|
Assist oocyte fertilization
|
$1,592.50 |
$1,592.50 |
$1,592.50 |
$1,292.37
|
|
Assist oocyte fertilization
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$937.60
|
|
Ast/sgot
|
$23.40 |
$23.40 |
$23.40 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$1,807.94 |
$1,807.94 |
$1,807.94 |
$22,528.65
|
|
Atn1 gene detc abnor alleles
|
$614.25 |
$614.25 |
$614.25 |
$313.60
|
|
Atomic absorption
|
$71.50 |
$71.50 |
$71.50 |
$71.20
|
|
Atropine 0.1 mg/ml injection syringe
|
$2.44 |
$2.44 |
$2.44 |
$53.24
|
|
Attach bladder/urethra comp 51841
|
$3,556.80 |
$3,556.80 |
$3,556.80 |
$1,035.11
|
|
Attach bladder/urethra simple 51840
|
$2,953.60 |
$2,953.60 |
$2,953.60 |
$1,712.00
|
|
Attach ocular implant
|
$2,459.60 |
$2,459.60 |
$2,459.60 |
$5,364.00
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$143.65 |
$143.65 |
$390.00 |
$188.16
|
|
Atxn1 gene detc abnor allele
|
$614.25 |
$614.25 |
$614.25 |
$260.58
|
|
Atxn2 gene detc abnor allele
|
$614.25 |
$614.25 |
$614.25 |
$260.58
|
|
Atxn3 gene detc abnor allele
|
$614.25 |
$614.25 |
$614.25 |
$247.60
|
|
Atxn7 gene detc abnor allele
|
$614.25 |
$614.25 |
$614.25 |
$225.42
|
|
Aud brainstem implt programg
|
$457.60 |
$457.60 |
$457.60 |
$343.72
|
|
Audiometry air + bone
|
$406.90 |
$406.90 |
$406.90 |
$185.15
|
|
Audit/dast 15-30 min
|
$169.00 |
$169.00 |
$169.00 |
$79.80
|
|
Audit/dast over 30 min
|
$338.00 |
$338.00 |
$338.00 |
$110.95
|
|
Auditory function + 15 min
|
$91.00 |
$91.00 |
$91.00 |
$79.52
|
|
Auditory function 60 min
|
$390.00 |
$390.00 |
$390.00 |
$234.00
|
|
Aud rehab postling hear loss
|
$213.85 |
$213.85 |
$213.85 |
$204.80
|
|
Aud rehab pre-ling hear loss
|
$203.45 |
$203.45 |
$203.45 |
$168.60
|
|
Augmentation cheek bone
|
$2,763.80 |
$2,763.80 |
$2,763.80 |
$6,547.81
|
|
Augmentation lower jaw bone
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$6,948.80
|
|
Augmentation lower jaw bone
|
$3,234.40 |
$3,234.40 |
$3,234.40 |
$7,000.36
|
|
Augmentation of facial bones
|
$2,969.20 |
$2,969.20 |
$2,969.20 |
$6,966.64
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$7,109.05 |
$7,109.05 |
$7,109.05 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$21,359.65 |
$21,359.65 |
$21,359.65 |
$10,415.40
|
|
Autgrft implnt knee w/scope
|
$3,814.20 |
$3,814.20 |
$3,814.20 |
$6,311.00
|
|
Autochondrocyte implant knee
|
$6,432.40 |
$6,432.40 |
$6,432.40 |
$8,123.20
|
|
Autologous blood op salvage
|
$3,664.05 |
$3,664.05 |
$3,664.05 |
$943.80
|
|
Autologous blood process
|
$768.30 |
$768.30 |
$768.30 |
$266.75
|
|
Autonomic nrv adrenrg inervj
|
$827.45 |
$827.45 |
$827.45 |
$297.45
|
|
Autonomic nrv parasym inervj
|
$936.00 |
$936.00 |
$936.00 |
$299.72
|
|
Autonomic nrv syst funj test
|
$811.85 |
$811.85 |
$811.85 |
$365.04
|
|
Autopsy (necropsy) complete
|
$861.25 |
$861.25 |
$861.25 |
$1,263.00
|
|
Avelumab 20 mg/ml intravenous solution
|
$653.33 |
$653.33 |
$653.33 |
$3,721.71
|
|
Av fistula revision
|
$20,203.95 |
$20,203.95 |
$20,203.95 |
$7,014.75
|
|
Av fuse uppr arm basilic
|
$20,203.95 |
$20,203.95 |
$20,203.95 |
$7,740.32
|
|
Av fuse uppr arm cephalic
|
$3,221.40 |
$3,221.40 |
$3,221.40 |
$6,396.89
|
|
Av fusion direct any site
|
$3,094.00 |
$3,094.00 |
$3,094.00 |
$5,419.00
|
|
Av fusion/forearm vein 36820
|
$3,398.20 |
$3,398.20 |
$3,398.20 |
$6,396.89
|
|
Avul nail plate addl
|
$348.40 |
$348.40 |
$348.40 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$387.40 |
$387.40 |
$387.40 |
$326.27
|
|
Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial
|
$61,425.00 |
$61,425.00 |
$61,425.00 |
$23,112.50
|
|
Axicabtagene ciloleucel car+
|
$1,571,169.60 |
$1,571,169.60 |
$1,571,169.60 |
$1,510,740.00
|
|
Axillary lymphadenect/superficial 38740
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$6,311.00
|
|
Azacitidine injection
|
$17.65 |
$280.83 |
$280.83 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$2.74 |
$2.74 |
