Hospital prices in Pennsylvania

25 hospitals across 20 cities · systems: UPMC

Cities

• Altoona (1)
• Carlisle (1)
• Coudersport (1)
• Erie (1)
• Everett (1)
• Greenville (1)
• Hanover (1)
• Harrisburg (1)
• Kane (1)
• Lititz (1)
• Mckeesport (1)
• Monroeville (1)
• Muncy (1)
• New Castle (1)
• Pittsburgh (6)
• Seneca (1)
• Somerset (1)
• Wellsboro (1)
• Williamsport (1)
• York (1)

Hospitals

What procedures cost in Pennsylvania

Cash prices across hospitals in this state. The bar shows the state's min–median–max against the same range.

Procedure	Lowest cash	Median	Highest	Spread
#a/b/c/c/h pnl-candida albicans ab	$66.60	$133.20	$282.60
#acylcarnitineprfl	$36.00	$205.80	$1,687.20
#afb mycobacteria suscep. #1	$41.40	$41.40	$218.40
#aptt mix-1:1 incubated	$229.20	$256.80	$1,617.60
#bac vag cand-c. albicans naa	$183.00	$306.00	$474.00
#cbg+cort-cbg	$128.40	$246.00	$1,557.00
#celiac hla-dq2	$1,253.40	$1,253.40	$1,253.40
#celiac hla-dq8	$1,607.40	$1,687.80	$1,704.00
#cf-97variants	$2,487.60	$3,357.60	$5,034.60
#cms hgb-sulfhemoglobin	$38.40	$38.40	$38.40
#cmvcul-virus inoculation shell	$8.40	$83.40	$903.60
#covid19rsv-rsv	$390.60	$390.60	$390.60
#coxa-coxsackie a serotype a16	$72.60	$110.40	$604.80
#creutz-prot.,western blot	$146.40	$176.80	$4,555.80
#fecal-sodium	$24.60	$83.40	$5,749.20
#flow interp 9 - 15 markers	$55.20	$303.00	$777.00
#pnh-flow cytometry interp	$165.60	$547.20	$837.60
#resp virpnl dfa-adenovirus	$114.60	$139.80	$196.80
#resp virpnl dfa-parainfluenza	$3,060.60	$3,060.60	$3,060.60
(both sides) smear without diff wbc count	$121.80	$121.80	$147.20
11-desoxycortisol - sendout	$148.20	$493.80	$671.40
17-hydroxypregnenolone	$49.20	$307.20	$384.00
17-ketosteroids	$46.20	$343.20	$963.00
24 hr ambulatory b/p monitor	$137.40	$162.60	$460.80
2d tee w or without fol w/con,in	$848.40	$1,641.60	$4,258.80
2d tte w or without fol w/con,co	$848.40	$2,004.60	$2,907.00
2nd order venous cath	$438.00	$8,112.60	$13,378.80
3-d radiotherapy plan	$3,859.80	$5,005.80	$11,433.60
3d ech img cgen car anomal	$139.20	$1,419.60	$1,968.00
3d recon without postprocess indpndt	$543.00	$843.20	$4,528.20
5' nucleotidase - sendout	$56.40	$223.20	$455.40
88334 ap bill cytologic exam each additional site	$79.80	$91.20	$231.60
99381 initial comp preventive med less than 1 year new	$134.40	$134.40	$134.40
99382 initial comp preventive med 1 to 4 years new	$117.00	$117.00	$143.40
99383 initial comp preventive med 5 to 11 years new	$97.20	$97.20	$151.20
99391 periodic comp preventive med less than 1 year est	$82.80	$82.80	$122.40
99392 periodic comp preventive med 1 to 4 years est	$98.40	$98.40	$134.40
99393 periodic comp preventive med 5 to 11 years est	$82.80	$82.80	$134.40
99394 periodic comp preventive med 12 to 17 years est	$86.40	$86.40	$151.20
99397 periodic comp preventive med 65+ years est	$103.20	$176.40	$178.80
Abatacept (with maltose) 250 mg intravenous solution	$83.20	$213.00	$4,845.00
Abciximab injection	$3,955.80	$6,244.80	$6,244.80
Abd aorta w/runoff s&i	$2,938.80	$4,443.00	$12,253.80
Abd paracentesis/w/o image guide 49082	$971.40	$1,641.00	$7,134.00
Abd/low ext cath 1st	$1,138.20	$4,540.80	$5,849.40
Abd/low ext cath 2nd	$948.00	$4,366.20	$7,748.40
Abd/low ext cath 3rd	$1,129.20	$4,867.80	$8,613.60
Abd/low ext cath addl	$677.40	$841.20	$4,321.20
Abdominal CT scan (with and without contrast)	$969.00	$1,819.80	$5,272.80
Abdominal CT scan (with contrast)	$754.20	$1,565.40	$4,599.60
Abdominal CT scan (without contrast)	$590.40	$1,226.40	$4,104.00
Abdominal MRI (with and without contrast)	$1,915.20	$3,815.40	$9,808.20
Abdominal MRI (with contrast)	$1,393.80	$2,713.80	$8,004.00
Abdominal MRI (without contrast)	$1,335.60	$2,205.00	$6,214.20
Abdominal Ultrasound (complete)	$394.20	$658.20	$2,313.60
Abdominal Ultrasound (limited)	$280.80	$475.80	$1,597.80
Abdominal paracentesis w/image guidance	$1,225.20	$1,898.40	$8,546.40
Abdominoplasty 15830	$3,040.80	$3,040.80	$3,040.80
Abl1 gene	$1,282.20	$2,004.60	$3,373.80
Ablat 1/+thyr ndul addl prq rf	$1,983.00	$1,983.00	$1,983.00
Ablate arrhythmia add on	$5,650.20	$6,913.20	$59,370.00
Ablate bone tumor(s) cryo perq 20983	$18,135.00	$18,135.00	$41,445.60
Ablate bone tumor(s) perq	$12,743.40	$12,743.40	$41,445.60
Ablate heart dysrhythm focus	$4,569.60	$7,078.20	$11,019.60
Ablate pulm tumor perq crybl	$9,977.40	$9,977.40	$24,227.40
Ablate pulm tumor perq rf	$14,655.00	$14,655.00	$22,931.40
Ablation cardiac vagal inputs atrium	$265.80	$377.40	$1,960.80
Ablation cryo abd perit om	$81.00	$122.40	$6,311.40
Ablation cryo adrenal tumor	$138.60	$138.60	$59,707.20
Ablation cryo pq liver tumor(s)	$14,653.80	$14,653.80	$36,600.60
Ablation cryo retro lymph node	$570.00	$570.00	$570.00
Ablation cryo thigh/knee	$336.00	$464.40	$507.20
Ablation of upper extremity nerves rf	$825.60	$998.40	$3,989.40
Abltj 1/+thyr ndul 1lobe prq	$3,965.40	$3,965.40	$3,965.40
Abltj mal prst8 tiss hifu	$12,768.00	$12,768.00	$12,768.00
Abobotulinumtoxina	$51.15	$64.60	$4,582.80
Abortion (mpr)	$571.80	$571.80	$571.80
Abscess drain retroperitoneal surg code	$3,637.20	$7,281.60	$9,792.60
Access & clsr pq fem art endogft dlvry w/img uni	$504.00	$504.00	$5,737.80
Access thoracic lymph duct	$3,812.40	$3,812.40	$3,812.40
Acetaminophen 10 mg/ml soln 100 ml glass cont	$0.60	$2.40	$168.60
Acetaminophen 120 mg rectal suppository	$9.00	$9.00	$9.00
Acetaminophen level	$159.60	$159.60	$159.60
Acetazolamide 500 mg solution for injection	$25.80	$256.80	$1,307.40
Acetone qualitative	$17.40	$50.40	$440.40
Acetylcholine receptor modulating antibody	$83.40	$274.80	$2,202.60
Acetylcholinesterase assay	$44.40	$44.40	$44.40
Acetylcysteine 200 mg/ml (20 %) intravenous solution	$12.60	$1,044.60	$2,785.80
Acetylcysteine non-comp unit	$42.80	$92.80	$438.00
Acne surgery 10040	$87.60	$103.80	$284.40
Aco annual medicare visit (awv), initial g0438aco	$121.80	$121.80	$432.00
Aco annual medicare visit (awv), subsq g0439aco	$141.00	$141.00	$290.40
Aco cont gluc mnt phys/qhp eqp 95250aco	$390.00	$417.00	$955.80
Aco med nutria tx/group, ea 30 min 97804aco	$20.40	$20.40	$52.80
Actigraphy testing	$728.40	$728.40	$728.40
Actinotherapy uv light	$189.60	$189.60	$189.60
Acup 1/> w/estim 1st 15 min	$15.00	$15.00	$15.00
Acute hepatitis panel	$306.00	$573.60	$921.60
Acute venous thrombus image	$479.40	$580.00	$1,350.60
Acyclovir 400 mg tablet	$13.20	$13.20	$13.20
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr	$0.60	$74.40	$4,042.80
Adapt behavior tx phys/qhp	$114.00	$114.00	$114.00
Adapter b 8 channel 10cm	$496.20	$1,725.60	$17,888.40
Adenosine 3 mg/250 ml bag for osm	$6.00	$382.20	$3,166.80
Adenovirus ag ia	$24.00	$187.80	$196.00
Adenovirus antibody,serum - quest	$46.20	$97.20	$235.80
Adh-sendout	$123.00	$311.40	$3,237.00
Adj gastric band via subq port	$80.40	$2,977.20	$4,264.00
Adj tis trans/see area/10.1-30sqcm 14041	$3,955.80	$3,955.80	$4,326.00
Adjmt/revj ext fixj sys anes	$4,493.40	$4,493.40	$4,493.40
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution	$44.40	$450.00	$3,000.00
Administration chemotherapy IV infusion each additional hour	$197.40	$223.20	$684.60
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr	$197.40	$322.20	$554.40
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug	$608.40	$808.20	$984.60
Administration chemotherapy IV push single/initial substance/drug	$361.80	$526.20	$652.20
Administration chemotherapy subcutaneous/im anti neoplastic hormonal	$154.80	$243.00	$568.20
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal	$154.80	$223.20	$554.40
Administration immunization 1 vaccine	$12.00	$12.00	$115.20
Administration immunization each additional component	$40.20	$48.60	$58.80
Administration immunization each additional vaccine	$12.00	$12.00	$67.80
Administration immunization first component each vaccine	$115.20	$234.60	$395.40
Administration immunization intranasal/oral route 1 vaccine	$12.00	$12.00	$18.40
Administration immunization intranasal/oral route each additional vaccine	$18.40	$18.40	$18.40
Administration rsv monoclonal ab seasonal dose im w/counseling	$24.00	$24.00	$25.20
Administration vaccine hepatitis b	$12.00	$12.00	$99.00
Administration vaccine influenza virus	$12.00	$12.00	$16.00
Administration vaccine pneumococcal	$12.00	$12.00	$72.60
Administration vaccine rsv monoclonal ab seasonal dose im	$24.00	$24.00	$25.20
Ado-trastuzumab emtansine 100 mg intravenous solution	$102.60	$108.60	$3,735.60
Adrenal cortex & medulla img	$1,703.40	$4,242.60	$8,015.40
Advance care planning each additional 30 min 99498	$572.40	$572.40	$572.40
Aep hearing status deter i&r	$154.40	$336.60	$1,386.60
Aep neurodiagnostic i&r	$243.60	$519.60	$1,635.60
Aep thrshld est mlt freq i&r	$295.20	$519.60	$1,635.60
Afamelanotide implant, 1 mg	$6,227.40	$6,529.20	$140,689.80
Aflibercept injection	$6,024.00	$6,024.00	$6,024.00
Agalsidase beta 35 mg intravenous solution	$955.20	$20,627.40	$27,295.80
Air conduction bilat	$72.00	$72.00	$122.40
Air injection into abdomen 49400	$1,285.20	$2,270.40	$6,051.00
Albumin (human), 25%, 50ml	$99.00	$376.00	$1,577.40
Albumin (human), 5%, 250 ml	$466.40	$682.40	$810.00
Albumin (microalbumin) 24 hour urine quantitative	$29.40	$280.20	$606.00
Albumin body fluid quantitative each specimen	$15.00	$40.20	$93.60
Albumin serum plasma or whole blood	$25.80	$66.60	$165.00
Albumin, human 5 % intravenous solution	$183.60	$183.60	$183.60
Albuterol ipratrop non-comp	$7.80	$13.80	$38.25
Albuterol non-comp con	$0.80	$5.00	$63.00
Albuterol non-comp unit	$6.80	$8.40	$18.00
Aldesleukin injection	$3,330.60	$6,538.20	$8,184.00
Alemtuzumab 12 mg/1.2 ml intravenous solution	$55.50	$8,173.80	$16,540.80
Alkaline phosphatase	$25.80	$114.00	$259.20
All tstg perq&iq drugs/biol	$146.40	$146.40	$146.40
All tstg perq&iq w/venoms	$146.40	$146.40	$146.40
Allergen alpha lactalbumin ige	$25.80	$42.00	$498.00
Allergen egg white ige	$25.80	$57.60	$499.20
Allergy Skin Testing	$16.20	$16.20	$122.40
Allergy injection; single 95115	$10.20	$10.20	$52.20
Allergy injections; 2 or more 95117	$6.80	$6.80	$52.20
Allg patch or app # of tests 95044	$55.20	$55.20	$55.20
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet	$2,221.80	$4,444.20	$33,312.60
Allograft dermis 20x25x1mm decell w/matracell arthroflex	$2,027.40	$9,287.40	$16,546.20
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm	$28,764.00	$28,764.00	$38,351.40
Allograft epieffect 2x3cm-q4186-cost per sq cm	$4,721.40	$4,721.40	$8,304.60
Allograft graftjacket 2x12cm-q4107-cost per sq cm	$3,954.00	$4,781.60	$5,527.20
Allograft membrn amnio 1x2cm hu ambriodry	$825.60	$2,715.00	$9,430.20
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm	$8,445.00	$8,445.00	$8,445.00
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution	$29.80	$40.40	$378.00
Alpha-fetoprotein afp-l3 frac & total	$147.00	$441.00	$1,975.20
Alpha-fetoprotein amniotic	$62.40	$160.20	$193.80
Alpha-fetoprotein tumor marker	$85.20	$155.40	$966.60
Alprostadil for injection	$12.00	$550.20	$550.20
Alt/sgpt	$27.00	$133.80	$235.20
Alteplase 100 mg infusion from pyxis vial	$189.60	$543.20	$40,758.00
Altuviiio per factor viii iu	$13.80	$13.80	$13.80
Aluminum - quest	$110.40	$178.20	$386.40
Alys cplx sp/pn npgt w/prgrm	$369.60	$1,074.00	$1,680.80
Ambl bp mntr w/sw a/r	$91.20	$207.20	$544.20
Amikacin 4 mg/ml intravitreal injection - cnr	$3.60	$26.80	$74.40
Amino acids quant 2-5	$170.40	$220.80	$1,419.00
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr	$8.00	$9.15	$13.00
Aminolevulinic acid delta	$108.60	$178.80	$1,502.40
Aminolevulinic acid hcl top	$725.40	$725.40	$725.40
Aminolevulinic acid, 10% gel	$3.00	$3.00	$3.00
Aminophylline 25 mg/ml intravenous solution (wrapper)	$7.80	$16.40	$92.80
Amiodarone 50 mg/ml intravenous solution	$0.60	$102.60	$1,201.80
Amitriptyline (elavil) -sendout	$63.00	$63.00	$348.60
Amivantamab-vmjw 50 mg/ml intravenous solution	$32.40	$32.40	$298.20
Ammonia	$74.40	$141.00	$235.20
Amniocentesis therapeutic	$1,034.40	$1,034.40	$1,034.40
Amniocentesisdiagnostic 59000	$1,511.40	$1,511.40	$1,511.40
Amniotic fluid scan	$202.80	$202.80	$245.60
Amp f/th 1/2 jt/phalanx w/neurect local flap	$4,150.20	$4,150.20	$5,537.40
Amp metatarsal w/toe single 28810	$4,707.00	$4,707.00	$4,707.00
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr	$28.80	$155.20	$176.40
Amphotericin b lipid complex	$87.60	$87.60	$272.40
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr	$185.40	$621.00	$2,961.60
Ampicillin 1 gram solution for injection	$16.20	$77.40	$316.80
Ampicillin-sulbactam 1.5 gram solution for injection	$43.20	$67.20	$246.60
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis	$213.00	$280.20	$502.20
Amputate metacarpal bone 26910	$10,948.80	$10,948.80	$10,948.80
Amputate thigh through femur 27590	$2,126.40	$2,126.40	$2,126.40
Amputation leg thr tib/fib 27880	$2,446.80	$2,446.80	$2,446.80
Amputation of lower leg	$1,417.20	$1,417.20	$1,417.20
Amputation toe interphalangeal joint	$2,733.00	$3,304.80	$5,593.20
Amylase	$37.80	$113.40	$316.20
An cholangiogram percutaneous compl	$694.80	$3,342.00	$8,599.80
An fluoro guide for cvp	$429.60	$574.80	$1,542.40
Ana ds-dna	$44.40	$216.00	$374.40
Anal pressure record	$633.00	$954.00	$2,451.00
Anal/urinary muscle study	$587.40	$1,722.00	$3,063.60
Anal/urinary muscle study	$580.20	$580.20	$580.20
Analgesics non-opioid definitive assay 1 or 2 acetaminophen	$384.60	$384.60	$384.60
Analysis gene f2 20210g>a variant	$380.40	$2,479.80	$2,503.20
Analysis gene f5 leiden variant	$424.80	$1,251.60	$1,788.00
Analysis tumor	$337.20	$337.20	$337.20
Analyze neurostimulator simple w/reprogramming 95971	$558.60	$670.80	$769.20
Anaplsma phgcytophlm amp prb	$70.80	$290.40	$451.20
Anca screen with reflex to titer -quest	$42.00	$103.20	$548.40
Androstanediol	$103.80	$337.80	$489.00
Angio balloon ctrl dialysis seg add-on	$2,525.40	$8,689.20	$12,229.20
Angio tib/peroneal/init ves/unila 37228	$4,394.40	$30,499.20	$59,645.40
Angio trnslmnl balloon same artery ea addl	$2,162.40	$8,205.00	$11,307.00
Angio trnslmnl balloon same artery ini	$4,416.60	$9,692.40	$18,409.20
Angio trnslmnl balloon same vein ea addl	$1,862.40	$9,243.60	$12,229.20
Angio trnslmnl balloon same vein ini	$4,416.60	$8,689.20	$12,394.80
Angioplasty fem/pop unilat 37224	$4,394.40	$21,886.80	$30,797.40
Angioplasty tib/pero/unilat/ea add 37232	$4,394.40	$19,576.20	$41,503.80
Angioplasty/iliac/init ves/unilat 37220	$3,734.40	$20,309.40	$31,723.80
Angiotensin ii	$147.60	$276.60	$1,953.60
Angiotensin ii 0.5 mg/ml soln 1 ml vial	$175.80	$21,829.80	$99,634.80
Anidulafungin injection	$8.40	$417.00	$2,876.40
Ankle X-ray	$108.00	$258.00	$686.40
Anl sp inf pmp w/mdreprg&fil	$639.00	$793.20	$1,135.80
Annual Physical, Established Patient (age 18-39)	$97.20	$148.20	$590.40
Annual Physical, Established Patient (age 40-64)	$96.60	$148.20	$590.40
Annual Physical, New Patient (age 18-39)	$115.20	$154.80	$590.40
Annual Physical, New Patient (age 40-64)	$121.20	$154.80	$590.40
Anogenital exam child w imag	$684.60	$684.60	$684.60
Anora (draw only)	$24.00	$24.00	$51.00
Anoscopy	$4,468.20	$4,468.20	$4,468.20
Anoscopy and biopsy	$3,726.60	$3,726.60	$8,398.20
Anoscopy control bleeding 46614	$991.20	$2,655.60	$3,812.40
Anoscopy remove fb 46608	$2,551.20	$2,551.20	$3,046.80
Anoscopy remove lesion 46610	$4,468.20	$4,468.20	$4,468.20
Ans parasymp & symp w/tilt	$265.20	$312.00	$1,213.20
Anti mog serum - sendout	$102.00	$132.60	$383.40
Anti-inhibitor	$8.70	$8.70	$1,248.00
Anti-thymocyte glob (equine)(1:1000) intradermal test dose	$3,726.60	$3,726.60	$3,726.60
Antibody	$134.40	$134.40	$134.40
Antibody bacterium, not elsewhere specified	$36.60	$76.80	$285.00
Antibody elution rbc reference	$54.00	$82.40	$893.40
Antibody htlv-i	$46.20	$79.20	$441.60
Antibody htlv/hiv confirm test	$107.40	$175.20	$2,738.40
Antibody id rbc panel	$112.80	$235.80	$1,133.40
Antibody identification platelet antibodies heparin-pf4 igg	$102.60	$527.40	$3,144.00
Antibody influenza virus	$75.60	$147.00	$3,164.40
Antibody lymphocytic choriomeningitis	$46.20	$91.80	$229.20
Antibody screen rbc	$39.60	$113.40	$202.80
Antibody tetanus	$82.20	$112.80	$402.40
Antigen therapy services	$215.40	$215.40	$215.40
Antigen therapy services	$112.80	$112.80	$112.80
Antigen therapy services	$159.00	$159.00	$159.00
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution	$11.40	$15.20	$1,152.00
Antihemophilic viii/vwf comp	$10.20	$10.20	$10.20
Antineutrophil cytoplasmic antibody screen each antibody	$42.00	$103.20	$548.40
Antineutrophil cytoplasmic antibody titer each antibody	$42.00	$156.00	$548.40
Antinuclear antibodies	$62.40	$131.40	$1,444.80
Antinuclear antibodies titer	$63.00	$110.40	$336.00
Antiphosphatidylserine antibody	$89.40	$394.20	$513.00
Antistreptolysin o screen	$29.40	$56.40	$222.60
Antistreptolysin o titer	$41.40	$117.00	$1,373.40
Antithrombin iii activity	$50.40	$157.80	$2,674.80
Antithrombin iii injection	$15.20	$70.20	$70.20
Antithymocyte globuln rabbit	$639.60	$4,183.80	$4,183.80
Aortic dysfunction/dilation	$9,101.40	$9,101.40	$9,243.00
Aortic dysfunction/dilation	$6,552.00	$7,431.60	$9,101.40
Apc gene dup/delet variants	$1,528.20	$2,299.20	$2,299.20
Apc gene full sequence	$399.00	$1,528.20	$1,848.00
Apc gene known fam variants	$40.80	$40.80	$40.80
Apheresis plasma	$1,532.00	$3,486.60	$28,527.60
Apheresis platelets	$1,177.80	$1,177.80	$24,550.80
Apheresis rbc	$25,375.20	$25,375.20	$25,375.20
Apheresis wbc	$976.20	$1,168.80	$66,013.80
Apl(pml-rara) quant - sendout	$503.20	$765.00	$2,235.60
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm	$315.20	$384.00	$634.80
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm	$2,148.00	$2,148.00	$4,381.80
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm	$1,830.40	$1,830.40	$3,272.40
App high cost ss t/a/l <100sq cm addl <25sq cm	$261.00	$345.60	$433.20
App high cost ss t/a/l >100sq cm 1st 100sq cm	$2,326.20	$5,034.60	$6,088.00
App high cost ss t/a/l >100sq cm addl 100sq cm	$2,156.00	$3,272.40	$3,682.80
Appendectomy	$869.40	$869.40	$869.40
Appendix Removal (Laparoscopic)	$805.20	$1,580.40	$1,580.40
Appl cast figure-of-eight	$613.80	$613.80	$613.80
Appl mltpln uni ext fixj sys	$6,347.40	$6,347.40	$6,347.40
Appl modality 1/> areas paraffin bath 97018	$76.80	$80.40	$92.80
Appl modality 1/> areas vasopneumatic devices 97016	$49.80	$76.80	$141.60
Appl multlay comprs arm/hand	$456.00	$508.20	$514.80
Appl unipln uni ext fixj sys	$4,493.40	$4,493.40	$4,493.40
Application finger splntstatic 29130	$158.40	$319.20	$569.60
Application long leg splint 29505	$471.00	$945.60	$2,184.00
Application lower leg splint 29515	$366.60	$471.00	$852.60
Application multi layer compression below knee (both sides)	$274.20	$338.40	$765.00
Application of cylinder cast 29365	$718.80	$801.60	$801.60
Application of forearm cast 29075	$355.80	$463.20	$998.40
Application of long arm cast 29065	$440.40	$1,172.40	$1,343.40
Application of long leg cast 29345	$73.20	$176.40	$901.80
Application of paste boot 29580	$307.20	$471.00	$771.60
Application short leg cast 29405	$62.40	$366.60	$901.80
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm	$170.40	$2,682.00	$4,429.20
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm	$1,242.60	$2,682.00	$4,427.40
Applicator tag rfid localizer 12gx7cm	$168.60	$843.00	$15,901.80
Apply forearm splintdynamic 29126	$237.00	$471.00	$569.60
Apply hand/wrist cast 29085	$520.80	$672.00	$839.40
Apply interstit radiat compl	$2,441.40	$4,419.00	$10,167.00
Apply intrcav radiat compl	$1,959.60	$1,959.60	$1,959.60
Apply of finger splint 29131	$370.80	$514.80	$691.20
Apply rigid leg cast 29445	$631.20	$1,215.60	$1,426.80
Apply short leg castambul type 29425	$100.00	$520.80	$807.60
Apply surf ldr radionuclide	$360.00	$360.00	$360.00
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion	$4.20	$9.20	$13.80
Aqaprn-4 antb flo cytmtry ea	$18.60	$281.40	$373.20
Aqua therapy w/exercise/ea 15 min 97113	$115.20	$137.40	$166.40
Aquaporin-4 antibody cba each	$66.60	$159.00	$383.40
Aquaporin-4 antibody elisa	$58.80	$132.60	$383.40
Aquatic exercise - group charge	$70.80	$93.00	$156.60
Argatroban nonesrd use 1mg	$25.50	$627.00	$11,470.20
Aripiprazole 441 mg/1.6 ml inj	$9.60	$10.20	$10,171.80
Aripiprazole injection	$4.80	$4.80	$4.80
Arsenic trioxide 2 mg/ml intravenous solution	$35.40	$292.80	$2,751.00
Arterial blood draw/perc 36620	$186.60	$622.20	$1,421.60
Artery x-rays adrenal gland	$2,556.60	$3,476.40	$4,380.60
Artery x-rays adrenals	$2,190.00	$3,440.40	$5,906.40
Artery x-rays arm/leg 75710-26	$2,556.60	$2,938.80	$10,031.40
Artery x-rays arms/legs 75716-26	$2,446.20	$2,953.80	$14,206.80
Artery x-rays chest	$3,306.00	$3,898.20	$10,306.80
Artery x-rays lung	$1,885.80	$2,919.00	$3,476.40
Artery x-rays lung	$1,094.40	$5,906.40	$11,853.60
Artery x-rays lungs	$2,797.80	$5,906.40	$12,411.60
Artery x-rays spine	$2,866.20	$9,796.20	$14,206.80
Artery xray each vessel 7577426	$1,365.60	$2,463.60	$5,510.40
Artery xray of abdomen 75726-26	$2,556.60	$4,130.40	$18,946.80
Artery xrays of pelvis 75736 26	$2,556.60	$3,111.60	$18,946.80
Artery-vein nonautograft	$9,842.40	$9,842.40	$9,842.40
Arthrd si jt perq/min nvas	$2,428.20	$2,428.20	$2,428.20
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604	$214.80	$664.20	$1,115.20
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)	$303.00	$453.60	$1,473.60
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)	$214.80	$677.40	$1,140.80
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right	$271.20	$453.60	$855.00
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)	$643.80	$817.20	$1,444.80
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance	$286.80	$453.60	$855.00
Arthrodesis subtalar	$6,347.40	$6,347.40	$6,347.40
Arthrotomy/elbow/exp/drain/rmv fb 24000	$6,347.40	$6,347.40	$6,347.40
Artiss fibrin sealant	$2,568.00	$3,076.20	$6,662.40
Ascenda two piece catheter	$25,665.60	$25,665.60	$80,733.00
Asp & inj w/heparin pleurx cath	$98.40	$568.20	$1,434.00
Asp core fat pad	$83.40	$166.20	$1,589.40
Asp pq spinal cord cyst/syrinx	$2,037.60	$2,037.60	$2,037.60
Aspa gene	$1,108.20	$1,108.20	$1,108.20
Aspir/inj thyroid cyst 60300	$745.80	$971.40	$1,486.20
Aspirate bladder/sprapubic cath 51102	$1,973.40	$3,936.60	$6,756.00
Aspirate pleura without imaging 32554	$1,076.40	$1,215.00	$1,861.20
Aspirate/inj ganglion cyst 20612	$228.00	$561.00	$761.40
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion	$574.80	$971.40	$2,304.60
Aspiration peritonsillar abscess	$109.20	$319.20	$5,248.20
Assay alkaline phosphatase	$44.40	$44.40	$44.40
Assay dir meas fr estradiol	$78.00	$103.20	$128.40
Assay free hydroxyproline	$216.00	$216.00	$216.00
Assay myeloperoxidase	$128.40	$151.80	$205.80
Assay neurflmnt light chain	$259.80	$1,585.20	$2,154.00
Assay of adp & amp	$158.40	$158.40	$292.80
Assay of breath ethanol	$165.00	$165.00	$202.80
Assay of chloramphenicol	$45.60	$45.60	$45.60
Assay of corticosterone	$49.20	$49.20	$283.20
Assay of feces porphyrins	$165.60	$204.60	$838.20
Assay of fluoride	$186.00	$227.40	$317.40
Assay of galactose	$41.40	$41.40	$41.40
Assay of glucosidase	$328.80	$328.80	$342.00
Assay of glutathione	$54.60	$72.00	$93.60
Assay of interleukin-6 (il-6)	$56.40	$100.20	$366.00
Assay of lap enzyme	$34.80	$34.80	$34.80
Assay of leflunomide	$141.00	$141.00	$210.00
Assay of lrh hormone	$159.00	$247.80	$2,413.80
Assay of osteocalcin	$150.60	$223.20	$467.40
Assay of procainamide w/metab	$61.20	$280.80	$547.20
Assay of prostaglandin	$183.60	$298.20	$1,074.60
Assay of salicylate	$159.60	$159.60	$159.60
Assay of sialic acid	$134.40	$188.40	$540.60
Assay of silica	$194.40	$194.40	$266.40
Assay of somatostatin	$118.20	$235.20	$769.20
Assay of thiocyanate	$42.60	$72.60	$273.60
Assay of tyrosine	$123.00	$123.00	$148.20
Assay of urine sulfate	$27.60	$52.20	$175.20
Assay of urine urobilinogen	$301.20	$301.20	$301.20
Assay phosphohexose enzymes	$105.00	$105.00	$130.20
Assay toxin or antitoxin	$110.40	$154.20	$1,108.20
Assess aphasia/interp/rpt/per hr 96105	$214.20	$486.00	$811.20
Assess cyst contrast inject	$708.00	$1,304.40	$10,446.60
Assessment leukocyte fecal qualitative/semiquantitative	$39.00	$47.60	$70.20
Ast/sgot	$25.80	$43.80	$238.80
Atezolizumab 60 mg/ml intravenous solution (wrapper)	$273.60	$313.60	$40,521.60
Athrectomy fem/pop/unilateral 37225	$11,535.60	$34,849.20	$120,934.20
Athrectomy tib/pero/unilat/ini ves 37229	$11,535.60	$24,161.40	$39,924.00
Atropine 0.1 mg/ml injection syringe	$2.70	$22.80	$227.40
Audiometry air + bone	$133.20	$136.20	$138.00
Augment injectable kit 3.0cc	$1,686.00	$7,646.40	$12,612.00
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body	$7,900.20	$8,721.00	$17,598.60
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic	$8,721.00	$9,601.80	$29,186.40
Autoimmune rheumatoid arthr anl 12 mrk ia	$1,666.80	$1,666.80	$2,105.40
Autologous blood op salvage	$199.80	$228.60	$268.80
Autologous blood process	$199.20	$334.20	$821.60
Automated diff wbc count	$32.40	$63.60	$82.80
Autonomic nrv adrenrg inervj	$684.60	$684.60	$684.60
Autonomic nrv parasym inervj	$530.40	$530.40	$530.40
Autonomic nrv syst funj test	$188.40	$604.80	$625.80
Av fistula revision	$9,842.40	$9,842.40	$9,842.40
Av fuse uppr arm basilic	$9,842.40	$9,842.40	$9,842.40
Av fuse uppr arm cephalic	$9,842.40	$9,842.40	$9,842.40
Av fusion direct any site	$5,832.00	$5,832.00	$5,832.00
Av fusion/forearm vein 36820	$9,842.40	$9,842.40	$9,842.40
Avelumab 20 mg/ml intravenous solution	$112.20	$231.00	$4,358.40
Avul nail plate addl	$31.20	$357.00	$571.80
Avulsion nail plate partial/complete simple single nail plate	$366.60	$471.00	$852.60
Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial	$99.60	$100.20	$100.20
Axicabtagene ciloleucel car+	$4,257,600.00	$4,257,600.00	$4,257,600.00
Axillary lymphadenect/superficial 38740	$6,097.20	$6,097.20	$6,097.20
Azacitidine injection	$13.80	$1,762.80	$2,860.20
Azathioprine 50 mg tablet	$10.40	$14.40	$29.25
Azathioprine parenteral	$2,562.00	$2,562.00	$2,562.00
Azithromycin 500 mg intravenous solution	$6.00	$186.40	$1,063.80
Aztreonam 1 gram solution for injection	$11.80	$17.00	$34.20
B cells total count	$112.80	$335.40	$876.00
B-hexosaminidase ea assay	$154.80	$197.40	$316.20
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)	$28.20	$3,464.00	$7,524.60
Baclofen 50 mcg/ml intrathecal solution (wrapper)	$43.80	$420.00	$3,171.60
Baclofen eval charges	$85.80	$118.20	$157.60
Bacterial meningitis antigen	$42.60	$121.60	$316.20
Bacterial vaginosis pcr	$118.20	$336.00	$441.60
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve	$22.20	$24.60	$273.00
Balloon dilate urtrl strix	$3,457.20	$8,132.40	$10,911.00
Barrier film 28ml spray no stng cavilon	$18.60	$18.60	$27.60
Barrier skin flextend 2.25in floating flang new image	$2.40	$3.60	$4.80
Barrier skn ft cx ff red 2.25 ctf new image w/tape	$10.00	$10.00	$10.00
Bartholin gland cyst/marsupializat 56440	$5,744.80	$5,744.80	$5,744.80
Bartonella dna pcr-sendout	$195.60	$671.40	$3,133.20
Basic vestibular evaluation	$462.60	$462.60	$638.40
Basiliximab	$2,629.20	$7,420.80	$7,420.80
Bausch health Ultrasound surg	$609.00	$633.00	$17,911.20
Bcg live 50 mg intravesical suspension	$22.20	$97.80	$732.60
Behavior counsel obesity 15min medicare g0447	$20.40	$20.40	$20.40
Belatacept 250 mg intravenous solution	$20.25	$581.40	$5,053.80
Belimumab 120 mg intravenous solution	$162.00	$1,282.20	$7,881.60
Belt ostomy lg 34-65in	$52.80	$52.80	$52.80
Bendamustine 100 mg intravenous powder for solution	$53.40	$214.20	$19,878.00
Bendamustine 25 mg/ml intravenous solution (bendeka)	$67.20	$87.60	$370.80
Benign lesion paring 2-4	$40.20	$364.20	$1,321.80
Benign lesion paring 4+	$52.80	$573.00	$671.40
Benztropine 1 mg/ml injection solution	$43.80	$126.60	$277.80
Beta 2 glycoprotein 1 antibody iga	$61.80	$183.60	$3,933.60
Beta-2 microglobulin	$74.40	$165.00	$639.00
Beta-amyloid 1-40	$94.80	$1,404.00	$1,670.40
Beta-amyloid 1-42	$94.80	$1,404.00	$1,670.40
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection	$6.60	$76.00	$287.40
Bevacizumab 25 mg/ml intravenous solution	$119.40	$836.00	$25,358.40
Bevacizumab injection	$12.60	$12.60	$12.60
Bevacizumab-awwb 25 mg/ml intravenous solution	$104.40	$459.00	$6,409.80
Bevacizumab-bvzr 25 mg/ml intravenous solution	$91.80	$162.60	$7,163.40
Bilateral n blobk inj pudendal 64430	$2,270.40	$3,548.40	$5,602.80
Bilateral n block inj occipital 64405	$496.20	$945.60	$1,959.60
Bilateral n block inj trigeminal 64400	$452.40	$1,008.00	$2,232.00
Bile duct endoscopy add-on 47550	$7,502.40	$7,502.40	$7,502.40
Biliary endo perq dx w/speci	$4,037.40	$4,037.40	$9,768.60
Biliary endoscopy thru skin	$11,428.80	$11,428.80	$11,428.80
Biliary endoscopy thru skin	$1,036.20	$1,036.20	$18,827.40
Biliary endoscopy thru skin	$3,922.80	$3,922.80	$4,714.20
Bilicheck	$3.00	$3.00	$25.20
Bilirubin direct	$25.20	$82.80	$153.00
Bilirubin total	$25.20	$75.60	$231.60
Biofeedback, pt	$308.40	$388.80	$504.00
Biopsy abdominal mass	$1,119.00	$1,704.60	$4,400.40
Biopsy bone trocar/needle superficial	$1,119.00	$2,058.60	$3,416.40
Biopsy cervixsingle/multiple 57500	$424.20	$7,579.80	$8,772.60
Biopsy external ear 69100	$876.00	$876.00	$1,037.40
Biopsy eyelid & lid margin	$1,783.80	$1,783.80	$2,648.40
Biopsy lower leg soft tissue	$3,128.40	$3,128.40	$4,485.00
Biopsy muscle percutaneous needle	$1,119.00	$1,717.20	$3,123.60
Biopsy needle liver percutaneous	$1,062.60	$1,285.60	$6,913.20
Biopsy needle lymph node superficial	$1,119.00	$1,533.00	$3,088.20
Biopsy of heart lining	$1,461.60	$1,461.60	$3,613.20
Biopsy of lip 40490	$502.20	$672.00	$1,065.60
Biopsy of nail unit 11755	$2,493.60	$2,493.60	$2,634.60
Biopsy of penis 54100	$1,978.20	$1,978.20	$2,767.80
Biopsy of prostate	$1,818.40	$3,295.80	$4,369.80
Biopsy of salivary gland 42400	$971.40	$1,175.20	$2,198.40
Biopsy of tear sac	$3,316.20	$3,316.20	$3,316.20
Biopsy renal percutaneous trocar/needle (both sides)	$1,119.00	$1,560.60	$3,475.20
Biopsy roof of mouth	$988.80	$988.80	$988.80
Biopsy skin incisional single lesion	$529.80	$640.80	$1,055.40
Biopsy vaginal mucosa xtnsv	$5,680.20	$5,680.20	$5,680.20
Biopsy vestibule of mouth 40808	$535.80	$535.80	$981.00
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)	$1,176.60	$1,745.40	$4,644.60
Biopsy, bone open deep	$3,819.60	$3,819.60	$4,321.20
Biopsy/excision of lymph node(s); open deep 38530	$4,592.40	$4,592.40	$4,592.40
Biopsy/soft tissue/neck or thorax 21550	$1,822.80	$2,512.20	$3,820.20
Biospy of bladder	$106.80	$120.00	$2,136.60
Biotinidase - quest	$194.40	$216.60	$267.00
Bis xtracell fluid analysis	$271.20	$271.20	$271.20
Bivalirudin	$12.90	$3,203.40	$5,267.40
Bladder irrigate/lavage/instill 51700	$495.00	$825.60	$1,206.00
Bld prd mix	$29.40	$106.80	$498.00
Bleomycin 15 unit solution for injection	$34.20	$1,014.40	$2,601.60
Blinatumomab 35 mcg intravenous solution	$311.40	$417.00	$14,626.80
Blind interatrial shunt ide	$39,788.40	$39,788.40	$39,788.40
Blink reflex test	$159.60	$310.20	$378.00
Blm gene	$663.60	$663.60	$703.20
Bln 1.2 mono emrg 15x1.2	$805.80	$6,126.60	$15,157.20
Bln 30frx10mmx12cm renal nephromax	$661.80	$4,790.40	$6,414.60
Bln dil 900ml preperitnl	$375.60	$2,067.60	$6,502.20
Bln inpact admiral 4x150x130cm	$3,617.40	$4,954.20	$8,119.80
Bln press regulation 71-80cm	$8,839.20	$10,689.60	$16,708.20
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd	$1,989.60	$5,142.60	$15,638.40
Bln ureth 5ml 28f 2wy ltx st	$43.20	$58.80	$568.20
Block brachial plexus w/cath plmt w/img	$1,486.20	$2,011.80	$3,063.60
Block femoral nerve cont infusion cath w/img	$1,381.20	$1,647.60	$1,990.20
Block paracervical nrv	$948.00	$948.00	$1,508.40
Block plantar digital nerve	$61.80	$491.40	$891.60
Block tap inj(s) w/wo img bi	$655.80	$792.80	$3,063.60
Block tap inj(s) w/wo img uni	$530.40	$699.00	$3,063.60
Blood Clotting (PT/INR) Test	$15.60	$40.80	$308.40
Blood Clotting (PTT) Test	$25.80	$47.40	$511.20
Blood Count (CBC) Test	$31.80	$63.00	$241.20
Blood Count (CBC) Test (without differential)	$28.20	$51.00	$210.00
Blood Culture Test	$56.40	$115.80	$783.60
Blood count spun microhematocrit	$468.60	$468.60	$468.60
Blood draw capillary 36416	$7.80	$12.60	$33.80
Blood gases o2 saturation direct measurement	$121.80	$228.60	$678.60
Blood gases ph venous	$60.00	$114.00	$268.20
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic	$22.80	$30.60	$279.20
Blood occult feces 1-3 determinations other than neoplasm screening qualitative	$20.40	$21.00	$29.40
Blood occult feces colorectal neoplasm screening qualitative	$18.00	$20.40	$29.40
Blood occult peroxidase activity qualitative gastric	$20.40	$50.40	$366.60
Blood smear interpretation	$85.80	$92.40	$198.60
Blood smear microscopic w manual differential wbc count	$20.40	$49.80	$91.80
Blood split unit	$192.60	$300.60	$664.20
Blood typing abo	$8.40	$34.80	$155.40
Blood typing ag donor ea ag	$64.80	$102.00	$403.20
Blood typing patient serum	$112.80	$112.80	$115.20
Blood typing rbc ag non abo/rh ea	$80.40	$84.60	$639.00
Blood typing rh (d)	$40.20	$57.00	$168.60
Blood typing rh phenotype complete reference	$121.20	$121.20	$146.40
Blood volume	$1,284.00	$1,284.00	$1,552.80
Blood, l/r, irradiated	$441.00	$441.00	$441.00
Bone Density Scan (DEXA)	$212.40	$262.80	$351.60
Bone biopsy open superficial	$5,396.40	$5,396.40	$5,752.80
Bone imaging multiple areas	$1,168.20	$1,228.80	$1,412.80
Bone marrow biopsyneedle/trocar 38221	$861.60	$1,180.80	$2,080.80
Bone marrow harvest allogen	$114,389.40	$114,389.40	$114,389.40
Bone marrow imaging body	$1,228.80	$2,315.40	$2,800.00
Bone marrow imaging ltd	$571.20	$1,133.40	$2,551.20
Bone marrow imaging mult	$1,090.80	$1,090.80	$1,228.80
Bone marrow interpretation	$153.00	$251.40	$3,762.00
Bone marrow;aspiration only 38220	$758.40	$917.60	$2,080.80
Bone survey-lead poisoning	$262.80	$697.80	$1,823.40
Bone tendon board add on	$4,765.20	$8,052.00	$13,303.20
Bone void filler nanoss 10cc	$3,186.00	$3,780.00	$4,825.60
Bone/joint imaging ltd area	$361.80	$857.40	$2,067.00
Boot j walker l	$950.40	$1,417.80	$1,714.40
Boot mlti podous univ xlg	$370.20	$370.20	$745.80
Boot walker genesis full shell 3-strap s	$805.80	$861.60	$974.40
Boot walker genesis mid-calf full shell s	$393.60	$393.60	$625.80
Borrelia antibody	$163.80	$176.40	$210.60
Borrelia burgdorferi (lyme disease) antibody nonspecific	$70.80	$99.00	$1,037.40
Borrelia miyamotoi amp prb	$70.80	$349.80	$706.20
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection	$241.20	$3,308.40	$11,202.60
Bowel imaging	$1,137.60	$1,447.80	$3,636.00
Br punct aspir ea add, l	$361.80	$497.40	$1,022.40
Bra surgical elizabeth pink sm	$55.20	$55.20	$202.80
Brace afo lg left 6607	$609.00	$618.60	$1,288.20
Brace ank aftr bioskn med lg	$237.00	$237.00	$237.00
Brace ank air stirrup univ	$249.60	$304.20	$328.80
Brace ankle stablizing lg	$231.60	$302.40	$346.40
Brace knee extender plus 22-30in	$316.20	$351.60	$2,053.80
Brace knee support neoprene padded open patella med	$558.00	$1,083.60	$1,444.80
Brace oths wrist hnd fngr without	$170.40	$201.00	$642.00
Brace wrist classic lft sm	$75.00	$225.00	$522.60
Brach/thor cath 1st	$1,107.60	$4,953.00	$13,008.00
Brach/thor cath 2nd	$947.40	$5,967.60	$15,733.20
Brach/thor cath 3rd	$1,133.40	$3,760.80	$15,733.20
Brach/thor cath addl	$97.20	$3,013.20	$4,249.20
Brachy source yttrium-90	$34,334.40	$37,851.00	$133,443.60
Brachy src nonstrand hdr ir-192	$1,164.60	$1,975.20	$2,066.40
Brachytx isodose complex	$942.60	$1,937.40	$2,930.40
Brachytx isodose intermed	$384.00	$991.80	$1,820.40
Brachytx isodose plan simple	$817.20	$1,241.40	$1,288.20
Braf gene	$293.40	$1,392.00	$1,716.00
Brain MRA (blood vessel MRI, with and without contrast)	$1,596.60	$3,826.20	$9,808.20
Brain MRA (blood vessel MRI, with contrast)	$1,384.20	$2,854.80	$8,004.00
Brain MRA (blood vessel MRI, without contrast)	$1,037.40	$2,205.00	$6,214.20
Brain MRI (with and without contrast)	$1,909.80	$3,601.80	$9,808.20
Brain MRI (with contrast)	$1,243.20	$2,854.80	$8,004.00
Brain MRI (without contrast)	$977.40	$2,244.60	$6,214.20
Brain flow imaging only	$1,557.00	$1,557.00	$1,882.40
Brain image 4+ views	$1,015.80	$1,228.00	$1,574.40
Brain image < 4 views	$1,228.80	$1,228.80	$1,228.80
Brain image w/flow 4 + views	$955.80	$1,574.40	$2,265.60
Brain image w/flow < 4 views	$1,228.80	$1,228.80	$5,323.20
Brca1 dna gene analy known fam var	$235.80	$235.80	$235.80
Brca1&2 gen ful dup/del alys	$2,035.20	$2,287.20	$3,464.00
Brca2 dna gene analy known fam var	$235.80	$235.80	$235.80
Brcassure ashkenazi panel-sendout	$1,824.00	$1,824.00	$1,824.00
Brcassure comprehensive panel-sendout	$1,920.00	$1,920.00	$2,560.00
Breast Biopsy (ultrasound-guided, percutaneous)	$419.40	$2,637.00	$4,790.40
Breast punct aspir cyst, bil	$774.00	$845.40	$1,119.00
Breath hydrogen test 91065	$222.00	$222.00	$552.00
Breath recording infant	$1,793.40	$1,793.40	$1,793.40
Breath tst attain/anal c-14	$592.80	$592.80	$716.80
Brentuximab vedotin 50 mg intravenous solution	$368.80	$843.20	$31,641.60
Brexucabtagene car pos t	$3,867,000.00	$3,867,000.00	$3,867,000.00
Bronch ebus ivntj perph les 31654	$1,015.20	$2,132.40	$4,429.20
Bronch ebus samplng 1/2 node	$2,260.20	$3,484.80	$4,452.00
Bronch ebus samplng 3/> node	$2,476.20	$4,214.40	$8,557.20
Bronch thermoplsty 1 lobe	$1,447.80	$1,447.80	$8,245.80
Bronch thermoplsty 2/> lobes	$8,245.80	$8,245.80	$8,245.80
Bronch w/balloon occlusion	$24,718.80	$24,718.80	$24,718.80
Bronch w/debrdmt subgltc & uppr trach	$81.00	$2,664.80	$4,545.60
Bronch/asp/tracheobronch tree/subs 31646	$3,964.20	$3,964.20	$3,964.20
Bronchial allergy tests	$2,043.60	$2,043.60	$2,043.60
Bronchial challenge	$520.20	$761.40	$5,345.40
Bronchial valve init insert	$9,866.40	$9,866.40	$9,866.40
Bronchial valve remov addl	$1,125.60	$1,125.60	$1,125.60
Bronchial valve remov init	$3,156.00	$3,156.00	$3,156.00
Bronchoscopy bronch stents	$3,273.00	$3,273.00	$8,245.80
Bronchoscopy clear airways 31645	$2,487.00	$2,653.80	$3,515.40
Bronchoscopy dilate w/stent	$6,666.00	$6,666.00	$8,245.80
Bronchoscopy dilate/fx repr	$8,430.00	$8,430.00	$8,430.00
Bronchoscopy revise stent	$3,515.40	$3,515.40	$3,515.40
Bronchoscopy treat blockage	$5,107.80	$5,107.80	$5,107.80
Bronchoscopy w/biopsy(s) 31625	$1,829.40	$2,600.40	$7,882.80
Bronchoscopy w/fb removal 31635	$2,926.80	$3,825.00	$4,545.60
Bronchoscopy w/markers	$3,643.20	$3,643.20	$8,245.80
Bronchoscopy/lung bx addl 31632	$989.40	$989.40	$2,794.80
Bronchoscopy/lung bx each 31628	$1,829.40	$4,162.20	$5,934.00
Bronchoscopy/needle bx addl 31633	$1,959.60	$1,959.60	$1,959.60
Bronchoscopy/needle bx each 31629	$2,470.80	$4,214.40	$7,267.20
Budesonide non-comp unit	$2.40	$714.40	$1,982.40
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr	$0.60	$9.00	$58.80
Bundle his recording	$5,290.20	$5,290.20	$6,244.80
Bundled special stain group 1 microorganisms	$56.40	$145.80	$799.80
Bundled special stain group 2	$56.40	$229.80	$557.40
Bupivacaine 0.1 % epidural pca - 1 hour dose limit	$0.40	$1.40	$2.00
Buprenorph X-ray 100 mg or less	$5,427.00	$6,604.80	$11,436.60
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet	$15.40	$20.25	$89.40
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet	$25.00	$36.60	$64.40
Buprenorphine X-ray over 100 mg	$806.40	$7,236.00	$11,436.60
Buprenorphine hydrochloride	$9.00	$14.20	$29.85
Buprenorphine oral 1mg	$2.40	$2.40	$2.40
Bur rotalink 2.15mm	$2,689.20	$8,485.20	$17,290.20
Burr hole implant ventricular cath/other device	$2,794.20	$4,087.20	$4,290.60
Burr hole skull & remove clot 61154	$10,497.00	$10,497.00	$15,613.20
Busulfan injection	$40.80	$40.80	$2,442.60
Butorphanol tartrate 1 mg	$4.80	$90.60	$133.20
Bx bone trocar/ndl deep	$1,119.00	$1,929.00	$4,512.00
Bx breast 1st lesion mr imag	$2,087.40	$2,087.40	$6,352.80
Bx breast 1st lesion strtctc	$2,087.40	$3,700.20	$5,112.00
Bx breast add lesion Ultrasound imag	$1,042.80	$1,914.60	$2,916.60
Bx breast add lesion mr imag	$1,042.80	$1,042.80	$6,352.80
