|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$647.09 |
$647.09 |
$647.09 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,313.42 |
$1,313.42 |
$1,313.42 |
$494.40
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$534.05 |
$534.05 |
$534.05 |
$699.00
|
|
Asp core fat pad
|
$895.10 |
$895.10 |
$895.10 |
$1,123.50
|
|
Asp & inj w/heparin pleurx cath
|
$738.67 |
$738.67 |
$738.67 |
$1,546.46
|
|
Aspirate bladder/sprapubic cath 51102
|
$3,141.31 |
$3,141.31 |
$3,141.31 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$659.62 |
$659.62 |
$659.62 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$745.34 |
$745.34 |
$745.34 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,649.52 |
$1,649.52 |
$1,649.52 |
$1,250.04
|
|
Aspir/inj thyroid cyst 60300
|
$298.37 |
$298.37 |
$298.37 |
$872.50
|
|
Asp pq spinal cord cyst/syrinx
|
$1,416.91 |
$1,416.91 |
$1,416.91 |
$1,330.50
|
|
Assay myeloperoxidase
|
$49.15 |
$49.15 |
$49.15 |
$97.41
|
|
Assay neurflmnt light chain
|
$333.07 |
$333.07 |
$333.07 |
$380.00
|
|
Assay of digoxin free
|
$53.90 |
$53.90 |
$53.90 |
$38.08
|
|
Assay of feces porphyrins
|
$119.38 |
$119.38 |
$119.38 |
$134.38
|
|
Assay of galactose
|
$29.38 |
$29.38 |
$29.38 |
$47.26
|
|
Assay of interleukin-6 (il-6)
|
$127.30 |
$127.30 |
$127.30 |
$79.00
|
|
Assay of osteocalcin
|
$76.90 |
$76.90 |
$76.90 |
$93.60
|
|
Assay of salicylate
|
$28.13 |
$28.13 |
$28.13 |
$96.50
|
|
Assay of thiocyanate
|
$61.06 |
$61.06 |
$61.06 |
$73.71
|
|
Assay of troponin qual
|
$88.51 |
$88.51 |
$88.51 |
$68.90
|
|
Assay of urine sulfate
|
$12.10 |
$12.10 |
$12.10 |
$28.20
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$228.58 |
$228.58 |
$228.58 |
$300.00
|
|
Assess cyst contrast inject
|
$203.14 |
$203.14 |
$203.14 |
$453.04
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$31.92 |
$31.92 |
$31.92 |
$46.80
|
|
Asses tinnit/pitch/loud/match/mask 92625
|
$164.26 |
$164.26 |
$164.26 |
$185.15
|
|
Assistive tech assessment, ot
|
$77.47 |
$77.47 |
$77.47 |
$90.60
|
|
Ast/sgot
|
$25.68 |
$25.68 |
$25.68 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$10,728.44 |
$10,728.44 |
$10,728.44 |
$22,528.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$51.49 |
$51.49 |
$51.49 |
$53.24
|
|
Audiometry air + bone
|
$221.28 |
$221.28 |
$221.28 |
$185.15
|
|
Auditory function + 15 min
|
$40.94 |
$40.94 |
$40.94 |
$79.52
|
|
Auditory function 60 min
|
$164.26 |
$164.26 |
$164.26 |
$234.00
|
|
Aud rehab postling hear loss
|
$77.47 |
$77.47 |
$77.47 |
$204.80
|
|
Aud rehab pre-ling hear loss
|
$77.47 |
$77.47 |
$77.47 |
$168.60
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$4,435.63 |
$4,435.63 |
$4,435.63 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$5,424.48 |
$5,424.48 |
$5,424.48 |
$10,415.40
|
|
Autologous blood process
|
$200.83 |
$200.83 |
$200.83 |
$266.75
|
|
Automated diff wbc count
|
$29.38 |
$29.38 |
$29.38 |
$36.30
|
|
Avelumab 20 mg/ml intravenous solution
|
$10,568.13 |
$10,568.13 |
$10,568.13 |
$3,721.71
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$432.34 |
$432.34 |
$432.34 |
$326.27
|
|
Axillary crutch extension
|
$348.72 |
$348.72 |
$348.72 |
$271.60
|
|
Azacitidine injection
|
$370.34 |
$370.34 |
$370.34 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$2.54 |
$2.54 |
$2.54 |
$3.44
|
|
Azathioprine parenteral
|
$385.68 |
$385.68 |
$385.68 |
$465.00
|
|
Azithromycin 500 mg intravenous solution
|
$35.42 |
$35.42 |
$35.42 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$37.09 |
$37.09 |
$37.09 |
$46.31
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$1,104.96 |
$1,104.96 |
$1,104.96 |
$1,639.90
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$149.47 |
$149.47 |
$149.47 |
$158.07
|
|
Baclofen eval charges
|
$77.47 |
$77.47 |
$77.47 |
$87.50
|
|
Bacterial meningitis antigen
|
$48.10 |
$48.10 |
$48.10 |
$66.30
|
|
Bacterial vaginosis pcr
