|
Apply rigid leg cast 29445
|
$1,155.60 |
$1,155.60 |
$1,155.60 |
$555.00
|
|
Apply short leg castambul type 29425
|
$777.60 |
$777.60 |
$777.60 |
$404.74
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$11.20 |
$11.20 |
$11.20 |
$955.43
|
|
Aqaprn-4 antb flo cytmtry ea
|
$28.80 |
$28.80 |
$28.80 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$234.60 |
$234.60 |
$234.60 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$234.60 |
$234.60 |
$234.60 |
$150.00
|
|
Aquatic exercise - group charge
|
$73.80 |
$73.80 |
$73.80 |
$87.45
|
|
Arformoterol non-comp unit
|
$30.20 |
$30.20 |
$30.20 |
$24.24
|
|
Argatroban nonesrd use 1mg
|
$358.80 |
$358.80 |
$358.80 |
$881.10
|
|
Ar gene charac alleles
|
$2,124.00 |
$2,124.00 |
$2,124.00 |
$287.70
|
|
Arm CT Scan (with contrast, both arms)
|
$2,052.60 |
$2,052.60 |
$2,052.60 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,906.80 |
$1,906.80 |
$1,906.80 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$476.40 |
$476.40 |
$476.40 |
$426.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$262.80 |
$262.80 |
$262.80 |
$1,303.25
|
|
Arterial blood draw/perc 36620
|
$633.60 |
$633.60 |
$633.60 |
$478.96
|
|
Artery xray each vessel 7577426
|
$2,092.20 |
$2,092.20 |
$2,092.20 |
$1,888.99
|
|
Artery xray of abdomen 75726-26
|
$2,766.60 |
$2,766.60 |
$2,766.60 |
$4,618.71
|
|
Artery x-rays adrenal gland
|
$2,739.60 |
$2,739.60 |
$2,739.60 |
$3,320.35
|
|
Artery x-rays arm/leg 75710-26
|
$2,766.60 |
$2,766.60 |
$2,766.60 |
$3,513.67
|
|
Artery x-rays arms/legs 75716-26
|
$2,766.60 |
$2,766.60 |
$2,766.60 |
$3,860.40
|
|
Artery x-rays chest
|
$3,486.60 |
$3,486.60 |
$3,486.60 |
$2,895.07
|
|
Artery x-rays lung
|
$4,113.00 |
$4,113.00 |
$4,113.00 |
$3,296.15
|
|
Artery x-rays lungs
|
$6,954.60 |
$6,954.60 |
$6,954.60 |
$3,660.60
|
|
Artery xrays of pelvis 75736 26
|
$3,612.00 |
$3,612.00 |
$3,612.00 |
$4,306.40
|
|
Artery x-rays spine
|
$5,738.40 |
$5,738.40 |
$5,738.40 |
$4,792.33
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$298.80 |
$298.80 |
$298.80 |
$609.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$294.60 |
$294.60 |
$294.60 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$689.40 |
$689.40 |
$689.40 |
$910.79
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$281.40 |
$281.40 |
$281.40 |
$494.40
|
|
Artificial larynx
|
$808.20 |
$808.20 |
$808.20 |
$713.44
|
|
Artiss fibrin sealant
|
$2,862.00 |
$2,862.00 |
$2,862.00 |
$1,501.22
|
|
Ascenda two piece catheter
|
$30,548.40 |
$30,548.40 |
$30,548.40 |
$22,792.00
|
|
Asp core fat pad
|
$363.60 |
$363.60 |
$363.60 |
$1,123.50
|
|
Aspirate bladder/sprapubic cath 51102
|
$2,218.20 |
$2,218.20 |
$2,218.20 |
$3,226.20
|
|
Aspirate pleura without imaging 32554
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,195.15
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$543.60 |
$543.60 |
$543.60 |
$1,250.04
|
|
Aspiration peritonsillar abscess
|
$297.00 |
$297.00 |
$297.00 |
$431.20
|
|
Assay myeloperoxidase
|
$200.40 |
$200.40 |
$200.40 |
$97.41
|
|
Assay of feces porphyrins
|
$251.40 |
$251.40 |
$251.40 |
$134.38
|
|
Assay of fluoride
|
$289.80 |
$289.80 |
$289.80 |
$96.85
|
|
Assay of glutathione
|
$86.40 |
$86.40 |
$86.40 |
$76.14
|
|
Assay of interleukin-6 (il-6)
|
$271.20 |
$271.20 |
$271.20 |
$79.00
|
|
Assay of prostaglandin
|
$260.40 |
$260.40 |
$260.40 |
$230.00
|
|
Assay of sialic acid
|
$210.00 |
$210.00 |
$210.00 |
$92.50
|
|
Assay of somatostatin
|
$252.00 |
$252.00 |
$252.00 |
$170.50
|
|
Assay of urine sulfate
|
$72.60 |
$72.60 |
$72.60 |
$28.20
|
|
Assay phosphohexose enzymes
|
$156.00 |
$156.00 |
$156.00 |
$114.40
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$754.80 |
$754.80 |
$754.80 |
$300.00
|
|
Assess cyst contrast inject
|
$894.00 |
$894.00 |
$894.00 |
$453.04
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$72.60 |
$72.60 |
$72.60 |
$46.80
|
|
Ast/sgot
|
$102.60 |
$102.60 |
$102.60 |
$45.90
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$319.20 |
