|
Apply of finger splint 29131
|
$77.85 |
$77.85 |
$77.85 |
$177.45
|
|
Apply rigid leg cast 29445
|
$245.70 |
$245.70 |
$245.70 |
$585.31
|
|
Apply short leg castambul type 29425
|
$311.40 |
$311.40 |
$311.40 |
$452.20
|
|
Aqaprn-4 antb flo cytmtry ea
|
$31.05 |
$31.05 |
$31.05 |
$207.20
|
|
Aquaporin-4 antibody cba each
|
$18.00 |
$18.00 |
$18.00 |
$113.91
|
|
Aquaporin-4 antibody elisa
|
$17.10 |
$17.10 |
$17.10 |
$132.60
|
|
Aquatic exercise - group charge
|
$58.05 |
$58.05 |
$58.05 |
$87.15
|
|
Argatroban nonesrd (accord)
|
$247.25 |
$247.25 |
$247.25 |
$14.44
|
|
Argatroban nonesrd (auromed)
|
$99.90 |
$99.90 |
$99.90 |
$40.30
|
|
Argatroban nonesrd use 1mg
|
$257.32 |
$257.32 |
$257.32 |
$881.10
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$711.87 |
$711.87 |
$711.87 |
$1,659.96
|
|
Arterial blood draw/perc 36620
|
$489.15 |
$489.15 |
$489.15 |
$496.47
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$543.15 |
$543.15 |
$543.15 |
$588.53
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$969.75 |
$969.75 |
$969.75 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$216.90 |
$216.90 |
$216.90 |
$488.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$176.85 |
$176.85 |
$176.85 |
$715.37
|
|
Asp core fat pad
|
$93.60 |
$93.60 |
$93.60 |
$1,189.32
|
|
Aspirate/inj ganglion cyst 20612
|
$133.65 |
$133.65 |
$133.65 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$911.70 |
$911.70 |
$911.70 |
$1,289.12
|
|
Aspiration peritonsillar abscess
|
$131.85 |
$131.85 |
$131.85 |
$522.75
|
|
Assay alkaline phosphatase
|
$73.35 |
$73.35 |
$73.35 |
$43.28
|
|
Assay dir meas fr estradiol
|
$44.10 |
$44.10 |
$44.10 |
$70.20
|
|
Assay of breath ethanol
|
$39.15 |
$39.15 |
$39.15 |
$47.30
|
|
Assay of galactose
|
$26.55 |
$26.55 |
$26.55 |
$49.21
|
|
Assay of interleukin-6 (il-6)
|
$26.10 |
$26.10 |
$26.10 |
$77.35
|
|
Assay of leflunomide
|
$34.65 |
$34.65 |
$34.65 |
$92.50
|
|
Assay of lrh hormone
|
$13.95 |
$13.95 |
$13.95 |
$189.50
|
|
Assay of osteocalcin
|
$137.70 |
$137.70 |
$137.70 |
$93.00
|
|
Assay of procainamide w/metab
|
$76.50 |
$76.50 |
$76.50 |
$63.07
|
|
Assay of prostaglandin
|
$289.80 |
$289.80 |
$289.80 |
$218.50
|
|
Assay of salicylate
|
$34.65 |
$34.65 |
$34.65 |
$95.00
|
|
Assay of somatostatin
|
$267.75 |
$267.75 |
$267.75 |
$165.00
|
|
Assay of tyrosine
|
$14.85 |
$14.85 |
$14.85 |
$56.00
|
|
Assay toxin or antitoxin
|
$70.65 |
$70.65 |
$70.65 |
$75.90
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$130.50 |
$130.50 |
$130.50 |
$292.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$15.75 |
$15.75 |
$15.75 |
$46.14
|
|
Ast/sgot
|
$27.00 |
$27.00 |
$27.00 |
$45.36
|
|
Audit/dast 15-30 min
|
$39.60 |
$39.60 |
$39.60 |
$85.00
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$8,354.25 |
$8,354.25 |
$8,354.25 |
$10,530.57
|
|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$1,227.60 |
$1,227.60 |
$1,227.60 |
$924.72
|
|
Avul nail plate addl
|
$28.80 |
$28.80 |
$28.80 |
$240.24
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$80.10 |
$80.10 |
$80.10 |
$331.50
|
|
Axillary lymphadenect/superficial 38740
|
$6,023.25 |
$6,023.25 |
$6,023.25 |
$6,457.82
|
|
Azathioprine parenteral
|
$702.51 |
$702.51 |
$702.51 |
$484.20
|
|
Aztreonam 1 gram solution for injection
|
$171.35 |
$171.35 |
$171.35 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$1,042.07 |
$1,042.07 |
$1,042.07 |
$1,800.33
|
|
Baclofen eval charges
|
$83.25 |
$83.25 |
$83.25 |
$85.00
|
|
Bacterial meningitis antigen
|
$74.25 |
$74.25 |
$74.25 |
$65.16
|
|
#bac vag cand-c. albicans naa
|
$53.10 |
$53.10 |
$53.10 |
$105.00
|
|
B cells total count
|
$45.90 |
$45.90 |
$45.90 |
$133.46
|
|
Bebtelovimab injection
|
$683.10 |
$683.10 |
$683.10 |
$468.05
|
|
