8,405.40	$8,405.40	$8,405.40	$10,576.20
Test for porphobilinogen	$19.20	$19.20	$19.20	$19.20
Test stress cardiovascular tracing only	$199.20	$199.20	$199.20	$1,618.20
Test urine for porphyrins	$25.80	$25.80	$25.80	$25.80
Tetanus immune globulin inj	$676.80	$676.80	$676.80	$1,378.40
Theophylline therapeutic drug level	$24.00	$24.00	$24.00	$163.80
Therapeutic procd strg endur	$49.20	$49.20	$49.20	$93.60
Therapy nutrition individual initial f2f w/patient each 15 minutes	$87.60	$87.60	$87.60	$27.00
Thiamine hcl (vitamin b1) 100 mg/ml injection solution	$4.20	$4.20	$4.20	$42.60
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)	$0.60	$0.60	$0.60	$1,542.40
Thrombectmy crnry perq mechanical	$0.60	$0.60	$0.60	$3,855.60
Thrombectomy/inf pq dialysis circuit	$0.60	$0.60	$0.60	$4,405.80
Thrombectomy/inf pq dialysis circuit w/pta	$0.60	$0.60	$0.60	$6,277.20
Thrombectomy/inf pq dialysis circuit w/stent plcmnt	$0.60	$0.60	$0.60	$4,168.80
Thrombin time	$16.20	$16.20	$16.20	$86.40
Thromboplastin time partial (ptt) substitution fractions each	$38.40	$38.40	$38.40	$96.60
Thyroglobulin antibody	$40.20	$40.20	$40.20	$210.00
Thyroid (TSH) Test	$24.00	$24.00	$24.00	$110.00
Thyroid Ultrasound	$447.00	$447.00	$447.00	$598.20
Thyroid mets imag whole body	$289.20	$289.20	$289.20	$2,013.75
Thyrotropin alfa 0.9 mg intramuscular solution	$2,199.00	$2,199.00	$2,199.00	$7,476.81
Thyroxine binding globulin (tbg)	$24.00	$24.00	$24.00	$204.00
Tib/per revasc stent & ather 37231	$0.60	$0.60	$0.60	$0.60
Tib/per revasc stnt & ather	$0.60	$0.60	$0.60	$21,287.40
Tib/per revasc w/ather add-on 37233	$0.60	$0.60	$0.60	$14,982.00
Tigecycline injection	$58.20	$58.20	$58.20	$34.65
Tisotumab vedotin-tftv 40 mg intravenous solution	$190.20	$190.20	$190.20	$322.20
Tissue culture skin/biopsy	$324.60	$324.60	$324.60	$1,358.25
Tl-201 thallium diag per mci	$140.40	$140.40	$140.40	$169.20
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr	$1.80	$1.80	$1.80	$84.60
Tobramycin peak therapeutic drug level	$24.00	$24.00	$24.00	$180.00
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector	$7.20	$7.20	$7.20	$5,812.20
Tomosynthesis breast screen bilateral	$124.80	$124.80	$124.80	$57.00
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution	$0.60	$0.60	$0.60	$130.80
Toxoplasma antibody igg	$40.20	$40.20	$40.20	$201.60
Toxoplasma antibody igm	$40.20	$40.20	$40.20	$241.20
Trabectedin 1 mg intravenous solution	$386.40	$386.40	$386.40	$1,769.60
Trans cath replace aortic valve 33366	$0.60	$0.60	$0.60	$0.60
Transcath closure of asd	$0.60	$0.60	$0.60	$14,788.80
Transcath closure of vsd	$0.60	$0.60	$0.60	$0.60
Transcath rmvl perm ldss pmkr rv	$0.60	$0.60	$0.60	$2,428.20
Transcatheter bx s&i	$0.60	$0.60	$0.60	$2,803.80
Transferrin	$24.00	$24.00	$24.00	$108.00
Transfusion blood/blood component(s)	$1,347.60	$1,347.60	$1,347.60	$1,167.00
Trastuzumab 150 mg intravenous solution	$2,629.80	$2,629.80	$2,629.80	$2,629.80