Bx breast add lesion strtctc	$1,135.20	$2,079.60	$5,112.00
Bx breast perq without image 19100	$2,813.40	$2,916.60	$4,291.20
Bx breast pq tomo guide	$7,249.80	$7,249.80	$7,249.80
Bx leg/ankle soft tissue deep 27614	$5,593.20	$5,593.20	$5,593.20
Bx liver with other	$247.80	$247.80	$247.80
Bx muscle	$250.80	$250.80	$250.80
Bx pancreas pq ndl	$971.40	$2,080.80	$3,560.40
Bx perianal mass	$578.40	$1,470.00	$2,348.40
Bx pleura pq ndl	$971.40	$1,560.60	$3,088.20
Bx skin incisnl ea sep/add l les	$320.80	$706.20	$966.00
Bx skin punch ea sep/ addl les	$148.80	$658.20	$966.00
Bx skin tangential ea sep/ addl les	$148.80	$666.00	$966.00
Bx soft tiss pelvis/hip deep 27041	$1,119.00	$1,119.00	$3,360.60
Bx soft tissue back/flank supf 21920	$3,114.00	$3,114.00	$3,114.00
Bx spinal cord pq ndl	$2,080.80	$2,080.80	$2,080.80
Bx thigh/knee soft tiss supf 27323	$1,439.40	$1,439.40	$3,009.60
Bx thyroid/percutan core needle 60100	$483.00	$924.60	$1,352.80
Bx vag mucos smpl (sep proc)	$711.00	$849.60	$1,452.00
Bx vulva or perineum/1 lesion 56605	$489.60	$2,812.80	$4,291.20
Bx vulva or perineum/ea add lesion 56606	$312.00	$411.00	$576.60
Bx/curett of cervix w/scope 57454	$218.40	$615.60	$1,015.20
Bx/exc lymph node/open/deep cervic 38510	$1,159.20	$1,159.20	$1,159.20
Bx/exc lymph node/open/superfic 38500	$666.60	$666.60	$4,189.20
Bx/soft tis/forearm/wrist/superfic 25065	$3,114.00	$3,114.00	$3,114.00
Bypass temp external fem-fem	$114.60	$2,304.60	$12,069.00
C motor evoked lwr limbs	$336.60	$457.80	$1,258.80
C motor evoked uppr limbs	$355.80	$400.80	$1,258.80
C motor evoked upr&lwr limbs	$330.00	$704.40	$2,816.40
C-1 esterase, berinert	$156.00	$168.60	$8,429.40
C-1 esterase, cinryze	$5,831.40	$5,831.40	$12,877.20
C-Section Delivery (full care)	$4,748.40	$10,034.40	$10,034.40
C-kit mutation liquid tumor - sendout	$3,941.40	$4,054.80	$4,055.40
C-peptide	$102.60	$249.60	$451.80
C-reactive protein	$29.40	$133.20	$415.80
C-reactive protein high sensitivity	$72.60	$169.20	$571.20
C-reactive protein, quantitative	$66.60	$441.00	$1,420.80
C-section delivery incl p/p care 59515	$1,012.80	$1,012.80	$3,904.20
C1 esterase inhibitor func - sendout	$66.60	$202.80	$274.80
CT 3d report other modality w/workstation	$607.80	$843.20	$2,146.80
CT Angiogram of Abdomen and Pelvis	$1,027.20	$4,089.60	$8,884.80
CT Angiogram of the Chest (for blood clot)	$1,119.60	$1,942.80	$5,181.60
CT Angiogram of the Head	$653.40	$1,920.00	$5,181.60
CT Scan of Abdomen and Pelvis (with and without contrast)	$822.60	$3,337.20	$9,378.60
CT Scan of Abdomen and Pelvis (with contrast)	$738.60	$2,985.60	$8,884.80
CT Scan of Abdomen and Pelvis (without contrast)	$477.00	$2,368.80	$6,945.60
CT angio hrt w/3d image	$1,424.40	$2,371.80	$4,004.40
CT angio pelvis	$1,424.40	$3,016.00	$5,181.60
CT colonography dx	$1,226.40	$1,795.80	$2,937.00
CT colonography dx w/dye	$2,860.20	$2,860.20	$4,663.20
CT colonography screening	$689.40	$6,423.00	$8,484.60
CT guid cryo ablat intramuscular	$106.20	$4,267.80	$41,445.60
CT guid parench tis ablat	$835.80	$3,177.00	$4,764.00
CT guidance for needle placement	$914.40	$2,235.00	$3,512.00
CT guidance for percutaneous drain w/catheter placement supervision & interpretation	$611.40	$1,524.60	$3,532.80
CT heart w/evaluation of calcium without contrast	$120.00	$120.00	$200.00
CT hrt c+ strux cgen hrt ds	$1,424.40	$1,424.40	$4,004.40
CT hrt w/3d image	$1,424.40	$3,384.00	$4,092.00
CT limited or localized follow-up study	$541.20	$654.40	$2,217.00
CT lower extremity w/contrast (both sides)	$1,176.00	$2,680.20	$4,599.60
CT lower extremity without contrast (both sides)	$876.00	$1,950.00	$2,937.00
CT lwr extremity w/o&w/dye	$1,240.20	$2,819.40	$5,112.00
CT neck soft tissue w/contrast	$1,294.80	$2,654.40	$4,599.60
CT neck soft tissue without & w/contrast	$1,294.80	$3,145.80	$5,112.00
CT neck soft tissue without contrast	$796.80	$1,950.00	$2,937.00
CT orbit/sella/ or posterior outer inner or middle ear w/contrast	$1,294.80	$2,600.80	$4,599.60
CT orbit/sella/ or posterior outer inner or middle ear without contrast	$796.80	$1,740.00	$2,937.00
CT orbit/sella/fossa w/wo contrast	$1,294.80	$2,953.20	$5,112.00
CT scan for therapy guide	$592.80	$843.60	$1,322.40
CT t-spine w /wo contrast	$1,424.40	$2,785.80	$5,293.80
CT thoracic spine w/contrast	$1,424.40	$2,654.40	$4,599.60
CT thoracic spine without contrast	$876.00	$1,950.00	$2,937.00
CT thorax low dose for lung screening without contrast	$190.20	$306.40	$666.60
CT upper extremity w/contrast (both sides)	$1,368.00	$2,654.40	$4,599.60
CT upper extremity without contrast (both sides)	$876.00	$1,943.40	$2,937.00
CT uppr extremity w/o&w/dye	$1,240.20	$3,394.80	$5,112.00
Ca screen;flexi sigmoidscope	$598.20	$598.20	$634.20
Cabazitaxel 10 mg/ml (first dilution) intravenous solution	$367.20	$495.60	$1,397.40
Cabergoline, oral 0.25mg	$70.80	$142.20	$242.40
Cable cath 22-pin diag	$109.80	$2,526.60	$11,776.20
Cable centrimag pressure	$405,171.00	$405,171.00	$405,171.00
Cad breast MRI w/r&i	$150.60	$150.60	$358.20
Cadd pump refill	$501.60	$501.60	$501.60
Caffeine citrate 20 mg/ml inj for po	$7.20	$28.80	$276.00
Calaspargase pegol-mknl 750 unit/ml intravenous solution	$279.00	$279.00	$279.00
Calcitonin (salmon) 200 unit/ml injection solution	$939.60	$9,437.60	$20,030.40
Calcium 24 hour urine	$30.60	$80.40	$287.40
Calcium gluconate 100 mg/ml (10 %) intravenous solution	$0.60	$0.80	$3.00
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution	$0.60	$0.80	$0.80
Calcium ionized	$66.60	$108.60	$502.20
Calcium total	$25.80	$43.80	$159.00
Caloric vstblr test w/rec	$559.80	$559.80	$753.60
Calprotectin fecal	$99.00	$250.20	$351.20
Campylobacter antibody	$80.40	$93.60	$1,114.80
Canakinumab injection	$257.40	$257.40	$10,902.60
Candida dna	$112.20	$209.40	$267.20
Cannula ercp contour 5-4-3 tip	$168.60	$7,828.80	$21,652.20
Canthotomy 67715	$2,630.40	$3,352.80	$3,948.00
Cap nerve 2x15mm	$706.20	$2,275.20	$10,847.40
Cap trach decann 15mm	$931.80	$1,708.20	$9,624.00
Capecitabine, oral, 50 mg	$7.80	$7.80	$8.40
Capsaicin 8% patch	$9.75	$9.75	$19.20
Car ion chnnlpath inc 10 gns	$6,945.00	$6,945.00	$6,945.00
Car ion chnnlpath inc 2 gns	$6,945.00	$6,945.00	$6,945.00
Car seat/bed test 60 minutes	$87.00	$87.00	$87.00
Car-t admn autologous	$828.60	$828.60	$828.60
Carbamazepine free	$66.60	$201.60	$284.00
Carbamazepine free -sendout	$67.20	$197.40	$645.60
Carbamazepine total therapeutic drug level	$89.40	$197.40	$645.60
Carbohydrate deficient transf - sendout	$71.40	$72.60	$468.00
Carbohydrate urine - sendout	$21.00	$30.60	$202.80
Carbon dioxide	$24.60	$39.60	$150.60
Carboplatin 10 mg/ml desensitization	$0.60	$1,096.00	$1,696.00
Carboxyhemoglobin quantitative	$38.40	$128.40	$274.40
Carcinoembryonic ag (cea)	$96.60	$334.20	$532.20
Card MRI veloc flow mapping	$321.60	$660.60	$1,137.60
Cardiac MRI w/stress img	$1,190.40	$2,657.40	$6,214.20
Cardiac Stress Test	$233.40	$414.00	$414.00
Cardiac perf planar mult/ef/wm	$1,687.80	$2,606.40	$4,242.60
Cardiac perf planar sgl/ef/wm	$1,575.00	$3,198.60	$4,242.60
Cardiac perf spect sgl/ef/wm rst/strs	$1,963.80	$3,886.20	$4,653.00
Cardiac rehabilitation op phase 2 w/continous ecg monitoring	$121.20	$209.40	$236.40
Cardiac rehabilitation op phase 2 without continous ecg monitoring	$48.00	$106.20	$213.60
Cardiac shunt imaging	$1,228.80	$1,657.80	$2,004.80
Cardiolipin antibody iga	$89.40	$186.60	$1,204.20
Cardioversion elective electrical conversion arrhythmia external	$883.20	$1,505.60	$3,696.60
Cardioversion/elective/internal 92961	$865.20	$865.20	$865.20
Caregiver training strategies&tq 1st 30 minutes	$103.20	$105.00	$139.80
Caregiver training strategies&tq ea addl 15 min	$52.20	$52.20	$69.60
Carfilzomib 10 mg intravenous solution	$102.00	$149.40	$10,440.00
Carmustine 100 mg intravenous powder for solution	$287.40	$2,713.80	$21,846.60
Carotene	$46.80	$173.40	$1,543.20
Carotid Artery Ultrasound (Duplex)	$481.20	$880.20	$2,764.20
Carpal Tunnel Release Surgery	$763.80	$3,572.40	$4,530.60
Caspofungin acetate	$240.00	$1,752.00	$4,123.80
Catecholamines,fractionated, urine	$198.60	$226.20	$293.40
Cath 2lum 14.5frx43cm maxid kt mahurkar	$364.20	$454.40	$1,950.00
Cath ablat bi-d d-d 8fr 115cm	$3,341.40	$3,341.40	$10,349.40
Cath ablt clsfast 7fx100cmx	$1,363.20	$3,656.80	$8,981.40
Cath ablt rx lasr 2.0mm turbo	$35.40	$3,128.40	$11,942.40
Cath access del ds spyscop 2.0	$5,926.20	$6,411.60	$9,409.80
Cath acuity innr ic130 6f 63cm	$130.20	$5,743.20	$28,045.20
Cath acunav ge 10frx90cm	$3,905.40	$8,475.60	$13,317.60
Cath adherent clot 10mm 6f 10	$228.00	$12,863.40	$33,235.80
Cath baloon occl urnry 34f 7x2x65	$358.80	$3,581.40	$20,352.00
Cath bi-dir df smarttouch	$1,185.60	$8,232.00	$17,618.40
Cath blazer dx/20 2-10-2 space	$219.00	$5,446.80	$10,047.60
Cath combo lt&rt heart w/inj/s	$4,239.00	$8,708.40	$10,029.00
Cath council tip 16fr 5cc	$32.40	$57.60	$496.20
Cath cv dl inj 7fx16cm	$532.80	$1,887.00	$10,690.80
Cath del ampltz 12f 45d 80cm	$379.20	$1,204.20	$5,540.40
Cath entrl fd nutri 5fr 40cm	$8.40	$10.80	$1,272.00
Cath epdrl brevi-stf 12in .043	$276.60	$2,166.60	$7,204.80
Cath ext adhere actv m 28mm	$2.40	$2.40	$2.40
Cath groshong MRI 8fr plstc port	$1,597.20	$2,380.80	$10,690.80
Cath hawkone s directional	$5,620.20	$7,936.80	$14,437.80
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt	$7,008.00	$7,008.00	$7,008.00
Cath imag ivus pv 8.5fx90 .035	$78.60	$3,339.60	$11,202.00
Cath infuse micro 150cm rapidtransit	$60.60	$114.00	$360.00
Cath intrdsc spnecth 8 pin	$6,417.00	$6,417.00	$6,417.00
Cath left heart transseptal punc	$3,816.00	$4,045.80	$11,498.40
Cath left heart/lv gram	$3,955.80	$5,695.80	$13,842.00
Cath lt/rt pulm art	$369.00	$2,959.80	$9,800.40
Cath malecot 28fr 4-wing ltx	$655.20	$1,687.20	$16,155.60
Cath occl flo-rester 2.25x12mm cor internal vessel occluder	$13,558.20	$21,427.20	$28,570.20
Cath pezzer 34fr drain bardex propor head mushrm ltx	$85.20	$190.20	$1,012.80
Cath place 1st order venous 36011	$307.20	$6,134.40	$12,349.80
Cath plc art ang/grft lt/rt hr	$6,051.00	$11,503.20	$21,694.80
Cath plc art/angio/rt hrt cath	$5,873.40	$12,175.20	$19,438.80
Cath plc art/grft/angio right hrt	$4,763.40	$14,423.40	$17,427.60
Cath ptca pcltxl agent 3x20mm	$10,678.80	$10,678.80	$14,373.60
Cath right heart w/o2 sat & card	$3,429.60	$6,457.80	$10,831.20
Cath right hrt mnpul art	$358.20	$2,270.40	$3,363.00
Cath segmntl pulm art	$512.40	$2,792.40	$4,567.80
Cath steerable flex adv 12f	$2,410.80	$5,464.80	$11,776.20
Cath stripping venous s&i	$411.60	$600.60	$1,564.20
Cath suction replogle 8fr neonatal esophageal	$2.40	$13.20	$126.00
Cath uret open tp 6fx70cm	$288.60	$671.40	$1,954.20
Cath/saline/contrast/sis/hysteosal 58340	$380.40	$411.60	$583.80
Catheter declot mechanical	$1,462.80	$2,472.00	$4,740.60
Catheter insert artery	$391.20	$391.20	$391.20
Catheter stripping venous	$5,745.60	$6,860.40	$8,523.60
Catheterization collection of specimen single patient all places of service	$18.60	$42.60	$145.80
Cathj umbilical vein dx/ther nb	$425.40	$425.40	$1,015.20
Cauterization chemical granulation tissue	$267.00	$408.60	$619.20
Cdna analysis for variants	$1,070.40	$2,009.40	$7,041.00
Cdp-sot 6 cond w/i&r	$282.00	$282.00	$1,469.40
Cebpa gene full sequence	$1,183.20	$2,101.20	$2,643.20
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr	$8.40	$20.80	$189.60
Cefepime 1 gram solution for injection	$8.40	$85.20	$186.60
Cefotaxime sodium injection	$10.20	$133.80	$298.20
Cefotetan 1 gm vial	$53.40	$53.40	$53.40
Cefoxitin 1 gram intravenous solution	$19.80	$105.00	$324.60
Ceftaroline fosamil 600 mg intravenous solution	$13.80	$466.80	$814.20
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr	$3.00	$41.40	$422.40
Ceftazidime and avibactam	$237.00	$991.80	$1,516.80
Ceftriaxone 1 gram solution for injection	$37.20	$102.40	$1,013.40
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr	$12.40	$47.20	$93.60
Cell count body fluid	$33.00	$47.40	$224.80
Cell count w differential body fluid	$40.80	$144.60	$831.00
Cell cryopreserve/storage	$66.60	$117.60	$165.60
Cell function assay w/stim	$490.20	$898.80	$1,146.00
Cell marker study	$116.40	$166.40	$282.60
Cemiplimab-rwlc 50 mg/ml intravenous solution	$497.40	$664.20	$42,145.80
Cerebrospinal fld flw imag	$579.00	$1,475.40	$5,322.00
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit	$34.60	$35.00	$14,237.40
Cervical or vaginal cancer screening g0101	$48.00	$172.80	$276.00
Cetuximab 100 mg/50 ml intravenous solution	$9.00	$280.20	$7,483.80
Cftr gene dup/delet variants	$3,002.40	$3,002.40	$4,592.40
Cftr gene intron poly t	$226.80	$283.80	$288.00
Cftr gene known fam variants	$321.00	$327.60	$340.20
Change cystostomy tube simple	$257.40	$477.60	$1,728.00
Change cystostomy tube; complex 51710	$2,270.40	$3,355.20	$3,964.20
Change g-tube to g-j perc	$2,179.80	$3,861.60	$6,847.80
Change nephroureteral cath	$3,154.80	$5,515.20	$7,040.40
Change of ureter tube/stent	$2,270.40	$3,457.20	$4,240.80
Change of windpipe airway 31502	$319.20	$472.80	$841.20
Change stent via transureth	$6,593.40	$6,593.40	$6,593.40
Change ureter stent percut	$4,696.80	$4,696.80	$11,414.40
Chemo adm cns w/lmbr punct	$554.40	$841.60	$2,903.40
Chemo extend IV infus w/pump	$696.00	$801.00	$841.60
Chemo ia infuse each addl hr	$184.80	$184.80	$228.60
Chemo ia infusion up to 1 hr	$335.40	$335.40	$359.40
Chemo ia push tecnique	$760.80	$760.80	$2,376.60
Chemo intralesional up to 7 96405	$462.60	$462.60	$657.60
Chemodenerv 1 extrem 5/> mus 64644	$723.00	$723.00	$872.40
Chemodenerv 1 extremity 1-4 64642	$647.40	$647.40	$647.40
Chemodenerv eccrine glands 64650	$510.00	$510.00	$1,238.40
Chemodenerv musc migraine 64615	$495.00	$783.00	$913.20
Chemodenerv musc neck dyston 64616	$2,170.20	$2,170.20	$2,513.40
Chemodenerv trunk musc 1-5 64646	$697.20	$697.20	$697.20
Chemodenerv trunk musc 6/] 64647	$772.20	$772.20	$2,727.00
Chemodenervation/face muscl/unilat 64612	$1,441.80	$1,877.40	$2,561.40
Chemotherapy injection 96542	$288.00	$288.00	$841.60
Chemotx admn pertl cav impl	$637.60	$1,071.00	$2,377.80
Chest 2 vws w oblique	$83.40	$456.60	$686.40
Chest CT scan (with and without contrast)	$1,082.40	$1,992.60	$5,112.00
Chest CT scan (with contrast)	$957.60	$1,725.00	$4,599.60
Chest CT scan (without contrast)	$751.80	$1,226.40	$3,283.80
Chest X-ray	$115.80	$247.20	$701.60
Chest X-ray (single view)	$83.40	$188.40	$686.40
Chest apical lordotic proj	$188.40	$456.60	$686.40
Chg pr pul rehab for copd patients	$133.20	$181.80	$330.60
Chg radiologic exam esophagus double contrast	$253.20	$713.40	$1,312.80
Chimerism anal no cell selec	$1,857.60	$1,857.60	$1,857.60
Chimerism anal w/cell select	$2,258.40	$2,258.40	$3,384.60
Chlamydia culture	$96.00	$205.80	$883.20
Chlamydia trachomatis ag if	$66.60	$66.60	$88.20
Chlamydia type	$31.20	$52.20	$64.80
Chlnggrphy intraop addl s&i	$134.40	$238.80	$390.00
Chloride	$23.40	$39.60	$147.00
Chloride 24 hour urine	$29.40	$66.60	$382.20
Chloroprocaine hcl injection	$0.60	$1.20	$68.40
Chlorothiazide sodium 500 mg intravenous solution	$178.20	$1,236.80	$2,846.40
Chlorpromazine 0.125 mg/ml IV syringe - cnr	$16.80	$64.80	$238.40
Chlorpromazine 100 mg tablet	$0.80	$1.20	$8.40
Cholangiogram percutaneous compl	$3,342.00	$3,542.40	$8,599.80
Cholangiography and/or pancreatography intraoperative supervision & interpretation	$273.00	$516.60	$1,188.80
Cholecystostomy complete w/supervision & interpretation	$3,105.60	$3,933.00	$5,515.20
Cholesterol	$22.20	$40.80	$301.20
Cholesterol (Lipid) Test	$66.60	$133.20	$720.00
Cholesterol body fluid	$49.80	$6,088.80	$9,563.40
Cholinesterase	$40.80	$103.20	$223.20
Chorion biopsy	$1,511.40	$1,511.40	$1,511.40
Chorionic gonadotropin/1000u	$66.00	$66.00	$66.00
Chrom analysis	$126.00	$228.60	$309.60
Chromatography	$18.60	$163.80	$495.00
Chromo high res and frag x - sendout	$329.40	$3,704.40	$3,739.80
Chromogenic substrate assay	$119.40	$158.40	$478.80
Chromosome analys amniotic	$627.00	$627.00	$627.00
Chromosome analys placenta	$1,302.60	$1,302.60	$1,302.60
Chromosome analysis 100	$1,227.60	$2,235.60	$3,003.60
Chromosome analysis 15-20 cell count	$604.20	$1,017.00	$1,536.00
Chromosome analysis 45	$917.40	$943.80	$1,109.60
Chromosome analysis 5	$2,224.80	$2,955.60	$3,701.40
Chromosome karyotype study	$120.60	$140.40	$266.40
Chromosome study additional	$453.60	$472.80	$1,276.00
Chronic urticaria - sendout	$24.60	$133.80	$171.60
Chylomicron screen, bf - sendout	$222.60	$370.20	$774.00
Cidofovir injection	$118.20	$27,738.00	$27,738.00
Cilastatin sodium injection	$19.80	$626.40	$1,249.80
Ciliary transsleral therapy	$3,989.40	$4,288.80	$6,005.40
Ciltacabtagene car-pos t	$4,224,000.00	$4,224,000.00	$4,224,000.00
Cine/video x-rays	$523.20	$523.20	$4,165.80
Cine/video x-rays add-on	$288.60	$288.60	$424.80
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback	$9.00	$101.60	$1,024.80
Ciprofloxacin otic susp 6 mg	$128.80	$876.00	$963.20
Circumcision (newborn)	$283.80	$1,219.20	$2,380.80
Cisplatin 1 mg/ml desensitization	$16.20	$700.00	$8,095.80
Cladribine 10 mg/10 ml intravenous solution	$25.80	$576.60	$5,773.80
Clamp isol transpolr 5mmx6.5cm transpolar	$1,736.40	$4,416.60	$25,185.60
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback	$43.80	$45.80	$76.20
Clip ligating vesolock lg	$608.40	$1,380.60	$6,953.40
Clofarabine 1 mg/ml intravenous solution	$879.00	$879.00	$879.00
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution	$348.60	$453.60	$4,447.80
Clos txnose fx without stablz 21315	$825.60	$998.40	$4,779.60
Close lac/mouth vest/2.5 cm or < 40830	$388.80	$825.60	$2,009.40
Closed carpo/metacarpal disl thumb w/manip	$825.60	$1,420.80	$4,099.20
Closed carpo/metacarpal fx disl thumb w/manip	$3,560.40	$3,560.40	$3,560.40
Closed treatment of femoral fracture proximal end neck; wi	$3,001.80	$3,279.60	$7,860.60
Closed tx humerus fx w/manip 24505	$825.60	$1,746.60	$3,560.40
Closed tx humerus fx with manip 23605	$1,810.80	$3,135.00	$4,767.60
Closed tx humerus fx without manip 23600	$447.60	$825.60	$3,355.20
Closed tx metatarsophalangeal jnt disl without anes	$520.80	$825.60	$1,980.60
Closed tx orbit without manipulj	$1,663.80	$1,663.80	$1,663.80
Closed tx post hip arthroplasty disloc w/anes 27266	$2,055.00	$3,362.40	$4,545.60
Closed tx septal&nose fx	$3,971.40	$3,971.40	$3,971.40
Closed tx sesamoid fx 28530	$759.00	$759.00	$1,258.80
Closed tx/acetabululm without manip 27220	$464.40	$561.60	$5,312.40
Closed tx/talus fracture without manip 28430	$327.60	$825.60	$998.40
Closure enterostomy lg/sm intestine anast 44626	$4,242.60	$4,242.60	$4,242.60
Closure laceration vestibule mouth > 2.5 cm cmplx	$1,663.80	$2,393.40	$3,363.00
Closure of eyelid by suture	$2,357.40	$2,357.40	$2,357.40
Closure paravalvlr leak pq	$93.00	$1,123.80	$14,788.80
Clot factor fletcher fact	$109.80	$230.40	$1,704.00
Clot factor viii reltd antgn	$288.00	$288.00	$348.00
Clot factor wght kininogen	$193.80	$231.00	$1,704.00
Clot factor xii hageman	$97.80	$163.20	$1,503.00
Clot factor xiii fibrin scrn	$73.20	$91.20	$369.60
Clot factor xiii fibrin stab	$69.60	$106.20	$2,105.40
Clozapine, 25 mg	$5.40	$8.40	$18.60
Cls tx of heel fracture w/manip 28405	$759.00	$4,057.20	$4,507.20
Clsd tx bimalleol ank fx without manip 27808	$825.60	$2,270.40	$3,560.40
Clsd tx carpo/metacarpl disl thmb manip ea without anes	$163.80	$327.60	$998.40
Clsd tx clav dislc without manip 23520	$2,055.00	$2,055.00	$2,055.00
Clsd tx clavicle dislocation without manip 23540	$534.60	$647.20	$819.60
Clsd tx clavicle fracture w/manip 23505	$3,029.40	$3,029.40	$3,355.20
Clsd tx coccygeal fracture 27200	$327.60	$327.60	$327.60
Clsd tx dist fib fx w/manip 27788	$718.20	$1,651.80	$3,222.60
Clsd tx elbow dislocation child 24640	$280.20	$609.00	$1,651.80
Clsd tx finger tendon w/wo perq pin 26432	$3,354.00	$3,354.00	$6,887.40
Clsd tx fracture of radius 25500	$366.60	$825.60	$998.40
Clsd tx fx radius/ulna dist w/manip 25605	$825.60	$2,055.00	$5,469.00
Clsd tx fx radius/ulna dist without manip 25600	$520.80	$825.60	$998.40
Clsd tx fx radius/ulna w/manip 25565	$825.60	$2,186.40	$4,765.20
Clsd tx fx radius/ulna without manip 25560	$825.60	$930.00	$1,427.40
Clsd tx hip disloc without anes 27265	$718.20	$1,434.00	$3,772.80
Clsd tx humeral fract without manip 24530	$759.00	$998.40	$3,355.20
Clsd tx humerus fract without manip 24500	$759.00	$825.60	$3,355.20
Clsd tx iphal jnt disl w/manip req anes	$3,349.80	$3,964.20	$5,469.00
Clsd tx mandibular fx without manip 21450	$669.60	$961.80	$6,864.00
Clsd tx metacarp fx w/manip&ext fix ea bone 26607	$4,493.40	$4,493.40	$4,493.40
Clsd tx metatarsal fracture w/manip 28475	$534.60	$759.00	$5,052.60
Clsd tx nose fx without manip 21310	$819.60	$819.60	$819.60
Clsd tx of ankle fracture w/manip 28435	$1,651.80	$3,960.00	$5,052.60
Clsd tx patella disloc without anes 27560	$825.60	$1,547.40	$3,560.40
Clsd tx pelvic ring fx	$465.00	$465.00	$465.00
Clsd tx pelvic ring fx	$1,195.80	$1,195.80	$5,307.00
Clsd tx prox fib/shaft fx w/manip 27781	$825.60	$2,322.60	$3,570.00
Clsd tx radius fracture w/manip 24655	$2,055.00	$3,123.60	$4,070.40
Clsd tx shoulder dislc/fx 23665	$2,055.00	$3,520.20	$4,185.00
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675	$2,055.00	$3,417.00	$4,790.40
Clsd tx temporomandibular dislocat 21480	$825.60	$1,225.20	$3,560.40
Clsd tx toe dislocation without anes28660	$400.20	$613.80	$1,980.60
Clsd tx trimall ankle fx w/manip 27818	$718.20	$1,651.80	$3,560.40
Clsd tx trimall ankle fx without manip 27816	$488.40	$998.40	$2,930.40
Clsd tx vert body fx without manip req &w/csting/bracing	$759.00	$759.00	$3,355.20
Clsd tx wrist carpal fx without manip 25630	$370.80	$825.60	$998.40
Clsd tx wrist scaphoid fx without manip 25622	$520.80	$825.60	$998.40
Clsd tx wrist trans-scaph fx w/manip 25680	$597.60	$597.60	$3,331.80
Clsd tx wrist ulnar styloid fx 25650	$520.80	$733.80	$882.40
Clsd tx/clavicular fx without manip 23500	$819.60	$825.60	$3,355.20
Clsd tx/dis phalan fx without manip/ea 26750	$370.80	$825.60	$998.40
Clsd tx/dis tib/wt bear no manip 27824	$633.60	$844.20	$3,355.20
Clsd tx/fem shaft fx/manipulation 27502	$1,810.80	$2,926.80	$4,281.00
Clsd tx/fx grt toe/phalanx/phalang 28490	$370.80	$825.60	$825.60
Clsd tx/fx/phalanx/phalang/manip 28515	$299.40	$529.20	$825.60
Clsd tx/grt hum tube fx without manip 23620	$729.60	$882.40	$3,355.20
Clsd tx/metacar/interphal artic fx 26740	$370.80	$729.60	$882.40
Clsd tx/metacarpal fx/sg without manip 26600	$470.40	$825.60	$998.40
Clsd tx/metacarpal fx/sng/w manip 26605	$808.20	$1,651.80	$4,762.20
Clsd tx/metatarsal fx without manip 28470	$520.80	$825.60	$825.60
Clsd tx/nasal bone fx/stabilize 21320	$4,314.00	$4,314.00	$4,594.20
Clsd tx/patellar fx without manip 27520	$759.00	$825.60	$3,355.20
Clsd tx/prox/mid phalnx fx/no manp 26720	$366.60	$825.60	$998.40
Clsd tx/radial head/neck fx/no manip 24650	$370.80	$825.60	$998.40
Clsd tx/scapular fx without manip 23570	$496.20	$825.60	$3,435.60
Clsd tx/shoulder dislo/manip/anest 23655	$1,632.60	$2,639.40	$3,791.20
Clsd tx/ulnar shaft fx without manip 25530	$445.80	$825.60	$998.40
Clsd/shoulder dislo/manip/no anest 23650	$825.60	$1,547.40	$3,560.40
Clsd/ulnar fx/prox end without manip 24670	$494.40	$825.60	$998.40
Cltx carpl scphd fx w/mnpj	$2,440.80	$3,769.20	$5,289.00
Cltx gr hmrl tbrs fx w/mnpj	$729.60	$2,055.00	$6,097.20
Cltx hum epcndylr fx wo mnpj	$825.60	$856.20	$3,355.20
Cltx humrl cndylr fx w/mnpj	$3,123.60	$3,123.60	$3,123.60
Cltx humrl cndylr fx wo mnpj	$759.00	$998.40	$3,355.20
Cltx lunate dislc w/mnpj	$825.60	$2,055.00	$3,849.60
Cltx mndblr fx ntrdntl fixj	$14,868.60	$14,868.60	$14,868.60
Cltx mndblr fx w/mnpj	$3,349.80	$4,051.20	$7,899.60
Cltx mndblr/max alv ridge fx	$6,514.20	$6,514.20	$6,514.20
Cltx palatal/max fx wire fix	$4,706.40	$4,706.40	$6,093.60
Cltx post ankle fx	$1,642.80	$1,642.80	$2,523.60
Cltx scap fx w/mnpj +-tractj	$2,425.80	$2,933.60	$4,024.20
Cmv pcr-sendout	$195.60	$728.40	$1,109.40
Co-treatment - group 15 mins, st	$91.20	$91.20	$110.40
Co2 monitor per day	$990.60	$990.60	$1,197.60
Coagulation factor viia 1,000 mcg/ml inj 1 ml	$7.40	$8.70	$34,168.20
Coagulation time activated teg	$13.20	$31.00	$142.20
Coagulation time otr method	$33.00	$40.20	$2,658.60
Codeine 15 mg/ml inj 2 ml	$55.80	$55.80	$58.80
Coil axium 3d 14mmx40cm qc	$336.60	$336.60	$336.60
Cold agglutinin screen (arc)	$45.00	$70.80	$71.40
Cold agglutinin titer	$37.20	$85.20	$622.20
Colectomy partial w/anastomosis 44140	$5,395.80	$5,395.80	$17,928.60
Colectomy prtl w/remove terminal ileum+ileocolos 44160	$3,279.60	$3,279.60	$3,279.60
Colectomy prtl w/skin level cecost/colostomy 44141	$4,815.60	$4,815.60	$4,815.60
Colectomy/end colost/close dis seg 44143	$4,608.00	$4,608.00	$4,608.00
Colistimethate sodium inj	$16.80	$206.40	$1,284.60
Collar cerv 18.25x3.5in serp firm density sm	$10.20	$75.60	$223.20
Collar cerv ascend 172 reg	$135.00	$236.40	$2,075.40
Collar cerv patriot adlt	$60.60	$227.40	$321.00
Collection blood specimen from completely implantable venous access device	$71.40	$162.00	$243.00
Collection blood specimen using established central/peripheral catheter venous nos	$88.20	$196.00	$537.00
Collection of venous blood by venipuncture	$7.80	$27.60	$34.00
Colonoscopy & polypectomy 44392	$1,486.80	$3,114.00	$4,108.80
Colonoscopy (diagnostic)	$609.00	$1,500.00	$2,000.00
Colonoscopy (with biopsy)	$727.20	$3,033.60	$4,867.80
Colonoscopy (with polyp removal)	$862.80	$3,055.20	$5,583.00
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)	$2,132.40	$3,252.60	$4,085.40
Colonoscopy for bleeding 44391	$1,722.00	$2,505.60	$4,024.20
Colonoscopy for foreign body	$1,507.20	$3,232.80	$3,933.60
Colonoscopy stoma w/endo mucosal rescj 44403	$1,286.40	$1,286.40	$1,363.80
Colonoscopy stoma w/snare 44394	$2,449.80	$3,252.60	$4,024.20
Colonoscopy submucous njx	$3,252.60	$3,933.60	$4,867.20
Colonoscopy thru stoma spx	$1,372.20	$3,156.60	$3,816.80
Colonoscopy w/ablation	$2,320.80	$3,252.60	$10,513.80
Colonoscopy w/balloon dilat	$1,876.80	$3,252.60	$4,659.00
Colonoscopy w/band ligation	$1,366.80	$2,577.60	$3,933.60
Colonoscopy w/control bleed	$2,019.60	$3,252.60	$8,934.60
Colonoscopy w/decompression	$2,448.60	$2,786.40	$3,816.80
Colonoscopy w/dilation	$2,310.00	$2,448.60	$3,263.40
Colonoscopy w/endoscope Ultrasound	$2,457.60	$3,750.60	$4,123.20
Colonoscopy w/endoscopic fnb	$2,842.20	$3,933.60	$30,601.80
Colonoscopy w/fb removal	$2,010.60	$2,431.20	$8,934.60
Colonoscopy w/injection	$2,310.60	$2,595.60	$3,933.60
Colonoscopy w/resection	$2,448.60	$2,449.20	$3,933.60
Colonoscopy w/stent plcmt	$7,896.80	$7,896.80	$7,896.80
Colonoscopy with ablation	$1,333.20	$3,759.00	$3,933.60
Colonoscopy with biopsy	$1,372.20	$3,022.80	$3,933.60
Colonoscopy/w endoscopic stent 45389	$2,310.60	$3,436.80	$7,896.80
Colporrhapy/vag injury sut/non ob 57200	$3,077.40	$3,435.60	$6,660.60
Colposcopy vulva 56820	$378.00	$1,336.20	$1,577.60
Colposcopy vulva w/biopsy 56821	$1,626.60	$1,626.60	$2,133.60
Colposcopy w/biopsy of cervix 57455	$218.40	$615.60	$2,084.80
Colposcopy/cervix/bx vagina/cervix 57421	$425.40	$1,452.00	$2,244.60
Colposcopy/cervix/inc up/adjacent vag 57452	$133.80	$378.00	$766.20
Colpotomy w/exploration 57000	$3,114.00	$3,114.00	$3,114.00
Comp cystometrogram/void presssure 51728	$2,793.60	$2,793.60	$3,818.40
Comp cystometrogram/void/uret pres 51729	$1,541.40	$1,541.40	$2,826.40
Compatibility test each unit antiglobulin technique	$154.80	$260.40	$524.00
Compatibility test each unit electronic	$82.80	$119.40	$728.40
Compatibility test each unit immediate spin technique	$81.00	$220.80	$266.40
Complement antigen each component c3	$54.00	$148.20	$846.60
Complement fixation each	$70.80	$100.20	$122.40
Complex cystometrogram 51726	$4,291.20	$4,291.20	$4,291.20
Complex repair trunk 1.1-2.5cm 13120	$825.60	$1,927.80	$4,321.80
Complex repair trunk 2.6-7.5cm 13101	$1,357.20	$2,253.00	$6,231.60
Complex uroflowmetry (electronic) 51741	$1,501.20	$1,501.20	$1,703.20
Complx repair enel 1.1-2.5 cm 13151	$1,332.60	$2,627.20	$5,469.00
Complx repair enel 2.6-7.5 cm 13152	$1,212.00	$2,627.20	$5,469.00
Complx repair enel addl 5cm/< 13153	$319.20	$1,434.60	$2,219.40
Complx repair fccmnaxghf 13131	$911.40	$2,186.40	$4,765.20
Complx repair fccmnaxghf 13132	$1,212.00	$2,520.00	$5,469.60
Complx repair fccmnaxghf 13133	$605.40	$1,206.00	$2,172.00
Complx repair sal addl 5 cm/> 13122	$378.00	$825.60	$1,247.40
Complx repair trunk 1.1-2.5 cm 13100	$1,927.80	$3,769.20	$5,677.80
Complx repair trunk addl 5cm/< 13102	$619.20	$806.40	$1,095.60
Composite graft/pri close/don area 15760	$3,734.40	$3,734.40	$4,080.00
Comprehensive hearing test	$222.00	$222.00	$282.00
Concentration infection agents any type	$38.40	$76.80	$1,537.20
Condylomata destruction 56420	$589.80	$1,237.20	$3,560.40
Conivaptan hcl	$4,051.20	$4,051.20	$4,051.20
Conjugated estrogens 25 mg solution for injection	$220.80	$1,375.20	$1,431.00
Connect omega .5mm	$728.40	$1,882.20	$37,255.80
Connector tis 2x10mm	$5,560.80	$5,574.60	$9,382.20
Consult comp w/report rfrd material	$189.00	$212.80	$324.60
Consultation pathology during surgery	$63.60	$159.00	$231.60
Consultation pathology during surgery cytological exam initial site	$79.80	$176.40	$1,472.40
Consultation pathology during surgery frozen section each additional block	$40.80	$211.80	$336.60
Consultation pathology during surgery frozen section first tissue block	$159.60	$322.20	$652.20
Consultation/report referred material w/preparation of slides	$116.40	$737.40	$1,830.60
Consultation/report referred slides prepared elsewhere	$163.20	$213.60	$266.40
Contrast baths charges	$76.20	$103.20	$198.00
Contrast exam abdominl aorta 75625-26	$2,833.20	$4,797.60	$7,103.40
Contrast exam thoracic aorta	$5,906.40	$5,906.40	$5,906.40
Contrast exam thoracic aorta 75605-26	$2,557.80	$4,045.20	$9,796.20
Contrast x-ray gallbladder	$427.80	$719.40	$1,312.80
Contrast x-ray of ankle	$718.20	$868.80	$2,098.80
Contrast x-ray of elbow	$598.20	$793.80	$868.80
Contrast x-ray of hip	$718.20	$814.20	$4,294.20
Contrast x-ray of knee joint	$718.20	$868.80	$4,294.20
Contrast x-ray of wrist	$718.20	$868.80	$896.40
Control nosebleed pack+caut 30905	$471.00	$992.40	$3,560.40
Control of nosebleed ant comp 30903	$471.00	$1,486.80	$3,560.40
Control of nosebleedantersmpl 30901	$388.80	$478.20	$937.20
Control oropharyngeal hemorr/simp 42960	$1,349.40	$1,802.40	$3,772.80
Control throat bleeding	$8,917.80	$8,917.80	$8,917.80
Controler lvad heartmate 3 includes ebb	$26,560.20	$26,560.20	$26,560.20
Controller infinity pt dbs	$3,235.80	$4,347.00	$64,921.20
Conv gtube to jtube	$3,279.00	$4,128.80	$5,378.40
Conversion ext bil drg cath	$2,475.00	$7,502.40	$8,884.20
Convert nephrostomy catheter	$1,941.60	$3,489.60	$8,884.20
Coombs direct	$37.20	$75.00	$153.00
Coombs indirect qualitative each reagent red cell reference	$336.00	$336.00	$336.00
Coombs indirect titer reference	$67.20	$227.40	$828.60
Copper cu 64 dotatate diag	$2,083.80	$2,125.80	$2,970.00
Copper intrauterine device	$651.00	$2,606.40	$3,515.20
Cor hlx vlgs dstl mtar osteo	$5,397.60	$5,397.60	$5,397.60
Core ndl bx lng/med perq	$2,911.80	$3,052.80	$4,069.80
Cornea pre-cut midwest eye cornea pre-cut midwest eye	$1,200.00	$11,550.60	$21,789.60
Coronary angio/cath placement bypass graft/lv gram/lt heart	$5,770.20	$9,024.60	$19,176.00
Coronary angio/lv gram/lt heart	$4,655.40	$10,991.40	$18,751.20
Coronary angio/lv gram/rt&lt heart	$5,181.00	$10,049.40	$20,118.00
Coronary art/grft angio s&i	$4,763.40	$8,194.20	$10,348.80
Coronary catheterization w/angiography supervision & interpretation	$3,891.00	$7,491.00	$8,860.20
Coronary thrombolysis/iv infusion 92977	$477.60	$477.60	$577.60
Correct rectal prolapse	$7,807.80	$8,616.60	$10,834.80
Corrj halux rigdus w/implt	$3,042.00	$3,042.00	$3,042.00
Cortisol total am	$82.20	$165.00	$1,184.80
Cosyntropin 0.25 mg solution for injection	$63.60	$562.40	$891.00
Counseling smoke cess interm >10mins	$48.00	$48.00	$64.00
Cover eye w/membrane	$11,560.20	$14,438.40	$17,461.60
Coveredge 32 lead kit 40cm 48	$3,029.40	$5,395.80	$10,227.60
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose	$1,020.00	$1,020.00	$1,360.00
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose	$1,020.00	$1,020.00	$1,360.00
Covid-19 administration immunization im inj 1st/only component	$24.00	$24.00	$25.20
Cptr ophth dx img post segmt	$152.40	$152.40	$152.40
Cr-51 sodium chromate	$417.60	$417.60	$504.80
Crbrospnl fld flw imag cistern	$1,574.40	$3,014.40	$11,947.80
Creat artery-vein fistula autograft 36825	$9,842.40	$9,842.40	$9,842.40
Create eardrum opening	$7,126.80	$7,126.80	$8,618.40
Creatine - sendout	$31.80	$45.60	$60.60
Creatine kinase	$33.00	$127.20	$240.00
Creatine kinase isoenzymes	$37.80	$66.00	$643.80
Creatine kinase mb	$58.80	$146.40	$643.80
Creatinine	$25.80	$43.80	$181.80
Creatinine 24 hour urine	$25.80	$102.60	$281.40
Creatinine clearance urine	$55.20	$146.40	$236.40
Crisis psychotherapy 90839	$424.20	$424.20	$424.20
Crisis psychotherapy additional 30 mins 90840	$212.40	$212.40	$212.40
Critical care 30-74 minutes	$1,263.00	$2,172.00	$4,768.80
Critical care each additional 30 minutes	$478.80	$570.60	$1,152.00
Crizanlizumab-tmca 10 mg/ml intravenous solution	$147.00	$436.20	$8,721.00
Cromolyn sodium noncomp unit	$15.00	$15.00	$15.00
Crotalidae poly immune fab	$6,069.00	$6,805.20	$14,450.40
Crtj pericardial window/prtl resecj w/drg/bx	$10,314.60	$10,314.60	$10,314.60
Cryocautery of cervix 57511	$723.20	$723.20	$723.20
Cryofibrinogen qualitative - sendout	$54.00	$65.40	$684.60
Cryoprecipitate each unit	$72.60	$284.00	$1,002.00
Cryopreserve stem cells	$3,985.20	$3,985.20	$3,985.20
Cryosurgery penis lesion(s) 54056	$118.80	$474.00	$670.80
Cryptococcus abs qn - sendout	$105.00	$138.60	$652.20
Cryptosporidium antigen	$66.60	$162.60	$196.80
Crystal identification light microscopy	$36.00	$93.00	$291.00
Csf leakage imaging	$3,574.20	$4,242.60	$10,392.00
Csf shunt reprogram 62252	$496.20	$496.20	$496.20
Cta abdomen without & /or w/contrast	$1,424.40	$3,441.00	$5,181.60
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast	$1,424.40	$3,489.60	$7,887.60
Cta lower extremity without & w/contrast (both sides)	$1,424.40	$3,098.40	$5,181.60
Cta neck without &/or w/contrast	$1,294.80	$3,067.20	$5,181.60
Cta upper extremity w &/or without contrast left	$1,424.40	$3,441.00	$5,181.60
Ctrl nosebld postir subsq 30906	$1,852.80	$2,857.80	$3,772.80
Culture aerobic additional method definitive id each	$43.80	$67.80	$205.60
Culture afb any source	$61.20	$76.80	$1,312.80
Culture anaerobic additional method definitive id each	$45.60	$127.80	$466.80
Culture anaerobic except blood	$52.80	$147.00	$838.80
Culture bact stool aero addl path ea	$24.00	$67.80	$104.00
Culture body fluid	$48.00	$232.20	$438.00
Culture fungi definitive id mold	$57.00	$108.00	$349.80
Culture fungi definitive id yeast	$57.00	$90.40	$254.40
Culture fungi other (except blood)	$46.80	$170.40	$520.20
Culture fungi skin/hair/nail	$43.20	$80.40	$520.20
Culture mycobacteria definitive id each isolate	$81.00	$134.40	$3,052.80
Culture mycoplasma any source	$84.60	$222.00	$350.40
Culture quantitative aerobic other source	$49.80	$204.00	$237.00
Culture screening strep group a	$37.80	$117.00	$337.60
Culture typing immunologic	$14.40	$45.00	$80.40
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets	$459.00	$459.00	$459.00
Culture typing nucleic acid probe amplified per culture/isolate each organism	$54.00	$403.80	$588.60
Culture urine each isolate	$40.80	$74.40	$92.80
Curette/treat cornea	$748.20	$1,345.80	$2,283.20
Cutter lead	$195.60	$1,882.80	$10,158.00
Cv line/pic reposition	$1,099.80	$1,591.20	$10,446.60
Cv stress test i&r only 93018	$42.60	$42.60	$66.00
Cv stress test/supervision only 93016	$42.60	$42.60	$85.80
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution	$3.60	$10.80	$54.00
Cyanocobalamin unsat binding capacity	$93.60	$108.60	$210.00
Cyclic citrullinated peptide antibody	$72.60	$251.40	$594.60
Cyclophosphamide 1 gram intravenous powder for solution	$1.40	$3.75	$439.20
Cyclophosphamide 25 mg capsule	$7.80	$43.20	$133.20
Cyclosporine 2 hour	$76.80	$286.80	$542.40
Cyclosporine 250 mg/5 ml intravenous solution	$7.80	$29.00	$268.20
Cyclosporine modified 25 mg capsule	$2.40	$10.80	$51.45
Cyclosporine oral 100 mg	$10.20	$59.40	$3,460.20
Cylinder pump set 20cm titan zero angl	$3,862.80	$25,255.20	$34,293.60
Cyp2c19 gene com variants	$790.80	$1,017.60	$1,341.60
Cyp2c9 gene com variants	$1,852.80	$1,870.20	$1,870.20
Cyp2d6 gene com variants	$240.00	$269.40	$269.40
Cyp3a4 gene common variants	$438.60	$438.60	$438.60
Cyp3a5 gene common variants	$438.60	$438.60	$438.60
Cystatin c	$94.20	$154.80	$332.80
Cystic fibrosis cftr	$3,474.60	$4,001.60	$6,408.00
Cystine urine quantitative	$116.40	$125.40	$464.40
Cystogram >= 3 views supervision & interpretation	$269.40	$961.60	$2,813.40
Cystometrogram w/up 51727	$2,776.80	$2,776.80	$2,776.80
Cystoscopy & ureter catheter	$2,835.20	$3,706.20	$6,144.60
Cystoscopy (Bladder Scope)	$400.80	$1,815.60	$4,303.80
Cystoscopy and treatment	$3,769.20	$3,769.20	$3,769.20
Cystoscopy and treatment	$784.80	$4,102.20	$5,744.80
Cystoscopy chemodenervation	$1,976.00	$1,976.00	$1,976.00
Cystoscopy prostatic imp 1-3	$5,953.80	$5,953.80	$8,013.60
Cystostomy cystotomy w/drainage 51040	$3,276.00	$4,977.60	$6,497.40
Cystouretero & or pyeloscope	$4,730.40	$4,730.40	$4,730.40
Cystourethroscop/calib/dilat stric 52281	$2,428.80	$3,770.40	$4,871.40
Cystourethroscopy w/biopsy(s) 52204	$4,869.60	$4,869.60	$4,869.60
Cytarabine 20 mg/ml injection solution	$0.60	$70.80	$2,244.00
Cyto/molecular report	$39.00	$85.80	$326.40
Cytogenetics 25-99	$158.40	$325.20	$412.00
Cytogenomic neo microra alys	$1,343.40	$1,343.40	$1,416.00
Cytomegalovirus (cmv) antibody igg	$71.40	$176.80	$1,002.00
Cytomegalovirus (cmv) antibody igm	$85.20	$146.40	$1,845.00
Cytomegalovirus imm IV /vial	$5,413.80	$5,413.80	$5,413.80
Cytopath c/v auto in fluid	$334.40	$334.40	$334.40
Cytopath c/v index add-on	$34.20	$34.20	$34.20
Cytopath fl nongyn filter	$91.20	$140.40	$169.60
Cytopath smear oth prep screen & interp	$54.60	$100.20	$178.80
Cytopath smear other source	$116.40	$116.40	$116.40
Cytopath smear other source	$54.60	$54.60	$137.40
Cytopath tbs c/v manual	$36.60	$36.60	$36.60
Cytopathology cellular enhancement technique non-gyn	$142.20	$268.20	$388.80
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review	$78.00	$78.00	$110.40
Cytopathology cervical/vaginal thin layer manual screening	$61.20	$61.20	$115.20
Cytopathology concentration technique smears & interpretation	$51.00	$85.80	$201.00
Cytopathology fluids/washings/brushings smears with interpretation	$68.40	$232.20	$1,102.20
Cytopathology fna adequacy evaluation each separate additional episode same site	$39.60	$48.00	$132.00
Cytopathology fna adequacy evaluation first episode each site	$51.00	$75.00	$337.20
Cytopathology fna adequacy evaluation first episode each site interp/rpt	$85.20	$241.20	$450.40
Cytotoxic antibody screening	$288.60	$288.60	$1,555.20
Cytp urine 3-5 probes cmptr	$963.00	$2,238.00	$2,358.00
Dacarbazine 100 mg intravenous solution	$19.20	$76.80	$198.60
Dactinomycin 0.5 mg intravenous solution	$166.20	$166.20	$2,879.40
Dalbavancin 500 mg intravenous solution	$64.40	$68.40	$7,113.00
Dalteparin sodium	$126.00	$126.00	$478.20
Daptomycin 500 mg/10 ml intravenous solution	$2.25	$997.80	$2,063.40
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln	$104.40	$109.20	$387.60
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe	$32.20	$2,322.00	$17,923.80
Darbepoetin alfa, esrd use	$2,151.00	$2,151.00	$2,171.40
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution	$483.00	$681.00	$29,942.40
Daunorubicin 5 mg/ml intravenous solution	$19.80	$622.20	$1,617.60
Dbrdmt prmlg les w/pdt	$1,000.20	$1,000.20	$1,253.40
Dch glucoscan	$12.00	$14.40	$96.00
Dch pulmonary stress test	$156.00	$432.60	$3,041.40
