Hospital prices in Geneva, Ohio

1 hospitals publish price files here.

Cash prices in Geneva

Procedure	Lowest cash	Median here	Highest	National median
#_benzodiazconfur	$236.25	$236.25	$236.25	$161.25
#_fet/norfentcnfrmur	$212.25	$212.25	$212.25	$171.00
#a/b/c/c/h pnl-candida albicans ab	$171.00	$171.00	$171.00	$133.20
#acylcarnitineprfl	$141.00	$141.00	$141.00	$169.20
#cbg+cort-cbg	$142.50	$142.50	$142.50	$186.00
#celiac hla-dq8	$162.00	$162.00	$162.00	$1,607.40
#cf-97variants	$1,377.00	$1,377.00	$1,377.00	$3,216.00
#cms hgb-sulfhemoglobin	$132.75	$132.75	$132.75	$132.75
#cmvcul-virus inoculation shell	$60.75	$60.75	$60.75	$55.20
#covid19rsv-rsv	$84.00	$84.00	$84.00	$75.75
#coxa-coxsackie a serotype a16	$219.75	$219.75	$219.75	$111.60
#creutz-prot.,western blot	$1,085.25	$1,085.25	$1,085.25	$176.80
#fecal-sodium	$123.75	$123.75	$123.75	$86.25
#mec-opiates	$27.75	$27.75	$27.75	$27.75
#pnh-flow cytometry interp	$181.50	$181.50	$181.50	$281.40
(both sides) smear without diff wbc count	$219.00	$219.00	$219.00	$127.50
11-desoxycortisol - sendout	$182.25	$182.25	$182.25	$175.20
17-hydroxypregnenolone	$144.75	$144.75	$144.75	$243.00
2d tee w or without fol w/con,in	$1,892.25	$1,892.25	$1,892.25	$1,724.25
2d tte w or without fol w/con,co	$1,481.25	$1,481.25	$1,481.25	$1,481.25
3d ech img cgen car anomal	$1,076.25	$1,076.25	$1,076.25	$1,164.00
3d recon without postprocess indpndt	$680.25	$680.25	$680.25	$697.20
5' nucleotidase - sendout	$252.75	$252.75	$252.75	$243.00
Abatacept (with maltose) 250 mg intravenous solution	$5,313.35	$5,313.35	$5,313.35	$361.60
Abd aorta w/runoff s&i	$4,245.00	$4,245.00	$4,245.00	$4,443.00
Abd paracentesis/w/o image guide 49082	$873.00	$873.00	$873.00	$1,505.25
Abd/low ext cath 1st	$2,992.50	$2,992.50	$2,992.50	$3,237.00
Abd/low ext cath 3rd	$3,522.75	$3,522.75	$3,522.75	$3,810.00
Abd/low ext cath addl	$1,045.50	$1,045.50	$1,045.50	$1,045.50
Abdominal CT scan (with and without contrast)	$1,899.00	$1,899.00	$1,899.00	$2,049.00
Abdominal CT scan (with contrast)	$1,711.50	$1,711.50	$1,711.50	$1,683.63
Abdominal CT scan (without contrast)	$1,506.75	$1,506.75	$1,506.75	$1,358.76
Abdominal MRI (with and without contrast)	$2,292.75	$2,292.75	$2,292.75	$3,061.80
Abdominal MRI (with contrast)	$2,143.50	$2,143.50	$2,143.50	$2,096.25
Abdominal MRI (without contrast)	$1,993.50	$1,993.50	$1,993.50	$1,902.00
Abdominal Ultrasound (complete)	$785.25	$785.25	$785.25	$755.00
Abdominal Ultrasound (limited)	$671.25	$671.25	$671.25	$629.42
Abdominal paracentesis w/image guidance	$1,245.00	$1,245.00	$1,245.00	$1,689.00
Abl1 gene	$468.75	$468.75	$468.75	$2,004.60
Ablate bone tumor(s) cryo perq 20983	$4,851.00	$4,851.00	$4,851.00	$5,246.25
Ablate bone tumor(s) perq	$4,708.50	$4,708.50	$4,708.50	$5,092.50
Ablate inf turbinate superf 30801	$1,849.50	$1,849.50	$1,849.50	$1,849.50
Ablate pulm tumor perq crybl	$9,970.50	$9,970.50	$9,970.50	$10,443.00
Ablation cryo abd perit om	$6,964.50	$6,964.50	$6,964.50	$6,311.40
Ablation cryo adrenal tumor	$5,790.75	$5,790.75	$5,790.75	$5,790.75
Ablation cryo pq chest wall tumor(s) w/guid	$234.00	$234.00	$234.00	$234.00
Ablation cryo pq liver tumor(s)	$5,522.25	$5,522.25	$5,522.25	$8,080.50
Ablation cryo retro lymph node	$402.75	$402.75	$402.75	$418.50
Ablation cryo thigh/knee	$219.00	$219.00	$219.00	$274.50
Ablation of upper extremity nerves rf	$2,332.50	$2,332.50	$2,332.50	$2,332.50
Abobotulinumtoxina	$3,255.66	$3,255.66	$3,255.66	$3,255.66
Abscess drain retroperitoneal surg code	$3,066.00	$3,066.00	$3,066.00	$5,568.60
Acetaminophen 10 mg/ml soln 100 ml glass cont	$147.54	$147.54	$147.54	$47.40
Acetaminophen level	$145.50	$145.50	$145.50	$159.60
Acetazolamide 500 mg solution for injection	$137.07	$137.07	$137.07	$256.80
Acetylcholine receptor modulating antibody	$489.00	$489.00	$489.00	$300.00
Acetylcysteine 200 mg/ml (20 %) intravenous solution	$406.77	$406.77	$406.77	$648.00
Acetylcysteine non-comp unit	$87.97	$87.97	$87.97	$87.97
Aco annual medicare visit (awv), initial g0438aco	$225.00	$225.00	$225.00	$243.00
Aco annual medicare visit (awv), subsq g0439aco	$148.50	$148.50	$148.50	$160.50
Aco med nutria tx/group, ea 30 min 97804aco	$59.25	$59.25	$59.25	$52.80
Acup 1/> w/estim 1st 15 min	$42.75	$42.75	$42.75	$42.75
Acup 1/> wo estim 1st 15 min	$42.75	$42.75	$42.75	$45.75
Acute hepatitis panel	$542.25	$542.25	$542.25	$496.20
Acute venous thrombus image	$632.25	$632.25	$632.25	$580.00
Acyclovir 400 mg tablet	$100,424.10	$100,424.10	$100,424.10	$100,424.10
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr	$77.65	$77.65	$77.65	$77.65
Adapter b 8 channel 10cm	$29,250.00	$29,250.00	$29,250.00	$3,454.80
Adenosine 3 mg/250 ml bag for osm	$528.78	$528.78	$528.78	$528.78
Adenovirus antibody,serum - quest	$64.50	$64.50	$64.50	$91.80
Adh-sendout	$638.25	$638.25	$638.25	$360.00
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution	$5,046.43	$5,046.43	$5,046.43	$450.00
Administration chemotherapy IV infusion each additional hour	$420.75	$420.75	$420.75	$298.20
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr	$863.25	$863.25	$863.25	$336.00
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug	$762.00	$762.00	$762.00	$790.20
Administration chemotherapy IV push single/initial substance/drug	$362.25	$362.25	$362.25	$526.20
Administration chemotherapy subcutaneous/im anti neoplastic hormonal	$559.50	$559.50	$559.50	$254.40
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal	$573.75	$573.75	$573.75	$254.40
Administration immunization 1 vaccine	$41.25	$41.25	$41.25	$12.00
Administration immunization each additional component	$35.25	$35.25	$35.25	$48.60
Administration immunization each additional vaccine	$33.75	$33.75	$33.75	$12.00
Administration immunization first component each vaccine	$35.25	$35.25	$35.25	$115.20
Administration immunization intranasal/oral route 1 vaccine	$40.50	$40.50	$40.50	$40.50
Administration immunization intranasal/oral route each additional vaccine	$39.00	$39.00	$39.00	$39.00
Administration vaccine hepatitis b	$41.25	$41.25	$41.25	$12.00
Administration vaccine influenza virus	$35.25	$35.25	$35.25	$12.00
Administration vaccine pneumococcal	$35.25	$35.25	$35.25	$12.00
Ado-trastuzumab emtansine 100 mg intravenous solution	$23,602.63	$23,602.63	$23,602.63	$139.20
After cataract laser surgery	$1,380.00	$1,380.00	$1,380.00	$1,459.50
Agalsidase beta 35 mg intravenous solution	$28,942.08	$28,942.08	$28,942.08	$27,295.80
Airway resistance by impulse oscillometry 94728	$393.00	$393.00	$393.00	$425.25
Albumin (human), 25%, 50ml	$295.80	$295.80	$295.80	$304.00
Albumin (human), 5%, 250 ml	$295.80	$295.80	$295.80	$609.00
Albumin (microalbumin) 24 hour urine quantitative	$63.75	$63.75	$63.75	$76.80
Albumin body fluid quantitative each specimen	$49.50	$49.50	$49.50	$40.20
Albumin serum plasma or whole blood	$54.75	$54.75	$54.75	$54.75
Albuterol ipratrop non-comp	$2.43	$2.43	$2.43	$13.80
Albuterol non-comp con	$44.56	$44.56	$44.56	$5.00
Albuterol non-comp unit	$2.43	$2.43	$2.43	$7.20
Alcohol (ethanol) any specimen except urine/breath	$56.25	$56.25	$56.25	$60.75
Alemtuzumab 12 mg/1.2 ml intravenous solution	$112,036.08	$112,036.08	$112,036.08	$16,540.80
Alkaline phosphatase	$45.75	$45.75	$45.75	$51.75
Allergen alpha lactalbumin ige	$71.25	$71.25	$71.25	$57.60
Allergen egg white ige	$273.00	$273.00	$273.00	$66.60
Allergen specific ige qual multi scrn ea	$57.75	$57.75	$57.75	$40.20
Allograft allowrap 4x4cm dry 16sqcm	$13,768.09	$13,768.09	$13,768.09	$13,768.09
Allograft amnioexcel plus 17mm disk	$13,478.20	$13,478.20	$13,478.20	$13,478.20
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet	$911.25	$911.25	$911.25	$2,929.80
Allograft dermis 20x25x1mm decell w/matracell arthroflex	$9,702.00	$9,702.00	$9,702.00	$9,702.00
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm	$30,615.48	$30,615.48	$30,615.48	$30,615.48
Allograft epieffect 2x3cm-q4186-cost per sq cm	$10,046.28	$10,046.28	$10,046.28	$10,046.28
Allograft graftjacket 2x12cm-q4107-cost per sq cm	$6,367.50	$6,367.50	$6,367.50	$4,885.20
Allograft membrn amnio 1x2cm hu ambriodry	$1,887.75	$1,887.75	$1,887.75	$1,887.75
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm	$6,075.00	$6,075.00	$6,075.00	$6,075.00
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm	$4,038.75	$4,038.75	$4,038.75	$4,038.75
Alpha-fetoprotein amniotic	$51.00	$51.00	$51.00	$138.60
Alpha-fetoprotein tumor marker	$162.00	$162.00	$162.00	$155.40
Alprostadil for injection	$800.48	$800.48	$800.48	$550.20
Alt/sgpt	$77.25	$77.25	$77.25	$77.25
Alteplase 100 mg infusion from pyxis vial	$31,563.16	$31,563.16	$31,563.16	$31,563.16
Aluminum - quest	$193.50	$193.50	$193.50	$168.00
Alys cplx sp/pn npgt w/prgrm	$1,303.50	$1,303.50	$1,303.50	$1,303.50
Amantadine (symmetrel)-sendout	$518.25	$518.25	$518.25	$240.00
Amikacin 4 mg/ml intravitreal injection - cnr	$79.87	$79.87	$79.87	$27.00
Amino acids quant 2-5	$221.25	$221.25	$221.25	$220.80
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr	$35.21	$35.21	$35.21	$9.15
Aminolevulinic acid delta	$658.50	$658.50	$658.50	$216.00
Aminophylline 25 mg/ml intravenous solution (wrapper)	$65.64	$65.64	$65.64	$65.64
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV	$119.07	$119.07	$119.07	$119.07
Amiodarone 50 mg/ml intravenous solution	$50.85	$50.85	$50.85	$96.80
Amitriptyline (elavil) -sendout	$289.50	$289.50	$289.50	$234.75
Amivantamab-vmjw 50 mg/ml intravenous solution	$14,075.19	$14,075.19	$14,075.19	$14,075.19
Ammonia	$153.00	$153.00	$153.00	$141.00
Amphetamine confirm urine -sendout	$110.25	$110.25	$110.25	$79.50
Amphetamines 5 or more	$468.00	$468.00	$468.00	$462.75
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr	$130.08	$130.08	$130.08	$146.40
Amphotericin b lipid complex	$360.00	$360.00	$360.00	$272.40
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr	$434.39	$434.39	$434.39	$592.80
Ampicillin 1 gram solution for injection	$114.78	$114.78	$114.78	$110.40
Ampicillin-sulbactam 1.5 gram solution for injection	$18.87	$18.87	$18.87	$61.20
Amylase	$197.25	$197.25	$197.25	$120.75
An cholangiogram percutaneous compl	$485.25	$485.25	$485.25	$3,342.00
An fluoro guide for cvp	$789.75	$789.75	$789.75	$789.75
Analgesics non-opioid definitive assay 1 or 2 acetaminophen	$92.25	$92.25	$92.25	$79.50
Analysis gene f2 20210g>a variant	$515.25	$515.25	$515.25	$2,361.60
Analysis gene f5 leiden variant	$654.75	$654.75	$654.75	$1,191.60
Analyze neurostimulator simple w/reprogramming 95971	$563.25	$563.25	$563.25	$670.80
Anaplsma phgcytophlm amp prb	$105.00	$105.00	$105.00	$290.40
Anca screen with reflex to titer -quest	$259.50	$259.50	$259.50	$156.00
Angio trnslmnl balloon same vein ea addl	$6,355.50	$6,355.50	$6,355.50	$4,999.50
Angio trnslmnl balloon same vein ini	$6,389.25	$6,389.25	$6,389.25	$7,522.20
Angiotensin ii 0.5 mg/ml soln 1 ml vial	$59,352.27	$59,352.27	$59,352.27	$22,037.40
Anidulafungin injection	$116.22	$116.22	$116.22	$116.22
Ankle X-ray	$441.75	$441.75	$441.75	$312.74
Anl sp inf pmp w/mdreprg&fil	$502.50	$502.50	$502.50	$693.75
Anodyne therapy charges pt	$49.50	$49.50	$49.50	$49.50
Anoscopy remove fb 46608	$1,950.00	$1,950.00	$1,950.00	$2,551.20
Anti mog serum - sendout	$342.00	$342.00	$342.00	$192.60
Anti-inhibitor	$18,764.82	$18,764.82	$18,764.82	$11.60
Anti-thymocyte glob (equine)(1:1000) intradermal test dose	$17,349.88	$17,349.88	$17,349.88	$3,726.60
Antibody bacterium, not elsewhere specified	$189.75	$189.75	$189.75	$118.50
Antibody elution rbc reference	$153.00	$153.00	$153.00	$98.40
Antibody htlv-i	$195.00	$195.00	$195.00	$85.20
Antibody htlv-ii	$195.00	$195.00	$195.00	$210.75
Antibody htlv/hiv confirm test	$289.50	$289.50	$289.50	$246.60
Antibody id rbc panel	$160.50	$160.50	$160.50	$235.80
Antibody identification platelet antibodies heparin-pf4 igg	$822.75	$822.75	$822.75	$621.00
Antibody lymphocytic choriomeningitis	$205.50	$205.50	$205.50	$111.20
Antibody screen rbc	$126.00	$126.00	$126.00	$113.40
Antidepressant not specified	$318.75	$318.75	$318.75	$276.75
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution	$5,102.55	$5,102.55	$5,102.55	$15.20
Antineutrophil cytoplasmic antibody screen each antibody	$140.25	$140.25	$140.25	$140.25
Antinuclear antibodies	$124.50	$124.50	$124.50	$97.50
Antinuclear antibodies titer	$102.00	$102.00	$102.00	$102.00
Antiphosphatidylserine antibody	$80.25	$80.25	$80.25	$303.00
Antistreptolysin o titer	$106.50	$106.50	$106.50	$83.40
Antithrombin iii activity	$268.50	$268.50	$268.50	$157.80
Antithrombin iii injection	$6,858.87	$6,858.87	$6,858.87	$70.20
Antithymocyte globuln rabbit	$4,139.25	$4,139.25	$4,139.25	$4,139.25
Apl(pml-rara) quant - sendout	$1,187.25	$1,187.25	$1,187.25	$1,187.25
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm	$557.25	$557.25	$557.25	$433.20
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm	$1,990.50	$1,990.50	$1,990.50	$2,148.00
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm	$1,130.25	$1,130.25	$1,130.25	$1,222.50
App high cost ss t/a/l <100sq cm addl <25sq cm	$545.25	$545.25	$545.25	$384.00
App high cost ss t/a/l >100sq cm 1st 100sq cm	$2,133.75	$2,133.75	$2,133.75	$2,978.25
App high cost ss t/a/l >100sq cm addl 100sq cm	$1,417.50	$1,417.50	$1,417.50	$2,072.25
Appl modality 1/> areas paraffin bath 97018	$66.75	$66.75	$66.75	$80.40
Appl modality 1/> areas vasopneumatic devices 97016	$92.25	$92.25	$92.25	$92.25
Appl multlay comprs arm/hand	$378.75	$378.75	$378.75	$409.50
Appl patllr tdn bearing cast	$396.75	$396.75	$396.75	$396.75
Application finger splntstatic 29130	$192.75	$192.75	$192.75	$208.50
Application long leg splint 29505	$312.75	$312.75	$312.75	$569.60
Application lower leg splint 29515	$294.75	$294.75	$294.75	$471.00
Application multi layer compression below knee (both sides)	$377.25	$377.25	$377.25	$377.25
Application of forearm cast 29075	$279.75	$279.75	$279.75	$424.20
Application of long arm cast 29065	$297.00	$297.00	$297.00	$440.40
Application of long leg cast	$444.00	$444.00	$444.00	$480.75
Application of long leg cast 29345	$388.50	$388.50	$388.50	$388.50
Application of paste boot 29580	$361.50	$361.50	$361.50	$390.75
Application short leg cast 29405	$332.25	$332.25	$332.25	$359.25
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm	$1,682.25	$1,682.25	$1,682.25	$2,109.00
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm	$1,441.50	$1,441.50	$1,441.50	$2,109.00
Applicator tag rfid localizer 12gx7cm	$470.25	$470.25	$470.25	$470.25
Apply hand/wrist cast 29085	$230.25	$230.25	$230.25	$520.80
Apply rigid leg cast 29445	$738.75	$738.75	$738.75	$631.20
Apply short leg castambul type 29425	$298.50	$298.50	$298.50	$333.00
Aqaprn-4 antb flo cytmtry ea	$244.50	$244.50	$244.50	$281.40
Aqua therapy w/exercise/ea 15 min 97113	$129.75	$129.75	$129.75	$137.40
Aquatic exercise - group charge	$102.75	$102.75	$102.75	$95.40
Argatroban nonesrd (auromed)	$668.52	$668.52	$668.52	$668.52
Argatroban nonesrd use 1mg	$881.10	$881.10	$881.10	$881.10
Aripiprazole 441 mg/1.6 ml inj	$11,842.72	$11,842.72	$11,842.72	$579.60
Arsenic trioxide 2 mg/ml intravenous solution	$4,375.05	$4,375.05	$4,375.05	$292.80
Arterial blood draw/perc 36620	$728.25	$728.25	$728.25	$622.20
Artery x-rays arm/leg 75710-26	$3,324.00	$3,324.00	$3,324.00	$3,092.00
Artery x-rays arms/legs 75716-26	$4,122.75	$4,122.75	$4,122.75	$2,958.40
Artery x-rays spine	$2,771.25	$2,771.25	$2,771.25	$4,294.50
Artery xray each vessel 7577426	$3,035.25	$3,035.25	$3,035.25	$2,463.60
Artery xray of abdomen 75726-26	$3,186.00	$3,186.00	$3,186.00	$3,805.80
Artery xrays of pelvis 75736 26	$4,369.50	$4,369.50	$4,369.50	$4,369.50
Artery-vein nonautograft	$5,272.50	$5,272.50	$5,272.50	$5,272.50
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604	$456.75	$456.75	$456.75	$642.60
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)	$498.00	$498.00	$498.00	$498.00
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)	$548.25	$548.25	$548.25	$619.50
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right	$442.50	$442.50	$442.50	$453.60
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)	$714.00	$714.00	$714.00	$723.60
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance	$452.25	$452.25	$452.25	$493.50
Artiss fibrin sealant	$3,217.53	$3,217.53	$3,217.53	$3,217.53
Ascenda two piece catheter	$32,280.75	$32,280.75	$32,280.75	$28,797.60
Asp & inj bone cyst	$699.75	$699.75	$699.75	$699.75
Asp & inj w/heparin pleurx cath	$1,092.00	$1,092.00	$1,092.00	$1,092.00
Aspir/inj thyroid cyst 60300	$654.00	$654.00	$654.00	$873.00
Aspirate bladder/sprapubic cath 51102	$2,266.50	$2,266.50	$2,266.50	$3,146.25
Aspirate pleura without imaging 32554	$1,317.00	$1,317.00	$1,317.00	$1,212.00
Aspirate/inj ganglion cyst 20612	$491.25	$491.25	$491.25	$491.25
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion	$857.25	$857.25	$857.25	$971.40
Aspiration peritonsillar abscess	$227.25	$227.25	$227.25	$283.50
Assay acid phosphatase	$80.25	$80.25	$80.25	$80.25
Assay alkaline phosphatase	$81.00	$81.00	$81.00	$63.00
Assay dir meas fr estradiol	$362.25	$362.25	$362.25	$117.00
Assay duodenal fluid trypsin	$251.25	$251.25	$251.25	$251.25
Assay of adp & amp	$271.50	$271.50	$271.50	$271.50
Assay of breath ethanol	$452.25	$452.25	$452.25	$165.00
Assay of digoxin free	$25.50	$25.50	$25.50	$27.00
Assay of fluoride	$312.00	$312.00	$312.00	$227.40
Assay of galactose	$394.50	$394.50	$394.50	$307.50
Assay of glucosidase	$969.00	$969.00	$969.00	$969.00
Assay of glutathione	$252.75	$252.75	$252.75	$77.40
Assay of interleukin-6 (il-6)	$42.00	$42.00	$42.00	$67.20
Assay of leflunomide	$147.00	$147.00	$147.00	$153.00
Assay of lrh hormone	$776.25	$776.25	$776.25	$299.20
Assay of osteocalcin	$134.25	$134.25	$134.25	$150.60
Assay of procainamide w/metab	$129.75	$129.75	$129.75	$129.75
Assay of prostaglandin	$86.25	$86.25	$86.25	$211.80
Assay of salicylate	$102.00	$102.00	$102.00	$159.60
Assay of sialic acid	$342.00	$342.00	$342.00	$188.40
Assay of somatostatin	$578.25	$578.25	$578.25	$284.00
Assay of thiocyanate	$320.25	$320.25	$320.25	$226.20
Assay of urine sulfate	$64.50	$64.50	$64.50	$52.20
Assay phosphohexose enzymes	$252.75	$252.75	$252.75	$252.75
Assay toxin or antitoxin	$63.00	$63.00	$63.00	$110.40
Assess aphasia/interp/rpt/per hr 96105	$422.25	$422.25	$422.25	$449.40
Assess cyst contrast inject	$291.00	$291.00	$291.00	$845.40
Ast/sgot	$55.50	$55.50	$55.50	$43.80
Atezolizumab 60 mg/ml intravenous solution (wrapper)	$42,851.67	$42,851.67	$42,851.67	$311.20
Atropine 0.1 mg/ml injection syringe	$39.35	$39.35	$39.35	$39.35
Augment injectable kit 3.0cc	$8,645.34	$8,645.34	$8,645.34	$8,418.60
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body	$8,849.25	$8,849.25	$8,849.25	$8,849.25
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic	$8,849.25	$8,849.25	$8,849.25	$9,145.50
Autoimmune rheumatoid arthr anl 12 mrk ia	$771.75	$771.75	$771.75	$802.50
Avelumab 20 mg/ml intravenous solution	$7,742.64	$7,742.64	$7,742.64	$231.00
Avul nail plate addl	$295.50	$295.50	$295.50	$318.75
Avulsion nail plate partial/complete simple single nail plate	$308.25	$308.25	$308.25	$417.00
Axicabtagene ciloleucel car+	$1,861,987.05	$1,861,987.05	$1,861,987.05	$1,861,987.05
Azacitidine injection	$2,163.93	$2,163.93	$2,163.93	$2,163.93
Azathioprine 50 mg tablet	$7,093.66	$7,093.66	$7,093.66	$14.40
Azathioprine parenteral	$771.30	$771.30	$771.30	$771.30
Azithromycin 500 mg intravenous solution	$22.93	$22.93	$22.93	$186.40
Aztreonam 1 gram solution for injection	$203.80	$203.80	$203.80	$21.60
B cells total count	$81.75	$81.75	$81.75	$136.00
B-hexosaminidase ea assay	$96.75	$96.75	$96.75	$104.25
Baclofen eval charges	$94.50	$94.50	$94.50	$118.20
Bacterial meningitis antigen	$78.75	$78.75	$78.75	$100.80
Bacterial vaginosis pcr	$1,973.25	$1,973.25	$1,973.25	$390.60
Balloon dilate urtrl strix	$1,958.25	$1,958.25	$1,958.25	$6,571.80
Bartonella dna pcr-sendout	$1,070.25	$1,070.25	$1,070.25	$671.40
Basiliximab	$15,941.19	$15,941.19	$15,941.19	$7,420.80
Bausch health Ultrasound surg	$2,238.75	$2,238.75	$2,238.75	$800.00
Bcg live 50 mg intravesical suspension	$605.43	$605.43	$605.43	$605.43
Belatacept 250 mg intravenous solution	$3,406.85	$3,406.85	$3,406.85	$3,406.85
Belimumab 120 mg intravenous solution	$7,979.25	$7,979.25	$7,979.25	$7,881.60
Bendamustine 25 mg/ml intravenous solution (bendeka)	$6,784.08	$6,784.08	$6,784.08	$87.00
Benign lesion paring 2-4	$295.50	$295.50	$295.50	$300.75
Benign lesion paring 4+	$368.25	$368.25	$368.25	$368.25
Benztropine 1 mg/ml injection solution	$102.90	$102.90	$102.90	$115.80
Beta 2 glycoprotein 1 antibody iga	$138.00	$138.00	$138.00	$133.50
Beta-2 microglobulin	$112.50	$112.50	$112.50	$110.40
Beta-amyloid 1-42	$504.00	$504.00	$504.00	$1,056.60
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection	$149.68	$149.68	$149.68	$149.68
Bevacizumab 25 mg/ml intravenous solution	$2,946.69	$2,946.69	$2,946.69	$2,946.69
Bevacizumab-awwb 25 mg/ml intravenous solution	$10,009.76	$10,009.76	$10,009.76	$3,154.20
Bilateral n blobk inj pudendal 64430	$1,629.00	$1,629.00	$1,629.00	$2,632.20
Bilateral n block inj occipital 64405	$1,671.75	$1,671.75	$1,671.75	$951.00
Bilateral n block inj trigeminal 64400	$819.00	$819.00	$819.00	$885.75
Biliary endo perq dx w/speci	$6,068.25	$6,068.25	$6,068.25	$6,068.25
Biliary endoscopy thru skin	$4,336.50	$4,336.50	$4,336.50	$4,336.50
Biliary endoscopy thru skin	$6,068.25	$6,068.25	$6,068.25	$6,068.25
Bilirubin direct	$62.25	$62.25	$62.25	$62.25
Bilirubin total	$39.75	$39.75	$39.75	$58.80
Biofeedback, pt	$174.75	$174.75	$174.75	$308.40
Biopsy abdominal mass	$1,461.75	$1,461.75	$1,461.75	$1,704.60
Biopsy bone trocar/needle superficial	$1,418.25	$1,418.25	$1,418.25	$1,629.60
Biopsy muscle percutaneous needle	$1,536.75	$1,536.75	$1,536.75	$1,629.60
Biopsy needle liver percutaneous	$1,642.50	$1,642.50	$1,642.50	$1,642.50
Biopsy needle lymph node superficial	$1,176.00	$1,176.00	$1,176.00	$1,352.80
Biopsy of ovary(s) 58900	$2,118.75	$2,118.75	$2,118.75	$2,203.50
Biopsy of salivary gland 42400	$1,178.25	$1,178.25	$1,178.25	$1,178.25
Biopsy renal percutaneous trocar/needle (both sides)	$2,049.75	$2,049.75	$2,049.75	$1,717.20
Biopsy skin incisional single lesion	$327.00	$327.00	$327.00	$640.80
Biopsy tongue anterior two-thirds	$1,829.25	$1,829.25	$1,829.25	$1,829.25
Biopsy vestibule of mouth 40808	$1,332.00	$1,332.00	$1,332.00	$981.00
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)	$1,900.50	$1,900.50	$1,900.50	$1,745.40
Biopsy/removal lymph nodes	$3,998.25	$3,998.25	$3,998.25	$3,998.25
Biotinidase - quest	$370.50	$370.50	$370.50	$267.00
Bis xtracell fluid analysis	$123.00	$123.00	$123.00	$123.00
Bivalirudin	$18,344.51	$18,344.51	$18,344.51	$5,267.40
Bladder irrigate/lavage/instill 51700	$354.00	$354.00	$354.00	$664.20
Bleomycin 15 unit solution for injection	$172.13	$172.13	$172.13	$306.40
Blinatumomab 35 mcg intravenous solution	$20,544.09	$20,544.09	$20,544.09	$417.00
Bln 1.2 mono emrg 15x1.2	$10,575.00	$10,575.00	$10,575.00	$6,582.60
Bln 30frx10mmx12cm renal nephromax	$10,800.00	$10,800.00	$10,800.00	$4,790.40
Bln dil 900ml preperitnl	$1,241.51	$1,241.51	$1,241.51	$2,017.80
Bln inpact admiral 4x150x130cm	$38,250.00	$38,250.00	$38,250.00	$4,954.20
Bln press regulation 71-80cm	$17,775.00	$17,775.00	$17,775.00	$16,708.20
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd	$5,175.00	$5,175.00	$5,175.00	$5,175.00
Block femoral nerve cont infusion cath w/img	$716.25	$716.25	$716.25	$1,381.20
Block paracervical nrv	$982.50	$982.50	$982.50	$1,021.50
Block tap inj(s) w/wo img uni	$1,053.00	$1,053.00	$1,053.00	$1,095.00
Blood Clotting (PT/INR) Test	$69.00	$69.00	$69.00	$45.00
Blood Clotting (PTT) Test	$83.25	$83.25	$83.25	$64.35
Blood Count (CBC) Test	$87.00	$87.00	$87.00	$66.75
Blood Count (CBC) Test (without differential)	$93.75	$93.75	$93.75	$57.50
Blood Culture Test	$189.00	$189.00	$189.00	$112.20
Blood draw capillary 36416	$24.00	$24.00	$24.00	$12.60
Blood gases o2 saturation direct measurement	$225.75	$225.75	$225.75	$225.75
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic	$50.25	$50.25	$50.25	$45.00
Blood occult feces colorectal neoplasm screening qualitative	$44.25	$44.25	$44.25	$21.00
Blood occult peroxidase activity qualitative gastric	$48.00	$48.00	$48.00	$48.00
Blood smear interpretation	$252.75	$252.75	$252.75	$108.00
Blood smear microscopic w manual differential wbc count	$120.00	$120.00	$120.00	$59.40
Blood typing abo	$179.25	$179.25	$179.25	$41.40
Blood typing ag donor ea ag	$45.75	$45.75	$45.75	$102.00
Blood typing rbc ag non abo/rh ea	$84.00	$84.00	$84.00	$84.60
Blood typing rh (d)	$126.00	$126.00	$126.00	$57.60
Blood typing rh phenotype complete reference	$51.00	$51.00	$51.00	$53.25
Bone Density Scan (DEXA)	$420.00	$420.00	$420.00	$398.56
Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm	$19,830.72	$19,830.72	$19,830.72	$19,830.72
Bone filler cerament 10cc	$5,163.75	$5,163.75	$5,163.75	$5,163.75
Bone marrow biopsyneedle/trocar 38221	$790.50	$790.50	$790.50	$1,200.00
Bone marrow harvest allogen	$91,568.25	$91,568.25	$91,568.25	$91,568.25
Bone marrow;aspiration only 38220	$394.50	$394.50	$394.50	$1,253.25
Bone survey-lead poisoning	$464.25	$464.25	$464.25	$619.50
Bone tendon board add on	$9,547.14	$9,547.14	$9,547.14	$9,547.14
Boot mlti podous univ xlg	$318.36	$318.36	$318.36	$318.36
Boot softgait shrt m	$113.72	$113.72	$113.72	$113.72
Boot walker genesis full shell 3-strap s	$179.82	$179.82	$179.82	$805.80
Boot walker genesis mid-calf full shell s	$308.33	$308.33	$308.33	$308.33
Borrelia burgdorferi (lyme disease) antibody nonspecific	$88.50	$88.50	$88.50	$94.80
Bowel imaging	$1,365.75	$1,365.75	$1,365.75	$1,365.75
Brace afo lg left 6607	$70.65	$70.65	$70.65	$70.65
Brace ank air stirrup univ	$55.92	$55.92	$55.92	$272.40
Brace ankle stablizing lg	$35.15	$35.15	$35.15	$286.80
Brace back epic lso 637	$608.40	$608.40	$608.40	$608.40
Brace cust back lso	$417.67	$417.67	$417.67	$417.67
Brace knee extender plus 22-30in	$257.51	$257.51	$257.51	$351.60
Brace knee hing pat open med	$433.29	$433.29	$433.29	$433.29
Brace knee playmaker ii x-rom hook and loop xl	$188.51	$188.51	$188.51	$188.51
Brace m arm board	$110.54	$110.54	$110.54	$110.54
Brace oths wrist hnd fngr without	$76.50	$76.50	$76.50	$194.40
Brace wrist classic lft sm	$92.25	$92.25	$92.25	$132.60
Brach/thor cath 1st	$3,816.75	$3,816.75	$3,816.75	$4,128.75
Brach/thor cath 2nd	$2,353.50	$2,353.50	$2,353.50	$2,881.20
Braf gene	$201.75	$201.75	$201.75	$1,013.40
Brain MRA (blood vessel MRI, with and without contrast)	$2,575.50	$2,575.50	$2,575.50	$2,650.00
Brain MRA (blood vessel MRI, with contrast)	$2,504.25	$2,504.25	$2,504.25	$1,998.00
Brain MRA (blood vessel MRI, without contrast)	$1,806.75	$1,806.75	$1,806.75	$1,802.40
Brain MRI (with and without contrast)	$2,185.50	$2,185.50	$2,185.50	$2,919.75
Brain MRI (with contrast)	$1,987.50	$1,987.50	$1,987.50	$2,224.96
Brain MRI (without contrast)	$1,815.00	$1,815.00	$1,815.00	$1,830.00
Brain flow imaging only	$407.25	$407.25	$407.25	$627.00
Breast Biopsy (ultrasound-guided, percutaneous)	$3,174.75	$3,174.75	$3,174.75	$3,069.25
Breath hydrogen test 91065	$534.00	$534.00	$534.00	$534.00
Brentuximab vedotin 50 mg intravenous solution	$46,868.78	$46,868.78	$46,868.78	$31,641.60
Brexucabtagene car pos t	$1,475,302.50	$1,475,302.50	$1,475,302.50	$1,475,302.50
Bronch ebus samplng 1/2 node	$5,114.25	$5,114.25	$5,114.25	$3,484.80
Bronch ebus samplng 3/> node	$5,114.25	$5,114.25	$5,114.25	$4,643.40
Bronch thermoplsty 1 lobe	$6,792.00	$6,792.00	$6,792.00	$7,346.25
Bronch thermoplsty 2/> lobes	$7,179.75	$7,179.75	$7,179.75	$7,765.50
Bronch w/balloon occlusion	$7,276.50	$7,276.50	$7,276.50	$7,870.50
Bronchial allergy tests	$591.00	$591.00	$591.00	$573.00
Bronchial challenge	$1,131.75	$1,131.75	$1,131.75	$761.40
Bronchial valve remov addl	$1,576.50	$1,576.50	$1,576.50	$1,576.50
Bronchial valve remov init	$3,478.50	$3,478.50	$3,478.50	$3,478.50
Bronchoscopy clear airways 31645	$2,191.50	$2,191.50	$2,191.50	$2,653.80
Bronchoscopy dilate w/stent	$6,258.75	$6,258.75	$6,258.75	$6,768.75
Bronchoscopy w/biopsy(s) 31625	$1,563.00	$1,563.00	$1,563.00	$2,256.75
Bronchoscopy w/fb removal 31635	$2,036.25	$2,036.25	$2,036.25	$3,279.00
Bronchoscopy w/markers	$2,478.75	$2,478.75	$2,478.75	$8,245.80
Bronchoscopy w/tumor excise	$3,549.75	$3,549.75	$3,549.75	$3,549.75
Bronchoscopy/lung bx addl 31632	$1,305.75	$1,305.75	$1,305.75	$1,305.75
Budesonide non-comp unit	$32.78	$32.78	$32.78	$463.20
Bundled special stain group 1 microorganisms	$261.00	$261.00	$261.00	$145.80
Bundled special stain group 2	$225.75	$225.75	$225.75	$134.25
Bupivacaine 0.1 % epidural pca - 1 hour dose limit	$44.19	$44.19	$44.19	$1.40
Buprenorph X-ray 100 mg or less	$7,360.99	$7,360.99	$7,360.99	$7,360.99
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet	$545.43	$545.43	$545.43	$20.25
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet	$621.18	$621.18	$621.18	$36.60
