|
Administration vaccine pneumococcal
|
$54.34 |
$54.34 |
$54.34 |
$49.68
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$41.85 |
$41.85 |
$41.85 |
$11,350.31
|
|
Adrenal cortex & medulla img
|
$1,537.41 |
$1,537.41 |
$1,537.41 |
$1,987.70
|
|
Adv prim care mgmt lvl 1
|
$35.08 |
$35.08 |
$35.08 |
$51.52
|
|
Adv prim care mgmt lvl 2
|
$35.08 |
$35.08 |
$35.08 |
$51.52
|
|
Adv prim care mgmt lvl 3
|
$108.93 |
$108.93 |
$108.93 |
$139.68
|
|
Aep hearing status deter i&r
|
$366.72 |
$366.72 |
$366.72 |
$303.00
|
|
Aep neurodiagnostic i&r
|
$366.72 |
$366.72 |
$366.72 |
$583.80
|
|
Aep thrshld est mlt freq i&r
|
$366.72 |
$366.72 |
$366.72 |
$635.00
|
|
Afamelanotide implant, 1 mg
|
$2,943.42 |
$2,943.42 |
$2,943.42 |
$78,638.30
|
|
Afamitresgene autoleucel
|
$770,620.00 |
$770,620.00 |
$770,620.00 |
$2,125,068.14
|
|
_afb id by dna probe rflx ast
|
$20.05 |
$20.05 |
$20.05 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$7.31 |
$7.31 |
$7.31 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$115.36 |
$115.36 |
$115.36 |
$300.00
|
|
Aff2 gen aly detc abnl allel
|
$137.00 |
$137.00 |
$137.00 |
$189.06
|
|
Aff2 gen alys charac alleles
|
$274.83 |
$274.83 |
$274.83 |
$379.27
|
|
Aflibercept injection
|
$790.04 |
$790.04 |
$790.04 |
$2,738.00
|
|
After cataract laser surgery
|
$646.06 |
$646.06 |
$646.06 |
$1,373.11
|
|
Agalsidase beta 35 mg intravenous solution
|
$230.26 |
$230.26 |
$230.26 |
$14,475.20
|
|
Air conduction bilat
|
$151.80 |
$151.80 |
$151.80 |
$134.00
|
|
Airway resistance by impulse oscillometry 94728
|
$184.26 |
$184.26 |
$184.26 |
$297.00
|
|
Albumin body fluid quantitative each specimen
|
$7.78 |
$7.78 |
$7.78 |
$47.45
|
|
Albumin, human 25 % intravenous solution
|
$21.23 |
$21.23 |
$21.23 |
$234.94
|
|
Albumin (human), 5%, 250 ml
|
$53.08 |
$53.08 |
$53.08 |
$252.77
|
|
Albumin ischemia modified
|
$33.94 |
$33.94 |
$33.94 |
$85.60
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$5.78 |
$5.78 |
$5.78 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$4.95 |
$4.95 |
$4.95 |
$43.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$17.27 |
$17.27 |
$17.27 |
$96.00
|
|
Alcohol/sub misuse assess
|
$28.84 |
$28.84 |
$28.84 |
$31.20
|
|
Alcohol/subs interv 15-30mn
|
$35.08 |
$35.08 |
$35.08 |
$56.70
|
|
Alcohol/subs interv >30 min
|
$189.21 |
$189.21 |
$189.21 |
$190.13
|
|
Aldesleukin injection
|
$5,301.26 |
$5,301.26 |
$5,301.26 |
$9,030.11
|
|
Aldosterone suppression eval
|
$125.50 |
$125.50 |
$125.50 |
$315.20
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$2,440.70 |
$2,440.70 |
$2,440.70 |
$47,974.31
|
|
Alkaline phosphatase
|
$5.18 |
$5.18 |
$5.18 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$17.93 |
$17.93 |
$17.93 |
$48.57
|
|
Allergen egg white ige
|
$5.22 |
$5.22 |
$5.22 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$7.97 |
$7.97 |
$7.97 |
$24.00
|
|
Allergy injections; 2 or more 95117
|
$54.34 |
$54.34 |
$54.34 |
$45.00
|
|
Allergy injection; single 95115
|
$54.34 |
$54.34 |
$54.34 |
$46.80
|
|
Allergy Skin Testing
|
$1,198.14 |
$1,198.14 |
$1,198.14 |
$47.44
|
|
Allg patch or app # of tests 95044
|
$1,198.14 |
$1,198.14 |
$1,198.14 |
$423.37
|
|
Allgrft implnt knee w/scope
|
$15,152.74 |
$15,152.74 |
$15,152.74 |
$6,411.60
|
|
All tstg perq&iq drugs/biol
|
$46.22 |
$46.22 |
$46.22 |
$64.80
|
|
All tstg perq&iq w/venoms
|
$28.84 |
$28.84 |
$28.84 |
$41.34
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$5.19 |
$5.19 |
$5.19 |
$13.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$64.41 |
$64.41 |
$64.41 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$17.00 |
$17.00 |
$17.00 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$16.77 |
$16.77 |
$16.77 |
$106.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$94.15 |
$94.15 |
$94.15 |
$15,857.45
|
|
Alt/sgpt
|
$5.30 |
