|
3d recon without postprocess indpndt
|
$670.60 |
$670.60 |
$670.60 |
$505.05
|
|
Abd/low ext cath 2nd
|
$3,828.60 |
$3,828.60 |
$3,828.60 |
$2,015.85
|
|
Abdominal CT scan (with and without contrast)
|
$560.00 |
$560.00 |
$560.00 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$468.50 |
$468.50 |
$468.50 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$273.50 |
$273.50 |
$273.50 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$706.00 |
$706.00 |
$706.00 |
$2,967.00
|
|
Abdominal MRI (without contrast)
|
$457.00 |
$457.00 |
$457.00 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$2,572.00 |
$2,572.00 |
$2,572.00 |
$1,636.80
|
|
Abdominal Ultrasound (complete)
|
$1,123.60 |
$1,123.60 |
$1,123.60 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$846.80 |
$846.80 |
$846.80 |
$581.10
|
|
Ablation cardiac vagal inputs atrium
|
$14,685.60 |
$14,685.60 |
$14,685.60 |
$2,260.30
|
|
Ablation cryo retro lymph node
|
$381.60 |
$381.60 |
$381.60 |
$826.80
|
|
Ablation of upper extremity nerves rf
|
$807.20 |
$807.20 |
$807.20 |
$832.50
|
|
Abscess drain retroperitoneal surg code
|
$4,709.20 |
$4,709.20 |
$4,709.20 |
$2,999.34
|
|
Actinotherapy uv light
|
$215.20 |
$215.20 |
$215.20 |
$105.60
|
|
Acute hepatitis panel
|
$917.20 |
$917.20 |
$917.20 |
$284.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$318.00 |
$318.00 |
$318.00 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$647.50
|
|
Administration immunization 1 vaccine
|
$49.40 |
$49.40 |
$49.40 |
$67.60
|
|
Administration immunization each additional vaccine
|
$60.00 |
$60.00 |
$60.00 |
$46.89
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$49.40 |
$49.40 |
$49.40 |
$41.45
|
|
Agalsidase beta 35 mg intravenous solution
|
$47,027.60 |
$47,027.60 |
$47,027.60 |
$14,475.20
|
|
Albumin body fluid quantitative each specimen
|
$79.60 |
$79.60 |
$79.60 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$118.80 |
$118.80 |
$118.80 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$81.80 |
$81.80 |
$81.80 |
$42.40
|
|
Alkaline phosphatase
|
$121.00 |
$121.00 |
$121.00 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$59.40 |
$59.40 |
$59.40 |
$48.57
|
|
Allergen egg white ige
|
$48.80 |
$48.80 |
$48.80 |
$37.20
|
|
Alpha-fetoprotein tumor marker
|
$170.80 |
$170.80 |
$170.80 |
$103.80
|
|
Alt/sgpt
|
$56.60 |
$56.60 |
$56.60 |
$47.40
|
|
Amino acid screen, urine
|
$143.60 |
$143.60 |
$143.60 |
$77.00
|
|
Ammonia
|
$153.40 |
$153.40 |
$153.40 |
$119.70
|
|
Amylase
|
$142.40 |
$142.40 |
$142.40 |
$89.04
|
|
Analysis gene f2 20210g>a variant
|
$739.20 |
$739.20 |
$739.20 |
$222.05
|
|
Analysis gene f5 leiden variant
|
$1,068.60 |
$1,068.60 |
$1,068.60 |
$237.60
|
|
Anaplsma phgcytophlm amp prb
|
$162.40 |
$162.40 |
$162.40 |
$82.65
|
|
Anca screen with reflex to titer -quest
|
$62.40 |
$62.40 |
$62.40 |
$99.00
|
|
An fluoro guide for cvp
|
$917.80 |
$917.80 |
$917.80 |
$515.00
|
|
Angioplasty fem/pop unilat 37224
|
$5,540.00 |
$5,540.00 |
$5,540.00 |
$8,835.00
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$4,331.20 |
$4,331.20 |
$4,331.20 |
$10,173.90
|
|
Angio tib/peroneal/init ves/unila 37228
|
$4,897.60 |
$4,897.60 |
$4,897.60 |
$10,513.36
|
|
Angio trnslmnl balloon same artery ini
|
$13,595.00 |
$13,595.00 |
$13,595.00 |
$9,074.63
|
|
Ankle X-ray
|
$463.20 |
$463.20 |
$463.20 |
$352.80
|
|
Antibody bacterium, not elsewhere specified
|
$53.60 |
$53.60 |
$53.60 |
$57.81
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$576.00 |
$576.00 |
$576.00 |
$219.30
|
|
Antibody id rbc panel
|
$375.00 |
$375.00 |
$375.00 |
$290.21
|
|
Antibody screen rbc
|
$163.40 |
$163.40 |
$163.40 |
$106.88
|
|
Anti mog serum - sendout
|
$514.80 |
$514.80 |
$514.80 |
$133.50
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$49.60 |
$49.60 |
$49.60 |
$37.58
|
|
Antinuclear antibodies
|
$207.00 |
$207.00 |
$207.00 |
$90.00