Buprenorphine X-ray over 100 mg	$7,360.99	$7,360.99	$7,360.99	$7,360.99
Buprenorphine and metabolite - sendout	$175.50	$175.50	$175.50	$136.50
Buprenorphine hydrochloride	$52.01	$52.01	$52.01	$14.40
Buprenorphine oral 1mg	$715.66	$715.66	$715.66	$715.66
Bur rotalink 2.15mm	$11,463.75	$11,463.75	$11,463.75	$9,807.60
Busulfan injection	$783.10	$783.10	$783.10	$783.10
Butorphanol tartrate 1 mg	$63.62	$63.62	$63.62	$90.60
Bx bone trocar/ndl deep	$2,717.25	$2,717.25	$2,717.25	$2,179.80
Bx breast 1st lesion mr imag	$2,955.75	$2,955.75	$2,955.75	$2,955.75
Bx breast 1st lesion strtctc	$3,406.50	$3,406.50	$3,406.50	$3,700.20
Bx breast add lesion Ultrasound imag	$2,855.25	$2,855.25	$2,855.25	$2,315.20
Bx breast add lesion mr imag	$2,781.75	$2,781.75	$2,781.75	$2,781.75
Bx breast add lesion strtctc	$3,026.25	$3,026.25	$3,026.25	$2,515.20
Bx liver with other	$2,178.00	$2,178.00	$2,178.00	$2,178.00
Bx pancreas pq ndl	$1,757.25	$1,757.25	$1,757.25	$1,900.50
Bx perianal mass	$849.00	$849.00	$849.00	$1,059.00
Bx pleura pq ndl	$1,281.00	$1,281.00	$1,281.00	$1,672.80
Bx prostate trnsrctl u/s guid	$3,375.75	$3,375.75	$3,375.75	$3,375.75
Bx skin incisnl ea sep/add l les	$327.00	$327.00	$327.00	$336.00
Bx skin punch ea sep/ addl les	$327.00	$327.00	$327.00	$327.00
Bx skin tangential ea sep/ addl les	$319.50	$319.50	$319.50	$291.75
Bx thigh/knee soft tiss supf 27323	$1,506.00	$1,506.00	$1,506.00	$1,566.00
Bx thyroid/percutan core needle 60100	$979.50	$979.50	$979.50	$1,119.00
Bypass temp external fem-fem	$2,682.00	$2,682.00	$2,682.00	$2,428.80
C-1 esterase, berinert	$13,165.77	$13,165.77	$13,165.77	$168.60
C-peptide	$171.00	$171.00	$171.00	$171.00
C-reactive protein	$126.00	$126.00	$126.00	$126.00
C-reactive protein high sensitivity	$129.00	$129.00	$129.00	$137.40
C-reactive protein, quantitative	$177.00	$177.00	$177.00	$147.00
C1 esterase inhibitor func - sendout	$129.75	$129.75	$129.75	$143.20
CT 3d report other modality w/workstation	$599.25	$599.25	$599.25	$697.20
CT Angiogram of Abdomen and Pelvis	$2,834.25	$2,834.25	$2,834.25	$2,839.85
CT Angiogram of the Chest (for blood clot)	$2,384.25	$2,384.25	$2,384.25	$2,094.23
CT Angiogram of the Head	$1,951.50	$1,951.50	$1,951.50	$2,094.23
CT Scan of Abdomen and Pelvis (with and without contrast)	$2,399.25	$2,399.25	$2,399.25	$3,669.25
CT Scan of Abdomen and Pelvis (with contrast)	$2,346.75	$2,346.75	$2,346.75	$3,217.18
CT Scan of Abdomen and Pelvis (without contrast)	$2,222.25	$2,222.25	$2,222.25	$2,418.75
CT angio hrt w/3d image	$2,464.50	$2,464.50	$2,464.50	$2,371.80
CT angio pelvis	$2,262.00	$2,262.00	$2,262.00	$2,494.20
CT cerebral perf w cont & prcssng	$599.25	$599.25	$599.25	$633.00
CT colonography dx	$2,472.00	$2,472.00	$2,472.00	$2,139.00
CT guid cryo ablat intramuscular	$846.00	$846.00	$846.00	$879.75
CT guid parench tis ablat	$1,185.75	$1,185.75	$1,185.75	$1,282.50
CT guidance for needle placement	$1,707.00	$1,707.00	$1,707.00	$2,065.20
CT guidance for percutaneous drain w/catheter placement supervision & interpretation	$1,645.50	$1,645.50	$1,645.50	$1,524.60
CT heart w/evaluation of calcium without contrast	$2,629.50	$2,629.50	$2,629.50	$120.00
CT hrt c+ strux cgen hrt ds	$2,772.00	$2,772.00	$2,772.00	$2,418.75
CT hrt w/3d image	$3,303.75	$3,303.75	$3,303.75	$3,303.75
CT limited or localized follow-up study	$728.25	$728.25	$728.25	$654.40
CT lower extremity w/contrast (both sides)	$1,619.25	$1,619.25	$1,619.25	$2,654.40
CT lower extremity without contrast (both sides)	$1,471.50	$1,471.50	$1,471.50	$1,740.00
CT lwr extremity w/o&w/dye	$1,781.25	$1,781.25	$1,781.25	$2,785.80
CT neck soft tissue w/contrast	$1,739.25	$1,739.25	$1,739.25	$2,511.00
CT neck soft tissue without & w/contrast	$1,781.25	$1,781.25	$1,781.25	$2,953.20
CT neck soft tissue without contrast	$1,471.50	$1,471.50	$1,471.50	$1,740.00
CT orbit/sella/ or posterior outer inner or middle ear w/contrast	$1,689.00	$1,689.00	$1,689.00	$2,151.00
CT orbit/sella/ or posterior outer inner or middle ear without contrast	$1,471.50	$1,471.50	$1,471.50	$1,623.00
CT orbit/sella/fossa w/wo contrast	$1,781.25	$1,781.25	$1,781.25	$2,712.60
CT t-spine w /wo contrast	$2,060.25	$2,060.25	$2,060.25	$2,602.20
CT thoracic spine w/contrast	$1,619.25	$1,619.25	$1,619.25	$2,555.40
CT thoracic spine without contrast	$1,473.75	$1,473.75	$1,473.75	$1,740.00
CT thorax low dose for lung screening without contrast	$138.75	$138.75	$138.75	$253.20
CT upper extremity w/contrast (both sides)	$1,764.00	$1,764.00	$1,764.00	$2,358.60
CT upper extremity without contrast (both sides)	$1,518.75	$1,518.75	$1,518.75	$1,740.00
CT uppr extremity w/o&w/dye	$2,424.75	$2,424.75	$2,424.75	$2,785.80
Ca screen;flexi sigmoidscope	$1,206.00	$1,206.00	$1,206.00	$1,206.00
Cabazitaxel 10 mg/ml (first dilution) intravenous solution	$53,887.78	$53,887.78	$53,887.78	$495.60
Cabergoline, oral 0.25mg	$173.02	$173.02	$173.02	$173.02
Cable cath 22-pin diag	$5,737.50	$5,737.50	$5,737.50	$4,353.60
Cable centrimag pressure	$371.25	$371.25	$371.25	$371.25
Cacna1a gene full gene seq	$635.25	$635.25	$635.25	$635.25
Caffeine citrate 20 mg/ml inj for po	$106.71	$106.71	$106.71	$106.71
Calcitonin (salmon) 200 unit/ml injection solution	$9,840.35	$9,840.35	$9,840.35	$9,437.60
Calcium 24 hour urine	$104.25	$104.25	$104.25	$78.75
Calcium chloride 100 mg/ml (10 %) intravenous syringe	$71.82	$71.82	$71.82	$71.82
Calcium gluconate 100 mg/ml (10 %) intravenous solution	$62.13	$62.13	$62.13	$0.80
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution	$61.76	$61.76	$61.76	$0.80
Calcium ionized	$117.75	$117.75	$117.75	$107.40
Calcium total	$44.25	$44.25	$44.25	$43.80
Calprotectin fecal	$262.50	$262.50	$262.50	$257.40
Canakinumab injection	$79,068.64	$79,068.64	$79,068.64	$79,068.64
Cannula ercp contour 5-4-3 tip	$235,532.25	$235,532.25	$235,532.25	$7,828.80
Canthotomy 67715	$2,169.75	$2,169.75	$2,169.75	$2,709.00
Cap nerve 2x15mm	$28,177.88	$28,177.88	$28,177.88	$4,846.80
Cap trach decann 15mm	$5,400.00	$5,400.00	$5,400.00	$1,737.00
Capecitabine, oral, 50 mg	$20,888.96	$20,888.96	$20,888.96	$20,888.96
Carbamazepine free	$117.00	$117.00	$117.00	$117.00
Carbamazepine free -sendout	$194.25	$194.25	$194.25	$194.25
Carbamazepine total therapeutic drug level	$102.00	$102.00	$102.00	$137.40
Carbohydrate deficient transf - sendout	$186.75	$186.75	$186.75	$111.60
Carbohydrate urine - sendout	$936.00	$936.00	$936.00	$30.60
Carbon dioxide	$167.25	$167.25	$167.25	$47.80
Carboplatin 10 mg/ml desensitization	$45.78	$45.78	$45.78	$500.40
Carboprost tromethamine 250 mcg/ml intramuscular solution	$334.92	$334.92	$334.92	$334.92
Carboxyhemoglobin quantitative	$120.00	$120.00	$120.00	$102.00
Carcinoembryonic ag (cea)	$144.75	$144.75	$144.75	$162.75
Card MRI veloc flow mapping	$1,806.75	$1,806.75	$1,806.75	$1,137.60
Cardiac MRI w/stress img	$4,815.75	$4,815.75	$4,815.75	$3,422.40
Cardiac perf planar mult/ef/wm	$5,357.25	$5,357.25	$5,357.25	$2,792.40
Cardiac perf planar sgl/ef/wm	$3,654.00	$3,654.00	$3,654.00	$3,198.60
Cardiac perf spect sgl/ef/wm rst/strs	$3,696.75	$3,696.75	$3,696.75	$3,772.20
Cardiac rehabilitation op phase 2 w/continous ecg monitoring	$249.00	$249.00	$249.00	$218.40
Cardiac rehabilitation op phase 2 without continous ecg monitoring	$101.25	$101.25	$101.25	$106.20
Cardiolipin antibody iga	$226.50	$226.50	$226.50	$197.40
Cardioversion elective electrical conversion arrhythmia external	$1,797.75	$1,797.75	$1,797.75	$1,505.60
Carfilzomib 10 mg intravenous solution	$13,992.87	$13,992.87	$13,992.87	$1,876.80
Carmustine 100 mg intravenous powder for solution	$9,719.27	$9,719.27	$9,719.27	$2,713.80
Carotene	$85.50	$85.50	$85.50	$85.50
Carotid Artery Ultrasound (Duplex)	$1,278.75	$1,278.75	$1,278.75	$1,059.82
Caspofungin acetate	$1,158.18	$1,158.18	$1,158.18	$1,752.00
Cath 2lum 14.5frx43cm maxid kt mahurkar	$1,115.83	$1,115.83	$1,115.83	$973.80
Cath ablat bi-d d-d 8fr 115cm	$27,000.00	$27,000.00	$27,000.00	$10,349.40
Cath ablt clsfast 7fx100cmx	$1,687.50	$1,687.50	$1,687.50	$3,024.00
Cath ablt rx lasr 2.0mm turbo	$7,380.00	$7,380.00	$7,380.00	$7,380.00
Cath access del ds spyscop 2.0	$4,500.00	$4,500.00	$4,500.00	$5,926.20
Cath acuity innr ic130 6f 63cm	$64,496.25	$64,496.25	$64,496.25	$8,586.00
Cath acunav ge 10frx90cm	$7,951.50	$7,951.50	$7,951.50	$7,951.50
Cath adherent clot 10mm 6f 10	$27,000.00	$27,000.00	$27,000.00	$21,679.20
Cath baloon occl urnry 34f 7x2x65	$7,256.82	$7,256.82	$7,256.82	$7,256.82
Cath bi-dir df smarttouch	$8,813.25	$8,813.25	$8,813.25	$8,813.25
Cath blazer dx/20 2-10-2 space	$5,062.50	$5,062.50	$5,062.50	$5,062.50
Cath cv dl inj 7fx16cm	$6,738.75	$6,738.75	$6,738.75	$2,185.20
Cath del ampltz 12f 45d 80cm	$2,463.75	$2,463.75	$2,463.75	$2,232.00
Cath epdrl brevi-stf 12in .043	$2,295.00	$2,295.00	$2,295.00	$2,295.00
Cath groshong MRI 8fr plstc port	$5,309.87	$5,309.87	$5,309.87	$2,449.80
Cath hawkone s directional	$7,076.25	$7,076.25	$7,076.25	$7,639.20
Cath imag ivus pv 8.5fx90 .035	$6,378.75	$6,378.75	$6,378.75	$6,378.75
Cath intrdsc spnecth 8 pin	$2,463.75	$2,463.75	$2,463.75	$2,463.75
Cath malecot 28fr 4-wing ltx	$6,845.92	$6,845.92	$6,845.92	$2,099.40
Cath occl flo-rester 2.25x12mm cor internal vessel occluder	$38,250.00	$38,250.00	$38,250.00	$25,520.40
Cath place 1st order venous 36011	$2,415.75	$2,415.75	$2,415.75	$3,910.20
Cath ptca pcltxl agent 3x20mm	$12,732.75	$12,732.75	$12,732.75	$12,732.75
Cath steerable flex adv 12f	$2,925.00	$2,925.00	$2,925.00	$2,925.00
Cath stripping venous s&i	$1,578.00	$1,578.00	$1,578.00	$712.20
Cath symplicity spyral	$36,000.00	$36,000.00	$36,000.00	$36,000.00
Cath temp pace flo bipol 5fr electrd	$1,408.39	$1,408.39	$1,408.39	$1,408.39
Cath uret open tp 6fx70cm	$32,626.80	$32,626.80	$32,626.80	$671.40
Cath/saline/contrast/sis/hysteosal 58340	$278.25	$278.25	$278.25	$411.60
Catheter declot mechanical	$1,523.25	$1,523.25	$1,523.25	$1,523.25
Catheter stripping venous	$2,766.75	$2,766.75	$2,766.75	$5,745.60
Catheterization collection of specimen single patient all places of service	$77.25	$77.25	$77.25	$42.60
Cauterization chemical granulation tissue	$322.50	$322.50	$322.50	$408.60
Cdna analysis for variants	$1,540.50	$1,540.50	$1,540.50	$1,934.40
Cebpa gene full sequence	$421.50	$421.50	$421.50	$1,686.00
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr	$7.78	$7.78	$7.78	$16.40
Cefepime 1 gram solution for injection	$39.95	$39.95	$39.95	$51.00
Cefotaxime sodium injection	$43.10	$43.10	$43.10	$43.10
Cefoxitin 1 gram intravenous solution	$94.59	$94.59	$94.59	$94.59
Ceftaroline fosamil 600 mg intravenous solution	$738.72	$738.72	$738.72	$552.60
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr	$107.85	$107.85	$107.85	$93.60
Ceftazidime and avibactam	$1,418.10	$1,418.10	$1,418.10	$1,248.60
Ceftriaxone 1 gram solution for injection	$123.72	$123.72	$123.72	$123.72
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr	$18.04	$18.04	$18.04	$30.60
Cell count body fluid	$60.75	$60.75	$60.75	$60.75
Cell count w differential body fluid	$129.75	$129.75	$129.75	$131.40
Cell function assay w/stim	$877.50	$877.50	$877.50	$898.80
Cell marker study	$1,170.00	$1,170.00	$1,170.00	$212.40
Cemiplimab-rwlc 50 mg/ml intravenous solution	$40,395.06	$40,395.06	$40,395.06	$527.40
Cerebrospinal fld flw imag	$1,124.25	$1,124.25	$1,124.25	$1,124.25
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit	$22,182.90	$22,182.90	$22,182.90	$34.80
Cetuximab 100 mg/50 ml intravenous solution	$5,734.83	$5,734.83	$5,734.83	$2,809.20
Cftr gene dup/delet variants	$849.00	$849.00	$849.00	$918.00
Cftr gene intron poly t	$264.00	$264.00	$264.00	$283.80
Change cystostomy tube simple	$411.00	$411.00	$411.00	$411.00
Change g-tube to g-j perc	$1,415.25	$1,415.25	$1,415.25	$3,534.60
Change nephroureteral cath	$2,745.75	$2,745.75	$2,745.75	$3,154.80
Change of windpipe airway 31502	$549.00	$549.00	$549.00	$472.80
Chemo adm cns w/lmbr punct	$1,323.75	$1,323.75	$1,323.75	$1,119.00
Chemo ia push tecnique	$499.50	$499.50	$499.50	$540.75
Chemo intralesional over 7	$246.75	$246.75	$246.75	$246.75
Chemo intralesional up to 7 96405	$83.25	$83.25	$83.25	$83.25
Chemodener muscle larynx emg	$642.75	$642.75	$642.75	$668.25
Chemodenerv musc migraine 64615	$474.00	$474.00	$474.00	$512.25
Chemodenerv musc neck dyston 64616	$757.50	$757.50	$757.50	$825.75
Chemodenerv saliv glands bilat 64611	$358.50	$358.50	$358.50	$387.75
Chemodenerv trunk musc 1-5 64646	$621.75	$621.75	$621.75	$697.20
Chemodenervation/face muscl/unilat 64612	$658.50	$658.50	$658.50	$891.75
Chemotherapy injection 96542	$615.75	$615.75	$615.75	$615.75
Chemotx admn pertl cav impl	$595.50	$595.50	$595.50	$642.75
Chest 2 vws w oblique	$450.75	$450.75	$450.75	$450.75
Chest CT scan (with and without contrast)	$2,292.75	$2,292.75	$2,292.75	$2,105.40
Chest CT scan (with contrast)	$1,697.25	$1,697.25	$1,697.25	$1,697.25
Chest CT scan (without contrast)	$1,471.50	$1,471.50	$1,471.50	$1,350.03
Chest X-ray	$375.75	$375.75	$375.75	$303.24
Chest X-ray (single view)	$321.00	$321.00	$321.00	$225.00
Chest apical lordotic proj	$329.25	$329.25	$329.25	$419.40
Chg pr pul rehab for copd patients	$123.75	$123.75	$123.75	$134.25
Chg radiologic exam esophagus double contrast	$454.50	$454.50	$454.50	$713.40
Chimerism anal no cell selec	$1,437.75	$1,437.75	$1,437.75	$1,437.75
Chimerism anal w/cell select	$759.75	$759.75	$759.75	$822.00
Chlamydia culture	$96.00	$96.00	$96.00	$109.80
Chlnggrphy intraop addl s&i	$477.00	$477.00	$477.00	$288.80
Chloramphenicol sodium injec	$143.40	$143.40	$143.40	$143.40
Chloride	$49.50	$49.50	$49.50	$39.60
Chloride 24 hour urine	$60.00	$60.00	$60.00	$60.75
Chloroprocaine hcl injection	$69.08	$69.08	$69.08	$1.20
Chlorothiazide sodium 500 mg intravenous solution	$221.85	$221.85	$221.85	$1,236.80
Chlorpromazine 0.125 mg/ml IV syringe - cnr	$91.92	$91.92	$91.92	$91.92
Cholangiogram percutaneous compl	$1,563.75	$1,563.75	$1,563.75	$3,542.40
Cholangiography and/or pancreatography intraoperative supervision & interpretation	$810.75	$810.75	$810.75	$629.25
Cholecystostomy complete w/supervision & interpretation	$3,189.00	$3,189.00	$3,189.00	$3,449.25
Cholesterol	$78.00	$78.00	$78.00	$45.75
Cholesterol (Lipid) Test	$175.50	$175.50	$175.50	$100.00
Cholinesterase	$97.50	$97.50	$97.50	$103.20
Chorionic gonadotropin/1000u	$788.58	$788.58	$788.58	$788.58
Chrom analysis	$312.00	$312.00	$312.00	$309.60
Chromatography	$252.75	$252.75	$252.75	$178.80
Chromo high res and frag x - sendout	$339.00	$339.00	$339.00	$770.40
Chromogenic substrate assay	$382.50	$382.50	$382.50	$158.40
Chromosome analys placenta	$534.00	$534.00	$534.00	$642.00
Chromosome analysis 100	$519.00	$519.00	$519.00	$519.00
Chromosome analysis 15-20 cell count	$988.50	$988.50	$988.50	$1,017.00
Chromosome analysis 45	$1,565.25	$1,565.25	$1,565.25	$1,109.60
Chromosome analysis 5	$1,046.25	$1,046.25	$1,046.25	$1,206.00
Chromosome analysis 50-100	$519.00	$519.00	$519.00	$519.00
Chromosome count additional	$57.00	$57.00	$57.00	$57.00
Chromosome karyotype study	$312.00	$312.00	$312.00	$181.80
Chromosome study additional	$181.50	$181.50	$181.50	$453.60
Chylomicron screen, bf - sendout	$388.50	$388.50	$388.50	$336.75
Cidofovir injection	$1,615.67	$1,615.67	$1,615.67	$1,615.67
Cilastatin sodium injection	$36.62	$36.62	$36.62	$36.62
Cinacalcet 30 mg tablet	$5,641.98	$5,641.98	$5,641.98	$5,641.98
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback	$23.67	$23.67	$23.67	$23.67
Cladribine 10 mg/10 ml intravenous solution	$355.41	$355.41	$355.41	$355.41
Clamp isol transpolr 5mmx6.5cm transpolar	$19,012.50	$19,012.50	$19,012.50	$6,678.60
Clearance of airways	$114.00	$114.00	$114.00	$114.00
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback	$49.74	$49.74	$49.74	$47.40
Clip ligating vesolock lg	$38,250.00	$38,250.00	$38,250.00	$925.20
Cllr miami j sm	$112.39	$112.39	$112.39	$112.39
Clofarabine 1 mg/ml intravenous solution	$11,963.49	$11,963.49	$11,963.49	$11,963.49
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution	$361.14	$361.14	$361.14	$361.14
Close lac/mouth vest/2.5 cm or < 40830	$243.00	$243.00	$243.00	$777.60
Closed carpo/metacarpal disl thumb w/manip	$219.00	$219.00	$219.00	$825.60
Closed carpo/metacarpal fx disl thumb w/manip	$1,678.50	$1,678.50	$1,678.50	$1,815.75
Closed tx humerus fx w/manip 24505	$1,026.75	$1,026.75	$1,026.75	$1,198.50
Closed tx humerus fx with manip 23605	$2,262.75	$2,262.75	$2,262.75	$2,460.00
Closed tx humerus fx without manip 23600	$369.00	$369.00	$369.00	$447.60
Closed tx metatarsophalangeal jnt disl without anes	$201.00	$201.00	$201.00	$647.40
Closed tx post hip arthroplasty disloc w/anes 27266	$468.75	$468.75	$468.75	$2,139.60
Closed tx sesamoid fx 28530	$486.00	$486.00	$486.00	$525.75
Closed tx/acetabululm without manip 27220	$242.25	$242.25	$242.25	$464.40
Closed tx/talus fracture without manip 28430	$272.25	$272.25	$272.25	$327.60
Closure laceration vestibule mouth > 2.5 cm cmplx	$510.75	$510.75	$510.75	$1,663.80
Clot factor fletcher fact	$431.25	$431.25	$431.25	$260.40
Clot factor wght kininogen	$431.25	$431.25	$431.25	$320.40
Clot factor xii hageman	$273.00	$273.00	$273.00	$197.60
Clot factor xiii fibrin scrn	$42.75	$42.75	$42.75	$47.25
Clot factor xiii fibrin stab	$292.50	$292.50	$292.50	$106.20
Clozapine, 25 mg	$242.19	$242.19	$242.19	$8.40
Clsd tx bimalleol ank fx without manip 27808	$331.50	$331.50	$331.50	$998.40
Clsd tx clavicle dislocation without manip 23540	$537.00	$537.00	$537.00	$581.25
Clsd tx clavicle fracture w/manip 23505	$1,398.75	$1,398.75	$1,398.75	$2,396.25
Clsd tx dist fib fx w/manip 27788	$417.75	$417.75	$417.75	$868.80
Clsd tx elbow dislocation child 24640	$486.00	$486.00	$486.00	$525.75
Clsd tx finger tendon w/wo perq pin 26432	$1,493.25	$1,493.25	$1,493.25	$1,863.75
Clsd tx fracture of radius 25500	$408.75	$408.75	$408.75	$442.50
Clsd tx fx radius/ulna dist w/manip 25605	$717.00	$717.00	$717.00	$1,912.80
Clsd tx fx radius/ulna dist without manip 25600	$316.50	$316.50	$316.50	$825.60
Clsd tx fx radius/ulna w/manip 25565	$625.50	$625.50	$625.50	$2,055.00
Clsd tx fx radius/ulna without manip 25560	$412.50	$412.50	$412.50	$825.60
Clsd tx hip disloc without anes 27265	$201.75	$201.75	$201.75	$868.80
Clsd tx humeral fract without manip 24530	$345.75	$345.75	$345.75	$759.00
Clsd tx humerus fract without manip 24500	$357.75	$357.75	$357.75	$759.00
Clsd tx metacarp fx w/manip&ext fix ea bone 26607	$3,081.00	$3,081.00	$3,081.00	$3,332.25
Clsd tx of ankle fracture w/manip 28435	$1,678.50	$1,678.50	$1,678.50	$2,440.80
Clsd tx patella disloc without anes 27560	$201.75	$201.75	$201.75	$998.40
Clsd tx prox fib/shaft fx w/manip 27781	$1,493.25	$1,493.25	$1,493.25	$1,863.75
Clsd tx radius fracture w/manip 24655	$1,398.75	$1,398.75	$1,398.75	$2,712.00
Clsd tx shoulder dislc/fx 23665	$1,398.75	$1,398.75	$1,398.75	$3,135.00
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675	$1,493.25	$1,493.25	$1,493.25	$2,073.00
Clsd tx temporomandibular dislocat 21480	$201.75	$201.75	$201.75	$942.60
Clsd tx toe dislocation without anes28660	$201.00	$201.00	$201.00	$520.80
Clsd tx trimall ankle fx w/manip 27818	$1,260.00	$1,260.00	$1,260.00	$1,362.75
Clsd tx trimall ankle fx without manip 27816	$258.00	$258.00	$258.00	$825.60
Clsd tx vert body fx without manip req &w/csting/bracing	$699.75	$699.75	$699.75	$756.75
Clsd tx wrist carpal fx without manip 25630	$336.75	$336.75	$336.75	$370.80
Clsd tx wrist scaphoid fx without manip 25622	$408.75	$408.75	$408.75	$520.80
Clsd tx wrist ulnar styloid fx 25650	$315.75	$315.75	$315.75	$729.60
Clsd tx/clavicular fx without manip 23500	$393.00	$393.00	$393.00	$819.60
Clsd tx/dis phalan fx without manip/ea 26750	$240.00	$240.00	$240.00	$370.80
Clsd tx/dis tib/wt bear no manip 27824	$537.00	$537.00	$537.00	$766.40
Clsd tx/fem shaft fx/manipulation 27502	$1,398.75	$1,398.75	$1,398.75	$2,319.00
Clsd tx/fx grt toe/phalanx/phalang 28490	$286.50	$286.50	$286.50	$370.80
Clsd tx/fx/phalanx/phalang/manip 28515	$258.00	$258.00	$258.00	$429.60
Clsd tx/grt hum tube fx without manip 23620	$316.50	$316.50	$316.50	$729.60
Clsd tx/metacar/interphal artic fx 26740	$489.75	$489.75	$489.75	$529.50
Clsd tx/metacarpal fx/sg without manip 26600	$324.00	$324.00	$324.00	$470.40
Clsd tx/metacarpal fx/sng/w manip 26605	$395.25	$395.25	$395.25	$825.60
Clsd tx/metatarsal fx without manip 28470	$323.25	$323.25	$323.25	$520.80
Clsd tx/nasal bone fx/stabilize 21320	$2,773.50	$2,773.50	$2,773.50	$3,600.75
Clsd tx/patellar fx without manip 27520	$345.75	$345.75	$345.75	$759.00
Clsd tx/prox/mid phalnx fx/no manp 26720	$240.75	$240.75	$240.75	$366.60
Clsd tx/radial head/neck fx/no manip 24650	$402.00	$402.00	$402.00	$453.00
Clsd tx/scapular fx without manip 23570	$420.75	$420.75	$420.75	$496.20
Clsd tx/shoulder dislo/manip/anest 23655	$1,398.75	$1,398.75	$1,398.75	$2,139.60
Clsd tx/ulnar shaft fx without manip 25530	$342.75	$342.75	$342.75	$445.80
Clsd/shoulder dislo/manip/no anest 23650	$554.25	$554.25	$554.25	$856.20
Clsd/ulnar fx/prox end without manip 24670	$342.75	$342.75	$342.75	$494.40
Cltx hum epcndylr fx wo mnpj	$486.00	$486.00	$486.00	$825.60
Cltx humrl cndylr fx w/mnpj	$1,678.50	$1,678.50	$1,678.50	$1,815.75
Cltx humrl cndylr fx wo mnpj	$502.50	$502.50	$502.50	$825.60
Cltx mndblr fx ntrdntl fixj	$5,440.50	$5,440.50	$5,440.50	$5,658.00
Cltx mndblr fx w/mnpj	$1,353.00	$1,353.00	$1,353.00	$3,349.80
Cltx mndblr/max alv ridge fx	$3,328.50	$3,328.50	$3,328.50	$3,600.75
Cltx palatal/max fx wire fix	$3,162.00	$3,162.00	$3,162.00	$3,794.25
Cltx post ankle fx	$309.00	$309.00	$309.00	$333.75
Cltx post ankle fx w/mnpj	$424.50	$424.50	$424.50	$424.50
Cltx scap fx w/mnpj +-tractj	$1,678.50	$1,678.50	$1,678.50	$2,450.40
Cmptr ophth dx img ant segmt	$117.00	$117.00	$117.00	$117.00
Cmptr ophth img optic nerve	$97.50	$97.50	$97.50	$130.50
Cmv pcr-sendout	$557.25	$557.25	$557.25	$557.25
Co-treatment - group 15 mins, st	$115.50	$115.50	$115.50	$108.00
Co2 monitor per day	$312.00	$312.00	$312.00	$337.50
Coagulation factor viia 1,000 mcg/ml inj 1 ml	$16,994.46	$16,994.46	$16,994.46	$16,994.46
Coagulation time activated teg	$22.50	$22.50	$22.50	$39.60
Cold agglutinin titer	$132.75	$132.75	$132.75	$100.20
Colistimethate sodium inj	$39.42	$39.42	$39.42	$129.00
Collagenase, clost hist inj	$26,281.91	$26,281.91	$26,281.91	$26,281.91
Collar cerv adlt perfit ace extric	$29.25	$29.25	$29.25	$29.25
Collar cerv ascend 172 reg	$318.51	$318.51	$318.51	$318.51
Collection blood specimen from completely implantable venous access device	$72.75	$72.75	$72.75	$155.40
Collection blood specimen using established central/peripheral catheter venous nos	$98.25	$98.25	$98.25	$208.50
Collection of venous blood by venipuncture	$20.25	$20.25	$20.25	$22.50
Colonoscopy (diagnostic)	$2,074.50	$2,074.50	$2,074.50	$1,500.00
Colonoscopy (with biopsy)	$2,074.50	$2,074.50	$2,074.50	$1,846.40
Colonoscopy (with polyp removal)	$2,074.50	$2,074.50	$2,074.50	$1,875.00
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)	$2,537.25	$2,537.25	$2,537.25	$3,043.50
Colonoscopy stoma w/snare 44394	$1,095.75	$1,095.75	$1,095.75	$2,854.80
Colonoscopy submucous njx	$1,724.25	$1,724.25	$1,724.25	$3,528.00
Colonoscopy thru stoma spx	$849.75	$849.75	$849.75	$2,079.00
Colonoscopy w/ablation	$2,571.00	$2,571.00	$2,571.00	$2,571.00
Colonoscopy w/balloon dilat	$1,306.50	$1,306.50	$1,306.50	$2,890.20
Colonoscopy w/control bleed	$2,262.00	$2,262.00	$2,262.00	$2,501.40
Colonoscopy w/endoscope Ultrasound	$3,018.75	$3,018.75	$3,018.75	$3,201.00
Colonoscopy w/endoscopic fnb	$3,018.75	$3,018.75	$3,018.75	$3,201.00
Colonoscopy w/resection	$2,608.50	$2,608.50	$2,608.50	$2,712.75
Colonoscopy with ablation	$1,740.00	$1,740.00	$1,740.00	$1,740.00
Colonoscopy/w endoscopic stent 45389	$2,354.25	$2,354.25	$2,354.25	$4,379.25
Colposcopy vulva 56820	$435.00	$435.00	$435.00	$435.00
Compatibility test each unit antiglobulin technique	$119.25	$119.25	$119.25	$203.40
Compatibility test each unit electronic	$75.75	$75.75	$75.75	$119.40
Compatibility test each unit immediate spin technique	$69.00	$69.00	$69.00	$203.40
Complement antigen each component c3	$470.25	$470.25	$470.25	$175.80
Complex cystometrogram 51726	$239.25	$239.25	$239.25	$239.25
Complx repair enel 1.1-2.5 cm 13151	$2,929.50	$2,929.50	$2,929.50	$2,929.50
Complx repair enel 2.6-7.5 cm 13152	$3,009.75	$3,009.75	$3,009.75	$2,938.80
Complx repair enel addl 5cm/< 13153	$392.25	$392.25	$392.25	$660.00
Complx repair fccmnaxghf 13131	$633.00	$633.00	$633.00	$2,172.00
Complx repair fccmnaxghf 13132	$1,174.50	$1,174.50	$1,174.50	$2,172.00
Complx repair fccmnaxghf 13133	$282.00	$282.00	$282.00	$1,089.00
Complx repair sal addl 5 cm/> 13122	$1,965.75	$1,965.75	$1,965.75	$828.60
Computed tomographic angiography head and neck with contrast	$1,781.25	$1,781.25	$1,781.25	$1,899.75
Concentration infection agents any type	$38.25	$38.25	$38.25	$42.00
Conditioning play audiometry 92582	$123.00	$123.00	$123.00	$123.00
Condylomata destruction 56420	$727.50	$727.50	$727.50	$831.60
Conjugated estrogens 25 mg solution for injection	$1,291.95	$1,291.95	$1,291.95	$1,291.95
Connect omega .5mm	$1,185.42	$1,185.42	$1,185.42	$1,185.42
Connector tis 2x10mm	$7,960.44	$7,960.44	$7,960.44	$7,960.44
Consultation pathology during surgery	$131.25	$131.25	$131.25	$141.75
Consultation pathology during surgery cytological exam initial site	$156.00	$156.00	$156.00	$176.40
Consultation pathology during surgery frozen section first tissue block	$175.50	$175.50	$175.50	$276.00
Contrast exam abdominl aorta 75625-26	$4,356.00	$4,356.00	$4,356.00	$4,356.00
Contrast exam thoracic aorta 75605-26	$4,972.50	$4,972.50	$4,972.50	$5,378.25
Contrast x-ray of hip	$1,169.25	$1,169.25	$1,169.25	$868.80
Contrast x-ray of knee joint	$919.50	$919.50	$919.50	$896.40
Contrast x-ray of wrist	$417.75	$417.75	$417.75	$417.75
Control nosebleed pack+caut 30905	$113.25	$113.25	$113.25	$569.60
Control of nosebleed ant comp 30903	$288.00	$288.00	$288.00	$569.60
Control of nosebleedantersmpl 30901	$268.50	$268.50	$268.50	$471.00
Controler lvad heartmate 3 includes ebb	$13,218.75	$13,218.75	$13,218.75	$13,218.75
Controller infinity pt dbs	$10,901.25	$10,901.25	$10,901.25	$4,347.00
Conversion ext bil drg cath	$1,320.00	$1,320.00	$1,320.00	$2,959.50
Convert nephrostomy catheter	$1,047.00	$1,047.00	$1,047.00	$2,643.00
Coombs direct	$111.00	$111.00	$111.00	$80.40
Coombs indirect qualitative each reagent red cell reference	$9.00	$9.00	$9.00	$214.50
Coombs indirect titer reference	$179.25	$179.25	$179.25	$186.75
Copper intrauterine device	$4,211.46	$4,211.46	$4,211.46	$2,606.40
Cornea pre-cut midwest eye cornea pre-cut midwest eye	$9,900.00	$9,900.00	$9,900.00	$9,900.00
Cortisol acth stimulation test - sendout	$63.75	$63.75	$63.75	$66.00
Cortisol total am	$182.25	$182.25	$182.25	$165.00
Cosyntropin 0.25 mg solution for injection	$296.55	$296.55	$296.55	$542.40
Counseling smoke cess interm >10mins	$134.25	$134.25	$134.25	$48.00
Coveredge 32 lead kit 40cm 48	$8,100.00	$8,100.00	$8,100.00	$6,339.60
Cptr ophth dx img post segmt	$97.50	$97.50	$97.50	$105.00
Crbrospnl fld flw imag cistern	$1,859.25	$1,859.25	$1,859.25	$2,313.75
Creatine - sendout	$78.75	$78.75	$78.75	$45.60
Creatine kinase	$80.25	$80.25	$80.25	$90.00
Creatine kinase isoenzymes	$81.75	$81.75	$81.75	$66.00
Creatine kinase mb	$112.50	$112.50	$112.50	$131.40
Creatinine	$45.00	$45.00	$45.00	$44.25
Creatinine 24 hour urine	$335.25	$335.25	$335.25	$80.40
Creatinine clearance urine	$213.00	$213.00	$213.00	$151.50
Critical care 30-74 minutes	$2,085.75	$2,085.75	$2,085.75	$2,085.75
Critical care each additional 30 minutes	$747.00	$747.00	$747.00	$570.60
Crizanlizumab-tmca 10 mg/ml intravenous solution	$9,069.75	$9,069.75	$9,069.75	$436.20
Cromolyn sodium noncomp unit	$48.14	$48.14	$48.14	$48.14
Crtj pericardial window/prtl resecj w/drg/bx	$4,747.50	$4,747.50	$4,747.50	$4,747.50
Cryofibrinogen qualitative - sendout	$56.25	$56.25	$56.25	$61.20
Cryoprecipitate each unit	$291.75	$291.75	$291.75	$235.20
Cryosurgery penis lesion(s) 54056	$192.00	$192.00	$192.00	$192.00
Cryptococcus abs qn - sendout	$242.25	$242.25	$242.25	$184.50
Crystal identification light microscopy	$58.50	$58.50	$58.50	$65.25
Csf leakage imaging	$1,319.25	$1,319.25	$1,319.25	$3,574.20
Cta abdomen without & /or w/contrast	$2,404.50	$2,404.50	$2,404.50	$3,067.20
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast	$2,851.50	$2,851.50	$2,851.50	$2,718.75
Cta lower extremity without & w/contrast (both sides)	$2,212.50	$2,212.50	$2,212.50	$3,067.20
Cta neck without &/or w/contrast	$1,781.25	$1,781.25	$1,781.25	$2,598.60
Cta upper extremity w &/or without contrast left	$1,781.25	$1,781.25	$1,781.25	$3,067.20
Ctrl nosebld postir subsq 30906	$226.50	$226.50	$226.50	$2,487.00
Culture aerobic additional method definitive id each	$77.25	$77.25	$77.25	$77.25
Culture afb any source	$139.50	$139.50	$139.50	$92.80
Culture anaerobic except blood	$126.00	$126.00	$126.00	$127.50