Trastuzumab-anns 150 mg intravenous solution	$1,410.00	$1,410.00	$1,410.00	$448.80
Trastuzumab-qyyp 150 mg intravenous solution	$1,743.60	$1,743.60	$1,743.60	$198.00
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour	$54.00	$54.00	$54.00	$246.60
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour	$44.40	$44.40	$44.40	$234.00
Treatment inhalation pressurized/nonpressurized acute airway obstruction	$765.00	$765.00	$765.00	$286.80
Treatment radiation delivery level 2	$433.80	$433.80	$433.80	$787.80
Tremelimumab-actl 20 mg/ml intravenous solution	$156.00	$156.00	$156.00	$263.40
Treponema pallidum antibody	$27.60	$27.60	$27.60	$150.60
Trg gene rearrangement anal	$194.40	$194.40	$194.40	$1,051.20
Triglycerides	$3.00	$3.00	$3.00	$93.00
Trnscath plc stent crv crtd w/prtct	$0.60	$0.60	$0.60	$9,821.40
Trnscath plc stent crv crtd without prtct	$0.60	$0.60	$0.60	$8,784.00
Trnscath plc stnt ante carotid art	$0.60	$0.60	$0.60	$0.60
Trnscath plc vas stent w/s&i ea addl artery	$0.60	$0.60	$0.60	$13,400.40
Trnscath plc vas stent w/s&i ea addl vein	$0.60	$0.60	$0.60	$9,800.25
Trnscath plc vas stent w/s&i ini vein	$0.60	$0.60	$0.60	$13,400.40
Trnscath retrv pq vasc fb w/guide	$0.60	$0.60	$0.60	$7,288.20
Trnscath tx thromblytc art/ven sbsq day	$0.60	$0.60	$0.60	$5,324.40
Trnscath tx thromblytc artery non-intracrn ini day	$0.60	$0.60	$0.60	$6,966.60
Trnscath tx thromblytc cath rmv sbsq day	$0.60	$0.60	$0.60	$5,324.40
Trnscath tx thromblytc vein ini day	$0.60	$0.60	$0.60	$5,236.20
Troponin quantitative	$40.20	$40.20	$40.20	$114.60
Tte w or without fol w/con,stres	$405.00	$405.00	$405.00	$968.40
Tube drain vert dev st 5-40f	$29.40	$29.40	$29.40	$16.80
Tube trach disp innr can 5 xlt	$645.60	$645.60	$645.60	$394.80
Tube trach fen sz 6 uncuffed	$119.40	$119.40	$119.40	$198.60
Tx atrial fib pulm vein isol	$0.60	$0.60	$0.60	$30,975.00
Ultrasound abdomen aorta screening study aaa	$339.60	$339.60	$339.60	$248.40
Ultrasound breast complete	$357.60	$357.60	$357.60	$597.60
Ultrasound breast unilateral limited (both sides)	$268.20	$268.20	$268.20	$479.40
Ultrasound chest	$303.60	$303.60	$303.60	$543.60
Ultrasound doppler velocimetry fetal umbilical artery	$106.80	$106.80	$106.80	$257.40
Ultrasound elastography ea l target les	$142.80	$142.80	$142.80	$163.50
Ultrasound elastography parenchyma	$321.60	$321.60	$321.60	$202.20
Ultrasound encephalogram	$429.00	$429.00	$429.00	$552.00
Ultrasound exam k transpl w/doppler	$607.80	$607.80	$607.80	$718.80
Ultrasound fetal biophysical profile without non-stress testing	$250.20	$250.20	$250.20	$540.00
Ultrasound guidance for vascular access	$0.60	$0.60	$0.60	$381.60
Ultrasound guide intraoperative	$196.20	$196.20	$196.20	$628.80
Ultrasound guided needle placement supervision & interpretation	$0.60	$0.60	$0.60	$1,009.80
Ultrasound hips infant dynamic	$553.80	$553.80	$553.80	$553.80