Dch validity tests	$18.60	$33.60	$70.80
Deamidated gliadin antibody iga	$58.80	$96.60	$780.60
Debr g/per/abd wall 11006	$6,204.00	$6,204.00	$10,447.20
Debr musc/fascia 20sq cm/< 11043	$728.40	$2,199.00	$5,416.80
Debrid ecz/inf skin up tp 10% body 11000	$424.20	$622.20	$1,592.00
Debrid/rmv fgn bdy/open fx/skin/sq 11010	$1,470.60	$1,778.40	$3,493.80
Debride nail1-5 11720	$133.20	$274.20	$471.00
Debride nail6 or more 11721	$200.40	$206.40	$413.40
Debride skin bone at fx site	$3,515.40	$3,785.40	$5,416.20
Debride skn/sq t/m/f necro infctj abdl wall 11005	$2,073.00	$2,073.00	$2,073.00
Debride skn/sq/musc/abd wall 11004	$1,539.00	$1,539.00	$1,539.00
Debride/rmv fb/open fx/skin/sq/musc11011	$4,833.60	$4,833.60	$4,833.60
Debride/subq tissue/ea add 20sq cm 11045	$728.40	$811.20	$1,588.80
Debridement (>20 cm) charge pt	$259.20	$321.00	$483.60
Debridement bone <= 20 sq cm	$1,738.80	$2,320.80	$4,173.60
Debridement subcutaneous tissue <= 20 sq cm	$825.60	$2,116.20	$5,052.60
Debridement/bone/20 sq cm or less 11046	$147.00	$817.20	$2,680.20
Debridement/bone/ea add 20 sq cm 11047	$1,023.60	$1,062.60	$2,680.20
Decalcification	$102.00	$334.20	$645.60
Decitabine 50 mg intravenous solution	$82.80	$292.80	$14,635.80
Declotting thrombolytic agent implanted vas access device 36	$239.40	$653.40	$843.60
Decompress small bowel	$3,899.40	$3,899.40	$3,899.40
Deferoxamine 500 mg solution for injection	$20.40	$112.80	$234.40
Degarelix 120 mg subcutaneous solution	$18.60	$78.60	$4,902.00
Delay flap eye/nos/ear/lip	$3,955.80	$3,955.80	$3,955.80
Delivery of placenta 59414	$3,276.00	$3,276.00	$3,786.60
Delivery transcath fxtn dvc to endogrft w/s&i	$8,864.40	$8,864.40	$8,864.40
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device	$64.80	$84.60	$419.40
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution	$61.80	$3,433.80	$10,269.00
Dentoalveolar/drain abs/cyst/hema 41800	$589.80	$942.60	$3,772.80
Dermagraft	$87.60	$87.60	$2,778.40
Des thora aorta rpr without left sub art 33881	$9,807.60	$9,807.60	$9,807.60
Design mlc device for imrt	$1,254.00	$1,772.40	$5,968.20
Desmopressin 4 mcg/ml injection solution	$39.40	$238.80	$2,755.80
Desoxycorticosterone	$67.20	$324.00	$481.60
Dest mal lesion feenlm 0.6-1cm 17281	$258.60	$861.60	$1,523.40
Dest mal lesion feenlm 1.1 - 2.0 cm 17282	$246.00	$246.00	$1,360.20
Dest mal lesion feenlm <0.5cm 17280	$1,044.60	$1,044.60	$1,501.20
Dest mal lesion snhfg 0.6-1cm 17271	$808.80	$808.80	$808.80
Dest mal lesion snhfg 1.1-2cm 17272	$134.40	$935.40	$1,216.20
Dest mal lesion tal 0.6-1.0cm 17261	$686.40	$893.40	$1,489.60
Dest mal lesion tal 1.1-2.0cm 17262	$860.40	$1,119.00	$1,306.20
Dest mal lesion tal 2.1-3.0cm 17263	$952.80	$1,240.20	$1,451.40
Dest mal lesion tal <0.5 17260	$754.80	$754.80	$1,172.00
Destroy cervthor facet jnt 64633	$2,606.40	$4,041.60	$4,776.60
Destroy cth facet jnt addl 64634	$2,014.80	$3,434.40	$4,438.20
Destroy internal hemorrhoids destroy 46930	$1,522.80	$2,551.20	$3,971.40
Destroy premlg lesns;1st lesn 17000	$141.00	$615.00	$847.20
Destroy vulva lesion simple 56501	$5,772.60	$5,772.60	$6,178.80
Destruct ben lesion 15/> 17111	$120.60	$147.00	$2,706.60
Destruct cut vasl lesions <10cm 17106	$1,848.00	$1,848.00	$2,521.80
Destruction 2-14 lesions 17003	$64.20	$85.80	$118.20
Destruction anal lesion(s)	$988.80	$988.80	$988.80
Destruction anal lesion(s)	$1,638.00	$1,638.00	$1,638.00
Destruction anal lesion(s) smpl chem 46900	$451.80	$451.80	$451.80
Destruction benign lesions < 14 lesions	$141.00	$513.60	$847.20
Destruction by injection tx of nerve 64630	$3,040.20	$3,918.60	$5,502.00
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)	$2,615.40	$4,192.80	$7,348.20
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)	$2,148.00	$4,192.80	$7,348.20
Destruction cryosurgery anal lesion(s) simpl 46916	$118.80	$118.80	$2,010.00
Destruction mal lsn s/n/h/f/g 2.1-3cm	$1,378.20	$1,378.20	$2,389.80
Destruction mal lsn s/n/h/f/g 3.1-4cm	$2,652.00	$2,652.00	$2,652.00
Destruction mal lsn t/a/l 3.1-4cm	$1,033.80	$1,033.80	$1,444.80
Destruction mal lsn t/a/l >4cm	$1,717.80	$1,717.80	$2,730.60
Destruction penis lesion(s) chem 54050	$229.20	$229.20	$229.20
Destruction premal lesions 15/> 17004	$258.60	$532.80	$1,664.40
Destruction rectal tumor 45190	$4,170.00	$4,170.00	$4,170.00
Detect agnt mult dna direc	$501.00	$501.00	$501.00
Developmental screen/score/document 96110	$20.40	$20.40	$20.40
Device ablt adv novasure	$4,141.20	$7,153.60	$14,299.20
Device intraute mirena	$693.60	$2,943.00	$4,133.60
Device sut capio slim opn	$1,096.20	$1,350.00	$2,071.80
Device tiss remov myosure reach	$2,681.40	$2,842.20	$3,790.20
Dexa bone density study >=1 sites appendicular skeleton (peripheral)	$121.20	$121.20	$192.00
Dexametha opth insert 0.1 mg	$354.00	$505.80	$2,022.60
Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr	$1,738.20	$1,738.20	$1,738.20
Dexamethasone 4 mg tablet	$0.60	$5.40	$256.80
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr	$1.80	$6.60	$215.40
Dexamethasone intra implant	$521.40	$521.40	$3,437.40
Dexrazoxane hcl 250 mg intravenous solution	$307.20	$1,196.40	$4,341.60
Dextran 40 infusion	$645.60	$645.60	$645.60
Dextrose 5 % IV bolus	$26.80	$60.60	$76.40
Dextrose 5 % and 0.9 % sodium chloride intravenous solution	$32.40	$75.60	$159.00
Dextrose 5 % and lactated ringers intravenous solution	$29.00	$78.40	$140.00
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)	$47.40	$61.20	$119.40
Dhea-s (dehydroepiand sulfate)	$111.60	$210.00	$496.20
Diab manage trn ind/group	$16.80	$93.00	$679.20
Diabetes (HbA1c) Test	$31.20	$75.00	$416.40
Diag laparo separate proc 49320	$853.80	$853.80	$853.80
Diagnostic Mammogram (both breasts)	$238.80	$483.00	$612.00
Diagnostic Mammogram (one breast)	$175.80	$349.80	$543.00
Diagnostic anoscopy	$1,349.40	$1,349.40	$1,349.40
Diagnostic anoscopy & biopsy	$3,235.80	$3,235.80	$3,235.80
Diagnostic anoscopy spx 46600	$87.60	$463.20	$3,052.80
Diagnostic laryngoscopy 31505	$279.60	$338.40	$609.00
Diagnostic laryngoscopy 31575	$256.80	$677.40	$1,651.80
Diagnostic radio unlisted proc	$170.40	$170.40	$686.40
Dialysis circuit perm vascular embolization 36909	$2,160.60	$3,309.60	$13,276.80
Dialysis one evaluation	$970.80	$1,098.60	$1,560.60
Diatrizoate meglumine 18 % urethral solution	$0.60	$0.60	$441.00
Diazepam 5 mg/ml injection solution (wrapper)	$9.60	$33.45	$333.00
Dicyclomine injection	$25.20	$494.40	$691.20
Difelikefalin, esrd on dialy	$1.20	$1.20	$1.20
Diffusing capacity	$145.80	$498.40	$1,176.60
Digital analysis of eeg	$760.80	$760.80	$760.80
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution	$12.80	$29.85	$85.80
Digoxin immune fab 40 mg intravenous solution	$2,869.80	$11,176.20	$16,441.80
Digoxin total therapeutic drug level	$89.40	$126.00	$355.80
Dihydroergotamine 0.05 mg/ml IV syringe - cnr	$89.40	$924.80	$1,414.20
Dilat xst trc ndurlgc px	$2,397.00	$4,140.00	$9,487.80
Dilat xst trc new access rcs	$4,437.60	$4,437.60	$11,311.20
Dilate biliary duct/ampulla	$2,304.60	$21,297.00	$24,785.40
Dilate esophagus 1/mult pass	$1,372.20	$1,558.20	$4,264.00
Dilate ic vasospasm ea add vsl diff territory	$1,269.00	$1,623.00	$9,783.00
Dilate ic vasospasm ea add vsl same territory	$1,269.00	$1,623.00	$9,783.00
Dilate ic vasospasm init	$1,948.20	$3,609.60	$9,783.00
Dilate urethra stricture	$534.00	$682.20	$1,246.20
Dilation of cervical canal 57800	$4,291.20	$4,291.20	$4,291.20
Dilation of rectal stricture 45910	$2,641.20	$3,933.60	$8,947.80
Dilation/urethral strict/male/ini 53620	$2,997.00	$2,997.00	$2,997.00
Dilator fascial 10fx20cm	$127.80	$845.40	$1,472.40
Diltiazem 5 mg/ml intravenous solution	$12.60	$12.60	$12.60
Dimenhydrinate injection	$6.60	$13.20	$33.90
Dimethyl sulfoxide 50% 50 ml	$7.80	$324.00	$3,160.80
Diphenhydramine 12.5 mg/5 ml oral elixir	$0.60	$9.60	$10.20
Diphenhydramine 50 mg/ml injection (wrapper)	$1.80	$15.00	$19.00
Diphtheria-tetanus toxoids 0.5 ml (peds)	$24.60	$24.60	$25.80
Disability dlco	$190.20	$234.00	$886.80
Disaccharidases	$88.80	$163.80	$1,345.20
Discography cerv/thor spine	$1,987.80	$2,404.00	$10,866.00
Dissolve clot heart vessel	$1,274.40	$1,274.40	$1,274.40
Dist revas ligation hemo	$9,842.40	$9,842.40	$18,247.20
Dlyd plmt xtn prosth ea addl	$1,964.40	$1,964.40	$1,964.40
Dmd dup/delet analysis	$402.60	$402.60	$402.60
Dmpk gene detc abnor allele	$1,539.00	$1,539.00	$1,539.00
Dna antibody native/double stranded	$60.00	$241.20	$301.60
Dna gardnerella	$112.20	$236.40	$267.20
Dna probe chlamydia	$82.20	$231.00	$861.60
Dna probe gc	$97.20	$97.20	$97.20
Dna trichomonas	$112.20	$215.40	$279.20
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution	$2.40	$162.00	$556.80
Docetaxel 20 mg/ml intravenous solution (wrapper)	$35.40	$94.40	$7,030.80
Dolasetron mesylate	$91.20	$91.20	$138.60
Dopamine 40 mg/ml intravenous solution (wrapper)	$1.20	$28.20	$89.40
Doppler echo complete	$471.00	$1,007.40	$1,524.60
Doppler intravascular pressure flow initial vessel	$867.00	$3,046.80	$4,804.80
Doppler upper/lower extremity arteries complete bilateral	$425.40	$1,046.40	$1,308.00
Doppler upper/lower extremity arteries limited bilateral	$339.60	$717.60	$919.20
Doripenem 50 mg/ml inj 10 ml	$3.00	$8.40	$162.00
Dornase alfa non-comp unit	$30.60	$236.00	$571.80
Dornhoffer fixed part w/window	$29,415.60	$44,163.20	$54,599.40
Dostarlimab-gxly 50 mg/ml intravenous solution	$544.20	$565.80	$679.80
Doxorubicin 2 mg/ml intravenous solution (wrapper)	$157.80	$314.40	$9,320.40
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension	$255.00	$2,264.40	$6,409.80
Doxycycline hyclate 100 mg intravenous powder for solution	$0.40	$1.20	$15.60
Dpyd gene common variants	$2,358.60	$2,524.20	$2,524.20
Drain bladder by trocar/cath	$451.20	$451.20	$451.20
Drain blood from under nail 11740	$247.20	$276.00	$609.00
Drain cath image guided peri/retroperitoneal transvag/transrectal	$2,253.00	$3,371.40	$7,281.60
Drain cath image guided visceral pq	$3,637.20	$7,281.60	$9,792.60
Drain cerebro spinal fluid 62272	$1,260.60	$1,705.20	$3,984.60
Drain chst dry seal exp thorastat	$84.60	$84.60	$84.60
Drain finger abscess;simple 26010	$194.40	$478.20	$712.80
Drain neck/chest lesion 21501	$3,347.40	$3,347.40	$5,874.00
Drain ovarn cyst abd	$5,654.40	$5,654.40	$5,654.40
Drain thigh/knee lesion 27301	$4,918.20	$5,469.60	$7,173.60
Drainage absc/cyst/hmtma/vestibule mouth smpl	$630.00	$924.60	$1,741.60
Drainage ext aud canal abscess 69020	$1,440.00	$1,541.40	$3,222.60
Drainage external ear complex 69005	$1,803.60	$7,126.80	$8,618.40
Drainage external ear simple 69000	$576.00	$712.80	$1,341.60
Drainage mouth roof lesion	$837.00	$3,360.60	$5,288.40
Drainage of arm bursa 23931	$454.20	$2,883.60	$5,034.60
Drainage of eye	$4,053.60	$4,053.60	$6,309.60
Drainage of eye	$2,257.80	$2,257.80	$3,363.00
Drainage of kidney lesion	$1,119.00	$2,056.80	$3,367.20
Drainage of mouth lesion	$4,240.20	$4,240.20	$4,240.20
Drainage of mouth lesion	$2,450.40	$2,812.80	$4,024.20
Drainage of mouth lesion	$2,812.80	$2,812.80	$2,812.80
Drainage of mouth lesion	$2,552.40	$3,435.60	$4,240.80
Drainage of mouth lesion	$2,270.40	$2,270.40	$4,240.80
Drainage of mouth lesion	$3,009.60	$3,009.60	$4,468.20
Drainage of nose lesion int 30000	$649.80	$3,688.80	$10,044.00
Drainage of nose lesion sept 30020	$1,624.20	$3,688.80	$4,920.00
Drainage of pelvis lesion 26990	$3,355.20	$3,355.20	$3,855.00
Drainage of rectal abscess	$1,522.80	$3,520.20	$5,976.80
Drainage of rectal abscess 45020	$3,769.20	$5,376.00	$6,501.60
Drainage of urethra abscess 53060	$2,685.60	$2,685.60	$2,685.60
Dress/debrid prtl-thick burn l 16030	$825.60	$1,038.60	$4,057.80
Dress/debride pt-tck burn/5-10% bs 16025	$310.20	$825.60	$1,038.60
Dress/debride pt-thick burn/<5% bs 16020	$266.40	$529.20	$712.80
Drill hole implt ventricular cath/device 61107	$1,723.80	$2,397.00	$4,549.20
Drng hand tendon sheath 26020	$3,572.40	$4,150.20	$6,130.20
Drng of eyelid abscess 67700	$770.40	$7,063.80	$8,618.40
Drng of finger abscess comp 26011	$1,434.00	$2,080.80	$3,948.00
Drng of mouth lesion 40801	$3,040.20	$3,040.20	$5,543.40
Drng of scrotum abscess 55100	$2,080.80	$2,892.60	$3,560.40
Drng open retroperitoneal abscess 49060	$13,891.80	$13,891.80	$13,891.80
Drng salivary gland simple 42300	$3,678.60	$3,678.60	$3,678.60
Drng salivary gland submax/subling 42310	$3,855.00	$3,855.00	$3,855.00
Droperidol 2.5 mg/ml injection solution	$2.40	$39.60	$126.60
Drsg interceed 3x4in adh wnd barr absorb	$640.80	$2,118.60	$3,115.80
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm	$24.60	$284.40	$660.00
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm	$696.00	$696.00	$841.60
Drsg surg adh 11x11 3/4 occl drap wnd 28x30	$33.00	$42.00	$306.60
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm	$10,017.00	$11,362.20	$25,533.00
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm	$6,919.80	$29,534.40	$49,180.20
Drug admin & hemodynmic meas	$422.40	$687.00	$2,304.60
Drug assay caffeine	$99.00	$209.40	$298.80
Drug assay posaconazole	$57.00	$57.00	$57.00
Drug assay rufinamide	$88.20	$205.80	$765.00
Drug assay vedolizumab	$83.40	$210.00	$431.40
Drug assay voriconazole	$190.80	$190.80	$190.80
Drug asy hydroxychloroquine	$57.60	$57.60	$196.20
Drug of abuse screen urine	$32.40	$441.60	$1,074.00
Drug screen quant tiagabine	$188.40	$188.40	$188.40
Drug test def 1-7 classes	$239.40	$437.40	$610.80
Drug test def 15-21 classes	$436.80	$436.80	$436.80
Drug test def 22+ classes	$634.20	$634.20	$634.20
Drug test def 8-14 classes	$239.40	$440.40	$610.80
Drug test prsmv instrmnt	$44.40	$44.40	$44.40
Drug test(s) presumptive any class instrument chemistry analyzers	$53.40	$383.20	$610.80
Drvvt confirm - quest	$91.80	$174.60	$3,389.40
Dstr mal ls f/e/e/n/l/m2.1-3	$2,925.00	$2,925.00	$2,925.00
Dstrj nulyt agt gnclr nrv	$1,245.00	$1,400.40	$5,661.00
Ductogram sgl duct	$547.80	$862.20	$1,043.20
Dup scan/hemodialysis access 93990	$336.60	$684.60	$1,062.40
Dup scan/lwr xtr vasc stdy bilat 93924	$797.40	$914.40	$1,367.40
Dup scan/ue art/graft/bilat/comp 93930	$490.20	$975.00	$1,938.00
Duplex scan bilateral study 93985	$692.40	$1,429.20	$1,728.80
Duplex scan unilateral study 93986	$375.60	$714.60	$1,207.20
Duragen 1x1 5ea/bx	$425.40	$425.40	$514.40
Durvalumab 50 mg/ml intravenous solution	$200.40	$213.60	$324.60
Dx bronchoscope/brush 31623	$1,967.40	$2,168.40	$6,982.20
Dx bronchoscope/lavage 31624	$1,967.40	$3,540.00	$6,400.80
Dx bronchoscope/wash 31622	$1,558.20	$2,322.60	$4,749.00
Dx gastr intub w/asp spec	$861.60	$861.60	$861.60
Dxa bone density axl vrt fx	$151.80	$672.60	$813.60
E equine encephalitis igg	$73.80	$122.40	$335.40
EKG (Electrocardiogram)	$154.20	$247.80	$247.80
ER Visit (level 1, minor)	$57.60	$260.40	$391.20
ER Visit (level 2)	$151.20	$424.20	$652.80
ER Visit (level 3)	$205.20	$744.00	$1,344.00
ER Visit (level 4)	$312.60	$1,223.40	$1,954.20
ER Visit (level 5, high severity)	$501.00	$1,557.60	$3,631.80
Ear canal biopsy 69105	$1,211.40	$1,306.80	$1,795.20
Ear cartilage graft	$9,009.00	$9,009.00	$9,009.00
Ear irrigation 69209	$79.80	$137.40	$214.80
Ecallantide injection	$14,223.60	$14,223.60	$14,223.60
Ecg 12 lead tracing only	$147.60	$271.80	$436.20
Ecg < 30 days transmission & analysis	$259.20	$855.60	$2,124.60
Ecg external < 48 hours recording	$186.60	$551.40	$829.20
Ecg external < 48 hours scanning analysis w/report	$259.20	$671.40	$966.00
Ecg external > 48 hours up to 7 days recording	$60.60	$72.60	$97.80
Ecg external >7 days up to 15 days recording	$60.00	$75.00	$161.40
Ecg/1-3 leads/tracing only 93041	$38.40	$128.40	$243.00
Echo exam of eye	$197.40	$430.20	$722.40
Echo exam of fetal heart	$424.80	$424.80	$424.80
Echo exam of fetal heart	$1,823.40	$1,823.40	$1,823.40
Echo exam of fetal heart	$875.40	$875.40	$875.40
Echo exam of fetal heart	$424.80	$424.80	$424.80
Echo exam uterus 76831-	$695.40	$819.60	$840.80
Echo guidance radiotherapy	$1,704.00	$2,718.00	$3,656.40
Echo guide for amniocentesis	$295.80	$499.20	$603.20
Echo guide for artery repair	$539.40	$1,009.20	$1,288.80
Echo guide for transfusion	$434.40	$434.40	$434.40
Echo guide villus sampling	$355.80	$355.80	$355.80
Echo stress	$626.40	$1,044.60	$5,167.80
Echo tee guidance	$559.80	$925.80	$4,141.20
Echo tee probe placement image acquisition interpretation & report	$860.40	$1,875.00	$4,258.80
Echo transesophageal	$1,737.60	$1,737.60	$1,737.60
Echo transesophageal	$58.80	$58.80	$58.80
Echo transesophageal	$391.20	$391.20	$472.80
Echo transesophageal intraop	$1,737.60	$2,142.60	$2,591.20
Echo transthoracic	$904.80	$1,094.40	$2,946.00
Echo transthoracic	$533.40	$534.60	$1,737.60
Echo tte 2d comp wo ctrst wo clr/dplr	$841.20	$1,026.40	$3,546.60
Echocardiogram (Heart Ultrasound)	$837.00	$1,935.00	$2,739.20
Echocardiography doppler color flow mapping	$418.20	$580.80	$1,435.80
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler	$1,820.40	$2,457.00	$3,415.80
Echocardiography transthoracic 2d followup/limited	$399.60	$841.20	$2,907.00
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast	$364.20	$1,177.80	$3,569.40
Echocardiograpy doppler follow up/limited study	$284.40	$336.00	$922.40
Echograp trans r pros study	$251.40	$576.60	$1,909.20
Ecmo/ecls initiation artery 33947	$1,077.60	$1,219.20	$1,809.00
Ecmo/ecls insj prph cannula 6yrs&older perq 33952	$1,360.20	$1,630.80	$2,248.80
Eculizumab 300 mg/30 ml intravenous solution	$130.20	$268.80	$657.60
Edu/train/pt/nonmd/in person/30 min98960	$508.20	$640.80	$764.40
Eeg 41-60 minutes 95812-26	$476.40	$790.80	$2,166.60
Eeg during surgery	$363.60	$643.80	$1,827.60
Eeg monitor/record/awake/drowsy 95816	$348.60	$1,116.00	$1,439.20
Eeg over 1 hour 95813 - 26	$470.40	$627.00	$2,782.80
Eeg recording awake and asleep	$538.20	$1,189.80	$2,146.80
Eeg without vid 2-12 hr unmntr	$586.20	$586.80	$783.60
Eeg without vid 2-12hr cont mntr	$586.80	$589.20	$783.60
Eeg without vid ea 12-26hr cont	$1,126.20	$1,126.20	$1,502.40
Eeg without vid ea 12-26hr intmt	$1,065.60	$1,126.20	$1,502.40
Eeg wo vid 2-12hr intmt mntr	$586.80	$586.80	$783.60
Eeg wo vid ea 12-26hr unmntr	$1,014.60	$1,126.20	$1,773.60
Eeg/cerebral death evaluation only 95824 -26	$1,053.60	$1,177.80	$2,775.60
Eeg/record in coma or sleep only 95822	$455.40	$1,095.60	$1,439.20
Efgartigimod alfa-fcab 20 mg/ml intravenous solution	$67.20	$85.60	$185.40
Egd Ultrasound exam duodenum/jejunum	$3,414.00	$4,128.80	$5,716.80
Egd Ultrasound fine needle bx/aspir	$3,243.00	$3,243.00	$4,128.80
Egd Ultrasound fine needle bx/aspir	$694.80	$3,677.40	$4,440.00
Egd Ultrasound transmural injxn/mark	$1,525.80	$1,525.80	$4,128.80
Egd balloon dil esoph30 mm/>	$759.00	$1,215.60	$4,128.80
Egd control bleeding any	$2,132.40	$2,978.40	$4,330.80
Egd dilate stricture	$2,394.60	$3,414.00	$5,507.40
Egd endo mucosal resection	$866.40	$1,162.20	$5,542.20
Egd endoscopic stent place	$2,593.20	$4,395.00	$7,896.80
Egd esophagogastrc fndoplsty	$12,753.60	$12,753.60	$12,753.60
Egd guide wire insertion	$2,370.60	$3,526.20	$4,681.20
Egd injection varices	$3,241.20	$4,128.80	$4,768.80
Egd lesion ablation	$2,448.60	$3,414.00	$10,185.00
Egd remove foreign body	$2,019.60	$2,978.40	$4,330.80
Egd remove lesion snare	$2,132.40	$2,978.40	$4,330.80
Egd varices ligation	$2,501.40	$3,414.00	$4,330.80
Egd w/thrml txmnt gerd	$6,529.80	$7,426.80	$9,339.60
Egd w/transmural drain cyst	$6,103.80	$6,339.60	$8,454.00
Egd/insert intraluminal tube/cath 43241	$2,257.80	$2,978.40	$4,330.80
Egd/remov tum/polyp/hot bx forcep 43250	$2,501.40	$3,867.60	$4,330.80
Egfr gene com variants	$134.40	$808.80	$2,001.60
Ehrlicha chaffeensis amp prb	$70.80	$349.80	$451.20
Elec analys infus pump w/reprog 62368	$1,750.80	$2,065.20	$3,958.20
Elect analysis of infusion pump 62367	$3,958.20	$3,958.20	$3,989.40
Elect anlys sp inf pmp w/reprg&fill 62369	$833.40	$861.00	$1,044.00
Electrd sq emblem s-icd	$12,043.80	$18,108.60	$19,195.80
Electrical stimulation/unattended 97014	$27.00	$27.00	$27.00
Electrocochleography	$349.80	$349.80	$613.80
Electroconvulsive therapy 90870	$736.20	$1,226.40	$2,124.00
Electrocorticography durng sx	$643.80	$829.20	$955.80
Electrode stimulation brain	$850.80	$850.80	$2,346.60
Electrolyte panel	$45.60	$130.80	$165.00
Electron microscopy diagnostic	$554.40	$1,386.00	$6,864.00
Electrophys map 3d add-on	$4,608.60	$5,610.00	$8,231.40
Electrophysiologic study	$4,569.60	$4,569.60	$5,773.20
Electrophysiology evaluation	$4,569.60	$5,244.00	$9,087.60
Electrophysiology evaluation	$184.80	$226.20	$695.40
Electrophysiology evaluation	$1,368.00	$1,735.80	$3,064.20
Electrophysiology evaluation	$4,123.20	$5,576.40	$12,422.40
Electrophysiology evaluation	$4,555.20	$6,361.20	$20,323.20
Electrophysiology evaluation	$378.60	$2,100.60	$13,971.00
Electrophysiology evaluation	$1,726.80	$2,161.80	$3,223.80
Elotuzumab 300 mg intravenous solution	$16.80	$18.00	$1,749.60
Elranatamab-bcmm 40 mg/ml subcutaneous solution	$463.20	$463.20	$463.20
Emb w/colposcopy 58110	$189.60	$189.60	$706.40
Emb without cervical dilation 58100	$378.00	$2,178.00	$2,633.60
Embedded ip cath exit-site 49436	$432.00	$432.00	$432.00
Embo or occlude vascular arterial s&i	$6,596.40	$12,721.80	$39,561.60
Embo or occlude vascular hemorrhage s&i	$6,596.40	$12,721.80	$39,561.60
Embo or occlude vascular tumor/organ/infarct s&i	$6,596.40	$13,485.60	$39,561.60
Embo or occlude vascular venous s&i	$6,596.40	$12,721.80	$22,274.40
Embolization s&i	$3,427.80	$3,970.80	$27,675.00
Emg 2 ext w-w/o paraspinal area 95861	$247.80	$464.40	$3,334.20
Emg 3 ext w-w/o paraspinal area 95863	$270.60	$447.00	$1,000.20
Emg cranial nerve bilateral	$394.80	$496.80	$1,635.60
Emg needle test 1-extremity	$222.60	$568.20	$622.20
Emg needle test 4-extremities	$270.60	$588.60	$1,317.00
Emg thor paraspinal without t1/t2	$152.40	$152.40	$543.60
Encephalitis, california igg/igm	$73.80	$122.40	$335.40
Encephalitis, st louis igg/igm	$73.80	$122.40	$335.40
Encephalitis, western equine igg/igm	$73.80	$122.40	$335.40
Endo abl/incom vein/ext/laser/#1 36478	$3,715.20	$7,047.00	$24,475.20
Endo abl/incom vein/ext/rad fre/#1 36475	$3,715.20	$17,545.20	$20,209.20
Endo cath bile duct s&i	$525.00	$982.20	$1,486.80
Endo cath panc duct s&i	$797.40	$926.40	$1,486.80
Endo cholangiopancreatograph	$2,490.00	$4,546.20	$7,896.80
Endo cholangiopancreatograph	$2,784.00	$4,282.20	$7,896.80
Endocerv curettage w/scope 57456	$218.40	$232.00	$1,491.60
Endocervical curettage 57505	$513.60	$1,381.20	$1,762.20
Endoluminal bx biliary tree	$2,354.40	$7,821.60	$24,785.40
Endoluminal bx urtr rnl plvs	$10,866.00	$10,866.00	$10,866.00
Endoluminl ivus oct c 1st	$806.40	$3,325.80	$5,032.80
Endoluminl ivus oct c ea	$260.40	$3,046.80	$3,327.60
Endoscopic Ultrasound exam esoph	$4,128.80	$4,128.80	$4,128.80
Endoscopic injection/implant	$12,844.00	$12,844.00	$12,844.00
Endoscopic pancreatoscopy	$1,102.20	$2,116.20	$7,896.80
Endoscopy bowel pouch/biop	$808.80	$1,896.00	$3,816.80
Endoscopy of bowel pouch 44385	$1,696.20	$3,816.80	$3,868.20
Endoscopy swallow (fees) vid	$162.00	$196.00	$2,073.60
Endoscpy nsl/sns w/cntrl nsl hmrrgh	$2,287.20	$2,420.40	$3,067.20
Endovas iliac a device addon	$9,316.20	$9,316.20	$13,925.40
Endovasc rpr a-biiliac endogft 34705	$6,193.80	$7,465.20	$13,012.20
Endovasc tempory vessel occl	$8,733.00	$9,294.60	$22,601.40
Endoven ther chem adhes 1st 36482	$11,287.20	$11,287.20	$11,287.20
Endovenous laser vein addon 36479	$3,149.40	$3,715.20	$4,146.00
Endovenous mchnchem 1st vein	$4,102.20	$5,231.40	$7,108.80
Endovenous rf abl vein addl	$3,058.80	$3,485.40	$3,909.00
Enfortumab vedotin-ejfv 20 mg intravenous solution	$64.20	$67.20	$2,527.80
Enoxaparin 30 mg/0.3 ml subcutaneous syringe	$7.60	$69.60	$1,416.00
Entamoeba histolytica ag eia - sendout	$66.60	$126.00	$161.40
Enterectomy small intestine addl 44121	$644.40	$644.40	$644.40
Enterectomy small intestine single 44120	$2,237.40	$2,237.40	$2,237.40
Enteroenterostomy fusion 44130	$3,469.20	$3,469.20	$3,469.20
Enzyme cell activity ra	$214.20	$214.20	$547.20
Enzyme histochemistry	$229.80	$471.60	$2,529.60
Ep & ablate supravent arrhyt	$14,329.20	$43,075.80	$59,370.00
Ep & ablate ventric tachy	$27,777.00	$30,975.00	$59,370.00
Ep induct arrhy by elect pacing	$2,447.40	$3,663.00	$6,268.20
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution	$100.80	$102.60	$11,590.20
Epidrm a-grft face/nck/hf/g 15115	$3,834.60	$3,834.60	$3,834.60
Epidural lysis on single day 62264	$3,385.20	$3,385.20	$4,057.80
Epidural/lumbar/sacral/ea add level64484	$1,461.00	$1,952.40	$2,703.60
Epinephrine 1 mg/ml im kit - adult	$1.20	$1.20	$118.20
Epinephrine 1 mg/ml im kit - pediatric	$6.60	$441.60	$1,009.20
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution	$1.80	$2.40	$6.60
Epirubicin 200 mg/100 ml intravenous solution	$0.60	$82.80	$293.40
Episiotomy/vag rpr oth/thn attending phys 59300	$1,964.40	$2,236.20	$5,964.60
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr	$98.40	$160.00	$6,835.20
Epoetin alfa-epbx 40,000 unit/ml injection solution	$30.75	$264.60	$1,222.20
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr	$31.20	$253.20	$759.00
Epstein barr early antigen antibody	$76.20	$213.60	$595.80
Epstein barr nuclear antigen antibody	$86.40	$287.40	$459.60
Epstein barr viral capsid antigen antibody igm	$103.20	$292.20	$451.20
Eptifibatide 0.75 mg/ml intravenous solution	$88.80	$268.80	$2,520.60
Eptinezumab-jjmr 100 mg/ml intravenous solution	$46.40	$3,637.20	$4,849.80
Ercp bil/panc duct; each stent plcmt 43274	$2,919.00	$4,282.20	$7,896.80
Ercp biliary & pancreas	$877.20	$1,026.60	$1,486.80
Ercp ea duct/ampulla dilate	$2,500.80	$4,282.20	$7,896.80
Ercp lesion ablate w/dilate 43278	$2,311.80	$5,574.60	$7,896.80
Ercp lithotripsy calculi	$2,490.00	$5,378.40	$7,896.80
Ercp remove duct calculi 43264	$2,490.00	$4,546.20	$7,896.80
Ercp remove forgn body duct 43275	$2,784.00	$6,529.80	$12,039.00
Ercp stent exchange w/dilate	$2,784.00	$6,529.80	$12,039.00
Ercp w/specimen collection	$2,887.80	$4,546.20	$7,896.80
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution	$277.80	$387.60	$820.80
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr	$82.80	$573.60	$1,000.80
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr	$28.60	$116.80	$460.00
Esd endoscopy or colonoscopy	$4,282.20	$4,282.20	$6,853.80
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only	$3.00	$10.95	$13.00
Esoph balloon distension tst	$1,296.60	$1,296.60	$1,296.60
Esoph egd dilation <30 mm	$2,132.40	$2,978.40	$4,681.20
Esoph endoscopy dilation	$3,265.80	$4,128.80	$5,461.80
Esoph fundoplasty lap 43327	$3,781.20	$3,781.20	$3,781.20
Esoph imped funct test > 1hr	$1,121.40	$1,122.00	$1,548.60
Esoph imped function test	$491.40	$507.60	$6,467.20
Esoph scope w/submucous inj	$4,418.40	$4,418.40	$4,418.40
Esophageal dilat s&i	$504.60	$672.80	$1,403.40
Esophageal motility	$499.20	$552.00	$2,551.20
Esophagosc flex trnsn biopsy	$3,055.20	$3,055.20	$4,264.00
Esophagoscop mucosal resect	$4,128.80	$4,128.80	$4,128.80
Esophagoscop stent placement	$7,596.60	$7,596.60	$7,896.80
Esophagoscop ultrasound exam	$2,959.80	$3,414.00	$4,330.80
Esophagoscopy balloon <30mm	$2,361.00	$2,794.80	$4,128.80
Esophagoscopy control bleed	$1,063.80	$1,063.80	$4,128.80
Esophagoscopy flex biopsy	$4,128.80	$4,128.80	$8,991.00
Esophagoscopy flex dx brush	$2,959.80	$3,238.80	$4,264.00
Esophagoscopy flex remove fb	$1,788.60	$3,017.40	$4,128.80
Esophagoscopy lesion ablate	$4,513.20	$4,513.20	$7,896.80
Esophagoscopy retro balloon	$5,386.80	$5,386.80	$5,386.80
Esophagoscopy rigid trnso 43180	$8,042.40	$8,042.40	$8,042.40
Esophagoscopy snare les remv	$1,716.00	$1,716.00	$4,128.80
Esophagoscopy w/us needle bx	$2,344.20	$4,128.80	$4,856.40
Esophagoscopy/flex/diagnostic 43200	$1,509.00	$2,978.40	$4,264.00
Esophagus endoscopy/ligation	$4,024.20	$4,024.20	$4,128.80
Esophagus motility study	$510.60	$2,006.40	$3,203.40
Establish access to aorta	$2,670.60	$4,618.20	$5,479.20
Establish access to artery	$1,699.20	$1,699.20	$1,699.20
Establish brain cavity shunt	$8,881.80	$8,881.80	$13,183.20
Established Patient Office Visit (level 1)	$24.60	$118.20	$199.80
Established Patient Office Visit (level 2)	$61.80	$145.80	$283.20
Established Patient Office Visit (level 3)	$61.80	$183.60	$426.00
Established Patient Office Visit (level 4)	$93.00	$242.40	$568.20
Established Patient Office Visit (level 5)	$130.80	$271.20	$709.20
Estradiol total	$137.40	$373.20	$519.60
Estradiol valerate 10 mg inj	$51.00	$51.40	$390.60
Estrogens total-sendout	$110.40	$310.20	$711.60
Etanercept injection	$1,119.00	$1,801.80	$1,801.80
Ethanolamine oleate 100 mg	$697.20	$1,156.80	$1,605.00
Ethylene glycol -sendout	$28.80	$202.80	$799.80
Etonogestrel implant system	$693.60	$2,889.60	$5,044.00
Etoposide 20 mg/ml intravenous solution	$44.40	$261.60	$1,867.20
Etoposide 50 mg cap	$45.00	$253.80	$285.60
Euflexxa inj per dose	$752.40	$752.40	$2,039.40
Euglobulin lysis	$30.60	$70.80	$441.00
Eval/fit voice prosthesis iii, st	$310.20	$806.40	$979.80
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen	$270.40	$496.80	$518.40
Evaluation of speech fluency 92521	$228.60	$404.40	$552.80
Evaluation psychiatric diagnostic	$105.60	$265.80	$993.00
Evasc prlng admn rx agnt 1st	$3,609.60	$4,786.20	$17,661.00
Evasc prlng admn rx agnt add	$1,269.00	$2,865.00	$3,835.80
Evasc repair of iliac artery; endograft 34718	$4,483.80	$4,483.80	$17,281.80
Evasc rpr a-ao ndgft 34701	$7,465.20	$7,465.20	$12,276.00
Evasc rpr a-biiliac ndgft rptr	$8,133.60	$10,363.80	$12,276.00
Evasc rpr a-iliac ndgft 34717	$4,483.80	$4,483.80	$9,316.20
Evasc rpr a-unilac ndgft 34703	$7,465.20	$7,465.20	$7,465.20
Evasc rpr ilio-iliac ndgft	$7,465.20	$7,465.20	$7,629.00
Event monitor	$228.60	$462.00	$1,565.40
Evok oa screening qual	$140.80	$140.80	$263.40
Evoked oa emissions ltd	$446.40	$446.40	$446.40
Evoked potential visual not glaucoma	$457.20	$572.40	$1,312.80
Evoked potentials auditory screening automated analysis	$127.80	$154.40	$1,386.60
Evoked potentials upper limbs	$339.00	$491.40	$1,708.20
Ex sq tumor/face or scalp 2 cm/> 21012	$877.20	$877.20	$3,369.60
Exam of vagina w/scope 57420	$162.60	$189.60	$1,288.80
Exam pelvic add-on	$16.80	$16.80	$16.80
Exc abd les sc 3 cm/>	$1,144.80	$1,144.80	$1,144.80
Exc abdl tum deep < 5 cm	$1,464.00	$1,464.00	$1,464.00
Exc arm/elbo les sc <3cm 24075	$4,086.60	$4,086.60	$6,097.20
Exc arm/elbo les sc >=3cm 24071	$4,078.80	$4,078.80	$4,078.80
Exc back les sbq <3 cm 21930	$3,529.20	$3,529.20	$5,356.20
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442	$255.60	$2,184.60	$3,393.60
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443	$501.00	$2,184.60	$3,393.60
Exc ben+marg excep skin tag feenlm <0.5cm 11440	$490.80	$1,703.40	$4,057.80
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421	$490.80	$2,286.00	$2,815.20
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423	$406.20	$2,574.60	$3,015.00
Exc ben+marg excep skin tag snhfg >4cm 11426	$718.80	$3,706.20	$5,502.00
Exc ben+marg excep skin tag tal 0.6-1cm 11401	$258.60	$969.00	$2,961.60
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403	$526.20	$1,651.80	$3,265.20
Exc benign feenlm 3.1-4.0cm 11444	$1,105.20	$2,979.60	$3,430.80
Exc benign feenlm >4.0cm 11446	$3,515.40	$3,992.40	$5,502.00
Exc benign snhfg 3.1-4.0cm 11424	$464.40	$3,706.20	$4,530.60
Exc benign tal 0.5 < cm 11400	$490.80	$1,527.60	$3,265.20
Exc face tum deep 2cm/> 21014	$7,471.20	$7,471.20	$7,471.20
Exc feenl mal+mrg 0.6-1 11641	$490.80	$2,574.60	$3,123.60
Exc feenl mal+mrg 2.1-3 11643	$940.20	$3,448.20	$5,985.00
Exc hidradenitis ing simpl 11462	$621.60	$621.60	$621.60
Exc im tumor/back/flank/ < 5 cm 21932	$6,814.20	$6,814.20	$6,814.20
Exc les/mucos/sub/ves mouth/no rpr 40810	$1,965.60	$1,965.60	$1,965.60
Exc mal+marg tal 1.1-2 cm 11602	$258.60	$2,371.20	$2,961.60
Exc mal+marg tal 2.1-3 cm 11603	$483.60	$2,574.60	$4,057.80
Exc mal+marg tal 3.1-4 cm 11604	$491.40	$3,448.20	$3,835.20
Exc malig feenl 1.1-2 11642	$477.00	$490.80	$3,835.20
Exc malig feenl 3.1-4.0 11644	$955.80	$955.80	$3,734.40
Exc malig feenl <0.5cm 11640	$490.80	$490.80	$1,534.40
Exc malig feenl >4cm 11646	$3,435.00	$3,435.00	$3,435.00
Exc malig snhfg 0.5cm or less 11620	$315.00	$315.00	$1,105.20
Exc malig snhfg 0.6-1.0 cm 11621	$2,574.60	$2,574.60	$2,574.60
Exc malig snhfg 2.1-3 cm 11623	$550.20	$1,052.40	$3,835.20
Exc malig tal 0.6-1.0cm 11601	$490.80	$1,534.40	$2,767.80
Exc malig tal <0.5cm 11600	$2,574.60	$2,574.60	$3,109.80
Exc skn hdrdnt ax complex	$846.00	$846.00	$846.00
Exc skn hdrdnt ax smpl/ntrm	$652.80	$652.80	$652.80
Exc snhfg mal+mrg 1.1-2 11622	$491.40	$3,448.20	$3,835.20
Exc snhfg mal+mrg 3.1-4 11624	$3,529.20	$3,529.20	$3,835.20
Exc snhfg mal+mrg >4 cm 11626	$2,752.20	$2,752.20	$3,448.20
Exc sq tum/neck or ant thorax <3cm 21555	$3,343.20	$3,343.20	$3,360.60
Exc sq tum/neck/ant thorax 3cm/> 21552	$1,164.60	$1,164.60	$1,164.60
Exc sq tumor/forearm/wrist/<3cm 25075	$3,342.00	$3,342.00	$5,502.00
Exc sq tumor/thigh/knee area 3cm/> 27337	$1,087.80	$1,087.80	$4,215.00
Exc thigh/knee les sc<3cm 27327	$5,981.40	$5,981.40	$5,981.40
Exc thigh/knee tum dep 5cm/>	$3,514.80	$3,514.80	$3,514.80
Exc thrombosed hemorrhoid 46320	$1,522.80	$2,491.20	$8,618.40
Exc tmr sft tiss shldr subq <3cm	$849.60	$849.60	$5,502.00
Exc tr-ext mal+marg tal >4 cm 11606	$1,105.20	$3,448.20	$3,835.20
Exc/pilonidal cyst/sinus/simple 11770	$480.60	$4,440.60	$8,618.40
Exchange biliary drg cath	$2,259.00	$3,855.00	$8,884.20
Exchange drainage catheter	$971.40	$3,496.20	$6,913.20
Exchange nephrostomy cath	$1,941.60	$2,685.60	$8,884.20
Excimer lsr psriasis 250-500	$667.80	$667.80	$667.80
Excimer lsr psriasis<250sqcm	$652.20	$652.20	$652.20
Excimer lsr psriasis>500sqcm	$997.80	$997.80	$997.80
Excise anal ext tag/papilla	$2,813.40	$3,114.00	$4,177.20
Excise subq tumor/abd wall <3 cm 22902	$4,161.60	$4,161.60	$4,161.60
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm	$490.80	$2,513.40	$3,265.20
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm	$348.00	$2,427.00	$2,961.60
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm	$346.40	$2,184.60	$3,265.20
Excision benign lesion trunk/arms/legs > 4.0 cm	$940.20	$2,925.00	$3,556.80
Excision graft extremity	$504.00	$504.00	$504.00
Excision of anal lesion(s)	$3,114.00	$4,141.20	$5,621.40
Excision of gum lesion 41825	$4,553.40	$4,553.40	$4,553.40
Excision olecranon bursa	$2,271.60	$2,271.60	$2,271.60
Excision tumor soft tissue back/flank subcutaneous >= 3 cm	$4,745.40	$4,745.40	$6,807.60
Exercise tst brncspsm w/ecg	$275.40	$275.40	$275.40
Exercise tst brncspsm wo ecg	$112.80	$112.80	$112.80
Exercise w/hemodynamic meas	$2,715.00	$2,715.00	$2,715.00
Exome sequence analysis	$5,002.20	$5,002.20	$5,002.20
Exp w remove/deep fb/forearm/wrist 25248	$2,055.00	$2,055.00	$2,055.00
Expander breast 300cc mod hght extra proj smth natrelle	$2,395.80	$2,967.60	$4,151.40
Expander tiss 133s-mv-12-t 300ml natrelle smth	$2,680.20	$3,237.00	$10,690.80
Expl lap celiotomy w/wo bx 49000	$1,389.00	$5,776.80	$7,111.20
Exploration of knee joint	$5,776.80	$5,891.40	$8,659.80
Exploration retroperitoneal area 49010	$2,465.40	$2,465.40	$2,465.40
Explore adrenal gland w or without biopsy 60540	$2,817.00	$2,817.00	$2,817.00
Explore limb vessels 35860	$3,583.20	$3,846.60	$5,272.80
Explore parathyroid glands	$1,307.40	$1,307.40	$1,307.40
Explore penetrating wnd/extremity 20103	$1,954.20	$3,349.80	$5,807.40
Explore wound abdomen 20102	$3,845.40	$4,057.80	$4,684.20
Explore wound neck 20100	$5,929.80	$5,929.80	$5,929.80
Explore woundchest 20101	$3,265.20	$3,265.20	$3,537.00
Explore/repair chest 32110	$7,908.00	$10,822.80	$18,903.00
Explore/treat finger joint	$4,131.00	$4,131.00	$6,347.40
Explore/treat wrist joint	$4,575.00	$5,268.60	$6,887.40
Expose art endoprosth iliac 34820	$6,210.00	$6,210.00	$6,210.00
Ext ecg>48hr<7d scan a/r	$161.40	$246.60	$341.60
Ext ecg>7d<15d scan a/r	$223.80	$240.00	$324.00
External chromosome analysis 20-25 cells	$354.60	$1,033.80	$1,226.40
External newborn metabolic screening panel	$301.60	$301.60	$301.60
External ocular photography	$91.20	$91.20	$91.20
External pretreatment of serum for use in antibody identification by dilution	$121.20	$181.80	$218.40
External tissue culture neoplastic disorders bone marrow/blood cells	$354.60	$1,167.00	$2,099.40
Extractable nuclear antigen/antibody any method each antibody centromere	$89.40	$159.00	$1,020.00
Extrnl counterpulse, per tx	$1,424.40	$1,424.40	$1,424.40
Eye implant band 40	$2,927.40	$2,963.40	$4,016.80
F-18 fdg pet diag	$537.60	$1,013.40	$2,058.00
F-18 florbetapir less than or equal to 10 mci	$7,344.60	$12,351.00	$14,930.40
F-18 fluciclovine per mci	$710.40	$1,579.20	$1,588.80
F-18 sodium fluoride	$640.80	$640.80	$748.80
Facial bones <3	$188.40	$388.00	$686.40
Factor ix	$82.20	$222.60	$1,503.00
Factor ix alprolix recomb	$7.80	$7.80	$7.80
Factor ix complex	$7.80	$7.80	$8.40
Factor ix recombinant nos	$15.40	$34.65	$2,040.00
Factor viii	$91.20	$222.60	$2,282.40
Factor viii fc fusion recomb	$5.40	$5.40	$5.40
Factor viii recomb novoeight	$3.15	$3.40	$2,592.00
Factor viii recomb obizur	$16.20	$16.20	$16.20
Factor viii recombinant nos	$4.20	$21.60	$2,280.00
Fallopian tube recnl	$804.60	$804.60	$972.80
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution	$52.80	$55.20	$1,620.60
Family therapy with patient 50 min 90847	$128.00	$308.40	$406.80
Family therapy without pt 50min 90846	$128.00	$287.40	$406.80
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr	$0.30	$0.40	$0.40
Fancc gene	$502.20	$532.80	$3,029.40
Fat/lipids feces qualitative	$25.20	$199.80	$241.60
Fatty acids nonesterified	$94.80	$153.60	$3,835.20
Fda ide #g240020 carry bag	$2,265.00	$2,265.00	$2,265.00
Feeding tube reposition	$447.60	$447.60	$1,011.00
Felbamate (felbatol(r)) - sendout	$226.20	$226.20	$2,410.20
Fem/popl revasc w/stent	$7,915.20	$34,849.20	$41,308.20
Feno poc	$229.20	$229.20	$273.60
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)	$16.20	$218.40	$451.20
Ferric carboxymaltose 50 mg iron/ml intravenous solution	$4.20	$58.80	$5,580.60
Ferritin	$68.40	$212.40	$570.00
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution	$4.65	$42.00	$3,963.60
Fetal biophys profile w/nst 76818	$394.20	$394.20	$1,152.00
Fetal chrom aneuploidy gsa panel	$1,644.00	$3,621.60	$3,621.60
Fetal contract stress test 59020 - 26	$555.60	$555.60	$555.60
Fetal cord puncture prenatal	$1,034.40	$1,034.40	$1,034.40
Fetal fibronectin	$326.40	$851.40	$1,029.60
Fetal fluid drainage w/us	$1,034.40	$1,034.40	$1,034.40
Fetal hemoglobin (kleihauer betke)	$40.20	$168.60	$431.20
Fetal hemoglobin rosette	$48.00	$78.60	$1,333.80
Fetal lung maturity assess lam body dnst	$47.40	$47.40	$47.40
Fetal non stress test	$266.40	$373.20	$897.00
Fetal shunt placement w/us	$1,034.40	$1,034.40	$1,034.40
Fibrin degradation d dimer quantitative	$51.60	$93.00	$179.20
Fibrin degradation products	$34.20	$91.80	$820.80
Fibrin degrade semiquant	$34.80	$159.00	$1,882.80
Fibrinogen activity	$49.20	$121.20	$255.60
Fibrinolysins/coagulopathy screen interpretation/report	$33.00	$180.00	$241.20
Fibrinolytic antiplasmin	$40.20	$81.00	$1,503.00
Fibrinolytic plasminogen	$87.00	$159.60	$2,027.40
Fibrinolytic plasminogen xcpt antgnc asa	$33.00	$83.40	$1,527.00
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr	$3.75	$1,914.00	$2,461.20
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe	$1.20	$4.80	$582.00
Filgrastim-sndz 300 mcg/0.5 ml injection syringe	$6.90	$328.80	$2,032.80
Filter spider fx 3mmx320cm	$3,649.20	$6,785.40	$53,950.20
Filter vena cava fem denali	$4,242.60	$5,991.00	$11,731.20
Finasteride, 5 mg	$11.00	$32.20	$49.80
Fine needle asp without image guide 10021	$394.80	$722.40	$1,401.60
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008	$231.60	$231.60	$575.40
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007	$574.80	$777.00	$2,287.20
Fine needle aspiration biopsy w/us gdn; ea addtl 10006	$574.80	$738.00	$1,152.60