Culture body fluid	$151.50	$151.50	$151.50	$151.50
Culture fungi definitive id mold	$81.75	$81.75	$81.75	$81.75
Culture fungi definitive id yeast	$70.50	$70.50	$70.50	$75.00
Culture fungi other (except blood)	$125.25	$125.25	$125.25	$137.40
Culture fungi skin/hair/nail	$112.50	$112.50	$112.50	$80.40
Culture mycobacteria definitive id each isolate	$110.25	$110.25	$110.25	$123.00
Culture mycoplasma any source	$162.00	$162.00	$162.00	$162.00
Culture quantitative aerobic other source	$96.75	$96.75	$96.75	$96.75
Culture screening strep group a	$105.75	$105.75	$105.75	$108.00
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets	$408.75	$408.75	$408.75	$408.75
Cutter lead	$22,020.89	$22,020.89	$22,020.89	$3,284.40
Cv line/pic reposition	$2,100.75	$2,100.75	$2,100.75	$1,629.75
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution	$25.86	$25.86	$25.86	$15.00
Cyanocobalamin unsat binding capacity	$84.75	$84.75	$84.75	$93.60
Cyclic citrullinated peptide antibody	$222.00	$222.00	$222.00	$222.00
Cyclophosphamide 1 gram intravenous powder for solution	$4,143.90	$4,143.90	$4,143.90	$3.75
Cyclophosphamide 25 mg capsule	$2,769.06	$2,769.06	$2,769.06	$43.20
Cyclosporine 2 hour	$113.25	$113.25	$113.25	$119.40
Cyclosporine 250 mg/5 ml intravenous solution	$243.99	$243.99	$243.99	$243.99
Cyclosporine modified 25 mg capsule	$470.55	$470.55	$470.55	$10.80
Cyclosporine oral 100 mg	$2,865.39	$2,865.39	$2,865.39	$34.00
Cylinder pump set 20cm titan zero angl	$42,849.57	$42,849.57	$42,849.57	$27,160.20
Cyp2c19 gene com variants	$567.75	$567.75	$567.75	$1,004.00
Cyp2c9 gene com variants	$340.50	$340.50	$340.50	$1,852.80
Cyp2d6 gene com variants	$877.50	$877.50	$877.50	$269.40
Cyp3a4 gene common variants	$328.50	$328.50	$328.50	$328.50
Cyp3a5 gene common variants	$328.50	$328.50	$328.50	$328.50
Cystatin c	$73.50	$73.50	$73.50	$128.40
Cystic fibrosis cftr	$8,053.50	$8,053.50	$8,053.50	$4,054.80
Cystine urine quantitative	$167.25	$167.25	$167.25	$167.25
Cystogram >= 3 views supervision & interpretation	$738.75	$738.75	$738.75	$896.40
Cystoscopy & ureter catheter	$1,997.25	$1,997.25	$1,997.25	$3,417.00
Cystoscopy (Bladder Scope)	$2,490.00	$2,490.00	$2,490.00	$1,636.00
Cystoscopy chemodenervation	$902.25	$902.25	$902.25	$902.25
Cystouretero w/lithotripsy	$10,899.75	$10,899.75	$10,899.75	$11,789.25
Cytarabine 20 mg/ml injection solution	$64.71	$64.71	$64.71	$66.20
Cytogenetics 25-99	$133.50	$133.50	$133.50	$292.80
Cytomegalovirus (cmv) antibody igg	$195.00	$195.00	$195.00	$146.40
Cytomegalovirus (cmv) antibody igm	$135.00	$135.00	$135.00	$131.25
Cytomegalovirus imm IV /vial	$6,333.64	$6,333.64	$6,333.64	$5,413.80
Cytopath smear other source	$108.00	$108.00	$108.00	$66.40
Cytopath tbs c/v manual	$156.00	$156.00	$156.00	$156.00
Cytopathology cellular enhancement technique non-gyn	$240.00	$240.00	$240.00	$240.75
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review	$229.50	$229.50	$229.50	$78.00
Cytopathology cervical/vaginal thin layer manual screening	$187.50	$187.50	$187.50	$64.20
Cytopathology concentration technique smears & interpretation	$281.25	$281.25	$281.25	$96.60
Cytopathology fluids/washings/brushings smears with interpretation	$48.00	$48.00	$48.00	$137.40
Cytopathology fna adequacy evaluation first episode each site	$97.50	$97.50	$97.50	$76.80
Cytopathology fna adequacy evaluation first episode each site interp/rpt	$195.75	$195.75	$195.75	$195.75
Cytotoxic antibody screening	$467.25	$467.25	$467.25	$363.75
Cytp urine 3-5 probes cmptr	$872.25	$872.25	$872.25	$907.50
Dacarbazine 100 mg intravenous solution	$53.55	$53.55	$53.55	$67.40
Dactinomycin 0.5 mg intravenous solution	$10,014.84	$10,014.84	$10,014.84	$2,879.40
Dalbavancin 500 mg intravenous solution	$6,061.91	$6,061.91	$6,061.91	$6,061.91
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln	$38,894.03	$38,894.03	$38,894.03	$109.20
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe	$5,546.48	$5,546.48	$5,546.48	$5,546.48
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution	$38,568.63	$38,568.63	$38,568.63	$29,942.40
Daunorubicin 5 mg/ml intravenous solution	$300.73	$300.73	$300.73	$413.60
Dch glucoscan	$27.75	$27.75	$27.75	$19.80
Dch pulmonary stress test	$2,092.50	$2,092.50	$2,092.50	$660.60
Dch validity tests	$31.50	$31.50	$31.50	$31.50
Dcm pq ndl dsk sgl/mlt lv lmbr w/guide	$1,739.25	$1,739.25	$1,739.25	$1,809.00
Deamidated gliadin antibody iga	$41.25	$41.25	$41.25	$80.40
Debr musc/fascia 20sq cm/< 11043	$933.75	$933.75	$933.75	$1,965.00
Debrid ecz/inf skin up tp 10% body 11000	$922.50	$922.50	$922.50	$922.50
Debride nail1-5 11720	$295.50	$295.50	$295.50	$274.20
Debride nail6 or more 11721	$308.25	$308.25	$308.25	$306.60
Debride/subq tissue/ea add 20sq cm 11045	$846.00	$846.00	$846.00	$811.20
Debridement (>20 cm) charge pt	$336.00	$336.00	$336.00	$321.00
Debridement bone <= 20 sq cm	$2,649.75	$2,649.75	$2,649.75	$2,553.60
Debridement subcutaneous tissue <= 20 sq cm	$846.00	$846.00	$846.00	$1,148.25
Debridement/bone/20 sq cm or less 11046	$870.00	$870.00	$870.00	$817.20
Debridement/bone/ea add 20 sq cm 11047	$2,160.00	$2,160.00	$2,160.00	$2,160.00
Decalcification	$201.00	$201.00	$201.00	$124.80
Decitabine 50 mg intravenous solution	$634.17	$634.17	$634.17	$292.80
Declotting thrombolytic agent implanted vas access device 36	$543.00	$543.00	$543.00	$609.75
Deferoxamine 500 mg solution for injection	$102.84	$102.84	$102.84	$102.84
Degarelix 120 mg subcutaneous solution	$3,396.16	$3,396.16	$3,396.16	$2,262.60
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device	$244.50	$244.50	$244.50	$90.60
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution	$12,371.55	$12,371.55	$12,371.55	$10,269.00
Dentoalveolar/drain abs/cyst/hema 41800	$448.50	$448.50	$448.50	$712.80
Dermagraft	$100.50	$100.50	$100.50	$100.50
Desmopressin 4 mcg/ml injection solution	$172.46	$172.46	$172.46	$172.46
Desoxycorticosterone	$108.75	$108.75	$108.75	$285.60
Destroy cervthor facet jnt 64633	$1,893.75	$1,893.75	$1,893.75	$2,841.60
Destroy cth facet jnt addl 64634	$1,893.75	$1,893.75	$1,893.75	$2,099.40
Destroy premlg lesns;1st lesn 17000	$196.50	$196.50	$196.50	$520.80
Destruct ben lesion 15/> 17111	$307.50	$307.50	$307.50	$307.50
Destruction 2-14 lesions 17003	$77.25	$77.25	$77.25	$83.25
Destruction anal lesion(s)	$1,783.50	$1,783.50	$1,783.50	$1,783.50
Destruction anal lesion(s) smpl chem 46900	$468.00	$468.00	$468.00	$468.00
Destruction benign lesions < 14 lesions	$248.25	$248.25	$248.25	$457.20
Destruction by injection tx of nerve 64630	$880.50	$880.50	$880.50	$3,040.20
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)	$1,812.00	$1,812.00	$1,812.00	$2,908.20
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)	$1,386.00	$1,386.00	$1,386.00	$2,224.80
Destruction mal lsn t/a/l >4cm	$920.25	$920.25	$920.25	$1,170.00
Detect agnt mult dna direc	$120.00	$120.00	$120.00	$147.75
Dev tst admin phys/qhp ea addl 30 min	$169.50	$169.50	$169.50	$183.00
Devel tst phys/qhp 1st hr	$337.50	$337.50	$337.50	$398.25
Developmental screen/score/document 96110	$405.75	$405.75	$405.75	$34.20
Device ablt adv novasure	$11,239.88	$11,239.88	$11,239.88	$9,649.20
Device hemospray 7frx220cm endo hemostat min access	$5,175.00	$5,175.00	$5,175.00	$5,175.00
Device intraute mirena	$4,491.10	$4,491.10	$4,491.10	$3,052.80
Device sut capio slim opn	$1,454.07	$1,454.07	$1,454.07	$1,454.07
Device tiss remov myosure reach	$1,070.85	$1,070.85	$1,070.85	$2,707.20
Dexa bone density study >=1 sites appendicular skeleton (peripheral)	$385.50	$385.50	$385.50	$127.20
Dexamethasone 4 mg tablet	$554.26	$554.26	$554.26	$5.40
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr	$16.28	$16.28	$16.28	$7.60
Dexrazoxane hcl 250 mg intravenous solution	$465.34	$465.34	$465.34	$1,087.80
Dextran 40 infusion	$225.55	$225.55	$225.55	$225.55
Dextrose 5 % IV bolus	$22.19	$22.19	$22.19	$26.80
Dextrose 5 % and 0.9 % sodium chloride intravenous solution	$22.19	$22.19	$22.19	$37.20
Dextrose 5 % and lactated ringers intravenous solution	$22.19	$22.19	$22.19	$29.00
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)	$36.98	$36.98	$36.98	$60.40
Dhea-s (dehydroepiand sulfate)	$222.00	$222.00	$222.00	$210.00
Diab manage trn ind/group	$53.25	$53.25	$53.25	$93.00
Diabetes (HbA1c) Test	$146.25	$146.25	$146.25	$70.00
Diagnostic Mammogram (both breasts)	$474.00	$474.00	$474.00	$424.00
Diagnostic Mammogram (one breast)	$372.00	$372.00	$372.00	$297.05
Diagnostic anoscopy spx 46600	$168.00	$168.00	$168.00	$432.60
Diagnostic digital breast tomosynthesis bil	$153.00	$153.00	$153.00	$124.80
Diagnostic digital breast tomosynthesis unil	$128.25	$128.25	$128.25	$124.80
Diagnostic laryngoscopy 31575	$489.75	$489.75	$489.75	$615.00
Diatrizoate meglumine 18 % urethral solution	$58.24	$58.24	$58.24	$58.24
Diazepam 5 mg/ml injection solution (wrapper)	$143.84	$143.84	$143.84	$35.40
Dicyclomine injection	$310.41	$310.41	$310.41	$425.60
Diffusing capacity	$256.50	$256.50	$256.50	$412.20
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution	$472.14	$472.14	$472.14	$29.85
Digoxin immune fab 40 mg intravenous solution	$17,050.66	$17,050.66	$17,050.66	$11,176.80
Digoxin total therapeutic drug level	$135.00	$135.00	$135.00	$126.00
Dihydroergotamine 0.05 mg/ml IV syringe - cnr	$297.86	$297.86	$297.86	$518.40
Dilate esophagus 1/mult pass	$1,459.50	$1,459.50	$1,459.50	$1,548.00
Dilation of rectal stricture 45910	$1,146.00	$1,146.00	$1,146.00	$1,375.50
Dilator fascial 10fx20cm	$291.87	$291.87	$291.87	$795.60
Diltiazem 5 mg/ml intravenous solution	$107.23	$107.23	$107.23	$107.23
Dimenhydrinate injection	$17.32	$17.32	$17.32	$14.40
Dimethyl sulfoxide 50% 50 ml	$2,501.55	$2,501.55	$2,501.55	$2,501.55
Diphenhydramine 12.5 mg/5 ml oral elixir	$36.98	$36.98	$36.98	$9.60
Diphenhydramine 50 mg/ml injection (wrapper)	$5.92	$5.92	$5.92	$13.80
Disability dlco	$279.00	$279.00	$279.00	$234.00
Disaccharidases	$1,443.00	$1,443.00	$1,443.00	$181.20
Discography cerv/thor spine	$1,564.50	$1,564.50	$1,564.50	$2,062.50
Dmd dup/delet analysis	$2,106.00	$2,106.00	$2,106.00	$2,106.00
Dmpk gene detc abnor allele	$567.75	$567.75	$567.75	$567.75
Dna antibody native/double stranded	$164.25	$164.25	$164.25	$159.00
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution	$130.35	$130.35	$130.35	$138.60
Docetaxel 20 mg/ml intravenous solution (wrapper)	$1,164.72	$1,164.72	$1,164.72	$94.40
Dopamine 40 mg/ml intravenous solution (wrapper)	$98.91	$98.91	$98.91	$56.40
Doppler echo complete	$608.25	$608.25	$608.25	$677.40
Doppler upper/lower extremity arteries complete bilateral	$568.50	$568.50	$568.50	$946.50
Doppler upper/lower extremity arteries limited bilateral	$564.75	$564.75	$564.75	$564.75
Dornase alfa non-comp unit	$479.80	$479.80	$479.80	$380.80
Dornhoffer fixed part w/window	$77,636.25	$77,636.25	$77,636.25	$53,356.20
Doxorubicin 2 mg/ml intravenous solution (wrapper)	$901.65	$901.65	$901.65	$358.40
Doxycycline hyclate 100 mg intravenous powder for solution	$89.34	$89.34	$89.34	$1.20
Dpyd gene common variants	$340.50	$340.50	$340.50	$2,476.80
Drain blood from under nail 11740	$159.00	$159.00	$159.00	$266.40
Drain cath image guided peri/retroperitoneal transvag/transrectal	$2,930.25	$2,930.25	$2,930.25	$2,976.00
Drain cath image guided visceral pq	$3,198.00	$3,198.00	$3,198.00	$4,627.80
Drain cerebro spinal fluid 62272	$1,485.75	$1,485.75	$1,485.75	$1,485.75
Drain finger abscess;simple 26010	$176.25	$176.25	$176.25	$318.00
Drain lower leg lesion 27603	$3,022.50	$3,022.50	$3,022.50	$3,269.25
Drain neck/chest lesion 21501	$2,639.25	$2,639.25	$2,639.25	$3,293.25
Drain ovarn cyst abd	$4,140.00	$4,140.00	$4,140.00	$4,140.00
Drainage absc/cyst/hmtma/vestibule mouth smpl	$632.25	$632.25	$632.25	$824.40
Drainage ext aud canal abscess 69020	$654.75	$654.75	$654.75	$1,440.00
Drainage external ear complex 69005	$3,767.25	$3,767.25	$3,767.25	$4,074.75
Drainage external ear simple 69000	$485.25	$485.25	$485.25	$709.50
Drainage mouth roof lesion	$226.50	$226.50	$226.50	$1,651.80
Drainage of arm bursa 23931	$2,439.75	$2,439.75	$2,439.75	$2,638.50
Drainage of eye	$2,164.50	$2,164.50	$2,164.50	$2,702.25
Drainage of kidney lesion	$1,830.00	$1,830.00	$1,830.00	$2,056.80
Drainage of mouth lesion	$3,162.00	$3,162.00	$3,162.00	$3,288.75
Drainage of mouth lesion	$2,989.50	$2,989.50	$2,989.50	$3,430.80
Drainage of nose lesion int 30000	$227.25	$227.25	$227.25	$3,592.20
Drainage of nose lesion sept 30020	$510.75	$510.75	$510.75	$637.50
Dress/debrid prtl-thick burn l 16030	$285.00	$285.00	$285.00	$998.40
Dress/debride pt-tck burn/5-10% bs 16025	$239.25	$239.25	$239.25	$528.60
Dress/debride pt-thick burn/<5% bs 16020	$201.75	$201.75	$201.75	$408.60
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm	$9,875.23	$9,875.23	$9,875.23	$9,875.23
Drng of eyelid abscess 67700	$309.75	$309.75	$309.75	$3,479.40
Drng of finger abscess comp 26011	$925.50	$925.50	$925.50	$1,875.00
Drng of ovarian cyst(s) 58800	$831.75	$831.75	$831.75	$3,624.75
Drng of scrotum abscess 55100	$1,461.00	$1,461.00	$1,461.00	$2,630.40
Drng salivary gland submax/subling 42310	$496.50	$496.50	$496.50	$496.50
Dronabinol 2.5mg oral	$1,907.03	$1,907.03	$1,907.03	$1,907.03
Drsg interceed 3x4in adh wnd barr absorb	$1,956.48	$1,956.48	$1,956.48	$1,956.48
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm	$530.83	$530.83	$530.83	$530.83
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm	$983.03	$983.03	$983.03	$841.60
Drsg sht 5.625x4.625in std	$639.00	$639.00	$639.00	$639.00
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm	$26,932.05	$26,932.05	$26,932.05	$26,932.05
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm	$22,027.50	$22,027.50	$22,027.50	$22,027.50
Drug assay caffeine	$55.50	$55.50	$55.50	$59.25
Drug assay posaconazole	$171.75	$171.75	$171.75	$171.75
Drug assay rufinamide	$130.50	$130.50	$130.50	$135.75
Drug assay vedolizumab	$877.50	$877.50	$877.50	$298.80
Drug assay voriconazole	$171.75	$171.75	$171.75	$186.00
Drug asy hydroxychloroquine	$511.50	$511.50	$511.50	$511.50
Drug of abuse screen urine	$48.00	$48.00	$48.00	$48.00
Drug screen quant tiagabine	$240.75	$240.75	$240.75	$188.40
Drug test(s) presumptive any class instrument chemistry analyzers	$650.25	$650.25	$650.25	$441.60
Drvvt confirm - quest	$294.75	$294.75	$294.75	$174.60
Dstrj nulyt agt gnclr nrv	$1,614.75	$1,614.75	$1,614.75	$1,429.20
Duodenal motility study	$1,599.00	$1,599.00	$1,599.00	$1,599.00
Dup scan/hemodialysis access 93990	$665.25	$665.25	$665.25	$684.60
Dup scan/lwr xtr vasc stdy bilat 93924	$1,106.25	$1,106.25	$1,106.25	$963.75
Dup scan/ue art/graft/bilat/comp 93930	$903.00	$903.00	$903.00	$903.00
Duplex scan unilateral study 93986	$103.50	$103.50	$103.50	$643.20
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm	$23,482.80	$23,482.80	$23,482.80	$23,482.80
Dx aly aud oi snd prcsr 1st	$153.00	$153.00	$153.00	$153.00
Dx bronchoscope/brush 31623	$2,159.25	$2,159.25	$2,159.25	$2,159.25
Dx bronchoscope/lavage 31624	$2,671.50	$2,671.50	$2,671.50	$2,926.80
Dx bronchoscope/wash 31622	$1,848.00	$1,848.00	$1,848.00	$2,168.40
Dxa bone density axl vrt fx	$786.75	$786.75	$786.75	$672.60
E equine encephalitis igg	$156.75	$156.75	$156.75	$122.40
ER Visit (level 1, minor)	$238.50	$238.50	$238.50	$286.51
ER Visit (level 2)	$453.75	$453.75	$453.75	$469.39
ER Visit (level 3)	$725.25	$725.25	$725.25	$827.20
ER Visit (level 4)	$1,031.25	$1,031.25	$1,031.25	$1,330.00
ER Visit (level 5, high severity)	$1,737.75	$1,737.75	$1,737.75	$1,892.80
Ear irrigation 69209	$128.25	$128.25	$128.25	$128.25
Ecg 12 lead tracing only	$260.25	$260.25	$260.25	$271.80
Ecg < 30 days transmission & analysis	$720.75	$720.75	$720.75	$720.75
Ecg external < 48 hours recording	$462.00	$462.00	$462.00	$551.40
Ecg external < 48 hours scanning analysis w/report	$642.75	$642.75	$642.75	$642.75
Ecg external > 48 hours up to 7 days recording	$220.50	$220.50	$220.50	$74.40
Ecg external >7 days up to 15 days recording	$220.50	$220.50	$220.50	$75.00
Echo exam uterus 76831-	$634.50	$634.50	$634.50	$695.40
Echo stress	$2,403.00	$2,403.00	$2,403.00	$1,056.00
Echo tee guidance	$2,136.75	$2,136.75	$2,136.75	$2,007.00
Echo tee probe placement image acquisition interpretation & report	$2,057.25	$2,057.25	$2,057.25	$1,875.00
Echo tte 2d comp wo ctrst wo clr/dplr	$1,632.75	$1,632.75	$1,632.75	$1,137.75
Echocardiogram (Heart Ultrasound)	$1,688.25	$1,688.25	$1,688.25	$2,021.12
Echocardiography doppler color flow mapping	$520.50	$520.50	$520.50	$485.25
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler	$1,629.75	$1,629.75	$1,629.75	$2,265.00
Echocardiography transthoracic 2d followup/limited	$800.25	$800.25	$800.25	$800.25
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast	$667.50	$667.50	$667.50	$691.20
Echocardiograpy doppler follow up/limited study	$420.75	$420.75	$420.75	$336.00
Echograp trans r pros study	$964.50	$964.50	$964.50	$576.60
Ecmo/ecls daily mgmt artery 33949	$3,998.25	$3,998.25	$3,998.25	$3,998.25
Ecmo/ecls daily mgmt-venous 33948	$3,998.25	$3,998.25	$3,998.25	$4,324.50
Eculizumab 300 mg/30 ml intravenous solution	$22,430.49	$22,430.49	$22,430.49	$268.80
Edetate calcium disodium inj	$20,833.61	$20,833.61	$20,833.61	$20,833.61
Eeg 41-60 minutes 95812-26	$1,250.25	$1,250.25	$1,250.25	$1,081.50
Eeg monitor/record/awake/drowsy 95816	$825.00	$825.00	$825.00	$1,099.50
Eeg over 1 hour 95813 - 26	$1,290.75	$1,290.75	$1,290.75	$907.80
Eeg without vid 2-12 hr unmntr	$303.75	$303.75	$303.75	$586.20
Eeg wo vid ea 12-26hr unmntr	$303.75	$303.75	$303.75	$1,126.20
Egd Ultrasound exam duodenum/jejunum	$2,853.00	$2,853.00	$2,853.00	$3,414.00
Egd Ultrasound fine needle bx/aspir	$4,013.25	$4,013.25	$4,013.25	$4,013.25
Egd Ultrasound fine needle bx/aspir	$3,249.75	$3,249.75	$3,249.75	$3,414.00
Egd Ultrasound transmural injxn/mark	$4,089.75	$4,089.75	$4,089.75	$4,089.75
Egd control bleeding any	$2,547.00	$2,547.00	$2,547.00	$2,553.75
Egd endoscopic stent place	$3,857.25	$3,857.25	$3,857.25	$4,379.25
Egd esophagogastrc fndoplsty	$9,562.50	$9,562.50	$9,562.50	$9,945.00
Egd lesion ablation	$3,360.75	$3,360.75	$3,360.75	$3,360.75
Egd remove foreign body	$2,625.00	$2,625.00	$2,625.00	$2,501.40
Egd remove lesion snare	$1,698.00	$1,698.00	$1,698.00	$2,597.25
Egd varices ligation	$2,898.75	$2,898.75	$2,898.75	$3,061.20
Egd w/transmural drain cyst	$2,487.00	$2,487.00	$2,487.00	$6,103.80
Egd/remov tum/polyp/hot bx forcep 43250	$2,530.50	$2,530.50	$2,530.50	$3,414.00
Ehrlicha chaffeensis amp prb	$105.00	$105.00	$105.00	$290.40
Elec analys infus pump w/reprog 62368	$288.75	$288.75	$288.75	$669.75
Elect analysis of infusion pump 62367	$471.00	$471.00	$471.00	$509.25
Electrd sq emblem s-icd	$12,127.50	$12,127.50	$12,127.50	$12,127.50
Electrical stimulation/unattended 97014	$85.50	$85.50	$85.50	$85.50
Electrolyte panel	$154.50	$154.50	$154.50	$130.80
Electron microscopy diagnostic	$1,968.75	$1,968.75	$1,968.75	$1,472.40
Elotuzumab 300 mg intravenous solution	$11,443.25	$11,443.25	$11,443.25	$1,749.60
Embo or occlude vascular arterial s&i	$14,578.50	$14,578.50	$14,578.50	$13,812.00
Embo or occlude vascular hemorrhage s&i	$10,799.25	$10,799.25	$10,799.25	$12,721.80
Embo or occlude vascular tumor/organ/infarct s&i	$10,799.25	$10,799.25	$10,799.25	$11,680.50
Embo or occlude vascular venous s&i	$13,903.50	$13,903.50	$13,903.50	$13,485.60
Embolization s&i	$4,390.50	$4,390.50	$4,390.50	$4,390.50
Encephalitis, california igg/igm	$156.75	$156.75	$156.75	$122.40
Encephalitis, st louis igg/igm	$156.75	$156.75	$156.75	$122.40
Encephalitis, western equine igg/igm	$156.75	$156.75	$156.75	$122.40
Endo abl/incom vein/ext/laser/#1 36478	$6,423.75	$6,423.75	$6,423.75	$6,948.00
Endo cath bile duct s&i	$1,148.25	$1,148.25	$1,148.25	$982.20
Endo cholangiopancreatograph	$3,831.00	$3,831.00	$3,831.00	$3,831.00
Endo cholangiopancreatograph	$3,275.25	$3,275.25	$3,275.25	$3,546.00
Endoluminal bx urtr rnl plvs	$1,230.75	$1,230.75	$1,230.75	$1,230.75
Endoscopic Ultrasound exam esoph	$2,485.50	$2,485.50	$2,485.50	$2,517.00
Endoscopy of bowel pouch 44385	$1,500.75	$1,500.75	$1,500.75	$1,696.20
Endoscopy swallow (fees) vid	$510.00	$510.00	$510.00	$551.25
Endovasc tempory vessel occl	$4,857.75	$4,857.75	$4,857.75	$8,869.50
Endoven ther chem adhes 1st 36482	$3,280.50	$3,280.50	$3,280.50	$11,287.20
Endoven ther chem adhes sbsq 36483	$3,375.75	$3,375.75	$3,375.75	$3,375.75
Endovenous laser vein addon 36479	$1,836.00	$1,836.00	$1,836.00	$2,203.50
Enfortumab vedotin-ejfv 20 mg intravenous solution	$15,579.42	$15,579.42	$15,579.42	$67.20
Enoxaparin 30 mg/0.3 ml subcutaneous syringe	$109.71	$109.71	$109.71	$69.60
Entamoeba histolytica ag eia - sendout	$85.50	$85.50	$85.50	$89.25
Enzyme cell activity ra	$968.25	$968.25	$968.25	$752.25
Enzyme histochemistry	$1,329.75	$1,329.75	$1,329.75	$573.60
Epidural/lumbar/sacral/ea add level64484	$1,419.00	$1,419.00	$1,419.00	$1,711.50
Epinephrine 0.1 mg/ml injection syringe	$831.94	$831.94	$831.94	$831.94
Epinephrine 1 mg/ml im kit - adult	$424.18	$424.18	$424.18	$424.18
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution	$46.16	$46.16	$46.16	$3.00
Epirubicin 200 mg/100 ml intravenous solution	$161.59	$161.59	$161.59	$161.59
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr	$379.58	$379.58	$379.58	$255.20
Epoetin alfa-epbx 40,000 unit/ml injection solution	$336.66	$336.66	$336.66	$336.66
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr	$208.65	$208.65	$208.65	$253.20
Epstein barr early antigen antibody	$126.00	$126.00	$126.00	$126.00
Epstein barr nuclear antigen antibody	$107.25	$107.25	$107.25	$124.50
Epstein barr viral capsid antigen antibody igm	$153.75	$153.75	$153.75	$153.75
Eptifibatide 0.75 mg/ml intravenous solution	$924.38	$924.38	$924.38	$350.40
Eptinezumab-jjmr 100 mg/ml intravenous solution	$7,173.42	$7,173.42	$7,173.42	$3,637.20
Ercp bil/panc duct; each stent plcmt 43274	$3,229.50	$3,229.50	$3,229.50	$4,282.20
Ercp ea duct/ampulla dilate	$3,882.75	$3,882.75	$3,882.75	$4,199.25
Ercp lithotripsy calculi	$3,891.00	$3,891.00	$3,891.00	$4,379.25
Ercp remove duct calculi 43264	$3,657.00	$3,657.00	$3,657.00	$3,955.50
Ercp remove forgn body duct 43275	$3,444.75	$3,444.75	$3,444.75	$4,282.20
Ercp stent exchange w/dilate	$4,158.00	$4,158.00	$4,158.00	$4,497.75
Ercp w/specimen collection	$3,954.75	$3,954.75	$3,954.75	$4,277.25
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution	$5,213.48	$5,213.48	$5,213.48	$509.40
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr	$107.31	$107.31	$107.31	$227.20
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr	$209.75	$209.75	$209.75	$120.00
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only	$240.34	$240.34	$240.34	$11.80
Esoph egd dilation <30 mm	$2,448.75	$2,448.75	$2,448.75	$2,597.25
Esoph imped funct test > 1hr	$1,139.25	$1,139.25	$1,139.25	$1,122.00
Esoph imped function test	$1,108.50	$1,108.50	$1,108.50	$1,108.50
Esoph scope w/submucous inj	$3,078.00	$3,078.00	$3,078.00	$3,078.00
Esophagosc flex trnsn biopsy	$2,062.50	$2,062.50	$2,062.50	$2,230.50
Esophagoscop stent placement	$5,814.75	$5,814.75	$5,814.75	$6,977.25
Esophagoscop ultrasound exam	$3,708.00	$3,708.00	$3,708.00	$3,708.00
Esophagoscopy balloon <30mm	$3,139.50	$3,139.50	$3,139.50	$3,139.50
Esophagoscopy flex biopsy	$3,038.25	$3,038.25	$3,038.25	$3,038.25
Esophagoscopy flex dx brush	$1,785.00	$1,785.00	$1,785.00	$2,959.80
Esophagoscopy flex remove fb	$217.50	$217.50	$217.50	$2,361.00
Esophagoscopy w/us needle bx	$3,940.50	$3,940.50	$3,940.50	$3,940.50
Esophagus motility study	$1,232.25	$1,232.25	$1,232.25	$1,332.75
Established Patient Office Visit (level 1)	$102.00	$102.00	$102.00	$115.05
Established Patient Office Visit (level 2)	$105.75	$105.75	$105.75	$127.53
Established Patient Office Visit (level 3)	$117.00	$117.00	$117.00	$183.60
Established Patient Office Visit (level 4)	$150.00	$150.00	$150.00	$228.60
Established Patient Office Visit (level 5)	$280.50	$280.50	$280.50	$306.40
Estradiol total	$226.50	$226.50	$226.50	$242.40
Estrogens total-sendout	$108.00	$108.00	$108.00	$270.00
Etanercept injection	$7,314.47	$7,314.47	$7,314.47	$1,801.80
Ethanolamine oleate 100 mg	$1,622.73	$1,622.73	$1,622.73	$1,605.00
Ethylene glycol -sendout	$95.25	$95.25	$95.25	$114.60
Etonogestrel implant system	$4,715.65	$4,715.65	$4,715.65	$4,715.65
Etoposide 20 mg/ml intravenous solution	$213.17	$213.17	$213.17	$213.17
Etoposide 50 mg cap	$5,934.05	$5,934.05	$5,934.05	$285.60
Euflexxa inj per dose	$1,186.77	$1,186.77	$1,186.77	$1,186.77
Eval/fit voice prosthesis iii, st	$441.75	$441.75	$441.75	$431.25
Evaluation of speech fluency 92521	$280.50	$280.50	$280.50	$393.00
Evasc prlng admn rx agnt 1st	$1,967.25	$1,967.25	$1,967.25	$2,127.75
Evasc prlng admn rx agnt add	$252.00	$252.00	$252.00	$1,269.00
Evasc rpr a-ao ndgft 34701	$2,959.50	$2,959.50	$2,959.50	$2,959.50
Evasc rpr a-ao ndgft rpt 34702	$2,059.50	$2,059.50	$2,059.50	$2,059.50
Evasc rpr a-unilac ndgft 34703	$2,959.50	$2,959.50	$2,959.50	$2,959.50
Evasc rpr a-unilac ndgft rpt	$9,804.00	$9,804.00	$9,804.00	$9,804.00
Event monitor	$352.50	$352.50	$352.50	$352.50
Exc ben+marg excep skin tag snhfg >4cm 11426	$2,789.25	$2,789.25	$2,789.25	$2,901.00
Exc im tumor/shoulder area 5cm/> 23073	$2,639.25	$2,639.25	$2,639.25	$2,745.00
Exc malig tal <0.5cm 11600	$1,302.00	$1,302.00	$1,302.00	$1,407.75
Exc prtl bn phlnx toe	$3,006.75	$3,006.75	$3,006.75	$3,126.75
Exchange biliary drg cath	$1,292.25	$1,292.25	$1,292.25	$2,959.50
Exchange drainage catheter	$2,610.75	$2,610.75	$2,610.75	$2,610.75
Exchange nephrostomy cath	$1,132.50	$1,132.50	$1,132.50	$2,572.20
Excision benign lesion trunk/arms/legs > 4.0 cm	$3,375.75	$3,375.75	$3,375.75	$3,375.75
Excision of anal lesion(s)	$2,658.75	$2,658.75	$2,658.75	$3,114.00
Excision of penis lesion(s) 54060	$1,976.25	$1,976.25	$1,976.25	$1,976.25
Exercise tst brncspsm w/ecg	$783.75	$783.75	$783.75	$337.50
Exome sequence analysis	$7,002.00	$7,002.00	$7,002.00	$7,002.00
Expander breast 300cc mod hght extra proj smth natrelle	$4,848.75	$4,848.75	$4,848.75	$2,967.60
Expander tiss 133s-mv-12-t 300ml natrelle smth	$7,852.50	$7,852.50	$7,852.50	$4,135.20
Explore woundchest 20101	$1,693.50	$1,693.50	$1,693.50	$2,113.50
Explore/treat knee joint	$3,228.00	$3,228.00	$3,228.00	$3,918.75
Ext ecg>48hr<7d scan a/r	$220.50	$220.50	$220.50	$238.50
External chromosome analysis 20-25 cells	$370.50	$370.50	$370.50	$919.20
External tissue culture neoplastic disorders bone marrow/blood cells	$872.25	$872.25	$872.25	$943.50
Extractable nuclear antigen/antibody any method each antibody centromere	$234.00	$234.00	$234.00	$212.00
Eye implant band 40	$356.07	$356.07	$356.07	$2,927.40
F-18 fdg pet diag	$2,773.11	$2,773.11	$2,773.11	$1,257.60
F-18 florbetapir less than or equal to 10 mci	$5,679.38	$5,679.38	$5,679.38	$5,679.38
Facial bones <3	$507.00	$507.00	$507.00	$388.00
Factor ix	$282.00	$282.00	$282.00	$222.60
Factor ix alprolix recomb	$38,712.83	$38,712.83	$38,712.83	$38,712.83
Factor ix complex	$4,991.63	$4,991.63	$4,991.63	$8.40
Factor ix idelvion inj	$36,235.50	$36,235.50	$36,235.50	$36,235.50
Factor ix recombinant nos	$7,321.05	$7,321.05	$7,321.05	$34.65
Factor viii	$312.00	$312.00	$312.00	$213.00
Factor viii fc fusion recomb	$17,969.85	$17,969.85	$17,969.85	$17,969.85
Factor viii pegylated recomb	$11.10	$11.10	$11.10	$11.10
Factor viii recomb obizur	$5,435.33	$5,435.33	$5,435.33	$5,435.33
Factor viii recombinant nos	$11.10	$11.10	$11.10	$11.10
Factor xiii recomb a-subunit	$68.26	$68.26	$68.26	$68.26
Fallopian tube recnl	$2,904.00	$2,904.00	$2,904.00	$2,904.00
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr	$8.88	$8.88	$8.88	$0.40
Fatty acids nonesterified	$139.50	$139.50	$139.50	$139.50
Fda ide #g240020 carry bag	$956.25	$956.25	$956.25	$956.25
Felbamate (felbatol(r)) - sendout	$133.50	$133.50	$133.50	$133.50
Feno poc	$141.75	$141.75	$141.75	$153.75
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)	$35.94	$35.94	$35.94	$144.00
Ferric carboxymaltose 50 mg iron/ml intravenous solution	$3,736.68	$3,736.68	$3,736.68	$3,736.68
Ferritin	$242.25	$242.25	$242.25	$223.20
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution	$4,030.11	$4,030.11	$4,030.11	$3,963.60
Fetal biophys profile w/nst 76818	$872.25	$872.25	$872.25	$656.25
Fetal hemoglobin rosette	$193.50	$193.50	$193.50	$80.40
Fetal shunt placement w/us	$296.25	$296.25	$296.25	$296.25
Fibrin degradation d dimer quantitative	$207.00	$207.00	$207.00	$93.00
Fibrin degradation products	$197.25	$197.25	$197.25	$111.20
Fibrinogen activity	$79.50	$79.50	$79.50	$105.00
Fibrinolysins/coagulopathy screen interpretation/report	$82.50	$82.50	$82.50	$72.00
Fibrinolytic antiplasmin	$108.75	$108.75	$108.75	$81.60
Fibrinolytic plasminogen	$728.25	$728.25	$728.25	$165.00
Fibrinolytic plasminogen xcpt antgnc asa	$628.50	$628.50	$628.50	$83.40
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr	$1,964.97	$1,964.97	$1,964.97	$1,964.97
