|
Antipsychotics nos 1-3
|
$73.00 |
$73.00 |
$73.00 |
$161.39
|
|
Antistreptolysin o titer
|
$84.00 |
$84.00 |
$84.00 |
$57.85
|
|
Antithrombin iii activity
|
$162.00 |
$162.00 |
$162.00 |
$106.85
|
|
Aortic dysfunction/dilation
|
$4,014.00 |
$4,014.00 |
$4,014.00 |
$653.18
|
|
Apl(pml-rara) quant - sendout
|
$1,016.00 |
$1,016.00 |
$1,016.00 |
$465.60
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$1,431.00 |
$1,431.00 |
$1,431.00 |
$549.08
|
|
App high cost ss t/a/l >100sq cm 1st 100sq cm
|
$2,919.00 |
$2,919.00 |
$2,919.00 |
$3,461.40
|
|
App high cost ss t/a/l >100sq cm addl 100sq cm
|
$1,182.00 |
$1,182.00 |
$1,182.00 |
$1,300.71
|
|
App high cost ss t/a/l <100sq cm addl <25sq cm
|
$710.00 |
$710.00 |
$710.00 |
$508.18
|
|
Application finger splntstatic 29130
|
$876.00 |
$876.00 |
$876.00 |
$226.20
|
|
Application long leg splint 29505
|
$2,141.00 |
$2,141.00 |
$2,141.00 |
$370.00
|
|
Application lower leg splint 29515
|
$1,268.00 |
$1,268.00 |
$1,268.00 |
$365.60
|
|
Application multi layer compression below knee (both sides)
|
$873.00 |
$873.00 |
$873.00 |
$393.75
|
|
Application of forearm cast 29075
|
$1,879.00 |
$1,879.00 |
$1,879.00 |
$386.10
|
|
Application of long arm cast 29065
|
$745.00 |
$745.00 |
$745.00 |
$414.20
|
|
Application of long leg cast
|
$1,879.00 |
$1,879.00 |
$1,879.00 |
$406.75
|
|
Application of long leg cast 29345
|
$2,484.00 |
$2,484.00 |
$2,484.00 |
$511.68
|
|
Application of paste boot 29580
|
$245.00 |
$245.00 |
$245.00 |
$336.00
|
|
Application short leg cast 29405
|
$1,142.00 |
$1,142.00 |
$1,142.00 |
$397.33
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$2,256.00 |
$2,256.00 |
$2,256.00 |
$2,164.64
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$6,219.00 |
$6,219.00 |
$6,219.00 |
$2,164.64
|
|
Apply intrcav radiat compl
|
$8,779.00 |
$8,779.00 |
$8,779.00 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$6,679.00 |
$6,679.00 |
$6,679.00 |
$1,521.98
|
|
Apply intrcav radiat simple
|
$6,679.00 |
$6,679.00 |
$6,679.00 |
$1,001.00
|
|
Apply rigid leg cast 29445
|
$1,267.00 |
$1,267.00 |
$1,267.00 |
$608.00
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$663.80 |
$663.80 |
$663.80 |
$1,091.17
|
|
Aquaporin-4 antibody cba each
|
$134.00 |
$134.00 |
$134.00 |
$114.60
|
|
Aquaporin-4 antibody elisa
|
$293.00 |
$293.00 |
$293.00 |
$155.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$120.00 |
$120.00 |
$120.00 |
$100.00
|
|
Aquatic exercise - group charge
|
$66.00 |
$66.00 |
$66.00 |
$91.68
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,342.85 |
$1,342.85 |
$1,342.85 |
$1,642.18
|
|
Arterial blood draw/perc 36620
|
$517.00 |
$517.00 |
$517.00 |
$500.82
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,342.00 |
$1,342.00 |
$1,342.00 |
$588.53
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,973.00 |
$1,973.00 |
$1,973.00 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$2,170.00 |
$2,170.00 |
$2,170.00 |
$956.00
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$471.34
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,559.00 |
$1,559.00 |
$1,559.00 |
$715.37
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,756.00 |
$1,756.00 |
$1,756.00 |
$700.80
|
|
Aspirate bladder/sprapubic cath 51102
|
$7,560.00 |
$7,560.00 |
$7,560.00 |
$3,199.51
|
|
Aspirate/inj ganglion cyst 20612
|
$1,187.00 |
$1,187.00 |
$1,187.00 |
$440.00
|
|
Aspirate pleura without imaging 32554
|
$1,296.00 |
$1,296.00 |
$1,296.00 |
$1,317.00
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$2,682.00 |
$2,682.00 |
$2,682.00 |
$1,306.50
|
|
Assay dir meas fr estradiol
|
$82.00 |
$82.00 |
$82.00 |
$75.11
|
|
Assay of glutathione
|
$199.00 |
$199.00 |
$199.00 |
$69.55
|
|
Assay of interleukin-6 (il-6)
|
$114.00 |
$114.00 |
$114.00 |
$77.35
|
|
Assay of leflunomide
|
$135.00 |
$135.00 |
$135.00 |
$112.70
|
|
Assay of salicylate
|
$38.00 |
$38.00 |
$38.00 |
$104.00
|
|
Assay of tyrosine
|
$144.00 |
$144.00 |
$144.00 |
$56.10
|
|
Assay of urine sulfate
|
$89.00 |
$89.00 |
