|
Arthrt ac sc jt exp/rmvl fb
|
$726.00 |
$726.00 |
$726.00 |
$3,786.00
|
|
Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah)
|
$1,742.40 |
$1,742.40 |
$1,742.40 |
$5,241.60
|
|
Artiss fibrin sealant
|
$360.60 |
$360.60 |
$360.60 |
$1,501.22
|
|
Ascenda two piece catheter
|
$22,632.60 |
$22,632.60 |
$22,632.60 |
$22,792.00
|
|
Aspirate bladder/sprapubic cath 51102
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$3,226.20
|
|
Aspirate/inj ganglion cyst 20612
|
$215.40 |
$215.40 |
$215.40 |
$441.30
|
|
Aspirate pleura without imaging 32554
|
$810.60 |
$810.60 |
$810.60 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$112.20 |
$112.20 |
$112.20 |
$1,250.04
|
|
Aspir/inj thyroid cyst 60300
|
$114.60 |
$114.60 |
$114.60 |
$872.50
|
|
Assay acid phosphatase
|
$55.80 |
$55.80 |
$55.80 |
$38.22
|
|
Assay free hydroxyproline
|
$154.20 |
$154.20 |
$154.20 |
$57.60
|
|
Assay of adp & amp
|
$174.60 |
$174.60 |
$174.60 |
$169.65
|
|
Assay of corticosterone
|
$212.40 |
$212.40 |
$212.40 |
$55.20
|
|
Assay of estrogen
|
$616.20 |
$616.20 |
$616.20 |
$208.74
|
|
Assay of fluoride
|
$118.80 |
$118.80 |
$118.80 |
$96.85
|
|
Assay of lap enzyme
|
$88.20 |
$88.20 |
$88.20 |
$72.00
|
|
Assay of pregnanediol
|
$181.80 |
$181.80 |
$181.80 |
$53.60
|
|
Assay of pregnanetriol
|
$159.00 |
$159.00 |
$159.00 |
$85.15
|
|
Assay of procainamide
|
$163.80 |
$163.80 |
$163.80 |
$114.91
|
|
Assay of semen fructose
|
$166.20 |
$166.20 |
$166.20 |
$56.00
|
|
Assay of tyrosine
|
$102.60 |
$102.60 |
$102.60 |
$56.10
|
|
Assay phosphatidylglycerol
|
$78.00 |
$78.00 |
$78.00 |
$134.16
|
|
Assist-bilat spinal disk surgery add-on 63035
|
$265.80 |
$265.80 |
$265.80 |
$1,003.60
|
|
Assistive tech assessment, ot
|
$84.00 |
$84.00 |
$84.00 |
$90.60
|
|
Ast/sgot
|
$40.80 |
$40.80 |
$40.80 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$28,017.00 |
$28,017.00 |
$28,017.00 |
$22,528.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$15.60 |
$15.60 |
$15.60 |
$53.24
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$230.40 |
$230.40 |
$230.40 |
$188.16
|
|
Augment injectable kit 3.0cc
|
$3,492.00 |
$3,492.00 |
$3,492.00 |
$6,963.84
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$396.00 |
$396.00 |
$396.00 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$928.80 |
$928.80 |
$928.80 |
$10,415.40
|
|
Autologous blood op salvage
|
$1,339.20 |
$1,339.20 |
$1,339.20 |
$943.80
|
|
Autopsy (necropsy) gross
|
$300.00 |
$300.00 |
$300.00 |
$599.20
|
|
Avelumab 20 mg/ml intravenous solution
|
$5,013.60 |
$5,013.60 |
$5,013.60 |
$3,721.71
|
|
Avul nail plate addl
|
$59.40 |
$59.40 |
$59.40 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$330.60 |
$330.60 |
$330.60 |
$326.27
|
|
Azacitidine injection
|
$996.00 |
$996.00 |
$996.00 |
$1,047.73
|
|
Azithromycin 500 mg intravenous solution
|
$7.20 |
$7.20 |
$7.20 |
$37.53
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$213.60 |
$213.60 |
$213.60 |
$1,639.90
|
|
Baclofen eval charges
|
$77.40 |
$77.40 |
$77.40 |
$87.50
|
|
Bacterial meningitis antigen
|
$105.00 |
$105.00 |
$105.00 |
$66.30
|
|
#bac vag cand-c. albicans naa
|
$637.80 |
$637.80 |
$637.80 |
$112.80
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$79.20 |
$79.20 |
$79.20 |
$102.20
|
|
Bard marquee Ultrasound biopsy device
|
$240.60 |
$240.60 |
$240.60 |
$1,686.67
|
|
Barium Enema (Colon X-ray, barium and air)
|
$518.40 |
$518.40 |
$518.40 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$435.00 |
$435.00 |
$435.00 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$249.00 |
$249.00 |
$249.00 |
$484.80
|
|
Basic vestibular evaluation
|
$134.40 |
$134.40 |
$134.40 |
$346.09
|
|
Bcg live 50 mg intravesical suspension
|
$391.20 |
$391.20 |
$391.20 |
$404.04
|
|
Bebtelovimab injection
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$450.00