Fine needle aspiration biopsy without img gdn; ea addtl 10004	$269.40	$269.40	$269.40
Finger joint sz00 swanson w/grommets	$1,917.00	$3,109.80	$10,690.80
Fix g/colon tube w/device	$2,854.80	$3,659.40	$7,205.40
Fixtn pq skel dstl rad fx/epiphysl sep	$5,510.40	$5,510.40	$5,510.40
Fl exam g/colon tube w contrast	$602.40	$1,062.60	$2,151.20
Flebogamma injection	$6,922.20	$6,922.20	$6,922.20
Flecainide (tambocor)-sendout	$72.00	$205.80	$298.80
Flexible Sigmoidoscopy	$176.40	$598.20	$1,158.00
Floor of mouth biopsy 41108	$720.00	$720.00	$996.60
Florbetaben f18 diagnostic	$12,033.00	$12,033.00	$12,033.00
Flotufolastat f18 diag 1 mci	$1,173.60	$1,173.60	$1,658.40
Flow cytometry interp 16 or more	$208.80	$699.60	$1,040.40
Flow cytometry marker each additional	$141.00	$175.20	$645.60
Flow cytometry one marker technical component	$276.60	$350.40	$1,882.40
Floxuridine injection	$555.60	$2,184.00	$8,522.40
Flt3 gene	$277.80	$1,102.80	$1,654.80
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback	$2.40	$532.80	$2,821.80
Fludarabine 50 mg intravenous solution	$81.00	$1,258.80	$2,164.80
Fluid pressure muscle 20950	$342.00	$342.00	$801.60
Fluidotherapy charges pt	$85.80	$118.20	$165.60
Fluocinolone acetonide implt	$34,587.60	$34,587.60	$34,587.60
Fluorescent antibody titer dna	$39.00	$186.60	$1,603.20
Fluoroestradiol f 18	$1,413.00	$1,491.00	$2,055.00
Fluoroguide for spine inject 77003-26	$373.20	$634.20	$1,542.40
Fluoroguide needle placement	$406.20	$1,011.60	$2,748.60
Fluoroscopy up to 1 hour	$496.20	$647.20	$1,349.40
Fluorouracil 50 mg/ml intravenous solution (wrapper)	$0.60	$106.20	$1,062.00
Fluphenazine decanoate 25 mg/ml injection solution	$276.00	$467.20	$1,498.80
Fmri brain by phys/psych	$1,741.80	$1,741.80	$6,214.20
Fmri brain by tech	$1,741.80	$1,741.80	$6,214.20
Fna bx w/ct gdn 1st les	$574.80	$971.40	$2,080.80
Fna bx w/ct gdn ea addl	$314.40	$726.00	$1,085.40
Fna bx w/mr gdn 1st les	$574.80	$710.40	$1,498.20
Fna bx w/mr gdn ea addl	$296.40	$296.40	$575.40
Folic acid	$75.00	$142.20	$1,187.40
Folic acid 5 mg/ml injection solution	$0.80	$1.05	$3.00
Follow-up angiography	$749.40	$1,536.60	$5,260.20
Fomepizole 1 gram/ml intravenous solution	$74.40	$5,244.60	$16,285.80
Fondaparinux sodium	$60.60	$595.80	$1,206.60
Foot X-ray	$115.80	$327.00	$686.40
Forehead flap w/vasc pedicle 15731	$4,228.20	$4,228.20	$4,228.20
Forensic cytopathology	$116.40	$116.40	$116.40
Foreskn manip w/lss preputial ads+stretching 54450	$534.00	$2,487.00	$6,114.60
Fosaprepitant 150 mg intravenous powder for solution	$10.20	$1,173.00	$1,549.20
Foscarnet sodium injection	$0.60	$393.00	$2,358.00
Fosphenytoin 50 mg pe/ml injection (wrapper)	$12.00	$122.40	$516.00
Fracture assessment via dxa	$170.40	$316.20	$679.20
Fragmenting of kidney stone	$9,055.80	$9,055.80	$9,055.80
Freeing of bowel adhesion 44005	$1,998.60	$1,998.60	$1,998.60
Frenectomy 41115	$3,435.60	$3,435.60	$3,435.60
Fresh frozen plasma 8-24 hours collection each unit	$243.00	$294.40	$602.40
Fresh frozen plasma frozen within 8 hours of collection each unit	$120.00	$303.00	$1,694.40
Fresh frozen plasma thawing ea un	$71.40	$93.60	$199.80
Frozen cell preparation	$138.00	$138.00	$138.00
Fructosamine glycated protein	$66.60	$197.40	$282.60
Full thick gft w/close donor fccmnaghf <=20sqcm 15240	$3,955.80	$4,035.60	$6,063.00
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260	$3,448.20	$3,448.20	$3,448.20
Full thick gft/scalp/arm/leg/20sqcm or< 15220	$3,448.20	$3,448.20	$3,448.20
Full thick gft/scalp/arm/leg/add 20sqcm 15221	$3,448.20	$3,448.20	$3,448.20
Fundus photography with i&r 92250	$102.00	$169.20	$247.80
Furosemide 10 mg/ml injection solution	$0.40	$0.60	$2.40
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr	$6.60	$12.00	$32.40
G-esoph reflx tst w/electrod	$1,109.40	$1,306.80	$5,380.80
G-tube reposition	$721.20	$2,065.20	$6,670.20
G0180 home health certification	$93.60	$93.60	$93.60
G6pc gene	$343.80	$343.80	$364.20
G6pd full gene sequence	$3,029.40	$3,029.40	$3,029.40
Ga-67 gallium 0.1 mci	$42.60	$190.20	$1,032.60
Ga-68 gallium 68 dotatate	$217.80	$217.80	$286.80
Gadobutrol 1 mmol/ml intravenous solution (wrapper)	$2.40	$4.80	$10.80
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)	$2.40	$15.00	$282.00
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution	$0.60	$0.60	$65.40
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution	$8.40	$25.80	$108.60
Galac-1-phosphate uridyltran - sendout	$26.40	$34.20	$41.40
Galectin-3	$55.80	$78.00	$96.00
Gallbladder Removal (Laparoscopic)	$1,009.80	$8,289.60	$8,289.60
Gallium illuccix 1 millicure	$1,900.80	$2,235.60	$2,848.80
Gamma globulin 1 cc inj	$31.20	$189.60	$381.00
Gamma glutamyltransferase	$36.60	$111.00	$282.60
Gammaglobulin iga	$51.00	$280.80	$404.40
Gammaglobulin ige	$80.40	$226.80	$678.60
Gammaplex injection	$6.00	$6.00	$6.00
Gamunex-c/gammaked	$7.80	$345.60	$20,308.80
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr	$3.60	$735.20	$1,251.60
Gardner vag dna quant	$232.80	$351.20	$505.20
Gastric motility studies	$972.00	$972.00	$1,578.60
Gastric mucosa imaging	$1,228.80	$1,228.80	$1,228.80
Gastroesophageal reflux study	$1,228.80	$1,621.80	$1,960.80
Gastroesophageal reflux test	$1,115.40	$1,531.20	$2,960.00
Gated heart multiple	$1,228.80	$2,298.00	$2,779.20
Gba gene	$1,191.60	$1,191.60	$1,191.60
Gel-one	$2,173.80	$2,173.80	$2,173.80
Gel-syn injection 0.1 mg	$3.00	$3.00	$8.40
Gemcitabine 1 gram intravenous solution	$0.60	$1,180.80	$13,330.80
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln	$74.40	$704.40	$37,978.20
Generator barostim neo2 2014	$29,759.20	$49,450.20	$115,299.00
Generator emblem MRI sicd subq	$29,232.00	$62,886.00	$128,662.20
Genetic tstg severe inh cond	$4,156.20	$12,863.40	$18,150.60
Genome sequence analysis	$4,188.00	$4,439.40	$7,352.40
Gentamicin 10 mg/ml liquid compound - enteral use only	$1.80	$49.60	$1,068.60
Gentamicin peak therapeutic drug level	$96.00	$273.00	$919.20
Ghs HIV antibody	$57.60	$200.40	$643.80
Ghs IV inf sq injection, on-body injector	$108.00	$145.80	$177.60
Ghs IV infusion bamlanivimab/etesevimab	$309.60	$1,020.00	$1,360.00
Ghs IV infusion casirivimab/imdevimab	$309.60	$1,020.00	$1,360.00
Ghs IV infusion sotrovimab	$1,020.00	$1,020.00	$1,360.00
Ghs IV thrombolytics - cerebral	$513.60	$1,439.40	$7,038.60
Ghs abscess perianal iandd	$1,158.00	$1,635.60	$3,560.40
Ghs abscess postoperative iandd complex	$2,065.20	$3,515.40	$5,002.80
Ghs acetylcholinesterase, rbc	$34.80	$34.80	$34.80
Ghs alcohol, methyl (methanol)-medtox	$110.40	$147.60	$2,878.80
Ghs alpha thalasemia, 7 deletions	$591.60	$1,687.20	$1,771.20
Ghs analysis neurostim without reprogramming	$574.80	$574.80	$574.80
Ghs antibodies (torch) igm	$62.40	$153.00	$551.20
Ghs aspiration bladder - needle	$446.40	$616.80	$915.00
Ghs bladder cath - complex-foley	$471.00	$871.20	$1,717.20
Ghs block ilioinguinal/gentitofemoral	$417.00	$1,094.40	$1,647.60
Ghs central line insert < age 5, failed	$2,667.00	$3,145.80	$3,606.00
Ghs change cysto/gastrost	$824.40	$1,759.80	$2,815.20
Ghs chemo >8 hrs	$580.80	$696.00	$3,246.60
Ghs chemo IV push, ea addtl	$298.20	$446.40	$554.40
Ghs chlamydia pneumoniae by pcr (arup) (306630)	$54.00	$348.60	$652.20
Ghs cl tx knee disl; wo anesth	$1,961.40	$2,389.20	$3,222.60
Ghs cl tx metacarpophal disloc without anes	$265.80	$609.00	$998.40
Ghs closd tx interphalang jt disloc w/ma	$280.20	$643.20	$998.40
Ghs closed reduction ankle dislocation	$819.60	$1,547.40	$3,560.40
Ghs closed tx bimalleolar fracture w/manip	$718.20	$1,651.80	$3,560.40
Ghs closed tx radiocarpal disloc w manip	$466.80	$825.60	$3,964.20
Ghs closed tx tibial fracture w/manip	$718.20	$1,884.60	$3,560.40
Ghs closure surg wound/dehiscence-13160	$2,785.80	$3,040.20	$4,530.60
Ghs clsd red med malleolus fx w manip	$1,810.80	$2,926.80	$3,772.80
Ghs clsd red med malleolus fx without manip	$825.60	$831.60	$3,560.40
Ghs clsd tx frac distal tibia w/manipulation	$1,810.80	$2,827.20	$4,185.00
Ghs community re-entry 15 minutes	$70.80	$75.60	$183.60
Ghs conjunctiva foreign body-embed bil	$408.60	$606.00	$896.40
Ghs conjunctiva foreign body-superf bil	$166.20	$408.60	$505.20
Ghs corneal fb with slit lamp bilat	$388.80	$459.60	$2,965.80
Ghs corneal fb without slit lamp bilat	$280.20	$478.20	$609.00
Ghs cricothyroidotomy	$777.60	$4,669.80	$5,469.00
Ghs cutdown placement age 1 and over	$87.60	$102.60	$120.00
Ghs cutdown placement under 1 yr	$487.20	$487.20	$487.20
Ghs diphtheria toxoid ab igg	$85.20	$240.00	$368.00
Ghs dislocation elbow closed treatment	$825.60	$1,635.60	$3,560.40
Ghs ed peritoneal lavage w guidance if performed	$2,660.40	$5,218.20	$5,277.60
Ghs ed rmvl or bivalving cast	$235.20	$471.00	$628.80
Ghs ed therapeutic lp, drain csf w fluoro	$1,353.60	$1,439.40	$2,461.20
Ghs eeg cont rec w/video by tec min 8 chnls	$284.40	$586.80	$783.60
Ghs elect torsion swing	$282.00	$282.00	$1,413.60
Ghs elect vertical elct	$251.40	$251.40	$378.00
Ghs electrostagmgraphy	$1,122.00	$1,122.00	$1,507.80
Ghs epidermal shaving diameter >2.0 cm	$1,341.60	$1,581.00	$2,521.80
Ghs excision ingrown nail	$265.80	$505.20	$607.20
Ghs eyelid foreign body-embedded - bil	$718.20	$1,359.60	$2,208.60
Ghs fb removal - incisional	$451.20	$5,031.60	$7,126.80
Ghs fb removal - non-incisional	$568.20	$865.80	$3,784.80
Ghs fb removal foot - deep - left	$2,925.00	$5,289.00	$7,126.80
Ghs fb removal from muscle - complicated	$3,737.40	$3,737.40	$3,737.40
Ghs febrile agglutinns(mayo)	$85.20	$117.60	$147.00
Ghs fish cytogen	$71.40	$186.00	$428.80
Ghs fish hybrid in situ 100-300	$236.40	$350.40	$428.80
Ghs flow volume loop	$145.80	$198.40	$366.60
Ghs gastric intub aspiration lavage	$218.40	$304.80	$1,759.80
Ghs hcv amplificaiton	$195.60	$201.60	$482.40
Ghs hepatitis c virus (hcv riba)	$102.00	$102.00	$102.00
Ghs hgb stability-thal	$21.60	$24.00	$436.20
Ghs histoplasma antigen	$74.40	$615.60	$1,019.40
Ghs hla-dr/dq, multiple antigens	$424.80	$462.60	$993.60
Ghs i and d abscess/hematoma scrotum	$2,293.80	$5,452.20	$8,618.40
Ghs i and d perirectal abscess 46040	$2,172.00	$2,637.00	$5,469.60
Ghs i and d pilonidal cyst complex	$1,246.80	$1,549.80	$4,051.20
Ghs i and d pilonidal cyst simple	$366.60	$589.80	$924.60
Ghs incision thrombosed ext hemorrhoid	$342.00	$763.20	$998.40
Ghs inf midline insertion	$327.00	$4,321.20	$5,299.20
Ghs inhibitor screen	$55.20	$345.00	$450.00
Ghs init tx 1st degree burn	$236.40	$378.60	$620.40
Ghs inj neurolytic intercostal nerve	$5,083.20	$5,083.20	$5,083.20
Ghs inj neurolytic other perph nerve	$680.40	$1,108.20	$1,343.40
Ghs inj tendon origin/insertion	$441.60	$481.80	$682.20
Ghs inj transforaminal cerv ea add bil	$1,305.00	$1,972.80	$3,243.60
Ghs inj transforaminal cerv single bil	$1,656.60	$2,647.20	$3,816.00
Ghs insertion of needle - bone	$322.20	$569.60	$891.00
Ghs intermed repair 12.6 - 20.0 cm-12035	$825.60	$1,829.40	$4,144.20
Ghs intermed repair 20.1 - 30.0 cm-12036	$2,075.40	$3,532.20	$4,494.00
Ghs intermed repair over 30 cm - 12037	$3,189.00	$4,080.00	$8,088.00
Ghs intro needle/intracath vein - 36000	$118.20	$143.20	$2,304.60
Ghs irrigate corpora cavernosa for priapism	$745.80	$2,707.80	$3,562.20
Ghs lac repair mouth.ant tong 2.5cm/less	$471.00	$1,829.40	$5,052.60
Ghs layer closure 2.5 cm or less - 12031	$366.60	$763.20	$998.40
Ghs layer closure 2.5 cm or less - 12041	$308.40	$763.20	$998.40
Ghs layer closure 2.5cm or less - 12051	$308.40	$763.20	$998.40
Ghs layer closure 2.6 - 5.0 cm - 12052	$308.40	$825.60	$998.40
Ghs layer closure 2.6 - 7.5 cm - 12042	$510.00	$825.60	$1,341.60
Ghs layer closure 5.1 - 7.5 cm - 12053	$510.00	$825.60	$1,163.40
Ghs layer closure 7.6 - 12.5 cm - 12034	$825.60	$1,829.40	$4,765.20
Ghs layer closure 7.6 - 12.5 cm - 12044	$825.60	$3,448.20	$4,779.60
Ghs layer closure 7.6 - 12.5 cm - 12054	$825.60	$1,200.60	$4,144.20
Ghs layered repair 12.6 - 20.0 cm -12045	$993.00	$1,372.00	$4,545.60
Ghs layered repair 12.6 - 20.0 cm -12055	$825.60	$998.40	$4,144.20
Ghs layered repair 20.1 - 30.0 cm -12046	$1,927.80	$1,927.80	$1,927.80
Ghs layered repair 20.1 - 30.0 cm -12056	$1,272.60	$1,272.60	$1,272.60
Ghs layered repair over 3.0 cm -12057	$1,272.60	$1,272.60	$1,272.60
Ghs layered repair over 30.0 cm -12047	$2,925.00	$2,925.00	$2,925.00
Ghs leukocyte alkaline phos (mayo)	$154.80	$291.60	$703.20
Ghs low level laser therapy	$124.20	$126.60	$159.60
Ghs mbp	$87.00	$209.40	$491.40
Ghs moderate sedation < 5 yr, 30 min	$147.00	$398.40	$759.00
Ghs moderate sedation < 5 yr, 30 min, other	$468.60	$468.60	$468.60
Ghs moderate sedation ea addtl 15 min	$147.00	$190.20	$831.60
Ghs moderate sedation ea addtl 15 min, other	$216.00	$216.00	$235.80
Ghs moderate sedation, > 5 yr, 30 min, other	$429.60	$429.60	$429.60
Ghs musc test done w/n test comp	$274.80	$322.80	$386.40
Ghs musc tst done w/n tst non ext	$243.00	$250.80	$386.40
Ghs musc tst done w/nerv tst lim	$260.40	$316.80	$357.60
Ghs myocardial strain img spckl track	$306.60	$838.80	$1,183.20
Ghs nailbed repair/nail removal	$825.60	$1,366.20	$3,560.40
Ghs nerve blk intercostal, ea addtl level	$1,540.80	$1,686.00	$8,413.80
Ghs nerve blk intercostal, single level	$1,461.60	$2,184.60	$3,217.20
Ghs nerve block axillary nerve	$1,541.40	$2,285.40	$3,063.60
Ghs nerve block brachial plexus	$1,464.00	$1,815.00	$3,063.60
Ghs nerve block celiac plexus	$2,512.80	$2,716.80	$3,156.00
Ghs nerve block interscaline	$1,462.20	$1,573.20	$3,582.00
Ghs nerve block lumbar or thoracic symp	$1,499.40	$1,787.40	$3,570.00
Ghs nerve block sciatic nerve	$1,689.00	$2,399.40	$3,063.60
Ghs nerve block suprascapular	$809.40	$1,108.20	$2,285.40
Ghs ng placement w fluoro guidance	$334.20	$602.40	$2,568.60
Ghs o2 saturation	$53.40	$106.20	$502.20
Ghs o2 uptake rest & exercise	$660.60	$799.20	$997.80
Ghs o2 uptake rest & indirect	$155.40	$155.40	$155.40
Ghs ob unlisted IV or art inj or infusion	$75.00	$75.00	$75.00
Ghs opcc repair cvp w subq port	$1,740.00	$3,535.80	$5,159.40
Ghs opcc repair cvp without subq port	$1,992.00	$4,466.40	$4,956.00
Ghs optokenetic	$260.40	$260.40	$378.00
Ghs oscillating trac	$260.40	$260.40	$378.00
Ghs osteopathic manipulative tx, 1-2 regions	$39.60	$47.80	$159.60
Ghs osteopathic manipulative tx, 3-4 regions	$19.20	$19.20	$19.20
Ghs ot group caregiver training	$43.20	$44.40	$44.40
Ghs ot prosthetic training/15 min	$96.00	$124.20	$225.60
Ghs ot sensory integrative tech/15min	$96.00	$130.20	$288.60
Ghs pacing - transcutaneous	$762.60	$1,393.20	$1,755.00
Ghs paravert facet/nerve cerv ea add bil	$595.20	$1,656.60	$3,157.80
Ghs paravert facet/nerve lumb ea add bil	$750.00	$1,321.20	$2,703.60
Ghs path - pap (papanicolau) smear - vagina	$91.20	$91.20	$91.20
Ghs peritonsillar abscess i andd	$825.60	$1,547.40	$3,560.40
Ghs phenylketonurid	$37.80	$123.20	$249.60
Ghs picc line insert < 5	$2,060.40	$3,226.80	$4,480.80
Ghs plngl fx pm cl	$498.00	$825.60	$1,095.60
Ghs plt ct-manual	$43.20	$70.20	$147.00
Ghs polysom <6 yrs 4/> parameters	$4,187.20	$4,187.20	$4,187.20
Ghs pos nystagmus	$251.40	$251.40	$591.00
Ghs ppd (tb intradermal)	$18.60	$57.00	$85.80
Ghs pr without cont pulse ox	$133.20	$181.80	$347.40
Ghs prostatic acid phosphatase (mayo)	$49.20	$83.40	$287.20
Ghs protoporphyrins fract	$72.60	$139.80	$336.60
Ghs pseudocholinesterase,dibucain-inhibi	$44.40	$78.60	$799.80
Ghs quinidine	$103.80	$103.80	$126.60
Ghs refill of implantable pump	$253.20	$370.80	$774.60
Ghs removal intranasal foreign body	$247.20	$328.80	$727.20
Ghs removal pharyngeal foreign body	$249.60	$316.20	$852.00
Ghs repair extensor tendon hand, ea tendon	$2,055.00	$2,055.00	$4,039.80
Ghs repair tendon ext forearm/wrist ea	$4,150.20	$5,693.40	$8,044.80
Ghs respiratory syncytical virus igg/m	$168.60	$168.60	$177.60
Ghs reticulocyte count	$22.20	$42.80	$429.60
Ghs rsv eia (respir synctial vrs)	$108.60	$286.20	$345.60
Ghs sedimentation rate	$30.60	$62.40	$283.20
Ghs semen analysis fert	$88.80	$195.60	$236.00
Ghs sensitivity (per antimicro)	$34.80	$74.40	$520.80
Ghs simple repair 12.6 - 20.0 cm - 12005	$589.80	$1,829.40	$4,765.20
Ghs simple repair 12.6 - 20.0 cm - 12016	$589.80	$1,829.40	$4,765.20
Ghs simple repair 20.1 - 30.0 cm - 12006	$781.80	$1,829.40	$8,408.40
Ghs simple repair 20.1 - 30.0 cm - 12017	$2,079.60	$3,706.20	$4,594.20
Ghs simple repair 5.1 - 7.5 cm - 12014	$510.00	$712.80	$1,341.60
Ghs simple repair 7.6 - 12.5 cm - 12004	$510.00	$712.80	$1,341.60
Ghs simple repair 7.6 - 12.5 cm - 12015	$510.00	$712.80	$1,341.60
Ghs simple repair over 30 cm - 12007	$589.80	$1,829.40	$4,795.80
Ghs simple repair over 30 cm - 12018	$660.00	$660.00	$660.00
Ghs sleep study unattended	$90.00	$752.80	$2,205.60
Ghs somatosensory testing lower extremit	$490.20	$753.00	$1,864.80
Ghs somatosensory testing upper & lower limbs	$687.00	$783.60	$1,858.80
Ghs sp train/fitting sp device - kx	$179.40	$366.60	$442.20
Ghs speech-gen aug dev eval iii, st	$156.00	$188.80	$189.00
Ghs sphenopalatine ganglion block	$568.20	$901.80	$2,380.80
Ghs spont nystagmus	$250.80	$250.80	$378.00
Ghs st - eval for alt comm	$27.00	$111.60	$173.40
Ghs st - re-eval for alt comm	$249.60	$745.80	$1,321.80
Ghs strapping shoulder - 29240	$346.20	$471.00	$569.60
Ghs subcutaneous infus, for therapy ea. add. hr	$147.60	$147.60	$147.60
Ghs subcutaneous infus. for therapy init 1 hr	$522.00	$522.00	$558.40
Ghs superficial wnd dehis w packing12021	$781.80	$1,463.40	$3,197.40
Ghs superficial wnd dehiscence simp12020	$759.00	$2,639.40	$3,560.40
Ghs tracheostomy emergency - transtracheal	$5,073.00	$5,073.00	$5,776.80
Ghs tx distal phalangeal fx with manipulation	$415.80	$824.40	$998.40
Ghs tx sp hip disloc abd splnt/trac wo	$499.80	$1,961.40	$4,030.20
Ghs urine, hydroxproline total	$251.40	$264.60	$270.60
Ghs urine, porphyrins quant	$75.00	$249.60	$961.20
Ghs vaginal delivery only	$1,012.80	$6,562.20	$11,280.60
Ghs veeg 12-26 hr intmt mont	$1,773.60	$2,109.60	$2,811.60
Gi inhouse confirmation	$52.80	$86.40	$649.80
Gi tract capsule endoscopy (pillcam) 91110	$1,191.00	$1,516.20	$4,451.40
Gi trc img intral esophagus	$2,724.00	$6,183.60	$6,253.20
Gi wireless capsule measure	$5,499.60	$5,499.60	$5,499.60
Giardia lamblia antibody	$74.40	$100.20	$201.00
Gjb2 gene full sequence	$571.80	$571.80	$571.80
Gjb2 gene known fam variants	$706.80	$706.80	$706.80
Gjb6 gene com variants	$571.80	$571.80	$571.80
Glassia injection	$34.80	$34.80	$384.00
Glucagon 1 mg solution for injection	$168.00	$1,053.60	$2,251.20
Glucagon hcl 1 mg/ml solution for injection	$167.40	$167.40	$167.40
Glucagon plasma - sendout	$72.60	$202.20	$316.20
Glucose 1 hr post dose	$24.00	$45.00	$144.60
Glucose blood by monitoring device cleared by fda for home use	$12.60	$31.20	$71.40
Glucose blood quantitative	$21.00	$52.20	$202.80
Glucose body fluid	$21.00	$63.20	$156.00
Glucose monitoring continual min 72hr pt	$90.60	$95.40	$255.60
Glucose tolerance test (gtt) 3 specimens	$94.20	$199.80	$303.00
Glucose tolerance test (gtt) >3 specimens each additional	$19.80	$34.80	$52.00
Glycopyrrolate 0.2 mg/ml injection solution	$8.40	$11.70	$35.40
Golimumab 12.5 mg/ml intravenous solution	$81.00	$104.80	$299.40
Gonadotropin follicle stimulating hormone (fsh)	$89.40	$280.80	$826.20
Gonadotropin luteinizing hormone (lh)	$84.60	$255.60	$793.80
Goserelin 10.8 mg subcutaneous implant	$392.40	$1,810.80	$4,524.00
Graft apligraf 3in 44sqcm-q4101-cost per sq cm	$62.40	$74.40	$6,515.40
Graft axiofill 1000mg	$29.40	$3,597.00	$15,289.20
Graft fish skin 16mm round marigen 2units-cost per sq cm	$256.80	$256.80	$3,463.20
Graft impl ult thck 6x12cm -cost per sq cm	$13,093.20	$27,538.20	$37,447.20
Graft nerve adv 3-4x70mm	$5,283.60	$25,226.40	$45,505.20
Graft patch felt ptfe 2x2	$2,249.40	$5,246.40	$55,935.00
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm	$313.80	$313.80	$3,645.60
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm	$1,233.60	$3,241.60	$38,730.60
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm	$394.20	$410.40	$3,681.60
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm	$2,568.60	$6,241.80	$11,093.40
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm	$12,130.80	$48,211.20	$53,576.40
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm	$384.00	$384.00	$3,681.60
Graft xenmtrx sft rect 15x20cm	$2,647.80	$25,379.40	$118,942.80
Graft xenmtrx sft rect 19x28cm	$255.00	$2,112.60	$3,827.40
Granisetron 1 mg tab	$108.00	$108.00	$168.60
Granisetron hcl injection	$6.00	$181.80	$2,659.20
Granulocyte pheresis ea unit	$11,250.60	$11,250.60	$11,250.60
Great toe with reduction 28495	$759.00	$998.40	$5,289.00
Growth hormone antibody	$145.80	$145.80	$145.80
Growth stimulation gene 2	$234.00	$234.00	$237.60
Gstrct prtl dstl w/roux-en-y rcnstj 43633	$3,764.40	$3,764.40	$3,764.40
Gu dilat ureter/urethra s&i	$4,154.40	$10,866.00	$10,866.00
Guid loc target vol rad tx	$292.20	$823.20	$1,322.40
Guide endoanchr sg-64 aaa 62cm	$1,821.00	$9,511.20	$34,584.60
Guide wire threaded 1.4x150mm	$1,009.80	$2,162.40	$10,604.40
Guide worley csg 9fx50cm std	$92.40	$325.20	$5,545.80
Guided cath fluid drainage 10030	$1,181.40	$1,753.80	$4,608.60
Gw stiffened micro access kit	$496.80	$3,215.40	$15,680.40
H pylori (c-13) breath	$259.20	$371.40	$458.40
HIV prep, ftc/tdf 200/300mg	$36.60	$36.60	$36.60
Haloperidol decanoate 50 mg/ml intramuscular solution	$30.60	$175.20	$3,586.80
Haloperidol lactate 5 mg/ml injection solution	$9.00	$27.20	$421.80
Hand X-ray	$115.80	$294.60	$686.40
Hand-held pefr meter a4614	$24.60	$25.80	$74.40
Handle/convey/speciman/office-lab 99000	$23.40	$23.40	$23.40
Haptoglobin quantitative	$57.00	$178.20	$684.60
Harvest allogeneic stem cell	$214,319.40	$214,319.40	$214,319.40
Harvest auto stem cells	$1,788.00	$4,548.00	$5,742.00
Hast w/i&r phys/qhp	$138.00	$138.00	$275.40
Hast w/oxygen titrate	$181.20	$181.20	$226.80
Hba1/hba2 full gene sequence	$1,429.20	$1,429.20	$1,429.20
Hba1/hba2 gene dup/del vrnts	$438.00	$438.00	$438.00
Hbb full gene sequence	$1,172.40	$2,080.80	$3,029.40
Hbb gene dup/del variants	$1,672.80	$1,672.80	$1,773.00
Hbot, full body chamber, 30m	$430.80	$944.40	$1,117.80
Hc fl sm bowel enteroclss tube w kub double contrast	$1,272.60	$1,272.60	$1,539.20
Hc hearing aid chck monarl	$250.20	$250.20	$250.20
Hc i-131 sodium iodide cap dx per mci	$184.20	$190.20	$892.20
Hc metata joint dislocation anes	$4,470.00	$4,470.00	$4,470.00
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks	$5,167.80	$5,167.80	$5,167.80
Hc mohs micrographic h/n/h/f/g each addl stage	$3,106.20	$3,106.20	$3,106.20
Hc mohs trunk/arm/leg 1st stage 5 blocks	$3,624.00	$3,624.00	$4,716.00
Hc mohs trunk/arm/leg ea addl block any stage	$665.40	$665.40	$665.40
Hc mohs trunk/arm/leg ea stage after 1st stage	$2,876.40	$2,876.40	$2,876.40
Hc nm fusion spect CT unlisted	$374.40	$679.20	$927.00
Hc nm kidney imaging with flow	$1,228.80	$1,228.80	$2,901.00
Hc nm myocard infarct avid plnr tomo spect w/wo quant	$1,800.00	$1,957.20	$2,367.20
Hc pet myocardial imaging metabolic eval single study	$4,972.20	$5,647.20	$12,446.40
Hc transcatheter placement and sbsq removal cepd perq	$3,046.80	$3,046.80	$3,046.80
Hcg qualitative	$39.00	$90.60	$645.60
Hcg quantitative	$76.20	$283.20	$386.40
Hdr rdncl ntrstl/icav brchtx	$2,553.60	$2,553.60	$2,553.60
Hdr rdncl ntrstl/icav brchtx	$2,553.60	$2,553.60	$2,553.60
Hdr rdncl ntrstl/icav brchtx	$2,553.60	$3,516.00	$7,995.60
Hdr rdncl skn surf brachytx	$598.20	$1,093.20	$9,925.80
Hdr rdncl skn surf brachytx	$598.20	$598.20	$7,657.80
Head CT scan (with and without contrast)	$885.60	$1,671.60	$5,112.00
Head CT scan (with contrast)	$828.60	$1,368.00	$4,599.60
Head CT scan (without contrast)	$632.40	$1,226.40	$3,127.20
Heart image spect	$1,651.20	$1,996.80	$2,190.00
Heart infarct image	$1,094.40	$1,228.80	$1,323.20
Heinz bodies direct	$418.20	$418.20	$418.20
Helicobacter pylori antibody igm	$61.20	$250.80	$798.00
Hematocrit	$12.60	$48.00	$321.00
Hematopoietic nuclear tx	$617.40	$746.40	$918.60
Hemin 350 mg intravenous powder for solution	$85.20	$85.20	$28,532.40
Hemodialysis one evaluation	$1,025.40	$1,389.00	$5,708.40
Hemoglobin	$12.60	$45.60	$438.00
Hemoglobin f (fetal) chemical	$57.00	$239.40	$1,896.60
Hemoglobin fetal qualitative	$18.00	$72.00	$276.00
Hemoglobin methemoglobin quantitative	$45.00	$201.60	$2,470.80
Hemoglobin plasma	$37.80	$61.20	$186.00
Hemoglobin urine	$52.20	$63.20	$424.20
Hemoglobin-oxygen affinity	$686.40	$686.40	$846.60
Hemolysins and agglutinins incubated	$91.20	$98.40	$276.00
Hemophilus influenza antibdy	$88.80	$168.00	$268.20
Hemorrhoidectomy intrnl lig rbbr band ligations	$1,563.00	$3,628.80	$5,744.80
Hepagam b im injection	$586.80	$586.80	$586.80
Heparin assay	$66.60	$284.40	$1,046.40
Heparin bolus from bag	$6.00	$11.00	$703.20
Heparin, porcine (pf) 10 unit/ml flush (wrapper)	$1.20	$4.40	$200.40
Hepatectomy removal of liver 47120	$4,246.20	$4,246.20	$4,246.20
Hepatitis a antibody igm	$64.20	$168.00	$664.20
Hepatitis b core antibody igm	$65.40	$146.40	$649.80
Hepatitis b core antibody total	$69.60	$268.80	$551.20
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution	$105.60	$1,109.60	$7,299.00
Hepatitis b surface antibody	$59.40	$137.40	$538.80
Hepatitis b vaccine 40 mcg/ml inj-adult	$194.40	$194.40	$194.40
Hepatitis c antibody	$90.60	$273.00	$1,181.40
Hepatitis d quantification	$385.80	$429.60	$627.00
Hepatobiliary system imaging	$855.60	$1,608.00	$4,581.00
Hereditary colon ca dsordrs	$3,202.80	$3,394.80	$13,708.80
Hernia Repair (Inguinal)	$918.00	$1,696.80	$8,450.40
Herpes simplex 1 ag if	$66.60	$158.40	$962.40
Herpes simplex 2 ag if	$126.00	$143.40	$183.60
Herpes simplex type 1 antibody igg	$72.00	$99.00	$521.40
Herpes simplex type 2 antibody igg	$91.80	$147.00	$250.80
Herpes simplex virus isolation	$186.60	$345.60	$540.80
Heterophile antibodies screening	$29.40	$56.40	$721.80
Hexa gene	$1,191.60	$1,336.80	$1,501.20
Hhv-6 dna quant	$232.80	$453.00	$551.40
Hip X-ray	$108.00	$256.20	$790.40
Histamine	$149.40	$351.60	$766.20
Histochemical stains add-on	$57.60	$124.20	$193.20
Hiv-1 ag ia	$87.00	$223.20	$643.80
Hizentra injection	$25.80	$25.80	$181.20
Hla class i high defin qual	$409.20	$435.60	$1,800.60
Hla class i phenotype qual	$181.20	$276.00	$585.00
Hla class i semiquant panel	$1,989.00	$1,989.00	$3,193.80
Hla class i&ii antibody qual	$207.60	$234.60	$436.80
Hla class ii high defin qual	$409.20	$435.60	$1,812.00
Hla class ii phenotype qual	$288.60	$346.80	$487.20
Hla class ii semiquant panel	$1,797.00	$1,797.00	$2,886.00
Hla i & ii type verify lr	$2,923.20	$2,923.20	$2,923.20
Hla i & ii typing hr	$749.40	$2,453.40	$4,179.00
Hla i & ii typing lr	$2,323.80	$3,189.60	$8,302.20
Hla i low res one antigen equiv ea	$651.00	$956.80	$1,328.40
Hla i typing 1 locus hr	$384.00	$1,111.80	$1,671.60
Hla i typing complete hr	$727.20	$727.20	$2,479.80
Hla i typing complete lr	$1,672.20	$2,508.00	$2,508.00
Hla i typing high res 1 allele grp ea	$448.20	$981.60	$1,363.20
Hla i typing low res one locus ea	$1,671.60	$1,671.60	$2,473.20
Hla ii typing 1 loc hr	$714.60	$1,951.80	$2,925.00
Hla ii typing ag equiv lr	$797.40	$912.00	$2,508.00
Hla typing a b or c	$322.80	$669.60	$1,663.20
Hla typing dr/dq	$210.60	$210.60	$250.20
Hla x-match noncytotoxc addl	$203.40	$203.40	$346.80
Hla x-math non-cytotoxic	$608.40	$608.40	$1,043.40
Hldr trach tb tie ad	$3.60	$3.60	$3.60
Hlth bhv assmt/reassessment	$156.00	$156.00	$156.00
Hlth bhv ivntj fam 1st 30	$96.60	$96.60	$111.60
Hlth bhv ivntj grp 1st 30	$76.80	$76.80	$138.00
Hocm 200-249mg/ml iodine,1ml	$282.60	$282.60	$282.60
Hocm 250-299mg/ml iodine,1ml	$0.60	$2.70	$441.60
Hocm 350-399mg/ml iodine,1ml	$0.60	$0.90	$272.40
Home sleep test/type 2 porta	$1,238.40	$1,572.00	$1,676.40
Home sleep test/type 3 porta	$1,045.20	$1,073.40	$1,621.20
Home sleep test/type 4 porta	$2,075.20	$2,075.20	$2,075.20
Homocysteine	$91.20	$301.80	$2,862.60
Homogenization tissue	$12.60	$76.80	$116.00
Homovanillic acid (hva)	$81.00	$108.00	$287.40
Hpa-1 genotyping	$168.00	$168.00	$168.00
Hpa-15 genotyping	$168.00	$168.00	$168.00
Hpa-2 genotyping	$168.00	$168.00	$168.00
Hpa-3 genotyping	$168.00	$168.00	$168.00
Hpa-4 genotyping	$168.00	$168.00	$168.00
Hpa-5 genotyping	$166.20	$168.00	$938.40
Hpa-6 genotyping	$168.00	$168.00	$168.00
Hpa-9 genotyping	$168.00	$168.00	$168.00
Hpv types 16 & 18 only	$188.40	$228.00	$284.40
Hrdtry cardmypy gene panel	$7,324.20	$9,382.20	$9,556.80
Hrdtry perph neurphy panel	$7,200.00	$22,852.20	$24,539.40
Htt gene detc abnor alleles	$1,210.80	$1,333.80	$1,394.40
Human epididymis protein 4 (he4)	$166.20	$180.60	$345.60
Hyaluronidase 150 unit/ml injection solution	$43.80	$60.00	$259.20
Hyaluronidase 200 units/ml inj	$0.60	$0.60	$268.80
Hyaluronidase, human recombinant 150 unit/ml injection solution	$2.80	$259.20	$419.40
Hydralazine 20 mg/ml injection solution	$25.20	$92.80	$236.40
Hydration IV infusion each additional hour	$105.00	$214.80	$389.60
Hydration IV infusion initial 31minutes - 1 hour	$388.20	$522.00	$1,143.00
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr	$22.20	$53.85	$583.20
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)	$4.40	$8.00	$22.80
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge	$630.40	$1,181.40	$2,847.60
Hydroxyzine hcl 50 mg/ml intramuscular solution	$7.20	$17.55	$24.00
Hydroxyzine pamoate 25 mg capsule	$0.60	$0.60	$0.60
Hydrxycorticsterds 17- (17-ohcs)	$65.40	$168.60	$248.40
Hymovis injection 1 mg	$70.20	$70.20	$70.20
Hyoscyamine sulfate inj	$73.20	$73.20	$299.40
Hysterosalpingography s&i	$429.60	$1,358.40	$3,618.60
Hysterotomy abdominal 59100	$3,761.40	$3,761.40	$3,761.40
Hzv zoster vacc recombinant adjuvanted im inj	$150.00	$150.00	$157.80
I & d vag hematoma non-ob 57023	$3,515.40	$3,515.40	$3,515.40
I&d abscss rtrphryngl/paraphryngl intraorl apprch	$2,812.80	$3,948.00	$3,971.40
I&d frarm&/wrst deep absc/hematoma	$3,350.40	$6,141.00	$7,427.20
I&d lacrimal sac	$3,177.00	$4,657.80	$7,494.40
I&d upper arm/elbow deep abscess/hematoma	$3,355.20	$3,355.20	$3,355.20
I-123 iobenguane diag	$7,549.20	$9,129.60	$12,202.20
I-123 ioflupane diag	$5,594.40	$6,765.60	$10,771.80
I-123 sod iodide diag per 100 uci	$103.20	$139.20	$748.80
I-131 iobenguane sulf diag mibg	$7,450.80	$7,450.80	$7,450.80
I-131 sod iodide sol diag per mci	$114.60	$114.60	$823.80
I131 iodide cap, rx	$106.20	$184.20	$823.80
I131 iodide sol, rx	$52.20	$78.60	$345.60
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour	$171.60	$285.60	$697.80
IV infusion therapy/prophylaxis/diagnosis concurrent infusion	$133.20	$285.60	$422.40
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour	$138.00	$298.20	$697.80
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour	$411.60	$687.00	$1,143.00
IV inj ra drug dx study	$564.00	$564.00	$1,228.80
Ia infect ag ab qual/semiquant sgl step	$96.00	$108.60	$179.40
Iaadi respiratory synctial virus	$75.00	$75.00	$75.00
Iadna legionella pneumophila amplified probe tq	$195.60	$351.20	$591.00
Ibandronate 3 mg/3 ml intravenous syringe	$105.00	$105.00	$2,088.60
Ibuprofen injection	$150.00	$150.00	$150.00
Ibutilide fumarate 0.1 mg/ml intravenous solution	$37.80	$709.80	$2,792.80
Icatibant injection	$1,016.40	$25,465.20	$35,979.60
Icd cobalt xt dr MRI is1 df1	$36,540.60	$60,194.40	$96,952.20
Icd crtd cobalt hf MRI is1 df1	$40,346.40	$54,276.00	$146,978.40
Icd crtp serena MRI	$15,633.60	$30,396.60	$39,481.20
Icd reliance df4 ib 64cm	$14,973.00	$18,804.00	$68,619.60
Icut allergy test drug/bug	$115.80	$115.80	$115.80
Idarubicin hcl injection	$462.00	$555.60	$7,371.00
Idecabtagene vicleucel car	$4,393,800.00	$4,393,800.00	$4,393,800.00
Idursulfase injection	$6,966.00	$6,966.00	$6,966.00
Ifosfamide 1 gram intravenous solution	$64.20	$322.80	$1,083.60
Igh gene rearrange amp meth	$757.20	$961.60	$1,594.80
Igh@ var region somatic mutation analy	$1,283.40	$1,702.80	$2,296.20
Igk rearrangeabn clonal pop	$757.20	$961.60	$1,594.80
Ihc/icc per specimen each additional single antibody stain	$157.20	$272.40	$424.20
Ihc/icc per specimen each multiplex antibody stain	$84.60	$329.60	$838.80
Ihc/icc per specimen initial single antibody stain	$84.60	$384.00	$838.80
Ikbkap gene	$552.60	$552.60	$600.60
Iliac revasc add-on 37222	$4,394.40	$8,640.60	$15,442.20
Iliac/fem angio cath insert	$2,881.20	$5,832.00	$6,619.20
Imatinib 100 mg tab	$120.60	$120.60	$679.20
Imetelstat 188 mg intravenous solution	$98.40	$99.00	$99.00
Immobilizer shldr cntor adlt	$35.40	$362.40	$631.80
Immobilizer shldr dlx str 24-36in med	$94.80	$239.20	$760.80
Immobilizer shldr sling med	$115.80	$115.80	$366.60
Immune complex assay	$88.80	$192.60	$421.80
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution	$476.00	$623.20	$14,005.20
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution	$920.40	$920.40	$5,101.20
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution	$191.40	$629.40	$12,597.00
Immunoassay tumor antigen quantitative ca 125	$116.40	$181.80	$3,299.40
Immunoassay tumor antigen quantitative ca 19-9	$116.40	$174.60	$3,408.60
Immunoassay tumor qual	$167.40	$190.20	$233.40
Immunodiff gel qual ea antigen/ab	$66.00	$232.20	$595.80
Immunodiffusion nes	$123.00	$129.60	$229.20
Immunofixation electrophoresis serum	$114.00	$219.60	$1,809.60
Immunofluorescence per specimen each additional single antibody stain	$72.60	$102.40	$195.60
Immunofluorescence per specimen initial single antibody stain	$84.60	$108.00	$664.80
Immunoglobulin assay	$69.60	$108.00	$684.60
Immunology procedure	$34.20	$43.80	$759.00
Impl ear abutment ba300 9mm	$802.80	$802.80	$802.80
Impl neurostim electr perc	$4,750.20	$6,471.60	$12,736.80
Implant 11 volt lithium-ion backup battery for controller pocket	$4,373.40	$4,373.40	$4,373.40
Implant cartilage 10mm synthetic	$7,003.80	$12,413.40	$31,672.20
Implant cochlear osia osi300	$9,325.80	$10,466.40	$13,955.40
Implant neuroelectrodes	$3,015.00	$3,355.80	$4,177.20
Implant neuroelectrodes	$19,225.60	$19,225.60	$19,225.60
Implant open hernia repair w/mesh 49568	$632.40	$632.40	$632.40
Implant single ventricular device 33975	$11,435.40	$12,058.80	$14,160.00
Implant tcat pulm vlv perq	$10,503.00	$10,503.00	$10,503.00
Implant ureth bulk agent	$1,032.60	$1,360.20	$3,211.80
Imported lipodox inj	$2,244.60	$4,018.20	$11,220.60
Imuglucerase injection	$343.20	$343.20	$343.20
In situ hybridization per specimen each additional single probe stain	$219.00	$339.00	$463.20
In situ hybridization per specimen initial single probe stain	$102.00	$300.00	$619.20
In-111 autol wbc diag per dose	$6,806.40	$6,806.40	$6,806.40
In-111 capromab pendet	$16,003.80	$16,003.80	$16,003.80
In-111 ibritumomab tiux dx	$12,163.20	$14,202.00	$14,710.40
In-111 oxyquinolin per 0.5 mci	$1,127.40	$1,305.60	$10,690.80
In-111 pentetate dtpa / 0.5 mci	$544.20	$658.40	$3,424.80
In-111 pentetreotide	$3,477.00	$4,204.80	$18,255.00
In-111 satumomab pend	$905.40	$905.40	$1,095.20
Incision & drainage hematoma/seroma/fluid collection	$1,223.40	$1,416.00	$3,349.80
Incision of achilles tendon	$4,284.60	$4,284.60	$4,284.60
Incision of bile duct 47420	$5,571.60	$5,571.60	$5,571.60
Incision of breast lesion	$2,715.60	$3,989.40	$4,599.00
Incision of burn scab initi	$825.60	$825.60	$998.40
Incision of eardrum	$2,611.20	$3,486.60	$4,688.40
Incision of foot fascia	$4,272.00	$4,272.00	$5,397.60
Incision of hip tendon	$4,284.60	$4,284.60	$4,284.60
Incision of hip tendons	$5,605.80	$5,605.80	$5,605.80
Incision of metatarsal	$204.00	$204.00	$669.00
Incision of metatarsal	$712.80	$712.80	$712.80
Incision of tendon & muscle	$9,067.20	$9,067.20	$9,067.20
Incision of thigh tendon	$8,561.40	$8,561.40	$8,561.40
Incision of thigh tendons	$8,561.40	$8,561.40	$8,561.40
Incision tendon sheath	$3,771.00	$4,866.00	$5,031.60
Incisn of toe tndn	$366.00	$1,520.40	$1,815.00
Incisn windpipe	$1,051.20	$2,460.00	$4,334.40
Incobotulinumtoxin a	$45.00	$1,317.00	$1,317.00
Indigotindisulfonate 8 mg/ml soln 5 ml ampule	$24.00	$24.00	$24.00
Induced ab 1+ vag sup w/dlv fetus	$5,949.60	$5,949.60	$5,949.60
Inf lwr xtr fscl pln blk uni w/wo image	$133.80	$135.00	$179.40
Inf thrc fascial pln blk bi w/wo image	$145.80	$147.00	$195.60
Inf thrc fascial pln blk uni w/wo image	$138.60	$139.80	$187.20
Infect ag drug suscept pheno predict	$607.20	$1,287.00	$1,682.40
Infect ag eia influenza a or b ea	$51.60	$62.40	$286.20
Infect ag genotype na cytomegalovirus	$1,121.40	$1,300.20	$1,795.20
Infect ag genotype na dna hepatitis b	$368.40	$500.40	$891.60
Infect ag genotype na hiv-1 other region	$716.40	$1,390.80	$1,806.60
Infect ag genotype na hiv-1 revr trn/prt	$1,390.80	$2,065.80	$23,824.20
Infect ag ia direct hiv-1 antgn	$182.40	$182.40	$182.40
Infect ag ia optc obs influenza	$13.20	$379.20	$458.40
Infect ag if ea plyvlnt antsrm	$55.80	$55.80	$55.80
Infect ag if hep delta agent	$155.40	$199.20	$4,310.40
Infect ag if influenza a	$124.80	$150.60	$150.60
Infect ag if influenza b	$124.80	$150.60	$150.60
Infect ag if legionella pneumophila	$303.00	$303.00	$652.20
Infect ag if nos ea	$90.60	$211.80	$256.00
Infect ag if pneumocystis carinii	$79.80	$143.40	$1,221.60
Infect ag if varicella zoster	$75.00	$134.40	$1,306.80
Infect ag na hep b amp	$126.60	$374.40	$440.40
Infect ag na herpes simplex quant	$102.60	$440.40	$532.80
Infect ag na hpv high-risk types	$195.60	$284.40	$392.80
Infect ag na influenza r/amp 1st 2 types	$516.60	$595.80	$1,388.00
Infect ag na orthopoxvirus amp prb each	$195.60	$349.80	$372.00
Infect ag na resp virus 12-25 targets	$624.00	$2,801.40	$3,272.40
Infect ag phenotype na hiv-1 ea addl drg	$828.60	$828.60	$828.60
Infectious agent antigen immunoassay direct optical observation sars-cov-2	$26.40	$26.40	$26.40
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin	$43.80	$108.00	$303.00
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium	$67.80	$100.20	$597.60
Infectious agent antigen immunoassay ql/sq multi step giardia	$66.60	$181.80	$797.40
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool	$80.40	$166.80	$2,710.80
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn	$57.00	$174.00	$875.20
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization	$57.00	$67.80	$525.60
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies	$135.00	$200.40	$273.60
Infectious agent antigen immunoassay ql/sq multi step legionella urine	$66.60	$236.40	$797.40
Infectious agent antigen immunoassay ql/sq multi step rotavirus	$66.60	$142.20	$174.40
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin	$66.60	$115.80	$1,159.20
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance	$145.80	$147.00	$336.00
Infectious agent nucleic acid amplified probe	$189.00	$349.80	$1,109.40
Infectious agent nucleic acid amplified probe chlamydia trachomatis	$195.60	$276.00	$462.60
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)	$207.60	$355.80	$547.80
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets	$582.60	$1,493.40	$3,829.20
Infectious agent nucleic acid amplified probe hsv-1	$195.60	$306.00	$1,707.60
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus	$195.60	$453.60	$576.00
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis	$223.80	$306.60	$1,189.20
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae	$195.60	$276.00	$618.60
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19	$75.00	$75.00	$100.00
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b	$84.60	$84.60	$84.60
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv	$210.00	$210.00	$210.00
Infectious agent nucleic acid amplified probe streptococcus group a	$195.60	$508.20	$568.20
Infectious agent nucleic acid amplified probe trichomonas vaginalis	$142.20	$381.00	$1,109.40
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets	$438.00	$481.80	$2,071.20
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets	$86.40	$104.00	$581.40
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets	$553.20	$880.20	$1,008.00
Infectious agent nucleic acid quantification bk virus	$238.80	$483.00	$1,043.20
Infectious agent nucleic acid quantification hepatitis b	$238.80	$513.60	$2,764.20