Ultrasound infant hips ltd without stress	$393.00	$393.00	$393.00	$393.00
Ultrasound joint complete left	$447.00	$447.00	$447.00	$847.80
Ultrasound joint/nonvascular extremity limited left	$53.40	$53.40	$53.40	$571.80
Ultrasound ob >=14wks ea addl gest	$214.20	$214.20	$214.20	$879.75
Ultrasound pregnant uterus < 14 weeks each additional gestation	$106.80	$106.80	$106.80	$309.00
Ultrasound pregnant uterus detailed fetal exam single/1st gestation	$429.00	$429.00	$429.00	$925.50
Ultrasound pregnant uterus follow up per fetus	$357.60	$357.60	$357.60	$690.60
Ultrasound pregnant uterus limited >= 1 fetuses	$268.20	$268.20	$268.20	$645.00
Ultrasound pregnant uterus transvaginal	$303.60	$303.60	$303.60	$678.60
Ultrasound prostate/transrectal	$303.60	$303.60	$303.60	$695.40
Ultrasound retroperitoneal limited	$142.80	$142.80	$142.80	$543.00
Ultrasound scrotum and contents	$178.80	$178.80	$178.80	$693.75
Ultrasound spinal canal and contents	$411.00	$411.00	$411.00	$571.80
Ultrasound transvaginal non obstetric	$447.00	$447.00	$447.00	$820.80
Unlisted fluoroscopic px	$0.60	$0.60	$0.60	$199.20
Unlisted mr procedure	$1,037.40	$1,037.40	$1,037.40	$942.00
Unlisted procedure liver	$0.60	$0.60	$0.60	$2,287.20
Unlisted px casting/strpg	$136.80	$136.80	$136.80	$136.80
Unlisted transfusion med px	$1,015.20	$1,015.20	$1,015.20	$306.00
Unlisted ultrasound procedure	$0.60	$0.60	$0.60	$146.40
Upgrade pm system	$0.60	$0.60	$0.60	$5,231.40
Upper Back (Thoracic Spine) MRI (with and without contrast)	$442.20	$442.20	$442.20	$2,713.80
Upper Back (Thoracic Spine) MRI (with contrast)	$388.80	$388.80	$388.80	$2,039.85
Upper Back (Thoracic Spine) MRI (without contrast)	$247.20	$247.20	$247.20	$2,013.08
Urea nitrogen	$3.00	$3.00	$3.00	$39.60
Urea nitrogen 24 hour urine	$16.20	$16.20	$16.20	$63.60
Urea nitrogen clearance	$19.20	$19.20	$19.20	$60.60
Urethrcystgrphy rtrgrde s&i	$0.60	$0.60	$0.60	$642.60
Urethrocystography void s&i	$0.60	$0.60	$0.60	$707.25
Uric acid blood	$3.00	$3.00	$3.00	$59.20
Uric acid urine	$16.20	$16.20	$16.20	$52.20
Urinalysis (with microscopy)	$14.40	$14.40	$14.40	$36.40
Urinalysis (without microscopy)	$6.00	$6.00	$6.00	$32.50
Urinalysis microscopic only	$7.80	$7.80	$7.80	$13.80
Urinalysis qual/semiquant excpt ia	$14.40	$14.40	$14.40	$51.00
Urine Culture Test	$32.40	$32.40	$32.40	$65.15
Urine pregnancy test	$16.20	$16.20	$16.20	$83.40
Urography, antegrade	$0.60	$0.60	$0.60	$1,132.80
Use 1st target lesion	$321.60	$321.60	$321.60	$189.00
Ustekinumab 45 mg/0.5 ml subcutaneous solution	$246.60	$246.60	$246.60	$746.40
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml	$115.80	$115.80	$115.80	$340.00
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im	$11.40	$11.40	$11.40	$31.20
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im	$297.00	$297.00	$297.00	$186.00
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im	$98.40	$98.40	$98.40	$57.00