$5.30 |
$5.30 |
$47.50
|
|
Altuviiio per factor viii iu
|
$4.67 |
$4.67 |
$4.67 |
$13.32
|
|
Aluminum - quest
|
$25.48 |
$25.48 |
$25.48 |
$83.05
|
|
Alveoloplasty each quadrant
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,892.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$108.10 |
$108.10 |
$108.10 |
$411.45
|
|
Ambl bp mntr w/sw a/r
|
$151.80 |
$151.80 |
$151.80 |
$320.45
|
|
Amines vaginal fluid qual
|
$5.99 |
$5.99 |
$5.99 |
$12.00
|
|
Amino acid screen, urine
|
$13.87 |
$13.87 |
$13.87 |
$77.00
|
|
Amino acid single qual
|
$14.18 |
$14.18 |
$14.18 |
$36.00
|
|
Amino acids quant 2-5
|
$19.61 |
$19.61 |
$19.61 |
$112.00
|
|
Aminolevulinic acid, 10% gel
|
$1.81 |
$1.81 |
$1.81 |
$1.81
|
|
Aminolevulinic acid delta
|
$16.45 |
$16.45 |
$16.45 |
$87.12
|
|
Aminolevulinic acid hcl top
|
$393.87 |
$393.87 |
$393.87 |
$640.56
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$22.21 |
$22.21 |
$22.21 |
$9,084.45
|
|
Ammonia
|
$14.57 |
$14.57 |
$14.57 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$1,025.44 |
$1,025.44 |
$1,025.44 |
$942.60
|
|
Amniocentesis therapeutic
|
$358.23 |
$358.23 |
$358.23 |
$791.05
|
|
Amniotic fluid scan
|
$9.35 |
$9.35 |
$9.35 |
$49.01
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,786.00
|
|
Amphotericin b lipid complex
|
$10.30 |
$10.30 |
$10.30 |
$226.80
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$22.62 |
$22.62 |
$22.62 |
$519.03
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$262.99 |
$262.99 |
$262.99 |
$262.99
|
|
Amp metatarsal w/toe single 28810
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,986.00
|
|
Amputate hand at wrist
|
$1,884.74 |
$1,884.74 |
$1,884.74 |
$3,086.40
|
|
Amputate metacarpal bone 26910
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,839.54
|
|
Amputation follow-up surgery
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,839.54
|
|
Amputation follow-up surgery
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,839.54
|
|
Amputation follow-up surgery
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,907.11
|
|
Amputation follow-up surgery
|
$2,154.21 |
$2,154.21 |
$2,154.21 |
$2,934.40
|
|
Amputation follow-up surgery
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,766.40
|
|
Amputation follow-up surgery
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,839.54
|
|
Amputation follow-up surgery
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,839.54
|
|
Amputation of foot at ankle
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,109.92
|
|
Amputation thru metatarsal
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,839.54
|
|
Amputation toe interphalangeal joint
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$4,196.50
|
|
Amputation toe metatarsophalangeal joint
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,839.54
|
|
Amylase
|
$6.48 |
$6.48 |
$6.48 |
$90.00
|
|
Anacaulase-bcdb 8.8% gel 1 g
|
$58.32 |
$58.32 |
$58.32 |
$58.34
|
|
Ana ds-dna
|
$12.11 |
$12.11 |
$12.11 |
$55.24
|
|
Anal pressure record
|
$366.72 |
$366.72 |
$366.72 |
$954.00
|
|
Anal/urinary muscle study
|
$184.26 |
$184.26 |
$184.26 |
$407.00
|
|
Anal/urinary muscle study
|
$286.42 |
$286.42 |
$286.42 |
$602.80
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$108.10 |
$108.10 |
$108.10 |
$320.40
|
|
Analysis gene f2 20210g>a variant
|
$65.69 |
$65.69 |
$65.69 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$73.37 |
$73.37 |
$73.37 |
$249.60
|
|
Analysis nerve
|
$62.92 |
$62.92 |
$62.92 |
$262.40
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$43.91 |
$43.91 |
$43.91 |
$122.20
|
|
Analysis tumor
|
$201.80 |
$201.80 |
$201.80 |
$248.80
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$108.10 |
$108.10 |
$108.10 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$35.09 |
$35.09 |
$35.09 |
$85.80
|
