|
Apl(pml-rara) quant - sendout
|
$716.10 |
$716.10 |
$716.10 |
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$5,763.80 |
$5,763.80 |
$5,763.80 |
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$2,587.45 |
$2,587.45 |
$2,587.45 |
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$2,587.45 |
$2,587.45 |
$2,587.45 |
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$9,427.65 |
$9,427.65 |
$9,427.65 |
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$4,714.15 |
$4,714.15 |
$4,714.15 |
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$2,587.45 |
$2,587.45 |
$2,587.45 |
|
|
Application finger splntstatic 29130
|
$220.25 |
$220.25 |
$220.25 |
|
|
Application long leg splint 29505
|
$305.90 |
$305.90 |
$305.90 |
|
|
Application lower leg splint 29515
|
$323.50 |
$323.50 |
$323.50 |
|
|
Application multi layer compression below knee (both sides)
|
$525.20 |
$525.20 |
$525.20 |
|
|
Application of forearm cast 29075
|
$501.50 |
$501.50 |
$501.50 |
|
|
Application of long arm cast 29065
|
$655.20 |
$655.20 |
$655.20 |
|
|
Application of long leg cast 29345
|
$510.25 |
$510.25 |
$510.25 |
|
|
Application of paste boot 29580
|
$297.70 |
$297.70 |
$297.70 |
|
|
Application short leg cast 29405
|
$510.00 |
$510.00 |
$510.00 |
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$5,763.80 |
$5,763.80 |
$5,763.80 |
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$5,763.80 |
$5,763.80 |
$5,763.80 |
|
|
Applicator tag rfid localizer 12gx7cm
|
$177.90 |
$177.90 |
$177.90 |
|
|
Appl modality 1/> areas paraffin bath 97018
|
$142.75 |
$142.75 |
$142.75 |
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$175.35 |
$175.35 |
$175.35 |
|
|
Appl multlay comprs arm/hand
|
$297.70 |
$297.70 |
$297.70 |
|
|
Apply forearm splintdynamic 29126
|
$463.55 |
$463.55 |
$463.55 |
|
|
Apply hand/wrist cast 29085
|
$291.05 |
$291.05 |
$291.05 |
|
|
Apply interstit radiat compl
|
$15,210.00 |
$15,210.00 |
$15,210.00 |
|
|
Apply intrcav radiat compl
|
$15,210.00 |
$15,210.00 |
$15,210.00 |
|
|
Apply intrcav radiat interm
|
$14,767.85 |
$14,767.85 |
$14,767.85 |
|
|
Apply intrcav radiat simple
|
$14,199.70 |
$14,199.70 |
$14,199.70 |
|
|
Apply of finger splint 29131
|
$297.70 |
$297.70 |
$297.70 |
|
|
Apply rigid leg cast 29445
|
$916.80 |
$916.80 |
$916.80 |
|
|
Apply short leg castambul type 29425
|
$128.35 |
$128.35 |
$128.35 |
|
|
Apply surf ldr radionuclide
|
$699.50 |
$699.50 |
$699.50 |
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$1,876.25 |
$1,876.25 |
$1,876.25 |
|
|
Aqaprn-4 antb flo cytmtry ea
|
$410.00 |
$410.00 |
$410.00 |
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$218.90 |
$218.90 |
$218.90 |
|
|
Aquatic exercise - group charge
|
$314.55 |
$314.55 |
$314.55 |
|
|
Argatroban nonesrd use 1mg
|
$2,147.10 |
$2,147.10 |
$2,147.10 |
|
|
Aripiprazole 441 mg/1.6 ml inj
|
$10,915.47 |
$10,915.47 |
$10,915.47 |
|
|
Arm CT Scan (with contrast, both arms)
|
$2,716.15 |
$2,716.15 |
$2,716.15 |
|
|
Arm CT Scan (without contrast, both arms)
|
$2,599.70 |
$2,599.70 |
$2,599.70 |
|
|
Arm or Leg Ultrasound (limited, left side)
|
$606.10 |
$606.10 |
$606.10 |
|
|
Arterial blood draw/perc 36620
|
$271.50 |
$271.50 |
$271.50 |
|
|
Artery xray each vessel 7577426
|
$5,501.05 |
$5,501.05 |
$5,501.05 |
|
|
Artery xray of abdomen 75726-26
|
$3,819.95 |
$3,819.95 |
$3,819.95 |
|
|
Artery x-rays adrenal gland
|
$9,587.85 |
$9,587.85 |
$9,587.85 |
|
|
Artery x-rays adrenals
|
$4,934.45 |
$4,934.45 |
$4,934.45 |
|
|
Artery x-rays arm/leg 75710-26
|
$7,341.65 |
$7,341.65 |
$7,341.65 |
|
|
Artery x-rays arms/legs 75716-26
|
$7,747.35 |
$7,747.35 |
$7,747.35 |
|
|
Artery x-rays chest
|