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im	$25.20	$25.20	$25.20	$24.00
Vaccine mengingoccocal serogroup b 2 dose im	$156.60	$156.60	$156.60	$109.60
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im	$127.80	$127.80	$127.80	$108.80
Vaccine pneumonococcal conjugate 20 valent (pcv20) im	$270.60	$270.60	$270.60	$192.00
Vaccine respiratory syncytial virus bivalent subunit/preservative free im	$327.00	$327.00	$327.00	$504.00
Vaccine varicella live subcutaneous	$162.00	$162.00	$162.00	$748.80
Vaginal Delivery (full care)	$4,624.20	$4,624.20	$4,624.20	$4,552.00
Valproic acid total therapeutic drug level	$24.00	$24.00	$24.00	$181.20
Valvuloplasty aortic	$0.60	$0.60	$0.60	$6,420.60
Valvuloplasty mitral	$0.60	$0.60	$0.60	$17,108.40
Valvuloplasty pulmonary	$0.60	$0.60	$0.60	$14,880.00
Vancomycin hcl injection	$33.60	$33.60	$33.60	$42.00
Vancomycin peak therapeutic drug level	$24.00	$24.00	$24.00	$159.00
Varicella zoster antibody igg	$32.40	$32.40	$32.40	$128.40
Varicella-zoster immue globin im	$1,567.20	$1,567.20	$1,567.20	$1,567.20
Vein x-ray adrenal gland	$0.60	$0.60	$0.60	$1,992.75
Vein x-ray adrenal glands	$0.60	$0.60	$0.60	$2,934.00
Vein x-ray eye socket	$0.60	$0.60	$0.60	$0.60
Vein x-ray kidney	$0.60	$0.60	$0.60	$2,587.20
Vein x-ray liver	$0.60	$0.60	$0.60	$3,328.80
Vein x-ray liver w/hemodynam	$0.60	$0.60	$0.60	$4,614.60
Vein x-ray liver w/hemodynam	$0.60	$0.60	$0.60	$3,009.60
Vein x-ray skull	$0.60	$0.60	$0.60	$2,280.00
Vein x-ray skull epidural	$0.60	$0.60	$0.60	$0.60
Venogram ext bil s&i	$0.60	$0.60	$0.60	$3,476.40
Venogram extremity supervision & interpretation unilateral	$0.60	$0.60	$0.60	$1,528.50
Venous m-thrombectomy add-on	$0.60	$0.60	$0.60	$10,522.80
Venous mech thrombectomy	$0.60	$0.60	$0.60	$12,268.80
Venous sampling s&i	$0.60	$0.60	$0.60	$3,174.00
Ventilator each subsequent day	$478.20	$478.20	$478.20	$1,585.80
Ventilator initial day	$478.20	$478.20	$478.20	$1,650.60
Version cephalic external	$1,444.80	$1,444.80	$1,444.80	$1,444.80
Very long chain fatty acids	$194.40	$194.40	$194.40	$315.00
Vinblastine 1 mg/ml intravenous solution	$3.60	$3.60	$3.60	$94.80
Vincristine 1 mg/ml intravenous solution	$10.80	$10.80	$10.80	$111.30
Vinorelbine 10 mg/ml intravenous solution (wrapper)	$9.60	$9.60	$9.60	$417.00
Virus isolation addl studies ea	$40.20	$40.20	$40.20	$186.60
Visc & infraren abd 1 prosth	$0.60	$0.60	$0.60	$0.60
Visc & infraren abd 2 prosth	$0.60	$0.60	$0.60	$0.60
Vital capacity test	$28.20	$28.20	$28.20	$186.75
Vitamin D Test	$24.00	$24.00	$24.00	$142.35
Vitamin b-12	$24.00	$24.00	$24.00	$133.80
Vol reduction of blood/prod	$32.40	$32.40	$32.40	$32.40
Volume measurement urine timed	$3.00	$3.00	$3.00	$35.25
Warde 1003990 aldosterone	$40.20	$40.20	$40.20	$306.60
Warde 1005020 citrate 24 hour urine	$24.00	$24.00	$24.00	$216.75
Warde 1005055 5-hiaa 24 hour urine	$48.60	$48.60	$48.60	$147.75