Bendamustine 100 mg intravenous powder for solution
|
$1,998.22 |
$1,998.22 |
$1,998.22 |
$5,217.53
|
|
Bendamustine 25 mg/ml intravenous solution (belrapzo)
|
$2,757.97 |
$2,757.97 |
$2,757.97 |
$2,512.82
|
|
Benign lesion paring 2-4
|
$238.95 |
$238.95 |
$238.95 |
$268.80
|
|
Benign lesion paring 4+
|
$640.35 |
$640.35 |
$640.35 |
$315.95
|
|
#_benzodiazconfur
|
$167.85 |
$167.85 |
$167.85 |
$117.15
|
|
Beta 2 glycoprotein 1 antibody iga
|
$53.55 |
$53.55 |
$53.55 |
$83.46
|
|
Beta-2 microglobulin
|
$74.25 |
$74.25 |
$74.25 |
$84.00
|
|
Bilateral n block inj occipital 64405
|
$369.45 |
$369.45 |
$369.45 |
$815.00
|
|
Bilateral n block inj trigeminal 64400
|
$300.15 |
$300.15 |
$300.15 |
$587.60
|
|
Bilirubin direct
|
$28.35 |
$28.35 |
$28.35 |
$49.31
|
|
Bilirubin total
|
$25.20 |
$25.20 |
$25.20 |
$50.65
|
|
Biopsy cervixsingle/multiple 57500
|
$978.75 |
$978.75 |
$978.75 |
$1,268.54
|
|
Biopsy/removal lymph nodes
|
$2,986.20 |
$2,986.20 |
$2,986.20 |
$4,238.48
|
|
Biopsy skin incisional single lesion
|
$278.10 |
$278.10 |
$278.10 |
$677.54
|
|
Biospy of bladder
|
$330.75 |
$330.75 |
$330.75 |
$1,024.45
|
|
Biotinidase - quest
|
$26.55 |
$26.55 |
$26.55 |
$68.00
|
|
Bladder irrigate/lavage/instill 51700
|
$616.05 |
$616.05 |
$616.05 |
$425.75
|
|
Blood Clotting (PT/INR) Test
|
$25.65 |
$25.65 |
$25.65 |
$50.05
|
|
Blood Clotting (PTT) Test
|
$34.20 |
$34.20 |
$34.20 |
$69.85
|
|
Blood component/product noc
|
$113.85 |
$113.85 |
$113.85 |
$57.90
|
|
Blood Count (CBC) Test
|
$25.65 |
$25.65 |
$25.65 |
$71.50
|
|
Blood Count (CBC) Test (without differential)
|
$24.30 |
$24.30 |
$24.30 |
$59.40
|
|
Blood count spun microhematocrit
|
$73.35 |
$73.35 |
$73.35 |
$21.84
|
|
Blood Culture Test
|
$67.95 |
$67.95 |
$67.95 |
$137.40
|
|
Blood gases o2 saturation direct measurement
|
$101.25 |
$101.25 |
$101.25 |
$220.35
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$16.20 |
$16.20 |
$16.20 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$4.95 |
$4.95 |
$4.95 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$36.45 |
$36.45 |
$36.45 |
$33.57
|
|
Blood smear interpretation
|
$76.95 |
$76.95 |
$76.95 |
$76.16
|
|
Blood smear microscopic w manual differential wbc count
|
$23.40 |
$23.40 |
$23.40 |
$37.80
|
|
Blood typing abo
|
$24.75 |
$24.75 |
$24.75 |
$82.80
|
|
Blood typing ag donor ea ag
|
$90.00 |
$90.00 |
$90.00 |
$176.15
|
|
Blood typing patient serum
|
$28.80 |
$28.80 |
$28.80 |
$69.95
|
|
Blood typing rbc ag non abo/rh ea
|
$415.80 |
$415.80 |
$415.80 |
$190.00
|
|
Blood typing rh (d)
|
$22.50 |
$22.50 |
$22.50 |
$56.06
|
|
Bone Density Scan (DEXA)
|
$384.75 |
$384.75 |
$384.75 |
$398.56
|
|
Bone/joint imaging ltd area
|
$517.95 |
$517.95 |
$517.95 |
$1,101.36
|
|
Bone marrow;aspiration only 38220
|
$731.70 |
$731.70 |
$731.70 |
$1,618.00
|
|
Bone marrow biopsyneedle/trocar 38221
|
$731.70 |
$731.70 |
$731.70 |
$1,715.40
|
|
Bone marrow interpretation
|
$47.70 |
$47.70 |
$47.70 |
$542.03
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$145.80 |
$145.80 |
$145.80 |
$91.20
|
|
Borrelia miyamotoi amp prb
|
$50.85 |
$50.85 |
$50.85 |
$68.88
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$374.67 |
$374.67 |
$374.67 |
$2,880.64
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$2,155.95 |
$2,155.95 |
$2,155.95 |
$2,785.00
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,046.70 |
$1,046.70 |
$1,046.70 |
$2,090.40
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,093.50 |
$1,093.50 |
$1,093.50 |
$1,892.40
|
|
Brain MRI (with and without contrast)
|
$2,131.65 |
$2,131.65 |
$2,131.65 |
$2,920.20
|
|
Brain MRI (with contrast)
|
$1,332.90 |
$1,332.90 |
$1,332.90 |
$2,256.75
|
|
Brain MRI (without contrast)
|
$1,127.70 |
$1,127.70 |
$1,127.70 |
$1,932.50
|