$89.00 |
$31.35
|
|
Assay toxin or antitoxin
|
$265.00 |
$265.00 |
$265.00 |
$77.55
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$300.00 |
$300.00 |
$300.00 |
$312.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$87.00 |
$87.00 |
$87.00 |
$47.25
|
|
Ast/sgot
|
$96.00 |
$96.00 |
$96.00 |
$46.20
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$52,511.83 |
$52,511.83 |
$52,511.83 |
$25,944.32
|
|
Atropine 0.1 mg/ml injection syringe
|
$50.14 |
$50.14 |
$50.14 |
$47.69
|
|
Audiometry air + bone
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$181.65
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$397.00 |
$397.00 |
$397.00 |
$356.00
|
|
Azacitidine injection
|
$677.26 |
$677.26 |
$677.26 |
$1,083.43
|
|
Azithromycin 500 mg intravenous solution
|
$52.29 |
$52.29 |
$52.29 |
$54.90
|
|
#bac vag cand-c. albicans naa
|
$421.00 |
$421.00 |
$421.00 |
$109.20
|
|
Basic vestibular evaluation
|
$328.00 |
$328.00 |
$328.00 |
$328.00
|
|
B cells total count
|
$331.00 |
$331.00 |
$331.00 |
$128.13
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$15,563.45 |
$15,563.45 |
$15,563.45 |
$4,702.68
|
|
Benign lesion paring 2-4
|
$336.00 |
$336.00 |
$336.00 |
$280.20
|
|
Benign lesion paring 4+
|
$358.00 |
$358.00 |
$358.00 |
$307.50
|
|
#_benzodiazconfur
|
$167.83 |
$167.83 |
$167.83 |
$100.75
|
|
Benztropine 1 mg/ml injection solution
|
$53.16 |
$53.16 |
$53.16 |
$118.00
|
|
Beta 2 glycoprotein 1 antibody iga
|
$56.00 |
$56.00 |
$56.00 |
$92.82
|
|
Beta-2 microglobulin
|
$189.00 |
$189.00 |
$189.00 |
$86.40
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$57.61 |
$57.61 |
$57.61 |
$70.37
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$15,968.25 |
$15,968.25 |
$15,968.25 |
$4,773.00
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$3,496.79 |
$3,496.79 |
$3,496.79 |
$3,422.48
|
|
Bevacizumab injection
|
$742.04 |
$742.04 |
$742.04 |
$693.24
|
|
Bilateral n block inj occipital 64405
|
$1,492.00 |
$1,492.00 |
$1,492.00 |
$825.60
|
|
Bilateral n block inj trigeminal 64400
|
$1,699.00 |
$1,699.00 |
$1,699.00 |
$667.26
|
|
Bilicheck
|
$41.00 |
$41.00 |
$41.00 |
$22.75
|
|
Bilirubin direct
|
$39.00 |
$39.00 |
$39.00 |
$49.31
|
|
Bilirubin total
|
$77.00 |
$77.00 |
$77.00 |
$51.50
|
|
Biopsy abdominal mass
|
$2,282.00 |
$2,282.00 |
$2,282.00 |
$1,917.33
|
|
Biopsy bone trocar/needle superficial
|
$1,998.00 |
$1,998.00 |
$1,998.00 |
$1,760.00
|
|
Biopsy cervixsingle/multiple 57500
|
$5,064.00 |
$5,064.00 |
$5,064.00 |
$1,268.54
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$7,154.00 |
$7,154.00 |
$7,154.00 |
$3,211.00
|
|
Biopsy muscle percutaneous needle
|
$1,821.00 |
$1,821.00 |
$1,821.00 |
$1,877.40
|
|
Biopsy needle liver percutaneous
|
$1,720.00 |
$1,720.00 |
$1,720.00 |
$2,020.70
|
|
Biopsy needle lymph node superficial
|
$3,048.00 |
$3,048.00 |
$3,048.00 |
$1,879.09
|
|
Biopsy of prostate
|
$3,250.00 |
$3,250.00 |
$3,250.00 |
$2,424.12
|
|
Biopsy renal percutaneous trocar/needle (both sides)
|
$2,440.00 |
$2,440.00 |
$2,440.00 |
$2,211.08
|
|
Biopsy roof of mouth
|
$9,908.00 |
$9,908.00 |
$9,908.00 |
$1,744.44
|
|
Biopsy skin incisional single lesion
|
$1,843.00 |
$1,843.00 |
$1,843.00 |
$724.37
|
|
Biopsy vestibule of mouth 40808
|
$3,495.00 |
$3,495.00 |
$3,495.00 |
$644.67
|
|
Biotinidase - quest
|
$95.00 |
$95.00 |
$95.00 |
$73.50
|
|
Bladder irrigate/lavage/instill 51700
|
$1,488.00 |
$1,488.00 |
$1,488.00 |
$440.70
|
|
Block plantar digital nerve
|
$1,187.00 |
$1,187.00 |
$1,187.00 |
$501.85
|
|
Blood Clotting (PT/INR) Test
|
$39.00 |
$39.00 |
$39.00 |
$52.46
|
|
Blood Clotting (PTT) Test
|
$81.00 |
$81.00 |
$81.00 |
$73.15
|
|
Blood Count (CBC) Test
|
$83.00 |
$83.00 |
$83.00 |
$74.34
|
|
Blood Count (CBC) Test (without differential)
|
$70.00 |
$70.00 |
$70.00 |
$62.15
|
|
Blood Culture Test
|
$263.00 |
$263.00 |
$263.00 |
$145.60
|
|
Blood draw capillary 36416
|
$29.00 |
$29.00 |
$29.00 |
$22.40
|
|
Blood gases o2 saturation direct measurement
|
$545.00 |
$545.00 |
$545.00 |
$226.50
|