Warde 1006955 catecholamines fractionated 24 hour urine	$145.80	$145.80	$145.80	$246.00
Warde 1007138 vanillymandelic acid 24 hour urine	$48.60	$48.60	$48.60	$165.60
Warde 3004000 immunoglobulin subclass 1	$24.00	$24.00	$24.00	$128.40
Warde 3008005 oligoclonal bands	$40.20	$40.20	$40.20	$237.60
Warde 3016300 saccharomyces cerevisiae iga antibody	$24.00	$24.00	$24.00	$100.80
Warde 3400652 ova & parasites direct smear concentration and id	$64.80	$64.80	$64.80	$60.00
Warde 3400852 arsenic	$64.80	$64.80	$64.80	$142.20
Warde 3708165 mercury urine	$40.20	$40.20	$40.20	$122.40
Warde actin (smooth muscle) antibody each	$24.00	$24.00	$24.00	$132.60
Warde adenosine deaminase pleural fluid	$40.20	$40.20	$40.20	$87.60
Warde adrenocorticotropic hormone (acth)	$48.60	$48.60	$48.60	$289.20
Warde aldolase	$24.00	$24.00	$24.00	$139.20
Warde amino acids 6 or more quantitative each specimen	$243.60	$243.60	$243.60	$721.20
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative	$194.40	$194.40	$194.40	$947.40
Warde apolipoprotein b	$24.00	$24.00	$24.00	$133.80
Warde bile acids	$40.20	$40.20	$40.20	$243.00
Warde cadmium blood	$64.80	$64.80	$64.80	$124.20
Warde calcitonin	$48.60	$48.60	$48.60	$202.80
Warde calculus (stone) infrared	$64.80	$64.80	$64.80	$137.40
Warde clozapine therapeutic drug level	$48.60	$48.60	$48.60	$141.00
Warde cobalt heavy metal quantitative each nes	$48.60	$48.60	$48.60	$309.60
Warde collagen cross links c-telopeptide	$40.20	$40.20	$40.20	$238.80
Warde complement total hemolytic	$40.20	$40.20	$40.20	$178.20
Warde copper	$40.20	$40.20	$40.20	$159.00
Warde cryoglobulin	$22.20	$22.20	$22.20	$75.60
Warde erythropoietin	$24.00	$24.00	$24.00	$178.80
Warde estrogen fractionated	$40.20	$40.20	$40.20	$298.80
Warde folic acid rbc	$24.00	$24.00	$24.00	$137.40
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative	$24.00	$24.00	$24.00	$235.20
Warde gastrin	$24.00	$24.00	$24.00	$209.40
Warde growth hormone (hgh)	$51.60	$51.60	$51.60	$142.20
Warde haloperidol therapeutic drug level	$48.60	$48.60	$48.60	$93.75
Warde helminth antibody strongyloides igg	$53.40	$53.40	$53.40	$150.60
Warde hemoglobin fractionation/quantitation electrophoresis	$40.20	$40.20	$40.20	$102.60
Warde hepatitis a antibody	$32.40	$32.40	$32.40	$124.20
Warde hepatitis be antibody	$32.40	$32.40	$32.40	$100.20
Warde immunofixation electrophoresis urine	$71.40	$71.40	$71.40	$241.20
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn	$32.40	$32.40	$32.40	$108.60
Warde infectious agent nucleic acid genotype hepatitis c	$552.00	$552.00	$552.00	$1,624.80
Warde islet cell antibody zinc transporter 8	$32.40	$32.40	$32.40	$202.80
Warde lipoprotein (a)	$40.20	$40.20	$40.20	$93.00
Warde neutralization rabies	$81.00	$81.00	$81.00	$94.20
Warde oxcarbazepine therapeutic drug level	$24.00	$24.00	$24.00	$141.00
