|
Appl unipln uni ext fixj sys
|
$455.20 |
$455.20 |
$455.20 |
$5,801.00
|
|
Apply rigid leg cast 29445
|
$426.88 |
$426.88 |
$426.88 |
$555.00
|
|
Apply short leg castambul type 29425
|
$141.44 |
$141.44 |
$141.44 |
$381.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$35.78 |
$35.78 |
$35.78 |
$100.00
|
|
Aquatic exercise - group charge
|
$71.55 |
$71.55 |
$71.55 |
$85.80
|
|
Argatroban nonesrd use 1mg
|
$1,558.89 |
$1,558.89 |
$1,558.89 |
$866.80
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$414.72 |
$414.72 |
$414.72 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$876.80 |
$876.80 |
$876.80 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$414.72 |
$414.72 |
$414.72 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$414.72 |
$414.72 |
$414.72 |
$715.37
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$4,240.08
|
|
Arthrp ntrcrp/crp/mtcr ntrps
|
$1,296.80 |
$1,296.80 |
$1,296.80 |
$4,627.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$2,913.28 |
$2,913.28 |
$2,913.28 |
$3,162.72
|
|
Aspirate/inj ganglion cyst 20612
|
$77.44 |
$77.44 |
$77.44 |
$433.07
|
|
Aspirate pleura without imaging 32554
|
$1,038.08 |
$1,038.08 |
$1,038.08 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$513.92 |
$513.92 |
$513.92 |
$1,226.87
|
|
Aspir/inj thyroid cyst 60300
|
$1,059.84 |
$1,059.84 |
$1,059.84 |
$850.78
|
|
Assay of galactose
|
$16.00 |
$16.00 |
$16.00 |
$49.21
|
|
Assay of interleukin-6 (il-6)
|
$32.64 |
$32.64 |
$32.64 |
$79.97
|
|
Assay toxin or antitoxin
|
$44.80 |
$44.80 |
$44.80 |
$75.90
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$240.86 |
$240.86 |
$240.86 |
$292.50
|
|
Ast/sgot
|
$23.55 |
$23.55 |
$23.55 |
$45.65
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$9,280.00 |
$9,280.00 |
$9,280.00 |
$10,384.40
|
|
Autolog prp diab wound ulcer
|
$1,612.80 |
$1,612.80 |
$1,612.80 |
$2,164.64
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$295.68 |
$295.68 |
$295.68 |
$318.75
|
|
Baclofen eval charges
|
$71.55 |
$71.55 |
$71.55 |
$85.00
|
|
B cells total count
|
$96.00 |
$96.00 |
$96.00 |
$131.30
|
|
Belimumab 120 mg intravenous solution
|
$5,100.75 |
$5,100.75 |
$5,100.75 |
$4,243.90
|
|
Benign lesion paring 2-4
|
$279.04 |
$279.04 |
$279.04 |
$257.50
|
|
Benign lesion paring 4+
|
$279.04 |
$279.04 |
$279.04 |
$287.00
|
|
Beta 2 glycoprotein 1 antibody iga
|
$228.48 |
$228.48 |
$228.48 |
$78.50
|
|
Beta-2 microglobulin
|
$103.68 |
$103.68 |
$103.68 |
$85.94
|
|
Bfb train ea addl 15 min 90913
|
$58.88 |
$58.88 |
$58.88 |
$92.82
|
|
Bilateral n blobk inj pudendal 64430
|
$960.00 |
$960.00 |
$960.00 |
$1,460.90
|
|
Bilateral n block inj occipital 64405
|
$1,180.16 |
$1,180.16 |
$1,180.16 |
$768.60
|
|
Bilateral n block inj trigeminal 64400
|
$608.64 |
$608.64 |
$608.64 |
$556.40
|
|
Bilirubin direct
|
$25.60 |
$25.60 |
$25.60 |
$50.00
|
|
Bilirubin total
|
$23.55 |
$23.55 |
$23.55 |
$52.57
|
|
Biofeedback, pt
|
$81.98 |
$81.98 |
$81.98 |
$118.25
|
|
Biopsy abdominal mass
|
$600.10 |
$600.10 |
$600.10 |
$1,718.60
|
|
Biopsy, bone open deep
|
$957.44 |
$957.44 |
$957.44 |
$3,684.24
|
|
Biopsy bone trocar/needle superficial
|
$434.56 |
$434.56 |
$434.56 |
$1,770.73
|
|
Biopsy lower leg soft tissue 27610
|
$984.80 |
$984.80 |
$984.80 |
$3,839.54
|
|
Biopsy muscle percutaneous needle
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$1,629.60
|
|
Biopsy needle liver percutaneous
|
$649.28 |
$649.28 |
$649.28 |
$1,892.80
|
|
Biopsy needle lymph node superficial
|
$865.15 |
$865.15 |
$865.15 |
$1,878.14
|
|
Biopsy of rectum wall anal approach 45100
|
$383.20 |
$383.20 |
$383.20 |
$3,245.23
|
|
Biopsy/removal lymph nodes
|
$695.68 |
$695.68 |
$695.68 |
$4,196.54
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$618.11 |
$618.11 |
$618.11 |
$2,086.50
|
|
Biopsy skin incisional single lesion