$2.74 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$18.04 |
$58.40 |
$58.40 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$40.95 |
$40.95 |
$40.95 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$156.66 |
$156.66 |
$156.66 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$503.20 |
$1,105.81 |
$2,581.80 |
$1,639.90
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$171.47 |
$224.25 |
$224.25 |
$158.07
|
|
Baclofen eval charges
|
$176.80 |
$176.80 |
$176.80 |
$87.50
|
|
Bacterial meningitis antigen
|
$52.00 |
$52.00 |
$52.00 |
$66.30
|
|
Bacterial vaginosis pcr
|
$314.60 |
$314.60 |
$314.60 |
$287.04
|
|
Bactericidal level serum
|
$67.60 |
$67.60 |
$67.60 |
$121.80
|
|
#bac vag cand-c. albicans naa
|
$157.30 |
$157.30 |
$157.30 |
$112.80
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$5.85 |
$5.85 |
$5.85 |
$16.00
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$132.60 |
$169.65 |
$169.65 |
$102.20
|
|
Balloon dilate urtrl strix
|
$848.90 |
$848.90 |
$988.00 |
$2,118.00
|
|
Banding pulmonary artery
|
$5,293.60 |
$5,293.60 |
$5,293.60 |
$1,736.87
|
|
Bard marquee Ultrasound biopsy device
|
$872.30 |
$872.30 |
$11,111.75 |
$1,686.67
|
|
Barium Enema (Colon X-ray, barium and air)
|
$798.20 |
$798.20 |
$1,125.80 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$798.20 |
$798.20 |
$1,068.60 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$798.20 |
$798.20 |
$954.20 |
$484.80
|
|
Bartholin gland cyst/marsupializat 56440
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$4,479.26
|
|
Bartonella dna pcr-sendout
|
$157.30 |
$157.30 |
$157.30 |
$195.25
|
|
Basic vestibular evaluation
|
$406.90 |
$406.90 |
$835.90 |
$346.09
|
|
Basiliximab
|
$14,509.09 |
$14,509.09 |
$14,509.09 |
$8,127.89
|
|
Bausch health Ultrasound surg
|
$646.75 |
$646.75 |
$1,706.25 |
$768.50
|
|
B cells total count
|
$169.00 |
$169.00 |
$169.00 |
$132.48
|
|
Bcg live 50 mg intravesical suspension
|
$462.64 |
$567.74 |
$567.74 |
$404.04
|
|
Bckdhb gene
|
$425.75 |
$425.75 |
$425.75 |
$190.40
|
|
Bedside drainage bag
|
$9.10 |
$9.10 |
$9.10 |
$19.10
|
|
Behavior counsel obesity 15min medicare g0447
|
$414.70 |
$414.70 |
$414.70 |
$105.00
|
|
Belatacept 250 mg intravenous solution
|
$2,269.53 |
$2,269.53 |
$2,269.53 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$130.30 |
$6,867.64 |
$6,867.64 |
$4,047.32
|
|
Below elbow myoelectronic CT
|
$7,643.35 |
$7,643.35 |
$7,643.35 |
$9,060.80
|
|
Below knee acrylic socket
|
$242.22 |
$242.22 |
$242.22 |
$493.44
|
|
Below knee cuff suspension
|
$58.77 |
$58.77 |
$58.77 |
$111.56
|
|
Below knee flex cover system
|
$448.00 |
$448.00 |
$448.00 |
$882.00
|
|
Below knee suction socket
|
$606.28 |
$606.28 |
$606.28 |
$1,192.80
|
|
Below knee sus/seal sleeve
|
$169.52 |
$169.52 |
$169.52 |
$224.83
|
|
Below knee total contact
|
$293.58 |
$293.58 |
$293.58 |
$676.34
|
|
Bendamustine 100 mg intravenous powder for solution
|
$64.06 |
$9,272.02 |
$9,272.02 |
$5,145.52
|
|
Bendamustine 25 mg/ml intravenous solution (belrapzo)
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$4,107.38
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$1,929.56 |
$1,929.56 |
$1,929.56 |
$4,898.13
|
|
Benign lesion paring 2-4
|
$387.40 |
$387.40 |
$387.40 |
$264.60
|
|
Benign lesion paring 4+
|
$387.40 |
$387.40 |
$387.40 |
$298.50
|
|
#_benzodiazconfur
|
$20.80 |
$20.80 |
$20.80 |
$121.60
|
|
Benztropine 1 mg/ml injection solution
|
$70.20 |
$70.20 |
$70.20 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$114.40 |
$114.40 |
$114.40 |
$82.55
|
|
Beta-2 microglobulin
|
$72.80 |
$72.80 |
$72.80 |
$85.20
|
|
Beta-amyloid 1-42
|
$78.65 |
$78.65 |
$78.65 |
$333.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$8.33 |
$25.76 |
$65.00 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$215.82 |
$621.61 |
$621.61 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$544.23 |
$544.23 |
$544.23 |
$3,496.79
|