Infectious agent nucleic acid quantification hepatitis c	$243.00	$542.40	$975.00
Infectious agent nucleic acid quantification hiv-1	$474.60	$882.60	$1,473.60
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets	$571.20	$776.40	$951.60
Infliximab 100 mg intravenous solution	$380.80	$633.60	$5,408.40
Infliximab-axxq 100 mg intravenous solution	$135.20	$1,012.80	$1,416.60
Infliximab-dyyb 100 mg intravenous solution	$202.80	$203.20	$4,383.60
Influenza dna amp prob addl	$105.00	$299.40	$342.00
Influenza virus vaccine, inact hemagglutinin tiv pf inj	$30.00	$40.00	$93.60
Infuse radioactive materials	$624.60	$624.60	$2,719.80
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis	$345.00	$425.40	$840.60
Initiation & management bipap/cpap initial day	$172.20	$510.00	$987.60
Inj allopurinol sodium 1 mg	$155.40	$155.40	$155.40
Inj andexxa, 10 mg	$751.80	$13,381.20	$20,052.60
Inj anifrolumab-fnia 1mg	$41.85	$46.00	$11,192.40
Inj aval alfa-nqpt 4mg	$5,052.80	$5,052.80	$5,248.20
Inj brixadi, more than 7 day	$2,846.40	$4,345.20	$4,345.20
Inj calcitriol per 0.1 mcg	$5.40	$27.60	$443.40
Inj cefazolin (wg crit care)	$3.00	$3.00	$3.00
Inj cefazolin sodium, hikma	$4.80	$4.80	$4.80
Inj ceftolozane tazobactam	$19.00	$285.60	$487.80
Inj cntr knee arthro incl ct/mri	$162.00	$590.40	$1,513.80
Inj crotalidae im f(ab')2 eq	$792.00	$792.00	$3,968.40
Inj cyclophosphamd (ingenus)	$2.40	$3.75	$87.60
Inj delandistrogene mox rokl	$2,056,320.00	$2,056,320.00	$2,056,320.00
Inj disk cerv-thor ea lev	$1,878.60	$1,878.60	$5,575.20
Inj dx for sinogram	$393.00	$942.00	$2,348.80
Inj efgart-alfa 2mg hya-qvfc	$79.80	$79.80	$1,723.20
Inj epidural sgl cerv-thor without img	$1,318.80	$1,656.60	$3,711.60
Inj epidural sgl lumb-sacral without img	$1,260.60	$1,524.80	$3,088.20
Inj for ext venography	$306.60	$507.00	$1,152.60
Inj for mammo ductogram	$306.60	$306.60	$306.60
Inj givosiran 0.5 mg	$235.20	$237.60	$119,349.60
Inj glofitamab gxbm, 2.5 mg	$612.60	$6,717.00	$6,717.00
Inj heparin, pfizer, 1000u	$3.00	$3.00	$3.00
Inj herzuma 10 mg	$841.20	$841.20	$841.20
Inj hrt cath w/s&i nonsel p-art angrp	$1,230.00	$1,530.60	$2,085.60
Inj hrt cath w/s&i sel hrt ang	$943.20	$943.20	$3,480.00
Inj hrt cath w/s&i sel left vent	$871.20	$871.20	$871.20
Inj hrt cath w/s&i sel right vent	$2,085.00	$2,085.00	$2,085.00
Inj human fibrinogen con nos	$9.00	$9.00	$9.00
Inj imip 4 cilas 4 releb 2mg	$5.40	$7.35	$652.80
Inj intralesional <= 7 lsn(s)	$271.20	$286.80	$387.00
Inj intralesional > 7 lsns	$457.20	$457.20	$626.40
Inj ivig privigen 500 mg	$81.00	$4,345.80	$6,144.00
Inj levocarnitine per 1 gm	$4.20	$220.00	$1,039.80
Inj lwr xtr fscl pln blk uni w/wo image	$107.40	$108.00	$144.00
Inj melpha hydroch nos 50 mg	$6,460.20	$6,460.20	$6,460.20
Inj mepivacaine hcl/10 ml	$8.60	$31.80	$105.00
Inj mogamulizumab-kpkc, 1 mg	$540.60	$691.20	$13,813.20
Inj multihance	$3.00	$86.40	$612.60
Inj nephrosto/ureterogram w/img exstng access	$845.40	$2,092.80	$3,574.20
Inj non-compmd foam sclrsnt sgl trncl vein	$5,749.20	$5,749.20	$5,749.20
Inj ogivri 10 mg	$234.00	$242.40	$10,183.20
Inj ontruzant 10 mg	$6,316.80	$6,316.80	$6,316.80
Inj pegfilgrastim-bmez 0.5mg	$1,168.80	$1,264.80	$6,614.40
Inj peritoneal venous shunt	$553.80	$1,665.60	$3,279.60
Inj proc ankle arthr	$405.60	$780.60	$1,172.00
Inj proc elbow arthro	$381.60	$777.00	$1,172.00
Inj proc for lymphang	$475.20	$2,552.40	$3,441.00
Inj proc lumbr disk ea lvl	$3,214.20	$3,214.20	$6,966.00
Inj proc myelogram lumbar	$518.40	$1,094.40	$2,289.60
Inj proc sialogram	$476.40	$612.60	$1,172.00
Inj progesterone per 50 mg	$1.80	$11.40	$114.60
Inj prohance multipack	$10.80	$39.00	$138.00
Inj retro urethrocysto	$504.00	$3,582.00	$4,464.00
Inj scleros sol mult veins	$1,108.20	$1,313.40	$1,728.00
Inj scleros sol sgl vein	$1,108.20	$1,238.40	$1,390.20
Inj secretin synthetic human	$43.80	$169.20	$2,715.60
Inj secukinumab intrav 1mg	$31.80	$43.50	$253.80
Inj sulf hexa lipid microsph	$105.60	$397.80	$529.20
Inj teclistamab cqyv 0.5 mg	$58.20	$85.20	$3,345.00
Inj tedizolid phosphate	$184.20	$1,081.80	$1,282.20
Inj testostero enanthate 1mg	$0.60	$0.60	$20.40
Inj testosterone cypionate	$0.60	$40.80	$97.20
Inj thiotepa nos 1 mg	$53.40	$195.60	$450.00
Inj thrc fascial pln blk bi w/wo image	$133.80	$135.00	$179.40
Inj thrc fascial pln blk uni w/wo image	$118.80	$120.00	$160.20
Inj tofersen intrathec 1 mg	$288.00	$288.00	$288.00
Inj w/fluor eval cv device	$417.00	$551.40	$1,433.40
Inj zanidatamab-hrii, 2 mg	$44.40	$44.40	$44.40
Inj(s) sclerosant spider veins limb/trunk	$12.00	$12.00	$602.40
Inj, abilify maintena, 1 mg	$19.65	$4,402.80	$13,261.20
Inj, aducanumab-avwa, 2 mg	$25.80	$25.80	$25.80
Inj, aponvie, 1 mg	$3.00	$3.00	$4.20
Inj, artesunate, 1mg	$109.80	$109.80	$109.80
Inj, aspara, rylaze, 0.1 mg	$96.60	$96.60	$99.60
Inj, bezlotoxumab, 10 mg	$156.00	$11,671.20	$17,599.20
Inj, brixadi, 7 days or less	$533.40	$1,086.00	$1,086.40
Inj, bupivacaine liposome	$2.40	$7.20	$13.20
Inj, cefepime hcl (b braun)	$17.40	$51.00	$85.20
Inj, cefiderocol, 10 mg	$5.80	$6.00	$596.40
Inj, cimerli, 0.1 mg	$519.00	$519.00	$691.80
Inj, cipaglucosidase, 5 mg	$229.20	$229.20	$229.20
Inj, clevidipine butyrate	$456.00	$839.40	$839.40
Inj, donanemab-azbt, 2 mg	$7.20	$7.20	$7.20
Inj, durolane 1 mg	$22.80	$22.80	$106.40
Inj, factor x, (human), 1iu	$6.60	$20.85	$40.20
Inj, faricimab-svoa, 0.1mg	$100.00	$100.00	$106.40
Inj, focinvez, 1mg	$5.40	$5.40	$5.40
Inj, invega hafyera/trinza	$32.40	$32.40	$32.40
Inj, lanreotide, (cipla) 1mg	$96.60	$96.60	$10,671.00
Inj, levothyroxine, freskabi	$10.20	$10.20	$10.20
Inj, mirikizumab-mrkz, 1 mg	$138.60	$138.60	$138.60
Inj, moxifloxacin 100 mg	$85.80	$249.60	$442.20
Inj, nithiodote, 3mg / 125mg	$3.60	$3.60	$4.80
Inj, releuko 1 mcg	$190.80	$190.80	$190.80
Inj, sezaby, 1 mg	$79.80	$79.80	$79.80
Inj, spesolimab-sbzo, 1 mg	$109.20	$109.20	$109.20
Inj, susvimo 0.1 mg	$242.40	$242.40	$242.40
Inj, sutimlimab-jome, 10 mg	$34.80	$34.80	$52.20
Inj, tislelizumab-jsgr	$102.00	$103.20	$103.20
Inj, tyenne, 1 mg	$12.60	$12.75	$58.20
Inj, uzedy, 1 mg	$59.40	$59.40	$59.40
Inj. fe derisomaltose 10 mg	$141.60	$181.20	$194.40
Inj. herceptin hylecta, 10mg	$37.20	$189.60	$561.00
Inj. inebilizumab-cdon, 1 mg	$864.00	$871.80	$871.80
Inj. lumasiran, 0.5 mg	$763.20	$763.20	$763.20
Inj. mycophenolate mofetil	$64.20	$64.20	$64.20
Inj. pemetrexed, 10 mg	$152.40	$156.60	$156.60
Inj. tagraxofusp-erzs 10 mcg	$540.00	$544.80	$84,002.40
Inj. teprotumumab-trbw 10 mg	$726.00	$9,829.20	$51,233.40
Inj., benralizumab, 1 mg	$568.00	$576.60	$16,340.40
Inj., emapalumab-lzsg, 1 mg	$1,790.40	$1,929.00	$4,497.60
Inj., emicizumab-kxwh 0.5 mg	$98.40	$98.40	$39,043.20
Inj., evomela, 1 mg	$105.60	$105.60	$105.60
Inj., fibryga, 1 mg	$5.40	$5.40	$5.40
Inj., guselkumab, 1 mg	$675.00	$675.00	$695.20
Inj., lumoxiti, 0.01 mg	$52.80	$52.80	$52.80
Inj., meropenem, vaborbactam	$36.20	$991.20	$3,622.20
Inj., omadacycline, 1 mg	$21.60	$21.60	$21.60
Inj., plazomicin, 5 mg	$85.80	$85.80	$115.20
Inj., tildrakizumab, 1 mg	$313.20	$424.00	$31,450.80
Inj/inf neurolyt sbst spinal canal lesion 62282	$2,487.00	$2,487.00	$2,487.00
Inject sacroiliac joint	$2,370.00	$2,370.00	$3,000.60
Inject/treat eye socket	$571.80	$571.80	$784.20
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)	$657.60	$750.00	$1,918.80
Injection arthrography hip without anesthesia (both sides)	$450.00	$889.20	$1,348.20
Injection carpal tunnel therapeutic (both sides)	$293.40	$596.40	$840.60
Injection during cath supravalvular aortography	$436.80	$2,218.20	$3,727.80
Injection epidural blood patch or clot	$1,156.80	$1,470.60	$3,776.40
Injection eye drug	$1,959.60	$1,959.60	$2,608.20
Injection for arthrography wrist (both sides)	$450.00	$780.60	$1,188.60
Injection for bladder x-ray	$585.00	$2,370.60	$4,087.20
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)	$450.00	$780.60	$1,172.00
Injection for spleen x-ray	$788.40	$788.40	$788.40
Injection for tear sac x-ray	$990.00	$990.00	$990.00
Injection for ureter x-ray	$1,540.80	$1,540.80	$3,368.40
Injection for ureter x-ray	$1,540.80	$2,236.20	$4,470.00
Injection glatiramer acetate	$318.40	$775.80	$1,279.20
Injection into brain canal	$961.20	$1,094.40	$2,740.80
Injection into hemorrhoid(s)	$742.80	$742.80	$742.80
Injection into spinal artery	$1,852.80	$1,852.80	$1,852.80
Injection into vocal cord	$6,130.20	$6,130.20	$6,130.20
Injection of sinus tract	$343.20	$343.20	$2,046.00
Injection radioactive tracer sentinel node (both sides)	$614.40	$837.60	$1,666.20
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)	$1,242.00	$2,521.20	$4,453.20
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug	$165.60	$238.80	$522.00
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug	$108.00	$177.60	$438.00
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug	$108.00	$168.80	$438.00
Injection therapeutic/prophylactic/diagnostic subcutaneous/im	$121.20	$147.00	$171.60
Injection torsemide 10 mg/ml	$69.60	$69.60	$69.60
Injection treatment of eye	$2,851.20	$2,851.20	$4,132.80
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left	$699.00	$880.80	$2,346.60
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)	$576.00	$948.00	$1,778.40
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)	$1,461.00	$2,647.20	$2,757.60
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level	$1,071.60	$1,620.00	$3,157.80
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level	$1,322.40	$1,957.80	$3,157.80
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance	$974.40	$1,620.00	$2,703.60
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level	$1,318.80	$1,860.60	$2,703.60
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance	$1,020.00	$2,164.80	$4,189.80
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance	$1,779.00	$2,088.00	$3,595.20
Injection(s) tendon sheath/ligament aponeurosis single (both sides)	$616.20	$894.60	$1,294.20
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)	$396.60	$593.40	$998.40
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)	$286.80	$654.00	$791.20
Injection, belinostat, 10mg	$95.40	$95.40	$95.40
Injection, burosumab-twza 1m	$1,120.20	$1,120.20	$1,120.20
Injection, cangrelor	$61.80	$2,314.80	$41,627.40
Injection, daratumumab 10 mg	$85.20	$314.40	$9,445.80
Injection, doxercalciferol	$95.20	$98.40	$395.40
Injection, edaravone, 1 mg	$1,484.40	$1,485.00	$2,098.80
Injection, fulvestrant	$115.80	$3,940.80	$9,219.60
Injection, inclisiran, 1 mg	$22.80	$39.20	$1,348.80
Injection, isavuconazonium	$2.60	$229.20	$1,378.20
Injection, necitumumab, 1 mg	$15.60	$15.60	$15.60
Injection, peramivir	$6.75	$6.75	$7.40
Injection, renflexis	$228.80	$451.80	$2,293.80
Injection, siltuximab	$404.40	$471.00	$15,318.00
Injection,onabotulinumtoxina	$41.55	$2,783.40	$6,946.80
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln	$3.00	$8,027.40	$60,660.60
Ins cath ren art 1st bi	$2,866.20	$11,076.00	$18,946.80
Ins cath ren art 1st uni	$2,781.00	$6,300.60	$10,031.40
Ins cath ren art 2nd+ bi	$4,097.40	$11,865.00	$18,946.80
Ins cath ren art 2nd+ uni	$3,054.00	$10,031.40	$10,903.20
Ins cerv dilator (sep proc)	$678.00	$678.00	$2,562.00
Ins icd gen exist sgl lead	$4,971.60	$34,386.00	$55,021.80
Ins left heart vent thor inscn ecmo	$2,046.60	$2,046.60	$2,046.60
Ins lv lead exist pm/icd	$4,608.60	$15,540.60	$34,056.00
Ins mark abd/pel for right perq	$4,079.40	$4,115.40	$4,976.80
Ins mark thor for right perq	$4,211.40	$4,211.40	$4,211.40
Ins picad w subq port 5yr>	$1,624.80	$2,961.00	$5,529.60
Ins picc wo subq prt/pmp w image guidnc <5yr	$1,992.00	$1,992.00	$2,070.60
Ins pm gen w/exist mlt leads	$3,785.40	$40,853.40	$41,511.60
Ins pq tunnld ip cath w/img	$7,670.40	$11,676.60	$14,346.00
Ins tun cv cath wo subq prt/pm	$6,966.60	$6,966.60	$6,966.60
Ins tun cv cath wo subq prt/pm	$2,386.20	$2,792.40	$5,788.20
Ins tun cvad 2 cath w/subq port(s)	$2,997.00	$5,640.60	$12,849.60
Ins tun intraperit dia cath	$2,813.40	$3,691.20	$4,714.20
Ins vag brachytx device	$561.60	$1,102.80	$3,562.20
Ins/rpl ldless pm right vent w img & eval	$14,857.20	$17,670.00	$24,161.40
Ins/rpl pm gen exist dual lead	$3,922.80	$10,852.20	$18,634.20
Ins/rpl pm gen exist sgl lead	$3,785.40	$14,386.80	$18,185.40
Ins/rpl pm w/tv ld atrl	$15,256.20	$17,949.60	$25,170.00
Ins/rpl wireless pulm art sensor incl s&i	$8,658.00	$10,953.00	$43,233.60
Ins/rplc spi npg/rcvr pocket	$4,030.20	$4,030.20	$4,030.20
Insert and remove bone pin	$3,639.60	$5,275.20	$5,790.60
Insert cannula vein-to-vein hemodialysis	$6,414.00	$6,414.00	$6,966.60
Insert cath pleura with image	$2,040.00	$2,703.60	$10,384.20
Insert cath pleura without image	$697.20	$2,585.40	$2,977.80
Insert drug delivery implant	$254.40	$1,437.00	$1,523.40
Insert hepatic shunt (tips)	$7,146.60	$10,154.40	$11,241.60
Insert intrauterine device iud	$254.40	$349.80	$733.60
Insert pessary/other device	$859.20	$859.20	$907.20
Insert picvad cath	$4,201.80	$4,201.80	$4,201.80
Insert pm/icd lead dual	$5,231.40	$9,288.60	$11,583.60
Insert sq defib electrode	$12,994.80	$14,554.20	$20,059.80
Insert swan-ganz cath	$1,972.20	$2,271.60	$4,443.00
Insert tunneled cv 2cath 2sits without port/pmp 36565	$8,004.00	$8,004.00	$8,004.00
Insert tunneled cv cath	$8,004.00	$8,004.00	$8,004.00
Insert tunneled cv cath	$8,004.00	$8,004.00	$8,004.00
Insert vad art access left hrt arterial access	$2,074.20	$2,497.20	$48,647.40
Insert/repl sq defib w/eltrd	$6,004.80	$34,387.20	$59,956.20
Insertion catheter bladder non indwelling	$247.20	$309.00	$609.00
Insertion catheter bladder temporary simple	$247.20	$551.40	$1,027.20
Insertion catheter pleural indwelling tunneled with cuff	$2,846.40	$7,054.80	$10,692.00
Insertion intra aortic balloon assist device percutaneous	$1,380.00	$2,809.20	$12,931.20
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance	$1,806.60	$5,418.00	$11,923.20
Insertion nontunneled centrally inserted central venous catheter >= 5 years old	$1,239.00	$2,732.40	$3,496.20
Insertion of catheter vein	$512.40	$3,023.40	$5,730.60
Insertion of catheter vein	$3,172.80	$4,284.60	$4,608.60
Insertion of heart electrode 33211	$12,704.40	$12,704.40	$12,704.40
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular	$5,231.40	$21,200.40	$25,401.60
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular	$4,956.60	$18,169.20	$24,630.00
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator	$5,125.80	$21,211.80	$34,056.00
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years	$1,239.00	$2,472.00	$4,189.20
Insertion picc without port or pump with imaging guidance=>5y	$1,239.00	$1,798.20	$4,189.20
Insertion single tranvenous electrode/ppm/implantable defibrillator	$5,097.00	$9,282.00	$11,583.60
Insertion subcutaneous cardiac rhythm monitor	$2,804.40	$8,850.60	$17,281.80
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)	$2,205.60	$4,011.60	$8,004.00
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber	$6,004.80	$48,933.60	$70,716.00
Insertion/replacement temporary single chamber electrode/pacemaker catheter	$3,844.20	$8,266.80	$11,583.60
Insitu hybridization (fish)	$255.60	$255.60	$664.80
Insitu hybridization auto	$664.80	$1,083.60	$1,867.80
Insitu hybridization manual	$412.80	$615.00	$785.40
Insrt/redo neurostim 1 array	$6,097.20	$6,097.20	$6,097.20
Inst fibrinolysis agent ini day	$157.20	$1,097.40	$1,327.20
Inst fibrinolysis agent sbsq d	$139.20	$139.20	$1,245.00
Inst via cath agent pleurds	$2,146.80	$2,146.80	$2,146.80
Insti hexaminolevulinate hcl	$3,240.00	$3,240.00	$3,240.00
Instill, bupivac and meloxic	$1.80	$1.80	$1.80
Instillation anticarcinogenic agent bladder	$587.40	$1,062.60	$2,753.40
Instll rx agnt into rnal tub	$2,577.60	$2,577.60	$2,577.60
Insulin total	$57.00	$165.60	$638.40
Int hrhc lig 1 hroid without img	$2,109.60	$2,370.60	$4,520.00
Int hrhc lig 2+hroid without img	$581.40	$1,911.60	$2,810.40
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm	$7,989.60	$7,989.60	$7,989.60
Integra meshed bil wound mat	$35,932.20	$35,932.20	$35,932.20
Interdental fixation	$3,520.20	$4,494.00	$5,052.60
Interdental wirg oth/thn fx	$4,811.40	$4,811.40	$4,811.40
Interdiscal perq aspir dx	$1,753.80	$1,783.80	$2,792.40
Interferon alfa-2b inj	$108.00	$112.80	$4,544.40
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)	$33.60	$3,403.20	$5,318.40
Interferon beta-1a inj	$4,373.40	$4,373.40	$4,373.40
Interrog dev eval icpms ip	$123.60	$123.60	$649.80
Interrog dev eval scrms ip	$133.20	$163.80	$649.80
Interrog device eval heart	$205.80	$234.00	$595.80
Interrog evl pm/ldls pm ip	$96.00	$234.00	$369.60
Interrogate subq defib	$96.60	$117.00	$226.20
Interrogation vad in person	$621.00	$621.00	$621.00
Intra-atrial pacing	$3,647.40	$3,647.40	$5,913.60
Intra-atrial recording	$3,647.40	$3,647.40	$6,265.80
Intracard echo interv w/s&i	$927.00	$4,080.60	$4,802.40
Intracran angioplsty w/stent	$4,426.20	$8,401.80	$8,440.20
Intracranial angioplasty	$7,673.40	$9,783.00	$10,237.80
Intracranial complete study	$481.20	$1,169.40	$1,981.20
Intracranial limited study	$238.80	$725.40	$1,166.40
Intraoral i+d tongue/floor lingual 41000	$1,068.00	$1,663.80	$3,796.20
Intrapul surf admin endo tube	$60.60	$60.60	$73.60
Intrauterine transfusion ftl	$846.00	$846.00	$846.00
Intraventricular pacing	$2,392.80	$3,647.40	$8,922.00
Intrinsic factor antibody	$85.20	$203.40	$492.00
Intro cath dialysis circuit	$2,317.80	$3,175.20	$14,043.00
Intro cath dialysis circuit w/pta	$2,851.80	$8,154.60	$12,150.60
Intro cath dialysis circuit w/stent plcmnt	$3,121.20	$3,652.20	$25,053.60
Intro cath svc/ivc	$2,426.40	$3,760.80	$12,349.80
Intro catheter aorta	$580.80	$3,157.20	$7,651.20
Intro long gi tube	$559.20	$663.60	$3,526.20
Intro long gi tube w/mult fluo	$384.60	$464.80	$1,226.40
Intrvasc Ultrasound noncoronary 1st vessel	$1,980.00	$4,101.00	$6,337.80
Intrvasc Ultrasound noncoronary addl vessel	$3,632.40	$4,237.80	$5,288.40
Intubation endotracheal emergency procedure	$463.80	$961.80	$3,560.40
Iodine i-123 sod iodide mil	$753.00	$1,636.80	$4,029.60
Ionm in operatng room 15 min	$177.60	$191.40	$358.80
Ionm remote/>1 pt or per hr	$415.80	$1,576.80	$3,504.00
Iopamidol 250 mg iodine/ml (51 %) intravenous solution	$1.20	$121.20	$1,080.00
Iopamidol 300 mg iodine/ml (61 %) intravenous solution	$0.60	$41.40	$2,178.60
Ipilimumab 5 mg/ml intravenous solution (wrapper)	$369.00	$511.80	$33,224.40
Ipratropium bromide non-comp	$4.40	$24.20	$55.40
Irinotecan 20 mg/ml intravenous solution (wrapper)	$7.80	$1,091.20	$7,858.80
Irinotecan liposomal 4.3 mg/ml intravenous	$115.20	$169.80	$210.60
Iron	$32.40	$60.00	$284.40
Iron binding capacity	$44.40	$100.80	$484.20
Iron dextran 50 mg/ml injection solution	$10.20	$96.80	$239.40
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)	$6.75	$555.60	$682.20
Irradiation of blood product each unit reference	$63.60	$98.40	$229.20
Irrigation implantable venous access device for drug delivery systems	$124.20	$147.60	$312.00
Irrigation vagina and/or appl medicament tx disease	$891.20	$891.20	$891.20
Isatuximab-irfc 20 mg/ml intravenous solution	$92.40	$149.40	$156.60
Island pedicle flap graft	$3,768.60	$3,768.60	$3,768.60
Ivc venogram s&i	$1,510.20	$2,938.80	$9,229.80
Ivp w/wo kub w/wo tomography	$427.80	$1,283.40	$1,552.00
Ixabepilone 15 mg intravenous solution	$272.40	$680.40	$16,246.20
J-tube placement	$556.80	$556.80	$556.80
Jak2 targeted sequence analysis	$1,011.00	$1,227.60	$1,227.60
Jejunstmy tube plcmt	$3,168.00	$4,128.80	$5,083.20
John cunningham antibody	$37.80	$78.60	$3,827.20
Ketone body(s) beta-hydroxybutyrate quantitative	$42.00	$174.60	$1,114.80
Ketorolac 15 mg/ml injection (wrapper)	$3.60	$34.80	$253.20
Kidney (Retroperitoneal) Ultrasound (complete)	$352.20	$528.00	$1,469.40
Kidney endoscopy	$3,015.00	$3,015.00	$3,964.20
Kidney function study	$1,179.60	$1,228.80	$1,426.40
Kidney imag w/bld flow multi	$1,161.00	$1,574.40	$5,354.40
Kidney imaging morphology	$1,228.80	$1,702.20	$2,370.00
Kidney img w/bldflw sgl without rx	$797.40	$1,574.40	$2,901.00
Kit case 4.2mm spinejack	$7,686.60	$7,833.60	$12,441.00
Kit cast tcc 3in w/2reg boots total contact cast	$9.60	$382.20	$489.60
Kit cath f 8f w/glv + wipe ster	$5.40	$5.40	$24.00
Kit cath ivl 2.5x40mm 135cm shockwave s4	$8,967.60	$10,797.00	$15,094.80
Kit gene analys d816 variant	$721.80	$1,229.40	$1,303.80
Kit hfx iq ipg bundle	$55,218.60	$56,811.60	$56,811.60
Kit ipg optimizer smart	$55,402.80	$55,402.80	$74,319.00
Kit lead specify 5-6-5	$6,860.40	$12,081.00	$54,950.40
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set	$1,650.60	$1,965.60	$2,619.00
Kit sound processor cochlear osia 2	$5,556.60	$8,362.80	$38,541.00
Kit tissue closure sealant adhesive air leak progel 4 ml pleura	$3,480.00	$3,676.80	$4,799.40
Kit trach suct cls 30.5cm	$39.00	$39.00	$39.00
Knee Arthroscopy (Cartilage Repair)	$1,536.60	$1,536.60	$1,536.60
Knee Arthroscopy (Meniscus Repair)	$1,639.20	$1,639.20	$1,639.20
Knee MRI (with and without contrast)	$1,857.00	$3,815.40	$9,808.20
Knee MRI (with contrast)	$1,384.20	$2,713.80	$8,004.00
Knee MRI (without contrast)	$966.60	$2,514.00	$6,214.20
Knee X-ray	$133.20	$289.20	$686.40
Knee arthroscopy/surgery	$5,152.80	$5,152.80	$5,152.80
Kras gene addl variants	$429.00	$454.20	$2,046.60
Kras gene variants exon 2	$325.80	$361.80	$1,353.60
Kyleena, 19.5 mg	$2,036.40	$2,489.60	$3,100.20
L/s ratio fetal lung	$79.80	$405.00	$489.60
Labetalol 5 mg/ml IV (wrapper)	$4.50	$4.50	$7.80
Lacosamide 200 mg/20 ml intravenous solution	$0.90	$171.00	$327.00
Lactate dehydrogenase (ldh)	$30.60	$52.00	$231.60
Lactated ringers intravenous solution	$32.40	$70.00	$108.00
Lactic acid	$58.80	$121.80	$505.80
Lactoferrin fecal qualitative	$99.60	$236.40	$797.40
Lactoferrin fecal quant	$166.80	$194.40	$284.40
Lanreotide 120 mg/0.5 ml subcutaneous syringe	$195.20	$372.00	$33,573.60
Lanthanum carbonate oral 5mg	$7.20	$7.20	$7.20
Lap inc hern repair comp 49655	$909.60	$909.60	$909.60
Lap inc hernia repair 49654	$2,228.40	$2,228.40	$2,228.40
Lap ing hernia repair init	$1,126.20	$1,126.20	$1,126.20
Lap insert tunnel ip cath	$1,267.20	$1,267.20	$1,267.20
Lap revision perm ip cath	$979.20	$979.20	$979.20
Lap vent/abd hern proc comp 49653	$2,441.40	$2,441.40	$2,441.40
Lap vent/abd hernia repair 49652	$1,966.80	$1,966.80	$1,966.80
Laparo partial nephrectomy	$4,511.40	$4,511.40	$4,511.40
Laparo proc abdm/per/oment 49329	$4,308.00	$4,308.00	$4,308.00
Laparo radical nephrectomy	$2,357.40	$2,357.40	$2,357.40
Laparoscopic nephrectomy	$2,110.80	$2,110.80	$2,110.80
Laparoscopy adrenalectomy	$3,313.20	$3,313.20	$3,313.20
Laparoscopy biopsy	$905.40	$905.40	$905.40
Laparoscopy excise lesions	$1,830.00	$1,830.00	$1,830.00
Laparoscopy remove adnexa	$7,589.40	$7,589.40	$10,299.60
Laparoscopy splenectomy	$2,479.20	$2,479.20	$2,479.20
Largsc w/laser dstrj les	$8,892.00	$8,892.00	$8,892.00
Largsc w/njx augmentation	$5,248.20	$5,248.20	$5,248.20
Largsc w/rmvl foreign bdy(s)	$2,993.40	$3,769.20	$4,633.20
Laronidase injection	$181.80	$181.80	$181.80
Laryngoscop w/vc inj + scope	$6,130.20	$6,130.20	$6,130.20
Laryngoscopy and dilation	$3,769.20	$3,769.20	$5,593.20
Laryngoscopy direct w/wo tracheoscopy dx exc newborn	$2,131.80	$3,594.00	$5,113.60
Laryngoscopy telescopic	$2,810.40	$2,810.40	$2,810.40
Laryngoscopy w/fb removal	$3,505.20	$3,505.20	$3,505.20
Laryngoscopy w/w/o tracheoscopy aspiration	$2,712.00	$3,716.40	$4,057.80
Laryngoscopy with biopsy	$5,543.40	$5,543.40	$5,543.40
Lead acuity x4 spiral l 86cm	$4,649.40	$9,999.00	$27,605.40
Lead capillary	$62.40	$146.40	$571.80
Lead ingevity 45cm pfret MRI	$1,296.60	$2,715.00	$10,843.20
Lead tachy durata sj4 58cm	$7,220.40	$13,024.20	$32,130.60
Leg Vein Ultrasound (DVT study, both legs)	$436.80	$921.60	$2,286.00
Leishmania antibody	$130.20	$130.20	$209.40
Lens iol 23.0 d 1.5 cyl eyhance toric	$283.80	$609.00	$789.00
Lens iol ant bicnvx 24.0 multi	$561.00	$1,898.40	$4,153.20
Lens iol ant chamb 10.5	$289.80	$961.20	$2,531.40
Leucovorin calcium 100 mg solution for injection (1 mg rounding)	$16.60	$87.60	$797.40
Leuprolide 3.75 mg intramuscular syringe kit	$1,045.80	$3,559.80	$10,678.20
Leuprolide 30 mg (4 month) intramuscular syringe kit	$2,789.60	$4,878.00	$9,008.40
Levalbuterol non-comp unit	$12.00	$12.00	$66.00
Levetiracetam 500 mg/5 ml intravenous solution	$7.80	$276.00	$1,195.80
Levetiracetam therapeutic drug level	$33.60	$210.00	$400.00
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback	$1.20	$325.80	$984.60
Levothyroxine 100 mcg intravenous powder for solution	$19.80	$19.80	$24.60
Liberta rc ipg	$7,270.40	$41,431.80	$75,797.40
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution	$0.16	$0.20	$4.20
Lidocaine therapeutic drug level	$104.40	$203.40	$772.20
Lig/band angioaccess av fistula	$12,573.60	$12,573.60	$13,630.20
Ligate oviduct(s) add-on 58611	$3,814.20	$3,814.20	$3,814.20
Ligation major artery neck	$3,192.60	$3,192.60	$3,231.00
Ligation/biopsy of temporal artery 37609	$4,489.80	$4,489.80	$4,489.80
Ligation/major artery/extremity 37618	$1,497.00	$3,848.40	$8,389.20
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback	$0.60	$370.20	$883.80
Lip surgery procedure	$71.40	$121.80	$2,225.40
Lipase	$40.80	$139.80	$281.40
Lipoprotein blood high res frac & quant	$188.40	$325.20	$539.40
Lipoprotein blood quant	$172.20	$320.40	$476.80
Lipoprotein direct measurement hdl	$42.00	$63.60	$249.60
Lipoprotein direct measurement ldl	$45.60	$117.00	$199.20
Lisocabtagene mara car pos t	$4,299,000.00	$4,299,000.00	$4,299,000.00
Lithium therapeutic drug level	$46.80	$100.00	$349.80
Lithotripsy transluminal coronary percutaneous	$315.00	$5,071.20	$17,564.40
Liver Function Test	$54.00	$156.00	$718.20
Liver abs/cyst dr opn 1-2 stge	$2,376.00	$2,376.00	$2,376.00
Liver ds alys 3 bmrk srm alg	$68.40	$944.40	$1,030.20
Liver elastography 91200	$480.60	$558.00	$581.60
Liver imag w/vasclr flow	$1,326.60	$1,510.20	$1,826.40
Liver imaging	$901.80	$901.80	$4,242.60
Liver/spleen imag static only	$1,032.60	$1,308.60	$3,414.00
Liver/spleen imag w/vasclr flow	$1,228.80	$1,557.00	$1,882.40
Lngth/shrt tendon leg/ankle 1 tendon	$4,630.80	$4,630.80	$4,630.80
Locm 100-199mg/ml iodine,1ml	$3.00	$9.75	$189.00
Loncastuximab tesirine-lpyl 10 mg intravenous solution	$394.80	$435.60	$15,780.00
Loop ostmy bridg ster	$64.80	$74.40	$88.20
Lorazepam 2 mg/ml injection (wrapper)	$1.80	$66.40	$4,407.60
Lower Back (Lumbar Spine) CT scan (with and without contrast)	$1,124.40	$2,550.60	$5,112.00
Lower Back (Lumbar Spine) CT scan (with contrast)	$930.00	$1,636.80	$4,599.60
Lower Back (Lumbar Spine) CT scan (without contrast)	$750.00	$1,405.80	$2,937.00
Lower Back (Lumbar Spine) MRI (with and without contrast)	$1,907.40	$3,601.80	$9,808.20
Lower Back (Lumbar Spine) MRI (with contrast)	$1,237.80	$2,713.80	$8,004.00
Lower Back (Lumbar Spine) MRI (without contrast)	$1,032.00	$2,205.00	$6,214.20
Lower Back (Lumbar Spine) X-ray	$115.80	$272.40	$686.40
Lumbar Spinal Fusion (single level)	$2,020.20	$2,020.20	$2,020.20
Lumbar diskogram s&i	$1,968.60	$2,380.80	$10,866.00
Lumizyme injection	$966.60	$966.60	$4,834.80
Lung Function Test (Spirometry)	$100.20	$228.00	$1,249.20
Lung function test (mbc/mvv)	$69.60	$109.60	$155.40
Lung perfusion imaging	$479.40	$1,087.20	$2,067.00
Lurbinectedin 4 mg intravenous solution	$380.40	$400.20	$4,770.00
Luspatercept-aamt 25 mg subcutaneous solution	$83.40	$87.60	$6,976.20
Lutetium lu 177 dotatat ther	$607.20	$616.20	$1,290.00
Lutetium lu 177 vipivotide	$483.00	$600.00	$27,310.20
Lvad shower bag heartmate	$1,597.80	$1,597.80	$1,597.80
Lymph vessel x-ray arm/leg	$1,539.60	$1,539.60	$1,539.60
Lymph vessel x-ray arms/legs	$1,967.40	$1,967.40	$1,967.40
Lymph vessel x-ray trunk	$1,551.00	$1,784.40	$2,704.20
Lymph vessel x-ray trunk	$1,389.60	$1,597.20	$2,131.80
Lymphatics/lymph node imaging	$691.20	$1,417.60	$6,783.00
Lymphocyte culture mixed	$667.80	$667.80	$7,433.40
Lymphocyte transformation mitogen	$272.40	$491.40	$761.60
Lymphocytotoxicity assay	$325.20	$1,055.40	$1,263.00
M.avium-intra dna amp prob	$336.00	$425.40	$570.40
M/phmtrc alys ishquant/semiq	$337.20	$488.80	$646.80
M/phmtrc alys ishquant/semiq	$91.80	$152.40	$198.60
M/phmtrc alysishquant/semiq	$166.20	$591.00	$646.80
MRA abdomen post contrast	$3,306.40	$3,306.40	$5,659.80
MRA aorta thoracic w/wo contrast	$191.40	$191.40	$4,528.20
MRA chest w IV cont	$2,713.80	$5,810.40	$9,808.20
MRA chest wo IV cont	$1,656.00	$4,193.40	$9,808.20
MRA chest wwo IV cont	$2,479.80	$2,713.80	$9,808.20
MRA ext low(run-off)pst cntrst	$4,049.60	$4,049.60	$5,661.00
MRA pelvis	$1,811.20	$1,811.20	$1,811.20
MRA pelvis w IV cont	$1,497.60	$1,597.20	$8,004.00
MRA pelvis wo IV cont	$1,290.00	$1,656.00	$8,004.00
MRA upper extremity post contrast-bil	$2,369.60	$2,369.60	$2,369.60
MRA w/cont, abd	$1,653.60	$2,713.80	$8,004.00
MRA w/cont, lwr ext	$2,713.80	$2,713.80	$8,004.00
MRA without cont, abd	$1,656.00	$3,815.40	$8,004.00
MRA without cont, lwr ext	$1,656.00	$1,656.00	$8,004.00
MRA without fol w/cont, abd	$2,713.80	$2,734.20	$8,004.00
MRA without fol w/cont, lwr ext	$1,954.80	$2,713.80	$8,004.00
MRA without fol w/cont, pelvis	$2,713.80	$4,528.80	$9,808.20
MRI breast c- unilateral	$480.60	$1,405.80	$4,491.00
MRI breast w IV cont bi	$5,999.40	$5,999.40	$5,999.40
MRI breast without cont bi	$480.60	$3,482.40	$8,505.00
MRI cardiac morph & func wo IV cont	$1,656.00	$2,562.00	$5,179.20
MRI cardiac morph & func wwo IV cont	$1,648.80	$3,051.00	$8,173.20
MRI cardiac morph & func wwo IV cont w/stress img	$4,837.20	$5,311.20	$8,173.20
MRI chest w IV cont	$2,836.80	$3,264.60	$8,004.00
MRI chest without & w/contrast	$2,713.80	$4,820.80	$9,808.20
MRI chest without contrast	$1,656.00	$3,040.00	$6,214.20
MRI fetal ea addl gestation	$652.20	$652.20	$652.20
MRI fetal sngl/1st gestation	$1,656.00	$1,656.00	$1,656.00
MRI guid ndl plc s&i	$1,431.00	$1,431.00	$1,431.00
MRI guid parenchymal tiss ablation	$3,441.00	$3,441.00	$6,308.40
MRI loex nonjt w IV cont	$2,332.80	$3,689.60	$8,004.00
MRI lower extremity other than joint without & w/contrast (both sides)	$2,713.80	$4,850.40	$9,808.20
MRI lower extremity other than joint without contrast (both sides)	$1,656.00	$3,040.00	$6,214.20
MRI orbit fac&nck w IV cont	$2,178.60	$3,493.20	$8,004.00
MRI orbit/face/neck without & w/contrast	$2,854.80	$4,600.00	$9,808.20
MRI orbit/face/neck without contrast	$1,741.80	$2,900.80	$6,214.20
MRI tmj	$1,656.00	$3,040.00	$6,214.20
MRI upper extremity other than joint without & w/contrast (both sides)	$2,713.80	$4,850.40	$9,808.20
MRI upper extremity other than joint without contrast (both sides)	$1,656.00	$3,040.00	$6,214.20
MRI upper extremity w/dye	$2,713.80	$3,689.60	$8,004.00
MRI w/cont, breast, bi	$2,713.80	$2,713.80	$2,713.80
MRI w/cont, breast, uni	$1,294.80	$1,294.80	$1,294.80
MRI without fol w/cont, breast	$2,713.80	$3,543.00	$9,808.20
MRI without fol w/cont, brst, un	$2,713.80	$3,261.00	$4,459.80
Macroscopic exam arthropod	$24.00	$54.00	$90.40
Macroscopic exam parasite	$24.00	$51.60	$62.20
Magnesium	$39.00	$91.20	$231.60
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback	$1.80	$74.40	$239.40
Magnetic image bone marrow	$1,656.00	$2,412.60	$3,581.40
Mammosite ced	$120.00	$2,988.00	$13,311.20
Manipulat palm cord post inj	$735.60	$735.60	$735.60
Manipulate wrist w/anesthes	$4,104.60	$4,104.60	$4,104.60
Manipulation chest wall demonstration/evaluation subsequent	$80.40	$193.20	$449.40
Manipulation chest wall initial demonstration/evaluation	$96.00	$248.40	$394.80
Mannitol 12.5 gm/50 ml inj	$20.40	$88.80	$241.20
Manual diff wbc count b-coat	$19.20	$41.40	$82.80
Map tachycard site(s)	$3,363.00	$3,363.00	$3,500.40
Mapping functional cort/subcort ea add'l hr	$499.80	$744.00	$1,305.00
Margetuximab-cmkb 25 mg/ml intravenous solution	$91.20	$94.80	$138.00
Marker biop eviva buckle ss	$149.40	$429.60	$3,051.60
Mast mod rad	$3,126.00	$3,126.00	$3,126.00
Mastoids complete	$262.80	$456.60	$686.40
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm	$3,305.40	$6,321.00	$7,672.80
Mayo a1app alpha 1 antitrypsin phenotype	$73.80	$165.00	$383.20
Mayo aathr protein s free	$77.40	$159.60	$2,213.40
Mayo activated protein c resistance assay	$77.40	$253.20	$981.00
Mayo adalimumab (humira) therapeutic drug level	$72.00	$205.80	$298.80
Mayo alcohol definitive assay volatile screen	$40.80	$40.80	$440.40
Mayo alkaline phosphatase isoenzyme	$42.00	$154.80	$303.00
Mayo alkaloids definitive assay nicotine/cotinine	$61.20	$61.20	$61.20
Mayo alpha 1 antitrypsin	$66.60	$197.40	$1,882.80
Mayo amikacin trough therapeutic drug level	$109.20	$113.40	$237.60
Mayo analysis gene calr common variants exon 9	$864.00	$1,160.40	$1,227.60
Mayo analysis gene jak2 p.val617phe variant	$529.80	$1,702.80	$1,702.80
Mayo analysis gene smn1 dosage/deletion	$730.20	$1,261.80	$2,547.60
Mayo analysis microarray cytogenomic copy number/snp variants	$6,701.40	$12,834.00	$14,400.60
Mayo androstenedione	$144.60	$186.40	$490.20
Mayo angiotensin 1 converting enzyme (ace) csf	$74.40	$139.20	$249.60
Mayo antithrombin iii antigen	$55.20	$125.40	$704.80
Mayo aspergillus fumigatus antibody	$83.40	$118.80	$820.20
Mayo avwpr vw factor activity	$156.00	$317.40	$766.20
Mayo babpb infectious agent nucleic acid amplified probe babesia microti	$70.80	$349.80	$451.20
Mayo bart bartonella henselae antibody igg	$16.80	$100.20	$222.00
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative	$364.20	$1,051.20	$1,114.20
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative	$843.00	$843.00	$883.20
Mayo blastomyces antibody immunodiffusion	$72.00	$178.20	$946.80
Mayo bordetella pertussis antibody igg	$63.60	$100.80	$495.00
Mayo brcmg brucella antibody igm	$49.80	$118.80	$378.00
Mayo c1 esterase inhibitor	$96.60	$130.80	$349.80
Mayo carnitine total and free quantitative each specimen plasma	$85.80	$205.80	$400.80
Mayo cd20b mononuclear cell antigen nos quantitative each	$130.20	$351.00	$538.20
Mayo cdcom hla class ii typing low resolution one locus each	$463.20	$1,180.80	$1,672.20
Mayo ceruloplasmin	$54.00	$100.20	$1,133.40
Mayo chemiluminescent parathyroid related peptide	$72.00	$281.40	$833.40
Mayo chikv chikungunya antibodies igg	$72.00	$240.00	$1,549.80
Mayo chlap chlamydia pneumoniae antibody igg	$47.00	$138.00	$241.20
Mayo chlap chlamydia pneumoniae antibody igm	$38.40	$89.40	$286.80
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte	$764.40	$1,097.40	$1,444.80
Mayo chromium	$60.00	$232.20	$3,570.60
Mayo coccidioides antibody	$64.20	$205.80	$278.40
Mayo cocou cortisone urine	$108.00	$305.40	$2,410.20
Mayo cortisol free	$84.60	$138.00	$2,197.80
Mayo covid-19 antibody nucleocapsid total	$123.00	$123.00	$164.00
Mayo coxiella brunetii (q fever) igg antibody	$67.80	$130.20	$206.40
Mayo cyanide	$98.40	$205.20	$678.60
Mayo deoxyribonuclease antibody titer	$74.40	$102.60	$1,348.20
Mayo dhea (dehydroepiandrosterone)	$127.80	$463.20	$580.00
Mayo dihydrotestosterone	$239.40	$364.80	$2,560.20
Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid	$103.80	$141.60	$171.20
Mayo efpo chloride stool	$25.20	$102.60	$664.20
Mayo estriol	$121.80	$147.20	$282.60
Mayo estrone	$124.20	$177.60	$490.20
Mayo ethosuximide therapeutic drug level	$80.40	$264.60	$1,512.60
Mayo everolimus therapeutic drug level	$34.80	$210.00	$434.40
Mayo factor ii	$49.80	$66.00	$2,105.40
Mayo factor v	$90.60	$213.00	$2,105.40
Mayo factor vii	$91.20	$185.40	$2,105.40
Mayo factor viii vw factor antigen	$114.60	$239.40	$2,217.00
Mayo factor viii vw factor multimetric analysis	$116.40	$243.60	$2,674.80
Mayo factor viii vw factor ristocetin cofactor	$116.40	$243.60	$1,884.60
Mayo factor x	$91.20	$356.40	$2,105.40
Mayo factor xi	$91.20	$162.60	$1,503.00
Mayo fat/lipids feces quantitative	$85.80	$198.00	$969.00
Mayo fbl culture fungi blood	$75.00	$114.00	$471.60
Mayo fdp/fsp paracoagulation	$128.40	$128.40	$128.40
Mayo ffspg allergen clam igg	$43.80	$88.20	$183.20
Mayo fibrinogen antigen	$75.60	$102.00	$144.80
Mayo gabapentin bld/srm/plasma therapeutic drug level	$55.80	$210.00	$522.40
Mayo gamma-globin full gene sequencing	$201.00	$8,992.20	$13,573.80
Mayo hemosiderin qualitative urine	$24.00	$60.60	$366.00
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative	$195.60	$357.60	$626.40
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2	$349.80	$417.00	$609.60
Mayo hiser histoplasma antibodies immunodiffusion	$77.40	$174.00	$1,012.80
Mayo hla typing a/b/c single antigen	$118.20	$293.40	$5,760.00
Mayo hvdip HIV 1 antibody	$49.20	$88.20	$180.80
Mayo hvdip HIV 2 antibody	$67.20	$103.20	$928.80
Mayo hydroxyprogesterone 17-d	$108.00	$464.40	$824.40
Mayo immunoassay c1 esterase inhibitor antibody quantitative	$67.20	$259.80	$1,267.20
Mayo immunoassay infectious agent antibody quantitative diptheria igg	$76.20	$141.00	$594.40
Mayo immunoassay tumor antigen quantitative ca 27.29	$116.40	$213.60	$2,737.80
Mayo immunoassay tumor antigen quantitative chromogranin a	$102.60	$364.20	$1,221.60
Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance	$978.60	$987.60	$1,317.00
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus	$89.40	$187.80	$1,212.00
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal	$66.60	$218.40	$552.00
Mayo infectious agent nucleic acid amplified probe enterovirus	$195.60	$428.40	$962.40
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine	$76.20	$350.40	$1,109.40
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae	$54.00	$306.00	$1,446.00
Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii	$189.00	$290.40	$1,109.40
Mayo infectious agent nucleic acid quantification cytomegalovirus	$236.40	$350.40	$611.20
Mayo infectious disease hepatitis c chronic six biochemical assays	$516.60	$669.00	$951.60
Mayo infliximab therapeutic drug level	$85.80	$236.80	$880.80
Mayo inhab inhibin a	$87.00	$591.00	$1,046.40
Mayo insft insulin free	$93.60	$121.20	$3,633.60
Mayo insulin antibodies	$85.20	$197.40	$871.20
Mayo iodine	$163.80	$202.20	$711.60
Mayo itraconazole therapeutic drug level	$54.60	$140.40	$298.80
Mayo lacosamide therapeutic drug level	$69.60	$205.80	$298.80
Mayo lamotrigine therapeutic drug level	$33.60	$210.00	$400.00
Mayo ld_i lactate dehydrogenase isoenzymes	$37.20	$70.80	$292.80
Mayo legionella antibody	$78.60	$114.60	$472.80
Mayo leptospira antibody igm	$58.80	$165.60	$229.80
Mayo lipoprotein electrophoresis	$99.00	$315.20	$1,024.80
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory	$86.40	$234.00	$1,293.00
Mayo manganese	$43.20	$100.80	$931.20
Mayo metanephrines plasma	$80.40	$316.80	$496.80
Mayo mgle voltage-gated calcium channel antibody each	$83.40	$235.20	$2,202.60
Mayo mgrm acetylcholine receptor binding antibody	$83.40	$235.20	$6,712.80
Mayo microsomal antibody liver-kidney	$78.60	$219.60	$964.20
Mayo mitotane (lysodren) therapeutic drug level	$102.60	$206.40	$530.40
Mayo molecular pathology procedure level 2 apoe genotype	$495.60	$4,014.60	$5,374.80
Mayo mpl sequence analysis exon 10	$513.00	$752.40	$752.40
Mayo muramidase	$94.80	$181.20	$806.40
Mayo muscle-specific kinase (musk) antibody	$83.40	$235.20	$2,202.60
Mayo mycophenolic acid therapeutic drug level	$46.20	$202.20	$739.20
Mayo myoglobin	$55.80	$144.60	$556.80
Mayo nickel	$89.40	$269.40	$429.60
Mayo organic acid methylmalonic single quantitative	$107.40	$298.20	$732.80
Mayo organic acids qualitative each specimen	$102.00	$229.20	$6,828.00
Mayo oxalate 24 hour urine	$52.20	$170.40	$357.00
Mayo pancreatic elastase fecal qualitative or semi quantitative	$108.60	$130.80	$8,239.20
Mayo parvs parvovirus b19 antibody igg	$75.60	$325.20	$1,248.60
Mayo paval fluorescent antibody screen agna type 1	$66.60	$165.00	$523.20
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)	$177.60	$237.00	$1,108.20
Mayo phospholipid neutralization hexagonal lupus anticoagulant	$91.80	$232.20	$295.80
Mayo pntft phenytoin free therapeutic drug level	$62.40	$93.60	$1,151.40
Mayo pqnu porphobilinogen urine quantitative 24 hour urine	$43.20	$250.20	$628.80