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe	$492.48	$492.48	$492.48	$492.48
Filgrastim-sndz 300 mcg/0.5 ml injection syringe	$1,504.82	$1,504.82	$1,504.82	$1,504.82
Filter spider fx 3mmx320cm	$8,212.50	$8,212.50	$8,212.50	$8,212.50
Filter vena cava fem denali	$4,659.75	$4,659.75	$4,659.75	$5,179.20
Fine needle asp without image guide 10021	$668.25	$668.25	$668.25	$722.40
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008	$833.25	$833.25	$833.25	$621.75
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007	$857.25	$857.25	$857.25	$857.25
Fine needle aspiration biopsy w/us gdn; ea addtl 10006	$833.25	$833.25	$833.25	$738.00
Fine needle aspiration biopsy without img gdn; ea addtl 10004	$155.25	$155.25	$155.25	$168.00
Fl exam g/colon tube w contrast	$522.75	$522.75	$522.75	$780.60
Flebogamma injection	$3,562.92	$3,562.92	$3,562.92	$3,562.92
Flecainide (tambocor)-sendout	$36.75	$36.75	$36.75	$129.60
Flexible Sigmoidoscopy	$738.75	$738.75	$738.75	$1,278.72
Flow cytometry marker each additional	$181.50	$181.50	$181.50	$181.50
Flow cytometry one marker technical component	$252.75	$252.75	$252.75	$288.60
Floxuridine injection	$14,923.11	$14,923.11	$14,923.11	$8,522.40
Flt3 gene	$190.50	$190.50	$190.50	$598.20
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback	$24.41	$24.41	$24.41	$24.41
Fludarabine 50 mg intravenous solution	$601.96	$601.96	$601.96	$601.96
Fluidotherapy charges pt	$90.00	$90.00	$90.00	$118.20
Fluocinolone acetonide implt	$70,344.94	$70,344.94	$70,344.94	$70,344.94
Fluorescent antibody titer dna	$397.50	$397.50	$397.50	$202.20
Fluoroguide for spine inject 77003-26	$678.00	$678.00	$678.00	$678.00
Fluoroguide needle placement	$374.25	$374.25	$374.25	$599.25
Fluoroscopy up to 1 hour	$513.00	$513.00	$513.00	$534.60
Fluorouracil 50 mg/ml intravenous solution (wrapper)	$203.74	$203.74	$203.74	$152.80
Fluphenazine decanoate 25 mg/ml injection solution	$380.85	$380.85	$380.85	$380.85
Fna bx w/ct gdn 1st les	$857.25	$857.25	$857.25	$900.75
Fna bx w/ct gdn ea addl	$833.25	$833.25	$833.25	$738.00
Fna bx w/mr gdn 1st les	$857.25	$857.25	$857.25	$738.00
Fna bx w/mr gdn ea addl	$833.25	$833.25	$833.25	$833.25
Folic acid	$109.50	$109.50	$109.50	$130.80
Folic acid 5 mg/ml injection solution	$78.99	$78.99	$78.99	$1.05
Follow-up angiography	$2,403.75	$2,403.75	$2,403.75	$2,403.75
Fomepizole 1 gram/ml intravenous solution	$1,261.49	$1,261.49	$1,261.49	$5,244.60
Fondaparinux sodium	$121.83	$121.83	$121.83	$490.80
Foot X-ray	$507.00	$507.00	$507.00	$339.50
Foreskn manip w/lss preputial ads+stretching 54450	$237.00	$237.00	$237.00	$534.00
Fosaprepitant 150 mg intravenous powder for solution	$1,233.17	$1,233.17	$1,233.17	$1,233.17
Foscarnet sodium injection	$1,101.86	$1,101.86	$1,101.86	$1,101.86
Fosphenytoin 50 mg pe/ml injection (wrapper)	$94.85	$94.85	$94.85	$94.85
Fracture assessment via dxa	$712.50	$712.50	$712.50	$530.25
Fragmenting of kidney stone	$9,085.50	$9,085.50	$9,085.50	$9,085.50
Fresh frozen plasma 8-24 hours collection each unit	$246.75	$246.75	$246.75	$246.75
Fresh frozen plasma frozen within 8 hours of collection each unit	$237.00	$237.00	$237.00	$237.00
Fresh frozen plasma thawing ea un	$140.25	$140.25	$140.25	$106.20
Fructosamine glycated protein	$80.25	$80.25	$80.25	$100.20
Furosemide 10 mg/ml injection solution	$19.53	$19.53	$19.53	$0.60
G-esoph reflx tst w/electrod	$1,557.75	$1,557.75	$1,557.75	$1,557.75
G-tube reposition	$584.25	$584.25	$584.25	$978.00
Ga-68 gallium 68 dotatate	$156.00	$156.00	$156.00	$156.00
Gadobutrol 1 mmol/ml intravenous solution (wrapper)	$177.43	$177.43	$177.43	$4.80
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution	$119.29	$119.29	$119.29	$65.40
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution	$486.60	$486.60	$486.60	$62.40
Galac-1-phosphate uridyltran - sendout	$79.50	$79.50	$79.50	$41.40
Galectin-3	$280.50	$280.50	$280.50	$83.40
Gamma glutamyltransferase	$64.50	$64.50	$64.50	$88.20
Gammaglobulin iga	$169.50	$169.50	$169.50	$171.60
Gammaglobulin ige	$175.50	$175.50	$175.50	$148.50
Gamunex-c/gammaked	$8,519.04	$8,519.04	$8,519.04	$345.60
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr	$94.28	$94.28	$94.28	$415.20
Gastric motility studies	$1,795.50	$1,795.50	$1,795.50	$1,578.60
Gastrin test	$127.50	$127.50	$127.50	$127.50
Gastroesophageal reflux study	$1,139.25	$1,139.25	$1,139.25	$1,228.80
Gel-syn injection 0.1 mg	$1,330.04	$1,330.04	$1,330.04	$1,330.04
Gemcitabine 1 gram intravenous solution	$168.02	$168.02	$168.02	$365.40
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln	$37,698.54	$37,698.54	$37,698.54	$37,698.54
Generator barostim neo2 2014	$83,687.18	$83,687.18	$83,687.18	$52,543.20
Generator emblem MRI sicd subq	$61,875.00	$61,875.00	$61,875.00	$61,875.00
Genetic tstg severe inh cond	$10,777.50	$10,777.50	$10,777.50	$11,622.60
Genome sequence analysis	$8,306.25	$8,306.25	$8,306.25	$4,439.40
Gentamicin 10 mg/ml liquid compound - enteral use only	$85.57	$85.57	$85.57	$49.60
Gentamicin peak therapeutic drug level	$153.75	$153.75	$153.75	$201.00
Ghs HIV antibody	$129.75	$129.75	$129.75	$129.75
Ghs IV inf sq injection, on-body injector	$107.25	$107.25	$107.25	$145.80
Ghs IV infusion bamlanivimab/etesevimab	$725.25	$725.25	$725.25	$1,020.00
Ghs IV infusion casirivimab/imdevimab	$725.25	$725.25	$725.25	$1,020.00
Ghs IV infusion sotrovimab	$725.25	$725.25	$725.25	$1,020.00
Ghs IV thrombolytics - cerebral	$500.25	$500.25	$500.25	$620.80
Ghs abscess perianal iandd	$1,991.25	$1,991.25	$1,991.25	$1,829.60
Ghs abscess postoperative iandd complex	$3,993.00	$3,993.00	$3,993.00	$3,993.00
Ghs acetylcholinesterase, rbc	$153.75	$153.75	$153.75	$119.25
Ghs alcohol, methyl (methanol)-medtox	$858.00	$858.00	$858.00	$147.60
Ghs antibodies (torch) igm	$121.50	$121.50	$121.50	$131.25
Ghs bladder cath - complex-foley	$256.50	$256.50	$256.50	$492.00
Ghs block ilioinguinal/gentitofemoral	$1,608.00	$1,608.00	$1,608.00	$1,332.00
Ghs central line insert < age 5, failed	$2,475.00	$2,475.00	$2,475.00	$3,106.20
Ghs change cysto/gastrost	$762.00	$762.00	$762.00	$1,265.40
Ghs chemo >8 hrs	$772.50	$772.50	$772.50	$841.60
Ghs chemo IV push, ea addtl	$226.50	$226.50	$226.50	$446.40
Ghs chlamydia pneumoniae by pcr (arup) (306630)	$662.25	$662.25	$662.25	$360.00
Ghs cl tx knee disl; wo anesth	$201.75	$201.75	$201.75	$2,370.60
Ghs cl tx metacarpophal disloc without anes	$420.75	$420.75	$420.75	$471.75
Ghs closd tx interphalang jt disloc w/ma	$582.75	$582.75	$582.75	$630.00
Ghs closed reduction ankle dislocation	$677.25	$677.25	$677.25	$825.60
Ghs closed tx bimalleolar fracture w/manip	$434.25	$434.25	$434.25	$1,635.60
Ghs closed tx radiocarpal disloc w manip	$218.25	$218.25	$218.25	$466.80
Ghs closed tx tibial fracture w/manip	$1,431.00	$1,431.00	$1,431.00	$1,547.25
Ghs closure surg wound/dehiscence-13160	$1,681.50	$1,681.50	$1,681.50	$2,182.50
Ghs clsd red med malleolus fx w manip	$2,459.25	$2,459.25	$2,459.25	$2,632.20
Ghs clsd red med malleolus fx without manip	$236.25	$236.25	$236.25	$825.60
Ghs clsd tx frac distal tibia w/manipulation	$1,398.75	$1,398.75	$1,398.75	$2,319.00
Ghs community re-entry 15 minutes	$93.75	$93.75	$93.75	$85.60
Ghs conjunctiva foreign body-embed bil	$258.00	$258.00	$258.00	$494.40
Ghs conjunctiva foreign body-superf bil	$231.00	$231.00	$231.00	$351.75
Ghs corneal fb with slit lamp bilat	$596.25	$596.25	$596.25	$408.60
Ghs corneal fb without slit lamp bilat	$390.00	$390.00	$390.00	$422.25
Ghs cricothyroidotomy	$226.50	$226.50	$226.50	$777.60
Ghs dislocation elbow closed treatment	$486.00	$486.00	$486.00	$856.20
Ghs ed peritoneal lavage w guidance if performed	$1,887.75	$1,887.75	$1,887.75	$3,175.50
Ghs eeg cont rec w/video by tec min 8 chnls	$780.00	$780.00	$780.00	$586.80
Ghs excision ingrown nail	$363.75	$363.75	$363.75	$484.80
Ghs eyelid foreign body-embedded - bil	$291.75	$291.75	$291.75	$868.80
Ghs fat & muscle	$42.75	$42.75	$42.75	$42.75
Ghs fb removal - incisional	$1,508.25	$1,508.25	$1,508.25	$3,182.40
Ghs fb removal - non-incisional	$1,461.75	$1,461.75	$1,461.75	$1,551.00
Ghs fb removal foot - deep - left	$2,347.50	$2,347.50	$2,347.50	$3,771.00
Ghs febrile agglutinns(mayo)	$70.50	$70.50	$70.50	$76.50
Ghs fish cytogen	$1,133.25	$1,133.25	$1,133.25	$235.80
Ghs fish hybrid in situ 100-300	$566.25	$566.25	$566.25	$354.60
Ghs flow volume loop	$291.75	$291.75	$291.75	$223.20
Ghs gastric intub aspiration lavage	$243.00	$243.00	$243.00	$304.80
Ghs hcv amplificaiton	$468.75	$468.75	$468.75	$254.25
Ghs hepatitis c virus (hcv riba)	$765.75	$765.75	$765.75	$596.25
Ghs hgb stability-thal	$252.75	$252.75	$252.75	$252.75
Ghs histoplasma antigen	$569.25	$569.25	$569.25	$492.00
Ghs i and d abscess/hematoma scrotum	$3,822.00	$3,822.00	$3,822.00	$4,134.00
Ghs i and d perirectal abscess 46040	$3,048.75	$3,048.75	$3,048.75	$2,637.00
Ghs i and d pilonidal cyst complex	$2,274.75	$2,274.75	$2,274.75	$1,572.00
Ghs i and d pilonidal cyst simple	$762.75	$762.75	$762.75	$589.80
Ghs immun0electrophoresis	$265.50	$265.50	$265.50	$178.50
Ghs incision thrombosed ext hemorrhoid	$486.75	$486.75	$486.75	$526.50
Ghs inf midline insertion	$1,879.50	$1,879.50	$1,879.50	$4,051.20
Ghs inhibitor screen	$612.00	$612.00	$612.00	$345.00
Ghs init tx 1st degree burn	$448.50	$448.50	$448.50	$448.50
Ghs inj neurolytic intercostal nerve	$1,640.25	$1,640.25	$1,640.25	$3,021.75
Ghs inj neurolytic other perph nerve	$2,345.25	$2,345.25	$2,345.25	$1,231.20
Ghs inj tendon origin/insertion	$597.00	$597.00	$597.00	$481.80
Ghs inj transforaminal cerv ea add bil	$1,220.25	$1,220.25	$1,220.25	$1,320.00
Ghs inj transforaminal cerv single bil	$1,957.50	$1,957.50	$1,957.50	$1,957.50
Ghs insertion of needle - bone	$357.75	$357.75	$357.75	$550.80
Ghs intermed repair 12.6 - 20.0 cm-12035	$2,140.50	$2,140.50	$2,140.50	$1,829.40
Ghs intermed repair 20.1 - 30.0 cm-12036	$566.25	$566.25	$566.25	$3,520.20
Ghs intro needle/intracath vein - 36000	$249.00	$249.00	$249.00	$240.00
Ghs irrigate corpora cavernosa for priapism	$229.50	$229.50	$229.50	$2,619.00
Ghs lac repair mouth.ant tong 2.5cm/less	$367.50	$367.50	$367.50	$569.60
Ghs layer closure 2.5 cm or less - 12031	$348.75	$348.75	$348.75	$477.00
Ghs layer closure 2.5 cm or less - 12041	$1,321.50	$1,321.50	$1,321.50	$825.60
Ghs layer closure 2.5cm or less - 12051	$363.00	$363.00	$363.00	$520.80
Ghs layer closure 2.6 - 5.0 cm - 12052	$1,818.75	$1,818.75	$1,818.75	$825.60
Ghs layer closure 2.6 - 7.5 cm - 12042	$1,935.00	$1,935.00	$1,935.00	$825.60
Ghs layer closure 5.1 - 7.5 cm - 12053	$1,972.50	$1,972.50	$1,972.50	$825.60
Ghs layer closure 7.6 - 12.5 cm - 12034	$810.00	$810.00	$810.00	$998.40
Ghs layer closure 7.6 - 12.5 cm - 12044	$566.25	$566.25	$566.25	$1,212.00
Ghs layer closure 7.6 - 12.5 cm - 12054	$363.75	$363.75	$363.75	$998.40
Ghs layered repair 12.6 - 20.0 cm -12055	$363.75	$363.75	$363.75	$998.40
Ghs layered repair 20.1 - 30.0 cm -12056	$363.75	$363.75	$363.75	$471.75
Ghs layered repair over 3.0 cm -12057	$436.50	$436.50	$436.50	$471.75
Ghs mbp	$143.25	$143.25	$143.25	$171.60
Ghs moderate sedation < 5 yr, 30 min	$568.50	$568.50	$568.50	$429.60
Ghs moderate sedation < 5 yr, 30 min, other	$574.50	$574.50	$574.50	$525.75
Ghs moderate sedation ea addtl 15 min, other	$33.00	$33.00	$33.00	$69.75
Ghs moderate sedation, > 5 yr, 30 min, other	$305.25	$305.25	$305.25	$429.60
Ghs musc test done w/n test comp	$318.75	$318.75	$318.75	$322.80
Ghs myocardial strain img spckl track	$127.50	$127.50	$127.50	$792.60
Ghs nailbed repair/nail removal	$518.25	$518.25	$518.25	$1,236.60
Ghs nerve blk intercostal, ea addtl level	$1,546.50	$1,546.50	$1,546.50	$1,618.50
Ghs nerve blk intercostal, single level	$1,546.50	$1,546.50	$1,546.50	$1,546.50
Ghs nerve block axillary nerve	$1,763.25	$1,763.25	$1,763.25	$1,763.25
Ghs nerve block brachial plexus	$1,242.00	$1,242.00	$1,242.00	$1,815.00
Ghs nerve block celiac plexus	$2,127.00	$2,127.00	$2,127.00	$2,512.80
Ghs nerve block interscaline	$1,671.75	$1,671.75	$1,671.75	$1,926.00
Ghs nerve block lumbar or thoracic symp	$1,671.75	$1,671.75	$1,671.75	$1,907.25
Ghs nerve block sciatic nerve	$1,146.75	$1,146.75	$1,146.75	$2,184.60
Ghs nerve block suprascapular	$1,671.75	$1,671.75	$1,671.75	$1,131.00
Ghs ng placement w fluoro guidance	$468.75	$468.75	$468.75	$589.80
Ghs o2 saturation	$133.50	$133.50	$133.50	$106.50
Ghs o2 uptake rest & indirect	$490.50	$490.50	$490.50	$433.50
Ghs opcc repair cvp without subq port	$2,038.50	$2,038.50	$2,038.50	$2,205.00
Ghs ot dds rom	$194.25	$194.25	$194.25	$194.25
Ghs ot prosthetic training/15 min	$99.00	$99.00	$99.00	$121.20
Ghs ot sensory integrative tech/15min	$111.00	$111.00	$111.00	$130.20
Ghs pacing - transcutaneous	$771.00	$771.00	$771.00	$940.50
Ghs paravert facet/nerve cerv ea add bil	$1,662.75	$1,662.75	$1,662.75	$1,656.60
Ghs paravert facet/nerve lumb ea add bil	$1,386.00	$1,386.00	$1,386.00	$1,386.00
Ghs peritonsillar abscess i andd	$708.00	$708.00	$708.00	$1,080.75
Ghs phenylketonurid	$171.75	$171.75	$171.75	$128.25
Ghs picc line insert < 5	$6,357.75	$6,357.75	$6,357.75	$4,480.80
Ghs plngl fx pm cl	$387.00	$387.00	$387.00	$685.80
Ghs pr without cont pulse ox	$123.75	$123.75	$123.75	$134.25
Ghs prostatic acid phosphatase (mayo)	$96.75	$96.75	$96.75	$83.40
Ghs protoporphyrins fract	$66.75	$66.75	$66.75	$99.00
Ghs pseudocholinesterase,dibucain-inhibi	$128.25	$128.25	$128.25	$122.25
Ghs refill of implantable pump	$774.00	$774.00	$774.00	$774.00
Ghs removal intranasal foreign body	$492.00	$492.00	$492.00	$341.40
Ghs removal pharyngeal foreign body	$367.50	$367.50	$367.50	$397.50
Ghs sensitivity (per antimicro)	$75.75	$75.75	$75.75	$74.40
Ghs simple repair 12.6 - 20.0 cm - 12005	$254.25	$254.25	$254.25	$819.60
Ghs simple repair 12.6 - 20.0 cm - 12016	$434.25	$434.25	$434.25	$1,230.60
Ghs simple repair 20.1 - 30.0 cm - 12006	$254.25	$254.25	$254.25	$965.40
Ghs simple repair 5.1 - 7.5 cm - 12014	$363.00	$363.00	$363.00	$589.80
Ghs simple repair 7.6 - 12.5 cm - 12004	$239.25	$239.25	$239.25	$589.80
Ghs simple repair 7.6 - 12.5 cm - 12015	$363.00	$363.00	$363.00	$589.80
Ghs simple repair over 30 cm - 12007	$254.25	$254.25	$254.25	$660.00
Ghs sp train/fitting sp device - kx	$324.75	$324.75	$324.75	$324.75
Ghs speech-gen aug dev eval iii, st	$213.00	$213.00	$213.00	$189.00
Ghs st - re-eval for alt comm	$379.50	$379.50	$379.50	$410.25
Ghs strapping shoulder - 29240	$237.75	$237.75	$237.75	$346.20
Ghs superficial wnd dehiscence simp12020	$583.50	$583.50	$583.50	$2,181.60
Ghs tx distal phalangeal fx with manipulation	$375.00	$375.00	$375.00	$660.00
Ghs urine, porphyrins quant	$553.50	$553.50	$553.50	$288.60
Gi inhouse confirmation	$86.25	$86.25	$86.25	$86.25
Gi tract capsule endoscopy (pillcam) 91110	$1,766.25	$1,766.25	$1,766.25	$1,766.25
Giardia lamblia antibody	$147.00	$147.00	$147.00	$138.00
Glassia injection	$2,551.28	$2,551.28	$2,551.28	$384.00
Glove finger flexion right lg xl	$36.75	$36.75	$36.75	$36.75
Glucagon hcl 1 mg/ml solution for injection	$509.06	$509.06	$509.06	$509.06
Glucagon plasma - sendout	$78.75	$78.75	$78.75	$144.60
Glucose 1 hr post dose	$150.75	$150.75	$150.75	$54.00
Glucose blood by monitoring device cleared by fda for home use	$322.50	$322.50	$322.50	$30.00
Glucose blood quantitative	$58.50	$58.50	$58.50	$52.20
Glucose body fluid	$96.75	$96.75	$96.75	$63.20
Glucose tolerance test (gtt) 3 specimens	$232.50	$232.50	$232.50	$199.80
Glucose tolerance test (gtt) >3 specimens each additional	$72.00	$72.00	$72.00	$42.60
Glucose-6-phosphate dhydrogenase screen	$61.50	$61.50	$61.50	$57.75
Glycopyrrolate 0.2 mg/ml injection solution	$102.50	$102.50	$102.50	$11.70
Golimumab 12.5 mg/ml intravenous solution	$7,166.65	$7,166.65	$7,166.65	$104.80
Gonadotropin follicle stimulating hormone (fsh)	$171.75	$171.75	$171.75	$187.50
Gonadotropin luteinizing hormone (lh)	$123.75	$123.75	$123.75	$156.00
Goserelin 10.8 mg subcutaneous implant	$11,433.78	$11,433.78	$11,433.78	$1,886.40
Graft apligraf 3in 44sqcm-q4101-cost per sq cm	$3,026.25	$3,026.25	$3,026.25	$3,026.25
Graft axiofill 1000mg	$675,000.00	$675,000.00	$675,000.00	$3,597.00
Graft fish skin 16mm round marigen 2units-cost per sq cm	$17,736.75	$17,736.75	$17,736.75	$17,736.75
Graft impl ult thck 6x12cm -cost per sq cm	$31,488.75	$31,488.75	$31,488.75	$28,358.40
Graft nerve adv 3-4x70mm	$27,652.41	$27,652.41	$27,652.41	$25,992.80
Graft patch felt ptfe 2x2	$78,750.00	$78,750.00	$78,750.00	$7,958.40
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm	$29,670.10	$29,670.10	$29,670.10	$3,645.60
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm	$6,187.50	$6,187.50	$6,187.50	$6,187.50
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm	$6,075.00	$6,075.00	$6,075.00	$3,681.60
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm	$7,746.75	$7,746.75	$7,746.75	$6,241.80
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm	$66,548.25	$66,548.25	$66,548.25	$53,576.40
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm	$2,227.50	$2,227.50	$2,227.50	$2,227.50
Graft xenmtrx sft rect 15x20cm	$99,296.10	$99,296.10	$99,296.10	$30,786.60
Graft xenmtrx sft rect 19x28cm	$6,187.50	$6,187.50	$6,187.50	$3,076.20
Great toe with reduction 28495	$537.00	$537.00	$537.00	$825.60
Growth stimulation gene 2	$1,513.50	$1,513.50	$1,513.50	$1,513.50
Guide endoanchr sg-64 aaa 62cm	$2,108.25	$2,108.25	$2,108.25	$9,038.40
Guide wire threaded 1.4x150mm	$20,413.63	$20,413.63	$20,413.63	$2,825.40
Guide worley csg 9fx50cm std	$3,593.25	$3,593.25	$3,593.25	$1,083.60
Guided cath fluid drainage 10030	$290.25	$290.25	$290.25	$1,600.20
Gw stiffened micro access kit	$101,250.00	$101,250.00	$101,250.00	$3,215.40
H pylori (c-13) breath	$411.75	$411.75	$411.75	$346.80
Haloperidol decanoate 50 mg/ml intramuscular solution	$120.02	$120.02	$120.02	$160.00
Haloperidol lactate 5 mg/ml injection solution	$8.58	$8.58	$8.58	$9.00
Hand X-ray	$375.75	$375.75	$375.75	$315.00
Haptoglobin quantitative	$135.00	$135.00	$135.00	$155.40
Hast w/i&r phys/qhp	$324.75	$324.75	$324.75	$324.75
Hast w/oxygen titrate	$390.00	$390.00	$390.00	$390.00
Hba1/hba2 full gene sequence	$1,051.50	$1,051.50	$1,051.50	$1,051.50
Hba1/hba2 gene dup/del vrnts	$714.75	$714.75	$714.75	$714.75
Hc nm kidney imaging with flow	$1,312.50	$1,312.50	$1,312.50	$1,312.50
Hc nm myocard infarct avid plnr tomo spect w/wo quant	$807.75	$807.75	$807.75	$1,006.50
Hc pet myocardial imaging metabolic eval single study	$3,958.50	$3,958.50	$3,958.50	$4,680.75
Hcg quantitative	$87.00	$87.00	$87.00	$178.20
Head CT scan (with and without contrast)	$1,781.25	$1,781.25	$1,781.25	$1,914.25
Head CT scan (with contrast)	$1,619.25	$1,619.25	$1,619.25	$1,587.69
Head CT scan (without contrast)	$1,471.50	$1,471.50	$1,471.50	$1,268.90
Heart first pass add-on	$1,070.25	$1,070.25	$1,070.25	$1,070.25
Hematocrit	$39.75	$39.75	$39.75	$39.75
Hemin 350 mg intravenous powder for solution	$41,382.91	$41,382.91	$41,382.91	$28,532.40
Hemoglobin	$36.75	$36.75	$36.75	$36.75
Hemoglobin fetal qualitative	$52.50	$52.50	$52.50	$61.80
Hemoglobin methemoglobin quantitative	$132.75	$132.75	$132.75	$132.75
Hemoglobin plasma	$187.50	$187.50	$187.50	$62.40
Hepagam b im injection	$2,543.59	$2,543.59	$2,543.59	$2,543.59
Heparin assay	$224.25	$224.25	$224.25	$194.25
Heparin bolus from bag	$57.46	$57.46	$57.46	$39.40
Heparin neutralization	$187.50	$187.50	$187.50	$187.50
Heparin, porcine (pf) 10 unit/ml flush (wrapper)	$6.20	$6.20	$6.20	$5.40
Hepatitis a antibody igm	$107.25	$107.25	$107.25	$126.60
Hepatitis b core antibody igm	$119.25	$119.25	$119.25	$131.25
Hepatitis b core antibody total	$111.75	$111.75	$111.75	$121.20
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution	$1,890.21	$1,890.21	$1,890.21	$1,109.60
Hepatitis b surface antibody	$112.50	$112.50	$112.50	$112.50
Hepatitis c antibody	$106.50	$106.50	$106.50	$163.80
Hepatitis d quantification	$1,116.75	$1,116.75	$1,116.75	$627.00
Hepatobiliary system imaging	$1,753.50	$1,753.50	$1,753.50	$1,608.00
Herpes simplex type 1 antibody igg	$89.25	$89.25	$89.25	$99.00
Herpes simplex type 2 antibody igg	$95.25	$95.25	$95.25	$111.00
Herpes simplex virus isolation	$54.75	$54.75	$54.75	$189.00
Heterophile antibodies screening	$117.00	$117.00	$117.00	$56.40
Hhv-6 dna quant	$754.50	$754.50	$754.50	$469.50
Hip X-ray	$436.50	$436.50	$436.50	$290.35
Histamine	$218.25	$218.25	$218.25	$254.40
Hizentra injection	$4,991.26	$4,991.26	$4,991.26	$4,991.26
Hla class i high defin qual	$616.50	$616.50	$616.50	$551.25
Hla class i semiquant panel	$645.00	$645.00	$645.00	$697.50
Hla class i/ii antibody qual	$418.50	$418.50	$418.50	$435.00
Hla class ii high defin qual	$525.75	$525.75	$525.75	$471.00
Hla class ii semiquant panel	$573.00	$573.00	$573.00	$620.25
Hla i & ii type verify lr	$315.75	$315.75	$315.75	$342.00
Hla i low res one antigen equiv ea	$152.25	$152.25	$152.25	$837.60
Hla i typing 1 locus hr	$163.50	$163.50	$163.50	$384.00
Hla i typing complete hr	$413.25	$413.25	$413.25	$413.25
Hla i typing complete lr	$451.50	$451.50	$451.50	$1,672.20
Hla i typing high res 1 allele grp ea	$186.75	$186.75	$186.75	$688.80
Hla ii typing 1 loc hr	$1,001.25	$1,001.25	$1,001.25	$1,843.80
Hla ii typing ag equiv lr	$210.00	$210.00	$210.00	$912.00
Hla x-match noncytotoxc addl	$155.25	$155.25	$155.25	$168.00
Hla x-math non-cytotoxic	$397.50	$397.50	$397.50	$429.75
Hocm 250-299mg/ml iodine,1ml	$52.51	$52.51	$52.51	$34.80
Homocysteine	$102.75	$102.75	$102.75	$102.75
Homovanillic acid (hva)	$213.75	$213.75	$213.75	$128.00
Hpa-1 genotyping	$165.00	$165.00	$165.00	$165.00
Hpa-15 genotyping	$165.00	$165.00	$165.00	$165.00
Hpa-2 genotyping	$165.00	$165.00	$165.00	$165.00
Hpa-3 genotyping	$165.00	$165.00	$165.00	$165.00
Hpa-4 genotyping	$165.00	$165.00	$165.00	$165.00
Hpa-5 genotyping	$165.00	$165.00	$165.00	$165.00
Hpa-6 genotyping	$165.00	$165.00	$165.00	$165.00
Hpa-9 genotyping	$165.00	$165.00	$165.00	$165.00
Htt gene detc abnor alleles	$345.75	$345.75	$345.75	$1,271.40
Hyaluronidase 200 units/ml inj	$414.18	$414.18	$414.18	$414.18
Hydralazine 20 mg/ml injection solution	$51.42	$51.42	$51.42	$92.80
Hydration IV infusion each additional hour	$448.50	$448.50	$448.50	$298.20
Hydration IV infusion initial 31minutes - 1 hour	$1,441.50	$1,441.50	$1,441.50	$522.00
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr	$569.91	$569.91	$569.91	$121.20
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)	$72.63	$72.63	$72.63	$12.75
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge	$277.32	$277.32	$277.32	$654.40
Hydroxocobalamin im 10mcg	$83.64	$83.64	$83.64	$83.64
Hydroxyzine hcl 50 mg/ml intramuscular solution	$87.60	$87.60	$87.60	$17.55
Hymovis injection 1 mg	$2,459.97	$2,459.97	$2,459.97	$2,459.97
Hyoscyamine sulfate inj	$308.52	$308.52	$308.52	$308.52
Hysterosalpingography s&i	$915.75	$915.75	$915.75	$1,139.25
Hzv zoster vacc recombinant adjuvanted im inj	$650.11	$650.11	$650.11	$150.00
I&d frarm&/wrst deep absc/hematoma	$3,134.25	$3,134.25	$3,134.25	$3,350.40
I&d lacrimal sac	$2,274.75	$2,274.75	$2,274.75	$3,177.00
I-123 iobenguane diag	$17,222.25	$17,222.25	$17,222.25	$10,866.00
I-123 ioflupane diag	$9,058.88	$9,058.88	$9,058.88	$8,455.20
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour	$370.50	$370.50	$370.50	$285.60
IV infusion therapy/prophylaxis/diagnosis concurrent infusion	$392.25	$392.25	$392.25	$325.20
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour	$370.50	$370.50	$370.50	$344.80
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour	$586.50	$586.50	$586.50	$611.25
Ia infect ag ab qual/semiquant sgl step	$45.00	$45.00	$45.00	$96.00
Iadna legionella pneumophila amplified probe tq	$379.50	$379.50	$379.50	$351.20
Ibandronate 3 mg/3 ml intravenous syringe	$839.85	$839.85	$839.85	$839.85
Ibuprofen injection	$86.20	$86.20	$86.20	$86.20
Ibutilide fumarate 0.1 mg/ml intravenous solution	$1,022.55	$1,022.55	$1,022.55	$1,022.55
Icatibant injection	$3,697.02	$3,697.02	$3,697.02	$3,697.02
Icd cobalt xt dr MRI is1 df1	$48,847.50	$48,847.50	$48,847.50	$48,847.50
Icd crtd cobalt hf MRI is1 df1	$44,003.25	$44,003.25	$44,003.25	$44,003.25
Icd crtp serena MRI	$15,759.00	$15,759.00	$15,759.00	$15,759.00
Icd reliance df4 ib 64cm	$6,463.81	$6,463.81	$6,463.81	$14,973.00
Idarubicin hcl injection	$249.51	$249.51	$249.51	$555.60
Idursulfase injection	$11,942.56	$11,942.56	$11,942.56	$11,942.56
Ifosfamide 1 gram intravenous solution	$294.81	$294.81	$294.81	$294.81
Igh gene rearrange amp meth	$429.00	$429.00	$429.00	$757.20
Igh@ var region somatic mutation analy	$646.50	$646.50	$646.50	$1,392.00
Ihc/icc per specimen each additional single antibody stain	$286.50	$286.50	$286.50	$286.50
Ihc/icc per specimen each multiplex antibody stain	$368.25	$368.25	$368.25	$318.75
Ihc/icc per specimen initial single antibody stain	$192.00	$192.00	$192.00	$312.00
Immobilizer shldr cntor adlt	$134.01	$134.01	$134.01	$198.00
Immobilizer shldr dlx str 24-36in med	$67.77	$67.77	$67.77	$198.00
Immobilizer shldr sling med	$29.14	$29.14	$29.14	$29.14
Immune complex assay	$77.25	$77.25	$77.25	$168.00
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution	$2,613.77	$2,613.77	$2,613.77	$629.40
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution	$3,486.01	$3,486.01	$3,486.01	$1,080.00
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution	$2,778.42	$2,778.42	$2,778.42	$2,778.42
Immunoassay tumor antigen quantitative ca 125	$136.50	$136.50	$136.50	$141.00
Immunoassay tumor antigen quantitative ca 19-9	$166.50	$166.50	$166.50	$159.00
Immunodiff gel qual ea antigen/ab	$137.25	$137.25	$137.25	$123.00
Immunodiffusion nes	$219.00	$219.00	$219.00	$148.80
Immunofixation electrophoresis serum	$307.50	$307.50	$307.50	$231.00
Immunofluorescence per specimen each additional single antibody stain	$473.25	$473.25	$473.25	$108.00
Immunofluorescence per specimen initial single antibody stain	$609.75	$609.75	$609.75	$168.00
Immunoglobulin assay	$295.50	$295.50	$295.50	$144.00
Impl neurostim electr perc	$1,736.25	$1,736.25	$1,736.25	$6,302.40
Implant 11 volt lithium-ion backup battery for controller pocket	$1,518.75	$1,518.75	$1,518.75	$1,518.75
Implant cartilage 10mm synthetic	$101,250.00	$101,250.00	$101,250.00	$18,039.00
Implant cochlear osia osi300	$20,655.00	$20,655.00	$20,655.00	$13,955.40
Implant neuroelectrodes	$1,830.00	$1,830.00	$1,830.00	$3,355.80
Implant neuroelectrodes	$10,672.50	$10,672.50	$10,672.50	$10,672.50
Implant power module patient cable cable 14 volt	$2,812.50	$2,812.50	$2,812.50	$2,812.50
Implant pulse generator remede el	$57,375.00	$57,375.00	$57,375.00	$57,375.00
Implant ureth bulk agent	$2,587.50	$2,587.50	$2,587.50	$1,617.00
Implnt spinl canal catheter 62350	$7,425.75	$7,425.75	$7,425.75	$7,722.75
In situ hybridization per specimen each additional single probe stain	$418.50	$418.50	$418.50	$418.50
In situ hybridization per specimen initial single probe stain	$303.75	$303.75	$303.75	$303.75
In-111 oxyquinolin per 0.5 mci	$2,808.00	$2,808.00	$2,808.00	$2,808.00
In-111 pentetate dtpa / 0.5 mci	$2,156.25	$2,156.25	$2,156.25	$1,273.80
In-111 pentetreotide	$47,542.46	$47,542.46	$47,542.46	$11,244.60
Incise/drain eyelid lining	$1,020.75	$1,020.75	$1,020.75	$1,104.00
Incision & drainage hematoma/seroma/fluid collection	$3,438.00	$3,438.00	$3,438.00	$2,080.80
Incision of breast lesion	$1,461.75	$1,461.75	$1,461.75	$3,825.00
Incision of hip tendons	$3,006.75	$3,006.75	$3,006.75	$3,126.75
Incisn of toe tndn	$2,176.50	$2,176.50	$2,176.50	$1,815.00
Incobotulinumtoxin a	$1,889.43	$1,889.43	$1,889.43	$1,317.00
Indigotindisulfonate 8 mg/ml soln 5 ml ampule	$586.73	$586.73	$586.73	$24.00
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)	$215.25	$215.25	$215.25	$234.75
Infect ag drug suscept pheno predict	$485.25	$485.25	$485.25	$724.80
Infect ag genotype na cytomegalovirus	$2,392.50	$2,392.50	$2,392.50	$1,484.40
Infect ag genotype na hiv-1 other region	$279.00	$279.00	$279.00	$1,143.60
Infect ag genotype na hiv-1 revr trn/prt	$558.00	$558.00	$558.00	$1,431.00
Infect ag ia optc obs influenza	$102.00	$102.00	$102.00	$102.00
Infect ag if hep delta agent	$201.00	$201.00	$201.00	$199.20
Infect ag if legionella pneumophila	$91.50	$91.50	$91.50	$85.50
Infect ag na herpes simplex quant	$375.00	$375.00	$375.00	$385.80
Infect ag na hpv high-risk types	$314.25	$314.25	$314.25	$282.00
Infect ag na influenza r/amp 1st 2 types	$179.25	$179.25	$179.25	$532.80
Infect ag na orthopoxvirus amp prb each	$166.50	$166.50	$166.50	$180.00
Infect ag na resp virus 12-25 targets	$1,386.00	$1,386.00	$1,386.00	$1,414.50
Infect ag phenotype na hiv-1 1-10 drugs	$108.00	$108.00	$108.00	$108.00
Infect ag phenotype na hiv-1 ea addl drg	$1,288.50	$1,288.50	$1,288.50	$1,288.50
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin	$117.00	$117.00	$117.00	$117.00
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans	$58.50	$58.50	$58.50	$58.50
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium	$84.75	$84.75	$84.75	$96.00