|
|
Antinuclear antibodies titer
|
$46.40 |
$46.40 |
$46.40 |
$79.86
|
|
Antistreptolysin o titer
|
$30.40 |
$30.40 |
$30.40 |
$52.50
|
|
Antithrombin iii activity
|
$256.60 |
$256.60 |
$256.60 |
$114.00
|
|
Application long leg splint 29505
|
$608.60 |
$608.60 |
$608.60 |
$338.25
|
|
Application lower leg splint 29515
|
$608.60 |
$608.60 |
$608.60 |
$334.20
|
|
Application multi layer compression below knee (both sides)
|
$661.00 |
$661.00 |
$661.00 |
$370.92
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$109.40 |
$109.40 |
$109.40 |
$76.80
|
|
Apply rigid leg cast 29445
|
$1,406.80 |
$1,406.80 |
$1,406.80 |
$555.00
|
|
Aquaporin-4 antibody cba each
|
$117.60 |
$117.60 |
$117.60 |
$140.84
|
|
Aquatic exercise - group charge
|
$114.80 |
$114.80 |
$114.80 |
$87.15
|
|
Arterial blood draw/perc 36620
|
$804.40 |
$804.40 |
$804.40 |
$485.69
|
|
Artery x-rays arm/leg 75710-26
|
$4,031.80 |
$4,031.80 |
$4,031.80 |
$3,483.84
|
|
Artery x-rays arms/legs 75716-26
|
$4,310.40 |
$4,310.40 |
$4,310.40 |
$3,729.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,953.80 |
$1,953.80 |
$1,953.80 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$1,834.60 |
$1,834.60 |
$1,834.60 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,369.20 |
$1,369.20 |
$1,369.20 |
$901.60
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,723.80 |
$1,723.80 |
$1,723.80 |
$726.66
|
|
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604
|
$1,284.60 |
$1,284.60 |
$1,284.60 |
$699.00
|
|
Aspirate pleura without imaging 32554
|
$3,669.80 |
$3,669.80 |
$3,669.80 |
$1,196.52
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$2,785.60 |
$2,785.60 |
$2,785.60 |
$1,226.87
|
|
Assay dir meas fr estradiol
|
$88.00 |
$88.00 |
$88.00 |
$67.62
|
|
Ast/sgot
|
$55.00 |
$55.00 |
$55.00 |
$45.60
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$993.20 |
$993.20 |
$993.20 |
$326.27
|
|
Azathioprine 50 mg tablet
|
$2.80 |
$2.80 |
$2.80 |
$3.25
|
|
Baclofen eval charges
|
$149.20 |
$149.20 |
$149.20 |
$87.50
|
|
Bacterial meningitis antigen
|
$48.00 |
$48.00 |
$48.00 |
$66.30
|
|
Bacterial vaginosis pcr
|
$292.00 |
$292.00 |
$292.00 |
$287.04
|
|
#bac vag cand-c. albicans naa
|
$269.00 |
$269.00 |
$269.00 |
$109.20
|
|
Beta 2 glycoprotein 1 antibody iga
|
$112.60 |
$112.60 |
$112.60 |
$82.20
|
|
Bilateral n block inj occipital 64405
|
$3,848.20 |
$3,848.20 |
$3,848.20 |
$808.17
|
|
Bilateral n block inj trigeminal 64400
|
$1,162.60 |
$1,162.60 |
$1,162.60 |
$586.30
|
|
Bilicheck
|
$24.80 |
$24.80 |
$24.80 |
$27.00
|
|
Bilirubin direct
|
$101.40 |
$101.40 |
$101.40 |
$50.40
|
|
Bilirubin total
|
$10.00 |
$10.00 |
$10.00 |
$53.84
|
|
Biopsy needle lymph node superficial
|
$2,908.00 |
$2,908.00 |
$2,908.00 |
$1,879.09
|
|
Biopsy of prostate
|
$6,034.80 |
$6,034.80 |
$6,034.80 |
$2,419.00
|
|
Biopsy skin incisional single lesion
|
$1,510.20 |
$1,510.20 |
$1,510.20 |
$661.80
|
|
Bladder irrigate/lavage/instill 51700
|
$717.80 |
$717.80 |
$717.80 |
$408.00
|
|
Bld prd mix
|
$653.60 |
$653.60 |
$653.60 |
$140.25
|
|
Block tap inj(s) w/wo img uni
|
$1,865.20 |
$1,865.20 |
$1,865.20 |
$869.88
|
|
Blood Clotting (PT/INR) Test
|
$15.00 |
$15.00 |
$15.00 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$30.00 |
$30.00 |
$30.00 |
$73.80
|
|
Blood Count (CBC) Test
|
$15.00 |
$15.00 |
$15.00 |
$74.70
|
|
Blood Count (CBC) Test (without differential)
|
$15.00 |
$15.00 |
$15.00 |
$61.80
|
|
Blood Culture Test
|
$582.20 |
$582.20 |
$582.20 |
$145.60
|
|
Blood draw capillary 36416
|
$32.00 |
$32.00 |
$32.00 |
$20.00
|
|
Blood gases o2 saturation direct measurement
|
$264.00 |
$264.00 |
$264.00 |
$226.20
|
|
Blood gases ph venous
|
$320.00 |
$320.00 |
$320.00 |
$64.60
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$36.00 |
$36.00 |
$36.00 |
$57.60
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$15.00 |
$15.00 |
$15.00 |
$33.15
|