Mayo pregnenolone	$153.00	$325.80	$422.40
Mayo prmb primidone therapeutic drug level	$81.00	$129.60	$322.20
Mayo proinsulin	$135.60	$384.00	$526.40
Mayo psaft prostate specific antigen free	$93.60	$265.80	$1,343.40
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative	$83.40	$300.00	$2,202.60
Mayo rbcme osmotic fragility rbc incubated	$99.20	$135.00	$463.80
Mayo receptor assay transferrin soluble	$186.00	$579.00	$6,712.80
Mayo renin	$108.00	$184.20	$772.20
Mayo repu protein electrophoresis urine	$91.20	$219.60	$1,390.20
Mayo selenium	$129.60	$182.40	$1,108.20
Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria	$91.20	$91.20	$168.00
Mayo serotonin	$157.20	$499.20	$763.20
Mayo sfgp rickettsia rickettsii antibody igg	$85.20	$114.60	$785.40
Mayo sirolimus therapeutic drug level	$94.80	$150.60	$340.00
Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative	$76.20	$141.00	$491.40
Mayo syphilis test non-treponemal antibody qualitative vdrl	$24.00	$41.40	$176.80
Mayo tau phosphorylated 217 each	$56.40	$259.80	$366.00
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification	$413.60	$911.40	$1,288.80
Mayo tgrp testosterone free	$72.00	$129.60	$422.40
Mayo tgrp testosterone total	$126.60	$197.40	$686.40
Mayo thiopurine s-methyltransferase	$1,129.80	$1,129.80	$1,129.80
Mayo thyroglobulin	$81.00	$184.20	$514.40
Mayo ticks anaplasma phagocytophilum antibody igg	$56.40	$97.80	$133.20
Mayo ticks babesia microti antibody igg	$69.60	$134.40	$1,695.60
Mayo tulab francisella tularensis antibody igg	$96.00	$147.60	$741.00
Mayo valpg valproic acid free therapeutic drug level	$96.00	$189.00	$490.80
Mayo vasoactive intestinal peptide	$178.80	$375.60	$867.00
Mayo vitamin b-2 (riboflavin)	$102.60	$251.40	$1,974.60
Mayo vitamin b3 (niacin)	$78.60	$234.00	$2,313.00
Mayo vitamin k	$69.60	$320.40	$6,088.20
Mayo zonisamide therapeutic drug level	$72.00	$210.00	$372.80
Mcoln1 gene	$227.40	$227.40	$227.40
Measure kidney pressure	$2,979.60	$2,979.60	$4,141.20
Measurement post void urine by ultrasound	$130.20	$176.40	$256.80
Mechlorethamine hcl inj	$690.00	$690.00	$690.00
Mecp2 gene dup/delet variant	$3,703.80	$3,703.80	$3,703.80
Medroxyprogesterone 150 mg/ml im injection (wrapper)	$3.30	$470.40	$3,637.80
Meg evoked single	$5,358.60	$5,358.60	$5,358.60
Meg spontaneous	$14,856.60	$14,856.60	$14,856.60
Megestrol 20 mg tabs 100 each bottle	$4.20	$6.20	$34.20
Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm	$8,335.20	$8,335.20	$8,335.20
Membrane amnioband 2x2cm -cost per sq cm	$3,097.20	$3,097.20	$3,097.20
Membrane collgn porcine maci w/autologous cult chondrocytes	$50,047.20	$77,166.00	$308,663.40
Meperidine (pf) 25 mg/ml injection (wrapper)	$5.40	$10.80	$28.20
Mepolizumab 100 mg/ml subcutaneous auto-injector	$102.40	$6,447.60	$8,139.60
Meropenem 1 gram intravenous solution	$17.40	$55.20	$470.40
Mesna 100 mg/ml intravenous solution	$3.60	$642.60	$3,211.20
Metabolic Blood Panel (Basic)	$55.20	$108.60	$534.60
Metabolic Blood Panel (Comprehensive)	$66.60	$156.00	$1,039.80
Metabolic panel ionized ca	$198.60	$235.20	$373.20
Methacholine chloride 0.0625 mg/ml nebulization soln	$2.70	$255.60	$2,561.40
Methadone injection	$12.60	$55.95	$56.00
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain)	$45.00	$78.20	$155.40
Methotrexate sodium (pf) 1 gram solution for injection	$1.80	$332.00	$441.60
Methotrexate sodium 2.5 mg tablet	$1.80	$28.65	$38.60
Methotrexate therapeutic drug level	$67.20	$298.80	$1,641.60
Methylene blue (antidote) 5 mg/ml intravenous solution	$2.60	$133.20	$2,689.20
Methylergonovine 0.2 mg/ml (1 ml) injection solution	$18.00	$42.45	$53.00
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)	$1.40	$204.00	$512.40
Methylprednisolone 4 mg tablet	$1.20	$10.80	$114.60
Methylprednisolone acetate 40 mg/ml suspension for injection	$0.60	$1.20	$11.40
Methylprednisolone sodium succinate 1,000 mg intravenous solution	$2.20	$4.60	$40.80
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr	$0.60	$8.60	$192.60
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper)	$1.20	$1.80	$9.00
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback	$0.20	$2.80	$4.80
Mgmt promoter methylation analysis	$214.80	$227.40	$980.40
Micafungin 100 mg intravenous solution	$5.80	$7.00	$112.20
Microdissection laser	$135.00	$600.60	$1,819.80
Microdissection manual	$284.40	$604.20	$1,179.00
Microsatellite instability	$1,154.40	$1,154.40	$1,734.00
Microsurg tehniq require use oper micro (add-on)69990	$1,822.80	$5,445.60	$15,883.20
Microwave bronch, 3d, ebus	$2,913.00	$3,523.20	$4,942.80
Midazolam 1 mg/ml injection solution	$7.80	$24.00	$1,714.80
Middle cerebral artery echo	$239.40	$239.40	$745.20
Mifepristone 200 mg ta	$1,252.20	$1,252.20	$1,252.20
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk	$15.20	$398.40	$1,179.60
Minocycline hydrochloride	$1.00	$5.20	$444.60
Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution	$129.00	$131.40	$190.20
Mitomycin 40 mg intravenous solution	$596.00	$1,680.80	$6,847.80
Mitomycin instillation	$818.40	$858.00	$54,580.80
Mitoxantrone 2 mg/ml concentrate,intravenous	$10.20	$1,254.00	$2,986.80
Mlh1 gene	$952.80	$1,123.80	$1,624.80
Mlh1 gene dup/delete variant	$1,194.60	$1,502.40	$3,595.20
Mlh1 gene full seq	$399.00	$399.00	$1,522.80
Mlh1 gene known variants	$235.80	$235.80	$1,215.00
Mnpj elbow under anes	$4,107.00	$4,107.00	$4,107.00
Mnt subs tx for change dx	$24.60	$24.60	$59.40
Mog-igg1 antb flo cytmtry ea	$23.40	$102.00	$383.40
Monitor reveal linq ii cardiac	$12,083.40	$13,107.60	$26,418.60
Monovisc inj per dose	$2,835.00	$2,835.00	$2,835.00
Mopath procedure level 1	$138.60	$837.60	$1,476.00
Mopath procedure level 3	$1,052.40	$2,046.60	$2,169.60
Mopath procedure level 5	$2,734.80	$3,109.80	$9,075.60
Mopath procedure level 6	$2,934.00	$5,299.80	$9,041.40
Mopath procedure level 7	$6,588.60	$8,476.80	$15,543.60
Mopath procedure level 8	$1,672.20	$1,687.80	$3,400.80
Mopath procedure level 9	$1,819.20	$3,327.60	$4,626.40
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr	$10.20	$43.80	$918.00
Morphine 4 mg/ml injection (wrapper)	$11.40	$27.20	$1,561.20
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered	$1.80	$1.80	$1.80
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain	$322.80	$372.60	$799.20
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted	$599.40	$665.40	$1,574.40
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual	$241.20	$393.60	$1,050.40
Mosunetuzumab-axgb 1 mg/ml intravenous solution	$924.00	$924.00	$924.00
Mpl gene analysis common variants	$1,011.00	$1,227.60	$1,227.60
Mr elastography	$945.00	$945.00	$1,002.60
Mr safety determination physician/other qhp	$160.20	$161.40	$215.40
Mr safety implant elec prepj	$166.80	$168.60	$224.40
Mr sfty implt&/fb asmt stf 1	$44.40	$45.00	$60.00
Mr sfty med physics xm cstmz	$439.80	$444.00	$591.60
Mr spectroscopy	$559.20	$2,896.20	$4,357.80
Mra, w/dye, spinal canal	$1,013.40	$1,013.40	$8,004.00
Mra, w/dye, upper extremity	$8,004.00	$8,004.00	$8,004.00
Mra, w/o&w/dye, spinal canal	$1,833.60	$2,713.80	$9,808.20
Mra, w/o&w/dye, upper extr	$1,760.40	$2,713.80	$9,808.20
Mra, without dye, spinal canal	$4,441.20	$4,441.20	$4,441.20
Mra, without dye, upper extr	$4,441.20	$4,441.20	$4,441.20
Mrgfus strtctc ablt trgt icr	$31,455.00	$31,455.00	$31,455.00
Msh2 gene dup/delete variant	$1,194.60	$1,522.80	$1,824.00
Msh2 gene full seq	$399.00	$1,502.40	$1,824.00
Msh2 gene known variants	$235.80	$235.80	$235.80
Msh6 gene dup/delete variant	$1,194.60	$1,523.40	$2,027.40
Msh6 gene full seq	$399.00	$1,522.80	$2,027.40
Msh6 gene known variants	$235.80	$235.80	$235.80
Mthfr gene analy common variants	$275.40	$357.60	$537.60
Mucopolysaccharides	$218.40	$236.40	$1,350.00
Multiple sleep latency test	$2,193.60	$4,243.20	$5,312.80
Mumps antibody igg	$91.20	$238.80	$344.80
Muscle test cran nerv unilat	$235.20	$441.00	$3,714.00
Muscle test hemidiaphragm	$251.40	$251.40	$622.20
Muscle test larynx	$222.60	$327.60	$1,132.80
Muscle test one fiber	$520.80	$520.80	$520.80
Mycobacteria dna amp probe	$363.00	$393.00	$468.00
Mycophenolate mofetil 250 mg capsule	$10.20	$79.60	$273.60
Mycophenolic acid	$2.40	$21.60	$46.20
Mycoplasma antibody igm	$60.00	$235.20	$2,088.60
Myd88 gene p.leu265pro vrnt	$282.00	$943.80	$1,780.80
Myelogphy 2/> spine regions	$1,450.80	$4,064.40	$7,566.00
Myelography l-s spine	$1,450.80	$3,447.00	$7,566.00
Myelography neck spine	$1,450.80	$3,476.40	$7,566.00
Myelography thoracic spine	$1,450.80	$2,874.60	$7,566.00
Myelography via inj w/s&i 2+ regions	$1,000.80	$2,250.60	$4,915.20
Myelography via inj w/s&i cervical	$1,000.80	$2,250.60	$4,204.00
Myelography via inj w/s&i lumbosacral	$1,000.80	$2,250.60	$4,168.00
Myelography via inj w/s&i thoracic	$1,000.80	$2,250.60	$3,476.80
Myeloperoxidase ab multi step qualitative/semiquantitative	$58.80	$108.60	$780.60
Myocrd img pet 1 std w/ct	$5,639.40	$5,639.40	$5,639.40
Myocrd img pet 1std rst/strs	$5,639.40	$5,639.40	$12,446.40
Myocrd img pet 2rtracer CT	$10,748.40	$10,748.40	$10,748.40
Myocrd img pet mlt rst&strs	$5,639.40	$5,639.40	$12,640.80
Myocrd img pet rst/strs w/ct	$5,639.40	$5,639.40	$5,639.40
N block inj common digit	$1,201.20	$1,201.20	$1,201.20
N block inj hypogas plxs	$785.40	$1,726.20	$5,197.20
N-invas est c ffr sw aly cta	$1,919.40	$1,919.40	$2,562.00
Nafcillin 2 gram solution for injection	$1.80	$2.00	$5.55
Nalbuphine 10 mg/ml injection solution	$2.40	$16.20	$68.40
Naloxone 0.4 mg/ml injection (wrapper)	$0.60	$1.20	$9.60
Naltrexone, depot form	$18.00	$5,101.20	$12,768.00
Nasal endoscopy dx uni/bi separate proc	$2,450.40	$2,857.80	$3,435.60
Nasal endoscopy with removal of nasal foreign body	$90.60	$117.00	$138.60
Nasal/sinus endoscopy surg w/bx 31237	$4,080.00	$4,080.00	$5,543.40
Nasopharyngoscopy w/endoscope	$365.40	$605.40	$1,290.60
Natalizumab 300 mg/15 ml intravenous solution	$76.20	$28,621.80	$28,621.80
Natriuretic peptide	$199.20	$342.00	$413.60
Natural killer cells total count	$112.80	$320.40	$2,155.80
Navigational bronchoscopy 31627	$1,062.00	$6,768.80	$29,249.40
Ndl emg musc 1 xtr/non-limb	$133.20	$236.40	$359.40
Ndl insj without njx 1 or 2 musc	$54.60	$54.60	$54.60
Neck (Cervical Spine) CT scan (with and without contrast)	$1,086.00	$2,061.00	$5,272.80
Neck (Cervical Spine) CT scan (with contrast)	$1,012.80	$2,110.20	$4,599.60
Neck (Cervical Spine) CT scan (without contrast)	$751.80	$1,368.00	$4,104.00
Neck (Cervical Spine) MRI (with and without contrast)	$1,924.20	$3,601.80	$9,808.20
Neck (Cervical Spine) MRI (with contrast)	$1,257.00	$2,854.80	$8,004.00
Neck (Cervical Spine) MRI (without contrast)	$981.60	$2,157.60	$6,214.20
Neck MRA (blood vessel MRI, with and without contrast)	$1,763.40	$3,348.60	$9,808.20
Neck MRA (blood vessel MRI, with contrast)	$1,384.20	$2,854.80	$8,004.00
Neck MRA (blood vessel MRI, without contrast)	$1,146.00	$1,892.40	$6,214.20
Neisseria meningitidis	$139.80	$168.80	$285.00
Nelarabine injection	$748.80	$748.80	$3,741.60
Neostigmine methylsulfate 1 mg/ml injection (wrapper)	$8.40	$34.65	$213.00
Nephrectomy open 50220	$15,304.80	$15,304.80	$15,304.80
Nerve conduction 7-8 studies	$177.60	$1,462.20	$2,330.40
Nerve conduction studies 1-2	$177.60	$209.40	$335.40
Nerve conduction studies 11-12	$328.20	$2,166.00	$3,663.00
Nerve conduction studies 13+	$328.20	$521.40	$4,327.80
Nerve conduction studies 3-4	$177.60	$627.00	$999.00
Nerve conduction studies 5-6	$177.60	$1,037.40	$1,666.20
Nerve conduction studies 9-10	$328.20	$1,864.80	$3,241.20
Nerve teasing preparations	$159.60	$356.40	$4,494.00
Nesiritide injection	$168.00	$168.00	$441.00
Neuroeltrd stim post tibial	$1,827.20	$1,827.20	$1,827.20
Neurolysis celiac plexus	$3,025.20	$3,557.40	$4,513.20
Neurolysis trigeminal nerve	$4,179.00	$4,179.00	$4,179.00
Neuromuscular junction testing ea nerve any 1 method	$186.60	$357.60	$1,341.60
New Patient Office Visit (level 2)	$59.40	$214.80	$301.20
New Patient Office Visit (level 3)	$103.20	$271.80	$441.00
New Patient Office Visit (level 4)	$126.00	$388.80	$610.80
New Patient Office Visit (level 5)	$190.80	$516.00	$814.80
Nicardipine 25 mg/10 ml intravenous solution	$2.80	$3.80	$17.55
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous	$0.60	$4.00	$4.05
Nivolumab 10 mg/ml intravenous solution (wrapper)	$82.80	$110.40	$12,144.00
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution	$291.00	$375.60	$435.60
Njx aa&/strd lmbr plex nfs	$1,559.40	$1,816.80	$2,703.60
Njx aa&/strd nrv nrvtg si jt	$631.20	$685.80	$2,537.40
Njx aa&/strd sc nrv nfs img	$1,544.40	$1,990.20	$3,063.60
Njx aa&/strd vagus nrv	$1,143.00	$1,143.00	$1,143.00
Njx cath slct p angrph mapca	$1,689.00	$1,689.00	$1,689.00
Njx cath slct p-art angrp bi	$2,085.60	$2,085.60	$2,555.40
Njx cath slct pulm vn angrph	$1,689.00	$1,689.00	$1,689.00
Njx cth slct p-art angrp uni	$2,555.40	$2,555.40	$2,555.40
Njx interlaminar crv/thrc	$2,239.20	$3,015.60	$4,453.20
Njx interlaminar crv/thrc	$2,149.80	$2,149.80	$4,932.00
Njx interlaminar lmbr/sac	$913.80	$2,770.20	$3,477.00
Njx interlaminar lmbr/sac	$637.80	$2,406.00	$3,717.60
Njx px nfrosgrm &/urtrgrm	$845.40	$1,726.20	$3,574.20
Nm imaging bone/joint 3 phase study	$663.60	$2,037.60	$2,901.00
Nm imaging bone/joint whole body	$797.40	$1,783.20	$3,787.80
Nm imaging cardiac blood pooling planar single study at rest or stress	$945.00	$1,651.20	$2,709.00
Nm imaging gastric emptying study	$896.40	$1,543.20	$2,901.00
Nm imaging gastrointestinal acute blood loss	$828.60	$1,691.40	$5,354.40
Nm imaging hepatobiliary system w/pharmacologic intervention	$855.60	$1,956.60	$4,581.00
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention	$688.20	$1,574.40	$3,437.40
Nm imaging pulmonary ventilation/perfusion	$1,378.20	$1,666.20	$2,680.80
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)	$1,193.40	$1,335.00	$1,806.40
Nm radiopharmaceutical therapy oral administration	$626.40	$944.40	$7,179.00
Non-card vasc flow imaging	$417.60	$504.80	$1,228.80
Noninv pace analysis	$1,002.00	$1,002.00	$1,002.00
Noonan spectrum disorders	$2,452.80	$2,452.80	$2,452.80
Npm1 gene	$890.40	$2,182.20	$2,913.60
Npsy fam hlth interv ea addl 15 min	$111.60	$111.60	$181.80
Npsy grp hlth intrv ea addl 15 min	$76.80	$76.80	$138.00
Npsy tst eval phsy/qhp 1st hr	$244.80	$244.80	$674.40
Npsy tst eval phsy/qhp ea l hr	$182.40	$182.40	$182.40
Nr lnr acclrtr tx max 5 sessions	$6,205.80	$13,989.00	$14,978.40
Nras gene variants exon 2&3	$369.60	$369.60	$1,133.40
Nsl/sins ndsc surg max sins	$30,492.00	$30,492.00	$30,492.00
Ntsty modul rad tx dlvr cplx	$1,765.20	$2,570.40	$4,625.40
Ntsty modul rad tx dlvr smpl	$1,765.20	$2,092.80	$4,023.00
Nuclear Stress Test (Heart)	$1,626.00	$4,242.60	$5,989.20
Nuclear exam of tear flow	$637.20	$770.40	$1,228.80
Nuclear rx IV admin	$791.40	$2,610.00	$3,156.80
Nuclear rx intra-arterial	$616.20	$666.00	$1,750.20
Nuclear rx intracav admin	$3,139.20	$3,139.20	$3,796.80
Nudt15 gene common variants	$450.00	$477.00	$477.00
Nushield 1 square cm	$312.00	$1,269.60	$3,704.80
Nusinersen (pf) 12 mg/5 ml intrathecal solution	$2,820.00	$2,820.00	$2,820.00
Ob Ultrasound nuchal meas 1 gest	$394.20	$519.60	$628.80
Ob Ultrasound nuchal meas add-on	$175.20	$175.20	$175.20
Obinutuzumab 1,000 mg/40 ml intravenous solution	$123.60	$236.00	$21,343.80
Observation direct referral from physician office for admission	$85.20	$133.20	$420.00
Observation per hour	$111.60	$443.40	$1,750.20
Obstetrical care 59410	$1,012.80	$1,012.80	$3,276.60
Obstetrics panel	$228.00	$320.40	$896.40
Obtaining screen pap smear	$13.80	$48.00	$64.00
Ocrelizumab 30 mg/ml intravenous solution	$146.40	$208.80	$52,712.40
Octreotide acetate 100 mcg/ml injection (wrapper)	$29.40	$220.80	$1,059.00
Octreotide,microspheres ER 20 mg intramuscular susp, extended release	$571.20	$7,328.40	$30,309.60
Ofatumumab 20 mg/ml intravenous solution (wrapper)	$72.00	$109.80	$201.60
Oil silicone ophth 8.5ml silikon 1000	$1,824.80	$2,292.60	$2,772.80
Olanzapine 10 mg intramuscular solution	$6.40	$12.80	$38.55
Olanzapine long-acting inj	$76.20	$76.20	$23,003.40
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)	$131.40	$175.20	$6,151.20
Onco (ovar) two proteins	$127.20	$127.20	$150.60
Oncoprotein dcp	$233.40	$571.80	$861.60
Ondansetron 4 mg s0119	$107.20	$228.80	$428.40
Ondansetron 8 mg disintegrating tablet	$19.80	$25.20	$123.00
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)	$0.60	$30.20	$2,654.40
Open thrombectomy of av fistula without revision 36831	$9,842.40	$9,842.40	$9,842.40
Ophthalmic mitomycin	$1,516.80	$1,663.20	$1,930.20
Opn exc/dst ntra-abd	$8,653.20	$8,653.20	$8,653.20
Opn exc/dstr ntra-abd 5 cm/<	$6,780.00	$6,780.00	$15,525.00
Optx clavicular fx w/int fix	$5,152.80	$5,152.80	$5,152.80
Optx gr hmrl tbrs fx int fix	$7,589.40	$7,589.40	$7,589.40
Optx medial ankle fx	$5,152.80	$5,152.80	$5,152.80
Optx post ankle fx	$6,855.00	$6,855.00	$6,855.00
Optx prox humrl fx w/int fix	$6,347.40	$6,347.40	$6,347.40
Optx rad/uln dislc aqt/chrnc	$4,493.40	$4,493.40	$4,493.40
Optx radial shaft fracture	$5,152.80	$5,152.80	$5,152.80
Optx rdl shft fx&cltx rad/ul	$6,347.40	$6,347.40	$6,347.40
Optx rdl&uln shft fx rds&uln	$5,152.80	$5,152.80	$6,405.00
Optx rdl&uln shft fx rds/uln	$5,152.80	$5,152.80	$5,152.80
Optx scapular fx w/int fixj	$5,152.80	$5,152.80	$5,152.80
Optx ulnar shft fx int fixj	$5,152.80	$5,152.80	$5,152.80
Optx ulnar styloid fracture	$6,492.00	$6,492.00	$6,492.00
Oral aprepitant	$52.20	$260.40	$1,821.60
Oral busulfan	$24.60	$24.60	$24.60
Oral everolimus	$6.00	$1,152.00	$1,610.40
Oral netupitant, palonosetro	$2,044.20	$2,044.20	$2,044.20
Organic acids total quant ea spec	$36.00	$277.20	$1,467.00
Oritavancin 400 mg intravenous solution	$99.20	$105.60	$13,431.00
Oropharyngeal biopsy 42800	$681.60	$720.00	$1,012.80
Orphenadrine citrate 30 mg/ml injection solution	$61.00	$74.40	$366.00
Ortho hnd metcrpl fx prefb w/fit&adj	$640.20	$698.40	$725.40
Ortho whf rigd without jnt cstm w/fit&adj	$702.00	$702.00	$1,574.40
Orthopantogram	$188.40	$284.40	$491.40
Orthovisc inj per dose	$903.60	$903.60	$903.60
Oscillation chest wall mechanical per session	$96.00	$235.20	$449.40
Osmolality blood	$33.00	$111.00	$451.20
Osmolality urine	$34.20	$108.00	$436.80
Osteopath manip tx/5-6 body region 98927	$19.20	$19.20	$19.20
Osteopath manip tx/7-8 body region 98928	$19.20	$19.20	$19.20
Osteopath manip tx/9-10 body region98929	$19.20	$19.20	$19.20
Ot evaluation high complexity patient/family	$197.40	$319.20	$748.80
Ot evaluation low complexity patient/family	$197.40	$272.40	$748.80
Ot evaluation moderate complexity patient/family	$197.40	$303.60	$748.80
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes	$82.80	$102.60	$175.20
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes	$60.60	$124.20	$173.40
Ot manual therpy techniques >=1 region each 15 minutes	$60.00	$130.20	$223.80
Ot re-evaluation patient/family	$97.20	$138.00	$272.40
Ot therapeutic activities direct patient contact each 15 minutes	$63.60	$129.60	$259.20
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes	$101.40	$251.40	$302.40
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes	$101.40	$251.40	$302.40
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes	$66.00	$130.20	$178.20
Ot therapeutic procedure neuromuscular reeducate each 15 minutes	$66.00	$130.20	$210.00
Ot training self care/home management direct contact each 15 minutes	$64.80	$126.60	$181.80
Oth resp proc, group	$38.40	$72.00	$473.60
Oth resp proc, indiv	$54.60	$66.00	$79.80
Other immunoelectrophoresis	$132.60	$132.60	$132.60
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr	$13.80	$125.40	$552.00
Oxaliplatin 5 mg/ml desensitization	$3.00	$59.40	$19,417.80
Oxytocin 10 unit/ml injection solution	$7.20	$15.60	$60.60
P-32 chromic phos ther per mci	$894.00	$1,084.20	$1,311.20
P-32 sod phosphate ther per mci	$222.60	$268.80	$618.60
PSA (Prostate) Test	$70.20	$117.00	$431.40
Paclitaxel 6 mg/ml concentrate,intravenous	$1.20	$75.00	$1,179.00
Paclitaxel protein-bound 100 mg intravenous suspension	$28.20	$74.40	$6,166.20
Paliperidone 117 mg/0.75 ml inj	$34.00	$84.00	$9,557.40
Palivizumab 50 mg/0.5 ml inj	$6,940.20	$6,940.20	$6,940.20
Palonosetron hcl	$24.00	$378.60	$3,325.80
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution	$5.40	$1,189.20	$4,918.20
Pancreatectomy dist subtot w/wo splenecto 48140	$5,536.20	$5,536.20	$5,536.20
Panitumumab 20 mg/ml intravenous solution (wrapper)	$197.40	$364.20	$652.80
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr	$30.80	$63.40	$201.00
Papaverin hcl injection	$11.00	$64.00	$264.80
Parathormone (pth) intact	$188.40	$226.20	$741.60
Parathyrd planar w/spect&ct	$1,574.40	$2,145.00	$2,701.60
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505	$3,900.00	$3,900.00	$3,900.00
Parathyroid autotransplantation 60512	$575.40	$575.40	$575.40
Parathyroid planar imaging	$944.40	$1,859.40	$5,323.20
Parathyroid planar img w/tomo spect	$1,228.80	$1,859.40	$2,248.00
Paricalcitol	$9.00	$37.20	$866.40
Paring/cutting benign hyperkeratotic lesion single	$29.20	$251.40	$453.00
Part removal of metatarsal	$5,397.60	$5,397.60	$5,397.60
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)	$5,397.60	$5,397.60	$5,397.60
Partial removal finger bone	$3,486.60	$4,321.20	$6,609.60
Partial removal foot fascia	$3,958.20	$3,958.20	$3,958.20
Partial removal of esophagus 43117	$11,446.20	$11,446.20	$11,446.20
Partial removal of foot bone	$5,397.60	$5,397.60	$5,397.60
Partial removal of rib	$1,800.60	$1,800.60	$1,800.60
Partial removal of thyroid	$1,260.00	$1,260.00	$1,260.00
Partial removal of thyroid	$958.20	$958.20	$958.20
Partial removal of toe	$5,397.60	$5,397.60	$5,397.60
Partial thyroid lobect w/contratlat stot lobec 60212	$2,652.60	$2,652.60	$2,652.60
Particle matristem matrix 1000mg micron-q4118-cost per mg	$1,099.20	$7,136.40	$17,505.00
Passy muir valve metal trach	$241.20	$346.20	$1,261.20
Path clin consltj mod 21-40	$431.40	$447.60	$739.80
Path clin consltj sf 5-20	$98.40	$198.60	$697.80
Pdgfra gene	$1,189.80	$1,680.60	$1,680.60
Pdt dstr prmlg les phys/qhp	$777.00	$777.00	$969.00
Pedicle enel/ntroral 15576	$3,955.80	$3,955.80	$3,955.80
Pegaspargase injection	$19,415.40	$19,415.40	$62,371.80
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector	$901.20	$2,401.80	$28,812.00
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe	$1,329.00	$1,333.80	$3,924.60
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe	$1,189.20	$4,174.80	$18,128.40
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe	$645.60	$645.60	$4,300.20
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe	$1,035.20	$2,112.00	$7,964.40
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe	$395.40	$395.40	$2,499.60
Pegloticase 8 mg/ml intravenous solution	$6,349.20	$17,178.60	$94,586.40
Pegunigalsidase alfa-iwxj	$526.20	$526.20	$548.00
Pelvic CT scan (with and without contrast)	$886.20	$1,627.20	$5,112.00
Pelvic CT scan (with contrast)	$679.80	$1,424.40	$4,599.60
Pelvic CT scan (without contrast)	$599.40	$1,226.40	$2,937.00
Pelvic MRI (with and without contrast)	$1,659.60	$3,815.40	$9,808.20
Pelvic MRI (with contrast)	$1,311.00	$2,853.00	$8,004.00
Pelvic MRI (without contrast)	$1,177.80	$2,205.00	$6,214.20
Pelvic Ultrasound (complete)	$299.40	$550.80	$1,671.00
Pelvic Ultrasound (limited)	$186.60	$394.20	$869.60
Pembrolizumab 25 mg/ml intravenous solution	$154.80	$287.20	$21,534.00
Pemetrexed disodium 100 mg intravenous powder for solution	$205.60	$2,483.40	$23,822.40
Peng benzathine/procaine inj	$7.20	$251.40	$1,641.00
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe	$68.40	$225.60	$1,641.00
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr	$16.20	$144.60	$552.60
Penile injection	$403.80	$619.20	$1,095.60
Penile rear tip xtnd 0.5cm	$15,121.80	$18,010.20	$31,936.00
Penile vascular study	$669.60	$809.60	$1,179.60
Penile vascular study	$526.80	$526.80	$526.80
Pentamidine non-comp unit	$99.60	$1,311.00	$1,608.80
Pentobarbital sodium inj	$8.00	$63.60	$7,574.40
Pentostatin 10 mg intravenous solution	$1,609.20	$6,720.00	$10,218.00
Perc cryo ablate renal tum	$20,125.80	$44,842.80	$59,707.20
Perc d-e cor revasc chro add	$402.60	$2,265.60	$23,282.40
Perc d-e cor revasc chro sin	$11,088.60	$17,506.20	$24,161.40
Perc d-e cor revasc t cabg b	$2,265.60	$11,088.60	$23,537.40
Perc d-e cor revasc t cabg s	$11,088.60	$15,411.00	$23,282.40
Perc d-e cor stent ather br	$2,265.60	$10,454.40	$24,949.80
Perc d-e cor stent ather s	$11,088.60	$18,556.80	$24,161.40
Perc drug-el cor stent bran	$1,388.40	$11,088.60	$24,949.80
Perc drug-el cor stent sing	$7,905.00	$15,411.00	$23,282.40
Perc rf ablate renal tumor	$17,216.40	$64,217.40	$64,293.00
Percut ablate liver rf	$7,327.20	$8,648.40	$9,892.80
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension	$104.40	$1,066.20	$2,845.20
Peri-proc device eval icd	$134.40	$134.40	$159.00
Peri-proc device eval pm	$129.60	$129.60	$243.60
Pericardial drain w/cath pq w/ct guid	$3,314.40	$3,314.40	$5,169.00
Pericardiocentesis wwo imaging	$2,186.40	$2,461.80	$3,431.40
Pericardiotomy/clot/for bod remove 33020	$8,025.60	$8,025.60	$8,025.60
Peripheral vascular rehab	$129.60	$224.40	$409.20
Perit-vens shunt pat tst	$1,127.40	$1,127.40	$1,228.80
Peritoneogram rs&i	$338.40	$338.40	$463.20
Perphenazine 4mg oral	$0.60	$0.60	$0.60
Perq art m-thrombect &/nfs	$12,590.40	$17,446.80	$26,160.00
Perq clsr tcat l atr apndge	$3,855.60	$5,311.20	$5,606.40
Perq dev breast 1st mr guide	$2,153.40	$2,153.40	$2,153.40
Perq dev breast 1st strtctc	$924.60	$1,793.40	$2,168.80
Perq plmt bile duct stent	$7,327.20	$20,091.00	$24,852.00
Perq plmt bile duct stent	$24,852.00	$24,852.00	$24,852.00
Perq plmt bile duct stent	$7,821.60	$20,091.00	$24,852.00
Perq rplcmt g-tube req revsn gstrst trk	$978.00	$1,662.00	$2,815.20
Perq skel fix rad/uln dislc	$3,519.00	$3,519.00	$3,519.00
Perq transcath closure each	$4,354.20	$4,354.20	$4,354.20
Perq transcath cls aortic	$46,970.40	$46,970.40	$46,970.40
Perq transcath cls mitral	$46,970.40	$46,970.40	$46,970.40
Perq transcath septal reduxn	$390.00	$390.00	$5,606.40
Perq tx big toe fracture w/manip 28496	$4,493.40	$4,493.40	$4,493.40
Perq tx mndblr fx xtrnl fixj	$3,771.00	$3,771.60	$5,595.00
Perqt bx lung/mediastinum 32405	$1,215.00	$1,215.00	$1,215.00
Pertuzu, trastuzu, 10 mg	$285.60	$324.60	$523.20
Pertuzumab 30 mg/ml desensitization	$22.20	$55.20	$22,539.60
Pessary 3.5 in 7 vag sil rng fold	$87.00	$105.00	$903.20
Pet CT skull-mid thgh initial	$5,639.40	$8,008.80	$12,570.60
Pet CT whole body initial	$5,639.40	$9,824.40	$15,426.60
Pet fdg brain metoblic eval sb	$5,639.40	$13,297.20	$13,366.80
Pet image full body	$14,161.80	$14,161.80	$20,659.20
Pet image ltd area	$8,554.20	$8,554.20	$12,324.00
Pet image skull-thigh	$7,438.80	$11,310.00	$16,496.40
Pet image w/ct lmtd	$5,639.40	$6,981.60	$9,382.20
Pet not otherwise specified	$1,300.80	$1,300.80	$1,300.80
Pet scan brain perf study	$7,048.20	$7,048.20	$7,048.20
Pfc sigma fem post aug sz3 8mm	$19,378.20	$26,256.60	$62,313.60
Ph body fluid	$19.20	$39.60	$87.60
Phencyclidine (pcp)	$74.40	$74.40	$74.40
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr	$13.60	$42.15	$193.20
Phenobarbital therapeutic drug level	$89.40	$163.80	$664.20
Phentolaine mesylate inj	$293.40	$1,032.60	$1,968.60
Phenylephrine 10 mg/ml injection solution	$0.03	$0.14	$2.40
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr	$15.00	$417.00	$883.20
Phenytoin total therapeutic drug level	$89.40	$114.00	$772.20
Phleb veins 1 extrm 10-20 stab	$4,579.20	$4,651.80	$8,640.60
Phleb veins 1 extrm >20 stab	$5,566.20	$5,566.20	$8,640.60
Phlebotomy therapeutic	$193.20	$284.40	$597.60
Phosphorus	$24.60	$70.80	$262.80
Phosphorus 24 hour urine	$29.40	$90.40	$424.20
Photochemotherapy puva	$307.20	$307.20	$307.20
Photopheresis	$5,431.80	$5,431.80	$5,431.80
Phys blood bank serv reactj	$201.60	$398.40	$481.60
Phytonadione (vitamin k1) 10 mg/ml injection solution	$21.00	$52.65	$272.40
Piflu f-18, dia 1 millicurie	$1,033.80	$1,252.20	$1,641.60
Pin caspar distraction 12mm	$2,681.40	$29,164.20	$52,037.40
Pin finger fracture each	$4,115.40	$4,115.40	$4,115.40
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050	$4,170.00	$4,170.00	$4,170.00
Pinworm exam	$49.20	$54.60	$238.80
Piperacillin-tazobactam 3.375 gram intravenous solution	$9.00	$114.00	$660.00
Place cath intracranial art	$541.80	$5,670.60	$6,072.60
Place cath xtrnl carotid	$4,043.40	$10,440.00	$14,867.40
Place cecostomy tube perc	$11,644.80	$11,644.80	$15,438.00
Place duod/jej tube perc	$4,182.60	$7,209.00	$9,297.00
Place endorectal app	$1,156.80	$1,156.80	$1,156.80
Place gastrostomy tube perc	$402.60	$3,809.40	$7,713.60
Place non-slctv cath thoracic arta	$6,360.60	$19,641.00	$30,161.40
Place po breast cath for rad	$595.80	$595.80	$720.80
Place right device/marker pros	$1,887.60	$1,887.60	$1,887.60
Place slctv cath carotd art uni	$8,365.80	$18,765.00	$38,252.40
Place slctv cath carotid/inom art excrn uni	$6,360.60	$14,010.60	$30,780.60
Place slctv cath carotid/inom art intcrn uni	$8,367.00	$12,801.00	$35,768.40
Place slctv cath subclavian art	$6,360.60	$13,620.60	$30,964.80
Place slctv cath vertebral art uni	$10,549.80	$14,634.60	$33,124.80
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)	$924.60	$1,380.00	$3,154.80
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left	$703.20	$1,264.80	$2,660.40
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)	$946.80	$1,162.20	$5,891.40
Placement nephrostomy catheter (both sides)	$1,696.20	$2,959.80	$5,191.20
Placement occlusive device venous/arterial access site post procedure	$335.40	$942.00	$2,893.80
Placement stent(s) intravascular transcatheter artery initial	$4,478.40	$13,400.40	$21,745.20
Plasma cryoprecipitate reduced each unit	$130.80	$130.80	$1,660.80
Platelet aggregation each agent teg	$126.00	$227.40	$466.40
Platelet automated	$23.40	$44.40	$316.20
Platelet pheresis each unit	$1,141.20	$1,141.20	$1,790.40
Platelet pheresis irr ea	$991.80	$991.80	$991.80
Platelets each unit	$110.40	$306.00	$1,672.20
Platelets hla matched leukocytes reduced apheresis/pheresis each unit	$4,062.00	$4,062.00	$4,912.80
Platelets irradiated ea unit	$199.80	$595.80	$802.80
Platelets leukocytes reduced each unit	$181.80	$528.00	$710.40
Platelets leukocytes reduced irradiated each unit	$310.20	$686.40	$978.60
Platelets pheresis leukocytes reduced each unit	$715.80	$3,168.60	$4,768.80
Platelets pheresis leukocytes reduced irradiated each unit	$908.40	$3,168.60	$4,768.80
Platelets pheresis pathogen-reduced each unit	$1,474.20	$1,562.40	$2,166.40
Plc pq device breast ea addl lesion MRI guide	$1,704.60	$1,704.60	$1,704.60
Plc pq device breast ea addl lesion Ultrasound guide	$498.00	$946.80	$2,660.40
Plc pq device breast ea addl lesion stereo guide	$663.60	$1,619.40	$1,958.40
Plcmnt biliary drainage cath w/img ext	$2,475.00	$4,655.40	$9,337.20
Plcmnt stent transcath ctrl dialysis seg add-on	$2,525.40	$4,359.60	$16,133.40
Plcmnt ureteral stent pq w/img exstng trct	$4,370.40	$4,913.40	$7,729.80
Plcmnt ureteral stent pq w/img new w/cath	$3,657.00	$7,729.80	$15,196.20
Plcmt dlyd xtn pros 1st vsl	$6,775.20	$6,775.20	$9,316.20
Plcmt sft tiss loc pq w/img 1st lsn	$1,387.20	$1,387.20	$1,473.60
Plcmt sft tiss loc pq w/img ea addl lsn	$1,442.40	$1,442.40	$1,442.40
Plcmt xtn pros evasc rpr per vsl	$2,689.80	$2,689.80	$9,316.20
Plerixafor injection	$1,570.80	$1,570.80	$1,570.80
Plethysmography lung volumes/airway resistance	$169.20	$464.40	$762.60
Plmt access bil tree sm bwl	$2,624.40	$6,321.60	$24,785.40
Plmt biliary drainage cath	$2,475.00	$4,655.40	$9,337.80
Plmt nephroureteral catheter	$4,370.40	$4,763.40	$11,458.80
Plmt ureteral stent prq	$7,729.80	$8,248.80	$10,998.60
Pm device progr eval dual	$138.00	$216.00	$406.80
Pm device progr eval multi	$176.40	$255.60	$406.80
Pm phone r-strip device eval	$151.80	$229.80	$254.40
Pml/raralpha 1 breakpoint	$1,114.20	$1,180.80	$1,671.60
Pmp22 gene dup/delet	$2,663.40	$2,663.40	$4,533.00
Pmp22 gene full sequence	$2,663.40	$2,663.40	$2,663.40
Pms2 gene dup/delet variants	$1,194.60	$1,522.80	$1,523.40
Pms2 gene full seq analysis	$399.00	$1,522.80	$3,310.80
Pms2 known familial variants	$235.80	$235.80	$235.80
Poct blood gases ph pco2 po2 arterial calculated o2	$137.40	$268.20	$966.60
Polatuzumab vedotin-piiq 140 mg intravenous solution	$348.80	$369.00	$36,544.20
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap	$4,797.00	$6,685.80	$9,867.00
Porfimer sodium injection	$13,787.40	$105,045.60	$105,045.60
Positioner proc acufex leg acs	$42.00	$51.40	$222.60
Post op service lvrs min 6	$598.40	$598.40	$697.80
Postpartum Care Only	$67.80	$67.80	$269.40
Potassium 24 hour urine	$24.00	$52.20	$551.40
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback	$11.40	$61.80	$171.00
Potassium hydroxide preps	$68.40	$68.40	$134.40
Potassium serum/plasma/whole blood	$24.00	$39.60	$215.40
Pouch high output 2pc 50mm red	$2.40	$2.40	$2.40
Pq biliary strict dil s&i	$1,452.60	$2,397.60	$3,042.00
Pq dr cath chg w cont s&i	$400.80	$1,347.00	$6,457.80
Pq kyphplsty 1 bdy lumb w/img	$7,489.80	$8,721.00	$29,025.00
Pq thr inj ext pse	$730.80	$899.40	$1,997.40
Pq vrtbrplst 1 bdy inj crv-thr w/img ini	$4,150.20	$4,150.20	$16,794.60
Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl	$2,268.00	$2,268.00	$2,268.00
Pq vrtbrplst 1 bdy inj lmb-scr w/img ini	$7,009.80	$7,986.60	$26,413.20
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr	$2,200.20	$4,150.20	$7,427.20
Pr application of long arm splint	$304.80	$477.00	$852.60
Pr application splint static short arm	$213.00	$406.20	$609.00
Pr assessment emotional/behavioral per instrument brief	$11.40	$11.40	$84.80
Pr biopsy skin punch single lesion	$300.00	$658.20	$1,055.40
Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method	$1,059.00	$1,059.00	$1,059.00
Pr correction hammertoe	$205.20	$205.20	$669.00
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes	$30.00	$30.00	$52.20
Pr cystourethroscopy with insertion indwelling ureteral stent	$3,520.20	$3,769.20	$5,288.40
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<	$229.80	$429.00	$592.20
Pr discharge day management hospital ip/obs <=30 min on ecounter date	$256.20	$256.20	$256.20
Pr discharge day management hospital ip/obs > 30 min on encounter date	$274.20	$274.20	$274.20
Pr e&m preventive medicine initial comprehensive new patient 12-17 years	$103.20	$103.20	$178.80
Pr ecg 12 lead report only	$22.20	$22.20	$42.60
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp	$111.60	$111.60	$129.00
Pr egd flexible transoral w/placement percutaneous gastrostomy tube	$1,550.40	$3,414.00	$4,330.80
Pr evaluation psychiatric diagnostic w/medical services	$351.60	$642.00	$1,276.20
Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment	$208.20	$208.20	$208.20
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm	$1,105.20	$2,080.80	$4,352.80
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm	$2,184.60	$2,952.60	$3,505.20
Pr excision nail/nail matrix partial/complete permanent removal	$484.80	$1,470.60	$2,184.00
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury	$6,738.00	$6,738.00	$6,738.00
Pr hospital ip/obs care initial high level per day	$584.40	$584.40	$584.40
Pr hospital ip/obs care initial moderate level per day	$420.00	$420.00	$420.00
Pr hospital ip/obs care initial straightforward or low level per day	$277.80	$277.80	$277.80
Pr hospital ip/obs care subsequent high level per day	$296.40	$296.40	$296.40
Pr hospital ip/obs care subsequent moderate level per day	$205.20	$205.20	$205.20
Pr hospital ip/obs care subsequent straightforward or low level per day	$134.40	$134.40	$134.40
Pr incision & drainage abscess complicated/multiple	$589.80	$1,008.00	$2,184.00
Pr incision & drainage abscess simple/single	$431.40	$510.60	$852.60
Pr incision & drainage abscess vulva/perineal	$825.60	$1,237.20	$5,052.60
Pr incision & removal foreign body subcutaneous tissues simple	$366.60	$520.80	$852.60
Pr management transitional care high w/in 7 days of discharge	$278.40	$1,831.20	$1,831.20
Pr management transitional care moderate w/in 14 days of discharge	$93.00	$307.20	$1,295.40
Pr moderate sedation same physician >= 5 years initial 15 minutes	$138.00	$379.20	$831.60
Pr planning advance care 1st 30 minutes	$95.40	$95.40	$572.40
Pr removal drug delivery implant	$1,165.20	$1,600.20	$2,048.80
Pr removal foreign body external auditory canal without anesthesia	$247.20	$298.40	$2,497.20
Pr removal intrauterine device	$411.00	$604.80	$1,159.80
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm	$576.00	$825.60	$1,341.60
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm	$388.80	$589.80	$913.20
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm	$366.60	$589.80	$852.60
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm	$285.60	$589.80	$852.60
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm	$388.80	$589.80	$913.20
Pr tube thoracostomy w/connection to drainage open	$1,070.40	$2,472.00	$4,765.20
Pralatrexate injection	$723.60	$788.00	$33,372.00
Pralidoxime 1 gram solution for injection	$51.60	$399.60	$399.60
Prcrd drg 0-5yr or w/anomly	$2,624.40	$2,624.40	$2,783.40
Prcrd drg 6+yr without anomly	$2,473.20	$2,783.40	$4,002.60
Prealbumin	$62.40	$114.00	$688.80
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution	$4.05	$13.80	$739.20
Prednisone 1 mg tablet	$0.60	$10.20	$14.80
Pregnancy Ultrasound (complete, after first trimester)	$242.40	$632.40	$1,819.80
Pregnancy Ultrasound (first trimester)	$242.40	$441.00	$1,819.80
Pregnancy associated plasma protein-a	$104.40	$144.60	$191.20
Prenatal Care Only (4-6 visits)	$528.60	$708.60	$1,948.20
Prenatal Care Only (7+ visits)	$528.60	$528.60	$1,278.60
Prep skin to 100cm2 other	$475.20	$475.20	$5,034.60
Prep skin to 100cm2 trk/ext	$5,034.60	$5,034.60	$5,034.60
Pressure max expiratory/inspiratory	$154.20	$279.00	$7,348.20
Pressure velocity wire add ves	$797.40	$3,046.80	$3,777.00
Pretreat rbc absorption reference	$49.20	$98.40	$892.20
Pretreat rbc density gradient separation reference	$64.20	$70.80	$659.40
Pretreat rbc w chem/drugs reference	$48.00	$225.60	$552.00
Pretreat rbc w enzyme reference	$202.80	$219.00	$1,783.80
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref	$139.20	$139.80	$798.00
Prgr stim/pace a/iv drug	$1,093.80	$3,905.40	$6,268.20
Prgrmg dev eval impltbl sys	$123.00	$123.00	$226.20
Prgrmg dev eval pm/ldls pm	$121.20	$191.40	$298.20
Prgrmg dev eval scrms ip	$192.00	$225.00	$649.80
Prgrmg eval implantable dfb	$108.60	$176.40	$595.80
Prgrmg eval implantable dfb	$171.60	$225.00	$649.80
Prgrmg eval implantable dfb	$183.60	$298.80	$649.80
Prim art mech thrmbc non-intracranial	$5,352.00	$17,281.80	$26,668.20
Prim art mech thrmbc non-intracranial add-on	$4,117.20	$7,174.80	$9,877.80
Probe cryo 1150mm endo flex ster disp	$3,250.20	$6,624.60	$35,997.00
Procainamide 100 mg/ml injection (wrapper)	$36.00	$225.00	$533.60
Procalcitonin	$133.80	$186.00	$284.40
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution	$5.40	$30.30	$115.20
Prochlorperazine maleate 5 mg tablet	$0.60	$3.00	$9.60
Proctosigmoidoscopy dilate 45303	$3,933.60	$3,933.60	$3,933.60
Proctosigmoidoscopy dx 45300	$1,189.80	$1,663.20	$3,816.80
Proctosigmoidoscopy w/bx 45305	$3,114.00	$3,316.20	$3,933.60
Proctosigmoidoscopy w/fb remove 45307	$3,009.60	$3,015.00	$4,468.20
Progesterone	$102.60	$268.20	$400.80
Prolactin	$98.40	$307.20	$955.80
Prolng off/op e/m ea 15 min 99417	$162.00	$162.00	$162.00
Prolonged IV inf, req pump	$760.80	$760.80	$760.80
Promethazine hcl injection	$1.80	$16.40	$39.75
Propofol infusion 10 mg/ml	$0.80	$13.40	$2,149.20
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr	$4.80	$120.80	$197.40
Prostate biopsy, any mthd	$97.80	$308.40	$826.20
Prosthesis voc advantage 20f 14mm	$427.20	$427.20	$1,003.80
Protamine 10 mg/ml intravenous solution	$1.80	$115.20	$149.40