Infectious agent antigen immunoassay ql/sq multi step giardia	$98.25	$98.25	$98.25	$111.60
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn	$66.00	$66.00	$66.00	$114.60
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies	$87.00	$87.00	$87.00	$168.60
Infectious agent antigen immunoassay ql/sq multi step legionella urine	$388.50	$388.50	$388.50	$303.00
Infectious agent antigen immunoassay ql/sq multi step rotavirus	$160.50	$160.50	$160.50	$130.50
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance	$357.75	$357.75	$357.75	$334.20
Infectious agent nucleic acid amplified probe	$722.25	$722.25	$722.25	$355.80
Infectious agent nucleic acid amplified probe chlamydia trachomatis	$174.00	$174.00	$174.00	$257.40
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)	$156.75	$156.75	$156.75	$286.80
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets	$933.00	$933.00	$933.00	$933.00
Infectious agent nucleic acid amplified probe hsv-1	$353.25	$353.25	$353.25	$306.75
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus	$119.25	$119.25	$119.25	$398.40
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis	$620.25	$620.25	$620.25	$307.20
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae	$174.00	$174.00	$174.00	$257.40
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19	$141.00	$141.00	$141.00	$75.00
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b	$276.75	$276.75	$276.75	$276.75
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv	$276.75	$276.75	$276.75	$210.00
Infectious agent nucleic acid amplified probe streptococcus group a	$97.50	$97.50	$97.50	$194.40
Infectious agent nucleic acid amplified probe trichomonas vaginalis	$112.50	$112.50	$112.50	$213.00
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets	$946.50	$946.50	$946.50	$529.60
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets	$420.00	$420.00	$420.00	$420.00
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets	$327.00	$327.00	$327.00	$742.20
Infectious agent nucleic acid quantification bk virus	$1,682.25	$1,682.25	$1,682.25	$517.80
Infectious agent nucleic acid quantification hepatitis b	$345.75	$345.75	$345.75	$443.40
Infectious agent nucleic acid quantification hepatitis c	$1,197.75	$1,197.75	$1,197.75	$778.80
Infectious agent nucleic acid quantification hiv-1	$783.00	$783.00	$783.00	$754.20
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets	$248.25	$248.25	$248.25	$615.60
Infliximab 100 mg intravenous solution	$1,702.78	$1,702.78	$1,702.78	$700.20
Infliximab-dyyb 100 mg intravenous solution	$1,713.99	$1,713.99	$1,713.99	$1,432.80
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis	$311.25	$311.25	$311.25	$386.25
Initiation & management bipap/cpap initial day	$512.25	$512.25	$512.25	$510.00
Inj allopurinol sodium 1 mg	$5,937.23	$5,937.23	$5,937.23	$5,937.23
Inj anifrolumab-fnia 1mg	$20,116.77	$20,116.77	$20,116.77	$11,192.40
Inj bimatoprost itc imp1mcg	$7,487.44	$7,487.44	$7,487.44	$7,487.44
Inj calcitriol per 0.1 mcg	$22.16	$22.16	$22.16	$25.20
Inj ceftolozane tazobactam	$597.69	$597.69	$597.69	$286.20
Inj cntr knee arthro incl ct/mri	$314.25	$314.25	$314.25	$459.75
Inj disk cerv-thor ea lev	$2,577.00	$2,577.00	$2,577.00	$2,577.00
Inj dupuytren cord w/enzyme	$373.50	$373.50	$373.50	$373.50
Inj dx for sinogram	$1,007.25	$1,007.25	$1,007.25	$1,089.00
Inj epidural sgl cerv-thor without img	$1,436.25	$1,436.25	$1,436.25	$1,656.60
Inj epidural sgl lumb-sacral without img	$1,249.50	$1,249.50	$1,249.50	$1,524.80
Inj for ext venography	$1,326.00	$1,326.00	$1,326.00	$602.40
Inj for mammo ductogram	$433.50	$433.50	$433.50	$306.60
Inj givosiran 0.5 mg	$162,298.07	$162,298.07	$162,298.07	$119,349.60
Inj human fibrinogen con nos	$4,326.08	$4,326.08	$4,326.08	$4,326.08
Inj imip 4 cilas 4 releb 2mg	$1,083.72	$1,083.72	$1,083.72	$7.35
Inj ivig privigen 500 mg	$4,194.45	$4,194.45	$4,194.45	$4,345.80
Inj levocarnitine per 1 gm	$122.28	$122.28	$122.28	$205.60
Inj lwr xtr fscl pln blk uni w/wo image	$1,471.50	$1,471.50	$1,471.50	$108.00
Inj melpha hydroch nos 50 mg	$1,713.99	$1,713.99	$1,713.99	$1,713.99
Inj mepivacaine hcl/10 ml	$28.41	$28.41	$28.41	$28.41
Inj mogamulizumab-kpkc, 1 mg	$17,682.90	$17,682.90	$17,682.90	$691.20
Inj multihance	$166.47	$166.47	$166.47	$126.60
Inj nephrosto/ureterogram w/img exstng access	$303.75	$303.75	$303.75	$1,266.00
Inj non-compmd foam sclrsnt mlt trncl veins same leg	$1,976.25	$1,976.25	$1,976.25	$1,976.25
Inj ogivri 10 mg	$8,661.59	$8,661.59	$8,661.59	$1,344.00
Inj pegfilgrastim-bmez 0.5mg	$12,400.57	$12,400.57	$12,400.57	$3,925.20
Inj proc ankle arthr	$150.75	$150.75	$150.75	$685.80
Inj proc elbow arthro	$145.50	$145.50	$145.50	$461.40
Inj proc lumbr disk ea lvl	$2,577.00	$2,577.00	$2,577.00	$3,214.20
Inj proc myelogram lumbar	$1,036.50	$1,036.50	$1,036.50	$1,300.50
Inj progesterone per 50 mg	$123.09	$123.09	$123.09	$12.60
Inj retro urethrocysto	$391.50	$391.50	$391.50	$2,981.40
Inj scleros sol mult veins	$200.25	$200.25	$200.25	$1,108.20
Inj scleros sol sgl vein	$650.25	$650.25	$650.25	$1,108.20
Inj secretin synthetic human	$2,444.05	$2,444.05	$2,444.05	$630.00
Inj sulf hexa lipid microsph	$336.56	$336.56	$336.56	$336.56
Inj testosterone cypionate	$473.66	$473.66	$473.66	$72.60
Inj thiotepa nos 1 mg	$8,689.13	$8,689.13	$8,689.13	$450.00
Inj thrc fascial pln blk bi w/wo image	$2,207.25	$2,207.25	$2,207.25	$135.00
Inj thrc fascial pln blk uni w/wo image	$1,471.50	$1,471.50	$1,471.50	$120.00
Inj w/fluor eval cv device	$954.00	$954.00	$954.00	$711.00
Inj(s) sclerosant spider veins limb/trunk	$389.25	$389.25	$389.25	$389.25
Inj, abilify maintena, 1 mg	$9,281.66	$9,281.66	$9,281.66	$7,107.60
Inj, artesunate, 1mg	$39,774.01	$39,774.01	$39,774.01	$39,774.01
Inj, bupivacaine liposome	$1,326.75	$1,326.75	$1,326.75	$7.20
Inj, cefiderocol, 10 mg	$846.06	$846.06	$846.06	$596.40
Inj, durolane 1 mg	$4,122.72	$4,122.72	$4,122.72	$106.40
Inj, factor x, (human), 1iu	$33.28	$33.28	$33.28	$33.28
Inj, fulvestrant (fresenius)	$1,713.99	$1,713.99	$1,713.99	$1,713.99
Inj, levothyroxine, freskabi	$244.63	$244.63	$244.63	$244.63
Inj, rimabotulinumtoxinb	$2,348.22	$2,348.22	$2,348.22	$2,348.22
Inj. herceptin hylecta, 10mg	$17,286.71	$17,286.71	$17,286.71	$561.00
Inj. inebilizumab-cdon, 1 mg	$172,856.28	$172,856.28	$172,856.28	$871.80
Inj. mycophenolate mofetil	$387.27	$387.27	$387.27	$387.27
Inj. naxitamab-gqgk, 1 mg	$96,378.67	$96,378.67	$96,378.67	$96,378.67
Inj. tagraxofusp-erzs 10 mcg	$124,816.51	$124,816.51	$124,816.51	$560.40
Inj. teprotumumab-trbw 10 mg	$66,625.08	$66,625.08	$66,625.08	$38,425.20
Inj., benralizumab, 1 mg	$19,707.27	$19,707.27	$19,707.27	$5,853.00
Inj., emicizumab-kxwh 0.5 mg	$58,842.17	$58,842.17	$58,842.17	$58,842.17
Inj., meropenem, vaborbactam	$759.87	$759.87	$759.87	$991.20
Inj., patisiran, 0.1 mg	$36,180.04	$36,180.04	$36,180.04	$36,180.04
Inj/inf neurolyt sbst spinal canal lesion 62282	$2,064.75	$2,064.75	$2,064.75	$2,231.25
Inject sacroiliac joint	$336.00	$336.00	$336.00	$492.00
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)	$627.75	$627.75	$627.75	$678.75
Injection arthrography hip without anesthesia (both sides)	$450.75	$450.75	$450.75	$780.60
Injection carpal tunnel therapeutic (both sides)	$789.00	$789.00	$789.00	$741.00
Injection epidural blood patch or clot	$1,499.25	$1,499.25	$1,499.25	$1,470.60
Injection eye drug	$322.50	$322.50	$322.50	$387.00
Injection for arthrography wrist (both sides)	$376.50	$376.50	$376.50	$666.60
Injection for bladder x-ray	$391.50	$391.50	$391.50	$1,726.80
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)	$369.00	$369.00	$369.00	$771.60
Injection for ureter x-ray	$783.00	$783.00	$783.00	$783.00
Injection glatiramer acetate	$1,749.29	$1,749.29	$1,749.29	$1,207.20
Injection jugular	$1,423.50	$1,423.50	$1,423.50	$1,539.75
Injection px peyronie ds	$239.25	$239.25	$239.25	$239.25
Injection radioactive tracer sentinel node (both sides)	$539.25	$539.25	$539.25	$614.40
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug	$1,031.25	$1,031.25	$1,031.25	$292.80
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug	$489.00	$489.00	$489.00	$203.40
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug	$465.00	$465.00	$465.00	$168.80
Injection therapeutic/prophylactic/diagnostic subcutaneous/im	$141.00	$141.00	$141.00	$141.00
Injection treatment of nerve	$1,794.00	$1,794.00	$1,794.00	$1,866.00
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left	$2,027.25	$2,027.25	$2,027.25	$1,021.50
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)	$911.25	$911.25	$911.25	$911.25
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)	$1,671.75	$1,671.75	$1,671.75	$1,671.75
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level	$1,260.00	$1,260.00	$1,260.00	$1,320.00
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level	$1,666.50	$1,666.50	$1,666.50	$1,777.50
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance	$1,285.50	$1,285.50	$1,285.50	$1,334.25
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level	$1,713.00	$1,713.00	$1,713.00	$1,713.00
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance	$1,871.25	$1,871.25	$1,871.25	$2,164.80
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance	$1,871.25	$1,871.25	$1,871.25	$2,047.80
Injection(s) tendon sheath/ligament aponeurosis single (both sides)	$235.50	$235.50	$235.50	$616.20
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)	$1,125.00	$1,125.00	$1,125.00	$595.80
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)	$546.00	$546.00	$546.00	$654.00
Injection, belinostat, 10mg	$9,355.72	$9,355.72	$9,355.72	$9,355.72
Injection, cangrelor	$3,425.21	$3,425.21	$3,425.21	$2,314.80
Injection, doxercalciferol	$23.86	$23.86	$23.86	$95.20
Injection, fulvestrant	$3,584.82	$3,584.82	$3,584.82	$3,584.82
Injection, isavuconazonium	$1,350.22	$1,350.22	$1,350.22	$1,350.22
Injection, peramivir	$1,257.68	$1,257.68	$1,257.68	$7.40
Injection, renflexis	$2,582.56	$2,582.56	$2,582.56	$1,624.80
Injection, siltuximab	$23,535.37	$23,535.37	$23,535.37	$3,603.00
Injection,onabotulinumtoxina	$4,814.15	$4,814.15	$4,814.15	$2,876.40
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln	$88,429.23	$88,429.23	$88,429.23	$8,027.40
Ins cath ren art 1st uni	$4,692.00	$4,692.00	$4,692.00	$5,074.50
Ins lv lead exist pm/icd	$8,825.25	$8,825.25	$8,825.25	$8,825.25
Ins mark abd/pel for right perq	$2,372.25	$2,372.25	$2,372.25	$2,523.00
Ins mark thor for right perq	$1,326.00	$1,326.00	$1,326.00	$1,326.00
Ins picc wo subq prt/pmp w image guidnc <5yr	$700.50	$700.50	$700.50	$728.25
Ins pq tunnld ip cath w/img	$4,041.00	$4,041.00	$4,041.00	$8,416.80
Ins tun cv cath wo subq prt/pm	$4,314.75	$4,314.75	$4,314.75	$3,582.00
Ins tun intraperit dia cath	$4,707.75	$4,707.75	$4,707.75	$4,187.40
Ins/rpl prph sac/gstr npg/r	$20,321.25	$20,321.25	$20,321.25	$21,134.25
Ins/rplc spi npg/rcvr pocket	$28,845.75	$28,845.75	$28,845.75	$28,845.75
Insert cath pleura with image	$1,703.25	$1,703.25	$1,703.25	$2,320.80
Insert cath pleura without image	$1,379.25	$1,379.25	$1,379.25	$2,019.00
Insert hepatic shunt (tips)	$9,741.00	$9,741.00	$9,741.00	$9,741.00
Insert intrauterine device iud	$669.00	$669.00	$669.00	$513.00
Insert swan-ganz cath	$2,823.00	$2,823.00	$2,823.00	$2,472.00
Insertion catheter bladder non indwelling	$364.50	$364.50	$364.50	$309.00
Insertion catheter bladder temporary simple	$270.00	$270.00	$270.00	$495.00
Insertion catheter pleural indwelling tunneled with cuff	$4,697.25	$4,697.25	$4,697.25	$6,840.00
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance	$8,907.00	$8,907.00	$8,907.00	$6,646.50
Insertion nontunneled centrally inserted central venous catheter >= 5 years old	$1,923.00	$1,923.00	$1,923.00	$2,618.40
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years	$2,103.75	$2,103.75	$2,103.75	$2,472.00
Insertion picc without port or pump with imaging guidance=>5y	$735.00	$735.00	$735.00	$1,532.00
Insertion subcutaneous cardiac rhythm monitor	$6,506.25	$6,506.25	$6,506.25	$7,037.25
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)	$5,133.00	$5,133.00	$5,133.00	$4,450.80
Insertion/replacement temporary single chamber electrode/pacemaker catheter	$5,737.50	$5,737.50	$5,737.50	$6,820.50
Insitu hybridization (fish)	$872.25	$872.25	$872.25	$872.25
Insitu hybridization manual	$531.75	$531.75	$531.75	$585.75
Insj stablj dev without dcmprn	$12,226.50	$12,226.50	$12,226.50	$12,715.50
Insole orthotic freedom sz6 6816	$35.25	$35.25	$35.25	$38.25
Inst fibrinolysis agent sbsq d	$1,025.25	$1,025.25	$1,025.25	$1,025.25
Inst via cath agent pleurds	$2,421.00	$2,421.00	$2,421.00	$2,146.80
Instillation anticarcinogenic agent bladder	$897.00	$897.00	$897.00	$897.00
Insulin total	$132.00	$132.00	$132.00	$114.60
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm	$9,970.16	$9,970.16	$9,970.16	$9,970.16
Integra meshed bil wound mat	$35,280.97	$35,280.97	$35,280.97	$35,280.97
Integra os putty 2.5cc - cost per 0.5cc	$6,018.75	$6,018.75	$6,018.75	$6,018.75
Interdental fixation	$1,443.75	$1,443.75	$1,443.75	$1,733.25
Interdiscal perq aspir dx	$685.50	$685.50	$685.50	$1,753.80
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)	$29,609.96	$29,609.96	$29,609.96	$4,959.00
Interrog dev eval icpms ip	$103.50	$103.50	$103.50	$112.50
Interrog without prgrmg ipnss	$90.00	$90.00	$90.00	$90.00
Interrog&prgrmg ipnss	$90.00	$90.00	$90.00	$90.00
Intracranial complete study	$1,002.75	$1,002.75	$1,002.75	$1,169.40
Intracranial limited study	$732.75	$732.75	$732.75	$732.75
Intrapul surf admin endo tube	$237.00	$237.00	$237.00	$73.60
Intrinsic factor antibody	$189.00	$189.00	$189.00	$150.00
Intro cath dialysis circuit	$1,519.50	$1,519.50	$1,519.50	$3,121.20
Intro cath dialysis circuit w/pta	$7,787.25	$7,787.25	$7,787.25	$7,787.25
Intro cath svc/ivc	$1,795.50	$1,795.50	$1,795.50	$2,478.60
Intro catheter aorta	$2,806.50	$2,806.50	$2,806.50	$2,623.50
Intrvasc Ultrasound noncoronary 1st vessel	$3,246.00	$3,246.00	$3,246.00	$3,510.75
Intrvasc Ultrasound noncoronary addl vessel	$904.50	$904.50	$904.50	$3,632.40
Intubation endotracheal emergency procedure	$702.00	$702.00	$702.00	$868.80
Iopamidol 250 mg iodine/ml (51 %) intravenous solution	$199.60	$199.60	$199.60	$173.40
Iopamidol 300 mg iodine/ml (61 %) intravenous solution	$244.04	$244.04	$244.04	$61.20
Ipilimumab 5 mg/ml intravenous solution (wrapper)	$133,919.31	$133,919.31	$133,919.31	$495.00
Ipratropium bromide non-comp	$2.43	$2.43	$2.43	$7.20
Irinotecan 20 mg/ml intravenous solution (wrapper)	$378.32	$378.32	$378.32	$1,091.20
Irinotecan liposomal 4.3 mg/ml intravenous	$11,014.86	$11,014.86	$11,014.86	$210.60
Iron	$396.00	$396.00	$396.00	$80.40
Iron binding capacity	$128.25	$128.25	$128.25	$100.80
Iron dextran 50 mg/ml injection solution	$140.34	$140.34	$140.34	$99.00
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)	$133.11	$133.11	$133.11	$315.00
Irradiation of blood product each unit reference	$135.00	$135.00	$135.00	$135.00
Irrigation implantable venous access device for drug delivery systems	$137.25	$137.25	$137.25	$147.60
Isatuximab-irfc 20 mg/ml intravenous solution	$15,760.97	$15,760.97	$15,760.97	$156.60
Ivc venogram s&i	$3,258.00	$3,258.00	$3,258.00	$3,258.00
Ixabepilone 15 mg intravenous solution	$22,346.52	$22,346.52	$22,346.52	$680.40
Jejunstmy tube plcmt	$2,661.00	$2,661.00	$2,661.00	$3,895.50
Ketamine and metabolite screen - quest	$136.50	$136.50	$136.50	$136.50
Ketone body(s) beta-hydroxybutyrate quantitative	$264.00	$264.00	$264.00	$174.60
Ketorolac 15 mg/ml injection (wrapper)	$17.11	$17.11	$17.11	$24.60
Kidney (Retroperitoneal) Ultrasound (complete)	$729.00	$729.00	$729.00	$683.50
Kidney function study	$1,131.00	$1,131.00	$1,131.00	$1,133.25
Kidney imaging morphology	$1,176.75	$1,176.75	$1,176.75	$1,238.25
Kidney img w/bldflw sgl without rx	$1,392.00	$1,392.00	$1,392.00	$1,552.20
Kit case 4.2mm spinejack	$9,652.39	$9,652.39	$9,652.39	$9,652.39
Kit cath ivl 2.5x40mm 135cm shockwave s4	$10,575.00	$10,575.00	$10,575.00	$10,575.00
Kit gene analys d816 variant	$248.25	$248.25	$248.25	$1,111.20
Kit hfx iq ipg bundle	$58,500.00	$58,500.00	$58,500.00	$56,811.60
Kit ipg optimizer smart	$51,750.00	$51,750.00	$51,750.00	$51,750.00
Kit lead specify 5-6-5	$73,912.50	$73,912.50	$73,912.50	$13,784.80
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set	$801.57	$801.57	$801.57	$1,650.60
Kit tissue closure sealant adhesive air leak progel 4 ml pleura	$2,836.08	$2,836.08	$2,836.08	$2,836.08
Knee MRI (with and without contrast)	$2,292.00	$2,292.00	$2,292.00	$3,008.26
Knee MRI (with contrast)	$1,987.50	$1,987.50	$1,987.50	$2,394.58
Knee MRI (without contrast)	$2,292.00	$2,292.00	$2,292.00	$2,209.22
Knee X-ray	$467.25	$467.25	$467.25	$387.20
Kyleena, 19.5 mg	$4,491.10	$4,491.10	$4,491.10	$2,489.60
Labetalol 5 mg/ml IV (wrapper)	$22.19	$22.19	$22.19	$7.80
Lacosamide 200 mg/20 ml intravenous solution	$237.75	$237.75	$237.75	$237.75
Lactate dehydrogenase (ldh)	$60.75	$60.75	$60.75	$52.50
Lactated ringers intravenous solution	$22.19	$22.19	$22.19	$32.40
Lactic acid	$99.75	$99.75	$99.75	$121.80
Lactoferrin fecal qualitative	$52.50	$52.50	$52.50	$127.20
Lanreotide 120 mg/0.5 ml subcutaneous syringe	$35,355.50	$35,355.50	$35,355.50	$33,573.60
Lanthanum carbonate oral 5mg	$2,066.54	$2,066.54	$2,066.54	$2,066.54
Laparoscopye procstom 43659	$5,688.75	$5,688.75	$5,688.75	$5,688.75
Laronidase injection	$4,116.73	$4,116.73	$4,116.73	$4,116.73
Laryngeal function studies	$333.00	$333.00	$333.00	$359.25
Laryngoscope w/vc inj	$3,593.25	$3,593.25	$3,593.25	$3,737.25
Laryngoscopy telescopic	$907.50	$907.50	$907.50	$907.50
Laryngoscopy w/fb removal	$1,681.50	$1,681.50	$1,681.50	$1,681.50
Laryngoscopy w/w/o tracheoscopy aspiration	$455.25	$455.25	$455.25	$473.25
Lead acuity x4 spiral l 86cm	$4,863.24	$4,863.24	$4,863.24	$4,863.24
Lead capillary	$93.00	$93.00	$93.00	$93.00
Lead ingevity 45cm pfret MRI	$7,616.25	$7,616.25	$7,616.25	$4,174.20
Lead tachy durata sj4 58cm	$13,488.75	$13,488.75	$13,488.75	$13,488.75
Leg Vein Ultrasound (DVT study, both legs)	$957.00	$957.00	$957.00	$1,090.23
Leishmania antibody	$182.25	$182.25	$182.25	$182.25
Lens iol 23.0 d 1.5 cyl eyhance toric	$2,238.75	$2,238.75	$2,238.75	$609.00
Lens iol ant bicnvx 24.0 multi	$1,136.25	$1,136.25	$1,136.25	$1,429.20
Lens iol ant chamb 10.5	$191.25	$191.25	$191.25	$322.20
Leucovorin calcium 100 mg solution for injection (1 mg rounding)	$83.13	$83.13	$83.13	$83.13
Leuprolide 3.75 mg intramuscular syringe kit	$42,325.47	$42,325.47	$42,325.47	$4,568.40
Leuprolide 30 mg (4 month) intramuscular syringe kit	$30,791.46	$30,791.46	$30,791.46	$6,209.40
Levalbuterol non-comp unit	$5.40	$5.40	$5.40	$5.40
Levetiracetam 500 mg/5 ml intravenous solution	$97.62	$97.62	$97.62	$276.00
Levetiracetam therapeutic drug level	$184.50	$184.50	$184.50	$184.50
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback	$47.70	$47.70	$47.70	$47.70
Levothyroxine 100 mcg intravenous powder for solution	$652.50	$652.50	$652.50	$24.00
Liberta rc ipg	$63,376.43	$63,376.43	$63,376.43	$52,306.80
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution	$25.89	$25.89	$25.89	$0.20
Lidocaine therapeutic drug level	$82.50	$82.50	$82.50	$142.20
Liletta, 52 mg	$3,445.08	$3,445.08	$3,445.08	$3,445.08
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback	$119.81	$119.81	$119.81	$253.60
Lipase	$177.75	$177.75	$177.75	$139.80
Lipoprotein blood quant	$225.75	$225.75	$225.75	$280.20
Lipoprotein direct measurement hdl	$119.25	$119.25	$119.25	$63.75
Lipoprotein direct measurement ldl	$134.25	$134.25	$134.25	$104.25
Lithium therapeutic drug level	$84.00	$84.00	$84.00	$84.00
Liver Function Test	$187.50	$187.50	$187.50	$93.60
Liver ds alys 3 bmrk srm alg	$780.75	$780.75	$780.75	$944.40
Liver imaging	$1,241.25	$1,241.25	$1,241.25	$1,241.25
Liver/spleen imag static only	$895.50	$895.50	$895.50	$1,308.60
Loncastuximab tesirine-lpyl 10 mg intravenous solution	$104,719.60	$104,719.60	$104,719.60	$15,780.00
Lorazepam 2 mg/ml injection (wrapper)	$49.14	$49.14	$49.14	$49.14
Lower Back (Lumbar Spine) CT scan (with and without contrast)	$2,060.25	$2,060.25	$2,060.25	$1,909.80
Lower Back (Lumbar Spine) CT scan (with contrast)	$1,894.50	$1,894.50	$1,894.50	$1,850.88
Lower Back (Lumbar Spine) CT scan (without contrast)	$1,668.75	$1,668.75	$1,668.75	$1,517.10
Lower Back (Lumbar Spine) MRI (with and without contrast)	$2,259.00	$2,259.00	$2,259.00	$2,750.00
Lower Back (Lumbar Spine) MRI (with contrast)	$2,661.75	$2,661.75	$2,661.75	$2,415.68
Lower Back (Lumbar Spine) MRI (without contrast)	$1,977.00	$1,977.00	$1,977.00	$2,013.08
Lower Back (Lumbar Spine) X-ray	$390.00	$390.00	$390.00	$341.64
Lumbar diskogram s&i	$2,690.25	$2,690.25	$2,690.25	$2,409.75
Lumizyme injection	$3,672.96	$3,672.96	$3,672.96	$3,672.96
Lung Function Test (Spirometry)	$195.00	$195.00	$195.00	$296.91
Lung function test (mbc/mvv)	$152.25	$152.25	$152.25	$109.80
Lung perfusion imaging	$1,590.75	$1,590.75	$1,590.75	$1,087.20
Lurbinectedin 4 mg intravenous solution	$30,504.38	$30,504.38	$30,504.38	$380.40
Luspatercept-aamt 25 mg subcutaneous solution	$45,624.83	$45,624.83	$45,624.83	$87.60
Lvad shower bag heartmate	$1,059.75	$1,059.75	$1,059.75	$1,059.75
Lymph vessel x-ray trunk	$1,464.75	$1,464.75	$1,464.75	$1,597.20
Lymphatics/lymph node imaging	$1,681.50	$1,681.50	$1,681.50	$1,417.60
Lymphocyte transformation mitogen	$794.25	$794.25	$794.25	$537.60
M.avium-intra dna amp prob	$489.75	$489.75	$489.75	$471.60
M/phmtrc alys ishquant/semiq	$418.50	$418.50	$418.50	$435.00
MRA abdomen post contrast	$2,429.25	$2,429.25	$2,429.25	$2,429.25
MRA aorta thoracic w/wo contrast	$2,295.00	$2,295.00	$2,295.00	$2,121.75
MRA ext low(run-off)pst cntrst	$2,526.75	$2,526.75	$2,526.75	$2,526.75
MRA pelvis	$2,429.25	$2,429.25	$2,429.25	$2,229.00
MRA spinal canal	$1,496.25	$1,496.25	$1,496.25	$1,496.25
MRA upper extremity post contrast-bil	$2,003.25	$2,003.25	$2,003.25	$1,929.00
MRI brain without & w/dye	$2,185.50	$2,185.50	$2,185.50	$2,608.50
MRI breast c-+ w/cad uni	$351.00	$351.00	$351.00	$351.00
MRI breast w IV cont bi	$351.00	$351.00	$351.00	$351.00
MRI cardiac morph & func wo IV cont	$2,697.00	$2,697.00	$2,697.00	$2,562.00
MRI cardiac morph & func wwo IV cont	$3,339.00	$3,339.00	$3,339.00	$3,051.00
MRI cardiac morph & func wwo IV cont w/stress img	$4,399.50	$4,399.50	$4,399.50	$4,758.75
MRI chest w IV cont	$2,294.25	$2,294.25	$2,294.25	$3,051.00
MRI chest without & w/contrast	$3,137.25	$3,137.25	$3,137.25	$3,985.80
MRI chest without contrast	$2,279.25	$2,279.25	$2,279.25	$2,514.00
MRI guid ndl plc s&i	$1,344.00	$1,344.00	$1,344.00	$1,431.00
MRI loex nonjt w IV cont	$1,987.50	$1,987.50	$1,987.50	$3,051.00
MRI lower extremity other than joint without & w/contrast (both sides)	$2,292.00	$2,292.00	$2,292.00	$4,010.40
MRI lower extremity other than joint without contrast (both sides)	$1,854.75	$1,854.75	$1,854.75	$2,514.00
MRI orbit fac&nck w IV cont	$2,421.00	$2,421.00	$2,421.00	$2,910.60
MRI orbit/face/neck without & w/contrast	$2,472.00	$2,472.00	$2,472.00	$3,804.00
MRI orbit/face/neck without contrast	$1,806.75	$1,806.75	$1,806.75	$2,398.20
MRI tmj	$2,332.50	$2,332.50	$2,332.50	$2,514.00
MRI upper extremity other than joint without & w/contrast (both sides)	$2,832.00	$2,832.00	$2,832.00	$4,010.40
MRI upper extremity other than joint without contrast (both sides)	$2,005.50	$2,005.50	$2,005.50	$2,514.00
MRI upper extremity w/dye	$2,463.00	$2,463.00	$2,463.00	$3,126.75
Magnesium	$88.50	$88.50	$88.50	$88.50
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback	$23.30	$23.30	$23.30	$74.40
Manipulat palm cord post inj	$492.75	$492.75	$492.75	$532.50
Manipulation chest wall demonstration/evaluation subsequent	$137.25	$137.25	$137.25	$193.20
Manipulation chest wall initial demonstration/evaluation	$192.75	$192.75	$192.75	$237.60
Margetuximab-cmkb 25 mg/ml intravenous solution	$9,885.94	$9,885.94	$9,885.94	$138.00
Marker biop eviva buckle ss	$819.00	$819.00	$819.00	$819.00
Mastoids complete	$465.75	$465.75	$465.75	$456.60
Mayo aathr protein s free	$263.25	$263.25	$263.25	$159.60
Mayo activated protein c resistance assay	$196.50	$196.50	$196.50	$170.25
Mayo adalimumab (humira) therapeutic drug level	$1,517.25	$1,517.25	$1,517.25	$205.80
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation	$72.00	$72.00	$72.00	$70.50
Mayo alcohol definitive assay volatile screen	$639.75	$639.75	$639.75	$440.40
Mayo alkaline phosphatase isoenzyme	$258.00	$258.00	$258.00	$154.80
Mayo alkaloids definitive assay nicotine/cotinine	$270.75	$270.75	$270.75	$270.75
Mayo alpha 1 antitrypsin	$368.25	$368.25	$368.25	$205.80
Mayo amikacin trough therapeutic drug level	$230.25	$230.25	$230.25	$153.00
Mayo amphu amphetamines definitive assay 3 or 4 urine	$96.75	$96.75	$96.75	$94.50
Mayo amphu methylenedioxyamphetamines definitive assay urine	$96.75	$96.75	$96.75	$89.25
Mayo analysis gene jak2 p.val617phe variant	$178.50	$178.50	$178.50	$1,608.60
Mayo analysis gene smn1 dosage/deletion	$312.00	$312.00	$312.00	$1,135.80
Mayo analysis microarray cytogenomic copy number/snp variants	$1,528.50	$1,528.50	$1,528.50	$11,640.60
Mayo androstenedione	$235.50	$235.50	$235.50	$195.75
Mayo angiotensin 1 converting enzyme (ace) csf	$56.25	$56.25	$56.25	$85.20
Mayo antithrombin iii antigen	$110.25	$110.25	$110.25	$108.60
Mayo aspergillus fumigatus antibody	$80.25	$80.25	$80.25	$111.60
Mayo avwpr vw factor activity	$911.25	$911.25	$911.25	$322.80
Mayo babpb infectious agent nucleic acid amplified probe babesia microti	$105.00	$105.00	$105.00	$290.40
Mayo barbiturates definitive assay confirmation urine	$573.00	$573.00	$573.00	$450.00
Mayo bart bartonella henselae antibody igg	$120.75	$120.75	$120.75	$100.20
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative	$255.75	$255.75	$255.75	$837.60
Mayo blastomyces antibody immunodiffusion	$300.75	$300.75	$300.75	$189.75
Mayo bnzu sedative hypnotics definitive urine	$118.50	$118.50	$118.50	$118.50
Mayo bordetella pertussis antibody igg	$170.25	$170.25	$170.25	$100.80
Mayo brcmg brucella antibody igm	$337.50	$337.50	$337.50	$118.80
Mayo c1 esterase inhibitor	$210.75	$210.75	$210.75	$133.20
Mayo cannabinoids natural definitive assay thc confirmation urine	$387.75	$387.75	$387.75	$300.00
Mayo carnitine total and free quantitative each specimen plasma	$141.00	$141.00	$141.00	$166.20
Mayo cd20b mononuclear cell antigen nos quantitative each	$714.75	$714.75	$714.75	$351.00
Mayo cdcom hla class ii typing low resolution one locus each	$320.25	$320.25	$320.25	$706.80
Mayo ceruloplasmin	$104.25	$104.25	$104.25	$97.80
Mayo chemiluminescent parathyroid related peptide	$377.25	$377.25	$377.25	$294.60
Mayo chikv chikungunya antibodies igg	$406.50	$406.50	$406.50	$360.60
Mayo chlap chlamydia pneumoniae antibody igg	$148.50	$148.50	$148.50	$128.25
Mayo chlap chlamydia pneumoniae antibody igm	$106.50	$106.50	$106.50	$89.40
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte	$585.00	$585.00	$585.00	$833.40
Mayo chromium	$165.75	$165.75	$165.75	$129.75
Mayo cocaine definitive assay confirmation urine	$387.75	$387.75	$387.75	$267.00
Mayo coccidioides antibody	$143.25	$143.25	$143.25	$131.40
Mayo cocou cortisone urine	$1,213.50	$1,213.50	$1,213.50	$305.40
Mayo cortisol free	$230.25	$230.25	$230.25	$133.20
Mayo covid-19 antibody nucleocapsid total	$122.25	$122.25	$122.25	$123.00
Mayo coxiella brunetii (q fever) igg antibody	$123.75	$123.75	$123.75	$123.75
Mayo csmpu benzodiazepines definitive assay >=13 urine	$180.00	$180.00	$180.00	$156.00
Mayo csmpu opiod/analogs definitive assay >=5 urine	$66.75	$66.75	$66.75	$123.00
Mayo cyanide	$170.25	$170.25	$170.25	$170.25
Mayo deoxyribonuclease antibody titer	$110.25	$110.25	$110.25	$96.00
Mayo dhea (dehydroepiandrosterone)	$333.00	$333.00	$333.00	$333.00
Mayo dihydrotestosterone	$131.25	$131.25	$131.25	$301.80
Mayo efpo chloride stool	$130.50	$130.50	$130.50	$102.00
Mayo estriol	$192.00	$192.00	$192.00	$147.20
Mayo estrone	$157.50	$157.50	$157.50	$165.00
Mayo ethosuximide therapeutic drug level	$153.00	$153.00	$153.00	$153.00
Mayo everolimus therapeutic drug level	$136.50	$136.50	$136.50	$210.00
Mayo factor ii	$253.50	$253.50	$253.50	$97.20
Mayo factor v	$195.00	$195.00	$195.00	$189.00
Mayo factor vii	$261.00	$261.00	$261.00	$185.40
Mayo factor viii vw factor antigen	$184.50	$184.50	$184.50	$176.40
Mayo factor viii vw factor multimetric analysis	$225.00	$225.00	$225.00	$243.60
Mayo factor viii vw factor ristocetin cofactor	$456.00	$456.00	$456.00	$289.60
Mayo factor x	$243.75	$243.75	$243.75	$243.75
Mayo factor xi	$291.75	$291.75	$291.75	$196.80
Mayo fat/lipids feces quantitative	$308.25	$308.25	$308.25	$197.40
Mayo fbl culture fungi blood	$126.00	$126.00	$126.00	$126.00
Mayo ffspg allergen clam igg	$51.75	$51.75	$51.75	$53.40
Mayo fibrinogen antigen	$266.25	$266.25	$266.25	$120.00
Mayo gabapentin bld/srm/plasma therapeutic drug level	$82.50	$82.50	$82.50	$141.00