|
|
Belatacept 250 mg intravenous solution
|
$2,415.00 |
$2,415.00 |
$2,415.00 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$5,268.00 |
$5,268.00 |
$5,268.00 |
$4,047.32
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$69.60 |
$69.60 |
$69.60 |
$4,898.13
|
|
Benign lesion paring 2-4
|
$183.60 |
$183.60 |
$183.60 |
$264.60
|
|
Benign lesion paring 4+
|
$210.60 |
$210.60 |
$210.60 |
$298.50
|
|
#_benzodiazconfur
|
$79.20 |
$79.20 |
$79.20 |
$121.60
|
|
Benztropine 1 mg/ml injection solution
|
$10.20 |
$10.20 |
$10.20 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$345.00 |
$345.00 |
$345.00 |
$82.55
|
|
Beta-2 microglobulin
|
$111.00 |
$111.00 |
$111.00 |
$85.20
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$16.80 |
$16.80 |
$16.80 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$7,937.40 |
$7,937.40 |
$7,937.40 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$6,949.20 |
$6,949.20 |
$6,949.20 |
$3,496.79
|
|
Bilateral n blobk inj pudendal 64430
|
$170.40 |
$170.40 |
$170.40 |
$1,407.20
|
|
Bilateral n block inj occipital 64405
|
$254.40 |
$254.40 |
$254.40 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$780.60 |
$780.60 |
$780.60 |
$587.60
|
|
Bilirubin direct
|
$49.80 |
$49.80 |
$49.80 |
$51.35
|
|
Bilirubin total
|
$49.80 |
$49.80 |
$49.80 |
$54.60
|
|
Biofeedback, pt
|
$412.80 |
$412.80 |
$412.80 |
$127.05
|
|
Biopsy, bone open deep
|
$1,188.60 |
$1,188.60 |
$1,188.60 |
$4,200.43
|
|
Biopsy bone trocar/needle superficial
|
$525.60 |
$525.60 |
$525.60 |
$1,694.59
|
|
Biopsy cervixsingle/multiple 57500
|
$168.00 |
$168.00 |
$168.00 |
$1,268.54
|
|
Biopsy external ear 69100
|
$148.80 |
$148.80 |
$148.80 |
$416.52
|
|
Biopsy finger joint lining
|
$590.40 |
$590.40 |
$590.40 |
$2,360.09
|
|
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides)
|
$182.40 |
$182.40 |
$182.40 |
$2,716.95
|
|
Biopsy knee joint lining
|
$708.00 |
$708.00 |
$708.00 |
$3,986.00
|
|
Biopsy muscle percutaneous needle
|
$73.20 |
$73.20 |
$73.20 |
$1,637.50
|
|
Biopsy needle liver percutaneous
|
$376.20 |
$376.20 |
$376.20 |
$1,895.76
|
|
Biopsy needle lymph node superficial
|
$144.60 |
$144.60 |
$144.60 |
$1,890.72
|
|
Biopsy of hip joint
|
$979.80 |
$979.80 |
$979.80 |
$3,296.80
|
|
Biopsy of penis 54100
|
$226.20 |
$226.20 |
$226.20 |
$1,917.33
|
|
Biopsy of prostate
|
$427.80 |
$427.80 |
$427.80 |
$2,419.00
|
|
Biopsy of rectum wall anal approach 45100
|
$339.60 |
$339.60 |
$339.60 |
$3,467.55
|
|
Biopsy of salivary gland 42400
|
$117.00 |
$117.00 |
$117.00 |
$1,145.90
|
|
Biopsy of salivary glnd;incisional 42405
|
$347.40 |
$347.40 |
$347.40 |
$3,249.48
|
|
Biopsy/removal lymph nodes
|
$754.80 |
$754.80 |
$754.80 |
$4,242.15
|
|
Biopsy skin incisional single lesion
|
$87.60 |
$87.60 |
$87.60 |
$661.80
|
|
Biopsy/soft tissue/neck or thorax 21550
|
$281.40 |
$281.40 |
$281.40 |
$2,462.35
|
|
Biopsy tongue anterior two-thirds
|
$206.40 |
$206.40 |
$206.40 |
$1,148.15
|
|
Biopsy vestibule of mouth 40808
|
$205.80 |
$205.80 |
$205.80 |
$644.67
|
|
Bivalirudin
|
$181.80 |
$181.80 |
$181.80 |
$1,086.92
|
|
Bladder Catheter Insertion (simple)
|
$405.00 |
$405.00 |
$405.00 |
$232.30
|
|
Bladder irrigate/lavage/instill 51700
|
$263.40 |
$263.40 |
$263.40 |
$412.80
|
|
Bleomycin 15 unit solution for injection
|
$316.80 |
$316.80 |
$316.80 |
$220.56
|
|
Blepharoplasty upper 15822
|
$721.20 |
$721.20 |
$721.20 |
$2,837.09
|
|
Blink reflex test
|
$88.20 |
$88.20 |
$88.20 |
$186.21
|
|
Bln 30frx10mmx12cm renal nephromax
|
$304.20 |
$304.20 |
$304.20 |
$5,330.60
|
|
Bln ureth 5ml 28f 2wy ltx st
|
$21.00 |
$21.00 |
$21.00 |
$34.40
|
|
Block plantar digital nerve
|
$84.60 |
$84.60 |
$84.60 |
$540.00
|
|
Block tap inj(s) w/wo img uni
|
$67.80 |
$67.80 |
$67.80 |
$876.00
|
|
Blood clot retraction
|
$40.20 |
$40.20 |
$40.20 |
$32.80
|