Protector nerve neurawrap 4cm	$4,277.40	$5,400.00	$8,752.20
Protein c activity	$70.20	$262.20	$2,213.40
Protein c concentrate	$123.00	$123.00	$3,840.00
Protein electrophoretic fractionation & quantitation serum	$61.20	$173.40	$1,228.80
Protein s total	$58.80	$192.60	$666.40
Protein total 24 hour urine	$19.80	$39.60	$348.60
Protein total body fluid	$21.00	$67.80	$319.20
Protein total serum plasma whole blood	$21.00	$86.40	$210.60
Prothrombin complex kcentra	$7.80	$8.25	$32.40
Prothrombin time substitution plasma fractions each	$21.00	$96.00	$590.40
Prp i/hern init block >5 yr	$1,536.60	$8,917.80	$12,411.60
Prq av fstl crt uxtr sep acs	$33,250.80	$33,250.80	$44,334.00
Prq av fstl crtj uxtr 1 acs	$33,250.80	$37,664.40	$44,334.00
Prq card revasc chronic addl	$3,477.60	$3,477.60	$23,616.60
Prq card revasc mi 1 vsl	$15,411.00	$23,616.60	$26,415.60
Prq card revasc mi 1 vsl drug-eluting	$11,088.60	$14,003.40	$23,282.40
Prq card stent w/angio addl	$1,388.40	$23,616.60	$32,550.60
Prq cardiac angio addl art	$693.60	$15,547.80	$21,428.40
Prq revasc byp graft 1 art and/or branches	$12,224.40	$15,411.00	$32,550.60
Prq revasc byp graft addl	$11,988.60	$11,988.60	$32,550.60
Prq skel fix talus fx w/mnpj	$4,493.40	$4,493.40	$4,493.40
Prq tcat plmt ntrac st 1 les	$7,905.00	$23,616.60	$32,550.60
Prq trlml c athrc st angiop1	$23,616.60	$24,161.40	$24,920.40
Prq trluml c angiop 1art&/br	$3,954.00	$15,547.80	$21,428.40
Prq trluml c athrc 1 art&/br	$17,281.80	$33,162.60	$40,864.80
Prq trluml revsc ch occ ant	$15,411.00	$23,616.60	$32,550.60
Psy/npsy phys/qhp 2> tst 1st 30 min	$55.20	$225.60	$564.00
Psy/npsy phys/qhp 2> tst ea l 30 min	$42.60	$42.60	$857.40
Psy/npsy tst admin tech 2> ea l 30 min	$857.40	$857.40	$857.40
Psych test eval svc phys/qhp 1st hr	$250.80	$250.80	$559.80
Psych test eval svc phys/qhp ea addl hr	$183.60	$183.60	$559.80
Psychotherapy group therapy	$46.80	$46.80	$742.80
Psychotherapy patient individual therapy 30 minutes	$128.00	$168.00	$175.20
Psychotherapy patient individual therapy 45 minutes	$105.60	$128.00	$287.40
Psychotherapy patient individual therapy 60 minutes	$128.00	$254.40	$302.40
Psychthrp grp 45-50min mcr	$46.80	$46.80	$46.80
Psycl/nrpsyc tech 1st	$857.40	$857.40	$857.40
Psytx complex interactive	$89.40	$89.40	$89.40
Psytx pt w/e&m 16-37 min	$168.00	$168.00	$178.20
Psytx pt w/e&m 38-52 min	$287.40	$287.40	$287.40
Psytx pt w/e&m 53+ min	$324.00	$324.00	$324.00
Pt application of modality >=1 area electrical stimulation each 15 minutes	$76.20	$100.20	$156.60
Pt application of modality >=1 area hot/cold packs	$38.40	$63.60	$159.00
Pt application of modality >=1 area iontophoresis each 15 minutes	$93.60	$103.20	$124.80
Pt application of modality >=1 area ultrasound each 15 minutes	$101.40	$101.40	$122.40
Pt application of modality traction mechanical	$103.20	$124.80	$213.60
Pt evaluation high complexity patient/family	$197.40	$320.40	$692.40
Pt evaluation low complexity patient/family	$197.40	$303.00	$692.40
Pt evaluation moderate complexity patient/family	$197.40	$303.60	$692.40
Pt re-evaluation patient/family	$97.20	$117.60	$276.00
Pt repositioning canalith procedure(s) per day	$78.60	$350.40	$478.20
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan	$70.80	$114.00	$173.40
Pt therapeutic procedure >=1 area gait training each 15 minutes	$44.40	$130.20	$198.00
Pt therapeutic procedure >=1 area massage each 15 minutes	$66.00	$125.40	$189.60
Pt wheelchair management each 15 minutes	$60.60	$121.20	$200.00
Pten gene dup/delet variant	$336.60	$336.60	$575.40
Pten gene full sequence	$399.00	$400.80	$575.40
Pten gene known fam variant	$40.80	$42.00	$121.20
Pul art balloon repr percut	$18,746.40	$18,746.40	$18,746.40
Pul art balloon repr percut	$17,685.00	$17,685.00	$17,685.00
Pulmonary vent imaging	$672.00	$1,059.00	$1,697.60
Pulse ox continuous overnight monitoring	$237.00	$360.60	$1,220.40
Pulse ox multiple	$97.20	$388.20	$469.60
Pulse ox single	$33.00	$91.20	$201.00
Punc of shunt for asp or inj	$2,015.40	$2,098.80	$3,123.60
Puncture arterial withdrawal blood for diagnosis	$43.80	$87.60	$248.40
Puncture aspiration abscess/hematoma/bulla/cyst	$287.40	$520.80	$1,393.20
Puncture spinal lumbar diagnostic	$1,156.80	$1,470.60	$2,715.60
Puraply 1 sq cm	$3,953.40	$3,953.40	$3,953.40
Pvb thoracic 2nd+ inj site	$277.80	$2,406.00	$4,419.00
Pvb thoracic cont infusion	$2,406.00	$2,976.60	$4,419.00
Pvb thoracic single inj site	$490.80	$2,406.00	$4,419.00
Pyridoxine hcl 100 mg	$12.60	$21.60	$70.20
Pyruvate	$64.80	$271.80	$1,974.60
Pyruvate kinase	$33.60	$96.00	$1,974.60
Quant diff pulm perf and vent w/imaging	$1,574.40	$2,908.80	$3,736.00
Quant diff pulm perf w/imaging	$1,126.20	$1,362.40	$2,236.80
Quest t3 uptake	$32.40	$229.20	$357.60
Quinupristin/dalfopristin	$279.60	$279.60	$279.60
Rabies ig heat-treated human im/subq 90376	$992.40	$3,289.80	$4,032.00
Rabies immune globulin (pf) 300 unit/ml intramuscular solution	$408.00	$880.00	$15,010.80
Radiation handling	$296.40	$296.40	$1,174.80
Radiation physics consult	$413.40	$594.60	$1,122.00
Radiation therapy dose plan	$425.40	$595.80	$7,017.60
Radiation treatment aid(s)	$501.00	$501.00	$823.20
Radiation treatment aid(s)	$715.80	$1,696.20	$11,648.40
Radiation treatment aid(s)	$370.80	$526.80	$1,550.40
Radiation treatment delivery	$529.20	$991.80	$1,046.40
Radiation treatment delivery	$730.20	$1,321.20	$1,953.60
Radiology port images(s)	$142.20	$178.20	$271.20
Radiotherapy dose plan imrt	$2,987.40	$6,649.20	$13,858.20
Radium ra223 dichl ther/uci	$384.60	$389.40	$17,014.80
Radphm lcl tmr plnr bdy sgl day img	$1,360.80	$2,575.20	$8,832.60
Radphm lcl tmr plnr bdy two day img	$1,219.80	$2,386.20	$4,242.60
Radphm lcl tmr spect/ct 2+ areas/2+ days	$2,764.20	$3,347.20	$4,242.60
Radphm lcl tomogr sgl area sgl day	$2,767.80	$2,929.80	$4,242.60
Radphm lcl tumor plr sgl day	$769.20	$1,082.40	$2,966.40
Radphm quant measure sgl area add-on	$2,764.20	$2,767.80	$3,906.60
Ramucirumab 10 mg/ml intravenous solution	$85.20	$186.00	$5,140.20
Ranibizumab injection	$844.80	$1,641.00	$7,078.80
Rapid Strep Test	$13.20	$62.40	$93.00
Rapid desensitization	$689.40	$689.40	$689.40
Rasburicase 1.5 mg intravenous solution	$644.40	$4,959.00	$14,877.60
Ravulizumab-cwvz 100 mg/ml intravenous solution	$660.00	$14,859.00	$71,857.80
Rbc count only automated	$6.60	$21.40	$52.20
Rbc deglycerolized each unit	$1,153.20	$1,263.00	$1,664.40
Rbc irradiated each unit	$273.00	$476.40	$510.60
Rbc serum pretx incubj drugs	$189.60	$229.60	$691.20
Re-exploration of chest 32120	$7,017.00	$7,017.00	$7,017.00
Re-explore parathyroids	$1,744.80	$1,744.80	$1,744.80
Red blood cells each unit	$200.40	$759.60	$2,500.80
Red blood cells leukocytes reduced each unit	$269.40	$961.20	$1,432.80
Red blood cells leukocytes reduced irradiated each unit	$376.80	$910.20	$2,600.40
Red blood cells washed each unit	$449.40	$665.40	$2,039.40
Red cell sequestration	$2,616.00	$2,616.00	$3,163.20
Redo endovas vena cava filtr	$7,195.20	$7,195.20	$7,195.20
Reduce bowel obstruction 44050	$2,479.20	$2,479.20	$2,479.20
Reduction of procidentia 45900	$2,236.20	$2,571.60	$3,363.00
Refill maint impl spine pump	$375.00	$402.00	$496.20
Refill/maint pump/resvr syst	$423.60	$423.60	$423.60
Regadenoson 0.4 mg/5 ml intravenous syringe	$30.60	$919.80	$2,544.60
Reinforce thigh	$12,198.00	$12,198.00	$12,198.00
Release of eye fluid	$3,964.20	$3,964.20	$3,964.20
Relocation skin pocket aicd	$3,487.20	$3,607.80	$4,389.00
Relocation skin pocket pm	$2,218.20	$2,504.40	$4,871.40
Rem endovas vena cava filter	$3,150.60	$5,819.40	$12,835.80
Rem interrog dev eval icpms	$103.20	$144.00	$284.40
Rem interrog dev eval scrms	$103.20	$144.00	$325.20
Rem interrog evl pm/ids	$154.80	$218.40	$229.80
Rem mntr physiol 1st dev supply ea 30 days	$250.80	$253.80	$381.60
Rem mntr physiol 1st set up pt educaj eqp	$76.20	$76.80	$115.80
Rem/biv cast full arm/leg	$265.80	$450.00	$672.00
Remdesivir 100 mg intravenous powder for solution	$16.00	$16.80	$17.00
Remote 30 day ecg tech supp	$1,121.40	$1,472.40	$3,361.80
Removal anal seton other marker 46030	$2,500.80	$2,500.80	$2,500.80
Removal biliary drg cath	$1,082.40	$1,663.20	$10,221.60
Removal central venous catheter tunneled without port/pump	$1,671.00	$2,627.20	$3,504.00
Removal central venous device tunneled w/port/pump central/peripheral insertion	$1,685.40	$3,081.00	$3,725.60
Removal cerclage w/anes	$7,680.00	$7,680.00	$7,680.00
Removal cerclage without anes	$3,022.20	$3,022.20	$3,022.20
Removal cerumen impacted (both sides)	$79.80	$168.00	$247.20
Removal clot in graft oth/thn 35875	$6,966.60	$6,966.60	$6,966.60
Removal devitalized tissue non-selective debridement without anesthesia per session	$129.60	$265.20	$829.20
Removal duct glbldr calculi	$1,132.80	$2,987.40	$6,650.40
Removal embedded foreign body vestibule mouth smpl	$711.60	$1,191.00	$2,137.60
Removal foreign body foot subcutaneous right	$726.60	$901.80	$2,169.00
Removal foreign body gum 41805	$4,577.40	$4,577.40	$4,577.40
Removal implant superficial separate procedure	$2,236.20	$3,355.20	$4,674.00
Removal mamma implant mat 19330	$2,981.40	$3,046.80	$4,470.00
Removal of anal tags	$3,128.40	$3,128.40	$3,552.60
Removal of breast lesion	$1,078.20	$1,078.20	$1,078.20
Removal of external ear	$3,769.20	$3,769.20	$5,288.40
Removal of foot lesion	$199.20	$199.20	$644.40
Removal of gallbladder 47600	$2,816.40	$2,816.40	$2,816.40
Removal of heel spur	$6,648.60	$6,648.60	$6,648.60
Removal of hip foreign body 27087	$4,578.00	$4,678.80	$6,864.00
Removal of implant deep	$744.60	$744.60	$5,152.80
Removal of knee cartilage	$6,347.40	$6,347.40	$6,347.40
Removal of skin tags each add'l 10	$64.20	$351.00	$419.40
Removal of small intestine 44125	$3,120.60	$3,120.60	$3,120.60
Removal of stomach partial 43631	$3,851.40	$3,851.40	$3,851.40
Removal of stomachpartial 43632	$5,407.20	$5,407.20	$5,407.20
Removal of tendon lesion	$639.60	$639.60	$639.60
Removal of thyroid	$3,475.80	$3,475.80	$3,475.80
Removal of thyroid	$1,246.20	$1,246.20	$1,246.20
Removal of toe lesions	$476.40	$476.40	$476.40
Removal skin tags fibrocutaneous any area <= 15 lesions	$471.00	$706.20	$1,223.40
Removal sutr and stapl no anes	$35.40	$39.00	$187.20
Removal sutr or stapl no anes	$24.60	$27.60	$3,927.20
Removal sutr/staple req anes	$3,784.80	$3,784.80	$8,659.80
Removal tunnled intprtnl cath	$1,119.00	$3,192.00	$10,505.40
Removal w/reinsrt nonbiogrdble	$278.40	$2,071.20	$3,059.40
Removal/replacement ppm generator dual lead system	$5,997.00	$29,639.40	$40,853.40
Remove anal fist subq	$1,015.20	$1,015.20	$1,015.20
Remove brain canal fluid	$961.20	$961.20	$961.20
Remove cva lumen obstruct	$669.00	$682.80	$1,428.00
Remove ext hem groups 2+	$3,552.60	$3,934.20	$4,284.00
Remove foreign body from eye	$3,093.60	$3,769.20	$4,779.60
Remove hip foreign body 27086	$4,553.40	$4,553.40	$4,553.40
Remove int/ext hem 1 group	$922.20	$922.20	$922.20
Remove knee cyst	$5,725.80	$5,725.80	$5,725.80
Remove pilonidal cyst compl	$1,492.20	$1,492.20	$1,492.20
Remove pilonidal cyst exten	$1,125.60	$1,125.60	$5,244.00
Remove renal tube w/fluoro	$621.60	$2,155.20	$4,575.00
Remove spine eltrd perq aray	$5,156.40	$5,156.40	$5,156.40
Remove stent via transureth	$5,276.40	$5,276.40	$5,276.40
Remove thyroid lesion 60200	$10,214.40	$10,214.40	$10,214.40
Remove ureter stent percut	$6,318.00	$11,020.80	$12,596.40
Remove vaginal foreign body 57415	$3,786.60	$3,786.60	$3,786.60
Remove ventricular device 33977	$10,170.00	$12,352.20	$15,377.40
Remove wrist tendon lesion	$817.80	$817.80	$817.80
Remvl peritoneal fb frm cavity	$5,151.00	$5,151.00	$5,151.00
Renal function panel	$56.40	$156.00	$424.20
Renal venogram bil s&i	$2,600.40	$2,794.20	$9,606.00
Reopening of recent laparotomy 49002	$1,888.20	$1,888.20	$1,888.20
Repair av fistula ext 35190	$8,080.20	$8,080.20	$9,434.40
Repair blood vess/direct/intra/abd 35221	$3,912.00	$3,912.00	$3,912.00
Repair blood vessel dir lower extr	$1,226.40	$1,582.20	$7,636.20
Repair blood vessel dir upper extr	$5,036.40	$5,036.40	$5,738.40
Repair blood vessel direct hand finger	$5,349.60	$7,133.40	$8,436.00
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm	$1,664.40	$2,520.00	$5,469.00
Repair defect of artery 35011	$2,715.60	$2,715.60	$2,715.60
Repair deformity of toe	$624.60	$624.60	$624.60
Repair dental ellis ii fx	$108.60	$278.40	$2,092.80
Repair detached retina	$9,711.60	$9,711.60	$9,711.60
Repair detached retina crtx	$4,294.20	$4,294.20	$4,294.20
Repair detached retina pc	$9,364.20	$9,364.20	$9,364.20
Repair elbow perc	$3,919.80	$3,919.80	$6,362.40
Repair epigastric hernia reduce 49570	$1,087.80	$1,087.80	$1,087.80
Repair extns tendon finger without grft ea	$2,055.00	$5,324.40	$8,098.20
Repair eyelid wound	$3,849.60	$3,849.60	$3,849.60
Repair finger/hand tendon	$3,261.60	$3,505.20	$4,150.20
Repair finger/hand tendon	$4,150.20	$4,150.20	$4,150.20
Repair foot dislocation	$5,152.80	$5,152.80	$5,152.80
Repair foot dislocation	$5,152.80	$5,152.80	$5,152.80
Repair humerus with graft	$6,347.40	$6,347.40	$6,347.40
Repair ing hernia sliding	$1,504.20	$1,504.20	$1,504.20
Repair lac palate<2 cm	$1,673.40	$1,673.40	$1,673.40
Repair lip full thkns =<one-half vert height	$2,079.60	$3,639.60	$6,358.80
Repair lip full thkns >one-half vert height/cmplx	$2,046.00	$3,486.60	$6,063.00
Repair of achilles tendon	$9,067.20	$9,067.20	$9,067.20
Repair of ankle ligament	$4,493.40	$4,493.40	$4,493.40
Repair of bladder opening	$619.20	$619.20	$619.20
Repair of digit nerve hand/foot 1 nerve	$4,974.60	$4,974.60	$4,974.60
Repair of eye wound	$5,442.60	$5,790.00	$8,595.60
Repair of eye wound	$6,308.40	$6,308.40	$7,773.00
Repair of eye wound	$4,080.00	$4,080.00	$5,307.00
Repair of eye wound	$4,706.40	$5,322.00	$8,442.40
Repair of humerus	$5,152.80	$5,152.80	$5,152.80
Repair of tibia	$9,541.80	$9,541.80	$9,541.80
Repair palate	$4,170.00	$4,170.00	$4,334.40
Repair pm/icd lead dual	$4,967.40	$4,967.40	$4,967.40
Repair pm/icd lead sgl	$3,316.20	$4,523.40	$4,941.60
Repair radius or ulna	$5,667.60	$5,667.60	$5,667.60
Repair recur ventrl hern reduce 49565	$1,038.00	$1,038.00	$1,038.00
Repair rpr lac tongue floor mouth > 2.6 cm/cmplx	$1,497.00	$4,185.00	$5,218.40
Repair rpr lip full thickness vermilion only	$993.00	$3,349.80	$4,495.20
Repair stomach opening	$1,880.40	$1,880.40	$1,880.40
Repair tear ducts	$5,307.00	$5,307.00	$5,307.00
Repair tendon extensor foot 1/2 each tendon	$4,561.20	$4,561.20	$9,012.00
Repair tendon/muscle forearm/wrist prime sngl ea	$5,322.00	$7,207.20	$9,332.40
Repair tongue lac <2.5cm past 1/3 tongue 41251	$1,050.60	$1,050.60	$1,050.60
Repair umbil hern incar > 5 yr 49587	$1,243.20	$1,243.20	$1,243.20
Repair umbil hern reduc > 5 yr 49585	$1,411.20	$1,411.20	$4,977.60
Repair umbilical lesion	$11,529.00	$11,529.00	$11,529.00
Repair umbilical lesion	$6,586.80	$6,586.80	$6,586.80
Repair upper arm/elbow tendon/muscle ea	$4,990.20	$5,527.80	$9,067.20
Repair ventral hern init incar 49561	$7,572.60	$7,572.60	$7,572.60
Repair ventral hern init reduc 49560	$997.20	$997.20	$997.20
Repair/graft of thigh	$13,765.80	$13,765.80	$13,765.80
Repair/graft of tibia	$13,881.60	$13,881.60	$13,881.60
Repeat thyroid surgery	$2,567.40	$2,567.40	$2,567.40
Replace aortic valve open axillry 33363	$15,259.80	$15,259.80	$15,259.80
Replace aortic valve open femoral 33362	$14,604.60	$14,604.60	$14,604.60
Replace aortic valve open iliac 33364	$15,259.80	$15,259.80	$15,259.80
Replace duod/jej tube perc	$1,868.40	$2,860.20	$5,074.20
Replace eye fluid	$4,179.00	$4,179.00	$4,179.00
Replace g-j tube perc	$3,105.00	$3,406.20	$6,214.20
Replace g/c tube perc	$2,467.80	$3,076.80	$4,783.80
Replace picvad cath	$3,903.00	$4,201.80	$5,529.60
Replace tunneled cv cath	$3,812.40	$4,004.40	$4,921.80
Replace/revise brain shunt	$3,989.40	$3,989.40	$5,543.40
Replantation thumb complete	$21,938.40	$21,938.40	$21,938.40
Repos lv lead pm/icd	$3,023.40	$4,201.80	$5,535.00
Repos sq defib eltrd	$4,831.80	$6,864.00	$7,981.20
Reposition pm/icd lead	$2,934.00	$4,608.60	$6,606.00
Reposition vad w/image rt/lt sep session	$868.20	$1,201.20	$3,622.80
Reptilase test	$83.40	$87.60	$774.00
Rerepair ing hernia blocked	$5,185.20	$5,185.20	$5,185.20
Rerepair ing hernia reduce	$1,662.00	$7,126.80	$13,630.20
Reslizumab 10 mg/ml intravenous solution	$34.05	$34.40	$3,418.80
Resp virus 6-11 targets	$910.20	$1,146.60	$1,575.00
Respirator motion mgmt simul	$367.20	$1,260.60	$1,757.40
Resuscitation cardiopulmonary	$508.80	$912.60	$5,636.40
Resuscitation delivery/birthing room	$1,017.00	$1,017.00	$1,017.00
Reteplase injection	$9,565.80	$9,565.80	$9,565.80
Reticulated platelet assay	$313.80	$313.80	$396.00
Reticulocyte automated	$33.00	$75.60	$255.60
Reticulocyte direct measurement automated	$72.00	$72.00	$72.00
Revasc intra lithotrip-ather	$20,533.20	$22,899.00	$23,640.60
Revasc intra lithotrip-stent	$20,533.20	$22,899.00	$23,640.60
Revasc intravasc lithotripsy	$10,266.00	$11,449.20	$20,485.80
Revasc lith-sten-ath tib/per	$36,522.60	$36,522.60	$36,943.80
Revasc lithotr-ather tib/per	$36,522.60	$36,522.60	$36,943.80
Revasc lithotr-stent tib/per	$36,522.60	$36,522.60	$36,943.80
Revasc lithotrip tibi/perone	$22,833.60	$23,097.00	$23,640.60
Revasc lithotrip-stent-ather	$30,547.80	$33,032.40	$36,839.40
Revise stomach bowel fusion 43860	$4,329.60	$4,329.60	$4,329.60
Revise vag graft via vagina	$6,759.20	$6,759.20	$6,759.20
Revision of cervix	$7,368.60	$7,368.60	$7,368.60
Revision of colostomy paraclt hernia 44346	$3,117.60	$3,117.60	$3,117.60
Revision of eyelid	$3,819.60	$3,819.60	$4,321.20
Revision of iris	$3,007.20	$3,007.20	$3,015.00
Revision of penis	$5,545.80	$5,545.80	$5,545.80
Revision of penis	$4,524.60	$4,751.40	$5,776.80
Revision open av fistula without thromb	$9,842.40	$9,842.40	$9,842.40
Revision tips	$5,080.80	$7,783.80	$23,630.40
Revsc opn/prq tib/pero stent	$8,640.60	$8,640.60	$37,315.20
Rezafungin 200 mg intravenous solution	$25.40	$26.25	$26.25
Rf abltj nrv nrvtg si jt	$3,763.80	$3,989.40	$5,661.00
Rheumatoid factor qualitative	$33.60	$75.00	$229.20
Rheumatoid factor quantitative	$31.80	$74.40	$171.20
Rho d immune globulin inj	$70.80	$728.80	$2,785.80
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe	$48.00	$172.80	$224.40
Rho(d) immune globulin h, sd	$210.60	$223.20	$3,856.80
Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr	$0.20	$0.60	$106.80
Right ventric recording	$2,545.80	$3,474.60	$6,268.20
Ring fx reform 11-13x17mm	$422.40	$456.60	$3,167.40
Ring ostmy barr adapt 48mm	$9.60	$9.60	$9.60
Risankizumab-rzaa 60 mg/ml intravenous solution	$20.25	$26.40	$588.00
Risperidone microspheres 12.5 mg/2 ml inj	$64.20	$4,199.40	$6,465.00
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln	$117.60	$218.40	$337.20
Rituximab 10 mg/ml concentrate,intravenous	$55.80	$433.20	$21,757.20
Rituximab-abbs 10 mg/ml intravenous solution	$50.40	$372.60	$537.60
Rituximab-arrx 10 mg/ml intravenous solution	$42.60	$207.60	$244.80
Rituximab-pvvr 10 mg/ml intravenous solution	$42.60	$7,463.40	$10,438.20
Rmv implant contraceptive capsule 11976	$2,633.60	$2,633.60	$2,633.60
Rmvl ext fixj sys under anes	$3,046.80	$3,355.20	$4,577.40
Rmvl fecal impaction/fb spx under anes	$2,949.60	$3,435.60	$4,144.80
Rmvl foreign body upper arm/elbow subcutaneous	$672.00	$1,470.60	$2,080.80
Rmvl icd by tv extr	$3,049.80	$4,519.80	$9,886.20
Rmvl icd gen w/rplc icd gen dual lead sys	$6,921.60	$36,067.20	$58,675.80
Rmvl icd gen w/rplc icd gen mlt lead sys	$6,921.60	$48,933.60	$58,675.80
Rmvl icd gen w/rplc icd gen sgl lead sys	$6,921.60	$36,067.20	$58,675.80
Rmvl icd pulse gen only	$1,950.60	$3,655.80	$7,275.60
Rmvl ndwellg tun pleural cath	$1,119.00	$1,826.40	$4,765.20
Rmvl perm pm pulse gen	$2,074.20	$3,033.60	$11,583.60
Rmvl pm gen w/rplc pm gen mlt lead sys	$5,997.00	$29,639.40	$40,853.40
Rmvl pm gen w/rplc pm gen sgl lead sys	$5,859.60	$26,215.20	$37,247.40
Rmvl pq iabp	$243.00	$243.00	$358.20
Rmvl pq vad left hrt vein sep session	$512.40	$988.80	$64,606.80
Rmvl sq defib electrode	$4,831.80	$6,136.20	$8,967.60
Rmvl subq card rhythm mntr	$1,114.80	$2,304.60	$2,560.20
Rmvl tv pm lead dual	$2,550.00	$4,523.40	$7,094.40
Rmvl tv pm lead sgl	$2,862.00	$4,523.40	$5,581.80
Rolapitant, oral, 1mg	$12.00	$12.00	$12.00
Romidepsin 10 mg/2 ml intravenous powder for solution	$87.60	$197.60	$12,642.00
Romiplostim 125 mcg subcutaneous solution	$25.95	$34.60	$3,004.80
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)	$641.40	$8,341.20	$12,093.00
Ropivacaine 0.2 % epidural pca - 1 hour dose limit	$2.70	$178.80	$1,503.60
Rp loclzj tum 2+area 1+d img	$1,228.80	$2,070.60	$2,779.20
Rp loclzj tum spect w/ct 1	$2,767.80	$2,929.80	$4,242.60
Rp loclzj tum spect w/ct 2	$3,139.20	$3,322.20	$4,812.60
Rpl non-tun cvc wo sbq prt/pmp	$2,025.00	$2,759.20	$3,610.80
Rpl picc wo subq port/pump incl image guidnc w/s&i	$1,909.20	$3,075.00	$4,245.60
Rpl tun cvc wo subq port	$2,558.40	$4,201.80	$5,031.60
Rpl tun-cvad w subq port	$5,510.40	$5,743.20	$8,004.00
Rpl tun-cvad w subq pump	$8,004.00	$8,004.00	$8,004.00
Rpr aa hrn 1st 3-10 ncr/strn	$1,793.40	$1,793.40	$10,089.00
Rpr aa hrn 1st 3-10 rdc	$7,267.80	$7,267.80	$7,267.80
Rpr aa hrn 1st < 3 cm rdc	$821.40	$6,856.20	$7,767.60
Rpr aa hrn 1st < 3 ncr/strn	$10,089.00	$11,428.80	$13,452.60
Rpr aa hrn 1st > 10 ncr/strn	$10,089.00	$10,089.00	$10,089.00
Rpr aa hrn 1st > 10 rdc	$7,267.80	$7,267.80	$7,267.80
Rpr aa hrn rcr 3-10 ncr/strn	$10,089.00	$10,089.00	$10,089.00
Rpr aa hrn rcr 3-10 rdc	$7,267.80	$7,267.80	$7,267.80
Rpr aa hrn rcr < 3 ncr/strn	$10,089.00	$10,089.00	$10,089.00
Rpr aa hrn rcr < 3 rdc	$7,267.80	$7,267.80	$7,267.80
Rpr aa hrn rcr > 10 ncr/strn	$10,089.00	$10,089.00	$10,089.00
Rpr aa hrn rcr > 10 rdc	$7,267.80	$7,267.80	$7,267.80
Rpr rem hernia init reduce	$1,509.60	$1,509.60	$1,509.60
Rsv assay w/optic	$10.80	$13.60	$73.80
Rubella antibody igg	$67.20	$115.80	$358.80
Rubeola antibody igg	$67.20	$165.00	$265.60
Russell viper venom diluted	$48.60	$225.00	$2,118.60
Rx metab gen seq alys pnl 6	$2,427.00	$2,427.00	$2,427.00
Sacituzumab govitecan-hziy 180 mg intravenous solution	$66.60	$5,043.00	$6,723.60
Salivary gland imaging	$1,228.80	$1,228.80	$1,228.80
Salivary glnd img serial img	$1,228.80	$1,621.80	$1,960.80
Salmonella antibody	$25.20	$125.40	$4,265.40
Sargramostim injection	$820.80	$820.80	$21,867.60
Sarscov coronavirus ag ia	$34.80	$34.80	$84.60
Sc ther infusion reset pump	$148.20	$148.20	$148.20
Scan duplex abd/pelvis/retroperitoneal complete	$798.60	$1,265.40	$1,530.40
Scan duplex abd/pelvis/retroperitoneal limited	$488.40	$880.20	$1,262.40
Scan duplex aorta/ivc/iliac or bypass grafts complete	$464.40	$1,054.80	$1,246.80
Scan duplex aorta/ivc/iliac unilateral/limited	$308.40	$859.80	$1,127.20
Scan duplex extracranial arteries unilateral/limited study	$379.80	$861.00	$2,028.00
Scan duplex extremity veins unilateral/limited study	$339.60	$847.80	$1,609.20
Scan duplex lower extremity arteries complete bilateral	$539.40	$1,404.00	$2,029.60
Scan duplex lower extremity arteries unilateral/limited study left	$429.60	$966.00	$1,647.60
Scan duplex upper extremity arteries unilateral/limited study left	$356.40	$931.80	$1,647.60
Sclerotherapy fluid collection pq w/img	$2,643.60	$2,754.60	$18,498.60
Scope uretscp lithovue dig disp	$3,816.00	$3,816.00	$3,816.00
Scr c/v cyto,thinlayer,rescr	$78.00	$78.00	$189.60
Screen cerv/vag thin layer	$61.20	$61.20	$145.20
Screen pap by tech w md supv	$55.20	$55.20	$55.20
Screen/visual acuity/bilat/quant 99173	$79.80	$79.80	$357.00
Screening Colonoscopy (average risk)	$633.00	$1,440.00	$1,800.00
Screening Colonoscopy (high risk)	$718.20	$1,500.00	$2,000.00
Screening HIV antigen/antibody combination assay	$76.20	$76.20	$76.20
Screening Mammogram	$174.60	$257.40	$399.60
Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations	$100.20	$241.20	$292.00
Screening hepatitis b non-obstetric high risk	$42.60	$63.00	$172.00
Screening hepatitis c antibody high risk	$34.80	$46.80	$251.20
Screening pap smear by phys	$75.60	$75.60	$75.60
Screening prostate cancer PSA	$96.00	$96.00	$120.00
Screw cortex 2.0 x 10mm	$7,264.20	$9,834.60	$53,770.80
Sec abd wall suture evisceration/dehsn 49900	$2,139.60	$9,201.00	$13,372.80
Sec art mech thrmbc non-intracranial add-on	$5,352.00	$12,577.80	$20,158.80
Sedimentation rate erythrocyte automated	$33.00	$57.00	$110.40
Semen analysis presence/motility	$86.40	$118.20	$143.20
Semen analysis w/count	$55.80	$64.20	$213.60
Sept9 promoter methylation analysis	$602.40	$602.40	$627.00
Serpina1 gene	$252.00	$345.60	$921.60
Sertraline (zoloft) - sendout	$2,410.20	$2,410.20	$2,410.20
Set radiation therapy field	$1,000.80	$1,653.00	$4,732.20
Set radiation therapy field	$1,029.00	$1,137.60	$1,413.60
Set radiation therapy field	$573.00	$794.40	$1,212.00
Set-up cardiovert-defibrill	$625.80	$625.80	$928.80
Sevelamer carbonate 800 mg tablet	$3.60	$3.60	$3.60
Sevelamer carbonate pdr 20mg	$10.20	$10.20	$10.20
Sgmdsc w/band ligation	$2,563.80	$2,717.40	$3,933.60
Shave sgl skin lsn f/e/e/n/l/m 0.5cm/<	$83.40	$141.00	$722.40
Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm	$520.80	$615.00	$1,024.80
Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm	$243.00	$819.00	$1,168.20
Shave sgl skin lsn f/e/e/n/l/m >2cm	$229.20	$1,341.60	$1,830.60
Shave sgl skin lsn s/n/h/f/g 0.5cm/<	$141.00	$520.80	$742.80
Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm	$494.40	$535.80	$742.80
Shave sgl skin lsn s/n/h/f/g 1.1-2cm	$120.60	$575.40	$1,047.00
Shave sgl skin lsn s/n/h/f/g >2cm	$1,847.40	$1,847.40	$2,521.80
Shave sgl skin lsn t/a/l 0.5cm/<	$141.00	$615.00	$1,024.80
Shave sgl skin lsn t/a/l 0.6-1.0cm	$141.00	$615.00	$1,024.80
Shave sgl skin lsn t/a/l 1.1-2.0cm	$120.60	$966.00	$1,444.00
Sheath gldlight lasr 12fx50cm	$7,034.40	$7,034.40	$16,812.60
Shoe post-op mens m	$75.60	$315.60	$561.00
Shoulder Arthroscopy (Rotator Cuff Repair)	$2,174.40	$2,174.40	$2,174.40
Shoulder MRI (with and without contrast)	$1,855.20	$3,830.40	$9,808.20
Shoulder MRI (with contrast)	$1,384.20	$3,051.00	$8,004.00
Shoulder MRI (without contrast)	$966.00	$2,514.00	$6,214.20
Shoulder X-ray	$118.20	$307.20	$686.40
Shunt glaucoma baerveldt 350mm	$4,636.80	$5,572.20	$10,690.80
Shuntogram nonvascular supervision & interpretation	$257.40	$354.60	$382.20
Sialidase enzyme assay	$143.40	$143.40	$145.80
Sialography s&i	$547.80	$1,283.40	$3,618.60
Sialolithotomy 42330	$3,971.40	$3,971.40	$3,971.40
Sickling rbc	$28.80	$81.00	$405.00
Sig w/tndsc balloon dilation	$2,736.60	$3,763.20	$9,642.00
Sigmoid/rmv tumor/polyp/hot bx for 45333	$1,356.00	$1,885.20	$3,816.80
Sigmoidoscopy and biopsy	$1,550.40	$1,864.80	$3,816.80
Sigmoidoscopy flex decompression 45337	$2,571.60	$2,710.80	$8,428.80
Sigmoidoscopy for bleeding	$1,366.20	$1,885.20	$8,947.80
Sigmoidoscopy w/ablation	$2,959.80	$3,605.40	$8,947.80
Sigmoidoscopy w/fb removal 45332	$1,885.20	$3,073.80	$4,095.60
Sigmoidoscopy w/plcmt stent	$2,592.60	$2,919.00	$9,549.00
Sigmoidoscopy w/resection	$2,564.40	$2,564.40	$3,417.60
Sigmoidoscopy w/tumr remove	$1,366.20	$1,885.20	$3,933.60
Sigmoidoscopy w/ultrasound	$1,215.60	$1,233.60	$3,933.60
Sigmoidoscopy w/us guide bx	$1,741.80	$1,805.40	$3,933.60
Sigmoidoscopy/submucosal injection 45335	$1,315.20	$2,235.60	$3,480.00
Signal avg ecg w or without ecg 93278	$204.60	$408.60	$536.00
Simple cystometrogram 51725	$4,291.20	$4,291.20	$4,291.20
Sincalide 5 mcg solution for injection	$81.60	$516.00	$753.00
Sinus CT scan (with and without contrast)	$898.20	$2,052.60	$5,112.00
Sinus CT scan (with contrast)	$739.20	$1,368.00	$4,599.60
Sinus CT scan (without contrast)	$616.20	$1,226.40	$2,937.00
Sinus/juglr venogram s&i	$1,438.80	$2,226.60	$9,229.80
Sipuleucel-t - su	$150.00	$150.00	$150.00
Sirolimus, oral	$20.40	$180.00	$1,122.00
Sirolimus-protein bound 100 mg intravenous suspension	$153.00	$153.00	$153.00
Skin Biopsy	$98.40	$613.80	$1,055.40
Skin full graft 20sq cm less 15200	$4,321.20	$4,321.20	$4,321.20
Skin test unlisted antigen ea	$53.40	$53.40	$53.40
Skyla, 13.5 mg	$532.80	$2,325.00	$3,186.00
Sleep Study (Polysomnography)	$2,098.80	$4,279.20	$8,373.60
Sleep study attended	$6,004.00	$6,004.00	$6,004.00
Sleep study unattended	$653.60	$1,375.80	$2,371.20
Sling arm deluxe w/pad xs	$91.80	$201.60	$244.00
Sling suprapubic suburetheral	$3,137.40	$4,885.60	$21,560.40
Slitting of prepuce	$3,058.80	$4,029.00	$4,708.80
Slp eval non-spch gen comm dev	$310.20	$310.20	$375.20
Slp pure tone screening	$22.80	$70.20	$127.20
Sm-153 lexidron ther	$5,947.80	$12,410.40	$31,245.00
Small bowel endoscopy	$1,843.20	$3,414.00	$8,934.60
Small bowel endoscopy	$1,843.20	$3,362.40	$11,984.40
Small bowel endoscopy	$2,012.40	$3,723.60	$6,099.00
Small bowel endoscopy	$1,967.40	$1,967.40	$1,967.40
Small bowel endoscopy	$1,294.80	$3,358.20	$8,947.80
Small bowel endoscopy	$1,843.20	$3,414.00	$4,330.80
Small bowel endoscopy >2nd w/remove 44363	$2,403.60	$3,661.20	$5,407.20
Small bowel endoscopy br/wa	$1,474.80	$2,798.40	$4,128.80
Small bowel endoscopy br/wa	$1,372.20	$3,358.20	$8,947.80
Small bowel endoscopy/biopsy	$1,843.20	$3,414.00	$4,330.80
Small bowel endoscopy/stent 44370	$7,896.80	$10,842.00	$26,215.20
Smallpox&monkeypox vac 0.5ml	$614.40	$614.40	$614.40
Smear fluorescent and/or acid fast stain	$24.00	$91.20	$507.60
Smear gram stain	$24.00	$60.60	$686.40
Smear nasal eosinophil	$27.00	$101.40	$492.00
Smear special stain inclusion bodies/parasites	$33.00	$142.20	$840.60
Smear wet mount	$32.40	$102.60	$165.00
Smpd1 gene common variants	$1,189.20	$1,189.20	$1,260.60
So neo gsap dna/dna&rna	$4,153.80	$4,153.80	$4,153.80
Sodium 24 hour urine	$25.20	$52.20	$508.20
Sodium chloride 0.9 % IV bolus	$29.80	$52.20	$78.80
Sodium chloride 0.9 % IV bolus	$22.20	$40.40	$78.80
Sodium chloride 0.9 % intravenous solution	$26.00	$55.65	$76.80
Sodium chloride 3 % ivpb	$0.60	$25.80	$80.40
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous	$3.60	$89.40	$374.40
Sodium hyaluronate 20 mg/2 ml syringe	$480.00	$1,648.80	$2,860.80
Sodium serum/plasma/whole blood	$24.60	$40.20	$215.40
Somatosensory testing	$583.80	$760.80	$812.40
Somatropin injection	$1,512.00	$1,973.40	$2,111.40
Special physics consult	$564.00	$833.40	$1,254.00
Special radiation dosimetry	$320.40	$739.80	$1,048.20
Special radiation treatment	$1,247.40	$2,055.00	$4,554.00
Special teletx port plan	$939.60	$1,078.80	$1,515.00
Specific gravity body fluid	$16.80	$37.20	$209.40
Specimen fat stain	$357.00	$357.00	$357.00
Speech audiometry complete	$122.40	$122.40	$122.40
Speech evaluation complex	$547.80	$971.40	$1,349.40
Sperm antibody test	$73.80	$73.80	$239.40
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance	$1,360.20	$1,439.40	$2,461.20
Spirometry bronchodilation responsiveness pre/post bronchodilator administration	$281.40	$636.80	$1,790.40
Spleen imaging	$992.40	$992.40	$1,228.80
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii	$542.40	$2,893.80	$4,211.40
Splint extn xsm w sof-stretch rolyan	$108.00	$130.40	$448.80
Splint fing stax assort 1-7in	$18.00	$18.00	$24.80
Splint finger 4 prong foam sm	$2.40	$222.60	$4,609.20
Splint func pos polyflex ii med	$116.40	$149.40	$1,043.40
Splint rstrc wrst/cmc right med	$97.20	$129.60	$148.00
Split blood or products	$201.60	$303.00	$384.00
Sputum specimen collection	$1,087.80	$1,087.80	$1,087.80
Sr-89 stront chlor ther / mci	$2,293.20	$2,773.60	$5,445.60
Srs linear based	$7,146.60	$12,437.40	$19,575.60
Srs multisource	$33,912.60	$33,912.60	$33,912.60
St analysis behavior qualitative voice/resonance	$228.60	$375.20	$435.00
St cognitve performance testing healthcare professional each hour	$392.40	$474.40	$601.20
St evaluate speech sound production	$228.60	$375.20	$429.60
St evaluate speech sound production comprehensive/expressive	$228.60	$375.20	$865.20
St evaluation motion fluoroscopic swallow function cine/video	$249.60	$455.40	$827.40
St evaluation swallow function	$249.60	$453.00	$532.80
St treatment speech individual	$173.40	$203.40	$459.00
St treatment swallow dysfunction/oral	$130.20	$216.80	$384.60
Stem cells total count	$1,216.20	$1,216.20	$1,216.20
Stent axios caut enh 15x10mm electrocaut	$4,290.60	$30,010.80	$58,726.80
Stent bili dbl pgtl 10fx5cm	$361.20	$720.00	$3,092.40
Stent bili rx wallflx 10x80 uncvr	$3,802.20	$11,522.40	$46,683.00
Stent bronch dumon sil 10x40mm	$5,596.20	$10,323.00	$22,262.40
Stent iliac/open or perc/uni/init 37221	$6,724.80	$21,381.00	$33,589.20
Stent iliac/open/perc/ea ad/ipsila 37223	$7,915.20	$16,416.00	$24,101.40
Stent/athrectomy/fem/pop/unilat 37227	$15,054.60	$55,112.40	$67,511.40
Stent/tib/peroneal/unilat/initial 37230	$24,161.40	$34,695.00	$40,886.40
Str markers spec anal addl	$1,683.00	$1,683.00	$1,683.00
Str markers specimen anal	$258.60	$505.20	$2,521.20
Strapping of ankle and/or ft 29540	$315.60	$520.80	$996.60
Strapping of chest	$378.60	$378.60	$378.60
Strapping of elbow or wrist 29260	$204.60	$471.00	$569.60
Strapping of hand or finger	$204.60	$204.60	$204.60
Strapping of hip	$411.60	$411.60	$411.60
Strapping of knee	$243.60	$295.20	$764.40
Strapping of toes 29550	$28.20	$204.60	$742.80
Strep a ag ia	$48.60	$76.80	$106.20
Strep b dna amp probe	$107.40	$241.80	$505.80
Streptozocin injection	$209.40	$1,285.80	$2,809.80
Stress test pulmonary	$41.40	$399.00	$789.60
Stress tte complete	$1,793.40	$1,989.60	$3,415.80
Succinylcholine chloride 20 mg/ml injection solution (wrapper)	$4.20	$11.40	$73.20
Sugars single quant	$58.80	$114.60	$156.60
Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution	$0.20	$0.40	$0.60
Sumatriptan 6 mg/0.5 ml subcutaneous solution	$105.60	$321.60	$1,520.40
Support clav 29.6-40.5in med	$129.60	$137.40	$218.40
Surgical pathology level 1 gross examination only	$36.00	$58.20	$330.00
Surgical pathology level 2 gross & microscopic examination	$54.60	$189.00	$440.40
Surgical pathology level 3 gross & microscopic examination	$74.40	$236.40	$622.20
Surgical pathology level 4 gross & microscopic examination	$116.40	$302.40	$826.20
Surgical pathology level 5 gross & microscopic examination	$360.60	$493.60	$1,323.60
Surgical pathology level 6 gross & microscopic examination	$301.20	$669.60	$1,472.40
Suscept studies macrobroth dilution ea	$37.80	$87.00	$3,450.60
Susceptibility agar dilution per agent	$25.80	$91.80	$606.60
Susceptibility enzyme detection per enzyme	$16.80	$47.40	$78.60
Susceptibility mic per plate	$42.00	$96.00	$224.80
Svc venogram s&i	$1,344.60	$1,851.60	$9,229.80
Sweat collection by iontophoresis	$73.80	$80.40	$4,935.00
Synvisc or synvisc-one	$50.40	$72.00	$198.00
Syphilis test non-treponemal antibody quantitative rpr	$24.60	$76.80	$104.40
System cardiomems hosp electronics	$92,408.40	$92,408.40	$92,408.40
System pacing micra av	$6,175.20	$22,146.00	$45,109.20
System pcmkr dual chamber leadless micra av2 intrdcr cath	$6,970.20	$9,256.80	$33,284.40
System recell skin grafting/harvesting	$16,981.20	$16,981.20	$16,981.20
System sealant biosentry tract	$680.40	$888.00	$940.80
T cells absolute cd 4 count	$144.00	$298.20	$2,397.00
T cells absolute cd4/cd8 including ratio	$112.80	$428.40	$2,155.80
T cells total count	$112.80	$320.40	$1,640.40
T-cell depletion of harvest	$25,661.40	$25,661.40	$25,661.40
T3 (triiodothyronine) free	$85.20	$149.40	$369.60
T3 (triiodothyronine) total	$70.80	$222.60	$269.40
T4 (thyroxine) free	$42.00	$226.20	$609.00
T4 (thyroxine) total	$34.20	$82.80	$240.00
Tacrol astagraf ex rel oral	$1.60	$3.15	$16.80
Tacrol envarsus ex rel oral	$3.20	$3.40	$42.60
Tacrolimus 1 mg capsule, immediate-release	$21.00	$29.40	$119.40
Tacrolimus 5 mg/ml intravenous solution	$148.20	$1,588.00	$2,712.00
Tacrolimus therapeutic drug level	$81.60	$204.00	$798.00
Tafasitamab-cxix 200 mg intravenous solution	$27.60	$28.80	$796.80
Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection	$101.40	$101.40	$133.80
Talquetamab-tgvs 2 mg/ml subcutaneous solution	$123.60	$175.20	$6,216.00
Tamoxifen 10 mg tabs 60 each bottle	$8.20	$14.80	$48.60
Tap block bilat cont infusion 64489	$891.60	$1,381.20	$1,647.60
Tap block uni by cont infusion 64487	$1,381.20	$1,384.20	$1,877.40
Tape plstc 1inx5yd hosp tb pk	$0.60	$0.60	$10.20
Target gsa panel hmtlmph neop	$1,302.00	$3,169.80	$7,146.00
Target gsa panel organ neop	$3,073.80	$3,223.20	$3,915.00
Target gsa panel organ/hmtlmph neop	$5,526.00	$5,739.00	$9,920.40
Tarlatamab-dlle 10 mg intravenous solution	$2,801.40	$2,828.40	$9,000.00
Tas congenital car anomal	$4,667.40	$4,667.40	$4,667.40
Tavr perq femoral	$10,503.00	$10,503.00	$15,259.80
Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells	$556.80	$785.40	$797.40
Tb test cell mediated immunity antigen response gamma interferon	$209.40	$415.80	$763.20
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe	$3.60	$3.60	$357.60
Tbs techl calculation only	$93.60	$93.60	$93.60
Tc-99m apcitide diag	$1,761.60	$1,761.60	$2,130.40
Tc-99m arcitumomab	$2,781.60	$2,781.60	$3,364.00
Tc-99m bicisate	$697.80	$844.00	$2,040.00
Tc-99m depreotide	$209.40	$209.40	$252.80
Tc-99m diag per dose	$77.40	$77.40	$77.40
Tc-99m disofenin	$59.40	$59.40	$72.40
Tc-99m exame autol wbc diag per dose	$7,144.80	$7,144.80	$7,144.80
Tc-99m exametazime diag	$717.00	$1,461.00	$8,173.20
Tc-99m fanolesomab diag	$3,894.60	$4,710.40	$6,315.00
Tc-99m labeled rbc	$147.00	$282.00	$2,449.80
Tc-99m maa	$122.40	$161.60	$720.00
Tc-99m mebrofenin	$94.80	$292.20	$1,143.60
Tc-99m medronate	$39.60	$183.60	$358.80
Tc-99m mertiatide	$709.20	$1,284.60	$2,142.00
Tc-99m non-heu per study dose	$15.00	$15.00	$20.00
Tc-99m oxidronate	$44.40	$88.80	$236.40
Tc-99m pentetate dtpa	$55.80	$96.00	$525.60
Tc-99m pentetate dtpa aerosol	$196.20	$231.60	$415.20
Tc-99m pertechnetate per mci	$0.60	$43.20	$72.40
Tc-99m pyroph diag per dose up to 25 mci	$93.60	$232.20	$602.40
Tc-99m sestamibi p study dose	$237.60	$640.80	$2,674.80
Tc-99m succimer (dmsa)	$556.20	$672.80	$2,748.00
Tc-99m sulfur colloid	$158.40	$268.80	$1,296.60
Tc-99m tetrofosmin p study dose	$507.00	$511.20	$617.60
Tc-99m tilmanocept diag	$72.60	$73.20	$9,358.20
Tcd emboli detect without inj	$240.60	$240.60	$240.60
Tcran magn stim redetemine	$512.40	$512.40	$512.40
Tcranial magn stim tx deli	$478.80	$478.80	$478.80
Tcranial magn stim tx plan	$639.00	$639.00	$639.00
Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution	$418.80	$457.20	$24,312.00
Tee w or without fol w/cont,cong	$2,801.40	$2,801.40	$2,801.40
Telavancin injection	$7.20	$367.80	$987.60
Telehealth original site facility fee	$84.60	$90.00	$120.00
Telethx isodose plan cplx	$1,189.20	$2,941.80	$3,754.20
Telethx isodose plan simple	$766.80	$2,039.40	$3,259.80
Temozolomide	$350.40	$350.40	$3,327.00
Temozolomide 100 mg intravenous solution	$601.80	$601.80	$1,714.80
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln	$436.80	$540.00	$8,196.60
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial)	$211.80	$10,576.20	$27,148.20
Tenotomy open tndn flxr toe sgl tndn spx	$2,854.80	$2,854.80	$2,854.80
Terbutaline 1 mg/ml subcutaneous solution	$11.40	$111.20	$455.20
Teriparatide injection	$36.75	$67.80	$6,598.80
Tert gene targeted seq alys	$227.40	$227.40	$227.40
Test for chlorohydrocarbons	$85.20	$85.20	$94.80
Test pathogen(s) for platelets reference	$51.00	$51.00	$51.00
Test stress cardiovascular tracing only	$665.40	$1,654.20	$2,344.80
Test urine for porphyrins	$48.60	$48.60	$48.60
Testicular imaging w/vasc flow	$1,193.40	$1,228.80	$1,443.20
Tetanus immune globulin inj	$389.40	$1,378.40	$2,306.40
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe	$47.25	$48.80	$1,269.00
Tgsap so/hl 51/< rna alys	$2,116.80	$2,157.60	$8,626.80
Thaw preserved stem cells	$226.80	$226.80	$1,174.80
Theophylline therapeutic drug level	$81.00	$181.20	$542.40
Ther nma rdctj intus/obstrcj	$389.40	$1,384.80	$1,674.40
Ther/proph/diag inj ia	$198.60	$369.00	$378.00
Therapeutic procd strg endur	$93.60	$93.60	$186.00
Therapy nutrition individual initial f2f w/patient each 15 minutes	$27.00	$27.00	$50.40