Mayo gamma-globin full gene sequencing	$7,125.00	$7,125.00	$7,125.00	$8,992.20
Mayo hemosiderin qualitative urine	$58.50	$58.50	$58.50	$58.50
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative	$274.50	$274.50	$274.50	$288.60
Mayo hiser histoplasma antibodies immunodiffusion	$161.25	$161.25	$161.25	$161.25
Mayo hvdip HIV 1 antibody	$253.50	$253.50	$253.50	$131.40
Mayo hydroxyprogesterone 17-d	$140.25	$140.25	$140.25	$181.80
Mayo immunoassay c1 esterase inhibitor antibody quantitative	$1,192.50	$1,192.50	$1,192.50	$273.00
Mayo immunoassay infectious agent antibody quantitative diptheria igg	$186.00	$186.00	$186.00	$141.00
Mayo immunoassay tumor antigen quantitative ca 27.29	$100.50	$100.50	$100.50	$141.00
Mayo immunoassay tumor antigen quantitative chromogranin a	$175.50	$175.50	$175.50	$186.75
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus	$126.00	$126.00	$126.00	$153.75
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal	$448.50	$448.50	$448.50	$252.75
Mayo infectious agent nucleic acid amplified probe enterovirus	$598.50	$598.50	$598.50	$500.25
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine	$94.50	$94.50	$94.50	$189.00
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae	$662.25	$662.25	$662.25	$349.80
Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii	$292.50	$292.50	$292.50	$292.50
Mayo infectious agent nucleic acid quantification cytomegalovirus	$814.50	$814.50	$814.50	$366.60
Mayo infectious disease hepatitis c chronic six biochemical assays	$258.75	$258.75	$258.75	$516.60
Mayo infliximab therapeutic drug level	$1,641.75	$1,641.75	$1,641.75	$523.20
Mayo inhab inhibin a	$357.00	$357.00	$357.00	$309.75
Mayo insft insulin free	$64.50	$64.50	$64.50	$117.00
Mayo insulin antibodies	$123.75	$123.75	$123.75	$121.20
Mayo iodine	$660.75	$660.75	$660.75	$202.20
Mayo itraconazole therapeutic drug level	$182.25	$182.25	$182.25	$159.00
Mayo lacosamide therapeutic drug level	$199.50	$199.50	$199.50	$199.50
Mayo lamotrigine therapeutic drug level	$227.25	$227.25	$227.25	$171.00
Mayo ld_i lactate dehydrogenase isoenzymes	$139.50	$139.50	$139.50	$93.75
Mayo legionella antibody	$99.00	$99.00	$99.00	$104.40
Mayo leptospira antibody igm	$82.50	$82.50	$82.50	$82.50
Mayo lipoprotein electrophoresis	$45.75	$45.75	$45.75	$106.20
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory	$181.50	$181.50	$181.50	$181.50
Mayo manganese	$195.00	$195.00	$195.00	$110.40
Mayo metanephrines plasma	$714.00	$714.00	$714.00	$384.00
Mayo methadone definitive assay confirmation urine	$147.00	$147.00	$147.00	$114.00
Mayo mgle voltage-gated calcium channel antibody each	$468.75	$468.75	$468.75	$235.20
Mayo microsomal antibody liver-kidney	$201.00	$201.00	$201.00	$177.00
Mayo mitotane (lysodren) therapeutic drug level	$593.25	$593.25	$593.25	$210.00
Mayo molecular pathology procedure level 2 apoe genotype	$886.50	$886.50	$886.50	$1,528.80
Mayo muramidase	$88.50	$88.50	$88.50	$96.75
Mayo muscle-specific kinase (musk) antibody	$1,833.00	$1,833.00	$1,833.00	$235.20
Mayo mycophenolic acid therapeutic drug level	$670.50	$670.50	$670.50	$202.20
Mayo myoglobin	$210.75	$210.75	$210.75	$144.60
Mayo nickel	$83.25	$83.25	$83.25	$178.20
Mayo opatu opiates definitive assay >=1	$127.50	$127.50	$127.50	$87.00
Mayo opatu opioid/analogs definitive assay 1 or 2	$80.25	$80.25	$80.25	$62.25
Mayo opatu oxycodone definitive assay	$156.00	$156.00	$156.00	$98.25
Mayo organic acid methylmalonic single quantitative	$361.50	$361.50	$361.50	$361.50
Mayo oxalate 24 hour urine	$218.25	$218.25	$218.25	$170.40
Mayo parvs parvovirus b19 antibody igg	$121.50	$121.50	$121.50	$136.50
Mayo paval fluorescent antibody screen agna type 1	$1,833.00	$1,833.00	$1,833.00	$192.60
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)	$1,056.75	$1,056.75	$1,056.75	$306.00
Mayo phospholipid neutralization hexagonal lupus anticoagulant	$283.50	$283.50	$283.50	$232.20
Mayo pntft phenytoin free therapeutic drug level	$118.50	$118.50	$118.50	$92.25
Mayo pqnu porphobilinogen urine quantitative 24 hour urine	$75.75	$75.75	$75.75	$131.25
Mayo pregnenolone	$175.50	$175.50	$175.50	$222.00
Mayo prmb primidone therapeutic drug level	$140.25	$140.25	$140.25	$129.60
Mayo proinsulin	$262.50	$262.50	$262.50	$262.50
Mayo psaft prostate specific antigen free	$110.25	$110.25	$110.25	$158.40
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative	$1,768.50	$1,768.50	$1,768.50	$323.40
Mayo rbcme osmotic fragility rbc incubated	$277.50	$277.50	$277.50	$238.80
Mayo receptor assay transferrin soluble	$193.50	$193.50	$193.50	$193.50
Mayo renin	$188.25	$188.25	$188.25	$168.60
Mayo repu protein electrophoresis urine	$76.50	$76.50	$76.50	$194.40
Mayo selenium	$193.50	$193.50	$193.50	$177.00
Mayo serotonin	$258.00	$258.00	$258.00	$258.00
Mayo sfgp rickettsia rickettsii antibody igg	$156.75	$156.75	$156.75	$114.60
Mayo sirolimus therapeutic drug level	$246.00	$246.00	$246.00	$173.25
Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative	$137.25	$137.25	$137.25	$137.25
Mayo syphilis test non-treponemal antibody qualitative vdrl	$51.00	$51.00	$51.00	$43.80
Mayo tau phosphorylated 217 each	$504.00	$504.00	$504.00	$259.80
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification	$463.50	$463.50	$463.50	$859.80
Mayo tgrp testosterone free	$142.50	$142.50	$142.50	$128.40
Mayo tgrp testosterone total	$228.00	$228.00	$228.00	$193.50
Mayo thyroglobulin	$615.00	$615.00	$615.00	$184.20
Mayo ticks anaplasma phagocytophilum antibody igg	$234.00	$234.00	$234.00	$102.60
Mayo ticks babesia microti antibody igg	$159.75	$159.75	$159.75	$126.00
Mayo tramadol definitive assay w metabolite quantitative urine	$71.25	$71.25	$71.25	$48.60
Mayo tulab francisella tularensis antibody igg	$63.00	$63.00	$63.00	$96.60
Mayo valpg valproic acid free therapeutic drug level	$117.00	$117.00	$117.00	$126.00
Mayo vasoactive intestinal peptide	$417.00	$417.00	$417.00	$375.60
Mayo vitamin b-2 (riboflavin)	$133.50	$133.50	$133.50	$138.60
Mayo vitamin b3 (niacin)	$187.50	$187.50	$187.50	$147.00
Mayo vitamin k	$576.00	$576.00	$576.00	$317.25
Mayo zonisamide therapeutic drug level	$95.25	$95.25	$95.25	$210.00
Measurement post void urine by ultrasound	$199.50	$199.50	$199.50	$176.40
Med physic dos eval rad exps	$621.00	$621.00	$621.00	$621.00
Medroxyprogesterone 150 mg/ml im injection (wrapper)	$252.10	$252.10	$252.10	$252.10
Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm	$3,037.50	$3,037.50	$3,037.50	$3,037.50
Membrane amnio clarix 4x3cm 1k -cost per sq cm	$4,218.75	$4,218.75	$4,218.75	$4,218.75
Membrane collgn porcine maci w/autologous cult chondrocytes	$235,134.00	$235,134.00	$235,134.00	$235,134.00
Meperidine (pf) 25 mg/ml injection (wrapper)	$23.88	$23.88	$23.88	$16.40
Mepolizumab 100 mg/ml subcutaneous auto-injector	$11,523.04	$11,523.04	$11,523.04	$8,127.60
Meropenem 1 gram intravenous solution	$102.84	$102.84	$102.84	$77.20
Mesna 100 mg/ml intravenous solution	$73.95	$73.95	$73.95	$153.60
Metabolic Blood Panel (Basic)	$156.75	$156.75	$156.75	$97.60
Metabolic Blood Panel (Comprehensive)	$231.75	$231.75	$231.75	$130.97
Metabolic panel ionized ca	$160.50	$160.50	$160.50	$198.60
Methacholine chloride 0.0625 mg/ml nebulization soln	$2,776.62	$2,776.62	$2,776.62	$463.20
Methadone injection	$725.09	$725.09	$725.09	$55.95
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain)	$38.39	$38.39	$38.39	$78.20
Methotrexate sodium (pf) 1 gram solution for injection	$215.83	$215.83	$215.83	$284.80
Methotrexate sodium 2.5 mg tablet	$466.63	$466.63	$466.63	$28.65
Methotrexate therapeutic drug level	$78.00	$78.00	$78.00	$129.60
Methylene blue (antidote) 5 mg/ml intravenous solution	$4,037.33	$4,037.33	$4,037.33	$1,620.00
Methylergonovine 0.2 mg/ml (1 ml) injection solution	$76.59	$76.59	$76.59	$42.45
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)	$582.48	$582.48	$582.48	$504.60
Methylprednisolone 4 mg tablet	$685.89	$685.89	$685.89	$10.80
Methylprednisolone acetate 40 mg/ml suspension for injection	$67.62	$67.62	$67.62	$1.20
Methylprednisolone sodium succinate 1,000 mg intravenous solution	$306.72	$306.72	$306.72	$6.80
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr	$12.40	$12.40	$12.40	$10.35
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper)	$7.59	$7.59	$7.59	$4.80
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback	$11.84	$11.84	$11.84	$3.15
Mgmt promoter methylation analysis	$201.75	$201.75	$201.75	$227.40
Micafungin 100 mg intravenous solution	$691.44	$691.44	$691.44	$26.20
Microdissection manual	$289.50	$289.50	$289.50	$538.20
Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper)	$102.80	$102.80	$102.80	$102.80
Midazolam 1 mg/ml injection solution	$97.25	$97.25	$97.25	$36.60
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk	$58.43	$58.43	$58.43	$73.20
Minocycline hydrochloride	$884.76	$884.76	$884.76	$403.80
Mitomycin 40 mg intravenous solution	$4,332.81	$4,332.81	$4,332.81	$1,714.80
Mitoxantrone 2 mg/ml concentrate,intravenous	$437.16	$437.16	$437.16	$1,254.00
Mlh1 gene	$225.75	$225.75	$225.75	$1,123.80
Mog-igg1 antb flo cytmtry ea	$854.25	$854.25	$854.25	$213.00
Monitor reveal linq ii cardiac	$10,575.00	$10,575.00	$10,575.00	$12,083.40
Monovisc inj per dose	$2,155.28	$2,155.28	$2,155.28	$2,155.28
Mopath procedure level 1	$936.00	$936.00	$936.00	$873.75
Mopath procedure level 5	$1,755.00	$1,755.00	$1,755.00	$2,734.80
Mopath procedure level 6	$2,340.75	$2,340.75	$2,340.75	$5,054.40
Mopath procedure level 7	$2,340.75	$2,340.75	$2,340.75	$8,366.40
Mopath procedure level 8	$1,587.00	$1,587.00	$1,587.00	$1,687.80
Mopath procedure level 9	$2,250.00	$2,250.00	$2,250.00	$2,250.00
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr	$1,132.55	$1,132.55	$1,132.55	$102.60
Morphine 4 mg/ml injection (wrapper)	$46.08	$46.08	$46.08	$27.20
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered	$8.37	$8.37	$8.37	$8.37
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted	$220.50	$220.50	$220.50	$599.40
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual	$220.50	$220.50	$220.50	$338.40
Mr safety determination physician/other qhp	$85.50	$85.50	$85.50	$160.20
Mr safety implant elec prepj	$90.00	$90.00	$90.00	$166.80
Mr safety implt pos&/immoblj	$58.50	$58.50	$58.50	$58.50
Mr sfty implt&/fb asmt stf 1	$24.00	$24.00	$24.00	$44.40
Mr sfty med physics xm cstmz	$235.50	$235.50	$235.50	$439.80
Mra, w/dye, upper extremity	$1,987.50	$1,987.50	$1,987.50	$1,987.50
Mra, w/o&w/dye, spinal canal	$348.00	$348.00	$348.00	$1,833.60
Mthfr gene analy common variants	$1,138.50	$1,138.50	$1,138.50	$357.60
Mucopolysaccharides	$1,053.00	$1,053.00	$1,053.00	$280.80
Multiple sleep latency test	$4,764.75	$4,764.75	$4,764.75	$4,164.75
Mumps antibody igg	$168.75	$168.75	$168.75	$168.75
Mycobacteria dna amp probe	$411.00	$411.00	$411.00	$444.75
Mycophenolate mofetil 250 mg capsule	$6,452.88	$6,452.88	$6,452.88	$79.60
Mycophenolic acid	$6,135.49	$6,135.49	$6,135.49	$21.60
Mycoplasma antibody igm	$129.75	$129.75	$129.75	$129.75
Myd88 gene p.leu265pro vrnt	$342.75	$342.75	$342.75	$888.60
Myelography via inj w/s&i 2+ regions	$2,572.50	$2,572.50	$2,572.50	$2,289.60
Myelography via inj w/s&i cervical	$2,572.50	$2,572.50	$2,572.50	$2,289.60
Myelography via inj w/s&i lumbosacral	$2,572.50	$2,572.50	$2,572.50	$2,289.60
Myelography via inj w/s&i thoracic	$2,572.50	$2,572.50	$2,572.50	$2,572.50
Myeloperoxidase ab multi step qualitative/semiquantitative	$911.25	$911.25	$911.25	$126.00
Myocrd img pet 1std rst/strs	$4,556.25	$4,556.25	$4,556.25	$4,928.25
Myocrd img pet mlt rst&strs	$4,901.25	$4,901.25	$4,901.25	$5,301.00
N block inj hypogas plxs	$1,878.75	$1,878.75	$1,878.75	$2,031.75
N-invas est c ffr sw aly cta	$971.25	$971.25	$971.25	$1,919.40
Nafcillin 2 gram solution for injection	$79.98	$79.98	$79.98	$2.00
Nalbuphine 10 mg/ml injection solution	$178.93	$178.93	$178.93	$22.20
Naloxone 0.4 mg/ml injection (wrapper)	$116.48	$116.48	$116.48	$1.20
Naltrexone, depot form	$5,794.40	$5,794.40	$5,794.40	$5,794.40
Nasal endoscopy dx uni/bi separate proc	$537.75	$537.75	$537.75	$2,450.40
Nasal endoscopy with removal of nasal foreign body	$227.25	$227.25	$227.25	$135.00
Nasopharyngoscopy w/endoscope	$246.75	$246.75	$246.75	$365.40
Natalizumab 300 mg/15 ml intravenous solution	$32,830.92	$32,830.92	$32,830.92	$28,621.80
Natriuretic peptide	$230.25	$230.25	$230.25	$287.40
Natural killer cells total count	$243.00	$243.00	$243.00	$262.50
Ndl insj without njx 1 or 2 musc	$22.50	$22.50	$22.50	$22.50
Ndl insj without njx 3+ musc	$31.50	$31.50	$31.50	$34.50
Neck (Cervical Spine) CT scan (with contrast)	$1,719.75	$1,719.75	$1,719.75	$1,708.20
Neck (Cervical Spine) CT scan (without contrast)	$1,556.25	$1,556.25	$1,556.25	$1,513.95
Neck (Cervical Spine) MRI (with and without contrast)	$2,259.00	$2,259.00	$2,259.00	$2,750.00
Neck (Cervical Spine) MRI (with contrast)	$3,132.00	$3,132.00	$3,132.00	$2,231.16
Neck (Cervical Spine) MRI (without contrast)	$1,914.00	$1,914.00	$1,914.00	$1,947.58
Neck MRA (blood vessel MRI, with and without contrast)	$2,575.50	$2,575.50	$2,575.50	$2,750.00
Neck MRA (blood vessel MRI, with contrast)	$2,504.25	$2,504.25	$2,504.25	$2,030.23
Neck MRA (blood vessel MRI, without contrast)	$1,806.75	$1,806.75	$1,806.75	$1,790.58
Neisseria meningitidis	$417.00	$417.00	$417.00	$223.80
Nelarabine injection	$2,265.28	$2,265.28	$2,265.28	$2,265.28
Neostigmine methylsulfate 1 mg/ml injection (wrapper)	$99.51	$99.51	$99.51	$99.51
Nerve conduction 7-8 studies	$1,937.25	$1,937.25	$1,937.25	$1,635.00
Nerve conduction studies 1-2	$673.50	$673.50	$673.50	$335.40
Nerve conduction studies 11-12	$2,697.00	$2,697.00	$2,697.00	$2,280.00
Nerve conduction studies 13+	$4,599.75	$4,599.75	$4,599.75	$2,693.40
Nerve conduction studies 3-4	$1,178.25	$1,178.25	$1,178.25	$642.60
Nerve conduction studies 5-6	$1,431.75	$1,431.75	$1,431.75	$1,069.20
Nerve conduction studies 9-10	$2,435.25	$2,435.25	$2,435.25	$2,435.25
Neurolysis celiac plexus	$3,501.75	$3,501.75	$3,501.75	$3,501.75
Neurolysis trigeminal nerve	$846.75	$846.75	$846.75	$880.50
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous	$74.88	$74.88	$74.88	$4.00
Nivolumab 10 mg/ml intravenous solution (wrapper)	$29,956.95	$29,956.95	$29,956.95	$104.40
Njx aa&/strd nrv nrvtg si jt	$642.75	$642.75	$642.75	$668.25
Njx aa&/strd vagus nrv	$288.00	$288.00	$288.00	$288.00
Njx interlaminar crv/thrc	$1,578.75	$1,578.75	$1,578.75	$2,476.80
Njx interlaminar crv/thrc	$1,647.00	$1,647.00	$1,647.00	$2,067.00
Njx interlaminar lmbr/sac	$1,779.75	$1,779.75	$1,779.75	$2,149.80
Njx interlaminar lmbr/sac	$1,779.75	$1,779.75	$1,779.75	$1,953.00
Nm imaging bone/joint 3 phase study	$2,654.25	$2,654.25	$2,654.25	$2,037.60
Nm imaging bone/joint whole body	$1,601.25	$1,601.25	$1,601.25	$1,601.25
Nm imaging cardiac blood pooling planar single study at rest or stress	$1,920.00	$1,920.00	$1,920.00	$1,651.20
Nm imaging gastric emptying study	$1,014.00	$1,014.00	$1,014.00	$1,510.20
Nm imaging gastrointestinal acute blood loss	$1,626.00	$1,626.00	$1,626.00	$1,691.40
Nm imaging hepatobiliary system w/pharmacologic intervention	$2,082.75	$2,082.75	$2,082.75	$1,956.60
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention	$1,410.75	$1,410.75	$1,410.75	$1,410.75
Nm imaging pulmonary ventilation/perfusion	$2,296.50	$2,296.50	$2,296.50	$1,666.20
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)	$1,389.75	$1,389.75	$1,389.75	$1,335.00
Nm radiopharmaceutical therapy oral administration	$1,123.50	$1,123.50	$1,123.50	$944.40
Non-card vasc flow imaging	$806.25	$806.25	$806.25	$504.80
Noonan spectrum disorders	$2,412.00	$2,412.00	$2,412.00	$2,412.00
Npm1 gene	$348.00	$348.00	$348.00	$1,905.60
Npsy tst eval phsy/qhp 1st hr	$292.50	$292.50	$292.50	$316.50
Npsy tst eval phsy/qhp ea l hr	$141.75	$141.75	$141.75	$153.75
Nuclear Stress Test (Heart)	$4,438.50	$4,438.50	$4,438.50	$3,799.90
Nuclear rx IV admin	$1,216.50	$1,216.50	$1,216.50	$1,408.20
Nuclear rx intra-articular	$231.00	$231.00	$231.00	$240.00
Nuclear rx intracav admin	$1,622.25	$1,622.25	$1,622.25	$1,755.00
Nushield 1 square cm	$462.75	$462.75	$462.75	$501.00
Nusinersen (pf) 12 mg/5 ml intrathecal solution	$492,978.44	$492,978.44	$492,978.44	$492,978.44
Obinutuzumab 1,000 mg/40 ml intravenous solution	$33,278.55	$33,278.55	$33,278.55	$236.00
Observation direct referral from physician office for admission	$489.75	$489.75	$489.75	$138.00
Observation per hour	$1,038.75	$1,038.75	$1,038.75	$793.20
Ocrelizumab 30 mg/ml intravenous solution	$76,319.96	$76,319.96	$76,319.96	$52,712.40
Octreotide acetate 100 mcg/ml injection (wrapper)	$887.40	$887.40	$887.40	$558.60
Octreotide,microspheres ER 20 mg intramuscular susp, extended release	$23,458.95	$23,458.95	$23,458.95	$23,098.20
Ofatumumab 20 mg/ml intravenous solution (wrapper)	$2,224.00	$2,224.00	$2,224.00	$201.60
Oil silicone ophth 8.5ml silikon 1000	$857.48	$857.48	$857.48	$1,824.80
Olanzapine 10 mg intramuscular solution	$172.31	$172.31	$172.31	$30.00
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)	$5,445.54	$5,445.54	$5,445.54	$830.40
Oncology prostate prob score	$1,501.50	$1,501.50	$1,501.50	$1,623.75
Oncoprotein dcp	$516.00	$516.00	$516.00	$537.00
Oncoprotein her-2/neu	$219.00	$219.00	$219.00	$219.00
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)	$34.32	$34.32	$34.32	$34.32
Oph Ultrasound dx quan a-scan only	$102.00	$102.00	$102.00	$105.75
Ophthalmic mitomycin	$1,327.41	$1,327.41	$1,327.41	$1,663.20
Oral aprepitant	$3,616.34	$3,616.34	$3,616.34	$1,012.80
Oral everolimus	$2,255.34	$2,255.34	$2,255.34	$1,208.40
Organic acids total quant ea spec	$587.25	$587.25	$587.25	$277.20
Oritavancin 400 mg intravenous solution	$11,913.61	$11,913.61	$11,913.61	$105.60
Orphenadrine citrate 30 mg/ml injection solution	$31.68	$31.68	$31.68	$61.00
Ortho elbow without jnt cstm w/fit&adj	$129.00	$129.00	$129.00	$129.00
Ortho hnd without jnt w/fit&adj	$52.50	$52.50	$52.50	$52.50
Ortho hnd/fngr w/jnt cstm w/fit&adj	$389.25	$389.25	$389.25	$389.25
Ortho hnd/fngr without jnt cstm w/fit&adj	$90.00	$90.00	$90.00	$90.00
Ortho whf rigd without jnt cstm w/fit&adj	$141.00	$141.00	$141.00	$153.00
Ortho wrst/hnd w/jnt cstm w/fit&adj	$72.75	$72.75	$72.75	$72.75
Orthopantogram	$274.50	$274.50	$274.50	$274.50
Orthovisc inj per dose	$443.85	$443.85	$443.85	$443.85
Oscillation chest wall mechanical per session	$111.75	$111.75	$111.75	$235.20
Osmolality blood	$63.75	$63.75	$63.75	$77.25
Osmolality urine	$96.00	$96.00	$96.00	$90.60
Ot evaluation high complexity patient/family	$265.50	$265.50	$265.50	$285.75
Ot evaluation low complexity patient/family	$265.50	$265.50	$265.50	$272.25
Ot evaluation moderate complexity patient/family	$265.50	$265.50	$265.50	$285.75
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes	$122.25	$122.25	$122.25	$122.25
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes	$112.50	$112.50	$112.50	$121.20
Ot manual therpy techniques >=1 region each 15 minutes	$92.25	$92.25	$92.25	$130.20
Ot re-evaluation patient/family	$145.50	$145.50	$145.50	$138.60
Ot therapeutic activities direct patient contact each 15 minutes	$93.75	$93.75	$93.75	$129.60
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes	$90.75	$90.75	$90.75	$114.60
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes	$90.75	$90.75	$90.75	$114.60
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes	$96.75	$96.75	$96.75	$130.20
Ot therapeutic procedure neuromuscular reeducate each 15 minutes	$90.75	$90.75	$90.75	$117.00
Ot training self care/home management direct contact each 15 minutes	$93.75	$93.75	$93.75	$115.80
Oth resp proc, group	$144.00	$144.00	$144.00	$144.00
Other immunoelectrophoresis	$265.50	$265.50	$265.50	$132.60
Oxaliplatin 5 mg/ml desensitization	$342.84	$342.84	$342.84	$97.20
Oxytocin 10 unit/ml injection solution	$35.06	$35.06	$35.06	$29.00
PSA (Prostate) Test	$113.25	$113.25	$113.25	$103.85
Pacemaker leadless 19.5f 32.2mm ra	$57,937.50	$57,937.50	$57,937.50	$57,937.50
Paclitaxel 6 mg/ml concentrate,intravenous	$34.43	$34.43	$34.43	$47.20
Paclitaxel protein-bound 100 mg intravenous suspension	$5,416.36	$5,416.36	$5,416.36	$963.60
Palifermin injection	$11,767.98	$11,767.98	$11,767.98	$11,767.98
Paliperidone 117 mg/0.75 ml inj	$6,272.41	$6,272.41	$6,272.41	$6,272.41
Palivizumab 50 mg/0.5 ml inj	$9,797.53	$9,797.53	$9,797.53	$6,940.20
Palonosetron hcl	$184.88	$184.88	$184.88	$378.60
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution	$148.35	$148.35	$148.35	$200.00
Panitumumab 20 mg/ml intravenous solution (wrapper)	$27,287.26	$27,287.26	$27,287.26	$364.20
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr	$18.49	$18.49	$18.49	$30.80
Papaverin hcl injection	$143.71	$143.71	$143.71	$123.60
Parathormone (pth) intact	$462.00	$462.00	$462.00	$228.00
Parathyrd planar w/spect&ct	$1,989.75	$1,989.75	$1,989.75	$2,145.00
Parathyroid planar imaging	$1,467.75	$1,467.75	$1,467.75	$1,436.25
Parathyroid planar img w/tomo spect	$1,949.25	$1,949.25	$1,949.25	$1,859.40
Paricalcitol	$35.52	$35.52	$35.52	$35.52
Paring/cutting benign hyperkeratotic lesion single	$289.50	$289.50	$289.50	$288.60
Particle matristem matrix 1000mg micron-q4118-cost per mg	$7,702.14	$7,702.14	$7,702.14	$7,136.40
Passy muir valve metal trach	$1,016.73	$1,016.73	$1,016.73	$350.40
Pd hl 3.5in 4d med rbr mld 6432	$7.50	$7.50	$7.50	$7.50
Pdgfra gene	$618.00	$618.00	$618.00	$1,189.80
Pegaspargase injection	$82,241.50	$82,241.50	$82,241.50	$62,371.80
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector	$16,623.78	$16,623.78	$16,623.78	$6,417.60
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe	$11,163.13	$11,163.13	$11,163.13	$10,699.80
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe	$6,455.84	$6,455.84	$6,455.84	$2,112.00
Pegloticase 8 mg/ml intravenous solution	$113,672.22	$113,672.22	$113,672.22	$94,586.40
Pelvic CT scan (with and without contrast)	$2,050.50	$2,050.50	$2,050.50	$1,992.00
Pelvic CT scan (with contrast)	$1,782.75	$1,782.75	$1,782.75	$1,706.25
Pelvic CT scan (without contrast)	$1,471.50	$1,471.50	$1,471.50	$1,366.50
Pelvic MRI (with and without contrast)	$2,259.00	$2,259.00	$2,259.00	$2,713.80
Pelvic MRI (with contrast)	$2,070.00	$2,070.00	$2,070.00	$1,966.42
Pelvic MRI (without contrast)	$1,937.25	$1,937.25	$1,937.25	$1,810.38
Pelvic Ultrasound (complete)	$762.00	$762.00	$762.00	$647.87
Pelvic Ultrasound (limited)	$577.50	$577.50	$577.50	$476.50
Pembrolizumab 25 mg/ml intravenous solution	$21,806.82	$21,806.82	$21,806.82	$21,534.00
Pemetrexed disodium 100 mg intravenous powder for solution	$13,859.24	$13,859.24	$13,859.24	$3,134.40
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe	$2,592.13	$2,592.13	$2,592.13	$1,422.60
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr	$203.37	$203.37	$203.37	$192.60
Penile rear tip xtnd 0.5cm	$26,765.44	$26,765.44	$26,765.44	$26,765.44
Penile vascular study	$1,009.50	$1,009.50	$1,009.50	$948.75
Pentamidine 300 mg solution for injection	$572.10	$572.10	$572.10	$572.10
Pentamidine non-comp unit	$396.65	$396.65	$396.65	$396.65
Pentobarbital sodium inj	$3,170.80	$3,170.80	$3,170.80	$63.60
Pentostatin 10 mg intravenous solution	$8,715.64	$8,715.64	$8,715.64	$8,715.64
Perc cryo ablate renal tum	$6,551.25	$6,551.25	$6,551.25	$8,862.75
Perc d-e cor revasc t cabg b	$25,809.00	$25,809.00	$25,809.00	$23,011.50
Perc rf ablate renal tumor	$4,835.25	$4,835.25	$4,835.25	$5,871.75
Percut ablate liver rf	$6,450.00	$6,450.00	$6,450.00	$7,327.20
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension	$321.71	$321.71	$321.71	$1,066.20
Pericardial drain w/cath pq w/ct guid	$3,174.75	$3,174.75	$3,174.75	$3,314.40
Peripheral vascular rehab	$148.50	$148.50	$148.50	$184.50
Perq art m-thrombect &/nfs	$8,758.50	$8,758.50	$8,758.50	$12,590.40
Perq dev breast 1st mr guide	$3,041.25	$3,041.25	$3,041.25	$3,041.25
Perq dev breast 1st strtctc	$2,117.25	$2,117.25	$2,117.25	$1,793.40
Perq rplcmt g-tube req revsn gstrst trk	$762.00	$762.00	$762.00	$1,550.40
Pertuzu, trastuzu, 10 mg	$51,456.39	$51,456.39	$51,456.39	$523.20
Pertuzumab 30 mg/ml desensitization	$25,218.78	$25,218.78	$25,218.78	$22,539.60
Pet CT skull-mid thgh initial	$4,365.75	$4,365.75	$4,365.75	$5,639.40
Pet CT whole body initial	$4,586.25	$4,586.25	$4,586.25	$5,639.40
Pet fdg brain metoblic eval sb	$4,298.25	$4,298.25	$4,298.25	$4,834.50
Pet image ltd area	$4,245.00	$4,245.00	$4,245.00	$4,245.00
Pet image w/ct lmtd	$4,327.50	$4,327.50	$4,327.50	$4,680.75
Pet scan brain perf study	$4,812.00	$4,812.00	$4,812.00	$4,525.50
Pfc sigma fem post aug sz3 8mm	$1,024,537.50	$1,024,537.50	$1,024,537.50	$26,256.60
Ph body fluid	$288.75	$288.75	$288.75	$45.00
Phencyclidine (pcp)	$519.75	$519.75	$519.75	$402.75
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr	$203.37	$203.37	$203.37	$42.15
Phenobarbital therapeutic drug level	$150.00	$150.00	$150.00	$153.00
Phentolaine mesylate inj	$1,028.40	$1,028.40	$1,028.40	$1,028.40
Phenylephrine 10 mg/ml injection solution	$58.80	$58.80	$58.80	$0.14
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr	$7.71	$7.71	$7.71	$417.00
Phenytoin total therapeutic drug level	$132.75	$132.75	$132.75	$114.00
Phleb veins 1 extrm 10-20 stab	$3,068.25	$3,068.25	$3,068.25	$3,682.50
Phleb veins 1 extrm >20 stab	$3,024.00	$3,024.00	$3,024.00	$3,629.25
Phlebotomy therapeutic	$188.25	$188.25	$188.25	$292.80
Phosphorus	$72.75	$72.75	$72.75	$57.75
Phosphorus 24 hour urine	$139.50	$139.50	$139.50	$91.20
Phytonadione (vitamin k1) 10 mg/ml injection solution	$158.14	$158.14	$158.14	$52.80
Pin caspar distraction 12mm	$53,100.00	$53,100.00	$53,100.00	$33,127.20
Pinworm exam	$33.00	$33.00	$33.00	$49.20
Piperacillin-tazobactam 3.375 gram intravenous solution	$407.95	$407.95	$407.95	$115.20
Place cath intracranial art	$10,629.00	$10,629.00	$10,629.00	$6,072.60
Place cath xtrnl carotid	$8,979.00	$8,979.00	$8,979.00	$6,755.25
Place duod/jej tube perc	$1,475.25	$1,475.25	$1,475.25	$4,182.60
Place gastrostomy tube perc	$1,935.75	$1,935.75	$1,935.75	$3,587.40
Place ndl musc/tis for right	$2,977.50	$2,977.50	$2,977.50	$3,220.50
Place slctv cath carotd art uni	$14,553.00	$14,553.00	$14,553.00	$10,950.75
Place slctv cath carotid/inom art excrn uni	$8,637.00	$8,637.00	$8,637.00	$7,552.20
Place slctv cath carotid/inom art intcrn uni	$13,538.25	$13,538.25	$13,538.25	$12,801.00
Place slctv cath subclavian art	$7,476.75	$7,476.75	$7,476.75	$7,476.75
Place slctv cath vertebral art uni	$12,613.50	$12,613.50	$12,613.50	$10,549.80
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)	$2,138.25	$2,138.25	$2,138.25	$1,562.25
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left	$1,941.00	$1,941.00	$1,941.00	$1,380.00
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)	$2,458.50	$2,458.50	$2,458.50	$1,564.20
Placement nephrostomy catheter (both sides)	$1,703.25	$1,703.25	$1,703.25	$2,483.40
Plasma cryoprecipitate reduced each unit	$246.75	$246.75	$246.75	$246.75
Platelet aggregation each agent teg	$258.00	$258.00	$258.00	$223.50
Platelet automated	$38.25	$38.25	$38.25	$42.80
Platelet pheresis each unit	$2,142.75	$2,142.75	$2,142.75	$1,141.20
Platelet pheresis irr ea	$2,803.50	$2,803.50	$2,803.50	$1,659.00
Platelets hla matched leukocytes reduced apheresis/pheresis each unit	$4,159.50	$4,159.50	$4,159.50	$4,159.50
Platelets leukoreduced cmv negative apheresis/phresis each unit	$3,096.75	$3,096.75	$3,096.75	$3,096.75
Platelets pheresis leukocytes reduced cmv negative irradiated each unit	$3,907.50	$3,907.50	$3,907.50	$3,907.50
Platelets pheresis leukocytes reduced each unit	$2,801.25	$2,801.25	$2,801.25	$2,713.80
Platelets pheresis leukocytes reduced irradiated each unit	$3,284.25	$3,284.25	$3,284.25	$2,893.20
Platelets pheresis pathogen-reduced each unit	$2,298.75	$2,298.75	$2,298.75	$1,791.00
Plc pq device breast ea addl lesion MRI guide	$2,954.25	$2,954.25	$2,954.25	$2,954.25
Plc pq device breast ea addl lesion Ultrasound guide	$2,246.25	$2,246.25	$2,246.25	$969.00
Plcmnt biliary drainage cath w/img ext	$2,055.00	$2,055.00	$2,055.00	$4,655.40
Plcmt sft tiss loc pq w/img 1st lsn	$1,039.50	$1,039.50	$1,039.50	$1,124.25
Plcmt sft tiss loc pq w/img ea addl lsn	$517.50	$517.50	$517.50	$517.50
Plerixafor injection	$36,856.95	$36,856.95	$36,856.95	$1,570.80
Plethysmography lung volumes/airway resistance	$340.50	$340.50	$340.50	$368.25
Plmt biliary drainage cath	$1,320.00	$1,320.00	$1,320.00	$4,655.40
Plmt nephroureteral catheter	$1,047.00	$1,047.00	$1,047.00	$4,763.40
Pm device progr eval dual	$241.50	$241.50	$241.50	$241.50
Pm device progr eval multi	$206.25	$206.25	$206.25	$245.25
Pmp22 gene dup/delet	$1,014.00	$1,014.00	$1,014.00	$2,663.40
Poct blood gases ph pco2 po2 arterial calculated o2	$225.75	$225.75	$225.75	$243.00
Polatuzumab vedotin-piiq 140 mg intravenous solution	$68,815.70	$68,815.70	$68,815.70	$36,544.20
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap	$5,097.00	$5,097.00	$5,097.00	$6,491.40