|
$844.18 |
$844.18 |
$844.18 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$177.50 |
$177.50 |
$177.50 |
$112.80
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$77.47 |
$77.47 |
$77.47 |
$102.20
|
|
Balloon dilate urtrl strix
|
$1,929.74 |
$1,929.74 |
$1,929.74 |
$2,118.00
|
|
Barium Enema (Colon X-ray, barium and air)
|
$277.06 |
$277.06 |
$277.06 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$286.66 |
$286.66 |
$286.66 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$207.79 |
$207.79 |
$207.79 |
$484.80
|
|
Basiliximab
|
$6,346.90 |
$6,346.90 |
$6,346.90 |
$8,127.89
|
|
Battery elec/combo vad, rep
|
$161.52 |
$161.52 |
$161.52 |
$374.55
|
|
Bausch health Ultrasound surg
|
$617.14 |
$617.14 |
$617.14 |
$768.50
|
|
B cells total count
|
$105.60 |
$105.60 |
$105.60 |
$132.48
|
|
Bcg live 50 mg intravesical suspension
|
$414.84 |
$414.84 |
$414.84 |
$404.04
|
|
Bebtelovimab injection
|
$215.90 |
$215.90 |
$215.90 |
$450.00
|
|
Belatacept 250 mg intravenous solution
|
$1,525.31 |
$1,525.31 |
$1,525.31 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$3,469.13 |
$3,469.13 |
$3,469.13 |
$4,047.32
|
|
Below elbow prosth tiss shap
|
$4,631.42 |
$4,631.42 |
$4,631.42 |
$3,480.40
|
|
Below knee acrylic socket
|
$570.34 |
$570.34 |
$570.34 |
$493.44
|
|
Below knee cuff suspension
|
$142.37 |
$142.37 |
$142.37 |
$111.56
|
|
Below knee cushion socket
|
$1,114.46 |
$1,114.46 |
$1,114.46 |
$616.00
|
|
Below knee flex cover system
|
$1,054.94 |
$1,054.94 |
$1,054.94 |
$882.00
|
|
Below knee leather socket
|
$1,164.58 |
$1,164.58 |
$1,164.58 |
$730.80
|
|
Below knee suction socket
|
$1,427.66 |
$1,427.66 |
$1,427.66 |
$1,192.80
|
|
Below knee sus/seal sleeve
|
$237.84 |
$237.84 |
$237.84 |
$224.83
|
|
Below knee total contact
|
$691.30 |
$691.30 |
$691.30 |
$676.34
|
|
Below knee wood socket
|
$2,012.26 |
$2,012.26 |
$2,012.26 |
$1,682.80
|
|
Bendamustine 100 mg intravenous powder for solution
|
$3,144.49 |
$3,144.49 |
$3,144.49 |
$5,145.52
|
|
Bendamustine 25 mg/ml intravenous solution (belrapzo)
|
$3,419.76 |
$3,419.76 |
$3,419.76 |
$4,107.38
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$2,258.15 |
$2,258.15 |
$2,258.15 |
$4,898.13
|
|
Bendamustine 25 mg/ml intravenous solution (vivimusta)
|
$5,021.22 |
$5,021.22 |
$5,021.22 |
$9,029.40
|
|
Benign lesion paring 2-4
|
$390.19 |
$390.19 |
$390.19 |
$264.60
|
|
Benign lesion paring 4+
|
$569.95 |
$569.95 |
$569.95 |
$298.50
|
|
Benztropine 1 mg/ml injection solution
|
$66.57 |
$66.57 |
$66.57 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$47.52 |
$47.52 |
$47.52 |
$82.55
|
|
Beta-2 microglobulin
|
$38.88 |
$38.88 |
$38.88 |
$85.20
|
|
Beta-amyloid 1-40
|
$510.05 |
$510.05 |
$510.05 |
$312.00
|
|
Beta-amyloid 1-42
|
$510.05 |
$510.05 |
$510.05 |
$333.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$35.86 |
$35.86 |
$35.86 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$5,304.66 |
$5,304.66 |
$5,304.66 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$4,420.80 |
$4,420.80 |
$4,420.80 |
$3,496.79
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$2,891.63 |
$2,891.63 |
$2,891.63 |
$2,617.16
|
|
Bevacizumab injection
|
$144.68 |
$144.68 |
$144.68 |
$97.76
|
|
Bfb train 1st 15min cntct 90912
|
$89.18 |
$89.18 |
$89.18 |
$147.95
|
|
Bfb train ea addl 15 min 90913
|
$91.87 |
$91.87 |
$91.87 |
$101.00
|
|
Bilateral n blobk inj pudendal 64430
|
$1,332.19 |
$1,332.19 |
$1,332.19 |
$1,407.20
|
|
Bilateral n block inj occipital 64405
|
$1,313.42 |
$1,313.42 |
$1,313.42 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$1,313.42 |
$1,313.42 |
$1,313.42 |
$587.60
|
|
Bile duct endoscopy add-on 47550
|
$334.18 |
$334.18 |
$334.18 |
$996.45
|
|
Biliary endoscopy thru skin
|
$10,744.85 |
$10,744.85 |
$10,744.85 |
$5,110.00
|
|
Biliary endoscopy thru skin
|
$17,928.14 |
$17,928.14 |
$17,928.14 |
$10,156.40
|