$5,151.10 |
$5,151.10 |
$5,151.10 |
|
|
Artery x-rays lung
|
$7,747.35 |
$7,747.35 |
$7,747.35 |
|
|
Artery x-rays lung
|
$5,442.70 |
$5,442.70 |
$5,442.70 |
|
|
Artery x-rays lungs
|
$7,747.35 |
$7,747.35 |
$7,747.35 |
|
|
Artery xrays of pelvis 75736 26
|
$7,747.35 |
$7,747.35 |
$7,747.35 |
|
|
Artery x-rays spine
|
$8,274.25 |
$8,274.25 |
$8,274.25 |
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$580.60 |
$580.60 |
$580.60 |
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,101.75 |
$1,101.75 |
$1,101.75 |
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,085.30 |
$1,085.30 |
$1,085.30 |
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$731.30 |
$731.30 |
$731.30 |
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,085.30 |
$1,085.30 |
$1,085.30 |
|
|
Artiss fibrin sealant
|
$841.26 |
$841.26 |
$841.26 |
|
|
Ascenda two piece catheter
|
$11,200.00 |
$11,200.00 |
$11,200.00 |
|
|
Ashkenazi jewish assoc dis
|
$4,466.00 |
$4,466.00 |
$4,466.00 |
|
|
Aspa gene
|
$381.30 |
$381.30 |
$381.30 |
|
|
Asp core fat pad
|
$3,560.70 |
$3,560.70 |
$3,560.70 |
|
|
Asp & inj w/heparin pleurx cath
|
$6,289.75 |
$6,289.75 |
$6,289.75 |
|
|
Aspirate bladder/sprapubic cath 51102
|
$5,375.95 |
$5,375.95 |
$5,375.95 |
|
|
Aspirate/inj ganglion cyst 20612
|
$872.80 |
$872.80 |
$872.80 |
|
|
Aspirate pleura without imaging 32554
|
$1,118.65 |
$1,118.65 |
$1,118.65 |
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,962.60 |
$1,962.60 |
$1,962.60 |
|
|
Aspiration peritonsillar abscess
|
$3,218.70 |
$3,218.70 |
$3,218.70 |
|
|
Assay neurflmnt light chain
|
$342.95 |
$342.95 |
$342.95 |
|
|
Assay of glutathione
|
$177.85 |
$177.85 |
$177.85 |
|
|
Assay of interleukin-6 (il-6)
|
$360.30 |
$360.30 |
$360.30 |
|
|
Assay of osteocalcin
|
$480.50 |
$480.50 |
$480.50 |
|
|
Assay of phenylketones
|
$61.45 |
$61.45 |
$61.45 |
|
|
Assay of prostaglandin
|
$104.05 |
$104.05 |
$104.05 |
|
|
Assay of salicylate
|
$247.40 |
$247.40 |
$247.40 |
|
|
Assay of semen fructose
|
$132.90 |
$132.90 |
$132.90 |
|
|
Assay of silica
|
$261.65 |
$261.65 |
$261.65 |
|
|
Assay of thiocyanate
|
$217.25 |
$217.25 |
$217.25 |
|
|
Assay of urine sulfate
|
$98.15 |
$98.15 |
$98.15 |
|
|
Assay phosphohexose enzymes
|
$22.45 |
$22.45 |
$22.45 |
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$576.40 |
$576.40 |
$576.40 |
|
|
Assess care plan pt w/cog impair 99483
|
$388.75 |
$388.75 |
$388.75 |
|
|
Assess cyst contrast inject
|
$596.35 |
$596.35 |
$596.35 |
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$69.05 |
$69.05 |
$69.05 |
|
|
Assistive tech assessment, ot
|
$110.15 |
$110.15 |
$110.15 |
|
|
Ast/sgot
|
$103.80 |
$103.80 |
$103.80 |
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$40,377.20 |
$40,377.20 |
$40,377.20 |
|
|
Athrectomy fem/pop/unilateral 37225
|
$47,284.90 |
$47,284.90 |
$47,284.90 |
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$47,284.90 |
$47,284.90 |
$47,284.90 |
|
|
Atropine 0.1 mg/ml injection syringe
|
$122.48 |
$122.48 |
$122.48 |
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$253.75 |
$253.75 |
$253.75 |
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$16,235.15 |
$16,235.15 |
$16,235.15 |
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$32,469.60 |
$32,469.60 |
$32,469.60 |
|
|
Avelumab 20 mg/ml intravenous solution
|
$5,744.80 |
$5,744.80 |
$5,744.80 |
|
|
Av fistula revision
|
$9,478.35 |
$9,478.35 |
$9,478.35 |
|
|
Avul nail plate addl
|
$149.85 |
$149.85 |
$149.85 |
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$347.95 |
$347.95 |
$347.95 |
|
|
Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial
|
$15,592.21 |
$15,592.21 |
$15,592.21 |
|