Porfimer sodium injection	$75,528.84	$75,528.84	$75,528.84	$75,528.84
Potassium 24 hour urine	$85.50	$85.50	$85.50	$63.20
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback	$137.19	$137.19	$137.19	$70.80
Potassium serum/plasma/whole blood	$90.00	$90.00	$90.00	$47.80
Pq dr cath chg w cont s&i	$917.25	$917.25	$917.25	$1,347.00
Pq kyphplsty 1 bdy lumb w/img	$8,849.25	$8,849.25	$8,849.25	$8,849.25
Pq thr inj ext pse	$918.00	$918.00	$918.00	$918.00
Pq vrtbrplst 1 bdy inj crv-thr w/img ini	$2,694.75	$2,694.75	$2,694.75	$2,694.75
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl	$1,992.00	$1,992.00	$1,992.00	$2,061.75
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini	$2,779.50	$2,779.50	$2,779.50	$2,961.00
Pr application of long arm splint	$348.75	$348.75	$348.75	$471.00
Pr application splint static short arm	$288.75	$288.75	$288.75	$307.50
Pr biopsy skin punch single lesion	$327.00	$327.00	$327.00	$639.00
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes	$96.75	$96.75	$96.75	$30.00
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<	$428.25	$428.25	$428.25	$428.25
Pr egd flexible transoral w/placement percutaneous gastrostomy tube	$2,795.25	$2,795.25	$2,795.25	$2,795.25
Pr excision nail/nail matrix partial/complete permanent removal	$1,105.50	$1,105.50	$1,105.50	$1,233.00
Pr incision & drainage abscess complicated/multiple	$382.50	$382.50	$382.50	$712.80
Pr incision & drainage abscess simple/single	$444.00	$444.00	$444.00	$484.20
Pr incision & drainage abscess vulva/perineal	$430.50	$430.50	$430.50	$831.60
Pr incision & removal foreign body subcutaneous tissues simple	$729.75	$729.75	$729.75	$589.80
Pr management transitional care moderate w/in 14 days of discharge	$125.25	$125.25	$125.25	$255.00
Pr moderate sedation same physician >= 5 years initial 15 minutes	$305.25	$305.25	$305.25	$330.00
Pr removal drug delivery implant	$1,339.50	$1,339.50	$1,339.50	$1,448.25
Pr removal foreign body external auditory canal without anesthesia	$324.75	$324.75	$324.75	$298.40
Pr removal intrauterine device	$178.50	$178.50	$178.50	$589.80
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm	$1,019.25	$1,019.25	$1,019.25	$825.60
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm	$254.25	$254.25	$254.25	$477.00
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm	$239.25	$239.25	$239.25	$477.00
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm	$176.25	$176.25	$176.25	$477.00
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm	$239.25	$239.25	$239.25	$520.80
Pr tube thoracostomy w/connection to drainage open	$459.00	$459.00	$459.00	$2,412.60
Pralatrexate injection	$46,709.38	$46,709.38	$46,709.38	$5,614.80
Pralidoxime 1 gram solution for injection	$297.18	$297.18	$297.18	$297.18
Prealbumin	$168.75	$168.75	$168.75	$114.00
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution	$3,856.50	$3,856.50	$3,856.50	$13.80
Prednisone 1 mg tablet	$398.89	$398.89	$398.89	$3.00
Pregabalin - sendout	$57.75	$57.75	$57.75	$57.75
Pregnancy Ultrasound (complete, after first trimester)	$889.50	$889.50	$889.50	$607.12
Pregnancy Ultrasound (first trimester)	$747.00	$747.00	$747.00	$592.15
Pregnancy associated plasma protein-a	$84.75	$84.75	$84.75	$144.60
Prep skin to 100cm2 other	$1,401.75	$1,401.75	$1,401.75	$1,401.75
Prep skin to 100cm2 trk/ext	$1,174.50	$1,174.50	$1,174.50	$1,174.50
Prep skn trk/ext adl 100cm2	$696.75	$696.75	$696.75	$696.75
Pressure max expiratory/inspiratory	$243.75	$243.75	$243.75	$187.20
Pretreat rbc absorption reference	$153.00	$153.00	$153.00	$128.25
Prgrmg dev eval pm/ldls pm	$156.00	$156.00	$156.00	$191.40
Prgrmg eval implantable dfb	$257.25	$257.25	$257.25	$231.60
Prgrmg eval implantable dfb	$279.00	$279.00	$279.00	$279.00
Prgrmg eval implantable dfb	$456.00	$456.00	$456.00	$316.80
Probe cryo 1150mm endo flex ster disp	$5,175.00	$5,175.00	$5,175.00	$5,175.00
Procainamide 100 mg/ml injection (wrapper)	$1,611.15	$1,611.15	$1,611.15	$225.00
Procalcitonin	$55.50	$55.50	$55.50	$161.60
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution	$63.42	$63.42	$63.42	$63.42
Proctosigmoidoscopy w/fb remove 45307	$3,006.00	$3,006.00	$3,006.00	$3,197.40
Progesterone	$95.25	$95.25	$95.25	$181.20
Prolactin	$191.25	$191.25	$191.25	$191.25
Prolng off/op e/m ea 15 min 99417	$39.00	$39.00	$39.00	$42.00
Promethazine hcl injection	$10.99	$10.99	$10.99	$10.99
Proph rta dtchmnt pc	$534.75	$534.75	$534.75	$534.75
Propofol infusion 10 mg/ml	$35.88	$35.88	$35.88	$21.45
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr	$16.46	$16.46	$16.46	$16.46
Prostate biopsy, any mthd	$674.25	$674.25	$674.25	$308.40
Prosthesis voc advantage 20f 14mm	$1,228.50	$1,228.50	$1,228.50	$1,228.50
Protamine 10 mg/ml intravenous solution	$112.23	$112.23	$112.23	$112.23
Protector nerve neurawrap 4cm	$5,366.25	$5,366.25	$5,366.25	$5,366.25
Protein c activity	$116.25	$116.25	$116.25	$121.20
Protein electrophoretic fractionation & quantitation serum	$139.50	$139.50	$139.50	$171.60
Protein s total	$216.00	$216.00	$216.00	$181.50
Protein total 24 hour urine	$58.50	$58.50	$58.50	$45.00
Protein total body fluid	$105.00	$105.00	$105.00	$81.75
Protein total serum plasma whole blood	$37.50	$37.50	$37.50	$46.50
Prothrombin complex kcentra	$7,912.65	$7,912.65	$7,912.65	$8.25
Prothrombin time substitution plasma fractions each	$66.00	$66.00	$66.00	$66.00
Psy/npsy tst admin tech 2> ea l 30 min	$94.50	$94.50	$94.50	$102.00
Psycl/nrpsyc tech 1st	$195.00	$195.00	$195.00	$210.75
Pt application of modality >=1 area electrical stimulation each 15 minutes	$132.00	$132.00	$132.00	$103.20
Pt application of modality >=1 area hot/cold packs	$18.00	$18.00	$18.00	$47.00
Pt application of modality >=1 area iontophoresis each 15 minutes	$106.50	$106.50	$106.50	$103.20
Pt application of modality >=1 area ultrasound each 15 minutes	$72.75	$72.75	$72.75	$101.40
Pt application of modality traction mechanical	$108.75	$108.75	$108.75	$119.25
Pt evaluation high complexity patient/family	$212.25	$212.25	$212.25	$297.00
Pt evaluation low complexity patient/family	$212.25	$212.25	$212.25	$264.00
Pt evaluation moderate complexity patient/family	$212.25	$212.25	$212.25	$276.00
Pt re-evaluation patient/family	$150.75	$150.75	$150.75	$129.60
Pt repositioning canalith procedure(s) per day	$124.50	$124.50	$124.50	$223.20
Pt therapeutic procedure >=1 area gait training each 15 minutes	$110.25	$110.25	$110.25	$110.40
Pt therapeutic procedure >=1 area massage each 15 minutes	$93.00	$93.00	$93.00	$110.40
Pt wheelchair management each 15 minutes	$81.75	$81.75	$81.75	$81.75
Pulmonary vent imaging	$383.25	$383.25	$383.25	$705.60
Pulse ox continuous overnight monitoring	$297.00	$297.00	$297.00	$350.40
Pulse ox multiple	$132.00	$132.00	$132.00	$251.40
Pulse ox single	$185.25	$185.25	$185.25	$91.20
Punc of shunt for asp or inj	$642.75	$642.75	$642.75	$801.75
Puncture arterial withdrawal blood for diagnosis	$127.50	$127.50	$127.50	$87.60
Puncture aspiration abscess/hematoma/bulla/cyst	$382.50	$382.50	$382.50	$496.20
Puncture spinal lumbar diagnostic	$1,186.50	$1,186.50	$1,186.50	$1,230.60
Puraply 1 sq cm	$18,720.00	$18,720.00	$18,720.00	$18,720.00
Pvb thoracic 2nd+ inj site	$543.75	$543.75	$543.75	$543.75
Pvb thoracic single inj site	$642.75	$642.75	$642.75	$668.25
Pyridoxine hcl 100 mg	$29.11	$29.11	$29.11	$29.11
Pyruvate	$123.75	$123.75	$123.75	$114.00
Pyruvate kinase	$252.75	$252.75	$252.75	$252.75
Quant diff pulm perf and vent w/imaging	$2,059.50	$2,059.50	$2,059.50	$2,655.60
Quant diff pulm perf w/imaging	$1,438.50	$1,438.50	$1,438.50	$1,362.40
Quest t3 uptake	$96.75	$96.75	$96.75	$96.75
Rabies ig heat-treated human im/subq 90376	$3,103.43	$3,103.43	$3,103.43	$3,103.43
Rabies ig ht&sol human im/sc	$8,111.40	$8,111.40	$8,111.40	$8,111.40
Rabies immune globulin (pf) 300 unit/ml intramuscular solution	$11,649.94	$11,649.94	$11,649.94	$880.00
Radiation therapy dose plan	$877.50	$877.50	$877.50	$571.20
Radphm lcl tmr plnr bdy sgl day img	$2,283.00	$2,283.00	$2,283.00	$2,283.00
Radphm lcl tmr plnr bdy two day img	$2,988.75	$2,988.75	$2,988.75	$2,386.20
Radphm lcl tomogr sgl area sgl day	$2,106.00	$2,106.00	$2,106.00	$2,929.80
Radphm quant measure sgl area add-on	$46.50	$46.50	$46.50	$2,764.20
Rapid Strep Test	$47.25	$47.25	$47.25	$72.00
Rasburicase 1.5 mg intravenous solution	$20,465.52	$20,465.52	$20,465.52	$9,544.20
Ravulizumab-cwvz 100 mg/ml intravenous solution	$88,558.68	$88,558.68	$88,558.68	$71,857.80
Rbc count only automated	$78.00	$78.00	$78.00	$22.80
Rbc deglycerolized each unit	$1,712.25	$1,712.25	$1,712.25	$1,263.00
Rbc irradiated each unit	$1,141.50	$1,141.50	$1,141.50	$510.60
Red blood cells each unit	$1,695.00	$1,695.00	$1,695.00	$759.60
Red blood cells leukocytes reduced cmv negative irradiated each unit	$1,619.25	$1,619.25	$1,619.25	$397.80
Red blood cells leukocytes reduced each unit	$767.25	$767.25	$767.25	$830.25
Red blood cells leukocytes reduced irradiated each unit	$1,321.50	$1,321.50	$1,321.50	$837.00
Red blood cells washed each unit	$1,434.75	$1,434.75	$1,434.75	$847.50
Reduction of procidentia 45900	$889.50	$889.50	$889.50	$1,067.25
Refill maint impl spine pump	$294.00	$294.00	$294.00	$375.00
Refill/maint pump/resvr syst	$701.25	$701.25	$701.25	$630.00
Regadenoson 0.4 mg/5 ml intravenous syringe	$698.06	$698.06	$698.06	$698.06
Release of eye fluid	$2,223.00	$2,223.00	$2,223.00	$2,223.00
Relocation skin pocket pm	$2,717.25	$2,717.25	$2,717.25	$2,504.40
Rem endovas vena cava filter	$7,525.50	$7,525.50	$7,525.50	$5,661.75
Rem interrog dev eval icpms	$101.25	$101.25	$101.25	$109.50
Rem interrog dev eval scrms	$101.25	$101.25	$101.25	$109.50
Rem interrog evl pm/ids	$189.00	$189.00	$189.00	$204.00
Rem mntr physiol 1st dev supply ea 30 days	$78.00	$78.00	$78.00	$250.80
Rem mntr physiol 1st set up pt educaj eqp	$273.00	$273.00	$273.00	$115.80
Remdesivir 100 mg intravenous powder for solution	$2,406.04	$2,406.04	$2,406.04	$16.80
Removal biliary drg cath	$1,398.75	$1,398.75	$1,398.75	$1,663.20
Removal central venous catheter tunneled without port/pump	$1,756.50	$1,756.50	$1,756.50	$2,172.00
Removal central venous device tunneled w/port/pump central/peripheral insertion	$4,154.25	$4,154.25	$4,154.25	$3,081.00
Removal cerumen impacted (both sides)	$218.25	$218.25	$218.25	$168.00
Removal clot in graft oth/thn 35875	$5,270.25	$5,270.25	$5,270.25	$5,270.25
Removal clot in graft xcp 35876	$5,270.25	$5,270.25	$5,270.25	$5,270.25
Removal devitalized tissue non-selective debridement without anesthesia per session	$276.00	$276.00	$276.00	$343.50
Removal duct glbldr calculi	$2,689.50	$2,689.50	$2,689.50	$2,689.50
Removal embedded foreign body vestibule mouth smpl	$842.25	$842.25	$842.25	$1,051.50
Removal foreign body foot cmplx	$1,957.50	$1,957.50	$1,957.50	$1,957.50
Removal foreign body foot subcutaneous right	$807.00	$807.00	$807.00	$873.00
Removal sutr or stapl no anes	$262.50	$262.50	$262.50	$27.60
Removal tunnled intprtnl cath	$4,300.50	$4,300.50	$4,300.50	$3,859.50
Removal w/reinsrt nonbiogrdble	$2,840.25	$2,840.25	$2,840.25	$2,805.00
Removal/replacement ppm generator dual lead system	$8,001.75	$8,001.75	$8,001.75	$9,527.25
Remove cva lumen obstruct	$1,578.00	$1,578.00	$1,578.00	$1,428.00
Remove hip foreign body 27086	$348.00	$348.00	$348.00	$348.00
Remove hip/pelvis lesion 27047	$2,790.00	$2,790.00	$2,790.00	$2,790.00
Remove renal tube w/fluoro	$1,185.00	$1,185.00	$1,185.00	$1,830.00
Remove shoulder foreign body subq 23330	$1,506.00	$1,506.00	$1,506.00	$1,566.00
Remove spine eltrd perq aray	$1,794.00	$1,794.00	$1,794.00	$1,866.00
Remove vaginal foreign body 57415	$3,308.25	$3,308.25	$3,308.25	$3,308.25
Renal function panel	$229.50	$229.50	$229.50	$156.00
Renal venogram bil s&i	$2,859.75	$2,859.75	$2,859.75	$2,794.20
Repair blood vessel dir upper extr	$3,068.25	$3,068.25	$3,068.25	$3,682.50
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm	$895.50	$895.50	$895.50	$2,172.00
Repair detached retina	$2,164.50	$2,164.50	$2,164.50	$2,250.75
Repair detached retina pc	$641.25	$641.25	$641.25	$666.75
Repair eyelid wound	$2,473.50	$2,473.50	$2,473.50	$2,675.25
Repair eyelid wound	$2,473.50	$2,473.50	$2,473.50	$2,675.25
Repair finger tendon	$3,006.75	$3,006.75	$3,006.75	$3,126.75
Repair lip full thkns =<one-half vert height	$534.75	$534.75	$534.75	$1,080.75
Repair lip full thkns >one-half vert height/cmplx	$510.75	$510.75	$510.75	$3,486.60
Repair of toe dislocation	$3,006.75	$3,006.75	$3,006.75	$3,126.75
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx	$201.00	$201.00	$201.00	$2,260.20
Repair rpr lip full thickness vermilion only	$445.50	$445.50	$445.50	$2,916.60
Repair stomach opening	$3,709.50	$3,709.50	$3,709.50	$3,709.50
Repair tendon/muscle forearm/wrist prime sngl ea	$3,006.75	$3,006.75	$3,006.75	$5,322.00
Repair tongue lac <2.5cm past 1/3 tongue 41251	$201.00	$201.00	$201.00	$217.50
Repair upper arm/elbow tendon/muscle ea	$6,645.75	$6,645.75	$6,645.75	$6,880.20
Replace duod/jej tube perc	$1,001.25	$1,001.25	$1,001.25	$2,618.40
Replace g-j tube perc	$1,368.00	$1,368.00	$1,368.00	$3,246.60
Reposg phrnc nrv stim trnsvn	$3,353.25	$3,353.25	$3,353.25	$3,353.25
Reposition pm/icd lead	$3,780.00	$3,780.00	$3,780.00	$3,780.00
Reptilase test	$128.25	$128.25	$128.25	$97.20
Reslizumab 10 mg/ml intravenous solution	$4,119.02	$4,119.02	$4,119.02	$34.40
Resp virus 6-11 targets	$1,441.50	$1,441.50	$1,441.50	$1,212.60
Resuscitation cardiopulmonary	$843.00	$843.00	$843.00	$843.00
Resuscitation delivery/birthing room	$885.00	$885.00	$885.00	$721.50
Reticulated platelet assay	$85.50	$85.50	$85.50	$99.00
Reticulocyte automated	$48.00	$48.00	$48.00	$54.75
Rev-rem impl neurostim gen-rec	$3,161.25	$3,161.25	$3,161.25	$3,288.00
Revision of iris	$1,566.75	$1,566.75	$1,566.75	$2,392.50
Revision of penis	$3,237.75	$3,237.75	$3,237.75	$3,367.50
Revision tips	$7,391.25	$7,391.25	$7,391.25	$7,508.40
Rf abltj nrv nrvtg si jt	$1,404.00	$1,404.00	$1,404.00	$3,768.60
Rheumatoid factor quantitative	$124.50	$124.50	$124.50	$98.25
Rho d immune globulin inj	$266.25	$266.25	$266.25	$622.40
Rho(d) immune globulin h, sd	$5,242.06	$5,242.06	$5,242.06	$1,551.00
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr	$300.54	$300.54	$300.54	$4.20
Ring fx reform 11-13x17mm	$1,509.75	$1,509.75	$1,509.75	$1,509.75
Risperidone microspheres 12.5 mg/2 ml inj	$4,536.51	$4,536.51	$4,536.51	$4,199.40
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln	$27,790.74	$27,790.74	$27,790.74	$337.20
Rituximab-abbs 10 mg/ml intravenous solution	$9,097.89	$9,097.89	$9,097.89	$372.60
Rituximab-pvvr 10 mg/ml intravenous solution	$8,464.14	$8,464.14	$8,464.14	$7,826.40
Rmv&rplcmt phrnc nrv stim pg	$30,000.00	$30,000.00	$30,000.00	$30,000.00
Rmvl icd by tv extr	$4,482.75	$4,482.75	$4,482.75	$4,482.75
Rmvl icd gen w/rplc icd gen sgl lead sys	$19,711.50	$19,711.50	$19,711.50	$21,319.50
Rmvl icd pulse gen only	$3,982.50	$3,982.50	$3,982.50	$3,655.80
Rmvl ndwellg tun pleural cath	$2,133.75	$2,133.75	$2,133.75	$1,826.40
Rmvl perm pm pulse gen	$4,606.50	$4,606.50	$4,606.50	$3,655.80
Rmvl phrnc nrv stim pg only	$3,353.25	$3,353.25	$3,353.25	$3,353.25
Rmvl phrnc nrv stim sys	$3,353.25	$3,353.25	$3,353.25	$3,353.25
Rmvl phrnc nrv stim transvns	$3,287.25	$3,287.25	$3,287.25	$3,287.25
Rmvl sq defib electrode	$3,648.00	$3,648.00	$3,648.00	$4,551.75
Rmvl tv pm lead dual	$3,687.00	$3,687.00	$3,687.00	$3,687.00
Romidepsin 10 mg/2 ml intravenous powder for solution	$11,827.02	$11,827.02	$11,827.02	$197.60
Romiplostim 125 mcg subcutaneous solution	$20,356.48	$20,356.48	$20,356.48	$34.60
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)	$8,372.44	$8,372.44	$8,372.44	$8,372.44
Ropivacaine 0.2 % epidural pca - 1 hour dose limit	$184.88	$184.88	$184.88	$178.80
Rp loclzj tum spect w/ct 1	$2,340.00	$2,340.00	$2,340.00	$2,767.80
Rpl picc wo subq port/pump incl image guidnc w/s&i	$2,343.00	$2,343.00	$2,343.00	$2,534.25
Rpl tun cvc wo subq port	$2,733.75	$2,733.75	$2,733.75	$2,957.25
Rubella antibody igg	$103.50	$103.50	$103.50	$103.50
Rubeola antibody igg	$195.75	$195.75	$195.75	$166.50
Russell viper venom diluted	$137.25	$137.25	$137.25	$119.40
S bowel endoscope w/stent	$2,466.00	$2,466.00	$2,466.00	$4,379.25
Sacituzumab govitecan-hziy 180 mg intravenous solution	$9,478.55	$9,478.55	$9,478.55	$5,043.00
Salivary gland imaging	$541.50	$541.50	$541.50	$541.50
Salmonella antibody	$29.25	$29.25	$29.25	$29.25
Sargramostim injection	$1,092.15	$1,092.15	$1,092.15	$1,092.15
Sarscov coronavirus ag ia	$54.75	$54.75	$54.75	$34.80
Scan duplex abd/pelvis/retroperitoneal complete	$1,023.00	$1,023.00	$1,023.00	$1,210.80
Scan duplex abd/pelvis/retroperitoneal limited	$929.25	$929.25	$929.25	$880.20
Scan duplex aorta/ivc/iliac or bypass grafts complete	$774.75	$774.75	$774.75	$819.60
Scan duplex aorta/ivc/iliac unilateral/limited	$707.25	$707.25	$707.25	$724.50
Scan duplex extracranial arteries unilateral/limited study	$122.25	$122.25	$122.25	$672.00
Scan duplex extremity veins unilateral/limited study	$810.00	$810.00	$810.00	$829.20
Scan duplex lower extremity arteries complete bilateral	$580.50	$580.50	$580.50	$1,207.50
Scan duplex lower extremity arteries unilateral/limited study left	$882.75	$882.75	$882.75	$882.75
Scan duplex upper extremity arteries unilateral/limited study left	$946.50	$946.50	$946.50	$855.75
Sclerotherapy fluid collection pq w/img	$580.50	$580.50	$580.50	$2,643.60
Scope uretscp lithovue dig disp	$7,863.75	$7,863.75	$7,863.75	$7,863.75
Screening Colonoscopy (average risk)	$2,292.00	$2,292.00	$2,292.00	$1,440.00
Screening Colonoscopy (high risk)	$2,292.00	$2,292.00	$2,292.00	$1,864.80
Screening Mammogram	$315.00	$315.00	$315.00	$331.50
Screw cortex 2.0 x 10mm	$28,563.75	$28,563.75	$28,563.75	$15,714.60
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time	$617.25	$617.25	$617.25	$667.50
Sedimentation rate erythrocyte automated	$76.50	$76.50	$76.50	$57.00
Select picture audiometry	$56.25	$56.25	$56.25	$56.25
Self-mgmt educ/train 2-4 pt 30min	$103.50	$103.50	$103.50	$112.50
Sertraline (zoloft) - sendout	$82.50	$82.50	$82.50	$88.50
Sevelamer carbonate pdr 20mg	$638.94	$638.94	$638.94	$638.94
Sheath gldlight lasr 12fx50cm	$7,076.25	$7,076.25	$7,076.25	$7,076.25
Sheath laser cavaclear 14f	$11,238.75	$11,238.75	$11,238.75	$11,238.75
Shoe post-op mens m	$29.76	$29.76	$29.76	$29.76
Shoulder MRI (with and without contrast)	$2,643.75	$2,643.75	$2,643.75	$2,650.10
Shoulder MRI (with contrast)	$2,561.25	$2,561.25	$2,561.25	$2,822.25
Shoulder MRI (without contrast)	$1,854.75	$1,854.75	$1,854.75	$1,938.28
Shoulder X-ray	$444.00	$444.00	$444.00	$307.20
Shunt glaucoma baerveldt 350mm	$4,050.00	$4,050.00	$4,050.00	$4,636.80
Sialolithotomy 42330	$652.50	$652.50	$652.50	$3,732.75
Sickling rbc	$81.00	$81.00	$81.00	$81.00
Sig w/tndsc balloon dilation	$2,581.50	$2,581.50	$2,581.50	$3,097.80
Sigmoid/rmv tumor/polyp/hot bx for 45333	$2,391.00	$2,391.00	$2,391.00	$1,976.25
Sigmoidoscopy and biopsy	$1,831.50	$1,831.50	$1,831.50	$1,864.80
Sigmoidoscopy w/ablation	$2,361.75	$2,361.75	$2,361.75	$2,959.80
Sigmoidoscopy w/fb removal 45332	$1,266.75	$1,266.75	$1,266.75	$1,885.20
Sigmoidoscopy w/plcmt stent	$2,361.75	$2,361.75	$2,361.75	$2,919.00
Sigmoidoscopy w/tumr remove	$2,314.50	$2,314.50	$2,314.50	$2,314.50
Sigmoidoscopy w/ultrasound	$2,856.00	$2,856.00	$2,856.00	$1,746.00
Sigmoidoscopy w/us guide bx	$3,786.75	$3,786.75	$3,786.75	$2,314.50
Sigmoidoscopy/submucosal injection 45335	$1,650.75	$1,650.75	$1,650.75	$1,650.75
Sincalide 5 mcg solution for injection	$456.17	$456.17	$456.17	$475.20
Sinus CT scan (with and without contrast)	$1,781.25	$1,781.25	$1,781.25	$1,871.00
Sinus CT scan (with contrast)	$1,619.25	$1,619.25	$1,619.25	$1,566.40
Sinus CT scan (without contrast)	$1,471.50	$1,471.50	$1,471.50	$1,275.30
Sinus/juglr venogram s&i	$1,979.25	$1,979.25	$1,979.25	$1,979.25
Sipuleucel-t - su	$95,750.46	$95,750.46	$95,750.46	$95,750.46
Sirolimus, oral	$12,667.27	$12,667.27	$12,667.27	$180.00
Skin Biopsy	$327.00	$327.00	$327.00	$381.60
Skyla, 13.5 mg	$3,739.59	$3,739.59	$3,739.59	$2,343.60
Sleep Study (Polysomnography)	$5,613.00	$5,613.00	$5,613.00	$4,141.16
Sleep study attended	$292.50	$292.50	$292.50	$316.50
Sleep study unattended	$632.25	$632.25	$632.25	$653.60
Sleeve fing rolyan med	$32.25	$32.25	$32.25	$32.25
Sling arm deluxe w/pad xs	$30.35	$30.35	$30.35	$197.40
Sling suprapubic suburetheral	$21,217.50	$21,217.50	$21,217.50	$7,586.40
Slp pure tone screening	$56.25	$56.25	$56.25	$64.50
Small bowel endoscopy	$2,842.50	$2,842.50	$2,842.50	$2,842.50
Small bowel endoscopy	$2,818.50	$2,818.50	$2,818.50	$2,818.50
Small bowel endoscopy	$2,466.00	$2,466.00	$2,466.00	$2,466.00
Small bowel endoscopy br/wa	$1,848.75	$1,848.75	$1,848.75	$2,218.50
Small bowel endoscopy br/wa	$1,481.25	$1,481.25	$1,481.25	$1,895.40
Small bowel endoscopy/biopsy	$3,847.50	$3,847.50	$3,847.50	$3,414.00
Small bowel endoscopy/stent 44370	$5,295.00	$5,295.00	$5,295.00	$7,896.80
Smear fluorescent and/or acid fast stain	$75.00	$75.00	$75.00	$83.25
Smear gram stain	$54.75	$54.75	$54.75	$55.80
Smear nasal eosinophil	$47.25	$47.25	$47.25	$89.40
Smear special stain inclusion bodies/parasites	$42.00	$42.00	$42.00	$46.20
Smear wet mount	$78.75	$78.75	$78.75	$78.75
Snrpn/ube3a gene	$376.50	$376.50	$376.50	$376.50
So gsap cll fr dna/dna&rna	$2,242.50	$2,242.50	$2,242.50	$2,242.50
So gsap dna cpy nmbr&mcrstl	$1,266.00	$1,266.00	$1,266.00	$1,266.00
Sodium 24 hour urine	$76.50	$76.50	$76.50	$52.20
Sodium chloride 0.9 % IV bolus	$19.42	$19.42	$19.42	$32.40
Sodium chloride 0.9 % IV bolus	$20.34	$20.34	$20.34	$22.20
Sodium chloride 0.9 % intravenous solution	$33.28	$33.28	$33.28	$33.28
Sodium chloride 3 % ivpb	$11.10	$11.10	$11.10	$21.60
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous	$28.46	$28.46	$28.46	$43.20
Sodium hyaluronate 20 mg/2 ml syringe	$651.32	$651.32	$651.32	$651.32
Sodium serum/plasma/whole blood	$52.50	$52.50	$52.50	$44.25
Somatropin injection	$2,600.83	$2,600.83	$2,600.83	$2,111.40
Sotalol hydrochloride IV	$13,396.05	$13,396.05	$13,396.05	$13,396.05
Specimen fat stain	$69.75	$69.75	$69.75	$60.75
Speech evaluation complex	$927.00	$927.00	$927.00	$971.40
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance	$1,128.75	$1,128.75	$1,128.75	$1,439.40
Spirometry bronchodilation responsiveness pre/post bronchodilator administration	$543.75	$543.75	$543.75	$543.75
Spirometry up to 2 yrs old	$929.25	$929.25	$929.25	$1,005.75
Spleen imaging	$390.75	$390.75	$390.75	$469.50
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii	$84.75	$84.75	$84.75	$542.40
Splint extn xsm w sof-stretch rolyan	$93.00	$93.00	$93.00	$93.00
Splint finger frog med	$67.50	$67.50	$67.50	$73.50
Splint rstrc wrst/cmc right med	$35.25	$35.25	$35.25	$122.40
Sputum specimen collection	$312.00	$312.00	$312.00	$337.50
St analysis behavior qualitative voice/resonance	$326.25	$326.25	$326.25	$326.25
St cognitve performance testing healthcare professional each hour	$286.50	$286.50	$286.50	$330.75
St evaluate speech sound production	$280.50	$280.50	$280.50	$310.20
St evaluate speech sound production comprehensive/expressive	$300.00	$300.00	$300.00	$351.00
St evaluation motion fluoroscopic swallow function cine/video	$354.75	$354.75	$354.75	$455.40
St evaluation swallow function	$284.25	$284.25	$284.25	$416.40
St treatment speech individual	$295.50	$295.50	$295.50	$217.60
St treatment swallow dysfunction/oral	$447.00	$447.00	$447.00	$288.00
Staph a dna amp probe	$119.25	$119.25	$119.25	$129.00
Stem cells total count	$110.25	$110.25	$110.25	$102.75
Stent axios caut enh 15x10mm electrocaut	$47,137.50	$47,137.50	$47,137.50	$32,602.80
Stent bili dbl pgtl 10fx5cm	$5,076.00	$5,076.00	$5,076.00	$810.00
Stent bili rx wallflx 10x80 uncvr	$38,815.81	$38,815.81	$38,815.81	$33,109.80
Str markers specimen anal	$1,918.50	$1,918.50	$1,918.50	$1,270.50
Strapping of ankle and/or ft 29540	$141.75	$141.75	$141.75	$315.60
Strapping of elbow or wrist 29260	$189.75	$189.75	$189.75	$453.00
Strapping of hand or finger	$291.00	$291.00	$291.00	$272.25
Strapping of knee	$113.25	$113.25	$113.25	$243.60
Streptozocin injection	$1,286.99	$1,286.99	$1,286.99	$1,286.99
Stress test pulmonary	$452.25	$452.25	$452.25	$399.00
Stress tte complete	$1,300.50	$1,300.50	$1,300.50	$1,989.60
Succinylcholine chloride 20 mg/ml injection solution (wrapper)	$22.19	$22.19	$22.19	$22.19
Sulfonylurea screen qn-sendout	$249.75	$249.75	$249.75	$270.00
Sumatriptan 6 mg/0.5 ml subcutaneous solution	$167.98	$167.98	$167.98	$167.98
Support clav 29.6-40.5in med	$105.75	$105.75	$105.75	$131.40
Supprelin la implant	$185,546.55	$185,546.55	$185,546.55	$185,546.55
Surgical pathology level 1 gross examination only	$105.75	$105.75	$105.75	$62.40
Surgical pathology level 2 gross & microscopic examination	$232.50	$232.50	$232.50	$189.00
Surgical pathology level 3 gross & microscopic examination	$369.00	$369.00	$369.00	$236.40
Surgical pathology level 4 gross & microscopic examination	$443.25	$443.25	$443.25	$302.40
Surgical pathology level 5 gross & microscopic examination	$676.50	$676.50	$676.50	$493.60
Surgical pathology level 6 gross & microscopic examination	$713.25	$713.25	$713.25	$691.20
Susceptibility agar dilution per agent	$69.75	$69.75	$69.75	$91.80
Susceptibility enzyme detection per enzyme	$24.75	$24.75	$24.75	$25.80
Susceptibility mic per plate	$107.25	$107.25	$107.25	$96.00
Svc venogram s&i	$2,816.25	$2,816.25	$2,816.25	$2,331.00
Synvisc or synvisc-one	$1,696.83	$1,696.83	$1,696.83	$198.00
Syphilis test non-treponemal antibody quantitative rpr	$78.75	$78.75	$78.75	$70.50
System cardiomems hosp electronics	$53,437.50	$53,437.50	$53,437.50	$53,437.50
System pacing micra av	$33,750.00	$33,750.00	$33,750.00	$28,759.80
System pcmkr dual chamber leadless micra av2 intrdcr cath	$11,441.25	$11,441.25	$11,441.25	$11,441.25
System sealant biosentry tract	$900.00	$900.00	$900.00	$900.00
T cells total count	$108.00	$108.00	$108.00	$112.80
T3 (triiodothyronine) free	$60.75	$60.75	$60.75	$137.40
T3 (triiodothyronine) total	$60.75	$60.75	$60.75	$155.40
T4 (thyroxine) free	$41.25	$41.25	$41.25	$103.20
T4 (thyroxine) total	$127.50	$127.50	$127.50	$82.80
Tacrol astagraf ex rel oral	$2,970.47	$2,970.47	$2,970.47	$3.15
Tacrol envarsus ex rel oral	$8,369.30	$8,369.30	$8,369.30	$3.40
Tacrolimus 1 mg capsule, immediate-release	$12,682.80	$12,682.80	$12,682.80	$29.40
Tacrolimus 5 mg/ml intravenous solution	$874.23	$874.23	$874.23	$1,588.00
Tacrolimus therapeutic drug level	$171.00	$171.00	$171.00	$174.75
Tafasitamab-cxix 200 mg intravenous solution	$5,161.23	$5,161.23	$5,161.23	$28.80
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection	$25,827.38	$25,827.38	$25,827.38	$25,827.38
Target gsa panel hmtlmph neop	$1,708.50	$1,708.50	$1,708.50	$2,947.80
Target gsa panel organ neop	$1,266.00	$1,266.00	$1,266.00	$3,073.80
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells	$598.50	$598.50	$598.50	$697.80
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe	$959.55	$959.55	$959.55	$357.60
Tc-99m mebrofenin	$1,248.75	$1,248.75	$1,248.75	$303.00
Tc-99m mertiatide	$4,717.50	$4,717.50	$4,717.50	$1,978.20
Tc-99m pentetate dtpa	$975.00	$975.00	$975.00	$122.40
Tc-99m sestamibi p study dose	$6,044.97	$6,044.97	$6,044.97	$725.40
Tc-99m sulfur colloid	$3,734.48	$3,734.48	$3,734.48	$191.20
Tee w or without fol w/cont, mon	$865.50	$865.50	$865.50	$900.00
Tee w or without fol w/cont,cong	$1,563.75	$1,563.75	$1,563.75	$1,626.00
Telavancin injection	$2,428.05	$2,428.05	$2,428.05	$748.80
Telehealth original site facility fee	$125.25	$125.25	$125.25	$120.00
Temozolomide	$1,918.68	$1,918.68	$1,918.68	$1,918.68
Temozolomide 100 mg intravenous solution	$3,438.61	$3,438.61	$3,438.61	$3,438.61
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)	$29,758.74	$29,758.74	$29,758.74	$14,427.60
Terbutaline 1 mg/ml subcutaneous solution	$68.57	$68.57	$68.57	$102.00
Tert gene targeted seq alys	$347.25	$347.25	$347.25	$347.25
Test for chlorohydrocarbons	$207.75	$207.75	$207.75	$207.75
Test stress cardiovascular tracing only	$820.50	$820.50	$820.50	$1,618.20
Testicular imaging w/vasc flow	$1,047.00	$1,047.00	$1,047.00	$1,193.40
Tetanus immune globulin inj	$1,939.05	$1,939.05	$1,939.05	$1,524.00
Theophylline therapeutic drug level	$108.75	$108.75	$108.75	$163.80
Ther nma rdctj intus/obstrcj	$208.50	$208.50	$208.50	$208.50
Therapy activation ipnss	$90.00	$90.00	$90.00	$90.00
Therapy nutrition individual initial f2f w/patient each 15 minutes	$58.50	$58.50	$58.50	$28.80
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes	$58.50	$58.50	$58.50	$25.80
Thiamine hcl (vitamin b1) 100 mg/ml injection solution	$23.67	$23.67	$23.67	$38.20
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)	$1,942.50	$1,942.50	$1,942.50	$1,542.40
Thrombin time	$99.00	$99.00	$99.00	$87.00
Thromboplastin time partial (ptt) substitution fractions each	$102.75	$102.75	$102.75	$96.60