|
$291.20 |
$291.20 |
$291.20 |
$657.66
|
|
Biotinidase - quest
|
$16.00 |
$16.00 |
$16.00 |
$71.02
|
|
Bladder irrigate/lavage/instill 51700
|
$387.84 |
$387.84 |
$387.84 |
$408.00
|
|
Block brachial plexus w/cath plmt w/img
|
$213.76 |
$213.76 |
$213.76 |
$1,533.60
|
|
Block femoral nerve cont infusion cath w/img
|
$147.20 |
$147.20 |
$147.20 |
$1,661.40
|
|
Blood Clotting (PT/INR) Test
|
$28.80 |
$28.80 |
$28.80 |
$53.00
|
|
Blood Clotting (PTT) Test
|
$28.80 |
$28.80 |
$28.80 |
$73.44
|
|
Blood Count (CBC) Test
|
$60.80 |
$60.80 |
$60.80 |
$74.75
|
|
Blood Culture Test
|
$48.00 |
$48.00 |
$48.00 |
$145.80
|
|
Blood gases ph venous
|
$60.19 |
$60.19 |
$60.19 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$42.24 |
$42.24 |
$42.24 |
$57.42
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$16.00 |
$16.00 |
$16.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$13.44 |
$13.44 |
$13.44 |
$34.00
|
|
Blood typing abo
|
$23.68 |
$23.68 |
$23.68 |
$83.03
|
|
Blood typing rbc ag non abo/rh ea
|
$150.08 |
$150.08 |
$150.08 |
$199.50
|
|
Blood typing rh (d)
|
$23.55 |
$23.55 |
$23.55 |
$57.14
|
|
Bone biopsy open superficial
|
$421.60 |
$421.60 |
$421.60 |
$3,786.00
|
|
Bone Density Scan (DEXA)
|
$359.84 |
$359.84 |
$359.84 |
$397.28
|
|
Bone imaging multiple areas
|
$450.24 |
$450.24 |
$450.24 |
$1,194.00
|
|
Bone/joint imaging ltd area
|
$470.40 |
$470.40 |
$470.40 |
$1,013.50
|
|
Bone survey-lead poisoning
|
$149.12 |
$149.12 |
$149.12 |
$390.00
|
|
Bowel imaging
|
$474.24 |
$474.24 |
$474.24 |
$1,065.00
|
|
Brachy source i-125 injection
|
$26.88 |
$26.88 |
$26.88 |
$106.60
|
|
Brachy source iodine-125 nonstranded
|
$26.88 |
$26.88 |
$26.88 |
$66.76
|
|
Brain image w/flow < 4 views
|
$438.59 |
$438.59 |
$438.59 |
$884.65
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,017.98 |
$1,017.98 |
$1,017.98 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$959.94 |
$959.94 |
$959.94 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$980.80 |
$980.80 |
$980.80 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$998.40 |
$998.40 |
$998.40 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$934.40 |
$934.40 |
$934.40 |
$1,977.27
|
|
Breast Biopsy (ultrasound-guided, percutaneous)
|
$1,724.16 |
$1,724.16 |
$1,724.16 |
$3,043.44
|
|
Breast punct aspir cyst, bil
|
$399.04 |
$399.04 |
$399.04 |
$847.00
|
|
Breast reconstruction 19357
|
$1,994.40 |
$1,994.40 |
$1,994.40 |
$11,720.80
|
|
Breast reconstr w/lat flap 19361
|
$2,237.60 |
$2,237.60 |
$2,237.60 |
$6,073.60
|
|
Breast reduction
|
$1,764.80 |
$1,764.80 |
$1,764.80 |
$7,126.06
|
|
Bronchial challenge
|
$432.32 |
$432.32 |
$432.32 |
$777.60
|
|
Bronchoscopy/lung bx each 31628
|
$400.00 |
$400.00 |
$400.00 |
$3,877.44
|
|
Bronchoscopy/needle bx each 31629
|
$307.20 |
$307.20 |
$307.20 |
$4,080.94
|
|
Bronchoscopy w/biopsy(s) 31625
|
$368.00 |
$368.00 |
$368.00 |
$2,168.40
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$18.82 |
$18.82 |
$18.82 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$75.52 |
$75.52 |
$75.52 |
$160.80
|
|
Bundled special stain group 2
|
$64.83 |
$64.83 |
$64.83 |
$173.46
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$20.70 |
$20.70 |
$20.70 |
$14.27
|
|
Buprenorphine and metabolite - sendout
|
$145.92 |
$145.92 |
$145.92 |
$82.82
|
|
Bx bone trocar/ndl deep
|
$742.14 |
$742.14 |
$742.14 |
$2,271.01
|
|
Bx breast 1st lesion mr imag
|
$1,216.00 |
$1,216.00 |
$1,216.00 |
$3,256.00
|
|
Bx breast 1st lesion strtctc
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$3,601.35
|
|
Bx breast perq without image 19100
|
$138.24 |
$138.24 |
$138.24 |
$1,312.15
|
|
Bx/exc lymph node/open/deep cervic 38510
|
$777.60 |
$777.60 |
$777.60 |
$4,531.42
|
|
Bx/exc lymph node/open/superfic 38500
|
$444.16 |
$444.16 |
$444.16 |
$4,184.94
|