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes	$20.40	$20.40	$50.40
Therapy photodnmc lght dstr lsn skn by staff rx per day	$765.00	$765.00	$921.00
Thiamine hcl (vitamin b1) 100 mg/ml injection solution	$2.40	$42.60	$64.80
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)	$1,275.00	$1,542.40	$4,057.20
Thoracotomy w/expl	$7,731.60	$7,731.60	$9,612.00
Thoracotomy with cardiac massage	$2,671.20	$3,385.80	$8,094.60
Throat x-ray & fluoroscopy	$188.40	$188.40	$188.40
Thromb/endar/neck inc/car/vert/subc35301	$6,882.60	$6,882.60	$6,882.60
Thrombectmy crnry perq mechanical	$730.80	$5,527.20	$8,606.40
Thrombectomy/inf pq dialysis circuit	$3,631.80	$4,405.80	$14,054.40
Thrombectomy/inf pq dialysis circuit w/pta	$3,903.00	$6,277.20	$24,300.00
Thrombectomy/inf pq dialysis circuit w/stent plcmnt	$3,649.80	$4,405.80	$24,300.00
Thrombin time	$29.40	$86.40	$749.40
Thromboplastin time partial (ptt) substitution fractions each	$32.40	$96.60	$561.00
Thromboxane urine	$130.80	$130.80	$228.60
Thyroglobulin antibody	$88.80	$210.00	$505.20
Thyroid (TSH) Test	$60.00	$108.00	$542.40
Thyroid Ultrasound	$291.00	$585.00	$1,263.00
Thyroid imaging	$865.80	$1,228.80	$1,510.40
Thyroid met imaging	$869.40	$1,051.20	$1,228.80
Thyroid met imaging/studies	$1,228.80	$1,228.80	$1,228.80
Thyroid met uptake	$288.60	$407.40	$2,370.00
Thyroid mets imag whole body	$1,574.40	$3,225.60	$5,323.20
Thyroid uptake measurement	$889.80	$1,076.00	$1,228.80
Thyrotropin alfa 0.9 mg intramuscular solution	$1,186.20	$7,843.80	$19,696.80
Thyroxine binding globulin (tbg)	$75.00	$208.20	$357.00
Tib/per revasc stent & ather 37231	$66,098.40	$66,098.40	$66,098.40
Tib/per revasc stnt & ather	$21,287.40	$21,287.40	$40,945.20
Tib/per revasc w/ather add-on 37233	$14,982.00	$14,982.00	$35,730.60
Tigecycline injection	$6.00	$34.65	$724.80
Tilt table study	$920.40	$1,439.40	$4,324.20
Tirofiban 12.5 mg/50 ml	$43.80	$43.80	$43.80
Tisagenlecleucel car-pos t	$5,370,000.00	$5,370,000.00	$5,370,000.00
Tisotumab vedotin-tftv 40 mg intravenous solution	$306.00	$322.20	$4,113.60
Tissue culture placenta	$543.00	$543.00	$1,024.20
Tissue culture skin/biopsy	$1,007.40	$1,441.80	$1,768.80
Tissue culture tumor	$1,980.00	$1,980.00	$2,394.40
Tissue exam koh skin/hair/nails	$32.40	$70.80	$238.80
Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm	$3,150.60	$4,244.40	$4,342.20
Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm	$35,328.60	$35,328.60	$35,328.60
Tissue transglutaminase iga	$58.80	$108.60	$780.60
Tl-201 thallium diag per mci	$50.40	$169.20	$1,032.00
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr	$49.80	$84.60	$1,094.40
Tobramycin non-comp unit	$1.80	$1.80	$533.40
Tobramycin peak therapeutic drug level	$112.80	$189.00	$799.80
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector	$17.70	$5,812.20	$9,652.20
Tomosynthesis breast diagnostic left	$65.40	$123.00	$136.80
Tomosynthesis breast screen bilateral	$45.00	$45.00	$69.60
Tonsillectomy (age 12+)	$461.40	$461.40	$461.40
Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution	$17.40	$130.80	$4,942.80
Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution	$70.20	$70.80	$889.20
Total Hip Replacement	$3,477.00	$3,477.00	$19,440.80
Total Knee Replacement	$3,271.80	$3,271.80	$3,271.80
Total tau	$56.40	$100.20	$366.00
Toxoplasma antibody igg	$80.40	$241.20	$1,085.40
Toxoplasma antibody igm	$80.40	$241.20	$1,774.20
Tp53 gene full gene sequence	$3,902.40	$3,902.40	$3,902.40
Tp53 gene trgt sequence alys	$2,041.20	$2,041.20	$2,060.40
Tpmt gene com vrnts	$450.00	$477.00	$1,009.80
Trabectedin 1 mg intravenous solution	$879.00	$1,769.60	$13,269.60
Tracheobrnchsc thru est trachs incisn	$3,054.00	$3,054.00	$3,544.20
Training self management diabetes individual outpatient department per 30 minutes	$70.80	$121.20	$400.20
Transab esoph hiat hern repair 43332	$3,075.60	$3,075.60	$3,075.60
Transabdom amnioinfus w/us	$1,034.40	$1,034.40	$1,034.40
Transcath biopsy	$816.60	$2,978.40	$9,409.80
Transcath closure of asd	$14,788.80	$15,283.20	$29,803.20
Transcath closure of vsd	$18,553.20	$18,553.20	$18,553.20
Transcath mv repair addl prosthesis	$2,269.20	$2,269.20	$4,354.20
Transcath mv repair init prosthesis	$10,503.00	$10,503.00	$17,108.40
Transcath occlusion cns	$5,636.40	$7,125.60	$8,813.40
Transcath occlusion non-cns	$8,596.80	$8,733.00	$15,162.00
Transcath rmvl perm ldss pmkr rv	$2,428.20	$2,724.00	$10,522.80
Transcatheter bx s&i	$2,236.20	$2,803.80	$6,169.80
Transcutaneous hgb 88738	$80.80	$80.80	$80.80
Transferrin	$56.40	$108.00	$438.00
Transfusion blood/blood component(s)	$610.80	$1,167.00	$2,201.60
Transplj hematopoietic boost	$1,437.00	$1,437.00	$1,437.00
Transplt allo hct/donor	$3,943.20	$3,943.20	$3,943.20
Transplt allo lymphocytes	$2,009.40	$2,009.40	$2,009.40
Transplt autol hct/donor	$3,260.40	$3,260.40	$3,393.00
Trastuzumab 150 mg intravenous solution	$122.40	$934.80	$7,527.60
Trastuzumab-anns 150 mg intravenous solution	$382.80	$448.80	$2,284.80
Trastuzumab-qyyp 150 mg intravenous solution	$194.40	$205.20	$6,197.40
Trauma partial team response w/critical care services level 4	$6,141.60	$7,799.20	$9,021.00
Tray bonemarrw oncontrol 102mm	$553.80	$553.80	$858.60
Treat ankle dislocation	$1,205.40	$3,135.00	$3,791.20
Treat ankle dislocation	$5,152.80	$5,152.80	$5,152.80
Treat ankle fracture	$5,152.80	$5,152.80	$5,152.80
Treat big toe fracture	$6,649.80	$6,649.80	$6,649.80
Treat clavicle dislocation 23545	$825.60	$1,961.40	$3,015.00
Treat elbow dislocation	$1,980.60	$3,135.00	$4,490.40
Treat elbow fracture	$5,152.80	$5,152.80	$5,152.80
Treat elbow fracture	$6,347.40	$6,347.40	$6,347.40
Treat elbow fracture	$2,055.00	$3,520.20	$3,921.60
Treat eyelid by injection	$10,335.60	$10,335.60	$10,335.60
Treat finger fracture each	$1,651.80	$3,135.00	$5,052.60
Treat finger fracture each	$7,945.20	$7,945.20	$7,945.20
Treat foot dislocation	$4,493.40	$4,493.40	$4,493.40
Treat foot dislocation	$625.80	$801.60	$1,969.20
Treat foot dislocation	$759.00	$759.00	$5,011.20
Treat foot dislocation	$568.20	$615.00	$944.40
Treat fracture of radius	$825.60	$2,055.00	$4,057.80
Treat fracture of radius	$2,055.00	$2,377.20	$3,855.00
Treat fracture of ulna	$499.80	$965.40	$4,108.80
Treat heel fracture	$5,152.80	$5,152.80	$5,152.80
Treat hip dislocation	$1,980.60	$3,688.80	$4,620.00
Treat hip dislocation	$3,349.80	$4,357.80	$6,194.40
Treat hip socket fracture	$7,571.40	$7,751.40	$10,438.80
Treat humerus fracture	$2,055.00	$3,365.40	$5,431.80
Treat humerus fracture	$7,589.40	$7,589.40	$7,589.40
Treat humerus fracture	$6,347.40	$6,347.40	$6,347.40
Treat humerus fracture	$2,055.00	$2,976.60	$3,948.00
Treat humerus fracture	$5,715.60	$5,715.60	$6,347.40
Treat humerus fracture	$6,347.40	$6,347.40	$6,347.40
Treat knee dislocation	$1,453.20	$3,135.00	$3,791.20
Treat knee fracture	$6,347.40	$6,347.40	$6,347.40
Treat knee fracture	$4,493.40	$4,493.40	$4,493.40
Treat knee fracture	$5,152.80	$5,152.80	$5,152.80
Treat knee fracture 27530	$759.00	$998.40	$3,948.00
Treat knee fracture(s)	$3,355.20	$3,355.20	$4,553.40
Treat kneecap dislocation	$1,931.40	$2,554.80	$3,237.00
Treat kneecap dislocation	$4,493.40	$4,493.40	$4,493.40
Treat kneecap fracture	$5,152.80	$5,152.80	$5,152.80
Treat knuckle dislocation	$6,497.40	$6,497.40	$6,497.40
Treat knuckle dislocation	$2,824.20	$3,960.00	$5,288.40
Treat lower leg dislocation	$2,812.80	$2,813.40	$4,177.20
Treat lower leg fracture	$5,152.80	$5,152.80	$5,152.80
Treat lower leg fracture	$5,152.80	$5,152.80	$5,152.80
Treat lower leg fracture	$6,347.40	$6,347.40	$6,347.40
Treat lower leg joint	$4,493.40	$4,493.40	$4,493.40
Treat metacarpal fracture	$7,899.60	$7,899.60	$7,899.60
Treat metatarsal fracture	$6,347.40	$6,347.40	$6,347.40
Treat metatarsal fracture	$4,493.40	$4,493.40	$4,493.40
Treat midfoot fracture each	$2,925.00	$5,502.00	$7,873.60
Treat pelvic ring fracture	$10,960.80	$10,960.80	$10,960.80
Treat pelvic ring fracture	$11,319.00	$11,319.00	$11,319.00
Treat radius fracture	$6,347.40	$6,347.40	$6,347.40
Treat sternum fracture	$759.00	$759.00	$759.00
Treat thigh fracture	$3,355.20	$3,355.20	$4,291.20
Treat thigh fracture	$15,467.40	$15,467.40	$15,467.40
Treat thigh fracture	$12,076.20	$12,076.20	$12,076.20
Treat thigh fracture	$759.00	$759.00	$3,355.20
Treat thigh fracture	$534.60	$647.20	$3,355.20
Treat thigh fracture	$8,407.20	$8,407.20	$8,407.20
Treat thumb fracture	$4,728.00	$4,728.00	$4,728.00
Treat toe dislocation	$3,029.40	$3,505.20	$3,964.20
Treat toe fracture	$6,191.20	$6,191.20	$6,191.20
Treat ulnar fracture	$2,055.00	$3,123.60	$4,070.40
Treat ulnar fracture	$5,152.80	$5,152.80	$5,152.80
Treat vaginal bleeding	$1,324.20	$3,197.40	$3,505.20
Treat wrist bone fracture	$2,184.60	$2,310.00	$3,363.00
Treat wrist dislocation	$825.60	$998.40	$3,759.00
Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah)	$7,747.20	$7,747.20	$7,747.20
Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah)	$7,747.20	$7,747.20	$7,747.20
Treatment fx radial distal open w/internal fixation left (restricted method ii cah)	$7,747.20	$7,747.20	$7,747.20
Treatment incomplete abortion completed surgically any trimester	$5,405.40	$7,126.80	$8,618.40
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour	$121.20	$246.60	$355.80
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour	$91.20	$234.00	$424.80
Treatment inhalation pressurized/nonpressurized acute airway obstruction	$71.40	$286.80	$418.20
Treatment missed abortion completed surgically 1st trimester	$5,405.40	$8,491.80	$10,578.40
Treatment of ankle fracture	$1,622.40	$1,622.40	$5,152.80
Treatment of ankle fracture	$5,152.80	$5,152.80	$5,152.80
Treatment of ankle fracture	$5,152.80	$5,152.80	$5,152.80
Treatment of ankle fracture	$5,152.80	$5,152.80	$5,152.80
Treatment of ankle fracture 27786	$825.60	$825.60	$3,560.40
Treatment of fibula fracture	$5,152.80	$5,152.80	$5,152.80
Treatment of fibula fracture 27780	$769.80	$825.60	$998.40
Treatment of heel fracture 28400	$759.00	$825.60	$3,355.20
Treatment of penis lesion	$3,515.40	$3,515.40	$3,515.40
Treatment of thigh fracture	$1,804.80	$3,135.00	$3,791.20
Treatment of thigh fracture	$621.60	$633.60	$766.40
Treatment of thigh fracture	$759.00	$998.40	$8,413.80
Treatment of thigh fracture	$6,347.40	$6,347.40	$6,347.40
Treatment of thigh fracture	$3,597.00	$4,719.60	$6,511.20
Treatment of thigh fracture	$13,663.20	$13,663.20	$13,663.20
Treatment of tibia fracture	$6,347.40	$6,347.40	$6,347.40
Treatment of tibia fracture	$6,347.40	$6,347.40	$6,347.40
Treatment of toe fracture 28510	$371.40	$825.60	$825.60
Treatment radiation delivery level 2	$659.40	$834.00	$1,557.60
Tremelimumab-actl 20 mg/ml intravenous solution	$246.00	$263.40	$1,560.00
Treponema pallidum antibody	$36.60	$150.60	$226.20
Treprostinil injection	$253.20	$1,570.80	$9,431.40
Trg gene rearrangement anal	$636.00	$1,114.20	$1,671.60
Triamcinolone a inj prs-free	$21.15	$580.80	$843.00
Triamcinolone acetonide 40 mg/ml suspension for injection	$10.80	$29.20	$133.20
Trichinella antibody	$70.20	$222.00	$355.80
Trichomonas assay w/optic	$123.60	$123.60	$124.20
Triglycerides	$29.40	$121.80	$339.60
Trilaciclib 300 mg intravenous solution	$928.80	$928.80	$928.80
Trim nail(s)	$105.60	$105.60	$117.60
Trim nondyst nails	$83.40	$130.20	$157.60
Trimethobenzamide hcl inj	$77.60	$98.40	$162.60
Triptorelin pamoate	$2,681.40	$2,681.40	$3,103.20
Trmt of fracture (femoral shaft) 27500	$729.60	$759.00	$882.40
Trnscath plc stent crv crtd w/prtct	$5,782.20	$10,065.00	$17,777.40
Trnscath plc stent crv crtd without prtct	$5,782.20	$9,821.40	$10,828.20
Trnscath plc vas stent w/s&i ea addl artery	$10,516.80	$13,400.40	$17,983.80
Trnscath plc vas stent w/s&i ea addl vein	$2,719.80	$13,400.40	$17,983.80
Trnscath plc vas stent w/s&i ini vein	$4,478.40	$13,400.40	$18,933.60
Trnscath retrv pq vasc fb w/guide	$6,120.00	$7,438.80	$24,280.80
Trnscath tx thromblytc art/ven sbsq day	$2,325.60	$6,099.00	$9,296.40
Trnscath tx thromblytc artery non-intracrn ini day	$5,929.20	$6,966.60	$15,167.40
Trnscath tx thromblytc cath rmv sbsq day	$1,869.60	$5,324.40	$11,678.40
Trnscath tx thromblytc vein ini day	$4,201.80	$5,929.20	$15,167.40
Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm	$2,289.00	$9,424.80	$15,103.20
Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/<	$582.00	$582.00	$2,118.60
Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/<	$3,955.80	$5,214.00	$5,275.20
Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm	$3,955.80	$3,955.80	$3,955.80
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm	$3,955.80	$3,955.80	$9,337.20
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm	$3,955.80	$3,955.80	$7,986.60
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<	$3,768.60	$4,080.00	$7,827.00
Troponin quantitative	$63.60	$114.60	$291.00
Tte w or without contr, cont ecg	$1,905.60	$2,577.00	$3,415.80
Tte w or without fol w/con,stres	$626.40	$968.40	$2,860.20
Tte w or without fol w/cont, com	$904.80	$904.80	$2,946.00
Tte w or without fol w/cont, f/u	$534.60	$647.20	$2,043.00
Tubal Ligation (Laparoscopic)	$678.00	$936.60	$936.60
Tube drain vert dev st 5-40f	$16.80	$16.80	$16.80
Tube trach disp innr can 5 xlt	$141.00	$266.40	$4,183.80
Tube trach disp innr can 6 xlt	$13.80	$72.60	$77.40
Tube trach fen sz 6 uncuffed	$76.20	$198.60	$3,744.60
Tx atrial fib pulm vein isol	$19,314.00	$30,975.00	$59,370.00
Tx closed distal humerus fx	$75.60	$134.40	$342.00
Tx closed hip disl traumatic without anes	$825.60	$1,980.60	$3,560.40
Tx closed tib fx proximal w/w/o manip w/skel trac	$3,015.00	$3,355.20	$4,518.40
Tx closed tib shaft fx without manip	$718.20	$1,408.20	$4,470.00
Tx l/r atrial fib addl	$4,257.00	$5,650.20	$59,370.00
Tx open art fx mcp/iphlngl jnt incl int fixtn ea	$5,134.20	$5,134.20	$6,308.40
Tx open dstl phlngl fx f/t internal fixation ea	$4,150.20	$5,734.80	$7,873.60
Tx open iphlngl jt disl internal fixation sngl	$3,601.80	$4,281.00	$6,223.80
Tx open nsl fx uncomp	$5,368.20	$5,368.20	$6,492.00
Tx phalangeal shaft fx open prox/middle ea	$4,706.40	$6,170.40	$6,497.40
Tx tarsal bone fx without manip 28450	$509.40	$825.60	$825.60
Tympanic membrane repair	$8,426.40	$8,426.40	$8,426.40
Tympanometry & reflex thresh	$312.00	$312.00	$312.00
Tympanostomy/ven tube/loc/top anes 69433	$2,813.40	$2,813.40	$4,470.00
Ua w/micro/comp poc	$4.80	$25.80	$33.60
Ublituximab-xiiy 25 mg/ml intravenous solution	$133.20	$133.20	$1,047.00
Ugt1a1 gene analy common variants	$1,194.60	$1,240.20	$1,240.20
Ultrasound abdomen aorta screening study aaa	$248.40	$248.40	$394.20
Ultrasound breast complete	$394.20	$597.60	$1,416.00
Ultrasound breast unilateral limited (both sides)	$370.80	$479.40	$1,187.40
Ultrasound chest	$285.00	$543.60	$1,263.00
Ultrasound doppler velocimetry fetal umbilical artery	$257.40	$257.40	$745.20
Ultrasound dx ophth b-scan	$438.00	$552.00	$634.20
Ultrasound elastography ea l target les	$945.00	$945.00	$945.00
Ultrasound elastography parenchyma	$202.20	$202.20	$202.20
Ultrasound encephalogram	$394.20	$610.20	$1,273.80
Ultrasound exam k transpl w/doppler	$394.20	$718.80	$1,408.20
Ultrasound fetal biophysical profile without non-stress testing	$385.80	$540.00	$652.80
Ultrasound guidance for vascular access	$168.60	$381.60	$663.60
Ultrasound guide intraoperative	$536.40	$628.80	$1,819.80
Ultrasound guide tissue ablation	$649.80	$1,058.40	$1,161.00
Ultrasound guided needle placement supervision & interpretation	$301.20	$1,009.80	$2,769.60
Ultrasound hips infant dynamic	$280.20	$1,000.20	$1,209.60
Ultrasound infant hips ltd without stress	$280.20	$658.80	$796.80
Ultrasound joint complete left	$394.20	$847.80	$1,263.00
Ultrasound joint/nonvascular extremity limited left	$394.20	$640.80	$1,111.80
Ultrasound ob >=14wks ea addl gest	$309.00	$976.80	$1,906.20
Ultrasound pregnant uterus < 14 weeks each additional gestation	$150.60	$309.00	$1,168.20
Ultrasound pregnant uterus detailed fetal exam single/1st gestation	$819.60	$1,279.20	$1,629.00
Ultrasound pregnant uterus follow up per fetus	$225.60	$690.60	$1,057.80
Ultrasound pregnant uterus limited >= 1 fetuses	$318.00	$658.80	$2,169.60
Ultrasound pregnant uterus transvaginal	$394.20	$678.60	$2,313.00
Ultrasound prostate/transrectal	$354.00	$695.40	$1,914.00
Ultrasound retroperitoneal limited	$306.00	$606.00	$844.00
Ultrasound scrotum and contents	$394.20	$741.60	$1,214.40
Ultrasound spinal canal and contents	$354.00	$571.80	$1,041.60
Ultrasound transabd ea addl gest	$343.20	$343.20	$1,279.20
Ultrasound transvaginal non obstetric	$354.00	$820.80	$2,313.00
Ultrasound trgt dyn mbubb 1st les	$1,413.60	$1,413.60	$1,413.60
Unit mobile power mpu	$34,384.20	$34,384.20	$34,384.20
Unlisted CT procedure	$624.00	$624.00	$2,254.20
Unlisted cranfcl&maxlfcl px	$114.60	$114.60	$2,406.60
Unlisted cv px dx nuc med	$1,864.20	$1,864.20	$2,254.40
Unlisted dx gi procedure	$158.40	$165.00	$613.20
Unlisted fetal invas px w/us	$348.60	$348.60	$348.60
Unlisted fluoroscopic px	$199.20	$199.20	$226.20
Unlisted gi px dx nuc med	$780.60	$780.60	$944.00
Unlisted laparoscopic liver biopy 47379	$3,289.80	$3,289.80	$3,289.80
Unlisted laparoscopic reduction intestine 44238	$3,467.40	$3,467.40	$3,467.40
Unlisted misc path test	$93.00	$112.80	$299.40
Unlisted mr procedure	$173.40	$909.00	$6,868.80
Unlisted muscskel px dx nuc	$545.40	$545.40	$660.00
Unlisted orl service/px	$111.60	$111.60	$357.60
Unlisted procedure colon	$1,566.60	$2,449.20	$3,264.60
Unlisted procedure esophagus	$152.40	$152.40	$152.40
Unlisted procedure larynx	$104.40	$104.40	$134.40
Unlisted procedure liver	$2,287.20	$2,287.20	$3,186.00
Unlisted procedure microbiology	$112.20	$312.00	$525.60
Unlisted procedure orbit	$911.40	$911.40	$911.40
Unlisted procedure pancreas	$152.40	$152.40	$152.40
Unlisted procedure rectum	$532.20	$845.40	$3,816.80
Unlisted px ant segment eye	$89.40	$615.60	$3,823.80
Unlisted px biliary tract	$1,788.00	$1,788.00	$2,636.40
Unlisted px casting/strpg	$75.60	$126.00	$292.80
Unlisted px conjunctiva	$888.60	$888.60	$888.60
Unlisted px external ear	$75.60	$126.00	$949.20
Unlisted px forearm/wrist	$102.60	$109.20	$382.20
Unlisted px hands/fingers	$3,639.60	$5,143.20	$6,231.60
Unlisted px leg/ankle	$114.60	$118.20	$348.60
Unlisted px male genital sys	$75.60	$90.60	$165.00
Unlisted px med radj physics	$404.40	$404.40	$404.40
Unlisted px mediastinum	$114.40	$114.40	$114.40
Unlisted px posterior segmnt	$3,997.80	$4,036.20	$5,381.40
Unlisted px salivry glnd/dux	$93.60	$93.60	$93.60
Unlisted px small intestine	$2,511.60	$2,769.00	$4,264.00
Unlisted px tongue flr mouth	$86.40	$118.20	$370.80
Unlisted resp px dx nuc med	$1,750.80	$1,750.80	$1,750.80
Unlisted transfusion med px	$32.40	$306.00	$2,944.20
Unlisted ultrasound procedure	$146.40	$146.40	$306.00
Unlstd hematop ret/endo lymp	$607.20	$607.20	$734.40
Unsched dialysis esrd pt hos	$684.60	$1,560.60	$2,160.60
Upgrade pm system	$5,231.40	$5,231.40	$15,540.60
Upper Back (Thoracic Spine) MRI (with and without contrast)	$1,926.00	$3,601.80	$9,808.20
Upper Back (Thoracic Spine) MRI (with contrast)	$1,250.40	$3,051.00	$8,004.00
Upper Back (Thoracic Spine) MRI (without contrast)	$1,042.20	$2,338.80	$6,214.20
Upper Endoscopy (EGD, diagnostic)	$878.40	$1,895.40	$4,264.00
Upper Endoscopy (EGD, with biopsy)	$637.20	$2,132.40	$4,330.80
Uppr gi scope w/submuc inj	$1,876.80	$3,526.20	$4,856.40
Urea nitrogen	$21.60	$39.60	$173.40
Urea nitrogen 24 hour urine	$28.80	$63.60	$322.80
Urea nitrogen clearance	$60.60	$72.00	$214.80
Ureteral embolization/occl	$9,301.80	$9,301.80	$10,911.00
Ureteral reflux study	$1,228.80	$1,861.80	$2,370.00
Urethrcystgrphy rtrgrde s&i	$306.60	$642.60	$2,813.40
Urethrocystography void s&i	$306.60	$1,272.60	$2,813.40
Uric acid blood	$23.40	$59.20	$147.00
Uric acid urine	$25.80	$52.20	$375.00
Urinalysis (with microscopy)	$23.40	$52.80	$468.60
Urinalysis (without microscopy)	$17.40	$36.60	$80.40
Urinalysis microscopic only	$13.80	$58.80	$666.00
Urinalysis qual/semiquant excpt ia	$8.40	$51.00	$378.00
Urinary bldr retent nuc study	$1,489.80	$1,489.80	$1,801.60
Urine Culture Test	$45.00	$74.40	$490.20
Urine pregnancy test	$39.00	$85.20	$666.00
Urography inf drip &/or bolus	$427.80	$427.80	$427.80
Urography, antegrade	$896.40	$1,369.60	$2,813.40
Ustekinumab 130 mg/26 ml intravenous solution	$46.20	$70.00	$7,410.00
Ustekinumab 45 mg/0.5 ml subcutaneous solution	$57.00	$746.40	$16,705.20
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml	$193.20	$199.20	$209.40
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml	$193.20	$340.00	$340.20
Vaccine dtap < 7 years im	$32.40	$33.60	$43.20
Vaccine dtap-hep b-ipv im	$37.80	$37.80	$39.60
Vaccine dtap-ipv 4-6 years im	$31.20	$31.20	$36.60
Vaccine dtap-ipv/hib im	$66.00	$66.00	$66.00
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im	$31.20	$31.20	$31.20
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im	$9.00	$31.20	$32.40
Vaccine hepatitis a (hepa) adult im	$46.80	$91.20	$108.00
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im	$117.60	$117.60	$117.60
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im	$39.60	$43.80	$86.40
Vaccine hepatitis b (hepb) adult 3 dose im	$40.80	$86.40	$653.40
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im	$126.60	$168.80	$881.40
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im	$33.00	$63.20	$63.20
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im	$109.20	$186.00	$248.00
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im	$157.80	$186.00	$186.00
Vaccine influenza nos 0.5ml dose im	$12.00	$12.00	$12.00
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im	$12.00	$12.60	$13.20
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im	$12.00	$12.00	$12.60
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im	$12.00	$12.00	$14.40
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im	$15.00	$15.00	$15.00
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im	$54.00	$54.00	$76.20
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im	$18.00	$24.00	$51.00
Vaccine mengingoccocal serogroup b 2 dose im	$82.20	$109.60	$267.00
Vaccine mengingoccocal serogroup b 2 or 3 dose im	$73.20	$73.20	$73.20
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im	$82.20	$86.40	$97.80
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im	$91.80	$108.80	$108.80
Vaccine mmr live subcutaneous	$48.60	$64.80	$90.60
Vaccine mmrv live subcutaneous	$112.20	$112.20	$136.80
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im	$75.00	$75.00	$75.00
Vaccine pneumococcal conjugate 13 valent (pcv13) im	$144.00	$144.00	$144.00
Vaccine pneumonococcal conjugate 20 valent (pcv20) im	$144.00	$192.00	$322.80
Vaccine polio (ipv) subcutaneous/im	$38.40	$38.40	$51.20
Vaccine rabies im	$259.80	$800.00	$800.00
Vaccine respiratory syncytial virus bivalent subunit/preservative free im	$177.00	$504.00	$672.00
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im	$1,184.80	$1,195.80	$1,196.00
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im	$846.00	$885.00	$1,195.80
Vaccine rotavirus attenuated (rv1) live 2 dose oral	$63.00	$63.00	$63.00
Vaccine rotavirus pentavalent (rv5) live 3 dose oral	$60.60	$60.60	$60.60
Vaccine td preservative free >= 7 years im	$42.60	$74.40	$74.40
Vaccine tdap >=7 years im	$31.80	$42.40	$54.00
Vaccine typhoid vicps im	$39.00	$39.00	$46.80
Vaccine varicella live subcutaneous	$748.80	$748.80	$748.80
Vad battery clip set hmii 14-v li-ion	$6,913.80	$6,913.80	$6,913.80
Vad univ batt charger hm 1440	$43,092.60	$43,092.60	$43,092.60
Vaginal Delivery (full care)	$4,748.40	$4,748.40	$4,748.40
Vaginal bx	$114.60	$114.60	$120.00
Valproic acid total therapeutic drug level	$96.00	$189.00	$490.80
Valrubicin injection	$168.60	$168.60	$168.60
Valvuloplasty aortic	$3,814.80	$6,420.60	$12,208.80
Valvuloplasty mitral	$17,108.40	$17,108.40	$23,686.20
Valvuloplasty pulmonary	$14,880.00	$14,880.00	$15,019.80
Vancomycin 1,000 mg intravenous injection	$0.60	$0.60	$130.20
Vancomycin hcl injection	$25.80	$74.40	$280.20
Vancomycin peak therapeutic drug level	$97.20	$213.00	$1,366.20
Varicella zoster antibody igg	$64.80	$134.40	$2,145.60
Varicella-zoster immue globin im	$1,309.20	$1,309.20	$2,109.00
Vasectomy	$1,078.20	$2,741.40	$4,608.00
Vasopressin 20 unit/ml intravenous solution	$7.95	$8.00	$201.60
Vedolizumab 300 mg intravenous solution	$73.80	$16,630.20	$27,154.80
Veeg cont 2-12 hrs	$1,126.20	$1,194.00	$1,502.40
Veeg ea 12-26hr cont mntr	$2,109.60	$2,109.60	$2,811.60
Veeg intrmnt 2-12 hrs	$586.80	$602.40	$924.60
Veeg unmon 12-26 hrs	$1,194.00	$1,194.00	$1,502.40
Veeg unmon 2-12 hrs	$586.80	$623.40	$783.60
Vein x-ray adrenal gland	$5,906.40	$5,906.40	$8,292.00
Vein x-ray adrenal glands	$2,934.00	$2,962.20	$9,796.20
Vein x-ray eye socket	$1,344.60	$1,344.60	$1,344.60
Vein x-ray kidney	$1,510.20	$3,009.60	$9,229.80
Vein x-ray liver	$3,328.80	$5,906.40	$10,500.60
Vein x-ray liver w/hemodynam	$4,614.60	$5,906.40	$18,946.80
Vein x-ray liver w/hemodynam	$2,636.40	$3,298.20	$18,439.20
Vein x-ray liver without hemodyn	$3,476.40	$3,476.40	$10,221.60
Vein x-ray skull	$2,280.00	$3,476.40	$8,026.80
Vein x-ray skull epidural	$1,344.60	$1,344.60	$1,344.60
Vein x-ray spleen/liver	$1,590.60	$3,324.60	$3,476.40
Velaglucerase alfa 400 unit intravenous solution	$876.00	$876.00	$7,060.20
Vemp test i&r cervical	$336.60	$336.60	$447.60
Vemp test i&r ocular	$336.60	$336.60	$447.60
Vemp tst i&r cervical&ocular	$636.60	$636.60	$849.00
Ven thrombosis images bilat	$1,228.80	$1,989.60	$2,406.40
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture)	$90.60	$122.40	$617.60
Venogram ext bil s&i	$1,045.20	$3,772.20	$10,221.60
Venogram extremity supervision & interpretation unilateral	$989.40	$2,248.80	$5,119.20
Venous m-thrombectomy add-on	$5,352.00	$10,537.20	$29,196.00
Venous mech thrombectomy	$5,352.00	$17,446.80	$32,551.20
Venous sampling s&i	$2,755.80	$3,362.40	$9,796.20
Venous thrombosis imaging	$1,172.40	$1,417.60	$1,800.00
Ventilator each subsequent day	$428.40	$1,718.40	$2,226.60
Ventilator initial day	$691.80	$1,735.20	$2,397.00
Version cephalic external	$91.80	$111.20	$5,430.00
Very long chain fatty acids	$42.00	$315.00	$1,558.20
Vest large holster	$3,585.00	$3,585.00	$3,585.00
Vinblastine 1 mg/ml intravenous solution	$3.00	$94.80	$699.00
Vincristine 1 mg/ml intravenous solution	$10.20	$181.60	$530.40
Vinorelbine 10 mg/ml intravenous solution (wrapper)	$15.00	$437.40	$1,020.60
Virus isolation addl studies ea	$186.60	$239.40	$265.20
Visc & infraren abd 2 prosth	$24,058.80	$24,058.80	$24,058.80
Visit established high 40-54 minutes/level 5	$465.60	$465.60	$465.60
Vital capacity test	$350.40	$350.40	$350.40
Vitamin D Test	$100.20	$169.20	$532.20
Vitamin b-12	$76.80	$133.80	$1,168.20
Vkorc1 gene	$459.00	$459.00	$459.00
Voiding pressure study/intra-abd 51797	$483.00	$483.00	$666.40
Volume deplete of harvest	$2,153.40	$2,153.40	$2,153.40
Volume measurement urine timed	$25.80	$47.40	$47.40
Vonvendi inj 1 iu vwf:rco	$0.60	$10.80	$15.20
Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr	$43.80	$690.60	$2,734.80
Vutrisiran 25 mg/0.5 ml subcutaneous syringe	$9,373.80	$13,248.60	$143,221.20
Warde 1003990 aldosterone	$201.60	$538.20	$1,355.40
Warde 1005020 citrate 24 hour urine	$52.20	$243.00	$720.00
Warde 1005055 5-hiaa 24 hour urine	$65.40	$255.60	$451.20
Warde 1006955 catecholamines fractionated 24 hour urine	$126.60	$265.80	$727.20
Warde 1007138 vanillymandelic acid 24 hour urine	$78.60	$209.40	$298.20
Warde 1015200 kappa light chain free	$68.40	$130.80	$349.80
Warde 3004000 immunoglobulin subclass 1	$41.40	$128.40	$861.60
Warde 3008005 oligoclonal bands	$138.00	$237.60	$303.00
Warde 3016000 west nile virus antibody	$91.80	$97.20	$627.60
Warde 3016000 west nile virus antibody igg	$80.40	$103.20	$627.60
Warde 3016300 saccharomyces cerevisiae iga antibody	$68.40	$111.60	$1,294.80
Warde 3400652 ova & parasites direct smear concentration and id	$41.40	$60.00	$255.60
Warde 3400652 smear complex special stain ova/parasites	$88.80	$108.00	$302.40
Warde 3400683 amplification rna markers infectious disease bacterial vaginosis	$309.60	$477.00	$664.20
Warde 3400852 arsenic	$96.60	$142.20	$585.00
Warde 3708165 mercury urine	$82.20	$122.40	$404.80
Warde acetylcholine receptor blocking antibody	$93.60	$355.80	$6,712.80
Warde actin (smooth muscle) antibody each	$58.80	$132.60	$780.60
Warde adenosine deaminase pleural fluid	$42.00	$87.60	$5,749.20
Warde adrenocorticotropic hormone (acth)	$192.60	$356.40	$745.60
Warde aldolase	$49.20	$142.20	$226.20
Warde amino acids 6 or more quantitative each specimen	$85.80	$721.20	$1,603.20
Warde amiodarone therapeutic drug level	$67.20	$175.20	$298.80
Warde analysis gene hfe common variants	$324.60	$1,590.60	$4,242.00
Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative	$651.60	$1,051.20	$1,114.20
Warde anti-mullerian hormone	$63.00	$281.40	$833.40
Warde apolipoprotein b	$67.20	$133.80	$819.00
Warde bile acids	$243.00	$243.00	$4,855.80
Warde cadmium blood	$99.00	$192.00	$298.40
Warde calcitonin	$133.20	$268.20	$585.60
Warde calculus (stone) infrared	$65.40	$236.40	$463.80
Warde clozapine therapeutic drug level	$52.20	$210.00	$417.60
Warde cobalt heavy metal quantitative each nes	$112.20	$309.60	$677.40
Warde collagen cross links c-telopeptide	$72.60	$238.80	$580.00
Warde complement total hemolytic	$99.00	$178.20	$1,484.40
Warde copper	$63.60	$159.00	$1,381.20
Warde cryoglobulin	$32.40	$75.60	$622.20
Warde erythropoietin	$80.40	$178.80	$969.00
Warde estrogen fractionated	$163.80	$322.20	$491.40
Warde fluorescent antibody screen endomysial iga	$66.60	$100.80	$213.00
Warde folic acid rbc	$75.60	$190.20	$2,678.40
Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative	$49.20	$235.20	$898.80
Warde gastrin	$85.20	$209.40	$1,193.40
Warde growth hormone (hgh)	$81.00	$280.80	$402.00
Warde haloperidol therapeutic drug level	$57.00	$145.80	$961.20
Warde helminth antibody strongyloides igg	$72.60	$150.60	$272.40
Warde hemoglobin fractionation/quantitation electrophoresis	$85.20	$102.60	$331.80
Warde hepatitis a antibody	$69.60	$201.00	$484.20
Warde hepatitis be antibody	$64.80	$109.20	$720.00
Warde hepatitis delta agent antibody	$36.00	$129.60	$1,182.60
Warde immunofixation electrophoresis urine	$163.80	$241.20	$1,717.20
Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn	$64.80	$109.20	$674.40
Warde infectious agent nucleic acid genotype hepatitis c	$1,431.00	$1,834.20	$2,667.00
Warde islet cell antibody zinc transporter 8	$131.40	$202.80	$284.00
Warde lipoprotein (a)	$72.60	$93.00	$225.60
Warde lipoprotein-associated phospholipase a2	$181.80	$266.40	$824.40
Warde mitochondrial antibody each	$67.20	$102.00	$192.60
Warde neutralization rabies	$94.20	$94.20	$468.60
Warde oxcarbazepine therapeutic drug level	$33.60	$199.80	$298.80
Warde pancreatic elastase fecal quantitative	$58.80	$456.60	$8,239.20
Warde protein c antigen	$61.20	$110.40	$230.40
Warde sex hormone binding globulin	$110.40	$171.00	$298.20
Warde somatomedin	$108.00	$137.40	$617.60
Warde sugars single qualitative each specimen stool	$28.80	$28.80	$28.80
Warde t3 (triiodothyronine) reverse	$79.80	$307.20	$887.20
Warde thyroid stimulating immunoglobulins	$183.60	$869.40	$6,306.60
Warde topiramate therapeutic drug level	$85.80	$130.20	$643.80
Warde virus isolation tissue culture innoculation presumptive id herpes simplex	$129.60	$292.80	$1,827.60
Warde viscosity	$59.40	$181.20	$557.40
Warde vitamin a	$58.80	$249.60	$2,296.80
Warde vitamin b-1 (thiamine)	$108.00	$225.00	$622.20
Warde vitamin b6 (pyridoxine)	$143.40	$274.40	$478.20
Warde vitamin c (ascorbic acid)	$49.80	$176.40	$374.40
Warde vitamin d (1 25 dihydroxy)	$192.60	$579.00	$1,711.20
Warde vitamin e (alpha-tocopherol)	$72.00	$226.20	$1,322.40
Warde zinc	$57.60	$201.60	$1,112.40
Wbc automated	$13.20	$36.60	$427.20
Western blot test	$86.40	$178.80	$222.60
Wet mounts/ w preparations	$12.00	$68.40	$109.20
Whole blood for transfusion	$244.20	$759.60	$2,415.00
Whole mitochondrial genome	$1,146.00	$4,943.40	$4,943.40
Wilate injection	$9.60	$9.60	$9.60
Wound closure by adhesive	$486.00	$486.00	$486.00
Wound therapy negative pressure per session <= 50 sq cm	$123.60	$211.20	$230.40
Wound therapy negative pressure per session <= 50 sq cm dme	$159.00	$230.40	$361.80
Wound therapy negative pressure per session > 50 sq cm	$154.80	$210.00	$230.40
Wound therapy negative pressure per session > 50 sq cm dme	$238.80	$336.60	$495.00
Wrist X-ray	$115.80	$307.20	$686.40
X-ray abdomen 1 view	$119.40	$456.60	$686.40
X-ray abdomen 2 views	$186.00	$395.20	$686.40
X-ray abdomen >=3 views	$186.00	$405.00	$686.40
X-ray abdomen complete acute series including spine erect and/or decubitus single view chest	$262.80	$609.60	$1,154.40
X-ray acromioclavicular joints without or w/weighted distraction bilateral	$154.80	$405.00	$686.40
X-ray ankle 2 views (both sides)	$99.00	$456.60	$697.60
X-ray arthrogram shoulder supervision & interpretation (both sides)	$718.20	$814.20	$4,294.20
X-ray bone age studies	$145.80	$350.40	$686.40
X-ray bone length studies	$262.80	$456.60	$686.40
X-ray bone survey complete	$262.80	$765.60	$2,025.60
X-ray bone survey infant	$262.80	$322.20	$843.20
X-ray cervical spine 2-3 views	$129.60	$456.60	$770.40
X-ray cervical spine 4-5 views	$222.00	$636.00	$1,154.40
X-ray cervical spine >= 6 views	$257.40	$679.20	$1,154.40
X-ray clavicle complete (both sides)	$118.20	$312.00	$686.40
X-ray colon abdominal radiograph(s) & delayed images single contrast study	$385.80	$779.40	$1,312.80
X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study	$427.80	$1,289.40	$2,179.20
X-ray elbow 2 views (both sides)	$105.00	$456.60	$686.40
X-ray elbow >= 3 views (both sides)	$129.60	$405.00	$686.40
X-ray esophogram chest radiograph(s) & delayed images single contrast study	$253.20	$779.40	$1,312.80
X-ray exam entire spi 4/5 vw	$200.40	$718.20	$1,154.40
X-ray exam entire spi 6/> vw	$241.20	$765.60	$1,174.40
X-ray exam of arm infant	$176.40	$511.20	$686.40
X-ray exam of eye sockets	$194.40	$405.00	$686.40
X-ray exam of femur 1	$129.60	$287.20	$686.40
X-ray exam of jaw joint	$542.40	$547.80	$656.00
X-ray exam of jaw joint	$188.40	$665.40	$804.80
X-ray exam of mastoids	$310.80	$397.80	$480.80
X-ray exam of middle ear	$475.20	$475.20	$574.40
X-ray exam of perineum	$513.00	$513.00	$513.00
X-ray exam of salivary gland	$501.60	$501.60	$606.40
X-ray exam of sinuses	$188.40	$385.60	$686.40
X-ray exam si joints	$171.60	$257.60	$686.40
X-ray exam thorac spine4/>vw	$262.80	$456.60	$821.60
X-ray eye detection foreign body (both sides)	$126.60	$456.60	$686.40
X-ray facial bones complete > 3 views	$194.40	$444.00	$686.40
X-ray femur >=2 views (both sides)	$129.60	$456.60	$724.80
X-ray finger(s) >= 2 views (both sides)	$93.60	$356.80	$686.40
X-ray foot 2 views (both sides)	$99.00	$456.60	$759.20
X-ray forearm 2 views (both sides)	$105.00	$456.60	$686.40
X-ray hand 2 views (both sides)	$99.00	$456.60	$686.40
X-ray head for orthodontia	$686.40	$686.40	$686.40
X-ray heel/calcaneus > 2 views (both sides)	$97.20	$354.40	$686.40
X-ray hip uni w/wo pelvis min 4 views	$134.40	$414.00	$686.40
X-ray hip with pelvis when performed bilateral 2 views	$186.00	$405.00	$686.40
X-ray hip with pelvis when performed bilateral 3-4 views	$186.00	$414.00	$686.40
X-ray hip with pelvis when performed bilateral >= 5 views	$186.00	$456.60	$951.20
X-ray hip with pelvis when performed unilateral 1 view left	$105.00	$456.60	$751.20
X-ray humerus >= 2 views left	$119.40	$456.60	$686.40
X-ray joint survey 1 view	$262.80	$345.00	$498.00
X-ray knee 1-2 views (both sides)	$119.40	$456.60	$736.00
X-ray knee 3 views (both sides)	$162.00	$405.00	$686.40
X-ray knee ap standing bilateral	$136.20	$287.20	$686.40
X-ray l/s-spine bend vw only 2-3 vw	$166.20	$417.00	$686.40
X-ray lower extremities infant > 2 views (both sides)	$188.40	$456.60	$686.40
X-ray lumbosacral spine >= 4 views	$257.40	$710.40	$1,154.40
X-ray lumbosacral spine complete including bending views >= 6 views	$262.80	$765.60	$1,154.40
X-ray mandible complete > 4 views	$198.00	$412.80	$686.40
X-ray mandible ltd <4 views	$188.40	$405.00	$686.40
X-ray nasal bones complete > 3 views	$118.20	$316.80	$686.40
X-ray neck soft tissue	$99.00	$344.80	$686.40
X-ray nose to rectum for foreign body child	$108.60	$243.00	$490.20
X-ray optic foramina	$188.40	$292.80	$354.40
X-ray pelvis 1-2 views	$168.00	$456.60	$686.40
X-ray pelvis complete > 3 views	$179.40	$456.60	$686.40
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation	$426.00	$896.40	$2,813.40
X-ray ribs 2 views left	$175.20	$368.80	$686.40
X-ray ribs 3 views bilateral	$204.00	$456.60	$686.40
X-ray ribs w/posterior anterior chest 3 views left	$216.00	$405.00	$686.40
X-ray ribs w/posterior anterior chest > 4 views bilateral	$235.80	$666.60	$1,154.40
X-ray sacroiliac joints >= 3 views	$154.80	$405.00	$686.40
X-ray sacrum/coccyx >= 2 views	$119.40	$405.00	$686.40
X-ray scapula complete (both sides)	$118.20	$368.00	$686.40
X-ray sella turcica	$188.40	$494.40	$598.40
X-ray shoulder 1 view (both sides)	$96.00	$456.60	$704.80
X-ray sinus tract/fistula/abscess	$502.20	$1,411.20	$3,618.60
X-ray sinuses paranasal complete > 3 views	$188.40	$448.80	$686.40
X-ray skull < 4 views	$154.80	$405.00	$686.40
X-ray skull > 4 views complete	$218.40	$532.80	$1,154.40
X-ray slg plne bdy sect without urogr	$945.00	$945.00	$1,143.20
X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study	$268.20	$779.40	$1,312.80
X-ray small intestine follow-through study	$397.20	$419.40	$559.20
X-ray spine single view	$105.00	$374.40	$686.40
X-ray sternoclavicular joint(s) > 3 views	$188.40	$405.00	$686.40
X-ray sternum > 2 views	$129.60	$401.60	$686.40
X-ray surgical specimen	$178.80	$536.40	$6,505.20
X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study	$427.80	$828.00	$1,312.80
X-ray temporomandibular joint open/closed mouth bilateral	$188.40	$456.60	$816.80
X-ray thoracic spine 2 views	$154.80	$456.60	$776.00
X-ray thoracic spine 3 views	$186.00	$456.60	$686.40
X-ray thoracolumbar spine >=2 views	$188.40	$396.00	$686.40
X-ray thoracolumbar spine including skull cervical & sacral spine 1 view	$188.40	$479.20	$1,154.40
X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views	$218.40	$718.20	$1,154.40
X-ray tibia/fibula 2 views (both sides)	$112.80	$456.60	$782.40
X-ray toe(s) > 2 views (both sides)	$93.60	$405.00	$686.40
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast	$427.80	$699.00	$1,312.80
X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study	$427.80	$699.00	$1,312.80
X-ray wrist 2 views (both sides)	$99.00	$456.60	$710.40
X-ray xm phrnx&/crv esoph c+	$427.80	$427.80	$427.80
Xe133 xenon 10mci	$496.20	$496.20	$496.20
Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/<	$2,925.00	$3,448.20	$11,263.80
Xfer tis s/a/l 10 sq cm/<	$3,955.80	$3,955.80	$6,414.00
Xm archive tissue molec anal	$54.60	$54.60	$54.60
Xylose absorption test blood &/or urine	$46.80	$46.80	$115.80
Yersinia antibody	$1,350.60	$1,350.60	$1,350.60
Yttrium y-90 ibritumomab ther	$94,667.40	$114,488.00	$123,585.60
Ziconotide injection	$76.20	$150.60	$5,752.20
Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr	$6.60	$94.80	$135.00
Zika virus dna/rna amp probe	$179.40	$179.40	$225.00
Zika virus igm antibody	$58.80	$108.00	$236.40
Ziprasidone 20 mg/ml (final concentration) intramuscular solution	$38.40	$229.80	$592.20
Ziv-aflibercept 25 mg/ml intravenous solution (wrapper)	$74.40	$74.40	$74.40
Zolbetuximab-clzb 100 mg intravenous solution	$45.60	$46.20	$948.00
Zoledronic acid 4 mg/5 ml intravenous solution	$110.40	$3,400.20	$4,651.80
Zoster vaccine-live inj	$135.00	$135.00	$135.00
_afb id by dna probe rflx ast	$112.20	$170.40	$1,349.40
_afb org id by sequencing rflx ast-sendout	$574.80	$1,327.80	$1,823.40
_fragile x methylation-sendout	$162.00	$475.80	$1,007.40