Warde pancreatic elastase fecal quantitative	$40.20	$40.20	$40.20	$145.80
Warde protein c antigen	$97.20	$97.20	$97.20	$110.40
Warde sex hormone binding globulin	$40.20	$40.20	$40.20	$156.75
Warde somatomedin	$24.00	$24.00	$24.00	$137.40
Warde sugars single qualitative each specimen stool	$12.60	$12.60	$12.60	$28.80
Warde t3 (triiodothyronine) reverse	$24.00	$24.00	$24.00	$176.40
Warde thyroid stimulating immunoglobulins	$40.20	$40.20	$40.20	$846.00
Warde topiramate therapeutic drug level	$24.00	$24.00	$24.00	$130.20
Warde virus isolation tissue culture innoculation presumptive id herpes simplex	$162.00	$162.00	$162.00	$219.60
Warde viscosity	$40.20	$40.20	$40.20	$181.20
Warde vitamin a	$48.60	$48.60	$48.60	$222.60
Warde vitamin b-1 (thiamine)	$79.20	$79.20	$79.20	$194.40
Warde vitamin b6 (pyridoxine)	$81.00	$81.00	$81.00	$226.80
Warde vitamin c (ascorbic acid)	$40.20	$40.20	$40.20	$117.00
Warde vitamin d (1 25 dihydroxy)	$40.20	$40.20	$40.20	$579.00
Warde vitamin e (alpha-tocopherol)	$48.60	$48.60	$48.60	$137.40
Warde zinc	$40.20	$40.20	$40.20	$150.60
Wbc automated	$6.00	$6.00	$6.00	$35.40
Western blot test	$97.20	$97.20	$97.20	$178.80
Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit	$511.20	$511.20	$511.20	$511.20
Whole blood/red blood cells leukocytes reduced cmv negative each unit	$267.60	$267.60	$267.60	$267.60
Wound therapy negative pressure per session <= 50 sq cm	$125.40	$125.40	$125.40	$211.20
Wound therapy negative pressure per session <= 50 sq cm dme	$125.40	$125.40	$125.40	$230.40
Wound therapy negative pressure per session > 50 sq cm	$136.80	$136.80	$136.80	$210.00
Wound therapy negative pressure per session > 50 sq cm dme	$136.80	$136.80	$136.80	$319.50
Wrist X-ray	$124.80	$124.80	$124.80	$311.20
X-ray abdomen 1 view	$71.40	$71.40	$71.40	$419.40
X-ray abdomen 2 views	$124.80	$124.80	$124.80	$395.20
X-ray abdomen >=3 views	$124.80	$124.80	$124.80	$405.00
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest	$142.80	$142.80	$142.80	$609.60
X-ray acromioclavicular joints without or w/weighted distraction bilateral	$124.80	$124.80	$124.80	$405.00
X-ray ankle 2 views (both sides)	$106.80	$106.80	$106.80	$419.40
X-ray arthrogram shoulder supervision & interpretation (both sides)	$0.60	$0.60	$0.60	$814.20
X-ray bone age studies	$71.40	$71.40	$71.40	$327.00
X-ray bone length studies	$106.80	$106.80	$106.80	$419.40
X-ray bone survey complete	$303.60	$303.60	$303.60	$743.25
X-ray bone survey infant	$303.60	$303.60	$303.60	$303.60
X-ray cervical spine 2-3 views	$106.80	$106.80	$106.80	$419.40
X-ray cervical spine 4-5 views	$142.80	$142.80	$142.80	$590.25
X-ray cervical spine >= 6 views	$196.20	$196.20	$196.20	$679.20
X-ray clavicle complete (both sides)	$89.40	$89.40	$89.40	$281.25
X-ray colon abdominal radiograph(s) & delayed images single contrast study	$571.80	$571.80	$571.80	$779.40
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study	$822.00	$822.00	$822.00	$1,107.00