$319.20 |
$319.20 |
$22,528.65
|
|
Athrectomy fem/pop/unilateral 37225
|
$40,523.40 |
$40,523.40 |
$40,523.40 |
$16,141.30
|
|
Athrectomy tib/pero/unilat/ini ves 37229
|
$38,325.60 |
$38,325.60 |
$38,325.60 |
$15,188.25
|
|
Atropine 0.1 mg/ml injection syringe
|
$38.40 |
$38.40 |
$38.40 |
$53.24
|
|
Atxn1 gene detc abnor allele
|
$923.40 |
$923.40 |
$923.40 |
$260.58
|
|
Atxn2 gene detc abnor allele
|
$923.40 |
$923.40 |
$923.40 |
$260.58
|
|
Audiometry air + bone
|
$192.00 |
$192.00 |
$192.00 |
$185.15
|
|
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body
|
$16,396.20 |
$16,396.20 |
$16,396.20 |
$7,109.05
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$17,721.00 |
$17,721.00 |
$17,721.00 |
$10,415.40
|
|
Autologous blood op salvage
|
$311.40 |
$311.40 |
$311.40 |
$943.80
|
|
Avelumab 20 mg/ml intravenous solution
|
$249.60 |
$249.60 |
$249.60 |
$3,721.71
|
|
Avul nail plate addl
|
$382.20 |
$382.20 |
$382.20 |
$189.10
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$566.40 |
$566.40 |
$566.40 |
$326.27
|
|
Azacitidine injection
|
$1,480.80 |
$1,480.80 |
$1,480.80 |
$1,047.73
|
|
Azathioprine 50 mg tablet
|
$22.20 |
$22.20 |
$22.20 |
$3.44
|
|
Azithromycin 500 mg intravenous solution
|
$313.60 |
$313.60 |
$313.60 |
$37.53
|
|
Azithromycin dihydrate, oral
|
$150.40 |
$150.40 |
$150.40 |
$46.31
|
|
Aztreonam 1 gram solution for injection
|
$39.60 |
$39.60 |
$39.60 |
$157.30
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$12,145.20 |
$12,145.20 |
$12,145.20 |
$1,639.90
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$598.40 |
$598.40 |
$598.40 |
$158.07
|
|
Baclofen eval charges
|
$87.00 |
$87.00 |
$87.00 |
$87.50
|
|
Bacterial meningitis antigen
|
$45.00 |
$45.00 |
$45.00 |
$66.30
|
|
Bacterial vaginosis pcr
|
$315.00 |
$315.00 |
$315.00 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$532.20 |
$532.20 |
$532.20 |
$112.80
|
|
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve
|
$34.20 |
$34.20 |
$34.20 |
$16.00
|
|
Balance and Coordination Retraining (each 15 minutes)
|
$127.80 |
$127.80 |
$127.80 |
$102.20
|
|
Barium Enema (Colon X-ray, barium and air)
|
$877.80 |
$877.80 |
$877.80 |
$820.15
|
|
Barium Enema (Colon X-ray, barium only)
|
$1,057.80 |
$1,057.80 |
$1,057.80 |
$666.90
|
|
Barium Swallow (Esophagus X-ray)
|
$407.40 |
$407.40 |
$407.40 |
$484.80
|
|
Bartonella dna pcr-sendout
|
$552.00 |
$552.00 |
$552.00 |
$195.25
|
|
Basic vestibular evaluation
|
$457.80 |
$457.80 |
$457.80 |
$346.09
|
|
Basiliximab
|
$10,048.80 |
$10,048.80 |
$10,048.80 |
$8,127.89
|
|
B cells total count
|
$207.00 |
$207.00 |
$207.00 |
$132.48
|
|
Belatacept 250 mg intravenous solution
|
$4,149.00 |
$4,149.00 |
$4,149.00 |
$2,036.75
|
|
Belimumab 120 mg intravenous solution
|
$5,415.00 |
$5,415.00 |
$5,415.00 |
$4,047.32
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$80.80 |
$80.80 |
$80.80 |
$4,898.13
|
|
Benign lesion paring 2-4
|
$526.20 |
$526.20 |
$526.20 |
$264.60
|
|
Benztropine 1 mg/ml injection solution
|
$193.20 |
$193.20 |
$193.20 |
$108.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$144.00 |
$144.00 |
$144.00 |
$82.55
|
|
Beta-2 microglobulin
|
$165.00 |
$165.00 |
$165.00 |
$85.20
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$122.40 |
$122.40 |
$122.40 |
$65.00
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$3,158.40 |
$3,158.40 |
$3,158.40 |
$5,737.97
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$355.80 |
$355.80 |
$355.80 |
$3,496.79
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$6,862.20 |
$6,862.20 |
$6,862.20 |
$2,617.16
|
|
B-hexosaminidase ea assay
|
$236.40 |
$236.40 |
$236.40 |
$124.00
|
|
Bilateral n block inj occipital 64405
|
$1,959.60 |
$1,959.60 |
$1,959.60 |
$820.97
|
|
Bilateral n block inj trigeminal 64400
|
$1,434.00 |
$1,434.00 |
$1,434.00 |
$587.60
|
|
Biliary endo perq dx w/speci
|
$4,193.40 |
$4,193.40 |
$4,193.40 |
$5,080.00
|
|
Biliary endoscopy thru skin
|
$4,809.60 |
$4,809.60 |
$4,809.60 |
$10,156.40
|