Thyroglobulin antibody	$95.25	$95.25	$95.25	$168.75
Thyroid (TSH) Test	$164.25	$164.25	$164.25	$110.00
Thyroid Ultrasound	$764.25	$764.25	$764.25	$603.90
Thyroid mets imag whole body	$2,013.75	$2,013.75	$2,013.75	$2,013.75
Thyroid uptake measurement	$737.25	$737.25	$737.25	$856.50
Thyrotropin alfa 0.9 mg intramuscular solution	$7,476.81	$7,476.81	$7,476.81	$7,476.81
Thyroxine binding globulin (tbg)	$66.75	$66.75	$66.75	$129.60
Tigecycline injection	$534.77	$534.77	$534.77	$58.20
Tisagenlecleucel car-pos t	$2,194,589.53	$2,194,589.53	$2,194,589.53	$2,194,589.53
Tisotumab vedotin-tftv 40 mg intravenous solution	$27,364.47	$27,364.47	$27,364.47	$334.80
Tissue culture placenta	$6,844.50	$6,844.50	$6,844.50	$6,844.50
Tissue culture skin/biopsy	$1,358.25	$1,358.25	$1,358.25	$1,358.25
Tissue culture tumor	$873.75	$873.75	$873.75	$945.00
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm	$2,516.07	$2,516.07	$2,516.07	$3,150.60
Tissue matrix xcm thk 20x30cm -cost per sq cm	$1,679.65	$1,679.65	$1,679.65	$1,679.65
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm	$6,114.24	$6,114.24	$6,114.24	$6,114.24
Tissue transglutaminase iga	$41.25	$41.25	$41.25	$100.20
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr	$286.24	$286.24	$286.24	$97.60
Tobramycin non-comp unit	$124.14	$124.14	$124.14	$124.14
Tobramycin peak therapeutic drug level	$94.50	$94.50	$94.50	$180.00
Tomosynthesis breast screen bilateral	$74.25	$74.25	$74.25	$65.40
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution	$517.65	$517.65	$517.65	$130.80
Total tau	$504.00	$504.00	$504.00	$282.60
Toxoplasma antibody igg	$188.25	$188.25	$188.25	$188.25
Toxoplasma antibody igm	$106.50	$106.50	$106.50	$106.50
Tpmt gene com vrnts	$840.00	$840.00	$840.00	$477.00
Trabectedin 1 mg intravenous solution	$13,641.34	$13,641.34	$13,641.34	$2,068.20
Trabeculoplasty laser surg	$1,606.50	$1,606.50	$1,606.50	$671.25
Tracheobrnchsc thru est trachs incisn	$1,812.00	$1,812.00	$1,812.00	$2,597.25
Training self management diabetes individual outpatient department per 30 minutes	$93.75	$93.75	$93.75	$121.20
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution	$77.65	$77.65	$77.65	$77.65
Transcath biopsy	$3,482.25	$3,482.25	$3,482.25	$3,482.25
Transcath occlusion cns	$19,546.50	$19,546.50	$19,546.50	$7,125.60
Transcath occlusion non-cns	$16,788.75	$16,788.75	$16,788.75	$15,162.00
Transcatheter bx s&i	$2,886.75	$2,886.75	$2,886.75	$2,886.75
Transferrin	$121.50	$121.50	$121.50	$108.00
Transfusion blood/blood component(s)	$606.75	$606.75	$606.75	$1,166.25
Transorl lwr esophgl myotomy	$5,814.75	$5,814.75	$5,814.75	$5,814.75
Trastuzumab 150 mg intravenous solution	$5,762.28	$5,762.28	$5,762.28	$5,762.28
Trastuzumab-anns 150 mg intravenous solution	$12,199.65	$12,199.65	$12,199.65	$1,410.00
Trauma partial team response w/critical care services level 4	$3,300.00	$3,300.00	$3,300.00	$6,448.80
Tray bonemarrw oncontrol 102mm	$1,094.25	$1,094.25	$1,094.25	$1,094.25
Treat ankle dislocation	$1,560.00	$1,560.00	$1,560.00	$2,574.60
Treat elbow dislocation	$1,398.75	$1,398.75	$1,398.75	$2,074.80
Treat elbow fracture	$1,398.75	$1,398.75	$1,398.75	$3,135.00
Treat finger fracture each	$1,398.75	$1,398.75	$1,398.75	$2,055.00
Treat fracture of radius	$1,399.50	$1,399.50	$1,399.50	$1,514.25
Treat fracture of radius	$1,678.50	$1,678.50	$1,678.50	$2,055.00
Treat fracture of ulna	$2,006.25	$2,006.25	$2,006.25	$2,006.25
Treat hip dislocation	$1,398.75	$1,398.75	$1,398.75	$3,448.20
Treat humerus fracture	$1,678.50	$1,678.50	$1,678.50	$3,242.40
Treat humerus fracture	$1,678.50	$1,678.50	$1,678.50	$2,848.80
Treat knee dislocation	$1,678.50	$1,678.50	$1,678.50	$2,767.80
Treat knee fracture 27530	$318.00	$318.00	$318.00	$825.60
Treat knee fracture(s)	$593.25	$593.25	$593.25	$642.00
Treat metacarpal fracture	$2,902.50	$2,902.50	$2,902.50	$2,902.50
Treat sternum fracture	$390.75	$390.75	$390.75	$423.00
Treat thigh fracture	$242.25	$242.25	$242.25	$261.75
Treat thigh fx growth plate	$1,678.50	$1,678.50	$1,678.50	$1,815.75
Treat ulnar fracture	$442.50	$442.50	$442.50	$2,979.60
Treat vaginal bleeding	$171.00	$171.00	$171.00	$235.50
Treat wrist bone fracture	$1,398.75	$1,398.75	$1,398.75	$2,184.60
Treat wrist dislocation	$606.75	$606.75	$606.75	$921.60
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour	$254.25	$254.25	$254.25	$246.60
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour	$234.75	$234.75	$234.75	$234.00
Treatment inhalation pressurized/nonpressurized acute airway obstruction	$522.75	$522.75	$522.75	$286.80
Treatment of ankle fracture 27786	$262.50	$262.50	$262.50	$825.60
Treatment of fibula fracture 27780	$516.00	$516.00	$516.00	$769.80
Treatment of foot infection	$1,560.75	$1,560.75	$1,560.75	$1,560.75
Treatment of heel fracture 28400	$313.50	$313.50	$313.50	$759.00
Treatment of thigh fracture	$1,935.75	$1,935.75	$1,935.75	$2,479.80
Treatment of thigh fracture	$677.25	$677.25	$677.25	$677.25
Treatment of thigh fracture	$486.00	$486.00	$486.00	$825.60
Treatment of thigh fracture	$1,912.50	$1,912.50	$1,912.50	$3,597.00
Treatment of toe fracture 28510	$231.00	$231.00	$231.00	$371.40
Treatment x10sv retinopathy	$540.00	$540.00	$540.00	$561.75
Treponema pallidum antibody	$195.75	$195.75	$195.75	$150.60
Treprostinil injection	$21,186.46	$21,186.46	$21,186.46	$9,431.40
Trg gene rearrangement anal	$732.00	$732.00	$732.00	$781.20
Triamcinolone a inj prs-free	$3,235.98	$3,235.98	$3,235.98	$696.00
Triamcinolone acetonide 40 mg/ml suspension for injection	$162.88	$162.88	$162.88	$45.00
Trichinella antibody	$129.75	$129.75	$129.75	$140.25
Triglycerides	$93.00	$93.00	$93.00	$80.40
Trim nondyst nails	$295.50	$295.50	$295.50	$138.60
Trimethobenzamide hcl inj	$191.20	$191.20	$191.20	$99.20
Triptorelin pamoate	$16,454.18	$16,454.18	$16,454.18	$16,454.18
Trml dstrj ios bvn 1st 2 l/s	$12,226.50	$12,226.50	$12,226.50	$12,715.50
Trml dstrj ios bvn ea addl	$9,781.50	$9,781.50	$9,781.50	$9,781.50
Trnscath plc stent crv crtd w/prtct	$9,030.00	$9,030.00	$9,030.00	$9,767.25
Trnscath plc vas stent w/s&i ea addl vein	$9,800.25	$9,800.25	$9,800.25	$9,800.25
Trnscath plc vas stent w/s&i ini vein	$13,370.25	$13,370.25	$13,370.25	$13,370.25
Trnscath retrv pq vasc fb w/guide	$5,142.75	$5,142.75	$5,142.75	$7,288.20
Trnscath tx thromblytc art/ven sbsq day	$4,949.25	$4,949.25	$4,949.25	$5,324.40
Trnscath tx thromblytc artery non-intracrn ini day	$8,571.75	$8,571.75	$8,571.75	$6,966.60
Trnscath tx thromblytc cath rmv sbsq day	$5,623.50	$5,623.50	$5,623.50	$5,623.50
Trnscath tx thromblytc vein ini day	$3,299.25	$3,299.25	$3,299.25	$5,236.20
Troponin quantitative	$171.00	$171.00	$171.00	$137.40
Tte w or without fol w/con,stres	$2,403.00	$2,403.00	$2,403.00	$1,171.20
Tte w or without fol w/cont, com	$1,098.00	$1,098.00	$1,098.00	$1,098.00
Tte w or without fol w/cont, f/u	$666.75	$666.75	$666.75	$666.75
Tx closed distal humerus fx	$2,847.00	$2,847.00	$2,847.00	$153.60
Tx closed hip disl traumatic without anes	$201.75	$201.75	$201.75	$998.40
Tx closed tib fx proximal w/w/o manip w/skel trac	$3,483.00	$3,483.00	$3,483.00	$3,483.00
Tx closed tib shaft fx without manip	$266.25	$266.25	$266.25	$718.20
Tx tarsal bone fx without manip 28450	$324.75	$324.75	$324.75	$509.40
Ugt1a1 gene analy common variants	$438.75	$438.75	$438.75	$1,194.60
Ultrasound abdomen aorta screening study aaa	$378.75	$378.75	$378.75	$288.00
Ultrasound breast complete	$678.75	$678.75	$678.75	$546.60
Ultrasound breast unilateral limited (both sides)	$423.00	$423.00	$423.00	$478.50
Ultrasound chest	$582.00	$582.00	$582.00	$543.60
Ultrasound elastography ea l target les	$163.50	$163.50	$163.50	$177.00
Ultrasound elastography parenchyma	$126.00	$126.00	$126.00	$202.20
Ultrasound encephalogram	$443.25	$443.25	$443.25	$520.80
Ultrasound fetal biophysical profile without non-stress testing	$734.25	$734.25	$734.25	$540.00
Ultrasound guidance for vascular access	$446.25	$446.25	$446.25	$400.20
Ultrasound guide intraoperative	$970.50	$970.50	$970.50	$628.80
Ultrasound guide tissue ablation	$954.75	$954.75	$954.75	$1,032.75
Ultrasound guided needle placement supervision & interpretation	$863.25	$863.25	$863.25	$1,009.80
Ultrasound hips infant dynamic	$310.50	$310.50	$310.50	$516.60
Ultrasound infant hips ltd without stress	$295.50	$295.50	$295.50	$311.25
Ultrasound joint complete left	$783.75	$783.75	$783.75	$808.50
Ultrasound joint/nonvascular extremity limited left	$419.25	$419.25	$419.25	$571.80
Ultrasound ob >=14wks ea addl gest	$879.75	$879.75	$879.75	$849.75
Ultrasound pregnant uterus < 14 weeks each additional gestation	$648.75	$648.75	$648.75	$373.60
Ultrasound pregnant uterus detailed fetal exam single/1st gestation	$925.50	$925.50	$925.50	$925.50
Ultrasound pregnant uterus limited >= 1 fetuses	$645.00	$645.00	$645.00	$630.00
Ultrasound pregnant uterus transvaginal	$754.50	$754.50	$754.50	$703.50
Ultrasound retroperitoneal limited	$543.00	$543.00	$543.00	$606.00
Ultrasound scrotum and contents	$693.75	$693.75	$693.75	$735.75
Ultrasound spinal canal and contents	$998.25	$998.25	$998.25	$571.80
Ultrasound transvaginal non obstetric	$873.75	$873.75	$873.75	$820.80
Unit mobile power mpu	$18,857.25	$18,857.25	$18,857.25	$18,857.25
Unlisted CT procedure	$1,518.00	$1,518.00	$1,518.00	$758.40
Unlisted chemotherapy px	$41.25	$41.25	$41.25	$41.25
Unlisted misc path test	$975.00	$975.00	$975.00	$299.40
Unlisted mr procedure	$1,535.25	$1,535.25	$1,535.25	$1,037.40
Unlisted orl service/px	$117.00	$117.00	$117.00	$121.50
Unlisted procedure colon	$5,822.25	$5,822.25	$5,822.25	$2,595.60
Unlisted procedure liver	$2,694.00	$2,694.00	$2,694.00	$2,694.00
Unlisted procedure microbiology	$256.50	$256.50	$256.50	$277.50
Unlisted procedure rectum	$849.00	$849.00	$849.00	$849.00
Unlisted px abdomen muscskel	$1,461.75	$1,461.75	$1,461.75	$1,520.25
Unlisted px foot/toes	$3,556.50	$3,556.50	$3,556.50	$3,556.50
Unlisted px neck/thorax	$1,989.00	$1,989.00	$1,989.00	$1,989.00
Unlisted px tongue flr mouth	$1,565.25	$1,565.25	$1,565.25	$286.80
Unlisted ultrasound procedure	$462.00	$462.00	$462.00	$306.00
Upper Back (Thoracic Spine) MRI (with and without contrast)	$2,259.00	$2,259.00	$2,259.00	$2,713.80
Upper Back (Thoracic Spine) MRI (with contrast)	$3,169.50	$3,169.50	$3,169.50	$2,039.85
Upper Back (Thoracic Spine) MRI (without contrast)	$1,977.00	$1,977.00	$1,977.00	$2,013.08
Upper Endoscopy (EGD, diagnostic)	$2,400.75	$2,400.75	$2,400.75	$1,751.66
Upper Endoscopy (EGD, with biopsy)	$2,538.75	$2,538.75	$2,538.75	$1,675.80
Uppr gi scope w/submuc inj	$2,091.00	$2,091.00	$2,091.00	$2,978.40
Urea nitrogen	$42.00	$42.00	$42.00	$39.60
Urea nitrogen 24 hour urine	$156.00	$156.00	$156.00	$63.00
Urea nitrogen clearance	$54.75	$54.75	$54.75	$57.00
Ureteral reflux study	$1,251.75	$1,251.75	$1,251.75	$1,353.75
Urethrcystgrphy rtrgrde s&i	$699.75	$699.75	$699.75	$642.60
Urethrocystography void s&i	$707.25	$707.25	$707.25	$880.50
Uric acid blood	$65.25	$65.25	$65.25	$58.50
Uric acid urine	$54.75	$54.75	$54.75	$52.20
Urinalysis (with microscopy)	$118.50	$118.50	$118.50	$36.52
Urinalysis (without microscopy)	$51.00	$51.00	$51.00	$32.50
Urine Culture Test	$101.25	$101.25	$101.25	$65.25
Urine pregnancy test	$57.00	$57.00	$57.00	$69.75
Urography, antegrade	$822.75	$822.75	$822.75	$1,132.80
Use 1st target lesion	$189.00	$189.00	$189.00	$189.00
Ustekinumab 130 mg/26 ml intravenous solution	$8,225.22	$8,225.22	$8,225.22	$55.80
Ustekinumab 45 mg/0.5 ml subcutaneous solution	$109,781.59	$109,781.59	$109,781.59	$16,705.20
Vaccine dtap-hep b-ipv im	$233.91	$233.91	$233.91	$233.91
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im	$99.92	$99.92	$99.92	$99.92
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im	$45.33	$45.33	$45.33	$31.20
Vaccine hepatitis a (hepa) adult im	$241.96	$241.96	$241.96	$108.00
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im	$354.74	$354.74	$354.74	$117.60
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im	$100.79	$100.79	$100.79	$86.40
Vaccine hepatitis b (hepb) adult 3 dose im	$162.07	$162.07	$162.07	$86.40
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im	$109.50	$109.50	$109.50	$168.80
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im	$75.39	$75.39	$75.39	$63.20
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im	$1,044.16	$1,044.16	$1,044.16	$186.00
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im	$44.25	$44.25	$44.25	$45.75
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im	$25.50	$25.50	$25.50	$12.00
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im	$76.50	$76.50	$76.50	$24.00
Vaccine mengingoccocal serogroup b 2 dose im	$569.67	$569.67	$569.67	$109.60
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im	$545.45	$545.45	$545.45	$108.80
Vaccine mmr live subcutaneous	$311.03	$311.03	$311.03	$64.80
Vaccine mmrv live subcutaneous	$957.30	$957.30	$957.30	$957.30
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im	$401.34	$401.34	$401.34	$75.00
Vaccine pneumococcal conjugate 13 valent (pcv13) im	$793.01	$793.01	$793.01	$144.00
Vaccine polio (ipv) subcutaneous/im	$1,529.59	$1,529.59	$1,529.59	$40.20
Vaccine rabies im	$1,514.28	$1,514.28	$1,514.28	$800.00
Vaccine rotavirus attenuated (rv1) live 2 dose oral	$372.30	$372.30	$372.30	$372.30
Vaccine rotavirus pentavalent (rv5) live 3 dose oral	$291.89	$291.89	$291.89	$291.89
Vaccine td preservative free >= 7 years im	$145.19	$145.19	$145.19	$74.40
Vaccine tdap >=7 years im	$131.22	$131.22	$131.22	$42.40
Vaccine varicella live subcutaneous	$642.96	$642.96	$642.96	$642.96
Vaccine yellow fever live subcutaneous	$632.19	$632.19	$632.19	$632.19
Vad battery clip set hmii 14-v li-ion	$2,592.00	$2,592.00	$2,592.00	$2,592.00
Vad univ batt charger hm 1440	$16,971.75	$16,971.75	$16,971.75	$16,971.75
Vaginal bx	$184.50	$184.50	$184.50	$184.50
Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr	$22.29	$22.29	$22.29	$22.29
Valproic acid total therapeutic drug level	$151.50	$151.50	$151.50	$181.20
Valrubicin injection	$6,841.31	$6,841.31	$6,841.31	$6,841.31
Vancomycin 1,000 mg intravenous injection	$366.03	$366.03	$366.03	$0.60
Vancomycin 750 mg intravenous solution	$303.13	$303.13	$303.13	$303.13
Vancomycin peak therapeutic drug level	$144.00	$144.00	$144.00	$155.40
Varicella zoster antibody igg	$184.50	$184.50	$184.50	$117.00
Varicella-zoster immue globin im	$8,070.06	$8,070.06	$8,070.06	$2,109.00
Vasc emb/occ w/prs cath	$17,508.00	$17,508.00	$17,508.00	$17,508.00
Vasopressin 20 unit/ml intravenous solution	$103.53	$103.53	$103.53	$42.00
Vedolizumab 300 mg intravenous solution	$34,608.27	$34,608.27	$34,608.27	$27,154.80
Veeg unmon 12-26 hrs	$390.00	$390.00	$390.00	$1,194.00
Vein x-ray adrenal gland	$1,992.75	$1,992.75	$1,992.75	$2,489.25
Vein x-ray kidney	$2,542.50	$2,542.50	$2,542.50	$2,587.20
Vein x-ray liver w/hemodynam	$2,792.25	$2,792.25	$2,792.25	$3,125.25
Vein x-ray skull	$2,236.50	$2,236.50	$2,236.50	$2,489.25
Velaglucerase alfa 400 unit intravenous solution	$5,564.78	$5,564.78	$5,564.78	$5,564.78
Ven thrombosis images bilat	$1,047.75	$1,047.75	$1,047.75	$1,103.25
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)	$133.50	$133.50	$133.50	$122.40
Venogram ext bil s&i	$2,285.25	$2,285.25	$2,285.25	$3,476.40
Venogram extremity supervision & interpretation unilateral	$1,528.50	$1,528.50	$1,528.50	$1,528.50
Ventilator each subsequent day	$650.25	$650.25	$650.25	$1,417.20
Ventilator initial day	$1,081.50	$1,081.50	$1,081.50	$1,585.80
Ventricular puncture prev burr hole without inj 61020	$666.75	$666.75	$666.75	$693.75
Very long chain fatty acids	$483.75	$483.75	$483.75	$342.75
Vest large holster	$1,012.50	$1,012.50	$1,012.50	$1,012.50
Vinblastine 1 mg/ml intravenous solution	$177.38	$177.38	$177.38	$159.60
Vincristine 1 mg/ml intravenous solution	$111.30	$111.30	$111.30	$111.30
Vinorelbine 10 mg/ml intravenous solution (wrapper)	$177.04	$177.04	$177.04	$417.00
Vital capacity test	$186.75	$186.75	$186.75	$186.75
Vitamin D Test	$290.25	$290.25	$290.25	$145.80
Vitamin b-12	$141.75	$141.75	$141.75	$133.80
Volume measurement urine timed	$35.25	$35.25	$35.25	$35.25
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr	$221.85	$221.85	$221.85	$690.60
Warde 1003990 aldosterone	$244.50	$244.50	$244.50	$299.40
Warde 1005020 citrate 24 hour urine	$216.75	$216.75	$216.75	$210.60
Warde 1005055 5-hiaa 24 hour urine	$147.75	$147.75	$147.75	$147.75
Warde 1006955 catecholamines fractionated 24 hour urine	$237.00	$237.00	$237.00	$237.00
Warde 1007138 vanillymandelic acid 24 hour urine	$146.25	$146.25	$146.25	$146.25
Warde 1015200 kappa light chain free	$123.75	$123.75	$123.75	$130.80
Warde 3004000 immunoglobulin subclass 1	$141.00	$141.00	$141.00	$141.00
Warde 3008005 oligoclonal bands	$59.25	$59.25	$59.25	$213.00
Warde 3016000 west nile virus antibody	$155.25	$155.25	$155.25	$111.20
Warde 3016000 west nile virus antibody igg	$153.75	$153.75	$153.75	$111.20
Warde 3016300 saccharomyces cerevisiae iga antibody	$44.25	$44.25	$44.25	$100.80
Warde 3400652 ova & parasites direct smear concentration and id	$33.00	$33.00	$33.00	$50.00
Warde 3400652 smear complex special stain ova/parasites	$36.00	$36.00	$36.00	$100.20
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis	$400.50	$400.50	$400.50	$447.60
Warde 3400852 arsenic	$258.00	$258.00	$258.00	$170.25
Warde 3708165 mercury urine	$135.00	$135.00	$135.00	$122.40
Warde acetylcholine receptor blocking antibody	$357.75	$357.75	$357.75	$357.75
Warde actin (smooth muscle) antibody each	$124.50	$124.50	$124.50	$132.60
Warde adenosine deaminase pleural fluid	$402.00	$402.00	$402.00	$87.60
Warde adrenocorticotropic hormone (acth)	$103.50	$103.50	$103.50	$241.20
Warde aldolase	$79.50	$79.50	$79.50	$139.20
Warde amino acids 6 or more quantitative each specimen	$552.75	$552.75	$552.75	$552.75
Warde amiodarone therapeutic drug level	$97.50	$97.50	$97.50	$141.00
Warde analysis gene hfe common variants	$136.50	$136.50	$136.50	$1,048.20
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative	$255.75	$255.75	$255.75	$788.00
Warde anti-mullerian hormone	$198.75	$198.75	$198.75	$198.75
Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites	$118.50	$118.50	$118.50	$118.50
Warde apolipoprotein b	$175.50	$175.50	$175.50	$133.80
Warde bile acids	$143.25	$143.25	$143.25	$143.25
Warde cadmium blood	$80.25	$80.25	$80.25	$119.40
Warde calcitonin	$111.75	$111.75	$111.75	$200.40
Warde calculus (stone) infrared	$116.25	$116.25	$116.25	$116.25
Warde clozapine therapeutic drug level	$92.25	$92.25	$92.25	$129.60
Warde cobalt heavy metal quantitative each nes	$229.50	$229.50	$229.50	$248.25
Warde collagen cross links c-telopeptide	$243.00	$243.00	$243.00	$207.00
Warde complement total hemolytic	$220.50	$220.50	$220.50	$171.75
Warde copper	$264.00	$264.00	$264.00	$174.75
Warde cryoglobulin	$160.50	$160.50	$160.50	$91.20
Warde erythropoietin	$162.00	$162.00	$162.00	$162.00
Warde fluorescent antibody screen endomysial iga	$132.75	$132.75	$132.75	$102.00
Warde folic acid rbc	$52.50	$52.50	$52.50	$90.60
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative	$252.75	$252.75	$252.75	$252.75
Warde gastrin	$154.50	$154.50	$154.50	$154.50
Warde growth hormone (hgh)	$127.50	$127.50	$127.50	$127.50
Warde haloperidol therapeutic drug level	$93.75	$93.75	$93.75	$81.00
Warde helminth antibody strongyloides igg	$193.50	$193.50	$193.50	$150.60
Warde hemoglobin fractionation/quantitation electrophoresis	$506.25	$506.25	$506.25	$112.80
Warde hepatitis a antibody	$111.75	$111.75	$111.75	$123.00
Warde hepatitis be antibody	$94.50	$94.50	$94.50	$100.20
Warde hepatitis delta agent antibody	$233.25	$233.25	$233.25	$142.20
Warde immunofixation electrophoresis urine	$414.00	$414.00	$414.00	$279.20
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn	$93.75	$93.75	$93.75	$103.20
Warde infectious agent nucleic acid genotype hepatitis c	$1,425.00	$1,425.00	$1,425.00	$1,579.80
Warde islet cell antibody zinc transporter 8	$569.25	$569.25	$569.25	$210.00
Warde lipoprotein (a)	$63.00	$63.00	$63.00	$93.00
Warde mitochondrial antibody each	$114.00	$114.00	$114.00	$114.00
Warde neutralization rabies	$169.50	$169.50	$169.50	$105.00
Warde oxcarbazepine therapeutic drug level	$64.50	$64.50	$64.50	$141.00
Warde pancreatic elastase fecal quantitative	$129.00	$129.00	$129.00	$144.75
Warde protein c antigen	$176.25	$176.25	$176.25	$122.25
Warde sex hormone binding globulin	$156.75	$156.75	$156.75	$155.40
Warde somatomedin	$119.25	$119.25	$119.25	$119.40
Warde sugars single qualitative each specimen stool	$59.25	$59.25	$59.25	$39.75
Warde t3 (triiodothyronine) reverse	$85.50	$85.50	$85.50	$154.80
Warde thyroid stimulating immunoglobulins	$407.25	$407.25	$407.25	$407.25
Warde topiramate therapeutic drug level	$377.25	$377.25	$377.25	$157.60
Warde virus isolation tissue culture innoculation presumptive id herpes simplex	$104.25	$104.25	$104.25	$216.60
Warde viscosity	$187.50	$187.50	$187.50	$153.00
Warde vitamin a	$111.75	$111.75	$111.75	$97.20
Warde vitamin b-1 (thiamine)	$99.75	$99.75	$99.75	$194.40
Warde vitamin b6 (pyridoxine)	$145.50	$145.50	$145.50	$226.80
Warde vitamin c (ascorbic acid)	$27.00	$27.00	$27.00	$104.40
Warde vitamin d (1 25 dihydroxy)	$205.50	$205.50	$205.50	$426.00
Warde vitamin e (alpha-tocopherol)	$59.25	$59.25	$59.25	$102.00
Warde zinc	$95.25	$95.25	$95.25	$114.60
Wbc automated	$66.00	$66.00	$66.00	$36.60
Western blot test	$696.00	$696.00	$696.00	$181.20
Whole blood/red blood cells leukocytes reduced cmv negative each unit	$1,434.00	$1,434.00	$1,434.00	$267.60
Wnd prep f/n/hf/g addl cm	$1,022.25	$1,022.25	$1,022.25	$1,022.25
Wound therapy negative pressure per session <= 50 sq cm	$586.50	$586.50	$586.50	$211.20
Wound therapy negative pressure per session <= 50 sq cm dme	$284.25	$284.25	$284.25	$230.40
Wound therapy negative pressure per session > 50 sq cm	$633.00	$633.00	$633.00	$230.40
Wound therapy negative pressure per session > 50 sq cm dme	$319.50	$319.50	$319.50	$336.60
Wrist X-ray	$470.25	$470.25	$470.25	$311.20
X-ray abdomen 1 view	$256.50	$256.50	$256.50	$405.00
X-ray abdomen 2 views	$442.50	$442.50	$442.50	$395.20
X-ray abdomen >=3 views	$449.25	$449.25	$449.25	$405.00
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest	$655.50	$655.50	$655.50	$504.00
X-ray acromioclavicular joints without or w/weighted distraction bilateral	$444.00	$444.00	$444.00	$405.00
X-ray ankle 2 views (both sides)	$398.25	$398.25	$398.25	$405.00
X-ray arthrogram shoulder supervision & interpretation (both sides)	$911.25	$911.25	$911.25	$868.80
X-ray bone age studies	$327.00	$327.00	$327.00	$327.00
X-ray bone length studies	$366.00	$366.00	$366.00	$405.00
X-ray bone survey complete	$743.25	$743.25	$743.25	$743.25
X-ray bone survey infant	$216.00	$216.00	$216.00	$303.60
X-ray cervical spine 2-3 views	$384.75	$384.75	$384.75	$419.40
X-ray cervical spine 4-5 views	$590.25	$590.25	$590.25	$590.25
X-ray cervical spine >= 6 views	$603.75	$603.75	$603.75	$679.20
X-ray clavicle complete (both sides)	$281.25	$281.25	$281.25	$281.25
X-ray colon abdominal radiograph(s) & delayed images single contrast study	$886.50	$886.50	$886.50	$779.40
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study	$896.25	$896.25	$896.25	$1,107.00
X-ray elbow 2 views (both sides)	$290.25	$290.25	$290.25	$405.00
X-ray elbow >= 3 views (both sides)	$441.75	$441.75	$441.75	$405.00
X-ray esophogram chest radiograph(s) & delayed images single contrast study	$570.00	$570.00	$570.00	$713.40
X-ray exam entire spi 4/5 vw	$295.50	$295.50	$295.50	$666.60
X-ray exam entire spi 6/> vw	$295.50	$295.50	$295.50	$666.60
X-ray exam of arm infant	$318.75	$318.75	$318.75	$318.75
X-ray exam of eye sockets	$569.25	$569.25	$569.25	$405.00
X-ray exam of femur 1	$396.00	$396.00	$396.00	$287.20
X-ray exam of jaw joint	$331.50	$331.50	$331.50	$405.00
X-ray exam of mastoids	$333.00	$333.00	$333.00	$333.00
X-ray exam of sinuses	$343.50	$343.50	$343.50	$343.50
X-ray exam thorac spine4/>vw	$538.50	$538.50	$538.50	$456.60
X-ray facial bones complete > 3 views	$551.25	$551.25	$551.25	$444.00
X-ray femur >=2 views (both sides)	$414.00	$414.00	$414.00	$414.00
X-ray finger(s) >= 2 views (both sides)	$310.50	$310.50	$310.50	$310.50
X-ray foot 2 views (both sides)	$398.25	$398.25	$398.25	$405.00
X-ray forearm 2 views (both sides)	$360.75	$360.75	$360.75	$405.00
X-ray hand 2 views (both sides)	$370.50	$370.50	$370.50	$419.40
X-ray heel/calcaneus > 2 views (both sides)	$387.75	$387.75	$387.75	$354.40
X-ray hip uni w/wo pelvis min 4 views	$513.75	$513.75	$513.75	$414.00
X-ray hip with pelvis when performed bilateral 2 views	$423.00	$423.00	$423.00	$405.00
X-ray hip with pelvis when performed bilateral 3-4 views	$449.25	$449.25	$449.25	$419.40
X-ray hip with pelvis when performed bilateral >= 5 views	$607.50	$607.50	$607.50	$507.75
X-ray hip with pelvis when performed unilateral 1 view left	$270.00	$270.00	$270.00	$405.00
X-ray humerus >= 2 views left	$285.00	$285.00	$285.00	$405.00
X-ray joint survey 1 view	$343.50	$343.50	$343.50	$345.00
X-ray knee 1-2 views (both sides)	$267.75	$267.75	$267.75	$405.00
X-ray knee 3 views (both sides)	$276.75	$276.75	$276.75	$399.00
X-ray knee ap standing bilateral	$276.00	$276.00	$276.00	$276.00
X-ray l/s-spine bend vw only 2-3 vw	$420.00	$420.00	$420.00	$408.00
X-ray lower extremities infant > 2 views (both sides)	$329.25	$329.25	$329.25	$405.00
X-ray lumbosacral spine >= 4 views	$577.50	$577.50	$577.50	$666.60
X-ray lumbosacral spine complete including bending views >= 6 views	$645.00	$645.00	$645.00	$682.20
X-ray mandible complete > 4 views	$491.25	$491.25	$491.25	$412.80
X-ray mandible ltd <4 views	$326.25	$326.25	$326.25	$375.60
X-ray nasal bones complete > 3 views	$470.25	$470.25	$470.25	$316.80
X-ray neck soft tissue	$314.25	$314.25	$314.25	$314.25
X-ray nose to rectum for foreign body child	$387.75	$387.75	$387.75	$246.00
X-ray optic foramina	$353.25	$353.25	$353.25	$338.25
X-ray pelvis 1-2 views	$201.75	$201.75	$201.75	$405.00
X-ray pelvis complete > 3 views	$453.75	$453.75	$453.75	$419.40
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation	$839.25	$839.25	$839.25	$839.25
X-ray ribs 2 views left	$303.75	$303.75	$303.75	$304.80
X-ray ribs 3 views bilateral	$551.25	$551.25	$551.25	$456.60
X-ray ribs w/posterior anterior chest 3 views left	$473.25	$473.25	$473.25	$405.00
X-ray ribs w/posterior anterior chest > 4 views bilateral	$600.75	$600.75	$600.75	$644.40
X-ray sacroiliac joints >= 3 views	$528.75	$528.75	$528.75	$405.00
X-ray sacrum/coccyx >= 2 views	$281.25	$281.25	$281.25	$387.60
X-ray scapula complete (both sides)	$323.25	$323.25	$323.25	$304.20
X-ray shoulder 1 view (both sides)	$263.25	$263.25	$263.25	$405.00
X-ray sinus tract/fistula/abscess	$759.00	$759.00	$759.00	$1,167.00
X-ray sinuses paranasal complete > 3 views	$374.25	$374.25	$374.25	$419.40
X-ray skull < 4 views	$481.50	$481.50	$481.50	$377.25
X-ray skull > 4 views complete	$666.00	$666.00	$666.00	$532.80
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study	$630.75	$630.75	$630.75	$669.60
X-ray small intestine follow-through study	$390.00	$390.00	$390.00	$419.40
X-ray spine single view	$327.00	$327.00	$327.00	$327.00
X-ray sternoclavicular joint(s) > 3 views	$393.00	$393.00	$393.00	$393.00
X-ray sternum > 2 views	$382.50	$382.50	$382.50	$382.50
X-ray surgical specimen	$400.50	$400.50	$400.50	$400.50
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study	$559.50	$559.50	$559.50	$779.40
X-ray temporomandibular joint open/closed mouth bilateral	$631.50	$631.50	$631.50	$456.60
X-ray thoracic spine 2 views	$267.75	$267.75	$267.75	$405.00
X-ray thoracic spine 3 views	$515.25	$515.25	$515.25	$456.60
X-ray thoracolumbar spine >=2 views	$348.00	$348.00	$348.00	$348.00
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view	$267.00	$267.00	$267.00	$396.00
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views	$281.25	$281.25	$281.25	$666.60
X-ray tibia/fibula 2 views (both sides)	$436.50	$436.50	$436.50	$419.40
X-ray toe(s) > 2 views (both sides)	$281.25	$281.25	$281.25	$364.80
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast	$690.00	$690.00	$690.00	$690.00
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study	$570.00	$570.00	$570.00	$580.20
X-ray wrist 2 views (both sides)	$277.50	$277.50	$277.50	$405.00
Xm archive tissue molec anal	$55.50	$55.50	$55.50	$51.75
Ziconotide injection	$4,530.00	$4,530.00	$4,530.00	$4,530.00
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr	$100.06	$100.06	$100.06	$100.06
Zika virus dna/rna amp probe	$253.50	$253.50	$253.50	$197.25
Zika virus igm antibody	$148.50	$148.50	$148.50	$114.75
Ziprasidone 20 mg/ml (final concentration) intramuscular solution	$32.46	$32.46	$32.46	$229.80
Zoledronic acid 4 mg/5 ml intravenous solution	$146.06	$146.06	$146.06	$3,207.00
_afb id by dna probe rflx ast	$138.75	$138.75	$138.75	$141.00
_propoxygc/msur	$222.00	$222.00	$222.00	$222.00