X-ray elbow 2 views (both sides)	$89.40	$89.40	$89.40	$419.40
X-ray elbow >= 3 views (both sides)	$106.80	$106.80	$106.80	$405.00
X-ray esophogram chest radiograph(s) & delayed images single contrast study	$321.60	$321.60	$321.60	$713.40
X-ray exam entire spi 4/5 vw	$250.20	$250.20	$250.20	$682.20
X-ray exam entire spi 6/> vw	$303.60	$303.60	$303.60	$682.20
X-ray exam of arm infant	$89.40	$89.40	$89.40	$419.40
X-ray exam of eye sockets	$142.80	$142.80	$142.80	$405.00
X-ray exam of femur 1	$89.40	$89.40	$89.40	$287.20
X-ray exam of jaw joint	$106.80	$106.80	$106.80	$405.00
X-ray exam of mastoids	$124.80	$124.80	$124.80	$333.00
X-ray exam of middle ear	$58.80	$58.80	$58.80	$475.20
X-ray exam of sinuses	$106.80	$106.80	$106.80	$343.50
X-ray exam si joints	$89.40	$89.40	$89.40	$218.40
X-ray exam thorac spine4/>vw	$142.80	$142.80	$142.80	$456.60
X-ray eye detection foreign body (both sides)	$89.40	$89.40	$89.40	$419.40
X-ray facial bones complete > 3 views	$142.80	$142.80	$142.80	$444.00
X-ray femur >=2 views (both sides)	$106.80	$106.80	$106.80	$419.40
X-ray finger(s) >= 2 views (both sides)	$124.80	$124.80	$124.80	$310.50
X-ray foot 2 views (both sides)	$89.40	$89.40	$89.40	$419.40
X-ray forearm 2 views (both sides)	$89.40	$89.40	$89.40	$419.40
X-ray hand 2 views (both sides)	$89.40	$89.40	$89.40	$419.40
X-ray heel/calcaneus > 2 views (both sides)	$89.40	$89.40	$89.40	$354.40
X-ray hip uni w/wo pelvis min 4 views	$178.80	$178.80	$178.80	$414.00
X-ray hip with pelvis when performed bilateral 2 views	$142.80	$142.80	$142.80	$405.00
X-ray hip with pelvis when performed bilateral 3-4 views	$160.80	$160.80	$160.80	$414.00
X-ray hip with pelvis when performed bilateral >= 5 views	$196.20	$196.20	$196.20	$456.60
X-ray hip with pelvis when performed unilateral 1 view left	$106.80	$106.80	$106.80	$419.40
X-ray humerus >= 2 views left	$106.80	$106.80	$106.80	$419.40
X-ray joint survey 1 view	$106.80	$106.80	$106.80	$345.00
X-ray knee 1-2 views (both sides)	$106.80	$106.80	$106.80	$419.40
X-ray knee 3 views (both sides)	$124.80	$124.80	$124.80	$399.00
X-ray knee ap standing bilateral	$142.80	$142.80	$142.80	$276.00
X-ray l/s-spine bend vw only 2-3 vw	$142.80	$142.80	$142.80	$417.00
X-ray lower extremities infant > 2 views (both sides)	$89.40	$89.40	$89.40	$419.40
X-ray lumbosacral spine >= 4 views	$160.80	$160.80	$160.80	$682.20
X-ray lumbosacral spine complete including bending views >= 6 views	$232.20	$232.20	$232.20	$682.20
X-ray mandible complete > 4 views	$124.80	$124.80	$124.80	$412.80
X-ray mandible ltd <4 views	$124.80	$124.80	$124.80	$375.60
X-ray nasal bones complete > 3 views	$124.80	$124.80	$124.80	$316.80
X-ray neck soft tissue	$89.40	$89.40	$89.40	$314.25
X-ray nose to rectum for foreign body child	$89.40	$89.40	$89.40	$243.00
X-ray optic foramina	$29.40	$29.40	$29.40	$292.80
