|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$46.80 |
$434.20 |
$627.25 |
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$28.60 |
$141.70 |
$520.00 |
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$36.40 |
$345.15 |
$864.50 |
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$36.40 |
$240.50 |
$707.85 |
|
|
Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah)
|
$654.75 |
$7,486.60 |
$35,853.41 |
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$660.75 |
$8,077.56 |
$36,222.13 |
|
|
Asp core fat pad
|
$130.65 |
$130.65 |
$3,140.80 |
|
|
Asp & inj bone cyst
|
$772.85 |
$772.85 |
$772.85 |
|
|
Asp & inj w/heparin pleurx cath
|
$19,550.68 |
$19,550.68 |
$19,550.68 |
|
|
Aspirate bladder/sprapubic cath 51102
|
$689.00 |
$1,942.85 |
$14,096.04 |
|
|
Aspirate/inj ganglion cyst 20612
|
$139.50 |
$146.25 |
$179.40 |
|
|
Aspirate pleura without imaging 32554
|
$428.35 |
$523.25 |
$10,100.35 |
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$57.85 |
$1,376.05 |
$2,622.75 |
|
|
Aspiration peritonsillar abscess
|
$306.15 |
$306.15 |
$9,536.42 |
|
|
Asp pq spinal cord cyst/syrinx
|
$4,152.04 |
$4,152.04 |
$4,152.04 |
|
|
Assay of adp & amp
|
$130.65 |
$146.90 |
$228.15 |
|
|
Assay of breath ethanol
|
$50.70 |
$50.70 |
$76.70 |
|
|
Assay of corticosterone
|
$131.95 |
$131.95 |
$135.85 |
|
|
Assay of estrogen
|
$247.00 |
$247.00 |
$247.00 |
|
|
Assay of feces porphyrins
|
$185.90 |
$219.70 |
$506.35 |
|
|
Assay of galactose
|
$23.40 |
$23.40 |
$108.55 |
|
|
Assay of interleukin-6 (il-6)
|
$89.70 |
$153.40 |
$160.55 |
|
|
Assay of leflunomide
|
$122.20 |
$156.00 |
$240.50 |
|
|
Assay of osteocalcin
|
$96.85 |
$126.75 |
$167.70 |
|
|
Assay of pregnanediol
|
$34.50 |
$34.50 |
$34.50 |
|
|
Assay of prostaglandin
|
$230.10 |
$243.10 |
$306.15 |
|
|
Assay of salicylate
|
$52.65 |
$107.25 |
$187.85 |
|
|
Assay of semen fructose
|
$59.80 |
$59.80 |
$59.80 |
|
|
Assay of somatostatin
|
$122.20 |
$122.20 |
$204.75 |
|
|
Assay of thiocyanate
|
$34.45 |
$72.80 |
$76.70 |
|
|
Assay of troponin qual
|
$22.50 |
$22.50 |
$22.50 |
|
|
Assay of tyrosine
|
$34.45 |
$42.90 |
$73.45 |
|
|
Assay of urine sulfate
|
$31.20 |
$31.85 |
$37.05 |
|
|
Assay toxin or antitoxin
|
$57.00 |
$57.00 |
$57.00 |
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$172.25 |
$221.00 |
$248.30 |
|
|
Assess cyst contrast inject
|
$375.70 |
$375.70 |
$1,655.48 |
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$38.35 |
$50.70 |
$111.15 |
|
|
Assist-bilat spinal disk surgery add-on 63035
|
$21,237.93 |
$21,237.93 |
$21,237.93 |
|
|
Assistive tech assessment, ot
|
$67.60 |
$67.60 |
$129.35 |
|
|
Ast/sgot
|
$21.75 |
$59.80 |
$117.00 |
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$18,202.87 |
$19,405.49 |
$31,198.64 |
|
|
Athrectomy fem/pop/unilateral 37225
|
$28,877.20 |
$28,877.20 |
$28,877.20 |
|
|
Atropine 0.1 mg/ml injection syringe
|
$16.25 |
$17.31 |
$99.18 |
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$148.85 |
$150.80 |
$206.70 |
|
|
Audiometry air + bone
|
$243.10 |
$243.10 |
$243.10 |
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$1,214.85 |
$1,214.85 |
$2,616.90 |
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$2,356.90 |
$2,356.90 |
$5,826.60 |
|
|
Autologous blood op salvage
|
$750.75 |
$750.75 |
$750.75 |
|
|
Autologous blood process
|
$256.10 |
$262.60 |
$287.95 |
|
|
Autolog prp diab wound ulcer
|
$3,773.90 |
$3,773.90 |
$3,773.90 |
|
|
Automated diff wbc count
|
$22.50 |
$22.50 |
$22.50 |
|
|
Avelumab 20 mg/ml intravenous solution
|
$4,704.32 |
$4,704.32 |
$5,642.97 |
|
|
Av fistula revision
|
$17,899.19 |
$17,899.19 |
$17,899.19 |
|
|
Av fusion direct any site
|
$17,078.75 |
$17,078.75 |
$27,931.51 |
|
|
Avul nail plate addl
|
$54.75 |
$81.90 |
$161.20 |
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$41.60 |
$163.80 |
$378.30 |
|
|
Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial
|
$25,541.16 |
$25,541.16 |
$25,541.16 |
|
|
Axillary lymphadenect/superficial 38740
|
$11,251.55 |
$11,251.55 |
$11,251.55 |
|
|
Azacitidine injection
|
$80.92 |
$124.73 |
$1,282.16 |
|
|
Azathioprine 50 mg tablet
|
$4.87 |
$4.87 |
$4.87 |
|
|
Azithromycin 500 mg intravenous solution
|
$14.06 |
$18.74 |
$26.19 |
|
|
Aztreonam 1 gram solution for injection
|
$109.06 |
$143.61 |
$217.59 |
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$2,167.96 |
$2,167.96 |
$2,343.70 |
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$289.65 |
$289.65 |
$289.65 |
|
|
Baclofen eval charges
|
$90.35 |
$91.00 |
$124.80 |
|
|
Bacterial meningitis antigen
|
$89.70 |
$123.50 |
$308.75 |
|
|
Bacterial vaginosis pcr
|
$40.95 |
$206.05 |
$325.00 |
|
|
#bac vag cand-c. albicans naa
|
$39.00 |
$92.95 |
$125.45 |
|
|
Balloon dilate urtrl strix
|
$5,593.10 |
$5,593.10 |
$17,778.75 |
|
|
Bartholin gland cyst/marsupializat 56440
|
$865.80 |
$865.80 |
$7,038.01 |
|
|
Basic vestibular evaluation
|
$597.35 |
$597.35 |
$597.35 |
|
|
B cells total count
|
$111.75 |
$131.95 |
$217.10 |
|
|
Bcg live 50 mg intravesical suspension
|
$404.04 |
$404.04 |
$404.04 |
|
|
Belatacept 250 mg intravenous solution
|
$2,006.24 |
$2,119.71 |
$2,541.45 |
|
|
Belimumab 120 mg intravenous solution
|
$3,584.70 |
$4,800.85 |
$5,758.81 |
|
|
Bendamustine 100 mg intravenous powder for solution
|
$860.92 |
$4,180.80 |
$6,478.89 |
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$4,027.72 |
$4,027.72 |
$6,471.19 |
|
|
Benign lesion paring 2-4
|
$71.25 |
$71.25 |
$71.25 |
|
|
#_benzodiazconfur
|
$93.60 |
$113.10 |
$236.25 |
|
|
Benztropine 1 mg/ml injection solution
|
$73.12 |
$90.67 |
$97.50 |
|
|
Beta 2 glycoprotein 1 antibody iga
|
$76.05 |
$111.15 |
$165.10 |
|
|
Beta-2 microglobulin
|
$91.00 |
$150.15 |
$299.25 |
|
|
Beta-amyloid 1-40
|
$365.95 |
$378.95 |
$378.95 |
|
|
Beta-amyloid 1-42
|
$378.95 |
$378.95 |
$390.65 |
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$8.94 |
$9.98 |
$17.51 |
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$1,743.14 |
$2,089.55 |
$6,576.18 |
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$1,708.52 |
$1,830.33 |
$6,084.98 |
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$1,609.97 |
$1,609.97 |
$5,350.51 |
|
|
Bevacizumab injection
|
$35.75 |
$35.75 |
$35.75 |
|
|
Bfb train 1st 15min cntct 90912
|
$138.45 |
$138.45 |
$138.45 |
|
|
Bfb train ea addl 15 min 90913
|
$64.35 |
$64.35 |
$64.35 |
|
|
B-hexosaminidase ea assay
|
$31.20 |
$119.60 |
$266.50 |
|
|
Bilateral laminotomy addl lumbar 63044
|
$22,265.41 |
$22,265.41 |
$22,265.41 |
|
|
Bilateral n blobk inj pudendal 64430
|
$687.05 |
$1,820.25 |
$3,061.39 |
|
|
Bilateral n block inj occipital 64405
|
$266.50 |
$341.25 |
$1,498.68 |
|
|
Bilateral n block inj trigeminal 64400
|
$90.00 |
$376.35 |
$464.75 |
|
|
Bile duct endoscopy add-on 47550
|
$29,118.95 |
$29,118.95 |
$29,118.95 |
|
|
Biliary endoscopy thru skin
|
$10,310.95 |
$10,310.95 |
$10,310.95 |
|
|
Biliary endoscopy thru skin
|
$3,057.60 |
$3,057.60 |
$3,057.60 |
|
|
Biliary endoscopy thru skin
|
$9,360.00 |
$9,360.00 |
$9,360.00 |
|