X-ray pelvis 1-2 views	$106.80	$106.80	$106.80	$419.40
X-ray pelvis complete > 3 views	$142.80	$142.80	$142.80	$453.75
X-ray ribs 2 views left	$106.80	$106.80	$106.80	$304.80
X-ray ribs 3 views bilateral	$124.80	$124.80	$124.80	$456.60
X-ray ribs w/posterior anterior chest 3 views left	$106.80	$106.80	$106.80	$405.00
X-ray ribs w/posterior anterior chest > 4 views bilateral	$160.80	$160.80	$160.80	$644.40
X-ray sacroiliac joints >= 3 views	$124.80	$124.80	$124.80	$405.00
X-ray sacrum/coccyx >= 2 views	$89.40	$89.40	$89.40	$387.60
X-ray scapula complete (both sides)	$106.80	$106.80	$106.80	$323.25
X-ray sella turcica	$39.00	$39.00	$39.00	$405.00
X-ray shoulder 1 view (both sides)	$71.40	$71.40	$71.40	$419.40
X-ray sinus tract/fistula/abscess	$142.80	$142.80	$142.80	$1,167.00
X-ray sinuses paranasal complete > 3 views	$124.80	$124.80	$124.80	$419.40
X-ray skull < 4 views	$124.80	$124.80	$124.80	$405.00
X-ray skull > 4 views complete	$142.80	$142.80	$142.80	$532.80
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study	$393.00	$393.00	$393.00	$669.60
X-ray small intestine follow-through study	$232.20	$232.20	$232.20	$419.40
X-ray spine single view	$71.40	$71.40	$71.40	$327.00
X-ray sternoclavicular joint(s) > 3 views	$124.80	$124.80	$124.80	$393.00
X-ray sternum > 2 views	$89.40	$89.40	$89.40	$382.50
X-ray surgical specimen	$35.40	$35.40	$35.40	$400.50
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study	$500.40	$500.40	$500.40	$804.00
X-ray temporomandibular joint open/closed mouth bilateral	$178.80	$178.80	$178.80	$456.60
X-ray thoracic spine 2 views	$106.80	$106.80	$106.80	$419.40
X-ray thoracic spine 3 views	$124.80	$124.80	$124.80	$456.60
X-ray thoracolumbar spine >=2 views	$89.40	$89.40	$89.40	$348.00
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view	$124.80	$124.80	$124.80	$453.00
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views	$232.20	$232.20	$232.20	$682.20
X-ray tibia/fibula 2 views (both sides)	$106.80	$106.80	$106.80	$436.50
X-ray toe(s) > 2 views (both sides)	$106.80	$106.80	$106.80	$364.80
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast	$464.40	$464.40	$464.40	$690.00
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study	$393.00	$393.00	$393.00	$580.20
X-ray wrist 2 views (both sides)	$106.80	$106.80	$106.80	$419.40
Xe133 xenon 10mci	$23.40	$23.40	$23.40	$23.40
Xm archive tissue molec anal	$40.20	$40.20	$40.20	$54.60
Xyntha inj	$1.80	$1.80	$1.80	$1.80
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr	$32.40	$32.40	$32.40	$94.80
Zika virus dna/rna amp probe	$194.40	$194.40	$194.40	$194.40
Ziv-aflibercept 25 mg/ml intravenous solution (wrapper)	$1,920.00	$1,920.00	$1,920.00	$74.40
Zoledronic acid 4 mg/5 ml intravenous solution	$52.80	$52.80	$52.80	$3,207.00
Zoster vaccine-live inj	$262.20	$262.20	$262.20	$135.00
_afb id by dna probe rflx ast	$40.20	$40.20	$40.20	$141.00